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Home My WebLink About1022 Grand Ave; ; CBR2017-2372; PermitPrint Date: 11/14/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1022 Grand Ave BLDG-Residential 2031302200 $12,400.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: Cogen Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: AB3: FLUSH ROOF MOUNT SOLAR, 31 MODS, 8.9KW, 1 INVERTER, NO UPGRADE Owner: Status: Applied: Issued: Fina led: Inspector: Contractor: Permit No: CBR2017-2372 Closed -Finaled 10/06/2017 10/06/2017 AB3 LLC ENERGY SERVICE PARTNERS INC 1010 Esplanade 1022 Grand Ave CARLSBAD, CA 92008 Redondo Beach, CA 90277-4748 310-904-4138 BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) MANUAL BUILDING PERMIT FEE SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $275.78 Total Payments To Date: $275.78 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. $0.00 $141.57 $99.10 $32.50 $1.00 $1.61 · (cityof Carlsbad JOB ADDRESS ...-, ( 0 ""U v CT/PROJECT# LOT# r..\-. Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 7~-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Est. Value Plan Ck. Deposit Date SUITE#/SPACE#/UNIT# PHASE# # Of UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES D #_ NOD AIR CONDITIONING YES D NOD FIRE SPRINKLERS YES D NO D PROPERTY OWNER NAME .A-(3 '.3 CITY STATE ZIP c1TY~r .((}w-D STATE c:.... ZIP .:\~ FAX PHONE1~f7 ~ f$C( (J FAX EMAIL DESIGN PROFESSIONAL NAME CONTRACTOR BUS. NAME e S .p ADDRESS ADDRESS ( 0 (. 0 CITY STATE ZIP CITY STATE Cc:r...... ZIP q 17 PHONE FAX FAX EMAIL EMAIL STATE LIC. # STATE LIC.# (., ( ct_ ( ~ '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. 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 Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or Oiat 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' Compensalion Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent 10 self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~have and will maintain woriw~ comµ.e~sation.,..as required by Section 3700 of the Labor Code, for the performance of th~rlsJoJ w'===::rmit is issued. My workers' compensation insuran:e c~r and policy number are: Insurance Co . ..J ,t-c:-.1:~ <.A> l>:'.'::f2 Policy No. '\ \. S-~tO ~ Expiration Date '.'Z., • ( ( ( ~ This section need not be completed if lhe permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the wo for whi his permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure wor ompensation v a lawful, and shal subject an employer to criminal penalties and civil fines up 10 one hundred thousand dollars (& 100,000), in addition to the cost of compensation, da ovided for · S f the Labor co , interest and attorney's fees. ,@$ CONTRACTOR SIGNATURE AGENT DATE ( 0 . " · / "?--- I hereby affirm that I am exempt from ContJactor's License Law for ! 0 I, as owner of the property or my employees with wages as t eir 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 himself 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). 0 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). 0 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. 0 Yes O No 2. I (have I 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 I phone I 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 I address I phone I 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): ,@$ PROPERTY OWNER SIGNATURE 0 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-Tan~r Hazardous Substance Account Act? 0 Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes O No IF ANY tlF 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 certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relatingto buildingconstructioo. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN A Y WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permft is required for excavations 5'0' deep and demolition or · n of s ctures rNer 3 stories in height EXPIRATION: Every permftissued by the Buildi I underthep · · of · shalle · by limitation and become nun andvoicHthe building or work authorized by such permftis notconmenced within 180 days from the date of such permitorn uikf or work au ed b s ed or abandoned at anytime after the work is commenced for a period of 180days (Section 106.4.4 Unnoon Building Code). DATE /fJ ·Cl~ If- PERMIT INSPECTION HISTORY REPORT (CBR2017-2372) Pcrmit.'Type· BLDG-Residential Application Dato: 10/06/2017 Ownor: Work' Class: Cogen Issue Date· 10/06/2017 Subdivision: Status: Closed -Finaled Expiration Date: 05/14/2018 Address: IVR Number: 6811 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 11/14/2017 11/14/2017 November 14, 2017 BLDG-35 Solar Panel 040357-2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 040358-2017 Checklist Item BLDG-Building Deficiency BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed Chris Renfro COMMENTS Passed Chris Renfro COMMENTS AB3 LLC SCHELL & SITES ADD 1022 Grand Ave Carlsbad, CA 92008-1813 Reinspection Passed Yes Passed Yes Yes Yes Yes Complete Complete Complete Page 1 of 1