HomeMy WebLinkAbout2564 Ingleton Ave; ; CB143434; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-09-2014 Cogeneration Permit Permit No:CB143434
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
2564 INGLETON AV CBAD
COGEN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
2131303800
$11,200.00
HARMON RES-PHOTOVOLTAIC
Status: ISSUED
Applied: 12/09/2014
Entered By: RMA
Plan Approved: 12/09/2014
Issued: 12/09/2014
Inspect Area:
Plan Check #:
SYSTEM-28 ROOF/FLUSH MOUNTED MODULES-7.56 KW, NO ELECT
PANEL UPGRADE
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
$131.83
$0.00
$92.28
$0.00
$0.00
$1.46
$1.00
Owner:
HARMON KEVIN&BREANNA
2564 INGLETON AVE
CARLSBAD CA 92009
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $226.57 Total Payments To Date: $226.57 Balance Due:
FINAL APPROVAL
Inspector: Date: Clearance:
$0.00
$0.00
$0.00
$0.00
$226.57
$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 '1ees/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 connection 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 ns h. h ou have r vi us e ·ven a NOTICE similar t t ·s r as to ic e tatute of Ii i atio s as reviou I otherwise ex ir
'
'HE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING DENGINEERJNG QBUILDING
~. «1/j> ~ CITY OF
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph· 7~6.02c2ll9~:J6lL-6,.,.02.,,..a"'s,.s.,a. __ -+n,
DFIRE
CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov SWPPP
IOI ADDRESS Av..-e
:I/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATH OMS TENANT IUSIN CONSTR. TYPE OCC. GROUP
EXISTING USE
~DO RESS
~ITV
:MAIL.
<RCH/DESIGNER NAME & ADDRESS
PROPOSED US
n 1a:kLI t' ~ J
'y, OD t
GARAGE (SF)
_J_ inw.r·t-e_:(-)
'vV"\ 0vvd· ..e c I
AIR CONDITIONING
NOO vesONoD
ZIP
CITY BUS. UC.#
FIRE SPRINKLERS
YES0N00
Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, rior to its issuance, also requires the 1pplicant for such permit to file a signed statement ttiat he Is licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commen in.e:wlth Section 7000 of Division 3 of the •. uslness and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any appl!canffor a permit subjects the applicant to a lvll penalty of not more than five hundred dollars {$500)).
WORKERS COMPENSATION
Workers' Compenslllan Declaratfon: I hSf&by affi,m under penalty of pe,tury one of the following decl818tions:
BI have and wlll maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for lhe perfo1JT1ance of the work for which this permit ls issued.
I have and wlll maintain workers' compensaUon, as re11ulred bV Section 3700 of the Labor Code, for the perfonnance of the work for which this J)trmil is issued. My workers' compensation insurance carrier and policy
numberam:lnsurancec,.l;h?r-h..1 ln5Jlj:QQ62..., PolicyNo.lA)i\Jh(,,D&!(,ti2Lc5Qa!'t... E,pirationoa• C/ 1, /20,5 _ " , r . J!!ii.secllon need not be completed if the permifor one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfonnance of the work for which this permit is issued, I shall not employ any_person in any manner so as to become subject to lhe Workers' Compensation laws of
California. WARNING: Faflure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to t~e cost of compeneatlon, damages as provided for in Section 3706 of the L~d attomey'e fees.
AS CONTRACTOR SIGNATURE ~ OAGENT
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
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 wlll have the burden of proving that he dld not build or improve for the purpose of sale).
!, as owner of the property, am exclusively contractiRQ with licensed contractors to conslruct 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. J personally p!an to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No
2. I (have I have not) signed an application for a building pe1JT1it for the proposed work.
3. I have contracted with the following person (firm) to provide lhe proposed construction (include name address I phone I cantractora' Ucense 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):
f!5 PROPERTY OWNER SIGNATURE 0AGENT CATE
-COMPLETE THIS SECTION FOR NON~RESIDENTIAL BUILDING PERMITS ONLY
-.
ls lhe applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management 111d prevenUon program under Sections 25505, 25533 or 25534 of the
Presley.Tanner Hazardous substance Account Ac(l 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
Js.Jbe.faclU~OOOleeloUhe..ouletboundar:ynfascboolslte?. ·------¥es-----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 198dthe application and stal81hattheabove lntmnatlon Is conactmidthatthe lnfDrmatlon on the plans lsaccuate. I agiee bJc:omplywith all Cily Ofl:linanoes and Stat& lavts relating to bulldlntconstruclion.
I he!llby aulhorize repo,sen-of1he City of Carlsbad~ enlerupon 1he allow mentioned propeny for n1spection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS lliE CITY OF CARLSBAD
AGAINST ,Al.I. LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUEAG-\JNST SAID CITY IN CONSEQUENCE OF rnE GRANTING OF mis PERMIT.
OSHA: NI OSHA perml is required for excavations owr 5'0' deep and demolition or conslruction of structures over 3 stories fl height.
EXPIRATION: Every pem,it issued by the Building Official under Ile pltMSions of this Olde shall expire by linilatlon and berome nuH and vokl W lhe building or 'MllX aulhorized by such permit is not oornmenced 'Mlhrl
180 days from Ile dale of such permit or if the 0011dilg or v.ork authorized by such permit is suspended or abandoned at any time after the WJrk is commenced bra period of 180 days (Section 106.4.4 Uniform Buik:ling Code).
,.S APPLICANT'S ~GNATURE 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.
Fax (760) 602-6560, Email building@cadsbadca gov or Mall 1he oompleted lonn to City of C.rlsbed, Building Division 1635 Faraday Avenue, Carlsbad, C.lilomia 92008.
CO#: (Office Use Only}
::ONTACT NAME OCCUPANT NAME
~DDRESS BUILDING ADDRESS
STATE ZIP CITY STATE
carlsbad CA
:,HONE FAX
:MAIL OCCUPANT'S BUS. LlC. No.
DELIVERY OP!IONS
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:---------------
k$ APPLICANT'S SIGNATURE
ASSOCIATED CB#-----------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB143434 Type: COGEN PHOTO
Date Inspection Item Inspector Act
12/26/2014 35 Photo Voltaic (PV) RI
12/26/2014 35 Photo Voltaic (PV) MC AP
12/26/2014 39 Final Electrical RI
12/26/2014 39 Final Electrical MC Fl
Monday, December 29, 2014
HARMON RES-PHOTOVOLTAIC
SYSTEM-28 ROOF/FLUSH MOUNTED MO
Comments
RELEASE E-MAILE TO SDGE
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