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Home My WebLink About1921 PALOMAR OAKS WAY; 301 | 310; CB920631; Permit3 U I L D I N G 2 E R H I T Permit No: CB920631 07/29/92 .3:05 Proleci-. No: A901560 Page 1 of 1 Development No: Job Address: 1921 PALOMAR OAKS WY Suite: 301.1310 Permit Type: COMMERCIAL TENANT IMPROVEMENT 8701 07/29/92 0001 01 02 Parcel No: Lot#: c-PRMT 125100 Valuation: 26,742 Construction Type: VN 00/4 7 Occupancy Group: 32 Beference#: Status: ISSUED Description: REMODEL OF EXIS'ING 223 SF Applied: 07/01/92 NEW LIBRARY 667 IN COMPLETE BLDG Air/ssue: 07/29/92 Validated B': CD Appl/Ownr : MARSCH, RICHARD 619 438-5191 2385 CAMINO VIDA ROBLE 107 CARLSBAD, CA 92009 OWNER : OPUS SOUTHWESm CORP. Lic. 619 438-5191 4742 NORTH 247'-t PHOEI\:x AZ e5016 *** Fees Required / Fees Co1ece'd & Credits .-.--.-'-- / --------------------------------------..-_'_ ------------------ Fees: I , 4- 3. 00 Adjustments: •.,0'< .. \ .00 riotal Fees: 1,230 \ 172.00 1,251.00 Fee description \- nits,'Fje'éJ.it Et fee Data -------------------------------+r----------4 ------------------------ Building Permit .1; 1' ( o''i: 265.00 Plan Check ..' 0 172.00 Strong Motion Fee 0 6.00 Enter "Y" to Autocaic License Tx > 0 487.00 Y ' C.FID. ' CO,,TD 449.00 52 * BUILDING TOTAL " 1379.00 Enter yr for Plumbing Isztze Fee > N Ente. "Y' for Electric Issue Fee > 10.00 Y Enter 'Y" for Remodel ) 10.00 Y * ELECTRICAL TOTAL 0 20.00 Enter 'V for Mechanical Issue Fee> 0 1.5.00 1 Install Furn/Ducts > 1 9.00 9.00 * MECHANICAL TOTAL C 24.00 'i FINALAPPROVAL INS CLEARANCE_ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of CarLsbad Bui (ding Department 2075 Las Patinas Dr., CarLsbad, CA 92009 (619) 438-1161 1. FERMII IYPI A - U Commercial LI New Building Li Tenant Improvement B - Industrial 0 New Building 03 Tenant Improvement C - 0 Residential 0 Apartment 0 Condo 0 Single Family Dwelling 0 Addition/Alteration 0 Duplex a Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing Cl Mechanical 0 Pool 0 Spa 0 Retaining Wall Cl Solar 0 Other__________ 44 PLAN CHECK NO. " 1 EST. VAL '.'IP -f NT I°' PLAN CK FJk)SIT VALID. BY DATE .. Jj Jr67, 2 C-PRMT _ 172.00 NZ I (',r~,DL FOR OFFICE USE ONLY Address Building or Suite No. f ,cN OT- Nearest Cross Street j7, , A , ,,'sP,. c, CHECK BELOW IF SUBMITTED: 02 Energy Calcs D 2 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL ZI'Z OC? - / / EXISTING USE PROPOSED USE DESCRIPTION OF WORK C)# UT-i 66-7 SQ. FL # OF STORIES—; wr4 [Air! Pa.HJrl Lit ciulerent trom applicant) NAME ADDRESS Co t.-i CITY STATE ZIP CODE DAY TELEPHONE APPLICANT Li WNIRACIDR LI AGENT FOR CONTRACTOR LI OWNER @MENT FOR OWNER NAME ADDRESS23j 1J V7A fl&4E P/7 STATE ZIP CODE t7 DAY TELEPHONE 5/71 NAMEC)P(J" c ireOePADDRESS 7 41 fr12-f34 Z4TW CITY P14-OENIY STATE 7 ZIP CODE S,97 J(, DAY TELEPHONE WNTRACIUR NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # LICENSE CLASS CITY BUSINESS UC. # DESIGNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # WORKEHS WMPENSATION Workers' Compensation Declaration: I hereby atlirm that I have a certificate ot consent to self-insure issued by the Director ot 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 ot 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. SIGNATURE DATE OWNER-BUILDER DFXIARA11ON Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law For the Following reason: 0 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. 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.). a 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). 