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Home My WebLink About1165 CHESTNUT AVE; ; CB090158; Permit01-28-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB090158 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 1165 CHESTNUT AV CBAD ELEC 2052109700 Lot# NGUYEN RES-MOVE ELECTRIC FOR DRIVEWAY ACCESS GATE 60 FT CLOSER TO CHESTNUT Status Applied Entered By Plan Approved Issued Inspect Area Applicant NGUYEN TRUNG DUY&THUY NGOC 1161 CHESTNUT AVE CARLSBAD CA 92008 Owner NGUYEN TRUNG DUY&THUY NGOC 1161 CHESTNUT AVE CARLSBAD CA 92008 ISSUED 01/28/2009 RMA 01/28/2009 01/28/2009 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees 0 0 0 0 $1000 $000 $000 $000 $000 $1000 $000 $000 $000 $000 TOTAL PERMIT FEES $2000 Total Fees $20 00 Total Payments To Date $20 00 Balance Due $000 Inspector Clearance NOTICE Please take NOTICE that approval of your project includes the "Impos tion' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other requires information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bdr any subsequent legal action to attack review set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to wate1 and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this proiect NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired City of Carlsbad 1635 Faraday Ave , Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 www carlsbadca gov Building Permit Application JOB ADDRESS /PROJECT »LOTS PHASE * OF UNITS tt BEDROOMS DESCRIPTION OF WORK Include Square Feet of Affected Area(s) T-e o SUITE#/SPACE(//UNIT» ll BATHROOMS CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL I PROPERTY OWNER NAME ADDRESS CONTRACTOR BUS NAME ADDRESS CITY STATE ZIP CITY STATE ZIP RHONE i??•EM" FAX PHONE FAX U v\a\AO'EMAIL ARCH/DESIGNER NAME & ADDRESS CLASS CITYDUS LIC # [Sec 7031 S 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 commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt there from 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 {$500}) Workers' Compensation Declaration / hereby affirm under penalty of perjury one ol the following declarations n I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued LD I have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the work for which this permit is issued My workers compensation insurance carrier and policy number are Insurance Co Policy No Expiration Date This section need not be completed if the permit is for one hundred dollars (S100) or less O Certificate of Exemption I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees £$ CONTRACTOR SIGNATURE DATE / heyKyaltirm that I am exempt from Contractors License Law for the following reason n 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 sate 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) ty 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) H I am exempt under Section VZ? Business and Professions Code for this reason ^ 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement S'Tes CT No 2 I (have / have not) 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 (include name address / phone / contractors license number) 4 I plan to provide pfjnions of the work, but I have hired the following person to coordinate supervise and provide the major work (include name / address / phone / contractors' license number) 5 I will provide some o\ the work but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work) ^PROPERTY OWNER SIGNATURE &*IK-'\?-,,.-»KE „. ,--S5v j-S; DATE 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' C1 Yes Cl No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 O Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' CI Yes O No IF ANY OF THE ANSWERS ARE YES, / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representative 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 OSHA An OSHA permit is required for excaVations over 5'0' deep and demolition or construction of structures over 3 stones in height EXPIRATION Every permit issued by the Blilding Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authonzed by such permit is not commenced within 180 days from the date of such permit or if the building or work Authonzed by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 01/30/2009 Permit# CB090158 Title NGUYEN RES-MOVE ELECTRIC FOR Inspector Assignment Description DRIVEWAY ACCESS GATE 60 FT CLOSER TO CHESTNUT AV--BUT 40 FT BACK FROM CHESTNUT AV CURB 1165 CHESTNUT AV Lot Type ELEC Sub Type Job Address Suite Location APPLICANT NGUYEN TRUNG DUY&THUY NGOC Owner NGUYEN TRUNG DUY&THUY NGOC Remarks Phone Inspector Total Time CD Description 34 Rough Electric Act ^.Comments Requested By NA Entered By JANEAN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments Storm Water Compliance Exemption Form I am applying to the City of Carlsbad for the following type(s) of construction permit Building Permit Q Right-of-Way Permit CD My project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types 'Electrical^ Fire 'fttfchtional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria* No Threat-Assessment Criteria r~*f My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level My project does not meet any of the High, Moderate or Low Threat criteria described below Tierl • Low Threat Assessment Criteria | [ My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria • Results in some soil disturbance, and/or • Includes outdoor construction activities (such as roofing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling) Tier 2 • Moderate Threat Assessment Criteria | | My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15 16 of the Carlsbad Municipal Code), or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm dram inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct 1 through April 30) Tier 3 • Significant Threat Assessment Criteria \ | My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas and/or | | My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas or, | | My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s) / certify to the best of my knowledge that the above checked statements are true and correct I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards 'The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or highte Construction SWPPP Tier Level is warranted Owner/Owner^ Authpajfid Agent Name Owner/OwnerSlAuthofized Agent Signature RECORDING REQUESTED BY Commonwealth Lane) Title Co AND WHEN RECORDED MAIL TO Trung Duy Nguyen Thuy Ngoc Nguyen 18990 Caminito Cantilena #41 San Diego, CA 92128 APN 205-210-97-00 Escrow No Title No above tms line for Recorder <; use POWER OF ATTORNEY SPECIAL Trting Puv Nguyen and Thuv NQOC Nguyen Principal giving this powe hereby appoints DungJLe Attorney in Fact my true and lawful attorney in fact to act for me only with respect to the real property known as See Exhibit A attached hereto and made a part hereof Commonly known as 1161 & 1165 Chestnut Avenue, Carlsbad, California. 92008 In Principal's name, place and stead and only as to said real property, said attorney in fact is authorized (1) to demand, sue for , collect, and receive all money, debts, accounts, legacies, bequests, interests, dividends, annuities, and demands as are now or shall hereafter become due, payable or belonging to principal, and to take all lawful means, for the recovery thereof and to compromise the same, and give discharges for the same, (2) to buv, sell and encumber said iand, make contracts of every kind relative to said land, any interest therein or the possession thereof, and to take possession and exercise control over the use thereof (3) to buy, sell, mortgage, hypothecate, assign or transfer personal property located on saia land, cnoose? in action and certificates or shares of capital stock and to transact every kind of business of whatever nature, (4) to execute, acknowledge ana deliver contracts of sale, escrow instructions, aeeds, lease, inducing leases for minerals and hydrocarbon substances ano assignments of leases, covenants, agreements and assignments of agreements, mortgages and assignments of mortgages, conveyances in trust to secure indebtedness or other obligations, and assign the beneficial interest thereunder, subordination of hens or encumbrances, bills of ladmg, bills, bonds, notes, receipts evidences of debts, releases and satisfactions of mortgages, requests to reconvey deeds of trust, partial or full, judgments, and other debts, and other instruments in writing of whatever kind ar.c nature, all upon such term?, and condition^, ar c^iri ^n^-^o. GJVJNG AND GRANTING to said attorney m fact full power and authority to do everything relative re any of the foregoing as fully as principal might or could do if personally present and 1 hereby ratify and approve everything that said attorney in fact lawfully does by authority hereof Dated Trung Duy Nguyen Thuy Ngoc Nguyen STATE or CAi_iro«<NiA COUNTY or O " i ' before me,£~ U>fiSos3g t- J (here insert name and titie of the officer) apoeared T/g (J A J __ Dpy .R&JULGQjiJ- ___ &-H <d T~h (j V KJ*_oc-__.tJj>t)y*J\ who proved to me on the basis of satisfactory evidence to be the person(s) whost1 name(s) a |\jotary Public, personau\ sfactory evidence to be the person(s) whost1 name(s) *s/are subscribed to the within instrument and acknowledged to me that fce/sbe/tney executed the same in fcue/herrtheir authorized capacity(ies), ana that b\ b+sjCtMrr/their signacure(s) on the instrument the person(s), or the enfty upon behalf of which the person(s) acred, executed the instrument I certify under PENALTY OF PER.1URY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS m> nand and official sea Signature (This area tor nctars stams SAN OCOO COUNTY O uo o O7 "TO 1 VJ 1 0 H r- o CNI rvi o IN BOOK 968 PAGE 349 Ui» OFFICIAL RECORDS 2o I &q * N30°23I29'*W 2 | 34.60* '3l"E 10.00'/ 01 (M £ t£i T.RO.B. i* -E ~ l£9"W I 3&RC-"_ "•:' r = | ^:r^:rc:-:-!.,,-;-\ 2i X.,rlr;-:"X^5L-;A:J,;;,-S , Mr.N i ui I r A - ,..... r,s |§ -•"-—••' j NOT A PART I 9O.OO* N28»IO'orw 120.*' V ^ N30°54'39"W60 IT / ~ PARCEL I r- 51 S 181.48* e«.29* AQ9T / -".:.'•''*, t.< 0» PARCEL 2 2»<to o ~ J^LaS^0-10' N28»IQ<OIMW ^ < o N28tt<QtOi"Wr 246.38* X NTHG. 1C. 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