HomeMy WebLinkAbout1206 Plum Tree Rd; ; CBR2017-2422; Permit• /
• {city of
Carlsbad
Print Date: 02/07/2018 Permit No: CBR2017-2422
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
1206 Plum Tree Rd
BLDG-Residential
2145433000
$8,000.00
Work Class:
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Cogen
GALL: FLUSH ROOF TOP, 20 MODULES ( S.8kW), 1 INVERTER, NO UPGRADE, NORMA
Owner:
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Contractor:
Closed -Withdrawn
10/11/2017
10/11/2017
02/07/2018
ERIC GALL
1206 Plum
VIVINT SOLAR DEVELOPER LLC
CARLSBAD, CA 92011-2504 1800 W Ashton Blvd Licensing Dept
Lehi, UT 84043-5490
858-748-2S25
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
5B1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $167.31 Total Payments To Date: $167.31 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 you 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 I I www.carlsbadca.gov
$97.22
$68.0S
$1.00
$1.04
' /
"
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: CJ PLANNING 0 ENGINEERING [JBUlLOING □FIRE ;::,]HEALTI-I 0 HAZMATIAPCD
i~ Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
~Ian Check No.L_6(2_ c){"";/ ?-ol':[;).;;)..
'" ~ CITY OF
CARLSBAD
Residential Roof Mount S'5 ~L~
j)() N\CdJ-1~
PROPOHDUH
APPLICANT NAME {Primary ContactJ Vivint Solar Developer LLC
ADDRESS 8090 Arjons Dr.
CHY STATE" ZIP San Diego CA
PHONE J::x 858-7 48-2525
-----
EMAIL
GARAGE (Sf)
92126
PATIOS (SF] OECKS(SF}
Est. Value Ci:50
Fl EPI.AC
YES0,
SWPPP
AIR CONDITIONING
NU v,s □NoO
FIRE SPRINKLERS
vesONoO
APPLICANT NAME (Secoad•r1 Cont•cfJ
ADDRESS
CITY STATE ZIP
PHONE "'
EMAIL
------------i
STATE
CA
-ZIP
92126
--i I
'
FAX --1
EMAIL
STATE UC.#
973756
CCASS
C-46
CITY BUS. UC,#
1236957
(Sec. 7031.5 Bus,neaand Professions Code: Artf CitY orCouri_ty which requires a permit to_c_onstruct. alter, improve, demolish or repair any struclUre, ptiof to it& il;Suance, also re(luires the
applicant fOf such peonlt to file a sianed statement that he is licensed pursuant to the provisions of the Contractor's License Law/Chapter 9, commondln.twith Section 7000 of D1v1sion 3 of the Business and Professions Code} or fhat he IS eM!fflJ)t therefrom, and the basis for the alleged e~empt1on. Any v1olnt1on of Section 031.5 by any appllcanffor a pe:rmit subiects the applicant to a
civi I penaltY ot not more then five hundred dollars [SSOOJ 1.
Workers' Compensation Declaration: I llereby affirm 1Jnder penally of perjury one ofth11 following dec!aralions: D I have and will maintain a certificate of consant to self.Insure for workers' compensation as provided by Section 3700 of the Labor COOe, for the performance of lhe work fOf which this permit is issued.
jg] I have and will maintain workers' comperisaUon. as reauired bv Section 3700 of the Labor C<Jde, for lhe performance of the work for which this permit Is issued. My workers campensalian insurance camer and policy
number are: Insurance Ca Marsh USA lnc _____ Policy No. WC509601302 Expiration □at8_1_1_1_11~2~0_1_7 ____ _
]J!i§,section need not be completed lfttie permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that In lhe peffom,ance of ttie wori< for wh1ci1 lhIs permit 15 I55uec1, I shall not employ any person In any manner so as to become subJect to lhe Workers' Gompensahon Laws of
California. WARN NG: Failure to secure wo mpensatlon cove e Is unlawful, and shall subjatt an employer to crtmlnal penalties and clvH fines up to ona hundred thousand dollars (&100,0001, ln
addition to the coat of compensation, dam rov dad for I <'!!iit:'::~§!lb,:.;,>, and attorney's feu.
