HomeMy WebLinkAbout1316 SHOREBIRD LN; ; CB160353; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-28-2016 Cogeneration Permit Permit No:CB160353
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
Applicant:
1316 SHOREBIRD LN CBAD
COGEN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
2157910900
$8,400.00
HAYASHI: 21 ROOF MOUNT PV,
5.3KW, NO PANEL UPGRADE, NORMA
Owner:
Status: ISSUED
Applied: 01/28/2016
Entered By: SLE
Plan Approved: 01/28/2016
Issued: 01/28/2016
Inspect Area:
Plan Check#:
MILHOLLAND ELECTRIC HAYASHI FAMILY REVOCABLE 2002 TRUST 08-23-02
1475 N CUYAMACA ST
EL CAJON CA 92020-1508
858 541-1097 X 102
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
$105.72
$0.00
$74.00
$0.00
$0.00
$1.09
$1.00
1316 SHOREBIRD LN
CARLSBAD CA 92011
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $181.81 Total Payments To Date: $181.81 Balance Due:
Inspector: f'1A· µ,t,;,,..., Clearance:
$0.00
$0.00
$0.00
$0.00
$181.81
$0.00
t-OTICE Flease ta<e t-OTICE that~ ci i,o.r ~ed irdu:les tte "lrrµ:siticri' ci fees, dedc,iicn; reseivaicrs, cr ctl'Er ~crs l'a'ealter cdledivay
referred to as 'fee&'~crs.'' Yoo ha;e 00 deys frcmtte -th• pa'Tl'it = issued to pretest irrpc,;tion ci ttese fee&'~crs. If )OJ pretest Item )OJ m.st
fdlootte pretest proonres set fcrth in Colemra1 Code Section l'm!.l(a), ardfilette pretest ard lf'o/ctl'Er reqjroo irfamiionwth tteOty t.'er'<gal'fcr
puess;rg in a:o:mrce wth Ca1stoo M.ndi;a Code Section 3.3203J. Faluetotirrelyfdloothal procecl.rewll ba-lf'o/Slbsecµlnt lega don toata::t<,
re-.iiew, set asi03, vdd, a aT1J thar irll,lliiticn.
Yoo ae rerett,, FI.RTl-ffi t-OTIFIED that i,o.r ri!flt to pretest tte sµ,dfied fee&'~crs IXES NOT AFR Y to""a-ard,,,,,,,; oonnedion fees ard ~ty
ct..-ge,; ncrplannrg, zrrirg, ga:lrgcr ctrer sirrila wic,iion puessirg cr sen,irefees in oonnedion wth ths ~ed. I'm IXES IT AFRYtolf'o/ t . riwirh.,.. have . _, h,v,,,,,,.,.,.......,af\nTlCEsinila-··-•'-'-a--tom-L..._ _ _.___.__ .. _ cllirri+~;.......,.M<,......,.,la.JSI . ,,..,,.,;,..,,,.i_
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
Building Permit Application Plan Check No. C.61~ n353
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 'R, l__\l"iJ-
Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit .
email: building@carlsbadca.gov
www.carlsbadca.gov Date \/:2$/1\J) lswPPP
JOB ADDRESS 1316 Shorebird Ln SUITEt/SPACEI/UNITf I"" 215 -791 -09 -00
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
2316310 -~ -
DESCRIPTION OF WORK: Include Squ■,e FHt of,,.,...,, A'9a(s) <{'\ \J~Y ) VJ :J ( W Install a 21 panel roof mounted photo voltaic system l)VVtt
)\ ~C)OJ N t ~ \Jrovruto
EXISTING USE I PROPOSED USE . I GARAGE (SF) PATIOS (SF) I DECKS {SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
SFR YES0, No0 YES □No □ YES □No□
APPLICANT NAME (Primary Contact) Milholland Electric Inc APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS 1475 N. Cuyamaca Dr.
