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Home My WebLink About1363 Nightshade Rd; ; CBR2019-1869; Permit(city of Carlsbad Residential Permit Print Date: 10/01/2019 Permit No: CBR2019-1869 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1363 Nightshade Rd BLDG-Residential 2156412900 $8,000.00 Work Class: Cogen Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: BRAWER:6.7 KW ROOF MOUNT PV SYSTEM, 20 MODS, NO UPGRADE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) 5B1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $167.31 Owner: TRUST BRAWER ROLANDO AND MILLER KARINA REVOCABLE TRUST 1363 Nightshade Rd CARLSBAD, CA 92011 Tota! Payments To Date: $167.31 Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Contractor: SUNLINE ENERGY INC 7546 Trade St San Diego, CA 92121-2412 800-701-5022 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 NOT!CE similar to this, or as to which the statute of limitation has previously otherwise expired. Closed -Finaled 07/16/2019 07/16/2019 10/1/2019 9:32:22AM $0.00 $97.22 $68.05 $1.00 $1.04 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov (cicyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION \ 8-1 --------------·· Plan Check 51t%::) 8{g9 Est. Value · PC Deposit--------- Date _?7...,__---=-/-"(o'----_,_J_,q'---_ CT /Project#:. _________ Lot#:. ____ Fire Sprinklers: yes/ no Air Conditioning: yes / no BRIEF DESCRIPTION OF WORK: X:'IS-u or COIA wPOb>4 i 7 k\l P'l6JV41"1 C•"l41d,., .P. 20 dA~ik.s aw 4(/ n1e&4 At 340.a 5y, ff 0 Addition/New: _____ Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __ D Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes/ No O Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ .f!!i"Soiar: &,.7 KW, '2.0 Modules, Mounted:9/ Ground, Tilt: Yes/ No, RMA: Yes /@Battery: Yes/€) Panel Upgrade: Yes/@ D Reroof: ___________________________________ _ D Plumbing/Mechanical/Electrical Only: ________________________ _ D Other: __________________________________ _ APPLICANT (PRIMARY CONTACT) Name: Are . .,, taut,CCat Address: ?.$91, Ti:e~ S:lwt City: 5-!'::i! State: ¢,A/ Zip: 9zu. I Phone: ...l~l~·lffll Email: olei<~ flWll;Oe4QY~•OCl!'J PROPERTY OWNER Name: Aol,mJo a, WU Address: l'?ih3 N/ohbhradt R.91\J Cltv· C-r}f11~111d State: GA Zlp:..,.,n...,O...,1.,..., __ Phone: (,t/,OJ 370• 137 7 Email: ~ola"l® &u~ l¾tMod, COY'l DESIGN PROFESSIONAL CONTRACTOR BUSINESS Name: ______ Name: ,Sil:41ia~ fa~ Address:________________ Address:'iW4 if .. £ Mb.t- City: ______ State: __ .Zip: ____ City:~~ State:(A Zip: 9;a.12.I Phone:_____________ Phone:(6~~3-3· 'l'lll Email:_______ Email: "8i~~Q 61b'J),•~Ple'"&4""1d Architect State License:___________ State License:Jil70ojC-ioBus. License~&316'fJ (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/she 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 that he/she is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Buildlng@carlsbadca.gov "-1 P.,.n,:, '1 nf? Rou OAl1R ---·-•------·--~----•~ .. ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury one of the following declarations: □ I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit Is issued. q\1 have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this Fffli}s issued. My workers' compensation Insurance carrier and policy number are: Insurance Com~ny Name: ,S.fate, Cc>dp f.o60~ < ~\'1 d Polley No, 10(/4 37-J Expiration Date: 7/1,6, / f 1 r, □ Certificate of Exemption: I certify that in the performance of the work for which this permit js Issued, I shall not employ any person in any manner so as to be come subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to $100,000.00, In addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code, Interest and attomey's fees. CONTRACTOR SIGNATURE: --~~~::::.:~..:!::=::::-=-------'--__.:~ENT DATE: ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the fol/owing reason: □ I, as owner of the property or my employees with wases 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 ls sold within one year of completion, the owner-builder will have the burden of provins that he did not build or Improve for the purpose of sale). □ t, 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. □ Yes □ No 2.1 (have/ 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/ phone/ 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/ 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/ address/ phone/ type of work): OWNER SIGNATURE: □AGENT DATE: _____ _ ------------------------- CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 {i) Civil Code). Lender's Name: ____________________ Lender's Address: ___________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required-to submit a business plan, acutely hazardous materials registration form or risk management and pr_eventlon program under Sections 25505, 25533 or 25534 of the Presley•Ta_nner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit fr'om the air pollution control district or air quality management district? □ Yes D 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. APPLICANT CERTIFICATION; I certify that I have read the application and state that the above "tnformaUon ·1s correct and that the information 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 CARISBAD AGAINST ALL llABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID cnv IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit 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 permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT SIGNATURE: ---. .... ,s.-~~-__ -~ __________ DATE: z/tv/.ulZ 1635 Faraday Ave Carlsbad, CA 92008 8-1 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of2 Email: Building@carlsbadca.gov Rev. 06/18 PERMIT INSPECTION HISTORY REPORT (CBR2019-1869) Permit Type· Work Class: St<1tus: Scheduled Date BLDG-Residential Cogen Closed -Finaled Actual Start Date Inspection Type Application Date: 0711612019 Owner: Issue Date: 0711612019 Subdivision: Expiration Date: 03130/2020 Address: IVR Number: 20434 Inspection No. Inspection Status Primary Inspector 10/0112019 10/01/2019 BLDG-36 Solar Panel 106926-2019 Passed Peter Dreibelbis October 01, 2019 BLDG-Fina I Inspection Checklist Item BLDG-Building Deficiency 105925-2019 Checklist Item BLDG-Structural Final BLDG-Electrical Fina\ COMMENTS Passed Peter Dreibelbis COMMENTS TRUST BRAWER ROLANDO AND MILLER KARINA REVOCABLE TRUST CARLSBAD TCT#90-15 UNIT#3 1363 Nightshade Rd Carlsbad, CA 92011-3502 Re inspection Passed Yes Passed Yes Yes Complete Complete Complete Page 1 of 1