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Home My WebLink About1901 CAMINO VIDA ROBLE; 204; CB901652; PermitBUILDING PERMIT 58 1 1901 CAMINO VIDA ROBLE Str: ** INDUSTRIAL TENANT IMPROVEMENT 10/24/90 15 Page 1 of Job Address Permit Type Parcel No: Valuation: 30,361 Construction Type: VN Occupancy Group: B2 Description: 1481 SF OFFICE Permit No: Project No: Development No: Fl: **** Ste: 204 CB901652 A9001875 9000 10/24/90 QOOl 01 02 u"PRHT Class Code: 'MEGA' Appl/Ownr OWNER CONTRACTOR ***Fee: FINITE CONCEPTS, INC. 1550 HOTEL CIRCLE N 3120 SAN DIEGO. CA 9210 FOX CROFT PA JOHNSON & 9449 BALE SAN DIEG Required 619 Status: Applied: Apr/Issue : Validated By: 296-6110 1455,00 ISSUED 10/16/90 10/24/90 CD OWNER ,438867 619-279-6911 & Credits ** * Fees: Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee Enter 'Y' to Autocal * BUILDING TOTAL Enter "Y" for Plumbin Each Plumbing Fixture o Each Building Sewer * PLUMBING TOTAL Enter "Y" for Electric Three Phase Per AMP > * ELECTRICAL TOTAL ($10 Minimum) Enter 'Y' for Mechanical Issue Fee> Install Furn/Ducts > * MECHANICAL TOTAL Issue Fee 100.00 1.00 - • * if . '.•jSi* *i* • <i**\sv fcjBr1 * %,** > 189. 1,455. 00 00 00 M|$itt; Ext fee Data •$£&$£*. *:%^?'*' **"^**is /* ' Y 2.50 6.50 .50 9.00 291. 189. 5. 1063. 1548. 7. 2. 6. 17. 5. 50. 55. 15. 9. 24. 00 00 00 00 Y 00 50 Y 50 50 00 00 Y 00 00 00 Y 00 00 INAL APPROVAL CFTY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Pal mas Dr., Carlsbad, CA 92009 (BIS) wa-im l. PERMIT TYPE I A - [^COMMERCIAL (gHEWjgTENAHT IMPROVEMENT B - D INDUSTRIAL D"EW QTEHANT IMPROVEMENT c • PRESIDENTIAL Q APARTMENT QCOHDO QSIKGLE FAMILY DWELLING QOUPLEX OOEHOLITION QRELOCATION QMQBILE HOME GELECTRICAL DSPA QRETAIHIHG WALL QSOLAR DOTHER QPLUHBIHG 2. PROJECT INFORMATION PLAN CHECK No. W— / 65 Z-FOR OFFICE USE ONLY EST. VAL PLAN CK DEPOSIT, VALID. BY DATE 87BI 1 ?i u 1B9-00 1901 Camlno Vida Roble "Ste. # 204 Nearest Cross Streets Palomar Oaks .May,L5t Ko.SuwivisiorriLEGAL DESCRIPTION visiwrHame/Number81-46 Unit Ho.Phase Ho. CHECK BEUM IF SUBMITTED: Energy Calcs ASSESSOR'S PARCEL 212^092-20 (Jl IWUk Structural Calcs D2 Soils Report }Qfcl Addressed Envelope EXIST ING USE shell bldg.PROPOSED USE office space BLDG. SO. FTC. NewMech., Walls, Elec., Clg., and Finishes Project: 1481 * nf eTno,cc TwoOF STORIES 3. CONTACT PERSON NAME FINITE CONCEPTS, INC CITY SAN DIEGO SIGNATURE ADDRESS 1550 Hotel Cir. N. # 120 STATECA ZIP CODE 92108 DAY TELEPHONE 296-6110 4. APPLICANT QCONTRACTOR NAHE FINITE CONCEPTS, INC. CITY SAN DIEGO DAGENT FOR CONTRACTOR QOWWER EJAGENT FOR OWNERADDRESS 1550 Hotel Cir. N. f 120 STATECA ZIP CODE 92108 DAY TELEPHONE 296~61 10 S. PROPERTY OWNER OWNER HAME FOX/CROFT PARTNERSHIP CITY SAN DIEGO STftTE CA OLESSEE ADDRESS 404 Camino Del Rio South # 106 L|p CPJ>E 92J.08DAY TELEPHONE 756*450A 6. CONTRACTOR NAME CITY ADDRESS ZIP CODE DAY TELEPHONE STATE LIC. 0 SIGHATURE LICENSE CLASS TITLE CITY BUSINESS LIC. # DATE DESIGNER HAME CITY STATE ADDRESS ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSATIONWorkers' Compensation Declaration: 1 hereby affirm that I 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: [ 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. SIGHATURE DATE 8. OWNER-BUILDER DECLARATIONOwner-Bui Ider Declaration: I hereby affirm that I am exempt from the Contractor's License LaiTfor 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 Lau 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 MI 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 [*500]), SIGNATURE DATE COMPLETE THIS SECTION FOR HOH-gESIOMTIAL BUILDIHG PERMITS ONLY: Is th« 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? DYES £&o Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES @*o IF MV OF THE ANSWERS ARE TES, A FINAL CERTIFICATE OF OCCUPANCY NAT HOT BE ISSUED AFTER JULY 1, 1909 UNLESS THE APPLICANT HAS MET OK IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AMD 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 . , ^__ I certify that Mi a ve read the application and state that the above information is correct. 1 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 C[TT OF CARLSBAD AGAINST Alt LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH NAY 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). •PLICftNT'S SIGNATURE Q OWNER {^CONTRACTOR PHONE vi-. WHITE: File YELLOW: Applicant PINK: Finance DEPT: BUILDING FINAL BUILDING INSPECTION ENGINEERING *flft PLANNING U/M PLAN CHECK*: CB901652 PERMIT*: CB901652 PROJECT NAME: 1481 SF OFFICE 'MEGA' RECEIVED DEC 1 8 1990 WATER DATE: 12/17/90 PERMIT TYPE: ITI ADDRESS: 1901 CAMINO VIDA ROBLE SUITE* 204 CONTACT PERSON/PHONE*: RS/VIC/931-7889 SEWER DIST: WATER DIST: INSPECTED BY: INSPECTED BY: INSPECTED BY: DATE INSPECTED: DATE INSPECTED: DATE INSPECTED: '^O^O APPROVED APPROVED APPROVED DISAPPROVED DISAPPROVED DISAPPROVED COMMENTS: PERMIT* CB901652 DESCRIPTION: 1481 CITY OF CARLSBAD INSPECTION REQUEST FOR 12/18/90 SF OFFICE 'MEGA' TYPE: ITI JOB ADDRESS APPLICANT: CONTRACTOR: OWNER: 1901 CAMINO VIDA ROBLE FINITE CONCEPTS, INC. JOHNSON & JENNINGS FOX CROFT PARTNERSHIP PHONE: PHONE: PHONE: INSPECTOR AREA MC PLANCK* CB901652 OCC GRP CONSTR. TYPE NEW STR:** FL:**** STE: 204 619 296-6110 619-279-6911 REMARKS: RS/VIC/931-7889 SPECIAL INSTRUCT: TOTAL TIME: INSPECTOR 7 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 112090 Frame/Steel/Bolting/Welding 112090 Rough/Topout 112090 Rough Electric 112090 Rough/Ducts/Dampers 110690 Interior Lath/Drywall 110290 Frame/Steel/Bolting/Welding 110290 Rough/Topout 110290 Rough Electric 102390 Final Structural ACT INSP AP MPC MPC MPC MPC MPC MPC MPC MPC PK AP AP AP AP PA AP PA AP COMMENTS CEILING GRID SYSTEMS CONDENSATE LINE LIGHT FIXTURES/CEILING SEE COMMENTS 11/20/90 ALL WALLS OK EXC DIM WALLS WALLS WALLS PERMIT* CB901652 DESCRIPTION: 1481 SF OFFICE CITY OF CARLSBAD INSPECTION REQUEST FOR 11/20/90 'MEGA' TYPE: ITIJOB ADDRESS APPLICANT:CONTRACTOR: OWNER: 1901 CAMINO VIDA ROBLE FINITE CONCEPTS, INC. JOHNSON & JENNINGS FOX CROFT PARTNERSHIP REMARKS: MH/VIC/931-7889 SPECIAL INSTRUCT: PHONE: PHONE: PHONE: INSPECTOR AREA MC PLANCK* CB901652 OCC GRP CONSTR. TYPE NEW STR:** FL:**** STE: 204 619 296-6110 619-279-6911 INSPECTOR TOTAL TIME: CD LVL DESCRIPTION 14 24 34 44 ACT