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Home My WebLink About1552 SAPPHIRE DR; ; CB143202; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-18-2014 Cogeneration Permit Permit No:CB143202 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: 1552 SAPPHIRE DR CBAD COGEN Sub Type: PHOTO Lot#: 0 2122010800 $6,400.00 Constuction Type: NEW Reference #: WALLACE RES-PHOTOVOLTAIC SYSTE Status: ISSUED Applied: 11/18/2014 Entered By: RMA Plan Approved: 11/18/2014 Issued: 11/18/2014 Inspect Area: Plan Check #: Project Title: 16 ROOF MOUNTED MODULES-FLUSH MOUNTED-NO ELECT PANEL UPGRADE Applicant: SOLARCITY 3055 CLEARVIEW WY SAN MATEO CA 94402 650-759-4658 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 $87.73 $0.00 $61.41 $0.00 $0.00 $1.00 $1.00 Owner: WALLACE MRON&MARIA J 1552 SAPPHIRE DR CARLSBAD CA 92011 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES $0.00 $0.00 $0.00 $0.00 $151.14 Total Fees: $151.14 Total Payments To Date: $151.14 Balance Due: $0.00 Inspector~ Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the ~lmpositi n" off s, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." 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 as revio sl therwise ir d. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING 4 ,. «11» ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-271 9 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov JOB ADDRESS (552. SAPPH 112-E-DJZ. SUITEt/SPACEt/UNITI □BUILDING CT/PROJECT# LOT# PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSl!YESS NAME DESCRIPTION OF WORK: Include Square Feet of Atrected Area(s) t..t. D'D kVV P-V' K-Dofn1ciun-r > k_ () 1a:kllt'~ ) no EXISTING USE von ADDRESS I 551-- CITY CAf2-L-5 BAD STATE CA- FAX EMAIL. ARCH/DESIGNER NAME & ADDRESS STATE UC.# □FIRE □HEALTH □HAZMAT/APCD SWPPP OC .GR UP 2 AIR CONDITIONING FIRE SPRINKLERS m O NoD mO NoD STATE ZIP (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, rior to Its iss ance, also requi s 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 oft e Business and Professions Code) or !hat he is 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: I hereby affltm under penally of petju,y one of the following dedaraffons: D I have and will maintain a certificate of con&ent to self-Insure for workers' compensation as provided by Section 3700 ot the Labor Code, for the performance of the work for which this permil is issued. D 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 permil is Issued. My workers' compensation insurance carrier and policy number are: Insurance Co. /J l;:;e (jr?s1 I nsura 042,.,., Policy No.IA) I:\ Jt'f1t2 Di\14:,v:•2Los:oa 't,_ Expiration Date q I f I 2d 15" - ~section need not be completed ff the permi s for one hundred dollars ($100) or less. 1 1 · LJ Certificate or Exemption: I certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Calffomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, da,!JI as provided ror In Section 3706 of the Labor code, Interest and attorney's fees. Jt$ CONTRACTOR SIGNATURE :1tt, I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ I, as owner ot the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered tor sale (Sec. 7044, Business and Professions Code: The Contractofs License Law does not apply to an owner of property who builds or Improves lhereon, and who does such work himself or through his own employees, provided that such improvements are not Intended or offered for sale. If, however, the build Ing or improvement is sold within one year ot completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose ot sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply to an owner ot property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contracto(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 tor construction of the proposed property improvement. 0 Yes 0 No 2. I (have / have not) signed an application tor a building permit for the proposed work. 3. I have contracted with the following person (firm) 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/ address/ phone / contractors' license number): 5. I will provide some ot the work, but I have contracted (hired) the following persons to provide lhe work indicated (Include name / address/ phone I type of work): Jt:S PROPERTY OWNER SIGNATURE □AGENT DATE ,,_...,__ .... ,...,,,..,"7\"'Z'. _,. ~ ~~ ~-...-...... ,~ •• -. ,.~•~ •• .,,, ~."""" "" "" ~.,, ~, '" • """" ··• q ~ ~ • • #, • ,-.-;:;~•~"';'i.r,._, .. -,,~W:<"'\' · • • ,...,. ~ •• 1 ... , ...-r-," ,. • ..,. ... 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 Acri 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 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. I certify thatl have read the application and state that the above lnloonaUon is conectand that the Information on the plans is accurate. I agree ID complyMth all City onllnances and State laws relating ID bull ding construction. I hereby authorize representative of the City of Car1sbad lo enter upon the above menooned property br inspection p.irposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST ALL LIABILITIES, JUOOMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permtt is requi'ed for excavations over 5'0' deep and demolttoo or construction of structures over 3 stories ii height. EXPIRATION: Evert permit issued by the Building Official under the pro-.isoos of this Code shall expire by Imitation and become null and voo ~ lhe building or mrk authorized by such permit is not commenred v.ithin 180 days from the date of soch permtt or if the buildilg or mrk authorized by such permtt is suspended or abandoned at any time after the mrk is commenced for a period of 180 days (Seeton 100.4.4 Uniform Building Code). k5 APPLICANT'S SIGNATURE DATE 11 I q • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. C ~ • ; • l (. ,' • ✓ --' .-' ( "'. : .. '*"'; ( V ,. t ; : ,-.~ : t :_ - Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed fonm to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. l CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) ASSOCIATED CB# CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION .llS APPLICANT'S SIGNATURE DATE lnsp~ction List Perm it#: CB 143202 Type: COGEN PHOTO Date Inspection Item Inspector Act 12/10/2014 35 Photo Voltaic (PV) RI 12/10/2014 39 Final Electrical RI 12/09/2014 35 Photo Voltaic (PV) SP AP 12/09/2014 39 Final Electrical SP Fl Wednesday, December10,2014 WALLACE RES-PHOTOVOLTAIC SYSTE 16 ROOF MOUNTED MODULES-FLUSH M Comments Page 1 of 1