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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