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Home My WebLink About1098 MAGNOLIA AVE; ; CB030315; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-30-2003 Plumbing Permit Permit No: CB030315 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1098 MAGNOLIA AV CBAD PLUM 2051911400 Lot#: 0 Construction Type: NEW MENDOZA RES NEW H20 HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/30/2003 SB 01/30/2003 01/30/2003 CHUCK'S PLUMBING MENDOZA ESTHER R TRUST 05-13-92 3800 WESTHAVEN DR CARLSBAD, CA 92008 619-729-0961 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain 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 Total Fees: $27.00 0 0 0 0 1 0 0 4233 MOONLIGHT LN OCEANSIDE CA 92056 Total Payments To Date: $0.00 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Balance Due: $27.00 ) t ~ ~ 'u ~ ~ ' (l' II ~ ~ {l 6946 01/30/03 0002 01 )2 C:GF" T?~OO FOR OFFICE USE ONLY PERMJT A~ PUCA TION PLAN CHECK No.Cc5oJc>$r~- CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EsT. VAL. _________ _ Plan Ck. Deposit --~-------- Validated By_7..,,c_~-"-"'------ Date t -7-0-c,:') Address (include Bldg Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use # of Bathrooms Name State/Zip Telephone# Fax# State/Zip Telephone# Name Address S.tate/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 Any violation_ot Sec ion 7031.5 by any applicant for a permit subjects t e applicant to a civil alty f not more t an !JllJ hu~d dollars [$500U. \ t) ~ G£,7~ti'{" ~ ,:I c> '? k. .,.,..Na_m_e ~14-J...t..LL.4--,:>...-:..Jc....<.a.=..-...~Ad':':-dr-es-s ~;.,....::_--=---L<lo<=--'-7"/-4-L"-=;C:c,:'ity~__,_~~~St'Kate~/Z::-'ip..q:;;....-=.:.-=-Te-,-le--,-ph-on-e ,-:-""'-'"'----='----"""'"--'-" t' ;;? g'7;?tJb License Class l!c.--~6 City Business License # 3 Z¢a z;> State License # Designer Name Address City State/Zip Telephone State License # WQR!(J;l\i:,.!;OMPEN~ 1' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ~ed. My worker's compe sation in urance carrier and policy number are: /? Insurance Company .-v1 Policy No./G-;o5 J "i:4'$.Z,4',2-t:?CJ Expiration Date/-/ -;;}~£)fl (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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 eecure workers' compensatlo overage Is unlawful, and shall subject an employer to criminal penaltlea and civil fines up to one hundred cos o compensation, dama ea H provided for In Section 3706 of the Labor coda, Interest and attorney's faea. DATE L---g3 l> --ds 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 Coda: 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). 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 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / 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 number / contractors license number): 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 work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address / phone number/ type of work):. ________________________________________________________ _ 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? 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 7 0 YES O NO 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 9 e.P!.ICAl\lt ;: .. _;;;;:l:R!~iffl:::;C;:cA]:;l;;ON;;i~;;;;;;;:;;;;:;;;~;:-:=,;-- 1 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 Citt 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. EXPIRATION: Every permll issued by the building Official under lhe provisions of this Code shall expire by limitalion and become null and void if the building or work authorized by such permit is nor commenced 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 com e or a peri of ~-days ction 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE =-~~~~~~:-!!.,4~=--./4.-"""=~~~:!::::::~=!:;.------DATE k s-~C) -~~ WHITE: File YELLOW: Applicant PINK: Finance 1(0 0-ih City of Carlsbad Bldg Inspection Request For: 02/04/2003 Permit# ::!.1030315 Title: MENDOZA RES NEW H20 HEATER Description: Type: PLUM Sub Type: Job Address: Suite: Location: 1098 MAGNOLIA AV Lot APPLICANT CHUCK'S PLUMBING 0 Owner: MENDOZA ESTHER R TRUST 05-13-92 Remarks: Total Time: Inspector Assignment: Phone: 7607290961 Inspector: ---- Requested By: NA CD Description Entered By: CHRISTINE Act CommJlt /} .if! r,/l~ 25 Water HeaterNents Associated PCRs/CVs Inspection History Date Description Act lnsp Comments