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Home My WebLink About2763 La Gran Via; ; CBR2018-1311; Permit(city of Carlsbad Residential Permit Print Date: 08/14/2018 Permit No: CBR2018-1311 Job Address: 2763 La Gran Via Permit Type: BLDG-Residential Parcel No: 2163200600 Valuation: $3,600.00 Occupancy Group: # Dwelling Units: Bedrooms: Work Class: Cogen Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Status: Applied: Issued: Permit Finaled: Inspector: Final Closed -Finaled 06/01/2018 06/04/2018 Plan Check#: Inspection: 8/14/2018 1:04:52PM Project Title: Description: KISSELBURGH: 9 MODS FLUSH ROOF MOUNT, 2.655 KW, NORMA, NO UPGRADE Owner: Contractor: TRUST KISSELBURGH FAMILY TRUST 12-01-90 2763 La Gran Via VIVINT SOLAR DEVELOPER LLC CARLSBAD, CA 92009 1800 W Ashton Blvd licensing Dept Lehi, UT 84043-5490 858-748-2525 BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) 5B1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $106.46 Total Payments To Date: $106.46 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 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $61.74 $43.22 $1.00 $0.50 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING =:J ENGINEERING 0 BUILDING :J FIRE ;::J HEAL TH 0 HAZMATIAPCD Plan Check No. C Est. Value Plan Ck. Deposit ( 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 Date SWPPP JOB ADDRESS • SUITE#/SPACE#/UNIT# APN CT/PROJECT# # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE APPLICANT NAME Vivint Solar Developer, LLC ADDRESS 8090 Arjons Dr. CITY STATE ZIP San Dieqo Ca PHONE FAX 858-748-2422 EMAIL amanda.strout(@.vivintsolar.com 92126 FIRE SPRINKLERS YES0N00 DESIGN PROFESSIONAL Vivint Solar Developer. LLC ADDRESS ADDRESS 8090 Arjons Dr. CITY STATE ZIP CITY STATE ZIP San Dieqo Ca 92126 PHONE FAX PHONE FAX 858-7 48-2422 EMAIL EMAIL amanda.strout(@.vivintsolar.com STATE UC.# STATE UC.# CLASS CITY BUS. UC.# 973756 C-46 1236957 (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to. construct. alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_m1t to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law JChapter "9, comme_ndmg with Section 7000 of Division 3 of the B_usmess and Professions Code) or that he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 031.5 by any applicant for a permit subJects the applicant to a CIVIi penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Wor11.en' 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•lnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. [Z] I have and will maintain wor11.ers' compensation, as reauired bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Marsh USA Ince Policy No. WC509601303 Expiration Date 11/1/201 B ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: l 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 lo become subject to the Workers' Compensation Laws of California. WARNING; Failure to secure mpensatlon cov ge Is unlawful, and shall subject an employer to criminal penalties and civil fines up to.one hundred thousa;1/ollars (&100,000), in dedforlnSe ~n · terestandattomey'sfees. ,:::::::'!.. JL.. }"l 'b GENT DATE · vr(J--J l 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 work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owiier 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 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 ol 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 projects wrth contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section _____ Business and Professions Code for this reason: 1. I personally plan to provide the major tabor and materials for construction of the proposed property improvemenL 0Yes 0No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (finn) to provide the prop::ised construction (include name address/ phone/ 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 I address/ phone I contractors' license number)· 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone / type of work)· ~ PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or future building occupant required to submit a business plat, 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 tutu re building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes O 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. 'COllfSTR'UCTtON LIINDHtG AGIIIIJCV I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). I certify that I have read the application and state that the above infonnatlon is cotreet and that the infonnation on the plans ls acmate. I agree to comply 'Mth all City oldlnances and State laws relating to blilcling construction. I hereby aulhortze representabve of the City of Ca~sbad to enter up:m the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD I !GA .. INST A. LL LIABILITIES .•. JUDGM.ENTS, COSTS AND EXPENSE.SW. HIGH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CON.SEQUENCE. . OF THE GRA. NTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavation 5'0' deep and demolition orconstruCOOn of structures over 3 stories in height. EXPIRATION: Every perrrnt issued by the Bui · Offic" I under the provisions of this shall expre b limitation and become nul and \.\)d ~the bulldtng or worl( authorized by such pennit is not commenced within 80 days from the date of such perrrnt or if uiklrlg worl( aulhonzed it 1s sus at any time after the worl( is commenced for a penod of 180 days (Section 106.4.4 Uniform Buikling Code). A5APPLICANT'S~GNATURE __ , DATE 0{ffi_,_lil_~----------~ ' < PERMIT INSPECTION HISTORY REPORT (CBR2018-1311) Permit Type: BLDG-Residential Application Date: 06/01/2018 Owner: TRUST KISSELBURGH FAMILY TRUST 12-01-90 Work Class: Cogen Issue Date: 06/04/2018 Subdivision: LA COSTA CANADA Status: Closed -Finaled Expiration Date: 02/11/2019 Address: 2763 La Gran Via Carlsbad, CA 92009-8112 IVR Number: 11713 Scheduled Actual Inspection Type Date Start Date Inspection No. Inspection Status Primary Inspector Re inspection Complete 08/1412018 08/14/2018 BLDG-35 Solar 066897-2018 Passed Andy Krogh Complete Panel BLDG-Flnal 066898-2018 Passed Andy Krogh Complete Inspection Checklist Item COMMENTS Passed BLDG-Electrical Final Yes August 14, 2018 Page 1 of 1