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HomeMy WebLinkAbout1097 CHESTNUT AVE; ; 86-1212; PermitDECLARATIONS LENDER WORKER'S COMPENSATION OWNER/BUILDER CONTRACTOR I 1 1 IfD f}||l|I!D H °° Hi H?TJ £. °J--D^"UoO"K.°3:DTi o n cor: Js"^r~B)!fc— » 3 w — -5 a £*. o_ 5 ^ ~" § — "S" o 3 o" ° w x "^il* if 1 ^i^i iff if !| 1 *" ° o 2 "I" I* s^-gs^z °- 2 =* 5 £? -^ 9 ^ * ^ — c -n £ c 5" a. ° — « T3 ^ ~" "" •n -0 ^ <F ~ c o Hi 3 ™ s 3f! IIII ill =D 1 hereby affirm that 1 have a certificate of consent tosell-insure, or a certificate of Workers' Compensation In-surance, or a certified copy thereof (Sec. 3800. Labor Code)POLICY NO-COMPANYfor this reasonD go ||||f|n |||a||g||sz |a||p|||ff| i " ~-§s 'Illlfs |f|'||llli|s i!!|S*sll|!iI 1 i;i^|i llllll lillilliiti iPtlllllll!: iilf! S|!f|jII||8isM o2fots fl!iH2-Sh tfflil:!2i5air!i §~~ Q 1 hereby affirm that 1 am licensed underprovisions of Chapter 9 (commencing withSection 7000) of Division 3 of the Businessand Professions Code, and my license is in_ full force and effect.(EXPENSES WHICHGRANTING OF THSPERM*. L/<£fg&dlCAH-''//<JL&e BY PHONED) ^ | l/lfllfclIS mUOI ION, WHblHtH WkClHtU HtKtIN OH HOI. 1 ALSO fcWHtt IO b(W b (NUtMNiH «*U Appi irAWT'i QI^MATI IDC M. *r n S APPROVED BY nirc i / 1KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND APPLICANT^ SIGNATURE * ^ ^ OWNEfiJ^ CONTRACTOR D | APPROVED BV ^ ./, /. |fn m m T r- O 33 >E CAREFULLY EXAMINED THE COMPLETED "APPLICAiFY UNDER PENALTY OF PERJURY THAT ALL INFOARATIONS ARE TRUE AND CORRECT AND 1 FURTHERED: TO COMPLY WITH ALL CITY. COUNTY AND STATETION AND PERMIT1RMATION HEREONCERTIFY AND AGRLAWS GOVERNINC TtO § F >'" a US21 ? zr rn < tllff n. Every permit issued by the Sulkexpire by limitation and becomeby such permit is not commencecif jjie building or work authonat/any time after the work is coning OHicial under thenull and void It thewithin 180 days fromEed by such permitfenced for a periodprovisionsofthis # AN OSHA PERMIT 1building or work v n" nFFP AND nFthe date of such STRUCTURES OVEfS suspended or •»,• . STRUCTURES. OVWof 180 davs J ' *S REQUIREDMOUTION Of< 3 STORIESFOR EXCAVATIONS OVEt CONSTRUCTION OfN HEIGHT30 TOTAL ELECTRICALo— i ••-" TOTAL FEES PAYABLEi CREDIT DEPOSITV TEMP OCCUPANCY (30 DAYS)- o m 33 O0 CO — (m T3 t) 0 Oo C/) .•> • 33 EMODEL/ALTbR PER CIRCUIT-n COCOo en "CD tb"ho en - X -oX f- Om 05m H X § CO 0, oCD Oo CO en t m (1ST 8LOG EA AMP/SWT/BKRC3 CDm '' ~n ~n *:• •» - X L-J 9NINMVO; cn 3} ~n . COCO CO 0 0o OOCOCOCn * X o C/l m 2 CO cc 3> O 33 O33— 1 '"> •'.' r CO CO •O 0 CDO COCOCOen ;'"' D ELECTRICAL PERMIT - ISSUED MOBILE HOME SETUP| d 33 • "<: 'i: '.', (i CD O'CDm S-m COeno CO 0 §<• o -vl 0 .,'TOTAL PLUMBINGTOTAL MECHANICAL*• PUPLIC"FACIL1-TIES FEE ",'.;320:8O CD.0 CO SO 1 J*FIRE SPRINKLERS 001-8CD O OCD COno m 0 X 3DOCD~n O3D U~>Bm a 3) m m -H t "'STRONG MOTIONCOo en *P ro COCO „WATERSOFTNERRELOCATION OF EA FURNACE/HEATERoi — •i,. 0'CD CO 0 o oo COro *ro•cn if,EACH VACUUM BREAKERMECH EXHAUST - HOOD/DUCTS:' OCD m 'n:o m ^ 0 . fvi( o cbo .R no " 3 EACH INSTAI... ALTER. REPAIR WATER PIPEm Z -n CO Z CDf—m 0czo— < - 'mo..DZ ir" CD OO CO 4.ro - m n X CO CO 00— (m O3) O m ~n 3D -o om m .i —m 3D ,.* CDU oCD EACH GASSYSTEM 1 TO 4 OUTLETSBOILER/COMPRESSOR 3-15 HP-HO i — c: CD •JP CD* QX^? ^rorooo CO INJr>o EACH WATER HEATER AND/OR VENTBOILER/COMPRESSOR UP TO 3 HP•A -ar~ 0remO CDO CO *ogro EACH BUILDING SEWERo m 3J oo"ooo CD—\cr 'i **; '-;* CO en 3J 1^. O" CO .0 "p" f EACH FIXTURE TRAP 1INSTALL FURN. DUCTS UPTO 100,000 BTUCD 1 — O cn T3m3J ^H OCD CO O <% -g £SroO S D PLUMBING PERMIT - ISSUEO MECHANICAL PERMIT - ISSUE->a' j w.•c-•s: ' •>3 -< > O .&* i i> CDrn ' • 3) s '•t 'w . • '' * • •'•"PARKING SPACEHm C ul GRADING PERMIT 1YD N DSSUEDREDEVELOPMENTAREAvQ NDTYPECONSTOCC LOAD-n D 1 t 4 L3 ^ z D r mrm NOSTORIESOCC GPmOc £ « — i r *» "S> f O i 1 DESCRIPTION OF WORKO O w 1 O31 On n 1DESIGNERDESIGNER'S ADDRESSDESIGNER'S PHONESTATE LICENSE NO.v PV- /rfX .-,,.^^ •. *'•'*:**• v.,/ ' '•• ' 'v, ' " '*• • ' '"3 ' '.».IjOiT o,ui ii/i9/e6rr<QT .30 =<.' ' * - T_ " •' - , • " . "j ^ -, J .•"-•"''Not Vitfid Unffi Machine CertifiedO ^, Z 7*0 *o s t • 4 \ ib I 1 CONTRACTOR'S ADDRESSSTATE LICENSE NO.\BUVtOING SO. FOOTAGEr O 1 BLOCKSUBOi VIStONo| 1 ^ 8 1 CONTRACTOR> ^1 CONTRACTORS PHONE »S m ^t ^ X, o ^^ w(/I 1 H Xp zm•£»•!DATE OF APPLICATION///W?6BUSINESS LICENSE ttVALUATIONJPERMIT NUMBER'¥)V^CARLSBAD BUILDING DEPARTM2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (6192 •n PLICATION & PEFH inm CD O m O 80 SO to •o•o | O :ILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.White — Inspector Green — (1) Finance Yellow — Assessor Pink-;—'Applicant GolcT— Temporary File