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Home My WebLink About2200 CHESTNUT AVE; ; CB154027; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-19-2015 Cogeneration Permit Permit No:CB154027 Building Inspection Request Line (760) 602-2725 Job Address: 2200 CHESTNUT AV CBAD Permit Type: COGEN Sub Type: PHOTO Status: ISSUED Parcel No: 1670703200 Lot #: 0 Applied: 11/19/2015 Valuation: $9,200.00 Constuction Type: NEW Entered By: JMA Occupancy Group: Reference #: Plan Approved: 11/19/2015 Issued: 11/19/2015 Inspect Area: Plan Check #: Project Title: KULCHAR: 23 ROOF MOUNT PV PANE Applicant: Owner: MAUZY MECHANICAL KULCHARJOSEPH R&MARYAM 1551 N CUYAMACA 2200 CHESTNUT AVE EL CAJON CA 92020 CARLSBAD CA 92008 619 583 9545 Building Permit $114.59 PLUMBING TOTAL $0.00 Add'I Building Permit Fee $0.00 ELECTRICAL TOTAL $0.00 Plan Check $80.21 MECHANICAL TOTAL $0.00 Add1 Plan Check Fee $0.00 Additional Fees $0.00 Plan Check Discount $0.00 Strong Motion Fee $1.20 Green Bldg Stands (SB1473) Fee $1.00 TOTAL PERMIT FEES $197.00 Total Fees: $197.00 Total Payments To Date: $197.00 Balance Due: $0.00 FINAL APP PVAL Inspector: Date: %l� Clearance: NOTICE: Rease take NOTICE that appiud of your pged includes the "Imposition" d fees, dedications, reservations, or other exactions hereafter collectively referred to as' fees/exactiors." You have 90 days from the date this permit vas issued to protest inposition of these fees/exactions. If you protest them, you must follow the protest prooedres set forth in Gme-r rent Code Section 66020(a), "file the protest and any other Wired irfarrriatim vuth the aty KA31 r for processing in accordance Wth Carlsbad Mrrdpal Code Section 3.32030. Failure to timely follow that procedure vall bar any subsecluert legal action to attack, review, set aside, void, or arrxi their imposition. You are hereby FURn-ER NOTI RED that your right to protest the specified fees/exactions DCES NOT APPLY to water and seAer connection fees and capacity charxes, na- pla-ring, zoning, grading or other srrilar application processing or service fees in ccrriection with this prnjed. NOR DOES ITAPPLY to any THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING DENGINEERING OBUILDING E31FIRE OHEALTH DHAZMATIAPCD { Building Permit Application Plan Check No. C-3 13. o 27 City `j �f 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value .7Ph: 760-602-2719 Fax: 760-602-8558 email: building@carisbadca.gov Plan Ck. Deposit Cailsbad www.carisbadca.gov Date SWPPP JOB ADDRESS 2�ar� Coe�f AV& SUITE#/SPACE#/UNIT# .� APN - - - CVPROJECT # LOT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) � +►��- oocl,,-e yn�L-�� by EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING J `� YES❑# NO[:]1 YES �NO IFIRESPRINKLERS YES NO❑ APPLICANT NAME /� Primary Contact ck u '1 , ( -V�I PROPERTY OWNER Jd5 e0 i.�'C t M ` -IkOl ADDRESS qVil 3a-<c_� LJZ— ADDRESS aaac> v, CITY rr �t G Gi STATE ZIP j r7. CJ cv c STATE `r `J IP , Zry PHONE7D �c(5-- 91 I� IfO FAX PHONE z o 5�7--3049 FAX E AIL rv1(_c>rAe_li iv7) EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME C.t.1Z �- IniC� ADDRESS ` ADDRE C/ r/ 3onct f U e- CITY STATE ZIP CIS . STATE ZIP - PHONE FAX PHONE FAX EMAIL EMAIL i 1l Z , STATE LIC. # STATE LIC.# CLASS CITY BUS. LIC.# - t 3 11`j (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, commend ingwith 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:) hereby affirm under penalty of perjury one of the following declarations: ❑ I have 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. 1 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. lr S Policy No. C. fa 6 ig C* Expiration Date This section need not be completed if the pe mit 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 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, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. A5 CONTRACTOR SIGNATURE AGENT DATE f I hereby affirm that I am exempt from Contractor's License Law for the following reason: ElI, as owner of the property or my employees with wages as their sole 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 or offered for . 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 exc usw 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 s cts with contractor(s) licensed pursuant to the Contractor's License Law). ❑ I am exempt under Section Business and Professions Code for on: 1. 1 personally plan to provide the major labor and materials for construction of the propose rty 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 / p / 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 include name I address / phone I contractors' license number): 5. 1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / a / phone / type of work): )KPROPERTY OWNER SIGNATURE AGENT DATE Is the applicant or future building occupan wired 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 Accoun t? Yes No Is the applicant or future building occupant require btain 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 ou undary of a school site? Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICA 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 CT. I hereby affirm that the a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lenders Address I certifythat I have read the application and state thatthe above information is correctand thatthe information on the plans is accurate. I agree to complywith all Cityordinances and State laws relatingto 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 shall 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 building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Cade). APPLICANT'S SIGNATURE, DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buildlnq@CarlsbadCa.gOV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. r0#: (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 CB# 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 A!5APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB154027 Type: COGEN PHOTO KULCHAR: 23 ROOF MOUNT PV PANE Date Inspection Item Inspector Act Comments 12/01/2015 35 Photo Voltaic (PV) - RI 12/01/2015 35 Photo Voltaic (PV) AEK AP 12/01/2015 39 Final Electrical - RI 12/01/2015 39 Final Electrical AEK FI Tuesday, December 01, 2015 Page 1 of 1