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
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referrootoas 'feeslexalirns." Yru ha'.e 00 day.; frcmtre-tt-is pamitv.as issued to p-dest i!TJX)Sticn cttt-esefeeslexalicns. If yw p-ctest trem yw rru;t
fdlo,vtre iroest pu,acires set fCf1h in G:Nerrmrt QJde S>:iicn 8:'illl(a), a-dfile tre p-ctest a-d a"o/ ctrer req.ired irtamiicn wth tre Oty Mng,rfcr
~rg in a:xmtrrewth Catsboo Mridpa QJde S>:iicn 3.32.CllO. FalLretotirrnyfdio,vtha =1rewll Ila' a"o/ ~ legal edicntoattack
""1<>N, set asici; vcict cr anJ treir irrµ,siticn
Yw ae rerelJy Fl.ffil-ER ~RED trat ya.r ri~ to p-dest tre specified fees'exalicns IXES r,or l'PF\. Y to W<t.fl: a-d S<>Nfl: ocrredlcn fees ,rd ~ty
cnrges, ncr plITT"irg, zrring gairgc, ctte'sirrila-,wicaicn ~rg er ""'1oe fees in ocrredlcn wthtt-is>"iect t-CRIXES IT l'PFI.Ytoa"o/
f exa:1i Wich ·cus1 b:la1 ·venat-OTlCEsinilar ttis a-astoW"ichtre Lt cilinita:ims
THE FOcLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMATIAPCD
(
Est. 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
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