HomeMy WebLinkAbout1048 SAGEBRUSH RD; ; CB160594; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02-16-2016 Cogeneration Permit Permit No:CB160594
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
1048 SAGEBRUSH RD CBAD
COGEN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
2146442500
$8,000.00
SHELINE RES-PHOTOVOLTAIC SYSTE
Status: ISSUED
Applied: 02/16/2016
Entered By: RMA
Plan Approved: 02/16/2016
Issued: 02/16/2016
Inspect Area:
Plan Check #:
20 ROOF/FLUSH MOUNTED MODULES-6.3 KW-NO ELECT PANEL
UPGRADE-NO RMA
Applicant:
SOLAR SYMPHONY CONSTRUCTION INC
341 ENGEL ST
ESCONDIDO CA 92029
760 300-4141
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
Owner:
SHELINE FAMILY 1992 TRUST 11-23-92
1048 SAGEBRUSH RD
CARLSBAD CA 92011
$96.85 PLUMBING TOTAL
$0.00 ELECTRICAL TOTAL
$67.79 MECHANICAL TOTAL
$0.00 Additional Fees
$0.00
$1.04
$1.00
TOTAL PERMIT FEES
Total Fees: $166.68 Total Payments To Date: $166.68 Balance Due:
Inspector:
FINA
Date: Clearance:
$0.00
$0.00
$0.00
$0.00
$166.68
$0.00
f>OTlCE: Aease ta<e f>OTlCE Iha ~ ct '1'll inject irdudes tte "lrrp:stiai' cJ fees, da:icaicrs, ~ er cthar e>ooicrs lueEiler cx:lledi>ey
refsred to as '!ees'e>ooicrs." Yoo 1-<M, OO da,s frantte-tns pemit ve;; issueclto pictest irrp:stirnctttesefees'e>ooicros. If )OJ pictest ttem )00 rrust
fr:Jlo.vtte ~est ~ set fath in 0>ierrmrt Code Section OOW(a), ard filette pictest ard a,; cthar req..ired in'amiirn wth tte Qty Mng,-f<r
~rg in axxrda=wlh Calstoo M.ridl>i Code Section 3.32.CllO. FallJ'lltotirrayfcJlo.vtha prcxal..rewll ta-a,;s.bsecµrt lega a:.on toat,d<,
revie.,v, set asiCE, \Od, cr aTU treir ifllXl,iticn
Yoo ae taetr,, R.R11-ER f>OTlFIEDtrat '1'll rig-I to pictest tte specified fees'exl<licros D'.ES 001" l'ff\. Y to oo:er ard se,,a-~on fees ard ~
ct-a,g,;, ncr pannrg, zrrirg, g,rlrg er cthar sinila-,wicaion ~rg er ,..,,;a, fees in ~on wlh Ins inject. t-rn D'.ES IT l'ffl. Y to a,;
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ITHE FOLLOWING AP!ROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH □ HAZMAT/APCD I
-(~) Building Permit Application Plan Check No. ( 'J, I/, (5) c-Cf L-f
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
,...._ ' '.:: ... if /"#'U,f) ~ CITY 0 f Ph: 760-602-2719 Fax: 760-602-8558(µ_ Plan Ck. Depo ilt
CARLSBAD email: building@carlsbadca.gov ,.Jr-.-
Date ?IT ff,, f I lsWPPP www.carlsbadca.gov -
JOB ADDRESS SUR'EI/SPACEt/Um ,., IAP'-:214 JO'{'B:, S""4E 6 ,a., S+t 121:::, -C,,4-l.f -2--S---Ou
CT/PROJECT# ILOT # I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPT10N OF WORK: Include Square Feet of Affected Anta(a) ~ ·-'Ze'i~ f}µJ A~d . (,·3 1'"'
·2"-~
• ,z. 0 ~"!::1Ju):, 72-0 .IZtv1A / 71 0 -If II • I ~
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREl"LACE , AIR CONDITivr,11~ I FIRE SPRINKLERS
YES[Jtt "'° YES □No □ YES□No□
APPLICANT NAME PROPERlY OWNER NAME /!Avf 51/ l:UN'tF pm,a ... Contact ;n:,,-., //I) g,, l:/f;t= 6'" ?.-
ADDRESS ADDRESS l(.t:, 3t/-( 6'/VC:.,EJ(... ST /O'IB SAGiEP.,,e,v!f; 1-t
CITY STATE ZIP CITY STATE ZIP
&'5CoNT:::,Dc, cl>-9'. 2.oz.q C/>$/...S ~ "'-b c,.p... 9'2011
PHOr "), 7(p0 OD '-/IL/ ( I FAX PHON(" >) i~o 'f 2.."1 -9r,, 3 I I 'AX
EMAIL EMAIL
,6".e=,2 I 6, V e-c6Z S 0 LP..£ .. f:,Y 11. 0 ~,-, <-I ,c.C)M
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ':3,,,_...,z s.,,.. ,/Jlf6 .,.., C C,~$7Jeve T?t:Jr.J ,
ADDRESS ADDRESS s7 '11/1 ,!f'N(f;.. .,,.-L.
CITY STATE ZIP CITY STATE ZIP l""5Coev ,""), ,=>e) CA <?z..oZ.'7
PHONE I FAX PHOi· :?) 1/oO 30:? '4/<l.1 I FAX
EMAIL EMAIi,....
"-'cv.e-o 5§_ SO,.,,.IZ'>o/ ,..17 HO ""I • CO'--' I STATE UC.# STATE LIC.# I ~LASS fZ-, I CITY BlJS. UC.#
'1~/1/,b ,z~ oo 2-=,
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnorto its issuance, also r~u1res 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 0,at 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}),
WORKERS' COMPENSATION
rs' Compensation Declaration: I hereby affirm under penalty of perjury one of the following dec/arations:
ve 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.
ve and will maintain workers' compen,.tlon, as r&Quired bv Section 3700 of the Labor Code, for the performance of the work for whic~~~ermit is issued. My workers' compensation insurance carrier and policy
numberare:lnsuranceCo. tfbfJ.(l.J5 Qp,.n.,ZlTP..N O PolicyNo. 'fl)J'CJ&, "r'.l2 Expiration Date _________ _
rtlflcate of Exemption: I certify that in the pe ance 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 E on need not be completed if the permit is for one hundred dollars ($100) or less.
. WARNING: Failure to secure workers' pensatlon coverage is unlawful, and shall subject an employer to criminal penalties and clvil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, da provld r In Sitction 3706 of the Labor code, Interest and attorney's fees. /
NS coNTRAcroRs10NAruRE u'd::';.tf' jiill Ef•oENT
I hereby affirm that I am exempt from
□
□
□
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 wil have the burden of proving that he did not build or improve for the purpose of sale).
I, as owner of the property, am excluslvely 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 bulds or improves thereon, and contracts for such projects with contracto~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. Oves 0No
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 (indude 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 I address I phone I contractors· license number):
5. I win provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
NS PROPERTY OWNER SIGNATURE 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 fonn 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work this pennit is issued {Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the appllcalfon and state that the aboY& information Is correct and that the Information on the plans Is accurate. I agme to oomply Mltl all City on:t\nances and Stale laws relallng to building oonslruction.
I hereby au~orize represenlative of lhe City of Calsbad ID enter upon lhe above menooned property fur inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGANST ALL LIABILl11ES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGl>JNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA pennit is required for excavations over S'O' and demolioon or oonstruction of structures over 3 stories in height
EXPIRATION: Every permit osued by lhe Bui~ing Ofocial un lhe provisions of ~is Code shall e>cpia by Imitation and become mJ and void , lhe buiijing or -aulhorized by such permit is rot oonvnenced \Whil
180 days from ~• dale of SIX:h pemt or , ~, buldilg or aufhorized by SIX:h permit is suspended or abandor<d at any time afler lhe -• oommenced fur a period of 180 days (Section 1116.4.4 Unifoon Buildilg Code).
' ,,5 APPLICANT'S SIGNATURE DATE i'8
Inspection List
Penn it#: CB160594 Type: COGEN PHOTO SHELINE RES-PHOTOVOLTAIC SYSTE
20 ROOF/FLUSH MOUNTED MODULES-6.
Date Inspection Item Inspector Act Comments -------------
03/17/2016 35 Photo Voltaic (PV) RI AM PLEASE
03/17/2016 35 Photo Voltaic (PV) AEK AP
03/17/2016 39 Final Electrical RI AM PLEASE
03/17/2016 39 Final Electrical AEK Fl
Thursday, March 17, 2016 Page 1 of 1