HomeMy WebLinkAbout2181 DICKINSON DR; ; CB153869; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-10-2015 Cogeneration Permit Permit No:CB153869
Buildings Inspection Request Line (760) 602-2725
Job Address: 2181 DICKINSON DR CBAD
Permit Type: COGEN Sub Type: PHOTO Status: ISSUED
Parcel No: 2081820600 Lot #: 0 Applied: 11/10/2015
Valuation: $11,600.00 Constuction Type: NEW Entered By: SLE
Occupancy Group: Reference #: Plan Approved: 11/10/2015
Issued: 11/10/2015
Inspect Area:
Plan Check #:
Project Title: ROBERTSON: ROOF MOUNT PV,8.9KW
29 MODULES, NO RMA, NO PANEL UPGRADE
Applicant: Owner:
TIME - 4 -SOLAR INC ROBERTSON FAMILY TRUST 09-25-12
4822 REFUGIO AVE 2181 DICKINSON DR
CARLSBAD CA 92008-3728 CARLSBAD CA 92008
760-421-1897
Building Permit $132.33 PLUMBING TOTAL $0.00
Add1 Building Permit Fee $0.00 ELECTRICAL TOTAL $0.00
Plan Check $92.63 MECHANICAL TOTAL $0.00
Add'I Plan Check Fee $0.00 Additional Fees $0.00
Plan Check Discount $0.00
Strong Motion Fee $1.51
Green Bldg Stands (SB1473) Fee $1.00
TOTAL PERMIT FEES $227.47
Total Fees: $227.47 Total Payments To Date: $227.47 Balance Due: $0.00
FINAL APPROVAL
Inspector: Date: Clearance:
NOTICE: Please take NOTICE that approval of ycu "ed indudes the "Imposition" of fees, dedications, reservatials, or other exactions hereafter collectively
referred to as' fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/e)(ations. If you protest them you mat
follow the protest procedures set forth in Gwemment Code Section 66020(a), "file the protest" arty other reWred irtforrrdcn with the 0ty KU1ager for
processing in accordance with Carlsbad Mndpai Cade Section 3.32030. Failure to tinoly followthat procedLre will bar arty subsequent legai action to attack,
review, set aside, void, or amid their imposition.
You are hereby FURTHER NOII HIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer corr>ecticn fees and capacity
changes, nor planning, zoning, gating or other similar application prooessing or service fees in connection with this project. NOR DOES IT APPLY to arty
fees/exactions ot wh ch vai have ywously been civen a NOTICE sirrilar to this or as to which the statute of limtations has m-AoLdv otherwise red.
Ni a- �i_Lt?+EYINC3 APPInk VALS REQUIRED PRIOR TO PERMIT ISSUANCE: 1)1 ANN1Nt; ENGINEERING BUILDING FIRE :HEALTH FIAZMATiAPCD
Building Permit Application Plan Check No.
CityJ �r C)� 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value r C Cj_
Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit
Carlsbad email: building@carlsbadca.gov
www.carisbadca.gov Date SWPPP
JOB ADDRESS SURE#/SPACE#/UNR# APN
2181 Dickinson Drive, Carlsbad, CA 92008 1208 - 182 - 06 - 00
8.99kW (Rooftop Solar PV System - Approximately 524 sq. ft.
(,2q) iy),J c, .
EXISTING USE
PROPOSED USE
GARAGE (SF)
PATIOS (SF)
DECKS (SF)
FIREPLACE
YESD NCO
AIR CONDITIONING
YES[3NO1:1
FIRE SPRINKLERS
YESMNOC
APPLICANT NAME Time-4-Solar, Inc,
Prhmry Contact
PROPERTrOWNERNAME Robertson Family Trust 09-25.2012
ADDRESS
4822 Refugio Avenue
ADDRESS
2181 Dickinson Drive
CITY
Carlsbad STATE CA ZIP 92008
CITY
Carlsbad STATE CA ZIP 92008
PHONE
(760) 421.1897
FAX
NA
PHONE
(619 ) 990.1411
FAX NA
EMAIL
warty@time-4-solar
EMAIL
scott.robertson@jda.com
DESIGN PROFESSIONAL Time-4-Solar, Inc.
CONTRACTOR BUS. NAME Time-4-Solar, Inc.
ADDRESS
4822 Refugio Avenue
ADDRESS
o Avenue9�
4822 Refugio
CITY
STATE ZIP
Carlsbad CA 92008
CITY
STATE ZIP
Carlsbad CA 92008
PHONE
(760) 421.1897 �—
FAX
NA
PHONE
(760) 421-1897
FAX
NA
EMAIL
warty@time-4-solar.com
EMAIL
marty@time-4-solar.com
STATE LIG, #
991780
STATE LIC.#
991780
CLASS
1 C46
CITY BUS. UC.#
1 1239522
(Sec. 70315 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 031.5 by any applicant fora permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: 1 hereby affirm under penalty of pedutyone of the following declarations:
®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.
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�ermit is issued. My workers' compensation insurance carrier and policy
State Fund Policy No. __-_ 9111946-15 Expiration Date--09112/2016
number are; Insurance Co._ —_-- -- ---- Y ----
j�j� section need not be oompleted if the permit is for one hundred dollars ($100) or less.
uCertificate of Exemption: I certify that in the performance of the work for which this p
California. WARNING: Failure to secure �ided
'pensation coverage rs i
addition to the cost of compensation, damfor in Sect) O6 of the
A5 CONTRACTOR SIGNATURE
issued, I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of
shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
code, interest and attorneys fees.
f-
DATE I///0 .,30
I hereby affirm that / am exempt from Contractors License Law for the followi reason.
I, as owner of the property or my employees with wages as their so mpensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors
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
properly 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. 13Yes �Jo
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 I contractors' license number):
4, 1 plan to provide portions of the wA, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I 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 I WGENT DATE
-77
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? O Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes O No
Is the facility to be constructed within 1,000 feet of the outer boundary of is school site? O Yes O 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 performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I certify fiat I have read the appllcalon and state thatthe above Infamall Is cmectand 1hatthe irdomiation on the plans is acwml e. I agree tD comply wtlh all CAy ordlnartces 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 UABIUTIES, 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 de rnol@ion or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code xpire y limitation and become nun and void if the building or wait authorized by such permit is not oommenced within
180 days from the date cf such permit or if the buf or y uthorized by such pe * suspen or abandoned at any time after the work s commenced for a period of 180 days (Sedbn 106.4.4 Uniform Building Code).
ASAPPLICANT'SSIGNATURE _Z1
/^ -_-) �—_/ � DATE
Inspection List
Permit#: CB153869 Type: COGEN PHOTO ROBERTSON: ROOF MOUNT PV,8.9KW
29 MODULES, NO RMA, NO PANEL UPGR
Date Inspection Item Inspector Act Comments
12/22/2015 35 Photo Voltaic (PV) - RI
12/22/2015 35 Photo Voltaic (PV) AEK AP
12/22/2015 39 Final Electrical - RI
12/22/2015 39 Final Electrical AEK FI
Tuesday, December 22, 2015 Page 1 of 1