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Home My WebLink About2075 LINDA LN; ; CB120523; Permit04-03-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Cogeneration Permit Permit No:CB120523 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 2075 LINDA LN CBAD COGEN SubType: PHOTO 2051604700 Lot#: 0 $8,800.00 Constaiction Type: NEW Reference #: WORTMANN RES-22 PANEL ROOF MOUNT PV SYSTEM Applicant: REC SOLAR STE 200 775 FIEROLN SAN LUIS OBISPO CA 93401 858 675-6527 Status; Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: Owner: WORTMANN FAMILY TRUST 08-12-05 2075 LINDA LN CARLSBAD CA 92008 ISSUED 03/23/2012 KG 04/03/2012 04/03/2012 Building Permit $117.07 PLUMBING TOTAL $0.00 Add'l Building Pennit Fee $0.00 ELECTRICAL TOTAL $0.00 Plan Check $81.95 MECHANICAL TOTAL $0.00 Add'l Plan Check Fee $25.55 Additional Fees $0.00 Plan Check Discount Strong Motion Fee Green BIdg Stands (SB1473) Fee $0.00 $1.00 $1.00 TOTAL PERMIT FEES $226.57 Total Fees: $226.57 Total Payments To Date: $226.57 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: /"^^ Clearance: S «L NOTICE: Please take NOTICE that approval of your project Includes the "Imposition' of fees, dedications, resen/ations, or other exactions hereafter collectively refen'ed to as lees/exactlons." You have 90 days from the date this permit vras Issued to protest Imposition of these fees/exactlons. 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 sen/ice fees in connection with this project. NOR DOES IT APPLY to any fees/exactlons of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othemvise 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 Est. Value Plan Ck. Deposit JOBADDRESS SUITE#/SPACE#/UNIT# CT/PROJECT # PHASE* # OF UNO'S # BEDROOMS # BATHROOMS. TENA^^• BUSINESS NAME CONSTR. TYPE OCC GROUP DESCRIPTION OF WORK: Include Sa SflliaiS,rset of Alfected Ana(s) , f— Q O - EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPUCE YESD # NOD AIR CONDITIONING YES • NO • FIRE SPRINKLERS YES • NOD APPUCANT NAME (Primary Contact^ APPUCANT NAME (Secondaiy Contact) ADDRESS ^ . ^^70 f^/i'-c^ /2^0L^ //O CITY_ STATE ZIP ADDRESS STATE ZIP ^2^PZI CITY STATE ZIP EMAiir-^——:: — FAX PHONE EBisnr FAX PROPERTY OWNER NAME CONTRACTOR BUS. NAI ADDRESS ^ _ ADDRESS O? 3'~7t3 AJyi/^C^^ f^lKfCiEz i>^tJ^f^ CITY STATE STATE "PHSRT ZIP q u z/ FAX EMSIL FAX EMAIL WAIL ^ k ARCH/DESIGNER NAME & AODRESS CLASS C-(0 CITY BUS. LIC.# (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 pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 ofthe 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 Woriters' Compensation Declaration: / hereby aflimi under penalty i^ peijury one ofthe following dedare^ons: n I have and will maintain a cartificate of consent to selMnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfomiance of the work for which this pemilt Is Issued. Expiration Date. n I have and will maintain woriters' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the worit for which this permit Is Issued. My woriters' compensation Insurance earner and policy number are: Insurance Co. ""Z—S-i L CJ/X ^ <l^«^l <^/t c.— Policy No. This section need not be completed If the pemilt is for one hundred dollars ($100) or less. O Certificate of Exemption: I certify that in the perfomiance of the work for which this pemilt Is Issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California WARNING: Falluiv to secunmurRW CUliipensatlon catsra^e is lilliawfui, and shall subject an employerto criminal penalties and civil flnes up to ons hundred thousand dollars (&100,000), in addition to the cost of compensationvlamages as providsd for in Esction 3706 of ths Labor code. Interest and attomey's fsss. ygS* CONTRACTOR SIGNATURE \ -4^ :. ^ \^ , • AGENT DATE 3 ?—/ '2^ OWNER-SUIfJER 3ECtARATI«N / heret))' affinn (haf / am exempt from Contractor's Ucense Law for the following reason: O I, as owner of the property or my employees with wages as their sole compensatton, will do the work and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professtons Code: The Contractor's License Law does not apply to an owner of praperty who builds or Improves thereon, and who does such work himself or through his own employees, provided that such improvemenls are not Intended or offered for sale. If, however, the building or Improvement Is sold within one year of completion, the owner-buiider will have the burden of proving that he dkl not build or Improve for the purpose of sale). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professtons Ctode: 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 • Yes • No 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3.1 have contracted with the following person (firm) fo provide the proposed construction (Include name address / phone / contractors' Itoense number): 4.1 plan fo provtoe portions of the work, but I have hired the folfowing person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provkle some of the work, but I have contracted (hired) the following persons to provide the work Indicated (Include name / addross / phone / type of work): PROPERTY OWNER SIGNATURE •AGENT DATE CjO MPtETE THIS SECTION FOR NON RESIDENTIAL BUILDINIS PERMITS ONLY Is the applicant or future building occupant required fo submit a business plan, acutely hazardous materials registration fonn o r risk management and preventton program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? QYes ONo Is the applicant or future building occupant required fo obtain a pemilt from the air pollution control district or air quality management district? • Yes • No Is the facility to be constmcted within 1,000 Ieet of the outer boundary of a school site? O 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 LENDING AGENCY I hereby afUmi that there is a constmction lending agency for the perfbmiance of the worit this pemilt Is Issued (Sec. 3097 (1) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certif that I have read the appltoatkin and state thatthe above Infbnnatkin is conect and that the inforniatkm on the plans is accuiate. lagieetDcomplywithailCily ordinances and State laws relatkig to building constnidion. I hereby authorize representative of lhe City of Carlsbad to enter upon lhe above mentbned property Ibr inspeciion purposes. I ALSO AGREE TO SAVE, INDEMNIRT AND KEEP H/SiRMLESS 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 pennit Is required forexravattonsover SO deep and demolition or constmctton of stmctures over 3 stories in height. EXPIRATION: Every pennit Issue^^ftn^lkJing Official under the provisioDeofins LXxie^ll expire by limitatton and become nul and vokl If the building or work authorized by such pemiit is not commenced vMthin 180 days from the date of sucji'iSernilt or if the building or wotk authorized bisuch pemilt Is suspended or abandoned at any time after the work is commenced for a pertod of 180 days (Sectton 106.4.4 Uniform Building Code). ) APPLICANT'S SIGNATI DATE 3 City of Carlsbad BIdg Inspection Request For: 04/27/2012 Permit* CB120523 Title: WORTMANN RES-22 PANEL ROOF Description: MOUNT PV SYSTEM Inspector Assignment: Type:COGEN SubType: PHOTO Job Address: 2075 LINDA LN Suite: Lot: 0 Location: OWNER WORTMANN FAMILY TRUST 08-12-05 Owner: WORTMANN FAMILY TRUST 08-12-05 Remarks: Phone: 8584728096 Inspector: M. Total Time: CD Description 39 Final Electrical Act Comments Requested By: ALBERT Entered By: CHRISTINE Comments/Notices/Holds Date Associated PCRs/CVs/SWPPPs Original PC# CV090082 CLOSED O - B. B. HOOP IN R.O.W.; Inspection Historv Description Act Insp Comments Carlsbad 12-0523 April 2, 2012 [DO NOT PAY- THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLANCHECKNO.: 12-0523 PREPARED BY: Eric Jensen DATE: April 2, 2012 BUILDING ADDRESS: 2075 Linda Lane BUILDING OCCUPANCY: TYPE OF CONSTRUCTION: BUILDING PORTION AREA ( Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance BIdg. Permit Fee by Ordinance • Plan Check Fee by Ordinance Type of Review; • Repetitive Fee Repeats • Complete Review • Other g Hourly EsGil Fee $107.50 • Structural Only 1 $86.00 Hr.@ $86.00 Based on hourly rate Comments: 1 hour plan review. Slieet 1 of 1 macvalue.doc +