HomeMy WebLinkAbout2731 GALICIA WAY; ; CB143452; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-11-2014 Cogeneration Permit Permit No:CB143452
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
2731 GALICIA WY CBAD
COGEN
2162201300
$11,600.00
Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
Status: ISSUED
Applied: 12/10/2014
Entered By: LSM
Plan Approved: 12/11/2014
Issued: 12/11/2014
Inspect Area:
Plan Check #:
Project Title: WELLS RESIDENCE-INSTALL ROOF
MNT PV SYSTEM FLUSH MNT/ NO PANEL UPGRADE I 29 MODULES
Applicant:
SOLARCITY
3055 CLEARVIEW WY
SAN MATEO CA 94402
650-759-4658
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
$131.83
$0.00
$92.28
$0.00
$0.00
$1.51
$1.00
Owner:
WELLS STEVEN S&SANDRA J TRS
2731 GALICIA WAY
CARLSBAD CA 92009
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $226.62 Total Payments To Date: $226.62. Balance Due:
$0.00
$0.00
$0.00
$0.00
$226.62
$0.00
Inspector: Date: Clearance: ------
NOTICE: Please take NOTICE that approval of your project lncludes,the "Imp ition'' o fees, dedications, reservations, 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.
,
IE FOLLOWINp APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING QBUILDING OFIRE OHEALTH 0HAZMATIAPCD
«~ Building Permit Application
1635 faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. ~ 14 34 5 ~
~ CITY OF
Est. Value
CARLSBAD Plan Ck. Dep~sit
Date ) 2. SWPPP
lB ADDRESS· t1 "'7 3 ( (, .
L.I Ct\iCI SUITEt/SPACEt/UNIT# APN
f/PROJECT# LOT# UNITS # BEOROOMS #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
,ESCRIPTION OF WORK: Include Square Feet of Affected Area(sJ
1-J{iSkVV. ·pv' llDOf01DUnr) 2. q (llocl.Lllt'~ J J_ 1nw-r-t-e__,~J 1--~tr1'njs)
~~I OS V1 hi') OU h~ ..oc)
XISTINGUSE PROPOSED US GARAGE (SF} AIR CONDITIONING FIRE SPRINKLERS
YES ONo D vESO NOD
ZIP
ZIP '1 tooC,
'MAIL.
,RCH/OESIGNER NAME & ADDRESS CITY BUS. LIC.#
l:l:liY03
lee. 7031.5 Business and Professions Code: Any City or Coun1Y which requires a permit to construct, alter, improve, demolish or repair an~ structure, rior to its issuance, also requires the pplicantfor such permit to file a signed statement tt\at he is licensed pursuantto the provisions of the Contractor's License Law !Chapter 9, commending with Section 7000 of Division 3 of the usiness and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any appllcant for a permit subjects the applicant to a ivll penal1Y of not more than five hundred dollars ($500}) ..
--r , r,-~ v ---~, --, ,,-('=---• -----r /
WORKERS' COMPENSATION
----------~ ---------------_,_,_ -----= ---" -~ k -----~ -·-~--'----------~ -------=-""'.,.,, -"~ ~ ~-----~----~--~-----~,;--
Workers' Compensation Declaration: I hereby affirm under penally of petjury one of the following dec/araUons:
D 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. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
numberare:lnsuranceCo./Jbe(l·u lnsuyaaca..., PolicyNo.l.uV\Jr...-t.,,D&4,t'2lo5Da&f_ Expiration Date 9/1/2015 _
This section need not be completed if the pemurtlfor one hundred dollars ($100) or less. 1 · 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any.person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is , and shall su an employer to criminal penalties and civil fines up to one hundred thousa~d dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Se • 06 of the Labor code, intere and attomey's fees.
Ji$ CONTRACTOR SIGNATURE
•
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, wm do the work and the structure is not intended or offered for sale (Sec. 7044, Bus.lness 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): q
D
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 no! 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 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):
5.1 will provide some of the work, but I have contracted (hired) the 1illlowing persons to provide the work indicated (include name I address I phone I type of work):
2$ PROPERTY OWNER SIGNATURE 0AGENT DATE
1;,:-~.,."".f":,;.:r:.;r,zw~'\$-''-"""""''2: '",-" ,,hZ,"'"G>-" "G "-.-,,."'~""'.-:-;'.:::'.{:,.;;t:;,,.k~~. -~R.f:':l",;._'iJt"""'"" ~-~_,_"'..,,\ "Z, r,_'f ~-,,,, """'",~"3:;tc'f''>,"'"''"""""-<'.',' ,J/'i't', ,/ ""~"s:'T,"'-~.,;''::" si.,~;;:;t~l"''t'' .... ~":~ .. 0',_,vr' 'i'"V¥""' -,,r '; ~ -~,,,-u.::;,7'::.'.,X"1,-,:;;tJ
COMPLETE THIS SECTION FOR NON·RESIDENTIAL BUJLDING PERMITS ONLY
;;;'1v"s~"'::t -~, '<;_.,, -"-----'-"""'-_ ,,,_ -s-~ _ L'-!_9" _ =· ,~:::-Y ill-"'_~~-=,.;.~ -,. ~..:;~> "=.,_ = _,.,"~-_,,,, "" .,, __ ,, "}:~ ':':::,c;";_"" """""" \,,"""':-,A.&,,_,_c,."-~0"-'S-".,.,---""-'''°' ,S-,,, __ "" -""'0~"-_ 1 ----~" ''-\~ ~'~'
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? 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.
I certify that I have read ihe application and state that the above lnlbnnation Is conectand that the inlbnnation on the plans Is accurate. I agieetocomplywith all City ordinances and Slate laws relating to building construction •.
I hereby authorize representative of the Ci(y of Carlsbad to enter upon the above mentioned properly for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CflY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AN'( WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pennlt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Eveiy pennit issued by the Building Official under the provisions of 1his Code shall expire by limitation and become null and void if 1he building or work aulhorized by such permit is not commenced v.ilhin
180 days 1iom the date of such pennit or if Ille building or work authorized by such pennlt is suspended or abandoned at any time after the work is oommenced for a period of 180 days (Section 106.4.4 Uniform Building Code) .
...@S' 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, EmaH building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
QONTACT NAME
:ITV STATE
>HONE
:MAIL
>ELIVERY OPTIONS
PICK UP: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
ZIP
OCCUPANT (Listed above)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: _______________ _
@! APPLICANT'S SIGNATURE
CO#: (Office Use Only)
OCCUPANT NAME
BUILDING ADDRESS
CITY STATE ZIP
Carlsbad CA
OCCUPANT'S BUS. LIC. No.
ASSOCIATED CB#------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
Inspection List
Permit#: CB143452 Type: COGEN PHOTO
Date Inspection Item Inspector Act ---
12/31/2014 35 Photo Voltaic (PY) RI
12/31/2014 35 Photo Voltaic (PY) SP AP
12/31/2014 39 Final Electrical RI
12/31/2014 39 Final Electrical SP Fl
Friday, January 02, 2015
WELLS RESIDENCE-INSTALL ROOF
MNT PV SYSTEM FLUSH MNT/ NO PANE
Comments
Page 1 of 1