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1378 NIGHTSHADE RD; ; CBR2018-0685; Permit
a - (city of Carlsbad. -.--- - Residential PermuL Print Date: 03/26/2018 Permit No: CBR2018-0685 Job Address: 1378 Nightshade Rd Permit Type: BLDG-Residential Work Class: Cogen Status: Closed - Finaled Parcel No: 2156411700 Lot 4: Applied: 03/20/2018 Valuation: $8,000.00 Reference 4: Issued: 03/20/2018 Occupancy Group: Construction Type: Permit - Finaled: U Dwelling Units: Bathrooms: Inspector: TFraz Bedrooms: Orig. Plan Check ## , Final Plan Check U: Inspection: 3/26/2018 10:40:44AM Project Title: Description: WERNIG: 20 FLUSH-ROOF MOUNTED PV, 5.9 KW, NO RMA, NO UPGRADE Owner: Contractor: RAYMOND WERNIG PETERSEN-DEAN INC 1378 Nigtshade Rd CALRSBAD, CA 92011 2210 S Dupont DrAttn: Sally Vasquera Anaheim, CA 92806-6104 951-736-9833 - BUILDING PERMIT FEE ($2000+) $97.22 BUILDING PLAN CHECK FEE (BLDG) $68.05 SBi473 GREEN BUILDING STATE STANDARDS FEE $1.00 STRONG MOTION-RESIDENTIAL $1.04 Total Fees: $167.31 Total Payments To Date: $167.31 Balance Due: $0.00 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. 1635 Faraday Avenue, Carlsbad, CA 92008-7314 1 760-602-2700 1 760-602-8560 f I www.carlsbadca.gov ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: D PLANNING 0 ENGINEERING [:]BUILDING FIRE 0 HEALTH HAZMATIAPCD Permit Application Plan Check No.3OI_g,5 Cof Building City 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value p7J Ph: 760-602-2719 Fax: 760-602-8558 Carlsbad.email: Plan Ck. Deposit building©carlsbadca.gov Date ? 10/ I K Iswppp I www.carlsbadca.gov JOB ADDRESS 1378 Nightshade Rd. Carlsbad, CA 92011 I SUITE#/SPACE#/UNITN CT/PROJECT a LOT 0 PHASE C COP UNITS I BEDROOMS C BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE CCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) PV System Install on roof Panels:20 MS295 SolarEdge 5.0 Inverter:1 5.9kW No MPU No RMA Flush Mounted on Roof EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) I FIREPLACE l AIR CONDITIONING I I YESD. NO[—] YESENO IFIRESPRINKLIRS YES NO[] APPLICANT NAME Rebecca Butner PROPERTY OWNER NAME Raymond Wernig P,tnary Contact ADDRESS ADDRESS 8969 Kenamar Dr. #104 1378 Nighshade Rd. CITY STATE ZIP CITY STATE ZIP San Diego CA 92121 Carlsbad CA 92011 PHONE FAX . PHONE 442-281-7999 619-791-9428 EMAIL EMAIL rbutner(petersendean.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Petersen Dean ADDRESS . ADDRESS 8969 Kenamar Dr. #104 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 PHONE FAX PHONE IFAX 422-281-7999 I EMAIL EMAIL STATE LIC. C STATE UC.# I CLASS I CITY BUS. LiC.# 468117 I C46!MI0I 1208316 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair anystructure, 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 fChapter 9, commending with Section 7000 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)). 00I2I3080 G®OPQOOO®O Workers' Compensation Declaration: thereby 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 as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit 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.Dept of Industrial Relations Policy No. SP4056778 Expiration Date 0413012019 This section need not be completed if the permit is for one hundred dollars ($100) or less. []Certlflcate 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 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 dollars (&100,000), In addition to the cost of compensation, damageW provided folf In Sectlop 3706 of the Labor code, Interest and attorney's lees. .. CONTRACTOR SIGNATURE . [Z] AGENT DATE 3 (2.0//IS Ø2)OQDoOQ)0Q@ iGt1DO® I hereby affirm that lam exempt from Contract i's License Law for the following reason: - [1 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). [J I, as owner of the property, am exclusively contrasting 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). [J I am exempt under Section ____________Business and Professions Code for this reason: 1.1 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. I have contracted with the following person (firm) to provide the proposed construction (include name address! phone! contractors' license number): 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): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name! address I phone! type of work): .PROPERTY OWNER SIGNATURE []AGENT DATE VG ioog OO@O®J RM 000-waoomuwa DWOIMDOW@ mumve WIMIU 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? 0 Yes 0 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? I] Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? C1 Yes 0 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. 49 000 (oOøa1)g G1GS7 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). Lenders Name Lenders Address 4260GOWM9 OO€O®1J Icerti,thatI have mad the application and state thatthe above Information Isconeand that the Information on the plans Isaccurate. I agree tocompIywIth all Cityordinancesand State laws reIatingto building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. IALSO 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 permit is required for excavations over 50' deep and demolition or construction of structures over 3 stones in height EXPIRATION: Ever/ permit issued bythe Building Official under the provisions of this Code shall expire by [Irnitation and become null and void if the building or work aulhortzed by such penTiitis not commenced within l8o days from the date ofsuch permit orifthn 664- r work authoflzedby such permftis suspended or abandoned at any time after the work is commenced for apedod of l8o days (Section 106.4.4 Uniform Building Code). ..'APPUCANT'S SIGNATURE DATE 3 hp// f Permit Type: BLDG-Residential Application Date: 03/20/2018 Owner: RAYMOND WERNIG Work Class: Cogen Issue Date: 03/20/2018 Subdivision: CARLSBAD TCT#90-15 UNIT#3 Status: Closed - Finaled Expiration Date: 09/24/2018 Address: 1378 Nightshade Rd Carlsbad, CA 92011-3500 IVR Number: 10240 Scheduled Actual . Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date 03/26/2018 03/2612018 BLDG-35 Solar 052665-2018 Passed Tim Frazee Complete Panel Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Final 052666-2018 Passed Tim Frazee Complete Inspection Checklist Item COMMENTS Passed BLDG-Electrical Final Yes March 26, 2018 Page 1 of I