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HomeMy WebLinkAbout201 GRAND AVE; ; CB983382; PermitBUILDING PERMI 10/05/98 11:37 Page 1 of 1 Q,,44-^Job Address: 201 GRAND AV Suite Permit Type: MISCELLANEOUS Parcel No: 203-232-15-00 Lotff- Valuation: ° Occupancy Group: Reference*: Description: DEMO EXISTING CARE FACILITY Permit No: CB983382 Project No: A9804397 Development No: Construction Type: VN Status: ISSUED Applied: 10/05/98 Apr/Issue: 10/05/98 Appl/Ownr *** AMERICAN WRECKING 2459 LEE AVE SO ELMONTE CA 91803 Fees Required *** Fees : Adjustments: Total Fees: Fee description Miscellaneous Fee #1 * MISCELLANEOUS TOTA Entered By: MDP 626 350-8303 lected & Credits *** C-fflHT 3°-°° .00 .00 30.00 Ext fee Data 30.00 PERMIT 30. 00 FINA/APPROVAL CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 1. PROJECT J»N FOR OFFICE USE ONLY iHPLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suite Business Namt tat this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phis* No.Totst f of units Assessor's Psrcel f Existing Use Proposed Uss of Work 80. FT-f of Stones f of Bedrooms » of Bathrooms 2. Mama E. CONTRACTOR - COMPANY NAME (Sec. 7031.6 Business and Professions Coda: Any City or County which requires a permit to construct, after, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permtt to file a signed statement that ha to fc'canaad pursuant to the provisions of the Contractor's License Law (Chapter 9, commanding with Section 7000 of Division 3 of tha Business and Professions Code! or that ha to 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 ehril penalty of not more than five hundred dollars If 500)). Name' '^^ Address ^£> LJoanaa Class d. 2^ City ^ Crtv Business State/Zip License * Telephone f Designer Name Address City State/Zip Telephone State License * ,.-.-.,!_,._,_ ._. 6. WORKERS'COMPENSATION ._ ~ ^......... --.— .-- .^™, _^ ;;. .__....... Workers' Compensation Declaration: I hereby affirm under penalty of pariury one of the following declarations: Q I have and will maintain a certificate of consent to aalf-inaure for workers' compensation as provided by Section 3700 of the Labor Coda, for tha performance of the work for which this permit is issued. GK I have and will msintsirt workers' compensation, as required by Section 3700 of the Labor Coda, for tha performance of the work for which this permit is (slued. My worker's compensation insurance carrier and policy number are: Insurance Company *Z*rt*T^ ^Af fcJ TN Pottcy No. &£> O <Py Expiration Pete JO*^ \ (THIS SECTION NEED NOT BE COMPLETED IF THE PEnmtT IS FOR ONE HUNDRED DOLLARS |*100| OR LESS) ' D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit to issued, I ahafl not employ any person in any manner so as to become subject to the Workers' Compensation Laws of CaHfomia. WARNING: Failure to aecure workers' conysnaatkm coverage to unlawful, and ahai aubtoct an employer to crlmaiai ponaMo* and cM ftnaa up to ana hundred thousand dollars itmQJBOO}, In eddWonjfHfno cost^compenaauon. damages ee provided for hi Cectten 3706 of the Labor coda, Intateet and ettomav'a faaa. siftKiATUR^^y./y^r|, --i_/ifl tjf~fa£^fi DATE /<O "^^"""•gfr'T 7. OWNfJH-BulLDER DECLARATION ,-r:--.:-:. . • 7*,^;^-, ..,-...--w/.- - . I hereby affirm that I am exempt from the Contractor's License Law for tha following reason: Q I, as owner of the property or my employee* with wages as their sole compensation, wW do the work and tha structure to not intended or offered for aate (Sac. 7044, Business end Professions Code: The Contractor's License Lew does not apply to an owner of property who build* or improves thereon, end who does such work himself or through his own employees, provided that such improvements are not (mended or offered tor eate. If, however, the buMomg or Improvement to sold wtthtn ona year ol eompiaiion, the owner-builder wW have the burden of proving that he did not butU or Improve for the purpoaa of sate). D I, as owner of the property, am exclusively contracting with licensed contractors to construct tha prefect (See. 7044, Business end Profeesions Code: Tha Contractor's License Law does net apply to en owner of property who buHds or improves thereon, and contracts for eueh projects with contnwtorta) licensed pursuant to tha Contractor's License Law). Q I am exempt under Section ^^^^^___ Business end Professions Code for this reason: 1. I personally plan to provide the major labor end materials for construction of tha proposed property improvement. Q YES QNO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with tha following person (firm) to provide the propoaed construction (Include name / address / phone number / 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 meter work (include name / addrsss / phone number / contractors Hearts* number): 5. I will provide some of the work, but I have contracted (hired) tha fottowtng persona to pravWe the work indicated (Include name I eddies* / phone number I type of work); PROPERTY OWNER SIGNATURE DATE 'COMPLETE THIS SECTION TOR HOfHfSlDOmU. MJNJNNQ PiPJMU ONLY fa the applicant or future building occupant required to submit a business plan, acutely hazardous iiiatertoli regtoliaUon form or risk management and prevention program under Sections 2BSO&. 25533 or 25534 of the Presley-Tenner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES D NO Is the facility to be constructsd within 1,000 feet of the outer boundary of a school aha? Q YES Q NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OP 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. iB. CONSTRUCTION LENDWQ AGENCY ''' :'"' " " ~"~ ~^*— -ww»rn^^™». :.-.— „..,..„---*... ..,„... .. .. I hereby affirm that there is a construction (ending agency for tha performance of tha work for which this permit to issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS t9. APPLICANT CERTIFICATION ,^. —. -. ,,.,-,,^,^-^^.,^..,:f,.^r^:, ^f_.,,_n,i,,.._.i,sr..^i:^/,f,_ .. . . „ ... . .. I certify that I have read the application and slate that tha above information to correct and that the information on tha plans is accurate. I agree to comply with »R City ordinances snd 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 S'O" deep snd demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by tin Building Official under the envisions of this Code shaH expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 366 dayarJiW^fM date of such permit or If the building or work authorized by such permit is suspended or abandoned st sny time after the wglfb; commenced for »art8^M£0'days (Section 108.4.4 Uniform Building Coda). APPLICANT'S SIGNATURE >«^7^L (^^^^ ^) _ ___ DATE WHITE: File licant PINK: Finance From: Anne Hysong To: Mike Peterson Date: 10/1/9812:41PM Subject: Carlsbad by the Sea Demo Permit The Planning Department has reviewed building plans for Building 3 and with the exception of minor items required prior to approving the building permit, the building plans are acceptable. Therefore, the Planning Department is in agreement with the demolition of the existing nursing facility located on the Building 3 site. I have also contacted Debbie Fountain to ensure that Redevelopment has no objection to the demolition. iO/U2/»« WU 10:27 MU 7B07Z07037 loi 001 Construction Inc. Carlsbad By The Sea Professional Care Facility- PHASE 2 Jobstt* Address: 201 Grand Avenue Cartsbad, CA 92008 Tel: (760) 720-7031 © Fax: (760) 720-7037 FACSIMILE COVER PAGE Date: cc: From: D Can Williams ID Joseph Beeson Q Diana Wagner Q Jason Beck D Keith Pdan D P«g«« Including Cover sh«rt 19 As requested D For your Information D Needs IMMEDIATE attention D For review & comment Sublet* Comments: ffease caff (760) 720-7031 if this transmission is not complete. 