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Home My WebLink About2417 Mica Rd; ; CBR2017-2970; Permit' Print Date: 02/07/2018 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2417 Mica Rd BLDG-Residential 2132701400 $9,600.00 Work Class: Cogen Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: JONES: 26 FLUSH-ROOF MOUNTED PV PANELS, 7.54 KW, NORMA, NO UPGRADE Owner: Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Contractor: (city of Carlsbad Permit No: CBR2017-2970 Closed -Withdrawn 12/13/2017 12/13/2017 02/07/2018 TRUST SHEALS LIVING TRUST 09-22-10 2417 Mica Rd VIVINT SOLAR DEVELOPER LLC CARLSBAD, CA 92009 1800 W Ashton Blvd licensing Dept Lehi, UT 84043-5490 858-748-2525 BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) 5B1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $197.68 Total Payments To Date: $197.68 Balance Due: 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 APPLY to 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. $0,00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $114.96 $80.47 $1.00 $1.25 THE FOi.LOWiNG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: :]PLANNING 0 ENGINEERING CBUILDING [:]FIRE [JHEALTH 0 HAZMATIAPCD ,(~ ~ CITY 0~ CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Ck. Deposit Date SWPPP NGUSI PROPOSmUSE GARAGE (SF] PATIOS (Sf) OEO<S(SF) FIREPLACE YESQ AIR CONDITIONING N<O ves0No0 FIRE SPRINKLERS YES□No□ APPt.lCANT NAME (Primary Contact} Vivint Solar Developer LLC APPLICANT NAME (Sacondary Contact, ADDRESS 8090 Arjons Or. --------------+~,o=o=e=e=s=s~- CITY San Diego PHONE 858-748-2525 EMAIL. Y-oY\ FAX Cl\ Z!P 92126 ZlfJiKE__ _-_QOM STATE UC. Ii CITY STATE FAX EMAIL CONTRACTOR BUS. NAME Vivint Solar Developer LLC ADDRESS. 8090 Arjons Dr CITY STATE San Diego CA PHONE I FA)( 858-748-2525 EMAIL- SfATI': UC.# -CLASS 973756 C-46 ZIP ZIP 92126 CITY BUS, LIC,# 1236957 (Sec. 7031.5 Bu$1ness anti Professions Code: Any City or Coun_ty which requires a perrnit to construct, alter. improve, den1olisli or repair anv structure, pnor to Its issuance, also re(luires '.he appllcant fwsvch permit to mea Sfll'led statement that he is licensed pursuant to the provisions of the Contractor's license Law /Chapter 9, commending with Section 7000 of D1V1sIon 3 of the Business and Prol'esslona Code) Of that he ,s exemi;i, therefl'om, and the basis for the alleged exemption. Any vIol11tion of Section 1'031.5 by any appilmnt fo, a permit subJects the applicant to o civil penalty of not more than five hundred dolfars. {16001). Workers' Coml)entation Declaration: I hereby affirm under penally ofpe~ury one off/le following declarat1ons· D I have and wilt maintain a certificate of consent to sell-Insure ror wor!<ero' compensation as provided by Section 3700 of the Labor Code, for !he pet1ormance of the work for which this permit is issued ~, __ j 18] I have and will maintain workers' compensation. aa reouired bv Section 3700 of the labor Code, for lhe performance of !tie wor11 for whrch this oarm,t Is issued. My wor11era· Cllmpensalion insurance earner and policy number are: Insurance Co Marsh USA Inc ----Policy No. WC509601302 fapiration Date 11/1/2017 !rulsectioo need not be completed if !he permit is far one hundrecl clollars ($100) or less. LJ Certificate of Exempt!on: I certify that in lhe pertomiance of the won< for which this permit Is 1ast1ed, I shall not employ any peraon In any manner so as to become sutlJect to the Workers· Compensation Laws of California. WARNING: Failure to sacure workers' compensation covera ls·ltP!hwful lubject an employer to criminal penalties and civil finH up to one hundred thousand dolars (&100,000), in addition lo the coat of compensation, damages as provided 6 ~ CONTRACTOR SIGNATURE I hereby affirm rh11I I am exempt from Contractor's Ucense Law for the following reason D l, as owner of the propert)' or my emoloyees with wages as their sole cornpensa~on, will do the won< and the structure is not intended or offered for sale (Sec. 7044, Business and ProfesslOOs Code: The Contractors License Law does not apply lo fill ow,m of property who bu1ids or improves