HomeMy WebLinkAbout1165 CAPE AIRE LN; ; CB151825; Permit06-15-2015
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Cogeneration Permit Permit No:CBl51825
Building Inspection Request Line (760) 602-2725
1165 CAPE AIRE LN CBAD
COGEN Sub Type: PHOTO
2061402900 Lot#: 0
$1,600.00 Constuction Type: NEW
Reference #:
Status: ISSUED
Applied: 06/15/2015
Entered By: RMA
Plan Approved: 06/15/2015
Issued: 06/15/2015
Inspect Area:
Plan Check #:
HOLLINGSWORTH RES-PHOTOVOLTAIC
ADD 4 ROOF/FLUSH MOUNTED MODULES TO EXISTING SYSTEM-1.1 KW-
ELECT PANEL UPGRADE BY SEPARATE PERMIT - CBI 51824
Applicant:
SEQUOIA ROOFING INC
STE 106
5933 SEA LION PL
CARLSBAD CA 92010
760 739-7663
Owner:
HOLLINGSWORTH FAMILY TRUST 03-04-05
1165 CAPE AIRE LN
CARLSBAD CA 92008
Building Permit $36.04 PLUMBING TOTAL $0.00
Add'l Building Permit Fee $0.00 ELECTRICAL TOTAL $0.00
Plan Check $25.23 MECHANICAL TOTAL $0.00
Add'l Plan Check Fee $0.00 Additional Fees $0.00
Plan Check Discount
Strong Motion Fee
Green Bldg Stands (SB1473) Fee
$0.00
$1.00
$1.00
TOTAL PERMIT FEES $63.27
Total Fees: $63.27 Total Payments To Date: $63.27 Balance Due: $0.00
jO W ~j FINAL APPROVAL
"^^^^ Date: j^t'f-/^ Inspector: Clearance:
NOTICE: Please take NOTICE that approval of your project includes tiie "Imposition" of fees, dedications, reservations, or otiier exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this pennit 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 fiie the protest and any other required information with the City Manager for
processing in accordance with Carlsbad IVlunicipal 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 previously been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othew/ise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: • PLANNING •ENGINEERING • BUILDING QFIRE nHEALTH • HAZMAT/APCD
Plan Check No. l?P)£ men.
\^ City of
Carlsbad
Building Perniit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov /yd
V
Est. Value
Plan Ck. Deposit
Date SWPPP
JOB ADDRESS SUITE*/SPACE*/UNrrl
ZJ^CQ -1^0 -z-^ -0 0
CT/PROJECT # LOT # PHASE» # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s)
1. 1 ft^5^rv\oun:b A/. X\W oopitiors+o Ev: iSTiwfo top/lA^j/nf ^jr
VX)(£:LJC:C,T^ICA«^ Scili'ice: UPGM:^- fbi^moM^ 4 P^tls.
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) 3ECKS(SF) FIREPLACE AIR CONDITIONING FIRESPRINKLERS
YESfT* NOj 1 YES[^N0Q YES| | N0| |
PROPERTVOWNERNAME , ^ |\.»\ . t ^ 0^i\
7(ts CAOe fVlfl^ L.*^
CITY - . STATE- ZIP °d*«.(uaoi>«) CA"' <^i-oB^
PHONE ^ FAX PHONE FAX
EMAIL
DESIGN PROFESSIONAL CONTRACTORBUS.NAME^ ^^^^ ilfi bK 114,
ADDRESS ADDRESS^ e^LiOiJ -B^fPL
CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
STATE LIO. # STATEUCg^^^^^ CLASS CITV BUS. LIC.#
(Sec. 7031.5 Business and Professions 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 permit to file a signed 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 that 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)).
WOR KERS' COM PENSATION
Workers' Coinpensalion Declaration: / hereby affirm under penalty of peijury one ofthe following declarations:
11 have and will inaintain 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.
