HomeMy WebLinkAbout2319 KYANITE PL; ; CB153650; Permit-. , City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-27-2015 Cogeneration Permit Permit No:CB153650
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
2319 KYANITE PL CBAD
COGEN
2132801900
$13,200.00
Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
Status: ISSUED
Applied: 10/27/2015
Entered By: RMA
Plan Approved: 10/27/2015
Issued: 10/27/2015
Inspect Area:
Plan Check #:
Project Title: PARK RES-PHOTOVOLTAIC SYSTEM
33 ROOF/FLUSH MOUNTED MODULES-8.41 KW-NO ELECT PANEL
UPGRADE-NO RMA
Applicant:
TAK ELECTRIC INC
STE 18
1654 ILLINOIS AV
PERRIS CA 92571
951 970-3150
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Plan Check Discount
Strong Motion Fee
Green Bldg Stands (SB1473) Fee
$150.07
$0.00
$105.05
$0.00
$0.00
$1.72
$1.00
Owner:
PARK AMY&CLIFF FAMILY TRUST 08-03-04
2319 KYANITE PL
CARLSBAD CA 92009
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $257.84 Total Payments To Date: $257 .84 Balance Due:
Inspector:
FINAL h_ftOYfi,L
Date: I/ O -/ j Clearance:
$0.00
$0.00
$0.00
$0.00
$257.84
$0.00
NOTICE Fleaseta<e NOTICE Iha 'W'C>la ci)W' ~,.; indl.destre "lrrµ,;ticn' cifees, dedcaicrs, -= crcthe.-exalicrs-aJlecovay
referoo to as 'Tees'exalicrs." Yoo rao.e 00 days fn:mtt-e-tns pemit w,s iSSJed to ?'(iest ilTJ)OOtion ci trese fees'exalicrs. If )00 ?ttest ttan )00 nust
fcJlo.vtt-e ?'(iest poa,cl.res set fa1h in QMarmm Code Section 00'.JaJ(a), a-d file tre ?'(iest a-d ,cycthe.-req.jred irtainiion wth 11-e Oty Mn;ger fer
f"Cl(ll5Sirg in a:xudaral wth Catsbal Mrid~ Code Sedion 3.32.CID. FalLre to tirrely fcJICMltha JJOOOCl.re v.ill ta' ,cy sbla:µrt lega ooion to~
re..,;6'N. sEi asiOO, vrid, er a-ru thar irqxl3iticn
Yoo ae t-eret,; FLRJ1-ER NCJTIFIEDtt-at )W' ri911 to ?'(iest tt-e specified fees'exaliC11S IXcS !\Of APR. Y tova.,. am """'1: 0C11necoon-a-d c,p;rjty
d'a-ges, ncr penirg, zmrg, gadrgcrcthe.-snilawicaion f"Cl(ll5Sirgcrsel\Aoefeesin OC11necoon wthtns ~ro. N:RIXcS IT APR.Yto ,cy I . ~ .. . ..
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMATIAPCD
Plan Check No.
Est. Value Ccityof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov SWPPP
JOB ADDRESS <t-'S \ '\ IL SUITE#/SPACEf/UNITt
CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS
DESCRIPTION OF WORK: Include Square Feet of All'ected ArH(sJ
~Cl~ 'f(\l)v,."' ¼~ SJ\<:.-("
°-:) ~ j\/\c)~V' \L~
'd---~\/'-<'\-~<~,
EXISTING USE
APPLICANT NAME
Primary Contact
ADDRESS ~o
PROPOSED USE
,<"6 }-c, \\
GARAGE (SF) PATIOS (SF) DECKS (SF)
PROPERTY OWNER
ADDRESS d-C) \ °\
AIR CONDITIONING
YES□No □
\"'t.,./1
FIRE SPRINKLERS
YES□No□
ZIP
'\ \ 0... 'do ZIP'\ Joo'\
PHONE AX o -o-\a-l"a-
EMAIL
CONTRACTOR BUS. NAME ,1\V~ 0\ f-c,.,
ADDRESS ~\,,..__o, 1\/L s"', 'k
CITY STATE ZIP STATE ~(,~
PHONE FAX PHONE
t\1,\ -;:J.l)o -'.?>lo S"O ~
EMAIL EMAIL
STATE UC.# STATE UC,# CLASS
C\, <\\~ G-10
(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 iss 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 Sec Business and Professions Code} or fhat he is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per clvll penalty of not more than five hundred dollars ($500}).
WORKERS' COMPENSATION
Won(ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
ZIP
\ ls
C\ ~7 \
□ I hive ind wlll maintain I 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 pennit is issued. .
1;2fi have and wm maintain worke,s' compensatr~ as (8QUired by Section 3700 of lhe Labor Code, for the perfonnance of the wo~or wh,Jph this ~rmit is issued. My workers' compensation inslrance carr'j ipclicy
n,mbe,a~, ln'"rance Co 1\1 OW -l_il ( I( \\/\c,,. < \J"V' Pot;cy No. C.,W c., \ 'S D ,'.) J \ !li 7 0 \ Exp;raton Date .,: 8:J __ lo
pii§.section need not be completed If the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfonnance of the work for which this nnit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Fallure to secure workers' co satlon covenge ls I, and shall subject an_ employer to criminal penaltln and civil finH up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damagH as dad for In Section -,,,-·7'.,-or code and attorney's fees.
,65 CONTRACTOR SIGNATURE
I hereby affirm that I am exampt from Contractor's License Law for the following reason:
□
□
□
f, 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 yaar of completion, the owner-builder will have the burden of proving !hat 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. OYes 0No
2, I (have I have not) signed an application for a building permit for !he proposed work.
3. I have contracted with the following person (finn) to provide the proposed construction (include name address I phone I contractors' license number):
4. t 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. I will provide some of the work, but I have contra:ted (hired) the following persons to provide the work indicated {include name/ address I phone/ type of work):
L PROPERTY OWNER SIGNATURE □AGENT DATE
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? 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 conslructed within 1,000 feel 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction lending agency for the performance of the work this perrmt 1s issued (Sec 3097 (1) Civil Code)
lender's Name lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state lhatlhe above lnfonnatlon Is conactand that the Information on the plans Is acante. I agree to complywlth all Cltyon:tlnances and State laws relating to bulclllg oonsb'uctlon.
I hereby authorize re~tative oflhe City of cartsbad to enteru!X)n the aoove mentioned property tir inspecoclfl IXJIJX)SE!S. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY CF CAALSBAD
AGAINST All LIABll.fTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN /WY WAY ACCRUE AGAJNST MID CITY IN CONSEQUENCE OF THE GRANTING OF IBIS PERMIT.
OSHA AA OSHA pennl is rec,.ired for excavaoons 5'0' deep and demolif or coostruction of structures over 3 sk>ries in he,Jht.
EXPIRATION: Every pennil issued by the 8.Jikling · I under lhe f this Code shall expire by lfflitation and OOCXlfTle null and WK! W the lxlikling or v.oo<. authorized by sud! permit is not oommenced 'Mthin
100 days from lhe dafl of such i:e,mil or if the or v.ork auih<>ri21aifbi,fiudl it is susJ)e!lded or abanooned at any time after the w:irl<. is rommenO:ld for a peood of 180 days ( 106.4.4 Uniform 8.Jik:ling Code).
( _IS 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 buildinq@car1sbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DEUVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: _______________ _
Ai APPLICANT'S SIGNATURE
ASSOCIATED CB#------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB153650 Type: COGEN PHOTO PARK RES-PHOTOVOLTAIC SYSTEM
33 ROOF/FLUSH MOUNTED MODULES-8.
Date ln~ection Item Inspector Act Comments
11/18/2015 35 Photo Voltaic (PV) RI
11118/2015 35 Photo Voltaic (PV) PD AP
11118/2015 39 Final Electrical RI
11/18/2015 39 Final Electrical PD AP
Wednesday, November 18, 2015 Page 1 of 1