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Home My WebLink About2883 Camino Serbal; ; CBR2017-1025; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 06/30/2017 Residential Permit Permit No: CBR2017-1025 www.carlsbadca.gov Job Address:2883 Camino Serbal Permit Type:BLDG-Residential Work Class:Cogen Status:Closed -Finaled Parcel No:2552813300 Lot #:Applied:05/12/2017 Valuation:$8,800.00 Reference 4:Issued:05/12/2017 Occupancy Group:Construction Type:Finaled: Dwelling Units:Bathrooms:Inspector: Bedrooms:Orig. Plan Check 4: Plan Check 4: Project Title: Description:STAMOS: 22 ROOF MOUNT PV, 7KW Owner:Contractor: TRUST STAMOS DEAN AND JUSTINE M FIORE ASI HASTINGS INC. LIVING TRUST 2883 Camino Serbal 4870 Viewridge Ave, Ste 200 CARLSBAD, CA 92009 SAN DIEGO, CA 92123-1671 619-590-9300 BUILDING PERMIT FEE $2000+$106.09 BUILDING PLAN CHECK FEE (BLDG)$74.26 SB1473 BUILDING STANDARDS FEE $1.00 STRONG MOTION-RESIDENTIAL $1.14 Total Fees:$182.49 Total Payments To Date:$182.49 Balance Due:$0.00 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. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:0 PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH 0 HAZMAT1APCD Building Permit Application Plan Check NoCeRMil--102-C-oCity of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date VI 50 /I'SWPPP I JOB ADDRESS SUITE#/SPACE#/UNIT#APN 2883 Camino Serbal 255 -281 -33 -00 CT/PROJECT #LOT #PHASE ##OF UNITS #BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:Include Square Feet of Affected Area(s) 22 roof mount/flush mount solar pv system w122 micro-inverters. Affected area 1,134 sq ft. system size 7.04kwh EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESOff NOO YES ONO El YES0 NOEI APPLICANT NAME PROPERTY OWNER NAMEFernando Ayala Dean StamosPrinarr Contact ADDRESS ADDRESS 4870 Viewridge Ave 2883 Camino Serbal CITY STATE ZIP CITY STATE ZIPSan Diego CA 92123 Carlsbad Ca 92009 PHONE FAX PHONE FAX 619-590-9300 617-347-8405 EMAIL EMAIL fayala@asiheatingandair.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ASI Hastings ADDRESS ADDRESS 4870 Viewridge Ave CITY STATE ZIP CITY STATE ZIP San Diego CA 92123 PHONE FAX PHONE FAX 619.590-9300 EMAIL EMAIL fayala@asiheatingandair.com STATE LIC.#STATE LIC.#CLASS CITY BUS. LIC.# 513115 B 1200804 (Sec.7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires theapplicant 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 theBusiness and Professions Code) or that 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 acivil penalty of not more than five hundred dollars ($500)). WORKERS'COMPENSATION Workers' Compensation Declaration: I hereby affirm under penally of perjury one of the following declarations: ElIhave 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 will maintain workers' compensation, as required 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.Cypress Insurance Company policy No.ASWC711636 Expiration Gate 911/2017 hi section need not be completed if the permit is for one hundred dollars ($100) or less. Certificate of Exemption:Icertify that in the performance 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 workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (8100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.., RS CONTRACTOR SIGNATU '4441 -...----....----------,Ei AGENT DATE g".-I 1 1....I OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's License Law for the following reason:0 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).ElI,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). 1:1 I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement.Oyes ao 2.I (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 I contractors' license number): 4.I plan to provide portions of the work, butI have hired the following person to coordinate, supervise and provide the major work (include name / address / 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 / address / phone/type of work): iiSPROPERTY OWNER SIGNATU ..--;_;11................._['AGENT DATE 3 i t 1 /1 -)---- COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or 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 Hazardous Substance Account Act?0 Yes 0 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?0 Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary ofa school site?0 Yes 0 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. CONSTRUCTION LENDING AGENCY 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). Lender's Name Lender's Address APPLICANT CERTIFICATION Icertify thatI have read the application and state that the above information Is correct and that the Information on the plans Is accurate.I agree to comply with all City ordinances and State laws relatingto building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly for inspection purposes.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 MYIN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by imitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the baling or work authorized by such permit is suspended or abandoned at any time after the work is commenced foraperiod of 180 days (Section 106.4.4 Uniform Building Code). lecAPPLICANT'SSIGNAT 1111.1111 DATE4111110111)--nommnp. isimioramommiammarm PERMIT INSPECTION HISTORY REPORT (CBR2017-1025) Permit Type:BLDG-Residential Application Date:05/12/2017 Owner:TRUST STAMOS DEAN AND JUSTINE M FIORE LIVING TRUST Work Class.Cogen Issue Date:05/12/2017 Subdivision:CARLSBAD TCT#88-03-03 ARROYO LA COSTA UNIT#03 Status:Closed -Finaled Expiration Date:12/27/2017 Address:2883 Camino Serbal Carlsbad, CA 92009-6997 IVR Number:3745 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 06/30/2017 06/3012017 BLDG-35 Solar 027654-2017 Passed Jonathan West Complete Panel Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Final 027690-2017 Passed Jonathan West Complete Inspection Checklist Item COMMENTS Passed BLDG-Structural Final Yes BLDG-Electrical Final Yes June 30, 2017 Page 1 of 1