HomeMy WebLinkAbout1199 MAGNOLIA AVE; ; CB890313; Permit"' z 0 ;:: .. .. .. ~ ill C
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
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CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915J619) 438-1161 APPLICATION & PERMIT
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O I ~eby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) ol Division 3 ol the Business
and Proleaaions Code, and my license 1s m
lull force and eltect
JOB ADDRESS
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THOMAS BROS NO. OATE OF APPLICATION ~_t......,/4-9 l sueo1Y1s10N r ASSj:SSOR PARCEL NO.
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LOT BLOCK . d I) :5 -~ t"tJ -d' ,7 CONTRACTOfll
0.,,~A'S.NAME
CONTRA.CTOA'S A,DDRESS
I hereb~ at1,rm !hal I am exempt trom 'he Contra;:
lor s L1cense Law tor !he lollowmg reason (Sec 7031 ~ Bus,ness and Proless,ons Code Any c,ty or county wh1cr, re
uuires .i perm,t lo construe! alier ,mprove demolish or
repair any structure pr,or 10 11s issuance also reouires !heap
pl,cant for such permit to hie a sI~ned s1ate,,,ent that he ,s
qcensed pursuant to the prov,s,ons of t~e Lon1raoor ;
License Law !Chapter 9 commenc,ng w,m Section 7000 of
011"1s1on 3 ol me Bus,ness ,md Prolessmns Code, or that ,se,
emol l~erelrom and the bas,s to, the alleged e,emphor An, ,ioIa1.on of Sect,or 7031 5 by an applicant tor a perm·t >ub
1ects lhe apphcant to a c,v,I penalty ol no1 more than tive h~n
dred dollars 1s~oo,
YA-·~ --I -t r~N,RS'":""G •oMm
~ . I OWNER'S PHONE
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OWN~ ~;Lbt::--~
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DE.SCRIPT JO..., ur . ....._,...," ..
I as owner of lhe properly O' my emplo1ees vdh wages
JS their sole comoensahon w,I, do the wor~ Jnci :he Si'UC
lure Is not ,~tended or olfe,ed tor sale !Sec 7044 Bus,ness
and Proless1ons Code The Contractor's License Law does not apply :o an owner of property who builds or ,mproves
thereon and who does such wmk h,mselt or through h1, own
employees. provided that such improvements are not ,ntend-
ed or altered 1or sale 11, however. the bu•ld,ng or ,mp rove
ment Is sold w,min one yea, ot complet,on. lhe owner-builder
w11I nave the burden ol orov,ng that he d•d not build or im-
prove for The purpose of sale1
1. as owner ot the properly am exclu,1,ely coniracimg
with licensed contractors !O construe! The pro1ec1 !Sec 7044
Business aM Pro!ess,ons Code The Con1racto, s l>cense
Law does no1 apply to an owner o1 property who bwlds or ,m-proves thereon and who contracls lor each pro1ects w,n, a
contractor(s) I,cense pursu;ml lo the Conlracto<s License Law)
As a homeowner I am Imorov1ng my home and the follow
,ng cond111ons exIsl
1 The work ,s being per1ormed prior to sale
2 I have hved In mv home 1or lwelve months
prior to completion of lh,s work I l1ave nol claimed 1n1s exemption during me last 1hree years ·
(7 lamexemptunderSec _____ _ B & PC lor th,s reason ____________ _
! ~eret,y a!f,rm that I have a certd,cate of consent to
sell-insure. or a ce,t,!Lcate of Workers Compensation In
su,ance or a cert1f1ed copy thereof 1sec 3800 LaborCodel .I
POLICY NO
COMPANY
Copy ,s <1Iea wI1h the c,ty
Cefl1l1ed copy ,s hereby tum,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(Th,s section need not be completed ,t 1he perm,t
,s for one hundred dollars ($100! or less\ = I certily that in the pertormance ol the work for wh,ch
lh1s perm,! ,s ,ssued. I shall not employ any person ,n any
manner so as to t>ecome sub1ect 1o 1he Workers· Com pen
sa1,on Laws of Ca1,torn1a
NOTICE TO APPLICANT If. after making this Certihcate
of Exemption you should become sub1ec11o 111e Workers
Compensation pro.is,ons ol the Labor Code. you must
L tof1hwI\h comply with such provis,ons or th,s perm,t shall
toe deemed revoked
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I CENSUS TRACT [ "?fGOACC ACS UN"S I
QTY. PLUMBING PERMIT -ISSUE 17.~"1()
EACH FIXTURE TRAP
EACH BUILlJING SEWER
EACH WATER HEATER ANlJ OR VENT
EACH GAS SYSTEM I 10 ~ OUTLETS
EACH GAS SYSTEM J OR MORE:.
EACH INST AL ALfE:R. REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER so~ fNER
FACH R;JO~ [)::i.'\1\ i'-JS rJF 1
TO!Al PLUMHINl. l
QTY. ELECTRICAL PERMIT· ISSUE ,r:; 00
NEW CONST EA AMP SWI l:JKR
IPH IPH
EXISI BLOG EA AMP·SWT l:JKR
1 PH ] PH
REMODEL Al TtR PER [IRCUIT
TEMPPDtE !OOAMP)
OVER 2UO AMPS
TEMP OCCUPANCY 130 DAYSI
Till AL ELU,TRILAI I
DESIGNER
0EStGNEA'S A00F1£SS
' ' F LR ELEV ,
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GRADING PERMIT ISSUED l
Y □ N 0
REDEVELOPMENT
AREA
,□ '-<0
QTY. MECHANICAL PERMIT -ISSUE
INSTALL FURN DUCTS iJP TO 100 000 BTU
OVER 100.000 BTU
BOILER,COMPRESSOR UP TO 3 HP
BOILER:COMPRESSOR 3 Pi HP
METAl FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST HOOD DUCTS
RELOCATION OF EA FURNACE HEATER
DRYER VENT
ron,-L MECHANlr.AL
QTY I MOBILE HOME SETUP
CAR PORT
AWNING
GARAGE
101At
NO
STORIES
TYPE
CONST
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BUSINESS LICENSE It VALUATION PERMIT NUMBER ·1 .3,o(,o [:e, q f CONTRACTORS PHONE, ZONE '6 I {J 3 / 3
STATE LICENSE NO.
DESIGNER'S ~PHONE
STATELiCENSE NO.
OCC GP EDU
OCC LOAD FIAE SPA
vO "-0
BUILDING SQ. FOOTAGE
6095 04./12/89 0001 01
f::.dr'!n-t.
Not Valid Unless M~chme Cerl1f1ed
:Y2
SUMMARY/ACCOUNT NUMBER
BUILDING PERMII uu 1-81 0-00-00-8220 ,,. :;;
SIGN PERMIT 001-810-00-00-822,
PLAN CHECK 001-81 0·00·00-8891 'Tl
TOTAL PLUMBING 00 '. -8 '. 0-00· 00-8222
ELECTRICAL 001-8' 0-00-00-8223
MECHANICAL 001-810-00-00-8224
MOBILEHOME 001-810-00-00-8225
SOLAR 001-810·00·00-8226
SlRONG MOTION 880-519-92-33 I
FiRE SPRINKLERS 00 i ·8 1 U· UU· UU-0ii i
PUBLIC FACILITIES FEE 320·8, 0·00·00·S 7 ~a
BRIDGE FEE 360-810·00·00·87 40
PARK-IN-LIEU iAREA
TIF 312·810-00-00-8835
LA COSTA TIF 311-810-00-00-8835
FMF
LICENSE TAX 001.31 0-C0-00-8162
MFF 880-519·92·57
CREDIT DEPOSIT <.""II~"""?
TOTAL FEES PAYABLE 1 rorra
* AN OSHA flt:Aw.T IS RE0UIREO FOfl EXCAV4TIONS OVEA
5· O" DEEP -0 DEMOLJTION 0A CONSTRUCTION Of:
STFIJCl\JflES OVEfl\ 3 STORIES IN ttENlHT
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![ I hereby a1tirm 1ha1 there Is a conslruct,on lending
agency for the petformance of 1t1ewor~ lor which 11'1s per
m,t ,s ,ssued (Sec 3097. C1v11 Godel
Lende,·s Name
l HAVE CAREFULLY EXAMlNEp THE COMPLE_TED ""APPUCATION ANO PERMIT .. AND DO HERESY
CEATIFY.'UNDER PENALTY OF PERJURY THAT ALL /Nf'OAMAJION HER.EON INGLUO\NG THE
PEQJ..~AATIQ~S.ARE TAU~ ~NP CQAf,lECT -~NP l F1JRTt1;_R_CERTIF'( AND AGRf:f IF A PERMIT I&
ISSUED: JTO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILblNG CON· STA,lJCTJ.Cm. WHETHER SPECtFtEt'.J HEf!E!N OR NOT. 11 ALSO AGREE fQ ~VE INDEMNIFY ANO ':--;;;;;~';:;;;::;-;:::;;;;::;~;1-.!!2!''--"-~;!!!!!!!i!!!.~,!..j~~!!2!!!1,~fy-,::"1~=~~":":'-~~----------------~
:.<EE_P HAFIMC1;s_ s THE c_·i'ri OF CA. _i~BA_ Q 40_ ,AfNsr Al-L UABlunes, JU·. OGME-NTS-. CGSTS ANG_ -.;;;:,...,.,,.--•e~vE□ 8
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Lender's Address ~JIPE.t:J~,wttt'~,ti JVI/\Y tN ~t:IY~WA)\,~~~+AGAtNST sA.IO CITY tN .OO~SEOUENCE OF 'THE .... • • I /
GRANTlN,i:H)f'THISPfAMtT -,01 «-.. ' ' ~~~::::=:::~~~:t!::!::~:::z. __ ..:;::;~:::'..J j "1 )L. \'~
TYPE ' DATE INSPECTOR ~ I
~25'1.031~ BUILDING I
' FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY REQ IF INSPECTOR'S £,-,a-/) GUNITE OR GROUT INSPECTION CHECKED APPROVAL DATE ,l!o , ,I.-,. ~ -SUB FRAME □ FLOOR □ CEICJNG /J,,0 .,.,.,/
, ~;; / ./ ,¼;),..; // SOILS COMPLIANCE I• ,,,,.-"l.,>,14.&. SHEATHING □ ROOF D SHEAR I ,, PRIOR TO . I 1"1...,.,7--.R-S I FOUNDATION INSP FRAME I d,J7-8"-// // ~
EXTERIOR LATH I I _:.-/"' l"' TRUCTUAAL CONCRETE
I OVER 2000 PSI
INSULATION ~--PRESTAESSED / CONCRETE INTERIOR LATH & DRYWALL ' POST TENSIONED
CONCRETE
PLUMBING I FIELD WELDING
□ SEWER AND BUCO □ PUCO HIGH STRENGTH
UNDERGROUND □ WASTE □;WATER SOL Ts
TOP OUT □ WASTE □ vjlATER SPECIAL MASONRY
TUB AND SHOWER PAN '
GAS TEST ' I PILES CAISSONS
□ WATER HEATER □ SOLAR W~TER
I
ELECTRICAL ' □ ELECTRIC UNDERGROUND D'UFFER
ROUGH ELECTRIC ' ,1)4~ t,,
□ ELECTRIC SERVICE D TEMPORARY
□ BONDING □ POOL .
I
MECHANICAL ' □ DUCT & PLEM., □ REF. PIPlt'JG
HEAT -AIR COND. SYSTEMS ' Afl>fJ-
VENTILATING SYSTEMS ,
' I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA'JE BEEN APPROVED. ·
FINAL :
PLUMBING :
ELECTRICAL I
MECHANICAL ' I I ' GAS : _l / ,/ '
BUILDING ' ldJ,11,r>• I / ,r tt-::. i-v
SPECIAL CONDITIONS ' . I ~ ' I
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ENGINEERING CHECKLIST
Date: :)/x,/85
Plan Check ~o. I '8,q 03 ( z_..
Project Address : (d{ @A(Uf{j( r tf:
Project Name: A~ot-v ?Tl<-< c.n-,e1c.
Field Check Date: -"-----------B :
LEGAL REQUIREMENTS
Site Plan
LEGEND
7
@
1, 2, 3
Item Complete
Item Incomplete -Ne~ds
Your Action
Number in circle
indicates plancheck
number that deficiency
was identified
1. Provide a fully dimensioned site plan drawn to scale. Show: .~orth
arrow, property lines, easements, existing and proposed
structures, streets, existing street improvements, right-of-way
width and dimensioned setbacks.
2. Show on Site Plan: Finish floor elevations, elevations of finish
grade adjacent to building, existing topographical lines, existing
and proposed slopes, driveway and percent (%) grade and drainage
patterns.
3. Provide legal description of property.
l!. Provide assessor's parcel number.
PERMITS REQUIRED
Grading
s .. Grading permit required. (Separate submittal
Department required for Grading Permit).
6. Grading plans in plan check PE ____ _
to Engineering
7. Need the following completed prior to building permit issuance:
A. Grading plans signed.
B. Grading permit issued.
C. Grading completed.
D. Certification letter and compaction reports submitted.
E. Grading inspected and permit signed off by City Inspector.
Right-of-Way Permit required for work in public right-of-way
(e.g., driveway approach, sidewalk, connection to water main,
etc).
Industrial Waste Permit application required. To be filled out
completely and returned to Development Processing.
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FEES REQUIRED
10. Park-in-Lieu fees required.
Quadrant: _____ , Fee Per Unit: ----, Total Fee: '"D-
11. Traffic impact fee required.
Fee Per Unit: _____ , Total Fee: ::f:z:
12. Bridge and Thoroughfare fee required.
Fee Per Unit: _____ , Total Fee: CT
13. Public facilities fee required.
111. Facilities management fee required. Fee: · C;)-
15. Additional EDU's required: --0=--'r---
Sewer connection fee: ______ Sewer permit no.
16. Sewer lateral required:
REMARKS:
O.K. to issue: Date:
If you have any questions about any of the above items identified on this plan
check, please call the Development Processing Department at 1138-1161 .
-------------_____________ ., --
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PLANNING CHECKLIST
Plan Check No. moa;z Address !Jf-1 /11tMou1:i /tve
Type of Project and Use c7R@,6£
Zone R-1 Use Allowed? YES K__
Setback: Front~ Side OK Rear Qk._
Facilities Management Zone I
School District: San Dieguito __
Carlsbad £
Discretionary Action Required
Environmental Required
Landscape Plan Required
Comments
YES
YES
YES
Encinitas
San Marcos
NO~
N015___
NO_K
NO
Type
----------------------------
Coastal Permit Required YES NO_j£___
Additional Comments -----------------------
OK TO 1ss~L.