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Home My WebLink About1773 BLACKBIRD CIR; ; CB163415; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-06-2016 Cogeneration Permit Permit No:CB163415 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: 1773 BLACKBIRD CR CBAD COG EN Sub Type: PHOTO Lot#: 0 Constuction Type: 58 Reference #: 2156023800 $7,600.00 LINDWALL: 19 ROOF MOUNT PV Owner: Status: ISSUED Applied: 09/06/2016 Entered By: JMA Plan Approved: 09/06/2016 Issued: 09/06/2016 Inspect Area: Plan Check #: RECSOLARISUNRUN INSTALLATION SERVICES INC STE 200 LINDWALL FAMILY TRUST 07-03-03 775 FIERO LN SAN LUIS OBISPO CA 93401 858 675-6527 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 $96.85 $0.00 $67.79 $0.00 $0.00 $1.00 $1.00 1773 BLACKBIRD CIR CARLSBAD CA 92011 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $166.64 Total Payments To Date: $166.64 Balance Due: Inspector: FINAL APPROVAL Date: !P" 7 ~ 16 Clearance: $0.00 $0.00 $0.00 $0.00 $166.64 $0.00 IIOTlCE: Rease t* IIOTlCE tta CWCMII ri yas ~ irdu:les tt-e "lfl1XB!iai' ri fees, deda:tialS, resei"'SialS, a ctrer ~ l1ereEtter ooiEdiwly rderTed to as ''feeslexaiicrs." Yw hal.e ro days fran tt-e date tlis pemit v.as is9.Jed to pretest if11XB!i01 ri these feeslexa1icrs. If ~ JJtiest them ~ rru;t fdiONtreprctestJl'(XBUessafathin~QxieSedi01Em2J(a),m:lfiletreJJtiestm:la1Ydlu'reQ.irediriarl"SI01Wihtl"eaty~fir ~Ill in awda r:eWth Ca1stal Mrid~ Qxie Sedl013.32.cm. Faih.retotirrayfdiONthct ~v.illl::a"a1YSlbleQ.a11ega a:iialtoatOO<. re.AeN, sa aside, \odd, a anJ their irrpcsitim Yw ere~ R.RTt-ER IIOTlAED that yas rigt to JJtiest tt-e sp:dfia:l feeslexaii01S IXE3 t-Vr .bPA.. Y to ~//iter m:l fSNi!I CXll'lldl01 fees m:l ~ chrges. ra plcnillJ, zairg, ga:illJ a ctrer sinila' ~ia:ti01 ~rg a ssvlre fees in CXll'lldl01 v.ith tlis ~· I'm IXE31T .bPA.. Y to a1Y ~ . Wi . . 'nil . Wi lini . . . . J {'cicyof Carlsbad JOB ADDRESS CT/PROJECT # DESIGN PROFESSIONAL NAME ADDRESS CITY PHONE EMAIL Building Permit Application 1635 Faraday Ave., carlsbad, CA 92008 Ph: 7act-802..27U Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNIT# #BATHROOMS CONTRACTOR BUS. NAME STATE ZIP FAX STATE LIC. # Est. Value Plan Ck. Deposit Date SWPP ZIP q'J-0? ~ (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 tl\at he is licensed pursuant to the provisions of the Contractor's Ucense Law !Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exem11t 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 Workers' Compensation Declaration: I hereby affirm under penalty of petjUf}' one of the following declarations: . 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 of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of tt;?\>t for wh_)Q,h Jhi: ~ is issued. My workers' compensation i~rance ca! and policy number are: Insurance Co.~ f\n'l:t.n'(l;LA Policy No. W~.L.L~ 0..'1.f.l W l Expiration Date (!1• I ·lA This section need not be completed Wthe perm~ is for one hundred dollars ($100lJiess. 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 Section code, interest and attorney's fees. AS CONTRACTOR '<lt::IIATIIID"'- I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: Cl I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is nol intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlra:;tor's Ucense 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 lhe burden of proving that he did not build or improve for the purpose of sale). Ll I, as owner of the property, am exclusively contracting with licensed conlractors lo conslruct the project (Sec. 7044, Business and Professions Code: The Conlractor's Ucense 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 Conlractor's Ucense Law). Ll 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 Ll Yes Cl No 2. I (have I have noQ 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 conlra:;tors'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): Ji$ PROPERTY OWNER DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submtt 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? Ll Yes Ll No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? [] Yes Ll No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Ll Yes Ll 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. Lender's Name 1 certlfylhatl have read the application and slats lhatthe above lnbmatlon Is oonactand lhatthe lnfoonatlon on the plans Is aa:ulllle.l agree to oomplywllh all Clt¥odnancesand State laws ralallngm buHdlng oonstructlon. I hereby authorize representative of the City of Ccrlsba:l to enter upon the above mentioned property iJr i1specOOn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAAMLESS THE CITY OF CAALSBAD AGA.INST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: Pro OSHA penn~ is required iJr excavations over 50' deep and demolililn or ronstruction of slructures over 3 sklries in heght. EXPIRATION: Every penn~ issued Official under the of this COOe shall eJCpie by imitatbn and becxlme nun and vok! if the buikJing or 'Mllk authorized by such permit is not oommence:lwthin 180days tom the date of such such is suspended or abandoned at anytime a!Erthe 'Mllk is commenced bra period of (Seclkln 100.4.4 Unifonn E!uikJing Code). ~APPLICANT'S DATE Inspection List Pennit#: CB163415 Type: COGEN PHOTO LINDWALL: 19 ROOF MOUNT PV Date Inspection Item I!'Sj)~Ct~~ . Act Comments 10/07/2016 35 Photo Voltaic (PV) Rl 10/07/2016 35 Photo Voltaic (PV) JW AP 10/07/2016 39 Final Electrical Rl 10/07/2016 39 Final Electrical JW AP Friday, October 07, 2016 Page 1 of 1