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Home My WebLink About2646 UNICORNIO ST; ; CB112000; Permit( City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-27-2011 Cogeneration Permit Permit No:CB112000 Job Address. Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2646 UNICORNIO ST CBAD COGEN Sub Type: Lot #: 2153505100 $9,600.00 Construction Type: Reference #: RICKARDS RES-INSTALL ROOF MNT PV SYSTEM 24 MODULES PHOTO 0 NEW Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: ISSUED 09/15/2011 LSM 09/27/2011 09/27/201 1 SULLIVAN ELECTRIC DROUILHET RICKARDS REVOCABLE TRUST 7933 SILVERTON AV SAN DIEGO 92126 858 271 7758 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Stands (SB 14 7,3) Fee $1 26.87 $0.00 $88.81 $18.69 $0.00 $1.00 $1.00 2646 UNICORNIO ST CARLSBAD CA 92009 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOT AL PERMIT FEES Total Fees: $236 .• 37 Total Payments To Date: $236.37 Balance Due: Inspector: 1'.'.!1..: ~ s Clearance: \ P -2 s -, • $0.00 $0.00 $0.00 $0.00 $236.37 $0.00 NOTICE: Please take NOTICE ttia• 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 fe,rth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with C.~r,~oad 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 th9:r 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 oreviouslv bean aiven a NOTICE similar to this or as to which the statute of limitations has nreviousfv otherwise exr.ired. . /-~)-, Building Permit Application Plan Check No. (ip.._ { I d)..000 , .... ,~ ~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Cl~oo C ITY OF 760-602-2717 / 2718/ 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit ~c.~ www.carlsbadca.gov q I ( s-( I I ISWPP Date JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 2. Co"-t Co v.....,;-c:__c,,..--.'o St rz....1 5 -350 -S/ -0 0 CT/PROJECT # I LOT# I PHASE# I # OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I CCC. GROUP DESCRIPTION OF WORK: Include Square Feet or Affected Area(s) K.oof """-o~--t ?v c::cl~.....r-1--. .,. ~l(.,,Jb'-.,........., z,._( ........ aLl~.s. EXISTING USE ! PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS S.i=t::> ~P....o YES □ #_ NO □ YES □ NO □ YES □ NO □ CONTACT NAME (If Different Fom App/leant) APPLICANT NAME B <:'..--. Le..,...,~A. J ADDRESS ADDRESS rr--~ 23'7 Lf ~ ( < e ""c....._ ..,....., "'-" l)r 5<'~ 10\ CITY STATE ZIP CITY STATE c..f\ ZIP ,4 s,..,__.__.., b,'~o '7 "'2..( c..... ( PHONE I FAX I PHONE IFAX -gc;:c 2.. 7 l 71S'o '8"'5 8" z.. 71 ,,sc:, EMAIL EMAIL ( • ~e."".\~""'k,::,_-.., {iJs---( (:v""'--'~"~\o-..rpov-A'-r , C L-""" PROPERTY OWNER NAME/\!\ : I.e..,_ lC..'c..~.S \ CONTRACTOR BUS. NAME '5--\ l.-v r~ $ 0 \c-v,r '?o~ ADDRESS "' ADDRESS ?....C::,-'-fC.. \J4 :·,~o< ~ ~ c::, 5.-t '-. s ~ -'c. CITY G---Ls',,. "-of STATE cA ZIP CITY STATE ZIP °t"'l.Oo9 PHONE I FAX PHONE I FAX "'f "') <-{ C, ✓ ({;, C ( EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# I CLASS lc17tt'G:>c7 1 83°\ 0'11 C.\ c.::, (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 appltcant 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 fhat 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:/ hereby affirm under penalty of perjury one of the following declara~ons: D I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Seclion 3700 of lhe Labor Code, tor lhe performance ol lhe work for which lhis permit is issued. @ I have and will maintain workers' compensation, as required by Seclion 3700 ot lhe Labor Code, for lhe performance ol lhe work for which lhis permil is issued. My workers' compensalion insurance earner and policy number are: Insurance Co. Co,....., f'"''= ,'o-::, ?er(? ,d ½"> Policy No. c__ r C.A I '"LO 5 2.. Expiration Date \ -r:..,/,1/ 1 1 ~ This section need nol be completed ii lhe permit is for one hundred dollars ($100) or less. /") ;I"' D Certificate of Exemption: I certify that in the performance of lhe work for which this permit is issued, I shall nol employ any person in any manner so as to become subject to the Workers' Compensation Laws "1-"' '"- California WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000)t!!V/4 addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees 7/ I(':; _2$ CONTRACTOR SIGNATURE ~.....