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HomeMy WebLinkAbout165 CHINQUAPIN AVE; ; CB161784; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-16-2016 Demolition Permit Permit No: CB161784 Building Inspection Request Line (760) 602-2725 Job Address: 165 CHINQUAPIN AV CBAD Permit Type: DEMO Full Demo: Y Status: Parcel No: 2060700203 Lot#: 0 Applied: Entered By: Occupancy Group: Reference #: Plan Approved: PC#: # Dwelling Units: 3 Structure Type: Issued: Bedrooms: 0 Bathrooms: 0 Inspect Area: Project Title: DEMO EXISTING 3 UNIT SINGLE STORY BUILDING APPROX 3,489 SF Applicant: Owner: ANDY DRAPKOWKI RREG INVESTMENTS LLC 1026 3005 S EL CAMINO REAL SAN CLEMENTE CA 92672 3005 S EL CAMINO REAL SAN CLEMENTE CA 92672 949-438-5628 Building Permit Plumbing Fee Other Fee Additional Fees TOTAL PERMIT FEES $0.00 $0.00 $65.00 $0.00 $65.00 949-438-5628 ISSUED 05/06/2016 LSM 06/16/2016 06/16/2016 Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due: Inspector: tytf"JL Clearance: $0.00 I\OTlCE: Rease ta<e I\OTlCE tta Cf4lUICII ri yr:u p-qect irdl.Kles tre "lrf!Xllitiai' ri fees, derlcaia15, reservctia15, a ctrer exa:iicns ~ oolectivay rderred to as "feeslexa:iicns." Yru haw 00 days fran the date tlls panit v.as issuoct to pretest irf!Xllitirn ri these feeslexa:ii01S. If~ pretest lt'err\ ~ nu;t fdla.vthe pretest~ set fath in C?oJerrmrt ewe Sectirn am:!( a), a-d file the pretest a-d en; ctrer ra:J.ired irtcm"Etirn wth the Oty ~fa jl'"CnlSSilll in~ wth Ca1st:m Mridr:B ewe Sectirn 3.32.<m. Failue to tirrely fdla.vth!t prorl.re wll ta" en; subseq.a1t lega cdirn to atta:i<, t""EMew, set aside, vdd, a anJ treir ill"lXEition. Yru ere taeiJf FlRTl-ERI\OTlA8Jtl-at yr:u rigt to pretest the specified feeslexa:iicns !XES I\OT JIPA... Yto\M'ter a-d OONar CXJTildirn fees a-d~ cha1ges, na plaTi!ll, :zirirg, ga:illl a cther sinilar ~ia:tirn pocassirg a S81\1ce fees in CXJTildirn wth tlls poqect. I'CR !XES IT JIPA... Y to en; f~ "cnsriv-.tidl haw · been ·\S'lai\OTlCEsinilar til aas o "dl e linitai "rusi · -~----------------- f/IJ IS' ll'!j THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILOIHG 0FIRE 0HEALTH 0HAZMATIAPCD ('city of Building Permit Application Plan Check No.~ t (ot 7&Lf 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlabadcLgov Date~~~ /J (.d jSWPPP JOIADOIIDS IUfiU/ ,--206 • 070 ·02 -00 165-175 Chinquapin Ave, Carlsbad, CA 92008 ms·etlwl• I PHASE I r OF UNIT8 r BEDROOMS !*~·"~~"~ 1'-T.UIININNAMII I CONSTR. TYPE I occ. GROUP I'Nt vr ,..,._ AfN(I) Demolition of the existing 3,489 sf, 3 U!lit residential structure and construction of 3 new detached homes. ' ' EXISTING USE I PROPOSED USE 'GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE II AIR CONDITIONING II FIRE SPRINKLERS Residential Residential YESD N<{XJ YES[])No0 YES[!)N00 APPUCANT NAME • (, ,.,,m.,, co11tut Rmcon Real Estate Group Andy Drapkowsk froPUTYOWNIR RREG Investments Series LLC, Series i026 ADDRESS ADDRESS • 3005 S. El Camino Real '· 3005 S. El Cammo Real CITY STATE CA ZIP -9lfJ08, ._ CITY San Clemente STATE ZIP 9i!99e-q ltJ 1(. ~ San Clemente CA PHONE I FAX (949) 438-5628 {949) 438-5670 PHONE (949) 438-5628 I FAX (949) 438-5670 EMAIL adrapkowski@rincongrp.com EMAIL adrapkowski@rincongrp.com oauPIHJti!IIIONAL Shackelton Design Group CONTRACTORaus.NAME Rincon Real Estate Group ADDRESS ADDRESS • 1106 Second St, #359 3005 S. El Cammo Real "'~----CITY E .. STATE ZIP CITY STATE CA ZIP g~eea ·c... ncm1tas CA 92024 San Clemente PHONE PHONE (760) 889-2600 I FAX (949) 438-5628 IFAJ( (949) 438-5670 EMAIL steve@shacarchitecture.com EMAIL adrapkowski@rincongrp.com ---·----'STATE LIC. I STATE LIC.II rLASSB _]c]~u~ C-34056 955316 [Sec. 7031.5 Business and Professions Code: Arrt CllY or Coun\Y wlllch requires a permit to construct. alter, Improve, demolish or repair any_ structure, prior to Its Issuance, also requires U\e applicant for suCh permit to file a sllflled stetement tl\at he Is liCensed pursuant to the provisions of the Convector's License Lew !ChaPter 9, commending with Section 7000 of DiviSion 3 ofthe Business and ProfeSSions Coda} or U\at he Is exam~ therefrom, and the basis for the alle&ed exemptiOn. Any violation of Section 7031.5 by any appllcenffor a permit subjeciS the appl~ant to a civil penafl¥ of not more than fiVe hundred dollars ($500}). -~~~r " • ~-"'"'~~-..,~~--~,..,,~,""'~=""~=..-~-·~""-~~·-_,.,.....,,....._._~-...