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Home My WebLink About2668 SAUSALITO AVE; ; CB160439; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-04-2016 Cogeneration Permit Permit No:CB160439 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2668 SAUSALITO AV CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: Status: ISSUED Applied: 02/04/2016 Entered By: RMA Parcel No: Valuation: 1675612500 $8,000.00 Occupancy Group: Plan Approved: 02/04/2016 Issued: 02/04/2016 Inspect Area: Plan Check #: Project Title: KIMBALL RES-PHOTOVOLTAIC SYSTE 20 ROOF/FLUSH MOUNTED MODULES-5.7 KW-YES NEW RMA-NO ELECT PANEL UPGRADE Applicant: SOLAR WEST ELECTRIC INC STE D 2640 FINANCIAL CT SAN DIEGO CA 92117 858-750-2995 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 $96.85 $0.00 $67.79 $0.00 $0.00 $1.04 $1.00 Owner: KIMBALL RAYMOND&MICHELLE TRUST 01-09-04 2668 SAUSALITO AVE CARLSBAD CA 92010 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $166.68 Total Payments To Date: $166.68 Balance Due: Inspector: ~ FINAL Date: Clearance: $0.00 $0.00 $0.00 $0.00 $166.68 $0.00 NOTICE Aease-NOTICE Iha-""" ct )OJ ~ed irdldes tre ""lnµ,;tiCl1"" ct foos, dedcaiC>"lS reseMiiC>"lS a ctra-e>ali<rs raeatt<,-cx:llecl,<jy rderr<,:I to as '!-exa:iicn;"" Yoo t"al.e 00 days fraTitre-ths pemit v,a; iSSJed to pretest irTJ'.l(JStiCl"l ct ttese feffi'exa:iiCl1S. If yoo pretest tren yoo rn.ot fdlo.vtre pretest ;nx:,rlress<i fath in c::o..m-r-a-t Qxle SectirnWJ:ll(a). 1rd filetre pretest 1rd "'f ctha"l"EQ.ired irtcmaiaiv.ith treOty~f<r ~'ll in axxmrre wth Qr1stoo Mridpa eooe SectiC>"l 3.32.cro. Falcre to timJy fdlo.vtha ll"(XBl.re wll t>r "'I subsetµlnt lega adiC>"l to~ re.-ie.-v, 58 asiOO, \Od, er clTU trer irrp:siticn Yoo ,re taw,, FLRJl-ER NOTIFIED tt-at )OJ ri9'1 to pretest Ire specified feffi'exa:1iCl1S OC"ES NOf APA,_ Yto "'861' ,rd se,,er can,:jja, fees 1rd aµ,jty cta,ges, ra plarirl), zmrlJ, g-acl'IJ a ctra-srrila-~icaiai ~'ll a ser\Ace fiees in care:1irn wth ths ~ed. l'-(R OC"ES IT APA,_ Yto "'f . . . t ct· . • THE. FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING Ccityof Carlsbad JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov cw:sa.11 ro SUITEI/SPACEI/UNIT# □BUILDING CT/PROJECT # PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) "5.7 [Lw pv SD ta v V\QAA.J le D 14 W""P 12 M 2 0 vYl O c:l,U_J__e_, S -J_ c O ' EXISTING USE PROPOSED USE STATE D~ ZIP q2..02( FIREPLACE YES[), □FIRE FAX PHONE FAX 7lPV-4 I q -.q5 7 2 EMAIL □HEALTH 0 HAZMAT/APCD SWPPP CONSTR. TYPE OCC. GROUP FIRE SPRINKLERS YES0NO□ DESIGN PROFESSIONAL (V\'1 I I -e Y-CONTRACTOR BUS. NAME 1ar wes+- ADDRESS q ac, -Ptc YV2. r CITY STATE STATE ZIP $clV'I CP- PHONE ~B 750 • zqc, 5 FAX PHONE FAX EMAIL EMAIL STATE UC.# CLASS c..-1 0 (Sec~ 7031.5 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 permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of DivIsIon 3 of the B_usmess and Professions Code) or ftlat he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations· 8 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 performance of the work for which this permit is issued. I have and will maintain workers' comp ens on, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation i surance carrier and policy oumbe, '" las era nee Co ~ e t: Q /S/Joy No. E Q p, \ Q 2 5 8 0 E,pi,atioc Date 4 2 2-. This secijon need not be completed if the permit is for one hundred doll rs ($1 ) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage ls unlawful, and shall subject an employer to crfmlnal penalties and clvll fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, d es as prov ed or in S f 3706 of the Labor code, interest and attorney's fees. ,8$ CONTRACTOR SIGNATU I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ □ I, as owner of the property or my empJoyees 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 •M10 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 or,e year of completion, the owner-builder 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 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. l personally plan to provide the major labor and materials for construction of the proposed property improvement. □Yes ONo 2. I (ha...-e / have not) signed an application for a building permit for the proposed work. 3, I have contracted with the following person (firm) to provide the proposed construction (include name address I phone/ oontractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coord_inate, supervise and provide the major work (include name/ address/ phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone I type of work): 8$ PROPERTY OWNER SIGN NT COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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 Act? □ 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 AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the aoove lnfonnation is correct and that the infonnatlon on the plans is accurate. J agree to comply with all Cify ordinances and State laws ielating ID building construction. I hereby authorize representative of the City of Cansbad lo enter ur.on the alxlve mentioned prclp:lrty br i1s1Efion purJ))SeS, I ALSO AGREE TO SAVE, JNDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: NI OSHA pennit is required for excavatioos over 5'0' deep and demolition or oonstrudion of structures <:Ner 3 stories in height. EXPIRATION: Every pem11t issued by the Building Cfficial under the provisions of this Oxle shall expire by imitation and become null and void if the building ormrk authorized by sud! pennit is notrommenced within 100 days from the date of such pennit or if th · ng or'MJ<k authorized by sudl ~ is suspended or abandoned at any lime after the WJrk is oommenced for a periocl of 100days ( · 100.4.4 Unibm, Building Oxle) ..@S" APPLICANT'S SIGNATURE DATE C) Inspection List Permit#: CB160439 Type: COGEN PHOTO Date __ Inspection Item _______ Inspector Act 02/17/2016 35 Photo Voltaic (PV) RI 02/17/2016 35 Photo Voltaic (PV) AEK AP 02/17/2016 39 Final Electrical RI 02/17/2016 39 Final Electrical AEK Fl Monday. February 29, 2016 KIMBALL RES-PHOTOVOLTAIC SYSTE 20 ROOF/FLUSH MOUNTED MODULES-5. Comments Page 1 of 1