The URL can be used to link to this page

Home My WebLink About2170 VISTA LA NISA; ; CB160908; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-16-2016 Cogeneration Permit Permit No:CB 160908 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: 2170 VISTA LA NISA CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: 2552621800 $7,600.00 VIEREGG: 19 ROOF MOUNT PV Owner: Stat s: WITHDRAW Applied: 03/08/2016 Entered By: JMA Plan Approved: 031!}81201O- lssued: 03/08/2016 Inspect Area: Plan Check #: RECSOLAR/SUNRUN INSTALLATION SERVICES INC STE 200 MARTINEZ JOSEPH G&MARTI K 775 FIERO LN 2170 VISTA LA NISA SAN LUIS OBISPO CA 93401 CARLSBAD CA 92009 858 675-6527 Building Permit $96.85 PLUMBING TOTAL Add'I Building Permit Fee $0.00 ELECTRICAL TOTAL Plan Check $67.79 MECHANICAL TOTAL Add'I Plan Check Fee $0.00 Additional Fees Plan Check Discount $0.00 Strong Motion Fee $1.00 Green Bldg Stands (SB1473) Fee $1.00 TOTAL PERMIT FEES Total Fees: $166.64 Total Payments To Date: $166.64 Balance Due: FINAL APPROVAL $0.00 $0.00 $0.00 $0.00 $166.64 $0.00 Inspector: ------Date: ------Clearance: ------ t--.OTICE Rease tale t--.OTICE thci WOO ri ,o.r µtjed irdllllS tre "ln,n;itiai' ri fees, cincaicns, reseVcfia-s. a dta' exa::.tims ta-eater cdledi\'Oy rderroo to as 'Yees'exidials. • Yru ha.e 00 day., frcrntre date ths pemit = iSSUld to i:mest ln,:n;itim rJ trese fees'ei<a:tims. If yru i:mest tten yru nu;t fdloN tre i:mest ~ set fath in G:M:m-rst Oxle Sooia1 am)(a), a-d file tre i:mest a-d ITT/ cita' n;q.iroo irtmraim vJth tre Qty~ fa ~rg in axndi.r re vJth Ca1stoo MridfB Oxle Sooia13.3'2.COO. FalLre to tirrayfdloNtta p-ocatre wli l:B' ITT/ 9..t6aµrt lega alial to ata:k. rEMew, set asice, vcid, cr a-nJ tt-ar irri:xsti<n Yru ere re-et,; RR11-ER t--.OTIAED tta ,o.r rigi to i:mest tre simfiro fees'exa::.tials IXES l'OT PPR. Y to wa.er a-d 'f!el.S cxrra:ikn fees crd ~ cra-ges, na pa-rirg, 2Dirg, gcorg a dta' sinila-~icaim ~rg a sa\oioo fees in cxrra:ikn wth ths ptjoct. l'ffi IXES IT PPR. Y to ITT/ t • w-i • • 'I ·s w-i lini i • • ' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE \Ccityof ~arlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Est. Value Date JOB ADDRESS SUITEf/SPACEf/UNITI CT/PROJE T # # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 5D3S-kv01 lut ~~) ) rnvm~v, (LY) f2rY'Lft ff llsh rroF MDL,lf\t-1 JJo pMll ~-L EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) OECKS (SF) PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP JNE FAA EMAIL EMAIL STATE UC.# STATE UC.# □HEALTH SWPPP CONSTR. TYPE acc. GROUP CITY BUS. utOf (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair ant 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 that he is exempt 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 Declaration: I hereby affirm under penalty of pequry one of the following dec/ara~ons: D 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 pertormance of the work for which this permit is issued. □ I have and will maintain workers' compersatlon, as .~Ci~: Sect?n 3700 of the Labor Code, for the pertormance of the work Irr wh~ this pe~i\f sued. My workers' compensation in~ura~ er:~ and policy numberare:lnsuranceCo. 7,ldcCJn m-ex1ca.o PolicyNo. lG£0/_Q':1lR L64. ExpirationDate \0 ( /"-4?. ~ section need not be completed ~ the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pertormance 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 workers' compensation 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 compensatio dam es as provided for I 'Section 3706 o e Labor code, interest and attorney's fees. Ji5 CONTRACTOR SIGNATURE GENT DATE 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 exclusivefy 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. O ves O 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 / 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 indicated (include name / address/ phone/ type of work): Ji5 PROPERTY OWNER SIGNATUR [l/c,ENT DATE Is lhe applicant or Mure building occupant required to submit a business plan, acutely hazatdous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of lhe 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 lhe 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. of the wOlk this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify that I ha'le read the application and state that the aboYe infonnation is conectand that the lnfonnationon 1he plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad kl enter upon the above mentioned~ tr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA perml is requred tr excavations over 50' deep and demolioon or G'Ollstrucoon of slructures over 3 sbies i1 hei;Jht. EXPIRATION: Every permit issued by the &JikJing Olfcial under the prtl',1SOOS of this Code shal expire by linitaoon and berome nul and wi:1 ~ the txJikJing ()( v.ofk authorized by such permit is not commenced wilhil 100days from the date of such permit()( if the buikJilg ()(v.ofk authorized by such permit is suspended()( abandoned at anytime after the v.or1< is oommenred tr a period of 100days (Seeton 106.4.4 Uniform BuikJing Code) . ...@S' APPLICANT'S SIGNATURE DATE I & STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buildinq@car1sbadca.gov or Mail the completed form to City of Car1sbad, Building Division 1635 Faraday Avenue, Ca~sbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: ________________ _ ,IS APPLICANT'S SIGNATURE ASSOCIATED CB#------------ NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP