HomeMy WebLinkAbout2720 CHESTNUT AVE; ; 86-937; PermitDECLARATIONS
^ >S •l\
s>\
l\-olm J
~* l«
j
j
3Cfl
J<
{
Gj
C
C
f
(lI
n2Cn
Ci
3(i
'*«1
1
1
1
5
2
1m
o
i
x,
x!<^
CA-
LENDER WORKER'S COMPENSATION OWMER/BUILOEB
Lender's Address 'KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LlABIilTtES, JUOGMEL1 —
1 1 hereby affirm that there is a construction lendingagency for the performance of the work for which this per-mit is issued (Sec. 3097. Civil Code)rn O O ~"E CAREFULLY EXAMINED THE COMPLETED "APPLICAIFY UNDER PENALTY OF PERJURY THAT ALL INFO.ARATiONS ARE TRUE AND CORRECT AND 1 FURTHERED: TO COMPLY WITH ALL CITY, COUNTY AND STAT!TION AND PERMIRMATION MERECCERTIFY AND AG• LAWS GOVERNzizl
52zC'f85>
rt CO -<
25Sno C
1
&l
V
\
o
zfn
*OOz
o-4o3_s
m0
CO
'**..
*&
^
^SS
»
•?• fy"1 m -<
IMIf
MH*n. Every pefmit issued by the Buiicexpire by limitation and becomeby such permit is not commencesif the building or work authoriat any tim0 after jh^wofk is coning Of Nciat urrrfer thenull and void If theI -withm t80 days Irofncell by such permitimenced for a period)rovtstonsofthts>uitdfng or workthe date ol suchs suspended oroneoams.* AW CSMA PERMIT 1S' o" DEEP AMD 0£STRUCTURES OVE\IS REQUIREDe*QUT!OWQI3 3 STORIESFOR EXCAVATIONS OWi=1 COfSSTRUCTiOW OfM Hi (GMTs TOTAL ELECTRICALo
i —TOTAL FEES PAYABLE\this permit is issued, t shall not employ any person in anmanner so as to become subject to the Workers' Com persation Laws of California.NOTICE TO APPLICANT: ff. after making this Certificatof Exemption, you should become subject to the WorkerCompensation provisions of the Labor Code, you musforthwith comply with such provisions or this permit shaCREDIT DEPOSITTEMP OCCUPANCY (30 DAYS)0
m
33
NO
O
GO TEMPPOLE 200 AMPSr 11d 1 hereby affirm that 1 have a certificate of consent to |self-insure, or a certificate of Workers' Compensation In-surance, or a certified copy thereof (Sec. 3800. Labor Code)POLICY NO. 'COMPANY •CH Copy is filed with the city .LJ Certified copy is hereby furnished f1CERTIFICATE OF EXEMPTION FROMWORKERS' COMPENSATION INSURANCE '(This section need not be completed if the permit (is for one hundred dollars {$100) ot lessi jC! I certify that in the performance of the work for which |REMODEL/ALTER PER CIRCUITX
oo
X EXIST BLDG EA AMP/SWT/BKRGARAGES-
Tl
,T1
COoo0
CJ1
(p
COro
CJ>
X
LO
TD
X
AWNING.--
r-
Om-z.
m
H
X
o0
00
o
ocp
oo
CO
en
m
o
0
CO— (
-D
§
cc
o
1
.'.
— I-n
oo
CO
0§
o0
O303CO
O
ELECTRICAL PERMI-i
c/>cm
\
O
MOBILE HOME SETUP-U CD
II
cz
"5
m
— iO— ^
-a
cz
CD
CD
\TOTAL MECHANICALPUBLIC FACILITmco
mm
CO
cp
CO
0
o
0o
CO
o
-n
3)m
co-a
33
rn
CO
0
00
o
ocp
ocp
COno
m
OIE _
ZO.
