HomeMy WebLinkAbout1677 BUENA VISTA WAY; C; CB140341; Permit02-26-2014
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Demolition Permit Permit No: CB140341
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: C
DEMO Full Demo: Y
1562001500 Lot#:
1
0
KRAMER LAND CO-
DWELLING UNITC
Reference #:
Structure Type:
Bathrooms:
DEMO EXIST
Applicant:
AMERICAN WRECKING, INC
2459 LEE AV
SOUTH EL MONTE CA 91733
626-350-8303
Status
Applied
Entered By;
Plan Approved:
Issued;
Inspect Area;
ISSUED
02/12/2014
LSM
02/26/2014
02/26/2014
Owner;
MEDINA CONSTANTINO JR FAMILY TRUST 05-14-01
2448 FLAMETREE RD
VISTA CA 92084
Building Permit
Plumbing Fee
Ofher 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:
PPROV FINAL^Pp^OyA)^
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 pemiit 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 tor
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
tees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired,
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE; OPLANNING •ENGINEERING •BUILDING •FIRE •HEALTH •HAZMAT/APCD
CITY OF
CARLSBAD
Building Permit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax; 760-602-8558
email; building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No^ [ ^03 ^ I
Est. Value
Plan Ck. Deposit
Datee)p-/:^-^<7/9c SWPPP
JOBADDRESS . n/A
CT/PROJECT # TtOTi {/ | PHASE # | # OF UNITS j # BEDROOMS
SUITE*/SPACE*/UNIT*
# BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Areafs;
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESr~l# N0| I
AIR CONDITIONING
YES I INO I I
FIRE SPRINKLERS
YES I |NO| I
APPLICANTNAME (Primary Contact) APPLICANTNAME (Secondary Contact;
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL
PROPERTYOWNERNAME i y_
ADDRESS
CONTRACTOR BUS. NAME ^ .r"
CITY — STATE ZIP CITY STATE
PHONE FAX PHONE
EMAIL EMAIL
ARCH/DESIGNER NAME 4 ADDRESS CITY BUS. LIC.#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, atter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for 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 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)).
Kens • :C;.o IWI»E-M«ATIO N
Workers'Compensation Declaration: / fiereby affirm underpenalty of perjury one ofthe follomng declars0ons: al 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.
I have and will maintain woiVei^ompensation, as reguired by Sectiqr|L37(X) of the Labor Code, for the performance of the work for which this pemiit is issued. My workers' compensatkin insurance earner and policy I have and will mamtam woiKerey:ompensatlon, asreguired by Sectioa37(X) of the Labor Code, for the pei
number are: Insurance Co._ Policy Expiration Date _
This sedton need not be completed if the pemiit is for one hundred dollars ($100) or less.
I I Certificate of Exemption: I certify that in the perfomiance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Califomia. 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 ot compensation, damages as provided for in Segtion 370EjiUt!e Labor code, interest and attomey's fees.
CONTRACTOR SIGNATURE ""^'^J'^
'GMtiMn-auixmER OEC t Att Anon
iGENT DATE I- 12" I ^
I hereby affinn that 1 am exempt from (infractor's License Law for the following reason:
I I 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 improves thereon, and who does such work himself or through his own employees, pmvided that such impmvements am not intended or offemd for
sale. If, however, the building or improvement is sold within one year of compietkin, the owner-builder will have the burden of pmving that he did not build or improve for the purpose of sale).
•
•
I, as owner of the pmperty, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who buikis or improves thereon, and contracts for such projects with contractor(s) Ircensed pursuant to the (^ntractor's License Law).
I am exempt under Section Business and Prafessions Code for this reason;
1.1 personally plan to provide the major labor and materials for construction of the proposed pmperty improvement •Yes r~lNo
2.1 (have / have not) signed an application for a building pemiit for the proposed work.
3.1 have contracted with the following person (fimi) to provide the proposed constmction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the wori(, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) the following persms to provide the work indicated (include name / address / phone / type of work):
PROPERTY OWNER SIGNATURE •AGENT DATE
;;%'«l W ^'L E T E THIS SECTION FOR NOM-RESiOEM'TIAl BUILOIMi ITS O W LT
Is the applk;ant or future building occupant 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 applicant or future building occupant required to obtain a permit fmm the air pollution 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.
COMSTItUCTiOM t-ENOtNG AMEHCY
I hereby affimi that there is a construction lending agency fbr the perfonnance of the work this permit Is issued (Sec. 3097 (I) Civil Code).
Lender's Name Lender's Address
sPPLICANT CERTIFICATIOM
I certif that I have lead the applKatnn and slate thatthe alxwe Infbimatkxi is conect and that tlie Infbmiation on the plans is accurate. I agree to comply with all 01^ onJInanoes and State laws relating to buiUng constiuctkNi.
I hereby authorize representative of the City of Carisbad to enter upon the above mentioned ptoperty for inspectfon 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 CtTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT.
OSHA: An OSHA permit is requiied for excavatfons over Sff deep and demolitbn or constmctfon of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitatfon and beconne null and void If the building or v«rt( aultionzed by such permit is not commenced within
180 days from the date of such pemiit or if Ihe buiUing or v*ort< authorized by such pemiit is suspended or abandoned at any tin^e after the vwik is commenoed for a period of 180 days (Sectton 106.4.4 Unifonm Buikiing Code).
>e?'APPLICANT'S SIGNATURE '"'^^^^ "^C/UJ^ DATE
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(5)carlsbadca.qOV or Mail the completed fomn to City of Carlsbad, Building Division 1635 Faraday Avenue, Caiisbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
ElVIAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAILTO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL/FAXTOOTHER:
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
jeSAPPLICANT'S SIGNATURE DATE
Inspection List
Permit*: CB140341 Type: DEMO KRAMER LAND CO-DEMO EXIST
DWELLING UNITC
Date Inspection Item Inspector Act Comments
03/18/2014 19 Final Structural PD AP
03/18/2014 22 Sewer/Water Service - Rl
Wednesday, Marcti 19, 2014 Page 1 of 1
CIRCLE ONE
N
N N
N
DRAWING NOTTOSCALE
SITE DRAWING
CLIENT:
BUILDING ADDRESS: /ArT-^M-?^ f 1
PROJECT NUMBER#
LAND COMPANY
January 3, 2014
City of Cartsbad
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 all
Structures located at 1677 Buena Vista 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 LANO COMPANY, INC.
101 S. Kraemer Blvd, SuNa 136 • Placentia. CA '92870
OfHce: 714.528.9864 Fax: 714.528.6641 Website: «m«w.kraemertaiid.com
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: Arperlcan Wrecking Inc.
NOTIFICATION
PROJECT TYPE
El 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 Owner: 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: 1 Number of Units: 1
Building prior/present
use: • Commercial • Hospital • Industrial • Office • K-12 School
• Public BIdq S House/Condo • Ship • Univ/Colleqe • Other
PROJECT INFORMATION
Asbestos Survey
Performed?*
Kl Yes • No
Is Asbestos Present?
• Yes El No
Will the asbestos be removed?
• Yes • No
Is the building to be demolished?
El Yes • No
Friable Category I Category U Total
Asbestos
Amount to be
Pipes: Ploes: Pipes: Asbestos
Amount to be Surface Area: Surface Area: Surface Area:
removed
(sq/ln ft): Facilitv Comoonent: Facility Component: Facilitv Comoonent:
Revised Amounts
(if a revision)
Asbestos Removal Start Date: Demolition ODeration Start Date: 2/06/2014
Asbestos Removal End Date: Demolition Operation End Date: 2/20/14
For revisions only
Revised Start Date:
For revisions only
Revised Start Date:
Revised End 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 Sun/eys 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.
^ Survey
• Bulk Sampling
• Inspection
• PLM
• TEM
• Other:
• PCM
Describe work practices and engineering controis to be used. Check applicable methods below:
El 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 El Backhoes • Glove Bag
• Bead Blast • Other: • Critical Barriers
P Floor Buffer
For Ordered Demolition provide a copy of the order and complete the Information below:
Agency Name: Authorizing Person: Title:
Date of Order: Date Ordered to Begin: Phone:
Contingency Plan
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 nonnal 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/Opeutor)
Original notifications are to be submitted to fhe 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 wili 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
SDGl
A (J^Sempra Energy uuity-
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,
El 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: fl ^. . C^-^ -X>
SnerryTTampo ^
PHONE: 760-480-7709
DATE: February 11, 2014
PM Forms: 361248-040-050-NoticeofServiceDiscontlnuance Revised: i
^ AT&T Caiifomia
^1—^ Plt'/^'t' Building Industry Consultants
^gj^ CJVa*. 3750 Home Avenue
^""^ San DIegd, CA 92105
Notice of Service Discontinuance
PERMrr DEPARTMerr
CITY OR COUNTY OF
TELEPHONE SERVICE TO: / 1/1
AOORESS ^
WILL BE DISpONTiraiED. AND ALL SERVICE LINES WILL BE REMOVED
BY Mim.
/ ' DATE
THIS BUILDING CAN BE MOVED OR RAZED AFTER THE ABOVE DATE.
^ / ATAT Califomia
BY
DATE
TELCO 213 TELEPHONE
AMERICAN WRECKING, INC.
DEMOLITION CONTRACTOR STATE LICENSE NO^ 685192
December 5, 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.
Thank you,
Robert T. Hall
Vice President
American Wrecking, Inc.
QUSSsC
2459 Lee Avenue, South El Monte, Califd
Telephone (626) 350-8303 Fax (626) |
SEE 1677 A
FOR
HAZMAT SURVEY