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Home My WebLink About2869 SEGOVIA WAY; ; CBR2022-3822; Permit                                                            (Cityof Carlsbad ( City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check ________ _ Est. Value PC Deposit Date Job Address 2869 Segovia Way Carlsbad Ca 92009 Unit: APN: 255-280-42-00 ·----- CT/Project #: __________________ Lot #:. ____ Year Built: _________ _ BRIEF DESCRIPTION OF WORK: 10kW Roof Mount Solar PV □ New SF: Living SF, ____ Deck SF,. ____ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? DY □ N New Fireplace? O YO N , if yes how many? ___ _ D Remodel: SF of affected area Is the area a conversion or change of use? CJ YD N ----- □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ □Solar: 10 KW,25 Modules, Mounted :0Roof□Ground, Tilt: □YON, RMA:□Y ON, Battery:0O N, Panel Upgrade:0v®N Other: PRIMARY APPLICANT PROPERTY OWNER Name: Julianne Russell Name: Randy Netto Address: 3960 W. Point Loma Blvd Suite H234 Address: 2869 Segovia Way City: San Diego State: CA Zip:_9_21_1_o ___ City: Carlsbad State:_c_a __ Zip:92009 Phone: 858-666-5137 Phone: 801-550-9919 Email: Permits@newleafelectric.com Email: randyjnetto@yahoo.com DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: __________________ Business Name: New Leaf Electric Address: Address: 3960 W. Point Loma Blvd Suite H234 City: ________ State: ___ .Zip:._____ City: San Diego State: CA Zip:_9_2_11_0 ____ _ Phone: Phone:619-787-2448 Email: Email: eric@newleafelectric.com Architect State License: CSLB License#: 1034853 Class: C-10 -------·-------- Carlsbad Business License# (Required): BLOS003178-05-2018 APPLICANT CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the infarmatian af the plans is accurate. I agree ta comply with all City ordinances and State laws relating ta building construction. NAME (PRINT): _J_u1_ia_n_ne_R_us_s_e1_1 _____ _ DATE: 10/13/2022 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov REV. 10/21 THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _ A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE. (OPTION A): LICENSED CONTRACTOR DECLARATION: lherebyaffirmunderpenaltyofperjurythatlamlicensedunderprovisionsofChapter9(commencingwithSection7000)ofDivision3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the following declarations {CHOOSE ONE): D i have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. PolicyNo., ___________________________________________ _ -OR- ug I have and will maintain worker's 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: lnsuranceCompany Name: State Compensation Insurance Fund Policy No. 9227351 Expiration Date: _3_/3_/2_2 _____________ 1 -OR- D Certificate 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 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 $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name: _______________________ Lender's Address: ______________________ _ CONTRACTOR CERTIFICATION: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are not approved for construction and may be required to be altered or removed. The city's approval of the application is based on the premise that the submitted documents and plans show the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed use of each building as stated is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation. All improvements existing on the property were completed in accordance with all regulations in existence at the time of their construction, unless otherwise noted. NAME (PRINT): _E_ri_c _u_eb_e_rm_a_n _____ SIGNATURE: __ r.i_,,,_,c_L_ie_be_rw?,_~_n ____ DATE: 10/13/2022 Note: If the person signing above is an authorized agent for the contra t tter of authorization on contractor letterhead. -OR- (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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). -OR- D 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). -OR- D I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, D FORM B-61 "Owner Builder Acknowledgement and Verification Form" is required for any permit issued to a property owner. By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors./ understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Website: http:! /www.leginfo.ca.gov/calaw.html. OWNER CERTIFICATION: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are not approved for construction and may be required to be altered or removed. The city's approval of the application is based on the premise that the submitted documents and plans show the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed use of each building as stated is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation. All improvements existing on the property were completed in accordance with all regulations in existence at the time of their construction, unless otherwise noted. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 2 ro ert owner. Email: Building@carlsbadca.gov REV.10/2                                        {city of Carlsbad                                                      (Cityof Carlsbad CBR2022-3822 2869 Segovia Way Changed MSP size to 225A Bus/200A Main breaker modified the solar panel layout (same amount of panels/micros). Eric Lieberman 6197872448 3960 WPL Blvd #H234 San DIego 92110 permits@newleafelectric.com Changed MSP size to 225A Bus/200A Main breaker T-01 modified the solar panel layout (same amount of panels/micros)S-01 E-01 PL-01 4/11/2024 C Cityof PLAN CHECK REVISION OR Deve/012.ment Services DEFERRED SUBMITTAL Building Division Carlsbad APPLICATION 1635 Faraday Avenue 442-339-2719 B-15 www.carlsbadca.gov (byCityStaf/J Original Plan Check Number Plan Revision Number Project Address-------------------------------- General Scope of Revision/Deferred Submittal: ___________________ _ CONTACT INFORMATION: Name ____________ Phone ________ Fax~--------- Address ____________________ City _______ Zip ____ _ Email Address-------------------------------- Original plans prepared by an architect or engineer, revisions must be signed & stamped by that person. 1 . Elements revised: ~ Plans D Calculations D Soils D Energy D Other 2. 3. Describe revisions in detail List page(s) where each 4. Does this revision, in any way, alter the exterior of the project? 5. Does this revision add ANY new floor area(s)? 6. Does this revision affect any fire related issues? 7. Is this a full set replacement (all sheets)? [rte lieher,r/cm ,gSignature ________________ _ OYes OYes OYes [Z]Yes Date revision is shown 1635 Faraday Avenue, Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: building@carlsbadca.gov www.carlsbadca.gov SUBMITTAL INSTRUCTIONS: Revisions are changes to Active/Issued building permits that are not finaled or expired. Submission must be completed in the same manner as the original review {hard copy or digital). HARD COPY Residential or Commercial New, Addition, Remodels, must follow hard-copy submittal process. If you originally applied for a permit via hard copy plans, revisions are applied via a hard copy process. Hard copy submittals are submitted in-person at the Building Counter at 1635 Faraday Ave, Carlsbad CA 92008. Hard Copy Submittal Requirements: • Completed and signed form B-15. • A minimum of three {3) complete or partial plans is required. If the change effects any fire prevention related review items a fourth set is required. Note, if partial pages are submitted, at approval, the applicant will be responsible for slip-sheeting any new approved sheets into the city-held plan set at city offices. • If submitting revised reports/calculations, submit two (2) updated copies. If staff determine other reviewers to review the updated report/calculations, additional copies of reports/calculations may be required. • Form of payment for fees due or via online payment. Once city receives a complete application and submittal, city will process and route plans and update you, typically via email, with next steps such as fees due, plan check updates, resubmittals, approvals and/or instructions on updating city-held plan sets or other approval documents. DIGITAL If you originally applied for a permit via the on line portal, submissions for revisions are uploaded via the self-service portal. Digital Submittal Requirements: • Completed/signed form B-15. • Updated plan set (pdf). • Updates calculations or other supporting files, if applicable (pdf). Prior to uploading, be prepared with all submittal items listed above in pdf format. Once you are ready with pdf files, log into the portal. Go to your dashboard, find 'Active Permits' and the original permit. Open the original permit, go to the Attachments tab and upload all files. Remember as you add multiple files, to select the applicable file types for the different attachments. If you do not see the permit in the portal, please contact building, as you may need attached to the permit. Once all files are attached, click submit. City will review the new/uploaded files and update you via email and review/approval status and/or fees due. Once city receives a complete application, city will update you with next steps, including review updates, approval and updated plans. Depending on the scope of change, plan check may be required. If changes trigger additional plan review, additional plan review fees will be due per the City's current Master Fee Schedule. Substantial changes may trigger updates in development impact or permit fees. Outstanding fees are due prior to approval/issuance. If you have questions with navigating the portal (finding your permit, uploading files), please see the CSS Help Guide or contact us here.