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Home My WebLink About2095 CHESTNUT AVE; ; CB991933; Permit05/20/1999 City of Carlsbad Demolition Permit Permit No:CB991933 Building Inspection Request Line (760)438-3101 Job Address: Permit Type: Parcel No: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2095 CHESTNUT AV CBAD DEMO 2052600500 Full Demo: Lot#: Y Reference #: 0 Structure Type: 0 Bathrooms: 0 DONNA CT SUBDIVISION DEMO 600SF HOUSE FOR FUTURE SUB DIVISION Status: ISSUED Applied: 05/20/1999 Entered By: DT Plan Approved: 05/20/1999 Issued: 05/20/1999 Inspect Area: Applicant: CHESTNUT ASSOCIATES L L C 3634 MARJORIE LN CARLSBAD CA 92008 949-499-4968 Owner: CHESTNUT ASSOCIATES LS?3» 05/20/99 0001 01 3634 MARJORIE LN C-PRMT CARLSBAD CA , 92008 02 30-00 Total Fees:$30.00 Total Payments To Date:$0.00 Balance Due:$30.00 Building Permit Plumbing Fee Other Fee TOTAL PERMIT FEES $20.00 $10.00 $0.00. $30.00 FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "I mpositjon" of fees, dedications, 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 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 capactiy 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 limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 1.INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO.<^? f f / J3J 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 Proposed Use Description of Work 2, _ CONTACT PERSON (Jf different from applicant) SQ.FT.#of Stories # of Bedrooms of Bathrooms ddreName » Address . City 13. APPLICANT Otontractor i i O Agent for Contractor " Q Owner Q^8*nt tor Owner r State/Zip Telephone # Fax # Name 4. PROPEI Address City State/Zip Telephone» OWNER Address City State/Zip Telephone #Name 5. CONTRACTOR - COMPANY NAME - "-" •'..„_ (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 exemp.ti>n. Any violation of Section 7031J by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars I$500))., Name State License Address License Class City State/Zip City Business License # Telephone » Designer Name Address City State/Zip Telephone State License * ' 6. WORKERS'COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Xt\ Thave 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 r of the work for which this permit is issued. PI 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) [~l 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 (hall 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 I hereby affirm that I am exempt from the 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 c. 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). D 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). D I am exempt under Section Business and Professions Code for this reason: 1. t personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES PINO 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): , /* 3 -t * - 5. I will provide some of the work, but 11 of work): to provide the work indicated (include name / address / phone number / type PROPERTY OWNER SIGNATURE / ]tJ^s\ [JiJA/ V ' DATE COMPLETE THIS SECTION FOR WOW-flfs4>eW7MIB\I&lNG PERMITS ONLY ^•^^•/••i::^^:l\^:,^./. 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? D YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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. 8. CONSTRUCTION LENDING AGENCY ""."" """ ' w 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 ^3 - (—*Q C- /? , 9. APPLICANT CERTIFICATION 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 Crty 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 LENDER'S ADDRESS JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AN\ OSHA: An OSHA permit is re EXPIRATION: Every permit work authorized by such perrrf or abandoned at any time afti APPLICANT'S SIGNATURE red for Excavations over 5'V afl by/he Building/official/ VAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. ' deep and demolrtionjjr-eoTistruction of structures over 3 stories in height. visions of this Code shall expire by limitation and become null and void if the building or [days from the date of such permit or if the building or work authorized by such permit is suspended 'ad of 180 days (Section 106.4.4 Uniform Building Code). DATE WHITE: File YELLOW: Applicant PINK: Finance APR-39-99 09:11 AM DENNISlCARRUTHlREftLlEST.P. 02 O i' H I Q> o 2 09m 3 B •< sr <r> tn m O O c. 30< 5 S g 55o S >s !£ O IIfci -H m wm to % O JAJm y^ City of CjQfjsbad DEMOLITION ASBESTOS CERTIFICATION ADDRESS: 2 USE OF BUILDING TO BE DEMOLISHED: SQUARE FEET < _ X NUMBER OF STORIES PROPERTY OWNER: ADDRESS: fr^ S-K v* l^A- PHONE APPLICANT: ADDRESS: *^&1fl*te, PHONE^ff 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 aboye 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 Smoltfion projet rs Signature Date h:\word\forms\building\demolitionpermitrequirements.doc REV May 7, 1998 2075 Las Palmas Dr. • Carlsbad, CA 92OO9-1576 • (7'6O) 438-1161 • FAX (760) 438-O894 Spectrum JOBSITE: NOTICE OF COMPLETION APRIL 5, 1999 TO: Bruce T. Kirkpatrick ADDRESS: 10 N. Vista De La Luna Laguna Beach, CA 92677 PHONE: 714-499-6631 FAX: 714-499-6641 2095 Chestnut Carlsbad, CA On March 19, 1999 Spectrum Abatement performed removal of asbestos containing material at the aforementioned site. Air monitoring results show levels well below the Environmental Protection Agency criteria for clearance sampling. All work was performed in accordance with Federal, State and local regulations. If you have any questions, or need any further assistance, please contact me. Sincerely, David E. Fischer Spectrum Abatement 784 North Lemon Street • Orange, CA 92867 • (714) 771-6355 • Fax (714) 771-6404 Visit Our Website: asbestos-removal.com