HomeMy WebLinkAbout2345 MICA RD; ; CB150870; Permit,, I ,. City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-24-2015 Cogeneration Permit Permit No:CB150870
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
2345 MICA RD CBAD
COGEN
2132821200
$8,000.00
Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
Status: ISSUED
Applied: 03/24/2015
Entered By: RMA
Plan Approved: 03/24/2015
Issued: 03/24/2015
Inspect Area:
Plan Check #:
Project Title: NOVAK RES-PHOTOVOLTAIC SYSTEM
20 ROOF/FLUSH MOUNTED MODULES-5.2 KW-NO ELECT PANEL
UPGRADE
Applicant:
SOLARCITY
3055 CLEARVIEW WY
SAN MATEO CA 94402
650-759-4658
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
$96.55
$0.00
$67.58
$0.00
$0.00
$1.04
$1.00
Owner:
NOVAK TIBOR&LAURA
2345 MICA RD
CARLSBAD CA 92009
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $166.17 Total Payments To Date: $166.17 Balance Due:
Inspector: Date: Clearance:
$0.00
$0.00
$0.00
$0.00
$166.17
$0.00
NOTICE: Please take NOTICE th roval of your project includes the "Im ition" fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the dale this pem1it 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 infom1ation 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.
THE F~UOWltlG APPROVALS REQtJIRED PRIOR TO l!EIWfF UUAIICE: 0 Pl.ANNING O~EERING
Ccicyof
Carlsbad
JOB ADDltDS
f
Building Pennlt Appllcatlon
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carta~gov
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EMAIL
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DISIGN PROFDSIONAL CONTRACTOR BUS. NAME
ADDRESS ADDRESS 305 'o
CITY STATE ZIP
PHONE F/l:X
EMAIL
STATE llC.f 8& CIASS
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(Sec. 7031..5 Business and Professions Code: Atry City or counzy which reQulres a permit to construct, alter, Improve, demolish or repair any structure, prior to Its Issuance, also requires the applicant for such permit to Ille a sl.llned statement that ha rs 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 !hat ha Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 703i5 by any applicant for a permit subjects the applicant to a civil penally of not more than 11\19 hundred dollars ($500}}.
WORKERS COMPENSATION
Worllers' Compenslllon Oec:llratlon: / hereby affirm under p9/!8/ty of pa,tu,y one of the folowing declel'llt/ons:
B I have and wlH maintain • certlflc:ata of consent to self.Jn1ure for workers' compensation as provided by Section 3700 of Iha Labor Code, for 1h11 performance of 1h11 woril for which this permit is issued.
I have and will maintain work~' compenntlon, as 19Quired bv Section 3700 of the Labor Code, for the performance of lhe work for 'MIich this permit Is issued. My workeni' compensallol?sftnce earner and policy
numberw: Insurance Co. L, be~ \ ')6\.)l"{A,t:Jce Policy No. LJA7'1" 0 t c.c. 'H,502'1 Expiration Oate '1'I I 2016
This .action need not be completed ff Iha ,tis for one hundred dollars ($100) or less. 0 Certlflcate of Exemption: I certify that in lhe perlormance of Iha NOrk for which this all not e 3ny person In illlY manner so as Ill become subject to !he WOfi<en;' Compensadon laws of
California WARNING: F1llura to secure wonters' compensation cover~ · awful, ,nd shall subject •n >mploy criminal penatties ind civil fines up to one hundred thousand dollars (&100,000), In
1ddltlon to the cost of compensad damages •• provided for In Section J706 of •.h• l abor coda, interest 111d 1ttomey's ees •
.Jl5 CONTRACTOR SIGNATURE ·!l!!···l!l!ll'IJl!_II_ "'____ 0 3 '
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COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUii..0ING 1,ERMJ T :i; ONLY
Is lhe 8Pllffcant or futu,e building occupant required 1o submit a busihess plan, acutey hazardous matallillsaregiitnlliirffflnii•orifsltril~ and prlWIOlon' inc,am under Sections 25505, 25533 or 25534 of the
Presley-TamerHazrilusSUbstalceAa:ountAct? □Yes a No
Is Ille apiillcant or futUl9 blilcing occupant raqulrad to~ a pennlt tan t!Mrar pollution control dlsttct or ai: qualty management llslrict7 O Yes O No
Is Ille faclllty tobe constructed within 1,000f9et olthe.OU!llr boundary at a 5Clhool site? CJ Yes• CliNo -
IF ANY 0Fll£ ANSWERS ARE YES, A FINAL ceni:lcATE OF OCCUPANCY IIAY NOT BE ISSUED UNLESS lllE APPUCAHT HAS IIET OR IS IIEET1NG THE REQUIREMENTS OF THE OFFICE OF
EIERGENcY SERVICES ANO THl;AIR POI.Ll1TION COHTIIOl OISTRll;T.
STRUCTION LENDING AGENCY
I hereby affinn that there is a construction lendi1g agency b' the of the WOik this pe,mlt is issued (Sec. 3097 (i) CMI Code). •
LemM(s Name Lender's Address
APPLICANT CERTIFICATION
I hereby aieionze repesenlaM of the~ o/ t> enlerl4)Cll the ailoYe menliJned JJ0P811Y tlr i1Spdln I ,6LOO AGREE TO SAVE, Nll:MNIFY #ID KEEP HARM.ESS lHE CITY OF CAR1.S8AD
AGAINST ALL l.Wlll/TIES, JUDGMEN.TS, HO EXPENSES WH101 MAY IN #N WAY ACCRUE AGAINST SAID IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. ~ M OSHApe,milfs ~ uW<l,i!VfllllrJ5tvsSflcleepmderoolliln CJ'~rlslM:klllS(Nfl(Jstirs i1 ~
EXPIRAmN: Every permlllssued trt the · lll<lerthe po'visi>ns of this Code shal expie trt lrnaalkln m become nul m
100days ~ the,~Qf§ldt pell!rilCJ'it \lakailhodmdby sud1 pemll 1$~g: !11}'tine,alll!rtf1e
AS~ SIGNATURE
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Inspection List
Permit#: CB150870 Type: COGEN PHOTO NOVAK RES-PHOTOVOLTAIC SYSTEM
20 ROOF/FLUSH MOUNTED MODULES-5.
Date Inspection Item Inspector Act Comments --
04/15/2015 35 Photo Voltaic (PV) RI
04/15/2015 35 Photo Voltaic (PV) SP AP
04/15/2015 39 Final Electrical RI
04/15/2015 39 Final Electrical SP Fl
Thursday, April 16, 2015 Page 1 of 1