HomeMy WebLinkAbout1643 CORTE ORCHIDIA; ; CB153829; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-05-2015
Cogeneration Permit
Permit No:CB153829
Building Inspection Request Line (760) 602-2725
Job Address:
1643 CORTE ORCHIDIA CBAD
Permit Type:
COGEN Sub Type: PHOTO
Status: ISSUED
Parcel No:
2159502700 Lot #: 0
Applied: 11/05/2015
Valuation:
$6,800.00 Constuction Type: NEW
Entered By: SLE
Occupancy Group:
Reference #:
Plan Approved: 11/05/2015
Issued: 11/05/2015
Inspect Area:
Plan Check #:
Project Title:
COLLINS: ROOF MOUNT PV, 4.76KW
17 MODULES, NO PANEL UPGRADE
Applicant:
Owner:
SOLAR SYMPHONY
CONSTRUCTION INC COLLINS FAMILY TRUST
08-16-07
341 ENGEL ST
1643 CORTE ORCHIDIA
ESCONDIDO CA 92029 CARLSBAD CA 92011
760 300-4141
Building Permit
$87.98
PLUMBING TOTAL
$0.00
Add'I Building Permit Fee
$0.00
ELECTRICAL TOTAL
$0.00
Plan Check
$61.59
MECHANICAL TOTAL
$0.00
Add'I Plan Check Fee
$0.00
Additional Fees
$0.00
Plan Check Discount $0.00
Strong Motion Fee $1.00
Green Bldg Stands (SB1473) Fee $1.00
Total Fees: $151.57 Total Payments To Date
TOTAL PERMIT FEES
$151.57 Balance Due:
$151.57
$0.00
FINAL APP OVAL
Inspector: — Date: Clearance:
NOTICE Pease take NC T1C E that approval of your project includes the "Irrpcsition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exacticrs." You have 90 days from the date this permit vas issued to protest i rrposition of these fees/exactions. If you protest them you m st
follow the protest procedures set forth in Gwemrnent Code Section 6602o(a), and file the protest and" other reW red i riforration with the City Nlanager for
prcoessing in accard-nm with Carisbad Mxidpal Code Sedicn 3.32030. Failure to tirrelyfdlowthat procedure will bar arry subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NCM FI ED that your right to protest the specified fees/exactions DOES NOT APPLY to water and saner connection fees and rapacity
charxtes, nor plaming, zoning, g acling or other similar application processing or servioe fees in axnecticn with this project. NOR DOES IT APPLY to any
fees/exactions; of wtych you have ywously been coven a NOTICE simlar to this or as to wtich the statute of Iimtations has yevicusly otherwise red.
I IF POI -LOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: ❑ PLANNING f—I ENGINEERING
❑ BUILDING ❑ FIRE ❑ HEALTH 0 HAZIMATiAPCD
`
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carisbadca.gov
Plan Check No.
Est. Value LQ
Plan C1 Deposit ��
Date i5/15 SWPPPOlt
JOB ADDRESS
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CTJPROIECT It LOT N
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PHASE # # OF UNITS N BEDROOMS
Solt r Es�uNrn APN
2! J Do
#BATHROOMS Sf11MNT BUSfNEBS r1AMH P.ONSiii. ri'PE OCC. GROUP
DESCRIPTION OF WORK: Include Square FeeiorAf►ecnw Area(s)
F mL2u,vr 5vt_P-R Pt/, q.*?(o kul , !a M077101-
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APPLICANT NAME
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ADDRESS
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CITY STATE ZIP
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pity STATE ZIP
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DESIGN PROFESSIONAL
CONTRACTOR BUS. NAME
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ADDRESS �m
ADDRESS
CITY _ STATE ZIP
CITY STATE ZIP
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PHONE FAX
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FAX
EMAIL µm
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(Sec, 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair anY structure, pnor to its Issuance, also requires the
licensed to the of the Contractor's License Law (Chapter 9, commerWmg with Section 7000 of D vislon 3 of the
applicant for such parmft to file a si d statement that he is pursuant provisions
Business and Professions Coda) or t}tat he is exemppt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a parrot subjects the applicant to a
civil penalty of not more than five hundred dollars (5500)).
ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
ve and wNl 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 (his permit is issued.
04we and will maintain wod�ce,rtpcompensation, as requiir/re�-d by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation an ura car and policy
number are: Insurance Co. tantD l7IP_�RI7-p-NV_ ._._. Policy No. q ��4g ExplrationDate l2 OI carrier
This section need not be completed if the permit is for one hundred dollars ($100) or less.
ElCertificate of Exemption: I certify that in the rnance 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 work 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, da s provided for in Secti 3706 of the Labor code, interest and attorney's fees.
A5 CONTRACTOR SIGNATURE AGENT DATE v . �s
r hereby affirm that I am exempt from Co pr License l w�ir the fottmring eason;
I, as owner of the property or my ployees with wages as their sole compensation, will do tfie work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Cade: The Contractor's
License Law does not apply to 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 w offered for
sale. If however, the building or improvement is sold vrithln one year of completion, the owner -builder will have the burden of proving that be did not build or improve for the purpose of sale).
1, 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, and contracts for such projects with contrac"s) licensed pursuant to the Contractor's License Law). j
)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. QYes E:JN0
2,1(have 1 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 pmposed construction (include name address I phone I contractors' license number):
4. 1 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! phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the follow ng persons to provide the work indicated (include name 1 address I phone I type of work):
(
A PROPERTY OWNER SIGNATURE []AGENT DATE _ ��_
Is the applicant or future building occupant required to submit a business pan, 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? O Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Cl Yes O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes O 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.
I hereby affirm that there is a construction tending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name
Lenders Address
IeeftMAlhaw readtheapplicationand statethatttreabowiu miallonIsconWandthattheirrfonrwtImontheplansisaccurate.IagmetoeomplywithallCityorthnancesandStateImrelatin&buildingeonshuAfon
I hereby authorize representative of the City of Carisbad to enter upon the above mentioned property for Inspection purposes. 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 AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for exca over 5'' deep and dMan a emolconstruction of stn ctures over 3 stories in height
EXPIRATION: Every pemit issued by the Bull s0lficral the provisions of ibis Code shall expire by limitation and became null and void if the building a work authorized by such permit isnotcanm within
100 days from the date of such permit arfthe m9 a work authorized by such permit's suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Cade).
.ESAPPLICANT'S SIGNATURE LQ / ' % DATE AY—N . 44 IS-
Inspection List
Permit#: CB153829 Type: COGEN PHOTO COLLINS: ROOF MOUNT PV, 4.76KW
17 MODULES, NO PANEL UPGRADE
Date Inspection Item
Inspector Act Comments
12/07/2015 35
Photo Voltaic (PV)
RI
12/07/2015 35
Photo Voltaic (PV)
MC AP
12/07/2015 39
Final Electrical
- RI
12/07/2015 39
Final Electrical
MC FI RELEASE E-MAILED TO SDGE.
Tuesday, December 08, 2015 Page 1 of 1