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HomeMy WebLinkAbout218 PINE AVE; ; CB023233; Permit10-25-2602 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Demolition Permit Permit No: CB023233 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 218 PINE AVCBAD DEMO 2032501100 Full Demo: Lot#: Reference #: 0 Structure Type: 2 Bathrooms: AYOUB RES DEMO 600 SF SFD NO NEW CONSTRUCTION TO BE DONE SFD 1 Applicant: AYOUB SALIM 3385 DON PABLO DR CARLSBAD CA 92008 Status: ISSUED Applied: 10/25/2002 Entered By: SB Plan Approved: 10/25/2002 Issued: 10/25/2002 Inspect Area: 9765 10/25/02 0002 01 CGR 02 60.00 Total Fees:$60.00 $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 A Date: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/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 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, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previously been given 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 FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposit Validated By Address (include Bldg/Sulta *)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work ~&-**to, SQ.FT.jTof Stories # of Bedrooms f of Bathrooms Name Address City State/Zip Telephone *Fax* Name 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, elso requires the applicant for such permit to file a signed statement that ha 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 Coda] 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 then five hundred dollars [$600]}. Name State License # Address License Class City State/Zip City Business License * Telephone * Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following dederetions: Q 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. Q 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 Compeny Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS) Q CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit Is issued, | 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 shaM subject an employer to criminal penalties and cfvH fines up to one hundred thousand dollars (4100,000). 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 I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q I, as owner of the property or my employees with weges as their sole compensation, will do the work end the structure is not intended or offered for sale (Sec. 7044, Buelness end Professions Code: The Contractor's License Lew does not apply to an owner of property who builds or improves thereon, end who does such work himself or through his own employees, provided that such improvements are not intended or offered for ssle. 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). Qr I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business end Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, end contracts for such projects with contractors) licensed pursuant to the Contractor's License Law). ' *"""—*,, Business end Professions Code for this reason:Q I em exempt under Section 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES QNO 2. I (heve / have not) signed an application for a building permit for the proposed work. 3. I have contracted wfth 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 heve contracted (h(r§drthe following persons to provide the work indicated (include name / address / phone number / type of work): „ _ . ^PROPERTY OWNER SIGNATURE Is the applicant or future building occupant required to submit s business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26505, 26533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q 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. I hereby affirm that there is e construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(1} Civil Code) LENDER'S NAME . LENDER'S ADDRESS I certify thet 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 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 S'O" 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 limitation and become null and void if the building or work authorized by such permit is not commenced withjar 180 days from 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 commenced for ajwnod of 180 days (Section 106.4.4 Uniform Building Code). AAPPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance DATE City of Carlsbad Bldg Inspection Request For: 09/08/2003 Permit* CB023233 Title: AYOUB RES DEMO 600 SF SFD Description: NO NEW CONSTRUCTION TO BE DONE Inspector Assignment: JM Type: DEMO Sub Type: Job Address: 218 PINE AV Suite: Lot 0 Location: APPLICANT AYOUB SALIM Owner: S S A1988TRUST 05-31-88 Remarks: DEMO INSPECTION Phone: 0000000000 Inspector: Total Time: CD Description Act Comment 14 Frame/Steel/Boltlng/Welding Requested By: N/A Entered By: ROBIN Associated PCRs/CVs Inspection History Date Description Act Insp Comments 06/1 8/2003 19 Final Structural NR JE VISITED SITE DUE TO WORKING EARLY 01/09/2003 32 Const. Service/Agricultural CO JM MUST OBTAIN TEMP POWER ELEC PERMIT NR JM NR JM 11/06/2002 14 Frame/Steel/Bolting/Welding 11/06/2002 19 Final Structural UNSCHEDULED BUILDING INSPECTION DATE & PERMIT # JOB ADDRESS DESCRIPTION CODE DESCRIPTION INSPECTOR PLAN CHECK '•# ACT COMMENTS CITY OF CARLSBAD BUILDING DEPARTMENT DATE ^-/<g NOTICE LOCATION 2./ & PERMIT NO. (760) 602-2700- 1 ess FARADAY AVENUE TIME f • '"? 7® . 8. FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? FOR FURTHER INFORMATION, CONTACT G?O<J- " YES PHONE BUILDING ISPECTOR CODE ENFORCEMENT OFFICER City of Carlsbad Bldg Inspection Request For: 01/09/2003 Permit* CB023233 Inspector Assignment: JM Title: AYOUB RES DEMO 600 SF SFD Description: NO NEW CONSTRUCTION TO BE DONE Type: DEMO Sub Type: Phone: 7604345804 Job Address: 218 PINEAV Suite: Lot 0 Location: Inspector: APPLICANT AYOUB SALIM Owner: AYOUB SALIM Remarks: REQUESTED A TEMP POWER INSPECTION Total Time: Requested By: LEWAS Entered By: CHRISTINE CD Description Act Comment 32 Const. Service/Agricultural > ? rf MAl* * 7 Associated PCRs/CVs Inspection History Date Description Act Insp Comments 11/06/2002 14 Frame/Steel/Bolting/Welding NR JM 11/06/2002 19 Final Structural NR JM CITY OF CARLSBAD BUILDING DEPARTMENT DATE. NOTICE LOCATION PERMIT NO. (760) 602-2700 1635 FARADAY AVENUE TIME FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? LJ YES FOR FURTHER INFORMATION, CONTACT _ PHONE BUILDINGTWSPECTO CODE ENFORCEMENT OFFICER Oct-lT-Z002 08:20 FraHM PITT LABS 6I14748128 :QI 1*135:60 NOW 300S-TS--L3Q T-042 P.flBI/DOl F-38T H.M. Pitt Labs. Inc Lab Number: 42959-20117 Company: 2434 Southport Way- Suite L- National City, CA 91950 Camevafe'B Construction Management, Inc. 3706 South Cordoba Street Spring Vafley.Ca 91977 Job Site: 218 Pine Ave Lab Notes: Tefc6l9-474*S« - Fax: 819^4 74-6128 Date Entered: 1C/16/2002 Analyzed By; Kay Beat Customer PO: 382208 Contmct Number: 02132 Data Sampled 10/16/2002 Camevafe1* EVALUATION: PHASE CONTRAST MICROSCOPY - NIOSH7400 METHOD Number Curtome D«ft rNwriwr Samptod PCH 9tvt Tlnw •top TfclW FttMK Ffekta CC 429S9-1 01 10/16/02 14 10 100 -AUsamptes Mated aaauboittod loth* lab. HMPrRLABS. WC-do«r^assim»m«poo*toflftytorm« »caimcyOfth« wim the samptas untew <tena by an emptoyoa of HJH. 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