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Home My WebLink About1361 SHOREBIRD LN; ; CBR2016-0031; PermitPrint Date: 12/30/2016 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1361 Shorebird Ln BLDG-Residential 2157900800 $8,400.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: Cogen Status: Lot#: Applied: Reference#: Issued: Construction Type: Finaled: Bathrooms: Inspector: Orig. Plan Check#: Plan Check#: Description: LINEBERGER: ROOF MOUNT SOLAR, 21 MODULES, 6.72KW BUILDING PERMIT FEE $2000+ BUILDING PLAN CHECK FEE (BLOG) PUBLIC FACILITIES FEES -inside CFO SB1473 BUILDING STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $335.32 Owner: TRUST LINEBERGER FAMILY 1989 TRUST 1361 Shorebird Ln CARLSBAD, CA 92011 Total Payments To Date: $182.44 Co-Applicant: GKRW LLC 2913 Tech Ctr Santa Ana, CA 92705-5657 949-229-S977 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. FINAL APPROVAL DATE1 ~~6 _.CLEARANCE ----- SIGNATURE_,.-z:_1v_..__,1; ___ _ Permit No: CBR2016-0031 Issued -Active 11/08/2016 11/08/2016 JWest $152.88 $106.09 $74.26 $1S2.88 $1.00 $1.09 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING Ccityof Carlsbad JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEI/SPACEI/UNITI LU □BUILDING □FIRE Est. Value Plan Ck. Deposit Date CT/PROJECT# LOT# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) :S0L.A'1... t10S,Al-L 0,1Z fSt,J 5ys7e.Jvt I So£-f!lie.bG,,E bOOO 101/UtE.I'-/}A.Jc, '2-I L...G,., 320 PA/'0 t::...L □HEALTH 0HAZMAT/APCD SWPPP CONSTR. TYPE OCC. GROUP EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESO AIR CONDITIONING NO□ YES □No □ FIRE SPRINKLERS YES0NO□ APPLICANT NAME 201 ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE 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 reciuires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License LawJChapter 9, commending with Section 7000 of DIvlsIon 3 of the Business and Professions Code} or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: D l have and will maintain a certificate of consent to self-insure for mrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 6'f I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the _performance of the work for which this permit is issued. My "f~rs• compensation in~rance ca .. rrier and policy ncmberare:lnsuranceCo. Hb I ~L.08A L PolicyNo. EWG,C Tc.DOQZ-3 OOl~rationDate ~ ZLJ I) ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to crlmlnal penalties and clvll fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as rov,ed for i!Jiectlon 37 o e labor code, interest and attorney's fees. ,8$ CONTRACTOR SIGNATURE ~ c I hereby affirm that I am exempt from Contractor's License Law for the following reaso : □ □ □ 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 himseH or through his own employees, provided that sucl1 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 lo 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes 0No 2. I (have I 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/ oontractors' 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 I address I 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 I type of work): _,8$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or futllre 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 Acr? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is \he facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. I certify that I have read the application and state that the above infonnation is correct and that the lnfonnatlon on the plans Is accurate. I agree to c:omptyYlfth all City ordinances and S1ate laYS relating to bulldlng construction. I hereby authorize representative of the City of Carlsbad toenterur,on the aOOve mentioned property br inspection purp:ises. I ALSO Ac;q;EE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CAAL.SBA.□ AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOJENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA penn~ is required forexcavaUons over S'(J deep and demolition orconstrudion of structures over 3 stories in height. EXPIRATION: Every pennit issued by the Building Offcial under the provisbns of this Cooe shall expire limitation and bea:lme null and vokl if the building orv.or'K authorized by such permit is notcommenred v.ithin 180 days ii'om the date of such pennit or if the building v.or'K ;,orized )such ~ is suspen or abandoned at any Ume after the v.orlc. is commenred for a period of 180 days (&!c!Kln 100.4.4 Unifonn Building Code). ,f6 APPLICANT'S SIGNATURE J----4 /. DATE //-g--I • 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, Emall 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 ZIP Carlsbad CA PHONE FAX EMAIL OCCUPA.NT'S BUS. LIC. No. DEUVERY OPTIONS □ PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) ::i ASSOCIATED CB#-------------0 MAIL TO: o CONTACT (LISted above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □ NO CHANGE IN USE/ NO CONSTRUCTION □MAIL/FAX TO OTHER: _______________ _ □ CHANGE OF USE/ NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBR2016-0031) Permit Type: Work Class: Status: Scheduled Date BLDG-Residential Cogen Issued -Active Actual Start Date Inspection Type Application Date: 11/08/2016 Owner: Issue Date: 11/08/2016 Subdivision: Expiration Date: 05/08/2017 Address: IVR Number: 108 Inspection No. Inspection Status Primary Inspector 11/17/2016 11/17/2016 BLDG-35 Solar Panel 001651-2016 Passed Jonathan West January 10, 2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 001652-2016 Checklist Item BLDG-Electrical Final COMMENTS Passed Jonathan West COMMENTS TRUST LINEBERGER FAMILY 1989 TRUST 1361 Shorebird Ln Carlsbad, CA 92011 Relnspection Complete Complete Passed Yes Complete Passed Yes Page 1 of 1