HomeMy WebLinkAbout2903 CAMINO SERBAL; ; CB160604; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02-16-2016 Cogeneration Permit Permit No:CB160604
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
Applicant:
2903 CAMINO SERE3AL CBAD
COG EN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
2552831900
$6,800.00
HAVRANEK: 17 ROOF MOUNT PV PAN
Owner:
Status: ISSUED
Applied: 02/16/2016
Entered By: JMA
Plan Approved: 02/16/2016
Issued: 02/16/2016
Inspect Area:
Plan Check #:
TMAG INDUSTRIES DBA STELLAR SOLAR
SUITE 105-444
HAVRANEK FAMILY 2008 TRUST 03-05-08
6965 EL CAMINO REAL
CARLSBAD CA 92009
760-445-162 7
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Plan Check Discount
Strong Motion Fee
Green Bldg Stands (SB1473) Fee
$87.98
$0.00
$61.59
$63.58
$0.00
$1.00
$1.00
2903 CAMINO SERBAL
CARLSBAD CA 92009
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $215.15 Total F'ayments To Date: $215.15 Balance Due:
Inspector: (Yl· ~~ FINAL AJPROVAL
Date: o;rJ o/1 b Clearance:
$0.00
$0.00
$0.00
$0.00
$215.15
$0.00
NOllCE: Please ta<e NOllCE that ar:proval r:f yrur p-cject includes the "lrrp.::sition" r:f fees, dedications, reservations, or other exa:tions hemafter wlectively
referred to as "fees/exa:tions." You have 00 days fn:m the date this ranit 'NeE issued to protest irrp.::sition r:f these fees/exa:tions. If yru putest trern yru rrust
fdla.Nthe putest pu;edures set forth in G:.wmrrent Ca:le Sedicn OOJ20(a), and file the putest and any other req..ired informaticn wth the Clty !V'anag3r for
~ng in a:xm:ianoowth Caisbcd MJnidpal Ccx:ie Section 3.32.030. Failuretotirrelyfolla.Nthat pu;edurewll bar any subsequent legal actiontoatta:.:l<,
review, set aside, vdd, or anm their irrp.::sition.
You are hereby FI.RTl-lER f\OllRED that yrur right. to putest the sp:idfied fees/exa:tions [XES NOT APPLY to water and reJ'.ff cmnection fees and capacity
dalges, nor planning, zcnng, grading or other sinilar application pu;essing or servire fees in connection wth this p-cject. ~ CX:X:S IT AF'R.. Y to any
fees/exa:tions r:f ooch vou have creviousiv been dven a NOllCE sinilar to this. or as to ooch the statute r:f linitations has preyiousiy otherWise exoired.
CITY OF
CARLSBAD
JOB ADDRESS
CT/PROJECT #
APPLICANT NAME (Primary Contact)
ADDRESS
0PLANNING [J ENGINEERING
!Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITE#/SPACE#jUNIT#
#BATHROOMS
PROPOSED USE GARAGE (SF) PATIOS (SF)
Krista Stemmerman
ADDRESS
[]BUILDING []FIRE []HEALTH
Plan Check No. C13 j (o.
Est. Value ft, C;.li;t!6
Plan Ck. Deposit
FIREPLACE
YESO
AIR CONDITIONING
No[] YES0No0
FIRE SPRINKLERS
YESONoD
5122 Avenida Encinas 8
CITY STATE ZIP CITY STATE ZIP
CA 92008
PHONE PHONE FAX
EMAIL EMAIL
CONTRACTOR BUS. NAME Stellar Solar
ADDRESS 6965 El Camino Real
CITY STATE ZIP
Carlsbad CA 92009
PHONE PHONE FAX
760 529 7267
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# CITY BUS. LIC.#
749095 1227344
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, prior to its issuance. also requires the
applicant for such permit to file a signed statement that 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 applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars [$500}).
Workers' Compensation Declaration: I hereby affirm under penafty or perjury one of the following declarations:
0 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.
[{] 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
number are: Insurance Co. Cypress Insurance Company Policy No. TMWC603886 Expiration Date 8131/16
This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 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 c:overage 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, dam,ag~s mvided for in Section 3706 of the Labor code, interest and attorney's fees.
~CONTRACTOR SIGNATURE . . ~. V".. QAGENT DATE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D
D
D
I, as owner of the property 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 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).
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 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes 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. 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 I type of work):
~PROPERTY OWNER SIGNATURE 0AGENT DATE
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? DYes D No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYes D 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 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i} Civil Code).
Lender's Name Lender's Address
. r ,, J / /
I on
Permit#: CB160604 Type: COGEN PHOTO HAVRANEK: 17 ROOF MOUNT PV PAN
Date Inspection Item Inspector Act Comments
03/10/2016 35 Photo Voltaic (PV) Rl
03/10/2016 35 Photo Voltaic (PV) MC AP
03/10/2016 39 Final Electrical Rl
03/10/2016 39 Final Electrical MC Fl RELEASE E-MAILED TO SDGE.
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