HomeMy WebLinkAbout1901 CAMINO VIDA ROBLE; 100; CB900938; PermitBUILDING PERM
07/03/90 10:46
Page 1 of 1
Job Address: 1901 CAMINO VIDA ROBLE Str
Permit Type
Parcel No:
Valuation:
Construction Type: VI
Occupancy Group: B2 Class Code
Description: 5217 SF OFFICE SCHER-VOIT #100
1901 CAMINO VIDA ROBLE
INDUSTRIAL TENANT IMPROVEMENT
100,427
I T Permit No: CB900938
Project No: A9001022
Development No:
Fl: Ste-._/*£>
6548 07/03/90 0001 01 02
C-PRMT 4973-00
Status: ISSUED
Applied : 06/06/90
Apr/Issue : 07/03/90
Validated By: CD
OWNER : FOX CROFT PARTNERSHIP
*** Fees Required ***
Fees :
Adjustments:
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion Fee
Enter 'Y' to Auto
F.M.F./G.M.F. and
Other
* BUILDING TOTAL
Enter "Y" for Plum
Each Install/Repai
* PLUMBING TOTAL
Enter "Y" for Electr
Three Phase Per AMP
* ELECTRICAL TOTAL ($10
Enter 'Y' for Mechanical
Install Furn/Ducts
* MECHANICAL TOTAL
ts:
Lie. OWNER 619 291-9002
Fees Collected & Credits ***
50
9.00
.00
418.00
4,973.00
Ext fee Data
643.00
418.00
15.00
3515.00 Y
TI
643.00 INVEST FE
5234.00
7.50 Y
2. 50
10. 00
5.00 Y
100.00
105.00
15.00 Y
27.00
42.00
INSR WAPPROVAL
LEARAMCE
CFTY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-nsi
1. PERMIT TYPEF[COMMERCIAL X[NEW ^^TENANT IMPROVEMENT
[3 INDUSTRIAL D^U QTENANT IMPROVEMENT
[^RESIDENTIAL QAPARTMENT Q CONDO QSINGLE FAMILY DWELLING Q ADDITION/ALTERATION
D DUPLEX D DEMOLITION nRELOCATION DMOB1LE HOME D ELECTRICAL [^ PLUMB ING
QMECHANICAL £\PQQL DSPA DEWING WALL QSOLAR [~IOTHER
PROJECT INFORMATION PLAN CHECK No.
EST. VAL_
PLAN CK DEPOSIT_
VALID. BY
DATE
/ 0 O
FOR OFFICE USE ONLY
Addre:
Nearest Cross Streets
Building or Suite No.\&&
LEGAL DESCRIPTION Subdivision Name/Phase No.
CHECK BELOU IF SUBMITTED:
gj2 Energy Calcs D2 Structural Calcs
AKESSOR'S PARCEL •
—DESCRIPTION OF UORK
Soils Report 1 Addressed Envelope
EXISTING USE
BLOG. SO. FIG.\ |# OF STORIES \ \A^3. CONTACT PERSON
NAME
CITY
SIGNATURE
ADDRESS
ZIP CODE
4. APPLICANT
NAME
QCONTRACTOR |AGENT FOB CONTRACTOR QOUHER
ADDRESS
ZIP CODE DAY TELEPHONE
5. PROPERTY,OWNER
ADDRESS
ZIP CODE DAY TELEPHONE
nTENANT
as\l^g<oz-
6. CONTRACTOR
S I GNAWBf
DESIGNER NAME
/ . STATE Lit. #A
M^Mjj^ f^\ - \,/ ( ^/v—3C
ADDRESS
ZIP CODE
LICENSE CLASS
TITLE
DAY TELEPHONE
CITY BUSINESS LIC. It
DATE
ADDRESS
DAY TELEPHONE STATE LIC. #
7. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm that 1 have a certificate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO.EXPIRATION DATE
Certificate of Exemption: 1 certify that in the performance of the work for- which this permit is issued, 1 shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
[^ 1 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. 70«, 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.).
Q I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 70W, 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).
1 am exempt under Section Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure,
prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the
Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business 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 [S500]).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NQN- RESIDENTIAL BUILDING PERMITS 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?
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES nno
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES QNO
IF ANT Of THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY HAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. _
9. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097( i ) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE
1 certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating
to building construction. 1 hereby authorize representatives 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 HAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
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 if the 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 303(d) Uniform Building Code).
