HomeMy WebLinkAbout1925 PALOMAR OAKS WAY; 110; CB910943; Permit·, -_,., · Ct!-I~ C/ O .-
07/09/91 09:21
Page _ 1 0,:·f 1
B U I L D· I. N G P E R M 'r T P~rmit· No.: CB910.943
Pro}ect No: A9.101160.
Job Address: 1925 PALOMAR OAKS WY Str:
Development· No:.
** Fl: ***·*· Ste: .110
Permit Type: COMMERCIAL TENANT ·IMPROVEMENT
Parcel No:
3372 07/09/91000101 02 :
Valuation: 46,392
.Cop.struction Type: VN
Occupancy Group: B2
Pe·~cription: 2263 SF OFFICE
.class Code:
. .C··PRMT · 543-00
,is:util>·w ·
. Status :·· ·Al?PROV:SD '
. A:pp:;Liea: 06/19/91
Apr/Issue: ,, 07/-05/91
. Va.lida_teq· Bi,: KZti. . .. · . ,·
Appl/Ow~r : . DALEN, LARRY .. 619:-931-2 6.00:,
1921 PALOMAR OAKS WY #2.0.9
CARLSBAD, CA 9 2 0 Q.9 · -· . ,,. --------,., .
OWNER · OPUS SOU'l"'HWE;:T. COB,1? : ;::.·. /~i :' _/4~~ d>··~ OWNER . .
CONTRACTOR OPUS SOUTHWEST .. co~.p. .'/"\. fi1';:Iil.J3·· 'c~_09951
4742 NORTH 24TH STRE::ET #270 ""\.,\ // ·~
PHOENIX,. AZ .. 856'1&>/ ·: S', ~Cdt . ·.:
*** Fees Required' /*** / ''*'"*:,. · . }:ee's" Cof+.~~te , & Credi ts · .***. ' • "' / , ,•,l, '\, \ \ ; , / \;. . ' .
. r1 • .1 -~~"---.. . ? • l, >1,~~---.:. ~ -\-:-\.~.:.:~ ....... --+ \ -• ' •• ~.
. r ees. .so_o .• o_o._... .. ' /• .. ~ '" -------.... .. ---~;t. \. :)t·~) \; ,.. '
·, Adjustments: , . . ·• Q'O · t_·: :·: ·<\ >:,~:+-9:£~}, Cr~d~J;~: \ . oo
Total Fees: : ._ 80 0. p O ·, ·;~;.J:.ot%:t Payp.,e~~j?,::-1 \ . . . 2 57. O O .
. . · . . , . . . . , . , ·(('' 1/Bala_p:9.lrJ p~J · · j 5 4 3 : O O
' Fe~ de·scription' '. ·. :· ... ;~i~ -~, ._-;(;; um~~ff fee/Oni~ •Ext fee' Dat.a
-,\ -~, -:-·t°l ~r,-:-·tf •',-,lj,~f;;-t---.. -, t -> • " -Building Permit ., , ", ·, ,: ,/.•t/· :). "ct;;jY'j · · { · 395 ,_00
Plan Check . . : \ .. :-. .. \' 1< -;,r·,,.,, / / . 2!;57. oo
.. Strong Motion Fee ·. 1 :, .f '-r ··""' , / . / · 10, 00
. * BUILDING TOTAL . \ · ··:·: '-.'_~ ,·,:r,,':~;"!:i:J / ~":) / 662.-00
Enter 11 Y" for Plumbing l:s.sue,, .,Fee'-.) · ___ ,,,.,..,-·· (,·\', \( / N
· . Enter II Y" for E.lectric'-Jssu~· F:¢e,, .> . ,-;:,,· ,::;\ \') ,, // ' .5. 00· Y
Three Phase Per AMP · .• · . / ,i'f:. \Yi ~o-· · ,,/ , . 50. 1-00. oo * EL·E_CTRICAL TOTAL ( $10 Mi'ni.inum}i · 1 ,, '· ~') ..,./ 10-:5. 00
Enter 1 Y' for Mechanical Issi.re. ,fee> _.... .. ,._..,.·· 15. O O Y
Install· ·Furn/Ducts · > · ---.-· · 2 9. 00 ·1a. 00
· * MECH1\N1CAL TOTAL .33, '00
CITY OF CARL$BAD
2075 i.as Palm.as Dr., Carlsbad 'CA 92009 (6l9) 438=-lt61
PERMIT APPUCATION
City of Carlsbad Building Department
2075 Las Pal11111s Dr., Carlsbad, CA 92009 (619) 438-1161
1. PRRM.lt l"YPR
A -0 Commercial tl New Bmldmg :){tenant Improvement
B -D Industrial D New Building D Tenant Improvement
. C -D Residential D Apartment D Condo D Single Family Dwelling D.Addition/ Alteration
D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing
DMechanical DPool D Spa DRetainingWall DSolar DOther_-.-__ _
PLAN CHECK NO.