COMMENTS ST Frame/Steel/Bolting/Welding PL Rough/Topout EL Rough Electric Rough/Ducts/Dampers ***** INSPECTION HISTORY ***** DATE DESCRIPTION 110690 Interior Lath/Drywall 110290 Frame/Steel/Bolting/Welding 110290 Rough/Topout 110290 Rough Electric 102390 Final Structural ACT INSP AP MPC MFC MPC MPC PK PA AP PA AP COMMENTS ALL WALLS OK EXC DIM WALLS WALLS WALLS PERMIT* CB901652 DESCRIPTION: 1481 SF OFFICE CITY OF CARLSBAD INSPECTION REQUEST FOR 11/06/90 'MEGA' TYPE: ITI JOB ADDRESS APPLICANT: CONTRACTOR: OWNER: 1901 CAMINO VIDA ROBLE FINITE CONCEPTS, INC. JOHNSON & JENNINGS FOX CROFT PARTNERSHIP PHONE: PHONE: PHONE: STR:** FL:**** 619 296-6110 619-279-6911 INSPECTOR AREA MC PLANCK* CB901652 OCC GRP CONSTR. TYPE NEW STE: 204 REMARKS: RS/VIC/931-7889 SPECIAL INSTRUCT: INSPECTOR 7 TOTAL TIME: CD LVL DESCRIPTION 17 ST Interior Lath/Drywall ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 110290 Frame/Steel/Bolting/Welding PA MFC WALLS 110290 Rough/Topout AP MPC 110290 Rough Electric PA MPC WALLS 102390 Final Structural AP PK BSGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 2O8 BstS? . fe SAN DIEGO, CA 02123 (619)560-1468 DATE: JURISDICTION: PLAN CHECK NO: PROJECT ADDRESS: PROJECT NAME : SET: IT Crt-wnn/o A/IOA APPLICANT [ISDICTION yPLAN CHECKER [JFILE COPY QUPS r~DESIGNER 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- are resolved and D cies identified _ 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. D The applicant's copy of the check list is enclosed for the jurisdiction to return to the applicant contact person. The applicant's copy of the check list has been sent to: Esgil staff did not advise the applicant contact person plan check has been completed. Esgil staff did advise applicant that the plan check been completed. Person contacted: Date contacted: REMARKS; (^ Telephone #_ B ESGIL CORPORATION DGA DAA DRN QDM Enclosures Jurisdiction Prepared byi VALUATION AND PLAN CHECK FEE p Bldg. Dept D Esgil PLAN CHECK NO. BUILDING ADDRESS \<3oi Oft-wnOQ ViDift APPLICANT/CONTACT fiVjmE G>uct3f?r^ PHONE NO. BUILDING OCCUPANCY 1Sr2L DESIGNER PHONE " & TYPE OF CONSTRUCTION CONTRACTOR PHONE BUILDING PORTION STPKlff "Tt / » Air Conditioning Commercial Residential Res. or Comm. Fire S-orinklers Total Value BUILDING AREA 14-31 CE* . "•" - ' VALUATION MULTIPLIER 20.SD "« @ e VALUE = S0"2>a\ / - 3<!>,3G'| Building Permit Fee $ Plan Check Fee $ CON MENTSt SHEET OF 12/87 2560 ORION WAY CARLSBAD, CA 92008 TELEPHONE (619) 931-2121 PROJECT Aia OWNER OCCUPANCY 4 S- I^PRINKLERED Citp of Carhftafc FIRE DEPARTMENT PLAN CHECK REPORT -F ADDRESS ADDRESS ADDRESS fffc-l PAGE1 OF APPROVE DISAPPROVED PLAN CHECK# S.P. PHONE CONST. Del *>,',><>. '^HONE TOTAL SO. FT KSM STORIES APPROVAL OF PLANS IS PREDICATED ON CONFORMING TO THE FOLLOWING CONDITIONS AND/OR MAKING THE FOLLOWING CORRECTIONS: 1. 2. 3. 11, .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 systems {sprinkler^ stand pipes, dry chemical, halon, COa, alarms, hydrants). Plan must be approved by the fire departmenTpTlflr tolnstallation. 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: [^Automatic fire sprinklers (Design Criteria: yj.s D Dry Chemical, Halon, COz (Location: ! ) D Stand Pipes (Type: : , ) D Fire Alarm (Type/Location: \ Fire Extinguisher Requirements: GUQfie 2A rated ABC extinguisher for each _ extinguisher not to exceed 75 feet of travel. D An extinguisher with a minimum rating of sq. ft. or portion thereof with a travel distance to the nearest to be located: _ DQther: 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 exit<€md- EXIT signs (6" x W letters) shall be placed over all required exltts 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 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. .15. Comply with regulations on attached sheet(s). Plan Examiner.0 Report mailed to architect Met with Data. \.Attach to Plans COMMERCIAL/INDUSTRIAL APPLICATION FORM FOR INDUSTRIAL WASTE DISCHARGE PERMIT CITY OF CARLSBAD APPLICATION: NEW (CHECK ONE) REVISED BUILDING P.C. NO.: APPLICATION NO.; BY:Q Signature erf City Representative INDUSTRIAL CLASS; 3/ DATE: IO-n-90 APPLICATION FOR INDUSTRIAL WASTE DISCHARGE PERMIT A. GENERAL: APPLICANT: Mg<S> SITE ADDRESS: TYPE OF BUSINESS: APPLICANT'S ADDRESS;U- 8. WASTES AND PROCESSING: (Check where applicable) ^| Domestic Waste Only Industrial Waste |_| Industrial Waste NOT Discharged to Sewer Discharged to Sewer GENERAL DESCRIPTION OF WASTE (Chemical and Physical Characteristics of proposed waste): ' GENERAL DESCRIPTION OF PROCESS (If Applicable): C. WASTES TO-6E DISCHARGED TO SEWER WASTE: TREATED: (Check One) UNTREATED QUANTITY: AVERAGE (Daily) MAXIMUM GPD GPD (Gallons Per Day) APPLICANT OR REPRESENTATIVE OF FIRM: TITLE: 141U (Print) SIGNATURE:DATE: /O - Of Compliance (Part 1 of 2) ' Performance Requirements CF-1 B ' For Enforcement Agency Use OnlyProject Title Date or Certificate /^/AS/7~£f £&A£Z4~>f*7~^3> Project Architect/Engineer -^ Project Location <^j*i/a-^&&b*h£3 City/Town /~/&/?-/seT& As?£-<Z>/7 '£~ . '?*$/%> j^^far^ Documentation Author/Firm Telephone Building Permit Number Plan Checked By Reid Checked By Approved By Date Date Date Principal Designer. The proposed building will be in substantial compliance with the California Building Energy Efficiency Standards provided it is built according to the plans and specifications and provided future improvements are completed according to the requirements indicated on this Certificate of Compliance. The plans and specificationshave 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 theplans. Company Address CityTSSto/Zip Telephone Cal. License No. Owner. The energy conservation features and performancespecifications indicated on this document and on the plans and specifications 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 for 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 standards then in effect. Sfanatugjoft Namemtti City/Slate/Zip Enforcement Agency. The proposed building, and future alterations willcomply with the California Building Energy Efficiency Standards, provided ruture alterations meet the requirements indicated on this Certificate and all applicable mandatory measures, as long as the building occupancy type remains unchanged. Signature Date