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HomeMy WebLinkAbout2600 CARLSBAD BLVD; ; CB122393; Permit11-29-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Demolition Permit Permit No CB122393 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Occupancy Group 11/29/2012 PC# # Dwelling Units Bedrooms Project Title 2600 CARLSBAD BL CBAD DEMO Full Demo 2030510300 Lot# Y Reference # CBI 22104 0 Structure Type 0 Bathrooms ARMY NAVY DEMO STORAGE BLDG AND PRESS BOX status Applied Entered By Issued Inspect Area ISSUED 11/14/2012 JMA Plan Approved 11/29/2012 Applicant TURNER CONSTRUCTION CO Owner ARMY&NAVY ACADEMY CARLSBAD CALIFORNIA 3197 JAMES DR CARLSBAD CA 92008 760 729-6104 P 0 BOX 3000 CARLSBADCA 92018 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 APPROVAL Date f//6/^/3 Clearance NOTICE Please take NOTICE M\ approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions" Vou 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 Government 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 nght 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 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 • PLANNING • ENGINEERING • BUILOING nriRE • HEALTH • HAZMAT/APCD CITY OF ^^^^ Building Permit Application 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email buldling@carlsbadca gov v^v^fw carlsbadca gov Plan Check No. C6>( 2.- ^2-3^ Est. Value Plan Ck. Deposit lOB ADDRESS SUITE#/SPACE#/UNIT# CT/PROJECT # # OF UNITS # BEDROOMS DESCRIPTION OF WORK Inc/ude Square Feet of Affected Area(s) # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES • # NO • AIR CONDITIONING YES • NO • FIRE SPRINKLERS YES • NO • APPLICANT NAME (Primary Contact; APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE CITY STATE ZIP PHONE EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS NAME ADDRESS 'ADDRESS TY STATE ZIP CITY CITY PHONE FAX PHONE EMAIL EM AlS ARCH/DESIGNER NAME & ADDRESS 12.3 g(» 3-1 (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to 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 of the 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)) Workers' Compensation Declaration / /lerety affirm under penalty of perjury one ofthe follomng declarations O 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 n I tiave and will maintain workers' compensation, as required by Section 3700 oUhe Labor Code, for the perfomiance of the work for which thic nurmit n iqsued Mv workers compen'=ation insurance carnjjand policy number are Insurance Co L,[,.a^4»^ I lA J L^TTEIXC c c Ctwr'Vi ,j_ Policy No -j (,2. ^'0*1 2-? "T-C 32. ation Date ) \ ^/_ / 3 This section need not be completed if the permit is for one hundred dollars ($100) or less O Certificate of Exemption I certify that in the performance of the work for which this perniit 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 worl<ers' compensation coverage is unlawful, and shall subject an employer to cnminal 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 ofthe Labor code, interest and attorney's fees JS^ CONTRACTOR SIGNATURE 17^ •AGENT DATE / hereby affirm that I am exempt from Contractor's bcense Law for the follomng 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 bcense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed puisuant 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 matenals for construction of the proposed property improvement • Yes O No 2 I (have / have not) signed an applicaton for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (indude name address / phone / contractors license number) 4 I plan to provide portions of the work, but I have hired the following person to coordinate, supereise 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 / address / phone / type of work) yglTPROPERTY OWNER SIGNATURE i •AGENT DATE Is the applicant or future building occupant required to submit a business plan acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acf • Yes • No Is the applicant or future building occupant required to obtain a pennit from the air pollution control distnct or air quality management distncP O 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 I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address I certly that I have read theapplicaton and state thatthe above infomiaboniscoriBrtandltiatthe infbimation on the plans K I agneetoccmplywilti all Citjortliniiniesand State laws reialngto building constmction I hereby authorize representative of the City ot Carisbad to enter upon the above mentioned property for inspecton purposes 1 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 5'0' deep and demolition or constmcton of stnjctjres over 3 stones in height EXPIIRATION Every pennit issued by the Building Oflicial under the provisions of this Code shall expire by limitation and become null and VOKI if the building or work authonzed by such pennit is not commenced within 180 days from the date of such pennit^r if the^lding or \^5f(MuthonzedJjy such permiljisuspencied or abandoned at any time after the work is commenced Ibr a penod of 180 days (Secton 106 4 4 Unifonn Building Code) 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. CERTIFICATE OCCUPANCY I C o m m e r c a I Projects Only Fax (760) 602-8560, Email www buildinq(3!carlsbadca gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008 C0#' (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE ElVIAIL OCCUPANT'S BUS LIC No DELIVERY OPTIONS n PICK UP • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg 1) n MAIL TO • 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 >ef APPLICANT'S SIGNATURE DATE Inspection List Permit# CB122393 Type DEMO ARMY NAVY DEMO STORAGE BLDG AND PRESS BOX Date Inspection Item Inspector Act Comments 09/11/2013 19 Final Structural - Rl CAN YOU FINAL'? 09/11/2013 19 Final Structural PY AP Thursday, September 12, 2013 Page 1 of 1 DEMOLITION Development Services Building Division CITY OF REQUIREMENTS 1635 Faraday Avenue CARLSBAD B-9 760-602-2719 www carlsbadca gov A demolition permit may only be issued to the owner of the property or the State Licensed Contractor that is doing the work The contractor must provide a letter, signed and dated by the property owner, giving permission for the building to be demolished The fee for a demolition permit is $65.00. The attached Demolition Asbestos Certification application must be completed, signed and have the correct square footage ofthe structure being demolished, as well as its use. Applicant must provide a letter from San Diego Gas and Electnc stating that the utilities have been disconnected Arrange for appropnate Water Agency to remove water meter unless construction of replacement structure is to begin shortly EI Contact the Planning Department at (760) 602-4610 to determine if the structure IS in the Redevelopment area or if it is in the Coastal Zone. / Contact the Engineenng Department at (760) 602-2773, 602-2775 or 602-2741 to determine if a Haul Route or RiffiCSfe4^teiy=Reni|itis required Contact the Engineering Department at (760) 602-2773, 602-2775 or 602-2741 to determine the Storm Water requirements. Notify the Fire Department at (760) 602-4666 to see if they need the use of the building for training purposes. B-9 Page 1 of 2 Rev 03/09 DEMOLITION ASBESTOS CERTIFICATION ADDRESS: USE OF BUILDING TO BE DEMOLISHED: SQUARE FEET X NUMBER OF STORIES PROPERTY OWNER: ADDRESS: PHONE APPLICANT: ADDRESS: PHONE 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: ( ) On the attached 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 Titie 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 B-9 Page 2 Of 2 Rev 03/09 ARMY AND NAVY ACADEMY A C A D t K4 i C S ATHLETICS LEADERSHIP City of Carlsbad Buildmg Division 1635 Fai'aday Ave Carlsbad, CA October 23'^ 2012 Subject Letter of