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Home My WebLink About1533 TURQUOISE DR; ; CBR2021-1612; PermitPrint Date: 07/02/2021 Permit No: CBR2021-1612 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 1533 TURQUOISE DR, CARLSBAD, CA 92011-1237 BLDG-Residential 2122001200 $7,200.00 Work Class: Lot #: Project #: Cogen Status: Applied: Issued: 06/01/2021 06/01/2021 Finaled Close Out: #of Dwelling Units: Track #: Plan #: Closed - Finaled PDrei Plan Check #: Inspector:Orig. Plan Check #:Bathrooms: Final Inspection:07/02/2021 Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: 6.6KW ROOF MOUNT PV, 18 MODS (E-REVIEW)Description: Project Title: Property Owner: OWNER YENCHE ERIC M AND SHAWNDEE D 1533 TURQUOISE DR CARLSBAD, CA 92011 Contractor: KOTA CONSTRUCTION LLC 2029 1ST AVE WALNUT CREEK, CA 94597-2433-CONTRA COSTA (818) 519-2046 AMOUNTFEE BUILDING PERMIT FEE ($2000+)$97.22 BUILDING PLAN CHECK FEE (BLDG)$68.05 SB1473 GREEN BUILDING STATE STANDARDS FEE $1.00 STRONG MOTION-RESIDENTIAL $0.94 Total Fees:$167.21 Total Payments To Date:$167.21 Balance Due:$0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. 1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 760-602-2700 ï 760-602-8560 f ï www.carlsbadca.gov Building Division Page 1 of 1 {"Cityof Carlsbad 1 5E9. 08/20 ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ RE6IDEN7IAL B8ILDING PERMI7 APPLICA7ION B-1 PůaŶ CŚecŬ EƐƚ͘ VaůƵe PC DeƉŽƐŝƚ Daƚe JŽb AddƌeƐƐ SƵŝƚe͗ APN͗ CTͬPƌŽũecƚ η͗ LŽƚ η͗ Yeaƌ BƵŝůƚ͗ ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ Fŝƌe SƉƌŝŶŬůeƌƐ͗ YES NO Aŝƌ CŽŶdŝƚŝŽŶŝŶg͗ YES NO Eůecƚƌŝcaů PaŶeů UƉgƌade͗ YES NO BRIEF DESCRIPTION OF WORK͗ TŚŝƐ Ɖeƌŵŝƚ ŝƐ ƚŽ be ŝƐƐƵed ŝŶ ƚŚe Ŷaŵe Žf ƚŚe PƌŽƉeƌƚǇ OǁŶeƌ aƐ OǁŶeƌͲBƵŝůdeƌ͕ ůŝceŶƐed cŽŶƚƌacƚŽƌ Žƌ AƵƚŚŽƌŝǌed AgeŶƚ Žf ƚŚe ŽǁŶeƌ Žƌ cŽŶƚƌacƚŽƌ͘ The ƉeƌƐon liƐƚed aƐ ƚhe AƉƉlicanƚ beloǁ ǁill be ƚhe main Ɖoinƚ of conƚacƚ ƚhƌoƵghoƵƚ ƚhe Ɖeƌmiƚ ƉƌoceƐƐ͘ PROPERTY OWNER APPLICANT PROPERTY OWNERS AUTHORIZED AGENT APPLICANT Naŵe͗ Naŵe͗ AddƌeƐƐ͗ AddƌeƐƐ͗ CŝƚǇ͗ Sƚaƚe͗ ZŝƉ͗ PŚŽŶe͗ CŝƚǇ͗ Sƚaƚe͗ ZŝƉ͗ PŚŽŶe͗ Eŵaŝů͗ Eŵaŝů͗ DESIGN PROFESSIONAL APPLICANT CONTRACTOR OF RECORD APPLICANT Naŵe͗ AddƌeƐƐ͗ CŝƚǇ͗ Sƚaƚe͗ ZŝƉ͗ PŚŽŶe͗ Eŵaŝů͗ AƌcŚŝƚecƚ Sƚaƚe LŝceŶƐe͗ Naŵe͗ AddƌeƐƐ͗ CŝƚǇ͗ Sƚaƚe͗ ZŝƉ͗ PŚŽŶe͗ Eŵaŝů͗ Sƚaƚe LŝceŶƐeͬcůaƐƐ͗ BƵƐ͘ LŝceŶƐe͗ ϭϲϯϱ FaƌadaǇ Aǀe CaƌlƐbad͕ CA ϵϮϬϬϴ Ph͗ ϳϲϬͲϲϬϮͲϮϳϭϵ Faǆ͗ ϳϲϬͲϲϬϮͲϴϱϱϴ Eŵail͗ BƵildiŶgΛcaƌlƐbadca͘gŽǀ SŽůaƌ͗ KW͕ MŽdƵleƐ͕ MŽƵŶƚed͗ RŽŽf GƌŽƵŶd͕ Tilƚ͗ Y N͕ RMA͗ Y N͕ BaƚƚeƌǇ͗ Y N͕ PaŶel UƉgƌade͗ Y N ReƌŽŽf͗ PůƵŵbŝŶgͬMecŚaŶŝcaůͬEůecƚƌŝcaů OŶůǇ͗ OƚŚeƌ͗ AddiƚiŽŶal GaƐ Žƌ Elecƚƌical FeaƚƵƌeƐ͍PŽŽůͬSƉa͗SF AddŝƚŝŽŶͬNeǁ͗ ͺLiǀiŶg SF͕ ͺ Deck SF͕ PaƚiŽ SF͕ Gaƌage SF ͺͺͺͺͺͺ IƐ ƚhiƐ ƚŽ cƌeaƚe aŶ AcceƐƐŽƌǇ DǁelliŶg UŶiƚ͍ Y N Neǁ FiƌeƉlace͍ Y N ͕ if ǇeƐ hŽǁ ŵaŶǇ͍ ReŵŽdeů͗ SF Žf affecƚed aƌea IƐ ƚhe aƌea a cŽŶǀeƌƐiŽŶ Žƌ chaŶge Žf ƵƐe ͍ Y N 1533 Turquoise Drive Carlsbad, CA 92011 2122001200 2000 New PV installation, roof mounted, 6.6 kW system size, 18 modules 6.6 18 Eric Yenche 1533 Turquoise Drive Carlsbad CA 92011 760) 809-1695 emlandandsea@gmail.com Kota Construction LLC 5205 Avenida Encinas #D Carlsbad CA 92008 (510) 871-0081 emai@kotaenergygroup.com 1063901/B BLOS007913-06-2020 CBR2021-1612 6/1/2021 $7,200.00 □ □ □ Ii] □ □ □ ( City of Carlsbad 0 ® 00 00 @ 0 0 0 0 0 00 0 0 0 0 00 00 □ □ □ OWNER PRINT͗ ^/'E͗ APPLICANT CERTIFICATION͗ SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL 5(9. 0/0 IDENTIFY WHO WILL PERFORM THE WORK BY COMPLETING ;OPTION AͿ OR ;OPTION BͿ BELOW͗ ;OPTION AͿ͗ LICENSED CONTRACTOR DECLARATION͗ I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 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: I haǀe and ǁill mainƚain a ceƌƚificaƚe of conƐenƚ ƚo ƐelfͲinƐƵƌe foƌ ǁoƌkeƌƐ͛ compenƐaƚion pƌoǀided bǇ Secƚion ϯϳϬϬ of ƚhe Laboƌ Code͕ foƌ ƚhe peƌfoƌmance of ƚhe ǁoƌk ǁhich ƚhiƐ peƌmiƚ iƐ iƐƐƵed͘ PolicǇ No͘ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ I haǀe and ǁill mainƚain ǁoƌkeƌ͛Ɛ compenƐaƚion͕ aƐ ƌeqƵiƌed bǇ Secƚion ϯϳϬϬ of ƚhe Laboƌ Code͕ foƌ ƚhe peƌfoƌmance of ƚhe ǁoƌk foƌ ǁhich ƚhiƐ peƌmiƚ iƐ iƐƐƵed͘ MǇ ǁoƌkeƌƐ͛ compenƐaƚion inƐƵƌance caƌƌieƌ and policǇ nƵmbeƌ aƌe͗ IŶƐƵƌaŶce CŽŵƉaŶǇ Naŵe͗ PŽůicǇ NŽ͘ ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺEǆƉiƌaƚiŽŶ Daƚe͗ Ceƌƚificaƚe of Eǆempƚion͗ I ceƌƚifǇ ƚhaƚ in ƚhe peƌfoƌmance of ƚhe ǁoƌk foƌ ǁhich ƚhiƐ peƌmiƚ iƐ iƐƐƵed͕ I Ɛhall noƚ emploǇ anǇ peƌƐon in anǇ manneƌ Ɛo aƐ ƚo become ƐƵbjecƚ ƚo ƚhe ǁoƌkeƌƐ͛ compenƐaƚion LaǁƐ of Califoƌnia͘ WARNING͗ FaiůƵƌe ƚŽ ƐecƵƌe ǁŽƌŬeƌƐ cŽŵƉeŶƐaƚiŽŶ cŽǀeƌage iƐ ƵŶůaǁfƵů aŶd Ɛhaůů ƐƵbũecƚ aŶ eŵƉůŽǇeƌ ƚŽ cƌiŵiŶaů ƉeŶaůƚieƐ aŶd ciǀiů fiŶeƐ ƵƉ ƚŽ ΨϭϬϬ͕ϬϬϬ͘ϬϬ͕ iŶ addiƚiŽŶ ƚhe ƚŽ ƚhe cŽƐƚ Žf cŽŵƉeŶƐaƚiŽŶ͕ daŵageƐ aƐ ƉƌŽǀided fŽƌ iŶ SecƚiŽŶ ϯϳϬϲ Žf ƚhe LabŽƌ CŽde͕ iŶƚeƌeƐƚ aŶd aƚƚŽƌŶeǇ͛Ɛ feeƐ͘ CONSTRUCTION LENDING AGENCY͕ IF ANY͗ I heƌebǇ affiƌm ƚhaƚ ƚheƌe iƐ a conƐƚƌƵcƚion lending agencǇ foƌ ƚhe peƌfoƌmance of ƚhe ǁoƌk ƚhiƐ peƌmiƚ iƐ iƐƐƵed ;Sec͘ ϯϬϵϳ ;iͿ Ciǀil CodeͿ͘ LeŶdeƌ͛Ɛ Naŵe͗ LeŶdeƌ͛Ɛ AddƌeƐƐ͗ DATE͗ CONTRACTOR PRINT͗ ;OPTION BͿ͗ OWNERͲBUILDER DECLARATION͗ I hereby affirm that I am exempt from Contractor’s License Law for the following reason: I͕ aƐ oǁneƌ of ƚhe pƌopeƌƚǇ oƌ mǇ emploǇeeƐ ǁiƚh ǁageƐ aƐ ƚheiƌ Ɛole compenƐaƚion͕ ǁill do ƚhe ǁoƌk and ƚhe ƐƚƌƵcƚƵƌe iƐ noƚ inƚended oƌ offeƌed foƌ Ɛale ;Sec͘ ϳϬϰϰ͕ BƵƐineƐƐ and PƌofeƐƐionƐ Code͗ The Conƚƌacƚoƌ͛Ɛ LicenƐe Laǁ doeƐ noƚ applǇ ƚo an oǁneƌ of pƌopeƌƚǇ ǁho bƵildƐ oƌ impƌoǀeƐ ƚheƌeon͕ and ǁho doeƐ ƐƵch ǁoƌk himƐelf oƌ ƚhƌoƵgh hiƐ oǁn emploǇeeƐ͕ pƌoǀided ƚhaƚ ƐƵch impƌoǀemenƚƐ aƌe noƚ inƚended oƌ offeƌed foƌ Ɛale͘ If͕ hoǁeǀeƌ͕ ƚhe bƵilding oƌ impƌoǀemenƚ iƐ Ɛold ǁiƚhin one Ǉeaƌ of compleƚion͕ ƚhe oǁneƌͲbƵildeƌ ǁill haǀe ƚhe bƵƌden of pƌoǀing ƚhaƚ he did noƚ bƵild oƌ impƌoǀe foƌ ƚhe pƵƌpoƐe of ƐaleͿ͘ I͕ aƐ oǁneƌ of ƚhe pƌopeƌƚǇ͕ am eǆclƵƐiǀelǇ conƚƌacƚing ǁiƚh licenƐed conƚƌacƚoƌƐ ƚo conƐƚƌƵcƚ ƚhe pƌojecƚ ;Sec͘ ϳϬϰϰ͕ BƵƐineƐƐ and PƌofeƐƐionƐ Code͗ The Conƚƌacƚoƌ͛Ɛ LicenƐe Laǁ doeƐ noƚ applǇ ƚo an oǁneƌ of pƌopeƌƚǇ ǁho bƵildƐ oƌ impƌoǀeƐ ƚheƌeon͕ and conƚƌacƚƐ foƌ ƐƵch pƌojecƚƐ ǁiƚh conƚƌacƚoƌ;ƐͿ licenƐed pƵƌƐƵanƚ ƚo ƚhe Conƚƌacƚoƌ͛Ɛ LicenƐe LaǁͿ͘ I am eǆempƚ Ƶndeƌ BƵƐineƐƐ and PƌofeƐƐionƐ Code DiǀiƐion ϯ͕ Chapƚeƌ ϵ͕ Aƌƚicle ϯ foƌ ƚhiƐ ƌeaƐon͗ ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ ͞OǁŶeƌ BƵiůdeƌ acŬŶŽǁůedgeŵeŶƚ aŶd ǀeƌificaƚiŽŶ fŽƌŵ͟ haƐ been filled oƵƚ͕ Ɛigned and aƚƚached ƚo ƚhiƐ applicaƚion͘ OǁneƌƐ ͞AƵƚhŽƌiǌed AgeŶƚ FŽƌŵ͟ haƐ been filled oƵƚ͕ Ɛigned and aƚƚached ƚo ƚhiƐ applicaƚion giving the agent authority to obtain the permit on the owner’s behalf. BǇ mǇ ƐignaƚƵƌe beloǁ I acknoǁledge ƚhaƚ͕ eǆcepƚ foƌ mǇ peƌƐonal ƌeƐidence in ǁhich I mƵƐƚ haǀe ƌeƐided foƌ aƚ leaƐƚ one Ǉeaƌ pƌioƌ ƚo compleƚion of ƚhe DATE͗ impƌoǀemenƚƐ coǀeƌed bǇ ƚhiƐ peƌmiƚ͕ I cannoƚ legallǇ Ɛell a ƐƚƌƵcƚƵƌe ƚhaƚ I haǀe bƵilƚ aƐ an oǁneƌͲbƵildeƌ if iƚ haƐ noƚ been conƐƚƌƵcƚed in iƚƐ enƚiƌeƚǇ bǇ licenƐed conƚƌacƚoƌƐ͘ I 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 Web site: http://www.leginfo.ca.gov/calaw.html. By my signature below, I certify that: I am the property owner or State of California Licensed Contractor or authorized to act on the property owner or contractor’s behalf. I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5’0’ deep and demolition or construction of structures over 3 stories in height. APPLICANT PRINT͗ DATE͗ ϭϲϯϱ FaƌadaǇ Aǀe CaƌlƐbad͕ CA ϵϮϬϬϴ Ph͗ ϳϲϬͲϲϬϮͲϮϳϭϵ Faǆ͗ ϳϲϬͲϲϬϮͲϴϱϱϴ Email͗ BƵildingΛcaƌlƐbadca͘goǀ ^/'E͗ ^/'E͗ State Compensation Insurance Fund 9267392 2/1/22 5/21/21 5/21/21 Emily Mai Emily Mai □ □ □ □ □ □ □ 1 REV. 0ϴ/20 2:NE5-B8ILDE5 ACKN2:LEDGEMEN7 F25M B-61 DeǀelŽƉmenƚ SeƌǀiceƐ Building Division 1635 Faraday Avenue 760-602-271ϵ www.carlsbadca.gov O:NER-B8ILDER ACKNO:LEDGMEN7 FORM PƵƌƐƵanƚ ƚŽ Sƚaƚe Žf CalifŽƌnia Healƚh and SafeƚǇ CŽde SecƚiŽn ϭϵϴϮϱͲͲͲϭϵϴϮϵ To͗ PropertǇ Oǁner An application for construction permit(s) has been submitted in your name listing you as the owner---builder of the property located at: Site Address ______________________________________________________________________________ The City of Carlsbad (“City”) is providing