HomeMy WebLinkAbout1342 Magnolia Ave; ; 85-204; Permit., z 0 ~ <C ..
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 1commencing wtth
Section 7CXlO) of Division 3 ol the Business
and Profess!ons Code. and my license is 1n
full force and effect
L,c No _____ _ Cla1°,
hereby afhm1 lhal I am exe'llpt f-Gm The :ontroc
tors L,cense Law lor t'le •OIIow•ng reason ISec 7C11 5
Business and Profess,oos Code Any c,ry 0, -:ort·1 w'1,c, re qu·res a perm,t 10 corstrucr a ·er ,mprove demolish or repair any slruclu·e pr,o' to ,rs issuance a so ·equ,·es '",e ap
pl,cant for such perm,1 to 1,Ie a s1q"ed s•atement that he ,s
I,censeo pursuant 10 the prov1o<0ns 01 :ne comrac1or s _,cense La11, !Chaele· 9 commenc,ng w 10 Se1.t1on ?OO: ~1
:Jiv,s,on 3 o• :ne Business and Profess,ons Coce, or that sex
ernp: :1erelrorn and t~e bas,s for the a1leqeo exerno•,or· A11
·,,o,at,on ot Sec!,~n 7031 5 bj an appl1can1 t~r a perm t s.,b eds lhe app'1ca1: to a c,v,I penalt·1 ol no: rnme 'han five h,m
drec dol,ars 1ssoo:,
I. as owner al t~e oroperty, 01 my employees w.th
as their sole compensal,on will do the wor>< and :he
ture 1s not intended or offered for sale 1Sec 7044 flus.ress
and p,oless,on~ Cade The Contractor's L1cerse 1_~w does
not apply to an owner of property who builds or ,rnproves
thereon aM who does such wor~ himself or thmugh hrs own
employees, provided that such ,morovements are rot ,nrend
ed or ottered for sale II. however The bu1ld1ng or 1mprove-
me11 1s sold w1th1n one year o1 co'llplet1or. the owner-nu,lder
will have lhe burden ot proving !Ml he o,c no1 bu11d or ,rn
Jrove to, the purpose ol sale)
I, as owner o! the property_ am exclus1ve·,y canlract1ng
w1lh licensed con1racTors to construct the pro1ecl !Sec 7044
Business an0 P,otess,ons Code The Contractor's License
Law does not appl·1 lo an owner o' prnperty who bu<lds or,,,., proves '.hereon. and wM contrac1s lo, each pro1ects with a
contractor(s) license pursuant to 1he Contractor's License Law)
As a homeowner I ani ,mprov1ng my home, and :he 1ol'uw
1ng cond1t1ons exist
\ The work 1s berng performed prior to sare 2 I have lived ,n my home lor twelve fY1on•hs
prior :o completion of this won,
I have not cla,med th,s e,ernpt,on duw,g lhe
last three years
_ I am exempt unde, Sec _____ _ B & PC for this reason ____________ _
0 I heret>y affirm that I ria,e a cert,t.cate ol con sen:
10 self ,nsure or a cert1f,cate o' Wor~ers
Compensa!•on insurance. or a ~<"f1,l,e<.J cni', '""'"'O'
(Sec 3aXJ Lat>or Code1
POLICY NO
COMPANY
D Copy ,shied w,m The c,1y
0 Cert,!1ed copy ,~ nerebv fur~1shed
CERTIFICA H OF EXl::MPTION FROM
WORKERS COMPENSATION INSURANCF
(Th,s sect,on need nol be ~ompleted ,t rne ;-e-rn,•
,~ •or one hunc!red dollars iS1001 '" les~,
D 1 ~e,i,fy 1ha1 ,n the perlormance ot th<" ..,or, t01
,..r,,ch \hos perrn,t 1s ,ssued I shall r>0t "'"';Jlov an,
person "' any marrier so as to become su1J1h T '
lhe Worl<e,s Compens;,t,on L.iws ,:,+ Ca1dor~,a
NOTICE TO APPLICANT If, atte, mak,n] th,~ CN'
t,cate of E,empt,on, ;o" should Df>tome sub1err ,,,
ttie Worl<ers Compensation prov,s,ons ol The Labor
Code you mvst 1or1h,..,!h ~ompl) w,,., ~u'. r
prov,s,ons or 1h,s permit sr<all bf> ClPer<,eCl •p,·,ked
D I he<eby atfirm that •h<"rP s a '.rl'>~l'uct,or
1end1n,;; agencv •o, t'1e perto,man,.e c.f rne ..,,:,r, ''."
