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HomeMy WebLinkAbout1230 MAGNOLIA AVE; ; CB972012; PermitV/00~ B U I L D I N G 07/21/97 13:57 Page 1 of 1 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 -------------------- -------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS