HomeMy WebLinkAbout2359 TERRAZA RIBERA; ; CBR2019-0260; Permit{city of
Carlsbad
Residential Permit
Print Date: 04/10/2019 Permit No: CBR2019-0260
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2359 Terraza Ribera
BLDG-Residential
2155823000
$4,000.00
Work Class:
Lot#;
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Cogen Status:
Applied:
Issued:
Permit
Fina/ed:
Inspector:
Closed -Finaled
02/01/2019
02/01/2019
Plan Check#:
Final
Inspection: 4/10/2019 2:23'38PM
Project Title:
Description: WYSITAK: 3.15 KW ROOF MOUNT PV SYSTEM, 10 MODS
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE {BLDG)
581473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees·. $106.48
Owner:
COOWNER WYSHAK KEITH ANO CYNTHIA
2359 Terraza Ribera
CARLSBAD, CA 92009
858-354-4029
Total Payments To Date: $106.48
Contractor:
PEAK POWER SOLUTIONS INC
151 Kalmus Dr, Ste L-2
Costa Mesa, CA 92626-5919
800-265-6357
Balance Due:
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 requ·1red informat'1on 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 th'1s
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.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-60.1.-2700 I 760-602-8560 f ! www.carlsbadca.gov
$61.74
$43.22
$1.00
$0.52
.., l ·t_ City of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check CfrRaIDL<f-Oi)W}
Est. Value "/J,t-tt::CO -
PC Deposit ---------
Date ,2 ! · ! 9
Suite: ____ APN: __________ _
CT/Project#:. __________ Lot#: ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
BRIEF DESCRIPTION OF WORK: ID Root' fv\D ..i .v:rW c.~., • .. ti rE O £,,I, /II) trl>v1.,..c..S 3, I S: ~~
0 Addition/New: _____ Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __
D Remodel: SF of affected area -----Is the area a conversion or change of use? Yes/ No
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? -------------
□ Solar: 3; I S: KW, .J.Q___,.__ Modules, Mounted9/ Ground , Tilt: Yes!@ RMA: Yes/ No, Battery: Yes J(fj}
Panel Upgrade: Yes/~
D Reroof: _____________________________________ _
D Plumbing/Mechanical/Electrical Only:
LJ Other: ___________________________________ _
APPLICANT (PRIMARY) PROPERTY OWNER
Name: /,(j;!i:n~ 1.J':j.>1+~½ Name: {le, n-J (N'1'51MK
Address: 1 ~51 T6t-lZ.P(&.t:I g 1 l?~A::: Address: 1-3'>1 1/;./?-(!,!r-Z.P R.J /3:f;a.fl
Citv: ~5A;-,Q State: c.-,a Zip: t 115ZJ'-} City: C4-eL$6AD State: C-.JI-Zip: (Jlc~<J
Phone: 1,(;1{ -3?-(-lji,-Z,} Phone: <iiS-'8-3'.i'::{-l./~ 1.,,Cf
Email: __________________ Email: ____________________ _
DESIGN PROFESSIONAL
Name: _________________ _
Address: ________________ _
City: ________ State: ___ .Zip: ____ _
Phone: _________________ _
Email: _________________ _
Architect State License: ___________ _
CONTRACTOR BUSINESS
Name: flf.Al?,,. e&v~ ~t,.,,ifl ~iv<
Address: I {; 7 · /64:t,1'1 U:S {)<L
City:(.O~rri J,tf>.4 State:C-t4 Zip: CjJ.i>Z(j
Phone: ·71'1· Z $JS · '?1.m
Email: ffAl<'.for-!€E?:US ,l.-or1
State License: q 7 ?t. ':5 3 Bus. License: (?£('A,,/
(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/she is licensed pursuant to the provisions of the Contractor's License law
{Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he/she is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-1 Page 1 of 2 Rev. 06/18
, -..
(OPTION-A): WORKERS'COMPENSATION DECLARATION:
I hearby 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.
n 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' ~mpensa_bon insurance carrier and policy number are: Insurance Com~y Name: AtZof:1 l-B-r Ge,(,_J,.-£.{--,Erfi;.
PolicyNo, 2.o"JlrV 1-J.." IIJ1 ExpirationDate: ,;--1 · 19
0 Certificate of Exemption: I certify that in th performance of the work for which this permit is issued, I shall not employ any person in any manner so as to be come
subJect to the workers' compensation Laws of alifornia. WARNING: Failure to secure workers compensation coverage is unlawful, and shall subject an employer to
criminal penalties and civil fines up to $100,0 .00, in additio he to the cost of compensation, damages as provided for in Section 3706 of the Labor Code,
interest and attorney's fees.
CONTRACTOR SIGNATURE:
( OPTION B ): Q\NNER-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).
Cl 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).
D 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 proposed property improvement. D Yes O No
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 construction (include name address/ phone/ contractors' license number):
4. I plan to provide portions oft work, but/ have hired the following person to coordinate, supervise and provide the major work {include name/ address/ phone/
contractors' license number):
5. I will provide some of the war ~ut I have con racted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work):
OWNER SIGNATURE: .L..:>C==;,.,..::::::._ ______ ~~--=1---------□AGENT DATE: 2 -I -11
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: _____________________ _
()NLY COMPLETE THE FOLLOWING 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 prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes D 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 D 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.
/\f'fLICANT CERTIFICATION:
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 JN 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.
EXPIRATION: Every permit issued by the Bui! ingOfficial under the rovisions of this Code shall expire by limitation and become null and void if the building or work authorized
by such permit is not commenced within 18 days from the date of uch permit or if the building or work authorized by such permit is suspended or abandoned at any time
after the work is commenced for a period o 80 days (Section 106 .. 4 Uniform Building Code).
APPLICANT SIGNATURE: _.,__"s::::,;:::-----\;,,c=.=-.=~~-"r-----DATE: _7_-_/_'_/_1~--
1635 Faraday Ave Carlsbad, CA 92008
B-1
Ph: 760-602-2719 Fax: 76 -602-8558
Page 2 of 2
Email: Building@carlsbadca.gov
Rev. 06118
,>,;rm,! Tl'f'' BLDG-Residential App!1cr1tion Da\e. 02/01/2019 Ovvrwr. COOWNER WYSHAK KEITH AND
CYNTHIA
V'l\.ik C!:1• Cogen Issue n,~tc: 02/01/2019 Su1Jduis1on. CARLSBAD TCT#84-41
~Lll!h Closed -Finaled E:xpualion Date: 10/07/2019 Addrc>ss. 2359 Terraza Ribera
Carlsbad, CA 92009-6634
IVf< Nur11b0r: 16832
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
04/10/2019 04/10/2019 BLDG·35 Solar 088493-2019 Passed Andy Krogh Complete
Panel
BLOG•Final 088494-2019 Passed Andy Krogh Complete
Inspection
Cl!n:kli:;t !te1n COMMEN!S Passed
BLDG-Electrical Final Yes
April 10, 2019 Page 1 of 1