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Home My WebLink About1645 Magnolia Ave; ; 81-290; Permit.,, z 0 ~ cc C ... () ~ IC I[ 0 () IC ... 0 ... 3 ~ ... z 3 0 z 0 ;:: C .,, z w IL :I 0 () .,, a: ... "' cc 0 3 ~[ O I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. Lie No ______ Class _____ _ I hereby atltrm tl\at I am exempt from the Con- ~~";'~~f :' ~-~,~:~~r~c,~ coonty which requires a permit to construct alter, improve, oemotish. or repair any structure. poor to its issuance also requ1AtS the applicant for such permit to me a signed statement that he 1s hcensed pursuant to the prov,sk>ns of the Con--tractor's License Law (Chapter 9 commencang with Section 7000 ot Dtv,s'°" 3 ot the Business and Pro- tes.stOns Code) or that ,s exempt therefrom and the basis for the alleged exemphon. Any vlOlahon of SectlOO 7031.5 by an applialnl tor a permit subjects tne appfteant to a civil penalty of not more than five hundred dollars (S500). □ I, as owner or the property, or my employees ••th wages as their sole compensation, will do the wOttl., and the structure ,s not intended or ottered tor sale (Sec 70M, Business and Professiotls Code: The Contractor's Ucense Law does not apply to an owner of property who builds or improYeS thereon and who does such wort{ himself or through his own employees, provtded that such 1mproyeme;its are not mtende-1 or offered for sale. II. howevef, the building or imprOYemeOI IS sokS within one yea, °' completion, the owner-OUikSer w,11 have the burden of proving that he dtd not build or 1mpt'O¥e tor the purpose.,or safe/. □ I. as· owne, of the property, am exclusrvety contracti"i with lteensed contractors to consttuet the p<~t (Sec 704-4, Business and Protess,ons Code: Tile Contractor·s License Law does not apply to an owner of property who builds or improves there-on, and who contracts tor each prOJeclS with a contractor(s) hcense pursuant to the Contractor·s L,cense Law). D I am exempt unde< Sec.-~---• B & PC. for this reason i □ I hereby affirm that I ha-:,e a certificate or consent to self-insure, or a cert1f1cate of Workers· Compensation Insurance, Of a cen1hed copy thereof (Sec 3800, Labo< Code~ POLICY NO ___ _ COMPANY □ Copy IS fifed with the City 0 Cer11fled copy ,s hereby tum,shed CEATIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ,f the pemut ,s tor one hundred dollars ($100) or less} 0 I cer11ty that ,n the performance of the wont tor which this permit 1s issued, l shall not empk>y any person m any manner so as to beeome sut>tect to the Workers· Compensahon Laws of Ca.hforma NOTICE TO APPLICANT If, after malun~ th,s Cert, hcate of Exemphon. you should become subject t? the Wo"'.ers· Compensat.on prov1st0ns of the Labor Cooe. you must forthwith comply with such prov1st0ns or this permit shall be deemed revoked 0 I hereby affirm that there 1s a construchon tend,ng agency lor the pertormance ol the WOf'k f0r wruch ttus perm,1 1s issued (Sec 'XFJ7. C1v1I Code) Lenders Name ___________ _ Lender·s AOdress __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 1 J7?lJ" /}'7tL~.A-JA.A ... ' A~i_T·1i ~F ;;~C;J;NI BUSINESS LICENSE # VALUATION PERMIT NUMBER /'"\ ~}' ,, OWNE~),/4_, , l OWNE A'S PHONE ~ ~:;:R;3Bb~£._~ -CONTRACTORS PHONE• ZONE JC/0 °'-· ll,· 0-ER-S MAILING 'tfl'REV . CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG use CODE LOT I BLOClt I SUBDIVISION I Ass~~'?ru'°3 s ou DESIGNER STATE LICENSE # STANDARD PLAN# BUILDING SO. FOOTAGE OESCRIPTIO .. OF WORlt /') , DESIGNER'S ADDRESS DESIGNER'S PHONE lr.~r-n r.~~AP-~~,b- 6/0B/813113 'I a;oc F/P FLA ELEV. NO EDU ooo.1.~J.1J -6/0B/ 8 i' 1 a;oo lb OCC GP ~ll'IQ..£. STORIES vO NO CENSUS TRACT GP LAND USE PARKING SPACE AES UNITS I GRADING ~EAMIT ISSUEO I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST YO ND vO NO vO NO Nor Valid Unlffs ~chine Curifi«I QTY. PLUMBINq__ PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAi'\. INSTAl:1,.fURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT EACH BUILDING SEWER----.... .............. OVER 100,000 BTU SIGN PERMIT EACH WATER HEATER ANO/~ENT BOILER/COMPRESslm..u_P TO 3 HP PLAN CHECK EACH GAS SYSTEM 1 TO 4 0 UT LET~ BOILER/COMPRESSOR 3-lS"NII.. TOTAL PLUMBING EACH GAS SYSTEM 5 0 R MORE " METAL FIREPLACE ..........._ ELECTRICAL '--/p/.(JC) EACH INSTAI,. .• ALTER. REPAIR WATER PIPE " VENT FAN SINGLE DUCT ""-... MECHANICAL EACH VACUUM BREAKER I"-MECH EXHAUST -HDOO/OUCTS ' MOBILEHOME WATER SOFTNER ...__ RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN ( INSIDE) SOLAR TOH,L MECHANICAL STRONG MOTION TOTAL PLUMBING I FIRE SPRINKLERS QTY. ELECTRICAL PERMIT -ISSUE ~ QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE BRIDGE FEE NEW CONST EA AMP/SWT/BKR COLLEC)Q,_RS SCHOOL FEE -DISTRICT 1 PH 3 PH STORAGE TA~ Carlsbad EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE ............ Encinitas 1 PH 3 PH PUMP -............ San D1eguilo REMODE L/ALTER PER CIRCUIT /(/· PLAN CHECK FEE .............. San Marcos TEMP POLE 200 AMPS ........... OVER 200 AMPS r--... - TEMP OCCUPANCY (30 DAYSI TOTAL ELECTRICAL l /;i.. ,tJ-<J TOTAL SOLAR TOTAL FEES PAYABLE l /o2 .rJ--V I HAVE CAREfUU Y EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" ANO DO HEREBY Exptration. E~ pe,l'llfl -by theBu~dlng Offictel under the prov11101>1 ofth,s * 4N OSHA P£1WIT IS FIEQUIRED FOR EXCAVATIONS OVER CERTIFY UNDEA PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ■hell exp,ra by llm1tat1on and become null and void If the bu,ld,ng or work 5' O" DEEP ANO DEM0UTION OR CONSTAUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such -mil 18 not commenced Wtlh,n l80dayo from Iha date of such STAUCTUAES OVER 3 STOAIES IN HEIGHT -m•L or ii Iha bullcli:X: work author~ by auch pe,m,1 11 auapended or I -,stJEO: TO COMPLY WITH AU CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandoned at any ti-Iha work II commenced for a oertod of 180 ,._ . . STIIUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND , OWNER□ CONTRACTOR 0 AP~EDBY 1°t,lg / t I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO~ Sil'~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ¼ "~. BY PHONE 0 -.L-, ... ~ .L GRANTING OF THIS PERMIT. • _ _ _ 'J~./ -....,_;, -- ~ u::: >-~ 0 a. E ~ I -0 0 C!l c Bll'J T~ <{ I ->< C a: 0 "' "' Ql "' "' <{ I i= .Q ai >- "' "' Ql 0 e a.. <II <ii 0 §: Ql 0 C <II C u::: C Ql ~ C!l 0 0 Ql a. "' C ~ ..c ~ INSPECTION TYPE DATE INSPECTOR BUILDING - FOUNDATION REINFORCED STEEL MASONRY 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 GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING '• .... 'Ill-.-~ HEAT -AIR COND. -SOLAR SYSTEMS .. VENTILATING SYSTEMS - CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION REQ IF INSPECTOR s CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP EoNCRE_TE -· ------· STRUCTURAL OVER 2000 PSI PRESTRESSED CONCRETE ·--~---L-•-•- POST TENSIONED CONCRETE FIELD WELDING -----~--------HIGH STRENGTH BOLTS SPECIAL MASONRY I ·-·-------i PILES CAISSONS I i ---· ·-- ;;)f~u -----•, 8) ., INSPECTOR'S NOTES - DATE ~-----------.. -·----·· -- -------- ---- -·-------------~-----------------------------------------~----------·-----·---- --------•--•L• I -- • -- ---- ------·-•--.- ~·---~-~ ---. ------·----·~-~ ·- -- -------~---- .. ·---------·-·-ff- --~----' --~-------···-------·-· -. --·-