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Home My WebLink About1901 CAMINO VIDA ROBLE; 102; CB950542; Permit. * BUILDINGPERMI 05/1^/95 13:29 Page 1 of 1 Job Address: 1901 CAMINO VIDA ROBLE Suite Permit Type: INDUSTRIAL TENANT IMPROVEMENT Parcel No: 212-092-20-00 Lot#: Valuation: 75,400 Construction Type: NEW Occupancy Group: B2 Reference*: Description: 2900 SF-PARTITIONS,SUSP CEIL, : LIGHTING,A/C UNITS,SINK SUITE 102 102 Appl/Ownr ENINGER, DONNIS,N 4026 HAWK ST SAN DIEGO, CA 921 ,619^260^8524. Permit No: CB950542 Project No: A9500798 Development No: i 1890 05/15/95 0001 01 02 C-PRHT 774-00 Status: ISSUED Applied: 04/26/95 Apr/Issue: 05/15/95 Entered By: RMA *** Fees Required *** 1,0.Fees : Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL Enter "Y" for Plum Each Install/Repai * PLUMBING TOTAL enter "Y" for Electr Three Phase Per AMP * ELECTRICAL TOTAL Enter 'Y' for Mechanical Install Furn/Ducts/Heat P * MECHANICAL TOTAL ected & Credits *** .00 299.00 774.00 Ext fee Data 50 9.00 532. , 346. 16. 894. 20. 7. 27. 10. 100. 110. 15. 27. 42. 00 00 00 00 00 00 00 00 00 00 00 00 00 Y Y Y APPROVAL DATE CLEAF. 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Patinas Dr., Carlsbad. CA 92009 (619) 438-1161 I. PERMIT T5fP*E From List 1 (see back) give code of Permit-Type: For ResidentiaLPrQJects Only: From list 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units PLAN CHECK NO. 299.00 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address Nearest Cross Street S^iwSBuilding or Suite No. CEGAL DESCRIPTION Lor No,Subdivision Name/Number Unit No.Phase No. CHECK BELOW IF SUBMITTED: [2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope SQ.FT. 3, UJN TALTI PEKSUN NAME (last name first) CITY * *K-3"ADDRESS STATE CVf" ZIP CODE DAY TELEPHONE 4. APPLICANT*uCorfraAtiOR ^AGENtToRTtoNritAcrOR [JtiWNErt nAGEN NAME (last name first) CITY STATE &o fJ A//.5 ADDRESS SA ZIP CODE DAY TELEPHONE Sr PHOPERTYOWNEIV \ A i I L NAME Oast name first) f-|«flsr*lS fi«**» * STATE C/fr- ZIP CODE ADDRESS -2/0 CITY DAY TELEPHONE D. CONTRACTOR NAME (last name first) CITY STATE ZIP CODE ADDRESS DAY TELEPHONE .STATE LIC. #LICENSE CLASS CITY BUSINESS LIC. # DSINE NMasname rst CITY ADCJRESS STATE ZIP CODE / 'f' DAY TELEPHONE STATE LIC. 7. WORKER? GUMreNSATION Workers Compensation Declaration: I hereby affirm mat I nave a certificate or consent to selRnsure issued by the DirectoroT Inoustnal 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 ofExemption: I certify that in the performance of the work for which this permit is issuedTT 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 cJwner-BGilaer Declaration: TTiereby arrirm that ram exempt Trom the contractors License Law tor the following reason: D I, as owner of the property or my employees with wages as their sole compensation, wil] 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.) . D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor^) licensed pursuant to the Contractor's License Law). D I 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 [$500]). SIGNATURE DATE SCTON FOR NO- RESIDNTIAL UtLDING 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OP THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby attirm That there is a construction lending agency tor the performance ot the work lor which this permit is issued (Sec 3070 Civil Code). LENDER'S NAME LENDER'S ADDRESS AFFJJtANl 1 certiry that I have read the application and state that the above mtormation is correct. I agree to comply with all City ordinances and State laws relating to building construction. I 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 UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CJTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over S'O" 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 365 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 wojkis commenced for a period of 180 days (Section 303(d) Uniform Building Code! APPLICANTS SIGNATURE j^ ^ i- - ^^T\ ^ DATE: T^JBfr ~<?