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Home My WebLink About1010 SAGEBRUSH RD; ; CB160954; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-10-2016 Cogeneration Permit Permit No:CB160954 Job Address: Permit Type: Parcel No: Valuation: Building Inspection Request Line (760) 602-2725 1010 SAGEBRUSH RD CBAD COGEN 2146433500 $8,800.00 Status: ISSUED Applied: 03/10/2016 Entered By: RMA Occupancy Group: Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: Plan Approved: 03/10/2016 Issued: 03/10/2016 Inspect Area: Plan Check #: Project Title: LAKHAS RES-PHOTOVOLTAIC SYSTEM 22 ROOF/FLUSH MOUNTED MODULES-7.19 KW-NO ELECT PANEL UPGRADE-NO RMA Applicant: Owner: SEMPER SOLARIS ALKHAS RAMSEY&ELIZABETH W 1637 TIERRA MONTANOSA ALPINE CA 91901-2939 619-341-3414 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 $105.72 $0.00 $74.00 $0.00 $0.00 $1.14 $1.00 1010 SAGEBRUSH RD CARLSBAD CA 92011 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $181.86 Total Payments To Date: $181.86 Balance Due: Inspector: Clearance: $0.00 $0.00 $0.00 $0.00 $181.86 $0.00 t\OTICE: Aease ta<e t\OTICE thEI ~ cJ :,o.r ~ed irdLdes Ire "lrrµ,;ition" cifees, declc:aions "'""1/i'EDnS ex ctha' e>Odicns -roledivay re!oo'ed to as '!eeele>OdiCJlS." Yru have 00 daysfrantre-ttis pemitv.as iss,.mtopn:test irrµ,;ition citresefees'e>Odions. 11)00 pn:test trem )00 m.ot fcllcmtre pn:test ?'(lCeCires set lath in c:o.-amat O:,de Section eooal(a), a"d filetre pn:test a"d a,; ctha' req..ired irtarraion wth Ire Oty t,/m;g3r fer rro:es,;rg in a.wda cewth Cafstm M.ridpa O:,de Section 3.32030. Faluetotirrnyfcllcmthfl iro::e<irevJII Iler a,;subseQJert lega ediooto~ re.,;EMI, set asiCE, vdd, a anj tteir ini::u:,jtioo. Yru ae t-eret,y RRTI-ER t\OTIAED that yo.r rig,! to pn:test tre specified fees'e>Odicns OC'ES NCJ1" J>PA. Y to wds a"d _,.-oonnedion fees a"d aµoty cnerges, ncx ~a-rirg, =ing, ga:lrg ex ctha' srrila-,wic:aion l)'CX>lSSirg ex ,.,,,;oe fees in oonnedion vJth !tis ~ed. l'l:R OC'ES IT J>PA. Y to a,; si · ·s ini THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING Ccityof Carlsbad JOB ADDRESS CT/PROJECT# EXISTING USE APPLICANT NAME CITY EMA ADDRESS CITY PHONE EMAIL STATE FAX Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEf/SPACEf/UNrH # BATHROOMS ZIP CITY PHONE EMAIL STATE UC.# □BUILDING □FIRE Plan Check No. Est. Value SWPPP CONSTR. TYPE OCC. GROUP 01 (Sec: 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to Its i uance, 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 that he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 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: / hereby affirm under penalty of perjury one of the following declarations: ~ 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. I have aad wm maintain wO<ke,s' co~n, as ~ection 3700 of fue Labor Code, for fue perfom,ance of wo~ for which fuis pem,it is is,med. My wo~'"' compensatio~nrra511rrier and policy number are: Insurance Co, \ Policy No. -----'='1-1l1-.P4'--++----Expiration Date \L \ l lo • ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Calffomia WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provld for in Section 37 6 of the Labor code, interest and attorney's fees. ,,6$ 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 worll himself or through his own employees, provided that such Improvements are not intended or offered for sale. \I, 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, and 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 provide the major labor and materials for construction of the proposed property improvement OYes 0No 2. I (have/ have not) sgned an application for a building permit for the proposed work, 3. \ have contracted with the following person (firm) to provide the proposed construction (include name address I 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/ address/ phone I contractors' license number): 5. I will provide some of the work, but I have pCted {hired) the following person provide the work indicated (include name I address/ phone I type of work): ~ PROPERTY OWNER SIGNATURE GENT COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is tt,e 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 pollution control district or air quality management district? □ Yes □ No Is lhe 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 read the appllcation and state tt,atthe above lnfonnation is conectand that the lnfonnatlon on the plans Is accurate. I agree to complywtll all City ordinances and S1ate laws relating to bulldlng construction. I hereby authorize representative of lhe City of Carlsbad to enter up:in the aOOve mentioned i;roperty br inspection pu~ses. I ALSO AGREE TO &WE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSB,,\D AG-\INST AU_ LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is requred for excavations over 5'0' deep and demdltion or construction of structures over 3 stories in heght EXPIRATION: Ewry pem11t issued by lhe Building Offcial under lhe provisbns of this (;ode shall expire by limitation and bealme null and voi:l Wthe building orw:Jrk aulhorized by such 1):lrmit is notoommenced 'Mlhin 180 days from the date of such pem1il or if the buildin v.ork authorized by such penJllt is susl):lnded or abandoned at any time after the v.ork is commenced for a period of 180 da~ (Sectbn 106.4.4 Uniform Building C.ode). ,,6$ APPLICANT'S SIGNATURE 11 DATE 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, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPT10NS PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR {On Pg. :1.) MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. :1.J MAIL/ FAX TO OTHER: _______________ _ A5 APPLICANT'S SIGNATURE □ ASSOCIATED CB#------------- □ NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Pennit#: CB160954 Type: COGEN PHOTO Date Inspection _Item Inspector Act 04/25/2016 35 Photo Voltaic (PV) RI 04/25/2016 35 Photo Voltaic (PV) PD AP 04/25/2016 39 Final Electrical RI 04/25/2016 39 Final Electrical PD AP 04/22/2016 35 Photo Voltaic (PV) RI 04/22/2016 35 Photo Voltaic (PV) PD CA 04/22/2016 39 Final Electrical RI Monday, April 25, 2016 LAKHAS RES-PHOTOVOLTAIC SYSTEM 22 ROOF/FLUSH MOUNTED MODULES-7. Comments Page 1 of 1