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Home My WebLink About1808 ASTON AVE; 100; CB101530; Permit08-26-2010 City of .Carjsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB101530 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: MCROSKEY GUY STE 180 1808 ASTON AV CBAD St: 100 Tl Sub Type: COMM 2121200700 Lot#: 0 Status: $7,500.00 Construction Type: 5B Applied: Reference #: Entered By: BLU FI-NEW INTERIOR PARTITIONS Plan Approved: TO CREATE STE 100 FROM STE 120/STE 100 TO BE 4113 SF Issued: Inspect Area: Plan Check#: Owner: M C R ASTON L L C C/O GUY MCROSKEY 1808 ASTON AVE #295 ISSUED 08/17/2010 KG 08/26/2010 08/26/2010 1808 ASTON AVE 92008 760-929-5020 CARLSBAD CA 92008 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'l Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee Fire Expedited Plan Review $99.61 $0.00 $64.75 $0.00 $0.00 $1.57 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $65.00 $0.00 $0.00 $0.00 $1.00 $205.00 Meter Size Add'l Reel. Water Con. Fee Meter Fee SDCWA Fee CFD Payoff Fee PFF (31 05540) PFF (4305540) License Tax (31 041 93) License Tax (43041 93) 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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $0.00 $0.00 $0.00 $0.00 $0.0077 TOTAL PERMIT FEES $471.93 Total Fees:$471.93 Total Payments To Date:$471.93 Balance Due:$0.00 Inspector: FINAL APPR Date: AL Clearance: NOTICE: Please take NOTICEfthat approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www.carlsbadca.gov JOB ADDRESS „„«„.. »1808 Aston Ave CT/PROJECT* LOT*PHASE # # OF UNITS # BEDROOMS SUITE#/SPACE#/UNIT# # BATHROOMS TENANT B DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) new interior partitions~~7O fr> EXISTING USE P office CONTACT NAME (If Different Fom Applicant) _ ROPOSED USE GARAGE (SF) office UuyMcRoskey > — ADDRESS .^ /^^-^1808 Aston Ave, SuiteJSe-*" CITY ^-^ - — 6artsbad ~^! PHONE ^ 760.929^020 EMAIL *•* — ' ^ayY^i PROPERTY OWNER NAME STATE ^^ ZIP _ ... ><L CA 92008 FAX ^^^^ Hrrknmst "^^ Guy McRoskey ADDRESS 1808 Aston Ave, Suite 180 CITY Carlsbad PHONE 760.929.5020 STATE ZIP CA 92008 FAX EMAIL , , . guy@mcr,law.net P^gN^j^tfr^^ ^T\\J STATE L|c. # 1^1 PATIOS (SF) DECKS (SF) • • AteLfCANT NAME IfAUDRESS Plan Check N<C/5/ (0/53^ Est. Value Plan Ck. Deposit (j^ /^ / (^ C~\^/ f~\ /Syl^^ APN f / 100 212 - 120 - 07 t/ 00 JSINESSNAME CONSTR.TYPE OCC. GROUP Blu Fi V-A B v&ck vk.\00 <1l\}y( f^\^0 FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES[~> NOT/I YES0MOQ YES [71 N0| | Tina Yarmy • Roberts & Bennett 1010 University Ave, Suite C203 CITY STATE ZIP SanDieqo . CA 92103 PHONE 619.297 EMAIL CONTRACTOR BUS. NAME ADDRESS jK*7 FAX .101HSP-? 619.297.3832 tyarmy@rbcid.com Pacific Buildinq Group 9752 Aspen Creek Court CITY STATE ZIP SanDieao CA 92126 PHONE FAX 858.334.4103 EMAIL STATE LIC.#CLASS CITY BUS. LIC.# (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 theapplicant 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 theBusiness and Professions 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 of not more than five hundred dollars {$500}). 'WORKERS'..COMPENS AT I O IM Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: Q 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. | _ 1 1 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 workers' compensation insurance carrier and policy number are: Insurance Co _ Policy No. _ Expiration Date _ This section need not be completed if the permit is for one hundred dollars ($1 00) or less. I | 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' Compensation 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 (&1 00,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE OWNER-BUILDER DECLARATION FJAGENT DATE / hereby affirm that / am exempt from Contractor's License Law for the following reason: | 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 intended or offered for y/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 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). I I I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. I lYes I [No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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 / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): J&PROPERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR NON BUILD I N G P E B.M I T S 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? I I Yes I / iNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or apuality management district? | |Yes F71 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? flYes l/lNo EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address OSHA: An OSHA permit is required for excavations over SO deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official 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 commenced within 180 days from the date of such permit ft if the building or work auttwrad by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ^APPLICANT'S SIGNATURE Ml/ ,V f^ h~S*~~\ DATE City of Carlsbad Bldg Inspection Request For: 09/27/2010 Permit# CB101530 Title: BLU FI-NEW INTERIOR PARTITIONS Inspector Assignment: PY Description: TO CREATE STE 100 FROM STE 120/STE 100 TO BE 4113 SF Sub Type: COMMType: Tl Job Address: 1808 ASTON AV Suite: 100 Lot: 0 Location: OWNER M C R ASTON L L C Owner: M C R ASTON L L C Remarks: Phone: 8589670906 Inspector: Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By: TOM Entered By: JANEAN Act Comments Com ments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments 09/02/2010 17 Interior Lath/Drywall AP PY 08/31/2010 14 Frame/Steel/Bolting/Welding AP PY City of Carlsbad Final Building Inspection Dept: Building Engineering Planning CMWD St Lite Fire Plan Check #: Permit*: Project Name: Address: Contact Person: Sewer Dist: Inspected Bv: Qj(_A Inspected Bv: Inspected Bv: Comments: CB101530 BLU FI-NEW TO CREATE 1808 ASTON CA /IAN / / INTERIOR PARTITIONS STE 100 FROM STE 120/STE AV #100 Phone: Water Dist: CA °ate 4) ,iInspected: /P^ \ Date Inspected: Date Inspected: Date: Permit Type: Sub Type: 100 TO BE 41 Lot: 0 h //Approved:^/L"-' ' Approved: Approved: 08/27/2010 Tl COMM Disapproved: Disapproved: Disapproved: Development Services Building Division Ian CheCk 1635 Faraday Avenue omments 750502-2719 www.carlsbadca.gov By: Steve BorOSSay (Contact Hours for Steve: Tues.-Fri., 1 pm - 5pm) Phone. 760-602-7541 Peffnif. CLTg> I0| S"2x2 AHHrpgs- I SOS 7\^.4^0rv 7^\/e^ _ Date- £/f7//0 * When corrections from all departments are received please run new prints. * | | Provide: A statement on the Title Sheet of the plans stating that the project shall comply with the 2007 CA Building Code, 2007 CMC, 2007 CPC, 2007 CEC and the 2008 CA Energy Efficiency Standards. O Provide: A note titled "Scope of Work" describing the work to be performed under this permit. [. SKotAXEXi^ Approved on: Vj^ll" By: PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB101530 DATE 8/17/10 ADDRESS 1808 ASTON AV STE #101 RESIDENTIAL ADDITION- MINOR (<17,000.00) RETAINING WALL VILLAGE FAIRE POOL/SPA TENANT IMPROVEMENT COMPLETE OFFICE BUILDING OTHER PARTITION WALLS PLANNER GINA RUIZ ENGINE DATE 8/18/10 DATE (0 H:\«!N\COBNTER/PUNMNG/ENGIlVEER|]VG APPROVALS CITY OF CARLSBAD STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Department 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov am applying to the City of Carlsbad for the following type(s) of construction permit: Building Permit a Right-of-Way Permit Q My project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types: Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria Wo hraft Assessment Criteria My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tierl - Low Threat Assessment Criteria Q My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities (such as roofing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 • Moderate Threat Assessment Criteria Q My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Tier 3 - Significant Threat Assessment Criteria Q My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or Q My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, Q My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). / certify to the best of my knowledge that the above checked statements are true and correct I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards. The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. Owner/Owner's Authorized Agent Name: B-24 Page 1 of 1 Rev.03/09 CORRECTION LIST Page: 1 of 1 Plan Checker: Daryl K. James Date: August 23. 2010 Daryl K. James & Associates, Inc. 205 Colina Terrace Vista, CA 92084 T. (760) 724-7001 Email: kitfire@sbcglobal.net APPLICANT: Tina Yarmy JURISDICTION: Carlsbad Fire Department PROJECT NAME: Blu Fi PROJECT ADDRESS: 1808 Aston Ave. Ste 100 PROJECT DESCRIPTION: CB101530 Tenant Improvement INSTRUCTIONS • This plan review has been conducted in order to verify conformance to minimum requirements of codes adopted by the Carlsbad Fire Department. • The items below require correction, clarification or additional information before this plan check can be approved for permit issuance. • To expedite the recheck process, please note on this list (or copy) how and where each correction item has been addressed, i.e. sheet number, note number, detail number, legend number, etc Corrections or modifications to the plans must be clouded and provided with numbered deltas and revision dates. « PLEASE SEND OR DELIVER REVISED PLANS WITH ESGJL COMMENTS DIRECTLY TO: DARYL K. JAMES 205 COLINA TERRACE VISTA, CA 92084 « Please direct any questions regarding this review directly to: Daryl K. James kitfire@sbcglobal.net or 760-724-7001 T1-1 Project Information Provide total square footage of new Suite 100 Provide Reflected Ceiling and Lighting Plan Denote emergency lighting equipped Provide a Light Fixture Schedule denoting 90 minute battery pack for emergency lighting and exit signs. General Note 23 Add: 2002NFPA13 2002 NFPA 72 TI-3 Label the use of all areas. Provide a furniture layout TI-4 Door Notes Add note that all doors shall be openable from the egress side without the use of a key, special knowledge or effort. Detail 2 Provide reference to CBC Table 720.1 Item number or ICC report or UL listing for rated wall assembly. •COMMENDEDJFORAPPROVAL^ITH THE FOLLOWING CONDITION -tSBeT(handwnte) All Affeason T1-3 Over the Counter Daryl K. James & Associates, Inc. 205 Colina Terrace Vista, CA 92084 T. (760) 724-7001 Email: kitfire@sbcglobal.net Plan Checker: Darvl K. James Date: August 24, 2010 BLDG. DEPT COPY APPLICANT: Tina Yarmy PROJECT NAME: Blu Fi JURISDICTION: Carlsbad Fire Department PROJECT ADDRESS: 1808 Aston Ave. Ste 100 PROJECT DESCRIPTION: CB101530 Tenant Improvement INSTRUCTIONS • This plan review has been conducted in order to verify conformance to minimum requirements of codes adopted by the Carlsbad Fire Department. • The items below require correction, clarification or additional information before this plan check can be approved for permit issuance. • PLEASE SEND OR DELIVER REVISED PLANS WITH ESGIL COMMENTS DIRECTLY TO: DARYL K. JAMES 205 COLINA TERRACE VISTA, CA 92084 • Please direct any questions regarding this review directly to: Daryl K. James kitfire@sbcglobal.net or 760-724-7001 VTM Project Information Provide total square footage of new Suite 100 4113 USF Provide Reflected Ceiling and Lighting Plan Not Required Denote emergency lighting equipped Provide a Light Fixture Schedule denoting 90 minute battery pack for emergency lighting and exit signs. ALL LIGHTING & EXIT SIGNS ARE EXISTING, SEE EXIT SIGNS & EMERGENCY LIGHTING TI-3 V General Note 23 Add: 2002NFPA13 SEETI-1 2007NFPA72 SEETI-1 TI-3 Label the use of all areas. SEE ATTACHED PLAN To handwrite all areas on T1-3 over the counter. ^.Provide a furniture layout SEE ATTACHED PLAN •s/TI-4 Door Notes Add note that all doors shall be openable from the egress side without the use of a key, special knowledge or effort. SEE TI-1 DOOR & HARDWARE NOTE #3 V.Detail 2 Provide reference to CBC Table 720.1 Item number or ICC report or UL listing for rated wall assembly NO NEW RATED WALLS INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY Business Name Street Address Email Address//j//| PLEASE CHECK HEREJF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) Check all below that are present at your facility: Acid Cleaning Assembly Automotive Repair Battery Manufacturing Biofuel Manufacturing Biotech Laboratory Bulk Chemical Storage Car Wash Chemical Manufacturing Chemical Purification Dry Cleaning Electrical Component Manufacturing Fertilizer Manufacturing Film /X-ray Processing Food Processing Glass Manufacturing Industrial Laundry Ink Manufacturing Laboratory Machining / Milling Manufacturing Membrane Manufacturing (i.e. water filter membranes) Metal Casting / Forming Metal Fabrication Metal Finishing Electroplating Electroless plating Anodizing Coating (i.e. phosphating) Chemical Etching / Milling Printed Circuit Board Manufacturing Metal Powders Forming Nutritional Supplement/ Vitamin Manufacturing Painting / Finishing Paint Manufacturing Personal Care Products Manufacturing Pesticide Manufacturing / Packaging Pharmaceutical Manufacturing (including precursors) Porcelain Enameling Power Generation Print Shop Research and Development Rubber Manufacturing Semiconductor Manufacturing Soap / Detergent Manufacturing Waste Treatment/Storage SIC Code(s) (if known): Brief description of business activities (Production / Manufacturing Operations):. rfag- Description of operations generating wastewater (discharged to sewer, hauled or evaporated): Estimated volume of industrial wastewater to be discharged (gal/day): List hazardous wastes generated (type/volume): Date operation began/or will begin at this location: Have you Yes Site Contact Signatu ENCINA pr a Wastewater Discharge Permit from the Encina Wastewater Authority? If yes, when: Phone :00 Avenida Encinas Carlsbad, FAX: (760) 476-9852 92011 (760)438-3941 SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY UPFP# HV# BP DATE I/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. 5. Organic Peroxides 9. Water Reactives 13. Corrosives 6. Oxidizers 10. Cryogenics 14£Other Health Hazards 7. Pyrophorics 11. Highly Toxic or Toxic Materials /T57lone of These. 8. Unstable Reactives 12. Radioactives 1. Explosive or Blasting Agents 2. Compressed Gases 3. Flammable/Combustible Liquids 4. Flammable Solids PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH - HAZARDOUS MATERIALS DIVISIONS (HMD): If questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 1255 Imperial Avenue, 3™ floor, San Diej Call (61 9) 338-2222 prior to the issuance of a building permit. \ D h\ I f~\ FEES ARE REQUIRED. Expected Date of Occupancy: I U / C/| / | // YES 1. D « 2. D 3. D 4. D 5. D 6. D *£)3r Is your business listed on the reverse side of this form? (check all that apply). [J Will your business dispose of Hazardous Substances or Medical Waste in any amount? O Will your business store or handle Hazardous Substances in quantities equal to or greater than I 55 gallons, 500 pounds, 200 cubic feet, or carcinogens/reproductive toxins in any quantity? [H Will your business use an existing or install an underground storage tank? [J Will your business store or handle Regulated Substances (CalARP)? Dl Will your business use or install a Hazardous Waste Tank System (Title 22, Article 1 0)? the answe o, CA921C D CalAR r to any of the1. 3 Exempt / Date Initials D CalARP Required / Date Initials D CalARP Complete / Date Initials PART III: 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. 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. D D (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 p appropriate school district). 3.Q ED Will there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos? 4. D 5 Will there be demolition involving the removal of a load supporting structural member? Briefly describe business activities:Briefly describe proposed project FOR OFFICIAL USE ONLY:FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:. BY:DATE:. EXEMPT OR NO FURTHER INFORMATION REQUIRED COUNTY-HMD APCD RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY COUNTY-HMD APCD RELEASED FOR OCCUPANCY COUNTY-HMD APCD HM-9171 (04/07)County of San Diego — DEH - Hazardous Materials Division I* n *§ E! § \ sj r i 1.3 0 I D i