HomeMy WebLinkAbout2604 WADSWORTH ST; ; CBR2019-0173; Permit{city of
Carlsbad
Residential Permit
Print Date: 03/27/2019 Permit No: CBR2019-0173
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2604 Wadsworth St
BLDG-Residential
2081904300
$8,400.00
Work Class:
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check #:
Cogen Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
01/25/2019
01/25/2019
Plan Check#:
Final
Inspection: 3/27/2019 8:37:44AM
Project Title:
Description: YAKUBIK: 5.565KW ROOF MOUNT PV SYSTEM, 21 MODS
Owner: Contractor:
COOWNER YAKUBIK JOHN AND RACHEL
2604 Wadsworth St
TESLA ENERGY OPERATIONS INC
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
BUILDING PLAN CHECK REVISION ADMIN FEE
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $217.44
CARLSBAD, CA 92010
Total Payments To Date: $217.44
6800 Dumbarton Cir
Fremont, CA 94555-3646
844-837-5201
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$106.09
$74.26
$35.00
$1.00
$1.09
(cityof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
8-1
Plan Check~~:%; 0/ ?3
Est. Value ~<../t -
PC Deposit ---------
Date _J._--e>l=L,._____L_._9 __
2604 Wadsworth St Job Address ___________________ Suite: _____ APN: __________ _
CT/Project#: __________ Lot#: ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
BRIEF DESCRIPTION OF WORK: __ 5_.5_6_5_k_W_R_o_of_-M_ou_n_t_P_V_A_r_ra_y_,_(2_1_)_M_o_d_u_1e_s_, _(1_)_1 n_v_e_rt_e_r,_(_3)_s_t_ri_ng_s __ _
0 Addition/New: ______ Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __
D Remodel: SF of affected area -----Is the area a conversion or change of use ? Yes/ No
□ Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _
~ Solar: 5.565 KW, 21 Modules, Mounted~ Ground, Tilt: Yes~ RMA: Yes ,@Battery: Yes~
Panel Upgrade: Ye@
D Reroof: ____________________________________ _
D Plumbing/Mechanical/Electrical Only: ________________________ _
D Other: --------------------------------------
APPLICANT (PRIMARY) PROPERTY OWNER
Name: Russ Clapton
Address: 8225 Mercury Ct
Name: __ J_o.,,_.h.,,_.n.,,_....,.Y...,.a"e""k:-u-,b,...ik_-,,--=.,-----------
Address: __ 2_6_0_4_W_a_d_s_w_o_rt_h_S_t ________ _
City: San Diego State: CA Zip: _9_2_11_1_ City: __ c_a_r_ls_b_a_d _____ .State: CA Zip: 92010
Phone: 619-538-6485 Phone: __ 7_0_2_-_28_6_-_8_4_72 __________ _
Email: __ r_c_la_.p_t_o_n ... @ .... t_e_s_la_.c_o_m ________ Email: ___ io_h_n_@_ip_a_y_s_e_rv_i_ce_._c_o_m ________ _
DESIGN PROFESSIONAL CONTRACTOR BUSINESS
Name: _________________ _ Name: Tesla Energy Operations
Address: ________________ _ Address: 8225 Mercury Ct
City: ________ State:. ___ .Zip: ____ _ City: San Diego State:CA Zip: __ 9_2_1_1_1 __
Phone: _________________ _ Phone: 619-538-6485
Email: ________________ _ Email: rclapton@tesla.com
Architect State License: ___________ _ State License: 888104 Bus. License: -------
(Sec. 7031.S 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 appliant for such permit to file a signed statement that he/she 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/she Is exempt therefrom, and the basis for the aleged
exemption. Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500}}.
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-1 Page 1 of 2 Rev. 06/18
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury ~ of the following declarations:
O I have and wrn maintain-a certificate of consent to self-insure for workers' compensation provided by Section 3700 of lhe Labor Code, for the performance of the
w0<k which this permit is issued.
1)(1 have and will q,alntain worker's compen$i1tion, as required by Section 3700 of tho Labor Code, for the performance of the work for which this permit Is Issued.
My workers' compensation insurance carrier and poficy number are: lnsurante Company Name: ____________________ _
PolfcyNo, WC1074583-01 ExpinitionDate: 10-31-19
0 Certificate of Exemption: I certify thal In the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to be come
subject to the workers' compensation laws of Califomla. WARNING: Failure to seclll'e worlcers a,rnpensation covenice Is unlawful, and shall subject an employer to
crlmiMI penalties and dvll flMs up to $100,000.00, in addition the ta the cost of a>mpensatlan, d.imaaes as provided fw in Section 3106 of the Labor Code,
interest and attorney's fees.
1-25-19
CONTRACTOR SIGNATURE: ~ ~n-~AGENT DATE: ---------~-------------------------
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contracto~s license law for the following reason:
0 I, as owner otthe property or my l!mployees with wages as their sole compensation, wlll do the work and the structure ls not Intended or offered f0< sale (Sec.
7044, Business. and Professions COde: The Contraclor's Ucense law does not apply to an owner of property who boilds or imprcwes thereon, and who does suth work
himself or through his own employees, f)f'ovided that such improvements are not intended or offered for sale. If, however, the building or improvement ls 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 exduslllely contracting with licensed contractors to construct the project (Sec. 7044, Business and ProfesslohS 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) llcensed
pursuant to the Conttacto(s License Law).
□ I am exempt uoder Section _______ Business and Professions Code for this reason:
1. I personally plan to provide the major lalwr and materials for construction of the proposed property improvement. D Yes 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 ~onstruction (include name address fphone / contractors' license number):
4. I plan to provide portions o(the W<>rf<, but I have hired the following person to coordinate, supervise and provide the major work (Include name/ address/ phona /
contractors' license number):
s. I wHI provlde some of the work, but I have contracted (hired) the following persons to provide the work lndiCilted (Include name/ address/ phone / type of work):
OWNER SIGNATURE: □AGENT DATE: _____ _ ------------------------
CONSTRUCTION LENDING AGENCY, IF ANY:
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: ___________________ _
ONLV COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the appHcant or future bulkrmg occupant required to submit a business plan, acutely hazardous materials reglStratlon·form or risk management and prevention
program under Sections 25SOS, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 Yes O No
Is the apprlCilnt or future bulkfmg oc.cup;mt required to obtain a permit from the a!r poQuUon cootrol district or air quaftty manaiement district, D Yes □ No
Is tile facnlty to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D No
IF Afl'/ OF THE ANSWERS ARE YcS. A FINAL CERTIF1CAT£ OF OCCUPANCY MAY NOT BE ISSUED UNU:SS THE ApPUCANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFflCf Of EMERGENCY SERVICES AND THE AIR POUUTION CONTROL DISTRICT.
APPLICANT CERTIFICATION:
I certify that I have read the applic3tion and stne that the above informallon Is correct and that the information on the plans Is accurate. I agree to comply with an
City Ofdlnances and State laws relating to buidlng construction.
I hereby il!lthorlm representatJve of the Otyof Carl!bad to enter upon the above mentioned property for inspection purposes. I Al.SO AGREE TO SAVE, INDEMNIFY ANO KEEP
HARMLESS THE CllY OPCARLS8AO AGAMT All UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHIOl MAY IN A~ WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF
THE GRANTING OFTHIS PfRMIT.OSHA: Ast OSHA permit is rE!(Julred for excavations over 5'0' deep and demolilion or corutrudion of structures over 3 stories In he~ht.
EXPIRATION: Every pennil Issued by the Buildini Official under the prOllisions of this Code sh.aH exps-e by 6mitation and become nuH and \<Old If the building or work authortzed
by such permit Is not commenced within 180 days lrom the date of such pemilt or if lhe building or work authorized by such permit Is suspended or abandoned at any time
after lhe work Is comtroena!d for a period of 180 d.rf~ (Sectloo 106.4.4 Uniform Bulkfrc Code). ~ /? J/,,. f'lh-n, 1-25-19
APPLICANT SIGNATURE: -------~~_..._ __________ DATE: _______ _
1635 Faraday Ave Carlsbad, CA 92008
8-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of2
Email: Building@carlsbadca.gov
Rev. 06/18
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
Cogen
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 01/25/2019
Issue Date: 01/25/2019
Expiration Date: 09/23/2019
IVR Number: 16655
Inspection No. Inspection Status
03/27/2019 03/27/2019 BLDG-35 Solar
Panel
087101-2019 Passed
March 27, 2019
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
087102-2019
Checklist Item
BLDG-Building Deficiency
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS.
Passed
COMMENTS
Owner:
Subdivision:
Address:
Primary Inspector
Chris Renfro
Chris Renfro
COOWNER YAKUBIK JOHN AND
RACHEL
2604 Wadsworth St
Carlsbad, CA 92010-5603
Reinspection
Passed
Yes
Passed
Yes
Yes
Yes
Complete
Complete
Complete
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