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Home My WebLink About1201 MAGNOLIA AVE; ; CB920177; PermitBUILDING PERMI 02/18/92 14:16 Page 1 of 1 Job Address: 1201 MAGNOLIA AV Str: Permit Type: PLUMBING Parcel No: 205-280-08-00 Valuation: • 0 Construction Type: NEW Occupancy Group: Class Code: Description: CONNECT SEWER LINE Permit No: CB92U177 Project No: A92005(>4 Development No: Fl: Ste; 6408 02/18/92 0001 01 02 C-PRMT 14.00 Status: ISSUED Applied: 02/18/92 02/18/92 Appl/Ownr : HOPKINS, JOHN 1201 MAGNOLIA AVENUE CARLSBAD, CA 9200j *** Fees Required * Fees : Adjustments: Total Fees: Fee description 619 Apr/Issue Validated By: DC 434-0737 .cted & Credits .00 . 00 14. 00 Ext fee Data Enter "Y" for PI Each Building Sewe * PLUMBING TOTAL g Issue Fee\ > ; 7. 50 Y 6. 50 14.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las PaImas Dr.. Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE A - U Commercial Q New Building U Tenant Improvement B - D Industrial D New Building D Tenant Improvement C - D Residential D Apartment D Condo D Single Family Dwelling D Addition/Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical J3 Plumbing D Mechanical DPool D Spa D Retaining Wall D Solar D Other 2. PROJECT INFORMATION —Address PLAN CHECK NO. EST.VAL X PLAN CK DEPOSIT N. VALID. BY ^>. DATE FOR OFFICE USE ONLY • Suite No. Nearest Cross Street LEGAL! A-D/fr77S /f^-.;Lot No. Subdivision Name/Number Unit No.Phase No. CHECK BELOW IF SUBMIT Q 2 Energy Gales D 2 Structural Calcs G 2 Soils Report n 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK ^OF STORIES a. IAJN1AL1 FbJtsuiM (\t ditterent trom applicant; NAME CITY STATE 4. APPLICANT NAME CITY U CONTRACTOR UAGEN'I frOK STATE ADDRESS ZIP CODE CUN1HAC1UK ADDRESS ZIP CODE DAY TELEPHONE ^JOWNER LJAGEN1 FOR OWNER DAY TELEPHONE 5. FKOPEKTY OWNER CITY (2/g/f Ls£ ADDRESS STATE (2 & ZIP CODE <? Z.&0& DAY TELEPHONE b. UONTRACJ1OK NAME CITY STATE STATE LIC. # ADDRESS ZIP CODE LICENSE CLASS DAY TELEPHONE CITY BUSINESS LIC. # DESKjNFjrNAMtT CITY COMPENSATION STATE AUUKtSS ZIP CODE DAY TELEPHONE STATE LIC. # Workers' Compensation Declaration: I hereby atlirm that 1 have a certificate of consent to self-insure issued by the Director of Industrial 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 Certificate ot Exemption: 1 certify mat in the pertormance ot the work tor 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. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: 1 hereby attirm that I am exempt from the Contractors License Law for the following reason: Sf 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.). D 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). D 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]). SIGNATURE 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. . IXJNSTHUCJliON LENDING AGKNCY I hereby attirm that there is a construction lending agency tor the pertormance ot the work tor which tnis permit is issued (Sec 309710 Civil Code). N&HC-LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct. 1 agree to comply with all City ordinances 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 TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CTTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over S'O" 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 not 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). APPLICAN DATE: WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB920177 DESCRIPTION: CONNECT SEWER CITY OF CARLSBAD INSPECTION REQUEST FOR 04/30/92 LINE TYPE: PLUM JOB ADDRESS: APPLICANT: CONTRACTOR: OWNER: 1201 HOPKINS, MAGNOLIA JOHN AV PHONE: PHONE: PHONE: STR: FL: 619 434-0737 INSPECTOR AREA PY PLANCKfl CB920177 OCC GRP CONSTR. TYPE STE: NEW REMARKS: MH/JOHN/434-0737 SPECIAL INSTRUCT: SEWER HOOKUP FINAL INSPECTOR TOTAL TIME: —RELATED PERMITS—PERMIT# TYPE CB880922 ELEC CB890925 RAD CB890926 RAD SE920008 SWRSD STATUS EXPIRED EXPIRED EXPIRED ISSUED CD LVL DESCRIPTION 22 PL Sewer/Water Service R/VM- ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION 022492 Sewer/Water Service 022492 Sewer/Water Service ACT INSP COMMENTS AP PY LOWER END OF SEWER LINE CO PY SEE INSP NOTES