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Home My WebLink About2628 LA COSTA AVE; ; CB120953; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-01-2012 Cogeneration Permit Permit No:CB120953 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2628 LA COSTA AV CBAD COGEN Sub Type: PHOTO Lot#: 0 Status: Valuation: 2162800500 $18,000.00 Construction Type: NEW Applied: Occupancy Group: Reference#: Entered By: Project Title: VAN DIEN RES-NEW PHOTOVOLTAIC Plan Approved: SYSTEM-45 ROOF MOUNTED PANELS, REPLACE EXISTING 100 Issued: Applicant: SULLIVAN ELECTRIC ATTN: ERIK LINSALATA 7933 SILVERTON AV SAN DIEGO 92126 858 271 7758 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $205.27 $0.00 $143.69 $0.00 $0.00 $1.80 $1.00 Inspect Area: Plan Check#: Owner: DIEN STEPHEN VAN&TICHI MARY 2628 LA COSTA AVE CARLSBAD CA 92009 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES ISSUED 05/22/2012 RMA 06/01/2012 06/01/2012 Total Fees: $351.76 Total Payments To Date: $351. 76 Balance Due: Inspector: FINAL APPROVAL Date: J'·,2P, (Z-Clearance: $0.00 $0.00 $0.00 $0.00 $351.76 $0.00 NOTICE: Please take NOTICE that approval of your project includes the imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "tees/exactions." 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 tor processing in accordance with Gar1sbad Wunicipal 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 the,;r il'Tl)Osition. ~· «·(tl> ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 INWW.carlsbadca.gov GARAGE (SF) PATIOS (SF) DECKS {SF) Plan Check No. Est. Value FIREPLACE YES □#_ NO □ APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE FAX STATE LIC. 11 AIR CONDITIONING YES O NO □ ZIP FIRE SPRINKLERS YES D NOD (Sec, 0 1.5 Business and P_rofess1ons Code: Any City or County which requires a permit to. c_onstruct, 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 prov1s1ons of the Contractor's License law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he 1s exemJ;Jt 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 (:ii500}). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 J,J>ave 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. 13'1 have and will maintain wo . s' compensation, as r uired by Section 3700 of the labor Code, for the performance of the work ~r which this permit is issued. My workers' compensalioj~!"Jl~Ce c rier and policy number are: Insurance Co.__L--l,f_f;!Jl~,2_!>._-"q'1s~-----------Policy No. ::J~ '3-£9'-/'tr Expiration Date ?' I / This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 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' compensaUon 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 compensation, dama as pr lded for Section 3706 of the labor code, interest and attorney's fees. _8S CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ 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 lo 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}. □ 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 lo an owner of property who builds or improves thereon, and contracts for such projects with con\ractor(s) licensed pursuarit to the Contractor's license Law). □ I am exempt under Section ----~Business and Professions Code for this reason: 1, \ personally plan to provide the major labor and materials for construction of the proposed property improvement □ Yes □ No 2. \ (have I have not) signed an application for a building permit for the proposed work. 3. \ have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. \ plan to provide portions of the work, but I have hired the following person to coordinate, supervise arid provide \he major work (include name I address/ phone I contractors' license number): 5. \ will provide some of the work, but l have contracted (hired) the folklwing persons to provide the work indicated (include name/ address I phone/ type of work): _8S PROPERTY OWNER SIGNATURE □AGENT DATE CQMPLil'TII tfflJ fllCflON !!'OR Nl:>N•,'l!illUl:U!N'l'I.AL IUIILQtlli<J PIRMITf,Olll,J;Y \ ~ ~ ~ ~ ~ ' ' -~,, -~ --~ ~ ' , 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 ! Pres1ey-T anner Hazardous Substance Account Act? □ 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? D Yes □ t-b 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 AND THE AIR POLLUTION CONTROL DISTRICT, I certify that I have read the applicatkln and state that the above lnfoimatlon Is oolleC't and that the infoimatlon on the plans Is accurate. I agree to oomply wfth all City ordinances and State laws relating to building construction. I hereby auttionze representative of \he Ci~ of Carlsbad to enter upon \he-. mei,tioned properly for inspeclion purposes, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH WAY IN AflYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennitis required for excavations over 5'0' deep and demolition or construction of structures tNef 3 stories in height EXPIRA TlON: Every pennit issued by the Building Official under the provisions of this Code shall expire by ~mitation and become nul and void if the building or work authorized by such pem,it is not commenced within 180 days lrom the date of such pennit or if the bu~~~ or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a peliocl of 180 days (Section 106.4.4 Unifonn Building Code). _6S APPLICANT'S SIGNATURE DATE 2, • 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 www.building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS □ PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □ MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □MAIL/FAX TO OTHER: ----------- ,,@l'APPLICANT'S SIGNATURE o ASSOCIATED CB# ___ ,,,_,_, -_ _ o NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB120953 Type: COGEN PHOTO Date Inspection Item Inspector Act 08/16/2012 39 Final Electrical RI 08/16/2012 39 Final Electrical PB AP 08/14/2012 34 Rough Electric RI 08/14/2012 34 Rough Electric PB co 08/14/2012 39 Final Electrical RI 08/14/2012 39 Final Electrical PB co 08/10/2012 33 Service Change/Upgrade RI 08/10/2012 33 Service Change/Upgrade PB AP Monday, August 20, 2012 VAN DIEN RES-NEW PHOTOVOLTAIC SYSTEM-45 ROOF MOUNTED PANELS, R Comments PM PLEASE 12-2 Page 1 of 1 EsGil Corporation In <Partnerstip wi~~ government for <BuiCain9 Safety DATE: 05/31/2012 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 120953 PROJECT ADDRESS: 2628 La Costa Ave. SET: I PROJECT NAME: Van Dien Roof Mounted 10 kW PV System □ AP CANT JURIS. □ PLAN REVIEWER □ FILE D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. cgj The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: cgj EsGil Corporation staff did not advise the applicant that the plan check has been completed. D EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone#: Date contacted: (by: ) Email: Fax#: Mail Telephone Fax In Person cgj REMARKS: All sheets of plans must be signed by the person responsible for their preparation. (California Business and Professions Code). By: Aaron Goodman EsGil Corporation D GA D EJ D PC Enclosures: 05/24/2012 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 City of Carlsbad 120953 05/31/2012 [DO NOT PAY:-THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PREPARED BY: Aaron Goodman BUILDING ADDRESS: 2628 La Costa Ave. PLAN CHECK NO.: 120953 DATE: 05/31/2012 Set I BUILDING OCCUPANCY: R-3 TYPE OF CONSTRUCTION: V-B BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier PV System Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb --------------- Id . e m· F e b O di a ce B9Pr1teyrnn Type of Review: □ D Repetitive Fee L~EJ Repeats * Based on hourly rate Comments: By Ordinance • Complete Review D Other 0 Hourly EsGII Fee Reg. VALUE Mod. D Structural Only 11Hr.@ • ======$=8=6=-a:~ ($) $107.50j $86.00j Sheet 1 of 1 macva1ue.doc +