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Home My WebLink About2622 LA GRAN VIA; ; CBR2018-1001; Permit{city of Carlsbad Residential Permit Print Date: 05/07/2018 Permit No: CBR2018-1001 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2622 La Gran Via BLDG-Residential 2162503000 $8,000.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Cogen Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 04/26/2018 04/26/2018 Plan Check#: Final Inspection: 5/7/2018 1:07:03PM Project Title: Description: LACKEY: 20 FLUSH ROOF MOUNT, 7.20 KW ,NORMA ,NO UPGRADE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLOG) SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $167.31 Owner: TRUST LACKEY REVOCABLE TRUST 03-17-98 2622 La Gran Via CARLSBAD, CA 92009 Total Payments To Date: $167.31 Contractor: N B BAKER ELECTRIC INC 1298 Pacific Oaks Pl Escondido, CA 92029-2900 760-745-2001 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 $97.22 $68.05 $1.00 $1.04 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING D ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCO C_cityof Building Permit Application Plan Check No. r I.J,Qd()/'i< -/( Q / 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ft x.c'KYJr } Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit . email: building@carlsbadca.gov www.carlsbadca.gov Date '-I {J_!tJ /Jy lswPPP JOB ADDRESS SUITEI/SPACEt/UNITI IAPN 216 2622 La Gran Via -250 -30 -00 CT/PROJECT# I LOT# !PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Inelude Square Feet of Affected Area(s) PV System• Roof Mount• No Panel Upgrade Size 7.20 kW• 20 Module 1 Inverter EXISTINQ USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING I FIRE SPRINKLERS YESO No[] YES □No □ YES □No□ APPLICANT NAME Ivette Monroy PROPERTY OWNER NAME Charles Lackey Pffll• · -ontact ADDRESS ADDRESS 2140 Enterprise St 2622 La Gran Via CITY STATE ZIP CITY STATE ZIP Escondido CA 92029 Carlsbad Ca 92009 PHONE IFAX PHONE IFAX 760-546-6086 760-419-0121 EMAIL EMAIL imonroy@bakerelectricsolar.com cflackey@gmail.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Baker Electric Solar ADDRESS ADDRESS 2140 Enterprise St CITY STATE ZIP CITY STATE ZIP Escondido CA 92029 PHONE IFAX PHONE IFAX 760-546-6000 EMAIL EMAIL imonroy@bakerelectricsolar.com I STATE UC.# STATE UC.# l cC1 0/C46 · 1 CITY sus. uc1221102 858088 (Sec, 7031.5 Business and P_rofessIons Code: Any City or Coun_ty which requires a permit to.construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_mIt to ftle a signed statement that he is licensed pursuant to the provIsIons of the Contractor's License LawJChapter 9, commendIngwIth Section 7000 of D1v1sion 3 of the B_usiness and Professions Code} or that he Is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a c1vII penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I 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. [Z} I have and wlll 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 are: Insurance Co, Old Republic Insurance Policy No. MWC31255500 Expiration Date 3-1-19 ~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 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 California. WARNING: Failure to secure workers' compensatiori coverage Is unlawful, and shall subject an employer to criminal penatties 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 coda, Interest and attomey's fees. ,85 CONTRACTOR SIGNATURE ll!I!~~ I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason- □ □ □ I, as OW11er 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 owr.er of property who builds or improves thereon, and who does such work himself or through his own employees, provided tl1at 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). 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 materials for construction of the proposed property improvemenl 0Yes 0No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (flrm) to provide the proposed construction (include name address/ phone I 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 1 have contracted (hired) the following persons to provide the work indicated (include name/ address I phone/ type of work): ,85 PROPERTY OWNER SIGNATURE 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? □ Yes O No Is the applicant or future building occupant required to obtaio a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school 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 REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec. 3097 (1) C1v1I Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the aoove information Is conectand that the Information on the plans is accurate. I agree to comply with all City ordinances and State laws relating 1D building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspecooll purJX)ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAAMLESS THE CITY OF CARLSB/\D AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE Ac;t,NST SAID CITY IN COO SEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA pennlt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXP1AATION: Every permit issued by the Buikling OffK:ial under the p!OOsions of this Code shall expire by limitation and become nul and void if the buikling orv.ork authorized by sud\ permit is not commenced 'Nilhin 180days from the date of such permit o!.iflhe · · authorized by such permit is suspended or abandoned at any ~me after the v.ork is rommenced for a period of 180 days (Section 106.4.4 Unibnn Buikling Code). ,6$ APPLICANT'S SIGNATURE DATE y.?. G-1" l PERMIT INSPECTION HISTORY REPORT (CBR2018-1001) Permit Type: Work Class: Status: Scheduled Date BLDG-Residential Cogen Closed -Finaled Actual Start Date Inspection Type Application Date: 04/26/2018 Issue Date: 04/26/2018 Expiration Date: 11/05/2018 IVR Number: 10988 Inspection No. Inspection Status 05/07/2018 05/07/2018 BLDG-35 Solar Panel 057179-2018 Passed May 07, 2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 057183-2018 Checklist Item BLDG-Building Deficiency BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Chris Renfro Chris Renfro TRUST LACKEY REVOCABLE TRUST03-17-98 LA COSTA SOUTH #6 2622 La Gran Via Carlsbad, CA 92009-8109 Reinspection Passed Yes Passed Yes Yes Yes Complete Complete Complete Page 1 of 1