HomeMy WebLinkAbout1205 MAGNOLIA AVE; ; 82-422; Permit"' z 0 j::
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division ·3 of Iha Business
and Professions Code, and my license is in
full force and effect. Lie No _______ Class
I hereby affirm that I am exempt trom the Contrac-tor's License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which re-quires a permit lo construci, alter, improve, demolish, or repair any structure, prior to its issuance also requires the ap· pl1cant for such permit to tile a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9 commencing with Seeton 7000 o1 Division 3 ot the Business and Protessions Code) or that is ex· empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by an applicant tor a permit sub· jeds the appbcant to-a civil penalty of not more than live hun-dred dollars ($500).
D I. as owner ot the property, or my employees with wages
as their sole compensation, will do the work, and the st rue·
lure is not intended or offered for sale (Sec. 7044. Business and Professions Code: The Contractor's License Law does not apply to an owner ot property who builds or improves
thereon and who does such work himself or through his own employees, provided that such improvements are not intend-ed or offered for sale. If, however, the building or improve-ment is sold within one year of completion, the owner-builder will have the burden ot proving that he did not build or im-prove tor tho purpose ot sale).
D I, as owner at the property, am exclusively contracting with Ucensed contractors lo construct the project (Sec 7044,
Business and Professions Code: The Contractor's License Law does not apply to an owner o1 property who builds or Im-proves thereon, and who contracts tor each projecls with a contractor(s) license pursuant to the Contractor's License Law),
D As a homeowner I am improving my home, and tho follow· ing conditions exist: 1. Tho work is being performed prior to sale. 2. I have lived In my home !0< twelve months
prior to completion o1 this work.
3. I have not claimed this exemption during the last three years.
D I am exempt under Sec. ______ • B & P.C. for this reason ___________ _
D I hereby atf1rm that I have a c-ert1hcate of consent
to self.insure, or a cer1if1c.ate of Wori(ers
Compensation Insurance. Of a cer11f1ed copy thereof
(Sec. J800. Labor Code).
POLICY NO -------~
COMPANY
□ Copy IS filed With tne city
D Cert1hed copy Is he-reby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(Ttus section need not be completed 1f the permit
,s tor one hundred dollars {SHXl) or less)
D I certify that •n the performance of the wof'k for wh1cn ttus permit 1s issued. I shall no! employ any
person in any manner so as to become subJect to
the Work..ers ' Compensation Lllws ot Ca11torn1a
NOTICE TO APPLICANT If. after mak1nd 1n1s Cert•·
t,cate or Exemption. you should become subIec1 I?
the Workers' Compensation prov1s1ons of the Ubor
Code, you must tonnw,th comply with such
prov1s1ons or 1h1s permit shall be deemed revoke<l
D I hereby aftirm Iha! there Is a construct1O0
1end,ng agency tor the performance of rhe wol'1l for
which this permit 1s issued (Sec 3097. Crv1I Code)
Lende(s Name. ___________ _
Lender"s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 '
JOB ADDRESS
AiJT-, D~F j~g'Z:I BUSINESS LICENSE # VALUATION PERMIT NUMBER
111>5 ~~ouA 6544-8t--4zt. OWNER'S NAME ' ".6' JtNER'S PHONE CONTRACTOR CONTRACTORS PHONE f ZONE
~ ~DY r .-., .-11J5h OtdMER..
OWNER'S MAILING AODRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0 . # BLDG USE CODE ~~re. ~~ _no ~ ADD,
~ ~cK l~l~,,v's ,oN ~--PA~O -DESIGNER LICENSE # STANDARD PLAN#
BUl1b~°¢GE 'Zr./~-CJ-
DESCR PTION OF WORK
DESIGNER'S ADDRESS DESIGNER'S PHONE
~)\LD ~~ ~Pl:£ --F/P FLR ELEV. NO ~~1 EDU STORIES
vO NO ---
CENSUS TRACT I GP LAND USE I PARKING SPACE RESUNITS I GRADING ~ERMIT ISSUED I REDEVE LOPMEN T TYPE OCC LOAD FIRESPR ,'4U I 0 ,. -9□ AREA \/'~i.1 ~fl) v O N\( 0,ij i"J-J,,f,Jrltffs .
YO N 0 vO NO --~iMwt ,,,,;,c
QTY. PLUMBING PERMIT · ISSUE -;~ QTY. MECHANICAL PERMIT -ISSUE 3 ~ SUMMARY/ACCOUNT NUMBER . .
EACH FIXTURE TRAP ,~ ,;;,__;_i--INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220
,:;.. '"' • '"' CJ EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00·8221 ., -
-'hb,"t5 · EACH WATER HEATER AN 0 /0 R VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 "/,i ~
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL . 01 ·00-00-8223
, --tr<'_-
EACH INSTAl .• ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00-00-8224 / -
EACH VACUUM BREAKER MECH EXHAUST -HOO OIOUCTS MOBILEHOME 01 ·00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) . SOLAR 01-oo-nn-R22n
t)':'V ./ TOT,t;.L MECHANICAL ,. STRONG MOTION 80-92-33-0519 .--,o
TOTAL PLUMB ING I /~ ~ FIRE SPRINKLERS 01-00-00-8227
~ QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32-00-00-8923
QTY. ELECTRICAL PERMIT· ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS -SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLOG EA AMP/SWT/BK R ROCK STORAGE Encinitas 80-92-22-0519
1 PH 3 PH .,_jj -PUMP San Dieguito 80-92-23-0519
/ REMOOE l/AL TE A PER Cl R CU IT ") :::,,,-PLAN CHECK FEE San Marcos 80-92-24-0519
/ TEMP POLE 200 AMPS ; -~ / _,
OVER 200 AMPS "F'~ r~~rc l \9_..1 l~1)1£' ( , ":J'/_ ~ !:J I . --I " ,
TEMP OCCUPANCY (30 DAYS) ---
TOTAL ELECTRICAL I ?~ ---TOTAL SOLAR TOTAL FEES PAYABLE I 77~
I HAVE CAREFULLY EXAMINED THE COMPLETED ''APPLICATION AND PERMIT" ANO DO HEREBY Expiration Every permit I11Lled by the Bu~ding Official under the ~rov,s1ons of this * AN OSHA PERMIT IS REQUIAEO FOA EXCAVATIONS OVEA ◄
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void ti the uitding or work 5' O" DEEP ANO DEMOLITION OR CONSTRUCTION Of
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authorized by such permit IS not commenced within 180 days lrom the date of such STRUCl\JR£$ OYER 3 STORIES IN HEIGHT permit. or if the buildi~ or work authorized by such perm11 1s suspended or ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandoned at anv time a er the work ,s commenced for a oeriod of 180 davs
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND AP !CANT'S Sl~r OWNER □ CONTRACTOR 0 ~Jr DATE KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND 1 ..... __,, ,;:t 1 li·'2D$~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE f'J.._,'-,. . -BY PHONE 0 ...... ... GRANTING OF THIS PERMIT.
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INSPECTION TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
ND SHOWER PAN TUB A
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. 1. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
•
I . I
I
HEAT AIR COND. -SOLAR SYSTEt
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION 11'
ITEMS ABOVE HAVE
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS ~C'.'...E.=R.:::.T::;:O~F=-=occ~:.;U~P~A~Nc=v~1s:::s-:--;u;:;ED;::--------:,
<ltitp of <ltarl.sbab
REQUEST FOR INSPECTION RECORD
'--TIME: _..,.....__7-'--=v,..--~:J.:--
INSPECTOR \ ~.11\,L PERMIT NO. DATE: =--3::~ b
OWNER ____ -,,.--____ -r-__ ---.-----::-..L.lf~Ul>--4---~=--..J&~.,,,.,/,:_e._~~---------
ADDAESS _~µ.~u 5£_0....:.._-,..f !---"1.~.ur:Jft-"-O...!........:.f •__i.a.·~~-------i=,---,-t---r;;-:-.,:--t-/---
AEQUESTED BY ----0_j__ PHONE No.9--7 0 5 \e1
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
□ MASONRY
□ GROUT · GUNITE
□ FLOOR AND CEILING SUB FRAME
□ SHEATHING D ROOF D SHEAR
□ FRAME
0 EXTERIOR LATH
D INSULATION
~ ---.LATH OR DRYWALL
PLUMBING
D UNDERGROUND PLUMBING
D SEWER AND PUCO
□ TOP OUT PLUMBING
D TUB OR SHOWER PAN
D GAS EST
D
PERSON TAKING' REPORT-..Ht--=----
ELECTRICAL
□ TEMPORARY SERVICE
D UFFER GROUND
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
D t-_,l,.t-t:-Tt-t,4.LL
0 POOL D SPA
D SIGN
SPECIAL INSTRUCTIONS ------------~---.c:;:;~·/;l,4{,..,t.4:\-,-C.Cc..,.,,(,. ;,,1f'.1:A'ift~4---------
Ready For Inspection:
'rf-A.M. D P.M.
D Tuesday D Wednesday D Thursday ~ Friday
-. . ..
------------------7-4
; NOTES
.I
'
.lliIE.RDIT8RI11ENIAL lNFORMAllQN__Stlill_ lECEIVED
BUILDING DEPARTMcNT DATE9EC ] 3 1982
BUILPING ADDRESS: /;;?d's-~ .-~/; J CITY OF CARLSBAD
-----S..~ ......;2;;._:--:_-4-~c-.-T----:,·. _,F--_-'--'_.___~--~---_-_-_~~~--~Boff,t1~'-'dl'ff,_rn-g_r-1_01"1-..,_e--p_a=r:trn:e~n_t~ A.P.N: da.S--1£R _,L
D til: *** * :~ * * * * t:!;toH** t * t ***;st; ***i'* ***** ** ** *** * *** ****** ***** * ** * **** * ** *
~ .. , PLANN 1 NG DEPARTMENT
ZONE: SCHOOL FEES: SAN DIEGUITO SAN MARCOS --------------
ENCINITAS CARLSBAD ------
UNITS REQ'D: PROVIDED: ----------------------% COVERAGE ALLOWED: ,PROVIDED : ___ ___,.(\_____,._+-l/ ____ _
PARKING SPACES REQ'D: _______ PROVIDED: _____ ~-:-,j1--\ ..... ~-----
BUILDING HEIGHT REQ'D: PROVIDED: ---------
FRONT SETBACK SIDE SETBACK REAR SETBACK
ALLOWED:
PROVIDED_: ___ ('-,-\__/-
INTRUSION-S:-·~------~___,~,.__.,,J-~-===-
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RE-DEVELOPMENT APPROVAL REQ ' D: \"J
LANDSCAPE & IRRIGATION PLAN COMMENTS: ~· -----------------
ENVIRONMENTAL PROTECTION REQ: ------------------
ADDITIONAL COMMENTS: -----------------------
OK TO ISSUE:·_$__... __ DATE: ~,~if OK TO FINAL: ____ DATE: ___ _
E~~ i~EERiNG "DE~8W~,<;;;y·~··•· •.••.•.••.••••.•. "*" ,.,, ••••••• **
R. 0. W: _______ IMPROVEMENTS_: ________________ _
PUBLIC FACILITIES FEE: SEWER CONNECTION: ---------------
DRIVEWAY LOC.ATION(S) : __________________ _
GRADING PERMIT: -------------------------EASEMENTS: DRAINAGE: -----------------------
LEGAL DESCRIPTION:
ADU1TIONAL COMMENTS: -----------------------
J
, *CHECK If EN~NG INSPUCTIO~ REQ'D. ON FINAL:
OK TO ISSUE: DATE: ,a~1G,..-bi-PWI:--,-___ OK TO FINAL: ___ _
DATE: ----
* IF TIITS ITEM 1S NOT CIIECKDD , BUTLDJNG DEPARTMENT WfLL MAKE
FINAL JNSPUCTION.