HomeMy WebLinkAbout1525 FARADAY AVE; 110; CB051287; Permit\{. ~ 7 .. ity of Carlsbad
04-29-2005 r ~ Commercial/Industrial Permit Permit No:
" , -., , .. \~~ 1635 Faraday Av Carlsbad, CA 92008
\._) Buil · g Inspection Request Line (760) 602-2725
CB051287
Job Address:
Permit Type:
Parcel No: ·
Valuation:
Occupancy Group:
Project Title:
Applicant:
I
1525 FARADAY AV CBAD St: 110
Tl Sub Type:
2121302700 Lot#:
$20,925.00 Construction Type:
Reference #:
LENNAR LEGAL DEPT-675 SF
OFFICE TO OFFICE
INDUST
0
111
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Plan Check#:
ISSUED
04/06/2005
RMA
04/29/2005
04/29/2005
PACIFIC INTERIOR SYSTEMS
6364 FERRIS SQUARE
NEWPORT NATIONAUCORNERSTONE LL C
C/O SCOTT BRUSSEAU NEWPORT NATL
1525 FARADAY AVE #100
SAN DIEGO, CA 92121
858-77 4-6726
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
$184.39
$0.00
$119.85
$0.00
$0.00
$4.39
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
CARLSBAD CA 92008
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWA Fee
CFD Payoff Fee
PFF
PFF (CFD Fund)
License Tax
License Tax (CFD Fund)
Traffic Impact Fee
Traffic Impact (CFD Fund)
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Master Drainage Fee
Sewer Fee
Redev Parking Fee
Additional Fees
TOT AL PERMIT FEES
Total Fees: $328.63 Total Payments To Date: $119.85
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$328.63
$208.78
.},._ 01
BUilDING PLANS ~IN STORAGE
_ATTACHED
CGF·
~ .' ~ Inspector: /4~
FINAL APPROVAL
Date: 1/f///&C Clearance: ------
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as '1ees/exaclions." 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
fees/exactions of which vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exoired.
02
208. 78
FOR OFFICE USE ONLY \J~~Ll~~f0.~J\I PLAN cHEcK No. C/)o s I :;.__y 7
CITY OF CARLS~DlBU ING DEPARTMENT
1635 Faraday Ave., Carls , CA 92008
/¼J-1:U-05
Plan Ck. Deposit ( lq, IJ·
EST. VAL.
Validated By _ ___,,-t---.--+-'-.s.JM:_~,.,._ __
Date __ -__ =[ -l b~f-CJS----
I?_ _/ _ Business Name (at this address)
l'-e's.et:tvar1 Ce,v;tei---
CGP· 119-85
# of Bedrooms # of athrooms
Name Address ~~' . , .ijp,LIP~i\lT ; .£1 Contr~pt9r -.-IDAsllnrfpr Contraqtor" -; .0 6wn~r ,
4:am,e, ae. a bovte---
Name Address
City State/Zip 'O: Ag_enflor'.owner C -••
City State/Zip Telephone#
4' · PROPERTY OWNER . . · . ,. · -----'&-ekt( d Gke,; ·c.oi--p~, ui-vitvi l!Ji6 -~-~~>' ·, 5jiioo C.avl~bilo( I &V q.5.i0~ '(']G0 J yJ7;. 42,8,2..
Name Address ' City State/Zip Telephone #
5, "'."QONI8ACTOR:, GO\Vl~AN,V ll!AM!; : ---. ----.. , ----. ... ,.. .. . ----. "' -,, "
(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 that he is exempt therefrom, and the basis for the alleged
exam tion. Any violation of Section 7031.5 by any applicant for a pe!mit subkects the applicant to a civil penalty of not more than five hundred dollars [$500]).
' . ',J.'Pt (J.. vZ+t'c.,. ~vitev . 2.03 ~D, Cl\-Cf.s-12( 1P8)i3132-c96DO
Name A dress City State/Zip Telephone #
License Class /? · C,, -2 / C, ' q City Business License # {20'74 3 5
ted,n, s. -e,,, I '.S ant?<-e ._,, ' r.z.o '7 'S ( bf8) --8.2.2z
City State/Zip Telephone
State License # _________ _
:¢:; ·_~ WQ/lkE_l'W COMPEN(~Ti6rf: --_ : ~ _' ___ ., , ---... , ... --.-------·:.,·----
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
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 t~ork for which this permit is issued.
12( I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's com11ensation insurance carrier and policy number are: / C,,(/(}
Insurance Company \/;-vtffvt<'0v ~tA1:::e1Y Policy No. ::#Gol403oo Expiration Date 5/0 I ID 5
(THIS SECTION NEED NOT m:..foMPLETED IF THE PlRMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS)
0 CERTIFICATE OF EXEMPT N: 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 Work r ' Compensation Laws of California.
WARNING: Failu
thousand doll
0 I, as owner of the pr party
(Sec. 7044, Business and ~r.ofessi n Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does
such work himself or through ·s o n emp oyees, 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).
0 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).
0 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. 0 YES ONO
2. I (have / 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 / phone number / 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 / address / phone number/ 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 / address / phone number / type of work): ________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _
;COMPLE'J:E.THl,S SECTION FORNON-RESiDENT(AL-BUILDiNG :PERMIT$. ONLY
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? D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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. ,ii.::, goN~:fRUC-Ti~iN'Jf_et-,ipfriiG, AG"E~cv·
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME _____________ _ LENDER'S ADDRESS _________________________ _
9, APPl,IC~!\!T; CElfflFICAJ!ON . ,, S" ~H y
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD 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 permit is required for excavations o r 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued b building O ial under the provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not co e ·ed within 18 days from te of such permit or if the building or work authorized by ch permit is suspended or abandoned
at any time after the work is com f2r. a perio da½ (Secti n 106.4.4 Uniform Building Code). -..--
DA TE ___ ._i::, __ ' _O__,,_'-----
PINK: Finance
-Final _Building Inspection
,,-,----,
Dept: Building Engineering Planning CMWD St Lite \f.kef
Plan Check #:
Permit#:
Project Name:
Address:
CB051287
LENNAR LEGAL DEPT-675 SF
OFFICE TO OFFICE
1525 FARADAY AV #110
Contact Person: MIKE Phone: 8589675918
Water Dist: CA Sewer Dist: CA
Date: 06/08/2005
Permit Type: Tl
Sub Type: INDUST
Lot: 0
...........................................................................................................................................................
lnsp~~ Date
/oisapproved: __ Inspected: Approved: By: r ~«'
Inspected Date
By: Inspected: Approved: Disapproved: __
Inspected Date
By: Inspected: Approved: Disapproved: __ .......................................................................................................................................................... ,
Comments: -------------------------------
City of Carlsbad Bldg Inspection Request
For: 06/08/2005
Permit# CB051287
Title: LENNAR LEGAL DEPT-675 SF
Description: OFFICE TO OFFICE ·
Type: Tl Sub Type: INDUST
Job Address: 1525 FARADAY AV
Suite: 110 Lot 0
Location:
APPLICANT PACIFIC INTERIOR SYSTEMS
Owner: NEWPORT NATIONAL/CORNERSTONE L L C
Remarks:
Total Time:
CD Description Act Comment
Inspector Assignment: PY ---
Inspector:
-I'----
Requested By: MIKE
Entered By: JANEAN
39 Final Electrical £ ________ _
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
05/13/2005 14 Frame/Steel/Bolting/Welding AP PY
05/13/2005 17 Interior Lath/Drywall AP PY
.. /
DATE: 4/25/05
JURISDICTION: Carlsbad
PLAN CHECK NO.: 051287
EsGil Corporation
In Partnersliip Witfi (jovemment for tJ3uiCaing Safety
SET:I
PROJECT ADDRESS: 1525 Faraday Ave, Suite 110 Remodel
PROJECT NAME: Lennar Legal Dept. Office TI
,Cq;um0T
D PLAN REVIEWER
D FILE
D The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
• The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified 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 resubmitted 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.
D The applicant's copy of the check list has been sent to:
•
D
Esgil Corporation staff did not advise the applicant that the plan check has been completed.
Esgil Corporation staff did advise the applicant that the plan check has been completed. ·
Person contacted: Telephone#:
Date contacted: · (by: ) Fax #:
Mail Telephone Fax
• REMARKS: The items cl
made to the city set of p
By: Chuck Mendenhall
Esgil Corporation
D GA D MB D EJ D PC
Enclosures:
4/12/05 trnsmtl.dot
9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576
Carlsl:tad ·051287
' 4f25/05 I VALUATION AND PLAN CHECK FEE.
JURISDICTION: · Carlsbad PLAN CHECK NO.: 051287
PREPARED BY: Chuck Mendenhall DATE: 4/25/05
BUILDING ADDRESS: 1525 Faraday Ave, Suite 110 Remodel
BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: II lHR
BUILDING AREA Valuation Reg. VALUE
PORTION (Sq.Ft.) Multiplier Mod.
Tl 2120 City est
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code cb By Ordinance
Bldg. Permit Fee by Ordinance I • I
Plan Check Fee by Ordinance ) • I
Type of Review: 0 Complete Review D Structural Only
D Repetitive Fee G Repeats
Comments:
D Other
D Hourly _ I Hour *
Esgil Plan Review Fee
($)
20,.925
20,925
$184.391
$119.851
$103.261
Sheet 1 of 1
macvalue.doc
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB 6'5-l :Jto=i
RESIDENTIAL
RESIDENTIAL ADDITION MINOR
< < $10,000.00)
OTHER
DATE l{-{3-0':J
TENANT IMPROVEMENT
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
--------------------
PLANNER DATE ------------'-------
ENGINEER~ ~-,:...----
Docs/Mlsforms/Planning Engineering Approvals
PLANNING DEPARTMENT
BUILDING PLAN CHECK REVIEW CHECKLIST .
Plan Chi,~~,!!! f Address ./~~ .. PA(M1JAY
. Planner Nll_~d . P~one (760) 602--~-;:.""'V~-~-----
APN: ~,,,_. /~'fJ-~-, · . -.
Type ofe/)f1 & Us.e: · 7J. Nef Project Density: 4/!1,,. DU/AC
Zoning: · General Plan: P/ Facilities Management Zon_e: ___ _
CFO (in/out) #_Date of participation: Remaining net dev acres:. __ _
Circle One . (For non-residential developme.n~: Type of ·1and used created ·by this permit:. ____________________ -J
Legend: [8] Item Complete D Item Incomplete· -Needs your acti~n .
Environmental Review Required: YES_·_ NOL TYPE·__;_ __ __;
DAT!= OF COMPLETION: _______ _
. .
Compliance with conditions of apprciv.al? If not, state conditions which require action.
Condi_tions of Approval:
Discretionary Action Required: YES_NO ( .. TYPE ___ _
AP~ROVAU~ESO.NO. ______ DATE __
PROJECT NO. ________ _
OTHER RELATED CASES: ___ -:--__________ _;_ ___ _
Compliance with conditions or approval? l_f ~ot; state conditions which require action.
Conditions of Approval:, ______ · _________________ _
Coastal Zone Assessment/Compliance
Project site. locatecfi".1 Coastal Zone? YES_ NO '.
CA Coastal Commission Authority? YES__ NO~ . .
If California Coastal Commission Authority: Contact them at -. 7575 fyletropolitan Drive, Suite 103, ·
San Oiego .. CA 92108-~402; (619) 767-2370 ·
Determine status (Coastal Permit Required or Exempt):
Coastal Permit Determination Form a'Jready completed? _YES_ NO_ .
_If NO, complete Coastal Permit Determination Form now.
Coastal Permit Determination Log #:
. Follow~Up Actions:
1) Stamp Building Plans as "Exempt" or "Co~stal Permit Required" (at mjnimum.Floor Plans).
2) Complete Coastal Permit Determination Log as· needed.
lnclusionary Housing· Fee required: . YES -NO X . -(Effective-date of loclusionary Housing .Ordinance -M~y 21, 1993;)
Data Entry Completed? ·vES _ NO_
(A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing YIN,
Enter Fee, UP.DATE!) ·
Site Plan:
H:\ADMIN\C:OUNTEA\BldgPlnchkRevChklsJ Rev 9101.
•'' .. '
ir:oo ··oo o
i.oo
.,r
1 ... Provi.de a fully dimen~ion~I site plan -drawn to scale. Show:. Nort_h· a'rrow, property .. line$, · '.
.easements, existing and proposed stru·ctures, streets, existing street improvements, right;of~way · · ·
width, ·dimensional ··setbacks and ,,existing topographical lines (including. all .side and rear yard
· slope$}". · · · · · · · · ·
2. Ptovid~ legal des·criptipn of .prop~rty.and asse$;;or's. parcel number.· . . . . . -..
Po·ncy 44 ... Nelghbor~ood Archltecti.m1I OesJgn Guidelines .. . . . ' . . . . . ' .
1. Applicability: YES . . ·. NO_. __ _
2. P,roject c_omplies Y1:s_· . __ No __ _
zoning:
1. Setbacks:
Front . .
. ·interior Side:
· Stre.et-$ide: ..
.Rear:
T qp•pf ·slope:
Required-_______ Shown _______ _
. Required Shown--~---,.--
Req·ufred · Shown--------:---
Required · Shown---------,----R~qufr~d: Shown...:..__ __ , ____ __
· . 2. Accessory structure $etba·cks:
. . . ,Required------------Shown ____ ,,__ __ Front:.
: F:le_tjulred_. · .Shown-,-------_.Required · r Shown _______ _ · lnte.rior Si.de:.
Street Side: ,-.,
. R.~qulred Shown_.---_,,..;--
. 'Requir~d . · Shown __ .,...._ __ _
Rear.: ·
· str~c;:ture: separation:
--di• Cl D--~ .
· 3. Lot Coverage: ,Aequired .....,· ·_,...._ ---,...-~--Showri --,.-----------.., .. ' '
A!JPO·
~·
.({)~·
4. :Height: R$9u1red:_.:...· __________ Shown------
5. Parking: Spaces R_equired __,_ __ .......,... ______ Shown _ __,. ____ --
(bre·akdown .by .uses for ~ommer9i~I and industrial-project~ -req~ired)
Residential Guest '~pacies R,equired · · · · · Shown ·
. -.
'· .Additional .Cc;,r:nments ___ ,.,.,........,..... _________________________________ _
J
.;)K:TOISSl:JEAND ENTERE~APPROVAL.INTOCOMPUTER _,......----"'· '4"'""··=--. ...........,· __ '_DATE .· f J/'7~1(){;,
H:\ADMIN\COU~TER\BldgPlnchkRevChklst ~ ' Rev 9/01
Carlsbad·Fire· Department 051287
1635 Faraday Ave.
Carlsbad, CA 92008
Fire Prevention
(7 ) 602-4660
Plan Review Requirements Category: Building Plan
Reviewed by: Date of Report: _04_1_08_12_0_0_5 _______ _
Name: Design Corp
Address: 444 South Cedros Avenue Studio 175
City, State: Solana Beach CA 92075
Plan Checker: Job#: 051287
Job Name: Lenna·r Legal Bldg#: CB051287 ------------------=--
Job Address: 1525 Faraday Av Ste. or Bldg. No. 110
~ Approved
D Approved
Subject to
D Incomplete
Review
FD Job#
------
The item you have submitted for review has been approved. The approval is
based on plans, information and / or specifications provided in your submittal;
therefore any changes to these items after this date, including field
modifications, must be reviewed by this office to insure continued conformance
with app.licable codes and standards. Please review carefully all comments
attached as failure to comply with instructions in this report can result in
suspension of permit to construct or install improvements.
The item you have submitted for review has been approved subject to the
attached conditions. The approval is based on plans, information and/or
specifications provided in your submittal. Please review carefully all comments
attached, as failure to comply with instructions in this report can result in
suspension of permit to construct or install improvements. Please resubmit to
this office the necessary plans and / or specifications required to indicate
compliance with applicable codes and standards.
The item you have submitted for review is incomplete. At this time, this office
cannot adequately conduct a review to determine compliance with the
applicable codes and I or standards. Please review carefully all comments
attached. Please resubmit the necessary plans and / or specifications to this
office for review and approval.
1st
051287
2nd
FD File#
3rd Other Agency ID
I
i ·i
I
I
I
....... ,., vuu -..... -
SAN DIEGO-REGIONAL
OFFICE USE ONLY
H# _______ _
BP DATE _ __....__,_ __
SA/M ---------,.-· APCD ______ _
HAZARDOU~ MATERIALS QUESTIONNAIRE
Business Name
Lerinev
-l-Contact Person
iY!,.,#JBr;f
· CitY ;=;,,;u 3&0
City ,o State Plan File#/Permltl
aiA-
PART f: FIRE DEPARTMENT • HAZARDOUS MATERfALS·-MANAGEMENT DIVISION: OCCUPANCY CLASSIFICA TIQN -' .
Indicate by circling the item, whether your business will use, process, or store any cf 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 4. Flammable Solids 7. Pyrophorics 10. Cryogenics 13. ·corrosives
2. Compressed Gases 5. Organic Peroxides 8. Unstable Reactives 11. Highly Toxic or Toxic Materials 14, Other Health Hazards
3. Flammable or Combustible Liquids 6. Oxidizers 9. Water Reactlves 12, Radioactives
PAR! II: SAN DIEGO COUNTY DEPARTMENT Of ENVIRONMENTAL HEALTH • HAZARDOUS MATERIALS MANAGEMENT DIVISION fHMMQl;
If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Management
Division, 1266 Imperial Avenue, 3rd Floor, San Diego, CA 92101. Telephone (6191 338·2222 prior to the iss1:1ance of a building O CalARP Exempt
department permit. ·
Date Initials
FEES MAY BE REQUIRED
Yes No, D CalARP Requlrad
2. Will your business dispose of Hazardous Substances or Medical Wasta in any amount? Date Initials
1. § r· Is your business listed an 1he reverse side of this form?
3. Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, tJ CalARP Complete 500 pounds, 200 cubic feet or carcinogens/reproductive toxins in any quantity?
Will your business use an existing or Install an underg<ound storage tank?
· WIii your business store or handle Regulated Substanc11s (CalARPI? Date Initials
· Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)
10 R T
If the answer to any of the questions is yes, applicant must contact the Air Pollution Control District, ·s, 50 Chesapeake Drive, San Diego, CA 92123.
Telephone i (858) 650-4550 prior to the issuance of a building department permit.
YES NO ... . . . :
1. 0 ~ Will·the Intended occupant install or use any of the equipment listed on the Listing of Air'.Pollution Control Oistrict Permit Categories, on the
. reverse side of this form? ·
2. 0 Q{, !ANSWER ONLY IF QUESTION 1 IS YES.I WIii the subject facility be located within-1:000 feet of the outer boundary of a school II< through
1 2) as listed in the current Directory of School and Community College Districts, published by the San Diego County Office of Education ancl
the current California Private School Directory, compiled in accordance with provisions of Education Code Section 331901
3. Does the buildin or structure for which this ermit ii; requested contain an friable asbestos?
Briefly describe business activity and proposed project:
'1
FIEI.EASl:O FOR SVII.OING PERMIT eUT NOT FOR OCCUPANCY
COUNTY-HMMO APCD · COUNTY-HMMO APCD
•
COUNT't-HMMO APCO
County o/ San 'Oiego
Department ol-E:nvironmental Heatth