HomeMy WebLinkAbout1903 WRIGHT PL; 220; CB080242; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-07-2008 Commercial/Industrial Permit Permit No: CB080242
Building Inspection Request Line (760) 602-2725
Job Address: 1903 WRIGHT PL CBAD St: 220
Permit Type: Tl Sub Type: INDUST
Parcel No: 2120912200 Lot #: O Status:
Valuation: $76,930.00 Construction Type: 1111 Applied:
Occupancy Group: Reference #: Entered By:
Project Title: HOMEFED-EXPANDING SUITE 220 Plan Approved:
FROM STE 250 2,078 SF OFFICE,65 SF CORRIDOR, 55 SF 1 HR Issued:
Applicant:
H2A ARCHITECTS
3RD FLOOR
701 CST 92101
619 232 7700
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Plan Check Discount
Strong Motion Fee
Park Fee
LFM Fee
Bridge Fee
BTD #2 Fee
BTD #3 Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Pot. Water Con. Fee
Meter Size
Add'I Pot. Water Con. Fee
Reel. Water Con. Fee
$499.66
$0.00
$324.78
$0.00
$0.00
$16.16
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Inspect Area:
Plan Check#:
Owner:
REALTY ASSOCIATES FUND V LP
1301 DOVE ST #860
NEWPORT BEACH CA 92660
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWA Fee
CFO Payoff Fee
PFF (3105540)
PFF (4305540)
License Tax (3104193)
License Tax ( 4304193)
Traffic Impact Fee (3105541)
Traffic Impact Fee (4305541)
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Master Drainage Fee
Sewer Fee
Redev Parking Fee
Additional Fees
HMP Fee
TOTAL PERMIT FEES
ISSUED
02/07/2008
LSM
03/07/2008
03/07/2008
Total Fees: $924.60 Total Payments To Date: $324.78 Balance Due:
Inspector: ,Wv ~ Date:
'
BUjtDING PLANS
--IN STORAGE
-~AT
Clearance:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$60.00
$24.00
$0.00
$0.00
$0.00
$0.00
??
$924.60
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 feesiexactions. 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 !Of
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, Of 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
City of Carlsbad
1635 Faraday Ave., car1sbad, CA 92008
760-602-2717 / 2718 / 2719 / 2721
Fax: 760-602-8558
JOB ADDRESS l Gf O ~
/PAOJE •
DESCfflPnON Of=. WORM:
Plan Check No.
Est. Value
Plan Ck. Deposit
GA.RM3l (Sf) PATIOS (Sf) AJR COHOtflONING FIRE SPfffNKLt.RS ~ YES(2f N0O YES N0O
-LO
~ FAX ,bO-
WOIMrS'CompenutionOoda,oton:l,_.,,llllrm...,.,,p<nrllyol~oneo/lhe~--
g;.....,.ondwllmlinllln•-ol«n_, ... ..., ...... 1o,W0<1<.,.'-asprOYidodbySedion 3700cllhel-Code,lo<lheporionnanceclheWO<l<lo<wt.clilhs-is,su,d
I.M 11\a,/oond will mlinllln--• ...._....,, .. ~ bySdon 3700cllhet.-Code. lo<lheporionnancecllhowcrtlo<wt.cli hapenrit•issuod 1,t,,""'1on' _......,.,.ca,,w and~
--.......... eo ~k ~ PaityNo ~ooeo 10 -'1,00&' F~-ot-ot-o-1 Tlllssec110n,-t11011>ecxn.-1toepem,11$1o<onolulchddclniStOO)ales&. 0 c.1illcnol& .. p41on:loriyMwtlhepononnanceclhewcrtlo<wt.clilhspem,t~...ued.1"1al1101~"'fpo,t(n~"'f-"°asloboocmoaA>,odlDheW<nenl~Laoscl
C.aitcmia. WARNHG: Failure to MCUl'I wofMfl' compenHtion coverage ts unlawful, and lhaH sub}tct an tmploy• to criminal penaltin and civil finn up to one hundred thousand dollars (&100,000), in
addition to the coat of compenudon, damagn a provkted for In Section 3706 of the Labor code, lnterttl and 1ttomty'1 feet.
