HomeMy WebLinkAbout1808 ASTON AVE; 120; CB101567; Permit09-16-2010
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Commercial/Industrial Permit Permit No: CB101567
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
Applicant:
1808 ASTON AV CBAD St: 120
Tl Sub Type: INDUST
2121200700 Lot#: 0 Status:
$91,105.00 Construction Type: 5A Applied:
Reference #: Entered By:
SPEC SUITE- 2603 SF OFFICE TO Plan Approved:
OFFICE ( DEMO & NEW PARTITIONS( NO ELECTRIC, PLUMBING Issued:
Inspect Area:
PlanCheck#:
Owner:
ISSUED
08/24/2010
RMA
09/16/2010
09/16/2010
ROBERTS & BENNETT
STE C 203
1010UNIVRSITYAV 91941
619297-1011
M C R ASTON L L C
C/O GUY MCROSKEY
1808 ASTON AVE #295
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
$609.53 Meter Size
$0.00 Add'l Reel. Water Con. Fee
$396.19 Meter Fee
$0.00 SDCWA Fee
$0.00 CFD Payoff Fee
$19.13 PFF (3105540)
$0.00 PFF (4305540)
$0.00 License Tax (3104193)
$0.00 License Tax (4304193)
$0.00 Traffic Impact Fee (3105541)
$0.00 Traffic Impact Fee (4305541)
$0.00 PLUMBING TOTAL
$0.00 ELECTRICAL TOTAL
$0.00 MECHANICAL TOTAL
$0.00 Master Drainage Fee
Sewer Fee
$0.00 Redev Parking Fee
$0.00 Additional Fees
$1.00 HMPFee
$182.50
TOTAL PERMIT FEES
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,208.35
Total Fees:$1,208.35 Total Payments To Date:$1,208.35 Balance Due:$0.00
Inspector:
FINAL APPROVAL
Date: /<V Clearance:
NOTICE: Please take NOTICffthat 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 Spec Suite 120
SUITE*/SPACE*/UNIT#
CT/PROJECT ## OF UNITS # BATHROOMS
B
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
DEMOLITION, NEW INTERIOR PARTITIONS ^ &J //^"
EXISTING USE
OFFICE
PROPOSED USE
OFFICE
GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE
YESQ* NOJ71
AIR CONDITIONING
YES FT! NO | |
FIRE SPRINKLERS
YES [/] N0| |
CONTACT NAME (If Different Fom Applicant)APPLICANT NAME ROBERTS & BENNETT
ADDRESS ADDRESS
1010 University Ave. Suite C203
CITY STATE ZIP CITY
SAN DIEGO
STATE
CA
ZIP 91941
PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAME MCR Aston LLC CONTRACTOR BUS. NAME Pacific Building Group
ADDRESS
1808 Aston Ave, Suite 180
ADDRESS 9752 AspenJ>eek Court
CITY
CARLSBAD
STATE
CA
ZIP
92008
CITY
San Dieao STATI
CA
ZIP
92126
PHONE
760.929.5020
FAX PHONE
858.334.4103
FAX
EMAIL guy@mcrlaw.net
EMAIL
ARCH/DESIGNER NAMES ADDRESS
Roberts & Bennett
STATE LIC. #STATE LIC.#CLASS CITY BUS. LIC.#
civil penalty of not more than five hundred dollars ($500)).
WORKERS' CO M P E N S » T I O N
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
LJI 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 11 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 ($100) 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 (&100,000), 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 QAGENT DATE
O W N E R - B U I L D E R O E C L A R A f I ON
/ hereby affirm that I em exempt from Contractor's License Law for the foltowing 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
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).
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 JYes 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):
COM PL E T,E T H IS S E CTlSO N F OR N O N -1 tt I L D I N C GfcjE. R 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 25505,2S533 or 25534 of the
Presley^Tanner Hazardous Substance Account Act? | [Yes I / |No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or airouality management district? I JYes I/1 No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I lYes f/lNo
IF ANY OF THE ANSWERS ARE YES, /
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONS T R U C T I O N L E N DING A G E N C Y
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
A P |*?L I CAN T
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.
OSHA: An OSHA permit is required for excavations over 50' 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 or ifithe building or work authorized 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 /I l/l/fl /XVW!/ Jl ^--*\ DATE
I/
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:
Inspected
Bv:
Inspected
Bv:
Comments:
CB101567
SPEC SUITE- 2603 SF OFFICE TO
OFFICE ( DEMO & NEW PARTITIONS(
1808 ASTON AV #120
Phone:
CA Water Dist: CA
Date
Inspected:
Date
Inspected:
Date
Inspected:
Date:
Permit Type:
Sub Type:
NO ELECTRIC, P
Lot: 0
Approved:
Approved:
Approved:
09/17/2010
Tl
INDUST / (\
V
Disapproved:
Disapproved:
Disapproved:
City of Carlsbad Bldg Inspection Request
For: 10/21/2010
Permit* CB101567
Title: SPEC SUITE- 2603 SF OFFICE TO
Inspector Assignment: PY
Description: OFFICE ( DEMO & NEW PARTITIONS( NO ELECTRIC,
PLUMBING OR MECHANICAL
Type:TI Sub Type: INDUST
Job Address. 1808 ASTON AV
Suite: 120 Lot: 0
Location: Inspector:
APPLICANT ROBERTS & BENNETT
Owner. M C R ASTON L L C
Remarks:
Phone: 8589670906
Total Time:
CD Description
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Requested By: TOM COLLINS
Entered By. CHRISTINE
Act,- Comments
Comments/Notices/ tolds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act Insp Comments
09/21/2010 17 Interior Lath/Drywall AP PY
09/20/2010 14 Frame/Steel/Bolting/Welding AP PY
09/20/2010 34 Rough Electric AP PY
mm niMr* Development Services
, ,5UILP ® Building Division
CITY OF / Plan CheCk 1635 Faraday Avenue
CARLSBAD Comments 7606022719-\^j u\i_*^L*rs »•— *•www.carlsbadca.gov
By: Steve Borossay (Contact Hours for Steve: Tues.-Fri., 1pm - 5pm) Phone: 760-602-7541
pprmjf d^> (01 ST-^7 Aririrftga- ieog 7^S>TOt4 "S^. I2-O pate; 3/2.4-^/1
* WtiejLpQtrectipns 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.
Approved on: / V By
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB101567 DATE 8/26/10
ADDRESS 1808 ASTON AV STE 120
RESIDENTIAL ADDITION
MINOR (<17,000.00)
RETAINING WALL
VILLAGE FAIRE
POOL/SPA
TENANT IMPROVEMENT
COMPLETE OFFICE BUILDING
OTHER PARTITIONS
PLANNER GINA/RLH
ENGINEER
DATE 8/26/10
DATE
H:\ADMIN\COIiNTEH/PUNNING/ENGINEEHING 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:
Q Right-of-Way PermitJ3 Building Permit
a 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*
No Threat Assessment Criteria
\L3 My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because
f\ 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.
B-24 Page 1 of 1 Rev.03/09
RECOMMENDED FOR APPROVAL Page: 1 of 1
BLDG. DEFT COP
Daryl K. James & Associates, Inc. Plan Checker: Daryl K. James
205 Colina Terrace Date: September 14. 2010 _
Vista, CA 92084
T. (760) 724-7001 Email: kitfire@sbcglobal.net
APPLICANT: Tina Yarmy JURISDICTION: Carlsbad Fire Department
PROJECT NAME: Spec Suite 120 PROJECT ADDRESS: 1808 Aston Ave. Ste 120
PROJECT DESCRIPTION: CB1 01 567 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 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
V General Note 23
Please revise 2002 NFPA 72 to 2007 NFPA 72
VTI-3
Revise 100 to 120
Verify that 2 exits are required and that 3 exits are provided. ONE EXIT REQUIRED
CORRECTION LIST Page: 1 of 1
Daryl K. James & Associates, Inc.
205 Colina Terrace
Vista, CA 92084
T. (760) 724-7001 Email: kitfire@sbcglobal.net
Plan Checker: Pan/I K. James
Date: August 27, 2010
BLDG. DEPT COPY
APPLICANT: Tina Yarmy
PROJECT NAME: Spec Suite 120
JURISDICTION: Carlsbad Fire Department
PROJECT ADDRESS: 1808 Aston Ave. Ste 120
PROJECT DESCRIPTION: CB101567 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 adiressed, 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 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
General Note 23
Please revise 2002 NFPA 72 to 2007 NFPA 72
TI-3
Revise 100 to 120
Verify that 2 exits are required and that 3 exits are provided.
CARLSBAD FIRE DEPARTMENT
EXPEDITED PLAN CHECK REQUEST
CB
I am requesting Expedited Fire Plan Check and understand I will
be assessed an additional fee at the rate of $90.00 dollars per
hour plus $25.00 dollars administration fee. Plans will not be
released until all fees are paid. Applicant is responsible for all
expedited fees should the project not be completed.
Turnaround time for the expedited fire plan review will be 14
calendar days with a turnaround time for re-checks of seven
calendar days. Plans check by the Fire Department will be
checked on a first come, first serve basis and could take up to
60 days or/0or^ to be completed.
NO
PLEASE CIRCLE YOUR SELECTION
Applicant Signature.Date
Copy to Budding file ancNEifeTrevention
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
SCREENING SURVEY-
Date
Business Name.
Street Address
Email Address
PLEASE CHECK HERE4ETOUR 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):_
-e_
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): ~KM
Date operation began/or will begin at this location:N/A
Have you appli
Yes
Site Contact
Signatu
ENCINA
for a Wastewater Discharge Permit from the Encina Wastewater Authority?
If yes, when:
Phone
tvenida Encinas Carlsbad, CA 92011 (760)438-^941
(760) 476-9852
SAN DIEGO REGIONAL
HAZARDOUS MATERIALS QUESTIONNAIRE
OFFICE USE ONLY
U PFP#
HV#
BP DATE
wons represent the facility's activities, NOT the speci
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 >47>Other Health Hazards
7. Pyrophorics 11. Highly Toxic or Toxic Materials /'fST^pne 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 the answer to any of the
questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 1 255 Imperial Avenue, 3'" floor, San Diego, CA 92101.
Call (619) 338-2222 prior to the issuance of a building permit.
FEES ARE REQUIRED.
YES *jr Is your business listed on the reverse side of this form? (check all that apply).
Expected Date of Occupancy:
1.
2.
3.
4.
5.
6.
D
Dn
Dnn
Will your business dispose of Hazardous Substances or Medical Waste in any amount?
Will 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?
Will your business store or handle Regulated Substances (CalARP)?
Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)?
D CalARP 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.
1.
2.
3.
4.
YES
D 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).
(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
appropriate school district).
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?
fly describe proposed project:
oonses made herein are true and correto the best of my knowledge and
FOR OFFICIAL USE ONLY:FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:
BY:
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
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