HomeMy WebLinkAbout1518 MARTINGALE CT; ; CB140930; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-25-2014 Cogeneration Permit Permit No:CB140930
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
1518 MARTINGALE CT CBAD
COGEN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
2150722200
$16,000.00
Status: WITHDRAW
Applied: 04/25/2014
Entered By: RMA
Occupancy Group: Plan Approved:
Issued:
Inspect Area:
Plan Check #:
Project Title: WEXLER RES-PHOTOVOLTAIC SYSTEM
40 ROOF MOUNTED MODULES-NO ELECTRIC PANEL UPGRADE
Applicant:
GREEN ENERGY SOLUTIONS INC
STE 106
5933 SEA LION PL
CARLSBAD CA 92010-6624
760 7 43-6933
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
$185.67
$0.00
$129.97
$20.03
$0.00
$1.60
$1.00
Owner:
WEXLER KEVIN $&SHERRI
1518 MARTINGALE CT
CARLSBAD CA 92011
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $338.27 Total Payments To Date: $0.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: Clearance:
$0.00
$0.00
$0.00
$0.00
$338.27
$338.27
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectivet-,,
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
' nf ,.,i..: ... i.. ,,~ •• i....,,_ ""~,,: ........ 1 •• 1. ... ~" ,.:.,-" ,:i NfiTI('~ ":-:1 .... tn •i..:" nr ::1111. fn ... i..1~1. · 1-,..,,. , ~v ... :....,.,1
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING
~, «~,,
~ CITY OF
CARLSBAD
JOB ADDRESS I ,.-1 O A/1 '>. 0 , 1/JUl,hn t<-/e
CT/PROJECT# LOT#
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEt/SPACEf/UNITf
# BEDROOMS # BATHROOMS
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 1:: ti;;( ::::J::(~
□BUILDING □FIRE
Plan Check No.
Est. Value
Plan Ck. eposlt
L SWPPP
CONSTR. TYPE OCC. GROUP
EXISTING USE PATIOS (SF) DECKS (SF) FIREPtACE
YESO
AIR CONDITIONING FIRE SPRINKLERS
YES0ND□ ,&Ft) Nc0 YES0No □
APPLICANT NAME
Primary Contact I tA-tL /J,,t.,.
ADDRESS S73 3 Se,,,._ I-,,,.,,., Pl·
CITY(! {).Al S f,r-.of c:i:ATE ZIP
12010
ff,J(
EMAIL 0
DESIGN PROFESSIONAL
ADDRESS
CITY STATE ZIP
PHONE ff,J(
EMAIL
STATE LIC. #
ADDRESS /1 f .S-t S' /1'w.,,,/,,, ,.J e. c· rw..,/-
CITY~~ r!.riSTATE
PHONE FAX
?60 -1'-fJ-t?'l 3
EMAIL
CONTRACTOR BUS. NAME
ADDRESS <' · J'?33 dUl. ~ Pl rt 106
6J STATE
PHONE 76,o -7 'f 3 -t;
E"1fllL r.· q~ ~W tA.,,,_._
ZIP
'i'Z-olf
(Sec. 7031.5 Business and Professions Code: Any City or Coun_ty 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 {hat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
8 I have and wlll maintain a certificate of consent to self-Insure for worilers' compensation as provided by Section 3700 of the Labor Coda, for the perfom1ance of the work for which this permit is Issued.
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this pem1it is issued. My worilers' compensation insurance carrier and policy
number are: Insurance Co. _____________________ Policy No. ______________ Expiration Date _________ _
~section need not be completed if the permit is for one hundred dollars ($100) or less.
l.l!ICertlficate of Exemption: I certify that in the perfom1ance 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
Ca!ifomia. 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, damagas as pro""ad for In Section 3706 of the Labor code, Interest and attorney's fees.
85 CONTRACTOR SIGNATURE ~_)~ il'JAGENT
I hereby affirm that I am exempt from Contractor's Ucense Law for the foJ/owing reason:
□
□
□
I, as owner of the 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 Sl(:h work himself or through his own employees, provided that sucll 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 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, aOO contracts for such projects with contractor(s) licensed pursuant to the Contractor's License law).
I am exempt under Section _____ Business aAd Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Oves 0No
2. I (have/ have noi) 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/ phone/ 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/ address/ phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone/ type of work):
~ PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECTION FOR NON·RESIIJliNTIAL BUILDING Pl!RMITS ONLY
Is the applicant or future building occupant required to submit a business pl~tely 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 1Jio.,' -
Is the f~l1ty to be constructed within 1,000 feet of the outer boundary of a school site? Yes No
Is the appl_icant or future building occupant required to obtain a permit from the air pollution control district or air Q~al' management district? Yes (;)
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNL HE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT,
I hereby affirm that there 1s a construction lendmg agency for the performance of the work this permit 1s issued (Sec 3097 (1) Civil Code)
lender's Name Lender's Address
APl'LI.CAN.T C.ER .. T!l'IC.A.Jl()N
I oertifythat I have mad the application and state that the alxwe infonnation is correct and that the inbrmatlon on the plans Is accurate. I agree to comply\\ffll all Clly on:llnanc:es and State laws relating 1D building construction.
I hereby authorize representative of the City of Carlsbad lo enter up:m the aoove mentioned property tir inspection purµ:ises. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAJNST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF llllS PERMIT.
OSHA: M OSHA permit is required for excavations over 5(1 deep and demolioon or construction of structures over 3 stories fl he'Jht.
EXPIRATION: Every permit issued by the Buitling Ofloal under the proviskJns of this Code shall expire by limitation and OOOOme null and vokl W !he buitling Dr'Mlrk authorized by such permit is not oommenred 'Mthin
180 days from the date ct Sldl permit or ·t the buik:l~ or w:irk authorized by such permit :S suspended or abandoned at any time after the 'Mlrk is rommenood klr a period of 180 days (Section 100.4.4 UnOOrrn Buildiog Code)
~APPLICANT'SSIGNATURE~I)~, c--,.../'-DATE lf-/:zg:/1<1
• ········· STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed fonn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANTS BUS. LIC. No.
DELIVERY OPl1ONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: _______________ _
..65 APPLICANT'S SIGNATURE
ASSOCIATEDCB#------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
CB140930 1518 MARTINGALE CT
WEXLER RES-PHOTOVOLTAIC SYSTEM
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Final Inspection required by: ' □ Plan □ CM&I □ Fire □
SW □ISSUED I □CV ..
Approved Date Rv
BUILDING
PLANNING
ENGINEERING
FIRE Expedte7 y N
DIGITAL FILES Da,,ufrecf7 y N
HazMat
APCD
Health
FormsfFees Sent Rec'd Due7 By
Encina y N
Fire y N
HazHealthAPCD y N
PE&M y N
Schoof y N
Sewe< y N
Stormwater y N
Special Inspection y N
CFD: y N
LandUse: Density: lmpArea: ff Annex: Factor:
PFF: y N
Comments Date Date Date Date
Building
Planning
Engineering
Fire
Need?
A • _/_ J/,;,J, 7 .. ·• 1/.J fVrflL•"•n □Done
I -·v . □Done
□Done
□Done