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HomeMy WebLinkAbout2637 SAUSALITO AVE; ; CB152585; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-12-2015 Demolition Permit Permit No: CB152585 Job Address: Permit Type: Parcel No: Occupancy Group: PC#: Building Inspection Request Line (760) 602-2725 2637 SAUSALITO AV CBAD DEMO Full Demo: N Status: 1675117800 Lot#: 0 Applied: Entered By: Reference #: Plan Approved: ISSUED 08/12/2015 JMA 08/12/2015 # Dwelling Units: 0 Structure Type: Issued: 08/12/2015 Bedrooms: 0 Bathrooms: 0 Inspect Area: Project Title: GERNANDT: DEMO SWIM POOL Applicant: ALLSTAR DEMOLITION INC PO BOX 96 JAMUL CA 91935 619 867-1581 Building Permit Plumbing Fee Other Fee Additional Fees TOTAL PERMIT FEES $0.00 $0.00 $65.00 $0.00 $65.00 Owner: GERNANDT MARK N&KATHEY K TRS 2637 SAUSALITO AVE CARLSBAD CA 92010 Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due: Inspector: ~ Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You 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 right 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 f be ivnaNTI City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-12-2015 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW150312 Job Address: Permit Type: Parcel No: Reference#: CB#: Project Title: Applicant: 2637 SAUSALITO AV CBAD SWPPP 1675117800 CB152584 GERNANDX:POOLDEMO ALLSTAR DEMOLITION INC PO BOX 96 JAMUL CA 91935 619 867-1581 Emergency Contact: TOM WELLINGTON 619-867-1581 SWPPP Plan Check SWPPP Inspections Additional Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Issued: Inspect Area: Tier: Priority: Owner: GERNANDT MARK N&KATHEY K TRS 2637 SAUSALITO AVE CARLSBAD CA 92010 ISSUED 08/12/2015 JMA 08/12/2015 1 L $48.00 $58.00 $0.00 $106.00 Total Fees: $106.00 Total Payments To Date: $106.00 Balance Due: FINAL APPROVAL DATE ~5cLEARANCE SIGNATURE ~----- $0.00 THE FOLLPWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD { City of Carlsbad JOB ADDRESS 3, ~s.i ' Building Permit Appllcatlon 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760~02-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. C Est. Value Plan Ck. Deposit Date 3', APN PHASE# # OF UNITS 1ENANT BUSINESS NAME DESCRIPTION OF WORK: lnc/ude Square Feet of AHecfed Area(•) DelYlo /,'sn QM i'AcLA' JI 1. "-J.sf-i j S<-ui(YVYl,j /J(')OI EXISTING USE PATIOS (SF) DECKS (SF) EMAIL..U. ~ .r,,_._I_ ,•_l• • ,um ioCI.I { ...,-,aroc.h'() , nt,¥\ 1 /\C,. r'o/11 DESIGN PROFESSIONAL ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE UC.# SWPPP TR lYPE OCC. GROUP r.v k-o+ FIRE SPRINKLERS Y£S0NO□ (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 r~uires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law fChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom, and the baslS for the alleged exemption. Any violation of Section 7031.5 by any applicanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Worken:' Compensation Declaration: I hereby affltm under penalty of peljur; one of the following declaratkJns: B I have and wll maintain a certlflcat9 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 pennit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the labor Code, for the perfonnance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ___________________ Policy No. ____________ Expiration Date ________ _ n need not be completed if the permit is for one hundred dollars ($100) or less. rtlftcate of Exemption: I certify lhat in the performance of the work for 'M'lich this permit is issued, I shal not employ any person in any manner so as to become subject to the Workers' Compensation laws of WARNING: Failure to 88CUf'8 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 coda, mtarest and attorney's fen. ~ CONTRACTOR SIGNATUiM""'::::J~::::::::::::;:::::::;--====:;;;'°7-'°-- I hereby affirm that I am exempt from Contractor's license Law for the fol/owing reason: □ J, as owner of the property or my employees with wages as their sole compensation, wil 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 buids Of improves thereon, and who does such work himself or through his own employees, provided lhat SWl improvements are not intended or offered for sale. tf, however, the building or improvement is sold within one year of completion, the owner-builder wil have the burden of proving that he did not build or improve for the purpose of sale), 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: 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 lo the Contractor's License law). □ I am exempt under Section ____ ,Business and Professions Code for this reason: 1. I personaly plan to provide the major labor and materials for constnJction of the proposed property improvement Oves Oo 2. I (have / have not) signed an application for a building permit for the proposed work. 3. l have cootracted with the following person (finn) to provide lhe proposed construction (include name address/ phone/ 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 (indude name I address I phone I contractors' license number): 5. twill provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (indude name I address I phone I typa ofwor1<.): COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is lhe applicant or Mure 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 disbict or air quality management dislrict? □ 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 DISTRtCT. I certify that I have read the appllcatlon and state that the aboYe lnfolmatlon Is conect and that the information on the plans is accurate. I agiee to cornplof Mth aH Cllyon11nances and state laws llllatlngto building construction. I hel8byauttni2e rap!8S8111a1Neof lhe CiyofCarlsboo k>enlerupm lhe alxM, menooned property for ilspection puq,oses. I />lf!IJ AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABLITIES, JUDGMENTS, CCSTS AND EXPENSES \'MICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: All OSHA pe,mit is requied for excavalions cwe, SU' deep and-orconslrudiln ofslruciJres-3 silries n height EXPIRATION: Eve!)' pem,I issood by lhe Buidmg Ollk:ial ur<ler lhe provisions of 1lis Code shall e,q,i-. by imialioo and beoome nul and ril I lhe buidi1g or 11"'1< au1horized by such penrit is not OOl'l11IOl<8d wi1tw1 180 days from lhe daleol such penrit orllhe buidilg or""1< au1horized by such pennlis susoended or at liTre allerlhe 11"'1< is OOl'l11IOl<8d for a period of 180days (Secloo 106.4.4 Unifoon Bu~ilg Code). _LS' APPllCANT'S SIGNATU-;.. Y ·, DATE Inspection List Permit#: CB152585 Type: DEMO Date Inspection Item 09/11/2015 19 Final Structural 09/11/2015 19 Final Structural 09/08/2015 92 Compliance Investigation 09/08/2015 92 Compliance Investigation Monday, September 14, 2015 Inspector Act AEK AEK RI Fl RI AP GERNANDT: DEMO SWIM POOL Comments AM PLEASE AM PLEASE HOLES IN POOL ACCEPTABLE Page 1 of 1 ~,~,, . \ .. ·~ ;, , ~ CITY OF CARLSBAD STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 STORM WATER COMPLIANCE CERTIFICATE ✓ My project is not in a category of permit types exempt from the Construction SWPPP requirements ✓ My project is not located inside or within 200 feet of an environmentally sensitive area with a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge{s). ✓ My project does not require a grading plan pursuant to the Car1sbad Grading Ordinance (Chapter 15.16 of the Car1sbad Municipal Code) ✓ My project will not result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas that meets one or more of the additional following criteria: • located Within 200 feet of an environmentally sensitive area or the Pacific Ocean; and/or, disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical; and/or • disturbed area is located along or Within 30 feet of a stonn drain inlet, an open drainage channel or watercourse; and/or • construction Will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT ALL OF THE ABOVE CHECKED STATEMENTS ARE TRUE AND CORRECT. I AM SUBMITTING FOR CITY APPROVAL A TIER 1 CONSTRUCTION SVVPPP PREPARED IN ACCORDANCE WITH THE REQUIREMENTS OF CITY STANDARDS. I UNDERSTAND ANO ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO MINIMIZE THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO MINIMIZE THE EXPOSURE OF STORM WATER TO CONSTRUCTION RELATED POLLUTANTS: AND. (2) ADHERE TO. AND AT ALL TIMES. COMPLY WITH THIS CITY APPROVED TIER 1 CONSTRUCTION SVVPPP THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD. I. h:a.>,.tvcLLIU~ 1 OWNER(S)/OWNER"S AGENT NAME (PRINT) 'S\ ; \" I --_-> 3-l2.-(5 OWNER(S)/OWNER"S AGENT NAME (SIGNATURE) DATE E-29 STORM WATER POLLUTION PREVENTION NOTES 1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION AND SEDIMENT CONTROL BMPS WHEN RAIN IS EMINENT. 2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO WORKING OROER TO THE SATISFACTION OF THE CITY ENGINEER AFTER EACH RUN-OFF PRODUCING RAINFALL. 3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY ENGINEERING OR BUILDING INSPECTOR DUE TO UNCOMPLETED GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES WHICH MAY 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 AND OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL. 5. ALL GRAVEL BAGS SHALL BE BURLAP TYPE WITH 314 INCH MINIMUM AGGREGATE. 6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. SPECIAL NOTES Page 1 of3 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov PROJECT INFORMATION •i (p-2. 1~ .. ,~ ~ I.... A sne llddres~1.1 nu. -/4Ye Assessor's Parcel Number: ______ _ Project ID: ___________ _ Construction Permit No.: _______ _ Estimated Construction Start Date ____ _ Project Duration _____ Months Emergency Contact: ......._ Nam;'D-t\ ~L-1 t ©pOA l 24 hour Pho/ {.,j)} ':f?w 7 r ( -:'fx-( Perceived Threat to Stenn Water Quality 9 Medium 'f1l-_ Lem If medium box is checked, must attach a site plan sheet showing proposed Yv'Ork area and location of proposed structural BMPs For City Use Only CITY OF CARLSBAD STANDARD TIER 1 SWPPP Approved By: ________ _ Date: ________ _ REV 4/30/10 ? Erosion Control Tracking Non-Storm Water Wasta Management and Materials Sediment Control BMPs Control BMPs BMPs Management BMPs Pollution Control BMPs C: C: C: c c 0 ~ ~ "C u g> " "C " C: C: E C: E "C .'/l .. .$ I ~ C> 0. .. C: e '6 'E " .. * .. ~] C> Iii ;; ·5 ~ C> ::; ,. ,. C: 'i, C: * O> 0. " % c ~ 'C CT " .. ~ Best Management Practice ~ 'E C: ,. C: 0 .. .. ~ ,. ~ ID -0 I!! " (!) i w .2: " m ?! .. (BMP) Description ➔ C: E J.r ., C: ,. "C ai .I!! ;:: ,. " !l en ,. C> ID ·e c: () C> C: "C C: ,. ::; " ,. " '5 ·.; ~ c .. 'a m -cw "C >, 0 C: " ::, > ~ :, 11 "' " i5 Cl ID C> c-2 m m .I!! 0 .I!! ::; ~= " m () ~1 ... I!! Cl g' " a: m ei ~ ~ C> ~ .I!! . ·a E I!! " " ~ '" 1 ;; :, .c i· ·c: ~, 15 '8 €-= " "-" Iii "C :c I!! :0 i C: .. " .I!! ~ '" :2 m " 0. l !!! I!! il C: ·s :c " le :;j C: " ~ ., !!! 0 ~ " .c tn~ ., .s 2 .l!l C> .. 0 ~ .. 15 ~ . ::l!' 1/5 0 0 (!) WCl iii en () iI (!) en en a. en .5 1i5 a: a. a. ::; en :,:: () CASQA Designation ➔ ~ ::; q> --~ .., :z 'I' :;; ~ 0 -~ ;j; ~ .... ;;; i <)< i .., i 'I' "i' () 0 UJ w w ~ "' ch I I I I w w w en en en en en en en I-I-z z z z Construction Activity w en Gradi..,./Soil Disturbance Trenchinnn-111cavation Stockoili= Drilli""/Bori"" Concrete/Asphalt Saw cuttino Concrete flatwork Pavi""" ConduiUPi--Installation Stucco/Mortar Work Waste Disnnctal St:::u,inall .... Down Area Equipment Maintenance and Fueli-- Hazardoos Substance Use/Sto....,..e Dewaterina Site Access Across Dirt other mstl: , I 'l)-_ _L_ --. ~ \J ,qr J.... ~ "I ,_. ' ' I""\,,..~ VP·• • A.._ I ' Instructions: Begin by reviewing the list of construction activities and checking the box ta the left of any activity that will occur during the proposed construction. Add any other activity descriptions in the blank activity descliption boxes provided for that purpose and place a check in the box immediately to the left of the added activity description. For each activity descrribed, pick one or more best management practices (BMPs) from the list located along the top of the fonn. Then place an X in the box at the place where the activity row intersects with the BMP column. Do this for each activity that was checked off and for each of the selected BMPs selected from the list. For Example -If the project includes site access across dirt, then check the box to the left of "Site Access Across Dirr. Then review the list for something that applies such as •Stabilized Construction Ingress/Egress" under Tracking Control. Follow along the "Site Access Across Dirt" row until you get to the "Stabilized Construction Ingress/Egress" column and place an X in the box where the two meet. As another example say the project included a stockpile that you intend to cover with a plastic sheet. Since plastic sheeting is not on the list of BMPs, then write in ·cover with Plastic" in the blank column under the heading Erosion Control BMPs. Then place an X in the box where the "Stockpiling" row intersects the new "Cover with Plastic" column. To learn more about what each BMP description means, you may wish to review the BMP Reference Handout prepared to assist applicants in the selection of appropriate Best Management Practice measures. The reference also explains the California Stonnwater Quality Association (CASQA) designation and how to apply the various selected BMPs to a project E-29 Page 2 of 3 REV 4/30/10 / ;. -