thereon, and who does such 'A'Or11 n1mself or through his own employees, prov1ded that such improvements are no! intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder wiH have the burden o! proving ttiat he did not DUild nr improve for the purpose of sale). □ □ I, as owner of the property, am exclusively contracting will, ~censed contrllctorn to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does nol apply lo an owner of property who builds or improves thereon, and contracts !or such proI&ets with contractor(s) licensed pursuant to the Contractor's !.Icense law). I am exempt under Sec lion • _Busmess and Professions Cade for this reason, 1. l per!onally plan to provide the rnaJor labor and materials for conslruclion of lhe proposed property Improvemenl. OYes Oo 2. I (have I have not) si~ed an application ror a building permit ror the proposed won<, 3. { have contracted witll the following person (firm) to provicle the proposed constructJon (include name address I pho11e / contractors' license number); 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide !he ma1or won< (include name I address I phone I contractors' license number): 5. I will provide some of the war!(. but I have contracted (hired) the fo!lowmg persons to provide the work indicated (irciude name I address I phone f type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE ----------- 1 ls'!he applicant or fucure building occupant required to submit a business plan, acutely hazardous materials registra~on loon or risk management and prevenlioo program under Sections 25505, 25533 or 25534 or lhe Presley-Tanner Hazardous Substance Account Act? □ Yes n No Is the applicant or future buildir1g occupant required to obtain a permit from the air poUulion i;ontrol dislrlct or air quaUty management district? □ Yes □ No Is the facility lo be COf1Sln.Jcled within 1,000 feel of lhe outer booodaiy of a scilool 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 REQlJREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affinn that there is a construcdon !eroding agency for the performance of the work this pemiit is issued (Sac. 3097 (i) Civil Code). Lender's Name lender's Address I certify that I have read the application and state that the above inf01matlon is coirect and ihatthe Information on ihe plans i$ accurate. I agree to compfyd all Ctfy orcllnances and State laws relating to building 0011$11\Jction. I hereby aulhon:ze representative of the City ofCatrabad to enter upon the a mentioned pmperty for iispection purposes. I ALSO AGREE TO SAVE, INDEMNIFY .ANO KEEP HARMLESS THE CITY Cf CAALS8AO AGAJNST Nl. LIABILITIES, JUDGMENTS, COSTS AND EXPENSES CH MAY IN ANY WAY ACCRUE AGAINST SAO CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit ls required for excave~ons over 5'0' deep and d ition or construction of structures over 3 stones in height EXPIRATION: Every permit issued by the Buikling Official under the eicpire by ~mitaoon and become nul and void if the buikling orv.on< aulhonzed by sucti pennit is not commenced 'M1h111 1 ao days h:rn !he date of such permit or if the building or · ded or abandoned at any ~me after the 1VOrkD•ATroEmme;;dlfuulpe:: of/, dlays (Section 106 4 4 Uniform Building Code) ,-1!5 APPLICANT'S SIGNATURE l l, ._,,} JJ._ ,, ·,. Request for Cancellation and Refund: Attention Building Department City of Carlsbad 1635 Faraday Ave Carlsbad, Ca 92008 January 29, 2018 I am sending you this written notice to request the cancellation and refund of the permit application fee for the project listed below. The customer has determined that they no longer want to move forward with their solar installation at this time. Customer Name: Greg Jones Permit Number: CBR17-2970 Date Issued: 12/13/17 Project Address: 2417 Mica Rd Vivint Solar Service Number: 5848078 Please return refund check and a copy of this request to: Vivint Solar Developer LLC Attn: AR Department 1800 W Ashton Blvd Lehi, UT 84043 Thank you, Amanda Strout Office Administrator, San Diego amanda.strout@vivintsolar.com C::760.803.1959 • 0:858.748.2525 RECEI\IEO JAN80 2018 CITY OF CARLSBAD BUILDING DIVISION