HomeMy WebLinkAbout2756 VICTORIA AVE; ; CB151744; Permit.. City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-08-2015 Cogeneration Permit Permit No:CB151744
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
2756 VICTORIA AV CBAD
COGEN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
1674902400
$6,000.00
HETRICK RES= INSTALL ROOF MNT
Status: ISSUED
Applied: 06/08/2015
Entered By: LSM
Plan Approved: 06/08/2015
Issued: 06/08/2015
Inspect Area:
Plan Check #:
Project Title:
PV SYSTEM 15 MODULES//NO PANEL UPGRADE//FLUSH MNT//3.9 KW
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
$78.91
$0.00
$55.24
$0.00
$0.00
$1.00
$1.00
Owner:
HETRICK KENNETH L&LINDY B
2756 VICTORIA AVE
CARLSBAD CA 9201 0
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $136.15 Total Payments To Date: $136.15 Balance Due:
Inspector: Clearance:
$0.00
$0.00
$0.00
$0.00
$136.15
$0.00
NOTICE: Please take NOTI E that approval of your project includes the 'Imposition" 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 Car1sbad 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
fe /ex ction of whi h u have revi I b n iven NOTICE similar to thi or as t which the statute of limitati ns has revi u I therwise ex ir d.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMAT/APCD
Plan Check No.
Est. Value
Plan Ck. Deposit
~ Cityof
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 SWPPP
JOB ADDRESS SUITEf/SPACEt/UNITI
# # BEDRO MS # BATHR M
DESCRIPTION OF WORK: Incl Square Feet of ed Area(s)
3__:i_ 1<. LLJ. PV e-trr"etj1 I 5° Vvlodules, ----4-_ invev+er(~J, ;_Str1re(s)
M2 W)C{iV\ ro.de.
EXISTING USE
Primary
ADDRESS
CITY
ADDRESS
CITY STATE ZIP
PHONE
EMAIL
f'lus/;, VZ1ount~cf?
DECKS (SF)
PROPERTY OWNER
EMAIL
CONTRACTOR BUS. NAME
ADDRESS 3
CITY ~c,n
PHONE
EMAIL
AIR CONDITIONING
YES □No □
Uic/-oy;
FAX
FIRE SPRINKLERS
YES□No□
STATE LIC. # Cl.ASS CITY BUS. LIC.#
(10 c4, I l218'Cs
(Sec. 7031.5 Business and Professions Code: Any Cl!Y or Coun1,y 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 tliat he Is licensed pursuant to the provisions of the Contractor's License Law {Cha'f.ter 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 exemptJon. My violation of Section 703 .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: I hef8by afflnn under penalty of perjury one of the following declarations:
B I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Seclion 3700 of lhe Labor Code, for the performance of the work for which this permit Is Issued.
1 have and will maintain worke.rs' comp nsatio , as reQuired by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurant canier and policy
number are: Insurance Co . ...i.-.~.i:;i.....o.µl.LJl..}..l.l.lLJ[ll.Ll-W;:;.._ _____ Polley No. WA] "{p OOJ' £?l, 2'1501 L{ Expiration Date DC, / D l_:2D)5 r /
PlJi,section need not be completed If the permi • for one hundred dollars (S100) or less. LJ 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
Cal~omla. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to on.e hundred thousand dollars (&100,000), In
addition to the cost of compensation, da ages as provided for in Section 3706 of the Labor code, I and attorney's fees.
/i:5 CONTRACTOR SIGNATURE 0~ (j f"; I 5
I hereb't allinn that I em axempt from Contractor's Ucense Law for the following reason:
I, as owner of the property or my employees wilh wages as their sole compensation, will do the work and the slructure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlractor'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 lhat he did not buQd or improve for the purpose of sale).
□
D I, as owner of the property, am excluslvely contracting with licensed contractors to construct lhe project (Sec. 7044, Business and Professions Code: The Contracio(s License Law does nol apply to an owner of
property who builds or Improves theraon, and contracts for such projects with contractor(s) licensed pursuant to the Contracto(s Ucense Law).
□ I am exempt u119er Section ____ B.usiness and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of lhe proposed property Improvement. O ves 0No
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 lhe proposed construction Onclude name address/ phone / contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supernse and provide the major work (include name I 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 work Indicated (Include name/ address I phone/ type of work):
Ji:5 PROPERTY OWNER SIGNATURE □AGENT DATE
I
Is the applicant or future building occupant required to submit a business plan, acutely hazardous.lnateriuraglstlat!OJi'ffirril'.oi-ilskmanB!lllmeilt-aml preventiorr program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Accoont Act? □ Yes □ No
ls the applfcant or future building occupant required 1o obtain a permit from ihe·alr pollution control district or air quality management district? □ Yes □ No
Is the facllty to be constructed within 1,000feetofthe~Lrter bound~ of a school slte? CJ Yes· Cl:No '
IF ANY OF THE ANSWERS.ARE YES, A FINAL CERTIF.fCATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICESAND,THEAIR POLLUTION CONTROL DISTRICT,
I certify th at I have lllad the applicatton anits1ateifmttheabove lnfonnallon Jsaineotaiidltiat~ilibmatlon.on the plans~ I aglllelDcomplyllflh all Cityo~ andSlat1rfawsrelallng1D bulltllng construction.
I hereby authorize representative of the qty of Carlsbad t> enter upon the above mentiffi br inspeclbn purposes. I ALSO AGREE TO SA\1:, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALLLIABIUTIES, JUDGMENTS, COSlSAND EXPENSES WHfH MAY IN ANY WA C<;RUEAGAJNST SAIOCITY IN CONSEQUENCE OF THE GRAJIITING OF THIS PERMIT.
OSHA: AA OSHA pennit is required forexcavations-O'lef SO' deep anddeiriolililn or ~truc!im of, OM 3'st>res in hej;jht. .
EXPIRATION: Eve!y permit Issued by li1e !iiidlng Ofi:ial under1he provisbns of this Code shaU • by ln)itation ·and become null and "1lO W the building or ~rl<'aulhorized lly such pennlt is not rommenced v.i1hin
180days from lbe.Q<!teQf§!JCh • orifll!e,buttlQor'Mllkaulllorizedby such pennlt ~. ~-r.-··-.--lll:~a! any fine.after111!l l'IClk is cxnnmencedfora period.~ 180 days (Section 106.4.4 Unltorm Buikfng.Code).
• • ------• ~¥~-...er Ae.PLICAN:1"S SIGNATURE DATE
I".
....
Inspection List
Permit#: CB151744 Type: COGEN PHOTO HETRICK RES= INSTALL ROOF MNT
PV SYSTEM 15 MODULES//NO PANEL U
Date Inspection Item Inspector Act Comments
07/16/2015 35 Photo Voltaic (PV) RI AM PLEASE
07/16/2015 35 Photo Voltaic (PV) PY AP
07/16/2015 39 Final Electrical RI
07/16/2015 39 Final Electrical PY AP
07/14/2015 35 Photo Voltaic (PV) RI HETRICK RES
07/14/2015 35 Photo Voltaic (PV) PY NR
07/14/2015 39 Final Electrical RI AM
Friday, July 17, 2015 Page 1 of 1