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Home My WebLink About2839 Camino Serbal; ; CBR2018-3146; Permit(city of Carlsbad Residential Permit Print Date: 12/07/2018 Permit No: CBR2018-3146 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2839 Camino Serbal BLDG-Residential 2552812200 $8,800.00 Work Class: Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Cogen Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 11/14/2018 11/14/2018 Plan Check#: Final Inspection: 12/7/2018 10:00:29AM Project Title: Description: KLINKE: 7.92 KW ROOF MOUNT PV, 22 MOOS BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $182.49 Owner: COREY KLINKE 2839 Camino Serbal CARLSBAD, CA 92009 Total Payments To Date: $182.49 Contractor: PETERSEN DEAN 7010 Carroll Rd San Diego, CA 92121-2213 422-281-7995 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 yo1.1 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 $106.09 $74.26 $1.00 $1.14 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING 0 ENGINEERING •BUILDING •FIRE •HEALTH 0 HAZMATIAPCD {"city of Building Permit Application Plan Check No.,.-,_ -. , c-. '<' Mn 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value fl.I 17f/V"l ~ Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit Carlsbad email: building@carlsbadca.gov www.carlsbadca.gov Date JI-/L/-( J" fswPPP JOB ADDRESS 2839 Camino Serbal, Carlsbad, CA, 92009 SUITEf/SPACE•/UNIT• IAPN --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEOROOMS #BATHROOMS TTENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Alrected' Area(s) PV System Install on roof Panels:22 LG360Q1C-A5 SolarEdge SE7600H 7.92kW NoMPU NoRMA Flush Mounted on Roof FIREPLACE EXISTING USE I PROPOSED USE IGARAGE (SF) PATIOS (SF) lDECKS (SF) 1 IAIR CONDITIONING lFIRESPRINKLERS YES[jt Ne(] YES0No0 YESONoO APPLICANT NAME Gustavo Arellano PROPERTY OWNER NAME Corey Klinke ,~ Contact ADDRESS ADDRESS 8969 Kenamar Dr 2839 Camino Serbal CITY STATE ZIP CITY STATE ZIP San Die!lo CA 92121 Carlsbad CA 92009 PHONE IFAX PHONE l'AX 619-827-4627 442-281-7999 EMAIL EMAIL Qarellano@petersendean.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Petersen Dean ADDRESS ADDRESS 7010 Carroll Rd. CITY STATE ZIP CITY ~p1e-c.v STATE ZIP Qp ·-:J C •~ CA 11:20011,:, PHONE l'AX PHONE l'AX 422-281-7995 EMAIL EMAIL I STATE UC.# STATE UC.# I CLASS I c11Y ,us. uc.1208316 468117 c46 (Sec. 7031.5 Business and Professions Code: Any Ctty or County which requires a permit to.construct, alter, improve, demohsh or repair any structure, pnor to Its issuance, also requires the applicant for such per_mit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law /Cha'f.ter 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 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}). WORl<ERS' COMPENSATION Workers' Compensation Declaration: / llemby afflrm under penalty of perjury one of the following declarations: D I have and wltl 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 pennlt is issued. 0 I have and will maintain workers' compensation, as reauired bv Section 3700 of the Labor Code, for the perfonnance of the work for-Mlich this oennit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co, Department of Industrial Relations Policy No. SP4058468 Expiration Date 04/30/2019 ~ section need not be completed if the pennit Is for hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the ance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become su · Workers' Compensation Laws of California. WARNING: Failure to secure worke satlon coverage is unlawful, and shall subject an employer to criminal penaltles and civil fines up to on d thousand dollars (&100,000), in addition to the cost of compensation, damaga"I a for in Seetlon 3706 of the Labor code, Interest and attorney's fees. 8$ CONTRACTOR SIGNATURE \ I hemby affirm that I am exempt from Contractor's I.Jcense LBW for the fo • • • I, as owner of the property or my employees with wages as their sole compensation, wlll 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 hlmself 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 wlll 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 contrmrs to construct the project (Sec. 7044, Business and Professions Code: The Contrmrs License Law does not apply to an owner of property who builds or improves thereon, aod contracts for such projects with contractor{s) lic:ensed 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 Do 2. I (have/ have not} signed an application for a building pennit for the proposed work. 3. I have contracted wlth the following person (finn) to provide the proposed construction (include name address/ phone I contractors' license number): 4. l 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/ contractors' license number): 5. I wlll provide some of the wolk, but I have contracted (hired) the following persons to provide the work indicated {include name/ address I phone I type of work): ,6$ PROPERTY OWNER SIGNATURE •AGENT DATE I COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future bulldlng occupant required to submit a business plan, cK:Utely hazardous materials registration form or risk manWJement and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act.? • Yes • No Is the applicant or future building occupant required to obtain a permit from the air pollution conlrol dislrict. or air quality management dlsbict? • Yes • No Is the facility to be constructed within 1,000 feet of the outer boundiry 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 ANO THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I oertlfy1hat I have l8ad the appllcatlon and Slate that the abowl lnfonnatlon Is conectand that the lnbrmatlon on the plans Is accurate. I agree to oomplyv.tth all City Oldlnances and State laws l9la1ilg 1D building oonstrucllon. I hereby aulhorize n,pesentativeof the Cityof to ter upon the at,o,,. mentioned property br i1spection purJX)Sl!S. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY tl' CARLSBAD AGAINST AlL LIABILlftES, JUDGMENTS, S D SES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE tl' E GRANTING tl' THIS PERMIT. OSHA: M OSHA pennlt is required for excav•atiol,s 01~0' and deroolioon or oonstruction of structures over 3 sbies in height. EXPIRATION: Eve,y permit ssued by the 9.Ji~· otl:ia provisons of~-Code shalt e,pie by imitaoon and beoorre nul and 1<lid • the bui~ing or 180 days iom the date of such permit or ff the · · by such perm Ito suspended or abandoned at any tine alter the I\OII< • oommenoed AS APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBR2018-3146) Permit Type: BLDG-Residential Application Date: 11/14/2018 Owner: COREY KLINKE Work Class: Cogen Issue Date: 11/14/2018 Subdivision: CARLSBAD TCT#88-03-03 ARROYO LA COSTA UNIT#03 Status: Closed -Finaled Expiration Date: 06/05/2019 Address: 2839 Camino Serbal Carlsbad, CA 92009-6995 IVR Number: 15387 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Relnspectlon Complete 11/07/2018 12(0712018 BLDG·36 Solar 078206-2018 Passed Andy Krogh Complete Panel BLDG-Final 078207-2018 Paned Andy Krogh Complete Inspection Checklist Item COMMENTS Passed BLOG-Electrical Final Yes December 07, 2018 Page1 of1