HomeMy WebLinkAbout2630 LEWIS LN; ; CB160964; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-10-2016 Cogeneration Permit Permit No:CB160964
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2630 LEWIS LN CBAD
COGEN
1552722100
$2,400.00
Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
Status: ISSUED
Applied: 03/10/2016
Entered By: SLE
Occupancy Group: Plan Approved: 03/10/2016
Issued: 03/10/2016
Inspect Area:
Plan Check #:
Project Title: STALEY: ADD 6 MODULES TO EXIST
SYSTEM/ NEW TOTAL= 23 MODULES/ 6.55KW / NO PANEL UPGRADE
/NORMA
Applicant:
HOME UNPLUGGED
3525 HIGHLAND DR
CARLSBAD CA 92008
858 349-2369
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
$52.50
$0.00
$36.75
$0.00
$0.00
$1.00
$1.00
Owner:
STALEY ERIK
2630 LEWIS LN
CARLSBAD CA 92008
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $91.25 Total Payments To Date: $91.25 Balance Due:
Inspector: /1:1 · ~~ FINA~~ROVAL
Date: lral.lb Clearance:
$0.00
$0.00
$0.00
$0.00
$91.25
$0.00
r-oTICE: Please ta<e r-oTICE Iha~ d yor l)tject irdL.des the "lrrµx;itiai' d fees, dedcaicn;, -= a-ctte-"""'"crs -o:Jledi,ey
raerred to as 'fees'"""'"cns." Yoo t-a\e 00 days frooithe date ttis pemit W?S issued to J>desl irrµx;itia, d thase fees'"""'"CTS· If ya., J>desl trem ya., rrusl
fdlo.vthe J>desl Jl1lCll(l..res sd lath in C?cNerrmrt Q:deSedia, ~a), ard file the J>desl ard a,yctte-req.ired irtamiimv.i1hthe Qty ~for
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re,;ew, sa asde, vdd, a-anJ trer illµllitim
Yoo ae t-enfy FI..RTl-ER r-oTIRED !tat yor ngt to J>desl the specified feesl"""'"crs OCES I\OT /IPA.. Y to Wiis ard -.e, arrectia, fees ard c,µcty
cra-ges, rcr plmrg, zrrirg galrg a-ctte-snrila-applicaia, ~rg a-SSl\1oe fees in arrectia, wth ttis l)tject. !'CR OCES IT APPLY to a,y
· -· · · · · · ----to··'--' ........ t · · irri+,,..;........, · · •
THE FOlLQ.W\NG APP~OVAlS REQUIRED PRIOR TO PERMIT ISSUANCE· □PLANNING 0 ENGINEERING 0BUILlllNG □FIRE □HEALTH QHAZMAT/APCD
{ City of
Building Permit Application Plan Check No. ffi llcCR IC\ '-I,
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@car1sbadca.gov
Date -;,,.;_ Ir'\-II " lswPPP www.carlsbadca.gov
JOB ADDRESS 2..t '1t / . ..,.. ~ t;:, 61 9.?Lnx
SUITE#/SPACE#/UNrT# IAPN ---
CT/PROJECT# ll01' I PHASE# 1• OFUNllS #BEDROOMS #BATHROOMS I TENANT BUSINESS NAME ICONSTR. TYPE I OCC. GROUP
DESCRIPTION OF WORK: lnolude Squtt,e FHtof Affect!tHI Atett(•J
,, '"" roof -, .. ""'" / 00 '"""' ,.,. "''""' 4t,#~ 6 ~,,, t( t..£ /,? /c..J '4dcl "P ~~ ;JS~
1--0 • .-S':J Kw Totw ) 2.3 +croJl madub
EXISTING USE I PROPOSED USE GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE rR CONDITIONING I FIRE SPRINKLERS
YES[], Nc0 YES0No0 YES□Noo
APPLICANT NAME Justin Fox PROPERTY OWNER NAME rr---/ ,,/4/4
ADDRESS ADDRESS ~ Y-43D ~r:rcn. 3525 highland dr
CITY STATE ZIP CITY STATE ZIP 9'? --,rr? carlsbad ca 92008 carlsbad ca
PHONE IFAX PHONE IFAX 858-349-2369 na na
EMAIL EMAIL
sandpeople1@gmail.com
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Home Unplu1:u:Ied
ADDRESS ADDRESS 3525 highland dr
CITY STATE ZIP CITY STATE ZIP
carlsbad ca 92008
PHONE IFAX PHONE IFAX 858-349-2369
EMAIL EMAIL
sandpeople1@gmail.com I STATE UC., s1Jfb~1 Ml !°'ASS B ICITY60$ "'1237929
(Sec, 7031.5 Business and P_rofesstons 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 tof1le a signed statement ttiat he is hcensed pursuant to the provts1ons of the Contractor's License LawjChapter 9, commending with Section 7000 of D1v1s1on 3 of the Business and Professions Code} or that he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Workers' Comp1r1aation Declaration: I hereby amnn und9r penalty of peljury one of the fo!lov,tng declarations.
El I have and will maintain a certificate of consent to selUnsure lorw«11ers' co~nsal:ion as prOliided bf Section 3700 of the labor Code, foc the performance of the work for IM'lich this perrrit is issued.
I have and will maintain workers' compenaation. as reQuired by Secbon 3700 of the lab« Code, for the performance of the wor11 for which this permit is issued. My ~ers· compensation insurance earner and pd1cy
number are: Insurance Co ________________ Pd1cy No. ___ _ ______ Expiration Dale ___ _
This sectmn need not be competed if the permit is for one hundred ojlars ($100) oc less. (Z] Certlflcate of Exemption: I cenify that in the performance of the work for which this permit is issued, I shall not erqjoy any person in any manner so as lo become subject lo the Wor1c:ers' Corrpensation laws of
California WARNING: Failure to secure workers' compensation coverage is unlawful, and eh all aubject an employer to criminal penalties and clvll ftnes up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages provided for In Section 3706 of the Labor code, int.rest and attorney's leas. ' I '
JiS CONTRACTOR SIGNATURE ~ □AGENT -:I--
I heteby afflnn that I am exempt ti'om Contractor's License Law for the fo/lrJNing reason:
□
□
□
I. as owner rJ the prq>erty or my empoyees Wlh wages es their sae co~nsation, will do the WOO: end the structure is not intended or offered for sale (Sec. 7044, Business end Professions Ccxle: The Contractor's
llcense law does not ~y to an OM1er of prq:>erfy who buids or ill1)l'OJ8S thereon, and who does such work himself or through his own erqjoyees, provided that such ill1)l'ovements are not intended or offered for
sale. If, however, the builcing a ill1)l'OJement is sad within one year of oompetioll, tile owner-tluilder will have the burden of p-O'Ang that he cid not build or improve for the purpose of sale)
I, as owner of the property, am exclusively colllractillg with licensed contractors to construct the project {Sec. 7044, Business and Professions Code: The Conlractor's licer1se law does 11ot appy lo an owner of
prq>erty IM!o blilds a i~oves thereon, and contracts for such projects Wth conlractor(s) licensed pursualll to the Colltractor's license law)
I am exempt under Seclior1 ____ .Business and Professions Code fa-this reason
1. I personally pan to prCNide the major labor Bild materials fa conslruclioll of the proposed prq>erty improvement. 0Yes 0No
2. I (have I have 11ol) signed 011 a~icalion for a bl,jcing permit fer the proposed work
3 I have cor1lracled w\lh the fdlowing person (firm) to prO'Ade the p-oposed construction (indude 11ame adcress I phone I contractors' hcense nun'bef)•
4. I pan to provide porbons of the mrk, but I have hired the fdlov.ing person to cocrcillale, supervise Bild p-ovide the major 'Mlll( (indude name/ ad<tess I phone I contractors' license number)
5. I will jl'OVide some of the mrk, but I have contracted (hired) the fdlov.ing persons to prm-;de lhe wort indicated (in dude name I address I phone/ type of wOfk):
NS PROPERTY OWNER SIGNATURE [)AGENT OATE
Is Iha apJEl!nl or Mure lnald,ng OCC\{)ant ,e[lllr!!O lo soomil a bUSirtess plan, awtc:fy lwanloos matE!fials relJislrn1ian farm or nsk fflala!l!!lll""'t aM ,.......enboo rrog,am undl!f Seclions ?5505, 25533 or 255.14 o! !tie
PrMley-T annl!f Haza-dous SubstanGB Ar.r.an M' □ Yes □ No
I~ Iha apiwcant or futurP. buld1ng occupant fP.Qllred lo obtain a pr,rm~ from the air pollu~oo i;mtrol dislnd or air [f.l,ll<ty man~1 district? t1 Yes □ No
Is the faciitylobecmstrud!!O with(, 1,000frtet lithe oolerbrundaryol a school !!ru!7 □ Yes □ No
1F ANY OF TIE ANSWERS ARE YES, A RNA!. CERTIFICATE Of OCCUPANCY MAY NOT BE ISS\JEO UNLESS THE APPLICANT HAS IIET OR IS MUTING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES ANO THE .'JR POLLUTION CONTROL DISTRICT
lceitJyth-.l"-nadthe~.indstabrtllittho,._~1111ls.aimdatdMthelrlfomlalon1111ltleplillSba~latteetol#llply'IMll;.iatyll!lllnaru:esalldstattl""5rdadngtaWlldlnglJIIIStlUdlon.
I heltby aulhmue rapesoolawe ol the Oty al calsbad ID ere~ tie abwe rnerGD,ed ~ JQ--il&pedicr, ptrpO&ea. I ALSO AGREE TO SAVE, NDEM'<IFY AND KEEP HAIM.-ESS THE CITY OF CARLSBAD
AGANST ALL l1MLITIES, JL,OGMENTS, COSTS .AHl EXPENSES YMCH MAY tl Nf( WAY .'CCR\.JE AGAIK.ST SAD CITY IN CONSEQU~CE OF THE GRJWTING {F lHIS PER~.
OSHA: M OSHA permit is n,q.nd 1.7 ~ OVl!r5'0' deep iVld dendlm c.-r.onswdion r:I. strucles Ol/8" J Slol'les ii hlli!td-
EXPIRATION; Every pem11l ir.soed b)' the Building Official oodErlie pro-.iaions ol lmll Code shal expire t,,, irrntalio:1 iTrd becc:mll rd and wid I tho brnkJrng er IMl'k aut,mzed t,,, iPJdl pemil is not ccmmenced wh"I 100da•"""'"''""'"""'~'••~~"""-•w-•-• .. m•••-•m"""'"""•-d1'0da•(SoctM1>'44U-"""'"""l ~ .. ,uC .. r&Skl_'A,IJ"' /----------________ DATE J~-/4 _______ _
Inspection List
Permit#: CB160964 Type: COGEN PHOTO
Date ___ ln_spl!c_tion Item Inspector Act
03/1812016 35 Photo Voltaic (PV) RI
03/1812016 35 Photo Voltaic (PV) MC AP
03/1812016 39 Final Electrical RI
03/1812016 39 Final Electrical MC Fl
Monday. March 21, 2016
STALEY: ADD 6 MODULES TO EXIST
SYSTEM/ NEW TOTAL = 23 MODULES / 6.
Comments
RELEASE E-MAILED TO SDGE.
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