HomeMy WebLinkAbout2737 MADISON ST; ; CB940878; PermitBUILDING PERMIT
07/20/94 12:10
Page 1 of 1
Job Address: 2737 MADISON ST Suite:
Permit Type: DEMOLITION PERMIT
Parcel No: 203-102-16-00 Lot#:
Valuation: 0
Construction Type: NEW
Occupancy Group:
Description: REMOVE SFD 768 SF
Reference*:
Appl/Ownr ALLEN, BRUCE
P O BOX 472
OCEANSIDE, CA §2049
Permit No: CB940878
Project No: A9401237
Development No:
7841 07/20/94 0901 01 02
Sta&fFlSSUED30"00
Applied: 07/20/94
Apr/Issue: 07/20/94
Entered By: DC
*** Fees Required ***
619 966-^1939
Fees Collected & Credits ***
Fees: 30,00
Adjustments: .00
Total Fees: 30.00
Fee description
. Total Credits!
Total Payments*.
Balance Due:
Units Fee/Unit
.00
.00 H
30.00
Ext fee Data
Enter
Enter
Total
"Y"
""
for Building Fee
for Plumbing Fee
20.00 Y
10.00 Y
30.00
CITY OF
2075 Las Palmas Dr., Carlsbad, CA
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PERMIT TYPE
From List 1 (see back) give code of Permit-Type: _
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type:
Net Loss/Gain of Dwelling Units
PLAN CHECK NO.
EST.VAL
PLAN CK DEPOSIT .
VALID. BY
DATE
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address
Nearest Cross Street
Building or Suite No.
™
LEGAL DESCRIPTION Lot No.Subdivision Name/Number Unit No.Phase No.
CHECK BELOW IF SUBMITTED:
D 2 Energy Calcs D 2 Structural Calcs
SESSOR'S PAT
D 2 Soils Report D 1 Addressed Envelope
EXISTING USE PROPOSED USE
OF WORK
SQ. FT.# OF STORIES # OF BEDRI # OF BATHROOMS
3. UUNTAUT PliKSUN (it dilierent trom a
NAME (last, name first)
CITY STATE
ADDRESS
ZIP CODE
C-A.
DAY TELEPHONE
0 /"
/ (^ (0
4. APPLICANT U CONTRACTOR LJ AGENT FOR CONTRACTOR Q OWNER
NAME (last name first) ADDRESS
FOR OWNtR
CITY STATE ZIP CODE DAY TELEPHONE
5. PROPERTY OWNER
VAME (last nametfirstf
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
aTCONTRACTOR
NAME (last name first)
CITY
ADDRESS
STATE ZIP CODE DAY TELEPHONE
STATE LIC. #LICENSE CLASS CITY BUSINESS LIC. #
DESIGNER NAME (last name first)
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE STATE LIC. #
7. WORKERS^ COMPENSATION
Workers^ Compensation Declaration: I hereby affirm that I have a certificate or consent to self-insure issued by the Director of Industnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO.EXPIRATION DATE
(Jertincate 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.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
Owner-Builder Declaration: 1 hereby attirm that 1 am exempt trom tne contractors License Law tor tne following reason:
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.).
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:
(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, commencing 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]).
SIGNATURECV W_ r"Y V «v 9^ •». _ DATE
COMPLETE THIS SECTION FOR V:
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?
D YES D 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 D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
D YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued (Sec 3097 U) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLILAN1 ChRllrlCAllON
I certify that I have read the application and state that the above information is correct. 1 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 CTTY OF CARLSBAD AGAINST ALL IJABILITIES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSIIA: An OSHA permit is required for excavations over S'O" 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
buiJdiftgTJrwork autnoriaedby such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
uch permit is suspended orabsqdoned at any time after the work is commenced for a period of 180 days (Section 303 (d) Uniform Building Code).
APPLICANTS SIGNATURE r^? \ /Ts . ~ DATE:
WHITEf File Applicant Finance
PERMIT* CB940878
DESCRIPTION: REMOVE SFD 768 SF
TYPE: DEMO
JOB ADDRESS: 2737 MADISON ST
APPLICANT: ALLEN, BRUCE
CONTRACTOR:
OWNER:
REMARKS: MW/BRUCE/966-1939
SPECIAL INSTRUCT: DEMO
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 08/05/94
STE:
PHONE: 619 966
PHONE:
PHONE:
INSPECTOR
INSPECTOR AREA
PLANCK# CB940878
OCC GRP
CONSTR. TYPE NEW
LOT:
39
TOTAL TIME:
CD LVL DESCRIPTION
92 MI Compliance Investigation
ACT COMMENTS
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS
= METROSCAN PROPERTY
San Diego County
PROFILE =
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OWNERSHIP INFORMATION
Parcel Number:203 102 16 00
Owner :ALLEN BRUCE 0 EST OF
CoOwner :
Site Address :2737 MADISON ST CARLSBAD 92008
Mail Address :2737 MADISON ST CARLSBAD CA 92008
Telephone :Owner 619-729-1903
:Tenant
SALES AND LOAN INFORMATION
Transferred:10/28/90 Loan Amount :
Document # :904597 Lender :
Sale Price : Loan Type :
Deed Type : Interest Rate:
% Owned : Vesting Type :
ASSESSMENT AND TAX INFORMATION
Land :$182,070 Exempt Type :
Structure : Exempt Amount:
Other : Tax Rate Area:09098
Total :$182,070 93-94 Taxes :$2,004.34
% Improved:
PROPERTY DESCRIPTION
Map Grid :1106 E5
Census :Tract 179.00 Block 1
Zoning :5 COMMERCIAL,RESTRICTED
Land Use :511 RES,SINGLE FAMILY RESIDENCE
Sub/Plat :SEASIDE LANDS
Map Number:001722
Legal :SEASIDE LANDS /EXC ST OP/ NWLY 50
:FT OF NELY 203.4 FT OF LOT 37
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* Bedrooms :2
* Bathrooms:1.00
* Pool :NO
PROPERTY CHARACTERISTICS
Units
Garage Space
View
Lot Acres:
Lot SqFt :
YearBuilt:1924
Bldg SqFt:768
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The Information Provided Is Deemed Reliable, But Is Not Guaranteed.
City of Carlsbad
Building Department
OWNER-BUILDER VERIFICATION
Attention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay in
processing and issuing your building permit. No building permit will be issued until this verification is
received. _
1. I personally plan to provide the major labor and materials for construction of the proposed property
improvement (yes or no)
2. I (have/have not) \^\^^J ^ -> 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:
Name
Address ' City
Phone Contractors License No.
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise,
and provide the major work:
Name ___ ^^^__
Address . City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following persons to provide the
work indicated:
Name Address Phone Type of Work
Property Owner
Date: ""
2O75 Las Palmas Drive • Carlsbad, California 92OO9-1576 • (619)438-1161