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Home My WebLink About2578 ROOSEVELT ST; ; CB022281; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-07-2002 Demolition Permit Permit No: cso222a1 Building Inspection Request Line (760) 602-2725 Job Address: 2578 ROOSEVELT ST CBAD Permit Type: DEMO Full Demo: Y Status: Parcel No: 2031023300 Lot#: 0 Applied: Entered By: Occupancy Group: # Dwelling Units: Reference #: Plan Approved: 1 Structure Type: SFD Bedrooms: 0 Bathrooms: O Project Title: SOTO RES-DEMO HOUSE GAR. SHED Applicant: SOTO VERA A TRUST 985 OAK ST CARLSBAD CA 92008 Owner: SOTO VERA A TRUST 985OAK ST CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 08/07/2002 SB 08/07/2002 08/07/2002 Total Fees: $60.00 Total Payments To Date: $0.00 Balance Due: Building Permit Plumbing Fee Other Fee Additional Fees TOTAL PERMIT FEES $20.00 $10.00 $30.00 $0.00 $60.00 FINAL Date: Clearance: $60.00 roval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively ions." ave 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must ures s orth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in a oance 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 ccnnection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with t~is project. NOR_ DOES IT Af'.PLY to_ any FOR OFFICE USE ONLY ~ERMIT APPJ,.ICATION PLAN CHECK NO.C,~c?Z.·z:z..9l CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit <.'.A Validated By ___ ,--_~.,...,~---- Date S,:-7-OZ. Address (include Bldg/Suite #) Business Name (at this address) Lot No. Subdivision Name/Number Total # of units Existing Use /pe:,. SO. FT. #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fax# [i~ .:4e!iY!Q~NJ: Name State/Zip Telephone# Name Address ,,,_,_,_......, City State/Zip Telephone# PN1M¢l§li''"'@Mi!Nfv.[N~E~~Ji:'¢'~~.;'.~f.. T.~~~~...};ZiG,. ~~~.W~~;S""~ (Sec. 7031.6 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 ($5001). U~M.Ur'\'\ M!OO tN."o--ri ..:z::nc., $2'!:;m11-~yh,rf klu& Surk.✓-Sl\ CA C/~II( f'ST-5's,o~o1-i,1;; Name Address City State/Zip Telephone # State License # ClA 'if02.'52-I License Class e 2-l City Business License# _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ le.';f'&OR,K-Eiis.rtoMPE~s~iJ,ON ~"'"'~ •· ·~11.JM~'• ~, Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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 -~e work for which this permit is issued. _}iil 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: t Insurance Company 'S TIT£ Fund Policy No. I (p 7 7;7 s ~ :z Expiration Date ol _a ' IO 3 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS! 0 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: Fallure to secure workers' compensation coverage la unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars ($100,00 ddl to the coat of compensation, damages as provided for In Section 3706 of the Lab cod , interest and attorney's fees. SIGNATURE~;::;;;;;:,:;~"f!.;.-:zj,f;;J,-;:f;;?;;;:.;,=::;;;~~w::;;:,:;;;;:~;;;,;;;;;;;;;,;;;;;;;;;;;;,;;:.;;;;;;;;;;;;,;;;;;;;";;;::;;;;;,;;; DATE \:( ~?her;~~i~~t~~f;~~ -pt~~~~t~e c~~;~~;~::~~[~~~~t?~t• .. ;~;;;·;;:•~·•ti},;;i},}~}13:.~!:;!;;:,:;;;-;;;~:;;;;~~?'~~•~~~ I O I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure 1s 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( 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). 0 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. 0 YES ~O 2. I have not) signed an application for a building permit for the proposed work. . g,-g_ S3C>-:;) (\ 7 J. CA. li<:,,'# 80.}fd \ 3. contracted with the following person (firm) to provide the proposed con truction (include name / addre s / phone number / contractors license number): ' • ' ' -0 :\... • 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (inc ude 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):. __________ -a--...,,.---A---,H-------::;;,------------::--------r--+--=------------1)\_ PROPERTY OWNER SIGN.ATURE ..!::::.l(ll..~'.f.-J.~~=~b--<e::....-.,Lµ.ti...!:S.!:µ_!~-1.:1.U......!.<~~L..J. l!=QM.e..~m...-u:!1uEci i9 NJ.QlfaY];) -!J \ Is the applicant or future bui'lding occu nt required to s mit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26505, 25533 or 25534 of the resley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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. ra: .~QN-~:fiiG¢:ri<>:N.Le1'D1NG M~ijcv;.:;. , .. 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). 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 Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 wi In 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 co c or eriod of 1 ys (Sectjon 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE (...~~~::::_-~~L-~~~:::'.:=~-----------DATE _7_,/_,,/--'q,.._/4=--C: ___ _ WHITE: File Y!:LLOW: A9plicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 01/07/2003 Permit# CB022281 Title: SOTO RES-DEMO HOUSE GAR. SHED Description: Type: DEMO Sub Type: Job Address: 2578 ROOSEVELT ST Suite: Lot Location: APPLICANT SOTO VERA A TRUST Owner: SOTO VERA A TRUST 0 Remarks: CALL TOM IF THERE ARE ANY PROBLEMS Total Time: CD Description Act Comment Inspector Assignment: RF --- Phone: 7607294629 lnspectoJL-~ Requested By: TOM SOTO Entered By: CHRISITNE 19 Final Structural __;!J:{:!_ T/,if,4L -,N'o .ZA/Sffe--no.,.,, c.~O On f,-77!;.., Associated PCRs/CVs Inspection History Date Description 08/20/2002 22 Sewer/Water Service 08/20/2002 24 Rough/Topout Act lnsp Comments AP RF SEWER CAPPED. APPROX. 45FT FRM CURB/30FT RIGHT FENCE WC RF .e,rt By: KELLEY GRAPHICS 7604345830; Jul-30-02 11 :54AM; 07-09-20'02 Cu:;itomer Account Service Cyc/Rte/Walk: NetCodeWtr: wer.Mtrtoc , Warning "?>CITY OF CARLSBAI) CUS.TOMER SERVI Ci 0 1001200-03 VACANT 2518 ROOSEVELT ST cr.RLSBAD CARLSBAD 2 10. 130 Note: SEE SCH NOTES/ 0 0 RD ll R CA Lot/J?lan Keys : Page 2/4 Order Code caller Created By Call Statu$ TUR.NOF-MOVB OUT TURN OFF METER TOM SOTO No: 28S00 Sch.D~07-09-2002 Priority • zjohn on 07-08-2U02 lG:41 Phone : 760-729-4629 S SCHEDULED ----------WATSR READS---------- MtrNo MtrMl~ Dial Flow 0034 759730 l, 0 SKIP ONE 4 Hi current: Last: ----------SCHEOOLED NOTES---------- ~~~+;.---~ PROPBRTY TO BE DEM6LISHBO/PER DEBBIE FOtlNTAIN/WATER METER NElWSTO BB REMOVED/PL.EASE CALL TOM SOTO -OWNER OF PROP Ill' ANT QOl!S.-r!ONS ·TURNED ON TURNED OFF ALREADY ON LOCKED O:e'F METER RONNING -OFF AT HA,.'IDLE VALVE -!,.EFT NOTICE ) METER RUNNING -OFF AT SERVtCE VALVE -LEFT NOTICE ) LEFT 24 BOOR NOTICE VERIFY METER# -'. City of. CarJsbclg ----------NEW CUSTOMER Joan E. Wrobleski-Olan Cu•-.omer Service NAME,.,... ...... ._,....,..,..,----------------MAILING ADbREss.______________ (780J -420 _MX..;..;;·.:..(780).;.· ;;;;..;"°_a_._es_s_3 _________ _ PHONB # ,.,...,...,.....-,,.-----16311 F'1lnlday Avanu• SOCIAL SEeOklTY i -~-..-----------e.,.ot:>od. ea,11.,,,.;a 92008-731• OWNER ( ) TEW\NT ( ] · -.·~~. ~~:yz?.··· ... , ....... ·1. NOTB~·~€fo~i'Aw.E .. Page:l . --•~Semp,afller&)'· .. _,, NOTICE OF SERVICE DISCONTINUANCE ~DEPARTMENT ~COUNTYOF ~A~ ELF.CIJI.I~ GAS SERVICE WILL BE 0{5C()t,"f!NUEO TO 'Z:S'lB eM':>f\.,'~-1.:r .s, Aooal!SS BY 7-l-'1,.,[YL --~--AU. Sl'..RVICE LINES WILL BE REMOVED DATI! THIS BUJLDlNG CAN BE MOVED OR RAZED AfIER THE ABOVE. DATE San Diego Oas & l!leottic BY &\~LE t:Jc; De DATE 7,..zq .• u -z_ PHONE 7uD ,-,:, 1 1.,!ID4 FOIN Jlll-flllRO:tlll)IIOll ---· "' '!' ;.. 0, '< "" m r r m -< .. "' CD . l> . ,, 'I ,: H 0 • (J) y, .... ' ' ' ...., 0, 0 ... ~ "' "' "' 0 '-" ,_, "' 0 0 .. .., --~ ' "' .... .:-- ~ ,, " ""' ., ... -.. 08/07/02 09:09 FAX 6602845 ~ 0021002 .. ~ _(. TEMPOR ' WORKSITE NOTIFICATION FOR AS£ TOS anchiETHYLENEDIANILINE-RELATED WORk"'"' l'?= ~,,.'f.' (N 'CJ. ----.Jl.!:d) JOB #02102 DATE: 7130102 ------ COMPANY/EMPLOYER NAME: CARNEVALES CONSTRUCTION MANAGEMENT, INC HEADQUARTERS ADDRESS: 3706 S. CORDOBA AYE. SPRING VALLEY, CA 91977 CONTRACTORS STATE LICENSE BOARD LICENSE NUMBER: ___ 118254=;.;;..9 __ _ DOSH-OCCU(CAL/OSHA)* ASBESTOS REGISTRATION NUMBER: __ 543 __ _ and/or "REPORT OF USE" REGISTRY NUMBER: .:.:Nl;;.;A;,__. ____________ _ OWNERS NAME AND ADDRESS OF TEMPORARY WORKSITE and PRECISE LOCATION: Tom Soto, 2578 Roosevelt St., Carlebad, CA. 92008 NEAREST INTERSECTION: _La_,g..._u ___ n_a_D ___ r. ____________ _ TYPE OF BUSINESS: Residence *NAME OF CERTIFIED SUP""E"""RVI_S __ o"""R-: ___ Mi_4'R_TI_N_IIANZ __ o _________ _ *NAME OF QUALIFIED PERSON IN CHARGE OF AIR MONITORING, LABORATORY WORK, AND RESPIRATORS: MARTIN IIANZO NAME OF CERTIFIED CONSULTANT: H.M. PITT LABS PROJECTED START DATE: 8/6I02------"""'""--'-'~----------- PROJECTED COMPLETION DATE: 817#02 DESCRIBE TYPE, SCOPE AND WORK PRACT=1-=c=Es=-=o=F..,.JO"'B""':--=Re=--1110¥-e-■-~--xlm-::--a-,-tety~- 332 s/f of sheef vinyl, 841 s/f of drywall, 9 s/f of roof mastic, 10 llf of transltevent pipe, and 180 1/f of window putty. EVALUATION OF POTENTIAL EXPOSURE: LOW POTENTIAL FOR EXPOSURE ESTIMATED NUMBER OF EMPLOYEES ON THIS JOB: 3 ACCORDING TO TITLE 8 CCR SECTIONS 341.9 AND 1529 r -for ASBESTOS AND 5200p for MDA. PLEASE SEND THIS COMPLETED NOTICE TO THE NEAREST DISTRICT COMPLIANCE OFFICE (SEE ATTACHED LISTING), NOT TO DOSH - HEADQUARTERS OR TH DOSH CONSULTATION, PRIOR TO COMMENCEMENT OF ANY SUCH WORK ACTIVITY. NOTE: ANY CHANGE IN THE INFORMATION PROVIDED TO THE DISTRICT OFFICE BY THE WRITTEN NOTICE SHALL BE REPORTED TO THE DISTRICT OFFICE WITHIN 24 HOURS OF SUCH CHANGE. • the •-•boslal lf'<lUlrY only CALJOSHA 1838 MAY 1983 DEMOLITION ASBESTOS CERTIFICATION ADDRESS: _________________________ _ us E OF Bu I L DING TO BE DEMO LI s HE D: _,,.,...5'-'-i -'--i~'-\-'=C,---'~~5\~tl\->-L'iLL\ i'I-+/ _,Q->--'c..._,s~· 1,_,,c)c....e=l\w.Y...c;l 'i"--\,____ SQUARE FEET / 1 0 0 Cl .'S \= X NUMBER OF STORIES ---+---- PROPERTY OWNER: _\_,/..,.e_,r_,·c_"--S""-""'c;-_,,'-'O~ _____________ _ ADDRESS: ).t;7 &. D-ooSc,vt\'T. Ccs \ S'nccl Cf'-. • <tm PHONE zw-7 dq-/ 7 .)