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Home My WebLink About2267 Camino Robledo; ; CBR2017-1665; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 07/26/2017 Residential Permit Permit No: CBR2017-1665 www.carlsbadca.gov Job Address:2267 Camino Robledo Permit Type:BLDG-Residential Work Class:Cogen Status:Closed -Finaled Parcel No:2552726700 Lot #:Applied:07/21/2017 Valuation:$4,800.00 Reference #:Issued:07/21/2017 Occupancy Group:Construction Type:Finaled: # Dwelling Units:Bathrooms:Inspector: Bedrooms:Orig. Plan Check #: Plan Check #: Project Title: Description:OSBORN: ROOF MOUNT SOLAR, 3.84KW, 12 MOD, 12 MICRO INVERTERS, NO UPGRADE Owner:Contractor: TRUST OSBORN SHANA S REVOCABLE TRUST AMERICAN ENERGY CONSULTANTS INC 05-10-10 2267 Camino Robledo Po Box 882353 CARLSBAD, CA 92009 SAN DIEGO, CA 92168 760-814-7314 BUILDING PERMIT FEE $2000+$70.61 BUILDING PLAN CHECK FEE (BLDG)$49.43 SB1473 BUILDING STANDARDS FEE $1.00 STRONG MOTION-RESIDENTIAL $0.62 Total Fees:$121.66 Total Payments To Date:$121.66 Balance Due:$0.00 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 APPLYto 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. maimoim. •Plan Check No.(-+-D..01?-(g•4.5."Building Permit Applicationuty of 1635 Faraday Ave., Carlsbad,CA 92008 Est. Value 6 4/g-6o Ph:760.602-2719 Fax:760-602-8558Carlsbademail: buildIng@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date - 7 JOB ADDRESS SUITE#/SPACE#/UNIT#APN ,z.2.4 7 (.1/1 teas i-zo CT/PROJECT #LOT PHASE ##OF UNITS 0 BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:include Square Feet of Affected Area(s) /AYA L44 te./LOO ir .61.1/4/./1-341 oz.3 /h0-4 61.44-,s 4 4/4 ///4 re-e /A/1/C/Ljt/2 G9alvilig-e_7-4 6 .(r"tI4 J P EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)' FIREPLACE 'AIR CONDITIONING FIRE SPRINKLERS YES #NO YES 0 NO 10 YES 0 NO APPLICANT NAME (Primary Contact) PROPERMkIt/17(<./c44/oseta icAl ADDRESS si/c.ADDRESS sr.447442_/Ze ea).07?-ir 7 6?"77?)444 ifel0 46(J e CITIr&TATE for1147 CITY v STATE,.ZIP.NA/ocfrs 04 cpy Vali" FAX PHONE FAXH°Ni f /e,r7 41,7SO k -7Stei EMAIL EMAIL . S X.0mi ajesik_A/g7/7.9.DESIGN PROFESSIONAL NAME CONTRACTOR BUS. NAME IfEr ADDRESS ADDRESS 4 S n "ply CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL STATE LIC.#STATELI:ye:v/47"z CITY BUS. i Pp)) (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, commending with Section 7000 of Division 3 of theBusiness 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 Workers' Compensation Declaration:I hereby affirm under penalty of perjury one ofthe following declarations:o 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. I have and will maintain workers'ompensatiprvs r uir tlgsction 370.Q.of the Labor CIVAILfoezance of the work for whi;h thjs permit is issued. My workers' compensation ins ce ca r;•.policy number are: Insurance Co.44.1 4 z4.4•20 Expiration Date ///J. This section need not be completed if the permit is for one hundred dollars ($100) or less. 71 Certificate of Exemption:I certify that in the performance of ork for which this pe f 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' compe i coverage is unla ..07and shall subject an employer to criminal penalties and civil fines up to one hundred th.sand dollars (&100,000), in addition to the cost of compensation, damages as pro or i.••he Labor code, interest and attorney's fees.-09"• ..e!SCONTRACTOR SIGNATURE rdoillr'AP'['AGENT DATE • •.OWirkNER -BUIL OErc DECLARA(ION I hereby affirm that1am exempt from Contractor's License Law for the following reason: O I,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 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). O I,as owner of the property, am exclusively contracting with licensed contractors to construct 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 for such projects with contractor(s) licensed pursuant to the Contractor's License Law). O I am exempt under Section Business and Professions Code for this reason: 1.I personally plan to provide the major labor and materials for construction of the proposed property improvement.0 Yes 0 No 2.I (have I have not) signed an application for a building permit for the proposed work. 3.I have contracted with the following person (firm) to provide the proposed construction (include name address / phone /contractors' license number): 4.I 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 I phone I contractors' license number): 5.I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone /type of work): AKPROPERTYOWNER SIGNATURE °AGENT DATE •• COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan utely hazardous materials registration form or risk management and prevention program der Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?0 Yes L o Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air qu management district?0 Yes o Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?D Yes iMo 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. CONSTRUCTION LENDING AGENCY 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). Lenders Name Lenders Address APPLICANT CERTIFICATION Icertify thatIhave read the application and state that the above information is correct and that the information on the plans isaccurat.I agree to comply with all City ordinances and State laws relating to 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 CITYINCONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5D' deep and demolition or constructionofstructu 3 stories in height EXPIRATION: Every permit issued by the Building Official under the provis'of this Code shall expire •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 auth 'uch permit is suspend andoned at any time after the work is commenced for a pe 'of180 days (Section 106.4.4 Uniform Building Code). ,0dAPPLICANT'S SIGNATURE DATE '7 f PERMIT INSPECTION HISTORY REPORT (CBR2017-1665) Permit Type:BLDG-Residential Application Date:07/21/2017 Owner:TRUST OSBORN SHANA S REVOCABLE TRUST 05-10-10 Work Class:Cogen Issue Date:07/21/2017 Subdivision:CARLSBAD TCT#88-03-02 UNIT#02 Status:Closed -Finaled Expiration Date:01/22/2018 Address:2267 Camino Robledo Carlsbad, CA 92009-9346 IVR Number:5193 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 07/26/2017 07/26/2017 BLDG-35 Solar 029740-2017 Passed Chris Renfro Complete Panel Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Final 029739-2017 Passed Chris Renfro Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes July 26, 2017 Page 1 of 1