HomeMy WebLinkAbout1352 MAGNOLIA AVE; ; CB990970; PermitCity of Carlsbad
03/11/1999 Plumbing Permit Permit No:CB990970
Building Inspection Request Line (760) 438-3101
Job Address:
Permit Type:
1352 MAGNOLIA AV CBAD
PLUM
Parcel No: 2052104600 Lot#: 0
Construction Type: VN
Reference #:
Project Title: GREER REMODEL
NEW FIXTURES IN BATHROOM
Applicant:
MIRABELLA CONSTRUCTION
PO 462696
ESCONDIDO CA 92046
760-738-7 446
Total Fees: $34.00
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
TOTAL PERMIT FEES
I'."'
___)
Inspector:
To!al Payments To Date:·
1
0
0
1
0
0
0
Status:
Applied:
ISSUED
03/11/1999
Entereq,:§¾,
Plan Approved:
/}-i:M-DPciq t){)l',i 1,1 '"b3tf 111 999~;,,,, f"
03/11/1999 '"
$0.00
Issued:
Inspect Area:
·~eDue:
Clearance:
~0.00
;$7.00
$0.00
'$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$34.00
$34.00
NOTICE: Please take NOTICE th approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." Y have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set rth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
J
.PERMIT APPLICATION
FOR OFFICE USE ONLY Cj Q
PLAN CHECK NO. n-J
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL. __________ _
Plan Ck. Deposit ________ _
Validated By. __________ _
Date, ______________ _
1, PfOJECT INFORM~JPN 139 tU/9CN' ot-1,4
Addriss (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Asse or's Parcel # Existing Use Proposed Use /5moour;-
Do';:J::J' ~ik,wvz_... ,fJ p.,,J 1"/,V I~ SQ; E· S MC'W "'-' s hi✓ !?' Stories CH,.._,_,t!,-# of Bedrooms # of Bathrooms
2. CONTACT PERSON (if different from applicant}
Name
3.
Address
[J Agent for Con
State/Zip Telephone# Fax# ~,
Address
'lt/Q/,00
Name City
ot,'-7'-0-738'-?YVt;
State/Zip Telephone#
4. P/SPERTY OWNER
I+ 1t.,/3iJlvll
Name
13.S;J /J1/3-4(1JOl{,.
Address
~1, ~r./4Mo &t ~';JCIC,J' 76tJ-7,;~-!>-6?.t,
City State/Zip Telephone #
5. CONTRACTOR • COMPANY NAME
(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 to the provisions of the Contractor's License Law
[Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged
exe..viguon. Any violation of Section 7031.5 by anx,_ applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)l.
/V//fl/1 t36'f/,q. /}w~·-r. )11/C Y,(J,/J<;)< 4bQ'-r;, /f:,(,C"'IVDIDO a,.. 9 ~ci.,,, ?t,o-7,8·}',IV (,
Name Address 8 City State/Zip Telephone #
State License # (n ') CJ £./ ~-'3 License Class_..-"::.._______ City Business License # / ol, /) ~ 3~ I'/
Designer Name Address City State/Zip Telephone
State License # _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: l hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of t~rk for which this permit is issued.
~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company _.::.5:::_1}:.:.R_:_--r,c...,c6__,t--,_--=t..l.-'~-=v-=g"-----------Expiration Date_~l_-~(J~/_-_o_c, __
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
D CERTIFICATE OF EXEMPTION: 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 of California.
WARNING: Failure to secure workers' compensation coverage ia unlawful, and ahall aubject ■n employer to criminal penatties and civil fines up to one hundred
thousand dollars ($100,000}, in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE.______________________________ DATE _________ _
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 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).
D 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 contractorfs) licensed
pursuant to the Contractor's License Law).
0 I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
2. I {have / have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number):, ________________________________________________ _
5. I will provide some of the work, but I have contracted {hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ___________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE ________ _
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS.ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25605, 25533 or 26534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO
ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
B. CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(0 Civil Code).
LENDER'S NAME _____________ _ LENDER'S ADDRESS. ________________________ _
9. APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND 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 THE GRANTING OF THIS 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 issued 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 not co nee 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 wor d f 180 ys (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE ~~~~~.L.~'A..~~~::::::!'.'.'.:~,,,.--------DATE ~J~·~--/_1-~f'~i~-------
WHITE: File YELLOW: Applicant PINK: Finance
J -.
City of Carlsbad Inspection Request
For: 5/3/99
Permit# CB990970
Title: GREER REMODEL
Description: NEW FIXTURES IN BATHROOM
Type:PLUM Sub Type:
Job Address: 1352 MAGNOLIA AV
Suite: Lot 0
Location:
~PPLICANT : MIRABELLA CONSTRUCTION
Owner: GREER BARBARA J FAMILY TRUST
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment: PY ---
Phone: 6195205015
Inspector: ----
Requested By: DAN
Entered By: CHRISTINE
29 Final Plumbing AL-------------
Inspection History
Date Description Act lnsp Comments
3/19/99 24 Rough/Topout AP PY
-. -_, __ , -~~-----