HomeMy WebLinkAbout2168 DICKINSON DR; ; CB161003; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-15-2016 Cogeneration Permit Permit No:CB161003
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
2168 DICKINSON DR CBAD
COG EN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
2081821600
$6,800.00
GOMES RES-PHOTOVOL T AIC SYSTEM
Status: ISSUED
Applied: 03/15/2016
Entered By: RMA
Plan Approved: 03/15/2016
Issued: 03/15/2016
Inspect Area:
Plan Check #:
17 ROOF/FLUSH MOUNTED-4.50 KW-NO ELECT PANEL UPGRADE-NO
RMA
Applicant:
SUNCREST SOLAR INC
STE 280
420 E SOUTH TEMPLE
SALT LAKE CITY UT 84111-1365
800-376-4115
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Plan Check Discount
Strong Motion Fee
Green Bldg Stands (SB1473) Fee
$87.98
$0.00
$61.59
$0.00
$0.00
$1.00
$1.00
Owner:
GOMES PAUL J&MOLINA KIMBERLY N
2168 DICKINSON DR
CARLSBAD CA 92008
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $151.57 Total Payments To Date: $151.57 Balance Due:
Inspector: ~ Clearance:
$0.00
$0.00
$0.00
$0.00
$151.57
$0.00
NOTICE: Please take NOTlCE that~ ct your p-oject irdudes tre "lrJ1D'itiori' ct fees, dedicatioos, reservatioos, cr cther exa::tioos hereafter cdledivay
referred to as "fees'exa:tioos." You have 00 days frcrnthe date this pemit 1/>83 issued to protest irJ1D'itim ct trese fees'exa::tioos. If you putest them you rrust
fdlcmtre protest procedures set forth in C?cNemrrent Code &dim 60020(a), ard file tre protest arcl any cther req.ired infooratim wth the Oty Mrager fcr
proressi~ in ax:adanrewth CarlsbOO M.lridpal Code &dim 3.32.030. Faih.retotirrelyfdlcmthat procedure >Mil bar any subsequent legal actimto attack,
review, set aside, void, cr anrti their irJ1D'itim.
You ere rereby FlRll-ER f\OTlREDthat your right to protest thesp:ldfiedfees'exa:tioos !XES NOT .1\PA_vtowater ard ~ oonrroimfees ard capadty
cha-..ges, ncr planni~, zai~, graji~ or cther sinila-applicatim pucessi~ cr servire fees in oonnedim wth tlis p-ojed. l'ffi !XES IT APA_y to any
feffi'exa:tioosctW1id1 have "ousl been ·venaNOTlCEsinilartotlis crastoW1id1trestatutectlinitatimshas "OJSI ctheMisee "red.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITE#/SPACE#/UNIT# 2168 Dickinson Dr Carlsbad, CA 92008
#BEDROOMS #BATHROOMS
Rooftop Solar lnstallation:4.50 kW system size, 17 Q.PRO BFR-G4 265modules, 1 SE3800A-US Solar Edge Inverter
Existing: M in Service Panel 200A BUS, Main
j I
EXISTING USE
APPLICANT NAME
Prinar Contact
ADDRESS
CITY
420 E South Temple
STATE ZIP
Salt Lake citv UT
PHONE FAX
800-376-4115
EMAIL
hubpermitting@2suncrestsolar.com
DESIGN PROFESSIONAL
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE LIC. #
tuo ·
PROPERTY OWNER NAME
ADDRESS
CITY
84111 Carlsbad,
PHONE
EMAIL
CONTRACTOR BUS. NAME
ADDRESS
CITY
Salt Lake Citv
PHONE
800-376-4115
EMAIL
STATE
OOA
Paul J Gomes
2168 Dickinson Dr
STATE ZIP
CA
FAX
Suncrest Solar
420 E South Temple
STATE ZIP
UT
FAX
FIRE SPRINKLERS
YESONoO
92008
84111
(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 i suance, also requires e 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 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 {$500}).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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. 0 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. Contractor's Brokerage Services Policy No. 9117096-14 Expiration Date 11/06/2016
This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, Labor code, interest and attorney's fees. ./
R$ CONTRACTOR ~GENT
I hereby affirm that I am exempt from Contractor's License 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 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes 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 portions 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):
R$ PROPERTY OWNER SIGNATURE 0AGENT DATE
I certify that I have read the application and state that the above information is correct 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 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 issued 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 peiTTiit is not commenced within
180 days from the date of such permit or if the · or work authorized by such peiTTI~ is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 UnifoiTTI Building Code).
(!) -
I ist
Permit#: CB161003 Type: COGEN PHOTO
Date ~. _1!1s_e~c!i_()I1Jtem Inspector Act -----···-----·----------
04/15/2016 35 Photo Voltaic (PV) Rl
04/15/2016 35 Photo Voltaic (PV) AEK AP
04/15/2016 39 Final Electrical Rl
04/15/2016 39 Final Electrical AEK Fl
Monday, April 18, 2016
GOMES RES-PHOTOVOL T AIC SYSTEM
17 ROOF/FLUSH MOUNTED-4.50 KW-NO
Comments -----··----·--··-··-·-
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