HomeMy WebLinkAbout1274 MAGNOLIA AVE; ; 81-342; Permit.. z 0 : :l u .. C
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0 I he,.,oy affirm that I am licensed under
provisions ol Chapter 9 (commencin~ with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
L,c No Closs
I hereby affl,m tha1 I am exempt from the Con
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county which requores a perrru1 to construc1
iilltl!lr. ,mprove, demol>sh, or repair ar,y stnicture,
prior to tis issuance also requires the appl1car,t tor
such permit 10 tole a signed statement tha1 he ,s
licensed pursuant 10 the prov,s,ons of the Con
tractor's License Law (Chapter 9 commencing with
Section 700) ot D1v1sion 3 of the Bustness and Pro-
Je5s1ons Code) or that ,s exempt therefrom and the
bas,s tor the alleged exemption Any v,olat,on ol
Section 7031 5 by an apphcant for a perrrut subjects
1ne applicant to a c1v1I penalty of not more than five
hundred dollars (S500)
□ I. as owner of the property, or my employees
-.,th willges as the,r sole compensat•on, will do 1he
woOI, and the stn,cture ,s not intended or offered tor sale (Sec 71)4.(, Business and Profess,oris Code
The Con!ractofs L,cense Law does not apply to an owner of property who builds or improves thereo,--,
and who does such worl< himself or through h,s own
employees, provided that such ,mproveme~ts are
not inlende1 or offered !or sale If, however. the
bu1ldmg or improvement ,s sold within one year of completion. the owner-bu,lde, w,11 h3\le the burden
of proving that he d•d not build or ,mprove to, the
purpose of sale)
D I, as owner of the property am exclusively
contracting w,th licensed con!lactors to construct
the proJect (Sec 70,U, Business and Professions Code: The Gon!ractor's L,cense Law does no! apply
to an owner ot property who budds or improves
thereon. and who contracts for each pro1ects w,th a
contracl0f1S) 1,cense pursuant to the Contractors
License Law)
D lamexemptunderSec
fo, th,s reason
.B & PC
D I hereby af!1rm 1hat I ha•e a cert,1,cate ol consent
lo sell-insure, or a cert,t,ca1e o! Workers
~~t~~sc~ne~e, Off cer11l1ed copy thereof
POUCYNO O J -r:c'-. ~-.
COMPANY IJ r t c_~
□ Gopy ,shied Wl!h the city
D Cert,f1ed copy ,s hereby furnished
CERTIFICATE:. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1f 1he perm,t ,s tor one hundred dollars ISH)'.l) or less)
0 I cert,ty !hat ,n 1he performance of the work tor
wh,ch th,s perm,! ,s ,ssued. I shall not employ any
person ,n ariy manner so as 10 become sub1ect to the Worl<e,s· Gompensa1,on Laws of Cahforn,a
NOTICE TO APPLICANT If. after mak1n;i this Cert,
f,cate of Exemptoon. you should become sub1ect t'l
the Workers· Compensation prov1s1ons ol The Labo< Code. you must tonhw,!h comply with such
prov,s,ons or th,s perm,1 shall be deemed reyo~ed
D I hereby altirm tha! there ,s a conslruct,o~
ending ~ency !or the perlormance ,:,t the worl< lor
wh,ch lh,s perm<! •s ,ssued 1Sec 309? c,,,1 Code1
Lenders Name ___________ _
Lende• s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT T~ FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS --------------------CARLSBA. BUILDING DEPARTMENT A~r'LICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB AOORESS
'JA&VDUPr-
BUSINESS LICENSE #
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owNE R'S PHONE
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OWNER·s MA!L!N ADDRESS CONTRACToR·s ADDRESS I UCENS~No.
12.14-~tJOJlA• trv~1i .0b 12~"1'? l/
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RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT ' AREA
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CONST
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PERMIT NUMBER z, -~If
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sTAN.04R.q PLA~ # _ ,1-eut_LDING so. F~ .. -_ -,-----
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Not Valid Unless Machine Certified
QTY.I PLUMBING PERMIT· ISSUE I QTY. MECHANICAL PERMIT· ISSUE 3. 00, SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANO·OR VENT l -----
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INST Al .. ALTER. REPAIR WATER PIPE r
EACH VACUUM BREAKER
INSTALL FURN DUCTS iJP TO 100,000 BTU II~ ----,,.. OVER 100,000 BTU
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
I z-.1,.-z,,,, -.J
1-V
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
TOTAL PLUMBING -------------+--
' . ELECTRICAL
·----·-/¥4 =
/"/ -VENT FAN SINGLE DUCT lJ-.. -MECHANICAL --------
MECH EXHAUST -HOOD/DUCTS MOBILEHOME f--------------------------.+ ·---
RELOCATION OF EA FURNACE1HEATER MOBILEHOME PARK INSP WATER SOFTNER f---+-~ .. ---·--+-------+
__L_ 2>ULAR
----.___ ~~·
EACH ROOF DRAIN (INSIDE)
TOT.C..L MECHANICAL STRONG MOTION
_ _____J TOTAL PLUMBING ___ J~~-~-----~ _ ___ FIRE SPRINKLERS
·--+----··
----+---~.7-
l PUBLIC FACILITIES FEE
ELECTRICAL PERMIT. ISSUE _ z. o O I QTY. SOLAR· ISSUE .. _ ·-_----+----~BRIDGE FEE ----------+--QTY. --, ·-j-
COLLECTORS COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH -'J ____ · -L-_ STORA,G:::·..'.'..C='------------J__ ---'---'L -~ TANKS 11---I.
_--J._T_~~-:~_,;;;;,::;:,::~;-:::,'.:;~ t ~j-=r--.
OVER 200 AMPS . --------------------------
TEMP OCCUPANCY {30 DAYSI --t---·------. --.
ROCK STORAGE
PUMP
PLAN CHECK FEE --+--
_L
TOTAL ELECTRICAL 7.,,-7 l ~
. I
--
----·-·
' TOT AL SOLAR
Enc1n1tas
I • _}&FtIUll I =Qj-~
--+-----<( -
TOTAL FEES PAYABLE I ?:J.7 x'. Jo
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5· o·· DEEP AND OEMOLITlON OR CONSTRUCTION Of
STRUCl\JR£S OYER 3 STORIES IN HEKiHT _ /
APPROV!:\) BY
I HAVE CAREFULLY EXAMJNED THE COMPLETED "APPLICATION ANO PERMIT" ANO DO HEREBY
CEfiT\FY UNbEA PENALTY--OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECL.Jl.RATIONS ARE 'fRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT rs
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. 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. _....,.,.,.. J"ll_,'-'e;_-BY PHONE 0 .~=.,-' '
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INSPECTION TYPE DATE INSPECTOR
BUILDING A I
'fj_2,V Iv·• FOUNDATION
REINFORCED STEEL I V
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO I
PLUMBING UNDERGROUND , 'l, I,, .... ,yY'--'
PLUMBING TOP OUT V
TUB AND $HOWER PAN J j
GAS TEST ilw -, lM---
ELECTRICAL ' '
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING I
G. F. I. -SMOKE DETECTOR_
MECHANICAL
DUCT & PLEM., REF. PIPING .
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF 0Cf"J0 ANCY ISSUED
.
lf/~3'+~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTORS I<,..:., ' -' INSPECTION REQ. IF DATE Cc~ ~e, -ro 'f'i C. ~ I A'50. CHECKED APPROVAL
;i.£
) \J SOILS COMPLIANCE ✓ PRIOR TO ",,,:.n, .. Pri'l nt-. \ i?], k'.'.' to-U::BL_ qf -CfJZ-Tift<;&rE... 1rv ~ FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE .
POST TENSIONED
CONCRETE
FIEL0 WELDING
HIGH STRENGTH
BOLTS ----
SPECIAL MASONRY
.
PILES CAISSONS
.
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PLAil CHECK NO. f!JJ-~ ~C-t
EU I LD me A DOR ES s /;;J.. 7 __!t[ /f 1 f/C:.,./1){),!../ ,9 ~\~
APPLICANT/CONTAC T l3uoG-er' /--/pm~sZ ?i!OilE NC. N d'r/e?91vevz ~ ~I •
EU ILDINC OCCUPANCY /4?-3 DES}C:N~R PHONE 7 ~ O,; ~ r.,. L ) --'--'l,P/"~
TYr>E OF CONSTRUC TION 'i::Jj_J.._fjtJO.JP_fil CNITRAC'!'OR PHO~iE ? VJ '-'
3U ILDING PORTION BUILDING ARE,\ ·VALUATION
r,:U LT T PL IE~~
VALU!:.:
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Air Condit i oning -\ l--___.c;..-=-----.--;---------+--------·--------------------..-Comm erc 1 n l
Residential -----------------,___ ____ _.__ __________ (
:-'ire Sorinkl ers
To tal Value
EuildinR rcrmit ~cc
Plan Check Fee
C 0 ~'.',l El', TS : _ ------------------------------
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INTERDEPARTMENTAL INFORMATION SHEET
.BUILDING DEPARTMENT DATE:
BUIJ,DING ADDRESS: /~7Y h,~ 1ECEIVED
c!).o5---~,o -1~ AUG l 3 1981
PLANNING DEPARTMENT CITY OF CARLSBAD
Building Department
ZONE rL., l LOT SIZE LOT WIDTH
UNITS ALLOWED UNITS PROVIDED ------------------------
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
--e,-+--f<L _____ PROVIDED __ _,_6-+P-rl,...,__ ___ _
f-' PROVIDED -----~~------
PROVIDED ----------
FRONT SETBACK : SIDE SETBACK: REAR SETBACK:
ALLOWED
PROVIDED=====o=~======
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS: ~N~(~A _______________ _
ENVIRONMENTAL PROTECTION REQ: ~'~~~~=i...;_;_p~r:~--------------
ADDITIONAL COMMENTS: -~'--1-(A~---------------------
OK TO ISSUE:~DAT::f~/KI
ENGINEERING DEPARTMENT ~t--"' '
CL-' R.O .W. ______ INDUSTRIAL WASTE
OK TO FINAL DA TE -------------
rZc.
IMPROVEMENTS ---------------
SEWER CONNECTION DRIVEWAY LOCATIONS ---------------------
GRADING PERMIT EASEMENTS DRAINAGE
LEGAL DESCRIPTI_O_N=======v~2-==Q=~5=----~i=::,:o~~-~:::y:~~:_-_-_-____ =========
ADDITIONAL COMMENTS ----------------------
OK TO ISSU~ATE~/~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 -----------------------
r \TER DEPARTMENT
~UIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _
3/. 3VJ..
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THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGU-
LATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
12 7 4 .. Magnolia ..... street ....... Car 1 sbad ............................................... .
Street Lot Number Tract
EXTE:::u:;~~:; ..... 9-~~.il/.C.Qfl!'!ti:-.c. ............................... Thickness/Type ......... 3 ~ .................... R Volue ..... L./... .......... .
CEILINGS:
Batts, Manufacturer .... ~~~-.~.~.~~~~.~~······················ Thickness ................... , .. t:.... ................. R Value ... L'J .......... .
Blown, Manufacturer .............................................. Th ickness .......................... No. Bags ......•...... Wt./Bag ............... .
Sq. Ft. Covered .................................... R Value ....................... .
FLOORS:
fv\anufacturer ......................................................... Thickness/Type ............................. ......... . R Value ....................... .
GENERAL CONTRACTOR .................................................................................................. LICENSE NUMBER .......................... .
BY .................................................................................. TITLE .............................. Date .......•........................................
SPRING VALLEY INSULATION CONTRACTORS
~:ii~•·· ... .. , P,es;dent
Date .... l.0.::-~J ~ ... ~/... . .................. .