10/02/98 FRI 10:27 FAX 7607207037" ' " DPR-CUTS §BS? NOTICE OF SERVII E EISCONTINUANCE DEPARTMENT CITY Oft COUNTY OF p Q I ELECTRIC AMD/OR GAS SERVICE WILL BE OlSCONTt sr) oirs I ! THIS BUILDING CAN BE MOVED OR RAZED AFTER T»E ABOVE DATE. GAS & ELECTRIC BY DATE PHONE IfflUUZ OED IXLL SERVICE LINES WILL BE I EMOVED 772.7 TUTPL P. 82 10/02/98 FRI 10:28 FAX 7807207037 DPR-CBTS PROJECT MANAGEM&fT NORTHER FAX # 1760} 746-065* FACSIMILE COVER SHEET TIM PHONE/EXTENSION TO COMPANY/DEPARTMENT FAX NUMBER PHONBEXTENSION THIS FACSIMILE CONSISTS OFYOU DO NOT RECEIVE ALL THE PAGES] ABOVE BY THE SENDER'S NAME. TH« COMMUNICATION ffl MTfNMO FOU THE U« OF INCLUDING THIS COVER &HEET. IFPLEA ;E CALL THE NUMBER INDI WE WWlOU*t OR filfllTY TO WHICH ITlS ADORESSCO AND iTlON 1C HOT THCIMTENOED MECIPIEMT OR B lPLOVEEMGei«T/. P THE READER OF THIS COMMUNI AT ftESPOMSimf FOR DElMftY TO TH6. MTENDgO REClffENT. YO>J AM£ NEREfY NOTF1ED THAT AKT O»THI»UTK)« OR COPYING OF THIS COMuWPBCATIOlllfi IF YOU HAVE RECEIVED THIS COMMUNICATION IN EAR m. HCAfcE NOTIFY SENDER MMEOlATCLY BYAND RETURN TXEOAfGMAL COMMUNICATION TO SEN >ER AT T« ABOVE ADDRESS VIA u.s. MAIL PLEASE DEUVEF AS SC ON AS POSSIBLE • ATED UCMMATION. HE TELEPHONE JLU/U2/9S rai 1U:ZH FA1 7BU7ZU7U37 UFK-UBTS Ig004 OCT-02-98 FRI IBSIT «M DAVIS-MIKE K ASSOC 619 942 3713 P.Ol October 2, 1998 DAVIS WIKE Brockhof f TBS HARRISON COMPANY 4401 Manchester Avenue, Suite 205Kncinitas, California 92024-4938 RBt CARLSBAD BY THE SEA, LUTBEWUr HEALTH FACILITY -ASBESTOS Dear Mr. Brockhof f i Forwarded by cover of this letter are oar Area Clearance Notifications for the subject project. AB requested, the attached certifies asbestos abatement of materials by removal from Carlsbad by the Sea, 201 Grand Avenue rCarlsbad, California by Specialized Environmental, incorporated (SEX) pursuant to our ASBESTOS ABATCMSHF, ASBESTOS DEMOLITION SPECIFICATIONS. Durina the period September 22-Septevber 24 SBIabated the: waterproofing manbrane from the mezzanine mechanical veil; pipe mastic from the mezzanine and basonent mechanical rooms and attic areas, and fireproof doors from the sjezzanine Mechanical areas. As discussed this information is preliminary to our Close out Report. Sincerely, Davi*>HiJee & Associates C. Davis incipal Attachments oct cari L. Williams (DPR) Rick Davidson (SBI) JCDsmac port office bat »14I7 • •ortfttttf. « WOC3- 1417 •76aW».4«S • fox 760.942.1713 io:z» KAAOCT-02-99 FRZ 10: IT H«VIS-WIKE & ASSOC 3T13 igjuua P. 02 Area Clearance Notification KTT WW A VISKU Visual Inspection Inspection Completed 1 Air Sampling Final Clearance Sampling fJbl »^«AXU/* Quality Control Final Inspection Rnal Clearance Pass/Fail HAVING MET EPA POST ABATEMENT ASBESTOS AIR MONITORING STANDARD OF < O.01 fibers/ cubic centimeter T^feu^VWl^icalf^^ 0^ 6U^W C*XdU^ CorUUA U^^*- £ju^. 3OT £k/a»*-& fVc-. <Wsfcxsrf* CM 4 regulated ar^a may turned over to trades or be reoccupied. CERTIFIED by: x> KL/ ntr £ iK^Cwflu^ i C. Davis, OSHA Asbestos Consultant Number 93-1219.E»4e>vJ^«^ ^r IQ 9flT"-^ r^1 ' -^ cc Property Manager Conoaoaor port office boi 231117. ««inito«,<o92OaM1l7 • 619.942.4905* fin619.942.37! 3 10/02/88 KK1 10:30 PA1 7(507207037 UPK-CBTS ocr-e2-9e F/RI ie:i© RM DAVIS-MIKE * ASSOC 942 P.03 Area Clearance Notification K& Visual Inspection Inspection Completed "* Air Sampling Final Clearance Sampling wwm ViNKF: Quality Control Final Inspection Final Clearance HAVING MET EPA POST ABATEMENT ASBESTOS AIR MONfTORING STANDARD OF < 0.01 fibers/ cubic centimeter Tt>^ f**tJknsi~Jc.ck. Vw C*u-lsW0t.j c/V J ,(^W*AW>K^.o.», 6»-<L *W~< regulated area may turned over to trades or be reoccupied. Exceptions: CERTIFIED by: y or"s JL ^^ JE IA • A A *• ^ iC Davis, OSHA Asbestos Consultant Number 93-12 19. cc Prcqwrxy Maomger Contractor ProjeccFlles poitofl(cebcac23l4l7« «ndntew.«i9at*S-|4l7 • 619.942.4906 • foe619.942.3713 »a MCI lOtao KAi 7«07207037 DPR-CBTS flA'Area Clearance Notification SMTW VVi @007 P,O4 ws Visual Inspection Inspection Completed ~*~ Air Sampling Final Clearance Sampling 0 Quality Control Final Inspection Rnal Clearance Pass/Fail HAVING MET EPATSOST ABATEMENT ASBESTOS AIR MONITORING STANDARD OF < 0.01 fibers/ cubic centimeter -to* **J^«Xfc^o^6i^^ C^sULW#e$~ 3ft t ^V^JL Ax«-.C?^Utaerf( . otf U regulated area may turned over to trades or be reoccupied. Fxreptkwvc CERTIFIED by; _Sj ^cML/ on: Wlj/Wl i C. Davis, OSHA Asbestos Consultant Number 93-1219. cc Proper^ Manager Contractor Project ftte port offic« box 2314 17 •-I4I7 • 6(9.94^4906* fav6J9.942.37U