HomeMy WebLinkAbout164 CHESTNUT AVE; ; 78-5020; PermitMODEL NO..
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. PnOnS 729-1181 PermitNo.
JOB ADDRESS ASSESSOR'S
PARCEL NUMBER
BOOK I P AG E I P AR.
?
(Q[]SEE ATTACHED SHEET)
MAIL ADDRESS
CONTRACTOR % Jljt £ & & $^ Jf MAIL ADDRESS STATE LIC. NO.CITY LIC. NO.
LICENSE NO.
LICENSE NO.
COMPENSATION INS. CARRIER
6 '• .-'••
MAIL ADDRESS
USE OF BUILDING
N0- BDRMS NO. BATHS
8 Class of work: D NEW ^ADDITION D ALTERATION D REPAIR DMOVE D REMOVE
O
9 Describe work:S/*C**&,2*5 Tr+><9 gtl
<SA
10 Change of use from
Change of use to
1 1 Valuation of work: $"7 «T V.,'PLAN CHECK FEE $PERMIT FEE S
SPECIAL CONDITIONS:Type of y
Const. _.f.
Occupancy-,
Group /"}" •'" • /">',
MICRO FILM FEE
. -Size of Bldg. j
(Total) Sq. Ft. /
No. of <f*
Stories .•.•"•
*p. j.
"•<?f /'.'
lyiax.
/Ope. Loa
APPLICATION ACCEPTED BY.PLANS CHECKED BY APPROVED FOR ISSUANCE BY'
Fire
Zone
Use
Zone
Fire Sprinklers
Required DYes DNO
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
No. r-^& ^f-UNo.
Covered Sq. Ft. /JOpen
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. * >
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF CONTRACTOR OR AUTHORISED AGENT
Special Approvals Required ReceTved
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
SIGNATURE OF OWNER (IF OWNER BUILDER)
Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
TOTAL FEES $.
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL 3- W- 7 f ~^L
DATE
.
**z
REMARKS
6
^v?-^ <4rtJ^
INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
JOB ADDR ESS 57.
MAI L ADDRESS
CONTRACTOR MAIL ADDRESS STATE LIC. NO. CITY LIC. NO.
MAIL ADDRESS LIC ENSE NO.
MAIL ADDR ESS LICENSE NO.
COMPENSATION fNS. CARRIER MAIL ADDRESS
USE OF BUI LDI N G
8 Class of work: D NEW ADDITION D ALTERATION D REPAIR
9 Describework:
PERMIT FEES
No.Type of Fixture or Item Fee
SPECIAL CONDITIONS:WATER CLOSET (TOILET)
BATHTUB f >
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
URINAL
DRINKING FOUNTAIN
FLOOR—SINK OR DRAIN
SLOP SINK
GAS SYSTEMS: NO. OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS.
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
SIGNATURE OF CONTRACTOR OR Au^flORl2iED AGENT
NATURE OF OWNER IIP OWNER BUJ_L. DE_H yAsT^^ / "JDA'fE/
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.CASH
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Perm it No. _
JOB ADDRESS sr.
LEGAL
DESCR.
ATTACHED SHEET)
MAIL ADDRESS
CONTRACTOR MAIL ADDRESS STATE LIC. NO.CITY LIC. NO.
ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO.
MAIL ADDRESS LICENSE NO.
COMPENSATION INS- CARRIER MAIL ADDRESS
USE OF BUILDING
0AT.8 Class of work: D NEW 0ADDITION D ALTERATION D REPAIR
9 Describe work:
SPECIAL CONDITIONS:
PERMIT FEES
f '
SHIMMING POOL WIRING,
NO''INCREASE IN SERVICE
No.Each Fee
APPLICATION ACCEPTED BY:PLANS CHECKED BY APPROVED FOR ISSUANCE BY
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
OR BREAKER
REMODEL, ALTERATION, NO CHANGE
IN SERVICE, FOR EA. AMPERE OF
INCREASE v
TEMP. SERVICE UP TO AND INCLUD-
ING 200 AMP.
TEMP. SERVICE OVER 200 AMP.
PER 100
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT .
PLAN CHECK VALIDATION CK.M.O..CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR
REQUEST _FaR INSPECTION
INSPECTOR 7 ^"rz<~-^ PERMIT NO..
OWNER
TIME:_
z..DATE:&-U-9^??
BUILDING
CH FOUNDATION
C3 REINFORCING STEEL
CJ MASONRY
dl GROUT -GUNITE
Q FLOOR AND CEILING FRAME
LJ SHEATHING
CH FRAME
CJ EXTERIOR LATH
a INSULATION
C1JNTERIOR LATH OR DRYWALL
FINAL
ELECTRICAL
CH TEMPORARY SERVICE
CH ELECTRIC UNDERGROUND
CH ROUGH ELECTRIC
D POOL BONDING
a ELECTRIC SERVICE
CH CEILING HEAT
D G.F.I.
C3 SMOKE DETECTOR
CH FINAL
PLUMBING
CH UNDERGROUND PLUMBING
ED UNDERGROUND WATER
CD ROUGH PLUMBING
CH TOP OUT PLUMBING
EH SEWER AND PL/CO
CH TUB OR SHOWER PAN
E] GAS TEST
CH WATER HEATER
a FINAL
MISCELLANEOUS
CD PLENUM AND DUCTS
a COMBUSTION AIR
a PATIO
D SIGN
CH GRADING
d DRIVEWAY
CD CONDITIONED AIR SYSTEMS
Q REFER PIPING
d FINAL
READY FOR INSPECTION:DMONDAY
DA.M.
DP.M.
DTUESDAY D WEDNESDAY (/THURSDAY fc/^Rr I DAY
SPECIAL INSTRUCTIONS.
REQUESTED BY_.PHONE NO..
PERSON TAKING REPORT.
/n "~h >
j/'tf^yt-Xx^o-HI
L
- Zf
REQUEST FOR/INSPECTION
-ir^T
TIME:.
. -^-^7-72?
OWNER
BUILDING
d FOUNDATION
d REINFORCING STEEL
d MASONRY
d GROUT-GUNITE
d FLOOR AND CEILING FRAME
d SHEATHING
d FRAME
d EXTERIOR LATH
d INSULATION
d LNJ&R4OH LATH OR DRYWALL
FINAL
PLUMBING
d UNDERGROUND PLUMBING
d UNDERGROUND WATER
d ROUGH PLUMBING
d TOP OUT PLUMBING
d SEWER AND PL/CO
d TUB OR SHOWER PAN
d GAS TEST
HEATER
READY FOR INSPECTION:D TUESDAY
DP.M.
SPECIAL INSTRUCTIONS..S.
ELECTRICAL
d TEMPORARY SERVICE
d ELECTRIC UNDERGROUND
d ROUGH ELECTRIC
d POOL BONDING
d ELECTRIC SERVICE
d CEILING HEAT
d G.F.I.
d SMQKE-J1ETECTOR
MISCELLANEOUS
d PLENUM AND DUCTS
d COMBUSTION AIR
d PATIO
d SIGN
d GRADING
d DRIVEWAY
d CONDITIONED AIR SYSTEMS
d REFER PIPING
d FINAL
DTHURSDAY D FRIDAY
REQUESTED BY PHONE
PERSON TAKING REPORT
r.
REQUEST FOR INSPECTION
X
'INSPECTOR / (fTM/l--- PERMIT NO.• -f;/
OWNER ^
ADDRESS
TIME:.
DATE:.
BUILDING
EH FOUNDATION
EH REINFORCING STEEL
EH MASONRY
EH GROUT-GUNITE
EH FLOOR AND CEILING FRAME
EH SHEATHING
EH FRAME
EH EXTERIOR LATH
EH INSULATION
EH INTERIOR LATH OR^DRYWALL
CD FINAL
ELECTRICAL
(Zl TEMPORARY SERVICE
d ELECTRIC UNDERGROUND
CU ROUGH ELECTRIC
CH POOL BONDING
CD ELECTRIC SERVICE
CH CEILING HEAT
D G.F.I.
(Z3 SMOKE DETECTOR
0 FINAL
PLUMBING
EH UNDERGROUND PLUMBING
EH UNDERGROUND WATER
EU ROUGH PLUMBING
EH TOP OUT PLUMBING
EH SEWER AND PL/CO
EH TUB OR SHOWER PAN
EH GAS TEST
EH WATER HEATER
EH FINAL
READY FOR INSPECTION:
DP.M.
MISCELLANEOUS
EH PLENUM AND DUCTS
EH COMBUSTION AIR
n PATIO
EH SIGN
EH GRADING
EH DRIVEWAY
EH CONDITIONED AIR SYSTEMS
EH REFER PIPING
D FINAL
D TUESDAY Q WEDNESDAY D THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS.
REQUESTED BY_-PHONE NO.
PERSON TAKING REPORT
'/-
REQUEST FOR INSPECTION
INSPECTQR I f[VH/i PERMIT NO..
OWNER_
TIME:.
ADDRESS.
BUILDING
CD FOUNDATION
CD REINFORCING STEEL
CD MASONRY
CD GROUT-GUNITE
CD FLOOR AND CEILING FRAME
CD SHEATHING
CD FRAME
CD EXTERIOR^LAThO
CD INSULATIOM
CD INTERIOR LATH OR DRYWALL
CD FINAL
ELECTRICAL
CD TEMPORARY SERVICE
CH ELECTRIC UNDERGROUND
HD ROUGH ELECTRIC
CH POOL BONDING
CD ELECTRIC SERVICE
[Zl CEILING HEAT
D G.F.I.
E3 SMOKE DETECTOR
n FINAL
PLUMBING
CD UNDERGROUND PLUMBING
d UNDERGROUND WATER
[Zl ROUGH PLUMBING
O TOP OUT PLUMBING
CH SEWER AND PL/CO
CH TUB OR SHOWER PAN
CD GAS TEST
CH WATER HEATER
CH FINAL
MISCELLANEOUS
CD PLENUM AND DUCTS
CD COMBUSTION AIR
CD PATIO
CD SIGN
CD GRADING
CD DRIVEWAY
CD CONDITIONED AIR SYSTEMS
CD REFER PIPING
CD FINAL
READY FOR INSPECTION:D TUESDAY D WEDNESDAY D THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS.
REQUESTED BY..PHONE NO..
PERSON TAKING REPORT.
REQUEST FORJINSPECTION
/ &^^t
TIME:.
INSPECTOR.PERMIT NO...DATE:. //-?-??
Y
CU FOUNDATR&L^
CU REINFORCING STEEL
CU MASONRY
CU GROUT-GUNITE
CU FLOOR AND CEILING FRAME
CU SHEATHING
C^LFRAME
tU EXTERIOR LATH
CU INSULATION
CU INTERIOR LATH OR DRYWALL
CU FINAL
^LECTRICAj)
CU TEMPORARY SERVICE
CU ELECTRIC UNDERGROUND
JgfjiOUGH ELECTRIC
CU POOL BONDING
CU ELECTRIC SERVICE
CU CEILING HEAT
D G.F.I.
CU SMOKE DETECTOR
CU FINAL
CU UNDERGRTroMT~p~LUMBING
CZ1 UNDERGROUND WATER
^iJ^ROUGH PLUMBING
C] TOP OUT PLUMBING
CU SEWER AND PL/CO
CU TUB OR SHOWER PAN
CU GAS TEST
CU WATER HEATER
CU FINAL
READY FOR INSPECTION:D MONDAY
DA.M.
DP.M.
D TUESDAY
SPECIAL INSTRUCTIONS
MISCELLANEOUS
CU PLENUM AND DUCTS
CU COMBUSTION AIR
CU PATIO
CU SIGN
CU GRADING
CU DRIVEWAY
CU CONDITIONED AIR SYSTEMS
CU REFER PIPING
CU FINAL
DWEDNESDAY *3 THURSDAY D FRIDAY
REQUESTED BY..PHONE NO..
PERSON TAKING REPORT.
^~K ^~y^ f^A^«h~<.A
REQUEST FOR INSPECTION TIME:
INSPECTOR-
OWN ER1H
^i PERMIT NO..
ADDRESS-
BUILDING
n FOUNDATION
CZ1 REINFORCING STEEL
C] MASONRY
ED GROUT -GUNITE
IZ1 FLOOR AND CEILING FRAME
LH SHEATHING
FRAME
EXTERIOR LATH
[Zl INSULATION
CH INTERIOR LATH OR DRYWALL
0 FINAL
CD TEMPORARY SERVICE
CH ELECTRIC UNDERGROUND
""^ROUGH ELECTRIC
^CH POOL BONDING
IZ] ELECTRIC SERVICE
[H CEILING HEAT
••CKG.F.I. .'
C3 SMOKE DETECTOR
a FINAL
PLUMBING
CU UNDERGROUND PLUMBING
EH UNDERGROUND WATER
O ROUGH PLUMBING
IZ1 TOP OUT PLUMBING
CH SEWER AND PL/CO
a TUB OR SHOWER PAN
d GAS TEST
CH WATER HEATER
Q FINAL
READY FOR INSPECTION: XMONDAY D TUESDAY
/ D A.M.
D P.M.
MISCELLANEOUS
CD PLENUM AND DUCTS
CH COMBUSTION AIR
O PATIO
a SIGN
O GRADING
CH DRIVEWAY
d CONDITIONED AIR SYSTEMS
d REFER PIPING
a FINAL
D WEDNESDAY a THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS.
REQUESTED BY..PHONE NO..
PERSON TAKING REPORT.
3. pfU>-re*T
REQUEST
INSPECTOR.
OWNER
INSPECTION TIME--' /O'/O
PERMIT NO._
ADDRESS.
BUILDING
CH FOUNDATION
CH REINFORCING STEEL
CH MASONRY
C3 GROUT-GUNITE
LH FLOOR AND CEILING FRAME
CD SHEATHING
O FRAME
CH EXTERIOR LATH
CH INSULATION
CI] INTERIOR LATH OR DRYWALL
CH FINAL
ELECTRICAL
a TEMPORARY SERVICE
CD ELECTRIC UNDERGROUND
CH ROUGH ELECTRIC
CH POOL BONDING
n ELECTRIC SERVICE
CH CEILING HEAT
a G.F.I.
(Z3 SMOKE DETECTOR
a FINAL
PLUMBING
n UNDERGROUND PLUMBING
Q UNDERGROUND WATER
D ROUGH PLUMBING
CH TOP OUT PLUMBING
CD SEWER AND PL/CO
CH TUB OR SHOWER PAN
CD GAS TEST
[H WATER HEATER
a FINAL
READY FOR INSPECTION:DMONDAY
D A.M.
'^£PJVL
MISCELLANEOUS
C] PLENUM AND DUCTS
CD COMBUSTION AIR
CU PATIO
a SIGN
CH GRADING
DRIVEWAY
CONDITIONED AIR SYSTEMS
REFER PIPING
FINAL
TUESDAY )D WEDNESDAY D THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS.
REQUESTED BY..PHONE NO,
PERSON TAKING REPORT.
REQUEST FOR,INSPECTION TIME:.
INSPECTOR
OWNER
PERMIT WO HATE- [O-n-13
BUILDING
d FOUNDATION
ED REINFORCING STEEL
CD MASONRY .
CD GROUT -GUNITE
CU FLOOR AND CEILING FRAME
CD SHEATHING
C] FRAME
CU EXTERIOR LATH
CU INSULATION
CU INTERIOR LATH OR DRYWALL
CU FINAL
ELECTRICAL
CU TEMPORARY SERVICE
CU ELECTRIC UNDERGROUND
a ROUGH ELECTRIC
CU POOL BONDING
CU ELECTRIC SERVICE
CU CEILING HEAT
a G.F.I.
(Z3 SMOKE DETECTOR
a FINAL
PLUMBING
CU UNDERGROUND PLUMBING
CU UNDERGROUND WATER
(^TROUGH PLUMBING^)
O~TOP OUT PtuMETKra
CU SEWER AND PL/CO
CU TUB OR SHOWER PAN
CU GAS TEST
CU WATER HEATER
Q FINAL
MISCELLANEOUS
CD PLENUM AND DUCTS
CZ1 COMBUSTION AIR
CD PATIO
en SIGN
D GRADING
CU DRIVEWAY
d CONDITIONED AIR SYSTEMS
CD REFER PIPING
a FINAL
READY FOR INSPECTION:D MONDAY
DA.IVL
D TUESDAY(^4Q/EDNESDAY) D THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS.
REQUESTED BY ^-WA ^N PHONE NO.
PERSON TAKING REPORT.
A
a
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008
Living Area
Garage Area (unlined)
(lined)
Covered Porch
Covered Patio
Balconies
Each Bathroom over 3
Each Fireplace over 2
Retaining Walls
Air Conditioning
City of Cartebatr
RESIDENTIAL VALUATION CHART *
(>3 ,!C $ 32TOO =
X
X
X
X
X
8.00 =
9.00 =
3.00 =
3.00 =
3.00 =
X 1,500.00 =
X 1,500.00 =
X 3.50 =
X 2.50 =
£
1
$_
$
Total Valuation ....$_
Plan Check"Fee( (50% of building permit fee) r.. T.L . . $
g. Permit__Fee__. . . . . . ._^::7"_. _."~. _._T TW" .""^ . .$_
Total Fees $
TOTAL VALUATION FEE
$1.00 to $500.00
$501.00 to $2,000.00
$2,001.00 to $25,000.00
$25,001.00 to $50,000.00
$5.00
$5.00 for the first $500.00 plus $1.00
for each additional $100.00 or frac-
tion thereof, to and including $2,000.
$20.00 for the first $2,000.00 plus$4.00 for each additional $1,000.00
or fraction thereof, to and including
$25,000.00
$112.00 for the first $25,000.00 plus
$3.00 for each additional $1,000.00
or fraction thereof, 'to and including
$50,000.00
$50,001.00 to $100,000.00 $187.00 for the first $50,000.00 plus
$2.00 for each additional $1,000.00or fraction thereof, to and including
$100,000.00
$100,001.00 to $500,000.00 $287.00 for the first $100,000.00 plus
$1.50 for each additional $1,000.00
or fraction thereof, to and including$500,000.00
(c) Expiration of Plan Check. Applications for which no permit is
issued within [80 days following the date of application shall expire by
limitation and plans submitted for checking may thereafter be returned to
the applicant or destroyed by the Building Official. The Building Official
may extend the time for action by the applicant for a period not exceeding
180 days upon written request by the applicant showing that circumstances
beyond the control of the applicant have prevented action from being
taken. In order to renew action on an application after expiration, the ap-
plicant shall resubmit plans and pay a new plan-check fee.
" (d)~rReirispection Fee. The fee for each reinspection shall be $ 10:00.7Mj-,q
TELEPHONE:
(714) 729-1181
MEMORANDUM
DATE: APRIL 28, 1978
TO: CITY MANAGER
FROM: BUILDING DIRECTOR
SUBJECT: PERMIT APPROVAL - 164 CHESTNUT AVENUE
Mr. Reedy is seeking approval of application for
Building permit to build and additional 448 square
feet of garage and study and some remodel alterations,
In reviewing these plans, this, with practically no
effort, could be converted to two dwelling units and
has all the appearances of being a two unit building.
"RICHARD s. OSBURN
DIRECTOR OP BUILDING AND HOUSING
RSO/gl
CITY OF CARLSBAD
BUILDING DEPARTMENT
(714) 729-1181
CERTIFICATION
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.
If, after making this certificate, I become subject to the workers' compensation pro-
visions of the California Labor Code, I will forthwith comply with Section 3700 of the
Labor Code.
I understand that if I fail to comply with the workers' compensation laws, this permit
shall be deemed revoked.
I further certify that if I should contract or subcontract with any person, including any
firm or company, to do all or part of the work for which this permit is issued, I shall assure
compliance by that contractor or subcontractor with Section 3800 of thejCalifornia Labor
Code.
SIGNED:
PRINT NAME AND TITLE: lWfc Vj.
JOB ADDRESS: (W
0 7^-3 / 7/fDATED: