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Home My WebLink About2810 MADISON ST; ; CB154134; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-25-2015 Cogeneration Permit Permit No:CB154134 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2810 MADISON ST CBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: 5B Reference #: Parcel No: Valuation: Occupancy Group: 2031103000 $9,200.00 Project Title: ZOUCHA-REPP: 23 ROOF MOUNT PV Applicant: ZOUCHA-REPP CAROLYN J 5301 E MITCHELL DR PHOENIX AZ 85018 602-377-1707 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 $114.59 $0.00 $80.21 $0.00 $0.00 $1.20 $1.00 Owner: ZOUCHA-REPP CAROLYN J 5301 E MITCHELL DR PHOENIX AZ 85018 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Status: ISSUED Applied: 11/25/2015 Entered By: JMA Plan Approved: 11/25/2015 Issued: 11/25/2015 Inspect Area: Plan Check #: $0.00 $0.00 $0.00 $0.00 $197.00 Total Fees: $197.00 Total Payments To Date: $197.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: / ~ 2-6-/ 6 Clearance: NOTICE Fl...., ta<e NOTICE Ila~ ci )<lS !Jtjed irdl.des tt-e "lrrµmia," ci fees, declc:,t;a,s, "'5Ell\l!Eoro, er cther e<a:licrs -cxJlediwy referred to as 'fees'e<a:!i=" Yoo raw 00 da),s frcrntt-e-tns pemit v.as isa.ed to prdesl irrµ,;t;a, ci tt-esefees'e<a:!i= If :,w prdesl tt-em :,w m.st fdlONtl"e pctest JlOOO(ires set lath in Co.urmrt Cede ~a, eooaJ(a, a-,j file tl"e prdesl a"D ,nycther recµred irtamiia, wth tl"e Oty t,,lng,r fer ?'()CBSSrgin axxmrrewth Ca1sbat M.ridi:a Cede ~a, 3.32.030. FfilcretotirrayfdlONtla prorecirevJII ba' anySl.bseq.Jert lega ediontoata:k, re,,iew, set aside, -.dd, er anJ tier inµ:,;itim Yoo a,, herelJ; FI.RT1-ER NOTIFIEDtt-al )<lS rig! to prdesl tl"e specified fees'e<a:licro OC.ES ~ l'ffl.. Y to IMta-a-,j ,,,,,,,-cxn,a:tia, fees a"D ~ ~ ra plannrg, 21l"irg, ga:lrg er cther snila-""'icaia, ?'()CBSSrg er""""' fees in amedia1 wth tHs !Jtjed. N:R OC.ES IT l'ffl.. Y to any I . . ,;·1 wic:h . has ... THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD {City of Building Permit Application Plan Check No. ('P)\ S--L-/ L3 4 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value >'r' 1, zo-i) Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date (I. 1..-'.:). I°'" lswPPP JOB ADDRESS 7-.B/b /Yl AlJI Sot) ST SUITEf/SPACEf/UNITf IAPN --- CT/PROJECT# rOT # I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS lTENANT BUSINESS NAME I CONS TR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected ~s) Q 1rJST'I\\..L. ,:1-c--'brJr]f,°' .;3"1!Ji=N'TI L ,S'l,)L,,(l{l f1401~VOLTA1c.., :Sy ST G N\ 7_}; P-Af£L-S ,,-wk.wt.Jc.-TTC- EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (Sf) I DECKS (SF) YES[}t IAIR CONDITIONING I FIRE SPRINKLERS No[] YES □No □ YES □No□ APPLICANT NAME .\l ff Primary Contact '-t;;", lc~L:,H PROPERTY OWNER c,p. ~l;>l '-f /\) 2, o v C4l A ~(2(lp ADDRESS'B /Y\AD 1SurJ S-r ADDRESS 6, (Y1 IT4-1€ll. Dfl, 'L /0 '5~01 CITY c.p. (LL s B A I::) STATE "/~ CITY p /j <) fl (V / _}( STATE ZIP ~ A '1., rJ .SIJ/ e '" 0"7 ~ c-S-87-8'} 11 FAX PHONE 31/ ' cr7 61>'L--1 I FAX EMAIL p G-HOioGV1/I ~1 (!! fY'\AIL. c..e(h EMAIL c:r-z.l'<.6 Pf € /-1<:>T/YI-IIIL_, ~ fV'\ DESIGN PROFESSIONAL t'(s T'sR... ii? Ui-r-K.Ay CONTRACTOR BUS. NAME ADDRESS lf'1.-o~ C:,.to /\lGJ ~ ~I/&.> !\J \ je /Q 1 ADDRESS CITY STATE ZIP CITY STATE ZIP :sA"-1 ~6\;o C, 91, 1\1 PHONEbl 'l 1...~1'7 -8 ~ q7 FAX PHONE I FAX EMAIL PG ,e{l,. (!P St J OlAP-.f'E"RM lTS. ~ M EMAIL 'SAN b16G<:i StJUJf.-f'G{(JnrTS lsr,reuc, STATE LIC.# I CLASS I CITY BUS. LIC.# (Sec_. 