HomeMy WebLinkAbout187 CHERRY AVE; ; PC2017-0024; PermitPERMIT REPORT
Plan Check Permit
Print Date: 10/19/2020
Job Address: 187 CHERRY AVE, CARLSBAD, CA 92008-8213
Permit Type: BLDG-Plan Check Work Class: Residential
Parcel#: 2042320100 Track#:
Valuation: $ 0.00 Lot#:
Occupancy Group: Project#: DEV1S033
#of Dwelling Units: Plan#:
Bedrooms: Construction Type:
Bathrooms: Orig. Plan Check#:
Plan Check#:
Project Title: CHERRYFIELD BEACH HOMES
Description: CHERRYFIELD BEACH HOMES: DEMO 2 EXISTING ATTACHED DU'S
Applicant:
PROPHET SOLUTIONS INC
RANDY SMITH
5845 AVENI DA ENCINAS, # 138
CARLSBAD, CA 92008-4432
(760) 999-2146
FEE
Total Fees:
Building Division
Property Owner:
KOVENS CHERRY CARLSBAD LLC KOVENS
CHERRY CARLSBAD LLC
7777 W 91ST ST, # 2132
NEWPORT COAST, CA 90293-7304
Total Payments To Date :
{city of
Carlsbad
Permit No: PC2017-0024
Status: Closed -Finaled
Applied: 06/27/2017
Issued: 08/07/2017
Fina led Close Out: 10/19/2020
Inspector:
Final Inspection:
Contractor:
PROPHET SOLUTIONS INC
5845 AVENIDA ENCINAS, # 138
CARLSBAD, CA 92008-4432
(760) 999-2146
Balance Due:
AMOUNT
Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING
. {__ 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
□BUILDING □FIRE □HEALTH 0 HAZMA T/APCD
Plan Check No.
Est. Value
Plan Ck. Deposit
APN JOB ADDRESS SUITE-#/SPACE#/UNIT# :).644.. -,?:3?,--D\
# BEDROOMS # BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
~"" ;l.5o0 Sf. -ei~() ~ v-...:-:t 6.,..,'I~\),
EXISTING USE
APPLICANT NAME
Primary Contact
ADDRESS
CITY
PHONE 7(.o 'f19-~l'-fl,,
EMAIL
CITY
PHONE
EMAIL
.:r.,,.....
STATE ZIP
<::..]:,.
FAX
STATE UC.#
't~,I
PATIOS (SF) DECKS (SF) FIREPLACE
YES[),
PROPERTY OWNER LI r-o·.r~
ADDRESS
EMAIL
CONTRACTOR BUS. NAME
ADDRESS ~
CITY
PHONE ·7i
EMAIL
STATE LIC.#
")9!;6,1
CONSTR. TYPE OCC. GROUP
AIR CONDITIONING
NoO YES0No0
FIRE SPRINKLERS
YES□No□
STATE ZIP o:,. q~
FAX
CLASS CITY BUS. UC.#
A
(Sec. 7031.5 Business and P_rofessions 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 applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License LawjChapter 9, commending 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 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: D 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.
~ l 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 workers' compensation insurance carrier and policy
number are: Insurance Co. e,....~ S.,-.1\CA G'r-u-r Policy No. 'C2~"1$6J!),~ ExpiraUon Dale }0 -J -:,lo\--;
This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provld for In Sectl 3706 of the Labor code, Interest and attorney's fees.
k$ CONTRACTOR SIGNATURE ,-
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□
□
□
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 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, 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes ONo
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number)
4, I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone / contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone / type of work):
k$ PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and pre~ention 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 t~ air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed 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.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information is oorrect and that the information on the plans is aa:urate. I agree to oomplywith all City ordinances and State laws relating 1D building construction.
I hereby authorize representatr,e of the Cly of Carlsbad ID enterupoo the above mentioned property for inspection pul)JOSOS. I ALSO AGREE TO SAVE, INDEfN<IFY 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 pennlt is required for excavations over 5'0' deep and dernditial 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 oroork authorized by sudl permit is ootoommenced within
180 days from the dale of such permit Of' if the building Of' , 8/1~ by sudl permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4 .4 Uniform Building Code) .
..@S' APPLICANT'S SIGNATURE p Ill? 1/h,i" DATE 6-;)7-H
• 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 building@carlsbadca.gov or Mail the completed form to City of Cansbad, Building Division 1635 Faraday Avenue, Carlsbad, Califom~ 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP 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)
□ ASSOCIATED CB#-------------□ MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1) □ NO CHANGE IN USE/ NO CONSTRUCTION
D MAIL/ FAX TO OTHER: ________________ _
□ CHANGE OF USE / NO CONSTRUCTION
,e$'APPLICANT'S SIGNATURE DATE
•
DEMOLITION ASBESTOS CERTIFICATION
ADDRESS: 187 Cherry Avenue Carlsbad, CA 92008
USE OF BUILDING TO BE DEMOLISHED: Residential _ _;_ _ ___c;,;c;._ _________ _
SQUARE FEET -~25~0~0 _____ _ X NUMBER OF STORIES _1 ___ _
PROPERTY OWNER: Kovens Cherry Carlsbad, LLC
ADDRESS: 29888 Sycamore Ridge Rd Murrietta, CA 92563
APPLICANT: Prophet Solutions, Inc
PHONE 951 440-0441
ADDRESS: 5845 Avenida Encinas Ste#138 Carlsbad, CA 92008 PHONE 760 999-2146
Section 19827.5 of California Health and Safety Code states in part:
"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 or 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 19827.5 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 -2._ 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.
( ) I declare that the written asbestos notification is not applicable to the
scheduled demolition project.
Applicant's Signature Date
8-9 Page 2 of2 Rev. 06/2013
sot;f
A~ Sempra Energy u1111y ..
Notice of Service Discontinuance
PERMIT DEPARTMENT, CITY OR COUNTY OF: CARLSBAD
SERVICE WILL BE DISCONTINUED TO:
ADDRESS: 187 CHERRY AVENUE
BY: (Date) August 7, 2017
[8:1 ELECTRIC METER NO. _0=5'--'-1-'---'79=2=2-=--3 _____ _
[8:1 GAS METER NO. _0~1=3=21~5=0-=--0 _____ _
ALL SERVICE LINES WILL BE REMOVED. THIS BUILDING CAN BE MOVED OR
RAZED AFTER THE ABOVE DATE.
SAN DIEGO GAS & ELECTRIC
BY:
LYN NIEMAN
PHONE: 760-476-5621
DATE: August 7, 2017
AUG O 7 20/?
PM Forms: Notice of Service Discontinuance Revised: 6/20/06
•
Ccityof
Carlsbad
Owner:
WASTE MANAGEMENT
PLAN
B-59
Contractor:
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
,-~. Job Address: )"'6'7 <s: \';) ~ A~ /4.,-Jsl,..., Phone Number: ls,.\9 7-r?-tf:,3i,!, ::·,1_;1,~; __ ·,' ,.'. __ ,'',\;
Permit#: G(Z.?,ojt,-003:S,, Estimated Cost of Project: $, _ _,_J'\---'4~-""z,l)=•'--~---------
Type of Project: □ New Construction D Remodel or T.I. □ Residential □ Commercial ~ Demolition
(check all that apply) D Other _____________________________ _
Non-hazardous construction waste generated during the course of this project shall be recycled and/or salvaged for re-use at a
minimum of 65% per CALGreen Sec. 5.408.1. Failure to comply may result in a penalty fee up to $1,000. For projects which
consist of mainly equipment and/or racking, that have a combined weight of new construction disposal that does not exceed 2
lbs per square foot of building area affected by this permit, may be deemed to meet the 65% minimum requirement upon
approval of Building Department.
ALTERNATIVE FORMS OF COMPLIANCE: (If selected, do not complete Tables 1 & 2 below)
D Construction waste shall not exceed 2 lbs. per sf. of area. All receipts shall be provided to the Building Official prior to
final. (This option not applicable for most construction projects.)
Square feet of construction area, ________ X 2 lbs. = ________ lbs.of allowable waste.
