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HomeMy WebLinkAbout2155 CHESTNUT AVE; ; 84-86; PermitDECLARATIONS LENDER WORKER'S COMPENSATION OWNEH/QUILOER r — r > i1 : 5 S 1 I " Ifn Iglgg m° 1 D n 8 i S9- ^£s£=! So5~ SS S? ° S 17 3 3" ^"oOo^S 5 S "^ z S|£j| ' "* ? 5 f"^ 5?"*^ S ~ * 33 S 5 -< 3 Sg? 9=,n3> £l*5 §?3^ " -• ip . |i|l? lit? ;j£s | | Iff Iflll 1»|| t^|° | I |L_ —~O 1 hereby affirm that 1 have a certificate of consentIo self-insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec 3800. Labor Code)POLICY NOfor this reasonCONTRACTOR 1 izwi's^ii fff-i^s^ li"*^iislf|- sts'^io|lll5*a § ^SoSl^.l S^-S-SHo -Hf^S^ooS--!2- g-l^g'S'I^^oS-sfa. ™ ,-, ?-— "* tnS^ro'S ocp&)COoSocatD^ --^ ST a en "° S? ** ° S 3 1 "SSa-^"- »JoS!13 SS'S^SSgg-ogS So335s3ig»o_f siUi 1 iH'ljIllil HH i f«i3as sf-:ii;i||3 Ilfillfi^li i!1* | ^2is?L llIil=S-Ji SfffSs^il*gs1?5| | l|flll^\ Sullsg^sil I2so5;5|35|? 1 ?; -Z g^|gf^g-IStl«sCs »3s|«^iss§ = 3 Q 1 hereby ottirm that 1 am licensed under_ provisions of Chapter 9 (commencing withSection 7000) of Division 3 of the Businessand Professions Code, and my license is infull forca and effect.Lir Mr, Cla«I KEEP HARMLESS1EXPENSES WHICHGRANTING OF THIMAY IN ANY WAY ACCRUE AGAINST SS PERMITO O — 2 Oo •ZL COm Oc zom 0 — (Im I 1 \ CB TJI Ozm a HbH bPtUHtU HtHhlN UH iMU 1 1 ALbU AUHht 1U oMVtmt CUV Of CARLSBAD feGAWST ALL UAB1UT1ES. JUDG:;^05 CI3 O ~~ C T- 5 **E CAREFULLY EXAMINED THE COMPLETED "APPLICAIFY UNDER PENALTY OF PERJURY THAT ALL INFOARATIONS APE TRUE AND CORRECT AND 1 FURTHERED TO COMPLY WITH ALL CITY COUN1 Y AND STATETION AND PFRr, ITRf.'ATION HEREO\CERTIFY AMD AGRLAWS GOVERNIN^ W rn2 " m — >-^ 2 fj] *L -rco a c -n n 6rn — r~n ^.; m > cz on ^ a -n n D STSANO AP^ICANT'S SIGJJ^R^ * ^-O^^^S CONTRACTOR Q \^Nfc M oS23- (™i Z^ -H rn g_T CD*• en m -<ExpirattoCode shallauthorizedpermit, orabandoneen. Every permtt issued by the Butlding Official under the provisions of thisexpire by limitation and become null and void If the butlding or workby such permit 19 not commenced withtn 180 days from the date of sucnif the building or work authorized by such permtt is suspended orst any time after the work is commenced for a period of 180 days* AN O3MA PERMIT IS RSCUISSD5' 0" DEEP AMD DE^CLrnOtt O?STRUCTURES OVER 3 STORIES 1FOa CtCAVATCONS OVER •\ COWSTRUCTtON OF !W HEIGHTo m m r: 33 O— I C/lo ZD TOTAL FEES PAYABLEK CREDIT DEPOSITTEMP OCCUPANCY (30 DAYS)o m 33 r-o 0 O -D CO LICENSE TAX 01-00-00-8162-i MPPOLE 200 AMPSX zMODEL'ALTER