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Home My WebLink About2180 RUTHERFORD RD; ; CB042503; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB042503 Building Inspection Request Line (760) 602-2725 Job Address: 2180 RUTHERFORD RD GBAD Permit Type: Tl Sub Type: INDUST 0 NEW Parcel No: 2120702500 Lot#: Status: Valuation: $0.00 Construction Type: Applied: Occupancy Group: Reference #: Entered By: Project Title: CALLAWAY GOLF-INSTALL BACKUP POWER GENERATORS Applicant: CHULA VISTAELECTRIC 127 PRESS LANE 91910 760-930-8555 Building Permit Add'! Building Permit Fee Plan Check. Ad~:l!I Plan Check Fee Plc1n Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee Pot Water Con. Fee Meter Size Add'! Pot. Water Con. Fee Reel. Water Con. Fee $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 $0.00 $0:00 $0.00 $0.00 $0,00 $0:00 $0.00 $360.00 $0.0Q· · $0.00· $0.bO Plan Approved: Issued: Inspect Area: Plan Check#: Owner: CALLAWAY GOL,F CO C/0 DONALD H DYE 2285 RUTHERFORD RD CARLSBAD CA 92008 Meter Size Add'I RecL Water Con. Fee Meter Fee SDCWAFee CFO Payoff Fee PFF PFF (CFO Fund) License Tax License Tax (CFO Fund) Traffic Impact Fee · Traffic Impact (CFO Fund) PLl;JM.BING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee ·sewer Fee Redev Parking Fee . Additional Fees TOTAL PERMIT FEES Total Fees: $361.00 Total Payments To Date: ·$25,00 Balance Due: ISSUED 06/22/2004 KMT 07/20/2004 07/20/2004 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $361.00 $336.00 f li\JA.L · f:JPR V l 6982 07 /20/04 0002 01 02 DATE a~,&!L ClEARANCE.___,...,.._..---ll::GFk SI.Gf~ATURE_~------ 336u0!) ..J\\~d---FOR OFFICE USE ONLY PLAN CHECK 0. PERMIT t,~~TI~~~ > CITY okARLS{A~~-DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. ---11"----'..e::::.;=;:....;;:::;,=:a==-"'~ 02 Address (include Bldg/Suite #) a·· l:eg~escription :': ~ Lot No. $ubdivision Name/Number: · . Unit No. (>( lol-07()-a-i::-~ ~o\ ~ \jc.,\\ W\,c..,-..,~c.,turl".l,f /t.J. Q. ~ Bc,.L-1<:-u e ? C)L.cJe,r- Assessor's Parcel# Existing Use ,J Proposed Use Phase No. T cital # of units 0e,v\ef0.,,'1"'(~ :f 11!>-to-JI fl4,J< • U1? t,:,u1eroi.1-t1r.j ~r Svwi~er W\a-,\,,1.,i.,$ Name · Address City State/Zip Telephone# Fax# r~",APDLICAN.t'.'.7-.~1".;l.noiitracii:or, > ·'g'.,";i'g'enu~r·Cont(actor" · :~~dwn'df'J-:~gen~.6wnili(·-;-;,~97--"-i;;<,<t,~,:i;!;.,·,·'.2«·~>ii'r_f,;, ,.7,11;'.':;'.:<;~ .. :;::0-~.z~r::-~ ,_. ·c~ lle'~q,y-'C:;;i/~c;-~ .. ~.;ft> ·-.z;·tli~'r'"r;;[ R,;::/~~,L~x;J;;fi""' ... -·~· ''C¥!-""·~;~·v;;,Ftii: 17 7 T' w••·· Name Address City State/Zip Telephone# ~.· .J>ffilPER:T::YOWER ____ ,-_-:, -~--. k ----·--"'--'··""' _-::_~-. 1.:.~ '," ... ".:::"'""""'~-'-=;;.,,:;;,,,,:;,:,,,,,,:..: SAm€ A~ ~,ve :;3 Name Address City State/Zip Telephone# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structur!), 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 Busjness and Professions Godel, or tbat he is exempt therefrom, and the basis for the alleged exemption. Any vi lation of Section 7031.5 by any applicant f a permits bjects the ari lica·nt to·a ci ii penalty of not more than ive h dred dollars [$50Q]). VA If:, (.. IV 6S '--t.A ,sm c-A-Qf,tO 19 4,u, .... 45"00 · City State/Zip Te ephone # State License # __,_f 1-#..--4'9"--9.L....:!>ic..c~,cc_--License Class __ &. __ .. _1_0 ____ _ City Business License# / ~o 9'27 I Designer Name Address City State/Zip Telephone State Li<;ense # ~-:·,wgagJ:lls7;:,c:;;;.,QJ',,'I;:;. :::Pl:;;H'sA:;::;;, __ ;;~1;:;-Jo:;;;;:~;;:::...::;:;: :=,:,,-=.