HomeMy WebLinkAbout1762 Blackbird Cir; ; CBR2018-1038; Permit(city of
Carlsbad
Print Date: 05/08/2018
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1762 Blackbird Cir
BLDG-Residential
2156020400
$0.00
Residential Permit
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: SPEAR: REPLACE 50 GAL WATER HEATER, LIKE FOR LIKE
Owner:
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Contractor:
Permit No: CBR2018-1038
Closed· Finaled
04/30/2018
04/30/2018
5/8/2018 ll:52:50AM
TRUST VOTH AND SPEAR FAMILVTRUST
1762 Blackbird Cir
CALIFORNIA DELTA MECHANICAL INC
CARLSBAD, CA 92011
WATER HEATER -PLUMBING, ELECTRICAL, MECHANICAL
Total Fees: $98.00 Total Payments To Date: $98.00
6056 E Baseline Rd, 155
Mesa, AZ 85206-4803
480-898-0007
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 ENGINEER/NG
(: City of
Carlsbad
JOBADORESS
Building Permit Application
1635 Faraday Ave., Carlsbad. CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.cartsbadca.gov
1762 Blackbird Cir SUITE#/SPACE#/U~fT#
0BUILDING OFIRE
Date
CT, ROJECT# LOT# ~·-·~~ .,,o,vNrrs ,,BEDROOMS 1-BVSJNESSNAME
OE CAIPTION OF WORK: Include Square F~ted Area(s) --~-------.,l_--------···
replace 50 gal gas water heater like for like
0HEALTH CHAZMATIAPCD
4-30-18
I CONSTR.1YPE locc GROUP
'. EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (Sf) I DECKS (SF} I FIREPLACE 1 I AlR CONDIT!ONfNG I FJRE SPRINKLERS
' YESO N,0 vesQNoO vesQNoO
APPLICANT NAME AJ Diaz PROPERTY OWNER NAME Steve Spear Prln11ry Contact ., .. ------"---... --.. _
ADDRESS ADDRESS
6056 E Baseline Rd, Ste 155 1762 Blackbird Cir ---------··-~--,-·--,MooM• CiTY STATE ZIP CITY STATE ZIP
Mesa AZ 85206 Carlsbad CA 92011
PHONE --.. PHONE r IFAK ~ 866-692-5273 866-692:~275 760-438-8989 ',
EMAIL ..
capermits~deltamechanical.com I
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME California Delta Mechanical -··----·--· ... ··-----"-'" .. -ADDRESS ADDRESS 6056 E Baseline Rd, Ste 155 --c~--·~-STATE ---zip CITY STATE ZIP
Mesa AZ 85206
PHONE I FAX PHONE ·-·· I FAX 480-898-0007 480-898-0005 -· ·-------EMAIL EMAIL
--·-l STAT£ UC.# STATE UC.111 ICLASSC36 ICl1YBUS LIC1214281 811114
(Sec. 7031.5 Busmess and Professions Code: Any City or County whtch requires a permit to.construct. alter, improve, demolish or reoair any structure, prior to its issuance, also reQulfeS the applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law {Chapter 9. comme_nding with Section 7000 of Division 3 of ttie Business and Professrons Code} Of that he 1s e:<empt therefrom. and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$5001).
Workers' Compensatlon Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certlficatf of coni&flt to self-insure for workers· compensaoon as provided by Section 3700 of the labor Code, for the performance of the WOfk for which this permit is issued. 0 I have and will maintain workers' compensaUon, as required bv Section 3700 of the labor Code. for the petfOfmance of !he work for which this oemiit is issued. My workers· comperisa!ion insurance carrier and policy
number are: Insurance Co··-..... American Home Assurance __ -~~ Poicy No WC 026160234 CA Expiratioo Date 7-1·18
This section need not be completed if the permit is for one hundred dollars ($100) or Jess. 0 Certlficate of Exemption: I certify !hal in the pefforrnance of the work for which this permit is issued, ! shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
CaHornia WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subject an employer to criminal penaltles and cfvil fines up to one hundred thousand dollars {&100,000), in
addition to the cost of compensation, a s s provided for Jn Ion 06 of the L,1bor code, interest and attorney's fees.
N$ CONTRACTOR SIGNATURE
/ hereby affirm that I am exempt from Contractors License Law for the following reason: D 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 Contraclor's
License Law does oot apply to an owner ot property who builds or improves !hereon, aruf who does such work himself or through his own employees, provided that such improvemenls are not intended or offered for
sale II. however. Iha bu1ld1ng or improvement is sold wilhin one year of completion. the owner,bu~der wm have the burden of proving that he did not build or improve for the purpose of sale),
D
D
1, as owner of the property, am exclusi~ely contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractor's license Law does not apply 10 an owner of
property who builds or improves thereon. and contracts for such projects wrth contrac!or(s) licensed pursuant to !he Contractor's License Law).
