HomeMy WebLinkAbout1281 MAGNOLIA AVE; ; CB911359; Permit'
B U I L D I N G P E R M I
L0/02/91 09:5
Pag@ 1 cf t
Job A k r ,s: 1281 MAG OLIA AV
Pe mi Type: PLUMBING
Parcel No: 205-280-3 -00
Valuation:
c n-=-rue io Type: NEW
Occup ncy Group: ClaJs Cod
Description: (OMPL:::ANCE SI:;WER Pl.MP I 'STALL
Appl/Ownt : FUNKHOUSER, ROBERT D & SANDRA
12 1 MAGNOLIA AV
CARLSBAD, CA
Fees Required
Fees:
A justrneuts:
Total fees:
Fee esc 1ption
Er ter "Y" for P um
Each Building sew
PLUMB~NG TOTAL
**
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Str:
(619)
Ierm.1t. c: r..B~.1
Projec No: A 1 17
C vel t N :
F..1.:
4652 10/02/91 0001 01 02
C--PRHT
Applied: 10/02/ •
Apr/Issue: ~C O~/ 1
Validated By: ~BL
5l6-7380
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14.00
LAPPROVAL
•~~~-DATE ... 3--....._..--
CllY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION .. •
PLAN CHECK NO.
City of Carlsbad Building Departaent
IESI".VAL 2075 lag Pal•g Dr., Carlsbad, CA 92009 (619) 438~1161
PLAN CK DEPOSIT _______ _
VAIID. BY __________ _
1. PfflMI I l'YPE DATE
A -LI Commercial O New Buddmg LI Tenant Improvement
B -D Industrial □ New Building □ Tenant Improvement
C -□ Residential D Apartment D Condo □ Single Family Dwelling D Addition/ Alteration
□ Duplex D Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing
□ Mechanical O Pool □ Spa □ Retaining Wall □ Solar □ Other ____ _
2. PRaJECT INFORMATION FOR OFFICE USE ONLY
Address 12.fJf J..<l\61JOLiA Bmldmg or Suite No.
YiEn-E:
mt o.
CHECR 8£WW IF SOBMll i HO:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
NAME 5 A-fne ADDRESS
CllY STATE ZIP CODE DAY TELEPHONE
6. WN'IRACIOR
/NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
STATE UC.# UCENSE CIASS CITY BUSINESS LIC. #
DESIGNER NAM£ ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. WOlUMtS' WUPHNSA110N
Workers' Compensation l.'ledarauon: I hereby afurm that I have a cemhcate of consent to self-msure issued by the 1.'11rectorof lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POUCY NO. EXPIRATION DATE
□
□
□
Ceruhcate of Exemption: 1 certify that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner
so as to beco e s 1ect to the Workers' Compensation Laws of California.
~ DATE /0 Y, t:'f
owner-Builder Declarauon: I hereby afhrm that I am exempt from the Contractor's license Liw for the foliowmg reason:
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions 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 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 purpose of sale.).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section ________ Business and Professions Code for this reason:
(Sec. 7031 .5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, 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 lo the
provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031 .5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
SIGNATIJRE DATE
COMPLETE IBIS S£c'i'ibN FOR NON-RESIDEN MAC BUliDING PERMITS ONLY:
Is the applicant or future building occupant required co submit a business plan, acutely hazardous materials registration fonn or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□ YES □ NO
ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
C YES □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES D NO
IF ANY OF THE ANSWERS ARE YHS, A FINAL CERTIFICATE OF ocx::t.lPANCY MAY NCIT RH ISSUED AFTER JULY 1, 1989 UNLESS nm APPIJCANT
HAS MET OR IS MmmNG TIIE REQUIREMENTS OF nm OFFICE OF EMERGENCY' SERVICHS AND TIIE AIR POLLUTION CDNlllOL DISTIUCT-
9. WNsl kOCIIDN LENDING AGENCY
1 hereby alhnn that there is a construction lending agency lor the performance of the work for which this permit 1s issued (Sec 309?(1) dvu Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPUCAtn d!k1MCAMN
I certify that I have read the application and state that the above mlormatton 1s correct. I agree to comply with all City ordinances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I AlSO AGREE ID SAVE INDEMNIFY AND I<EEP HARMLESS TIIE Cl1Y OF CARLSBAD AGAINST AU UABJIIl'IES, JUIXiMENlS,. CDSTS
AND EXPENSES wmrn MAY IN ANY WAY Aa:RUE AGAINST SAID Cl1Y IN CDNSEQUENCE OF TIIE GRANTING OF nns PERMIT-
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit is.sued 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 nor commenced within 365 days from the date 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 a period of 180 days {Section 303(d) Uniform Building Code).
X AP-;;:cp;Aru~ nm~
WHITE: F e YEU.OW: Applicant PINK: Finance
'
PERMIT# CB911359
DESCRIPTION: COMPLIANCE SEWER
TYPE: PLUM
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 03/27/92
PUMP INSTALL
SANDRA PHONE:
INSPECTOR AREA PD
PLANCK# CB911359
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
(619) 526-7380
JOB ADDRESS: 1281 MAGNOLIA AV
APPLI.CANT: FUNKHOUSER, ROBERT D &
CONTRACTOR:
OWNER: ::~::~ /71-~\ /l;/
REMARKS: RS/BOB/434-1552 INSPECTO~_.;;;;d~..-...~·µ ____ ~__,_'--____.;;a;-------
SPECIAL INSTRUCT: CARD ON FRONT DOOR/PAINTERS IN HOUSE CAN SHOW YOU WHERE
PUMP IS/THIS IS FOR FINAL SEWER PUMP
TOTAL TIME:
CD
29
LVL DESCRIPTION
PL Final Plumbing
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ACT COMMENTS
Jl{ ____ _
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS