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Home My WebLink About1835 CHESTNUT AVE; ; CB950122; PermitBUILDING PERMIT 01/19/95 09:34 Page 1 of 1 Job Address: 1835 CHESTNUT AV Suite: Permit Type: PLUMBING Parcel No: 205-230-32-00 Lot#: Valuation: 0 Construction Type: NEW Occupancy Group: Description: GAS LINE REPAIR Reference*: Permit No: CB950122 Project No: A9500157 Development No: 0359 01/19/95 0001 01 02 C-PRMT 27.00 Status: ISSUED Applied: 01/19/95 Apr/Issue: 01/19/95 Entered By: MDP Appl/Ownr : BANKER, JOHN 1835 CHESTNUT AVE CARLSBAD, CA. 92 0,0 8 ' 619 720-1339 *** Fees Required **x"C"r-l.x***', /,-" \Fe'e£n Collected & Credits *** / •'' f' ~\ f~ 'x p Q Q 3 ; / 2 7 . 0 O'"1 .' / '"' Adjustments: / r-s . Od^-^ /•"'•-/,„ Total Fees: / ' <^7\^0 /' y^',; Fee description / ^""^O / \- .„ <-,...'-- Enter "Y" for Plumbing , I s,sue Fe:e > Gas Piping System j V> '') ' i }\> * PLUMBING TOTAL 1 ~ """ \ ^ /l''K' \\ \^(VA l ToJ a4.x~*?rje)qj-t s X To^a 1 vRa'yfn^rf-t)s : \ / , ' ' ,, - / i B a 1 a nc e JD'U e ; \ - 1- - ^Unit,s;;A Fe"|7Wrii\t -• - • •;.'- "' .'f /fS \ '• ,/ \ "" ;':,", . •• x' /n\ !'~Z-"^vi ! .-''. _,> _,,/ ...,_--x,t' / , ^--.--'^ i f- v;-' ;/ / ,- ~"N-.^,.. | / if's/, ,'<• f / < \ ,> / / 'riul /^I// /'- -V ' ,- - / y /-- < / 27 Ext f 20 7 27 . 00 . 00 . 00 ee . 00 . 00 . 00 Data Y CITY&F 2075 Las Palmas Dr., JAD 92009 (619) 438-1161 PERMIT APPLICATION H^T/Q City of Carlsbad Building Department ^kl'*'Vy2075 Las Pat mas Dr., Carlsbad, CA 92009 (619) 438-1161 Xgg^r I. PERMIT TYPE From List I (see back) give code of Permit-Type* For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units PLAN CHECK NO. ^ \^ . \ 7JZ_ EST.VAL PLAN CK DEPOSIT VALID. BY i DATE \ 1C d^ \: V 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address Nearest Cross Street Building or Suite No. LEGAL DESCRIPTION Lot No.Subdivision Name/Number Unit No.Phase No. CHECK BELOW IF SUBMITTED: 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. S # OF STORIES # OF BEDROOMS # OF BATHROOMS 3. UUIM lALTl P£KS(JN lit different trom applicant; NAME (last name first) CITY m-aiiLj _, — ft. ft I 'ft^fa^ADIKESS /g3S~~ C/V£S~f /T/f STATE r~VL ZIP CODE -T^nOR DAY TELEPHONE 4T APPLICANT D CONTRACTOR DAGENTFORCJONIRACIOH UOWNtH LJAGhNI tUR UWN NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 57PROPERTYOWNER —tv.i OJL. / _JLvs :x NAME (last name first) "JOr>/\. OTnw\e_ / TTJ *•*• ADDRESS CITY STATE C/=V ZIP CODE DAY TELEPHONE 6. CONTRACTOR NAME (last name first) CITY ADDRESS STATE STATE LIC. # DESIGNER NAMfc. (.last name nrst) ZIP CODE LICENSE CLASS DAY TELEPHONE CITY BUSINESS LIC. # ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORKhHif COMPENSATION Workers Compensation Declaration: I hereby affirm that I have a certificate ot consent to selt-msure 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 of Exemption: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION owner-Builder Declaration: 1 hereby attirm that I am exempt from the Contractors License Law tor me 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.). 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 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. CONSTRUCTION UiNDING AGENCY I 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 UiKllFICAnON 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 CTIY 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 permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is susc&nded Qt-abandermd at any tune after the work is commenced for a period of 180 days (Section 303 (d) Uniform Building Code),., WHITE: File YELLOW: Applicant PINK: Finance