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Home My WebLink About1173 CHESTNUT AVE; ; CB900590; Permit04/12/90 09:30 BuI Page i of i Job Address: 1173 CHESTNUT AV 'str: Permit No: CB900590 Project No: A9000695 Development No: F14>*> 02 r™ 'Construction Type: NEW Occupancy Group: Description: NEW CONCRETE BLOCK WALL^**** '' OWNER CONTRACTOR *** : BAASCH, HERB 1173 CHESTNUT AV CARLSBAD CA 92008 : EKEDAL, DAVE 5661 PALMER W¥ CARLSBAD, CA 92008Required *** Status: ISSUED Applied : 04/12/90 Apr/Issue : 04/12/90 Validated By: Lie.729-0590 . Q, 487590 619-931-1811 *** Fees: Adjustments: Total Fees: Fee description! Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL 164.00 :,00 164 . 0 0 Fee,s Coltected & Credits Total Credits;: \ Tot<al^Payments: • , Balanc;e Due:; ' Fee/Unit .00 . 00 164 . 00 Ext fee Data 99. 00 64 . 00 1 . 00 164 . 00 APPROVAL iMSPflVT nATF CLEARANCE , „ , CtTY OF CARLSBAD Us Pal™, Dr., Carisbad CA 92009 C619) 43S.U61 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (6i9) 438-nei 1 PERMIT TYPE A - O COMMERCIAL QNEW QTENANT IMPROVEMENT 3 - Q INDUSTRIAL QNEW QTENANT IMPROVEMENT C - [^'RESIDENTIAL QAPARTMENT QCONDO QSINGLE FAMILY DWELLING QADDITION/AUERATION QDUPLEX noEMQLiTioK DISLOCATION QMOBRE HOME QELECTRICAL DPLUMBING QSPA ^RETAINING WALL QSOLAR QOTHER_— j*n z. | •*—» ^>** 2. PROJECT INFORMATION PLAN CHECK No. CJ7/r.o f/O FOR OFFICE USE ONLY Streets // 73 LEGAL DESCRIPTION CHECK BELOW IF SUBMITTED: Q2 Energy Calcs ASSESSOR'S PARCEL DESCRIPTION OF WORK Lot -No. Subdivision Name/Number C]2 Structural Calcs Q2 Soils Report J Unit No. d1 Addressed Envelope EXISTING USE Phase No. PROPOSED USE BLOG. SQ. FTG.# OF STORIES 3. CONTACT PERSON NAME CITY SIGNATURE ADDRESS STATE ZIP CODE DAY TELEPHONE SIGNATURE 4. 5. APPLICANT nc°N™CTOR D AGENT FOR CONTRACTOR ^fOMl NAME /^EEVe^ ^5sy/9^5<Z-/<f ADDRESS CITY (^^>^>^^^S^?-f> STATED? . ZIP CODE <^2<f>£ PROPERTY OWNER OWNER NAME S- , ADDRESS <=5"x?/-r-e s?^. (-^J CITY STATE ZIP CODE iR D AGENT FOR OWNER f>S t>Ay TELEPHONE ^^Z. ^ " <Z>-£~'?C? DLESSEE QTENANT DAY TELEPHONE 6. CONTRACTOR NAME CITY s i GNATURE .< ADDRESS ZIP CODE LICENSE CLASS DAY TELEPHONE ^S / — /=§V/ CITY BUSINESS L!C. # DATE ADDRESS CITY STATE/^p ZIP CODE -S DAY TELEPHONE 1. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of 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 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. SIGNATURE 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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.). [~1 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 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? DYES QNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES DNO ' Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES Q 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction tending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I 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 SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 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 180 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'S SIGNATURE ^^^Q^-g£-^-^^^2. OWNER fj CONTRACTOR PHONE APPROVED: BY::DATE:: WHITE: File YELLOW: Applicant PINK: Finance 03/26/91 INSPECTION HISTORY LISTING FOR PERMIT* CB900590 DATE INSPECTION TYPE INSP ACT COMMENTS 04/24/90 Grout RI RI Tl/MH/HERB/729-0590 04/24/90 Grout MP AP 04/20/90 Grout RI RI T3/RS/HERB/729-0590 04/20/90 Grout MP AP 04/17/90 Footing RI RI T3/RS/ 04/17/90 Footing MP AP HIT <RETURN> TO CONTINUE... PERMIT* CB900590 DESCRIPTION: NEW CONCRETE CITY OF CARLSBAD INSPECTION REQUEST FOR 04/24/90 BLOCK WALL TYPE: RAD JOB ADDRESS: 1173 APPLICANT: BAASCH, CONTRACTOR: EKEDAL, OWNER: BAASCH, CHESTNUT AV HERB DAVE HERB REMARKS: Tl/MH/HERB/729-0590 SPECIAL INSTRUCT: PHONE: PHONE: PHONE: STR: 729-0590 619-931-1811 729-0590 INSPECTOR AREA MP PLANCK# CB900590 OCC GRP CONSTR. TYPE NEW FL: STE: INSPECTOR TOTAL TIME: CD LVL DESCRIPTION 66 MA Grout ACT COMMENTS DATE DESCRIPTION 041790 Footing ***** INSPECTION HISTORY ***** ACT INSP COMMENTS AP MP 3o ;oo. SUM S COWD! DO, C/4 9 zoos \JJA.I-L.. BA'SEMEMT 1 • ~L~~ PI N K) £ D TO P •\^, To T3f<Ac-ti i-^i LATlrBAu -- •'rTl/ f •( / I .!ay 7, -fa M.=.:^ic* -,. y ,£[. PLACE. PEE> PA C-, <•:=• i-J 0 „(_ 0 P pea a jv'o, .JS,O,L WITH FAILHJ^ . C -f ' poR, pSi-.'NV5P » 4" Sord w z£>pops.i W ore; a/?o ur T3 e /is UP <f T-~i c\ c). < *14 ^ \ N 1? • : ^ ,1 flp K