HomeMy WebLinkAbout134 WINDVANE LN; ; CB120057; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-13-2012 Cogeneration Permit Permit No:CB120057
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
134 WINDVANE LN CBAD
COGEN
21 45901313
Sub Type:
Lot#: Status:
Valuation: $0.00 Construction Type:
EVG
0
NEW Applied:
Occupancy Group: Reference #: Entered By:
Project Title: VARGA RES ELECTRIC VEHICLE
CHARGER @ GARAGE
Applicant:
SULLIVAN ELECTRIC
7933 SILVERTON AV
SAN DIEGO 92126
858 271 7758
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
$0.00
$150.00
$0.00
$0.00
$0.00
$1.00
$1.00
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
Owner:
VARGA FAMILY TRUST 06-29-07
134 WINDVANE LN
CARLSBAD CA 92011
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
ISSUED
01/13/2012
KG
01 /13/2012
01/13/2012
Total Fees: $152.00 Total Payments To Date: $152.00 Balance Due:
FINAL APPR~VAL
Date: f -2 ..-;?_ I Clearance:
$0.00
$0.00
$0.00
$0.00
$152.00
$0.00
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively
referred to as 'fees/exactions.' 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
f I x ti n f whi h h v r vi I N Tl E imil r hi r whi h h r vi I h rwi
«~ ~ CI T Y OF
CARLSBAD
JOB ADDRESS
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax 760-602-8558
www.carlsbadca.gov
SUITEI/SPACEI/UNITI 134 Windvane Lane
Plan Check No
Est. Value
Plan Ck. Deposit
CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS N
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
El ctric Vehicle Ch arger Ins tallation
('Ot
EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF)
Single Family Dwelling
FIREPLACE
YEsD
AIR CONDITIONING
NcQ YES□No□
FIRE SPRINKLERS
YES□No(J
APPLICANT NAME (Primary Contact) Rick Rios APPLICANT NAME (Secondary Contact) Erik Linsalata
ADDRESS ADDRESS
8949 Kenamar Dr. Ste 101
CITY STATE ZIP CITY STATE ZIP San Dieao CA 92121
PHONE FAX PHONE FAX 619-977-5642 858-271-7759 61 9-417-7761
EMAIL EMAIL
rick.rios{@,sullivansolarpower.com erik.linsalata{@,sullivansolarpower.com
PROPERTY OWNER NAME ,$7f CONTRACTOR BUS. NAME Sullivan Solar Power
ADDRESS ADDRESS
134 Windvane Lane 8949 Kenamar Dr. Ste 101
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92011 San Dieao CA 92121
PHONE FAX PHONE FAX
760-438-8274 858-271-7758 858-271-7759
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# CLASS CITY BUS. UC.#
839077 C-10 1226671
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter. improve, demolish or repair anl structure, prior to its issuance, also requires the applicant for such permit to file a si~ned 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 !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 of lhe following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Seclion 3700 of lhe Labor Code, for the performance of lhe work for which this permit is issued. l!::J I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permil is issued. My workers' compensaLion insurance carrier and policy
number are: Insurance Co Cypress Insurance Company Policy No. 3300060354-111 Expiration Date 12/01/2012
ll!i§.section need not be completed if lhe permit is f0< one hundred dollars ($100) Of less. LJ Certificate of Exemption: I certify that in lhe performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject lo the Workers· Compensation Laws of
CalifOfnia. WARNING: Failure to secure worllers' 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 as provided for • ~or code, interest and attorney's fees.
,f/!5 CONTRACTOR SIGNATURE ::::::--=;::Z2=~~;------□AGENT DATE /---( > -zP / L
I hereby affirm that I am exempt from Contractor's License Law for the following reason: D I, as owner of lhe property°' my employees with wages as their solie compensation, wiU do lhe 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 Of improves thereon, and who does such work himself or through his own employees, provided thal such improvements are nol inlended or offered f0<
sale. If, however, the buHding Of 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 exdusivety contracLing with licensed contractors to construct lhe 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 reascn:
1. I perscnally plan to provide the major labor and materials for construction of lhe proposed property improvement. 0 Yes D o
2. I (have / 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 / phone / contractors' license number):
4. I plan to provide portions of lhe 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. I wiU provide some of the work, but I have contracted (hired) the following persons to provide lhe work indicated (include name I address/ phone I type of work):
,f/!5 PROPERTY OWNER SIGNATURE □AGENT DATE
I
Is the applicant or future building occupant required to submit a business~. acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? D Yes LJNo
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a~ality management district? []ves D No
Is the facdity to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes LJNo
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).
Lende(s Name Lender's Address
I certify that I have read the application and state that the above Information is correct and that the information on the plans is accurate. I agree to compty,,;th all City ordinances and State laws relating to building conslruction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection P!Jrposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 perm! is reqwed for excavations OYer 5'0' deep and demolition or construction ol structures OYer 3 stories in heighl
EXPIRATION: Every permit issued by the Buiding Official under the pn)','isions ol this Code shal expire by limitation and become nul and void W the buiking or work authorized by such permit is not oornrnenced within
180 days from the date of such permit or if the building ~~suspended or abandooed at any time after the wor1< is oornrnenced for a period of 180 days (Section 106.4.4 Unlorm Bulding Code).
,.g APPLICANT'S SIGNATURE -? DATE / -I 3 -z,o I" L
m City of Carlsbad Bldg Inspection Request
' For: 01/23/201 2 .
Permit# CB120057
Title: VARGA RES ELECTRIC VEHICLE
Description: CHARGER @ GARAGE
Type: COGEN Sub Type: EVG
Job Address: 134 WINDVANE LN
Suite: Lot: 0
Location:
OWNER VARGA FAMILY TRUST 06-29-07
Owner: VARGA FAMILY TRUST 06-29-07
Remarks: a m please
Total Time:
Inspector Assignment:
Phone: 6199775642
Inspect/IL
Requested By: RICK RIOS
Entered By: CHRISTINE
CD
39
Description Act Comments /
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Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs · ·Original PC#
Inspection History
Date Description Act lnsp Comments
, ..