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 ____________
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Permit NQ ; ^^Project No: A9001461
.Development No:
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Status: ISSUED
Applied: 03/21/91
Apr/Issue:
Validated By: CD
619 471~4371
***•Fees Required
Fees:
'Adjustments:
Total Fees:
Fee. description
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APPROVAL
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, „, 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