HomeMy WebLinkAbout1196 MAGNOLIA AVE; ; CB072796; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-05-2008 • Residential Permit Permit No: CB072796
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
1196 MAGNOLIA AV CBAD
RESDNTL Sub Type: RAD Status
Lot#: 0 Applied:
Valuation:
2052102200
$0.00 Construction Type: NEW Entered By:
Reference#: Plan Approved: Occupancy Group:
# Dwelling Units: O Structure Type: Issued:
Bedrooms: 0 Bathrooms: 0 Inspect Area:
Project Title: JACOBSON RESIDENCE Orig PC#:
TWO 440 SF ACCESSORY STRUCT. & SUNSCREEN CANOPY Plan Check#:
Applicant: Owner:
JACOBSON DOUGLAS E&SUSAN E JACOBSON DOUGLAS E&SUSAN E
PO BOX 309 PO BOX309
CARLSBAD CA 92018 CARLSBAD CA 92018
Building Permit $0.00 Meter Size
Add'I Building Permit Fee $0.00 Add'I Reel. Water Con. Fee
Plan Check $0.00 Meter Fee
Add'I Plan Check Fee $0.00 SDCWAFee
Plan Check Discount $0.00 CFO Payoff Fee
Strong Motion Fee $1.00 PFF (3105540)
Park in Lieu Fee $0.00 PFF (4305540)
Park Fee $0.00 License Tax (3104193)
LFM Fee $0.00 License Tax (4304193)
Bridge Fee $0.00 Traffic Impact Fee (3105541)
Other Bridge Fee $0.00 Traffic Impact Fee (4305541)
BTD #2 Fee $0.00 Sidewalk Fee
BTD #3 Fee $0.00 PLUMBING TOTAL
Renewal Fee $0.00 ELECTRICAL TOTAL
Add'I Renewal Fee $0.00 MECHANICAL TOTAL
Other Building Fee $0.00 Housing Impact Fee
HMP Fee $0.00 Housing lnLieu Fee
Pot. Water Con. Fee $0.00 Housing Credit Fee
Meter Size Master Drainage Fee
Add'I Pot. Water Con. Fee $0.00 Sewer Fee
Reel. Water Con. Fee $0.00 Additional Fees
TOTAL PERMIT FEES
EXPIRED
11/05/2007
Total Fees: $1.00 Total Payments To Date: $0.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: Clearance:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1.00
$1.00
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 rtght 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 . • • ,._A • '-----: •• -.,,. · ,1.1-rir __ ..,,,.,..;...i."---~__..,.,.. · · · n"""" · ·· · i-.1
City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717} 2718/ 2719
Fax: 760-602-8558
Building Permit Application
JOB ADDRESS U1~
CT /PROJECT# LOT# # BEDROOMS
Plan Check No. Q
Est. Value
Plan Ck. Deposit
Date
SU1TE#/SPACE#/UNIT# APN
# BATHROOMS TENANT BUSINESS NAME I OCC. GROUP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS {SF) DECKS (SF) FIREPLACE AIR CONDITIONING F\RE SPRINKLERS
1'11~ lln'-K Sffc:G ~---~ YES □ • --NOD YES □ NO □ YES D NO □
~CT~fferen~cant} j APPLICANT NAME
:.ZV• • l} &-5<F!
ADDRESS ADDRESS
'PC!:>~ 3,()
CITY ZIP CITY STATE ZIP
C .. ,., S~A[) PL¾
PHONE PHONE FAX
"'8-J,ca-,, EMAIL
~ CONTRACTOR BUS. NAME
ADDRESS
STATE ZIP CITY STATE ZIP
(,.Ji..
FAX PHONE FAX
~-ec,.--
EMAIL
STATE UC.# STATE LIC.# CLASS CllY BUS. LIC,#
/Sec. 703 U Bu1ir1m and Prolessiom Code: Any City or Counr,: which requires a pennit to construct, alter improve, demolish or rtP.air any structure prior to its i1Suana, also requim the applicant for such ~it to file a signed suttment thal he is ricensed JlUrsuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 1000 of DiYision 3 of the B111ine$1 and Pro~sions Code) or that he is exempt theretom, and the basis for the alleged exemption. Any violation of
Section 7D3l.5 by any applicant for a permit rnbjects the applicant to a civil pei».lty of not more than five hundred dollars {$500)).
, WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D I have and will maintain a certificate of consent to 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.
D 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 __________ _
~s_;ection need not be completed if the permit is for one hundred dollars ($100) or less,
lir' 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 lo become subject lo 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 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.
~ CONTRACTOR SIGNATURE DATE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□ 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).
□ 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).
fl!""' I am exempt under Section _____ 8,usiness and Professions Code for this reason
1. ~lly plan to provide the major labor and materials for construction of the proposed property improvement. ✓ves □ No
2. ~! ti ave 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/ 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 I phone/ contractors' license number}:
5. I will provide some of the work, but I have conlracted (hired) the following persons to provide the work indicated (include name I address/ phone / type of work}:
Is the applicant or future building occupant required to submit a business plan. acutely hazardous matenals registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? D Yes D No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No
Is the facility 10 be constructed within 1,000 feel of the outer boundary of a school site? D Yes D No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR 15 MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certify thatl have read the applir.ation and state that the above infonnation is correct and that the lnfonnation on the plans is acx:urate. I agree to comply with all City ordinances and State laws relating to building oonstructlon.
bhereby 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 ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0' deep and demciition or construction of structures over 3 stories in height.
EXPIRATION: Eve,y pemiit issued by the Building Official under the provisions of this Code shall 8):pire by limitation and become null and void if lhe building or work authorized by such pemilt is not commenced within
180 days from the date of such permit or if the build' g or work au1horized by such permit is suspended or abandoned at anytime after the work is commenced fol' a period of 180 days (Section 106.4.4 Uniform Building Code).
~ APPLICANT'S SIGNATURE DATE Nav S 't..-e
September 4, 2008
DOUGLAS JACOBSON
PO BOX 309
CARLSBAD CA 92018
RE:
APPLICATION DA TE:
PLAN CHECK#:
ADDRESS:
EXPIRATION DA TE:
PERMIT TYPE:
DESCRIPTION:
City of Carlsbad
■~t•■■b ■l,1·1·14·Elii,,i§,II
11/05/2007
CB07 2796
1196 MAGNOLIA AV
11/04/2008
RES
TWO 440 SF ACCESSORY STRUCTURES W/CANOPY
You applied to have your plans checked on the date noted above. To date, the related building
permit has not been obtained. The original plan review application will expire as no building
permit has been issued.
Plans submitted and not retrieved from the building department prior to the plan check
expiration date noted above will be destroyed.
The provisions of sections 304 (d) of the Uniform Building Code state:
"Section 304 9d) Expiration of Plan Review
Applications for which no permit is issued within one year following the date of
application shall expire by limitation, and plans and other data submitted for review
may thereafter be returned to the applicant or destroyed by the Building Official.
In order to renew action on an application after expiration, the applicant shall resubmit
plans and pay a new plan review fee."
In order to provide better service, please indicate your handling choice for the plans originally
submitted and return this letter to the Building Department.
__ Project Abandoned-I will pick up the plans within 10 days
___ Project Abandoned -Plans may be destroyed
If you have any questions, please contact the Building Department at (760) 602-2719.
Building Department
CC:
1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2700 • FAX (760) 602-8560 @