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Home My WebLink About2313 MASTERS RD; ; CB153104; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 0!il-22-2015 Cogeneration Permit Permit No:CB153104 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2313 MASTERS RD CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: 5B Reference #: Parcel No: Valuation: Occupancy Group: 2121420600 $6,800.00 Project Title: KAPUSHINSKI: 17 ROOF MOUNT PV Applicant: COSMIC SOLAR INC 12717 MIRAR DE VALLE RD VALLEY CENTER CA 92082 760-749-1111 Building Permit Add'\ Building Permit Fee Plan Check Add'\ 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: KAPUSHINSKI RICHARD P 2313 MASTERS RD CARLSBAD CA 92008 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Status: ISSUED Applied: 09/22/2015 Entered By: JMA Plan Approved: 09/22/2015 Issued: 09/22/2015 Inspect Area: Plan Check #: $0.00 $0.00 $0.00 $0.00 $151.57 Total Fees: $151.57 Total Payments To Date: $151.57 Balance Due: $0.00 Inspector: ,S--Clearance: NOTICE: Rease ta<e ri )OJ ;,tject irdldes tte "'lrrµEitiai' ri t= declcalms, ""'31\'aims, a drer eodicm rer,s!er ro\edively referred to as '!eesleodicm."" Yoo h3\e 00 da'ys fnrntte -tlis ;:arrit""' iss.al to ll(test irrµ,sticn ri ttesefeesleodia-.. If yc,J ll(test !ten yc,J rrust fdlootte ll(test p-oc:ed.res set lath in <:o,,armrt QxJe S.C.cn OOJ21J(a), a-.:1 file tte ll(test a-.:1 a,; ctrer req..ired ir1cmalcn v.ith tte Oty Mng,r for ~rg in ax:aderrev,ilh Galsbal Mrid~ QxJe S.C.cn 3.32.lllO. Faluetotirrayfdlo.vtht ~v..ill 1..-aryso..!Jseq.m lega a:ticnto~ re.iie.v, S:t as'de, \Oct, a clTU trar irrp:s'ticn Yoo ere taet,,, FlRJ1-ER NOTIFIED Ira! )OJ rig,t to ll(test tte specified feesleodicm llCES NOf l'l'Fl Y to wa,r alJ ,,,_; a:medicn fees a-.:1 ~ty c:ta-ges, n:r ~arirg, mrg, ga:lrg a drer sm\a-,wicala, ~rg a serAre fees in a:n,edicn v..ilh tlis ;,tjed. i'rn llCES IT l'l'Fl Y to a,; t ri mch a NOTI sml m linillii · · · • THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMrT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD . Cio\5-?:i I (J if · C_cityof Building Permit Application Plan Check No. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 'X"' £.. .R()J> Carlsbad Ph: 760-602-2719 Fax: 760-602-6558 Plan Ck. Deposit ' email: building@carlsbadca.gov www.carlsbadca.gov Date q/21 / ,, [SWPPP JOB ADDRESS 2313 Masters Road SUrTEf/SPA ...... t/UNITI IAPN 212 . 142 . 06 . 00 CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEOROOMS #BATHROOMS I TENANT BUSINESS NAME lCONSTR. TYPE I """· GROUP DESCRIPTION OF WORK: Include Square Feet of All'ected Area(•) (17)Roof Mounted PV Modeule w/ (17) Micro-Inverters. 297.84 Square feet *Flush Mounted* *NO SERVICE UPGRADE* EXISTING USE lPROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE rlR CONDITIONING I FIRE SPRINKLERS SFD v,so, •<0 vesO•oO v,s□No[J APPLICANT NAME Joel Ojeda PROPERTY OWNER NAME Richard Kapushinski --------- ADDRESS ADDRESS 943 Pointsettia Ave. #401 2313 Masters Road CITY STATE ZIP CITY STATE ZIP Vista CA 92081 Carlsbad CA 92008 PHONE IFAX PHONE IFAX 760-404-8217 760-7 49-0886 . . EMAIL EMAIL permits@cosmicsolar.com . .................... CONTRACTOR BUS. NAME Cosmic Solar. Inc. ADDRESS ADDRESS 943 Pointsettia Ave. #401 CITY STATE ZIP CITY STATE ZIP Vista CA 92081 PHONE PHONE I FAX 760-749-1111 IFAX 760-7 49-0886 EMAIL EMAIL Mary@cosmicsolar.com \STATE UC.# STATE UC.# lcC10 C46 lc~;;~';~I 831831 (Sec. 7031.5 Business and Professions Code. Any Crty 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 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 {$5001). WORKERS' COMPENSATION Workn' Compensation Oeclaratlon: I hereby 8ffltm under penalty of perjury one of the followif{J declarations: D I have and will maintain a certificated content to self-Insure for 'M'.>rkers' compensation as provided by Section 3700 of the Lalxlr Code, for the performance of the 'M'.>rk for which this permit Is issued. llJ I have and will maintain workers' compensation, as reQuired bv Section 3700 of the Lalxlr Code, for the performance of the 'M'.