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Home My WebLink About2665 WILSON ST; ; CB153506; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-16-2015 Cogeneration Permit Permit No:CB153506 Building Inspection Request Line (760) 602-2725 Job Address: Perm it Type: Parcel No: Valuation: Occupancy Group: 2665 WILSON ST CBAD COGEN 1561301700 $6,400.00 Sub Type: PHOTO Lot#: 0 Constuction Type: 58 Reference #: Project Title: MILLER: 16 ROOF MOUNT PV W/ PANEL UPGRADE TO 200A Applicant: CK ELECTRIC 1204 LOS BAUTISMOS LN SAN CLEMENT CA 92672 949-218-5434 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 $87.98 $0.00 $61.59 $0.00 $0.00 $1.00 $1.00 Owner: WILEY STUART P&JUDY L 2237 S 48TH ST LINCOLN NE 68506 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Status: ISSUED Applied : 10/16/2015 Entered By: JMA Plan Approved: 10/16/2015 Issued: 10/16/2015 Inspect Area: Plan Check #: $0.00 $0.00 $0.00 $0.00 $151 .57 Total Fees: $151.57 Total Payments To Date: $151.57 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: /l 'II//,~ Clearance: ------ l'DTICE: Rease ta<e l'DTICE thci ~ r:J ~ ptjed irdl.des the "ln,:x:,srtioo" r:J fees, cirlatia,s, resaVctia,s, cr cther e><aliCt1S t-a"ei:tter roledivay rderroo to as 'Yeesle><aliCt1S." Yoo ha\€ 00 da-f-; fran the date ths i:e,,it ve;, issued to prctest irrp:stia, r:J trese feesle><aliCt1S. If~ prctest !tan ~ m.JSt fdlON Ire prctest ~ set fcrth in <?o,e-rrrai O:re Sediet1 am:J(a), a-d file tt-e prctest a-d a-ry cther recµred irt0011:ila, wth the Oty Mng,r fcr J:JOO:lSSing in axcrdcrce wth Ca1sboo M.ridpa a:re Sedioo 3.32.an Falue to tirrely fdlo.v !ha pron.re 'Aili ta-a-rr sw;ecµn legal cdioo to att:d<. re..iew, set aside, \cid, cr anJ tr-er irrp:stim Yoo ere hlreby FI..Rl1-ER l'DTlFlED trat ~ ri~ to prctest the spedfioo fees/exa:tiCt1S OCES I\Of .APA... Y to v-a.er a-d &::N-S cxrrroia, fees a-d ~ty c:hrges, ncr pcning, w-ing, gajng cr cther sirrila-Wiatia, p-ocessing er sm-ire fees in cxrrroia, wth tlis ptjed. r,,rn OCES IT .APA... Y to a-ry fees'exa:tiCtlS r:J wich ha\€ been ·va, a l'DTICE sirrila-to tns er as to wich tt-e stalie r:J lirritaia,s t-as ·ru,1 c:xhetwse 'red. THE FOLtOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING ( City of Carlsbad JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEf/SPACEf/UNIU □BUILDING □FIRE Plan Check No. Est. Value Plan Ck. Deposit # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) -S-~;t__?V (/'°) s;-a~/1-. "P41-fb-'-5 4.8B1<w /V £ ~ /YJ ,4 / A/ ,?;t:J--1/' ~ L,/ /c:l J24-? L._ -z.c3 6 Af1'\ p □HEALTH O HAZMATIAPCD 01) SWPPP CONS TR. TYPE OCC. GROUP GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESO AIR CONDITIONING FIRE SPRINKLERS YES□No□ No[] YES□No□ PROPERTY OWNERC ADDRESS CITY ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE UC.# (Sec. 7031.5 Business and Proressions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure. prior to its iss ance, also requires the applicant for such permit to file a signed statement that he Is licensed pursuant to the provisions or the Contractor"s License Law (Chapter 9. commending with Section 7000 of Division 3 or the Business and Proressions Code) or !hat 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 perjury one or /he following declara#ons: 8 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 perlormance of the work for which this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perlormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co·----------,..------------Policy No. _______________ Expiration Date _________ _ 00) or less. ~ s~ion need not be completed if the permit is for one hu IL:f'Certificate of Exemption: I certify that in the perlo California. WARNING: Failure to secure worke,.• pensatio addition to the cost of compensation, damag~ vi ed lo for which this permil is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of rage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (& 100,000), In n 3706 of the Labor code, Interest and attorney"s fees. ~ CONTRACTOR SIGNATURE , □AGENT DATE I hereby affirm thal I am exempt from Con/raclor's License 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 himseij 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). D I, as owner of the property, am exclusively contracting with licensed contractors to construe! 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. O Yes 0 No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with lhe following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. 1 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 I phone I contractors' license number): 5. 1 will provide some of the work. but I have contracted {hired) the following persons to provide the work indicated (include name I address I phone I type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous malerials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the applicant or fulure 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 wilhin 1,000 feel 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 work this permit is issued (Sec. 3097 (i) Civil Code). Lendefs Address I certify that I have read the application and state that the a tion is oorrectand that the information on the plans is accurate. I agree to oomplywith all City ordinances and State laws relating to building oonstruction. I hereby authorize represenlative of the City of Gans lo nter u the above menooned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS SES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA perm rt is required for excavation p and demolition or oonstrudion of structures over 3 stories i1 hei;Jht. EXPIRATION: Every permit issued by the Buildi visions of this Code shan expire by limitation and become null and void ~ the building or v.()(1( authorized by such permit is nol oommenced within 180days from the date of such perrnrt or if the b 11d· rized by such perrnrt is suspended or abandoned at any time after the v.()(1( is oornmenced for a period of 180days (Section 106.4.4 Uniform Building Code). L APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY jCommcrcial Projects on I y I Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. [ CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE / NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION ,l!5 APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB153506 Type: COGEN PHOTO Date Inspection Item Inspector Act 12/09/2015 35 Photo Voltaic (PV) RI 12/09/2015 35 Photo Voltaic (PV) PB AP 12/09/2015 39 Final Electrical RI 12/09/2015 39 Final Electrical PB AP Wednesday, December 09, 2015 MILLER: 16 ROOF MOUNT PVW/ PANEL UPGRADE TO 200A Comments Page 1 of 1