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Home My WebLink About2894 RANCHO PANCHO; ; CBR2017-2415; PermitPrint Dat&. 11/02/2017 Job Address: Permit Type; Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2894 Rancho Pancho BLOG-Residential 2225904200 $5,200.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www .carlsbadca.gov Work Class: Cogen Status: Lot#: Applied: Reference#: Issued: Construction Type: Finaled: Bathrooms: Inspector: Orig. Plan Check#: Plan Check#: Description: MEDINA: FLUSH ROOFMOUNT, 13 MODULES ( 4.29 kW),! INVERTER, NO UPGRADE, NORMA BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLOG) MANUAL BUILDING PLAN CHECK FEE 581473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $169.30 Owner: CO-OWNER MEDINA MARK & DING SZE H 2894 Rancho Pancho CARLSBAD, CA 92009-3014 Total Payments To Date: $169.30 Contractor: SULLIVAN SOLAR POWER 8949 Kena mar Dr, 101 San Diego, CA 92121-2435 858-27U758 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. Permit No: CBR2017-2415 Closed -Finaled 10/11/2017 10/11/2017 TFraz $0.00 $79.48 $55.64 $32.50 $1.00 $0.68 ' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD . Plan Check No.,,,-{)(2_ fJDJ7-oJ,.l-((S Ccityof Building Permit Application 1635 Faraday Ave .. Carlsbad, CA 92008 Est. Value -'," o10£J Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date I (")~ I(~ I '1 lswPPP JOB ADDRESS J-ic..f• Hci11cl-i o O L , Carlsbad SUITEf/SPACEf/UNtlf IA'1,,;:2. -c;qo -'-f:,.. -oo CT/PROJECT# LOT# l PHASE# l#OFUNITS l#BEDROOMS # BATHROOMS rEM~ d;:s NAME lco;;j;;E I ace.GROUP Residence DESCRIPTION OF WORK: Include Square Feet of Affected Ares(s) -i\k ,1e1-r> 1\~ Rooftop Installation for I ,')A KW-DC y~or 13 Modules I Inverter EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS None Solar YESO No[] YES □No □ YES□No□ APPLICANT NAME Christopher Hering PROPERTY OWNER NAME /1441-J.c. /IW;~ Prine"" Contact ADDRESS ADDRESS ')...~t (/1.,.~ PIVJC,{o 8949 Kenamar Drive CITY STATE ZIP CITY !,;IS ['1,) STATE ZIP C/Q-(JOc{ San Die110 CA 92121 CA PHONE IFAX PHONE )03 -]Sl-116'1 IFAX 619-541-1585 8585-271-7759 EMAIL EMAIL chris.hering@sullivansolarpower.com DESIGN PROFESSIONAL Sullivan Solar Power CONTRACTOR BUS. NAME Sullivan Solar Power ADDRESS ADDRESS 8949 Kenamar Drive 8949 Kenamar Drive CITY STATE ZIP CITY STATE ZIP San Dieao CA 92121 San Dieao CA 92121 PHONE IFAX PHONE I FAX 858-271-7758 858-271-7759 619-541-1585 858-271-7759 EMAIL EMAIL ~ chris.hering@sullivansolarpower.com chris.hering@sullivansolarpower.com ISTATEUC839077 STATE LIC.# I CL.ASS I CITY sus. uc.1226671 "I J.. 839077 C10 •• (Sec, 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or re~air an; structure, p_rior to its issuance, also requires the applicant for such permit to file a si ed s~tement that he 1s licensed pursu;mt to the provisions of the Contra~tor'~ License l,aw C a ter , comme.ndmgwith Section 70_00 of D1v1s1on 3 of the B_usiness and Professions Code} or W{at he Is exemP.t therefrom, and the basis for the alleged exemption. Any vIolatIon of Section to3f5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)). 11\1 ,, WORl(ERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of fhe following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' 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 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. Tri-state Insurance Company of Minn Policy No RWC8036284 Expiration Date 12/1/17 ~secUon need not be completed tf the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pert: ance of work for which this permit is issued, I shall not employ any person in any manner so as lo become subject to the Workers' Compensation Laws of Caltfomia WARNING: Failure to secure work co on co rage is unlawful, and shall subje<:t an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, da ection 3706 of the Labor code, interest and attorney's fees. _,g 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 compensation, 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 himsetf 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 lo construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner of property who builds or improves thereon, and contracts for such projects with contraclor(s) licensed pursuant to the Contractor's License Law). I 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. OYes 0No 2. I (have I have not) signed an application for a building permit for the proposed work 3. I have contracted with the following person (!inn) to provide the proposed construction (include name address/ phone/ 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 I 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 I type of work)· 1'5 PROPERTY OWNER SIGNATURE □AGENT DATE • C O M P L0E T E T H I S S E C T I O N F O R 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 M I T S O N L Y 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-T!lnner Hazardous Substance Account Act? □ Yes O No Is the applicant or future building occupa11t required to obtain a permit from the air pollution control district or air quality management district? O Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work thrs permit 1s issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the abcNe lnfonnatlon Is correct and that the information on the plans Is accurate. I agree to comply with all Cify ordinances and State laws relatlng to building construction. I hereby authorize representative of the City of Cartsbad to enter u~n the above mentioned property br insp:iction pul'!X)ses. 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 AGfoJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: M OSHA permit is required for excavations over 5'0' dee demolltion or oonstruction of structures over 3 stories in heght. EXPIRATION: Every permit issued by the Building Official u this Cooe shall expire by limitation and become null and void if the building orw:){k authorized by sudl permit is notoommenced 'Mthin 180 days from the date of such permit or if the build' rmlt is suspended or abandoried at any time after the v.ork 0 AsTroEmmenood bra pericd of 180//days }1.!;:;.}'·00.4.4 Unifoon Building Code} Af APPLICANT'S SIGNATURE / '/ / Permit TypC: BLDG-Residential Application Date: 10/11/2017 Work Class: Cogen Issue Date: 10/11/2017 Status: Closed -Finaled Expiration Date: 05/01/2018 Scheduled Date Actual Start Date 11/02/2017 11/02/2017 November 02, 2017 IVR Number: 6903 Inspection Type Inspection No. BLDG-35 Solar Panel 039324-2017 BLDG-Final Inspection Checklist I tom BLDG-Building Deficiency 039325-2017 Checklist Item BLDG-Electrical Final Inspection Status Passed Passed COMMENTS 0 ncr: CO-OWNER MEDINA MARK & DING SZE H ~"' divi::ion: CARLSBAD TCT#93-04 RANCHO CARRILLO VILLAGE Q PHASE 01 /\t•·ircss 2894 Rancho Pancho Carlsbad, CA 92009-3014 Primary Inspector Reinspection Complete Tim Frazee Complete Passed Yes Tim Frazee Complete Passed Yes Page 1 of 1