---.:------·~-~---------~ ~......, "" -~----~ --·-·" ----- WOrliUIR$ <:OMJ•ENSATION , i Worlcll'l' Compenullon Dedlflllon: I hereby afllrm unch!r penelty d petjury one of the following deciBrafons: B I have and wll maintain a certificate of consent to self~nsure for workers' COII'ptnsation as provided by Section 3700 of the Labor Code, for the pelfonnance of the work for which this penni! is issued. I haft and wiH malnQln walkers' componutlon, as required by Section 3700 of lhe Labor Code, lor lhe performance of lhe WOIX lor which lhls permR Is issued. My workers' compensation insU181lC& carrier and policy number are: lf1SIIIIIIlCII Co. _ Policy No. Expiration Dale-------- ]J!i,sectlon need not be completed Wlhe permit Is for one hundred dollen; ($1 00) or less. U c.rtlllcate o1 Exemption: I certify that in lhe performance of the walk for which tl>is permit is isSiled, I shal not employ any person In any manner so as to become subject to lhe Wodcers' Compensation Laws of Callfomla. WARNING: Failure to eecure w0111n' comp4111utlon coverage Is unlawful,and shallsubjaclan IIRployerto c:rlmlnel penalties and civil ftnts up to one hundred thousand dollars (&100,000), In addition to the cost ol c:ompenutlon, damagas as provided for In Section 3706 of the Labor code, lnllrast and attomay's fees. 65 CONTRACTOR SIGNATURE 0AGENT DATE I ~ allltm that I am &xempt from ContBcli:Jr's License Law for tile following reason: 0 I, as owner ol the property or my employees with wages as their sole compensation, will do lhe worlt and the slruclure is not intended or ofleled for sale (Sec. 7044, Buslness and Prolessions Code: The Conlractor's Li:ense law does not apply to an owner of property who builds or improves thereon, and who does such wortt himseW or ti1IOugh his own employees, provided that such Improvements are not Intended or offered for sale. H, however, the building or improvement is sold within one year of completion, tile owner-builder will have lhe burden of proving lhal he did not build or lfi1X'I)Ve lor the purpose of sale). D I, as owner ollhe property, am exci!Jslvely contracting with licensed contractors to conslrucl the pllljecl {Sec. 7044, Busms and Professions Code: The Contractor's License Law doeS not awJy to an o-of property who bulds or Improves thereon, and contracts lor such proJecls with contractor(s) licensed pursuant ID the Cllnlractor's License l11w). I am exempt under Section Business and Professions Code for ttis reason: 1. I personally plan ID provide the major labor and materials for construction of lhe proposed propeJty improvement. Oves Do 2. I (have I have not) signed an application for a building permit for the proposed worlt. 3. I have eonncted with the lollowing person (firm) to ptOVide lilt proposed c:ons~on fonclude name address/ pllone I COntracloJS' license number): 4. I pial 1o provide portions of the work, but I have hired the following person to cooJdinate, supel'lise and provide the map-wolk fmclude name I address I plme I contlliCiors' license number): 5. I wil provide some ollhe work, but I have contracted (hired) the foDowing persons to provide the worlt indicaled fUICiude name 1 address 1 pllone 1 type ol wolk): 65 PROPERTY OWNER SIGNATURE []AGENT DATE " ' i'oMP~ETE 1HH sEc::TtoN FQR, NoN-rl~t:sl'olu\n'-iA-i -.ruiioi--Nd" retunrs o-N~.i· -- ""~ "-~ • ' ~ • ' "~ o "'< I • ~ -~~ ;, ~ ,>. ~~ >f'' ~"' ~(( ~ ~ -~-~\;, <~ :(<,: • f ' J Is 11e appllcanl ortuuv buUng OcaupllllfiCiuirld 111 submK a busl11111 plan, aculetf h~Zftu ll1llllriiD regiltnlllon form or risk m111a;ement and prevention program under Sectiona 25605. 25633 or 25534 or,. · Preller· Tlllllll' HIZIIdoul Sullllance Account Act? Y11 No lithe lpiJIIclnl or fulln bulfclng occupant required lo otxaln a permit from the lllr poUon 1:0111to1 dlslrlct or air quality management dlllricfl Yes No Is lhe Idly 1o be CCIIIIiuclld wlllmi,OOO feet or the outer boundary o1 a IChoolllill? YH No IF AH'f OF THE AH8WER8 ARE YEB, A FINAL CER11FICATE OF OCCUPANCY IIIAY NOT BE 188UED UNLESS THE APPLICANT HAS MET OR 18 MEETING THE REQUIREMENTS OF THE OFFICE OF E1ERGENCY 8E1MCE8 AND THE AIR POLLUTION CONTROL DISTRICT. lcartlttlltl 11M llldtll epplll:lllolllld llltftllttll abMinfotmdon II c:onctlndthllttllllnbmlltlollllltll pllnalsiiCDIIIII.IIfPWIDCIQII1IIyMIIIIIII ~CIIIIInllalllld 5118 llwt ......,.tDIUfdlniJClOIIIIIUellon. I helaby au11orim !ipi8S8I1IaiYe of the City of ca1sbad b enter upon the aboYe mentioned ~ tr h!!leCiiOn P1JPC81!S.I ALSO AGREE TO SAVE, INDEMNIFY ~D KEEP HARMLESS THE CITY OF CNU8AD AGAINST ALL UABliTIES, JUDGMENTS, COSTS/IKJ EXPENSES WHICH MAY IN mY WAY ACCRUE AGo\INST SAID CITY IN COOSEQUENCE OF THE GRANTING OF THIS PERMrT. OSHA: kl OSHA permlls CMr 5'0' daap and demoltlon or conslludtln olstucU88 owr 3 mtea n lleght. EXPIAATION: ll1der 118 Code shall become null and wid W the tdJing or\\Oik dortzed permit is not ccmrnena!d l'<flhil I~ days arabandonedalanytine alllrlla\\Oikls days (Section 106.4.4 Unlbm 1M1i1Q Code). AS APPLICANT'S 