HomeMy WebLinkAbout2709 UNICORNIO ST; ; CB153293; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-02-2015 Cogeneration Permit Permit No:CB 153293
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
2709 UNICORNIO ST CBAD
COGEN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
2153501600
$12,000.00
BURNS: PHOTO VOLTAIC, 9.15 KW
Status: ISSUED
Applied: 10/02/2015
Entered By: SLE
Plan Approved: 10/02/2015
Issued: 10/02/2015
Inspect Area:
Plan Check #:
30 MODULES, ROOF/FLUSH MOUNT, NO PANEL UPGRADE , NORMA
Applicant:
PERKINS ELECTRICAL
1572 VI LLA CREST DR
EL CAJON CA 92021
619-894-9512
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
$132.33
$0.00
$92.63
$0.00
$0.00
$1.56
$1.00
Owner:
BURNS VICTOR V&KRISTIE T
2709 UNICORNIO ST
CARLSBAD CA 92009
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
$0.00
$0.00
$0.00
$0.00
$227.52
Total Fees: $227.52 Total Payments To Date: $227.52 Balance Due: $0.00
Inspector:
FINAL APPROVAL
Date: /0 -tr? -1!{ Clearance: _____ _
I\OTICE: Rease ta<e I\OTICE tha ~ ci yar ptjoo irdLKJes tre "ln,xstiai" ci fees, drlaiia,s, resetVciia,s, cr div exa:iiais herectt.a-cdlErli-.ey
raerroo to as 'fees'exa:iicns." Yw ~ oo days trcrn tre date ths i:mnt = issuoo to ~est ini:n,itiai ci tJ-ese fees'exa:iiais. If PJ ~est tt-an PJ m..st
fdlON tre ~est ~ sa foot, in <?o.lerrmrt axe Se::iiai Em2J(a), a"d file tre ~est a"d ITT/ div req..iroo irtc:rm:tiai 'llith tre Oty 11/E:n.gJr tcr
p,:nlSSirg in i3'.XD'dcrce 'llith C'.a1sl:a:l M.lidiu axe Se::iia, 3.32.030. Pcih.re to tirrely fdlON tha pmn.re wll ta-ITT/ Slbaµ,rt lega cdia, to atta:k,
review, sa ~de. vcid, cr anJ treir ini:n,itim
Yw .re h:re.cy FLRTI-ER I\OTIFlEDttat yar rigt to ~est tresrrofioo fees'exa:iiais IXES I\Of ADPI..Ytov.aa-a"d se.<.era:rre::timfeesa-d ~ty
cta-ges, ra paTirg, :zx:nrg. ga:irg cr div sinila Wiaiia, p,:nlSSirg cr savioo fees in a:rre::tia, wth ths ptjErl. N:R IXES IT ADP\.. Y to ecy
fees'exa:ii W'icn ~ • ·1oe1al\OTICEsimla to tns crastov.ti trest:tuedlim iaist-as • ·se ·roo.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH O HAZMATIAPCD
Plan Check No.
Est. Value
Plan Ck. Deposit
C_cicyof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov Date f o -?. -l-JJ IF SWPPP
JOB ADDRESS "L.7 oq ,os+ SUITEf /SPACEf/UNITI APN Z. I 5'
CT/PROJECT# LOT# # BEDROOMS # BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of Atrected Area(s)
~raf-/lM s ~ /Vl o-vv1 +-e J..
lv 1# '; (I) ~t>k l,e_.s 1 /(Mfr
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESO NcQ YES □No□ YES□No□
APPLICANT NAME PROPERTY OWNER V ~(A,f r-Primary Contact C"\ (,,
ADDRESS 1 ,~s,l~
CITY STATE ZIP ~o C-.k q1_,1 ?Ao
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
olC-<. t"
ADDRESS
CITY STATE ZIP ZIP
PHONE FAX FAX
EMAIL
STATE LIC. # CLASS
C.-(0
CITY BUS. LIC.#
I?.-'?>'l
(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 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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: CJ 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 won< for which this permit is issued.
