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Home My WebLink About1051 SAGEBRUSH RD; ; CB153011; Permit,. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-15-2015 Cogeneration Permit Permit No:CB153011 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1051 SAGEBRUSH RD CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: 5B Reference #: Parcel No: Valuation: Occupancy Group: 2146441900 $10,000.00 Project Title: VEITCH: 25 ROOF MOUNT PV Applicant: SOLAR SYMPHONY CONSTRUCTION INC 341 ENGEL ST ESCONDIDO CA 92029 760 300-4141 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $114.59 $0.00 $80.21 $0.00 $0.00 $1.30 $1.00 Owner: VEITCH ARTHUR J PO BOX 130066 CARLSBAD CA 92013 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Status: ISSUED Applied: 09/15/2015 Entered By: JMA Plan Approved: 09/15/2015 Issued: 09/15/2015 Inspect Area: Plan Check #: $0.00 $0.00 $0.00 $0.00 $197.10 Total Fees: $197.10 Total Payments To Date: $197.10 Balance Due: $0.00 Inspector: A&C--: FINAL Date: < clearance: t\C!TlCE Flesse ta<e t\C!TlCE th!i ,wu;a cJ )OJ ~ect irdL.des Ire "lnµisitioi' cJ fees, declcaions -ons er ctl-er exations -cx:lledi;ey referred to as '!ees'exations." Yru t-al.eOOda),sfromtre-ttis pemitv-as issuadto pn:.test irrµstion citresefees'exations If yru pn:.test tren yru rrust fdlo.vtre pn:.test p-oc,dres set fcrth in G:>.ermrt Cede Sactionoo:Jal(a), ardfiletre pn:.test ard anyctl-erreq.jred irtarraionv.ith tt-eOtyfvlngi,fcr ~rg in a:xmiau, llith Ca1sbal Mnde<I Cede Section 3.32.C:OO. Falueto timfyfdlooth!i rro:,a:l.rellill tB' any slb;ecµrt lega adiontoatid<, reMew, set aside, vdd, er anJ trar irrµstion. Yoo'"" reret,,, F\R1rER t\C!TlFIED ttat )OJ ri!J,t to pn:.test tt-e specified fees'exations IXES I\Of .APF1.. Yto v.aer ard ,.,,...,-oonnedion fees ard ~ ~ na ptmrg, zairg, g,drg er ctl-er arrila-wicaion ~rg er se,ja, fees in oonnedion llith ttis ~ed. r-cR IXES IT .APFI.. Y to any I v.ti 'rrila-th v.ti lirri THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE; □PLANNING 0 ENGINEERING ~ ,, ,, ,,"--. -~ CITY Of CARLSBAD JOB ADDRESS Bulldlng Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.cartsbadca.gov ,,.... □BUILDING Date l-\OUNT •! f>V I l-Bl-'5' 1<.W, 2.'5'" '"101>1.l~, \,,.,,Gll--,ell.., :z.s-Of'ToMl'i:El'lS USE GARAGE (SF) PATT S (SF) DECKS (SF) PROPER1Y OWNER NAME FIRE SPRINKLERS YES0N<0 NAME v1:;__~----------+.==1>;;=-~=e lIC.11 _______ ---------j ADDRESS ADDRESS CITY PHONE EMAIL STATE Cp,.. FAX STATE FAX ZIP 92 ZIP 10~1 CITY 7 5T STATE ZIP °I ,z.o '2 . co":1 1T'I BUS.UC.# 1~400'2-3 {Sec. 7031.5 Business and Professions Code: Any~ or Cou-,_ty wtliCh reQUlres a permit to construct. alter, tmPl'Olo;'8, demoll&h or repair anl structure, prior to its tssuance, also C!tQl,d"81 the a~icant for such permit 51e a slMed statement I.Hat he i9 HcenMd pursuant to the provisions of tha Conttactor's Ucense Law [Chapter 9, commendin&wtth Section 7000 of DiVi:Sk>n 3 of the Business and Professions J or that he lS ~t therefrom. and ths baSiS for the alleged exemption. AnyviOlatlon or Section 7031.5 by any appHcanffor a permit subjectt the applicant to a Civil penalty of not more than Ille hundred dOffars ~5001). tnd will maintain a certificate of toflsent to self-Insure for w:irters' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of lhe w:irk for which lhls pennit is issued. and wm maintain w°s;:{' ;i,ensatlon, as requ119d J!y Section 37--oo_ _ °'_ the Labor COde, for th& perbmlance of the wor1I for whk:h this permit Is Issued. My 'MIiker&' compensation Insurance carrier and policy number are: lnsuranc&Co, ~f'ZIS ~D ~ P,.il-£,tT~<.). __ Polley No. 908 0'2 lf:'o Expiration Date I 2 ·O/ · I =c: ~sectlOn need not be completed If the pemwl: is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pelfi)nnctte of the 'M:llk for 'Mlich !his pennlt Is issued, I sMII not employ a,y petSOn in any manner so as to become subject kl the Workers' Compensation laws of California. WARNING: Failure to securew 'compensation cown.91 Is unllWful, tnd llflall tubjlCl an employwto ct1minal penaltl• and clvtl fines up lo on, hundrvd thousand dollars (&100,000), In addition to the cost of compentlllon, dt a provided for In Section 6 of the Labor code, lntarMt and attorney's feel. If CONTRACTORSIGNATURE liil~ [3(GENT I hereby affltm IIIBt I am exempt from BSOn: O I, as owner of the property or my employees wilh wages as their sole compensatk)n, \11111 do the work and the structum Is not Intended or offered for sale (Sec. 7044, Business arid Professions Code: The C011tra;tor's Ucense law does not 8')ply to an owner of property whO builds or improves thereon, and whO Clo8s such 'M:lf1t himself or lhrough his own employees, provkied !hat such improvements aie not intended or offered for sale. If, hOwever, !he building or Improvement is sold within one year of completioo, the owner-bullderwlll have the burden of proving that he did not buiki or Improve fOr the purpose of sale). □ D I, as ov.ner of the property, am excluslvely oontracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License la,., does not apply to i¥'I owner of property who lluik1s or improves thereon, and contracts for such projects with con~r(s) licensed purnuant to !he Contractor's License law). I am exempt under Section __ _Business and ProfessiOns COde for this 19ason: 1. I pernonaily plan to proVide the major labor and materials for construction otthe proposed property Improvement Oves Do 2. I (have I have not} signed an application for a buikiing pennit tor the proposed work. 3. I have conn:!ed 'Mlh the roltowlng person (firm) to provide the proposed conslruction (include llM18 address/ 11hone I ooniractorn: I~ number): 4. l plan to prov Kie portloos of the worll, but I have hired the followlng pefSOf1 to coordinate, supervise and provkle the majOr 'Mllk (Include name/ address/ phone/ contractors' li08nse number): 5. l v,;11 provide some of the 'M'.lrk, but I have contra:ted (hired) the ltlllowlng persons to provide the work lndk:ated 0nclude name t address I phone I type of work): .65 PROPERTY OWNER SIGNATURE □AGENT DATE COMl'Ll'T& THU SECTION FOR NON-RE'SID&NTIAL BIJILDING l'l!RMITS ONLY Is the applicant OffulllT8 buillingoccupantrequired to submit a business plan, acutely haza-dous materials regisb'ation form or risk managemoot and prevention pro\1!1l1 under SectiOns 25505, 25533 a 25534 of the Presley-Tanner Haz;rdous Substance Account Act? □ Yes □ No Is the applicant or future building occupantrequil'ild ID obtain a permit from the air pollution control district or air quality management diHict? □ Yes □ No Is the facility to be conslrucl8dwithin 1,000 feet of the outer bounday of a school site? □ YEIS □ No IF ANY OF THE ANSWERS ARE YES, A ANAL 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. I celttfythatl hlwt 1911dtheappllcatlon andstatethattheablM lnforma'llon Is conactand that Ulelnfonnatlon on the plaN ls accu181B. I ag,eeto compfy.tltl all Qly"oJdnar-.and StBIB laws lellUngto bulldlnf oonstructton. I he!eby a,ltlonls,_..... <ilheCify<iC"1sboJ ilenl>r upon lhe abole 1!18111ioold proper1yh '1SIJ8di)n pu'fX"'S. I ALSO AGREE TO SA~ INDEMNIFY AND KEEP HARMLESS lHE CITY OF CARLSBAD AGAINST AU. UABUTIES, JUDGMENTS, COSTS AND EXPENSES v.lilCH MAY IN Af('I WAY ACCRUE AGAINST SAID CITY IN CONSEQJENCE OF lHE GRANTING OF lHIS PERI.IT. OSHA: An OSHA permit is ~red 'DI' ~valk>ns 5'0' deep BOO demol6Jn or oonstnx:tion ct sm::tJJres (N(!I 3 snres rn heght EXPIRATION: E1'91Y pemit-bylhe aJlklng . ..mlhe ~· oflhis Codeshalle,q>ie by lmllslon /lld becorn> nul /lld "'ij !1he btnjlng crmaulloriZa1 by.,;, pemit is ootcornm,,,a,dwflhil 180dayslium lhe daleofm pemitcr llheb orm ElJlhorliiid by pom,t issuspenled orab/lldOned m "'Yllme all>rlhewal< iscom""'10ld iJr a perkxl<i 180 days (i'<lc1lln 100.4.4 Llllixm lllndllQ Code). AS° APPLICANT'S SIGNATURE DATE ~ Inspection List Permit#: CB153011 Type: COGEN PHOTO VEITCH: 25 ROOF MOUNT PV Date ___ lnsp_ection lt_em Inspector Act Comments ----------------- 10/23/2015 35 Photo Voltaic (PV) RI 10/23/2015 35 Photo Voltaic (PV) RI 10/23/2015 35 Photo Voltaic (PV) AEK AP 10/23/2015 39 Final Electrical RI 10/23/2015 39 Final Electrical RI 10/23/2015 39 Final Electrical AEK Fl Monday, October 26, 2015 Page 1 of 1