HomeMy WebLinkAbout1950 Camino Vida Roble; 125; CB111365; PermitCommercial Permit
Print Date: 02/14/2019
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
FEE
Total Fees:
1950 Camino Vida Roble, 125
BLDG-Commercial
2120931200
$ 194,805.76
Work Class: Tenant Improvement
Lot#:
Reference#:
Construction Type
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Tl -COMM GOLF ACADEMY: 5248 SF OFF TO OFF TENANT IMPROV.
Total Payments To Date :
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
(city of
Carlsbad
Permit No: CB111365
Closed -Finaled
06/23/2011
08/23/2011
10/05/2011
AMOUNT
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 limitation has previously otherwise expired.
Building Division
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
«~> Building Permit Application Plan Check No.c:D I \ \ 3 eoS-
~ CITY
1635 Faraday Ave., Cansbad, CA 92008 Est. Value /Cl <J; &'ill: 7,h
OF 760-602-2717 / 2718 / 2719 Plan Ck. Deposit CARLSBAD Fax 760-602-8558
Date ~/-zz, / / / iswPPP www.carlabadca.gov
JOB ADDRESS aUITU/$PA1.1:f/UNITf "" 1950 Camino Vida Roble 125 212 -093 -12 -
I CT/rnvJECT # I""'. I'-·· I.-· u .... I"°""""""' # BATHROOMS I TENANT I I wNS;BlYPE I = e"' Golf Academy of America
DESCRIPTION OF WORK: Include Iqua,. F•tt ol Affected Arff(I) ~
Total Suite Area: +/-18,486 sf, Area of constructio · +/-5 sf. terior remodel to include demolition, new partitions, and new
finishes, and some new electrical. No new AC, ductwork only. No plumbing, no structural.
EXISTING USE I PROPOS .... USE I GARAGE (SF) PATIOS (SF) I DECKS (Sf) FIREPLACE IAIR CONDITIONING I IFIRESPRINKLERS
Office and training Office and training YES[}' NOIZ] v,s[Z)•o□ YESIZ)NO□
CONTACT NAME (lfOwr.Nnt Fom Applk:•nt) lo.·~ ,,J). ,/ -APPLICANT NAME Hurkes Harris Desi!ln Associates ,
ADDRESS
1!-.E:_JJ-o.~ / ADDRESS 1510 Front Street Suite 300
CITY STATE ZIP CITY STATE ZIP
San Die!IO CA 92101
PHONE PHONE I'"" 619-702-0380 IFAX 619-702-0383
EMAIL EMAIL jbennett@hhdainc.com
PROPIR1Y OWNIA NAME Pacific Office Properties CONTRACTOR BUS. NAME Mike Soth-Prevost Construction
ADDRESS ADDRESS
10188 Telesis Court, Suite 222 400 S. Sierra Ave, Suite 201
CITY STATE ZIP CITY STATE ZIP
San Dieao CA 92121 Solana Beach CA 92075
PHONE I'"" PHONE I FAX 858-67 8-8500 858-720-8559 ext 201
EMAIL EMAIL
awhite@pacificofficeproperties.com Mike@prevostconstruction.com
ARCH/DESIGNER NAME 6 ADDRESS I STATE UC.# STATE UC.# ICLASS I CllY BUS. UC.#
Hurkes Harris Desian Associates
(Sec. 7031.5 Business and Professions Code. Any City or County whrch requires a permit to construct, alter, Improve, demollsh or repair any: structure, prior to Its Issuance, also requires the applicant for such permit to file a sl2ned statement that he Is licensed pursuant to the provisions of the Contractor's license Law !Chapter 9, commendlni with section 7000 of Division 3 of the Business and Professions Code} or that he is exemDt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any appllcanffor a permit subjects the epplfcant to a
civil penalty of not more than five hundred dollars ($500}~
WORl{ERS COMPENSATION
Wort..,r.' Comp1n11tlon Declaration: I harell'f Bffltm under penalty of petjury ona of the follor,1ng declarations: DI have and wlll maintain a cerVflcate of con11ntto setf.lnsure for workers' compensaHon as provided by Section 3700ofthe Labor Code, for the perfonnance of the wofk for which this pennl1 ls Issued.
6(1 1 have and wlll maintain workers' comp1n11tion, as r&Quired by Section joo of the Lal:or Code, for the performance of the work for which DIis permit ls Issued. My workers' compensatioM carrier and policy
'"""'""''""ra"'°Co 161€itEAT NA::r:1G>NA PolcyNo. z,oooo&,'l.1,'5101 ""'"""'Dalo II 01\
or less. ~section need not be completed If the permit is for one huOOred ddlers ($1 LJ Cerlfflcete of Exemption: I certify lhat In the peri:lnn wo r
C81ifomie. WARNING: Feliltre to eecure wortwn' com co
lch this pennil Is Issued, I shaD not employ any person in any ma Mer so as ID become subject to the Workers' Compensalkm laws of
nlawful, and 1h1H 1ubject an employer to crlmlnal penaltlH a,d clvll llnq up to one hundred thousand doHan (&100,000), In
addition to the cost of compensation, damagH H provld s
.8$ CONTRACTOft SIGNATIIRE
06 thellborcode,lntnstandattomey'efeu C::, I 1,,:5
/ hereby afflrm thBt I am exempt from Conhcto"s Ucense LBw for the following fBBS0/1: D I, as owner of the property or my employees with wag&$ as their sole compensation, wlU do the work and the strucll/fll Is not .-itended or ofleted for sale (Sec. 7044, Business and Professions Code: The Conlraclor's
License Lav does not apply lo an owner al property who bukls or improves thereon, and -.ho does such work himself or through his own employees, provided that such Improvements are not iltended or offered lor
sale, II, tiowewr, Iha buHdlng or Improvement is sold wilhln one year of completion, Iha owner-bulldar w~! have the buRl'en of proving that ha did not build or improve for the purpose of sale), D I, es owner of the property, am exclusively a,ntractJng with llcansed mntra:tors to conslrucl lhe profect (Sec, 7044, &slness end Professions Code: The Contractor's Uoense Lit,¥ does not apply to an rMTl8r of
property who bulldsor improves lhBllon, and contracts 1orsuch projects with contrector{s) llcensed pursuant to the Conlractor's Uoense Law).
D I am exempt under Section ---~'usrnass and Professions Code t>r this reason:
1. I personally plan to provide the major labor and materials for conSlruction of the proposed property Improvement [Jves 0-io
2.1 (have/ have not) signed an appllcalion for a building pennlt forlhe proposed worll.
3.1 have conlracted with Iha fol!onlg Pl1101l (firm) kl pl'OVldlt the proposed construction (Include name address/ phone/ contractocs' license number):
4. I plan to prowle poolonsofthe work, but I haYe hired Iha followlng person kl coordinate, supervise and provide the major worll pnduda name/ address/ phone /conlfld)rs' license nianber):
5.1 w1n prow:le soma of the work, Wt I haw conlracled {hired) Iha bllowing 1J8{110ns to provide tha worll lmlcatad Onclllfe nan'l8 /address/phone/ type of wort):
,8$ PROPERTY OWNER SIGHA TURE □AGENT DAlE
Is lhe applicant or future bulding occupant required to submit a business..l!@!l, acutely hazaldous materials registration form or risk management and prevenlioO program under Sections 25505. 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? 0 Yes ~No
Is the applicallt or future building occupant required to obtain a permit from the air pollution control district or ai,!..9!!ality management district? Oves 0 No
Is the fadl~y to be constructed within 1,000 feet or the outer t>oundary of a school site? OYes ~No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lendefs Name Lender's Address
I certifythatl h<M? read the application and statethatthe abOYC information isconect and that the infonnatton on tho plans Is accurate. I ai,-ee to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative o1 the 0tyof Cartsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Cf CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Cf THE GRANTING Cf THIS PERMIT.
OSHA: An OSHA pemil is required br excavaoons over 5'(J deep aoo demolition or construction of structures over 3 stories i1 I-eight.
EXPIRATION: Every penn~ issued by the Eukfng Official under the prcMSions of too Code ~I expire by lirrilalion aid beoome null and ..oid if the building or oorl< authorized by such pennil is not commenced within
1:::~:::t:::::~~orif~ ruld~ or~nnit: suspendedoraba~ atanyt~aftcrthe~:T~~: z;t i;;(Sooioo 100.4.4 Unibm ~~ing ~).
7~ I I
City of Carlsbad Bldg Inspection Request
For: 10/05/2011
Permit# CB111365
Title: GOLF ACADEMY: 5248 SF OFF TO
Description: OFF TENANT IMPROV.
Type:TI
Job Address:
Sub Type: COMM
1950 CAMINO VIDA ROBLE
Suite: 125 Lot:
Location:
OWNER CARLSBAD CC L P
Owner: CARLSBAD CC L P
Remarks:
Total Time:
0
Inspector Assignment: TP ---
Phone: 7605048630
Inspector: L
Requested By: TOM
Entered By: JANEAN
CD Description Act Comments
19 Final Structural -Af_ ________ _
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
lns(lection Histoey
Date Description Act lnsp Comments
09/19/2011 14 Frame/Steel/Bolting/Welding AP TP T-CLNG TIE-IN
09/19/2011 24 Rough/Topout AP TP
09/19/2011 34 Rough Electric AP TP RE-LOG LITES
09/19/2011 44 Rough/Ducts/Dampers AP TP DUCTS
09/01/2011 14 Frame/Steel/Bolting/Welding AP TP
09/01/2011 17 Interior Lath/Drywall AP TP
09/01/2011 34 Rough Electric AP TP
09/01/2011 63 Walls WC TP
08/25/2011 17 Interior Lath/Drywall AP TP
08/23/2011 14 Frame/Steel/Bolting/Welding AP TP CLASSROOM WALLS
08/23/2011 24 Rough/T opout WC TP
08/23/2011 34 Rough Electric AP TP
08/23/2011 44 Rough/Ducts/Dampers WC TP
Inspection History:
08/23/2011: 14-BLDG-Frame/Steel/Bolting/Welding Approval Completed By TP CLASSROOM WALLS;
09/01/2011: 14-BLDG-Frame/Steel/Bolting/Welding Approval Completed By TP ;
09/19/2011: 14-BLDG-Frame/Steel/Bolting/Welding Approval Completed By TP T-CLNG TIE-IN;
08/25/2011: 17-BLDG-lnterior Lath/Drywall Approval Completed By TP;
09/01/2011: 17-BLDG-lnterior Lath/Drywall Approval Completed ByTP;
08/23/2011: 24-BLDG-Rough/Topout Wrong Code Entered Completed By TP;
09/19/2011: 24-BLDG-Rough/Topout Approval Completed By TP;
08/23/2011: 34-BLDG-Rough Electric Approval Completed By TP" ";
09/01/2011: 34-BLDG-Rough Electric Approval Completed By TP;
09/19/2011: 34-BLDG-Rough Electric Approval Completed By TP RE-LOC LITES;
08/23/2011: 44-BLDG-Rough/Ducts/Dampers Wrong Code Entered Completed By TP;
09/19/2011: 44-BLDG-Rough/Ducts/Dampers Approval Completed By TP DUCTS;
09/01/2011: 63-BLDG-Walls Wrong Code Entered Completed By TP;
10/05/2011: 89-BLDG-Final Combo Approval Completed By TP
m CltVOIC1rlsbld 1Ja FIIII BUii.iii IIIIICIIOI
Dept: Building Engineering Planning CMWD St Lite
Plan Check#:
Permit#:
Project Name:
CB111365
GOLF ACADEMY: 5248 SF OFF TO
OFF TENANT IMPROV.
e
Date: 10/05/2011
Permit Type: Tl
Sub Type: COMM
Address: 1950 CAMINO VIDA ROBLE #125
Phone:
Lot: 0
Contact Person:
Sewer Dist: CA Water Dist: CA ................... , .. ,.,,.,,.,,.,, .................................................... , .. ,, ............................................................ .
~;peel~~ ~:~ected
Inspected Date
By: ______ __,~,_ __ Inspected: _____ Approved: ___ Disapproved: __
~Disapproved: __
Inspected Date
By: Inspected: _____ Approved: ___ Disapproved: __ ....... , ................................................................................................................ ,,.,, .. , ............ , .. ,, ......... ,
Comments: _______________________________ _
EsGil Corporation
In !J'artnersnip witn government for 1/Jui(aing Safety
DATE: 8/22/11
JURISDICTION: City of Carlsbad
PLAN CHECK NO.: 11-1365 SET: III
PROJECT ADDRESS: 1950 Camino Vida Roble Suite 125
PROJECT NAME: Golf Academy of America -TI
□ APPLICANT
□ JURIS.
□ PLAN REVIEWER
□ FILE
[8J The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
D 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.
