HomeMy WebLinkAbout1053 Beacon Bay Dr; ; CBR2018-3492; Permit(city of
Carlsbad
Residential Permit
Print Date: 03/22/2019 Permit No: CBR2018·3492
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1053 Beacon Bay Dr
BLDG-Residential
2145302600
$6,000.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Cogen Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
12/20/2018
12/20/2018
TFraz
Plan Check#:
Final
Inspection: 3/22/2019 10:46:47AM
Project Title:
Description: SAMBAVARAM: 15 ROOF MOUNT PV, 4.575KW
Owner: Contractor:
TRUST SAMBAVARAM FAMILY TRUST
11-23-15
TESLA ENERGY OPERATIONS, INC
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
5B1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $136.90
1053 Beacon Bay Dr
CARLSBAD, CA 92011
Total Payments To Date: $136.90
3055 Clearview Way
San Mateo, CA 94402-3709
650-963-5100
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 ! 760-602-2700 I 760-602-8560 f I www.car!sbadca.gov
$79.4B
$55.64
$1.00
$0.7B
( Cicyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check ctf\20(1, -?:1'12
Est. Value -4' @ / C>O
PC Deposit --------
Date ~f=2~-~2D--~~I..,.%;),.____
Job Address_1_0_5_3_B_e_a_c_o_n_B_a_y_D_r _________ Suite: ____ APN: _________ _
CT/Project#: _________ Lot#: ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
BRIEF DESCRIPTION OF WORK: _4_.5_7_5_kW_R_o_o_f-_M_o_u_nt_P_v_._(_15_)_M_o_d_u_le_s_. _(1_) _ln_v_e_rte_r_, _(2_) _S_tr_in_g_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
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? -------------
129 Solar: 4-575 KW, 15 Modules, Mounted:€D Ground, Tilt: Yes _@RMA: Yes /@Battery: Yes~
Panel Upgrade: Yes@
D Reroof: ------------------------------------□ Plumbing/Mechanical/Electrlcal Only: --------------------------□ Other: -------------------------------------
APPLICANT (PRIMARY) PROPERTY OWNER
Name: Russ Claeton Name: Sreedhar Reddy Sambavaram
Address: 8225 Mercury Ct Address: 1053 Beacon Bay Dr
City: San Diego State: CA Zip: 92111 City: Carlsbad State: CA Zip: 92011
Phone: 619-538-6485 Phone: 650-218-9728
Email: rclaeton@tesla.com Email: sridharind@gmail.com
DESIGN PROFESSIONAL CONTRACTOR BUSINESS
Name: Name: Tesla Energy Operations
Address: Address: 8225 Mercury Ct
City: State: Zip: City: San Diego State:CA Zip: 92111
Phone: Phone: 619-538-6485
Email: Email: rclapton@tesla.com
Architect State License: State License: 888104 Bus. License: BLOS-1227803
(Sec. 7031.S Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repak' any structure, prior to Its
Issuance, also requires the applicant 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 Sectton 7000 of Division 3 of the Business and Professions Code} or that he/she Is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by any appUcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {SSOO}).
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 pe,tury Q!!f. of the following declarations:
O I hive and wiU malntaln·a certificate of COJ1sent to self-insure for workers' comp1msat1on provided by Section .3700 of the Labor COde, for the perfonnance of the
wotk whh:h this permit is issued.
IXJ have and: wiD. ~alntaln worker's compen.s.iition, as requtred by Section 3100 of tho Labor Code, for tha pert'Qrma11c'--of lhe work for whlch this permit Is Issued.
My worker5.' com~nsatlon insurance Cilrfler and poficy number are: Insurance company Name; LU rlCn Amen can
Polley No. WC-1074583-01 Expiration Date: 10-31-2019
□ Certfficate of Exemption: I certify that In the performance of the work for which this permit is issued, I Jhan not employ any person In a11Y manner so as to be come
subject tot~ workers' compensatfor. Laws of CaUfomia. WARNING: FaHure to sacure workers comt,ensation c:ovensee Is uniavdul, and shall subject an employer to
almlnal penaltlu and cMI f1nec up to $100,000.00, in addttlan the to 1fle c:ost of mmpensatJon, dam■ses as provided for In Section 3106 of the litbor CO de,
,_ and attorney's,..,.
~ /?i'AI>h.,t, 12-20-18 CONTRACTOR SIGNATURE: -------~__..___· _______ !]!AGENT DATE: _____ _
I OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's Ucense law for the following reasan:
□ l, as owner otthe property or my4lmployees with wages as their sole compensation, wm do the wort ilml the structure 1s not lnte11ded or offered for safe (S@c.
7044, Buslnes.s. and Professions COde: The Contraclor's License law does not apply to an owner of property who builds or lmprows thereon, anti who does such work
himself or tluoueh his own employees, pn,vided that such lmprovemel\ts are not Intended or offered for saile. Jf, however, the building or improvement Is sold within
one year of completion, the owner-bulder will have the bul'den Qt proving that he did not build or improve for the purpose of sale).
