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Home My WebLink About1085 LAGUNA DR; ; CB011323; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04/09/2001 Demolition Permit Permit No:CB011323 Job Address: Permit Type: Building Inspection Request Line (760) 602-2725 1085 LAGUNA DR CBAD DEMO Status: ISSUED Parcel No: 2031301500 Full Demo: Y Lot#: 0 Applied: 04/09/2001 Entered By: RMA Occupancy Group: # Dwelling Units: Reference #: Plan Approved: 04/09/2001 1 Structure Type: SFD Issued: 04/09/2001 Bedrooms: Project Title: 3 Bathrooms: 1 DEMO HOUSE & GAR FOR NEW EXTENDED STAY AMERICA lnspectAgfljj 04/09/01 0002 01 CGP Applicant: ESA SERVICES INC STE 310 2525 CHERRY AV SIGNAL HILL CA 90806 562 981-5885 Owner: SHAPERY SANDOR W C/O SHAPERY ENTERPRISES 1133 COLUMBIA ST #105 SAN DIEGO CA 92101 Total Fees: $30.00 Total Payments To Date: $0.00 Balance Due: Building Permit Plumbing Fee Other Fee Additional Fees TOTAL PERMIT FEES Inspector: Mf e,~ $20.00 $10.00 $0.00 $0.00 $30.00 FINAL APPROVAL Date: 9 /I .J /4, / ' Clearance: $30.00 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 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 vou have nreviouslv been niven a NOTICE similar to this, or as to which the statute of limitations has nreviouslv otherwise exoired. 02 30.00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No, Subdivision Name/Number Assessor's Parcel#--,-;,-: :J)e.mo I c , ,cN Existing Use t) F Sfe..u:... 7u. ,e,e, #of Storfes Description of Work SQ. FT. Name Address Name Address · City FOR OFFICE USE ONLY PLAN CHECK NO. Cf 't>!L? "J..3 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Unit No. Phase No, Total # of units Proposed Use 3 I # of Bedrooms # of Bathrooms State/Zip Telephone# State/Zip Telep~one # (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to· construct, altar, 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, commanding 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 Business License II _______ _ Address City State/Zip Telephone N Workers' Compensation Decleration: I hereby affirm under penalty of perjury one of the following declarations: 0 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 [$100) 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 ■ecure worker•' compensation coverage is unlawful, and shall subject an employer to criminal pan■ltiea and civil fines up to one hundr.ed thousand dollars ($100,000), In addition to th■ cost of compensation, damages H provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE DATE OWNE_~Ult_D£!U!E- I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 Lew 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 ere 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). lil I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The ~o~tractor' s License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1, ~ally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ~O 2. ~ have not) signed an application for a ~uilding permit for the proposed ~ark. 3. I have contracted with the following person (firm) to provide he ro osed •construction · elude name / address / phone number / contractors license number): . e e r 4. 5. work indicated (include name / address / phone number / type 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 26605, 26533 or 25534 of the Presley-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 district7 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school sita7 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. th ~.Jmll2WJ.m1N~N 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 0 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 Cit\' 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 180 s (Section 106.4.4 Uniform Building Code). r APPLICANT'S SIGNATURE ~£..!."'J,~~L~o.~~~~~::====---------- WHITE: File YELLOW: Applicant PINK: Finance . m I/ D (p t;_'-f City of Carlsbad Bldg Inspection Request For: 09/12/2001 . Permit# CB011323 Title: DEMO HOUSE & GAR FOR NEW Description: EXTENDED STAY AMERICA Type:DEMO Sub Type: Job Address: 1085 LAGUNA DR Suite: Lot 0 Location: APPLICANT ESA SERVICES INC Owner: SHAPERY SANDOR W Remarks: PERMIT IS DUE TO EXPIRE • CAN YOU FINAL? Total Time: CD Description Act Comments 19 Final Structural BL 611111 '- -----------~- Associated PCRs Inspection History Date Description Act lnsp Comments Inspector Assignment: /{ c/3 Phone: Inspector: /? t. /3 Requested By: CHRISTINE Entered By: CHRISTINE <-01-2001 0!:24PM FRO~-EXTENeED STAY AMERICA 562-ilT-0188 T-125 P 00!/003 F-724 ,.. City of Carlsbad _ i ,1 111011 ,1,A·IPIHll ■II 14111 DEMOLITION ASBESTOS CERTIFICATION ADDRESS; 1065 Iagµna Drive, rarlsbad, CA 96908 USE OF BUILDINO TO PE DEMOLISHl:D: Single-family Residential SQUARE FEET 1,000 X NUMBER OF STORIES _ __._ __ _ PROPERTY OWNER: Sandor W. Shapery ADDRESS: 1133 Columbia St, #105, San Diego, CA921 o1PHONE 619/293-4700 APPLICANT: Mr Matt O'Shea ADDRESS: 2525 Cherry Ave. #310 1 §j gpaJ Hjl J CA 908°'9HoNE 562/981-5880 Sadlon 19827.S of Callfornia Health and Safety Code rtat11& In part, "A demolition permit ,hllll not be l55u•d by any city ••. 111 to 11ny building or other wucture except upon receipt from the permit applicant of a copy of each written asbestos notification regarding the b1dldlng that has been req1lired to be submitted to the United Statet Environmental Protection Ag-ency or to a designated stato agency, or both, pursuant to Part 61 at Title 40 of the Code of Federal Re,ulationa, or the 5ucca&&or 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 applicalile to the scheduled demolition project,# As applicant for a demolition permit· in the City of Carlsbad, I certify that) I have read the excl!rpt from 5111:tion 19827.5 of th, H~lth and Safety Code provided above) the information I haw provldod on thili form is true and corNCt; and I further certify the foflowini:: (x) On the attached· pageJ are copies of all written asbestos notlflc11tlons regarding the above referenced building that are required to be submitted to the United States Environmental Protection A:eney or to Part 61 of Title 40 of the Code of Federal Regulation,, or succasaor to that part. , . ( ) I dec:la~ that the written asbeat01 notification Is not appllc11ble to the scheduled demolition project. !'-~ ~ ~ ~"(-t-._, ~~ :S5{!} ~ {f0Q ~(j~ 1,lwordVorml'blllldlns\domolldon pe,ml, ""lulren,an~.doc iu;v Ausust 9, 2000 .-;:;_\O ~ 16So Faraday Av•nua • Carlsbad, CA 92008•7314 • (760) 602-2700 • plAX (780) 602-8560 ~ ASBESTOS NOTIFICATION OF DEMOLITION AND RENOVATION Operator Project # Postmark I Date Received I Notification # I 114-01013 I. T"ne of notification ro-oriPinal R-Revised c-cancelled\: 0 2. Facilitv information (Identifu owner, removal contractor, and other ooerator\ Owner name: Sandor W. Shapery Address: 1133 Columbia Street-Suite 105 Citv: "--n<---State: ~· I Zin: 92101 ~ Contact: Sandor W. Sha=rv Teleohone #: (619) 293 4700 Removal contractor: NIA Address: Citv: State: I Zin: Contact: Teleohone #: Other onerator: ESA Service" Inc Address: 2525 Cherry Avenue, Suite 310 Citv: Signal Hill State: CA I Zin: 90806 Contact: Matt O'Shea Telenhone #: 3. Tvne of Oneration !D-Demo o-Ordered Demo R-Renovation E-Emer. Renovation): D 4. Is asbestos oresent? !ves/no\ Yes 5. Facilitv Descrintion (Include buildinP name, number and floor or room number). Bld1>. Name: Sinnle Familv Residential Structure . Address: 1026/1050 Grand Avenue and 1085/1091 Iamm;a Drive Citv: Carlsbad State: CA I Zin: 92008 Site Location: Grand Avenue & Iaguna Drive west of the San Diego ,Freeway BuildinP Size: ~p~~X-r, --# of Floors: one I Age in Years: annrox. 50 vears Present Use: sinnle familv residence Prior Use: undevelo..,.,,., 6. Procedure, including analytical method, if appropriate, used to detect the presence of asbestos material: Canprehensive ACM Survey, PIM analytical method . · 7. Approximate amount of asbestos Nonfriable Asbestos Indicate Unit of material: RACM Material not to be removed Measurement Below a. Regulated ACM to be removed to be @ Category I ACM not removed removed Cat I Cat II Unit c. Category II ACM not removed Pines LnFt: Lnm: Surface Area Roofing & " ,., -· Soft: 3,000 Som: Vol RACM offFacilitv Comoonent Cuft: Cum: 8. Scheduled dates asbestos removal (mm/dd/w) Start: Comolete: 9. Scheduled dates demo/renovation (mm/dd/vv\ Start: 3/16/01 Comnlete: 3/23/01 SDAPCD -SUBPART M -Rule 361.145 Page I of2 ASBESTOS NOTIFICATION OF DEMOLITION AND RENOVATION (continued) , / ./ 10. Descriotion of planned demolition or renovation work, and methodls) to be used: conventional demolition I I. Description of work practices & engineering controls to be used to prevent emissions of asbestos at the demolition ' and renovation site: Material will be keot wet duri= demolition. 12. Waste Transporter #1 Name: Address: City: State: I Zin: Contact Person: Telephone #: Waste Transoorter #2: Name: Address: City: State: I zip: Contact Person Telephone #: 13. Waste Disoosal Site Name: Location: Citv: State: lzio: Contact Telephone #: 14. If demolition ordered bv a 2overnment a2encv, nlease identifv the ai,ency below: Name 1 Title: Authoritv: Date of Order /mm/dd/vv): 1 Date Ordered to Begin (mm/dd/vvl: 15. For Emer2encv Renovations Date and Hour of Emergencv (mm/dd/vvl: s Descriotion of the Sudden, Unexoected 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 non friable asbestos material becomes crumbled, pulverized, or reduced to powder. See attachment I 7. 1 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 i!'Spection during no7.:~s=-•• hou;·y -.., -2-f-o/ /Sionature of~ ~/Operator) /Date) 18. I certify that the above information is correct: ///. ~? ').-~f-t:>/ -• /Siiinatuf'e of rf<! ✓r/Operator) /Date) SDAPCD -SUBPART M -Rule 361.145 Page 2 of2 III{ NOTICE OF SERVICE DISCONTINUANCE ..,_......, , ~T DEPARTMENT <...!!!!,.PR.COUNTY OF l!/,pl N'tAD ELIECffl~~ 01,s SERVICE wru. Bi DISCONTINUED To IDl!>'5 /"tdlf.L. L.A&.JJUA ~, c.e; AO-• BY !)/;f,t,/t)J All SEIIYICli UNU WILL IE 111:MOYEO. IIA1't -:1 ..... Tttll 8UllDIN8 CAN• MOVO> OR RAZED AFTEft TNE UOVI! DAT£. SAN DIEGO GAS a ELECTRIC BY ~NNJ:J a:ir.>ei" ______________ _ DATE ~ / UJ 0/ f'HDNE "1f,,D •4' fl • IA 2,.qo i ---------· --•~--------···•···--------···--·-·-----------______ 1H-021Uu,l»I ------·-------------- .I ·, (' -- ~ l V ' " • ~ e J 1 II ; I .. • • .. : f) ! • • 0 -• " • .. • • ~ " ! ~ -ri ~ ~ ffi ... w ... ~ f ~ ~ ... ! ISi •' Ul ~1 ~ ,: i ;{] // // ,/ FAX NO. : 8586131495 Mar. 15 2001 11:sSAM P2 ,;;;·!l 5/0 l •" 1 ._. I I 1..IU I'\ .l <JL J bl~ l!::1'1 0101 p. 3 01:Jl -- March 15. 2001 1133 Colllrnbia St. S,Uie 105 Sall Dlqv Cl. 92101 l'o Wba111 lt Ma), Con,,,,m: hrygur req,it91. we bav,:nmovell lbt water IIIClll'I tom lbelilea Iba S! 11111 of I ..-Dr. /'WI•5 UII N! em otGradAw IWJ-.!,J'&Rel 20,-1s. lollt IS,18,;20. 1111d , S4. The c:onespmulill8 account IUMlban 111d addrtS&et for ihese mmn arc u followl. ACCOONTNQ PQ3100-04 Pm:Z00o04 1101300-03 1101'10041 1101500-02 " 1050 Gnnrt AV& t0260nlldAve. 1015:IApaDr. lll911.qi:aa1)r. I0D0wpuDr. If] Call bi: of eny lllrtlia usiliUDCt COIIVGm:11 weer mllen, pleue f'eel ltet to oil lllt lit'' 4U-2'11l 11 71Sl . . . Sialffmy, li!0O&ID0~ FRCJ-1 : ESAI~ FAX t-0. : 8586131495 .,, "" io-llJ I L,,.tl I ~,"I P\.J..:,Jf!.0, Mar. 15 2001 11:54AM P1 ~ 4atl8/0I Ol;l~ 9TH I~ I llO I CAllLSB.\D MWII ~·~ ~~? 0191 ~-2 ~•01.100, Public Works 5950 El Camino Real. Carlabad. CA 92008 (760) 438-271'2 Fa,c: (790) 431-1801 fa1••m•te lhlnam1tta1 lbw Pleue deliver the fallowing pagN to the approptlal• Plll'IOn bafgw: N11111e: RIC H:di' D Ati■D&fl. l'uNo: ~") ,,z-~/ft Thll 1T1011sage is boln9 eent from lhe C■rlablld P1.1blic Work■ 0.parfmefll by: NentlH 5,C:.t f 2.u5S£4<, l'ftOne: .!J:,..JL~ ,e, 'ZZ. Z-w::; 7/.St A 1otal of _a,_ Pee-are balng fram,mltted, Including the tranllfflltlal et!fft. If )'OU do not -1vw an or 1ne peg-. 111 ... • Oall ttle number abcwo. M-.•••= 1M wr: ~e: ,,, , Ne« h11'«'"' ,e 111< .Pflf +v#? I <"(.t4Mf4'l(f rl? · «ea ,e . ' R~t:t4'- ----.. -------------- Post-II" Fax Note 7871 Co/Dapi. Co. Pl'Jona#