81GHATURE 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. DELIVERY OPTIONS PICK UP: CONTACT (Lilted above) OCCUPANT (Listed eboYe) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed •bovel OCCUPANT (Listed •bove) CONTRACTOR (On PC. 1) MAIL/FAXTOOTHER: _____________ _ ,1/S APPLICANT'S SIGNATURE (Office u. Only) CA ASSOCIATED OBI'---------- NO CHANGE IN USE I NO CONSTRUC110N CHANGE OF USE I NO CONSTRUCTION DATE Inspection List CB161784 DEMO DEMO EXISTING 3 UNIT SINGLE Date Inspection Item Inspector Act Comments STORY BUILDING APPROX 3,489 SF Permit#: Type: 19 Final Structural PB NR06/17/2016 Monday, November 21, 2016 Page 1 of 1 PERMIT INSPECTION HISTORY REPORT (CB161784) BLDG-Residential 05/06/2016Application Date:Permit Type:Owner:RREG INVETMENTS SERIES, LLC SERIES I 026 Subdivision:Demo 06/16/2016Work Class:Issue Date: 165 Chinquapin Av Carlsbad, CA 92008 Address:Issued - Active 12/13/2016Expiration Date:Status: IVR Number: 714333 Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual Start Date 11/04/2016 BLDG-Final Inspection 002192-2016 Passed Andy Krogh Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes November 21, 2016 Page 1 of 1 RINCON HOMES May 5, 2016 City of Carlsbad-Building Division 1635 Faraday Ave Carlsbad, CA 92008 Building Department, We, RREG Investments Series, LLC Series 1026, are the current owners of the multi-unit property located at 165-175 Chinquapin Ave, Carlsbad, CA 92008. It is our intent to fully demolish all current structures on the property in order to build 3 new detached homes per city submittal PUD 15-04 I SOP 15-03 I MS 15-02. Please contact me if you have any questions. Thank you, Kevin Dunn Rincon Homes .,._ (2¥.~ J:N~..,.-~ ~~ 1-1...-V ~ ::r:-oz-6 3005 S El Camino Real San Clemente, CA 92672 office: 949.438.5494 I mobile: 949.637.3254 email: kdunn@rincongrp.com 3005 S. El Camino Real -San Clemente, CA 92672 /'\1} I/..._ ,-rru Office 888-357-3553-sales@rincongrp.com-www.Rincon-Ho.L.E)I"' IU I DEMOLITION ASBESTOS CERTIFICATION ADDRESS: \lu?-\"1$ 0-\\~Q.'1Aflt0 Av'<-. c::/J\LL4P;JH' CAk tf1.-tJ()~ , ; USE OF BUILDING TO BE DEMOLISHED: .......~f'-~-t?.;.,.l;,.,;.C>....:~;,_N_"f.;.,.\_P<\..__;,_ _____ _ SQUARE FEET ~, "\iq 7f X NUMBER OF STORIES _ ...... / __ _ PROPERTY OWNER: f-~~& !NVv,r-M~(4 5~"(2-\~2 t..-t.-c, ?~2-=,~'> 1=-o'l.-(p ADDRESS: '?o01 5. ~\.-vAtJqNO 1:£~v, PHONE 1t~)qo'l.--q1?? """'1J c;..~.-~ME.I'l~~, CK Zf'W'7'2..- APPLICANT: f'"'c..otJ t!oMf;S ADDRESS: ';oo'7 $. '-\... C-XM\IVO 'J.-~PI:\..­~"t-l "~~, vA 11AI11.- 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: ( ) <X( B-9 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 Title 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. Date Page 2 of2 Rev. 06/2013 4'~.~ ;&::··· ;, • ~ "'*' *' .· ~· CITY OF CARLSBAD PLAN CHECK REVIEW TRANSMITTAL Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov DATE: 05/10/2011»ROJECT NAME: CARLSBAD LAGOON HOME DEMO PROJECT ID: CB161784 PLAN CHECK NO: 1 SET#:1 ADDRESS: 165-175 CHINQUAPIN AVE APN: 2060700200 VALUATION: APPLICANT CONTACT: ADRAPKOWSKI@RINCONGRP .COM D Tlis plan check review transmittal is to notify you of clearance by: LAND DEVELOPMENT ENGINEERING DIVISION Final Impe c tion by the Construction & Inspection Division is required: Yes X No ~ For status from a division not marked below, please call 760-602-2719 This plan check review is Na'COMPLBTE Items missing or incorrect are listed on the attached checklist. Please resubmit arne nded plans as required. 760-602-4624 Chris.Sexton@carlsbadca.gov Gina Ruiz 760-602-4675 Gina.Ruiz@carlsbadca.gov 760-602-27 41 Kathleen.Lawrence@carlsbadca.gov Linda Ontiveros D 760-602-2773 Linda.Ontiveros@carlsbadca.gov VALRAY MARSHALL 760-602-27 41 VALRA Y.MARSHALL@CARLSBADCA.GOV Gregory. Rya tYQ)ca rlsbadca .gov Cindy Wong 760-602-4662 Cynthia.Wong@carlsbadca.gov Dominrc Fieri 760-602-4664 Dominic.Fieri@carlsbadca.gov Remarks: DEMO CAN BE SIGNED OFF BY LDE ONCE THE GRADING PERMIT GR 16-13 IS ISSUED AND THE PRE-CON MEETING HAS TAKEN PLACE FOR THE GRADING PERMIT. «~~, ~ CITY OF CARLSBAD PLANNING DIVISION BUILDING PLAN CHECK APPROVAL P-29 DATE: 5-10-16 PROJECT NAME: PROJECT ID: Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.e:ov PLAN CHECK NO: CB 16-1784 SET#: 1ADDRESS: 165-175 Chinquapin Av APN: 206-070-02 [gl ·This plan check review is complete and has been APPROVED by the Planning Division. By: Chris Sexton/Greg Fisher A Final Inspection by the Planning Division is required DYes 1:8] No You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions. D This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check APPROVAL has been sent to: For questions or clarifications on the attached checklist please contact the following reviewer as marked: ~ Chris Sexton D Chris Glassen D Greg Ryan 760-602-4624 760-602-2784 760-602-4663 Chris.Sexton@carlsbadca.gov Christopher.Giassen@carlsbadca.gov Gregory.Ryan@carlsbadca.gov D Gina Ruiz D VaiRay Marshall D Cindy Wong 760-602-4675 760-602·27 41 760-602-4662 Gina.Ruiz@carlsbadca.gov VaiRay.Marshall@carlsbadca.gov Cynthia.Wong@carlsbadca.gov D Veronica Morones D Linda Ontiveros D Dominic Fieri 760-602-4619 760-602-2773 760-602-4664 Veronica.MQrones@carlsbadca.gov Linda.Ontiveros@carlsbadca.gov Dominic.Fieri@carlsbadca.gov Remarks: demo existing homes Shay Even From: Sent: To: Cc: Subject: Good morning Andy, Amber Ressmer Wednesday, May 11, 2016 9:42 AM adrapkowski@ ri ncongrp.com Building CB161784 CB161784 plan does not require Carlsbad Fire Department fire plan review. Thank you, Amber Amber Ressmer Administrative Assistant Fire Prevention City of Carlsbad 1635 Faraday Ave Carlsbad, CA 92008-7314 www.carlsbadca.gov p 760-602-4665 I F 760-602-8561 1 P.G. & .J. Environm:ental, lac. Certificate of Completion April29, 2016 Rincon group Re: letter of Completion 165-175 Chinquapin Ave Carlsbad, CA 92008 To Whom It May Concern: We are pleased to inform you that the environmental remediation project involving ~stos abatement was $UCC8Ssfully completed after quality control and inspection by our AHERA certified contractor supervisor personnel. We hereby declare that our scope of work \NaS comptetec;t ac::c:ording to the contract and local, state, federal law, and contract specifiCations as contracted for the project. Asbestos materials in scope of work were removed according to survey. Any material not in survey may remain in structure. If you have any question or comments please contact us by phone at 714-525-2548 or by email at Q!brielleQp,gierwironmental.com Sincerely, Office Administrator Project 1635-16 Rincon Gtoup-Carlsbad 271 E. JmpttJal Hwy., Suite 660 Fulletton, CA i2835 (714) 525-2548 Olfk»l (714) 494-8017 Fax est f 969605-DOSH 1053 FOR APCD USE ONLY SAN DIEGO AIR POLLUTION CONTROL DISTRICT 10124 OLD GROVE ROAD, SAN DIEGO, CA 92131 PHONE (858) 586-2650 FAX (858) 586-2651 Postmark Received Fee/ Receipt Notification # Entered Sector Inspector Assigned/Date NOTIFICATION OF ASBESTOS RENOVATION OR DEMOLITION OPERATIONS Completed by: Andy Drapkowski Company: __ ~R~·~~n~c~o~n~H~o~m~e~sL------------------ [XI Original D Cancellation D Courtesy D Other( specify): ___________ __ NOTIFICATION D Revision D Change in asbestos amount D Change in start/end date (Indicate type of revision) (greater than 20%) 1:&1 Demolition D Ordered Demolition D Renovation (removal) PROJECT TYPE D Emergency Removal D Emergency Demolition D Planned Renovation (annual) FACILITY INFORMATION Facility Name: n/a-residential Address: 165-175 Chinquapin Ave Cross Street: Chinquapin and Garfield City: Carlsbad Zip Code: 92008 Facility Owner: RREG Investments Series LLC, Series i026 Address: 3005 S. El Camino Real City: San Clemente State: CA Zip Code: 92672 Contact: Andy Drapkowski Title:Dir. of Comm. DevelopmentPhone No: (949) 438-5628 Building Size (sq. ft}: 3,489 sf Building Age (years): 58 Number of Floors: 1 Number of Units: 3 Building prior/present D Commercial D Hospital D Industrial D Office D K-12 School use: D Public Bldq 00 House/Condo D Shio D Univ/Colleqe D Other PROJECT INFORMATION Asbestos Survey Is Asbestos Present? Will the asbestos be removed? Is the building to be demolished? Performed?* lXI Yes D No 00 Yes D No 00 Yes 0No ~Yes D No Friable Category I Category II Total Asbestos Pipes: Pipes: Pipes: Amount to be jsurface Area: !Surface Area: jsurface Area: removed (sq/ln ft}: Facility Component: 1"'acility Component: Facility Component: Revised Amounts (if a revision) Asbestos Removal Start Date: around 4L25L16 Demolition Operation Start Date: tbd Asbestos Removal End Date: com~leted around 4/29/16 Demolition Operation End Date: For revisions only For revisions only Revised Start Date: Revised Start Date: Revised End Date: Revised End Date: Removal Contractor: I Name: PG&J Environmental, Inc Phone No: (714) 525-2548 l CSLB License#: 969005 Address: 271 E. Imperial Hwy, suite 660 City/State/Zip: Fullerton, CA 928351 Site Supervisor: Alfonso Demolition Contractor: I Name: Phone No: I CSLB License#: Address: City/State/Zip: I Site Supervisor: *Asbestos Surveys are required prior to Renovation and Demolition, however the actual survey is not required to be submitted with the notification. SDAPCD -SUBPART M-Rule 361.145 04/2010 Page 1 of2 NOTIFICATION OF ASBESTOS RENOVATION OR DEMOUTION OPERATIONS Waste Transporter#l: Waste Transporter#2: Name: Name: Address: Address: City/State/Zip: City/State/Zip: Contact Person: Phone: Contact Person: \ Phone: Waste Disposal Site (Landfill): Name: Address: City/State/Zip: Contact Person: Phone: Asbestos Detection Procedures: Check the appropriate procedures and analytical methods used to detect the presence of asbestos containing materials. Iii Survey D Inspection D TEM D PCM []I Bulk Sampling D PLM D Other: Describe work practices and engineering controls to be used. Check applicable methods below: D Water D Demolition w/roofing materials in place D Skid Loaders/bobcats/Top Loaders D Amended Water using sledge hammers. D TerminatorTM D Roofing Cutting Saws D Axes D Shovels D Implosion D High Pressure Water Blast D Demolition w/Cat I Floor tiles in place D Explosion D Infrared Machines D Ice Chippers D Pry Bars D Negative Air Machines D Cranes (wrecking ball, D Bulldozer D Full Containment clamshell, bucket) D Intentional Burning D 3 Stage Decon D Zamboni D Backhoes D Glove Bag D Bead Blast D Other: D Critical Barriers D Floor Buffer For Ordered Demolition provide a copy of the order and complete the information below: Agency Name: Authorizing Person: Title: Date of Order: Date Ordered to Begin: Phone: Describe actions to be followed if unexpected asbestos is found during demolition or Contingency Plan removal or asbestos material becomes disturbed, crumbled, pulverized or reduced to powder. I certify that an individual trained in the provisions of this regulation {CFR Part 61, Subpart M) Training Certification will be on site during the removal and evidence that the required training has been accomplished by this person will be available for inspection during normal business hours. Date: Print Name: I Signature: (Owner/Operator) (Owner/Operator) Information Certification: I certify that the above information is correct. Date: Print Name: I Signature: (Owner/Operator) (Owner/Operator) Original notifications are to be submitted to the District at least 1 0 working days prior to removal or demolition. Revised notices are to be submitted as soon as possible but no later than the original start date. Original notifications cannot be accepted without the required fee(s) (Rule 40(f)(2)), however revised notifications will be accepted without the required fee provided the fee is paid prior to the start date of the original notification. SDAPCD -SUBPART M-Rule 361.145 Page 2 of2 RINCON HOMES May 5, 2016 City of Carlsbad-Building Division 1635 Faraday Ave Carlsbad, CA 92008 Building Department, We, RREG Investments Series, LLC Series 1026, are the current owners of the multi-unit property located at 165-175 Chinquapin Ave, Carlsbad, CA 92008. It is our intent to fully demolish all current structures on the property in order to build 3 new detached homes per city submittal PUD 15-04 I SDP 15-03 I MS 15-02. Please contact me if you have any questions. Thank you, Kevin Dunn ~'=--I-LV ~ x-oz-6 Rincon Homes -.a-t2¥-~· J:AI~~ ~~, 3005 S El Camino Real San Clemente, CA 92672 office: 949.438.5494 I mobile: 949.637.3254 email: kdunn@rincongrp.com 3005 S. El Camino Real-San Clemente, CA 92672 Office 888-357-3553 -sales@rincongrp.com -www.Rincon-Homes.com FOR APCD USE ONLY SAN DIEGO AIR POLLUTION CONTROL DISTRICT 10124 OLD GROVE ROAD, SAN DIEGO, CA 92131 PHONE (858) 586-2650 FAX (858) 586-2651 Postmark Received Fee/ Receipt Notification # Entered Sector Inspector Assigned/Date NOTIFICATION OF ASBESTOS RENOVATION OR DEMOLITION OPERATIONS Completed by: Andy Drapkowski Company: ___ R~in~c~o~n~H~o~m~e~s~------------------ [XI Original D Cancellation D Courtesy D Other(specify): ___________________ _ NOTIFICATION D Revision D Change in asbestos amount D Change in start/end date (Indicate type of revision) (greater than 20%) 00 Demolition D Ordered Demolition D Renovation (removal) PROJECT TYPE D Emergency Removal D Emergency Demolition D Planned Renovation (annual) FACILITY INFORMATION Facility Name: n/a-residential Address: 165-175 Chinquapin Ave Cross Street: Chinquapin and Garfield City: Carlsbad Zip Code: 92008 Facility Owner: RREG Investments Series LLC, Series i026 Address: 3005 S. El Camino Real City: San Clemente State: CA Zip Code: 92672 Contact: Andy Drapkowski Title:Dir. of Comm. DevelopmentPhone No: (949) 438-5628 Building Size. (sq. ft): 3,489 sf Building Age (years): 58 Number of Floors: 1 Number of Units: 3 Building prior/present D Commercial D Hospital D Industrial D Office D K-12 School use: D Public Bldg 00 HouseL_Condo D ShiP. D UnivjColleg_e D Other PROJECT INFORMATION Asbestos Survey Is Asbestos Present? Will the asbestos be removed? Is the building to be demolished? Performed?