HomeMy WebLinkAbout1023 SAGEBRUSH RD; ; CB162664; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-12-2016 Cogeneration Permit Permit No:CB162664
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
1023 SAGEBRUSH RD CBAD
COGEN Sub Type: PHOTO
Lot#: 0
Constuction Type: NEW
Reference #:
2146441200
$8,000.00
OGUS RES-PHOTOVOLTAIC SYSTEM
Status: ISSUED
Applied: 07/12/2016
Entered By: RMA
Plan Approved: 07/12/2016
Issued: 07/12/2016
Inspect Area:
Plan Check#:
20 ROOF/FLUSH MOUNTED MODULES-6.3 KW-NO ELECT PANEL
UPGRADE-NO RMA
Applicant:
SOLAR SYMPHONY CONSTRUCTION INC
341 ENGEL ST
ESCONDIDO CA 92029
760 300-4141
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Plan Check Discount
Strong Motion Fee
Green Bldg Stands (SB1473) Fee
Owner:
OGUS-PHAM FAMILY 2006 TRUST 12-05-06
1023 SAGEBRUSH RD
CARLSBAD CA 92011
$96.85 PLUMBING TOTAL
$0.00 ELECTRICAL TOTAL
$67.79 MECHANICAL TOTAL
$0.00 Additional Fees
$0.00
$1.04
$1.00
TOTAL PERMIT FEES
Total Fees: $166.68 Total Payments To Date: $166.68 Balance Due:
Inspector:
FINAL rPROV~(,b
Date: )-7 Clearance:
$0.00
$0.00
$0.00
$0.00
$166.68
$0.00
i'OTICE: Fl"'""'ta<e i'OTICE that~ rJ yrur p,-tject irdulas the "lrrµ:sitiori' rJ fees, calcatiors, rere,'\,WCJlS, or cthlr =cns -c:dledi;ey
ra'em<ltoas ·-==· Yoo raveOOdays fitrnthedalettis pemitv.m issued to pretest in,iositia, rJlhesefees'== If yru pretest them yru mst
!ollo.vthe pretest pr<x:ecl.res set forth in GcManTrert Cede Sedia, e:nlO(a), ard file the pretest ard rrr, cthlr ra:µred inftllrma, wth the Qty fv'a-a3er for
processirg in axx,clarewth Qrtsba:l M.ridpa Cede Sedia, 3.32.cro. FaluetotimJy!ollo.vthat ~wll ta rrrysu:se:µn lega a::tiootoaltack.
.,,,;e,; set aside, ,ti(\ or imJ their irrµ:sition
Yoo are here!>; R.RTl-ER i'OllREDthal 'fW ri(/1 to pretest the specified fees'exa::ticns IXES i'Of !'PPL Y to w,t,r,; ard seMlf 0"1nedi"1 fees ard c,µdty
ch!rges, nor ~arirg, 20"irg g-a:lrg or cthlr ~rrila-~icatia, processirg or"""°' fees in oa,nedia, wth ttis p,-tjed. N::R IXES IT !'PPL Y to rrr,
. 'rril l'.li lirri
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING D ENGINEERING □BUILDING
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~ CITY Of
CARLSBAD
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ADDRESS
CITY
PHONE
EMAIL
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 76~02-8558
email: buildlng@carlsbadca.gov
www.cartsbadca.gov ,...,.
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!Sec. 7031.5 --•nd-O>Cle, ""1 Ci!l'O< °""':t.,-::,:r-•-to"'"""""-..... ,-.-!sh or ,epair •••~=.,;is-. ailo ,_.,.. ... .... -..---=••--diltlieil ..,....nttottle-ofttie-•Ucensal.awlChantar9, .. -Sectlon7000ofDIYlsion3ofthe B_ualnea andofPtofestkJnl or that he ii exemotthel'efrom, end the bnill for the ,uaaec, exempbon. MY vlolatlon ol Section 7031.5 by any applleanffor a peimitsubjeet:S the aPOBcent to a
cMI penetty not more thin tlJndred dDllra (S500)),
Wol1<ffl' Compllllllllon Deel-: l-8lllmiunderponallyof,,.,P,,Yoneof"'8"'°"""_,, 0 I hive and w6H maintain a certlfleale of consent.to ltlf-lneur. forwoners' oompensetk>n as provided by Section 3700 or th& Labor Code, for the performanoe of the IMlrk for whleh this permit Is Issued.
~I hive and wll mlkrtlln workenl' comJ)8ntll&lon, as required by SecllOn 3700 of the L8b(r Code, for the pertJrmance of the v.ork for whk:h thlS permit Is Issued. My 'MIit.er&' compensation lnBUrance carrier jlnd poflCy
number""':ln .. ranceeo..t1.er:.-i.s l <,,u:ci+,,_no Polk:yNo. •ro Bb C. 4 0 """"""""" 1:2..· 0( -/<.,
~section need not be completed If the pennil Is for one hlMldred d0118rs ($100) or less. LJ Certtrlcate of Ex~on: I certify lhet In the p&lformil1ce of the 'Mllk for which this pennlt Is ISsued, I shall not employ IWlY petSOn in any manoer so as to b8come sullject tJ the Wortefs' Compensatloll Laws of
Callfomla. WARNING: Fallurt to ucureworkn' COfllPWleallon coverage la unlawful, and shall subjed: an emptoyerto criminal pena1619 and cMI IIANupto one h.Ulldnld lhouNlld dollars (&100,DOO). in
addltioo to the cost of compensation, dlmlglll a pnwtdad for I n 3705 of the La e, lnterelt end attom•J'• feel.
