HomeMy WebLinkAbout234 DATE AVE; ; CB071366; Permit05-17-2007
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Demolition Permit Permit No CB071366
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Occupancy Group
# Dwelling Units
Bedrooms
Project Title
234 DATE AV CBAD
DEMO
2060802500
Full Demo
Lot*
Y
0
Reference #
2 Structure Type SFD
4 Bathrooms 2
LAGOON BREEZE DEMO 2 SFD,
TOTAL 2167 SF
Applicant
LAGOON BREEZE DEVELOPMENT CORP
7237 SANDERLING CT
CARLSBAD CA 92011
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
05/17/2007
KG
05/17/2007
05/17/2007
Owner
LAGOON BREEZE DEVELOPMENT CORP
7237 SANDERLING CT
CARLSBAD CA 92011
Building Permit
Plumbing Fee
Other Fee
Additional Fees
TOTAL PERMIT FEES
$2000
$1000
$3000
$000
$6000
Total Fees $60 00 Total Payments To Date $60 00 Balance Due $000
Inspector
FINAL APPROVAL
I f i
L^C,^ I I 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
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 limitations has previously otherwise expired
PERMIT APPLICATION
PtrA6 -SFO
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad CA 92008
FOR OFFICE USE ONLY
PLAN CHECK N
EST VAL
Plan Ck Deposit
Validated ByDate g
1 PROJECT INFORMATION
-^A*L^ 2.3ff
Address (include Bldg/Suite #)
,r%»' /»"T 0-r
Business Name (at this address)
na.Z ',/> -»K& C,t4y CA
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units
Assessor s Parcel #• «-*/•»frva/ofc.) SF(s Existing Use Proposed Use
Description of Work SQ FT # of Stories # of Bedrooms # of Bathrooms
2 CONTACT PERSON (if different from applicant)"
Name Address
3 APPLICANT D Contractor D Agent for Contractor
City
T% Owner
CT
State/Zip Telephone #
D Agent lor Owner920/r
Fax#
Name Address City
PROPERTY OWNER
ftree^e 70-37
State/Zip
£T
Telephone #
?23//
Name Address City Stale/Zip Telephone #
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 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 [$5001)
Name _
State License # A" ' «? ' *
Designer Name
State License #
„ " Address
3 1 O License Class A 1 t->
1
Address
City "
City
State/Zip
City Business License #
State/Zip
Telephone #
Telephone #
6 WORKER'S COMPENSATION
Workers Compensation Declaration I hereby affirm under penalty of perjury 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
'Jl 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 number are \fCtH\Cl *\ I T7-_
Insurance Company .S'i'a'fr'g, fc»fm Policy No 1 5H 3 */ I • Ob Expiration Dale I I "* O I ~* O "r*
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
D 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 are 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
D I as owner of the property or my employees with wages as their sole compensation will d 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 s>ale)
Ijly 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 Contractors
License Law)
0 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 D YES D 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 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 /
/ontractors license number\
5 I will provide some of the worif\but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work)
PROPERTY OWNER SIGNA DATE .fV/9-A'
WHITE File YELLOW Applicant PINK Finance
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave, Carlsbad CA 92008
Page 2 of 2
[COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY -•--•• - I
is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration for or risk management and prevention program under
Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES Ul 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 i)( NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 D YES Jt 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
[s coNSTRuctibN LENDING" AGENCY " " ;
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) Civil Code)
LENDERSNAME Wfr«C. &UI K ( LQa^gt-^fl>5VlQ LENDER'S ADDRESS fe> %£ ?' 9^ Ck/fr b t TOO
_ ._.__„_ _ ,_ i
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 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, JUDGEMENTS, COSTS AND
OS HA An OSHA>permit is required for excavations of 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 authorized
by such permit is not comWnced within 180 days fromjtis-flatftgf such permit or if the building or work authorized by such permit is suspended or abandoned at any time after
the work is commelicetTibf^Reriod of 180 dayB^S§c!jop5e6^4Uniform Building Code)
APPLICANT'S SIGNAUB*^ DATE
WHITE File YELLOW Applicant PINK Finance
JLN-15-B006 11 52 From:SB*«Y 9516999999 To 760 918 1996 P.?'?
