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Home My WebLink About2561 Dogwood Rd; ; CBR2016-0167; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 12/15/2016 Residential Permit Permit No: CBR2016-0167 www.carlsbadca.gov Job Address:2561 Dogwood Rd Permit Type:BLDG-Residential Work Class:Cogen Status:Closed -Finaled Parcel No:2131701300 Lot #:Applied:11/22/2016 Valuation:$8,000.00 Reference #:Issued:11/22/2016 Occupancy Group:Construction Type:Finaled: Dwelling Units:Bathrooms:Inspector: Bedrooms:Orig. Plan Check #: Plan Check 4: Project Title: Description:GUTIERREZ: 20 ROOF MOUNTED PV PANELS, 6KW, NO UPGRADES, NO RMA Owner: COOWNER GUTIERREZ JOEL W&ANNA C 2561 Dogwood Rd CARLSBAD, CA 92009 BUILDING PERMIT FEE $2000+$97.22 BUILDING PLAN CHECK FEE (BLDG)$68.05 PUBLIC FACILITIES FEES -inside CFD $145.60 561473 BUILDING STANDARDS FEE $1.00 STRONG MOTION-RESIDENTIAL $1.04 Total Fees:$312.91 Total Payments To Date:$167.31 Balance Due:$145.60 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. 'THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:DPLANNING DENGINEERING DBU LDING OFIRE DHEALTH p HAZMATIAPCD t''''•Building Permit Application Plan Check No.C6r22016 '01/01City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value S 8?000..CIOPh: 760-602-2719 Fax: 760-602-8558Carlsbademail: building@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date 1/.2g/16.SWPPP JOB ADDRESS zslc).N...(6w fl....v.4 ed SUITEVSPACE /UNITS APN 21 3 -OP -13 -00 CT/PROJECT #LOT :Ad'tlIA # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:Include Square Feet of Affected Area(s) pur rnnernouro-ect Co (u,)Zo rnod5 LO ‘miekkx-5. EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESDk_ NOE YES ENO E YES 0 NOEI APPLANTNAE t .PROPERTY OWNER..._.d. Primary Contact 'FIX\f N te SINA 441 --a Cle.1 GU 4 leAcir e2ADDRESSADDRESS I 01 o (A W DocksakilNe.4 -20 25-(0 1 bti&oJcod 124 CITY STA E ZIP STATE _ZIP SCL.rd-et Cft 61701 I Ckl(t<S)0 CAN q Z 0 C)49 PHONE FAX PHONE FAX CP 1.0—% I--(.0 % -BSI ---/L(00-SS.(c5 - )-.601MAIEMAI oke OM (XA \?nocAUCA-S.Corn DESIGN PROFESSIONAL CONTRACTOR BUS.NApfiEso lcvce ne.r-t)ADDRESS ESS ZD POk digs -N-4t-1 01 CITY STATE ZIP S.'01 ATE ZIP--No 9z LcksPHONEFAXPHONEFAX C'5.----ST/-2300 EMAIL EMAIL STATE LIC. #SATE LIC.#CLASS CITY BUS.LIC.# 61(4 0 nal 131 (-a 0 123570 0/q (Sec.7031.5 Business and Professions 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 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 theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS'COMPENSATION El.;.jiLl Workers' Compensation Declaration:I hereby affirm under penalty of perjury one ofthe following declarations:DI have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ghave and will maintain w2rkairs' com ens tion,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/0 ekt -Policy No.wc -2_01.SooDOCatSExpiration Date -5)13))7 his ction need not be completed if the permit is for one hundred dollars ($100) or less. Certificate of Exemption:I certify that in the performance 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 lifomia.WARNING: Failure to secure workers' compensa '..n 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 comprfation, r .:mages as provided f.,r n S•ction 3706 of the Labor code, interest and attorney's fees. ,,IAS'CONTRACTOR SIGNATUR ••'21.021A..'.),,....Am_A .....' „A -i7.4 AGENT DATE ,,.-.4.—i OWNER -BUILDER DECLARML.iN I hereby affirm that I am exempt from Contractor's License Law for the following reason:0 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 improvementis 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).0 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). 11 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.ElYes ON° 2.I (have / have not) signed an application fora building permit for the proposed work. 3.I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / 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 / address / phone / 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 / address / phone / type of work): .PROPERTY OWNER SIGNATURE EIAGENT DATE =7:9mi algannum Form!.ir;may!719!"}FM.1 3.1"!..•:.1::COMPLETE THIS.SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY .:. 5.......514 _iddiiiiiallillAbilialida Is the applicant or future building occupant required to submita business $4.. 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?0 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?0 Yes kNoIs the facility to be constructed within 1,000 feet of the outer boundary ofa school site?0 Yes fil 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. ..-tir trtr.Tr-_..-•?Its."w.tatrr morrsurommustro._.CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address !IF.CMAPPLICANTCERTIFICATION ..ig I certify thatI have read the application and state that the above information is co rrect and that the information on the plans is accurate.I agree to comply with all City ordinances and State laws relating to buildingconsbuction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 60' deep and demolition or construction of structures over 3 storiesin height. EXPIRATION: Every permit issued by the Building Official under the provisbns of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date ofsuch I •the building or work au,oriz by such permit issuspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ..eAPPLICANT'S SIGNATUpc --..'--- , 9/1.01 DATE -.2171 11 \ StOPj 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 buildingecarlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) C•ONTACT NAME OCCUPANT NAME A•DDRESS BUILDING ADDRESS C•ITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. • DELIVERY OPTIONS PICK UP:o CONTACT (Listed above)o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB#MAIL TO:o CONTACT (Listed above)o OCCUPANT (Listed above) E CONTRACTOR (On Pg. 1)o NO CHANGE IN USE /NO CONSTRUCTION MAIL /FAX TO OTHER:o CHANGE OF USE /NO CONSTRUCTION ...KAPPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBR2016-0167) Permit Type:BLDG-Residential Application Date:11/22/2016 Owner:COOWNER GUTIERREZ JOEL W&AN NA C Work Class:Cogen Issue Date:11/22/2016 Subdivision: Status:Closed -Finaled Expiration Date:05/22/2017 Address:2561 Dogwood Rd Carlsbad, CA 92009-3065 IVR Number:418 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 12/15/2016 12/15/2016 BLDG-35 Solar 005676-2016 Passed Paul York Complete Panel Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Final 005677-2016 Passed Paul York Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes December 15, 2016 Page 1 of 1