HomeMy WebLinkAbout1898 FOREST AVE; ; CB154074; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-24-2015 Cogeneration Permit Permit No:CB154074
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
1898 FOREST AV CBAD
COGEN
1562705200
$8,000.00
Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
Status: ISSUED
Applied: 11/24/2015
Entered By: RMA
Plan Approved: 11/24/2015
Issued: 11/24/2015
Inspect Area:
Plan Check #:
Project Title: PIRO RES-PHOTOVOLTAIC SYSTEM
20 ROOF/FLUSH MOUNTED MODULES-6.2 KW-NO ELECT PANEL
UPGRADE-NO RMA
Applicant:
JOE MOORE CONSTRUCTION INC
3612 VALLEY ST
CARLSBAD CA 92008
760-434-1203
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Plan Check Discount
Strong Motion Fee
Green Bldg Stands (SB1473) Fee
$96.85
$0.00
$67.79
$0.00
$0.00
$1.04
$1.00
Owner:
PIRO FAMILY TRUST 04-01-02
1898 FOREST AVE
CARLSBAD CA 92008
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $166.68 Total Payments To Date: $166.68 Balance Due:
Inspector:
FINAL APPROVAL
Date: (,J. · >-I · ;J-Clearance:
$0.00
$0.00
$0.00
$0.00
$166.68
$0.00
NOTICE: Aeeoo ta<e NOTICE that ,wo.a ci 'fOS IJ(ject irdldas tte "lrrpcsitiai' ci f= derlcaicn; ressvaicro, a clro' E>Odicrs 1-aeafter o:ilectivay
rderroo to as 'foo;'E>Odicns." Yoo taw 00 days mmtte-ttis pemit v.as issued to pn:test irrpcsition cittese fees/E>Odicns. If )OJ pn:test \rm\ )OJ rrust
fdlwtte plctest prrorlres set forth in G:NerTTTe't Code Section OOJ2J(a), ,rd file tte plctest a-d a,y clro' reg.ired irfamiion vJth tte Oty Mnga'fcr
µoo,ssing ina:xnda cewlh Ca1staJ Mridpa Code Section 3.32030. Faluetotirrayfdlwthat ~wn ba' a,ySlbleq.e-1 lega !dion toatad<,
re.-iew, sa aside, \tid, a aTU their irqx:Gtioo.
You ae ~ R.RTI-ER NOTIRED that 'fOS ngt to plctest tte ,..adfied fees/E>Odions IXES NOf />PF\_ Y to Wil.er a-d oo,,a-oonnection fees a-d c:,µDty
cta-g,s, ncr µating, mng. gajng a clro' snil!I' ,wicaion µoo,ssing a sen.ke fees in oonnection wth ttis IJ(ject. I\CRIXES IT />PF\_ Y to a,y . 1 . . . .
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILD1NG DF1RE 0HEALTH 0HAZMAT/APCD
{cicyof Building Permit Application Plan Check No. /1) J5L//i/l/.
7 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value X/ ,
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 V
email: building@carlsbadca.gov ~ L Plan Ck. !)eposit
www.carlsbadca.gov ') Date II /~ Ct I, c--SW PPP
'
0"A/A9A ~ ,r&rsrl"f~e:. SUITEI/SPACEI/UNll'I IAP/51, -;_ 7 -OS -'2-06
CT/PROJECT # LOT# I PHASE# I# OF UNITS # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
c}, /) /11 fi J ll L[J pl/ {2col= J"(ovr1rr-C. Z-1<.uJ
ho UlJ }awl vo,;9AAL /l {) ~lvlA--
EXISTING USE ROPOSED USE V V GARAGE (SF) FIREPLACE PATIOS (SF) I DECKS (SF)
YES[}!
IAIR CONDITIONING I FIRE SPRINKLERS
No[] YES ONO D YESO NOD
APPLICANT NAME .Jos= Primary Contact Uc,oet: PROPERTY OWNER p lf2 . 19-F~ I . .,.
ADDRESS ADDRESS °3 ~ /" z._ t/ Al/£... I,( 5 , /~"Id AF~'!"r 1w,,
STATE STATE ZIP c1~/1"~AdJ c.-. ZIP y(
""Z,J:,O c,-_....,../,s-6.4-G{ c.,o.... q, :z. ocs:Y
P~E C c.{-3 'f ( Z.C, °3 IFAX PHONE IFAX --1<-o <hr~ovt,
EMAIL E~L 11 J ~tG> tJ..)1,-Jl.)Sv~ES .c.oJ.<1 flP"P Ito~~ k . . c., )l.f
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME •
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE IFAX PHONE I FAX
EMAIL EMAIL
I STATE LIC. # STATE UC.# I Cl.ASS I CITY BUS. UC.#
(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 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, comme_ndingwith Section 7000 of Division 3 of the Business and Professions Code) orfhat he 1s 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
WOl'Kers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
l::] I have 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 wor1ten;' compensation, as required by Section 3700 of the Labor Code, for the performance of the 11-:r which this permit is issued. My workers' compensation insurance carrier and p:ilicy
number ara lnsorance Co. :,IA'll F-"u f'lt) PoHcy No. / 91 3 11 fapiration Da~ 2 -").a I G.
~section need not be completed if the permit is for one hundred dollars ($100) or less.
LJ Certificate of Exemption: l 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 become subject to the Workers' Comper'!Sation Laws of
California. WARNING: Failure to secure workers' compensation coverage ls 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, damages rovlded for in Section 3706 of the labor code, Interest and attorney's fees .
.65 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 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 wtio does such work himself or through his own employees, provided that sucti 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 purp:ise 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 wtio 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 prop:ised property improvement. 0Yes 0No
2. I (have I 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 I phone I contractors' license number):
4. I plan to provide p:irtions 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 I phone I type of work):
6$ PROPERTY OWNER SIGNATURE 0AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the .ipp!icant 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 25534 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 to be constructed within 1,000 feet of the outer boundary of a school site? Yes No
JF 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 appllcatlon and state that the above information is correct and that the lnfonnatlon on the plans is accurate. I agree to comply with all City oldinances and State laws relating to building construction.
I hereby authorize representafive of the City of Cartsbad to enterup,:m the atxive menooned i:roperty br inspecoon purp:,ses. 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 CONSEOJENCE 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 pennlt issued by the 0.Jilding Offdal under the i:rovisi:Jns of this Cooe shall expire by limitation and beoome null and voKI if the building or oork authorized by such permit is notrommenced 'Mthin
180 days from the date of such pem,lt or if the building or authorized by such permit is suspended or abanoo!led at any ~me after the v.ork is oommenced for a period of 180 days (Sectbn 100.4.4 Uniform Building Code).
A$ APPLICANT'S SIGNATURE DATE ( ( • 2.. c/ -( C,,_.
• 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.gov or Mail ttie 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
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPrKINS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: _______________ ~
A$ APPLICANT'S SIGNATURE
ASSOCIATED CB#•-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB154074 Type: COGEN PHOTO PIRO RES-PHOTOVOLTAIC SYSTEM
20 ROOF/FLUSH MOUNTED MODULES-6.
Date Inspection Item Inspector Act Comments ------
12/21/2015 35 Photo Voltaic (PV) RI
12/21/2015 35 Photo Voltaic (PV) PD AP
12/21/2015 39 Final Electrical RI
12/21/2015 39 Final Electrical PD AP
Tuesday, December 22, 2015 Page 1 of 1