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HomeMy WebLinkAbout1769 BLACKBIRD CIR; ; CB153985; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-17-2015 Cogeneration Permit Permit No:CB153985 Building Inspection Request Line (760) 602-2725 Job Address: 1769 BLACKBIRD CR CBAD Permit Type: COGEN Sub Type: PHOTO Status: ISSUED Parcel No: 2156023600 Lot #: 0 Applied: 11/17/2015 Valuation: $6,400.00 Constuction Type: 5B Entered By: JMA Occupancy Group: Reference #: Plan Approved: 11/17/2015 Issued: 11/17/2015 Inspect Area: Plan Check #: Project Title: WILLIAMS: 16 ROOF MOUNT PV PAN Applicant: Owner: SOLARCITY WILLIAMS REVOCABLE LIVING TRUST 01-29-98 3055 CLEARVIEW WY 1769 BLACKBIRD CIR SAN MATEO CA 94402 CARLSBAD CA 92011 650-759-4658, Building Permit $87.98 PLUMBING TOTAL $0.00 Add'I Building Permit Fee $0.00 ELECTRICAL TOTAL $0.00 Plan Check $61.59 MECHANICAL TOTAL $0.00 Add'I Plan Check Fee $0.00 Additional Fees $0.00 Plan Check Discount $0.00 Strong Motion Fee $1.00 Green Bldg Stands (SB1473) Fee $1.00 TOTAL PERMIT FEES $151.57 Total Fees: $151.57 Total Payments To Date: $151.57 Balance Due: $0.00 FINAL APRRQlVAL Inspector: Date: Clearance: NOTICE Rease take NOTICE that approval of your project includes the "Imposition" ot fees, dedications, rese ations, or other exactions hereafter odlectively referred to as' fees/exactiors." You have 90 days from the date this permt was issued to protest imposition of these fees/e octiers. If you protest them, you n st foi low the protest procedures sot forth in Gmem-e t Code Section 66020(a), arid file the protest and any other redo red information with the Qty Nbnager for processing in accordance with Carlsbad Mincipal Code Section 3.32.030. Failure to timely fellow that procedure trill bar arTy subsequent legal action to attack, review, set aside, void, or anrxl thear imposition. You are hereby FURTHER NOTI R ED that your right to protest the speofied fees/exactiens DOES NOT APPLY to water and serer cmnectien fees and capacity change,, nor planting, zoning, gradng or other similar application processing or service fees in cerrie Lien with this project. NCR DOES IT APPLY to any THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: ❑ PLANNING ® ENGINEERING ❑ BUILDING ❑ FIRE [—]HEALTH ❑ HAZMATIAPCD r Building Permit Application plan Check No. S.3G1 135 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value City of Carlsbad email: 760-602-2719 Fax: 760-602-8558 plan Ck. Deposit email: building@carlsbadca.gov www rartahadca_nov Date (I . 11 . l SWPPP JOB ADDRESS - f�l tv I (:phi r C17 7BEDR SUITE#/SPACE#/UNIT# APN CT/PROJECT # LOT # PHASE # # OF UNITS # J # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) K.W q,--?N PV Array Roof Mount; Modules_; Inverter(s)�_ ; String(s) Main Panel upgrade? ; Flush Mounted? i ICI ; RMA? Ivy, EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES❑# NO[:] AIR CONDITIONING YES �NO� FIRE SPRINKLERS YES�NO❑ APPLICANT NAME Amaya Salce PROPERTY OWNER NAME Prinar cu�tact ADDRESS ADDRESS2370 �' Y Oak Ridge Way i 1' CITY STATE ZIP CITY J! „ - STATE ZIP f�{✓' � Vista CA 92081 � PHONE FAX PHONE FAX 760-877-4038 EMAIL EMAIL asalce(a-solarcity.com DESIGN PROFESSIONAL Same as Contractor CONTRACTOR BUS. NAME Solar City Corp. ADDRESS ADDRESS 3055 Clearview Way CITY STATE ZIP CITY San Mateo STATE CA ZIP 94402 li PHONE FAX PHONE (650) 638-1028 FAX EMAIL EMAIL asalce0solarcity.com STATE LIC. # STATE LIC.# 888104 CLASS C46, C16 CITY BUS. LIC.# 1227803 .. _.._ �_.___,:_�_____..:............••,..........�... r., rt�����nnn glen ronuirac the (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permitto construct, aver, unpiurvu, uci—j-1 y , ,, .y ,• w• •_ -- ._�_.. __ _._ 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, commendmgwith 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 ($5001). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑✓ 1 have and will maintain workers' compensation, as requ' by Sec' n 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy Zurich A Ican Insuran Company Policy No. WC0182014-00 (ADS) Expiration Date 917N6 number are: Insurance Co. This section need not be completed if the permit is for o hundred dollars ($ 00) or less. Certificate of Exemption: I certify that in the pe rmance of the work or 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 worke compensation co rage 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 s provided pr in ction 3706 of the Labor code, interest and attorney's fees. A!S CONTRACTOR SIGNATURE [Z]AGENT DATE I hereby affirm that 1 am exempt from Contractor's License Law for the following reason: 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. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. ❑Yes —]No 2.1(have I have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. 1 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. 1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): .CSPROPERTY OWNER SIGNATURE AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley -Tanner Hazardous Substance Account Act? O Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes O 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 CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code), Lender's Name Lender's Address Icertify that Ihave read the applicationandstatethatth boveinfonna'on i rrectandthattheinformation onthe plans isaccurate.Iagree tocomplywith all City ordinances and State laws relatingtobuilding construction' I hereby authorize representative of the City of Cads d to enter upon the a ve mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COS AND EXPENSES CH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavati s over 5'0' deep and olition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Buil ng Official under th isions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if building or work ed by such permit is suspended or abandoned at anytime after the work is commenced � for a period o7jr::'1"* 0 days(Section 106.4.4 Uniform Building Code). A5APPLICANT'S SIGNATURE DATE I1/ / Inspection List Permit#: CB153985 Type: COGEN PHOTO WILLIAMS: 16 ROOF MOUNT PV PAN Date Inspection Item 12/08/2015 35 Photo Voltaic (PV) 12/08/2015 35 Photo Voltaic (PV) 12/08/2015 39 Final Electrical 12/08/2015 39 Final Electrical Tuesday, December 08, 2015 inspector Act Comments RI AM PLEASE AEK AP RI AEK FI Page 1 of 1