HomeMy WebLinkAbout2559 Ingleton Ave; ; CB150074; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-08-2015 Cogeneration Permit Permit No:CB150074
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
2559 INGLETON AV CBAD
COGEN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
2131305200
$10,000.00
MUNDY RES= INSTALL ROOF MNT PV
Status: ISSUED
Applied: 01/08/2015
Entered By: LSM
Plan Approved: 01/08/2015
Issued: 01/08/2015
Inspect Area:
Plan Check #:
Project Title:
SYSTEM 25 MODULES/ NO PANEL UPGRADE/FLUSH MNT/ 6.375 KW
Applicant:
SOLARCITY
3055 CLEARVIEW WY
SAN MATEO CA 94402
650-759-4658
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
$114.19
$0.00
$79.93
$0.00
$0.00
$1.30
$1.00
Owner:
MUNDY RICHARD J&TERESA I
2559 INGLETON AVE
CARLSBAD CA 92009
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $196.42 Total Payments To Date: $196.42 Balance Due:
Inspector: Date: Clearance:
$0.00
$0.00
$0.00
$0.00
$196.42
$0.00
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 infomiation 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.
fHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING 0BUILDING OFIRE 0HEALTH D HAZMAT/APCD
Ctifyof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@cartsbadca.gov
www.cartsbadca.gov
Plan Check No. C-6 r '::>l)o--Z Y
Est. Value
Plan Ck. Deposit
Date I I~ SWPPP
IOB ADDRESS JSSC,
UITEI/SP , .... APN
~I JECT# R.T'IP
DESCRIPTION OF WORK: Includes.,.,.,_ FHt of Affected AruC•)
G -s1s k-w-PV C\rr~,
1!D m~i n p4ne.l "~"'o.de.
25 Module~, _inverter(&), -S. ~~rin~(.s)
flu~\.. V\ltov"'ted Jje:» ?
EXISTING USE PROPOSED USE PATIOS [SF)
PHONE
EMAIL
CONTRACTOR BUS. NAME
1DDRESS ADDRESS
:rrv STATE ZIP
1HONE FAA
:MAIL EMAIL
STATE LIC. #
111. 1~0
STATE UC.# 8S' ~ 10 CLASS
(10
crrv BUS. LIC.#
I :;)-°d-7~
3ec. 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 issuanc!.,_also requires the ppllcant for such permit to file a sl111ed statement ttiat he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, eommendlnllwlth Section 7w0 of Division 3 of the 1usiness and Profess tons Code) or that he Is exempt therefrom, and the basis for the allepd exempuon. Any vlolaUon of Section 7031.5 by any applleanflor a permit subjects the applicant to a lvll penalty of not more than five hundred dollars {$5001).
WORl{ERS COMPENSATION
Worltm' Compensatfan Dedlration: I hereby affirm under penally of perjury one of !he following dec/aratlOns: 0 I hlVI and will maintain a certificate Df cansant to self.Insure fofworkers' compensation as provided by SacUon 3700 of the Labor Code, for the perfonnance of the work lorwtllch this permH is issued. D I have and WIii malnlaln workars' comp111s-. as requhed by Section 3700 ol lhe Labo, Code. 1o,fue pertonnance DI~·-lo,irt>lho pes Issued. My"""'"' compensatiobsu/lnce came,and pol;:y
numbe,ar9'lnsuranceCo. Lib&>I"~ }1\51)1'6,nce PollcyNo.1olA1"4D r.r. l(p O'l'l E>cpi,alionDele O'l~I. 2016
This section need not be completed If the tis for one hundred doUars ($100) or less. D Certificate of Exemption: I certify that in the perfonnance of the wo'1t 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
Caltromia. WARNING: Fallure to secure workers' compansatlot1 cov1t1g1 is unlawful, and shall subject an employer to criminal penalties and clvll flnas up to on, hundred thcus d dcllars (&100,000), in
additloo to the cost of compenaltlon, damag11 as providad for in Section 3706 of the Labor~de, Interest a ttomey's fees.
,.S CONTRACTOR SIGNATURE
I heraby afffnn that I am exempt from Contrador's License Law for the faflowlng IU8SOl1: D I, as owner of the property or my employees with wages as their sole compensation, will do lhe work and the structure is not Intended or offered tor sale (Sec. 7044, Business and Professions Code: The Contracto(s
license Law does not apply to an owner of property who buHds 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. II, 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). D 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 Contrac!Or's License Law).
0 ! 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. Oves Oo
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted wilh 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 mqDr work (include name I address I phon& I conlractors' license number):
5. I will provide some of the YJOrk, but I have contracted (hired) the following persons to provide the work indicated Onclude name I address I phone I type of work):
,.S PROPERTY OWNER SIGNATURE 0AGENT DATE
•
Inspection List
Permit#: CB150074 Type: COGEN PHOTO
Date Inspection Item Inspector Act
01/26/2015 35 Photo Voltaic (PV) RI
01/26/2015 35 Photo Voltaic (PV) SP AP
01/26/2015 39 Final Electrical RI
01/26/2015 39 Final Electrical SP Fl
Monday, January 26, 2015
MUNDY RES= INSTALL ROOF MNT PV
SYSTEM 25 MODULES/ NO PANEL UPGR
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