HomeMy WebLinkAbout1065 Magnolia Ave; ; CBR2018-0799; Permit' (City of
Carlsbad
Print Date: 05/08/2018
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1065 Magnolia Ave
BLDG-Residential
2052702300
$0.00
Residential Permit
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: WILSON: INSTALL AC AND FURNACE ON ROOF
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $170.00
Owner:
MARILYN WILSON
1065 Magnolia Ave
CARLSBAD, CA 92008-2S39
760-945-2251
Total Payments To Date: $170.00
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
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.
Permit No: CBR2018-0799
Closed -Finaled
04/02/2018
04/02/2018
5/8/2018 10:48:08AM
$170.00
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
f
{ Cicyof Building Permit Application Plan Check No. rPw?.!J -,, 'j(-() 7}9 C/ -
1635 Faraday Ave., Garlsbad, CA 92008 Est. Value
Carlsbad Ph: 780-8024719 Fax: 760-602-8558
email: bulldlng@carlsbadca.gov Plan Ck. Deposit
www.carl§Qgi;:h:;;a.gov '-1-;;J-/ f Date
111A -; ~l:ILJ ave, SU ITE#/SPACE#/UNIT# IAPN ---JOBil!~St
CT/PROJECT# f,, OT# lPHASE# # OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I coNSTR. TYPE I acc. GROUP
DESCif~:ohr;} ;c~ude s;;: C of
0
Aff:e; ~rea~ ~ J}, I ~ -YI A A,-, tJ7zX2J /l,_ --.I} ~..,.v-_, .
u tJ
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I ~I REPLACE lAIR CONDITIONING FIRE SPRINKLERS
YES □# __ NO □ YES □ NO □ YES □ NO □
APPLICANT NAME (Primary Contact) PROPERTY OWNER NAME 7h.1 ,._, 7) ·--• /,.{ )~ bA ~,
ADDRESS AD°}'g. Jf_ I• ·-~ ll'S"m~--; --'
CITY STATE ZIP C'!'J ,I/ J. /) A J~ _/ LJ STATC!.,.,/f ZIP? ;2_$~~
PHONE I 'AX PH?~ t? -'r lf 5"-;z~ 5-' I 'AX
EMAIL EMAIL
DESIGN PROFESSIONAL NAME CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE I 'AX PHONE I 'AX
EMAIL EMAIL
STATE LIC. # STATE LIC.# l CLASS I CITY BUS. LIC.#
(Sec: 7031.5 Business and P_rofess1ons Code: Any Crty 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 per_mit 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 D1v1s1on 3 of the Business and Professions Code} or fuat he is exem.i;it therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 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:
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by SecUon 3700 of the Labor Code, for the performance of the work for which this permit is issued.
0 I have and will maintain workers' 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 Co. ______________________ Policy No _______________ Expiration Date __________ _
This sec~on need not be completed if the permit is for one hundred dollars ($100) or less. 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 lo the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compeosation 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 attorney's fees.
,..S CONTRACTOR SIGNATURE □AGENT DATE
OWNER-BUILDER DECLARATION .,
I~ affirm that I am exempt from Contractor's l.icense Law for the following reason:
lfll""1: _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 lo 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).
~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 prOJec!s with contractor(s} licensed pursuant lo 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. □ Yes □ No
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 I phone I 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. 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/ type of work):
□AGENT DATE '/--.}.-/8
,.!; 0 McP L E T E T H I S S E C T I O N F O R N O N • R E S I D E N T I A L B U I L D I N G P E R M I T S O N L Y
" 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? D 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 the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ 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 affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1v1I Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information ls correct and that the information on the plans ls accurate. I agree to comply with all City ordinances and State laws relating to buUdingconstruction.
I hereby authorize representative of the City of Cartsbad 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: An OSHA perm~ is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become nu\\ 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 authorized by such perm~ is suspended or abandoned at any time after the WOO( is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code) .
..@S°APPLICANT'SSIGNATURE J'ru ff~ DATE ~-,2-f cF'
. PERMIT INSPECTION HISTORY REPORT (CBR2018-0799)
Permit Type: BLDG-Residential Application Date: 04/02/2018 Owner:
Work Class: P/M/E Issue Date: 04/02/2018 Subdivision:
Status: Closed -Finaled Expiration Date: 11/05/2018 Address:
Scheduled
Date
04/03/2018
Actual
Start Date
04/03/2018
05/04/2018 05/04/2018
05/08/2018 05/08/2018
May 08, 2018
IVR Number: 10478
Inspection Type Inspection No.
BLDG--43 Air
CondJFurnace Set
053622-2018
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
053623-2018
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
BLDG-43 Air
Cond.lFurnace Set
057071-2018
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
057072-2018
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
BLDG-43 Air
Cond.fFurnace Set
057331-2018
BLDG-Flnal
Inspection
Checklist Item
BLDG-Building Deficiency
057332-2018
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Inspection Status Primary Inspector
Failed Chris Renfro
COMMENTS
No HERS Report completed
Failed Chris Renfro
COMMENTS
No HERS Report completed
Cancelled Chris Renfro
COMMENTS
No HERS Report completed
Cancelled Chris Renfro
COMMENTS
No HERS Report completed
Passed Chris Renfro
COMMENTS
Passed Chris Renfro
COMMENTS
MARILYN WILSON
MAGNOLIA GLEN
1065 Magnolia Ave
Carlsbad, CA 92008-2539
Re inspection
Reinspection
Passed
No
Reinspection
Passed
No
No
No
No
No
Reinspection
Passed
No
Reinspection
Passed
No
No
No
No
No
Passed
Yes
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Complete
Complete
Complete
Complete
Complete
Complete
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