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Home My WebLink About2889 BRENTWOOD CT; ; CB151222; Permit04-22-2015 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Cogeneration Permit Permit No:CBl51222 Building Inspection Request Line (760) 602-2725 2889 BRENTWOOD CT CBAD COGEN Sub Type: PHOTO 1563102700 Lot#: 0 $5,600.00 Constuction Type: 5B Reference #: KORBELAK: 14 ROOF MOUNT PV Status: ISSUED Applied: 04/22/2015 Entered By: JMA Plan Approved: 04/22/2015 Issued: 04/22/2015 Inspect Area: Plan Check #: Applicant: SEMPER SOLARIS 1637 TIERRA MONTANOSA ALPINE CA 91901-2939 619-341-3414 Owner: KORBELAK ROBERT&MARYANN TRUST 12-15-07 2889 BRENTWOOD CT CARLSBAD CA 92008 Building Permit $78.91 PLUMBING TOTAL $0.00 Add'l Building Permit Fee $0.00 ELECTRICAL TOTAL $0.00 Plan Checi< $55.24 MECHANICAL TOTAL $0.00 Add'l Plan Check Fee $0.00 Additional Fees $0.00 Plan Check Discount Strong Motion Fee Green BIdg Stands (SB1473) Fee $0.00 $1.00 $1.00 TOTAL PERMIT FEES $136.15 Total Fees: $136.15 Total Payments To Date: $136.15 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: ^"^fVC Clearance: 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 pemiit 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 infomiation 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 vou have previously been aiven a NOTICE similar to this, or as to which the statute of limitations has previouslv othenvise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: nPLANNING nENGINEERING nBUILDING QFIRE DHEALTH OHAZMAT/APCO ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov vvww.carlsbadca.gov Plan Check No. C£>f ^- ( 2-2-2- Est. Vaiue Plan Ck. Deposit Date 4' SWPPP JOKADDRESS _ , SUITE*/SPACE*/UNIT* APN - Cr/PRODECT# • " L0T# PHASE* # OF UNITS # BEDROOMS » BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Areafs) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES|~|» N0| 1 YES •NO • YES| |NO| | Primary Contact ^\AC \AJ\\'b6lO PROPEg-^^lg^^ ^ ADDRESS , ADDRESS ' • : 1 STATE ZIP CITY " ^ FAX FAX DESIGN PROFESSIONAL CONTRACTOR BUS. NAUEvk ^ ADDRESS ADDRES'S ' CITY STATE ZIP CITY STATE ZIP PHONE FAX FAX EMAIL STATE LIC. # STATE LIC.# • ^ CLASS CITY BUS. LIC.# (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 the applicant for such permitto file a signed statement that he Is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 ofthe Business 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 a civil penalty of not more than five hundred dollars {$500}). WO RK 91? S COMPENSATION Worlters' Compensation Declaration: / hereby affinn under penalty ofpeijury one ofthe following declarations: 11 have and will maintain a certificate of consent lo self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfomiance of the work for which this pennit is issued. Dtljl have and will maintain workep' cmnpensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit Is Issued. My workers' compensation insjjrance carrier and policy ' number are: Insurance Co '^]?A1TC WY^M Policy No. UjJ^ A/O Expiration Date 10/ / P / / 3 This section need not be completed If the permit Is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that In the perfomiance of the work for which this pennit is Issued, I shall not employ any person In any manner so as to become subject to the Workers' (^mpensation Laws of Califomia. WARNING: Failure to secure worlters' compensation coverage Is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attomey's fees. CONTRACTOR SIGNATURE J^''^'^'^'^— ffl^ OWNER-ilUILOER DECLARATION fees.^ jg^GENT DATE I hereby affirm that I am exempt from Contractor's Ucense Law for the foltowing reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture 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). • • I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contrxtors 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 Ucense Law). 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. QYes j iNo 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3.1 have contracted with the following person (fimi) to provide the proposed constmction (Include name address / phone / contractors' license number): 4.1 plan to provide portions of the wort(, but I have hired the following person to cooidinate, supen/ise and provide the major wori< (include name / address / phone / contractors' license number): 5.1 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 wori<): y^fpROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR N O N - R E S I D E N T I A L B U I t D I N G > E R M I T S ONLY Isthe applk^nt 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? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management districf? Yes No Is the facility to be constructed within 1,000 feet 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. C ONSTRUCTION LENDING AGENCY I hereby affirm that there is a constnjction lending agency for the performance of the work this permit is issued (Sec. 3097 (1) Civil Code). Lender's Name Lender's Address A PPLICANT CERTIFICATION I cetti^ ttiat I have read ttie application and state that the above Infomiation Is conect and that the Infonnation on ttie plans Is accurate. I agree to comply witti all Clly oidinances and State laws relating to building constniction. I hereby authorize representative of the City of Carisbad to enter upon the above mentioned property for inspeclion purposes. I ALSO AGREE TO SAVE, It^IDEMNIFY AND KEEP HARIyflLESS THE CITY OF CARLSBAD AGAINST ALL UABILfTIES, JUDGI\/IENTS, COSTS AND EXPENSES WHICH li/lAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT. OSHA: An OSHA permit is required fbr excavations over 5'0' deep and demolition or constmction of stmctures over 3 stories in height. EXPIRATION: Every pennit issued by the Building Oflicial under the provisbns of this shall expire by limitation and become null and void if the building or w)ori< authorized by such pemiit is not commenced within 180 days from the date of such pemiit or if theJwilding or m\f. authorized by such pemit is suspended or abandoned at any (me after the vaik is commenced tor a period of 180 days (Section 106.4.4 Unilbmn Buikling Code). > APPLICANT'S SIGNATURE 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 buildina(S)carlsbadca.aov or Mail the completed forni to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB151222 Type: COGEN PHOTO KORBELAK: 14 ROOF MOUNT PV Date Inspectjon Item 05/26/2015 35 Photo Voltaic (PV) 05/26/2015 35 Photo Voltaic (PV) 05/26/2015 39 Final Electrical 05/26/2015 39 Final Electrical Inspector Act Rl PB AP Rl PB AP Comments PM PLEASE PM PLEASE Wednesday, May 27, 2015 Page 1 of 1