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Home My WebLink About2411 APPIAN RD; ; CB150519; Permit02-18-2015 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Cogeneration Permit Permit No:CB 150519 Building Inspection Request Line (760) 602-2725 2411 APPIAN RD CBAD COGEN Sub Type: PHOTO Status: ISSUED 1673810200 Lot#: 0 Applied: 02/18/2015 $7,200.00 Constuction Type: NEW Entered By: RMA Reference #: Plan Approved: 02/18/2015 Issued: 02/18/2015 Inspect Area: Plan Check it' HOLLIBAUGH RES-PHOTOVOLTAIC SYSTEM- 18 ROOF/FLUSH MOUNTED MODULES- 4.68 KW, NO ELECT PANEL UPGRADE Applicant: SOLARCITY Owner. HOLLIBAUGH KAREN L TRUST 03-29-06 3055 CLEARVIEW WY SAN MATEO CA 94402 650-759-4658 2411 APPIAN RD CARLSBAD CA 92010 Building Permit $96.55 PLUMBING TOTAL $0.00 Add'l Building Permit Fee $0.00 ELECTRICAL TOTAL $0.00 Plan Check $67.58 MECHANICAL TOTAL $0.00 Add'l Plan Check Fee $0.00 Additional Fees $0.00 Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $0.00 $1.00 $1.00 TOTAL PERMIT FEES $166.13 Total Fees: $166.13 Total Payments To Date: $166.13 Balance Due: $0.00 Inspector: Date: FINAL APPROVAL, JJUJg Clearance: NOTICE: Please take NOTCE thaCapproval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen'ed to as "fees/exactions." 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 Govemment Code Section 66020(a), and file the protest and any other required Information with the City H/lanager 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 APPLY to any fees/exactions of which vou have previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: • PUNNING •ENGINEERING •BUILDING •?«£ nHEALTH • HAZMAT/APCD C City of Carlsbad Builciing Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: bullding@carlsbadca.gov ^ www.carlsbadca.gov Plan Check No. Plan Ck. Deposi Date O^^l g/ZQ)^ SWPPP JOB AODRESS y, , ,, . . ^ . mil AbDicn KO(^d SUnE*/SPACE*/UNIT«^' ' |APN CT/PROJECT # LOT« PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC GROUP OESCRIPnONOFWpRK: ;nc/iidsSQuafanetorAffl>etotfAraa(si rf . in ^ EXISTINO USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESQ# NoQ YES •NO • YES[~1NO|~~| PROPERTY OWNER NAME <^ren Hallibooc^K ADDRESS 1 /• ^ n / ADDRESS ^ . 1,1 il — ,' U iHH Appjrfi^ Ro<\d-CITY p _ •sJsTATE „„ZIP CITY ^ 1 , ' r • • STATE ZIP bkrlshad rft "itoio PHONE "iT PHONE ^ EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME r i /- I Oo/fir 6Au Corp. ADDRESS 3055 C/ecwie>oija,( CITY STATE ZIP CITY /- STATE 7 ZIP PHONE FAX PHONE ^ • . FAX EMAIL EMAIL STATE LIC. # STATE LIC.# _ _ CLASS CITY BUS. LIC.# cioN(, nii^QJs (Sec. 7031.5 Business and Professions Code; Any City or County wtiich 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 ($500)). WORKERS COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one ofthe following declarations: BI have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, fcr the performance of the worit for which this pennit is issued. I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the perfonnance of the wori< for which this oermit is issued. My workers' compensation insurance earner and policy Co Li\>P<^K(\ inSUf(AhC(g Policy No, Expiration Date This section need not be compleled 'if the peimt is for one hundred dollars ($100) or less. number are: Insurance C I I Certificate of Exemption: I certify that in the perfomnance of the worit for which Ihis pemiit is issued, 1 shall not employ any person in any manner so as to become subiect to the Workers' Compensation Laws of lawful, and shaj fths<3S3lvcodi ^fiS* CONTRACTOR SIGNATURE '^l/ly^<'t/%f/\y\y\J^ /n^^\ Califomia, WARNING: Failure to secure workers' compensation coverage is unlawful, and sha^ailiiegt an nmpleyw-to crimiiia[jeiialties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, dajiages as pravided for In Section 3706 oftljirtabdNcode, Interest and attomey's fees. . I DATE