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Home My WebLink About1317 SHOREBIRD LN; ; CB154573; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-24-2015 Cogeneration Permit Permit No:CB154573 Building Inspection Request Line (760) 602-2725 Job Address: Perm it Type: Parcel No: Valuation: Occupancy Group: Project Title: 1317 SHOREBIRD LN CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: 2157911000 $10,400.00 HASHIOKA RES-PHOTOVOLTAIC SYST Status: ISSUED Applied: 12/24/2015 Entered By: RMA Plan Approved: 12/24/2015 Issued: 12/24/2015 Inspect Area: Plan Check #: 26 ROOF/FLUSH MOUNTED MODULES-7.2 KW-NO ELECT PANEL UPGRADE-NO RMA Applicant: FIDELITY HOME ENERGY STE 104 8445 CAMINO SANTA FE SAN DIEGO C'A 92121 858-220-7760 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $123.46 $0.00 $86.42 $0,00 $0,00 $1.35 $1.00 Owner: HASHIOKA KRISTEN W 1317 SHOREBIRD LN CARLSBAD CA 92011 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $212.23 Total Payments To Date: $212.23 Balance Due: FINAL APPROVAL Inspector: f11-~ Date: Clearance: $0.00 $0.00 $0,00 $0.00 $212,23 $0.00 NOTICE: Reaseta<e NOTICE Iha: eqro,a ci yas JJtject irdlrl,s 1he "lrrµx;itiai' ci fees, dedc,tjcns, -crs, CJ' ctl'a' e><a:>crs tueafter oaledivay relared toa;; 'fees'e><a:>cns." You hal.e9Jdaysfrcrn1he-tlis pe,nitv..as issued to pretest irrpostia, citreoofees/e><a:>a,s If you pretest Iran you rrust fdlo.v1he pretest~,.; lath in eo.-errmrt Cooe 5'd01 oo:Ja)(a), a-cl file1he pretest a-cl f!nf ctl'a' re+iroo irfumii01 wth the aty ~fer JJOCeSSi'9 i"axnda rewth calslm MJ'idi:a Cooe 5'd013.32.030, FaluetotirrelyfdlCMltha: JJ'CXfill'OWll lu i!nf ~ lega adi01toatta:k, re'v'ie.v, set aside, -.tid, a !l'TU tter ill"l)Eticn You"" rerroy RRTl-ER NOTIFIED !tat yas ri(/1 to pretest 1he Sfl'dfie:l feesle><a:>01S DCES !\Of />PR. y to wae: a-<l se,e; arredia, fees a-cl ~ty ~ °"' 1>m-i<9, zo-ing gal<9 CJ' ctl'a' sirrila-,wic,tja, JJO(:eSSl<9 CJ' senAre fees in arredi01 wth tlis JJtject. I\CR DCES IT />PR. Yto i!nf ·c...i si ·..-totli t ' ' ' has ' ' ....... :::ity of Carlsbad JOB ADDRESS SUITEf/SPACEt/UN~f ADDRESS CITY PHONE EMAIL CONTRACTOR BUS. NAME ADDRESS \'- CITY PHONE~ Plan Check No . ,, STATE FAX c4 / f ZIP 10 -00 DCC.GROUP rz E SPRINKLERS Y~□ (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 that 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}). WORKI•.RS'COMP! \S~I ION Workers' Compensation Declaration: I hereby 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 as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ® I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work workers' compensation insurance carrier and policy number are: lnsuranc Policy No. t='r:n -e-z:c_ -n1t.t>-0' Expiration Date --'-''-JJ+''--U'----- This section need not be completed if the permit is for one hundred dollars ($100} or less, My ® 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 workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundre nd dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attornev'lrTI!"",-....._ I hereby affirm that I am exempt from Contractor's License Law for the following reason: "' "' ® 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). I am exempt under Section ______ ,Business and Professions Code for this reason: ~& 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. s N 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. r have contracted with the following person (firm) to provide the proposed construction (include name address/ phone I contra ors' license number): 4.1 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 I phone/ contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone/ type of work): 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? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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. CONS I JUI ( r1 0 NL F NI) I~(, H, L N <' \ ------------------------------- 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 Al'l'LI( .\N l'CER l'll'ICA I JON ------------------------------------. --------------- I 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. 1 hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such pem,it is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ,fi!', APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB154573 Type: COGEN PHOTO Date ___ Inspection Item Inspector Act ------ 04/06/2016 35 Photo Voltaic (PV) MC AP 04/06/2016 39 Final Electrical MC Fl 03/23/2016 35 Photo Voltaic (PV) MC PA 03/23/2016 39 Final Electrical MC NR 02/22/2016 35 Photo Voltaic (PV) MC NR 02/22/2016 39 Final Electrical MC NR 02/19/2016 35 Photo Voltaic (PV) MC co 02/19/2016 39 Final Electrical MC co Thursday. April 07, 2016 HASHIOKA RES-PHOTOVOLTAIC SYST 26 ROOF/FLUSH MOUNTED MODULES-7. Comments RELEASE-EMAILED TO SDGE. NO CONTRACTOR/PLANS Page 1 of 1