HomeMy WebLinkAbout1999 OLIVINE CT; ; CB160981; Permit. ' City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-14-2016 Cogeneration Permit Permit No:CB160981
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
1999 OLIVINE CT CBAD
COGEN
2132921500
$7,600.00
Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
Project Title: GICKLING: 19 ROOF MOUNT PV
5KW, NO PANEL UPGRADE, NORMA
Applicant:
RECSOLAR/SUNRUN INSTALLATION SERVICES INC
STE 200
775 FIERO LN
SAN LUIS OBISPO CA 93401
858 675-6527
Building Permit $96.85
Add'I Building Permit Fee $0.00
Plan Check $67.79
Add'I Plan Check Fee $0.00
Plan Check Discount $0.00
Strong Motion Fee $1.00
Green Bldg Stands (SB1473) Fee $1.00
Owner:
GICKLING ADAM&RAMONA
1999 OLIVINE CT
CARLSBAD CA 92009
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Status: ISSUED
Applied: 03/14/2016
Entered By: SLE
Plan Approved: 03/14/2016
Issued: 03/14/2016
Inspect Area:
Plan Check #:
$0.00
$0.00
$0.00
$0.00
$166.64
Total Fees: $166.64 Total Payments To Date: $166.64 Balance Due: $0.00
Inspector: ~ Clearance:
NOTlCE: Aease ta<e t,DTICE thal ~ d yo.r p,tjed irdl.des tt-e "lrrpootiai" d fees, dedc,mcns, "'3!ll'l<lia,s, a dh::r EOmicrs t-ere,tter cnledivay
refem,d to as '!ees'eodicro: Yw have 00 days flantl'e -Iii• pemit v,as isaJOd to pntest irrpootia, d tt-ese fees'eodicns. If )OJ !)lttest Ihm )OJ ITlEI
fdlo.vtl'e pntest pra;ecires set lath in G:>lenmrt Cooo Sedi01 Emal(a), en:! filetl'e !)lttest en:! ITTf dh::r r,q.jrad irformiia, v.ilh tl'e Oty lll<mgerfcr
~rg i1,a:x.aca cewth Calsta:i Mridpa Cooo Sedi01 3.32030. Faluetotirrelyfdloothal prca,ci.rewll ta-fnf Slbsecµrt lega a:lkntoata:I<.
re,,,;e.,v, SEi aside, vcid, a anJ thar irfl'.Xlliticn
Ya, a-e 1-.ret,; R.RTl-ER t,DTIRBJ that yo.r rigt to !)lttest tl'e sp,::ified fees'eodia,s OCES l\01' APPLY to-en:l ,.,_ CXJTledia, fees en:! ~ty
cta-ges, ra platirg, zrrirg, gairg a dh::r sinil,r ,wic,ma, ~rg a senAce fees in CXJTledi01 wth tlis p,tjed. I\Cls OCES IT APPL Yto ITT/
vJich a wi lirri ·
•
THE FOLLQWIN'I) Atlf>ROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCD
Building Permit Application Plan Check No.
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value C_cityof
c=arlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date ~ I
'
JOB ADDRESS (V1\1.t, er SUITEI/SPAC£1/UNITf AP s
CT/PROJECT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME
GARAGE (SF) PATIOS (SF) DECKS (SF)
PROPERTY OWNER NAME
ADDRESS
CITY STATE ZIP
lNE FAX
EMAIL
STATE UC.# STATE UC.# tC::D( u ClASS ~
(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 hcensed 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 1031.5 by any apphcant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars {$5001).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 perfonnance of the work for which this permit is issued.
□ I have and will maintain w~~ compem as fflffl tl1 Lat\ Code, for the 'perlormancewmt>~l:n:::e.it i~oed. My wo~e~· compensation ruran, ~1r and policy
numbe,a<1" lnsuraoce Co. LlV[ 3, Pol<y No. l ~ \ fap,ration Date l) · 14
l]Ji§.section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this pennit 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 workers' compensation overage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), in
addition to the cost of com pens n, d es as provided for I ction 3706 oft Labor cod , interest and attorney's fees.
Jt5 CONTRACTOR SIGNATUR
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 'Mthin 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 OYes 0No
2. I (have I have not) signed an application for a building pennit 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 wo111, but I have hired the following person to coordinate, supervise and provide the major work (include name I 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 I address I phone I type of work):
Jt5 PROPERTY OWNER SIGNATUR o/oeNT DATE
•· .
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business ~an, acutely hazardous materials registration form or risk management arKI prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes No
ts the applicant or future building occupant required to obtain a permit from the air ponution control disbict 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
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.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I certify that I have read the appllcatlon and state that the above lnfonnatlon is oorrectand that the infunnatlon on the plans Is accurate. I agree to comply\\tth all City oldlnances and State laws ielatlngto buDding construction.
I hereby authorize re~sentaHve of the City of Carlsbad b enteruJX)ll the above merlioned j'.JC)perty br 'inspection p.i~ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGI\INST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGI\INST SAID CITY IN CONSEQUENCE OF THE CRANTING OF THIS PERMIT.
OSHA: AA OSHA pennil is requred for excavations over 5'0' deep and demolitbn or construction of structures over 3 stories il height.
EXPIRATION: Every pennil issued by the B.Jilding Offdal under the provisbns of this Code shall expire by Imitation and 1:8::ome nul and vokl W the OOilding or v.ork authorized by sud1 permit is not oornmenred 'Mthin
180 days from the date of such pennlt or if the buikf1ng or 'IIOl'k authorized uch pennit is sus or abanooned at any time after the 'Mlrk is oommenca1 bra peood of 180 days {Secmn 100.4.4 Unifonn B.Jilding Code) .
...@S'° 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@cadsbadca.gov or Mall the completed fonn 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 ZI CITY STATE
Carlsbad CA
PHONE FAX
MAIL OCCUPANT'S BUS. LI . No.
DELNERY OPllONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above) ASSOCIATEDCB#-------------
NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER: _______________ _
CHANGE OF USE/ NO CONSTRUCTION
..S APPLICANT'S SJGNATURE DATE
·-----------··--·---·-·--
ZIP
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Inspection List
Permit#: CB160981 Type: COGEN PHOTO
Date ____ Inspection Item Inspector Act
04/18/2016 35 Photo Voltaic (PV) RI
04/18/2016 35 Photo Voltaic (PV) AEK AP
04/18/2016 39 Final Electrical RI
04/18/2016 39 Final Electrical AEK Fl
Monday, April 18, 2016
GICKLING: 19 ROOF MOUNT PV
5KW, NO PANEL UPGRADE, NO RMA
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