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Home My WebLink About2755 WILSON ST; ; CB111962; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-27-2011 Cogeneration Permit Permit No:CB111962 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: f'roject Title: ~ Applicant: Building Inspection Request Line (760) 602-2725 2755 WILSON ST CBAD COGEN Sub Type: PHOTO 1561423500 $8,800.00 Lot#: 0 Construction Type: NEW Reference #: BLAINE RES 22 PANEL ROOF MOUNT PV SYSTEM Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: ISSUED 09/12/2011 KG 09/27/201 1 09/27/2011 ASGARD ELECTRIC BLAINE STEPHEN E&CHERYL A FAMILY TRUST 3801 KELTON DR OCEANSIDE CA 92056 760-420-6515 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 $117.07 $0.00 $81.95 $25.55 $0.00 $1.00 $1.00 2755 WILSON ST CARLSBAD CA 92008 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $226.57 Total Payments To Date: $226.57 Balance Due: Inspector: f'\I\ ~ FINAL A~PRQVAL Date: (/::>/ l ~!I I Clearance: $0.00 $0.00 $0.00 $0.00 $226.57 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "lees/exactions." Ycu 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 101th in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Gar!sbad 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/exactions of which vou have ureviouslv been oiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. «~~ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check NoC!)//-/f ~ Y '¥ CITY OF CARLSBAD Fax: 760-602-8558 www .ca rlsbadca .gov z.. 2-- ARCH/DESIGNER NAME & ADDRESS STATE UC.# SUITE#/SPACE#/UNIT# PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NO □ APPLICANT NAME (Secondary Contact) STATE FAX AIR CONDITIONING YES □ ND □ ZIP ( c_ FIRE SPRINKLERS YES □ NO □ z~ v,'2.0 (Sec. 7031.5 Business and Professions Code: Arly City or County which requires a permit to constr alter. improve. demolish or repair an~ 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 th ntractor's License Law ICha'f.ter 9, commending with Section 7000 of Division 3 or the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 703 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Worl<ers' Compensation Declaration: I hereby afflnn under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to sell-insure lor workers' compensation as provided by Section 3700 ol the Labor Code, !Of the perf0fl11ance ol the work 10< which this pennit is issued. ,,J!':J I have and will maintain worl<ers' compensation, as required by Section 3700 of the Labor Code, lor the perfonnance of work for which this nnit Is issued. My workers' compensatioa• earner and policy number are: Insurance Co. :'.;;17:\--D'-W J/V D Policy No. ---=lr..t.1:2.!:;;;t.....C.,L.:::;2....:=r.___ Expiration Date a,LL "Za This section need not be completed ij the permit is for one hundred dollars (S100) or less. 0 Certificate of Exemption: I certify that in the perfonnance ol the work lor which this penni( is issued, I shall no( employ any person in any manner so as to become subject to the Workers' Compensalion Laws of California. WARNING: Failure to secure worl<ers' compensation coverage s unlawful, and shall subject an employer to criminal penalties and civil fines up t one hundred thousand dollars (&100,000), in addition to the cost of compensation, damag as provided for In Sectio 6 of.the Labor code, interest and attorney's lees. _,1$ CONTRACTOR SIGNATURE -~ □AGENT DATE I hereby afflnn thal I am exempt from Contracttr's License Law frx /he 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 inlended or offered for sale (Sec. 7044, Business and Prolessions Code: The Contractor's License Law does not apply to an owner of property who builds Of improves thereon, and who does such work himsett Of lhlough his own employees, provided that such improvements are not intended or offered for sale. II, 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 exdusively contracting .,;th licensed contractOfS to construct the project (Sec. 7044, Business and Professions Code: The Contracto(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 malerials for construction of the proposed property improvement. □ Yes □ No 2. I (have I have not) signed an application for a building pennit for the proposed work. 3. I have contracted ..;th the folio.,;ng person (firm) 10 provide the proposed construction (include name address I phone I contract0<s' 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 .,;11 provide some ol the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone/ type of worl<): _,1$ PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazaldous materials registration form or risk management and p<evention program 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 permit from the air poHution control district or air quality management district? □ Yes □ No Is the facility lo 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 ANO THE AIR POLLUTION CONTROL DISTRICT. of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify that! have read the application and Slate that the above information is conectand that the information on the plans is acaJrate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorim repesentative of the City of Carlsbad I:> ener upon the above menooned ~ ilr J1Specbl purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUCGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. GSHA: AA OSHA pem1it is required ilr excavations over 5'0' deep and dendition or ronslrucoon of structures over 3 sl:lries in height. EXPIRATION: Every permit issued by the Buikling Offcial under the provisions of this hall expire by imitatiln and become nul and void tt the buikling or YoOrk auth 100days from the dae of sud1 pem1it orttthe burding Of'Y,00( authorized by sud1 pem1· spendedn abandooed al anytime afiarthe Y,00( is commenced ilr ape • ~ APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 10/12/2011 Permit# CB111962 Title: BLAINE RES 22 PANEL ROOF MOUNT Description: PV SYSTEM Type:COGEN Sub Type: PHOTO 1 Job Address: 2755 WILSON ST Suite: Lot: 0 Location: APPLICANT ASGARD ELECTRIC Inspector Assignment: Phone: 7604206515 Inspector: M (.,. Owner: BLAINE STEPHEN E&CHERYL A FAMILY TRUST Rem arks: Total Time: Requested By: KEVIN Entered By: JANEAN CD 34 39 Date Description Rough Electric Final Electrical Act Comments ~YSW/1 ~e.. ~4 , t?~--c-o{l...:( 1 ~,,J,<q ~ ~ $Du(U.£a.. c:::.,·~urc-~te~ ot?. o'4vi:4 ~~ rwo otc Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Description Act lnsp Comments