HomeMy WebLinkAbout2323 GEODE LN; ; CB160260; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-22-2016 Cogeneration Permit Permit No:CB160260
Building Inspection Request Line (760) 602-2725
Job Address: 2323 GEODE LN CBAD
Permit Type: COGEN Sub Type: PHOTO
Parcel No: 2132721100 Lot#: 0
Valuation: $5,600.00 Constuction Type: NEW
Occupancy Group: Reference #:
Project Title: MENON: 14 ROOF MOUNT PV, 3.2KW
NO PANEL UPGRADE, NO RMA
Applicant:
SULLIVAN SOLAR POWER OF CALIFORNIA INC
STE 101
8949 KENAMAR DR
SAN DIEGO CA 92121
858-271-7758
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
$79.11
$0.00
$55.38
$0.00
$0.00
$1.00
$1.00
Owner:
MENON VANAJA
2323 GEODE LN
CARLSBAD CA 92009
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Status: ISSUED
Applied: 01/22/2016
Entered By: SLE
Plan Approved: 01/22/2016
Issued: 01/22/2016
Inspect Area:
Plan Check #:
$0.00
$0.00
$0.00
$0.00
$136.49
Total Fees: $136.49 Total Payments To Date: $136.49 Balance Due: $0.00
Inspector: Ad: Clearance:
NOTICE: Rease-NOTICE: Iha~ cf )OJ" ~ed ird~the "lrrµstiai' cf fees, dedcaicns, -= crctra-exa:!icrs rereaiter tdledi\ey
rBfa-red to as '!ees'exa:!irns." Yoo 1-a\e 00 cia'ys franthe-ths pemit was iss..<ed to pretest ;rri:,o,;ticn cf tt-ese fees'exa:!icrs. If yru pretest tl"em yru rru;t
fdlo.vthe pretest µ-aro.res set forth in CoJarmrt Code Sedicn 66Wl(a), a-d file the pretest a-d inf ctt-a-req.ired irtoomicn wth the Oty rva-,q,r tcr
p-oa,ssrg in ~wth ca1stm M.ridpa Code Sedicn 3.32030. Falcretotirrayfdlo.vtta i:,ooecl.rewll ta" inf Slb;ecµrt lega octicntoatiaok
re.-ieYJ, set asiOO, vcid, er am tter irrµEiticn
Yoo ae t-aro; FlRT1-ffi N'.JTIFIED ttat )<U rig,! to pretest the specified fees'exa:licrs t:X:ES i'l'.Jl" /'fR Y to w;J.er a-d re,,ier ocnnedicn fees !.-d ~ty
cla"gss, ncr plarirg, zairg, gadrg er ctt-a-srrila ,wicaicn p-oa,ssrg er ,en,;oe fees in ocnnedicn wth ths ~ed. = t:X:ES IT /'fR Y to inf
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THE FOL~OWlNG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING •ENGINEERING •BUILDING •FIRE •HEALTH OHAZMAT/APC0
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
Plan Check NoQ.61 l__o.Q Ul 2D
Est. Value \..s>.00 -
JOB ADDRESS
CT/PROJECT# LOT#
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE
APPLICANT NAME
Primary Contact
ADDRESS
CITY
PHONE
EMAIL
ADDRESS
CITY
PHONE
EMA\L
STATE
FAX
ZIP
STATE UC.#
SUITEI/SPACEI/UNITI
# BATHROOMS TENANT BUSINESS NAME
PATIOS (SF) DECKS (SF)
PROPERTY OWNER
EMAIL
CONTRACTOR BUS. NAME
ADDRESS
CITY
PHONE {&1tt
EMAIL
FAX
CLASS
AIR CONDITIONING
ves0No0
CITY BUS. LIC.#
FIRE SPRINKLERS
YES•No•
, ~ -z-&(,--r(
(Sec. 7031.5 Business and Professions Code: Any City or Coun_ty 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 exemP.t 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
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-Insure for mrkers' compensation as provided by Section 3700 of 111e Labor Code, for the performance of 111e work for which this permit is issued. rsL have and wlll maintain workers' compensaUon, as ~Ji red by Section 3700 of the Labor Code, for the performance of the work for which this ~rmit is issued. My workers' compensation insuranj ~rrier an1,alir:,
nomlJera~:lnsoranceCo E\:.tV1()j7 ./t1.-t'';,l,L M'>tl'«v1[-f PolicyNo. "';;vtvl--:l!>llftj Expiratk>n •ate /-Z-W l!l
'PJ§.section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pelformance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensati coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provide fo n Section 3706 of the Labor code, interest and attorney's fees.
,8$ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractors License Law for the following reason:
l, as owner of the property or my employees with wages as their sole compensation, wrn 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. (f, 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 witt1 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/ have not) signed an application for a building pennitfor the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but l have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide tt,e work indicated (include name I address/ phone I type of work)·
,8$ PROPERTY OWNER SIGNATURE [!jAGENT DATE z. t_-u
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 distr1ct? 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.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I certify that I have read the appllcatlon and state that the above infonnation ls correct and that the information on the plans is accurate. I agree to comply with all City ordinances and S1ate laws relating to building c:onstructlon.
I hereby authorize representative of the City of Cartsbad to enter up::m the alxJve mentioned property br inspection p.Jrposes. \ ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CARLSBAD
AG<\INST ALL LIABIUTIES, JUDGMEITTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOJENCE DFTHE GRANTING OF THIS PERMIT
OSHA: M OSHA permit is required br excavations OYer 5'CJ deep and demolition or construction of structures over 3 stories in height.
EXPIR/\TION: Every pennit issued by the Building Qffcial under the provisbns of this C.ode shall expire by lrTiitalbn and berome null and voKI Wthe OOilding or'Mlrk authorized by such permit 6 notoommenced 'Mthin
180days fi'om the date of such permit(J(if the building or rk authorized by such permit 6 susp:1nded or abandons:! at any ijme after the v.ork is oommenced bra period of 180 days {SectiJn 100.4.4 Uniform Building C.ode),
..@S" 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 building@carlsbadca.gpv 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 BUILD1N ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPllONS
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: _______________ _
A5 APPLICANT'S SIGNATURE
ASSOCIATEDCB#•-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
' . •
Inspection List
Permit#: CB160260 Type: COGEN PHOTO
Date !nspection Item Inspector Act
02/10/2016 35 Photo Voltaic (PV) RI
02/10/2016 35 Photo Voltaic (PV) AEK AP
02/10/2016 39 Final Electrical RI
02/10/2016 39 Final Electrical AEK Fl
Wednesday, February 10, 2016
MENON: 14 ROOF MOUNT PV, 3.2KW
NO PANEL UPGRADE, NO RMA
Comments
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