HomeMy WebLinkAbout1959 PALOMAR OAKS WAY; ; CB120839; Permitf »•City of Carlsbad
1635 Faraday Av Carlsbeid, CA 92008
05-07-2012 Demolition Permit Permit No: CB120839
Building inspection Request Line (760) 602-2725
Job Address: 1959 PALOMAR OAKS WY CBAD
Permit Type: DEMO Full Demo: N Status:ISSUED
Parrel No: 2130922600 Lot#: ' 0 Applied:05/07/2012
Entered By:JMA
Occupancy Group:Reference #: Plan Approved:05/07/2012
PC #:
# Dwelling Units: 0 Structure Type: Issued:05/07/2012
Bedrooms: 0 Bathrooms: 0 Inspect Area:
Project Title: DEMO ENTRANCE AT EXTERIOR
ENTRANCE
Applicant Owner
BURGER CONSTRUCTION ARDEN REALTY LTD PTNSHP
131 ABERDEEN DR P 0 BOX 4900 DEPT 201
CARDIFF, CA 92007 SCOTTSDALE, AZ 85261
858-755-1800
Building Permit $0.00
Plumbing Fee $0.00
Other Fee $65.00
Additional Fees $0.00
TOTAL PERMFT FEES $65.00
Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due: $0.00
Inspecton
FINAL APPROVAL
Date:Clearance:
NOTICE Please take NOTICE that approval of your project includes the Tmpositlon" of fees, dedcatlons, 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
folow the protest procedures set forth In Government Code Section 66020(a), and file the protest and any other required Information with the City fitenager for
processing In accordance with Carlsbad Mnridpal 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 NOTIRED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, gracing or other similar appBcation processing or service fees In connection with this prc^ NOR DOES IT APPLY to any
fees/exactions of which vou have previouslv been given a NOTICE similar to this, or as to whtct) the statute of amltations has DrevtousiVQthefwIseexDled.
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^ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, OA 92008
760-602-2717 / 2718 / 2719
Fax; 760-602-8558
www.carlsbadca.gov
Plan Check No. (2J^(2 (Q) ^
Est. Value
Plan Ck. Deposit
Date SWPP
JOB ADDRESS ^ A SUrrE^/SPACEflAJNlT# APN
-
CVTOOJECT# LOT# PHASE##C)FUNtTS f^EDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCC, GROUP
DESCRIPTION OF WORK: lactode Squm Feet of Affected Area(9)
Li77ff>\ rsF-
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF) I3ECKS(SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES □ # NO □ YES O NO □ YES □ NO □
APPUCANT NAME (Prlatry Contact) Jr> . V —.APPUCANT NAME (SoconrforyCootoct) ./ »
ADDRESS ■ "
13'L
ADDRESS '
CITY ^ M ^ STATE^, ZIP ^92x)o^
phone *PHONE- . 'FAX.755"-1®o/
EMAIL
(L CJOr^\, cja-vt^EMAIL
PROPERTY OWNER NAME n ^ t . ^L^O c^.CONTRACTOR BUS. NAME A ^ A
ADDRESS
Z-2-U
ADDRESS
/3tCITY /I . STATE ^ ZIPJTMCi. QA.C!i\ "^4^07
PHONE_ ^■FAX ^ _'7c«'0 PHONE 'FAX
ARCH/DE^NER NAME A ADDRESS'^ ' ^
yvi-Zo
STATE UC. #STATE UC.#*50'\ 5^7 OASS/^CTTYBUS. UC.#
□AGENT
(Sec. 7031.5 Business and Professions Code; Any Crty or County wtiicti requires a permit to construct, alter, improve, demolish or repair any structure, pnorto 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 that he Is exemrt therefrom, and the basis for the alleged exemption. Any violation of Section 703l5 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)).TIFF
Worlien' Compensation Declantlon: I hereby affkm under perwHy of perjuy one of the foSowIng declarations:
(have and wll maintain a cartlficata of conaant to satf-iniura for worters'compensation as provided by Section 37()0oftheLabor Code, for the performance of ttie work for which Sils permit Is Issued.
I have and wiii malntaki workers'compensation, as required by Section 3700 of the Labor Ckxte, for the performance of the work for which this permit Is Issued. My workers' compensation Insurance carrier and po6cy• number are: Insurance Ca. ^ ^^^ PollcY Na 7- "7 g ^ I 5 Explrafion Date
This section need not be completed If the permit Is for one hundred dollars ($100) or less.n Certificate of Exemption; Icerflfy thatlnthe performanoeofthe workforwhlch this permit Is Issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of
Caltfomla WARNiNO: Faluri to aecura workers' compensation covsrsgs is untswful, and shali subject an employer to crtmtnai penaWes and dvil fines up to one hundred thousand dollars (&f 00 AOO), In
addtlon to the cost of compensation, damages as provided for in Section 370S of the Labor code. Interest and attorney's fees.
COJfTRACTOR SIGNATURE
/ hereby tfBrm thet I am exempt from Contractor's Ucense Law for the foSowIng reason:
□ I, as owner of the property or my employees with Yvages as their sole compensation, will do the work and the sbTJCture 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 himseif or through his own employees, provided that such Improvements are not Intended or offered for
sala If, however, the building or improvement Is sdd within oneyearof compietton, the owner-builder wi have the burden of proving that he cfld not build or Improve for the purpose of sale).
□ I, as owner of the property, am exdusiveiy contracting with Iteensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner ofproperty who biitds or Improves thereon, and contracts for such projects with contractor(s) Bcensed pursuant to the Contractor's License Law).
□ I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the m^ labor and materials for construction of ffie proposed property improvement ITIYes □ tfo
2.1 (have/have not) signed an appilcationfor a buMing permit for the proposed work.
3.1 have contracted with the follcwing person (firm) to provide the proposed construction pnclude name address I phone / contractors' license nuriber):
4.1 plan to provide porflons of the work, bull have Nred the foDowing person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number):
5.1 win provide some of the work, but I have contracted (hired) the fotowing persons to provide the work Indicated pndude name/address/phone/type of work):
JS$PROPERTY OWNER SIGNATTJRE □agent date
COMPjLETE THIS SECTfOIUFOR N 6 N - R E S 1 D E N Tl A L ; B U 1 L D. i N G P'E R M I T S 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 26506,26633 or 26534 of the
Presley-Tanner Hazardous Substanoe Account Act? DYes □ No
Is 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 □ 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.
Co N S T:R U C TI.O N LENDING A G E N'C Y
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
1
I certify that I have read the applloation and state that the above infbmiab'on 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 representative 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 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
EXPIFtATiON: Every pemiit 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 or rf the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifomi Building Code).
APPLICANT'S SIGNATURE /7 DATE ^
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY If a Certificate of Occujsancy will be requested at final inspection.
CERTIFICATE OF OCCUPANCY (Commercial Projects Only)
Fax (760) 602-8560, Email www.buildinaO.carisbadca.aov or Mail the comoleted form to Citv of Carlsbad, Buildina Division 16215 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad OA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
n PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above)
□ CONTRACTOR (On Pg. 1)
□ MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above)
□ CONTRACTOR (On Fg. 1)
a MAIL/FAX TO OTHER:
□ ASSOCIATED CB#
□ NO CHANGE IN USE / NO CONSTRUCTION
□ CHANGE OF USE / NO CONSTRUCTION
>eS'APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB120839 Type: DEMO DEMO ENTRANCE AT EXTERIOR
ENTRANCE
Date Inspection Item Inspector Act Comments
10/18/2012 19 Final Structural - Ri
10/18/2012 19 Final Structural PB AP
Ttiursday, October 18, 2012 Page 1 of 1