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Home My WebLink About2871 RANCHO CORTES; ; CBR2018-0402; Permit(city of Carlsbad Residential Permit Print Date: 03/13/2018 Permit No: CBR2018-0402 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2871 Rancho Cortes BLDG-Residential 2226602200 $12,000.00 Work Class: Cogen Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 02/16/2018 02/16/2018 Plan Check#: Final Inspection: 3/13/2018 10:44:14AM Project Title: Description: AINSLIE: 30 ROOF MOUNT PV, 9.7SKW Owner: Contractor: COOWNER AINSLIE ROBERT F AND JERI C 2871 Rancho Cortes TESLA ENERGY OPERATIONS, INC BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) S81473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $228.15 CARLSBAD, CA 92009 Total Payments To Date: $228.15 3055 Clearview Way San Mateo, CA 94402-3709 650-963-5100 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 f I www.carlsbadca.gov $132.70 $92.89 $1.00 $1.56 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD --C City of Building Permit Application Plan Check No.0£R 'LO lo-D4Q 2 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 12,000 Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov Date 2-\~-\'n ISWPPP www.carlsbadca.gov JOB ADDRESS SUITE*/SPACE#/UNIT# IAPN 2871 Rancho Cortes --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEOROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 9.75 kW Roof Mount Solar PV • Flush Mount 30 Modules 325W. 2 inverters 5200 W & 3800 W No upgrade. No battery. EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES[), No[] YES0No0 YESONoO APPLICANT NAME Irma Govea PROPERTY OWNER NAME Jeri Ainslie Pl1n•"' Contact ADDRESS ADDRESS 3055 Clearview Way 2871 Rancho Cortes CITY STATE ZIP CITY STATE ZIP San Mateo CA 94402 Carlsbad CA 92009 PHONE IFAX PHONE IFAX (6191385-0747 (760) 803-7399 EMAIL EMAIL i11ovea@tesla.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Tesla Enerav Operations. Inc. ADDRESS ADDRESS 3055 Clearview Way CITY STATE ZIP CITY STATE ZIP San Mateo CA 94402 PHONE IFAX PHONE I FAX (650) 963-5100 EMAIL EMAIL i11ovea@tesla.com I STATE UC.# STATE LIC.# I CLASS I CllY BUS. LIC.1227803 888104 C-10 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to.construct, alter, improve, demolish or repair any structure, J>nor to its issuance, also requires the applicant 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 the Business and Professions Code} or {hat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any apphcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). WORl<ERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of peljury one of the following dedarations: D I have and will maintain a cartlflcate of consent to self-insure for "NOrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. [Z] I have and will maintain workers' compensation, as reauired bv Section 3700 of the Labor Code, for the performance of the work for which this oermit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. American Zurich Poley No WC 1074583-00 Expiration Date 10/31118 I,llii.section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify 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: Fallure to secure oril.ers' compensation coverage is unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, da es as provided for in Section 370 of the Labor code, interest and attorney"s fees. fl! CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensaUon, 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, lhe buildil'\Q 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 Contra:tor's License Law does not apply to an owner of property who builds or improves thereon, and controcts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). ( am exempt under Section ---~'Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I (have I have not) signed an application for a building pemiit for the proposed work. 3. I have contracted with the followil'lQ person (firm) to provide the proposed construction (include name address/ phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone I 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): _N$ PROPERTY OWNER SIGNATURE □AGENT DATE 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? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air polluUon 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 ANO THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending S(Jency for the performance of the work this permit 1s issued (Sec 3097 (1) C1v1I Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state thatlhe above lnlonnatlon Is c:olT8Cland thatlhe Information on the plans Is 8CCll'8te. I agree to comply Mth all Ci1y ordinarcesand State laws relatlng to buNdlng construction. I hereby authorize representative of the City of Ca~sboo toenteruJX)ll the at:ove mentioned ~perty br inspection purp:,ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Cf CARLSB/\0 AGAINST All LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUEAG/>JNST S,-I0 CITY IN CCT-JSEQUENCE CflHE GRANTING OF THIS PERMIT. OSHA: M OSHA permit is required fi::ir excavations over 5'0' deep and demolkbn or construction of slructures over 3 stories in height. EXP1RATION: Every permit issued by the Buikling Official under the provisions of this Code shall expre by imitation and become nul and 'vOO W the building orVIOrk authorized by such permit is not commenced 'Mlhin 180 days tom the date of sudl permit or if the buildhg or Y.Qrk authorized by su permit is suspended or abandoned at any time after the 'M)fk. is oommenced for a period of 180 days (Seeton 100.4.4 Uniform Building Code). AS APPLICANT'S SIGNATURE DATE , PERMIT INSPECTION HISTORY REPORT (CBR2018-0402) Permit Type: Work Class: Status: Scheduled Date BLDG-Residential Cogen Closed -Finaled Actual Start Date Inspection Type Application Date: 02/16/2018 Issue Date: 02/16/2018 Expiration Date: 09/10/2018 IVR Number: 9607 Inspection No. Inspection Status 03/13/2018 03/13/2018 BLDG-35 Solar Panel 051552-2018 Passed March 13, 2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 051553-2018 Checklist Item BLDG-Electrical Final COMMENTS Passed COMMENTS Owner: COOWNER AINSLIE ROBERT F ANDJERIC Subdivision: CARLSBAD TCT#93-04 RANCHO CARRILLO PHASES 4&5 Address: 2871 Rancho Cortes Carlsbad, CA 92009-3035 Primary Inspector Reinspection Complete Tim Frazee Complete Passed No Tim Frazee Complete Passed Yes Page 1 of 1