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2591 Wellspring St; ; CBR2017-0132; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 06/26/2017 Residential Permit Permit No: CBR2017-0132 www.carlsbadca.gov Job Address:2591 Wellspring St Permit Type:BLDG-Residential Work Class:Cogen Status:Closed -Finaled Parcel No:2081903300 Lot #:Applied:01/20/2017 Valuation:$3,600.00 Reference #:Issued:01/20/2017 Occupancy Group:Construction Type:Finaled: # Dwelling Units:Bathrooms:Inspector: Bedrooms:Orig. Plan Check #: Plan Check It Project Title: Description:TOLL BROS: ROOF MOUNT SOLAR, 9 MODULES, 3.02KW Owner:Contractor: RANCHO COSTERA LLC SUNPOWER CORPORATION SYSTEMS 725 W Town And Country Rd ORANGE, CA 92868 120 S Central Ave CLAYTON, MO 63105-1726 510-260-8296 BUILDING PERMIT FEE $2000+$61.74 BUILDING PLAN CHECK FEE (BLDG)$43.22 581473 BUILDING STANDARDS FEE $1.00 STRONG MOTION-RESIDENTIAL $0.50 Total Fees:$106.46 Total Payments To Date:$106.46 Balance Due:$0.00 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:0 PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH 0 HAZMAT/APCD 1• r#.4'Building Permit Application Plan Check No.C-ej17.0 n —z)('-a City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Ph: 760-602-2719 Fax: 760-602-8558Carlsbademail: building©carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date k I r2.0 ( I 7 SWPPP JOB ADDRESS SUnte/SPACEitiuNne APN 2591 Wellspring Street -- CT/PROJECT #LOT #PHASE##OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:Include Square Feet of Affected Area(s) Roof Mounted Solar, 3.02kW,9 Modules EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESE#NOD YES ONO 0 YESD NOD APPLICANT NAME PROPERTY OWNER NAMETim Seaman Toll BrothersPrimary Contact ADDRESS ADDRESS PO Box 5955 725 W Town and Country Rd, Suite 200 CITY STATE ZIP CITY STATE ZIP Chula Vista CA 91912 Orange CA 92868 PHONE FAX PHONE FAX 619-993-8846 EMAIL EMAIL TimaChampionPermits.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Sunpower ADDRESS ADDRESS 1414 Harbour Way South CITY STATE ZIP CITY STATE ZIP Richmond CA 94804 PHONE FAX PHONE 'FAX 510-540-0550 EMAIL EMAIL STATE LIC.#STATE LIC.#CLASS CITY BUS. LIC.# 890895 C-46 (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 theapplicant 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 7031.5 by any applicant fora permit subjects the applicant to acivil penalty of not more than five hundred dollars {$500)). WORKERS'COMPENSATION Workers' Compensation Declaration:I hereby affirm under penaltyofperjury one of the following declarations: EiI have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' 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 am: Insurance Co.Hartford Fire Insruance Comp Policy No.5TWNWQ0015 Expiration Date 11101117 Eisection need not be completed if the permit is for one hundred dollars ($100) or less. Certificate ofExemption:I certify that in the performance of the .rk for whichth •ermit 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' compensatio average is unl ful, and shall subject an employer to criminal penalties and civil fines up to one hund thou and dollars (8100,000), In addition to the cost of compensation, damages as provided for ./.•on 1i6 the Labor cod -Merest and attorney's fees. A iATCONTRACTOR SIGNATURE 0 AGENT DATE I i fi'/ OWNER -BUILDER DECLARATICN I hereby affirm that I am exempt from Contractor's License Law for the following reason: I:1 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 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). IDI,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). ElI 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.0Yes ON° 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 / 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 I 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 I phone / type of work): AKPROPERTY OWNER SIGNATURE DAGENT 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?0 Yes CI 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 CI No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?0 Yes 0 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 is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lenders Name Lender's Address APPLICANT CERTIFICATION I certify thatI have read the application and state that the above information is correct andtattle information on the plans Is accurate.Iagreeto comply with all City ordinances and StateIns relating to building construction. I hereby authorize representativeofthe City of Carlsbad to enter upon the above mentioned property for inspection purposes.IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES W ICH 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 •I olition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building I;ial under the p ionsof 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 dateofsuch permit or if the bu"•or work a •.• by such permitis suspended or abandoned at any time after the work is commenced fora period •180 days (:i.n 106.4.4 Uniform Building Code). .."SAPPLICANT'S SIGNATURE DATE 4:7 --.....,-mrimmiponllui Mali MIN PERMIT INSPECTION HISTORY REPORT (CBR2017-0132) Permit Type:BLDG-Residential Application Date:01/20/2017 Owner:RANCHO COSTERA LLC Work Class:Cogen Issue Date:01/20/2017 Subdivision: Status:Closed -Finaled Expiration Date:07/19/2017 Address:2591 Wellspring St Carlsbad, CA 92010-5604 IVR Number:1535 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 06/26/2017 BLDG-35 Solar 027275-2017 Passed Jonathan West Complete Panel BLDG-Final 027277.2017 Passed Jonathan West Complete Inspection Checklist Item COMMENTS Passed BLDG-Electrical Final Yes June 26, 2017 Page 1 of 1