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Home My WebLink About1250 MAGNOLIA AVE; ; CB100489; Permit03-19-2010 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB100489 Building Inspection Request Line (760) 602-2725 1250 MAGNOLIA AV CBAD PLUM 2052107500 Lot#: 0 Construction Type: NEW PFANKUCH/UNDERGROUND SEWER,WATER,ELECTRIC CONDUIT.GAS Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/19/2010 KG 03/19/2010 03/19/2010 Applicant: Owner: PFANKUCH MICHAEL J&YVETTE C REVOCABLE TRUST 06-0 PFANKUCH MICHAEL J&YVETTE C REVOCABLE TRUST 06-0 3532 DONNA DR CARLSBAD CA 92008 3532 DONNA DR CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Total Fees: $1,208 00 ~ Inspector: / 0 0 0 0 0 1 0 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $85.00 $0.00 $1,096.00 $0.00 $1,208.00 Total Payments To Date: $1,208.00 Balance Due: FINAL APPROVAL 11/(t>/;I> , Date: 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 Car1sbad 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 planning1 zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f ·n fwhih hv rvi I ivn N Tl hi r hichh state flim' in «1'» Est. Value ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Ck. Deposit Date SUITE#/SPACE#/UNIT# PHASE# #OF UN # BEDROOMS #BATHROOMS 1'NA DESCRIPTION OF WORK: Include Squa,. Ffft of Anr.ct.d A,u(a) s;'e.U,1,£, l PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES 0 ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE ZIP FAX ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# CLASS CITY BUS. 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 requires the applicant for such permit 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 Division 3 of the Business and Professions Code} or that he is exem9.t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applk::ant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workan' Compensation Declaration: I hereby afflrm under penalty of pBrjury one of the following dedarations: 0 I havt and wUI maintain • certificate of consent to Hlf-inlllft for workers' compensation as provided by $action 3700 of the labor Cod&; for the performance of the work for which lhis permit is issued. 0 I hive and wlU maintain worktrs' compensation, as required by Seclion 3700 of the Labor Code, !or the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No. ______________ Expiralion Date _________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that in the performance of the work for which this pennil is issued, I shall not employ any person in any manner so as to become subject to lhe Workers' Compensation Laws of Galilornia. WARNING: Failure to secure workers' compensation coverage is unlawful, alld shall subject an employer to criminal penalties and civil fines up to ont hundred thousand dollf'I (&100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and atlorMY'• fees. ..6$ CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's l..icense Lew 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. II, 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 oontraclors to construct the project (Sac. 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 conlraclor(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section _____ Business and Professions Code for this reason: 1. I pllfSOrlally plan lo provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have I have no!) signed an application for a bu~ding permit for the proposed work. 3. I have contracted with Iha following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan lo provide portions of lhe work, but l have hired the following person to · ate, superv· and provide the major WM( (include name I address I phone I contracm' license number): 5. I wiN provide soma of the work, but I have contracted (hired) the following work indicated (include name/ address I phone/ type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE.THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future bu~ding occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevenUon program under Sections 25505, 25533 or 25534 ol Ile Presley-Tanner Hazardous Subslance Account At;(! □ Yeti □ No Is the applicant or future buiding occupant required to obtain a permit from the air pollution control district or air qua~ty management dislricl? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary d 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 COflstruction lendtrg agency for the perfonnance of the work this perm1t as issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I hlM ftlld the appllcation and state dlatthe abo¥e lnfonnatlon ls correct and that the lnfonnatlon on the plans Is accurate. I agtae to COfflP'1wlth ail c:My' o«llnances and Stala laws 1'81atingto buildk1C construction. 1 t-oreby--we ollhe aty olC""6bad ~ enler ""'1 to"'°"' menooned property for r,spedilo1 l'-'l'()OeS. I ALSO AGREE TO SAVE, INIJEMNIFY AND KEEP HARMLESS THE CITY OF CAALSBAD AGAINST ALL L"-BILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGl>JNST SAil crrv IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT. OSHA: An OSHA peimil: is reQlnd b excavations over 5'0' deep and demolilioo or construdion of siuctures 0Y8I' 3 sbies fl heitjll. EXPIRATION: EV81)'peomit issued byto Buikllng Ollicial underlhe Pl1MS""S ol~• Code shal exp;. by . . and becaro null and voe Wlhe buidr,;i orm auhlrized by such pelllil. nolromnenced witli1 180days tom to dale of such pelllilor Wto buidiYJ or at.f>-ljbysuch ~~;ausi....i~ ~~onda...tatanyline aftorto mis romnenced for a period ol 180 days(Section 106.4.4 lklilorm Buil:lilg Code). ,I$ APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 12/09/2010 Permit# CB100489 Inspector Assignment: TP --- Title: PFANKUCH/UNDERGROUND Description: SEWER,WATER,ELECTRIC CONDUIT,GAS Type:PLUM Sub Type: Phone: Job Address: 1250 MAGNOLIA AV L Suite: Lot: O Location: Inspector: APPLICANT PFANKUCH MICHAEL J&YVETTE C REVOCABLE TRUST 06-0 Owner: Remarks: CAN YOU FINAL? OR SHALL I SEND EXP L TR Total Time: Requested By: Entered By: CHRISTINE CD Description Act Comments 29 Final Plumbing &_ _______ _ Comments/Notices/Holds ----- ·.Notice NEED TO OBTAIN SWPPP PERMIT ASAP. SEE PETE D FOR DETAILS. RELATES TO CODE CASE CV100453. Associated PCRs/CVs/SWPPPs Original PC# lns11ection Histo!Y Date Description Act lnsp Comments 08/03/2010 31 Underground/Conduit-Wiring PA TP CONF. TO EXTEND THE PERMIT 03/29/2010 22 Sewer/Water Seivice AP TP 41N MAIN TO SITE 03/25/2010 22 Sewer/Water Service AP TP 1 1/2 AND 1 WATER LINES ''"· 0 --3 r,(5 Sh.llf ,of, at R/W li,re ----·-- tT. ••' l.tt 111• · SJ()H Cit of CARLSBAD B ILD!~G DEe.r, --- ZtOO J'30 118 - ---8 ct,~el Or-11/~w:;y . e rer prr,fd • --n., -- ___ ... ~o~-r4J.6'1f - ~JJ.~T, c:11.q_.,r, ~ t dj• f )\ isf.P11 l't)t Fvb ~ CuYh -Per Dr'~ ,11•1 Co~ s1rnc1 20' - /t,J.71.1 I S'oDO' f ca/e I •~'IO' 1-1" C I ' • I 30 5' 3/ -r RJ REHBERG Gtas Ta\. TV. Ele,c -1' I 7 5' Sewe.\ \1/dftZc -s~r1 ccypec .L~/ G a.s -+1e-skl . S:aw~ -.50£'.-~ a.MP or ?VC c::£.LS2.C-· '/l/. ~/--/-if, Cone/