HomeMy WebLinkAbout1804 Cottonwood Ave; ; CBR2019-2465; PermitPrint Date: 12/18/2019
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1804 Cottonwood Ave
BLDG-Residential
2155033716
$4,800.00
Residential Permit
Work Class: Cogen
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
(city of
Carlsbad
Permit No: CBR2019-2465
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Closed -Finaled
09/09/2019
09/09/2019
Inspection: 12/18/2019 10:31:06A
Description: SMITH: ROOF MOUNT PV 3.84 KW, 12 MODULES// NO TILT/ NORMA/ NO BATTERY/ NO UPGRADE
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
Owner:
COOWNER SMITH NICHOLAS AND
MADELEINE
1804 Cottonwood Ave
CARLSBAD, CA 92011
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $121.66 Total Payments To Date: $121.66
Contractor:
TESLA ENERGY OPERATIONS INC
DIANA TRAN
901 Page Ave Attn: Licensing
Fremont, CA 94538-7341
844-837-5201
Balance Due: $0.00
$70.61
$49.43
$1.00
$0.62
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/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 you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
(cicyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Pl•n Check
Est. V•lue
PC Deposit --------
D•te --+7-'-/-+'{'..,._/..,_( Ci+[--
1804 Cottonwood Ave Job Address _______________ ____,Sulte: ____ APN: _________ _
CT/Project#:. ________ Lot#: ___ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
BRIEF DESCRIPTION OF WORK: 3.78KW Roof-Mount PV. (12) Modules, (1) Inverter
0 Addltlon/N_: _____ UvlngSF, ___ DeckSF, ___ PatloSF, ___ GarageSF.
Is this to aeate an Accessory Dwelling Unit? Yes/ No NewFlreplace? Yes/No,lfyeshowmany? __
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? __________ _
@ Solar: 3
·
78 KW, 12 Modules, Mounted@Ground, Tilt: Yes/@RMA: Yes,<ijgl Battery; Yes~
Panel Upgrade: Yes(§'>
0 Reroof: ---------------------------------□ Plumblnr/Mechanlul/Electriul Only: ____________________ _
□ Other: ---------------------------------
APPLICANT (PRIMARY)
N•me: Russ Clapton
PROPERTY OWNER
Name: __ N_i_ck_S_m_it_h ___________ _
Address: 8225 Mercury Ct Address: _1'"'8;..;0cc4_Cc..o;..;tt.:..;o.;.;n.;.;w..;o..;od"-'-A"-v"'e _______ _
City: San Diego State: CA Zip: 92111 City: Carlsbad State: CA Zip: 92011
Phone: 619-538-6485 Phone: 619-248-2634
Email: ----'r_cl-a.._pt"'o_n..,@"te-s_la_._c-om~-------Emall: __ N_i_ck_s_m_it_h_4_15_@~g_m_a_il_.c_o_m ______ _
DESIGN PROF£SSIONAL CONTRACTOR BUSINESS
Name: _______________ _
Address: ______________ _
Name: Tesla Energy Operations
Address: 8225 Mercury Ct
Clty: ______ Stata:. __ .Zlp: ___ _ Qty: San Diego State:CA Zlp: __ 9_2_1_1_1 __
Phone: ---------------Phone: 619-538-6485
Ema ii: ______________ _
Architect State License: _________ _
Emal: rclapton@tesla.com
State License: 888104 Bus. Uc:ense: BLOS 1227803
(SK. 7031.S lu-.S and P-ns COdr. MY City or county which raqam a permit to construct, alter, Improve, demclsh or repa~ any structure, p~or to Its
ls,ua...,, also roqulres the applcant for such permit to Ille• •ed ,tatemant that ha/she Is llcansed pursuant to the provisions of the Contnctor's ~se uw
fChapter 9, cornmandl"' with Sectton 7000 of Division 3 of the Business Wld Professlons Code) or that ha/she Is exempt lherelmn, and the bolls for the alopd
oxamPtlon. MY Ylolatlon ol Sl<flon 7031.S by any applicant for a permit sub)eclS the appllcant to a civil penalty of not more than five hundred dolafs {$5001).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-1 Page1 of2 Rev. 06/18
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of pe{jury !Z!!!f. of the fallowing declarations:
C I have and wlD malntaln·a cenlflcate of COJ'lsent to self-Insure for worker$' compensation provided by Section 3700 of the Labor Code, for the perrormance of the
work wfllch this permit ts Issued.
0. I hl\te and wlQ n:,alntaln worker's compensation, as requl~d by Section :noo of tho labor Codi!, for the performance of the work for whtch th~ permit hi Issued.
Mywoncen''re1!fllJ/gllffl'<"carrterandpollcynumberare:lnsuranceCOrnpanyNarne:_~z~u"'ri~ch"--'-A-"m~e~r"'ic""a"'n ___________ _ PolfcyNo. ____________ Expiration Date: _l_0_-3_1_-_19 ____ _
□ Certificate of Exemption: I certify that In the performance of the work for which this permit is issued, I shan not employ any person in any manner so as to be come
subject to the worke<s' compensation Laws of California. WARNING: F,1Uure to secure wurkers compensatlOn covetaae Is uhlawful, and shaU subject an employer to
ulmlnal ,,...._ and dvll flnos up ta $100,000.00, In ad did on Ibo ta 1110 <mtof a,n,pensatlon, clam-as pnrvlded for In Section 3706 of lhe labor code,
Interest and attorney'•-•
CONTRACTOR SIGNATURE: ---~---~-'---11,-_______ D!IAGENT DATE: __ 9_-_9_-1_9 __
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's Ut:ense Law for the following reason:
□ 11 as t>Wner oft he property or my employees with wases as their sole compensation, will do the wort and the structure ts not intended or offered for sale (Sec.
7'M4, euslntiS. and Professions COde: The Contractor's l.la!nse Law does not apply to an owner of property wtlo buUds 0t Improves thereon, and who does such work
himself or through his own employees. provided that such Improvements are not Intended or offeted for 58kt. If, howwer, the building or Improvement Js sold within
one year of completion, the owner-bulder wlll have the burden ~ proving that he d1d I\Ot bulkf or Improve for the purpose of sale).
□ t, as owne, of the property, am exdustvely contrat1:ln9 whh licensed contractors to con,truct the proiect (Sec. 7044, Business and Professlons Code: The
r.ontractor's IJcense Law does not apply ta an owner of property who buJlds or imptOVQS thareon., and contra eh for such prajom wtth contractor(s) IJcensed
pur.mant to the Contractor's ucense Law).
□ I am uempt under Section ______ ,Business and Professions Cade fot this reason:
1. I personally plan to provide the m;ajorlabor and materials for coru.truction of the proposed property tmprovemenL □ 'fes □ No
2. I (have/ have not) ~sned an ai,plloatlon for• building pennk for the proposed work.
3. I have contracted with the fotktwinft person (flrmJ to provide the p,oposed «instruction (lndude name address {phone/ contractors' llcenie number):
4. I plan to provide portions of'the WQrfc. but I have hired the following pe~on to t"OOrdlriate, supervise and provide the maJor work (In dude name/ address/ phono /
ctmtractorS" lkense number):
S. I wlll provkle some of the work, but I have contracted (hired} the following persons to provide the work jndicated (lnclu~ name/ address./ phone/ type of worfr:}:
OWNER SIGNATURE: _________________ □AGENT DATE: _____ _
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there is a construction !ending: agency for the performance of the work this permit ls lsa1ed (Sec, 3097 (i) Cvll Code).
l.endlir'sName: __________________ Lender"s Address: _________________ _
ONLY COMPLETE THE FOUOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
15 the ilPPRc:ant or future bulkfing occupent required to submit a buslniess plan, atutefv hazardous materials re,15trat1onform or risk management and preventton
proa,am uMler Sections 2SS05, 25533 or 25534 of the Presk,v•Tanner Haiard()us Substance Account Ac:t? □ Yes □ No
Is the applicant°' future bulldlng occupant required to obtain a permit from the afr JlOlution control distrkt or air quafttv management dls.trkti' □ Yes □ No
Is the f.K:Alty to be c:oostruded within 1,000 feet of thie outer boundary cf• schocl site? □ Yes □ No
IF ANYOFTHEANSWERSARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BEISSUED UNWS THE Al'PUCAHT HAS MOTOR IS MEErlNG THE
REQIJIREMENlS OF THE 0fFICE OF l!MIR6EIICY SERVICES AND'IMEAJR POWITION CONTROL DISTRICI'.
APPLICANT CERTIFICATION:
I certify that I have read the appllcatkm and state that the above Information Is correct and that the infom,;atl0t1 on the plans Is accurate. I agree to comply with aN
City ordinances and State IIIW5 relating to buicffng construction.
I hen,by autt,..ia, repre,entatt;e olthe Cllyof Ca~,bad tu enter upon the above mentioned property for Inspection purposes. I AlSOAGRE£ TO SA\IE, INDl'MIIFY AND KEEP
HARMLESS THEC11Y OFCARLSBADAGAMT AIL UABltmES, JUl,aMENTS, COSTS AND EXPENSES WHIOJ MAY INANY WAY ACCRUE AGAINST SAID CRY IN CONSEQUENCE OF
THE GRA.NTING OFTHIS PEftMT .osHA: An OSHA. permit is required forextillvations ove.-5'0' deep and demolition orconstrudlon of structures over! stcrtes In he*
EXPIRATION: Biery pennl 155UOd by the Buifdln.! Offlcial under the provisions of 11th COde sl\all expln! by 6-and become nuH and IIOld W the buJ1dnt! or work••-
hv such pamlt 1$ hat commenced~n 180days from the date of 5UCh permit Of lflhe b~ildingorwcd authcwiied b\' such permit is suspended or abandoned at anytime
alter the wm h crimrnona!d for• peitod ofl80 day> (Section 106.4.4 Uniform Building Cede).
APPLICANT SIGNATURE: ~ ~11,-
1635 Faraday Ave Carlsbad, CA 92008
B-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of2
DATE: _9_-9_-1_9 ____ _
Email: Building@carlsbadca.gov
Rev. 06/18
PERMIT INSPECTION HISTORY REPORT (CBR2019-2465)
Permit Type: BLDG-Residential Application Date: 09/09/2019 Owner: COOWNER SMITH NICHOLAS AND
MADELEINE
Work Class: Cogen Issue Date: 09/09/2019 Subdivision: CARLSBAD TCT#83-33
Status: Closed -Finaled Expiration Date: 06/15/2020 Address: 1804 Cottonwood Ave
IVR Number: 21581 Carlsbad, CA 92011-5140
Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date
12/1812019 1211812019 BLDG-35 Solar 114087-2019 Passed Tony Alvarado Complete
Panel
BLDG-Final 114088-2019 Passed Tony Alvarado Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
December 18, 2019 Page 1 of 1