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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. ::v;^^4^i^^^iqm^^» --• •-^vr».fr^\^:-?^a^<» %;»': •': -v- ;/-v^-.>-"-.•;•'; ™yW-;'V"--«®^'' 'WV«., ',' '••"•• •«'iV..J/1. 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