HomeMy WebLinkAbout1757 SKIMMER CT; ; CBR2016-0405; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 01/30/2017 Residential Permit Permit No: CBR2016-0405
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
1757 Skimmer Ct
BLDG-Residential
2159214300
$8,400.00
www.carlsbadca.gov
Work Class: Cogen
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
IADICCIO: ROOF MOUNT SOLAR, 21 MODULES, 6.SlKW
Owner:
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
Closed -Finaled
12/20/2016
12/20/2016
TRUST IA DICICCO FAMILY TRUST 09-11-lS
1757 Skimmer Ct
SUN RUN INSTALLATION SERVICES INC
BUILDING PERMIT FEE $2000+
BUILDING PLAN CHECK FEE (BLDG)
5B1473 BUILDING STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $182.44
CARLSBAD, CA 92011
Total Payments To Date: $182.44
295 Trade St
San Marcos, CA 92078-4373
760-290-1588
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit 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 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 you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
$0.00
$106.09
$74.26
$1.00
$1.09
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING . □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCO
C (cityof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
Plan Check Noei:,~-ZC\.(,:, -c,:::,.._(_oS,
Est. Value '5 Y:00
JOB ADDRESS
CT/PROJECT #
EXISTING USE PROPOSED USE PATIOS {SF) DECKS (SF)
APPLICANT NAME PROPERTY OWNER
ADDRESS
CITY
PH
ADDRESS
m STATE ZIP
PHONE FAX
EMAIL EMAIL
STATE UC.# STATE LIC.#
(Sec, 7031.5 Business and Professions Code: Any City or Coun_ty 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 v1olatIon 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)).
~ -" --~--" ---~-1
WORKERS'COMPENSATION _ _ _ _______ _I
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of 1/Je 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 \he work for which this permit is issued
□ I have and will maintain::' c?~w~on, as 'ftir:!' S~tion 3W0 of the Labor Code, for the perfo ance f My workers' compensatio
number are: Insurance Co . .JA (V 'lX.J ~nmn Policy No . .\A,t...'-'.Ll.Y~+'-'<:~"".._,,__,_ __ Expiration Date -~lL_L_!__(.j'__ __ _
This secUon need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not efll)loy any person in any manner so as lo become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is uni a ful, and shall subject an employer to crimlnal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensa , da es as prov· ed for ion 37 f e L o ode, interest and attorney's fees.
~ CONTRACTOR SIGNATURE
I hereby affimJ that I am exempt from Contractor's License Law for the Following reason:
□
□
□
I, as owner ol 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 ris 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. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes ONo
2, I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone / contractors' license number):
4, I plan to provide portions of the work, but I have hired the bllowing person to coordinate, supervise and provide the major work (include name/ address/ phone/ 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/ type of work):
~ PROPERTY OWNER SIGNATURE DATE
Is the applicant or future build'ng 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,T anner Hazardous Substance Account Act? □ Yes □ No
s the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No C 1s \he applicant or luture building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes D 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.
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State la>NS relatlng to building construction.
I hereby authon'ze representative of the City of Ca~sbcd to enter upon the at:ove mentioned proi;erty for insi;ection purpJSes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLS BA.□
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG!'JNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA AA OSHA perm~ is required forexcavaUons over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every i;ermit i.ssued by the Building Official under the provisKJns of this Code shall expire by lim11at·on and t;ecome null and voi:l ~the building orworkaulh:Jrlzed by such pennit is not commenced 'Mlhin
180days from lhe date of such i:e it or i the building ormrk autho · by such i is susi;en ed or abandoned at any Orne after the work is commenced for a peflod of 180 days (Section 106.4.4 Uniform Building Code),
_g APPLICANT'S SIGNATUR 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 form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1}
MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
MAIL/ FAX TO OTHER: ________________ _
A$ APPLICANT'S SIGNATURE
o ASSOCIATED CB#'------------
□ NO CHANGE IN USE/ NO CONSTRUCTION
o CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
,, PERMIT INSPECTION HISTORY REPORT (CBR2016-0405)
Permit Type: BLDG-Residential Application Date: 12/20/2016 Owner: TRUST IADICICCO FAMILY TRUST
09-11-15
Work Class: Cogen Issue Date: 12/20/2016 Subdivision:
Status: Closed -Finaled Expiration Date: 07/31/2017 Address: 1757 Skimmer Ct
Carlsbad, CA 92011-3609
IVR Number: 917
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
01/30/2017 01/30/2017 BLDG-35 Solar 011834-2017 Passed Jonathan West Complete
Panel
BLOG-Final 011835-2017 Passed Jonathan West Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Electrical Final Yes
January 30, 2017 Page 1 of 1