· --.. ,··-_-__ " ·, . A -.,. ,,~ ~A~7A~: :-:,:?~-A;r::~~:-~~;~~:-E?-~ Workers' Compensation Declaration: I hereby affirm under penalty perjury one of the following declarations: O I hav.e and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 37()0 of the Labor Code, for the performance of t~ork for which this permit is issued. lid' I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's c~ensation insur ce carrier and polic mber are: . ,/ / lnsuranceCompany I vO PolicyNo. 04f#}/J':iJ'z¥2 Expiration Date ~1 _04f (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$'100) OR LESS) 1 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which thi.s permit is issued, I shall not employ any person in any manner so as to become·subject to the Wor rs' Compensation Laws of California. WARNING: Failure to e tion coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one-hundred thousand dollars ($1 t of compensation, damages as provided for in Section 3706 of the Lab r cod , in erest and attorney's fees. . Mn ~~' or's License Law for the following reason: 0 I, as owner of the propert y em s 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 b.uilds or improves thereon, and who does such work IJimself 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 completion, the owner-builder will have the burden of proving that he did not build or improve for. the purpose of sale) • . O 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). ·O I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted .with the following person (firm) to provide the proposed construction. (include name / address / phone number / contractors license number): · 4. 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 number/ contractors license number>=--------------------,,---------------------~---..-- 5. I wilJ provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number/ type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE __ ~~----~----------'-~--DATE_-'-~~----- lC'QMPtETS?(ftlS' S~CTIONj=01( NOJll4lESll>ENJ7A(BUlb01NG:eERMILS;ONlY> .,, -, . . · + , ' ~:~ " -.:-·, .,, ·,,;;;: ... 1-S:;:L,< .;: cl.,;'~?:· ~:r:: '.7'.F. · 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 255S)5, 25533 or 25534 of the Presley-Tanner Hazardous Substance-Account Act? D YES tJ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES .O NO IF AN:V OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF ()CCUPANCY 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. ill, ,. ,fc~"Etfil!~T1QJHJ!.NPJ~il9J!NCX·~_::;::: z::-· -~ · ·:..=7..:· ~c:;_::.::_=:_;'._:-· . :.:·.-~~0/:?~"?Zf:::::J:5'::~~Z~E:~:,~·ti::~Z~.'.IJ~'L:I:s X . I hereby affirm that there is a construction lending agency for the· performance of the work fqr. which this permit is issued (Sec. 3097 (i) Civil Code). LENDER'S NAME;;:;;;;;;;;;:;;::;;;;;;;;;:::::;;;::::=::;:::::-:::;::;;::=::::;;::::.,, LENDER'S A=D,::D:.:_R~ES:.:S:.:;;:;;:;::===:;::::::::::::;:::;::;;::;::;::;:;:;::;:;::::;;;;;::;:;;;;:;;;;;;::;:;::::;:::;:::;;:::;:;::;;:::;::;::::::;;:;:;;::;;::;:::;:;;:;;:... ~AefLICANT~CERTiFICAillON,: ,' , ·. , . 'L :-:-: , ·. . · · · . ·, · ::?-:::·'.;~;,,, ,,,,::.>:.::.~,"' . ;.:,,,~ :.:',;,,:·:} •. 1-i..·.,;.,:~·~:;,; .,,]Z~~ ;,,;~:.:.:;:~::./ic..,!,::'.