J/6 CONTRACTOR SIONATIJRE
I hereby a/Jltm 1hat I am exempt from Cooractor'S ucense Law tor the lbtlowtng reason: D I, as owner of the property or my emp!Oyees with W8Q8S as their sole compensatkln, vMI do the \IIOrk and Ille structure Is 001 lntellled or otreI&d ror sal9 (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply fD an OM1E1r of property who builds or Improves thereon, and who does such work himself or lhrough his O'M1 empt,yees, provided that su;h Improvements are not Intended or offered for
sale, If, however, the building or Improvement ls sold within one year ofoompletion, the owner-bullderwlll have lfle burden of proving that he did not build or Improve for the purpose ot sale). D J, as owoer of the property, am exclusively contra:ting With licansed conlra:lors to construct the project (Sec. 7044, Bustness and Professions Gode: The Contractor's Ucense law does not apply ID an owner of
plOll!lrty who bulkls or Improves ther8on, and contraclS for such profects with oontraekn(s) licensed pursuant lo the Contractor's Llcens8 Law).
D I am exe01)1 under Section __ ___,Business and Professions Code for tn!s reason:
1. ! pernonally plan to provide th8 major labor and malerfals for construcllon of the proposed property Improvement. □Yes Do
2. I (ha\18 I have not) signed an appllcatlon for a bulkllng permit for the proposed 'MJrk.
3. I have conlraci8d with the follOwlng person (finn) ID p,ovkle lh8 proposed consbuction (Include name address I phOne / oontractors:' lk:ense number):
4. l plan to provide portions of the 'M>l1c., but I have hl!OO the follO',vlng [)8fSOl1 to coo1tllnate, supervise 8fld provile the major\lOrk (Include nan& I address I phone/ coniractors' license number):
5. I wtll provide some of th& work, but I have contr.mld (hired) the fOlkM!ng persons to provide the work lndlcaled Qnclude rn,ne / address I phone I type of work}:
J/6 PflOPERTY OWNER SIGNATURE □AGENT DATE
C'.OMJ"LETE THIS SECTION FOR NON-RESIDINTIAL BUILDING PERMITS ONLY
Is the ~ant or fulure builling occupant required to sutmit a business ~. acutet,, haza-douS malerlals regisiation rorm or risk management and 1QV81'1ioo Pf01ra111 under SectlOns 25505, 25533 a-25534 of lhe
PresleJ•TannerHamdous Substance Account Act? □ Yes □ No
Is lhe applicant or future buildlngoccupantrequintd k> ob&ul a pennltfn:m the ai"polkltion cootol dlstictiY ai"qualit»'management disn:t? □ Yes □ No
!s the fadllly to be constructed within 1,000 feetoftlle outer bound#y of a schoolsil9? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUltEMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTIOH CONTROi. DISIRICT.
affim that 111a
I oadlfylhlll hNt Jl!llldtheappllclllon andllatathattlleablMiftfonnlllon Is COfflld:llftdtftlt.tlllt......._ on the pllnll9 ICCUIIIIB.1..-10 00IIIIPIYwllh an ca,on1nancesand Stala llws lHlllnCtD bulldlncconstruclkln.
I haoby---alhe~ofC-i>ererupon1he--prop,tyl:lrilspedioo lXJll)068S. l/>lJ!IJAGREETOSAVE, INIJEMf,,FY AIOKEEPHARMLESSlHECTTYOF CAR!.SBAD
AGAINST ALL UAaUTIES, JUDGMENTS, COSTS AN) EXPENSES IMilCH MAY N N1Y WAY ACCRUE -NS! SAil CTTY IN CONSEQ.JENCE OF 1HE GRANTING OF lHIS PERMT.
OSHA AA OGiA pamll ls n,quilldl:lr-.,....,SIJ deepand-acmwuclloo<i..,_<MJ3-~ h8Qht
EXPIRATION EwrypemitissUed by lheaidlll Ollcial.-1hep!lMUll'6of 111SCodestol ..... by-and beaJme"' and 1l0il Wlhe l,itJill .---by-pamlls oolcommenoodwitlil
180dayslrom1hedaea.,;,pam111rnlleb~<r-~~<r-8la,y1m!allerlle-•"""""1Ca<ldl:lrapeliald100days(Sedm1Cll.4.4lilbm9JlklilgCode).
ANT'SSIGNATURE ~ . DATE -V -(.,
Inspection List
Permit#: CB162664 Type: COGEN PHOTO OGUS RES-PHOTOVOLTAIC SYSTEM
20 ROOF/FLUSH MOUNTED MODULES-6
Date Inspection Item Inspector Act Comments
07/27/2016 35 Photo Voltaic (PV) RI
07/27/2016 35 Photo Voltaic (PV) PD AP
07/27/2016 39 Final Electrical RI
07/27/2016 39 Final Electrical PD AP
Thursday, July 28, 2016 Page 1 of 1