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HomeMy WebLinkAbout2042 CORTE DEL NOGAL; C; CB910173; PermitBUILDING PERMIT 03/05/91 08 48 Page 1 of 1 Job Address 2042 CORTF DEL NOGAL Sr.r *•* Permit Type COMMERCIAL TENANT IMPROVEMENT Parcel No 213-061-05-00 Valuation 8,000 Construction Type NEW Occupancy Group Class Code Description INSTALL PREFAB SPRAY BOOTH, NO REGIRC HEAT Permit -N«> Pro3ect No Development No Fl <•*** Ste C U89 03/05/91 0001 01 C-PMT ..CP910173 A9100216 4J..-V Appl/Owrir CONTRACTOR OWNER *** Fee: AIR MANAGEMENTS SYSTEM 9369 QUAIL CANYON RD EL CAJON, CA 92021 AIR MANAGEMENT SYSTEMS 2735 VIA ORANGE WY SPRING VALLEY, CA 92077 PALOMAR BUSINESS PARK Requi red * -v * * * * Status ISSUED Applied 02/06/91 Api/Issue 03/05/91 Validated By CD 619-390-7803 Lie C 547240 619-670-1813 Lie. OWNER Fees Collected & Credits Fees 483. Adjustments Total Fees 483 Fee description Building Permit Plan Check 0 0 00 Total Credits 00 Total Payments Balance Due : Units Fee /Unit Strong Motion Fee Enter 'Y' to Autocalc License Tax > * BUILDING TOTAL Enter "Y" for Plumbing Is Enter "Y" for Electric Is Enter "Y" for Remodel * ELECTRICAL TOTAL ($10 M Enter 'Y' for Mechanical Install Furn/Ducts * MECHANICAL TOTAL sue Fee > sue Fee > > inimum) Issue F'ee> > 1 00 9 00 64 419 00 00 00 Ext fee 99 64 1 280 444 5 10 15 15 9 24 00 00 00 00 00 00 00 00 00 00 00 Data Y N Y Y Y IMAL APPROVA IN, , CLEARANCE.^ CITY OF CARLSBAD 2075 Las Palmas Dr, Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-nei L B€RMIT TYPE | ~~A|f] COMMERCIALQ]NEW S^TENANT IMPROVEMENT B Q INDUSTRIAL D"EW QTENANT IMPROVEMENT C C] RESIDENTIAL DAPARTMENT QCONDO QsiNGLE FAMILY DWELLING D ADDITION/ALTERATION DDUPLEX DDEMOLITION ^RELOCATION QMOBILE HOME GELECTRICAL OPLUMBING QMECHANICAL QPOOL DSPA DRETAINING WALL DSOLAR []]OTHER_ PROJECT INFORMATION PLAN CHECK No ^?. EST VAL_ PLAN CIC DEPOSIT_ VALID BY DATE c£ ~ to 0?53 0-V04./91 0003 OJ C-TFHT FOR OFFICE USE ONLY . CO Address. Nea Bui(ding or Suite No LEGAL DESCRIPTION Subdi vi sion Phase No CHECK BELOU IF SUBMITTED Q2 Energy Calcs Q2 Structural Calcs Q2 Soils Report fl1 Addressed Envelope ASSESSOR S PARCEL DESCRIPTION OF UORk EXISTING USE PROPOSED USE BLDG SQ FTG # OF STORIES CONTACT PERSON STATE ADDRESS ZIP CODE DAY TELEPHONE "*7&G3 SIGMATURE I 4 APPLICANT EJCONCONTRACTOR QAGENT rm CONTRACTOR A3DRESS OOWNER DAGENT FOR OWNER ECa ZIP CODE DAY TELEPHONE 5 PROPERTY OWNER NAME CITY OWNER STA1E ADDRESS ZIP CODE DIESSEE Qaumi DAY TELEPHONE CONTRACTOR CITY SIGNATURE STATE LIC # ADDRESS ZIP CODE LICENSE CLASS TITLE "" 1 DAY TELEPHONE CITY BUSINESS LIC tt 1 ' < I O(p \ DESIGNER CITY ADDRESS ZIP CODE DAY TELEPHONE STATE LIC # WORKERS' COMPENSATION Workers' Compensation Declaration I hereby affirm that I have a certificate of consent to self insure issued by the Director of Industrial Relations or a certificate of Workers Compensation Insurance by an admitted insurer or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800 Lab C) INSURANCE COMPANY POLICY NO EXPIRATION DATE Certificate of Exemption I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California SIGNATURE 8 OWNER-BUILDER DECLARATION Owner Builder Declaration I hereby affirm that I arn exempt from the Contractor s License Law for the following reason [ I l as owner of the property or my employees with wages as their sole compensation will do the work and the structure is not intended or offered for sale (Sec 7044 Business and Professions Code The Contractor s License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees provided that such improvements are not intended or offered for sale If however the building or improvement is sold within one year of complet on the owner builder will have the burden of proving that he did not build or