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Home My WebLink About1372 CASSINS ST; ; CB152925; Permit09-09-2015 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Cogeneration Permit Permit No:CBl52925 Building Inspection Request Line (760) 602-2725 1372 CASSINS ST CBAD COGEN Sub Type: PHOTO 2156914800 Lot#: 0 $3,600.00 Constuction Type: NEW Reference #: BEST: 12 ROOF MOUNT PV Status: ISSUED Applied: 09/09/2015 Entered By: JMA Plan Approved: 09/09/2015 Issued: 09/09/2015 Inspect Area: Plan Check #: Applicant: SEMPER SOLARIS Owner. BEST WILLIAM G ll&LYNN K 1637 TIERRA MONTANOSA ALPINE CA 91901-2939 5204 E MINERAL CIR CENTENNIAL CO 80122 619-341-3414 Building Permit $61.37 PLUMBING TOTAL $0.00 Add'l Building Permit Fee $0.00 ELECTRICAL TOTAL $0.00 Plan Check $42.96 MECHANICAL TOTAL $0.00 Add'l Plan Ctieck Fee $0.00 Additional Fees $0.00 Plan Cfieck Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $0.00 $1.00 $1.00 TOTAL PERMIT FEES $106.33 Total Fees: $106.33 Total Payments To Date: $106.33 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: /C'^^'/S' Clearance: NOTICE Rease take NCmCE tfiat appra/al of yor project indudes the 'Irpositionf' of fees, dedcations, reservations, or other exactions hereafter oollecd\«ly referred to as "fee^esadicns." YouhaveSOda^fnomthedatettispenritviasissuedtoprDtestinTxsitioncfthesefees^exactiQns, If you protest tfmi you must fdlav tfe protest procedures set fiorth in GwerrrrEnt Code Section 66020(a), and file tfe protest and any otfier nsqLined irformation with the Qty IVbnager for pnxessing in aocotdance vvith Carisbad IVlridpal Code Section 3.3Z030. FajlLietotimElyfollcwthatpnxedurevw'll bar arysubsequent legal action to attacK review, set aside, void, or amJ their inposition. You are hereby FURTHER NOTI RED tfiat your ri^ to protest the spedfied fees'exactions DOES NOT APPLY to water and seiAer oonnection fees and capadty cfianges, na plaming, zoning, grading or other sinilar application pnxessing or service fees in oonnection with ttiis pnqject. NOR DOES IT APPLY to any fees/exactions of wfiich vou have previouslv been civen a NOTICE sinilar to this, a as to wtiich tiie statute of linitations has creviouslv ottierwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: nPLANNING nENGINEERING IZlBUILDING DFIRE nHEALTH • HAZMAT/APCO V Ccityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: buildingigcarlsbadca.gov www.carlsbadca.gov Plan Check No. Q^, [ S". ^^ EstValue ^ 3d>(>tf Plan Ck. Deposit Date ^.^.( ^ SWPPP JOB ADORES: CT/PROJECT # I LOT # [PHpEi I« OF UNITS I # B DESCRIPTION OF WORK: /ncfude Square Peet of Affected Area(s; SUITE#/SPACE#/UNIT# # BATHROOMS [TENANT BUSINESS NAME CONSTR. TYPE OCC.GROUP 1 stv,rv5)S • flush wmkA EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIRCONDITIONING FIRESPRINKLERS YESQ# NOj 1 YES QNO YES| | N0| | APPLICANTNAME •J' tlC/lAV Pr/mary Contact 1 V\i| CY ' ray\^d Oh ^n\l FAX ^ m~)^AT^^ii 4MAIL ' DESIGN PROFESSIONAL ADDRESS CITY STATE ZIP CITY ' • " STATE ZIP ^ y> , WPIVU -//''If' PHONE FAX FAX EMAIL EltflAIL • ^ ' STATE LIC. # CLASS. CITY BUS. LIC.# h (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construcL 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 (Criapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or triat 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 {$50(3)). sation inauranca carrier an Workers' Compensation Declaration: / hereby affirm under penalty ofpeijury one ofthe following declarations: I have and will maintain a certificate of consent to self-insure for worliers' compensation as provided by Section 3700 of the Labor Code, for the perfomiance of the work for which this permit is issued, 'l have and will maintain workers' compensation, as reguired bj Section 3700 of the Labor Code, forlhe performance^, the workfor which tte permit is issued. My workers' compensation injurai]c^ carrierand policy number are: Insurance Co ^f^P^vC T^Y^^CA Policy No. ^)/. ^ JLl ^ Expiralion Dale _ Thjs section need not be completed if the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the performance of the work for which this pemiit is issued, I shall not employ any persort in any manner so as to become 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 one hundred thousand doiiars (&100,000), In addition to the cost of compensation, damages as provided for in Sec(lol^3706 of theLabor code, Interest and attomey's fees, ^CONTRACTORSIGNATURE / jyf / r/J>\^ ^1'*°^^'^ WN E R ILDER -iCLARA/lON / hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: I I 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 conlracting with licensed contractors to construct the projecl (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 Contraclor's License Law). • .Business and Professions Code for this reason: I am exempt under Section 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. •Yes I INO 2.1 (have / have nol) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the foltowing person to coordinate, supervise and provide the major worit (include name / address / phone / contractors' license number): 5.1 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 wori<): 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 Pwsley-Tanner Hazardous Substance Account Acl? Yes No ^s 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 constnicted 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 hereby affirm that there is a construction lending agency for the performance of the vKork this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address ..f I ceitify that I have read the application and state ttiat the above Infonnation Is conectand thatthe Infonnation on the plans Is accurate. I agree to complywith all City ordinances and State laws relatlngto building constmction. I heneby authors representative ofthe City of Carisbad to enter upon the above mentioned property for inspeclion purposes. 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 AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pemiit is nequired for excavations over 5'0' deep and demoliton or constaiction of staictures over 3 stories in height. EXPIRATION: Every pennit issued by the Buikiing Official under the provisbns of this Code shall expire by limitatkin and become null and void if the buikJing or v«)ri< authorized by such pemiit is not commenced within 180 days fnom the date of such peimit or if the buikjing or wort( authorizedijv such peraHHs^uspended or abandoned al any time after the vwrk is commenced for a period of 180 days (Sectfon 106.4.4 Unifomi Building Code). ^APPLICANT'S SIGNATURE /{ / K/ \ ./''^'~\ DATE 44K STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy wlll be requested at final inspection. Fax (760) 602-8560, Email buildinq(a)carlsbadca.qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Cartsbad, California 92008. C0#: (Office Use Only) CONTACT NAIVIE OCCUPANT NAIVIE ADDRESS BUiLDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EIVIAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: OCCUPANT (Listed above) ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB152925 Type: COGEN PHOTO BEST: 12 ROOF MOUNT PV Date 10/28/2015 10/28/2015 10/28/2015 10/28/2015 10/20/2015 10/20/2015 10/20/2015 Inspection Item 35 Photo Voltaic (PV) 35 Photo Voltaic (PV) 39 Final Electrical 39 Final Electrical 35 Photo Voltaic (PV) 35 Photo Voltaic (PV) 39 Final Electrical Inspector Act Rl Comments PD PD PD AP Rl AP Rl CA Rl Thursday, October 29, 2015 Page 1 of 1