CITY STATE ZIP CITY STATE ZIP El Cajon CA 92020
PHONE IFAX PHONE IFAX 619-873-3131 8585411197
EMAIL EMAIL maya@milhollandelectric.com
PROPERTY OWNER NAME Hayashi, Rob CONTRACTOR BUS. NAME Milholland Electric Inc
ADDRESS ADDRESS
1316 Shorebird Ln 1475 N. Cuyamaca Dr.
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92011 El Caion CA 92020
PHONE PHONE
(6191917-1171 IFAX 8585411097 I FAX 8585411197
EMAIL EMAIL rob.hayashi@yahoo.com brian@milhollandelectric.com
ARCH/DESIGNER NAME & ADDRESS ISTATELIC.# STATE UC.# lcc~10/46 I CITY BUS uc1231048 585514
(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 LawJChapter 9, commending with Section 7000 of Division 3 of the Busmess and Professions Code} or that he is exemP.t 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
Workers' Compensation Daclaratlon: I hereby affirm under penalty of perju,y one of the following declarations: D I have and will maintain a certificate of consent to self-insure for wofl<ers' 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 workers' compensation, as reciuired bv 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. Twin City Fire Insurance Co Policy No, 72WECEP0755 Expiration □ate 9/13/2016
J]li§,seclion need not be completed If the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in t~1f~k f!_~~itll'ifmed, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Callfomla. WARNING: Failure to secure wo~0!oiQIP. -. ~~-,.~subject an employer to criminal penalties and civil fines up to one hu red th'fsand dollars (&100,000), In
addition to the cost of compensation, damages •~~ro~~~or code, Interest and attorney's fees. ' ,4b \ \L,
,i5 CONTRACTOR SIGNATURE ~~ ~-----□AGENT DATE
0 W N E R • B U I L D E R ~ • ,-,
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 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 ls sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purixise 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 proixised property improvement. OYes ONo
2. I (have I have not) signed an application for a building permit for the proixised work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number):
4. I plan to provide ixirtions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address I 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 I address/ phone/ type of work):
I I 'l!i. I Ii.,
,It$ PROPERTY OWNER SIGNATURE □AGENT DATE <9/1/207 5
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 preven~on 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 qualily 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 lendmg S!Jency for the performance of the work this permit Is issued (Sec 3097 (1) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I h8WI read the appllcation and state that the above lnfonnatlon Is correct and that the lnfonnatlon on the plans Is accurate. I agree to comply with all City oldlnances and State laws relating to building construdion.
I hereby authorize representative of the City of Carlsbad to enter upon the atxJve mentioned pro~rty br ins~n purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAAMLESS THE CITY OF CARLSBAD
AGAINST AU_ LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG/>JNST S'IID CITY IN COOSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA ~rmlt is required forexcavatio~s O' and · · -truclionlires over 3 stories in height. EXPIRATION: Every pennlt issued by the Buildin . · . ~~ imitation and OOC:Ome null and vok:I if the buik:ling or'Mlrk authorized by such permit is nolCXJIT1menced wthin
100days from the date of sudl ~nnltor ~the bu ~?Jil\lti~~~ or abanooned at anytime after the 'Mlrk is oommenced for a period of 100days (Sec:100 100.4.4 Unifom, Building Code}.
AS'APPLICANT'SSIGNATURE _-? ... ~-~----· DATE Q7;'.Qf,'J ,,,; ( lz.J hto
Inspection List
Permit#: CB160353 Type: COGEN PHOTO
Date Inspection Item Inspector Act
04/01/2016 35 Photo Voltaic (PV) RI
04/01/2016 35 Photo Voltaic (PV) MC AP
04/01/2016 39 Final Electrical RI
04/01/2016 39 Final Electrical MC Fl
Friday, April 01, 2016
HAYASHI: 21 ROOF MOUNT PV,
5.3KW, NO PANEL UPGRADE, NORMA
Comments
RELEASE E-MAILED TO SDGE.
Page 1 of 1