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Home My WebLink About1820 MARRON RD; 100; CB881601; PermitUSE BALL POINT PFN ONLY &, PRESS'HARD' ' . . .. . ' APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT -' 2075 Las Palmas Dr-Carlsbad CA-92009-1915 (619) 438-1161 - -'- — -- - '- -- - ' '' JOB ADDRESS - . • - AV. ST. RD. THOMAS BROS NO. ' DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER i' i (j ___ LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. i'IRACTOR C ____ ONT ACTORS PHONE ' 4f ZONE i, "5-, ('qi M1A'LE OWNER'S NAME- •' s.i) OWNE R'S PHONE s4C/* . . 66/ - 6so .... ._._. -• ...: ..- . -- A CONTRACTOR'S ADDRESS P,qji - -Ii9C3° - /4p.J#llb?vy , STATE LICENSE NO, .. BUILDING SO, FOOTAGE '- Ale 9/t (t'4zrnv ." - • WNER'SMAILINGADORESS (,4A' Mi DESIGNER'S PHONE VIA-,LI_Ilç-oRJJ1,4 't,C DESIGNER .DAWAP. p41',W • 406401/10/89-000101--02 . = DESCRIPTION OF WORK • . kGf t4Rd,JE4t ..6002.0( 7 FI4iJ ..Zp..i ftQLJ den DESIGNER'S ADDRESS 0 STATE LICENSE NO. ' , - t ST Ci hof /100 . F/P NO "'STORIES j/' OC p EDU ' --------- CENSUS TRACT PARKING SPACE RES UNITS GRADING PERMIT ISSU - REDEVELOPMENT -. S • h-'--- .4 AREA -A - cj) - - 'TYPE—,- 0CC LOAD - FIRE'S?-- - . D N yD N( YO NO. - Not VaIidUn/ef5MactflneCethfled - QTY. I ,f - ---f --PLUMBING PERMIT'T ISSUE -- ,. Q TY. MECHANICAL.PERMIT -ISSUE -. . -. •- .5. SUMMARY/ACCOUNT NUMBER- .- --.- -•• - - -• (0 - - a. (.1 - CL EACH FIXTURE TRAP "''' INSTALL FURN DUCTS uP TO 100.000 BTU BUILDING PER 001 8100000 8220 ,2../ (p EACH BUILDING SEWER OVER 100.000 BTU , - • SIGN PERMIT 001-810'00'00'8221 - • - I EACH WATER HEATER ANDJOR VENT 7' - BOILER/COMPRESSOR UP TO 3 HP f a. -. - - PLAN CHECK..-- 001 -810-00-00-8891 - - - EACH GAS SYSTEM (104 OUTLETS . . BOILER/COMPRESSOR 3-15 HP: ' TOTAL PLUMBING 001'810'00'00'8222 - EACH GAS SYSTEM S OR MORE METAL FIREPLACE I ELECTRICAL 001-810-00-00-8223 - EACH INSTAL..ALTER REPAIR WATER PIPE VENT FAN SINGLE DUCT. 5'. - MECHANICAL 001-810-00-00-8224 -- - - EACH VACUUM BREAKER - .' - • MECH EXHAUST • HOOD/DUCTS ' ' • EH0ME - 001'810-00'00-8225 - - • , WATER SOFTNER • "' • - . - . RELOCATIONOF'EAFURNACE/HEATER,-_j ___________• ' __LAR -ooi-8ô-oO-0o-8226 -'- - EACH_ROOFDRAIN(INSIDE( DRYER VENT - SONGMOTION ____880_519_92_33 4 . c • •- ' • -- .. ., - TOTAL MECHANICAL , "' -' 5. 1' - - 'S 'èaf 1Y SPRINKLERS _001'810'00'00'8227 --•, - T01 AL PLUMBING n ' LITIESFEE __320_810_00008740 PUBLIC_FAC ' QTY - • - ELECTRICAL _PERMIT___ISSUE - OTY . ' • : MOBILE HOME SETUP I J _-360-810-00-00-8740 - • > NEW COST EA AMPS 1 BK R'-' ' '" ' CARPORT ________-r ____iEV TIE_____--. _-312_810_00_00_8835 CD - al IPH__v__3_3PH I AWNING AWNING COSTA TIE 311-810-00-00-8835 EXIST BLDG EA AMP/SWT BKR - GARAGE FMF - 3PH -'--, - _"'--- "'-r - _--.' _-- ' ,' _LICENSETAX .urT5 -Do,-810-00-00-8162- REMODEL—ALTER PER CIRCUIT a- t MFF( oo (c9D ) 8805199257 TEMP POLE'200 AMPS '1OVER 200 AMPS ."J ' , I',... ._. , .....•. '.. 0 1 ' TEMP OCCUPANCY I30DAYS) CREDIT DEPOSIT 4j "- TOTAL ELEL1RILAV TOTAl . - ..TOTAL,,FEES-PAYABLE - I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY ' Expiration. Every permit issued by ins Building Official under the provisions of this * Code shall expire by limitation and become null and void lithe building or work AN osHAPRM:1 IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by Such permit is not commenced within 180 days from the date of such 50" DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEHT. ' permit, or lithe building or work be by such in suspended Or ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandon SI any time afler the work is commenced for a period of 580 days. -S- --- -'. ____....t,.. -- g)-ifll hàreby affirm that I am licensed under UI-. provisions of-Chapter. 9 (commencing with I /'S.ctlon 1000) of 'Division 3 of the Business .and Professions Code, and my.ilcense is In— Z[ force and effect. U .- - m' - - ' S. L," •l 'hereby 'afrrm that I am exempt from the Co Iliac. - ' ton's License Law for the following reason (Sec. 703i .5 Ba'sifless aAdProfessions Code: Any city or county wbricr, re quires a permit to Construct, utter, improve, demolish, or repair any Structure;. prior toils issuance also requires he up-..- phcant for such permit to tile a signed statement that he is licensed pursuant n the provisions of the Conrractor's - License Law (Chapter 9 commencing with Section 7000 of Division 301 the Business and Professions Code) or that is ex-' empt therefrom and the basis to, the alleged exemption, Any, violet on otSection 7031.5by an applicant for a permit sub't jects the applicant to a civil penalty of not more than live hun- dred dollars ($500), xli ,1 as ownerof the property. or my employees with wages _...as.their sole compensation. will do the work, and ihe.struc- :-t. lureis not intended or uttered for safe(Sec. 7044,.5usiness and ProiessionsCnde:' Ide Cnntractsr'sLicenseLaw dons 5 not ypply to an owner of ,properly who bUilds or 'improves m t,,.l thereon and who.dois such work himself or through his owv' -- employees, provided that such improvements are 001 intend— W . ed or offered for sale lt, however, the building or improve-, Z merit is sold within one year of cumpletion,- the owner-builder, - will-have the burden of proving that he did not build or im- - prove for the purpose of sale). - - - li .I' as.owner of the propertp"arr) exclusively contracting with licensed contractors is construct the project (Sec. 7044, - Business and Professions Cede: The Contractor's Licensu - Lawdoosnui apply to an owner 01 property who builds or ins'.- -, -- proves therenn, and who contracts for each projects with a -d ) coniractor(s( licevsepursuaot io the Contractor's License 2 '- (1' As a homeowner lam improving my home, and the Ioilnw-. 4 .....ingconditions cc - 5- The work is beihg.peiturmed prior.to sale. have lived 'in rnyhomn or-, twelve month;• - _-1----prior to completion of this work.' W 3. I have not claimed this exemption during the 0 '- ......,-last three years. -- fAwn P4.x • I L - "' V - ia." 710 lamenempi 'nrrder Sec-" '- - B&P.C: Or this reason ' - ' ve''u4, a a 0 thereby attirm that I haacertriicute of consent to'" sell-insure. or a certificate 01 WorkersCornpensation lv-" -y.5surance.or a cUrri!ied copy thereoilSep 3800: Labor C00 0l ' POLICY NO , Z COMPANY' •SI i p 0 Copy is tiled with the city V - - C3 Certilied copy is hereby tarnished ---'--CERTIFICATE OF-EXEMPTION FROM - COMPENSATION INSURANCE _(This section need notbe completed it the permiç...,. cc is br one hundred dollars (0100( or less( - w ' ..- r ' .D, certify that in the performance 01 the work for which. W. is .'permit is issued. I shall not employ any peiuii,in'aiyh' 0 manner seas to become subject to the Workers' compen- 'sullen Laws of California... - NOTICE TO APPLICANT: It. alter making thisCertibicare f 'xl Exam pi ion. you should become subject to the Workers, d: Compensation provisions of the Labor Code. you must - ,forthwith comply withsuch provisions or this permit shall - ' tbe deemed revoked.,1aA - -:1- -..y" '4Q(" 'I hereby aftirrri that threii'a corrstruciio)r tending ' fagency to, the performance of the work for which this per, d . 0 ' mit is issue (Sec. 3097.Civil Codel' - - Z ' w ,,,Lenders Name - .51 Lenders Address - S. . -: S.- ? - .. . - - S. s.?. •. - .—-- - -- . 4, -•-.. t-- S. . -. - - -4-. - - - . :'; - - - :•\'- t\ ---- .'.?::J ' ( - .a- _ •'4 - '1-- •- I- \..14 _______________________ _________ _____________ ________ ______________________________________ r< ,. , t • 4 TYPE BUILDING FOUNDATION DATE INSPECTOR - - p FIELD INSPECTION RECORD REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES MASONRY INSPECTION r REQ. IF CHECKED INSPECTORS APPROVAL DATE - ,. \V% , GUNITE OR GROUT r SUB FRAME LI FLOOR LI CEILING 7 PRIOR TO FOUNDATION INSP SOILS COMPLIANCE SHEATHING LI ROOF 'LI SHEAR . --• FRAME- EXTERIOR LATH INSULATION -'-S '.- INTERIOR LATH & DRYWALL -' '- /2 - OVER 2000PSI ---" --- .. ..---- STRUCT URAL CONCRETE — -" .-.-.-...- - .... PRESTRESSED- ---,--.--- CONCRETE ...-...-..-----—-.. -- -.5--- i/i/' 4 CONCRETE PLUMBING LI SEWER AND BL/CO- LI PL/CO - UNDERGROUND 21'WASTE LI WATER POST TENSIONED 7. '.._ ________ - FIELD WELDG J• __t__ " - _ HIGH STRENGTH BOLTS - — : SPECIAL MASONRY TOP OUT J!1 J(WASTE ,WATER TUB AND SHOWER PAN - I -/ 7) (fr - .- --- i.,- -- * - - - — --• GAS TEST -,.-. DWATERHEATER EJSOLARWATER r . S- PILESCAISSON............ - '.i •-- _S- S •S -1- . . . ELECTRICAL LI ELECTRIC UNDERGROUND LI UFFER — — - .. .... - - - — - — - ROUGH ELECTRIC LI ELECTRIC SERVICE LI TEMPORARY LI BONDING LI POOL MECHANICAL 0 DUCT & PLEM, LI REF PIPING 7 - HEAT --AIR 'COND. SYSTEMS CALL FOR FINAL INSPECTION WHEN ITM APr)tI J-JAt/PccN'APPRt)VFfl VENTILATING SYSTEMS - -'fz :- . • - '- 4-' t I -. , 4094 ()P.TI\\ (flOT ('IT AS ALL APPROPRIATE! — - . - - - -. FINAL ," PLUMBING ELECTRICAL' — MECHANICAL •.--. - GAS BUILDING SPECIAL CONDITIONS -.--,.-- --S VA FINAL BUILDING INSPECTION ?PLAN CHECK NUMBER 881601 DATE 2-14-89 PROJECT NAME: S. ADDRESS 1820 Marron Rd #100 a & B PROJECT NO.:. UNIT NUMBER _________________ PHASE NO TYPE OF UNIT COMM TI NUMBER OF UNITS CONTACT PERSON Christopher CONTACT TELEPHONE 721-0542 ,1 all departments INSPECTED 46k~_ DATE EB 1 51989 . BY: ________________________ INSPECTED: ____________ APPROVED ______ DISAPPROVED INSPECTED DATE BY: '_" . INSPECTED: _________ 'APPROVED DISAPPROVED INSPECTED ' DATE . . BY ________________________ INSPECTED ____________ APPROVED ______ DISAPPROVED caa Real MUflICIpdI Water DistriQr COMMENTS: . Eflqineeiinflprtt (619) 438-3367 5 .. Rev. 1!86• WHITE: Suspense BLUE: Water bistrict GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire FINAL BUILDING INSPECTION 881601 2-14-89 PLAN CHECK NUMBER DATE PROJECT NAME 1820 Marrort Rd #100 a & B ADDRESS PROJECT NO UNIT NUMBER:'._________________ PHASE NO COMM TI TYPE OF UNIT NUMBER OF UNITS Christopher CONTACT PERSON 721-0542 CONTACT TELEPHONE all departineits IN SPECTED DATE BY! [N.SPECTED~ APPROVED DISAPPROVED INSPECTED DATE INSPECTED ___________ APPROVED DISAPPROVED ______ INSPECTED DATE BY INSPECTED APPROVED ______ DISAPPROVED COMMENTS kq . . .. . . . . . . . S Rev. 1/86 WHITE Suspense BLUE Water District GREEN Engineering CANARY Utilities PINK Planning GOLD Fire FINAL BUILDING INSIECTION I • .• •• S I • ••• •' 881601 DATE:'.214-89 PLAN CHECK NUMBER PROJECT NAME: •• ADDRESS 1820 Mrron Rd #100 A. & B PROJECT NO UNIT NUMBER PHASE NO TYPE OF UNIT.COMM TI NUMBER OF UNITS:.FR 1989 CONTACT. PERSON: ChriS tqphe JTttiTtES AA IN 721-0542 (I/) 269 \ DEPT CONTACT TELEPHONE all departments (/9 27o5f INSPECTED BY DATE , _ç? INSPECTED /' '/APPROVED b—' DISAPPROVED INSPECTED DATE BY INSPECTED ____________ APPROVED -,.- DISAPPROVED INSPECTED DATE BY INSPECTED ____________ APPROVED',______ DISAPPROVED COMMENTS --- - / / Rev. 1186 WHITE Suspense BLUE Water District GREEN Engineering CANARY Utilities PINK Planning GOLD Fire V : FINAL BUILDING INSPECTION. 214 PLAN CHECK NUMBER DATE PROJECT NAME: V 1820 Mtrro Rd LOO a & ADDRESS V PROJECT NO.:-- V V V UNIT NUMBER: _________________'PHASE NO.: ' C014 TYPE OF UNIT NUMBER OF UNITS Christopher CONTACT PERSON 7.21,0542 CONTACT TELEPHONE all eprtmnta DATE r /~ /S, BY: INSPECTED-. INSPECTED APPROVED DISAPPROVED V V V INSPECTED V V , :,.. DATE BY INSPECTED ___________ APPROVED ______ DISAPPROVED INSPECTED DATE BY _______________________ INSPECTED ___________ APPROVED ______ DISAPPROVED COMMENTS V V ,' V V •, V V V , V V V •' V V •' V V ''V -- V Rev: 1186 - WHITE: Suspense V V BLUE: Water District GREEN: Engineering CANARY: 'Utilities PINK: Planning GOLD: Fire RECEWED FINAL BUILDING INSPECTION $81601 . PLAN CHECK NUMBER: DATE: PROJECT NAME 1820 -Marroo Rd HOO A Es 8 ADDRESS PROJECT NO.: _________________ UNITNUMBER: . PHASE NO.: COM T1 TYPE OF UNIT NUMBER OF UNITS chpher . CONTACT PERSON: . . —CONTACT TELEPHONE: .? ,. all- departme" 3: By: INSPECTED: INSPECTED(1__ J DATE APPROVED ______ DISAPPROVED . •. . .. . . . .. . • INSPECTED - DATE BY: INSPECTED: ___________ APPROVED ______ DISAPPROVED INSPECTED . DATE . . . BY: . INSPECTED: __________ . APPROVED _____ DISAPPROVED COMMENTS: •. . . . .. Rev. 1186 WHITE:Suspense • BLUE: Water District GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire \ . ; q. •, '"&' . CASHIER'S VALIDATION SEWER PERMIT APPLICATION Development Processing Services Division 2075 Las Palmas Drive Carlsbad, CA 92009-4859 (619) 438-1161 4064 01/10/89 0001 01 04 Snitn 3825.00 APPLICANT TO FILL IN SHADED AREA BUILDING ADDRESS: fl7Ai7'n), i'; /)U OWNER: •I MAILING ADDRESS: —' • j: . • CONTRACTOR: • MAILING ADDRESS: 4 1 LEGAL DESCRIPTION: )h 1 SEWER PERMIT NUMBER: SE I) BUILDING PLAN CHECK NUMBER: PC $O6Q( BUILDING TYPE: NUMBER OF EDU'S: CALCULATIONS: Do :• ri - CONNECTION FEE COST PER UNIT /'-O x _ UNITS =32 LATERAL CHARGE: TOTAL CHARGES: ASSESSORS PARCEL NUMBER: PREPARED BY: ' I- (PRINTED NAME) COMMENTS: WHITE: DPS GREEN: Finance CANARY: Water PINK: Building GOLD: Applicant 2560 ORION-WAY. CARLSBAD; CA 92008 TELEPHONE (619) 931-2121 Citp of Catbab FIRE DEPARTMENT PLAN CHECK REPORT PAGE 1OFJL APPROVED DISAPPROVED PLAN CHECK# PROJECT fAI9,2TC'-S /')77L R-1T2, ADDRESS /'20 n41I1LeA,1J ,''i). $: /(DtTh ARCHITECT ADDRESS ADDRESS PHONE _ OWNER 7J1,ln4,./ 1-VA/,4 ADDRESS 'Ito1 C72*1r PV—,A,-.A PHONE OCCUPANCY _______CONST. 4'/ TOTAL SQ. FT. /1/) STORIES t15 Ai'i= SPRINKLERED")2LTENANT IMP. APPROVAL OF PLANS IS PREDICATED ON CONFORMING TO THE FOLLOWING CONDITIONS AND/OR MAKING THE FOLLOWING CORRECTIONS: . . PLANS, SPECIFICATIONS, AND PERMITS 1. Provide one copy of: floor plan(s); site plan; sheets 2: Provide two site plans showing the location of all existing fire hydrants within 200 feet of the project. 3. Provide specifications for the following: .4. Permits are required for the installation of all fire protection systems (sprinklers, stand pipes, dry chemical, halon, - CO2, alarms, hydrants). Plan must be approved by the fire department prior to installation. The business owner shall complete a building information letter-and return it to the fire department. FIRE PROTECTION SYSTEMS AND EQUIPMENT The following fire protection systems are required: . U Automatic fire sprinklers (Design Criteria: Dry Chemical, Halon, CO2 (Location: ____________________________________________________________ Stand Pipes (Type: / •., . . . . 0 Fire Alarm (Type/Location 7. Fire Extinguisher Requirements: . . . . . -El-One 2A rated ABC extinguisher for each ?T1 sq ft or portion thereof with a travel distance to the nearest..