you with this Owner---Builder Acknowledgment and Verification form to inform you of the responsibilities and the possible risks associated with typical construction activities issued in your name as the Owner-Builder. The City will not issue a construction permit until you have read and initialed your understanding of each provision in the Property Owner Acknowledgment section below and sign the form. An agent of the oǁner cannot eǆecute this notice unless Ǉou͕ the propertǇ oǁner͕ complete the Oǁner͛s Authoriǌed Agent form and it is accepted bǇ the CitǇ of Carlsbad͘ INSTRUCTIONS͗ Please read and initial each statement below to acknowledge your understanding and verification of this information by signature at the bottom of the form. These are very important construction related acknowledgments designed to inform the property owner of his/her obligations related to the requested permit activities. I._____I understand a frequent practice of unlicensed contractors is to have the property owner obtain an “Owner- --Builder” building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner---Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed contractor and his or her employees while working on my property. My homeowner’s insurance may not provide coverage for those injuries. I am willfully acting as an Owner---Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. II._____I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed contractor to assume this responsibility. III._____I understand as an “Owner---Builder” I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own. IV._____I understand contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. V._____I understand if I employ or otherwise engage any persons, other than California licensed contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an “employer” under state and federal law. ( City of Carlsbad Owner-Builder Acknowledgement Continued 2 REV. 0ϴ/20 VI._____I understand if I am considered an “employer” under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers’ compensation disability insurance, and contribute to unemployment compensation for each “employee.” I also understand my failure to abide by these laws may subject me to serious financial risk. VII.I understand under California Contractors’ State License Law, an Owner---Builder who builds single--- family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building contractor. VIII.I understand as an Owner---Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) which result from any latent construction defects in the workmanship or materials. IX.I understand I may obtain more information regarding my obligations as an “employer” from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors’ State License Board (CSLB) at 1---ϴ00---321---CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. X._____I am aware of and consent to an Owner---Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the following address: ___________________________________________________________________________________________ XI._____I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner---Builders as well as employers. XII._____I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractor’s State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner--- Builder and wish to hire contractors, you will be responsible for verifying whether or not those contractors are properly licensed and the status of their workers’ compensation coverage. Before a building permit can be issued, this form must be completed, signed by the property owner and returned to the City of Carlsbad Building Division. I declare under penalty of perjury that I have read and understand all of the information provided on this form and that my responses, including my authority to sign this form, is true and correct. I am aware that I have the option to consult with legal counsel prior to signing this form, and I have either (ϭͿ consulted with legal counsel prior to signing this