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Home My WebLink About2731 YORK RD; ; CB153789; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-03-2015 Cogeneration Permit Permit No:CB153789 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: 2731 YORK RD CBAD COGEN 1673912800 $9,600.00 Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: Status: ISSUED Applied: 11/03/2015 Entered By: RMA Plan Approved: 11/03/2015 Issued: 11/03/2015 Inspect Area: Plan Check #: Project Title: PICKARD RES-PHOTOVOLTAIC SYSTE 24 ROOF/FLUSH MOUNTED MODULES-7.2 KW-NO ELECT PANEL UPGRADE-YES NEW RMA Applicant: BOSWORTH SOLAR ELECTRICAL SYSTEMS 15528 VILLA SIERRA RD VALLEY CENTER CA 92082 760 504-5668 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 $11 4.59 $0.00 $80.21 $0.00 $0.00 $1.25 $1.00 Owner: PICKARD MICHAEL 2731 YORK RD CARLSBAD CA 92010 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $197.05 Total Payments To Date: $197.05 Balance Due: $0.00 $0.00 $0.00 $0.00 $197.05 $0.00 Inspector: ~ Clearance: _____ _ NJTICE: Rease ta<e NJTICE thct ~ d yar ptject irdi.res tt-e "lrrµisitim" d fees, caia:ti075, reservcti075, CY ctrer exa:tions taea'ter rolectivay rderred to as 'lees'exa:tions." Yru ha\.€ 00 days fran tre date tlis ~t Vl0S issued to ~est irrµisitim d tt-ese fees'exa:tions. If }OJ ~est trern }OJ rrust fdlON tt-e ~est prorlres set fath in C:o.lemTert O:re Sectim ffilZJ(a), ard file tre ~est ard any ctrer req..ired irtamiim wth tre Oty ~ fCY r,i::re;sing in a:x:a-da"Ce wth Ca1stoo Mrid~ O:re Sectim 3.32.03J. Fall.re to tirrely fdlON thct ~ wll ta-any Sl.bse'.µlnt leg3 irlim to attack, review, set asioo, 'A'.id, CY anJ their irrµisition. Yru ere h:rei:1f Fl.Rn-ER f\OTIFIED trat yar ri!tt to ~est tre Slfilfied fees'excdions CXES rs.or />PPL Y to v.ra.er ard ~ c.uredim fees ard ~ty chrges, nCY paTing, zxring, gaing CY ether sinilar Wicaim p-cressing CY sef\Jioo fees in care::iim wth ths ptject. t'ffi CXES IT />PPL Y to any fees'exa:tions dooch ha\.€ ·cus1 • CE sinilar totlis CY as tov,,nchtt-e stctuect linitaions has • ctherwse ·red. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: _ PLANNING ENGINEERING ( City of Carlsbad 'J) Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov JOB ADDRESS 2731 York he' Carlsbad Ca 92010 surrEf/Sf'ACE'.f/UNfH BUILDING FIRE Est. Value Plan Ck. Deposit APN CT/PROJECT# lOT# TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s) EXISTING USE AIR CONDITIONING vesO NoO APPLICANT NAME Timothy Bosworth PROPERTY OWNER NAME Michael Pickard ADDRESS 15528 Villa Sierra Rd 2731 York Rd CITY Valley Center STATE Ca ZIP 92082 CITY Carlsbad STATE Ca ZIP PHONE FAX 760-504-5668 PHONE 949-887-4987 FAX EMAIL TimB@lntegritv-Solsr.com EMAIL MTPinspection@yahoo.com FIRE SPRINKLERS YESONo0 92010 DESIGN PROFESSIOIIAL Bosworth Solar Electrical Systems CONTRACTOR BUS. NAME Bosworth Solar Electrical Systems ADDRESS 15528 Villa Sierra Rd ADDRESS 15528 Villa Sierra Rd CITY STATE ZIP CITY STATE ZIP Vallev Center Ca 92082 Vallev Center Ca 92082 PHONE FAX 760-504-5668 PHONE 760-504-5668 FAX EMAIL EMAIL TimB@lntegrity-Solar.com STATE UC. # STATE UC.# C10/B 707161 707161 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter. impro,,e. demolish or repair any structure. prior to its· • also re uir the applicant for such permit to file a siROed statement that he is licensed pursuant to the provisions of the Contractor"s license Law {Chapter 9, commending with 7000 of Division 3 of the Business and Professions Code} or !hat he is exem.Qt 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: / hereby affirm under penalty of peljir, ore of Iha foolowing decl.r-ations: B I have and will maintain a c::eftilicate of consent to self-insure klr .mers' rompensation as proviled by Section 3700 of the labor Code, klr the performaloe of the W0l1t klr which lhis permit is issued. I have and will malntain workers' compensation, as required bv Section 3700 of the Labor Code. klr the perfomlMce of the work for which this pennjt is issued. My wor1<ers' compensation insurance carrier and policy number are: Insurance Co. Policy No.___________ Expiration Diie _______ _ ~ sectioll need not be completed ~ the pe<mil is for one hundred dollars ($100) or less. LL.I Certificate of Exemption: I certify that in the perfoonance of the W0l1t lo' which this penn~ is issued, I shall not employ any pe!SOf1 in any manner so as to become subject IO the Workers' Compensation Laws of California. WARNING: Failure to secure w011<ers' compensation cove,age Is unlawful, and shall subject an erl1)loyer to criminal penalties and civil fines up to one thousand (&100,000), In addition to the cost of compen as proYided for in Section 3706 of the Labor code, irurest and attorney's fees. 25 CONTRACTORSIGNAT\Jl~-,rc~:-...c.-__,__________ □AGENT DATE I hereby affirm that I am exem{X from Conlradors License Law for the lo/lowing mason: D I, as owner of the property or my~ with wages as their soleaimpensalion. wll do the work and the strudure is not inlended or offered klr sak! (Sec. 7044, Business and Plolessions Code: The Contractor's License Law does not apply kl an owner of property who builds or impro"'8s thereon, and who does such W0l1t himself or thrtllql his own employees, provided that such i~ts are not inlended or offered for sale. If, however, the building or im~t is sold within one -,ear of corrl)lelion, the owner-builder will have the buroen cl proviog that he did not buic:I or improve klr the putpOse of sak!). D I, as owner of the property. am exclusively contracting With licensed con11ldl1S to construct the project (Sec. 7044, Business and Professions Code: The Contracior's License Law does not apply to an owner of property who builds or improves thereon, and contracts klr such projec1s With contraclor(s} licensed pursuant to the Contracior's License Law}. □ I am exempt undef Section ____ ,Business and Professions Code klr this reason: 1. I pe!S(J13lly plan to provide the major labor and malerias klr ronstnx:tion of the proposed property inpro¥ement □Yes C}-lo 2. I (have / have not} signed an application klr a builcing pennit klr the proposed 'Mll1<. 3. I have contracted with the following pe!SOf1 (firm) to provide the proposed constru::lion (mclude name address I phone I contractors' license number): 4. I plan to provide portions of the 'Mlrk, but I have hired the following person to ooon!inate, supervise and provide the major 'Mll1< (mide n<111e /address/ phone I con11ldl1S' license ntJ!lber): 5. I will provide some of the wonc, but I have contracted (hired) the following per.;ons to provide the W0l1t indicated (include name / address I phone I type of work}: 25 PROPERTY OWNER SIGNATURE □AGENT DATE Is the 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 the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the 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 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 state that the above lnfonmatton iscorrectand that the lnfonmatlon on the plans Is accurate. I agree to comply with all City ordinances and State law.; relating to building construction. I hereby authorize rep,isentative of the City of Cansbad to enter up:>n the above menooned property br inspection pul'j'.Xlses. I Al.SC 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 penmij is required br excavations over 5'0' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every penmit issued by the Buikling Official under the provisions of this Code shall expire by limitation and become nul and void ~ the buikling or mrk authorized by such permit is not oommenced IMthin 180days from the date of such penmit or if _ bulding or mrk authorized by such penmij is suspended or abandoned at any time after the mrk is rommenced bra rod o 180days (Section 100.4.4 Unibrm Buikl11g Code}. _8S APPLICANT'S SIGNATUR DATE I Inspection List Permit#: CB153789 Type: COGEN PHOTO Date Ins ection Item Inspector Act 12/22/2015 35 Photo Voltaic (PV) RI 12/22/2015 35 Photo Voltaic (PV) AEK AP 12/22/2015 39 Final Electrical RI 12/22/2015 39 Final Electrical AEK Fl 12/18/2015 35 Photo Voltaic (PV) RI 12/18/2015 35 Photo Voltaic (PV) AEK co 12/18/2015 39 Final Electrical RI Tuesday. December 22, 2015 PICKARD RES-PHOTOVOLTAIC SYSTE 24 ROOF/FLUSH MOUNTED MODULES-7. Comments #8 FROM DC TO AC DISC REQ Page 1 of 1