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Home My WebLink About2150 PALOMAR AIRPORT RD; ; CB112666; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01.;.19-2012 Commercial/Industrial Permit Permit No: CBI 12666 Building Inspection Request Line (760) 602-2725 Job Address: 2150 PALOMAR AIRPORT RD CBAD Permit Type:. TI - Sub Type: INDUST Parcel No: 7602218206 Lot #: 0 Status: ISSUED Valuation: $9,500.00 Construction Type: 2A . Applied: 12/20/2011 Occupancy Group: Reference #: Entered By: RMA Project Title: PALOMAR HANGAR #18, BLDG #2 Plan Approved: 01/19/2012 BUILD 100 SF BATHROOM WITHIN EXISTING HANGAR Issued: 01/19/2012 Inspect Area: Plan Check#: Owner:. TETON JET LLC<LF> PALOMAR AIRPORT CENTER LLC ((-215'0 % r ((2150 \ PALOMAR AIRPORT RD #O-17A CAR LS BAD CAi92011 Building Permit /1' \ "' $16.87 Meter Size.".'\) Add'I Building Permit Fee $0.00 Add'I Red. Water on. Fee ' $0.00 Plan Check / / $88.81. Meter Feet \ $0.00 Add'I Plan Check Fee / "". . $0.00 SDCWA Fee \ \ $0.00 Plan Check Discount' / . $000,"CFD Payoff Fee \ - ) \ $0.00 Strong Motion Fee / . $2.00-..-. PFF (3105540) .. \ i' \ $0.00 Park Fee / $0.00 ""PFF (4305540) - ' $0.00 LFM Fee J $0.00 License Tax (3104193) .$0.00 Bridge Fee I $0.00 .ILicènseTax(4304193) . :$0.00 BTD #2 Fee $0.00 . Traffic Impact Fee (3105541) I $0.00 BTD#3Fee . $0.00 ffi ' .TraclmpactFee(4305541) J J $0.00 Rehewal Fee $0.00 I PLUMBING TOTAL'. J I $51.00 Add'l ReneaI Fee $0.00 % ELECTRICATOTAL) f / J $55.00 Other Building Fee $0:00 I MECHANICALTOTAL'.f / / $36.50 Pot. Water Con. Fee \ $0.00 Master DrainageFèe-' / / $0.00 Meter Size \ \... Sewer ) / / $0.00 Add'I Pot. Water Con. Fee $0.00 t.Redev Parking Fee / / $0.00 Red. Water Con. Fee \ $0.00 OR AdditionaI sees / / $0.00 Green Bldg Stands (5B1473) Fee $1.00 1 HMP Fee. / ?? Fire Expedited Plan Review $0.00 Green Bldg Standards Plan Chk / ?? U. \ TOTAL PERMIT FEES / $361.18 / -, -, - - Total Fees: $361.18 T .\ERU18Balace Due: $0.00 PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS MENDED BY C.M.C.18.04.030 FINAL APPOVAL Date: Clearance: - NOTICE: Please take NOTICE that 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 Applicant: GREGORY ZIOL 538 SAN ANDRS DR SOLANA BEACH CA 92075 858 344-6734 Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No. Ld) W Est. Value 4qt5W.00 C ARLSBJAD Fax: 760-602-8558 I nan UK. ueposit www.carIsbadca.ov Date 1 [ SWPPP JOB ADDRESS I SUITE#/SPACE#/UNI 444441114 7I - 8a 0,5 A LOT A PHASE A AOFUNITS J OBEDROOMS .ICT/PROJECT ROOMS TENANTBUSINESSNAME CONSTI OCC.GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area (s) -ipai -r (tL-L fr47SP(OVZ_) 4(7(7(cr_( OF /i9Ø EXISTING USE I PROPOSED USE 4ç' /27ii F1'.. I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE YES 0 # N I AIR CONDITIONING I YES 0 1,10 FIRE SPRINKLERS YE NOD APPLICAJIAME (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE I - ZIP. & - PI-InNE L4-(4- PHONE FAX EMAIL EMAIL PROPK= OWNER NAME ?-4L -f4o—AJSLL-r C-(- r., CONTRACTOR BUS. NAME a-- p (/'o77nL(t Xi5 P,tf(/1 ADDRESS Fo LOi4&/ 4cz9oi tip. ADDRESS - I II 14 CITY STATE . ZIP e4 i2.. (-34 p CITY STATE ZIP (V/-4 O 'TZI Z PHONE FAX PHONE FAX EMAIL EMAILelte . e . .edv'i .e..t(. ANE'ME & ADDRESS _________ £ca I STATE LIC. # STATE UC.# CLASS i CITY BUS. UC.# '40seF (Sec. 7031.5 Business and Profesons Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). 2Ø1X3OD3° OQOOEJ Workers' Compensation Declaration: /hereby affirm under penalty of perjury one of the following declarations: • - IJ I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. XI have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insyrance er and policy number are: Insurance C40 6L.6 6tt. C'C -? Policy No. CS P %3 2-44 I if Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less. l 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. WARNING: Failure to secure 'compensat' coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation a w gas a rovid for in ' 37 the abor code, interest and attorney's fees, CONTRACTOR SIGNATURE [] 'ENT DATE ®OOcuQQOI!ØO thereby affirm that lam exempt from Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply loan 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 sate. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). - 0 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 loan owner of - property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). O I am exempt under Section ______________Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvemOnt. 0 Yes 0 No I (have! have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name addresO / phone! contractors' license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name! address! phone contractors' license number): I will provide some of the work, bull have contracted (hired) the following persons to provide the work indicated (include name ! address! phone! type of work): ..PROPERTY OWNER SIGNATURE - D DAGENT DATE . C. WUO 38?U®J ?®D ® OU@ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 Yes )dblo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes X'Jo Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes o IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED U LESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT, @(C9O (QOø 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). Lender's Name - - Lender's Address O&W'i7 QUOU?UeO I cerlity that I have mad the application and state thatthe above infomiation is coned and thatthe information on the plans is accurate. I agree to compfywith all City ordinances and State laws relatingto building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA perish is requited for excavations over 50' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become nut and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the bufding or autho permit is ~abandonedny time afterthe work is commenced fora period of 180 days (Section 106.4.4 Uniform Building Code). .APPLICANT'S SIGNATURE DATE f / AL Ae~!~k CITY OF CARLSBAD RECORD COPY Community & Economic Development www.carlsbadca.gov December 4, 2012 T km rroR,Au.1 -TETON JET L1O-<LF> PALOMAR AIRPORT- CENTER LLC 2150 PALOMAR AIRPORT RD #O-17A CARLSBAD CA 92011 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: TENANT IMPROVEMENT INDUSTRIAL Permit Number: CB1 12666 Issue Date: January 19, 2012 GREGORY ZJOL 538 SAN ANDRS DR SOLANA BEACH CA 92075 ADDRESS: 2150 PALOMAR AIRPORT RD PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on January 17, 2013 The provisions of CBC, Section 105.5 as amended by the Carlsbad Municipal Code state: EXPIRATION." Every permit issued by the Building Official under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within one hundred eighty calendar days from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of one hundred eighty calendar days, or if the building or work authorized by such permit exceeds three calendar years from the issuance date of the permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within one hundred eighty calendar days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each one hundred eighty day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee therefore shall be one half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspelision or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any permittee holding an unexpired permit may apply for an extension of time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and - satisfactory reasons. - Please check below indicating your intentions and return this letter to us. __ Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days. (must attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at 760- 602-2725. If you have any questions, please contact the Building Inspection Division at 760-602-2700. Janean Hawney Office Specialist %&/ 6~hoa z 40 m tcc 4 iAJ17LeJ Building Division ,5 L11#o4L 1635 Faraday Avenue, Carlsbad, CAOO8-7314 T760-602-2700 F 760-602-8560 EsGil Corporation In Partnersliip with government for Bui(ding Safety DATE: 01/13/2012 U 6BELLCANT JURIS. JURISDICTION: City of Carlsbad U PLAN REVIEWER U FILE PLAN CHECK NO.: 112666 SET: II PROJECT ADDRESS: 2150 Palomar Airport Rd. PROJECT NAME: Palomar Airport Center, LLC Proposed Restroom 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 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. LI 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: Esgil Corporation staff did not advise the applicant that the plan check has been completed. LI 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 REMARKS: a) Please slip-sheet the 4 revised sheets into all City sets prior to issuing the permit. b) All sheets of plans must be signed by the person responsible for their preparation. (California Business and Professions Code. 5536.1). By: Aaron Goodman Enclosures: EsGil Corporation LI GA LI EJ LI PC 01/12/2012 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax(858)560-1576 EsGil Corporation In cPartners/lip wit/i government for Buiuuing Safety DATE: 12/27/2011 U ANT JURIS. JURISDICTION: City of Carlsbad U PLAN REVIEWER U FILE PLAN CHECK NO.- 112666 SET:! PROJECT ADDRESS: 2150 Palomar Airport Rd. PROJECT NAME: Palomar Airport Center, LLC Proposed Restroom El The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. El 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. El 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 or for recheck. LI 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: Gregory Ziol 538 San Andres Dr., Solana Beach, CA 92075 LI 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: Gregory Ziol v. ,L.1.) Telephone #: 858-344-6734 Date contacted: I LJ2iH (by: ) Email: greqziokearthl ink. net. Fax #: -777-5414 e Mail - Telephone - Fax In Person REMARKS: By: Aaron Goodman Enclosures: EsGil Corporation LI GA Li EJ LI PC 12/22/2011 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 Cityof Carlsbad 112666 12/2702011 GENERAL PLAN CORRECTION LIST JURISDICTION: City of Carlsbad PLAN CHECK NO.: 112666 PROJECT ADDRESS: 2150 Palomar Airport Rd. DATE PLAN RECEIVED BY DATE REVIEW COMPLETED: ESGIL CORPORATION: 12/22/2011 12/2702011 REVIEWED BY: Aaron Goodman 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 disabled access. 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 or other departments. 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. The approval of the plans does not permit the violation of any state, county or city law. 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 sheet with the revised plans. 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 not resulting from this list? DYes 0 No City of Carlsbad 112666 12/2702011 Please make all corrections, as requested in the correction list. Submit FOUR new complete sets of plans for commercial/industrial projects (THREE sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 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. 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. 2. Please define hardware type c which was omitted from block C on this sheet. See the call-outs at the bathroom door. Sheet AOl: The toilet room notes on sheet A.02 correctly call out the toilet room required dimensions, e.g., clear floor space at fixtures. Please show the compliance. It would be helpful if you show the clear floor space at each fixture. Sheet A.02: Block A is noting that grab bars are a "maximum" of 33 inches above the floor. They are required to be at 33 inches above the floor. Please see the code section. Sheet A.01: The door to the storage room shall provide a 32 inch clear opening. Please correct. Sheet A.01: The door to the storage room shall not encroach into the clear floor area of the toilet. Please correct. Show how you meet CEC 513 for classification of area (513.3. See (D).) 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 L3 No U END OF REVIEW 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 Aaron Goodman at Esgil Corporation. Thank you rj.. 41 City of Carlsbad 112666 12/2702011 (DO NOT PAY— THIS IS NOT AN INVOICE) VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad - PLAN CHECK NO.: 112666 PREPARED BY: Aaron Goodman DATE: 12/2702011 BUILDING ADDRESS: 2150 Palomar Airport Rd. Set I BUILDING OCCUPANCY: S-i TYPE OF CONSTRUCTION: il-A Sprinklered BUILDING PORTION AREA (Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) Proposed toilet 9500 Air Conditioning Fire Sprinklers TOTAL VALUE 9,500 Jurisdiction Code 1Gb IBy Ordinance I Bldg. Permit Fee by Ordinance I $117.811 Plan Check Fee by Ordinance —171 I $76.581 Type of Review: 21 Complete Review fl Structural Only Repetitive Fee Repeats LII Other LI Hourly Hr. @ * EsGil Fee I $65.971 Comments: Sheet 1 of 1 macvalue.doc + I Development Services. BUILDING PLANCHECK Land Development Engineering CITY OF CHECKLIST 1635 Faraday Avenue CARLSWAD QUICK-QUICK www.c 760-62-2750 aOd ENGINEERING Plan Check for CB11-2666 Date December 28, 2011 4 Project Address 2150 Palomar Airport Rd APN 213-020-18-00 Project Description Tenant improvement - Addition of 100 s single Valuation $9,500 00 accessible restroom in an existing hangar (Premier Jet @ McClellan) .5. - ENGINEERING Contact Linda Ontiveros Email linda.ontiveros@carisbadca.gov Phone 760-602-2773 Fax 760-602-1052 El RESIDENTIAL [7j TENANT IMPROVEMENT El RESIDENTIAL ADDITION MINOR El PLAZA CAMINO REAL -(<$20,000.00) El CARLSBAD COMPANY STORES El COMPLETE OFFICE BUILDING OTHER: OFFICIAL USE ONLY TO ISSUE BUILDING PERMIT REMARKS S .5 1. Notification of Engineering APPROVAL has been sent to via on E-36 . - -: Page 1 of 1 - REV 4/30/11 PLANNING/ENGINEERING APPROVALS Rmi PERMIT NUMBER CB 11-2666 DATEI2/21/11 ADDRESS 2150 Palomar Airport Road I, RESIDENTIAL ADDITION- POOL/SPA MINOR (07,000.00) TENANTIMPROVEMENT RETAINING WALL COMPLETE OFFICE BUILDING VILLAGE FAIRE SOLAR PANELS OTHER PLANNER L1RAjt,,Q DATE ENGINEER DATE_____________ H:\ADIIN\COUNTEH/PLANNING/ENC,INEEHtNG APPROVALS Carlsbad Fire Department BLDG PT COPY Plan Review Requirements Category: TI, 1NDUST Date of Report: 12-28-2011 Reviewed by: Name: Address: Permit #: CB 112666 GREGORY ZIOL. 538 SAN ANDRS DR SOLANA BEACH CA 92075 Job Name: PALOMAR HANGAR #18, BLDG #2 Job Address: 2150 PALOMAR AIRPORT RD CBAD npgy•fl •SU•tA tflea lYrs. ! Ii - Conditions: Cond: C0N0005129 [MET] APPROVED: 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, NOTATIONS 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: 1/28/2011 By: df Action: AP SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY UPFP# HV# BP DATE I I Business Name Business Contact .J oWt4 frO(L4 LLf Telephone # ( 0 l. Proect Address I2 f4 41_4/flJo?t7 City State It 7). LL5T4'P c4. Zi Code PN# Z. -08 Mailin Address -2tZE City State V'. '5 c-A 3ca. 4. Zi Code ç Plan File# t Project Contact 3 'z-:;, Z a 'cwe/,,&47 Telephone # !44 The following questions represent the facility'iactivities, NOT the specific project description. PART I: FIRE DEPARTMENT - HAZARDOUSMATERIALSDIVISION:OCCUPANCYCLASSIFICATION: 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 ci ed, ap licant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Facility's Square Footage (including proposed project): 1 _33tI Occupancy Rating: wig Explosive or Blasting Agents 5. Organic Peroxides 9. Water actives 13. Corrosives Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These. Flammable Solids 8. Unstable Reactives 12. Radioactives If the answer to any of the ao. CA 92123. Call (858) 505-6700 prior to the issuance of a building permit. - FEES ARE REQUIRED. Project Completion Date: jLj_20(a_ Expected Date of Occupancy0LQ.fj201 YES NO (for new construction or remddeling projects) 0 ' 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? 0 Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounc 200 cubic feet, or carcinogens/reproductive toxins in any quantity? 0 " Will your business use an existing or install an underground storage tank? 0 Will your business store or handle Regulated Substances (CaIARP)? 0 Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? 0 Will your business store petroleum in tanks or containers at your facility with a total storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). El CalARP Exempt Date Initials El CaIARP Required Date Initials o CaIARP Complete Date Initials PARTIII:SANDIEGOCOUNTYAIRPOLLUTIONCONTROLDISTRICT: 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 4 or 5 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 demolitionorrenovation of residential structures of four units or less. Contact the APCD for more information. YES NO 0 ,. 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 httQ://www.sdapcdor/info/facts/ermits.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). 0 (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)? (Search the California School Directory at http://www.cde.ca.qov/re/sd/ for public and private schools or contact the appropriate school district). 0 Has a survey been performed to determine the presence of Asbestos Containing Materials? 0 Will there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos? 0 Will there be demolition involving the removal of a load supporting structural member? Briefly describe business activities: Briefly describe proposed project: E1'4 4ig2PL4i41E Hd-42 oF I ___tare under penalty of per' , that to the best ofmy knowledge and resPon,a.mcerei_ruea_ect. ,,( /701 Name of Owner or Authorize_ent Date FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: FOR OFFICIAL USE ONLY: BY: DATE: I/ EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTYHMD* APCD COUNTY-HMD APCD COUNTY-HMD APCD A stamp in this DOX oniv exempts businesses trom completing or updating a Hazardous Materials business Plan. Other permitting requirements may still apply. HM-9171 (02/11) County of San Diego -DEH - Hazardous Materials Division ucv Approved ________________ Date By BUILDING .( l _________ PLANNING ENGINEERING FIRE Expedite? Y AFS Checked by. HazMat CTA:4— APCD I Health Forms/Fees Sent Due? By Encina ( V N Fire V N HazHealthAPCD PE&M School KYN Sewer . Stormwater Special Inspection V N LariciUse: Density. ImpArea: CFD: Y N FY: Annex: Factor: PFF: Y N Comments Date Date Date Date Building Planning Engineering Fire Need? 5 one ij 91.41,114... one O77+ /—w1eV Done D Done D Done SW U Issued CB112666 2150 PALOMAR AIRPORIRD PALOMAR HANGAR filR RI flct ft? - - (A O/( &/I r c7p4 4øy— (e4 F- 1:/ fta 4W, I E A, J cw1 7' JV1. al FC- ,- 2eowk e- ittt-. ,((7/1 3 Pep- 1k. sUit?S - c- o oj-4cvitd 'esa. /,2 d.i.tMi.J t..o 9