HomeMy WebLinkAbout1762 BLACKBIRD CIR; ; CBR2021-0872; PermitPrint Date: 04/23/2021 Permit No: CBR2021-0872
Building Permit Finaled
Residential Permit
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
1762 BLACKBIRD CIR, CARLSBAD, CA 92011-5008
BLDG-Residential
2156020400
$0.00
Work Class:
Lot #:
Project #:
P/M/E
Status:
Applied:
Issued:
03/29/2021
03/31/2021
Finaled Close Out:
#of Dwelling Units:
Track #:
Plan #:
Closed - Finaled
PDrei
Plan Check #:
Inspector:Orig. Plan Check #:Bathrooms:
Final Inspection:04/23/2021
Bedrooms:Construction Type:
Occupant Load:
Code Edition:
Sprinkled:
REPLACE FURNACE (E-REVIEW)Description:
Project Title:
Property Owner:
VOTH AND SPEAR FAMILY TRUST
1762 BLACKBIRD CIR
CARLSBAD, CA 92011
Contractor:
OAK ISLAND HEATING AND AIR CONDITIONING
INC
1250 PACIFIC OAKS PL, # STE 103ESCONDIDO, CA 92029-2908
(760) 839-8383
AMOUNTFEE
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $175.00
Total Fees:$175.00 Total Payments To Date:$175.00 Balance Due:$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 760-602-2700 ï 760-602-8560 f ï www.carlsbadca.gov
Building Division Page 1 of 1
{"Cityof
Carlsbad
CBR2021-0872
3/29/2021
I
(City of
Carlsbad
RESIDENTIAL
BUI LDING PERMIT
APPLICATION
B-1
Plan C:h•ck ______ _
Est. value ______ _
PC 04:poslt ______ _
Date ______ _
JobAddre$S 11 ~2. 1?1aa~1(d C,j re-l& ~~''----~N:, ________ _
c.T/Projertff,,• _____________ _J.ot #: Year Suilt: _______ _
Rn, s,,rinl<lt'1:QvEs()NO AlrCondltlonlngO m O NO Electrlcal Panel Upgrade:OvtSO NO
&RIEF DESCRIPTION Of WORK: Re,pla c e hi r n t rc.e,
0 Add"""'/N..,, ___ __:llvu,gSf •. ___ Do<k SE __ _,Patlo Sf· ___ ,Ga"I" Sf __
blhiotoa .. te••-Oweffin&Unit? Q YQ N Now R<~? 0 YQ N,.yeshowmony7 -
O it.model,,• ____ Sf of•ffectecareo bthoWNoCC>IWffllonor~e ofusc?O YO N
0 Pool/S.,.: Sf Aoditior.a1 Gas or £1ectl1<M Fea..,...,? _________ _
O So111r. r.w ___ Modules, Moun,.d:()t<oofQ G,ound. TI1t:O YO N, RMA: O YO N,
\!otterv:O Y ()N, Panel Uptt>d,: Ov ON
0 Ronoo~---------------------------
[)l Pfumblna/MKhankal/EJtctrital
0 Only: Othor.
l1,k piwmft If to 1M IJMJed in the l'iltM' of tbe Pro~ O#t'I., at Own....,Wlder, litertsed cocittact:o,rrx ~ Arn of~
owner or COCltf9CtCW-TM p,,non 11:sttd as the-A/)plieo111 b#Jowwifl O( tlltt moln ptJ/nr of comxia ~ tJw pcmir ,rOCff:1..
--REV.oeno
IDENTIFY WHO Witt PERFORM THE WORK BYCOMPlETING {OPTION A) OR (OPTION B) SEtOW:
(OP110N A): UCENSED CQNTRAQOR DECLARATION;
/ ~f"eby cffum ul'ldtr, pencJ(yofpc-rjv,y th-ot i om lku.s~ under prowsions of Owpter 9(U>1'11mendrtgw!th sea.roo 7000) of Di•1i!.lot1 J
oj the Btnfl?41'SS orrd Pr<ifeU!otls COd(f, tmd my li:cm(· i:r ;,., ftl{J force ()l'ld qfect, I o!so otfitm IJJlder ptt)Olty of ~rjury Ofl~ cf tM
following declarations:
Q t l'I~ o:lM Y41 m~~in <l cettmc..ti:: of ~ to ff'f.1:auro k f ll.Uk-:ln' 00mc-cr.s.rt»n Pffl'M~ II\' ~n 37'.'\'.l Qt 1bi! I.Ab;ir r~. fQI' :!It W,<;fll•i:11!(,t uf th'i! "'lll'lwhid1~~~inl.Cd.1'0l1tVffo.. ______________________________ _
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mniiin.1 ~Hind (Ml fit1n ~ t,;, "100:,000,00, Jn ~ltioll the to tl'IC tost 0: (~11$<1;t;o11,dan,$1}'1S-$S v~i:1\-:I for in ~ioll .»06 of the lllxif cod'e,.
llltetcs:t .xii! .Y.tOmcy',: lc-u.
I h,>r.>b-( ~-!Ml '"""~i•'1c<J"Stn.aonh:11dln£-:11JC11ctf« t.ncp:rio,T:,:«eof~wCO:tfllSf)flrmil ~"'-~<~,31))7 (00,11~,
Lfflder's~: l Clldcr's.AdlSU$: _____ -------~-~..,.---
SIGN: &-4c OAT(: 3f ~ 2 I coNTRACToR PRINT, ,lacoh Young
(OPTION 8): OWNER-SUllDER DECLAfl,ATION:
1 hereby affirm lhDt, om t:X<:mp, from Comraaor's u,eme Low for rh~ folk>wi'r19 reasoo: n c. ;'II IIWl'll':r (II ti\$ PfCIP-flV tit""'" i'.Mpl¢y,,d wllh wa.,--e n ltttif w le e0m~-UOfl, "'Ill do :he~ ~ the St!U!h;r"1 t, /let b T1tM1>C, 0..-<lltfo~ lor ~It (So!(, ro+4, 8u)i:,!:!n ;ind P,,:W:Uiwis Code: l'flc Co11mcicr'.1 uu:n"" bw 6GAA 1)(11 APl)lv 11> ;1111 ~ (if ~UP!'lr ..,..." tiuilcl) o< imp c:,,,,J v.-11n, •nd ...,t,,o doe5 :.u.-n w,:,111;
hlm:.cn or tl'ln:11s11 ni<. ~ ~e~. 11!'6wlll"'li M ,udo 11r.pl0Ye11w11U WI! notr.tt!~ticC: oc offem:I' »r ~le. n. now,:,,cr, fflc 11u!lrtll\3 or 1m~r1M:itn~nr;, Mllrt ... ~11;11
Qt~ ye.-OI (.~ongh:l~\, lM UWl>li!t·but~III WIii 11'1\'C tflC tllll'dtn ~ 1mr~ tN't nc<I~ M l tu:ld (I( impf¢•~ IOI' tile p:,,r~e QI ~~
□1.-,u (h~ (:4" (Iii' !)f(IS)~;, ~ff\ elldusi~fy 00~11'11; with ncctl'.<:0 <Ol'ltl'1:IC':"01'$ 10 ~ tllC ~a fSC!.. 14,U, S.1~1llW. AM Ptol(:Ui(,(1$, COd$: n,,,,
CO!'t-.ctl)r'J O::·um: !.:l'w &e.•H)O'f ;)l!l)IV tl3 :a owr:cr <It CfCl~•WW v.tl<'l t).,~ Of imp,¢~ t1,e,,~,-,, 4't1(h:<l"l••~b' ((;< w~li Ott';>tl:b witln"t'll'ltrtll.~{)I b) li'..lO!n)e!J
:,J"'1RM w ttir t;:oncr ~OI' ~ ~ la'•),
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lr.lf)to\1~11'1~1\tS ((;~e(l tv tl'.iS j>tN!lil,. ! ~ ~lly ,,II¥ Stl'.Kt>.n tis~ I h:r,,o built ;n ;i,n ~,'burw If It I'..:~ no: been CCMl:I"~ in lb «.tlrety tv !lu:Md
t'O~t"turi:. l fA1«rw.::id .fh« ,:i CCC,' af :!IC ~~.&aw, s«ricm 70U OJ rbl: ~'1CU Mid ;'\'C/,tu iot1~ ~. 6 v,ul\r'-'l' u;x,n •~~t °"'\'n 1h.) ~«i,;,n ir
.tl.t:mi:r~ c.-at lllt: /olb•mg .,.If,!, ~°": h1w;ff,.w,o•.~>J1/o,<o.g,;.,efct;.'(,K.l,(m(.
OWNER PRINT: _________ _ SIGN: _________ DATT: _____ _
AP~...IJON: SIGNATURE R£QU1RE0 AT THE TIME OF SUBMl'n'Al
By my SiG'flOttn'e btiO..,, I certify :hot: 1 am me prOfM'Jtf -r.r l.)r Stctc of C(J!'tfc= (k;rr'..st:<I cont-ocror or CtJr/toriucl to ca oo me pr~1-,
(IWflet or vOflrtrx:tors bdur,y. t U1't'(y rho: I IKIW fetid 1,-r. o;n,r;rotior, OM WJt~ tfm ffle abcwtt Nlfourrarlrx, i.i cor,~c::: and d>ct thl'? ir,jotmat.'()11 ()fl
~ p,'wis ~ om,,,an-. I r:gr« to ramply wfr/1 oft C>r-t orrlJ,tiffflU.1 (l'(Wj St1n ~ /(7W$ :eJCt,·(lfl t<.J bv~ CWIW~WOl'l.
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JM.f~m:Y A,'1/D XffP UM.MtISS rr/E arv Cd C41US.S.4o ~ AU Ll.tia•~ JUOOMetm. COS1SAND D<PfNS!S VvtNOI MIIY IN ANY WAYACO'UJC
A{;,1,JMTSAJ.D(Jn'INOO,~'(EO, THE G!WfflN-G OF nus f>fll.MiT. OSHA: An OSHApetmh 1$ rt:QW«lfor ~()fl$ ()V'e, S'<Y de@aild
derr.cfjtk,n fN (Wa.1/"ction of m"cwrr.., ~ 3 stOrfN ,1,1 h(i9h;.
AJ>PLICANTPRINT; JU ii a S'dare-z. SIGN; ~
Pil: :ro<J W:I 27l9 ~:7000l,115!ill 0
2
Building Permit Inspection History Finaled
PERMIT INSPECTION HISTORY for (CBR2021-0872)
BLDG-Residential 03/29/2021Application Date:Permit Type:Owner:TRUST VOTH AND SPEAR FAMILY
TRUST
P/M/E 03/31/2021Work Class:Issue Date:Subdivision:CARLSBAD TCT#85-35 PHASE I
UNIT#C
10/20/2021Expiration Date:Status:
IVR Number: 32385
Closed - Finaled 1762 BLACKBIRD CIR
CARLSBAD, CA 92011-5008
Address:
Scheduled
Date
Inspection Type Inspection No. Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
04/23/2021 04/23/2021 BLDG-43 Air
Cond./Furnace Set
155793-2021 Passed Peter Dreibelbis Incomplete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency No
BLDG-Final Inspection 155794-2021 Passed Peter Dreibelbis Complete
COMMENTS PassedChecklist Item
BLDG-Mechanical Final Yes
Friday, April 23, 2021 Page 1 of 1
{cityof
Carlsbad