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Home My WebLink About1352 MAGNOLIA AVE; ; CB053502; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-06-2005 Plumbing Permit Permit No: CB053502 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1352 MAGNOLIA AV CBAD PLUM Status: Parcel No: 2052104600 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: GREER RES NEW H20 HEATER Inspect Area: Applicant: ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 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 0 0 0 0 1 0 0 Owner: GREER BARBARA J FAMILY TRUST 1352 MAGNOLIA AVE CARLSBAD CA 92008 ISSUED 10/06/2005 SB 10/06/2005 10/06/2005 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: FINAL APP OV L /o 17 os Date: Clearance: $0.00 f approval of your project includes the -imposition~ of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.ff 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 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C'C5a5".3-S'e2_ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Validated By ___ _,.....,..~-------- Plan Ck. Deposit ~~ Date IC{i;.{, Address (Include Bldg/Suite #) Business Name (at this address) Legal Description Unit No. Phase No. Total # of units Existing Use Proposed Use SO. FT. #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fax# \}~~~:__ D @::dg~t;t~ ionl;::;::6w~~9•)£.°':~ Name Address V City State/Zip Telephone II 4. 6~~WNE~•; •.•··~·• Name I Address , City State/Zip Telephone # 6. CONTRACTOR, CbMPANY NAME' (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any strvcture, 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 exempt therefrom, and the basis for the alleged exe p · 7-Any violation of Section 7031.5 by any applic t for a permit subjects the applicant to a civil penalty of no more than five hu_l)flred dol!ars [$5001). v I::, 2 \CD Ck · 4i>ll., 5 Name State Ucense # _7-_q~J~'B:~l.._O __ _ Addr City State/Zip Telephone# City Business License # __ \_'O~P0 __ 7_Q)~_ Designer Name Address City State/Zip. Telephone State license # _________ _ 6. WORKERS·· dbMPENSAi'idN····"· - 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. ~ 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 worker's compensation insurance carrier and policy number are: Insurance Company ~ ~ . Policy No. 24'?,~ -Q~ Expiration Date __ l~~_l_{_Ob ___ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED COLLARS ($1001 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 to Workers' Compensation Laws of California. WARNING: Fallur c erage Is unlawful, and shalt subject an employer to crlmlnal penalties and civil fines up to one hundred thousand dollars ( o ation, d'amagea as provided for In Section 3706 of the Labor code, Interest and attorney's fees. DATE roJ'flos= I hereby affirm that I am 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, 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). 0 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(sl licensed pursuant to the Contractor's License Law). D 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. 0 YES ONO 2. I {have/ 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/ phone number I contractors license number): 4. l 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 I phone number/ type of work): _______________________________________ ~-------------------- PROPERTY OWNER SIGNATURE_______________________ DATE _________ _ COMPLETE THIS SECTION FdR NOJ\r-RE'S1DENffAL'iUJilDJN()"PER:'Mitii"CfNL-'\W" ·' -nr:-t1:,,, ... ,,1,:i,-·,·:···::"'_A' 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 Act7 0 YES O 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 to be constructed within 1,000 feet of the outer boundary of a school site? 0 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 IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL CISTRICT, 8, CONSTRUCTION LENDING AGENCY J 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 9. APPLICANT CERTIFICATION I certify that 1 have read the application and state that the above information is correct and that the information· on the plans is accurate. t agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbed 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 5'0w deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued the ullding 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 ence within 180 days from the of uch permit or if the building or work authorized by such permi! is suspended or abandormd at any time after the work is com ce or a perlo of 180 days (Se n 1 6 4. niform Building Code). l.l\ )'-f /fb APPLICANT'S SIGNATURE \ DATE ____ f_V _________ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/13/2005 Permit# CB053502 Title: GREER RES NEW H20 HEATER Description: Type: PLUM Sub Type: Job Address: Suite: Location: 1352 MAGNOLIA AV Lot APPLICANT ARS 0 Owner: GREER BARBARA J FAMILY TRUST Remarks: Total Time: Inspector Assignment: Phone: 7607295076 Inspector: ---- Requested By: BARBARA d;]). ~ntered B : JANEAN CD _D_e_s_c-rip-t-io_n _______ A~_m_m_e_n_t_~_-~ _ _,__ __________ _ 25 Water HeaterNents ==+-= Associated PCRs/CVs Inspection History Date Description Act lnsp Comments