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Home My WebLink About1854 Lilac Ct; ; CBR2019-1640; PermitPrint Date: 08/08/2019 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1854 Lilac Ct BLDG-Residential 2155211100 $ 12,400.00 Residential Permit Work Class: Cogen Lot#: Reference #: Construction Type Bathrooms: Orig. Plan Check #: Plan Check #: Description: WITHDRAWN BY APPLICANT FEE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Owner: OWNER SZYMANSKI JOELLE M 1854 Lilac CARLSBAD 92011 Total Fees: $ 243.28 Total Payments To Date : $ 0.00 Ccityof Carlsbad Permit No: CBR2019-1640 Status: Applied: Issued: Permit Fina led: Inspector: Final Inspection: Contractor: Closed -Withdrawn 06/25/2019 06/25/2019 AARON WISE OBA COMPLETE SOLAR 3000 Executive Pkwy San Ramon, CA 94583-2342 Balance Due: AMOUNT $141.57 $99.10 $1.00 $1.61 $243.28 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 /exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Building Division 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov \.._ City of c:arlst! a.d RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check Est. 1/r;:due i'C D :1Josit Date Job Address 1854 Lilac Court Suite: APN: 0281391630000 --- CT/Project#: __________ Lot#: ___ Fire Sprinklers: yes/ no Air Conditlonl•g: yes/ no f~[?.IEF D'.:5CRIPTION o,: · ,, ')FtK: Instillation of a 1C J8k~.~~~! __ r,t:1ounted pv sola1 _sy~t_!':2:_. ______ _ □ Addition/New: _____ Living SF, ___ Deck SF, ____ Patio SF, ____ Ga rag" SF Is this to create an Accessory Dwelling Unit? y.,, / No New Fireplace 1 Yes/ No, if yes how many? __ 0 Remodel: SF of affected area -----Is the area a conversio 1 or change of use? Yes/ No O Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ [Z]Solar: 10.98 KW, ~ Modules, Mounted: ~99.~ /Ground, Tilt: Yes /@J RMA: Yes/ (9,, Battery: Yes/~ Panel Upgrade: Yes /1@.g:, 0 Reroof: ____________________________________ _ D Plumbing/Mecha 1ical/Electrical Only: 0 Other: ------------------------------------------ •.'I'll Ci\/'IT (PRIMARY) Name: Ernesto Enrique2 Address: 3000 Executiv,, Pkwy #504 City: San Ramon State:~Zip: 944C_4 __ Phone: 6502044336 Email: permits@complelesolar.com !JI'; IGN :>c,OFESSIONAI Name: _______________ _ Address: _____________ _ City: ______ _ State: ___ Zip: ___ _ Phone: _________________ _ Email: _________________ _ Architect State License __________ _ PP.0 'ERTY OWNE t Name: Joelle Szymanski Address: 1854 Lil"c Court City: 1854 Lilac Court Phone: 76081401f9 Email: Jodszy@ya1oo.com CONTRACTOR 811: f[SS Name: Aaron Wi~ e State: CA _Zip: _92_0_1_1 __ _ Address: 3000 E,ecutive Pkwy #504 City: San Ramon State:~Zlp: _9_4_40_4 ____ _ Phone: 6502044:136 Email: permits@:ompletesolar.com State License: 9E 1988 Bus. Licens,,:Jsl-.9"::, \1}:\, ~ '; (Sec. 7031.S Business and ProfessiOns Code. Any City or County whii h requires a permit to construct, al:er, improve, demohsh or repair an,· structure, prior to its issuance, also requires the applicant for such permit to file a signed ;tatement that he/she 1s licensed p mu.int to the provisions of the Cortractor's l•cense Law {Chapter 9, commending with Section 7000 of Div1sIon 3 of the 8usi11ess and Professions Code) or that he/she is el!empt therefrom, and th1• basis for the alleged e~emption Any violation of Sect on 7031.5 by any applicant for a permit sub1ects the applicant to a ctvi penalty of not more than live hunc red dollars {$500)). 1635 Faraday Ave Carlsl>ad, CA 92008 Ph: 760-602-2719 Fax: 760·602-8558 Email: Building_@carlsbadca.gov 8·1 Page 1 of 2 Rev. 03/18 , :PTIO,'IA):WORKEll!. ::~,,y1nn;,~TIONDECLd .,',LJN: I hearby affirm under penalty of perjury f2!!£.. of the fol owing dee/orations: □ I have and will maintain a certificate of consent to self.insure fo workers' compensation provided ty Section 3700 of the Labor Code, for the performance of the work which !his permit is issued. 1!!11 have and will maintain wor<er's compensat1on, as required by >ect1on 3700 of the Labor Code, for the performance of the work for wl1ich thi~ permit is issued. My workers' compensation insurance earner and policy number ar i: Insurance Company Name: .!.,-="'=~c.:;"=~=-=••=w='='='":=.:c=•;_ ____________ _ Policy No. we 04101ao2 CA Expiratior, Date: c'c"c'c"c":.... _______ _ □ Certificate of Exemption: I Cf rt1fy that in the performance of the work for which this permit Is issuec, I shall not employ any perrnn ln ;111y manner so as to be come subJect to the workers' compensation Laws of Cahforn1a. WARNINlj: Failure to secure workers compensation coverage Is unlawful, and shall subject an employer to crtm1nal