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Home My WebLink About1620 CHESTNUT AVE; ; CB023716; Permit12-12-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Demolition Permit Permit No: CB023716 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1620 CHESTNUT AV CBAD DEMO Full Demo: Y 2051308500 Lot #: 0 Reference #: 0 Structure Type: 0 Bathrooms: 0 MULLIGAN RES/ DEMO 952 SF HABITAL SPACE & GARAGE Applicant: MULLIGAN THOMAS R 1604 CHESTNUT AVE CARLSBAD CA 92008 729-1224 Status: ISSUED Applied: 12/10/2002 Entered By: CB Plan Approved: 12/12/2002 Issued: 12/12/2002 Inspect Area: Owner: MULLIGAN THOMAS R 1604 CHESTNUT AVE CARLSBAD CA 92008 3318 12/12/02 0002 01 02 CGP 60-OG Total Fees:$60.00 Total Payments To Date:$0.00 Balance Due:$60.00 Building Permit Plumbing Fee Other Fee Additional Fees TOTAL PERMIT FEES $0.00 $0.00 $60.00 $0.00 $60.00 Inspector: FINAL APPROVAL Date: fa J~Clearance: NOTICE: Please take NOTICf that ajtorqVal of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions. You ha\ej€ 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 inlaovernment 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 capacity 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 you have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1: PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Assessor's Parcel # Description of Work Lot No. Subdivision Name/Number Existing Use -Sff. FT. i 152.4 I #of Stories Unit No. Phase No. Total # of units Proposed Use •Z- # of Bedrooms f # of Bathrooms bertoLisjf' ^tt4<qL<L &w\\Li ttorte. ' ;pONTA!CT PERSON (if different*from applicant) " a' Name Address City '3.i .jfAPPLICANT, ^ntContractor^..,-P'Agent .for Contractor . fU-Owner- -i QjAgem-for-'bwner ' -"'"- ' State/Zip Telephone #Fax # .-Name Address City State/Zip Telephone # (\/4. PROPERTY OWNER ^ Name Address City State/Zip Telephone (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 State License # Designer Name State License # Address License Class Address City City City State/Zip Business License tt State/Zip Telephone # Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: l~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. f~l 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) n 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 '7, OWNER-BUILDER DECLARATION . , ,~ V '-,'--" "' T ' ' • , " • '''"_"* I hereby affirm that I am exempt from the Contractor's License Law for the following reason:* -3 ]SS 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). Q 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 cbntractor(s) licensed pursuant to the Contractor's License Law). l~l 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 QNO 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) tljp following persons to provide the work indicated (include name / address / phone number / type of work): /TfiPROPERTY OWNER SIGNATURE L/V~~-™~*~*-•«««*-,«•** * *..*....,,. ^.^^ ^ > *, „, f/v..^ 7^ ^S^^M!^^ii^S^WSlW^^S^^^^!^^. 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? Q 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? CD YES H] NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? l~1 YES (~| 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. fef, 'CONSTRUCTIONTLENDING AGfNCV i •'-".' ~..:~" .„,"..'.. x .. . .... • I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS ______^_ 9. " APPLICANT CERTIFICATION . > .' / v _ „• , ' > 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 underthe 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 froifl 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 cornnrj^nc^a for a periSckpf 1^0 days (S/fl(\pn 106.4.4 Uniform Building Code). / / /2-//1 AAPPLICANT'S SIGNATURE DATE PINK: Finance TV City of Carlsbad Bldg Inspection Request For: 02/20/2003 Permit* CB023716 Title: MULLIGAN RES/ DEMO 952 SF Description: HABITAL SPACE & GARAGE Inspector Assignment: 1620 CHESTNUT AV Lot 0 Type: DEMO Sub Type: Job Address: Suite: Location: APPLICANT MULLIGAN THOMAS R Owner: MULLIGAN THOMAS R Remarks: DEMO FINAL Phone: 7608454942 Inspector: Total Time: CD Description 19 Final Structural Act Comment ftP jib Requested By: TOM Entered By: CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments City of Carlsbad Building Department DEMOLITION PERMIT REQUIREMENTS m A demolition 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. The fee for a demolition permit is $60.00. The attached Demolition Asbestos Certification application must be completed, signed and have the correct square footage of the structure being demolished, as well as it's use. Applicant must provide a letter from San Diego Gas and Electric stating that the utilities have been disconnected. Arrange for appropriate Water Authority to remove water meter unless construction of replacement structure is to begin shortly. Contact the Planning Department at (760) 602-4625 or 602-4629 to determine if the structure is in the Redevelopment area, if it is in the Coastal Zone, or if it is on the list of Carlsbad Historic Sites. Contact the Engineering Department at (760) 602-2775 or 602-2741 to determine if a Haul Route or Right-of-Way Permit is required. Notify the Fire Department at (760) 602-4660 to see if they need the use of the building for training purposes. h:\word\front counter handouts\demolition permit requirements.doc REV July 26, 2001 1635 Faraday Avenue • Carlsbad, CA 92OO8-7314 • (760) 602-2700 • FAX (760) 6O2-8560 Building Counter • (760) 602-2719 • FAX (760) 602-8558 DEMOLITION ASBESTOS CERTIFICATION ADDRESS: USE OF BUILDING TO BE DEMOLISHED: / SQUARE FEET ^ #<9 _ X NUMBER OF STORIES PROPERTY OWNER: 77-fe)^/^K fc . M VU, It* And ADDRESS: ^4 CJ#&$nxjrT fat, Ch&?W$> £fr PHONE APPLICANT: ADDRESS: 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 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 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 Agency 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.. I tAjr*—fr> . / v U^^L^I ^ L_ AppTicant's Signature ^x^—'T Date h:\word\front counter handouts\demolition permit requirements.doc REV July 26, 2001 12- 9-O2;11:34AM;SEMPRA ENERGY ;7SO 438 628O Oo Q W U PQt/a U OH O ftW H Z Ou 55Q WCO U Ugu ! 13 Bag •< Oa U H O V) D u U td O Q -5 • < H wa ^ W ?? 1 W t/3 CH620ADDg n oIi tdca O P CQ 5 K o w*s i§al ^»\ B G B