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2311 CAMINO HILLS DR; ; CB090402; Permit
03-11-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Demolition Permit Permit No CB090402 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No« Occupancy Group PC# # Dwelling Units Bedrooms Project Title 2311 CAMINO HILLS DR CBAD DEMO 2120503200 Full Demo Lot# Reference # 0 Structure Type 0 Bathrooms TABATA DEMO 1000SF SFD W/GAR Status ISSUED Applied 03/11/2009 Entered By JMA Plan Approved 03/11/2009 Issued Inspect Area 03/11/2009 Applicant TABATA FAMILY TRUST 01-14-83 P O BOX 943 CARLSBAD CA 92018 Owner TABATA FAMILY TRUST 01-14-83 P O BOX 943 CARLSBAD CA 92018 Building Permit Plumbing Fee Other Fee Additional Fees TOTAL PERMIT FEES $000 $000 $6500 $000 $6500 Total Fees $65 00 Total Payments To Date $65 00 Balance Due $000 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition 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 > ou 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 limitations has previously otherwise expired of Carlsbad 1635 Faraday Ave Carlsbad CA 92008 760 602 2717 / 2718 / 2719 Fax 760 602 8558 www carlsbaclca gov uilding Permit Application) Plan_Check_Np Est Value Plan Ck Deposit JOB ADDRESS I CT/PROJECT li DESCRIPTION OF WORK Include Square Feet of Affected Area(s) TS |# BEDROOMS 1 SUITE#/SfACEC/UNir» f BATHROOMS TENANT BUSINESS NAME DpA Dfcov 1 1 on CONSTR TYPE I OCC GROUP I EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE VES D * AIR CONDITIONING YES D NO'P" FIRE SPRINKLERS YES D NC^S- CONTACT NAME (If Different Fom Applicant) ADDRESS ^y ML/L^n COO p^ —. L_ ._& Q^iBoc 62 PHONE _J7 EMAIL /- APPLICANT NAME ADDRESS CITY STATE ZIP FAX . n PHONE IMAIL" i FAX PROPERTY OWNER NAME I'Sofcl'VZ.ui CONTRACTOR BUS NAME ADDRESS CITY PHONE STATE IFAX ZIP EMAIL STATE LIC *CLASS CITYDUS LIC# (Sec 7031S 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 Contractors License Law {Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt there from and the basis for the alleged exemption Any violation of Section 70! 15 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}) Workers Compensation Declaration / hereby affirm under penalty ofper/ury one of the following declarations D 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 O 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 workers compensation insurance carrier and policy numberare InsuranceCo PolicyNo Expiration Date This section need not be completed if the permit is for one hundred dollars (S100) or less C3 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 in Section 3706 of the Labor code interest and attorney s fees & CONTRACTOR SIGNATURE DATE / hereby affirm (hat I am exempt from Contractor s License Law for the following reason L! 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 Contractors -icense Law does not apply to an owner of property who builds or improves thereon and who docs such work himself or through his own employees provided that such improvements are not intended or offered for ;alp If hnwpvpr the hinlHinn nr imnrnvpmpnt is snld within nnp upar nf rnmnlptinn thp nwner hmlHpr will havp thp hnrrlpn nf nrnvinn that hp riid nnt hinlri nr imnrnvp fnr thp nnrnnsp nf salp^ License Law does not apply to an owner ot property who builds or improves thereon and wno does such work nimselt or through his own employees provided tnat such improvements are n( 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 proiect (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 I personally plan to provide the major labor and materials for construction of the proposed property improvement Cl Yes O 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 (firm) to provide the proposed construction (include name address / phone / 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 / 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 / phone / type of work) ^PROPERTY OWNER SIGNATURE DATE 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 Act9 G 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' CD Yes D No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site9 D Yes D No IF ANY OF THE ANSWERS ARE YES EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 i'i) Civil Code) j Lenders Name Lenders Address •.•• vfvix~~,y.,.m '".. : x^ > ^. '• ••**:..•..:"•"..£Vsms&4~- 1 certify that 1 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 representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREF 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 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 authonzed by such permit is not commenced within 180 days from the date of such permit or if the building or work aujfl^rizedjysuch permit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURI DATE NUN UB!22 AH CITY OK UAKSLBAD KAX NO. 760 602 8bb8 P. 02 : O&t)II E OF BUILDING TO BE DEMOLISHED: iQUAPSE FEET . I ( A ATT fe/s i AJQ uS ^ m / AJ A t OF STORIES I v ly v ESS:PHOME DBTI psirt: th® p®mnmDlt sppliefunili: of a c©|p^ off ®sch wreteini oir to a ap(plicablS® to tlh® to ft® Uroted tSftates Emi^Dir©iniirini(i)iriitell Proteeto©irii AgoiniGy or to iPsirft ©1 of T^lD h \word\front counter handoutsttemolrtion permit requlremonts doc REV October 30, 2008 2008-11-240900 7606028558 Page 2 City of Carlsbad Bldg Inspection Request For 06/10/2009 Permit* CB090402 Title TABATA DEMO 1000SF SFD W/GAR Description Inspector Assignment RB 2311 CAMINO HILLS OR Lot 0 Type DEMO Sub Type Job Address Suite Location APPLICANT TABATA FAMILY TRUST 01-14-83 Owner TABATA ISOKAZU FAMILY TRUST Remarks Phone 7602317355 Inspector Total Time CD Description 19 Final Structural Act Comments Comments/Notices/Holds Requested By GREG HARRINTON Entered By CHRISTINE Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 03/26/2009 22 Sewer/Water Service AP RB ON SEWER LINE CAPPED RECALL AFTER DEMO Real Estaters From Mario Remillard [MRemi@ci carlsbad ca us] Sent Tuesday, March 10, 2009 1 00 PM To realestaters@cox net Subject Meter Removal Greg, This email is to inform you that we have removed meter #48765008 with a final read of 176 We will be closing account £8601800-04 Mario Remillard Meter and Customer Services Supervisor Carlsbad Municipal Water District 5950 El Camino Real Carlsbad Ca 92008 760-438-2722 Ext 7153 A (Jf£ St'mpui Pnrrgv utility Notice of Service Discontinuance PERMIT DEPARTMENT, CITY OR COUNTY OF Carlsbad SERVICE:WILL BE DISCONTINUED TO ADDRESS 2311 Cammo Hills Dr, Carlsbad, CA 92008 BY (Date) March 10, 2009 G3 ELECTRIC METER NO 177809 Kl GAS METER NO 661689 ALL SERVICE LINES WILL BE REMOVED THIS BUILDING CAN BE MOVED OR RAZED AFTER THE ABOVE DATE SAN DIEGO BY PHONE 760 476 5611 DATE March 10, 2009 PM Forms NoticeofServiceDiscontmuance doc Revised 6/20/06 Owners Authorization To the City of Carlsbad I, Isokazu Tabata am the owner of the house located at 2311 Cammo Hills Drive in Carlsbad I desire, approve and authorize the demolition of the house 2311 Cammo Hills Drive in Carlsbad I further authorize Gregg Harrington, my property manager to sign any documents on my behalf to further the permission to demolish this house from the City of Carlsbad Isokazu Tabaia Date