0 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 [$5001). SIGNATURE DATE COMPLETE This SECTION FOR NON-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? DYES 13 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES 0 N IF ANY OF TILE 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 OF 11IE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTEICF. V. WNSTRUCIION LENDLNG AGENCY I hereby atlirm that there is a construction lending agency for the perlormance ot the work tor which this permit is issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT CER11FICA1ION I certify that I have read the application and state that the above inlormation 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 LNDEMNThY AND KEEP hARMLESS THE CI1Y OF CARlSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WIld! MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF 11W GRANTING OF THIS PERMiT. OSHA: An OSHA permit is required for excavations over 5'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 work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). ANTS/GNAyJRE ,,j DATE:#?1 ?Z CITY OF CARLSBAD - INSPECTION REQUEST PERMIT# CB920631 FOR 09/29/92 DESCRIPTION: REMODEL OF EXISTING 2123 SF NEW LIBRARY 667 IN COMPLETE BLDG TYPE: CTI JOB ADDRESS: 1921 PALOMAR OAKS WY APPLICANT: MARSCH, RICHARD PHONE: CONTRACTOR: PHONE: OWNER: OPUS SOUTHWEST CORP. PHONE: INSPECTOR AREA MC PLANCK# CB920631 0CC GRP B2 CONSTR. TYPE VN STR:** FL:**** STE: 301/310 619 438-5191 619 438-5191 REMARKS: MH/WILLIE/586-2205 PAGER INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical ACT COMMENTS ***** INSPECTION HISTORY ***** DATE 091892 091892 090492 090492 090392 090392 090392 082892 082792 081292 080792 080792 080792 DESCRIPTION Frame/Steel/Bolting/Welding Frame/Steel/Bolting/Welding Interior Lath/Drywall Interior Lath/Drywall Frame/Steel/Bolting/Welding Rough Electric Rough Electric Rough Combo Rough Combo Interior Lath/Drywall Frame/Steel/Bolting/Welding Rough Electric Rough Electric ACT INSP COMMENTS AP MPC SEE INSP NOTES CO MPC SEE INSP NOTES AP MPC NEW INTERIOR WALL CO MPC ND MORE SCREWS ON CORR WALL PA MPC NEW WALLS IN SUITE 300 PA MPC - IN NEW WALLS CO MPC ND KICKER BRCNG/OK TO DRYWALL CO MPC SEE INSP COMMENTS 8/28/92 CO MPC SEE INSP NOTES AP MPC PA MPC WALLS PA MPC IN WALLS CO MPC SEE INSP NOTES BYCOR GENERAL CONTRACTORS 6867 NANCY RIDGE DRIVE SAN DIEGO, CA. 92121 TOM BRUNSON (619) 587-1901 PROJECT: OPUS PLAZA I / cy 3/ / i•- O5 cr\\ 3 7- 3O / &0-1bJ c:!J1 q2OO /)Jr 6/15/92 Arkc- ;. Iob4r+ PI&*/R-carIL f1etcs1 r uf O &o XTENANT: PAUL M. WElL SUITE: # 301 PLAN DATE: NO DATE CONTACT: TODD HOLZER RECEIVED: 6/9/92 PHONE: (602) 468-7004 PREMLIMINARY ESTIMATE CSI DESCRIPTION TOTAL UNIT PRICE COST CODES QUANTITY TOTAL 1000 GENERAL CONDITIONS 1 $2,003.00 LS $2,003.00 1110 ----------------------------------------------------------------------- PERMIT FEES (ALLOWANCE) 0 $0.65 SF NIC PLANS ----------------------------------------------------------------------- NIC 1200 CLEAN UP 1282 $0.17 SF $217.94 3300 CONCRETE CORING 0 $40.00 ER NIC 6400 ----------------------------------------------------------------------- CABINET/MILLWORK: P-LAM BASE CABINET 14 $75.00 LF $1,050.00 P-LAM COUNTER TOP 14 $30.00 LF $420.00 P-LAM UPPERS 14 $95.00 LF $1,330.00 KV SHELVING 13 $60.00 LF $780.00 RELOCATE EXISTING SHELVING 36 $10.00 LF $360.00 7200 ----------------------------------------------------------------------- INSULATION - WALLS 754 $0.18 SF $135.72 8100 ----------------------------------------------------------------------- ENTRY PAIR RELOCATE 1 $225.00 ER $225.00 ENTRY SINGLE RELOCATE 2 $150.00 ER $300.00 INTERIOR SINGLE RELOCATE 0 $85.00 ER $0.00 INTERIOR SINGLE DOOR ASSEMBLY 0 $397.00 EA $0.00 CORRIDOR DOOR ASSEMBLY 1 $540.00 ER $540.00 LOCKSET HARDWARE 0 $124.00 ER $0.00 KEYING 0 $11.05 EA $0.00 8800 ----------------------------------------------------------------------- GLAZING: NIC 9250 ----------------------------------------------------------------------- DEMISING WALL (SLAB TO SLAB) 58 $24.50 LF $1,421.00 PARTITION- INTERIOR 47 $19.00 LF $893.00 MULLION END CAPS 2 $35.00 EA $70.00 CUT-IN FOR DOORS 0 CORRIDOR 2 $95.00 LS $190.00 FILL-IN DOOR 2 $85.00 LS $170.00 PATCH TERMINATIONS 13 $35.00 LS $455.00 1 $1,254.00 LS $1,254.00 DUMPSTR/TRASH REMOVAL 1 $285.00 LS $285.00 9500 ----------------------------------------------------------------------- T-BAR CEILING 2 X 4 STANDARD 1 604 $0.92 SF $555.68 REMOVE & REPLACE TILES 285 $0.14 SF $39.90 9680 FLOORING CARPET- WINDSWEPT 30 OZ. 2556 $1.35 SF $3,450.60 CARPET PAD 2556 $0.12 SF $306.72 VCT- ARMSTRONG EXCELON $1.08 SF NIC BASE- ROPPE 4" ----------------------------------------------------------------------- 660 $0.95 LF $627.00 9900 PAINT (FLAT) 1305 $0.22 SF $287..10 WALLCOVERING SEAL 1512 $0.15 SF $226.80 DOOR FINISH 2 $45.00 EA $90.00 MILLWORK FINISH 1 $75.00 EP $75.00 ----------------------------------------------------------------------- 9950 WALLCOVERING (ALLOWANCE) 1512 $1.84 SF $2,782.08 WALLCOVERING (INSTALL ONLY) ----------------------------------------------------------------------- 288 $1.00 SF $288.00 12500 WINDOW COVERING ----------------------------------------------------------------------- 0 $0.00 LF NIC 15000 HVPC: $750.00 OMEGA CONTROLS - RELOCATE $75.00 ----------------------------------------------------------------------- 15400 PLUMBING (SINK @ KITCHEN W/POINT OF USE HTR) NIC ----------------------------------------------------------------------- 15500 FIRESPRINKLERS I $250.00 LS $250.00 15520 FIRE EXTINGUISHERS 0 $0.00 EA NIC ----------------------------------------------------------------------- 16000 ELECTRICAL: 2 X 4 PARABOLIC 8 $130.00 EA $1,040.00 DUPLEX OUTLET 6 $38.00 EA $228.00 DEDICATED DUPLEX 1 $110.00 EA $110.00 TELEPHONE OUTLET BOX 3 $15.00 EA $45.00 RELOCATE MICROWAVE 1 $35.00 EA $35.00 SINGLE GANG 2 $27.00 EA $54.00 HI-LO SWITCH S $48.00 EA $240.00 RELOCATE SUBPANEL/SEPERATE CIRC. CIRCUITS 1 $400.00 EA $400.00 TELEPHONE BACKBOARDS 1 $75.00 EA $75.00 ELECTRICAL DEMO/SAFE OFF 1 $180.00 LF $180.00 TITLE 24 ENGINEERING $0.07 SF NIC ----------------------------------------------------------------------- 16700 SECURITY SYSTEM 0 $0.00 LS NIC ----------------------------------------------------------------------- 1025 CONTRACTOR FEE $2,431.05 TOTAL CONSTRUCTION COST $26,741.59 CONTRACTOR $20.86 OWNER APPROVED '/&r4l( c DATE - 1- ESGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92123 (6 19) 560-1468 DATE: JT((, 1T'l ICANT I 4.URISDICT JURISDICTION: Car-/5bad LANCEEt DFILE COPY PLAN CHECK NO: SET: DUPS []DESIGNER PROJECT ADDRESS: Ii (7tk-s #2i 311.2 PROJECT NAME: [Ij 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. E The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D 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 jurisdiction to return to the applicant contact person. LII The applicant's copy of the check list has been sent to: 92 Esgil staff did not advise the applicant contact person that plan check has been completed. El Esgil staff did advise applicant that the plan check has been completed. Person contacted: Date contacted: Telephone i In REMARKS: By: Enclosures: ESGIL CORPORATION EJGA El -cm Date*7f(q Jurisdiction_______________ Prepared byt Bldg. Dept. VALUATION AND PLAN CHECK FEE 0 Esgil PLAN CHECK NO. RT6'3( BUILDING ADDRESS - (&H Roow, 7k5 u2I , # 71. 