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Home My WebLink About2177 TWAIN AVE; ; CB151818; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-12-20 15 Cogeneration Permit Permit No:CB151818 Building Inspection Req uest Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: 2177 TWAIN AV CBAD COGEN 2081800100 $5,600.00 Sub Type: PHOTO Lot#: 0 Constuction Type: 5B Reference #: Status: ISSUED Applied: 06/12/2015 Entered By: JMA Plan Approved: 06/12/2015 Issued: 06/12/201 5 Inspect Area: Plan Check #: Project Title: MASON: 14 ROOF MOUNT PV Applicant: NATURAL ENERGY STE 116 804 N TWIN OAKS VALLEY RD SAN MARCOS CA 92069-1 757 760 743-6400 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $78.91 $0.00 $55.24 $0.00 $0.00 $1.00 $1.00 Owner: MASON CARLA A 2013 TRUST 05-31-13 2177 TWAIN AVE CARLSBAD CA 92008 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $136.15 Total Payments To Date: $136.15 Balance Due: FINAL APPROVAL Date: t -2lf --/~ Clearance: $0.00 $0.00 $0.00 $0.00 $136.15 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Cartsbad 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/exa ti ns of whi ou have revi usl b n iven a N TICE similar to this or a t which th statute f limi a ions ha r viou I th rwise x ir . •' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING C cicyof Carlsbad JOB ADDRESS CT/PROJE # Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEt/SPACEt/UNIT, # OF UNITS # BEDROOMS # BATHROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Pv □BUILDING □FIRE Est. Value Plan Ck. Depos t EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL YES[)# STATE ZIP FAA STATE ZIP FAA STATE LIC. # □HEALTH 0 HAZMAT/APCD SWPPP -do CONSTR. TYPE O GR UP FIRE SPRINKLERS YES□No□ (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 Is uance, 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 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). ~""""< __ _, __ _,,,,._ ,c Y~ <"'/'•-~ {«• = , ;,, """t~?;-occ-""a~<'-,:i';,'C?c;;'t -, ~ ~ ~ ,==-v v-, ->-o ,,o-o ~ ~ -Y ~~-e,7.., ~~--, ~.C?.!!.~!!l_S_' -~-(t~!=~~-S-~.!._• ... ~-":'.' .. _.cu.:,.h,a ... .t,-.~-,,_. ____ :..._=••L =•~ .. ,.1. ........ 1.,' ......... -~· .. -·••=··•·..;;.~.; =-~.c..lti Workers' Compensation Declaration:/ hereby afflnn under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensalion as provided by Section 3700 of the Labor Code, for the pertormance of the work for which this permil is issued. 0 I have and will maintain worke~• compensation, as reQuired bv Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. ______________ Expiration Date _________ _ ~ , section need not be completed~ the permit is for one hundred dollars ($11)0) or less. Certificate of Exemption: I certify that in the pertormance 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 Car omia. WARNING: Failure to secure worke~• compensation coverage Is unlawful, and shall subject an employer to criminal penahies and civil fines up to one hundred thousand dolla~ (&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, ,t!5 CONTRACTOR SIGNATURE I hereby afflnn that I 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 himsen or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvemenl is sold within one year al completion, the owner-builder will have the burden of proving that he did not build or iml)(ove 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 lo an owner of property who builds or iml)(oves thereon, and conlracts for such projects with contractor(s) licensed pursuant to the Conlractor's License law). I am exempt under Section _____ Business and Professions Code for this reason: 1. I personally plan to l)(OVide the major labor and materials for construclion of the proposed property improvement. 0 Yes 0 No 2. I (have / have not) signed an applicalion for a building permit for lhe proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address / phone I conlractors' license number): 4. I plan to provide portions of the work, but I have hired lhe following person to coordinate, supervise and provide the major work (include name /address / phone/ conlractors' 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 / address/ phone/ type of work): ,t!5 PROPERTY OWNER SIGNATURE □AGENT DATE 1-•-;•t.a:-..-'B , ..... 1 ......... ,,.., .. ,., .. ir•:a. ... •••- , ___ :-• :., ... ,. ~-~-..-............. .,.. 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 Acri 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 facility to be constructed within 1,000 feet 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. --:-..•lll,... ..,. -: .... , 1•--•-··•·· ·-, .. I hereby affirm that there is a construction lending agency for the performance of the wor11 this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address ,,.. .. ·-,· ·•=-·-.... ·-.... ' I I celtifythat I have read the application and stile that the abdle Information is correct and that the Information on the plans Is accurate. I agree to oomplywith all Cifyordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad lo enter upon the above menooned property br inspection pu!JX)SeS. 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 permtt is required for excavations over 5'0' deep and demoliton or construction of s1ructures over 3 slories in heght. EXPIRATION: Every permit issued by the Building Offcial under the provisons of this Code shall expire by lmttation and becon1e null and voo W the building or mtk authorized by such permij is not commenced v.ithin 180days from the date of such permtt or if the buildng ormtk authorized by such permtt is suspended or abandoned at any time after the mtk is commenced for a peroo of 180days (Seeton 100.4.4 Unibrm Building Code). ~ APPLICANT'S SIGNATURE ~x 4'1i A. . DATE 6->J--I~ , , STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CEf?TIFICATE OF OCCUPANCY /Commerc,,,1 Pro1ect, 0 n I , I Fax (760) 602-8560, Email building@car1sbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad. California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1.) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE / NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION ..f!5 APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB151818 Type: COGEN PHOTO MASON: 14 ROOF MOUNT PV Date Inspection Item Inspector Act Comments 06/23/2015 35 Photo Voltaic (PV) RI 06/23/2015 35 Photo Voltaic (PV) PB AP 06/23/2015 39 Final Electrical RI 06/23/2015 39 Final Electrical PB AP Thursday, June 25, 2015 Page 1 of 1