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Home My WebLink About2578 Dogwood Rd; ; CBR2018-3021; Permit(city of Carlsbad Residential Permit Print Date: 01/09/2019 Permit No: CBR2018-3021 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2578 Dogwood Rd BLDG-Residential 2131702100 $6,000.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Cogen Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 11/01/2018 11/01/2018 Plan Check#: Final Inspection: 1/9/2019 10:47:44AM Project Title: Description: BERNARO: 15 ROOF MOUNT PV, 4.88KW Owner: Co-Applicant: TRUST BERNARD FAMILY REVOCABLE 2578 Dogwood Dr WEST COAST APPLIANCES SERV INC BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) 581473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $136.90 CARLSBAD, CA 92009 Total Payments To Date: 619-448-9136 $136.90 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 $79.48 $55.64 $1.00 $0.78 Building Permit Application Plan Check No.~201 fs -302J 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value lo. CtXJ 760-602-2717 I 2718 I 2719 Plan Ck. Deposit Fax 760-602-8558 www.carlsbadca.gov Date r I -l -'X I JOB ADDRESS 2578 DOGWOOD SUITE#/SPACE#/UNI 1 # IAPN 213 -170 -21 -00 CT/PROJECT# I LOT# I PHASE# I # OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME lcoNs;~YPE I oc;;~P DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 1 INSTALLATION OF ROOF MOUNTED FLUSH, 15 PANELS, 4.88 KW SYSTEM, NO PANEL UPGRADE EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YESC)# No[] YES [Z)No □ YES□No□ CONTACT NAME (If Different Fom App/leant) SYNDIE PICH APPLICANT NAME ADDRESS ADDRESS 1256 FAYETTE ST CITY STATE ZIP CITY --STATE ZIP EL CAJON CA 92020 PHONE I FAX PHONE I FAX 619-557-0446 619-448-3708 EMAIL EMAIL westcoastheatcool@.gmail.com PROPERTY OWNER NAME MIKE BERNARD CONTRACTOR BUS. NAME WEST COAST APPLIANCE SERVICE INC. ADDRESS ADDRESS 2578 DOGWOOD RD 1256 FAYETTE ST CITY STATE ZIP CITY STATE ZIP CARLSBAD CA 92009 EL CAJON CA 92020 PHONE PHONE 619-772-0889 I FAX 619-557-0446 I FAX 619-448-3708 EMAIL EMAIL westcoastheatcool@.gmail.com ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# 1ce10. c20 rTYBUS.UC.1 211147 810930 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a perrrnt to construct, alter, 11nprove. demolish or repair any structure, prror to ,ts issuance. also requires the applicant for sucl1 permit to file a signed statement that he is licensed pursuant to t11e provisions of the Contractor's License Law /Chapter 9, commend111g with Section 7000 of 01v1s1on 3 of the Business and Professions Code] or 0,at 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 Declaration: I hereby affirm under penarty of pequry one of the following dedarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of lhe Labor Code, for the performance of the work for which this permit is issued. IZ] I have and will maintain workers' compensation, as reouired by Section 3700 of the Labor Code, for the performance of the work for which this oermit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co STATE FUND Policy No. 922551s-1a Expiration Date 02•19 ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the wrk 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 a 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 ode interest and attorney's fees. £S CONTRACTOR SIGNATURE ..-.--,-;o-s.. □AGENT DATE 11 /1 /18 I hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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 lor sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner or property who builds or improves thereon, and who does such work himse~ or through his own employees, provided that such improvements are not intended or offered for sale. If, ho~ver. 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 exempt under Section ____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and mater1als for construction ot the proposed property improvement. 0 Yes 0 No 2. I (have / 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 / contractors' license number): 4. I plan 10 provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address I 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 I phone/ type of work): £S PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or future building occupant required to submit a busines~, 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? D Yes LJNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a~ality management district? O ves O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes LJNo 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. I hereby affimi that there is a construction lending agency for the performance of the wor!( this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative ct the Cily ct Carlsbad to enter upon lhe above mentioned property for inspectkln purposes. I ALSO AGREE TO SA VE. INOEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUOGMENTS, 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 5'0' deep and demolition or construction ct s res over 3 stories in height EXPIRATION: Every permit issued bylhe Building OfflCial under the prCMSionsctthis Code shall expr b imitatioo and become null and .oo ff !he building or worl< aulhorized by such permit is not commenced within 180 days from the dale ct such permit or ff lhe building orworl< authorized by such permit is suspen ndoned at any tirre after the worl< is commenced for a period ct 180 days (Sectioo 1CM,.4.4 Unfform Building Code). _g APPLICANT'S SIGNATURE DATE 11/1/18 PERMIT INSPECTION HISTORY REPORT (CBR2018-3021) Pormit Type: BLDG-Residential Application Date: 11/01/2018 Owner: TRUST BERNARD FAMILY REVOCABLE Work Class: Cogen Issue Date: 11/01/2018 Subdivision: CARLSBAD TCT#02-14 BRESSI RANCH UNIT#05 Status: Closed -Finaled Expiration Date: 07/08/2019 Address: 2578 Dogwood Rd Carlsbad, CA 92009-3065 IVR Number: 15093 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 0110912019 01/09/2019 BLDG-35 Solar 080810-2019 Passed Andy Krogh Complete Panel BLDG-Final 080811-2019 Passed Andy Krogh Complete Inspection Checklist Item COMMENTS Passed BLDG-Electrical Final Yes January 09, 2019 Page 1 of 1