penalties and civil f1n1 sup to $100,000.00, in addition th? to t~f compensation, dart ages as provided for in Section 37C 6 of the Labor Code, ~::::::rn~ £-f ? / BM~ Mn, &17/19 : OPTIO'! B ): OWNER-~, -!;_s'l_Q,,CLARATION: I hereby affirm that I om ~xempt from Contractor's Lilense Low for rhe following rf1oson: □ 1, as owner of the property o· my employees with wages as the11 sole compensation, will do the work and the structure Is not intended )r offered for sale (Sec 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of pro~ erty who builds or improves thereon, and who does such work himself or through his own emi-loyees. provided that such Improve1ients are net intended or offered lor sale. If, however, the bulldmg or improvement Is sold within one year of completion, the ow,er•bwlder will have the burden of :>roving that he did not build or improve for the purpose of sale). □ I, as owner of the property, ;i m eKclus1vely contracting with licer sed contractors to construct the project (Sec 7044, Business and Profe ;sions Code The Contractor's License Law does rot apply to an owner of property w10 builds or Improves thereon, and contracts for such projects with cor tractor(s) licensed pursuant to the Contractor's License Law). □ I am eKempt under Section _______ Business and Professions Code for this reason: 1. I personally plan to provide the maJor labor and matenafs for cor struction of the proposed property improvement □ YM □ No I (have/ have not) signed an ,tppl1cat1on for a bultdin,g permit for the proposed work. I have contracted with the following person {firm) to provide the proposed comtruclion (include nane address/ phone/ contractors' hrense number) 4 ! plan to provide portions of the work, bu! 1 have hired the foUov.mg person to coordmate, supervise and provide the maJor work (mclucie name/ address/ phone/ contractors' license number)· S. I will provide some of the wo, k, but! have contracted (hired) the following persons to provide the w,irk ind,cated {include name/ address/ phone/ type of work): OWNER SIGNATURE: __________________ □AGENT DATE: :,:, ~STIHJCTION LENDIN :\GENCI, IF ANY: I hereby affirm that there Is a ccnstruction lending agency for the p?rformance of the work this permit Is ,ssued {Sec. 3097 (i) C1v1I Code). Lender's Name:_____ _________ Lender's Address: ; ll'LY co1,,1PLETE THE FC C1 NING SECTION FOR 1 ·1 t'··RESllll,NTIAL BUil[~ . __ iERl1!:H ONLY: Is the applicant or future building occupant required to submit a bu ;tness plan, acutely hazardous materials registration form or risk manaI:ernen1 and prevention program under Sections 25505, 25533 or 25534 of the Presley•Tanrer Hazardous Substance Account Art? □ Ves □ No Is tht> applicant or future buildmg occupant required to obtain a permit from the air pollution control d1str1cl or air quality management diitrict' O Ves □ No ts the facility to be constructed 1vith1n 1,000 feet of the outer bounclary of a school site? □ Ves C No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE c»' OCCUFANCY MAY NOT BE ISSUED UNLES!, THE APPLICANT HAS MET OR IS MEETING Tl-IE REQUIREMENTS OF THE OFFICE or EMERGENCY SERVICES AND TH£ AIR POLLUTION CONTROL DISTRl:T. ,:E!"LICA,,fT CERTIFICATIJ I certify that I have read the app icat1on and state that the above inlormat1on is correct and that the mf1rmat1on on the plans Is accurate. I agree to comply with all City ordinances and State laws r,!lat1ng to building construction. I hereby authorize representative ,if the City of Carlsbad to enter upon t ,e above mentioned property for ins~ectI011 purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND l<EEP HARMLESS THE CITY OF CARLSBACI AGAINST ALL LIABILITIES, JUDGMEN'"S, COSTS ANO EXPENSES WHICH MA" IN ANV WAV ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.CSHA: An OSHA permit is required for ,~Kcavations over S'O' deep and demolition or construction of structures oveI· 3 stories ,n height. EXPIRATION Every permit issued by the Building Official under the provisions of this Code shall exp11e by limit,1tion and become null and void if the I,u1ld1ng or work authorl1ed by such permit rs not commenced Ni thin 180 da~ from the date of sue~ permit or_if t~u11dmg or work authomed by such permit is suspended 01 abando,ied at any time after the work is commenced for a penod of 180 da io 06.4.4 L!!)fi:irm B !lc!ing Code). APPLICANT SIGNATURE: 1635 Faraday Ave Carlsbad, CA 92008 B-1 DATE: 6117119 Ph: 760jl -2719 Fax: 760-GOJh Email: 8uilding@1,arlsbadca.gov Page 2 of 2 / Rev. 03/18 CoM~ BCJ\e:r ~oCA)J \\lu-.-k w'C~~ ~+ (~lL 2.0\9-C&tto. lh~tc'S \ \a ~ I ; -'S O 8 2Di9 )