HomeMy WebLinkAbout1062 GOLDENEYE VW; ; CBR2018-1422; Permit(City of
Carlsbad
Residential Permit
Print Date: 08/24/2018 Permit No: CBR2018-1422
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1062 Goldeneye Vw
BLDG-Residential
2121801100
$10,400.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Cogen Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
06/13/2018
08/23/2018
TFraz
Plan Check#:
Final
Inspection: 8/24/2018 11:57:35AM
Project Title:
Description: KURTZ: ROOM MOUNT PV, 8.45 KW, 26 MODS, 2 INVERTERS, NO UPGRADE
Owner: Contractor:
COOWNER ERWIN LYNN N & KURTZ HENRY G
1062 Goldeneye Vw
TESLA ENERGY OPERATIONS, INC
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLOG)
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $212.86
CARLSBAD, CA 92011
760-717-3117
Total Payments To Date: $212.86
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 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$123.83
$86.68
$1.00
$1.35
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BU1LD1NG OFIRE 0HEALTH D HAZMAT/APCD
( City of Building Permit Application Plan Check NoC/5~ Ir-I LI,
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ,11, I /J. J It";', -
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit ' email: building@carlsbadca.gov
Date ( () I r -<.I / ([ lswPPP www.carlsbadca.gov
JOB ADDRESS SUrTEI/SPACEI/UNITI APN
1062 Goldeneye View -- -
CT/PROJECT# I LOT# l PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS l TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
8.45 KW Roof Mount Solar PV • Flush Mount
26 Modules 325W. 2 inverter 5200 W
No upgrade. No RMA. No battery storage
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (Sf) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YESO No[] YES0No0 vesONoO
APPLICANT NAME Irma Govea PROPERTY OWNER NAME Hank Kurtz Prtnarv Contact
ADDRESS ADDRESS
3055 Clearview Way 1062 Goldeneve View
CITY STATE ZIP CITY STATE ZIP
San Mateo CA 94402 Carlsbad CA 92011
PHONE IFAX PHONE IFAX (619) 385-0747 (760) 717-3117
EMAIL EMAIL
i!lovea@tesla.com
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Tesla Enerav Ooerations. Inc.
ADDRESS ADDRESS 3055 Clearview Way
CITY STATE ZIP CITY STATE ZIP
San Mateo CA 94402
PHONE IFAX PHONE I FAX (650) 963-5100
EMAIL EMAIL
igovea@tesla.com
1STATELIC.# STATE UC.# I CLASS I CITY BUS. LIC 1227803 888104 C-10
(Sec .. 7031.5 Business and P.rofess1ons 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 applicant for such per_m1t to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law JChapter 9, comme.nding with Section 7000 of D1v1s1on 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 031.5 by any applicant for a permit subiects the applicant to a c1v1I penalty of not more than five hundred dollars [$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 performance of the work for which this permit is issued
[Z] 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 permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. American Zurich Policy No. WC 1074583-00 Expiration Date 10/31118
~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvlt fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, d es as provided for in Section 370 of the Labor code, Interest and attorney's fees.
~ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the fol/awing reason:
D
D
D
I, as owner oi'lhe 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 himself 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).
I, as owner of the property, am exclusively contracting with licensed contractors to constroct 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 oonstroction of the proposed property improvement. 0Yes 0No
2. I (have I 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 construction (include name address I phone I contractors· license number):
4. I 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. I will provide some of the work, but I have contracted (hired) the following persons to pro~ide the work indicated (include name I address I phone I type of work):
,KS PROPERTY OWNER SIGNATURE 0AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? D Yes D No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? t:I Yes D 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 CONTROi.. DISTRICT.
I certify that I have read the application and state that the above information is correct and that the infonnatlon on tho plans is ac:cura1B. I agree to comply with all Clfy ordlnaoces and State laws relating to building construction.
I hereby authorize representative of the City of Car1sbad to enter UIX)n the above mentioned property br ins~n purp:ises. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGl'JNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: hi OSHA permit is required for excavations over 5'0' deep and demolltion or construction of structures over 3 stories in het)ht. ·
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the buik:ling or'MJrk authorized by such permit is not commenced 'Mlhin
180 days from the date of such r;ermit or if the buik:lrlg or'MJrk authorized by such r;ermlt is suspended or abandoned at any time after the 'M'.lrk is ())lllmer.red for a period of 180 days (Section 106.4.4 Uniform Building Code) .
./IS APPLICANT'S SIGNATURE DATE
e f '7' \ '' ' ~ . • " PERMIT INSPECTION HISTORY REPORT (CBR2018-1422>
" ! e <
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
Cogen
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 06/13/2018
Issue Date: 08/23/2018
Expiration Date: 02/20/2019
IVR Number: 11946
Inspection No. Inspection Status
08/24/2018 08/24/2018 BLDG-35 Solar
Panel
068028-2018 Passed
August 24, 2018
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
068029-2018
Checklist Item
BLDG-Electrical Final
COMMENTS
Passed
COMMENTS
Owner:
Subdivision:
Address:
Primary Inspector
Tim Frazee
Tim Frazee
COOWNER ERWIN LYNN N &
KURTZ HENRY G
CARLSBAD TCT#95-03
1062 Goldeneye Vw
Carlsbad, CA 92011-1224
Re inspection Complete
Complete
Passed
Yes
Complete
Passed
Yes
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