HomeMy WebLinkAbout2041 CORDOBA PL; ; CB150855; Permit03-23-2015
Job Aijdress:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Cogeneration Permit Permit No:CB 150855
Building Inspection Request Line (760) 602-2725
2041 CORDOBA PL CBAD
COGEN Sub Type: PHOTO
2073007600 Lot #: 0
$8,000.00 Constuction Type: 5B
Reference #:
BOWER: 20 ROOF MOUNT PV PANELS
Status: ISSUED
Applied: 03/23/2015
Entered By: JMA
Plan Approved: 03/23/2015
Issued: 03/23/2015
Inspect Area:
Plan Check #:
Applicant:
SEMPER SOLARIS
Owner:
BOWER JEROME L&SUSAN M
1637 TIERRA MONTANOSA
ALPINE CA 91901-2939
619-341-3414
2041 CORDOBA PL
CARLSBAD CA 92008
Building Permit $96.55 PLUMBING TOTAL $0.00
Add'l Building Permit Fee $0.00 ELECTRICAL TOTAL $0.00
Plan Check $67.58 MECHANICAL TOTAL $0.00
Add'l Plan Check Fee $0.00 Additional Fees $0.00
Plan Check Discount
Strong Motion Fee
Green BIdg Stands (SB1473) Fee
$0.00
$1.04
$1.00
TOTAL PERMIT FEES $166.17
Total Fees: $166.17 Total Payments To Date: $166.17 Balance Due: $0.00
Inspector:
FINAL
Date
^L APPROVAL
:Vg^/^ Clearance:
NOTICE: Please take NOTICE that approval of your project includes the %iposition^fees, dedications, reservations, or other exactions hereafter collectively
refen-ed to as "fees/exactions." You have 90 days from the date this pemit v^as 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 infonnation with the City iWanagerfor
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 vou have previouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: nPLANNING OENGINEERING nBUILOING nFIRE QHEALTH •HAZMAT/APCD
City of
Carlsbad
Building Pernnit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax:760-602-8558
email: building@carlsbadca.gov
www.carfsbadca.gov
Plan Check No.<^p^15". QQ^S^
Est. Value
Plan Ck. Deposit
Date 3/2.3 \lT SWPPP
JOB ADDRESS 20^1 CO\'doba PL SUITE*/SPACE#/UNIT*
CT/PROJECT tt It OF UNITS tt BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Areafs)
2J> ^^AJ]eu>
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES|~|» NO| I
AIR CONDITIONING
YES I |NO| I
FIRE SPRINKLERS
YES I |NO| I
APPLICANT NAME
Primary Contact
PROPERTY OWNER
ADDRESS _ ,^ , 1^ . ^
TFV
ADDRESS
^\ eg ion
I ONE ^
STATE >• ZIP
9 20ZI
CITY ^ . , , STATE , ZIP^, ^
PHONE FAX
EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
ADDRESS ADDRESS
STATE TziP ' CITY STATE ZIP STATE
PHONE FAX PHONE
EMAfL — ; EMAIL
^"i ' I r-i AQt; I CITY BUS. LIC.# ^
civil penalty of not more than five hundred dollars ($500)).
also requires the 30 of Division 3 ofthe subjects the applicant to a
ORKERS' COMPE N I # tt O N ju •ll
Workers' Compensation Declaration: / hereby afftrm under penalty of perjury one ofthe following declarations:
• I have and will maintain a certificate of consent to seif-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pemiit is issued.
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' compensationinsipnce carrier and policy
number are: Insurance Co. 'S'f^^^^:/ f C^C^ ff^ • Policy No.*"? 0 2.^ 7- ~~l ^ Expiralion Dale / 0/1 Ol I ^
This section need not be completed if the permit is for one hundred dollars ($100) or less.
I I Certificate of Exemption: I certify that in the perfonnance of the wori< 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 of
Califomia. 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, damuts as provided fo^ in Se^^iJ/^ of tliuLaLiui luUe, interest and attomey's fees.
>gS^ CONTRACTOR SIGNATURE ^j^ENT DAT^j/^2^.^//^
O WMER-BUILOEIt OECLARATIOM
/ hereby affirm that I am exempt from Contractor's Ucense Law for the foltowing reason:
I I I, as owner of Ihe properly 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
Ucense Law does not apply to an owner of pniperty 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).
I I 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).
• 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. ^^Yes I iNo
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 constniction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the wort(, but i have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number):
5. i wili provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of wort():
PROPERTY OWNER SIGNATURE QAGENT DATE
#oi«^EtiET,i. rifts SECTION Fois NOM-ttEsiDENTiAi B u i t o t H G PM^M m iwit-oWir
Is the applicant or future building occupant required to submit a business plan, acutely hazanlous 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 constnjcted within t ,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.
I hereby affirm that there Is a construction lending agency for the perfonnance 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 applkBtnn and state that the above information is correct and that the inlbimation on the plans is accurate. I agree to comply with all City oidinances and State laws relating to building constructfon.
I hereby authorize nepresentative ofthe City of Carisbad to enter upon the above mentbned property for inspeclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST AU 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 pemnit is required for excavations over 5'0' deep and demolition or constnjction of structures over 3 stories in height.
EXPIRATION: Every penmit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the buikJing or vmrk authorized by such pennit is not commenced within
180 days from the date of such pemnit or if the buMing or no&. authorized by such pemnit is sjtfpended or abandoned at any time after the is commenced for a period of 180 days (Section 106.4.4 Unifonn BuikJing Code).
vfilfAPPLiCANT'S SIGNATURE ///yfy^ ^ 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 buildlnq(5)carlsbadca.qov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY
Carlsbad CA
PHONE
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCU PANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
ASSOCIATED CB#-
MAIL/FAX TO OTHER:
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
>ef APPLICANT'S SIGNATURE DATE
Inspection List
Permit*: CB150855 Type: COGEN PHOTO BOWER: 20 ROOF MOUNT PV PANELS
Date Inspection Item
05/20/2015 35
05/20/2015 35
05/20/2015 39
05/20/2015 39
05/18/2015 35
05/18/2015 39
Photo Voltaic (PV)
Photo Voltaic (PV)
Final Electrical
Final Electrical
Photo Voltaic (PV)
Final Electrical
Inspector Act
Rl
Comments
SP
SP
AP
Rl
Fl
Rl
Rl
Wednesday, May 20, 2015 Page 1 of 1