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HomeMy WebLinkAbout1015 IRIS CT; ; VARIOUS; Permit• b Address : J. .. . ........ : Permit Type: MISCELLANEOUS Parcel 14-402-4 Project N- DevelopnT" '7 -. Groul DescTipCion: .-nce#; SF RE-KOOF-LT WT CONCRETE IDO CA Fees Required Fees: Adjustments: Fee description ^iiSCELLANEoUS TOT 619 4. C-TRRl 134. EJ; 134.00 PERMIT FF 134.UO FINAL APPROVAL CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad. CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 FOR OFFICE USE ONLY ^ PLAN CHECK NO. ^'7n2^</ EST. VAL. Plan Ck. Deposit Validated By Date ^>\VH\q Address (include BIdg/Suite #) Business Name (at this addrass) Legal Description ' ~ Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel 0 ^ t. , • » ^ Existing Use -zi^H 0 :LH<: 0 0 S.ED. Proposed Use Description of Work y^ - SQ. FT. #of Stories SEtcoNiACT^rerecww^d^^ l - - ~ > ..i -fiS 0 of Bedrooms # of Bathrooms Name Address City State/Zip Telephone 0 Fax if 3.-^AmiCANT Sr&opttactpr . Q Aqent ^f-Contraptor . f] Ownw • H Agem for Owner ..^ter^^^^^^^Maif^^^inr' " ' , Name Address / City State/Zip Telephone # Name Address City State/Zip ' Telephone 0 (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 statemsnt that he 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 is exempt therefrom, and the basis for the alleged exemption. Any violation.f f Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars I$500]J Name Address _ City State/Zip Telephone # State License # ^ S?^ ^ License Class —^ I City Business Ucense # Designer Name State License # iitt^MKyuixBS^ Address City State/Zip Telephone .-4L Workers' Compensation Declaration: I hereby 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 as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ^ 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 worker's compensation insurance carrier and poiicy number are: y, j ^ A A Insurance Company L' / i'p\ Policy No. Z iP* — /T ^ S" I 1 Expiration Date X"^/" I ^ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS t»1001 OR LESS) Q 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 IJWS of California. WARNING: Failure to secure-workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties end dvil fines up to one hundred thousand dollars ($100,000), in ad^ition^^he cotU>f comwnsation, damages as provided for in Section 3706 of the Labff code, interest and attorney's fees. SIGNATURE Tj^-^ /^S^-**"*^^^^---^/ '^^"''^ X,"^ "2-'^ - *? *7 I hereby affirm that 1 am exempt from the Contractor^License Law for the following reason: Q 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 tha purpoaa of sale). Q 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 Ucense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractorlal licenaed pursuant to the Contractor's Ucense Law). Q 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 improvemervt. Q YES QNO 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 / addrass / phone number / contractors license number): 4. i pian to provide portions of the work, but I have hired the foilowing person to coordinate, supervise and provide the major work (include name / addrass / phone number / contractors license number): 5. 1 wili provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ' PROPERTY OWNER SIGNATURE DATE Is ths app!ics.it or future building occupant required lo submit a business pian, acutely hazardous materials registretion torm or risk management end prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quatity management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q NO IF ANY OF THE ANSWERS ARE YES, A RNAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTION CONTROL DISTRICT. iii«0NS5RUCTI0W:LENDINGAG^ ^1' ' -«»a^^^Er«^ I hereby affirm that there is a construction lending agency for the performance of the work for which thia permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS ia : APPUCANT CERTIFICA'nON 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. 1 agree to comply with all City ordinances and State iaws relating to building construction. I hereby authorize representatives 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 CARLSBAO AGAINST ALL UABIUTIES. JUDGMENTS. COSTS ANO 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 S'O" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitBtion end become null and void if the building or work authorized by such permrt is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the W9rk,is commenc^d-Rnja periodof 180 days (Section 106.4.4 Uniform Building Code). DATE 'e-2y-^7 APPUCANT'S SIGNATURE the work is commenced-fon ELLOW: Applicant PINK: Finance CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS /Q / <^ 7^/^75 > y /TT 2. TYPE OF BUILDING: RESIDENTIAL V COMMERCIAL 3. ROOF SLOPE: RISE ^ inches in 12 inches 4. TYPE OF EXISTING ROOF COVERING ^ /k<t SHEATH I NG I p 5. NUMBER OF EXISTING ROOF COVERINGS (circle one) ^23 "^T;?^ *6. NEW ROOF MATERIAL 7)/^j/^/// ^ CLASS WEIGHT PER SQUARE S PQ M'>. 7. NUMBER OF SQUARES 2^) 8. TRADE NAME "yO/ / ^ MANUFACTURER AlOM,^ 9. ROOF SYSTEM APPROVALT^^^b-No. TLO ^'3 Other 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES NO If the answer is no, a roof plan must be provided with this application, n. Fire rating of roof: Class A 7^ Class B I understand the following inspections are required: 1. Tear Off/Pre-inspection prior to installing new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. DATE Contractor ^ Owner Contractor Name ^^^O l7Y<r OQ ^ yC^r. *6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB970338 FOR 03/07/97 DESCRIPTION: 2400 SF RE-ROOF-LT WT CONCRETE TYPE: MISC JOB ADDRESS: 1015 IRIS CT APPLICANT: SECURE ROOFING CONTRACTOR: OWNER: REMARKS: MW/BUD/432-9084 SPECIAL INSTRUCT: INSPECTOR AREA DC PLANCK# CB970338 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 619 432-9084 PHONE: PHONE: INSPECTOR TOTAL TIME: CD LVL DESCRIPTION 15 ST Roof/Reroof ACT COMMENTS DATE DESCRIPTION 022597 Roof/Reroof ***** INSPECTION HISTORY ***** ACT INSP COMMENTS AP DC 09-09-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit Permit No: CB080631 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1015 IRIS CT CBAD RESDNTL 2144024500 $134,398.00 0 0 Sub Type: Lot#: Construction Type: Reference #: Structure Type: Bathrooms: PATTERSON: 1790SF REMODEL/ 324 SF NEW FAMILY ROOM RAD 0 VN Status: Applied: Entered By: Plan Approved: issued: Inspect Area: Orig PC#: Plan Check#: ISSUED 04/09/2008 JMA 08/13/2008 08/13/2008 JM Applicant: HOPE PING P.O.BOX 262163 SAN DIEGO CA 92196 858-527-0818 Owner: PATTERSON THOMAS L 13342 BENCHLEYRD SAN DIEGO CA 92130 Building Permit $713.85 Meter Size Add'l Building Permit Fee $0.00 Add'l Red. Water Con. Fee $0.00 Plan Check $464.00 Meter Fee $0.00 Add'l Plan Check Fee $0.00 SDCWA Fee $0.00 Plan Check Discount $0.00 CFD Payoff Fee $0.00 Strong Motion Fee $13.44 PFF (3105540) $0.00 Park in Lieu Fee $0.00 PFF (4305540) $0.00 Park Fee $0.00 License Tax (3104193) $0.00 LFM Fee $0.00 License Tax (4304193) $0.00 Bridge Fee $0.00 Traffic Impact Fee (3105541) $0.00 Other Bridge Fee $0.00 Traffic Impact Fee (4305541) $0.00 BTD #2 Fee $0.00 Sidewalk Fee $0.00 BTD #3 Fee $0.00 PLUMBING TOTAL $0.00 Renewal Fee $0.00 ELECTRICAL TOTAL $45.00 Add'l Renewal Fee $0.00 MECHANICAL TOTAL $0.00 Other Building Fee $0.00 Housing Impact Fee $0.00 HMP Fee $0.00 Housing InLieu Fee $0.00 Pot. Water Con. Fee $0.00 Housing Credit Fee $0.00 Meter Size Master Drainage Fee $0.00 Add'l Pot. Water Con. Fee $0.00 Sewer Fee $0.00 Reel. Water Con. Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $1,236.29 Total Fees: $1,236.29 Total Payments To Date: $1,236.29 Balance Due: $0.00 ANS Inspector: Clearance: NOTICE: Please take NOTICE that approval of your praject includes the "Imposition'' of rees, dedications, reservations, or other exactions hereafter collectively refen-ed to as "fees/exactions." You have 90 days from the date this pemiit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest piocedures set forth in Govemment Code Section 66020(a), and file the protest and any other required infonnation with the City Manager for processing In accordance with Carisbad 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 sen/ice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have Dreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired. Cii^ of Carlsbad »-l635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax: 760-602-8558 Building Permit Application Plan Check No. Est. Value Plan Ck. Deposit f SO^j. S'7 Date l^jcilo^ ADDRESS DESCRiPTION OF WORK: \ \ARM. I ^ ^^^S tjl^ 3 Uj CT/PROJECT # PHASE # " # OF UNITS - # BEDROOMS SUITE#/SPACE#/UNIT# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP EXISTING USE * I PRnpn.