HomeMy WebLinkAbout2408 LA COSTA AVE; ; CB154622; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-27•2016 Demolition Permit Permit No: CB154622
Job Address:
Permit Type:
Parcel No:
Occupancy Group:
PC#:
# Dwelling Units:
Bedrooms:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2408 LA COSTA AV CBAD
DEMO Full Demo: N Stat .
2161600300 Lot #: 0 Appli d:
Entered By:
Reference #: Plan Approved:
0 Structure Type: Issued:
0 Bathrooms: 0 Inspect Area:
WILLIAMS RES-DEMOLISH INTERIOR
WALLS BUil T WITHOUT PERMITS/INSPECTIONS
Owner:
EXPIRED
12/30/2015
·RMA
BILL PERRY
STEA
WILLIAMS ANDRE FAMILY TRUST 12-04-12
2911 STATE ST
CARLSBAD CA 92008
442 888-0363
Building Permit
Plumbing Fee
Other Fee
Additional Fees
TOTAL PERMIT FEES
Total Fees:
Inspector:
$0.00
$0.00
$0.00
$0.00
$0.00
P O BOX 532362
SAN DIEGO CA 92153
$0.00 Total Payments To Date: $0.00 Balance Due:
FINAL APPROVAL
Date: Clearance:
$0.00
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 pennit 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 seivice fees in connection with this project. NOR DOES IT APPLY to any
f f hi h i I Tl E hi wh· f limi i I
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING
· Ccicyof
Carlsbad
JOB ADDRESS
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEI/SPACEI/UNIT#
□BUILDING □FIRE
Plan Check No.
Est. Value
CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s)
D
EXISTING USE
EMAIL ,
\
DESIGN PROFESSIONAL
ADDRESS '2,81,q ❖~
CITYV~ STATE
PHONE'{ If -z_ 6 'c::6
GARAGE (SF) PATIOS (SF) DECKS (SF)
PROPERTY OWNER
ADDRESS
CITY STATE
FAX
00
STATE
FAX
EMAIL
STATE UC.# C."2.P t ? -z.. STATE UC.# CLASS
D
ZIP
ZIP
CITY BUS. UC.#
(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 subJects 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 perjuf'/ one of the following declarations:
8 I have and wlll maintain a certificate of consent to self-Insure for 'M'.lrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pennit is issued.
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued, My workers' compensation insurance carrier and policy
number are: Insurance Co. ______________________ Policy No.-------------~ Expiration Date _________ _
This section need not be completed tt the permit is for one hundred dollars ($100) or less. 0 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 C05t of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees.
JiS CONTRACTOR SIGNATURE □AGENT DATE
OWNER~BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's Ucense LfIW for the following reason:
I, as owner of the property or my employees with wages as their sole compensation, will do the work and 1he 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). □
□
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).
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. OYes ONo
2, I (have/ have not) signed an applica~on 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 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 to provide the work indicated (include name I address I phone/ type of work):
.Jt5 PROPERTY OWNER SIGNATURE □AGENT DATE