HomeMy WebLinkAbout1782 BLACKBIRD CiR; ; CB151837; Permit06-15-2015
Job Adciress:
Pernnit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Cogeneration Permit Permit No:CB15l837
Building Inspection Request Line (760) 602-2725
1782 BLACKBIRD CR CBAD
COGEN
2156028900
$10,400.00
Sub Type: PHOTO
Lot #: 0
Constuction Type: NEW
Reference #:
ZAFERAKIS:
26 MODULES, ROOF MOUNTED SYSTEM
Status: ISSUED
Applied: 06/15/2015
Entered By: SLE
Plan Approved: 06/15/2015
Issued: 06/15/2015
Inspect Area:
Plan Check #:
Applicant:
TMAG INDUSTRIES DBA STELLAR SOLAR
SUITE 105-444
6965 EL CAMINO REAL
CARLSBAD CA 92009
760-445-1627
Owner:
DERNBACH ADAM&BETSY
1782 BLACKBIRD CIR
CARLSBAD CA 92011
Building Permit $123.01 PLUMBING TOTAL $0.00
Add'l Building Permit Fee $0.00 ELECTRICAL TOTAL $0.00
Plan Check $86.11 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
$1.35
$1.00
TOTAL PERMIT FEES $211.47
Total Fees: $211.47 Total Payments To Date: $211.47 Balance Due: $0.00
Inspector:
FINAL A.
Date
APPROVAL ,
Clearance:
NOTICE: Please take NOTICE tiiat 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 protest Imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Govemment 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 previously been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenvise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: Fj PLANNING • ENGINEERING .' BUILDING • FIRE • HEALTH • HAZMAT/APCD
^ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: buildlng@carlsbadca.gov
www.carlsbadca.gov
surTEf/sPACEt/UNrr* IAPN , , ^
- Ooz - M -Od CT/PROJECT # L0T# PHASE* # OF UNITS # BEOROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. rCPE OCC. GROUP
Plan Check No. iS" I S 5 7
Est. Value
Plan Ck. Deposit
Date SWPPP
DESCRIPTION OF WORK:/nc/ude Square Feet of Affected Area(s; .
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESr> N0| I
AIR CONDITIONING
YES I INO I I
FIRESPRINKLERS
YES I |N0| I
APPLICANTNAME (Primary Contact) Krista Stemmerman APPLICANTNAME (Secondary Contact)
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE
760 529 7267
FAX PHONE FAX
EMAIL john@stellarsolar.net EMAIL
PROPERTY OWNER NAME CONTRACTOR BUS. NAME Stellar Solar
ADDRESS ADDRESS 6965 El Camino Real
CITY STATE (^A ZIP 3ML CITY Carlsbad STATE
CA
ZIP
92009
PHONE FAX PHONE
760 529 7267 FAX
EMAIL EMAIL john@stellarsolar.net
ARCH/DESIGNER NAME & ADDRESS
749095 C10
CITY BUS. UC.#
1227344
(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 applicantfor such permitto 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 ofthe Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 byany applicantfor a permit subjects the applicant to a Civil penalty of not more than five hundred dollars ($500)).
wo.irkens' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
SI 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.
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Ckide, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co._ Insurance Co of the State of PA Policy No.. WC51760381 Expiralion Dale .
This section need not be completed if the permit is for one hundred dollars ($100) or less.
I I Certificate of Exemption: I certify that in the performance of Ihe work for which Ihis permii is issued, I shall nol employ any person in any manner so as to become subject lo the Workers' Compensation Laws of
Califomia. WARNING: Failure to secure workers'compensation coverage is unlawful, and shall subject an employerto 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 attomey's fees.
JS^ CONTRACTOR SIGNATURE E| AGENT DATE 0/(S/l^
/ hereby affirm lhal I am exempt from Contractoi's License Law for the following reason;
I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture is nol intended or offered fbr sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply lo an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided lhat such Improvements are nol intended or offered for
sale. If, however, the building or improvemenl is sold within one year of complelion, the owner-builder will have the burden of proving that he dk) not build or improve for the purpose of sale).
I I I, as owner of the praperty, am exclusively contrxting with licensed contrxtors to conslaict Ihe projecl (Sec. 7044, Business and Professions Code: The Contractor's License Law does nol apply to an owner of
property who builds or improves thereon, and contracts for such projecis with contraclor(s) licensed pursuant lo the Contractor's License Law).
I I I am exempt under Section _ ^Business and Professions Code for this reason:
1.1 personally plan lo provide the major labor and materials for constaiction of Ihe proposed property improvement, I lYes I |No
2.1 (have / have not) signed an application for a building permit for Ihe proposed work.
3,1 have contrxted with the foltowing person (firm) to provide the proposed construction (include name address / phone / contrxtors' license number):
4.1 plan to provide portions of the work, bul I have hired the following person to coordinate, supendse and provide the major work (include name / address / phone / contrxtors' license number):
5.1 will provide some of the work, but I have conlracled (hired) the following persons to provide Ihe work indicated (include name / addross / phone / type of work):
^SS'PROPERTY OWNER SIGNATURE •AGENT DATE
COMPLETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILDING PERMITS ONLY
Is the applicant or future buikling occupant required to submit a business plan, xutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? • Yes • 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 • No
Is the fxility to be constructed within 1,000 feel of the outer boundary of a school site? • Yes • 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the woric this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I oertlf that I have read the applk^atton and state thatthe above infomiation Is conectand that the Inibmiatkm on the plans is accuiate. I agree to complywith all CIfy ordinances and State laws relating to building constmctkxi.
I hereby authorize representative of the City of Caiisbad lo enter upon Ihe above menticned propeity for inspeclion puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD
AGAINST ALL LIABILfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT.
OSHA: An OSHA pemiit is required fbr excavations over S'O' deep and demolition or constaiction of sbuclures over 3 stories in height
EXPIRATION: Every perniit issued by the Building Oflicial under the pnwisions of
180 days fiom Ihe date of such permit or If the buidiiig or worit aulhorized by such peimit is suspended or aban
^eTAPPUCANT'S SIGNATURE DATE
Inspection List
Perinit#: CB151837 Type: COGEN PHOTO
Date Inspection Item
06/22/2015 35 Photo Voltaic (PV)
06/22/2015 35 Photo Voltaic (PV)
06/22/2015 39 Final Electrical
06/22/2015 39 Final Electrical
Inspector Act
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AEK AP
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ZAFERAKIS:
26 MODULES, ROOF MOUNTED SYSTEM
Comments
Tuesday, June 23, 2015 Page 1 of 1