-S' WHITE: File YELLOW Applicant PINK: Finance FINAL BUILDING INSPECTION DEPT: BUILDING ENGINEERING FIRE PLANNING U/M PLAN CHECK*: CB950542 PERMIT*: CB950542 PROJECT NAME: 2900 SF-PARTITIONS,SUSP CEIL, LIGHTING,A/C UNITS,SINK SUITE 102 ADDRESS: 1901 CAMINO VIDA ROBLE SUITE* 102 CONTACT PERSON/PHONE*: MW/TRAVIS/931-1130 SEWER DIST: CA WATER DIST: CA WATER DATE: 06/21/95 PERMIT TYPE: ITI INSPECT BY: INSPECTED BY: INSPECTED BY: DATE INSPECTED: DATE INSPECTED: DATE INSPECTED: APPROVED APPROVED APPROVED DISAPPROVED DISAPPROVED COMMENTS: CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB950542 FOR 07/11/95 DESCRIPTION: 2900 SF-PARTITIONS,SUSP CEIL, LIGHTING,A/C UNITS,SINK SUITE 102 TYPE: ITI JOB ADDRESS: 1901 CAMINO VIDA ROBLE APPLICANT: ENINGER,DONNIS PHONE: PHONE: PHONE: CONTRACTOR: OWNER: INSPECTOR AREA TP PLANCK* CB950542 OCC GRP B2 CONSTR. TYPE NEW STE: 102 /) LOT: 619-260-8524 REMARKS: MW/STUART/931-1130 SPECIAL INSTRUCT: INSPECTOR TOTAL TIME: —RELATED PERMITS — CD 19 29 39 49 PERMIT* TYPE FAD95003 FADD LVL DESCRIPTION ST Final Structural PL Final Plumbing EL Final Electrical ME Final Mechanical STATUS ISSUED ACT COMMENTS INSPECTION HISTORY ***** DATE DESCRIPTION 062295 Final Combo 062195 Final Combo 062195 Final Mechanical 061695 Final Plumbing 061595 Final Electrical 060895 Frame/Steel/Bolting/Welding 060895 Rough/Ducts/Dampers 060795 Rough Combo 060695 Frame/Steel/Bolting/Welding 051895 Interior Lath/Drywall 051695 Frame/Steel/Bolting/Welding 051695 Rough/Topout 051695 Rough Electric ACT CO CO CO PA CO AP CO CA NR AP AP AP AP INSP TP TP TP MP TP TP TP TP TP TP TP TP TP COMMENTS SEE JOB CARD BLDG DARK/NO WALK MECH REV RELEASE METER USED MECH A/BUILTS,FIRE SIGN T-BAR MECH A/B,UNIT SP,1 HR WALLPTC CANCEL WALLS WALLS SINK WALLS ESGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92123 (619) 560-1468 DATE: 5/11/95 Q APPLICA JURISDICTION: Carlsbad Q PLAN REVIEWER Q FILE PLAN CHECK NO.: 95-542 SET: II PROJECT ADDRESS: 1901 Camino Via Roble #102 PROJECT NAME: Office T.I. X] 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 deficiencies identified below 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 Corporation until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: X] Esgil Corporation staff did not advise the applicant that the plan check has been completed. Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Date contacted: (by: ) Telephone*: REMARKS: By: David Yao Enclosures: Esgil Corporation CM PC 5/9 trnamtLdot ESGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92123 (619) 560-1468 DATE: 5/3/95 Q APPLICANT JURISDICTION: Carlsbad Q FILE PLAN CHECK NO.: 95-542 SET: I PROJECT ADDRESS: 1901 Camino Via Robles #102 PROJECT NAME: Office T.I. 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 deficiencies identified below 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. X] The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: Donnis Eninger 4026 Hawk Street Suite F San Diego CA 92103 X Esgil Corporation staff did not advise the applicant that the plan check has been completed. Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Date contacted: (by: ) Telephone*: REMARKS: By: David Yao Enclosures: Esgil Corporation ^ GA D CM D PC 4/27 tmsmtl.dot Carlsbad 95-542 5/3/95 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: 95-542 OCCUPANCY: B-2 JURISDICTION: Carlsbad USE: office TYPE OF CONSTRUCTION: IMhr(spk in lieu of) ACTUAL AREA: 29OO sq.ft. ALLOWABLE FLOOR AREA: STORIES: 1 SPRINKLERS?: Y REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 4/26 DATE INITIAL PLAN REVIEW COMPLETED: 5/3/95 HEIGHT: OCCUPANT LOAD: 29 DATE PLANS RECEIVED BY ESGIL CORPORATION: 4/27 PLAN REVIEWER: David Yao FOREWORD (PLEASE READ): This plan review is limited to the technical requirements contained in the Uniform Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review is based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building permit. Code sections cited are based on the 1991 UBC. The following items listed need clarification, modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 303 (c), 1991 Uniform Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck process,'please note on this list (or a copy) where each correction item has been addressed, i.e.. plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. LIST NO. 40, TENANT IMPROVEMENTS WITHOUT SPECIFIC ENERGY DATA OR POLICY SUPPLEMENTS (1991 UBC)tiforw.dot Carlsbad 95-542 5/3/95 1. Please make all corrections on the original tracings and submit two new sets of prints, to: Esgil Corporation, 9320 Chesapeake Drive, Suite #208, San Diego, CA 92123, (619)560-1468. 2. Indicate the use of all spaces adjacent to the area being remodeled or improved. 3. Show safety glazing in the following locations, per Section 5406(d): a) Where the nearest edge of glazing is within a 24-inch arc of either side of a door in a closed position (unless there is an intervening wall between the door and the glazing or if the glazing is 5'-0" or higher above the walking surface).(rooms 107,108,112) b) Glazing greater than 9 square feet with the bottom edge less than 18" above the floor and the top edge greater than 36" above the floor (unless the glazing is more than 36" horizontally away from walking surfaces or if a complying protective bar is installed).(room 105?) 4. Note on plan that suspended ceilings shall comply with UBC Tables 47-A and 23-P. • ELECTRICAL 5. Provide receptacle(s) within 25' of HVAC units. UMC Section 509. • CITY OF CARLSBAD SUPPLEMENT 6. Roof mounted equipment must be screened and roof penetrations should be minimized (City Policy 80-6). 7. No wiring is permitted on the roof of a building and wiring on the exterior of a building requires approval by the Building Official. (City Policy) 8. All roof-mounted equipment shall be concealed from view. Provide structural detailing for the screening. • MISCELLANEOUS 9. To speed up the review process, note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, note or detail number, calculation page, etc. 10. Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes, please briefly describe them and where they are located in the plans. • Have changes been made to the plans not resulting from this correction list? Please indicate: Yes Q No Q Carlsbad 95-542 5/3/95 11. The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 619/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact David Yao at Esgil Corporation. Thank you. PLUMBING, MECHANICAL AND ENERGY CORRECTIONS JURISDICTION: Carlsbad DATE: 5/3/95 PLAN REVIEW NUMBER: 95-542 SET: I PLAN REVIEWER: Glen Adamek 1. Detail overflow (secondary) condensate discharge from air conditioning units that are in a ceiling space. (UMC Section 1205) 2. Provide complete energy designs for the proposed changes in lighting system. Provide the completed LTG- forms showing Energy compliance. 3. Show bi-level lighting controls as per Title 24, Part 6, Section 131(b). 4. Show the daylit areas and required daylit area lighting controls for new or relocated lighting in daylit areas. Title 24, Part 6, Section 131(c). 5. The corrected, completed and signed LTG-1 forms must be imprinted on the plans. 6. Complete energy plan check will be done when complete corrected energy designs are provided. Note: If you have any questions regarding this plan review list please contact Glen Adamek at (619) 560-1468. To speed the review process, note on this list (or a copy) where the corrected items have been addressed on the plans. Carlsbad 95-542 5/3/95 VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: David Yao PLAN CHECK NO.: 95-542 DATE: 5/3/95 BUILDING ADDRESS: 1901 Camino Via Robles #102 BUILDING OCCUPANCY: B-2 TYPE OF CONSTRUCTION: IMhr BUILDING PORTION office T.I. Air Conditioning Fire Sprinklers TOTAL VALUE BUILDING AREA (sq. ft.) 2900 VALUATION MULTIPLIER 26 VALUE ($) 75400.00 75400.00 Building Permit Fee: Plan Check Fee: Comments: $ 531.50 $ 345.48 Sheet 1 of 1 valuefee.dot Plan Check No. 9S Planner VAN LYNCH PLANNING CHECKLIST Address phone 438-1161 «t. *325 V (Name) APN: Type of Project and Use /vD#f7ru?±<- r MZone • *CFD (in/6ut) Facilities Management Zone 4 j» ^a a a S S i cfelr (U property in, complete SPECIAL TAX CALCULATION WORKSHEET provided by Building Department.) Item Complete Item Incomplete - Needs your action 1,2,3 Number in circle indicates plancheck number where deficiency was identified D D Environmental Review Required: YES DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval __ _ _ Discretionary Action Required: YES NO X. TYPE DATE:APPROVAL/RESO. NO. PROJECT NO. OTHER RELATED CASES: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval D California CoMal GonnWon Pen* Required: YES NO DATE OF APPROVAL: San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA. 92108-1725 (619) 521-8036 Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval O a /c 0-0 Q cran (nciusiooary Housing Fee required: YES _ NO (Effective date of Indusionary Housing Ordinance * May 21, 19930 Site Plan: Zoning: i.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, dimensioned setbacks and existing topographical lines. 2. Provide legal description of property, and assessor's parcel number. 1.Setbacks: D D D n/X^ n'C / Front: % r*»P Int. Side: /'*" Street Side: Rear. ^/^ 2. Lot coverage: V/k 3. Height: /•./T1i i ^ L/AVU V **^/C? t>/AV ^ Paridnf: Additional Comments Required Required Required Required Required Required Spaces Required Guest Spaces Required Shown Shown Shown Shown Shown Shown Shown Shown OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB ADDRESS RESIDENTIAL RESIDENTIAL ADDITION MINOR « $10,000.00) DATE TENANT IMPROVEMENT PLAZA CAMINO REAL VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER. PLANNER DATE ENGINEER DATE C:\WP51\FILES\BLDG.FRM Rev 11/15/90 City of Carlsbad _ ***** _ Fire Department * Bureau of Prevention Plan Review: Requirements Category: Building Plan Check Date of Report: Thursday. May 4, 1995 _ Reviewed bv: Contact Name Interspec Address 12702 Via Cortina City, State Del Mar CA 92014 Bldg. Dept. No. 95-542 Planning No. HDP95-02 Job Name Jim Bumham Job Address 1901 Camino Vida Robles Ste. or Bldg. No. 102 63 Approved - The item you have submitted for review has been approved. The approval is based on plans; information and/or specifications provided in your submittal; therefore any changes to these items after this date, including field modifica- tions, must be reviewed by this office to insure continued conformance with applicable codes. Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements. D Disapproved • Please see the attached report of deficiencies. Please make corrections to plans or specifications necessary to indicate compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. For Fire Department Use Only Review 1 st 2nd 3rd Other Agency ID CFD Job# 95086 File* _____ 2560 Orion Way • Carlsbad, California 92008 • (619) 931-2121 INDUSTRIAL WASTE DISCHARGE PERMIT APPLICATION r\ BUSINESS NAME SITE ADDRESS <r — ^i *y CONTACT PERSON (at business). PHONE NUMBER to 2: Type of Business (check all that apply) D Agricultural D Assembly D Automotive D Chemical Handling D Electronics DFood D Government Laboratory Laundry Manufacturing Medical Metal Work H Office H Photo Lab I] Retail HI Service Station Warehouse Other DESCRIBE WASTE OTHER THAN DOMESTIC (Chemicals, Particulates, etc.). DESCRIBE BUSINESS ACTIVITY: GENERAL DESCRIPTION OF ONSITE WASTEWATER PROCESSING: (chemical & physical characteristics)^ Is business presently in operation at site? D YES G-JMO Has Wastewater Discharge Permit been applied for through the Encina Water Authority? D YES D NO Applicant's Name Please Print Title Phone Agency:. ^^* Signature: —j.1 ^T-t "trf=_Date A Date Signature of City Representative D EXEMPT D NOT EXEMPT Date forwarded to Encina P:\POCS\NISFQRMS\FRN00045 REV. 2/10/92 HAZARDOUS MATERIALS MANAGEMENT DIVISION SAN DIEGO REGIONAL HAZARDOUS MATERIALS CQUKTY OF SAI DUG Business Na Comae*Telephone Addia«City £t«t«Zip PUn File/ Silo Addfftss Guy S(ai*Plan file * PAST I: FIRE DEPARTMENT • HA;AaDOUjt_MATERlAlS '-'AMAGEMENT DIVISION; OCCUfANCY CLASSIFICATION Ind'CaiB by cifclino the itam, whether vour business will u", process, gr itort any of tha Wowing heirdom material*. If any of the items »ra circled, •pplicini mun contact th« Rf» Protection Agancy with jurifdicbcn prior to plan subrruttil, \. Expfaiivo or BJa:mg Ao«nti 4. F1«mm«bla Solids 7. Pyrdphoric* 10. Cryopancs 13. Corrosives I. ComprBtsatf G«t«s 5, OrQarvc F*«roxides 9. Uncubl* R«ieOV<« 11. Highly Totie ar Toxic M*tntini= 1 4. Oihnr H«»tth H 3. fUmmablo ar Camb-,istibl« Uquids C, Qxidiiers 9. Wit*f Rei«iv»E 12. R»dio»co'v«* PART II:5AN_PfeGO HEALTH OEPARTMEjjT - HAZAROQU5_MATERIALS MANAGEMENT_&IVJS1ON: REVi^W; Hai»fdou« Matthats _ If the answer 10 »"V o( tha question* « yes, ftooticarn must «at\uct ih« Gounry a( 5eo Division, 12SS Imperial Avenue, 3rd Floor, San Di«0Q, CA 92186-3261, Tslsphone (619) 338-22.22 prior to tha is buildiilfl perrriit. Tz = 5 MAY SE REQUiReD of a |E ¥«uf business lt*t«d on the f*w«tt« side ofWi!1 v°wf busifios* ditboia of HaiBfdoyj SuOtt»n<;»s or Madical Wiiti in «ny »mount? VVi[| your bustn«l> Stor* or handle H*lafdoul Subfttanc«« in quantities «qu»l to or graattr than 55 SCO pounds, 200 Cubic fa»t or c»rcin5()*fis/roDfOduetiv» toxini in any qmntiry? Vi/i|| yuur buiinel* use an oxisting <jt inata!! at. undctg buxinevc stor« or handla Acutoly H»H'dous OFFICE USE ONLY J RMPP E*ernpr / D j tc Initials j ) RMPP Regu.red Date Initials I 1 RMPP Compleie Palo IN: SAN...5JI.GO COUN^rl AIR POLtT|UTJSN_S.OMTaoL DISTRICT If iho answer to any of th« questions it yea, applicant iryJSl Contact th« Air Pollution Coftlfol Dictrict. 91BO Chcsapcike Drive. San Diego, CA ?21 Telephone (619) 694-33O7 prior lo |h« issuance of a buiWing p*rmie. YES MO 1. f^J ftij Will th* intandad occupent install of use any of ihe cquipmant listed on the Listing of Air Pollution Control Oisirici Permii Catafflfie*, on r«Varsa lid* of this form? 2. (^3 ( — 1 (ANSWER ONLY IF OUESTION 1 IS YES.) Will tha subjcci facility ba located within 1 ,OOO f»et of ii\« outer boundary of a school (K thru »* listed in tha currant Directory1 of School and Community Collage Districts, published by Ch" Sun Diego County Office of Education md current CalifarniH Private School Directoryj compiled in iccordanee with provisions of Education Cod* Sacoon 33190? Briatly describa nature of the. intpnd«d bu»in«lf aCDviry; 4 Name of Owner ai Authorised Signatu/e of Owner and C«M«CT. Agent: I nder peftoUy&Ti perjury ihot LQ the best of mv knowledge and b^'ief me Do not write below this line ide heiein a:; v. FIRE DEPARTMENT OCCUPANCY CLASSIFICATION^ ar-Dat«: OtOJFT WOM *£«MlT «EOU1ft&<ewYt COOWPf'HWMO APCD XWnmOVTO KM BUILEMWt r(nwn- ii/y HOT OCCU^WJCV COUNTY-HMMO APCD A«>*qvtll FOOOCCUPArtCY COUNTT HMMD APCO 04/27/95 16:56 431 1601 CMWD LAS PALM ®001/001 Post-It™ brand fax transmittal memo 7671 # of pagw ept.Phone # f BUSINESS NAME c—4 SfTE ADDRESS i ^Ot <4 1/W CONTACT PERSON (at business). PHONE NUMBER Type of Business (check all that apply) D Agricultural Assembly Automotive J Chemical Handling _1 Electronics Food DESCRIBE WASTE OTHER THAN DOMESTIC (Chemicals. Partfculates, etc.). Government _l Laboratory ~3 Laundry ~* Manufacturing J Medical Metal Work ce C Photo Lab Retail Service Station Warehouse Other DESCRIBE BUSINESS ACTIVrTY:yea GENERAL DESCRIPTION OF ONSITE WASTEWATER PROCESSING: (chemical & physical characteristics) _, f-jf Is business presently In operation at site? LJ YES IXNO Has Wastewater Discharge Permit been applied for through the Encina Water Authority? D YES D NO Applicant's Name Title Phone Please Print Agency:. Date A Date Signature of-Chy Re^ EXEMPT U NOT EXEMPT Date forwarded to Encina p:•ev. 2/10/9Z TITLE 24 REPORT FOR: 10; PROJECT DESIGNER: Interspec 12702 Via Cortina Del Mar , CA 92014 (619) 259-2450 REPORT PREPARED BY (619 ) 940-0064 Job Number: 042595Iw Dater 4/21/1995 The COMPLY 24 computer program has been used to perform the calculation: s u rt'i m a r I z e d i n t h i s c o m p 1 i a n c e r e p o r t. T h i s p r o g r a m h a s a p p r o v a 1 a n d i s authorized by the California Energy Commission for use with both the Residential a n d N o n r e s i d e n t i a 1 E u i.. 1 d i n g E n e r g y E f f i c i e n •:.: y S t a n d a r d s . This program developed by Gabel Dodcl Associates (.510) 428-0803.