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Home My WebLink About1270 VERONICA CT; ; CB151790; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-1 0-2015 Cogeneration Permit Permit No:CB151790 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1270 VERONICA CT CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: Parcel No: Valuation: Occupancy Group: 2145511400 $8,800.00 Project Title: SMITH: 22 ROOF MOUNT PV PANELS Applicant: SUNGENIA 14256 HIGH VALLEY RD POWAY CA 92064 619-251-61 67 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 $105.37 $0.00 $73.76 $0.00 $0.00 $1.14 $1.00 Owner: SMITH DOUGLAS B&ALICE K 1270 VERONICA CT CARLSBAD CA 92011 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Status: ISSUED Applied: 06/10/2015 Entered By: JMA Plan Approved: 06/10/20 15 Issued: 06/10/2015 Inspect Area: Plan Check #: $0.00 $0.00 $0.00 $0.00 $181 .27 Total Fees: $181 .27 Total Payments To Date: $181.27 Balance Due: $0.00 Inspector: ~ Date: Clearance: _____ _ 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 acoordance 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 f e I xaction f whi h o have revi usl e n iv n a N Tl E similar to this or as to which the statute of limitation has reviousl otherwise ex ir d. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD Est. Value (cicyof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov Plan Ck. Deposit • www.carlsbadca.gov SUITEf/SPACEf/UNITf PHASE# # OF UNITS # BEOROOMS # BATHROOMS EXISTING USE GARAGE (SF) APPLICAlfT NAME CONTRACTOR BUS. NAME ADDRESS CllY PHONE EMAIL Date SWPPP CONSTR. TYPE OCC. GROUP AIR CONDITIONING ves Q NoO ZIP FIRE SPRINKLERS YESQ NoO (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construe , alter, Improve, demolish or repair any structure, prior to Its issua e, lso requires the applicant ror such permit to file a signed statement that he is licensed pursuant to the provisions or the Contractor's License Law !Chapter 9, commending with SecUon 7 o or Division 3 or the Business and Professions Code) or !hat he is exempt therefrom, and the basis for the alleged exemption. Any violaUon of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). • • • -• .,..p -r " --• -• ._. •• • -•• --·---• -, - WORl<ERS ' COMPENSATION --------------------------·· -----. -··· ·-. ' -______ _. __________ ·---· --------------------------1 Worilers' Compensation Declaration: / hereby affrrm urxfer pemity d peljU/'f one of the following declarations: 0 I have and wlU maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfoomnce of the wont for which tis permft is issued. ~ have and will maintain workers' compensatl,. as reQuired by Section 371J!! ~ the ~Code, fa< the perlormance of the WOl1< for~ this permit is issued. My workers' compe:=--tt and policy number are: Insurance Co. 'J?,:97£ US?,p # ;$ jydce____ Policy No. ~ 3 7/-/ S:::: Expiration 0atea,.~-,.-~~~~'ll----- ]l!ij, sedion need not be completed ~ the permit is for one hundred dollars {$100) or less. LJ Certificate of Exemption: I certify that in the performance of the work fO<whlch this l!llffllH is issued, I shall nol employ any person in any mamer so as to become subject to the WO!kers' Compensation Laws of California. WARNING: Failure to secure w 'compensation erage uni I and shall subject an employer to criminal penaltles and civil fines up to one hundred thousand dollars (& 100,000), in addition to the cost of compensation, dam rovided for· ·on 06 L or code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE I hereby affltm that I oo, exempt from Contrac1or's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the worlc and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contracior's License law does not apply to an owner of property who builds or improves theieon, and who does such work himse~ or through his own employees, provided that such Improvements ara not Intended or offered fa< sale. If, however, the building or improvemenl is sold within one year of cornplelion, the owner-builder will have the burden of proving that he did nol build or improve for the purpose of sale). D I, as owner of the property, am exclusively conlracting with licensed conlractors to conslruct the project (Sec. 7044, Business and Professions Code: The Contracio(s License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contracta<(s) licensed pursuant to the Contracior's License Law). □ I am exempl under Section ____ Business and Professions Code for this reason: 1. I personally plan 1D provide lhe major labor and materials for construction of the proposed property improvement O ves []No 2. I (have/ have nol) signed an application for a building pennit for the proposed work. 3. I have contracted with the following person (finn) to provide the proposed construction Clllclude name address/ phone/ conlractors' license number): 4. I plan to provide port«lfls of the IMlf1c. but I have hired the fo!.iowing person to coordinale, suJ)efvise and provide the major worlc (include name/ address / phone/ conlractors' icense number): 5. I wiH provide some of the work, but I have conlracted (hired) the following persons to provide the wol1( indicated (include name / address / phone / iype of worlc): ~ PROPERTY OWNER SIGNATURE DATE .. Inspection List Permit#: CB151790 Type: COGEN PHOTO SMITH: 22 ROOF MOUNT PV PANELS Date Inspection Item Inspector Act Comments 07/01/2015 35 Photo Voltaic (PV) RI 07/01/2015 35 Photo Voltaic (PV) AEK AP 07/01/2015 39 Final Electrical RI 07/01/2015 39 Final Electrical AEK Fl Wednesday, July 01 , 2015 Page 1 of 1