>r1r: for which this pennlt is issued. My 'M'.>rkers' compensation insurance canier and policy number are: Insurance Co. State Fund Policy No. 9047550-15 Expiration Date 3/2016 ~section need not be completed lf the permit is for one hundred dollars ($100} or less. l:lJ Certificate of Exemption: I certify that in the performance of the r 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 11curt workers' com II on c 11 unlawful, and shall subject 1n employer to criminal penalties and clvll flnn up to one hundred thousand dollars (&100,000), In addition to the coat of compensation, dam1g11 11 provl f 6 of the Llbor code, Interest and attorney's fees. _g CONTRACTOR SIGNATURE I hereby afflrm that I am exempt from Contractor's License Law for the following reason: O I, as owner of the property or my employees with wages as lhelr sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors 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 n not intended or offered for sale. If, however, the building or Improvement is sold within one yeti of completion, the owner-bullderwlll have the burden of proving that he did not build or Improve for the purpose of sale). D I, as O'M'l8r 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 OWll8f of property who bullds 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 Oo 2. I (have I have not) sigrled an application for a building pennlt for the proposed 'M'.>rk. 3. I have contracted with the following person (firm) to provide the proposed construction (Include name address I phone I oontractors' 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/ phone/ contractors' ticense number): 5. I will provide some of the work, but I have contracted (hired) the fol1owing persons to provide the 'M'.>rk indicated (include name I address I phone/ type of work): _g PROPERTY OWNER SIGNATURE □AGENT CATE • 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 fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-T anoer Hazadous Substance Account Act? □ Yes □ No Is the applicant or future building occupant requiled to obtain a permit from the air pollution control diStrict or air quaflly management d'1sll'icl? □ Yes □ No Is the fa::ility to be constructed within 1,000 feel of lhe outer boul'Klary 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 ANO THE AIR POLLUTION CONTROl DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a oonstruction lending agency for the performance of the work this perm~ 1s issued (Sec 3097 (1) Civil Code) Lender's Name lender's Address APPLICANT CERTIFICATION I oertlfythat I hlwe read the application and slat8 lhattha aix.e lnlormatlon Is COffl:ICtand that the lnfomlatlon on the plans ls80Cll'81e. I agree to comply.tlh all Cl\'oldlnancesand State laws 1'81atq"t> tuldlng oonslructlon. I hen!by aulholize representafMl of lhe Ci1y of Qrlsboj lo enter upon lhe atx,.,, menooned p-operty ilr ilspecfun purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAAMLESS THE CrTY OF CARLSBAD AGAINST AU. LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAJNST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA hi OSHA permit Is required br excavations over 5'0' deep and demolition or construction of slruclures over 3 sbries in height. EXPIRATION·. Ewry permit issued by the &likling . Lnder . s of this Code shaN expre by imitatioo and bEK:ome nul clld ,-,jj if the buitling or 'MJO( aJlhorized by such permit is oot rornmencsd v.tthin 100da),; from lhe date of such pem,lt or llhe bui~ilg such pem,lt osuspended or alm!ored at'"1yline alErlhe""°' • commenoed ilr a period of 100da),; (Secfun 1116.4.4 Uniilrm Buikilg Code) . ..es-APPLICANT'S SIGNATURE DATE q / z , I 1 .-- Inspection List Permit#: CB153104 Type: COGEN PHOTO KAPUSHINSKI: 17 ROOF MOUNT PV Date lnspe.cti.on 1.tem Inspector Act -----------. Comments 12/04/2015 35 Photo Voltaic (PV) RI 12/04/2015 35 Photo Voltaic (PV) PY AP 12/04/2015 39 Final Electrical RI 12/04/2015 39 Final Electrical PY AP 12/03/2015 35 Photo Voltaic (PV) MC CA PER CONTRACTOR. 12/03/2015 39 Final Electrical MC CA Friday, December 04, 2015 Page 1 of 1