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Home My WebLink About2341 JEFFERS PL; ; CB153583; Permit-,i City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-21-2015 Cogeneration Permit Permit No:CB153583 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 2341 JEFFERS PL CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: 2081615600 $9,600.00 PEREIRA RES-PHOTOVOLTAIC SYSTE Status: ISSUED Applied: 10/21/2015 Entered By: RMA Plan Approved: 10/21/2015 Issued: 10/21/2015 Inspect Area: Plan Check #: 24 ROOF/FLUSH MOUNTED MODULES-7.32 KW-NO ELECT PANEL UPGRADE-NO RMA Applicant: UC PHOTONS 6275 RADCLIFFE DR SAN DIEGO CA 92122 858 750-2300 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 Owner: PEREIRA TREVOR X&JOAN M 2341 JEFFERS PL CARLSBAD CA 92008 $114.59 PLUMBING TOTAL $0.00 ELECTRICAL TOTAL $80.21 MECHANICAL TOTAL $0.00 Additional Fees $0.00 $1.25 $1.00 TOTAL PERMIT FEES Total Fees: $197.05 Total Payments To Date: $197.05 Balance Due: Inspector: Ml Clearance: $0.00 $0.00 $0.00 $0.00 $197.05 $0.00 NOTICE: Aease ta<e N:JTICE ttia ~ cl )OJ fltied irdwes tte "lrrpa;ilai' cl fees, cl3clcoocns, reserv,tjcns, cx ctt-a-exa::1icrs -cdlooivay refared to as '!ees'exa::1icns." Yoo t-al.<l 9J days frantte date ttis pemit was issued to prctest inµisition cl ttese fees'exa::1icrs. If )OJ prctest theYT\ )OJ rru;t fdlONtte prctest ~ set forth in QMairmrt Qxle Sooion l'm2.l(a). a-d file tte prctest a-d a,; ctt-a-req.ired irtmraion wth tte aty ~fer µ=,ssjrg in a:x:crd!rcewth Ga1slal Mridpa Qxle Sooion 3.32.CID. Falu-etotirrayfdlONtha irorectrewll lB" a,;Slbsecµrt lega a:liontoatoo<. l'EMew, set aside, vtid, er aTIJ tter irrpcsiticn Yoo a,, rereby FLRTI-ER N:JTIAED tt-at ;o..r rig,! to prctest tte 'IJEl(Jfied fees'exa::1icrs OCES IIKJf />PFI. Y to""'"' a-d f!liN8: arredion fees a-d c,µdty chrges, ncxJJ,mrg. 20irg, galrgcxctt-a-srrila-~icooon µ=,ssirg crseruoefees in arredion w1httis fltied. t-1'.ROCES IT />PFI.Ytoa,; ·msa er t ("city of Carlsbad JOB ADDRESS 2 '/ CT/PROJECT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760--2719 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www .ca rlsbadca .gov SUITE#/SPACE# # BATHROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 7,3Z. KW (>c. Plan Check No. 15' 3.51 Est. Value Plan Ck. Deposit Date lo WPP S-t5 -00 CONSTR. TYPE OCC. GROUP MWO X 'NEo,/'Mt>£/r)l£5 1/-N'P nv~-Fv(.11(. (2 G-¥1-711/f>E 172ro hu=-1s"r"'1•"'•'"u"s"'•,----------,-.."•"o"PO"s"E"o"u""s"•~---'---'r.G"A"R"A"G"°E""'IS~F;;)::...,",A"T"'1o"s"1,;s"F)..:..;;D;,E~C""K"S""(S1,F,.) -,k,.,,,=,---'--'-,'A"1"R"C;,O"No"1~,,,;o~N~IN"G;<-;;,,,,,1,1!;/,l~~IPCl-,S APPLICANT NAME Prima Contact ADDRESS 62-::J. ~ ;:2.,4 /) CL I PArd STATE PHONEt::2 v'S"B-FAX EMAIL (,IC f> o ro,1.s e t:, "'1 DESIGN PROFESSIONAL NAME ADDRESS CITY STATE PHONE FAX EMAIL NO □ YES □ NOD YES □ NOD PROPERTY OWNER NAME 7~Vo ~ti/€ ZIP ZIP 92-./2.. 92..00 ZIP FAX /1..CoM STATE UC.# (Sec: 7031.5 Business and P_rofessions 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 per_mit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law JChapter 9, commend mg with Section 7000 of D1v1s1on 3 of the Business and Professions Code) or Olathe 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 031.5 by any applicant for a permit subiects 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 of the following declarations· D I have and wlll maintain a certificate of consent to self-insure for workers' compensaHon as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued D I have and will maintain worken;' 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. ____________________ ~ Policy No -------------~ ExpiraUon Date _________ _ "IB!¢tion need not be completed if the permit is for one hundred dollars ($100) or less. Gr Certificate of Exemption: I certify that in the performar,ce 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, AS CONTRACTOR-SIG I hereby affirm that I am exempt from Contractor's Ucense 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 interded or offered for sale (Sec. 7044, Business and Professions Code: The Controc:tor's License Law does not apply to an owner of property who builds or improves thereon, and wllo does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. II, 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 ex.empt 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. □ Yes □ 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 I phone I controc:tors' license number): 4. I plan to provide portions of the work, but I have hired the foliowing person to coordinate, supervise and provide the major work (include name/ address/ 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 I phone I type of work) L 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 Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality manarJement 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 penrnt 1s issued (Sec 3097 {1) C1vtl Code) Lender's Name lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the abcwe Information Is correct and that the lnfonnatlon on the plans Is accurate. I agree to comply \\tth all City oldlnances and Sta1B laws relating to building construction. I hereby authorize representative of the City of Carlsboo to enter upon the alxlve mentioned proparty br ins!X)Ction purp:ises. I Al.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN mi WAY ACCRUE AGAINST SAID Cm' IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: Art OSHA parmit is ra:iuired br excavations over 5'0' deep and demolltbn or construction of structures over 3 stories in he{lht EXPIRATION: Eveiy J:elll1it issued by the &lilding Official under the provisions of this C.ooe shall expire by limitatbn and t:erorne null and -.,:id ~ the building or v.ork authorized by such pem,it is not oommenced 'Mthin 180 days from the date of such pem,it or if the building or oork authorized by such pem,it is susi:ended or abandoned at anytime after the w:irk is commenced bra ,rel'OO of 180 days (Section 100.4.4 Uniform Building C.ooe). ,N$ APPLICANT'S SI DATE -.eo r s-r II '2.. / Inspection List Penn it#: CB153583 Type: COGEN PHOTO PEREIRA RES-PHOTOVOLTAIC SYSTE 24 ROOF/FLUSH MOUNTED MODULES-7. Date _ _ lnspecti<>n Item ___ Inspector Act Comments 11/16/2015 35 Photo Voltaic (PV) RI 11/16/2015 35 Photo Voltaic (PV) AEK AP 11/16/2015 39 Final Electrical RI 11/16/2015 39 Final Electrical AEK Fl Tuesday, November 17, 2015 Page 1 of 1