D 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
Corporation until corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
D The applicant's copy of the check list has been sent to:
[8J Esgil Corporation staff did not advise the applicant that the plan check has been completed.
D Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone#:
Date contacted: (by: ) Email: Fax #:
Mail Telephone Fax In Person
0 REMARKS:
By: Doug Moody
EsGil Corporation
□ GA □ EJ □ PC
Enclosures:
8/16/11
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
EsGil Corporation
In a!artnersnip witn qo~ernment for (]Jui(aing Safety
DATE: 8/9/11
JURISDICTION: City of Carlsbad
PLAN CHECK NO.: 11-1365 SET: II
PROJECT ADDRESS: 1950 Camino Vida Roble Suite 125
PROJECT NAME: Golf Academy of America -TI
D The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's codes.
D 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.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
1:8:] The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
1:8:] The applicant's copy of the check list has been sent to:
Hurkes Harris Design Associates/ Jennifer Bennett
1510 Front Street Suite 300, San Diego, CA 92101
D Esgil Corporation staff did not advise the applicant that the plan check has been completed.
1:8:] Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Jennifer Bennett Telephone#: 619-702-0380
Date contacted:~ 19 l1, (by: I"--) Email: jbennett@hhdainc.com Fax #: 619-702-0383
t Mail.,; Telephone.,., Fax In Person
0 REMARKS:
By: Doug Moody
EsGil Corporation
□GA 0EJ □PC
Enclosures:
8/2/11
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
City of Carlsbad 11-1365
8/9/11
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.
6. 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. The water closet compartment in the
women's restroom has an end-opening door (facing the water closet), the
door shall be located on a diagonal to the water closet, with a maximum stile
width of 4 inches (see the figure below). Additionally, the door must be
provided with a clearance of at least 18" at the strike side.
CENTERLINE
OF
FIXTURE
~
18 32" MIN.
MIN. CLEAR
FLUSH
ACTIVATOR
ON WIDE
SIDE
4' MAX.
ACCESSIBLE WATER CLOSET COMPARTMENT
WITHIN A MULTIPLE.,.CCOMMOOATION TOILET FACILITY
7. Show a level area, or landing for door 126, per Section 1133B.2.4.2:
a) <'.60" in the direction of door swing. Door still shown 4'6" from wall.
City of Carlsbad 11-1365
8/9/11
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 □ No □
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.
EsGil Corporation
In <Partnersnip witn qovernment for 1/Jui(aing Safety
DATE: 7/6/11
JURISDICTION: City of Carlsbad
PLAN CHECK NO.: 11-1365 SETI
PROJECT ADDRESS: 1950 Camino Vida Roble Suite 125
PROJECT NAME: Golf Academy of America -TI
□a.ANT □ JURIS.
□ PL N REVIEWER
□ FILE
D The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's codes.
D 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.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
[gJ The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
[gJ The applicant's copy of the check list has been sent to:
Hurkes Harris Design Associates/ Jennifer Bennett -
1510 Front Street Suite 300, San Diego, CA 92101
D Esgil Corporation staff did not advise the applicant that the plan check has been completed.
[gJ Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Jennifer Bennett Telephone#: 619-702-0380 ? (D,SCoNillE~)
Date contacted: 1 /1 / n (by: 14--) Email: jbennett@hhdainc.com Fax #: 619-702-0383
./,-r No ,.4/\ISuJE-<t-) c; Mail .......-Telephone Fax In Person '-
D REMARKS:
By: Doug Moody
EsGil Corporation
□GA □EJ □PC
Enclosures:
6/27/11
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
City of Carlsbad 11-1365
7/6/11
PLAN REVIEW CORRECTION LIST
TENANT IMPROVEMENTS
PLAN CHECK NO.: 11-1365
OCCUPANCY: B
TYPE OF CONSTRUCTION: VB
ALLOWABLE FLOOR AREA:
SPRINKLERS?: YES
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION: 6/23/11
DATE INITIAL PLAN REVIEW
COMPLETED: 7/6/11
FOREWORD (PLEASE READ):
JURISDICTION: City of Carlsbad
USE: Training
ACTUAL AREA: 5248sf
STORIES: 1
HEIGHT:
OCCUPANT LOAD: 262
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 6/27/11
PLAN REVIEWER: Doug Moody
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 2010 CBC, which adopts the 2009 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 2009 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 11-1365
7/6/11
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 section view of all new interior partitions. Show:
a) Method of providing lateral bracing. Please provide calculations to show
the diagonal bracing will adequately brace the long walls in training room
124 in both directions.
2. Please revise the plans to show the mandatory measures required for the
alteration to the lighting system. The relocated lighting fixtures and new lighting
controls must comply with lighting control requirements of Sections 119, 130,
131 and 134 of the Energy Standards.
3. 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 (training) and conference rooms of any size. Please add where
appropriate. Section 131.
4. Please clarify the plans to indicate what is being exhausted from the building by
the new exhaust fan in the work room?
5. Please review the requirements, revise the plans appropriately and imprint on
the plans the City of Carlsbad Policies and Procedures for Roof Mounted
Equipment to the plans.
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.
City of Carlsbad 11-1365
7/6/11
6. 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 et;,mpliant.
7. Show a level area, or landing for door 126, per Section 1133B.2.4.2:
a) <'.60" in the direction of door swing.
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 □ No □
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 11-1365
7/6/11
[DO NOT PAY -THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Carlsbad
PREPARED BY: Doug Moody
PLAN CHECK NO.: 11-1365
DATE: 7/6/11
BUILDING ADDRESS: 1950 Camino Vida Roble Suite 125
BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: VB
BUILDING AREA Valuation Reg. VALUE
PORTION ( Sq. Ft.) Multiplier Mod.
Tl 5248 37.12
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code cb By Ordinance
Bldg. Permit Fee by Ordinance I • I
Plan Check Fee by Ordinance I .., I
Type of Review:. 0 Complete Review D Structural Only
D Repetitive Fee =8 Repeats
Comments:
D Other
D Hourly
EsGII Fee
1-------11 Hr @ •
($)
194,806
194,806
$991.731
$644.621
$555.371
Sheet 1 of 1
macvalue.doc +
«~ ~ CITY OF
CARLSBAD
BUILDING PLANCHECK
CHECKLIST
QUICK-CHECK/APPROVAL
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
ENGINEERING Plan Check for CB 11-1365 Date:June 29, 2011
Project Address: 1950 Camino Vida Roble Ste 125 APN: 212-093-12-00
Project Description: 5248 sf office to office tenant improvement Valuation: 194,805.76
ENGINEERING Contact : Linda Ontiveros
Phone: 760-602-2773
Email: linda.ontiveros@carlsbadca.gov
Fax: 760-602-1052
. • RESIDENTIAL
· RESIDENTIAL ADDITION MINOR
(<$20,000.00)
CARLSBAD COMPANY STORES
7J OTHER: No change in use
[l'J TENANT IMPROVEMENT
I PLAZA CAMINO REAL
COMPLETE OFFICE BUILDING
r··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··1 OFFICIAL USE ONLY
ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT
BY: t?-(~ DATE: June29,2011
REMARKS:
Notification of Engineering APPROVAL has been sent to
via on -··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-·
E-36 Page 1 of 1 REV 4/30/11
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER: CB111365 DATE: 06/23/11
ADDRESS: 1950 Camino Vida Roble
TENANT IMPROVEMENT: 5,246 sq ft of interior remodel
including demolition, new partition walls, new finishes, new
electrical.
ENGINEER _________ _ DATE ______ _
H: \AD~IS\ WIINTER/PLANNI NI; /F.NGINEERl!G APPROVALS
~ «('»
~ CITY OF
CARLSBAD
INSTRUCTIONS:
STORM WATER
STANDARDS
QUESTIONNAIRE
E-34
Development Services
Engineering Department
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
To address post-development pollutants that may be generated from development projects, the City requires that new
development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management
Practices (BMP's) into the project design per the City's Standard Urban Stormwater Management Plan (SUSMP).
Initially this questionnaire must be completed by the applicant in advance of submitting for a development application
(subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of
storm water standards that must be applied to a proposed development or redevelopment project. Depending on the
outcome, your project will either be subject to 'Standard Stormwater Requirements' or be subject additional criteria
called 'Priority Development Project Requirements'. Many aspects of project site design are dependent upon the
storm water standards applied to a project.
Applicant responses to the questionnaire represent an initial assessment of the proposed project conditions and
impacts. City staff has responsibility for making the final assessment after submission of the development application
If staff determines that the questionnaire was incorrectly filled out and is subject to more stringent storm water
standards than initially assessed by the applicant, this will result in the return of the development application as
incomplete. In this case, please make the changes to the questionnaire and resubmit to the City.
