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Home My WebLink About2584 Ingleton Ave; ; CB154376; Permit• • City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-11-2015 Cogeneration Permit Permit No:CB154376 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: 2584 INGLETON AV CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: 2131304300 $7,200.00 CALL: ROOF MOUNT PV, 5.22KW, 18 MODULES, NO PANEL UPGRADE, NORMA Owner: Status: ISSUED Applied: 12/11/2015 Entered By: SLE Plan Approved: 12/11/2015 Issued: 12/11/2015 Inspect Area: Plan Check #: SOLARE ENERGY INC STE 218 CALL THOMAS S&GREENBERG AIMEE B 9520 PADGETI ST SAN DIEGO CA 92126-4452 858-547-4300 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 $96.85 $0.00 $67.79 $0.00 $0.00 $1.00 $1.00 2584 INGLETON AVE CARLSBAD CA 92009 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $166.64 Total Payments To Date: $166.64 Balance Due: Inspector: FINAL APPROVAL Date: Clearance: $0.00 $0.00 $0.00 $0.00 $166.64 $0.00 t$Jf]CE; A= ta<e t\(Jf]Cc that ewwa ci )Qr i:r<ied ird~ tre "lrrµstiai' ci 1-. dedc:ai<n1 reseivaicns, c, cJte-...,;jjcns t.ratta-tdledi\ey refmed to as '!ees/...,;jjcns.'' Yoo 1'a1,e 00 days fromtte-ttis i;ermt w,s issued to ?'dest irrpcstia, ci tt-ese fees/...,;jj(l'lS. If yw ~ ttan yw rrust fcik>N tte i:rctest r,ocedres sa forth in Q>.armrt Oxle Sedia, im:!:l{a). a-d filette ~ a-d any ctt-e-recµred irfumila, wth tte Oty Mng,rfrr poo,ssirg in amda rewth Calslm Mridi:a Oxle Sediai 3.32.lllO. Falcretotimalyfcllo.vthat prooaci.rewll Ila' anysu::secµnt lega edion toata:k. re\liev,.,, sa asiCE, \odd, er aru tter illl,XStioo. Yoo ae 1...-.:t,,, F\.Rl1-ER t\(Jf]fl8)ttat )Qr rig,! to~ tte specified fees/...,;jjcr,s IXES l\01' APPLY to_. a-d ""'6 c:xrr,edia, fees a-d c,µDty ct-a-ges, nc, platirg, zai ·rg c, SSl'Aoo leas in c:xrr,edia, wth ttis i:r<ied. i'CR IXES IT APPLY to any 1 mc11 lim · PERMIT HAS EXPlRHl IN /\CC'.l!\DANCE WITH C.B.C. SECTION 106 4.4 AS Ai,lENOEll ~~8.04.030 DATE A\\}' $'1>\\, SIGNATURE_ ) J • THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BU1LD1NG OFIRE DHEALTH 0HAZMAT/APCD Ccicyof Carlsbad JOB ADDRESS CT/PROJECT# LOT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.car1sbadca.gov SUITE#/SPACEI/UNITI Plan Check No. Est. Value Plan Ck. Deposit Date ~ -1/-~I SWPPP APN L-1 '3 13 t, # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE DESCRIPTION OF WORK: Include Square Feet of All'ected Area(a) 5 · z.:z.. i( w f ll ,; y .( 'f-e""" f-/J rJ J._M/6,- -oa OCC. GROUP EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESO AIR CONDITIONING NcCJ YES0No0 FIRE SPRINKLERS vESONoD PROPERTY OWNER -,I--{ 0""' ADDRESS 7 ADDRESS CITY ZIP q-z_ PHONE FAX EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS I z. e, CITY STATE ZIP CITY).' PHONE FAX PHONE '65K' FAX EMAIL EMAIL STATE UC.# STATE UC.# c;· 1 /( tJ 1 CITY BUS. UC.# z. 35"°&-'? '1 (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 reql,lires 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 01v1s1on 3 of the B.usiness and Professions Code) or that he Is 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 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I have and wlll 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 whlcii this permit is issued I have and will maintain woril;ers' compensatl°:", as reQuired !1V Section 3700 of the Labor Code, for the performance of the ~rk for whil:Alhis permit is issued. My workers' compe~sation insurance carrier and policy beca~,lnsurar,ceco)/'(' /11APM f G-,,.,, · ~':> Pol;cyNol,.1:-UJl?(//)Q'/61!? Exp;ralionOate S·/3-°Z4/G ~section need not be completed if the permit is for one hundred dollara ($100) or less. LJ Certificate of Exemption: I certify that in the pertormance 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 clvil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, for In Section 3706 of the Labor code 's fees . .Jt5 CONTRACTORSIGNATU 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 so~ 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 himsell 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). t, 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 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. 0Yes 0No 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' lice Me 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 l have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): ..M$ PROPERTY OWNER SIGNATURE 0AGENT DATE ' ·' . COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ls the applicant or future building occupant required to submit a business plan, a::utely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control disbict or air Quality management district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes 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 appllcatlon and state that the aDOl/8 lnfonnation Is correct and that the infonnatlon on the plans Is accurate. I agmeto complyMth an City ordinances and State laws relatlng1D bulldlng constructloo. I hereby authorize rei,esentative of the City of Carlsbad to enter UJX)n the above mentioned property Dr insprnon pulfX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST fil LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE <?RANTING OF THIS PERMIT OSHA: M OSHA pennlt is requred t>r excavations OYef 5'0' deep and demolltkm or cxinstruction of structures over 3 stories in height. EXARATION: Every permit issued by the Building Ofloal under the prnviskms of this Code shall expire by linitation and berome null and wKl W the building or 'o\Ol"k authorized by such pennit is not CXlffimem:ed IMthin 180 days from the daE of such pe,mlt or if the building or v.ork authorized by sudl pennlt is suspended or abandoned al any time after the 'AOrk is rommenced tx" a period of 180 days (Secoon 100.4.4 Uniform Building Code). ~APPLICAHr·ss1GNATURE DATE / z -If -z.t117- 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 bullding@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: 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: _______________ _ ,65 APPLICANT'S SIGNATURE ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP