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Home My WebLink About1703 BLACKBIRD CIR; ; CBR2023-0694; PermitBuilding Permit Finaled Residential Permit Print Date: 12/29/2023 Job Address: 1703 BLACKBIRD CIR, CARLSBAD, CA 92011-5010 Permit Type: BLDG-Residential Work Class: Cogen Parcel#: 2156027800 Track#: Valuation: $7,600.00 Lot#: Occupancy Group: Project#: #of Dwelling Units: Plan#: Bedrooms: Construction Type: Bathrooms: Orig. Plan Check#: Occupant Load: Plan Check#: Code Edition: Sprinkled: Project Title: Permit No: Status: (city of Carlsbad CBR2023-0694 Closed -Finaled Applied: 02/16/2023 Issued: 03/02/2023 Finaled Close Out: 12/29/2023 Final Inspection: 04/20/2023 INSPECTOR: Renfro, Chris Description: INSTALLATION OF ROOF MOUNT SOLAR PV SYSTEM (19 PANELS, 19 INVERTERS) -7.6 KW (E-REVIEW) Applicant: KOTA CONSTRUCTION LLC COURTNEY SCHMIDT 5205 AVENIDA ENCINAS CARLSBAD, CA 92008-4366 (818) 519-2046 FEE SB1473 -GREEN BUILDING STATE STANDARDS FEE SOLAR-RESIDENTIAL: per kW STRONG MOTION -RESIDENTIAL (SMIP) Total Fees: $290.99 Total Payments To Date: NOTICE: $290.99 Contractor: KOTA CONSTRUCTION LLC 2029 1ST AVE WALNUT CREEK, CA 94597-2433 (818) 519-2046 Balance Due: AMOUNT $1.00 $289.00 $0.99 $0.00 Please take NOTICE that approval of your project includes the "imposition" of fees, dedications, reservations, or other exactions collectively referred to as "fees." You have 90 days from the date this permit was issued to protest the imposition of these fees. To protest the imposed fees, you must follow the protest procedures set forth in Government Code Section 66020(a) and file the protest with the City Manager. Failure to timely follow the required procedures will bar any subsequent legal action to attack, review, set aside, void, or annul the imposition of these fees. You are FURTHER NOTIFIED of your right to request an audit to review the fees imposed on your project. To request an audit, follow the procedures provided in Government Code Section 66023(a). Additionally, you may file a written request for mailed notice for the public meeting to review the fee account or fund information related to certain fees that are imposed as a result of the approved permit. You are FURTHER NOTIFIED that your right to protest the specified fees 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 of which you have previously been given a NOTICE similar to this, and the statute of limitation has expired. Building Division Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov DocuSign Envelope ID: 84891A 14-BEA6-4CA8-883D-42982594046C ( City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check ________ _ Est. Value PC Deposit Date Job Address 1703 Blackbird Circle, Carlsbad , California 92011 Unit: APN:2156027800 ----- CT /Project #: __________________ Lot #:, ____ Year Built: _1_9_9_1 _______ _ BRIEF DESCRIPTION OF WORK: Installation of Solar PV System (19 panels, 19 inverter) -7.6 kW □ New SF: Living SF, ____ Deck SF, ___ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? O Y O N New Fireplace? O YO N, if yes how many? ___ _ D Remodel: _____ SF of affected area Is the area a conversion or change of use? O YO N Additional Gas or Electrical Features? □ Pool/Spa: ____ SF ------------- E]Solar: 7.6 Kw,19 Modules,Mounted:E))Roof O Ground, Tilt:0 Y0 N, RMA:()Y (i,)N, Battery:O>YO N, Panel Upgrade: O v O N Electric Meter number: ------------- 0th er: APPLICANT (PRIMARY CONTACT) Name: Jessica Berger PROPERTY OWNER Name:Jason Cook Address: 5205 Avenida Encinitas Ste D. Address: 1703 Blackbird Circle, Carlsbad, California 92011 City: Carlsbad State:_C_A __ Zip: 92008 City: Carlsbad State: CA Zip:_9_20_1_1 __ _ Phone:(858) 216-8563 Email:iberger@kotaenergygroup.com Phone: (858) 729-4895 Email: joellekcook@gmail.com DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: __________________ Business Name: Kata Energy Group Address: Address: 5205 Avenida Escondido Ste D City: ________ State: ___ ,Zip:._____ City: Carlsbad State: CA Zip:_9_20_0_8 ____ _ Phone: Phone: (855) 800-5682 Email: Email: permits@kotaenergygroup.com Architect State License: CSLB License#: 1063901 Class: c10 , ______ _ Carlsbad Business License# (Required): BLOS007913-06-2020 APPLICANT CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the information of the plans is accurate. I "'~:::m;;;::~):''~::::;: ";~;;~";' ~'"°"' '" '""""' mas:~::,@,f o: DATE: 02/16/2023 fSOt'4e 1413)!(~41 ! ... 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov REV. 04/22 DocuSign Envelope ID: 84891A 14-BEA6-4CA8-883D-42982594046C THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _ A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE. {OPTION A): LICENSED CONTRACTOR DECLARATION: lherebyaffirmunderpenaltyofperjurythatlamlicensedunderprovisionsofChapter9(commencingwithSection7000)ofDivision3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the fol lowing declarations (CHOOSE ONE): D 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. Policy No. _____________________________________________ _ -OR- (!I I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: lnsuranceCompany Name: _P_ra_e_to_ri_a_n_ln_s_ur_a_nc_e_c_o_m_p_a_ny ________________ 1 Policy No. o w c4002006 Expiration Date: _9,_3_0,_20_2_3 _______________ 1 -OR- D 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 $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. 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: _______________________ _ CONTRACTOR CERTIFICATION: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are not approved for construction and may be required to be altered or removed. The city's approval of the application is based on the premise that the submitted documents and plans show the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed use of each building as stated is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation. ·"::::·;::::~;: '"~:;~::··~:;~:; ;o •=maoce w;•:;·~:·:::~-:r~·;•wos<ruc<;oo •• ,~, m~:;~:;~~ 6/2023 Note: If the person signing above is an authorized agent for the contra t "d I tter of authorization on contractor letterhead . . -OR- {OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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). -OR- D 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). -OR- D I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, D FORM B-61 "Owner Builder Acknowledgement and Verification Form" is required for any permit issued to a property owner. By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors./ understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: http: I lwww.leginfo.ca.gov/ ca/aw. html. OWNER CERTIFICATION: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are not approved for construction and may be required to be altered or removed. The city's approval of the application is based on the premise that the submitted documents and plans show the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed use of each building as stated is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation. All improvements existing on the property were completed in accordance with all regulations in existence at the time of their construction, unless otherwise noted. NAME (PRINT): SIGN: Note: If the erson si nin above is an authorized a ent for the ro ert owner include form B-62 si ro ert owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov 2 REV. 04/22 Building Permit Inspection History Finaled {city of Carlsbad PERMIT INSPECTION HISTORY for (CBR2023-0694) Permit Type: BLDG-Residential Application Date: 02/16/2023 Owner: Work Class: Cogen Issue Date: 03/02/2023 Subdivision: PARCEL MAP NO 16228 Status: Closed -Finaled Expiration Date: 10/17/2023 Address: 1703 BLACKBIRD CIR IVR Number: 46681 CARLSBAD, CA 92011-5010 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 04/20/2023 04/20/2023 BLDG-35 Solar Panel 208581-2023 COMMENTS Passed Chris Renfro Thursday, April 20, 2023 Checklist Item BLDG-Building Deficiency NOTES Created By Angie Teanio BLDG-Final Inspection 208582-2023 TEXT 760-803-9365 Ruben Passed Checklist Item COMMENTS BLDG-Building Deficiency BLDG-Structural Final BLDG-Electrical Final NOTES Created By Angie Teanio TEXT 760-803-9365 Ruben Chris Renfro Passed Yes Created Date 04/19/2023 Passed Yes Yes Yes Created Date 04/19/2023 Complete Complete Page 1 of 1