HomeMy WebLinkAbout2572 Ingleton Ave; ; CB151091; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-13-2015 Cogeneration Permit Permit No:CB 151091
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
2572 INGLETON AV CBAD
COGEN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
2131304000
$9,600.00
STULLICH RES-PHOTOVOLTAIC SYST
Status: ISSUED
Applied: 04/13/2015
Entered By: RMA
Plan Approved: 04/13/2015
Issued: 04/13/2015
Inspect Area:
Plan Check#:
24 ROOF/FLUSH MOUNTED MODULES-6.24 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
$114.19
$0.00
$79.93
$0.00
$0.00
$1.25
$1.00
Owner:
STULLICH LAWRENCE A&KATERINA V
2572 INGLETON AVE
CARLSBAD CA 92009
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $196.37 Total Payments To Date: $196.37 Balance Due:
Inspector:~
FINA
Clearance: Date:
$0.00
$0.00
$0.00
$0.00
$196.37
$0.00
NOTICE: Please take NOTICE that approval of your project includes the· mpositio of fees, dedications, reseNations, 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 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/exactions of whi h u a e reviousl been iven a NOTICE similar to this or as to ic the statute of limitatio has reviousl otherwise ex ired
)
. ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING
.,,,, \
{ City of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
0BUILD1NG OFIRE
email: building@carlsbadca.gov
www.carlsbadca.gov SWPPP
JOII ADDRESS SUITU/SPACEf/UNIT#
RO ECT# LOT# #BAHOO
DESCRIPTION OF W RH: Include Square Feet of At1ected Area(s)
{g..Jlfl<·L.J· PV0rt"Ci.ji 2'-1
~ lo/JC!iV\
VI-Jodules, I invev+er(sJ, Lstr,ytjCs)
E>CISTING USE PRO
APPLICANT NAME
crrv
DESIGN PROFESSIONAL
i\DDRESS
Cl1Y STATE
PHONE FAX
E.MAIL
ZIP
STATE UC.#
L f' I US h V11Dunt.ecf?
Fl PATIOS (Sf) DECKS (SF)
PHONE
EMAIL
CONTRACTOR BUS. NAME
EMAIL
Cl.ASS CITY BUS. LIC.#
FIRE SPRINKLERS
vESONoO
(IOCL/f. ll218'C'.3>
(Sec. 7031.5 Business and Professions COde: Any City or County which requires a permit to construct, alter, Improve, demollsh or repair any structure, prior to Its Issuance, also re~ulres the applicant for such permit to file a sl&ned statement that he is licensed pursuant to the provisions of the Contractor's License Law £Chapter 9, commending with Section 1000 of Division 3 of the H11slness and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any vloletlon of Section 7031.5 by any applicant for a permit subjects the applicant to a dvll penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby sfflrm under penalty of perjury one of the foflowfng declarations:
B I have and wlD maintain a certificate of consent to self•insure for workers' compensation as provided by Section 3700 of the Labor Code, for the ~nnance of the work for which this permit Is Issued.
numberare: Insurance Co. Polley No. I.I A7 Mo Dlf ,c. 2(,50 '2 '-I E,plration Date n'l f D L2.DJ5
I have and will maintain WOrkeJ'S' comp satl , as reQUirad by Section 3700 of the labor Code, for the perfonnance of the work for which this permit Is Issued. My workers' compensation Insure~ carrier and poJJcy
, ~section need not be compleled !f the p one hundred dollars ($100) or less.
LJ Ceirtificata of Exemption: I certify that In the pelformance of the work for which this permit Is Issued, I shall n ploy any person In any manner so as lo become subject to the Workers' Compensation Laws of
CalHomla. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an em oyer to criminal penalties and civil fines up to one hundred thou nd dollan; (&100,000), in
addition to the cost of compensation, damagea as provided for In Section 3706 of the Labor code, Interest and mey's fees.
K$ CONTRACiiiz
I flerelr/ affirm that I am exempt lrom Contractots Ucense Law for the following reason:
D
D
D
I, as owner of the property or my employees wllh wages as their sole compensation, win 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 vmo 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
sa!e. lf, however, the bulkllng or improvement is sold within one year of complellon, the owner-bullderwlll have the bulden of proving that he did not build or improve for the purpose of sale).
