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Home My WebLink About2722 La Gran Via; ; CBR2016-0159; PermitPrint Date: 01/26/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2722 La Gran Via BLDG-Residential 2162204300 $3,600.00 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: ROSS: 9 ROOF MOUNTED PY PANELS, 2.34 KW, NO UPGRADES, NORMA BUILDING PERMIT FEE $2000+ BUILDING PLAN CHECK FEE (BLDG) SB1473 BUILDING STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $106.46 Owner: TRUST CHIANG-FRANK 2009TRUST 11-11-10 2722 La Gran Via CARLSBAD, CA 92009 Total Payments To Date: $106.46 Status: Applied: Issued: Finaled: Inspector: Co-Applicant: PETERSON DEAN 7010 Carroll Rd San Diego, CA 92121-2213 422-281-7995 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. Permit No: CBR2016-0159 Closed -Finaled 11/22/2016 $0.00 $61.74 $43.22 $1.00 $0.50 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD (·city of Building Permit Application Plan Check No. CBR..2.010-0159 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date // !A.a/10 ISWPPP JOB ADDRESS SUITU/SPACEf/UNITf IAPN 2722 La Gran Via, Carlsbad, CA, 92009 --- CT/PROJECT# 'LOT# I PHASE# I# OF UNITS I# BEOROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(•) PV System Install on roof 4. .i'-1 .v.:i Panelsj9 SW285 Micro lnverters:18 MikW NoMPU NoRMA Flush Mounted on Roof EXISTING USE I PROPOSED USE IGARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YESD •<O YES □No □ YES□•o□ APPLICANT NAME Gustavo Arellano PROPERTY OWNER NAME Frank Ross Prtn -ntact ADDRESS ADDRESS 7010 Carrol Rd 2722 La Gran Via CITY STATE ZIP CITY STATE ZIP San Die110 CA 92121 Carlsbad CA 92009 PHONE IFAX PHONE IFAX 619-827-4627 442-281-7999 EMAIL EMAIL 11arellano@petersendean.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Petersen Dean ADDRESS ADDRESS 7010 Carroll Rd. CITY STATE ZIP CITY ~ti: STATE ZIP CA 92009 PHONE I FAX PHONE 422-281-7995 1FAX EMAIL EMAIL I STATE LIC. # STATE LIC.# I CL.ASS I CllY BUS. LIC.1208316 468117 c46 (Sec: 7031.5 Busmess and Professions Code: Any City or Coun_ty which requires a permit to_cpnstruct, alter, Improve, ~emol1sh or repair any structure, p_nor t9 Its issuance, also re~ulres 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 is exempt 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 {$500)). WORl<ERS' COMPENSATION Workers' Compensation Declaratlon: / hereby affirm under penalty of perjury one of the following declarations: D I have and wlll maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pelformance of the work for which this permit is issued. [Z] I have and will maintain workens' compensation, as reQuired by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is Issued. My workers' compensation Insurance carrier and policy number are: Insurance Co. XL Insurance America Policy No. CWR7409480 Expiration Date 04'3012017 ~section need not be completed if the pennit 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: Fallurt to securt workers' compens on erage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thouaand dollars (&100,000), In addition to the coet of compansatlon, da as d I on 3706 of the Labor code, Interest and attorney's fees. A.'5 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Conlrackx's Ucense Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as tllelr sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business 811d Professions Code: The Contractors License Law does not apply to an owner of property who builds or Improves thereon, and who does such w0!1( 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 owoer 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 exempl under Section ____ ,Business and Professions Coda for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. QYes ONo 2. I (have/ have not) signed an application for a building pennit for the proposed work. 3. I have contracted with the following person (finn) to provide the proposed construction (include name address I phone I oontractors' 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 OOdress /phone/ contra:tors' license number): 5. I will provide some of Iha work, but I have contracted {hired) the following persons to provide the work indicated (include name/ OOdress / phone I type of work): .85 PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDI_NG PERMITS ONLY Is lhe 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 □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control dlsbict or air quality management district? □ Yes □ No Is the fa::llity to be constructed within 1,000 feel 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work thts pemut is issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I oerttfythatl have 188d the appllcatlon and state that the above infonnatlon Is oomictand that the lnbmation on1he plans lsaccurate. I agieeto comply\llflh all City oldlnancesand Stale llMs relatlng ID bulldlng construc:tlon. I hereby aulhorizB represenlaM of lhe City of Carfsboo to enter UiXJO lhe above mentioned property t, ilsl"(:fion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAAMLESS THE crTY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUEAG.AJNST 5'\ID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA NI OSHA permit is required for excavations over 5'0' deep ald demolition or construction of structures over 3 stories in heij1t. EXPIRATION: Every permit issued by the Building Otlk:ial under the provisions this Code shall expie by imitalm aid oocorne nul and wid if lt'e building or 'AOlk authorized by such permit is not amnenced wthin 100 days from lhe date of six:h permit or if the · Of'AOIK · by permk is suspended or abandoned at any time after lhe oork is commenred b a pericxl of 100 days {Sectbn 100.4.4 Uniklrm Building Code). ,,@$' APPLICANT'S SIGNATURE DATE / / -) ,-PERMIT INSPECTION HISTORY REPORT (CBR2016-0159) Permit Type: BLDG-Residential Application Date: 11/2212016 Owner: TRUST CHIANG-FRANK 2009 TRUST 11-11-10 Work Class: Cogen Issue Date: Subdivision: Status: Closed -Finaled Expiration Date: Address: 2722 La Gran Via Carlsbad, CA 92009-8111 IVR Number: 399 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 01/26/2017 01/26/2017 BLDG-35 Solar 011276-2017 Passed Jonathan West Complete Panel BLDG-Final 011277-2017 Passed Jonathan West Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Electrical Final Yes January 26, 2017 Page 1 of 1