If applicants are unsure about the meaning of a question or need help in determining how to respond to one or more of
the questions, they are advised to seek assistance from Land Development Engineering staff.
A separate completed and signed questionnaire must be.submitted for each new development application submission.
Only one completed and signed questionnaire is required when multiple development applications for the same project
are submitted concurrently. In addition to this questionnaire, applicants for construction permits must also complete,
sign and submit a Project Threat Assessment Form to address construction aspects of the project.
Please answer the questions below, follow the instructions and sign the form at the end.
1. Is your project a significant redevelopment?
DEFINITION:
Significant redevelopment is defined as the creation, addition or replacement of at least 5,000 square feet of
impervious sutface on an already existing developed site.
Significant redevelopment includes, but is not limited to: the expansion of a building footprint; addition to or
replacement of a structure; structural development including an increase in gross floor area and/or exterior
construction remodeling; replacement of an impervious surface that is not part of a routine maintenance activity; and
land disturbing activities related with structural or impervious surfaces. Replacement of impervious surfaces includes
any activity that is not part of a routine maintenance activity where impervious material(s) are removed. exposing
underlying soil during construction.
If your project IS considered significant redevelopment, then please skip Section 1 and proceed with Section 2.
If your project IS NOT considered significant redevelopment, then please proceed to Section 1.
E-34 Page 1 of 3 REV 3/23/10
~ «(~
~ CITY OF
CARLSBAD
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 YES NO Does you project meet one or more of the following criteria:
1. Housing subdivisions of 10 or more dwelling units. Examples: single family homes, multi-family homes, X condominium and apartments
2. Commercial -greater than 1~acre. Any development other than heavy industry or residential. Examples: hospitals; x laboratories and other medical facilities; educational institutions; recreational facilities; municipal facilities; commerc1al
nurseries; multi-apartment buildings; car wash facilities; mini-malls and other business complexes; shopping malls;
hotels; office buildinqs; public warehouses: automotive dealerships; airfields; and other liqht industrial facilities.
3. Heavy Industrial I Industry-greater than 1 acre. Examples: manufacturing plants, food processing plants, metal X. working facilities, printing plants, and fleet storage areas (bus, truck, etc.).
4. Automotive repair shop. A facility categorized in any one of Standard Industrial Classification (SIC) codes 5013, )<. 5014, 5541, 7532-7534, and 7536-7539
5. 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 'X land area for development is greater than 5,000 square feet. Restaurants where tand 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.
6. 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 x percent (25%) or areater.
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 X ESA), which either creates 2,500 square feet of impervious surface on a proposed project site or increases the area
of imoerviousness of a ororv1sed oroiect site to 10% or more of its naturallv occurrina condition.
8. Parking lot. Area of 5,000 square feet or more, or with 15 or more parking spaces, and potentially exposed to urban X 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 I'
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•
t Environmentally Sens1t1ve Areas include but are not limited to all Clean Water Acl Section 303(d) 1mpa1red water bodies, areas designated as Areas of Special
Biological Significl!lnce by the State Wafer Resources Control Board {Wafer 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 whlch have been identified by the Copermittees.
2 "Directly adjacent" means siluated within 200 feet of the Environmentally Sensitive Area.
3 •oischarglng directly to· means outtlow from a drainage conveyance system that is composed entirely of flows from the subjecl development or redevelopment site. and
not commingled with flow from adjacent lands.
4 Pollutant-generating Development Projects are those projects that generate pollutants al levels greater than background levels. In general, these include all projects
lhal contribute to an exceedance to an impaired water body or which create new impervious surlaces 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 bicyde use, are not considered Pollutant-generating Development Projects if they are built with pervious surfaces or if they sheet flow to
surroundin ervious 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 PDP requirementsM box In Section 3.
E-34 Page 2 of 3 REV 3/23/10
«1'» ~ CITY OF
CARLSBAD
SECTION 2
STORM WATER
STANDARDS
QUESTIONNAIRE
E-34
SIGNIFICANT REDEVELOPMENT
Comolete the auestions below reaardina vour redevelooment oroiect:
Development Services
Engineering Department
1635 Faraday Avenue
760-602-2750
www.car!sbadca.gov
YES NO
1. Project results in the disturbance of more than 1-acre or more of rand and is considered a Pollutant-generating X 0evelooment Proiect (see definition in Section 1 ).
