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Home My WebLink About1871 BLACK MUSTARD LN; ; CB122546; Permit11-29-2012 Job Address Permit Type. Parcel No Valuation Occupancy Group Project Title City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Cogeneration Permit Permit No:CB122546 Building Inspection Request Line (760) 602-2725 1871 BLACK MUSTARD LN CBAD COGEN Sub Type. PHOTO 2150507300 Lot# 18 $3,200.00 Constuction Type NEW Reference* CT040008 CBAD LA COSTA COLLECTION-PHS 2 PHOTOVOLTAIC SYSTEM- 8 ROOF MOUNTED MODULES Status. Applied Entered By Plan Approved Issued Inspect Area Plan Check # ISSUED 11/29/2012 JMA 11/29/2012 11/29/2012 PC120048 Applicant MAEDL SOLAR ATTN: JUSTINE MAEDL STE 200 1902 WRIGHT PL 92008 760 846-1451 Owner. CITY VENTURES HOMEBUILDING LLC 1900 QUAIL ST NEWPORT BEACH CA 92660 Building Permit $68.07 PLUMBING TOTAL $0 00 Add'l Building Permit Fee $0 00 ELECTRICAL TOTAL $0 00 Plan Check $47 65 MECHANICAL TOTAL $0 00 Add'l Plan Check Fee $59 85 Additional Fees $0 00 Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $0 00 $1 00 $1 00 TOTAL PERMIT FEES $177 57 Total Fees $177 57 Total Payments To Date-$177 57 Balance Due: $0.00 Inspector FINAL AP Date -A'7i R( iVAL Clearance. NOTICE Please tal<e NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen'ed to as "fees/exactions" You have 90 days from the date this perniit 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 timeiy 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 nght 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 vou have oreviousiv been civen a NOTICE similar to this, or as to which the statute of limitations has oreviousiv othenwise expired THE FOLLOWING APPROVALS REQUIRED PRI® TO PERIVIIOSSUANCE: • PLANNIg • ENGIN^ING 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. CBjZ-ZS^io Est. Value Plan Ck. Deposit Date SWPPP JOB ADDRESS mi tor; Blacl( Mustard Ln. SUITE#/SPACE#/UNIT« 215 050 - 73 CONSTR TVPE 1 0CC''GR0UP il CT/PROJECT # 040008 PHASE# # OF UNITS 3 # BATHRIXlMS TENANT BUSINESS NAME DESCRiraON OF WORK: Include Square Feet of Affected Area(s) Carlsbad 3/La Costa Collection: Master Permit, Tract CT 040008, plan check # PC 120048 1.84 kVI solar photovoltaic array, roof mounted on residential condominiums, new construction. '/itb EXISTING USE residential PROPOSED USE residential GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~> NC| I AIR CONDITIONING YES I [NO I I FIRE SPRINKLERS YES| |NO| I APPLICANTNAME (Primary Contact) Justine Maedl APPLICANTNAME (Secondary Contact) ADDRESS 2123 Industrial Ct., ste.A ADDRESS CITY Vista STATE CA ZIP 92081 CITY STATE ZIP PHONE 760-846-1451 FAX PHONE FAX EMAIL justine@maedl.com EMAIL PROPERTY OWNER NAME City Ventures CONTRACTOR BUS. NAME maedl.solar ADDRESS 2850 Red Hill Ave, ste 200 ADDRESS 2123 Industrial Ct., ste.A CITY Santa Ana STATE CA ZIP 92705 CITY Vista STATE CA ZIP 92081 PHONE FAX PHONE 760-727-7966 FAX 888-363-3652 EMAIL EMAIL info@maedl.com ARCH/DESIGNER NAIVIE & ADDRESS 960715 CLASS B, C-10 CITY BUS LIC# (Sec 70315 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 permitto file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law {Chapter 9, commendingwith Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption Any violation ol Section 7031.5 by any applicantfor a permit subjects the applicant to a civil penalty cf not more than five hundred dollars {$500}) Workers' Compensation Declaration / hereby affirm under penalty of perjury ona of the following declarations SI have and t»ill maintain a certificate of consent to self-Insure fbr workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued, have and will maintain workers' compensation, as required by Section 3700 of the Labor Oode, for the perfomiance of the work fOr which this permit is issued My vrarkers' compensation insurance camer and policy numberare InsuranceCo State COmpenSatlOn InSUranCB Fund poteyNo 0502455-2011 Expiration Date 3-1-13 This section need not be completed if the permit is for one hundred dollars ($100) or less I I Certificate of Exemption: I certify that in the perfomiance of the work fbr 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 cnminal penalties and avll fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damagesa^ovided for in Sectiog 3706 of the Labor code, interest and attomey's fees. JS^ CONTRACTOR SIGNATURE Section 3706 of th • IAGENT DATE lid. I hereby affirm that I am exempt fmm Contractor's License Law for the folbwing reason I I 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 viho builds or improves thereon, and who does such worit 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) • • 1, as owner of the property, am exclusively contracting with licensed coniractors 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 matenals for construction of the proposed property improvement | [yes | ^lo 2 I (have / have not) signed an application for a building pemiit fbr the proposed work 3 1 have contracted with the following person (fimi) to provide the proposed constmction (include name address / phone / contractors' license number) 4 I plan to provide portions of the wort(, but I have hired the Ibllowing person to coordinate, supen/ise and provide the major worit (include name / address / phone / contractors' license number) 5 1 will provide some of the work but I have contracted (hired) the following persons to provide the worit indicated (include name / address / phone / type of work). jS^PROPERPf OWNER SIGNATURE [|]AGENT DATE CB122S4i lfi7l SLACK MUSTARD ilf IN$PECTI0lt niCORD mAmcm • ^ C,A-»O WITH APPITO vf o mv-^ ' ^-.t FT 0*1 TMf JOU Inspection List Permit#: CB122546 Type: COGEN PHOTO CBAD LA COSTA COLLECTION-PHS 2 PHOTOVOLTAIC SYSTEM- 8 ROOF MOUN Date Inspection Item Inspector Act Comments 06/04/2013 35 Photo Voltaic (PV) MC AP 06/04/2013 39 Final Electncal MC AP Thursday, July 25, 2013 Page 1 of 1