HomeMy WebLinkAbout1230 MAGNOLIA AVE; ; CB972012; PermitV/00~
B U I L D I N G
07/21/97 13:57
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Job Address: 1230 MAGNOLIA
Permit Type: ELECTRICAL
Parcel No: 205-210-74-00
Valuation: O
AV
P E R M I T
Suite:
Lot#:
Permit No : CB972012
Project No: A9702556
Development No:
Construction Type:
Occupancy Group: Reference#: Status:
NEW
ISSUED
07/21/97
07/21/97
JM
Description: UPGRADE EXIXT PANEL 50 AMPS
Appl/Ownr : PFANKACH MICHAEL
1230 MAGNOLIA AVENUE
CARLSBAD, CA 92008
*** Fees Required ***
Fees:
Adjustments:
Total Fees:
33.00
.oo
33.00
***
Applied:
Apr/Issue:
760
Entered By:
434-7986
Fees Collected & Credits
Total Credits:
Total Payments :
Balance Due:
.00
.oo
33.00
***
Fee description Units Fee/Unit Ext fee Data ---------------------------------------------------------------------------Enter "Y" for Electric Issue Fee >
Single Phase Per AMP >
Enter "Y " f or Remodel >
* ELECTRICAL TOTAL
10.00 Y
12.50
10.00 Y
33.00
FINAL APPROVAL
·~sP._ ...... _DATE __
JLEARANCE ____ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1 161
FOR OFFICE USE ONLY
>ERMIT APPLICATION PLAN CHECK NO. ~)/ z__,
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL. ____ ._....,_-,-_
Plan Ck. Depos~it-=,.....--"":....a:::"-1...d_L-
Validated By,_.~1,":,L--+:==---
Date, ____ ...1:.~~<14:......,t....,1----
1. PRo.iECT INFORMATION I ol Jo (!J,96/(lollA AvG"'
Address (include Bldg/Suite #) Business Name tat this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I ot units
Ass{Jesso~ ?1!~ .4 _!!..Y!'!£k. ELrc. T ,.,,,,re Existing Use Proposed Use
Description of Work SQ. FT. #of Stories I of Bedrooms # of Bathrooms
Name
s:--~,,• CONtiiACToR·~. CoMPAN~NAMl~tr;~.¥,'.'-R:fi,~ ~.J~~!/'tf/!~•~:~:~~R$1Jm!"'~-~:~·e· ~,, -~ •c•,is;~,.,~.,-"'i'f,-.~".'_~~.; !t'Y~~ff-: ~-~;;~_;,\:~-~~~~';~~t~:;\1~~ -;~+·Yt '. ~~~,~~ -
(Sec. 7031.5 Business and Professions Code: Any Clty or County which requires a permit to construct, alter, improv,. 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 Ucense Law
(Chapter 9, commending with Section 7000 of Division 3 of the Businau and Professions Code) or that he Is axampt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit aubjects the appUcant to a civil panahy of not more than fiva hundred dollars 1$5001}.
Name Address City State/Zip Telephone I
State Ucense I _________ _ License Class ________ _ City BusJneas License # _______ _
Designer Name Addreas City State/Zip T8'ephone
State License I ________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which thia permit Is
issued. My worker's compensation Insurance carrier and poticy number are:
Insurance Company____________________ Policy No. Expiration Date. _______ _
[
SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESSI
CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is Issued, I ahall not employ any person in any manner so as
come subject to the Workers' Compensation Laws of California. ·
WARNING: Failure to HCUN workers' compenNtion conraga II 111lawful, and shall aubject an employer to crlmkllll penaltlu and civil fines up to one hunchd :~~::u:·--'iH;~oi:-r:rJt;;:;;;-· damogu u provktod form s.c,-, 3~:~:' "'".!}'; 2P'-?iz' ~ .......... IN,.
7. oWNlR-BUILDEII ~TioN > ,,,:;;'!',"::.~.-:.,,;, ·•~~ .. --:ll'·.,:~~~/, lA:; ''{ ;'_-, ~-·. ,,;;:-:,,, '-'.'.,'.';":',·s,:c·;,,-;:_,.,._:·: ... :, :-,:;.;:;·;:: ::~""'' !~:::;-, ,:'..'::C';'.:,.;:;'"!l''..."~ -:c:-:.•~S~•:·;;.;;,,:.:.i.~~,~~~:;'.."",,;;:~~;_.:~::i:} .. ,~ · ·,:.:::a,~'"fh~·-'::,i? ::;~'' 7("C'!" -.,,'
l eby affirm that I am exempt from the Contractor;• License Law for the following reason: .. ' · '
I, as owner of the property or my employees wh:h wages as their sole compensation, will do the work and the structure ls not Intended or offered for ute
I . 7044, Businus and ProfessJons Code: The Contractor's Ucense Law doe• not apply to an owner of property who builds or improvn 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 purpon of sale).
D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Prof ... tons Code: The
Contractor's License Law does not epply to an owner of property who builds or improves thereon, and contracts: for such projects with contractor(s) licensed
pursuant to the Contractor's UcanH Llw).
□
1.
2.
3.
I am exempt under Section ______ Buaineu and ProfeHions Code for this reason: _ /
I personally plan to provid• the major labor and materials for construction of the propoaed property improvementA YES ONO
I (have / have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firml to provide the propoaed construction (Include nsme / addrus / phone number / contractors license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the ma}or work !include name / addre11 / phone number/ contractors license n.rmber):, _____________ ..,.. ______________________________ _
5. I will provide some of the work, but I have to provide the work Indicated (include name / address / phone number / type
of work)::_ ------------1...f/--,/--IJ.~L--,~L-/,-,V--------------,,,...---:==----------
PROPERTY OWNER SIGNATURE
'COMPLETI! THiS ilectloil Foll .
DATE 7-/iJ'9'7
. :dML'ti~~:tilf~5P,~.~~~f.~l•~~-;~~~~~r~~~J~~~t~"·
Is the applicant or future building occupant required to ineu plan. 1cutety hazardous materials reglstratk>n form or risk management and prevention
program under Section• 26505, 25533 or 26634 of the Presley-Tanner HazardOUI Substance Account Act? D YES D NO
Is the applicant or future bLiilding occupant required to obtain a permit from the 11, pollution control district or air qualtty management district? D YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTION CONTROL DISTRICT.
1a.,··:•~:.c0NittltictiON:'LENDlNGiAdaicf,~~t:'m"~:;"~~;,~:~r'.~~~t~.t,W~~.,,~~(~'•~:·:''{~;';~:'f;,~'"'~'-~-~:~::!'.;~t~·'~,::.'f:l".:~':'.~';'(f~~•"'.'\it~"".;''"''.
I hereby affirm that there Is a construction lending agency for the performance of the work for which this permh: Is Issued (Sec. 309711) Civil Code).
LENDER'S ADDRESS. _______________________ _
LENDER'S NAME ____ -'---------19~ " · APPLICANT ·cEFit1FlcATif>Ni~fr~T"'1"::nn£,;"~'.~1;,11~~~'t'~ >i~~r-~~~~~~-i.c•;;=i:~w,trr.:stifJ~~r.;~~4.~~x,n~~'~:;:-,~~ :;1r:,rT1',-:-7~v ;,--:n;:n:,,-··'
I certify that I have read the appHc1tlon and state that tha abova Information Is correct and that thl informatkm on the plans Is accurate. I agree to comply with all
City ordinances 1nd State law• relating to building construction, I hereby authorize repruentative1 of the Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES.
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over s•o• 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 385 days from the data 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 I period of 180 days I Section 108.4.4 Uniform Building Code I.
APPLICANT'S SIGNATURE _________________________ _ DATE _____________ _
•
PERMIT# CB972012
DESCRIPTION: UPGRADE EXIXT
TYPE: ELEC
JOB ADDRESS: 1230
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 07/28/97
PANEL 50 AMPS
STE:
INSPECTOR AREA
PLANCK# CB972012
OCC GRP
CONSTR. TYPE NEW
LOT:
APPLICANT: PFANKACH
CONTRACTOR:
MAGNOLIA AV
MICHAEL PHONE: 760 434-7986
OWNER:
REMARKS: B/
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
~:g:~: ///Lu ' (I_, -
INSPECTO~~~~,!:::::ve ___ £ ____ _
ACT COMMENTS
~ EL _s_e_rv_i_c_e_c_h_a_n_g_e_;_u_p_g_r_a_d_e ____ ~ f;t' g~"5;f Plf;ua fiJL-~G/JIL
--------------------
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS