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Home My WebLink About1196 MAGNOLIA AVE; ; CB021964; PermitJ k 1Pi7 ~- City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-01-2002 Miscellaneous Permit Permit No: CB021964 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1196 MAGNOLIA AV CBAD MISC 2052102200 $1,332.00 Subtype: REROOF Lot#: 0 JACOBSON • REROO 1200 SF COMP Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: JACOBSON DOUGLAS E&SUSAN E JACOBSON DOUGLAS E&SUSAN E ISSUED 07/01/2002 JM 07/01/2002 07/01/2002 PO BOX 309 CARLSBAD CA 92018 PO BOX309 CARLSBAD CA 92018 0388 07 /0Li02 J002 J1 COP Total Fees: $47.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Inspector: Total Payments To Date: $0.00 PERMIT FINAL APPROV~ Date: :::1 \dd, Balance Due: Clearance: $47.00 $0.00 $0.00 $47.00 $47.00 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 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 servic.e fees in connection with this project. NOR DOES ff APPLY to any f x inf hv rv' 1 Tl imilr hi whi !limit h I G2 ~~RIVILT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. Pll,OJECT INFORMATION FOR OFFICE USE ONLY ,,/ PLAN CHECIS: No tm/fiif EST. VAL. 17 l l Plan Ck. Depo,,._si,.,.,trf""''--------,---r- Validated By_,,~=-\,.....---.6-~-r-7''-r-,-...._,,::- Date, ______ __,_~:z--.,µ-,,r._;;L....:~;)... AJJ2; ~nc~~~7i' -A'-JS Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel# ~ RE:t<;:oO F ~/I:\ Exiiaing Use ~-\-\ l :t:l& L6S Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms Name · Address State/Zip Telephone # Fax # 0 Con~raqtoi Name Address City State/Zip Telephone# Address City S.tate/Zip Telephone# (Sec. 7031. 5 Business and Professions Code: Any City or County which requires a permit to construct, elter, 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 exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 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. ___________ _ Expiration Date. _______ _ (THIS SECTION NEED NOT BE COMPLETED 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 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worker•' compenaation coverage i• unlawful, and 1hall subject an employer to criminal penalties and civil fines up to one hundred thouaend dollar• ($100,000), In addition to the coat of compensation, damage• aa provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE DATE 7. OWNER-BUI D.ER DECLA~TION ;:;;-:;;;;;;::;;;;;;ni;:;ii;;;::;:;:;:;::;w~...,,,... ... :ffl' I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (i3"' 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(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section ______ Business end Professions Code for this reason: 1. 2. 3. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0YES ONO I (have / ~) signed an application for a building permit for the proposed work. 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): ________ -==:-:::;--\---F"r----------------------....... ..-+--~+------------- PROPERTY OWNER SIGNATURE.J:.:::::~~!:2~~:::::=-------------- COMPLETE HIS SECT!.Qli.E_Qll NON-RE 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 required to obtain a permit from the air pollution control district or air quality management district? 0 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 ANO THE AIR POLLUTION CONTROL DISTRICT. [B. ~Q~S_TRUCTIQ.N LENDING "G.ENCYi 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). i. I certify that I have read the application 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 Citt 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 6'0" deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit issued by the 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 commenced within 180 days from the date of such permit or If the building or work authorized by such permit Is suspended or abandoned at any time after the work Is comma d for a p od of 180 days (Section 106.4.4 Uniform Building Code). / / APPLICANT'S SIGNATURE r~•=>r--C---DATE "\ 0 f cl 2---r J WHITE: File YELLO~: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOBADDRESS: l\'J{p MA'-iNOLIA A✓fi 2. TYPE OF BUILDING: RESIDENTIAL ✓ COMMERCIAL --~ 3. ROOF SLOPE: RISE 4: inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (D 2 3 5. TYPE OF EXISTING ROOF COVERING woetl\ SHEATHING Ix 6 . *6. NEW ROOF MATERIAL A';fi-t CLASS __ WEIGHT PER SQUARE 7. -NUMBER OF SQUARES---'-\'2-___ ...,, 8. TRADE NAME. _______ MANUFACTURER _____ _____... 9. ROOF SYSTEM LISTING UL No. ___ ~ICBO No. ____ ~ 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? @ NO All roof coverings are required to be CLASS A. Combustible roof coverings of any type or classification are prohibited. I understand the following inspections are required: -,.-, u 1. Tear Off/Pre-inspection prior to instali new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. SignatureW~ Date 7 / 0 l / o L ---i,~--i7~--- Contractor ___ Owner_✓ ___ Contractor Narre ______ _ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. . . • ,·(il• City of Carlsbad Bldg Inspection Request . For: 07/19/2002 . Permit# CB021964 Title: JACOBSON • REROO 1200 SF COMP Description: Type:MISC Sub Type: REROOF Job Address: 1196 MAGNOLIAAV Suite: Lot 0 Location: APPLICANT JACOBSON DOUGLAS E&SUSAN E Owner: JACOBSON DOUGLAS E&SUSAN E Remarks: Total Time: CD Description Act Comments Inspector Assignment: SR --- Phone: 7607295526 Inspector: !:R-.. Requested By: DOUG Entered By: CHRISTINE 19 Final Structural ~ t ~ ( ~ ~ D. ~ O'l!.."Ut (.qv-y\S\0 ~ ~ ~ ,151,,. 'J /;)./Oc), J 5~. Associated PCRs/CVs Inspection History Date Description 07/02/2002 15 Roof/Reroof Act lnsp Comments CO SR WOOD SHAKE STILL ON ROOF/CANNOT VERIFY THE CONDITION OF THE EXISTING 1X6 SHEATHING