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Home My WebLink About2075 LINDA LN; ; CB120518; Permit03-23-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No. CB120518 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2075 LINDA LN CBAD MISC 2051604700 $3,959.00 Subtype: REROOF Lot#: 0 WORTMANN RES 29 SQUARES COMP TO COMP RE-ROOF Status: ISSUED Applied: 03/23/2012 Entered By: Plan Approved: Issued: Inspect Area: KG 03/23/2012 03/23/2012 Applicant: TOP LINE ROOFING Owner: WORTMANN FAMILY TRUST 08-12-05 11315 RANCHO BERNARDO RD 92127 858 619-5242 2075 LINDA LN CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $118.00 $0.00 $0.00 $118.00 Total Fees: $118.00 Total Payments To Date: $118.00 BalanceDue: $0.00 inspector ^^^^^ FINAL ARPRpVAL Date: og/W<^ Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactlons.' You have 90 days from the date this pennit was Issued to protest imposition of these fees/exactlons. If you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required infonnation with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will t>ar any sut>sequent 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 sen/ice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previousiv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenvise expired. CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www.carlsbadca.gov Plan Check No, C7/7i>5yr" Est. Value Plan Ck. Deposit Date SWPPP JOB AODRESS 2075 Linda Ln. Carlsbaci, CA 92008 CT/PROJECT # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Incfude Square Feet of Affected Area(s) detached home- 29 squares, 4 slope, tear off existing 2 layers, replace 30ft. of damaged starter board, install solid sheeting (lumber), install Timberline HD system. EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESr~k NOj I AIR CONDITIONING YES I |NO| I FIRESPRINKLERS YES I |NO[ I APPUCANT NAME (Primary Contact) Natalia Lopez APPLICANT NAME (Secondary Contact) ADDRESS 11315 Rancho Bemardo Rd. #143 ADDRESS CITY San Dieqo CA 92127 STATE ZIP PHONE 858-613-5242 FAX 858-613-5253 EMAIL office@toplineroofing.com PROPERTY OWNER NAME Chris Wortmann CONTRACTOR BUS. NAME Top Line Roofina ADDRESS 2075 Linda Ln. 11315 Rancho Bemardo Rd.#143 CITY Carlsbad STATE CA 92008 San Dieao STATE CA ZIP 92127 760-729-2702 FAX PHONE 858-613-5242 858-613-5253 EMAIL info^oplineroofing.com ARCH/DESIGNER NAME & ADDRESS 699129 C-39 CITY BUS. LIC.# 1233748 (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 aileged 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}). Worl(er«' Compensation Declaration: / hereby affirm under penaity of perjury one of the following deciarations: a! have and will maintain a certificate of consent lo self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' comoensation, as required bv Sectiori 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co _ California Insurance . PolicyNo.. 46-848012-01-01 Expiration Date _ 1/1/2013 This section need not be completed if the pemiit is for one hundred dollars ($100) or less. I I Certificate of Exemption: 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of CalHornia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees. JS$ CONTRACTOR SIGNATURE •AGENT DATE / hereby affimi that i am exempt from Contractor's License Law for the following reason: I I 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 Ucense Law does not apply to an owner of property who builds or improves thereon, and who does such work himsert or through his own employees, provided that such improvements are not intended or oifered 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 I 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 buiids or improves thereon, and contracis for such projects with contractor(s) licensed pursuant to the Contractor's License Law). • I am exempt under Sectkin _ eBusiness and Professrons CkxJe for this reason: 1.1 personally plan to provide the major labor and materials for constmction of the proposed property improvement. •Yes r~lNo 2.1 (have / have not) signed an applicalion for a building pemiit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed constaiction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 6.1 will provide some of the work, but 1 have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): PROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILOING PERMITS ONLY Is the applicant or future buHdlng occt^Mnt raqulradtosuMabuslnessoton, acutely hazanlous materials registratkxi Ibnn or risk management and prevention program under Seclions 25505,25533 or 25534 of the Ptesley-Tanner Hazardous Substance Account Acr? •Vee LIJNO Is the apolkant or luture building occupant required to obtain a pemilt from Itie air pollulion control district or air oualitv manaoement district? QYSS QNO Is the Mlity to be constructed within 1,000 feet ofthe outer boundary of a school site? CjYes FlNo IF ANY OF TNE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLUmON CONTROL DISTRICT. CONSTRUCT ION LENDING AGENCY 1 hereby aflinn that there is a construction lending agency for the perfonnance of the work this pennit is iss ued (Sec. 3097(1) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I ceitlty thati haw read the appleaHonaiKl slate that the abowiiifcnnalluii Is conect and thm the Intone I hereliy authorize representative of the Oly of Cailsbad to enter upon the alxive mentioned AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OShIA An OSI'IA pemA is required lor ewavalionsgm EXPIRATION: Every perniit issued by Ihe BuiUingjnMn^ 180 days liom the (fete of such peinitt or if the bidm oul^ ^APPUCANTS SIONATURE DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL v/^ COMMERCIAL 3. ROOF SLOPE: RISE ^-f INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 ® 3 5. TYPE OF EXISTING ROOF COVERING (^My G^JT UiCnA SHEATHING *6. NEW ROOF MATERIAL C%>Ay CLASS WEIGHT PER SQ.2QD 7. NUMBER OF SQUARES 8. TRADE NAME Oj^TrVvp MANUFACTURER 9. ROOF SYSTEM LISTING: UL NO. -7^0 I.C.C.E.S . Report #_ ASTM 10. IS THE EXISTING STRUCTUfiAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ^Es) NO All roof coverings are required to be CLASS A. Combustible roof coverings of any type or classification are prohibited. I understand the following inspections are required: 1. Tear Off/Pre-lnspection prior to install new roof covering 2. Final Inspection I agree to provide aladder extending at least 2 rungs above the roof for inspection. Signature,,^ Date S/?^^[iT )ntractoj>' Owner Contractor uoniracigi:;x uwner uontractor ^ *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other B-10 Page 4 of 4 Rev. 02/11 Inspection List Permit*: CBl 20518 Date Inspection Item 08/29/2012 19 Final Structural 08/29/2012 19 Final Structural 04/24/2012 15 Roof/Reroof Type: MISC REROOF Inspector Act Rl MC Fl MC PA WORTMANN RES 29 SQUARES COMP TO COMP RE-ROOF Comments CAN U FINAL? NO CARD, MAIL H.O. COPY OF FINAL NEW OSB Thursday, August 30, 2012 Page 1 of 1