HomeMy WebLinkAbout1050 GRAND AVE; ; CB011322; Permitc;
04/09/2001
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Demolition Permit Permit No:CB011322
Building inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1050 GRAND AVCBAD
DEMO Full Demo:
Lot#:0
Reference #:
1 Structure Type: SFD
2 Bathrooms: 1
DEMO-FUTURE EXTENDED STAY AM
Status:
Applied:
Entered By:
Plan Appro
Inspect Area:
ISSUED
04/09/2001
CB
04/09/2001 01
COP
02
30.00
Applicant:
ESASERVICESINC
SUITE 310
2525 CHERRY AV
SIGNAL HILL CA 90806
981-5885
Total Fees:Payments To Oalk $0.00 Balance DUB: $30.00
Building Permit
Plumbing Fee
Other Fee
Additional Fees
TOTAL PERMIT FI
$2aposio.oa
$0.00
$0.00
$30.00
FINAL APPROVAL
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(3}, 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 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.
PERMIT APPLICATIONCITY OF CARLSBAD1635 Faraday Ave., Carlsbad, CA2Q08 FOR OFFICE USE ONLYPLAN CHECKEST. VAL.Plan Ck. DepositValidatedDateAddress (Include Bldg/Sutte *)Business Name (at this address)Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total * of untoAssessor's Parcel o Existing Use Proposed UssDescription of Work SQ. FT.#of Storiss # of Bedrooms # of Bathrooms
Name Telephone f Fax*
Name City Stata/ZIp Telephone #
(Sec. 7031.6 Businesa and Professions Coda: Any Crty 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 tn« he is licensed pursuant to tha provisions of the Contractor's License Law
[Chapter 9, commanding with Section 7000 of Division 3 of the Business and Professions Code) or that ha Is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicantfor* permft subjects the applicant to a civil penalty of not more than five hundred dollars 1*6001).
Name Address '
State Ucanaa # License Class
• City Stats/Zip Telephone*
Cttv Business License #
Designer Name Address
State License #
City State/Zip Telephone
Workers' Compensation Declaration; I hereby nffirnv 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 tha performance
of the workfw which this permit is issued* •: 'tf ","••-•.. • •. ?, ;,.'•., -=,nr - • .
0 I have and will maintain workers' compensation, .•* raquired,by.Secti<|n!,3700..o* the Labor Code, for the pert ormanee of the work for which this permit is
issued. My worker's compensation insurance carrie* and poKeyminibw.w: ,••••;. •>•• -*:.•
Inauranca Company __ _ . _ ...'...' _ Policy No. _ . _ Expiration Date_^ _
(THIS SECTION HEED NOT BE COMPUTED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS t * 100] OR LESS)
Q CERTIFICATE OF EXEMPTION: f certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so ss
to become subject to the Workers' Compensation Laws of California.
WARNING: Faiure to secure workers' compensation jcovsraa* tt unlawful, and snatt subject an employer to erimhiaJ penalties and chril fine* up to one hundred
thousand doflars (4100,000), hi addftfen to the. cost of compensation, damagaaaapjrowWadfor In Section 3706 of tha Udbor code, k^
SIGNATURE _ ; _ ^ _ - . ' DATE __
1 hereby affirm that I am exempt from the Contractor's License Law for the: following reason;
Q I, as owner of the property or my employees with wages-as their sola compensation, will do the work and the structure is not intended or offered for sals
(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 hot intended or offered for sale. If, however, tha building or improvement is
sold within one yasr of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
K I, as owner of the property, am exclusively contracting with licensed contractors to construct tha protect (Sec. 7044, Business and Professions Code: The
Contractor's License Law does hot apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor^ licensed
pursuant to tha Contractor's License Lew). ,_-..•
O I am exempt under Section . _ _ Business and Professions Coda for this reason:
NO1 . li personally plan to provide the major labor and material* for construction of the proposed property Improvement. Q YES
2. (Tjhaw/ have not) signed an application for a building permit for trw proposed work, '
3. I have contracted with the following person- (firm* to proylde ; the iprpdos^d, construction, (include name- / address / phone number / contractors license number):~
4. I plan to provide portions of the work, but 1 have hired the following
number / contractors license number):' 1T£? fe-*eV al
rdirtatt, supervise and provide the major work (Include name / address / phone
6. I will provide some of the work, but I havecontracted (WredLthaJpilowlnfl persons to provide the work indicated {include name / address / phone number / type
of work): ~T& A-fc--. .fit* T^T** r'xix<£-<£-
PROPERTY OWNER SIGNATURE DATE
Is tha applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management end prevention
program under Sections 26 505, 25533 or 25834 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO
la tha applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES O NO
Is the facility to be constructed within 1,000 feat of the outer boundary of a school site? Q YES Q 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
I certify that I have read the application and stats that the above information la correct and that the Information on the plans is accurate. 1 agree to comply with ill
City ordinances and State laws relating to building construction. I hereby authorize representatives of the CttV 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 such permit Is suspended or abandoned
at any time after the work is commenced for a period of ISOtaifs {Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE
WHITE: File ' YELLOW: Applicant PINK: Finance
. -13/OJ 09:03 tfttO 431 1001
March 15,2001
C*RW»AD TO 10002/005
Citv of Carlsbad
Opt: ration1-
1133 Columbia St SutolOS
92101
T» Wbocn ft Mqy Coiwem:
LagttDr. / W M and MB end of Onod AM / WW. Paiwl 2OH5- lotv 1 5,18^0,
34VT1» companding a^oMnunftm art
JLCCOUWTMO
9C220IWM
1103300-03
1101400413
U 03300-01
lOSOOnndAvi.
