HomeMy WebLinkAbout2417 BURGOS CT; ; CB162069; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-25-2016 Cogeneration Permit Permit No:CB162069
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
2417 BURGOS CT CBAD
COG EN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
2162403701
$8,000.00
HANDELMAN RES-PHOTOVOL T AIC
Status: ISSUED
Applied: 05/25/2016
Entered By: RMA
Plan Approved: 05/25/2016
Issued: 05/25/2016
Inspect Area:
Plan Check #:
ROOF/FLUSH MOUNTED-6.5 KW-NO ELECT PANEL UPGRADE-NO RMA
Applicant:
WEST COAST APPLIANCE SERVICES INC
DBA WEST COAST SOLAR
1282 FAYETTE ST
EL CAJON CA 92020
619-557-0446
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Plan Check Discount
Strong Motion Fee
Green Bldg Stands (SB1473) Fee
$96.85
$0.00
$67.79
$0.00
$0.00
$1.04
$1.00
Owner:
HANDELMAN STEVEN E
6164 CASTEJON DR
LA JOLLA CA 92037
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $166.68 Total Payments To Date: $166.68 Balance Due:
Inspector: fl't· ~S FINAL APfROVAL
Date: t> '!If./ II, Clearance:
$0.00
$0.00
$0.00
$0.00
$166.68
$0.00
NOTlCE: Rease take NOTlCE that arvaval d ycur pqect irdLKles the "lfllXSition" d fees, dedications, resavations, or other exactions hereafter oollectively
referred to as "fees/exactions." You have 00 days from the date this pemit we£ issued to protest ifllXSition d these fees/exactions. If ycu putest trern ycu rrust
fdlowthe putest procedures set forth in Golernrrent O:x:le Section OOJ20(a), and file the putest and any other req.ired infoomtion wth the Oty ~fer
p-ocessing in acrordancewth Ca1sb00 M.uidpal O:x:le Sed:ion3.32.030. Failuretotirrelyfdlowthat procedure \Ail! OOr' anysu00€quent legal octiontoattac:k,
review, set aside, vdd, cr anrU treir iJ11XSition.
You are hereby R.RTHERNOTlREDthat ycur right to putest thesr:ffitied feeslexad:ions !XES NCJf APPL..Ytowater ard S6\ll.ercmredionfees and capacity
dlarg:s, ncr planring, zoning, grading or other sinilar application pu;essing cr servire fees in ocnnection wth this p-qect. I'(R OCES IT APPLY to any
fees/exactions d Wlich VOJ have creviouslv been aiven a NOTlCE sinilar to tns cr as to Wlich the statuted !irritations has creviouslv otherMse exoired.
Cicyof
Carlsbad
OPLANNING 0ENGINEERING
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
JOB ADDRESs Sll-f 17 r3u eG-o> Cil SUITE#/SPACE#/UNIT#
APPLICANT NAME
Primary Contact
ADDRESS
(256
CITY ~ c...H.oi ..... l
EMAIL
ADDRESS
CITY
PHONE
EMAIL
Osu LDING OFIRE
STATE
FAX
SWPPP
ZIP
FIRE SPRINKLERS
YESONoD
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME LV Q Tt (.oM....( PkP \) L I ~c.&-
ADDRESS
CITY STATE ZIP STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
STATE LIC. # STATE LIC.#
(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 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 Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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.
B'have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation 'nsuran carrier and policy
number are: Insurance Co. ~~ l :n:r ~ Ylfrt: I,.._<;. -Policy No. w c...-oo { 9'1 oq 6-6 Expiration Date '0( 17
This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 0 Certificate of Exemption: I certify that in the performance 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' compensation is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand (&100,000), in
addition to the cost of compensation, damages as provj ed for in of the Labor code, interest and attorney's fees.
Ji:S CONTRACTOR SIGNATURE 0:;::/_.----, AGENT
I hereby affirm that I am exempt from Contractor's Ucense Law for the foltowing reason:
D
D
0
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 Contractors
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 exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors 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. DYes DNa
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 I contractors' license number):
4. 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I 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 I phone I type of work):
Ji:S PROPERTY OWNER SIGNATURE 0AGENT DATE
I certify that I have read the application and state that the above infonnation is conectand that the infonnation 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 City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFTHE GRANTING OF THIS PERMIT.
OSHA: An OSHA penn it is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every penn it issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such pennit is not commenced within
180 days tram the date of such pennit or if the building or work autho~ such penn it is suspended or abandoned at any time after the work is commenced for · of 180 (Section 106.4.4 Unifonn Building Code).
A5 APPLICANT'S SIGNATURE _....... c::::)_9~ ~ 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.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CA
DELIVERY OPTIONS
PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATED CB#------------MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER:-----------------o CHANGE OF USE/ NO CONSTRUCTION
A$ APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB162069 Type: COGEN PHOTO
Date _ _JnsJ:>_ection !!~m Inspector Act
06/16/2016 35 Photo Voltaic (PV) Rl
06/16/2016 35 Photo Voltaic (PV) MC AP
06/16/2016 39 Final Electrical Rl
06/16/2016 39 Final Electrical MC Fl
06/10/2016 35 Photo Voltaic (PV) Rl
06/10/2016 35 Photo Voltaic (PV) MC co
06/10/2016 39 Final Electrical Rl
06/10/2016 39 Final Electrical MC co
Friday, June 17, 2016
HANDELMAN RES-PHOTOVOL TAlC
ROOF/FLUSH MOUNTED-6.5 KW-NO ELE
Comments
RELEASE E-MAILED TO SDGE.
AFTER 2:00
NOTICE
AFTER 2:00
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