~ve and will maintain wo~ers' compensation. as iequired bv Sect~n 3700 of the Labor Code, for the performanc/r the won< for which this permit is issued. My workers' compensation in7ince carrier and policy
numberare:lnsuranceeov,)f,,Sl,-0 :;f,A,S,. {~.A:1(?~/ PolicyNo. 08 qc;12-ExpirationDate 2_< {~/7,.r.){i ~ section need not be completed ff the permit is for one hundred dollars ($100) or less. r { LJ Certificate of Exemption: I certify that in the performance of the won< for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensalion Laws or
California. WARNING: Failure to secure worker,;' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, da as pr ided for In 7-06 of.the-1.abor-code • terest and attorney's fees.
J!S CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□
□
□
I, as owner of the property or my employees with wages as their sole compensation, will do the won< 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 who builds or improves thereon, and who does such work himsett 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).
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 wi1h contractor(s) licensed pursuant to lhe 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 materials for construction of the proposed property improvement. O Yes 0 No
2. I (have / 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/ phone / contractors' license number):
4. I plan to provide portions of the worl<, but I have hired the following person to coordinate, supeivise and provide the major won< (include name / address I phone / contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the won< indicated (Include name I address I phone / type of won<):
J!S PROPERTY OWNER SIGNATURE □AGENT DATE
1--•W1',•1....-•=--=---• ;■-.,-..•=--•llll••••--.•ll l~•··•l' 1r•::a.•••••••---·-: , .. .... , .. ·-,•,n••: ... ,,
Is the applicant or fu1ure 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 Ac(I Yes No
Is the applicanl or future building occupant required to obtain a penmit from the air pollution control district or air Quality management distric(I Yes No
Is the facility to be ccnstructed 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.
" --•-··-,_,_ ·--••··---•• '.wc--.;a., ...
I hereby affinm that there is a construction lending agency for the perfonmance of the work this penmit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
-·111111 Wllwa! -...... '1111111 l" •--<• =-,.. • • =-........ ~ ...
I certify that I have read the application and state that the above information is correct and that the lnfonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to bull ding construction.
I hereby authorize represenlative of the City of Carlsbad to enter upon the above mentioned iroperty for inspection pur,xises. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAALSBAD
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 penmn is requred for excavations over 5'0' deep and demolitbn or construclbn of structures Ol/el' 3 stolies i1 heght
EXPIRATION: Every penmtt issued by the Buikling Offcial under the provisbns of this Code shall expire by lrnilation and beOJme null and -.oo ij the buikling or 'Ml!k authorized by such pennit is not commenced v.ithin
100 days from the date of such pennn or if the buikJ'"~ M _;ulhorized by such oennit is suspended or abandoned at any time after the 'Ml!k is commenced for a period of 100 days (Section 100.4.4 Unifoon Building Code).
~APPLICANT'SSIGNATU~ ~ -DATE /[.) -'Z., G-<:,)/J
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CEf?TIFICATE OF OCCUPANCY /Commcrc,,,I Pro1ect, on t v I
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed fonm to City of Cartsbad, Building Division 1635 Faraday Avenue, Cartsbad, California 92008.
I CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICKUP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB#
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER:
CHANGE OF USE/ NO CONSTRUCTION
.l!S APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB153293 Type: COGEN PHOTO BURNS: PHOTO VOLTAIC, 9.15 KW
30 MODULES, ROOF/FLUSH MOUNT, NO
Date Inspection Item Inspector Act Comments
10/19/2015 35 Photo Voltaic (PV) RI
10/19/2015 35 Photo Voltaic (PV) PB AP
10/19/2015 39 Final Electrical RI
10/19/2015 39 Final Electrical PB AP
Monday, October 19, 2015 Page 1 of 1