<;Fn liar IRARARF (.qp" I PATIDR r<^p\ I npr.K.c; (.9Fi I PIRFPI A ^ —r: 1 - . --i..jj^^p-AIRCONDITI6NING YES Q NO • PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESO #_ NO • FIRESPRINIOERS YES • NO D 5ONTACT NAME flf Different Fom Applicant) _,/^ rr« J 1 / .-™ *' APPLICANT NAME ITY ""^^^ SIATE <^g=^ ZIP ADDRESS CITY STATE ZIP PHONE t^x"? ggife ^t$9 n^.-/ PHONE FAX EMAIL EMAIJi MWRACTO^ISISAM^^^^I^" ADDRESS' ADDREbb . PHONI EMAIL STATE ZIP ADDRESS' _ T^.?i CITY _ STATE PHONE ARCH/DESISNER NAMf & ADDRESS " EMAIL 1 7UO STATE LIC.# CLASS CITY BUS. LIC.# (Sec. 7031 .S Business and Professions Code: An]r City or Counl)r which requires a permit to construct alter, improve, demolish or Vepair mf stnicture, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's license law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is etempt therelrom, and the basis for the alleged exemption. Any violation of Seqtion 703 I S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollan {$S0O}). Workers'Compensation Declaration: I 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 Itie Labor Code, for ttie performance of the work for which this permit is issued. a I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of Ihe work for which this permit is issued. My workers' compensalion insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date This section need nol be compleled if the permit is for one hundred dollars ($100) or less. d Certificate of Eiemption: I certify that in the petformance 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. DATE / hereby affirm that I am exempt from Contractor's License Law for the following reason: n 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 tor sale. If, however, the building or improvement is sold within one year of completion, the owner-builder wili have the burden of proving that he did not build or improve for the purpose of sale). •ffl I, as owner of the property, am exclusively contracting with licensed contrxtors to construct the project (Sec, 7044, Business and Professions Code: The Contraclor's License Law does not apply lo an owner of ' property who builds or improves thereon, and coniracts 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: 1.1 personally plan to provide Ihe major labor and materials for construction of the proposed property improvement. O Yes • No 2.1 (have / have not) signed an application for a building permit for the proposed work, 3.1 have contracted with the foilowing person (firm) lo provide the proposed construction (include name address / phone / contractors' license number): 4.1 pian to provide poriions of the work, but I 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 fhe work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ^gTpROPERTY OWNER SIGNATURE Is Ihe 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? O 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 APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the peiformance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read theapplicatlon and state that the above Infomnation Is coirectand that the infbmiation on the plans is accuiate. Iagree to comply with all City ordinances and State laws relating to bulldlngconsbuction. I hereby authorize representative of the City of Caiisbad to enter upon the above mentioned property for inspection puiposes. I ALSO AGREE TO SAVE, INDEIVINIFY 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 peimit is required for excavations over 5'0' deep and demolition oi constniction of sttuctures over 3 stories in height. EXPIRATION: Every pennit