6$ CONTRACTOR SIGNATURE
I hereby effim, that f am el(empt from Contractor's License Law for the following reason·
□
□
□
I, as owner of Iha property ex my emplo~ees with wages as their 5ole compensation, will do ttie work and the strucl\lre is not intended ex offered far sale (Sec. 7044, Business and ProfesslOOs Code: The Contractor's
License Law does na1 apply la an owner of property who builds or improves thereon, and who does such work himself or through his awn employees, provided that such improvements are nol intended or offered for
sale. If, however. the ouildir,g or improvement is sold within one year of completion, the owner-builder will have the buroen al proving that he did not build or improve for lhe purpose of sale).
l. as owner of the property, am exciusively contracling with licensed can\r3ctars to construct the project (Sec. 7044, Business and Professions Code· The Contractor's Ucense Law does not apply ta ar, owner of
property who builds or improves thereon, ,md contracts far such proJec!s with conlraclor(s) licensed pursuant to lhe Contractor"s License law).
I am eKempt under Sec lion _Business and Professions Code far this reason:
1. l personally :ilan to provide !he major labor and materials for conslruclIan or lhe proposed property improvement. 0Yes
4. I plan la prow:le porl/Ons of the work, but I have hired the following person to coordinate, supervise and provide lhe major work (inciude name I address/ phone I contractors' license number);
5. I will provide same of the work, but I ha~e contracted (hired) ttie fo!low,ng persons to provide the worll indic.atod (include name I address I phone I type of wnrk):
-----------------------------------------------------------
!: : ~:::e :::~~);~~n: ~:11:=~~;~r:;~r (~:t:npgr::i:::rp~:~:~o::s::·an (include name address I phone I contractors" license number); ~ Ii
N5 PROP ER TYO WN ER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required to 9ubm1l !I business plan, acutely hazardous materials registration form or nsk management and prevention program under Secbons 25505, 25533 or 25534 of lhe
Presley-Tanner Hazarlfous Substance Account Act? □ Yes □ No
Is the applicant or fulure building occupant required to obtain a pem,it from 1he air pollution control district or air quaMty management district? □ Yes □ No
Is the facility to be constructed wilhin 1,000 feel of the outer Doundary 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.
I certify that I hwe iead the application and state that the aOO\le irrfonnation is conect and that the Information on the plans is accurate. I agree to compfywlttl all City Oldlnances and State laws relating to build Ing construction.
I hereby aulhorize rep-esentative of the City ofCartsbad to enterupoo lheabova mentioned property for ilspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CllY OF CAALSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS MD EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAO CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT.
OSHA: M OSHA pem,it is required for excavations aver 5'0' deep and demolition or construction of structures over J stories in height.
EXPIRATION: Every pennit issued by lhe Building I under lhe provisions of this Code shall expire by limitation and become nul and vl)d if lhe building or won< authonzed by sucil pe,mit is not commenced 'M1tun
180 da,s rnn tt,e dale of such -• oc I lte WOO< ao•~ '8=. ,_s suspended or aba ned at any ~me after Ille wmk is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code~
A:!APPUCANT'SSIGNATURE ,c::,,.--,, DATE co~g;_fl _ __._ ______ ~
' •
►
,,
Request for Cancellation and Refund: Attention Building Department
City of Carlsbad
1635 Faraday Ave
Carlsbad, Ca 92008
January 29, 2018
I am sending you this written notice to request the cancellation and refund of the permit application fee
for the project listed below.
The customer has determined that they no longer want to move forward with their solar installation at
this time.
Customer Name: Eric Gall
Permit Number: CBR17-2422
Date Issued: 11/11/17
Project Address: 1206 Plum Tree Rd
Vivint Solar Service Number: 5819064
Please return refund check and a copy of this request to:
Vivint Solar Developer LLC
Attn: AR Department
1800 W Ashton Blvd
Lehi, UT 84043
Thank you,
Amanda Strout
Office Administrator, San Diego
amanda.strout@vivintsolar.com
C::760.803.1959 • 0:858.748.2525
RECEIVED
JAN80 2018
CITY OF CARLSBAD
BUILDING DIVISION