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Home My WebLink About1950 CAMINO VIDA ROBLE; 210; CB101432; Permit08-31-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB101432 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 1950 CAMINO VIDA ROBLE CBAD St: 210 Tl Sub Type: INDUST 2120931200 Lot#: 0 $160,650.00 Construction Type: 5B ' Reference #: JITTERBUG- CREATE NEW OFFICE- SUITE 210- USING 1/2 OF 2ND FLOOR MEZZANINE- 4 Applicant: BURGER CONSTRUCTION STE 100 420 STEVENS AVE SOLANA BEACH CA 92075 858-755-1800 Owner: CARLSBAD CC C/0 MATTHEW 10188 TELESIS SAN DIEGO CA Status: Applied: Entered By: Plan Approved: ,590 SF Issued: Inspect Area: Plan Check#: LP JROOT CT #222 92121 ISSUED 08/02/2010 RMA 08/31/2010 08^31/2010 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'l Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee Fire Expedited Plan Review $867.97 Meter Size $0.00 Add'l Reel. Water Con. Fee $564.18 Meter Fee $0.00 SDCWA Fee $0.00 CFD Payoff Fee $33.74 PFF (3105540) $0.00 PFF (4305540) $0.00 License Tax (3104193) $0.00 License Tax (4304193) $0.00 Traffic Impact Fee (3105541) $0.00 Traffic Impact Fee (4305541) $0.00 PLUMBING TOTAL $0.00 ELECTRICAL TOTAL $0.00 MECHANICAL TOTAL $0.00 Master Drainage Fee Sewer Fee $0.00 Redev Parking Fee $0.00 Additional Fees $4.00 HMP Fee $362.50 TOTAL PERMIT FEES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $34.00 $100.00 $24.00 $0.00 $0.00 $0.00 $0.00 $1,990.39 Total Fees:$ 1,990.39 Tota I Paym ents To Date:$1,990.39 Balance Due:$0.00 Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE thai approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. Plan Check No.Building Permit Application 1635 Faraday Ava, Carisbad, CA 9200B 760-602-2717 /2718 /2719 Fax 760-602-8668 A .n l\ Plan Ck, DepositCARLSBAD JOBJftDRESS - • •• < - s ' :; ': f To S^sip^ce" 4^6 "^nc HtettiBfeBfifc1!:-; • lleiMt * •Hi.vilrt/s 'Ha/i&f tiaetw, • • - < ••"• •!-PrifayHa. "7'to f^i fi ig.(^ 1 9 3 ^l^r^lsl!^ll«(IJsMlBOt8n^%«^p6lTOnh8nJmslB8rt08«loWcoroo!ub)^to^eVVol)^ere'ColT1pln5^(^onlays<rf Md Ifutl lutJnUn wiploytrlo ertmli»l ptntKlM tnd civil <in«« «p<« mw hmdatf taiMul dollsit (t1M,«Wl, In5 olftis Uborcode, InUrtrt «n t jUomey's hot.! u)dl(lMittjB»Mt(of{oiiipinlilIgii,d«itu;u ; ^w-wniRACTORStONATURB 1^ [iriiJscljSMrTtoli Bus'i'ista'il Ptofasitatt GtxfIbarart ponnnt lo ft«0«We»ft U»M» lew). K-Tta CtniiijcUr1; Uc«no U« fe»; TO! appy lo an ownM 0) 1.1 hive ouuncutfvfti the tDkmtitj pwson (Mi} to pronto to prevail constotlim (iitiidt ntm»tddr«« /p*a\s MiatlOK'Dcmse reimb«|: 'MBR8EHCY SERVICES ANDTHEWRPOLUmOU COHTRQL DISTRICT, KUifefylxmitemabii&n^lMtonlhmiMMri^traiUwrf ,wtos*?ro8n8tsiTNN!(i«W Qrts DH»"toiS IKS AWUCANT HttMET «J (5 ME6IIHO WERGQUHtEMEUTS Of fflB WF1«OF fi j .yr 'j.: :--?: ••. •; ;.;•;.UtiftrtA4*»w;;-.{;.!.:!!!-:;';.' lllj-.. .!.. ; . ' • i ,, Mr. i • :. W {M8ti^^^ ^ City of Carlsbad Bldg Inspection Request For: 10/01/2010 Permits CB101432 Title: JITTERBUG- CREATE NEW OFFICE- Inspector Assignment: TP Description: SUITE 210- USING 1/2 OF 2ND FLOOR MEZZANINE- 4,590 SF OFF TO OFFICE 1950 CAMINO VIDAROBLE 210 Lot: 0 Type:TI Job Address: Suite: Location: APPLICANT BURGER CONSTRUCTION Owner: CARLSBAD CC L P Remarks: Sub Type: INDUST Phone: 6192477245 Inspector: Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By: JOHN Entered By: JANEAN Act Comments Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Date 09/30/2010 09/23/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/15/2010 09/03/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 Inspection History Description 89 89 14 24 34 44 84 17 14 24 34 44 Final Combo Final Combo Frame/Steel/Bolting/Welding Rough/Topout Rough Electric Rough/Ducts/Dampers Rough Combo Interior Lath/Drywall Frame/Steel/Bolting/Welding Rough/Topout Rough Electric Rough/Ducts/Dampers Act CA CO AP AP AP AP CO AP AP AP AP we Insp TP TP TP TP TP TP TP TP TP TP TP TP Comments RESCH FOR 10-1 T- CEIL GRID CLNG LITES RE-LOC DUCTS T-CEIL EXIST UNTIS City of Carlsbad 1O-1432 8/25/10 EsGil Corporation 7n (Partnership witH government for (Building Safety DATE: 8/25/10 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 1O-1432 SET. II PROJECT ADDRESS: 1950 Camino Vida Robles PROJECT NAME: Jitterbug - TI APPLICANT 'JURIS?' 'REVIEWER a FILE The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. X] 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: XI 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: Telephone #: Date contacted: (by: ) / Fax #: Mail Telephone Fax In Person f\ REMARKS: A. The plan revision not plans from EsGil must be ma 2nd set of plans. B. Sheet P-1 into the current city set of, By: Chuck Mendenhall EsGil Corporation D GA D EJ D PC jded in red on sheet TI1.2.2 of the approved fet current city set of plans to make an approved [r«m the original city set of plans must be incorporated &t\> make a complete approved 2nd set of plans. M /Enclosures: 8/23/10 EsGil Corporation In (Partnership with government for (Building Safety DATE: 8/12/10 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 10-1432 SET: I PROJECT ADDRESS: 1950 Camino Vida Robles PROJECT NAME: Jitterbug - TI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. The plans transmitted herewith will substantially comply with the jurisdiction's 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. X3 The applicant's copy of the check list has been sent to: Hurkes Harris Design /Kara Heine 1510 Front Street Suite 300, San Diego, CA 92101 Esgil Corporation staff did not advise the applicant that the plan check has been completed. XJ Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted^ Kara Heine Telephone #: 619-702-0380 Date contactedfr(t° Ifr&ft&h Fax #: 619-702-0383 Mail Y Telephone Fax \/ In Person REMARKS: By: Doug Moody Enclosures: EsGil Corporation D GA D EJ D PC 8/5/10 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 +'(858)560-1468 4 Fax (858) 560-1576 City of Carlsbad 10-1432 8/12/10 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: 1O-1432 OCCUPANCY: B TYPE OF CONSTRUCTION: VB ALLOWABLE FLOOR AREA: SPRINKLERS?: YES REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 8/2/10 DATE INITIAL PLAN REVIEW COMPLETED: 8/12/1O JURISDICTION: City of Carlsbad USE: Office ACTUAL AREA: 4590sf STORIES: 2 HEIGHT: OCCUPANT LOAD: 59 DATE PLANS RECEIVED BY ESGIL CORPORATION: 8/5/10 PLAN REVIEWER: Doug Moody FOREWORD (PLEASE READ): This plan review is limited to the technical requirements contained in the International 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 2007 CBC, which adopts the 2006 IBC. 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. 105.4 of the 2006 International 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. , City of Carlsbad 1O-1432 8/12/10 Please make all corrections on the original tracings, as requested in the correction list. Submit three sets of plans for commercial/industrial projects (two sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 1. Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring one corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. 1. Please clarify the plans to show if the vertical stair enclosure is 1 hour rated if so show the opening protection (door T2) to be a 1 hour rated door and assembly. 2. Please provide the listing and installation information for the controlled access door hardware showing it to be State Fire Marshall approved components of the egress system. 3. Please revise the LTG-1C part 4 of 4 form to show the lighting control panel. 4. Occupancy sensors are required for the following room types: Offices 250 square feet and smaller, multipurpose rooms less than 1,000 square feet, and classrooms and conference rooms of any size. Please add to training room 208. Note : When alterations, structural repairs or modifications or additions are made to an existing building, that building, or portion of the building affected, is required to comply with all of the requirements for new buildings, per Section 1134B.2. These requirements apply as follows: a) Existing sanitary facilities that serve the remodeled area must be shown to comply with all accessibility features. 5. It is unclear from the plans if the restrooms servicing the tenant improvement are disabled accessible, please provide a dimensioned restroom plans showing the restroom to be accessible compliant. 