issued by the Building Official under tfie provisions of this Code shall expire by limitation and become null and vokl if the building or wortc aulhorized by such pemiit is not commenced wilhin 180 days from the date of such pemiit or if the ^ilding/r wortc authorized by such peimit is suspended or abandoned at any time after Ihe wortc is commenced for a period of 180 days (Sectfon 106.4.4 UnHbim Buikling Code). JSHTAPPUCANT'S SIGNATURE C DATE City of Carlsbad Bldg Inspection Request For: 05/06/2009 Inspector Assignment: JM Permit* CB080631 Title: PATTERSON: 1790SF REMODEL/ Description: 324 SF NEW FAMILY ROOM Type: RESDNTL Sub Type: RAD Job Address: 1015 IRIS CT Suite: Lot: 0 Location: OWNER PATTERSON THOMAS L Owner: PATTERSON THOMAS L Remarks: Phone: 6197787855 Inspector: Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By: NA Entered By: CHRISTINE Act Comments Comments/Notices/Holds PCR08098 PCR08136 Associated PCRs/CVs Original PC# ISSUED PATTERSON RES ADDITIONAL; FOOTINGS ( ISSUED DEFERRED TRUSS WITH ALTERATION; Inspection Historv ! KITCHEN,BATH#2,LIV. RM/SLAB EXI Date Description Act Insp Comments 04/24/2009 89 Final Combo CO JIVI LIST ON SITE 01/26/2009 23 Gas/Test/Repairs AP JM HOUSE 01/26/2009 27 Shower Pan/Roman Tubs AP JIVI (2) SHOWERS 01/12/2009 17 Interior Lath/Drywall AP JM 01/12/2009 18 Exterior Lath/Drywall AP JM 01/06/2009 16 Insulation AP JM 01/06/2009 18 Exterior Lath/Drywall NR JM 12/24/2008 84 Rough Combo AP JM LIST @ INSULATION 12/19/2008 13 Shear Panels/HD's AP JM 12/19/2008 15 Roof/Reroof AP JM 12/19/2008 84 Rough Combo WC JM 12/18/2008 13 Shear Panels/HD's CO JM INSULATION City of Carlsbad Bldg Inspection Request For: 12/24/2008 Permit* CB080631 Title: PATTERSON: 1790SF REMODEL/ Description: 324 SF NEW FAMILY ROOM Inspector Assignment: JM Type: RESDNTL Sub Type: RAD Job Address: 1015 IRISCT Suite: Lot: 0 Location: OWNER PATTERSON THOMAS L Owner: PATTERSON THOMAS L Remarks: CALL W/ETA Phone: 6197787855 Inspector: Total Time: CD Description 17 Interior Lath/Drywall 24 Rough/Topout ^ CJ^^^ Requested By: ALLEN Entered By: JANEAN Act Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# PCR08098 ISSUED PATTERSON RES ADDITIONAL; FOOTINGS ( PCR08136 ISSUED DEFERRED TRUSS WITH ALTERATION; Inspection Historv ! KITCHEN,BATH#2,LIV. RM /SLAB EXI Date Description Act Insp Comments 12/19/2008 13 Shear Panels/HD's AP JM 12/19/2008 15 Roof/Reroof AP JM 12/19/2008 84 Rough Combo WC JM 12/18/2008 13 Shear Panels/HD's CO JM INSULATION 12/18/2008 15 Roof/Reroof CO JM 12/18/2008 84 Rough Combo WC JM 11/06/2008 15 Roof/Reroof CO JM NOTICE ATTACHED 09/29/2008 32 Const. Service/Agricultural AP JM CWB & GROUND ROD 09/29/2008 39 Final Electrical WC JM 09/26/2008 32 Const. Service/Agricultural CO JM SET GROUND ROD 09/26/2008 34 Rough Electric wc JM 09/24/2008 11 Ftg/Foundation/Piers AP JM OKTO POUR 09/23/2008 11 Ftg/Foundation/Piers CO JM SOILS, ADD STEEL (g GARAGE FTG 09/02/2008 21 Underground/Under Floor AP JM 08/29/2008 21 Underground/Under Floor CO JM TEST REQUIRED REMOVE FOAM ALLIED EARTH TECHNOLOGY 4926 LA CUENTA DRIVE, SUITE #102A SAN DIEGO, CALIFORNIA 92124 PH. (858) 541-0225 FAX (858) 541-0254 ROBERT CHAN, P.E. September 22,2008 Mr. Alan Hall 2725 Congress Street #2B San Diego, CA. 92110 Subject: Project No. 08-1127B6 Report of Foundation Trench Inspection Proposed Residential Addition Site 1015 Iris Court Carlsbad, Califomia Dear Mr. Hall: In accordance with your request, we have inspected the foundation trench excavations for the proposed residential addition at subject property, located at 1015 Iris Court, in the City of Carlsbad, State of Califomia. The restilts of the inspection indicated that these foundation trench excavations are founded in competent natural and compacted fill soils, have been extended to the proper depth and bearing strata, and are of such widths and depths as shown on the approved foundation plans. It is recommended that these foimdation trench excavations be cleared of all debris and loose 5oilsurm^Si^tfpiorto the pouring of concrete. Respectfully ALLIED OLOGY •WW.I www Independent Inspection Special Inspection & NDT Isaiah E. Gruhler (619) 203-7920 Inspection Report Project Name Project Address: \ \ g" Xr-\ S. O'V Architect: Engineer:. J of L_ Report#: ^ Contractor: V\\rvA~^\\ Page: Permit*: C^l^ - ^Va(^iO> ' File #: DSA #: Other INSPECTION MATERIAL SAMPLING QTY MATERIAL DESCRtPTION INSPECTION CHECKLIST structural stael H.S. Bolts H.S. Bolts 1 X Plans/Specs Masonry Prisms Cone. PSI V Clearances Concrete Mortar/Grout Grout PSI Positions Fireproofing Cone. CylirKlers Mortar PSI /I Sizes x_ Other ^(,.^y^ Other CJ Fireproof w Steel 4\LPVS' .)< Laps Other ^(,.^y^ Other CJ Other Elei!t./Wire Consolidation Other Other: Fireproof Torque Ft.Lbs: Other Other X Other: .^S^X 21_ Other L Other Other Other: g=^. ^-f ~f ^ Other: \ 7^. -- rM- M 7)ni^ CERTIFICATION OF COMPLIANCE: All reported work, unless othenvise noted, complies with approved plans, specifications and applicable sections of the building codes. This report covers the locations of the work ins;$V^^ and does not constitute opinion or project control. / Inspector: Isaiah E. Gruhler cert SD#869 V / y '---^r^-- 1 Insp. Date: ,.^^„„........... i Day 2: 1 ...l..DaY.3; L... i..Day.l i ...lDay.5:. j | 1 Time^: \ o" © ^ 1 1 Time Stop: f-" 1 CepiM of raport submitted to: PCR08136 1015 IRISCT DEFERRED TRUSS WITH Al 3 ^^//i^* f^rj^ BUILOINO PIANNING ENQINEERINO FMEAPPR^ORM HEALTH OEPT HAZMAT/AIR QUM. OTHER SEWER 0I8TR TO moM -SCHOOL TORM .CTOPORM ^ESMWORKBHEET .PIANOORR .ENO ,nREO0RR 04-29-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB090620 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1015 IRISCT CBAD ELEC 2144024500 Lot#: PATTERSON SYSTEM PV ROOF MOUNTED Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/13/2009 JMA 04/29/2009 04/29/2009 Applicant: REC SOLAR STE 200 775 FIERO LN SAN LUIS OBISPO 858 675-6527 CA 93401 Owner: PATTERSON THOMAS L 13342 BENCHLEY RD SAN DIEGO CA 92130 Electric Issue Fee $10.00 Single Phase per AMP 0 $0.00 Three Phase per AMP 0 $0.00 Three Phase 480 Per AMP 0 $0.00 Remodel/Alteration per AMP 0 $0.00 Remodel Fee $0.00 Temporary Service Fee $0.00 Test Meter Fee $0.00 Other Electrical Fees $110.00 Additional Fees $0.00 TOTAL PERMIT FEES $120.00 Total Fees: $120.00 Total Payments To Date: $120.00 Balance Due: $0.00 Inspector: FINAL AI^RPVAL Date; l^lVl Clearance; NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." 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 Govemment 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1. RRCS'ECTINFORMA.TION ^ i O I ^ JC g.r5 C-^^AT- CAt^lS (j>At^ FOR OFFICE USE ONLY PLAN CHECKNO. EST. VAL. Plan Ck. Deposit Validated By Date CA "1 U Address (Include BIdg/Sulte #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use ^ ^ ^ Proposed Use ^ p: Description of Work SQ. FT. # of Stories # of Bedrooms # of Bathrooms 2.C C0lfr>)^T4gERSONfaCd>ffer«nt from applicant) , • ' " 7 Name Address City State/Zip 3 APPUCANT iiB^ontractor a Agent for Contractor • Owner • S-r^t^E KS. c O'U'TAC T Pe»tjg.^ Telephone # .Agent for Owner Fax* g ^-^0 &4oB Name 4. Address City State/Zip Telephone # PROPERTY OWNER City State/Zip iiS Telephone # Name Address 6 CONTRACTOR-COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to constmct, alter, improve, demolish or repair any structure, pnor 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 Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Se<iion^31^iji(j-» . ^ --j -^y any applicantfor a perrnit subjects the applicant to a dvil penalty of not more than five hundred dollars [$500]). // i / Name State License # ~7S0 / 6^ V Address License Class City State/Zip Telephone # City Business License #, Designer Name State License # Address City State/Zip Telephone # Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: • 1 have and will malnlain a certificale of consent to self-insure for workers' compensalion as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. .ET" 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 worker's compensation insurance carrier and policy number are: Insurance Company H Rt^T(- O t"^P> h"^ 3 - / -^0< c? Policy No Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1Q0] OR