C-H~MT
2. PROJECT INFORMATION FOR OfF[CE USE ONLY
ress 1q20P~ Nearest Cross Street
mt o.
cH£cR-B£WW IF SOBMII till: ~ Energy Cales D 2 Structural Cales D 2 Soils Report a 1 Addr~ Envelope
ASSESSOR'S PARCEL
DESCRIPTION OF WORK
EXISTING USE E:Jv;U PROPOSED USE O E:PZZ£e: 1
SQ. FT. /)1,~~ "'of:
~e+~pp1can ADDRESS
STATE
NAME_ L~ J. 0,AJ..e.J
CITY ~~f3 STATE c;....
L.~i-(1-aA~ UJA'f -ti;~
'/').ot)i:'J DAY TI;:LEPHONE -'2.(//att)
. NAME ~ ~ ~. ADDRESS 't121 f~f>{l--~ UJ,A"'( ~Orf" t? 1P~
CITY~ STATE~-ZIP CODE °[~64, DAYTELEl,'HONE :1 ~[ -'2.v,,4Jt}
STATE
Vl~ foM-
DAY TELEPHONE STATE LIC. # c::,/4cl14t
Workers' compensation beclarauon: I hereby afhrm that I have a cert1hcate of consent to self-msure issued by the Director of Industnal
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
cerohcate of Exempnon:· I certify that m the performance of the work for which this permit 1s issued, I shall not employ· any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
s. oWNER-BOn:nmt DECLARATION
owner-Builder Oeclarauon: I hereby afhrm that I am exempt from the Contracto?s Llcense.Law for the followmg reason:
D 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 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 saJe. 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(s) 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
COMPLETE 'mis SECTION FOR NON-RESIDENTIAL BOitblNG 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 Sectioni5505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
DYES NO
Is the. applicant or future building nt required to obtain a permit from the air pollution control district or air quality management dis.trict?
DYES NO
Is the facility to be constructed wit~l 000 feet of the outer boundary of a school site?
DYES NO
IF ANY OF TIIE ANSWERS ARE YES, AL CER11FICATE OF OCDJPANCY MAY Nor BE ISSUED AFTER JULY 1, 1989 UNLESS TIIE APPUCANT
HAS MET OR IS MEETING TIIE REQUJREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POILlfllON CON1ROL DISIRICT.
9. illNSIRUCIION LENDING .AGENCY . .
I hereby afhrm that there IS a construction lendmg agency for the performance' of the work tor whtch thts permit IS issued (Sec 3097(1) CIVIi code).
LENDER'S NAME LENDER'S ADDRESS
10. APPUcAfIT CElt.'lffic.:Ai1oN
I certify th<1t I ha~e read the apphcauon and state that the above mformauon 1.s correct. I agree to comply wttn all City ordmances anct :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 AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMIJ1.SS TIIE Cl'IY OF CARISBAD AGAINSf ALL UABIUTIES, JUDGMENTS, CDSfS
AND EXPENSES WHICH MAY IN ANY WAY .M:Dl.UE AGAINSf SAID Cl'IY IN CONSF.QUENCE OF TIIE GRAN11NG OF 11IlS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" 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).
~=ATURE ~ ~ ~-wfm'E: File YELLOW: Applicant PINK: Finance
DATE: ______ _
PERMIT# CB910943
DESC~TPTION:-2263 SF OFFICE
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 08/15/91
TYPE: CTI
JOB ADDRESS: 1925 PALOMAR OAKS WY
APPLICANT: DALEN, LARRY
CONTRACTOR: OPUS SOUTHWEST CORP
OWNER: OPUS SOUTHWEST CORP
PHONE:
PHONE:
PHONE:
INSPECTOR AREA MC
PLANCK# CB910943
OCC GRP
CONSTR. TYPE VN
STR:** FL:**** STE: 110
619-931-2600
602-468-7000
REMARKS: MH/DAVE/438-3441 INSPECTOR ~ff[/ -'----1-7-,f-'--------,... SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--PERMIT# TYPE
C0910124 COFO
STATUS
ISSUED
CD LVL DESCRIPTION ACT COMMENTS
19 ST Final structural _/& ~ f,t/2S. C/<7~ I JY?/57~ f'
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical @aJJ/pre ~ r;vµ;c.c;o.
