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Home My WebLink About2286 PASEO SAUCEDAL; ; CBR2022-1069; Permit                                                           (Cityof Carlsbad ----------------------------------------~------- RE ID 'T L BUILDING PERMIT AP >LI ·.Tl N· B Pl Che t. ue epo ate ------------------------------------------------- Job Address 2286 Paseo Sauceda! , ---------_Unit: _____ APN: __________ _ CT/Project lt: ________________ Lot #: ____ Year uilt: _________ _ EF D .RIP N 0 'r/OR N S r f? Mo /23 Modules ............ ....... -· -- ---------·· Living SF, ____ o·eck SF, ___ Patid SF, ____ Garage SF __ _ □New st: lsth· o er e an ces Ow ng ' ? O Ne 1repl ? YO N 'f ye' how many? D Remodel: SF of affected area -----Is the area a conversion or change of use? 0 YO N Po pa: ____ s ltio Gas , Elec alFe res ____ _ Sol ... 9.34 _KW 23 .Mo es, :.It: RM·OY x•N, Battery:OYG> N, Panel Upgrade: 0Y eN Ot : ... RIM YA ICA .~;M .aef vids Address: PO Box 232593 RO TY NER , e:: Jo~ So~ns~ Address: 2286 Paseo Sauceda! c . En as ,Sta CA .Zip. QZ3 .,.i;_ ·:_Car~d _ _ $~8,'. Phone: 7602302220 Phone: 8584496249 E il·m @st iego ••·•• .• _,nfy" ar:.c ·--~ ----....... GN OFE ONA NTR TOR RE( .0 Name:_ _ -~ Business Name:San Diego County Solar A ess _________________ _ Add s:P ox ' c593 ·--- -·· l - City:_ City: Encinitas State: CA Zip:_92_0_2_3 ___ _ p e:, _________________ _ Email: rch tSt Uce .. .-,·-~--~~~- Pho 760" 222 Email: mike@sandiegocountysolar.com BUc e#: 915 _a ·.2:j•• ---Cc1rlsbad Business Lkense # (Required):~R1237348 APPUCANT C~RTI Fl CA Tl.ON. I certify that I have re~d the appli~ation and state that the above inform~;_on is correct and that the information of the plans is accurate. I 1reet. .:ply, .... , .. , ,,tt•City: ·,:,nanc:. ·dSta:., W$.re/;• .• ... tob. • g<;:on ..... ti,m.. . • ,. , .... ,. NAME (PRINT): /Jt;c,/,ae.l tJav td~u'vL SIGN: /Utl/u1-idf;:tAk~, DATE: 0313012022 .635 .. ayA. • • ,rlsba 920 Ph: 602,2· . Fax:7,,U 02-8 ... •u all:jl ;i.@5; ~ 1 REV 121 THIS PAGE REQUl"ED AT PERMIT ISSUANCE ). BUILDING PERMIT CAN BE ISSUl:DTO'El'lllER A STAn THIS FORM IS AN. AGENT FOR ~ITHERlEI\FITIY•AN AUTPI ' PROPERTY OWNER. IFTHE. PERSON SIGNING REQUIRED PR1bRic:ntmri11 ISSUANCE. " ~J"" (OPTION A): DCENSED CONTRActOR DECLARATION: ;. Fi '. z • ·[ ; ~herebyafflmwndel'.penaltyof petjurythatlamlicensedunderprotlsliltsQf Chapter9(cQfflmenc1ngwifhSection 7000)oflJfvislon3 pf the BustnessandProfessfons Code, andmylicenseisin full force and effect. I also affirm underpenaltyof perjuryoneof the faltowtnrdettarationsra,oOSEONEj:· 0• have and will maintain a certificate of cons"Qfqlself-insure for worl«:t~pensatlon provided by Section 3700 of t~e Labpr,Code, for tl)e ,erfc:11;mance of the workWhiclTthlsperm!Hs¾ssued;...PolleyNo.•.. . • •····· · --.. "·-... .. .. . . . ..... . ....... .. . ... . . ... . .... . ., •· • -OR· . . 0 i have·ancl wlll malntitnworkel"swm~ns~i~n, as ~eqDii'E!l:lbYSettton~3~tift!WLaboreode;iorthe~rformanee of'theworkforwbich thls•pemiit &issued. My workers' compensation insurance carrier and policy number are: lnsuranceCompany Name: ... State.,.. • .,... Fi.,... 111111.,.. •. _.,.,..., --.--,-,--',~,--',-----------• PolityNo.· 90$4869641 .. Elcpi~otfDate: -·"_.1/2.;.;Cl.;.;22...,.. ___________ 1 -OR-D certtficatlfOf Exemption~ lc:ertltythat In the performaneeofthework for whlc:bthls permit ti'.i5'ued, 1.:Sfialinot.emplliy anyi)ilrson.in any manner lioas to become sublectto the workers' compensation Laws of Caf[or:t;.ili'~Vl-¥JNING: Failure to ~r. wit~el'!i c:om~n ~els unlawful an,t. .. " ari 'lft1ployerto crlnifnal penalties an,l.clVII jlnes up to $lOO;00CUJ0,Jrfadi:tfflontheto'thecost dt compensatlon,damag411 as pt'ovldetfforln&!ctlon 3'1otf. Labor C<lde; 0• Interest arid attonieyfs~···. 00 0 " CONSTRUCTION L6ND!NGAGENCY,.lf.~1.. .. I hereby affirm thatthere is a construction lending agency for the performance of the work this permit is Issued (Sec. 3097 (I) Ch1n·Codej. lender's Name: .•. , ...• ;.. 0Lt¥!~•~Jlress:_,.,;,...;.,-.,.,.,.,..~.;.,-.----------.,.."- CONTRACTOR C£R:TltfllPAVQJl.z.'.fhe.lPPc~®llt ce~ ~ dQC!!ments arid plans c;fearly and tLci:urately shpw all ex1st111g and prop0$1!d bujlll!ll&s, structures, ~cess roads, and utllltieefutlllty easef'!lllnl$. ,l\ll ~modfftcinlons anctfot11acllitlo~ahU:l11ar1y labetM0on.tli\l ~llmt ffl. ;fflentlalltexls\i!fgitetall.wltllln these ptaris ln®(l,tstent wltMhe ~e pt1111tre not approved for construction 1111d may be required to be altered or removed. The city's.approval of the applk:lltlon Is ba,ed cm the preinlse that tli\l. ~bmltted dQcuments ancl plans show tlle correct dimensions of: the property, buildings, structureund their setbacks. from property llnes arttHioin one another; ~liilas/easements1 mt lltll!tles; 'Ttl~e!tllttns ~ prop(lsed ll!!e of each building a,fflted ls.true arid correct; all easements.and other encumbrances to developmenthavebeen lysbown and labeled as well as au on-sltegradlna/slte preparation. All lmpi'ovements exlsting1)!1theptopertywere completed.fn accordar,ce.wfth.alll'Qlllatlol)lcfn.exlstenceat.tha;&i tbtll~D111::tlon,.unless othenrtlse note.cl,. • N~MetPR1N1lt··&,~6W+'fk~s1sNA1uae;~ • .. DAT£:.. 0313012022 .. Note: If the persori signing above Is an authorized agent for the contra de letter of author! ____________________ .. -OR- (OPTION BJ: owNffUfltD.DB:DEC~:gfgffi~,:;,-~ ·.c,,· i. ... 4 I hen .. ·1 am~exemptfrom·eontracto tft:Jiw.,.fe,r·th~f.tf!ll.f)Wing •• r.eas&!)!· • ···-□· I, aS'()Wfter fterlyo,.my tiMpJOVe5With.wages as.the!~ .; 0 j4/tJ.wto.tbe~~tain~~i:e~lsTlbt1~.n<led Ol:.9tfitrei:!.tRr s'ii.~ ,~ . 7~, Business and Professions Code: The Contractor's lice .... 1!1tpwner of property who builds or Improves thereon,,a~ho does$Udl .. work hfrrise!fotthrougffhls own employees;pr<Mjledth'~ not. lntel'fdedi>M>fflli'E!l:l•forsalec·lf;howeve!';'the building grlmprovetnent is $6ld within.one year.of;.completion, the.owner-bulldecW!lthMk ·tit.fflhil .. ~.ls.Mt b11U~.J>illiffi'!'l:f!itth!.2!i.!f!.se:!f~'!):'::74 .*:: ... -OR• 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an ownef tifpfiipertyv.whO:'blllfds .6,:'lri'ip~ thereon, and contracts for such projects with wntractor(s). llcensed pursuant to the Contractor's U~ ~}.,. . • ":OR·· •••• , • .,. Q1 am .f!K(!~pt Jll'l~er ~riess a~P.i::o!esslons CodeDivlsJOO:~~~apte!ftM!SW~ for this. reason: AND, r:;J FORM 8-61 "OWner Builder1lcknowledgemem:abd#f~~f,l'firtis~u~ for any permit lsSued to a property owner. By my.slgnatur.e,belowJ~a~edg~mccept.for'.m.y~nal'.!te!lldeftce tri whR:h I ntU$~ .bave;eslded for at least on,e year prior to ~omPl~ion ot\thew~ Improve .tt,ally s~I ii ff!t!ctl!!'.19.t~at as an.owner-builder if it has not been constructed In !ts entirety by licensed contractorst'lu llalilf ~~t!tfolf1iNil PtofesslonsCode, isavmlableuponrequestwhen this application ts submitted or at the following Web site: http:l lwww.leglnfo.ca.govl calaw.html. OWNER bERrii=JbA11oii111e .ippllcant certlfl~ ;hat all documents 'afill pl~ns ciclariy arid a~ftllt~'illeiclst)lfg a.nd ~lidlll:llnss;~ ~,~;ind utilltleefutlllty easements. All p.ropost\Cl:.modiflcatlons and/or additlonsai'e on the siw ph1r1. Any·~t!a1Wl!ilstfiilfiletall•witnin1these,pla'Mtt~twiffi·the$lt6 p!atrcatenot,approved for construction tnd miiy be required to be altered or removed. • • .appllcation Is based on the . do!:uments and plans shGW the correct dimenslorts~ .. ~e;,ro~, ~ldlniS,~!lt\l'f!S and .t11e1r·setb11~~ . .!!9°1er. a !"!!'1!ng and..J"}?~ use.~ each bulld~ ... tRti!>lind~ all'llilsllltienu.end.affler,filitlf sen a®r ~~l'.IWiiltit~ratlfln, All lml)RMlllents~'!on~ ~werewmpleted in accordance allr9ffl!ill5!~f!l~~•f PJllt~e 1~rc;construc:tion, unless~~-• 1635 Faraday Ave carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Qullding@tarlsbadca.gov 2 RE\f.10/2                                {city of Carlsbad