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HomeMy WebLinkAbout2057 CHESTNUT AVE; ; CB910493; PermitBUILDING03/21/91 13:50 Page 1 of 1 Job Address: 2057 CHESTNUT AV Permit Type: ELECTRICAL Parcel No: Valuation: 0 Construction Type: VN Occupancy'Group: ' class Code: Description: TEMP POWER, PERM BASE : Appl/Ownr : PACKARD, GARTH 2057 CHESTNUT AVENUE CARLSBAD, CA 92008 P- E R-' M I T Permit .No: CB910493 • Project NQ: A9001460 Development No: ; Str: ^. Fl : r Ste: . - 150103/21/91000101 • 02. .' . C-PRKT ' 15.00 Status: ISSUED Applied: 03/21/91 Apr/Issue: 03/21/91 Validated By: DC 619 721-4371 *** Fees Required *** ' . . . ***' - Fees Collected & Credits Fees: ' 15,00 Adjustments: ,00 Total Fees: ' " , 15.00 Fee description Total Credits: Total Payments: • Balance Due: . Units Fee/Unit ,00 . 00 15.00 Ext fee Data Enter "¥" for Electric Issue Fee > Enter "Y" for Temporary Service > * ELECTRICAL TOTAL ($10 Minimum) 5.00 Y 10.00 Y 15 . 00 L APPROVAL DATE &>£. 1 ( CLEARANCE CIT/ OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-nei PERMIT TYPE JA - n COMMERCIAL QNEW [JTENANT IMPROVEMENT B - D INDUSTRIAL QNEW [JTENANT IMPROVEMENT C - D RESIDENTIAL QAPARTMENT QCONDO QSINGLE FAMILY DWELLING E]ADDITION/ALTERATION DDUPLEX QDEMOLITION ORELOCATION QMOBILE HOME D^LECTRICAL ^MECHANICAL QPOOL DSPA ORETAINING WALL QSOLAR QOTHER EST. VAL PLAN CK DEPOSIT_ VALID. BY DATE 2 PROJECT INFORMATION PLAN Address Ji/7 ^7 Nearest Cross Streets LEGAL DESCRIPTION CHECK BELOW IF SUBMITTED: []2 Energy Calcs ASSESSOR'S PARCEL DESCRIPTION OF UORk M^^ CHECK No. 90-/3/S Building or Suite No. Lot No. Subdivision Name/Number Q2 Structural Calcs •/o FOR OFFICE USE ONLY Unit No. • Phase No. Q2 Soils Report Q1 Addressed Envelope EXISTING USE PROPOSED USE BLDG. SO. FTG.# OF STORIES SIGNATURE 4. 5. 6. APPLICANT D CONTRACTOR NAME CITY PROPERTY OWNER NAME CITY CONTRACTOR NAME CITY n AGENT STATE OWNER STATE STATE FOR CONTRACTOR O OWNER ADDRESS • ZIP CODE ADDRESS ZIP CODE ADDRESS ZIP CODE D AGENT FOR OWNER DAY TELEPHONE QLESSEE DAY TELEPHONE DAY TELEPHONE QTENANT STATE LIC. #LICENSE CLASS CITY BUSINESS LIC. # SIGNATURE DESIGNER NAME CITY 7 . WORKERS 'COMPENSATION TITLE ADDRESS STATE ZIP CODE DATE DAY TELEPHONE STATE LIC. # JRKfcKV lUMPtMSAUUN Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director c or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified insurer thereof filed with the Buitding-Inspection Department (Section 3800, Lab. C), of Industrial Relations, by the Director of the INSURANCE COMPANY 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 DATE 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: f~] I as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon,, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). C] '. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply'to an owner of property who builds or improves thereon, arid contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). [~l I am exempt under Section Business and Professions Code for this reason: SIGNATURE DATE COMPLETE THIS SECTION FOR MON-RESIDENTlAl BU11DIHG 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? DYES CJ NO ' . 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 QNO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY HAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AMD THE AIR POLLUTION CONTROL DISTRICT. • 9. CONSTRUCTION LENDING AGENCY I 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 AND EXPENSES UHICH 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 BY PHONE APPROVED BY: DATE: WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB901315 FOR 03/22/91 DESCRIPTION: 2789 SF 2S + 744 SF GARAGE + 377 SF BALCONY TYPE: SFD JOB ADDRESS: 2057 CHESTNUT AV APPLICANT: PACKARD, GARTH PHONE: CONTRACTOR: PHONE: OWNER: PACKARD, GARTH PHONE: REMARKS: MH/GARTH/ SPECIAL INSTRUCT: ASKING FOR TSPB INSPECTOR AREA PD PLANCK* CB901315 OCC GRP CONSTR. TYPE VN STR: FL: STE: 619 721-4371 X? TOTAL TIME: —RELATED PERMITS—PERMIT* TYPE STATUS SE900123 SWRSD ISSUED CB910493 ELEC ISSUED CD LVL DESCRIPTION 32 EL Const. Service/Agricultural ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION 020791 Interior Lath/Drywall 020191 Frame/Steel/Bolting/Welding 013191 Frame/Steel/Bolting/Welding 012991 Frame/Steel/Bolting/Welding 012591 Shear Panels/HD's 012491 Rough Combo 120390 Frame/Steel/Bolting/Welding 120390 Underground/Under Floor 112690 Grout 112090 Ftg/Foundation/Piers 102690 Grout ACT AP AP CO CO AP NR AP AP AP AP AP INSP PD PD PD PD PD PD PD PD PD PD TP COMMENTS SUBFLOOR SUBFLOOR 2ND LIFT WALL @ C BLDG