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Home My WebLink About1352 MAGNOLIA AVE; ; 80-907; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is in full force and ef- fect. OWNER-BUILDER DECLARATION C'I hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5 Business and Professions Code), Any city or coullty which reQuires a permit to con- struct, alter, improve, demolish, or repair any slructure, prior to its issuance also reQuires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractors license Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex· empl therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500). C' 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 of- fered for sale (Sec. 7044, Business and Profes- sions 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 of- fered for sale. 11, however, the building or improve- ment 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 ol sale). =:1, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project {Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property ·•ho builds or im· proves thereon, and who contracts for such pro• jects with a contractor(s) license pursuant to the contractor's License Law) I am exempt under Sec. _______ . B. & P.C for this reason Date Owner WORKERS' COMPENSATION D I hereby affirm that I have ace sent to self-insure, or a certific Compensation Insurance, or a thereof (Sec. 3800, labor Code). POLICY NO.~~- COMPANY □Copy is filed with the cit LJCertified copy 1s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This section need not be completed if the per- mit ;s for one hundred dollars {$100) or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers· Compensation Laws al California. NO·,~..;E TO APPLICANT: If, after making this Cer- tificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked CONSTRUCTION LENDING AGENCY CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT ···---._ 1200 ELM AVENUE (2?14) 438-5525"--,. -. "°· JOB ADDRESS -tR~T. r;~;;~;~~N 1,·;i,,5,2, M,J!,G,JJ,0,1,.., 1 ,11, ''11 i/ I J=1 I I I I I I I I I I I I OWNER OWNER'S PHONE ?tt/747;F I , BILL GRGt:Jf' 7:;:L"'}-SO?/, ;?OOLs; OWNER'S MAILING AOORESS CONTRACTOR'S ADDRESS I] 52 It A 11-b /-.../ t> t-1 r1 /ft/£ lt~h <;-I? IL~C#O SAN71- "' BLOCK I SUBDIVISION I ASSESSOR'S PARCEL NO. if{:, DESIGNER ,, :2 --':J__,J t:;:., I ,.;/, / /) , I >I I <::t:11-1?11=11r-12/,.. -· ,. OESCf?IPTION OF WORK <,.PH DESIGNER'S AOORESS /., • Pea.~ CENSUS TRACT GP LAND USE ZONING APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER ;2..01,:7 7 STATE LICENSE f?t-907 J._ ¢, ~ < ;: ,., ~; ,ll,L, \ '727 ,) STATE LlC ·- DESIGNER'S PHONE ·-I RES, UNITS I PARKING SPACE I NUMB~R OF STORIES Not VaHd Unless Machin, Cartified BLOG SQ. FT. BLDG USE occ. GP l STANDARD PLAN ft 1:r~:,"7 I TYPE C~NST I occ. LOAD I , QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU / EACH WATER HEATER ANO/OR VENT ·,.,,-12.<.' BOILER/COMPRESSOR UP TO 3 HP / EACH GAS SYSTEM 1 TO 4 OUTLETS _,,,,,.u BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP , EACH INSTAL., ALTER, REPAIR WATER PIPE yt"V VENT FAN Slf~GLE DUCT (/~ ftrt> , EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS /, WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I ,/,.tl_trf-'" //f Ah 8 ' ' _:;, # #' . -4 --< ,:f (/ SIGN PERMIT 10-1-s. I I I I TOTAL PLUMBING f1.~ TOTAL MECHANICAL PLANCHEcK7,,io£'d. 1,-,v 1 I I I I CONTRACTOR CONTRACTOR ALL INCLUSIVE PERM1t I I TOTAL PLUMBING I Cf,TV QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL I 70--V / NEW CONST EA AMP/SWT/BKR ~ .v AWNING MECHANICAL I . I 1 PH .15 3 PH PORCH MOBILE HOME I I I EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR ' I I I . I 1 PH .15 3 PH RAMADA, CABANA .:. J. ---~-,, ~ ' I I I .50 REMODEL/ALTER PER CIRCUIT FENCE OVER 6' ~ I I I . I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FILM I I I . I OVER 200 AMPS I I I I TEMP OCCUPANCY (30 QA YS) I I I . I , --, 4. ~ I I I I TOTAL ELECTRICAL /,::P TOTAL FEES PAYABLE I ,~,,s;;-CONTRACTOR I I _./ci, F/r -· ~ I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT, AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5 O DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGH~ COUNTY ANO ST A TE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER //JI,,; ~,f A-//J/2~/4o SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND f _.:._..: /7 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT APPL1CAN_;.:.: S~NA T~Rf" \\ / OWNER □ CONTRACTOR~ROV!~ B~ / -/ D~TE . • ~ Cl ~ ts i= u = 0.. V, ~ SITE ADDRESS: OWNER: PERMIT NO: 80 oqo) FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR . FOUNDATION• FORMS• SET BACK• TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING • FORMS• SETBACK • TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLAC~ TAPE EXTERIOR LATH OK • PLACE STUCCO FIREPLACE DAMPER & STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDI NG • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN ( - FINAL INSP BY BLDG DEPT ,,,, ' /1 / . : 0Tt-1ER DEPT'S REQ COMPLETED I I ~I/ I fl vrA ! ELEC METER-PERM-TEMP ,, '{ I " i GAS METER-PERM-TEMP .. ! I CERT OF OCCUPANCY ISSUED --------------------------------------~ ~ •• INTERDEPARTMENTAL INFORMATION SHEET DATE: BUILDING DEPARTMENT BUILDING ADDRESS: /is,)._ //7 ~ R-""":E--c___,E ...... l....,V ....... E,__D PLANNING DEPARTMENT 0C1'281980 Cl l'Y, OFl CARLSBAt> Building Department ZONE _________ LOT S IZE _________ LOT WIDTH ________ _ UNITS ALLOWED UNITS PROVIDED ------------------------ PARKING SPACES REQUIRED PROVIDED -----------% COVERAGE ALLOWED PROVIDED BUILDING HEIGHT ALLOWED PROVIDED ---------- FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED ______ _ PROVIDED ------- INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: ________ .DATE ____ _ ~ ~ IV u-v , ..____... V IMPROVEMENTS ______ _ ENGINEERING DEPARTMENT R.o.w. INDUSTRIAL WASTE ------ SEWER CONNECTION E~~Do<....,ev'----"J' _____ DRIVEWAY LOCATIONS ___________ _ GRADING PERMIT EASEMENTS DRAINAGE -------------- LEGAL DESCRIPTION~)., rn7 ¥ 'f.fo ADDITIONAL COMMENTS ____________________________ _ FIRE DEPARTMENT SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _ '.k_RE ALARMS EXITS _______________ _ ~i~ HYDRANTS LOCATION _________________ _ ADDITIONAL COMMENTS OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _ \