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Home My WebLink About1950 MAGNOLIA AVE; ; CB154301; Permit12-08-2015 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: LS G PLUMBING STE 58 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB154301 Building Inspection Request Line (760) 602-2725 1950 MAGNOLIA AV CBAD PME 2052301000 Lot#: VANLONERGAN RES-REPLACE SEWER 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: LINE FROM HOUSE-UNDER GARAGE SLAB & UP TO THE PROPERTY LINE. NO TRENCHING IN THE 10 FT PUBLIC RIGHT-OF-WAY-MEASURED FROM THE FACE OF CURB-BACK 10 FEET Owner: ISSUED 12/08/2015 RMA 12/08/2015 12/08/2015 VANLONERGAN REVOCABLE TRUST 06-03-86 725 NORTH FIG STREET ESCONDIDO CA 92025 760 644-4887 1950 MAGNOLIA AVE CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES $163.00 $0.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: FINAL APPROVAL Date: 5-~-(b Clearance: $0.00 I\OTICE-Aease ta<e l\OTICE Iha~ cJ 1W' e<tjed irdl.de,; tte "lrrµEitiorf ri-, dEdcatiors, reservooc:ns, a ctta-eodiors -cdledively referra;j toas '1eos'oxa:licm." Yoo ra11BOOdays franttedatetns pemit"""' iSS'-"dto prdesl irrµ,sitia, rittesefeos'oxa:licm. If yru prdesl Item yru rrust fcJlootteiroest J>UC8(i.res set fa1h in G<>lsmTst Code Sectia, 68120(a), a-dfilette prdesl a-danydta"req.ired infarmlia,vJth tte OtyMa-,g,rfcr ~ng in acccrdanl vJth Gaislal M.ridpa Code Sectia, 3.32cro. Falu,, to tirrey fcllootret ~ vJII ba" any swsecµrt leg,j da, to~ revie-N, set aside, \Od, er aTIJ their irrpasitioo. Yoo'"" herel7y' FlRTIER I\OTIFIED ttat )OS ngt to prdesl tte specified feos'oxa:liors OOES Nor APPL y to .... er ,n:j -oa,nda, fees ,n:j capa:ity cJmges, na plmng, mirg ga:Jng a ett-a-srrila-,wicatia, ~ng c, ""'"' fees in oa,nda, vJlh Ins e<tjed. NCR OOES IT APPLY to any I . ·1 In erili . . THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE Ccicyof Carlsbad APPLICANT NAME Primary Contact ADDRESS 7Z.5 ADDRESS CITY PHONE EMAIL STATE FAX Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEf/SPACEI/UNITf Plan Check No. Est. Value Plan Ck. Deposit Date / APN #BATHROOMS TENANT BUSINESS NAME FAX CONTRACTOR BUS. NAME ZIP FAX EMAIL I e. STATE LIC. # □HEALTH 0HAZMAT/APCD SWPPP CONSTR. TYPE OCC. GROUP FIRE SPRINKLERS YES□No□ (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issua c so requires th applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law fChapter 9, commending with Sectio 7 00 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 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaratlon: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D I have and will maintain workers' compensation, as required by Secijon 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Insurance Co _____________________ Policy No ______________ Expiration Date _________ _ ~section need not be completed if the permit is for one hundred dollars ($100) or less. L!] Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the labor code, interest and attorney's fees . .16 CONTRACTOR SIGNATURE L eQrxOJci O ~r~o I hereby affilm that I am exempt from Contractor's Ucense 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: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I {have I have not) signed an application for a building permit for the proposed work 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but 1 have hired the following person to coordinate, supervise and provide the major work (include name /address/ phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated {include name/ address I phone/ type of work)· 6$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING 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-Tanner Hazardous Substance Account Act? Yes No Is the applicant 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 sfte? Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affinn that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above infonnallon ls correct and that the lnfonnatlon on the plans is accurate. I agioo bl comply with all Cit)' ordinances and State lav.5 relating bl building construction. I hereby authorize representatve of the City of Carlsbad to enter upon the aOOve mentioned property for inspection JX,Jrposes. I ALSO AGREE TO SAVE, INDEMNIFY .A.ND KEEP HARMLESS THE CITY OF CAALSBA.D AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOJENCE OF THE GRANTING OF THIS PERMIT OSHA: AA OSHA permit is required for excavatons over 5'0' deep and demdltion or construction of structures over 3 stories n height. EXPIRATION: Every permit issued by the Building Oflk:ial under the provisOns of this Code shall expire by limitation and berome null and void if the buik:ling or'Mlr1-; authorized by such permit is not oommenced 'Mthin 180 days from the date of such permit or if the buik:li1g or'Mlrk authorized by sudl permit is suspended or abandoned at any time after the 'Mlr1-; is oommeored for a peliod of 180 days (SeciOn 100.4.4 Uniform Building Cooe) . ..@S' APPLICANT'S SIGNATURE DATE • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed fonn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELNERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ A! APPLICANT'S SIGNATURE ASSOCIATEOCB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Pennit#: CB154301 Type: PME Date Inspection Item ---------- 05/05/2016 29 Final Plumbing 05/05/2016 29 Final Plumbing 12114/2015 21 Underground/Under Floor Friday, May 06, 2016 Inspector Act RI PB AP PB AP VANLONERGAN RES-REPLACE SEWER LINE FROM HOUSE-UNDER GARAGE SLA Comments AM PLEASE Page 1 of 1