□ I plan on using a WASTE MANAGEMENT roll-off bin. All receipts shall be provided to the Building Official prior to final.
Tab le 1 -Estimated Waste (To be filled out prior to permit issuance -refer to example on Page 2.)
MATERIALS lbs. of waste to be taken to lbs. of waste to be
LANDFILL RE-USED or RECYCLED Waste Hauling Company or Re-Use Method
Asphalt/ Concrete
Brick/ Masonry
Cardboard
Drywall
Landscape Debris
Lumber/ Wood
Metals
Mixed Waste
D 0
lf.oo l<DO
0 C>
35,ooD C>
Trash / Garba~e I Lr.O 0
--.
LT.=.OT.::..A=.L.::lb.=:s: ____ --11..-__.7...~'PJ41..,1£J=---'-----'l..:::..'2,;"T-4·....Le:C1,oO""-----l":;1-n/60
Estimated Percentage to be Re-Used or Recycled ,;.& %
Official Use Only
D Plan Approved D Plan Denied D Project Valuation Approved
Reviewed/ Approved by: _________________ _
Page 1 of 2
-c_ -:~~ -~,&•<;T ~~
-/o • . '-Su ~·
I ' --
REV.01-2017
Table 2 -Actual Waste (To be completed after construction.)
MATERIALS lbs. of waste taken to lbs. of waste Waste Hauling Company or Re-Use Method
LANDFILL RE-USED or RECYCLED (complete only if different than Table 1)
Asphalt/ Concrete
Brick/ Masonry
Cardboard
Drywall
Landscape Debris
Lumber/ Wood
Metals
Mixed Waste
Trash I Garba 0 e
Other:
TOTAL lbs.:
Actual Percentage Re-Used or Recycled, _______ %
Official Use Only
D 65% Goal Achieved D 65% Goal Not Achieved D Alternative Compliance Achieved Penalty Paid $ _______ _
Reviewed/ Approved by: ___________________ _
EXAMPLE: Use the following example as a guide to completing this form.
MATERIALS lbs. of waste to be taken to lbs. of waste to be
LANDFILL RE-USED or RECYCLED
Asphalt/ Concrete 0 3000
Brick/ Masonry 100 q50
Cardboard 0 150
Drywall 0 so
Landscape Debris 0 120
Lumber/ Wood 500 0
Metals 300 :?.00
Mixed Waste 1500 0
Trash / Garbage 300 0
Other: Pool C:,e<vccte 0 ')00
TOTAL lbs.: 2700 5,370
Percentage to be Re-Used or Recycled 6 7 %
Formula:
Total Re-used or Recycled X 100 = % Re-Used or Recycled
(Total Combined Waste)
Waste Hauling Company or Re-Use Method
AlsC 1-tG!e<lcvuOI Co.
WM / Re-vi.Sect lsrctiz ovc-s,te
"'-1':,C '-'-G!e<lcvco Cn.
AlsC 1-tG!e<lcvcC\ Co.
Me<ld1ect _E. R.e-e<sect ovc-s,te
WGtste MC1vcC1C\eV1<.evct
WM/ AlsC 1-tCle<lcvcg
WM
WM
vi.Sect cis Cve<Snect lscise ovc-s,te
5370 X 100 = 67% Re-Used or Recycled
(2700 + 5370)
Since 67% exceeds the minimum requirement of 65%. this plan complies.
Page 2 of 2
STORM WATER POLLUTION PREVENTION NOTES
. 1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE
AVAILABLE QN SITE TO FACILITATE RAPID INSTALLATION
OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN
IS EMINENT.
• ,1 2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION
CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION
OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING
RAINFALL.
3. THE OWNER/CON'fRACTOR SHALL INSTALL ADDITIONAL EROSION
CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY
INSPECTOR DUE TO INCOMPLETE GRADING OPERAT[{)NS OR
UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE.
4. ALL REMOVABl£ PROTECTIVE DE'i/1CES SHALL BE IN PLACE
AT THE END OF EACH WORKING DAY WHEN THE FIVE (5)
DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT
( 40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER
EACH RAINFALL.