6. Please revise the plans to show the non-commercial kitchen sink in the employee staff room to provide the following: a) The clear space shall extend a maximum of 19" underneath the sink. b) The accessible sink shall be a maximum of 6 Yz deep. c) Hot water and drain shall be insulated. d) There shall be no sharp or abrasive surfaces under sinks. . City of Carlsbad 10-1432 8/12/10 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. 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 a The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Doug Moody at Esgil Corporation. Thank you. City of Carlsbad 1O-1432 8/12/1O [DO NOT PAY- THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK NO.: 10-1432 PREPARED BY: Doug Moody DATE: 8/12/10 BUILDING ADDRESS: 1950 Camino Vida Robles BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: VB BUILDING PORTION Tl Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code AREA ( Sq. Ft.) 4590 cb RIHn PArmif FPP hu OrHinsnna ^F Valuation Multiplier 34.37 By Ordinance Reg. Mod. VALUE ($) 157,758 157,758 $857.05 Plan Check Fee by Ordinance Type of Review: I I Repetitive Fee Repeats Complete Review D Other i—i Hourly EsGil Fee Structural Only Hr. $557.08 $479.95 Comments: Sheet 1 of 1 macvalue.doc + PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB/tf - ADDRESS DATE RESIDENTIAL RESIDENTIAL ADDITION MINOR « $17,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER ENGINEER DATE DATE Docs/Misforms/Planning Engineering Approvals CITY OF CARLSBAD STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov am applying to the City of Carlsbad for the following type(s) of construction permit: Building Permit Q Right-of-Way Permit O My project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types: Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria pf My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because ^ it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tierl • Low Threat Assessment Criteria Q My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 - Moderate Threat Assessment Criteria Q My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Tier 3 - Significant Threat Assessment Criteria O My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or Q My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, U My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). / certify to the best of my knowledge that the above checked statements are true and correct. I understand and acknowledge mat even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to We 15 of me Carlsbad Municipal Code and to City Standards. The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. B-24 Owner/Owner's Authorized Agent Name:' Page 1 of 1 Rev.03/09 CITY OF STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Engineering Department 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov SECTION 1 NEW DEVELOPMENT PRIORITY PROJECT TYPE Does you project meet one or more of the following criteria:YES NO 1. Housing subdivisions of 10 or more dwelling units. Examples: single family homes, multi-family homes, condominium and apartments 2. Commercial- greater than 1-acre. Any development other than heavy industry or residential. Examples: hospitals; laboratories and other medical facilities; educational institutions; recreational facilities; municipal facilities; commercial nurseries; multi-apartment buildings; car wash facilities; mini-malls and other business complexes; shopping malls; hotels; office buildings; public warehouses; automotive dealerships; airfields; and other light industrial facilities. 3. Heavy Industrial / Industry- greater than 1 acre. Examples: manufacturing plants, food processing plants, metal working facilities, printing plants, and fleet storage areas (bus, truck, etc.). 4. Automotive repair shoo. A facility categorized in any one of Standard Industrial Classification (SIC) codes 5013, 5014, 5541, 7532-7534, and 7536-7539 Restaurants. Any facility that sells prepared foods and drinks for consumption, including stationary lunch counters and refreshment stands selling prepared foods and drinks for immediate consumption (SIC code 5812), where the land area for development is greater than 5,000 square feet. Restaurants where land development is less than 5,000 square feet shall meet all SUSMP requirements except for structural treatment BMP and numeric sizing criteria requirements and hydromodification requirements. e. Hillside development. Any development that creates 5,000 square feet of impervious surface and is located in an area with known erosive soil conditions, where the development will grade on any natural slope that is twenty-five percent (25%) or greater. 7. Environmentally Sensitive Area (ESA)1. All development located within or directly adjacent2 to or discharging directly3 to an ESA (where discharges from the development or redevelopment will enter receiving waters within the ESA), which either creates 2,500 square feet of impervious surface on a proposed project site or increases the area of irnperviousness of a proposed project site to 10% or more of its naturally occurring condition.X 8. Parking lot. Area of 5,000 square feet or more, or with 15 or more parking spaces, and potentially exposed to urban runoff 9. Streets, roads, highways, and freeways. Any paved surface that is 5,000 square feet or greater used for the transportation of automobiles, trucks, motorcycles, and other vehicles 10. Retail Gasoline Outlets. Serving more than 100 vehicles per day and greater than 5,000 square feet 11. Coastal Development Zone. Any project located within 200 feet of the Pacific Ocean and (1) creates more than 2500 square feet of impermeable surface or (2) increases impermeable surface on property by more than 10%. 12. More than 1-acre of disturbance. Project results in the disturbance of more than 1-acre or more of land and is considered a Pollutant-generating Development Project4. 1 Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas designated as Areas of Special Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); areas designated as preserves or their equivalent under the Multi Species Conservation Program within the Cities and County of San Diego; and any other equivalent environmentally sensitive areas which have been identified by the Copermittees. 2 "Directly adjacent" means situated within 200 feet of the Environmentally Sensitive Area. 3 "Discharging directly to" means outflow from a drainage conveyance system that is composed entirely of flows from the subject development or redevelopment site, and not commingled with flow from adjacent lands. 4 Pollutant-generating Development Projects are those projects that generate pollutants at levels greater than background levels. In general, these include all projects that contribute to an exceedance to an impaired water body or which create new impervious surfaces greater than 5000 square feet and/or introduce new landscaping areas that require routine use of fertilizers and pesticides. In most cases linear pathway projects that are for infrequent vehicle use, such as emergency or maintenance access, or for pedestrian or bicycle use, are not considered Pollutant-generating Development Projects if they are built with pervious surfaces or if they sheet flow to surrounding pervious surfaces. Section 1 Results: .If you answered YES to ANY of the questions above your project is subject to Priority Development Project requirements. Please check the "meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3. A Storm Water Management Plan, prepared in accordance with City Storm Water Standards, must be submitted at time of application. If you answered NO to ALL of the questions above, then your project is subject to Standard Stormwater Requirements. Please check the "does not meet POP requirements" box in Section 3. E-34 Page 2 of 3 REV 3/23/10 CITY OF STORM WATER STANDARDS QUESTIONNAIRE E-34 DevelopmentServices Engineering Department 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov SECTION 2 SIGNIFICANT REDEVELOPMENT Complete the questions below regarding your redevelopment project: 1 . Project results in the disturbance of more than 1 -acre or more of land and is considered a Pollutant-generating Development Project (see definition in Section 1). YES NO, If you answered NO, please proceed to question 2. If you answered YES, then you ARE a significant redevelopment and you ARE subject to PRIORITY DEVELOPMENT PROJECT requirements. Please check the "meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3 below. 