HomeMy WebLinkAbout2724 CHESTNUT AVE; ; CB931282; Permitv**-4
11/22/93 08:49'BUILDING PERMIT
Job Address: 2724 CHESTNUT AV
Permit Type: RETAINING WALL
Parcel No: 167-392-12-00
Valuation: 4' 770
Construction Type: VN
Occupancy Group;
Description: 360 SF RETAINING WALL
' CITY SPECS.
Appl/Ownr : KARCHER, KEN
2724 CHESTNUT AVE
CARLSBAD, CA.' 92(If •>
Suite:
Lot# :
Permit No: CB931282
Project No: A9301811
Development No:
11/22/93 0001 01 ff>
619 658-4769
Applied: 11/22/93
^Apr/Issue: 11/22/93
Entered By: MDP
***Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
s .:*?.? scted & Credits
j ? 0 , ,; ,'. 00
. 00
120.00
Ext fee Data
72 . 00
47. 00
1. 00
120.00
DATE / ^'M3
CLEARANCE
907, T n CITY OF
2075 Us Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las PaI mas Dr., Carlsbad. CA 92009 (619) 438-1161
1. PERMIT'WPK
A - U Commercial U New Building U Tenant Improvement
B - D Industrial D New Building D Tenant Improvement
C - D Residential D Apartment D Condo ^Single Family Dwelling D Addition/Alteration
O Duplex D Demolition Q Relocation D Mobile Home D Electrical D Plumbing
D Mechanical D Pool D Spa D Retaining Wall D Solar D Other__
2. PROJECT INFORMATION
PLAN CHECK NO.
EST.VAL
PLAN CK DEPOSIT
VALID. BY
DATE
FOR OFFICE USE ONLY
Address
Nearest Cross
LEGAL DESCRIPTION
C/KWlWr
Lot No. Subdivision Name/Number Unit No.Phase No.
CHECK BELOW It bUBMll liJj:
D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
SQ.FT.# OF STORIES
LXJNTACT rEKSON (it dirlerent from applicant;
NAME ADDRESS
4.
b.
t>.
CITY
APPLICANT
NAME
CITY
PROPERTY
NAME ^£cmC**CONTRACT
NAME ^
CITY
STATE
U CONTRACTOR U AGEN 1 tOR
STATE
OWNER j
/W (OVvCxtv.C'''
/ /* A.' L'al^-G STATE (_ ^r-
b"l/^ULxL^
STATE
STATE LIC. #
ZIP CODE
CONIRACIOR
ADDRESS
ZIP CODE
ADDRESS "2-*?
ZIP CODE ^P-
ADDRESS
ZIP CODE
LICENSE CLASS
DAY TELEPHONE
U OWNER Q AGENT FOR OWNER
DAY TELEPHONE
•2, *f- tfXes^AtuV/v^—
fOJf DAY TELEPHONE &£% ~ ^ 7 (a *)
DAY TELEPHONE
CITY BUSINESS LIC. #
DESIGNER NAME
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WORKERS UOMPENSAIION
workers Compensation Declaration: I hereby ariirm that I have a certincate ot consent to sett-insure issued by the Director ot 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
Certincate or Exemption: I cerj
so as to become subject to th
that in the pertormance ot the work tor which this permit is issued, I shall not employ any person in any manner
":ers" Compensation Laws of California.
Owner-Builder Declaration: I hereby attirm that 1 am exempt rrom the Contractors License Law for the Following reason:
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.).
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).
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 alcivil penalty/rfNiot more than five hundred dollars [$500]).
DATE
D
COMPLETE \H1S StLTION 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?
D YES 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?
D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
D YES D 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. GONSTKUC."nCJN LENDING AGENCY
1 hereby attirm that there is a construction lending agency tor the pertormance ot the work tor which this permit is issued (Sec 3097(.0 Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. AFFLICANI LJiKllrlL.AIlON
I certify that 1 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 SATO CTTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.
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 365 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).
APPLICANTS SIGNATURE DATE:
WHITE: FUe YELLOW: Applicant PINK: Finance
V
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB931282 FOR 11/30/93 INSPECTOR AREA PD
DESCRIPTION: 360 SF RETAINING WALL PLANCK# CB931282
CITY SPECS. OCC GRP
TYPE: RETAIN CONSTR. TYPE VN
JOB ADDRESS: 2724 CHESTNUT AV STE: LOT:
APPLICANT: KARCHER, KEN PHONE: 619 658-4769
CONTRACTOR: PHONE:
OWNER: PHONE:
REMARKS: MH/KEN/43-9793 INSPECTO
SPECIAL INSTRUCT: 2ND AFTER FOOTING PAGE 494-9919
TOTAL TIME:
CD LVL DESCRIPTION
66 MA Grout
ACT COMMENTS
DATE DESCRIPTION
112393 Footing
***** INSPECTION HISTORY *****
ACT INSP
AP PD
COMMENTS
City of Carisbad
Building Department
OWNER-BUILDER VERIFICATION
Attention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information 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) C/g-& _ .~~
2. I (have/have not) '%f3h% //I fd*~£- _ signed an application for a building permit for the
proposed work. (
3. I have contracted with the following person (firm) to provide the proposed construction:
Name _
Address _ City - _ •
Phone Contractors License No.
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
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following persons to provide the
work indicated:
Name Address Phone Type of Work
Signed:
Property Owm^r
Date:
2075 Las Palmas Drive - Carlsbad, California 92OO9-1 576 - (619)438-1161
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