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Home My WebLink About1710 LOBELIA CT; ; CB152717; Permit• City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-20-2015 Cogeneration Permit Permit No:CB152717 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: 1710 LOBELIA CT CBAD COGEN 2156312600 $13,600.00 Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: Status: ISSUED Applied: 08/20/2015 Entered By: SLE Plan Approved: 08/20/2015 Issued: 08/20/2015 Inspect Area: Plan Check #: Project Title: SERRANO: PHOTO VOLTAIC 34 MODULES, 9.01 KW, ROOF/FLUSH MOUNT, NO PANEL UPGRADE Applicant: Owner: SOLARCITY SERRANO HECTOR&KATHLEEN FAMILY TRUST 05-26-89 3055 CLEARVIEW WY SAN MATEO CA 94402 650-759-4658 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 $149.47 $0.00 $104.63 $0.00 $0.00 $1.77 $1.00 1710 LOBELIA CT CARLSBAD CA 92011 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $256.87 Total Payments To Date: $256.87 Balance Due: Inspector: Clearance: $0.00 $0.00 $0.00 $0.00 $256.87 $0.00 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. 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/exa i ns of whi h h v vi usl b en iv n a NOTICE s'mil r hi r a to which the sta t f limi a i ns has reviou h r.vi x i d. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERIIIT ISSIIANCE: D PLANNING D ENGINEERING Deu11.01NG QFIRE QHEALTH D HAZMATIAPCD Est. Value 3 Plan Ck. Deposit C_cityof 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 Date€>-W-IS" SWPPP JOB ADDRESS SUITEI/SPACEI/UNITI APN CT/PROJECT# # OF UNITS # BEDROOMS #BAlHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP K.W, PV Array, Roof Mount f2oo-C Mo.in+ '1.01 ~ J 3l-J modules j EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIRE SPRINKLERS vESONoO APPLICANT NAME ADDRESS t ZIP STATCA 1-lOI I PHONE FAX tJ ,l- EMAIL EMAIL CONTRACTOR BUS. NAME Solar Citv Con,. ADDRESS I I ADDRESS 3055 <;learview Way CITY STATE ZIP CITY STATE ZIP I I I I ,, San Mateo CA 94402 PHONE FAX PHONE FAX ti f( {650) 638-1028 EMAIL EMAIL ~ asalce@solarcity.com STATE UC.# STATE UC.# CIASS CITY BUS. UC.# " 88104 C46. C11'1 /21..71ti3 (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 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 appllcantfor a permit subjects the appUcant to a clvll penalty of not more then five hundred dollars (-1i500JJ. WORl<ERS COMPENSATION Workers' Compensation Declaration: I hereby Bltim1 under penalty of perjury one of the foHowlng declarations: D I have and wlU maintain a certificate of consent to self.Insure for workers' compensation es provided by Section 3700 of the Labor Code, for the performance of the "MJrk for which this pennit is Issued. [l) I have and will maintain worker&' compenution, es required bv Section 3700 of the Labor Code, for the performance of the 'Mlrk for which this pennll Is Issued. My "MJrkers' compensation Insurance carrier and policy number are: Insurance Co. Liberty lnturance Polley No. WA7660066265024 Expiratkm Date 911115 Jbli,sectlon need not be completed if the pennll ls for one reel doUars ($100) or less. LJ Certificate of Exemption: l certify that In the nna of the work for which this pennlt Is Issued, t shall not employ any person In any maMer so es to become subject lo the Workers' Compensation Laws of Gallfomla. WARNING: Failure to ucunt w 'corn utlon coverage is unlawful, and shall subject an employer to criminal penalties and clvll nnn upto one hundred thousand dollars (&100,000), In addition to the cost of compenutlon, dam ed for I on 3706 of the Labor code, lnterut and attorney's fees. ,i!S CONTRACTOR SIGNATURE I hereby affirm !hat I am exempt from Con!racfor's Ucense Law for the following teason: 0 I, as owner of the property or my employees with wages as their sole compensation, wiD do the work l:lld the structure is not intended or offered for sale (Sec. 7044, Business ald Professions Code: The Contractor's License Law ooes not apply to an owner of property who builds or Improves !hereon, ood who does suCh work himself or through his own employees, provided that such Improvements are oot intended or offel8d for sale. If, however, the building or Improvement is sold within one year of completlon, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of sale). □ □ I, as owner of the property, an exclusiYely contracting with licensed conra:tors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of property who builds or improves thereon, ald conlracts for such pro)ects with contractor(s) licensed pursuant lo the Contractor's Lloense law). I am exempt under Section ____ Business and Professions Code for this reason: 1. I personally plan lo provide the major labor and materials for construction of the proposed property Improvement Oves Do 2. I (have / have not) signed an eppllcatkm 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. 1 plan to provide portions of the "MJrk, but I have hired the followlng person lo coordinate, supervise and provide the major work (Include name I address I phone / contractors' license number): 5. I wlU provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated Qnclude name / address / phone / type of work): ,i!S PROPERTY OWNER SIGNATURE @AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or fuhre bc.ildfng occupant requlmd to submit a business plai, acutely hazardous materials re(jstrallon form or risk management aid prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Aa:ount Act? □ Yes □ No Is the applicant orfuhn blilding occupant required to otialn a permit from the air pollution conlrol district or air quality management district? □ Yes □ No Is the faclllty to be constructed within 1,000feetof the outer bounda,y of a school site? □ Yes □ No , IF ANY OF THE ANSWERS ARE YES, A FtNAL CERTIFICATE OF OCCUPANCY IIAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I h-y affinn lhat !here is a consbuclioo lending agency for Iha penormance of Iha wort< lhls pennit is issued (Sec. 3097 (1) CMI Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certlfylhat I ha¥918ad the appllcallon arxlstate 1hatlhe atxwe lnformalfon Is colt'eCtand thattheidormallon on the plans Is accurat&. I agree to complyv.tth all Cti, on::linances and Slam laws relallngl> bulklng conslrucllon. I hereby aulhoriZe rei,esenlativa of Iha City of Cs1sbad to enler upon the ,_ mentioned property !lr ilspeelkm llJrposes. I ALSO AGREE TO SAVE, INDEMNFY AND KEEP HAAMLESS lliE CITY CF CARLS8',ll AGAINST ALL LI/>BILJTIES, JI.DGMENTS, ODSTSAND EXPENSES WHICH MAY ti ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE O'lliE GRANTING OF llilS PERMIT. OSHA AA OSHAperml Is """lied !>r exta'al9-"'-W deep and deiooltlon orconslrucllon of structures°"" 3 sllries kl ~t EXP1RATON: Ewfy pennl -by Ille under Ille pro,isklns of tho Code shall 0ll!lhl by imltl!liln and become nul and Y<J«j I Ille bu~ or v.ak aulholizlld by such pennl Is not commena!d wlhn 100days tom the dale of such pennior I aul'<lrl2!ld by such pennl ls suspended orabanda'ed at"1)'ti"" aflerthev.ak i; commenced bra period of 100days (Secfun 106.4.41.Jnil:mn E<Ji<lng Code). DATE Inspection List Permit#: CB152717 Type: COGEN PHOTO Date ln_s_p_e_ction Item Inspector Act 08/25/2015 35 Photo Voltaic (PV) RI 08/25/2015 35 Photo Voltaic (PV) AEK AP 08/25/2015 39 Final Electrical RI 08/25/2015 39 Final Electrical AEK Fl Wednesday,August26.2015 SERRANO: PHOTO VOLTAIC 34 MODULES, 9.01 KW, ROOF/FLUSH MO Comments AM PLEASE AM PLEASE Page 1 of 1