HomeMy WebLinkAbout2271 COSMOS CT; ; CB152705; Permit09-03-2015
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB152705
Building Inspection Request Line (760) 602-2725
Job Address: 2271 COSMOS CT CBAD
Permit Type: PME
Parcel No: 2130504100
Reference #:
PC #:
Status:
ISSUED
Lot #: 0 Applied:
08/20/2015
Entered By:
RMA
Plan Approved:
09/03/2015
Issued:
09/03/2015
Inspect Area:
Project Title: PHILIPS-NEW SUB PANEL &
DISCONNECT FOR BATTERY STORAGE - ENERGY MANAGEMENT SYSTEM
Applicant: Owner:
STEM INC KOCH INVESTMENTS L P
100 ROLLINS RD
MILLBRAE CA 94030
415 937-7863
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
12 CHURCHILL LN
RANCHO MIRAGE CA 92270
Total Fees: $321.25 Total Payments To Date
$0.00
$160.00
$0.00
$161.25
$321.25
$321.25 Balance Due: $0.00
FINAL APPROVAL
Inspector:'4Date: �z /� 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 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 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
. .. _ ._ .i_._1 ate_ _a,.—4 ..... k— --in—k, nthPMIICP PynirPri
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING w )ENGINEERING j-JBUILDING UFIKt rttHun L—J----
4
Building Permit Application
Plan Check No.
Est. Value
City of
1635 Faraday Ave., Carlsbad, CA 92008
plan Ck. Deposit
Ph: 760-602-2719 Fax: 760-602-8558
Carlsbad
email: building@carlsbadca.gov
www.carisbadca.gov
Date
SWPPP
JOB ADDRESS �S �1,t�S C'T'
SUITE#/SPACE#/UNI APN
GROUP
CT/PROJECT # LOT #
PHASE # # OF UNITS #BEDROOMS
�#��NANT BOSSINESS NAME CONSTR. TYPE OCC.
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) / ,�` t j�_
IAA AtL-ktfo-' of kFl� �� mil` � �i�✓ C' J ujL 4
tl-( i`1
F"o lil t� H�fi l � �f S'N I^ r-
EXISTING USE
PROPOSED USE
GARDECKS(SF)
AGE (SF)
PATIOS (SF)
DECKS (SF)
FIREPLACE
YES [:]# NOD
AIR CONDITIONING
YES ❑N0[:]
IFIRESPRINKLERS
YESNO[:]
APPLICANT NAME
}� 1
PROPERTY OWNER 1 1 �i Q'
J
Primary Contact
ADDRESS
ADDRESS'
CITY L,,� ' \
ST J� . Z
CITY(Atc 5i mT l�f rE o i 1
P
l t�l`l1 Cl ` l��iJ
Fly
PHONE
FAX
EMAIL
EMAIL
DESIGN PROFESSIONAL
CONTRACTOR BUS. NAME STE /L� PJC ,
ADDRESS
ADDR SS
U� Az o Vh
t� tlwST
CITY
STATE ZIP
CITY TE
Mlt�c(ieh� 44/0- e
PHONE
FAX
PH NE 1
Ll�
FAX
EMAIL
EMAIL)1 lip 5-fe 1. eUki
/�-
STATE LIC. #
STATE LIC.#
CLAS
CITY BUS. LIC.#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, aemousn or re au any suucwie, P �•• -
applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law ffC apter 9, commendingwith 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 ($500)).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one 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.
It and will maintain workers' compensatiog, as required by Section 3700 of the Labor Code, for the performapcce of the work for which this perm),tJ/� Iys�ued. My workers' compensatiq�/� insu(� oe ter and policy
number are: Insurance Co. 7�VT=E Fl Policy No. `� S S Expiration Date r O
This section need not be completed if the permit is for one hundred dollars ($100) or less.
❑ 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' co pensation co er 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, damage:�r.d
for i e706 of the Labor code, in and attorney's fees.
)eCONTRACTORSIGNATURE AGENT DATE
r�
1 hereby affirm that I 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 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
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. ❑Yes [:]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 / 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 I address / phone I 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):
LSPROPERTY OWNER SIGNATURE AGENT 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? 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 constructed within 1,000 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 performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name
Lender's Address
I cerbfythat I have read the application and state thatthe above information is conectand thatthe information on the plans is accurate. I,agree to comptywith 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 permit is not commenced within
180 days from the date of such permit or if the building o>r rk authorize5Xsu�p lit is suspended or abandonedat any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
RE APPLICANT'S SIGNATURE
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 buildlttq@CarlsbadCa.goV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
7CO#�:�(Olfflce)
CONTACT NAME
OCCUPANT NAME
ADDRESS
BUILDING ADDRESS
CITY STATE ZIP
CITY STATE ZIP
Carlsbad CA
PHONE
FAX
EMAIL
OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB#
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
NO CHANGE IN USE / NO CONSTRUCTION
MAIL/ FAX TO OTHER:
CHANGE OF USE / NO CONSTRUCTION
A5APPLICANT'S SIGNATURE
DATE
= Development Services
City SPECIAL INSPECTION Building Division
AGREEMENT 1635 Faraday Avenue
-2719
Carlsbad B-45 arlsba ca.gov
www.carlsbadca.gov
In accordance with Chapter 17 of the California Building Code the following must be completed when work being pertormea
requires special inspection, structural observation and construction material testing.