Authorization to Demo Athletic Field Facilities This authorizes Turner Construction to demolish facilities for excavation and preparation of constructing new facilities as approved by the City of Carlsbad for the Army and Navy Academy Athletic Field Complex project Turner Construction Company is the General Contractor for the Army and Navy Academy Athletic Complex project. David E Witwer. Lt Col, USAF (Ret) Direcjpr^f Logistics P 0 Box 3000, Carlsbad, California 9201 8 760 729 2385 • www armyandnavyacademy org 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PLANNING COMMISSION RESOLUTION NO. 6900 A RESOLUTION OF THE PLANNING COMMISSION OF THE CITY OF CARLSBAD, CALIFORNIA, RECOMMENDING APPROVAL OF A COASTAL DEVELOPMENT PERMIT CDP 12-04 TO ALLOW FOR THE DEMOLITION OF ALL EXISTING STRUCTURES ON SITE AND THE CONSTRUCTION OF A TWO-STORY ATHLETIC FACILITY, PRESS BOX WITH STADIUM SEATING, MAINTENANCE BUILDING, AND THE INSTALLATION OF A NEW ARTIFICIAL TURF FIELD, LIGHTS AND FENCE ON PROPERTY GENERALLY LOCATED AT 2605 CARLSBAD BOULEVARD IN LAND USE DISTRICT 9 OF THE VILLAGE REVIEW ZONE IN LOCAL FACILITIES MANAGEMENT ZONE 1 CASE NAME ARMY & NAVY ACADEMY ATHLETIC FACILITY CASE NO CDP 12-04 WHEREAS, Hofman Planning & Engineering, "Applicant," has filed a verified application with the City of Carlsbad regarding property owned by the Army and Navy Academy, "Owner," descnbed as Assessor Parcel Number 213-051-03, 213-053-01, 213-052- 01 and 213-052-02, and more thoroughly described as. Lots 153-170 and Lots 177-198 inclusive of Grandville Park No. 2 in the City of Carlsbad, Countj' of San Diego, State of California, according to parcel map 2037, filed in the Office of the County Recorder June 18, 1927; and Together with that portion of Cypress Avenue and Del Mar Avenue lying northeasterly of the northeasterly right of way line of Coast Highway, also together with that portion of the unnamed alley adjoining said lots 153-170 inclusive, on the northeast and lying southerly a line drawn radially from the northwest corner of lot 178, also together with all that portion of Sycamore Street, as all were vacated and closed to public use by order of the Board of Supervisors, filed in the Office of the County Recorder, April 13, 1933 in Book 207, Page 217 of official records, ("the Property") and WHEREAS, said verified application constitutes a request for a Coastal Development Permit as shown on Exhibits "A" - "Y" dated July 3, 2012, on file in the Housing 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 li 19 20 21 22 23 24 25 26 27 28 and Neighborhood Services Department, CDP 12-04 - ARMY & NAVY ACADEMY ATHLETIC FACILITY, as provided by Chapter 21 81 040 ofthe Carlsbad Municipal Code, and WHEREAS, the Planning Commission did, on July 3, 2012, hold a duly noticed public hearing as prescnbed by law to consider said request, and WHEREAS, at said public hearing, upon hearing and considering all testimony and arguments, if any, of all persons desiring to be heard, said Commission considered all factors relating to the CDP NOW, THEREFORE, BE IT HEREBY RESOLVED by the Planning Commission of the City of Carlsbad as follows A) That the foregoing recitations are true and correct B) That based on the evidence presented at the public hearing, the Commission RECOMMENDS APPROVAL of CDP 12-04 - ARMY & NAVY ACADEMY ATHLETIC FACILITY based on the following findings and subject to the following conditions Findings: 1 That the proposed development is in conformance with the Certified Local Coastal Program and all applicable policies in that the development consists of a new athletic facility, maintenance building and ball field, and the development is consistent with the Carlsbad Village Master Plan, which serves as the Certified Local Coastal Program for the City of Carlsbad Village Segment of the California Coastal Zone. The proposed athletic facility, maintenance building and ball field is consistent with the surrounding development of single-family residences and a mixed-use development. The proposed development will not obstruct views of the coastline as seen from public lands or the public right-of-way, nor otherwise damage the visual beauty of the coastal zone. No agricultural uses currently exist on the site, nor are there any sensitive resources located on the property. The project site is not located in an area of known geologic instability of flood hazard. The site is located in close proximity to the coast, but no public opportunities for coastal shoreline access are available from the subject site. The site is not suited for water-oriented recreation activities. 2 The proposal is in conformity with the public access and recreation policies of Chapter 3 of the Coastal Act in that the site is not located adjacent to the shore. Therefore, the PC RESO NO 6900 -2- 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 development will not interfere with the public's right to physical access to the sea and the site is not suited for water-oriented recreation activities. 3 The project is consistent with the provisions of the Coastal Resource Protection Overlay Zone (Chapter 21 203 of the Zoning Ordinance) in that the project will adhere to the City's Master Drainage Plan, Grading Ordinance, Storm Water Ordinance, Standard Urban Storm Water Mitigation Plan (SUSMP), and Jurisdictional Urban Runoff Management Program (JURMP) to avoid incieased urban runoff, pollutants, and soil erosion No steep slopes or native vegetation is located on the subject property and the site IS not located in an area prone to landslides, or susceptible to accelerated erosion, floods, or liquefaction Conditions: Note Unless otherwise specified herein, all conditions shall be satisfied prior to the issuance of building permits 1 If any of the following conditions fail to occur, or if they are, by their terms, to be implemented and maintained over time, if any of such conditions fail to be so implemented and maintained according to their terms, the City shall have the right to revoke or modify all approvals herein granted, deny or further condition issuance of all future building permits, deny, revoke, or further condition all certificates of occupancy issued under the authonty of approvals herein granted, record a notice of violation on the property title, institute and prosecute litigation to compel their compliance with said conditions or seek damages for their violation No vested rights are gained by Developer or a successor in interest by the City's approval of this Coastal Development Permit. 2 Staff is authorized and directed to make, or require the Developer to make, all corrections and modifications to the Coastal Development Permit documents, as necessary to make them internally consistent and in conformity with the final action on the project Development shall occur substantially as shown on the approved Exhibits Any proposed development, different from this approval, shall require an amendment to this approval 3 Developer shall comply with all applicable provisions of federal, state, and local laws and regulations in effect at the time of building permit issuance 4 If any condition for construction of any public improvements or facilities, or the payment of any fees in-lieu thereof, imposed by this approval or imposed by law on this Project are challenged, this approval shall be suspended as provided in Government Code Section 66020 If any such condition is determined to be invalid, this approval shall be invalid unless the City Council determines that the project without the condition complies with all requirements of law 5 Developer/Operator shall and does hereby agree to indemnify, protect, defend, and hold harmless the City of Carlsbad, its Council members, officers, employees, agents, and representatives, from and against any and all liabilities, losses, damages, demands, claims and costs, including court costs and attorney's fees incurred by the City arising, directly or indirectly, from (a) City's approval and issuance of this Coastal Development Permit, PC RESO NO 6900 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 (b) City's approval or issuance of any permit or action, whether discretionary or nondiscretionary, in connection with the use contemplated herein, and (c) Developer/Operator's mstallation and operation of the facility permitted hereby, including without limitation, any and all liabilities ansing from the emission by the facility of electromagnetic fields or other energy waves or emissions This obligation survives until all legal proceedings have been concluded and continues even if the City's approval is not validated Developer shall submit to the Planning Division a reproducible 24" x 36" mylar copy of the Site Plan refiecting the conditions approved by the final decision-making body This project shall comply with all conditions and mitigation measures which are required as part of the Zone 1 Local Facilities Management Plan and any amendments made to that Plan pnor to the issuance of building permits Building permits will not be issued for this project unless the local agency providing water and sewer services to the project provides written certification to the City that adequate water service and sewer facilities, respectively, are available to the project at the time of the application for the building permit, and that water and sewer capacity and facilities will continue to be available until the time of occupancy This approval is granted subject to the approval of RP 12-13, and is subject to all conditions contained in Planning Commission Resolution No 6899 for those other approvals incorporated herein by reference The applicant shall apply for and be issued building permits for this project within two (2) years of approval or this coastal development permit will expire unless extended per Section 21 201 210 of the Zoning Ordinance Prior to the issuance of building permits, the applicant shall apply for and obtain a grading permit issued by the City Engineer Developer shall pay the citywide Public Facilities Fee imposed by City Council Policy #17, the License Tax on new construction imposed by Carlsbad Municipal Code Section 5 09 030, and CFD #1 special tax (if applicable), subject to any credits authonzed by Carlsbad Municipal Code Section 5 09 040 Developer shall also pay any applicable Local Facilities Management Plan fee for Zone 1, pursuant to Chapter 21 90 All such taxes/fees shall be paid at issuance of building permit If the taxes/fees are not paid, this appioval will not be consistent with the General Plan and shall become void PC RESO NO 6900 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 NOTICE Please take NOTICE that approval of your project includes the "imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to for convenience as "fees/exactions " You have 90 days from date of final approval to protest imposition of these fees/exactions If you protest them, you must follow the protest procedure 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 charges, nor planning, zoning, gradmg, or other similar application processing or service fees in connection with this project, NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PASSED, APPROVED, AND ADOPTED at a regular meeting of the Plannmg Commission of the City of Carlsbad, California, held on July 3, 2012, by the following vote, to wit AYES NOES Chauperson Schumacher, Commissioners Arnold, Black, L'Heureux and Siekmann ABSENT: Commissioners Nygaard and Scully ABSTAIN MICHAEL SCHUMACHER, Chairperson CARLSBAD PLANNING COMMISSION ATTEST DON NEU City Planner PC RESO NO 6900 -5- SDGl A j^Sempra Energy miiity- Nptice of Service Discontinuance PERMIT DEPARTMENT, CITY OR COUNTY OF: Cartsbad SERVICE WILL BE DISCONTINUED TO: ADDRESS: 2594 Carlsbad Bh/d BY: (Date) November 8. 2012 05278070 EI ELECTRIC METER NO. 00982015 13 GAS METER NO. ALL SERVICE LINES WILL BE REMOVED. THIS BUILDING CAN BE MOVED OR RAZED AFTER THE ABOVE DATE. SAN DIEGO GAS & ELECTRIC BY: 30 GAS & ELECTRIC Anessa R Rohde PHONE: 760-476-5619 DATE: Novembers, 2012 PM Forms- NoticeofServjceDlscontinuance.doc Revised. 6/20/06 Nov 14 12 08 21a Miles Warner 17607299274 6. BDC SPECIAL WASTE SERVICES ||H[)\V^ A WASTE MANAGEMENT COMWNY 1211 GLADSTONE ST. • AZUSA, CA 91702 (626) 969-1384 • FAX (626) 969-4971 pi No.2?£388 NON-HAZARDOUS WASTE DATA FORM DC i UJ Ul o a s o u UJ m NAME " A K My A -' . KlAUy ^ f\A i\A y ADDRESS Z ^ C L \ /'j/in /? /\'j'J Alii^C: 7 X //. ERA I " NO IRA f~ 0 7 p F: Z P cmr.8TOTE.ap_jL CONTAINERS Na. i VOLUME/CY. FMONE NO. J- ^ 1 v5 V 7- f y / WEiaKT/TONS T^PE- • ?SJOK'^ • ™CK • DRUMS • CARTONS • OTHER. WASTCDESCHiPTiON ^J3N FRIftBLE ^mtSJGS COMPONENTS OF WASTE PPMK aENEHATlNO PROCESS ^E:^'DV?tL COMPONENTS OF WASTE PPM* VOC-OVA READINGS Srr^ ADDRESS PROPERTIES ntV''--i ^QsOUD DtlQUID • SLUDGE • SLURRY • OTHER. HANDLIKC INSTRUCTIONS tjse F'^opei-' 'ia.f-ity Eaaip'Hsit £4^!* fc'i«i^"gancv Contact #1-806—151-5: IHERfflVCEHIFYTHATTHECCWTEmSOFIVIS SKIPME^•TA^E nU.Y HMD ACCUItMELf EESCRBED JWD «RE »l AlXRESfCCTM PROPER OONDtnCN FOR TTUNSPORT Tt-EMATERWLSDeSC?aaED07HIS tMJWeST ARE NOT SUEUECT TO FECCRSL HAZARDOUS WASTE REEUUTIONS TYKO OR PRINTED FULL NAME & SIGNATURE ?D«1 DC lU & O a, (0 z < DC NAWH AP6'..g CONTisftCTIN!:-. LP EW in NO 0 ••' P r f J L T ? fc" :> CITY. STATE, ap LO^r-^ BfrCH. i.'.R '^i^aii^S PHONE No^SmitaerlMZ .i-]/! i SEA/ICE ORDER NO PICKUP cwrc _L. TYPED OR PRINTED FULL NAME & SIGNATURE DATE Iii DC o a CO z < DC NAME IXI NO ADORESS . CITY. SIArE. ZIP:: ( / SEnnCE 0»}ER 140 PICKUPDWE PHONE NO TYPED OH PRINTED RJLL NAME & SIGNATURE I (0 EPA IC NAME Na I «" c. Ti 7i ly ADDRESS. nil w. &i.nDsroNt DISPOSAL METHOD OUANDRa • OTHER CITY,STATE ZIP Cfi gt c'L'L PHONE ..f»'^-^'i^)> '534--i37jS' GEN OLD.'NEW L A TONS TRANS OLD.'NEW S B TONS OO OLD.'NEW RT/CD HWOF NOI^ TYPED OR PRINTED FULL NAME & StGNATURE DATE DISCREPANCY White i Yellow - TSD COPY Pink - GENERATOR COPY Blue - TRANSPORTER COPY I Goldenrod - TRAWSPORTPR nnPV n Nov 1412 08 22a Miles Warner 17607299274 P2 "lease pf.nt o'- type [Foir designee for jse on elite (12-atcli) lype>.vrrter) Form Approved 0IVI3No 205C-0039 UNIFORM HAZARDOUS WASTE MANirEST 1 GenaratoflDNumbar 5 GeneraiJf'sName aid Maiing Address . r '.,3 ^ % \ .t ; , V - K-i . 'i' ir Hf . ' . Generator's Phoiw 2 Psge 1 of ! 3 Emergency Respcree Pfiore 4 Manifest y^klng^^umber. 0 JojC' / FLE G«nerator's Slle Address (if tStereii tian mailing adAess) B 'fransfforter 1 Company Nair; V, US EPA ID Number 7 "raiispjrtei 2 Company Naire US E^'A ID lumber a Designatad Fadlity Name and ?i\e/M^ US EPA IC Number Faciily's Plions 9b US DOT DesmpliDn (including PraperShRjng Name Haza-d Class ID Number, and Packing Grou)) (if any)] 10 Contarners No Type 11 Tolal Quanlily 12 Unit WIJVOI 3 Waste Codes _„Jl U Speaal Handling Inslnjctlors and AddiNcnal Informalian i-J" M• (vI- • , - -,.,1- " >A| " < 15 GEMERATOR'S/OFFEROR'S CERHRCATION I liweby dectere tliat tlie cantents of ttis consignineiit are luly and accjrate y descnted above by die proper sliippiiig lama, aid are classified packaged, iriarlied and labeled^piacaided anc are in aii respects n picpe conditnnforlranspolaccoiding o applicable Intemabonal and nalional govermantal regulations I'axportshipirentandlamthePninar)' Exporter I certify thai Ihe contents of tills consignment conform 'o tlie te ms alttia alladied EPAAcl<rowladginent of CoTKent 1 certify tliat die waste minimuatior statement iderbTiod In 40 CFR 262 27(a) (If I am a large quantity seneralori or (b) I'f I am a small quantity cene-atof) is Ime Monti Day TeaT Gererators'Otfaror's FrirtedJ l',(ied,Nanie I-' f cJ^( Signatife_ l£ Irlamatona S-ipmenis • hifcrttrUS • Export fajrn U S TCTspoit»rslflTaH;r9 [(or exports only) Portofenlry'e<it DateleawngUS 17 Transporter Acl(noi,«l£^gmenl of Receiptor Materials Montti Cav 'tSaT Transporter 1 PnntedTTyped Nsne Signatm Si^tuie ktonlti Da/ Year I I I Transporter 2 PiMed/Typed Name 18 Discrepancy 18a DKcrepancj Wcalion Space | [ Quantity • T/PS • Residue Qparial Rejection • Full Reject on Manifest Refenenoe Njmber 18b AllBrnale facility (or Generator) FaoliK's Pbone US EPAIDNunber S 18c Signature cl Aller/iate Facil*y (or Generator) klonit- Ky Year I I ( 19 Hajardcus Waste Repon Managemait Mellir)d Codes <i e, codes for liazardous waste treatment, disposal, and recvding systems) 20 Pes^nalsdi-aglity Owner or Opeialoi Cerlifirat'on of receipt of fiazardous materials covered by Utemanrfesf except as noted in Henri f8a PrIrledi'Typed tJanie Signature Klcnlh Day Year EPA Form 3700-22 (Rev 3-051 Previous edihons are obsolete GENERATOR'S INITIAL COPY ^ CITY OF CARLSBAD STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 Deve/opnignt Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www carlsbadca.gov STORM WATER COMPUANCE CERTIFICATE My project Is not in a catG^oiy of pcfmR typos excftipt from the Constmcfion SWPPP reqiHiwnents My project ii not located Intkte or yiWibi 200 feet of an envtmrmwilaHy sensitive area wfth a sigriflcait polertia! tor contitbuHi^ poSUisnts tb neaitiy recetvffiQ iMrtefs by way of storm vrater runoff or non-stofm water d)scharge(s). ^ My prajeot does not leqube a yrading plan pureuant to tlw Cartsind Gtading OnJInanoe (Ch^iter 15.16 of ttie Catlstmd Municipal Code) My project MKIII not resuR In 2.500 tqiiare teet or rrxjre of 8o8s disturbance Including any assocMed cunstiucflon staging, stodtpSlng. pavemeni remot/al, equipmenl storage, refuenng sni maintenanoe areas tliat meets one or more of ttie additional foAoiMng critefta • located iMthtn 200 feet of an envlronmenlally sensitive area or Die Pacific Ocean, and/or, • dislutied area is locaied on a slope vffii a grade at or exceeding S horizontal to 1 vertical; andtor • distuttied area is located atot^ or vHltifri 30 feet of a storm diairt Inlet, an open drainage charwiel or watercourse; and/or • construcflon iMH Ise Initiated during the rainy season or wlH extend into the rainy season (Oct 1 Hvough April 30) I CEfmrr TO THE BEST OF MY KMOWUEDOE THAT MJL OF THE ABOVE CHECKED STATEMENTS ARE TRUE AND CORRECT I AM SUBMITTING FOR CITY APPROVAL A TIER 1 CONSTRUCTION SWPPP PREPARED IN ACCORDANCE NWTH THE REQUIREMENTS OF CITY STANDARDS. I UNDERSTAND AND ACKNOWLEDGE THAT I MUST" (1) IMPlHi^ENT BEST MANAGEMENT PRACTTCES (BMPS) DURING CONSTRUCTION ACTIVITIES TO THE MAXIMUM EXTENT PRACHCABIE TO MINIMIZE THE M0B1UZATI0N OF POUJUTANTS SUCH AS SEDIMENT AND TO MINIMIZE THE EXPOSURE OF STORM WATER TO CONSTRUCTION RELATED POaUTANTS. AND, (2) ADHERE TO, AND AT Aa TIMES, COMPLY WITH THIS OTY APPROVED TIER 1 CONSTRUCTION SWPPP THROUGHOUT THE DURATION OF CONSTRUCTWN ACTMHES UNTIL THE CONSTRUCTraN WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD 0WNpWS)«3WNER'S AGENT NAME (PRINT) , OWNER(S>/CWWER'S AGENT NAME (SIGNATURE) STORM WATER POUiUTION PREVENTION NOTES 1. ALL NECESSARY EQUIPMENT ANO MATERIALS SHAU BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION AND SEDIMENT CONTROL BMPS WHEN RAIN IS EMINENT. 2. THE OWNERTCONTTWiCTOR SHAU RESTORE ALL EROSION COKTROL DEVTCES TO WORKING ORDER TO THE SATISFACTION OF THE CITY ENGINEER AFTER EACH RUNOFF PRODUCING RAINFALL 3 THE OWNERrtXJNTRACTOR SHALL INSTALL ADOmONAL ER090N CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY ENGINEERING OR BUILDING INSPECTOR DUE TO UNCOMPLETED GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES WHICH HWY ARISE 4 ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE AT THE END OF EACH WORKING DAY WHEN THE FIVE (5) DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PERCENT (40%). SILT ANO OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL. 5. AU GRAVEL BAGS SHALL BE BURLAP TYPE WITH 3/4 INCH MINIMUM AGGREGATE. 