HomeMy WebLinkAbout2898 RANCHO PANCHO; ; CB161648; Permit' City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-28-2016 Cogeneration Permit Permit No:CB161648
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
Applicant:
2898 RANCHO PANCHO CBAD
COGEN Sub Type: PHOTO
2225904300 Lot#: 0
$7,600.00 Constuction Type: NEW
Reference #:
BENNETT: 19 ROOF MOUNT PV,
5.99KW, NO PANEL UPGRADE, NORMA
Owner:
Status: ISSUED
Applied: 04/28/2016
Entered By: SLE
Plan Approved: 04/28/2016
Issued: 04/28/2016
Inspect Area:
Plan Check #:
TMAG INDUSTRIES OBA STELLAR SOLAR
SUITE 105-444
BENNETT ROBERT T&ADRIANA G
6965 EL CAMINO REAL
CARLSBAD CA 92009
760-445-1627
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Plan Check Discount
Strong Motion Fee
Green Bldg Stands (SB 14 73) Fee
$96.85
$0.00
$67.79
$0.00
$0.00
$1.00
$1.00
2898 RANCHO PANCHO
CARLSBAD CA 92009
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $166.64 Total Payments To Date: $166.64 Balance Due:
Inspector: Clearance:
$0.00
$0.00
$0.00
$0.00
$166.64
$0.00
NOTICE: Flealla la<e NOTICE Iha~ ci )OJ p-tjed irdldes Ire "lnµstiai' ci fees, cl3::iaEcro, ressvations, c,-cll"er E>O'dicro -wledi',6)'
-to as ,._E>O'dioo;" You t...e 9'.l da)s frantredale tis ~twas issu,d to p-ctest inµsticn ci trese fa,s/E>O'dions. If yru p-ctest !rem yru rn.st
fdlONtl"e ~est p-ocmres set foo1h in °"""'1TB1 Cede Seda, f:1:1:ID;a), ard filetre p-ctest ard al'/ cll"er recµred irlooreicn wth Ire aty ~fcr
~ng ;,, amda <ewth Gatsba:l M.ridi:a Cede Seda, 3.32.(m. FailuetotimalyfdlONtra p-ocai.rewll ta' 'dl'f Slteecµrt lega den to~
n>lieN, set aside, \dd ex a-nJ tteir inµstion
You ,re 1-era,y F\Rll-ER NOTIREDttet )OJ rigt to p-ctest Ire specified fa,s/E>O'dicro IXES NOT />PPL Ytowale" ard.,.,,,, oomedia, fees ard ~
c:ts-ges, ncx ,laTing, zcring, galng c,-cll"er sinil,nqjiaEcn ~ng ex seniire fees in oomedicn wth lhs p-tje:l. N'.:R IXES IT />PPL Yto al'/ . ~ II .
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH O HAZMAT/APCD «, 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. CBllol~ L\g'
~ CITY OF
Est. Value 7 0()-
CARLSBAD SWPPP
SUITE#/SPACE#/UNIT#
# BEDROOMS # BATHROOMS CONSTR. TYPE
EXISTING USE PROPOSED USE GARAGE (SF)
APPLICANT NAME (Primary Contact) Krista Stemmerman
ADDRESS 5122 Avenida Encinas B
CITY STATE ZIP
Carlsbad CA 92008
PHONE FAX
EMAIL
CITY
PHONE
EMAIL
STATE LIC. #
PATIOS (SF) DECKS (SF) FIREPLACE
YESO
AIR CONDITIONING
No[J YES □No □
APPLICANT NAME (Secondary Contact)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
CONTRACTOR BUS. NAME Stellar Solar
ADDRESS 6965 El Camino Real
CITY STATE ZIP
Carlsbad CA
PHONE FAX
760 529 7267
EMAIL john@stellarsolar.net
STATE LIC.# CLASS CITY BUS. LIC.#
FIRE SPRINKLERS
YES □No□
92009
ARCH/DESIGNER NAME & ADDRESS
749095 C10 1227344
(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 fhat 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]).
Wor11ers' Compensation Declaration: / hereby affirm under penaffy of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure tor workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
[Z] I have and will maintain wor11ers' 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
]l!!§,section need not be completed n 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
Galifornia. WARNING: Failure to secure wor11ers' cornpensaUon coverage 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, damages as prov ed for In Section 3706 of the Labor code, Interest and attorney's fees.
_25 CONTRACTOR SIGNATURE _ID AGENT DATE
I hereby affirm 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 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 bu ids or improves thereon, and who does such work himse~ 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 Contracto(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. O Yes D o
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the folbwing person (firm) to provide the proposed construction (include name address / phone/ contractors' license number):
4. I plan to provide portions of the work, bul I have hired the following person to coordinate, supervise and provide the major work (include name I 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 / address/ phone / type of work):
_25 PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required b 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 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 AJR POLLUTION CONTROL DISTRICT.
Lender's Address
I certify that I have read the application and state that the above Information Is correct and that the information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Cai1sbad to enterupoo the above mentioned property for i1spection purposes. I ALSO AGREE TO SAVE, INDE~IFY AND KEEP HARM._ESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA perm~ is required for excavations 01/ef 5'0' deep and demolition or construction of structures over 3 stories in height
EXPIRATION: Every perm~ issued by the Building Official under the provisions of this Code shall expire by im~ and becorre nul and void n the building or work authorized by such perm! is not coomenced v.;thil
180 days from the date of such permit or nthe building or work authorized by such perm~ is suspended or abandoned at anytime after the work is coomenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
,IS APPLICANT'S SIGNATURE DATE L( z
•• •
Inspection List
Permit#: CB161648 Type: COGEN PHOTO
Date lns_e_ection_ltem Inspector Act -
05/11/2016 35 Photo Voltaic (PV) RI
05/11/2016 35 Photo Voltaic (PV) AEK AP
05/11/2016 39 Final Electrical RI
05/11/2016 39 Final Electrical AEK Fl
Thursday, May 12, 2016
BENNETT: 20 ROOF MOUNT PV,
5.99KW, NO PANEL UPGRADE, NO RMA
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