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Home My WebLink About184 CHESTNUT AVE; ; CB152926; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-09-2015 Cogeneration Permit Permit No:CB152926 Building Inspection Request Line (760) 602-2725 Job Address: 184 CHESTNUT AV CBAD Permit Type: COGEN Sub Type: PHOTO Status: ISSUED Parcel No: 2041221300 Lot #: 0 Applied: 09/09/2015 Valuation: $4,000.00 Constuction Type: NEW Entered By: JMA Occupancy Group: Reference #: Plan Approved: 09/09/2015 Issued: 09/09/2015 Inspect Area: Plan Check #: Project Title: MARCY: 10 ROOF MOUNT PV Applicant: Owner: SEMPER SOLARIS MARCY AARON&DIANE 1998 FAMILY TRUST 1637 TIERRA MONTANOSA 184 CHESTNUT AVE ALPINE CA 91901-2939 CARLSBAD CA 92008 619-341-3414 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 A PROVAL Inspector: Date: Clearance: NCTICE Please take NCJfIC E that approval of yo r project includes the "Imposition„ of fees, deoiications, rese vations, or other exactions hereafter collectively referred to as' feesdexac ticns." You have 90 days from the date this permit vas issued to protest imposition of these fees/e octions. If you protest them you mist follow the protest procedures sot forth in Co� Code Section 66020(a), and file the protest and any other rKored irfiomriation with the City Manager for processing in aomrdarice with Carlsbad Mricipal Code Section 3.32.030. Failure to timely fdlavthat procedure vtwll bar ary subsequent legal action to attack review, set aside, void, or amyl their imposition. You are hereby FURTHER NCJfI PI ED that your right to protest the specified feestexactiers DOES NOT APPLY to water and sDAer correction fees and rapacity cha Ves, nor planning, zoning, galling or other similar application processing or servioe fees in connection with this project. NOR DOES IT APPLY to any THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: [PLANNING DENGINEERING [BUILDING AFIRE CHEALTH �jHAZMATIAPGD { City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carisbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Date SWppp JOB ADDRESS U+ SUITE#/SPACE#/UNIT# I AM - - - CT/PROJECT # LOT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NA ME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet ofAffected Are (s) I InveYteirz- - Uni ra6, NG USE PROPOSED USE GARAGE (SF) PATIOS (S Z4P YES NO❑ I YES [:]NO[:] I YES ❑NO❑ APPLICANT NAME (T Primary Contact �J 0(/j PRO R OWN ER• ,t , ' ' FV �ih� ADDRESS L/ DAS SSgjE ZIP�� CITY � d S T ZIPo� flFm_ OAIL �E0_0 FAX Vlb J1a &A � AIL DESIGN PROFESSIONAL r CO TOR B . NAME A �`� U4 ADDRESS ADD ESS � � � CITY STATE ZIP CITY STATE ZIP ' PHONE FAX P NF� FAX /4 EMAIL EMAIL STATE LIC. # STATEJrFC.# r- ri ecc — r,Tv one , ,� « (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, commendingwith 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 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)), Workers' Compensation Declaration: 1 hereby affirm under penalty ofpedury one of the following declarations: PEI:ve 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. ve and will maintain workers' mpen ation, as required by SecIi 3700 of the Labor Code, for the performance of the work fo which thisJaarmit is issued. My workers' compensation insurance carrier and policy umber are: Insurance Co. _ Policy No. �` 27 Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less. ❑ 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 wor es' compensation cover 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, da es as of the L code, interest and attorney's fees. / CONTRACTOR SIGNATURE vided o 'n S 3 6 AGENT DATE f 1 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 sale 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 oroffered 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors 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). 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 / address / phone / contractors' license number): 5. 1 will provide some of the work, but I h, a contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): .eSPROPERTY OWNER SIGNATURE I�� j I �C WGENT DATE 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? 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 thatthe information on the plans is accurate. I agree to comptywith all Cityordinances and State laws relating tD 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 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 over 5'0' 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 sh 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 the build' g or work auth zed by such it is s nded or abandoned at any time after the work is commenced for a riod of days (Section 106.4.4 Uniform Building Code). ) APPLICANT'S SIGNATURE DATE �� \ ld STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY (Commercial Projects Only) Fax (760) 602-8560, Email bUllding(Oicarlsbadca.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 --—.---------- 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 A5APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB152926 Type: COGEN PHOTO Date Inspection Item 11/17/2015 35 Photo Voltaic (PV) 11/17/2015 35 Photo Voltaic (PV) 11/17/2015 35 Photo Voltaic (PV) 11/17/2015 39 Final Electrical 11/17/2015 39 Final Electrical 11/17/2015 39 Final Electrical 11/16/2015 39 Final Electrical Inspector Act RI RI PD AP RI RI PD AP PD CA MARCY: 10 ROOF MOUNT PV Comments Tuesday, November 17, 2015 Page 1 of 1