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HomeMy WebLinkAbout1780 MAGNOLIA AVE; ; CB052895; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-09-2005 Miscellaneous Permit Permit No: CB052895 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 1780 MAGNOLIA AV CBAD MISC 2052301700 $3,078.00 Project Title: DILLARD RESIDENCE \ 27 SQUARES OF COMP Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: ISSUED 08/09/2005 MDP 08/09/2005 08/09/2005 ~ U ~pplicant: HETHERINGTON ROOFING CO DILLARD 1998 FAMILY REVOCABLE TRUST 3265 VALLEY ST CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $90.00 1780 MAGNOLIA AVE CARLSBAD CA 92008 PERMIT Total Payments To Date: $0.00 Balance Due: $90.00 $0.00 $0.00 $90.00 $90.00 4269 08/09/05 '.JOOZ :)l CGP Inspector: FINAL :0P~VAL Date: 1 (, • ,-Clearance: NOTICE: Please take NO IC that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f fwhih ivn N Tl i ilr hi r hihh flimi in h i I hrwi PERMIT APPLICATION CIT)' OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 ~1 t;;<rfiteMJ.$cit1111.rolW!~T:1d~i;:: ··if,;{ :/;. ··: ~ · ,. . :, . 1,; .• ,},: ·,?.l.(.z!P)~ . .,'P~'; ,:,&:;.,~r~ti 1;1 ...•• ,;•, .r,r,},. i· ... / 7 crO ~9<l<'.O /1:::4 dv Legal Description Lot No. Subdivision Name/Number Assessor's Parcel I Existing Use FOR OFFICE USE ONL ~ PLAN CHECK NO bi. ..... c:J7 ,a EST. VAL. --,,,._,,-----+----t,---- Plan Ck. Deposit---~----- Validated By __________ _ Date ______________ _ Unit No. Phase No. Total I of units Proposed Use Description of Work V-c A--,,,._ o r::-r-l.t/ cw i) S Z,, ,_,, SO. FT. lot Stories I of Bedrooms I of Bathrooms v-.r .-.._s v-=,. // C!... o ---, p L...J/ .,ci/ 7 ,_.,, o o ..J-) . I ·<---~ liZX .·l ~--4tlW:fi£81Qffitli.5!111Mm,~l!f~e.!lnt),l!t~~.l'i~.;' 1rt:;J\~l'•la,/i:. ~"~'~M!l:~ii'f.-.J\J;.', ,·;,1 .~~"~•;'";;l.,.l.'j,• :;;-~,~ .. .;, Vt :l¼i~i1;;.:~1 ~:.·1~,t .. }' ,. •' '\ ,'1' ,:, ... "·• ' J. Address City State/Zip Telephone I Fax I . :~~,l(tt_grf ~IB?>.-31.m~~~-qimiiw!il?El Lt:l~6ii-le~IID0Aif.iii't 19~•~n"rci/'1!'.fi1:t,t~,; .;f,/~il?¥ :·Wti ~l.i1J11, 1::i/i,S1,f ;1,tc;=c•;, L1 ,it •, ;, -). • :, ft,::,,i,~, · .:: 74.,,. ....._ ,_ f?o,,-J 2-. t:,,J-t✓-, ;;c <S rr-/ C '7 200 1/. Name Address City State/Zip Telephone I ~.Jt.lDP.l~WB~~~w~~--\f,,~;~~~'lif~i,f,11'1\,,,\·r:,!i~~tt,•.\•;}!.1,%,\••;,~t"Y,\~J:~t1tv~~Jl~'•'~{t\~$,f~(j\•~(~~it/j\;l:,~~~1Y.1Nlfi'ft'!'~;;:fr\\lt.~.:ly/l'1f•• C., r-,,,.,.,_ V, /l--t-"'-P / z ,rc~,,.._,Q let: A ,_,, C!. 9'-' C!."'9-'7 Z..oor-? 2 'J' -/ '"7 </I Name Address City S.tate/Zip Telephone I ls~P'.9:M~M1f!:QMP~:f>i~ . l:M"~ti.\'..;~t~t;1!t"r"';¥,WI'.~)ft\.,l');~~:i/i,t'li.•1·:4,...;~~~r.~lt~1t~~N:,<l;'~i\l\\:~l~Jtill~~-:lt~-t~Jl1:ii.ill~iP.t.~;~iP:#.::ii.itliltiMiF, (Sec, 7031.5 Business and Professions Code: Any City or County which requires s permit to construct, alter, improve, demolish or repair any structure, prior to Its Issuance, also require■ 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 pa~n;it subjects the applicant to a civil penalty of not more than five hundred dollars 1•500)). A ~ G-.,-1_ ..---, .,,,.._,/?A _Jz..c,..rJ/4/;c ...srr C.A,,,t,./s,a. ~ 'TLooY / Z../-S-1 <- Address City State/Zip Telephone I State License I Lf 9 t, ..3 C. '{ License Class C. -.3 'r City Busineas License I / <. O 8'" 7 G:, / ,.--- Designer Name Address City State/Zip Telephone State License I _________ _ ti~1DIMUm ,. '!IU,.~"',ij~~Jl.-m!'·~~l~&•ili:i~l~it;'i;j'tl~~~~l;];h~"!.!1t~1,\ti:l1,;~1~(ru'@Zi£~;~~iJ<2ri'!.fo. ,:1•1·t· :'., , • .,,,;:\' 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 lasued. 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'■ compensation insurance carrier and policy number ■re: Insurance Company_____________________ Polley No •. _____________ Expiration Date. _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•100) OR LESS) M 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 aa / ~come subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worker■' compensation coverage I■ unlawful, and ahall aubject an employer to crlmln■I peneltlea end civil fines up to one hundred thouaand doHera 1•100,0001, In addition to the coat of compensation, damagH H provided for In Section 3708 of the Labor code, lnt-t and ■ttomey•• fN•. SIGNATURE ______________________________ DATE _________ _ l!?i IMIMJ.11»J~~1tuft~;,,1\l[~t'"~&\7J!UliJiM~if.~~\1~~-,~,1.~,1;,,rj;'l}if~~~'l'1!i:l.i~A:J'.i::!;i;~f~~•i1,;.1\Ji;, ,t>'.t4·,,,., ,.;,•;.,;.,·', '. 8. '.•,. I heieby 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 sele. 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 contractorls) licensed pursuant to the Contractor'• Ucense 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 lhave / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person lfirm) 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 / phona 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 _________ _ [i;Q~ill&tc.'liON1(1Qffl't!lciN!M1m~-1:ll~Q!l'!ljiJ.lW.11Jl',,Q.N!1,' . :ml.i.~~,w,~,i{{~~1-fl'.;.\i~M~,-:'t/'~1'i$~~rift~~Aits'»Junli,/,t,,i), ·::,t/~~ :;1:~.),,, 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 Sactlons 25505, 25533 or 25534 of the Presley-Tenner 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 AND THE AIR POLLUTION CONTROL DISTRICT. t,~~~n\i:kl'JQ.ff{~D!d.~.ffi~Ym~rt§JJt'.i~~'iJ.il'i,i't!il'iflif!Jlill~'?,i';!l,r:,',,~!. :.;,11ii~1t~~:ft· ,\:·t}i•~<:ki ;{~ .)}•,:.,( re~r J~ifo: ,:C<( • . :. •/.: · ., , I hereby affirm that there is a construction lending agency for the performanca of the work for which this permit Is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS _______________________ _ r•~~a'!rlRmtft1!lfmM1:~~~t~i:..1;1!'i;:-i:J~t~Ji.il,r:,;1~~t1~~ .. it~m'-'~~~1~tlir:U"\l'.;l£~J1/t~Mr'ill)l}KJ~1¥:,\l':,~~rJr:i;:,r.:it;,.,.,. ,;,.,; I certify that I have read the application and state that the above information is correct and that the information on the plans la 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 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 end become null end void If the building or work authorized by such permit Is not commenced within 180 days from the date of such permit or if lhe building or work authorized by such permit Is suspended or abandoned at any lime after the work is commenced for riod of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ====::;;;~=::::;~_.::_-~C=-=:_ ____________ _ DATE --------------- WHITE: File . YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: / 7 go ~_,,,, c:-~o /r-1: /'Iv.,,, _ 2. TYPE OF BUILDING: RESIDENTIAL ,___--COMMERCIAL ·--....! 3. ROOF SLOPE: RISE f inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (!) 2 3 l-,<_,)c)o_i) 5. TYPE OF EXISTING ROOF COVERINGSL.,~7 SHEATHING,5/<',t'<? *6. NEW ROOF MATERIAL C o-q,.o CLASS4_WEIGHT PER SQUARE 7. -NUMBER OF SQUARES cl-r 8. TRADE NAMEV7---,.,:,,~ /,-<-MANUFACTURER C _/'J ;c 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: •:, , .... 1. Tear Off/Pre-inspection prior to instalf'new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature....::~=::::;::=A:;z::::...::::::i._'_C:::::_ _____ Date 6'-' -~ -oJ-u -------, , /,::_ "-- Contractor V: Owner ____ Contractor Name/../~ c..,__,_/ -;e-o______., •• ? *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. -----------•-·------------------.. City of Carlsbad Bldg Inspection Request Permit# CB052895 Title: DILLARD RESIDENCE Description: 27 SQUARES OF COMP For: 08/16/2005 Type: MISC Sub Type: REROOF Job Address: Suite: Location: 1780 MAGNOLIA AV Lot 0 APPLICANT HETHERINGTON ROOFING CO Owner: DILLARD 1998 FAMILY REVOCABLE TRUST Remarks: Total Time: CD Description 19 Final Structural ~Comment ---~ Associated PCRs/CVs Inspection History Date Description 08/11/2005 15 Roof/Reroof Act lnsp Comments AP PY SHEATHING Inspector Assignment: PY --- Phone: 76082827 48 Inspector: ---- Requested By: MIKE Entered By: JANEAN