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Home My WebLink About1534 MAGNOLIA AVE; ; CB013223; Permitj \ ... City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-11-2001 Plumbing Permit Permit No:CB013223 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1534 MAGNOLIA AV CBAD PLUM Status: ISSUED 10/11/2001 JM 10/11/2001 10/11/2001 Parcel No: 2052201500 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: STORM -CONNECT TO CITY SEWER Inspect Area: Applicant: LOMA VERDE, INC SUITE200 2505 LONGRESS ST SAN DIEGO CA 92110 619-299-5112 Total Fees: $2,054.00 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 Additional Fees TOTAL PERMIT FEES lnspecto,OL Owner: STORM LIVING TRUST A 0\ef79£0/1l/Ol 0002 0l PO BOX 636 CGP CARLSBAD CA 92018 Total Payments To Date: 0 1 0 0 0 0 0 $0.00 Balance Due: $2,054.00 $20.00 $0.00 $15.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,019.00 $0.00 $2,054.00 FINAL APPROVAL Date: / -/ 7 ~ 0 '-Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as '1ees/exactions." You have 90 days from the date this permtt was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with CMsbad 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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. 02 2054-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK Noc/56 IJZ23 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ==-------~ ~::i:_at-ed_s_y==-~~:_Wl~ _~ _~ _-"'a--,r.r:-::;_:%....,.?+-..,..2:a:/ 1. PRQJECT INFORMATION <J.. l53l/ IJJ/9&A/OA IA-~ CA-/!..Ac;(ip.f>, (]IJ. Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use J SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. Name 3. APPLICANT Name ~ f.-1. ~ -·--" ferent fro~cantl --=----~-- Address 0 Contractor 0 Agent for Contractor O Owner Address City 0 Agent for Owner City State/Zip Telephone # Fax# State/Zip Telephone# 4. PROffl~YOWNER ~ ~ ' l.1 1 g -e,cr m ft<HJ 11 ,L 1 .A Address "C/J/2/...$/!iluO (AJ, City State/Zip 7btJ-ti q-3/9/ Name Telephone# 5. C()NTRA(;TOJI • CPMPANY NAMJ; (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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). /.ntb.i-VlB.DL t~'--'Jd.bta ftle.tF((,, s.%.iuLrlo,,.,51 ;2,sos c~s 6V--SD tC-/1-'7:J.llo 611 :;1.Ci1-SJl'J.._ Name ' Address 11 City State/Zip Telephone # State License # __________ License Class _ _.,;J=-------City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATIQN Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: "8 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 ~he work 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 ______________________ Policy No._____________ Expiration Date _______ _ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 0 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 Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred 100.000), in a e cost of c~mpensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. DATE --:::;;;;;;;;:::=::;:::=:::::;;::;;:-== 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). 0 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 contractor(s) 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-RESIDENT/AL 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district ? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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, CONSTflUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ------------------------------ [9. APPJ,JCANT 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 commenced within 180 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 work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance j Inspection List Permit#: CB013223 Type: PLUM Date Inspection Item 01/16/2002 22 Sewer/Water Service 01/16/2002 22 Sewer/Water Service 11/26/2001 22 Sewer/Water Service 10/17/2001 22 Sewer/Water Service Friday, January 18, 2002 Inspector Act PD RCB RCB RI AP AP AP STORM -CONNECT TO CITY SEWER Comments FINAL STILL NEED TO CHECK SEPTIC TANK OK TO COVER Page 1 of 1 City of Carlsbad Bldg Inspection Request For: 01/16/2002 Permit# CB013223 Tille: STORM -CONNECT TO CITY SEWER Description: Type:PLUM Sub Type: Job Address: Suite: Location: 1534 MAGNOLIA AV Lot APPLICANT LOMA VERDE, INC 0 Owner: STORM LIVING TRUST A 06-26-90 Remarks: Total Time: CD Description Act Comments Inspector Assignment: RCB Phone: 7607298634 Inspector:(/£ Requested By: PAT JONES Entered By: KAREN 22 Sewer/Water Service ,¥ frµt<k Associated PCRs Inspection History Date Description 11/26/2001 22 Sewer/Water Service 10/17/2001 22 Sewer/Water Service Act lnsp Comments AP RC STILL NEED TO CHECK SEPTIC TANK AP RC OK TO COVER