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Home My WebLink About1056 SAGEBRUSH RD; ; CB161203; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-29-2016 Cogeneration Permit Permit No:CB161203 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: 1056 SAGEBRUSH RD CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: 2146442300 $10,800.00 JESPERSON RES= INSTALL ROOF MN Status: ISSUED Applied: 03/29/2016 Entered By: LSM Plan Approved: 03/29/2016 Issued: 03/29/2016 Inspect Area: Plan Check #: Project Title: PV SYSTEM 27 MODULES//FLUSH MNT//NO PANEL UPGRADE//NO RMA 7.02 KW Applicant: GUYOU CONSTRUCTION INC 27471 FALLBROOK CT CORONA CA 92883-6643 714-614-6008 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 $123.46 $0.00 $86.42 $0.00 $0.00 $1.40 $1.00 Owner: JESPERSON JOH D & DIANA M 1056 SAGEBRUSH RD CARLSBAD CA 92011 801-900-1780 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $212.28 Total Payments To Date: $212.28 Balance Due: Inspector: ~ FINAL~%l%~S,, Date: Clearance: $0.00 $0.00 $0.00 $0.00 $212.28 $0.00 NCJTICE: Aease ta<e NCJTICE Iha ,w'Mi cl 'fM irtject irdu:les thl "lrrµ:sitiai' cl fees, decicaicns, -= CJ' ctl"fr eodicns l'lereater mledil.<fy rdelred to as 'fees'eodicns." Yw ha>e 00 days franthl dale tns parrit v.as iSSl..<ld to pretest inµ,;ition cl ttese fees'eodicns. If ;w pretest then\ ;w rrust fdlo.vlhl pretest~ sel forth in Goiermat Code Section 00'.lal(a), ard file Iha pretest ard ar; ctl"fr reg.ired irfumlion w1h Iha aty ~fa' ?'(l(BSSrgin a:wua-cewth Qrlsbm Mridp, Code Section 3.32030. Faluetotirrayfdlo.vtha prooedrevJll la' ar;Slbsecµrt lega edionto~ re.iiew, set asiCE, vdd, a-a-YU tter inµ:Biticn Yw ae reret,,, R.RTI-ER NCJTlFIEDtt-at 'fOX nit< to pretest thl spedfioo fees'eodicns IXES t-.01' N'FI. Ytov..aer ard .,,,,.., oonnecton fees ard """"'1ty ctmges, nCJ' pa-rlrg, mrg, galrg CJ' ctl"fr srrila ~icaion ?'(l(BSSrg CJ'""""' fees in oonnecton wth tns irtject. I'm IXES IT N'FI. Y to ar; . . . . ~.. . -. . . . . '.-....:_..,4 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD Ccityof Building Permit Application Plan Check No. M/<.:;,1a--03 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value lO,S:V Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date ~/,;;,_ q 71, lswPPP JOB ADDRESS SUITEI/SPACEI/UNITI IAPN . --- IO °'C. '--· b--(L1 t".--'> •--., t A 0,2,0/I CT/PROJECT# u LOT# . 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) 7. Dl. Y' , c.__\ -(')\J , -' ll ., () r t"'\L,., r1. ,.i 27-·-IA ... ,., • • ~c.q.l ' ~ ' • ' • V EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS {SF) FIREPLACE i r'R CONDITIONING i I FIRE SPRINKLERS YESQI_ No□ YES □No □ YES □No□ APPLICANT NAME -'a.····I. o_ .r. , PROP~~WNER Primary Contact . . ··-r .. ADDRESS ADDRESS ' 'J <cWLI, & f' -•• J I •. to= C --1 __ ., ., ' CITY 0 ..l3TATE ZIP CITY u STATE ZIP l..c,......_ t.:."Y).c-. c..' "il-~5'1 /~~-'--•·· G.4-"!'2.01 ( PHONE [FAX PHONE FAX _,.,_ :3o1. ,2__1>•,..,.,., 801-,;·im -17cl:) EMAIL /:)_,.(,,, L f" EMAIL '\A=' ~ . . -;}~i,.., ~ .... ~---,u t\'\O..<..•'"- DESIGN PROFESSIONAL J CONTRACTOR BUS. NAME ~ 1 '✓ I .• , vt·· •• . • • I '.Qv) ADDRESS ADDRESS J 2,747, C.H•· , ' CITY STATE ZIP CITY STATE ZIP Cr------J a:~ .!i:k, PHONE IFAX PHONE FAX 7/<t-l.tl.f-L,y..g EMAIL EMAIL :-T,. -~ evwv~ -. ·-o.r,l.c.-.. I STATE UC.# STATE UC.# 1'170S'1 c;r;:~111. IC'lYi~t'.t;., 1 ' {Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to.construct, alter, improve, demolish or repair an~ structure, pnor to Its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the prov1s1ons of the Contractor's License LawJChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~j 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 worl< for which this permit \s issued. ~I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the worl< for which this permit is issued. My worl<ers' compensation insurance carrier and policy number are: Insurance Co. Sm+-t ~A s,.