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Home My WebLink About1097 MAGNOLIA AVE; MP; CB920036; Permit1097 M 1.iNOL~ ELECT IC. '-J V e·t l ll cl t l (.) n : l) Co.s uct111 T_1 p1:: w IL~ u -ncy l;l Ult : IILDING AV 10n: 40 AMP MET RE P l:1s , .STAL Apr:l/Ownr : DANIELS CABLEVISJ N P.O. BOX 44 CARLS AD, CA £-ees Requ 1 re, 1 re'"s: AlJus1ments: Trtal Fees: ee escr1ption ------------------- En ""r '' Y for Elec .:-ir 1le 1 se P r ) ELE T,rrAL TOTAL I E ,d . M I Peri1H · ,) : ,_B ~2 , 1 Pio c 1..: A u1, [JE"VP loum n Nu. Sr: F :5905 01/13792 . 0001 01 02 C-PRMT 20-00 A Veil 1, 619 4 6-5241 1 1 ill/ By: -o .OU . Ju 2,1. uu .• . Ext e [1.:1 1 ----------------- JIJ.IJ( '{ 1 . oo 20, CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92()()1) (619) 438-1161 ·----- lj,,-0 '1 -~ 7 o .. ~ l:t PERMIT APPUCATION PLAN CHECK NO.Cf~_ c!J CJ '3 City of Carlsbad Building Departaent 2075 Las Palaas Dr., tarlsbad, CA 92009 (619) 438-1161 F.sT. VAL ____________ _ PLAN CK DEPOSIT _______ _ VAIID. BY __________ _ 1. PF.RMI I l'YPE DATE A .Jir&mmerc1al U New Budding O Tenant Improvement B -U Industrial □ New Building □ Tenant Improvement C -□ Residential D Apartment D Condo □ Single Family Dwelling □ Addition/ Alteration □ Duple:x: □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other ____ _ 2.. PRClJECT lNFORMATION FOR OFFICE USE ONLY Mario 9 1 /i)~ /'J() /~•/4' ,4i;e Bmidmg or Sune No. Nearest Cross Street "11-d A.111.3 ·:fr LEGAL o£scRIPTloN Lot No. subch111s1on Name/Number Omt No. Phase No. cfiECR BEWW IF sUBMII I RD: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL .X ~s~ DESCRIPTION OF WORK 2/:!) }lmjJ #t?fe, ~1#-/ PROPOsm USE # OF STORIES ADDRESS CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 6. wN"11tACluk , NAME:;f,4/7"?£ ,#-5 ~('C';'f/7/ ADDRESS CITY STATE ZIP CODE LICENSE CLASS ADDRESS DAY TELEPHONE STATE UC.# CITY BUSINESS UC. # DESIGNER NAME CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# ~ mPr ; 7_ WUIU<Rlls' WMPENSXliON Workers' Compensation Dedarauon: I hereby all1rm that I have a cert1bcate of consent to sell-insure 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~ the insurer thereof filed with the Building Inspection Depanment (Section 3800, Lab. C). . -~ ('(!~ . 1NsuRANcEcoMPANY 'Ae,-F,e, ,:;,m lo et:S POb&No.l.-37T7'=11~EXPIRAnoNDATE I -/-93 □ □ □ arauon: ere y a 1rm t at am e:x:empt rom e w or t e o owing 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 Llcense 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 e:x:clusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's lJcense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contracror(s) licensed pursuant to the Contractor's Llcense Law). I am e:x:empt 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 Llcense 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIJRE DATE COMPLEIE IBIS s£ciioN FOR NON-RES!UENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely haurdous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Haurdous Substance Account Act? 0 YES □ NO rs the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? C YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFJCATE OF CXDJPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS 11:IE APPUCANT ~ MET OR IS MEETING THE RF.QUIREMENTii OF 11-IE OFFICE OF EMERGENCY SERVICF.S AND 11-IE AIR POJJ.UTION CDNTROL DISIRICT. 9. cDNS I R0t11oN IENDiNG AGENCY I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1111i Code). LENDER'S NAME LENDER'S ADDRESS 10. AfiPtltAN t cit.R. IMt!AtioN I cenify that I have read llie application and state that the above mformatlon 1s correct. I agree to comply with all Cny ordinances 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 ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMI.F.SS 11-IE Cl1Y OF CARLSBAD AGAINST AIL L1ABIU11ES, .JUDGMENTS,, CDSTS AND EXPENSES WIDCH MAY IN ANY WAY ACX:RUE AGAINST SAID CflY IN CDNSEQUENCE OF 1lIE GRANTING OF 11-IlS PERMIT. OSHA: An OSHA permit is required for e:x:cavations over S'O" deep and demolition or construction of structures over 3 stories in height. E:x:piration. 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 365 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 commenced for a period of 180 days (Section 303(d) Unifonn Building c.ode). APP~ATURE ,;..-:::::-,,,,1.,,..---DATE: J-9-9e2: WHITE: p· e YELLOW: Applicant PINK: Finance DATE o---/()" 'IL- PEP.MIT # C)z_ >C', UNSCHEPQLED INSPECTION ? 1 / INSPECTOR. ____ ·...1.L _____ _ PLANCK# _____ _ JOB ADDRESS / 0 97 /Yl/Jb,A/o~11: /IL TIME ARRIVE: _____ TIME LEAVE: ____ _ CO LVL DESCRIPTION .!J_ g_l ~ 4'J PDJlllTS 6/15/lt ACT COMMENTS 0