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2736 FOREST PARK LN; ; CB161624; Permit
^ * 04-28-2016 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Cogeneration Permit Permit No:CB161624 Building inspection Request Line (760) 602-2725 2736 FOREST PARK LN CBAD COGEN Sub Type: PHOTO 1563204400 Lot#: 0 $8,000.00 Constuctlon Type: NEW Reference #: BLISS: 20 ROOF MOUNT PV. 6.2KW WITH RMA Status: ISSUED Applied: 04/28/2016 Enter^-By: SLE Plan Approved: 04/28/2016 Issued: 04/28/2016 Inspect Area: Plan Check #: Applicant: SULLIVAN SOLAR POWER OF CALIFORNIA INC STE 101 8949 KENAMAR DR SAN DIEGO CA 92121 858-271-7758^ Owner BLISS HOWARD W&LINDA 2736 FOREST PARK LN v CARLSBAD CA 92008 , Building Permit $96.85 PLUMBING TOTAJ.$0.00 Add'l Building Permit Fee $0.00 ELECTRICAL TOTAL $0.00 Plan Check $67.79 MECHANICAL TOTAL $0.00 Add'l Plan Check Fee $0.00 Additional Fees $0.00 Plan Check Discount Strong Motion Fee Green BIdg Stands (SB1473) Fee $0.00 $1.04 $1.00 TOTAL PERMIT FEES $166.68 n Total Fees: $166.68 Total Payments To Date:$166.68 Balance Due:$0.00 Inspector FINAL APPROV^ Date:Clearance: NOnce ReasetateNCr[K£fia(appra£dcfyarprcjedlnclij(:feethe1nposltiorraffiees,dedcatk]rB,nBeavstionB,orother9QctkTBhereEfleroolecfi\«ly refenedtoas'fises/exEctiona'YcuhaueSOdE^fnaTifredatethispemitMeslaBuedtoprsteGtlrTpoeitionorthesefeesfeDQctkTa If you protBGtOiemysu trust fdkw the protest prxedjee set forth In OovenTTErt Code Section 06Q2O(£O, and tie ttre protest and any otherreqLiiedlrfoimBfionvylth foe CttyMErager for pnooBssingInaoootdanoBwithCaristradMjidpelCodeSectlcn332OBQ FslLfBtoirrBlyfbncwttratpnooedLiBwillbarariysutxequertleoalactiontoaltacK set asida, void, a annul thek Irrposltion. You are herety RJRTT-B^ NCni R BD that ^ rigirt to pnofest the spedtied teesteadions DOES NOT/WLY to water and sewer oonneclion fees and capadty changes, nor planring, zoning, gnacfng or other sintlarapplfcalionprooBsalng or sentoe fees in connection wtthttisprcject NCRDCEStTAPR-Ytoary feeateKac8onsrfv\t^ch^<uhareDrevlous^vt»end^A3naNCmCEsi^^lartothte.ora3towl^ichthesttilte(fl^T1t^tton3ha3lorE^^QUslvc^hetvsfeeeM3tred, THE FOLLOWWG APPROVALS REQlflRHJPRlDR TO PERHITISaJAHCE: □pLAHOK □ENGflCERlNG □bUIDWG □FKE □HEALTH □HAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, OA 92008 Ph: 760-602-2719 Fax; 760-602-8558 email: bullding@carlsbadca.gov www.cai1sbadca.goy Plan Check No.(pp^ R Q. 1 ( Q 9 Est Value Plan Ck. Deposit #bathrMmS ITbUNTBUStNeSlOKt PateLV-g:^.-!SWPPP JOB ADDRESS rarr PHASE##OPUNffS I# BEDROOMS -327 - Hi -OO ICONSTRrrPE OCC. GROUPCT/PROJECT# DESCRIPTION OF WORK: biclada Sqoaie Feet of Atfected Ansft) Mounted PVSystem, ^ kWSystem, ^ Modules. I Inverter. AA) Panel Upgrade { ), Septic/Sewer S/iiA EXISTMQ USE PROPOSED USE OARAGE (SF)PATIOS (SF)DECKS (SF)RREPLACE YESn# N0| I AIR CONDmONlNGYES □noQ RRE SPRINKLERS YES I |no| I APPLICANT NAME Pdmrr Ceatut Jose Montane PROPERTY OWNER NAME ADDRESS 8949 KenamarDr, STE101 ADDRESS . 