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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. Comments Page 1 of 1