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Home My WebLink About1718 BLACKBIRD CIR; ; CB160498; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-19-2016 Cogeneration Permit Permit No:CB160498 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: 1718 BLACKBIRD CR CBAD COG EN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: 2156027000 $4,800.00 MAS: 12 ROOF MOUNT PV PANELS Owner: Status: ISSUED Applied: 02/09/2016 Entered By: JMA Plan Approved: 02/09/2016 Issued: 02/09/2016 Inspect An:~a: Plan Check: #: TRIPLE LINE SOLAR STE C MAS PATTY 0 LIVING TRUST 11-15-10 26499 JEFFERSON AVE MURRIETA CA 92562-6981 951-677-2006 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 $70.24 $0.00 $49.17 $0.00 $0.00 $1.00 $1.00 1718 BLACKBIRD CIR CARLSBAD CA 92011 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $121.41 Total Payments To Date: $121.41 Balance Due: Inspector: Mk Date: Clearance: $0.00 $0.00 $0.00 $0.00 $121.41 $0.00 NOTICE: Please take I'OTlCE that approval ct ya.~r pqed: irdudes tre "lrrp::sition' ct fees, OO::Iicatims, reservatiCllS, or ctrer exa:tiCllS hereafter cdlectively referred to as "feeslexa:tiCllS." You have 00 days fi'OOlthe date this J:ffilit Wi"f!, issued to protest irrp::siticn cf trese feeslexa:ticns. If yoJ pules! them yoJ rrust fdkMitre pules! pra::edures set forth in C?overnrrent COOe Sedicn OOJ20(a), and file tre pules! ard any ctrer req..ired inforrraticn wth the Oty lli'fflager for pra:essing in axordarre wth Ca1sb00 MJridpal COOe Sedicn3.32.030. Falureto tirrslyfdlwthat rro:;edure wll bar any subsequent legal action to attack, review, set aside, vdd, or anJ'liJ their irrp::siticn. You are rereby FLJRl1-ffi I'OTlRED that ya.~r right to pules! tre specified feeslexa:tiCllS OCES NOT APPLY to water ard set-.er CXllll1Edicn fees and capocity cl-alges, nor plaTing, zaing, gading or ctrer sirrilar appliaaticn pra:essing or service fees in mnnecticn wth this pqed:. I'm OCES IT APPLY to any feeslexadicns cf Wlich have 'ousl been 'vena NOTICE sirrilar to this or as to Wlich tre statute cf lirritaticns has 'ousl arerwse 'red. , • THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING 0ENGINEERING 0BUILDING OFIRE 0HEALTH OHAZMAT/APCD (_City of Building Permit Application Plan Check No. ~Bita 04C1S 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date :z--( "f II b JswPPP +-JO.B ADORES, f I 7/ 1; LM~.A·cl?t ~ SUITE#/SPACE#/UNIT# rPN CIP-LL.:E. - - - CT/PROJECT # I LOT# JPHASE# r OF UNITS r BEI!lROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ( 1'1:9-r~L-L-/tTI OJJ or fib 'fl.e;.vr r u? 5oUV2-· (1 ').,) M O/)UU55 t-(I) { /V i/Q?_:..(.BiL. NO Mf...ltJ sew' CC-. t .t? &rUt-ot::: 'Fl vst+ ~/p_cor }JO ~M.A.~ ?, I:Dk\J , f I EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPlACE lAIR CONDITIONING I FIRE SPRINKLERS vEsO_ NoD vEs0NoD vEsONoD APPLICANT NAME PROPERTY OWNER '?J Mf-? Primary Contact /(-"i\'1 ADDRESS ADDRESS l '111 7( 'Bt.AC.k~! aJ) Ci flCL5.- CITY STATE ZIP CITY STATE ZIP CA/l..LSSA-t'J Gilr tf'J._() i , PHONE I FAX PHOC7 1 ) ,(;() 410-7~¥5 I FAX EMAIL EMAIL- DESIGN PROFESSIONAL CONTRACTOR BUS. NAME f'12.1 T'L~ U J...l.£-~A/2... ADDRESS ADDRESS d.-'3'13'3, F I VC:-let 'BE=?'712Af L CITY STATE ZIP CITY /'tv'{?.JU p( ;t-· ~ ZIP ~;,J,.... 1)-5 PHONE I FAX PH~si-GT/~ I FAX EMAIL EMAIL~· -·t;'P'F-@.f/.IJ'FI5DL/¥Z-t5 u '-(. COJ-'1 _lSTATE LJC. # STATE LJC.# lczt{, ICITY;s~ \t'~ ct555@..L( (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or reRair any structure, prior to its issua~%/~so 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 {C apter 9, commending with Section 00 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}). Workers' Compensation Declaration: I hereby affirm under penalty of perjwy one otthe following declarations: ~ve 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. 119 I have and will maintain workers' compensation, as required, by Secti9n 3700 of the Labor Code, for the performance of e work forJilljyh this permit is issued. My workers' compensation ·nsu ance carrier and policy numberare:lnsuranceCo. '91 ;I\ IE C0}·1.f> FCJ/V"f> PolicyNo. 't.>b ExpirationDate r~.;; 0 {; This section need not be completed if the permit is for one hundred dollars ($1 00} or less. 0 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 hundred thousand dollars (&100,000}, in addition to the cost of compensation, damages as provided for in Labor code, interest and attorney's fees. ~CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D 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). 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes DNa 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I oontractors' 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 (include 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 I type of work): ~PROPERTY OWNER SIGNATURE 0AGENT DATE 1 certifythatl have read the application and state that the above infonnation is conectand that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I 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 penn it is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. penni! is not ocmmenced within EXPIRATION: Every penn it issued by the Building Official under the provisions of this Code shall expire by limitation and beocme null and void if the building or oorl< authorized 180 days fi"om the date of such penni! or if the building oroorl< authorized by such penn it is suspended or abandoned at anytime after the oorl< is ocmmenced for a period days (Section 106.4.4 Unifonn Building Code). /15 APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. (Office UsE• Only) CA DELIVERY OPTIONS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB#•----------MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER:-----------------o CHANGE OF USE/ NO CONSTRUCTION ..€5 APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB160498 Type: COGEN PHOTO MAS: 12 ROOF MOUNT PV PANELS Date __ lnsp~~!i~n Item Inspector Act Comments ------·--·---------·--·········· ............ ·---~-~---- 03/02/2016 35 Photo Voltaic (PV) Rl 03/02/2016 35 Photo Voltaic (PV) AEK AP 03/02/2016 39 Final Electrical Rl 03/02/2016 39 Final Electrical AEK Fl Thursday, March 03, 2016 Page 1 of 1