1 , ^ STATE ZIPCrTYSan Diego STATE CA ZIP 92121 CITY ; / ~~ ~ , . ^ I FAXPHONE 619'346-0696 FAX 858-271-7759 PHONI EMAIL Jose.Montano^SulllvanSolarPower.com EMAIL DEStON PROFESSIONAL CONTRACTOR BUS. NAME Sullivan Solar Power ADDRESS ADDRESS 8949Kenamar Dr.STEIOI CITY STATE ZIP CITY San Dleqo STATE CA ZIP 92121 PHONE FAX PHONE 858-271-7758 FAX 858-271-7759 EMAIL EMAIL info@SullivanSolarPower.com 839077 C-10 CfTYBUS.Ua# 1226671 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct alter, Improve, demolish or repair any structure, prior to Its issuance, also requires theapplicant for such permit to fUe a signed statement that he is licensed pursuant to the provisiona of the Contractor's License Law {Chapters, commerwlnjgwrth Section 7000 of Diviaion 3 of theBusiness and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any appiicanrfor a permit subjects the ap^icantto aavil penalty of not more than flw hundred doilars ($500)). CE'®E3rpii(ss:a'tf'0©[a Worion' Compffiw#<lon Decliralion: I hereby alBrm mder penaSy el peijmy one of the loltMttg tfedaraSons: I htve aid wll nukitiln a certificate of conaent to tafffnaire for workers' compensation as provtdad by Section 3700 of the Letior Code, for the performance of the work fbr which this permit Is Issued. I have and wll maintain workafi' componsation, as requked by Section 3700 of the Labor Code, for the perkxmance of the work for which Oils permk is issued. My workers' compensahon insurance carrier and policy niiiiberare:lniuraic8Co. RanehoMwaInsuranceSarvicea PoUcyNo. SUWC501109 ExpkalionDate 12«lg<li6Bsection need not be compieted If the permit is for one hundrc^ dolars ($100) or less. Certtflcate of Exemption: I certify that in the performance H the viorl( for whkii this permK [s issued, I shal not emptoy ariy person h any manner so as to becohie Giisject to the Worl^CaUfomia WARNJNO: Falture to secure worlters' cornpentpon coverage Is unlwrful, and shel subject an employer to crlmlnil puiaJtiee and dvll fines up to one hundred thousand dottars (&100,0I)0), In addttlontothecostofcompensition, damages as provldu/or in Section 3706 of the Labor code, Interest and attome/sfses, , ^CTctSlTRACTORSKMIATURE L (Jl. [TiAQEMT DATE I hereby Bftkmbtat I am exempt fmnCoiiracfa'tLJcenielaw for the fohniiing mason: □ I, as owner of S» property or my employBet with wages 83 their sole compensaflon, do the work and the structure is not Intended or offered for sale (Sec. 70+4, Business and Professiont Coda; The Contractor'sLicense Law does not apply to an owner of property who bulids or bnpnoves thereon, and who does such work himself or through his own emptoyees, provided that such Improvements are not tntended or ottered forsale. If, however, the txidng or improvement is sold wthin one year of completion, the owneMxAler wiD have the burden of proving that he did not hiid or hnprove for the purpose of sale). □ I, as owner of the property, am exdustvely contracting wth Icensed contractors to constnjct the project (See. 7044, Busteess and Professions (Code: The Ctentractor's Licansa Law does not apply to an owner ofproperty who builds or Improves thereon, and contracts for such projects with contractorjE) Icen^ pursuant to the Contractor'E License Law). I I I am exempt under Secfion Business and Professions Code for this reason: 1.1 personaOy