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Home My WebLink About1081 CHESTNUT AVE; ; CB961015; PermitB U I L D -I N G P E R M I 06/06/96 09:45 , -'' : ' Page . 1 of 1' Job Address': 1081 CHESTNUT; AV Suite; Permit Type: 'PLUMBING .'.••' • ' ' • . -, Parcel No :• 205-190-06-00. ' '' Lot#:. Valuation: 0 ',: :. ' : Occupancy Group:, . Reference*: Description: CONVERT FROM SEPTIC TO SEWER . : CK BACKFILL & CONNECTION TO LATERAL Permit No: 'GB961015 - Project No: A9601455 Development No: - • Appl/Ownr : CARCELLA, SCOTT " '". . 1081 CHESTNUT. "AV. : CARLSBAD CA. 92008 ..7901.06/06/96000101 02.,: Construction Type: NEW .'• S'tatjU|,f;;i ISSUED .. ' Appliea1^T06/06/iP5?^ • Apr/Issue: 06/06/96 , • • -.". , Entered By.: RMA '. :619-2 32-0816 ' . *** .. .Fees Required *•**Fees Collected & Credits Fees : . 35 .'O'O Adjustments: .00 Total Fees: ,35.00 Fee description "Total ''"Credits: Total Payments'. " - ,Ejalance. Due1: - /;Units ' -.,Fe.e/Unit .00 .00 , 35.00 ' . Ext fee Data Enter "Y" for Plumbing Issue Pee > Each Building Sewer -' . "-. > * PLUMBING TOTAL -' • ' %^ • 15.00 20.00 Y 15.00 35.00 FINAL APPROVAL (CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad. CA 92009 (619) 438-1161 1. PERMIT TYPE From List 1 (see back) give code of Permit-Type: For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units PLAN CHECK NO. EST.VAL PLAN CK DEPOSIT VALID. BY , 2. PROJECT INFORMATION FOR OFFICE USE ONLY Building or Suite No. /r-L/ZFLEGAL DESCRIPTION Lot No.Subdivision Name/Number Unit No.Phase No. CHECK BELOW IF SUBMITTED: D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report 01 Addressed Envelope ASSESSOR'S PARCEL DESCRIPTION OF WORK(34_/ /^ys-> SQ. FT. _ PROPOSED USE # OF STORIES # OF BEDROOMS # O¥ BATHROOMS 3. CLJNIAL.I PtKbOn (it aitterent trom applicant) NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE ,Q CONTRACTOR NAME (last name CITY AGENT FOR^CONTRACTOR 5BOWNER LTAGENT FOROWNER STATE (I/A- , ZIP CODE 92^^^ DAY TELEPHONE Q £) 5. PROPERTY OWNER x} ClTtf !/LOJ<(Z A-0 STATE ADDRESS ZIP CODE LtJV &VK1 TELEPHONE jg? - ° c3> / £ bTTXiNTKACTOR NAME (last name first) CITY ADDRESS STATE STATE LIC. # ZIP CODE LICENSE CLASS DAY TELEPHONE CITY BUSINESS LIC. # DESIGNER NAMt (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORKERS^ COMPENSATION Workers Compensation Declaration: I hereby affirm that I have a certificate or 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 or 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. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: Tnereby arnrm that I am exempt trom tneContractors License Law tor 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: (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>flwX,Chapter 9, cormjiencing with Section 7000 of Division 3 of the Business and Professions Code) or that hejskexemM therefrom,,£fKr'trie/Dasis for thj? ajjeged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects^fi&'applieHrit to a ciwl'penaft/of not m0K thm five hundred dollars [$500]). D SIGNATURE DATE COMPLETE THIS'SECTION FOR~NOfr'-"FglI'FNTi||AI. Rlrt/.DTNr; PERMITS ONLY: ts the applicant or future building occupant required tosubmtra-business plan, acutely hazardous materials registration form or risk management andprevention 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. 9. coNsi'RucrnoN LENDING AGENCY 1 nereoy artirm that tnere is a construction lending agency tor the pertormance or the work tor which this permit is issued (Sec 3097(1) Civil Code)T LENDER'S NAME LENDER'S ADDRESS 10. ArrLuJANl 1 certify that i nave read tne application and state that the above information is correct. I 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 inspectionpurposes. 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 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 no? commenced witfim 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoflietpat an/Cme aftec the#wowis comroifflce^for a period of 180 days (Section 303(d) Uniform Building ( APPLICANTS SIGNATURE / < A, <~_ ^/ 3? £/ S S DATE: £~& -*: File—YhLLUW: Applicant PINK: Finance f CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB961015 FOR 06/18/96 INSPECTOR AREA DESCRIPTION: CONVERT FROM SEPTIC TO SEWER PLANCK* CB961015 CK BACKFILL & CONNECTION TO LATERAL OCC GRP TYPE: PLUM CONSTR. TYPE NEW JOB ADDRESS: 1081 CHESTNUT AV STE: LOT: APPLICANT: CARCELLA, SCOTT PHONE: 619-232-0816 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: MW/KATHERINE/720-2032 INSPECTOR_Jr SPECIAL INSTRUCT: DID NOT SAY WHAT TYPE OF INSP TOTAL TIME: —RELATED PERMITS—PERMIT* TYPE STATUS CD 29 SE960064 SWRSD ISSUED LVL DESCRIPTION ACT COMMENTS PL Final Plumbing DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS