HomeMy WebLinkAbout1077 GOLDENEYE VW; ; CB152144; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-09-2015 Cogeneration Permit Permit No:CB152144
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
1077 GOLDEN EYE VW CBAD
COGEN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
2121802100
$10,000.00
NORDIN RES -PHOTOVOLTAIC
Status: ISSUED
Applied: 07/09/2015
Entered By: SLE
Plan Approved: 07/09/2015
Issued: 07/09/2015
Inspect Area:
Plan Check #:
6.625 KW, 25 MODULES, ROOF/FLUSH MOUNT, NO PANEL UPGRADE
Applicant:
SOLARCITY
3055 CLEARVIEW WY
SAN MATEO CA 94402
650-759-4658
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Plan Check Discount
Strong Motion Fee
Green Bldg Stands (381473) Fee
$114.19
$0.00
$79.93
$0.00
$0.00
$1.30
$1.00
Owner:
NORDIN ALAN M&MEGAN E
1077 GOLDEN EYE VW
CARLSBAD CA 92011
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $196.42 Total Payments To Date: $196.42 Balance Due:
inspector:
FINAL APP.ROYAL
Date: ~/P-/~IS Clearance:
$0.00
$0.00
$0.00
$0.00
$196.42
$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
fees/exactions of which vou have oreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired.
I·
THE FQJ.,LOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING OBUILOING 0FIRE OHEALTH OHAZMAT/APCO
(city of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. Co \ 21 Y G\
Est. Value \0 QOO -.:..
Plan Ck. Deposit
Date -i-C\-\ S SWPPP
JOB ADDRESS 1077 SUITE#/SPACE#/UNIT# APN
CT/PROJECT# # OF NITS # BEDROOMS #BATHROOMS CONSTR. TYPE OCC. GROUP
D CRIPTION OF WORK: Include Square Feet of Affected Area(s)
C,. GJS J<. L..J. PV ctr f C(j 1 QS l'riodules, 1.. inver-fer(s), B._sM~(s)
~ Witt i V\ C\ YJe l l) · rctd e e0 f'lvsh VV?Dunt.ecf?
EXISTING USE PROPO D E PAT OS (SF) DECKS (SF) AIR CONDITIONING FIRE SPRINKLERS
YES ONO D veso NOD
APPLICANT NAME
EMAIL
CONTRACTOR BUS. NAME
ADDRESS
CliY STATE ZIP
PHONE FAX
EMAIL EMAIL
STATE UC.# CLASS CITY BUS. UC.#
(10 ,4, I 'l.278'03,
Workers' Compensation Declaration: I he~by affirm under penalty of pe,jury one of the following declarations:
D I have and wlll 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. D I have and will maintain works.rs' comp nsati~ , as reQuired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insuranc carrier and policy
number are: Insurance Co. Policy No. WA 7 &,(p D ti ,c. 2 ~5 0 '2 Y. Expiration Date D 2t:> .
'jl!i!i,sectlon need not be completed if the permi for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that In the performance of the work for whlc ::~.: -rm""'i""'t is"ci:'.:ss~ue:::d:-:, l'"':sh:-ca"'"J n Joy any person In any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation cov e is unlawful, and shall subject an emplo o criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, mages as provided for • action 3706 of the Labor code, interest and attorney's
25 CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
D
D
D
I, as owner of the property or my employees with wages as 1heir sole wmpensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contraclor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or 1hrough 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 lhe property, am exclusively contracting with licensed contractors to construct 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 lo the Conlraclor's License Law).
I am exempt unper Seclion Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construclion 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 wilh the following person (firm) to provide the proposed conslruction (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 coordinale, supervise and provide the major work Onclude name I address I phone I contractors' license number):
5. I will provide some of the work, but I have contracled (hlriid) the following persons to provide the work Indicated (Include name I address I phone I type of work):
25 PROPERTY OWNER SIGNATURE . 0AGENT DATE
1 _c O M P L E TE TH fS $ l: C Tl O N F O R NO N • R I: S I .t> E N T ¥ A i.. B U i i. D I llf G Pf: R l TS O M L Y
Is the applicant or future building occupant required to submlta business plan, ai:utely hazardous inaterialliiregisltatiffirnforrlsltrilanag'l!ment-and Rreventiorr program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? CJ Yes CJ No
Is the applicant or future building occupant required to obtain a permit from ihe·alr pollutton control district or air quality management district? CJ Yes CJ No
Is lhe faclflty to be constructed within 1,000 feet of lhe(!~!.er boundary of a sc~ool site? CJ ¥es· l:l'No ~
IF ANY OF THE ANSWERS.ARE YES, A FINAL CERllrifCATE OF OCCUPANCY MAY NOT BE ISSUED. UNLESS-THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICE&AND, llfE;AIRPOLLUTION CON1ROL OISTRIC,T.
I Cllltify1hatl have mad1heappflllillion .indslaiiiffiattlleabove infonnatiilll-iscdlllllll:alid11tit~lnftlnnation.on tllepla~ iS'aCl:Ul'llte. lagtee1Dcomp~\Wlh all Cil,vordlnll!li:es andSlalelawsrelating!iJ buffdlngcons11uction.
I hereby authorize represen1aliile of the 9i!Y of Carlsbad lo enter upon the above menlioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSiSAND EXPENSES WHICH IN Al'NWAY ACQRUEAGAINST SAID CITY IN CONSEQUENCE OFTI-IE GRANmNG OF THIS PERMIT.
OSHA: AA OSHA pennlt is requiled for excavaUpnsover5'0' dee . alition or O!I~ . · · · -slnicturesover 3's1Dries in height. . . . .
EXPIRATION: Eveiy pennlt issued by the Building • er the provisions of U,Js Code shaR exp · become null and void if the building orv.tirk'authorimd 6y such pennil is nofoommenoed v.ilhin
180 days !mm tlle,q'!!'l Qf ~µch penpitor itff1e.b ,orV10rkaulhoril.ed.by such pennit is su.sP.eDd.elt anyfime.affilrljl~ v.ork is rommenoed for a peri~~Lof 180 days (Section 106.4.4 Unifonn Building.Code). " .. ,, •,• ..... ~ .··1.· . '
...@S" AP.PLICANTIS SJGNATI.I DATE
V",
Inspection ist
Permit#: CB152144 Type: COGEN PHOTO NORDIN RES -PHOTOVOLTAIC
6.625 KW, 25 MODULES, ROOF/FLUSH M
Date _Inspection _Item Inspector Act ·-··--··-·······-~--Comments
08/12/2015 35 Photo Voltaic (PV) RI AM PLEASE
08/12/2015 35 Photo Voltaic (PV) AEK AP
08/12/2015 39 Final Electrical RI AM PLEASE
08/12/2015 39 Final Electrical AEK Fl
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