5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM
AGGREGATE.
6. ADEQUATE EROSION AND SEDIMENT CON'fROL AND PERIMETER
PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST
BE )NSTALIED AND .MAINTAINED.
7. THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER
THIS P~AN DURING OR BEFORE CONSTRUCTION AS NEEDED
TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY REGULATIONS.
. OWNER'S CERTIFICAIB:.
I UNDERSTAND AND ACKNOWLEDGE lHAT I MUST: (1) IMPLEMENT
BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION
ACTIVITIES TO l}IE MAXIMUM EX1ENT PRACTICABLE TO AVOID
lHE MDBIUZATION OF POLLUTANTS SUCH AS SEDIMENT AND TD
AVOID lHE EXPOSURE OF STORM WATER TO CONSTRUCTION
. ~ELATED LLUTANTS; AND (2) ADHERE TO, AND AT ALL TIMES,
C L THIS CITY APPROVED TIER 1. CONSTRUCTION SWPPP !ff THE DURATION OF THE CONSTRUCTION ,\CTIV!TIES
ONSJRUCT/ON WORK IS COMPLETE AND APPROVED
f CA~LSBAD.
. ~~fl'He,\') UG71ZIP1T-J::,..
n1.1.Rt-1c-orc3\Auir ~'T NAME:-"{'PRi'Nt . ~ ~ . · u/?7 lf 1
/'I\A/t,IICP(c\ "•1rn•c ~ NAME (SIGNATURE) D TE
E-;29
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP
-l,,S.
I O I «l<' .1 I I v',vu<">. 1°' 'I~ ~(T..,_,.1""-"~r'll .~•\,"\
~) ~ ;\,
'-''-'" --2017 ~'U)\ 1-002.,~
-\] BEST MANAGEMENT PRACTICES (BMP) SEL~:J;!ON:JABtla 0.: ,. • t ,. --. -.. --
Erosion eontrnl ,Track&ii) · ' ' ,'_,·•"
Sediment Control BMPs · Non-storm Waler Wasle Management and Materials
BMPs Control BMPs Management BMPs Pollution Control BMPs -.. .,
C: C: C: ~ -.., 0 0 C C 'O :;:; ti O> 0 " 'O " 'O !l C: 0 C: • E .go E C: E C: 0 ::, i 0 0 0 .., 'O a. " 0 • != " -P ~ .... ·5 "' -0"' 0, .... ·E ' >, 0, .., " "' C <I) C: "' '2 . "' O' L 0 C "' = " C L " 0 0 ~ Best Management Practice• ~ C Op 0 ID ·c:. 'E -" "' 8 L "' " w > C:
:i:: ~~ .. L "' 0 .5 0 " " ..., ~ " 0 :p ..., 3:.., 0...,
~ 1--E OL "' 'O "' ~ 'O ., :,a ~ • C C 3:§i (BMP) Description ➔ " ..!!. " O> "' 0, w E c: "' § .. C: .., " "' " . ., :, ~ ll) " ~ 0 0 J; ~ 'OW 'O >, C C 0 0 =, i"lE ::, E " E $ Q u C 0 0 W· 0, c~ "'-1:l 0 ~] Oo "' .!!a! " 0"' X "' 0 0, C: ., er _E " ~if: 01:.P ., ...f!LS £!~ c ·c:. ._,_ 3:" .., a,
0 ~ E al = ~ 15 =::,g 0, 1: "' " 0, " E .0, 'j1 " ::, .g c:·E Lo ~ ,, tJ 0 ..., 'O :5.5 ~ 0 L :c ~ •--o "u oc 'O a a o
0 0 p, ~ " " :, L-,., .g 0 ·:,; Cl) B ·-0 0, L u NC: L 0 ..., " ~ L 0 C 0 0 " "' -0 .c " ..,0 B = c:: ~s C C: " ,g CL 0 = .c .n ch$! bl ..., L <fl C
..., 0 0 L c':8 0 ~u o.., a. 0 Jl::,; 00 co
(.!) . W 0 Vi "' (/) u r;:: CJHl. (/) a:: 3: "-. 0. ::,; VJ ::a "' <fl{.) I :,a c., :,;
CASOA Desi!Jnalion ➔ r--ro m ~ "' ... "' "' r--"' 0 C'S ,.,., r--"' "T N .,., ... "' ., 0)
. I I l "T ' I J, I J., j j ' "T I "T I J, I I . I I I . I I
c., u '-' hl w w w w w w cr f:'= VJ VJ {/) 1 i ::,; ~ 1 ::E :,e
Conshuclion Activity w w w "' "' "' (/) VJ {/) en VJ 1--z z z z "' 3' 3: .., · Grndin"'/Soil Disturbance :>C_ I >C ;:,-c;., ,;;><;_
Trenchinn l£xi:avatiori ..
" Stockonin□ X: ~ -,,
Drilllnn IBorinn
Concrete/Asnhalt S□wcuttin□ • " Concrete Flalwark
P□vinn ..
Conduit/Pioo Installation·
Stucco/Mortar · Wark
" Waste Disoosol i 1-----X ,.......__, .......... ,;x...
Stonina/Lov Down Areo
Enui0 ment Maintenance ami Fuelinn. ...,_... ~ ~ ....,. -:::,L'
H□iardous Substonce Use/Storoae
Dewalerino
',I. Site Access Across Dirt 5c ~ -= other riistl:-' Instructions:
1. Check the box to the .left of all applicable construction activity (first column) expected to occur during construction.
2. Located along the top of the BMP Table is a list of•BMP's with it's corresponding California Stormwater Quality Association {CASQA) designation number. Choose one or more BMPs you intend to use during construction from the list. Check the box where the chosen activity row intersects with the BMP column.
3. Refer to the CASQA construction handbook for inforl'l□lion and detois of the ·chosen BMPs and how to apply them to the project.
PROJECT INFORMATION
Sile Address· l'B7 k J<j\ ~A<lt.-, .c;...~~
Assessor's Parcel Number: ,;?.oY-?-'3?--0 I
Emergency Contact '
Name: R..n""<f :$.-~ or ~~o""""6~'o
24 Hour Phone: &1"\ C\'1,-,S.~5 ,.~ 9?\~~-l,,\'l$'5
Page 1 of 1
Construction Threat to Storm Water Qupjity
(Check Box)
°)&MEDIUM O LOW
REV 02/16
187 & 191 Cherry
Prophet Solutions, Inc
Mobilization and Demo Plan
May 26, 2017-Install temporary construction fencing with black privacy cloth.
June 30, 2017-Schedule preconstruction meeting with City Engineering Department and
Inspection personnel. Receive grading permit and review haul route, site access, SWPPP plan
implementation and sequence of construction activities.
July 5, 2017-Survey boundaries and install perimeter silt fence
July 5, 2017-Water department scheduled to turn existing meter back on for construction use.
July 12, 2017-Begin abatement of existing ACM and lead paint materials.
July 24, 2017-Mobilize equipment to site and begin removal of existing trees and landscape
plants.
July 26, 2017-Begin demolition of existing structures. Existing driveways to remain in place so
that waste removal trucks access site on paved surfaces. Once bulk of soft debris has been
removed from site, concrete foundation, patios and driveway will be removed. Activity has
estimated duration of approximately 6 days.
July 31, 2017-Install stabilized construction entrance inside existing Cherry Ave drive apron in
preparation of grading activity per GR2016-0033. Begin excavation and export of excess soil for
building pad.
PC2017-0024
191 CHERRY AVE
CHERRYFIELD BEACH HOMES: DEMO 2 EXISTING
ATTACHED DU'S
DEV15033 2042320100
6/27/2017
PC2017-0024
City of Carlsbad
1635 Faraday Ave
Carlsbad, CA 92008
Attn: Building Department
Re: 187 & 191 Cherry Ave Project
ProJect #MS 15-08
Gentlemen,
Per demolition reqwrements form B-9 this letter shall serve as authorization for Prophet Solutions, Inc.
to begin demolition of the existing site work and home located at 187 & 191 Cherry Avenue, Assessor's
Parcel No. 204-2 32-01. Full scope of demolition can be found by referertcing sheet 2 of plans prepared
by BHA, Inc
Should you have any questions please contact the undersigned.
' ' '"-1
1,/:,r /,7 I .
Owner /Dev11oper
Kovens Chertv Carlsbad LLC.
Matthew Castriotta
29888 Sycar,iore Ridge Road
Murrieta, Ca. 92563
SAN DIEGO AIR POLLUffON CONTROL DISTRICT
10124 OLD GROVE ROAD, SAN DIEGO, CA 92131
PHONE (858) 586-2650 FAX (858) 586-2651
FORAPCDUIEONLY
Postmark Received
Notification # Entered
Inspector Assigned/Date
Fee/ Receipt
Sector
NOnFICAnON OF ASBESTOS RENOVAffON OR DEMOLITION OPERAffONS
completed by: CBdps sanguloettl Company: AIHanc:e Envlmnroeot:al Group, Inc,
181 Original O cancellation O Courtesy O Other(speclfy): ________ _
NOTIFICATION 0 Revision O Change In asbestos amount O Change In start/end date
(Indicate type of revl•on> (treater thin ~)
PROJECT TYPE 181 Demolition
0 Emergency Removal
D Ordered Demolition
D Emergency Demolition
D Renovation (removal)
D Planned Renovation (annual)
FACILITY INFORMATION
Fadllty Name: Cherry Field Beach Homes
Address: 187 & 191 Cherry Ave Cross Street: Garfield Street
City: C8r1sbad Zip COde: 92008
Fadllty owner: Kovens Cherry car1sbad, LLC
Address: 29888 Sycamore Ridge Road
City: Mun1etta State: CA Zip Code: 92563
contact: Matthew castr10tta Tltle: Director Phone No: 951 440-0441
Building Size (aq. ft): Building Age (years): 71 Number of Floors: 1 Number of Units: 2
,_J1 552
Building prlor/p,__ D Commercial 0 Hospital D lndusbial D Office 0 K-12 School
UN: nPubllcB""' 1511 Hou-'CDndo ,.,Shin n un1v1co11-e n Other
PROJECT INFORMATION
Asbestos Survey Is Asbestos Present? WIii the asbestos be removed? Is the building to be demolished?
Performed?*
""Yes nNo 1111 Yes n No nNo 1511 Yes nyes 121 No
Friable catego,y I catego,yU T-1
~pes: Dlpes: Pipes:
All.,_
Amount ID be ;urface Area: 1400/14D/140 l,urface Area: Surface Area: ,unn re--(aq/ln ft): 'adllty Component: • • --;\-•aclllty Component: •adllty Component: .• J,
._-;. . .. -,-.
Revised Amounts
11r a revision'
All-Removal Start Date: 7 · 12 -I] Demolltlon Operation Start Date: ::Z -~ 8 -l::::j
Asbestos Removal End Date: ., . -,c;_ 11 Demolition Operation End Date:
Fornwllllonsonly For revisions only
Revised Start Date: Revised Start Date:
Revised End Date: Revised End Date:
Removal Contractor: I Name: Alliance Environmental Phone No: 619-229-6135 I CSLB License#: 716538
Address: 8390 Juniper Creek Lane Oty/State/Zlp: San Diego, CA I Site Supervisor: Brent Edwards 92126
Demolition Con-r: l Name: Sims Grading, Inc Phone No: 760 715-4329 I CSLB Ucense#: 964316
Address: 2114 Thlbodo Court Oty/State/Zlp: Vista, CA 92081 I Site Supervisor: Brian Sims
•Asbestos Surveys are required prior lo Renovation and DemollUon. how&vW 1ha actual survey Is not required lo be lllD!11tted with the rotlficatlon.
SDAPCD -SUBPART M • Rulo 361.145
04/2010
Paga 1012
NOTiflCATION OF ASBESTOS RENOVATION OR DEMOLITION OPERATIONS
W-Tranaporter#l: w-Transporter#2:
Name: Alliance Environmental Group Name: ECTI
Address: 8390 Juniper Creek In Address: 953 W. Reece Street
City/State/Zip: San Diego, CA 92126 City/State/Zip: San Bemadlno, CA 92411
Contact Person: Ryan Cebulskl Phone: 619-229-6135 Contact Person: John Mlnutoll I Phone: 800-664-7773
W-Dia-I 5fte (Landflll): Name: I.a Paz Reclamation Site
Address: 26999 Hwy. 95, Mlle Post 128 City/State/Zip: Parker, AZ 85344
Contact Person: Phone: 928-669-2559
Aabellta Detection Procedurm: Check the appropriate procedures and analytlcal methods used to detect the presence of
asbestos containing materials.
181 Survey D Inspection 0 TEM □ PCM
181 Bulk sampling 181 PLM □ Other:
Deecrlbe worlc praetleas and engineering mntrol• to be usad. Chack appllcable m-ds below:
181 Water □ Demolition w/roollng materials In place □ Skid Loade,s/bobcats/Top Loaders
□ Amended Water using sledge hammers. □ Terminator"'
□ Roofing Cutting saws □ Axes □ Shovels □ Implosion
□ High Pressure Water Blast □ Demolltton w/cat I Floor Illes In place □ Explosion
□ Infrared Machines □ Ice Chippers D Pry Bars 181 Negative Air Machines
□ Cranes (wrecking ball, □ Bulldozer 181 Full Containment
damshell, bucket) □ Intentional Bumlng 181 3 Stage Decon
□ zambonl □ Backhoes □ Glove Bag
□ Bead Blast 181 Other: HIDd t,gg11 181 Critical Barners n Floor Buffer
For Onland Demolition provide a copy of the ordar Md complete th■ Information below:
Agency Name: Authorizing Person: Title:
Date of Order: Date Ordered to Begin: Phone:
Describe actions to be followed If unexpected asbestos Is round during demolltlon or
Contingency Plan removal or asbestos material becomes disturbed, crumbled, pulverized or reduced to
""""'er.
Stop, re-notify and assess. Secure area, wet material and cover with plastic until It Is placed Into 6 mil labeled bags for disposal.
I certify that an Individual trained In the provisions of this regulation (CFR Part 61, Subpart M)
Training Certification will be on site during the removal and evidence that the required training has been acxx,mpllshed
by this person will be available for Inspection during normal business hours. --'
Date: 6/26/17 Print Name: carios Sangulnettl Signature: A ::::::)/
(Owne,/Ope,-) (OWner/Operator) -Information Certlflcatlon: I certify that the above Information Is correct. -
Date: 6/26/17 Print Name: Cerios Sangulnettl Signature: ~ , (Owne,-/Operator) (OWner/Operator)
Original oollllcallons an, ID be IUbmltlad to the Dlslrlcl at lwt 10 worlclng days prior ID removal or damollllon. -notlcos ara to be IIUbm-as
soon as posslble but no later then the onglrml atart date. Orlglnal nollllcallu,■ .:annot be acceplad wllhoul lhe reqwed fee(s) (Rule 40(1)(2)). however
ravlsad notlftcallons wlH be accepl8d wllhout lhe required fae provided the fae Is paid prior ID the slar1 date of the~ -n.
