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1435 CHESTNUT AVE; ; CB162512; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-27-2016 Cogeneration Permit Permit No:CB162512 Building Inspection Request Line (760) 602-2725 Job Address:1435 CHESTNUT AV CBAD Permit Type:COGEN Sub Type:PHOTO Status:ISSUED Parcel No:2052205300 Lot #:0 Applied: 06/27/2016 Valuation:$8,800.00 Constuction Type: NEW Entered By:SLE Occupancy Group:Reference #:Plan Approved: 06/27/2016 Issued: 06/27/2016 Inspect Area: Plan Check #: Project Title:GRIFFITH: 22 ROOF MOUNT PV, 5.83KW, NO PANEL UPGRADE, NO RMA Applicant:Owner: SOLARCITY GRIFFITH FAMILY TRUST 03-06-05 3055 CLEARVIEW WY 1435 CHESTNUT AVE SAN MATEO CA 94402 CARLSBAD CA •92008 650-759-4658 Building Permit $105.72 PLUMBING TOTAL $0.00 Add'I Building Permit Fee $0.00 ELECTRICAL TOTAL $0.00 Plan Check $74.00 MECHANICAL TOTAL $0.00 Add]Plan Check Fee $0.00 Additional Fees $0.00 Plan Check Discount $0.00 Strong Motion Fee $1.14 Green Bldg Stands (561473) Fee $1.00 TOTAL PERMIT FEES $181.86 Total Fees:$181.86 Total Payments To Date:$181.86 Balance Due:$0.00 -1 -4-FINAL APPROVA Inspector:Date:/'02 'Clearance: NOTICE Please take NOTICE that approval cf your project includes the "hrpcsiticc" of fees, decications, reservations, or other metals hereafter colledively referred to as 'Tees/exactions."You haveSOdays from the date this permit was issued to protest irrpositicn of these fees/exactions.If you protest than you rrust follow the protest procedures 33 forth in C.loverrrret Ccri. Section 6€020(a), and file the protest and any cther reqd red iifunction with the City M3eger for processing in accordance with Carlsbad Mx ideal rod.Section 3.32030.Failure to timely follow that prccecire will bar any subsequent legal action to attack review, set aside, void, or emit their irrwsition. You are batty PURTI-ERNOTIFIED that your right to protest the spedfied fees/exactions DOES NOT APPLY to waterad sewer correction fees and capacity changes, nor planring, zoning,gating or other similar application processing or service fees in comedian with this project.NCR !YTSITAFPLY to any fei.exadicns of which vcu have previously been Oven a NOTICE similar to this. or as to which the statute of lirritaticns has preViouslv otherwisemired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:['PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH 0 HAZMATIAPCD k_.City of Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Plan Check No.Q.e)lu 2.12. Est. Value g 1 MO - Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 email: building©carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Me CD-E.- 1 -at.SWPPP JOB ADDRESS 143 cf- tsfftt -o- Akv r.c..... sumispAcEriuNnv APN -- CT/PROJECT #LOT#PHASE##OF UNITS #BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:Include Square Feetof Affected Area(s) K.W r.S ;PV Array Roof Mount •,Modules 22;Inverter(s)I ,•,String(s)(3 ; Main Panel upgrade? WO ;Flush Mounted?i fc Ft()gi"A EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESOff NOD YES DNO E YES0 NOD APPLICANT NAME PROPERTY OWNER NAME IT PutnamContactAmaya Salce UE020e 6e-I f F %ILADDRESSADDRESS 2370 Oak Ridge Way 1 .4.;G Ce4 tisr Kur A Vik CITY STATE ZIP CITY STATE ZIP Vista CA 92081 Ls evi D CA cCAg_,motS PHONE FAX PHONE FAX 760-877-4038 EMAIL EMAIL asalceasolarcity.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAMESame as Contractor Solar City Corp. ADDRESS ADDRESS 3055 Clearview Way CITY STATE ZIP CITY STATE ZIP San Mateo CA 94402 PHONE FAX PHONE FAX (650) 638-1028 EMAIL EMAIL asalceRsolarcity.com STATE LIC.#STATE LIC.#CLASS CITY BUS. LIC.# 888104 C46. C1h 1227803 (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 is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of theBusiness 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 fora permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)). WORKERS'COMPENSATION Workers' Compensation Declaration:l hereby affirm under penally of perjwy one of the following declarations:0 Ihave 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. IDI 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.Zurich American Insurance Company Policy No.WC0182014-00 (AOS)Expiration Date 9/1/16 section need not be completed if the permit is for one hundred dollars ($100) or less. Certificate of Exemption:Icertify 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: Failureto 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 i .:.:on .;706 of the Labor code, Interest and attorney's fees. AS CONTRACTOR SIGNATURE .......--•.iv _0 AGENT DATE C 2'7 /4. OWNER -BUILDER DEC'-;;ZA.;- 1 ION I hereby affirm that) am exempt from Contractor's License Law for the following reason:0 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).ElI,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). 1:1 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.0Yes ENo 2.1 (have I have not) 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, butI 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, butI have contracted (hired) the following persons to provide the work indicated (include name/address/phone/type of work): ASPROPERTYOWNER SIGNATURE ['AGENT DATE 5tailCOMPLETETHISSECTIONFORNON-RESIDENTIAL BUILDING PERMITS ONLY alp Is the applicant or future building occupant required to submit abusiness 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?0 Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?0 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. CONSTRUCTION LENDING AGENCY 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 APPLICANT CERTIFICATION :411 Icertify thatIhave read the application and state thadhe above infonnalion is collect and that the information on the plans is accurate.Iagree to comply with all City ortlinances and State laws Elating to building construction. I hereby authorize representativeof the CityofCarlsbad to enter upon the above mentioned property for inspection 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 permit is required for excavations over60' 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 nark authorized by such permit is not commenced within 180 days from the dateof such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced fora pe 's s of 180 days •«'in 106.4.4 Uniform Building Code). AKAPPLICANT'S SIGNATURE DATE C Inspection List Permit#:CB162512 Type:COGEN PHOTO GRIFFITH: 22 ROOF MOUNT PV, 5.83KW, NO PANEL UPGRADE, NO RMA Date Inspection Item Inspector Act Comments 07/28/2016 35 Photo Voltaic (PV)-RI AM PLEASE 07/28/2016 35 Photo Voltaic (PV)PD AP 07/28/2016 39 Final Electrical -RI AM PLEASE 07/28/2016 39 Final Electrical PD AP 07/07/2016 35 Photo Voltaic (PV)PB CA 07/05/2016 35 Photo Voltaic (PV)AEK CO SITE MAP AND DISCONNECT PLAQUES Friday, July 29, 2016 Page 1 of 1