HomeMy WebLinkAbout2417 LAPIS RD; ; CB161925; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-17-2016 Cogeneration Permit Permit No:CB161925
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No: ·
Valuation:
Occupancy Group:
2417 LAPIS RD CBAD
COGEN
2132320300
$7,200.00
Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
Project Title: TIEU: 18 ROOF MOUNT PV
Applicant: Owner:
SEMPER SOLARI$ TIEU ANDY LIANG
1637 TIERRA MONTANOSA
ALPINE CA 91901-2939
619-341-3414
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
$96.85
$0.00
$67.79
$0.00
$0.00
$1.00
$1.00
2417 LAPIS RD
CARLSBAD CA 92009
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Status: ISSUED
Applied: 05/17/2016
Entered By: JMA
Plan Approved: 05/17/2016
Issued: 05/17/2016
Inspect Area:
Plan Check #:
$0.00
$0.00
$0.00
$0.00
$166.64
Total Fees: $166.64 Total Payments To Date: $166.64 Balance Due: $0.00
Inspector: Date: Clearance:
r-.oTICE: Aeaseta<e r-.oTICEtha: ~ cf )l:U i:,tject irdumthe "I . ·c,1· cf fees, dedcaicns, rll!lEfV<EOlS, erctrerexa:licrs -aJledil.<Jy
referred to as '!ees'eJOOicns: Yru t-a.e 00day.sflcmthe-1Hs pemitv,a; iSSJedtopn:iest inµisiticn cf tresefees'eJOOicns. If yru JJctesl trem yru rrust
fdlwthe pn:test ~ SE! forth in Q,,,e,-m-ert Olde Sedicn oo:ro(a), a"d file the JJctes1 a"d ~ ctrer req..ired irtamiicn wth the Oty t,,,lnger fcr
prooes,irg ina:xx:rdaulwth Ga1slm M.ridpa Olde Sedicn 3.32.Cl'IO. Falu-etotirmyfdlwtha: JJ=l(irewll t:a-~5'.tleaµrt lega !dicntoattaJ<,
""'""· SE! aside, vdd er anJ tteir irrµxlition
Yw ae taro; F\Rl1-ER t-.OTIFIB) Ital )l:U ri!tl to JJctesl the sµ,dfied fees'eJOOicns OCES !\Of l'f'PL Yto.aer a"d ,e,e; cxrredia, fees a"d ~
cta-ges, ra plerrirg, zairg gmrg er ctrer snila-,wicaicn prooes,;rg er 58'Aoe fees in cxrredicn wth tis i:,tject. i'CR OCES IT l'f'PL Y to~
I eJOOi v./-ich ·w,; been · r-.oTICE · ·1a-·s erastov./-i the linitaicnshas ctrerw "red.
-THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
Plan Check No.
Est. Value
Plan Ck. Deposit
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 Date '::, • ( 1. / /,:;, SWPPP
JOB ADDRESS
CT/PROJECT# # OF UNITS # BEDROOMS
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~ ~-\ G'o\OyZ ·.
\Q} ~\\\fS ~ \'f\\l{iY¼Y ~
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE UC.#
SUITEt/SPACEf/UNITI APN
# BATHROOMS TENANT BUSINESS NAME
CITY
PHONE
EMAIL
·j
CONSTR. TYPE DCC. GROUP
FIRE SPRINKLERS
YES□No□
0
(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 per_mit to file a signed statement that he is licensed pursuant to the prov1s1ons of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 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: / hereby affirm under penalty of perjury one of the following declarations:
vJ 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
I have and wlll maintain wo~m-~on, a~uired b~~ion 3700 of I.he Labor Code, for the _performance ofl)tM!m:'.!~ is issued. My wo~e~' compensalit i!1utrr·T~a~:licy
number are: Insurance Co. ~ _TI fy\CJi Policy No. ---~--t~u~~""c.+-"--_J_,_~~.,_____ Exp1rat1on Date --~-Ht7h'~1--Jll-'--4~-t-'["--'\.,I'_"'--_
~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 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' mP._ensation coverage is unlawful, and shall subject an employer to crtmlnal penalties and civil fines up to one hundred t ousand dollars (&100,000), in
addition to the cost of compensation, damages a d for I on 3706 of e bor code, I attorney's f es.
_g CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor'.
□
□
□
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 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 Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contraclor(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. DY es ONo
2. I (have I have not) signed an application for a building permit for the proposed work
) to provide the proposed construction (include name address I phone I contractors' license number):
hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number)
d i he following persons to provide the work indicated (include name I address/ phone/ type of work):
JiSPROPER AGENT DATE
.I
-
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 prevenfon program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O 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 application and state that the abate lnfonnation is correct and that the Information on the plans Is accura1e. I agree to comply with all City ordinances and State lav,s relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter uJX)l1 lhe aOOve mentioned property tir inspection l)JrJX)SElS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARi\-1LESS THE CITY OF CARLSBAD
AG-\INST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AG-\INST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA ~rmlt is required for excavabons r 5'0' deep and demolioon or 001strudion of structures over 3 stories i1 height.
EXPIRATION: Every pennit issued by the Buildin ,al unciarlhe J)'Ovisbns of · shall expire by limitation and berome null and vokl W the buikling or'M:lrk authOfized by such pennit is not commenced 'Mlhin
100 days from the date of sucli ~lll71t or if the b · i rk au by SUQ!l)0"'1\is suspended or abandoned at any time after the 'M:lrk is CXJ1T1menced for a ~riod of days ( · n 100.4.4 Unifonn Building COOe)
_15 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.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CONTACT NAME
ADDRESS
CITY STATE
PHONE FAX
EMAIL
DELIVERY OPllONS
□ PICK UP: □ CONTACT (listed above) □ OCCUPANT (listed above)
□ CONTRACTOR (On Pg. 1)
□ MAIL TO: □ CONTACT (listed above) □ OCCUPANT (listed above)
□ CONTRACTOR (On Pg. 1)
ZIP
□MAIL/FAX TO OTHER:---------------~
,.S APPLICANT'S SIGNATURE
CO#: (Office Use Only)
OCCUPANT NAME
BUILDING ADDRESS
CITY STATE ZIP
Carlsbad CA
OCCUPANT'S BUS. llC. No.
□ ASSOCIATED CB#-------------
□ NO CHANGE IN USE/ NO CONSTRUCTION
□ CHANGE OF USE/ NO CONSTRUCTION
CATE
Inspection List
Permit#: CB161925 Type: COGEN PHOTO TIEU: 18 ROOF MOUNT PV
Date .... lnspectionJtem Inspector Act Comments --------------------------
06/16/2016 35 Photo Voltaic (PV) RI
06/16/2016 35 Photo Voltaic (PV) AEK AP
06/16/2016 39 Final Electrical RI
06/16/2016 39 Final Electrical AEK Fl
Thursday, June 16, 2016 Page 1 of 1