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Home My WebLink About2821 LA NEVASCA LN; ; CB111952; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-20-2011 Cogeneration Permit Permit No:CB111952 Building Inspection Request Line (760) 602-2725 Job Address: 2821 LA NEVASCA LN CBAD Permit Type: COGEN Sub Type: PHOTO 0 NEW Parcel No: 2551030300 Lot#: Status: Valuation: $8,000.00 Construction Type: Applied: Occupancy Group: Reference #: Entered By: Project Title: TRAVERS RES 20 PANEL ROOF MOUNT PV SYSTEM Applicant: HELIOPOWER 25767 JEFFERSON AVE MURRIETA CA 92562 951-677-7755 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 $107.27 $0.00 $75.09 $11.00 $0.00 $1.00 $1.00 Plan Approved: Issued: Inspect Area: Plan Check#: Owner: TRAVERS JOHN G&LORI J 2821 LA NEVASCA LN CARLSBAD CA 92009 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES ISSUED 09/09/2011 KG 09/20/2011 09/20/2011 Total Fees: $195.36 Total Payments To Date: $195.36 Balance Due: Inspector: Date: I/ Clearance: $0.00 $0.00 $0.00 $0.00 $195.36 $0,00 NOTICE: Please take NOTI that pproval of your project includes the "Imposition of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions. Yo ave 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 have reviousl been iven a N Tl E similar to this or as to which the of limitations has reviousl othe,wise ex ired. «~" Bulldlng Permit Appllcatlon Plan Check Nf f>J /-/C{,S-.)/ ~ CITY 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Pnf'li'l 0 F 760-602-2717 / 2718 / 2719 Plan Ck. Deposit 75, 0 '/ CARLSBAD Fax 760-602-8558 www.carlsbadca.gov Date q J1 ../ / / lswPPP JOB ADDRESS 2.8 z_ I l-c.. 1'l e vo..sc.o.. l..A. SUITE#/_,..-,., ... ~,./vm,,. l"i. -ss -1113-c,3 -co CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(•) L\-,7 kWDC PV Solar 12-oof' mounted. -Z.o modules with I inverter(s) EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING I FIRE SPRINKLERS <;1='-R <;;;f-R YES[)t "'° YES □No □ YES□No□ APPlttcANT NAME (Primary Contact) HelioPower, Inc APPLICANT NAME (Secondary Contact) Hollie Valtierra ADDRESS ADDRESS 25767 Jefferson Ave CITY STATE ZIP CITY STATE ZIP Murrieta CA 92562 PHONE IFAX PHONE IFAX 951-677-7755 951-677-7755 760-525-4445 951-677-7755 EMAIL EMAIL permits@heliopower.com hvaltierra@heliopower.com PROPERTY OWNER NAME .Jo\-. ... , '<"o.. lJ -e ,, s CONTRACTOR BUS. NAME HelioPower. Inc ADDRESS ADDRESS -Z.62..1 ~ N E'\J "-5c.o-.. L. "'-25767 Jefferson Ave CITY G,._.,.\5, ~ ~ STATE ZIP CITY STATE ZIP CA 9 'Z..o<>9 Murrieta Ca 92562 PHONE I FAX PHONE I FAX 7 e,,o -'l4ll -\ ·z:s z 951-677-7755 951-677-7755 EMAIL EMAIL permits@heliopower.com ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# I CLASS I CITY BUS. LIC.1228765 915598 C-46 (Sec. 7031.5 Business and Professions Code: Any Crty or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he 1s 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: / 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. [{] I have and wlll maintain workers' comoensatlon, as reciuired by 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 Zurich American Insurance Policy No. WC982899000 Expiration Date 10-23-20 !bi§.section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in th rformance 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 'compen on coverage is unlawful, and shall subject an employer to criminal penatties and civil fines up kl one h dred uand dollars (&100,000), In 7rr•a·,,-P'° the Labor code, interest and attorney's feea. I hereby affrrm that I am exempt from Contractor's License Law for the following reason: □ □ □ 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 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 build or improve for the purpose of sale). J, 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 projects with 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 labor and materials for construction of the proposed property improvement. Oves ONo 2. l {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/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the fo!lowing person to coordinate, supervise and provide the major work (include name I address I phone/ 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 I phone I type of work): K$ PROPERTY OWNER SIGNATURE □AGENT OATE ' COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building ocx:upant required to submit a businessai, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Id? D Yes L.J No Is the applicant or future building occupant required to obtain a pennit from the air pollution conlrol.2lllricl or a~ality management district? Des 0No Is the facility lo be constructed within 1,000 feet of the outer boundary of a school site? LJYes LJNo 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 hlwe read the appllcation and state that the aboYe lnformatloo Is c:onectancl that the Information on the plans Is accurate. I agree to comply¥1fth all City ordinances and state laws l&tatlng to building construction. I hereby aJlhorize rei,esenlative of the Cily of C'"1sbad loenter l.l)Ofl the alx>ie mentioned property for inspection pu!p()S8S. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY 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: AA OSHA pemil • requred for excavations """5'~ deep 11'1 -or conslructioo of suuctures o;er 3 stories 11 height EXPIRATION: Eve,y penm issued by the Buidi1g Officia under the Rf(MSions of lh• Code shal expire by -11'1 become rul 11'1 void It the bli~i1g or · ed by sud1 pennit is not oonrnenald wilin 180 days from the date of sudl penm or ff orwat by sud1 penmosuspended or -ata,y ti"" allerthewat o coomenced a of 180days (Section 1116.4.4 Uniform Bw<i'l) Code). ,IS APPLICANT'S SIGNATURE ~L--DATE q ' . m City of Carlsbad Bldg Inspection Request . . Permit# CB111952 For: 10/20/2011 Title: TRAVERS RES 20 PANEL ROOF Description: MOUNT PV SYSTEM Type:COGEN Sub Type: PHOTO Job Address: Suite: Location: 2821 LA NEVASCA LN Lot: APPLICANT HELIOPOWER Owner: TRAVERS JOHN G&LORI J Remarks: Total Time: 0 CD. Description Act Comments 34 39 Date Rough Electric Final Electrical Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# CV050236 CLOSED H-EXPIRED RE-ROOF PERMIT; Inspection History Description Act lnsp Comments Inspector Assignment: Phone: Inspector: ---- Requested By: NA Entered By: JANEAN