HomeMy WebLinkAbout1055 MAGNOLIA AVE; ; CB960872; Permit0 /14 96 13·20 B U I L D I N G
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1 ob Add re"''!:: 1055 f"iHGN0LIA AV
r n, t Ty ,e: PATIO/Of CK
'c1rct>l No: 205-2 0 22-00
P E R M I T
c; IJ 1 te:
Lo
F'Prr,•t No C 9 /
Pro•Fct No= A9601 ~6
DetJe Io pr,jer, t l'-io •
7523 OS/14/96 0001 01 02 V luation: 7,f;.00
Occupancy Group: Re erence#=
Descr1pt1on: 375 SF ENC OSEO PATIO-PER CIT\
C-PRHT 1l4. 0 Con~trJction Ty p; N ~
Statue-: I:s l
: SPECS,SO IO ROOF N8T TO BE INHABITED App 1ed: 05/14/96
Apr/I ~uee O /14/9f
Appl/Ownr : IDEAL CONSTRUCTION
29~8 MADISON STE 101
CARLSBAD CA 92008
Fee,, Required
--------------------------
Fee :
f~d j1J ,trnents:
fota, Fees:
E'P description ------~---------
8 u 1 d i n g Pe rr11 i t
lan Ch,ck
Strong Motion Fee
* fUILDING TOTAL
Fn red y c f1"1A 619-458·-0420
-----------
.oo .oo
164 00
Ext fee r)c ta -------------
99 00
64 00
1 00
164,00
PPROVAL
I ~,'-4---= __ 0ATE r6(plrh
l;LL"~ANCE -------,
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 920()() (619) 438-1161
PllRMlT APPLICATION PLAN CHECK NO-9 b O j 71-..
~v~DF.POSl"f *loo City of Carlsbad Building Depari-.t
2075 Las PalES Dr., Carlsbad, CA 92009 (619) 438-1161
I. PRkMII fiW!
VAIID. BY=;:t,~E~;;:::=====
From List 1 (see back) give code of Permit-Type: ----~f<u....,_/}0-"-'=------
For Residential Projects Only: From List 2 (see back) give
DATE
Code of Structure-Type: ___ '6 __ f1'.) __ , ___________ _
Net Loss/Gain of Dwelling Units
2. PRGIECT INFORMATION FOR OFFICE USE ONLY
Address /O,ff }t,,l.,q-j./Yl'Lil~ BuJJdmg or Suite No.
Nearest Cross Street /710 ~ C,O
LEGAL Df'.ScRIPIIUN Lot No. Subd1vJS1on Name/Number Omt No. Phase No.
CHECK Bf'.WW IF S0BMII IEO:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope
ASSESSOR'S PARCEi, EXISTIN.G...J.!SE. ~OPOSED USE
DESCRIPTION OF WORK -6<,; t--0 :J~z_.; P ,D/9-7,L> q,;t,C ~ C--it,id:l, ~
SQ. Ff. 3 5 # OF STORIES / # OF BEDROOMS .3 # OF BA11IROOMS z.._
rom app 1can
NAME (last.name first) ADDRESS
CITY , STATE ZIP CODE DAY TELEPHONE
4. APPl.iCANI pii.CONIRACIOR □AGENI FORWNIRACIOR DOWNER UAGENI FOR OWNER .u
NAME (last name first) :T-/Jtflll. l!.,,,,J-r,!. ADDRESS i!lf ,_,, ,,,. 295,5 µ,i,o,_.ON sr ..,,,1
CITY C..,.U-SIJ+o STATE C4. ZIP CODE ? it:10,r' DAY TELEPHONE ¥-J,5 .-C) 'f-70
5. PkbPEkl'Y OWNPlt ,,/ __
NAME (lastnamefirst) /(W/.tJTkOWSKt_, C~vl. ADDRESS /,OSJ~NQL,4.