310 APPLICANT/CONTACT 4c4rci PHONE NO. 93 c ii BUILDING OCCUPANCY - DESIGNER PHONE ' " TYPE OF CONSTRUCTION CONTRACTOR PHONE____________ BUILDING PORTION BUILDING AREA VALUATION MULTIPLIER VALUE Air ConditioninE Commercial Residential Res. or Comm. Fire Sprinklers Total Value Building Permit Fee $__- __S_C,5 Plan Check Fee $ $ 17a. . ç COM MENTS: SHEET ( OF / 12/87 City of Carlsbad BUILDING PLANCHECK CHECKLIST DATE: PLANCHECK NO. BUILDING ADDRESS: PROJECT DESCRIPTION: ASSESSOR's PARCEL NUMBER: EST. VALUE____________ ENGINEERING DEPARTMENT I APPROVAL 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 modifications, 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 build. 1st CHECK : - Date:________ 2nd CHECK By: Date:________ 3rd CHECK By: Date:________ DENIAL Please see the attached report of deficiencies marked with 0. Make necessary corrections to plans or specifications for compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. By:__ Date:_________ By:__ Date:_________ By:_ Date:_________ :. •:. • FOR OFFIAL USE ONLY ENGINEERING AUTHORITION TO ISSUE BUILDING PERMIT: DATE:_______________ ATTACHMENTS o Dedication Application O Dedication Checklist O Improvement Application O Improvement Checklist O Future Improvement Agreement El Grading Permit Application O Right of Way Permit Application O Sewer Fee Information Sheet NAME: ADDRESS: PHONE: CONTACT PERSON P:\doce\chk19t\bp0001.frm REV 6/5/92 2075 Las Palmas Dr. • Carlsbad, CA 92009-1576. (619) 438-1161 • FAX (619) 438-0894 ED BUILDING PLANCHECK CHECKLIST SITE PLAN 1 SW 2ndv' 3rd/ DD 1. Provide a fully dimensioned site plan drawn to scale. Show: North Arrow D. Property Lines Easements Existing & Proposed Structures E. Easements Existing Street Improvements F. Right-of-Way Width & Adjacent Streets O 0 0 2. Show on site plan: - Drainage Patterns C. Existing Topography Existing & Proposed Slopes 0 0 0 3. Show on a section drawing or include a note stating that there is a minimum of 6" difference between the finished floor and the finished grade elevation adjacent to the structure. E-1 0 0 4. Include note: "Surface water to be directed away from the building foundation at a 2% / gradient for no less than 5' or 2/3 the distance to the property line (whichever is less)." [Per 1985 UBC 2907(d)5]. On graded sites, the top of any exterior foundation shall extend above the elevation of the street gutter at point of discharge or the inlet of an approved drainage device a minimum of 12 inches plus two percent" (per 1990 UBC 2907(d)5.). / El 0 0 5. Include on title sheet Site address Assessor's Parcel Number Legal Description For commercial/industrial buildings and tenant improvement projects, include: Total building square footage with the square footage for each different use, existing sewer permits showing square footage of different uses (manufacturing, warehouse, office, etc.) previously approved. EXISTING PERMIT NUMBER DESCRIPTION P:\docs\chklat\bp0001.hm Page 1 of 4 REV 6/5/92 0 BUILDING PLANCHECK CHECKLIST DISCRETIONARY APPROVAL COMPLIANCE 1,,,,t,/ 2nd/ 3rd' El 0 0 6. Project does not comply with the following Engineering Conditions of approval for Project No. Conditions were complied with by: Date:__________________ DEDICATION REQUIREMENTS O 0 0 7. Dedication for all Street Rights-of-Way adjacent to the building site and any storm drain or utility easements on the building site is required for all new buildings and for remodels with a value at or exceeding $______________ -pursuant to Code Section 18.40.030. Dedication required as follows: Attached please find an application form and submittal checklist for the dedication process. Provide the completed application form and the requirements on the checklist at the time of resubmittal. Dedication completed by Date:___________ IMPROVEMENT REQUIREMENTS El 0 0 8a. All needed public improvements upon and adjacent to the building site must be constructed at time of building construction whenever the value of the construction exceeds $ -pursuant to Code Section 18.40.040. Public improvements required as follows: Please have a registered Civil Engineer prepare appropriate improvement plans and submit them together with the requirements on the attached checklist for a separate plancheck process through the Engineering Department. Improvement plans must be approved, appropriate securities posted and fees paid prior to issuance of permit. Attached please find an application form and submittal checklist for the public improvements requirements. Provide the completed application form and the requirements on the checklist at the time of resubmittal. Improvement Plans signed by: Date: P:\docs\chklst\bp0001.frm Page 2 of 4 REV 6/5/92 BUILDING PLANCHECK CHECKLIST 1st,/ 2ndv' 3rdV 0 0 0 8b. Construction of the public improvements may be deferred pursuant to code Section 18.40. Please submit a recent property title report or current grant deed on the property and processing fee of $_ so we may prepare the necessary Future Improvement Agreement. This agreement must be signed, notarized and approved by the City prior to issuance of a Building Permit. Future public improvements required as follows:_______________________________ Improvement Plans signed by: Date:___________ O 0 0 8c. Enclosed please find your Future Improvement Agreement. Please return signed and notarized Agreement to the Engineering Department. Future Improvement Agreement completed by: Date: O 0 0 8d. No Public Improvements required. SPECIAL NOTE: Damaged or defective improvements found adjacent to building site must be repaired to the satisfaction of the City Inspector prior to occupancy. ; : GRADING PERMIT REQUIREMENTS The conditions that invoke the need for a grading permit are found in Section 11.06.030 of the Municipal Code. O 0 0 9a. Inadequate information available on Site Plan to make a determination on grading requirements. Include accurate grading quantities (cut, fill import, export). 0 0 0 9b. Grading Permit required. A separate grading plan prepared by a registered Civil Engineer must be Submitted together with the completed application form attached. NOTE: The Grading Permit must be issued and rough grading approval obtained prior to issuance of a Building Permit. Grading Inspector sign off by: Date: BUILDING PLANCHECK CHECKLIST P:\doc.\chk19t\bp0001.frm Page 3 of 4 REV 6/5/92 - MISCELLANEOUS PERMITS 1 sW 2nd/ 3rd./ 0 0 0 10. A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or private work adjacent to the public Right-of-Way. Types of work include, but are not limited to: street improvements, trees, driveways. A separate Right-of-Way permit issued by the Engineering Department is required for the following: Please complete attached Right-of-Way application form and return to the Engineering Department together with the requirements on the attached Right-of-Way checklist, at the time of resubmittal. 