,/!S COHTRACTORSIGNATUAE
, ,_.,,a11m1 ""'I am •...,,.i lom Callract>'s u.ns.uwtorlhe ~,....,..,_
O I, .. ,,.,.,cllhe p,q,o,ty0<"'f ~""1-as lhewlOle-. wildolhoWO<l<and lholWCU1>~ 1101noododaofforod lo< "'8(S.C. 7044, e..ar-..i Proloosm&Code. ThoC<nraclcr's
l.ioenao Law doec 1101 l!)llly loan ow,w cl ptq,e,-ty who butts" impro,os lhe<..,., mwho doec such wcrt 1wnse11 a IIY~ tis°"" 8f111)1o/oos, promed lhal such -Is .. 1101 ~-c,Cllleri,d lo<
salo. lJ. -. lhe l>.tilgo, ~ is 9Cld within ooe ye,t cl oomc,letial, lho°"'""-bu<ldww,I have lhe booien cl Jl((Mllg lhal he did ncl b'Jid c, inprove lo< Ille """"'°"cl salo)
D ~.,!~~~"':.::..::::.-:===.:Ir~~ .::""~8:; ~ ~".':,.,ai;1 ==Code TheCoouaclcr', Uc,,nse law doec ncl l!)llly lo"""""" cl
□ I 1m_o.nler_ Bu,inessandProle,ooonsCodelo< hs""""1:
11penona1ypi.. .. p,o,,do11emap~anc1.-..1o,_c1..,p,q,o&alp,q:,o,ly--□Y .. Or"'
2 I lh-/haYe ncl) og,od an ~lo< 11>.tiig pom,t lo< Ille p,opc-s ""'1t
3 I haYe<Xlllh:led ,.;tt, 11,o--.g po,t(n (fm,) lo J>Rl"dft lho PfOPC-'-frdJde ._-.,..1 phono/ oonra<:t<n' -.....-.be<)
4 ,,...1o....,..,_..c1 ......... butl-hndhelobringpe<S0fll0---n-lhem,;o,W0<1<[-namel-/phonoloonraclln'lioenoo-)
5.1 ... pro,,de somecl lhewcrt. but 1-conb'ac:lod (hnd) Ille ldlowi1g """°" lopnMde lhe-i1dicated [..._... name 1--...1 phone llypecl"""'!
_g PROPERTY OWNER StGNATIJRE DATE
1,11e~a""'1,l>.tilgoocupantreq,.ndloumitai..s.-~.80Jdthaunlousmalenals~lo<marisl<"""'agementm~Jll'Oll"1fflo.nlers.dions25005,2$lla25634clhe
f'\'ede\'-T--Hazadous&bstance-lv:fl D Y• ~
ls ... ~,.--1>.tiig-~.,-•ponnil-.... """""'conid-"E ----o .. ~ l•Wieldtylobe-,rih, l,r»Jkll<dlhooulabcu-,d,.yd•omool•? □Y ..
IF ANY OF TttE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED l£SS TttE APPLICANT HAS MET OR IS MEETING TttE REQUIREMENTS OF TttE OFFICE OF
EMERGENCY SERVICES ANO TttE AIR POLLUTION CONTROL DISTRICT.
I oertfythatt .... ...i the~ and-thatlhe abo,elnlormatlon lseonectand lhotthe inlonnatkJn on the plans Is accurate. I_ .. COfflf)ly.tlh aN Cltyonllnanalsand Stlte law.o ""3tirCto buldingoonstruction.
I hereby autt-aizs ~dlhe ()ydCnba'.I loenler ,_ lho slx,;eroonlioned properly 1o,._.., l>Jl)OS86. I M.SOAGREETOSA\1£ NCl:MNIFY N-IJ KEB' HARMLESS THECITY C1' ~
AGANST /IU UA8IUTIES, J.OGMENTS, COSTS mD EXPENSES 'MilCH MAY IN Nfl WAY ACCRUE AGANST SAIi) CITY N OONSEOJelCE ~ TI-E GRANTING~ THIS PERMIT
OSHA:MOSl-tAponnilis,eq.,n,d b--.°""Sfldoepand o,-°""3....,.inheq-1.
~TIOH:&s,ype,,ni...,..ibyh,QMnuOA:>llcnler,., d • '"""by • andba'.xmo<lilandM>lll,.,lx.-frva-""""""8dbyadlponnil•rd....,_.,,.i,oh,
tll>days ian t>edeledsut>pem,t "'~t>el:utt"Q« -d P1TZ1odl:1lwc~lml1jS'I'--•W<ttno *hi-,._ b-a penodct 1110days(Sdcn 1064.41.lmm~ Code)
,/!S APPUCANT'S SIGNATURE DATE
L
City of Carlsbad Bldg Inspection Request
For: 06/02/2008
Permit# CB080242 Inspector Assignment: MC ---
Title: HOMEFED-EXPANDING SUITE 220
Description: FROM STE 250 2,078 SF OFFICE,65 SF CORRIDOR, 55 SF
1 HR VESTIBULE OFFICE TO OFFICE
Type: Tl
Job Address:
Sub Type: INDUST
1903 WRIGHT PL
Phone: 7603318065
Suite: 220 Lot: 0
Location:
OWNER REAL TY ASSOCIATES FUND V L P
Owner: REALTY ASSOCIATES FUND V LP
Remarks: A M PLEASE
Total Time:
Inspector: _ ..... ~_l _{,,_
Requested By: MIKE ORTIZ
Entered By: CHRISTINE
CD Description Act Comments
19
29
39
49
Final Structural
Final Plumbing
Final Electrical
Final Mechanical
U f:£NL-6~ E;..xt-r-' -6l~N, ~A::c:1N
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
lns~ection Histor:y
Date Description Act lnsp Comments
05/23/2008 17 Interior Lath/Drywall AP MC vestibule area only
05/23/2008 18 Exterior Lath/Drywall WC MC
05/21/2008 14 Frame/Steel/Bolting/Welding AP MC HARD LID,FRM PER REV. PLAN TO ELIMINATE VESTIBULE ENCL.
05/21/2008 24 Rough/Topout WC MC
05/21/2008 34 Rough Electric AP MC VESTIBULE HARD LID
05/21/2008 44 Rough/Ducts/Dampers WC MC
04/30/2008 84 Rough Combo PA MC need fire app. Ok to move in furn. only, no occupancy LCP and overide
switch, egress lighting ok
04/29/2008 89 Final Combo NR MC COMPLETE VESTIBULE DOORS & LCP
04/10/2008 34 Rough Electric AP MC t-bar ok to drop tile
04/09/2008 14 Frame/Steel/Bolting/Welding AP MC T-BAR
04/09/2008 24 Rough/Topout WC MC
04/09/2008 34 Rough Electric co MC NOTICE
City of Carlsbad Bldg Inspection Request
For: 04/09/2008
Permit# CB080242 Inspector Assignment: MC ---
Title: HOMEFED-EXPANDING SUITE 220
Description: FROM STE 250 2,078 SF OFFICE,65 SF CORRIDOR, 55 SF
1 HR VESTIBULE OFFICE TO OFFICE
Type: Tl Sub Type: INDUST
Job Address: 1903 WRIGHT PL
Suite: 220 Lot 0
Location:
APPLICANT H2A ARCHITECTS
Owner: REAL TY ASSOCIATES FUND V LP
Remarks:
Total Time:
Phone: 7603318065
Inspector: ~0
Requested By: MIKE
Entered By: JANEAN
CD Description Act Comment
14 Frame/Steel/Bolting/Welding p:p
24 RoughfTopout ~
34 Rough Electric
____f.E_
~
44 Rough/Ducts/Dampers
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
lns11ection Histor:y
Date Description Act lnsp Comments • 03/19/2008 14 Frame/Steel/Bolting/Welding PA MC WALL FRAME AT NEW OPENING BETWEEN STE 220 & 250
03/1'l/2008 24 Rough/Topout WC MC
03/1Q/2008 34 Rough Electric WC MC
03/19/2008 44 Rough/Ducts/Dampers WC MC
03/17/2008 14 Frame/Steel/Bolting/Welding PA MC OK TO SECOND SIDE VESTIBLE FOR SECURITY
03/14/2008 17 Interior Lath/Drywall PA RB OK EXCEPT VESTIBLE AREA
03/11/2008 14 Frame/Steel/Bolting/Welding PA MC VESTIBLE AREA ONLY
03/11/2008 24 Rough/Topout WC MC
03/11/2008 34 Rough Electric PA MC VESTIBULE
03/11/2008 44 Rough/Ducts/Dampers WC MC
03/10/2008 14 Frame/Steel/Bolting/Welding PA MC WALL FRAME@ RM 101,200 & 202 ONLY
03/10/2008 24 Rough/Topout WC MC
03/10/2008 34 Rough Electric PA MC WALL ELECT.ONLY@ RM 200 & 202 ONLY
a City DI Carlsbad m Final Building Inspection
SI Lite ~
Date:
Dept: Building Engineering Planning CMWD
Plan Check #: 04/30/2008
Permit #: CB080242 Permit Type: Tl
Project Name: HOMEFED-EXPANDING SUITE 220 Sub Type: IN DUST
FROM STE 250 2,078 SF OFFICE,65 SF CORRIDOR, 55
Address: 1903 WRIGHT PL #220
Contact Person: MIKE
Sewer Dist: CA
Phone: 7603318065
Water Dist: CA
Lot: 0 .
••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
Inspected
0~ Date ~ 6 V By: Inspected: :Z,C/ ~ ~ Approved: Disapproved: __
Inspected Date
By: Inspected: Approved: Disapproved: __
Inspected Date
By: Inspected: Approved: Disapproved: __
Comments: _______________________________ _
EsGil Corporation
In <Partnersliip wit Ii government for (JJui{aing Safety
DATE: 2/19/08
JURISDICTION: City of Carlsbad
PLAN CHECK NO.: 08-0242 SET:((....
PROJECT ADDRESS: 1903 Wright Place Suite 220
PROJECT NAME: Homefed Corporation -TI
~ANT
~ 0 PLAN REVIEWER
D FILE
~ The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's build ing codes.
D The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified in the remarks below are resolved and checked by building
department staff.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and re submitted for a complete recheck.
D The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person .
~ Esgil Corporation staff did not advise the applicant that the plan check has been completed.
D Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone#:
Date contacted: (by: Fax #:
Mail Telephone Fax In Person
D REMARKS: The person responsible for the LTG forms shall sign the LTG-1-C form.
By: Doug Moody
Esgil Corporation
0 GA O MB O EJ O PC
Enclosures:
2/11 /08
9320 Chesapeake Drive, Suite 208 ♦ San Diego, Cali fornia 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1 576
~□□
~□□
~□□
~□□
PLANNING DEPARTMENT
BUILDING PLAN CHECK REVIEW CHECKLIST
Plan Check No. CB080242 Address 1903 Wright Pl
Planner Deborah Milam Phone ...,{7....::6=0..,_) ..::;6""'02=---'4..::;6..:..19=------------
APN: 212-091-22-00
Type of Project & Use: Tl Net Project Density: DU/AC
Zoning: P-M General Plan: Pl Facilities Management Zone: §_
CFD (in/out) #_Date of participation: __ Remaining net dev acres: __
Circle One
(For non-residential development: Type of land used created by this permit:
)
Legend: [8J Item Complete D Item Incomplete -Needs your action
Environmental Review Required: YES O NO [8J TYPE
DATE OF COMPLETION:
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval:
Discretionary Action Required:
APPROVAURESO. NO.
PROJECT NO.
OTHER RELATED CASES:
DATE
YES O NO [8J TYPE __
Compliance with conditions or approval? If not, state conditions which require action.
Conditions of Approval: __
Coastal Zone Assessment/Compliance
Project site located in Coastal Zone? YES O NO t8J.
CA Coastal Commission Authority? YES O NOD
If California Coastal Commission Authority: Contact them at -7575 Metropolitan Drive, Suite 103,
San Diego CA 92108-4402; (619) 767-2370
Determine status (Coastal Permit Required or Exempt):
Habitat Management Plan NA
Data Entry Completed? YES O NO 0
If property has Habitat Type identified in Table 11 of HMP, complete HMP Permit application and
assess fees in Permits Plus
(NP/Os, Activity Maintenance, enter CB#, toolbar, Screens, HMP Fees, Enter Acres of Habitat Type
impacted/taken, UPDATE!)
lnclusionary Housing Fee required: YES D NO [8J
(Effective date of lnclusionary Housing Ordinance -May 21, 1993.)
Data Entry Completed? YES O NO 0
(NP/Os, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N,
Enter Fee, UPDATE!)
F:\Plan Checks\CB080242.doc Rev 3/06
•••
0 □□
[8J □ □
[8J □ □
[8J □ □
□□□
Site Plan: . .
Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines, easements,
existing and proposed structures, streets, existing street improvements, right-of-way width,
dimensional setbacks and existing topographical lines (including all side and rear yard slopes).
Provide legal description of property and assessor's parcel number.
Policy 44 -Neighborhood Architectural Design Guidelines
1. Applicability: YES O NO [8J
2. Project complies: YES O NOD
Zoning:
1. Setbacks: not changed
Front:
Interior Side:
Street Side:
Rear:
Top of slope:
Required __ Shown __
Required __ Shown __
Required __ Shown __
Required __ Shown __
Required __ Shown __
2. Accessory structure setbacks: NA
Front: Required __ Shown __
Interior Side: Required __ Shown __
Street Side: Required __ Shown __
Rear: Required __ Shown __
Structure separation: Required __ Shown __
3. Lot Coverage: not changed Required __ Shown __
4. Height: not changed Required __ Shown __
5. Parking: Spaces Required not shown Shown unclear
(breakdown by uses for commercial and industrial projects required)
Residential Guest Spaces Required __ Shown __
Additional Comments: Correction #1: Please show a parking breakdown within the site. Indicate on
page SP.2 which spots are for 1903 Wright Place and which are not. Please include in Parking
tabulation the required amount of parking for the building as well as the provided. Required parking
is 1 space per 250 square feet of gross floor area.
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER .&!!L_ DATE .!/!ilof'
!J.J,rv.J. ~
F:\Plan Checks\CB080242.doc Rev 3/06
• PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB 0(! OJl/r}
ADDRESS / '7 D 3 {,&_ arfad= fJ/ 1 ,[/e ,l,?o ) ;l!J o
RESIDENTIAL
RESIDENTIAL ADDmON MINOR
( <$10,000.00)
ENANTIMPROVEMENT
PLAZA CAMINO REAL I
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
DATE ____ ___;;_ __
DATE ¥rim
.
Carls-bad Fire Department
Plan Review Requirements Category: TI , INDUST
Date of Report: 02-14-2008
Name:
Address:
Permit #: CB080242
Job Name: HOMEFED-EXPANDING SUITE 220
Job Address: 1903 WRIGHT PL CBAD St: 220
BLDG. DEPT COPY
_ submitted for review is incomplete. At this time, this offi
adequately conduct a review to determine comp iance ar s. Please review
carefully all comments attached. ssary plans and/or specifications, wit d",
to this n approval.
Conditions:
Cond: CON0002605
[MET]
APPROVED:
THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUEANCE OF A
BUILDING PERMIT.
THIS APPROVAL IS SUBJECT TO·FIELD INSPECTIONS, ANY REQUIRED TESTS, FIRE DEPARTMENT
NOTATIONS,
CONDITIONS IN CORRESPONDENCE AND COMPLIANCE WITH ALL APPLICABLE CODES AND
REGULATIONS.
THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE ANY VIOLATION OF THE LAW.
Entry: 02/14/2008 By: MS Action: AP
SAN DIEGO REGIONAL
HAZARDOUS MATERIALS QUESTIONNAIRE
()~ c./2. City.:St( •
OFFICE USE ONLY
UPFP# _______ _
HV# ________ _
BP DATE _ __,__....:... __ _
The following questions represent the facility's activities, NOT the specific project 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.
1 . Explosive or Blasting Agents 5. Organic Peroxides
2. Compressed Gases 6. Oxidizers
3. Flammable/Combustibl~ids
4. Flammable Solids
7. Pyrophorics
8. Unstable Reactives
9.
10.
11.
12.
Water Reactives
Cryogenics
Highly Toxic or Toxic Materials
Radioactives
13. Corrosives
14. Other Health Hazards
15. None of These.
PART 11: 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, 1255 Imperial Avenue, 310 floor, San Diego, CA 92101 .
Call (619) 338-2222 prior to the issuance of a building permit.
FEES ARE REQUIRED. Expected Date of Occupancy: ____ /;__ __ ...;/:__ __ 0 CalARP Exempt
I YES
1. □
2. D
3. D
4.
5.
6.
□
D
D
your business listed on the reverse side of this form? (check all that apply).
II your business dispose of Hazardous Substances or Medical Waste in any amount?
II 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?
Will your business use an existing or install an underground storage tank?
t.:l_,,/Nill your business store or handle Regulated Substances (CalARP)? 0" Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)?
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 3 or 4 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 N0
1. O [!J 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. 0 (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)?
(Public and private schools may be found after search of the California School Directory at http://Www.cde.ca.gov/re/sd/: or contact the
3. D D
_/ appropriate school district). l!!'.'.)_,...-will there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos?
~ Will there be demolition involving the removal of a load supporting structural member? 4.
Briefly describe business activities: • • Briefly describe proposed project:
ucl/lC"vt..r
Name of owner or Authorized Agent Date
FOR OFFICIAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: ________________________________ _
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
HM-9171 (04/07) County of San Diego -DEH -Hazardous Materials Division