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Home My WebLink About1377 SHOREBIRD LN; ; CBR2019-1480; PermitCcityof Carlsbad Residential Permit Print Date: 06/21/2019 Permit No: CBR2019-1480 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 1377 Shorebird Ln BLDG-Residential 2157901900 $0.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: P/M/E Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 06/10/2019 06/10/2019 Plan Check#: Final Inspection: 6/21/2019 10:07:12AM Project Title: Description: BURNS: REAPLCE FAU AND AC (LIKE FOR LIKE) Owner: Co-Applicant: TRUST CALLIS-BURNS PATTI REVOCABLE TRUST 10-03-06 AMBIENT HEATING AND AIR CONDITIONING 1377 Shorebird Ln CARLSBAD, CA 92011 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $175.00 Total Payments To Date: $17S.OO 3507 Merrimac Ave San Diego, CA 92117-1717 619-4S4-497S 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 6602D(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 760-602-8S60 f I www.carlsbadca.gov $17S.00 Plan Check Est. Value · 'Ccicyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 PC Deposit ---~----- Date ___..1,.-'-'/'--'1..C:,o /,_-'-I q.,____ Job Address /j 72 u#tJK/iB/M ~ Suite: ____ APN: __________ _ CT/Project#: _________ Lot#: ____ Fire Sprinklers: yes/ no Air Conditioning®io BRIEF DESCRIPTION OF WORK: /?¢~ F/1-u I le:: □ 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 Additional Gas or Electrical Features? □ Pool/Spa: ____ SF ------------ □ 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: ____________________________________ _ APPLICA~ (PRIMARY CONTACT) PROPERJ:¥..PWNER Name: ~GB Bll..sJ!t~ Name:i19:'[( &ti2,,J..S Address: 5/ 73 Af?qo1v,JtS CT Address: / 3 72 SH0/26 f:,1/Uj City:$4tl 01/ifto State: Cit Zip: f21r7 CityflA::,2/,$B,u) StateClt Phone: "ltf-'{-~-y-tf.'17.S Phone: 7&:io -t./ 7 lt9-'1/h(.. Liv Zip: 940 /( Email: _________________ Email: ___________________ _ DESIGN PROFESSIONAL Name: ________________ _ Address: _______________ _ City: _______ State:. ___ Zip: ___ _ Phone: ________________ _ CONTRACTOR BUSINESS t.J_ Name: ~G(cuiT r-..ttn,J:j I /tz~ Address: 5lZ3 M.e4NIY 6 Cr:. City: SAf-J o,~o State:Cif Zip: Cf2.a:,- Phone: {,fq -_I "J:. -Jf-97 ~ Email:_________________ Email: ___ ~--------------- Architect State License:___________ State License: f3 6"lb OS-Osus. License:...,'3=-=lQ.f"""'----- l 2t1Boas, (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 {$500}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-1 Page 1 of 2 Rev. 06/18 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury one of the following declarations: □ I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. ' □ I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for whkh this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Company Name: ______________________ _ Poli No. ______________ Expiration Date:------::::::=;:-- ertificate of Exemption: I certify that in the performance of the work for which permit is issu d, !"shall not employ any person in any manner so as to be come s ·ect to the workers' compensation Laws . WARNING: Failure to cure workers co ensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to$ ,000.00, 1 of compensatio damages as provided for In Section 3706 of the Labor Code, Interest and attorney's fees. CONTRACTOR SIGNATURE: LJAGENT DATE: & ~ /o-/ 9 ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: 0 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). 0 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 O 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, 25533 or 25534 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? 0 Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes O 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. APPLICANT CERTIFICATION: 1 certify that I 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 laws relating to building construction. I hereby authorize representative of the City ofcarlsbad to enter upon the above mentione'-""'p"e"'•for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND ENSES W ICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for er 5'0' deep d demolition or construction of structures over 3 stories in height. limitation and become null and void if the building or work authorized k authorized by such permit is suspended or abandoned at any time EXPIRATION: Every permit issued by the Buildi by such permit is not commenced within 1 after the work is commenced for a period f 1 ----'c:~...,,_"--___ ...,.___~ ___ DATE: -~-~~t~O_-~r_,_7_ APPLICANT SIGNATURE: 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 Typo: Work Class: Status: Scheduled Date 06/21/2019 June 21, 2019 , PERMIT INSPECTION HISTORY REPORT (CBR2019-1480) BLDG-Residential Application Date: 06/10/2019 Owner': P/M/E Issue Date: 06/10/2019 Subdivision: Closed -Finaled Expiration Date: 12/09/2019 Address: IVR Number: 19645 Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector BLDG-43 Air Cond./Fumace Set 094690-2019 BLOG-Fina I Inspection Checklist Item BLDG-Building Deficiency 094691-2019 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLOG-Electrical Final Scheduled Paul York COMMENTS Passed Paul York COMMENTS TRUST CALLIS-BURNS PATTI REVOCABLE TRUST 10-03-06 CARLSBAD TCT#90-31 AREA 28 UNIT#01 1377 Shorebird Ln Carlsbad, CA 92011-4885 Reinspection Passed No Passed No No No No No Complete Incomplete Complete Page 1 of 1