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Home My WebLink About2182 VISTA LA NISA; ; CB150510; Permit.,. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-18-201 5 Cogeneration Permit Permit No:CB1505 1 o Building In spection Request Line (760) 602-2725 Job Address: Permit Type: 2182 VISTA LA NISA CBAD COGEN Sub Type: PHOTO Lot #: 0 Constuction Type: 5B Reference #: Parcel No: Valuation: Occupancy Group: 2552622100 $5,600.00 Project Title: KEILLOR: 14 ROOF MOUNT PV PAN Applicant: GREEN HOMES OF CALIFORNIA 29591 CASTLE CREEK LN ESCONDIDO CA 92026 760-749-701 8 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: KE ILLOR RODNEY&PAMELA 2182 VISTA LA NISA CARLSBAD CA 92009 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Status: ISSUED Applied: 02/18/2015 Entered By: JMA Plan Approved: 02/18/2015 Issued: 02/18/2015 Inspect Area: Plan Check #: $0.00 $0.00 $0.00 $0.00 $136.15 Total Fees: $136.15 Total Payments To Date: $136.15 Balance Due: $0.00 Inspector: f'11· ~< 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 accordance 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 fees/exa ti n f which u hav revi usl een iv n a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD ... CR I~-o s-, o ( City of Building Permit Application Plan Check No. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value '¥75, 606 Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. (?eposit email: building@carlsbadca.gov www.carlsbadca.gov Date P.7(fl1r lswPPP JOB ADDRESS 9-\n Vt5~ ~O\. tv1s~ SUITEt/SPACEt/UNITt IAPN --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I :::OMS # BATHROOMS I TENANT BUSINESS NAME r ONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) [!!; '3 2--1 w' 5 "i:t 11 pv vier '1, )1{ f>v S'1 sf.e./v\.., EXISTING USE PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING IFIRE SPRINKLERS YES[), NcQ YES □No □ YES□No□ APPLICANT NAME Tl~ V/5 ~L4bSU\I'\. PROPERTY OWNER NAME '-L-f I { or p.__ ~SI ol-€,¥\. C-L. Prtnarv Conti~ ADDRESS 1,..-q ') Cf J CC\.sf/-e., C..'r~h-&Y\, ADDRESS i.-1 01--V iS/-o,. ~ Wt,5.q__ c1TY £Sc..ovi,ol,~ STATE C.,,,A ZIP "( w 7-{, CITY C <Jr( 5 be; cl STATE ~It ZIP °12-0 oq PHONEl '° 0 -c..f w-~ ~I FM PHONE IFM EMA 1Tv-"'v1 ~, q r~c!-r\ Aowr~s ~q nVA1 I ,cofr\.. EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME 0rb-e_f1 fb, /v( -e,_ $ or ~ t/' • I ADDRESS ADDRESS l i?-1.S-~SQ o/en.q Sf-lJr\\ \-'tj ,_, CITY STATE ZIP CITY~ ~ fisrnvre... STATE CA- ZIP Cf'?--S-0 3 PHONE IFM PHON?t '7l,...&3Cf-~oo IFw. EMAIL EMAIL h t? /\,\ I _j'( L--t'.-r\ o M ('._c:A, fl °' I ,-C. " ""'- lSTATE UC.# STATELIC#1 b O 7 7 ( r LASS ~ f1TY Jspp / 1' ~ (Sec. 7031.5 Business and Professions Code: Any City or County which reQuires a permit to construct, alter. improve, demolish or repair any structure, pnor to ,ts ,ssuan~e.klso 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 7CibO 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 ($500)). Workers' Compensation Declaration: I hereby affirm under penally of perjury one of the following dec/araffons: .~ave and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the work for which this perm rt is issued. ~ I have and will maintain W~I"$' COJ11Pensation, as reouired by Section 3~ of the Labor Co~or I!!, pertorma::°f the work for which this permit~ issued. I workers' compensation insurance carrier and policy numberare lnsuranceco>./q-f-l,-WI>'/ p:;{1~Mt?b I~ o_llW>1icyNo. ~O (70 f C/'lf1('} 00 l Expiration Date _______ _ This section need not be completed tt the permit is for one hundred dollars ($100) or less. 0 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 Calttomia. WARNING: Failure to secure worke"' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dolla" (&100,000), In addition to the cost of compensation, dama~~ as/rovided for In 3706 of the Labor code, interest and attorney's fees. 25 CONTRACTOR SIGNATURE v1A/ f ';7 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 himsett 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. 0 Yes 0 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 foliowing 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 I address I phone I type of work): 25 PROPERTY OWNER SIGNATURE □AGENT DATE Is lhe 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 Act? □ Yes □ No Is lhe applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is lhe 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. 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 infonnation is correct and that the infonnation on the plans is accurate. I agree to comply'Mlh all City ordinances and State law.; !elating to building construction. I hereby authorize representative of the City of Car1sbad lo enter upon the above mentioned property i:>r inspecoon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU. 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 excavatioos over 5'0' deep and demoltton or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisons of this Code shall expre by imitation and become nul and vod ~ the building or v.ork authorized by such permit is not commenced 'Mthin 180 days from the date of such permtt or if the buildilg or \\Olk au~ such permtt is suspended or abandolled at any time after the v,ork is commenced a period 180 days (Sectioo 106.4.4 Unimn Building Code). ~ APPLICANT'S SIGNATURE ~/ 7 Wb C7V"\__ DATE ?- Inspection List Permit#: CB150510 Type: COGEN PHOTO KEILLOR: 14 ROOF MOUNT PV PAN Date Inspection Item Inspector Act Comments 05/13/2015 39 Final Electrical RI 05/13/2015 39 Final Electrical MC Fl RELEASE E-MAILED TO SDGE 04/20/2015 35 Photo Voltaic (PV) MC AP 04/20/2015 39 Final Electrical MC PA SEE CARD, NEED 25 AMP DISCONNECT FOR PV SYSTEM 04/16/2015 35 Photo Voltaic (PV) MC co NO PLANS/CONTRACTOR ON SITE 04/16/2015 39 Final Electrical MC co Thursday, May 14, 2015 Page 1 of 1