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Home My WebLink About2563 Ingleton Ave; ; CB163967; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-21-2016 Cogeneration Permit Permit No:CB163967 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: 2563 INGLETON AV CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: 2131305100 $5,600.00 Project Title: BALMUTH: ROOF MOUNT SOLAR Status: ISSUED Applied: 10/21/2016 Entered By: SF Plan Approved: 10/21/2016 Issued: 10/21/2016 Inspect Area: Plan Check #: 14 MODULES, FLUSH MOUNTED, NO UPGRADE OR RMA, 4.83KW Applicant: Owner: SEMPER SOLARIS BALMUTH BRUCE M&BARBARA 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 27059 PACIFIC TERRACE DR MISSION VIEJO CA 92692 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 FINAL APP:OVAL Date: / 2 /_1 J_ 7-v It. Clearance: ----- f\OTICE: Please thct ~ d yo.r ptject irdu:Jes tre "ln,nitioo" d fees, arlcaia,s, reservaicns, cr cth:r exa:iia,s hereafter cdledively refared to as 'fee:.'exa:iia,s.'' Yoo have 00 days frcrn tre date tns ~t 'NcS isswd to pretest in,:ositioo d tt-ese fee:.'exa:iia,s. If yru pretest !tan yru nust fdlON tre pretest pcce:i.res sa forth in Go.lelrrrert Ca:le Sejja, €a)2()(a), ard file tre pretest ard any cth:r recµred irtamiirn wth tre Oty ~ fcr ~rg in axxrda're wth Calsbocl M.ridl'.9 Ca:le Sejja, 3.32.030. Falu-e to tirray fdlON thct pum.re 'I.ill ta any~ lega octia, to attcd, rEMew, set asioo, 1.tid, cr anJ their in,:ositicn Yoo are rereo; R.RTl-ER f\OTIF18) that yo.r rig,! to pretest tre specified fee:.'emia,s ca=s t\Of APA.. Y to v.ra.er ard -cxrredioo fees ard ~ty cta"'ges, ncr plaTirg, 2llirg, gairg cr cth:r sirrila-~icctioo p-cressirg cr !a'Vice fees in cxrredirn wth tns ptject. N:R ca=s IT APA.. Y to any fee:.'emia,s ct v.hc:.h have · a.sl · wn a f\OTICE sirri lar to tHs cr as to v.hc:.h t staut ct lirri · ms t-as · · I THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0 ENGINEERING 0BUILD1NG OFIRE 0 HEALTH 0 HAZMAT/APCD ( City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. L~ l 6 3 Gt <o \ Est. Value Plan Ck. Deposit Date I ~ 2-i I ~ SW PPP JOB ADDRESS SUITEf/SPACEf/UNITf APN CT/PROJECT# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP GARAGE (SF) PATIOS (SF) DECKS (SF) FIRE SPRINKLERS m O NoO APPLICANT NAME PROPERTY OWNER ADDRESS CITY CITY PHONE PHONE EMAIL EMAIL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY PHONE FAX PHONE EMAIL EMAIL STATE LIC. # STATE UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter. improve. demolish or repair anx 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 1s 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 declarations: 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 performanoe of the work for which this permit is issued. have and will maintain work~om n r as requir ectio 700 of the Labor Code, for the performanoe of work for w · h this _j!!l]Lis issued. My workers' compensation ·n ra c rrie a number are: lnsuranoe Co. Policy No. Expiration Date --+1d--l-+-'.Lf~,......-F' This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I oertify that in the M ormanoe oft 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 worke~ 'co e sat' n overage i awful, 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 s pr ide f in c · 6 of e Labor code, interest and attorney's f ~ CONTRACTOR SIGNATURE AGENT DATE 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 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 Uoense 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 will 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 lioensed 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 Lioense 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' lioense 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 T DATE lO 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 Act? O Yes O No Is the applicant or future building occupant required to obtain a penmit from the air pcllution control district or air quality management district? 0 Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes O 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 infonmation iscorrectand that the infonmation on the plans is accurate. I agree to comply with all City ordinances and State Jaw.; relating to building construction. I hereby authorize representative of the City of Carlsbad to enterupcn the above mentioned property br inspecoon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBIID 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 penmR is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every penmit issued by the Building Offcial under the provisions of this Code shall expire by limitation and berome null and voo if the building orv.orll authorized by such penmit is not commenced 'hithin 180 days from the date of such penmit or if the building or authorized by such penmit is suspended or abandoned at any time after the v.orll is commenced for a period of 180 days Section 100.4.4 Uniform Building Code). ,N5 APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE or OCCUPANCY t C o m m c r c , ,l I f> r DJ l...' C t S On I y I Fax (760) 602-8560, Email building@carlsbadca.gov or Mait 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. DELNERY OPTIONS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1 ) o ASSOCIATED CB# MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE / NO CONSTRUCTION MAIL/ FAX TO OTHER: o CHANGE OF USE / NO CONSTRUCTION .JlS APPLICANT'S SIGNATURE DATE Permit Type: Work Class: Status: Scheduled Date BLDG-Commercial Cogen Issued - Active Actual Start Date Inspection Type Application Date: 10/21/201 6 Owner: Issue Date: 10/21/2016 Subdivision: Expiration Date: 04/19/201 7 Address: IVR Number: 717855 Inspection No. Inspection Status Primary Inspector 11/22/2016 11/22/2016 BLDG-35 Solar Panel 002246-2016 Passed Paul York January 13, 2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 002245-2016 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed Paul York COMMENTS COOWNER BALMUTH BRUCE M AND BARBARA 2563 Ingleton Av Carlsbad, CA Re inspection Passed No Passed No No No No No Complete Complete Complete Page 1 of 1