HomeMy WebLinkAbout1719 Bluebird Ln; ; CBR2019-1666; PermitCcityof
Carlsbad
Residential Permit
Print Date: 08/28/2019 Permit No: CBR2019-1666
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1719 Bluebird Ln
BLDG-Residential
2158801207
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
06/27/2019
06/27/2019
Plan Check#:
Final
Inspection: 8/28/2019 10:05:47AM
Project Title:
Description: KNIGHT: REPLACE A/C
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00
Owner:
TRUST KNIGHT AND SCHEFFEL LIVING TRUST
11-09-10
1719 Bluebird Ln
CARLSBAD,CA 92011
Total Payments To Date: $175.00
Contractor:
ANDERSON HEATING AND AIR
CONDITIONING INC
1830 John Towers Ave
El Cajon, CA 92020-1134
619-449-3852
Balance Due: $0.00
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 Munlclpal 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.
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$175.00
(cicyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
8-1
Plan CheckChR~ol Q, 11,,,~(g
Est. Value
PC Deposit ---------
Date -~=-=sJ'-'".}-'----~---'-\ lj'.i.___
Job Address __ \_,___:\_C\_;___~----""-;\-'-'v..'-=t.:::.lo_,_< ~ _ _,L::::n__,_, ____ ,Suite: ____ APN: ________ _
CT/Project#: __________ Lot#: ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
BRIEF DESCRIPTION OF WORK:
0 Addition/New: ______ Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __
D Remodel: _____ SF of affected area Is the area a conversion or change of use ? Yes/ No
□ Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _
□ Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: _____________________________________ _
D Plumbing/Mechanical/Electrical Only: ________________________ _
D Other:------------------------------------
APPLICAN~ (PRIMA~ CONTACT}
Name: t\1\-C.h \::S\"1~
Address: :,\"H/, UX-~--,r De ~1-'~
City: \,J~-.~\,._\<.e State: C" Zip: CJ 13<,;,z_
Phone: 't, 1<;,-Ts•~ ·7~1b
PROPERTY OWNER
Name: :J '-' \ 1' ~
Address: I 7 I 0\ \..." .
City: [.,fl-:,li..Ji State: CJ>
Phone: "7190 -i IL{ • 'if?,o "I
Zip:"\201\
Email: __________________ Email: ____________________ _
DESIGN PROFESSIONAL CONTRACTOR BUSINESS
Name: _________________ _
Address: ________________ _
Name: fli.,.._~~0" \,\.,..:t-,'.61-c'. ¼V:
Address: I \s"),C JO\,"' -u,\;,._rs f•w,.,
City: ________ State: __ ~Zip: ____ _
Phone: _________________ _
City: {( C.~o n State: C.J--Zip: _q~W~7~e; ___ _
Phone: (o ( " -ljl./ ~ · sq 5 2-
Email: _________________ _
Architect State License: ___________ _
Email: _____________ ~~-~---
State License: 4"1 ?,\(.'~ Bus. License: SLOS I07'{'1{Jo
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law
{Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he/she is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-1 Page 1 of 2 Rev, 06/18
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I heorby affirm under penalty of perjury one of the following dee/orations:
0 I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued.
✓i'have and will maintairi worker's compensation, as required by Section 3700 of the labor Code, for the perfort"?ance of the Vo(Ork for which this permit is issued.
My workers' compensation insurance carrier and policy number are: lnsurancero4any Name: ::1i\<,, La O'" +be We¼::
Policy No, '\JS t:,111]':l '£ 0 I Expiration Date: \ 1-3 i "\
□ Certificate of Exemption; I certify that in the performance of the work for which this permit is issued, r shall not employ any person in any manner so as to be come
subject to the workers' compensation laws of California. WARNING: Failure to secure workers compensation coverage is unlawful, and shall subject an employer to
criminal penalties and civil fines up to $100,000.00 · dition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code,
interest and attorney's fees.
CONTRACTOR SIGNATURE: =-----------cz(GENT DATE: r,,( 11( IC\
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec.
7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work
himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
□ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
□ I am exempt under Section ________ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes D No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/
contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work):
OWNER SIGNATURE: _________________ □AGENT DATE: _____ _
CONSTRUCTION LENDING AGENCY. IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name: _____________________ _ lender's Address: _____________________ _
ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 2S533 or 25S34 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
APPLICANT CERTIFICATION:
I certify that l have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State Jaws relating to building construction.
I hereby authorize representative of the Oty of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP
HARMLESS THE CllY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHJCH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF
THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized
by such permit is not commenced within 180 days o the date of such permit or if the building or work authorized by such permit is suspended or abandoned at anytime
after the work is commenced for a period of 180 d y Section 106.4.4 Uniform Building Code).
APPLICANT SIGNATURE: _j_~~~:::::::::::.._ ____________ DATE: ~ ... h..:.... ___ _
1635 Faraday Ave Carlsbad, CA 92008
B-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
PERMIT INSPECTION HISTORY REPORT (CBR2019-1666)
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 06/27/2019 Owner:
Issue Date: 06/27/2019 Subdivision:
Expiration Date: 02/24/2020 Address:
IVR Number: 20041
Inspection No. Inspection Status Primary Inspector
08/28/2019 08/28/2019 BLDG-43 Air
Cond./Fumace Set
102346-2019 Passed Paul York
August 28, 2019
BLDG-Flnal
Inspection
Checklist Item
BLDG-Building Deficiency
102345-2019
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLOG-Mechanical Final
BLOG-Structural Final
BLDG-Electrical Final
COMMENTS
Passed Paul York
COMMENTS
TRUST KNIGHT AND SCHEFFEL
LIVING TRUST 11-09-10
CARLSBAD TCT#93-03
POINSETTIA HILL
1719 Bluebird Ln
Carlsbad, CA 92011-2781
Reinspection Complete
Complete
Passed
Yes
Complete
Passed
Yes
Yes
Yes
Yes
Yes
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