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Home My WebLink About2289 MASTERS RD; ; CB153715; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-29-2015 Cogeneration Permit Permit No:CB153715 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 2289 MASTERS RD CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: 2121401500 $6,400.00 SLOVAK RES-PHOTOVOLTAIC SYSTEM Status: ISSUED Applied: 10/29/2015 Entered By: RMA Plan Approved: 10/29/2015 Issued: 10/29/2015 Inspect Area: Plan Check #: 16 ROOF/FLUSH MOUNTED MODULES-4.4 KW-NO ELECT PANEL UPGRADE-NO RMA Applicant: THE GREEN STORE INC OBA GR8 ENERGY STE 181 1611-A S MELROSE DR VISTA CA 92081 760 428-9733 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $87.98 $0.00 $61.59 $0.00 $0.00 $1.00 $1.00 Owner: SLOVAK JEFF 2289 MASTERS RD CARLSBAD CA 92008 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $151.57 Total Payments To Date: $151.57 Balance Due: Inspector: FINAL APPROVAL Date: I(-/~-/~ ' Clearance: $0.00 $0.00 $0.00 $0.00 $151.57 $0.00 t'DllCE: Aease ta<e t'DllCE Iha~ ci \W' ptject irdLdes tre "lrrµEtioi' cifees, dedcaicr,s, reseMEO'\S, er ether e><a:licrs -cdlecti-,,Jy referrej to as 1ees'e><a:licrs." Yoo ha.e 00 days fromtt-e-tlis ~t v.as iss.al to prctest inµ,;ticn ci trese fees'e><a:licrs. If yru prctest tt-em yru rrust fdlo,,,tre prctest ~ sa lath in Q>/errmrt Qxle Secticn 6002J(a), a'd file tt-e prctest a'd any ether req..ired irtarraicn v..ith tt-e Qty~ fer IJO(llSSirg in amda cev..ith Qrlsl::oo M.ridJB Qxle Secticn 3.32.030. FalLretotirrelyfdloivtha JJOOS(irev..ill lH any~ lega idcntoatta:k, re.iie-N, set cSOO, \dd, a clTU tter irtµ)Sitim Yoo ere reret,; FLR11-ER t'DllFISJ that \W' rigt to prctest 1t-e sp>::ifia:I fees'e><a:licrs DCES NJr PPR_ Y to ..ta" a'd seta wredicn fees a'd ~ty ct,;rges, ra ~aTirg, mng gmrg er ether sinila-,wicaicn IJO(llSSirg er moe fees in wredicn v..ith tlis ptject. I'm DCES IT PPR_ Y to any 'ch 'rusi a · ·Ia-totti to e has · · THE FOLLOWING AfPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING { City of Carlsbad JOB ADDRESS 2 '2.ff Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.car1sbadca.gov SUITEf/SPACEt/UNI □BUILDING □FIRE Plan Check No. Est. Value C, Lf(l CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) fl.£ s·, I ,uvr ,,,,.,,_ (2... ei o ~ f/7o v tv / ~ I L-'1-olL ,1""' j / I /IJ l/,i_/1-r l'e.fl-. 5oLIIJ4',-Pfi"VJtv(,-5 Ol-~V\A EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) , DECKS {SF) APPLICANT NAME PROPERTY OWNER Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY STATE ZIP PHONE FAA EMAIL STATE LIC. # FIREPLACE YES[), AIR CONDITIONING YES □No □ FIRE SPRINKLERS YES□No□ (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to_ construct, al er, improve, demolish or repair any_ structure, prior to its issuance, also requires the applicant for such per_mIt to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law fChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$5001). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one ofth/3 following declaraUons: D I have and will maintain a certificate of consent to self-insure for mrkers' 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' co pensaUon, as reau!,_red bv Se,tio 3700 of the Labor Code, for the pertormance of wo fa ich t · oerm!js issued. My workers' compensation insura · r / number are: Insurance Co, __ _f_iJ-:qU-"_i.:,___).~!L,'IJ'!,l'Q ('_ _______ Policy No. --'1-L,1--.,,t.:....,'--,~,;1.'-----Expiration Date -+./----1'-4''4--l'--'-_L- ~section need not be completed if I rmit is for one hundred dollars ($100) or less. U Certificate of Exemption: I certify that in the pertormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation co erage is unlawful, and shall subject an employer to criminal penalties and clvil fines up to one hundred thou and dollars ( 100,000), In addition to the cost of compensation, damages a fo ·n on 3706 of the labor code, Interest and attorney's fees. ,6$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ 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). 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) 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 Oves ONo 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 piovide the proposed construction (include name address I phone I 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 I address I phone I oontractora' license number): 5. I will provide some of the work, but I have contracted {hired) the following persons to provide 1he work indicated (include name/ address I phone I type of work): .85 PROPERTY OWNER 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, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acr? Yes No Is the applicant or future building occupant required to obtain 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 outer boundary of a school site? Yes No 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 1s a construction lending agency for the performance of the work this perrml 1s issued (Sec 3097 (I) C1v1I Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the abo\18 information is oorrect and that the Information on the plans Is accurata I agree to comply with all City ordinances and State laYoS relating 1D building construction. I hereby authorize representative of the City of Car1sbad to enter up::in the aOOve mentioned property tir insr:ecfion purp:,ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBA.0 AGAINST ALL U/>lllLITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA hi OSHA pennlt is requred for excavations over 5'0' deep and demolition or ronstruction of structures oyer 3 stories in height. EXPIRATION: Every permit issued by the Building Offdal under the provisKms of this Code shall expire by limitalioo and berome null and void ff the buik:ling orWJri< authorized by such permit is notoommenced 'Mlhin 180 days from the date of such permit or if the buildhg orWJri< authorized by such permit is suspended or abandoned at any time after the WJri< is oommenced for a period of 180 days (Section 106.4.4 Uniform Building Code) _,1$ 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 building@carlsbadca.gov or Mail the completed fom1 to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPllONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. :1.) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE ASSOCIATEDCB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP ' . Inspection List Pennit#: CB153715 Type: COGEN PHOTO Date __ Inspection Item _____ Inspector Act 11/09/2015 35 Photo Voltaic (PV) RI 11/09/2015 35 Photo Voltaic (PV) PB AP 11/09/2015 39 Final Electrical RI 11/09/2015 39 Final Electrical PB AP Thursday. November 12. 2015 SLOVAK RES-PHOTOVOLTAIC SYSTEM 16 ROOF/FLUSH MOUNTED MODULES-4. 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