HomeMy WebLinkAbout1027 SAGEBRUSH RD; ; CB143611; Permit• City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-29-2014 Cogeneration Permit Permit No:CB143611
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1027 SAGEBRUSH RD CBAD
COGEN Sub Type: PHOTO
Lot#: 0
Constuction Type: 5B
Reference #:
Parcel No:
Valuation:
Occupancy Group:
2146441300
$7,600.00
Project Title: NGUYEN: 19 ROOF MOUNT PV
Applicant:
N B BAKER ELECTRIC INC
1298 PACIFIC OAKS PL
ESCONDIDO CA 92029
760 745-2001
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
$1.00
$1.00
Owner:
NGUYEN VU
1027 SAGEBRUSH RD
CARLSBAD CA 92011
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Status: ISSUED
Applied: 12/29/2014
Entered By: JMA
Plan Approved: 12/29/2014
Issued: 12/29/2014
Inspect Area:
Plan Check #:
$0.00
$0.00
$0.00
$0.00
$166.13
Total Fees: $166.13 Total Payments To Date: $166.13 Balance Due: $0.00
Inspector:
FINAL APPROVAL
Date: /.-Z,t,.-/,!" Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit 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 information 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.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to waler and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fe /exa ti n f hi h h ve r vi ! iv n N Tl E similar to hi r t whi h f limitation ha · I h rwi
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
<(~),-Bulldlng Permit Application Plan Check No. C ?;lll-st,..lf
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value </I---, . {,,, 0-0 ~ CITY OF Ph: 760--602-2719 Fax: 760-602-8558 Plan Ck. D CARLSBAD email: building@ca~sbadca.gov
Date t,U~ It/ www.carlsbadca.gov SWPPP
JOB ADDRESS toii Jitt. L-rvj~ tr:I 1orru,-~/UNfT, 1'1Cf -L~l.f -13 -~
i CT/PROJECT# ILOT# I I~" r OF UNITS r BEDROOMS #BATHROOMS 1-----1.......-.:,,n.TY'PE I Ul.,\,.GROUP
DESCRIPTION OF WORK: Include Square Feet ol Affitct9d AtN(s)
SOLAR PHOTOVOLTAtiYSTEM INStLLATION i.f~ 1Jf j ~ ¥1-.
L,si~ \ °l """ crs ll,._>.i , 'wv~, 33L/ s7 ,
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
SFR YESD N<Q YES □NoQ YES0No0
APPLICANT NAME LYNNE LANDERS PROPERIY OWNER NAME ,Ill T'l .; \}\J f ,...__
ADDRESS ADDRESS ~7 S Drh O \,,VI ({ h o.~ 2140 ENTERPRISE ST , t,'). ,
CITY STATE ZIP Cl~ • A I C' 1,,pn;L_ 0 ST~lk 9~\\ ESCONDIDO CA 92029
PHONE IFAX PHONE IFAX
760-546-6017 -.1o1._1H-1-n.<-t
EMAIL ·~•~LI I , 111,-~ l/A--1 Llanders@bakerelectricsolar.com 66 • t'J. a. .A
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ' BAKER ELECTRIC SOLAR
ADDRESS ADDRESS 2140 ENTERPRISE ST
CITY STATE ZIP CITY STATE ZIP
ESCONDIDO CA 92029
PHONE !FAX PHONE
760-546-6017 !FAX
EMAIL EMAIL Llanders@bakerelectricsolar.com I STATE UC.# STATE UC.# ICIASSc10 I CITY BUS. UC.#
858088
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to_construct, alter, improve, demollsh or repair any: structure, prior to Its issuance, also requires the applicant for such permit to file a slelled statement that he is licensed pursuant to the prOV1sions of the Contractor's License Law (Chapter 9, commending with SectiOn 7000 of DlvlslOn 3 of the Business and Professions Code) or fhat he Is exempt therefrom, and the basis for the alleged exemption. Any VIOiation of Section 1031.5 by any applicanffor a permit subjects the applicant to a cMI penalty of not more than five hundred dollars ($500}).
WORKERS' COMPENSATION
-•Compenullon Dednlloot l-efflnnunder-dpe,jllyonsd"'8 __ ,
□ I hM and WIii maintain• certfflcD of consent to tetf.lnsurt lorY«>rkers' compensation as provided by Section 3700 of the Labor Code, lorthe performance offle work for which this permit is issued. lZJ I have and will maintain workenl' coms>ensatton, as reauired bv Section 3700 of the Labor Code, for the performance of the 'AOrk for which lhis permit is issued. My v,(lrkers' compensation insurance cani8r and policy
number are: Insurance Co. AMERICAN ZURICH Policy No. WC6553998-05 Expiration Dela 10/01fl015
"l]!§.section need not be com;,leted if the pemit is for one ll.lrdred oollars ($100) or Jess. U Certificate of Exemption: I certify that in the pertorma,ce of the 1Mlrk for which this pem11t is issued, I shall not ampoy any person In any m.rmer so as to become subj9ct to the Workers' Compensalk>n Laws of
California. WARNING: Fallure to secul'I workers' compensation cowrage It ualawful, and shall subject an employer to criminal penaltlee and clvll fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compenutlon, damagea aa provided for in Section 3706 of the Labor code, lnt.erast and attorney's fan.
