HomeMy WebLinkAbout2810 JACARANDA AVE; ; CB162202; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-07-2016 Cogeneration Permit Permit No:CB162202
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
Applicant:
2810 JACARANDA AV CBAD
COGEN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
2551031800
$7,200.00
MOORE: 18 ROOF MOUNT PV,
5.13KW, NO PANEL UPGRADE, NORMA
Owner:
Status: ISSUED
Applied: 06/07/2016
Entered By: SLE
Plan Approved: 06/07/2016
Issued: 06/07/2016
Inspect Area:
Plan Check #:
PETERSEN DEAN SOLAR MOORE FAMILY TRUST 09-29-11
1820 CONTAINER CR
RIVERSIDE CA 94566
949 832-7321
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
$96.85
$0.00
$67.79
$0.00
$0.00
$1.00
$1.00
2810 JACARANDA AVE
CARLSBAD CA 92009
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $166.64 Total Payments To Date: $166.64 Balance Due:
Inspector: /11 · {pµ,ot,ts
FINAL APPRPVAL
Date: Oblz-z/11. Clearance:
$0.00
$0.00
$0.00
$0.00
$166.64
$0.00
NOTICE: Flease ta<e NOTICE lhEt --d )OJ inject ird.-tre "lrrµ,;iticl'i' d fees, CB:lcaions, reservaions, Cf ctmr ex,,jjcns t-ereelter cx:lledivay
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THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
( City of Building Permit Application Plan Check No. C)o\ lQ@22.Q2
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 7,2.DD-
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit .
email: building@ca~sbadca.gov
www.car1sbadca.gov Date t fl -7-11 n lswPPP
JOB ADDRESS SUITEI/SPACEf/UNITf IAPN 2810 Jacaranda Ave, Carlsbad, CA, 92009 ---
CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Mected Area(s)
PV System Install on roof
Panels:18 SW285 Micro lnverters:18 5.13kW
NoMPU No RMA
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING I FIRE SPRINKLERS
v,so "'° YES □No□ YES□No□
APPLICANT NAME Gustavo Arellano PROPERTY OWNER NAME David R Moore Prln•"' Contlict
ADDRESS ADDRESS 7010 Carrol Rd 2810 Jacaranda Ave
CITY STATE ZIP CITY STATE ZIP San Diego CA 92121 Carlsbad CA 92009
PHONE IFAX PHONE IFAX 619-827-4627 7607997700
EMAIL EMAIL
garellano(!ilpetersendean.com davidmoore(!ilmooreskilian.com
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Petersen Dean
ADDRESS ADDRESS 7010 Carroll Rd,
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92009
PHONE IFAX PHONE IFAX 422-281-7995
EMAIL EMAIL
I STATE UC.# STATE UC.# I CLASS I CllY BUS. LIC.1208316 468117 c46
(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 ttiat 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 applicanffor a permit subjects the apphcant to a
civil penalty of not more than five hundred dollars {$500)).
WORl<ERS' COMPENSATION
Workers' Compensation Declaration: / 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 mrkers' compensation as provided by Section 3700 of the Labor Code, for the perlormance of the work for which this permit is issued.
[Z] I have and will maintain wor1ters' compensation, as reauired bv 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
number are: Insurance Co NorGUARD Insurance Company Policy No. EAWC745495 Expiration Date 05113/2017
ll!i§.section need not be completed if the permit Is for one hundred dollars {$100) or less. LJ Certificate of Exemption: I certify that in the perfonnance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to lhe Woril:ers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation covera e Is unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to one hundred thousand dot la rs (&100,000), in
addition to the cost of compensation, da :>'"'?T"f I 3706 of the Labor code, Interest: and attorney's fees •
.Jl'5 CONTRACTOR SIGNATURE
I hereby affirm that I am exempt horn Contractor's License Law for the following reason:
□
□
□
I, as owner of the property or my employees with wages as their sole compensation, witl 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-buikler will have the burden of proving that he did not bufld 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 cloes not apply to an owner of
property who builds or improves thereon, and contracts for such pro,ects 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 pennit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ 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/ address/ 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/ type of work):
.Jl'5 PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECT1ON f'OR NOll•RlESIDENTIAL BUILDING PERMITS ONLY
Is lhe applicant or future building occupant required to subm~ a business plan, acutely hazardous materials registration form or risk mamgement 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 D 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 perrmt 1s issued (Sec 3097 (i) C1v1I Code)
lender's Name lender's Address
APPLICANT CERTIFICATION
I certify that I have read the appllcatlon and state that the abwe lnfonnatlon Is oorrectand that the infonnatlon on the plans Is 8C0Jrate. I agree to complyv.1111 all Clly ordinances and State laws relating to building oonstruction.
1 hereby authorize rei:,esentative of the City of Cart&>ad to enter up:m the aoove menooned J)'Op9rty br insi:ecoon purp::ises. I ALSO AGREE TO SAVE, INDEMNIFY AAD KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL l.lAfllLITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CCT;SEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA permit is required for excavations over 5'0' deep and dem:llitlon or construction of structures over 3 stories in height.
EXPIRATION: Every pennit issued by lhe Buikling Official under the provisions of this Code shall expire by limitation and recome nuN and -.00 if the buikling or'Mlrk authorized by sudl permit is not commenced Within
180days from the dale ofsudl permit or if ik:ling or~~noi)")'flsud1 permit is suspended or abandoned at anytime after the v.ork is oommenced bra period of 180days (Sectbn 100.4.4 Unit>rm Buik:IOQ Code)
.65APPUCANT'SSIGNATURE DATE l.e-~ --l
Inspection List
Permit#: CB162202 Type: COGEN PHOTO MOORE: 18 ROOF MOUNT PV,
5.13KW, NO PANEL UPGRADE, NORMA
Date Inspection Item Inspector Act Comments
06/27/2016 35 Photo Voltaic (PV) RI
06/27/2016 35 Photo Voltaic (PV) MC AP
06/27/2016 39 Final Electrical RI
06/27/2016 39 Final Electrical MC Fl RELEASE E-MAILED TO SDGE.
Monday, June 27, 2016 Page 1 of 1