2. Is the project redeveloping an existing priority project type? (Priority projects are defined in Section 1 ) If you answered YES, please proceed to question 3. If you answered NO, then you ARE NOT a significant redevelopment and your project is subject to STANDARD STORMWATER REQUIREMENTS. Please check the "does not meet POP requirements" box in Section 3 below. 3. Is the project solely limited to just one of the following: a. Trenching and resurfacing associated with utility work? b. Resurfacing and reconfiguring existing surface parking lots? c. New sidewalk construction, pedestrian ramps, or bike lane on public and/or private existing roads? d. Replacement of existing damaged pavement? If you answered NO to ALL of the questions, then proceed to question 4. If you answered YES to ANY of the questions then you ARE NOT a significant redevelopment and your project is subject to Standard Stormwater Requirements. Please check the "does not meet POP requirements" box in Section 3 below. 4. Will your redevelopment project create, replace, or add at least 5,000 square feet of impervious surfaces on an existing development or, be located within 200 feet of the Pacific Ocean and (1)create more than 2500 square feet of impermeable surface or (2) increases impermeable surface on the property by more than 10%? If you answered YES, you ARE a significant redevelopment, and you ARE subject to PRIORITY DEVELOPMENT PROJECT requirements. Please check the "meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3 below. If you answered NO, then you ARE NOT a significant redevelopment and your project is subject to STANDARD STORMWATER REQUIREMENTS. Please check the "does not meet POP requirements" box in Section 3 below. SECTION 3 Questionnaire Results: My project meets PRIORITY DEVELOPMENT PROJECT (POP) requirements and must comply with additional Stormwater criteria per the SUSMP and must prepare a Storm Water Management Plan for submittal at time of application. My project does not meet POP requirements and must only comply with STANDARD STORMWATER REQUIREMENTS per the SUSMP. Applicant Information and Signature Box This Box for City Use Only Address:. G/WUvte Vila. Applicant Name: Assessor's Parcel Number(s): Applicant Title: Date: 7 City Concurrence:/')YES By: Date: Project ID: E-34 Page 3 of 3 REV 3/23/10 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB101432 DATE 8/2/10 ADDRESS 1950 CAMINO VIDA ROBLE #210 RESIDENTIAL ADDITION- MINOR (<17,000.00) RETAINING WALL VILLAGE FAIRE POOL/SPA TENANT IMPROVEMENT COMPLETE OFFICE BUILDING OTHER BUSINESS LICENSE STATES THAT THIS IS AN OFFICE ONLY USE-NO RETAIL PLANNER GINA RUIZ DATE 8/2/10 ENGINEER DATE H:\ADMIN\COUNTEE/PUNNING/ENGINEEHINC APPROVALS SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY UPFP# HV# BP DATE Business Name usiness Contact 3 Telephone #^ ^(**!% £506 Project Add /a City Mailing Address ., i Citv £/". <5t>_:?:2£- te Zip Code APN# LJLj~ht MIiCL State Zip Code A Plan Fi!e# The following questions represent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT - HAZARDOUS MATERIALS 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 circled, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. 5. Organic Peroxides 9. 6. Oxidizers 10. 7. Pyrophorics 11. 8. Unstable Reactives 12. 1. Explosive or Blasting Agents 2. Compressed Gases 3. Flammable/Combustible Liquids 4. Flammable Solids Water Reactives Cryogenics Highly Toxic or Toxic Materials Radioactives 13. Corrosives 14. Other Health Hazards 15. None of These. PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH - HAZARDOUS MATERIALS DIVISIONS (HMD): If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 1255 Imperial Avenue, 3IU floor, San Diego, CA 92101. Call (619) 338-2222 prior to the issuance of a building permit. FEES ARE REQUIRED. Expected Date of Occupancy: / / YES 1. D 2. D 3. D 4. D 5. D 6. D NC> [ZLf Is your business listed on the reverse side of this form? (check all that apply). 