APPLICANT OWNER Q CONTRACTOR BY PHONE APPROVED BY:
DATE:
WHITE: File YELLOW: Applicant PINK: Finance
FINAL BUILDING INSPECTION
DEPT: BUILDING ENGINEERING FIRE PLANNING U/M WATER **' *~ *'
PLAN CHECK*: CB900938 DATE: 08/27/90
PERMIT*: CB900938 ""^ PERMIT TYPE: ITI
PROJECT NAME: 5217 SF OFFICE SCHER-VOIT" #100/
ADDRESS: 1901 CAMINO VIDA ROBLE
CONTACT PERSON/PHONE*: T2/MH/VIC/279-6911
SEWER DIST: WATER DIST:
INSPECTED t DATE
BY: / VW-706^2 INSPECTED: X/aWnU APPROVED ^ DISAPPROVED
INSPECTED W DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS:
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB900938 FOR 08/28/90
DESCRIPTION: 5217 SF OFFICE SCHER-VOIT #100
TYPE: ITI
JOB ADDRESS: 1901 CAMINO VIDA ROBLE
APPLICANT: FOX/CROFT PARTNERSHIP
CONTRACTOR:
OWNER:FOX CROFT PARTNERSHIP
INSPECTOR AREA MC
PLANCK! CB900938
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
619 291-9002
REMARKS: T2/MH/VIC/279-6911
SPECIAL INSTRUCT:
PHONE:
PHONE:
PHONE: 619 29H>\9002
INSPECTOR
TOTAL TIME:
—RELATED PERMITS—PERMIT# TYPE
CB900662 ELEC
SE890107 SWOW
CB900950 ITI
STATUS
ISSUED
ISSUED
ISSUED
CD
19
29
39
49
LVL DESCRIPTION
ST Final Structural
PL Final Plumbing
EL Final Electrical
ME Final Mechanical
ACT COMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION
082790 Final Combo
082490 Final Combo
082290 Final Plumbing
082290 Final Electrical
082290 Final Electrical
080790 Rough Combo
080390 Rough Combo
071990 Interior Lath/Drywall
071690 Frame/Steel/Bolting/Welding
071690 Rough Electric
070990 Frame/Steel/Bolting/Welding
070990 Rough Electric
070990 Rough/Ducts/Dampers
ACT
CO
NR
AP
AP
AP
AP
CO
AP
AP
AP
PA
PA
NR
INSP
PK
PK
PK
PK
29
MFC
MFC
MC
MPC
MPC
MPC
MPC
MPC
COMMENTS
NEEDS APP'D T & P ON W/HEATER
NO ACCESS 8>30 AM
CEILING GRID SYSTEM
SEE COMMENTS 8-3-90
LOW PARTITION WALLS
LOW PARTITION WALLS
WALLS ONLY
WALLS ONLY
CITY OF CARLSBAD
INSPECTION REQUEST
PERMITtf CB900938 FOR 08/03/90
DESCRIPTION: 5217 SF OFFICE SCHER-VOIT #100
TYPE: ITI
JOB ADDRESS
APPLICANT:
CONTRACTOR:
OWNER:
1901 CAMINO VIDA ROBLE
FOX/CROFT PARTNERSHIP
FOX CROFT PARTNERSHIP
STR;
INSPECTOR AREA MC
PLANCK* CB900938
OCC GRP
CONSTR. TYPE NEW
FL: STE:
REMARKS: Tl/MH/VIC/279-6911
SPECIAL INSTRUCT:
PHONE:
PHONE:
PHONE:
619 291-9002
619 291-9002
INSPECTOR
TOTAL TIME:
—RELATED PERMITS—
CD LVL DESCRIPTION
PERMIT! TYPE STATUS
CB890799 INDUST ISSUED
CB900662 ELEC ISSUED
SE890107 SWOW ISSUED
CB900950 ITI ISSUED
ACT COMMENTS
14
24
34
44
ST Frame/Steel/Bolting/Welding <^> CSM LjsT ^^^Of^>
PL Rough/Topout
EL Rough Electric
ME Rough/Ducts/Dampers
vy
***** INSPECTION HISTORY *****
DATE DESCRIPTION
071990 Interior Lath/Drywall
071690 Frame/Steel/Bolting/Welding
071690 Rough Electric
070990 Frame/Steel/Bolting/Welding
070990 Rough Electric
070990 Rough/Ducts/Dampers
ACT INSP
AP MC
AP MFC
MPC
MPC
MPC
MPC
AP
PA
PA
NR
COMMENTS
LOW PARTITION WALLS
LOW PARTITION WALLS
WALLS ONLY
WALLS ONLY
O/r
/tv
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619) 56O-1468
DATE:
JURISDICTION:
PLAN CHECK NO:SET:
PROJECT ADDRESS: \ ^ O \ Cfr IV? I |Q Z)
PROJECT NAME: *S<J
QPLAN CHECKER
QFILE COPY
[jUPS
["DESIGNER
D
D
The plans transmitted herewith have been corrected where
necessary and substantially comply with the jurisdiction's
building codes.
The plans transmitted herewith will substantially comply
with the jurisdiction's building codes when minor deficien-
cies identified are resolved and
checked by building department staff.
The plans transmitted herewith have significant deficiencies
identified on the enclosed check list and should be corrected
and resubmitted for a complete recheck.
The check list transmitted herewith is for your information.
The plans are being held at Esgil Corp. until corrected
plans are submitted for recheck.
~ The applicant's copy of the check list is enclosed for the
J jurisdiction to return to the applicant contact person.
The applicant's copy of the check list has been sent to:
I Esgil staff did not advise the applicant contact person that
plan check has been completed.
\\ Esgil staff did advise applicant that the plan check has
— been completed. Person contacted:
Date contacted:
REMARKS:
Telephone f
By :\\ \
ESGIL CORPORATION
Q GA D AA D VW D DM
Enclosures
Jurisdiction
Prepared byi
VALUATION AND PLAN CHECK FEE
Q Bldg. Dept.
D Esgil
PLAN CHECK NO,
BUILDING ADDRESS (301 \) \ Dv4 CO
APPLICANT/CONTACT
BUILDING OCCUPANCY
ItnLUosJ PHONE NO.
6 ~2 6r.l^ DESIGNER PHONE
(, Gt 1 0
TYPE OF CONSTRUCTION CONTRACTOR PHONE
BUILDING PORTION
ftPfr -f-1,
Air Conditionins
Commercial
Residential
Res. or Comm.
Fire Sprinklers
Total Value
BUILDING AREA
*5£l7 " ^
VALUATION
MULTIPLIER
19.*5-
"@
@
e
VALUE
^ \ 00,4k2. 7
l<^4-27
Building Permit Fee $_
Plan Check Fee $
COMMENTS:
SHEET OF
\2f87
BUILDING PLANCHECK
ENGINEERING CHECKLIST
DATE: £-2-7-^0 0 HEM COMPLETE
PLANCHECK NO. ^^-^ ITEM INCOMPLETE -
NEEDS YOUR ACTION
X ITEM SELECTED
1s
T
C
H
E
C
K
2
N
D
C
H
E
C
K
3
R
D
C
H
E
C
K
!<%&/ £st<*ti~e W4rf &?#*-*
PROJECT ID: r/s^tT* ^^^^r/^r-5
LEGAL REQUIREMENTS
Site Plan
l_! if Provide a fully dimensioned site plan drawn to scale. Show:
north arrow, property lines, easements, existing and proposed
structures, streets, existing street improvements, right-of-
way width and dimensioned setbacks.
U I— 1 2. Show on site plan: Finish floor elevations, pad elevations,
elevations of finish grade adjacent to building, existing
topographical lines, existing and proposed slopes, driveway
with percent (%) grade and drainage patterns.
"— ' 3. Provide legal description and Assessors Parcel Number.
Discretionary Approval Compliance
4. No Discretionary approvals were required.
Project complies with all Engineering Conditions of Approval
for Project No. .
Project does not comply with the following Engineering
Conditions of Approval for Project No.
Conditions complied with by: Date:.
Field Review
7. Field review completed. No issues raised.
8. Field Review completed. The following issues or discrepancies
with the site plan were found:
A. Site lacks adequate public improvements.
_ B. Existing drainage improvements not shown or in conflict
with site plan.
_ C. Site is served by overhead power lines.
_ D. Grading is required to access site, create pad or provide
for ultimate street improvement.
FRM0010.DH 08/29/89
E. Site access visibility problems exist. Provide onsite
turnaround or engineered solution to problem.
F. Other:
Dedication Requirements
^.9. No dedication required.
