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Home My WebLink About1683 FISHERMAN DR; ; CB130245; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-13-2013 Cogeneration Permit Permit No:CB130245 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1683 FISHERMAN DR CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: 58 Reference #: Parcel No: Valuation: Occupancy Group: 2150811100 $11,200.00 Project Title: GROVER: 28 PANEL ROOF MOUNT PV Applicant: SULLIVAN SOLAR POWER OF CALIFORNIA INC STE 101 8949 KENAMAR DR SAN DIEGO CA 92121 858-271-7758 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 $146.47 $0.00 $102.53 $4.97 $0.00 $1.12 $1.00 Owner: H H S INVESTMENTS LL C 3309 TEAL PETALS AVE NORTH LAS VEGAS NV 89032 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Status: ISSUED Applied: 01/29/2013 Entered By: JMA Plan Approved: 02/13/2013 Issued: 02/13/2013 Inspect Area: Plan Check #: $0.00 $0.00 $0.00 $0.00 $256.09 Total Fees: $256.09 Total Payments To Date: $256.09 Balance Due: $0.00 Inspector: FINAL A_F'P~?,1 Date .)... I Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reseivations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pem1it 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 f · n f hi ·1 r hi r whi h h f Ii i n h i I h rw· • THE FOLLOWING APPRO'tALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BUILD1NG OARE 0HEALTH 0HAZMAT/APCD ~ Building Permit Application Plan Check No. Cl?Jl3n ?US- ,(i:;#~> 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value I I -z..ov ~ CITY 0 F Ph: 760-602-2719 Fax: 760-602-8558 ' CARLSBAD email: buldllng@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date 11 zq I 12> lswPP JOB ADDRESS SUITE#/SPACE #/UNIT# APN /083 A< 1-1£//Ni,,v '>(L :11 ~ -Of?/ -I/ -co CT/PROJECT# rOT# PHA.5E # I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Aft'ected Area(s) PV tlCOF ti ov.vr ;;LB MODUL£.5 EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YESD #_ NOD YES D NOD YES D NOD APPLICANT NAME (Primary Co11tact) /3MD Tu./<.eL APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS 84'1~ ~MAIL Dfl. ,TJ=-IOI CITY STATE ZIP CITY STATE ZIP >ltP b!Ef,,o CA 9'!/2./ PHONE IFAX PHONE I FAX ~se-sco-~1 It.MAIL ~. fvc-kc,-Q 5 Utllli'W>O/.Alf.P01.o:JEJl.. CO-, EMAIL PROPERTY OWNER NAME JlA C.//.CU£!1 CONTRACTOR BUS. NAME JJV SVLLIV"1" foU/Jl. ,,,..'-'fa.IL ADDRESS ADDRESS 1r/03 F/~/f,--. . Cll. €F/'{C, KG4)A4.fl.. /'VI CITY STATE ZIPaJ CITY STATE ZIP c,4lllS f!l:JI) CA 'I z I ~/) CA 1'ZJ'l-) PHONE IFAX PHONE IFAX 71,0-730-3c."', 8 ff, 8-J.7/ -775 8 EMAIL EMAIL /,,vrC)Q. S:VlUIA-NS0u4JlPOwf5.(L /'r.J..A ARCH/DESIGNER NAME &ADDRESS I STATE UC.# STATE LIC.# I CLASS I CllY;i!z._ ~ I'. 7 / 6y;07? t:dD • (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 1ts issuance, also re(luires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor'_s License Law /Chapter 9, commending with Section 70_00 of D1vis1on 3 of the Business and Professions Code) or fhat he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on 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)). Workers' Compensation Declaration: I hereby afflrm under penalty of perjury one of the following declarations: D J.!lave and wrn 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. Lf""1 have and will maintain workers' compensation. as required by Section 3700 of the Labor Code, for the performance of the work for which ~srrmit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. C YPll>SJ ~t.llfo,v~ Policy No. .lJ Oeo ~0) 5 l/ I Expiration Date IZ-/ -/..3 This section need not be completed if the permit is for one hundred dollars ($100) or less. D 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 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, damag,,..pro?,ed for in Section 3706 of the Labor code, Interest and attorney's fees. _85 CONTRACTOR SIGNATURE ?-;,,{ ~ ~ENT I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: C] I, as awrier of the property or my employees with wages as their sole compensation, will do the work afld 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. II, however, the building or improvement is sold within one year of comp~tion, the owner-builder 'Nill have the burden of proving that he did not build or improve for the purpose of sale) C] I, as owner of the property, am exclusively con\facbng with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) liceflsed pursuant to the Contractor's License Law). D I am exempt under Section .. Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construct,On of the proposed property improvement. D Yes D No 2. I (have I have not) signed an application 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 I phone I contractors' license number): 4. 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 I address I phone I 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 I address I phone I type of work): ..8$ PROPERTY OWNER SIGNATURE CJ AGENT DATE *~ > )b CC!, "'' * 8 *"" ,-,v ' --!1 * * ~ " ""'* """"' ~"""' r * ' d r' =Jhl00XJ\'F1f:1'"'""""*'-'*''4.-*'/Hi%!fS"JiITT.iW"""' IR "'-74 ,1 $""'" " * * 1 ",.W4 t* 4 * ";/ , * ~ \j COMPLl!Tii THIS SECTION FOR NON•RiiSUIENTIAL IIUILIIING PERMITS ONLY ,.,-111;;; ~*x >,;,,\\ * -~ *'~,! =, ,;::-1 -'°""-11 '"'lH1*~ j 1dia= 1"!"'''"'" k< * * ** J-*"' 1 *** * ,,~, 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? t:J Yes t:J No Is the applicant or future building occupant required to obtain a permit from the air pollution-control district or air quality management district? t:J Yes t:J No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes t:J 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 certify that I have react the application and state that the above infoimation is correct and that the infonnatlon on the plans is accurate. I ag,oo to oomplywtlh all City ordinances and State laws relating to bulldtng oonstructlon. I hereby authorize representafive of the City of Carlsbad to enter u!X)n the at:ove mentioned property for inspocfun 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 AG/'JNST SAID CITY IN CCl'JSEQUENCE OF THE GRANTING OF THIS PERM~. OSHA: M OSHA permit is required for excavations over 5'0' deep and demolltion or construction of structures over 3 stories in hetJht. EXPIRATION: Every permit issued by the Buik:ling Official under the pro~Ons ofthfs Code shall expire by limitation and berome null and void l the buik:ling or oork authorized by such permit is not rommenood within 180 days from !he date ofsoch permit or if the building or rk a orized by such ~rmit is suspended or abanOOned at any time after the oork is commenced for a perioo of 180 days (Section 106.4.4 Unifomi Building Oxle). A!SAPPLICANT'SSIGNATURE 7A DATE /~? "I-D 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 www.building@car1sbadca.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. UC. No. DELIVERY OPTIONS Cl PICK UP: c.; CONTACT (Listed above) o OCCUPANT (Listed above) u CONTRACTOR (On Pg. 1) o ASSOCIATED CB#---------· Cl MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) 1:1 CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION Cl MAIL/ FAX TO OTHER: o CHANGE OF USE / NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB130245 Type: COGEN PHOTO GROVER: 28 PANEL ROOF MOUNT PV Date Inspection Item Inspector Act Comments 02/1512013 35 Photo Voltaic (PV) RI 02/15/2013 35 Photo Voltaic (PV) PD AP 02/15/2013 39 Final Electrical RI 02/15/2013 39 Final Electrical PD AP Tuesday, February 19, 2013 Page 1 of 1