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Home My WebLink About2753 JEFFERSON ST; ; CB033381; Permit12-05-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Demolition Permit Permit No CB033381 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Occupancy Group # Dwelling Units Bedrooms Project Title 2753 JEFFERSON ST CBAD DEMO Full Demo Y 2031101400 Lot# 0 Reference # 1 Structure Type SFD 1 Bathrooms 10 DALY RES DEMO 300 SF HOME Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 12/05/2003 SB 12/05/2003 12/05/2003 Applicant BILL DALY PO BOX 260 92018 619-977-0600 Owner YATES CHARLES A JR REVOCABLE TRUST 2753 JEFFERSON ST CARLSBAD CA 92008 Building Permit Plumbing Fee Other Fee Additional Fees TOTAL PERMIT FEES $2000 $000 $4000 $000 $6000 Total Fees $60 00 Total Payments To Date $000 Balance Due $6000 0307 12/05 03 0002 03 02 CGP 60=00 Inspect-oft FINAL APPROVAL Date ^ If " *Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition of fees dedications reservations or other exactions hereafter collectively referred to as fees/exactions You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them you must follow the protest procedures set forth in Government Code Section 66020(a) and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack review set aside void or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes nor planning zoning grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 (include FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated B Date rVWdress Bldg/Suite tt)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Proposed Use Name Address City State/Zip Telephone # i3ICOWWACTO~Rf COMPANY NAMJS^ j- ~*u 5 *s*! "?,!>'»*" <* ^ ' »$* ,,j (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 # Address License Class City State/Zip City Business License # Telephone # Designer Name State License tt 6 WORKERS COMPENSATION Address City State/Zip Telephone VjT 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 Q 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) Q 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 ($100 000) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE DATE ,7*y!OWNEH BUILDER DECLARATION *- >- . ~ - <%_ - - I hereby affirm that I am exempt from the Contractor s License Law for the following reasonf^"^~^tS^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 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement O YES flNO 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 wiH 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) " 'ROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR/VO/V/?£S/O£W7Mi BUIL^TNG PERMITS ONLY ,„„ _ f *i|i|fc5iR;~ -^ *'<,"-A jw*J 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 fj NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CD YES O NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? O YES O 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 $«l~ CONSTRUCTION lENDINg AGENCY^ ,r, ' - " _3/ „,„! ~j 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 i" - .,-«"-.,sti **"*" - - fcJHt "^" - ' „»#«"*"*?*- t *** > " -1, > 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 180 days from the date of such permit or if the building or work authorized by sucr/permjjrls suspended or abandoned at any time after the work is commepped forVpejriocLof #Sdays (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE / / / ^WJHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 05/05/2004 Permit* CB033381 Title DALY RES DEMO 300 SF HOME Description Inspector Assignment Type DEMO Sub Type Job Address 2753 JEFFERSON ST Suite Lot 0 Location APPLICANT BILL DALY Owner DALY WILLIAM V&ROSA C Remarks DEMO FINAL Phone 6199770660 Inspector Total Time CD Description 19 Final Structural Act Comrnent Requested By BILL DALEY Entered By CHRISTINE 'To Associated PCRs/CVs Inspection History Date Description Act Insp Comments Scott Burns - 2753 Jefferson St - Demo Permit ~ Page 1 From Lori Rosenstem To Scott Burns Date 11/13/03 3 03PM Subject 2753 Jefferson St - Demo Permit Hi Scott' Please let this email serve as written authorization from Housing and Redevelopment to issue a demolition permit for the existing structure at 2753 Jefferson St The new property owner is currently processing a preliminary review for a new office building The existing single family structure is a nonconformmg use and in substantial disrepair If you have any questions please contact me at 434-2813 Thank you' Lori CC Debbie Fountain, Mike Peterson 12- 5-O3 8 27AM SEMPRA ENe_R<~Y 76O 438 628O # 1 / 2 SDG&E 4940 CARLSADBLVD CAR SBAD CA 92008 facsimile transmittal To BILL DALY Fax 760 729 6888 From TERRY L ZEPEDA Date 12/4/03 Re 2753 JEFFERSON ST CB Pages 2 D Urgent X For Review O Please Comment D Please Reply D Please Recycle GOOD AFTERNOON BILL PLEASE CALL IF YOU HAVE QUESTIONS OR IF YOU REQUIRE ASSISTANCE TERRY L ZEPEDA SERVICE COORDINATOR 7609317309 2- 5-03 8 27AM SEMPRA 76O 438 6280 U H Z O w HHG U UHHH O fa O UcoHHO- co O =PH u HU O IH 1 n o CO J u Hco ZOcotf g=^^aw 2^ SKr-«s OH § en U Pi fioo<s W CO OO CO 3 •<S fc S wSgas!§st Q co QOH