HomeMy WebLinkAbout168 SYCAMORE AVE; ; CB161674; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-02-2016 Cogeneration Permit Permit No:CB161674
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
Applicant:
168 SYCAMORE AV CBAD
COGEN Sub Type: PHOTO
Loi#: 0
Constuction Type: NEW
Reference #:
2041210700
$6,400.00
LACK: 16 ROOF MOUNT PV,
5.23KW, NO PANEL UPGRADE, NORMA
Owner:
Status: ISSUED
Applied: 05/02/2016
Entered By: SLE
Plan Approved: 05/02/2016
Issued: 05/02/2016
Inspect Area:
Plan Check #:
TMAG INDUSTRIES OBA STELLAR SOLAR
SUITE 105-444
GLOUCESTER WALK INVESTMENTS LL C
6965 EL CAMINO REAL
CARLSBAD CA 92009
760-445-1627
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
$87.98
$0.00
$61.59
$0.00
$0.00
$1.00
$1.00
915 HAVENHURST DR
LA JOLLA CA 92037
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Additional Fees
TOTAL PERMIT FEES
Total Fees: $151.57 Total Payments To Date: $151.57 Balance Due:
Inspector: ~ Clearance:
$0.00
$0.00
$0.00
$0.00
$151.57
$0.00
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THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMrT ISSUANCE: □PLANNING D ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/A~
~ ~ ... Building Permit Application Plan Check No. CJo IU'/L~74
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ( n :•--\OC) -~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit ' CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date ':7-· ?-;-Jl 11 I
JOB ADDRESS SUITEf/SPACEf/UNITf l"N 204 168 SYCAMORE AVE -121 -07 -00
CT/PROJECT# ILOI # I !-'HASE# l # OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
NEW PV ROOF FLUSH MOUNTED CONSISTING OF (16) SUNPOWER SPR-327-C-AC WI INTEGRATED MICROINVERTERS
5,23Kw DC/ 4.63kW CEC-AC
NO SERVICE UPGRADE OR SDG&E RMA ADAPTER
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS {SF) FIREPLACE rR CONDITIONING I FIRE SPRINKLERS
YESO N,0 ves0No0 vesONoO
APPLICANT NAME (Primary Contact) ANTHONY BAZAN APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS 5154 AVNIDA ENCINAS
CITY STATE ZIP CITY STATE ZIP
CARLSBAD CA 92008
PHONE IFAX PHONE !FAX 760-712-9482
EMAIL EMAIL
ANTHONYB@STELLARSOLAR.NER
PROPERTY OWNER NAME MIKE LACK CONTRACTOR BUS. NAME STELLAR SOLAR
ADDRESS ADDRESS
168 SYCAMORE AVE 5154 AVENIDA ENCINAS
CITY STATE ZIP CITY STATE ZIP
CARLSBAD CA 92008 CARLSBAD CA 92008
PHONE !FAX PHONE !FAX 858-449-4450 760 529 7267
EMAIL EMAIL
ANTHONYB@STELLARSOLAR.NET
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# 'CLASS I CITY aus uc1227344 749095 C10
(Sec, 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to.construct, alter, improve, demolish or repair any structure, p_rior to its issuance, a/so requires the applicant for such per_mit 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 0IvIsion 3 of the Business and Professions Code} or that he is exempt therefrom, and the basrs for the alleged exemption. Any v10lation of Section 7031.5 by any applicant for a permit subJects the applicant to a c·,vrl penalty of not more than five hundred dollars {$500}).
~-, ',, :1':
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and wlll maintain a certificate of consent to self-Insure fer workers' compensation as provided by Section 3700 of the latxir Code, for the performance of the work for which this permit is issued 0 I have and wlll maintain workers' compensation, as reQuired by Section 3700 of the Lalxlr Code, for the performance of the work for which this permit is issued, My workers' compensation insurance carrier and pof1cy
number are Insurance Co Insurance Co of the State of PA ·-Policy No. WC51760381 Expirabon Date 8/29/16
~section need not be completed if th per · is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certi that int e performance of the work for which this permit is issued, I shall not employ any person in any manner so as to t,ecome subject lo!~ Workers' Compensation laws of
California WARNING: Failure to ecure wo rs' com rage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred hou&and dollar& (&100,000), in
addition to the cost of compensatl , damages i ·on 3706 of the Labor code, interest and attorney's fees.
Ji5 CONTRACTOR SIGNATURE @AGENT DATE tj LP
I hereby affirm that I am exempt from Con
□
□
□
I, as owner of I~ property or my employees with wages as their sCNe 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 t~reon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered fer
sale. If, however, the building or improvement is sold within one year of comp/et on, 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 contracbng with licensed contractors to construct the project {Sec. 7044, Business and Professions Code·. The Contractors License Law does not apply to an owner of
property who builds or improves thereon, and contra::ts for such pi-ojects with contractor{s) r,censed 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 lat:ior and materials for construction of the /:t'ODOsed property improvement. QYes 0No
2. I (have/ 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 oonstruction (include name address/ phone/ oontractors' license number)·
4. I p'ai to provde portions oft~ work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone I contractors' license number):
5. I will provide some of the work, ut I h ve contracted (hired) the following persons to provide the work indicated {include name/ address/ phone/ type of work)·
,$5 PROPERTY OWNER SIGNAT (2jAGENT DATE
'
Is the applicant or future building occupant required to subrrnl a business plan, acutely hazardous materials registration form or risk mc11<{1ement and prevention program under Seciions 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
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 1S MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
Lender's Name
I tstify"that I have lead the appllcatlon and state that the above lnfonnatlon Is oom,ctand that the inbrmation on the plans ls accurate. I agree to oompiywth all Cl1y ordlnaJX:8Sancl State laws relating m buUdlngoonstrucllon.
I hereby aul!lorize represeniali"3 of \he C!y of Cal1sbad lo enter u1xm \he allow rrenlioned l)'Opel\y br ilspeciion purposes. I ALSO N2ilH. TO SAVE, INDEMNIFY AND KEEP H/>RMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUIJGM COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CO'JSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: AA OSHA permit is requi r exca~b'ons over 'O' deep anddemol~ion or construction of structures over 3 stories in he'ght.
EXP\RA T\ON: Every pem1~ issu by the Buid(ng Offici ncler the provisions of this c.ooe shall expire by ~mitation and oocome nul and void ff the building or w:irk authorized by such ,:ermit is not commenced wttiin
180 days from the date of such It or if the ikj' rized by such permit is susp:lOcled or abanooned at any time after the w:irk is oommenceq for a per'o:f of 180 days {Secoon 100.4.4 Un\tmn Building Cooe)
..@S'APPUCANT'SSIGNATU DATE h i L·
Inspection List
Permit#: CB161674 Type: COGEN PHOTO LACK: 16 ROOF MOUNT PV,
5.23KW, NO PANEL UPGRADE, NO RMA
Date Inspection Item Inspector Act Comments
05/10/2016 35 Photo Voltaic (PV) RI
05/10/2016 35 Photo Voltaic (PV) AEK AP
05/10/2016 39 Final Electrical RI
05/10/2016 39 Final Electrical AEK Fl
Tuesday, May 10. 2016 Page 1 of 1