7031.5 Business and Professions Code: Any City or County which requires a permit to.construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a siro,ed statement that he Is licensed pursuant to the provIsIons of the Contractor's License Law JChapter 9, comme_nding with Section 7000 of DivIsIon 3 of the B_usIness and Professions Code) or filat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: B I have and will maintain a certificate of consent to self-insure for 'Mll")(ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the wol")( for which this permit is issued I have and will maintain workers' compensation, as roouired bv Section 3700 of the Labor Code, for the performance of the wol")( for which this permit is issued. My wol")(ers' compensation insurance earner and policy number are: Insurance Co. ____________________ Policy No. _____________ Expiration Date ________ _ ~section need not be completed if the permit is for one hundred dollars ($100) or less. l.2il Certificate of Exemption: I certify that in the perfonnance of the wol")( for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Wol")(ers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, 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 Section 3706 of the Labo ode, interest attom fees . .Jt! CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: !RI □ □ 1, as owner of the property or my employees with wages as their sole compensation, will do the wol")( 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 buiiding 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 lo construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buiids or improves thereon, and contracts for sLJCh 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. OYes ONo 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 (finn) 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 lo coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number): 5. I will provide some of the wol")(, but I have contracted (hired) the following persons to prov" work indicated (include name I address I phone I type of wol")(J: ,8$ PROPERTY OWNER SIGNATURE AGENT DATE I 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? Yes No Is the applicant or future building occupant required to obtain a penTlil 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 the application and state that the above lnfoimatlon Is correct and that the lnfonnatlon on the plans Is accura1B. I agiee to comply with all City ordinances and State law; relating to building oonsbucllon. I hereby authorize representative of the City of Cartbad to enter upon the alxlve mentioned property br ins,ooclion pu!JX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY N'.JD KEEP HARMLESS THE CllY OF CARLSBA.D ACAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAJNST SAID CITY IN CONSEOJENCE OF THE GRANTING OF THIS PERMIT OSHA: AA OSHA permit is requred for excavations over 5'0' deep and demolltion or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the Building Ofocial under the provisbns of this Code shall expire by limitation and beO'.Jme null and voKl ithe buik:Jing or oork authorized by such permit is not commenced wthin 100days from the date of such permit or if the buik:Jrlg oroork au · y such permit is suspen at any time after the 00/'k is commenced for a period of 100 days (&!ctbn 100.4.4 Unibrm Building Code), _,g APPLICANT'S SIGNATURE /6 • 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 bui1ding@carlsbadca.gov or Mail the completed fonn 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. LIC. No. DELMRY OPTIONS 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/ FAX TO OTHER: ________________ _ A$ APPLICANT'S SIGNATURE ASSOCIATEDCB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Penni!#: CB154134 Type: COGEN PHOTO ZOUCHA-REPP: 23 ROOF MOUNT PV Date _ Inspection Item Inspector Act Comments -- 01/28/2016 35 Photo Voltaic (PV) RI 01/28/2016 35 Photo Voltaic (PV) PB AP 01/28/2016 39 Final Electrical RI 01/28/2016 39 Final Electrical PB AP Thursday, January 28, 2016 Page 1 of 1