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Home My WebLink About2683 SAUSALITO AVE; ; CB154043; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-20-2015 Cogeneration Permit Permit No:CB154043 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Tille: 2683 SAUSALITO AV CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: 1675121800 $8,000.00 LASUA RES= INSTALL PV SYSTEM Status: ISSUED Applied: 11/20/2015 Entered By: LSM Plan Approved: 11/20/2015 Issued: 11/20/2015 Inspect Area: Plan Check #: ROOF MNT//20 MODULES//FLUSH MNT//NO PANEL UPGRADE//5.8KW Applicant: SOLAR WATT SOLUTIONS 1372 CYNTHIA LN CARLSBAD CA 92008 760-576-5270 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 $96.85 $0.00 $67.79 $0.00 $0.00 $1.04 $1.00 Owner: LASUA KEONI A & SHISHYA M 2683 SAUSALITO AVE CARLSBAD CA 92010 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $166.68 Total Payments To Date: $166.68 Balance Due: Inspector: ~ Clearance: $0.00 $0.00 $0.00 $0.00 $166.68 $0.00 I\OTICE: Rease ta<e l\OTICE lhat ~ cl )OJ ptject irdl.des tre "lrrµx;itia," cl fees, cl3:laiicn, -= Cl" ct!Er .,,...cm llare<i!fr ooledi\ey referred to as 'fees'.,,...01S." Yoo t-a,e OOdaysfromtredaletlis pemit,..... iSSL<ldto prctest irrµx;itia, cittesefeesl-= If yoo prctest tt-e-n yoo m.st fdlo.vtre imest JroOO(ires set lath in Co.ennrt Code Sedia, lm20(a), a--d file tre prctest a--d ""f ctlEr req..ired irtomtia, wth treaty Mreger ftr proa,ssng it, axndaa,wth Ca1sba:l Mridi:a Code Sediai 3.32.030. Faluetotirrelyfdloolhat i:roc,,cl.rev.ill ta-""f Slbletµrt lega adion toatoo<, rEMew, set asid,, \tid, Cl" aru trer in,:osition Yoo ere t-aet:,; Ft.R11-ER I\OTIREDlhat )0.¥ ri!tt to prctest tre spedfied feesl"""'"cm 1XES I\Of A"f'LY to'Mter a--d se,,er arr,edia, fees a--d ~ chrges, ra ~a-ring, 2Iring, ga:ing<l"ct!Er srrila-,wiaiia, proa,ssng<l" ..,,,;a,feesin arr,edia,v,itt, tlis ptjed. I\CRIXES IT A"f'LYto ""I t ' 'rril . wi lirri . . ' (city of Carlsbad JOB ADDRESS Building Permit Application 1635 Faraday Ave .. Garlsbad, CA 92008 Ph: 78CMI02-a719 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www carlsbadca.gov Plan Check No. ~IS 40\../5 Est. Value Plan Ck. Deposit Date I\.\ '201 •~ SWPP CT/PROJECT# # Of UNITS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: In f Alf&cted Area(s) c;. ~ ---y:::y,) l'l<::..o lJO EXISTING USE DECKS (SF} PROPERTY OWNER NAME , ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE LIC. # (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 issuance, 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 70_00 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 1031.5 by any applicant for a permit subJects the applicant to a c1vII penalty of not more than ftve hundred dollars ($500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. 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 permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co .. ____________________ Policy No, _____________ Expiration Date ________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. Certificate of Exemption: I certify that in the pe nee of the work for which thls 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 com satio e is unlawM and shall subject an employer to aiminal penalties and civil fines up to one hundred thousand dollars (&100,000), in to the cost of compen provid fof 3706 of the Labor code, interest and attorney's fees. I hereby affirm that I am exempt from Contractor's Ucense law for /he following reason: □ I, as o'Ml8r 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 work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building Of 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 □ Yes □ No 2. I {have I have ool) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone/ 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 will provide some of the 'M'.lrk, but I have con~ed (hired) the following persons to provide the work indicated (include name/ oodress / phone I type of work): ,65 PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON~RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business f)an, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account ActJ □ Yes □ No Is the 1pplicant or future building occupant required to obtain a pennlt from the air pollution control district or air quality management districtJ □ 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 that I have raad lheappllcatlon and state that the aOO/e lnfomlation Is correct and that the information on the plans Is aa:urate. I agree ID complyv.11h all City oldlnances and State laws 191ating 1D bulldlng oonstruction. I hereby au~olize represenlatM! of lhe ()~of Cnboo to enter upon ~e abo\O mentioned pro inspeclon purlX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSOO AGAINST All LIABILITIES, JUDGMENTS, OOSTS AND EXPENSES WHIOH MAY IN AY AC E AGAINST SAID CITY IN CONSEQJENCE rJi' THE GRANTING rJi' THIS PERMIT OSHA: M OSHA r,ermlt is ra:iuired br excavations over 5'0' p.<feff'""""'C(ll!II truction of structu over 3 stories in heght. EXPIRATION: Every permit issued by the BJilding Cfficial u all expire Umitatk:>n and beo:lme nul and -..od t the tx.lilding OPMJIK authoriZed by sud! permit is not commerw::ed Wthin 180 da~ from the date of such i:an,it o or ~ is sus r abanooned at any time after the w:irk is oommenred t,r a i:eri:ld of 180 da~ (Secfu'l 100.4.4 Uniform Buikling Code). ,#!S APPLICANT'S SIGNATURE DATE \~ 'µ_1 S lns·pection List Permit#: CB154043 Type: COGEN PHOTO LASUA RES= INSTALL PV SYSTEM ROOF MNT//20 MODULES//FLUSH MNT//N Date Inspection_ Item Inspector Act Comments 12/07/2015 35 Photo Voltaic (PV) RI 12/07/2015 35 Photo Voltaic (PV) AEK AP 12/07/2015 39 Final Electrical RI 12/07/2015 39 Final Electrical AEK Fl Monday, December 07, 2015 Page 1 of 1