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Home My WebLink About1826 MAGNOLIA AVE; ; CB911310; PermitB U I L D I N G P E R M I T P rmit No: CB911310 Project No: A9101665 Deve.l.opr;,ent No: 09/19/91 11:36 Page 1 of 1 Job Address: 1826 MAGNOLIA Pernit Type: ISCELLANEOUS Paicel No: 205-230-13-00 Valuation: O Construction Type: VN Occupancy Gr up: AV Class Code: Description: 500 SF DEC PER SPECS PER ~ATA Appl/Ownr : WALTERS, PATRICK J. 826 MAGNOLIA AVENUE CARLSBAD, CA 92008 Fees Required Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS TO AL Str: 619 CITY OF CARLSBAD Fl: Ste: 4478 09/19/91 0001 01 02 C-PRHT 120.00 CAf~ Status: Applied: Apr/Issue: Vali ated By: 729-168~ ISSUED og;1a;91 09/19/91 DC 'A * .oo .0 0 120.00 Ext fee Data 120. 00 DECK/SPE« 120.00 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 ______ , ................ ______ _ PERMIT APPLICATION PLAN CHECK NO. q/-;~/0 City of Carlsbad Building Departlllent 2075 las Palau Dr., Carlsbad, CA 92009 (619) 438-1161 1. PKRM1 f 1YP£ A -LI Commercial B -D Industrial c -□ Residential D New Building □ Tenant Improvement □ New Building □ Tenant Improvement □ Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical O Pool □ Spa □ Retaining Wall □ Solar □ Other ____ _ 2. PRnmcr INFORMATION FOR OFFICE USE ONLY ~rSu1teNo. LEGAL DESCRIPTION Lot No. Subd1V1sion Name/Number Umt No. Phase No. □ 2 Soils Report □ l Addressed Envelope EXISTING USE NAME CllY STATE ADDRESS ZIP CODE DAY TELEPHONE 4. APPL1CAN I NAME □WNIRACIOR □AGEN'l FORCONIRACIOR □OWNER □AGENJ FOR OWNER ADDRESS CilY STATE ZIP CODE DAY TELEPHONE S. PilOPRlli V OWNEk NAME ADDRESS 7'~/-/ h c/> ..:f' CilY STATE ZIP CODE DAY TELEPHONE 6. OON'l'llAC iuk NAME ADDRESS CilY STATE ZIP CODE DAY TELEPHONE STATE UC.# LICENSE CIASS CllY BUSINESS UC. # DESIGNER NAME ADDRESS CilY STATE ZIP CODE DAY TELEPHONE STATE UC. # 1. WOltlffiltS' WMP£NSX11oN Workers' Compensation beclaratmn: I hereby afhrm that I have a cert1hcate of consent to self-msure issued by the Director of lndustnal 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 Cemftcate of Exemption: 1 certify that m the performance of the work for which this permit ts issued, t shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE A. oWNEk-Bunnmt IJECLAitA'rrOR Owner-Dudder beclaratton: I hereby affirm that I am exempt lrom the Contracto?s License Law for the following reason: D 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 Ucense 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 Ucense 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 license 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 applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNA11JRE DATE CdMPLETE 'ti-tis sEci1oR Pok NON-REsibkR'MXL HDILbiNC PERMITS ONLY: Js 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 CJ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management disttict? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES CJ NO IF ANY OF TIIEANSWERS ARE YF.S. A FINAL CERTIFICATE OFOCllJPANCY MAYNCJf BE ISSUED AFTER.JULY I, 1989 UNUSS 111EAPPUCANT HAS MET OR IS MEETING nm REQUIREMENTS OF nm omCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CDN11l0L DIS11UCT. 9. WNS'IR0CIION l£NOING ACRNCY I hereby afhrm that there 1s a construction lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. AJ>PllcANT CEKIMCA'ndN I certify that I have read llie apphcauon and state that ffie above mformauon 1s correct. I agree to comply with all Ctfy 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 m SAVE INDEMNIFY AND KEEP HARMLF.SS 1HE C11Y OP CARLSBAD AGAINST AU. L1AB11J11ES,, JUDGMENTS, CXlSTS AND EXPENSF.S WIDOI MAY IN ANY WAY N:DtUE AGAINST SA.JD Cl1Y lN CDNSEQUENCE OF nm GRANTING OF nns 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 nor 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 Building Code). DATE: ______ _ WHITE: File YEU.OW: App 1cant PINK: Fmance