HomeMy WebLinkAbout1677 BUENA VISTA WAY; B; CB140340; Permit02-26-2014
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Demolition Permit Permit No: CB140340
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Occupancy Group:
PC #:
# Dwelling Units:
Bedrooms:
Project Title:
1677 BUENA VISTA WY CBAD St: B
DEMO Full Demo:
1562001500 Lot#:
Reference #:
KRAMER LAND CO-
DWELLING UNITB
Structure Type:
Bathrooms:
DEMO EXIST
Status
Applied
Entered By
Plan Approved
ISSUED
02/12/2014
LSM
02/26/2014
Issued: 02/26/2014
Inspect Area:
Applicant:
AMERICAN WRECKING, INC
Owner:
MEDINA CONSTANTINO JR FAMILY TRUST 05-14-01
2459 LEE AV
SOUTH EL MONTE CA 91733
626-350-8303
2448 FLAMETREE RD
VISTA CA 92084
Building Permit
Plumbing Fee
Other Fee
Additional Fees
TOTAL PERMIT FEES
$20.00
$0.00
$45.00
$0.00
$65,00
Total Fees; $65.00 Total Payments To Date; $65.00 Balance Due: $0.00
Inspector;
FINAL^^PF^^Oyi
Date; Clearance;
NOTICE: Please take NOTICE that approval of your projecl 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 Govemment 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 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 vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previousiv othenvise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: nPLANNING OENGINEERING •BUILDING DFIRE nHEALTH • HAZMAT/APCD
^ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax:760-602-8558
email: building@Garlsbadca.gov
www.carlsbadca.gov
Plan Check No.
Est. Value
Plan Ck. Deposit
SWPPP
JOBADDRESS ^ • 0 H SUITE«/SPACE«/UNIT« APN -
CT/PRa)ECT# " • LtlT# PHASE # ^ M OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC GROUP
DESCRIPTION OF WORK:J[nclude Square Feet of AtfectfdjArea(s)
EXISTING USE PROPOSED USE
-X(^K<»4. ^e,4x<5ert«t
GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESr~> NOj^ YESQNO^ YES| | NOpCl
APPLICMrr NAME (Pr/ifcffry Contact; /i . ^ APPLICANT NAME (Secondary Contact;
ADDRESS _ (r ADDRESS
CITY ^ STATE ZIP CITY STATE ZIP
PHONE FAX ^ PHONE FAX
EMAIL fin ^ £MAIL
PROPERTYOWNERNAME . ^ CdNTRACTOR BUS. NAME
ADDRESS' ~ ADDRESS
CITY ^ . STATE ZIP CITY STATE ZIP
PHONE FAX ' " " PHONE FAX
EMAIL EMAIL
ARCH/DESIG'NER NAME & ADDRESS STATE LIC. # STATE LIC# CLASS CITY BUS. LIC# , _
(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 applicantfor such permitto file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code) or that he Is exempt therefrom, and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Dedaration: / fiereby affinn underpenalty of perjury one ofthe follomng declarations:
SI 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 perfonnance of the work for wtiich tliis pemiit is issued.
I have and will maintain workers' compensatian, as reguired by Section 3700 of the Labor Code, for the performance of the work for which this pemiit is issued. My workers' compensatkin insurance carrier and policy
number are: Insurance Ci<CftL^t'F CG Policy No. 7'?y ^ ^'-t'0'a>3't3 1 -OS Expiration Date IJ
Thjisection need not be completed if the permit is for one hundred dollars ($100) or less.
I I Certificate of Exemption: I certify that in the perfonnance of the work for which this pennit is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of
Califomia. WARNING: Failui^ 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 attomey's fees.
^eS* CONTRACTOR SIGNATURE ^"^^^XJZJL ^^CAT*^
insurance carriei
• ..ii«:wKfif-KiiiLoeit I>«C;LAR<ATII
I tierety affm that I am exempt from Contractor's License Law for f/ie following reason:
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture 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 impmves thereon, and who does such work himself or through his own empkiyees, pmvided 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, 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).