CITY C-4-/Ul'}'.?p STATE c.tj, ZIP CODE <j_; t)/)r DAY TELEPHONE +.s ¢-,;7,6,3.,t
6. WNiRACiuk
NAME (last name first) f~Ola!fL /1,,tn"7>l. ADDRESS £55,5 U4•tU,/h) J',/--,1/,,,-/
CITY~ STATE&:(L ZIP CODE ~Z(,QJ-DAYTELEPHONE 9-JJ"--{P~
STATE UC. # IN,Ut,/" LlCENSE CLASS ~I CITY BUSINESS LlC. #
DESIGNER NAME (last name hrst) AUDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE LlC. #
7. WoiOO:RS' WMPENSXIIUN
Workers' Compensatmn beciaranon: I hereby affirm that I have a certificate of consent to self-msure ISSued by the Director of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, lab. C).
INSURANCE COMPANY ~"fi4'fE,, ~,VZ:, POUCY NO. /t}Jlb\4 ~ /,.;/-9 7
□
□
□
DA TE :J'-/ ¢Ji t,
Uwner•Bu!Jder Declaration: I hereby afhrm that I am exempt from lie Confradofs Llcense Law for the followmg reason:
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.).
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).
I am exempt under Section _______ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's license Law (Chapter 9, commencing 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 pennit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNA'l1JRI! DATE
CUMPLE;JE IHiS S£CIION FOR NON-RESIDENIIAt BOlilliNG PERMll'S ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn 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 to obtain a pennit from the air pollution control district or air quality management district?
□YES □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO
IF ANYOF11IEANSWERS ARE YES, A FINAL CERTIFICATE OF oa:IJPANCYMAYNCYf Bl!Jl:,SUED AFTERJ\ILY 1, 1989 IJNIJlSS 11IEAPPUCANT
HAS MET OR IS MEETING 11IE REQUIREMENTS OF 11IE OFFICE OF EMERGENCY SERVICES AND 11IE AIR POLl.UilON CDNTROL DISl1IICT.
9. wNSIRUCIIUN IENDING AGENCY
I hereby afhrm that there 1s a construcuon lend mg agency for the performance of the work for which this penntt ts issued (Sec 3097 (1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. XPP1ICAN I CFJliiFICAiiON
I certify that I have read the apphcation and state that the above mformation 1s correct. I agree to comply with all Gey ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I AISO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS 11IE CI1Y OF CAIIISIIAll AGAINST AIL LIABIUl1ES, JUDGMENTS, <DSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CI1Y IN CONSEQUENCE OF 11IE GRANTING OF IllIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
WHITE: File YEllOW: App icant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB960872 FOR 09/26/96
DESCRIPTION: 375 SF ENCLOSED PATIO-PER CITY
SPECS,SOLID ROOF-NOT TO BE INHABITED
TYPE: PATIO
STE:
INSPECTOR AREA PD
PLANCK# CB960872
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 1055 MAGNOLIA AV
APPLICANT: IDEAL CONSTRUCTION
CONTRACTOR:
PHONE: 619-438-0420
OWNER:
REMARKS: MW/IDEAL/438-0470
SPECIAL INSTRUCT:
TOTAL TIME:
PHONE: ~ PHONE: ~
INSPECToW' _ _;"---'='c:.._____:~-::::=~:::~~----
CD
19
LVL DESCRIPTION
ST Final Structural
ACT COMMENTS
5cA.t~,v'5
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
--------------------------------------------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION
092396 Final Combo
091996 Final Combo
072596 Rough Electric
061896 Roof/Reroof
061896 Roof/Reroof
061396 Roof/Reroof
061396 Insulation
060696 Roof/Reroof
051596 Ftg/Foundation/Piers
ACT
co
CA
AP
AP
co
co
co
PA
AP
INSP
PD
PD
PD
PD
PD
PD
PD
PD
PD
COMMENTS
BY IDEAL
4 PAD FTGS