HomeMy WebLinkAbout1394 Magnolia Ave; ; 81-559; Permit., z 0 ;:: : ~ u :!l
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D l here. •firm that I am licensed under
provisions ol Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is In
full force and effect.
Lie No_ _____ Class
I hereby ;ifllrm th.ii I am eumpt lrom the Con.
~~t~~~~:;:; !;;;' ~l~~1~~~~r~~g1~r
county which requires a permit to construcl
,11lter. Improlli!, demolish, or repair any structure,
pnor to its issuance also requires the applicant for
such pennit to f,le a signed statement that he ,s
licensed purs~nt to the prov1s1ons of the Con-
tractor's License Law (Chapter 9 commencing with
Sec!mn 70Xl of D,v1smn 3 of the Business and Pro-
fessions Code) or that ,s exempt therefrom and the
Das1s for the alleged exemption Any v1olat1on o!
Section 7031 5 by an apphcant lor a perrmt subiects
me applicant to a c1v,I penalty ot not more than five
hundred dollars (S500)
D I, as owner of the property, or my employees .... 11h ..,.a,ges as the,r sole compensat,on, will do the
worl<, and the structure Is not intended or of!ered for
sale (Sec 7°'4, Business ancl Proless10fls Code
The Contractor's License Law does not apply to an
owner at property who builds or improves thereon and who does such worl< himself or througr. his own
employees, provided that such Improveme;1ts are
not mtenoe1 or ottered 101 sale If, however, the
bo1lding Of ,mprovement Is sold wIlhm one year of
completion, the owner-builder will have the burden
ol proving that he did not build or improve !or the
purpOse o! salej
0 I, as owner of the property. am e~clus1vely
contracting with licensed contractors to constf\Jct
the proJec1 (Sec 7°'4. Business and Professions
Code. The Contractor's L,cense Law does not apply
to an owner of property who builds or improves thereon. and who contracts for each pro1ects with a
contractorts) i.cense pursuant to the Contr..ctor's License Law)
D I am exempt under Sec
!or th,s reason
, 8 & PC
0 I hereby affirm that I ha~e a cert1t,ca1e of consen! to self-msure. or a cert1!1cate of Workers'
Compensation Insurance, or a certr!,ed copy thereof
(Sec 31JXl. Labor Codel
POLICY NO
COMPANY
□ Gopy IS tiled with the City
O Cert1!1ed copy Is hereby turn,shed
CERTIFICATE:. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the permit
,s !or one hundred dollars ($100) or less)
O I certify that In the performance ot the work for
wnIch this permit Is issued. I shall not employ any
person In any manner so as to become subIect to the Wonters· Compensation Laws of Cal1torn1a
NOTICE TO APPLICANT If. alter makrn;i this Cert,
ficate of Exemption. you should become subJect ta:>
the Wonters· Compensation provIsmns o! the Labo,
Code you must fo11nw1!h comply with such
provIs,ons or this perm,1 snail be deemed revoked
D I he,eby aHirm tho! 1here ,s a cons1ruct,on lend,ng aoency fo, the performance o! The work for
wh,ch th,s permH ,s ,ssue<I (Sec J{J'j7, C,v,I Code)
Lender 5 Nome ___________ _
Lenders Add1ess __________ _
USE BALL POINT PEN ONLY & PRESS HARD __________________ ___.:A..:P.c.P..:L:;.;IC:.;.A..:N;.;T...;Tc;O ~--LIN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD JILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525 APF--~,CATION & PERMIT
,.._.,,..,,..,ui,.,..,.., "" ~V.$T.,DATES}FAPPL ,TION 8USINESSLICENSE# VALUATION PERMITNUMBER
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REDEVELOPMENT
AREA
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STORIES
TYPE
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CONTRACTORS PHONE# ZONE
UCENS~NO, PLAN 1.0. #
STATE LICENSE # STANDARD PLAN#
OESIGNER"S PHONE
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PLUMBING PERMIT -ISSUE MECHANICAL PERMIT -ISSUE SUMMARY/AC
EACH FIXTURE TRAP ~ I INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT
EACH BUILDING SEWER ____ __ I___ _ _· OVER 100,000 BTU 1 1 .,,,,. .• , =~-O::.lf:N Pl=AMIT 01-000-42.f.1
EACH WATER HEATER AND/OR VENT . BOILER/COMPRESSOR UPTO 3 HP l I -· ··· -t'LAN L;Hl:CK 01-000-4806 ------
TOTAL PLUMBING EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP 1 • 1 ~" 01-000-4222
C:LC:~TRICAL EACH GAS SYSTEM 5 OR MORE . METAL FIREPLACE ! I n ,.., 01-000-4223
EACH INSTA~--ALTER, REPAIR WATER P1PE -,_........'-\r vENT FAN SINGLE DUCT MECHANICAL 01-000-4224
EACH VACUUM BREAKER ___ . MECH EXHAUST HOOOIOUCTS MOBILEHOME 01-000-4225
WATER SOFTNER RHOCATlON OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-000-4226
TOT.t..L MECHANICAL STRONG MOTION 65-640-0519
BLDG USE CODE
BUILDING SQ. FOOTAGE
t,o-
JP ,,..-~7'"-....,;;.... ______ ....,~,.--TOTAL PLUMBING FIRE SPRINKLERS 01-000-4227
PUBLIC FACILITIES FEE QTY, ELECTRICAL PERMIT -ISSUE QTY_ I SOLAR -ISSUE 25-000-4933
BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE -DISTRICT
lPH 3 PH STORAGE TANKS --"'" ,. .. ,Isbad 55-623-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65-624-0519
1 PH 3 PH PUMP San Dieguito 65-625-0519
REMODEL.'ALTER PER CIRCUIT San MarCos 65-626·0519 PLAN CHECK FEE _____ _,_ _____ _._ __ _,_ ____ _cc_ ________ _
TEMP POLE 200 AMPS
OVER 200 AMPS ---------------
TEMP OCCUPANCY (30 DAYSf --------
TOTAL ELECTRICAL TOT AL SOLAR TOTAL FEES PAYABLE
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lnd becoml,: I\Uff Wwokl. if ~A>uildir\gJJrworit ~.~ ffll)~the ... oftuc:h
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INSPECTION TYPE DATE INSPECTOR f I -S--S-0
BUILDING FIELD INSPECTION RECORD
FOUNDATION REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES REINFORCED STEEL
INSPECTION REO IF INSPECTORS DATE MASONRY CHECKED APPROVAL -
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
FOUNDATION INSP
SHEATHING STRUCTURAL CONCRETE
FRAME OVER 2000 PSI
EXTERIOR LATH lNSULATION PRESTRESSED
CONCRETE --
INTERIOR LATH & DRYWALL POST TENSIONED
CONCRETE
PLUMBING FIELD WELDING ----~----SEWER AND BL/CO I HIGH STRENGTH
PLUMBING UNDERGROUND i BOLTS . ----------------
PLUMBING TOP OUT i SPECIAL MASONRY
----: TUB AND $HOWER PAN i
GAS TEST I PILES CAISSONS
ELECTRICAL I f-------
' TEMPORARY POWER
ELECTRIC UNDERGROUND ·------
ROUGH ELECTRIC
ELECTRIC SERVICE
------! BONDING . ,.
-G. F. I. -SMOKE DETECTOR -/~ ,,
MECHANICAL -. , --
DUCT & PLEM., REF. PIPING ------
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE r l d"
ITEMS ABOVE HAVE BEEN APPROVE[(. -------
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JOB SITE FINAL y\. (,,~., PLUMBING /'I\ ]ljJoV
ELECTRICAL , .'-./\ ··-lr7 // ,,,-\ \ lJ ,.
MECHANICAL -~-1,/ /V / ---------
GAS . / I l ')
BUILDING ' V ' t n/~
SPECIAL CONDITIONS -/ -" -----
CERT OFOCr ,NCY ISSUED ,,