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Home My WebLink About221 Normandy Ln; ; CBR2018-1393; Permit( City of Carlsbad Residential Permit Print Date: 04/04/2019 Permit No: CBR2018-1393 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 221 Normandy Ln BLDG-Residential 2030231600 $5,544.00 Work Class: Demo Lot#: Reference#: Construction Type: Bathrooms: Orig, Plan Check#: Status: Applied: Issued: Permit Fina led: Inspector: Closed -Finaled 06/11/2018 09/04/2018 Plan Check#: Final Inspection: 4/4/2019 3:56:54PM Project Title: Description: SCHIFF: OEMO 900 SF SFO (GARAGE TO REMAIN) BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) 561473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RE5I0ENTIAL Total Fees: $136.84 Owner: TRUST SCHIFF DEBRA A FAMILYTRU5T 09-19-03 6876 Batiquitos Dr Carlsbad, CA 92011-3917 Total Payments To Date: $136.84 Contractor: OM BUILDING INC 3520 Seagate Way, Ste 130 Oceanside, CA 92056-2680 760-644-0714 Balance Due: 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/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 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. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $79.48 $55.64 $1.00 $0.72 ('City of Carlsbad Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 Ph: 78CMI02.Z7:L9 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www.carl5badca.gov SUITE#/SPACE#/UNIT # Plan Check No. C0,r<.;;)(!) / Plan Ck. Deposit Date OZ3 · /lo # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE -00 OCC. GROUP ) tJ. GARAGE (SF) PATIOS (SF) FIREPLACE YES □#_ NO □ AIR CONDITIONING YES □ NO □ FIRE SPRINKLERS YES □ NOD EMAIL CITY BUS. UC.# {,.,6!:,~2-15- (Sec. 7031.5 Business and P_rofessions 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 per_mit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, comme_ndingwIth Section 7000 of D1v1sion 3 of the B_usIness and Professions Code) 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 subiects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION ,, _,,, Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations· 0 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 }( I have and will maintain wor ''i~pen ilUOJl, as re uired b ection ~ of the Labor Code, for the _performance of the work for which this permit is issued. My workers' compensation i SWf1n£_e f§.Uier and policy numberare:lnsuranceCo, I VI ~?I Policy No. :;a..{.p?zS'? t lo ExpirallonDate~/_l--t~~-~/~''i::>~--- I!!!s ~ion need not be completed if the permit is for one hundred dollars ($100) or I . -::f\/ fll""""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 civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for· tion 3706 of the Labor code, interest and attorney's fees. ,85 CONTRACTOR SIGNATURE □AGENT DATE 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 conlractor(s) licensed pursuant to the Contractor's License Law). O 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/ have not) signed an application for a building permit for the proposed work 3. I have contracted with the following person (!inn) 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 lo provide the work indicated (include name I address I phone I type of work): ,/t5 PROPERTY OWNER SIGNATURE □AGENT DATE I " ~ " 1/¾ ~, ~ ".f" COMPLE,TE, THIS SECTION FOR l\lON-RESIDJNTIAL BUILDING PERMITS,.,\;ONLY a 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? O Yes D 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? D Yes O 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 certify that I have read the application and state that the above information is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State lav.s relating1l'.I building construction. I hereby authorl28 representative of the City of Ca~sbad 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 GR'\NTING OF THIS PERMIT. OSHA: AA OSHA permit is required for excavations over 5'0' deep and demolltion or oonstruction 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 nu! and void if the building orv-.ork authorized by such permit is no! commeoced within 180 days from the date of such permit or if the building orv-.ork authorized by such permit is suspended or abandoned a! any time after the w::irk is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ,.6$ APPLICANT'S SIGNATURE DATE 7 ; , · '. · PERMIT INSPECTION HISTORY REPORT (CBR2018-1393) Permit Type: BLDG-Residential Application Dato: 06/11/2018 Owner: Work Class: Demo Issue Date: 09/04/2018 Subdivision: Status: Closed -Finaled Expiration Date: 03/04/2019 Address: Scheduled Date Actual Start Date 04/04/2019 09/05/2018 09/05/2018 April 04, 2019 IVR Number: 11886 Inspection Type Inspection No. BLDG-Final Inspection 088093-2019 Checklist Item BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final BLOG-11 Foundation/FtglPler s (Rebar) 069105-2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 069106-2018 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Inspection Status Primary Inspector Passed Andy Krogh COMMENTS Passed Andy Krogh COMMENTS Demo completed Failed Andy Krogh COMMENTS Waste Management paperwork required TRUST SCHIFF DEBRA A FAMILY TRUST 09-19-03 GRANVILLE PK 221 Normandy Ln Carlsbad, CA 92008-2223 Reinspection Complete Complete Passed Yes Yes Yes Yes Complete Passed Yes Reinspection Complete Passed No Yes Yes Yes Yes Page 1 of 1 . ; ''."' (""'-.., ,.f ..•.. -1.,,,, .l\Ff?:f) JUN I 8 2018 ~~Sea Bright ; ~company 4322 Sea Bright Place• Carlsbad, CA 92008 • Telephone/FAX 760-720-0f:}_~~ ," ... , ' " SUBJECT z I L-----------------~ REPLY DATE ----------------------SIGNED ________________ _ INSTRUCTIONS TO SENDER: INSTRUCTIONS TO RECEIVER· 1. KEEP WHITE COPY. 2. SEND YELLOW AND PINK COPIES INTACT. 1. WHITE REPLY. 2. KEEP PINK COPY, RETURN COPY TO SENDER. tPi\ c.tf)201E-ooo9/14> DEMOLITION ASBESTOS CERTIFICATlcfiij ~ cER '2lllE,-l3"J3 A DD RESS: J. ;J.I fl lfY rn ~ n tUj L a..,n,e 1 Ctvvt f,-1.J a...d. , cA- usE oF su1LDING To sE DEMousHED: s,11.Jlt -fd,.,.,_;,'t: ct llje,11 '"~E:CE!\fr-:: .' SQUARE FEET qoc) X NUMBER OF STORIES J!Jlj 13 2018 PROPERTY OWNER: 1>-ehnl ,se,,1u'/2( CITY CY '., BUILC :f ~-:__i ~~;:·/1:~·.1r._~:,-.i ADDRESS: (o~4"'~ ~'tur'./,,~ 1)y. Ca,.J~,,~ qz,o,1 PHONE {qSi)a~i;t'8! ". , _ ~ ,rr; , , / ( <f</1:;)2*'-l -ootT A.PPLICANT: ~ .,<:.Nj~ f)rn P.,v,lcu':j /r1e,. k'r:"0c:L/ Cut,f,.-,._<.iac) .I\ODRESS· ~-o¾ /2:,a.-f-r'--,vifu~ ~-J Cx._v(.!.ho..d qz_otl PHONE ~ + 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 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. &-!'5-19 Date sos.~ __,,JE A ~ Sempra Energy utility~ Notice of Service Discontinuance. PERMIT DEPARTMENT, CITY OR COUNTY OF: CARLSBAD SERVICE WILL BE DISCONTINUED TO: ADDRESS: 221 NORMANDY LN CARLSBAD BY: (Date) July 30, 2018 ~ ELECTRIC METER NO. -'0:..::c5.::.24.:.:5:.::6.:..:95=--------- ~ GAS METER NO. ......c.0::..:10:..c.5-=-38=5...c.6 _____ _ ALL SERVICE LINES WILL BE REMOVED. THIS BUILDING CAN BE MOVED OR RAISED AFTER THE ABOVE DATE. SAN DIEGO GAS & ELECTRIC BY: PHONE: DA TE: July 30, 2018 PM Forms: blankNoticeofServiceDiscontinuance_ Revised: 8/8/17