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