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Home My WebLink About1265 VERONICA CT; ; CB122133; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-06-2012 Cogeneration Permit Permit No:CB122133 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1265 VERONICA CT CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: Parcel No: Valuation: Occupancy Group· 2145510500 $11,200 00 Project Title· KIEFFER RES-28 PANEL ROOF MOUNTED PV SYSTEM Applicant: TMAG INDUSTRIES OBA STELLAR SOLAR SUITE 105-444 6965 EL CAMINO REAL CARLSBAD CA 92009 760-445-1627 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 $146.47 $0.00 $102.53 $4.97 $0.00 $1.12 $1 .00 Owner: KIEFFER RAYMOND J&KAREN 1265 VERONICA CT CARLSBAD CA 92011 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees rQTAL PERMIT FEES Status: ISSUED Applied: 10/17/2012 Entered By: LSM Plan Approved: 11/06/2012 Issued: 11/06/2012 Inspect Area: Plan Check#: $0.00 $0.00 $0.00 $0.00 $256.09 Total Fees: $256.09 Total Payments To Date: $256.09 Balance Due: $0.00 FINAL A Inspector: Date: ..,;,&-r--""-"'-+---Clearance: NOTICE. Please iake NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other e~actions hereafrnr collect1vely referred to as ·tees/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 protes: procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing ir. accordance with Carlsbad Mu~icipal Code Section 3.32.030. Failure to timely folluw 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 5pecified fees/exactions DOES NOT APPLY to water ~nd 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 /ex· i n • ! whi h h' ye previously been gi'&!l.aNQTICE similar to this or as to which the statute of lirnit ti n h· r vi I h rwi , THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING □BUILDING OFIRE □HEALTH D HAZMAT/APC0 «~~ Building Permit Application 1635 Faraday Ave., carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buldllng@carlsbadca.gov www.carlsbadca.gov Plan Check No. (]..f:, ~ ;l I 3 3 ~ CITY OF CARLSBAD JOB ADDRESS CT/P J # 9. / 0 Kw f'oaf mo l#J\-\- *( .tg) 32.1-w po..v'\.el ~ Est. Value 1 \ 'd00 Plan Ck. Deposit t 'D 7 · ~ Date ,o \ 1 1 V' SWPP SUITE#/SPACE#/UNIT# -oo ME EXISTING USE PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NO □ AIR CONDITIONING YES □ NO □ FIRE SPRINKLERS YES □ NO □ APPLICANT NAME (Primary Contact/ APPLICANT NAME (Secondary Contact} ADDRESS ADDRESS CITY CITY STATE ZIP PHONE FAX CONTRACTOR BUS. NAME ADDRESS CITY CITY PHONE FAX ARCH/DESIGNER NAME & ADDRESS STATE UC.# (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 applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contracto('s License Law (Chapter 9. commending with Section 7000 of Division 3 of the Business and Professions Code) or !hat 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)). 0 I 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 pennit is issued. ,eJ'.:i have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ~k ~t>,,.,,-"'4.S,,,. ~ .... .,.. :::z;.~ .. , .... qf'olicy No 2-~-oa , ~ , 3 Expiration Date 5/ 1 / t 3 This section need not be completed if the pennlt is for one hundred dollars ($100) or less. wcJ. 0 Certificate of Exemption: I certify that in the perfonnance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, dama for in Se 6 of the Labor code, interest and attorney's fees. ,fl$ CONTRACTOR SIGNATURE I, as owner of the property or m 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 himseff 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). □ 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). □ I am exempt under Section _____ ,Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone / contractors' 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): ,fl$ PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials regisl!ation form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 conect and that the lnfonmation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize represenlative of Ille City of Carlsbad to enter upon the above mentioned property br inspection pufJXlses. 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 penmK is required i:>r excavations ver 5'0' deep and demolition or construction res over 3 stories i1 height. EXPIRATION: Every permit issued by Ille B.Jik!ing ·aI under Ille provisions of this expire by limitation and berome nul and void ~ Ille buik!ng orv.ork authorized by such permit is not commenced v.ithn 180 days from the date of such penmit or if ikJing authorized by such is suspended or abandoned at any time after the v.or1< is commenced iJr a period of 180 days (Section 106.4.4 Unibrm Buik!ng Code). ,,6 APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CEl?TIFICAIE 0 F OCCUPANCY I C o rn m e r < , ,1 I Pro1c-cts On I y I Fax (760) 602-8560, Email www.building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Onlyl 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 D PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) o ASSOCIATED CB# D MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION D MAIL/ FAX TO OTHER: o CHANGE OF USE / NO CONSTRUCTION ,.l!S APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB122133 Type: COGEN PHOTO Date Inspection Item Inspector Act 06/18/2013 35 Photo Voltaic (PV) RI 06/18/2013 35 Photo Voltaic (PV) PY AP 06/18/2013 39 Final Electrical RI 06/18/2013 39 Final Electrical PY AP Thursday, June 20, 2013 KIEFFER RES-28 PANEL ROOF MOUNTED PV SYSTEM Comments AM PLS AM PLS Page 1 of 1