Project/Permit: ` �' ` Project Address: 6cS t"A 0S C,
A. THIS SECTION MUST BE COMPLETED BY THE PROPERTY OWNER/AUTHORIZED AGENT. Please check if you are Owner -Builder
❑. (If you checked as owner -builder you must also complete Section B of this agreement.)
Name: (Please print) t� �-T 4�)ASk)
2 (First) (M.I) (Last)
Mailing Ad' e _O1 dress_ `'� Pk i lLw `
Email k� S�'I 5_teM . `DYt _ Phone:
I am: ❑Property Owner ❑Property Owner's Agent of Record ❑Architect of Record ❑Engineer of Record
State of California Registration Number: Expiration Date:
AGREEMENT: I, the undersigned, declare under penalty of perjury under the laws of the State of California, that I have read,
understand, acknowledge and promise to comply with the City of Carlsbad requirements for special inspections, structural
observations, construction materials testing and off -site fabrication of building components, as prescribed in the statement of
special inspections n ted on the approved plans and, as required by the California Building Code.
Signature- Date:
B. CONTRACTOR'S STATEMENT OF RESPONSIBILITY (07 CBC, Ch 17, Section 1706). This section must be completed by the
contractor / builder / owner -builder.
Contractor's Company Name: —
Name: (Please print) _ t "C alA - f—
(First) (M.I.)
Mailing Address: i4)1&IIVS - ���LL/� %=
Email: lG/tot/1� S-mil . 6o,-1
Please check if you are Owner -Builder O
(Last)
k
Phone:
State of California Contractor's License Number:__!1" /4/t� _ — Expiration Date:
• I acknowledge and, am aware, of special requirements contained in the statement of special inspections noted on
the approved plans;
• I acknowledge that control will be exercised to obtain conformance with the construction documents approved by the
building official;
• I will have in -place procedures for exercising control within our (the contractor's) organization, for the method and
frequency of reporting and the distribution of the reports; and
• I certify that I will have a qualified person within our (the contractor's) organization to exercise such control.
• I will provide a final report / letter in compliance with CBC Section 1704.1.2 prior to requesting final
inspection.
Signat
Date: l -a)(D l
B-45 Page 1 of 1 Rev. 08/11
Inspection List
Permit#: CB152705 Type: PME PHILIPS-NEW SUB PANEL &
DISCONNECT FOR BATTERY STORAGE -
Date Inspection Item Inspector Act Comments
11/30/2015 39 Final Electrical RI AM PLEASE
11/30/2015 39 Final Electrical PB AP
Tuesday, December 01, 2015 Page 1 of 1
EsGil Corporation
In (Partnerskip witfi Government for Buiffing Safety
DATE: August 31, 2015
JURISDICTION: Carlsbad
PLAN CHECK NO.: 2705
PROJECT ADDRESS: 2271 Cosmos Court
SET: I
❑ PLICANT
JURIS.
❑ PLAN REVIEWER
❑ FILE
PROJECT NAME: Philips Carlsbad Electrical Peak Shaving System
® The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
The plans transmitted herewith will substantially comply with the jurisdiction's
codes when minor deficiencies identified below are resolved and checked by building
department staff.
The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
❑ The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
❑ The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
❑ The applicant's copy of the check list has been sent to:
❑ EsGil Corporation staff did not advise the applicant that the plan check has been completed.
EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted:
Telephone #:
Date contacted: (by: ) Email:
Mail Telephone Fax In Person
REMARKS:
By: Eric Jensen Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ MB ❑ PC 08/24
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
Carlsbad 2705
August 31, 2015
ADO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad PLAN CHECK NO.: 2705
PREPARED BY: Eric Jensen DATE: August 31, 2015
BUILDING ADDRESS: 2271 Cosmos Court
BUILDING OCCUPANCY:
Bldg. Permit Fee by Ordinance i
- $161.25
Plan Check Fee by Ordinance
Type of Review: ❑ Complete Review ❑ Structural Only
❑ Other
❑Repetitive Fee Hourl 1.5 Hrs. @
Repeats o------Y $129.00
EsGil Fee $86.00
* Based on hourly rate
Comments: 1.5 hours plan review. Sheet 1 of 1
macvalue.doc +
1.