HomeMy WebLinkAbout1674 Docena Rd; ; CBR2018-2564; Permit(City of
Carlsbad
Residential Permit
Print Date: 11/19/2018 Permit No: CBR2018-2564
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1674 Decena Rd
BLDG-Residential
2159101300
$9,200.00
Work Class:
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Cogen Status:
Applied:
Issued:
Permit
Fina led:
Inspector:
Closed -Finaled
09/24/2018
09/24/2018
Plan Check#:
Final
Inspection: 11/19/2018 12:32:53PM
Project Title:
Description: DENG-WANG: 12 FLUSH ROOF MOUNT, 3.9 KW, NORMA, NO UPGRADE
Owner: Contractor:
TRUST DENG-WANG FAMILY TRUST 08-12-15
1674 Decena Rd
TESLA ENERGY OPERATIONS, INC
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
MANUAL BUILDING PLAN CHECK FEE
$B1473 GREEN BUILD!NG STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $232.63
CARLSBAD, CA 92011
Total Payments To Date: $232.63
3055 Clearview Way
San Mateo, CA 94402-3709
650-963-5100
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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/eKactions 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 you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$114.96
$80.47
$35.00
$1.00
$1.20
( Cicyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
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PC Dep::~: _l~z .... /:J.='-<¼ ...... Z~l ..._.X'_
Job Address / VJ rt/ Do(eQ 0 Rd Suite: ____ APN: __________ _
CT /Project#:. __________ Lot#:. ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
BRIEF DESCRIPTION OF WORK: ___________________________ _
• Addition/New: _____ living SF, ___ Deck SF, ___ Patio SF, ____ Garage SF.
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __
D Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes/ No
D Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _
JiQ;olar~KW, ~!Modules, Mounted:~ Ground, Tilt: Yes!@ RMA: Yes/ @Battery: Yes;@
Panel Upgrade: Yes(§) 3.51'6~ t,J
D Reroof: ------------------------------------• Plumbing/Mechanical/Electrical Only: ________________________ _
D Other: __________________________________ _
APPLICANT {PRIMARY} /' PROPERTY OWNER
Name: rr:ooO •ovea Name: M.1.d 12:e.~
Address: Rol.~5 Ker-c2~ C.z\:: Address: ib-:::i/4 Dnid a, {2 d
City: S~Q :D:~e: Cr,., Zip: q.g,l) City: Ca.r:Lsbod State:Co.. Zip: 9o7QI/
Phone:~ ..3.8'~~q.. Phone: .:/;:ff g,sg -4-/ L/ -]"j9Q
Email: ,5ovea... @-+est a. . c ,O[Y) Email: _______________ _
DESIGN PROFESSIONAL CONTRACTOR BUSINESS
::::~s-: ===================== ~:;r:s71;~(X) 1£~~~~
City: ______ State: __ .Zip: ___ City: f(emfriE_ State: (q,_. Zip: ".lt/$55
Phone: Phone: b_J~ls-5 03:::(.\"3::
Email: Email: 13oveo.,_@_.--f;:f;J/ a,._• ~!Y)
Architect State license: State license: ful C><J Bus. license: :gi:oiia3o 3
(Sec. 7031.S 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/she 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/she 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}).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-1 Page 1 of 2 Rev. 06/18
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury one of the following declarations: • I have and will maintain a certificate of consent to sett-insure for workers' compensation provided by Sectlon 3700 of the Labor Code, for the performance of the
work which this permit is issued.
/ihave and will maintain worker's compensation, as required by Section 3700 of the Labor Code, fort My workers' ':°!en~nce carrier and p_olicy number are: Insurance ComJ?;"J Name:
Policy No. ~LJ~&:3-0c) Expiration Date: Io -~L-l g'.
• 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 be come
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 $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code,
Interest and attorney's fees. ~ ~
CONTRACTOR SIGNATURE: @._ A,/l/\~ ~NT DATE: 9-cJ 4-/,P-,
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's license 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 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 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. • Yes • No
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/ 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/ address/ phone/ type of work):
OWNER SIGNATURE: •AGENT DATE: _____ _ -------------------------
CONSTRUCTION LENDING AGENCY. IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name: ____________________ Lender's Address: ___________________ _
ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
ls 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 2S534 of the Presley-Tanner Hazardous Substance Account Act? • Yes • No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? • Yes • No
Is the facility 1:o 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.
APPLICANT CERTIFICATION:
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction.
1 hereby authorize representative of the Qty of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP
HARMLESS THE CITY OF CARISBAD AGAINST All UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CnY IN CONSEQUENCE OF
THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized
by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time
after the work is commenced for a period ~days (Section 106.4.4 Uniform Building Code).
APPLICANT SIGNATURE: Ck',Q(...1.-1,Af5l ~ DATE: q-z '-1---IK
1635 Faraday Ave Carlsbad, CA 92008
B-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
. PERMIT INSPECTION HISTORY REPORT (CBR2018-2564)
Permit Type:: BLDG-Residential Application Date: 09/24/2018 Owner: TRUST DENG-WANG FAMILY
TRUST 08-12-15
Work Class. Cogen Issue Date: 09/24/2018 Subdivision: CARLSBAD TCT#92-03 AVIARA
PHASE 03 UNIT#05
Status: Closed -Finaled Expiration Date: 05/20/2019 Address: 167 4 Decena Rd
Carlsbad, CA 92011-4043
lVR Number: 14149
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re Inspection Complete
----·-·-----·-··--·--~
11/19/2018 11119/2018 BLOG-315 Solar 076417-2018 Passed Andy Krogh Complete
Panel
BLDG-Final 076418-2018 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Electrical Final Yes
November 19, 2018 Page 1 of1