I am exempt under Section _ ^Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. •Yes I INO
2.1 (have / have not) signed an application for a building pemiit for the proposed work
3.1 have contracted with the following person (finn) to provide the proposed constmction (include name addross / phone / contractors' license number):
4.1 plan to provide portions of the wori(, but I have hired the following person to coonJinate, supervise and provide the major mtlf. (include name / address / phone / contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / lype of work):
yfifpROPERTY OWNER SIGNATURE •AGENT DATE
COMPtETE TMIS SECTION FOR NON-RES I OENTIAl BUILDING PERMITS ONLY
Is the applicant or future buikiing oaupant required to submit a business plan, acutely hazanlous materials registration form or risk management and prevention program under Sectkins 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes No
Is the appiicant or future buikiing occupant required to obtain a pemiit from the air pollutkin control district or air quality management district? Yes No
Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? Yes 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.
iC.O;;ilSTRO.CTIO W tWHOtHG AGENCY'
I hereby affirm that there is a constmction lending agency for the perfonnance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPt ICANT CERTIFICATION
Icerti^thatlhave read ttie application and state that the alwwHifomialkin is cone^
I hereby authorize representative of the City of Carlsbad to enter upon the above mentbned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILFTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA peimit is required for excavatrons ower 5'0' deep and demolitbn or constmcton of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Oflicial under the provisions of this Code shall expire by limitafion and become null and void if the building or authorized by such pemiit is not commenced within
180 days from the dale of such pemiit or if tie bulbing or vmri< authorized by such pennit is suspended or abandoned at any fime after the wori< is oommenced for a period of 180 days (Sectbn 106.4.4 Unifomi Building Code).
APPLICANT'S SIGNATURE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY If a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email buildina(S)carlsbadca.QOV or Mail the completed fbmi to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAILTO: CONTACn"(Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
IVIAIL / FAX TO OTHER:
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
^APPLICANT'S SIGNATURE DATE
Inspection List
Permlt#: CB140340 Type: DEMO KRAMER LAND CO-DEMO EXIST
DWELLING UNIT B
Date Inspection Item Inspector Act Comments
03/18/2014 19 Final Structural PD AP
03/18/2014 22 Sewer/Water Service - Rl
Wednesday, March 19, 2014 Pagel ofi
LANO COMPANY
January 3, 2014
City Of Carlsbad
1635 Faraday Avenue
Carlsbad, CA 92008
RE; Permission to Demolish Structures at 1677 Buena Vista Way, Carlsbad, CA 92008
To whom it may concern.
The undersigned, owner of the below mentioned property, hereby authorizes the demolition of alf
structures located at 1677 Buena Visla Way, Carlsbad, CA 92008 in the county of San Diego (APNs 156-
200-01-00, 156-200-02-00, 156-200-15-00).
KLC BV Carlsbad, LLC
a California limitedjiability company
Date:
KRAEMER LAND COMPANY, INC.
101 S. Kraemer BhMl. Suita 136 • Placentia. CA •92870
Office: 714.S28.M64 Fax: 714.528.6641 WMwils: vwwv.kraemerland.coni
SITE DRAWING
/Gil
CIRCLE ONE
N
CLIENT:
N N
BUILDING ADDRESS: //^ rr ->/67 7 Ht^ t^yi-rt
N
DRAWING NOTTOSCALE PROJECT NUMBER*
SDGl
A j^Sempra Energy uwny"
Notice of Service Discontinuance
PERMIT DEPARTMENT, CITY OR COUNTY OF: Carlsbad
SERVICE WILL BE DISCONTINUED TO:
ADDRESS: 1655 & 1677 Buena Vista Way, CB
BY: (Date) February 11, 2014
S ELECTRIC METER NO. 5255080. 5238420. 5389220
1348635, 1357726, 1360209,
S GAS METER NO. 1364811
ALL SERVICE LINES WILL BE REMOVED. THIS BUILDING CAN BE MOVED OR
RAZED AFTER THE ABOVE DATE.
