HomeMy WebLinkAbout2673 SAUSALITO AVE; ; CBR2018-3036; Permit(City of
Carlsbad
Residential Permit
Print Date: 12/26/2018 Permit No: CBR2018-3036
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2673 Sausalito Ave
BLDG-Residential
1675121600
$6,000.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Cogen Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
11/05/2018
11/05/2018
MColl
Plan Check#:
Final
Inspection: 12/26/2018 8:37:32AM
Project Title:
Description: SCHLACK: 15 FLUSH ROOF MOUNT PANELS, 4.65 KW, NORMA, NO UPGRADE
Owner: Contractor:
TRUST SCHLACK-CRUZEN FAMILY 2013 TRUST
04-D2-13
VIVINT SOLAR DEVELOPER LLC
2673 Sausalito Ave
CARLSBAD, CA 92010
1800 W Ashton Blvd Licensing Dept
Lehi, UT 84043-5490
858-748-2525
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $136.90 Total Payments To Date: $136.90 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 foltow 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.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$79.48
$55.64
$1.00
$0.78
I
THE FOLLOWlf',_G APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCO
(°City of
Building Permit Application Plan Check No. fl/-QJn i >--:i. -3
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value < (, I ,, )/)_ ( \
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. D11poslt email: building@carlsbadca.gov
www.carlsbadca.gov Date II / I I l lswPPP
JOB ADDRESS SUITE#/SPACEt/UNIT# I APN 2673 Sausalito Avenue ---
CT/PROJECT # rOT # I PHASE# I# OF UNITS I # BEDROOMS--# BATHROOMS I TENA:T BUSINESS NAME I coNsrn. TYPETOcc. GRour·
DESCRIPTION OF WORK: Include Square Feet of Atracted Area(s)
Residential Roof Mount Solar
15 Modules, 4.650 KW. 1 Inverter, No upgrade, No RMA
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING l FIRE SPRINKLERS
YESD NO□ YES □No □ YES□No□
APPLICANT NAME Vivint Solar Developer, LLC PROPERTY OWNER NAME Cheryl Schlack Prfn•,v Contaot -------~-
ADDRESS ADDRESS
8090 Arjons Dr. 2673 Sausalito Avenue
CITY STATE ZIP CITY STATE ZIP
San Dieao Ca 92126 Carlsbad CA 92010
PHONE
I FAX
PHONE IFAX 858-7 48-2422 7607037986
EMAIL EMAIL
amanda.strout(il),vivintsolar.com chercie@yahoo.com
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Vivint Solar Developer, LLC
ADDRESS ADDRESS 8090 Arjons Dr.
CITY STATE ZIP CITY STATE ZIP
San Dieao Ca 92126
PHONE _JAX PHONE I 'AX 858-7 48-2422 ·-----EMAIL EMAIL
amanda.strout(il),vivintsolar.com I STATE UC.# STATE LIC,# ICLASSC-46 I cnY ,us. uc.1236957 973756
(Sec: 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to_construct, alter, improve, demolish or repair any structure, p_nor to 1ts issuance, also requires the
applicant for such per_mIt to file a sI~ned statement ttiat he Is licensed pursuant to the provIsIons of the Contractor's License lawjChapter 9, comme_ndIngwIth Section 7000 of Division 3 of the B_usiness 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 c1v11 penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Wor1UK'tl' Compensation Declaratlon: / hereby afflrm under penalty of perjuryona of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for 'M:lrkers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. 0 I have and will maintain workffl' compensation, as reciuired by Section 3700 ol the Labor Code, for the perfonnance of the work tor which this permit is issued. My .,,,lrkers' compensation insurance carrier and policy
number are: Insurance Co, Marsh USA Ince Polley No. WC509601304 Expiration Date 11/1/2019
This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the perfonnance 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
California. WARNING: Failure to secure worker&' compensation coverage is unlawful, and shall subject an employer to crtmlnal penaltles and clvll fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensatlon~yvld~ for in Section 3706 of the Labor code, Interest and attorney's fees.
NS CONTRACTOR SIGNATURE ~~--;>~/\...__ □AGENT
I hereby affirm that I am exempt from Contractors 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 sa~ (Sec. 7044, Business and Professions Code: The Contractor's
License Law does riot apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for
sa~. 11, however, the building or improvement is sold w~hin one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sa~).
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 Lieense 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 Oo
2, I (have I have not) signed an applicaUon for a building pennit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construc~on (include name address I phone I contractors' lk:ense 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 I phone/ contractors' license number):
5, I wm provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone/ type of work):
8$ PROPERTY OWNER SIGNATURE □AGENT DATE
0
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the al)plicant or future building occupant required to submit a business plan, acutely hazardous materials registrabon form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? 0 Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management district? □ Yes O No
Is the racIlity 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
I ce,ttfythat I have read the application and state that the above infonnation is correct and that the information on the plans is accurate. I agree to comply with all City on:Hnances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the cbove mentDnOO property for inspe::lion purposes. 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 AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: An OSHA permit is ra:iuired for excavations over 5'0' deep and demolition or construction of structures over 3 stores in helJht.
EXPIRATION: Every permit issued by the Building Ofocial under the provisions of this Code shall expire by imitatoo and become null and -.oid if the building or work authorized by such pennit is not oommence:I within
180 days from the date of such permit or if~ work authorized by such permit is suspended or abandoned at any time after the work is commenced for a l'.)e009 of 180 days (Section 106.4.4 Unifonn Building Cooe) .
..@S'APPLICANT'SSIGNATURE / ~?s.J ..._, DATE /II~ 1?5
--~ -~
PERMIT INSPECTION HISTORY REPORT (CBR2018-3036)
Permit ·ft1 pc:
Work Class:
Status·
Scheduled
Date
"
BLDG-Residential
Cogen
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 11/05/2018
Issue Date: 11/05/2018
Expiration Date: 06/24/2019
IVR Number: 15125
Inspection No. Inspection Status
12/26/2018 12/26/2018 BLDG-35 Solar
Panel
079827-2018 Passed
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
079828-2018
Checklist Item
COMMENTS
Passed
COMMENTS
Owner:
Subdivision:
Address:
Primary Inspector
Michael Collins
Michael Collins
BLDG-Building Deficiency
BLDG-Electrical Final
Release emailed to SOGE
December 26, 2018
TRUST SCHLACK-CRUZEN
FAMILY 2013 TRUST 04-02-13
CARLSBAD TCT#84-35 UNIT#01
2673 Sausalito Ave
Carlsbad, CA 92010-7903
Re inspection
Passed
Yes
Passed
Yes
Yes
Complete
Complete
Complete
Page 1 of 1