ramerrtle gency ress ) City/SCity/State/Zip Energy Analyst The energy performance analysis summarized belowwas performed using an approved CEC calculation method, with CEC approved fixed and restricted engineering inputs for the applicable climatezone and occupancy type, and using an appropriate representation of building zoning and physical configuration. Alt significant energyconservation features are listed below, or on an attached supplement Signature Date Name/Title Company ^ Address City/State/Zip , . , Telephone^ ""r~ General Reference 1 2 3 4 5 6 7 8 9 10 11 Unconditioned or Multi-tenant shell? . CEC Occupancy Type .... A_~/_ UBC Occ. Group/Division . Climate Zone Conditioned Floor Area . . Unconditioned Floor Area . Budget Table (fr. Standards) All. Energy Budget (WS-1A) 'I/ W&~b Calc.Method CEC Code/Date/^^ Multiplier Calculated Energy Use . Envelope Requirements 12 Average Roof/Ceiling R|. 13 Average Exterior Floor Rj . 14 Average Opaque Wall RI . 15 Glazing Area in Wall , . . 16 Average SC (Wall glazing) 17 Glazing Area in Roof. . , 1B Average SC (Roof glazing) Lighting Requirements 19 Allowed Whole Building LPD Q^T^C^f 20 Allowed Common Areas LPD 21 Allowed Tenant Space LPD . 22 Package Lighting Reduction , 23 Lighting Controls Required? , Mechanical Requirement* 24 System Type 25 Unit Fan Power 26 Rated Cooling Efficiency 27 Rated Cooling Capacity 28 Rated Heating Efficiency 29 Rated Heating Capacity 30 Economizer cooling? . 31 CF-1X Attached? . . . kBtu/sf-yr h-F-sf/Btu h-F-sf/Btu h-F-sVBtu sf watts/st watts/si watts/sf watts/st (Y/N) AJ watts/cfm .(unite) (units) .(units) (units) (Y/N) (Y/N) EEM Form Revised September 1986 Page.ol City of San Diego Building Inspection Department Hazardous Materials Questionnaire Business Name Howard Properties Mailing Address 1550 Hotel Circle North #120 Site Address 1901 Camino Vida Roble #223 Contact Person David A. Dillon City San Diego City Carlsbad State CA State CA Telephone 296-6110 Zip 92108 Zip 92008 Plan File # Permit ft PART I: CITY OF SAN DIEGO FIRE DEPARTMENT- HAZARDOUS MATERIALS MANAGEMENT DIVISION: OCCUPANCY CLASSIFICATION Indicate, by circling the item, whether your business will use, process or store any of the following hazardous materials. If any of the items are checked off, applicant must contact the Fire Department-Hazardous Materials Management Division, 525 B Street, Suite 705, San Diego, CA 92101. Telephone (619) 533-4400 prior to plan submittal. 1. Explosives or Blasting Agents 2. Compressed Gases3. Flammable or Combustible Liquids 4. Flammable Solids 5. Organic Peroxides 6. Oxidizers 7. Pyrophorics 8. Unstable (reactive) Materials 9. Water-Reactives 10. Cryogenics 11. Highly Toxic or Toxic Materials 12. Radioactives 13. Corrosives 14. Other Health Hazards PART II: COUNTY OF SAN DIEGO HEALTH DEPARTMENT - HAZARDOUS MATERIALS MANAGEMENT DIVISION: CONTINGENCY PLAN REVIEW If the answer to any of the questions is yes, applicant must contact the County of San Diego Health Department Hazardous Materials Management Division, 1255 Imperial Avenue, 3rd floor, San Diego, CA 92138. Telephone (619) 338-2222 prior to the issuance of a building permit. YES NO (FEE MAY BE REQUIRED) 1. I 1 (S3 Is your business type listed on the reverse side of this form? 2. CD QQt Wilt your business dispose of Hazardous Substances or Medical Wastes in any amount? 