improve for the purpose of sale ) 11 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) l~| 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 ° 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 perroi t subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) SIGNATURE DATE COMPLETE THIS SECTION FOR NON RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or risk management and prevention program under Sections 25505 25533 ojx25534 of the Presley Tanner Hazardous Substance Account Act? EYES n^o Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 Is the facility to be constructed within 1 000 feet of the outer boundary of a school site"> DYES 0<o IF Mft Of THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAT NOT BE ISSUED AFTER JULY 1 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS Of THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT i CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code) LENDER'S NAME u/A LENDER'S ADDRESS 10 APPLICANT'S SIGNATURE certify that I have read the application and btatc that the above information is correct I ayree to co'iiply with all City ordinances and State laws relating to building construct>on I neroby authorize representatives of the City of Carlsbad to enter upon the ribcve momlonod property *cr inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS AND EXPENSES UHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT 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 ' Expiration Every permit issued by the Building official undor the provisions of this Code shall expire by limitation and become null and void if the building or v^ork authorized by such pemnc is not commenced within ISO days from the date of such permit or if the build'ng or work authorized by such permit is suspended or abandoned at any time after the work is commenced for o ponod of 180 days (Section 3Q3(d) Uniform Building Code) OWNER pH CONTRACTOR APPROVED BY DATE WHITE File YELLOW Applicant PINK Finance RECEIVEDGCT08 1991 FINAL BUILDING INSPECTION DEPT: BUILDING ENGINEERING; FIRE ) PLANNING U/M WATER PLAN CHECK#: CB910622 DATE: 10/07/91 PERMIT*: CB910622 PERMIT TYPE: CTI PROJECT NAME: 3904 SF OFF/612 SF WAREHOUSE CONTRACT VALUATION SUUNTO ADDRESS: 2151 LAS PALMAS DR SUITE* F CONTACT PERSON/PHONE#. MH/KAY/552-0600 SEWER DIST: CA WATER DIST: CA INSPECTED7\> DATE BY: (/ 0V-nL&0 INSPECTED: jO-H APPROVED _uxf DISAPPROVED INSPECTED ^ DATE BY: INSPECTED: APPROVED DISAPPROVED INSPECTED DATE BY: INSPECTED: APPROVED DISAPPROVED COMMENTS: 08/21/91 INSPECTION HISTORY LISTING FOR PERMIT# CB910173 DATE INSPECTION TYPE INSP ACT COMMENTS 03/07/91 Rough Electric RI RI MH/CLINT/390-7803 03/07/91 Rough Electric MFC CO SEE COMMENTS 3/7/91 03/07/91 Rough/Ducts/Dampers RI RI MH/CLINT/390-7803 03/07/91 Rough/Ducts/Dampers MPC CO SEE COMMENTS 3/7/91 HIT <RETURN> TO CONTINUE... DEPT: BUILDING FINAL BUILDING INSPECTION f^~-^-"~~—^^ ENGINEERING ^FIRE / PLANNING U/M PLAN CHECK*: CB910173 PERMIT*: CB910173 PROJECT NAME: INSTALL PREFAB SPRAY BOOTH, NO RECIRC HEAT ADDRESS. 2042 CORTE DEL NOGAL SUITE* C CONTACT PERSON/PHONE*: CLINT/390-7803 SEWER DIST: CA WATER DIST: CA fc£CE/VED OCT 0 WATER DATE: 10/04/91 PERMIT TYPE: CTI INSPE BY: ED DATELUVJ.£i / INSPECTED: /<?/<//?/ APPROVED X DISAPPROVED INSPECTED BY: INSPECTED BY: DATE INSPECTED: DATE INSPECTED: APPROVED APPROVED DISAPPROVED DISAPPROVED COMMENTS: UNSCHEDULED INSPECTION DATE I V I~SI1 I INSPECTOR—+ f /—*-/ PERMIT # <-£> <?/ <?