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Home My WebLink About1790 MAGNOLIA AVE; ; CB930497; Permit, i At lt .. 7 -:l'J MA iNC>.LJ IA Yt e: MI::ic ELLANE ' 20.J-,., 0-16-00 50 n ti: l t1 ,n ype: NEW N ' E AV R0f rence#: J ·cupdncy <,rour : -JIM- .. > scx:i.ptim1: 500 SF BUIL'!' UP ROOF RF. ATR Appl/Own1 *~-A CAMPANA, BRUCE 1790 MA,N >L:A AVF CA~LSBAD , CA. 9200 Fee dezc:r:iption ------------- Miscellaneous fee 1< MI l FI LANF.O s '!'0 M l ~ N D V > l +- 2454 05/24/93 0001 01 't # : c-r--r:!'lr t 'ltU : Appl1e~1 · Apr/ ; t : EnterE•l y: b19 4 4-25 ~ Credi+-s i.. • u ~ Ext f e< 2tl. 0' CITY OF CARLSBAD 2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161 02 ::e.oo 4 ,. . --------------- PERMIT APPLICATION PLAN CHECK NO. '1,3-<-{ t / City of carlsbad Building Departlllent 2075 Las Palaas Or., carlsbed, CA 92009 (619) 438-1161 ESI". VAL I PLAN CK DEPOSIT ' ' I. P£kMl I IYPE VAIID. BY DATI! A -U Commercial O New Building Li tenant Improvement B -D Industrial □ New Building O Tenant Improvement C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □Addition/Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical D Pool □ Spa D Retaining Wall □ Solar □ Other FOR OFFICE USE ONLY A-ilE-BuUdmg or Smte No. Nearest Cross Street mt o. □ 2 Energy Gales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCTI DESCRIPTION OF WORK SQ. Ff. # OF STORIES 3. ~~ALI P~A~erenf from apphcant) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. ~BAtl22'~~,4,J',,,fEN I FOR '¾~~t~;q ~W,%~_4~2;) ,,fR owi;_,E CITY c;,f/a,S,g_ 0 STATI! C;'/ ZIP CODE q Ze:l? DAY TELEPHONE 0: o/ t/ 5 3s NAME 5'/?H€ ADDRESS CITY STATI! ZIP CODE DAY TELEPHONE 6 ' ~~IIA(;M6"17 coAls-m.ucr/t?,,J ADDRESS 249tl A/eab1!>-rt€ a' //E c1TY c-11UJ1~r' STATE cA:_ z1PcoDE 9zoP7 DAYTELEPHONE@/1) ?1./Z-St"55" STATE !JC. # b 3~67 IJCENSE CLASS G:£~. CITY BUSINESS !JC.# CITY STATE ZIP CODE DAY TELEPHONE STATE !JC. # 7. WORRERS' WMPkNSXIION Workers' t.Zmpensat1on Declaration: I hereby afhrm that I have a certHlcate 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 POIJCY NO. EXPIRATION DATE Certthcate of Exemption: I certify that ID the performance of the work for which thts pemut ts issued, I shall not employ any person ID any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNrut-B0DDRk bP.COOlX:hUN □ □ Owner-Builder Deciarat1on: I hereby affirm that I am exempt from the t.Znrracto?s Llcense Law for the follow1Dg 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.). J, 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 Llcense 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 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 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 permit subjects the plic o a civil penalty of not more than five hundred dollars [$500]). /, SIGNATURE DATI! -s-: Ii 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? □ YES □ NO Is the applicanc or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF TimANSWERS ARE YES, A FINALCERTIFICATI! OF oa:tlPANCY MAYNITT BEISSIJIID AFTI!RJULY I, 1989 UNIEiS nmAPPUCANT HAS MET OR IS MEETING nm REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POLLUTION CDN111OL D1511UCT. 9. WNSIROCIIUN IENDING AGENCY I hereby aihrm that chere 1s a construcnon lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) CIVIi Ccxle). LENDER'S NAME LENDER'S ADDRESS IO. AWilCAN I emu IFICX:I ION I cerufy that I have read the apphcatton and state that the above mformat1on 1s correct. I agree to comply with all City ordmances 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 ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMlJ'.SS nm CTIY OF CARISBAD AGAINST ALL IJABIUl'IES, JUDGMENTS, CDSTS AND EXPENSES WIIlCH MAY IN ANY WAY NDUJE AGAINST SAID CTIY IN CDNSEQUENCE OF TIIE GRANTING OF TIIIS PERMIT. 05HA; 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 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 work is commenced for a period of 180 days (Section 303(d) Uniform Buil ing ). APPLICANT'S SkRE ~ DATE: G-:; '3 ' WJ-IlTE: File YEIJ..OW: Applicant PINK: Finance • , CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB930497 FOR 05/28/93 DESCRIPTION: 500 SF BUILT UP ROOF REPAIR TYPE: MISC JOB ADDRESS: 1790 MAGNOLIA AV APPLICANT: CAMPANA, BRUCE CONTRACTOR: OWNER: REMARKS: MH/BRUCE/434-2533 SPECIAL INSTRUCT: TOTAL TIME: PHONE: PHONE: PHONE: INSPECTOR AREA PY PLANCK# CB930497 OCC GRP R-3/M-l CONSTR. TYPE NEW STE: LOT: 619 434-2533 / CD 15 LVL DESCRIPTION ST Roof/Reroof ACT COMMENTS (±f ____ _ ------------------ ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION 052593 Roof/Reroof ACT INSP AP PY COMMENTS ND FINAL