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Home My WebLink About2625 CHESTNUT AVE; ; CB900419; PermitBUILDING PERMIT 03/13/90 15:49 Page 1 of 1 Job Address: 2625 CHESTNUT AV Str: Permit Type: ELECTRICAL Parcel No; Valuation: 0 Construction Type: NEW Occupancy Group: Class Code: Description: ELECTRIC REMODEL Permit No: CB900419 Project No: A9000516 Development No: Fl: Ste: 3999 03/13/90 0001 01 02 C-PRMT 15.00 Status: ISSUED Applied : 03/13/90 Apr/Issue : Validated By: DC OWNER : DRIGGERS, MATTHEW *** Fees Required *** *** Lie. Fees Collected & Credits *** Fees: Adjustments: Total Fees: Fee description 15.00 .00 15.00 Total Credits: Total Payments : Balance Duej Units Fee/Unit . 00 . 00 15,00 .Ext fee Data Enter "Y" for Electric Issue Fee > Other > * ELECTRICAL TOTAL ($10 Minimum) 10.00 5. 00 Y 10.00 REMODEL 15.00 APPROVAL CLEARANCE CITY OF CARLSBAD 2075 Las Pahnas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-nei 1. PERMIT TYPE_ _ ; _ | A - O COMMERCIAL DNEW Q TENANT IMPROVEMENT B - D INDUSTRIAL QNEW QTENANT IMPROVEMENT s c - PRESIDENTIAL QAPARTMENT , QCONDO QSINGLE FAMILY DUELLJ^G OADDITION/ALTERATION DDUPLEX DDEMOLITION (^RELOCATION Q MOB HE HOME [^ELECTRICAL DMECHANICAL OPOOL QSPA nRETAiNiNG WALL DSOLAR DOTHER_ 2. ..PROJECT INFORMATION PLAN CHECK No. EST. VAL PLAN CK DEPOSIT_ VALID. BY •_ DATE FOR OFFICE USE ONLY Building^>r Suite No. Nearest Cross Streets LEGAL DESCRIPTION Lot No. Subdivision CHECK BE LOU IF SUBMITTED: [~I2 Energy Calcs f~~l2 Structural Calcs ASSESSOR'S PARCEL Name/Number Unit No. CJ2 Soils Report fjl Addressed Envelope EXISTING USE Phase No. PROPOSED USE DESCRIPTION OF WORK .^-t-Jftt^Jt BLDG. SQ. FTG.# OF STORIES 3. 4. ?• 6. CONTACT PERSON NAME CITY SIGNATURE APPLICANT D CONTRACTOR NAME CITY PROPERTY OWNER .NAME /d47iT~ -^ £»/</* (5" E>-fc-5 CITY Cwklttif CONTRACTOR NAME CITY ADDRESS STATE ZIP CODE [] AGENT FOR CONTRACTOR doUNER ADDRESS STATE ZIP CODE ADDRESS 2.62-JT Cbfiftl. STATE £sj(~- ZIP CODE 92^0 (2 } 3> ADDRESS STATE ZIP CODE DAY TELEPHONE D AGENT FOR OWNER DAY TELEPHONE OLESSEE QTENANT ' ,- n4Jf~~ far<~. \-fyi9in DAY TELEPHONE $~ & ~Z~ — %7 6 O [t*S&. ) f^'/~>6. DAY TELEPHONE STATE LIC. #LICENSE CLASS CITY BUSINESS LIC. # SIGNATURE DESIGNER NAME CITY 7. WORKERS'COMPENSATION TITLE ADDRESS STATE ZIP CODE DATE DAY TELEPHONE STATE LIC. # 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 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.). . - O 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 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? - - DYES D 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 H]NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES QJNO 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097C 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 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 abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). iPPLICANT'SI Q-StfNER [^CONTRACTOR A BY PHONE APPROVED; BY-. DATE: •'"-'- WHITE: File YELLOW: Applicant PINK: Finance PERMIT* CB900419 DESCRIPTION: ELECTRIC REMODEL CITY OF CARLSBAD INSPECTION REQUEST FOR 03/15/90 TYPE: ELEC JOB ADDRESS: 2625 CHESTNUT AV APPLICANT: DRIGGERS, MATTHEW CONTRACTOR: OWNER: DRIGGERS, MATTHEW REMARKS: Tl/MH/MATT/729-3653/592-8160 INSPECTOR AREA PD PLANCK* CB900419 OCC GRP CONSTR. TYPE NEW STR: FL: STE: PHONE: 619 729-3653 PHONE: PHONE: INSPECTOR SPECIAL INSTRUCT: AS EARLY AS POSSIBLE THURSDAY MORNING TOTAL TIME: —RELATED PERMITS—PERMIT* TYPE STATUS CD 39 CB880697 MISC ISSUED LVL DESCRIPTION ACT COMMENTS EL Final Electrical DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS