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Home My WebLink About2631 SAUSALITO AVE; ; CB150512; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-18-2015 Cogeneration Permit Permit No:CB150512 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2631 SAUSALITO AV CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: 5B Reference #: Parcel No: Valuation: Occupancy Group: 1675117000 $4,800.00 Project Title: SMITH: 12 ROOF MOUNT PV PANELS Applicant: SULLIVAN SOLAR POWER OF CALIFORNIA INC STE 101 8949 KENAMAR DR SAN DIEGO CA 92121 858-271-7758 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 $70.09 $0.00 $49.06 $0.00 $0.00 $1.00 $1.00 Owner: SMITH THOMAS W&DEBRA L 2631 SAUSALITO AVE CARLSBAD CA 92010 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Status: ISSUED Applied: 02/18/2015 Entered By: JMA Plan Approved: 02/18/2015 Issued: 02/18/2015 Inspect Area: Plan Check #: $0.00 $0.00 $0.00 $0.00 $121.15 Total Fees: $121 .15 Total Payments To Date: $121.15 Balance Due: $0.00 Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or seNice fees in connection with this project. NOR DOES IT APPLY to any fees/ex · n f which o h v reviou I be n iv n a N TICE imll r to this or whi the statu f limi ation reviousl oth rwis ex ired. , THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: E'JPLANNING CJ ENGINEERING [:)BUILDING □FIRE □HEALTH D HAZMATIAPCD I \ Plan Check No. Cl3/$""•(") <:)/Z ~ Building Permit Application ((( 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value qhd ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. ~epol!lt CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date ,-,1 / 8 I tr ISWPPP JOB ADDRESS ; \--, Av_; c...i< ls be\ SUITEf/SPACEf/UNITt J 63 l ~ 0 IT6-:, -51 I ---:,.0 -0.::) CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONS TR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) O(i /l-io~te~ ~\( S's~ : 1 l-l'-i.. c:::i Jl e-:, ~ 0 T~\J0 EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YESO N<O YES□No□ YES□No□ APPLICANT NAME Noel Mythen PROPERTY OWNER NAME~ S""';K Prtn · --n~-Ol'v\ ADDRESS 8949 Kena mar Dr. STE 101 ADDRESS;;_~ 3 1 S' c,.,,u sc& '.1--o Av. CITY STATE ZIP c1TY ~Is~~ STATE CA ZIP 'i~o lo San Dieqo CA 92121 PHONE IFAX 858-357-3179 858-271-7759 PHON~ 5 g'. I FAX 0 -~5-;;64 EMAIL EMAIL Noel.mvthen(1ilSullivanSolarPower.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Sullivan Solar Power ADDRESS ADDRESS 8949 Kenamar Dr. STE 101 CITY STATE ZIP CITY STATE ZIP San Dieao CA 92121 PHONE PHONE l'AX 858-271-7758 I FAX 858-271-7759 EMAIL EMAIL info@,SullivanSolarPower.com I STATE LIC. # STATE LIC.# I Cl.ASS I cnv sus. uc. 1226671 839077 C-10 {Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an>-: structure, p_rior to its issuance, also requires the applicant for such per_m1t to file a signed statement ttiat he is licensed pursuant to the provisions of the Contractor's License LawjCha'fter 9, comme_nding with Section 7000 of D1vis1on 3 of the B_usiness and Professions Code) or filat he is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 03 .5 by any applicant for a permit subiects the applicant to a civil penalty of not more than five hundred dollars {$500}). "q,';,• ' ' I ' • j. ' ' fiiW,,ORKERS' COMPENSATION , ,, . ,., ,. ,f~ 1.' ,,,,.='~~- 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 wor1( for which this permit is issued [Z] I have and will maintain wori<ers' compensation, as reauired bv Section 3700 of the Labor Code, for the performance of the wor1( for which this oermit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co, Rancho Mesa Insurance Services Policy No. SUWC201109 Expiration Date 1210112015 ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the wor1( for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages asJsyvtded for In Section 3706 of the Labor code, interest and attorney's fees. ,6$ CONTRACTOR SIGNATURE ft/ re/ --,:,-::::::;,-[Z)AGENT I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ □ I, as OWfler of the property or my employees with wages as their sole compensation, will do the wor1( 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 wor1( 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 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. 0Yes 0No 2. I (have I have not) signed an application for a building pennit for the proposed wor1(. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone I contractors' license number): 4. I plan to provide portions of the work, but! have hired the following person to coordinate, supervise and provide the major wor1( (include name/ address I phone/ contractors' license number): 5. I will provide some of the wor1(, but I have contracted (hired) the following persons to provide the wor1( indicated {include name I address I phone/ type of work)· ,6$ PROPERTY OWNER SIGNATURE □AGENT DATE I , 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 Substar.ce 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. I certify that I have read the application and state that the above infonnation is co11'8Ctand that the lnfonnatlon on the plans ls accurate. I agree to comply'Mth all City ordinances and State laws relating ID buUdtng construction. I hereby au~orize represenlati"' of lhe City of Carlsbad toenterupon ~e abo"' mentioned property br inspectioo purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AG<\INST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUEAGAJNST SAID CITY IN COOSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permtt issued by the Building Official under the provi!.k'.llls of this Code shall expire by imitalk:m and become null and 'Klk:l W the building or 'MXk authorized by such permit is not commenced 'Mthin 180 days from the date of such permtt or if the building or Yll!k authorized by sudl permtt is suspended or abandcred at any time after the WJrk is commenced tir a period of 100 days (Seeton 100.4.4 Uniform Building Code}. AS' APPLICANT'S SIGNATURE IV ce/,,/<~=--DATE 0~ ( l'is / .;z_o \S . . Inspection List Permit#: CB150512 Type: COGEN PHOTO SMITH: 12 ROOF MOUNT PV PANELS Date Inspection Item Inspector Act Comments - 04/14/2015 35 Photo Voltaic (PV) RI 04/14/2015 35 Photo Voltaic (PV) SP AP 04/14/2015 39 Final Electrical RI 04/14/2015 39 Final Electrical SP Fl Wednesday, April 15, 2015 Page 1 of 1