PER CIRCUITo IEm O ~nmm CO oo COcp toro CD t_n CO - X X c: COQJ=3 0 CD' CO S" toro roGJ 0 CD m (1ST BLDG EA AMP/SWT/BKRROCK STORAGEm o =3" ST 00o CI3 roro 0 CD - X I STORAGE TANKSo io Q. OOcp toro ro 0tJi CD ^W CONST EA AMP/SWT'BKR ;COLLECTORSC/) C5 Oo -nmm ISTRICTD ELECTRICAL PERMIT - ISSUE\ O SOLAR -. COCOcm 03 O CDrn -nm PUBLIC FACI — — (ES FEE 32-00-00-8933TOTAL PLUMBING1 TOTAL MECHANICALFIRE SPRINKLERS 01-00-00-82271 i % CO CO p cO m O oo -n O CO 0m O o 8 CD 0 X WATER SOFTNERRELOCATION OF EA FURNACE/HEATERMOBILEHOME PARK INSPEACH VACUUM BREAKERMECH EXHAUST - HOOO/DUCTSEACH INSTAl. . ALTER. REPAIR WATER Pm m 2 — H -n Z CO inr— m 0 -H 1 O CD m O m 0 ocp o • •CD do roen MEGHANo o g CD 0 COroro EACH GAS SYSTEM b OR MOREMETAL FIREPLACEELECTRICAL 01EACH GAS SYSTEM 1 TO 4 OUTLETSBOILER/COMPRESSOR 3-15 HPTOTAL PLUMBING 010 0 0 O O 0 CD ; CD CO ro CO OOr-ono EACH WATER HEATER AND/OR VENTBOILER/COMPRESSOR UP TO 3 HPi — 0 IE m CD O CD O 0 CD CO CO Oen 1EACH BUILOING SEWEROVER 100.000 BTUSIGN PERM-H O g O0 00 IXJro N i EACH FIXTURE TRAPX INSTALL FURN. DUCTS UP TO 100.000 BTUCDcz m — i 0 g o oororoO Vs V o PLUMBING PERMIT - ISSUE*-<MECHANICAL PERMIT - ISSUEUS I SUMMARY/ACCOUNT NUMBERJ>*S>CENSUS tRACT0t) Zo f PARKING SPACE3) m VI C Z H GRADING PERMIT ISSUEDYd N DREDEVELOPMENTAREAvD NDTYPECONSTO O 0 0 0 D S z wn 5 Vw n ^ 2a m rm NOSTORIESOOn OT] mDc eft' ""•* 1 DESIGNER'S ADDRESSDESIGNER'S PHOMEDESCR'PTO jj i om 5 2.m r~ n c/) H Z 0 o-or z a>c r~O Zo V)p -n 8 Im O 5? i IT 7 O O 33 t/1 ^ \ *1 noz o -4 O ui ao C/l r- Om m -z.O •or Z b ar B c(Am n OOm OWNER'S NAME ' O'-V> :- R'S PKONE f J ^ ^ *- I"oH BLOCKSUBDIVISIONASSESSOR PARCEL MO ;, CONTRACTORsea* 1 . i i*~ tfO O Z 0H O33 im O CD VI H D V^& Til A\ "W § <y^j BUSINESS LICENSE » jVALUATION ~0/ zsr — 1^^^l^^X. J] CD m 7> f r- B@3 3 IP0, 1= li Sg |W 11 ll E © m 51 COrri OB r— O — i •o o 1 •o X» T) r— O Z-1 o :ILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.White — Inspector Green — (1) Finance (2) Data Process, Yellow — Assessor f.-Pink — Applicant Gold — Temporary File SPECIAL CONDITIONS• -BUILDING X^^-.. ^= • O CO \ —•••*s rrCI Z5 \ «-* *•*•» n= ^•™ELECTRICALS-\ ^ • •»«• • **~ 1 M .-*•:=- . —• • • •a*PLUMBING\ ^M O ^ tf~ > ^ •n I r- S^ > .i CALL FOR FINAL INSPElITEMS ABOVE Hf ||: ir• a " .ja a \. \ N> •»» \VENTILATING SYSTEMS\ ^N \HEAT — AIR COND. SYSTEMSV ^ * \ D O f» -o m n m71 TJ O \MECHANICAL"^-* —D BONDING D POOLs \ N\ • \D ELECTRIC SERVICE D TEM3 3) > 33 ROUGH ELECTRICD ELECTRIC UNDERGROUNDD UFFERELECTRICALD WATER HEATER D SOLAR§> m 3) O CO m TUB AND SHOWER PANTJ O n m n <; *m 3) Cz Dm 31 Q 31 C C Z D D 1 IT u 1 rr 3)SEWER AND BL/CO DIPUCO•or- 2 CD O INTERIOR LATH & DRYWALLINSULATIONPILES CAISSONSSPECIAL MASONRYHIGH STRENGTHBOLTSFIELD WELDINGPOST TENSIONEDCONCRETEPRESTRESSEDCONCRETEEXTERIOR LATHFRAMESHEATHING D ROOF DU) T 23)FLOOR & CEILING SUB FRAMEGUNITE OR GROUT| 1REINFORCE D STEEL«STRUCTURAL CONCREOVER 2000 PSISOILS COMPLIANCEPRIOR TOFOUNDATION INSPINSPECTION0 m rnno m -n O >Z ~°T> P3>o CO O m REQUIRED CO m O > «i T>rn O— { Oz CO z 7) U O O Tl CO Z:•>-t Tl CO FOUNDATIONV* ^'s. V FIELD INSPECTION3)m 0 H D BUILDINGV. i£t* TJm 0 m ? CO PLAN CHECK NUMBER ADDRESS PLANNING^ TYPE OF STRUCTURE SCHOOL FEES: SAN DIEGUITO_ CARLSBAD % COVERAGE DATE ZONE: ENCINITAS SAN MARCOS BUILDING HEIGHT FENCES/WALLS TWO CAR GARAGE REQUIRED SETBACKS / • FRONT //] // ^ ' SIDE REAR r COMMENTS: ~ § o . —. Q t— UJo o: UJ i—i Q£ O Q£ O" O LUo o; REDEVELOPMENT APPROVAL REQUIRED ~~JJ7F LANDSCAPE PLAN COMMENTS: ENVIRONMENTAL REQUIRED: ADDITIONAL COMMENTS: OK TO ISSUE:DATE:OK TO FINAL:DATE: ENGINEERING P.F.F. R.O.W: SEWER: LATERAL: <: Q oo So I— UJo ce UJ t—i Q£ 3ce o- O UJ O OS GRADING PERMIT: DRAINAGE: EASEMENTS: LEGAL DESCRIPTION VERIFIED?, _ PARK IN LIEU IMPROVEMENTS: A.P.N. CHECKED?. OK TO ISSUE: _ ENGINEERING INSPECTION REQUfRED: PUBLIC WORKS INSPECTOR: FINAL OK: E.D.U: DRIVEWAY: ADDITIONAL COMMENTS: DATE: IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS (DRIVEWAYS, CURB CUT, DRAINAGE, ETC.) ATTENTION PROPERTY An "owriic-Euildeir" building "permit"has been 'applied'for in your name and bearing your signature. Please-complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (hav^/Siave-Refe) s^fo^ signed the application for a building permit. 3. I have contracted with the following person (firm) to provide the proposed construction. Name J>g-^x^"~ _ Phone _ . • _ Address _ - - _ . Contractors License No. _ _____ City _ _ 4. I plan to, provide portions of the work, but I have hired the following person to coordinate/ supervise and provide the major work. Name — Phone Address*"*"•«** Contractors License No./A City 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: -• - Nama Address Phone Type of Work 1 1* / Signed: Property Owner y, j Social Security Number Date: EACH SUBCONTRACTOR WILL BE INSTRUCTED TO OBTAIN A CITY OF CARLSBAD BUSINESS LICENSE AND FURNISH A CERTIFICATE OF WORKMAN'S CGMPEKSVTIO8!TO THE CITY OF CARLSBAD. ... s £^£^ , Initials