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Home My WebLink About2856 RANCHO GANADERO; ; CB161785; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-06-2016 Cogeneration Permit Permit No:CB161785 Building Inspection Request Line (760) 602-2725 Job Address: 2856 RANCHO GANADERO CBAD Permit Type: COGEN Sub Type: PHOTO Parcel No: 222591 0400 Lot #: 0 Valuation: $12,400.00 Constuction Type: NEW Occupancy Group: Reference #: Project Title: KIECKHAFER RES= ROOF MNT PV 31 MODULES//NO PANEL UPGRADE//NO RMN/8.250 KW Applicant: HOME UNPLUGGED 3525 HIGHLAND DR CARLSBAD CA 92008 858 349-2369 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $141.20 $0.00 $98,84 $0.00 $0.00 $1.61 $1.00 Owner: KIECKHAFER JEFFREY A 2856 RANCHO GANADERO CARLSBAD CA 92009 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Status: ISSUED Applied: 05/06/2016 Entered By: LSM Plan Approved: 05/06/2016 Issued: 05/06/2016 Inspect Area: Plan Check #: $0.00 $0.00 $0.00 $0.00 $242.65 Total Fees: $242.65 Total Payments To Date: $242.65 Balance Due: $0.00 Inspector: ~ Clearance: l'OllCE Rease ta<e l'OllCE Iha~ "'fO-' ptject irdwas tte "lrrposiliai' cifees, claclcaicns, """"1/!iicm, er c/re" ei<aliCTS hereatsr cx:lledilo<ly referred to as 'f.,.;e,,alims." Yoo ha\eOOda),;frantte-tt-is pemitv.as issuadto pictest irrposiliencittesefaaslei<alims. If )OJ pictestttem )OJ rrust fdlONtte pictest p-tXaires set fa1l1 in GcNarmrt QxJe Sedlen ffilaJ(a) ard filette pictest ard a>; ctre-req..ired irfamilen wth tte Oty Mng,rfcr ~rg i"axoda...ewth Calsl:al Mridi:a CooeSedlen 3.32COO. FalcretotirrelyfdlONtha procairewll ta-a-,;sJ,secµrt le(l'i edientoata:k. -, set aside. vcid. er ,nu their irrposilicn Yoo ,re lmfy FLRTtER l'OllFIEDtrat 'fO-' rig-I to pictest tte ,p,dfied faas/ei<alicns IXBl NCJr A'fl YtoWiier ard -~en fees ard ~ty c:ta-g,s, rrqJmrg. 2Ilirg. ga:lrg er ctre-smla-~icaien ~rg er sen.,a, fees in ~en wth Ins ptject. i'CR IXBl IT A'fl Yto a>; I . ·a ··1 1/J-i lim' . - THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH □HAZMATIAPcol Building Pea nail Application Plan Check No.(' ,RI 1• I 7 ~ \.._ City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 7~02-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov -.carlsbadca.gov Date ':,J /,I/IA ,_ JOB ADDRESS SUITEf/SPACE#/UNfTf IAPN 2856 rancho ganadero --- CT/PROJECT# !LOT# I PHASE# I # OF UNITS I # BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) roof mount flush pv array. _31 __ modules. _8250 __ kw size. no elec. panel upgrade. no RMA -- EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING . I FIRE SPRINKLERS YES0, N<O YES0No0 YES□No[J APPLICANT NAME Justin Fox PROPERTY OWNER NAME Jeff Keickhafer ~-- ADDRESS ADDRESS Same as contractor 2856 rancho 11anadero CITY STATE ZIP CITY STATE ZIP carlsbad ca 92009 PHONE I FAX PHONE IFAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Home UnDIU!l!led ADDRESS ADDRESS 3525 highland dr CITY STATE ZIP CITY STATE ZIP carlsbad ca 92008 PHONE l'AX PHONE I 'AX 8583492369 EMAIL EMAIL sandpeople1@gmail.com I STATE uc_ # STATE UC.# IClASS B I CITY BUS. LIC.1237929 315683 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prtOf to its issuance, also requires the applicant for such permit to file a s1,e:ned 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 the B_usiness and Professions Code} or That he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). Workers' Compensation Declaration: I hereby affl,m (JrJ(ier penalty of pe,jury one of the following declarations: B I have and wit! maintain a certfficate of consent to self-insure for workers' compensation as provided by Section 3700 of the labor C'.ode, for the pertormarice of the work for which this permit is issued. I have and will maintain workers' eomtiensation, 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 ____________ _ _____ Policy No. ________ _ Expiration Date ________ _ ~section need not be completed if the peITTJit is for one hundred dollars ($100) or less IL) Certificate of Exemption: I certify that in the performance of the work for wtlieh this permit is issued, I shalt not employ any person in any manner so as to become subject to the WOl'kers' Compensation Laws of California. WARNING: Failure to secure workers' sation coverage Is unlawful, and shall subject an employer to Criminal penalties and clvll fines up to one hundred thousand doUars (&100,000), In addition to the cost of compensation, damages as i:ted for in Section 3706 of the labor code, interest and attorney's fees, _g CONTRACTOR SIGNATURE I hereby affinn that I am exempt from Contractor's License Law for the following reason· □ □ □ J, as owner of the property or my employees with wages as their sole compensation, will do the v.ork 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 C1Nner 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 compleUon, the owner-builder will have the burden of proving that he dk:I not build or improve for the purJX)Se of sale). I, as owner of the property, am exclusively contra:.:ting with licensed contractors to construct the project (Sec, 7044, Business and Professions Cooe: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and contracts for such pro;ects with contractor(s) licensed pursuant to the Contractor's License Law), I am exempt under Sectioo ____ ,Business and Professions Code for this reason: 1. ! personally plan to provide the major labor and materials for construction of the proposed property improvement Oves Do 2. I (have I have not) signed an application for a building permit for the proposed work 3. 1 have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide ~rtions of the~. out t have hired the following person to COOl'dinate, supervise and provide lhe major work (include name I address I phone/ contractors' license number): 5. l will provide some of the wITT, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone I type of work): Ji5 PROPERTY OWNER SIGNATURE □AGENT DATE !s the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fom1 or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No ls the fa:::ilrty to be constructed within 1,000 feet of the outer boundary of a scOOOI site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS IIET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. eby affirm that there is a construction lending agency for I ~that I haYe read the application and state that the above lnfonnation iso:mect and that the infotmation on the plans is accurate. I agree to comptywlth au City oltlinances and State laws ielatingto bulldtng construction. ! hereby authorize representative of the Cilyof Carlsbclf to ener upon the alxlve menOOnecl property br inspection puf?)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIAB~ITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AG/>JNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: AA OSHA permit is required br excavations over 5'0' deep and demolloon or oonstructtJn of structures over 3 stores 11 height. EXPIRATION: Every permit issued by lhe Buik:iing Official under the provisions of this Code shall expre by limrtation and become nul aid void if the buik:ling or 'I.Ork au!lorizecl by such pem'lit is not commenced 'Mlhin 180days from the direof soch permit or if the buik:iing or authorized by such permit is suspended or abandoned at any time after the y,ork is commenced tir ape · of OOdays (Secoon 100.4.4 Unibrm Buik:iilg Code). ,i!S APPLICANT'S SIGNATURE DATE Inspection List Pennit#: CB161785 Type: COGEN PHOTO KIECKHAFER RES= ROOF MNT PV 31 MODULES/INC PANEL UPGRADE/INC Date Inspection Item Inspector Act Comments 05/13/2016 35 Photo Voltaic (PV) RI PM PLEASE 05/13/2016 35 Photo Voltaic (PV) AEK AP 05/13/2016 39 Final Electrical RI PM PLEASE 05/13/2016 39 Final Electrical AEK Fl Friday, May 13, 2016 Page 1 of 1