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Home My WebLink About2758 La Costa Ave; ; CBR2017-0117; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 02/16/2017 Residential Permit Permit No: CBR2017-0117 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 2758 La Costa Ave BLDG-Residential 2162802200 $7,200.00 www.carlsbadca.gov Work Class; Lot#: Reference#: Construction Type: Bathrooms: Orig, Plan Check#: Plan Check#: Cogen NOBLE: ROOF MOUNT SOLAR, 21 MODULES, 6.510 KW Owner: Status: Applied: Issued: Finaled: Inspector: Contractor: Closed -Finaled 01/18/2017 01/18/2017 TRUST NOBLE FAMILY TRUST 11-21-83 7668 El Camino Real, #104 SUN RUN INSTALLATION SERVICES INC BUILDING PERMIT FEE $2000+ BUILDING PLAN CHECK FEE (BLDG) SB1473 BUILDING STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $167.21 CARLSBAD, CA 92009 Total Payments To Date: $167.21 295 Trade St San Marcos, CA 92078-4373 760-290-1S88 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. $0.00 $97.22 $68.0S $1.00 $0.94 • - THE FOLLOWltiG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCD ( City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check Noc_ '\;,2_. -2.o 1 7 -0 I I 1 Est. Value "r'Z..oO JOB ADDRESS SUITE#/SPAOE#/UNIT# CT/PROJECT# # BATHROOMS OCC. GROUP EXISTING USE PATIOS (SF) DECKS {SF) FIRE SPRINKLERS YESONoO APPLICANT NAME PROPERTY OWNER ADDRESS ADDRESS ,.~ITY STATE ZIP PHONE FAX EMAIL STATE UC.# STATE UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to. construct, alter, improve, demolish or repair any structure, p_nor to its issuance, also requires the applicant for such permit to file a s12ned statement that he 1s 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 v1olat1on of Section i031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). ------------------------I WORKERS' COMPEN_SATION _ _ __ __ _ _______ -. __ J Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: D I have 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. 0 I have and will maintain wor s' comp;nsation, as re uired by Secti~n 3700 of the Labor Code, for the perlormanceif.J.h1 w t wh· I is ermit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co._LLIYcCl.\l:\.-__:tJ:n~~CC:GGl..~1------Policy No. _ __,\,,.,,_/Vl'-!".cC."l~'.\.'U<A,"-',.,'-1--Expiration Date lD. , . i e 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' compensati coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensa · n, d a es s provided f r in ctlon 37 of e a or code, interest and attorney's fees. 25 CONTRACTOR SIGNATUR I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ □ I, as owner of the property or my ernpOyees with wages as \heir sole compensation, will do the work and \he 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 worx 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 p~ects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section _____ Business and Professions Code for this reasoff 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 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/ address/ phone I contractors' license riumber) 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work): 25 PROPERTY OWNER SlGNATU AGENT DATE • ,. tuture building occupant required to submit a business plan, acutely hazardous materials registralion form or risk management and prevention program under SecUons 25505, 25533 or 25534 of the , , a, .. ,er Hazardous Substance Account Act? □ Yes □ No . s the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O 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 application and state that the above Information is correct and that the Information on the plans is accurate. I agree to comply with all Cify ordinances and State la,,,,s relating to building construction. I hereby authorize representative of Ire City of (;a~sbad to enter up:,n the aOOve mentioned property b inspecllon purposes. I ALSO AGREE TO SAVE, INDEMNIPf ANO KEEP HARMLESS THE CllY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA: Ar, OSHA perm rt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stoties in height. EXPIRATION: Every permit issued by the Building Offcial under the provisllns of this Code shall expire by lim1lation and C€come null and void l the b.Jildng orv.ork authorized by such permit is not commenced vvithin 180 days from the date of such permit or if t11e building oroork a rlzed by such it suspended or abandoned at any Ume after the oork is commenced for a period of 180 days {Section 100.4.4 Uniform Building Code) //S APPLICANT'S SIGNATUR DATE I / \~ '1 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 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: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL TO: □ CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL/ FAX TO OTHER: _______________ _ □ ASSOCIATED CB#------------ 0 NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION ZIP ,AS APPLICANT'S SIGNATURE DATE C f ;'!'}~ ·, PERMIT INSPECTION HISTORY REPORT (CBR2017-0117) Pcrmi\Typc: BLDG-Residential Application Date: 01/18/2017 Owner: TRUST NOBLE FAMILY TRUST 11-21-83 Work Class: Cogen Issue Date: 01/18/2017 Subdivision: Status: Closed -Finaled Expiration Date: 08/15/2017 Address: 2758 La Costa Ave Carlsbad, CA 92009-7326 IVR Number: 1480 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 02/16/2017 02/16/2017 BLDG-35 Solar 013867 ~2017 Passed Andy Krogh Complete Panel BLDG-Final 013868-2017 Passed Andy Krogh Complete Inspection Checklist Item COMMENTS Passed BLDG-Structural Final Yes BLDG-Electrical Final Yes February 16, 2017 Page 1 of 1