JUN-08-2006 THU 1H49 AN CITY OF CflRSLBAD FflX NO 760 602 8558 P. 02
DEMOLITION ASBESTOS CERTIFICATION
ADDRES8:
USE OF BUILDING TO BE DEMOLISHED: res.
SQUARE FEET j^ _ X NUMBER OF STORIES /
PROPERTY OWNER:
ADDRESS: 1O.B> ^rlVO" PHONE -7£o9/g-O0 / 5-
APPLICANT:
ADDRESS: 7£_3"7 Sande./11 *•$, C+ (jtf&pc&Cft ^OU 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
aobevtoa notification regarding the building that has been required to be
submitted to the United States Environmental Protection Agency or to «
designated state agency, or both, pursuant to Part 91 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"
*••••—•«•«»««»—••••m*™^**» •«••« •••^••••vvvvp to • • •» • » VVVWDW •••••»•*•«••• •*• b »*••••»»•«»••*••*
As applicant for a demolition permit In the Ctty 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 off Federal Regulations, or euocevsor to that part
I declare that the written asbestos notification Is not applicable to the
scheduledidenjoJhlon project
Date
&.. \ n,Vword\AomoounterMndautM«fnolibonp«iTn|re4iiJratnflnt>4oo- -' —-^ • - - -- - — 4Q04
SUN-eB-2006 ll:53fiH From: 760 602 9558 ID SEAMfiY P.«:00SR-94*
JUN-15-20B6 11 52 From SEfWf
JUN-OB-2006 THU 11 '.48 i
PFTT'.
9516999999
CftRSLBflD
To 768 918 1996
0. 760
P 1'2
P. 01
City of Carlsbad""- " -• ^ •"' MHBMM^HHMSWHBBHMMBMMDu i Idi n rj Department
DEMOLITION PERMIT REQUIREMENTS
,
D
A demolition permit may only be issued to the owner of the property
or the State Licensed Contractor that Is doing the work. The
contractor must provide use with a letter, signed and dated by the
property owner, giving permission for the building to be demolished.
The fee for a demolition permit is $60.00. The attached Demolition
Asbestos Certification application must be completed, signed and
have the correct square footage of the structure being demolished,
— -eil as it's use.
Applicant must provide a letter from San Diego Gas and Electric
slating that the utilities have been disconnected.
_/ET Arrange for appropriate Water Authority to remove water meter
unless construction of replacement structure is to begin shortly
M Contact the Planning Department at (760) 802-4625 or 602-4629 to
determine if the structure is <n the Redevelopment area, If st is in the
Coastal Zone.
Kr Contact the Engineenng Department at (760) 602-2775 or 602-2741
toojstermine if a Haul Route or Right-of-Way Permit is required.
Notify the Fire Department at (760) 602-4666 to see if they need the
use of the building for training purposes.
(
/•
h'Xwortftfrom counter handoutoVwrnoMion ptnnit requirement* doc
REVApUMS 2004
lD^
1636 Faraday Av«nu« • Carlsbad. CA 92006-7314 -(7OO) 602-2700
Budding Counter • (76O) 6O2-2719 • FAX (760) eoa-8SS8
JUN-08-2006 ll.SSflM From: 760 602 8558 ID SEPMflY Pa,e:001 R=93>
SDGJ
nnipy unity
Notice of Service Discontinuance
PERMIT DEPARTMENT, CITY OR COUNTY OF CARLSBAD _
SERVICE WILL BE DISCONTINUED TO
ADDRESS 234 & 236 DATE AVENUE, CARLSBAD __
BY (Date) December 13, 2006
S ELECTRIC METER NO 00231113 & 01277109 _
S GAS METER NO 003272208.00457123
ALL SERVICE LINES WILL BE REMOVED THIS BUILDING CAN BE MOVED OR
RAZED AFTER THE ABOVE DATE
SAN DIEGO GAS^ ELECTRIC
BY
PRISCILLA BARRON
PHONE 760-480-7660
DATE December 13, 2006
PM Forms NoticeofSen/iceDiscontmuance doc Revised 6/20/Ofi
«M1 ^^^'LO 90 60