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Home My WebLink About1665 SANDALWOOD LN; ; CBR2017-2251; PermitPrint Date: 10/02/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1665 Sandalwood Ln BLDG-Residential 2051305400 $14,800.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Cogen Description: CONLEY: 37 ROOF MOUNT PV, 9.8KW BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) 5B1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $273.75 Owner: CO OWNER CONLEY MATTHEW ANO KRISTY 1665 Sandalwood ln CARLSBAD, CA 92008 Total Payments To Date: $273.75 Status: Applied: Issued: Fina led: Inspector: Contractor: HOME UNPLUGGED 3525 Highland Dr Carlsbad, CA 92008-2527 858-349-2369 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 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 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. Permit No: CBR2017-2251 Closed -Finaled 09/26/2017 09/26/2017 $0.00 $159.31 $111.52 $1.00 $1.92 \ _,. (' CSity of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-802-271.9 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www.carlsbadca.gov Plan Check No~ 201·7-22.5 I Est. Value Plan Ck. Deposit JOB ADDRESS CT/PROJECT H LOT# PHASE# EXISTING USE PROPOSED USE APPLICANT NAME (Primary Contact) ADDRESS PHONE g5 EMAIL DESIGN PROFESSIONAL NAME ADDRESS CITY STATE PHONE FAX EMAIL Date q SUITE#/SPACE#/UNIT# APN # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME --ll1 t, GARAGE (SF) PATIOS (SF) rz:;,,,... ADDRESS /tb( ZIP PHONE EMAIL CONTRACTOR BUS. NAME ADDRESS ZIP CITY EMAIL STATE LIC. # STATE LIC.# FAX CLAS CONSTR. TYPE OCC. GROUP-- CITY BUS. UC.# FIRE SPRINKLERS YES □ NOD (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 7000 of Division 3 of the B_usiness and Professions Code} or that he 1s exem.i;it 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 civil penalty of not more than five hundred dollars [$5001). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 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 __________ _ .~s s~lion need not be completed if the permit is for one hundred dollars ($100) or less. ~ertificale 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 lo become subject to the Workers' Compensation Laws of California. 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 provi in Section 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License 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 work himself or through his own employees, provided that such improvements are not intended or offered for sale. If. 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 lo construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly 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 not) 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 I contractors' license number): 4, I plan to provide portions of the work, but I have hired the following person lo coordinate, supeNise and provide the major work (include name I address I phone I contractors' license number): 5. I will 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): .Jt$ PROPERTY OWNER SIGNATURE □AGENT DATE - , .Q:OMPLETE THIS SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or ftture 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-T avner 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 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there ,s a construction lending agency for the performance of the work this permit rs issued (Sec 3097 (1) C1v1I Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above information Is coirectand that the information on the plans Is accurate. I agree to oomply with all City ordinances and State laws relating to building a>nstruction. I hereby OJ~olize representative of ~e Cly of Carlsbad lo enter upon ~e above mentioned property for inspecton purposes, I ALSO AGREE TO SAVE, INDEf,f>JIFY AND KEEP HARMLESS THE Cm' 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: AA OSHA permit is required for excavations over 5'0' deep and demolitial or construction of structures over 3 stories in het'Jhl EXPIRATION: Evel)' permit i.5sued by the Building Official under the provisions of this Code shall expire by limitation and beoome null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building orwcJk authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifonn Buikling Code). ,...S APPLICANT'S SIGNATURE DATE t'-/? >/'~ ~ " , j '! Jfc i < ._ 0 , ,, fk j / fP, , ' ·r;;: ·:· · .. , i~ERMIT ,~sPecr10N HtST(litv •ORJ (CBR2011.22s1>·'", · :1,, . , 11 ', r " 11 ' ' I > , £ , ,,o , '"' Permit 'fy pc: Work C1ass· St~tu~ Scheduled Date BLDG-Residential Cogen Closed -Finaled Actual Start Date Inspection Type Application Date: 09/26/2017 Issue Date: 09/26/2017 Expiration Date: 04/02/2018 IVR Number: 6562 Inspection No. Inspection Status Owner: COOWNER CONLEY MATTHEW AND KRISTY Subdivision: SANDALWOOD DALE Address: 1665 Sandalwood Ln Carlsbad, CA 92008-2618 Primary Inspector Reinspection Complete .... --· ·-·····--···---------------·--···· -· ···-----· -------------------- 10/02/2017 10/0212017 October 02, 2017 BLOG-35 Solar Panel BLDG-Final Inspection 036452-2017 036451-2017 Checklist Item BLDG-Electrical Final Passed Andy Krogh Complete Passed Andy Krogh Complete COMMENTS Passed Yes Page 1 of 1