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HomeMy WebLinkAbout2502 LA GOLONDRINA ST; ; CB131602; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-17-2013 Cogeneration Permit Permit No:CB131602 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 2502 LA GOLONDRINA ST CBAD COGEN Sub Type: PHOTO 2155612600 Lot#: 0 $6,400.00 Constuction Type: NEW Reference #: HENDRICKSON RES -16 MODULE Status: ISSUED Applied: 07/03/2013 Entered By: SKS Plan Approved: 07/17/2013 Issued: 07/17/2013 Inspect Area: Plan Check#: PHOTOVOLTAIC SYSTEM, ROOF-MOUNTED, NO ELECTRICAL UPGRADES Applicant: Owner: T AND M SOLAR INC HENDRICKSON DENNIS&LENORE REVOCABLE TRUST 08-02- 1653 S CITRUS AVE ESCONDIDO CA 92027-4642 760-522-6324 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 $97.47 $0.00 $68.23 $39.27 $0.00 $1.00 $1.00 2502 LA GOLONDRINA ST CARLSBAD CA 92009 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $206.97 Total Payments To Date: $206.97 Balance Due: Inspector: FINAL APPROVAL Date 0"1 { '2-'el /t3 Clearance: $0.00 $0.00 $0.00 $0.00 $206.97 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." 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 thi 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 lega! 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 f i n whi h I b i n N Tl E imil r wh· h h f \imi i h r i sl h rwi ' , THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE; □ENGINEERING <l~~-~ CITY OF CARLSBAD CT/PROJ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITE• SPACEf/UNIT* BEDROOMS # BATHROOMS DING □FIRE □HEALTH Plan Check No. Est. Value DESCRIPTION OF WORK: Include Square Feet of Atrected Area(s) ~ .. 7+<,f 1/ I b -s .. (,...--P .. V\ -< ~ '-,/ / ,..,, ,-l. .,. i) I "' (2.,c:R:{F ~'--"(\ ~Q I (\,o .e-\ .e__C~ . \.A_pco"7----k '.:) EXISTING USE 5 r:-0 PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESO AIR CONDITIONING No0 YES □No □ APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & AO DRESS STATE UC.# 0HAZMAT/APCD E DCC. GROlJP FIRE SPRINKLERS YES□No□ (Sec, 7031.5 Business .;;ind Professions Code: Any City or County which requires a permit to_ci:instruct. alter, Improve, demol!sh or repair any structur , prior~ its s~ance, also . uires the applicant for such permit to file a s1gned statement that he Is licensed pursuant to the prov1s1ons of the Contractor's License law /Chapter 9, commending with Section 7000 of Dtvis1on 3 of the Business and Professions Code) orfhat he 1s exemP.t 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: / heteby affirm under penalty of pe,jury one of the following declarations: D l_.blve 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. Jiai"" have and will maintain workers' compensation, as re "red by · n 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued. My workers' compensation insurance carrier and policy number"" Insurance Co. + POl;cy No. q o;, S-'-1 l. :l a I ::Z.... Exo<ation Oa~ 1-l-/3,. ~section need not be completed if the pennit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfonnance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage I ful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), ln addition to the cost of compensation, damagn as for In a labor code, Interest and attorney"s fees. _I$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor'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 riot 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 w1lh 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. OYes []No 2. I (have/ have riot) signed an application for a building permit for the proposed work. 3. l have contracted with the following person (firm) to provide the proposed construction (include name address/ phone I 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/ 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/ address I phone I type of work): ..@S' PROPERTY OWN SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required ID 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 pem1it 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 ANAL 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. I C8111fythat I have n,ad the application and state that the above Information Is oonectand that the lnfonnation on the plans Is accurate. I agree to compty'Mth all Clly ordinances and State IBM relating to building construction. I hereby aulhorizB repiese11-of lhe City of Cartbad lo enter u1xm lhe above mentklned property for nspection pufjJOSeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAAMLESS THE CITY OF CARLSBAD ACAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE ACAINST SAID CITY IN C~SEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: /vi OSHA permit is requi'ed br excavations owr 5'0' deep and demditbn or oonstruction of structures over 3 sbries in height. EXP1RA TION: Every permit issued by the B.likling Official under the provisbns of this (:ode shall expire by Imitation and become null and void if the buik:ling or 'M>rk authorized by sudl permit is not oommenced wthrl 180 days from the date of sud'! pemiit or if the buidi'lg or authorized u ~ is suspended or abandoned at any time after the oorkis oommenced fora perbd of 180dcry's (Sedbrl 100.4.4 Unibrm BJikjng O:de). ,l!5 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 lhe completed form to City of cansbad, Building Division 1635 Faraday Avenue, eansbad, Califom~ 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 OPl'IONS 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/ FAX TO OTHER: _______________ _ A! APPLICANT'S SIGNATURE ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB131602 Type: COGEN PHOTO Date Inspection Item Inspector Act --------- 07/26/2013 35 Photo Voltaic (PV) MC AP 07/26/2013 39 Final Electrical RI 07/26/2013 39 Final Electrical MC Fl 07/24/2013 35 Photo Voltaic (PV) RI 07/24/2013 35 Photo Voltaic (PV) MC co 07/24/2013 39 Final Electrical RI 07/24/2013 39 Final Electrical MC co Monday, July 29, 2013 HENDRICKSON RES -16 MODULE PHOTOVOLTAIC SYSTEM, ROOF-MOUNT Comments CALLED IN TO MONICA NOTICE Page 1 of 1