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Home My WebLink About2584 Ingleton Ave; ; CB160661; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-19-2016 Cogeneration Permit Permit No:CB160661 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: 2584 INGLETON AV CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: 2131304300 $7,600.00 Project Title: CALL: 19 ROOF MOUNT PV NO PANEL UPGRADE, NO RMA Status: ISSUED Applied: 02/19/2016 Entered By: JMA Plan Approved: 02/19/2016 Issued: 02/19/2016 Inspect Area: Plan Check #: Applicant: Owner: SEMPER SOLARIS CALL THOMAS S&GREENBERG AIMEE B 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 (581473) Fee $96.85 $0.00 $67.79 $82.21 $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: $248.85 Total Payments To Date: $248.85 Balance Due: Inspector: FINAL,~PRJV.AL Date: I rz b Clearance: $0.00 $0.00 $0.00 $0.00 $248.85 $0.00 I\OTICE: Flease ta<e l\OTICE th!i wu.a a )OJ' prtjed irdllles Iha "lnµ,;itioi' a fees, decla:iions reseMiions cr c:lt'tar ~crs -roledi..;y re!erred toas 'fees'~cn;," You h>.e 00 ~ fromthadatettis pemitvas issuadto pn:test inµ,;itiondttese-~cn;, If )OJ pn:iest ttan )OJ rru;t fdlo,vtha l)'ctest ~ set forth in COJerrmrt Qlde Section OOJ:!J(a), ard filetha pn:iest ard a-,; c:lt'tar req.ired irtonraion wth Iha Oty fv'En,gar fer ~rg in axnda rewth Qr1stoo Mridpa Qlde Section 3.32030. Faluetotirrayfdlo,vth!i p,a:edrel'JII tu a-,;stblecµrt lega i:diontoattax revieN, set aside, vcid, a anJ tter irrp:'Eitia,. You ae rerel:1y R.RTI-ER I\OTIFIEDtrat )OJ' rigt to pn:iest Iha spec:ified-~crs OCES I\OT APPL Yto'Mter ard ""8: oonnedion fees ard ~ cra-ges, ncrJjaTirg, ,mrg, ga:.lrg crc:lt'tarsnrila-awia:iion ~rg cr ser.ic:efeesin oonnedionwth ttis prtjed. I\CROCES IT APPLY to a-,; I . ·au,; a lsOTI . ·1 tti w-i Iha linri . . . THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILD1NG C City of Carlsbad JOB ADDRESS CT/PROJECT# EXISTING USE APPLICANT NAME PHONE EMAIL ADDRESS CITY PHONE EMAIL Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEI/SPACEI/UNIT# PHASE# # OF UNITS # BEOROOMS # BATHROOMS GARAGE (SF) PATIOS (SF) DECKS (SF) PROPERTY OWNER ADDRESS CONTRACTOR BUS. NAME STATE ZIP FAX STATE UC.# Date FIREPLACE YES0, OFIRE DHEALTH 0HAZMATIAPCD IC, o~G, SW PPP -l '5iJ $; -f)O CONSTR. TYPE OCC. GROUP AIR CONDITIONING Nc0 YES0No0 FIRE SPRINKLERS YESDNoO STATC,..-A FAX ZIP (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to ftle a signed statement that he 1s licensed pursuant to the provisions of the Contractor's Lrcense Law /Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exemP.t 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: D I 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 performance of the work for which this permit is issued. ~have and will maintain worke ' c mpensation, as required y Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. .; ii\.,.(.,. I Policy No. h,/( ZJI {5"00DO 'fb I '1f Expiration Date tJ'. {). . "vO rl.,. ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance 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 empl er to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, dam s pro ded for In Section 3706 of the s and attorney's fees. JiS CONTRACTOR SIG I hereby affinn that I am exempt from Contractor's License 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 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 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. l (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' license 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 0AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management arid prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acr? 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 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 application and state tllat the above lnfonnation is oorrect and that the infonnation on the plans Is accurate. I agree to oomplywith all City ordinances and State law.; relating to building oonstructlon. I hereby authorize representative of the City of Carlsbad to enter ui:on the above mentioned property fi:Jr inspection purJX)ses. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CAALSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIO CITY IN CONSEQJENCE OF THE GRANTING OF THIS PERMIT OSHA M OSHA penntt is required for excavations over 5'0' deep and demolitk:ln orronstrudion of structures O'JE!r 3 stories in height. EXPIRATION: Every pennit issued by the Building Ofocial under the provisions of this Code shall expire by limitation and 000'.Jme null and vod ~the building orv.ork authorized by suet, pennit is not commenced 'Mlhin 100days from the date of such pennitor if the building orv.ork authorized by suet, pem,tt is suspended or a doned at any time after the v.ork is commenced for a period of 100 days (Sectk:ln 100.4.4 Unifonn Building C.ode). A$ 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. Fax (760) 602-8560, Email building@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:---------------- A$ APPLICANT'S SIGNATURE ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB160661 Type: COGEN PHOTO CALL: 19 ROOF MOUNT PV NO PANEL UPGRADE, NORMA Date _ Inspection Item Inspector Act Comments 03/17/2016 35 Photo Voltaic (PV) RI 03/17/2016 39 Final Electrical RI 03/16/2016 35 Photo Voltaic (PV) PD AP 03/16/2016 39 Final Electrical PD AP Thursday, March 17, 2016 Page 1 of 1