form or (ϮͿ have waived this right in signing this form without the advice of legal counsel. Property Owner Name (PRINT) Property Owner Signature Date ϭ OWNERS AUTHORI=ED AGENT FORM BͲϲϮ Development Services BƵilding Diǀision ϭϲϯϱ FaradaǇ AǀenƵe ϳϲϬͲϲϬϮͲϮϳϭϵ ǁǁǁ͘carlƐbadca͘goǀ OWNER·S AUTHORI=ED AGENT FORM OŶlǇ a ƉƌŽƉeƌƚǇ ŽǁŶeƌ͕ cŽŶƚƌacƚŽƌ Žƌ ƚheiƌ aƵƚhŽƌiǌed ageŶƚ maǇ ƐƵbmiƚ ƉlaŶƐ aŶd aƉƉlicaƚiŽŶƐ fŽƌ bƵildiŶg ƉeƌmiƚƐ͘ TŽ aƵƚhŽƌiǌe a ƚhiƌdͲͲͲƉaƌƚǇ ageŶƚ ƚŽ ƐigŶ fŽƌ a bƵildiŶg Ɖeƌmiƚ͕ ƚhe ŽǁŶeƌ͛Ɛ ƚhiƌd ƉaƌƚǇ ageŶƚ must bring this signed form͕ ǁhich ideŶƚifieƐ ƚhe ageŶƚ aŶd ƚhe ŽǁŶeƌ ǁhŽ Ɛͬhe iƐ ƌeƉƌeƐeŶƚiŶg͕ aŶd fŽƌ ǁhaƚ jŽbƐ Ɛͬhe maǇ ŽbƚaiŶ ƉeƌmiƚƐ͘ The fŽƌm mƵƐƚ be cŽmƉleƚed iŶ iƚƐ eŶƚiƌeƚǇ ƚŽ be acceƉƚed bǇ ƚhe CiƚǇ fŽƌ each ƐeƉaƌaƚe Ɖeƌmiƚ aƉƉlicaƚiŽŶ͘ Note: The following Owner͛s Authorized Agent form is required to be completed by the property owner only when designating an agent to apply for a construction permit on hisͬher behalf. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER͛S BEHALF EǆclƵding ƚhe ProperƚǇ Oǁner Acknoǁledgemenƚ͕ ƚhe eǆecƵƚion of ǁhich I ƵnderƐƚand iƐ mǇ perƐonal reƐponƐibiliƚǇ͕ I herebǇ aƵƚhoriǌe ƚhe folloǁing perƐon;ƐͿ ƚo acƚ aƐ mǇ agenƚ;ƐͿ ƚo applǇ for͕ Ɛign͕ and file ƚhe docƵmenƚƐ neceƐƐarǇ ƚo obƚain an OǁnerͲBƵilder Permiƚ for mǇ projecƚ͘ Scope of ConƐƚrƵcƚion Projecƚ ;or DeƐcripƚion of WorkͿ͗ ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ Projecƚ Locaƚion or AddreƐƐ͗ ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ Name of AƵƚhoriǌed Agenƚ͗ ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺTel No͘ ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ AddreƐƐ of AƵƚhoriǌed Agenƚ͗ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ I declare Ƶnder penalƚǇ of perjƵrǇ ƚhaƚ I am ƚhe properƚǇ oǁner for ƚhe addreƐƐ liƐƚed aboǀe and I perƐonallǇ filled oƵƚ ƚhe aboǀe informaƚion and cerƚifǇ iƚƐ accƵracǇ͘ ProperƚǇ Oǁner͛s SignaƚƵre͗ ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ Daƚe͗ ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ ( City of Carlsbad CLIMATE ACTION PLAN CONSISTENCY CHECKLIST B-50 Development Services Building Division 1635 Faraday Avenue (760) 602-2719 www.carlsbadca.gov PURPOSE This checklist is intended to help building permit applicants identify which Climate Action Plan (CAP) ordinance requirements apply to their project. This completed checklist (B-50) must be included with the building permit applicationIRUDOOSURMHFWV WKDW UHTXLUH&$3 FRPSOLDQFH The Carlsbad Municipal Code (CMC) can be referenced during completion of this document by clicking on the provided links to each municipal code section. NOTE: The following type of permits are not required to fill out this form Patio Decks PME (w/o panel upgrade)Pool Consultation with a certified Energy Consultant is HQFRXUDJHG to assist in filling out this documHQW +RPHRZQHUVVKRXOGQRWDWWHPSWWRILOOWKLVRXWZLWKRXWFRQVXOWDWLRQAppropriate certification includes, but is not limited to: Licensed, practicing Architect, Engineer, or Contractor familiar with Energy compliance, IECC/HERS Compliance Specialist, ICC G8 Energy Code Specialist, RESNET HERS rater certified, certified ICC Residential Energy Inspector/Plans Examiner, ICC Commercial Energy Inspector and/or Plans Examiner, ICC CALgreen Inspector/Plans Examiner, or Green Building Residential Plan Examiner. If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required by ordinance, check N/A and provide an explanation or code section describing the exception. Details on CAP ordinance requirements are available at each section by clicking on the municipal code link provided. The project plans must show all details as stated in the applicable Carlsbad Municipal Code (CMC) and/or Energy Code and *UHHQ&RGHVHFWLRQV \ Application Information Project Name/Building Permit No.: BP No.: Property Address/APN: Applicant Name/Co.: Applicant Address: Contact Phone: Contact Email: Contact information of person completing this checklist (if different than above): Name: Contact Phone: Company name/address: Contact Email: Applicant Signature: Date: B-50 Page 1 of 7 Revised 0 1533 Turquoise Drive Carlsbad, CA 92011 Emily Mai 5205 Avenida Encinas #D Carlsbad, CA 92008 5/21/21 (510) 871-0081 emai@kotaenergygroup.com (510) 871-0081 3 Updated Use the table below to determine which sections of the Ordinance checklist are applicable to your project. For alterations and additions to existing buildings, attach aPermit Valuation breakdown on a separate sheet. Building Permit Valuation (%39) $ EUHDNGRZQ Construction Type Complete Section(s) Notes: 5HVLGHQWLDO Low-rise High-rise A high-rise residential building is 4 or more stories, including a mixed-use building in which at least 20% of its conditioned floor area is residential use տ 1HZFRQVWUXFWLRQ 2A*, 3A*, 4A*, 1B, 2B, 3B, 4A *Includes detached, newly constructed ADU տ $GGLWLRQVDQGDOWHUDWLRQV տ %39 < $60,000 N/A N/A All residential additions and alterations տ %39 $60,000 տ Electrical service panel upgrade only 1A, 4A 4A 1-2 family dwellings and townhouses with attached garages only. տ %39 $200,000 1A, 4A* 1B, 4A* *Multi-family dwellings only where interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed 1RQUHVLGHQWLDO տ 1HZFRQVWUXFWLRQ 1B, 2B, 3B, 4B and 5 տ $OWHUDWLRQV տ %39RUDGGLWLRQV square feet 1B, 5 տ %39 $1,000,000 1B, 2B, 5 %XLOGLQJDOWHUDWLRQVRIH[LVWLQJJURVVIORRUDUHD տ VTIWQHZURRI addition 2B, 5 %DOVRDSSOLHVLI%39 CAP Ordinance Compliance Checklist Item Check the appropriate boxes, explain all not applicable and exception items, and provide supporting calculations and documentation as necessary. 1. Energy Efficiency Please refer to Carlsbad Municipal Code (CMC)DQGand the California Green Building Standards Code (CALGreen) for more information. Appropriate details and notes must be placed on the plans according to selections chosen in the design. A. Residential addition or alteration $60,000 building permit valuation. Details of selection chosen below must be placed on the plans referencing CMC 18.30.190. տ N/A տ Exception: Home energy score 7 (attach certification) Year Built Single-family Requirements Multi-family Requirements տ Before 1978 Select one option: տ Duct sealing տ Attic insulation տ Cool roof տ Attic insulation տ 1978 and later Select one option: տ Lighting package տ Water heating Package տ Between 1978 and 1991 Select one option: տ Duct sealing տ Attic insulation տ Cool roof տ 1992 and later Select one option: տ Lighting package տWater heating package 4 Updated B. Nonresidential* new construction or alterations $200,000 building permit valuation, or additions 1,000 square feet. See CMC 18.21.155 and CALGreen Appendix A5 տ N/A A5.203.1.1 Choose one: տ .1 Outdoor lighting տ .2 Restaurant service water heating (CEC 140.5) տ .3 Warehouse dock seal doors. տ .4 Daylight design PAFs տ .5 Exhaust air heat recovery տ N/A A5.203.1.2.1 Choose one: տ .95 Energy budget (Projects with indoor lighting OR mechanical) տ .90 Energy budget (Projects with indoor lighting AND mechanical) տ N/A A5.211.1** տ On-site renewable energy: A5.211.3** տ Green power: (If offered by local utility provider, 50% minimum renewable sources) A5.212.1 տ Elevators and escalators: (Project with more than one elevator or two escalators) A5.213.1 տ Steel framing: (Provide details on plans for options 1-4 chosen) *Includes hotels/motels and high-rise residential buildings տ N/A տ N/A տ N/A տ N/A ** For alterations $1,000,000 BPV and affecting > 75% existing gross floor area, OR alterations that add 2,000 square feet of new roof addition: comply with CMC 18.30.130 (section 2B below) instead. 2. Photovoltaic Systems A. Residential new construction (for low-rise residential building permit applications submitted after 1/1/20). Refer to 2019 California Energy Code section 150.1(c)14 for requirements. If project includes installation of an electric heat pump water heater pursuant to CAP section 3B below (low-rise residential Water Heating), increase system size by .3kWdc if PV offset option is selected. Floor Plan ID (use additional sheets if necessary) CFA #d.u. Calculated kWdc* Exception տ տ տ տ Total System Size: kWdc kWdc = (CFAx.572) / 1,000 + (1.15 x #d.u.) *Formula calculation where CFA = conditional floor area, #du = number of dwellings per plan type If proposed system size is less than calculated size, please explain. B. Nonresidential new construction or DOWHUDWLRQVBPV AND affecting existing floor area, OR addition that increases roof area by square feet. Please refer to CMC 18.30.130 when completing this section. *Note: This section also applies to high-rise residential and hotel/motel buildings. Choose one of the following methods: տ Gross Floor Area (GFA) Method GFA: տ If < 10,000s.f. Enter: 5 kWdc Min. System Size: kWdc տ If 10,000s.f. calculate: 15 kWdc x (GFA/10,000) ** **Round building size factor to nearest tenth, and round system size to nearest whole number. 6.6 5 Updated տ Time- Dependent Valuation Method Annual TDV Energy use:*** x .80= Min. system size: kWdc ***Attach calculation documentation using modeling software approved by the California Energy Commission. 3.Water Heating A. Residential and hotel/motel new construction. Refer to CMC when completing this section. Provide complete details on the plans. տ For systems serving individual dwelling units choose one system: տ Heat pump water heater AND Compact hot water distribution AND Drain water heat recovery (low-rise residential only)տ Heat pump water heater AND PV system .3 kWdc larger than required in CMC 18.30.130 (high rise residential hotel/motel) or CA Energy Code section 150.1(c) 14 (low-rise residential)տ Heat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higherտSolar water heating system that is either .60 solar savings fraction or 40 s.f. solar collectorsտException: տ For systems serving multiple dwelling units, install a central water-heating system with ALL of the following: տ Gas or propane water heating system տ Recirculation system per CMC 18.30.150(B) (high-rise residential, hotel/motel) or CMC 18.30.170(B) (low- rise residential)տ Solar water heating system that is either:տ .20 solar savings fractionտ.15 solar savings fraction, plus drain water heat recovery տ Exception: B. Nonresidential new construction. Refer to CMC 18.30.150 when completing this section. Provide complete details on the plans. տ Water heating system derives at least 40% of its energy from one of the following (attach documentation): տ Solar-thermal տ Photovoltaics տ Recovered energy տ Water heating system is (choose one): տ Heat pump water heater տ Electric resistance water heater(s) տ Solar water heating system with .40 solar savings fraction տ Exception: It may be necessary to supplement the completed checklist with supporting materials, calculations or certifications, to demonstrate full compliance with CAP ordinance requirements. For example, projects that propose or require a performance approach to comply with energy-related measures will need to attach to this checklist separate calculations and documentation as specified by the ordinances. 6 Updated 4.Electric Vehicle Charging A. Residential New construction and major alterations* Please refer to CMC 18.21.140 when completing this section. տ One and two-family residential dwelling or townhouse with attached garage: տ One EVSE Ready parking space required տ Exception : տ Multi-family residential:տ Exception : Total Parking Spaces Proposed EVSE Spaces EVSE (10% of total) Installed (50% of EVSE) Other “Ready” Other “Capable” Calculations: Total EVSE spaces = .10 x Total parking spaces proposed (rounded up to nearest whole number) EVSE Installed = Total EVSE Spaces x .50 (rounded up to nearest whole number) EVSE other may be “Ready” or “Capable” *Major alterations are: (1) for one and two-family dwellings and townhouses with attached garages, alterations have a building permit valuation $60,000 or include an electrical service panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), alterations have a building permit valuation $200,000, interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed. *ADU exceptions for EV Ready space (no EV ready space required when): (1)The accessory dwelling unit is located within one-half mile of public transit. (2)The accessory dwelling unit is located within an architecturally and historically significant historic district. (3)The accessory dwelling unit is part of the proposed or existing primary residence or an accessory structure. (4)When on-street parking permits are required but not offered to the occupant of the accessory dwelling unit. (5)When there is a car share vehicle located within one block of the accessory dwelling unit. B.Nonresidential new construction (includes hotels/motels) տ Exception : Please refer to CMC 18.21.150 when completing this section Total Parking Spaces Proposed EVSE (10% of total) Installed (50% of EVSE) Other “Ready” Other “Capable” Calculation: Refer to the table below: Total Number of Parking Spaces provided Number of required EV Spaces Number of required EVSE Installed Spaces տ 0-9 1 1 տ 10-25 2 1 տ 26-50 4 2 տ 51-75 6 3 տ 76-100 9 5 տ 101-150 12 6 տ 151-200 17 9 տ 201 and over 10 percent of total 50 percent of Required EV Spaces Calculations: Total EVSE spaces = .10 x Total parking spaces proposed (rounded up to nearest whole number) EVSE Installed = Total EVSE Spaces x .50 (rounded up to nearest whole number) EVSE other may be “Ready” or “Capable” 7 5. Transportation Demand Management (TDM): Nonresidential ONLY An approved Transportation Demand Management (TDM) Plan is required for all nonresidential projects that meet a threshold of employee-generated ADT. City staff will use the table below based on your submitted plans to determine whether or nor your permit requires a TDM plan. If TDM is applicable to your permit, staff will contact the applicant to develop a site-specific TDM plan based on the permit details. Employee ADT Estimation for Various Commercial Uses Use Emp ADT for first 1,000 s.f. Emp ADT/ 1000 s.f.1 Office (all)2 20 13 Restaurant 11 11 Retail3 8 4.5 Industrial 4 3.5 Manufacturing 4 3 Warehousing 4 1 1 Unless otherwise noted, rates estimated from ITE Trip Generation Manual, 10thEdition 2 For all office uses, use SANDAG rate of 20 ADT/1,000 sf to calculate employee ADT 3 Retail uses include shopping center, variety store, supermarket, gyms, pharmacy, etc. Other commercial uses may be subject to special consideration Sample calculations: Office: 20,450 sf 1. 20,450 sf / 1000 x 20 = 409 Employee ADT Retail: 9,334 sf 1. First 1,000 sf = 8 ADT 2. 9,334 sf - 1,000 sf = 8,334 sf 3. (8,334 sf / 1,000 x 4.5) + 8 = 46 Employee ADT Acknowledgment: I acknowledge that the plans submitted may be subject to the City of Carlsbad’s Transportation Demand Management Ordinance. I agree to be contacted should my permit require a TDM plan and understand that an approved TDM plan is a condition of permit issuance. Date: _ Phone Number: _ Applicant Signature: _ Person other than Applicant to be contacted for TDM compliance (if applicable): Name (Printed): _ Email Address: Updated Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2021-1612) BLDG-Residential 06/01/2021Application Date:Permit Type:Owner:OWNER YENCHE ERIC M AND SHAWNDEE D Cogen 06/01/2021Work Class:Issue Date:Subdivision:CARLSBAD TCT#84-32A UNIT#02 COBBLESTONE SEA VILLAGE 12/27/2021Expiration Date:Status: IVR Number: 33732 Closed - Finaled 1533 TURQUOISE DR CARLSBAD, CA 92011-1237 Address: Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection InspectionActual Start Date 06/25/2021 06/25/2021 BLDG-35 Solar Panel 160597-2021 Failed Tony Alvarado Reinspection Incomplete COMMENTS PassedChecklist Item BLDG-Building Deficiency June 25, 2021: (Roof Mounted PV Solar System-work not ready). 1. PV Solar System-Deficiencies. 2. Spoke with contractor representative Jeff with solar company, no placard's and no labels on equipment or conduit – PV solar work not ready-(CANCELLED). No BLDG-Final Inspection 160598-2021 Failed Tony Alvarado Reinspection Incomplete COMMENTS PassedChecklist Item BLDG-Building Deficiency June 25, 2021: (Roof Mounted PV Solar System-work not ready). 