HomeMy WebLinkAbout2691 BRESSI RANCH WAY; ; CB153811; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-04-2015 Cogeneration Permit Permit No:CB153811
Building Inspection Request Line (760) 602-2725
Job Address: 2691 BRESSI RANCH WY CBAD
Permit Type: COGEN Sub Type: PHOTO
Parcel No: 2131501500 Lot #: 0
Valuation: $5,600.00 Constuction Type: 5B
Occupancy Group: Reference #:
Project Title: YANG: 14 ROOF MOUNT PANELS
Applicant:
ALLIED ENERGY INC
STE L
1305 SIMPSON WY
ESCONDIDO CA 92029
760-746-1248
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Owner:
YANG FAMILY TRUST 05-20-11
2691 BRESSI RANCH WAY
CARLSBAD CA 92009
$79.11
PLUMBING TOTAL
$0.00
ELECTRICAL TOTAL
$55.38
MECHANICAL TOTAL
$0.00
Additional Fees
Plan Check Discount $0.00
Strong Motion Fee $1.00
Green Bldg Stands (SB1473) Fee $1.00
Total Fees: $136.49 Total Payments To Date:
TOTAL PERMIT FEES
Status: ISSUED
Applied: 11 /04/2015
Entered By: JMA
Plan Approved: 11/04/2015
Issued: 11 /04/2015
Inspect Area:
Plan Check #:
$136.49 Balance Due
FINAL APPR VAL
Inspector: Date: �� Clearance:
$0.00
$0.00
$0.00
$0.00
$136.49
$0.00
NCTICE Rease take NOTICE that approval d your prged includes the "Inpositioi' d fees, decicatiors reservations, or other exactions hereafter collectively
rr ferred to as ' feesrexactions." You have 90 days from the date this pernit mis issued to protest irrpositicn of these fees/exactias. If you protest therm you mist
fdlow the protest procedres set forth in GoAym- ert Cade Section 6W20(a), and file the protest and arry other recpred infarreticn with the City K/breger for
prnoessing in aooadance with Carlsbad M idpd Cade Section 3.32030. Failure to timdy fdlowthat procedure will bar any subseguaert legal action to attack,
review, set aside, void, or arn/ their irrposition.
You are hereby PJRT ER NOT Fl m that your right to protest the specified feesre octicns DOES NOT APPLY to water and saner connedion fees and capacity
cha iges, nor planning, awing, gating or other sinilar application processing or service fees in connection with this prod. NOR DOES ITAPPLY to any
FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: [PLANNING (ENGINEERING [IBUILDING [FIRE
DHEALTH [:3HAZMAT/APCD
4C,( `` Building Permit Application
city Q f 1635 Faraday Ave., Carlsbad, CA 92008
CE�flsbad✓✓Ph:760-602-2719 Fax:760-602-8558
email: building@carlsbadca.gov
www.carisbadca.gov
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
JOB ADDRESS
9
SUITE//SPACE!/UNIT!
1913
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CT/PROJECT
L T #
PHASE #
# OF NITS
#BEDROOMS
#BATHROOMS
TENANT BUSINESS NAME
CONSTR. TYPE
OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
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4,a Kw V100&_ VY)0U0 V N SySk M c6 o S►S�-(,� , �y
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EXISTING USE
PROPOSED USE
GARAGE (SF)
PATIOS (SF)
DECKS (SF)
FIREPLACE
AIR CONDITIONING
YES N0�
YES E]NO ❑
IFIRESPRINKLERS
YES N0r_1
APPLICANT NAME
PrfmaryContact �A ,%
PROPERTY OWNER
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ADDRESS V I
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AD ESS
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CITY STATE ZIP
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PHON
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PHONE
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FAX
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EMAIL
EMAIL
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DESIGN PROFESSIONAL
CONTRACTOR BUS. NAME
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ADDRESS
ADDRESS
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CITY STATE ZIP
CITY STATE ZIP
PHONE
FAX
PH NE r�
FAX �c
EMAIL
EMAIL ✓I h)CL,& Cl1l K_-Jo utf 9 y— �S G WI
STATE LIC. #
STATE LIC.#
CLASS
CITY BUS. IC.#
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(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 (Chapter 9, commending with Section 7000 of Division 3 of the
Business 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 a
civil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: 1 hereby affirm under penalty of perjury 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.
have and will maintain workers' compensation, asrequiredby Section 3700 of the Labor Code, for the performance of the work for w�bh`iich this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co.� W 10 C, Y` Policy No. 5� w e-Expiration Date I e2 / fa
This 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' compensatio verage is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as vided n ection 3706 of the Labor code, interest and attorney's fees.
A5 CONTRACTOR SIGNATURE �J AGENT DATE //—(
1 hereby affirm that 1 am exempt from Contractor's License Law for the following reason:
❑ 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, 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).
I am exempt under Section Business and Professions Code for this reason:
1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. ❑Yes F_1No
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 / contractors' license number):
4. 1 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. 1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address I phone / type of work):
.I11jj
)KPROPERTY OWNER SIGNATURE l" 1 14 —
❑AGENT DATE
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 buildlng(aCaflsbadCa jo or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
r0#: (Office 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.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB#
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
NO CHANGE IN USE / NO CONSTRUCTION
MAIL / FAX TO OTHER:
CHANGE OF USE / NO CONSTRUCTION
A!5APPLICANT'S SIGNATURE
DATE
Inspection List
Permit#: CB153811 Type: COGEN PHOTO
Date Inspection Item Inspector Act
11/13/2015 35 Photo Voltaic (PV) - RI
11/13/2015 35 Photo Voltaic (PV) AEK AP
11/13/2015 39 Final Electrical - RI
11/13/2015 39 Final Electrical AEK FI
YANG: 14 ROOF MOUNT PANELS
Comments
Monday, November 16, 2015 Page 1 of 1