CJ t,, as owner Df tbie property, am exctusively contracting with licensed contractors to con~truct the project (Sac. 7044, Business and Professions Code: The
Contractor's License Law does notapplyta an owner of property wbo builds or knptl)YeS thertt0n. and contracts for such profects with contractar(s) lfcensed
pursuant to the Contracto(s Lkense law).
Cl I am exempt under Section -----~·Business and Professfons Code for this reason:
i I P4!B()nally' plan to provide the major tabor and materials for ooMtruction of the ptopoSed property Improvement □ Ves □ No
2. l (have/ ha .. not) sljpled an application for a building permtt lor the proposed wort.
3. I ha'1e contracted with the foUoW-.1 person (firm) to provide the proposed ~nstructlon (il'ldude name address/phone/ contractcrs' hcense number}:
4. I plan to provkle portions of the work, bu-t I have hired the followtng person to coordlrrate, supervise and provide the major work (lndud@ name/ .address/ phone/
contractors' lic@l'l-M! numhm');
s. I will pRMde some of the work, but I have contfacted (hired} the folluwing persons to provide the work indic.ated (Include name/ address/ phone /type of work):
OWNER SIGNATURE: _________________ □AGENT DATE: _____ _
CONSTRUCTION LENDING AGENCY. IF ANY:
I hereby affirm that there is a construction k!ndlng as;ency for the performance of the worl( thJs permit Is Issued (Sec. 3097 (i) Civil Code). lendenNamr. __________________ Lander's Address: _________________ _
ONLY COMPLETE THE FOUQWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the appllcant or future bulld"ing occupant requited to submit a business plan, atUlely hazardous materials regiStration form or rlsl< management and preveotton
Pf08tclm under Sections 25505, 25533 or 25534 of tile PtesJey-Tanner Haiardous Substance Account Act? a Yes □ No
I~ the applicant Ot' future buPding occupant required to obtalo a permit from the a:fr polution control distrkt or air quaftty management district? □ Yes □ No
Is tbe faclllty to be constructed within 1,000 feet Qt the outer boundary of a school site? 0 Ves ti No
IF ANYOFTHEANSWERSAREY8,A FIMLCERTIRCA.Tf OF OCCUPANCY MAY NOT BE lSSUll:D UNLESS THE AfJpUCAtfT HAS f'A;lfTOR IS MEETING THE
RECIIIIREMlffiS OF THE OFFICE OF EMl!l<6fNCY SERVICES ANDTHl1 AIR POUUTION CONTROl DISTRICT.
APPLICANT CERTIFICATION:
I certlfv that I have read the application and state that the above lnfcrtnaUor1 is correct and that the iriformatfon on the pfaru: Is accurate. I aeree to com~y wUh aU
City Of'dinances 11nd State li1W5 relating to buiding construdJon.
I hereby authorlzl! repre.<enla11ve of the Cltyof Carl!bad to enter upon the above mentioned pn,perty~rlnspectlon purposes. I AlSOAGillTO SAVE, INDEMNIFY AND KEEP
HARMl.f5S !HE CITY OFCAAISBADAGANST All UA81LmES, JUDGMENTS, COSlSAND EXPENSES WHIOl MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF
THE GRANTING OFlMIS PERMIT ..o5HA: An OSHA. permit i5 required for excavations ove<5''1 deep and demolition or construdlm of structures over 3 storle5 Jn he~
EXPIRATION: Every penn! issued bylhe Buiidml! Official unlfer the pt'O\llsionsof lhls Code st,_all expire by 6mltatlon and become nuH and void •1he building or work autho'1red
t,v such pmnlt Is hot commenc:edwfthin 180 ~ rrorn the date of 5uch permit or if the building orwark authorized by such permit issuSJEnded ot abandoned at anytime
aflenhework is r:onurNlllCed fer a period of180 days (Section 106.4.4 Uniform BuildJno Code),
APPLICANT SIGNATURE: ----~---~----"'-_______ DATE: __ 1_2_-2_0_-1_8 __ _
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 INSPECTION HISTORY REPORT (CBR2018-3492)
Perm1t Tyre
Work Class·
Status:
Scheduled
Date
BLDG-Residential
Cogen
Closed -Finaled
Actual
Start Date Inspection Type
Application Date:
Issue Date:
Expiration Date:
IVR Number:
12/20/2018
12/20/2018
09/18/2019
16143
Ownec: TRUST SAMBAVARAM FAMILY
TRUST 11-23-15
Subdivision: CARLSBAD TCT#92-01
Address: 1053 Beacon Bay Dr
Carlsbad, CA 92011-3405
Inspection No, Inspection Status Primary Inspector Re inspection Complete
··-···-·-·---·--· .. _, ... , ... _, _________ -------------------
03/22/2019 03/22/2019 BLDG-36 Solar
Panel
086792-2019 Passed Tim Frazee Complete
Checklist !tern COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Final 086793-2019 Passed Tim Frazee Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Electrical Final Yes
--.. ··---·---.. ~--........... ---
March 22, 2019 Page 1 of1