HomeMy WebLinkAbout1882 BLACK MUSTARD LN; ; CB122549; Permit11-29-2012
Job Address
Permit Type
Parcel No
Valuation
Occupancy Group
Project Title
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Cogeneration Permit Permit No CB122549
Building Inspection Request Line (760) 602-2725
1882 BLACK MUSTARD LN CBAD
COGEN Sub Type PHOTO
2150507300 Lot# 18
$3,200 00 Constuction Type NEW
Reference* CT040008
CBAD LA COSTA COLLECTION-PHS 2
PHOTOVOLTAIC SYSTEM- 8 ROOF MOUNTED MODULES
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
Plan Check #
ISSUED
11/29/2012
JMA
11/29/2012
11/29/2012
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 BIdg 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 A
Date
OVAL
/5 Clearance
NOTICE Please take NOTICE that approval of your project inciudes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter ojllectively
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 infomiation with the City Manager for
processing in accordance with Carlsbad Ivlunicipal 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 heret)y FURTHER NOTIFIED that your nght to protest the speafied fees/exactions DOES NOT APPLY to water and sewer connection fees and capaaty
changes, nor planning, zoning, grading or other similar applicaton 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 Ihis. or as to which the statute of limitations has oreviouslv othenwise expired
THE FOLLOWING APPROVALS REQUIRED PRIQB TO PERMIOSSUANCE: • PLANNIS<I@ • ENGIN^ING
Building Permit Application
1635 Faraday Ave , Carlsbad, CA 92008
Ph 760-602-2719 Fax 760-602-8558
email building@cartsbadca gov
www carlsbadca gov
Plan Check No. 2^'^^
Est. Value
Plan Ck. Deposit
Date SWPPP
JOB ADDRESS
ct/{>ROjetT#
Black Mustard Ln
# OF UNrrs IB BEDROOMS
SUITEf/SPACEf/UNrri
fl BATHROOMS
215 050 73
TENANT BUSINESS NAME CGNSftf TYPE
040008
tart Fwt
PHASE#
DESCRIPTION OF WORK Include Squari Fiet of Affected Areafa)
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
If EXISTING USE
residential
PROPOSED USE
residential
GARAGE (SF) PATIOS (SF) DECKS (SF) RREPLACE
YES[~~|if NCj I
AIR CONDITIONING
YES I [NO I I
FIRE SPRINKLERS
APPLICANT NAME (Primary Contact) Justine Maedl APPUCANTNAME (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 EMAIL
PROPERTY OWNER NAME City Ventures CONTRACTOR 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/DESIGNER NAME & ADDRESS STATE ua # STATE UC # 960715 CLASS
B, C-10
CITY BUS LIC # ,
(Sec 70315 Business and Professions CcxJe Any or County which requires a permit to construcL 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 Iicensed pursuant lo the provisions of the Contractors Ucense Law (Chapters commending with Section 7000 of Division 3 of the Business and Professions Codei or that he is exempt Uierefrom, and the basis for the alleged exemption Any violation of Section 70315 by any applicantror a permit subjects the applicant to a CMl penalty of not more than five hundred dollars ($500))
Wotlters' Compensation Declaration / hereby affinn under penalty ofpei]ury one of the ^wing dedartitions aI have and will maintain a certificate of consent to self-Insure for worliers' compensation as pronded by Section 3700 of the Labor Code, for tfie performance of ttie woric for whicti this perniit is issued
I have and Kill malntJdn «forkers' compensation, as required by Secton 3700 of the Labor Code for the perfonnance of the wort fer wtich this pennit is issued My workefs compensation insuraice earner and policy
numberare InsuranceCo State CompenSatlOn InSUraOCe Fund p^^Nn 0502455-2011 ExpiratlonDale_ 3-1-13
The sectxm need not be completed if the pennit is for one hundred dollars (S100) or less
Fj Certificate of Exemption 1 certify that in the perfomiance of the wort fer which this perniit is issued 1 shall not employ any person in any manner so as to become subject to the Worlcers Compensaoon Laws of
Caliromia WARMNQ Failure to secure workers' compensation coverage is unlawful, ^d shall subject an employer to criminal penalties and dvil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damag^^ provided for in Section 37Q6 of the Labor code. Interest and attomey's fees
^CONTRACTORSIGNATURE , QAGEHT DATE
one nunared tnousana ooiiars [i
///z r// ^
® C27 [O•SG^p0^^^ aa ® s Djs eg ft £i B £i Q ® CD
/ /lereby that \ am exempt ihyn Corrirscfor's Ijcer?se Law frx the fo&mng reason
I I 1, as owner of the properly or my employees with wages as their sole compensation, will do the wort and the slmcture is not intended or offered for sale (Sec 7044, Busmess and Professions Code The Coilractor's
License Law does nol apply to an owner of prciperty who buiUs or improves thereon, and who (fees such wort h^ his own employees, provided 6iat such improvements are not Intended or offered 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 I 1. as owner of the property, am exclusively contracting with iicensed conlractore to construct Ihe [wojecl (Sec 7044, Business and Professions Code The Contractor s License Law does not apply to an owner of
propwty who buflcis or improves thereon, and contracls for such projects with conlractor(s) licensed pursuant (o the Contractor's License Law)
[ [ 1 am exempt under Seclion Business and Professions Code fer this reason
1 I pereonally plan » provide Ihe labor and inatenals fer axistriKSHxi of Ihe pnsposed property impr^ | ffes \ fio
2 1 {have / have not) signed an application for a building pennit fer Ihe proposed wort
3 1 have contracted with the fcrilowing person (firm) lo provide Ihe proposed constnxbon (Include name address / phone / contractors' license number)
4 1 plan to provide portions of the work, but i have hired the feikiwlng person to coordinate, supervise and provkle the major wort (include name / address / phone / contractors Iteense number)
5 I will provUe some of Ihe wort, but I have contracted (hired) the foUowing persons lo provide the wort indicated (Include name / address / phone / type of wort)
PROPERTY OWNER SIGNATURE QvGEf^T OATE
Inspection List
Permit# CB122549 Type COGEN PHOTO
Date Inspection Item
05/20/2013 35 Photo Voltaic (PV)
05/20/2013 35 Photo Voltaic (PV)
05/20/2013 39 Final Electrical
05/20/2013 39 Final Eiectncal
Inspector Act
Rl
MC AP
Rl
MC Fl
CBAD LA COSTA COLLECTION-PHS 2
PHOTOVOLTAIC SYSTEM- 8 ROOF MOUN
Comments
PER PLAN
CALLED IN TO KIM
Tuesday, May 21, 2013 Page 1 of 1