-e:..__ □AGENT DATE '1/15/11 I hereby affirm that I am exempt from Contractor's Ucense Law for fhe following reason: □ I, as owner of lhe property or my employees with wages as their sole compensalion, will do the work and lhe struclure is nol inlended or offered for sale (Sec. 7044, Business and Professions Code: The Conlractor·s License Law does not apply to an owner ot property who builds or improves thereon, and who does such work himself or lhrough his own employees, provided lhal such improvements are nol intended or offered tor sale. It, however, the building or improvement is sold wilhin one year of completion, the owner-builder will have lhe burden of proving thal he did nol build or improve for the purpose of sale). □ I, as owner ot lhe property, am exclusively conlracting with licensed contraclors lo construe! lhe projecl (Sec. 7044, Business and Professions Code: The Contraclors License Law does not apply to an owner of property who builds or improves thereon, and contracts tor such projects with contractor(s) licensed pursuanl to the Contraclor's License Law}. □ I am exempl under Section _____ Business and Professions Code for lhis reason: 1. I personally plan lo provide the major labor and materials for conslruction of lhe proposed property improvement. □ Yes □ No 2. I (have I have not) signed an application for a building permil for the proposed work. 3. I have conlracled with lhe following person (firm} to provide lhe proposed conslruction (include name address I phone I conlractors' license number): 4. I plan lo provide portions of the work, bul I have hired lhe following person to coordinate, supervise and provide lhe major work (include name I address/ phone / contractors' license number): 5. I will provide some ol lhe work, bul I have contracled (hired) the lollowing persons lo provide lhe work indicated (include name / address I phone I type of work): _2$ PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonm or risk management and prevention piogram 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 penmit 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 D 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. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read the application and state that the above Information is correct and that the infonmation on the plans is accurate. I agree to comply with all City ordinances and State law.; relatlngtD building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above menloned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF CARI.SBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: An OSHA penmtt is required br excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every penmit issued by the BuikJing Official under the provisions of this Code shaft expire by imitatbn and become nul and void if the buikJing orv.ol1< authorized by such permit is not commenced v.ilhin 180 days from the date of such penmtt or if the buiding or v.ol1< authorized by such permit is suspended or abandoned al any time after the v.ol1< is commenced for a period of 180days (Section 100.4.4 Uniform BuikJing Code). .R5 APPLICANT'S SIGNATURE DATE --/ts:/1 I City of Carlsbad Bldg Inspection Request For: 10/24/2011 Permit# CB112000 Title: RICKARDS RES-INSTALL ROOF MNT Description: PV SYSTEM 24 MODULES Type:COGEN Sub Type: PHOTO Job Address: 2646 UNICORNIO ST Suite: Lot: 0 Location: OWNER DROUILHET RICKARDS REVOCABLE TRUST Owner: DROUILHET RICKARDS REVOCABLE TRUST Remarks: Total Time: CD Description Comments In spector Assignment: MC --- Phone: 8582295389 Inspector: f,11,c ---=----- Requested By: NA Entered By: JANEAN Act {,,o 34 Rough Electric 39 Final Electrical J, lsr ~r, ~-------M ~ Stb?;-· --------- 3~ 'fl Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC Inspection History Date Description Act lnsp Comments {ot '7~<> 3'\4{ Ft~t (41) I ol c,,z,, "3t\''fl Ft~ {_qo)