The URL can be used to link to this page

Home My WebLink About1697 DOCENA RD; ; CB163563; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-19-2016 Cogeneration Permit Permit No:CB163563 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1697 DOCENA RD CBAD COGEN· Sub Type: PHOTO Lot#: 0 Constuction Type: 58 Reference #: Parcel No: Valuation: Occupancy Group: 2159100100 $10,800.00 Project Title: THOMAS, 27 PANEL 8.8 WITH RMA Applicant: D S T CONSTRUCTION INC 29591 CASTLE CREEK LN ESCONDIDO CA 92026-5928 760-420-0589 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $123.46 $0.00 $86.42 $0.00 $0.00 $1.40 $1.00 Owner: THOMAS MIKE&WENDY 1697 DOCENA RD CARLSBAD CA 92011 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Status: ISSUED Applied: 09/19/2016 Entered By: JW Plan Approved: 09/19/2016 Issued: 09/19/2016 Inspect Area: Plan Check #: $0.00 $0.00 $0.00 $0.00 $212.28 Total Fees: $212.28 Total Payments To Date: $212.28 Balance Due: $0.00 Inspector: FINAL APPRqVAL j/)·12· '" 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 wtth 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 f · · h · · Tl .. r hi · · · · · ... •' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OFIRE 0HEALTH OHAZMAT/APCD Plan Check No. Est. Value Plan Ck. Deposit Ccityof Carlstiad 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 SWPPP JOB ADDRESS CT/PROJECT # EXISTING USE APPLICANT NAME ADDRESS CITY ZIP PHONE EMAIL STATE LIC. # SUITEt/SPACEt/UNITt APN #BATHROOMS TENANT BUSINESS NAME AIR CONDITIONING YES0No0 ZIP OCC. GROUP FIRE SPRINKLERS YESONoO (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, 1m prove, 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 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 peljury one of the following declarations: D I have and will maintain a certificate of consent to self·lnsure for workers' compensation as p10vided 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 workers' pen on, as required by Section 3700 of the Labor Co~for the .performan~f thVO'W !j~rmit is issued. My wo~e~· compensa]P;:":.ce ;aJ!ir and policy number are: Insurance Co. CI'J'. ~ ~ ~ PoliCY No. ~ 2_ T ~ Exp1rat1on Date__._{_ '.s.'L _ _..!.f__.L ___ _ J!!i§, section need not be completed n the permit is for one hundred dollars ($1 00) or less. U Certificate of Exemption: I certify that in the performance of the work for which this permit is issued,! shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Calffomia. 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, as provided Labor code, Interest and attorney's fees. IS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D D D I, as owner of the p10perty or my employees with wages as their sole compensation, will do the wolk and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of property who builds or improves thereon, and who does such work himseff 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 buiden of proving that he did not build or improve for the purpose of sale). I, as owner of the p10perty, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Ucense 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 Ucense 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 p10posed property imp10vement. DYes 0No 2. I (have I have not) signed an application for a building permH for the prnposed work. 3. I have contracted with the following person (firm) to provide the p10posed construction (include name address I phone I contractors' license number): 4. I plan to prnvide portions of the work, but I have hired the following person to oooidinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I will prnvide 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): IS PROPERTY OWNER SIGNATURE 0AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submH 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 Acfl Ll Yes Ll No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management districfl Ll Yes Ll No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Ll Yes Ll 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 certify that I have read the application and slaiB lhatthe above Information Is conactand lhatthe lnfonnatlon on the plans Is accumte.l agree Ill comply with all Cit¥ ordinances and Slate laws 181ating Ill building conslructlon. I hereby authorize representative of the City of Cal1sbad to enter upon the above mentioned property tJr inspection JXJrposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All UABILf[IES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permtt is requied for excavations OYer 5'0' deep and demoliOOn or oonstrudion of struclllres over 3 stories in height. EXPIRATION: Every permtt issued by the aJilding Otrdal under the provisions of this Code shall expire by linlttation and become null and void ~the building or \\I'Xk authorized by such permit is not cornmenred v.1thin 180 days from the date of such permtt or if the building or\\I'Xk authorized permtt is suspended or abandoned at any time after the oork is commenred for a period of 180 days (SecOOn 100.4.4 Uniform aJilding Code) . ..,g' APPLICANT'S SIGNATURE 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.aov or Mall the completed form to City of carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. (Office Use Only) CA DELIVERY OPOONS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATEDCB#'------------MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE I NO CONSTRUCTION MAILIFAXTOOTHER: _______________ _ o CHANGE OF USE I NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE Inspection List Pennit#: CB163563 Type: COGEN PHOTO THOMAS, 27 PANEL 8.8 WITH RMA Date Inspection Item Inspector Act Comments 1 0/12/2016 35 Photo Voltaic (PV) Rl PM PLEASE 10112/2016 35 Photo Voltaic (PV) JW AP 10/12/2016 39 Final Electrical Rl PM PLEASE 10/12/2016 39 Final Electrical JW AP Wednesday, October 12, 2016 Page 1 of 1