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Home My WebLink About2867 RANCHO DIAMONTE; ; CB153399; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-09-2015 Cogeneration Permit Permit No:CB153399 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 2867 RANCHO DIAMONTE CBAD COGEN Sub Type: PHOTO 2218112400 Lot#: 0 $10,000.00 Constuction Type: IIN Reference #: TILLMAN RES-25 MODULE PV Status: ISSUED Applied: 10/09/2015 Entered By: LSM Plan Approved: 10/09/2015 Issued: 10/09/2015 Inspect Area: Plan Check #: SYSTEM/ROOF MNT/NO PANEL UPGRADE//FLUSH MNT /7.125 KW Applicant: COUNTYWIDE MECHANICAL SYSTEMS 9330 STEVENS RD SANTEE CA 92071-5639 619-778-0580 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 $114.59 $0.00 $80.21 $0.00 $0.00 $1.30 $1.00 Owner: TILLMAN LLOYD 2867 RANCHO DIAMONTE CARLSBAD CA 92009 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $197.10 Total Payments To Date: $197.10 Balance Due: Inspector: Clearance: $0.00 $0.00 $0.00 $0.00 $197.10 $0.00 ~ ci y:,.r JJtject irdt.des lte "lrrµ:eitiorl' ci I dadcaia,s, """"1iia,s, Cl' cit'er .,,..,.a,s-.,. cxJledively You 1-a\e 00 days franlte date ths p<ITTit Viii£ issued to prctest inpcstia, ci trese fees'.,,..,.cr,. If )00 prctest !tan )00 ITUSl fdlcmlte f'desl iJOOeci.n'Jfset forth in 0:Mmrert Qxle ~a, eam(a), ard file lte prctest ard any cit'er req.ired irtamiia, v.ith lte Oty Memger!Cl' ~rg in axocla re;;th Calsba:l M..ridp,i Qxle ~a, 3.32.030. Fallretotirrelyfdloolt'a: JJ'OCllC1l'OWll l:a' any Slb;ecµrt leg> 11:/ia,toatack re,,;ew, sa asiOO, vcid, er anJ tter irrµ:,siticn. You ae raw,, Fl.Rll-ERI\OTIREDltat y:,.rrig,t to f'desl lteSj'.Edled fees'"""'"a,s OCcS 001" AFf\.Ytol'aerard .....,..oa,nedia,feesard ~ c/'a'gas, = plmrg, zairg g,drg Cl' ctte-snila ,wicaia, ?<J()95Sirg Cl' senAoe fees in oa,nectia, wth ths JJtject. I'm OCcS IT AFfl. Y to any f ·a,s ci _, . 'nil t th I/heh linitaiais . THE FOLLOWING.APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMAT/APCD {'city of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. Cf> 15 '3':>C, Cf Est. Value Plan Ck. Deposit Date 10 1,5 SWPPP JOB~ SUITE#/SPACE#/UNIT# APN CT/PROJECT# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTK>N OF WORK: Include Square Feet of Affitcted Area(s) {2.c)6 ~ Wt-T PV &-(~ f? 7. /2,) }<.4J (--z.~~w,>-4,'f1- IJ O I.(, f f,;1,,14 U N O 12.#t f.r qr,! 7f4 EXISTING USE APPLICANT NAME Primary Contact CITY PH ADDRESS CITY ~'! ...,u, ( PATIOS (SF) DECKS {SF) CITY PHONE EMAIL AOORES'1'3 CITY~;f'I,(, EMAIL AIR CONDITIONING YES □No □ CITY BUS. UC.# FIRE SPRINKLERS YES□No□ I ':> "'8 -sa. o (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty 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 1s licensed pursuant to the prov1s1ons of the Contractor's License Law JChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he Is exemi;,t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the apphcant to a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affltm under penalty of petjuf)I 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 perfonnance of the work for which this permit is issued. J)Q) have and will maintain w~fk.,r ~~s?::•~,-,iinio~ of the Labor Code, for the performance~ ttJ!ork 'fflj;h this pe_Jffll i)issOed. My wo~~• compen~n i~ra~ carrier and policy numberare:lnsuranceCo . .Lf:_l~(.2.J,l:::I_ /) (.) -7No, fJ~ l&-f,1_.N':7(...,e....,f Expiration Date .::2{.Lf.t.&, ~section need not be complet~d if the permit is for one hundred dollars ($100) or less. ~~ ' _/ ~ c::!c2.. • LJ Certificate of Exemption: I certify that in the performance of the work for which this permit~ot employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worka 'comp atlon erage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the coat of compensation, damages p d for In 3706 of the Labor code, Interest and attorney's fees . .6$ CONTRACTOR SIGNATURE ,a,mENT I hereby affltm that I am exempt from Contractor's License Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the worir: 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 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 construcfon of the proposed property improvement. OYes 0No 2. I (have/ have not) signed an application for a building pennit for the proposed work, 3, I have contracted with the following person (!inn) to provide the proposed construcUon (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 phor.e / 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/ address I phone/ type of work): ,8$ PROPERTY OWNER SIGNATURE □AGENT DATE 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 Act? Yes No ls the applicant or future building occupant required to obtain a permit 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lend mg agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1V1I Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above infoimation Is oonect and that the lnfomlatlon on the plans Is accurate. I agree tD comply\Wth all Cily oldlnanc:es and State laws relatlng tD building oonstrucllon. I hereby authorize re~tative of the Cityof Carlsboo lo enter upon the above mentioned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS TI-IE CITY OF CAA.1..SBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAJD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA M OSHA pelllllt is requred br excavalbns over 5'0' deep and demoliti:m or a:t\Struction of strucb.Jres over 3 stories in h8ght. EXPIRATION: Every permit issued by the Buik:ling Offi::ial under rovis· s of this Code shall eJq:ire by linitaoon and bec:oo1e null arid wk:! tt the buik:ling or v.ork authorized by such permit is not oommenCBd IMthin 180days from the date of such permit or if the buik:lin~~ ~rized permit is sus or abandcned at any time after the 'Mlrk is commenCBd for a perbd ~ days :,.100.4.4 Uniklnn Buik:ling Code). ,f/!5 APPLICANT'S SIGNATURE ~ DATE C, ( 9, / S • 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@car1sbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, 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. UC. No. DELIVERY OP'llONS 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: _______________ _ A! APPLICANT'S SIGNATURE ASSOCIATED CB#------------~ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Pennit#: CB153399 Type: COGEN PHOTO Date Inspection I.tem~ .. Inspector Act 12/08/2015 35 Photo Voltaic (PV) RI 12/08/2015 35 Photo Voltaic (PV) PY AP 12/08/2015 39 Final Electrical RI 12/08/2015 39 Final Electrical PY AP TILLMAN RES-25 MODULE PV SYSTEM/ROOF MNT/NO PANEL UPGRAD Comments GC 2580 GC 2580 Wednesday, December 09, 2015 Page 1 of 1