£~-t::. :,.:,j~';_:·.; -,~: ~:·'.:L;~ I certify that I have read the application and state that the above information is correct and that ttie information on the plans ii; accurate. I agree to comply with all City ordinances and State laws relating to building construction. ·I hereby authorize representatives of the Citt 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 ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or constru'ction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code· shall expire by limitation and become null and void if the building or work authorized-by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is com ecjlor riod of 180 days (Section 106.4.4 Uniform Buiiding Code). ~ /, APPLICANT'S SIGNATURE ~ DATE ~ / z_ z_ f'Ct/ ---'-----'--------- YELLOW: Applicant PINK: Finance lns.pection List Permit#: CB042503 Date Inspection Item 12/20/2004 39 · Final Electrical 08/30/2004 19 Final Structural 08/30/2004 29 Final Plumbing 08/30/2004 39 Final Electrical 08/30/2004 49 Final Mechanical 08/02/2004 89 Final Combo Monday, ,December 20, 2004 Type: Tl INDUST Inspector Act TP AP TP WC TP WC TP co TP WC TP NR CALLAWAY GOLF-INSTALL BACKUP POWER GENERATORS Comments NEED PHENOLIC SIGN @ MDB SEE E3.1A (6) CONTACT PERSON Page 1 of 1 IIIJ 11 larlllllil · Flnal Bulldlna Inspection Dept: Building Engineering Planning CMWD St LiteC::Eire Plan Check #: Permit#: CB042503 Project Name: CALLAWAY GOLF-INSTALL BACKUP POWER GENERATORS Address: 2180 RUTHERFORD RD Contact Person: ROGER Sewer Dist: CA Phone: 6198506835 Water Dist: CA Date: 08/02/2004 Permit Type: Tl Sub Type: INDUST Lot: 0 ......................... ,. ............................................................................................................................... . Inspected o--Jf~ Date t/*cr ~Disapproved: __ By: Inspected: Approved: lnspE!cted Date By: Inspected: Approved: Disapproved: __ Inspected Date By: Inspected: Approved: Disapproved: __ .........................................................................•................................................................................. Comments: ________________________ -'----------------- DATE: 7 /'20/04 -JURISDICTION: Carlsbad Es:Gil -Corporation In <Partnersliip witli <]011emment for (Bui(aing Safety PLAN CHECK NO.: 04-2503 SET: I -/J...11>0 PROJECT ADDRl;:SS: ~ Rutherford Road, BLDG l PROJECT NAME: Callaway Golf/Back-up Generator .addition CJ APPLICANT CJ JURIS. CJ PLAN REVIEWER CJ FILE D The plan~ transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. -X The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person . . D Tlie applicant's copy of the check list has been sent to: D 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: ) Fax #: Mail Telephone Fax In Person X REMARKS: City to verify that the address and permit number match. This plan check is for Building 1, which has ohe generator. By: Eric Jens~n Esgil Corporation· 0 GA D MB D EJ D PC Enclosures: OTC/7/20 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 + San Diego, California 9212J + (858) 560-1468 + Fax (858) 560-1576 DATE: 07/02/04 JURISDICTION: Carlsbad PLAN CHECK NO.: 04-2503 2180 EsGil Corporation In (]!artnersliip witli qwernmentfor<Builaing Safety Sl;T: I PROJECT ADDRESS: 2295 Rutherford Road CJ~CANT ~ CJ PLAN REVIEWER CJ FILE PROJECT NAME: Backup Generator Addition ( CAL.LA WAY c; 0 L-F) D 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 building codes when minor deficiencies identified below are resolved and checked by building department staff. 0 The pl~ms transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. · rgj The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. 