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Home My WebLink About2219 PALOMAR AIRPORT RD; ; CBC2016-0051; Permit: I, •. 4.. 4 ... _ - • ..- : '..;. City of Carlsbad .. . 1635 Faraday Av Carlsbad, CA 92008 Print Date: 04/12/2017 Commercial Permit Permit No: CBC2016-0051 - www.carlsbadca.gov - Job Address: 2219 Palomar Airport Rd Permit Type: BLDG-Commercial Work Class: Tenant Improvement - Status: Closed - Finaled Parcel No: 2130701900 Lot #: . Applied: 12/09/2016 Valuation: $14,000.00 1 Reference U: Issued: 02/22/2017 Occupancy Group: , . Construction Type: - , Finaled: U Dwelling Units: - - Bathrooms: - , Inspector: Bedrooms . ' Orig. Plan Check U: Plan Check U: Project Title:' . Description: JP MORGAN CHASE: EXTERIOR ACCESSIBILITY UPGRADE// REMOVE BARRIER & ASPHALT! CONCRETE CURB RAMP REPLACEMENT! RESTRIPE PRKNG LOT Applicant; .' - Owner: . Co-Applicant: - - PASTOR LUAREZ . . - MCR PAR L L C . PACE DEVELOPMENT CABINETRY INC . . . 4240 Jurupa St E, 402 . - Ontario, CA 91761-1427 . . . . . 7642 Windfield Dr 909-467-8922 . - . Huntington Beach, CA 92647:7139 - 951-526-3004 - BUILDING PERMIT FEE $2000+ . - ' * . $150.44 I - BUILDING PLAN CHECK FEE (BLDG) . - - . . . . ., $105.31, ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL ., . . $41.00 F MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL - - ' . . . $39.00 . 5B1473 BUILDING STANDARDS FEE . . . . . 4 . .$1.00 4 - STRONG MOTION-COMMERCIAL - - - - - , $3.92 Total Fees: $340.67 Total Payments To Date: $340.67 Balance Due: $0.00 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 hereby FURTHER NOTIFIED that right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection are your 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. . 4- .. , F - . 4 - .- .,. . - -s • . . - . 4. •,,. - . - - ' . .1 . • . . . .4 - , •i - . *• -. 4. - F' 44 4 . - I' .• . . •. :4.."' -4..- 4 . ,- •• - . - - ,' ' F. . - 4 . 'F . F , . . • , - . - I . .+ - F, •-_,, - . , -. 4 '. 4 , I ' 4 • . - 4.. .' - . . I - . - • • , i •__. - - 4 -'.4 - - - -'4 :- ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: EPLANNING EENGINEERING DBUILDING flFIRE (lu. Building Permit Application Plan Check No. Est. Value t4.4 IIity of 1635 Faraday Ave., Carlsbad, CA 92008 Ph. 760-602-2719 Fax. 760-602-8558 i Nbad, . email: building@carlsbadca.gov Plan Ck. Deposit Date I alq / ii. Iswpp www.carlsbadca.gov JOB ADDRESS - 2219 Palomar Airport Rd. SUITE#/SPACE#/UNIT# APN CT/PROJECT C LOT C PHASE C C OF UNITS C BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP I #BEDROOMS Chase Bank DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) . . Exterior Accessibility Upgrade with Barrier Removal. Remove and replace existing asphalt paving and remove and replace concrete curb ramp. New Accessibility parking restripe. . . . . EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE •- AIR CONDITIONING FIRE SPRINKLERS Bank Existing to remain N/A N/A N/A YES [D#. NOCE] YES NO LI YES E] Ng[:] APPLICANT NAME . Primary Contact Pastor Juarez PROPERTY OWNER NAME MCR PAR, LLC - John McRoskey' ADDRESS ' - ADDRESS . . . - 4240 E. Jurupa St. STE 402 1808 Aston Ave. Ste 180 CITY . STATE - ZIP Ontario CA 91761 CITY . STATE ZIP . Carlsbad CA . . FAX - PHONE - FAX . • PHONE . , 909-467.r8922 60 929 5020 760-929-5020. EMAIL . pjuarezcore-eng.com EMAIL ., guymcrlaw.net I DESIGN PROFESSIONAL . . Shea-Michael Anti. CONTRACTOR BUS. NAME Eric Sholund - Pace Development ADDRESS . - ADDRESS 4240.E. Jurupa St. STE 402 7642 Windfield Dr.. CITY ' ,, JSTATE • ZIP . Ontario' CA 91761 CITY . STATE ZIP ..,, Huntington Beach CA 92647 PHONE " 't,L-FAX PHONE FAX 91467-896 9 951-526-3004 510-373-2381 EMAIL 'i • EMAIL . santicore-eng.com eshôlund(pacedevelopmentca.com,1 STATE LIC. C STATE LIC.0 '., CLASS CITY BUS. LIC.# 434702 B C-6 . 434702 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: U 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. 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 workers' compensation insurance carrier and policy number are: Insurance Co. ' Policy No. , - -- Expiration Date This section need not be completed d the permit is for one hundred dollars ($100) or less [J Certificate of Exemption: I certify that in the performance of the work for which this permit i 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 workers' compensation 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, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE * D AGENT • DATE , I I hereby affirm that lam exempt from Contractor's License Law for the following reason: 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 Contictor'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 completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). , 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 Contractofs License Law) [] I am exempt under Section ______________Business and Professions Code for this reason: I personally plan to rovide the major labor and materials for construction of the proposed property improvement. Eves ElNo 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 address I phone I contractors' license number): . I plan to provide portions of the work, bull have hired the following person to coordinate, supervise and provide the major work (include name I address I phone /contractors' license number): . . 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include name / address I phone / type of work) 1. ,'-, :. - -- '• - '' .- PROPERTY OWNER SIGNATURE , ' . .. flAGENT DATE DHEALTH DHAZMATAPCD # r' -" 1 41 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair anystructure, 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 fChapter 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 nennitv nf nrA mnr than fi,, h,,nrir,1 ,1niir ixcrir)ti 4. 4* 4•I ', ' -: U. - - ' •U - -t C E R T IFICATE .xtii v:v_CY ttw _ Fax (760) 602-8560 Email bulldlnp@carlsbadca_gov or Mail the completed form to City of Carlsbad Building Division 1635 Faraday Avenue CarlsbadCalifornia Califo 92008 Use Only) [CO#.(Office li! t 4 CONTACT NAME - - - U - . OCCUPANT NAME ADDRESS -. - - -. U - -- .4 - . BUILDING ADDRESS4 - U.-- --_ CITY U - U STATE .. - . ZIP CITY UU , STATE, •;, -. U ZiP_ - H U _ - Carlsbad CA PHONE , PHONE , . FAX , t 4 4_I EMAIL . - .,.. - .. U OCCUPANT'S BUS. LiC. No. . .0 " U U DELIVERY OPTiONS U - . U ' F U ' - -'St . .,,PICK UP !, CONTACT (Listed above) OCCUPANT (Listed above) (CONTRACTOR (On P. 1) . U - - U . - :'-' - - . -: •, U ,U' ,MAIL TO: , CONTACT (Listed above) OCCUPANT (Listed above) ASSOCIATED CB# . -. - - - -, ' - - . • CONTRACTOR (On Pg. i) ' U • NO CHANGE IN USE /NOCONSTRUCTION t MAIL/FAXTOOTHER CHANGE OF USE / NO CONSTRUCTION U -' ' .. U' ..APPLICANT'S SIGNATURE 71 DATE r - - - - - - - :- - 4 • Ur;,;_ -' U U - U IF - 4 1 U - C • U- UUU '- U U -. - •., UU'4 .0 4 1*l ) ' 4 -I - - '- - U' - - U • - • - U UU U I , • . - - -• - - k ' , .' - ......•U,. - 14 ' - .. . _j • - - 14 •-' UFU.t - :- -• ', - i' 1- : 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? Yes (. No ' Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? tYes L No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? -yes j 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). - Lenders Name . Lenders Address U Icertify that I have read the application and state that the above information is correct and thatthe information on the plansisaccurate. I agree tocomptywtttr all City ordinances and State laws relating to 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 ANY WAY ACCRUE AGAINST SAID crrn' IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Everr 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 I . 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 commenced for a penod of 180 days (Section 106.4.4 Uniform Building Code) .APPLICANTSSIGNATURE 9-sft J i4- jt ti. DATE .: if i - .- - . - U .1 -• UU',Uj , 8 •.UU• ,I.0 UJ \U UU.0 i:-'•'. ' U1UU, t . - U - - ' - - - U - - -• .- - ,' v STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. U - Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. .' '4 I - ' Permit Type BLDG CommercIal Application Date 12/09/2016 Owner MCR PAR L L C . Work Class Tenant Improvement J Issue Date 02/22/2017 Subdivision 4 ... 1'• I ,, , Status: Closed - Firialed , Expiration Date: - 08/21/2017 '' - Address: :. - 2219 Palomar Airport Rd "- • - . Carlsbad,CA92011-1529 IVR Number: 728 .' a Scheduled Actual Inspection Type Inspection No. Inspection Status ' Primary Inspector. Reinspection Complete . Date Start Date - •ç'.,r. 04/12/2017 04/12/2017 BLDG 97 Disabled 019828-2017 1 Passed Jonathan West - Complete Accessibility - • . Checklist Item COMMENTS , - " Passed -4 •. 5 ,.5 BLDG Building Deficiency Yes I BLDG Final 019829-20117 Passed Jonathan West '. . Complete .4 Inspection - 4 • -4 •-1. 4 5- . .*.• .5- , Checklist Item COMMENTS r Passed " BLDG Building Deficiency Yes . t •54• '5 •• ) .5-, .5. . .5 . . -4 - . S,. 5__. - - . -t ' ••, . •. . . . . - -, . • . . .- 1 - - 1 ••-• P.. '. ,' 4 .; - I 4- '5 '5 "5 ., - .- '•l "5 4 '5 - - -'i- 5- 1,4 • — . • - t- . - - ,•\ _15_ 4 • 1 5, . - 4 - . '-I . .4'- 2 5'l '. . 4.' I-.. .4, .- 4 '.4 1* 4 - .$ 4 ' I - .* . - . 4 ', , 4 .- , ' - . . .• . 1 • , .4 4. Al It '. '': • ,:, '- .1 54 'S 'S , .,_ , -.5- • . .. S 'SI - .. •- . . . t,-•.,, '4 5'.. . ,• '5 1 , - . 'I - . . . -4 . , - 2 . . ' 4.1 ...'..,.... •• .5. ..,,'.. ji " 1. - '5 " - . 1 .• . -. -. - I -- '•' ., 4 p 4 1 — -• .. . ..- ) 4. . , _5_ ......-• . , 5, - .' 1 .-f • . - '.5 '4 _5 . . t . . . '' . ,, . .. •4 ,*'5 1' 4 - - •. ,.-. ,.- .55 . , . - s. ' -i' - •' -, .'* .4, -i..' - I . ' . . •.. ..•i 4 ,',. S , -5- ,- . --. * S ' - • . s April 12, 2017 Page 1 of 1 .' :* . . ' -*' ''-a • -. ,,.. '' . S....- -. .. '5-'..'% •,,*'-.,;•', .5- "I .- '' S - • ' .5 - - . ' 5 • - -S - EsGil Corporation In (Partners/lip with government for Buz&fzng Safety DATE: 12/19/2016 D APPLICANT 'YIURIS. JURISDICTION: City of Carlsbad LI PLAN REVIEWER C) FILE PLAN CHECK NO.: C2016-0051 SET: I . . PROJECT ADDRESS 2219 Palomar Airport Rd PROJECT NAME Site Accessibility Barrier Removal for Chase Bank 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' codes when minor deficiencies identified below are resolved and cheôked by buiIdirg 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 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 EsGil Corporation staff did advise the applicant that the plan check has been completed. : Person contacted- Telephone # Date contacted -- Email Mail Telephone Fax In Person LII REMARKS: 4 By Sergio Azuela Enclosures EsGil Corporation . . LI GA LI EJ [1 MB LI PC 12/12/2016 • 4 * • - ,_ C • 9320 Chesapeake Drive Suite 208 • San Diego California 92123 • (858) 560-1468 • Fax (858) 560-J576 BUILDING PORTION AREA (Sq. Ft.) Valuation Multiplier Reg. Mod: VALUE ($) * Accessibility 14,000 Air Conditioning Fire Sprinklers TOTAL VALUE V City of Carlsbad C2016-0051 12/19/2016 [DO NOT PAY— THIS IS NOTAN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION City of Carlsbad PLAN CHECK NO C2016-0051 PREPARED BY: Sergio Azuela - DATE: 12/19/2016 BUILDING ADDRESS 2219 Palomar Airport Rd 4 BUILDING OCCUPANCY Jurisdiction Code 1c6 Ordinance Bldg Perm Fee by Ordinance I I Plan Check Fee byOrdinance Type of Review Complete Review Structural Only - .-- - . [i Re petitive Fee LII Other Repeats Hourly Hr. @ * EsGul Fee I $84.041 1' Comments * . Sheet of 1 - macvalue.doc + CORE STATES GROUP SITE VISIT REPORT Weather: Sunny, 65 degrees raviitaiiip Engineering reier lsdVellKwllp, rm. Report Reason: Review floor framing and construction to determine if exterior ramp are can be modified to jnclude additional infill around existing ATM machines I Summary of Site Activities: I I The existing Chase bank building located at the site is proposing to modify the existing exterior ramp area on the south exit to infill an area in front of the ATM machines with a small step. The new infill will consist of Styrofoam covered with 3" max lightweight concrete. The bank is located