LESS) • CERTIFICATE OF EXEMPTION: I certify lhat 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 lo the Workers' Compensation Laws of Califomia. WARNING: FiHurs tosscurs wor1(en' coiMSSnSftlon coverage Is unlawful, and shall subject an employer to criminal psnalties and civil lines up to one hundrad thousand dollars($100,000);1iraddltlon to tha<£ost of oornpbnsatlon, damages ara provided fbr In Section 3706 ofthe Labor Code, interest and attome/s fees. ^ V SIGNATURE !Z4^s>^^V\j^^-^ C^^X^^N-"*^^ DATE ^7'^ /'S — I) / I hereby affirm that I am exempt from the Conlractor's License Law for the following reason: O I, as owner of the property or my employees wilh wages as their sole compensation, will d the wori< 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 comptetion, 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 wilh licensed contractors to construct the projecl (Sec. 7044, Business and Professions Code: The Contractor's License Law does nol apply lo an owner of property who builds or improves Ihereon, and contracts for such projects with contractor(s) licensed pursuant lo the Contractor's License Law). • I am exempt under Section Business and Professions Code for this reason: 1. 1 personally plan lo provide the major labor and materials for construction of the proposed property improvement. • YES • NO 2. 1 (have/have not) signed an application for a building permit for the proposed worit. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinale, supervise and provide the major work (indude name / address / phone number / /ontractors license number): 5. I will provide some ofthe work, but I have contracted (hired) the following persons to provide the worit indicated (indude name / address / phone number / type of wortt): PROPERTY OWNER SIGNATURE. DATE. WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS SECJION FOR NON.RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance AccounI Act? DYES • NO Is the applicani or future building occupant required to oblain a permit from the air pollution control dislrict or air quality management district? • YES • NO Isthefadlily to be constructed within I.OOOfeet of the outer boundary of a school site? • YES DNO 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 EMERQENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. B. CONSTRUCIION LENDING AGENCY 1 hereby affirm that there Is a consiruction lending agency forlhe performance of the work for which this permii is issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS «..-v^AP5'JLlCA^B;c?Ei^^!FJcAJ)ON' : ,% - . ' • „ '"' I certify that I have read the apphcation and slate that the above information is corred and that the information on the plans is accurate. 1 agree lo comply with all City ordinances and State laws relating to building construdion. 1 hereby authorize representatives of the City of Carisbad to enter upon the above mentioned property for inspedion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTIES, JUDGEMENTS, 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 of S'O" deep and demolition or construdion of strudures over 3 stories in height. EXPIRATION: Every permit issued bythe building Offidal underthe provisions ofthis Code shall expire by limitalion and become null and void ifthe building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or wortt authorized by such pennit is suspended or abandoned at any time after the vrork Is commenced for a period ofJBO^ays (Seclioo-1<)6.4,4^3iTiformBuilding Code). APPLICANTS SIGNATURE ' ^'-M^.:-^,- ^ ^ • ^ P^.^^ '7-7 ^-O^ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/01/2009 Permit# CB090620 Title: PATTERSON: PV ROOF MOUNTED Description: SYSTEM Inspector Assignment; Type: ELEC Sub Type: Job Address; 1015 IRISCT Suite; Lot 0 Location; APPLICANT REC SOLAR Owner; PATTERSON THOMAS L Remarks; LATE PM PLEASE - FINAL P.V. SYSTEM PiTone; 6195642634 Inspector; Total Time: Requested By; CHRIS Entered By; CHRISTINE CD Description 34 Roug[h Erectric J t B/AcJ ^ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection Historv Date Description Act Insp Comments