1026 &nnd Aim.
1091 Ujna» fir.
lOOOlifuatDr.
If 1 can be of my ftirthci msnne* ooaocrnfaiwKer mew*,plettt*W&wtoe»UBW*t
9MO mt Cwntna MMI » CwtetMd. G* gimog MM * (TWO 4M*m * WOC (790) 491-1001 $
FROM : ESfilNC FRX NO. : 8586131495 Mar. 27 2001 09:43flM PI
; ft :r. CO*tl C
Post-It* Fax Note 7671 Datt/
From
CoJOept.Co.
Phone *ISflFix*
Ul
Q
Ul
COa.O
s
Cft
4
cfl
O U)
O *2
Q
2
$ &
fl
e
FROM : ESfll
nsv kn •FflX NO. •.. i_.* i I_M i i.i\i M-
431 it 01
Mar. 15 2001 li:54flM PI. j. ,,„,, n. .4 _bia cJr ulai p. g
CARLSBAD NWD Qvoi/ooa
Public Works
5950 El Camino Heat. Carlabad. CA 92008
(760) 438-2722
FAX; (7«0) 431-1 601
Pleas* deliver th« fcBoMrfng pagM to the appropriate pw*on betgw:
Thl» mosMQ* is boino MM from thft CnrtebK* Public Wariw Dvpartmvni try
A total of *? PMQBC «r» b«)ng iranvmmvd, Inducflng the tmnernfttal ahoot.
If you do not raoaivt atf or tn« pagaa. plaoM Oftll tha number above.
Po»MP Fax Note 7671
To
PTIOM*
LL
Co.
Phonoi
/*
FfiX NO. : B586131495
mro
Mar. 15 2001 li:55flM P3
p.4
MAR. 5.2001 3=30PM MCG ARCHITECTURE NO.687 P. 1/2
meg architecture
FAXTRANSMITTAL
D4TE March 5, 2001
TO ManO'Shea
FHON Juan Vazquez
Project Manager
(lEBAROIIE Carlsbad, CAB$A #8831
MOO Project No. 00.594.01
NIL OF PAflES 2 (including cover page)
TO FOLLOW
REMARKS
BSA Management, Inc.562.997.0165
Dear Mate,
Per my conversation with The City of Carlsbad, regarding the demolition permit their
answer to the last 3 questions are as follows:
Ql. Contact che planing Department tc 760,602,4625 or 602.4629 to determine if the
structure is in Redevelopment area, if it is in the Coastal Zone, or if it is on the list of
Carlsbad Historical Sites.
Al. Per my conversation with Paul Godwin of The CJey of Carlsbad, we do not meet any
of the items list in "Ql".
Q2. Contact the Engineering Department at 760.602.2775 or 602.2741 to determine if a
Haul Route or Right of Way Permit is required.
A2. Per my conversation with Joanne Juchniewicz of The City of Carlsbad, there is no fee
for Haul Route or Right of Way Permit. Also, no need of a permit if you are not '
blocking the right of way, or you are using the public roads, but it is better to have
one on file, incase the public or police men have any questions.
Q3, Notify the Fire Department at 760.602.4660 to see if they need the use of the
building for training purposes.
A3. Per my conversation with Ray Valensuela (760.931.2123)at The City of Carlsbad they
would like to take this opportunity to use this site for training. Tomorrow Tuesday,
Much 6,2001, he will go to die site and call me with his decision. Prior to the
demolition, if he accepts the project he will need a letter indicating that che asbestos
<D B2fi.7B3.em CD 6^796,9295 2PO M ta RoMftf Jvfiftft SuttB 300 fiA 91101
4MUUU* Jftta OH*
MflR. 5.2001 3I30PM MCG fiRCHITECTURE NO. 687 P. 2/2
FaxTraiumitcal
Carlsbad, QABSA #8831
March 5. 2001
Page 2
has been removed.