above a two story basement level/parking structure that is below grade. Field observations revealed the following: The existing floor framing is comprised of poured in place concrete slab (See Photo 1) supported by concrete girders, concrete purlins, round concrete columns and concrete exterior walls. The concrete girders are approximately .18" wide, 30" below bottom of slab and span approximately 26'-0". The girders bear on 18" diameter concrete columns that are approximately 9'-6" tall. Perpendicular to the girder span are 14" wide, 21" below bottom of slab purlins spaced approximately 14'-6" on center and spanning approximately 29'-6". The walls are cast-in-place concrete and the thickness could not be determined by visual inspection. The area of the floor where the units will be placed is approximately 24" thick concrete slab that spans from purlin to purlin (See Photo 2). An additional purlin line is placed approximately 6'-6" from the edge of building to support the current ramp and planter area. The existing ramp and planter area outside consists of approximately 6" of normal weight concrete infill (See Photo 3). As-built drawings of the existing structure were not available Conclusions and Recommendations It will be feasible to modify the ramp area and infill the area in front of the existing ATM machines without adding support below. Since the current construction is designed to support 6" of normal weight concrete and the new layout will only be using 3". of lightweight concrete, the current design can be justified by using Chapter34 of The California Building Code. The new concrete ramp and infill weight will not exceed 5% of the original design loads of the slab. The ramp area and step/infill will need to be structurally detailed so that it is anchored into the existing slab correctly. Project: Chase-Fairfax Los Angeles-Ramp ______ Date: 11/22/16 Location: 310 N. Fairfax Ave. Los Angeles, CA 90036 On-Site Time: 10:30 AM to 11:30 AM D.,...,.....I.,.......... fl...... J). ...._1 .._. ENCINA INDUSTRIAL WASTEWATER DISCHARGE PERMIT WASTEWATER Ito Date12-1-2016 SCREENING SURVEY Business Name Chase Bank Street Address 2219 Palomar Airport Rd, Carlsbad, CA 92011 Email Address pjuarezcore-eng.com PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS)Ix I Check all below that are present at your facility: Acid Cleaning Ink Manufacturing Nutritional Supplement/ Assembly Laboratory Vitamin Manufacturing Automotive Repair Machining I Milling Painting I Finishing Battery Manufacturing Manufacturing Paint Manufacturing Biofuel Manufacturing Membrane Manufacturing Personal Care Products Biotech Laboratory (i.e. water filter membranes) Manufacturing Bulk Chemical Storage Metal Casting / Forming Pesticide Manufacturing / Car Wash Metal Fabrication Packaging Chemical Manufacturing Metal Finishing Pharmaceutical Manufacturing Chemical Purification Electroplating (including precursors) Dry Cleaning Electroless plating Porcelain Enameling Electrical Component Anodizing Power Generation Manufacturing Coating (i.e. phosphating) Print Shop Fertilizer Manufacturing Chemical Etching / Milling Research and Development Film /X-ray Processing Printed Circuit Board Rubber Manufacturing Food Processing Manufacturing Semiconductor Manufacturing Glass Manufacturing Metal Powders Forming Soap/ Detergent Manufacturing Industrial Laundry Waste Treatment/Storage SIC Code(s) (if known): Brief description of business activities (Production / Manufacturing' Operations): Description of operations generating wastewater (discharged to sewer, hauled or evaporated): Estimated volume of industrial wastewater to be discharged (gal / day): List hazardous wastes generated (type / volume): Date operation began/or will begin at this location: ' Have you applied for a Wastewater Discharge Permit from the. Encina Wastewater Authority? Yes No If yes, when: Site Contact , Title Signature _, Phone No.