6 ADEQUATE EROSnN AND SEDIMENT COKTROL ANO PERIMETER PROTECTTON BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED SPECIAL NOTES PROJECT INFORMATION Site Address Assessor's Parcel Number 7^ PrcjectID- ConslTudion PermH No. Estimated Constnjction Start Date W" \Q~\2,- Project Duration ^ Months Emergency Contact Name Jo^n ?at.ol 'Tr».^l*> 24 hour Phone . . *^ Perceived Threat to Stonn Water Quality ^Medium B Low If medium box is ctiedced, must attach a site plan sheet showing proposed worlc area and locaHon of proposed structural BMPs For city Use Only CITY OF CARLSBAO STANDARD TIER 1 SWPPP Approved By . Date E-29 Page 1 of 3 REV4«0/10 Best Management Practice (BMP) Description -> Erosion Control BMPa •a o Ul a Sedbnent Control BMPs CO co> ay Tracking Control BMPs Non-Storm Water Management MPa If II I f 1 I a 3 s ii Waata Management and Materials PoDutlen Control BMPa a S , Wt CASQA Designation •> Construction Activity CM I 2b GratinQ/Soa DIstmttance TrWKhlnq/Excavatlon Stockoano DiWnp/Boflng cutttrp Concrete llatworfc Paving Condirit/PlDelnstaaation StuocoiMortarWbrfc waste Dispoeal Staglno^Lav Down Area Equipment Iteintenance andFueftw 32ssra5«^i;ssas?t^^ Sffi^K ^Tlirl'^?* «"<'"«*«»xwherethelwomSt As^JX oS^^S^S^ C^,^^J^ you gelto the -StebOzed Constmction Ra^-"^-'^"'^'"^'^'^'^-^'^'**''-^ E-29 Page 2 of 3 REV4«0/10 Hofman Ptanning & Engineenng 3155 Uon^iead Avenue, Suite I Carisbad CA 92010 (7K)) 692-4100 wvmJKiftTanplajy^.aim HftixiN H PZ DATE ofSCWPncN asB-f30 2 5 BRASS DISC LOCAnON SE COR INLET AT THE END OF CURB RETURN AT N£ COR or e?ANO Alt ANO WASHINGTON ST RECORDCD 2/5/2012 REVISION DESCRIPTION OIHER OPPHOVAL CONSimiCnON NOTES fTjWsrrNC ei;sH£S /Wo OIHB? itoranoiv mo ^ tANOSCAPffIG ro BE REUOVED @c»sm«; rsEF TO er HEUOVSJ Q Y 0 EXISTMG CONCRETE CURB TO BE REMDmf (T)EXtSVNG CONCRETE REMAINS TO BE REUOVED (TjOTsuw a/r HIRE POS w ec REUOVED ^cocRoiNArE mm sDotf Am HOTEL omER ro PROVJDE ALTERNATl^ GUY WRE TO EirCTRICAL POLE BEFORE REtdOmG ®i (S)EX SIDEWALK ON PUBUC ^ R/W TO aeUAIN MD PROJECT IN PLACE UNLESS OThERWISE SPECtFlED (S)EXISVNG ATT PEDESTALS TO ROIAIN ^ AND PROTECT IN PWCIT ® C;WS7W(? MURAL UGHVNG TO REMAIN ^ AND PROTECT IN PLACE mE^asmo PARKING LOT iNO-UOiNa ^ CURBS SmiPING ANO AC PAVEUENT ro REMAIN AND PROTECT IN PLACE I^J) EXISTING ELECTFICM. POLT TO ROIAIN ^ AND PROTECT IN PLACE (lh EXISTING BUrUXNCS TO REMAIN AND ^PPOTEC^IN ^A<^ 53) EXISTING IRRIGA TION BACKFLOW PREVENTOR TO BE RELOCATE SET IMPROVEMENTS PLANS. @fX OVERHEAD ELECTRICAL AND POST WW WETES TO BE REMOVE) ttHOT NEW PERMANENT CONNECnON IS ON SERVICE; t/SE AS TOtPORARY CONSTRUCTION ELECTT^CAL CONNECTION COORDINATE WITH SDGA DURING CONSTRUCVON AND BEFORE REMOVAL ISiSAW CUT AND BEON DEMOUVON OF EX. CAG WD SIXWALK SEE IMPROVEMENT PLANS /JgsSAH' CUT AND BEGIN OEMOUVON OF AC CURB SEE IMPROVEMENT PLANS ®rx ovamAD TELCO UTIUVES AND POLE TO BE REMOVED INCLUDING GUY WIRE. COORDINATE WTH SDGAE BEFORE REMOVAL S^EXiSTING ADOBE WML TO REJMIN AND ^PROTECT W flLACE UNL£SS OJhERWISE DIRECTED BY INSPECTOR OR fSVONEET? OF /^CORD COOROtNATE HfW ADJACENT PROPERTY OmER. @EX1SVNG SEWER MANHOLE TO REMAIN AND ^PROTECT IN PLACE. btextSVNG STORM DRAm STRUCTURE TO REMAIN AND PROTECT IN PLACC hRELOCATE EX. STREET UGHT PER '^IMPROVEMENT PUWS 476-5 orr WROVAL 'AS BUILT' REVIEVED BYI CITY OF CAftLSBAD \\^ ENGINHERING DEPARTHENT GRADING AND BROSIDN tXmSOh PLANS TOIt ^i- ARMY k NAVY ACADEMY ATHLETIC FACIUTY DEMOJUDN PLAN APPROVED- GLEN K VAN PESKI DWHEEBWS MANAlgt PE VOM PPBES 3/31/13 DATE CHKD BY HL RVWD BY WF PROJECT NO RP 12-13 jlORiWINC NO II 47&-5A NOV 2 8 2011 Ity of CARLSBAD 5UILDING DEPT APPROVED SECOND SUBMITTAL SET 2012-1017 NOT FOR CONSTRUCDON CB 12-