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HomeMy WebLinkAbout1762 BLACKBIRD CIR; ; CB151546; Permit05-20-2015 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Cogeneration Permit Permit No:CBi 51546 Building Inspection Request Line (760) 602-2725 1762 BLACKBIRD CR CBAD COGEN Sub Type: PHOTO 2156020400 Lot#: 0 $12,000.00 Constuction Type: NEW Reference #: Status: ISSUED Applied: 05/20/2015 Entered By: LSM Plan Approved: 05/20/2015 Issued: 05/20/2015 Inspect Area: Plan Check #: VOTH RES- INSTALL ROOF MNT PV SYSTEM 30 MODULES//NO PANEL U PG RAD E//F LUSH MNT//7.8 KW Applicant: SOLARCITY Owner: VOTH&SPEAR FAMILY TRUST 11-07-12 3055 CLEARVIEW WY SAN MATEO CA 94402 1762 BLACKBIRD CIR CARLSBAD CA 92011 650-759-4658 Building Permit $131.83 PLUMBING TOTAL $0.00 Add'l Building Permit Fee $0.00 ELECTRICAL TOTAL $0.00 Plan Check $92.28 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 $1.56 $1.00 TOTAL PERMIT FEES $226.67 Total Fees: $226.67 Total Payments To Date: $226.67 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: l' Clearance: NOTICE: Piease take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed to as "fees/exactions." You have 90 days from the date this pennit was issued to pnDtest 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 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 nFIRE •HEALTH •HAZMAT/APCD Ccityof Carlsbad Builciing Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. (^iS 15" / ^ Est. Value Plan Ck. Deposit Date SWPPP JOBADDRESS Cr/PROJECT # 176.0 f^lc^J^hrA Circle ^ LOT# 1 PHASE* # OF UNrrs I # BEDROOM^' surrE«/spACE«/uNrr* # BATHROOMS TENANT BUSINESS NAME I CONSTR. TYPE lOCCGROUP DESCRIPTION OF WORK: /nc/ude Sqruare Feet ofAftbcted Area(s) EXISTING USE PROP EDVSE GARAGE^) PATIOS (SF) DECKS (SF) FIREPLACE YES[3 N0| I AIR CONDrriONING YES I |NO| I FIRESPRINKLERS YES I |NO| I APPUCANTNAME Primary Contact PROPERTYOWNER An he VQH% ADDRESS , I • O ' STATE ~ ADDRESS i i r STATE TziP ^ crTY ZiP CITY ^ ,1 r STATE _ZIP PHONE TWX PHONE EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME SnkirCikt (orp- ADDRESS ADDRESS CITY STATE ZIP CITY XT ly,^ , STATE PHONE, r . _ _ TFAX PHONE FAX EMAIL EMAIL STATE UC. # STATE LIC.# CLASS I I CriY BUS. uc.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permitto construct atter, improve, demolish or repair any structure, prior to its Issuance, also requires the appllcantfbr such permit to tiie a signed statement that he Is licensed pursuantto the provisionsof the Contractor's License Law (Cnapter g, commenalngwith Section 7000 of Dh/IslonSofthe 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 applicanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby alSim under penalty peijury one ofthe following declaratbns: I 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 perfomiance of the vrark for which this pemiit Is Issued. 11 have and will maintain woikers' compansation, as required by Section 3700 of the Labor Code, for the perfomiance of the wori< for which this pennit is issued. My woricers' compensalion insurance carrier and policy numberare: Insurance Co. Lfh^H\ > WS()j/'/i| y|f g. PotoNo. WA76^ D^fcCa?6.^02M ExDiration Dale ri'j f C^jlO)^ Bseotlon need not be completed if the prarniH^ocOTe-liuiiUltid duiiais ($1 uu) or less. ~ Certificate of Exemption:\^iSt/^tlSC^\i\e peribmiance of the work for which this peimit is IssuedTrshalLaiitemploy any person In any manner so as to become subject to the Woriteis' Compensation Laws of Califbmia. WARNING;^diaieto secure woriters' compensation coverage Is unlawful, and shall subject anoilplqwr to criminal penalties and civil fines up to one hunijred thousand dollars (8100,000), in addition to the cost orcompensatioh, damages as provided for in Section 3706 ofthe Labor code, interest and attomby's fees. ^eS" CONTRACTOR SIGNATURE \ • AGENT DATE indred thousand dollars (St OWNER-BUILDER u E C L A R A T I O / hereby affinn thaf / am exempt ftom Confradbr's Ucense Lm tor the foBomng reason: I, as owner of the property or my employees with wages as their sole compensatbn, will do the work and fhe stnicture Is not intended or oileied fbr sale (Sec. 7044, Business and Prafessions Code: The Contractor's Ucense Law does not apply to an owner of pioperty who builds or improves Ihereon, and who does such vrark himself or thmugh his own employees, pravided that such Improvements are not Intended or offered for sale. If, however, the bulldlng or improvement is sold within one year of completiDh, the owner-builder will have the burden of praving that he did not build or Improve fbr the puipose of sale). • • • I, as owner of the praperty, am exclusively contracling with licensed conlractors to constmct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of propeity who builds or impioves thereon, and contracts fbr such projects wilh contractor(s) licensed pursuant lo the Clontractor's License Law). I am exempt under Section Business and Professions Code fbr this reason: 1.1 personally plan to provide the major labor and materials for constructkin of the proposed propeity ImprovemenL • Yes I INO 2.1 (have / have not) signed an appiicatkin for a building pemilt for the proposed work. 3.1 have contracted with Ihe following peison (fimi) to provkle Ihe praposed constmction (Include name address / phone / contractors' Ucense number): 4.1 plan to provkle portkins of Ihe woik, but I have hired the fbllowing peison to coonjlnate, supenrise and provkle the major worit (include name / address / phone / contradors' license number): 5.1 will provide some of the worit, but I have contracted (hired) the following peisons to provide the virorit Indteated (Include name / address / phone / type of vwirtt): >eS'pROPERTY OWNER SIGNATURE •AGENT DATE COIWPLETE THIS $£CT)OIW FOf* WOAl RESIOt/SiiOiiL B U i i. 0 i N G FtRiVIJilji OWL Is Ihe appScam or fuiure buikiing occupant required to submit a buslhess plan, acutely hazardixsiRalBiM6i8elSfiBllBfl!<Bnniorii9kifiani^^ and prevenllen program under Seclions 2SS0S, WS33 or 25534 of the Preslsy-TannerHazankiisSubsianceAccountAcr? OYes ONo Is Ihe appHcant or futuie buUlngaccupart required to obtain a pennit fom tto OYes ONo Islhe«adlltytobec(instnicledwilhin1,oa0feetoflheoutw'lm^ OYes- CVNo ' IF ANV OF THE AKSWfERS Ai£ YES, A RNAL CBt!tR(^^ EMERGBIcy KiWIC^AilBtHEAIRPOUUTION COflTROL OISTRICT. CONSTRUCTION LENDING AGENCY r hereby affiim that fliers is a constmciion lending agency Ibr ihe peifinniance ofthe woifc this penmit s Lender's Name Lendei's Address API'LICA/VIT CERTIFICATION l(»%l)wtlhai«i8Bd1lieap|ilfcailimandS^ I heieby authorize lepissentafiie of ttie 0^ of Carisbad b ei^jipen Ih^ AGAINST ALL LIABIUTIES, JUDCSMENTS, COSTS AND BCPBllSB WHICH MAY IN ANY WAY ACC«l« AGAINST SAID CrTYlfreOilSEQUBICE OF THE GRANTING OF THIS PffiiMrr. OSI^ An (3SHA pemA is lequiied for escavalipneow ffff deep EXPilMTION: Bieiy pennltissued by Ibe BuUing Olfcial undeijt^^ IflOdcQisiipni IheitalsQfsuih RetntorKtebuicttig,or«i^^ (^edibn 1064.4 UnHbim SiUig Code). >£$'An>UCAWr8 SIGNATURE Inspection List Permit*: CBI51546 Type: COGEN PHOTO VOTH RES- INSTALL ROOF MNT PV SYSTEM 30 MODULES//NO PANEL UPGR Date Inspection Item 07/24/2015 35 Photo Voltaic (PV) 07/24/2015 35 Photo Voltaic (PV) 07/24/2015 39 Final Electrical 07/24/2015 39 Final Electrical Inspector Act Comments Rl PD AP Rl PD AP FIRST AM PLEASE FIRST AM PLEASE Monday, July 27, 2015 Page 1 of 1