HomeMy WebLinkAbout2618 GARDEN HOUSE RD; ; CB153442; Permit•• City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-13-2015 Cogeneration Permit Permit No:CB153442
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
Applicant:
2618 GARDEN HOUSE RD CBAD
COGEN Sub Type: PHOTO
2131712900 Lot#: 0
$8,800.00 Constuction Type: NEW
Reference #:
ROLLINS: PHOTO VOLTAIC, 7.59K
22 MODULES, ROOF/FLUSH MOUNT, NO PANEL UPGRADE
Owner:
Status: ISSUED
Applied: 10/13/2015
Entered By: SLE
Plan Approved: 10/13/2015
Issued: 10/13/2015
Inspect Area:
Plan Check #:
PLANET EARTH SOLAR LLC ROLLINS FAMILY TRUST 12-22-08
232 W ESCALONES
SAN CLEMENTE CA 92672
949 899-0823
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
$105.72
$0.00
$74.00
$0.00
$0.00
$1.14
$1.00
2618 GARDEN HOUSE RD
CARLSBAD CA 92009
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $181.86 Total Payments To Date: $181.86 Balance Due:
Inspector:
FINAL AP~Q'{8L
Date: {a, · l) · f S Clearance:
$0.00
$0.00
$0.00
$0.00
$181.86
$0.00
I\OTICE: Aease-1\0TICE Iha ,w"CMi ci )OS iJtject irdt.des tre "'IITJXl"tiai' ci fees. declcaicns ressvaicns, or ctrer e><alicrs rereitter rolecowy
reared to as '!eas'exIDicrs." Yoo h'Ml 00 daysfrantre-ths i:,,nrit v,a; issoo:Jtoprctest ilTJl(>itioncittesefeas'e><alicrs. If you prctest trem you m..61
fcJlo.vtre prctest prccoo.res set lath in G::Ma:rrrert Qx:le Secoon =i(a). ardfiletreprctest ard 1f1Ydrer reqjred irtamiionwth treOtylv'mgarfcr
~ng in aa.miau, v-.ith Ca1sboo M.ridi:a Qx:le Secoon 3.32.030. FalLretotirrayfcJlootha ~v-.ill ba" 1f1YSt.tllecµ,rt l"J" ooionto~
re.iieN, set asiCE, vdd, a an.I ther irrpEtioo.
Yoo ae hareoy FlR!1-ER I\OTIRBJ !rat )OS rigt to prctest Ire si:,,dfied feas'e><alions !XES !\Or PPPL Y to waer ard serer oonnecoon -ard ~ty
cra-ges, nor perring, imng, i:,a:lng or ctrer snril,r awicaion ~ng or ser\1oe fees in oonnecoon v-.ith !tis iJtjec!. !\CR !XES IT PPPL Y to "1Y
feas'e><ali v.li h'Ml a I\OTl snril ov.lich e ci linri!EE
THE FOLLOWING I\PPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING BUILDING DFIRE DHEALTH 0HAZMATIAPCD
1'53442
Est. Value tcityof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Ck. Deposit
SWPPP
JOB ADDRESS SUITEf/SPACEf/UNrTf APN 3 -171 1.. 9 -0 0
CT/PROJECT# LOT# PHA.SE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Squant Feet of An'ected Area(s)
EXISTING USE
APPLICANT NAME
Primary Contact
ADDRESS
CITY
ADDRESS
CITY
PHONE
EMAIL
PROPOSED USE
s
STATE
'""
M.ovl\J'tl:-:D 561..f<(l-,"r-(2.~ 3 'i 5" v-1 MDJ)IJ ~
? o o o i.v I tJ v ( f.-n fl_..,
GARAGE (SF) PATIOS (SF) DECKS (SF)
PROPERTY OWNER
CITY .-k(LL
PHONE 7t,o.
EMAIL
CONTRACTOR BUS. NAME
ZIP
STATE UC.#
ND
No
CONSTR. TYPE OCC. GROUP V-8 ~3
MAirJ P~LVP& ! t:'
(2-.M,.IJ--
AIR CONDITIONING YES0No0
(O,v\...
FIRE SPRINKLERS YESONoO
(Sec, 7031.5 Business and P,rofessions 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 apphcant for such permit to fde a signed statement that he is hcensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of Div1s1on 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any v1olat1on 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 petjury one of the following declarations:
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.
ave and wlll maintain workers' compensation, as reQuired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation ins ranee ca
numberare lnsuraoce Co. 5,: A "'f1i-rv lv't> Poi;,, No. 9 ()~' 4 0 'J Exp;ration Dale -"'-..1-..!!z'-""~'--"'---
~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 employer to crtminal penalties and clvil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, dam as provided for In Section 3706 of the Labor coda, interest and attorney's fees.
65 CONTRACTOR SIGNATURE
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, a11d 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 lhe project (Sec. 7044, Business a11d 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 lo tr.e 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 11ame address I 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 lhe 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):
65 PROPERTY OWNER SIGNATURE 0AGENT 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 hazardO\Js materials registration form or risk manatJement 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 district or air quality management district? Yes No
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes No
IF AAY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR 18 MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I berlifythat I have read the appllc:ation and state that the atxwe Information Is correct and that the infunnatlon on the plans Is accurate. I agme to comply\Wth all City on:linances and State liMs 181attng to bullclng construction.
I hereby aulholize represen~tiw oflhe Ci~ of Calfsllad b enter upon 1he abo1e mentioned property !Jr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS TliE CrTY OF CARLSBAD
AGslNST All LIABILrTIES, JUDGMENTS, CCSTSAND EXPENSES WHICH MAY IN ANY WAY ACCRUEAGslNST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA permit is required for excavations over 5'0' deep and demolltKln or coostrudion of structures over 3 stories in hei;Jht.
EXPJRA TION: Every permit issued by the B.Jik:ling otrcia! under the pro....;sions of this Code shall e)(J)ire by limitation and beoome null and wi:I W the buik:ling or 'M)l'k; aulhorizej by such permit is not oommenred 'Mthin
180 days from the date of such permit or if the Wilding or YIO uthorized by s permit is suspended or abandoned at any time after the wk:
0
oATEoommenced/ ol>r a pe/fOO t 80 r((~ 100.4.4 Unifonn Buiklirig Code) .
...@S" APPLICANT'S SIGNATURE ? I I ::,
• 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 buildinq@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: _______________ _
...S APPLICANT'S SIGNATURE
ASSOCIATED CB#'-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB153442 Type: COGEN PHOTO
Date __ lnspectio_n _Item Inspector Act
12/08/2015 35 Photo Voltaic (PV) RI
12/08/2015 35 Photo Voltaic (PV) PD AP
12/08/2015 39 Final Electrical RI
12/08/2015 39 Final Electrical PD AP
Tuesday, December 08, 2015
ROLLINS: PHOTO VOLTAIC, 7.59K
22 MODULES, ROOF/FLUSH MOUNT, NO
Comments
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