SAN DIEGO GAS & ELECTRIC
BY:
SnerrytTampo ^ jrry campo
PHONE: 760-480-7709
DATE: February 11,2014
PM Forms: 361248-040-050-NoticeofSen/iceDlscontinuance Revised: f
AT&T Caiifomia
pk'fSL'^ Building Industry Consultants
a i.av 3750 Home Avenue
San Diegd, CA 92105
Notice of Service Discontinuance
PERMIT DEPARTMENT
CITY OR COUrfTY OF
TELEPHONE SERVICE TO: X t/l
//^v^"^ ^ /^77 BiJana> l//.^J UL_ Gr/sUJL
ADORESS ^
WILL BE DiSpONTINUED. AND ALL SERVICE LINES WILL BE REMOVED
BV uy/ji
/ ' DATE
THIS BUILDING CAN BE MOVED OR RAZED AFTER THE ABOVE DATE.
^ r ATAT California
BY fl
DATE
Tra.C0 2l3 TELEPHONE
A/ViERICAN WRECKING, INC.
DEMOLITION CONTRACTOR STATE LICENSE NO. 685192
Decembers, 2013
TO WHOM IT MAY CONCERN:
Authority is hereby given to Mr. Mel Lewis for such purpose of conducting business as may be
required for AMERICAN WRECKING, INC. Such business may require Mr. Lewis to apply for
and sign on behalf of AMERICAN WRECKING, INC. for permits or licenses from all city, county
and/or state agencies.
Any courtesy which may help in his performance of assigned duties will be appreciated.
Robert T. Hall
Vice President
American Wrecking, Inc.
2459 Lee Avenue, South El Monte, Califd
Telephone (626) 350-8303 Fax (626) i
^iN BRUCE LEW£$> Mli49 KINSTER CA 926?^
S|X:M HftlRjg-K :6-«0 WT:Z30
FOR APCD USE ONLY
SAN DIEGO AIR POLLUTION CONTROL DISTRICT
10124 OLD GROVE ROAD, SAN DIEGO, CA 92131
PHONE (858) 586-2650 FAX (858) 586-2651
Postmark Received Fee/ Receipt
Notification # Entered Sector
Inspector Assigned/Date
NOTIFICATION OF ASBESTOS RENOVATION OR DEMOLITION OPERATIONS
Completed by: Maria Esauer Company: American Wrecking Inc.
NOTIFICATION
PROJECT TYPE
Kl Original • Cancellation • Other (specify):
• Revision • Change In asbestos amount • Change in start/end date
(indicate type of revision) (greater than 20%)
S Demolition • Ordered Demolition
• Emergency Removal • Emergency Demolition
• Renovation (removal)
• Planned Renovation (annual)
Facility Name: Buena Vista 11 Subdivision
Address: 1677 Buena Vista Cross Street: James Dr
City; Carlsbad Zip Code: 92008
Facility Ow/ner: Kraemer Land Company, Inc.
Address: 101 S. Kraemer Blvd
City: Placentia State: CA Zip Code: 92870
Contact: Title: Owner Phone No:
Building Size (sq. ft):
7900.00
Building Age (years): 50 Number of Floors: l Number of Units: 1
Building prior/present
use: • Commercial • Hospital • Industrial • Office • K-12 School
• Public BIdq S House/Condo • Ship • Unlv/Colleqe • Other
PROJECT INFORMATION
Asbestos Survey
Performed?*
S Yes • No
Is Asbestos Present?
• Yes la No
Will the asbestos be removed?
• Yes • No
Is the building to be demolished?
