HomeMy WebLinkAbout251 CHINQUAPIN AVE; ; CB002917; Permit\s
08/09/2000
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Demolition Permit Permit No CB002917
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
\-' »
Occupancy Group
# Dwelling Units
Bedrooms
Project Title
251 CHINQUAPIN AV CBAD
DEMO
2060803300
Full Demo
Lot#
Y
0
Reference #
2 Structure Type MF2-4
3 Bathrooms 2
DUPLEX DEMO-1200 SF+400 SF GAR
Status ISSUED
Applied 08/09/2000
RMA
08/09/2000
Entered By
Plan Approved
Issued
Inspect Area
08/09/2000
Applicant
DAVID H BUCKMASTER
2171 ELCAMINOREAL
OCEANSIDE CA 92054
760721-6499
Owner
BURKE BILLY J
1791 PREMIER ST
FALLBROOK CA
92028 5*12 03'09'00 OOOi 01 02
C-FRHT 30 = 00
Total Fees $3000 Total Payments To Date $000 Balance Due $3000
Building Permit
Plumbing Fee
Other Fee
TOTAL PERMIT FEES
$2000
$1000
$000
$3000
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
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
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
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
gROJECT INFORMATION
FOR OFFICE USE ONLY
PLAN CHECK NO (J^LLoSSlu •" \* " '
EST VAL
V
Plan Ck Deposit
Validate
Date
Address (include Bldg/Suite #)
Legal Description
Lori *t
Business Name (at this address)
T- o*
Lot No Subdivision Name/Numberivision ameumer .
r JJo. 7- OA, c-t
Unit No ise No Total It of units
Assessor s Parcel #306-060-
Existing Use Proposed Use
Description of Work SQ FT #of Stories .# of Bedrooms tt of Bathrooms
Name Address
{3" -fAPPLICANT *D Contractor'_ D Agent for*Contracto/
City
O?Agent "for Owner"
State/Zip Telephone tt Fax #
Name
4 iPJ*
Address City State/Zip Telephone tt
ERTYflWNER'
Address City State/Zip Telephone ttName
5 *CONTRACTOR»COMPANY NAME Js' , ; - " ' £ ~ l£fP '" V ' V *
(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])
Name
State License tt
City State/Zip
City Business License tt
Telephone #
Designer Name • Address City State/Zip Telephone
State License tt A/fft
£ ^WORKERS COMPENSATION """ *•./," <*. *
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
C] 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 workers compensation as required by Section 3700 of the Labor Code for the performance of the work for which this permit is
issued My worker s compensation insurance carrier and policy number are
Insurance Company Policy No Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
£} CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as
to become subject to the Workers Compensation Laws of California
WARNING Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollar* ($U)Q,000) in addition to the cost of compensation damages as provided for in Section 3706 of the Laboy;ode interest and attorney s fees
SIGNATURE /[ . iqjr4^^±=^ DATE 8/3/0»•
7 DOWNER BUILDER DECLARATION ' ^'* T"' * - -^. , -^ ^^^ -"-__ ^ -- if'* l
I hereby affirm that I am exempt from the Contractor s License Law for the following reason
[~1 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)
0. 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)
l~l 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 C] YES EJKlO
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 / 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 number / type
of work)
PROPERTY OWNER SIGNATURE DATE
!•(*- "^COMPLETE THIS SECTION fQPpNONRESIDENTIAL BUILDING PERMITS ONLY L'l T" _
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 O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? fj YES fJ 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
18 _ CONSTRUCTION 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(0 Civil Code)
LENDER S NAME LlCt. &K«< LENDER S ADDRESS JO^ *tO AA&$tt*1 li /L?Wr>tJ» f^
i APPLICANT CERTIFICATION!
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 CitV 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
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 commenced within 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 commerifted forApeBodjof/Sp^days (Section 106 4 4 Uniform Building Code)
APPLICANT S SIGNATURE Jfl. dflfc/f fyU&M&f*^ DATE
WHITE File YELLOW Applicant PINK Finance
r City of Carlsbad Bldg Inspection Request
For 01/12/2001
Inspector AssignmentPermit# CB002917
Title DUPLEX DEMO-1200 SF+400SF GAR
Description
251 CHINQUAPIN AV
Lot 0
Type DEMO Sub Type
Job Address
Suite
Location
APPLICANT DAVID H BUCKMASTER
Owner CARLSBAD BEACH GROUP INVESTORS L L C ET AL
Remarks PERMIT UP FOR EXPIRATION
Phone
Inspector ao.
Total Time Requested By CHRISTINE
Entered By CHRISTINE
CD Description
19 Final Structural
Act Comments
Associated PCRs
Inspection History
Date Description Act Insp Comments
1 1
UbLlJ JMUK
TBAtf
HALL
12
LOT 4 LOT 5
EXIST SEWER LATERAL TO REMAIN
3 4 7 5 O3
1 SERVICE
17 + 94 50
(18 GPM)
CLEANOUT _
4 SEWER LATERAL, --
12 + 97 " '(
INSTALL 8 END
AND Z" BLOW OH
4 SEWER
12471
(S) r-
\ \
SERVICE EXISTINC WATER SERVICE TO
3+-31 83
REMAIN 6 CURB
>,-
1323
LINE AND CTOP
CURB
I I (IP
J
CATT RANCT~STANDAR'
46 A24D & A24E
EXIST WATER SERVICE
EASEMENT
6
"t
I
4 SEWER LATERAL
12 + 53
1 SERVICE L
12 + 4577
(15 GPM)
PRIVATE
STREET —
4 SEWER LATERAL
12+16
-> 1 SERVICE
/ ">rICXD
10 i"" 15
/^
CD
O t cr
IW'4
1?)
c
12 + 09 27 12^6
w'
8 PVC (PUBLIC) SLWER MAIN ' 177
ll( S. 34 38 03 C 186 i
6 CURB
S
LO
CDor
^>o
/!
O-
SERVICE
(15 GPM)
F/1
FA
4
1/
8 PVC" (PUBLIC^ J/VA7EP MAIN ^
q. PRIVATE STREET
t f MfN7
LJ!
*> ^ 'o
EASEMENT
to
^? Q./3^^/ocL^f D <2x*-"i / '/ t^X "
C
^
City of Carlsbad
DEMOLITION ASBESTOS CERTIFICATION
ADDRESS
USE OF BUILDING TO BE DEMOLISHED
SQUARE FEET \%O6 ^ p^ . X NUMBER OF STORIES 7.
PROPERTY OWNER Ca* LC* i & 'r0t>0
ADDRESS 31*71 BL £4?**/**> MlM- _ PHONECV7'"11 "^ - " _ ------ . ----
APPLICANT CffvUU I Bei
ADDRESS DI BL CM&ii*
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
J ., ,
Applicant's Signature Mtrll &*•* H* H* Jta*fl** Nnfo Date
H
h \word\forms\buildmg\demolition permit requirements doc REV May 7 1998
2O75 Las Palmas Dr - Carlsbad CA 92OO9 1576 • (760) 438 1161 • FAX (76O) 438 O894
JUN-01-2000 15 24 SDG&E 760 739 7494 P 02/02
NOTICE OF SERVICE DISCONTINUANCE
Company
MIT DEPARTMENT
COUNTYOF
( ELECTRlfc AND/QR GAS SERVICE WILL BE DISCONTINUED
TO
ADDRESS
BY
DATE
ALL SERVICE LINES WILL BE REMOVED
THIS BUILDING CAN BE MOVED OR RAZED AFTER THE ABOVE DATE
SAN J&1EOO GAS %
BY J. _^ldW
/ /
DATE
100-021C2 (2/B7I
TOTflL P 02