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HomeMy WebLinkAbout2068 PLAYA RD; ; CB112591; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-19-2011 Cogeneration Permit Permit No:CB112591 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2068 PLAYA RD CBAD COGEN Sub Type: Lot#: 2151403100 $12,800.00 Construction Type: Reference #: NICHOL RES-PHOTOVOLTAIC SYSTE 32 ROOF MOUNTED PANELS PHOTO 0 NEW Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: ISSUED 12/12/2011 RMA 12/19/2011 12/19/2011 VALUE ELECTRIC & COMMUNICATIONS INC ATTN: JON NICHOL STEPHEN A&MOTOKO FAMILY REVOCABLE TRUST 1 P O BOX 503603 SAN DIEGO CA 92150 858 663-5785 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 $156.27 $0.00 $109.39 $0.00 $0.00 $1.28 $1.00 2068 PLAYA RD CARLSBAD CA 92009 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $267.94 Total Payments To Date: $267.94 Balance Due: Inspector: FINAL APPROVAL Date: I~ 5 · ( Z-Clearance: $0.00 $0.00 $0.00 $0.00 $267.94 $0.00 NOTICE· Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 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 connection fees and capacity changes, nor planning, zoning, grading or other similar application proce~ing or service fees in connection with this project. NOA DOES IT APPLY to any fe x i n of whi h uh ve revi been iv N Tl E imil r i r a o which he stat of limita ion has revi us otherwise ex ired. f «1~ ~ CITY OF CARLSBAD EXISTING USE EMAIL ARCH/DESIGNER NAME & ADDRESS Building Permit Application 1635 Faraday Ave .. Garlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE UN T# - PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NO □ APPLICANT NAME (Secondary Contact) ADDRESS q ZIP ~__.b CITY STATE PHONE FAX EMAIL CONTRACTOR BUS. NAME ADD CITY STATE PHONE FAX EMAIL STATE LIC. # CONSTR TYPE OCC. GROUP AIR CONDITIONING FIRE SPRINKLERS YES D NO □ YES □ NO □ ZIP ZIP CITY BUS. UC.# /23 l /0 (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 per_mtt to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 70_00 of Oiv1s1on 3 of the B_usiness and Professions Code} or that he is exem9.t therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subiects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORIU!RI' COMPENSATION -. Wonten' Compensation Declaration: / hereby affirm under penalty of petjury one of the following declarations: □ 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. ti;n 3700 of the Labor Code, for the performanc_!.2f the work fg.r which this permit is Issued. My workers' compensation insurance carrier and policy .-1.-"'CLLJ<-J..LL.e::,C::_LJ.LOL_:r,,,"'-'!'-"l/:.c/!:,1<,c·_cU.""'--Policy No. 5 2 tv E G El'( ,£-f 1 1 &pi,atioo Dat, "l-,9 Q -1 'l... I hereby affirm that I am exempt 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 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 contracUng 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 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. □ Yes □ No 2. I (have/ 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/ 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/ address/ phone/ 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/ phone/ type of w-:ir.(J: ,,,I$ PROPERTY OWNER SIGNATURE □AGENT DATE ' Is lhe 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 pennit 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 s1ate that the above infonnation Is c:onoctand that the infonnation on the plans Is aa:urate. I agree to comply with all City ordinances and State laws relatlng1D bulldlng construction. I hereby authorize reiresentative of the City of Carlsbad to enter u1xm the alxlve mentK'.>lled property for inspection l'JrJX)Ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Cf CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Cf THE GRANTING OF THIS PERMIT. OSHA MOSHA penn[ is required for ex lions ver 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every ,::ennit ISSued by Buik:ling alioat-OAderlhe · ions of this Oxle shall expire by limitaoon and become null and void if the buik:ling orv.ork authorized by such permit is not oomrnenc:ed 'Mthin 1BO days from the date of such pe or if the uth rized such permit is suspended or abandoned at anytime after the 'Mlrk is oommenc:ed for a period of 1BO days (Sec!Kln 106.4.4 Uniform Buik:ling Code). AS APPLICANT'S SIGNATUR DATE /c1...... a -1 m m City of Carlsbad Bldg Inspection Request For: 12/29/2011 Permit# CB112591 Title: NICHOL RES-PHOTOVOLTAIC SYSTE Description: 32 ROOF MOUNTED PANELS Type:COGEN Sub Type: PHOTO Job Address: Suite: Location: 2068 PLAYA RD Lot: 0 APPLICANT VALUE ELECTRIC & COMMUNICATIONS INC Inspector Assignment: Phone: 8586635785 Inspector:&_ Owner: NICHOL STEPHEN A&MOTOKO FAMILY REVOCABLE TRUST 1 Remarks: solar final Total Time: Requested By: JOHN CD 34 39 Date ----- Description Rough Electric Final Electrical Entered By: CHRISTINE Act Comments • / ( IH1 f V. fl~ <t-kS ( ),Oer.vvJ ]'[ _____ _ ------------ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Description Act lnsp Comments