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Home My WebLink About1053 GOLDENEYE VW; ; CB151174; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-17-2015 Cogeneration Permit Permit No:CB151174 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1053 GOLDEN EYE VW CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: 5B Reference #: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: Building Permit 2121801500 $8,000.00 TANG: 20 ROOF MOUNT PV Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $96.55 $0.00 $67.58 $0.00 $0.00 $1.04 $1.00 Owner: TANG LARRY&AILENE 1053 GOLDENEYE VW CARLSBAD CA 92011 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Status: ISSUED Applied: 04/17/2015 Entered By: AEK Plan Approved: 04/17/2015 Issued: 04/17/2015 Inspect Area: Plan Check #: $0.00 $0.00 $0.00 $0.00 $166.17 Total Fees: $166.17 Total Payments To Date: $166.17 Balance Due: $0.00 Inspector: Date: Clearance: ------ NOTICE: Please take NOTICE that approval of your project includes the "Im osition" 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/exac)ions. 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILD!NG OHEALTH 0HAZMAT/APCD City of Carlsbad JOB ADDRESS \052> CT/PROJECT# LOT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNIT# # OF UNITS # BEDROOMS # BATHROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~f\AtwA,~ 5, Co kw ~v sys.felvi No 5eivu.e \A.p~~ EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) APPLICANT NAME PROPERTY OWNER CITY ZIP C[Z,, L PHONE CONTRACTOR BUS. NAME ADDRESS CITY STATE C-A- q933 FAX 6 STATE UC.# C-ll!l-5 1~2qo Plan Ck. Deposit FIREPLACE YESO SWPPP -ISo -DD CONSTR. TYPE OGG. GROUP AIR CONDITIONING NOD YES0No0 FIRE SPRINKLERS YESONoD STATE c.A-ZIP "2-011 FAX z_s- CLASS (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 iss ' -' , 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 Sec n 000 of Division 3 of the Business and Professions Code) or that 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 penalty of perjury one of the following declarations: ~ l~nd 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 permit is issued. I.\J'f have and will maintain work~rs' c~mpensation, as required by Se~tion ,3700 of the(Labor Code, for the performanc: of the erk for which ~his permit is issued. My workers' compensation insurance ca'.rier ~nd policy number are: Insurance Co. 5i/:-ei,Je. Go /VJ(? ·:fr'-<-, Fvvt,£-· Policy No. q,:1 3 ( 7 =:> h Expiration Date / ( / 7 "{ J Z O I ':, t. i tion need not be completed if the permit is for one hundred dollars ($100) or less. I I ertificate of Exemption: I certify that in the performance 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 lifornia. 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, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D D D 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 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). 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. 0Yes 0No 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 0AGENT 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 AND THE AIR-POLLUTION CONTROL DISTRICT. 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 with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such pennit is suspended or abandoned at anytime after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ,N$ 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. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: ________________ ~ _g APPLICANT'S SIGNATURE ASSOCIATED CB#'------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB151174 Type: COGEN PHOTO TANG: 20 ROOF MOUNT PV Date Inspection Item Inspector Act Comments ------- 05/04/2015 35 Photo Voltaic (PV) RI 05/04/2015 35 Photo Voltaic (PV) SP AP 05/04/2015 39 Final Electrical RI 05/04/2015 39 Final Electrical SP Fl Monday, May 04, 2015 Page 1 of 1