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HomeMy WebLinkAbout2195 CAMINO ROBLEDO; ; CB161550; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-21-2016 Cogeneration Permit Permit No:CB161550 Building Inspection Request Line (760) 602-2725 Job Address: 2195 CAMINO ROBLEDO CBAD Permit Type: COGEN Sub Type: PHOTO Parcel No: 2552613300 Lot #: 0 Valuation: $4,000.00 Constuction Type: NEW Occupancy Group: Reference #: Project Title: HO: 10 ROOF MOUNT PV, 2.6KW, Applicant: NATURAL ENERGY STE 116 804 N TWIN OAKS VALLEY RD SAN MARCOS CA 92069-1757 760 7 43-6400 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $61.37 $0.00 $42.96 $23.67 $0.00 $1.00 $1.00 Owner: HO FAMILY TRUST 06-08-98 2195 CAMINO ROBLEDO CARLSBAD CA 92009 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Status: ISSUED Applied: 04/21/2016 Entered By: SLE Plan Approved: 04/21/2016 Issued: 04/21/2016 Inspect Area: Plan Check #: $0.00 $0.00 $0.00 $0.00 $130.00 Total Fees: $130.00 Total Payments To Date: $130.00 Balance Due: $0.00 Inspector: fY\. ~ FINAL A~P~OVAL Date: 04i/"Z."7/ lb Clearance: NOllCE: Rease take NOllCE that apprwal cJ yrur ~ect irdudes tre "lrrJXlSition'' cifees, dedicatioos, reservati01S, or other exacti01S hereafter oolledively referred to as ''feesiexacti01S.'' Yru have 00 days from the date ths pemit was issued to protest irfiXISition cJ thase feesiexacti01S. If ycu putest !herr\ ycu rrust fdiONtre putest p-credures set forth in Goverrrrent Qxle Section 60020(a}, ard file tre putest a1d any other req..ired inforrration wth the Oty ~fer pucessirg in aa:mlance wth Ca1sbad M.lridpal Qxle Section 3.32.030. Failt.re to tirrely fdiONthat p-credure wll bar any subsajuent lega action to attack, review, set aside, vdd, or annU their irfiXISition. Yru ere hereiJy FURll-ERN01lREDthat ycurright to protest the~fioo feesiexacti01S IXES NOT .APA..Yto\1\eterand seAeroonnedicnfeesand rnpa:.jty changes, nor planrirg, zolirg, gcdirg or other sinilar application [X(XESsirg or servire fees in cmned:ion wth this ~ed. I'm IXES IT .APR. Y to any fees/exactions cJ Wich vou have rrevi<X.JSiv been dven a NOllCE sinilar to this or as to Wich tre statute cJ linitations has rrevi<X.JSiv othervvise extired. OPLANNING 0ENGINEERING 0BUILDING OFIRE City of. Carlsbad CT/PROJECT # EXISTING USE APPLICANT NAME Primary Contact AOORESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNIT# #BATHROOMS PROPOSED USE GARAGE (SF) PATIOS (SF) STATE ZIP FAX STATE ZIP FAX STATE LIC. # Plan Check No Est. Value Plan Ck. Deposit Date (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 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 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 Declaration: I hereby affirm under penalty of perjwy one ofthe following declarations: D 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 wo1·k for which this penmit is issued. D 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 penmit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date _________ _ ~i section need not be completed if the permit is for one hundred dollars ($1 00} or less. 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 lifomia. 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 for in Section 3706 of the Labor code, interest and attorney's fees. _KS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D D 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). 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). 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. DYes 0No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (finm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): Ji5 PROPERTY OWNER SIGNATURE 0AGENT DATE I certify that I have read the application and state that the above information is correct and thatthe 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 IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permtt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stones in height. EXPIRATION: Every permit issued by the Building Official under the provisions 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 180 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 work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ,N$ 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 building@carlsbadca.gov or Mail the completed fomr to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. (Office Use Only) CITY CA PHONE FAX No. DELIVERY OPTIONS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB#•-------------MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER:-----------------o CHANGE OF USE/ NO CONSTRUCTION .15 APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB161550 Type: COGEN PHOTO HO: 10 ROOF MOUNT PV, 2.6KW, Date Inspection Item Inspector Act Comments 04/27/2016 35 Photo Voltaic (PV) Rl 04/27/2016 35 Photo Voltaic (PV) MC AP 04/27/2016 39 Final Electrical Rl 04/27/2016 39 Final Electrical MC Fl RELEASE E-MAILED TO SDGE. 04/26/2016 35 Photo Voltaic (PV) Rl 04/26/2016 35 Photo Voltaic (PV) MC co NOTICE 04/26/2016 39 Final Electrical Rl 04/26/2016 39 Final Electrical MC co Wednesday, April27, 2016 Page 1 of 1