which This pe,rn,1 ,, ~~ued ,Sec ffll C" C<:><l~•
L ende< s Ndme ___________ _
Lenders Address ----------~
USE BALL POINT PEN ONLY & PRE~S HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT ·7
1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525 ~3C/
AV. ST.AO. DATE OF APPLICATION BUSINESS LICENSE# VALUATION PERMIT NUMBER
1 ;S'/.2. ~. ~ 5-1'/-?~ ~-----=----+--"----------, g:; -
: LOT O u CONTRACTORS PHONE# ZONE ~ Q 4
1----'------'--------'--"""""-""---=---;:____,__oLw-,--=,'-R-='S_P_H_ON_E_, 'I .3 ¥ -31.3.tJ
LICENSE NO. PLAN 1.0. # BLDG USE CODE
:~~~g~~~~P"f~~~~'__:_,2_£:Q,3:__I~~~~!'.__ e.-1 <.j&,.? 'oSS'
I ESIGNER ~
11----L--""-:c.=-------' ~~~~~------------1 ~~ (3
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DESIGNEA'S~AESS
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NO
STORIES
LICENSE t:
DESIGNER'S PHONE
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OCC GP EDU
OCC LOAD FIRESPP
STANDARD PLAN# BUILDING SQ. FOOTAGE
: CENSUS TRACl I GP LAND USE I PARKING SPA~ R~S UNITS I GRADING PERMIT ISSUED I :~~~VELOPMENT
1 I , 0 ~ 0 , [J "-.iO I I I I vO r-.O I Nor Valid Unless Machine Certified
TYPE
CONST
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SLJMMARYIAL.l.OUNT NUMBER 1 QTY PLUMBING PERMIT. ISSUE 75D , QTY MECHANICAL PERMIT· ISSUE :J ·-. . . -_ 1
: EACH FIXTURE I RAP INSTALL FURN DUCTS iJP TO 100 000 BTU BUl~OING PERMIT 01-00·00-8220 I · 1.;, .... WD I
1 EACH BUILUING SEWER I OVER 100 000 BTU SIGN PERMIT 01-00-00-8221 I -7
I EACH~~ATER HEATER Ar'i.D OR VENT _ -r~-~B □1LE-R,c□MPRESS0RUP-TO]'"HP ---. PLAN CHECK ----01-00-00-8806
1 EACHGASSYSTEMlT040UTLETS 1 801LER,COMPRESSOR31~HP . TQTALPLUMBING 01-00-00-8222 I ---------{---t-------~--------------
1 EACH GAS SY!!_~~ J_~~-~o ~ ~--_ . ------_:___ I e,1E 1-"._~ ~!REPLACE ----ELECTRICAL. 01-00-00-8223
1 EACH INSTA~ ALTER, REPAIR WATER PIPE VENT t-AN SINGLE DUCT MECHANICAL 01-00-00-8224 -----------+ -it---... ----------
1 EACH VACUUM BREAKER ,i MECH EXHAUSI HOOD DUCTS MOBILEHOME 01·00·00-8225 I ·---
V>'ATER SUFTNER I RELOCATION OF EA FURNACE,HEATER MOBILEHOME PARK :r~SP
_ _)OLAR __
I ------
1 i LAC'-i w,,ce [:R;; 'J, '.~ C:1F: ----
1 ~ J
: IUIA[PlUrvlHINL I II I '~--" ~ 1 QTY
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ELECTRICAL PERMIT· ISSUE _5 -!i QTY SOLAR· ISSUE
STRONG MOTIOIIJ
FIRE SPRINr\LERS
PUBLIC FACILITIES FEE
BRIDGE FEE
01-00-00-822.6
80-92-33-0519
01-00-00-8227
32-00-00-893]
.,;,25, 05
---
: Ntw CONST EA AMP swr DKR : C-:.L~c·n;,~ __ : I scH□□L FEE_:-_ __Q_!.§_I_RICT 1 _
1 l PH ·1 PH -----___ J__ --I! 1 SlCRAGE' '{;fJKS 1 ·--
Carlsbad 80-92-21-0519
1 rx1STlilDGEAAMPSWTRKR I ': ROCkSf::lRAC)E Encinitas 80-92-22-0519 t------+--
I 1 PH :l PH Pl_!MP San [l1egu1to 80-92-23-0519 I . . -------
Rf'.H)OEL Al HR PfR CIRCUIT Pl A'-, c:n :K FFF San Marcos 80-92-24-0519 I ---------------------------
t TE.\1PPULF 2()(]A\lPS _ ---I "-·---------------+-.
I OVER JOU AMPS LICENSE TAX 01·00-00-8162
I TEMP OCCUPANCY 13() DAYSI MFF 80-92-57-0519 ---
: 1 1 -,i--------CREDIT DEPOSIT -1--I
: li]IALHlURICAl I ,i JQTC11S:JLA::J TOTALFEESPAYABLE I /A~.~JI I
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I HAVE CAREFULL y EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued bytheBui!dm90ffic1al under lhaprovis,ons oflh1s
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp1re by lim1tat1on and become null a.id void, If the buddmg or work
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit !Snot commenced wtthm 180 days lrom !he date ot such
* AN OSHA PERM:T IS REQUIRED FOR EXCAVA.TK>NS OVER
5' O" DEEP AND OEMOllTION OR CONSTAUCTK>N OF
STRUCTURES OVER l STORIES IN HEIGHT
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~ ISSUED TO c◊MPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON• permit. or if the buildmR or work aulhOriled by such permit 1s suspended or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND abandoned al an lime a er the work !S commenced for a nod of 180 da S
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS A~~L~ OWNER O CONTRACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH£ ·~ J GRANTING OF THIS PERMIT. / BY PHONE 0 t!..
/
APPROVE~ BY
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME '
SHEATHING □ ROOF □ SHBAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO □\PL/CO
UNDERGROUND □ WASTE C WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR WATER
ELECTRICAL 1
□ ELECTRIC UNDERGROUND □ ~FFER
ROUGH ELECTRIC 1
□ ELECTRIC SERVICE □ TEMPOijARY
□ BONDING □ POOL 1
MECHANICAL 1
g_ DUCT & PLEM., □ REF. PIPIN~ ' HEAT -AIR COND. SYSTEMS ,
VENTILATING SYSTEMS --, ';,---
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAV8 BEEN APPROVED
FINAL I
PLUMBING I
ELECTRICAL I
MECHANICAL I
GAS I
BUILDING I -✓~~ ....... .
SPECIAL CONDITIONS I
'
-~---+ -s~~;)O<-f ' .
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL --
SOILS co1,,,ip:_:ANCE I PRIOR TO
f-(JUNOA fiQr'\i INSP ' --------
STPUCT ,IRAL CO!\JC9FTE: t----------------
OVER 200U "SI --PRESTRESSED
CONCRF~E
POST TE.N5 10NET)
CONCRETE -
Flf:...O WELOING
-----------------~ ~-Hl•:_;H ST9E',(_;Ti-'
RUL TS
::OFECAL f/ASDN::iY
f--------------
Pll.ES CAISSO"-~-
~------+---------t---------
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PLAN CHECK HUMBER ~-.;pf ADDRESS I "3 f-'?h ~~
PLANNING: TYPE OF STRUCTURE V\~c ·. .
DATE
ZONE: ____ _
SCHOOL FEES: SAN DI EGUITO ENCINITAS
CARLSBAD SAN MARCOS
% COVERAGE REQUIRED SETBACKS
BUILDING HEIGHT FRONT t;;(z FENCES/WALLS SIDE
TWO CAR GARAGE REAR a:: .... 3: .... -.... COMMENTS: > 1--.... ! ,,.
~ □ REDEVELOPIIENT A?PROVAL REQUIRED: t; ~ □ ' ----------------=.--..., _
g§5-□ 8 ~ LANDSCAPE PLAN COMMENTS: ___________________ _
El!Vrnm::,;ENTAL REQUIRE~.:_: ____________________ _
ADDITIONAL COMMENTS::..: _____________________ _
ENGINEERING LEGAL DESCRIPTION VERIFIED? V A.P.N. CHECKED~
P.F.F .. ______ PARK IN LIEU ______ ,,_. ________ _
R.O.W:. ______ IMPROVEMENTS: ______________ _
·--------------E.D.U: ___________ _
SEWER: _________________________ _
LATERAL:----·-------DRIVEWAY: _________ _
GRADING PERMIT: _____________________ _ -.... i ~ DRAINAGE: _________________________ _
EASEMENTS: _ __.f2""--·-:t:...:,,,..------ADDITIONAL COt,f,IENTS: ______ _
1--.... ua:: ...,_
' ,. . . ~. □
Sc::i □
~ s-□------------------------------
8~ OK TO ISSUE: _.1:.lb~:::::::-, :::::::::-:___ DATE: y/ 9f t ?'
* ENGINEERING INSPECTION REQUIRED: _______________ _
PUBLIC WORKS INSPECTOR: __________________ _
FINAL OK: _________ _ DATE: ___________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)