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HomeMy WebLinkAbout1772 BLACKBIRD CIR; ; CB160144; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-15-2016 Cogeneration Permit Permit No:CB160144 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: 1772 BLACKBIRD CR CBAD COG EN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: 2156020900 $8,000.00 Project Title: CHRISTIAN RES-ROOF MNT PV 20 MODULES// NO PANEL UPGRADE// RMAI/FLUSH/ 5.300 KW Applicant: RECSOLARISUNRUN INSTALLATION SERVICES INC STE 200 775 FIERO LN SAN LUIS OBISPO CA 93401 858 675-6527 Building Permit $96.85 Add'l Building Permit Fee $0.00 Plan Check $67.79 Add'l Plan Check Fee $0.00 Plan Check Discount $0.00 Strong Motion Fee $1.04 Green Bldg Stands (SB1473) Fee $1.00 Owner: CHRISTIAN SCOTTW&LYNN R 1772 BLACKBIRD CIR CARLSBAD CA 92011 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Status: ISSUED Applied: 01/15/2016 Entered By: LSM Plan Approved: 01/15/2016 Issued: 01/15/2016 Inspect Area: Plan Check #: $0.00 $0.00 $0.00 $0.00 $166.68 Total Fees: $166.68 Total Payments To Date: $166.68 Balance Due: $0.00 Inspector: FINAL_Ni1ROYAL Date: -~//'//~ h Clearance: NOll CE: Please ta<e NOll CE that CWf"CMll ri ycu rxcject irdudes tre "I IT"fXl'ition'' ri fees, dedicatims, reservatims, or otrer exa:iicns hereafter a:lledively referred to as ''fees'exa:iicns." Yoo have 00 days fran the date tns fXll1"llt V>a5 issued to protest irJ1X)Sition ri trese fees'exa:iicns. If yoo protest trern yoo rrust fdiOIN the putest rrocecJures set forth in Gaverrrrai Code Section 6002)(a), and file tre protest and erry otrer req..ired infrnration wth the Oty ~for JTOCeSSing in cmxdancewth Ca1stm M.Jnidpal Code 93::tion 3.32.030. Failt.retotirrelyfdiOINthat rrocecJurewll tar any subsequent lega a:iion to attock, review, set aside, vdd, or anru their irJ1X)Sition. Yoo are hereby F\..JRTl-£R 1\(JTlRED that yoor rig,! to putest the specified fees'exa:iicns OCES NOT APPLY to water and re-t.ff oonned:ion fees and capacity dla"lg:ls, nor plcrnng, zrnng, gajng or otrer sinilar appication JTOCeSSing or servire fees in cmnection wth this rxcject. t\CR OCES IT APPLY to any fees'excdims ri Widl VOJ have JXeviouslv been dven a NOTlCE sirrilar to this or as to Widl tre statute ri lirritatims has ocevioosi'Lotherv.ise extired. 0PLANNING 0ENGINEERING 0BUILDING DFIRE DHEALTH D HAZMAT/APCD City of ~~Carlsbad JOB ADDRESS CT/PROJECT # Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEII/SPACE#/UNIT# #BATHROOMS Plan Check No. C:e \ Est. Value Plan Ck. Deposit Date ) DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 5XXJ K\AJ1 d{) l'flCtiGL(e.sJ I )Y\vQvt~v (Y) R-mrt VDDf !rtfLOVX\ -t r;y~ {trv\ tJo eM-el VlJJO]VacQ.e EXISTING USE GARAGE (SF) PATIOS (SF) ADDRESS CITY STATE ZIP FAX EMAIL STATE LIC. # STATE LIC.# 7!;;0) ~, \ I (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe 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 petjury one of the following declaraffons: 0 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 ofthe work for which this permit is issued. D I have and will maintain wo ' ~OJIIPens iqn, as re ui ed. by Section q700 o~ the Labor Code, for the performance ff th}work for which this permit is issued. My workers' compensatio1 0r.ance ,carrier and policy number are: Insurance Co. L ' L Policy No. l;vL,O / L.e VL /.1 Q) j Expiration Date I {lR 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' Compensation 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 as provided for Labor code, interest and attorney's fees • .fl5 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D 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. I!, 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 contracling 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. 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 address I phone I type of work): .fl5 PROPERTY OWNER DATE I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all Cil)t 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 ANY WAY 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 construction 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 IM:lrk authorized by such permit is not commenced within 180days from the date of such permitori i oriM:lrk by such is suspended or abandoned at anytime after the IM:lrk is oommenoed for a period of 180days (Section 106.4.4 Uniform Building Code). JiS 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 . 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) MAILIFAXTOOTHER: ________________________________ _ Jl5 APPLICANT'S SIGNATURE • (Office Use Only) CA ASSOCIATED CB#'---------------------- NO CHANGE IN USE I NO CONSTRUCTION CHANGE OF USE I NO CONSTRUCTION DATE Inspection List Permit#: CB160144 Type: COGEN PHOTO CHRISTIAN RES-ROOF MNT PV 20 MODULES// NO PANEL UPGRADEI/ RM Date Inspection Item lnt;pector Act Comments ----- 03/14/2016 35 Photo Voltaic (PV) Rl 03/14/2016 35 Photo Voltaic (PV) AEK AP 03/14/2016 39 Final Electrical Rl 03/14/2016 39 Final Electrical AEK Fl Monday, March 14, 2016 Page 1 of 1