The URL can be used to link to this page

Home My WebLink About2218 VISTA LA NISA; ; CB120920; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-30-2012 Cogeneration Permit Permit No:CB120920 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2218 VISTA LA NISA CBAD COGEN 2552622900 Sub Type: Lot #: PHOTO 0 Status: Valuation: $7,200.00 Construction Type: SA Applied: Occupancy Group: Reference #: Entered By: Project Title: HICKOK RESIDENCE Plan Approved: 18 PANELS ROOF MOUNTED PV SYSTEM Issued: Applicant: SOLARCITY STE 140 393 VINTAGE PARK DR FOSTER CITY CA 94404 650-638-1028 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 $107.27 $0.00 $75.09 $32.41 $0.00 $1.00 $1.00 Inspect Area: Plan Check#: Owner: HICKOK FAMILY TRUST 05-10-05 2218 VISTA LA NISA CARLSBAD CA 92009 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES ISSUED 05/16/2012 MOP 05/30/2012 05/30/2012 Total Fees: $216.77 Total Payments To Date: $216.77 Balance Due: $0.00 $0.00 $0.00 $0.00 $216.77 $0.00 Inspector: FINAL APPROVAL Date: 7, II -I Z-Clearance: _____ _ NOTICE: Please take NOTICE 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 Carlsbad 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 fees/exactions of which ou have revious been iven a NOTICE similar to this or as to which the statute of limitations has revious otherwise ex ired. ..... «''» ~ C I TY OF CARLSBAD JOB ADDRESS CT/PROJECT# LOT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Date SUITE#/SPACE#/UNIT# MS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) e. s EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) CONTACT NAME (ff Different Fom App/leant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# sg 1-0 od SWPP CONSTR. TYPE OCC. GROUP AIR CONDITIONING FIRE SPRINKLERS YES O NOD S. UC.# 2..1~03 (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 {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 exemption. Any 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 hereby affirm under penalty of perjury one of the following declarations: D I have and wlll maintain a certlflcate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pelformance of the work for which !his permit is issued. I have and wlll maintain workers' comp~sation, as required by Section 37QO of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation J;urajj carrier and policy number are: Insurance Co. Z ,/IC / C h fu'.Y'.W<:C, C Q ,C) Policy No. WC 'j'(c ) ::,4 le JO? Expiration Date °l I \ 11 This section need not be completed it the permit is for one hundrad dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worJ!frs' compensation coverage is unlawful, a shall subject-en employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addttion to the cost of compensation, dam / e a ~vlded or In S tlo 3706 of the r code, interest and attorney's fees. .N$ CONTRACTOR SIGNATURE • I hereby affirm that I am exempt from Contractor's cense Law for the following reason: D 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 Contractor'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). 0 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 nol apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 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. D Yes D 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 I 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 I address / phone I contrador$' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address I phone I type of work): .N$ PROPERTY OWNER SIGNATURE □AGENT DATE 1' -' ·~ " > ' , ~ ... --' • ' "' " • ~ C O M P L E T E. T H f S S E C T f O N F O R N O N • R E S I D E N T.I A L B U I L D I N G P E R M I T S O N L Y :. • • ,._/;Jl>;,.~i' "t:>,, ~ • , e< + :,, ' Is the applicant or future building occupant required to submit a business plary,cutely 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 ,la"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 -~ Is the facility to be constructed 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. I certify that I have read the application and state that the aboYe information Is correct and that tile Information on the plans Is acairate. I agree to comply wtth all City ordinances and State laws relating to building conslrudlon. I hereby aulhorize represeolative of tie City of Carlsbad kl enter upon fie above rnenooned property for nspecoon purposes. I ALSO AGREE TO SA VE, li'OEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA AA OSHA permtt is required klr excavations (1,/8f s·o· deep and demolition or construcoon of structures aver 3 sl:Jries i1 ~t. EXPIRATION: Every permit issued by the Building Ofocial urder the provisi:Jns of this Code shall expire by linttation and become null and void if 1he buidng or \\Olk au1horized by sudl penrit is not corrmenoed \IA1hin 180days from the date of such pem,itocff 1he orv.ork authorized by sudl permtt is sus ~ abandoned at any~ afler the \\Olk is commenced fora peood of 180 days (Secoon 106.4.4 Urfum Building Code). ~ APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB120920 Date Inspection Item 07/10/2012 34 Rough Electric 07/10/2012 34 Rough Electric 07/10/2012 39 Final Electrical 07/10/2012 39 Final Electrical Tuesday, July 10, 2012 Type: COGEN PHOTO Inspector Act RI PB AP RI PB AP HICKOK RESIDENCE 18 PANELS ROOF MOUNTED PV SYSTEM Comments AM PLEASE Page 1 of 1 DATE: May 23, 2012 JURISDICTION: Carlsbad PLAN CHECK NO.: 12-920 EsGil Corporation In <Partnersfiip witfi qovernment for (]Juifaing Safety SET: I PROJECT ADDRESS: 2218 Vista La Nisa PROJECT NAME: Hickok 3,600 Watt Solar Photovoltaic System D A~P ANT D RI S. D P REVIEWER D FILE ~ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: ~ Esgil Corporation staff did not advise the applicant that the plan check has been completed. D Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone#: Date contacted: (by: ) Fax #: Mail Telephone Fax In Person E-mail: □ REMARKS: By: Eric Jensen Enclosures: EsGil Corporation 0 GA 0 EJ 0 PC 05/17 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-I 576 Carlsbad 12-920 May 23, 2012 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Eric Jensen PLAN CHECK NO.: 12-920 DATE: May 23, 2012 BUILDING ADDRESS: 2218 Vista La Nisa BUILDING OCCUPANCY: BUILDING AREA Valuation PORTION ( Sq . Ft.) Multiplier Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance Bldg. Permit Fee by Ordinance Plan Check Fee by Ordinance Type of Review: □ Co mplete Review D Repetitive Fee EJ Repeats • Based on hourly rate Comments: 1 hour plan review. □ Other 0 Hourly EsGil Fee TYPE OF CONSTRUCTION: Reg. VALUE Mod. □ Structural Only 1 IHr.@ * ======$=8=6 ·=oo: ($) $107.501 $86.001 Sheet 1 of 1 macvalue.doc +