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Home My WebLink About2393 LAFAYETTE CT; ; CB130003; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-15-2013 Cogeneration Permit Permit No:CB130003 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: 2393 LAFAYETTE CT CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: 1673701400 $11,200.00 KACZMAREK: 28 ROOF MOUNT PV Owner: Status: ISSUED Applied: 01/02/2013 Entered By: JMA Plan Approved: 01/15/2013 Issued: 01/15/2013 Inspect Area: Plan Check#: BUil T GREEN CALIFORNIA #102 KACZMAREK FRED&BRANDY FAMILY TRUST 9520 PADGETT ST SAN DIEGO CA 92126 888-830-0099 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 $146.47 $0.00 $102.53 $4.97 $0.00 $1.12 $1.00 2393 LAFAYETTE CT CARLSBAD CA 92010 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $256. 09 Total Payments To Date: $256.09 Balance Due: Inspector: Clearance: $0.00 $0.00 $0.00 $0.00 $256.09 $0.00 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 permit 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 se1Vice fees in connection with this project. NOR DOES IT APPLY to any x Ii n h' h h I n i n N ii r hi r whi h h imi i n h I ~~ •FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PIANNING □ENGINEERING □BUILDING 0FtRE □HEALTH 0 HAZMAT/APCD «~ Building Permit Application Plan Check No. ( 'I?-, l '3 · 000 -::S 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value f /(, 20 6 ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: buldllng@carlsbadca.gov Plan Ck. Deposit www,parlsbadi;;a ggv Date \1z_.//3 ISWPP JOB ADDRESS J.3'1 ;i LP..fave.+t/lZ.. Cour./-SUITE#/SPACE#/UNIT# APN 11o1-310 -/'-/00 CT/PROJECT# LOT# • I PHA.SE # I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Anla(s) So[a.r roof ft\ O \.tft + 2--Y-f ~ EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF) I DECKS (SF} I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES □#_ NO □ YES □ NO □ YES □ NO □ APPLICANT NAME (Primary contact) 7i J / RI\ £.» ,,.} < r, f\ APPUCANJ NAME (Sacondary Contact) ch. LA C /<. ParfrirJ,.,, ADDRESS Gj 5 .a O Paola~/-f '5-f -tt to').. ADqE5°;J_O PrA d. a"-+ I-Yt. l:i/O;J. J CITY s J STATE ZIP c~an J cA ZIP Ol.n D1eqo CA qa,1i(,, D,eav CfJ./ u. PHONE ""' £1<oo\ 5d-o -cto, d FAX PHONE J lt,IC/--:3bf/-11:37 FAX EMAIL -If . /" ·1111 fi) bl.(.i qrc..e.n CQ. ,. Col'\'I EMAh C 1,1.c.ko., bu.1 /f-o,reenc.c._/;. c.orv> PROPERTY OWNER NAME F,. e. cl l(a.c.. l.l'\I\G .-e,k CONlRACTOR BUS. NAME B . I+ G C I F. )I • t.t1 reen Q. 1 ·.--r 1 °' ADDRESS ?-3Gt 3 la...fQ.'/-t.tte. c.,,t. ADDR,ss'f5~0 fAdlle:f-f 5./-. -# 101. CITY C I . STATE ZIP CITY s 01eqJ' r?t ZIP ar 5hCA.c:l e _/),, ctn. 9J..I ~e,. PHONE 7 f40-7J.'i-{31o/ FAX PHONE -FAX '"'"'Aol I:::_ f ._,.,Ail inf, Q b.;_,/-fqr-e-ero.cc.1,·. L-Ol'V\ Ka-c. I'll' ore, c0 Cc,)(. nL ARCH/OESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# "'f 'f I '1 "l--CLASS I CITY BUS. UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to.construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law fChapter 9, commending with Section 7000 of Div1s1on 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500]). WORKERS' COMPENSATION Woril;en' Compensation Declaration: / hereby affi!TTI under penalty of peljury 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 pertonnance of lhe work for which this permit is issued. "I) I have and will maintain worken' compensa_!Lon, as required by Section 3700 of the labor Code, for the perfonnance of the work for which this pennlt is issued. My workers' compensatkln Insurance carrier and policy numberare: ln,,..,nce Co. 5±0,, + l: f-.._,-d Pclicy No. :::i..'! S 000 0 { C. i E>ooation Date ~f~/~l~L~'~---- This section need not be completed If the pennit is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that in the perfonnance of the work for which this permit is issued, I shall not employ any person in ariy manrier so as to become subject to the Workers' Compensation Laws of California. WARNING: Faflura to secure workers' compen11tlon coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation es as provid for in Section 3706 of the Labor code, Interest and attorney's fees. ,/1! CONTRACTOR SIGNATUR ;, h by affi!TTI that I am exempt from tractor'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 arid the structure is not intended or offered for sale (Sec. 7044, Business and ProfessioflS Code: The Contractor's License Law does not apply to an owner of property who buikls or improves thereon, arid 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 comple~on, the owner-buikler 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 coritracts for such projects with contractor(s) licensed pursuant to the Coritraclor's License Law). D I am exempt under Section ____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for CCN1Struction of the proposed property improvement □ Yes □ No 2. I (have/ have 1101) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (Ii"") to provide the proposed construction (include name address/ phone I contractors' license number): 4. I plan to provide portioos of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. 1 will pro~de some of the 'MJfk, but I have contracted (hired) the following persons to provide the work indicated (include name I a:ldress /phone/type of work): ,,6$ PROPERTY OWNER SIGNATURE ._, ln'AGENT DATE COMPLETE THIS SECTION FOil NON•ltESIOl!NTIAL SUILDING PEffMITS ONLY 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 Substance Account Acfl □ 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 ANO THE AIR POLLUTION CONTROL DISTRICT. CDNSTttUCTION LENDING AIU!!NCY I hereby affirm that there 1s a construction lending agency for the performance of the work t111s perrmt is issued (Sec. 3097 (1) Civil Code). lender's Name lender's Address APPLICANT cEttTU,'ICA1'1DN I certify that I have read the application and state that the abow lnfonnatlon Is c:onectand that the infonnatlon on the plans Is 8CO.Jra18. I ag,ee to a,mplywllh all City ordinances and State laws relating tD buNdlng construction. I hereby authorize representat..of lhe Cityof Carlsbad ID enlerupon the abo"' mentioned property br nspec:lion pufJXJSOS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP H.'RMLESS THE CITY OF CARLSBAD AG'JNST AU_ LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUEAG'JNST Sl'JD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is requred br excavations over 50' deep and demclltkln or oonstruction of structures over 3 stores in height. EXPIRA. TION: Every permit issued by the 0.Jilding Oflk:ial under the provisk:ms of this Code shall expire by limitation and become nul and vok'.I W the building or w:irk authorized by such permit is not oommenced 'Mlhin 180 days from the date of such permit or if the bulling or 'o\Q1k authorized by sudl permit is suspended or abanooned at any lime after the oork is oommenced for a peood of 180 days (Sec!Kln 100.4.4 Unibrm BJilding Code). ,.15 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 www.building@car1sbadca.gov or Mail the completed form to City of Car1sbad, 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) o OCCUPANT (Listed above) □ CONTRACTOR (On Pg. .1) D MAIL/ FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE □ ASSOCIATED CB#------------- 0 NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB130003 Type: COGEN PHOTO KACZMAREK: 28 ROOF MOUNT PV Date Inspection Item Inspector Act Comments 02/25/2013 35 Photo Voltaic (PV) PD AP 02/25/2013 39 Final Electrical RI 02/25/2013 39 Final Electrical PD AP Tuesday, February 26, 2013 Page 1 of 1