HomeMy WebLinkAbout2321 GALENA AVE; ; CB162994; PermitCity of Carlsbad
• 1635 Faraday Av Carlsbad, CA 92008
08-04-2016 Cogeneration Permit Permit No:CB 162994
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
2321 GALENA AV CBAD
COGEN
2132430400
$9,200.00
Sub Type: PHOTO
Lot#: O
Constuction Type: NEW
Reference #:
COLE, PHOTO VOLTAIC, 23 MOD.
7.935 KW
Owner:
Status: ISSUED
Applied: 08/04/2016
Entered By: JW
Plan Approved: 08/04/2016
Issued: 08/04/2016
Inspect Area:
Plan Check #:
Applicant:
CALIFORNIA PREMIER SOLAR CONSTRUCTION HARLEMAN THOMAS W JR&DEBRA A
P O BOX 460267
ESCONDIDO CA 92046
760 489-5800
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
2321 GALENA AVE
CARLSBAD CA 92009
$114.59 PLUMBING TOTAL
$0.00 ELECTRICAL TOTAL
$80.21 MECHANICAL TOTAL
$0.00 Additional Fees
$0.00
$1.20
$1.00
TOTAL PERMIT FEES
Total Fees: $197.00 Total Payments To Date: $197.00 Balance Due:
Inspector:
FINAL APPROVAL
-f'-1J Date: Clearance:
$0.00
$0.00
$0.00
$0.00
$197.00
$0.00
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referred to as 'feesfexa:jja,s," Yoo rave OOdays tranthe-ltis ~t""' issued to f'dest irrµ,,iticn dthesefeeslexa:jjcnt If yoo f'dest them yoo mst
fdlONthe f'dest ~ set lath in GMmrert Code Sacticn ffi'.l20(a), ..-dfiletre f'dest ..-d a,yctrerreqjroo irtamiicnv.ith theOtyMrngertcr
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chrgas, ncr l)aTirg, zmrg, gairg cr ctrer arrila' apl)icaicn ~rg cr SEJ'lioe fees in arnecticn v.ith !tis r:,tject. N:R CCES IT />FRY to a,y
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THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: • •PLANNING 0 ENGINEERING •BUILDING •FIRE •HEALTH 0 HAZMAT/APCD . i,, Building Permit Application Plan Check No . Cf31'2.'11~
~ ... 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. DeP,OSlt CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date 'f I '/ I 1-' iswPPP
JOB ADDRESS SUITE#/SPACEI/UNIT# I APN 2321 Galena Ave ---
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# B~OROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTA. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Roof Mount PV Install 23 Modules 7.935 KW
EXISTING USE I PROPOSED USE IGARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING I I FIRE SPRINKLERS
YESQ N<O YES•No• v,s•No•
APPLICANT NAME (Primary Contact) California Premier Solar APPLICANT NAME (Secondary Contact) Jennifer/Randy Cole
ADDRESS ADDRESS
C-------485 Corporate Dr 9880 Maqnolia Ave #119
CITY STATE ZIP CITY STATE ZIP Escondido, Ca 92029 Santee CA 92071
PHONE I FAX PHONE I FAX 1760) 489-5800 619-405-2648 619-330-4796
EMAIL EMAIL
jennifer@permitrunner.net
PROPERTY OWNER NAME Tom Harleman CONTRACTOR BUS. NAME California Premier Solar
ADDRESS ADDRESS 2321 Galena Ave 485 Corporate Dr
CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Escondido, 92029 PHONE IFAX PHONE IFAX 1760) 476-9177 (760) 489-5800
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# I's. c1 o I CITY ,u,. "'1240830 970445
(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 the applicant for such per_mit 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 for a permItsubJects the applicant to a civil penalty of not more than five hundred dollars {$500}).
Workers' Compensation Declaration: I hereby affirm under penalty of pedury one of the following declarations:
-
D I have and will maintain a certificate of consent to self-insure formrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the mr1( for which this permit is issued
[Z] I have and will maintain workers' comDensatlon, as 1'8QUired bv Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. My wor1(ers' compensation Insurance canier and policy
number are: Insurance Co. employee service group Policy No. WC5818634 Expiration Date 12/31/2016
~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 performance of the wor1( for which this permit Is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensa~on Law.; of
California. WARNING: Failure to secure woril.ers' compensation cove . e is unlawful, and shall subject an employer to criminal penalUes and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as rovided for i ion 3706 of the Labor code, interest and attorney's fees,
~ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for th6 following reason: •
• •
I, as owner of the property or my employees with wages as their sole compensation, will do the wor1( and the structure is not inter,ded 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 exclusJvely 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. 0Yes 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/ contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, Sl.lpervise and provide the major wor1( (include name/ address/ phone/ contractors' lk:ense 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/ phone/ type of wor1():
Ji5 PROPERTY OWNER SIGNATURE •AGENT ________ _..,.._ DATE
IC/1./310
. .
COMPLETE THIS SECTION FOB NON•BEHDENTIAL BUILDING PEffMJTS ONLY ' . '
Is the appllcant or Mure bulldlng occupant required to submit a business plan, acutely hazardous materials registration form or risk managementalll prevention program Lineler Sections 25505, 25533 or 25534 of the ,..
Presley-Tanner Hazal'dous Substance Account Act? • Yes • No
Is the applleant or Mure building occupant required to obtain a permit from the air pollution control district or air quality management distr1ct? • Yes • ND
Is the foolllty to be constructed within 1,000 feet of the outer bour.d;ry of a achool site? • Yes • No
IF ANY OF THE AN8WeRS 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 certify that I have read the appllcation and state that the a!x,te infonnatlon Is conectand that the Information on the plan& is accurate. I agree to comply'Mth all Cit'/ ordinances and State laws relating to building construetlon.
I hef8by authorize representative of the City of Carlsbad to enter upon the above mentkmed propertyfOr \nspeclkln p..trp:>SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All UABIUTIES. JUOOMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
1
OSHA: An OSHA pemilt is required for excavations over 5'0' deep and demdltkln or construction of s~ctures over 3 stories in height.
EXP1RA TION: S.very permit issued by the Bulkllng Offlclel under the provisions of lhl e shall expire by lil'nilation Md become nu! and VJid ff the building or work auttoriz.oo by such permit is not oommenced Within
180 days from the date of such permit or ff the bulkling or won< uthoriZed by , 'It is suspended or abandoned at any time aflerthe WO!X IS commenced for a perkxl of 180 days (Section 106.4.4 Unibrm Buildrlg Cooe),
Jl5 APPLICANT'S SIGNATURE DATE 8/3/16
'
Inspection List
Pennit#: CB162994 Type: COGEN PHOTO
Date Inspection Item Inspector Act
09/08/2016 35 Photo Voltaic (PV) RI
09/08/2016 35 Photo Voltaic (PV) JW AP
09/08/2016 39 Final Electrical RI
09/08/2016 39 Final Electrical JW AP
Friday, September 09, 2016
COLE, PHOTO VOLTAIC, 23 MOD.
7.935 KW
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