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Home My WebLink About1718 Blackbird Cir; ; CBR2018-2434; Permit(city of Carlsbad Residential Permit Print Date: 03/04/2019 Permit No: CBR2018-2434 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 1718 Blackbird Cir BLDG-Residential 2156027000 $0.00 Work Class: Lot#: Reference#: Construction Type; Bathrooms: Orig. Plan Check#: P/M/E Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 09/13/2018 09/13/2018 Plan Check#: Final Inspection: 3/4/2019 4:09:SlPM Project Title: Description: MAS: REPLACE WATER HEATER Owner: Contractor: TRUST MAS PATTY O LIVING TRUST 11-15-10 1718 Blackbird Cir AFFORDABLE WATER HEATERS AND PLUMBING INC CARLSBAD, CA 92011 WATER HEATER PERMIT Total Fees: $98.00 Total Payments To Date: $98.00 28358 Constellation Rd, 698 Valencia, CA 91355-5044 661-259-7131 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $98.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCO ( City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buildlng@carlsbadca.gov www.carlsbadca.gov Plan Check NoU3~~(Y .... c? lf 3(j, Est. Value Plan Ck. Deposit SWPPP urr.. SUITEI/SPACEI/UNIT# APN f.. ef I ac e. 5D ,j o II on he ctie r <J'c..1n1 e EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIR SPRINKLERS YESO. No[] YES □No □ YEs□No□ , C D YY7 CONTRACTOR BUS, NAME r:-=-::-cc=-----------------.J--------L.L..:_;_~J.4--I..fL.cb_Le ..... m l±e.-10 1.lil.t ADDRESS ADDRESS !·crrv' ___ ·-·--· -------------STATE___ --ZIP___ .. --JJ·3 sz: (.'_()_(:iu.T.~ .. ait-i 2 -0 ---~frt .. :.,_#l.o 1-r.:. -·1 I · '--e n , / (;\-c tt ,;'r 1.:,3 s e.; ·--~ I PHONE FAX HONE If AX h -------.L...----------\l---"-"J=.-=S,_,_~L...3 ..L..i.J_.....5'-----e'...,_'J_,,,O,_,,,f_J_-l~)_li '2 -er ~ .... ,S...Lp ___ l1 EMAIL MAIL STATE UC.# P e. , a::.>.J..±.i.L@ oc w h ,z. /? , c c m__ ____ J STATE LIC.# CLASS c1filus. UC.# I \Ji 2.13 LP8" C :.3\..P 1 2.7 2. (Sec. 7031.5 11u,1ness and Profosslona Code: Any City or County which requires a permit to construct, oltor, Improve, demolish or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement tl\at he Is licensed pursuant to tho provisions of the Contractor'• License Law (Chapter 9, commending with Section 7000 of Division 3 or the Business and Professions Codo) or {hat he la exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031,5 by any appllcanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)), Workers' Compensation Declaration: / hereby afflnn under penalty of pelfury one of tho fol/owing doclaraUons: □ ~(vo and will maintain a certificate of conaent to aolf.lnsure for wor1<.ers· compensallon as provided by SecUon 3700 of the Labor Code, for tho potfoonance of the woilt for which this pe1mk Is Issued. b.d'i have and will maintain worlters' compensation, as required by Section 3700 of the Labor Codo, for the performance of the work for which this permit Is Issued. My workers' compensation insurance carrlo1 And pol'cy number are:lnsuranceCo./as u n a nee Co 4 o--f: the n(ed t: Policy No. 5 0 0 2 4..., 7 Q J-__ Expiration Date /, /, /., 1]!!1.1ecilon need not be completed If the permit Is for one hundred dollars ($100) or loss. LJ Certificate of Exemption: I certify that In the performance of the work for which lhls pormil Is iaauod, I shaH not employ any person In any maMer so as lo become subject 10 the Woilters' Compensalion Laws of CaUfornla. WARNING: Failure to aocure workers' compenntlon coverage 11 unlawful, and shall subject an employer to criminal p1naltlu and civil tines up to one hundred. thousand dollars (&100,000), In addlllon to the cost of comp1n11tlon, damagu II nro{)dr for In Section 3706 of Iha Labor codt, lnltresl and attorney's foot, . / ~ CONTRACTOR SIGNATURE wi u?AGENT DATE 9 1 \ 1 <c:, I hereby aff,rm that I am oxempt from Collt111clor's License Law for the following reason: O I, as owner of the property or my employee:, with wages as their sole compensaUon, will do the work and the structure Is not Intended or offered for sale (Sec. 7044, Business end Prolessions Code: The Contractor's Llcansa Law does not apply to an owner ol property who builds or Improves thereon, and who does such work himself or Uvough his own employees, provided that such Improvements are not Intended or ottered tor sale. II, however, the building or Improvement Is sold within one year of completion, the owner-builder will have the burden of proving that ha did not build or Improve for the purpose of sale). D I, as owner of the property, am excluslva:y contracting with Rcen1od contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of property who builds or Improves thereon, and contracts for such pro)ects with contraclor(s) licensed pursuant to lho Contracto(s Uconso Law). □ 1 em exempt under SecUon ____ Buslnesa and Prof~lons Code for this reason: 1. I personally plan 10 provide the major labor and materials for construction of tho proposed property Improvement O Yes O No 2. I (have/ have nol) signed an eppllcaUon for a building permit for lhe proposed work. 3. I have conlracted with the following person (firm) to provide the proposed consuuclion (Include name address/ phone/ contractors' license number): 4. 1 plan lo provide portions of the work, but I have hired the foUowlng parson to coordlnale, superlose and provide the major work 0nclude name/ address / phone/ contrectoro' Ucon•• number); s. I will provide some of lho work, but I havo conlroctod (hlrod) lho foll11Win9 poroon~ to provldo the work Indicated (Include name/ addrc~s /phone/ type of work): I I I I I I I I I l_~ PROPERTY OWNER SIGNATURE ~NT DATE ------------------I ---' Is lhe applicant or future bulldlng occupant required to submit a bUslness plan, a:utely hazardous matertals registration form or risk ma,agement and prevention program under Secllons 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or Mll8 building occupant required la obtain a permit from Ille air pollutlofl control district or air quality management district? □ Yes O No Is Iha faclflty to ba C0111trucled within 1,000 feet or the outer boundary of a school site? D Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR 1$ MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT, I certify that I haYe llllld the application and lltate that the aboYe lnfonnodon Is conectend thatthelnformallon on the plans ls accurate, I agieetocomplywlthall 01)1 ordinances and State 1-relatlng10 blllldingconslludlon. I hereby autholize reprasantative or the City or Car1sbad lo enter upon tho above mentioned property for ilspectioo P\Kl)OS8S. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD ' AGAtlST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAIDCITY IN COOSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is requi'ed llr excavations over 5'0' deep and demolitkln or construction of structtm Ol/91' 3 stories n heighl EXPtRA TIOO: Every permit issued by the Building Official under the provisklns or this Codo shall expire by limltalbn and become nul and 'IOkl W the buildrio or v.ork authorized by such permit is not coounenced wiVlil 180days from the dai!olsudl permit orlflhe btid'v,g or'Mlll< authorized by such perma ls suspended or abandoned at any lime aftertheworl< is commenced J a peood of 180days (Section 106.4.4 Urnloon Bulldilg Code) . .6""""'"'"'ATURE -~--_________ ,..'.__,______________ DATE ~L-~-----.. ·-·-------"· ____ , PERMIT INSPECTION HISTORY REPORT (CBR2018-2434) Permit Type: BLDG-Residential Application Date: 09/13/2018 Owner: TRUST MAS PATTY O LIVING TRUST 11-15-10 Work Class: P/M/E Issue Date: 09/13/2018 Subdivision: PARCEL MAP NO 16228 Status: Closed -Finaled Expiration Date: 09/03/2019 Address: 1718 Blackbird Cir Carlsbad, CA 92011-5008 IVR Number: 13909 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date 01/28/2019 01/28/2019 BLDG-25 Water 082323-2019 Cancelled Chris Renfro Relnspection Complete HeaterNents Checklist Item COMMENTS Passed BLOG-Building Deficiency No BLDG-Final 082324-2019 Cancelled Chris Renfro Reinspection Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No 03/04/2019 03104/2019 BLDG-25 Water 085132-2019 Passed Chris Renfro Complete HeaterNents Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Final 085133-2019 Passed Chris Renfro Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes March 04, 2019 Page 1 of 1