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1878 BLACK MUSTARD LN; ; CB122550; Permit
11-29-2012 Job Address Permit Type Parcel No Valuation. Occupancy Group. Project Title City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Cogeneration Permit Permit No:CBl22550 Building Inspection Request Line (760) 602-2725 1878 BLACK MUSTARD LN CBAD COGEN ^ Sub Type PHOTO 215050736©* €U Lot# 18 $3,200 00 Constuction Type NEW Reference #. CT040008 CBAD LA COSTA COLLECTION-PHS 2 PHOTOVOLTAIC SYSTEM- 8 ROOF MOUNTED MODULES Status ISSUED Applied 11/29/2012 Entered By JMA Plan Approved 11/29/2012 Issued 11/29/2012 Inspect Area. Plan Check # PC120048 Applicant MAEDL SOLAR ATTN JUSTINE MAEDL STE 200 1902 WRIGHT PL 92008 760 846-1451 Owner: CITY VENTURES HOMEBUILDING LLC 1900 QUAIL ST NEWPORT BEACH CA 92660 Building Permit $68 07 PLUMBING TOTAL $0 00 Add'l Building Permit Fee $0.00 ELECTRICAL TOTAL $0 00 Plan Check $47 65 MECHANICAL TOTAL $0 00 Add'l Plan Check Fee $59 85 Additional Fees $0 00 Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $0 00 $1 00 $1 00 TOTAL PERMIT FEES $177.57 Total Fees $177 57 Total Payments To Date $177 57 Balance Due: $0.00 Inspector FINAL APPROVAL Date Clearance. NOTICE Please tal<e NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen'ed to as "fees/exactions" You have 90 days from the date this pennit 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 nght 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othenvise expired THE FOLLOWING APPROVALS REQUIRED PRICfflTO PERMIOSSUANCE: Building Permit Application 1635 Faraday Ave , Carlsbad, CA 92008 Ph-760-602-2719 Fax:760-602-8558 email building@carlsbadca.gov www.carlsbadca gov PUNNIig • ENGIN^ING Plan Check No. CifhlZ-2S^ Est. Value W 32CrO Plan Ck. Deposit Pate {\\'7A\{1^ SWPPP JOB ADDRESS CT/PROJECT # Black Mustard Ln. SUrrE«/SPACE«/UNIT« # BATHROOMS 215 - 050 - 73 ,5~0 040008 5t) PHASE# # OF UNITS 3 TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Areafs> Carlsbad 3/La Costa Collection: Master Permit, Tract CT 040008, plan check # PC 120048 1.84 kW solar photovoltaic array, roof mounted on residential condominiums, new construction. EXISTII4G USE residential PROPOSED USE residential GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESj \t N0| I AIR CONDITIONING YES I |NO| I FIRE SPRINKLERS YES[ |NO| I APPLICANT NAME (Primary Contact) Justine Maedl APPLICANT NAME (Secondary Contact) ADDRESS 2123 Industrial Ct, ste.A ADDRESS CITY Vista STATE CA ZIP 92081 CITY STATE ZIP PHONE 760-846-1451 FAX PHONE FAX EMAIL justine@maedl.com EIVIAIL PROPERTY OWNER NAME City Ventures COimACTOR BUS. NAME maedl.solar ADDRESS 2850 Red Hill Ave, ste 200 ADDRESS 2123 Industrial Ct., ste.A CITY Santa Ana STATE CA ZIP 92705 CITY Vista STATE CA ZIP 92081 PHONE FAX PHONE 760-727-7966 FAX 888-363-3652 EMAIL EMAIL info@maedl.com ARCH/OESIGNER NAME & ADDRESS STATE UC# 960715 CLASS B, C-10 CITY BUS LIC# (Sec 70315 Business and Professions Code Any City or County wtiich 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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500}) Workers' Compensation Declaration. / hereby affirm under penalty of perjury one ofthe following dedarsbons SI have and will maintain a certificate of consent to self-insure for wotes' compensation as provided by Section 3700 of the Labor (Me, fbr the pertbmiance of the work for which this perniit is issued I have and will maintain worl(ers' compensation, as required by Section 3700 of the Labor Clode, for the perfonnance of the work for which this permit is issued My workers' compensation insurance camer and policy numberare InsiimnceCo State CompenSatlOn InSUranCB Fund po|,cyNo 0502455-2011 Expiration Date ____JiM3__ Ssection need not be completed if the pennit is for one hundred dollars ($100) or less Certificate of Exemption: I certify that in the performance of the work fbr which this pemiit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of >mia. 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, damageSlbs provided for in Section 3706 of the Labor code, interest and attomey's fees. CONTRACTOR SIGNATURE QAGENT PATE ///Z7//7L / hereby affirm that I am exempt from (kintractor's License Lam for the foltowing reason I I 1, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture 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 fbr sale If, however, {he 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 I 1, as owner of the property, am exclusively contracting with licensed contractors to constnict the project (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 contracts fbr such projects with contractor(s) licensed pursuant to the Contractor's License Law) I I I am exempt under Section Business and Professions (Me for this reason 1 I personally plan to provide the major labor and matenals fbr construction of the proposed property improvement j |Yes | ^io 2 I (have / have not) signed an application for a building perniit for the proposed work. 3 1 have contracted with the (altowing person (fimi)'to provide the proposed constmction (include name address / phone / contractors' license number). 4 1 plan to provide portions of the work, but 1 have hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number): 5 1 will provide some of the work, but 1 have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work) ^eTpROPERTY OWNER SIGNATURE QAGENT DATE Inspection List Permit*: CB122550 Type: COGEN PHOTO Date Inspection Item 06/04/2013 35 Photo Voltaic (PV) Inspector Act Rl 06/04/2013 35 06/04/2013 39 06/04/2013 39 05/20/2013 35 05/20/2013 39 Photo Voltaic (PV) Final Electrical Final Electncal Photo Voltaic (PV) Final Electncal MC MC MC MC AP Rl Fl PA CO CBAD l_A COSTA COLLECTION-PHS 2 PHOTOVOLTAIC SYSTEM- 8 ROOF MOUN Comments PER PLAN CALLED IN TO MONICA Wednesday, June 05, 2013 Page 1 of 1