HomeMy WebLinkAbout1249 BELLEFLOWER RD; ; CBR2021-1428; PermitPrint Date: 05/28/2021 Permit No: CBR2021-1428
Building Permit Finaled
Residential Permit
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
1249 BELLEFLOWER RD, CARLSBAD, CA 92011-2501
BLDG-Residential
2145420100
$7,200.00
Work Class:
Lot #:
Project #:
Cogen
Status:
Applied:
Issued:
05/17/2021
05/17/2021
Finaled Close Out:
#of Dwelling Units:
Track #:
Plan #:
Closed - Finaled
TAlva
Plan Check #:
Inspector:Orig. Plan Check #:Bathrooms:
Final Inspection:05/28/2021
Bedrooms:Construction Type:
Occupant Load:
Code Edition:
Sprinkled:
18 ROOF MOUNT SOLAR MODULES, 6.66KW (E-REVIEW)Description:
Project Title:
Contractor:
SEMPER SOLARIS CONSTRUCTION INC
1805 JOHN TOWERS AVE
EL CAJON, CA 92020-1116(619) 807-1253
AMOUNTFEE
BUILDING PERMIT FEE ($2000+)$97.22
BUILDING PLAN CHECK FEE (BLDG)$68.05
SB1473 GREEN BUILDING STATE STANDARDS FEE $1.00 STRONG MOTION-RESIDENTIAL $0.94
Total Fees:$167.21 Total Payments To Date:$167.21 Balance Due:$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 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 IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 760-602-2700 ï 760-602-8560 f ï www.carlsbadca.gov
Building Division Page 1 of 1
{"Cityof
Carlsbad
1 REV. 08/20
__________________________________________________________________________________________________
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check
Est. Value
PC Deposit
Date
Job Address Suite: APN:
CT/Project #: Lot #: Year Built: ______________________
Fire Sprinklers: YES NO Air Conditioning: YES NO Electrical Panel Upgrade: YES NO
BRIEF DESCRIPTION OF WORK:
This permit is to be issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the
owner or contractor. The person listed as the Applicant below will be the main point of contact throughout the permit process.
PROPERTY OWNER APPLICANT PROPERTY OWNERS AUTHORIZED AGENT APPLICANT
Name: Name:
Address: Address:
City: State: Zip:
Phone:
City: State: Zip:
Phone:
Email: Email:
DESIGN PROFESSIONAL APPLICANT CONTRACTOR OF RECORD APPLICANT
Name:
Address:
City: State: Zip:
Phone:
Email:
Architect State License:
Name:
Address:
City: State: Zip:
Phone:
Email:
State License/class: Bus. License:
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
Solar: KW, Modules, Mounted: Roof Ground, Tilt: Y N, RMA: Y N,
Battery: Y N, Panel Upgrade: Y N
Reroof:
Plumbing/Mechanical/Electrical
Only: Other:
Additional Gas or Electrical Features? Pool/Spa: SF
Addition/New: _Living SF, _ Deck SF, Patio SF, Garage SF ______
Is this to create an Accessory Dwelling Unit? Y N New Fireplace? Y N , if yes how many?
Remodel: SF of affected area Is the area a conversion or change of use ? Y N
CBR2021-1428
7200
5/17/21
1249 BELLEFLOWER RD CARLSBAD CA 92011 2145420100
18 (N) SILFAB-SIL 370 BK SOLAR MODULES, EACH WITH A SOLAR EDGE P-370 DC OPTIMIZER,(N) 60A AC DISCONNECT 240V NEMA-3R,
(N) SE6000H-US (240V) INVERTER INTEGRATED RAPID SHUTDOWN LISTED DC DISCONNECT ARC FAULT PROTECTED
■6.66 18
JAMES JIRANEK
1249 BELLEFLOWER RD
Carlsbad CA 92011
(951) 764-5623
jiranekjames@hotmail.com
■
jiranekjames@hotmail.com
Semper Solaris
1805 John Towers Ave
El Cajon CA 92020
permits.sandiego@sempersolaris.com
978152 3981266593
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OWNER PRINT: ^/'E͗
APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL
2 REV. 08/20
IDENTIFY WHO WILL PERFORM THE WORK BY COMPLETING (OPTION A) OR (OPTION B) BELOW:
(OPTION A): LICENSED CONTRACTOR DECLARATION:
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the
following declarations:
I have and will maintain a certificate of consent to self-insure for workers’ compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued. Policy No.___________________________________________________________________________________________________
I have and will maintain worker’s 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 Company Name:
Policy No. ________________________________Expiration Date:
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 California. WARNING: Failure to secure workers compensation coverage is unlawful and shall subject an employer to
criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code,
interest and attorney’s fees.
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender’s Name: Lender’s Address:
DATE: CONTRACTOR PRINT͗
(OPTION B): OWNER-BUILDER DECLARATION:
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 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 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 Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
_____________________________________________________________________________________________________________________________________
“Owner Builder acknowledgement and verification form” has been filled out, signed and attached to this application.
Owners “Authorized Agent Form” has been filled out, signed and attached to this application giving the agent authority to obtain the permit on the owner’s behalf.
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the
DATE:
improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed
contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is
submitted or at the following Web site: http://www.leginfo.ca.gov/calaw.html.
By my signature below, I certify that: I am the property owner or State of California Licensed Contractor or authorized to act on the property
owner or contractor’s behalf. 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 Carlsbad to enter upon the above mentioned property for inspection purposes. I 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 CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5’0’ deep and
demolition or construction of structures over 3 stories in height.
APPLICANT PRINT: DATE:
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
^/'E͗
^/'E͗Philemon Sigei
Philemon Sigei
Midwest Employers Casualty Company
BNUWC0152487-20 10/10/2021
N/A n/a
5/12/2021
5/12/2021
Semper Solaris
PHILEMON SIGEI
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Building Permit Inspection History Finaled
PERMIT INSPECTION HISTORY for (CBR2021-1428)
BLDG-Residential 05/17/2021Application Date:Permit Type:Owner:
Cogen 05/17/2021Work Class:Issue Date:Subdivision:CARLSBAD TCT#92-02 UNIT#01
05/17/2022Expiration Date:Status:
IVR Number: 33423
Closed - Finaled 1249 BELLEFLOWER RD
CARLSBAD, CA 92011-2501
Address:
Scheduled
Date
Inspection Type Inspection No. Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
05/28/2021 BLDG-35 Solar Panel 158444-2021 Scheduled Tony Alvarado Incomplete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency No
BLDG-Final Inspection 158445-2021 Passed Tony Alvarado Complete
COMMENTS PassedChecklist Item
BLDG-Structural Final May 28, 2021. (Virtual inspection).
No PV Solar/Building deficiencies.
1. Verified installation of new roof
mounted, low-profile PV solar system
installed per engineered plans and detail
specifications, scope of roof photovoltaic
solar system work-Approved.
Yes
BLDG-Electrical Final May 28, 2021. (Virtual inspection).
No PV Solar/Building deficiencies.
1. Verified installation of new roof
mounted, low-profile PV solar system
installed per engineered plans and detail
specifications, scope of roof photovoltaic
solar system work-Approved.
Yes
Friday, May 28, 2021 Page 1 of 1
{cityof
Carlsbad