HomeMy WebLinkAbout2430 CALENDULA LN; ; CBR2024-2051; Permit
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RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check
Est. Value
PC Deposit
Date
Job Address Unit: APN:
CT/Project #: Lot #: Year Built:
BRIEF DESCRIPTION OF WORK:
PROPERTY OWNER
Name:
Address:
State: Zip: City: State: Zip:
Phone:
APPLICANT;WZ/DZzKEddͿ
Name:
Address:
City:
Phone:
Email: Email:
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
Name: Business Name:
Address:
City: State: Zip:
Phone:
Email:
Architect StateLicense:
Address:
City: State: Zip:
Phone:
Email:
CSLBLicense #: Class:
Carlsbad Business License # (Required):
APPLICANT CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the information of the plans is accurate. I
agree to comply with all City ordinances and State laws relating to building construction.
NAME (PRINT): DATE:
1635 Faraday Ave Carlsbad,CA 92008
SIGN:
Ph:ϰϰϮͲϯϯϵ-2719 Email:Building@carlsbadca.gov
1 REV.
New SF : Living SF, _ Deck SF, Patio SF, Garage SF
Is this to create an Accessory Dwelling Unit? Y N New Fireplace? Y N , if yes how many? _________
Solar:KW, Modules,Mounted: Roof Ground, Tilt: Y N, RMA: Y N,
Battery: Y N, Panel Upgrade: Y N
Other:
Additional Gas or ElectricalFeatures?AddiPool/Spa:SF
Is the area a conversion or change ofuse? Y N Remodel:SF of affectedarea
ůĞĐƚƌŝĐDĞƚĞƌŶƵŵďĞƌ͗ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ
2430 Calendula Lane Carlsbad Ca 92008
Marja Acres, Coral Ridge 19S
Installation of roof mounted Solar PV
2 835 7
Benjamin Jones KB Homes Coastal Inc
3597 Normount Rd 9915 Mira Mesa Blvd Ste. 100
Oceanside Ca 92056 San Diego Ca 92131
760 519-1197 951 691-5300
benjamin@asgardenergy.com cxadam@kbhome.com
Asgard Energy
35967 Normount Rd
Oceanside Ca 92056
855 760-3637
info@asgardenergy.com
912557 C-10
BLOS013475-04-2023
07/31/2024 Kevin Prill
Roof N,N,
N,N
THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: __________________
A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING
THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE.
(OPTION A): LICENSED CONTRACTOR DECLARATION:
I herebyaffirmunderpenaltyofperjurythat I amlicensedunderprovisionsofChapter 9 (commencingwithSection7000)ofDivision3
oftheBusinessandProfessionsCode,andmylicenseisin full forceand effect. I alsoaffirmunderpenaltyofperjuryoneofthe
following declarations (CHOOSE ONE):
I have and will maintain a certificate of consent to self-insure for workers’ compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued. PolicyNo.
-OR-
I have and will maintain worker’s compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
Myworkers’ compensation insurance carrierand policynumberare:InsuranceCompany Name:
Policy No. _____________________________________________________________ Expiration Date:
-OR-
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 $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code,
interest and attorney’s fees.
CONSTRUCTION LENDING AGENCY, IF ANY:
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:
CONTRACTOR CERTIFICATION: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and
utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are
not approved for construction and may be required to be altered or removed. The city’s approval of the application is based on the premise that the submitted documents and plans show
the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed
use of each building as stated is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation.
All improvements existing on the property were completed in accordance with all regulations in existence at the time of their construction, unless otherwise noted.
NAME (PRINT): SIGNATURE: DATE:
Note: If the person signing above is an authorized agent for the contractor provide a letter of authorization on contractor letterhead.
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm 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 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 the burden of proving that he did not build or improve for the purpose of sale).
-OR-
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 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).
-OR-
I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
AND,
FORM B-61 “Owner Builder Acknowledgement and Verification Form” is required for any permit issued to a property owner.
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the
improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed
contractors.I understandthat a copyoftheapplicablelaw,Section7044oftheBusinessandProfessionsCode,isavailableuponrequestwhenthisapplicationis
submitted orat thefollowing Website: http://www.leginfo.ca.gov/calaw.html.
OWNER CERTIFICATION: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utilities/utility
easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are not approved
for construction and may be required to be altered or removed. The city’s approval of the application is based on the premise that the submitted documents and plans show the correct
dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed use of each
building as stated is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation. All
improvements existing on the property were completed in accordance with all regulations in existence at the time of their construction, unless otherwise noted.
NAME (PRINT): SIGN:DATE:
Note: If the person signing above is an authorized agent for the property owner include form B-62 signed by property owner.
1635 Faraday Ave Carlsbad,CA 92008 Ph:ϰϰϮ-ϯϯϵ-2719 Email:Building@carlsbadca.gov
2
REV.ϬϰͬϮϮ
-OR-
ave been accurately shown and
at the time of their constructio
er of authorizationon cont
x
STATE COMPENSATION INSURANCE FUND
9215306 09/01/2024
Kevin Prill 07/31/2024
RESIDENTIAL SOLAR
(Property Owner Consent Form)
B-13A
Community Development
Building Division
1635 Faraday Avenue
442-339-2719 or via email
at Building@CarlsbadCA.gov
Form B-13A; ^ĞƉƚĞŵďĞƌ 2022 Page 1 of 1
I hereby authorize the following company/person(s) to act as my agent(s) to apply for, sign, and file the
documents necessary to obtain a building permit for the installation of a solar photovoltaic system at my
property.
AUTHORIZED AGENT
Company name:
Company address:
Representative name:
Phone number:
Email address:
PROJECT INFORMATION
Property address:
Project description:
I declare under penalty of perjury that I am the property owner for the address listed above and have
reviewed the above information and certify its accuracy.
Property owner (print) Property owner (signature) Date
dŚĞWƌŽƉĞƌƚLJKǁŶĞƌΖƐƐŝŐŶĂƚƵƌĞŝƐƌĞƋƵŝƌĞĚ͘ŶĞůĞĐƚƌŽŶŝĐƐŝŐŶĂƚƵƌĞ͕ŐĞŶĞƌĂƚĞĚƚŚƌŽƵŐŚŝŶĚƵƐƚƌLJƐƚĂŶĚĂƌĚĞůĞĐƚƌŽŶŝĐƐŝŐŶĂƚƵƌĞ
ĂƉƉůŝĐĂƚŝŽŶƐƐƵĐŚĂƐŽĐƵƐŝŐŶĂŶĚĚŽďĞ^ŝŐŶΘ^ŝŐŶĂƚƵƌĞ͕ǁŝůůďĞĂĐĐĞƉƚĞĚ͘,ŽǁĞǀĞƌ͕ƚŚĞŐĞŶƚͬŽŶƚƌĂĐƚŽƌŝƐŶŽƚĂƵƚŚŽƌŝnjĞĚƚŽ
ƐŝŐŶŽŶďĞŚĂůĨŽĨƚŚĞWƌŽƉĞƌƚLJKǁŶĞƌ͘
Asgard Energy
3597 Normount Rd. Oceanside Ca. 92056
Benjamin Jones
760 519-1197
benjamin@asgardenergy.com
Marja Acres (Coral Ridge & Coral Springs)
Installation of roof-mounted Solar PV
Elizabeth Shoemaker 7/31/2024
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