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HomeMy WebLinkAbout1257 MAGNOLIA AVE; ; CB051331; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-12-2005 Mechanical Permit Permit No: CB051331 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1257 MAGNOLIA AV CBAD MECH Status: Parcel No: 2052805500 Lot #: 0 Applied: Valuation: $0.00 Reference #: Project Title: TRAYER RES-INSTALL FURNACE/AC f"(iij,iicant: · ···-------~OR CO SERICE l~C: _ __,..) 1531 S COAST HWY 92054 (760) 722-1541 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES 2 0 0 0 0 0 Entered By: Plan Approved: Owner: TRAYER JANIE A TR 1257 MAGNOLIA AVE PO BOX 1094 CARLSBAD CA 92018 Issued: Inspect Area: ISSUED 04/12/2005 LSM 04/12/2005 04/12/2005 $15.00 $18.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $53.00 Total Fees: $53.00 Total Payments To Date: $0.00 Balance Due: $53.00 5825 04/12/05 0002 01 02 Inspector: FINAL APPROVAL Date: /o/7,/4 5 ' ) CGP 53-00 Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservatioos, 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 Sectioo 3.32.030. Failure to timely follow that procedure will bar any subsequent legal actioo to attack, review, set aside, void, or annul their imposition. Yoo 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 applicatioo processing or service fees in connection with this project. NOR DOES IT APPLY to any f fwhi h h v vi n iv n I imil r i r h limi i i I rw1 x ir FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.M o ~ 1 ~ ?:> 1 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Validated By __ c: Plan Ck. Deposit = Date 1.--1: oS Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units , t!.. Existing Use i)(X) Propos Use SO. FT. #of Stories II of Bedrooms II of Bathrooms Name Address City ~1l,;l~(~~J!!:!~J,1ti1.·i'H:Jl~tt111'lr~~ii:4f~£J!iJ'i.*.l.ii'iii'ii~ltcit~8.i,~i;'~11.tqt!.i4:,□,·oy,1n~r: ;• ·,□ · :4'geri'MQf;~i'i:/ii:. • Sta~e/Zlp Telephone II Fax II ,;'f,'.,:.'( .. (: Name Address City State/Zip Telephone II Address State/Zip Telephone I lit~,I;.(iQrtll#CJil:i~1~1:1lijMJiHYiiN#}it~t,liJi:)'(!;!M~\fi!i\',l,t~':l:\·.:. , ,;' ':C :,;;.;;:-,, /;. \\: 1: ,\,,: :.,~, i; :1,],·:..:,t~·,:rt,;t:i. :f:~;_z~,;~r:t\f!1"!5\1·r;l1i;i1:i{~ ~·~-~"-•i~}rt::;h'f,;:JiMir, 1.,.~ ;( ),W/l,\34\: (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 ha 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 ha Is exempt therefrom, and the basis for the alleged exeml!Jl~n, Any latlon action 7031.5 by any applicant for a permit subjects t llcant a civil penal~ nol:,{no!U!JJ" five hundred dollars 1•5001), /Vt~ OJ~ / /531 S-CO ' ~.7~ I 7~0-?ll-'--✓~-y/ Name State LI Address ~~~-8~'---4..:..:.J...:.3::.~I License Class City State/Zip Telephone II ecJ_ e ~ City Business License II ~ D ~ r-e,. Frf P I, Designe Address City State/Zip Telephone State License II _________ _ tl;~W.iRlii-fl'.JtittPM~J.i'ri!:tff!ll!i:?i:i:ff~~ifi;.T-;:;.s1t:,c: t~~1;l~'rt:, -!>'; ,;: i:i , . \'ht·' .iW:;,J;,Jii.'.~:/} ;:;~~/~•tfs.;Jt.!.f:t:.:t ;, , (i1fr ;;:.\!/, '· ~:,.o l ,a/,,:,:,; ·,: .'ifk.::! ·'..}~{+ \;i.t: ,, ':" ,-~· !,,rt,v,..i;,.:i,~ =t Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: · 0 I have end will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Coda, for the performance of ~e work for which this permit Is issued. \> Jlr I have end 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 worker's compensetlon. urenc errler end policy number are:do/,, Insurance Company -~Ll.~-+!::!::l~~:..__________ Polley No, /"7g ~ 8'. 6".1. -(? t/ Expiration Date ~,5 (THIS SECTION NEED NOT BE CO PLETED 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 shell not employ any person In any manner so es to become subject to the Workers' Compensation Laws of California, WARNING: Fel1unl.to ·ee e worlrera' compenaatlon coverage la unlawful, and ehell eubJect en employer to crlmlnal penaltles end civil fines up to one hundred ~ ~l;~~~~;:ara01•1-~-O:~~:~:~r,n •tt .. :~~ .. ~:co,~~~=:~':".•,:~:~~~:,:.~~~~-:: ~-~e1c~~o~ -~~~8~;~:~ ~~?J::(,:: ::~::Y:•.~~ea. , ~, lt!~:'~l~P---"J~ ' . __ : . .'.~ .. l ~ _Jl(JJi:,n~41'iiuN!l4!J:_~'(ljij~,f~.,l t~v~"llr·~·~:l~~•!"J,,~::~~~!~:ts•,;1~'~~~:•riJ:-,/fr,;~t,•;-j,1~·~~·f~~' ~~· ':!-i ~ ,, .. f1 , ~·-·~~~ '1:.1~~}·i'.r-;~~ -+..)~•.:i;i.:7_}'~1~;11t,~:i'.ti -•i;1i'~ ..;~ .. till~~~ t~ ~.,. • .,,'r::i ~-Ii~~:.~:; ~:E, I he;eby affirm that I em exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, wlll do the work and the structure Is not Intended or offered for sale (Sec. 7044, Business end 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, em 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 Section ______ Business end Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property lmprovamem. O YES ONO 2. I (have/ have not) signed an application for• building p·ermit for the proposed work. 3. I have contracted _with the following person (firm) to provide the proposed construction (include name / address / phone number / 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 number/ 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 / address / phone number / type of work): _________________________________________________________ _ .,, ., .. ·.,, , .. , ,·.;.,;.,·""~h:'l:,{,I 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? 0 YES O NO Is the applicant or future building occupant requl;ed to obtain a permit from tha air pollution control district or air quality manege;.,ent district? ·O YES O NO Is the facility to be constructed within· 1,000 feet of the outer boundary of a school site? 0 YES O 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. iJ;~ffi'§fiij~tilfljjjigJff~Q.JN9.'~~J(ij~~~fJ'.iV;£i.~nifffL;;·::,;'l:!:f/::;p.t};!/i•:;r;.::~:·;:.·;·,;_'?;:};:t;f,·• , .. ,. I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(i) Civil Code). LENDER'S NAME -------~-------LENDER'S ADDRESS _______________________ _ . OJ~: ~~J.tffl;l.aUttiCC.Efi~,ttextlCli~~;1~1tL~~i!~~;it~i~ j~J::I:~;~*i·~ /\\1'.'l~;,~\ :.i c~::f\;j A -~i'~·~;. H . ::-!-~ -~~,; (~;.~ '! '~::~~i~~:<:·;.~ 1.-~r:/_: ::·~\f.i:";,1:!"-1\';::HliJ'!:'.f (j•.,f~ i~1£~:; J_, t :1t11\;1:i ~~_;:~,:;, :Cf~:=5:~ 3' ,;\i"·i:;·•~/{;.;~~'!f-·1 !?~».-=~;~~ I certify that I have reed the eppllcetlon 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 and State laws relating to building construction. I hereby authorize representatives of the Clt\t 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 CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required for excavations over 5'0" deep end demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit Issued b he building Official under the provisions of this Code shall expire by limitation and become null and void If the building or work authorized by such permit Is not co enced within 180 days from the date of such permit or If the building or work authorized by such permit Is suspended or abandoned J at anyUme after lhe work Is com need for a eriod of 180 days (Section 106.4.4 Uniform Building Code). lf-,..ppucANT'S SIGNATURE~~~~~~~~z.. _____________ ....:__ DATE --,~"--,,<'-'--fi.,,_0_J>_;-_-____ _ WHITE: File .YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/24/2005 Permit# CB051331 Title: TRAYER RES· INSTALL FURNACE/AC Description: Type: MECH Sub Type: Job Address: Suite: Location: 1257 MAGNOLIA AV Lot APPLICANT MOOR CO SERICE INC Owner: TRAYER JANIE A TR Remarks: Total Time: 0 Act Comment Inspector Assignment: TP --- Phone: 7607221541 losp,ow,L Requested By: HAROLD Entered By: KAREN CD 43 49 Description AirCond/Furnace Set Final Mechanical 1-~A<.e...j-,/<=C._____.._,M~Z'~T__,__.u-,=1,_..,/2~z.~------- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 04/14/2005 43 AirCond/Furnace Set CO TP NOTICE ATTACHED