S Yes • No
Asbestos
Amount to be
removed
(sq/ln ft):
Friable
Pipes:
Category I
Ploes:
Category U
Pipes:
Total
Asbestos
Amount to be
removed
(sq/ln ft):
Surface Area: Surface Area: Surface Area:
Asbestos
Amount to be
removed
(sq/ln ft): Facilitv Component: Facility Comoonent: Facility Component:
Asbestos
Amount to be
removed
(sq/ln ft):
Revised Amounts
(if a revision)
Asbestos Removal Start Date:
Asbestos Removal End Date:
Demolition Operation Start Date: 2/06/2014
Demolition Operation End Date: 2/20/14
For revisions only
Revised Start Date:.
Revised End Date:
For revisions only
Revised Start Date:.
Revised End Date:
Removal Contractor: Name: Phone No: CSLB License*:
Address: City/State/Zip: Site Supervisor:
Demolition Contractor: Name: American Wrecking Inc. Phone No: (626)350-8303 CSLB License*: 685192
Address: 2459 Lee Ave City/State/Zip: S.EI Monte, CA
91733 Site Supervisor: Jerry Galaviz
'Asbestos Surveys are required prior to Renovation and Demolition, however the actual survey is not required to be submitted with the notification.
Page 1 of 2 SDAPCD -SUBPART M - Rule 361.145
11/05
NOTIFICATION OF ASBESTOS RENOVATION OR DEMOLITION OPERATIONS
Waste Transporter#l: Waste Transporter#2:
Name: American Wrecking Inc. Name:
Address: 2459 Lee Ave Address:
City/State/Zip: S. El Monte, CA 91733 City/State/Zip:
Contact Person: Phone: (626)350-8303 Contact Person: Phone:
Waste Disposal Site (Landfill): Name: Miramar Landfill
Address: 5180 Convey Street City/State/Zip: San Diego, CA
Contact Person: Phone:
Asbestos Detection Procedures: Check the appropriate procedures and analytical methods used to detect the presence of
asbestos containing materials.
El Survey
• Bulk Sampling
• Inspection
• PLM
• TEM
• Other:
• PCM
Describe worl< practices and engineering controls to be used. Clieck applicable methods below:
IEI water • Demolition w/rooflng materials In place El Skid Loaders/bobcats/Top Loaders
• Amended Water using sledge hammers. • Terminator'"
• Roofing Cutting Saws • Axes • Shovels • Implosion
• High Pressure Water Blast • Demolition w/Cat I Floor tiles In place • Explosion
• Infrared Machines • Ice Chippers • Pry Bars • Negative Air Machines
• Cranes (wrecking ball. • Bulldozer • Full Containment
clamshell, bucket) • Intentional Burning • 3 Stage Decon
• Zamboni IEI Backhoes • Glove Bag
• Bead Blast • Other: • Critical Barriers
• Floor Buffer
For Ordered Demolition provide a copy of the order and compiete the information beiow:
Agency Name: Authorizing Person: Title:
Date of Order: Date Ordered to Begin: Phone:
Contingency Pian
Describe actions to be followed If unexpected asbestos Is found during demolition or
removal or asbestos material becomes disturbed, crumbled, pulverized or reduced to
powder.
Stop demolition work Immediately, isolate area and notify San Diego APCD.
Training Certification
I certify that an Individual trained In the provisions of this regulation (CFR Part 61, Subpart M)
will be on site during the removal and evidence that the required training has been accomplished
by this person will be available for Inspection during normal business hours.
Date: Print Name:
(Owner/Operator)
Signature:
(Owner/Operator)
Information Certification: I certify that the above Information Is correct.
Date: 1/23/2014 Print Name: Maria Esquer
(Owner/Operator)
Signature,
(Owner/Opei
Original notifications are to be submitted to the District at least 10 working days prior to removal or demolition. Revised notices are to be submitted as
soon as possible but no later than the original start date. Original notifications cannot be accepted without the required fee(s) (Rule 40(f)(2)), however
revised notifications will be accepted without the required fee provided the fee Is paid prior to the start date of the original notification
SDAPCD -SUBPART M - Rule 361.145 Page 2 of 2
SEE 1677 A
FOR
HAZMAT SURVEY