HomeMy WebLinkAbout2348 CAMINO ROBLEDO; ; CB151843; Permit06-16-2015
Job Acidress:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Cogeneration Permit Permit No:CB 151843
Building Inspection Request Line (760) 602-2725
2348 CAMINO ROBLEDO CBAD
COGEN Sub Type: PHOTO
2552721700 Lot#: 0
$9,600.00 Constuction Type: NEW
Reference #:
Status: ISSUED
Applied: 06/16/2015
Entered By: SLE
Plan Approved: 06/16/2015
Issued: 06/16/2015
Inspect Area:
Plan Check #:
DENZLER RES-PHOTOVOLTIAC SYSTE
M 24 ROOF/FLUSH MOUNTED MODULES
UPGRADE
7.2 KW - NO ELECT PANEL
Applicant:
TAND M SOLAR INC
STE D
7848 SILVERTON AVE
SAN DIEGO CA 92126-6308
760-703-3890
Owner:
DENZLER FAMILY 2013 TRUST
2348 CAMINO ROBLEDO
CARLSBAD CA 92009
Building Permit $114.19 PLUMBING TOTAL $0.00
Add'l Building Permit Fee $0.00 ELECTRICAL TOTAL $0.00
Plan Clieck $79.93 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
$1.25
$1.00
TOTAL PERMIT FEES $196.37
Total Fees: $196,37 Total Payments To Date: $196.37 Balance Due: $0.00
Inspector: t-'M^
FINAL
Date: ^
APPROVAL
Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen-ed to as "fees/exactions." You have 90 days from the date this pennit 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 required information with the City Manager for
processing in accordance with Carlsbad IVlunicipal 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 previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: nPLANNING OENGINEERING nBUILDING DFIRE nHEALTH jZlHAZMAT/APCD
il^ City of
Carlsbad
Buildmg 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.O\o \^
Est. Value ^^^tfTtP^ 9, <j>OQ
Plan Ck. Deposit
Date SWPPP
iOB ADDRESS SU1TE#/SPACE#/UN]T# Oo
CT/PROJECT # PHASE # # OF UNITS # BEDROOMS * BATHROOMS TENANT BUSINESS NAME CONSTR. Tl'PE OCC. GROUP
DESCRIPTION OF WORK: Inc/ude Square Feet ofAtfected Area(s)
Flosk
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES[~fr> N0| I
AIR CONDITIONING
YES Q^NO I I
FIRESPRINKLERS
YES I [NO| I
ICANT NAIME . • T~~ j.
a,y contact ^<U<>itf: ^g'^f^
APPLICANT
Prim
PROPERTY OWNER
ADDRESS ADDRESS ZW Cfti^.'Ao «oUc(io
CITY STATE ZIP CITY STATE
Cft
ZIP
HtO0<\
PHONE FAX
7$0 1M^fZy^7
FAX
ElVIAIL
COMTRACTO^US^AM^^^^^^"^JJ^J^ DESIGN PROFESSIONAL
ADDRESS ADDRES:
CITY STATE ZIP CITY SO ZIP
PHONE FAX PHONE 760 70S S«<10
ElVIAIL
CITY BUS. LIC.#
(Sec. 7031.5 Business and Professions Code: Any City or County wtiicti requires a permit to construct alter, improve, demolisti 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
civii penalty of not more than five hundred dollars ($500)).
WORKERS' C O IM P E N S A Tl O N
Workers' Compensation Declaration: / hereby affimi unda penalty af perjury one ofthe foliowing deciaratbns:
• 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 worit for which this permit is issued.
I have and will maintain workers' compensation, as required by Section 3700 ofthe Labor Code, forthe performance ofthe woris for which this permit is issued. My workers' compensation insurance earner and policy
number are: Insurance Co,_ Policy No., Expiration Date.
This sedion need not be completed if the permit is for one hundred dollars ($100) or less.
I I Certificate of Exemption: I certify that in the perfomiance of the worit for which this permit is issued, I shali not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Califomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provjded for in Section 3706 of the Labor code, interest and attomey's fees.
CONTRACTOR SIGNATURE JjilHIt/. ff^J^^^C^ [3^GENT DATE 6^C/fS
!» WNER-BUII. OiR iJSCL ARATIOM
/ hereby affimi that I am exempt from Contractor's License Law for the foHowing reason:
I I I, as owner of the property or my employees with wages as their sole compensation, will do the worit and the stmcture is not intended or oflered 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 ot proving that he did not build or improve for the purpose of sale).
I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct the praject (Sec. 7044, Business and Prafessions 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 Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property impravement QVes I iNo
2.1 (have / have not) signed an application for a building pemiit for the proposed work.
3.1 have contracted with the following person (fimi) to pravide the praposed constmction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the worit, but I have hired the following person to coordinate, supen/ise and provide the major worit (indude name / address / phone / contractors' license number):
5,1 will pravide some of the work, but I have contracted (hired) the following persons to provide the work indicated (indude name / address / phone / type of wortt):
.gS'pROPERTY OWNER SIGNATURE QAGENT DATE
COMPLETE THIS SECTIO
Is the applicant or future buikling 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 Acf? Yes No
Is the applicant or future buikling occupant required to obtain a permit fram the air pollution contral distrid or air quality management distrid? Yes No
Is the facility to be constmcted within 1,000 feet of the outer boundary of a schod 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.
CONSTRUCTION tENOING AGENCY
I hereby affjrm 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
^A|»P.I,I C A'N T 'C E f? TIf I C.A TI O N
I oettify that I have read the applk;atk>n and state that the above infbmiation is conectand thatthe infomiation on the plans is accuiate. I agree to complywith all City oidinances and State laws relating to building constructteii.
I hereby auihorize representative of the City of Cartsbad to enter upon the above mentioned property for inspectton 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 PERMfT.
OSHA: An OSHA pennit is required for excavations over 5'0' deep and demolition or constmdton of stnjctunes over 3 stories in height.
EXPIFSATION: Every pemnit issued by the Building Ofiidal under the provisbns of this Code shall expire by limitation and become null and void if the building or work authorized by such pennit is not commenced within
180 days from the date of such pemiit or if the building or worit authorized by such pennit is suspended or abandoned at any time after the worit is commenced for a period of 180 days (Sectbn 106.4.4 Unifbmi Buikling Code).
veTAPPLICANT'S SIGNATURE J^y^WtC ^ij/Uj^ 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 buildlnaiSjCailsbadca.qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (OfHce Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICKUP: CONTACKLIsted 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
^APPLICANT'S SIGNATURE DATE
Inspection List
Permit*: CB151843 Type: COGEN PHOTO
Date
06/24/2015
06/24/2015
06/24/2015
06/24/2015
06/23/2015
06/23/2015
06/23/2015
06/23/2015
Inspection Item
35 Photo Voltaic (PV)
35 Photo Voltaic (PV)
39 Final Electrical
39 Final Electrical
35 Photo Voltaic (PV)
35 Photo Voltaic (PV)
39 Final Electrical
39 Final Electrical
Inspector Act
Rl
MC
MC
MC
MC
AP
Rl
Fl
Rl
CO
Rl
CO
DENZLER RES-PHOTOVOLTIAC SYSTE
M 24 ROOF/FLUSH MOUNTED MODULES
Comments
DENZLER RES
RELEASE E-MAILED TO SDGE
NO APPROVED PLANS
Thursday, June 25, 2015 Page 1 of 1