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Home My WebLink About163 Acacia Ave; ; CBR2017-2228; PermitResidential Permit Print Date: 02/14/2018 ^City of Carlsbad Permit No: CBR2017-2228 Job Address: Permit Type: Parcel No; Valuation; Occupancy Group: « Dwelling Units: Bedrooms: Project Title: Description: 163 Acacia Ave BLDG-Residential 2042310600 $28,939.68 Work Class: Demo Lot#: Reference «: " DEV05040 Construction Type: Bathrooms; Orig. Plan Check#: Plan Check #: ACACIA ESTATES ACACIA: DEMO 4,698 SF DUPLEX (163 & 165} AND FREESTANDING GARAGE Status: Applied: Issued; Permit Finaled: Inspector; Final Inspection: Closed • Finaled 09/22/2017 02/06/2018 AKrog 2/14/2018 10:12:55AM Applicant: THE EDWARD GROUP GENERAL CONTRAaiNGCORP TODD PARNELL 16440 Via A La Casa RANCHO SANTA FE, CA 92067 760-213-9899 Owner; ACACIA AVE CAM LLC Po Box 408 RANCHO SANTA FE. CA 92067 Contractor: THE EDWARD GROUP GENERAL CONTRAaiNGCORP Po Box 408 Rancho Santa Fe, CA 92067-0408 760-213-9899 BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG} $61473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL $271.60 $190.12 $2.00 $3.76 Total Fees: $467.48 Total Payments To Date:$467.48 Balance Due:$0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exaaions. 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 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 given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadc3.gov oevo'ao^o City of Carlsbad Building Permit Application 1635 Faraday Ave.. Carlsbad. OA 92008 Ph; TeO-eOZ-eTlff^ax; 760-602-8558 email; building@carlsbadca.gov www.carls5adca.gQv Plan Check No.C&Q.?/)n - 9? 9% Plan Ck. Deposit Date 4 JOBADDRESS j SUITE#/SPACE#/UN!T#APN PoM ' ^3\ " o% ' CT/PfiOJECT#LOT#PHASE#« OF UNITS # BEDROOMS # BATHROOMS TENAWT BUSINESS NAME COrvSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: fnc/ucfe Square Feet of Affeetetl Area(s) VeiJitt c4 eiii^piey- and EXISTING USE d frHn c<i\ PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES □ #NO □ AIR CONDITIONING YES □ NO □ PRE SPRINKLERS YES □ Non APPLICANT NAME (Pr/mary Contact) ADDRESS It'V k/J WA/d QYI 'xD PROPERTY OWNER NAME P 6 W ADDRESS Piracies m CITY P 0 Box STATE CA PHONE FAX Ob7 CITY STATE ZIP PHONE am FAX EMAIL EMAIL ~\jDclii ^greiAp-*"^ DESIGN PROFESSIONAL NAME fajgA-hvU (gv^SAJi1-Kv>CONTRACTOR BUS. NAME ADDRESS PHONE 101 PS STATE ADDRESS P O io^ CA ZIP 9^ ^31 5iou FAX CIIY STATE ZIP _foL/tCVro ^ PHONE 1/))^ aM7 EMAIL FAX fohM 0 (yAx^\. STATE Lie EMAIL . #STATE LIC.» -jvcid ^ £jroup. of-f- I </-<.CITY BUS/-k ^ 1 1 krLAbbgilu-Mna AVfe . Lie.# uDl(Sec. 7031.5 Business and Professions Code; Any City or County wdicll requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires theapplicant 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 theBusiness and Professions Code) or thai he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subiects the aoo icant to acivil penatty of not more than five hundred dollars ($500)). r j h j y-w Workers' Compensation Declaration; I hereby affirm under penally olpcijiiry one of the following declaraiions. □ I have and will maintain a certificate cl consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for Sie performance of the work for which this permit is issued ^1 have and will maintain workers' coinpensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policynumber are: Insurance Co. ^O/rsp Policy No.Policy No. Expiration Date, This section need not be completed if the permit is for one hundred dollars (S100) or less.O Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shSi not employ any person in any manner so as to become subjecl to the Workers' Compensation Laws ofCalifornia WARNING: Failure to secure workers'compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doflars(&100,000), ii addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees >€$• CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION WORKERS' COMPENSATION I hereby affirm ihal I am exempt from Contractor's License Law for the following reason: □ I, as owner of Uie property or my employees with wages as (heir sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor'sLicense 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 forsale. 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 contracUng with licensed contractors to ronstruct the project (Sec, 7044, Business and Professions Code; The Conlractohs License Law does not apply to an owner ofproperty who builds or improves thereon, and contracts for such projects with contraclorjs) licensed pursuant to the Contractor's License Law), O I an exempt under Section Business and Professions Code for this reason: 1.1 personally plan lo provide ^e major labor and materials for oinslrucbonol the proposed property improvement. □ Yes □ No 2.1 (have I have not) signed art application for a building permit for the proposed work. 3 I have contracted with the following person (firm) lo provide the proposed construction (include name address / phone I contractors' license number): 4.1 plan to provide portions of the work, bull have hired the following person to coordinate, supervise and provide the m^or work (Include name/address/phone/contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (Include name I address / phone / type of woik): je^iPROPERTY OWNER SIGNATURE C ^□agent DATE ^ J\'~i Is the applicant or fLrture building occupant required to submit a business plan, acutely hazardous materials registration form or risir management and prevention program under Sections 25505,25533 or 25534 of tfie Presley-Tanner Hazardous Substance Axount Acf^ O Ves □ NoIs the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ NoIF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICAIYT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION Icerdfythatl have read the application and state thatthe atxnelnioimabon is correctartd thatthe iriformatlon onthe piatts is accurate, lagiee to comply with all Ci^ordittancesand State lave restingto buildingconstruction. I hereby autfiorize representative of the City of Carlsbad to enter upon ffie above mentioned prc^erty for mspecfion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAW4LESS THE CITY OF CARLSBAD AGAINST ALL LIABUmES, JUDGMENfTS, COSTS AND EXPENDS WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA. An (XHA permit Is required for excavations over 50' deep and dwnoiition or construction of sinuctures 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 vc^ if tfie building or work authorized by such permit is not commenced within180 days from the date of such permit or if the building or work authorized by surSi permit is suspended or abarrdoned at any lime after tie work is commenced fora period of 180 days (Section 106.4.4 Uniform Building Code). >€IS'aWLICANT'S SIGNATURE /DATE 1 /i 7 PERMIT INSPECTION HISTORY REPORT {CBR2017-2228) Permit Type;BLDG-Residential Application Date:09/22/2017 Owner:ACACIA AVE CAH LLC Work Class:Demo issue Date:02/06/2018 Subdivision:PALISADES HEIGHTS REFILED Status:Closed - Finaled Expiration Date:08/05/2018 Address:163 Acacia Ave Carlsbad, CA 92008-3202 IVR Number:6512 Scheduled Actual Date Start Date Inspection Type Inspection No. 02/07/2018 02/07/2018 BLDG-SW-Pre-Con 048061-2018 Checklist Item BLDG-Building Deficiency 02/14/2018 02/14/2018 BLDG-Flnal Inspection 048762-2018 Checklist Item BLDG-Building Deficiency Inspection Status Primary Inspector Passed Andy Krogh COMMENTS Demo completed prior to preconstruction meeting. Passed Andy Krogh COMMENTS Demo Relnspectlon Complete Complete Passed Yes Complete Passed Yes February 14, 2018 Page 1 of 1 RECEIVED SDQf SEP 2 2 2017 A (^Sempra Energy uUMiy" ^ Notice of Service Discontinuance PERMIT DEPARTMENT, CITY OR COUNTY OF: Carlsbad SERVICE WILL BE DISCONTINUED TO: ADDRESS: 163 & 165 Acacia Ave BY: (Date) September 20. 2017 M ELECTRIC METER NO. 2 meters removed GAS METER NO. 2 meters removed ALL SERVICE LINES WILL BE REMOVED. THIS BUILDING CAN BE MOVED OR RAISED AFTER THE ABOVE DATE. SAN DIEGO GAS & ELECTRIC BY: Mike Sciortino PHONE: 760-739-7406 DATE: September 20, 2017 PM Forms: NotlceofS8TVlceDi8continuance.doc Revised: 8/8/17 RECEIVED SEP 2 2 2017 DEMOLITION ASBESTOS CERTIFICATION o • I ADDRESS: IG5, ibs/iu^ (k( h/a.\AvJL Co-rL^lai^ USE OF BUILDING TO BE DEMOLISHED: /6t>-rCLa^ k SQUARE FEET X NUMBER OF STORIES _| PROPERTY OWNER: (kLOJi\CK ^ CTlH, U-C ADDRESS: P-O' UoxT , (?^F a ^iOU7 PHONE 7L;0 2J3^B^1^ 1^ I n i T- '■ APPLICANT: "TKi! Gvt>U/3 ADDRESS: P. p ^ ^aoicT? phoNE jglfLJ^LZJl^S 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 applicantsubmitting 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 1 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. IApplicant's Signature Date ^ -fodd