0/ Will your business dispose of Hazardous Substances or Medical Waste in any amount? \7 Will your business store or handle Hazardous Substances in quantities equal to or greater than i 55 gallons, 500 pounds, 200 cubic feet, or carcinogens/reproductive toxins in any quantity? \~fl~ Will your business use an existing or install an underground storage tank? GL Will your business store or handle Regulated Substances (CalARP)? ja Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? D CalARP Exempt / Date Initials D CalARP Required / Date Initials D CalARP Complete / Date Initials PART III: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT: If the answer to any of the questions below is yes, applicant must contact the Air Pollution Control District (APCD), 10124 Old Grove Road, San Diego, CA 92131-1649, telephone (858) 586-2600 prior to the issuance of a building or demolition permit. Note: if the answer to questions 3 or 4 is yes, applicant must also submit an asbestos notification form to the APCD at least 10 working days prior to commencing demolition or renovation, except demolition_pjrxenoYatiQn of residential structures of four units or less. Contact the APCD for more information. 1. YESn 2. D 3. 4. D D tf Ds Will there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos? [2 Will there be demolition involving the removal of a load supporting structural member? Will the subject facility or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the APCD factsheet at http://www.sdapcd.org/info/facts/permits.pdf. and the list of typical equipment requiring an APCD permit on the reverse side of this from. Contact APCD if you have any questions). (ANSWER ONLY IF QUESTION 1 IS YES) Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)? (Public and private schools may be found after search of the California School Directory at http://www.cde.ca.aov/re/sd/: or contact the appropriate school district). Briefly describe business activities:Briefly describ&proposed project:&JL(Lu<ji I declare under (fenaltwoioeriurv thafe#li&Cbest qf my knowledge and belief the responses majle-herein^ l^/xyirpi \A;4JLM^- (-Vu^Jle-Lo Hcurri s De^HAfv _ y^^ Name of owner tif Authorized Agent Signature of Ownef or Authorized Agent and correct. Date FOR OFFICIAL USE ONLY:FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:. DATE: EXEMPT OR NO FURTHER INFORMATION REQUIRED COUNTY-HMD APCD RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY COUNTY-HMD APCD RELEASED FOR OCCUPANCY COUNTY-HMD APCD HM-9171C04/07)County of San Diego - DEH - Hazardous Materials Division Check a License - Contractors State License Board Page 1 of2 Of Contractors oard Contractor's License Detail - License # 504587 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. ••» CSLB complaint disclosure is restricted by law (B&P 7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. ••» Per B&E1QZU1, only construction related civil judgments reported to the CSLB are disclosed. ~» Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. ••» Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number 504587 Extract Date: 8/2/2010 ~~~"" ~ ^lA^E^OPiRfYSYsfiivKT^dba BURGER CONSTRUCTION AND PROPERTY SERVICES Business Information 420 STEVENS AVENUE SUITE 100 SOLANA BEACH, CA 92075 Business Phor^Nujjiber:(858|^5-|80p _ Entity: __Corp_oratipn Jssue_Dat£ ZH_J1^1§^.1_, _ZZI I1.....1 ~ ,JL,,_J I ~ ~ .ReJssueDate ll/13/19?j> , _ JxplreJDate_ _ __ .„"„. JL!^W?01J IIIL „. LJ License status This license is current and active. All information below should be reviewed. _Add[tional_Status: _ CLASS DESCRIPTIONClassifications: _B G£NERALBn!IDjNS..CQNIRACIQR. CONTRACTOR'S BOND This license filed Contractor's Bond number BD7900603492 in the amount of $12,500 with the bonding company NM!Q.NMDEMUIUALiNmRANCE.CQMPANY. Effective Date: 01/01/2007 Contractor!s.Bonding.HjsJory Bonding: " " : BOND OF QUALIFYING INDIVIDUAL 1. The Responsible Managing Officer (RMO) BURGER JOHN EDWARD certified that he/she owns 10 percent or more of the voting stock/equity of the corporation. A bond of qualifying individual is not required. Effective Date: 11/13/1995 BQI's Bonding History This license has workers compensation insurance with the EVEREM.NM)QML.,JMSyBMC£.CQMPANY Policy Number:7600001534101 Workers'Compensation: _„ _„,,„..,.-Effective Date: 04/01/2010 Expire Date: 04/01/2011 Workers'.,CompMsation.M!..sto.ry DATE DESCRIPTION Miscellaneous Information: 11/13/1995 LICENSE REISSUED TO ANOTHER ENTITY https://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum=5... 08/02/2010 j > 2 1 o R'3 I « ?^^ <*P ^ u^ '^ Dui D