I am exempt under Section _____ Business and Professions Code for this reason:
1. I personally plan to provide the rnajorlabor ald materials for construe hon of the proposed property improvement. 0Yes Oo
2. 1 {have I have not} signed an application for a building permit for the proposed work.
J. J have contracled wi!h the following person (firm) to provide the proposed cons1ruct1on (include name address i phone I contracto1s' license number}
4. I plan to provrde portions of !he work, but! have hired the following person to coordinate, supervise and provide the major WOO (tncktde name I address I phone I contrac!Ors· license number)·
5. I will provide some of the work, but I have contracted (hired) the foilowing persons to provide the work mdicated (include name J address I phone I type of work}:
------·-----···-·····---~---•"" ___ _
N$ PROPERTY OWNER SIGNATURE 0AGENT DATE
I
Is the applicant or future building occupant required lo submit a business p!an, acutely hazardous matenals regis!ralion form or risk mana.]ament and preven!ion program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? fJ Yes CJ No
ls the applicant or fulure building occupant required to obtain a permit from the air pollution control distnc! or air qualitv management district? CJ Yes Cl No
Is the facility to be constructed within 1.000 feet of !he ouler boundary of a school site? Cl Yes a No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR rs MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the allow irOOrmatlon is correct and that the information on the plans is accurate. I agree to oomplywith an Cityoldlnances and Slate laws relating to building construction.
I hereby aulhorize represenlative of lhe Cllyof Ca11sbad to enter upon lhe aix>le menlloned property for •spedion plllpOSeS. I ALSO AGREE TO SAVE. INOEWNIFY ANO KEEP HARMLESS THE CfTY OF CARLSBAD
AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO 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 s·o· deep and demolition or construcoon ot structures over 3 stories in heighl
EXPIRATION: Every permit issued by the Buiding Officlal under the provisions of lhis Code shall expire by Imitation and become nul and void if the building or work authorized by such pemilt is not commenced within
180 days m,m lhe dale of such perrrut or I ~e building or work aulllorired by su e I is suspended or abandoned at any lime afterlhe llllli< is C0<1l1l811Ced for a period of 180 days (Serllon 106.4.4 Uniform Building Code)
,@S' APPLICANT'S SIGNATURE DATE -J o-( 1
PERMIT INSPECTION HISTORY REPORT (CBR2018-1038)
Pcrrnit Type: BLDG-Residential Application Data: 04/30/2018 Owner: TRUST VOTH AND SPEAR FAMILY
TRUST
Work Class: P/M/E Issue Date: 04/30/2018 Subdivision: CARLSBAD TCT#85-35 PHASE I
UNIT#C
Status: Closed -Finaled Expiration Date: 11/05/2018 Address: 1762 Blackbird Cir
IVR Number: 11049 Carlsbad, CA 92011-5008
Scheduled Actual
Inspection Status Primary Inspector Re inspection Complete Date Start Date Inspection Type Inspection No.
05(08/2018 05/08/2018 BLDG-25 Water
HeaterNents
057302-2018 Passed Andy Krogh Complete
BLDG-Final 057301-2018 Passed Andy Krogh Complete
Inspection
Checklist lte1n COMMENTS Passed
BLDG-Plumbing Final Yes
May 08, 2018 Page 1 of 1
~'~2,
,, "'/ 7
~ CITY OF
PLUMBING,
ELECTRICAL,
MECHANICAL
WORKSHEET
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
Building@carlsbadca.gov CARLSBAD 8-18
Project Address: Permit No.:
Information provided below refers to wort? being done on the above mentioned permit only.
This form must be completed and returned to the Building Division before the permit can be issued.
B-18
Building Dept. Fax: (760) 602-8558
Number of new or relocated fixtures, traps, or floor drains ....................................................... __
New building sewer line? ......................................................................................... Yes__ No __
Number of new roof drains? .............................................................................................................. .
Install/alter water line? ........................................................................................................................ .
Number of new water heaters? ......................................................................................................... __ / _
Number of new, relocated or replaced gas outlets? .................................................................... __
Number of new hose bibs? ................................................................................................................. .
Residential Permits:
New/expanded service: Number of new amps: -------
Minor Remodel only: Yes__ No
Commercial/Industrial:
Tenant Improvement: Number of existing amps involved in this project:
Number of new amps involved in this project:
New Construction: Amps per Panel:
Single Phase ............................................................... Number of new amperes ______ _
Three Phase ................................................................. Number of new amperes ______ _
Three Phase 480 ........................................................ Number of new amperes ______ _
Number of new furnaces, A/C, or heat pumps? ............................................................................ __
New or relocated duct wom? .......................................................................... Yes No __ _
Number of new fireplaces? ................................................................................................................. __
Number of new exhaust fans? .......................................................................................................... ..
Relocate/install vent? .......................................................................................................................... ..
Number of new exhaust hoods? ....................................................................................................... .
Number of new boilers or compressors? ........................................................... Number of HP
Page 1 of 1 Rev. 03/09