HomeMy WebLinkAbout2275 CAMINO ROBLEDO; ; CBR2017-0420; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 04/04/2017 Residential Permit Permit No: CBR2017-0420
www.carlsbadca.gov
Job Address:2275 Camino Robledo
Permit Type:BLDG-Residential Work Class:Cogen Status:Closed -Finaled
Parcel No:2552726500 Lot #:Applied:03/02/2017
Valuation:$7,200.00 Reference #:Issued:03/02/2017
Occupancy Group:Construction Type:Finaled:
#Dwelling Units:Bathrooms:Inspector:AKrog
Bedrooms:Orig. Plan Check #:
Plan Check #:
Project Title:
Description:MOTTA: 18 ROOF MOUNT PV,4.95KW
Owner:Contractor:
MIGUEL MOTTA SUNRUN INSTALLATION SERVICES INC
2275 Camino Robledo
CARLSBAD, CA 92009 295 Trade St
San Marcos,CA 92078-4373
760-290-1588
BUILDING PERMIT FEE $2000+$97.22
BUILDING PLAN CHECK FEE (BLDG)$68.05
561473 BUILDING STANDARDS FEE $1.00
STRONG MOTION-RESIDENTIAL $0.94
Total Fees:$167.21 Total Payments To Date:$167.21 Balance Due:$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction."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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
!THE. FOLL011VING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:0 PLANNING 0 ENGINEERING 0 BUILDING El FIRE 0 HEALTH 0 HAZMATIAPCD
Plan Check No.kfaR.9.1)t—t -0420Building Permit ApplicationCityOf1635 Faraday Ave., Carlsbad, CA 92008 Est. Value -
1 2jcia
760-602-2719 Fax: 760-602-8558Ph:CCarlsbad email: building@carlsbadca.gov Plan Ck. Deposit
11111
www.carlsbadca.gov Date 3-Oa-)7 SWPPP
JOB ADDRESS coiy. rl0
SUITEVSPACEVUNITO
AP;7 -702 -(es -00
CT/PROJECT #LOT #PHASE ##OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK:Include Square Feetof Affected Area(s)
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EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESDt N00 YESONO 0 YES0 NOD
pA rP laCrAyNContact riqiyanacA.0(001.is PROPERTY OWNER ivic iLet
ADDRESS
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DESIGN PROFESSIONA CONTRACTOR BUS. NAME Wi (/SP)
ADDRESS ADDRESS
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CITY STATE ZIP CITY
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ONE FAX PHON
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EMAIL EMAIL
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(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 theapplicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Ucense Law (Chapter 9, commending with Section 7000of Division 3 of theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption.Myviolation 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
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one ofthe following declarations:D 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 ofthe work for which this permit is issued.
1:1 I have and will maintainwAe.rs' com.perisation,Arruired by Section 3700 of the Labor Code, for the performance of theyrykforwirlux per%issued. My workers' compensation
ir6nceiargnd
policy
number are: Insurance Co.tartcn ov2..rtw_n Policy No.1/1/(Onve?Lola Expiration Date
This section need not be completed if the permit is for one hundred dollars ($100) or less.
1:1 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 (8100,000), in
addition to the cost of compensation,ems.as provide In Sect n 16of the Labor code, Interest and attorney's fees.
As'CONTRACTOR SIGNATU-4I a k.41 •Ab.vA AGENT DATE
A •ARA
OWNER -BUILDER DECLARATION
I hereby affirm that) am exempt from Contractor's License Law for the Mowing reason:
EII,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
Ucense 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 ownerof
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.Oyes ONo
sorik.2.I (have /have not) signed an applicationfora building permit for the proposed work.
,Asor 3.I 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 Iaddress/phone /contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (indude name /address/phone/typeofwork):
&PROPERTY OWNER SIGNATUROUkaida VA.41 91;GENT
DATE 3 ct;-
11111111101011101111111MIN OM
.•
COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY
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?CI Yes 0 No
Is the applicant or future building occupant required to obtain a penult from the air pollution control district or air quality management district?CI Yes 0 No
the facility to be constructed within 1,000 feet of the outer boundary of a school site?0 Yes 0 No
Lows 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
MERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 ()Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have rend the application and state thatthe above information is conectand thatthe Intonation on the plansLsaccurate. I agreeto complye4th all Cityordinances and Slate laws relatingto buildingconsbuction.
Ihereby authorize representative of the CityofCarlsbad to enter upon the above mentioned property for inspection purposes.IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permk is requked for excavations over SO deep and demolition orconstruction ofstructures over 3 stories in height
EXPIRATION: Every permit issued by the Building Official under the provisionsofthis Code shall expire by rimftakin and become null and void if the building or work authorized by such permit's not commenced within
180 days from the dateofsuch permit orifthe Ming or work au such pemik is or abandoned at any time after the work is commencedforaperiodof180 days (Section 106.4.4 Uniform BuilingCode).
AtfAPPUCANT'S SIGNATU Olt 040 DATE
/--
STOP
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 building@CarlsbadCa.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
iroono CO#:(Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA•
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DEUVERY OPTIONS
0 PICK UP: CONTACT (listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On Pg.1.)
o ASSOCIATED CB#0 MAIL TO:o CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On Pg d.)o NO CHANGE IN USE/NO CONSTRUCTION
CI MAIL/FAX TO OTHER: CHANGE OF USE/NO CONSTRUCTION
.AKAPPUCANT'S SIGNATURE DATE
441114,
"4411111e
PERMIT INSPECTION HISTORY REPORT (CBR2017-0420)
Permit Type:BLDG-Residential Application Date:03/02/2017 Owner:MIGUEL MOTTA
Work Class:Cogen Issue Date:03/02/2017 Subdivision:
Status:Closed -Finaled Expiration Date:10/02/2017 Address:2275 Camino Robledo
Carlsbad, CA 92009-9346
IVR Number:2228
Scheduled Actual
Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete
04/04/2017 04/04/2017 BLDG-35 Solar 018742-2017 Passed Andy Krogh Complete
Panel
BLDG-Final 018743-2017 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Electrical Final Yes
April 04, 2017 Page 1 of 1