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Home My WebLink About2727 CHESTNUT AVE; ; CB931086; Permit..) "^ M T T Permit No: CB931086' BUILDING PERMIT p^ject No: A9301524 10/05/93 13:22 _ Development No: AV SuitS: „ „„ LQt# 4169 10/05/93 0001 Jl ^ Valuation: ° " cltat.us:" ISSUED Construction lype: wtw Reference*: Applied: 10/05/93 Occupancy Group^ ADr/isJue: 10/05/93 Description. NEW oa* Entered By: MDP 619 434-2795 Appl/Ownr : ^^^CHESTNUT AVE CARLSBAD^ CA. 92008 . ,,v,e& ;;,,>llected & Credits *** *** Fees Re<3uir^___***_.,, . „_!".!-. •'-- Fees: -'•«£ ,vcai c^e..3*tr-. ^ -jJQ Adjustments: -,-'fO . Tutal F ayirtwr! >-.^ • 27 00 Total Fees: ,i / . — Balance Du^ -• - • fca ,,_IJ-^ KT-i^h! XL'"?; t LAI- X. c^ -•Units . Fee description^, ^^^^ .,_,__-_-—.. :rl 20>00 Y plum,,i'ri::, issue Fc-e > ' ; .,_,.., 7.00 Enter " i<jj. . • - ^ i .,, 0700 Gas Piping System * PLUMBING TOTAL tNAtfAPPROVA l MSP MTF / / 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) 438-1161 1. PERMIT TYPE A - U Commercial EJ New Building U Tenant Improvement ~ B - D Industrial D New Building D Tenant Improvement C - D Residential D Apartment DCondo B Single Family Dwelling D Addition/Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing D Mechanical DPool D Spa Q Retaining Wall D Solar B Other 2. PROJECT INFORMATION PLAN CHECK NO. EST.VAL PLAN CK DEPOSIT VAUD. BY DATE FOR OFFICE USE ONLY Address or dune NO. Nearest Cross Street LEGAL DESCRIPTION C_A- Subdivision Name/Number Unit No.Phase No. CHECK BKLOW 11-' 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 J. 4. CONTACT PERSON (il different NAME CITY APPLICANT NAME UOJYW CITY dcxr from applicant; STATE LJ CUN 1 KACJ f UK LJ AGtN 1 hUK 2&f3\U Y"Y\«-Ujen<r\pis. b>bti_fi STATE QJjV ADDRESS ZIP CODE DAY TELEPHONE (JUNTKACJ 1 UK &UWNtK LJAGKNf hUK UWNKK ADDRESS snsn CLhes-VxucV A-ue ZIP CODE C\ ^tOtf y DAY TELEPHONE -7^ / - 1/// U /y»•</-*-79S- NAME rr cv.mes s- 3"a i CITY C c^rVsW^rlTroR STATE ADDRESS S-~T2n vjr\Qb-V>rvu.-t we. ZIP CODE q ^ofi £ DAY TELEPHONE if 3 y -^-7 <?JT/ 7 <J-/ - V// V 6. CONTRACT NAME CITY STATE STATE LIC. # ADDRESS ZIP CODE LICENSE CLASS DAY TELEPHONE CITY BUSINESS LIC. # UESKiNKK NAMfc. CITY STATE AUUHbbb ZIP CODE DAY TELEPHONE STATE LIC. #___________________ 7. WOKKKKS' CUMWiNSATlUN Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to selt-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 Certificate ot Exemption: I certify that in the performance or the work tor which this permit is issued, I snail not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-BUILDfcK UhXAAKAllON Owner-Builder Declaration: I hereby artirm that I am exempt from the Contractors License Law tor the following reason: pj 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.). D 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). D 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 V ...COMPLETE /RH1S 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? 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? Q 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 D? 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. UUNSTKUCl'lON LENDING AGENCY I hereby attirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued tbec 3097U) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT CtKllFICAllON T 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 CTTY OF CARLSBAD AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" 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). APPLICANT X TS SIGNATUREIGNATUR DATE: IP flj WHITE: File YELLOW: Applicant PINK: Finance PERMIT* CB931086 DESCRIPTION: NEW GAS LINE CITY OF CARLSBAD INSPECTION REQUEST FOR 10/15/93 TYPE: PLUM JOB ADDRESS: 2727 CHESTNUT AV APPLICANT: MCKENNA, JILL CONTRACTOR: OWNER: REMARKS: MH/JILL/434-2795 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 23 PL Gas/Test/Repairs INSPECTOR AREA PLANCK* CB931086 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 619 434-2795 PHONE: PHONE: INSPECTOR ACT COMMENTS Af fJu. DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS City of Carlsbad 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) VPb ' 2. I (have/have not) V^cwe 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: V —^ . Property Owner VaQl .40 . Vf\£u0 Date: A~ " ol^-M^ 2O75 Las Palmas Drive • Carlsbad, California 92OO9-1576 • (619)438-1161