HomeMy WebLinkAbout2637 Jefferson St; ; CBR2018-1725; Permit{city of
Carlsbad
Residential Permit
Print Date: 11/13/2018 Permit No: CBR2018-1725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2637 Jefferson St
BLDG-Residential
1551702500
$7,342.72
Work Class:
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Demo Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed• Finaled
07/17/2018
10/11/2018
TFraz
Plan Check#:
Final
Inspection: 11/13/2018 4:04:llPM
Project Title:
Description: ARELLANO: 1,192 SF DEMO
Applicant:
OHMS COLLABORATIVE
2077 Harrison Ave, #3
San Diego, CA 92113-1269
760-707-6683
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
S81473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $167.22
Owner:
TRUST ARELLANO FAMILY TRUST 09-03-13
619-980-6006
Total Payments To Date: $167.22
Contractor:
MSR CONSTRUCTION INC
1166 Agua Tibia Ave
Chula Vista, CA 91911-3S04
619-322-9444
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 limitation has previously otherwise expired.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$97.22
$68.05
$1.00
$0.95
THE FOLLOWING APPROVALS REQUIRED PRl<ml TO PERMl'DSSUANCE: • PLANNIW D ENGINBERING ..I
{'city of Building Permit Application Plan Check No,r;0,"''1/'\/ A -Jr;?,
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 9/ ·-, ""· , -. -::,-;)
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposl(' .
email: building@carlsbadca.gov
www.carlsbadca.gov Date,/ 17 / /Jr
JOB ADDRESS 2637 Jefferson St SUITE#/SPACEt/UNIT# IAPN 155 -170 -25 -00
CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR TYPE I OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Demolition of a single-family dwelling, hardscape, and all landscape as part of the following permits: CDP 2016-0006, CBR
2016-0467, Gr 2018-0002
EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF) I DECKS (SF) FIREPLACE i IAlR CONDITIONING I FIRE SPRINKLERS
Single Family Residence YES[), Noi;z) YES •NolZ] YES•NolZ]
APPLICANT NAME ohms Collaborative PROPERTY OWNER NAME Jose L. & Maria E. Arellano, Trustees Primary Contact
ADDRESS ADDRESS 161 D Avenue, Unit 5 835 Ladybu!I Lane
CITY STATE ZIP CITY STATE ZIP
Coronado CA 92118 San Marcos CA 92069
PHONE IFAX PHONE FAX
619.517.8881 619.980.6006
EMAIL EMAIL
h@.ohmsarchitects.com josea@.oi!lrowers.com
DESIGN PROFESSIONAL ohms Collaborative CONT1rrR~US. NAME m-·m · VtJCC (r)f\ ,i,\YTBD
ADDRESS ADDRESS
meld.. --Gl,iu. 161 D Avenue. Unit 5 lUit:=: Aue..,
CITY STATE ZIP CITY \ \ ' '-J-ci STATE ()Q\ ZIP9L9l( Coronado CA 92118 n "\< 1 \u.. I<;'/ \..
PHONE IFAX PH(i lntt FAX 619,517.8881 J!?Lq') 3 ?Z~q
EMAIL EMAi[ f/1 heitQ¥Y\<J ncJ?/'f6\ ® <i 1n0.J ( h@.ohmsarchitects,com
I STATE LICC-36303 STATE UC.# CLASS .B 1:;:~00-i 1f'N -2.01: ,_ "i5SZI S\
(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 Ucense Law /Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} orfhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
8 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 perfonnance of the work for which this pennit is issued.
I have and will maintain workers' compensation. as reQuired bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation i~urance ':~ ,~d,PPl\cy
number are: Insurance Co. ___ ----l.L---------------Policy No. 9 2 Q 5 0 S' S:: Expiration Date_~(~~t _?,~_=..,1.U=....,\'-' '1_
Ibif.secbon need not be completed if the permit is for one hundred dollars ($100} or less.
Ef'Certlflcate of Exemption: I certify that in the perfonnance 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 wmers' 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.
25 CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the following reason: •
lll
•
\, 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 ContractOl''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 or sale).
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 !hereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
J am exempt under Sechon ____ ,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. 0Yes 0-,o
2. I (have/ have not) signed an application for a building pennit for the proposed work.
3. I have contracted with the following person (finn) to provide the proposed construction (include name address/ phone I contractors' license number):
4. ! 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 I phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons lo provide the work indicated (include name I address/ phone/ type of work):
25 PROPERTY OWNER SIGNATURE IZIAGENT OATE
{ OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury one of the following declarations: • I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued.
• r have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My workers' compensation insurance carrier and policy number are: Insurance Company Name: ______________________ _
Policy No. _______________ Expiration Date: __________ _
• Certificate of Exemption: l 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 be come
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 $100,000.00, In addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code,
interest and attorney's fees.
CONTRACTOR SIGNATURE: __________________ •AGENT DATE: _____ _
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
• I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure ls 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).
• 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).
• 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. • Yes • 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 l 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):
OWNER SIGNATURE: __________________ •AGENT DATE: _____ _
CONSTRUCTION LENDING AGENCY, IF ANY:
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: _____________________ _
ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL 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? • Yes • No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? • Yes • No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • Yes • 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.
