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Home My WebLink About2702 La Golondrina St; ; CBR2017-1878; Permit• Print Date: 08/30/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2702 La Golondrina St BLDG-Residential 2155410100 $8,800.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: Cogen Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: SM\TH: 22 FLUSH-ROOF MOUNTED PV PANELS, 6.29 KW, NORMA, NO UPGRADE BUILDING PERMIT FEE $2000+ BU\LDING PLAN CHECK FEE (BLDG} 5B1473 BUILDING STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $182.49 Owner: COOWNER SMITH R MARK AND KRISTIN D 2 La Golondrlna St CARLSBAD, CA 92009 Total Payments To Date: $182.49 Status: Applied: Issued: Finaled: Inspector: 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 fo\\ow 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. Permit No: CBR2017-1878 Closed -Finaled 08/16/2017 08/16/2017 $0.00 $106.09 $74.26 $1.00 $1.14 ... · (cityof Carlsbad JOB ADDRESS 2-=to 2 Lo., CT/PROJECT# LOT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 76CMI024719 Fax: 760-602-8558 email: buildlng@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNIT# BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~ --{ Est. Value Plan Ck. Deposit Date EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) AIR CONDITIONING FIRE SPRINKLERS NOD YES □ NOD YES D NOD • (.olYl qz_, 2. \ ZIP CITY BUS~------- 1 (Sec: 7031.5 Business and P_rofessions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, p_rior to its issuance, also requires the applicant for such per_m1t 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 the Business and Professions Code} or {hat he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of pedury one of the following declarations: 0 I have and will mainlain a certificale of consenl lo 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. ~ve and will maintain workers' compensalion, as required by Section 3700 of the L.aOOr Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. :J::'C", _ C.:,.\rA_\._ ~ <' 4)1(~ Policy No. 'O.,U,:)( (co~ fbU Expiration pat!,. 1 :'-It / l'=t .. -'• •• /' ',. j ,. " ·-. ·'. : / / This section need not be completed if the permit is for one hundred dollars ($100) or less, (_":.' L ': . ., .. -·. '.,'., •' ~., ' · , D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to beco~me subject lo the Workers' Compensation Laws of California WARNING Failure to secure workers' compensation coverage 1s unlawful, and shall su~ect an employer to crimmal penalties and c1v1I fmes up to one hundred t~~and dollars {&100,000), m add1t1on to the cost of compensation, dam s as provided form Section ~706 of the Labor code, mterest and attorney's fees ~\JG \ " 'l U \ r ,6$ CONTRACTOR SIGNATURE --~ • 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 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 wofl(; 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 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 improvement □ Yes □ No 2. I (have I 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 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 I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): ...@:S"' PROPERTY OWNER SIGNATURE □AGENT DATE ~. i:oMPl.l!TE ,THIS si;ci10N-F'oR' N-oN-ttEs1,oENif1A~-su,,1.01NG P~l!RM.,Ts ONLY ,: • ~ 0 ¾S 0 0 f Is the applicant or fl.rture 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 □ No Is the appli~nt or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes D 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 th at I have read the application and statethatthe above infonnation is correct and that the lnfonnatlon on the plans is accurate. I agree to comply with all City ordinances and State laws relating to buildlngconstruction. 1 hereby authorize representative of the City of Cartsbad 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 ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permn is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permn issued by the Building Official under the provisions 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 of such permit or iflh ui ·ng or work authorized by such pennt is suspended or abanOOned atarrt time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). A$ APPLICANT'S SIGNATURE v""-DATE e 1/,, -1 I ..- ,>Jf 's½ ,~-" •• ~ '· • •• \§ ~ • !PERMIT INSPECTION HISTORY REPORT (CBR2017-1878) . ~ T ~•, ~ ' Permit Type: BLDG-Residential wo,k Class Cogen Staius· Closed-Finaled Scheduled Date 08(3012017 Actual Start Date 08/3012017 Inspection Type BLDG-35 Solar Panel BLDG-Final Inspection Application Date: 0811612017 Issue Date: 08116/2017 Expiration Date: 0212612018 IVR Number: 5749 Inspection No. Inspection Status 033224-2017 Passed 033226-2017 Passed Checklist Item COMMENTS BLDG-Electrical Final August 30, 2017 Owner: COOWNER SMITH R MARK AND KRISTIN D Subdivision: CARLSBAD TCT#73-29 Address: 2702 La Golondrina St Carlsbad, CA 92009-4324 Primary Inspector Re inspection Complete ••,--o-•-•~-• Andy Krogh Complete Andy Krogh Complete Passed Yes Page 1 of 1