HomeMy WebLinkAbout1740 SKIMMER CT; ; CB151722; Permit06-04-2015
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Cogeneration Permit Pernnit NoiCBI 51722
Building Inspection Request Line (760) 602-2725
1740 SKIMMER CT CBAD
COGEN Sub Type: PHOTO
2159213000 Lot#: 0
$8,400.00 Constuction Type: 5B
Reference #:
BULTERYS: 21 ROOF MOUNT PV
Status: ISSUED
Applied: 06/04/2015
Entered By: JMA
Plan Approved: 06/04/2015
Issued: 06/04/2015
Inspect Area:
Plan Check #:
Applicant;
HERITAGE SOLAR INC
Owner:
BULTERYS
75 MAYFAIR 92656
949 677-9470
1740 SKIMMER CT
CARLSBADCA 92011
Building Permit $105.37 PLUMBING TOTAL $0.00
Add'l Building Permit Fee $0.00 ELECTRICAL TOTAL $0.00
Plan CiTeck $73.76 MECHANICAL TOTAL $0.00
Add'l Plan Check Fee $0.00 Additional Fees $0.00
Plan Check Discount
Strong Motion Fee
Green Bldg Stands (SB1473) Fee
$0.00
$1.09
$1.00
TOTAL PERMIT FEES $181.22
Total Fees: $181.22 Total Payments To Date: $181.22 Balance Due: $0.00
Inspector:
FINAL APPROVAL ^
Date:^^^^^£_ 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 pemit was issued to protest imposition of these fees/exactions. If you protest them, you must
follovv the protest procedures 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 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 oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
,1E FOLLOWING APPROVALS REQUIRED PRIORTO PERMIT ISSUANCE: nPLANNING OENGINEERING nBUILDING •FIRE • HEALTH •HAZMAT/APCD
Ccityof
Carlsbad
Builciing Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax:760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. y. { 72-2^
Est. Value Pt^ ^.^CTQ
Plan Ck. Deposit
Date SWPPP
SUITE#/SPACE*/UNIT* APN
-
CT/PROJECT # ' LOT # " PHRSE # " # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet ot Affected Area(s) .
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) [ 3ECKS (SF) FIREPLACE AIR CONDITIONING FIRESPRINKLERS
YEsQ* Noj 1 YES QNO Q YEsj |NO| 1
APPLICANTNAME iK / ,
Primary Contact / MCPcl A
PROPERTVOWNER ^^^^
ADDRESS ADDRESS /n / 1
CITY STATE ZIP W ^'^^^ / / FAX FAX
EMAIL
DESIGN PROFESSIONAL /
ADDRESS
CITY STATE ZIP
PHONE FAX TW'r)hV' mo FAX
EMAIL EMAIL
STATE LIC. # STATE LJC.# CLASS- CITY BUS. UC.# ^ ,
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, priorto its issuance, also requires tht applicant for such permitto file a signed statement that he is licensed pursuantto the provisions ofthe 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 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / /lereby affimi under penalty of perjury one ofthe following declaratbns:
Luiiave and will maintain a certificate of consent to seif-insure for workere' compensation as provided by Section 370O of the Labor Code, for the perfomiance of the work for which this permit is issued.
^y\i I have and will maintain wor1(ere';:omp/nsation, ap requirediy Sectiop 37(X) of the Labor Code, for the perfonnance of the work for.which tto bermiUs issued. My workers' compensation ins/rarjfe yairier and policy
^ Cy)"''*^ .^"7^^ PolicvNo. ^O^S^^C^/ Expiration Date // , number are: Insurance Co.
Bsection need not be completed if the permit is for one hundrm dollare ($100) or less.
Certificate of Exemption: I certify that in the performance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workere' Compensation Laws of
Califomia. WARNiNG: Failure to secure worlters' compensat^jncoverage is unlawful, and shali subject an employer to criminal penaKies and civil fines up to one hundred thousand doiiars (&100,000), in
addition to the cost of compensation, damages as Bcsvlfledfor In Se^Ba^STOfijitthet'abor code, interest and attomey's fees.
JS^ CONTRACTOR SIGNATURE /X /2_ JAGENT
•Ilea up lu une nuiiureu uiousanu uuiit
DATE
/ herefcy affirm that I am exempt from Contractor's Ucense Law for the following reason:
I I I, as owner of the praperty or my employees with wages as their sole compensation, will do the work and the stmcture 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 oflered for
sate. If, however, the building or improvement is sold within one year of completioh, the owner-builder will have Ihe burden of proving that he did not build or improve for the puipose of sale).
I I I, as owner of the property, am exclusively contracting with licensed contractore to constmct the praject (Sec. 7044, Business and Professions Code; The Contractor's License Law does not apply to an owner of
praperty who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
I I I am exempt under Section Business and Prafessions Code for this reason:
1.1 pereonally plan to provide the major labor and materials for construction of the praposed praperty improvement, n Yes I iNo
2.1 (have / have not) signed an application for a building pemiit for the praposed work.
3.1 have contracted with the following pereon (firm) to provide the proposed constmction (include name address / phone / contractore' license number):
4.1 plan to provide portions of the woric, but I have hired the following pereon to coordinate, supereise and provide the major wori< (include name / address / phone / contractore' license number):
5.1 will provide some of the work, but I have contracted (hired) the following pereons to pravide the worit indicated (include name / address / phone / type of worit):
^PROPERTY OWNER SIGNATURE QAGENT DATE
4 OMPLETE THIS SECTION FOR N O N - R E S i D E N T I A L 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? Yes No
Is the applk;ant 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 IS MEETING THE REQUIREMENTS OF THE OFFiCE OF
EMERGENCY SERViCES AND THE AIR POLLUTiON CONTROL DISTRICT
ONSTRUCTiON LENDING AGENCY
I hereby aflirm tfiat there is a construction lending agency for tfie perfomiance of tfie worit this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
PPLICANT CERTIFICATION
I certify that i have read Itie application and state that the above infonnation is conectand thatthe infbnra
I hereby authorize representative of Ihe City of Carisbad to enter upon the above mentioned property fbr inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD
AGAINST Aa LIABlLmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT.
OSHA; An OSHA permit Is required for excavations over 5'0' deep and demolition or constnjction of structures over 3 stories in height.
EXPIRATION; Every permit issued by Ihe Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or vwrit aulhorized by such pemiit is not commenced wilhin
180 days from Ihe date of such pemit or iffce byildingW^BHt^uthorized by such permit is suspended or abandoned at any (me after the viortt is commenced for a period of 180 days (Section 108.4.4 Uniform Building Code),
>e5'APPLiCANT'S SIGNATURE DATE
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 buildinq(a)cai1sbadca.qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAIVIE
ADDRESS BUILDING ADDRESS
CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAILTO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL / FAX TO OTHER:
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
^APPLICANTS SIGNATURE DATE
Inspection List
Permit*: CB151722 Type: COGEN PHOTO BULTERYS: 21 ROOF MOUNT PV
Date
06/29/2015
06/29/2015
06/29/2015
06/29/2015
06/29/2015
06/29/2015
06/25/2015
06/25/2015
Inspection Item
35 Photo Voltaic (PV)
35 Plioto Voltaic (PV)
35 Photo Voltaic (PV)
39 Final Electrical
39 Final Electrical
39 Final Electrical
35 Photo Voltaic (PV)
39 Final Electrical
Inspector Act
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Comments
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AP
AP
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Monday, June 29, 2015 Page 1 of 1