HomeMy WebLinkAbout1352 MAGNOLIA AVE; ; 81-236; Permiten z 0 ~ a: C ..J u ... 0
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O I hereby affirm that I am licensed under
provisions ol Chapter 9 (commencing with
Section 7000) ol Division 3 of the Business
and Professions Code, and my license Is In
full force and 11flect.
UC No-------Class ------
I hereby att1rm tNlt I am exempt from the Con-
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county which requires a pem,1t to construct
alter, improve, demolish, or repair any structure, pnor to ,ts issuance aJso requires the applicant for
such perm,t 10 hie a signed statement that he ,s
hcensed pursuant to the P,OYISIOOS of the Con-
tractor's Lteense Law (Chapter 9 commencing with
SectlOfl 7tXXl ot 01v1sK>n 3 of the Business and Pro-
fes.st0ns Code)°' that ,s exempt therefrom and the
basts tor the alleged exemptt0n. Any violation of Section 7031.5 by an apph~t tor a pennI1 subfeets
tne applicant to a c,..-n penalty of not more than t,ve huodred dollaB ($500).
I, as owne< of the property, 0< my employees
111"'!..""and~~•.':::!;~~~ ~~=0( ~;:~~•,t;
e (Sec. 7044, Business and Professions Code. T Contractor's Ucense Law does not apply to an
wner of property who builds or imprOYes thereon
and who does such wOf'k himself or through his own
employees. prOYIded that such improvements are
not ,ntende-1 or offered tor sale. If. however, the butldmg or improvement 1s sold within one year of
complelK>n. the OWnef-bu1lder WIii have the burden of proving that he dtd not build or improve for the
purpose ot sate~
O I, A owner of the property, am exclusively
eontrach09 with licensed contfi!Ctors to construct the pro,ec-t (Sec 704A. Business and Professions
Code The Contractor's license law does not apply
to an owner of property who builds or improves
~=i~~ ~:n~"~:!~ ~~~h:r~~~;::.: License Law) .
0 I am exempt undef Sec ____ , 8 & PC.
for this reason '
□ I hereby athrm that I ha.-e a cert1f1cate of consent
1·0 self-msure. or a cen1t1cate ot Workers·
Compensat,on Insurance. or a certified copy thereof (Sec 3800. Labo< Code).
POUCYNO _
COMPANY
D Copy 1s filed with the city
0 Cer11t1ed copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This secttOn neec:i not be completed 1f the perm,t
1s tor one hundred dollars ($100) or less)
0 I cert1ty that in the per1ormance of the work tor
which th1s permit 1s issued. I shall not employ any
person ,n any manner so as lo beeome subteel 10
the Wort(ers· CompensatK)n uiws of Cahtorn1a
NOTICE TO APPLICANT II, after maktn~ lh1s Cert, hcate of Exemptt0n, you should become subject I')
lhe.,.~onters· Compensation prov1s1ons ol lhe La.bof Cooe. you must forthwith comply with sucf'I prov1s,ons 0< th,s pe,m11 shall be oeemeo revoked
0 I hereby affirm tha1 !here 1s a conslruchon
lending ~ency tor the perlo,-mance ol lhe work tor wtuch this permit 1s issued (Sec J097. C1v1I Code)
Lenders Name ___________ _
Lenoer·s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD ----. -·--·--· -. ------. ··--APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. . ·--· -···-·--·--------····---···------------·~-------•···--·-·---
l CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, Callfomla 92008 (714) 438-5525
JOB AOORESS •
A~i.T I tfei7J7°NI
BUSINESS LICENSE # VALUATION PERMIT NUMBER ,~.(,._ f\l)~..;Nnl-JA,, 31;!3 t/-r3b o~:;o t,...) ~ow:-, e [ly 4N?o PH·~/L PRIM~JT;:£7 I I CONTRACTORS PHONE • ZONE
O~N~~~S / CONTRACTOR'S ADDRESS LICENSE NO. p~r~.;,,?i BLOG USE CODE
~I BLOCK I SUff}'tt'; I ~RCEL NO. t.J-l -o t5ESIGNER STATE LICENSE If STANDARD PLAN # BUILDING SO. FOOTAGE
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DESCRIPTION OF WORK
' -/7 -' DESIGNER'S ADDRESS DESIGNER'S PHONE '~v,~ \~N) (Ji--;) -F/P FLR ELEV. NO OCC GP EDU
Si.RIE; f\l) vO NO --6/24/613921 73.00 CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS j GRADING ".ERMIT ISSUED I REDEVELOPMENT r/1' OCC LOAD FIRE SPR 0uui-3!;2 I -6/2ij/ 8 I 73~[ln AREA
YO ND vO NO vO NO Not Valid Unltss Machine ~rtifi,d
QTY. PLUMBING PERMIT. ISSUE 7§; QTY. MECHANICAL PERMIT · ISSUE SUMMARVACCOUNTNUMBER -• _..,
-_) EACH FIXTURE TRAP ~1 .. rr. INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT ~--I EACH BUI LO ING SEWER l.·..u OVER 100.000 BTU SIGN PERMIT r'\ I br" . --
PLAN CHECK f' t{ fOg~ ~ ,;;. __,. EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP -EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING I ~...,, '(C
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 7 -
EACH INSTAl,. ALTER. REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL ,
EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS MOBILEHOME
WATER SOFTNER . ' RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP -EACH ROOF DRAIN (INSIDE) SOLAR
TOT t.L MECHANICAL STRONG MOTION
TOTAL PLUMBING I "2-/-...u I I FIRE SPRINKLERS
QTY. ELECTRICAL PERMIT · ISSUE v -QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
NEW CONST EA AMP/SWT /BKR COLLECTORS I SCHOOL FEE · DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE • Encimlas
1 PH 3 PH ' PUMP San Dieguito
REMODEL/ALTER PER CIRCUIT ..J"· ,I.-PLAN CHECK FEE San Marcos
TEMP POLE 200 AMPS -..
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS) ,--TOTAL ELECTRICAL I 1.-TOTAL SOLAR l 73-== TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" AND DO HEREBY Exporabon. E~ perrTNt 1-..d by tile Bu1ld1ng Olf1c1alunder the prov1s,011s ofth11 * AN OSHA PERMIT IS RE0UIRE0 FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall exp,re by llm,tat,on Ind become null and vo,d If the bu,td,ng or work 5' O" DEEP AND DEMOLITION ~ CONSTRUCTION Of DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhonzed by such permit 11 not comm1tnced w'th'" teo days from the date ol such STRUCT\IRES OYER 3 STORIES IN HEIGHT psm,t.. ~v buildt~ work eulhor1Zed by such permit IS suspended or ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• al tune Ille wort< IS comm1tnced for .. _,.,,,. ol 180 davs
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ":~NATURE ~ OWNE~ CONTRACTOR 0 A:u~ ~/4 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND ~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH BY PHONE 0 l gl GRANTING OF THIS PERMIT. ,, _r • A~~
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INSPECTION TYPE
BUILDING
FOUNDATION
• REINFORCED STEEL ..
MASONRY
t
J GUNITE OR GROUT
• FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND ~HOWER PAN
I GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC 'SERVICE
BONDING
G. F. I. -SMOKE DETECTOR I
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT.:.... AIR COND. -SOLAR SYSTEM~
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHI
ITEMS ABOVE HAVE B
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
Qtitp of QCarl.S'bab
REQUEST FOR INSPECTION RECORD
INSPECTOR __________ PERMIT NO. TIME: ~rY<' , "'7£1-// 3h DATE: J
OWNER---------;~---,.-,,-------,,---------------------
ADDRESS/3s-.i /)jju~)
REQUESTEDBY ~ PHONENO. /),--1-S7J76~
PERSON TAKING REPORT ;(l1lf:
D REINFORCING STEEL
D MASONRY
D GROUT· GUNITE
D FLOOR AND CEILING SUB FRAME
D SHEATHING D ROOF D SHEAR
D FRAME
D EXTERIOR LATH
D INSULATION
D .INTERIOR LATH OR DRYWALL
FINAL
PLUMBING
D UNDERGROUND PLUMBING
D SEWER AND PUCO
D TOP OUT PLUMBING
D TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D SOLAR WATER
D FINAL
~~
ELECTRICAL i----------------------1. D TEMPORARY SERVICE
D UFFER GROUND
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
D FINAL
MI SC ELLAN EOUS
D CONDITIONED AIR SYSTEMS
D SOLAR HEAT
D PATIO
D POOL D SPA
D SIGN
D GRADING
D DRIVEWAY
D FINAL
SPECIAL INSTRUCTIONS ~ ~ < p,
Ready For Inspection: D Monday uesday Wednesday D Thursday D Friday
i ~/ .. d-'3,-0
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' INTERDEPARTMENTAL INFORMATION SHEET
• BUILDING DEPARTMENT
,BUILDING ADDRESS:
PLANNING DEPARTMENT
J1ECEIVED DATE: _______ _
JUN 161981
CITY OF CARLS8A0 Building Department
ZONE .. 12.,..\ li,,.,ooo) LOT SIZE ________ LOT WIDTH. ________ _
UNITS ALLOWED ____ ~I ______ UNITS PROVIDED __ _,__ ________ _
PARKING SPACES REQUIRED PROVIDED
% COVERAGE ALLOWED ----~l~)~~~._ _____ PROVIDED--__ -_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-
BUILDING HEIGHT ALLOWED ~_$ PROVIDED _________ _
FRON'f SETBACK: SIDE SETBACK:
ALLOWED ~
PROVIDED ______ _ ~
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ: ~<::t:..,,·~:,::,,,-=---------------
Annmom ii',:~_,
~~~E '{ Jl{ K/ OK TO FINAL ______ DATE. ___ _
ENGINEERING DEPARTMENT
R.o.w. _____ INDUSTRIAL WASTE ______ IMPROVEMENTS ______ _
SEWER CONNECTION _______ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT __ -.-____ EASEMENTS _________ DRAINAGE ____ _
:::;~,:::~·:::~::,!ii2 tWj¼
OK TO ISSUE:.JaJC DATE6-lb'8{ PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. ______ _
FIRE ALARMS EXITS ______________ _
FIRE HYDRANTS LOCATION ________________ _
ADDITIONAL COMMENTS ___________________________ _
, OK TO ISSUE: _____ DATE. _______ OK TO FINAL. ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET __ ---:;.iijlii'-;:---DATE __ _,_~~--
/-),