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Home My WebLink About2705 LUCIERNAGA ST; ; CBR2016-0063; PermitPrint Date: 04/03/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2705 Luciernaga St BLDG-Residential 2153103900 $4,800.00 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: HIROSHIGE: ROOF MOUNT SOLAR, 12 MODULES, 3.18KW Applicant: Owner: Status: Applied: Issued: Finaled: Inspector: Contractor: Permit No: CBR2016-0063 Closed -Expired 11/10/2016 11/10/2016 VIVINT SOLAR DEVELOPER LLC SAMANTHA 8ETZ TRUST HIROSHIGE FAMILY TRUST 10-09-97 2705 luciernaga St VIVINT SOLAR DEVELOPER LLC 12650 Brookprinter Pl Poway, CA 92064-6809 858-748-2525 BUILDING PERMIT FEE $2000+ BUILDING PLAN CHECK FEE (8LDG) S81473 BUILDING STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $121.66 CARLSBAD, CA 92009 Total Payments To Date: $121.66 3301 N Thanksgiving Way Lehi, UT 84043-4093 858-748-252S 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. AVJO\ N t>O N-e.b \:) l \)O\\.At.O'NY"\ek ( \.QUYe\ \-c, \ii \'OSh(~e) $0.00 $70.61 $49.43 $1.00 $0.62 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE; □PLANNING D ENGINEERING [JBU!LOING □FIRE Ci HEALTH Q HA2MATIAPCD ,(, ~ CITY OF Building Permit Application 1635 Faraday Ave., Ca~sbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No.C.'f,\2.2o\.(., -00(92:, Est. Value Y,c;oo CARLSBAD Date SWPPP J~~ ~r~v~_Qt --- CT/f'ROJfCT# LOT#-·--___ • __ 1PHASE-# J#OfUNrTS #EIEoRo'OMS-- -DESCRIPTfON1ifiwRK: Include SqUMr 'Ffft-ot ~ Am(SJ ·- • Residential Roof Mount Solar Photovoltaic ,.3, \ \( \,L ~ \ ·L ~(')(:?. S 1-\Y"'l\l~-tev 0o U{:PiYCblR ill Xl-~A EXISTING US PROPOSmUSE GARAGE (Sfl PATIOS (SF) DECKS(Sf) FIREPLACE YESO AIR CONDITIONING N<O YES □No □ FIRE SPRINKLERS YES□No□ APPllCANI' NAME (Primary contact) Vivint Solar Developer LLC ADDRESS 12650 Brookprinter Pl CITY Poway STATE ------zip ·------- CA 92064 PHONE 858-748-2525 APPLICANT NAME (Secondary Contact) ADDRESS-- STATE PHQ;;fE-_-_-_--_-_-_-_ ------~~~~~:1~,-AX- EMAIL CONTRACTOR BUS. NAME Vivint Solar Developer LLC ADDRESS 12650 Brookprinter Pl CIT'< Poway PHONE 858-748-2525 EMAIL 973756 STATE CA r-- CCASS C-46 ZIP ZIP 92064 CITY BUS. LIC.aU {Sec. 7031.5 Busmessand Proressions Code: Arr-/ City or Coun_ty which requires a permit to ccmstruct, alter, improve. demolish or repair any structure. prior to 1{& Issuance, also requires the appUcar,t f01 such per,rnit ti;, file a silned statement that he is licensed pursuant to tJ-,e provisions of the Contractor's License Law/Chapter 9. commenilln& with Section 7000 of O,v1sio11 3 of the Busmessand ProressrDnS COcle) or that he IS exempt therefrom, and the basis for the alleged exemptmn. Any violation of Section 031.5 by any applleant for a permit subjects the applicant to a civil pcnaltY of not more than five hundred doDars {$50011, ;i~ W0fker3' Compensation Declaration. I hereby affirm under penalty of pequ,y one oftfie following dec/araffons: D I have and will maintain a c■rtlflcate of connnt to self-Insure for wori<er,;' compensation as provided by Section 3700 of the Latior Code, for the performance of the work for which this permit is issued IKJ I have and will maintain workers' compensation, as reouired by S&ction 3700 of the Labor Code, for lhe performance or the work for wrwc.h lt11s i:iermit is issued. My wori(ers' comp~salion insuranc" r,amer and policy number are: Insurance Co Zurich ----Policy No. WC5096013 02., Expiration Date 11 /1 /2017~ ~section need not be completed iflhe permit is for one hl.mdred doUars ($100) or less. LJ Certificate of Exemption: I certify that in lhe performance of the work for which U,is permit is issued, I Sl1all not employ any persor, in any mamier so as to become subject to lhe Workeni' CompensaHon Laws of Cal1fomia. WARNING: Failure to .. cure worken' compe,isstion coverage ii unlawful, and shall subject an employer to crimlnal pe11all:les 11nd dvll fines up to one hundred thousand doh!"$ (&100,000), in addition to tha cost of compenNUon, damages n provldad for In Section 37116 of the Labor code, interest and attorney's fees. ,65 CONTRACTOR SIGNATURE :1:1:m~~i:J~cr: □AGENT DATE I hereby 9Rirm th9t I am exempt from Contractor's Ucimse Law for the following reason· □ □ □ I, as owner of the property or my employees wrth wages as their sole compensa11on, win do the worll and the slructure is not intended ~offered !or sale (Sec. 7044, Business and Profoss1ons Code: The Contractor's License law does not apply lo an OWfler of property who builds or improves thereon, and who does sudl worll 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, lhe owner-builder will have the burden of i:,oving that he did not build or improve for the purpose of sale) I, as owner of the property, am exclusively contracling with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor·s License Law does not apply to an owner o! prol)erty who builds or improves thereon, and ccmtracls for such projects with conlracto~s) licensed purauan\ to the Contractor's License law). I arn eKempt under Seclion _Busmess and Prof!tSsions Code for this n3ason: 1. 1 peraonally plan to provide ltle major labor and materials for conslruclkm or lhe proposed property improvement. 0Yes -··1 2 I (have I have not) signed an application for a bu1!d1ng permit for the proposed work. 1 3. l have contracted with the following i:ie11>on (llrm) to provide the proposed construciJon (incll.Jde name address I phone f contractors" license number): II 4. I plan to provide ooftions of the work, but! have hired the following person to cool"1J1nate, supervise and provide the maJor work (include name I address/ phone/ contractors' license number): 5. I will provide some of the won<, but I have contracted (hired) tt,e following persons to provide the wor1i indicated (incltJde name I address I phone I type of work). ---- A$ PROPERTY OWNER SIGNATURE □AGENT DATE. -·-------- I cetlify that t have read the application and state that the abO'.e infonnation is correct and that the Information on the plans is accurate. I agree tn complywllti all City ordinances and State laws relating bl build!ng con$b\lction. I hereby aulhorize re~enlative of the City ofCat1sbad toenterupo11 the above rnenOOned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNlPr' 00 KEEP HARMLESS THE CITY Of CAALSBAO AGAINST ALL LIABILITIES, JUDGMEITTS, COSTS ANO EXPENSES WHCH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pe,mrt ls reql!ired for e}(cavations over 5'0' p and derrdition orconslruciion of struCUJres ov~ 3 stories in height. EXPIRA TlON: Every permit issued by the Buikjing Official 111e provisions of this Code xpire by !irrntaioo and become nul and void if lhe budding or won< aulhorized by such pennit is not commenced IWhin 1B0 days from the date of such permit or if the . ing aulhctize<! by su ded or abandoned at any line after the work ts commenced z a period/ 180 days (Section 106 4 4 llnifoon Building Code) ,65 APPLICANT'S s1••_A_'""'__ .,_____,,-c .._-H--,.¾~ DATE J I /I I) ff u__ ------