HomeMy WebLinkAbout241 Date Ave; ; CBR2018-3067; Permit(city of
Carlsbad
Residential Permit
Print Date: 12/04/2018 Permit No: CBR2018-3067
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
241 Date Ave
BLDG-Residential
2060911700
$12,000.00
Work Class:
lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check #:
Cogen Status:
Applied:
Issued:
Permit
Fina led:
Inspector:
Closed -Finaled
11/07/2018
11/07/2018
TFraz
Plan Check#:
Final
Inspection: 12/4/2018 10:17:llAM
Project Title:
Description: BRACKMAN: 9.75 KW ROOF MOUNT PV SYSTEM, 30 MODS,! INVERTER
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
581473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $228.15
Owner:
TRUST BRACKMAN FAMILY LIVING TRUST
Po Box 2045
VISTA, CA 92085
Total Payments To Date: $228.15
Contractor:
NB BAKER ELECTRIC INC
1298 Pacific Oaks Pl
Escondido, CA 92029-2900
760-745-2001
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 1T APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$132.70
$92.89
$1.00
$1.56
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING 0 ENGINEERING •BUILDING •FIRE •HEALTH • HAZMAT/APCDl
( City of
Building Permit Application Plan Check No~/%· z.cfo'l
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ff> I:) N'iO.,,,.....
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date JI· J-( ';( lswPPP
JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 206 241 Date Ave -091 -17 -00
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME ICONSTR,TYPE I CCC.GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
PV System -Roof Mount• No Panel Upgrade
Size 9.75 kW -30 Module 1 Inverter
EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES[), NoQ YES •No• YES•No•
APPLICANT NAME Wendy Wilkes PROPERTY OWNER NAME Paul Brackman Prlna~ ""n
ADDRESS ADDRESS
2140 Enterprise St 241 Date Ave
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92029 Carlsbad CA 92008
PHONE I FAX PHONE I FAX 760-546-6022 760-2079731
EMAIL EMAIL
wwilkes@bakerhomeenergy.com paulprogressive@yahoo.com
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Baker Electric Solar
ADDRESS ADDRESS 2140 Enterprise St
CITY STATE ZIP CITY STATE ZIP
Escondido CA 92029
PHONE I FAX PHONE I FAX 760-546-6000
EMAIL EMAIL wwilkes@bakerhomeenergy.com I STATE UC.# STATE LIC.# lcc10/C46 ICITYBUS LIC1221102 858088
(Sec, 7031.5 Business and Professions Code: Any Crty or Coun_ty which requires a permit to_c_onstruct. 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 LawJCha'/'ter 9, comme_ndIng with Section 7000 of D1v1s1on 3 cf the B_usiness and Professions Code) or [hat he is exempt therefrom, and the basis for the alleged exemption. Any violation cf Section 03 .5 by any applicant for a permit subJects the applicant to a cIvII penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / 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 workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
[Z] I have and will maintain workers' compensation, as reQuired by Section 3700 cf the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Old Republic Ins Co -------Policy No. MWC31255500 Expiration Date 3-1-19
This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this pennit 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, lnterest and attorney's fees.
_IS CONTRACTOR SIGNATURE --;2. . IZJAGENT
I hereby affirm that I am exempt from Contractor's License Law for the foliowing reason: •
• •
I, as owner cf 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 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 cf 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 contractcr(s) licensed pursuant lo 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/ have not) signed an application for a building pennit for the proposed work.
3. I have contracted with the following person (finn) to provide the proposed construction (include name address I phone/ contractors' license number):
4, f 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 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 I address/ phone I type of work)
_IS 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 constructed within 1,000 feet of the outer boundary of a school site? D 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
1 hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1v1I Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information is oonect and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the Cify of Carlsbad to enterupon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM:.ESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pemiit is required for excavations over 5'0' deep and demolition or construction of struebJres over 3 stories in hek;ihl
EXPIRATION: Every permit issued by the Bul<ting Official under the provisions of this Code shall expire by Imitation and become nul and void if the buildllQ or work authorized by such permit is not cormienced 'Mlhin
180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandooed at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
,15 APPLICANT'S SIGNATURE DATE //-7 -//
PERMIT INSPECTION HISTORY REPORT (CBR2018-3067)
Permit Type: BLDG-Residential Application Date: 11/07/2016 Owner:
Work Class: Cogen Issue Date: 11/07/2016 Subdivision:
Status: Closed -Finaled Expiration Date: 06/03/2019 Address:
IVR Number: 15239
Scheduled
Date
Actual
Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
12/0412018 12104/2018
December 04, 2018
BLDG--36 Solar
Panel
077762-2018
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
077763-2018
Checklist Item
BLDG-Electrical Final
Passed Tim Frazee
COMMENTS
Passed Tim Frazee
COMMENTS
TRUST BRACKMAN FAMILY
LIVING TRUST
PARCEL MAP NO 17155
241 Date Ave
Carlsbad, CA 92006-7430
Re inspection Complete
Complete
Passed
Yes
Complete
Passed
Yes
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