I$ CONTRACTORSIGNAl\JRE ~ VI J'o/~ □AGENT
I hereb>f affirm that I am exempt from Conia:::ior's License Law for the following reason: O I, as owner of Ille property or my employees with wages as their sola oompensaoon, 'MD do the work ax! the strucn.e is not inBndad or oflefad for sale (Sec. 704-1, BIJSIIIISS md Professi:>ns Code: The Contractor's
Liceose 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, fX'Ovided that sldl lmprovemants are not intended or offered for
sale. If, however, the building or improvement is sokl within one year of completion, the owner-builder will have Iha burdan of proving that he did not build or improve for the purpose of sale). 0 I, as ov.ner of the property, 1111 exclusively contniding with licensed contracDs to constnd the project(Sec. 704-1, Busilass ax! Professions Code: The Conl18cklr's L.Joense Law does not apply to an OWl18fof
fX'Operty who builds or improyes thereon, and contrw for such projects with contrac:P(s) licensed pursumt lo the Contm:lor's License l...!M').
□ l cWTl 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 lmprovemant. 0Yes []No
2.l(ha,e/h,..oot)ogned111appicationfora""""1g-for1heJllO?)Se(l-
3_ I have contrackld with the folkMing person (fiTn) lo povi:Je the proposed construction (include name ad<nss / phone I contractors' license number):
4. I plan to provide portions oflhe work, bJt l have hired the following parson to coordinate, supervise and provide lhe major work (include nama I address/ phone I contraclOrs' license number):
5. I will provida some of the work, but I have mntracted (hired) the following persons to provide the work indicated (include name / address / phone I type of 'Mll'k):
,6$ PROPERTY OWNER SIGNAl\JRE □AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
1s the applicant or future bulldlng occupant required 1D submit a business plM, acutely hazardous materials registration form or risk m11"1a9ement and prevention prognrn under Sections 25505, 25533 or 25534 of the
Presley-Tanner HazM:IOus Substalce Account Act? □ Yes □ No
1s the applicant or future building occupant 1'8Quired 1D obtain a pennlt from the air pollution control clsiiCt or air quality nmagement district'? □ Yes ~
Is the facility to be consoooed within 1,000 feet of the outer boonday of a school sile? □ 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
J 1Bllfy1111111 -"""'the8111>_,and_thetthe,__~""""1and11111tthe-..iJonootheplnb..,,_Jagn,e.,CllfflOly...,all aJronlnancosand-""' _ng., blildngconsn-..
I helwy-"""""'1Jat aflhe Cityaf Callbad il-LIX" lhe aliolle menlored pro!)8l!y t, i,spectiJn JlllPOS8S. I ALSO AGREE TO SAVE, INDEMNFY AND KEEP HARMLESS lliE CITY O' CARLSBAD
AGAINST AU_ LL'.BILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN I-Hf WAY ACffil.JE AGAINST SAil CITY IN CONSECIJENCE O' lliE GRANTING O' ms PERMIT.
CISHA:MOSHA penniisrequredt,eia:avalions°""S~ deepand-c,conslruclonafslruci118s"""3miesin height
EXPIRA TIOO: EYOI'/ penni issc<>:1 by lhe EIJliji"g Ollcial under lhe provro,s af lhis C<Xle shaH expi"e by Im-and beoolre nul and \00 rr lhe builli"g orlMlli< -by such penni is nol comnenced '"~" 180da)s from lhe daleaf such panrilo-rrlhe butlilg .-1Ml!1<-by such penni lssuspeooad .,_ al111yline all9rlhe-lsWMlOIIOld t, a perod af 180 da)s (Section 1116.4.4 Unlllml Ellidi1g C<Xle).
~APPUCANT'S&IGNATIJRE fl. ) 4) ~.it) ·nDATE / y~r /
I
Inspection List
Pemiit#: CB143611 Type: COGEN PHOTO NGUYEN: 19 ROOF MOUNT PV
Date Inspection Item Inspector Act Comments
01/21/2015 35 Photo Voltaic (PV) RI AM PLEASE
01/21/2015 35 Photo Voltaic (PV) PB AP
01/21/2015 39 Final Electrical RI AM PLEASE
01/21/2015 39 Final Electrical PB AP
Thursday, January 22, 2015 Page 1 of 1