HomeMy WebLinkAbout2611 LA GOLONDRINA ST; ; CB160545; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02-11-2016 Cogeneration Permit Permit No:CB160545
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
Applicant:
2611 LA GOLONDRINA ST CBAD
COGEN Sub Type: PHOTO
2155621900 Lot#: 0
$4,800.00 Constuction Type: NEW
Reference #:
ESTES: 17 ROOF MOUNT PV, 4.5KW
NO RMA, NO PANEL UPGRADE
Owner:
Status: ISSUED
Applied: 02/11/2016
Entered By: SLE
Plan Approved: 02/11/2016
Issued: 02/11/2016
Inspect Area:
Plan Check #:
RECSOLAR/SUNRUN INSTALLATION SERVICES INC
STE 200
ESTES DAVID H&GILVEY MARGUERITTE F
775 FIERO LN 2611 LA GOLONDRINA ST
SAN LUIS OBISPO CA 93401 CARLSBAD CA 92009
858 675-6527
Building Permit $70.24 PLUMBING TOTAL
Add'I Building Permit Fee $0.00 ELECTRICAL TOTAL
Plan Check $49.17 MECHANICAL TOTAL
Add'I Plan Check Fee $0.00 Additional Fees
Plan Check Discount $0.00
Strong Motion Fee $1.00
Green Bldg Stands (SB1473) Fee $1.00
TOTAL PERMIT FEES
Total Fees: $121.41 Total Payments To Date: $121.41 Balance Due:
Inspector: IJCk_ FINAL ~jfJ}9.._VAL
Date: 7 •/ ,-~/ 6 Clearance:
$0.00
$0.00
$0.00
$0.00
$121.41
$0.00
NOllCE: Flease ta<e NOTlCE tt,at w,:wa ci 1W' IJ(ject irdl.des the "lrrp:Eitiai' ci fees, cW~cns, "'80f',00crs, or ctrer EO<liicns -roledi;ey
ra'erred toas 1ee&'EO<liicns." You l'al,e 9Jdays fnrnthe-ltis pemit v.as issued to prctest irrµ:,sitia, cittesefeeslel<liicns. If you prctest trem you nust
fdlcmthe prctest pn:xm.res sa lath in G:Marrmrt Code Sectioo OOJ20(a), ard file the irotest ard ,rr; ctrer req.ired irfurrsia, wth the aty Mn,gerfcr
,:rcressing inaxucln»wth Gal&m M.ridpa Code Sectia, 3.32.03J. Falcretotirrayldlcmttial Jmll(l.rewll 1:a' ,rr;siis<,;µrt lega ediootoatal<.
rE:Mew, set aslCE, vtid, a clTU their irtllliiticn
Youae 1...-eo,, RRll-ERNOTlFIEDtrat 1W' rigt to prctesl thespecifiedfee&'EO<liicns cx::es NOf APPLYtoweterard ,.,..,,.<X>Th'dia,fees ard aµ<ily
~ nor plating, zmng, ga:lng orctrersirrila-'l'.)pli~a, ~ng or senAcefees in<X>Th'dioowthtns IJ(ject. i'CRcx::es IT APPLYto,rr;
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THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCO
{'city of Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.car1sbadca.gov Date
JOB ADDRESS drincl ,± SUITEI/SPACEI/UNITI -CJ)
CT/PROJECT# # OF UNITS #BEDROOMS # BATHROOMS OCC. GROUP
DESCRIPTION OF WORK: Include Squa,e Feet of Affected Area(s)
~sos kW, 17 rYlCO.vl\-l~ J 11nv-tr--t~r, (Iv) emf\-, v-oo+
\l)'l0LlJ1t .S,y{t!!_,mr /\JD \)/l/l-tl U-j)ljVMe. 1 f1vtsh VVLDL,{,flt'
EXISTING USE
APPLICANT NAME
ADDRESS
CITY STATE
·,oNE FAX
EMAIL
GARAGE (SF) PATIOS (SF) DECKS (SF)
ZIP
STATE LIC. # STATEL,C,t~D)g
ZIP
FIRE SPRINKLERS
YES0N00
(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 file a signed statement that he Is l!censed 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) orfhat 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
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
B 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.
I have and will maintain orkers' com pens on, as ui by Se · n 3700 of the Labor Code, for the performance of the '/IO r whic i permit is issued. My workers' compensali~n~urance carrier and po\icy
number are: Insurance Co.--,.AA,l--.1,.',"'-4--J-\-l--'--"-'"'+--1.-1,.._'\,<\-l----Policy No. \ Expiration Dale \ V · } · I ( Q
This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Wor!(ers' Compensation Laws of
Califomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to crlmlnal penalties and clvll fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation ama s as provided for In S · n 3706 of the Labo code, interest and attorney's fees.
,8$ CONTRACTOR SIGNATURE , .
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
□
□
□
I, as owner of the property or my employees with wages as their sole compensation, will do the wor'K 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-buikler will have the burden of proving that he did not buikl or improve for the purpose of sale).
I, as owner of the property, am exclusively contracting with Hcensed 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 unci!r Secllon _____ 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. OYes ONo
2. I (have I have not) signed an applicallon for a building permit for the proposed work.
3, I have contracted with the following person (firm) lo provide the proposed construction (include name address/ phone I contractors' license number):
4. I plan to provide portklns 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/ type of work)·
A$ PROPERTY OWNER SIGNATUR □AGENT DATE
COM...?LETE 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 n'sk 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 occuparit 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
'.MERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1v1I Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the applk:atlon and stats that the above information Is correct and that the infonnation on the plans Is accurate. I agree to comply with all Clfy ordinances and State laws relating 1D building construction.
I hereby authorize representative of the City of Carlsbad to enteruJX)n the atx:ive mentioned p-operty br inspection purJX)S8S. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CARLSBAD
ACAINST AlL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: MOSHA permit is required for excavations over 5'0' deep and demolilkm or oonstruction of structures over 3 stories in hej;Jht.
EXPIRATION: Every permit issued by the Bu'lding Oflcial under the provisions of this Code shall expire by limitation and tecome null and void if the buiw:ling or'Mlrk authorized by such pennit is not oommenced 'Mthin
100days from the date of such pennitor if e buildhg or'Mlrk authorized by such pennil is suspended or abanooned at any time after the oork is oommenced bra period of 180 days (Section 100.4.4 Uniform Building Code).
A$ APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB160545 Type: COGEN PHOTO
Date Inspection Item Inspector Act
06/08/2016 35 Photo Voltaic (PV) RI
06/08/2016 35 Photo Voltaic (PV) AEK AP
06/08/2016 39 Final Electrical RI
06/08/2016 39 Final Electrical AEK Fl
Wednesday, June 08, 2016
ESTES: 17 ROOF MOUNT PV, 4.5KW
NORMA, NO PANEL UPGRADE
Comments
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