HomeMy WebLinkAbout1144 MAGNOLIA AVE; ; CB152747; Permit' City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-24-2015 Patio/Deck Permit Permit No: CB152747
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
1144 MAGNOLIA AV CBAD
PATIO
Lot#: 0 2052103400
$9,330.00 Construction Type: 5B
Project Title: THOMAS: 500 SF DECK & STAIRS
ATTACHED TO ACCESSORY STRUCTURE
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
ISSUED
08/24/2015
SLE
08/24/2015
08/24/2015
Applicant: Owner:
MATTHEW THOMAS THOMAS MATTHEW & JENIFER/LANG WILLIAM
1144 MAGNOLIA AVE
CARLSBAD CA 92008-2540
858-449-8175
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Strong Motion Fee
Green Bldg Standards (SB1473) Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
1144 MAGNOLIA AVE
CARLSBAD CA 92008-2540
858-449-8175
$114.19
$0.00
$79.93
$0.00
$1.21
$1.00
$0.00
$0.00
$0.00
$0.00
$196.33
Total Fees: $196.33 Total Payments To Date: $196.33 Balance Due:
Inspector: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: []PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD
Ccityaf Building Permit Application Plan Check No.Cfo l."'1 2'9+'1-
1635 Faraday Ave., Ca~sbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date >,l...-r i.-1-,c:::. lswPPP
JOB ADDRESS 1'v\o-.,; Y\{) \' <-.
SUITEt/SPACEI/UNITf IAPN
I I'-\'-\ A.V'(_ Y\V(_ ----
CT/PROJECT# I LOT# l I PHA.SE # I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affitcted Area(s)
A \1-t,.~h,J clc.c.lL. "-(lrl'o >-S.oo £'\ -4 ,.,,t\v,!.! / 't>l-,_'.v..s o" e•:~ti1 , I, ~~~-) ) C\v\l, '"-"7
/\(1 P"" )( ?, 8 l( o.. lou V'<_ ~ \ 'jVt,.c\_-.:..,'
FIREPLACE EXlSTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) IA!R CONDITIONING I FIRE SPRINKLERS
NaV\c. V!c.'L.. 400 -5£0 YES[}, NolZJ YES0Nol2::J YES□No~
APPLICANT NAME M,._~.1-l, w ' r: '-k lh O NI «. < PROPERTY OWNER
Primary Contact < ~V\, ,,.
ADDRESS
M-.n "" 1 : .,__ .A.~
ADDRESS
\IL\ L\ ~ ~ '?,._IA.v
CITY J STATE ZIP CITY STATE ZIP
G.v-\c. \,_i,. cA 91.vo R
PHONE IFAX PHONE I FAX 3.S '6 't'-\q-i1, { --
EMAIL EMAIL
,vi+l-10Mc..5Q. iV1kv-tRce. c\.'s':> \c..-i::, . LC___..
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
ADDRESS ).\o V\ .._
ADDRESS 1-\, '\)..
CITY STATE ZIP CITY STATE ZIP
PHONE l'AX PHONE l'AX
EMAIL EMAIL
I STATE UC # STATE UC.# IC"-55 I CITY BUS. LIC.#
(Sec~ 7031.5 Business and P_rofessIons Code: Any City or Coun_ty which requires a permit to construct, alter, 1mpro11e, demolish or repair any structure, pnor to its issuance, also requires the apphcant for such permit to file a signed statement that he 1s hcensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commendmgwith Section 7000 of Division 3 of the
Busmess and Professions Code) or that he 1s exempt 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
Wori<ers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declarations:
B I have and will maintain a certificate of consent to self.lnaura for worllers' compensation as provided by Section 3700 of the labor Code, for the pelfonnance of the work for which this permit is issued.
I have and will maintain workers' compensation, as rwuired bv Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. My worllers' compensation insurance carrier and policy
number are: Insurance Co. ______________________ Policy No, _____________ _ Expiration Date _________ _
~seciion need not be completed if the permit is for one hundred dollara ($100) or less. LJ Certificate of Exemption: I certify that in the pelformance of the work for which this pennit is issued, I sh al not employ any person in any manner so as to become sub;,ect to the Worllers' Compensation Laws of
Ca!ifomia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars {&100,000), in
addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees.
Ji!$ CONTRACTOR SIGNATURE □AGENT DATE
OWNER#BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's License Law for the following reason-D 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 [:{j' 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).
l, 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 Ucense 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 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 peraon (finn) 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 I address I phone I contractors' lk:ense number):
5. I will provide some of the work, but I have cont~ d (hired) the following peraons to provide the work indicated (include name I address/ phone I type of work): ,
Ji!$ PROPERTY OWNER SIGNATURE 0ir" It. l ( ~ □AGENT DATE dz--1 lit
I
COM PL ET E TH IS SE C TIO N FOR NO N ·RES I D E N TI AL BU IL D I NG PERM I TS 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? Yes No
Is the applicant or Mure building occupant required to obtain a pennit from the air pollution col'llrol 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 is issued (Sec. 3097 (1) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I 08ftify that I have iead the appllcatlon and state that the aboY8 infonnatlon is com,ctand that the infonnatlon on the plans is accurate. I agme to romplyYnth all CH¥orcllnances and State laws relating to builclng construction.
I hereby aulhorize representative of ~e Clfyof Carlsbad lo enter upon ~e above mentioned property llr inspection purposes. I Al.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD
AGAINST AU_ LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AN'/ WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: NI OSHA pe,mlt is requied bf excavations over 5'0' deep and demolitbn or construdkln of slruch.Jres over 3 stories in hei;;lhl.
EXPIRATION: Every permit issued by lhe Buik:ling Olfcial under the provisk:ms of this Code shall expire by limitalK>n and te::ome nut and ~k:l W the IJJik:ling or 'A()r1(. authorized by such permit is not CXJ1T1menced within
100 days from lhe dail of such permit or if the buikiflQ or v.ork authorized by sudl permit is suspended or abandoned at any ijme after lhe w:irk is commenced for a ~riod of 180 days (Sedkln 106.4.4 Unibrm Building Code).
AS APPLICANT'S SIGNATURE DATE
• 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, Email 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
carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPllONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL/FAXTOOTHER: _______________ _
Ai APPLICANT'S SIGNATURE
ASSOCIATED CB#------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
•
·inspection List
Permit#: CB152747
Date Inspection Item ..
09/01/2016 19 Final Structural
09/01/2016 19 Final Structural
Type: PATIO
03/15/2016 14 Frame/Steel/Bolting/Weldin
11/19/2015 11 Ftg/Foundation/Piers
Friday, September 02, 2016
Inspector Act
PD
PD
PY
RI
AP
AP
AP
THOMAS: 500 SF DECK & STAIRS
ATTACHED TO ACCESSORY STRUCTUR
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