HomeMy WebLinkAbout2526 LA GOLONDRINA ST; ; CB153004; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-15-2015 Cogeneration Permit Permit No:CB153004
Building Inspection Request Line (760) 602-2725
Job Address: 2526 LA GOLONDRINA ST CBAD
Permit Type: COGEN Sub Type: PHOTO
Parcel No: 2155610800 Lot#: 0
Valuation: $10,000.00 Constuction Type: NEW
Occupancy Group: Reference #:
Project Title: PENN RES-INSTALL PV SYSTEM
25 MODULES//ROOF MNT//FLUSH//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
$114.59
$0.00
$80.21
$0.00
$0.00
$1.30
$1.00
Owner:
DENNIS LOVES CONNIE LL C
2528 LA GOLONDRINA ST
CARLSBAD CA 92009
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Status: ISSUED
Applied: 09/15/2015
Entered By: LSM
Plan Approved: 09/15/2015
Issued: 09/15/2015
Inspect Area:
Plan Check #:
$0.00
$0.00
$0.00
$0.00
$197.10
Total Fees: $197.10 Total Payments To Date: $197.10 Balance Due: $0.00
Inspector: tyl-~ Clearance:
I\OTICE: Aeasetake I\OTICE!ha ,wo,,a ri)W'Jltject irdLOOStre "lrrµmiorl' rifees, dalcwcm, -= orctt...-e<a:Dorrs tm,ala-cdlectiwly
referred to as '!ees/e<a:Dorrs." Yoo ha-.e 9'.J days frcrntre-tlis pemil ,as issued to pretest ifl'IJCStion rJ trese fees/e<a:Dor-.. If )OJ pretest ttan )OJ nu;t
fdlo,vtre pretest ~ set lath in GMJrmrt Q:de Semon 600:ll(a), a-<j file tre pretest a-<j any ctt...-raµred irformiion wth treaty Mmgerfa-
~~ in axnca rewth Ca1stm M.ridpa Olde Semon 3.32.030. Falcretotirmyf(Jlo,vtha ~wll ta-anySlblecµrt lega don toata:k,
re,,iew, set aside, .tid, or ,rnJ 11-ar irrµmicn
Yoo ,re hereby FlRl1-ER I\OTIFIED !rat )OJ rigt to pretest tre ,..,afied fees/e<a:Dons CXES t\OT /IPA.. Yto waac a-<j se;e-oonndon foos a-<j ~ty
ct-a-g,s, nor ,lann~. zm~. gad~ or ctt...-sinrilS' ,wicwon ~~ or sen,;oe fees in oonndon wth tlis Jltject. N:R CXES IT /IPA.. Y to any
f ctw-ich be"1 . sinrilS' . w-i Ltectli .
THE FO~LOWING \PPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
{city of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No.
Est. Value
Plan Ck. Deposit
Date q 1~ ,_::, SWPPP
SUITEf/SPACEf/UNIT# -0'3 -oo
# OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NA.ME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of AHected Area(•)
-;J.S-$o£)uj6 § tf' 1 5.-t";}'/e {'tJi/J T J./'lvt:/+ar
"7.~ /::u_ /lfO 5-P,v,-e_ up1,r"'-c:Y'--e flWYJ tr-1~
pv '3u/a r
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) FIREPLACE
YESO
AIR CONDITIONING
No□ YES □No □
FIRE SPRINKLERS
APPLICANT NAME
Primary Contact
ADDRESS
CITY
PHONE
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
mONoD
STATE ZIP
FAX
STATE ZIP
FAX
STATE LIC. #
(Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to_construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law JChapter 9, comme_nding with Section 70_00 of D1v1s1on 3 of the Business and Professions Code} or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a perrnIt subiects the applicant to a
cIvII penalty of not more than five hundred dollars ($500)).
WORKERS' COMPENSATUIN
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
□ I ,ve 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 wor'K for which this permit is issued,
!,Jfhave and will maintain worken' compensation, as required by Section 3700 of the Labor Code, for the performance ol the work for which this rmil is issued. My workers' compensation sura e carrier and policy
number are: Insurance co/J..n,.cK,C4,.., Zv Hf Cl.. J:, /1. 5 u ,'ti -cP Policy No. • ... ~ tt:J Expiration Date / 6:J
~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' compensation coverage is unlawful, and shall subfect an employer to criminal penalties and civil fines up to one hundre housand doll art; (&100,000), in
addition to the cost of compensation, damages a rovlded for In Section 3706 of the Labor code, Interest and attorney's fees.
25 CONTRACTOR SIGNATURE lliiil ~ENT
I hereby affirm that I am exempt from Contractors /..Jcense 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) l~nsed 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. 0Yes ONo
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/ phone I contractors' license number):
4, I plan to provide portions of the work, but I have hired the foliowing person to coordinate, supervise and provide the major 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 I address I phone/ type of work)
,a:5 PROPERTY OWNER SIGNATURE □AGENT DATE
• COMPLETE THIS SECTION FOR NON•RESI.DENTIAL BUILDING PERMITS ONLY
Is the applicarit 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 Act? Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality managemer1t 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.
I certify that I have read the application and state that the above information Is conectand that the lnfonnation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representa~ve of the City of Carlsbad to enter up:in the aOOve mentioned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA pennlt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories r1 height.
EXPIRATION: Every pennil issued by the Building Offcial under the provisions of this Code shall expire by imitation and become null and void ~ the building orv.ork authorized by such permit is not oommenced 'Mthin
180 days from the date of such pennit or if the building or v.ork authorized by such pem,lt is suspended or abandoned at any time after the v.ork is oommenced for a period of 180 days {Section 106.4.4 Unifonn Building Code).
~ 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 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.
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/ FAX TO OTHER: ________________ _
Lf APPLICANT'S SIGNATURE
ASSOCIATEDCB#-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
' .
Inspection List
Permit#: CB153004 Type: COGEN PHOTO PENN RES-INSTALL PV SYSTEM
25 MODULES//ROOF MNT//FLUSH//NO PA
Date Inspection Item Inspector Act Comments
09/23/2015 35 Photo Voltaic (PV) RI
09/23/2015 35 Photo Voltaic (PV) MC AP
09/23/2015 39 Final Electrical RI
09/23/2015 39 Final Electrical MC Fl RELEASE E-MAILED TO SDGE
Wednesday, September 23, 2015 Page 1 of 1