HomeMy WebLinkAbout2479 UNICORNIO ST; ; CB143477; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-11-2014 Cogeneration Permit Permit No:CB143477
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
2479 UNICORNIO ST CBAD
COGEN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
2152600900
$2,400.00
ANDERSSON RES-INSTALL ROOF
Status: ISSUED
Applied: 12/11/2014
Entered By: LSM
Plan Approved: 12/11/201 4
Issued: 12/11/2014
Inspect Area:
Plan Check#:
MNT PV SYSTEM 6 MODULES FLUSH MNT NO PANEL UPGRADE
Applicant:
SOLARCITY
3055 CLEARVIEW WY
SAN MATEO CA 94402
650-759-4658
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
$52.45
$0.00
$36.72
$0.00
$0.00
$1.00
$1.00
Owner:
ANDERSSON BENGT-OLOV
2479 UNICORNIO ST
CARLSBAD CA 92009
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $91.17 Total Payments To Date: $91.17 Balance Due:
Inspector: Clearance:
$0.00
$0.00
$0.00
$0.00
$91.17
$0.00
NOTICE: Please take NOTICE that approval of your project includes the 'I sitio '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 lo 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 ou h ve r viousl been iven a NOTICE imilar to this or as t which the statute of limitations has revio I therwi ex ire .
THE FOLLOWING APPROVALS REQtJIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH O HAZMAT/APC0
«''» Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760--602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. C_8 I U 3--t 7;
Est. Value ~ CI T Y O F
CARLSBAD Plan Ck. Deposit
JOB ADDRESS lY SUITEt/SPACEt/UNIT#
CT/PROJECT # # BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of Atrected Area(s) J_
1--5~ kVV Pv' K Dofn1o un-r > C, n1ockLlt'~)
EXISTING USE PROPOSED US GARAGE (SF) PATIOS (SF)
EMAIL .
ARCH/DESIGNER NAME & ADDRESS STATE UC.# :BB'B o
STATE
FAX
SWPPP
AIR CONDITIONING
ves0 No0
ZIP
FIRE SPRINKLERS
vEsO NoO
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, rior 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, commen ing with Section 7000 of Division 3 of the Business and Professions Code) or !hat he Is exemgt 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: / hereby affirm under penalty of perjury one of the following declaranons:
8 I have and will maintain a certificate of consent to self-Insure for wor1<ers' compensation as provided by Section 3700 of the Labor Code, for the perlormance of the wor1< for which this permit is issued.
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the pertormance of the wor1< for which this permit is issued My wor1<ers' compensation Insurance earner and policy
number are: Insurance Co /J bq (ji.;t ln~)j JYCI Q(Q_, Policy No.l.l) l'j J/' <f.,2 D51((;b02Lo5D,9&.f:_ Expiration Date q f I / 2015 _
'j!!i§,section need not be completed~ the permi s for one hundred dollars ($100) or less.
1 1 • LJ Certificate of Exemption: I certify that in the pertormance of the wor1< for which this permit is issued, I shall not employ any_person in any manner so as to become subject to the Wor1<ers' Compensation Laws of
Calrtomia. WARNING: Failure to secure wor1<ers' compensation coverage Is unlawfu 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, damages as provided for in Section 3706 of the Labor co e, n ares omey's fees.
Ji5 C0NTRACT0RSIGNATURE
I hereby affirm that I am exempt from Contracfo!'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 wor1< 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 wor1< himself or through his own employees, provided that such improvements are not intended or offered for
sale. II, 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 ContractMs License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects .,..;th contractor(s) licensed pursuant to the 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 O No
2. I (have I have not) signed an application for a building permit for the proposed wor1<. .
3. I have contracted with the following person (firm) to provide the proposed construction (Include name address I phone I contractors' license number):
4. I plan to provide portions of the wor1<, but I have hired the following person to coordinate, supervise and provide the major wor1< (include name/ address / phone / contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the wor1< indicated (include name/ address /phone/ type of wor1<):
Ji5 PROPERTY OWNER SIGNATURE □AGENT DATE
. .
~~~ J."'f t ..... ~ ~~ ~f,,.•p-:;,;~ >;;:"'~•:· .. ,~le>"''"'· "';(; ,~ ~1,'t~,,.....;.-~.,,..,,...,~,....;.::--~A~"'!t-~1" ~~\~ ....... ~.VF,..,,,,.,,-........ :";<",,--:;...-"--'~~-,~,;t\.~"""S"'":"l .. ~,r~ .. ~.a~---~ .. ~1•~ "';. .... ':;.":"\.-~.,~~~-.:mt'!~
• COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
~U,:",.\S:Cx.11<,.\:tf'.•,•1 '·-• • ~,~½... ~-"". • ~ ... i.!'..!.~':r.:...L.1;..:.,i:._-.s: -.) .• d.:h,l,.L;M.,, ~L..,;t-,-.»'!:.r'..4.>,...__t..-., , "~". ,. .---...,::_ ,.._!... •• ::-:.~~~........_-~,~t.., ... ">J:.AJ.~ ...... ~,:fa;;'..;,,_,•:._~~.....,;1"-•\.'"&16~"0 .. ~~-~-,..,.!A:t.t.:£.~
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 qualily management district? Yes No
Is the facilily to be constructed within 1,000 feet of the outer bounda,y 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 above lnfonmatlon Is correct and that the lnfonmation on the plans Is aa:urate. I agree to comply with all City ordinances and State laws relating to building cons1ructlon.
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 AU. LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT.
OSHA: An OSHA penn~ is requred for excavations over 5'0' deep and demolition or construction of slructures over 3 stories in height.
EXPIRATION: Every penmtt issued by the Buikling Official under lhe provisi:lns of lhis Code shall ~by-linitation-and·beromfUlun and void ~ lhe buikling or v.ork aulhorized by such penmit is not commenced v.ilhin
180days from lhe date of sldl penmttor iflhe buikling orv.ork auth • by such it-~ded or abandoned at anytime~ e \\Ork is commenced for a riod of 1 days (Section 100.4.4 Unifonm Buikling Code).
AS 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.
C !: f< ' ! F t ( /\ .... ::' o, ocr:uP.11 ricv t C ".) ;-"'"'; "';"': C ;' ~ I f PrC]fCt~ On f y,
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, 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
PICK UP: 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
~ APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB143477 Type: COGEN PHOTO
Date Inspection Item Inspector Act
01/06/2015 35 Photo Voltaic (PV) RI
01/06/2015 35 Photo Voltaic (PV) SP AP
01/06/2015 39 Final Electrical RI
01/06/2015 39 Final Electrical SP AP
Tuesday, January 06, 2015
ANDERSSON RES-INSTALL ROOF
MNT PV SYSTEM 6 MODULES FLUSH M
Comments
ANDERSON RES
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