I, as owner of the property, am excluslvely contracting with licensed conlractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner of
property who builds or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant lo the Contractor's License Law).
I am exempt ur!per Section usiness and Professions Code for this reason:
1. I personaUy plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No
2. I (have I have not) signed an appllcation for a building permit for Ille proposed work.
3. I have contracted with the following person {firm) to provide the proposed construction ~ndude name address I phone /contractors' llcense numbe~:
4. r 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 numbe~:
5. I will provide some of lhe work, but I have contracted (hired) the following pe,sons to provide the work Indicated Onclude name I address f phone I type of work):
Hf PROPER1Y OWNER SIGNATURE 0AGENT DATE
' COMPLETE THI$ SEC fl ON FOfl NON~RESIDfN ffAL BUjL[):ING f:tERMl1 :S ONLY
Is lhe appllcant or future bulldlng occtJpant 1911ulml b submit a bualhess plan, acutely haza'dous. rt1almf6l8QfSll'alfufflnii1orrisk manlltament111d wevemforr pmgr.mi under Sections 25505. 25533 or 25534 of the
Presley-Tanner Hazardous SL1bstaooe Account Arn O Yes O' No
Is the applicant orfutwe b!Mdlng DCC14)11fll required to obta&1 a permit from U.alr pollution conlrol dls!Jfct or air quality management district? O Yes a No
Is Ille faclll\' to be oons1rllded wilhln 1,000 feel cl 111100w bound;ry of a school site? Cl Vas· Cl/No -
IF ANV OF THE ANSWERS.ARE YES, A FIIIAl. CER'li!ifcATE OF OCCUPAliCY MAY NOT BE ISSIJEO UNI.EBB-THE APPLICANT IIAS MET OR IS MEETIIIG THE REQUIREMENTS OF THE Ol'FICE OF
EMERGEIICY SERVJCES ANB lHEAIR POLLUTION CONTROL DISl'RICJ",
1"'1f!t1hatlhaveieadthaapplt;illonandslaleiriat1ha,havelnlmmallan~-ahdtliit111elmmailmlon111aplamllm£1nta.l...,..,o,mply..,allCllro......,.andS1a>tliuis-gmbuldng-
l hBleby ·-reprasenlalM> c/1he cyy of Clllsblli I> enter upon "'' ,.,., menlilned property for ir<plCli)n purposes. I ALSO AGREE TO SAVE. l>IDEMNIFV AND l<EEP HARMLESS THE CITY OF CARLSBAD
AGAINST Alll.J.ABIUTIES, JUDGMENTS, C051SAND EXPENSES WHICH !MY NANYWAY ACCRUE CnY N COISEOUENCE Of THE GRANTING OF THIS PERMIT.
OSHA:hl OSHApermitis,equ&ed ilr""1Wlial&-5'0' deep anl-lil11 or!'fll'ilRJCiilnalslni:ms-lsl> · In height. EXPIRATION: Eve!y pennltlssulli by 111• Elli~ng llll;ial under Ile pm,isbns of lhil Code shell e,cpie by ln)ilalion 111d nul and wid ff 111e blJkft1II or..,_by such permit Iii nolamrrenced vdiin
180~!mm lla~Ql.!lllh . orfll!e aulbldzedbysuchpenniissuspel$tqraban<lJl!li!la! lime~111elllllkl!ammencedilr periooof1 days(Sdln 106.4.4Unlilnn BuUdingCode). . ,, ,,, '·" .,,. .
..@S' APPIJCANl'S SIONA OATE O
•
Inspection List
Permit#: CB151091 Type: COGEN PHOTO
Date Inspection Item Inspector Act
04/30/2015 35 Photo Voltaic (PV) RI
04/30/2015 35 Photo Voltaic (PV) SP AP
04/30/2015 39 Final Electrical RI
04/30/2015 39 Final Electrical SP Fl
Thursday, Apnl 30, 2015
STULLICH RES-PHOTOVOLTAIC SYST
24 ROOF/FLUSH MOUNTED MODULES-6.
Comments
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