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Home My WebLink About155 SYCAMORE AVE; ; CB050149; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-18-2005 Miscellaneous Permit Permit No: CB050149 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 155 SYCAMORE AV CBAD MISC 2041220300 $0.00 Subtype: OTHER Loi#: 0 Project Tit ~~ RES-DE EXIST GARAGE IN PLAN CHECK ./ / PREP FOR NEW GARA f ppl,cant: Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/18/2005 RMA 01/18/2005 01/18/2005 JOHN WALTERS & ASSOCIATES TOWNSEND RAYMOND J LIVING TRUST 03-15-04 2613 SILVER CLOUD DR 6948 CLEARWAT 92009 PARK CITY UT 84060 7608 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $60.00 Total Payments To Dale: $0.00 Balance Due: FINAL APPROVAL Inspector: Date: Clearance: $60.00 $0.00 $0.00 $60.00 $60.00 NOTICE: Please take NOTICE that a6proval ot your project includes the "Imposition'' ot fees, dedications, reservations, or other exactions herealter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these lees/exactions. 11 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 tees/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 voI1 have oreviouslv been oiven a NOTICE similar to this or as to which the statute of limitations has nreviouslI1 othen~Iise exnired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. WO ){~' / L/ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. D. eposit ~ ~ Validated ! ,if:± Date / f-if[tJS Pf_mf":CT INFORMA]'.ION 15 si/CtlfoioCt Address (include Bldg/Suite #) Business Name {at this address) Legal Description Lot No, Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use \Jqescription of Work SQ. FT. " P{311<.0 {,tli'.tk,( I f'rZaApmotJ F(I?. 11?-' 4()0,nD-V #of Stories ,._ ) # of Bedrooms # of Bathrooms I, <)4',/ {_, 1trtrl6<=. 2: CONJAe'I: PJ:~SON-(lf dlff1;1rent from applicant) Name Address City State/Zip Telephone# Fax# 3,. AfJPL]CANT O Contra,otor □-Agent for Contractor D Owner D Agent for 0-wner Name Address City State/Zip Telephone# '-f 4' _· P~~",?~a:if,~v';L0-12> Name Address City State/Zip Telephone# '_5; · CONTRACTOR-,,COMl!ANY NAM!;• {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]). ,J6 td'rJ [ ;).tfrt--{El15' ~¼'.' ;;<L u'14 if CiD'l7/'<-{.,fff/l. -,( ,·,¼2-l,;f'>l"O 7W. 1.1 '-{-1 '+2.'t Name Address City State/Zip Telephone # State License # ~ 2 ~iO Z License Class (?: --I City Business license # / 211 t./: S--i-- Designer Name Address City State/Zip Telephone "State License # _________ _ 6. WOR~Eas: COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. D 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 comp?nsation insurance carrier and policy number are: _ .C. j A Insurance Company b fPri:'E: .,=Jtv_D VPolicyNo. J..;i_?( I "';l...,explrationDate i-/-0(;,. ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HliNbRED DOLLARS ($100J 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: Failure to II cure workerln ~:~~:n::~ge 111 unlawful, and shall subject an employer to criminal panaltles and civil fines up to one hundred X~~~~=~~::11••• 1$100 .. . . . n •~•~ . en,etion, damage,•• p,ovided to, in Sectioi:6T:f thetb;f~••t•••st and ottomey's foes. 7, OWIIIER,8UILDER.OEG!iARATIOIII J hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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). 0 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 contractorfs) 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. D YES ONO 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 / tvPe of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ ;cOMPLETET~IS SECTION FOR NON-RESIDENT/AL 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? 0 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? 0 YES O NO ls 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. ,S; CON~TRI/CTION· L.ENl>ING AGENCY 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 __________________________ _ $_; .APPLICANl' CERTlflCATIOIII I certify that l 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 AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO 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 O ici I 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 commence/j within 1 s fro e 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 commenc io of ct1on 106 4.4 Umform Bu1ld1ng Code) . // _ YPLICAl,T'S SIGNATURE --"'-"--p,L,..L.....jL.C'-""-----.....:...--------j DATE / -tit) :s WHITE: File YELLOW: Applicant PINK: Finance~ City of Carlsbad Bldg Inspection Request For: 06/20/2005 Permit# CB050149 Title: TOWNSEND RES-DEMO EXIST GARAGE Description: PREP FOR NEW GARAGE IN PLAN CHECK Type: MISC Sub Type: OTHER Job Address: Suite: Location: 155 SYCAMORE AV Lot 0 APPLICANT JOHN WALTERS & ASSOCIATES Owner: OSTERHAUS JANET LIVING TRUST 03-15-04 Remarks: Total Time: CD Description Act Comment 19 Final Structural Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7602141424 Inspector: ---- Requested By: JOHN Entered By: CHRISTINE 18584527717 !)Os EDSON PAGE 01 DEMOLITION ASBESTOS CERTIFICATION ADDRESS: ,· 5~ 5 Y c 117"'e.>t1 f sr, USE OF BUILDING TO BE DEMOLISHED: __.y.., . .,ltf__, ___ A-l,.,. . ..,6;.._ ______ _ SQUARE FEET __ zb ______ X NUMBER OF STORIES _..,_/ __ _ PROPERTY OWNER: f:: IV-/ rfW.J;<;ey I,) ADDRESS: 1/TTYl t; APPLICANT: ..Jl> /ft,/ Wm. 11::l S ADDRESS: &,") l.(g CLfl\-olw.,,n:-1\. ,;-, tMIL~fzl'\'<) PHONE ·7t.o -z, 1'-1-/¥-1.-'f- Seclion 19827.f of California Health and Safety Code 1tatn in part: "A demolition permit ehaU not be leaued by any city •.. a1 to any building or other structure except upon receipt from tile permit appllc1nt of a copy of each written 11beato1 notification regarding tile building that ha• been required to be submitted to the United Stat&• Environmental Protection Agency or to a deaignabtd 1tabt agency, or both, pureu1nt to Part 61 of Title 40 of the Code of Federal Regulatione, or the 1ucceaaor to that part. The permit may be lsaued without the applicant 1ubmlttlng a copy of the written notification If the applicant declares that the notific1tlon le not applicable to the scheduled demolltlon project." Al, applicant for a demolition permit in th• City of Carlabad, 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 le tr~ and correct; and I further certify the following: ( ) On the attached _ P•V-are copiee of all wrtu.n aebeelol notification• regarding the above referenced bullding that are required to be eubmltted lo the United Statae Environmental Prot.clion Agency or lo Part 81 of Title 40 of the Coda of Federal Regulation■, or ■ucceuor to that part. (Xj I declare that the written a1buto1 notification 11 not applicable to the scheduled demolltlon project. ~ I -I~ -o \ Appllcanfa Signature Date n;lwom\flonl counter "-ndoulalde-• ponnlt ""'.....,,.nla.doc ~EV Aprti 1t, 2004