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Home My WebLink About1057 LIGHTHOUSE RD; ; CB163731; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-0~-2016 Cogeneration Permit Permit No:CB163731 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 1057 LIGHTHOUSE RD CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: 2145312400 $12,400.00 JOHNSON: 31 ROOF MOUNT PV Owner: Status: ISSUED Applied: 10/03/2016 Entered By: JMA Plan Approved: 10/03/2016 Issued: 10/03/2016 Inspect Area: Plan Check #: Applicant: CANOPY ENERGY STEG JOHNSON DAVID&KELLY LIVING TRUST 07-11-05 8515 ARJONS DR SAN DIEGO CA 92126-4358 424-351-6617 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 1057 LIGHTHOUSE RD CARLSBAD CA 92011 $141.20 PLUMBING TOTAL $0.00 ELECTRICAL TOTAL $98.84 MECHANICAL TOTAL $0.00 Additional Fees $0.00 $1.61 $1.00 TOTAL PERMIT FEES Total Fees: $242.65 Total Payments To Date: $242.65 Balance Due: FINAL APPROVAL Inspector: Date: / /J -I ,-l-b Clearance: $0.00 $0.00 $0.00 $0.00 $242.65 $0.00 t,,.OTICE; Pleaseta<e t,,.OTICEtha 'W1'.>/a cf )<U"ptject incl.deslhe"lrrµlli1iai' cf fees, dedcaicro, reservaicrs, crctte-e,ajjcrs-ooledively referred to as '!eesle,ajja-6." Yoo haw 00 da,'s fromlhe-tlis pemitv.as issuadtoJ>desl irrµ,;ition cf tt-esefeesle,ajjcrs. If )OJ JXdesl tt-ern )OJ nus! fdlONlhe iroest poa,ci.res set fol1h in G:Mlrrmrt Cooe Section ffil20(a), anc file lhe iroest anc fni cite" reqjred irtrnreion wlh the Oty fv"a-Egerfcr ~rg in =adarrewlh Ca1sboo M.ridpa Cooe Section 3.32.030. FaluetotirrelyfdlONtha IJOC"O.JeWII ta" fnjs.blecµrt lega ..:/ionloatllD<, reMevv, sEt asiOO, vcid, a-an.A trer irrpcsiticn Yoo ,re 1...-.fy RRTI-ER t,,.OTIREDttat )<11" rig,! to JXdesl the spedfieo feeslexa,icrs IX:ES NOf l'PFl. Y to wa..: anc se,,er oonnedion fees anc """'°ty dmges, ra pmrg, zcring ga:lrgcrctte-snila-appicaion ~rg crsm;oefees in oonnedionwlhtlis r,tject. N:RIX:ES IT l'PFl.Ylofni i \.\Odl ·a..51 sirrilw crast wi tre linit:ti has ·roo. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD Ccityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. Cf;> -3'131 Est. Value Plan Ck. Deposit SUITE#/SPACE•'/UNIT# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE {SF) PATIOS (SF) AIR CONDITIONING YES □No □ FIRE SPRINKLERS YES□No□ APPLICANT NAME STATE (;~ ho-ti FAX DESIGN PROFESSIONAL Cl ,lih:J STATe,o. ZIP n, ~ FAX EMAIL 1r-o,,,,,,s (Sec, 7031.5 Business and Profes~ions Code: Any City or County which requires a permit to_c_onstruct, alter, improve, demolish or repair an)' structure, p_rior to its issuance, also req~ires 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 DIv1sion 3 of the B_usiness and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a cIvII penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: B I have and 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 pennit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. _____________________ Policy No. ______________ Expiration Date _________ _ secUon need not be completed if the permit is for one hundred dollars ($100) or less. ertificate of Exemption: I oorttfy that in the perfonnanoo of the work for which this pennil is issued, I shall not employ any person in any manner so as to t>ecome subject to the Workers' Compensation Laws of mia. WARNING: Failura to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), ln addition to the cost of compensatio~a!aQIS arvlded ~ Section 706 of the Labor code, Interest and attorney's fees. ,/1$ CONTRACTOR SIGNATURE~ - I hereby affirm that I am exempt from Contractor's Ucense 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 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 sa~)- 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/ have not) signed an application for a OOilding pennit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone I contractors' license number): 4. I plan to provide IX)rtions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I 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): ,/1$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ' Is the ap~icant 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 janner Hazardous Substance Account Act? D Yes □ No Is the ap~icant 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construct1on lending agency for the perfDf'mance of the work this permit Is issued (Sec 3097 (1) CIvII Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above infonnation is conectand that the infonnation on the plans Is accurate. I agree to mmply dh all City ordinances and Slate laws relating to building construction. I hereby authorize representative of the City of Cal1sbad to enter upon the atove menOOned property br inspedlon purp:,ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGPJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA AA OSHA permit is required brexcavations over 5'0' deep and demolition or construction of slll.lctures over 3 stories n height. EXPIRATION: Every permit issued by the Building Offk:ial under the provisions of this Cooe shall expre by limitation and berorne null and void if the buik:ling orv.orl<. authorized by sudl i:;ermit is notrommenced v.ithin 100days from the date of sudl permit or if the building or 'Mlrl<. authorized by sudl permit is suspended or abandoned at any time after the v.orl<. is commenred for a period of 100 days (SectKJn 106.4.4 Uniform Building Code). ,.S 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. CONTACT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL DELIVERY OPllONS PICK UP: □ CONTACT {Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL/ FAX TO OTHER: ________________ _ ,NS APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. LIC. No. o ASSOCIATED CB#------------ □ NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB163735 Type: COGEN PHOTO HORNER: 12 ROOF MOUNT PV, 4.14KW, NORMA, NO PANEL UPGRADE Date Inspection Item Inspector Act Comments 10/17/2016 35 Photo Voltaic (PV) RI 10/17/2016 35 Photo Voltaic (PV) JW AP 10/17/2016 39 Final Electrical RI 10/17/2016 39 Final Electrical JW AP Tuesday. October 1 a. 2016 Page 1 of 1