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Home My WebLink About1628 MARITIME DR; ; CB151935; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-22-2015 Cogeneration Permit Permit No:CB 151935 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1628 MARITIME DR CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: Parcel No: Valuation: Occupancy Group: 2150821400 $7,200.00 Project Title: HEXOM: 18 ROOF MOUNT PV Applicant: COUNTYWIDE MECHANICAL SYSTEMS 9330 STEVENS RD SANTEE CA 92071-5639 619-778-0580 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 $96.55 $0.00 $67.58 $0.00 $0.00 $1.00 $1.00 Owner: HEXOM ROBERT JR&DEBRA 1628 MARITIME DR CARLSBAD CA 92011 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Status: ISSUED Applied: 06/22/2015 Entered By: JMA Plan Approved: 06/22/2015 Issued: 06/22/2015 Inspect Area: Plan Check #: $0.00 $0.00 $0.00 $0.00 $166.13 Total Fees: $166.13 Total Payments To Date: $166.13 Balance Due: $0.00 Inspector: fl'l. ~ Date: o Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.'' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. lf 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. I '\,, 1THE: FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING QBUIL0ING OFIRE OHAZMAT/APCD Plan Check No. Est. Value 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 SWPPP JOB ADDRESS cr?-Z.Olf SUrrEf/SPACEf/UNIT# CT/PROJECT# # BEDROOMS # BATHROOMS CONSTR. TYPE acc. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Q,c:, of VIWl.,V\,.\--~ o Lo..r-P V I 'B p CU'\Q, ( ) EXISTING USE APPLICANT NAME Primary Contact ADDRESS CITY s EMAIL DESIGN PROFESSIONAL PROPOSED USE GARAGE {SF) PATIOS {SF) DECKS (SF) PROPERTY OWNER gob CITY I '-Cctv ~ 1:1 PHONE EMAIL CONTRACTOR BUS. NAME FIREPLACE YES[), AIR CONDITIONING Nc0 YES □No □ l FIRE SPRINKLERS vesONoO I have and wlll maintain a certificate of consent to self-insure for workera' oompensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and wlll maintain workers' compensation, as reQuired bv 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 aumbera~lnsuraoceCo O!l &punlt< bev1 r:,ALS PolicyNo. fr]P60qz:2.l'[O E,piratiooDale ?./I/lb ~section need not be completed if the permit is for one hundred dollars ($100) or less. 7 LJ Certificate 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 covenge Is unlawful, and shall subject an employer to criminal psnaltles and civil fines up to one hundred thousand dollars {&100,000), In addition to the cost of compensation, damages a rovlded for in Section 3706 of the Labor code, interest and attorney's fees. _6 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License 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 buildiflQ or improvement is sold within one year of completion, the owner-builder will have the burden of proviflQ that he did not build or Improve for the purpose of sale). 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 pursua/\t 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 !tie proposed property improvement. OYes ONo 2, I (have/ have not) signed an applicatjon 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 provk:le 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/ address/ phone I type of work): _6 PROPERTY OWNER SIGNATURE □AGENT DATE ... COMPLETE THIS 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 prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is 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 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 construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) Civil Code) lender's N!a'Jle lender's Address APPLICANT CERTIFICATION I certify that I have 188d the appllcation and state lhatlhe above intmnatlon Is correct and that the Information on the plans is accurabi I agree to compfy'hilh all Cltyon::llnances and State laws relating ID building consb'Uetion. I hereby authorize representative of !he City of Carlsbad b enter u~ the at::ove menooned ~perty tJr inspection pufJX)SeS. I AL.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AG'IJNST AU_ LIABILmES, 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 requi"ed for excavations over 5'0' deep and demomon or coostructk>n of structures over 3 sbries fl he'Jhl. EXPIRATION: Every permit ~ued by the 9.Jik:ling Olfdal under the provisbns of this Ccxle shall expire by lfflitation and berome null and void tt the buik:ling or 'Mlrk authorized by such permit is not commenced 'MthJl 180days from the dail of sl.K:h permit or if the bulklhg or 'Mlrk authorized by such permit is suspended or abandoned at any time after the 'Mlrk is commenced for a J):lriod of 1&J days {Secoon 100.4.4 Unibrm Building C.ode). A$ 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-ll560, Email building@carlsbadca.gov or Mail the completed form to City of Cartsbad, Building Dilision 1635 Faraday Avenue, Gartsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above)" OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ ,.65 APPLICANT'S SIGNATURE ASSOCIATEDCB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB151935 Type: COGEN PHOTO HEXOM: 18 ROOF MOUNT PV Date Inspection Item Inspector Act Comments 08/05/2015 35 Photo Voltaic (PV) RI AM PLEASE 08/05/2015 35 Photo Voltaic (PV) MC AP 08/05/2015 39 Final Electrical RI AM PLEASE 08/05/2015 39 Final Electrical MC Fl RELEASE E-MAILED TO SDGE 08/04/2015 35 Photo Voltaic (PV) MC NR PER CONTRACTOR 08/04/2015 39 Final Electrical MC NR Wednesday,August05,2015 Page 1 of 1