HomeMy WebLinkAbout1040 MAGNOLIA AVE; ; CBR2020-2240; PermitPrint Date: 09/16/2020 Permit No: CBR2020-2240
Building Permit Finaled
Residential Permit
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
1040 MAGNOLIA AVE, CARLSBAD, CA 92008-2538
BLDG-Residential
2051911200
$0.00
Work Class:
Lot #:
Project #:
P/M/E
Status:
Applied:
Issued:
09/14/2020
09/14/2020
Finaled Close Out:
#of Dwelling Units:
Track #:
Plan #:
Closed - Finaled
PBurn
Plan Check #:
Project Title:
Inspector:Orig. Plan Check #:Bathrooms:
Description:GAS REPAIR (E-REVIEW)
Final Inspection:09/16/2020
Bedrooms:Construction Type:
Property Owner: CHRISTMAN ADRIENNE M
1040 MAGNOLIA AVE
CARLSBAD, CA 92008
CoApplicant: WATER WISE PLUMBING BACKFLOW AND
DRAINS
4882 SURREALIST CT
OCEANSIDE, CA 92057-7905(760) 407-5710
AMOUNTFEE
WATER HEATER PERMIT $98.00
Total Fees:$98.00 Total Payments To Date:$98.00 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.
1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 760-602-2700 ï 760-602-8560 f ï www.carlsbadca.gov
Building Division Page 1 of 1
{"Cityof
Carlsbad
CBR2020-2240
9/14/20
( City of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check ________ _
Est. Value
PC Deposit
Date ________ _
Job Address 1040 Magnolia Ave., Carlsbad 92008 Suite:. _____ APN: __________ _
CT/Project #: __________________ Lot #:. ____ Year Built: _________ _
Fire Sprinklers: 0 YES O NO Air Conditioning: 0 YES O NO
BRIEF DESCRIPTION OF WORK:
Electrical Panel Upgrade: 0 YES O NO
Partial repalcement of gas system
0 Addition/New: _____ Living SF,. ____ Deck SF, ____ Patio SF, ____ Garage SF __ _
Is this to create an Accessory Dwelling Unit? O Y O N New Fireplace? O Y O N, if yes how many? __
□Remodel: SF of affected area -----Is the area a conversion or change of use ? O Y O N
□ Pool/Spa:. ____ SF Additional Gas or Electrical Features? ____________ _
O Solar: ___ KW, ___ Modules, Mounted:O Roof O Ground, Tilt: 0 YO N, RMA: O v O N,
Battery:O Y O N, Panel Upgrade: O v O N
D Reroof: _________________________________ _
Ii] Plumbing/Mechanical/Electrical Only: Plumbing -Gas leak -Partial Repalcement of gas system
D Other:
This permit is to be issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the
owner or contractor. The person listed as the Applicant below wiff be the main point of contact throughout the permit process.
PROPERTY OWNER APPLICANT O PROPERTY OWNERS AUTHORIZED AGENT APPLICANT 0
Name:. _________________ Name: ___________________ _
Address: 1040 Magnolia Ave Address: -------------------City: Carlsbad State: CA Zip: 92008 City:. __________ State:. ___ Zip:. ____ _
Phone: (760)803-9555 Phone: __________________ _
Email: Christman 7 (a2roadrunner.com Email: Christman7(a2roadrunner.com
DESIGN PROFESSIONAL APPLICANT O CONTRACTOR OF RECORD
Name:. ________________ _
Address:. ________________ _
Name: Fred Quiroz, Jr
Address: 256 Blockton Rd
APPLICANT ~
City: ________ State: ___ Zip: ___ _ City: Vista State: CA Zip:,_9_2_0_84 ____ _
Phone:. ________________ _ Phone: (760)407-5710
Email:. _________________ _ Email: wiseplumber@gmail.com
Architect State License: __________ _ state License/class: C36-991738 Bus. License: sLos12442912
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
REV. 08/20
• IDENTIFY WHO Will PERFORM THE WORK BY COMPLETING (OPTION A) OR (OPTION B) BELOW:
(OPTION A): LICENSED CONTRACTOR DECLARATION:
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the
following declarations:
liJ I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued. Policy No. ________________________________________ _
0 I have and will maintain worker's compensation, as required by Section 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 Company Name: _s_er1<_s_h_ire_H_a_lha_w_ay_G_u_a_rd ______________ _
Policy No. FRWC177531 Expiration Date: _..cc.o....c-z'---o_'f_. ~=--o""'-z_,_1 ______ _
0 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
criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code,
interest and attorney's fees.
I hereby affirm that there is a construction lending ag or the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name: ___________ -=,_,.,-~+-_____ Lender's Address: ____________________ _
{OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
0 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 purpose of sale).
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).
0 I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
0 "Owner Builder acknowledgement and verification form" has been filled out, signed and attached to this application. Proof of identification attached.
0 Owners "Authorized Agent Form" has been filled out, signed and attached to this application giving the agent authority to obtain the permit on the owner's behalf.
Proof of identification attached.
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the
improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed
contractors. I understand that o copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is
submitted or at the following Web site: http://www.leginfo.co.gov/calaw.html.
OWNER PRINT/SIGN:. ____________________ DATE: _____ _
APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL
By my signature below, I certify that: I om the property owner or State of California Licensed Contractor or authorized to act on the property
owner or contractor's behalf 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 ond State Jaws relating to building 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 SAID QTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and
demolition or construction of structures over 3 stories in height.
APPLICANT PRINT /SIGN : .. f/t-....&.:a;;~f ,_.Q'---lo!l=u~,..:.;·(LO"t...~::;;._-,,.1/ .......... r<i1c .... --+--,...,-""1-------DATE: °1 /1'-I I z v
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
2 REV. 08/20
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Building Permit Inspection History Finaled
PERMIT INSPECTION HISTORY for (CBR2020-2240)
BLDG-Residential 09/14/2020Application Date:Permit Type:Owner:TRUST CHRISTMAN ADRIENNE M
P/M/E 09/14/2020Work Class:Issue Date:Subdivision:PARCEL MAP NO 00264
03/15/2021Expiration Date:Status:
IVR Number: 28671
Closed - Finaled 1040 MAGNOLIA AVE
CARLSBAD, CA 92008-2538
Address:
Scheduled
Date
Inspection Type Inspection No. Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
09/16/2020 09/16/2020 BLDG-23
Gas/Test/Repairs
138331-2020 Passed Paul Burnette Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
BLDG-Final Inspection 138332-2020 Passed Paul Burnette Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency No
BLDG-Plumbing Final Yes
BLDG-Mechanical Final No
BLDG-Structural Final No
BLDG-Electrical Final No
Wednesday, September 16, 2020 Page 1 of 1
{cityof
Carlsbad