SDAPCD-SUBPART M-Rula 361.145 Page2of2
--Original Message --
Subject: S&M REQ -187 CHERRY A VE, CARLSBAD
From: sdgemetms@semprautilities.com
To: MATTHEW@MYNMARK.COM
CC:
Project Type:
Service Addr:
Assessor
Parcel#:
SERVICE & METER REQUEST FORM
Submitted by Employee: 92037 on May-22-201710:22:34AM
PROJECT DATA
Other Estimated Date When Project Site05I22I17 Will Be Ready for Service:
187 CHERRY AVE, CARLSBAD, CA 92008
Cross Street:
Site Hazard: None
Thomas Bros:1106 E6
DPSSNbr:
CUSTOMER INFORMATION
Name: KOBENS CHERRY LLC Customer Type:Owner
Mailing Addr: 187 CHERRY AVE, CARLSBAD, CA 92008
Phone No: (951) 440-0441 ext. Email Addr:
CONTACT DATA
Name: MATTHEW CASTRIOTTA co;:;~'.customer or Tenant
Mailing Addr:
Phone:
187 CHERRY AVE, CARLSBAD, CA 92008
(951) 440-0441 ext. Email Addr: MATTHEW@MYNMARK.COM
Fax No: Cell Phone: Pager No:
ELECTRIC DATA ! ···-----------------------------------~ Bldg Sq Footage UG or OH:Overhead Meter No:05179223 (estimated):
Voltage:120I240 Phase:Single Main Panel Size:100 AMP
Service Type: Service Removal/Bldg Demolition Transformer Nbr: 0017729002
Lights
Range
Heat
•········· Load Information •·········
Water Heater Dryer
Air Condition Well Pump
Largest Motor Other
GAS DATA ---------------------------~.. ---·-··--· Service Type:Service Removal Meter No:01321500 Requested Service Pressure:Unknown
•········· Load Information •-····-·
Cooking Pool Heater Barbeque
Space Heater Boiler Tankless AWH
Water Heater Spa Heater Other
Dryer ____________ ,, ________ Log/ighter ·----·--·--·-·-·· _______ _
Comments Section ----···----·----·· --------···-·--·-··------·i
REMOVE BOTH ELECTIC AND GAS -
End of Form
--Original Message --
Subject: S&M REQ -191 CHERRY AVE, CARLSBAD
From: sdgemetms@semprautilities.com
To: MATTHEW@MYNMARK.COM
CC: MATTHEW@,MYNMARK.COM
SERVICE & METER REQUEST FORM
Submitted by Employee: 92037 on May-22-201710:40:t0AM
,____ ___________ P_R_O_JE_C_T_D_A_T_A ____________ J
Other Estimated Date When Project Site05122117 Project Type:
Service Addr:
Assessor
Parcel#:
Will Be Ready for Service:
191 CHERRY AVE, CARLSBAD, CA 92008
Cross Street:
Site Hazard: None
Thomas Bros:1106-E&
DPSSNbr:
CUSTOMER INFORMATION
Name: KOBENS CHERRY LLC Customer Type:Owner
Mailing Addr: 191 CHERRY AVE, CARLSBAD, CA 92008
Phone No: (951) 440-0441 ext. Email Addr: MATTHEW@MYNMARK.COM
CONTACT DATA . --!
Name: MATTHEW CASTRIOTTA co;:;~'.customer or Tenant
Mailing Addr: 191 CHERRY AVE, CARLSBAD, CA 92008
Phone: (951) 440-0441 ext. Email Addr: MATTHEW@MYNMARK.COM
Fax No: Cell Phone: Pager No: ----"---------ELECTRIC DATA
UG or OH:Overhead Meter No:05165637 Bldg Sq Footage
(estimated):
Voltage:1201240 Phase:Single
Service Type: Service Removal/Bldg Demolition
Main Panel Size:100 AMP
Transformer Nbr: 07810412
-·--·· Load Information --
Lights
Range
Heat ---
Water Heater
Air Condition
Largest Motor
GAS DATA
Dryer
Wei/Pump
Other
--------···-······----·---·---·-··---·-··•----·-----------· --Service Type:Service Removal Meter No:00086581 Requested Service Pressure:Unknown
--·-··· Load Information •··-·····
Cooking Pool Heater Barbeque
Space Heater Boiler Tankless AWH
Water Heater Spa Heater Other
Dryer ____________________ xLoglighter ..... _ ___ __ _ --·-····· ... ·····--······· ----·
Comments Section -------------------·-·-----------···. ··----·------------------· ------•-·---------------------~ ROMOVE SERVICE FOR DEMO
End of Form
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CARLSBAD, CA. 92008-◄387
(760} 931-8700
REVIE,.,ED BY•
INSPECTc:R DATE
~ CITY OF CARLSBAD I SHEETS I 11---1---+I 1--------+-1 -+--1 -+-I +---ti I~ p~NG~~ERING DEPARTMENT 9
CHERRY-FIELD BEACH HOMES
DEMOIJTIOf,i _/_J)fl/"1':WAY PROFILES
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