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Home My WebLink About1745 Blackbird Cir; ; CBR2018-1481; Permit(city of Carlsbad Residential Permit Print Date: 07/30/2018 Permit No: CBR2018-1481 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 1745 Blackbird Cir BLDG-Residential 2156016000 $8,800.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Cogen Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 06/21/2018 06/21/2018 Plan Check#: Final Inspection: 7/30/2018 3:46:00PM Project Title: Description: PSAILA: ROOF MOUNT PV, 7.15 KW, 22 MODS, 1 INVERTER, NO UPGRADE Owner: Contractor: COOWNER PSAILA JULIAN & MIZUNO HIROMI TESLA ENERGY OPERATIONS, INC BUILDING PERMIT FEE ($2DDD+) BUILDING PLAN CHECK FEE (BLDG) 501473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $182.49 1745 Blackbird Cir CARLSBAD, CA 92011 Total Payments To Date: $182.49 3055 Clearview Way San Mateo, CA 94402-3709 650-963-SlDD Balance Due: Please take NOTICE that approval of your project includes the "Imposition'' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $1D6.D9 $74.26 $1.DD $1.14 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BUILDING DFIRE 0HEALTH D HAZMATIAPCD C City of Building Permit Application Plan Check No. Cf!i(a2015 -Jl/ 'x 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 24500-11<1<a.oo -I Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@ca~sl:>adca.gov www.carlsbadca.gov Date -, ~'2018 ISWPPP JOB ADDRESS SUITEf/SPACEI/UNITf IAPN 17 45 Blackbird Cir, Carlsbad, CA 92011, US --- CT/PROJECT# !LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 7.15 KW Roof Mount Solar PV • Flush Mount 22 Modules 325W. 1 inverter 6000 W No upgrade. EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES[]# No[] vcsONoD vcsONoO APPLICANT NAME Solomon Gill PROPERTY OWNER NAME Julian Psaila Prln1rv Cont.ct ADDRESS ADDRESS 3055 Clearview Way 17 45 Blackbird Cir CITY STATE ZIP CITY STATE ZIP San Mateo CA 94402 Carlsbad CA 92011 PHONE IFAX PHONE I FAX (619) 385-07 47 (415) 260-5564 EMAIL EMAIL i11ovea@tesla.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Tesla Enerav Operations. Inc. ADDRESS ADDRESS 3055 Clearview Way CITY STATE ZIP CITY STATE ZIP San Mateo CA 94402 PHONE IFAX PHONE IFAX (650) 963-5100 EMAIL EMAIL i11ovea@tesla.com I STATE UC.# STATE UC.# !CL.ASS I CITY BUS. LIC.1227803 888104 C-10 (Sec. 7031.5 Business and Professions Code: Any City or Countywhtch 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 JChapter 9, commending with Section 7000 of D1v1sion 3 of the Business and Professions Code) orfhat he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than f1ve hundred dollars {$500}). WORl(ERS' COMPENSATION Wori<ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations· 0 I have and wlll maintain a certificate of consent to self-insure for 'Mlrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. IZJ I have and will maintain workers' compensation, as rectuired 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: Insurance Co. American Zurich Policy No. WC 1074583-00 Expiration Date 10/31118 ~section need not be completed if the permit Is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the WoO(ers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvU fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages n provided for in Section 3706 of the Labor code, interest and attorney's fees. ,,I$ CONTRACTOR SIGNATURE :S1&hU1£- I hereby affirm that I am exempt from Contractor's Ucense 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 su::h 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. 0Yes 0No 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 l have hired the following person to coordinate, supervise and provide the major work (include name I OOdress I phone (contractors' license number): 5. l will provide some of the work, butt have contracted (hired) the following persons to provide the work Indicated (include name I address I phone I type of work): R$ PROPERTY OWNER SIGNATURE 0AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely haz.rdous materials registration fonn 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 pennit from the air pollution control district or air quality management dlsbict? ["] Yes ["] No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? ["] Yes ["] 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 CONl'ROL DISTRICT. I C8111fythatl have read the application and Slate that the above infonnation Is correct and that the information on the plans is accurate. I agree to comply with all Cityoldinances and State laws relating to buNdlng construction. I hereby authOrize rei:resentativeof the City of Carlsbad to enterul)Jll the alx>ve mentioned property klr i'lsp;lCOOn purJX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Cf CARLSBAD AGAINST ALL UAfllUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is required for excavations over 5'0' deep and derrolltk:m or ronslruction of structures over 3 stories in height. EXPIRATION: Every pennil issued by the Buikling Official under the provisK>lls of this Code shall expre by limitation and become nuN and void if the buik:ling or 'M)fk. authorized by sud! pennil is not rommenred W:thin 180days from the date of such permit or if the buik:ling orv.ork authorized by sLK:11 permit is suspended or abandoned at any time after the 'M>l"k is commenced klr a pericxl of 180days (Secoon 100.4.4 Uniform Buik:ling Code). _15 APPLICANT'S SIGNATURE :s~t,,n,,n,, F DATE 06/21/2018 '1 " 1, R j, i, 1 ' ' ~ "'1,'' " ' ·. : ... : PERMIT INSPJ;C:tlON HISTORY R~f?ORT (CB8~018-1481) . Pennit Type: BLDG-Residential Application Date: 06/21/2018 Owner: COOWNER PSAILA JULIAN & MIZUNO HIROMI Work Class: Cogen Issue Date: 06/21/2018 Subdivision: PARCEL MAP NO 16228 Status: Closed -Finaled Expiration Date: 01/28/2019 Address: 1745 Blackbird Cir Carlsbad, CA 92011-5010 IVR Number: 12072 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete -~--·--------·-···--,,·- 07(30/2018 07(30/2018 BLDG-35 Solar 065324-2018 Passed Andy Krogh Complete Panel BLDG-Final 065325-2018 Passed Andy Krogh Complete Inspection Checklist Item COMMENTS Passed BLDG-Electrical Final Yes -------------- July 30, 2018 Page 1 of 1