0 The applicant's copy of the check list is enclosed for the jurisdiction to. forward to the applicant .contact person. r;g] The applicant's copy of the check list has been sent to: . Mike Majors 2180 Rutherford Rd. Carlsbad CA 92008 D 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. Pers.on contacted: ·Ht~~ . (" ,MJ Telephone#: (760) 931-1771 Date contacted: ?/c.o{olf(by: ~) Fax #: (760) 930-5055 Mail ----Telephone'--Fax J./ In Person D REMARKS: By: Morteza Beheshti Esgil Corporation D GA D MB D EJ D PC Enclosures: 6/24 trnsmtl.dot 9320 Chesapeake Drive, _Suite 208-+ San Diego, California 92123 + (858) 560-1468 + Fax {858) 560-1576 Carlsba~ 04-2503 · 07/02/04 GENERAL PLAN CORRECTION LIST JURISDICTION: Carlsbad PROJECT ADDRESS: 2285 Rutherford Road D.ATE PLAN RECEIVED BY ESGIL CORPORATION: 6/24 REVIEWED BY: Morteza Beheshti FOREWORD (PLEASE READ): PLAN CHECK NO.: 04-2503 DATE REVIEW COMPLETED: 07/02/04 This pian review is limited to the 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. 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. Per Sec. 106.4.3, 1997 Uniform Building Code, the approval of the plans does not permit the violation of any state, county or city law. . • Please make all corrections on the originals and submit two new complete sets.of prints to: ESGIL CORPORATION. • 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 char:tges 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? D Yes D No \1 Carlsbad 04-2503 07,/02/04 ELECTRICAL AND ENERGY CORRECTIONS PLAN REVIEWER: Morteza Beheshti 1. The licensed designer must sign the approved set of the plans. • ELECTRICAL (1999 NATIONAL ELECTRICAL CODE) 2. Submit completed plans for a complete review. Please provide information to address the following comments. · 3. Submit a completed service and feeder one line diagram to clearly justify the generator integration in to the existing service and building. Piease include and indicate existing service equipment and the connection at the existing building. Also, show the routing of service feeders to the building from the generator. Furthermore, complete sizing and ratings information for all proposed equipment. NEC 215-5. 4. Show the existing available fault current from the serving utility co. Please include $DG&E approval. 5. Please submit the-following: Air quality approval, Structural load brace design for approval, Grounding of the generator. NEC 110-26,240-24, 250-30,300-21. 6. Please remember: Rebar OR ground rods ~re not acceptable grounding electrodes for commercial applications in the City of Carlsbad. Please describe what the "UFER". ground will be. (footage, conductor material c;ind size, depth in footing.) Note: 1he 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 Morteza Beheshti at Esgil Corporation. Thank you.:· · Ca~lsbad 04-2503 0?:/02J04 ~ ALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 04-2503 . PREPARED BY: Morteza Beheshti DATE: 07 /02/04 BUILDING ADDRESS: 2285 Rutherford Road BUILDING OCCUPANCY: NA TYPE OF CONSTRUCTION: NA Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance 1994 UBC Building Permit Fee t~;il 1994 UBC Plan Che1=k Fee Type of Review, D Complete Review D Structural Only D Repetitive. Fee . ;:~.q Repeats ~J'i,: * Based on hourly rate D Other El Hourly· ._I ___ ____.31 Hours * Esgll Plan Review Fee Comments: ELECTRICAL REVIEW ONLY. $360.001 $2ss.001 Sheet 1 of 1 macvalue.doc PLANNING/ENGINEERING. APPROVALS -,~ r PERMIT NUMBER CB {) <f ~ J:fo 3 DATE 2 /u/<1 rj-- ADDRESS flf'D . ~ r cf__ ----- RESIDENTIAL RESIDENTIAL ADDITION MINOR ( <$10,000.00) tENANTIMPROVEMEN PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE · , ,, COMPLETE OFFICE BUILDING OTHER._-,-_________________ _ .. DATE_-"----"---- . Docs/Misforms/Plannlng Engineering Approvals rDD DD PLANNING DEPARTMENT · BUILDING PLAN CHECK REVIEW CHECKLIST ~ ff) I Plan Check No. CB OVJ=ss2.? Address -?'lffo· _7Ctd"',/2;r() Planner Creg Fisher Phone (760) 602-46 9 · APN: d(o--0/(} --:;)<(" ------ Type of Project & Use: ::;Jjq;>. . Net Project Density: _____ --=D;...:U;,,;,/==='A;.;:;;C_ Zoning: {,fi General Plan:. /r.. Facilities Management Zone:---=£ __ . __ CFD (in/out) # _Date of participation: ____ Remainin_g net dev acres: __ _ Circle One {For non-residential development: Type of land used created by this permit: ________ :....-__________ ) Leaend: [gl Item Complete D Item Incomplete -Needs your action Environmental Review Required: YES NO TYPE --'--- DATE OF COMPLETION: ________ _ Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: Discretionary Action Required: YES NO TYPE ___ _ APPROVAL/RESO. NO. -------"------DATE __ _ PROJECT NO. -----------0 THE R RELATED CASES: ----------------------- Comp Ii an c e with conditions or approval? If not, state conditions which require action. Conditions of Approval: ---------------------- Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES __ NO CA Coastal Commission Authority? YES __ NO If California Coastal Commission· Authority: Contact them at -7575 Metropolitan Drive, Suite 103, San Diego CA 92108-4402; (619) 767-2370 Determine status {Coastal Permit Required or Exempt): Coastal Permit Determination Form already completed? YES NO If NO, complete Coastal Permit Determination Form now. Coastal Permit Determination Log #: Follow-UP,, Actions: . -.· · / , ...._,_. ....__ l ' ii , •• 1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans). 2) Complete Coastal Permit .Determination--Log as. rie.eded. ·.\ ,-. -·. _;:\ ;, .. lnclusionary Housing Fee required: YES __ NO __ (Effective date of lnclusionary Housing Ordinan·ce -May 21, 1993.) Data Entry Completed? YES__ NO __ _ ., (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE!) H:\ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01 ODD ODD ODD ODD ODD ODD ODD ODD Site Plan: · ; 1. Provide a fully dimensional site plan drawn to ·scale. Show: North arrow,· p~; easements, existing and proposed structures, streets, .existing street imprbvemenl~, of-way width, dimensional setbacks and existing topographical lines (including all side a, .. rear yard slopes). 2. Provide legal descrip~ion· of property and assessor's parcel number. Policy 44 -Neighborhood Architectural Design Guidelines 1. Applicability: YES ____ NO ___ _ 2. Project complies YES __ NO ___ _ Zoning: 1 . Setbacks: Front: Required Shown ------Interior Side: Required Shown _____ _ Street Side: Required Shown ------Rear: Required Shown ------Top of slope: Required Shown ------------ 2. Accessory structure setbacks: Front: Required ------Shown ------Interior Side: Required ------Shown ------Street Side: Required ---------Shown ------Re a r: Required ------Shown ------Structure separation: Required _____ _ Shown ------ 3. Lot Coverage: Required ------Shown ------ 4. Height: Required ------Shown ------ 5. Parking: Spaces Required _____ _ Shown ------ (breakdown by uses for commercial and industrial projects required) ~esidential Guest Spaces Requi~e~ . Shown Additional Co!menC> $ /2&-_v f3:,av ,,.:P ~ # /,>iJ= 5?7,q;:eS . G)k:-P ., . V'I·. fl j-f.; " #' 10. r:11&_ ,.f ~"hlt..s o J' .. /,Jt'·r i,,·\,:f.i'.~1'~1; . 'f2e,Cec;,va-;::s IJ/+I .AN6--S/1-tee.S OK TO ISSUE AND ENTERED APPROVAL fN'To COMPUTE~ ef ;;ATE 6 • Z/i•d 'I H:\ADMIN\COUNTER\BldgPlnchkRevChklst Re.v 9/01 ' .• Business Nama e~ \\c.\o • 3c.,~·· SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE Business· Contact Telephone#- OFFICE USE ONLY UPFP# IJ82\] BP DATE I I ltv ~ct//4wcc (7(,0 }"t 3c:> • ~55.5- Projecl Address ( " '2 ltcc, /~u.;-l,,.er-~ ~ MaUing Address ~IM.G Project Contacl &or~o~ f\ 0~u . Slete APN#- C. vt· stale Zip Code Plan File# The following ques • · represent the faclllty's activities, NOT the specific project description. PART I: FIRE DEPARTMENT-HAZARDOUS MATERIALS RIYISION: OCCUPANCY CLASSlflCATION:-!ndicale by circllng the Item, whether your business wlll use, process, or slonil any of the following hazardous materials. If any of the llems are circled, applicant must contact the Fire Protection Agency with Jurisdiction priorto plan submittal. Organic Peroxldes Oxidizers Pyrophorlcs 9, 10. 1i. 12. 13.~ 14. Other Health Hazards 15. None of These. FEES ARE REQUIRED. Expected date of Occupancy _ __,/ __ ..a/ __ YES NO 2 1.. S. 0 o Is your business listed on the reverse side of this form? l:1., Will your bll$1ness dispose of Hazardous Sub:.tances or Medical Waste in any amount? 3. 181 D Will your business store or handle Hazardous Substances in quantllles equal to or greater thaf'I r 55 gallons,.500 pounds, 200 cubic feat, or carcinogens/reproductive toxins In any quantity? 4. 0 WIii your business use an existing or install an underground storage tank? 5, D Will your business store or handle Regulated Substances (CalARP)? B. D ~ Will your business use or install a Hazardous Waste Tank Systeq1 (Trtle 22, Artlcle 10)? 0 CalARP Exempt Date Initials D CalARP Required I Date lnll!als 0 CalARP Complete Dale Initials PhRT m; San Diego County Alr Pollution Control blstrjr;:t: If the answer is yes to any of the following questions, applicant must contact the Air Pollution Control District, 9i50 Chesapeake Drive, San Diego, CA, 92123. Call (85B) 650-4550 prior to the issuance of e building permit. YES NO . . . . . . • l!?.f:G_ l]f.-79-04 t 1 "33 R!J~r 1. }Xl D Will the subject fac1l1ly install or use any of the equipment listed on the 1.lstlng of Air Pollution Control DisfrtcJ:P.frmltt'e1egories, oh te reverse side of this form? UIK 2. 0 lxl (ANSWERONLY 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) as listed In the current Directory of School and Community College Districts, published by the San Diego County of Educatlon and the current California Private School Directory, compiled In accordance with 1he provisions of Education Code Section 33190? 3, 0 Jill Does 1he building or structure for which this permit is requested conlain any friable asbestos? 4. 0. ls-there demolltlon involvin the removal ofa load su rtin structural member? Briefly describe business activities: !Y111i u /uorV('l tJ/ & c,-rti' n G~ FOR OFFICAL USE ONLY: G /;) ~, o'} Date ' FlRE DEPARTMl:NT OCCUF'ANCYCLASSIFICATIDN:. ________________ -:---------------- DATE: __ ~/ __ _._ __ _ BY:~--------------,----------- EXEMPT OR NO FURTHER INFORMATION REQUIRED COUNTY-)-IMMb APCD . ·--··-·· ··--... ···-·· ... RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY ..,..., ·"'1 "ll, APCD RELEASED FOR OCCUPANCY COUNTY•HMMD APCO 127517 nr-n:.:r•I-lM-0171 inR/f\?\ rj\;;r"n,-n·f-~a1i·n{~-nn-..:..-nrnr =·Ha"?"t:a'rAn.1.,0-l.·lf";JtPno. lu-n;,,i~inn----.... --..... "£:,"'Tlq~ C2e~ -:t:j: \\\1.C\2) \Dq b'1S