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HomeMy WebLinkAbout1207 MAGNOLIA AVE; ; CB010128; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01/10/2001 Miscellaneous Permit Permit No:CB010128 Building Inspection Request Line {760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 1207 MAGNOLIA AV CBAD MISC Subtype: 2052807900 Lot #: $60,000.00 KLIEN -FIRE DAMAGE REPAIR REPAIR 0 LIKE KIND REPAIR, REROOF CLASS A ONLY Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/10/2001 JM 01/10/2001 01/10/2001 FREEMAN & SON FIRE RESTORE KLEIN GERALD&RIEKA 22359 BOATING WAY CANYON LAKE CA 92587 909-303-1656 1207 MAGNOLIA AVE CARLSBAD CA 92008 8626 01/10/01 ~,g,. Total Fees: $674.00 Total Payments To Date: $0.00 Balance Due: $674.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: £.4,; PERMIT ELEC FINAL APPROVAL Date: r,z.¢✓ $654.00 $20.00 $674.00 Clearance: 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 folbw 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 capactiy 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 vou have oreviouslv been qiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK No.Cl36f .--1l-'3 EST. VAL. t;q i)/.) _) Plan Ck. DepE ~:~~ated By d-""'u AA 1. Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use / l,; oo -s . ,:-< Proposed Use 5 SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) ;;2~'35.tf Address Telephone# Fax# 3. APPLICANT O Contractor O Agent for Contractor O Owner Name Address City State/Zip Telephone# City State/Zip Telephone# 5. CONTRACTOR -COMPANY NAME (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 exempt therefrom, and the basis for the alleged emption. Any violatlon of Secti~ 70,31 .5 by any aPflicant top pe[mit subjects the applica~ to a ivil penalty of not more t!)a,n five hur~d pollars [$5001) . ..r:...,LS-e:.S::l~~:..:i,.~!.lrl.........1::.U::.:!!"<-~~:!,;e~s~-~~{'~~~\~c~V"~_!!'-~:l.~?.>~S"~1..!_!...:, b~~-~~~~~~~U,,.t::~0£.f'..J::::~K~e.:::.p=:l:::::'_J_..L:.:.U 7 Name L 0◊3a I Address A City State p Telephone# Stat Li ense # _(J O ~ _ .:.I _ License Class r ,J ~1 \ <:_ City Business License # _______ _ Address City State/Zip Telephone State License # _________ _ Wo rs' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ ORKERS' COMPENSATION 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 com11ens ion insurance car,ier and policy number are: Insurance Company °\="" ~~ Policy No. O 4:v -O I Expiration Dateb 1 -O 1 -o}... (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($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 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 do s $ 0,000) ·n add' i to the t of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATUR~-lf...._:_.=_+-.L!...,~1.,6,==1.=~--=------------DATE I -Io -o I 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Con actor'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 thb 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). 0 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 / 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): ________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE 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? 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 7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUEO UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8, CONSTRUCTION LENDING AGENCY 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 ---------------------------- 9. APPLICANT CERTIFICATION 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 Cit\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 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 withi 180 days from 11:le 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 co ed for a 10d of 1 d s (Seer n 106.4.4 Uniform Building Code). DATE ~l-_,_/.zc_D_-_O_\.c.___ __ _ PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/18/2001 Permit# CB010128 Inspector Assignment: GG --- Title: KLIEN • FIRE DAMAGE REPAIR Description: LIKE KIND REPAIR, REROOF CLASS A ONLY Type:MISC Sub Type: REPAIR Phone: 8588646904 Job Address: Suite: Location: 1207 MAGNOLIAAV Lot 0 APPLICANT FREEMAN & SON FIRE RESTORE Owner: KLEIN GERALD&RIEKA Remarks: Total Time: Inspector: ----- Requested By: JERRY Entered By: CHRISTINE CD Description Act Comments 19 Final Structural fi/!_ ___________ _ Associated PCRs lnsgectiQn Histo01 Date Description Act lnsp Comments 05/11/2001 16 Insulation AP GG VIS@VAULTSOK 05/02/2001 17 Interior Lath/Drywall AP GG NEED TO SEE VAPOR BARRIER@ VAULT 04/25/2001 16 Insulation AP GG 04/20/2001 14 Frame/Steel/Bolting/Welding AP GG 04/20/2001 24 Rough/Topout WC GG 04/20/2001 34 Rough Electric AP GG 04/20/2001 44 Rough/Ducts/Dampers AP GG 04/03/2001 14 Frame/Steel/Bolling/Welding co GG SEE ATTACHED NOTICE 03/28/2001 14 Frame/Steel/Bolling/Welding NR GG OK TO DRY ROOF 03/26/2001 84 Rough Combo co GG SEE ATTACHED NOTICE 03/20/2001 14 Frame/Steel/Bolting/Welding CA GG 03/20/2001 15 Roof/Reroof co GG CRICKET & ROOF FRAMING 03/19/2001 14 Frame/Steel/Bolling/Welding CA SR