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Home My WebLink About1205 Magnolia Ave; ; 79-5217; Permit79-543 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is In full force and ef- fect. OWNER-BUILDER DECLARATION ~I hereby affirm that I am exempt from the Con· tractor's License Law for the following reason (Sec. 7031.5,Buslness and Professions Code), Any city or county which requires a permit to con- struct, alter, Improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit t.o file a signed state- ment lhat he Is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 ol Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- ~llcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ~1 as owner of the property, or my employees 4'ith wages as their sole compensation, will do the work, and the structure is not Intended or of- fered for sale (Sec. 7044, Business and Profes- sions 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 of- fered for sale. If, however, the building or Improve- ment is sold within one year of completion, the owner-builder will have lhe burden of proving that he did nol build or improve for the purpose of sale). QI, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of .property ••ho builds or im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec._----=~..,_,._., tor this reaso '--~~---~~".J..---- Date WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO ___________ _ COMPANY ____________ _ □ Copy Is filed with the city. □ Certified copy is hereby furnished. CEl?.ITIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE [This section need not be completed if the per- mit Is for one hundred dollars (S109) or less). I certify that in the performance of the work for which this perm tis Issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer- tificate of Exemption, you should become subject to.the Workers' Compensation provisions of the r Code, you must forthwith comply with such "Ins or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction len- ding agency for the performance of the work for CITY OF CARLSBAO-BUILOING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 NO. 1205 Magnolia JOB ADDRESS AV. ST. ,DATE Of' APPLICATION RD I I I I I I I -, I I I I I I I I I I I I I I I I I I I I I I 1 10-4-79 OWNER OWHE-R'S PHONE PRIME CONTRACTOR Joe Sandv 729-8973 owner/builder OWNER'S MAILING ADDRESS CONTRACTOR'S AODRESS 1205 Maanolia LOT BLOCK l SUBDIVISION Mao -;J d';X~R'~ ~a· 1/0 I DESIGNER Parcel of I DESCRIPTION OF WORK Rerrodel and addition of 863 sf. DESIGNER' 5 ADDRESS CENSUS TRACT GP LAND USE ZONING RES. UNITS APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER STATE LICENSE Jf--5~11 CONTRACTOR'S PHONE STATE LICENSE DESIGNER'S PHONE l PARKING SPACE l NUMBER OF STORIES Natl V•lialJll!fff Machi!!f CMtifi«t I ,n BLDG SO. FT. BLDG USE occ. GP I STANDARD PLAN It PLAN ID /; I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. ~; -~ EACH FIXTURE TRAP J/1...-INSTALL FURN. DUCTS UP TD 100,000 BTU EACH BUILDING SEWER . OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT "'~ BOILER/COMPRESSOR UP TO 3 HP r EACH GAS SYSTEM 1 TO 4 OUTLETS -801 LEA/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE / VENT FAN SINGLE DUCT ~-- EACH LAWN SPRINKLER SYSTEM ~ MECH EXHAUST -HOOD/DUCTS,-..,..., -T ·--VALUATICN: $32,794.00 WATER SOFTNER ~,. RELOCATION OF EA FURNACE/HEATER _/ -BUILDING PERMIT I J/?t:l -I . ISSUE ~ -ISSlW. ./' .,.-.-SIGN PERMIT A I I •1 I -, TOTAL PLUMBING TOTAL~ ~~ ~ PLAN CHECK 6~9µ,✓"t' -,t:-~IJ?L '::f ~ I I I I qr-' CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT 14 _/ ~ AMT. TOTAL PLUMBING I ,...,,_ QTY. -QTY. OBILE HOME PERMIT ELECTRICAL I 1 ~,- NEW CONST EA AMP/SWT/BKR II I/. _/ ,,, AWNING ./" MECHANICAL I 1l>i- 1 PH .25 3 PT}' I/ ,/ ., PORCH ./" MOBILE HOME I I I EXIST BLDG EA AMP/SWT/BKR 71 y _/. SET-UP ,/ SOLAR I I I I I PH 15 _/ 3jH J ),, ~ RAMADA, CA_jM('"A I , I I I / REMODEL/ALTER PER CIRCUIT A "/'? _4i --FENCE_)J,lt(R 6' n / I I I I , TEMP POLE 200 AMPS / r., 1 ,1' ;v ~LMOBILEHf l',tE ---M ICO-F I LM ! I I I OVER 200 AMPS y, 7 1 1/] l /' ......, r .ti I ' I I ; I TEMPOCCUPANCY(30~~ / t la I I I J I\ I' -.t. u-I ' I I I -rL,--I ., I z__-/ I llN I I . I I T??TRICAL I I 7~ V JJ/ V TOTALFEESPAYABLE I $~(}( CONTRACT / J ~ I I . ' / r I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT. ANO DO •AN OSNA "'"" i~' m,m,o•s osee HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I ~<MOC no• s 00""""'\, FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY. l EA 35 ORIE IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER 0 SPECIFIED HEREIN OA NOT. I,ALSO AGAEE TO SAVE INDEMNIFY ANO KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND ./1./'..P'-_u E><PE NSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE r OF THE GRANT I No~..-..... ,c PE AMIT. ~A T-S~GNATUA~ ~ :i:~ CONTRACTOR□ rPPA:~ (/?J~ \ ,,~ BY PHONED ~ p --' - ? - SITE ADDRESS: \ . INSPECTION -DATE INSPECTOR WOOD F L OOR FOUNDAT ION• FORMS • SET BACK • TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEAT ING OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING • FORMS• SETBACK • TOILET OK TO POUR CONCRETE FRAME RO UGH ELECTRICAL ROUGH. P LUMB I NG ROUGH HEATING/VENTILATING FRAME OK• PLACE INSUL ATION INSUL ATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE . ,--· <. EXTERIOfl L ATH OK • PLACE STUCCO . -~ ... -'\ FIREPLACE .. ·, - DAMP ER S. STEEL ~ PLATE TIES/HEIGHT OF CHIMNEY -__ '\, • OTH.ER "" TEMP PGlWER !POL E) SEWER GAS TEST " SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN . FRAME . P AN FINAL ~NSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP GAS METER-P ERM-TEMP I CERT OF OCCUPANCY ISSUED . -~ ·- OWNER: FIELD INSPECTION RECORD l- - 1, C ' •· -, ' " ' ,. .,._ -,, --... . -~ ·-I " ~ .. ' t I ~- "'-' .. ' ~ INSPECTOR'S NbTES _ . ..,. -"-, . ,, -- I . .., . -,. ' I --~-~-, . ~ ~ \ ~ .. '· -~ - PERMIT NO: ' ',, II ' ,. . ' ! \ . ~ - . ~ I ' -.. l.. ' ' - , . .. n .v, .,, . 1 fat H-;_ 1 · . , / 3 p. , _I_N_T_E_R_D_E_P_A_R_T_M_E_N_T_A_L_I_N_F_O_R_M_A_T_I_;_O_N_S..;;,;H;_;;;E;..;;;E:...=..T I ¾'LDING DEPARTMENT D I BUILDING ADDRESS: /c2_~'5 ~ ~Medi ~~/ 9/tf '"' l '.! CITY OF CARLSBAD BuHdi11g Department PLANNING ~DEP :RITMENT ZONE LOT SIZE LOT WIDTH ---+---t-------------------~<----- UNITS ALLOWED UNITS PROVIDED -----------------'---~'------ PARKING SPACES REQUIRED % COVERAGE ALLOWED BUILDING HEIGHT ALLOWED FRONT SETBACK: ALLOWED ----~v~/'--- PROVIDED ------- INTRUSIONS LANDSCAPE & IRRIGATION PLAN 2== PROVIDED _____ _,_ ____ _ 'i:._O PROVIDED j5 PROVIDED SIDE SETBACK: REAR SETBACK : COMMENTS: , ENVIRONMENTAL PROTECTION REQ : Qe>vLw~ \ ADDITIONAL COMMENTS : OK TO ISSUE: DATE ------------- y'(J ENGINEERING DEPARTMENT 1i 1/-t,l..tJ ,:.,-:-- R. o. w. ))A INDUSTRIAL WASTE --H~A~ __ IMPROVEMENTs-1{& ~ SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _ GRADING PERMIT _______ EASEMENTS _________ DRAINAGE_~-/c ___ _ LEGAL DESCRIPTION -----1£_ 2~'60 -( 0 ADDITIONAL COMMENTS~-6,&-~~~~ 4t:b-4/. ~ f(s 351/ • ~~/ O~E:~ DATE /P;J$?7f PWI ____ OK TO FINAL ____ DATE ___ _ FIRE DEPARTMENT SPRiliKLING SYSTEM FIRE PROTECTION EQUIP. _______ _ FIRE ALARMS EXITS _______________ _ FIRE HYDRANTS __________ LOCATION _________________ _ ADDITIONAL COMMENTS OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE __ _ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _