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HomeMy WebLinkAbout1750 BLACKBIRD CIR; ; CB110667; Permit* City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-31-2011 Mechanical Permit Permit No: CB110667 Building Inspection Request Line (760) 602-2725 Job Address: 1750 BLACKBIRD CR CBAD Permit Type: MECH Status: ISSUED Parcel No: 2156011000 Lot#: 0 Applied: 03/30/2011 Valuation: $0.00 Entered By: LSM Reference*: Plan Approved: 03/31/2011 PC#: Issued: 03/31/2011 Project Title: PLAPPERT RES-REPLACE FAU & Inspect Area: A/C UNIT Applicant: : Owner: ARS PLAPPERT RUSSELL F&CHERYL L TRS STE A 9895 OLSON DR 1750 BLACKBIRD CIR SAN DIEGO CA 92121 CARLSBAD CA 92011 8584576557 Mechanical Issue Fee $15.00 Install/Furn/Ducts/Heat Pumps Fee 2 $18.00 Fireplace Installation Fee 0 $0.00 Exhaust Fan Fee 0 $0,00 Installation/Relocation Vent Fee 0 $0.00 Hood Fee 0 $0;00 Boiler/Compressor to 15HP Fee 0 $0.00 Other ' $0.00 ; Additional Fees $0.00 TOTAL PERMIT FEES $33vOO Total Fees: $33.00 Total Payments To Date: ; $33.00 Balance Due: $0.00 FINAL APPROVAL Inspector: j V ft* ^ Date: 'jjy^/^V Clearance: NOTICE: Please take NOTICE thajapproval of your project includes the "Imposition" oifees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." Ywl 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 limitations has previously otherwise expired, Building Permit Application ^"f 1 635 Faraday Ave. , Carlsbad, CA 92008 ^^ CITY OF 760-602-2717/2718/2719 . f~* A D 1 CD A Pl Fax 760-602-8558 /,) V^,Mr\LODAL' www.carlsbadca.gov j j^ JOB ADDRESS 1750 BLACKBIRD CIRCLE CT/PROJECT* LOT* PHASE # # OF UNITS # BEDROOMS SUITE#/SPACE#/UN(y# " " # BATHROOMS TENANT DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Replace Furnace and A/C unit EXISTING USE PROPOSED USE GARAGE (SF) sfd CONTACT NAME (If Different Font Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME _ . „ _. . _. .Russel & Cherly Plappert ADDRESS 1750 BLACKBIRD CIRCLE CITY STATE ZIPCarlsbad CA 92011 PHONE FAX 760-931-0453 EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # PATIOS (SF) DECKS (SF APPLICANT NAME ADDRESS Plan Check No. UO / ' Dfofc) */* Est. Value Plan Ck. Deposit / '}^»** 3(A/ / 1 1 APN' BUSINESS NAME CONS ~) FIREPLACE AIR CONDITIONINC YESL~> N0|~"| YES|~|NOr Jennifer Cole PO Box 71 1564 CITY STATE ZIPSantee CA - TR. TYPE OCC. GROUP FIRE SPRINKLERS 92072 PHONE FAX 619-405-2648 619-330-4796 EMAIL jennifer@permitrunner.net CONTRACTOR BUS. NAME • _. . _ _ .ARS of San Deiqo ADDRESS 8949 KenamarDr #110 CITY STATE ZIPSanDeiao CA 92121 PHONE FAX 858-805-0611 858-271-4478 EMAIL STATE LIC.# CLASS CITV BUS. LIC 791820 C20 .# 122873 (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 theapplicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of theBusiness and Professions Code] or that he 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 acivil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: f hereby affirm under penalty of perjury one of the following declarations: LJI have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Lu I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Liberty Insurance Corp p°licVN° WC7631508631018 Expiration Date 1071/2011 IUs section need not be completed if the permit is for one hundred dollars ($100) or less. (_J Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become 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 one hundred thousand dollars (4100,000), in addition to the cost of compensation, dajonagef as provided for In Secttofi 3706tf th&i-abor code, interest and attorney's fees. >er CONTRACTOR SIGNATtfRE^ /Iv^L/fe'tlf L^J U^~— 0AGENT DATE OWNER-BUILDER DECLARATION 's License LaWarthe 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 ] 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). D I am exempt under Section,_.Business and Professions Code for this reason: jNo1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. I lYes 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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): 5.1 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): >£f PROPERTY OWNER SIGNATURE IAGENT DATE F OLft-^«K> N -•R-E-JH'-.D tN.:TI;A1. B'U I l/D ING PER M I T S O N L Y 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 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? I |Yes I iNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or ainjuality management district? Q/es I I No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I Ives I I No EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. C O N S T R U.CT.I O N LENDING AGE N C Y 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 I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBADAGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over SO1 deep and demolition or construction of structures over 3 stones 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 from the date of such permit or if the bjjilding or work authqpzedjby^uch jiermit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ^APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 08/02/2011 Permit* CB110667 Title: PLAPPERT RES-REPLACE FAU & Description: A/C UNIT Type: MECH Sub Type: Job Address. 1750 BLACKBIRD CR Suite: Lot: 0 Location: APPLICANT ARS Owner: PLAPPERT RUSSELL F&CHERYL L TRS Remarks: am please Total Time: CD Description 43 AirCond/Furnace Set 49 Final Mechanical Act Comments Inspector Assignment: Phone: 7609310453 Inspector: Requested By: RUSS PLAPPERT Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments