HomeMy WebLinkAbout1790 MAGNOLIA AVE; ; CB920389; Permit04/21/9.?. 10:18
Paye 1 of 1
8 lJ I L D I N G
J<b Address : 17~~0 MAGNOLIA AV
Permit Type: PLUMBING
Pazc~L No: 2D5-2J0-16-oo
Valuation : o
Ccn~truction Type: NEW
Uccupancy Group: Class
Description: REPLACE 6 TRAPS/VENT/WALL
Appl/Ownr : CAMPANA , BRUCE
1790 MAGNOLIA AVENUE
CARLSBAD , CA
)I.** Fees
Adjustments:
Total Fees:
Fee description -------------------
TOTAL
PERMIT Permit N): B92r 8
Pl:OJect N ); A92( tu 4
Development N :
<'ode:
Str: r-: t:
7315 04/21/92 0001 01 02
C-PRHT 30-00
c_ L t1 ss
St .HL
Applied:
Apr/Issue:
Validated By:
619 439-5712
S'UED
04/2
04/21/~~
DC
---------------------
.oo
.oo
30,00
Ext fee D1tc1
7.50 Y
15 . l 0
2.50
5.00 DRYE VENT
30.00
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 920()() (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Deparbnent
I
EST. VAL 2075 Las Pal•s Dr., Carlsbad, CA 92009 (619) 438-1161
PLAN CK DEPOSIT _______ _
VAIJD. BY __________ _
I. PEkMI I I VP£ DATI!
A -0 Commercial
B -□ Industrial
LI New Butldmg U lenant Improvement
□ New Building □ Tenant Improvement
C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration
□ Duplex □ Demolition
□ Mechanical □ Pool
0 Relocation □ Mobile Home □ Electrical □ Plumbing
□ Spa D Retaining Wall □ Solar □ Other
2. PRClJECf INIDRMATION FOR OFFICE USE ONLY
Address 1790 f"/li&!louti Av,;; BuHdmg or Suite No.
✓Nearest Cross Street
mt o. ase o.
CHECK BEWW IF S0BMI 11 ED:
□ 2 Energy Cales a 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEi. EXISTING USE PROPOSED USE
DESCRIPTION OF WORK ~ep/lt<-e (.,, -f-rAp.S 1 (<,.,,,_, q,i-s /,;,e fo /4 IT. # OF STORIES , 11'"°"~ 'f lt-JSffe'i
C'colc tvp , t)rye,z_ 1 J:,.,;,f,+// ,te,-,f -f.,,,. ,k'/yb< .
,,.,fe.t,a,. ,,..,A/ls.
3. WN IACI PEJtSON (II d!Herenf from applicant)
NAME ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE
-1. APPIJCXNI
NAME
UWNIRACIOR UAGENI FORWNIRACIOR DOWNER □AGENI FOROWNEll
ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE
NAME i3Rv(£ VIM PA-t,J A
/c11Y MIU~ Biro STATE C"f
ADDRESS t7qo MAbNOl.11'+
ZIP CODE'7Z.C:08 DAY TELEPHONE '139-57(!..
NAME 6RE.TT C.0NST"RVC.TIO!-\
:>.</qo N£WCAS Tl.£ ;.1.Vi::-
crIY Cl!Rf)lff o'( TJl/3 sc4 STATE c Pr
ADDRESS ). 4'fO 1'f E:-W C AS TL€.
ZIP CODE DAY TELEPHONE
STATE LIC. #f.35'/"7 LICENSE CLASS P., Cl1Y BUSINESS LIC. #
Cf1Y NO/Ji;: STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WORRRRS' WMPENSA:liON
Workers' Compensation Declarauon: I hereby affirm that I have a certificate of consent to self-msure issued by the Director of lndustnai
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certthcaie of Exempbon: I cerufy that m the perlormance of the work for which this penmt 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. UWNEk-BOtmml DRCOOlAliON
□
□
Owner-Bmlder beciarabon: I hereby affmn that I am exempt from the COntracto?s License Law for the following reason:
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.).
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).
I am exempt under Section ________ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's Llcense Law (Chapter 9, commencing 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 pennit
subjects the applicant to a civil penalty of not more than five hundred dollars [$5001).
SIGNATURE DATI!
COMPLEIE THIS SECIION FOR NON-RESIDEN IIAC BOIIDING PERMll's ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□YES □NO
Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district?
□YES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES ONO
IF ANY OF TIIEANSWERS ARE YES, A FINALCERTIFICATI! OF oa:uPANCY MAYNITT BE ISSUED AITERJULY I, 1989 UNLESS nmAPPUCANT
HAS MET OR IS MEl!TING nm REQUIREMENTI, OF nm OFFICE OF EMERGENCY SERVICES AND TIIE AIR POillJTION CDNTilOL DISllllCT.
9. WNSJRUCIIUN l.£NDlNG AGENCY
I hereby afhnn that there 1s a construcuon lending agency for the performance of the work for which this penn1t 1s issued (Sec 3097(1) C1vU Code).
LENDER'S NAME LENDER'S ADDRESS
IO. APPllCAN I CkkliFICA:i10N
I cenUY that I have read the appUcatJon and state that the atx>ve mformauon 1s correct. I agree to comply wnh all City ordinances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I A1SO AGREE ro SAVE INDEMNIFY AND KEEP IIARMIJlSS TIIE CTlY OF CARISBAD AGAINsr AU. IJABIIITIES, JUDGMENTS, CXJSTS
AND EXPENSES WIIlCH MAY IN ANY WAY A£DUJE AGAINsr SAID CTIY IN CDNSEQIJENCE OF nm GRANTING OF TIIlS PERMIT.
OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every pennit 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 365 days from the date of such pennit 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 303(d) Unifonn B '!ding e).
YELLOW: Applicant PINK: Finance
r ·• CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB920389 FOR 07/10/92
DESCRIPTION: REPLACE 6 TRAPS/VENT/WALL
TYPE: PLUM
JOB ADDRESS: 1790 MAGNOLIA AV
APPLICANT: CAMPANA, BRUCE
CONTRACTOR:
OWNER:
REMARKS: MH/BRETT/434-2533
SPECIAL INSTRUCT:
TOTAL TIME:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA PY
PLANCK# CB920389
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
619 439-5712
CD
29
LVL DESCRIPTION ACT COMMENTS
PL Final Plumbing i7 ___ _
***** INSPECTION HISTORY*****
DATE
051392
051192
051192
DESCRIPTION
Interior Lath/Drywall
Gas/Test/Repairs
Rough/Topout
ACT INSP
AP PY
AP PY
AP PY
COMMENTS