* lXI Yes D No 00 Yes D No 00 Yes 0No 00 Yes 0No Friable Category I Category II Total Asbestos Pipes: Pipes: Pipes: Amount to be Surface Area: ~urface Area: jsurface Area: removed (sq/ln ft): Facility Component: '='acility Component: Facility Component: Revised Amounts _(if a revision) Asbestos Removal Start Date: around 4[25[16 Demolition Operation Start Date: tbd Asbestos Removal End Date: comeleted around 4/29/16 Demolition Operation End Date: For revisions only For revisions only Revised Start Date: Revised Start Date: Revised End Date: Revised End Date: Removal Contractor: I Name: PG&J Environmental, Inc Phone No: (714) 525-2548 I CSLB License#: 969005 Address: 271 E. Imperial Hwy, suite 660 City/State/Zip: Fullerton, CA 928351 Site Supervisor: Alfonso Demolition Contractor: I Name: Phone No: I CSLB License#: Address: City/State/Zip: I Site Supervisor: *Asbestos Surveys are required prior to Renovation and Demolition, however the actual survey is not required to be submitted with the notification. SDAPCD -SUBPART M-Rule 361.145 04/2010 Page 1 of2 NOTIFICATION OF ASBESTOS RENOVATION OR DEMOLITION OPERATIONS Waste Transporter#l: Waste Transporter#2: Name: Name: Address: Address: City/State/Zip: City/State/Zip: Contact Person: Phone: Contact Person: I Phone: Waste Disposal Site (Landfill): Name: Address: City/State/Zip: Contact Person: Phone: Asbestos Detection Procedures: Check the appropriate procedures and analytical methods used to detect the presence of asbestos containing materials. [i] Survey 0 Inspection 0 TEM 0 PCM []I Bulk Sampling 0 PLM 0 Other: Describe work practices and engineering controls to be used. Check applicable methods below: 0 Water 0 Demolition w/roofing materials in place 0 Skid Loaders/bobcats/Top Loaders 0 Amended Water using sledge hammers. 0 TerminatorTM 0 Roofing Cutting Saws 0 Axes 0 Shovels 0 Implosion 0 High Pressure Water Blast 0 Demolition w/Cat I Floor tiles in place 0 Explosion 0 Infrared Machines 0 Ice Chippers 0 Pry Bars 0 Negative Air Machines 0 Cranes (wrecking ball, 0 Bulldozer 0 Full Containment clamshell, bucket) 0 Intentional Burni~g 0 3 Stage Decon 0 Zamboni 0 Backhoes 0 Glove Bag 0 Bead Blast 0 Other: 0 Critical Barriers 0 Floor Buffer For Ordered Demolition provide a copy of the order and complete the information below: Agency Name: Authorizing Person: Title: Date of Order: Date Ordered to Begin: Phone: Describe actions to be followed if unexpected asbestos is found during demolition or Contingency Plan removal or asbestos material becomes disturbed, crumbled, pulverized or reduced to powder. I certify that an individual trained in the provisions of this regulation (CFR Part 61, Subpart M) Training Certification will be on site during the removal and evidence that the required training has been accomplished by this person will be available for inspection during normal business hours. Date: Print Name: I Signature: (Owner/Operator) (Owner/Operator) Information Certification: I certify that the above information is correct. Date: Print Name: I Signature: (Owner/Operator) (Owner/Operator) Original notifications are to be submitted to the District at least 10 working days prior to removal or demolition. Revised notices are to be submitted as soon as possible but no later than the original start date. Original notifications cannot be accepted without the required fee(s) (Rule 40(f)(2)), however revised notifications will be accepted without the required fee provided the fee is paid prior to the start date of the original notification. SDAPCD -SUBPART M -Rule 361.145 Page 2 of2 1 ;. FOR APCD USE ONLY SAN DIEGO AIR POLLUTION CONTROL DISTRICT 10124 OLD GROVE ROAD, SAN DIEGO, CA 92131 PHONE (858) 586-2650 FAX (858) 586-2651 Postmark Notification # Received Fee/ Receipt Entered Sector Inspector Assigned/Date NOTIFICATION OF ASBESTOS RENOVATION OR DEMOLITION OPERATIONS completed by: Andy Drapkowski Company: __ ~R~in~c~o~n~H~o~m~e~s~------------------ !XI Original D Cancellation D Courtesy D Other( specify): __________ _ NOTIFICATION D Revision D Change in asbestos amount D Change in start/end date (Indicate type of revision) (greater than 20%) !:&1 Demolition D Ordered Demolition D Renovation (removal) PROJECT TYPE D Emergency Removal D Emergency Demolition D Planned Renovation (annual) FACILITY INFORMATION Facility Name: n/a -rPsidential orooertv Address: 165-175 Chinquapin Ave Cross Street: Chinquapin and Garfield City: Carlsbad Zip Code: 92008 Facility Owner: RREG Investments Series LLC, Series i026 Address: 3005 S. El Camino Real City: San Clemente State: CA Zip Code: 92672 Contact: Andy Drapkowski Title:Dir. of Comm. DevelopmentPhone No: (949) 438-5628 Buildinft Size (sq. ft}: 3,4 9 sf Building Age (years): 58 Number of Floors: 1 Number of Units: 3 Building prior/present D Commercial D Hospital D Industrial D Office D K-12 School use: D Public Bldo 00 House/Condo D Ship D Univ/College D Other PROJECT INFORMATION Asbestos Survey Is Asbestos Present? Will the asbestos be removed? Is the building to be demolished? Performed?