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HomeMy WebLinkAbout2460 LA COSTA AVE; ; CB154000; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-18-2015 Cogeneration Permit Permit No:CB154000 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: 2460 LA COST A AV CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: 2161601600 $12,800.00 KRAUSS: ROOF MOUNT PV, 8.16KW, 32 MODULES, NO PANEL UPGRADE, NO RMA Owner: Status: ISSUED Applied: 11/18/2015 Entered By: SLE Plan Approved: 11/18/2015 Issued: 11/18/2015 Inspect Area: Plan Check #: SIMPLY SOLAR LLC KRAUSS FAMILY TRUST 03-18-03 1715 WEST 130TH ST UNIT D GARDENA CA 90249 310-532-0995 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 $141.20 $0.00 $98.84 $0.00 $0.00 $1.66 $1.00 2460 LA COSTA AVE CARLSBAD CA 92009 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $242.70 Total Payments To Date: $242.70 Balance Due: Inspector: ~ FINAL ~pp ,S))'_~L Date: ,:}J; .., ' ' Clearance: $0.00 $0.00 $0.00 $0.00 $242.70 $0.00 NOTICE Please-NOTICE that ,wu.a ci)OJl)tject irdudestre"lnµ,;tioo' cifees, dedceiioo,. """"'1Ecrs, orclt...-.,..;iors t-,re,iter cdlecti-..ly ref a-red to as '!ees'.,..;icns." Yoo have 00 days frcXlltre-tlis pemit v,as iss.ed to p-ctest ;rrpo,;tion ci trese fees'.,..;icns. If yoo p,:;est ttan yoo rrust fcilc,,vtre p,:;est IJ'ClOO(ires set forth in G:Mmrert oxi, Section ffi2J(a), ard file tre p,:;est ard anyctt...-req.jred irtamiion wth tre Oty ~ for l)'CO>l,Sirg ii, a.wda re ..Jth Qrisi:,aj M.ridpa Qxl, Section 3.32.C:OO. Faluetoijrrayfclloothat IJ003(i.rewll ta-anysilsecµrt lega ectionto~ re.-iev.i, sa aside, vcid, a i3TU tter irrp:Eiticn Yoo ae reret,, R.RTl-ER NOTIFIED that )OJ ril/1 to p,:;est tre spedfied fees'.,..;iors OCES NCJr i'PF\_ Y to Yaer ard re,e; oonnecton fees ard ~ ~-nor plannrg. zmrg, IJ"drg or ctt...-snil!I' ,wiceiion IJ'CO>l,Sirg or '""'re fees in oonnecton wth tlis l)tject. = OCES IT i'PF\_ Y to any i c:inita"•-•'-'-(Tast rilinitairnc::. . . J 'ITHE F,.OLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCD C_cityof Building Permit Application Plan Check No.('~ \'5-'.i-t-,Cf\ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value l 2 , 'gf"\'i - Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 ' email: building@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date l\/l'n/1'5 ISWPPP JOB ADDRESS 2 4 b O L. ,4 Co <;-r;4 AV&". SUlTEf/SPACEf/UNITI IAPN --- CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I coNSTR. TYPE I acc. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Alea(s) 11.JJ'TA:ll A, no N tJr /la)F /'10U('Jf[{) pv £/STE/1 g J 61( t,.) (JC ? 21"7t?(Jtlt{5 /?.t41,4-N 0 /v1,4!N fANfL up61<_AV[-NO EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) TDECKS (Sf) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES[), No[] YES □No □ YES□No□ APPLICANT NAME PROPERTY OWNER 5 &.ilf /fl?ALISS Primary Contact ADDRESS AOORESS ,2 'I GrJ l-A-CCJ57'A Ave. CITY STATE ZIP CITY CAIZLt8A/J STATE CA ZIP <rzooq PHONE IFAX PHONE ?G0-6 :;z.-2 · 'II.ft I FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ~l1'1Pl'y 5olA-f?. llC- ADDRESS AOORESS/ ':). 15 t.> l]01tf sr #-~£) CITY STATE ZIP CITY(:, /r/lf)t!VA STATE cA ZIP ~ozvr PHONE IFAX PHONE Jto Cft;t-Soff IFA" EMAIL EMAIL I STATE UC.# STATE LIC.# 'f'fooSS I 'LASC. .-1(& I "TY BUS. UC.# (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 ttiat he 1s 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 Workers' Compensation Declaration: I hereby affirm under penatt;, of perjury one of the following declarations: QJ have and wlll maintain a certificate of consent to self-insure for mrkers' 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 will maintain work~rs• com pens on, as required by Section 3700 of the Labor Code, for the performance of the work fo~ ")'h. ~ permit is issued. My workers' compensation insurance carrier and policy numberare:lnsuranceCo. ·-•--c-,-UNo t?lt. Wf. PolicyNo. &:/O 'i_ I'{ Expirat1on □ate ________ _ ~section need not be completed if the permit is for one hundred dollars ($100) or less. U 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' CompensaUon Laws of California. WARNING: Failure to secure workers' compensation erage 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 pro · m Sectio of the Labor code, Interest and attorney's fees. ,.AS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractof's License Law for the following reason: □ □ □ 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 contractor(s) licensed pursuant to the Contractor's License Law), ! am exempt under Section _____ B,usiness and Professions Code for this reason: 1, I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I {have I have not) signed an applica~on for a building permit for the proposed work. 3. I have controcted with the following person (finn) to provide the proposed construction (include name address I phone/ contractors' license number): 4. I 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/ phone/ type of work): ,6$ PROPERTY OWNER SIGNATURE □AGENT DATE J 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 ActJ Yes No Is the applicant or future building occupant required to obtain a pennit 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? 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 applk:ation and state that the above lnfonnation Is conectand that the infonnation on the plans Is accurate. I agree to romply di! all City ordinances and State lav.s relating to IMJilding construction. I hereby authorize representative of the City of Carlsbad to enter ur:x:m the aOOve menOOned property br inspection purp::ises. I ALSO AGREE TO SAVE, INDEMNIFY AfJD KEEP HARMLESS THE CITY OF CAA.LSBAD AC?AINST AlL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AC?AINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: kl OSHA permij is required for excavations over 5'0' deep and demolition or ronstruclion of struch.Jres over 3 stories in height. EXPIRATION: Every permit issued by the Building Offcial under · K:lns of this Code shall by limitation and berome null and vokl if the buikjing orv.orl<. authorized by such permit is not commenced 'Mlhin 180 days from the date of such permit or if the building or rized by su suspended or a doned at any time after the 'Mlrk is oommenced for a perioo of 180days (Section 100.4.4 Uniform Building c.ode). ~ 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 buildinq@carlsbadca.gov or Mail the completed form to City of Garlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. :1.) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. :1.) OCCUPANT (Listed above) MAIL/FAXTOOTHER: _______________ _ A5 APPLICANT'S SIGNATURE ASSOCIATEDCB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB154000 Type: COGEN PHOTO KRAUSS: ROOF MOUNT PV, 8.16KW, 32 MODULES, NO PANEL UPGRADE, NO Date Inspection Item Inspector Act Comments 12/09/2015 35 Photo Voltaic (PV) RI 12/09/2015 35 Photo Voltaic (PV) AEK AP 12/09/2015 39 Final Electrical RI 12/09/2015 39 Final Electrical AEK Fl Thursday, December 10, 2015 Page 1 of 1