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Home My WebLink About2772 GALICIA WAY; ; CB151775; PermitCity of Carlsbad • 1635 Faraday Av Carlsbad, CA 92008 06-09-2015 Cogeneration Permit Permit No:CB151775 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: 2772 GALICIA WY CBAD COGEN 2162200100 $8,000.00 Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: Status: ISSUED Applied: 06/09/2015 Entered By: RMA Plan Approved: 06/09/2015 Issued: 06/09/2015 Inspect Area: Plan Check #: Project Title: CUNZIO RES-PHOTOVOLTAIC SYSTEM 20 ROOF/FLUSH MOUNTED MODULES-6.9 KW-ELECT PANLEL UPGRADE BY SEPARTE PERMIT Applicant: T AND M SOLAR INC STE D 7848 SILVERTON AVE SAN DIEGO CA 92126-6308 760-703-3890 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $96.55 $0.00 $67.58 $0.00 $0.00 $1.04 $1.00 Owner: CUNZIO ANTHONY&PRICHARD 2772 GALICIA WAY CARLSBAD CA 92009 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $166.17 Total Payments To Date: $166.17 Balance Due: Inspector: f!'.t. ~~ FINAL Ar::;OVAL Date: II 15 Clearance: $0.00 $0.00 $0.00 $0.00 $166.17 $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pem,it 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 s/ex io s ·ou I th" t t I imit h vi u I I THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING Ccityof Carlsbad JOB ADDRESS')_ 77 )__ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEI/SPACEI/UNITI 0BUILDING QFIRE Plan Check No. Est. Value Plan Ck. Deposit CT/PROJECT# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Aft'ected Area(s) ~S\,,,1/ f?.=P~~ ,:Ze;, ~~'cs {,,.Cf p, \) I SrP • OHEALTH 0HAZMAT/APCD SWPPP CONSTR. TYPE OCC. GROUP EXISTING USE <;>:.: p PROPOSED ,YS}..,_ srv GARAGE (SF) PATIOS (SF) DECKS (SF) AIR CONDITIONING NcCJ YES0No0 FIRE SPRINKLERS vesONoO APPLICANT NAME Primary Contact ADDRESS P,.N;_ It-S.:U. -{:,3-,l '-j EMAIL ADDRESS CITY PHONE EMAIL PROPERTY OWNER ADDRESS 5,q /Mt--/U. $ ZIP PHONE FAX EMAIL STATE LIC. # STATE LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, prior to its is uance, also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commending with Section 7000 of Division 3 of the B_usiness and Professions Code} or (hat 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)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjUJY one of the following declarations: ~ve and will maintain a certificate of consent to self•lnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the worl( for which this permit is isslled. ~ have and will maintain workers' compensation, as reQuired by Sect~n 3700 of the labor Code, for the performance of the worl( for whictl this permit is issued. My workers' compensation insurance carrier and policy numberare:lasuranceCo 1/e,,J 'fOC/c /V\o.(', re,--PolicyNo. bl{ 'lo/t.,/(2000 {flfi] &piraUonDate 9-1--...i,,/5 ~section need not be completeflf the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the worl( for which this permit is isslled, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fallure to secure workers' compensation coverage ls unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, 'd in Se 06 of the Labor code, Interest and attorney's fees. _6$ CONTRACTORSIGNATUR ~NT I hereby affirm that I am exempt from Contraclot's License Law for the following reason: D D 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 sa~ (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 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 buUd or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors lo 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 sucti projects with contractor(s) licensed pursuant lo 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 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 worl(. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the worl(, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I will provide some of the worl(, but I have contracted (hired) the following persons to provide the worl( indicated (include name I address I phone I type of work): R5 PROPERTY OWNER SIGNATURE 0AGENT DATE C"'.> M P L E TE T H I S S E C T I O N F O R N O N • R E SI D E N T I A L B U I L D I N G P E R M I TS O N L Y Is the applicant or future building occupant required to submit a business plan, acutely hazardOIJS materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substarice Account Act? Yes No Is the applicant or future 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 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. I certify that I have read the application and state that the above lnfonnadon is col1'8Ct and that the lnfoonation on the plans Is aix:uram. I 8£feetD comply with all City on:linanoes and State laws relating ID buHdng construclion. I hereby authorize representative of the Oty of Carlsbad to enter UJXm the alxlve mentiOned property br inspedbn pul'J'.X)SeS. I AL.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAALSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE G/WITING OF THIS P£RMrT. OSHA: AA OSHA permit is requred for excavalioos over 5'0' deep and demolition or c:aistruction of structures over 3 stories il height. EXPIRATION: Every permit issued by the Buik:ling OffK:ial under the provisk:>ns of this Code shall expire by limilalxln and beoome null and voi:1 W the buik::ling or v.or1<. authorized by such pennit is not oommenc:ed 'Mthin 180 days from the date of such pennlt or if the D.Ji · r1<. th · by sudl permit is psnded or abandoned at any time after the v.ork is rommenced for a perbd of 180days (ted:km 100.4.4 Unibm Buik:ling Code). ,6$ APPLICANT'S SIGNATU DATE 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 Onty) 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: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. :1.) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTIIUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB151775 Date ln_S_l)ection Item 11/02/2015 39 Final Electrical Monday, November 02, 2015 Type: COGEN PHOTO Inspector Act MC Fl CUNZIO RES-PHOTOVOLTAIC SYSTEM 20 ROOF/FLUSH MOUNTED MODULES-6. Comments FINALED ON 06/23/2015, SEE CB151774 Page 1 of 1