HomeMy WebLinkAbout2341 LONGFELLOW RD; ; CB152751; Permit' City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-24-2015 Cogeneration Permit Permit No:CB152751
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
2341 LONGFELLOW RD CBAD
COGEN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
2121423900
$7,200.00
REILLY: PHOTO VOLTAIC
Status: ISSUED
Applied: 08/24/2015
Entered By: SLE
Plan Approved: 08/24/2015
Issued: 08/24/2015
Inspect Area:
Plan Check #:
5.49 KW, ROOF/FLUSH MOUNT, NO PANEL UPGRADE, 18 MODULES
Applicant:
SOLARE ENERGY INC
STE 218
9520 PADGETT ST
SAN DIEGO CA 92126-4452
858-547-4300
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
$96.55
$0.00
$67.58
$0.00
$0.00
$1.00
$1.00
Owner:
REILLY ROBERT W&ELENA
2341 LONGFELLOW RD
CARLSBAD CA 92008
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $166.13 Total Payments To Date: $166.13 Balance Due:
Inspector: Clearance:
$0.00
$0.00
$0.00
$0.00
$166.13
$0.00
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
fe s/ x · n fwhi h h v vio sl b iv n N Tl E imil r this ra t which th stat flimi tin h r vi usl th rwi e x ire.
THE FOLLOWING APPROVALS REQUIRED PRK)R TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCD
· 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
B
Est. Valu
Plan Ck. eposlt
Date ~-Z-/-2'!/f, SWPPP
JOB ADDRESS SUITEt/SPACE#/UNlrt: APN
,z,,1 2.. -l '1 Z---cl<:)
CT/PROJECT# PHASE# # OF UNITS # BEOROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include SquaA1 Feet of Aft'ected Area(s) 5 f L/ q /,(vJ • f V '5y9}-e,/V'\
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIRE SPRINKLERS
YES0N00
PROPERTY OWNER
CONTRACTOR BUS. NAME ,:_A
ADDRESS
CITY STATE ZIP 7,,/?.., (.,,
PHONE '""' '""'
EMAIL
STATE LIC. # STATE LIC.# 1 v/{LOCJ C CITY BUS. LIC.# ? C-l t) 1....35"(,
(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 permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License LawJChapter 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 031.5 by any apphcant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workn' Compensation Declaration: / hereby affltm under penalty of perjury one of the following declarations:
ave and wilt maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the worll for which this pennit is issued.
ave and will maintain workers' compensation, as reQuired by Section 3700 of the Labc\Code, for the perfonnanre worll for which this pennit is issued. My workers' compensation insurance carrier and policy
umbe, "'" lasu,aace Co. ';z+-~ l::e ('I),.,•~ , ~ ~-f\M'-/A Policy No (J_ 'i/p k{ " 7___ E>p;,a1;on Dale Y f }-? j) I L
~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: ! certify that in the pelfonnance of the work for which this pennlt 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 (&100,000), In
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
AS CONTRACTOR SIGNATURE
I hereby effltm 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 Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or ttirough 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. 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 permit for the proposed work.
3. I have contracted with the following person (!inn) to provide the proposed construction (include name address/ phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supe1Vise and provide the major work (ir.clude name/ address I phone I contractors' license number):
5, I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address I phone/ type of work):
~ PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is lhe applicant or future building occupant required to submit a business plan, ocutely 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 disbict or air Quality management district? Yes No
Is the f~lity 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
I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the appllcation and state that the above inbmatlon Is correct.and that the Information on the plans Is aa:urate. I aftee to compty¥oitll all City ordinances and State laws relatlngtD bulldng mnstruction.
I hereby authorize rep-esentative oflhe City of Carlsbad b enterulX)n the aOOve menooned J)'Operly tir ins~n pu[JX)S8S. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL UAflllrTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA permit is required for excavations over 5'0' deep and demolilbn or constructkln of structures over 3 stlries il heQhl.
EXPIRATION: Every permit issued by the Buikling Offda.1 under the provisbns of this Code shall expire by linitalion and berome null and l,00 W the buikling oroork authorized by sudl permit is not oommenca:l wthin
1&1 days from the date of such permit or· Wilding Of',',Ork authorized su It is s or abandoned at any time after the WJfk is rommeoced for a period of 1&1 days (SectK>ll 100.4.4 Uniform Building Code). ,
,#!f APPLICANT'S S1GNATURE DATE -Z/-zc:, -
• 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.
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.
DELIVERY OPrlONS
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: _______________ _
.6$ APPLICANT'S SIGNATURE
ASSOCIATEDCB#:'-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB152751 Type: COGEN PHOTO REILLY: PHOTO VOLTAIC
5.49 KW, ROOF/FLUSH MOUNT, NO PANE
Date Inspection Item Inspector Act Comments
10/22/2015 35 Photo Voltaic (PV) RI
10/22/2015 35 Photo Voltaic (PV) AEK AP
10/22/2015 39 Final Electrical RI
10/22/2015 39 Final Electrical AEK Fl
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