HomeMy WebLinkAbout2552 Ingleton Ave; ; CB143492; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-12-2014 Cogeneration Permit Permit No:CB143492
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2552 INGLETON AV CBAD
COGEN Sub Type: PHOTO
Lot #: 0
Constuction Type: 5B
Reference #:
Parcel No:
Valuation:
Occupancy Group:
2131303500
$7,600.00
Project Title: CHEATHAM: 19 ROOF MOUNT PAN ELS
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:
CHEATHAM
2552 INGLETON AVE
CARLSBAD CA 92009
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Status: ISSUED
Applied: 12/12/2014
Entered By: JMA
Plan Approved: 12/12/2014
Issued: 12/12/2014
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: 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 "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 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 oonnection 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
fees/exacti n of whi h ou have reviousl een iven a NOTICE simil r to this r a t which the tatute f limit i n h s r vio sl th rwise ex ir
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: O PLANNING 0 ENGINEERING Q BUILDING O FIRE 0 HEALTH Q HAZMATIAPCD
(City of Building Permit Application Plan Check No.(' f; f 4-~t\~ Z
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ? '1. (d)f"l.
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date t~/ 1 ?JI c.) lswPPP
JOB ADDRESS 1,,. 95'2-1 n 4 )Q~o,, Ave SUITEI/SPACEI/UNITI rr11 110 -15 -00 -
CT/PROJECT# I LOT# V I PHASE# r OFUNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I t;ON~TR. TYPE I ucc. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ,, pqMI?> rv Sola., f<r<Jp (Y10u Tl t
I ;,'\V((~r
No ~crv,'c~ tJ p 9r0t J e.,
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YES O No[] YES 0 No D vEsD NOD
APPLICANT NAME --s~~at; rz~c,e llo PROPERTY OWNER frc~ Che~tha/1) Primary Contact
ADDRESS ADDRESS'2,$'J"Z., Inql,tc," ~V!
CITY STATE ZIP CITY C.o.c\s 1,c.. <,\ STATE ZIP CA <-1zooq
PHONE I FAX PHONE 7f:.d -~o I -7Gl0<1 IFAX
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME i 1" M Solccr
ADDRESS ADDRESS 7~48 ~;l..,,utof' Ave..
CITY STATE ZIP CITY .s
~1<-1:tO
STATE ZIP
l\'I C/>, 'lZ.12'
PHONE I FAX PHONE V
760-70')-'38'\<) IFAX
EMAIL EMAIL @ JQ$OI) f Mel fY\ solo.r. cc,/Y'"\ I STATE LIC. # STATE UC.# I CLASS I ci; BtJL;#/ lJ 'P.7576
(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 lo 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 (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or !hat he is exempt 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 ($500)). > tw~~""".~-V:Y.t:·,.«~(·p~~~---f~"l'-·"' »'"'L ~'.:,'t:~ ""'""'P ~i;}'(iz;,,...,....~~~~-.,,:,,,;: "]'," ~""~: .. ~:w % ~~~t;:"•"' =: 0 ?,i," ... ~ ~ "'~ -t-:=, .., ~ ~~lf~-'.W h~1:7 'ff'.'-""'"v";'{M0~.: .. ~,r,u;r-4,t t=' 1 *"'V f~-:~:~ -77~~ ""r~t .. ,,3'&~ ~~~~~~~!-')} CrO·M~~~!~J--~ TIO N ~:::~1,:k:}~.:-~;J k:1,~ .. iL~/4 -~ ... ~~~.,$ .. ;v~,OM -~-~-J-~.-::t~{b:}~-:J,..,,t;~v~i:,~~~~-~~/fy~r~&'i/.;e2~:_;mw.ti.Ul
Worl<ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certiflcate of consent to self-Insure for workers' compensation as provided by Section 3700 of \he Labor Code, for the performance of the work for which this permit is issued. J2l I have and will maintain worl<ers' compensation, as reQuired by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. ~N ~Q( I!,. Mqfi'O( Policy No. \J( 2 Q ( l.f dOO(; q g 1 Expiration Date q -I -I~
~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify thal 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 ot
California. WARNING: Failure to secure worl<ers' compensation 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 provided for in Section 3706 of the Labor code, interest and attorney's fees.
~ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
D
D
D
I, as owner of the property or my employees with wages as \heir 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 buiids or improves thereon, and who does such work himsett or through his own employees, provided that such improvements are nol 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 fhe property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects wilh 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 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 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 following persons to provide the work indicated (include name I address I phone I type of work):
~ PROPERTY OWNER SIGNATURE 0 AGENT DATE
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 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 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I certify thatl have read 1he application and slate that the above Information is conectand that 1he inf?nnation on the plans is aa:urate. I agree to comply'M1h all City ordinances and State laws relating to bull ding construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property br inspectioo purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAALSBAD
AGAINST ALL LIABILrTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permij is required br excavations over 5'0' deep and demoltton or construction of structures over 3 stories 11 height.
EXPIRATION: Every permit issued by the Building Offcial under the provisions of this Code shall expire by Imitation and become null and ~d ff the building or v.or1< authorized by such permit is not commenred 'Mthin
180days from the date of such permij or if the buildllQ or v.or1< authorized by such permij is suspended or abandoned at anytime after the v.ol1\ is commenced bra period of 180 days (Section 100.4.4 Unfform Building Code).
/j$ APPLICANT'S SIGNATURE DATE 17. / '2. 7'-1
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CEf?TIFICATE OF OCCUPANCY ( C o m m c r c , ,i I Pro1ccts 0 r, I y J
Fax (760) 602-8560, Email building@car1sbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
I CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICKUP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB#
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1) NO CHANGE IN USE / NO CONSTRUCTION
MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION
~ APPLICANT'S SIGNATURE DATE
lrisi:iection List
Permit#: CB143492 Type: COGEN PHOTO CHEATHAM: 19 ROOF MOUNT PANELS
Date Inspection Item Inspector Act Comments
12/23/2014 35 Photo Voltaic (PV) RI
12/23/2014 35 Photo Voltaic (PV) PD AP
12/23/2014 39 Final Electrical RI
12/23/2014 39 Final Electrical PD AP
Wednesday, December 24, 2014 Page 1 of 1