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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 Page 1 of 1