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
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PD AP
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PD AP
FIRST AM PLEASE
FIRST AM PLEASE
Monday, July 27, 2015 Page 1 of 1