____________________________ ENCINA WASTEWATER AUTHORITY, 6200 Avenida Encinas Carlsbad, CA 92011 (760) 438-3941 FAX: (760) 476-9852 SAN DIEGO REGIONAL OFFICE USE ONLY 5 HAZARDOUS MATERIALS RECORD ID#_________________________________ IPLAN CHECK #__________________ QUESTIONNAIRE BPDATE / I Business Name CHASE BANK Business Contact Telephone # Project Address City State Zip Code I APN# 2219 PALOMAR AIRPORT ROAD CARLSBAD CA 92011 I Mailing Address City State Zip Code Plan File# Project Contact Applicant E-mail PASTOR JUAREZ pjuarezcore-eng.com Telephone # 909-467-8922 Fhe following questions represent the facility's activities, NOT the specific project description. r-lr%M IJrMFI ivir I - nM I•WIJU IVIM I r-MIML.0 uuvuiurc ui..i.urapll...y %..L ridicate by circling the item, whether your business will use, process, or store any must contact the Fire Protection Agency with jurisdiction prior to plan submittal. any or the items are Occupancy Rating: Facility's Square Footage (including proposed project): Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 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 questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 110, S Call (858) 505-6700 prior to the issuance of a building permit. FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy: YES NO (for new construction or remodeling projects) 0 Q Is your business listed on the reverse side of this form? (check all that apply). 0 El Will your business dispose of Hazardous Substances or Medical Waste in any amount? 0 EI Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? 0 FJ Will your business store or handle carcinogens/reproductive toxins in any quantity? 0 0 Will your business use an existing or install an underground storage tank? 0 91 Will your business store or handle Regulated Substances (CalARP)? 0 91 Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? 0 lX Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). the answer to any of the Diego, CA 92123. 0 CalARP Exempt Date Initials 0 CalARP Required Date Initials 0 CalARP Complete Date Initials PART III: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD): Any YES* answer requires a stamp from APCD 10124 Old Grove Road, San Diego, CA 92131 apcdcompsdcounty.ca.gov (858) 586-2650). [*No stamp required if Q1 Yes and 03 Yes and Q4-Q6 No]. The following questions are intended to identify the majority of air pollution issues at the planning stage. Projects may require additional measures not identified by these questions. For comprehensive requirements contact APCD. Residences are typically exempt, except - those with more than one building on the property; single buildings with more than four dwelling units; townhomes; condos; mixed-commercial use; deliberate burns; residences forming part of a larger project. [Excludes garages & small outbuildings.] YES NO 0 II Will the project disturb 160 square feet or more of existing building materials? El II Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition. 0 0 (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance Technician? L 0 (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification may be required 10 working days prior to commencing asbestos removal. 0 E1 Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet (www.sdapcd.org/info/facts/oermits.odfl for typical equipment requiring an APCD permit. 0 0 (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school boundary Briefly describe business activities: - Briefly describe proposed project: Banking Services Exterior ADA upgrades - replace existing asphalt and concrete paving I declare under penalty of perjury that to the best of my knowledge and belief tIle responses made herein are true and correct. 'T/ .J IJWIt f2 12. / /16 Name of Owner or Authorized Agent Signature of Owner or Authorized Agent Date FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: BY: DATE: 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 box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply. HM-9171 (08/15) . County of San Dieao- DEH - Hazardous Materials Division