HomeMy WebLinkAbout2761 VICTORIA AVE; ; CB154221; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-03-201 5 Cogeneration Permit Permit No:CB154221
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
2761 VICTORIA AV CBAD
COGEN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
1674901900
$6,800.00
SWAHN RES-PHOTOVOLTAIC SYSTEM
Status: ISSUED
Applied: 12/03/2015
Entered By: RMA
Plan Approved: 12/03/2015
Issued: 12/03/2015
Inspect Area:
Plan Check #:
17 ROOF/FLUSH MOUNTED MODULES-4.67 KW-NO ELECT PANEL
UPGRADE-YES NEW RMA
Applicant:
RECSOLAR/SUNRUN INSTALLATION SERVICES INC
STE 200
775 FIERO LN
SAN LU IS OBISPO CA 93401
858 675-6527
Building Permit $87.98
Add'I Building Permit Fee $0.00
Plan Check $61 .59
Add'I Plan Check Fee $0.00
Plan Check Discount $0.00
Strong Motion Fee $1.00
Green Bldg Stands (SB1473) Fee $1.00
Owner:
SWAHN MICHAEL T&TASHA A
2761 VICTORIA AVE
CARLSBAD CA 92010
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
$0.00
$0.00
$0.00
$0.00
$151.57
Total Fees: $151.57 Total Payments To Date: $151.57 BalanceDue: $0.00
Inspector: ~ Clearance: ------
l'OTICE: Rease ta<e l'OTICE thct ~ r:J yo.r p'tject irdtreS tre "lrrµmcn" r:J fees. ci:rlcaicns. reservciicns. cr at-er e>(cdicns rereeita-cdlecti-.ey
refared to as 'fees/e>(cdicns." Yoo ra.-e 00 days frcrn tre date ttis pemit = issuoo to ~est lrrpositicn r:J trese fees/e>(cdicns. If ',OJ ~est th3r\ ',OJ rrust
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THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 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
SUITEf/SPACEf/UNITI
□BUILDING
# BEDROOMS # BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
□FIRE
(4{Q1JKW ( (7 )Modules ( j )Inverter ( N )Panel Upgrade
EXISTING USE
APPLICANT NAME
Prtna Con a
ADDRESS
CITY
PHONE
San Marcos
760-290-1579
EMAIL
Miranda Gibbons
295 Trade Street
STATE ZIP
CA
FAX
miranda.gibbons@sunrunhome.com
DESIGN PROFESSIONAL
~)RMA
AGE (SF) PATIOS (SF) DECKS (SF)
PROPERTY OWNER NAME
92087
CONTRACTOR BUS. NAME
□HEALTH
SunRun
ADDRESS ADDRESS 295 Trade Street Ste. A
CITY STATE ZIP CITY
San Marcos
STATE
CA
ZIP
,ONE FAX PHONE FAX
760-290-1579
EMAIL
0 HAZMAT/APCD
-W
OCC. GROUP
FIRE SPRINKLERS
YES□ND□
92078
EMAIL miranda.gibbons@sunrunhome.com
STATE LIC. # STATE LIC.# CLASS CITY BUS. LIC.#
750184 C-10 1224843
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve. demolish or repair an1 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 {hat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 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 dec/aratiOns:
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' compensation, as reQuired by Section 3700 of the Labor Code, tor the performance of the work for which this permit is issued. My workers' compensation Insurance earlier and policy
number are: Insurance Co. Zurich American Insurance Policy No. WC013696001 Expiration Date 10-1-16
~section need not be completed~ the permit Is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certfy that In the performance of the work for which this pennlt is issued, I shaJI not employ.any person In any manner so as to become subject to the Workers· Compensation Laws of
California. WARNING: Failure to secure workers' compen lion 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, d provld f In Sect! 37 6 of h Labor code, Interest and attorney's fees.
25 CONTRACTOR SIGNATURE _. czfAGENT DATE :;;l_ ]
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 work and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contracto(s
License Law does not apply to an owner of property who 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 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 Contracto(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 Contracto(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. 0 Yes D o
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 I phone/ contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate. supervise and provide the major work (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 work 1ndicated (include name/ address I phone / type of work}:
25 PROPERTY OWNER SIGNATUR AGENT DATE
Is Ille 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 D 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.
of the work this permit is issued (Sec. 3097 (i} Civil Code}.
Lender's Address
I certifythatl have read the application and state that the above Information is correct and that the information on the plans is aa:urate. I agree to complyv.ith all Cltyoldinancesand State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the atove mentioned JXOl)ef1y tJr nspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY CF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN C(l,ISEQUENCE CF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required tr excavations over 5'0' deep and demolition or (X)llStruction of structures over 3 stones in height.
EXPIRATION: Every permn issued by the Blilding Official under the provisions of this Code shall expre by imitation and become nul and -oo ff the building or \\Ork authorized by sucn permit is not commenced 'Mlhin
180 days from the date of sucn permn or if the buitdilgor • by sucl1 permn is suspended or abandoned at anytime after the v.ork is commenced bra period of 180days (Section 100.4.4 Unim Blildilg Code).
,,1$ APPLICANT'S SIGNATUR DATE
Inspection List
Permit#: CB154221 Type: COGEN PHOTO SWAHN RES-PHOTOVOLTAIC SYSTEM
17 ROOF/FLUSH MOUNTED MODULES-4.
Date Inspection Item Inspector Act Comments
02/1712016 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
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