HomeMy WebLinkAbout1635 CHESTNUT AVE; ; CB163677; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-27 -2016 Cogeneration Permit Permit No:CB163677
Building Inspection Request Line (760) 602-2725
Job Address:1635 CHESTNUT AV CBAD
Permit Type:COGEN Sub Type: PHOTO Status: ISSUED
Parcel No:2052200900 Lot #:0 Applied: 09/27/2016
Valuation:$12,000.00 Constuction Type: NEW Entered By:SF
Occupancy Group:Reference #:Plan Approved: 09/27/2016
Issued: 09/27/2016
Inspect Area:
Plan Check #:
Project Title:ZACHARY: ROOF MOUNT SOLAR
30 MODULES, FLUSH MOUNTED, NO UPGRADE, 8.7KW
Applicant:Owner:
RESTAD ENTERPRISES ZACHRY JEFFREY J&ROBIN L
22838 SHOWUT AVE 1635 CHESTNUT AVE
WILDOMAR CA 92595-8581 CARLSBAD CA 92008
909-721-3335
Building Permit $132.33 PLUMBING TOTAL $0.00
Add'I Building Permit Fee $0.00 ELECTRICAL TOTAL $0.00
Plan Check $92.63 MECHANICAL TOTAL $0.00
Adel Plan Check Fee $0.00 Additional Fees $0.00
Plan Check Discount $0.00
Strong Motion Fee $1.56
Green Bldg Stands (SB1473) Fee $1.00
TOTAL PERMIT FEES $227.52
Total Fees:$227.52 Total Payments To Date:$227.52 Balance Due:$0.00
FINAL AP
-
P OVAL
Inspector:Date:Clearance:
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 previously been aiven a NOTICE similar to this. or as to which the statute of limitations has previously otherwise exoired.
•
•THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:OPLANNING DENGINEERING OBUILDING OFIRE []HEALTH OHAZMATIAPCD
fr"Fa-'.Building Permit Application Plan Check No.crelk 636-1`1t_City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value kai 000Ph: 760-602-2719 Fax: 760-602-8558Carlsbademail: building@carlsbadca.gov Plan Ck. Deposit
www.carlsbadca.gov Date cY(277/1 6 SWPPP
SUITE#/SPACE#/UNIT#APNJOB ADDRESS )6 35-tA e 5.4m.....4..igvc _-
CT/PROJECT #LOT #PHASE ##OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
I
DESCRIMIV OF WOMB:crude Square Feet ortoted Area(s)
WOO ‘:<0 I 0"1....--30 90.4.-I_LS u-selit„:An :c_vo _f Ind' ele-ii•-0 VS
a.7 iee0 k L'1/4-5 t'i-I.(-0....e)-ve V-/..0.----7.
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESE:16_NOD YES ENO 0 YESE NOEJ
APPLICANT NAME f-7.‘PROPERTYOWNER .--is do
Primary Contact 1--)&k. IIt41 ri eL..4 Lel *s..N Cl ‘"'it. 7 Zed.„, C 1010-A..1-1ADDRESSADDRESS2.2S38 6 1.‘a (......i i-,_4-P3•‘.1 -c--14Z5 elle4frt-4-Aire
CITY ‘1 I iSIATE ZIP CITY STATE.ZIP 0Lei IWO IAA d-vr C.-W 2.-S et -6 CC. V it‘44j1/4 c ill't q266 °
PHD NE FAX PHONE i 1 FAXla5 -)2 i -33 35—76 6 co Z -44igi
EMAlto...t rat ci y-esbacf ca ey.„......I .e....EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS.
NAMEfie ht e e _St Eel ter.re s ie s
ADDRESS ADDRESS2 2 e 3 t CIAO W 'Lk-1.
-'At.
CITY STATE ZIP CITY )/STATL(Ai I leld %.44"0.--r-C oft 4ip z5C.r
PHONE FM PHONE 'FAXSoy72133315EMAILEMAILi Ic/av.reSja e ta t
i Co L/L--
STATE LIG. #STATE
Lgt4 17 (CLASS
1•f (-)CITY 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 theapplicant 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 ofDivision 3 of theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section )t031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars 1$500().
WORKERS'COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Rs
I)ave 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.
I have and will maintain workers' compensation,asrequirr by Section 3700 of the Labor Code, for the penbrmarcs of the work for which thippennit is issued. My workers' compensation insu9nce carrier policy
number are: Insurance Co.Pear 4-Cow-el 7'-c Policy No.76' 64-4155 0 (to 4 S Expiration Date 1°74--
Teisection
need not be completed if the permit is for one hundred dollars ($100) or less.
Certificate ofExemption:Icertify 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 civil fines up to one hundred thousand dollars (8100,000), in
addition to the cost of compensation, damages 'edfor in Section 3706 of the Labor code, interest and attorney's fees.
AK CONTRACTOR SIGNATURE 0 AGENT DATE(-2 7 re/4
I hereby affirm that) am exempt from Contractors license Law for the following reason:0 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 Contractors
License Lawdoes not apply to an owner of properly 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.It,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).0 I. as owner of the property. am exclusively contracting with licensed contractorsto construct the project (Sec. 7044, Business and Professions Code: The Contractors 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).0 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.DYes EjNo
2.I (have / 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 /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 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 / phone I type of work):
JES.PROPERTY OWNER SIGNATURE DAGENT 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 form or risk management and prevention program under Sedans 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act?0 Yes 0 No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?0 Yes 0 No
Is the faMty to be constructed wit in1,000 feel of the outer boundary of a school site?0 Yes 0 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 MR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agencyfixthe performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lenders flame Lender's Address
APPLICANT CERTIFICATION
iceitlythatlhave mad the apollosnon anclstatethatthe above!Memnon'sconectand thattheInfonnalion on the plansis accuraW I agree to complywith all Ctlyoniinances andStatism relatlngto bulldingconsouction.
I hereby authorize representative of the City of Carlsbad to enter upon the above motioned property for inspection purposes.I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY CF CARLSBAD
AGAINSTAllLIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY !NAY ACUHUE AGAINST SA1E/CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permit is nzquired for excavations over SO' deep and demdition or construction of stuctures over 3 storiesh height.
EXPIRATION: Every permit issued by the Building Oficial under the provisions ofthis Code snail expire by limitation andberme null and void If the buildinga boric authorized by such permitsnot commenced Whin
160days from the date of such permit or if the building or mini authorized by such permits suspended or abandoned at any time afthr theworks commenced fora period of 180days (Section 1064A Uniform Building Cole).
AKAPPLICANT'S SIGNATUAiry DATE ft-2 7 —f 4.
srop
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 buildingeorisbadca.00v 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 ZIP
Carlsbad CA
PHONE FM
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP:o CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On P.1)
o ASSOCIATED CB#
MAIL TO:o CONTACT (listed above)0 OCCUPANT (Listed above)
CONTRACTOR (On P.1)0 NO CHANGE IN USE/NO CONSTRUCTION
MAIL/FAX TO OTHER:o CHANGE OF USE /NO CONSTRUCTION
AKAPPLICANT'S SIGNATURE DATE
Inspection List
Permit#:CB163677 Type:COGEN PHOTO ZACHARY: ROOF MOUNT SOLAR
30 MODULES, FLUSH MOUNTED, NO UP
Date Inspection Item Inspector Act Comments
10/26/2016 35 Photo Voltaic (PV)RI
10/26/2016 35 Photo Voltaic (PV)AEK AP
10/26/2016 39 Final Electrical RI
10/26/2016 39 Final Electrical AEK Fl
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