HomeMy WebLinkAbout2605 CARLSBAD BLVD; ; CB991430; Permit/ 5*2.21
'04/13/1999
City of Carlsbad
Miscellaneous Permit Permit No:CB991430
Building Inspection Request Line (760)438-3101
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
2605 CARLSBAD BL CBAD
MISC Subtype: OTHER
Lot #: 0
$0.00
Status: ISSUED
Applied: 04/13/1999
Entered By: JM
Plan Approved: 04/13/1999
Issued: 04/13/1999
Inspect Area:
Owner:
^
DEMO 1/2 OF FIRE DAMAGE DORM
ARMY NAVY ACADEMY-DEMO ONLY NO NEW CONSTRUCTIONS 04/13/99 0001 01 02
C-PRHT 30-00
Applicant:
RICHARD CHASE CONTRACTING
STE D
3149 JEFFERSON ST .**"
CARLSBAD CA 92008
760-434-1396
Total Fees:$30.00 Totaf*%iyments To $0.00 Due: $30.00
Miscelaneous Fee #1
Miscelaneous Fee #2
TOTAL PERMIT FEES
).00
(.00
.00
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,.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760)438-1161
1. PROJECT IINFOJRRiRMATION
&iL>.ftf»4-.
FOR OFFICE USE ONLY
PLAN CHECK NO.
EST. VAL.
Plan Ck. Deposit
Validated By
Date
•T—^ ..iraw ••T.H .j— ..-.r»ni .,. i MI • —
Address (include Bldg/Suite #}3"Business Name (at this address)
Legal Description Lot No.Subdivision Name/Number f Unit No/ Phase No. /Total # of unitso/
Assessor's Parcel #Existing Use Proposed Use
Description of Work SQ.FT.#of Stories
2. CONTACT PERSON (if different from appic-nt)/c/
# of Bedrooms # of Bathrooms
3. APPLICA
Address
ntract6r
State/Zip Telephone # Fax #
Name
4, i PROPERTY OWNER
Address Crty State/Zip Telephone #
City State/Zip
City Business License #
Name Address City State/Zip Telephone *
*; •'-•CONTRACTOR - COMPANYWAME:;-:--"--— --: - -. -': ^^—<™^-™'l'^^ L,;;^;,-£:;.: i^., ... . . .':;: .. „ ; :;y._
(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 [S5001I.
Name
State License #
P — — 1 r -^
Designer Name Address City State/Zip Telephone
State License #
6. WORKERS'COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Q 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.
HC I have and will maintain workers' compensation, as required by Section 370O 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 *-*>'J^^72r~ ^^L/3-T.^J Policy No. Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 19100] 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 ($100^0U^n addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE /£•*£ DATE ^— / _J -~ ^ 7
7. OWNER-BUILDER DECLARATION : ;
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
O 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).
Q 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 contractors) licensed
pursuant to the Contractor's License Law).
n 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. Q YES CD 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 / 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 FOR WO/V-*£S/0£V7MI BUILDING PERMITS ONLY ,
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? Q YES Q NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES Q NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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.
8, /CONSTRUCTION LENDING AGENCY > ft;;, pir 5|5^ •
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
9 APPLICANT CERTIFICATION , ' ,:..';'~~... '^^-^^^'^^^^^^^^^^^f..^^^, :^ ••'tf".''"... '.' '•. . ..." .. . -'..
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,
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 365 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
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Inspection Request
For: 5/5/99
Permit* CB991430
Title: DEMO 1/2 OF FIRE DAMAGE DORM
Description: ARMY NAVY ACADEMY-DEMO ONLY NO NEW
CONSTRUCTION
Inspector Assignment: $ \
2605 CARLSBAD BL
Lot 0
Type:MISC Sub Type: OTHER
Job Address:
Suite:
Location:
APPLICANT : RICHARD CHASE CONTRACTING
Owner: ARMY NAVY ACADEMY
Remarks:
Phone: 7604206464
Inspector:
Total Time:
CD Description
19 Final Structural
Act Comments
Requested By: RICH
Entered By: CHRISTINE
s
Date
Inspection History
Description Act Insp Comments
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB
ADDRESS
DATE
RESIDENTIAL TENANT IMPROVEMENT
RESIDENTIAL ADDITION MINOR
« $10,000.00)
OTHER
PLANNER
ENGINE
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
V
DATE
DATE ' I
oocs/MKrormsmannlng Engineering Approvals
r
City of Carlsbad
Building Department
DEMOLITION PERMIT REQUIREMENTS
/D
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 $30.00. The attached Demolition
Asbestos Certification application must be completed, signed and have
the correct square footage of the structure being demolished, as well as
it's use.
Applicant must provide a letter from San Diego Gas and Electric stating
that the utilities have been disconnected.
Arrange for appropriate Water Authority to remove water meter unless
construction of replacement structure is to begin shortly.
Contact the Planning Department at (760) 438-1161 ext 4325 or ext
4328 to determine if the structure is in the Redevelopment area, if it is
in the Coastal Zone, and if it is on the list of Carlsbad Historic Sites.
Contact the Engineering Department at (760) 438-1 161 ext 431 5 or ext
4374 to determmine if a Haul Route or Right-of-Way Permit is required.
Notify the Fire Department at (760) 931-2121 to see if they need the use
of the building for training purposes.
h:\word\forms\building\demolition permit requirements.doc REV May 7, 1 998
2O75 Las Palmas Dr. • Carlsbad, CA 92OO9-1576 - (76O) 438-1161 • FAX (76O) 438-O894
City of Carlsbad
Building Department
DEMOLITION ASBESTOS CERTIFICATION
ADDRESS: 2J O
USE OF BUILDING TO BE DEMOLISHED:
SQUARE FEET _ X NUMBER OF STORIES
PROPERTY OWNER:,
ADDRESS: </^<^ _ PHONE 72% - 2-2 fa
APPLICANT:
ADDRESS: _?/</? ^Zfff^^^ 0^4104*0 PHONE" i — - — / - • •
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.
(V)I declare that the written asbestos notification is not applicable to the scheduled
demolition project.
Applicant's Signature Date
h-\word\forms\building\demotition permit requirements.doc REV May 7, 1998
2075 Las Palmas Dr. • Carlsbad, CA 92OO9-1576 • (76O) 438-1161 • FAX (76O) 438-O894
Second Half Century
Lrmy an*/A JNavv Academ
POST OFFICE BOX 3000
CARLSBAD, CALIFORNIA 92018-3000
(760) 729-2385
FAX (760) 434-1890
OFFICE OF THE PRESIDENT
April 12, 1999
Chase Construction
c/o Army and Navy Academy
2605 Carlsbad Blvd.
Carlsbad, CA 92008
Dear Mr. Chase:
This letter is to serve as authorization for you to begin without delay the demolition of the
building known as Dorman Hall.
If further permission or information is needed, please contact me.
Stephen A. Miller
President
"RPR.13.1999 ll:26flM SCIF SfiN DIEGO.
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