HomeMy WebLinkAbout2015 CHESTNUT AVE; ; CB111999; Permit09-27-2011
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Cogeneration Permit Permit No:CB111999
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
2015 CHiESTNUT AV CBAD
COGEN Sub Type: PHOTO
2052603000 Lot #: 0
$8,000.00 Construction Type: NEW
Reference #:
SANDY RES- INSTALL ROOF MNT
PV SYSTEM 20 MODULES
Applicant:
SULLIVAN ELECTRIC
7933 SILVERTON AV
SAN DIEGO 92126
858 271 7758
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
ISSUED
09/15/2011
LSM
09/27/2011
09/27/2011
Owner:
SANDY PETER R&FRANCISCO GRACE B
2015 CHESTNUT AVE
CARLSBAD CA 92008
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Plan Check Discount
Strong Motion Fee
Green Bldg Stands (SB1 473) Fee
Total Fees: $216.77 Total
$107.27
$0.00
$75.09
$32.41
$0.00
$1.00
$1.00
Payments To Date:
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
$216.77 Balance Due:
$0.00
$0.00
$0.00
$0.00
$216.77
$0.00
Inspector:
FINAL APPROVAL
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 protestimposition 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 o( limitations has previously otherwise expired.
Building Permit Appli
^ 1635 Faraclay Ave- Carlsbad, CA"N^ CITY OF 760-602-2717/2718/27
C^ARI ^RAITIl Fax:760-602-8558\»*./*r\L.«jD/mLs/ www.carlsbadca.gov
JOB ADDRESS , _. »
CT/PROJECT* LOT# PHASE* # OF UNITS # BEDROOMS
Plan Checcation
92008 Est. Value
19 Plan Ck. D
Date ^ | (
SUITE#/SPACE#/UNIT# APN
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# BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
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CONTACT NAME (If Different Font Applicant)
ADDRESS
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CITY STATE ZIP
PHONE FAX /
EMAIL /
PROPERTY OWNER NAME 75 ,a_ „ \
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ARCH/DESIGNER NAME & ADDRESS STATE LIC. #
PATIOS (SF) DECKS (SF) FIREPLACE
YES D #
APPLICANT NAME o 1
ADDRESS
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AIR CONDITIONING FIRE SPRINKLERS
NO D YES D NO Q YES D NO D
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CITY_ STATE ZIP
PHONE ^~$JX FAX
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CONTRACTOR BUS. NAME ^--~ ,
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CITY STATE ZIP
PHONE
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STATE LIC.#
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CLASS CITY BUS. LIC.#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish orrepair any structure, prior to its issuance, also requires theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: / herebyafUrm under penalty of perjury one of the following declarations:
n 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.
ST I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Co—-. p^->-. .vci-^ fV-c-p ^t G^g. Policy No. C-rQA \'Z_C>g'Z_ Expiration Date \~*~/\ /* < f*\Y
This section need not be completed if the permit is for one hundred dollars ($100) or less.
n 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 become subject to the Workers' Compensation Laws
California. 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 (&100,00/)yin
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
tA-s-A
/ hereby affirm that I am exempt from Contractor's License Law for the following reason:
n 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).
O 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).
O I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes O No
2.1 (have / have not) signed an application for a building permit for the proposed work,
3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / co ntractors' license number):
4.1 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):
5.1 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):
pROPERTY OWNER SIGNATURE DAGENT DATE
Is 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 25534 of the
Presley-tanner Hazardous Substance Account Act? D Yes n No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? CJ Yes D No
IF ANY OF THE ANSWERS ARE YES, /
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
. «|^^^^^Ss£i^^ii^^^^S^^^^^^i^^liMiSii5M^^^^ffi^^^^SM|^^gSin^
i hereby affirm that there is a construction tending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I certify that I have read the application and state that the above infoimation is correct and that the information on the plans is accurate .I agree to comply with all CKy ordinances and State laws relatingto building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. 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 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 ssued 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
^APPLICANT'S SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For: 10/27/2011
Permit* CB111999
Title. SANDY RES- INSTALL ROOF MNT
Description: PV SYSTEM 20 MODULES
Sub Type: PHOTO
2015 CHESTNUT AV
Lot: 0
Type: COGEN
Job Address:
Suite:
Location:
OWNER SANDY PETER R&FRANCISCO GRACE B
Owner. SANDY PETER R&FRANCISCO GRACE B
Remarks: LATE P M PLEASE
Inspector Assignment:
Phone: 8583953958
Inspector:
Total Time:
CD Description
39 Final Electrical
Act Comments
Requested By: DANIEL
Entered By: CHRISTINE
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act Insp Comments
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