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 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 crrv OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMEN1S, 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT SIGNATURE: ~,v_✓~/4< ,,,-L DATE:,/1/4//"
1635 Faraday Ave Carlsbad, CA 92008
B-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of2
Email: Building@carlsbadca.gov
Rev. 06/18
PERMIT INSPECTION HISTORY REPORT (CBR2018-1725)
Permit Type: BLDG-Residential Application Date: 0711712018 Owner: TRUST ARELLANO FAMILY TRUST
09-03-13
Work Class: Demo Issue Date: 1011112018 Subdivision:
Status: Closed -Finaled Expiration Date: 05/1312019 Address: 2637 Jefferson St
Carlsbad, CA 92008-1440
IVR Number: 12578
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete
11/13/2018 11113/2018 BLDG-11 076906-2018 Passed Tim Frazee Complete
Foundatlon/Ftg/Pier
1 {Rebar)
Checklist Item COMMENTS Passed
BLOG-Building Deficiency Yes
BLOG-Final 076080-2018 Paesed Tim Frazee Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Demo complete and lot clean Yes
BLDG-Plumbing Final Demo complete Yes
BLDG-Structural Final Demo complete Yes
BLDG~Electrical Final Demo complete Yes
November 13, 2018 Page 1 of1
RECEIVED
DEMOLITION ASBESTOS CERTIFICATION JUL 1 7 2018
-CITY OF Ct~ ADDRESS: 1,C.?, ":l-o~f-F-~'t.'::>QN "'»'· 1 0Mt\...-";Mty.ll "'•s ~D vlSION USE OF BUILDING TO BE DEMOLISHED: \l.A>,",\l)("-:,1,;,;;\ll(t.. ( ~\',JU\\.."<'--~f,-r..V\\':!-f)
SQUARE FEET ________ X NUMBER OF STORIES __ I __ _
PROPERTY OWNER: ""::)o~J;,_ 46'> A,U:..<..LA-6,/Q
ADDRESS: '9''.SS:: ~11.vC/) / n ,» ty\',YUI') ,v A.1,)..0(,GPHONE G 15,-S 10.<,p" '1
APPLICANT: Ol\ro5, COt.k-..6.1t?1:t::\ICG
ADDRESS:/bt D,Wr=.1 CQl'i4,.1M';;)o ~ (eA, '\ ~ \\j PHONE 41\.,fl •·1lI'
V.v\1 J
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.
( if} I declare that the written asbestos notification is not applicable to the
scheduled demolition project.
Applic?nt•s Signature Date
~....-----------------------------,
{cicyof
Carlsbad
DEMOLITION
REQUIREMENTS
B-9
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
The following items must be completed prior to issuance of a demolition permit.
Completed Application and Plans: A demolition permit may only be issued to the owner
of the property or the State Licensed Contractor that is doing the work. An application and
four (4) sets of plans should be submitted. Building, Planning, Engineering and Fire
divisions will review and comment/approve the submittal.
Completed Storm Water documents required by the appropriate Tier level as
determined by the extent of construction. ~
A Mobilization Plan, outlining the schedule for demolition, shall be provided to the
Building division after the pre-construction meeting with the CM&I division.
Letter from Property Owner: The contractor must provide a letter, signed and dated by
the property owner, giving permission for the building to be demolished.
Demolition Asbestos Certification: This certification must be completed, signed and
have the correct square footage of the structure being demolished, as well as its use. If
asbestos remediation is required, proof of application to the APCD must also be provided.
Asbestos or lead paint remediation must occur prior to issuance of a demolition permit by
the City. ~ San Diego Gas and Electric: Applicant must provide a letter from San Diego Gas and
~_/ Electric stating that the utilities have been disconnected.
✓ Waste Management Plan: Comply with Green Code waste disposal and recycling
management program (65%). Sec. 5.408.1 / 4.408. Complete the attached B-59, Waste
Management Plan.
• ~ Public Property: If applicable provide plans and
~, protect public property and walkways.
~
details demonstrating measures to
B-9
Additional items that will be required or discussed in review are:
1. Water Agency: Arrange for appropriate Water Agency to remove water meter
unless construction of replacement structure is to begin shortly.
2. The Planning Division will determine if the structure is in the Village Review
area, the South Carlsbad Review area, the Coastal Zone or if discretionary
mitigation conditions apply. (760) 602-4610
3. The Land Development & Engineering Division will determine if a Haul
Route, Right-of-Way Permit or Storm Water Permit is required. (760) 602-
2773, 602-2775 or 602-2741.
4. Fire Department may need the use of the building for training purposes.
(760) 602-4665.
Page 1 of 2 Rev. 01/2016
soG/' •--/E
A~ Sempra Energy utility~
Notice of Service Discontinuance
PERMIT DEPARTMENT, CITY OR COUNTY OF: CARLSBAD
SERVICE WILL BE DISCONTINUED TO:
ADDRESS: 2637 JEFFERSON ST
BY: (Date) August 27, 2018
~ ELECTRIC METER NO. -'0'-=5-=2.::..:62::..c9-=-8=-5 ______ _
~ GAS METER NO. -'0'-"0-=-6.:..:13'-'l-=-8::...3 ______ _
ALL SERVICE LINES WILL BE REMOVED. THIS BUILDING CAN BE MOVED OR
RAISED AFTER THE ABOVE DATE.
SAN DIEGO GAS & ELECTRIC
BY:
JESSICA DEL REAL
PHONE: 760-476-5621 __________ _
DATE: October 11, 2018
PM Forms: JEFFERSON ST CB Revised: 8/8/17
'····-·------
Monday, June 4, 2018
lo whom it may concern.
I Jose Luis Arellano, owner of the propl·rty located at 2637 Jefferson St.
Carlsbad, CA 92008. Give consent to Alberto mur'loz or MRS
Construction Inc. to demolish my house.
RE.CE.\Vf.0
JUL 1 7 'l.0\8
RLSBAD
err'< oFNg"'oN\S\ON
BUILD\