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HomeMy WebLinkAbout1525 FARADAY AVE; 100; CB080950; Permit-.. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-20-2008 Miscellaneous Permit Permit No: CB080950 Building Inspection Request Line (760) 602-2725 ) '5'"2. > Job Address: ~FARADAY AV CBAD St: 100 Permit Type: MISC Subtype: OTHER Status: ISSUED 05/20/2008 JMA 05/20/2008 05/20/2008 Parcel No: 2121302700 Lot#: 0 Applied: Valuation: $7,500.00 Reference #: PC#: Project Title: NEWPORT NATIONAL: OFFICE IMPROVEMENTS Applicant: PACIFIC BUILDING GROUP STE 150 9752 ASPEN CREEK CT SAN DIEGO, CA 92126 858-552-0600 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Entered By: Plan Approved: Issued: Inspect Area: ·' Owner: . NEWPORT NATIONAUCORNERSTONE LL C C/O SCOTT BRUSSEAU NEV'J'PORT NATL 1525 FARADAY AVE #100 CARLSBAD CA 92008 $154.00 $0.00 $0.00 $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: Inspector: Clearance: _____ _ $0.00 NOTICE: Please take NOTIC that approval of your project includes the 'Imposition" of fees, dedications, reseivations, r.r 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 .if\formation 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 rtght 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 seivice fees in-connection with this project. NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. City of Carlsbad Plan Check No. CB08'6 q r-o 1635 Faraday Ave., Carlsbad, CA 92008 760,602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS ?MU/d.J7 1..\)(1: Plan Ck. Deposit Date 5 log--- APN 2,IZ.-130 -00 CT/PROJECT # LOT# PHASE# # OF UNITS # BEDROOMS CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: GARAGE (SF) ,Rf s, CITY .5 EMAIL wPoti NAlloNAL. ~ e;< ~~ . N PATIOS (SF) ;6 DECKS (SF) J2f APPLICANT NAME ADDRESS CITY PHONE EMAIL FIREPLACE YES D #_ No>'J STATE FAX AIR CONDITIONING YES)( NOD ZIP FIRE SPRINKLERS YES)( NOD Ul/,.bJNb p ADDRESS Cdt111.:, sre •So CITY CITY STATE ZIP cA 'f Z.IZ(p PHONE PHONE FAX 1558' .. 552• OG:oO 58 -55'2.. -OG,O EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# CLASS CITY BUS. UC.# ]) "!51[?/\JC.0/2.P 38'50 So2~1u, 13 l2D713< __ flee. 7031.5 Business and Professions Code: Any City or Counl)'. which requires a permit to construe~ alte~ improve, demolish or reP,air any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is icensed _pursuant to the provisions or the Contractor's License Law {Chapter 9, commending with Section 1000 or Division 3 of the Business and Pro1essions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty or not more than five hundred dollars {$500}). . Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ I have and will maintain workers' compensation, as required by Seclion 3700 of the Labor Code, for the performance of lhe work for which this permit is issued. My workers' compensalion insurance carrier and policy numberare:lnsuranceCo. OU> te6PllBL-IC. (i/;Nf!;/Vtl-I.A/$. PolicyNo. AJ<:&j'G,g'168"D2 ExpiralionDale 3/J /t;q . ,ZP, I • This seclion need not be completed if the permit is for one hundred dollars ($100) or less. Co • D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensalion Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars {&100,000), in addition to the cost of compensation, damages as provided for in Section 1),6 oft Labor c tle, in rest and attorney's fees. ~ CONTRACTOR SIGNATURE DATE 5 j l'1 / 08 I hereby affirm that I-am exempt from Contractor's Ucense Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale {Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not inlended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). D I, as owner of the property, am exclusively contracling wilh 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 !hereon, and contracts for such projects with contractor{s) licensed pursuant to the Contractor's License Law). D I am exempl under Seclion ____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construclion of the proposed property improvement. D Yes D No 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 construclion {include name address/ phone / contractors' license number): 4. I plan to provide portions of lhe work, but I have hired the following person to coordinate, supervise and provide the major work {include name/ address / phone/ contractors' license number): 5. I will provide some of the work, but I have contracled {hired) the following persons to provide the work indicated {include name / address / phone / type of work): ,it$ PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registralion form or risk management and prevention program under Sections 25505, 25533 or 25534 of lhe 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 lhe facility to be constructed within 1,000 feel 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. Lender's Name Lender's Address I certify that I have read the application and state that the above infomiation is correct and that the infomiation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. ~hereby authorize representative of the City 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 pennit is required for excavations over 5'0' deep and demolitibn or construction of structures over 3 stories in height. EXPIRATION: Eve!}' pem,it issued by the Building Official under the provisions of this Code shall expire by limitalion and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such pennit or if the building or work authorized by such pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code). ~ APPLICANT'S SIGNATURE DATE f:,. 2.c), C) '8 City of Carlsbad Bldg Inspection Request For: 06/05/2008 Permit# CB080950 Title: NEWPORT NATIONAL: OFFICE Description: IMPROVEMENTS Type:MISC Sub Type: OTHER Job Address: 1525 FARADAY AV Suite: 100 Lot: 0 Location: APPLICANT PACIFIC BUILDING GROUP Owner: EMERALD LAKE CORPORATE CENTRE LL C Remarks: a m please -t-bar ceiling ~ Total Time: Act Comments Inspector Assignment: PY --- Phone: 8589670862 Inspector: Requested By: MARK Entered By: CHRISTINE CD 14 Description Frame/Steel/Bolting/Welding ~~----- 24 34 44 Rough/Topout Rough Electric Rough/Ducts/Dampers I -,-~-=-=----~-------------- / T ___ _ WA p ~ Comments/Notices Associated PCRs/CVs Original PC# lns12ection Histo!}'. Date Description Act lnsp Comments 05/28/2008 17 Interior Lath/Drywall AP PY 05/27/2008 14 Frame/Steel/Bolting/Welding AP PY 05/27/2008 24 Rough/Topout AP PY 05/27/2008 34 Rough Electric AP PY !GERTIFICATE OF COMPLIANCE (Part 1 of 2) MECH-1-C I PROJECT NAME PATE NNC Expansion T.! suite 100 & 110 5/19/2008 -· PROJl:;CT ADDRESS 1525 Faraday Avenue Carlsbad ' Bt;1lldfo,g P.errril!,:# · PRINCIPAL DESIGNER· t.,ECHM!ICAL TELEPHONE [ Greater San Diego Air Condftionlng Co, Inc (619) 469-7818 ' ! . DOCUMENTATION AUTHOR I TELEPHONE , iqieeked,tjy/~aie ' Greater San Diego Air Conditionlng Co. Inc. (619) 469-7818 : .Erifo~eftt.f,geocy ' ' .... GENERAL INFORMATION PATE OF PLANS , I BUILDING CONDlTJONED FLOOR AREA I CLIMATE ZONE 04/23/08 2,773Sq.Ft. 7 BUILDING TYPE 00 NONRESIDENTJAL D HIGH RISE RESIDENTIAL D HOTEL/MOTEL GUEST ROOM PHASE OF CONSTRUCTION D NEW CONSTRUCTION D ADDITION IX! ALTERATION D UNCONDmONED (File Affidavit} METT-10D OF MECHANICAL IX] PRESCRlPTfVE D PERFORMANCE COM?LlANCE ) PROOF OF ENVELOPE COMPLIANCE ,OQ PREVIOUS ENVELOPE PERMIT D ENVELOPE COMPLIANCE A TTACHl£D ' ' STATEMENT OF COMPLIANCE f . Thi$ Certificate of Compliance lists the bullding features and performance specifi~tions needed i:o comply w1th Title 24, Parts 1 and 6 of the Callfomra Code of Regulations. Thts certificate appries only to building mechanical requirements, The documentation preparer hereby certifies that the clocumentation is accurafi an~eie, DOCU.l\'lENTATlDN AUTHOR !SIGNATURE /IA l0PM-O] Scott Evans The Principal Mechanical Des1gner hereby certifies that the proposed"t,Gill{rig des1gn represented in this set of construction documents is consistent with the other compliance forms and worksheets, With the specifications, and w1th any other calculatlol'ls submitted with this permit application. The proposed building has been designed to meet the mechanical requirements contalned in the applicable parts of Sections 100,101,102,110 through 115, 120 through 125,142,144, and 145. 0 The plans & s.peciftcatioml mee{ ille requirements of Part 1 {Sections 10-1 OSa). 0 Tho Installation eerttiieat,es meet tile req1,1irernenh, of Part 1 {10-103a 3}, 0 The operation & malntenane8 info~lion meets the ~uirernents of Part 1 (10..1030}. Please check one: (These sectlonsof lhe Business ancf Professions Code sre printed in .fl.IQ in the Nonresidential Manual.} D I hereby l'lffirm that I am eligible under tt:ie' provisions or Dlvlslon 3 of the Btlsif'leSS and ProfessiQns Cotle to sign this document as the person ·responsible for lls pr$paralion; .ind thttt I am l~nsed in the State of California a:s a cMl engineer, or lfiechal)ii;:al engineer or I am a licensed architect ~ffirrn lhat l-am eligible under the ex~mpfio~ to Dlvlsio~ S of the Business and Professio11$ Cod1;; by Se_ction ~537 .2 or 673 7 ,3 to slgn Is doctJmMt as the psrStln reswnsible for 1!s prepi;irafion; and that l am a llcensed contracior performing this lf,,'Orlt, D 1 affirm that I am el~lbl~ under Iha ,exemptiol'l to Division 3-of the Business a n~~e to sign this dooumenl beC11µ.se n perta.ins to a s.tructure or fype of work ,descnoed purwanlto Business and Proresstons Code ctio , 5538, and 6737.1, .. . . rRINCIPALMECHANICALDl;:SIGNER;-ftJAME I SlGNA~ c lDATE_("",..l-0~? ILIC.t(37 /$""3 Gre::::itAr San rn~rrl"I Air r.l"lnrlifu:>..nlng r.o. -Inc .... 1 .. INSTRUCTIONS TO APPLICANT . IBl MECH~1-C: Certificate of Compliance, Part 1, 2, 3 of 3 are required on plans for all submittals, IBl MECH-2-C; AlrMlater/$erviceM'atet ?ools Requrrements. Part 1 of 3, 2 of 3, 3 of 3 are required for all submittals, but may be on plans. ~MECH-3-0: Mechanical Vantilatlon and Reheat Is required for al! submittals with mechanical ventilation, but may be on plans, ~ MECH-4-C: HVAC Misc. PrescrlptiVe Requiremehfs is required for all prescriptive submittals, but may be on plans. 0 MECH-5-C: Mechanical Equlpmenf Details are required for all performance submittais, EoorgyPro ~.3 by EnergySofl User Number. 627:2 Job Number. i='t!ge:1 of 10 •· ~ [cE,RTI~ ICATE OF COMPLIA~icE. :: : (part 2 of 2) MECH-1-C I PROJECT NAME DATE NNC Ex ansion T.I suite 100 & 11 O 5/19/2008 Designer: Thls form ls to be used by the designer ancl atlach&d lo the plans. Ll$ted ~~low a~ 1;3lf the accept.an:::e tests for meci:mnical systems, The designer is required to check the boxes by all acropt.ance tests that appfy arid list all equipment lh.at requir~$ an aooepta.nre lest. If all eqvjpmen! of a certairn type requires a test, list Iha equipment description and the number of systems to b!;I tested iri parentheses. The NJ number d-estgnates the Seclion in the Appendix of the Nonresidential ACM Manual that dBsctlbB$ the lest. A1$0 lnd~l$ Iha per$0n 1'$$ponsible for performing the tests (i.e. the installing conkaclor, design professional or an agent selected by the owner). Sioce this form will be part of the plans, oompllltion (}f this s~ction ·will .:ilfow the t1:!spoI1$ible party to buciget for the scope of work appropriately, Building Departments: SYSTEM ACCEPTANCE, Before an occupancy permit Is rranted for a newfy constructed building Qr space, or a new space--condiUoning eystem serving a building or space is operated for normal use, all control devices serving the building ot space shaU be cet1ined ai;. meeiUng lhe Acreptance Requ1remer,ts for Code Compflance. lr1 addition a Certlflcate of Acceptance, MECH-1-A Form shall be $1.lbmitted to (hi;! bu tiding department !flat certifies plans, specifications, installa:tion certificates, ano ooora!iJ)c and maintenance information meet the reoulr.ements of SecUon 10-103/bl al'ld Title· 24 F'art B. STATEMENT OF COMPLIANCE ~MECH-2-A; Ventilation System Acceptance Document -Wiriable Air Volume Systems. Outdoor Air Acceptance -Constant Air Volume Systems OLJ!door Air Acceptance . /. l 1. \ o /4 _ Equipment requiring a~ptance testing /ix lS>T . ~"™12 ik~/J_] K\ r L1l.. teS1.roQ1,<\'oo'onsVWsw11YStemsboll'INl!!WC~nood.Rlll1r,m. ,. @L~Q JJ-f /_J.~_cfUc,_, -.;;.;:;..-~.....,,_.....,_-4-__________ --1 •FJi MECH-3-A: Packaged HVAG Systems Acceptance Document . ~ 1',equlpmoot """""" •=piano, ""6og ,f ~ re.sr l!l~d cneff Nfi'lf 81&'6ms ooth New Cot!B.l'ac1J'on and Relrofit. ~ D MECH+A: Air-Side economiz.er Accepranee Document Equipment requiring acceptance testing ________________________ _ 111-s!niQ!WElt' Oil :atr Nsw 111st1.1ms oot/J Mr& Cor.is.\'rlc0'&/1 !ilOO fill'>l'!)tlt U/llfS ~ith £'«)/JQfl,\'2e,'!! Jll9f.air, «18/e&,t! Bf /ht, IIIClr,Jy,rtnt! """1'.iifi .. rJ. ·wilh //Jlh CQJ1J!i;i's:;.l;;in w mt niqiore Et!N'~ Jusivig bi.It do ~re comlr!lc.'/o11 /rt.Sf:m;(i'Da. D MECH-&-A: Aft Distribulion Awaptance Document Equipment requiring accspfanoo tesiiog ______________________ i __ _ T11i;;rr,S11iil(/IJ.vf;dl'th!, utiil &.lf,•e-.s, 5,000112'~ .!pl!f6 l>fwttMd 2$'}, Cll'/OOil'·'1f ~ ~.i;ilt'P.in~9,;r«sem'c,;u)Ol'fl..">lli10'sl):la'Ce fiflE an :a/lie. New s;-sfl!lm tl!8t 1116&t Il'le sbove IB!lt.ll'emanJs. Relro#I S,l'Sl!lfflSlll81 l1l!let /Jte Bb&re rotj<littimet11t tmd t,,'!Jiw (1*'1(1 '*'1:t!-, n.,,¢,r-1> ,:ir>::ti; er 'W)t'llr.tJ tilFf!~ (ir;/(, 0 MECH-6-A: Demand Control Ventilation Acceptance Dooument Equipmenlrequirlng acceptance testing _______ , _________________ _ 0 MECH-7-k Supply Fan Variable Flow-control Acceptance Document !:q~l~menl requiring acceplanca testing ________________ ~------~- 0 M;;:CH-8'-A: -Hyoronic System Control Acceptance Document -Variable Flow Controls A.o,oov.i;l\l:clti¼id,!iritih(JIWi!M>r~ -Automatic Isolation Controls Af,(Jfff,i, oo nsw bo,/er,s aoo c>vNet.',Mt! w., ft."imt.vy P!Ir1'f'l' ll!'l ~i:l.-d w F@mtll011 ~,,,., -Suppl)' Waler Temperab.Jre Reset Conlrofs Appf/()5 w ml"roil.SlilnrflawmWertiloo!m '1!'6f'fl-B}'~r&m&IJu,l.hava s o'n/QnrepeG11ypres!e,-fhtNto: eqlNJ!!, liOfr,000 Bt11l11·. ·Water-loop Heat Pump Conlrols App,f;,,1; ~ iJ/f Tl{JW W{l/u,)(,<?p /MI¢( pµmp ~ 1''hr.vi> /h;, (lpm{iir;,;ttf loop Pt:JJl?P5 Ml gr;;;J(S' lllal? $ /Jp. -Variable. Frequency Cc;introfs ¼¢N,.,, lJll n,;,w-r.l'~QJt p11n~·1Hm n11W,•an'1W1e ftct,t• m/\lM. t'lf?fro/'/IC Jw.at fX){t'lp o· roooemsr 1w,l!t.r syslMl.S l!'lh?l'6 the j)t)171()S troi'Ors ete {l(0063r mao 5 w,. I Eqoipment requiting aeceDt,m-ce le$1ioo l Enel'S')"f'ro-4.S by SoorgySoft l.irer Number: 6272 Joo Numb<-.:: Page:2 of 10 jAIR SY.STEM REQUIREMENTS Part 1 of 2 MECH-2-C} PnOJECi NAME . NNC Ex ansion T.l suite 100 & 11 o DATE 5/19/2008 !SYSTEM FEATURES ff:EM OR SYSTEM TAG{S) Number of Systems MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efffoie11cy Heat Pump Thermostat Furnace Controls Natural YentHation Minimum \lfc!ntilatior, VAV Minimum Position Control Demand Control Vontllatlon Time Cr;1mrol Setback and Serup Control Outdoor Dam par Control Isolation Zones Pipe Insulation Duct Insulation PRESCRIPTIVE Mi:ASURES Calculated Heating Capacity x 1.43 2 Proposed Haating Capacity i Calculated Sensible .Cooling Capacity x t.21.t • Proposed Senslble Cooling Capaclty 2 Fan Ci;mtrol DP Sensor Location Supply Prea$l.lre Re,\;>et (DOC only) Simultaneous Heat/Cool Economizer Heating Air Supply Reset . Cooling Air Supply Reset Duc:t Sealing for Prescriptive Compliancc3 T-24 Section 1:12(a) 112fa) i12(b) 112(c).115(a} 1,21{b) 121 [b} 121fo) 121(c} 121fo). 1;2:21el 12:.?(e.) 122.ffl 122fol 123 I 124 144{a &bl 144 (a & bl /144 {a & b1 144 {a & b) 144 (c) 144 (c) l,:!filc;) 144 (,d} .. 144{,e,\ 144m 144 {f) 144(J;;) AIR SYSTEMS Central or Single Zone Exisf unit HP-3 E>:1$l unit HP-1 E.xlst unit HP-4 1 1 1 Reference on Plans or Spccfficatlon 1 4.-30COP 4.00COP 4.20COP 14.8 EER 14.5 EER 14.8 EER Yes Y.es Yes n/a nla n/a Yes Yes Yei; 93cfm 98cfm 225 cfm No No No No No No Prooramm<,\ble Switch I ?roarammable Swltch Proorammable Switch No Setback Required No Setback Required No Setback Reouired Auto Auto Auto n/a n/a n/a R-4.2 R-4,2, R-4.2 20.280 btuh 21 890 btuh 11,114 btuh 37.711 btuh $2 467 btuh 38,693 btuh 36.415 btuh 52.154 btuh 36 541 btuh 35,427 btuh 50,044 blllh 34,031 bruh Constant Volume Constant Volume Constant Volume Yes Yes Yes No No No No Eoonornlzer No Ecormmiz,er No Ecooomtzer Constant Temp C.Onstant Temp Constant 'femo ,, Constant Temp Constant Temp Constant 'f emp No No No 1; For each canlral and ,single zone air sysllirns (or grovp of slmllsr 1,mlts) IHI In the reference to shs.el number andlor spacificaoon seolion and paragrt1ph number where the ~ulroo f~tures .arc. docutrlenloo. If a require moot is not applicable, pu< "NIA" In the column. 2: Not required for hjldronlc haaifng and cooling. Ellh',:,re~r ~ ~ue herec or put In refct-0nca ot pla~ .and specifloatom;. pertooln:Yte 1. S, i:nltrYes II systt'Jrn ;s: conttanf Volume, Single Zone: Serves·< 6,000 sq~: H;;tS > 25% duct In vnoonditioned space. Duci ssaling is required for Prescri~ COfllprlllnce, ~e Pl:RF.:1 for perlorma~8 melhOd duct sealing requirements. I NO~S IQ FJELD · For Building D•oartmenl l/se On I¥ ... · :~ US!lr Nlllllbar: 62.72 Job Numbei:': P.,9ge.:3 of 1() IMl:;CHANICAL VENTILATION : ~:: :::~:~ MECH .. 3 .. c I PROJECT NAME . NNC Ex ansion TJ suite 100 & 11 O DATE I s119;2ooa PRESCRIPTfVE REHEAT MECHANICALVENTILATION (Section 121(b\2) UMITA1JON (Section 144(-d}} I I AREA BASIS OCCUPANCY BASIS YAVMINIMUM A l B C D E F G 1--1 I J K L M N ~ Nt ;,;; (') 0 £1) <II q Q A ..., us: z ;u < g~ 0 0 !2. en~ .--..:i:,,§ i;:; "'qZ "'O 1i,O~ -e~m C')oO '"rJ IIl "' i:: ;;: ll) tTJ"'<; 5" ooo (11 cc ~ :lll'C n e3 0 'O (') (')::: 0 ~ .q "JI=i ~x (,0 3111 .... :, to ... Cl. -41 0 '"l'1 )( ~ C) Oi:r i2 Q 'Tl .xo (".) "II (/1 .... C:;i X 1l~ {II "rt.:>-· ..., X 0 is: r--{II 0 f -== 'Tl ... ~ (') (II ''Tl .:111) 0 "'3: 'Tl i:: "Tl $~~ ;t,.IO gi:; 0 Ollj C ea 'C fl) .0 • 5·;5• 0 -1!1) a: :, --gs: _:;i " ~ C) :I:-ZONEJSYSTEM ::: ,[) ., "2. ?. ~ ,.,,, '.l> ~ ~ 'ti--::i:,, '< cc ==~t:.... -. ' :, =· -- i zone 3 62Q 0.15 93 93 I 93 Exis[ unitHP-S I Total 93 93 z:one2 653 0.15 98 98 98 Exist unit HP-1 Total 98 98 lzone 1 1,5(X 0.15 225 225 22:5 Exist unit HP-4 TO!al 225 22:5 -I I l I I I I I l I ' I I ---I - I I C l1.1inrrwm111,m1~00 rala oi;cSecflon 121. Tal:(,!l 121-A " I Bii""1d <111 fixed i;oot or Iha gre-.ale!" or tne--exD~elf num':let or ooou"anl! :ond &I% aflh<t O~n=m;,11( IOBd tor eor11ss Dll!OO~ t:,.• uia,:,es Ytilhool ht>:! ""'"-fn~-_ ti f R&qulrelf VooUIBlion Alr fREO'D YA) i!; llio 1.rtiet cl' lh" vanf!:,j;;)rl r.it% !Cillrolatea on slld AREi< Cf OCCUPMl::::Y BASIS.(calumn D <;>; Gl, - I i>.iv.rtx, Qr8Bter lhan or eoulil 1D li. er use Tret1Ble:-Air lc,:iluml\ m le m•J«,' uo tluuliffi;t!lm;.o, J I Desi!ln tan w,pl)' llffl'I fFM CFM], x.30'¾; er K Jcondtt;o11«1roo (ILt>Q.l :..04 <:fMJll.l!IQ.;-cr L JMll;))fllrxn or Ccfumn6e H. J, K. or 300 dm M '~rrJ.!FI bB le>r..sJnan creauel1DCciumn Ler.a o,-eal!!rlh!ltor-eaU;&I lo ti>!! !aJmofC!)lumm;.H .. N, N Ti~nsf.,. ale mi;,;;! bl! ptQ'li<;!~ll,'il!a;,r~ !1111 ReQIJirtie' Vendl..t•:m Air {column I) ii$ {,l'l:<.!llel" lhert the: o,,,;;_.; Minimpm Ar (~,;/1,,Jrrn M). Wliero rll<!llirod. 1ran6ftlr 8i.' r:,ust be grenter lhlsn ,,. 1>qUi>I b:i lh!! diff1,p;,nw l>l!twr;,1m I~ :f!eQ?Jirod Vin~l~licD Air (001umn 1).ano 1/JEI Dellipn I\Mirrurn l!Jt [cclurm M~ -cclurrm H -M, !Jo..er Number. 6272 .klb Number. P{lge:4 of 10 i j ·i I j I OFFICE USE ONLY H# _______ _ SAN DIEGO REGIONAL BP DA TE ____ .___.__ __ SA/M ______ _ APCO ______ _ HAZARDOUS MATERIALS QUESTIONNAIRE Telephone 28<o ~I... $ E. ~ \A. fj ,roo. u,07. Y City State Zip Plan File# ~Or.>'1 ~JE=.. o.:> C i::>l"l-1....':,~ti C. ('.::) t:}'2-D e 'e, Site Address Sta a Zip Plan File#/Permltl f'.68T I; f/RE DEPARTMENT • HAZARDOUS MATERIALS MANAGeMENT DIVISION; OCCUPANCY CLASSIFICATION Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. If eny 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 Reactives 12. Radioactlves PART II; SAN DIEGO COUNTY DEPARTMENT Qf ENYJBQNMENTAL HEALtH • HA2AADOUS MATERIALS MANAGEMENT P!Y/SIQN IHMMDI; If the answer to eny of the questions Is ye_s, applicant must contact the County of s~n Diego Hazardous Materials Management Division, 1265 lmperi11I Avenue, 3rd Floor, San Diego, CA 92101. Telephone (6191 338-2222 prior to the iss1:1anca of a building O CalARP Exempt department permit. · Data Initials FEES MAY BE REQUIRED Yee No 1. § ! Is your buslne54 listed on the reverse side of this form? 2. Will your business dispose of Hazardous Substances or Medical Wasta in any amount? 3. Will your business store or handle Hazari:lous Substencea in quantities equal to or grHter than 56 g11llons, 500 pounds, 200 cubic feet or carcinogens/reproductive toxins In any quantlty7 0 CalARP Required Date Initials [j CalARP Complete Will your business use an existing or Install an underground storage tank7 WIii your business store or handle Regulated Substancea tCalARP17 Data Initials WIii your. business use or install e Hazardous Waste Tank S istem (Title 22, Article 101 0 If the answer to any of the questions Is yes, applicant must contact the Air Pollution Control District, 9160 Chesapeake Orive, San Diego, CA 92123. Telephone 1 (858) 650-4550 prior to the issuance of e building department permit. YES NO ••. . • • : 1. 0 0 WIit the Intended occupant lnatall or use any of the equipment listed on the Listing of Air-Pollution Control District Permit Categories, on the reverse side of this form? 2. 0 0 !ANSWER ONLY IF QUESTION 1 IS YES.) WIil the subject raclllty be located within-1 ;ooo feet of the outer boundary of a school !K through 121 es listed In the current Directory of School and Community College Districts, published by the San Ol~go County Office of Education and the current California Private School Directory, compiled in accordance with provisions of Education Code Section 33190? 3, Does the buildin or structure for which this ermlt is re uested contain an friable asbestos? Briefly describe business activity and proposed project: Signature of Owner or Authorized Agent Date 5. Zu. ar perjury that to the best of my knowledge and belief the responses made herein arv .true and corrac~. FOR OFFICIAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:-:-___ ..__ _______________________ _ BY: __________________________ _.;. _____ Date:, ______________ _ EXEMFT OR NO FURTHE/1 INFORMA TtON REOUIREO RS.EASED FOR 8Ult.OINQ PERMIT 8UT NOT FOR OCCUPANCY COUNTY•HMMO APCO COUNTY-HMMO APCO P-ELEAS(O FOR OCCU~ANCY COUNTY-HMMD APCO County o/ San Diego Department of-EllVironmental Health