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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