1. PV Solar System-Deficiencies. 2. Spoke with contractor representative Jeff with solar company, no placard's and no labels on equipment or conduit – PV solar work not ready-(CANCELLED). No BLDG-Structural Final June 25, 2021: (Roof Mounted PV Solar System-work not ready). 1. PV Solar System-Deficiencies. 2. Spoke with contractor representative Jeff with solar company, no placard's and no labels on equipment or conduit – PV solar work not ready-(CANCELLED). No BLDG-Electrical Final June 25, 2021: (Roof Mounted PV Solar System-work not ready). 1. PV Solar System-Deficiencies. 2. Spoke with contractor representative Jeff with solar company, no placard's and no labels on equipment or conduit – PV solar work not ready-(CANCELLED). No 06/28/2021 06/28/2021 BLDG-35 Solar Panel 160650-2021 Passed Tony Alvarado Complete Friday, July 2, 2021 Page 1 of 3 PERMIT INSPECTION HISTORY for (CBR2021-1612) BLDG-Residential 06/01/2021Application Date:Permit Type:Owner:OWNER YENCHE ERIC M AND SHAWNDEE D Cogen 06/01/2021Work Class:Issue Date:Subdivision:CARLSBAD TCT#84-32A UNIT#02 COBBLESTONE SEA VILLAGE 12/27/2021Expiration Date:Status: IVR Number: 33732 Closed - Finaled 1533 TURQUOISE DR CARLSBAD, CA 92011-1237 Address: Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection InspectionActual Start Date COMMENTS PassedChecklist Item BLDG-Building Deficiency June 25, 2021: (Roof Mounted PV Solar System-work not ready). 1. PV Solar System-Deficiencies. 2. Spoke with contractor representative Jeff with solar company, no placard's and no labels on equipment or conduit – PV solar work not ready-(CANCELLED). No BLDG-Building Deficiency June 28, 2021: (Roof Mounted PV Solar System-work not ready). 1. PV Solar System-Deficiencies. 2. Spoke with contractor representative Jeff at (858) 229–1462, and Carlos-(346) 221–8945 solar company, no placard's and no labels on equipment or conduit – PV solar work not ready-(CANCELLED). No BLDG-Final Inspection 160651-2021 Cancelled Tony Alvarado Reinspection Incomplete COMMENTS PassedChecklist Item BLDG-Building Deficiency June 28, 2021: (Roof Mounted PV Solar System-work not ready). 1. PV Solar System-Deficiencies. 2. Spoke with contractor representative Jeff at (858) 229–1462, and Carlos-(346) 221–8945 solar company, no placard's and no labels on equipment or conduit – PV solar work not ready-(CANCELLED). No BLDG-Electrical Final June 25, 2021: (Roof Mounted PV Solar System-work not ready). 1. PV Solar System-Deficiencies. 2. Spoke with contractor representative Jeff with solar company, no placard's and no labels on equipment or conduit – PV solar work not ready-(CANCELLED). No 07/02/2021 07/02/2021 BLDG-Final Inspection 161056-2021 Passed Paul Burnette Complete Friday, July 2, 2021 Page 2 of 3 PERMIT INSPECTION HISTORY for (CBR2021-1612) BLDG-Residential 06/01/2021Application Date:Permit Type:Owner:OWNER YENCHE ERIC M AND SHAWNDEE D Cogen 06/01/2021Work Class:Issue Date:Subdivision:CARLSBAD TCT#84-32A UNIT#02 COBBLESTONE SEA VILLAGE 12/27/2021Expiration Date:Status: IVR Number: 33732 Closed - Finaled 1533 TURQUOISE DR CARLSBAD, CA 92011-1237 Address: Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection InspectionActual Start Date COMMENTS PassedChecklist Item BLDG-Building Deficiency June 28, 2021: (Roof Mounted PV Solar System-work not ready). 1. PV Solar System-Deficiencies. 2. Spoke with contractor representative Jeff at (858) 229–1462, and Carlos-(346) 221–8945 solar company, no placard's and no labels on equipment or conduit – PV solar work not ready-(CANCELLED). Yes BLDG-Electrical Final June 25, 2021: (Roof Mounted PV Solar System-work not ready). 1. PV Solar System-Deficiencies. 2. Spoke with contractor representative Jeff with solar company, no placard's and no labels on equipment or conduit – PV solar work not ready-(CANCELLED). Yes Friday, July 2, 2021 Page 3 of 3