HomeMy WebLinkAbout1782 Blackbird Cir; ; CBR2018-0488; Permit(city of
Carlsbad
Residential Permit
Print Date: 03/07/2019 Permit No: CBR2018-0488
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1782 Blackbird Cir
BLDG-Residential
2156028900
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
P/M/f!· Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
02/27/2018
02/27/2018
TFraz
Plan Check#;
Final
Inspection: 3/7/2019 9:0S:39AM
Project Title:
Description: 2AFERAKIS: INSTALL FURNACE
Owner: Contractor:
TRUST ZAFERAKIS ANDREW AND ZEMINA
LIVING TRUST 05-27-14
MANZANITA EQUITY INC dba I-BOO-ANYTIME
1782 Blackbird Cir
CARLSBAD, CA 92011
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $170.00 Total Payments To Date: $170.00
1064 La Mirada Ct
Vista, CA 92081-7874
800-269-8963
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
$170.00
THE FOLLOWINti.ePPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING 0 FIRE □HEALTH 0 HAZMATIAPCD
,1 ~ «-~ Building Permit Application Plan Check No.(',9'Q '2 Dli -() ~i
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ C ITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date 2 -7,7-15? lswPPP
JOB ADDRESS SUITEf/SPACEf/UNITf l APN 1782 Blackbird Circle, Carlsbad 92011 ---
CT/PROJECT# rOT # I PHASE#
1
# OF UNITS r BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
INSTALL FURNACE
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YES[)# N<O YEs O No D YESO NoD
APPLICANT NAME PROPERTY OWNER NAME ZERMINA ZAFERAKIS Prfnarv Contat!t
ADDRESS ADDRESS
3645 RUFFIN ROAD# 330-335 1782 Blackbird Circle, Carlsbad 92011
CITY STATE ZIP CITY STATE ZIP
san dieQo ca 92123 CARLSBAD CA
PHONE IFAX PHONE I FAX 619-590-9337 7608151741
EMAIL EMAIL
@WEGREENINC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME MANZANITA EQUITY OBA 1800 ANYTYME
ADDRESS ADDRESS 1064 La Mirada Ct.
CITY STATE ZIP CITY STATE ZIP
VISTA ca 92081
PHONE I FAX PHONE IFAX (760) 305-8963
EMAIL EMAIL
I STATE LIC. # STATE LIC.# 'CLASS I CITY BUS. UC.#
1004700 c20
(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 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 {hat 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 a civil penalty of not more than five hundred dollars {$500)).
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for mr1<ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the wor1< for which this permit is issued.
[Z] I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code. for the performance of the wor1< for which this permit is issued. My wor1<ers' compensation insurance carrier and policy
number are: Insurance Co. TECHNOLOGY INSUARANCE COMPANY Policy No. TWC3485273 Expiration Date 1/1/2007
This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 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 Wor1<ers· 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 (&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.
_g CONTRACTOR SIGNATURE ~• IZ)AGENT 1_-"l f · 19 DATE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□
□
□
I, as owner ol the property or my employees with wages as their sole compensation, will do the wor1< 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 wor1< himsett 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. 0 Yes 0 No
2. I (have/ have not) signed an application for a building permit for the proposed m r1<.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone I contractors' license number):
4. I plan to provide portions of the m rl<, but I have hired the following person to coordinate, supervise and provide the major mr1< (include name / address I phone/ contractors' license number):
5. I will provide some of the m r1<, but I have contracted {hired) the following persons to provide the wor1< indicated (include name/ address I phone I type of wor1<):
_g PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonm 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 building occupant required to obtain a penmit 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? □ 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.
Lender's Address
I certify that I have read the application and state that the above lnfonnation is correct and that the infonnation on the plans is accurate. I agree to comply~th all City ordinances and State law.; relating10 building construction.
I hereby authorize representative of the City of Carlsbad to enter u!X)ll the above mentioned property i:Jr 11s~tion puflX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY~ CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SA.ID Cl1Y IN CONSEQUENCE~ THE GRANTING~ THIS PERMIT.
OSHA: An OSHA permtt is required i:Jr excavations over 5'0' deep and demolioon or oonstruction of structures over 3 stories in heght.
EXPIRATION: Every penmtt issued by the Building Official under the provisions of this Code shall expire by limitation and be<Xlme nul and void ~ the building or IIO(k authorized by sudl permit is not commenced v.ithin
180 days fi'om the date of such penmit or if the buildng or IIO(k authorized by such permtt is suspended or abandoned at any time after the IIO(k is commenced i:Jr a period of 180 days (Section 100.4.4 Unii:Jrm Buildng Code).
~ APPLICANT'S SIGNATURE /J1lv DATE i , 1. J -ts
PERMIT INSPECTION HISTORY REPORT (CBR2018-0488)
Permit Type: BLDG-Residential Application Date; 02/27/2018 Owner:
Work Class· P/M/E Issue Date: 02/27/2018 Subdivision:
Status: Closed -Finaled Expiration Date: 09/03/2019 Address:
Scheduled Actual
Date Start Date
02/22/2019 02/22/2019
03/05/2019 03/05/2019
03/07/2019 03/07/2019
March 07, 2019
IVR Number: 9777
Inspection Type Inspection No.
BLOG-43 Air 084354-2019
Cond./Furnace Set
Checklist Item
BLDG-Building Deficiency
BLDG-Final 084355-2019
Inspection
Checklist ltorn
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
BLOG-43 Air 085199-2019
Cond./Fumace Set
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
085200-2019
Checklist Item
BLDG-Mechanical Final
BLDG-43 Air
Cond./Fumace Set
085536-2019
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
085535-2019
Checklist Item
BLDG-Mechanical Final
Inspection Status Primary Inspector
Failed Tim Frazee
COMMENTS
Nobody home, left door hanger, LMCB
Failed Tim Frazee
COMMENTS
Failed Tim Frazee
COMMENTS
Nobody home, left door hanger, LMCB
Sediment trap is in the wrong location
3/5/19
Failed Tim Frazee
COMMENTS
Sediment trap is in the wrong location
Passed Tim Frazee
COMMENTS
Nobody home, left door hanger, LMCB
Sediment trap is in the wrong location
3/5/19
Corrections made 3n /19
Passed Tim Frazee
COMMENTS
Sediment trap is in the wrong location
Corrections made 3n/19
TRUST ZAFERAKIS ANDREW AND
ZEMINA LIVING TRUST 05-27-14
PARCEL MAP NO 16228
1782 Blackbird Cir
Carlsbad, CA 92011-5008
Re inspection
Relnspection
Passed
No
Reinspection
Passed
No
No
No
No
No
Reinspection
Passed
No
Relnspection
Passed
No
Passed
Yes
Passed
Yes
Complete
Complete
Complete
Complete
Complete
Complete
Complete
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