HomeMy WebLinkAbout2551 Ingleton Ave; ; CB154488; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-17-2015 Cogeneration Permit Permit No:CB154488
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
2551 INGLETON AV CBAD
COGEN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
2131305400
$5,200.00
Project Title: QUINBY RES-PHOTOVOLTAIC SYSTEM
Status: ISSUED
Applied: 12/17/2015
Entered By: RMA
Plan Approved: 12/17/2015
Issued: 12/17/2015
Inspect Area:
Plan Check #:
13 ROOF/FLUSH MOUNTED MODULES-4.4 KW-NO ELECT PANEL
UPGRADE-NO RMA
Applicant: Owner:
SEMPER SOLARIS QU INBY DAVID L&LINDA J
1637 TIERRA MONTANOSA
ALPINE CA 91901 -2939
619-341-3414
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
$79.11
$0.00
$55.38
$0.00
$0.00
$1.00
$1 .00
2551 INGLETON AVE
CARLSBAD CA 92009
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $136.49 Total Payments To Date : $136.49 Balance Due:
$0.00
$0.00
$0.00
$0.00
$136.49
$0.00
Inspector: ~ Clearance: ------
I\OTlCE: Rease ta<e I\OTlCc thci ~ r:J yar ptject irdl.rl9s tre "111"\'.X)Sitim'' d fees, c:tooecticns, reseMticns, er ctt-Er exai!CTS taeEtta-rolectively
re<Emld to as "fees'exa::tiCTS." Ya.i rave 00 days frcrntre date ttis poorit wa; issued to pretest irrµisitim d trese fees'exai!CTS. If~ pretest tt-an ~ rrust
fdlo.vtre pretest ~ set fath in C?ole!rrra1 Oxle ~a, OOID(a}, a"d file tre pretest a"d cny dt-Er rEQ..iroo irtamiim wth tre Oty ~ fer
p-cressirg in a:x:rrclcrc2 v,,ith Ca1sba::l M.rid~ Oxle ~a, 3.32.030. FalLre to tirrely fdlo.vthci iro:m,re wll ta' ITT-/ Slb;ecµrt lega aiia, to atta::k,
relliew, set aside, vdd, er anJ tf-eir irrµisitim
• 'THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING 0 BUILDING O FIRE
{'City of
Carlsbad
JOB ADDRESS
CT/PROJECT#
CITY
PHONE
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
STATE
FAX
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEt/SPACEt/U
Est. Value
Plan Ck. Deposit
# BEDROOMS # BATHROOMS TENANT BUSINESS NAME
GARAGE (SF)
ZIP CITY
STATE UC.#
CONSTR. TYPE
FIRE SPRINKLERS
YESO NoD
q
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure. prior to its iss ance. als requires e applicant for such permit to file a signed statement that he is 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 Declaration: I hereby affirm under penalty of perjury one of the following declara6ons: D I have and will maintain a certificate of consent to self-Insure for "MJrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pennit is issued.
0/h'ave and will maintain workers' m e s ion, as r ired by tion 3700 of the Labor Code, for the _perfonnance of u,T,~~,~~~ issued. My workers' compensati 1'.)s ance a ·
'7":umber are: Insurance Co. Policy No. ~lli.J:--1Q__ Expiration Date-~~,_...,.__,.,.....~---
~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 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' co pensatlon coverage 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 · ed for n Secti 370 he Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE I
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D
D
D
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 win 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).
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. 0 Yes 0 No
2. I (have I have not) signed an application for a building pennit for the proposed work.
3. I have contracted with the following person (finn) 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 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 followi rsons to provide the work indicated (include name I address I phone I type of work):
JiS PROPERTY OWNER SIGNATURE DATE IZ
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 Acri Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management districrt 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 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.
I hereby authorize representative of the City of Carlsbad to enter urxio the above mentioned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSEVID
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 permn is required for excavations over 5'0' deep and demolitoo or OO'lstrudoo of structures over 3 stories i1 height.
EXPIRATION: Every permit issued by the Building · I u r the provisons of this shall expire by limitation and recome null and voo ~ the building or 'Mlrl< authorized by such permit is not cx,mmenred "Mlhin
180days from the date of such permit or if the build' authoriz by such it is sus or aban<bned at any time after the v.ork is cx,mmenced for a per'OO of 180days (Sedon 100.4.4 Uniform Building Code).
fl5 APPLICANT'S SIGNATURE
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.
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:-----------------
,I$ APPLICANT'S SIGNATURE
ASSOCIATED CB#•-------------
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
,, .
Inspection List
Permit#: CB154488 Type: COGEN PHOTO
Date Inspection Item Inspector Act
02/25/2016 35 Photo Voltaic (PV) RI
02/25/2016 35 Photo Voltaic (PV) AEK AP
02/25/2016 39 Final Electrical RI
02/25/2016 39 Final Electrical AEK Fl
Monday, February 29, 2016
QUINBY RES-PHOTOVOLTAIC SYSTEM
13 ROOF/FLUSH MOUNTED MODULES-4.
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