HomeMy WebLinkAbout2729 GLASGOW DR; ; CB150116; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-13-2015 Cogeneration Permit Permit No:CB150116
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
2729 GLASGOW DR CBAD
COGEN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
2081110800
$6,800.00
SMITH RES-PHOTOVOLTAIC SYSTEM
Status: ISSUED
Applied: 01/13/2015
Entered By: RMA
Plan Approved: 01/13/2015
Issued: 01/13/2015
Inspect Area:
Plan Check #:
17 ROOF/FLUSH MOUNTED MODULES-5.19 KW-NO ELECT PANEL
UPGRADE
Applicant:
COSMIC SOLAR INC
12717 MIRAR DE VALLE RD
VALLEY CENTER CA 92082
760-749-1111
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
$87.73
$0.00
$61.41
$0.00
$0.00
$1.00
$1.00
Owner:
SMITH GARY&SHELLEY FAMILY TRUST 08-17-00
2729 GLASGOW DR
CARLSBAD CA 92010
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $151.14 Total Payments To Date: $151.14 Balance Due:
lnspecto · Date: Clearance:
$0.00
$0.00
$0.00
$0.00
$151.14
$0.00
NOTICE: Please take NOTICE hat approval of your project includes the "I sitio of fees, dedications, reseivations, 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 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.
• THE FOLLOWING ArPROVAr.,5 REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING •ENGINEERING •BUILDING •FIRE •HEALTH 0HAZMATIAPCO
Ccicyof Building Permit Application Plan Check No. ,r!i/ 51'9 I I l
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value lo, ~ ~n .
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 '
email: building@carlsbadca.gov G(A.-Plan Ck. Deposit
Date f / 13 / 1 S--lswPPP www.carlsbadca.gov ._
JOB ADDRESS Zl 2--"'I D'2--SUITEf/SPACEt/UNIT# IAPN 6 W'\SErOt.0 ---
CT/PROJECT# ILOT# I PHA.SE # I# OF UN!TS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
(17) fZ.OO'F" /vlO tJ ...)'{EI::> pv 1\1\(>DC)(.£'~. (~'--'>$~ MOtJ'-'n;;DJ
Z<:i"l I s~.
(1) /1.Jlieit--~
* "10 $ci<--vl~~ l) p~ l'L A-De if' B. 2-~~-
EXLSTINO USE PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES[]# "'° YES •No• YES•No•
APPLICANT NAME Cfoi:,1.,. (')Jm:,fl PROPERTY OWNER 64e,..,; s tvl i-t "'-Primary Contact
ADDRESS ADDRESS
,2 l 2--Cj
I
12-71• I.Ai "-"1-JL .UC ·'"L--' <= e-p. 6 u4 «Gow De...
CITY t/(1 1 I H.; (l El\l-we,._ STA/I' A-ZIP CITY s~ ZIP
"'IWfO C.,A,'1.L,513 AO 420(0
PHONl16o) '/~t/-8';?-(7 IFAX PHONE I FAX
EMAIL
S'.)/powB<'e4 @ ~ M<1.i I· C..OIM.
EMAIL
DESIGN PR0F~10NAL CONTRACTOR BUS. NAME C..DSMiC. b O 1.-A-e-• ( ,-:, C •
ADDRESS ADDRESS
l?-i It ~A1t,.A-e.. r,a;. VAL,\.£ ie...~
CITY STATE ZIP CITY ll (l STATE ,4 ZIP
'·"· J -· -a,,,1c]L. (I ~7,,,.XZ--
PHONE IFAX PH~E I '7?1) -,r..1 "l-II II I FAX
EMAIL EMAIL r,,\41!.,.,; e,,Q,osNt:c:..co(a,. c.o ~
I STATE UC.# STATE LIC.# 831 'g 31 l~.Cr'lb c,7;{"7 S'/..11
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or re air an structure, prior to its iss'I.Jance,---also requires the
WORKERS' COMPENSATION
1 have and wm maintain a certificate of consent to self-insure for workers' compensation as provk:led by Section 3700 of the Labor Code, for the performance of the work for whch this permit is isslled
ave and will maintain won<ers' compensation, as reQuired bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My 'NOrkers' compensation insuryce carrier ~-rul~y
numbera~ lasuranceCo. 6T,9/7F" R/JV,P Policy No. 9L>V 7IT?J -/.C E,pirationD~e 2 /ZO / c__ I
·on need not be completed if the permit is for one hundred dollars ($100) or less.
rtificate of Exemption: I certify that in the pelformance 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
CaHfomla. WARNING: Failure to secure workers' compensation coverage Is uni a ful, 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 provided for In 37 f e Labor code, Interest and attorney's fees.
~ CONTRACTOR SIGNATURE
OWNER-BUILDER DECLARATION
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 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 O'M'IE!r of property who builds or improves thereon, and who does such work himseW 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 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 af\d Professions Code for this reason:
1. I personally plan to provide the 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 work
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 work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I 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 I address I phone I type of work):
..8$ PROPERTY OWNER SIGNATURE •AGENT DATE
i
!
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
1s 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 Substar,ce Account Acr? 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 AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction lending agency for the performance of the work this permit is issued (Sec 3097 (1) C1v1I Code)
Lender's Name lender's Address
APPLICANT CERTIFICATION
I certify that I haw read the appllcallon and state lhatlhe above information Is conectand that the infonnation on the plans Is accurate. I ag,ee to comply\liflh all Cify oldlnances and S1ate laws relating to building construdlon.
I hereby authorize representative of the City of Carlsba::I to enterup,'.)11 the atxJve menooned i:roperty k>r ins,:e::tion JXJIJXlse5. 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 CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: AA OSHA pennlt is requred for excavations over 50' deep and demolioon or constructkm of structures over 3 stories in he(jht
EXPIRATION: Every permit issued by lhe Building Offcial u rthe rovisions of is Code shall IDq)ire by lfTiitation and beoome null and vokl Wthe building orWJrk authorized by such permit is not commenced 'Mlhin
100 days from the date of such permit or if the Wilding or WJo_t),ylll~~ It is suspended or abanckmed at any time after the WJrk is oommenced for; perioo o 100 days (£'ection 100.4.4 Uniform Building Code} .
..6$ APPLICANT'S SIGNATURE DATE , 1$
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 buildinq@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. UC. No.
DELMRY OPllONS
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/FAXTOOTHER: _______________ _
,.65 APPLICANT'S SIGNATURE
ASSOCIATED CB#-----------~
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
•
Inspection List
Permit#: CB150116 Type: COGEN PHOTO SMITH RES-PHOTOVOLTAIC SYSTEM
17 ROOF/FLUSH MOUNTED MODULES-5.
Date Inspection Item Inspector Act Comments
03/02/2015 35 Photo Voltaic (PV) RI
03/02/2015 39 Final Electrical RI
03/02/2015 39 Final Electrical SP Fl
02/27/2015 35 Photo Voltaic (PV) SP AP
Monday, March 02, 2015 Page 1 of 1