Please call if you have any questions.
cc BUI Knetge, BSA via fax 954.713.1655
Wallace Wong, MOO Pasadena
reo-wy-wi w^.^upm from 562 99/ Wltib -» KRAZAN CORONA page 3
FEB-09-2001 QS:24PM FROIKXTENDED STAY AMERICA 552-887-0165 T-1« P.003/003 F-724
Citv of Carlsbad
Hu iiciinrj D*-|>.i i tniti-ii I
DEMOLITION ASBESTOS CERTIFICATION
ADDRESS: 1050 Grand Avenue, Carlsbad, Cft 92008
USE OF BUILDING TO BE DEMOLISHED: Single-family Residential
SQUARE FEET VQOQ X NUMBER OF STORIES , 1
PROPERTY OWNER; Sandor W. Shaperv _
ADDRESS: 1133 Columbia St, #105. San Diego. CA92101PHONE 619/293-4700
APPLICANT: Mr. Matt O'Shea
ADDRESS; 2525 Cherry Ave. #310. Signal m?_ir PA908%*QME 562/981-5680
Section 198273 of California Health and Safety Code states in parti
"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 of 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 19&27.5 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:
(x) On the attached _1_ 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.
( ) 1 declare that the written asbestos notification Is not applicable to the scheduled
demolition project.
-5- 01
Applicant* s Signature
f AwonNbrmAbuddlnfMenKriHIon permit nqulramnadoc
Date
*£VAugutt9, 2000
1636 >«r«d«y Av»nu* • Carlsbad, CA 92008-7314 • (700) 602-2700 - FAX (700) 602-8560
ASBESTOS NOTIFICATION OF DEMOLITION AND RENOVATION
Operator Project #
114-01013
Postmark Date Received Notification #
1. Type of notification (O=Original R=Revised C=Cancelled): 0
2. Facility information (Identify owner, removal contractor, and other operator)
Owner name: Sandor W. Shapery
Address: 1133 Columbia Street, Suite 105
City:San Diego State:Zip: 92101
Contact: Sandor W. Shapery Telephoned: (619) 293-4700
Removal contractor: N/A
Address:
City:State:Zip:
Contact:Telephone ff:
Other operator: ESA Services. Inc.
Address: 2525 Cherry Avenue, Suite 310
City:Signal Hill State: CA Zip: 90806
Contact: Matt O'Shea Telephone #:
3. Type of Operation (D=Demo O=Ordered Demo R=Renovation E=Emer. Renovation): D
4. Is asbestos present? (yes/no) Yes
5. Facility Description (Include building name, number and floor or room number)
Bldg.Name: Single Family Residential Structure
Address: 1026/1050 Grand Avenue and 1085/1091 Laquna Drive
City:Carlsbad State: CA Zip: 92008
Site Location: Grand Avenue & Laguna Drive west of the San Diego Freeway
„ .,_,. „. approx.Building Size: l^finn srr f fr # of Floors: one Age in Years: approx. 50 years
Present Use: single family residence Prior Use: undeveloped
6. Procedure, including analytical method, if appropriate, used to detect the presence of asbestos material:
Comprehensive ACM Survey, pm analytical method
7. Approximate amount of asbestos
material:
a. Regulated ACM to be removed
Qy Category I ACM not removed
c. Category II ACM not removed
RACM
to be
removed
Nonfriable Asbestos
Material not to be removed
Cat I Cat II
Indicate Unit of
Measurement Below
Unit
Pipes LnFt:Lnm:
Surface Area Roofing &
FT nrn*j_rKT SqFt: 3,000 Sgm:
Vol RACM off Facility Component CuFt:Cum:
8. Scheduled dates asbestos removal (mm/dd/yy) Start:Complete:
9. Scheduled dates demo/renovation (mm/dd/yy) Start: 3/16/01 Complete: 3/23/01
SDAPCD -SUBPART M - Rule 361.145 Page 1 of2
ASBESTOS NOTIFICATION OF DEMOLITION AND RENOVATION (continued)
I Or Description of planned demolition or renovation work, and method(s) to be used: conventional demolition
11. Description of work practices & engineering controls to be used to prevent emissions of asbestos at the demolition
and renovation site: Material will be kept wet during demolition.
12. Waste Transporter #1
Name:
Address:
City:
Contact Person:
State:Zip:
Telephone #:
Waste Transporter #2:
Name:
Address:
City:
Contact Person
State:Zip:
Telephone #:
13. Waste Disposal Site
Name:
Location:
City:
Contact
State:Zip:
Telephone #:
14. If demolition ordered by a government agency, please identify the agency below:
Name Title:
Authority^
Date of Order (mm/dd/yy):Date Ordered to Begin (mm/dd/yy):
15. For Emergency Renovations
Date and Hour of Emergency (mm/dd/yy):
Description of the Sudden, Unexpected Event:
Explanation of how the event caused unsafe conditions, or would cause equipment damage or an unreasonable financial
burden:
16. Description of procedures to be followed in the event that unexpected asbestos is found or previously nonfriable
asbestos material becomes crumbled, pulverized, or reduced to powder. See attachment
17. I certify that an individual trained in the provisions of this regulation (40 CFR Part 61, Subpart M) will be onsite
during the demolition or renovation & evidence that the required training has been accomplished by this person
will be available for inspection during normaj,business hours.
(Signature of ^vri€r/Operator)(Date)
18. I certify that the above information is correct:
"(Signatufeof (Date)
SDAPCD -SUBPART M - Rule 361.145 Page 2 of2