HomeMy WebLinkAbout1716 BLACKBIRD CIR; ; CB154229; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-03-2015 Cogeneration Permit Permit No:CB154229
Job Address:
Permit Type:
Parcel No:
Valuation:
Building Inspection Request Line (760) 602-2725
1716 BLACKBIRD CR CBAD
COG EN
2156026900
$8,000.00
Status: ISSUED
App!lied: 12/03/2015
Entered By: RMA
Occupancy Group:
Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #: Plan Approved: 12/03/2015
Issued: 12/03/2015
Inspect Area:
Plan Check #:
Project Title: BUDIWARMAN RES-PHOTOVOLTAIC
20 ROOF/FLUSH MOUNTED MODULES-5.3 KW-NO ELECT PANEL
UPGRADE-NO RMA
Applicant:
SOLAR CITY
3055 CLEARVI EW WY
SAN MATEO CA 94402
650-759-4658
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Plan Check Discount
Strong Motion Fee
Green Bldg Stands (SB1473) Fee
$96.85
$0.00
$67.79
$0.00
$0.00
$1.04
$1.00
Owner:
BUDIWARMAN WILKI&SUSAN W
1716 BLACKBIRD CIR
CARLSBAD CA 92011
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $166.68 Total Payments To Date: $166.68 Balance Due:
Inspector: ~ FINAL -:'~y~OYAL
Date: r..f /19 f !).1;/.b Clearance:
$0.00
$0.00
$0.00
$0.00
$166.68
$0.00
NOTICE: Pleaseta<e I'OTlCEthat ~ r:iya.r p-cject irdudestre "lrT"fD'ition" r:ifees, dedications, reservaticrs, exotherexa:licrs hereafter roledively
referred to as "feeslexa:licrs." You have 00 days from the date tlis pemit '-NC5 issued to protest irrp:lSitim r:i trese feeslexaiicrs. If you putest thern you rrust
fdiONtre protest ~ures set fath in Colerrrrent OxJe Sectim OOJ20(a), ard tile tre protest crd ary other req..ired infarratim lflith the City fv'a1ager fex
poo:ssing in aamlancelflith Car1sl:a:l M.Jridpal Ccrle Sectim 3.32.030. FaiiLJ"etotirrelyfdiONthat ~urelflill bar any subsEquent leg:~ octim to attock,
review, set aside, vdd, ex a/1fU their irrp:lSitim.
You ere h:lreiJy FLRll-ER I'OTlRED trat your rig-11 to protest the sp:ldtied feeslexa:licrs cx:ES NOT .APPI... Y to 'M:ller crd ~ a:med:ia1 fees ard a:Jpadty
d1anges, ncx planring, zaing, gajing ex other similar applicatim poo:ssing ex service fees in a:med:im lflith this p-cject. 1\CR cx:ES IT APPLY to any
feeslexaiims ci Widl vou have rreviouslv OOell aiven a NOTICE sirrilar to tlis ex as to \1\hidl tre statute ci lirritatims has rreviously ctrervl.ise exrired.
fHE FOU.(lWlNG APPROVALS REQUiRED PRIOR TO PERMJl ISSUANCE: OP!.ANN!HG 0 I.'NGINEERING Osu!LDING OFIRE 0Hf:Al'TH 0 HAZMATIAPCD
Building Permit Application Plan Check No. U/~)5 tfcN..q
(._ Ci:ry of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value tf'~ (
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 /AJ-Plan Ck. Dep~t email: building@carlsbadca.gov
Date )J,. I. 3 /1. (~ -lsWPPP www.car1sbadca.gov 1
JOB ADDRESS llllt7 ~ltiC~hJ;?J Civ SUITE#/SPACE#/UNITII rPN -- -
CT /PROJECT# rOT# .rHASEIF" r OF UNITS r BEDROOMS #BATHROOMS J TENANT BUSINESS NAME rONSTR. lYPE
1
DCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Jb'ea(s)
; lnverter(s)_/_; String{s) :< K.W 5. 3 _ PV Arrayr Roof Mount ; Modules d-O . •
Main Panel upgrade? 10te ; Flush Mounted? ~eJ · RMA? tJo
) ----
EXISTING USE I PROPOSED USE rARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPlACE I AIR CONDITIONING ' I FIRE SPRINKLERS
YES[) NoD vEs0No0 YESONoO
APPLICANT NAME Amaya Salce PROPERTY OWNER NAME W_i, IJ?i. ~lAd I W A nrn#JJIJ Prlnarv Contact
ADDRESS ADDRESS /7 J l /) 6 IJU it h L~zl-Crv 2370 Oak RidgE~ Way
CITY STATE ZIP
CITY t tiJVl.C...~Ad STATE(!, ~-ZIP elf;)()}/ Vista CA 92081 /Ji
PHONE I FAX PHONE 'FAX
I
700-877-4038
EMAIL EMAIL asalce@solarcity .rr::om
DESIGN PROFESSIONAL Same as C(l1rttractor CONTRACTOR BUS. NAME Solil1r Citv Corp.
ADDRESS ADDRESS 3tJ55 Clearview Way
CITY STATE ZIP CITY STATE ZIP
San Mateo CA 94402
PHONE rAX PHONE rAX {650} 638-1028
EMAIL EMAIL
asa!ce@sotarc:ity.com I STATE LIC. # STATE LIC.# I cLASs rl CITY Bus. LIC.# 888104 C46. C;lD 1227803
(Sec. 7031.5 Busmess and Profess1ons Code: Any City or County wh1ch requires a perm1t to construct, alter, 1mprove, demolish or repair an:.-structure, pnor to Its Issuance, also re~ulres the applicant for such permltto file a signed statement tnat he is licensed pursuantto 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 is exeiTlP.t therefrom. ~1nd 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 [$5001).
Workers' Compensation Declaration: I hereby affirm under penally of pP.tjtJIY one of the following declamtions:
0 I have and will maintain a certiHcate of consent to compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. lZJ I have and will maintain workers' comPensation. as labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy
Zmicll Policy No. WCil182il14-llll \AOS) Explretion Date 9/l/1&
this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of
is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
fnr li~ooolll•'" 3706 of the Labor code, interest and attorney's fees.
I hereby affirm that I am exempt from Contractor's License Law for the follo~ving reason: 0 I, as owner of the property or my employees with wages as their sole 1:ompensation, will do the work and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
Ucense 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 buUdlng or improvement is sold within one year 11f completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of sale). D I, as owner of the property, am exclusively contracting with licensed cCintractors 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 contrects for such projer.ts with contrector(s) licensed pursuant to the Contrector's Ucense law).
D 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. Oves 0No
2, I (have I have not) signed an application for a building permK for the proposed work.
3. I have conlracled with the following person (firm) to 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 Onclude name I address I phone I 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 I address I phone 1 type of work):
_g PROPERTY OWNER SIGNATURE DATE
andslaltetl]~leal~oVifllltcmn;rtlon is conectaild lhatthe lnfonnation on lhe plans is accurate. I agree to complywilhall Cilyordinances and Stale laws relating ID building construction.
I hereby authorize representative of the to P.ttfP.rttr.M the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF CARLSBAD
AGAINST ALL LIABILITIES, EXPIEN~IE~ WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFTHE GRANTING OF THIS PERMIT.
OSHA: An OSHA pe1111il is tired lor 1EP('Ci3Vations ove~r 5'l deeo alld dt,mo,titi' on or construction of structures over 3 stories in heighl
EXPIRATION: Every penni! issued try I this Code shall expire by limitation and beoome null and void if the building or work authorized by such permit is not commenced within
180 days from the date of such pe1111~ by such pe1111it is suspended or abandoned at any time after the work is commenced for a period of 180 dayl: (Section 106.4.4 Unifonn Building Code) .
.J!S' APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB154229 Type: COGEN PHOTO
Date Inspection Item Inspector Act
04/19/2016 35 Photo Voltaic (PV) Rl
04/19/2016 35 Photo Voltaic (PV) AEK AP
04/19/2016 39 Final Electrical Rl
04/19/2016 39 Final Electrical AEK Fl
Tuesday, April 19, 2016
BUDIWARMAN RES-PHOTOVOL TAlC
20 ROOF/FLUSH MOUNTED MODULES-5.
Comments
PM PLEASE
PM PLEASE
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