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Home My WebLink About1782 Blackbird Cir; ; CBR2017-2583; PermitPrint Date: 12/29/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1782 Blackbird Cir BLDG-Residential 2156028900 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www .carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: ZAFERAKIS: GAS & ELECTRIC TO BBQ & FIRE PIT Applicant: RL LANDSCAPE INC Po Box 301720 ESCONDIDO, CA 92030 760-305-7738 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $170.00 Owner: TRUST ZAFERAKIS ANDREW AND ZEMINA LIVING TRUST 05-27-14 1782 Blackbird Cir CARLSBAD,CA 92011 Total Payments To Date: $170.00 Status: Applied: Issued: Fina led: Inspector: 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. Permit No: CBR2017-2583 Closed -Finaled 10/26/2017 10/26/2017 A Krog $170.00 $0.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING 0 BUILDING OFIRE O HEALTH 0 HAZMAT/APCD C_cityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No.c.R>~ \r-2F58'"-3 Est. Value Plan Ck. Deposit Date JOB ADDRESS SUITEt/SPACEt/UNITI 7B2 APN Q-2\'5 -~2 -o°l -oo CT/PROJECT# # BEDROOMS # BATHR MS TENANT BUSINESS NAME .GR UP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESO FIRE SPRINKLERS YES0 N00 APPLICANT NAME PROPERTY OWNER NAME ADDRESS CITY STATE ZIP PHO PHONE FAX EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME (2. L c.... ADDRESS ADDRESS p -0 ~ox ~v 111-0 . CITY STATE ZIP ZIP °tzo 10 PHONE FAX FAX EMAIL STATE UC.# ()0 . CLASt 'lt ~llY BUS. UC.# (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 ror such permit to file a s1gried statement that he Is licensed pursuant to the provisions or the Contractor's License Law (Chapter 9, commending with Section 7000 or Division 3 or the Business and Professions Code} or Chat he Is exempt therefrom, and the basis for the alleged exemption. Any viOlation of Section 7031.5 by any applicant for a permit subiects the applicant to a civil penalty of not more than five hundred dollars [$500)) . .. .....,,.,._ . ,,_.... ----'·"t:·· -· -.......-... -.,.,·--... ~-~ -. . .,.~ ::~.ORK ER S ' CO .~{f:~"t ~--~_!_!,~-~~.:::~ ... ·-··-·· ---· ··-·-..u-... : ...•. :.~M<.:l::.,. -~~-·;·,. ,.. ..., •... __ _ ,,, ·-·-· j W0111ers' Compensation Declaration: I he!eby affirm under penalty of petjll'y one of the following decl¥ations: ffi have and will maintain a certificate or consent to self·lnsure for workers' compensation as provided by Section 3700 of lhe Labor Code, for the performance of the work for which this pe 0 I have and will maintain w0111ers' compensation, as~ 0 by Section 3700 of lhe Labor Code, for the performance of the work for which this ~ is issued. My workers' compensation · number are: Insurance Co. W.J.!ll O ....J::::: Policy No. {,AAAX_ '?,...7{go IO . Expiration Date ~7..,_._._ ....... ~--- Jl!ii,section need not be completed tt the permit is for one hundred dollars ($100) or less. LJ 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 w0111ers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. Jt5 CONTRACTOR SIGNATURE 0AGENT DATE I hereby affirm that I am exampt from Conlf!lctor's License Law for the following reason: D D 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himse~ 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 lo construct the project (Sec. 7044, Business and Professions Code: The Contracto(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 Contracto(s License Law). I am exempt under Section Business and Professions Code for this reason: 1. I personally plan lo provide the major labor and materials for construction of the proposed property improvement O ves 0 No 2. I (have I have nol) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) lo provide the proposed construction (include name address I phone I 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 I address I phone I contractors' license number): 5. I wiU provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): Jt5 PROPERTY OWNER SIGNATURE 0 AGENT DATE I Is the applicant or future blilding occupant required lo submit a business plan, acutely haza'dous materias registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the applicant or future blilang occupant required lo obtain a permit from the air pollution control dislrict or air Quality management district? Yes No Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? Yes 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 AND THE AIR POLLUTION CONTROL DISTRICT. 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 certify that I have read the application and state1hatthe above Information Is conectand that the lnfonnation on 1he plans is accurate. I agree to comply~ all City ordinances and State laws relating to building construction. I hereby aulhorize repesentatiYe of the City of Car1slm lo enter u~ the aix>Ye menooned iroperty tJr ilspection p.irposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARl..S84.D AG6.INST ALL LJABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY I WAY ACCRUE AGAINST SAID CITY IN CONSEOOENCE OF THE GRANTING OF THIS PERMfT. OSHA: An OSHA perm~ is requred tJr excavations o~ 5'0' ioon lructioo of structures o~ 3 sklnes in height. EXPIRA TK>N: Ewry permij issued by the aJi::ting · of is shall expire by fmitaoon and berore nul and voi:I if the wiklilg or v.ol1< authorized by such pemit is not oommenced v.1thin 100 days tom the date of such permit or~ lhe buitf It is suspended or abandoned at any tine afl!r the v.ol1< is oommenced tJr a pericxl o 100 days ( 100.4.4 Unibm aJilcilg Code). _N5 APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. _ l I I <..: I-\ I f ;; I 0 C C U P f, :-J C Y 1 CO ll', ' ' 'I !'; o J ,,_ , • ~ ' ,__, 'I I Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELNERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE / NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION A! APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBR2017-2583) Permit Type: BLDG-Residential Application Date: 10/26/2017 Owner: TRUST ZAFERAKIS ANDREW AND ZEMINA LIVING TRUST 05-27-14 Work Class: P/M/E Issue Date: 10/26/2017 Subdivision: PARCEL MAP NO 16228 Status. Closed -Finaled Expiration Date: 05/14/2018 Address: 1782 Blackbird Cir Carlsbad, CA 92011-5008 IVR Number: 7261 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 11/14/2017 11/14/2017 BLDG-23 040374-2017 Passed Andy Krogh Complete Gas/Test/Repairs BLDG-31 040375-2017 Passed Andy Krogh Complete Underground/Condu it -Wiring 12/29/2017 12/29/2017 BLDG-Final 044610-2017 Passed Andy Krogh Complete Inspection Checklist Item COMMENTS Passed BLDG-Plumbing Final Yes BLDG-Electrical Final Yes December 29, 2017 Page 1 of 1 --~-----_ _,.,... _ .... ..---_..,- ______ ,,,.,.,,,.... -4-c__ :,f./ ~. I" ------""' __ ..,,... "" ____ .,..,.. City of Carlsbad BuildtnQ Divisio_n -- OCT 2 6 2017 >k :"" .... • ,..., J I i, S tx;f L ""4-w/o ~ ·~ • • q~9 ~ ~;(_ ~ /Sk.!i!.()O'/... ~~ ()(. aM. d. . 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