HomeMy WebLinkAbout2637 WADSWORTH ST; ; CB162719; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-09-2016 Cogeneration Permit Permit No:CB162719
Building Inspection Request Line (760) 602-2725
Job Address:2637 WADSWORTH ST CBAD
Permit Type:COGEN Sub Type:PHOTO Status:ISSUED
Parcel No:2081930100 Lot #:0 Applied: 07/14/2016
Valuation:$8,000.00 Constuction Type: NEW Entered By:JMA
Occupancy Group:Reference #:Plan Approved: 07/15/2016
Issued: 07/15/2016
Inspect Area:
Plan Check #:
Project Title:TOLL BROS.: 6 ROOF MOUNT PV
Applicant:Owner:
SUNPOWER CORPORATION SYSTEMS
1414 HARBOUR WY SOUTH 94804
510 260-8296
Building Permit $96.85 PLUMBING TOTAL $0.00
Add! Building Permit Fee $0.00 ELECTRICAL TOTAL $0.00
Plan Check $67.79 MECHANICAL TOTAL $0.00
Add'I Plan Check Fee $0.00 Additional Fees $0.00
Plan Check Discount $0.00
Strong Motion Fee $1.04
Green Bldg Stands (SB1473) Fee $1.00
TOTAL PERMIT FEES $166.68
Total Fees:$166.68 Total Payments To Date:$166.68 Balance Due:$0.00
FINAL APPROVAL
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Inspector:Date:3 11 7Clearance:
NOTICE:Please take NO CE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions."You have 90 days from the date this permit was issued to protest imposition of these fees/exactions.If you protest them, you must
follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030.Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project.NOR DOES IT APPLY to any
fees/exactions of which you have oreviously been Given a NOTICE similar to this. or as to which the statute of limitations has Previously otherwise exoired.
1THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:EIPLANNING EIENGINEERING 0 BUILDING EIFIRE ElHEALTH ElHAZMAT/APCD1
A -
Cbty of Building Permit Application Plan Check No.0 61 1.0271(q1635Faraday Ave., Carlsbad, CA 92008
..
EM. Value
Ph: 760-602-2719 Fax: 760-602-8558Carlsbademail: building@carlsbadca.gov Plan Ck. Deposit
www.carlsbadca.gov Date Ca -CI-1LD SWPPP
JOB ADDRESS
Z.I0 14.1045. v3 c
-
1
SUITEIVSPACEUNIT1 APN
3 -4-....S+C _--
CT/PROJECT#LOT#PHASE ## 0 UNITS # BEDROOMS
'#BATHROOMS TENANT BUSINESS NAME ' CONSTR. TYPE OCC. GROUP
DESCRIPTI N OF WORK:Include Square Feet of Affected Area(s)k00P . vinooteLi-e-4A eko)-01/4.0)..v.c_Sy sie_114-1 —
N o .oP k =i 5-No Go Vie 1 tiebfail e_
No .o C e.okyke-1 s --i..'6•
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESEItt_NOE3 YESEINO Ei YESO NOEI
APPLICANT NAME PROPERTY OWNEPrimaryRer3 11 6 ro _sContact
ADDRESS ADDRESS
7 is -DU .-1-(7)(Ad
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CITY STATE ZIP CITY ,_,Tf ZIP
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PHONE FAX PHONE FAX
EMAIL EMAIL
DESIGN PROFESSIONAL I ...CONTRACTOR BUS.NAMES/PLOLJo''''•0.-1 '*1 f
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ADDRESS ADDRESS
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CITE)
cfitrATE
/ZIP CITY /1 STATK Z11r-`-Ck‘/%‘.fje 4\41 9.4 9 0 il c...\ CL.C.-1-N 1.80 it
PytONE ,FAX PHON FAX
14,5'410 -05-ro ci 0)5
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STATE LIC.#STATE !IC.CLASS CITY BUS. LIC.#
1 9o7 5""'9 o89 5-i232.200
(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 requires theapplicant 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 Division 3 of theBusiness 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 acivil penalty of not more than five hundred dollars ($500)).
WORKERS'COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of penury one of the following declarations:
jii 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 work"'compensition, asiequired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insu nnierind policy
number are: Insurance Co.nui‘o.A. ftvt-e_i.co.Policy No.IA)C.-5-5-11 710 Expiration Date /////.117
his section need not be completed if the permit is for one hundred dollars ($100) or less.
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' compensati•••-•--••ul, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as ••••••1 •-•-—••or code, interest and attorney's fees.
.ES CONTRACTOR SIGNATURE ,,,..1111111111111. _gamimor 0:4 AGENT DATE i:o 9 ,„•
OWNER -BUILDER DECLARATION
I hereby affirm that lam exempt from Contractor's License Law for the following reason:
1:1 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 Contractors
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 Contractors 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).0 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.Eles EINo
2.1 (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / 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 / address / phone / 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 / address / phone / type of work):
ASPROPERTY OWNER SIGNATURE EIAGENT DATE
COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submita business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act?0 Yes 0 No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?0 Yes El No
Is the facility to be constructed within 1,000 feet of the outer boundary ofa school site?El Yes 0 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certifythat!have read the application and state that the above information is conect and that the information on the plans is accurate.Iagree to comply with all City ordinances and State lave relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permit is required for excavations over55deep and demolition or construction ofstructures over 3 stories in height.
EXPIRATION: Every permit issued by the Building ••«.-;-of this Code shall expire by limitation and become null and void if the building or work authorized by such permits not commenced within
1u80days tomthe dateofsuch permit or if th-•• ing or work au ••s spended or abandoned at any time after theworks commenced for a pe of 1:1 days (Section 106.4.4 Uniform Building Code).
,AKAPPLICANT'SSIGNATURE 111
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1
-1W DATE 8 •16
STOP
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 bltildillgeCarlSbadCa.g0V or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#:(Offloe Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DEUVERY OPTIONS
PICK UP: CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
0 ASSOCIATED CB#MAIL TO:o CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On Pg i)o NO CHANGE IN USE/NO CONSTRUCTION
MAIL /FAX TO OTHER:o CHANGE OF USE/NO CONSTRUCTION
AKAPPLICANT'S SIGNATURE DATE
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PERMIT INSPECTION HISTORY REPORT (CB162719)..r
Permit Type.BLDG-Commercial Application Date:07/14/2016 Owner:
Work Class:Cogen Issue Date:07/15/2016 Subdivision:
Status:Closed -Finaled Expiration Date:09/05/2017 Address:2637 Wadsworth St
Carlsbad, CA
IVR Number:715784
Scheduled Actual Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteDateStart Date
03/07/2017 03/07/2017 BLDG-35 Solar 015727-2017 Passed Jonathan West Complete
Panel
BLDG-Final 015728-2017 Passed Jonathan West Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Electrical Final Yes
March 07, 2017 Page 1 of 1