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HomeMy WebLinkAbout2506 LA GOLONDRINA ST; ; CB151975; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-25-2015 Cogeneration Permit Permit No:CB151975 Building Inspection Request Line (760) 602-2725 Job Address: 2506 LA GOLONDRINA ST CBAD Permit Type: COGEN Sub Type: PHOTO Parcel No: 2155612400 Lot#: 0 Valuation: $7,200.00 Constuction Type: NEW Occupancy Group: Reference #: Project Title: CONNOR RES-PHOTOVOLTATIC ROOF/FLUSH MOUNT, 18 PANEL, 6.2 KW, NO PANEL UPGRADE Applicant: T AND M SOLAR INC STE D 7848 SILVERTON AVE SAN DIEGO CA 92126-6308 760-703-3890 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 $96.55 $0.00 $67.58 $0.00 $0.00 $1.00 $1.00 Owner: CONNOR DAVID&SALLY 2506 LA GOLONDRINA ST CARLSBAD CA 92009 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Status: ISSUED Applied: 06/25/2015 Entered By: SLE Plan Approved: 06/25/2015 Issued: 06/25/2015 Inspect Area: Plan Check #: $0.00 $0.00 $0.00 $0.00 $166.13 Total Fees: $166.13 Total Payments To Date: $166.13 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: 0 '7 ° Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'foes/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 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 f x i n f whi h o have reviousl b en iv n N Tl E lmilar t this or a to which the stat te of limitati n ha vi I h IWi THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCD Ccityof Building Permit Application Plan Check No. ("fl-., 1~-1q1-s 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ •~ ·-~ 7, 2..oO -Ph: 760-602-2719 Fax: 760-602-8558 Carlsbad Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date i/1-5/ /S TswPPP JOB ADDRESS Lo. Golon.lr/11, st SUITEf/SPACEf/UNITf IAPN SCI iso, z.rs --z. '( -Oo CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME ICONSTR.TYPE I DCC.GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Pv Sokr flus~ mo111f-~~ Ii r•11.,1s I ;nva}-r ,.z f<.,J.e, t(d 5<rvic< "11pfJl'IJ.f. EXISTING USE I PROPOSED USE l GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING I I FIRE SPRINKLERS YESO "'° YES □No □ YES□No□ APPLICANT NAME J11~ ~ol<K PROPERTY ~,/(cl~ ~~-I Col\l\(r' Primary Contact ADDRESS ADDRESS zso, L ... Gc.l,~clr:n"' ~,r CITY STATE ZIP CITY C11,ls'>"-STATE ~z. oc,q r/1 PHONE7f,O 10'.3 J)/f0 IFAX PHONE 3~ 1,w IFAX 760 EMAIL Jl'>.5111>@k11i ..-i So{o.,. C/1 l""l EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME 1 tlV\. So\o,.(' ADDRESS ADDRESS ?g«! 3 s:\Ju-fon Av~ CITY STATE ZIP CITY so STATE ZIP Cl\ qz.iu; PHONE IFAX PHONE160 IFAX 711'3~'10 EMAIL EMAIL [STATE UC.# STATE UC.# ,~'° Clf6 1"~37~,, a.1-1s1, (Sec~ 7031.5 Business and P_rofess1ons 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 apphcant for such per_m1t to ftle a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of 01v1s1on 3 of the Business and Professions Code} or that he 1s exemP.t 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 {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ I have and will maintain a certificate of consent to salf-lnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the worl( for which this permit~ issued. p I have and will maintain worlUKJ' compan1,t1on, as reQuired bv Section 3700 of the labor Code, for the pertorma~ the worl( for wh!_$:~iA_permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co, ,,N'~~ Vl\,ltdfr.c.... Policy No. 'UJlf OOOr, Y ~7 Expiration Date ________ _ ~section need not be completed if the permit is for one hundred dollars {$100) or less. LJ Certificata of Exemption: I certify that in the performance of the won,; for which this permit is issued, I shal not employ any person in any manner so as to become subject to the Worl(ers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to crimlnal penaltln and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor coda, Interest and attorney's fees. ,,,6$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the worl( 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 wiH 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 Ucense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projec15 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 ~an to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 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. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major worl( (include name I address I phone/ contractors' license number): 5. I will provide some of the worl(, but I have contracted (hired) the following persons to provide the worl( indicated (include name I address I phone I type of worl(): 8$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is lhe applicant or Mure 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 Act? Yes No Is the BPPlicant 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? 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 I hereby affirm that there 1s a construction lendmg agency for the performance of the work this perrmt 1s issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have 18ad the application and state that the above inbmatlon Is ooll8Ct and that the infomiation on the plans Is acxuate. I agree II comply\\ilh all Qty ordinances and State laws rulatlngto buHdng construction. I hereby authorize representative of the City of Carlsbad ID enter u~n the ab:lve menooned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CllY OF C.ARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THS PERMIT. OSHA: kl OSHA permit is req..iired for excavaOOns over 5'0' deep and den'\olioon oc constructkln of structures over 3 sk:lries rl hei;Jht. EXPIRATION: Every permit issued by the B.Jik:ling Offcial under the prm,isions of this Code shall expire by Imitation and OOOJme null and YOO K the buik:ling or w:xk authorized by sudl permit is not commenced Vi'ithin 180 days from the dae of su:h permit or if the buiklhg orw:,rk authorized by such permit is suspended or abanOOl'led at any time after the w:,rk is commenced t>r a perkx:l of 100 days (~kln 106.4.4 Uniform Buik:ling Code). ,Nf APPLICANT'S SIGNATURE ~ ~ DATE '/1,s/1s 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) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVER'/' 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/ FAX TO OTHER:---------------~ ...65 APPLICANT'S SIGNATURE ASSOCIATEDCBf, ____________ _ NO CHANGE IN USE/ NO CONSmucnoN CHANGE OF USE/ NO CONSTRUCTION DATE ZIP . . . Inspection List Pennit#: CB151975 Type: COGEN PHOTO Date lnspecti<>ll_ltem Inspector Act ----- 07/09/2015 35 Photo Voltaic (PV) RI 07/09/2015 35 Photo Voltaic (PV) MC AP 07/09/2015 39 Final Electrical RI 07/09/2015 39 Final Electrical MC Fl Thursday, July 09, 2015 CONNOR RES-PHOTOVOLTATIC ROOF/FLUSH MOUNT, 18 PANEL, 6.2 KW, Comments RELEASE E-MAILED TO SDGE Page 1 of 1