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HomeMy WebLinkAbout1271 TAMARACK AVE; ; CB163939; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-19-2016 Cogeneration Permit Permit No:CB163939 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: 1271 TAMARACKAVCBAD COGEN Sub Type: PHOTO Lot#: 0 Constuction Type: NEW Reference #: 2062610100 $5,600.00 HAID: 14 ROOF MOUNT PV NO PANEL UPGRADE, NO RMA Owner: Status: ISSUED Applied: 10/19/2016 Entered By: SLE Plan Approved: 10/19/2016 Issued: 10/19/2016 Inspect Area: Plan Check #: PURE ENERGY SOLAR WALKER MERLE L&LORNA L TRS PO BOX 582 RAMONA CA 92065 760-788-0097 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 $79.11 $0.00 $55.38 $0.00 $0.00 $1.00 $1.00 1271 TAMARACK AVE CARLSBAD CA 92008 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $136.49 Total Payments To Date: $136.49 Balance Due: Inspector: FINAL APPROVAL Date: ,z-f -/6 Clearance: $0.00 $0.00 $0.00 $0.00 $136.49 $0.00 ~CE: Flease ta<e CE Iha~ ct ya.r >"iect irdcdes tre "lrrµ:siticri' ct fees, cleclcaicn; reseMJJcns, cr ctrer exalicns -cdledi.,,y referrootoas 'feeslexalirns." 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Value ( City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Ck. Deposit # OF UNITS # BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 14 EXISTING USE APPLICANT NAME Primary Contact ADDRESS i) r,O, CITY PHONE &>. ~,d '7,tr;() -,r; EMAIL -/vlc;>c,/, PROPOSED USE GARAGE (SF) Pt1;:!£&v'E;:i:CY.S<>..utfl @.1'10£. Co,-YJ DESIGN PROFESSIONAL ADDRESS CITY PH6NE EMAIL STATE ZIP STATE LIC. # -- Date SUITE#/SPACE#/UNIT# # BATHROOMS TENANT BUSINESS NAME PATIOS (SF) DECKS (SF) FIREPLACE vesD~NoD PROPERTY OWNER <',. ,JL~H.4/ ADDRESS I~ 7 I 7?'/,v)lf,£' l'IC-K STATE PHON½/ ,< /c;,v L/19- EMAIL SWPPP CONSTR. TYPE OCC. GROUP AIR CONDITIONING YES □No □ ZIP 9.;ioc: FIRE SPRINKLERS YES□No□ {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, 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 Business and Professions Code} or [hat he Is ex.empt therefrom, and the basis for the alleged ex.emption. Any v1olat1on of Section 031.5 by any applicant for a permit subjects the applicant to a cIvII penalty of not more than five hundred dollars [$500)). -"0)! '; WORKERS' COMPENSATION C Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations· 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 Of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' 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 Co .. ________________________ Policy No ______________ _ Expiration Date __________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less 63" 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 one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. K5 CONTRACTOR SIGNATURE ~ □AGENT DATE I hereby affirm that I am exempt from Contracto(s License Law for the following reason □ □ □ I, as owner of the property or my empbyees 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 Contracto(s License Law). I am ex.empt 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. 0Yes 0No 2. I (have I have not) si;i ned 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/ phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person lo coordinate, supervise and provide the major work (iriclude riame I address I phone/ coritractors' license number) 5. I will provide some of the work, but I have contracted (hired) the followirig persons to provide the work indicated (include name/ address I phone/ type of work)· ~ PROPERTY OWNER SIGNATURE DATE i1'l ~ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration 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 O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes O 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. I certifythatl have read the application and state that the above information is oorrectand that the information on the plans is aoo.irate. I agreetooomplywlth all City ordinances and State laws relating to building oonstructlon. I hereby auttmliz:e representative of the City of Cartsbad to enter upon the above mentioned property for inspection purposes. 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 CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demclition or construction of strucb.Jres CNer 3 stories in he'ghl EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void tt the building or work authorized by such permit is not commenced within 180 days from the date of such permit or ttlhe building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uiitlrm Buildilg Code). AS APPLICANT'S SIGNATURE ~< L __ ----·· --· --·------------. ---- 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 bui1dinq@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CONTACT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL DELIVERY OPTIONS PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) o CONTRACTOR (Oa Pg. 1) MAIL TO: □ CONTACT (Listed above) Cl OCCUPANT (Listed above) ,1 CONTRACTOR (On Pg. 1) MAIL/ FAX TO OTHER: _________________ _ A$ APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. LIC. No. o ASSOCIATED CB#•------------- 0 NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE ZIP ' ' ' *-<c ~-O "'~ s * ,' ~ j ' f, ~ " "'"' ~ ' ~, N ' OS< ' \ S • ' • - PERMIT INSPEPTION HI$TOR¥REPORT{CB163939) ~ , ~ , ' ,~ Permit Type: Work Class: Status: Scheduled Date BLDG-Residential Cogen Issued -Active Actual Start Date Inspection Type Application Date: 10119/2016 Issue Date: 10/1912016 Expiration Date: 04117/2017 IVR Number: 717788 Inspection No. Inspection Status 12/05/2016 12/05/2016 BLDG-35 Solar Panel 004164-2016 Passed January 10, 2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 004165-2016 Checklist Item BLDG-Building Deficiency BLDG-Electrical Final COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Jonathan West Jonathan West SJ PROPERTIES LLC 1271 Tamarack Av Carlsbad, CA 92008 Reinspection Passed Yes Passed Yes Yes Complete Complete Complete Page 1 of 1