*
/'J?A)NIJ~C()?-!P?LCPMer 0~
---------"---------------. . ------~-------------. . . --------------------
***** INSPECTION HISTORY*****
DATE
072391
07239i
072391
072391
072"391
071791
071591
071591
071591
DESCRIPTION
Frame/Steel/Bolting/Welding
Frame/Steel/Bolting/Welding
Rough Electric
Rough/Ducts/Dampers
Rough/Topout
Interior Lath/Drywall
Frame/Steel/Bolting/Welding
Rough/Topout
Rough Electric
ACT
PA
PA
PA
'PA
PA
PA
PA
AP
PA
INSP
MPC
MPC
MPC
MPC
MPC
MPC.
MPC
MPC
MPC
COMMENTS
CEILING GRID
CE!LING GRID SYSTEMS
LIGHT FIXTURES
A/C REGISTERS
A/C CONDENSATES
WALLS
WALLS/NDS KICKERS PER DET
WASTE & H20
WALLS
FINAL BUILDING INSPECTION Rl!CEIVED AUG 1 6 1991
DEPT: BUILDING ENGINEERING~ PLANNING U/M WATER
PLAN CHECK#: CB910943
PERMIT#: CB9i0943
PROJECT NAME: 2263 SF OFFICE
ADDRESS: 1925 PALOMAR OAKS WY SUITE# 110
CONTACT PERSON/PHONE#: MH/DAVE/438-3441 PM PLEASE
SEWER DIST: WATER DIST:
DATE: 08/14/91
PERMIT TYPE: CTI
=== === ================================, ====== =======1 ==================
INSPECTED DATE
BY: M. A~ .. : INSPECTED: Y-IS-<il APPROVED _ DISAPPROVED_
INSPECTED
BY:
INSPECTED
I.3Y:
COMMENTS:
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED DISAPPROVED
APPROVED DISAPPROVED
DATE:
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123 ~
(619) 560-1468 :·;_
JURISDICTION: cfrt? t...S i3-4.0
:,, -~43
l)APPLI= cgJuRrsDicTr
j PLAN C:FlECtt ·
,J
PLAN CHECK NO: SET: :0:., ',
QFILE COPY
CUPS
C,DESIGNER
PROJECT ADDRESS: l~:z_5" ?~,_o'!".)A-(<... Oe'r;;..:, (.J~t:{
PROJECT NAME: _____ S-u.....,_,:::r::'s;:~--___,_\~l~Q-------~·---
D
D
0
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 shoul"d 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
jurisdiction to return to the applic~nt contact person.
The applicant's copy of the check list has been sent to:
~ Esgil staff did not advise the applicant contact person that
plan check has been completed.
0 Esgil staff did advise applicant that the plan check has
-been completed. Person contacted: ____________ _
Date contacted: ---------Telephone# --------0 REMARKS: ________________________ _
--/'"' .,. -By: .:J,\V\ t., I l-$ HI ~l'\.J Enclosures: 'tiwu ..s --------------ESGIL CORPORATION
CJGA
----,
:._JJl.A ODM
DATE:
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619) 560-1468
~APPLI~ ·JuRrsDICTI
JURISD.ICTION: 0 PLAN CHECKER
QFILE COPY
QUPS
riDESIGNER
PLAN CHECK NO: ~ \ -~ 4 ~ SET: I".
--~.J
PROJECT NAME: ___ 'S=-:u~1:t::§.....,,.~'--~ll~~-----------
D
D
The plans transmitted herewith have been corrected where
necessary and substantially comply with the jurisdiction's
building codes.
The. plans transmitted her~w-.i th will substantially comply
with the jurisdiction's building codes when _minor deficien-
cies identified _____________ are resolved and
checked by building department staff.
D The plans transmitted herewith have significant deficiencies
identified on the .enclosed check list -and should be corrected
and resubmitted fo-r 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.
n 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:
:p{rri1Y -Coc,lc:::_ !/3oB lorl/ri;;n-:::.
