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Home My WebLink About2629 Wadsworth St; ; CBR2016-0342; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 03/07/2017 Residential Permit Permit No: CBR2016-0342 www.carlsbadca.gov Job Address:2629 Wadsworth St Permit Type:BLDG-Residential Work Class:Cogen Status:Closed -Finaled Parcel No:2081904100 Lot #:Applied:12/12/2016 Valuation:$6,000.00 Reference #:Issued: Occupancy Group:Construction Type:Finaled: # Dwelling Units:Bathrooms:Inspector: Bedrooms:Orig. Plan Check #: Plan Check #: Project Title: 1 Description:TOLL BROTHERS: 15 ROOF MOUNTED PV PANELS, 5.03 KW, NO RMA, NO UPGRADES Owner: RANCHO COSTERA LLC 725 W Town And Country Rd ORANGE, CA 92868 BUILDING PERMIT FEE $2000+$79.48 BUILDING PLAN CHECK FEE (BLDG)$55.64 SB1473 BUILDING STANDARDS FEE $1.00 STRONG MOTION-RESIDENTIAL $0.78 Total Fees:$136.90 Total Payments To Date:$136.90 Balance Due:$0.00 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. ..., .-1 THE FOLLOWING AW.ROVALSREQUIREDPRIOR TO PERMIT ISSUANCE:DRAWN OBIGINEBBNG OBUILDING 0 FIRE OJEALTH DIIA7JAATJAPCD Building Permit Application Plan Check No.03Ra0 12-..O3qa... A(7'-is— •City of'1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Est. Value 7 4)060 .06' Carlsbad email: building@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date iglig.114 ISWPPP JOB ADDRESS SUITEVSPACEII/UNITII AbN rb%C\\IJC^S \)4c*4)\/\--- CT/PROJECT #LOT #PHASE ##OF UNITS # BEDROOMS # BATHROOMS UMWBUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:Include Square Feet of Affected Area(s) YNO.c)\--I•kr-Aiv....(1.5At-sr 3 \S ici•c).\Akl--'S (0 14 \'') EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES03.NOD YES ONOEl YESEDNOD APPLICANT NAME PROPERTY OWNER NAMETim Seaman TO \\6(4*U-AilrhunvContact ADDRESS ADDRESS PO Box 5955 --ra-g \P)-1-0•P'."4-(A..f. }cy PN1--6-2-ob CITY STATE ZIP CITY STATE f ZIP Chula Vista CA 91912 (:)(0.4.\.3 t_.CA ea Y 4 8 PHONE FAX PHONE FAX 619-993-8846 :EMAIL EMAIL Tim(a.ChampionPermits.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAME sk",4NOOV4 A4 - ADDRESS ADDRESS ctt.k,1•k ‘.-...A c).-c\Vitki Sv-AN CITY STATE ZIP CITY n STATE ZIP T•\4\isl‘CKV I-(../A atkifp‘i PHONE FAX PHONE FAX s%() -S't b 6 SS b EMAIL EMAIL STATE LIC.#STATE 0-CLASS CITY BUS. IJC.#LIC.1*0 IS C‘)b (Sec.7031.5 Business and Professions Code:My City or County which requires a permit to construct, alter, improve, demolish or repair any structure. prior to its issuance, also requires theapplicant 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 theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption.My 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)). W 0 R K E R S .C 0 NI PE IV S A 14 0M --:.e.ritroAim.In-.:6''.._••-••:...IF -m:.e.--;43.:'..544:3).11:•4!.!---J:31_44....:.A/e.044..40.1.0,..,. Workers' Compensation Declaration:I hereby affirm under penalty of perjury one ofthe following declarations: I have and will maintain a certificate of consentto 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. 11I have and will maintain workers' compenerionkas required by Section 3700 of the Labor Code, for the performance ofttewortrior which this Dem*.Issued. My workers' compensation ins carrier and policy number are: Insurance Co.‘N-04./.. roe a.f-a A_:IAN'N Policy No.gl ‘P-km W a. 001)Expiration Date l k I 7 section need not be completed if the permit is for one hundred dollars ($100) or less. Certificate of Exemption:I certify thatIn the perf.anceofthe work for which this permit is issued,Ishall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California.WARNING: Failure to secure workers'-'-sation coy age Is unlawful, and shall subject an employer to criminal penalties and dull fines up to one hundred thousand dollars (8100,000), In addition to the cost of compensation, damages as .ded for In ..on 3706 of the Labor code, interest and attorney's fees. RS CONTRACTOR SIGNATURE 41 .4 -I yid AGENT DATE i khO h 4,,.........„2..y;_-.....„.„..:..0.j.k.....1pHg..;..0.kiw.....ov.- 1. -tik..1W.T:iVrf:4:..i.'0;.:.4....l'....7....-.:•.:4E t.71'.'.ir:,..::.t...‘....•i...'..A.'•:".*"• -•14X.'.0 lit 14•••!..111 '..t.:11ivAiNlIft...-0.-.1k.A .K:Jar.•.....,A....p. .peo.4!9.4.--.-IMV...I....•.6.0 b...14.O'n:r'f'q:1...."::•n'l ..n.•..•-.••..:1.,i'?r .•:::7 .:...-.•....-..24?..:..,....trg.*.".;.....:. I hereby affinn thatlam exempt from Contractor's License Law for the following reason: 1:1 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 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 of proving that he did not build or improve for the purposeofsale).0 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). 1:1 I am exempt under Section Business and Professions Code for this reason: 1.I personally plan to provide the major labor and materials for construction of the proposed property Improvement.DYes EINo 2.1 (have / have not) signed an application for a building permit for tfie proposed work. 3.1 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 following person to coordinate, supervise and provide the major work (include name / address/phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ..liSPROPERTY OWNER SIGNATURE ['AGENT DATE COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building 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 Act?0Yes 0 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?0 Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?0 Yes 0 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 affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097Q)Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I cerdfythatl have read the application and statetattleabove IntonationLscoactand that the Information on the plans Is accurate. I agree to cornply with all City ordinances and St3to laws mlatIngtobulking construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection 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 SAIDWYIN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA.: An OSHA permit is required br excavations over 60' deep and demolition or construction of shuctures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official uncle./e provisions of this ..-shall expire by Imitation and become nul and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or .f •d by su«, it is suspended or abandoned at any time after the work is commenced fora period of 160 ys (106.4.4 Uniform Building Dade). iKAPPLICANT'SSIGNATURE DATE 10 PERMIT INSPECTION HISTORY REPORT (CBR2016-0342) Permit Type:BLDG-Residential Application Date:12/12/2016 Owner:RANCHO COSTERA LLC Work Class:Cogen Issue Date:Subdivision: Status:Closed -Finaled Expiration Date:09/05/2017 Address:2629 Wadsworth St Carlsbad, CA 92010-5603 IVR Number:760 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 03/07/2017 03/07/2017 BLDG-35 Solar 015726-2017 Passed Jonathan West Complete Panel BLDG-Final 015725-2017 Passed Jonathan West Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes March 07. 2017 Page 1 of 1