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HomeMy WebLinkAbout2714 LOKER AVE W; ; CB154072; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-26-2016 Demolition Permit Permit No: CB154072 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Occupancy Group: PC#: # Dwelling Units: Bedrooms: Project Title: Applicant: JASON AKATIFF 2714 LOKER AV WEST CBAD DEMO Full Demo: N 2090813200 Lot#: 0 Reference #: 0 Structure Type: 0 Bathrooms: 0 REMOVE NON LOAD BEARING OFFICE WALLS IN STE 100, 200 & 250 Owner: BLUE HAT, LLC Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: 6183 PASEO DEL NORTE #280 CARLSBAD CA 92011 6183 PASEO DEL NORTE #280 CARLSBAD CA 92011 619-846-2198 Building Permit Plumbing Fee Other Fee Additional Fees TOTAL PERMIT FEES $0.00 $0.00 $65.00 $0.00 $65.00 ISSUED 11/23/2015 JMA 11/23/2015 11/23/2015 MC Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due: Inspector: 11'1· ~< Clearance: ------ $0.00 t\OTICE: Rease ta<e t\OTICE Iha ~ cJ ya.,: ~ect irdl..des tre "lni:mtiai' cJ fees, cmcatiais, rerervaaa-s, or ctrer exa:iia-s hereafter ooledively re'erroo to as "feeslexa:iia-s." Ya.i tl<Ml 00 days fran tre date !Hs pemit v.as issued to prctest in,:x:siticn cJ trese feeslexa:iia-s. If yW prctest them, yW rrust fdlONtre prctest ~ sa fath in <?o.term-ert Oxle Sedicn 00)2)(a), a-d file tre prctest a-d any ctrer reqjred irtamiicn wth tre Oty tvb1cglr for l)"CXESSirg in ocro"dcrre wth Ca1sba'.J MridJH Oxle Sedicn 3.32.030. Falue to tirrely fd ION Iha poonre wll lB" any sutseqJent lega aiion to attoci<, rEMew, sa asioo, vcid, or anJ their in,:x:sition. Ya.i a-e reretty Fl.RTl-ER t\OTIREDll-at ya.,: rig,! to prctest tre51Rifiedfeeslexa:iia-s cx:ES NOT l>PPl... Ytovaer a-d sev.ercxrrroicn fees and capa:ity crmges, nor planrg, zairg, ga::lrg or ctrer sirrilar cq:Jiraicn l)"CXESSirg or savioo fees in cxrrroicn wth this ~ect. I'm cx:ES IT l>PPl... Y to any feeslexa:iia-s cJ wic:h \K'l I tl<Ml ae.liruslv been dl.e"l a t\OTICE sirrilar to this or as to wic:h tre sta:ute cJ lirritaia-s has ......,.,<X.JSiv ctrerwse """red. , THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING 0 BUILDING O FIRE O HEALTH 0 HAZMAT/APCD C_cityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov Plan Check No. CB c-S'-tf072- Est. Value Plan Ck. Deposit SWPPP # OF UNITS # BEDROOMS CONSTR. TYPE OCC. ROUP EXISTING USE GARAGE (SF) PATIOS (SF) APPLICANT NAME PROPERTY OWNER LlC ADDRESS CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL STATE UC.# STATE UC.# CLASS 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 applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or (hat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjlJlY one of the following declaralloos: 0 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. D I have and will maintain workers' compensation, as required bv 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. Policy No. Expiration Date---------- ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ 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 provided for in Section 3706 of the Labor code, Interest and attorney's fees. _,g CONTRACTOR SIGNATURE 0 AGENT DATE I hereby affirm that I am exempt from Contractor's Lirense Law for the following reason: D 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 himse~ 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). D 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). lfi7.t 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. ~ es 0 No 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 I address I phone I 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 I type of work): _,g PROPERTY OWNER SIGNATURE 0 AGENT DATE 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 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 certify that I have read the application and state that the above infonnation is correct and that the Information on the plans is accurate. I agree to cornplyvmh all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Car1sbad to enter upon the atx>ve mentioned proj)lrty br inspection PJrJX)SeS. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAALSBIID 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 perm ft is required for excavations over 5'0' deep and demolltoo ()( constructoo of structures over 3 stones i1 height. EXPIRATION: Every permit issued by the Building Offrial under the provisbns of this Code shall expire by linftation and be<X>me null and voo W the buik!ing ()(v.ork authorized by such permit is not commenred 'Mthin 180days from the date of such permit()( if the · · au · · ()(abandoned at any time aflerthev.ork is commenred bra pe · of 180days ( 100.4.4 Unm Building Code). ,8$ APPLICANT'S SIGNATURE 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. 1' • 1 ~ ( C ,i:,,. I E 0 F 0 C ·~ U f' F1 ,J C '.' / C O l,~ Ii 1 L I C 1 : J ' C J t C ~ ~ O 11 IV J Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE / NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION ,15 APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB154072 Date __ Inspection Item 02/25/2016 19 Final Structural 02/25/2016 19 Final Structural 02/12/2016 19 Final Structural Friday, February 26, 2016 Type: DEMO Inspector Act RI MC Fl PB NR REMOVE NON LOAD BEARING OFFICE WALLS IN STE 100,200 & 250 Comments SUITES 100,200,250. NO RECYCLING DOCUMENTATION AVAILABLE. Page 1 of 1 OFFICE USE ONLY SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE UPFP# _______ _ HV#------~~~ BP DATE _ ___. ________ _ APN# The following questions represent the facility's activities, NOT the specific proiect description. PART I: FIRE DEPARTMENT-HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are circled, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Facility's Square Footage (including proposed project): Occupancy Rating: --------- 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives 2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards 3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These. 4. Flammable Solids 8. Unstable Reactives 12. Radioactives PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEAL TH -HAZARDOUS MATERIALS DIVISIONS (HMO): If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Ave., Suite 110, San Diego, CA 92123. Call (858) 505-6700 prior to the issuance of a building permit. FEES ARE REQUIRED. Project Completion Date: ___ ! ___ ! __ Expected Date of Occupancy: __ ! __ ! __ YES NO (for new construction or remodeling projects) 1. D D Is your business listed on the reverse side of this form? (check all that apply). 2. D D Will your business dispose of Hazardous Substances or Medical Waste in any amount? 3. D D Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds 200 cubic feet, or carcinogens/reproductive toxins in any quantity? 4. 5. 6. 7. D D D D D Will your business use an existing or install an underground storage tank? D Will your business store or handle Regulated Substances (CalARP)? D Will your business use or install a Hazardous Waste Tank System (Title 22, Article 1 O)? D Will your business store petroleum in tanks or containers at your facility with a total storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). 0 CalARP Exempt I Date Initials 0 CalARP Required I Date Initials 0 CalARP Complete I Date Initials PART 111: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT: If the answer to any of the questions below is yes, applicant must contact the Air Pollution Control District (APCD), 10124 Old Grove Road, San Diego, CA 92131-1649, telephone (858) 586-2600 prior to the issuance of a building or demolition permit. Note: if the answer to questions 4 or 5 is yes, applicant must also submit an asbestos notification form to the APCD at least 10 working days prior to commencing demolition or renovation, except demolition or renovation of residential structures of four units or less. Contact the APCD for more information. YES NO 1. D ~ Will the subject facility or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the APCD factsheet at http://www.sdapcd.org/info/facts/permits.pdf, and the list of typical equipment requiring an APCD permit on the reverse side of this from. Contact APCD if you have any questions). 2. D D (ANSWER ONLY IF QUESTION 1 IS YES) Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)? (Search the California School Directory at http://www.cde.ca.gov/re/sd/ for public and private schools or contact the appropriate school district). 3. D tiZl_ Has a survey been performed to determine the presence of Asbestos Containing Materials? 4. D ¥l_ Will there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos? 5. 0 ~· Will there be demolition involving the removal of a load supporting structural member? Briefly describe business activities: Briefly describe proposed project: tor he best of my knowledge and belief the responses made herein are true and correct. (( td3 t/5= Signature of Owner or Authorized Agent Date FOR OFFICIAL USE ONLY: BY:----------------------------~ DATE: ---'-/ __ -'/.__ __ EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMO* APCO COUNTY-HMO APCO COUNTY-HMO APCO .. *A stamp 1n this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply. HM-9171 (02/11) County of San Diego -DEH-Hazardous Materials Division LIST OF BUSINESSES WHICH REQUIRE REVIEW AND APPROVAL FROM THE COUNTY OF SAN DIEGO DEPARTMENT OF ENVIRONMENTAL HEALTH-HAZARDOUS MATERIALS DIVISION Check all that apply: AUTOMOTIVE D Battery Manufacturing/Recycling D Boat Yard D Car Wash D Dealership Maintenance/Painting D Machine Shop D Painting D Radiator Shop D Rental Yard Equipment D Repair/Preventive Maintenance D Spray Booth D Transportation Services D Wrecking/Recycling CHEMICAL HANDLING D Agricultural supplier/distributor D Chemical Manufacturer D Chemical Supplier/Distributor D Coatings/Adhesive D Compressed Gas Supplier/Distributor D Dry Cleaning D Fiberglass/Resin Application D Gas Station D Industrial Laundry D Laboratory D Laboratory Supplier/Distributor D Oil and Fuel Bulk Supply D Pesticide Operator/Distributor CHEMICAL HANDLING D Photographic Processing D Pool Supplies/Maintenance D Printing/Blue Printing D Road Coatings D Swimming Pool D Toxic Gas Handler D Toxic Gas Manufacturer METAL WORKING D Anodizing D Chemical Milling/Etching D Finish-Coating/Painting D Flame Spraying D Foundry D Machine Shop-Drilling/Lathes/Mills D Metai'Plating D Metal Prepping/Chemical Coating D Precious Metal Recovery D Sand Blasting/Grinding D Steel Fabricator D Wrought Iron Manufacturing AEROSPACE D Aerospace Industry D Aircraft Maintenance D Aircraft Manufacturing OTHERS AND MISCELLANEOUS D Asphalt Plant D Biotechnology/Research D Chiropractic Office D Co-Generation Plant D Dental Clinic/Office D Dialysis Center D Emergency Generator D Frozen Food Processing Facility D Hazardous Waste Hauler D Hospital/Convalescent Home D Laboratory/Biological Lab D Medical Clinic/Office D Nitrous Oxide (NOx) Control System D Pharmaceuticals D Public Utility D Refrigeration System D Rock Quarry D Ship Repair/Construction D Telecommunications Cell Site D Veterinary Clinic/Hospital D Wood/Furniture Manufacturing/Refinishing ELECTRONICS D Electronic Assembly/Sub-Assembly D Electronic Components Manufacturing D Printed Circuit Board Manufacturing NOTE: THE ABOVE LIST INCLUDES BUSINESSES, WHICH TYPICALLY USE, STORE, HANDLE, AND DISPOSE OF HAZARDOUS SUBSTANCES. ANY BUSINESS NOT INCLUDED ON THIS LIST, WHICH HANDLES, USES OR DISPOSES OF HAZARDOUS SUBSTANCES MAY STILL REQUIRE HAZARDOUS MATERIALS DIVISION (HMO) REVIEW OF BUSINESS PLANS. FOR MORE INFORMATION CALL (858) 505-6880. LIST OF AIR POLLUTION CONTROL DISTRICT PERMIT CATEGORIES Businesses, which include any of the following operations or equipment, will require clearance from the Air Pollution Control District. CHEMICAL 47 -Organic Gas Sterilizers 32 -Acid Chemical Milling 33 -Can & Coil Manufacturing 44 -Evaporators, Dryers & Stills Processing Organic Materials 24 -Dry Chemical Mixing & Detergent Spray Towers 35 -Bulk Dry Chemicals Storage 55 -Chrome Electroplating Tanks COATINGS & ORGANIC SOLVENTS 27 -Coating & Painting 37 -Plasma Arc & Ceramic Deposition Spray Booths 38 -Paint, Stain & Ink Mfg 27 -Printing 27 -Polyester Resin/Fiberglass Operations METALS 18 -Metal Melting Devices 19 -Oil Quenching & Salt Baths 32 -Hot Dip Galvanizing 39 -Precious Metals Refining ORGANIC COMPOUND MARKETING (GASOLINE, ETC) 25 -Gasoline & Alcohol Bulk Plants & Terminals 25 -Intermediate Refuelers 26 -Gasoline & Alcohol Fuel Dispensing COMBUSTION 34 -Piston Internal -Combustion Engines 13 -Boilers & Heaters (1 million BTU/hr or larger) 14 -Incinerators & Crematories 15 -Burn Out Ovens 16 -Core Ovens 20 -Gas Turbines, and Turbine Test Cells & Stands 48 -Landfill and/or Digester Gas Flares ELECTRONICS 29 -Automated Soldering 42 -Electronic Component Mfg FOOD 12 -Fish Canneries 12 -Smoke Houses 50 -Coffee Roasters 35 -Bulk Flour & Powered Sugar Storage SOLVENT USE 28 -Vapor & Cold Degreasing 30 -Solvent & Extract Driers 31 -Dry Cleaning ROCK AND MINERAL 04 -Hot Asphalt Batch Plants 05 -Rock Drills 06 -Screening Operations 07 -Sand Rock & Aggregate Plants 08 -Concrete Batch, CTB, Concrete Mixers, Mixers & Silos 10 -Brick Manufacturing QIBsR 01 -Abrasive Blasting Equipment 03 -Asphalt Roofing Kettles & Tankers 46 -Reverse Osmosis Membrane Mfg 51 -Aqueous Waste Neutralization 11 -Tire Buffers 17 -Brake Debonders 23 -Bulk Grain & Dry Chemical Transfer & Storage 45 -Rubber Mixers 21 -Waste Disposal & Reclamation Units 36 -Grinding Booths & Rooms 40 -Asphalt Pavement Heaters 43 -Ceramic Slip Casting 41 -Perlite Processing 40 -Cooling Towers -Registration Only 91 -Fumigation Operations 56 -WWTP (1 million gal/day or larger) & Pump Station NOTE: OTHER EQUIPMENT NOT LISTED HERE THAT IS CAPABLE OF EMITTING AIR CONTAMINANTS MAY REQUIRE AN AIR POLLUTION CONTROL DISTRICT PERMIT. IF THERE ARE ANY QUESTIONS, CONTACT THE AIR POLLUTION CONTROL DISTRICT AT (858) 586-2600. HM-9171 (02/1 I) County of San Diego -DEH -Hazardous Materials Division f t I I 1st Floor 8,210 sf "O § co·-.0 -~ .,., Cl) > 2 sunE 120 ~ o co (.) 0) «N '+-C: > 0 ·-c:> ::;..: -0 :z: co >-== 0 ::;..: :t:! ::s UJ co (.)CO 6 o 0:: UJ 0.. ::) en ~ en SUITE 'iOO .. r-, f r I t + r. ' • . .. .,-·-· f -~ ' f -·· D Cell TrJNcr Equ1pmcnl Room I .:1 ' f I . ,J: ' 1 1 i su: re 110 2,ti32 sr . . ' . (./) rr, (-0 0 z 0 '1 r 0 0 ::D rr, X -l z C) -0 r )> z l