-... extinguisher not to exceed 75 feet of'travel. An extinguisher with a minimum rating of to be located: , •. DOther: 8. Additional.fire hydrant(s) shall be provided EXITS 9.. Exit doors shall be openable from the inside without the use of a key or anyspecial knowledge or effort. Lio. •A sign stating, "This door to remain unlocked during business hours" shall be placed above the main exit and 7 . doors 14 /I'ii-,'J IA1 /ii,-,',u( iii, i)i C/l7?,ii& 7-1I94. - .' . ' 'l EXIT signs (6"x 3/4" letters) shall be placed overall required exits and directional signs located as-necessary to clearly 'indicate the location of exit doors. ' . . . .. GENERAL' . Storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and. hazardous chemicals shall comply with Uniform Fire Code. . . Building(s) not approved for' high piled combustible stock. Storage in closely packed piles shall not éxceéd 15 feet in height, 12 feet on pallets or in racks and 6 feet for tires, plastics and some flammable liquids. If high stock pil- ing is to be done, comply with Uniform Fire Code, Article 81. ' • Additional Requirements. - •, V ' ' . :' -: , ' • / Comply with regulations on attached sheet(s). Plan Examiner Date Report mailed to architet Met with '__• - - 01 Attach to Plans - . - 0'• - .. ,.. .• - ' .. ••- ' 4- - .:ENGINEERING CHECKLIST. ..,. • -• . . •' - . 0 • • . •. .' LEGEND Date:. item dompiete Plan Check No i 88160I ProjectAddess /8J'/q i2' Your Action :incomplete',,.-' Needs Project Name TX - 1,2,3 Number 'in circle Field Check Date: -.. - 0( •• indicates . planch e ck. By number that deficiency .. ••.. 0 0 0 * - - ', was identified • .5 'O 0,4.. .... 4 .4 . . . I ',, ;,-' 0 •- , .. -' - • . 0 -, -.4 0*..4' 4 • - 4. '4 4 4. . . -. 4- 4 . LEGAL REQUIREMENTS -4 -4 .... . 4 •0 •-. )4- •• '0 --4- •0 •• - '5 4-- 4 --C) a)'' A) ;.. 4 0 •'- . -: -'.- • 0 > > Site Plan C) C) - 0 44 . - 4 0 - .• 0 I' .. . 4 . . 4 - 4, 1 1 Provide a fully dimensioned site plan drawn to scale Show North .4 4' arrow, property lines, easen-ents existing and pr1oposed4 .structures, streets, existing street improvements, right-of-way 4_1- .- .. .. . width'ánd dimensioned -setbacks.l 4 0 . - . 1 2 Show on Site Plan Finish floor elevations, elevations of finish grade adjacent to building, existing topographical lines, e1xisting E D and proposed slopes, driveway and percent (%) grade and drainage patterns FT / ,•1 1 '4 3 Provide legal4description of4 property E 0 4 Provide assessor's parcel number PERMITS REQUIRED Grading tJff U 0 5 Grading per required (Separate submittal to Engineering Department required for Grading Permit) H / 6 Grading plans in plan check PE___________ 7 Need the following completed prior to building permit issuance 12' 0 A Grading plans signed B Grading permit issued U U C Grading completed D Certification letter and compaction reports submitted E Grading inspected and permit signed off, by City Inspector - 4 • 0 0 - - - - .4 , 1 0 8 Right-of-Way Permit required for work in public right-of-way (e g , driveway approach, sidewalk, connection to water 4 main etc) LI 9 lndustriaI Waste Permit application required To be. filled out completely and, returned to Dévelopment.Frocessing. - . - .4 ,.. .. 4 - .4 S FEES REQUIRED 0 . 101. Park-in- Lieufees.required. Qadra'nt: Fee Per Unit: , Total Fee.: - "s D 11 Traffic impact fee required. f Fee Per Unit: . _, Total Fee:4t,Owi 12. Bridge and Thoroughfare fee required. 0 —TT, 'fl2t,c.&J Fee Per Unit: Total Fee: .. 12" 0 13 Public facilities fee required Facilities management fee required. Fee 2't/ 0 0 'Additional EDU's requied: 3.0&0 Sewer connection fee: 38LS- Sewer permit no. 3331 121" 0 0 16 Sewer lateral required S REMARKS: ' ' ' 5 '• . '. ('27 jfoo/21 rJ) - /E'o (eyq1 cêir) 3-06i o) O.K.to iss -------Da-te': H !fyou have any questions about any of .-the above items identified on this plan 0 ' S check, please call the Development Processing Department at 438-1161. ., k - - - - - -. - - - -: PLANNING CHECKLIST. '- 'F ca 03 co V Plan Check No 9/O/ Address /52O - - r Type of Project and Use '- opfl/j0&1c,, om'p. >- d) 0) • W - -- - -- .Zone e2 -.Q- -- -- -Us&Allowed?",YES E( NO -- Setback Front 4k Side ,v./,q- :' Facilities Management ne Zo I r School District: San Dieguito : - Encinitas '- CarIbad San Marcos Vu 0 Discretionary'.Action Required YES- NO Type 5 J7 <D EniironméntaI Required ' - )'ES NO •( Landscape\Plan Required YES NO -, -. * Comments -• - - - - - • •• -' "D 0 Coastal Permit Required YES NO jK I I' LI [11 0 Additional Comments ' DATE J2-2/-9 ______________ OFFICE USE ONLY Intake Date./''-./' dJ' Act. Code CT City! County :Code Route Code _______________ A-60 7 Field PC Staff . P1 an Check #E . 0i,r4t. )ST /NAME c.' P7 /EST TYPE c.4h:ee, i TE ADDRESS A2-/) f-i ,,(o &J ii C I TY ZIP 9 j OWNER/BUILDERET/1k6UY(1 C/¼QL) A /'PHONE MAILING ADDRESS. ,* . . . CITY / GENERAL CONTRACTOR. . __.. _... PHONE.z...57 b.S,TART DATE Içq: P/U CONTACT ,__- PO (Me!Yf / . PLANS PLAN CHECKER 't2 _41 DATE (ZAPRO___~' &rrclet. One) (Signatue) _( RECHECK FEE REQUIRED: $_________ Tide . •. RECHECK APPOINTMENT DATE County of San Diego DHS EHS-886 (5/88) Department of Health Services Enyirorimental.Hea1th Services 501 Ruffin'Rd:., Suite C-0564 in Diego, CA 92123 '(1619) 565-5173 PLAN CORRECTION SHEET COMMERCIAL/INDUSTRIAL APPLICATION FORM FOR -INDUSTRIAL WASTE DISCHARGE PERMIT CI TY Of CARLSBAD APPLICATION:' NEW / '0 BUILDING PLC. NO.: 1 / O / (CHECK ONE) REVISED 00 0 APPLICATION NO.: 59L MOUSTRIAL CLASS:___ DATE:__________________ T'i.gnature'of City Representative . APPLICATION FOR INDUSTRIAL WASTE DISCHARGE PERMIT A. GENERAL: ,j24L COi CIAJj " SITE /vfrMRIZJ // APPLICANT': -'AJ/J4- .. ADDRESS:- TYPE-OF BUSINESS shop APPLICANT'S ADDRESS.1Ljc7_Vv)'-fSdZ1o '-A_A- B. WASTES AND PROCESSING: (Check where applicable) Domestic Waste Only fl Industrial Waste J Industrial Waste NOT — Discharged to.Sewer Discharged to Sewer GENERAL DESCRIPTION OF WASTE (Chemical and Physical Charcteristics or proposed waste) L?,sw#-frA._Ndwil..chFJ GENERAL DESCRIPTION OF PROCESS (If Applicable) C. WASTES- TO -BE DISCHARGED, TO' SEWER: , 0 0• 0 WASTE TREATED- QUANTITY AVERAGE I GPO (Check One) UNTREATED.: v/' 0 (Daily) MAXIMUM 0 0 GPO 0 (Gallons Per Day) 0 APPLICANT OR REPRESENTATIVE OF 'FIRM : 00 0 (Print)' 'TITLE: SIGNATURE DATE