HomeMy WebLinkAbout1677 BUENA VISTA WAY; D; CB140342; Permit02-26-2014
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Demolition Permit Permit No: CB140342
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: D
DEMO Full Demo:
1562001500 Lot#:
Reference #:
1 Structure Type:
0 Battirooms:
KRAMER LAND CO- DEMO EXIST
DWELLING UNIT D
Status
Applied
Entered By:
Plan Approved
Issued:
Inspect Area:
ISSUED
02/12/2014
LSM
02/26/2014
02/26/2014
Applicant:
AMERICAN WRECKING, INC
2459 LEE AV
SOUTH EL MONTE CA 91733
626-350-8303
Owner:
MEDINA CONSTANTINO JR FAMILY TRUST 05-14-01
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 APPROVy
Date: I I 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 trom the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must
tollow 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 previously otherwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING nENGINEERlNG nBUlLDING DFIRE OHEALTH IZlHAZMAT/APCD
^ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax:760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. (2/^ ( ^f - O 3^<3k
Est. Value
Plan Ck. Deposit
SWPPP
CT/PROJECT # |LOT# j PHASE # I # OF UNITS |# BEDROOMS
SUITE«/SPACE#/UNrT*
# BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected AreaCs;
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES|~|» N0| I
AIR CONDITIONING
YES I |NO| I
FIRE SPRINKLERS
YES I |NO| I
APPLICANTNAME (Primary Contact) APPLICANTNAME (Secondary Contact;
ADDRESS ADDRESS
CITY STATE ZIP ZIP
PHONE PHONE FAX
EMAIL
ADDRESS
CONTRACTCR BUS. NAME / A,^... I -r—
STATE CITY ^ ^ J., , STATE ZIP
PHONE I I FAX PHONE
EMAIL
ARCH/DESIGNER NAME & ADDRESS CITY BUS. UC.# _
(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)).
I^ORKERS' COMPENSATION'
' compensation as reoui/ed by Section 3700 of the Labor Code, for the performance of the work for which thispermit is issued.
CM^r >AS Policy NO. '73 8M>«^0a--aOid^
My workers' compensation insuiance yarrier and policy
_ Expiration Date ''
Workers' Compensation Declaration: / /lerefty affirm underpenalty of perjury one of the following declarations:
ZD 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 perfomiance of the worit for which this pemiit is issued.
Z] I have and will maintain workers'
number are: Insurance Co.
This section 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 perfomiance 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
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 of compensation, damages as provided fofjn Section3^6 ofthe Labor code, interest and attomey's fees.
JS^ CONTRACTOR SIGNATURE CI^AGENT DATE
fjO, W N E R -BUttOE ft OMi^C L A§ ATION
/ hereby affinn that I am exempt from Contractor's Ucense Law for the following reason:
[ 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, 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).
I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professions Code: The Contrxtor'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 I 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 improvemenl [^Yes I iNo
2.1 (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed constmction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major wori< (include name / address / phone / contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) the following persons lo provide the wori( indicated (include name / address / phone / type of work):
PROPERTY OWNER SIGNATURE •AGENT DATE
COMPLETE THiS SECTION FOR NON-RE PERMITS OWLY
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 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 from 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 DlSTRiCT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the perfonnance of the work this pemiit is issued (Sec. 3097 (I) Civil Code).
Lender's Name Lender's Address
i;: i,. P PLICANT CERTI Fi,C A T I.O N
i certif that I have read the applteation and state thatthe above intbnnation is conectand that the Intbnnation on the plans is accurate, i agree to comply wiih all Cify oidinances and State laws reiating to buiiding constmctkin.
I heneby aultiorize rBpresentative ofthe City ot Cartebad to enter upon the above mentbned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY 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 constmction of stmctures over 3 stories in height.
EXPIRATION: Every permit Issued by the Building Oflicial under the provtebns ofthis Code shall expire by limitation and become null and void if the building or work authorized by such penmit is not commenced within
180 days from the date of such pemiit or if the buiWInjor vmri( authorizedJjHuch pemnit is suspended or abandoned at any time after the work is commenoed for a period of 180 days (Section 106.4.4 Uniform BuikJing Code).
APPLICANT'S SIGNATURE DATE
V
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 buildinq(5)carlsbadca.qov or Mail the completed form 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 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)
IVIAILTO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL / FAX TO OTHER:
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
vef APPLICANT'S SIGNATURE DATE
Inspection List
Permit*: CB140342 Type: DEMO KRAMER LAND CO-DEMO EXIST
DWELLING UNIT D
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 Page 1 of 1
SITE DRAWING
CIRCLE ONE
N
N N
N
DRAWING NOTTOSCALE
/Gll- P
CLIENT:
BUILDING ADDRESS: //^ ~> /67 > /^vty?-
PROJECT NUMBERjy^^
SDGl
A Sempra Energy uuiity-
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,
^ 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: '^^^•^^^^^^o Tvii.. . (^^^y~r^^j> <rv
SnerryCampo ^
PHONE: 760-480-7709
DATE: February 11,2014
PM Forms: 361248-040-050-NoticeofServjceDiscontinuance Revised: (
AT&T Califomia
3^ l^"^ Building Industry Consultants
^ 3750 Home Avmue
San Diegd, CA 92105
Notice of Service Discontinuance
PERMIT DEPARTMENT
CITY OR COUNTY OF
TELEPHONE 'HONE SERVICE TO: / 1/1
AOORESS ^
WILL BE DiSpONTINUED. ANO ALL SERVICE LINES WILL BE REMOVED
RV VSQ//^
/ ^ DATE
THIS BUILDING CAN BE MOVED OR RAZED AFTER THE ABOVE DATE.
^ , ATAT California
BY
DATE
TELCO 213 TELEPHONE
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 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. Suns 136 • Placentia, CA -92870
Office: 714.528.9864 Fax: 714.S28.6641 WMwHa: www.kraenwriand.corri
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 ali city, county
and/or state agencies.
Any courtesy which may help in his performance of assigned duties will be appreciated.
Vice President
American Wrecking, Inc.
saiBCALIFORNIA«
CLftSStG--
2459 Lee Avenue, South El Monte, Califq
Teleptione (626) 350-8303 Fax (626) i
SEE 1677 A
FOR
HAZMAT SURVEY
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
NoUficatlon # Entered Sector
Inspector Assigned/Date
NOTIFICATION OF ASBESTOS RENOVATION OR DEMOLITION OPERATIONS
Completed by: Maria Esauer Company: American Wrecking Inc.
NOTIFICATION
PROJECT TYPE
S 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: 3ames 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
• Public BIdq
• Hospital • Industrial
H House/Condo • Ship
• Office • K-12 School
• Unlv/Colleqe • Other
PROJECT INFORMATION
Asbestos Survey
Performed?*
S Yes • No
Is Asbestos Present?
• Yes 13 No
Wilt 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 II
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 Comoonent: Facilitv 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 Sun/eys are required prior to Renovation and Demolition, however the actual sun/ey 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:
Name: American Wrecking Inc.
Address: 2459 Lee Ave
Waste Transporter#2:
Name:
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. Check applicable methods below:
ISI Water • Demolition w/rooflng materials In place ISI 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 ISI 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 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/ A.
(Owner/Opeotor) ' I
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