~ APPLICANT: N\a xi (1\urJ\ , D eID o \·,Tio"' '-y'\ c . -~~~~-E-~~=----(5'9_ )_ 0iu:31\l:\ \ fo \I\_?)) vcl5v11u PHONE __ 2)8-5 SD-,)"\ 7J_ 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 -L-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. ( ) I declare that the written asbestos notification is not applicable to the scheduled demolition project. olition permit requirements.doc REV July 26, 2001 Date Company No. ___ _ Please Print City of Carlsbad Engineering Department HAUL ROUTE PERMIT ll tt-0 z,,. I c Permit No.{\ Phone Number: Company Name: ~a.)( j ((\v l'f\ l}ema1iiio II Toe , Address: SS'IS:: t-'\c..~I\Wol\ ~[. s .... ,,~ 3". 24-HRPhoneNo.: Gt7-44"\-~4G City, State: Export Project# -'1.=-------- lmport Project # Zip: · 9 '.4 \ \ \ Contact Person: SiteAddress: ::>vx: RooSeuc\T Site Address: Planchecker: _________ Inspector: Material to be hauled: De rt:,o \',,;c," \)tn r\ s Dates From: ~ /q To: 8 / / d Quantity: ___ No. of Trucks Hauling: 6"' Type of Trucks: i1w .i H',~\.-S i r) ( 4o '(d , E. {\d du 11\ ~s _,_,_ __ Tractor No.: License Plate: Origin: ':)57J Roo$ev(?\t · # # Thomas Brothers: __.)_,\...,,o::;...G=· '---'=£.~---'-S""---- Route through Carlsbad: So vTh C>f\ \/\\\r..~t br . -C, (\ # ______ _ # ----- # # Destination: __.t'\,....._i~t~c,,~N\~c,,..(~-L=c~c ... d'"'E._._i .._\\..._ __ Thomas Brothers: -+f-..d....,.d._j.....__-4B_,_-_7+--- Ri,o Sr 11dI: Eas.T or-. Ca.r\C..bc.J r-s • HAULING OF MATERIALS OR EQUIPMENT ON SATURDAY, SUNDAY, OR CITY HOLIDAY PROHIBITED. • HOURS ARE RESTRICTED TO 7:00 AM TO 4:00 PM. UNLESS OTHERWISE NOTED. • THE CITY RESERVES THE RIGHT TO REVOKE OR CHANGE THIS HAUL ROUTE AT ANY TIME. , HAUL ROUTES ARE TO BE KEPT CLEAN AT ALL TIMES. FAILURE TO DO SO WILL BE CAUSE FOR REVOCATION OF THIS PERMIT. • APPLICANT SHALL DELIVER ONE APPROVED COPY OF THIS PERMIT TO THE CARLSBAD POLICE DEPARTMENT AT 2560 ORION WAY, AND ASSURE THAT ONE APPROVED COPY 15 IN EACH TRUCK ASSIGNED TO THE HAUL ONE APPROVED COPY SHALL REMAIN AT THE SITE(S). • PERMITTEE SHALL INDEMNIFY, HOLD HARMLESS, AND DEFEND THE CITY OF CARLSBAD OR ITS OFFICERS OR EMPLOYEES FROM ALL CLAIMS, DAMAGE OR LIABILITY TO PERSONS OR PROPERTY ARISING FROM OR CAUSED BY ANY ACTIVITY OR WORK DONE PURSUANT TO THIS PERMIT UNLESS THE DAMAGE OR LIABILITY WAS CAUSED BY ANY ACTIVITY OR WORK DONE PURSUANT TO THIS PERMIT UNLESS THE DAMAGE OR LIABILITY WAS CAUSED BY THE SOLE ACTIVE NEGLIGENCE OF THE CITY OR ITS OFFICERS OR EMPLOYEES. APPLICANT'S SIGNATURE ADDITIONAL CONDITIONS: APPROVED BY: -+--..:.+-------------- TENS 10 N APPR BY: DATE DATE_...:::....L....L~---- DATE SEE REVERSE SIDE FOR SUBMITTAL REQUIREMENTS V\fNG\WOAO',[)OCSMSfORMS'tillJ RIMll:e Per1N1 FRM00089.doc