0 0 0 11. A SEWER PERMIT is required concurrent with the building permit issuance. The fee is noted in the fees section on the following page. 0 0 0 12. INDUSTRIAL WASTE PERMIT is required. Applicant must complete Industrial Waste Permit Application Form and submit for City approval prior to issuance of a Permit. Industrial waste permit accepted by: Date: P:\docs\chklsl\bp0001.frm Page 4 of 4 REV 6/5/92 CALCULATIONS WORKSHEET EDU CALCULATIONS: EDU's: ADT CALCULATIONS: ADT's: - FEES REQUIRED: WITHIN CFD: YES (NO BRIDGE & THOROUGHFARE FEE, REDUCED TRAFFIC IMPACT FEE) El NO O 1. PARK-IN-LIEU FEE PARK AREA: FEE/UNIT:__________ El 2.TRAFFIC IMPACT FEE ADT's: FEE/ADT: BRIDGE AND THOROUGHFARE FEE ADT's: FEE/ADT:____________ FACILITIES MANAGEMENT FEE ZONE:___________ 5. PUBLIC FACILITIES FEE SEWER FEES PERMIT No. EDU's: FEE/EDU:_________ FEE/EDU:_________ BENEFIT AREA: FEE: SEWER LATERAL REQUIRED (2,500 DEPOSIT) El 8. MELLO ROOS REMARKS: P:\docschkIst\bpOOO1.frm REV 6/5/92 PLANNING CHECKLIST Plan Check No. 3/ Address (72 I P)-JOA1 eV (/iI (4 Planner 0 'A 6( C1 Phone 438-1161 ext. (Name) APN:-- V V Type of Project and Use Zone PM Facilities Management Zone Legend 161 C Item Complete / (,V Item Incomplete - Needs your action 1, 2, 3 Number in circle indicates plancheck number where deficiency was identified Environmental Review Required: YES - NO _1E DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval Discretionary Action Required: YES NO APPROVAIJRESO. NO. DATE: PROJECT NO. (YII4FR RVTATVD CARS Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval California Coastal Commission Permit 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 Setbacks: Front: Required Shown Ent. Side: Required Shown Street Side: Required Shown Rear: Required Shown Lot coverage: Required Shown Height: Required Shown Parking: Spaces Required - Shown Guest Spaces Required Shown Landscape Plan Required: YES ___ NO See attached submittal requirements for landscape plans Site Plan:- 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. 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. kA Zoning: 0 0 Additional Comments OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE __________ a PLNCK.FRM City of Carlsbad 92145 Fire Department Bureau of Prevention Plan Review: Requirements Category: Building Plan Check Date of Report:Thursday, July 9, 1992 Reviewed by:(2 . Z~ jI_ Contact Name Richard Marsch Address 2385 Camino Vida Roble Ste 107 City, State Carlsbad CA 92009 Bldg. Dept. No. 92-631 Planning No. Job Name Paul Well, Attorney Job Address 1921 Palomar Oaks Ste. or Bldg. No. 301/ 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. O 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 1st 2nd 3rd Other Agency ID CFDJob# 92145 File#_________ 2560 Orion Way 0 Carlsbad, California 92008 0 (619) 931-2121 COMMERCIAL/INDUSTRIAL APPLICATION FORM FOR INDUSTRIAL WASTE DISCHARGE PERMIT - CITY OF CARLSBAD APPLICATION: NEW____________ BUILDING P.C. NO.:— (CHECK ONE) REVISED__________ APPLICATION NO.: cry.? INDUSTRIAL CLASS:3 / DATE: Signature of City Representative APPLICATION FOR INDUSTRIAL WASTE DISCHARGE PERMIT A. GENERAL: SITE I'3ZI p,I4P APPLICANT:?AJL fri. &EIL ADDRESS: _ pI TYPE OF BUSINESS: afrIci- L,ct,j APPLICANT'S ADDRESS: 14 JgtF. WASTES AND PROCESSING: (Check where applicable) Domestic Waste Only Industrial Waste f- Industrial Waste NOT Discharged to Sewer Discharged to Sewer GENERAL DESCRIPTION OF PSTE (Chemical and Phyoical Characteristics of W proposed waste): _ - V'Z-fVI h41 Wp4t"' IIJ GENERAL DESCRIPTION OF PROCESS (If Applicable):_________________________ C. WASTES T06C DISCHARGED TO SEWER: 3I2 WASTE: TREATED:__ QUANTITY: AVERAGE (Check One) UNTREATED.:. (Daily) MAXIMUM GPD (Gallons Per Day) APPLICANT OR REPRESENTATIVE OF FIRM: I,6IV"LJ! TITLE: JTfl4I SIGNATURE: ,'t.-4,'1 DATE: