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HomeMy WebLinkAbout1371 Magnolia Ave; ; CBR2017-2042; Permit• Print Date: 01/03/2019 Job Address: 1371 Magnolia Ave Permit Type: BLDG-Residential Parcel No: 2052808000 Valuation: $ 28,092.04 Occupancy Group: # Dwelling Units: 1 Bedrooms: Project Title: Residential Permit Work Class: Second Dwelling Unit Lot#: Reference#: Construction Type Bathrooms: Orig. Plan Check#: Plan Check #: (city of Carlsbad Permit No: CBR2017-2042 Status: Applied: Issued: Permit Fina led: Inspector: Final Inspection: Closed -Expired 09/01/2017 Description: CAVANAUGH: CONVERT GARAGE (400 SF) AND LAUNDRY ROOM (204 SF) TO 604 SF ADU Owner: COOWNER CAVANAUGH WILLIAM & CAVANAUGH BARBARA A FEE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) Po Box 25379 ENCINITAS, CA 92023 619-507-2727 ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION MECHANICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $ 782.37 Total Payments To Date : $ 0.00 Balance Due: AMOUNT $271.60 $190.12 $41.00 $170.00 $42.00 $62.00 $2.00 $3.65 $782.37 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Building Division 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov THE FOLLOWING APPRSVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD (city of Building Permit Application Plan Check No/\0.~ 2017 • 7 r\4. 2 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value -?~. OC12.- Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov I o"i M OV"' rw I ,· <A-www.carlsbadca.gov Date s-,l.-2-. l -I~ JOB ADDRESS \ •0 \ \ Hoo.no\\ a_,, SUITE#/SPACE#/UNIT# lzo t:=:i -z~r -5( n -Oc1 eoPm ,-00,~0 " ..., I PHASE# I# OF u/rrs I# BEDROO~s # BATHROOMS I TENANT BUSINESS NAME CONSTR. TYPE I occ. GROUP I I DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) a.:li t....,--f l.,____J."1 ~( St,1/-4 J Cu"~ ..... -\-"2 "',.. 1.°'"'~1-" "'"'J ,.2.0 '( · (<feo J~-f+ ~ U;,+ -\-<J /f-c,r#SJr' 1 'u u.-<>U,.-1o/ -ftrtcJ /J:>04 SF "DU EXISTING USE FIREPLACE I PROPOSED USE vftGARAGE (SF) ~ Arc-#U-. ~~(14•• <( ao , PATIOS (SF) I DECKS (SF) YES0, 1 IAIRCONDITIONING IFIRESPRINKLERS NO□ YES □No □ YES□No□ APPLICANT NAME ' \' Cr>.N«.,_,.._ L PROPERTY OWNER ..{' (Mo\ c.. Primary Contact .._,,L,L"'\ ADDR.b--l~lo'I Mo.,.,..,(,._ ~ ADDRESS CITY (c,1.,,-l .. Li ... ..( 7 STATE ZIP CITY STATE ZIP rA--q ,1.0<lf- PHONE FAX PHONE 'FAX l( I I\. So"""\ ~')-a. r EMAln \ '-e u .t ""0 dvlA_,-.1.,c..., EMAIL \ , ll {C)"'1 DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE i 'FAX ---EMAIL EMAIL I lSTATELIC.# STATE LIC.# I CLASS I CITY BUS.TIC.# (Sec: 7031.5 Business and P_rofess1ons Code: Any City or Coun_ty which requires a permit to.construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_m1t to file a si~ned statement that he 1s licensed pursuant to the provisions of the Contractor's License LawjChapter 9, comme_nd1ng with Section 7000 of D1v1s1on 3 of the Business and Professions Code} or [hat he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 031.5 by any applicant for a permit subJects the applicant to a civil penalty 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 __________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in lhe 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 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 □AGENT DATE OWNER-BUILDER DECLARATION .1 hereby affirm that I am exempt from Contractor's License Law for the following reason: ~ 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 ale. 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), 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 perty who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License 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. OYes 0No 2. I (have I have not) signed an application for a building permit for the proposed work 3. I have contracted wil/1 the following person (firm) 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' 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 I address I phone/ type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE ; . • !l:OMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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 future building occupant required lo obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feel 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above infonnation Is conectand that the infonnation on the plans is accurate. I agree to comply with alt City ordinances and State laws relating to building oonstruction. I hereby au~orize '"!ll1lSeOlative of ~e Cily of Carlsbad ID enter upon the above mentioned properly for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTIES, 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 a,JeI 5'0' deep and demolitial or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the prtMSions of this Code shall expire by limitatioo and become null and void if the building or WOOi authorized by such permit is not commenced v.ithin 180 days from the date of such permit or if the building or WOOi authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ,l!5 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 buildinq@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. LIC. No. DELIVERY OPTIONS 0 PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) □ MAIL TO: □ CONTACT (Listed above) o OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □ MAIL/ FAX TO OTHER: ________________ _ A$ APPLICANT'S SIGNATURE o ASSOCIATED CB# ____________ _ □ NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE ZIP