11 have and will maintain workers' compensalion, as required bv Section 3700 of the Labor Code, for Ihe performance oUie work for whiclUhis perrrut is issued. Uy workers' compensation jpsuranc* carrier and policy
number are: Insurance Co Policy No. Expiration Date
This section need not be completed if Ihe permit is for one hundred dollars ($100) or less.
I I Certificate of Exemption: I certify lhal In the performance of the work for which this permit is issued, I shall not employ any peison in any manner so as lo become subjed to the Viforkers' Compensalion Laws of
Califomia. WARNING: Failure to secure workers' 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 ^siKS)(ided for in Section 3706 of the Labor code, interest and attomey's fees.
JS^ CONTRACTOR SIGNATURE AGENT DATE
OWNER-BUILOER D E CLA RATI ON
/ hereby affirm ftat / am exempt ftom Contractor's Ucense Law for the foibwing reason:
I I I, as owner of the property or my employees with wages as their sole compensalion, will do Ihe work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
Lfcense Law does not apply to an owner of property who builds or improves Ihereon, 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, Ihe owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
-1^ I, as owner of the property, am exclusively contracting with licensed contractors to constmct 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 Ihe Contractor's License Law).
• I am exempt under Section _ .Business and Professtans Code for this reason:
1.1 personally plan to provide the major labor and materials for constmction of the proposed property improvemenL Q^Yes I ^lo
2.1 (have / have not) signed an application for a building pemiit for the proposed work.
3.1 have contracted witt\ the fotowing person (firm) to provide tt\e proposed construction (i(\clude name address / phone / contractors' license number):
4.1 plan to provide portions of the work, but I have hired the foltowing person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number):
5.1 will provide some of the work, but I have conlracted (hired) the following persons lo provide the work indicated (include name / address / phone / type of work):
^eTpROPERTY OWNER SIGNATURE-lAGENT DATE
COMPLETE THIS SECTION POR NON-RESIOENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, 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? • Yes^^^a No —
Is the applicant or future building occupant required to obtain a pentiit from the air pollution control distriGt.QLarqiialily management district? O Yes 13 No
Is the facility to be consttucted within 1,000 feet 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the perfomiance of the work this pemiit is issued (Sec. 3097 (!) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above Infoiination is correct and thatthe infomiation on the pl^
I hereby authorize representative of Die City of Caristiad to enter upon the above mentioned property IIDT inspeclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARf^LESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT.
OSHA An OSHA permit is required for excavations over 5'0' deep and demolition or constructtan of stnjctunes over 3 stories in heighL
EXPIRATION: Every pemiit issued by the Buikling Oflicial under the provistans of this Code shall expire by limilattan and become null and void if the buiWing or work authorized by such permit is not commenced within
180 days trom the date of such pennit or if the building or work authorized by such permit is suspended or abandoned at any time alter the work is commenced liDr a period of J80 days (Section 106.4.4 Unifbmi BuiWing Code).
>6irAPPLICANT'S SIGNATURE OATE
raperiodof18
/5-
Inspection List
Permit*: CB151825 Type: COGEN PHOTO
Date
06/24/2015
06/24/2015
06/23/2015
06/23/2015
06/23/2015
06/23/2015
06/23/2015
06/17/2015
06/17/2015
Inspection Jtem
35 Photo Voltaic (PV)
Final Electrical
Seivice Change/Upgrade
Photo Voltaic (PV)
Photo Voltaic (PV)
Final Electrical
Final Electrical
Service Change/Upgrade
Service Change/Upgrade
Inspector
PB
PB
PB
PB
PY
Act
AP
AP
Rl
Rl
AP
Rl
AP
Rl
AP
HOLLINGSWORTH RES-PHOTOVOLTAIC
ADD 4 ROOF/FLUSH MOUNTED MODULE
Comments
DISCONNECT/RECONNECT
Ttiursday, June 25, 2015 Page 1 of 1