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HomeMy WebLinkAbout2497 OCEAN ST; ; CB071164; Permit04-26-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Demolition Permit Permit No CB071164 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Occupancy Group # Dwelling Units Bedrooms Project Title 2497 OCEAN ST CBAD DEMO Full Demo Y 2030210800 Lot# 0 Reference # 1 Structure Type SFD 4 Bathrooms 4 DONALD RES-DEMO 4100 SF HOUSE & 400 SF GARAGE Applicant PBA LTD STE A-9 800 GRAND AV CARLSBAD CA 92008 760729-7917 Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/26/2007 RMA 04/26/2007 04/26/2007 Owner DONALD FAMILY TRUST 03-19-99 P O BOX 1489 CARLSBAD CA 92018 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 Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition of fees dedications reseivations 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 City of Carlsbad 1635 Faraday Ave Carlsbad CA 92008 760 602 2717 / 2718 / 2719 Fax 760 602 8558 Building Permit Application Plan Check No Est Value Plan Ck Deposit Date £ (rrrV \ tS I JOB ADDRESS-, CT/PROJECT## BEDROOMS SUITE#/SPACE#/UNIT# W BATHROOMS TENANT BUSINESS NAME TYPE OF CONST DESCRIPTION OF WORK (Please describe present use and proposed use) BUILDING AREA (SF)ADDITION AREA (SF)GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES D #NO D AIR CONDITIONING YES D NO D FIRE SPRINKLERS YES D NOD CONTACT NAME APPLICANT NAME f ADDRESS "c'lTY ADDRESS STATE ZIP CITY PHONE FAX PHONE STATE "FAX" ZIP EMAIL EMAIL OWNER NAME ADDRESS CONTRACTOR BUS NAME ADDRESS CITY STATE ZIP CITY PHONE STATE FAX PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC #STATE LIC #.0 ,- rj o ' <b o CITY BUS LIC # (1 (Sec 70315 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 islicensed 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 therefrom and the basis for the alleged exemption Any violation ofSection 70315 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 of perjury one of the following declarations n I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Coce for the performance of the work for which this permit is issued n I have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the work for wmch this permit is issued My workers compensation insurance carrier and policy InsuranceCo (fV/'Lxi^-^0 /MrtjZ'IA/ Policy No 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 as provided for in Section 3706 of the Labor code interest and attorney s fees ^CONTRACTOR SIGNATURE £- 0 ) "0 £ Expiration Date (,1 / 1^3 / / / hereby affirm that I am exempt from Contractor s License Law for the following reason n 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) Ql 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) CJ 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 / 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) ,£f 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 Act' OYes n No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district9 Q Yes D No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' D Yes Q 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) Civil Code) Lender's Name Lender's Address 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 agre? 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 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 5 0 deep and demolition or construction of structures over 3 stories in height 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 a period of 180 days (Section 106 4 4 Uniform Building Code) ^APPLICANT S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 01/07/2008 Permit* CB071164 Title DONALD RES-DEMO 4100 SF HOUSE Description & 400 SF GARAGE Inspector Assignment PC 2497 OCEAN ST Lot Type DEMO Sub Type Job Address Suite Location OWNER DONALD FAMILY TRUST 03-19-99 Owner DONALD FAMILY TRUST 03-19-99 Remarks can you final' Phone 0000000000 Inspector Total Time CD Description 19 Final Structural Act —Comments Comments/Notices/Holds Requested By CHRISTINE Entered By CHRISTINE Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 04/27/2007 19 Final Structural NR PC QUESTIONS DEMOLITION ASBESTOS CERTIFICATION ADDRESS ^ CEA*J <T7 USE OF BUILDING TO BE DEMOLISHED £&S / £)/fi^ c£ SQUARE FEET V/$"/ _ X NUMBER OF STORIES PROPERTY OWNER „ ADDRESS -35795" ^</3/£<^£ /3JX <r/wg«PPHONE APPLICANT ^? A) ADDRESS t^bs ^TM^o /^l/<g /q*? _ PHONE "?<&> - 2o ^ / J o 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 Applicant's Signature Date h \word\front counter handouts\demolition permit requirements doc REV April 19, 2004 Mar Ub U^ uabbp KAO*O<JN ^iNomuuiiuw ,ou,ouo^oo P ,in 014040pm 03-05-2007 A J£ Sempra rnergvuw» Notice of Service Discontinuance PERMIT DEPARTMENT, CITY OR COUNTY OF Carlsbad SERVICE WILL BE DISCONTINUED TO ADDRESS 2497 Ocean St Carlsbad BY (Date) March 5, 2007 Rl ELECTRIC METER NO 595239 GAS METER NO 161705 ALL SERVICE LINES WILL BE REMOVED THIS BUILDING CAN BE MOVED OR RAZED AFTER THE ABOVE DATE SAN DfEG, BY PHONE 760-931-7304 DATE March 5, 2007 PM Forms NoticeofServiceOiscorttlmtfncedoc Revised 6/20/06 sen v oy Policy Number ng<4076990 Date Entered 12/11/2006 /iCORCL CERTIFICATE OF LIABILITY INSURANCE pMouem Coral* Point Insuranoa servicesLie • OC01305 13220 Evonia? CrMk Or So , Ste f!09Sao Diego, CA 92128-4103 (058)513-4767 ***•» OCEAN RESTORATION ZMC AMD FBA LTD TIZi 760-729-5428/I3UC 760-729-7917 P O BOX 1621 CARLSBAD, CA 92018-1621 OATK nmoorrrff} THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND ORALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE WSURERAJttCB SPECIAL** NSUREAB USURER 0 NSURERO taUREREflmAT H^W-M. pISmSHa CO NAIC* TRmm BOLL t CO THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUWEMEKTTERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PEltTAmiTHE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMSma A £ SBH on X MO"- ERALUAaUTT bMERCWLOENERALLIAMLnY CLAMSMADB {^1 OCCUR OWL AGGREGATE UMIT APPL6S PER. AWDMCOtBUAHUry ALL OVWICO AUTOS SCNEOULEO AUTOS HOED AUTOS NOHOWNEO AUTOS etc H ANT AUTO aMMBnUAUAOUTY OCCUR |_]cLAJMSMAOE OEDUCTCLE RETENTION S woHi<eM »IUI«IJ<OAIIUH Ami OFnOEWMBWER EXCLUDED? 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S * *, , t *1 1 * * « S , LBAflBD/RDSTTBD $500,000 *MAZ/ITEU $300,000 SCHXD EQUIP $ 81,500 fWOTWWWHH^^ RS KENTED/LEASBD EOTJIPMBST ONLY CXTY O7 MALXBO XS NAMED AS ADDITIONAL XMSTOBD PBR LETTgR A PER ATTACHED RNDOSSOfflNT PER POLICY LIMITS AMD EXCOLSIOKS MC GRADING 8 25103 MALIBO RD MALISD, CA 90265 CANCELLATION cm OT MUIBO FAX 310-456-3356 23815 STWMCT RWKB RD MUI80, CA 90265 JL SMOWJJ AMV OF TUB ABOVB OUCfOKP POUCKS H OWnuS) B6POM TOS BCMUTKM DATS new* TNS tewMo MSU» MU. CNMAVOR ro «*»30 MTO wwrrm HOTICS TO 1MB CBtnOCATF HOUWM NAMED TO TW l*FT, BUT MUM TO DO SO SHALL MO OBUdAnO" OK MAmm Of ANY KMO UPON nc MBMHR, rre A«atra on AUTHOROGO JWPR83SKTATWB ACORD 25 (2001/08)©ACORO CORPORATION 1988