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Home My WebLink About2556 Ingleton Ave; ; CB163844; PermitCity of Carlsbad 1635 Faraday Av Carlsbad , CA 92008 10-12-2016 Cogeneration Permit Permit No:CB163844 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: 2556 INGLETON AV CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: 2131303600 $12,000.00 Project Title: ANDERSON: ROOF MOUNT SOLAR 32 MODULES, FLUSH MOUNTED, 9.6KW Status: ISSUED Applied: 10/12/2016 Entered By: SF Plan Approved: 10/12/2016 Issued: 10/12/2016 Inspect Area: Plan Check#: Applicant: Owner: PALOMAR SOLAR BRUCE ROBERT W&CYNTHIA M 1526 STERLING CT ESCONDIDO CA 92029 760 504-0388 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 $132.33 $0.00 $92.63 $0.00 $0.00 $1 .56 $1 .00 2556 INGLETON AVE CARLSBAD CA 92009 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $227.52 Total Payments To Date: $227.52 Balance Due: Inspector: Clearance: $0.00 $0.00 $0.00 $0.00 $227.52 $0.00 NOTICE: Please take NOTIC 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. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING 0 BUILDING O FIRE 0 HEALTH Q HAZMAT/APCD «1 Building Permit Application Plan Check No. c.'.6\.6 '"3 8-<.\:'-.\, 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value i 2-c:x:::o ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date { 0 ( I l... ( I b lsWPPP JOB ADDRESS SUITEt/SPACEt/UNITt l APN 2556 In.Tieton Avenue Carlsbad, CA 92009 213 -130 -36 -00 CT/PROJECT# LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS N,AME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 9.6kW DC Solar PV installation with 32 LG panels and 32 Enphase microinerters EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE YES Q I AIR CONDITIONING I FIRE SPRINKLERS Nc0 ves0 No0 vEsO NoO AP'olCAN~~A~E dPrlma{{ Contact) wig n erso APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS 1526 Sterling Ct CITY STATE ZIP CITY STATE ZIP Escondido CA 92029 PHONE IFAX 760-738-9319 PHONE IFAX 760-504-0388 EMAIL support@palomarsolar.com EMAIL PROPERTY OWNER NAME R b B CONTRACTOR BUS. NAME Palomar Solar Ltd o ert ruce ADDRESS ADDRESS 2556 Ingleton A venue 1526 Sterling Ct CITY STATE CA ZIP 92009 CITY STATE ZIP Carlsbad Escondido CA 92029 PHONE IFAX PHONE IFAX 760-738-9319 619-876-9099 760-504-0388 EMAIL EMAIL support@palomarsolar.com ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.# IC~fo ICITYBUS.LIC.# 1236911 945152 (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 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 that he is exem~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 Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have 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 work for which this permit is issued. ~ I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work tor which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. State Fund Policy No. 9058693 Expiration Date 05/01/2017 Jm. section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,0001, In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest a mey's fees. 6$ CONTRACTOR SIGNATURE {)"1r.' /d lftr@l"S'Otr O AGENT DATE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is nol 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 himse~ 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). D D I, as owner of the property, am exdusively 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 O o 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 (indude name address I phone I contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person 10 coordinate, supervise and provide the major work (indude name I address I phone I contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) th ·ng persons to provide the work indicated (indude name I address I phone I type of work): /i:5 PROPERTY OWNER SIGNATURE 0AGENT DATE o/rc ~ Is the applicant or Mure building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Secfions 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes D 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 infonnation is correct and that the infonnation 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 upon the above mentioned property for 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 permit is required !Of excavations <Ne< 5'0' deep and demolition Of construction of structures <Ner 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building Of wOf1I authonzed by such permit is not commenced v.ithin 180 days from the date of such permit Of if the building Of wOf1I authorized by such permit/ Of abandoned at any time after the wOf1I is commenced for a period of 180 days (Section 106.4.4 UnifOfm Building Code). ~ APPLICANT'S SIGNATURE DATE O /f,J / • 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 bu ilding@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: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL/ FAX TO OTHER:---------------- Af APPLICANT'S SIGNATURE o ASSOCIATED CB#·------------ o NO CHANGE IN USE / NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB163844 Type: COGEN PHOTO ANDERSON: ROOF MOUNT SOLAR 32 MODULES, FLUSH MOUNTED, 9.6KW Date Inspection Item Inspector Act Comments 10/14/2016 35 Photo Voltaic (PV) RI 10/14/2016 35 Photo Voltaic (PV) JW AP 10/14/2016 39 Final Electrical RI 10/14/2016 39 Final Electrical JW AP Monday, October 17, 2016 Page 1 of 1