* liJ No N/A !XI Yes D No DYes DYes DNo ~Yes D No Friable Category I Category II Total Asbestos Pipes: Pipes: Pipes: Amount to be Surface Area: Surface Area: Surface Area: removed (sq/ln ft}: Facility Component: acility Component: Facility Component: Revised Amounts (if a revision) Asbestos Removal Start Date: around 4/25/16 Demolition Operation Start Date: 6{13£16 Asbestos Removal End Date: comeleted 4/29/16 Demolition Operation End Date: For revisions only For revisions only Revised Start Date: Revised Start Date: Revised End Date: Revised End Date: Removal Contractor: I Name: PG&J Environmental, Inc. Phone No: (714) 525-2548 I CSLB License#: 969005 Address: 271 E. Imperial Hwy, Suite 660 City/State/Zip: Fullerton, CA 928351 Site Supervisor: Alfonso Demolition Contractor: I Name: ACE Hauling Phone No: (760) 434-5740 l CSLB License#: 895818 Address: 2220 David Place City/State/Zip: Carlsbad, CA 92008 I Site Supervisor: Nick Marchand *Asbestos Surveys are required prior to Renovation and Demolition, however the actual survey is not required to be submitted with the notification. SDAPCD -SUBPART M-Rule 361.145 04/2010 Page 1 of2 • NOnFICAnON OF ASBESTOS RENOVAnON OR DEMOLinON OPERAnONS Waste Transporter#l: ACE Hauling Waste Transporter#2: N/A Name: Name: Address: PO Box460 Address: City/State/Zip: Carlsbad, CA 92008 City/State/Zip: Contact Person: Nick Marchand Phone: 760-434-5740 Contact Person: I Phone: Waste Disposal Site (Landfill): Name: Sa nco Address: 6750 Federal Blvd. City/State/Zip: Lemon Grove, CA 91945 Contact Person: Nick Marchand Phone: 760-434-5740 Asbestos Detection Procedures: Check the appropriate procedures and analytical methods used to detect the presence of asbestos containing materials. Iii Survey D Inspection D TEM D PCM D Bulk Sampling D PLM D Other: Describe work practices and engineering controls to be used. Check applicable methods below: D Water D Demolition w/roofing materials in place D Skid Loaders/bobcats/Top Loaders D Amended Water using sledge hammers. D TerminatorrM D Roofing Cutting Saws D Axes D Shovels D Implosion D High Pressure Water Blast D Demolition w/Cat I Floor tiles in place D Explosion D Infrared Machines D Ice Chippers 0 Pry Bars D Negative Air Machines D Cranes (wrecking ball, D Bulldozer D Full Containment clamshell, bucket) D Intentional Burning D 3 Stage Decon D Zamboni D Backhoes D Glove Bag D Bead Blast D Other: D Critical Barriers D Floor Buffer For Ordered Demolition provide a copy of the order and complete the information below: Agency Name: Authorizing Person: Title: Date of Order: Date Ordered to Begin: Phone: Describe actions to be followed if unexpected asbestos is found during demolition or Contingency Plan removal or asbestos material becomes disturbed, crumbled, pulverized or reduced to powder. Stop work, contain area, contact asbestos contractor I certify that an individual trained in the provisions of this regulation (CFR Part 61, Subpart M) Training Certification will be on site during the removal and evidence that the required training has been accomplished by this person will be available for inspection during normal business hours. Date: Print Name: I Signature: (Owner /Operator) (Owner/Operator) Information Certification: I certify that the above information is correct. Date: 6/3/16 Print Name: Kevin Dunn I Signature: j? rr--(Owner/Operator) (Owner/Operator) Original notifications are to be submitted to the District at least 1 0 working days prior to removal or demolition. Revised noticeVare to be submitted as soon as possible but no later than the original start date. Original notifications cannot be accepted without the required fee(s) (Rule 40(f)(2)), however revised notifications will be accepted without the required fee provided the fee is paid prior to the start date of the original notification. SDAPCD -SUBPART M-Rule 361.145 Page 2 of2 • 1. 2. 3. 4. Ia" 6. 0 6. Cl HM-9171 (08115) SAN DIEGO REGIONAL HAZARDOUS MATERIALS USEOI4LY 13. C«RlliVee 1-i. 011tet Hellh Haurdt 18. Noptoflhele. COUNlY-tllol) AI'CO apply. County or San Diego-DEH -Hazazdous Materials Division I I I I I ___________________ [ P.G. & J. Environmenta-l, 1-nc. Certificate of Completion . Apri129, 2016 Rincon group Re: .Letter of Completion 165-175 Chinquapin Ave C.arlsbad, CA 92008 To Whom It May Concern: We are pleased to inform you that the environmental remediation project involving i:JSbestos abatement was successfully completed after quality control and inspection by our AHERA certified contractor supervisor personnel. We hereby declare that our scope of work was completed according to the contract and local, state, federal law, and contract specifications as contracted for the project. Asbestos materials in scope of work were removed according to survey. Any material not in survey may remain in structure. If you have any question or comments please contact us by phone at 714-525-2548 or by email at gabrielle@oajenvironmental. com Sincerely, Office Administrator Project 1635-16 Rincon Group -carlsbad 271 E, Imperial Hwy., Suite 660 Fullerton, CA 92835 (714) 525-2548 OffiCe I (714) 494-8017 Fax CSL # 969005-DOSH 1053 Notice of Service Discontinuance PERMIT DEPARTMENT, CITY OR COUNTY OF: CARLSBAD SERVICE WILL BE DISCONTINUED TO: ADDRESS: 165, 175, 175B CHINQUAPIN AVE CARLSBAD, CA BY: (Date) June 9, 2016 ~ ELECTRIC METER NO. 5191222,05191223, 05191220 ~ GAS METER NO. 282896,01328888,01328884 ALL SERVICE LINES WILL BE REMOVED. THIS BUILDING CAN BE MOVED OR RAZED AFTER THE ABOVE DATE. SAN DIEGO GAS & ELECTRIC BY: PHONE: 760-476-5619 DATE: June 9, 2016 PM Forms: NoticeofServiceDiscontinuance.doc Revised: 6/20/06 Catyof Carlstiad WASTE MANAGEMENT PLAN B-59 owner: RREG Investments Series LLC, Series i026 Contractor: Development Services Building Division 1635 Faraday Avenue 760-602~2719 www.carlsbadca.gov Job Address: 165 -175 Chinquapin Ave, Carlsbad Phone Number: (714) 402-9955 Permit#: Estimated Cost of Project $ '00 1 DO{). () 0 > Typ~ of Project: ~ew Construction D Remodel or T.l. D Residential D Commercial t ~emolition (check all that apply) D Other---------------------------- Non-hazardous construction waste generated during the course of this project shall be recycled and/or salvaged for r~se at a minimum of 50% per CALGreen Sec. 5.408.1. Failure to comply may result in a penalty fee up to $1,000. For projects which consist of mainly equipment and/or racking, that have a combined weight of new construction disposal that does not exceed 2 lbs per square foot of building area affected by this permit, may be deemed to meet the 50% minimum requirement upon approval of Building Department. ALTERNATIVE FORMS OF COMPLIANCE: (If selected, do not complete Tables 1 & 2 below) D Construction waste shall not exceed 2 lbs. per sf. of area. All receipts shall be provided to the Building Official prior to final. (This option not applicable for most construction projects.) Square feet of construction area X 2 lbs. c lbs. of allowable waste. D I plan on using a WASTE MANAGEMENT roll-off bin. All receipts shall be provided to the Building Official prior to final. Table 1-Estimated Waste (To be filled out prior to permit issuance-refer to example on Page 2.) MATERIALS Asphalt I Concrete Brick I Masonry cardboard Drywall Landscape Debris Lumber I Wood Metals MlxedWaste TOTALlbs: lbs. of waste to be taken to LANDFILL Waste Hauling Company or Re-Use Method I certify that the Information provided herein, to the best of my knowledge, is true and correct. 1'f2-~c.r tw'\lt::'71"Me;~s 7£tz..t~S k""·fa,e-'7 :ko"2.fR Co"W""~ ' Page 1of2 Table 2-Actual Waste (To be completed after construction.) MATERIALS lbs. of waste taken to lbs. of waste Waste Hauling Company or Re-Use Method LANDFILL RE-USED or RECYCLED (complete only If different than Table 1) Asphalt 1 Concrete Brick 1 Masonry CardbGard Drywall Landscape Debris Lumber 1 Wood Metals Mixed Waste Trash I Garbm!:e other: TOTALibs.: . Actual Percentage Re-Used or Recycled. _____ % omclal Use Only 050%Goa1Achieved 050%Goal NotAchieved OAiternativeCompllanceAchleved Penalty Paid$ ______ _ Reviewed 1 Approved~·----------------- EXAMPLE: Use the following example as a guide to completing this form. MATERIALS, lbs. of waste to be taken to lbs. of waste to be LANDFILL RE-USED or RECYClED Aspha1t I Concrete 0 2!)00 Brick I Masonry iOO 450 Cardboard 0 1.50 Drywall 0 50 Landscape Debris 0 1_2/) Lumber I Wood 500 0 Metals 300 2/)0 Mixed Waste 1.500 0 Trash I Garbage 300 0 Other: PooL Cjulll.i.te 0 jOO TOTALibs.: 'J . .'J-00 3~J-O Percentage to be Re-Used or Recycled 59 % Formula: Total Be-used or Recycled X 100 '" % Re-Used or Recycled (Total Combined Waste) Waste Hauling Company or Re-Use Method ABCJ±«r..c.Lt~Ja Go. WM I Rl-V\S~ t>rf.c.R. Ol'\rstte ABCt-tar..c.lt.~ {'AJ, ABC t-tar..c.Lti!U'l Go. Mt-~.Lchec;l . .Et Re-usec;l o~~~rstte WCIStt MCI!II.aqti!M.tlll.t WM I ABC. HauLt~ WM WM ~ as cruskec;l Btlse o~~~rstte 3870 X 100 = 59% Re-Used or Recycled (2700 + 3870) Since 59% exceeds the minimum requirement of 50%, this plan complies. 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