HomeMy WebLinkAbout2425 Mica Rd; ; CBR2018-0460; Permit(city of
Carlsbad
Print Date: 03/23/2018
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2425 Mica Rd
BLDG-Residential
2132701600
$4,800.00
Residential Permit
Work Class: Cogen
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: PRCHAL: 12 FLUSH-ROOF MOUNTED, 4.2 KW, NORMA, NO UPGRADE
BUILDING PERMIT FEE ($2000+)
BUILOING PLAN CHECK FEE {BLDG)
5B1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $121.66
Owner:
COOWNER PRCHAL MICHAEL T AND LINDA A
2425 Mica Rd
CARLSBAD, CA 92009
Total Payments To Date: $121.66
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
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. lf 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 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.
Permit No: CBR2018-0460
Closed• Finaled
02/23/2018
02/23/2018
TFraz
3/23/2018 1:24:35PM
$0.00
$70.61
$49.43
$LOO
$0.62
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602·2700 I 760-602-8560 f I www.carlsbadca.gov
· (~cicyof
Carlsbad
Building Permit Application Plan Check N_o. Cl3LdQ/ 0 i,)4l9G
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 780--802--2719 Fax: 760-602-8558
email: bulldlng@carlsbadca.gov
www.carlsbadca.gov
Est. Value 6
Plan Ck. Deposit
Date
SUITE#/SPACE#/UNIT# -?-70-) e, -00
# OF UNITS # BEDROOMS # BATHROOMS CONSTR. TYPE CCC.GROUP
V ,)....KW
\J" I' c::.e. <.I
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF)
Pfc_
DECKS (SF) FIREPLACE
YES □# __ NO □
AIR CONDITIONING
YES □ NO □
FIRE SPRINKLERS
YES □ NO □
APPLICANT NAME (Primary Contact) /5 r?,._ c(
' ADDRESS
PROPERTY-OWNER NAME/~ / _____ ;(1l c~ae_
ADDRESS 1 kW--~-
'!JG,,;-
EMAIL
DESIGN PROFESSIONAL NAME
ADDRESS
CONTRACTOR BUS. NAME .,L"" .n /) ,e_ /
------1~ ::;-t,t,. 1e50 /8/dr',,~---
ADDRESS '7 h ~ re2'fu. 0 I',
CITY STATE ZIP STATE ZIP __ / ft~7a-Jo7
PHONE FAA
EMAIL
PHONE !FAX
~~---+-=(RI q 1/0 3 3 e> tJ <( I~~-=--~~-
EMAIL f ( ______ J, r-K Cf> -::An o , -e :s o <' r, _c:_o_~
STATE LIC. # STATE LIC.# 17 <!') [j CITY BUS. LIC.#
(Sec. 7031.5 Business and P_rofess1ons 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 D1v1sion 3 of the B_us1ness and Professions Code} or [hat he 1s exemRt 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 c1v1I penalty of not more than five hundred dollars \$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby afflrm under penalty of perjury one of the following declarations:
0 Jh11.ve and will maintain a certificale of consenl lo self-insure for workers' compensation as pro~ided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
IZ]' I have and will maintain workers' COJ11pensation, as requi~d by Sec ti n 3700 of l~abor de, for the _performance of the work for which this permit is issued. My workers' compensati°/ insurance carrier and policy
numberare:lnsuranceCo. ....f-: o (), -Pol1cyNo. citJ!3'b75"""0 ExpirationDate 1 --)., '-/-Jq __ _
This section need not be completed if the permit is for one hundred dollars ($100) or less
D Certificale of Exemplion: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California WARNING: Failure to secure workers' COJ11)ensation coverage is unlawful, and shall subj eel an employer lo criminal penalties and civil fines up 10 one hundred thousand dollars (& 100,000), in
addition to the cost of compensation, damages as rovided for in ection 3706 of the labor code, interest and attorney's fees.
,Ji$ CONTRACTOR SIGNATURE
I here~t I am exempt from Contractor's License Law for the following reason:
□ I, af owneroffli rty 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 app 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 imp ent 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 contrac licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner of
property who builds or improves thereon, and contracts for s
□ I am exempt under Section _____ Business and Professions Code on:
1. I personally plan to provide the major labor and materials for construction of the propose □Yes □ No
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) lo provide the proposed construction (include name address/ p ne I contractors' license number):
4. I plan to provide portions of the work, but I have hired the followir;;i person to coordinate, supervise and provide the m~r work (include name I address / phone/ 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):
,Ji$ PROPERTY OWNER SIGNATURE □AGENT DATE
-CC!MP~ETE 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 A£!? □ 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? 0 Yes D 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 A(iENCY
I hereby affirm that there Is a construction lending agency for the performance of the worl< this permit Is issued (Sec. 3097 (1) CIvII Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above infonnation is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
1 hereby authorize representative of the City of Carlsbad to enter LflOl1 the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH 1/AY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Buikling Official under the provisions of this Code shalt expire by limitation and become null and vod if the building or WOO: authorized by such permit is not commenced within
180 days from the date of such permit or if the building or WOfk authorized by sudl permit is suspended or abandoned at any time after the wor1I. is commenced fora pen"od of 180 days (Section 106.4.4 UnifOOTI Building Code).
,1 .• _ws APPLICANT'S SIGNATURE z ---r--DATE ;;,,_ -~ 9
Permit Type·
Work Class:
Status.
Scheduled
Date
BLOG-Residential
Cogen
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 02/23/2018
Issue Date: 02/23/2018
E>:piration Date: 09/19/2018
IVR Number: 9728
Inspection No. Inspection Status
03/23/2018 0312312018 BLDG-35 Solar
Panel
052624-2018 Passed
March 23, 2018
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
052625-2018
Checklist Item
BLDG-Electrical Final
COMMENTS
Passed
COMMENTS
Owner: COOWNER PRCHAL MICHAEL T
AND LINDAA
Subdivision:
Address: 2425 Mica Rd
Carlsbad, CA 92009-1733
Primary Inspector Reinspection Complete
Tim Frazee Complete
Passed
Yes
Tim Frazee Complete
Passed
Yes
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