Oo-n
o
—
en
Om
i
O
m33
m
— i
CO
33O
(73
O— 1
O
oo
tn
to
CDro
CO WATER SORTNER-RELOCATlON OF EA FURNACE/HEATERenoi —
3J
0O
CO
0
0os
COro
3"
i8
^EACH VACUUM BREAKERMECH EXHAUST - HOOD/DUCTS0CD
rn
O
oo
CO
0
ao
.§
COroroen
CONTRACTOR
1 1
n =-n fUJfin plIlflllE- Illllilllfsf-. Iljfin
1 f^Sll iplll If |ffi ill 91 f S t
'"Hill '"Hli- '
l^piij!EACH INSTA1, , ALTER, REPAIR WATER Pm
m
Z—1
•n
Z
O
m
Ocro— t
MEGHANo
s
CO
CD
Ocp
Ocp
COroro EACH GAS SYSTEM 5 OR MOREMETAL FIREPLACEmi —mo
o
i —
0
CO
o
ocp
ocp
COroro00 EACH GAS SYSTEM 1 TO 4 OUTLETS*1
BOILER/COMPRESSOR 3-15 HPTOTAL PLUMBING 00CO
CD
0o
CO
ro
S
\EACH WATER HEATER AND/OR VEMTBOILER/COMPRESSOR UP TO 3 HP-a£
O
m07*.
oo
CO
o
ocp
oogCDen
rn
X
CD
z
0
COm
SLm
33
O
m
33
g
0
§
CD
— <SIGN PERM— H
O
CO
0
0
0o
CO
ro EACH FIXTURE TRAP<INSTALL FURN. OUCTS UP TO 100,000 BTUBUILDING PERM— t
0o
CO
0
0o
COroroCD
o
PLUMBING PERMIT - ISSUEiA
\°
D
MECHANICAL PERMIT - ISSUEw
\SUMMARY/ACCOUNT NUMBERPARKING SPACERES UNITSGRADING PERMIT ISSUEDY D N DREDEVELOPMENTAREAYD NQTYPECONSTOon
rO
O
< —a *
z wn 5
b
f
\
1
t
1
1
j
a ^
Za
-n
rI
mrm
NOSTORIESOn' n
O•a
Oc
t
I
h
(^
1 .h
ome*o
33
T3
0
O
o31
C
j DESIGNER'S ADDRESS1 STATE LICENSE NO.s6SOS 5ui uy/G6/S6FKHT iGoiHot Valid Unless Machine CertifiedO
S,
\f ^
Kf >
X/ 2
O
p\ >
*S»* D
r^. m4 ' wVi i/t
DESIGNER'S PHONEO
\)i
rs- |
Sis m
a
I
n
*^s^\ .,t\ t £•
o
33m
v "1ST ATE LICENSE NO,qiTSr ?3f>
i
op
Tl
|
m
r
!p»
L
S
rO
BLOCKSUBDIVISIONASSESSOR PARCEL NO,1 CONTRACTOR1 A.4~. -**—«..,.« -r1"
\5 O\ O
9 O
S>1 o11 35jjv U>
!V *Q(y I
m
%
im
64 aV >
r^ mrst <"VI w
Vft
\\
P
« 1h 1
^ 1
f
fj
O
mr oTl
4 3r*
03?
1
m
VALUATOZ
O 1m CARLSBAD BUILDING DEPARTMENT ADCarlsbad, California 92008-4859 Mr•op;
flo
•om
H
m
r—r—
O
0z
BO
3Dm
Z
9D0
•o
1—
O
z
o
:ILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.White — Inspector Green — (1) Finance Yellow — Assessor Pink — Applicant Gold — Temporary File
CO
Oo
CDC
|-
D
Za
oz
CO
.3
5
28
O55
m m D D
CD
D
m
D.c
O
m
n
m
COIm>
I
zo
CO
CD
m I
1
m
n
3JOo
m
D
n
CO
m>
OO
3D
n
om
O3)
OmO
CO
mm
§
O
CD
Fo
zo
•o
m
CO-
CD Ie.?O "0
00
O C/>
m XD C
ro O
c/)O
H OOO
Zo
in"DmO-H
O
o
OO^ _m -nQ
5?
3{o.§<
o>
mDc
mO
cn
73mO
Zcn
mOH
OZ
mi~o
CO-amO
OZ
3)mOO33a
s
zcntlmO
O3)
CO
mcn
!