HomeMy WebLinkAbout1714 BLACKBIRD CIR; ; CB153505; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-16-2015 Cogeneration Permit Permit No:CB153505
Building Inspection Request Line (760) 602-2725
Job Address: 1714 BLACKBIRD CR CBAD
Permit Type: COGEN Sub Type: PHOTO Status: ISSUED
Parcel No: 2156026800 Lot #: 0 Applied: 10/16/2015
Valuation: $9,200.00 Constuction Type: 5B Entered By: JMA
Occupancy Group: Reference #: Plan Approved: 10/16/2015
Issued: 10/16/2015
Inspect Area:
Plan Check #:
Project Title: BARTOLOMEO: 23 ROOF MOUNT PV
Applicant: Owner:
SOLARCITY FERNANDES STEVE&ERMA LIVING TRUST 05-11-06
3055 CLEARVIEW WY
SAN MATEO CA 94402
650-759-4658
1714 BLACKBIRD CIR
CARLSBAD CA 92011
Building Permit
$114.59
PLUMBING TOTAL
$0.00
Add'I Building Permit Fee
$0.00
ELECTRICAL TOTAL
$0.00
Plan Check
$80.21
MECHANICAL TOTAL
$0.00
Add'I Plan Check Fee
$0.00
Additional Fees
$0.00
Plan Check Discount
$0.00
Strong Motion Fee
$1.20
Green Bldg Stands (SB1473) Fee $1.00
TOTAL PERMIT FEES
$197.00
Total Fees: $197.00
Total Payments To Date:
$197.00 Balance Due:
$0.00
j; FINAL AP ROV L ,r
Inspector: f ;z- Date: Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." 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
— rw-TInv ArrrcvvALb KtUUIKtu PRIOR TO PERMIT ISSUANCE: LJ PLANNING ❑ ENGINEERING ❑ BUILDING ❑ FIRE ®HEALTH ❑ HAZMAT/APCD
Building Permit Application
City
Plan Check No. (�8 1
of 1635 Faraday Ave., Carlsbad, CA 92008
Est. Value
Ph: 760-602-2719 Fax: 760-602-8558
Plan Ck. Deposit
Carlsbad email: building@carlsbadca.gov
Date
$yyppp
www.carisbadca.gov
JOB ADDRESS � f L-e) I cK 12' � SUITEi/SPACEf/UNITI< APN
CT/PROJECT # L1 OT # r ___
PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
K.W 60 PV Array Roof Mount; Modules_2?; Inverters) / ; Strings) •
�
Main Panel upgrade?�_; Flush Mounted? Pl ; RMA? No 1
i
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES ❑N NO[— YES❑N0� YES❑NO❑
APPLICANT NAME
Pane Contact Amaya Salce
ADDRESS
PROPERTY OWNER NAME
G`11 Z� b C' r )z
2370 Oak Ridge Way
ADDRESS o
J 1 Lf % 141 C K
CITY STATE ZIP
Vista CA 92081
CITY
CAr h bA sThTE zip
PHONE FAX
760-877-4038
PHONE FAX
EMAIL
asaiceO-solarcity.com
EMAIL
DESIGN PROFESSIONAL
Same as Contractor
CONTRACTOR BUS. NAME
Solar Citv Corp.
ADDRESS
ADDRESS
3055 Clearview Way
CITY STATE ZIP
CITY STATE ZIP
PHONE
San Mateo CA 94402
FAX
PHONE FAX
(650) 638.1028
EMAIL
EMAIL
asalce(&.solarcity.com
STATE LIC. #
STATE LIC.#
888104
ICLASS
C46• C16
CITY BUS. LIC.#
1227803
(Sec. 7031.5 Business and Professions rnria- nn, cin,,,. r,,,,..,.,,.,�
............. _ ---- ______
_.
dILVI, uIprove, eemousn or repair any structure, prior to its issuance, also requires the
app!icant for such en
permit to file a signed statemt that he is licensed pursuant toram,,,,.
Bsiness and Professions Code} or that he is the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the
uexempt 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)).
Workers' Compensation Declaration: 1 hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent
Q✓ 1 have and will maintain workers' compensatie
number are: Insurance Co. Zuri
is section need not be completed if the permit is r of
Certificate of Exemption: I certify that in th perfc
California. WARNING: Failure to secure wo ers' c
addition to the cost of compensation, damag s as pi
.ES CONTRACTOR SIGNATURE
alf•ins for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
required v Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' com ncafinn ire n — —ri. a u
American
hundred (
Pe
Company Policy No. WC0182014-00 (AOS) Expiration Date
($100) or less.
( 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
erage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
Jon 3706 of the Labor code, interest and attorney's fees.
[Z]AGENT DATE ID// 0
911116
I hereby affirm that 1 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. QYes QNo
2. 1 (have / have not) signed an application for a building permit for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' 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 / 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 / address / phone / type of work):
)KPROPERTY OWNER SIGNATURE E]AGENT DATE
smoommoom
aterials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Is the applicant or future building occupant required to submit a business plan, acutely hazardous m
Presley-Tanner Hazardous Substance Account Act? O Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O 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.
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
Icertify that Ihave mad the application and state a info—l!onisconedandthattheinformationontheplansisaocurate.IagreetocomplywithallCityordinancesandStatelawsrelatingInbuildingconstructon.
I hereby authorize representative of the City of bad to enter pon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, IS
AND EXPE SES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT,
OSHA: An OSHA permit is required for ex ations over 5'0' dee and demolition or construction of stiudures over 3 stories in height.
EXPIRATION: Every permit issued by the ilding Official uncle a provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within
180 days from the date of such permit or i e building or)
r wo a orized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Sedan 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE if) //
Inspection List
Permit#: CB153505 Type: COGEN PHOTO BARTOLOMEO: 23 ROOF MOUNT PV
Date Inspection Item Inspector Act Comments
11/24/2015 35 Photo Voltaic (PV) - RI
11/24/2015 35 Photo Voltaic (PV) AEK AP
11/24/2015 39 Final Electrical - RI
11/24/2015 39 Final Electrical AEK FI
Tuesday, November 24, 2015 Page 1 of 1