HomeMy WebLinkAbout2158 VISTA LA NISA; ; CB163480; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-0if-2016 Cogeneration Permit Permit No:CB163480
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2158 VISTA LA NISA CBAD
COGEN Sub Type: PHOTO
Lot#: 0
Constuction Type: 5B
Reference #:
Parcel No:
Valuation:
Occupancy Group:
2552621500
$9,200.00
Project Title: SHAHRI: 23 ROOF MOUNT PV
Applicant:
UNDERLINE ENERGY CONCEPTS
STE J
31739 RIVERSIDE DR
LAKE ELSINORE CA 92530-7818
619-880-343 7
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
$114.59
$0.00
$80.21
$0.00
$0.00
$1.20
$1.00
Owner:
SHAHRI MASOUD&NAZILA
2158 VISTA LA NISA
CARLSBAD CA 92009
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Status: ISSUED
Applied: 09/09/2016
Entered By: JMA
Plan Approved: 09/09/2016
Issued: 09/09/2016
Inspect Area:
Plan Check #:
$0.00
$0.00
$0.00
$0.00
$197.00
Total Fees: $197.00 Total Payments To Date: $197.00 Balance Due: $0.00
Inspector: f1'l· ~ Clearance: ------
I\OTICE: Rease ta<e I\OTICE thct ~ d ~ ~ed irdlrl:s tre "lnin,itiai' d fees. dedcaicns, resavcticns, CY c:tra' exa:ticns reredter cx:Jledively
raerroo to as "fees'exa:ticns." You rave 00 days fran the date ths pemit = issued to pretest inin,itiai d trese fees'exa:ticns. If~ pretest ti-an ~ rrust
fdloo the pretest J7COrl.res set fcrth in C?oJerm-e1 O:XE Sedia, !ffl'20(a), ard file tre pretest ard ITT/ ctrer req..ired irtarraiai wth the Oty tva,a;p-fCY
pucessirg in roxrdaU! wth Caislm M.ridi:a O:XE Sedia, 3.32.030. Fall.re to tirrely fdloothct rro:m..re wll ta-ITT/ Slblecµrt lega cd:ia, to attcd<,
review, set aside, vcid, CY aTU ti-er inin,iticn
You 1re t-ereof F\.RTl-ER I\OTIRED trat ~ rig,! to pretest the si:;oofied fees'exa:iicns CO:S N'.Jr l>PFl Y to wa.er ard ~ car,edia, fees ard ~ty
ch:rges, ncr pla,i rg, zcri rg, gcrlrg CY c:tta-sinila-~icaia, pucessirg CY savice fees in car,ectia, wth ths ~ect. t'-ffi CO:S IT l>PFl Y to ITT/
fees' ·cns dwich rave • beerl ·venal\OTICEsinila-toths CYast wichtrestci. edlinitaicnsras ·ousi ctrerwse 'red.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: PLANNING ENGINEERING BUILDING FIRE HEALTH HAZMAT/APCD
( City of Building Permit Application Plan Check No. Collo-3480
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposl, email: building@carlsbadca.gov
www.carlsbadca.gov Date ot/q//~ lswPPP
JOB ADDRESS SUITU/SPACU/UNITt IAPN 2158 VISTA LA NISA ---
CT/PROJECT# ILOT # I PHASE# l # OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I U\,\,, GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(a)
FLUSH-MOUNTED, NO SERVICE PANEL UPGRADE
INSTALLATION OF A 6.21 kW ROOFTOP PHOTOVOLTAIC SYSTEM INCLUDING
(23) SUNEDISON 270W MODULES AND (23) ENPHASE M215 MICROINVERTERS.
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE lAIR CONDITIONING IFIRE SPRINKLERS
YESO N<CJ YES □No□ YESO No0
APPLICANT NAME JOE SINKIEWICZ PROPERTY OWNER NAME MASOUD & NALIZA SHANI D-•~"•_.•,..
ADDRESS ADDRESS
31739 RIVERSIDE DR, STE J 2158 VISTA LA NISA
CITY STATE ZIP CITY STATE ZIP
LAKE ELSINORE CA 92530 CARLSBAD CA 92009
PHONE I FAX PHONE 1FAX (619) 880-3437 (619) 890-5446
EMAIL EMAIL
DESIGN(@,HELIOSPLANNING
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME UNDERLINE ENERGY CONCEPTS
ADDRESS )17 31739 RIVERSIDE DR, STE J
CITY STATE ZII I STATE ZIP
LAKE ELSINORE CA 92530
PHONE I FAX I I YAX (619) 880-3437
EMAIL I I
DESIGN@HELIOSPLANNING.COM
I STATE LIC. # I I
1015114 tASSc-10 lc,rvsus.LIC.1243747
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair an~ 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)).
Wor1!en;' Compensation Declaratlon: / hereby affirm under penalty of PBlilXY one of the following declarations:
~ 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 !he work for which this permit is issued.
I have and will maintain wor11ers' compensatlon, as reQuired bv Section 3700 of the Labor Code, for the performance of the work for which this oennit Is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co State Compensation Insurance Fund Policy No. 9161336 Expiration Date 06/23/2017
[]
• section need not be completed tt the pennn Is for one hundred dollars ($100) or less.
Certificate of Exemption: I certify that in the perfonnance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Worker.;' Compensation Laws of
CaMomia. WARNING: Failure to secure wor1len1' 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 compensation, damages.es provided for In loni3706 of the Labor code, Interest and attorney's fees. / ~ /,
~CONTRACTORSIGNATURE I m,t,,\J ,," . • • (Z]AGENT DATE q 1', /0
I I 'V
I hereby affirm that I am exempt from Contracto!'s Lirense Law for the following reason:
□ I, as owner of the property or my employees with w~ 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).
□ 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 not 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}.
□ 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. □Yes ONo
2. I (have I have not) signed an application for a building pennit 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 I 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 I address / phone/ type of work):
~ PROPERTY OWNER SIGNATURE □AGENT DATE
I
Is the 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 2s.34 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 □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 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I certify thatl have read theappllcatlon and state that the above Information is comictand that the Information on the plans is accurate. I agree to comply with all City ordinances and S1lrte laws relating to building construction.
I hereb'f authorize representative of the City of Gansbad to ener upon the at:oYe mentioned property br inspedi:)n pul!X)S8S. 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: An OSHA permtt is required br excavations over 5'0 deep and demolition or construcoon of structures over 3 stories in height.
EXPIRATION: Every permtt issued by lhe Buikling Olocial under the provisions of this Code shan expie b'f limitaion and become nul and void W the building orv.orll authonzed b'f such permit is not commenald v.ithin
180 days fi'om the dae of such permtt or if fie bulding or 1~ ~Y such permtt is suspended or abandoned at any time after the v.oi1I is oommenred br a perod of 180 days (Section 100.4.4 Unibnn &likling Code).
,e' APPLICANT'S SIGNATURE ( ~ ,,.,.) 14 ' DATE q I 1 /2 0/ b
( I 0
Inspection List
Permit#: CB163480 Type: COGEN PHOTO SHAHRI: 23 ROOF MOUNT PV
Date Inspection Item Inspector Act Comments
10/05/2016 35 Photo Voltaic (PV) RI
10/05/2016 35 Photo Voltaic (PV) MC AP
10/05/2016 39 Final Electrical RI
10/05/2016 39 Final Electrical MC Fl RELEASE E-MAILED TO SDGE.
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