HomeMy WebLinkAbout2645 HIGHLAND DR; ; CB151438; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-12-2015 Cogeneration Permit Permit No:CB151438
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
2645 HIGHLAND DR CBAD
COGEN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
1561108600
$14,400.00
ALGER RES-PHOTOVOLTAIC SYSTEM
Status: ISSUED
Applied: 05/12/2015
Entered By: RMA
Plan Approved: 05/12/2015
Issued: 05/12/2015
Inspect Area:
Plan Check #:
Project Title:
36 ROOF/FLUSH MOUNTED MODULES-9.3 KW-NO ELECT PANEL UPGRADE
Applicant:
INDEPENDENT ENERGY SOLUTIONS
1090 JOSHUA WY
VISTA CA 92081
760-752-9706
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
$158.29
$0.00
$110.80
$0.00
$0.00
$1.87
$1.00
Owner:
ALGER 2002 TRUST 03-19-02
2645 HIGHLAND DR
CARLSBAD CA 92008
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $271.96 Total Payments To Dale: $271.96 Balance Due:
Inspector:
FINA"-PPR~Vf\L -
Date: _ (., I@/,:;, Clearance: '
$0.00
$0.00
$0.00
$0.00
$271.96
$0.00
NOTICE: Please take NO t 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 pennit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government 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 oonnection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES lT APPLY to any
/exactions f whi h ou h v r viousl be n iv n a NOTI imilar to this r to whi h statute of limi lions h r vio sl th r.vis x ir
, THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE
Ccityof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.cartsbadca.gov
Plan Check No.
Est. Value
SWPPP
SUITEf/SPACEI/UNI APN
PAR -11<. -/'/ ?.J.-
# BATHROOMS TENANT BUSINESS NAME coNsTR. TYPE occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s)
Sot.. 'ifh'fov,(-;.«-.5'ydc,,. ·'h, 1,,, ~~.,.;it> ,. r,,,J,:,"1 ; ysk.. Yl,.,t. u t/4s.e ){. W:~ roof 7fy:,
/k p~ u~ //ee/4.d Sb so/,..;-~ = 1-31 ht/ ,tic ( ~ec)
EXLSTING USE
APPLICANT NAME
Primary Contact
ADDRESS
ADDRESS
CITY
PHONE
EMAIL
PROPOSED USE
STATE
FAX
STATE
FAX
0
GARAGE {Sf)
ZIP
.w
ZIP
STATE LIC. # ;;.o 0
PATIOS {SF) DECKS (SF)
PROPERTY OWNER
ADDRESS
CITY
PHONE
EMAIL
CONTRA~ BUS. NAME
ADDRESS
1090
CITY
STATE LIC.# ios1
FIREPLACE
YESQ
AIR CONDITION/NG
N<CJ YES □No □
STATE ZIP
FAX
STATE ZIP
FAX
FIRE SPRINKLERS
YES□No□
(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 the applicant for such permit to file a signed statement that he is licensed pursuant to the provIsIons of the Contractor's license Law JChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basts 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' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declarations: D I have and will maintain a certificate of consent to self-Insure for workers' compensatk:rn as provided by Section 3700 of the Labor Code, for the performance of the wor\o:: for which this permit is issued.
~ I have and will maintain workers' compensation, as reQuired bv Section 3700 of the Labor Code, for the performarice of the wor\o:: for which this permit is issued, My workers' compensation insurance carrier and policy
numberare:lrisuranceCo."S41c ~11qeM4frm hfwµµ ~,£ CA PolicyNo 9/0fl'-18-1-/ Expiration Date 0'8'/01 /~s=
~section need not be completed if the permit is forofle hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of lhe worl( for which this permit is issued, I shall not emplov 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 criminal pen a Illes and clvll fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damagn as rovided for in Section 3706 of the Labor code, Interest and attomey's fees.
_85 CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□
□
□
I, as owner of the property or my employees with wages as their so~ comperisation, will do the work. arid the structure is not interided or offered for sale {Sec. 7044, Business and Professions Code: The Contractor's
License Law does riot apply to an owner of property who buik:ls or improves thereon, and who does such work himself or through his owri employees, provided that such improvements are not iritended or offered for
sale. If, however, the building or improvemerit is sok:I within orie year of comp~tion, the owrier-builder will have the burderi 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 pro]8cts with contractor(s) licensed pursuarit to the Contractor's license Law).
I am exempt urider Section _____ ,Business and Professions Code for this reason:
1. I personally plari to provide the major labor and materials for constructiori of the proposed property improvement. OYes
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following persori (firm) to provide the proposed construction (include name address I phorie / contractors' lice rise riumber):
4. I plan to provide portions of the wor\o::, but I have hired the following persori to coordinate, supervise and provide the major wor\o:: (iriclude name I address/ phone/ contractors' license number):
5, I will provide some of the wor\o::, but I have contracted (hired) the following persons to provide the wori( indicated (include name I address/ phone I type of work):
_85 PROPERTY OWNER SIGNATURE □AGENT DATE
I
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 and prevenUon 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
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 ANO THE AIR POLLUTION CONTROL DISTRICT,
CONSTRUCTION LENDING AGENC
I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1vd Code)
Lender's Name lender's Address
APPLICANT CERTIFICATION
I ~that I haYe read the appllcatlon and state that the alxwe information Is oonect and that the infonnation on the plans Is accurate. I agiee to comply with all Cltyon:llnances and State laws relating 1D buUdng amtruclion.
I hereby authorize representative of the City of Car1sbad to enter u1xm the SOOve menooned property br i~n pu~ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUIX,MENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA permtt is requred br excavations over 5'0' deep and demolioon or construction of structures over 3 sbrles in hei;iht.
EXPIRA. TION: Every permit issued by the Buikiing Offdal under the provisbns of this Cooe shall expire by li'nitation and re<Xlme null and voKl W the buikiing or 'Mlrk authorized by such permrt is not oommenced wffllin
180 days from the date of such pennlt or if the buikiflQ or'M!rl<. authorized by sudl pennlt is suspended or abandoned at any time after the YIOfk is oommenced for a period of 180 da~ (Section 106.4.4 Uniform Buik]ng Code).
_6$ 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 Ol'llONS
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: _______________ _
,.65 APPLICANT'S SIGNATURE
ASSOCIATED CB#'-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB151438 Type: COGEN PHOTO ALGER RES-PHOTOVOLTAIC SYSTEM
36 ROOF/FLUSH MOUNTED MODULES-9.
Date Inspection Item Inspector Act Comments
05/28/2015 35 Photo Voltaic (PV) RI
05/28/2015 35 Photo Voltaic (PV) PY AP
05/28/2015 39 Final Electrical RI
05/28/2015 39 Final Electrical PY AP
Monday, June 01, 2015 Page 1 of 1