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Home My WebLink About1055 SAGEBRUSH RD; ; CB152961; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-10-2015 Cogeneration Permit Permit No:CB152961 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 1055 SAGEBRUSH RD CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: 2146442000 $11,200.00 RICH: PHOTO VOLTAIC Status: ISSUED Applied: 09/10/2015 Entered By: SLE Plan Approved: 09/10/2015 Issued: 09/10/2015 Inspect Area: Plan Check #: 28 MODULES, 8.82 KW, ROOF/FLUSH MOUNT, NO PANEL UPGRADE Applicant: SOLAR SYMPHONY CONSTRUCTION INC 341 ENGEL ST ESCONDIDO CA 92029 760 300-4141 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 $132.33 $0.00 $92.63 $0.00 $0.00 $1.46 $1.00 Owner: RICH FAMILY TRUST 05-16-06 1055 SAGEBRUSH RD CARLSBAD CA 92011 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $227.42 Total Payments To Date: $227.42 Balance Due: Inspector: FINAL APPROVAL Date: /~ · /J' IS-Clearance: $0.00 $0.00 $0.00 $0.00 $227.42 $0.00 r-1'.JllCE: Aease-r-1'.JllCE Iha: ,wu,a cJ )OI ~ed indl.des Ire '"lrrµ,siticri" ri f""' oo:lraicr,s, reservaicrs, cr clrer ex,dlcn; 1-e"edler a:lledi-.ey referred to as '!ees/ex,dlcn;.'' Yoo haw 00 da)s frantre-tlis pa:rrit v.as iSSllld to pretest irrµ,sitlcn cJ trese feas'ex,d]cns. If :,oo pretest thrr\ :,oo n-ust fdlo.vtre pretest procedres sa forth in G:Mmnrt Qxle Sec/ja, ffmJ(a), ard file Ire pretest ard any clrer req.jred lrtamlicn wth tre Oty ~ fcr inx,assing in arnrda-mwth catsbal Mridpa Qxle Sec/ja, 3.3:2.lm. Falueto tirrelyfdloolha: ~wll l:a" anys,.b;eq.Jrt lega a1icntoattaok 11:Me.,v, set a9de, vcid, a aru tt--eir inµ::sition. Yoo"" hlrecy F\RT1-ER r-1'.JllFlEDthat )O.T ngit to pretest tre specified fees/ex,dlons IXES r-.or l'PPL Ytov..aer ard _,., a;rrmcn fees ard Cll'.J001Y cta-ges, ncr pla-ring, zairg, galng cr ctrer srrila-,wiraicn inx,assing cr sen.ire fees in a:rrmcn wth tlis ~ed. t-rn IXES IT l'PPL Y to any I moh srril h v,H THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATiAPCD ~ •' ., ,, ,..., Plan Check Noffi 15 2.9 L.Q.,,I -~ CITY Of Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.cartabadca.gov Est-Value I \ ct) -·------ CARLSBAD SWPPP JOB ADDRESS . TYPE OCC. GROUP ,. ... EXISTIIIQUSE GARAGE (SF) N<O PROPERTY OWNER NAME NAME DDRESS -~-----+=--------~it __ e.\~l-l-~-----------1 ADDRESS 3'1 C1fY STATE ZIP PHONE CITY STATE PHONE FAX EMAIL ZIP I EMAIL CONTRACTOR BUS. NAME (2_ ADDRESS S'i CITY ,=r1-01 EMAIL -i:,,~, &./J ~~~ "'¥-",!¥.P.t= STATE UC.,., IJ C {Sec. 7031.5 Business and Profe&Slons Code: Any~ or Coo'1t)' wNcti requires a permit to construct. tJlter, imPf0\18, demolish or repair any structure, pno, to it5 issuance, also r,<1Uires the applicant ro, such permit to file a slM8d statement lfiat he is 116enfted pursuant to the prQVlslons of the contr8CIDt's Ucense Law fChapter 9, commanding with SecUon 7000 of OwislOn 3 of the Business and Professions Code) or that he IS •Kern.».t ttietefrom, and the basi8 for the alleged exemptiOn. MyvlolatiOn of Section 1031.5 by any appHcanffor a permit subjects the applicant to a civil penalty of not more tnan flw hondted doUars ~500)). e and vdll maintain I certificate of consent.to atlf-insure for 'Mlrters' compensation as provkied by Section 3700 of the Labof Code, for the performance of the WOl'k for which ll'IIS permit !s issued. and wm rnalnllln wortwn' compenutlon, as IVQulred by Section 3700 of the Labor Code, for the perlJm,ance orthe worll: fOr ~lch thlS permit Is Issued. My 'Ml~rs· compensation Insurance carrier aoo pollcy number are: lnsuranceeo.__Hor2c,.., p..,r,a~ G,, P..fZ.$ .,T_e...~_ Policy No. 90'o 0(q q 'B Expiration Dale /2 •Of . t 5 'Pili.section need not be completed If the pernil: Is for one hundred dollars ($100) or less. LJ Certlflcateor Exemption: I certily that In the ~ of the 'MIik for 'Mlieh !his permit IS iSsUed, 1 Shall not employ illY person in any manner so as to become subject kl the WOOlers' Compensation Laws of Callfomla WARNING: Failure to secu19worken' ..Uon coverage Is unlawful, 111d shall tubJ9CI: an employer to criminal penaltl• and cMI fines up to one hundred thousand dolla11 (&100,090). In addition to the coat of compensation, d1magn u ded \n"'Seetlon 3709 of the Labor code, Interest and attorney's fee1. ~ CONTRACTOR SIGNATURE I hereby affirm lh8t I am exempt from Coo 0 I, as owner Of lhe property or my employees '61th wages as their sole compensatkln, v.111 do ltle 'M)f1( and 1he slructUre ls not Intended or offered for sale {Sec. 7044, Business af'ld Professkms Code: Tile Contnr;to(s ucense Law does not apply ro cri owner of property whO builds or lmpro~es thereon, and whO ooes such I\Ofk lllmsell" or through his own empklyees, prol/ided lhat sii:h Improvements are not intended or Offered far sale. If. however, the bullding or Improvement is sokl within one year of completion, the owner-builder wUI have the burden of proving that he did not build or \fl1)rove for the purpose ot sale}. □ D l, as ownerotthe property, am exclusively conlracting IMth licensed contraclois to construct the profect (Sec. 7044, Business and Professior1s Code: The Contractors Lic9nse Law does not apply to an owner of property~ builds or Improves thereon, and contracts for such projects with contractor(s) licensed purnuant to the Contractor's License LcM"). I am exe~I under Section ___ Business and Professions Code forlllls reason: 1. 1 personally plan to provide tile major labor Md mailrials for construcllon of tile proposed property fmprovemenl. Oves Do 2. I (have/ have not) signed an application for a b!Mling pelT!llt for the proposed 'M)rk.. 3. I have contnald with the followlng person (firm) to provkle the proposed construction (Include name address I phone I contractors' license number): 4. I plan to provide portions of the \Wik, bot I have hi!OO the follov,ill!J person to coordinate, supervise and proYlde the major 'M)lK (Include riame I address I phone I contractors' lioonse number): 5. I wlll provide some of the \IKlrk, but I have contrir;tect (hired} the follOwing persons kl provide the work Indicated (Include name I address I phone/ type of 'M)rk): ,6$ PROPERTY OWNER SIGNATURE []AGENT DATE _COMPLll'JE THIS SECTION FO• NON·RIIStDINTIAL BUILDING PERMITS ONL'J Is the applieant or future builriig occupanl required to submit a busineH plan, acll!ely haza-dous materials regi!Wation form or risk management aod prevention P'O!J'8ffl under Sections 25505, 25533 IJ' 25534 of lhe Presley-Tanner Hazmus Subslal!CEI Account Act? □ Yes □ No Is !he applicant or Mure building occupant required looblain a pe,mlt frtm the air pollulion control dlslrictor air quality managemantdilllricl? □ Yes □ No ls the facility to be conslructedwithin 1,000 feet oflhe outer bounday of a school site? □ YEl8 □ No IF ANY OF THE ANSWERS ARE YES, A ANAL 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. lalltlfylhatlhlMl'l8dtheappllca1lonandstatathatthaab!Mlnformallonlsco1111Ctandthat:theinfonnaUonontheplaNISaccumte.lagreetDcompt/wldlalla&yonlnaOOE11andStalllawslelaUA11Dbulldlngcol9fnldlon. I -aulllorizs ._-olltoCil/olC"1sbad t,-upoo Ito allow lTl8lllicred plqJ8!1yb-mpedklfl l'Jrpose< I Al.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY Of CARLSBAD AGAlNST ALL LJA~UTIES, JUDGMENT!\ COSTS AND EXPENSES WHJCH MAY IN ANY WAY ACCRUEAGAJNST SAID CITY IN CDNSEQIJENCE Of THE GRANTING Of THIS PERMT. OSHA: AA OSHA perml • """iedti<.,,.,,_,, owr SO' dolpand-c,oonsmm,n olS1nduresCNef 3st>rieSln heghl EXP1RA TION: E....., -issued by Ire lklldl1l ontial tlldo-Ire prolisiJnS of l!lis Code shaU ""'"' by lml-,... beoome nul ,... .,ii I Ire ruillng "WOl1< ·-by 51.dl pemil. ""com-wllln 180days from ltedaleolsudl pemit or •~•b i1g o-wori< ~.,;, pem,I ilsuspend&dc, abinlooad al"1y11me after Ito-ocom"""""'br apoood ol180 days (Secliln 10i.4.4 Lil-Buildng Code). _es' APPLICANT'S SIGNATUffE DATE Inspection List Permit#: CB152961 Type: COGEN PHOTO Date Inspection _Item Inspector Act 10/15/2015 35 Photo Voltaic (PY) RI 10/15/2015 35 Photo Voltaic (PV) PD AP 10/15/2015 39 Final Electrical RI 10/15/2015 39 Final Electrical PD AP Thursday, October 15, 2015 RICH: PHOTO VOLTAIC 28 MODULES, 8.82 KW, ROOF/FLUSH MO Comments AM PLEASE AM PLEASE Page 1 of 1