-.,,J.;& )r6,;,,.n1t1C..L #-nJ Policy No. 1o, 5"?>-Z r Expiration Date O'f/t>'fj '2.Dlb ~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 whicti this permit is issued, I shall not employ any person in any manner so as to become subject to the Worl<ers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundr&d thousand dollars (&100,000), In addition to the cost of compensation, damages as rovided for in Section 3706 of the Labor code, Interest and attorney's fees. JiS 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 worl< 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 worl< himself or through his own employees, provided that sucti 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 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, atld contracts for such projects with contractor(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 pro~ide the major labor and materials for construction of the proposed property improvement. Oves 0No 2. I (have/ have not) signed an application for a building pennit for the proposed worl<. 3. I have contracted with the following person (finn) to provide the proposed construction (include name address/ phone I contractors' license number) 4. I plan to provide portions of the worl<, but I have hired the following person to coordinate, supervise atld provide the major worl< (include name I address/ phone/ contractors' license number): 5. I will provide some of the worl<, but I have contracted (hired) the following persons to provide the worl< indicated (include name I address/ phone/ type of wor1<) _g PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is !he applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention Jl('OQram 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 pollution 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 JF 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 have mad the application and state that the above lnfonnation Is correct and that the information on the plans Is accuram. I agree to complyYlith all Cityoldinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad toenterul))ll the alxlve menooned property br inspedion purposes, \ ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAALSBA.D AGAINST ALL LI.ABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG/>JNST SAID CITY IN CONSEQUENCE OF THE GRANTING Of THIS PERMIT. OSHA: M OSHA permit is requred for excavations over 5'0' deep and demolitKJn or coostrudion of structures over 3 stories in height EXPIRATION: Every pemilt issued by the Building Offk:lal under the proviskms of this Code shall expire by limltation and berome null and vokl if the buik:ling or'Mlrk authorized t,,' sudl pemiit is notrommenced 'Mlhin 180 days from the date of such pennit or if the buildi rk aulhoozed by such pemilt is suspended or abandoned at any time after the v.ork is commenced for a period of 180 days (Seclkln 100.4.4 Uniform Building Code). 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 building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Car1sbad, California 92008. CONTACT NAME ADDRESS CITY STATE PHONE FAX EMAIL DELIVERY OPTIONS PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) ZIP MAIL/FAXTOOTHER: ________________ _ AS APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. LIC. No. o ASSOCIATED CB#•------------ □ NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP • Inspection List Permit#: CB161203 Type: COGEN PHOTO Date Inspection Item. Inspector Act 04/08/2016 35 Photo Voltaic (PV) RI 04/08/2016 35 Photo Voltaic (PV) AEK AP 04/08/2016 39 Final Electrical RI 04/08/2016 39 Final Electrical AEK Fl 04/06/2016 35 Photo Voltaic (PV) RI 04/06/2016 35 Photo Voltaic (PV) AEK co 04/06/2016 39 Final Electrical RI Monday, April 11, 2016 JESPERSON RES= INSTALL ROOF MN PV SYSTEM 27 MODULES//FLUSH MNT// Comments EARLY AM PLEASE EARLY AM PLEASE NEEDS ROOF AC DISC// NEW SITE PLAQUE Page 1 of 1