HomeMy WebLinkAbout2836 CARRILLO WAY; ; CB112620; Permit12-22-2011
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Cogeneration Permit Permit No:CB112620
Building Inspection Request Line (760) 602-2725
Job Address:
PeriTiit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
2836 CARRILLO WY CBAD
COGEN
2226622400 Lot#:
$12,800.00 Construction Type
Reference #
LAUGHUN RES 32 PANEL ROOF
MOUNT PV SYSTEM
SubType: PHOTO
0
NEW
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
ISSUED
12/13/2011
KG
12/22/2011
12/22/2011
Applicant:
TMAG INDUSTRIES DBA STELLAR SOLAR
SUITE 105-444
6965 EL CAMINO REAL
CARLSBADCA 92009
Owner:
LAUGHLIN FAMILY TRUST 01-30-02
2836 CARRILLO WAY
CARLSBAD CA 92009
445-1627
Building Permit $156.27 PLUMBING TOTAL $0.00
Add'l Building Permit Fee $0.00 ELECTRICAL TOTAL $0.00
Plan Check $109.39 MECHANICAL TOTAL $0.00
Add'l Plan Check Fee $0.00 Additional Fees $0.00
Plan Check Discount
Strong Motion Fee
Green BIdg Stands (SBI473) Fee
$0.00
$1.28
$1.00
TOTAL PERMIT FEES $267.94
Total Fees: $267.94 Total Payments To Date: $267.94 Balance Due: $0.00
Inspector:
FINAL APPROVAL
Date: Clearance:
NOTICE: Please take NOTICE ttiat approval of your project includes the Impositjon" of fees, dedications, resen/ations, or otfier exactions tiereafter collectively
refened to as lees/exacttons." You tiave 90 days from ttie date ttiis permit was issued to protest impositton of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Govemment Code Sectton 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Sectton 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 (X)nnectton fees and capacity
changes, nor planning, zoning, grading or other similar application processing or seivice fees in connectton with this project. NOR DOES IT APPLY to any
fees/exactlons of which vou have previously been given a NOTICE similar to this, or as to which the statute of Hmitations has orevtouslv othemvise expired.
^ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbaci, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.ca risbadca .gov
Plan Checi< No
Est. Value
Plan Ck. Deposit
Date SWPP
JOB ADDRESS
rrafi I PHASE # I # OF UNITS |#BEDI)00MS
SUITE#/SPACE#/UNIT#
CT/PROJECT # # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC GROUP
DESCRIPTION OF WORK: fncfuife Square Feet of Atfected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESD # NOD
AIR CONDITIONING
YES D NOD
FIRESPRINKLERS
YES D NOD
APPUCANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAME CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAiL ~~
STATE LIC.# _ _^ CLASS' CiTYBUi ARCH/DESIGNER NAME & ADDRESS CLASS ciTir Bus. uc.#
(Sec. 7031.5 Business and Professions Code: Any City or County wriich requires a permit to oonstruct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicantfor such permit to fiie a signed statement that he is licensed pursuant to the provisions ofthe Contractor's Ucense Law (Chapter 9, commenaing with Section 7000 of Division Sof the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 byany applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500}).
W OftKBRS- COMPENSATION
Workers' Compensation Declaration: / fteretiy affirm under penalty of peijury one ofthe foHowing deciarstions:
n I have and will maintain a certificate of consent to selMnsure for workers' compensation as provided bySection 3700 of the LaborCode, forthe performance of the work for which this permit Is Issued.
G I have and will maintain woriters' coiTigensatioiv,as required by Section 3700 of the Labor Code, for the perfomiance of the wprk for which this permjjns Issued. My woriters' compensation Insurance earner and policy
number are: Insurance Co. .ST^^^ FVAJ'D Policy No. ^3 D ^00 ^1 o Expiration nate.^ / n I
This section need not be completed if the permit is for one hundred dollars ($100) or less.
O Certificate of Exemption: I certify that in the perionnance of the worit for which this penult Is Issued, I shall not employ any person In any manner so as to become subject to the Woriters' Ckimpensatkin Laws of
California. WARNING: Failure to secure woriters' compensation coverage Is unlawful, and shall sublurtn employer to criminal penaitles and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensatioiMlamaaKas provided forjn^^on 3706 of the Labor codgJpterest and attomey's fees.
>6f CONTRACTOR SIGNATURE ^ i . f \-•AGENT DATE
/ teeby affirm t/iaf / am exempf from Conlractor's Ucense Law for the following reason:
• I, as owner of the pmperty 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 Pmfessions Code: The Contractor's
License Law does not apply to an owner of property who builds or Improves thereon, and who does such worit himself or thmugh 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 pmving 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 Conlractor's License Law does not apply to an owner of
property who builds or Improves thereon, and contracts for such pmjects with contractor(s) licensed pursuant to the Contractor's License Law).
• I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for constmction of the proposed property Improvement. • Yes • No
2.1 (have / have not) signed an application for a building permit for the proposed wortt.
3.1 have contracted with the following person (firm) to provide the pioposed construj
4. lg|aB4e.prevldeportions of the worit, but I have hired the folkiwing person
1.1 will provkle sotyi of thjjiiulCljni I liavuiQQtracted (hired) the folloi
Include name address / phone / contractors' license number):
!, supervise and provide the major worit (include name / address / phone / contractors' license number):
work Indicated (Include name / address / phone / type of worit):
•AGENT DATE
COMPIETE THIS SECTIOiSf FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazantous materials registration fonn or risk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? DYes 13 No
Is the applicant or future building occupant required to obtain a perniit 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? DYes ONo
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
C ONSTRUCTION LENOINC AtSBHCY
I hereby affinn that there Is a constniction lending agency for the perfomiance of the work this pennit is Issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certif that I have read the applk»tfc>n and state tliat the above Infomnation Is conect and that ttie informatkin on the plans is accurate. I agree to complywith all CHy onlinances and Stale laws relating to building constmctkin.
I hereby authorize representative of Ihe City of Carisbad to enter upon Ihe above nnentbned property fbr Inspedton purposes. 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 CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT.
OSHA An (DSHA pemnit Is required Ibr excavattons over 50 deep and demditton or constnictton of stmctunes over 3 stories In height.
EXPIRATION: Every pemiit issued by the Building Oflicial under the provistons of this Code shall expire by limitatton and begenH nuH and void If the building or work auttiorized by such pemnit is not commenced vialhin
180 days from Ihe dale of such peimjtjeriniie buMIng Srwsik authorized by such pennjt Is suspended or apana^^stSfly time after the mk is commenced fbr a peiiod of 180 days (Sectton 106.4.4 Unifomn Building Code).
APPLICANT'S SIGNATURE DATE
City ofCarlsbad BIdg Inspection Request
For: 04/19/2012
Inspector Assignment: "j^^^^^ Permit* CBl 12620
Title: LAUGHLIN RES 32 PANEL ROOF
Description: MOUNT PV SYSTEM
2836 CARRILLO WY
Lot: 0
Type:COGEN SubType: PHOTO
Job Address:
Suite:
Location:
APPLICANT TMAG INDUSTRIES DBA STELLAR SOLAR
Owner: U^UGHLIN FAMILY TRUST 01-30-02
Remarks:
Phone: 7605473590
Inspector:
Total Time:
CD Description
39 Finai Eiectricai
Act Comments
Requested By: DANIEL
Entered By: CHRISTINE
2£X
Comments/Notices/Holds
^.12
Associated PCRs/CVs/SWPPPs Originai PC#
Inspection Historv
Date Description Act Insp Conrments