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HomeMy WebLinkAbout2055 CHESTNUT AVE; ; CB910492; Permit, . , 03/21/91-1^9 I" -1 L D I W G T P* J °f 1 JOD Address: 2055 CHESTNUT AV Permit Type: ELECTRICAL vSSi^l 205-260-19-°° Construction Type: VN Occupancy Group: Description: TEMP POWER, PERMBASE Appl/Ownr : PACKARD, GARTH 2057 CHESTNUT. AVENUE CARLSBAD, CA 92008 ____________ M „Str: Permit NQ ; ^^Project No: A9001461 .Development No: F1 : Ste : «t «,« «. C~P*T Status: ISSUED Applied: 03/21/91 Apr/Issue: Validated By: CD 619 471~4371 ***•Fees Required Fees: 'Adjustments: Total Fees: Fee. description Enter '"Vtnter Y for Tempor * ELECTRICAL TOTAl & credits ., 00 -. . UU . 00 . -is'ooExt fee Data . -,_ 5.00 Y 10. ao Y .' . is.oo APPROVAL INSft timf-af-1 CLEARANCE;?/?.^/ , „, F CARLSBAD Us Palmas Dr., Carisbad CA 92009 C619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-nsi 1. PERMIT TYPE I A - Q COHMfKClAi QNEW D TENANT IMPROVEMENT B - n INDUSTRIAL QNEW QTENANT IMPROVEMENT C - QRESIDENTIAL QAP*R™ENT QCONDO QSINGLE FAMILY DWELLING Q ADDITION/ALTERATION DDUPLEX noEMOLnioN QRELOCATION OHOBILE HOME T^LECTRICAL QMECHANICAL DP°°L DSPA DETAINING WALL QSOLAR 2. PROJECT INFORMATION PLAN CHECK No. Building or Suite No. EST. VAL PLAN CIC DEPOSIT_ VALID. BY DATE FOR OFFICE USE ONLY Address Nearest Cross Streets Subdivision Name/NumberLEGAL DESCRIPTION Phase No. CHECK BELOW IF SUBMITTED: Q2 Energy Calcs Q2 structural Calcs l~~]2 Soils Report 1 |1 Addressed Envelope ASSESSOR'S PARCEL DESCRIPTION OF UORK EXISTING USE PROPOSED USE BLDG. SQ. FTG.# OF STORIES 3. CONTACT PERSON CITY STATE ADDRESS ZIP CODE DAY TELEPHONE SIGNATURE • v ' 1 «" y 4. 5. 6. APPLICANT O CONTRACTOR NAME CITY PROPERTY OWNER NAME CITY CONTRACTOR NAME CITY n AGENT STATE OWNER STATE STATE FOR CONTRACTOR QOWNER ADDRESS ZIP CODE ADDRESS ZIP CODE ADDRESS ZIP CODE D AGENT FOR OWNER DAY TELEPHONE nLESSEE DAY TELEPHONE DAY TELEPHONE OTENANT STATE LIC. #LICENSE CLASS CITY BUSINESS LIC. # SIGNATURE TITLE DESIGNER NAME ADDRESS STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of 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 of 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 8. OWNER-BUILDER DECLARATION- Owner-Builder Declaration:I hereby affirm that I am exempt from the Contractor's License Law for the following reason: imp of sale.). will do the work and the structure is not intended or offered for sale and who ilding pose II I, as owner of the property, am exclusively contracting with licensed contractors to construct the project CSec. 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 uith contractor(s) licensed pursuant to the Contractor's License Law). l~~l 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 Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES DNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES [UNO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY NAY 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. CONSTRUCTION LENDING AGENCY ZZHZH 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the 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 inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AKO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 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 not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGNATURE OWNER [^CONTRACTOR PHONE APPROVED BY: DATE: WHITE: File YELLOW: Applicant PINK: Finance V CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB901569 FOR 03/22/91 DESCRIPTION: 2358 SF 2S + 733 SF GARAGE TYPE: SFD JOB ADDRESS: 2055 CHESTNUT AV APPLICANT: PACKARD, GARTH CONTRACTOR: OWNER: PACKARD, GRATH REMARKS: MH/GARTH/ SPECIAL INSTRUCT: TSPB INSPECTOR AREA PD PLANCK* CB901569 OCC GRP CONSTR. TYPE VN STR: FL: STE: PHONE: 619 471-4371 PHONE: PHONE: 619 72-ir#371 TOTAL TIME: —RELATED PERMITS—PERMIT* CB910492 TYPE STATUS CD 32 ELEC ISSUED LVL DESCRIPTION ACT COMMENTS EL Const. Service/Agricultural /y ***** INSPECTION HISTORY ***** DATE DESCRIPTION 022191 Interior Lath/Drywall 022191 Exterior Lath/Drywall 021391 Rough Combo 021191 Rough Combo 013191 Final Structural 121890 Ftg/Foundation/Piers 121490 Underground/Under Floor ACT AP AP CO CO CO AP AP INSP PD PD PD PD PD PD MP COMMENTS