.10. Dedication required. Please have a registered Civil Engineer
or Land Surveyor prepare the appropriate legal description
together with an 8^" x 11" plat map and submit with a title
report and the required processing fee. All easement documents
must be approved and signed by owner(s) prior to issuance of
Building Permit. The description of the dedication is as
follows:
Dedication completed, Date: By:.
Improvement-Requirements
No public improvements required. SPECIAL NOTE: Damaged or
defective improvements found ad.iacent to building site must
be repaired to the satisfaction of the City inspector prior
to occupancy.
.12. Public improvements required. This project requires
construction of public improvements pursuant to Section 18.40
of the City Code. Please have a registered Civil Engineer
prepare appropriate improvement plans and submit for separate
pi ancheck process through the Engi neeri ng Department.
Improvement plans must be approved, appropriate securities
posted and fees paid prior to issuance of permit. The required
improvements are:
Improvement plans signed, Date: By:.
FRM0010.DH 08/29/89
.13. Improvements are required. Construction of the public
improvements may be deferred in accordance with Section 18.40
of the City Code. Please submit a letter requesting deferral
of the required improvements together with a recent title
report on the property and the appropriate processing fee so
we may prepare the necessary Future Improvement Agreement.
The Future Improvement Agreement must be signed, notarized and
approved by the City prior to issuance of a Building Permit.
Future Improvement Agreement completed, Date
By:
Grading Reouirements
13a.Inadequate information available on site plan to make a
determination on grading requirements. Please provide more
detailed proposed and existing elevations and contours.
Include accurate estimates of the grading quantities (cut,
fill, import, export).
No grading required as determined by the information provided
on the site plan.
Grading Permit required. A separate grading plan prepared by
a registered Civil Engineer must be submitted for separaie
plan check and approval through the Engineering Department.
NOTE: The Grading Permit must be issued and grading
substantially complete and found acceptable to the City
Inspector prior to issuance of Building Permits.
By:.Grading Inspector sign off. Date:
Miscellaneous Permits
^.16. Right-of-Way Permit not required.
.17. Right-of-Way Permit required. A separate Right-of-Way Permit
issued by the Engineering Department is required for the
following:
Sewer Permit is not required.
Sewer Permit is required. A Sewer Permit is required
concurrent with Building Permit issuance. The fee required
is noted below in the fees section.
Industrial Waste Permit is not required.
FRM0010.DH 08/29/89
.21.Industrial Waste Permit is required. Applicant must complete
Industrial Waste Permit Applicantion Form and submit for City
approval prior to issuance of Building Permits. Permits must
be issued prior to occupancy.
Industrial Waste Permit accepted -/
Date: _ By: _ /
Fees Required
.22. Park-in-Lieu Fee
Quadrant: Fee per ]/nit:.
23. ^Traffic Impact Fee
/Fee Per Unit:
24.
Total Fee:'^
Total Fee:
REMARKS:
Bridge and Thoroughfare Fee 5-.
jf
Fee per Unit/ #i?_ Total
Public Fac/lities Fee required.
Facilit/es Management Fee Zone:.
Sewer/Fees Permit No. te
Fee
Fee:
EDU^s
Sewer Lateral required:.
Fee:
ENGINEERING AUTHORIZATION TO ISSUE PERMIT
BY: x€^ L4s&~2o*C~ Date;*-p -/^
FRM0010.DH 08/29/89
PLANNING CHECKLIST
Plan Check No
APN:
PI anner
Address
flfifej Phone 438-1161
(Name)
Type of Project and Use
Zone filM Facilities Management Zone 5
Legend
Item Complete
Item Incomplete - Needs your action
1, 2, 3 Number in circle indicates plancheck number that deficiency
was identified
Environmental Review Required: YES
DATE OF COMPLETION:
NO TYPE
Compliance with conditions of approval? If not, state conditions which
require action.
Conditions of Approval
Discretionary Action Required: YES
APPROVAL/RESO. NO.
PROJECT NO. -
NO TYPE
DATE:
OTHER RELATED CASES:
Compliance with conditions of approval? If no':, state conditions which
require action.
Conditions of Approval -
QQ D Coastal:YES NO DATE OF APPROVAL:
Compliance with conditions of approval? If not, state conditions which
require action.
Conditions of Approval •
nnn
nan
an a
ana
ana
nan
nan
nan
ana
Landscape Plan Required: YES NO
See attached submittal requirements for landscape plans
Site Plan:
1. Provide a fully dimensioned site plan drawn to scale. Show:
North arrow, property lines, easements, existing and proposed
structures, streets, existing street improvements, right-of-way
width and dimensioned setbacks.
2.
3.
4.
Zoning:
1.
2.
3.
4.
Show on Site Plan: Finish floor elevations, elevations of finish
grade adjacent to building, existing topographical lines, existing
and proposed slopes and driveway.
Provide legal description of property.
Provide assessor's parcel number.
Setbacks:
Front:
Int. Side:
Street Side:
Rear:
Lot coverage:
Height:
Parking:
Required
Required
Required
Required
Required
Required
Shown
Shown
Shown
Shown
Shown
Shown
Spaces Required
Guest Spaces Required
Shown
Shown
nnn
Additional comments s;?d remarks have been made on the building plans. These
marked-up plans cay t>e picked up at the Building Department. These «iarked-
up plans must be resubmitted with the revised plans for this project.
Have plans been marked up? YES
Additional Comments ____ _^_^__
NO
OK TO ISSU DATE
PLNCK.FRM
2560 ORION WAY
CARLSBAD, CA 92008
TELEPHONE
(619) 931-2121
PROJECT
ARCHITECT^ AJ fTE
OWNER
OCCUPANCY
City of Carlrtafc
FIRE DEPARTMENT
PLAN CHECK REPORT
ADDRESS
ADDRESS ^
ADDRESS
^SPRINKLERED D TENANT IMP.F
TOTAL SO. FT.
" eT
PAGE1 OF
APPROVED
DISAPPROVED
PLAN CHECK*
. PHONE
_ PHONE
StORIES TtQQ
APPROVAL OF PLANS IS PREDICATED ON CONFORMING
TO THE FOLLOWING CONDITIONS AND/OR MAKING
THE FOLLOWING CORRECTIONS:
1.
2.
3.
5.
.12.
.13.
PLANS, SPECIFICATIONS, AND PERMITS
Provide one copy of: floor plan(s); site plan; sheets .
Provide two site plans showing the location of all existing fire hydrants within 200 feet of the project.
Provide specifications for the following: . ;
Permits are required for the installation of all fire protection systemaigsprinklers? stand pipes, dry chemical, halon,
CCh, alarms, hydrants). Plan must be approved by the fire department firl6r 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:
fire sprinklers (Design Criteria:
D Dry Chemical, HaWi, COa (Location:
D Stand Pipes (Type:
D Fire Alarm (Type/Location: _ : _ }
Fire Extinguisher Requirements:
O One 2A rated ABC extinguisher foreach fco QOsg. ft. or portion thereof with a travel distance to the nearest
extinguisher notlo exceed 75.fee1 : of travel.
D An extinguisher with a minimum rating of _ to be located: _
Other:
8. Additional fire hydrant(s) shall be provided
EXITS
Exit doors shall be openable from the Inside without the use of a key or any special knowledge or effort.
A sign stating, " This door to remain unlocked during business hours" shall be placed above the main exlt-aed—
doors ; [
EXIT signs (6" x 3A" letters) shall be placed over all required exifts 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.
Bullding(s) not approved for high piled combustible stock. Storage in closely packed piles shall not exceed 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.
14. Additional Requirements.
TWL/I'J
CA
.15. Comply with regulations on attached sheet(s).
Plan Examiner.Date-
Report mailed to architect ,Met with .Attach to Plans
an
J. WILLIAM COX. M.O., Ph.D.
OINtCTOR
(•IB) 230-2237
STEVEN A. ESCOBOZA
ASSISTANT OtACCTOR
DEPARTMENT OF HEALTH SERVICES
17OO PACIFIC HIGHWAY. SAN DIEGO. CALIFORNIA 92101-2417
HAZARDOUS MATERIALS QUESTIONNAIRE
New State law. effective July 1, 1989, (AB 3205, Chapter 1589.-Statutes 1988) prohibits a City or a County from
Issuing Certificate of Occpancy 1f a business will handle Hazardous Materials unless the business has met or Is
meeting the requirement of a Business Plan for Emergency Response with the San Diego County Department of Health
Services. Environmental Health Services. Hazardous Materials Management Division.
The new law may also prohibit the permitting of a facility handling Acutely Hazardous Materials to be constructed
within 1,000 feet of the outer boundary of a school (K thru 12) unless first meeting the requirements of a Risk
Hanagement and Prevention Program.