/73 PJ^ANCK # JOB ADDRESS *2>dd?; TIME ARRIVE: TIME LEAVE: CD LVL DESCRIPTION ACT COMMENTS PERMITS 6/15/89 ADDRESS: D APPROVED PLANS SHALL BE ON JOB SITE BUILDING D FOUNDATION D REINFORCING STEEL D MASONRY D GROUT GUNITE D FLOOR AND CEILING FRAM D SHEATHING D FRAME D EXTERIOR LATH D INSULATION D INTERIOR LATH OR DRYWA PLUMBING D UNDERGROUND PLUMBING n UNDERGROUND WATER D ROUGH PLUMBING D TOP OUT PLUMBING D SEWER AND PL/CO D TUB OR SHOWER PAN n GAS TEST D WATER HEATER ELECTRICAL D TEMPORARY SERVICE D ELECTRIC UNDERGROUND D ROUGH ELECTRIC D POOL BONDING D ELECTRIC SERVICE D UFER GROUND n G FI D SMOKE DETECTOR MISCELLANEOUS D PLENUM AND DUCTS D COMBUSTION AIR D CONDITIONED AIR SYSTEMS D SOLAR D GRADING D POOL D PATIO D SIGN D OTHER TIME CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB910173 FOR 03/07/91 DESCRIPTION: INSTALL PREFAB SPRAY BOOTH, NO RECIRC HEAT TYPE: CTI JOB ADDRESS: 2042 CORTE DEL NOGAL APPLICANT- AIR MANAGEMENTS SYSTEM PHONE: CONTRACTOR: AIR MANAGEMENT SYSTEMS PHONE: INSPECTOR AREA MC PLANCK* CB910173 OCC GRP CONSTR. TYPE NEW STR:** FL:**** STE: C 619-390-7803 619-670-1813 OWNER:PALOMAR BUSINESS PARK PHONE: REMARKS: MH/CLINT/390-7803 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 34 EL Rough Electric 44 ME Rough/Ducts/Dampers INSPECTOR ACT COMMENTS ^ 7^/^ DATE DESCRIPTION ***** INSPECTION ACT INSP ^ ©X HISTORY COMMENTS ESGIL CORPORATION 9320 CHESAPEAKE DR , SUITE 208 SAN DIEGO, CA 92123 (619) 56O-1468 DATE _ T-St- //1/ _ QAppT.TraNT JURISDICTION. C..MLL±BAD _ -(JFLAN CHECKER QFILE COPY PLAN CHECK NO _ ^/ - /~/> _ SET jT _ QUPS fj DESIGNER PROJECT ADDRESS 7 oy? -c PROJECT NAME .,/*/<. -O- 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 I _ I 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 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 Corp. until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to return to the applicant contact person. {| 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 Esgil staff did advise applicant that the plan check has been completed. Person contacted- Date contacted: Telephone #_ REMARKS• By: P Fiscntt Enclosures: ESGIL CORPORATION z/ DGA DAA DRN QDM ESGIL CORPORATION 9320 CHESAPEAKE DR , SUITE 2O8 SAN DIEGO, CA 92123 (619) 56O1468 DATE: JURISDICTION- PLAN CHECK NO: PROJECT ADDRESS. PROJECT NAME: SET ^ A/0 6- s ,^/g. A y go o LJ APPLICANT _jPLAN CHECKER QFILE COPY QUPS PDESIGNER 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 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 Corp. until corrected plans are submitted for recheck D The applicant's copy of the check list is enclosed for the jurisdiction to return to the applicant contact person. ||£) The applicant's copy of the check list has been sent to: D D EL (3£j Esgil staff did riot advise the applicant contact person that ^ plan check has been completed. \ \ Esgil staff did advise applicant that the plan check has — been completed. Person contacted _ Date contacted: REMARKS: Telephone #_ By I ESGIL CORPORATION DGA DAA URN QDM D Enclosures JURISDICTION QAjexs. &/\o Date plans received by plan checker 11 ~ I ~f 2 Pate plan recheck completed ' ^ ByPLAN CHECK NO PROJECT ADDRESS TO dL L A/7" -C /" 6 A /4 c RECHECK 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 303(c), of the Uniform Building Code, the approval of the plans does not permit the violation of any state, county or city law PLANS ©1 ) Please make all corrections on the original tracings and submit two new sets of prints, and any origanal plon-aoto that may .have been ou-by tho junodict-ion, to IL C. To facilitate rechecking, 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 The following items have not been resolved from previous plan reviews The original correction number has been given for your reference In case you did not keep a copy of the prior correction list, we have enclosed those pages containing the still outstanding corrections Please contact me if you have any questions regarding these items 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 on the plans Have changes been made to the plans not resulting from this correction list9 Please check Yes No Att ITY t?QLfC- V S/T*.17S DY-g. (21 \M0tcst-TiL T>,g gocry /.s A\J joom c Ace H 0 c (- <jfA /•.! c y c j"-,c-\. t A ..(.<. TO rflC.lL.iTt/fi Tl H. £. Form No RPCS 41290 91- */K/9( ELECTRICAL \nriu 5 crrm c ex OT o th al C/To oors , -f \\<f c.cra i \ / 70 198 NATIONAL ELECTRICAL CODE 3R (1 m) For SI units one incn 25 « millimeters one loo: - 0 3048 meter Figure 2 v Class I or Class II, Dnision 2 Locations Adjacent to a 'Glpsed Top, Open Face or Open Front Spray Booth or Room 3R dm) -Extent Of Closs I or Class IX Division 2 Area Plan View 3R—A dm! Elevation For SI Unas one inch • 25 4 millimeters one fool - 0 30*8 meter dm) Figure 3 * Class I or Class II, Dmsion 2 Locations Adjacent to Openings in an Enclosed Spray Booth or Room Po i Dcvond Wh eft Coa! d D 1 D 2 Figure 4 * The Extent of Class I, Division 1 and Class I, Dmsion 2 Hazardous (Classified) Locations for Open Dipping Processes 1990 Edition Date:Jurisdiction Prepared byt VALUATION AND PLAN CHECK FEE Bldg. Dept. Esgil PLAN CHECK NO.?°~ BUILDING ADDRESS APPLICANT/CONTACT BUILDING OCCUPANCY ZQVZ.-C O£L PHONE NO. DESIGNER PHONE TYPE OF CONSTRUCTION CONTRACTOR PHONE BUILDING PORTION Sfst.AY Boon/ Air Conditioning Commercial Residential Res. or Comm. Fire Sprinklers Total Value BUILDING AREA VALUATION MULTIPLIER e @ @ VALUE 5ooc> Sooo Building Permit Fee $_ Plan Check Fee $ COMMENTS. CJli ,35: SHEET / OF / 12/87 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB ADDRESS DATE RESIDENTIAL TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR « $10,000 00) OTHER PLAZA CAMINO REAL VILLAGE FAIRE COMPLETE OFFICE BUILDING PLANNER (//)DATE ENGINEER G-D DATE / C \WP51\FILES\BLDG FRM Rev 11/15/90 2560 ORION WAY Cltj> Ol ^ — — „ CARLSBAD, CA 92008 F/fl£ DEPARTM£NT TELEPHONE (619) 931 2121 DISAPPROVED PLAN CHECK REPORT APPROVED PLAN CHECK* PRO.IFCT falrfMr (-70 ll"' ARCHITECT ( \^ f" uW*4.t? fcl. nWNFR OCCUPANCY CONST nSPRINKLERED IR'TENANT IMP S0<? ADDRESS oJO^ei L^ ( ADDRESS £-' C?(4 Ii5>*. VJ ADDRESS TOTAI SO FT S-Ss- Df "HL, &'f- C- U <3<£> H ( - PHONE 3*1 0 ** 1 ¥&£>.- PHONE STORIES APPROVAL OF PLANS IS PREDICATED ON CONFORMING TO THE FOLLOWING CONDITIONS AND/OR MAKING THE FOLLOWING CORRECTIONS PLANS, SPECIFICATIONS, AND PERMITS 1 Provide one copy of floor plan(s), site plan, sheets 2 Provide two site plans showing the location of all existing fire hydrants within 200 feet of the project 3 Provide specifications for the following l^L 4 Permits are required for the installation of all fire protection systems;(s£rmkjei;s^ stand pipes, dry chemical, halon, CO2, alarms, hydrants) Plan must be approved by the fire department pnoTTo installation £&£, yUf^fe, ~^I 7 5 The business owner shall complete a building information letter and return it to the fire department FIRE PROTECTION SYSTEMS AND EQUIPMENT The,following fire protection systems are required 0'lAutomatic fire sprinklers (Design Criteria ?5?-«t [STOry Chemical, Halon, COa (Location S%£ •*- /^ ) D Stand Pipes (Type ) n Fire Alarm (Type/Location ) 7 Fire Extinguisher Requirements D One 2A rated ABC extinguisher for each sq ft or portion thereof with a travel distance to the nearest extinguisher not to exceed 75 feet of travel D An extinguisher with a minimum rating of to be located . n Other 8 Additional fire hydrant(s) shall be provided EXITS . 9 Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort .10 A sign stating, " This door to remain unlocked during business hours" shall be placed above the mam exit and doors .11 EXIT signs (6" x 3A" letters) shall be placed over all required exilts and directional signs located as necessary to clearly indicate the location of exit doors GENERAL 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 Buildmg(s) not approved for high piled combustible stock Storage m closely packed piles shall not exceed 15 feet in height, 12 feet on pallets or in racks and 6 feet for tires, plastics and some flammable liquids If high stock pil ing is to be done, comply with Uniform Fire Code, Article 81 14 Additional Requirements AS 7Q Ql.vT fifl, .15 Comply with .regulations on attached sheet(s) J ££&.*Plan Examiner' ^ V-l-K^Tl s K.^-(-K-^t I-*-—-"• Date_ Report mailed to architect Met with Attach to Plans HAZARDOUS MATERIALS QUESTIONNAIRE Business Name Contact Person Telephone Plan File *Mailing Address City State Zip Plan File *Site Address U U City »\ State u Zip U PART I. FIRE DEPARTMENT . HAZARDOUS MATERIALS MANAGEMENT DIVISION. OCCUPANCY CLASSIFICATION Indicate by circling the item whether your business will use process or store any of the following hazardous matenals If any of the items are checked off applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal 5 Organic Peroxides 10 Cryogenics 1 Explosive or Blasting Agents 6 Oxidizers 11 Highly Toxic or Toxic Matenals 2 Compressed Gases 7 Pyrophoncs 12 Radioacnves ^Flammable or Combustible Liquids 8 Unstable (Reactive) Matenals 13 Corrosives 4 Flammable Solids 9 Water Reactives 14 Other Health Hazards PART II. COUNTY OF SAN DIEGO HEALTH DEPARTMENT HAZARDOUS MATERIALS MANAGEMENT DIVISION. CONTINGENCY PLAN REVIEW If the answer to any of the questions is yes applicant must contact the County of San Diego Hazardous Matenals Management Division 1255 Imperial Avenue 3rd floor San Diego CA 92138 Telephone (619) 338-2222 prior to the issuance of a building permit YES NO (FEE MAY BE REQUIRED) 1 1*^11 I Is your business type listed on the reverse side of this form? 2 I 11 *^ Will your business dispose of Hazardous Substances or Medical Wastes in any amount? 3 I 11 ^ Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons 500 pounds or 200 cubic feet ^_^ of compressed gas? 4 I I I ^J Will your business use an existing or install an underground storage tank? 5 I I D2L Will your business store use or handle carcinogens reproductive toxins or Acutely Hazardous Matenals? 6 I I L±J Will your business be located within 1 000 feet from the outer boundary of a school and handle Acutely Hazardous Matenals? PART III. SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT If the answer to any of the questions is yes applicant must contact the Air Pollution Control District 9150 Chesapeake Dnve San Diego CA 92123 Telephone (619) 694 3307 prior to the Issuance of a building permit YES 2 CH Will the intended occupant install or use any of the equipment listed on the Listing of Air Pollution Control Distnct Permit Categories on the reverse side of this form? (ANSWER ONLY IF THE ANSWER TO QUESTION 1 IS YES ) Will the subject facility be located within 1 000 feet of the outer boundary of a school (K thru 12) as listed in the current Directory of School and Community College Districts published by the San Diego County Office of Education and the current California Pnvate School Directory compiled in accordance'^ithjsroyisions of Education Code Ql 101 j. Section 33190? •ic,--t'j r-piH-.-u V^P1 Briefly descnbe nature of the intended business activity if c,iob CHECK •PL LUa lJ OO Name of Owner or Authorized Agent /•» * » . . » ^ S Signature of Owner or Authonzed Agent I declare true and correct DO NOT WRITE BELOW THIS LINE analy-of penury that to the best of my knowledge and belief the responses made herein are Date 'A FIRE DEPARTMENT OCCUPANCY CLASSIFICATION . BY Date EXEMPT FROM PERMIT REQUIREMENTS COUNTY HMMD APCO APPROVED TOR BUILDING PERWT BUT NOT FOR OCCUPANCY COUNTY HMMD —MM APCD APPROVED FOR OCCUPANCY COUNTY HMMD APCD DAT' A h to ••• >i S APCD (10 90)