HomeMy WebLinkAbout2110 BASSWOOD AVE; ; CB154168; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-30-2015 Cogeneration Permit Permit No:CB154168
Building Inspection Request Line (760) 602-2725
Job Address: 2110 BASSWOOD AV CBAD
Permit Type: COGEN Sub Type: PHOTO
Parcel No: 1671303700 Lot #: 0
Valuation: $8,400.00 Constuction Type: NEW
Occupancy Group: Reference #:
Project Title: BERTAND: 21 ROOF MOUNT PV SYS
Status: ISSUED
Applied: 11/30/2015
Entered By: JMA
Plan Approved: 11/30/2015
Issued: 11/30/2015
Inspect Area:
Plan Check #:
Applicant:
SOLARCITY
3055 CLEARVIEW WY
SAN MATEO CA 94402
650-759-4658
Owner:
BERTRAND MICHAEL A&JOYCE
2110 BASSWOOD AVE
CARLSBAD CA 92008
Building Permit
$105.72
PLUMBING TOTAL
$0.00
Add'I Building Permit Fee
$0.00
ELECTRICAL TOTAL
$0.00
Plan Check
$74.00
MECHANICAL TOTAL
$0.00
Add'I Plan Check Fee
$0.00
Additional Fees
$0.00
Plan Check Discount
$0.00
Strong Motion Fee
$1.09
Green Bldg Stands (SB1473) Fee $1.00
TOTAL PERMIT FEES
$181.81
Total Fees: $181.81
Total Payments To Date: $181.81 Balance Due:
$0.00
FINAL AP P AL
Inspector: Date: Clearance:
NOTICE Please take NO11C E that approval of your project induces the "Imposition" d fees, dedications, reserwakiais, or other exactions hereafter co lectively
referred to as'feesiexadicns." You have 90 days from the date this permit vas issued to protest imposition of these fees/exactions. If you protest them you must
follow the protest prone i res set forth in Government Code Section 66020(a), and file the protest and any other regii red information with the City Manager for
processing in acmdarice with Carlsbad MLndpal Code Section 3.32.030. Failure to tirrely follow that prooed<me Wll bar ay subsequent legal action to attack,
review, sot aside, void, or annul their imposition.
You are hereby RJRTI ER NOII R ED that yoLr right to protest the specified feestexactions DOES NOTAPPLY to water and sorer connedion fees and capacity
changes, nor planning, zoning, gad rigor other simlar application processing or service fees in coruiection with this project. NOR DOES IT APPLY to any
f ,,« , 7 ,'. � ^ys�
vt • ��
i HE I OLLOWING APPROVALS REQUIRED PRIOR TO PERMH ISSUANCE: ®PLANNING ®ENGINEERING ®BUILDING ®FIRE ®HEALTH ®HAZMAT/APCD
Building Permit Application
Plan Check No. �t �— 8
lli,,— City Of 1635 Faraday Ave., Carlsbad, CA 92008
Est. Value
Ph: 760-602-2719 Fax: 760-602-8558
plan Ck. Deposit
email: building@carlsbadca.gov
Carlsbad
I Date
Iswppp
www.carlsbadca.gov
JOB ADDRESS /�j I V
SUITE#/SPACE#/UNIT# APN - - -
�I
CT/PROJECT #
LOT #
PHASE #
J#OFUNITS
I#BEDROOMS
# BATHROOMS
TENANT BUSINESS NAME
CONSTR. TYPE
OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
KX PV Array Roof Mount - Modules ; Inverter(s) r/ ; Strings)
�j;i
Main Panel upgrade? ; Flush Mounted?_ q� ; RMA?
I i
i
EXISTING USE
PROPOSED USE
GARAGE (SF)
PATIOS (SF)
DECKS (SF)
FIREPLACE
AIR CONDITIONING
IFIRESPRINKLERS
YES❑# NOD
YES[:]NO
YES❑N0E]
APPLICANT NAME Ama Salce
PROPERTY OWNER NAME
PrimREContact y a
v
ADDSS
2370 Oak Ridge Way
ADDRESS
_
CITY STATE ZIP
Vista CA 92081
CITY STATE ZI
�G9 y 0 A
PHONE
FAX
PHONE
FAX
760-877-4038
EMAIL
EMAIL
asalce(a-)solarcity.com
DESIGN PROFESSIONAL
Same as Contractor
CONTRACTOR BUS. NAME
Solar City Corp.
ADDRESS
ADDRESS
3055 Clearview Way
CITY STATE ZIP
CITY STATE ZIP
San Mateo CA 94402
PHONE
FAX
PHONE
FAX
(650)638-1028
EMAIL
EMAIL
asalce(a_soiarcity.com
STATE LIC. #
STATE LIC.#
CLASS
CITY BUS. LIC.#
888104
1 C46, C1h
1227803
(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, 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 7031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars {$5001).
110
2, .7#45
x.S' ^�"�-.: +a-. sy.,�u 14#4g, �rqr a #,.,<.�z
Workers' Compensation Declaration:) hereby affirm under penalty ofperjury one of the following declarations:
' 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 a certificate of consent to self-ins�Insurance
❑✓ I have and will maintain workers' compensation, as uir700 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. Zuric mer aompany Policy No. WC0182014.00 (AOS) Expiration Date 911116
section need not be completed if the permit is r one hundred dollars ($1 ) or less.
Certificate of Exemption: I certify that in performance of the work r 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
California. WARNING: Failure to secure rkers' compensation co rage 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, da gas as provided for t ection 3706 of the Labor code, interest and attorney's fees.
A!5CONTRACTOR SIGNATURE I�AGENT DATE
_ 77,77 41
^
iF.., ,` ."itiL^¢'b
I hereby affirm that 1 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 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, 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:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. QYes QNo
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 / contractors' 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):
A!5PROPERTY OWNER SIGNATURE ✓❑AGENT DATE
V
41IX"! _%IINI Z1.'T1V'_1 57
V T1,
42, oi,10 "R I 'M,
Is the applicant or future building occupant required to submit business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or25534 of the
Presley -Tanner Hazardous Substance Account Act? 13 Yes 13 No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes C3 No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 13 Yes 13 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.
MK� -i!t,�V
W—K N"i
01 e, vv 3
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec, 3097 (i) Civil Code).
Lender's Name Lender's Address
0,11 all i&A
M
511_,Z,%z1,.�'1111 4W IT11 011ft iL 3,e.
I oarfifythat I have read the application and state thatthe alb9minfo rmal3bi ned and thatthe information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Ca to enter upoVe above on ismenfioned property for inspection purposes, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, C SAND EXPENSE WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for ex ations over 90'deep a demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by th uilding Official under 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
180 days from the date of such permit if the building or wo thorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106AA Uniform Building Code).
)KAPPLICANT'S SIGNATURE DATE // /__3 0// 5—
Inspection List
Permit#: CB154168 Type: COGEN PHOTO BERTAND: 21 ROOF MOUNT PV SYS
Date Inspection Item
12/08/2015 35
Photo Voltaic (PV)
12/08/2015 35
Photo Voltaic (PV)
12/08/2015 39
Final Electrical
12/08/2015 39
Final Electrical
Tuesday, December 08, 2015
Inspector Act Comments
RI AM PLEASE
AEK AP
RI
AEK FI
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