HomeMy WebLinkAbout2722 Fernglen Rd; ; CBR2018-1097; Permit(city of
Carlsbad
Residential Permit
Print Date: 05/25/2018 Permit No: CBR2018-1097
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2722 Fernglen Rd
BLDG-Residential
1563312000
$4,800.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Cogen Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
05/07/2018
05/07/2018
Plan Check#:
Final
Inspection: S/25/2018 10:47:2SAM
Project Title:
Description: BARNES: 12 FLSUH ROOF MOUTNED PV PANELS, 3.9KW, NORMA ,NO UPGRADE
Owner: Contractor:
BRET D BARNES TESLA ENERGY OPERATIONS, INC
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $121.66
2722 Fernglen Rd
CALRSBAD, CA 92008
Total Payments To Date: $121.66
3055 Clearview Way
San Mateo, CA 94402-3709
650-963-SlOD
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. lf 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 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 previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$70.61
$49.43
$1.00
$0.62
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: QPtANNING 0 ENGINEERING OBUILDING OFIRE QHEALTH QHAZMAT/APCD
Plan Check No. r(3:~c:C. c-I '\G C City of
Building Permit Application (. -I\.. '
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 'fl, -i rr( r' I
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit /
email: building@carlsbadca.gov b. 7 ,, s ISWPPP www.carlsbadca.gov Date '. . '
JOB ADDRESS 2722 Fernglen Rd SUITEf/SPACEI/UNITf I"" -. -
CT/PROJECT# ILOT# I PHA.SE # I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Anta(9)
3.9 KW Roof Mount Solar PV -Flush Mount
12 Modules 325W. 1 inverter 3800 W
No upgrade. No RMA. No battery
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 'AIR CONDITIONING I FIRE SPRINKLERS
YES0,, Ne(] YES0No0 YES0No0
APPLICANT NAME Irma Govea PROPERTY OWNER NAME Bret Barnes Pm11-cont1ct
ADDRESS ADDRESS
3055 Clearview Way 2722 Fern11len Rd
CITY STATE ZIP CITY STATE ZIP San Mateo CA 94402 Carlsbad CA 92008
PHONE /FAX PHONE /FAX 1619) 385-0747 (760) 315-6114
EMAIL EMAIL
i11ovea(@tesla.com
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Tesla Enemv Operations. Inc.
ADDRESS ADDRESS 3055 Clearview Way
CITY STATE ZIP CITY STATE ZIP
San Mateo CA 94402
PHONE IFAX PHONE IFAX (650) 963-5100
EMAIL EMAIL
i11ovea(@tesla.com
'STATE LIC. # STATE LIC.# I CLASS I CITY BUS. LIC.1227803 888104 C-10
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an}'. structure, pnor torts issuance, also requires the applicant for such per.mit to file a signed statement that he is licensed pursuant to the provisions of the Contractor·s License Law /Chapter 9, commending with Section 70.00 of Division 3 of the Business and Professions Code} or fhat he is exempt therefrom, and the bas·1sforthe alleged exemption. Any violation of Section 7031.5 by any applicanffor a permit subJects the applicant to a civtl penalty of not more than five hundred dollars ($500}).
WORl(ERS COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-Insure for 'Mlr1<:ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the wor1<: for which this permit is issued. 0 I have and wlll maintain workers' compensation. as required bv Section 3700 of the Labor Code. for the performance of the worl( for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. American Zurich Policy No WC 1074583-00 Expiration Date 10/31118
~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in lhe 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
Callfomia. WARNING: Failure to secure workeni' compensation coverage is unlawful, and shill subject 1n employer to crtmlnal penalties ind civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, da ges as provided for In Section 3706 of e Labor code, Interest ind attorney's fees .
.Jl'5 CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contracfo('s Ucense Law for the following reason:
D
D
D
I, as owner of the property or my employees with wages as !heir 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 worl( himself or through his own employees, provided that such improvements are not intended or offered for
sate. 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).
l, as owner of the property, am exclusively contracting with ficensed 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 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. I personally plan to provide lhe major labor and materials for construction of the proposed property improvement. 0Yes 0No
2. I (have I have not) signed an application for a building permit for the proposed wor1<:.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the worl(, but I have hired the following person to coordinate, supel\'lse and provide the major worl( (include name I address I phone I contractors' license number):
S. I will provide some of the wor1<:, but I have contracted {hired) the following persons to provide the worl( indicated (include name I address I phone I type of work):
.1$ PROPERTY OWNER SIGNATURE 0AGENT DATE
.,
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 prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act.? D Yes D No
\s the applicant or future building occupant required to obtain a permit from the air pollution control district or air quaily management district? D Yes O No
Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? D Yes O 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.
I certify that I have read the appllcatlon and state that the atx,.,e Information Is correct and that the infonnatlon on the plans ls accurate. I agree to comply~ all Cily ordinances and State laws relallng 1D building construction.
1 hereby authorize representative of the City of Ca~sbad to enteruJ))O the atxwe mentioned JJOper1y llr rls~ purr;oses. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CARLSB/1.D
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUEAGAJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: Ni OSHA pennlt is required Klr excavations over 5'0' deep and demolltion or construction of stn.K:tures over 3 stories in he,Jht.
EXPIRATION: Every i:ermlt issued by the Buikling Offdal under the provisions of this Code shall expire by ~mitation and oooome nua and ..00 W the buik::ling or oork authorized by such pennit is not OJ111menced 'Mthin
180 days from the date of sudl i:ennlt or if the 'lding orwxk au1horized by such permit is suspended or abancklrloo at any time after the 'M:111'. is commenred for a peood of 180 days (Section 100.4.4 UniroTI Buik::ling Code).
A$ APPLICANT'S S1GNATURE ~u,._ DATE
Pcnnit fypc:
Wot'k Class:
Status:
Scheduled
Date
BLDG-Residential
Cogen
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 05/07/2018 Owner:
Issue Date: 05/07/2018 Sl1bdivision:
Expiration Dato; 11/21/2018 Address:
IVR Number: 11182
Inspection No. Inspection Status Primary Inspector
0512512018 05{2512018 BLDG-35 Solar
Panel
059187-2018 Passed Michael Collins
BLOG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
059188-2018
Checklist Item
BLDG-Building Deficiency
BLDG-Electrical Final
COMMENTS
Passed Michael Collins
COMMENTS
Release emailed to SDGE
BRET BARNES
CARLSBAD TCT#77-02 UNIT#04
2722 Fernglen Rd
Carlsbad, CA 92008-1170
Reinspaction
Passed
Yes
Passed
Yes
Yes
Complete
Complete
Complete
May 25, 2018 Page 1 of 1