plan te provtde the major labor and materials for construction of the proposed property Improvement I lYes 2 I (have/have not] signed an applcation for a bidding permit for the proposed work. 11 have contracted wkh the tellowtng person (tkm) to provide tie proposed construcSon (ndude name addrasa / phone / contractors' Icanse rrunber):4.1 plan to provide porttons of the work, but I have hir^ the toOowtng person to coonfinate, siiiervtse and provtde the major work (Incfude name / address / phone / contractors' fcanse numbeO:5.1 vdlprovkJe some of the work, but! have contractqfi (hlrad) the follovrfng persons to provide die work tndlcaled (Indudo name/address/phone/type of work): ) PROPERTY OWNBT 8K3NATURE 0A«NT □ATE -iC @©Gil(PUSire IfCDOS SSSIfD©!;!] P®E ©®[a = E@SQ®S[2]"u'0^(i, 0fflOll,®DGO@ PSEGDQ'u'g ®GDI117 Is the applicant w futiiB bdUng (xxupant required to >uM a business plan, acutsGr hazenious matertab [Bgistralkxi fomi or risk management and prevenlon pn)grani under SecSons 2S05,2^33 or 25534 of 9n Preitey-Tanner Hazardous Substance Account Act? DYes □ No lalheapplcantorfutuiBbuitdlngoccupantrBqiirBdtoobtalnapannltfiDmtfiealrpollutloncontiDldlsWcforarqualltymanaijeinertiSstitct? OYes □ No Is the (acl#if to be conshjctedwdtin 1,000 feat of the outer boundary of a school sfte? ClYes ONo F ANY OF THE ANSWERS ARE YES, A HNAL CERTTICATE OF OCCUPANCY MAY NOT BE ISSUED UW^ ™ APPUCAKT HAS MET OR 18 HEETINQ THE REQUIREMENTS OF THE OFFTCE OF EMERGENCY SERVICES ANO THE AIR POLUmON CONTROL DISTRICT. ©©GHS'O'BffiS'u'D®en DiS[IO®DCl]@ raSSlSS'i? I heretjy affirm 9iat there Is a construction lending agency tor the perfomiance of Ste worit this pennlt Is Issued (Sec. 3097 (i) Ovil Code). Lender's Name Lender's Address yapp&DSratri'u' e@B'ij'QPoe^'u'D®G!] Icartl^lhatlhaire read Swapplcallon and state flatthe aborolnfonnallonhconBct and that the Infcrmaflon on fte plans Is aeoiateLiagBe to comp^rrivlh til taiyoidlnancas and State Iwstelalliig to baflrlngcoiiibucllon. I heteby auficrizB repiBsenlaflve of aty of Carisbad to erter upon the nienloned property tx inspecaon ptiposes. IAJ^ ACRE TO SAVE, I NDatNFY AND KEff HARM^SS THE CriY OF CAftLSBAD AGAWST ALL UABIIJTIES WHICH MAY W ANY W, JUtOGMENTS, COSTS ANDOSHA An C®iA perrrt b reqiied for excavalons over 5TT EXPIRATXM Every permit bsued by the BuHtig Official 180 days from tts of stKh permit or tte btidtig or veTAPPUCANTS SIGNATURE AY ACCRUE ASAII^ SAID CITY IN CONSEQU0JCE OF THE GRANTtlG OF THIS PBTMfT. demotUon or constnjcion of efructures ever 3 skxies In heighLprovisions of thb Code ehal 09^ by ImSalon and become nul and void ^Ste buOifing or writ auSurizad by such petmi B not commenced wHifri by such permtb suspended or atiandoned at any Sme attar fie volt b commenced tor a period of 180 days (Section 106.4.4 UnlfbtmBuirtng Code). DATE Inspection List Permit#: CB161624 Type: COGEN PHOTO Date Inspection Item 05/20/2016 35 Photo Voltaic (PV) 05/20/2016 35 Photo Voltaic (PV) 05/20/2016 39 Final Electrical 05/20/2016 39 Final Electrical Inspector /Vrt Rl PB PB AP Rl AP BLISS: 20 ROOF MOUNT PV, 6.2KW WITH RMA Comments Monday, May 23, 2016 Page 1 of 1