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
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