HomeMy WebLinkAbout1584 MARTINGALE CT; ; CB160700; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02-23-2016 Cogeneration Permit Permit No:CB160700
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
Applicant:
1584 MARTINGALE CT CBAD
COGEN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
2150723000
$14,400.00
CHIEN: 36 ROOF MOUNT PV, 9.5KW
NO PANEL UPGRADE, NO RMA
Owner:
Status: ISSUED
Applied: 02/23/2016
Entered By: SLE
Plan Approved: 02/23/2016
Issued: 02/23/2016
Inspect Area:
Plan Check #:
RECSOLAR/SUNRUN INSTALLATION SERVICES INC
STE 200
FISHER VINCENT&KIANKARIMI MEHRAK LIVING TRUST 12
775 FIERO LN 1584 MARTINGALE CT
SAN LUIS OBISPO CA 93401 CARLSBAD CA 92011
858 675-6527
Building Permit $158.94 PLUMBING TOTAL
Add'I Building Permit Fee $0.00 ELECTRICAL TOTAL
Plan Check $111.26 MECHANICAL TOTAL
Add'I Plan Check Fee $0.00 Additional Fees
Plan Check Discount $0.00
Strong Motion Fee $1.87
Green Bldg Stands (SB1473) Fee $1.00
TOTAL PERMIT FEES
Total Fees: $273.07 Total Payments To Date: $273.07 Balance Due:
Inspector: ktfk Clearance:
$0.00
$0.00
$0.00
$0.00
$273.07
$0.00
I\OTICE: Please ta<e l\OTICE tha ~ d )O..I' ,rtjed irdu::las the "lnµ,;itioi' d fees, oocicai01S, resavai015, Cl' ctrer e,ajjcm rere,iter cxJledivay
refurej toe,; ·1...,e,a;;cns." You have OOdaysfrcmthe dalett-is pa-nit ves iss.«Ho prctest irrµ,sition dltesefees'e,ajjcm, If you prctest Item you rrust
fcilcmthe prctest ~ set forth in C'o.-ertmrt Code Section !fil20(a), ard file the prctest ard ,ny ctrer reqjred irtcmaion wth the aty Mmgerfcr
IJ'O'.'lSSf'!J ;,, amda rewth Ca1stm Mrid~ Code Section 3.32.03J. Faluetotirraylalootha i:ro:,rl.rewll ba" ,nysubsaµrt lega action toataok
review, sa: asiOO, vcid, er nu tter inp:Eiticn
You ae reret,; R.RTI-ER NJ'TlFIED that )O..I' ri!tl to prctest the spedfieo fees'e,ajjcm IXB3 t,.01' />PA_ Y to waer ard"""' oonnedion fres ard c,µdty
cta-ges. ra pia,irg, 21lrirg, gadrg a ctrer srril.,. 'l')plicaion l)'O'.llSSrg er senioe fees in oonnedion wth It-is ,rtjed. N:R IXB3 IT />PA_ Y to ,ny
I wi "I Liei'
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH □HAZMAT/APCD
noo
Est. Value
Plan Ck. Deposit
{'cicyof
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 Date 2 -25-fu SWPPP
JOB ADDRESS SUITEf/SPACEf/UNITf AP~S-OlJ.-30)-CXJ
CT/PROJECT# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Alfected Area(s)
FIRE SPRINKLERS
YES □No□
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE LIC. # CLASS v-0
(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 requir s the applicant for such per_mit 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)).
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 mrkers' 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 w rs' co~pensation, as__ q ired by_S~tio 3700 of the Labor Code, for the petfonnance of the work lo whic t is perm.it ls issued, My workers' compensation in~rance carrier and policy
number are: Insurance Co, l Policy No. 0 U Expiration Date j U · l · } l f..
~section need not be completed if the permit ls for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subj9ct to the Workers' Compensation Laws of
California WARNING: Fallure to secure workers' compensation coverage ts unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, ~mag es as provld r In Section 706 of the Labor code, interest and attorney's fees. /
.8$ CONTRACTOR SIGNATUR !7 • , , ~ i r5jfAGENT
I hereby affirm that I am exempt from Contractor's Ucense Law for the following 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 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 contrac~ng 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 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 construction of the proposed property improvement. OYes
2, I (have I have not) signed an application for a building permit for the proposed work.
□No
3. I have contracted with the following person (finn) 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 provide the work indicated (include name I address I phone I type of work):
,8$ PROPERTY OWNER SIGNATUR GENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building oc:cupant 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 □ No
Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? □ Yes O No
Is the facility to be constructed 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 1s a construction lending agency for the performance of the work this perrmt 1s issued (Sec 3097 (1) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above lnlonnation Is conec:tand that the Information on the plans is accurate. I agiee to comply dh all City ordinances and State lav.s relating to building construction.
I hereby authorize representatve of the City of Carlsbad toenteruJXl(l the alxJve mentioned JX'()perty br inspection p..irp:,ses. I ALSO AGREE TO SAVE, INDEMNIFY .AJIJD KEEP HARMLESS THE CITY OF CAALSMD
AGAINST ALL LIAfllLITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every pennit issued by the Buik:ling Oflbal under the p!O'visbns of this C.ode shall expire by limitation and become null and VOO W the buik:ling orw:Jrk authO<ized by such permit is notoomrnenced I/within
100 days from the date of such permit or if the building or w:Jrk ~thO<ized by sucjl permit is suspended or abandoned at any trne after the w:Jrk is oommenced for a period of 180 days (&lction 100.4.4 Uniform Building C.ode)
A:$ APPLICANT'S SIGNATUR ~ ' ~ DATE
• 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 form 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 OCCUPANT'S BUS. LlC. No.
DELIVERY OPTIONS
PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above)
□ CONTRACTOR (On Pg. 1.)
MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above)
□ CONTRACTOR (On Pg. 1)
MAIL/ FAX TO OTHER: _______________ _
A$ APPLICANT'S SIGNATURE
□ ASSOCIATED CB#-------------
□ NO CHANGE IN USE/ NO CONSTRUCTION
□ CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
' '
Inspection List
Permit#: CB160700 Type: COGEN PHOTO
Date Inspection Item .. Inspector Act
06/20/2016 35 Photo Voltaic (PV) RI
06/20/2016 35 Photo Voltaic (PV) AEK AP
06/20/2016 39 Final Electrical RI
06/20/2016 39 Final Electrical AEK Fl
Monday, June 20, 2016
CHIEN: 24 ROOF MOUNT PV, 6.3KW
NO PANEL UPGRADE, NO RMA
Comments
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