OWNEB-BUitDER DECLARATION / hereby affirm that I am sxempl from Confracfor^s Ucense Law for the following reason: I I I. as owner of the property or my employees with wages as their sole compensaticn, vili do ihe work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlractor'a License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through tiis own smployees, provided that such improvements are not intended or offered for sale, 'f, however, 'he ouilding or improvement is sold wilhin one year of completion, 'he owner-tiuilder will have 'he burden of proving 'hal he did not build or -mprove tor !he ouroose of sale). I I , as owner of 'he property, am exclusively contracting /vith .icensed contractors !o constnjct 'he oroiect :Sec, '044. Business ana Professions 'ode, 'he Contractor's jcense Law does not aooly 'o an jwner of oroper*v who builds or improues ihereon, and contracts 'or such oroiects with contrac!or(sl icensed cursuani "o :he Contractor's ucense ._jwi I j • am 9xempi under Section Busmess and Professions Code 'or 'his -eason: cersonally clan o orowde the najor abor and natenais 'or coo'Strjciicn jf he croon.sen jrooefy (ncrovemfini, •]";s | |NC C have. have loti ;igned an application 'or i ouilding cerniit tor he oroposeo wrk, i, lave contracted wlh 'he 'ollowing oerson fimi) 'O orovide 'he oraposed constniction include lame address .ihone, ;omr,3ctors' icense numDerr i clan 0 orovide oortion,c oi :he fork, out lave iired :he 'ollowing jer^on o coordinate, sucepiise and oroviae 'he najor vork inciuae lame, address ' onone contractors icense iLmCiar' 5 • Vlll ornvide iome ii 'he ,vork, 'ii:[ la'/e conrractea 'hiredt he 'ollowing cersons o provide :he vnri< naic-ated inciuae ',ame address ohone 'ype or non*}: PROPER"-' CWNER 5IG.NA;CRE jrtGENT COMPLETE THIS SECTION FOR NOiM-RESIOENTIAL BUILOING PERIVIITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazaidous materials registration form or risk management and prevention program under Sections 2S505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? OYes 13 No Is the applicant or future building occupant required to obtain a permit from ttie air pollution control district or air quality management districr? • Yes Otto Is the facility to be constmcted within 1,000 teet of the outer boundary of a school site? O Yes • No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby aflirm that there is a construction lending agency fbr the perfbmoance ofthe woifc this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I oerti^ that I haM naad the application and siatB liiatihe abow Inibnnal^ I hereby aulhorize lepiBsenlativB ofthe City of Cailsbad to enter upon the above mentioned property for Inspectbn purposes. I ALSO AGFiEE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILrriES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA An OSIHA pennK Is requiied for excavations over S'O'deep and demolition or constiudnn of stnict^ EXRRATION: Bery pernilt issued by the Building Official under the provisions of this Code shall expire by Imitation and become null and void if the building orwork aulhorized by such permit is not commenced wilhm 180 days Iiom the dale of such pennit or if tie buildiig or worit authorized by such pennit is suspendedor abandoned at any time after the worit Is commenced Ibr a period of 180 days (Section 106.4.4 Unifomi Building Code). > APPLICANT'S SIGNATURE DATE Inspection List Permits-. CB150519 Type: COGEN PHOTO Date 03/25/2015 03/25/2015 03/25/2015 03/25/2015 03/24/2015 03/24/2015 03/24/2015 Inspection Item 35 Photo Voltaic (PV) 35 Photo Voltaic (PV) 39 Final Electrical 39 Final Electrical 35 Photo Voltaic (PV) 35 Photo Voltaic (PV) 39 Final Electrical Inspector PY PY PY Act Rl AP Rl AP Rl NR Rl HOLLIBAUGH RES-PHOTOVOLTAIC SYSTEM-18 ROOF/FLUSH MOUNTED MO Comments PM PLEASE PM PLEASE Ttiursday, March 26, 2015 Page 1 of 1