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HomeMy WebLinkAbout2861 RANCHO RIO CHICO; ; CB160464; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-08-2016 Cogeneration Permit Permit No:CB160464 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 2861 RANCHO RIO CHICO CBAD COGEN Sub Type: PHOTO 2226122400 Lot#: 0 $4,800.00 Constuction Type: NEW Reference #: YATES: 12 ROOF MOUNT PV, 3.7KW NO PANEL UPGRADE, NO RMA Owner: Status: ISSUED Applied: 02/08/2016 Entered By: SLE Plan Approved: 02/08/2016 Issued: 02/08/2016 Inspect Area: Plan Check #: Applicant: GREEN ENERGY STE I YATES SCOTT&MARYLYNN LIVING TRUST 12-19-12 9630 BLACK MOUNTAIN RD SAN DIEGO CA 92126-4521 619-630-5129 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 $70.24 $0.00 $49,17 $0.00 $0.00 $1.00 $1.00 6237 PASEO PRIVADO CARLSBAD CA 92009 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $121.41 Total Payments To Date: $121.41 Balance Due: Inspector: /n:: l.r:.!i,M,,~ FINAL Af PH,OVAL Date: f'Y2J I B lb Clearance: $0.00 $0.00 $0.00 $0.00 $121.41 $0.00 I\KJTICE: Aease ta<e l\KJTICE Iha~ r:J )OJ: ~ed irdl.des tJ-e "lrrµ:sitiaf r:J fees, decicaicns, """"'"ens, c, clhar eroicrs -..-aJledl.<fy referred tolti 'fees'eroia-.." You haw 00 daysfrantJ-e-tlis p<mitY.BS isa.edto prctest irrµ:sitionr:JtJ-esefeesleroicrs. If )OJ prctesl them )OJ rrust fdlo.vtJ-e prctest prooed.res set forth in <?oJermai QxJe Soden ffim(a), a'd file tJ-e prctest a'd ,ny clhar reqjred irtamiion w1h tJ-e Oty ,,,,.._-fc, ?'(XESSirg in awda'mwth Qrlstw M.ndi:a QxJeSedon 3.32Cll0. Faluetotirrayfdlo.vtta pro,ci.rewll b<r ,ny~ lega action to~ re,ew, set asde, vdd, c, inu ttar irrµ:sition You ae reret,; F\RT1-ER I\KJTIFIBJ that )OS ngt to prctest tJ-e specified feesleroicrs DCES i'Of />PPt. Y to wa~ a'd SB1B oonnedon fees a'd ~ cta-ges, nc, i;Jannrg, mrg, ga::lrg c, clhar snila-wicaion ?'(XESSirg er moe fees in oonnedon wth tlis ~ed. ll(R DCES IT J>PPt. Y to ,ny . . . ..,_,I_.._ tli"' ---~-W, . ljM+ttirnc . · -....:--i .,•- ' l-;HE FOLLOWING ~PPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING Ccityof Carlsbad JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEI/SPACE#/UNIT# □BUILDING □FIRE □HEALTH 0HAZMAT/APCD Plan Check No. Cl:) I <PO Est. Value ~(j)- Plan Ck. Deposit CT/PROJECT# #BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE acc. GROUP APPLICANT NAME EMAIL DESIGN PROFESSIONAL ADDRESS CITY STATE PHONE FAX EMAIL ADDRESS CITY PHONE EMAIL ZIP STATE LIC. # fa lrJ.v-. S'r,k"" )yr;f1,vo. rceo~ e"'-rl...<f.P r l-cJ A,,IUV r 'f' (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 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 civ1I penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of peljury 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 ls issued !;iJ I ha,e and will maintain worl<ars' compensation, as ,.,,;red by Sechoo 3700.of fue Labor Code, for !he perlormance of fu~rk fornwh;ct, fh;sl!"rm;fy"''· My workern' compe~kln ;ns,rance~ earner and pole, ""mbera,eln5"ranceCo <; i fl Tc ldlfv':l)fJ\iS/lfflli)<>lcYNO. ,1 I? Ci<; 9 Exp;rahonDafef [P;. , c//7 ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ 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: Fallure to secure workers' compensation coverage is unlawful, and shall subject an employer to crlminal penalties and clvll fines up to one hundred thousand dollars {&100,000), in addition to the cost of compensation, as provided for in Secti 3706 of the Labor code, Interest and attorney's fees. ,/IS CONTRACTOR SIGNATURE 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 himseW 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 wtio 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. OYes ONo 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/ 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 worl(, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone I type of work): JIS PROPERTY OWNER SIGNATURE □AGENT DATE I COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 Ac'(? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management district? Yes No \s the facility to be constructed within 1,000 feet of the outer bouridary 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 state lhatlhe above Information Is oorrectand that the infonnation on the plans is accurate. 1 agree to comply with all City ordinances and State lcM5 relating to building oonstructlon. I hereby authorize representative of the City of Carlsbad toenterup::in the atxive menOOned JXUperly tx inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD ACAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUEAGPJNST SAID CITY IN CONSEOJENCE OF THE GRANTING OF THIS PERMIT OSHA: M OSHA permit is required for excavations over 5'0' deep and demolition or construdion of structures over 3 stories in height. EXP!R/fflON: Every permit issued by the Building Offcial under the provisbns of this C.ode shall expire by limitation and become null and void if the building orw:irk authorized by such pem,it is not rommenced 'Mthin 180 days from the date of such pem,it or if ilding or w:irk authori~ ~Y.Yroo1 I permit is suspended or abandoned at any time after the w:irk is rommenced for a perkid of 180 days (~K:ln 100.4.4 Uniform Building C.ode), _65 APPLICANT'S SIGNATURE ~ DATE 2 /., 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 building@carlsbadca.gov or Mail the completed form to City of Ca~sbad, Building Division 1635 Faraday Avenue, Ca~sbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPllONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ A5 APPLICANT'S SIGNATURE ASSOCIATEDCB#------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP ' . Inspection List Permit#: CB160464 Type: COGEN PHOTO Date Inspection Item Inspector Act 02/18/2016 35 Photo Voltaic (PV) RI 02/18/2016 35 Photo Voltaic (PV) MC AP 02/18/2016 39 Final Electrical RI 02/18/2016 39 Final Electrical MC Fl 02/17/2016 35 Photo Voltaic (PV) MC CA 02/17/2016 39 Final Electrical MC CA Thursday, February 18, 2016 YATES: 12 ROOF MOUNT PV, 3.7KW NO PANEL UPGRADE, NORMA Comments RELEASE E-MAILED TO SDGE. PER CONTRACTOR Page 1 of 1