HomeMy WebLinkAbout1674 CHESTNUT AVE; ; 80-413; PermitCONSTRUCTION LENDING AGENCY1 hereby affirm that there is a construction len-ding agency for the performance of the work forwhich this permit is issued (Sec. 3097, Civil Code).V
/CERTIFICATE OF EXEMPTION FROM \• WORKERS' COMPENSATION INSURANCE(This section need not be completed if the per-mit Is for one hundred dollars ($100) or less).I certify that in the performance of the work forwhich this permit is issued, I shall not empjpyjinyperson in any manner so as to become subject tothe Workers' Compensation Laws of California.NOTICE TO APPLICANT: If, after making this Cer-tificate of Exemption, you should become subjectto the Workers' Compensation provisions of theLabor Code, you must forthwith comply with suchprovisions 01 this peimrt shall be deemed revoked.1 HAVE CAREFULLY EXAMINED THE COMPLETED "AFHEREBY CERTIFY THAT ALL INFORMATION HEREONFURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUECOUNTY AND STATE LAWS GOVERNING BUILDING CCSPECIFIED HEREIN OR NOT. 1. ALSO AGREE TO SAVELESS THE CITY OF CARLSBAD AGAINST ALL LIABILEXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINSOF THE GRANTING OF THIS PERMIT."-gg-^r
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CONTRACTOR'S ADDRESS1420 Lucky St.CONTRACTOR'S• PHONE439-7544C.
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•x OWNER OWNER'S PHONEDolkas StevePRIME CONTRACTORTurner Const.STATE LICENSE3603991LICENSED CONTRACTOR'S DECLARATION1 hereby affirm that 1 am licensed under provi-sions of Chapter 9 (commencing with Section7000) of Division 3 of the Business and Profes-sions Code, and my license is in full force and ef-fect.N°- 1674 Chestnuti i i i i i i i i i i i i i iJOB ADDRESS AV. ST.RD1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1DATE OF APPLICATION4-29-80BUS. LICENSE206951 -a00 g
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UILDING DEPARTMENT
INTERDEPARTMENTAL INFORMATION SHEET
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BUILDING ADDRESS: ~
RECEIVED
APR 291980
CITY OR CARLSBADBuilding Department
PLANNING DEPARTMENT
ZONE LOT SIZE LOT WIDTH
UNITS ALLOWED UNITS PROVIDED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK:
ALLOWED
PROVIDED
PROVIDED_
_PROVIDED
PROVIDED
SIDE SETBACK:
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
REAR SETBACK:
ENVIRONMENTAL PROTECTION REQ
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ADDITIONAL COMMENTS:
OK TO ISSUE:DATE**-,'K TO FINAL
ENGINEERING DEPARTMENT
R.O.W.INDUSTRIAL WASTE
'SEWER CONNECTION
^GRADING PERMIT
DATE
IMPROVEMENTS
DRIVEWAY-.LOCATIONS
9/%EASEMENTS
LEGAL DESCRIPTION M M / flr/V j£
ADDITIONAL COMMENTS
OK TO ISSUE DATE
DRAINAGE
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PWI OK TO FINAL DATE
FIRE DEPARTMENT
SPRINKLING SYSTEM
FIRE ALARMS
FIRE HYDRANTS
ADDITIONAL COMMENTS
FLRE-TROTECTION EQUIP.
EXITS
LOCATION
OK TO ISSJ DATE OK TO FINAL DATE
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET DATE
413