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Home My WebLink About1980 LA COSTA AVE; ; CB121185; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-22-2012 Demolition Permit Permit No: CB121185 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1980 LA COSTA AV CBAD DEMO 2165800800 Full Demo: Y Status: Lot#: 0 Applied: Entered By: Occupancy Group: Reference #: Plan Approved: PC#: # Dwelling Units: Bedrooms: o Structure Type: O Bathrooms: O Issued: Inspect Area: Project Title: CHABAD@ LACOSTA-DEMOLISH MODULAR BUILDING , SHEDS, CHAIN LINK FENCE & Owner: Applicant: HIGH POINT BUILDERS CHABAD AT LA COSTA 3129 TIGER RUN CT CARLSBAD CA 92010 760 473-0145 Building Permit Plumbing Fee Other Fee Additional Fees TOTAL PERMIT FEES $20.00 $0.00 $65.00 $0.00 $85.00 1980 LA COSTA AVE CARLSBAD CA 92009 ISSUED 06/22/2012 RMA 06/2212012 06/22/2012 Total Fees: $85.00 Total Payments To Date: $85.00 Balance Due: /'7 r'/ ,,/ FINAL APPROVAL Inspector: ~ Date: 7-f, I? Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter oo11ectively 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 tl■m, 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 Mafll1ger for processing in accordance wtth Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal actiori 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 arvi capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to ,my fees/&!X"'"'innc: of which vnu hav--revio · h""n niven a Nf)TICE c:imilar tn this or i:1c: tn whi,..h t™" st~•·"~ nf limitations hi:1c: nri:ivjniislv otherwise p,xn;r:.,,.id._. __ ..., City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-22-2012 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW120050 Jot, Address: Permit Type: Parcel No: Reference #: CB#: Project Title: 1980 LA COSTA AV CBAD SWPPP CB120241 JEWISH COMMUNITY CENTER Status: Lot#: 0 Applied: Entered By: Issued: Inspect Area: Tier: DEMOLISION OF MODULAR BUILDING & CONSTRUCTION OF Priority: L Applicant: ROBERT RICHARDSON 760-434-8400 Emergency Contact: MIKE PEREZ 760 473-0145 SWPPP Plan Check SWPPP Inspections Additional Fees TOTAL PERMIT FEES Owner: ISSUED 02/09/2012 RMA 06/22/2012 $45.00 $55.00 $0.00 $100.00 Total Fees: $100.00 Total Payments To Date: $100.00 Balance Due: FINAL APPROVAL .. TE z-r:, "7:2' SIGNATURE~ ,d: $0.00 THE F0LL0Wl~G APPR0VA,LS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING 0 BUILDING □ARE ~ «~··· ~ CITY Of CARLSBAD JOB ADDRESS CT/PROJECT# Building Permit Application 1635 Faraday Ave .. Garlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# # BEDROOMS # BATHROOMS GARAGE (SF) PATIOS (SF} DECKS (SF) Plan Check No. Est. Value Plan Ck. Deposit Date FIREPLACE YES □#_ NO,i(! APPLICANT NAME (Secondary Contact) ADDRESS CITY CITY STATE PHONE FAX EMAIL CONTRACTOR BUS. NAME ADDRESS CITY PHONE EMAIL WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: SWPP AIR CONDITIONING YES □ NO, ZIP FIRE SPRINKLERS YES □ NO JI[ □ I have and will maintain a certificate of con&ent 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. □ I have and wl11 maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No, ______________ Expiration Date _________ _ This section need not be completed if the pennit is for one hundred dollars ($100) or less. ~ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100 ,000), In addition to the cost of compensation, damages as rovided for Section 3706 of the Labor code, Interest and attorney's fees . .A$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ 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 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 Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement □ Yes □ No 2. I (have I have no~ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (finn) to provide the proposed construction (include name address I phone I 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 I address I phone I 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 I phone / type of work): AS PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acfl □ Yes rl,No Is the applicant or future building occupant required to obtain a pennit from' th"e 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 ,mlo 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 ANO THE AlR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the pertormance of the work this perrrnt Is issued (Sec 3097 {1) CIV1I Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the applicatlon and state that the above lnfonnatlon Is correct and that the lnfonnatlon on the plans is accurate. I agree to com pt, with all City ordinances and State laws relatlngto building constructkm. l hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspectioo 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 excavabons 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 lnlitalion and become nuN and void if the building orw:>rk authortzed by such permit is not commenced within 180 days from the date of such permit or if the buik:Jing orwolX authorized by such perm rt is suspended or abandoned at anytime after the 'Mll'k is commenced for a period of 180 days (Section 106.4.4 Unibnn Building Code). _,8$ APPLICANT'S SIGNATURE DATE • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email www.building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELNERY OPTIONS □ PICK UP: □ CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB#•------------- □ MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) □ NO CHANGE IN USE/ NO CONSTRUCTION □MAIL/FAX TO OTHER:---------------~ □ CHANGE OF USE/ NO CONSTRUCTION ,IS APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB121185 Date Inspection Item 07/05/2012 89 Final Combo 07/04/2012 89 Final Combo Monday, July 09, 2012 Type: DEMO Inspector Act PB AP RI CHABAD@ LACOSTA-DEMOLISH MODULAR BUILDING , SHEDS, CHAIN LIN Comments DEMOLITION Page 1 of 1 «~~ ~ CITY OF DEMOLITION REQUIREMENTS B-9 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov CARLSBAD □ / ~ C:ermit may only be issued to the owner of the property or the State Licensed Contractor that is doing the work. The contractor must provide a letter, signed and dated by the property owner, giving permission for the building to be de~olished. /1J(~ □ The fee for a demolition permit is $65.00. The attached Demolition Asbestos Certification application must be completed, signed and have the correct square footage of the structure being demolished, as well as its use. □ □ □ B-9 Applicant must provide a letter from San Diego Gas and Electric stating that the utilities have been disconnected. Arrange for appropriate Water Agency to remove water meter unless construction of replacement structure is to begin shortly. Contact the Planning Department at (760) 602-4610 to determine if the structure is in the Redevelopment area or if it is in the Coastal Zone. .....___ {) C/\A.JZ__ Contact the Engineering Department at (760) 602-2773, 602-2775 or 602-2741 to determine if a Haul Route or Right-of-Way Permit is required. fl~fr. ~ ·.' 'J,,c.t.~ Contact the Engineering Department at (760) 602-2773; 6olS~ or 602-274~ 1 to determine the Storm Water requirements. ----..____ 1/\ .J.-.l Qv-JL__ Notify the Fire Department at (760) 602-4666 to see if they need the use of the b"ild;,g to, tra;,;,g P"'poses. ~ 0 !'.¼.__ -{,, ~ 'f CV..,,~ Page 1 of 2 Rev. 03/09 DEMOLITION ASBESTOS CERTIFICATION ADDREss: / 9 J?o l «: Cc s: 1? rd ve_ USE OF BUILDING TO BE DEMOLISHED: <;: l(ll:j_ CO~. SQUARE FEET (r{z 8 {) X NUMBER OF ;ToRrfs --1--- PROPERTY OWNER: cl#, 6c d e2.t ic w s: tCi ADDRESS: ------1-"""°1<1.<::~--------PHONE ____ _ APPLICANT: 12(/ t ( [ If, I(£ 7 ADDREss: 3 rJ f t~rl du,4 c;: au ~oNE t:66 -V 1 ?-10 ll( ..r ---------------------------------------------------------------------------------- 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: ( ) B-9 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. Page 2 of 2 6~ 2 2-1·2_ Date ' Rev. 03/09