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
reouirements. Please check the "meets PRIORITY DEVELOPMENT PROJECT reauirements" box in Section 3 below. .
2. Is the project redeveloping an existing priority project type? (Priority projects are defined in Section 1) X
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 PDP 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? X
b. Resurfacing and reconfiguring existing surface parking lots? X
C. New sidewalk construction, pedestrian ramps, or bike lane on public and/or private existing roads? X
d. Replacement of existing damaged pavement? 'X:
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 Reaulrements. Please check the ~does not meet PDP reauirements• 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
imoermeable surface or (2) increases imoermeable surface on the orooertv bv 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 PDP requirements" box in Section 3 below.
Questionnaire Results:
My ect meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must comply with additional stormwater criteria
r the SUSMP and must prepare a Storm Water Management Plan for submittal at time of application.
My project does not meet PDP requirements and must only comply wilh STANDARD STORMWATER REQUIREMENTS per the
SUSMP.
Applicant Information and Signature Box This Bo,; for City Use Only
Assessor's Parcel Number(s)·
f:.. -Z.\2. 09~ I?-NO
Date:
5 ol ti
E-34 Page 3 of 3 REV 3/23/10
«1~ ~ CITY OF
CARLSBAD
STORM WATER
COMPLIANCE
ASSESSMENT
B-24
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gqv
I am applying to the City of Carlsbad for the following type(s) of construction permit
)(' Building Permit □ Right-of-Way Permit
0 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
Project Storm Water Threat Assessment Criteria*
Patio/Deck
Re-Roofing
Sign
Spa-Factory
Sprinkler
Water Discharge
No treat Assessment Criteria
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.
Tier 1 -Low Threat Assessment Criteria
0 My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See !isl 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
□ 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 feel of an environmentally sensitive area or the Pacmc Ocean, and/or
• Disturbed area is located on a slope with a grade al 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 initialed during the rainy season or will extend into the rainy season {Oct. 1 through April 30).
Tier 3 • Significant Threat Assessment Criteria
□ 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
0 My project is part of a phased developmenl plan lhal will cumulatively result in soil disturbance totaling one or more acres including any
associated construction staging, equipment storage, refueling and maintenance areas: or,
0 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 lo nearby receiving waters by way of storm water runoff or non-storm water discharge(s).
I certify to the best of my knowledge that the above
checked statements are true and correct. I understand
and acknowledge that 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 Title 15 of the Carlsbad Municipal Code
and to City Standards.
'The Cily Engineer may authorize minor variances from the Slorm
Waler Thl'eal Assessment Criteria in special circumstances 'M'lere it
can be shown th al a lesser or higher Construction SW PPP Tier Level is
warranted.
8-24
Project Address Assessor Parcel No,
1q,o Ci(MI O \JIDA !2{)t,l,,e il-i..-013-1
Title:
11
Page 1 of 1 Rev.03/09
a Carlsbad Fire Department
Plan Review Requirements Category: TI , COMM
Date of Report: 07-18-2011
Name:
Address:
Permit #: CB 111365
JENNIFER BENNETT
C/O HURKES HARRIS DESIGN
1510 FRONT ST., STE. 300
SAN DIEGO
CA 92101
Job Name: GOLF ACADEMY: 5248 SF OFF TO
Job Address: 1950 CAMINO VIDA ROBLE CBAD St: 125
Conditions:
Cond: CON0004761
[MET]
** CITY OF CARLSBAD FIRE DEPARTMENT -APPROVED:
ti6U~LD!NG DEP'f.
~or.v t .. , r" o
Reviewed by: -~-4-------4-+----
THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUANCE OF
BUILDING PERMIT.
THIS APPROVAL IS SUBJECT TO FIELD INSPECTION AND REQUIRED TEST, NOT A TIO NS HEREON,
CONDITIONS IN
CORRESPONDENCE AND CONFORMANCE WITH ALL APPLICABLE REGULATIONS.
THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE THE VIOLATION OF ANY LAW.
Entry: 07/18/201 I By: GR Action: AP
RECOMMENDED FOR APPROVAL
Daryl K. James & Associates, Inc.
205 Colina Terrace
Vista, CA 92084
T. (760) 724-7001 Email: kitfire@sbcglobal.net
APPLICANT: Hurkes Harris Design
PROJECT NAME: Golf Academy of America
Page: 1 of 1
Checked by: Anne Marie Bland
Date: July 7. 2011
JURISDICTION: Carlsbad Fire Department
PROJECT ADDRESS: 1950 Camino Vida Roble
PROJECT DESCRIPTION: CB111365 Tenant Improvement
INSTRUCTIONS
• This plan review has been conducted in order to verify conformance to minimum requirements of codes
adopted by the Carlsbad Fire Department.
• The items below require correction, clarification or additional information before this plan check can be
approved for permit issuance.
• Corrections or modifications to the plans must be clouded and provided with numbered deltas and revision
dates along with a descriptive narrative of corrections addressing all comments.
• Please direct any questions regarding this review to: Anne Marie Bland 760-434-7885 or
ambland@pacbell.net
• CORRECTED PLANS, DESCRIPTIVE NARRATIVE OF REVISIONS FOLLOWING EACH COMMENT ON
THIS FORM, AND A COPY OF BUILDING DEPARTMENT (EsGil) COMMENTS MUST BE SUBMITTED
DIRECTLY TO:
• ANNE MARIE BLAND
4380 CARMEL DRIVE
CARLSBAD, CA 92010
COMMENTS
SAN DIEGO REGIONAL
HAZARDOUS MATERIALS QUESTIONNAIRE
Stale CA
State
OFFICE USE ONLY
UPFP# ______ _
HV# ________ _
BP DATE _ __,___~--
Project Contact Telephone#
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 malerials. If any of the items are circled, applicant must contact the Fire Protection Agency with
jur1sdiction prior to plan submiUal.
1. Explosive or Blasting Agents 5. Organic Peroxides
2. Compressed Gases 6. Oxidizers
3. Flammable/Combustible Liquids 7. Pyrophorics
4. Flammable Solids 8. Unstable Reactives
9.
10.
11.
12.
Water Reactives
Cryogenics
Highly Toxic or Toxic Materials
RadioacUves
13, Corrosives
14. Other Health Hazards
15. None of These.
PART II: SAN DIEClO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISIONS (HMO): If the answer lo any of the
questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 1255 Imperial Avenue, 3.e floor, San Diego, CA 92101.
Call (619) 338-2222 prior to the issuance of a building permit
FEES ARE REQUIRED. Expected Dale of Occupancy: ___ _,/ ___ ~/ __ _
YES NO
1. □ ~
2. □ IS,
3. □ !ill
4.
5.
6.
□ □ □
Is your business listed on the reverse side of this form? (check all that apply).
Will your business dispose of Hazardous Substances or Medical Waste in any amount?
Will your business store or handle Hazardous Substances in quantities equal to or greater than
55 gallons, 500 pounds, 200 cubic feet, or carcinogens/reproductive toxins in any quantity?
Will your business use an existing or install an underground storage tank?
Will your business store or handle Regulated Substances (Ca!ARP)?
Will your business use or Install a Hazardous Waste Tank System (Title 22, Article 1 O)?
0 CalARP Exempt
I
Date Initials
0 CalARP Required
I
Date Initials
0 CalARP Complete
I
Dale Initials
PART 111: 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 lo 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 lo
commencing demolition or renovation, except demolition or renovation of residential structures of four units or less. Contact the APCD for more information.
YES !l(9·
1. D ~ Will the subject facillty or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the
APCD factsheet at hjtp://www sdaocd.orq/info/facts/permits.pdf, and the list of typical equipment requiring an APCD permit on the reverse side tri of this from. Contact APCD lf you have any questions).
2.
3.
4.
□
□ □
~ (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 al http://ww.y.cde.ca.g9v/retsd/; or contact the
l appropriate school district).
Will there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos?
Will there be demolition involving lhe removal of a toad supporting structural member?
Briefly describe business activities:
Of'I'.:>'\~
051 '3 / I / /
Date
FOR OFFICIAL USE ONLY: FIRE OEPARTMENT OCCUPANCY CLASSIFICATION: _______________________________ _
BY: _________________________ _ DATE: __ .,_/ __ ~/ __ _
EXEMPT OR NO FURTHER INFORMATION REQU\REO RELEASED FOR BUI LOI NG PERMIT BUT NOT FOR OCCUPANCY RELEASEO FOR OCCUPANCY
COUNTY-HMO APCD COUNTY-HMO APCD COUNTY-HMO APCD
HM-9171 (04107) County of San Diego -DEH -Hazardous Materials Division