HomeMy WebLinkAbout2733 CHESTNUT AVE; ; CB920352; Permit04/08/92 10:17 BUILDING
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Job Address: 2733 CHESTNUT AV
Permit Type: PATIO/DECK
Parcel No: 167-392-24-00
Valuation: 2/644
Construction Type: NEW
Occupancy Group: Cla--
Description: ICBO PATIO ENCLOSURE 4383
: 246 SF
Appl/Ownr TERRY MONTELLO
4715 60TH ST
SD,CA.92115
*** Fees Required **** * A
Fees :
Adjustments:
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
90,00
,00
90, 00
PERMIT
Str :
Permit No: CB920352
Project No: A9200971
Development No:
"7138 Q4/oi/92:o001 01 02
C-PRHT 90.00
229-0642
Status: ISSUED
Applied: 04/08/92
Apr/Issue: 04/08/92
Validated By: PD
Fees Collected & Credits * **
Total Credits:
Total Payments:
Balance Due:
Units .Pee/Unit
. 00
.00
90 . 00
Ext fee Data
54.00
35. 00
1 . 00
90. 00
F1NAUPPROVAL
DATE
CLEARANCE
CITY OF CARLSBAD""
2075 Las Palmas Dr., Carlsbad, CA 92009 (£l9) 438-1161
PERMIT /APPLICATION
City of Carlsbad Building Department
2075 Las Palroas Dr.. Carlsbad. CA 92009 (619) 438-1161
1. PKRMITIVPE
A - U Commercial P New Building LJ Tenant Improvement
B - D Industrial D New Building D Tenant Improvement
C %cfResidential D Apartment D Condo D Single Family Dwelling jD Addition/Alteration
D Duplex D Demolition D 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? r—,
VALID. BY \ (/ /
DATE ' 7 '
/ (^0 ' / > —
-f £frdinf.
FOR OFFICE USE ONLY
or Suite No.Address
Nearest Cross Street
TEGAL DESCRIPTION Subdivision Name/Number Unit No.Lot No.Phase No,
UkLOW IF SUBMl'l'l'EU:
D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE J()<3t3t~ 1
DESCRIPTION OF WORK . V3<f3
# OF STORIES
uUnlAL.1 FbKSUN (it dilterent from applicant.)
NAME--pap <~C/ fy\oO-fe(lO
CITY STATE ZIP CODE DAY TELEPHONE
47TAPPL1CANT D CONTRAC f OR
CITY
\ CON f HAL, 1 OK LJUWNbH LJAGtN/1 riJK OW^
ADDRESS /-/-7/5~ G?C>Htf v§^-
STATE^^^L-^ ZIP CODE 7(^//^ DAY TELEPHONE
5. PROPERTY
NAME
CITY STATE
ADDRESS (y
ZIP CODE / ^ OO dDAY TELEPHONE - V 7<P 7
6. CUNTKAC71TJK
NAME
CI STATE
STATE LIC.
ADDRESS
ZIP CODE
$E CLASS: # //" 3 *?(}&£&&£ CLASS l/^? /
TELEPHONE V fc> *?'
CITY BUSINESS LIC. #
DESIGNER NAME
CITY
7. WUHKEUK'OUMPKNSA'nON
STATE
ADDRESS
ZIP CODE DAY TELEPHONE STATE LIC. #
Workers Compensation Declaration: I hereby affirm that I have a certificate or 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 or Exemption: 1 certify that in the performance ot the work tor 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
STDWNER-BUTLDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractors License Law for the following reason:
D 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 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?
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. UUNSl KUU1BJN LKNIJINU AGENCY
1 hereby attirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued (.Sec 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT ChRlTMCATION
1 certify that 1 have read the application and state that the above information is correct. 1 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 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 pei-mit 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 abandon^ at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform BuHdiniCode)>
^
APPLICANT'S SIGNATURE DATE:
WHITE: File YELLOW: Applicant PINK: Finance
V/-/a TVSPECTTQN
DATE ^/m/-L-'O sit INSPECTOR
PERMIT » /c>L~U>cU ^ / PLANCK #_
JOB ADDRESS
TIME ARRIVE: TIME LEAVE:
CD LVL DESCRIPTION ACT COMMENTS
PERMITS
6/15/89
2/33.
., CA
2 7 33:
IN®