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Home My WebLink About1771 BLACKBIRD CIR; ; CB160205; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-19-2016 Cogeneration Permit Permit No:CB160205 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: 1771 BLACKBIRD CR CBAD COG EN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: 2156023700 $4,800.00 Project Title: CAHILL:12 ROOF MOUNT PV, 3.3KW NO PANEL UPGRADE, NO RMA Applicant: Owner: Status: ISSUED Applied: 01/19/2016 Entered By: SLE Plan Approved: 01/19/2016 Issued: 01/19/2016 Inspect Area: Plan Check #: NRG ELECTRIC CAHILL/WALKER FAMILY 2009 TRUST 08-14-09 181NDIGO WAY DANA POINT CA 92629 949-413-2221 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $70.24 $0.00 $49.17 $0.00 $0.00 $1.00 $1.00 P 0 BOX 130187 CARLSBAD CA 92013 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $121.41 Total Payments To Date: $121.41 Balance Due: Inspector: Clearance: $0.00 $0.00 $0.00 $0.00 $121.41 $0.00 NJTICE: Plee5e ta<e NJTl of yrur prqect includes the "lrrp:Eition'' of fees, <klicatioos, reservatioos, or ott-er exactioos hereafter oolecti...ey referre::l to <5 "feeslexactioos." Yw have 00 days fran tre date this p:mlt was issued to protest irrp:Eition of these fees'exadioos. If yw protest them, yw m.st fdlcwthe protest prc:x:a:!ures set forth in C?o.errrrent Co::le Section OOJ2Q(a), ard file the protest ard artf otrer require::! inforrration ,.,.;th tre Oty IVI3nagerfor processirg in ax:ordanaa ,.,.;th Carlsba:l M.lnidp:ll Co::le Section 3.32.030. Failure to tirrely follcwthat prc:x:a:!ure ,.,.;n bar artf sutse:Juent legal action to attack, reviw, set aside, wid, or annul tt'eir irrp:Eition. Yru are herel:1f R.Ril-ER NJTIRED that yrur right to~ tre sp:ldfia::l fees'exactioos IXES NOT ftPA... Y to water ard &Mer connection fees ard ~ty dlarges, nor plannirg, zonirg, grcdirg or ott-er sirrilar ewiic:ation processirg or servire fees in connection ,.,.;th this prqect. I'm IXES IT ftPA... Y to artf feestexadioosofv.hich ruhave ·ous1 CEsinilartothis orrotov.hichthestatuteoflinitati hC5 ·ous1 otherwise ·re::~. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OFIRE OHEALTH OHAZMAT/APCD . Cityof Building Permit Application Plan Check No. cRJilD 02..05 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date \/IC\./ILP lsWPPP JOB ADDRESS 11"7/ !6L.;Ac~t>I{(D DtJ<.cLt;. SUITE#/SPACE#/UNIT# IAPN '2.(5 -'oL-J7oo - CT/PROJECT # I 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) DC (6Tc\) Z>fSTCAJ1 f2 .51)£.-./fR l{\,fS( /tLL otJ t{otF :J ,.!J~ ,,...-rnod;.LU-'.:~ b(ZC ~~~ ,'1 ' \~ vP&Mtt AJJ ~ Pr / RNL I EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE lAIR CONDITIONING I FIRE SPRINKLERS I( ~iDe AJ'tl .tj L YEs[)!_ NoD YES0No0 YESONoD APPLICANT NAME ?8\\?r/(_ Primary Contact Ft:teiA PROPERTY OWNER b6 JN . 'A I u N ns c. r 1 -- ADDRESS ~5i2,2. 'nQfr~uco !QD. ADDRESS ol.AcJ ~Z)Ile \'> LIP-LLE Sv\ft . -(h" llll iO'J-0? ._ CITY CAvtlSfbAv STATE ZIP CITY STATE ZIP (I .A. ut· . ,, {) C JlRL,S !DI\"\) cA C\ 2_..D \1 ?..k?L PHONE q1:c\ , ~~.3qr.f-~s:r2-FAX PHONE 7GO, Y3l '}DC{\ I FAX EMAIL Pffi'K~ Wle~ 't:Lt;c:no'-\C., l\J81" EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME /v~<_& PI a~ It ADDRESS ADDRESS Z.<;i 2-2. \1tfr1)VLD ~~t>. StJ'IT6 I(J;~G.~2. CITY STATE ZIP CITY STATE ZIP [..if~& t--o 1~6s) [iq-q;,£,)6 PHONE FAX PHONE C{Ll0\ . ~[v(-~5'7>Z IFAX EMAIL EMAIL I STATE LIC. # STATE LIC.# q 7 & I 0 l ICLAC-1[) I CITY BUS. LIC.# (Sec. 7031.5 Busmess and Professions Code: Any C1ty or County which reqUires a permit to construct, alter, 1m prove, demolish or repair any structure, pnor 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 (Chapter 9, commending with 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 Declaration: I hereby affirm under penalty of perjury one of the following declarations: D.Jh~ve 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. G2J1 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation 'nsurance carrier and policy numberarelnsuranceCo. LbLDN'f \(\l1>lJI{AfJr6 (l)~APAMi PolicyNo. \Ol&LOO 11:?1 ??1 ~c:;l ExpirationDate _ _,_·f=Y-'-""----- This section need not be completed if the permit is for one hundred dollars ($1 00) or less. · 0 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 Workers' omp nsation Laws of California. WARNING: Failure to secure workers' 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 attorney's fees. "" .. /' 25 CONTRACTOR SIGNATURE 121"AGENT I heroh" offirm that I am exempt from Contractor's License Law for the following reason: [. · 1, 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). D D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement DYes 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 contractors' license number): 4. I 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. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I I phone I type of work): 25 PROPERTY OWNER SIGNATURE DATE I certify that I have read the application and state that the above information is conectand that the information on the plans is accurale.l agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or oonstruction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or oork authorized by such permit is not oommenced within 180 days from the date of such permit or if the building or oork authorized by such permit is suspended or abandoned at any time after the oork is commenced for a of 180 days (Section 106.4.4 Uniform Building Code). _a$ APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. EMAIL DELIVERY OPTIONS PICK UP: CONTACT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: ________________ _ .R:f APPLICANT'S SIGNATURE (Office Use Only) CA ASSOCIATED CB#'------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE Inspection List Permit#: CB160205 Type: COGEN PHOTO Date __ lnsp~ctiorD~m Inspector Act ·---~--~ 02/04/2016 35 Photo Voltaic (PV) Rl 02/04/2016 35 Photo Voltaic (PV) py AP 02/04/2016 39 Final Electrical Rl 02/04/2016 39 Final Electrical py AP Monday, February 08, 2016 CAHILL:12 ROOF MOUNT PV, 3.3KW NO PANEL UPGRADE, NO RMA Comments Page 1 of 1