To determine whether your business Is subject to these new requirements, please read and complete this questionnaire,
If the answer to any of the questions below Is yes. applicant wist contact the Hazardous Materials Management
Division, 1255 Imperial Ave., 3rd Fl.v San. Diego, CA 92138-5261. Telephone: (619) 338-2222..
Business Name
. SCHER-VOIT
Hailing Address
1550 Hotel Cir. N. # 120
Site Address
1 901 Camino Vida Roble
Contact Person
RANDALL WEIDNER
City StateSan Diego CA
City
Carlsbad, CA
Telephone
(619) 296-61 10
^1fl08
Zip
92008
YES NO
!• [ 3 Cx 3 Will your business activity generate Hazardous Waste in any quantity, in any physical form1.
2.
3.
4.
5.
6.
7.
c
£
C
C
c
3
3
3
3
3
Cx
[x
Cx
[x
Ex
Cx
1
3
!
3
3
3
(solid, liquid, gas)?
Will your business at any one time store, use or handle Hazardous Substances in quantities equal to or
greater than 55 gallons, 500 pounds or 200 cubic feet of compressed gas?
Will your business store, use or handle Carcinogens or Human Reproductive Toxins in any amount?
Will your business store, use or handle Gases with Threshold Limit Values or Time Weighted Averages of
10 parts per million or less?
W111 your business use an existing or install an Underground Storage Tank for Hazardous Substances or
Hazardous Wastes?
Will your business store, use or handle Acutely Hazardous Materials?
If your business will be handling Acutely Hazardous Materials, will your business be located within
1,000 feet from the outer boundary of a school?
8. [ 3 CX3 Is your business listed on
the reverse side of this form?
Briefly Describe Nature of the Business Activity or Process;OFFICES FOR COMMERCIAL BROKERAGE
Printed Name of Owner or Authorized Agent Title
Ti ft V T T1 DESIGNER
Signature of Owner/*B Authorized Agent I declare under penalty of perjury that to the
best of my knowledge and belief the responses
made herein are true and correct.
BUILDING INSPECTION DEPT.
PUN FILE NUMBER
Init.
For DHS-HMMD use Only
[ 3 Business Plan Completed RHPP Completed
Reviewed By
IN-3140 (6-80)
Date Reviewed By Date
Estab. I
H
Distribution:
Original and 1st copy to
DHS-HMMD. 2nd copy to
Applicant. 3rd copy to
City/County Plan Check
90
SAN DIEGO AIR POLLUTION CONTROL DISTRICT
9150 CHESAPEAKE DRIV^ SAN DIEGO, CALIFORNIA 92123-1095
(619)694-3307
AIR POLLUTION CONTROL QUESTIONNAIRE |
New State law, effective July 1,1989, (AB 3205, Chapter 1589. Statues 1988) requires that an applicant for a building
permit provide information indicating whether a permit is required from the Air Pollution Control District. This law
further prohibits a City or a County from issuing Certificate of Occupancy unless a business has complied with
provisions of the law that are administered by the Air Pollution Control District.
The new law also imposes additional permitting requirements for a facility within 1,000 feet of the outer boundary of a
schoollK^hru 12).
To determine whether your business is subject to these new requirements, please complete this questionnaire.
Business Name (DBA)
SCHER-VOIT
Mailing Address
1550 Hotel Cir. N. # 120
Street Address of Proposed Facility
iqni r. ami no Vida Roble
YES: NO:
Q S 1. Will the intended occupant install
Control District Permit Categories.
Contact Person
RANDALL WE1DNER
City State
SAN DIEGO CA
City
Carlsbad CA
or use any of the equipment listed
Phone
(619 ) 296-6110
Zip
92108
Zip
92008
on the Listing of Air Pollution
(IF ANSWER TO 1 IS YES, APPLICANT MUST CONTACT THE APCD DIRECTLY)
D D 2. (Answer only if the answer to 1 above is YES) WfB the subject facility be located within
1000 feet of the outer boundary of a school (K thru 12) as listed in the current Directory of School and
Community College Districts, published by the San Diego County Office of Education and the current
California Private School Directory, compiled in accordance with provisions of Education Code Section
33190.
Briefly Describe Nature of the intended Business Activity:
Offices for commercial brokerage firm.
Indicate Permit Categories:
Building
Name of Owner or Authorized Agent:
n o tr -i H A T\ -i 1 1 n n .
Title:Designer
Signature of Owner or Authorized Agent: I declare underpenalty of
perjury that to the best of
6/6/90 my knowledge and belief the
Date; responses made herein are
true and correct
Building Inspection Plan File No:
.Initials.
APCD use only
STATUS:
EXEMPT FROM APCD
PERMIT REQUIREMENTS
Confirming Stamp
APPROVED FOR ISSUANCE
OF BUILDING PERMIT, BUT
NOT FOR OCCUPANCY
Confirming Stamp
APPROVED FOR OCCUPANCY
(APCD Authority to Construct Issued)
Confirming Stamp
Certificate of Compliance (Part 1 of 2)Performance Requirements CF-1 B
r .. Project Architect/Engineer
Dfile of Certthcate
For Enforcement Agency Use Only
Buildmg Permit Number
Project Locatio Plan Checked By Date
City/Town~Field Checked By Date
Documentation Author/Firm Telephone Approved By Dale
Principal Designer. The proposed building wiB be in substantialcompliance with tie California Building Energy Efficiency Standards
provided it is built according to (he plans and specifications and provided
future improvements are completed according to the requirements
indicated on this Certificate of Compliance. The plans and specifications
have been prepared to include all significant energy conservation features
required for compliance with the Standards. Building areas that are
unconditioned and/or not subject to the standards are indicated on the
plans.
Plans dat
Signature
Specs dated
Date
rifle
(T.QMC.EPT'S
Company
"HoTtEL CJg2r-/-P
Telephon Cai. License No.
Owner. The energy conservation features and performance
specifications indicated on this document and on the plans andspecifications shall apply to future alterations, unless compliance is
demonstrated anew and a new Certificate of Compliance is submitted. A
copy of this Certificate will be retained and transmitted to future tenants,
subsequent owners or others with responsibility tor making improvements
or modifications to the building. If this certificate is lost, a new Certificate
may be required before a permit is issued for alterations. Unconditioned
areas are indicated on the plans and, if these areas are conditioned in the
future, they must be made to comply with the applicable energy standardsthen' - -
Date
.Title
company
•Scom
IBS
3AM 0\_
Ciiy/state/Zip
Enlorcement Agency. The proposed building, and future alterations wiH
comply with the California Building Energy Efficiency Standards, provided
future alterations meet the requirements mdcaled on this Certificate and
all applicable mandatory measures, as long as the building occupancy
type remains unchanged.
Signature Date
Name/rifle
Agency
Address
Energy Analyst The energy performance analysis summarized below
was performed using an approved CEC calculation method, with CEC
approved fixed and restricted engineering inputs tor the applicable climate
zone and occupancy type, and using an appropriate representation of
building zoning and. physical configuration. All significant energy
conservation features are listed below, or on an attached supplement
Signature Date
Name/rifle
Company
Address
City/State/Zip
Telephone
General Reference
1
2
3
4
5
6
7
B
9
10
1 1
Unconditioned or Multi-tenant shell?
CEC Occupancy Type . . . ,
UBC Occ. Group/Division . .
Climate Zone
Conditioned Floor Area . . .
Unconditioned Floor Area . .
Budget Table (fr. Standards).
All. Energy Budget (WS-1A).
Calc.Method CEC Code/Date
Multiplier ,
Calculated Energy Use .
Envelope Requirement*
12 Average Roof/Ceiling HI .
Average Exterior Floor Rt. .
Average Opaque WaH Rt. .
Glazing Area in Wall....
Average SC (Wai glazing).
Glazing Area in Roof....
Average SC (Roof glazing).
Lighting Requirement*
19 Allowed Whole Building LPD
Allowed Common Areas LPD
Allowed Tenant Space LPD .
Package Lighting Reduction .
Lighting Controls Required? .
Mechanical Requirement*
24 System Type
Unit Fan Power. , . .
Rated Cooling Efficiency
Rated Cooling Capacity
Rated Heating Efficiency
Rated Healing Capacity
Economizer cooling? .
CF-1X Attached?
kBtu/sf-yr
kBtu/sf-yr
20
21
22
23
watts/sf
watts/sl
watts/sf
watts/sf
(Y/N)
&
25
26
27
28
20
30
31
watts/cfm
EEM Form Revised September 1988 Page.of