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Home My WebLink About1970 MAGNOLIA AVE; ; CB910298; PermitU I L D I N G P E R M I T Perm1 Projec Developmen No: CB91029 8 No: A~1 0 0 37 0 No: 02/2b/91 13 :47 Pace l of 1 Job Address: 1970 MAGNOLIA Per it Type : PLUMBING Parcel No : 205-230-09-00 Valuation: o Cons r ction Tye : NEW Occupancy Gro11p: AV s r: Fl : Ste: Class Code: Desc iption : GAS LINE REPAIR Appl/Ownr : ARTHUR BROWN PLUMBING 2697 STATE ST CARLSBAD, CA 92008 CONTRACTOR OWNER Fees: Adjustments : Total Fees : ARTHUR BROWN 2697 STATES ee descr'ption Enter "Y'' for Plumbing Gas Piping Syste PLUMBING TOTAL CITY OF CARLSBAD 0 9 CJ:.5:.113 St tus: ISSUED Applie : Apr/Issue: Valid ed By : 619-729-4914 02/26/91 02./26/9 1 KZH 248290 619-729-4914 Creditz ** .00 .00 10.00 Ext fee Da 7.50 Y 2.50 10 .00 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION .. • City of Carlsbad Building Department EST. VAL ______________ _ 2075 Las Pal mas Dr., Carl shad, CA 92009 (619) 43s-11s1 PLAN IX DEPOSIT ___________ _ VALID. BY _____________ _ 1. P.ERMIT TYPE DATE _______________ _ A COMMERCIAL TENANT IMPROVEMENT 0 INDUSTRIAL □NEIi O TENANT IMPROVEMENT C □RESIDENTIAL □APARTMENT QCON00 □SINGLE FAMILY DWELLING OADO!TI0N/ALTERATJ0N 0 DUPLEX □DEMOLITION □RELOCATION □MOBILE HOME filPLUMBING 0 MECHANICAL QPOOL OSPA □RETAINING WALL QS0LAR 2. PROJECT INFORMATION PLAN CHECK No. Address A 1970 Magnolia // Nearest cross Streets LEGAL DESCRIPTION Lot No. Subdivision Name/Nurber Unit No. Phase No. CHECK BELIN IF SUBMITTED; D 2 Energy Cales 02 Structural Cales 0 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE Gas Repair BLDG. SO. FTG, # OF STORIES 3. CONTACT PERSON 4. 5. NAME CITY SIGNATURE ADDRESS Arthur A. Brown ,1umbing Co. 2697 State St. Carlsbad, sarE Ca. zrP cODe 92008 DAY TELEPHONE 729-4914 APPLICANT :[) CONTRACTOR D AGENT FOR CONTRACTOR QO\/NER Q AGENT FOR OWNER NAME Same as Above ADDRESS Cl TY STATE ZIP COOE DAY TELEPHONE PROPERTY OWNER -CWlllfi. QLESSEE QTENANT NAME Diane Frum ADDRESS Carlsbad, 1970 Magnolia Cl TY srATE Ca ZIP CODE DAY TELEPHONE 729-5083 6. CONTRACTOR 7. 8. NAME Arthur A. Brown Plumbing Co. srATE ca. ADDRESS 2697 State St. crTY Carlsbad, SIGNATURE DES I GNER NAME CITY STATE LIC. # 248290 STATE WORKERS' COMPENSATION ZIP CODE 92008 LICENSE CLASS C-36 TITLE Office Mn r ADDRESS ZIP CODE DAY TELEPHONE 729-4914 CITY BUSI NESS LI C. # DATE DAY TELEPHONE STATE LIC. II Workers' Ccn-pensation Declaration, I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relat1ons, or a certificate of Workers• Ccn-pensation Insurance by an a<initted 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 Ca,JPANY POLICY NO. EXP I RAT ION DATE Certificate of Exemption: I certify that in the performance of the work for wnich this permit is issued, I shall not errploy any person in any manner so as to become subject to the Workers' C"""l"'nsation Laws of California. SlGNATURE DATE OWNER-BUILDER DECLARATION Owner-Bu, lder Declaration: I hereby affirm that I am exe,rpt from the Contractor's License law for the fo{ low,ng 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 (See, 7044, Business and Professions Code: The Contractor's License law does not apply to an owner of property who builds or i,rproves thereon., and who does such work himself or through his own employees, provided that such i .-provements are not intended or offered for sale. If, however, the building or i,rprovement is sold within one year of corrpletion, the owner-builder will have the burden of proving that he did not build or i,rprove 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 i,rproves thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's license Law). O I am exeflllt under Sec ti on ___________ 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, i"l')rove, demolish, or repair ar,y structure, prior to its issuance, also requires the applicant tor such permit to file a signed statement that he is Licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, conmencing 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 dotlars [SS00J). SIGNATURE DATE COMPLETE THIS SECTION FOR NON·RESIDENTIAl BUll0ING 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-Tamer Hazardous Substance Account Act? 0YES QNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES QNO Is the fac i l i tv to be constructed with in 1,000 feet of the outer boundary of a school s i te7 Ores IF ANY OF TIE ANS\l:RS AAE YES, A FIii/iL CERTIFICATE OF OClll>ANCY IIA1' INJT BE ISSUEII AFTER JIJl.l 1, 1989 UNLESS THE APPLICANT IIAS MET OR IS IIEETIIG TIIE REWIRENENTS OF THE OFFICE Of EMERGENCY SERVICES AND THE AIR POI.WTIOII CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby aft i rm 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 10. APPLICANT'S SIGNATURE J certify that E have read the application and state that the above information is correct. I agree to comply with a(~ City ordinances and State laws relating to bui~d1ng construction. J hereby authorize representatives of ttie-City of Carls.bad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HAlltlllESS THE CITY Of CARLSBAD AGAINST ALL LIAIIILITIES, JWGHENTS, COSTS ANO EXPENSES WHICH KAT IN ANY WAY ACCIIIJE AGAINST SAID CITY IN CONSEQUDCE OF THE GRANTING OF THIS PERMIT. 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 coomenced 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 coo-rnenced fo~od of 180 days (Section 303(dJ Uniform Building Code). APPLICANT'S SIG ,,,!Rl.J "I ~NER OcoNTRACTDR oav PHONE APPR0\IED SY; .. x.,.{:,(, DATE:-------------~ WHITE: File YELLOW: Applicant PINK: Finance .. 3 //fl UNSCHEDULE1~==0JI ~ y _,;_, ~ O' PERMIT 1_ ..... y;_1/ ____ -c2_f.:..;f__ PLANCK # JOB AODRESS __ /_f ...... 2 __ t:> __ M__,-~~----'----=====~=~~~ DATE TIME ARRIVE: _____ TIME LEAVE: ____ _ CO LVL DESCRIPTION ACT COMMENTS n_ pst§± v