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Home My WebLink About1748 BLACKBIRD CIR; ; CB152736; Permit08-31-2015 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Cogeneration Permit Permit No:CBl52736 Building Inspection Request Line (760) 602-2725 1748 BLACKBIRD CR CBAD COGEN Sub Type 2156010900 Lot# $8,400.00 Constuction Type Reference # PHOTO 0 NEW Status: ISSUED Applied: 08/21/2015 Entered By: SLE Plan Approved: 08/21/2015 Issued: 08/21/2015 Inspect Area: Plan Check #: SOLIS: PHOTO VOLTAIC 21 MODULES, ROOF/FLUSH MOUNT, 5.88 KW, NO PANEL UPGRADE Applicant: PETERSEN DEAN SOLAR Owner: 1820 CONTAINER CR RIVERSIDE CA 94566 949 832-7321 Building Permit $105.37 PLUMBING TOTAL $0.00 Add'l Building Permit Fee $0.00 ELECTRICAL TOTAL $0.00 Plan Check $73.76 MECHANICAL TOTAL $0.00 Add'l Plan Check Fee $0.00 Additional Fees $0.00 Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $0.00 $1.09 $1.00 TOTAL PERMIT FEES $181.22 Total Fees: $181.22 Total Payments To Date: $181.22 Balance Due: $0.00 Inspector: FINAL 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 Govemment 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 vou have previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired, THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: • PLANNING nENGINEERING nBUILDING DFIRE nHEALTH • HAZMAT/APCD Ccityof Carlsbad Building Permit Appiication 1635 Faraday Ave., Cartsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buildlng@cartsbadca.gov www.carlsbadca.gov Plan Check No. (Xb I "5 Zl 3^ Q Est. Value ^ . MOTD - Plan Ck. Deposit Pate -IX SWPPP JOB ADDRESS nW8 ^'^'^'^ckbird Circle, Carlsbad, OA, 92011 SUITE*/SPACE«/UNIT* 1 APN 1 215 - 601 - oq - 0 CT/PROJECT # LOT# PHASE* # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Inc/ude Square Feet or>lffected Area(s) Solar Roofing Install Panels:21 5.88kW 280w EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~|# AIR CONDITIONING YES| |NO| 1 FIRESPRINKLERS YES| |NO| 1 APPUCANT NAME p Prinarv Contact iustavo Arellano PROPERTYOWNER NAME Raul Solis ADDRESS 7010 Carrol Rd ADDRESS 4760-Blackbird Circle CITY San Diego STATE CA ZIP 92121 CITY Carlsbad STATE CA ZIP 92011 PHONE 619-827-4627 FAX PHONE 760-476-0169 FAX EMAIL qarellano@petersendean.eom EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Petersen Dean ADDRESS ADDRESS 7010 Carroll Rd. CITY STATE ZIP CITY STATE Carlsbad CA ZIP 92009 PHONE FAX PHONE 422-281-7995 FAX EMAIL EMAIL STATE UC. # STATE LIC.# 468117 CLASS c46 CITY BUS. LIC.# 1208316 (Sec. 7031.5 Business and Professions Code: Any City or County whicti requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicantfor such permit to file a sIBied statement that he is licensed pursuant to the provisionsof the Contractor's License Law {Chapter 9, commendingwith 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)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby aflirm under penalty of perjury one of the foliowing deciarations: SI 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 pemiit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the woh( for which this penult is issued. My workere' compensation insurance earner and policy number are: Insurance Co._ XL Specialty Insurance Company Policy No.. CWC7409372 Expiratton Date _ 04/30/2016 This section need not be completed if the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the perfomiance of the work tor which this pemiit is issued, I shall not employ any person In any manner so as to become subject to the Workers'Compensatkm Lawsof Califomia. WARNING: Failure to secure woriters' 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 Section 3706 of the Labor code, interest and attomey's fees. veS* CONTRACTOR SIGNATURE / jf/l,,^ — QAGENT DATE 08 |: fOWNER-BUILDER DECLARATION / hereby affirm that I am exempt from Contractor's License Law for the btlomng reason: [ I I, as owner of the praperty or my employees with wages as their sole compensation, will do the work and the stmcture Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense 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 oflered 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 I I, as owner of the property, am exclusively contrxting with licensed contractors to constmct 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) Icensed pursuant to the Contractor's Ucense Law). I I 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 praposed property improvemenl QYes I INO 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3.1 have contracted with the following person (fm) to provide the proposed constmction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the wort<, but I have hired the following person to coordinate, supervise and provide the major worii (include name / address / phone / contractors' license number): 5.1 will provide some of the wori(, but I have contracted (hired) the following persons to provide the wori( indicated (include name / address / phone / type of worii): JS^PRQPERVI OWNER SIGNATURE QAGENT DATE IPLETC THIS"'Sl'eTIO'l«-/'P'Oi? \N'i>N'^«'£.5 i D E N rt#l1.'"'«'U 11-D1 N G PERIRITi 'Ol Is the applicant or future building occupant required to submit a business plan, xutely hazanJous materials registration fbmi or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? OYes DNo Is the applicant or future building occupant required to obtain a pemiit from the air pollution control district or air quality management districf? • Yes • No Is the facility to be constmcted within 1,000 feet of the outer boundary of a xhool 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 CONTRa DISTRICT. CONSTRUCTION CCNDING AGE) I hereby affirm that there is a construction lending agency for the performance of the woric this permit is issued (Sec. 3097 (!) Civil Code). Lender's Name Lender's Address 'PLICANT CERTiFICATION Iceililytliatlhaveieadtheapplteatkin and state that the above InfoiTnation Is conect and that the Infbmiation on the plans Is accuiate. I agree to com I heneby authoiize representative of the City of Carisbad to enter upon the above mentkined ptoperty for inspectton puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrr. OSHA: An OSHA pemiit is required fbr excavations over 5'0' deep and demolitbn or constmctkin of structunes over 3 stories in height. EXPIRATION: Every pemiit issued by the Buikjing Official under the provisbns of this Code shall expire by limitatkin and become null and vokl if the buikiing or vwrti authorized by such pemnit is not oommenced within 180 days from Ihe date of such pemiit or if the buikJing or worii authorized by such permit is suspended or abandoned at any time after the vrorii Is commenced fora period of 180 days (Sectkin 106.4.4 Unifonn Buikling Code). APPUCANT'S SIGNATURE DATE Inspection List Permit*: CB152736 Type: COGEN PHOTO SOLIS: PHOTO VOLTAIC 21 MODULES, ROOF/FLUSH MOUNT, 5.88 Date Inspection Item 09/02/2015 35 Photo Voltaic (PV) 09/02/2015 35 Photo Voltaic (PV) 09/02/2015 39 Final Electrical 09/02/2015 39 Final Electrical Inspector Act Comments Rl AEK AP Rl AEK Fl Wednesday, September 02, 2015 Page 1 of 1