HomeMy WebLinkAbout1505 SAPPHIRE DR; ; CB151035; Permit•
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-07-2015 Cogeneration Permit Permit No:CB151035
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
1505 SAPPHIRE DR CBAD
COGEN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
2122003800
$9,200.00
WILLIAMS RES-PAHOTOVOL TAIC SYS
Status: ISSUED
Applied: 04/07/2015
Entered By: RMA
Plan Approved: 04/07/2015
Issued: 04/07/2015
Inspect Area:
Plan Check #:
23 ROOF/FLUSH MOUNTED MODULES-6.55 KW-NO ELECT PANEL
UPGRADE
Applicant:
SOLARE ENERGY INC
STE 218
9520 PADGETT ST
SAN DIEGO CA 92126-4452
858-547-4300
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
$114.19
$0.00
$79.93
$0.00
$0.00
$1.20
$1.00
Owner:
WILLIAMS JUSTIN D&LAURA L
1505 SAPPHIRE DR
CARLSBAD CA 92011
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $196.32 Total Payments To Date: $196.32 Balance Due:
Inspector: Clearance:
$0.00
$0.00
$0.00
$0.00
$196.32
$0.00
NOTICE: Please take NOTICE tha pproval of your project includes the "Im ition" off s, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit s 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 water 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 lT APPLY to any
fees/exactio s ich o have revious b en i en a NOTICE · ·1ar to this or as to wh· h the statute imitations has viousl othe ex ired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE; □PLANNING □ENGINEERING
Ccityof
Carlsbad
JOB ADORES~ 0 5
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEf/SPACEf/UN
□BUILDING □FIRE
CT/PROJECT# LOT PHASE# # OF UNITS # BEDROOMS # BATHROOMS CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~ ~ ~£(_
,Z? MI .:f.vv.£.a S /Jo ~~l 1nk
GARAGE (SF) PATIOS (SF) DECKS (SF) FIRE SPRINKLERS
NO□ YES□No□
PROPERTYOWNER -~ ' .. w',
ADDRESS .1.., h,f'€.. Dr.
hb STATECJlr ZIP 1l,DI(
FAX
i,, o 5 i.1... ooL.(
' liJ,""
CONTRACTOR BUS. NAME f::,of\U
ADDRESS l u
CITY STATE ZIP STATU
PHONE FAX FAX
EMAIL EMAIL
STATE UC.# 11 <>4, CLASS (_,.-1.0 n ..
(Sec~ 7031.5 Business and Professions Code: Any City or Coun_ty which requir_es a permit to. construct, alter, improve, demolish or repair any_ structure, p_rior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the prov1sIons of the Contractor's License Law JChapter 9, commendmg with Section 7000 of DivIs1on 3 of the Busmess and Professions Code} or that he Is exempt therefrom, and the basis for the alleged exemption. Any vIolatIon of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Woril.ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and wilt maintain a certificate of consent to self-insure for workers' oompensation as provided by Section 3700 of the Labor Code, for the pelformance of the wol1( for which this permit is issued. D I have and will maintain wor11.ers' ompensatlon, as required bv Sec ·on 3700 of the Labor C e, for the performance ofJhe work for which this permit is issued. My workers' compensation i uran carrier and policy
number are: Insurance Co. · , • le-~ ' Policy No. q/J 1 5· {:, '( (o Z Expiration Date -/ 2 0 /::,-
~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 pelformance 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 Ul'NS of
California. WARNING: Failure to secure wortters' compensation 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, es as provided for in 106 of the Labor code, interest and attorney's fees. NS CONTRACTOR SIGNATURE v_' ~~;:.;q:::::7~;-:; ______ .
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 WOO builds or improves lhereon, 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 construction of the proposed property improvement. Oves
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 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 will 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 □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 registraliofl 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
\s the facility to be constructed wtl:hin 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the above lnbnnatlon Is col1'8Cl:and that the infonnation on the plans Is accurate. I agree ID comply\Wth all Cify ordinances and State laYis relating 1D building construction.
I hereby authorize representative of the City of Carlsbad to enteru~ lhe alxlve men!Oned jX'Opefly for ins~n pufJX)SeS. l ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSECUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA i;ermlt is requred for excavations over 5'0' deep and demolltOO or o:mstruction of structures over 3 stores in height.
EXPIRATION: Every permit issued by lhe Building Official under the provisOns of !his Code shall expre by li'nilaoon and berome null and void if the building or oork authorized by such permit is not commenced wthin
180 days from the date of such i;ermlt or if the b 'lding or~rk authorized by sudi permit is suspended or abandoned at any time after the ~rk is commenced for a pericxl of 180clays (Section 100.4.4 Uniklrm Buikfng Q>de}.
AS APPLICANT'S SIGNATU DATE
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 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. LIC. No.
DELIVERY OPTIONS
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: _______________ _
,,6$ APPLICANT'S SIGNATURE
ASSOCIATED CB#-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB151035 Type: COGEN PHOTO WILLIAMS RES-PAHOTOVOLTAIC SYS
23 ROOF/FLUSH MOUNTED MODULES-6.
Date lnspec_tion Item Inspector Act Comments
05/14/2015 35 Photo Voltaic (PV) RI
05/14/2015 39 Final Electrical RI
05/13/2015 35 Photo Voltaic (PV) SP AP
05/13/2015 39 Final Electrical SP Fl
Thursday, May 14, 2015 Page 1 of 1