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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 ** > r 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 & C e i ~ • ') I) • 0 14. ul * Ext f e r,..ta 7.5 l Y 6. 5) 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 ------------------------------------------------------ ACT COMMENTS Jl{ ____ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS