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Home My WebLink About2895 CAMINO SERBAL; ; CB150221; Permit01-23-2015 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Cogeneration Permit Permit No:CB150221 Building Inspection Request Line (760) 602-2725 2895 CAMINO SERBAL CBAD COGEN Sub Type: PHOTO 2552832100 Lot#: 0 $5,600.00 Constuction Type: 5B Reference #: MOSELLE: 14 ROOF MOUNT PV Status: ISSUED Applied: 01/23/2015 Entered By: JMA Plan Approved: 01/23/2015 Issued: 01/23/2015 Inspect Area: Plan Check #: Applicant: SULLIVAN SOLAR POWER OF CALIFORNIA INC STE 101 8949 KENAMAR DR SAN DIEGO CA 92121 Owner: MOSELLE WILLIAM M&LAURIE B 2895 CAMINO SERBAL CARLSBAD CA 92009 858-271-7758 Building Permit $78.91 PLUMBING TOTAL $0.00 Add'l Building Permit Fee $0.00 ELECTRICAL TOTAL $0.00 Plan Checl< $55,24 MECHANICAL TOTAL $0.00 Add'l Plan Check Fee $0.00 Additional Fees $0.00 Plan Check Discount Strong Motion Fee Green Bldg Stands (SB 1473) 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: o3/^/<5 Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, deifications, resen/ations, or other exactions hereafter collectively referred to as 'fees/exactions." 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 Ihe protest procedures set forth in Government Code Section 65020(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 attacl(, 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 given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenwise expired. THE FQLLOWING'APPROVALS REQUIRED PRIOR TO PERMITISSUANCE: IZlPLANNING nENGINEERING nBUILDING nFIRE nHEALTH nHAZMAT/APCD C City of Carlsbad Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No.^)g?[ 5: 02JZ,\ Est. Value (o^Crt. Plan Ck, Deposit Date I / SWPPP JOB ADDRESS SUITE#/SPACE#/UNIT» APN 255 -^%•!> - 21 - 00 CT/PROJECT # LOT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE occ. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Areafs) r\uSW% mooKv-V , M.07 KuJ , D EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPtJ\CE YESf"!*. NOj I AIR CONDITIONING YES I |NO| I FlRESPRINKLERS YES I |NO| I APPLICANT NAME Primary Contact PROPERTY OWNER ADDRESS ADDRESS CITY STATE ZIP (\Z\Z\ CITY STATE CK ZIP PHONE PHONE 1^%% 775 ^6C>'\ FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME a.r ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE ^S^ -2-7 \ TTSS FAX EMAIL STATE LIC.# CLASS C-vo CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County wtiich requires a permit to construct, alter, improve, demolisii or repair any structure, prior to its issuance, also requires the applioantfor such permit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code) or tnat 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 civii penalty of not more than five hundred dollars {$500}). TTmfff.»»-l,'itfif*^ft1fH^mBg»iKM.iatHii>mg^i^ Worlters' Compensation Declaration; / hereby affirm under penalty of perjury one ofthe following declarations: Bl have and will maintain a certificate of consent to self-insure for worl<ers' compensation as provided by Section 3700 of the Latxjr Code, for Ihe 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 can-ier and policy number are: Insurance Co._ fktXWcVvffl NVfeSfX •CA'Sur^yvf.iC, Policy No. 5a.\/0C 5QVVQ°\ Expiration Date ^T-f \ f ZO\'i •pils section need not be completed if Ihe permit is for one hundred doiiars ($100) or less. I I Certificate of Exemption: I certify that in the perfonnance 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 Califomia. 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 (&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. ^ CONTRACTORSIGNATURE (Ji-ugA^C [lOtfnrMV^^ EZ^^NT DATE \/-Zl/'ZC[ty ll E R iB M11. D i n DECLARATION / hereby affinn Ihat I am exempt Irom Contractor's Ucense Law for the following reason: I I 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 — Ucense Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own empioyees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of compietion, the owner-builder will have the burden of proving that he did not build or improve for Ihe purpose of sale). I I I, 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 I 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, [^Yes I INO 2.1 (have / have not) signed an appiication for a buiiding permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number); 4.1 plan to provide portions of the work, bul i have hired the following person lo coordinate, supeniise and provide the major work (include name / address / phone / contractors' license number); 5.1 will provide some of the work, but I have contracted (hired) the foliowing persons to provide the work indicated (include name / address / phone / type of work); ^PROPERTY OWNER SIGNATURE QAGENT DATE OMPLETE THIS SECTION FOR N O N - R E S I D E N T I A L B U I L D I N G P E R IM I T S O N L 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? Yes No Is the applicant or future building occupant required to obtain a permil from the air poiiution control district or air quality management district? 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 ||;$|r-|jU:g:TIO N LMHD tmS Afi^E NCY. 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 PLICANT CERTIFICATION I certify ttiat I have read ttie application and state ttiat the above infomiatien Is conect and that the Infotmation on the plans Is accuiate. I agree to comply with all City ordinances and State lave relating to building constniction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property tor inspeclion 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 CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA; An OSHA permit is required for excavations over 5'0' deep and demoliton or construction of stmctures over 3 stories In height. EXPII^TION; Every pennit Issued by the Building Oflicial under the prDvisbns of this Code shall expire by limitation and become null and void if the building or wtk authorized by such permit is not commericed within 180 days from the dale of such pernilt or if the building or WDri< authorized by such pemiit is suspended or abandoned at any time alter the vwrk is commenced for a period of 180 days (Sectbn 106.4.4 Unifoim Buildirig C3de). APPLICANT'S SIGNATURE DATE '1^ 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 buildinq(5).carlsbadca.Q0V or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. COf: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP 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 ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit*; CB150221 Type: COGEN PHOTO MOSELLE: 14 ROOF MOUNT PV Date 03/12/2015 03/12/2015 03/12/2015 03/12/2015 03/11/2015 03/11/2015 03/11/2015 03/11/2015 03/11/2015 Inspection Item 35 Photo Voltaic (PV) 35 Photo Voltaic (PV) 39 Final Electrical 39 Final Electrical 35 Photo Voltaic (PV) 35 Photo Voltaic (PV) 35 Photo Voltaic (PV) 39 Final Electrical 39 Final Electrical Inspector MC MC IVIC MC MC Act Rl AP Rl Fl Rl NR NR Rl NR Comments RELEASE E-MAILED TO SDGE 2ND STOP 1ST STOP Friday, IVIarch 13, 2015 Page 1 of 1