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Home My WebLink About1050 MAGNOLIA AVE; ; CB023351; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-04-2002 Plumbing Permit Permit No: CB023351 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 1050 MAGNOLIA AV CBAD PLUM 2051911900 Lot#: 0 Construction Type: NEW GARCIA RES GAS LINE-FIRE PIT Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/04/2002 RMA 11/04/2002 11/04/2002 IJJ77 W04/02 0002 01 Applicant: GARCIA DAMIAN&SUSAN L 1050 MAGNOLIA AVE CARLSBAD CA 92008 Total Fees: Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain $27.00 Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Owner: CGP GARCIA DAMIAN&SUSAN L 1050 MAGNOLIA AVE CARLSBAD CA 92008 Total Payments To Date: $0.00 0 0 0 0 0 1 0 FINAL APPROVAL Date: Balance Due: Clearance: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 $27.00 NOTICE: Please tak roval of your project includes the "Imposition~ of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/ ctions." Yo ave 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specilied fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service lees in connection with this project. NOR DOES IT APPLY to any f whi h r vi sl i n N I imil r hi r whi h h f limit i I 02 27-00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. .PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. C ~L 3 3-S f EST. VAL. __________ _ Plan Ck. Depo~_,8....,... ______ _ Validated j3v. . Date /. 1 ( '1 f6 2, tJ Address (include Bldg/Suite #) IO $7? (YJ 19 Co rJo L,/ ,4 Business Name (at this address) :f. Legal Description Lot No. Subdivision Name/Numbe'r Assessor's Parcel # Existing Use Description of Work t;~ l,;;J ~ r-:va-;.; llE P 1r 2 CQtil.IAC PEB.SQJII (If differ-int from applicant) SO. FT. Name Address 0 Contractor 0 Agent for Contrao;Qr O Owner Name Address 4. Name Address .5. CQfiTJl~CTOR. • CO"1PANY NAfJl,E #of Stories - City [lp.gent for Owner City . City Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms State/Zip Telephone# Fax# State/Zip Telephone# State/Zip Telephone# (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, commending 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 ($5001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License# _________ _ ,6. WOflKER 'COMPENSATION Workers' Compensation Declaration:' I hereby affirm under penalty of perjury one of the following declarations: O 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. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company _____________________ Policy No.____________ Expiration Date _______ _ [THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 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 tha cost of compensation, damages aa provided for in Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE·----------------------,----,--------:== DATE 1 7._. QWNER-BUILD~DECLARA"flO'11 -:-:--;;;;;:::=;::::;;::;;:::::::;;;;:::::;;::=..~. -J-I hereby affirm that I am exempt from the Contractor's License Law for the following 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 (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). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1' 2. 3. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number):. ______________________________________________ _ 5. I will provide some of the w i,ontracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ________ --f---+-,f------=-~------------------------------------- -). PROPERTY OWNER SIGNATURE ~~-).~--,ill.-..!!c=::'::::::=-------------DA TE 11 · li · 0 :::1 COMPLET~ JHIS SECTION FOR NON-RESIDE. BUILDINQJ'ERMITS O..fillY: Is the applicant or future building occupant req ·re to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 f the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. 8, CONSTRUCTION LENDlt,IG AGENCY I hereby affirm 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 ________________________ _ 9. A!?PLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. 'X APPLICANT'S SIGNATURE the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work · in 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned r a period of 180 days (Section 106.4.4 Uniform Building Code). -Ir U • cJ "\._ DATE ____ _\_._ ________ _ WHITE: File YELLOW: Applicant PINK: Finance ((O<o -e_-(o City of Carlsbad Bldg Inspection Request For: 01/29/2003 Permit# CB023351 Title: GARCIA RES GAS LINE-FIRE PIT Description: Type: PLUM Sub Type: Job Address: Suite: Location: 1050 MAGNOLIAAV Lot 0 APPLICANT GARCIA DAMIAN&SUSAN L Owner: GARCIA DAMIAN&SUSAN L Remarks: Total Time: Act Comment • Inspector Assignment: JE --- Phone: Inspector: ----- Requested By: DAMIEN Entered By: ROBIN CD Description 21 Underground/Under Floor l+P E1 n::J!.. Associated PCRs/CVs Inspection History Date Description 12/19/2002 23 Gas/TesVRepairs 11/07/2002 23 Gas/TesVRepairs Act lnsp Comments CO JE SHUT OFF VALVE OK AT FIREPIT • REPLACE FLEX HOSE AT PIPE CONNECTION AT METER AP JE ~. . ' 0 1 (Y\14, .:i 1-\o-J<;.E. 6~ ' ' I B~<l£>0 . ..,.. ~ .. Ct.,,,1,,1 ~ / O 5' 0 /riA-0/?ultA- CJJ C) 2-],J 5)