®-1 Esgil staff did not advise ~he applicant contact person that
"' plan check has been complete<;, 6>1¼=-'2. -n+A-N. fv:-.4,,_,t-J.b,.
0 Esgil staff did advise applicant that the plan check has
_, bee-n completed. Person contacted:. ~------------
Date contacted: ---------Telephone# --------0 REMARKS: ___________ _,_ _______________ _
-By ::J \V\/\ (;,L--S\J-, f'lrV Enclosures:--=-'-\!t~~-'=/i~i~\~\ _____ _
ESGIL CORPORATION
OGA . DAA ORN OoM C(Z4
. i
JURISDICTION: C~t-~13 !3:Q Date plans received by plan checker:_~ __ \._"2.._4:....,). .... 9 .... I __ _
PLAN CHECK NO.: 5\-~~::> Date plan check completed: (oj'Z-J/ql By:_$ ___ , ..... ".\1 ______ _
PROJECT ADDRESS: / 9 "2..-5 PA-L.-C YV) '141"2. 0 ~£ W"r':(
TO: 'S; Q'""\;; l\ 0
PLAN CORRECTION SHEET
FOREWORD: PLEASE READ
Plan check is limited to 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 disabled .access-. The plan check is based on regulations enforced
by the Building Inspection Department. You may have other corrections based on laws and ordinances
enforced by the Planning Department, Engineering Department or other departments.
The items shown below need clarification, modification or change. All items have to be satisfied
before the plans will be in conformance with the cited codes and regulations. Per Sec. 3O3(c), of
the Uniform Building Code, the approval of the plans does not per'!llit the violation of any state,
county or city law.
A.~
([!)
I
Pl~se make all corrections on the original'
tracings and submit two new sets of prints,
and any original plan sets that may have been
returned to you by the jurisdiction, to:
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
'
To facilitate checking, please identify, next
to each item, the sheet of the plans upon
which each correction on this sheet has been
made and return this check sheet with the
revised plans. ·
\-f:V ft:L
Form No. PCS.4139O
and where they are located on the plans.
Have changes been made to the plans not
resulting from this correction list? Please
check.
_____ Y.es ______ No
-?
'
Jurisdiction C ~.a.t..S'3'4Q Date, CR[~1,~I
Prepared by,
~W\ VALUATION AND PLAN CHECK FEE
a Bldg. Dept.
D Esgil
PLAN CHECK NO, __ ~..._\_--~-+ .... ?;,_
BUILDING ADDRESS \'3,~S-t'l'h-owt A-~ 014-ics-Wtb:f
APPLICANT/CONTACT f;o\3 uJt L.1.-l 'AY'.-1. s. PHONE NO. ::f: ::i6 '5 I :3 \ •
BUILDING OCCUPANCY e-e. c-r, , ,) nEsraNER PHONE __ ,_, __ _
TYPE OF CONSTRUCTION V-N CONTRACTOR PHONE -----
BUILDING PORTION BUILDING AREA -VALUATION VALUE
MULTIPLIER
'Ann (') ~II' .r:::: Z~G:.?:> ~.I ~C) I i:50 -4-(,c,:B~ l -
I .
.
Air Conditionine:
Comme;i:-cial ..
@ ..
Residential @
Res. or Comm.
Fire Snrinklers @
To t·al Value -4{;/ 0~;° 1
Building Permit fee $
Plan Check f ee----.:1S:.,__ __ .:2~s-~-=--' 7 __ ~ _________ __:.._$ _____ _
COMMENTS._:-----------------------------
SHEET OF --12/87
~ (/)
0:
£)_
<("
1
s
T
2
N
D
3
R
D
C C C
H H H
E E E
K K K
~
100
BUILDING PLANCHECK
ENGINEERING CHECKLIST
DATE: 2-5 JUN9 I
PLANCHECK NO. 9} -r,943
~ ITEM COMPLETE
ITEM INCOMPLETE
NEEDS YOUR ACTION
ITEM SELECTED
PROJECT ID: ______________ _
LEGAL REQUIREMENTS
Site Plan
1.
~DD 2 •
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 dimension setbacks.
show on site plan: Finish floor elevations, pad
to
and
and
ufoo 3.
elevations, elevations of finish grade adjacent
building, existing topographical lines, existing
proposed slopes, driveway with percent (%) grade
drainage patterns.
Provide legal description and Assessors Parcel Number.
5ZJ'oo
Discretionary Approval Compliance
4.
DOD 5 •
DOD 6.
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 Proj,ect No. _________ _
Conditions complied with by: __________ Date: ___ _
NIA . Field Review
DOD 7. Field review completed. No issues raised.
DOD 8. Field review completed. The following issues or
discrepancies with the site plan were found:
DOD A.
DOD B.
ODD c.
P:\DOCS\MISFORMS\FRM0010.DH
Site lacks adequate public improvements
Existing drainage improvements not shown or in
conflict with site plan.
Site is served by overhead power lines.
REV. 02/27/91
\/ )( DODD. Grading is required to access site, create pad or
provide for ultimate street improvement.
ODD E. Site access visibility problems exist. Provide onsite
turnaround or engineered solution to problem.
DOD F. Other: ______ ....;.........,... ________________ _
Dedication Requirements
ufoo 9.
oo·o io.
No dedication required.
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 Buil~ing Permit. The description of
the dedication is as follows: ______ -________ _
Dedication completed, Date __________ _ By: __ _
Improvement Requirements
cz{ DD 11. 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 •
. D D D 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 plancheck process through the Engineering
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: ___ _
P:\DOCS\MISFORMS\FRM0010.DH REV. 02/27/91
r v
~ ODD 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
def err al 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.
DD D 13a.
/ 00D 14.
Future Improvement Agreement completed, Date: _____ _
By: _____ ,,_. __ _,.. __
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
provided on the site plan.
information
D D D 15. Grading Permit required. A separate grading plan prepared
by a registered civil Engineer must be submitted for
separate plan check and approval through the Engineering
Dep~rtment. NOTE: The Grading Permit must be issued and
grading substantially complete and found acceptable to the
city Inspector prior to issuance of Building Permits.
Grading Inspector sign off. Date: _____ ~by: ____ _
Miscellaneous Permits
/ -0D0
DOD
@DD
ODD
,,{_ ·52100
16.
17.
18.
19.
20.
Right-of-Way Permit not required.
Right-of-Way Permit required. A separate Right-of-Way
Permit issued by the Engineering Oepartment is required for the following: ____________________ -___ _
Sewer Permit is not required.
Sewer Permit is required.. A sewer Permit is required
concurrent with Building Penni t issuance. The fee required
is noted below in the fees section.
Industrial Waste Permit is not required.
P:\DOCS\MISFORMS\FRM0010.DH REV. 02/27 /91
i
fDDD 21. Industrial Waste Permit is required. Applicant must
complete Industrial Waste Permit Application Form· and
submit for City approval prior to issuance of a Building
Permits. Permits must be issued prior to occupancy.
Industrial Waster Permit accepted -
Date: __________ By: ________________ _
Fees Reguired
D N/A 21. Park-in-Lieu Fee
Quadrant: _____ Fee per Unit: ______ _
Total Fees: __ _
D N/A-23. Traffic Impact Fee
Fee Per Unit: Total Fee: -----------------
D l\J//-¾ 24. Bridge and Thorough fare Fee Fee Per Unit: ____________ Total Fee: ____ _
D flJ/A 25. Public Facilities Fee required.
D f\J/A 2·6. Facilities Management Fee Zone: ____ Fee: ___ _
D N/A 27. Sewer Fees Permit No. _______ EDU's----
Benefit Area: ___ .....,.. ____ _ Fee: _______ _
D N//1 28. sewer Lateral Required: _____________ _
Fee: _______ _
0 29. REMARKS: ____________________ _
ENGINEERING AUTHORIZATION TO ISSUE PERMIT
BY: s. SC.l-lEvEIJ DATE: 215 .JUN~ I
P:\DOCS\MISFORMS\FRM0010.DH REV. 02/27/91
~ ~ ~
~ I
~ I
QI QI QI ... ... .... co co co Q Q Q
JI I I
>-~ ~ .c ... N I"! 'II: 'II: 'II:
-"" -"" -"" u u u QI QI QI .t= .t= .t= u u u
C: C: C: co co co .... .... ....
Q. Q. Q.
PLANNING CHECKLlSf
Plan Check No. C/k t/l(J Address
Planner fl ,bJ /..p,ltJL..
