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Home My WebLink About2733 WASHINGTON ST; ; CB993993; PermitCity of Carlsbad 10/25/1999 Miscellaneous Permit Permit No:CB993993 Building Inspection Request Line (7 60) 438-3101 Job Address: 2733 WASH INGTON ST CBAD Permit Type: MISC Subtype: OTHER 0 Status: ISSUED Parcel No: 2031720500 Lot #: Applied: 10/25/1999 Valuation: $0.00 Entered By: JM Reference #: Plan Approved: 10/25/1999 Issued: 10/25/1999 Project Title: DEMO CONDEMNED DWELL 700SF Inspect ~~'2 10/25/99 0001 01 C-PRMT Applicant: DEANN LONG 2 638 KELTON AVE LOS ANGELES CA 90024 310-209-9157 Total Fees: $30.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Owner: MUNDY VLADISLAVA M CtO CORDELIA MILLER CROSS 40331 ATMORE ST TEMECULA CA 92029 Total Payments To bate: $0.00 Balance Due: $30.00 $0.00 $30.00 $30.00 IRED PERMIT 02 r-"·,·-HAS EXPIRED IN A . ,~;~ I0&.4.4 CCORDANCE WJnf U.B.C. SGNATIJRE,..ii'::i;..ltv_;;_ __ FINAL APPROVAL Inspector: Date: _____ _ Clearance: _____ _ NOTICE: Please take NOTICE that approval of your project includes the "lmposifion· 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 required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar 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 water and sewer connection fees and capacliy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 30-00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 FOR OFFICE USE ON/o/J3 ·A? PLAN CHEr;a. rr 'f 7v EST. VAL. L')o ff?-: (760) 438-1161 Plan Ck. Deposi~ Validated By ~~ . Date~f 1. PROJECT INFORMATION , 1-1~~ '-/Jitsvit»'j-hm Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number ~ivt1} 1£.. #f»f I 0ly ~s,1duJ,t,a l Unit No. Phase No. Total # of units Assessor's Parcel # Existing 11se Vct11,oli-h0"1 qf: Covid.twi~,; \;tM~ 1 oo,~ I Wl\)(~d (ltS,C... Proposed Use I Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) ~ r'd ,~ Name City State/Zip Telephone# Fax# 3. APPLICANT O Contractor 0 Agent for Contractor E OwnerS O Agent for Owner ~t,, HvdrJ-, ( Name bp<I 1Lel"1l'I th'e-tf'.2--WIS Arig-tW CfIT Address City State/Zip Telephone# 4. PROPERTY OWNER ';;,4~ ltS Jtk,pv.a. Name Address City State/Zip Telephone# 5. CONTRACTOR -COMPANY NAME (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, commending 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 [$50011. "Dlfr {Al).!«p 1Uk<Dlf±i01 \? 0 'Gez.i l,:1-;,4 ~la1,v1 l?,:;'tuVI CA "{'1-o7q 4,1q -b7 \-piz:-43, Name Address City State/Zip Telephone # State License# (o~ (o 'o 1j License Class C., :>-( City Business License# _______ _ 1.-30-:;>ioo l Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. iZ] 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 worker's compensation insurance carrier and policy number are: Insurance Company ~,k. :tUv\d. Policy No. \11461,t' -'14 Expiration Date ] -\ -0 O (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) D 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. SIGNATURE______________________________ OATE ---===------:===--~----~ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 n~t build or improve for the purpose of sale). iZJ I, as owner of the property, am exclusively contracting with licensed contractors to <JcfJ'21f'u!t~e 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 C de for this reason: □ 1. 2. 3. ck™', h9 i t7YI I personally to provide the major labor and materials for • of the proposed property improvement. 0 YES (5i:l'NO I (have / ave no igned an application for a building permit for the proposed work. dMM-Dh~iM I have contracted with the followinQ p rson (firm) to provide the proposed c~n (include name / address / phone number / co IY-i-I , ~ /-t /'VI 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): ______________________________________________ _ 5. I will provide some of the work, but I have contr ted (hired) the following persons to provide the work indicated (include name/ address / phone number / type of work): ___________ --:n6"-1h'9h-:-t-t-------:;t-t-:--tt'-----...,.<L:iL°-c:=,----------------------- PROPERTY OWNER SIGNATURE --~...,,ti.,,b,.:;.-t/ . •➔J=-'~-......:::--....y~,_:a....C:..:1_ ·-_1-_-_-_7;:;_,._ '-_ .... _ ...,.!_'...,...,.--A TE / t7 -M-=11 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ~ / "'- Is the applicant or future building occupant required to submit a business plan, acufely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O 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 /I~ 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 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME __ t-.J __ ,.._ __________ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTI CATION 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 representatives of the Cit't 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 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 commen within 365 days m the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the • need for a period f 80 ays (Section 106.4 Uniform Building Code). <.: DATE ---''-~---~M~_-1_1~--- I ~0G/11 e .. "j_,lE NOTICE,OF SERVICE DISCONTINUANCE An Enova Company ~D~~~~;~~~T _c __ . _..._n ....... 11'-'-"-'h ..... _ ...... b ...... a ...... .1_,Q....,__-,---_____ i_· -------- ELECTRIC AND/OR GAS SERVICE WILL BE DISCONTINUED To AD:iits;J 32 • l--J cil, h <;; t CB BY / 0 · / s -.q C, DATE ALL SERVIC' LINES WILL Bf 1REMOVED. I . , I ," I THIS BUILDING CAN BE MOVED OR RAZED AFTER THE ABOVE DATE . .. _,, A ~ •• • .. f • ~ •• .. •. ~"q, I. ,4, "s.. 1 • SAN DIEGO GAS & ELECTRIC BY T":)Adm l:E:i )1,, " DATE /0·19·Y9 PHONE --·· --' 'i • • . 108-02162 (~/117) ~ ,$\J;;'!tJ+t "t4d >-• • J tf .. I . P.03 SEP-27-99 MON 12:52 City of Carlsbad ■=l!iit#ii,i· i •l4!iiiii,,i4 ,ii DEMOLITION ASBESTOS CERTIFICATION ADDRESS: USE OF BUILDING TO BE DEMOLISHED: .eG-i~~k. .fa~ dy JUs;&~CL SQUARE FEET Soo~• -t-'bi'>11ut zw~· ,-~~~VMBER OF STORIES ---=-' --- PROPERTY OWNER: ~e.V\ Yott { J d\A J t¥Avlv1 ~vlj ADDRESS: (p?,~ \LelpYl ,we.--U-2-t...ol.~,w:s 1ou~PHONE 'bi O-~otf-111,1 APPLICANT: ~-l''Vl fu,ttrd ADDRESS: __________________ PHONE Section 19827.5 of California Health and Safety Code states in part: "A demolition permit shall not be issued by any city ... as to any building or other structure except upon receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or bot.h, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project." • As applicant for a demolition permit in the City of Carlsbad, I certify that; I have read the excerpt from Section 19827.5 of the Health and Safety Code provided above; the information I have provided on this form is true and correct; and I further certify the following: ( ) On the attached ___ pages are copies of all written asbestos notifications regarding the above referenced building that are required to be submitted to the United States Environmental Protection Agenc y or to Part 61 of Title 40 of the Code of Federal Regulations, or successor to that part. I declare that the written asbestos notification is not applicable to the scheduled demolition project. ~ Applicant's Signature h:\word\forms\building\clemolition permit requirements.doc REV May 7, 1998 2 075 Las P a lmas Dr. • Carls bad, C A 92009-1576 • (760) 438-1161 • FAX (760) 438-0894 P. 02 SEP-27-99 MON 12:52 City of Carlsbad ■-i!I1t#II li·l•l4~i=iiii,i4bi .. 2-7 3 :,\, tv,i Sh (vt,;1,kv1 S+ • lfv#t1:!-D -L ON q . DEMOLITION PERMIT REQUIREMENTS A demo I ition permit may only be issued to the owner of the property or the State Licensed Contractor that is doing the work. The contractor must provide use with a letter, signed and dated by the property owner, giving permission for the building to be demolished. Us. The fee for a demolition permit is $30.00. The attached Demolition Asbestos Certification application must be completed, signed and have the correct square footage of the structure being demolished, as well as it's use. et {ffit-t,ucl Applicant must provide a letter from San Diego Gas and Electric stating that the utilities have been disconnected. ~ afb.t·t<;,d Arrange for appropriate Water Authority to remove water meter unless construction of repla<;:ement structure is to begjn shortly. wukr" ls L-o t a +ed tvt~, u ,f-'J!YtJ~#Y f, vi,i~i1-1 /IW tu,.! bu;, N,~V{ t! . ctu?Ued-o~ "'1f. ..Judv< Gi-<!{~ WIT r/tl'h 71.?o ~g-~7~L Contact the Planning D epartment at (760) 438-1161 ext 4325 or ext 4328 to determine if the structure is in the Redevelopment area, if it is in the C_osistal Zone, and if it is on the list of Carlsbad Historic Sites. f~t MfO,t·,w J /,,J I-hr d--~y,.e w pl, 'vv, Contact the Engineering Department at (760) 438-1161 ext 4315 or ext 4374 to determmine if a Haul Route or Right-of-Way Permit is requiretj. 1)a111111,1t lftcr-V-e..\l (llt,at?t-d I HtJI--1/u c~r;54~✓ W.!lv't~, --3 "' n"M-1 / / Ouv ~. Notify the Fire Department at (760) 931 -2 121 to see if they need the use of the building for training purposes . Jo--e fltt,·d,,c,11 .kt.1~ OY'~W S ltl 1d ",Ju 1f;tt1.v1v:,,r 96 atuP« w1 fvl Ot,,til <h,1MAJ II J I • -J()~ /jtltdoi -f¼ lkt(t4v1 (lt{r-4,'vi _ h:\word\forms\building\demolition permit requirements.doc REV M ay 7, 1998 2075 Las P a lmas Dr.• C a rls bad, CA 92009-1 576 • (760) 438-116 1 • F AX (760) 438-0894