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HomeMy WebLinkAbout2605 CHESTNUT AVE; ; CB910313; Permit02/28/91 10:32 • Page 1 of i Job Address: 2605 CHESTNUT AV Permit Type: MISCELLANEOUS Parcel No: 167-270-11-00 Valuation: 0 Construction Type: NEW Occupancy Group: PERMIT Str: Permit No: CB910313 Project No: A9100384 Development No• Fl: Ste: 1U5 02/28/91.0001 01 02 c-pf»rr . 10.00 — *r I I O c* Description: FOOTING FOR FUTURE PATIo •Appl/Ownr : SCHROEDER, FREDERICK 2605 CHESTNUT AVENUE CARLSBAD, CA, 92008 Class Code: Status: ISSUED Applied: 02/28/91 Apr/Issue: 02/28/91 Validated By: DC 619 729-7568 *** Fees Required ,*** Fees : Adjustments: Total Fees: Fee description 10. 00 . . oo 10, 00 Miscellaneous Fee #1 * MISCELLANEOUS TOTAL ***. Fees Collected & Credit:* * * Total -Credits: Total Payments; Balance. Due: Units 'Fee/Unit 10.00 .00 . 00 10.00 Ext fee Data 10.00 FOOTING 10.00 FMUPPROVAL A DATELHllL CLEARANCE- CITY 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-ii6i 1. PERMIT TYPE | A - n COMMERCIAL QilEW QTENANT IMPROVEMENT B - D INDUSTRIAL DNEW QTENANT IMPROVEMENT c - ^RESIDENTIAL DAPARTMENT QCONDO K|SINGLE FAMILY DWELLING [^ADDITION/ALTERATION DDUPLEX DDEMOLITION QRELOCATION OMOBILE HOME [^ELECTRICAL OPLUMBING [] MECHANICAL QPOOL DSPA DETAINING WALL DSOLAR QOTHER 2. PROJECT INFORMATION PLAN CHECK No. EST. VAL PLAN CK DEPOSIT_ VALID. Br • DATE ^*" FOR OFFICE USE ONLY 2605 Chestnut Ave. , Sierra Mor ena °'& Chestnut, Lot 11 of El Camino Unit#5 Nearest Cross Streets LEGAL DESCRIPTION Subdivision Name/Number CHECK BELOU IF SUBMITTED: QZ Energy Calcs Q2 Structural Calcs Q2 Soi Is Report Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK 00 BLDG. Pour concrete patio to meet building code for a possible enclosed patio or room at a later date. 30 ft x 15 ft # OF STORIES 3. CONTACT PERSON NAME Frederick W. Schroeder ADDRESS 2605 Chestnut Ave. CITY Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE 729-7568 SIGNATURE 4. APPLICANT OCONTRACTOR G AGENT FOR CONTRACTOR DOWNER D AGENT FOR OWNER NAME Frederick W. Schroeder flDDRESS 2605 Chestnut Ave. CITY - Carlsbad, STATE CA ZIP CODE 92008 DAY TELEPHONE 729-7568 5. PROPERTY OWNER OWNER QLESSEE QTENANT NAME Frederick W. Schroeder ADDRESS 2605 Chestnut Ave CITY Carlsbad, STATE CA ZIP CODE 92008 DAY TELEPHONE 729-7568 6. CONTRACTORNAME Alex Arellano Construction AMRESS 29710 Saint Andrews Ct. CITY Murrieta, CA STATE ZIP CODE 92362 DAY TELEPHONE (714) 677-1455 STATE LIC. #LICENSE CLASS CITY BUSINESS LIC. SIGNATURE DESIGNER NAME ADDRESS DAY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSATION Workers' Compensation Declaration: 1 hereby affirm that I have a certificate of consent to set f-insure issued by the Director of Industrie! 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). POLICY NO.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 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: [~~1 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.). S I, 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, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). f~] 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 177 COMPLETE THIS SECTION FOR NOH-RES1DENTIAL 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? DYES DNO 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 [] NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY 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 : 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 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 WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN COKSEOUENCE 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 L~] CONTRACTOR Q]BY PHONE APPROVED :BY.: DATE':' ' WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB910313 FOR 03/06/91 DESCRIPTION: FOOTING FOR FUTURE PATIO TYPE: MISC JOB ADDRESS: 2605 CHESTNUT AV APPLICANT: SCHROEDER, FREDERICK CONTRACTOR: OWNER: REMARKS: MH/FREDERICK/729-7568 SPECIAL INSTRUCT: PHONE: PHONE: PHONE: INSPECTOR AREA PD PLANCK# CB910313 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 729-7568 INSPECTO: TOTAL TIME: CD LVL DESCRIPTION 11 ST Ftg/Foundation/Piers ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS