HomeMy WebLinkAbout2352 JEFFERS PL; ; CB153771; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-03-2015 Cogeneration Permit Permit No:CB153771
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
Applicant:
2352 JEFFERS PL CBAD
COGEN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
2081620300
$4,800.00
BACHER: ROOF MOUNT PV, 3.18KW
12 MODULES, NO PANEL UPGRADE, NORMA
Owner:
Status: ISSUED
Applied: 11/02/2015
Entered By: SLE
Plan Approved: 11/02/2015
Issued: 11/02/2015
Inspect Area:
Plan Check #:
SOLARCITY BACHER GERALD D&MARIANNA E
3055 CLEARVIEW WY
SAN MATEO CA 94402
650-759-4658
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
$70.24
$0.00
$49.17
$0.00
$0.00
$1.00
$1.00
2352 JEFFERS PL
CARLSBAD CA 92008
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $121.41 Total Payments To Date: $121.41 Balance Due:
Inspector: Clearance:
$0.00
$0.00
$0.00
$0.00
$121.41
$0.00
NOTICE: Aeaseta<e NOTICEtha ~ ciya.rµtjed irdl.desthe "ln,,osruon'' cifees, dedcaions, 1'9931\,'00ons, crctha'exaticrs -cdledil.<ly
referred to as '!eeslexaticrs." Yoo ha-.e 00 daysfn:mthedaletlis pemit v-.es issuedtop,ctest inµsticn cittesefeeslexaticm If )00 Jl'(iest !rem )00 m.st
fcJIONthe Jl'(iest IJ'(X><l.res sa lath in Ca,armrt D:xle Sedicn oo::t!J(a). inl file the Jl'(iest inla,yctha'recµred irfamiicnwth theOtyMng,rfcr
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THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERJNG □BUILDING □FIRE
Plan Check No.
Est. Value ( Cicyof
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 SUITEI/SPACEI/UNl1'
CT/PROJECT# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square ~rt of.Affected Area(s)
K.w3. / ~ PV Array Roof Mount; Modules/~ ; lnverter(s) / ; String(s)___,__/_,
EXISTING USE
APPLICANT NAME
Prfl1a
ADDRESS
CITY
PHONE
Vista
Main Panel upgrade?-1:h____; Flush Mounted?~; RMA? Jo
PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF)
Amaya Salce PROPERTY OWNER NAME
ADDRESS
2370 Oak Ridge Way
STATE ZIP
CA 92081 CITY (;an5'
FAX
760-877-4038 PHONE rJ A-
EMAIL
asalce@solarcity.com EMAIL IJ
DESIGN PROFESSIONAL Same as Contractor CONTRACTOR B
Solar Citv Coro.
ADDRESS ADDRESS
3055 Clearview Way
CITY STATE ZIP CITY STATE ZIP
San Mateo CA
PHONE FAX PHONE FAX (650) 638-1028
EMAIL EMAIL
asalce@solarcity.com
STATE UC.# STATE UC.# CLASS CITY BUS. UC.#
FIRE SPRINKLERS
YES□No□
94402
888104 C46. C1f:I 1227803
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair an~ 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 exempt 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 Declaratlon: / hereby affirm under penalty cf perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for woli<ers' compensation as provided by Section 3700 cf lhe Labor Code, for lhe performance of lhe woli< for which this permit is issued. IZJ I have and will maintain wor1<ers' compensation. as Section 3700 of the Labor Code. for lhe perfonnance ot the woli< for which this permit is issued. My woli<ers' compensation insurance carrier and policy
number are: Insurance Co. Zuri rican urance Company Policy No. WC0182014--00 (AOS) Expiration Date 911/16
~section need not be completed if lhe permit is r one hundred iars ($100) or less. LJ Certificate of Exemption: I certify that In performance of e work for which this permit Is issued, I shall nol employ any person in any manner so as to become subject to the Woli<ers" Compensalion Laws of
Calijomia. WARNING: Failure to secure rkers' compen ti overage Is unlawful, and shall subject an employer to crtminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, da ages as provl fo Section 3706 of the Labor code, Interest and attorney's fees.
~ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the woli< 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 hlmsett or lhrough his own employees, provided lhat such improvements are not Intended or offered for
sale. if, however, lhe building or improvement is sold within one year of completion, the owner-builder will have the burden of proving lhat he did not build or Improve for lhe purpose of sale).
□
□
I, as owner of lhe 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 lhereon, and contracts for such projecls with contractor(s) licensed pursuant to lhe 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. O Yes ONo
2. I (have/ have not) signed an application for a building permit for lhe proposed wonc.
3. I have contracted with lhe following person (firm) lo provide the proposed construction (include name address/ phone/ contractors' license number):
4. I plan to provide portions of the woli<, but I have hired the following person to coordinate, supervise and provide the major woli< (include name /address / phone / contractors' license number):
5. I will provide some of the woli<, but I have contracted (hired} the following persons to provide the woli< indicated (Include name I address/ phone / type of woli<):
~ PROPERTY OWNER StGNATURE @AGENT DATE
Is lhe applicant oi future building occupant required lo submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act.? □ Yes D No
Is lhe applicant or future building occupant required lo obtain a pennit from lhe air pollution control district. or air quality management district.? D Yes D No
Is the facility to be construct.ed 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.
I hereby affinm that there is a construction lending agency for the perfonnance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I cerofylhat I have read theapplicallon andstatethatthea tion is correct and that the lnfonmation on the plans is accurate. I agree to comply~th all City ordinances and State laws relating1D building constJ\Jction.
I hereby authorize representative of the City of the above mentiJned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COST D EXPEN S WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA penmtt is required br excavation over SO' dee and demolition or construction of structures over 3 sbries in height
EXPIRATION: Every penntt issued by the Buildi Official un · ions of this Code shall expire by limitation and become nul and void if the buildng or oori< authorized by such penmit is not cornmenred v.1thin
180days from the dateof sudl penmtt or if the by sud1 penmlt is suspended or abandoned at anytime aftertheoori< is oommenced for a peood of 180days (Seeton 100.4.4 Unibnn Building Code).
Jt5 APPLICANT'S SIGNATURE DATE
Inspection List
Penni!#: CB153771 Type: COGEN PHOTO BACHER: ROOF MOUNT PV, 3.18KW
12 MODULES, NO PANEL UPGRADE, NO
Date __ J_nsf)ection_ltem Inspector Act Comments
11/20/2015 35 Photo Voltaic (PV) RI
11/20/2015 35 Photo Voltaic (PV) PD AP
11/20/2015 39 Final Electrical RI
11/20/2015 39 Final Electrical PD AP
11/18/2015 35 Photo Voltaic (PV) RI
11/18/2015 39 Final Electrical RI
Friday, November 20, 2015 Page 1 of 1