HomeMy WebLinkAbout2657 WADSWORTH ST; ; CB163057; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-09-2016 Cogeneration Permit Permit No:CB163057
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2657 WADSWORTH ST CBAD
COG EN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
Parcel No:
Valuation:
Occupancy Group:
2081930500
$8,000.00
Project Title: TOLL BROS.: 20 ROOF MOUNT PV
Applicant:
SUNPOWER CORPORATION SYSTEMS
1414 HARBOUR WY SOUTH 94804
51 0 260-8296
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Plan Check Discount
Strong Motion Fee
Green Bldg Stands (SB1473) Fee
$96.85
$0.00
$67.79
$0.00
$0.00
$1.04
$1.00
Owner:
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Status: ISSUED
Applied: 08/09/2016
Entered By: SLE
Plan Approved: 08/09/2016
Issued: 08/09/2016
Inspect Area:
Plan Check #:
$0.00
$0.00
$0.00
$0.00
$166.68
Total Fees: $166.68 Total Payments To Date: $166.68 Balance Due: $0.00
Inspector:
FINAL APPROVAL ~-V~ }J Date: 0 _ Clearance:
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reterred to as ''feeslea:Dcrs." Yru haw 00 days flantl"e date Uis (mT'it W!!S issued to pttest irTJX)Woo cl these feeslea:Dcrs. If }QJ pUest them }QJ nu;t
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r-EMew. sa aside, \tid, a anJ their irTJX)Won
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~ . . . . 'rril . W1 li . . . . .
Catyof
Carlsbad
JOB ADDRESS
CT/PROJECT #
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUnEI/SPACE#fUNIT#
#BATHROOMS
Plan Check No.
Est. Value
Plan Ck. Deposit
Date SWPPP
OCC. GROUP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) AIR CONDITIONING
YES0No0
FIRE SPRINKLERS
APPUCANT NAME
Primary Contact
ADDRESS
CITY
PHONE
EMAIL
DESIGN PROFESSIONAL
ADDRESS
STATE
FAX
vesONoO
ZIP ZIP 92~69
EMAIL
STATEUC~9 OB9 s CITY BUS. LIC.#
1.'3>'2.2-So
(Sec. 7031.5 Business and Professions Code: Arri City or County which requires a permit to construct. alter, improve, demolish or repair an:,: structure, prior to its issuance, also re~:~uires the applicant for such permit to file a signed statement ttiat he is licensed pursuant to the provisions of the Contractor's Ucense Law !Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exem~t 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 Dec;!aration: I heteby affirm under penally of perjury one of the following declarations:
Q1 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 perm~ is issued .
.JlSI.l have and will maintain w ' compens"on, as quired by ~on 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insu nee rrie~nd policy
number are: lnsu~ Co. V £ \ ~\A.. -.. Policy No. lA) C... S"" 5""1 Z 7 "!> 0 Expiration Date /1 I /
This section need not be completed W the permit is for one hundred dollars ($1 00) or less. D 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' and shall subject an employer to criminal penalties and civil fines up to one dollars (&100,000), in
addition to the cost of compensation, damages interest and attorney's fees.
RS CONTRACTOR SIGNATURE
I hereby afflrm 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 Contracto~s
Ucense Law does not apply to an owner of property who builds or improves thereon, and who does such work himse~ 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 w111 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 Contracto~s Ucense 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 Contracto~s Ucense Law).
I am exempt under Section Business and Professions Code for this reason:
1. I personaDy plan to provide the major labor and materials for construction of the proposed property improvement DYes 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 Onclude name address I phone I contractors' license number}:
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supeJVise and provide the major work Qnclude name I address I phone I contractors' iitense number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated Qnclude name I address I phone I type of work):
RS PROPERTY OWNER SIGNATURE DATE
' -:c 0 M P L E T E T H I S S E C T I 0 N F 0 R N 0 N - R E S I 0 E N T I A L 8 U I L 0 I N G P E R M I T S 0 N L Y
Is the applicant or future building occupant required to submit a 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? CJ Yes CJ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CJ Yes CJ No
Is the faciUty to be constructed within 1,000 feet of the outer boundary of a school site? CJ Yes CJ No
IF AHY 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.
I oertifythatl have l9ad the appllcation and statethatthe above information is correct and that the information on the plans is aa:urate.l agreem oomplywith all City ordinances and State Jaw; relating1D building construction.
I hereby authorize represenlative of the City of Carlsbad to enter upon the above mentioned property br 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 permft is requied li:lr excavalions over fJIJ deep and demolition or construction of slruclures over 3 stories in height
EXPIRATION: Every permft issued by the Building Code shall expire by frnilation and become nun and void if lhe buiiding or v.ork authori2ed by such is not commenced v.ithin
180 days fi'om the date of such permit suspended or abandoned at any time after lhe v.ork is commenced for a days 106.4.4 Uniform Building Code) •
..@$"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, Carlfomia 92008.
(Office Use Only)
CA
DELIVERY OPTlONS
PICK UP: o CONTACT (Listed above) o OCCUPANT (LISted above)
o CONTRACTOR (On Pg. 1)
MAIL TO: o CONTACT (Listed above) o OCCUPANT (LISted above) o ASSOC~TEDCB#------------------------
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE I NO CONSTRUCTION
MAILIFAXTOOTHER: ________________________________ _
o CHANGE OF USE I NO CONSTRUCTION
A$ APPLICANT'S SIGNATURE DATE
PERMIT INSPECTION HISTORY REPORT (CB163057)
Permit Type: BLDG-Commercial Application Date: 08/09/2016 Owner: TOLL BROS INC
Work Class: Cogen Issue Date: 08/09/2016 Subdivision:
Status: Closed -Finaled Expiration Date: 08/21/2017 Address: 2657 Wadsworth St
Carlsbad, CA
IVR Number: 716327
Scheduled Actual Inspection Type Date Start Date Inspection No. Inspection Status Primary Inspector Reinspection Complete
02/09/2017 BLDG-35 Solar 013377-2017 Passed Jonathan West Complete
Panel
BLDG-Final 013378-2017 Passed Jonathan West Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Electrical Final Yes
February 09, 2017 Page 1 of 1