HomeMy WebLinkAbout1098 MAGNOLIA AVE; ; CB940941; PermitB U I L D I N G P E R M I T Permit No: CB940941
Project No: A9401331
Development No : 08/03/94 08:09
Page 1 of 1
Job Address: 1 098 MAGNOLIA AV Suite: 8018 08/03/94 0001 01
C-PRHT
02 Permit Type: MISCELLANEOUS
Parcel No : 205-191-14-00 Lot#: 183-00
Valuation: 7,000
Construction Type: NEW
Occupa ncy Group:
Description: REMODEL BATHROOM
Appl/Ownr : SISKO, STEVE
Reference#:
PER PETERSON
619 966-1318
Status: ISSUED
Applied: 08/03/94
Apr/Issue : 08/03/94
Entered By : DC
42 28 VISTA DEL RIO WAY #1
OCEANSIDE, CA 92057
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Miscellaneous Fee#~
Miscellaneous Fee#
Miscellaneous Fee #3
* MISCELLANEOUS TOTAL
***
183 .00
,00
183.00
1<.** Fees Coll ected & Credits *** -------------------------------------------
>
>
>
Total Credits :
Total Payments:
Balance Due :
Units Fee/Unit
59.00
90 .00
34 .00
CITY OF CARLSBAD
.00
.00
183.00
Ext fee Data
59.00 PLANCK
90.00 BUILDING
34.00 PLUMBING
183 .00
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMl"&APPUCATION ~ ~
PIAN CHECK NO.
tity of Carlsbad Building D-rt.nt
EST. VAI. __ :7_0~0_0_· __ _ Z075 Las Palaas Dr., carlsbad, CA 92D09 (619) 438-1161
I. PfilOOI hPE PIAN CK DEPOSIT ~
~~-BY j)uz.-
From List 1 (see back) give code of Pennit-Type: ___________ _
For Residential Projects Only: From list 2 (see back) give
Code of Structure-Type: ____________________ _
Net Loss/Gain of Dwelling Units
2. PROJECT INFORMATION FOR OFFICE USE ONLY
ase o.
CHECK BEWW IF SOBMI 11 £b:
□ 2 Energy Gales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEi, ~em~Jeh~q ~GUSE PROPOSED USE
DESCRIPTION OF WORK
# o\T" STORIES # OF BEDROOMS
ren rom ap{' 1can ~
s I e S I.S Q,riD
,f-
ast name 1rst
ADDRESS "!/;2lj ..Jo1q , VJ
5,-t DAY TELEPHONE
ADDREssi+ ,)[} J-t DAY TELEPHONE
ADDRESS 4 J.
ZIP CODE 1,__067 DAY TELEPHONE
UCENSE CLASsfJ-/ &'-33 Cl1Y BUSINESS UC. #
# OF BA TIIROOMS
HI
CI1Y TATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WuklMts OOMPP.NSA:ilUN
Workers' Compensation Deciarauon: I hereby afftrm that I have a cert1hcate of consent to self-insure issued by the b1Cector 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 POUCY NO. EXPIRATION DATE
Cerohcate of Exempaon: I certify that m the performance of the work for which this penmt 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. UWNEK-BOUDmt llli'.!OOlAUON
□
□
□
Owner-Builder Declaration: I hereby afnrm that I am exempt from the Confrador's license 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 chat 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 pursuanqo the Contractor's License Law).
I am exempt under Section Z DC¥ ft£ Business and Professions Code for this reason:
(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, 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 th~•.)JI;!ic•~t. to a civi! 1/f-n~ltyf'f not more than five hundred dollars [$500]). p .u
SIGNATURE ...j-1,UK/ ~ DATE U -j_ -<? '.{:_
COMPLEIE 'IHIS SECIION FOR NON-RESIDEN11At BotLOINC PERMITS ONLY:
ls 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?
□YES □NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES □NO
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO IF ANY OF THE ANSWERS AREYES, A FINAL CERTIFICATE OF oa:uPANCYMAYNOT BE ISSUED AFrERJULY 1, 1989 IINUSSTHE APPUCANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVIcJis AND THE AIR P01llf110N ffiNTROL DISI1UCT.
9. WNS'l'RUCIION L£NDING AGENCY
I hereby affirm that there 1s a construcnon lending agency for the performance of the work for which this permit 1s 1SSued (Sec 3097(1) Civil Ccxie).
LENDER'S NAME LENDER'S ADDRESS
Jtt APPLICANI CERIIFICAIJON
I certify that I have read the application and state that the above mformanon 1s correct. I agree to comply with ad City ordmances and State Jaws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I A!.'iO AGREE ID SAVE INDl!MNIFY AND KEEP IIARMJJI.SS THE Cl1Y OF CARISBAD AGAJNSf AIL LlABilII11!S, JUDGMENTS, CDSfS
AND EXPENSES WHICH MAY IN ANY WAY A(x:IUJE AGAJNSf SAID Cl1Y IN mNSF.QUENCE OF THE GRANTING OF nns 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 within 365 days from the date of such permit or if the building or work authorized by
such pe · ·s suspended or ndo at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLI<J,,,.'t":S S NATU DATE:
WHITE: File YELLOW: App icant PINK: Fmance
0
,
PERMIT# CB940941
DESCRIPTION: REMODEL BATHROOM
TYPE: MISC
JOB ADDRESS: 1098 MAGNOLIA
APPLICANT: SISKO, STEVE
CONTRACTOR:
OWNER:
REMARKS: MW/966-1318
SPECIAL INSTRUCT:
TOTAL TIME:
CD
19
29
39
49
LVL DESCRIPTION
ST Final Structural
PL Final Plumbing
EL Final Electrical
ME Final Mechanical
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 08/30/94
PER PETERSON
AV
INSPECTOR AREA
PLANCK# CB940941
OCC GRP
CONSTR, TYPE NEW
STE: LOT:
PHONE: 619 966-1318
PHONE:
PHONE:
INSPECTOR
ACT COMMENTS
~--
***** INSPECTION HISTORY*****
DATE
080594
080594
DESCRIPTION
Rough Combo
Interior Lath/Drywall
ACT
AP
AP
INSP
PK
PK
COMMENTS
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