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Home My WebLink About2697 SAUSALITO AVE; ; CB153684; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-28-2015 Cogeneration Permit Permit No:CB153684 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: 2697 SAUSALITO AV CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: 1675122000 $5,600.00 KNIGHT: ROOF MOUNT PV, 3.9KW, 14 MODULES, NORMA, NO UPGRADE Owner: Status: ISSUED Applied: 10/28/2015 Entered By: SLE Plan Approved: 10/28/2015 Issued: 10/28/2015 Inspect Area: Plan Check #: SOLAR WEST ELECTRIC INC STE D KNIGHT STEVEN W&ELIZABETH B TRS 2640 FINANCIAL CT SAN DIEGO CA 92117 858-750-2995 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Stands (SB 14 73) Fee $79.11 $0.00 $55.38 $0.00 $0.00 $1.00 $1.00 2697 SAUSALITO AVE CARLSBAD CA 92010 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $136.49 Total Payments To Date: $136.49 Balance Due: Inspector: ~ Clearance: $0.00 $0.00 $0.00 $0.00 $136.49 $0.00 NOTICE Aeaootake NOTICE Iha woo ci ya.r r,tject irdL<ES tre "lrrµ,sitiai' ci fees, declcao,s, reserv.iio,s, or cther exa:liCl1S -cdlecti-.ey referral toas 1ees'exa:licrs." You m.e OOdaysfromtre-lhs J>mit ""5 issuedto po:;,.; irrµ,siticn cittesefreslexa:liCl'lS. If you pn:test trem you mlll fdlo.vtre pn:test i,ooedres set fa1h in 0:Marrmrt Cede Secticn 66020(a), anJ filetre pn:test anJ ar; cther req.jred irtcm'Eiicn wth tre Oty w.r-a;,,rtcr r:ro:,,s,;rg in ax:ordm:e wth Calsboo M..ridp,I Cede Secticn 3.32.CllO. Falcre to tim,yfdlo.vtha prccecire wll ba-ar; subseq..e't leg, don to altad<, re,.,ieN, set ~00. vdd, er anJ trnr irrµ:x:;iticn You ,re i'a'<fy FLRTJ-ER NOTIFIED that ya.r ngit to pn:test tre specified freslexdcrs OCES r-lJ1" l>PF\. Y to waer anJ sev.er ocnnecton fees anJ C!l'OOty chrge,\ ra plarirg, 2D'irg, !T'(lrgor cther snila ,¢icaon r:ro:,,s,;rg or'8\<oefees in ocnnectcnwth lhs r,tject. == IT l>PF\. Yto ar; I exa:licrs W'ich . CE 'nil W'icht linitai has . , ' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE; □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCO C'cityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No,c,6 l5 3v!S4 Est. Value Plan Ck. Deposit JOB ADDRESS SUITEf/SPACEI/UNITf 1,,,( I CT/PROJECT# LOT# # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) {) fl 1'-o ◊t-{'A-6~k<\ J:I"' ~ 1,,, av•~ l'i. GARAGE (SF) PATIOS (SF) DECKS (SF) PROPERTY OWNER CITY EMAIL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP PHONE FAX 7S-U EMAIL STATE UC.# STATE "t; / I 'l 'l q FIREPLACE YES[) AIR CONDITIONING NO YES0No0 + STATE ZIP f-Z.O I 0 FAX CLASS CITY BUS. UC.# C-/il FIRE SPRINKLERS vesONoO (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 per_mit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, comme_nding with Section 7000 of Division 3 of the B_usmess and Professions Code) or Ihat 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 cIvII penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Worken' Compensation Declaration: I hereby affirm undef penalty of perjury one of the following declarations: ~ 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 perlormance of the work for which this permit is issued. ~ave and will maintain wo 'co.Usatlon, as reQuired bv Section 37 of the Labor C e, 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. T& 9 bCffi=O Expiration Date l/,/-!. z.../u I c ~section need not be oompleted if the permit is for one hundred dollars ($100) or less. ( LJ Certificate of Exemption: t certify that in the perlormance 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 wot11:ars' compensation cov&l'aga is unlawful, and shall subject an employ&I' to criminal penalties and civil fines up to one hundred thou&and dollars (&100,000), in addition to the cost of compensation, d as provided for in 3706 of e, Interest and attorney's fees. ,IS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's 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 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 dkl not build or improve for the purpose of sale) I, as owner of the property, am exclusively contracting wilt1 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 lt1ereon, 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. OYes ONo 2, I (have/ have not) signed an application for a building permit for the proposed work. 3, I have contracted with the folklwing person (firm) to provide lt1e 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 I address/ phone I contractors' license number): 5. I will provide some of the worll, but I have contracted (hired) the following persons to provide the work indicated (include name/ address I phone I type of work): ,K$ PROPERTY OWNER SIGNATURE □AGENT DATE ' COMPLETE THIS SECTION FOR NON-RESIOl!NTIAL 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 ?UQram under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acn 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 conslructed within 1,000 feet of the outer OOundary 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 aflinn that there 1s a construction lending agency for the perfonnance of the work this pemnt 1s issued (Sec 3097 (1) Civil Code) lender's Name lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the aooM lnfonnation Is conectand that the Information on the plans Is ao::urate. I agree ID complywtth all Clly ordinances and S1ate laws relating to building construction. I hereby aulhor28 representative of the City of Garlsbad to enter UJXll'l lhe atxwe mentioned properly br insr;ecoon puijX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF C.ARLSBAD ACAINST A1.L LIABILITIES, JUCGMENTS, COSTS ~D EXPENSES WHICH MAY IN ANY WAY ACCRUE ACAINST MID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: AA OSHA permit is requred for excavations over 5'0' deep and demolltDn or coostruction of structures over 3 sbries i1 height. EXPIRATION: Every pennil issued by the Building Offdal under the plOVISOns of this Code shall expire by li'nilation and l:M3cofne null and vok:l W the building or v.ork authorized by such permit is not CXlfTimenced 'MIilin 180 days from the date of such ~nnlt or if "lding orv.ork authorized by such pennlt is suspended or abanooned at any time after the v.ork is commenced for a perb::l of 180 days (Seeton 100.4.4 UnOOnn Buikling Code). 6$ APPLICANT'S SIGNATURE DATE • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ .Mi APPLICANT'S SIGNATURE ASSOCIATEDCB#------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP ' . Inspection List Penn it#: CB153684 Type: COGEN PHOTO KNIGHT: ROOF MOUNT PV, 3.9KW, 14 MODULES, NO RMA, NO UPGRADE Date . Inspection _Item Inspector Act Comments 11/16/2015 35 Photo Voltaic (PV) RI 11/16/2015 35 Photo Voltaic (PV) AEK AP 11/16/2015 39 Final Electrical RI 11/16/2015 39 Final Electrical AEK Fl Tuesday, November 17, 2015 Page 1 of 1