HomeMy WebLinkAbout1100 LAS FLORES DR; ; CB040385; Permit"V
'02-04-2004
City of Carlsbad
1635 Faraday Av Carlsbad CA 92008
Demolition Permit Permit No CB040385
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Occupancy Group
# Dwelling Units
Bedrooms
Project Title
1100 LAS FLORES DR CBAD
DEMO Full Demo
1551803100 Lot*
Reference #
1 Structure Type
3 Bathrooms
FARBER RES DEMO 2000 SF HOME
Y Status ISSUED
Applied 02/04/2004
KMT
02/04/2004
02/04/2004
Entered By
Plan Approved
Issued
Inspect Area
Applicant
FARBER FAMILY LTD PARTNERSHIP
1100 LAS FLORES DR
CARLSBAD CA 92008
760 436 3355
Owner
FARBER FAMILY LTD PARTNERSHIP
1100 LAS FLORES DR
CARLSBAD CA 92008
Building Permit
Plumbing Fee
Other Fee
Additional Fees
TOTAL PERMIT FEES
$000
$1000
$6000
$000
$7000
Total Fees $7000 Total Payments To Date $000 Balance Due $7000
4533 0?/0<v04 1002 11 02
7C
PERMIT H* 5 rr .RED IN ACCORDANCE WITH UAC
SECTION 106 4 4
SIGNATURE __^
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave Carlsbad CA 92008
1 -mis-pROJECT INFORMATION
FOR OFFICE USE ONLY
PLAN CHECK NO
EST VAL
Plan Ck Deposit
Validated By
Date
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units
Assessor s Parcel #Existing Use Proposed Use
/Description of Work SQ FT
IT-^JSONTACT PERSON <rf different from applicant)
Name Address
3 APPLICANT ™Q Contractor ( 1 Agentfor Contractor* pJffi
#of Stories # of Bedrooms # of Bathrooms
r ffi ft* x
City State/Zip Telephone # Fax #
wner JIG Agent for Owner '''<m^, ^&
Name City State/Zip Telephone tf
PROPERTY OWNER
Address City State/Zip Telephone #Name ^
S CONTRACTOl COMPANY I
(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 [$500])
Name Address
State License # License Class
City State/Zip Telephone #
City Business License #
Designer Name Address
State License #
City State/Zip Telephone
I- '6 WORKERS COMPENSATION- ! IP
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
|~l 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
Q 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 _ Policy No _ Expiration Date _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
|~1 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 _ _ _ _ _ DATE _
I
7f|rOWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor s License Law for the following reason
G 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)
I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Professions Code The
'ontractor 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)
G I am exempt under Section 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 l~l YES l""lNO
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 number / contractors license number)
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 contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
if work)
ROPERTY OWNER SIGNATURE
MPLETE THIS SECTION FOR /VO
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? G YES G NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 l~l YES l~l NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? CD YES G 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
Jf CONSTRUCTIOFLENDING™A1|NCY ,^f „!! f ^ ^ L i
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code)
LENDER S NAME LENDER S ADDRESS
3 iiAPPLICANT'CERTIFICAfiON ~™ ^4*^ i*"" ,,., f" s>i^
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 CitV 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 commencedjiwthin 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 commencecy#t'a#fferiod of 180/aays1[SecWi 106 4 4 Uniform Building Code)
'>v/APPLICANT S SIGNATURE ^^^^^ /^/ J&^L~-—-~ DATE
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad
JulyS 2004
FARBER FAMILY LTD
1100 LAS FLORES DR
CARLSBAD CA 92008
Building Department
Permit Number CB040385
Issue Date 2/4/04
RE BUILDING PERMIT EXPIRATION
PERMIT TYPE DEMO
ADDRESS 1100 LAS FLORES DR
PLEASE CALL FOR AN INSPECTION IF WORK IS
COMPLETE
Our records indicate that your building permit will expire by limitation of time on 8/2/04
The provisions of UBC Section 106 4 4 as amended by the Carlsbad Municipal Code state EXPIRATION
hvery 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 (unless issued prior to 7/1/99 which is one year from date of permit) or if the building or
work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if
the building or work authorized by such permit exceeds three calendar years from the issuance date of permit
Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work
authorized by the permit by the Building Official within 180 days of the date of permit issuance Work shall be
presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building
Official within each 180 day period upon the initial commencement of work authorized by such permit
Before such work can be recommenced a new permit shall be obtained to do so and the fee therefore shall be
one half the amount required for a new permit for such work and provided that no changes have been made or
will be made in the original plans and specifications for such work and provided further that such suspension or
abandonment has not exceeded one year In order to renew action on a permit after expiration the permittee shall
pay a new permit fee
Any person holding an unexpired permit may apply for an extension of the time within which work may
commence under that permit when the permittee is unable to commence work within the time period required by
this section for good and satisfactory reasons The Building Official may extend the time for action by the
permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances
beyond the control of the permittee have prevented action from being taken No permit shall be extended more
than once
Please cneck below indicating your intentions and return this letter to us
_ Project abandoned A new permit will be obtained prior to commencing work
_ No fee extension requested for 180 days (attach a letter of explanation)
- Renewal permit reque
If the project has been completed ana only a final inspection is neeed please call the inspection request line at
(760) 602 2725
If you have any questions please contact the Building Inspection Department at (760) 602 2700
Christine Wauschek
Office Specialist
1635 Faraday Avenue • Carlsbad CA 92008 7314 • (76O) 602 2700 • FAX (76O) 602 8560
DEMOLITION ASBESTOS CERTIFICATION
ADDRESS //0V
USE OF BUILDING TO BE DEMOLISHED
SQUARE FEET c2-,VOO X NUMBER OF STORIES </
PROPERTY OWNER' /^r/^g^ /=5?/?~> /£./ I
ADDRESS <?<?/£ ^tyxn&j, j?&vr>*- /*& O?# */*/ PHONE
APPLICANT s%//*r/S £ ,
ADDRESS /^Tryjjf PHONE -7fa-*/&' ^
-r
Section 19827 5 of California Health and Safaty Code state* in part
i
"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 both,
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 ihat the notification is not applicable to the
scheduled demolition project"
i
As applicant for a demolition permit in the (ity of Car|sbad, I certify that, I have read
the excerpt from Section 19827 5 of the Ht rtlth and Safety Code provided above, the
information I have provided on this form is true and qorrect, and I further certify the
following ,
( ) On the attached pages are copies of alj written asbestos notifications
regarding the above referenced building that are! required to be submitted to the
United States Environmental Protection Agency jar 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 I Date
h\wo«Wmm counter h«ndoub^emoHllon pormlt racmlKunanU-4oe
REV July 26 200)
City of Carlsbad Bldg Inspection Request
Permit# CB040385
Title FARBER RES DEMO 2000 SF HOME
Description FOR FUTURE 11 UNIT CONDO COMPLEX
Inspector Assignment
Type DEMO Sub Type
Job Address 1100 LAS FLORES DR
Suite Lot 0
Location
APPLICANT FARBER FAMILY LTD PARTNERSHIP
Owner FARBER FAMILY LTD PARTNERSHIP
Remarks DEMO COMPLETED MONTHS AGO PER OWNER
Phone
Inspector
Total Time Requested By FARBER FAMILY LTD
Entered By CHRISTINE
CD Description
19 Final Structural
Act Comment
Associated PCRs/CVs
Inspection History
Date Description Act Insp Comments
NOTICE
CITY OF CARLSBAD (760) 602 2700
BUILDING DEPARTMENT 1635 FARADAY AVENUE
DATE ~7 ^ -7-9 -ey TIME
LOCATION &"& *-&5.
PERMIT NO
&aS
FOR INSPECTION CALL (760) 602 2725 RE INSPECTION FEE DUE?
FOR FURTHER INFORMATION CONTACT
YES
PHONE
BUILDING INS^ECTqa*-"1'""'"" CODE ENFORCEMENT OFFICER ®
1O-28-O3 1O 42AM SEMPRA ENERGY 76O 438 628O
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