3. CU (A3 Will your business store, or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds or 200 cubic feet of compressed gas? 4. CD GJQt Will your business use an existing, or install an underground storage tank? 5. CD Dd Will your business store, use or handle carcinogens, reproductive toxins, or Acutely Hazardous Materials? 6. CD EX Will your business be located within 1,000 feet from the outer boundary of a school and handle Acutely Hazardous Matrials? PART III: SAN DIEGO AIR POLLUTION CONTROL DISTRICT If the answer to any of the questions is yes, applicant must contact the Air Pollution Control District, 9150 Chesapeake Drive, San Diego, CA 92113. Telephone (619) 694-3307 prior to the issuance of a building permit. YES NO 1. CD t£S Will the intended occupant install or use any of the equipment listed on the Listing of Air Pollution Control District Permit Categories, on the reverse side of this form. 2. CD CD (ANSWER ONLY IF THE ANSWER TO QUESTION 1 IS YES.) Will the subject facility be located within 1,000 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: Office Space for Development Company Name of Owner or Authorized Agent: David A. Dillon, Finite Concepts Inc. Signature of O and correct. DO NOT WRIT, hder penalty of perjury that to the best of my knowledge anjf belief the responses made herein are true f \JX jffTA Date: H ^L^^**^ +l FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: BY:Date: EXEMPT FROM PER* COUNTY HMMD A IT REQUIREMENTS APCD APPROVED FOR BUILDING PER COUNTY HMMD MIT BUT NOT FOR OCCUPANCY APCD APPROVED FO COUNTY HMMD R OCCUPANCY APCD LIST OF BUSINESSES WHICH REQUIRE REVIEW AND APPROVAL FROM COUNTY OF SAN DIEGO HEALTH DEPT. - THE HAZARDOUS MATERIALS MANAGEMENT DIVISION AUTOMOTIVE Battery Manufacturing/Recycling Boat Yard Car Wash Dealership Maintenance and Paint Machine Shop Painting Radiator Shop Rental Yard Equipment Repair, Preventive Maintenance Repair, Major Overhaul Transportation Services Wrecking and Recycling METAL WORKING Anodizing Chemical Milling/Etching Finish-Coating, Painting Flame Spraying Foundry Machine Shop-Drilling, Lathes, Mills Metal Plating Metal Prepping/Chemical Coating Precious Metal Recovery San Blasting, Grinding Steel Fabricator Wrought Iron Manufacturing CHEMICAL HANDLING Agricultural Suppliers/Distributors Chemical Suppliers/Distributors Chemical Manufacturer Coatings/Adhesives Compressed Gas Supplier/Distributor Dry Cleaning Fiberglass/Resin Applications Gas Station Industrial Laundry Laboratories Laboratory Supplirs/Distributors Oil and Fuel Bulk Supply Pesticide Operator/Distributor Photographic Processing Pool Supplies/Maintenance Printing/Blue Printing Road Coatings Swimming Pool (Gas Chlorination Systems Only) Toxic Gas Handler Toxic Gas Mfg. ELECTRONICS Electronics Components Mfg. Electronics Assembly and Sub Assembly Printed Circuit Board Mfg. OTHERS AND MISCELLANEOUS Asphalt Plant Co-Generation Plant Dialysis Centers Frozen Food Processing Facilities Government Agencies (Using Hazardous Materials) Hazardous Waste Haulers Hospitals/Convalescent Homes Laboratories, Biological Laboratories Medical Clinics/Offices Public Utilities Rock Quarry Wood/Furniture Manufacturer/Refinishing AEROSPACE Aerospace Industry Aircraft Manufacturing Aircraft Maintenance NOTE: THE ABOVE LIST INCLUDES BUSINESSES WHICH TYPICALLY USE, STORE, HANDLE AND DISPOSE OF HAZARDOUS SUBSTANCES. ANY BUSINESS NOT INCLUDED ON THIS LIST WHICH HANDLES, USES OR DISPOSES OF HAZARDOUS SUBSTANCES MAY STILL REQUIRE HAZARDOUS MATERIALS MANAGEMENT DIVISION (HMMD) REVIEW OF BUSINESS PLANS. FOR MORE INFORMATION CALL (619) 338-2222. LISTING OF AIR POLLUTION CONTROL DISTRICT PERMIT CATEGORIES Businesses which include any of the following operations or equipment will require clearance from the Air Pollution Control District. CHEMICAL COMBUSTION ROCK AND MINERAL 47-Organic Gas Sterilizers 32-Acid Chemical Milling 33-Can & Coil Manufacturing 44-Evaporators, Dryers & Stills Processing Organic Materials 24-Dry Chemical Mixing & Detergent Spray Towers 35-Bulk Dry Chemical Storage COATINGS & SURFACE PREPARATION 01-Abrasive Blasting Equipment 27-Coating & Painting 37-Plasma Arc & Ceramic Deposition Spray Booths 38-Paint, Stain & Ink Mfg. METALS 18-Metal Melting Devices 19-Oil Quenching & Salt Baths 32-Hot Dip Galvanizing 39-Precious Metals Refining 34-Piston Internal-Combustion Engines 13-Boilers & Heaters (1 Million Btu/Hr. or Larger) 13-Gas Turbines, and Turbine Test Cells & Stands 14-lnctnerators & Crematories 15-Burn Out Ovens 16-Core Ovens ELECTRONICS 29-Solder Levelers 29-Hydrosqueegees 42-Electronic Component Manufacturing FOOD 04-Hot Asphalt Batch Plants 05-Rock Drills 07-Sand Rock & Aggregate Plants 08-Concrete Batch, CTB, Concrete Mixers, Mixers & Silos 10-Brick Manufacturing SOLVENT USE 28—Vapor & Cold Degreasing 30-Solvent & "Extract Driers 31-Dry Cleaning OTHER 12-Fish Canneries 12-Smoke Houses 50-Coffee Roasters 35-Bulk Flour & Powdered Sugar Storage 03-Asphalt Roofing Kettles and Tankers 46-Reverse Osmosis Membrane Mfr. 51-Aqueous Waste Neutralization 11-Tire Buffers 17-Brake Debonders 23-Bulk Grain & Dry Chemical Transfer & Storage 45-Rubber Mixers 48-Landfill Gas Flare or Recovery Systems 21-Waste Disposal & Reclamation Units 36-Grinding Booths & Rooms 40-Asphalt Pavement Heaters 43-Ceramic Slip Casting 41-Perlite Processing NOTE: OTHER EQUIPMENT NOT LISTED HERE THAT IS CAPABLE OF EMITTING AIR CONTAMINANTS MAY REQUIRE AN AIR POLLUTION CONTROL DISTRICT PERMIT. IF THERE ARE ANY QUESTIONS, CONTACT THE AIR POLLUTION CONTROL DISTRICT AT (619) 694-3307. ORGANIC COMPOUND MARKETING (GASOLINE. ETC.) 25-Gasoline & Alcohol Bulk Plants & Terminals 25-lntermediate Refuelers 26-Gasoline & Alcohol Fuel Dispensing R - City of San Diego Building Inspection Department Hazardous Materials Question Contact Person Telephone Uu- Moiling Addressw<?rt?L City Slatekjot-n-t fit 31 £> ft Plan File # Site Address I^Ol VIOfX P-Ofrr'.US City State Zip Psrmll » PART I; CITY OF SAN DIEGO FIRE DEPARTMENT - HAZARDOUS MATERIALS MANAGEMENT DIVISION: OCCUPANCY CLASSIFICATION Indicate, by circling the Item, whether your business will use, process or store any of the following hazardous materials, It any of the items are checked oH,applicant must contact the Flra Department-Hazardous Materials Management Division. 525 B Street, Suite 705, San Dleflo, CA 92101. Telephone (619) 533-4400 prior to plan submlhal. 1. Explosives or Blasting Agents 5. Organic Peroxides 10, Cryogenics 2. Compressed Gasos 6. Oxidizers3. Flammable or Combustible Liquid* 7. Pyrophorlpa .......4. Flammable Solids 8. Unstable (reactive) Materials B, Water-Reactlves 11, Highly Toxic or Toxic Materials12, Radioactive* -- 13, Corrosives14, Other Health Hazards PART II; COUNTY OF SAN DIEGO HEALTH DEPARTMENT - HAZARDOUS MATERIALS MANAGEMENT DIVISION: CONTINGENCY PLAN REVIEW if the answer to any of the questions Is yos, applicant must contact the County of San Diego Health Department Hazardous Materials Management Division. 1855 imperial Avenue, 3rd floor, San Diego. CA 92136. Telephone (619) 308-2222 prior to the Issuance of a building permit. YES NO (FEE MAY BE REQUIRED) 1 , CD t£D la your business type listed on the reverse side o1 this form? 2. O Bfl Will your Business dispose ol Hazardous Subsiancaa or Medical Wastes In any amount?3. C3 CN Win your ousirum store, or nandle hazardous Substances in quantities equal to or greater than 55 gallons, 5QO pounds or 200 cubic feet orcompressed gas?4, CD G3 Will your business use sn existing, or Install an underground storage tank?5, O SO Win your business store, use or handle carclnooena. reproductive toxins, or Acutely Hazardous Materials?Will your cua! ness be located within l.QOO (eat from tn« outer boundary o( a sch.oof and handle Acutely Hazardous Matrlala?6. CD PART III;SAN DIEGO AIR POLLUTION CONTROL DISTRICT if tno answer to any of tr-e Questions Is yea. applicant must contact the Air Pollution Control District, 9150 Chesapeake Drive, San Diego, CA 92113. Telephone (619). 694-330? prior to the Issuance of a building permit. YES .NO. 1 , CD Q£ Wilt the Intended occupant Install or uso any of the equipment listed on the Listing of Air Pollution Control District Permit Categories, on (he' reverse side ol this form. 2. C3 d <ANSW£R ONLY IF THE ANSWER TO QUESTION 1 tS YES,) Will ihfl suDjecl facility be located within 1.000 feet of the outer boundary of aschool (K thru 12) as Hated in the current Directory of Scnool and Community College Diatrlcis, published bv the San Diogo County OfncaofEducation and the current California Private School Directory, complied in accordance with provisions of Education Cody Section 33130. Briefly Describe Nature ol the Intended Business Activity: Signature of Owner or Authorized Aaent:re under penalty of perjury that to (he best of my knowledge and Dellef the responses made herein are true Date: 00 NOT WRITE BELOW THIS LINE FIRE DEPARTMENT OCCUPANCY CLASSIFICATION; BY: EXEMPT FROM PERI . COUNTY HMMD « /IT REQUIREMENTS APCD APPflOVeQ FOR BUILDING PER COUNTY HMMQ --- - UtTBUTNOTFQROCCUCAMCV APCD APPROVED FO COUNTY HMMD R OCCUPANCY APCD