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HomeMy WebLinkAbout2816 HIGHLAND DR; ; CB010141; Permit,Total PaymentiT Date: c$ 0.a0 - - Balance '-, 'Due: \ $30.00 \ ORPO RATED 1952 lrl> ~,b U Lj:~) U PERM ITFE?: $30.00 [$0.00. '$0.00 $30.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06/04/2001 ' Miscellaneous Permit Permit No CB011959 ' Building Inspection Request Line (760) 602-2725 4. - Jti Address: , 2816 HIGHLAND DR CBAD ,.1Permit Type: : MISC... - Subtype: OTHER Status: ISSUED :Parcel No: 1562002500 Lot #: 0 Applied: 06/04/2001 i Valuation $0.00 / Entered By CB -- Reference # Plan Approved 06/04/2001 Issued 06/04/2001 VProjet Title KELLY RES/ DE-MO 11260 SF Inspect Area EXISTING SF UNITFOR FUTURE NEW HOME 4A p Can 07 ' er KELLYSGEORGE T&SAVOY-KELLY LORI KELLY GEORGE T&SAVOY- L :• 94 VIA LA VALLE / 00001 SOLANA BEACH CA 92075 / SOANA BEACH t92075 \ . / ç \ :' '.. Total Fees: $30.00 c: / MisceIanëous Fee #1 Miscelaneous Fee #2 Additional Fees ( .TOTAL PERMIT FEES I FINAL APPROVAL ' Date: ____________ 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 perm 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. SI - - - You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy --. 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 limitations has previously otherwise expired. -S -•-. .. 7 I • -t -' ', .• ,.- •• -•,• ... •' '4- 4 PERMIT APPLICATION s CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO.'O/I EST. VAL. Plan Ck. Deposit Validated By____________________ Date (p4O ,PROJECTINFR 77 tStAJ4 DR\Y 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 . - - Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms - . - -._w.- * 'appilce ------. . •- '. r-4 12...,.,,CONTACT,PERSON (if different from ntl -------- ._,: _--..-- .._- - - Name Address City State/Zip Telephone # Fax # Name Address City State/Zip Telephone # Fame - Address City State/Zip Telephone # b&CTORCQMPNYANAME 77 (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 ($5001). Name Address City State/Zip Telephone # State License # License Class City BusinessLicense # Designer Name Address City . State/Zip Telephone State License # - ............................................ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: C] 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. o 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 l$1001 OR LESS) C] 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!OWNER BUILDERDECLARATION 2 .L I heieby affirm that I am exempt from the Contractor's License Law for the following reason: C3 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). 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: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES []NO ((have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address / phone number / contractors license number): 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): 09f oe* ; work): provide some of hir the follow the work indicated (include name I address / phone number / type PROPERTY OWNER DAT Is the applicant or futur&.bi,i(ng occupant','uired to submit a business plar4"ütely 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 0 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 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. - 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__________________________________________________________ 44, 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 Cits 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 e building Official under the provisions of O®rmorl e shall expire by limitation and become null and void if the building or work authorized by such permit is enced within 180 d e d 0 if the building or work authorized bysuch permit is suspended or abandoned at any time after the wor co or a da s 0 .ull ing Code). APPLICANT'S SIGN . DATE*6 "7; erw lTE: File YEL.OWfAmieeI( PINK: Finance - 4 - - - - - 3 City of Carlsbad Bldg Inspection Request For 06/10/2002 ? Permit# CB011959 Inspector Assignment: Title KELLY RES/ DEMO 1260 SF Description EXISTING SF UNIT FOR FUTURE NEW HOME -f. Type:MISC Sub Type: OTHER * Phone: 7607459799 Job Address: 2816 HIGHLAND DR - Suite: Lot 0 Location: Inspector: APPLICANT KELLY GEORGE T&SAVOY KELLY LORI Owner: KELLY GEORGE T&SAVOY-KELLY LORI Remarks Total Time Requested By JACK Entered By: CHRISTINE CD Description Act Comments 19 Final Structural - Associated PCRs :: -- - - Inspection History ' ,,bate - Description Act insp Comments - 12/10/2001 19 Final Structural NR GG t • - -•.' •- - I • - - -, -I - ( -I- - - • ' •--: - - •. '- - 3-- - - • . .-- * -•- H - ' -: . 5-29-01 1i :53PM; - ;7607397494 # 2/ 2 i SDL LI San Diego Gas & Electnc © © NOI10E OF SERVICE DISCONTINUANCE M IT E DEPARTMENT NTYOF CIYLL l?4lJ WILL BE DISCONTINUED TO 2-YJ b i -1! G 14 LjroAj D U YL (L'Q VLL7r-J ADDRESS BY ALL SERVICE LINES WILL BE REMOVED. ' DATE . THIS BUILDING CAN BE MOVED OR RAZED AFTER THE ABOVE DATE 4 .. San Diego Gas LEJçtjic . BY Th DATE PHONE 7bc_7& - : FORM 1082152 022112)O889 t ,1• - 4 77 - . - •4. - 4_S. • ' 5-29—01 11 532M 7607397494 I - -. San Diego Gas & Electric Company A Sempra Energy Company SDG&E Customer Project Planning Department • Confidential Letter Of Transmittal • - -' -, •• To:'George Kelly Fax 760 745-8657 From Diane Rodriguez Date 05/29/01 ) - • Phone (760) 480-7620 FaX (760) 739-7494 Re 2816 Highland Dr Carlsbad Pages 2 ' - CC: [Click here and type name] 0 Urgent x For Review 0 Please Comment 0 Pteaseply 0 Please Recycle -..- •4_ Subject 2816 H.ighland Dr, Cartabad ' DPSS: 135513 • $ I Hello Mr Kelly. Hem is your notice of discontinuance if I can be offui1iwass,stance please give me a call. - 4'• 1 • ! (' # 1/ 2 ' This message is intended only for the individual or entity to whoni it is addressed, and may contain information that is privileged and/or confidential. Receipt by an unintended recipient does not oastiIvIe a waiver of any applicable privilege. Reading, disclosure, discussion, disseminntixt, # otho ,-J i4,i *iry kØ hv th, nvi Piil?* Nr hQIh-r w , ui.vø i g4ip uhii- If hwt rn'swad iic rnrnmnnu'.ni inn in t'.rrnr nlinsn cnntni ns 1w it-AmUnnr. and re-.hwn tns in os vin 176n.nnisl 1 14 r - ,,.- •1- ' - -•,• - i .- Citv 'of Carlsbad DEMOLITION PERMIT REQUIREMENTS A demolition permit may only be issued to the owner of the property or - the State Licensed Contractor that is doing the work. The contractor must provide use wi th a letter, signed and dated by the property owner, giving permission for the building to be demolished. 0 The fee.for a demolition permit is $30.00. The attached Demolition Asbestos Certification application must be completed, signed and have * ' - the correct square footage of the structure being demolished, as well as - Ht's use. tl •_* l!( Applicant must provide a lettr from San Diego Gas and Electric stating that the utilities have been disconnected. I Arrange for appropriate Water Authority to remove water meter unless construction of replacement structure is to begin shortly. Contact the Planning Department at (760) 602-4625 or 602-4629 to determine if the structure is in the Redevelopment, area, if it is in the Coastal Zone, or if it is on the list of Carlsbad Historic Sites 0 Contact the Engineering Department at (760) 602-2775 or 602-2741 to -' determine if a Haul Route or Right-of-Way Permit is required VNotifY the Fire Department at (760) 602-4660 to see if they need the use of the building for training purposes i:\word\forms\building\demolition permit requirements.doc ' REV August 9, 2000 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 602-2700 FAX (760) 602-8560 a ofiv CA £IfO9. City of Carlsbad DEMOLITION ASBESTOS CERTIFICATION ADDRESS: 41 LE1,NOD Dt2 USE OF BUILDING TO BE DEMOLISHED:'1tAtE.. rAM1(VI/ cm ov SQUARE FEET— j X NUMBER OF STORIES 0t44€. V , VPROPERTY OWNE ADDRESS c94 V APPLICANT: ADDRESS: PHONE Section 19827.5 of California Health and Safety Code states in part: V "A demolition permit shall not be issued by any city ...as to any building or other V 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 UnitedStates Environmental Protection Agency or to a designated state agency, or both, V 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." V - 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: - V ( ) On the attached pages are copies of all written asbestos notifications - -. V 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 V -: - • Code of Federal Regulations, or successor to that part. V • V V (Ll d dare that the written asbestos notification is not applicable to the scheduled • d olition project. V V V Z.4 /0J_ :\word\Iorms\buiIdingdemoIition permit requirements.doc REV August 9, 2000 'j-. 1635 Faraday Avenue • Carlsbad CA 92008-7314 • (760) 602-2700.FAX (760) 602-8560