HomeMy WebLinkAbout2842 CEBU PL; ; CB153418; Permit10-13-2015
City of Carlsbad
1635 Faraday Av Carlsbacl, CA 92008
Cogeneration Permit Permit No:CBi53418
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
2842 CEBU PL CBAD
COGEN
2153102302
$8,000.00
Sub Type: PHOTO
Lot #: 0
Constuction Type: NEW
Reference #:
FERRIN: PHOTO VOLTAIC
20 MODULES, 5.0 KW, ROOF/FLUSH MOUNT
Status: ISSUED
Applied: 10/13/2015
Entered By: SLE
Plan Approved: 10/13/2015
Issued: 10/13/2015
Inspect Area:
Plan Check #:
Applicant:
HOME UNPLUGGED
Owner:
FERRIN TIMOTHY S&KELLY B LIVING TRUST 09-07-07
3525 HIGHLAND DR
CARLSBAD CA 92008
858 349-2369
2842 CEBU PL
CARLSBAD CA 92009
Building Permit $96.85 PLUMBING TOTAL $0.00
Add'l Building Permit Fee $0.00 ELECTRICAL TOTAL $0.00
Plan Checl< $67.79 MECHANICAL TOTAL $0.00
Add'l Plan Ctieck Fee $0.00 Additional Fees $0.00
Plan Check Discount
Strong Motion Fee
Green Bldg Stands (SBl473) Fee
$0.00
$1.04
$1.00
TOTAL PERMIT FEES $166.68
Total Fees: $166.68 Total Payments To Date: $166.68 Balance Due: $0.00
Inspector: ^'^^^
FINAL APPROVAL
Date Clearance:
NOTICE Rease take NCfTICE that apprcval of your project indudes ttie "Inposition" of fees, dedications, reser\ations, or other exactions hereafter cdlectively
refened to as 'Tee^exacticns." You have 90 da^ fnom the date this penrit vvas issued to protest inposition of these fees'exactions. If yeu protest ttiem you must
fdicwthe protest pnocedures set forth in GcMetTTTierit Code Section 6602D(a), and file the pnotest and any cither requred irfamation with the Oty Manager for
processing in accordanoe with Carlsbad Munidpal Code Section 3.32.030. FailuB to tinnely fdlcwthat procedLie vwll bar ary subsequent legal action to attad<,
review, set aside, vdd, cr ami tfeir inposition.
You are hereby FlKTftR NCni RED that yor ri^ to prdest the spedfied fees/exactions DCE^
cfianges, nor plarring, zoning, gading or other sinilar application processing or sen/ice fees in oonnection with this prqject. NOR DOES IT/\PPLY to any
fees'exactions of wtiich vou ha\/e Dreviouslv been aven a NOTICE sinilar to tNs. g as to which the statute of linitations has previouslv othenwse exdred.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: nPLANNING •ENGINEERMG DBUILDING DFIRE nHEALTH IHHAZMAT/APCD
jp^' _^ Building Permit Application
Cilty or 1635 Faraday Ave., Carlsbad, CA 92008
^^-•1 -if 1 Ph: 760-602-2719 Fax:760-602-8558
1 ^T'lQr^^Q^ email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check NoCft 1 ?>A:\% jp^' _^ Building Permit Application
Cilty or 1635 Faraday Ave., Carlsbad, CA 92008
^^-•1 -if 1 Ph: 760-602-2719 Fax:760-602-8558
1 ^T'lQr^^Q^ email: building@carlsbadca.gov
www.carlsbadca.gov
EstValue ,^000-
jp^' _^ Building Permit Application
Cilty or 1635 Faraday Ave., Carlsbad, CA 92008
^^-•1 -if 1 Ph: 760-602-2719 Fax:760-602-8558
1 ^T'lQr^^Q^ email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Ck. Deposit
jp^' _^ Building Permit Application
Cilty or 1635 Faraday Ave., Carlsbad, CA 92008
^^-•1 -if 1 Ph: 760-602-2719 Fax:760-602-8558
1 ^T'lQr^^Q^ email: building@carlsbadca.gov
www.carlsbadca.gov Date 10- IS SWPPP
SUITE*/SPACE«/UNIT* APN
CT/PROJECT # LOT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s; /)/ ^ /I / J Jl / /* /
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIRCONDITIONING FIRESPRINKLERS
YEs|~|# Noj 1 YES QNO Q YEs| |NO| 1
APPLICANT NAME
Primary Contact
PROPERTYOWNER A. // ,
ADDRESS ^v.^^^^^
CITY ^-^^^^^ STATE ZIP
PHONE '""-^-^ \ PHONE FAX
EMAIL ^^_ji::=>» EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME /»y / / / /7
ADDRESS ADDRESS ' / / . ' l^^
CITY STATE ZIP CITY /- / y ^ ' STATE, ZIP^
PHONE FAX FAX
EMAIL
STATE LIC. # STATE Lia# ' CLASS-' CITY BUS. L1C.#
(Sec. 7031.5 Business and Professions Code: Any City or County wtiich requires a permit to construct, alter. Improve, demolisti or repair any structure, prior to its issuance, also requires tlie applicant for sucti permitto file a signed statement that tie is licensed pursuant to the provisions ofthe Contractor's License Law {Ctiapter 9, commendingwith Section 7000 of Division 3 ofthe 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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
WORKERS' COMPENSATION
Worlters' Compensation Declaration: / terefty affirm underpenelly ofpeijury one of the following declarations:
HI have and will maintain a certificate of consent to seif-insure for woricers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued.
I have and will maintain worlters' compensation, as reguired bv Section 3700 of the Labor Code, for the performance of the worit for which this permit is Issued. My workers' compensation insurance earner and policy
number are: Insurance Co. Policy No. Expiration Date
Jhis section need not be completed if the permit Is for one hundred dollars ($1 OOj or less.
KjCeitificate of Exemption: I certify that in the perfomiance 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
Callfoiliia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as pro^i^ fong.Section 3706 of the Labor code, interest and attomey's fees.
JS^ CONTRACTOR SIGNATURE • AGENT DATE
P WNSR-BUiLOER nCCLARATION
•
•
/ /lereby affirm (haf / am exempf from Contractor's Ucense Law for the following reason:
I, as owner of the property or my employees with wages as their sole compensation, will do the worit and the stnicture 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, pravided 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-bullder will have the burden of proving that he did not build or Improve for the puipose of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to constaict 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 pursuani to the Contractor's License Law).
I I I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. QYes I iNo
2.1 (have / have not) signed an application for a building pemiit for the praposed work.
3.1 have contracted with the following person (fimi) to provide the proposed constraction (include name address / phone / contrxtors' license number):
4.1 plan to provide portions of the worit, but I have hired the following person to coordinate, supereise and provide the major worit (Include name / address / phone / contractors' license number):
5.1 wlll provide some of the work, but I have contracted (hired) the following persons to provide the worit Indicated (Include name / address / phone / type of worit):
PROPERTY OWNER SIGNATURE •AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIOENTIAi B U I L O I N G P E R M I T S ONLY
Is the applicant or future building occupant required to submit a business plaprHtilely hazanjous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes f No/ /''^
Is the applicant or future building occupant required to obtain a permit frorWheair pollution control district or air qua|iSjwianagement district? Yes
Is the fxility to be constracted within 1,000 feet of the outer boundary of a school site? Yes Z'™/'
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESSTHE APPUCANT 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 is a construction lending agency for the performance of the worit this pennit is issued (Sec. 3097 (i) Civil Code).
Lenders Name Lender's Address
APPLICANT CERTiFICATION
I ceiliiy that i have read the appiication and state that the alxwe inlbrmation is conectand that the Infbnnation on the plans is-accuiate. i agree to complywith ail City oidinances and State iav» relating to buiiding mnstniction.
I hereby authorize representative ofthe City of Caristiad to enter upon the atxive mentioned property for inspecfon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAIRLESS 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 PERMfr.
OSHA: An OSHA pennit Is required fbr excavations over 5'0' deep and demolition or constmction of stmctures over 3 stories in height.
EXPIRATION: Every pemnit issued by the Building Official under the provisions of this Code shall expire by limitafon and become null and void if the building or writ aulhorized by such pennit is not commenced within
180 days from Ihe date of such permit or if the bulkirig or worit authorized by such pennit Is suspended or abandoned at any ttme after the vwrtt is commenced fbr a period of 180 days (Sectfon 106.4.4 Unifom BuMIng Code).
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, Email buildina(S)carlsbadca.aov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCXUPANT (Listed above)
CONTRACTOR (On Pg. 1)
IVIAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above) ASSOCIATED CB#-
iVlAIL/FAX TO OTHER:
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
APPLICANT'S SIGNATURE DATE
Inspection List
Permit*: CB153418 Type: COGEN PHOTO
Date Inspection Item
10/21/2015 35 Photo Voltaic (PV)
10/21/2015 35 Ptioto Voltaic (PV)
10/21/2015 39 Final Electrical
10/21/2015 39 Final Electrical
Inspector
MC
MC
Act
Rl
AP
Rl
Fl
FERRIN: PHOTO VOLTAIC
20 MODULES, 5.0 KW, ROOF/FLUSH MOU
Comments
AM PLEASE
AM PLEASE
RELEASE E-MAILED TO SDGE
Tfiursday, October 22, 2015 Page 1 of 1