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HomeMy WebLinkAbout2758 Olympia Dr; ; CBR2017-2144; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 10/19/2017 Residential Permit Permit No: CBR2017-2144 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 2758 Olympia Dr BLDG-Residential 1674314900 $6,400.00 BREEN: 16 ROOF MOUNT PV, 4.SKW Owner: www.carlsbadca.gov Work Class: Cogen Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Status: Applied: Issued: Finaled: Inspector: Contractor: Closed -Finafed 09/14/2017 09/14/2017 TRUST HENDRICKSON LINDA TRUST 09-21-05 2758 Olympia Dr SUN RUN INSTALLATION SERVICES INC BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) 5B1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $152.02 CARLSBAD, CA 92010 Total Payments To Date: $152.02 295 Trade St San Marcos, CA 92078-4373 76D-290-1588 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 $88.35 $61.84 $1.00 $0.83 - 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.~f '1-2.J ~ y 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value (j) I '+CO- Ph: 760-602-2719 Fax: 760-602-8558 Carlsbad Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date 1/ /'"3 f /7 lswPPP JOB ADDRESS SUITEt/SPACEt/UN11' 1Aj6, -i.,~z Of"f{">p;r,._ Dr -(131 -l/100 I CT/PROJt<,t # ILOT # I SHA:>E # I# OF UNITS I# BED"uvMS # BATHRuvM<> I TENANT BUSIN..,.~ NAME I wN~ IR. IYPE I ""~-unvUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ( JG ) MODULES ( I ) INV ( L-J. 56 6 ) KW ( n b ) PANEL UPGRADE SOLAR FLUSH ROOF MOUNT EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES[)# NcQ YES O NoO YESO NoO APPLICANT NAME DANIEL BUCHANAN PROPERTY OWNER NAME LI ,tC&-13' ( '-<l.V\ P"""~ COnhtct ADDRESS ADDRESS 7_ 75~ fl f l/1>10 :~ 1?1 295 TRADE STREET SUITE A CITY STATE ZIP CITY { W IJ hr~ .J STtA ZIP SAN MARCOS CA 92078 ~~NO PHONE IFAX PgQ) '2. fl C, L/ 7 6 IFAX 760-290-9630 EMAIL EMAIL DANIEL.BUCHANAN@SUNRUNHOME.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME SUNRUN INSTALLATION ADDRESS ADDRESS 295 TRADE ST. SUITE A CITY STATE ZIP CITY STATE ZIP SAN MARCOS CA 92078 PHONE IFAX PHONE YAX 760-290-9630 EMAIL EMAIL DANIEL.BUCHANAN@SUNRUNHOME.COM I STATE UC. # STATE LIC.# l CLASS l CITY BUS. LIC.1224843 750184 C-10 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair ant structure, prior to ,ts issuance, also requires the apphcant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Cha'fter 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 703 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500}). Workers' Compensatlon Oeclaratlon: I hereby affirm under penalty of perjixy one of the following dee/ala/ions: 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 wor1t for which this permit is issued. [Z] I have and will maintain workers' compensation, as reQuired bv Section 3700 of the Labor Code. for the performance of the work for v.ilich this permit is issued. My workers' compensation insurance carrier and po(icy number are: Insurance Co ZURICH AMERICA Policy No. WC013693002 Expiration Date 10.1-18 ~section need not be completed n the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pefformance of the work for which this permit is issued, I shall not employ any person In any manner so as to berome subject to the Workers' Compensation Laws of Calffomia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for I Section 3706 of the Labor code, int ey's fees . .Ji5 CONTRACTOR SIGNATURE ..,____ IZ)AGENT DATE / 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 wor1t and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The ContractOl's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not Intended or offered for safe. 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). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The ContractOl'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 ContractOl'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. D Y es []No 2. I (have/ have not) signed an application for a building permit for the proposed wor1t. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the wor1t, but I have hired the following person to coordinate, supervise and provide the major work ~nclude name I address/ phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the foflowing persons to provide the wor1t indicated (include name / address / phone / type of wor1t): .Ji5 PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant Of 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 Haz.vdous Substance Account lv:.t? □ Yes □ No • Is the applicant Of future building occupant required to obtain a pemiit from the air pollution control district Of air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? □ Yes □ No IF Alof'f 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. Lender's Address I oertifythatl have read the application and slate that the aboYe information Is oorrectand that the Information on the plans ls accurate. I agree to oomplywlth all Cityordina!DlSand Slate laws relating1D buff ding cons1ruction. I he'eoy aulhaize representative of the City of Ca1sbad to enter upoo the~ mentioned p-qierty b' inspection purpooes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY CF CARLSBAD AGAINST ALL UABIUTIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN C(}.JSEO.JENCE CF THE GRANTING CF THIS PERMIT. OOHA: An OSHA permit is requi"ed b' excavaoons (MJ( 5'0' deep and demoioon or oonstrucoon of slructures CN!Jf 3 soois in heght. EXPIRATION: Every permit issued by the Building OOcial under the proiisials of this Cc:xle shall expi'e by lrritaioo and becare nul and YOO ff the buikling a \\Uk authaized by such permit is na cxmnenred 'Mthin 100days tan lhedaeof such permit aif lhebuicilg a\\Uk authaized by such permit is suspended a almdooed ata,y time afterthe\\Uk is cxmnenred ro,-a period 100 days ( · 1~.4.4 Unifam Builoog Cc:xle). ,6 APPLICANT'S SIGNATURE ~ DATE I 7 -" < ·~,¥ d o/ ~u M ', · • PERMIT INSPECTION HISTORY REP.ORT (CBR2017-2144) ,' j ' " Pcrrrnt ·JJ"ype: Work Class: Status: Scheduled Date BLDG-Residential Cogen Closed -Finaled Actual Start Date Inspection Type Application Date: 0911412017 Issue Date: 09/14/2017 Expiration Date: 0411712018 IVR Number: 6346 Inspection No. Inspection Status 10/19/2017 10/19/2017 BLDG-35 Solar Panel 038092-2017 Passed October 19, 2017 BLOG-Final Inspection Checklist Item BLOG-Building Deficiency 038091-2017 Checklist Item BLDG-Building Deficiency BLOG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Chris Renfro Chris Renfro TRUST HENDRICKSON LINDA TRUST 09-21-05 CARLSBAD TCT#74-04 2758 Olympia Dr Carlsbad, CA 92010-2143 Reinspection Passed Yes Passed Yes Yes Yes Yes Complete Complete Complete Page 1 of 1