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1683 BRADY CIR; ; CB154402; Permit
12-14-2015 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Cogeneration Permit Permit No:CB154402 Building Inspection Request Line (760) 602-2725 1683 BRADY CR CBAD COGEN 2054401000 $4,000.00 Sub Type: PHOTO Lot #: 0 Constuction Type: 5B Reference #: HICKERSON: ADD 10 PANELS TO EXIST SYSTEM Applicant: BIRD OF PARADISE RENEWABLES 14111 LA GLORIA ST LA MIRADA CA 90638-3418 805-450-6673 Status: ISSUED Applied: 12/14/2015 Entered By: JMA Plan Approved: 12/14/2015 Issued: 12/14/2015 Inspect Area: Plan Check #: Owner: HICKERSON LAURENCE J&JILLIAN L 1683 BRADY CIR CARLSBAD CA 92008 Building Permit $61.37 PLUMBING TOTAL $0.00 Add'I Building Permit Fee $0.00 ELECTRICAL TOTAL $0.00 Plan Check $42.96 MECHANICAL TOTAL $0.00 Add'I Plan Check Fee $0.00 Additional Fees $0.00 Plan Check Discount $0.00 Strong Motion Fee $1.00 Green Bldg Stands (SB1473) Fee $1.00 TOTAL PERMIT FEES $106.33 Total Fees: $106.33 Total Payments To Date: $106.33 Balance Due: $0.00 FINAL APP OV L Inspector: Date: S Clearance: NOTICE: Rease take NOTICE that apprad 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 pemrit vas issued to protest imposition of these fees/exactions. If you protest theme you must fdlow the protest procedures set forth in Go✓enment Code Section 66020(a), and file the protest and any other required infarrnticn with the City Neer for processirg in accordance wth Carlsbad M ndo Cade Section 3.32.030. Failure to timcty fdlovthat procedure WII bar any subsequent legal action to attack, review, sot aside, void, or annul their imposition. You are hereby FURTTER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APR_Y to water and serer connection fees and capacity changes, nor planing, zon rig, grading or other similar application processing or service fees in correction Wth this project. NOR DOES IT APPLY to any IT WC rani i nvuiur ADD Dnvai s Pro pFn PRInR TO PFRMIT ISSUANCE: MPLANNING MENGINEERING ®BUILDING ©FIRE QHEALTH OHAZMATIAPCD Building Permit Application plan Check No. /)12 �- Est. Value City of 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 plan Ck. Deposit Carlsbad email: building@carlsbadca.gov Date SWPPP www.carisbadca.gov JOB ADDRESS c�« I�83 13c-� �� SUITES/SPACES/UNIT# APN - - - CT/PROJECT # LOT # PHASE # # OF UNITS #BEDROOMS #BATHROOMS TENA T BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 1 S0` � � \ 0.�c 1 (�i��1 � �'"t o l.. 'ice Gc2�..� �7� •c- � �..5 �'� f 1 �. a.l u,� 't � 0 , y oa �n e / S EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES❑# NO[:] AIR CONDITIONING YES [::]NO IFIRESPRINKLERS YES[—] N0[—] APPLICANT NAME P PROPERTYOWNER %kk �t1CC�SOt� Primary Contact 1 Av e-ms ADDRESS ADDRESS CITY STATE l�el M\ce 4 C� ZIP .70 CITY 1 STATE ZIP Lor.ctSLjRp� C� PHON =g o S �tSo 3 FAX PHON $ O5 Li S70 - FAX EMAIL be.0;Covh EMAIL DESIGN PROFESSIONAL ail � N41(t CONTRACTOR BUS. NAME afad; c f vlfw le ADDRESS ` La �(oric� J�. ADDRESS CITY STATE C � d M�cAd•. ZIP d?� 3a O CITY �� �` 1 � STATE � ZIP Cao� PHONE FAX PHON FAX EMAIL toeJ:lkc (25 y.nOk�l. COv� EMAIL 6t JM*- ® STATE LIC. # 98Ce oco2 STATE LIC.# 8Ce o4 2 CLASS to CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, oemousn or re au any suucwre, prwi w iu aoudncc, dm- 1 4-- Ll- applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [C apter 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 of „,, —,,.c 11— floc n—,ir-i ri,ii— fRFnnin Workers' Compensation Declaration: I hereby 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 Policy No. Expiration Date Thi ection need not be completed if the permit is for one ndred d ars ($100) or less. Certificate of Exemption: I certi�i���706 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 alifornia. WARNING: Failure to scoverage is unlawful, and shall subjectan employerto criminal penalties and civil fines upto one hundredthousand dollars (&100,000), in addition to the cost of compensatio706 of -the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE AGENT DATE `,7.. 114 Ii � 1 hereby affirm that 1 am exempt from Contractor's License Law for the following reason: EDI, 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 Contractors 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, a 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 operty who builds or improves ereon, 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. 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. 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 following person to coordinate, supervise and provide the major work (include name I 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 work): U PROPERTY OWNER SIGNATURE []AGENT DATE 0 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. 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 I certify that I have read the application and state thatthe above information is correct and that the information on the plans is accurate. I agree to complywith 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 CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS A D 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 r 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Buildin ial u e pro ' ions 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 th ng author z by such rmit is suspended or abandoned at any time after the work is commenced for a Triod of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE 1 -2-/ jY / (S— 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) 602-8560, Email build ing@CarlSbadCa.goV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (on Pg. 1) NO CHANGE IN USE / NO CONSTRUCTION MAIL / FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION ,eAPPLICANT'S SIGNATURE DATE Inspection List Permit#: CB154402 Type: COGEN PHOTO Date Inspection Item Inspector Act 12/15/2015 35 Photo Voltaic (PV) RI 12/15/2015 35 Photo Voltaic (PV) AEK AP 12/15/2015 39 Final Electrical - RI 12/15/2015 39 Final Electrical AEK FI Tuesday, December 22, 2015 HICKERSON: ADD 10 PANELS TO EXIST SYSTEM Comments PM PLEASE PM PLEASE Page 1 of 1