IC/zr [>iJu,,.,,IJ/L DA?> w;y ~~NP
Phone 438-1161 ext. C{"--5?..3, _ _.;;_ ____ _
(Name)
APN: ----------------------------------
Type of Project and Use ..... co ...... -"""-)l\,,t-M __ ~~l-..... ft ..... "i"' __ -____ _
Zone PM r Facilities Management Zone __ .r ___ _
Legend
[lJ Item Complete
D Item Incomplete -Needs your action
1, 2, 3 Numper in circle indicates plancheck number where deficiency was
identified
Environmental Review Required: YES _ NO a_ 1YPE ___ _
DATE OF COMPLETION:
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval---------,-----------------
Discretionary Action Required: YES _ NO k_ 1YPE __ _
APPROVAIJRESO. NO. __ _ DATE: _____ _
PROJECT NO. -----OTHER RELATED CASES: __________________________ _
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval __ ....__ ____________________ _
e(b O California Coastal Commission Permit Required: YES _ NO~
DATE OF APPROVAL:
San Diego Coast District, 3111 Camino Del Rio South, Suite 200, San Diego, CA. 92108-i725
(619) 521-8036 .
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval ___________ ....,....... ___________ _
~ D Landscape Plan Required: YES_ NO~
See attached submittal requirements for landscape. plans
Site Plan;
1.
2.
&Do 3.
(2(D 0 4.
Zoning:
.woo 1.
I )J77JW'j(,,-
orJ1/
Woo~ 2.
01] D ,v/4 3.
~OD o.l~ 4.
ODD Additional Comments
Provide a fully dimensioned site plan drawn to scale. Show: ~or.h
arrow, property lines, easements, existing and proposed structures.
streets, existing street improvements, right-of-way width ar.d
dimensioned setbacks.
Show on Site Plan: Finish floor elevations, elevations or finish gra(!e
adjacent to building, existing topographical lines, existing and proposec.
slopes and driveway.
Provide legal description of property.
Provide assessor's parcel number.
Setbacks:
Front: Required Shown
rnt. ~ide: Required Shown
Street Side: Required Shown
Rear: Required Shown
Lot coverage: Required Shown
Height: Required Shown
Parking: Spaces Required Shown
Guest Spaces Required Shown
OK TO ISSUE ANO ENTERED APPROVAL INTO COMPUTER I/ lj</vL DATE £:-2-/.-4 I
PLNCK.FRM
--~ ,. ' -· '·f/1· t • 'I
2560 .ORION WAY
CARLSBAD, CA 92008
Citp of <learlibab
FIRE DEPARTMENT
PAGE 1 OF',·r.:1/
j ' ~ -' . t
TELEPHONE " (619) 931-2121 APPROVED
Y.·
DISAPPROVED I
)
PLAN CH ECK REPORT PLAN CHECK# '
C,/-0L/3
PROJECT H r"Y'"l .,€ R ¢ t5L I Ck
ARCHITECT fl /Ci /...IT (~(::OK
OWNER(•iJr .," SDuT]:-l\..VFS,t
-,
ADDRESS \9ZS-1'-'?"\Ln1,v1A,Z DA1<.s t.A.JA'-/ Sic /c·o
. ADDRESS i?t l,)t->U I V tJ 7. PHONE I I ------
ADDRESS --~------PHONE
occuPANcY Bz coNsT. m: ~ ToTALso. FT. _____ STORIES-nhtt:~
't¥-..SPRI N KLERED '¢_ TENANT, IMP. ~2 .... 2_,l.._o=3~---"'S....,.(=,\:"--) ..... +_-.,_I ~-_,O=-.,_F=_.F'--'-1 .,_t' -"'i::.___ _ __:I_S..::..:t_,_/ _ _,_f-'L"'". ""'o.,__,LJ,,_,1"2,_,_ _____ _
__ 1.
__ 2.
__ 3.
~-4.
---.5,
'1.. 6.
APPROVAL OF PLANS IS PREDICATED ON CONFORMING
TO THE FOLLOWING CONDITIONS AND/OR MAKING
THE FOLLOWING CORRECTIO~S:
PLANS, SPECIFICATIONS, AN.D PERMITS
Provide one copy of: floor plan(s); site plan; sheets ----,------------------
Provide two site plans showing the location_ of all existing fire hydrants IJ{ithin 200 feet of the.project,
Provide specifications for the following: .
Permits are required for the installation of all fire protection systems~klets; ~tand pipes, dry chemical, halon,
CO2, alarms, hydrants). Plan must be approved by the fire .department prior to installation.
The business owner shall complete a building informatJon letter and return .it to the fire department.
FIRE PROTECT.ION SYSTEMS AND EQUIPMENT
The following. fire protection systems are required:.
'g_ A_utomatic fire sprinklers (Design Criteria: ~/:=-,:.)..,.<:.._.___._J3,.,c~c....v<.=.,..~l,,.ui-::i:£:c..-4-C-?../...fl_,__--,-,.t_,,3"-------------
0 Dr-y Chemical, Halon, CO2 (Location: -----,--,-~-------------~---,---
.0 Stand Pipes (Type: -----~----~'-----------,----~------
0 Fire Alarm (Type/Location: -------------~----------'------. 'J 7. Fire Extinguisher Requirements: . · . '¢. One 2A rated ABC extinguisher for each Ir()(")/') sq. ft. or portion thereof with a travel distance to the nearest
· __ 8'.
'-1.... 9.
~-10.
__ 11.
extinguisher not to exceed 75 feet of travel. . -
D An extinguisherwith a minimum raffng of ___ to be located:
D Qther:·-,----'-,--------------~-~~---------------
Additional fire hydrant(s) shall be provided--~--~-,,.-----------------
EXITS
Exit-doors shall be openable .frorn the inside without the use of a key or any special knowledg_e or effort.
A sign stating, " This door to rema!n unlocked during business hours" shall _be placed above the main exit.and,
d·oors · · -
EXIT signs (6" x ¾ '' letters) shall be placed over all r~quired exilts and directional signs loc~ted as necessary to
clearly indicate the location of exit doors. ·
GENE,RAL
__ 12. Storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and
hazardous chemicals shall comply with Uniform Fire Code. · ·
_._ 13. Building(s) not approved for high p{led 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,_pla,stics and some flammable liquids. If high stock pil-
ing is to be done, comply with Uniform Fire Code, Article 81. ·
__ 14. Additional Requirements. ------------------------~~---
I A Rt? L/ .:r. j)fU t::.,ll . • I
,:-,,.·,0.-1 ~ $. lt_., · f?r;,q P
I
.CJ_:JDnf3
__ 15. Comply with regulatiOns on attached sheet(s).
P;an Examiner~~ .... I
Dale~(,.c.._,-+/_7"---"-1_./-/ ...,_/_r'--!--}-+/ ___ _
I ' t t
. R~port mailed to architect ___ Met-with -----"----~--....:."---__ Attach to Plans
' <·< •• 1
COMMERCIAL/INDUSTRIAL
APPLICATION FORM FOR INDUSTRIAL WASTE DISCHARGE PERMIT
CITY Of CARLSBAD
APPLICATION: NEW X -----(CHECK ONE) REVISED ----
BY =-~-------,,,.¥----\,) _____ '2....,.9&:;'U)-.-----
S~ City Representative
BUILDING P.C. NO.:~
APPLICATION NO.: S4lo
INDUSTRIAL CLASS: .51 -----DATE: &.·ZS·j I
APPLICATION FOR INDUSTRIAL W~STE DISCHARGE PERMIT
A. GENERAL:
SITE
APPLICANT: $)?' ~ ?42e. ADDRESS: {Cf'2.e, tJ~JiZ-~ {J.)p.'f
---+-t"-:::;(Xf t!1' llb TYPE OF BUSINESS: ____ Clf[....,.. __ {;G ___________________ _
APPLICANT'S ADDRESS: {112[ f~~ Wfo-'( :::5{J[(tr '2t7°l
B. WASTES AND PROCESSING:
1gJ Domestic Waste Only
(Check where applicable)
1-1 Industrial Waste 1:1 Industrial Waste NOT
-Discharged to Sewer Discharged to Sewer
GENERAL DESCRIPTION OF WASTE (Chemical and Physical Characteristics of
proposed waste): /).if,~ .:S-f. M:W
GENERAL DESCRIPTION OF PROCESS (If Applicable): -----------
C. WASTES TO BE DISCHARGED TO SEWER:
WASTE:
(Check One)
TREATED: UNTREATE_D_: .... .,...,.(:-QUANTITY: AVERAGE 1-~-s,f"'.. GPO
(Daily) MAXIMUM 4~£. GPO
(Gallonser Day)
APPLICANT OR REPRESENTATIVE OF FIRM: Lftf:r :J · 0~470
. 1 (Print)
TITLE: ~eq: ctffAlN
SIGNATURE; ~ DATE~ 1itn1