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Home My WebLink About1199 MAGNOLIA AVE; ; CB920122; PermitB U I L U I N G P E R M I m Ot/03/92 09: 5':1 ParJP 1 ,>f 1 Joh Addre~s: 1199 MAGNOLIA AV Pernu t Tn•e : PL,IMBING Parcel N>: 205-280-l7-00 Vaiuat1on: u ConstructJon Type: NEW Oc<:llpdn<:y Group : De~cription: SEWER CONNECTION Str: Cla3s Code: Permit Nu: C892 J:22 ProJect N0: A9LOU, h ni:-velopment No: F .:>tf-': 62U 02/03/92 0001 01 L C-PRHT t,, t1lC\l 02 14-00 Status: r::.::iUE.:D Appl i e 1: 0 l I\ , I J ~ Ap1 IIS!:iUE': 02/ J )/Y.?. Appl/Ownr : SHIRLEY, KATHLEEN 1199 MAGNOLIA AVENUE CARLSBAD, CA 9200 Validated By: :>. 619 729-5175 Ad1ustments: Total Fees: Fee desc1·ipt ion Enter "Y for Plum 1 Each Building Sewe * PLUMBING TOTAL CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 . ()II . 0( 14.00 Ext f E'<:' [la tel 7.50 Y b . 5 () 14.L!l PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Departaent 2075 Las Pal_. Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT,S_..:,.,. _____ _ ! EST.VAL s VAIID.BY S I. PkkM1 I IYPH A -U Commercial LI New Building LI lenant Improvement B -□ Industrial □ New Building D Tenant Improvement C -□ Residential □ Apartment D Condo □ Single Family Dwelling □ Addition/ A1teration □ Duplex □ Demolition LI Relocation □ Mobile Home LI Electrical D Plumbing LI Mechanical □ Pool D Spa D Retaining Wall D Solar □ Other DATI! s: s - 2. PROJECT _JNFORMATION FOR OFFICE USE ONLY BuUdmg or Suite No. LEGAL DESCRWI ION Lot No. ;;.?. ~ s 1VJs1on Name/Number Unit No. Phase No. CHECK Bf'.WW IF S0BMI 11 ED: □ 2 Energy ca.ks □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope NOFWORK SQ. FT. c:9'.}() .,_ f:: # OF STORIES WN IACI PERSON (II dlIIerent from apphcanf) NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPi'.JCAN I NAME UCONiRACIOK □AGENI FORWNIRACIOR DOWNER □AGENI FOR OWNER ADDRESS CITY STATE ZIP CODE DAY TELEPHONE ADDRESS /J99 ZIP CODE 9.;;e?C:,d"" DAY TELEPHONE NAME CITY STATE STATE !JC.# ADDRESS ZIP CODE IJCENSE CLASS DAY TELEPHONE CITY BUSINESS !JC. # CITY STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. WOIUMts WMPENSAIIUN Workers' COmpensat10n Declarat1on: I hereby affirm that I have a ceruhcate of consent to self-msure issued by the Director of Industnal Relations, or a certificate of Workers' Compensation Insurance by an admicted insurer, or an exacr copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Secrion 3800, Lab. C). INSURANCE COMPANY POIJCY NO. EXPIRATION DATE Certificate of Exempuon: 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. oWNER-BUllDER DPlDJiAlluN OWner-Budder Declarat1on: I hereby affirm that I am exempt from the Contracto?s License Law for rhe following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is noc intended or offered for sale (Sec. 7044, Business and Professions Oxle: 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.). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Oxle: 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 Oxle 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 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 exempcion. 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 [$5001). SIGNATIIRE DATI! WMPIBIE IHIS SECIION FOR NON-RESIOENIIAL BUILDING 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, 25S33 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 qua1ity management district? CYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF 1111! ANSWERS ARR YES, A FINALCERllFICATI! OF oa:IJPANCY MAY Nat" BE lSSUFJl AFl'l!R JULY I, 1989 UNIJ!SS 1111! APPLICANT HAS Mirr OR IS MEIITING 1111! REQlllREMENTS OF TIii! OFF!Cl! OF EMERGENCY SERVICl!S AND 1111! AIR POUlJTION CDNTIIOL Il1Sl111CT. 9. WNS I KOC I ION LENDING AGENCY I hereby aihrm that there 1s a construction lend mg agency for the performance of the work for which this permit 1s issued (Sec 3097(1} Civil Code). LENDER'S NAME LENDER'S ADDRESS IO. APPUCAN I CF.kliFICAllUN I cerufy that I have read ihe apphcallon and state that the above mformat1on 1s correct. I agree to comply with all City orcimances 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 AISJ AGREE TO SAVE INDEMNIFY AND KEEP HARMIJ'.SS 1111! CITY OF CARISBAD AGAINST ALL LIABIUl1ES, JUDGMENTS, CDSfS AND EXPENSES WIDCH MAY IN ANY WAY Aa:IUJE AGAINST SAID CITY IN ffiNSEQIIENCI! OF 1111! GRANTING OF 11IlS PERMIT. OSHA: An OSHA pennit 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 permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). DATI!: .,,:i_./.3.../9 2-; ; PINK: Finance UNSCHEDULED INSPECTION ~ 1 / DATE L· Zf-trz_ ------I~S-;;~~~---~ z PERMIT # C/2,. -I :2.c_.. __ P_LAN_C_l(_#=""";_:_"""'_._ ____________ _ J'OB ADDREss __ /,.._1/ __ f_9 _______ //?i_~-r:?Jr/Ji-"t)"""'""(j_q_ __ a---=u'--_______ _ TIME A.RRIVE: _____ TIME LEAVE: ____ _ CD LVL 22. PL PDNITS 6/15/89 DESCRIPTION A Set,../eA.. ~