HomeMy WebLinkAbout1337 MAGNOLIA AVE; ; 84-128; Permitrn z 0 ;::
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O I hereby affirm that I am licensed under I
provisions of Chapter 9 (commencing with I
Section 7000) of Division 3 of the Business I
and Professions Code, and my license is In 1 full force and effect. l.Jc No ______ Clm ______ I
I
I hereby altirm that I am exempt from the Contrac· I tor's L,cense Law lo, Ille lollow1ng reason (Sec 7031.~
Business and Profess10ns Code Any city or county wh1c-l'i re-quires a permll to cons1fucl, aller, inlpfO'ie, demolish, or
repatr any structure, prlOf to its issuance also requires ?heap-
plicant !or such permit to lite a signed statement thal he ,s
licensed pursuant 10 the provisions of lhe Conuacto( s License Law (Chapter 9 commenc111Q with SectlOll 7000 ol
01111sion 3 ot lhe 8uS1nes:s and ProlesStOns Code} Of that 1s ex-
emp1 therefrom and the baSIS for the aHegeo e,:emptt0n Any
Vlolalion of Section 7031 5 by an applicant !Of a perm11 sub-
teets the apphcant to a civil penalty ol not more than INe hun· dred dollars ($500). ~ 1 as owner of the property. or my employees with wages
~r sole compensation, w,u do lhe WOfk, and !he struc♦
ture is not intended or olfered tor sale (Sec 7o.14, Business and Professions Code: The Contractor's Ucense Law does
not appty lo an owner of property who builds or improves
thereon and whO does such wo,k himself or through his own empli,yees. provided that such improvements are no1 intend-
ed or offered tor sate. If. however. the buildmg or improve-
ment 1s sold within one year ot c hon, t owner-er
will have the burden ot provmg · I prove lo, the purpose of sale).
D I, as owner of !he property, exclusively conlracting with licensed coo1ract0<s to uct the prOiect (Sec. 7044,
Business and Professions Code: The Conlractor's license Law does not apply to an owner ol property who builds Of im-proves thereon. and who contracts tor each pro;ects with a
contractor(s) license pursuant to the Contractor's license Law)
D As a homeowner I am improving my home. and the follow·
ing conditions exist: t. The work is bemg performed pnor 10 sate. 2. I have lived in my home lor twetve months
prior to completion ol this work.
3. I have not claimed this exemption during the last lhree years.
□ I am exempt unde< Sec. ______ , B & P.C.
for this reason
D I hereby athrm that I l\a..-e a cert1f,cate ol consent
10 self.insure. or a cert1f1cate of Workers
Compensation Insurance. Of a cer11heo copy the,eol
!Sec 3800. Labo< Code1
POLICY NO
COMPANY
□ Copy IS filed '#llh the City
0 Cert1l1ed ccpy Is hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed 11 the permit
1s tor one nundred OOllars ($100) 01 less)
D I cer11fy that '" lhe performance ot !he work to,
wh1cn this permit Is issued. I shall not employ any pe,son In any manner so a.s 10 become sub1ec1 10 I
the Workers· Compensalton Laws ot Cahforn,a I
NOTICE TO APPLICANT If. after makin, lhtS Cer,, I
ltcate of E1tempt1on, you should become sub1ec1 I?
lhe Wor1(ers· Compensation pro\1IsIons of lhe Labor
Cooe. you must tonn~·,Ih comply w1Ih such
provisions or this permit shall be oeemecs re\lOke<J
D I heret>y affirm lhal there 1s a con~1tuc1,on
1endm~ aoency tor lhe performance of !he wor11: tor
which this permit Is •ssued tSec 3097 C1v1I Code)
lenders Name ___________ _
l ender's Address __________ _
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT " -' APPLICATION & PERMIT I 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS , MA-~~OL) f\--~ NEAREST CROSS ST. I DATE Of APPLICAT~, BUSINESS LICENSE # VALUATION ~~~·;"""'" 1~'?,7 tvm-c w,+'( 3_-5',..cf (;,Z:jZ
Lf2-l 8LOCK I rueo1 VISION I ASSESSOR PAW<O g d) CONTN7"
CONTRACTORS PHONE • ZONE !2.0S" 0 ~ ..-
QWNE R'S NAME . I -, z;/itf8NE r I \ DR ~~·E\ 13LI RG-Eg__ CONTRACTOR'S/ADDRtSS LICENSE NO. PLAN 1.0. # BLDG use COOE . ~Prf)O OWNER'S MAtLING AOORESS -I -,;_ ;--"";
.:;5(t.me.. ~~ o.boJe..-DESIGNER LICENSE " STAND,O.RD ~,t!!.' /j :I BUILDING SO. FOOTAGE
/71/~ tA -
DescR•~i\-T~i~o I'\ ~e-0'\o i>eu ll '-DESIGNER·s ADDRESS DESIGNER'S PHONE
~Pru, o _ W~$ ~-k-' -ic 5 'U..WE:f!--B<iBritJq --· .
F/P FLR ELEV. NO OCC GP EDU
~of -A-t::>o M-1i'\Tu6 STORIES
vO NO ---. ~ --
CENSUS TRACT I G P LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE. OCC LOAO FIRE SPA AREA CONST
y D ND vO NO vO NO Nor Valid Unlesr Machine Cerrified
QTY. PLUMBING PERMIT -ISSUE 7£!-QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER -I EACH FIXTURE TRAP -/ -'7 .CJ. INSTALL FURN. DUCTS UP TD 100,000 BTU BUILDING PERMIT 01-00-00-8220 I "J, UO
EACH BUILDING SEWER -OVER 100,000 BTU SIGN PERMIT 01·00·00-8221 -. -
EACH WA TEA HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00-00-8806 n,""t:S
EACH GAS SYSTEM 1 TD 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00-00-8222 /l"l .nO
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223 " t'J 0/J
EACH lNSTAl. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00·8224
EACH VACUUM BREAKER .. MECH EXHAUST -H000I0UCTS M0BILEH0ME 01 ·00·00·8225
WATER S0FTNER RH0CATI0N OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01 ·00·00-A??~
TOT /;L MECHANICAL STRONG MOTION 80·92·33-0519 -,:;;;n
TOTAL PLUMBING I lU ,.oo FIRE SPRINKLERS -01 ·00·00·8227 -
QTY. ELECTRICAL PERMIT -ISSUE s=-QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00-00-8933
BRIDGE FEE .
NEW CONST EA AMP/SWT 1BKR COLLECTORS SCHOOL FEE · DISTRICT
1 PH 3 PH STORAGE TANKS ' Carlsbad 80·92-21-0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE I Encin1tas 80-92-22·0519
I PH 3 PH PUMP San Dieguito 80·92·23-0519
I REM0DEL'ALHR PER CI RCUIT ;:;.-PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP POLE 200 AMPS -'
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYSI A~;:
CREDIT DEPOSIT
TOTAL ELECTRICAL I JO ,.oo TOTAL SOLAR , TOTAL FEES PAYABLE I 41,q5'
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" ANO 00 HEREBY Exp,ral!On Every perfflll -by the Building Qff1c,al under the p,o.,s,ons of th,s * AN OSHA PERMIT IS REOUIRE0 FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code st>all exp,re by 1rm,1a11on and become null and void ff the building or work S' 0 .. DEEP ANO DOIOLITION OR CONSTRUCTION o, authortZed by such perm,t os not commenced w1th1n 180 ~!t:'.rom tne date of such DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS permit. or d the buddt~ work author&Zed by such ,~~~•pended or STAUCTUA£S OVER 3 STORIES IN HEIGHT
ISSUEO-TO COMPLY WITH ALL CITY COUNTY ANO STATE LAWS GOVERNING BUILDING CON. ■banCloned at anv time • the work ,s commenced for a rt of 180 da••
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANT'S SIGNATURE ?.J ' 0~ CONTRACTOR 0
A~
DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS. COSTS ANO a 13,5,84 EXPENSES WHICH MAY IN ANY WAY Acq!UE AGAINST SAID CITY IN CONSEQUENCE OF THY ;e, A BY PHONE 0 GRANTING OF THIS PERMIT. 1 ~ , v --,,r
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TYPE ' DATE INSPECTOR I
BUILDING I ~4'-I -;;r~
FOUNDATION I 1-:;,f>.f'A N+-FIELD INSPECTION RECORD
REIN FORCED STEEL "' I
MASONRY I
GUNITE OR GROUT l
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES .
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I SOILS COMPLIANCE
SHEATHING D ROOF □ SH~AR
FRAME I ~-lS•M I',#-
EXTERIOR LATH ' .. ,
I
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
INTERIOR LATH & DRYWALL I l~.ll•AA &-
PRES TRESSED
CONCRETE
POST TENSIONED
' VI CONCRETE I
PLUMBING I FIELD WELDING
SEWER AND BUCO □IPUCO I
UNDERGROUND D WASTE D ~ATER
TOP OUT □ WASTE D WATER
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I
I PILES CAISSONS
D WATER HEATER D SOLAR WATER
I .
ELECTRICAL I
I
D ELECTRIC UNDERGROUND 0 1UFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE D TEMPQRARY
D BONDING □ POOL I
I
MECHANICAL I
.I
□ DUCT & PLEM., D REF. PIPING .
HEAT -AIR COND. SYSTEMS I ·,
VENTILATING SYSTEMS I •.
l
CALL FOR FINAL INSPEC
1
UON WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED.
FINAL I
PLUMBING I
ELECTRICAL ' -I
MECHANICAL ~J
GAS txX.1-I • l
BUILDING V\_~\ ' .4,c;-M etr· I ; .......... _
'\ I -I j SPECIAL CONDITIONS .I
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1 :::,'!)1 MA-G No LJ Ave
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1200 ELM AVENUE
CARLSBAD. CALIFORNIA 92008
Dear Pmperty (Mna'C:
Citp of Car1'&a?I
TELEPHONE:
6/~ SI I
all-438-5525
An application for a hJiJdirq 1=ermit ·has been sul:mitted in yoJr D@1'l'e listing yourself .
as the b.liJder of the pmpert'J inprovenents specified. Par your protection you sh:luld be
aware that as "owner-builde:c1' you are the responsible part-.[ of record on such a pemit.
Bui] clinJ perrni+.s are not required to be signed by t.he property .owners unless they are
personally. perful:mm"J t!-.eir own 'WOrk. If your work is bein;J perfomed by sawaone other
than yourself, you. may protect ycurself fran possible J iahl J j ty if that person applies for
the proper pemdt in his or her name.
COntractars ~ required by law to be licensed and borded by the State of california and
to hava a bJsiness license flDll the City of Car] sbad. They are also requind by law to
put their license nl.lllber on all permits for which they apply. ·
If you plan to do YQJr own work, with the exception of variaus trades that yt11 plan to
subcontract, you shculd be aware of the fol..la.-1.in;J infm:nati.on for~ benefit ard pco-
tection. . If you arplay or othez:wise engage any persons other th!ln your imnefliata family,
and the work (including material and other costs) is $200 or m:,re for the entire project,
and such persons are not licensed as ex>ntractars or subcontractors, then ycu may be an em-
ployer. If you are an arployer, you must register with the state ani federal government
as an etployer an:! you are subject to several obligations including state am federal.
incate withholding, federal social security taxes, w:>rkers' ccnpensation insuran:e, dis-
ability insurance costs, and uneq,loyment cont.ri.butions. There may be financial risks
for you if you do mt can:y out these obligations, and these risks are especially serious
with respect to w:>rkers' cxnpensation insurance.
For specific infcmnation alx>ut :YOUr obligations umer federal law, contact the Int.ernal.
Revenue Service (arri, if you wish, the U. S. Snail Business Administration). Far more
specific infcmnation al:x:rut your obligations under state law, contact the Department of
Benefit Payments am the Division of Indust.rial Accidents.
If the structure is intended far sale, property owners 'Who are not licensed contract.ors
are allowed to perfcmn their WDrk personally or through their own mployees, without
a licensed contractor or sulxxmb:actor, only under Umitai con:litions.
A frequent prac:ti0e of unlicensed persons professing to be contractors is to secure an
"owner-tui Jaer• btJildinJ pennit, erroneously .implyirq that the property owner is provicllilg
his or her own l.abar and material personally. Building permits are not required to be
signed by p.ropert.y owners unless they are perfomrl.ng their own lllllrk personally. Infonm-
tion about licensed a:ntractors may be obtained by contacting the Contractors State License !bard in year camunity or at 1020 _N St.reet, Sacramento, CA. 95814.
PI.EASE ca-1PLETE AND REl'URN THE BCl'.OSf.D c:Nml-BUIIDER VERIFICATICN FORM SO THAT liE c.AN
0:lNFII« THAT YOO ARE. AWARE a! 'fflESE MATl'ERS. THE BUIIDIN,; PERmT WILL NOr BE ISSUED
lN1'IL THE VERIFICATION' IS RETURNED.
Very truly yours,
Buildin) Deparment
City of carlshad
-· _., ---·-··-·--. ·--··•--,-•---·•--·•-·---··•-·---··-----···········-···-··---····-··· .. -·--···· ··-·-·--·------·------------···· -------------------·---_, ____ ....,. ___ . -----··-·--· -···-· ----
An· ''ow.ci::::.c:..ctiildet" building ·penrtit ~?las been ·applied ·for· in your name and bearing your
signature.
Please'.canplete·and return this-info:rma.ti.on·in the envelope provided at your earliest
opportunity to avoid unnecessary delay in processing and issuing your building pemit.
It> building peonit.will be issued until this verification is received.
1. I personally !:llan to provide the major lal::or and materials for construction of
the proposed property inprovement (yes or no) 4#:d :
2. I (have/have not) L signed the application for a biild:ing pennit.
3. I have contracted with the fol.lowing person (f il:m) to provide the proposed constructi.6n ..
Name--------~---Phone. __________ _
eontract:crs License No. ----
City ___ ;._ _ _,___-t--r-,----
4. I plan to.. pxov:ide · ns of the 'WOX'k, but I have ·hi.red: the following person to
coordinate, supervise and provide the major -work. -
. Name. _______ +-+----Ph:Jne -----------
contractors License No. ----City ________ -+-l,1,...--
5. I will provide sane of the l-JOrk but I have contracted (hired} the follq.dzq persons
to provide the l-~rk indicated:
Name Address Phone Type of Work
(
\ -V 1./f 1
\
~igned: ~ O,mer ~ kt ~
SOcial Security~ IJ). o.,. ;;-.G:, .-7 3 ,';J. 7
Date: }"h~ s 17Ji/
EACH SUBCONTRACTOR WILL BE INSTRUCTED TO OBTAIN A CITY OF CARLSBAD
BUSiKESS LICENSE ANO FURNISH A CERTIFICATE OF WORKMAN'S COMPENSATION TC THE CITY OF CARLSBAD.
-~~-ll..=~--'-Initials