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Home My WebLink About2285 RUTHERFORD RD; ; CB042502; Permit·, \ 'l 1635 Faraday Av Carlsbad; CA 92008 07-16-2004 ~ t~v-60\ City of Carlsbad Commercial/Industrial Permit Permit No: CB042502 Buildin9 Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: \(aluation: Occupancy Group: Project Title: 2285, RUTHERFORD RD CBAD Tl Sub Type: 2120620800 Lot#: $0.00 Construction f ype: Reference #: GALLAWAY GOLF-INSTALL BACKUP POWER GENERATORS INDUST 0 NEW Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: Applicant: Owner: CHULA VISTAEL.ECTRIC 127 PRESS LANE 91910 760-930-8555 Building Permit Add'I Building Permit.Fee Plan Check Add'! Plan Check Fee Plan 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 Total Fees: $371.00 $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 $0.0.Q: $0.00 $0.00 CALLAWAY GOLF CO 2285 RUTHERFORD RD CARLSBAD ·CA 92008 Meter Size Add'! Reel. 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) · .PLUMBING TOTAL ELECTRICAL TOT-AL MECHANICAL TOTAL M~ster Draina·ge Fee Sewer Fee Redev Parking Fee Additional Fees ::roTA½ PERMIT FEES Total Payments To Date: $25.00 Balance Due: ISSUED 06/22/2004 KMT 07/16/2004 07/16/2004 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $371.00 $346.00 6792 07 /16/04 r. voo2 0.1" v 02 CGp 346·00 FINAL DATE /:J;/;f/!'1 C~EARANCE __ _ S!GNf1.TURE ~ . .;:;,;_· _____ _ FOR OFFICE USE ONLY Ji~~ PERMIT A~pcA 11p~ ,ld\".\ c1i-~ o/c~s~~Ji[Bf ~EPARTMENT PLAN CHECK NO. {!Mid~ EST. VAL. -----1:r.-:::=.......,.~::--5 a.) 1635 Faraday Ave., Carlsbad, CA 92008 . I Lot No. Subdivision Name/Number Unit No. Ge.It-Club /'J'J&<"\.., kc-+ v'i'"•'-j> Total # of units Assess·or' s Parcel # Existing Use ,:;. -:Z:n:J-Mil &«.I< -vp ?p1,vu-C,;¢;.n~.--...-1oJ-:S .f-c...--Sv.-\Mtr-M<>..-vr~. 25 .. 00 Description of Work SQ. FT. · #of Stories # of Bedrooms # of Bathrooms ~~B!2fJ/£~,.,,/!,9.~oN~--f-..,1?.S!:'"'-~ ... _, __ iqJ'.~ -: .. s~_9;-:_,<,/~%:-.... ,7,~-~./J7f!::7:.#:p;L1.iff.r!:w~ .. J§:!;;$e.J~~,;,~I. 2·--<COlllT'~QTD-.:as'IS,-,,,f.f,,d1ffe•ent'--.. om,lll"'DliCantk,, -:· , ,' ',,,, ,,_,,;, , ---:~s'-s•,, ,,,,,.,,_.,,,J.,~·--:·,-;,,,_n,"vo,,1-,,,,,,:,-,,-.,,,,,,,:,--,,,', .,~,wa::ii."AJ~--~--~--~ '"""'i;;;;-~~-~-« -~---·-···' , , z;:~1; 1,;;j"' ··-·';5,r·-:r~ i'Y.;;;59,iigf?j'>-,,--l Name -Addre-ts ,, City State/Zip Telephone# Fax# illi.~~1'@iJCAt,JJ;; ;:._ ,f2Ee.\l,11!C~.9t9L.:.I::l ~Mrit,f,9r_ ~9otf~_gtqr~ ,_-;_IJ;;<>:~n~r;,'.:-,,;Q~~-ggnf@t. 0--Ytrt~r:~. r, '.'::;;;; :L;_~:;:_7_.t,:,JJ;;;i_,.3-:l,j5~' i::i.:.!:.· ~ !..~: ': %:·;:;::,, :.£%~ Cet / /. t,V ~ Z/ ()tJ Jtev-t-'lvi:,r; · Cc.t"/ ~ b eui::/ C,1-"7 Z.,C,u~ o "f 3 ' 7 f Name Address City ;!,--:.~:i;!JiotrffRTlt!o'WNE.B;-------.;:. ·_w ·:,; _, :· -::·,·--:· ... • _;' ~'.:·:·, -_-"<. --.. ,,'";', --·.,·,,,,,,,, :S? *1:-&Ip .t.-p\ ~ ;3 City State/Zip Telephone# State License # I 1 'G9J5k, License Class __ G __ ... _i_o __ ~-- Designer Name Address City State/Zip Telephone State l::icens.~e:.C#;.·;;:;,;:;;;;;;;;;;:;;;:;;:;;:::;:;;;;:;:;:::::::::== r~-~-,:C-J•Y~~,~f:.13$.~-QQJ,1P-~~$ATl.o~ff-. · _:,,_ -:-.: M::-::~ ~--:-~-~ :::-:-: ,y"~:-·: ":,,~-: .,": ~---H,~-~::~:-~::·~ -~--?:~ ~~::1 ;->:;::i:~~7~:~"'~ :~.:(::~~~-,~?::a:~~-~~ ~;::~::zz::~~J Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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 '9 work for which this permit is issued. Iii?" 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 compensation insurance carrier and licy number are: L L Insurance Company _...,.,,,.,__ ,Jf,. .PO Policy No. o4+,,DO I I 9154c!!J Expiration Date i -I -0 4 {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS} D pensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred he cost of compensation, damages as provided for in Sectign 3706-of the La or co e, interest and-attorney's fees. DATE__.o,~'--"'=,,-=:i,f:~-;~.~-o-::_--,-_- D 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 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). D 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 ·ucense Law). D I am exempt U(lder 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 applicati9n 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 I address / phone number/ 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 / phone number / type of work): · PROPERTY OWNER SIGNATURE _____ "------------'----~'----DATE ______ '----- &QM.!l'*i;;,;1l!!S!S.f;P;f;!QrJ,,;J_qFJ~/f,g}J.:!JE,~fl!JJA~.~!,iJ~.ll?lJ'i.~;PJ:,8,,J'dlT£9B~:~Z,.j,.:,,;~,_~:;:::L;J'.if.2,:;;,:1'f:.:;;:,;;J:,~j_:.;L:~L,d .•. h;::~:i.~:l:;::1J 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the iiir pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES 0-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 POL;LUTION CONTROL DISTRICT. t§,;;,·,;~~Q.N~'.tlmP~AWHQJHQ.Aq_Et{q__Y,,,:,::,;:-:,,~:,~-;-: ,-, ': ::;:::~;::=-:;;::,;,;_~:.::,..;':,.;;; ,;,,,';,:;:::i,J, 2::S:7D.:;'ili:77S:=x1~:,;,1Z2~Y:~:r3,~'."::?:3,,::::fz_;~:: I hereby affirm that t_here-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 LENDER'S ADDRESS !~,1,,'.~~~f.~lQ~N.'.f-C!;IIT:lflPlHJQN:. -.:,:..: • .-,, , · · : .. ,,, ,:---~."'.": ;-~ ~.::--:;·-_ .-.-~;-. •""'-_ _,;;,_ ::: __ :::~::::_:::~;::_ "":::>=:,,:,,.:::--~;::>-::::'. ,:;;:,,::::,5,;:;;:.l_::;:,::;:-i-'"""""':;:_,::::, __ :::,,,,:::-::-;;::::::;;,7<,~;::;:_ ,:::;;;=-:.:::: •. =,>::_,::::T ,:::'.;::;:!F":;:;,,,:::T:::, __ :::: ___ ::: __ _,,:::~'*"::_,.-::::-;-':::, =.-:=""'::::_ ~=-r-=-,::_ .. -;-::::;~=-:-=:-=-_=-:-:::. '1 I certify that I have read the application and state that the above information is correct and that the information on the plans is 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 I_N CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" 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 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 co~nce~?period of 18o.,days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE --'-~-----=----, "'r7":-_-_-__:-_:-_:"_ -~--_ ----------------DATE t%/z z/oy WHITE: File YELLOW: Applicant PINK: 'Finance 1111 er car11111• · Final Building 11111cd11 Dept: Building Engineering Planning CMWD St Lite C:::-t=,:iffi Plan Check #: Date: 08/02/2004 Permit#: CB042502 Permit Type: Tl Project Name: CALLAWAY GOLF-INSTALL BACKUP Sub Type: !NDUST POWER GENERATORS Address: 2285 RUTHERFORD RD Lot: 0 Contact Person: ROGER Phone: 6198506835 Sewer Dist: CA Water Dist: CA .......................................................................................................................................................... lnspectede 6 ~ By: --~ Date Inspected: t/~y Approved: ~isapproved: __ Inspected Date By: Inspected: Approved: Disapproved: ____ Inspected Date By: Inspected: Approved: Disapproved: __ ·····························································································~····························································· Comments:..,.,_.-------------------'------,--'---------- 1.nsp·ection List Permit#: CB042502 Date Inspection Item 12/20i2004 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 TP WC NR CALLAWAY GOLF-INSTALL BACKUP POWER GENERATORS Comments NEED PHENOLIC SIGN @ MOB SEE E3.1A (6) . . CONTACT PERSON Page 1 of 1 DATE: 7 /20/04 JURISDICTION: Carlsbad PLAN CHECK NO.: 04-2502 EsGil Corporation In <Partnersli.ip witli (io'fJernment for (}Jui(aing Safety SET: III PROJECT ADDRESS: 2285 Rutherford Road PROJECT NAME: Callaway Golf/Back-up Generator addition CJ APPLICANT CJ JURIS. CJ PLAN REVIEWER CJ FILE D The plans 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 The 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: This set replaces previously.approved and issued set ((7/16). Please discard 7/16 sets and replace with this (7/20) set. No plan check charge to applicant, minor change. By: Eric Jensen Esgil Corporation D GA D MB D EJ D PC Enclosures: OTC/1/20 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 DATE: 7/16/04 JURISDICTION: Carlsbad PLAN CHECK NO.: 04-2502 EsGil Corporation In <Partners/Up witfi, fjoTJernmentfor<Bui{ain9 Safety SET:11 PROJECT ADDRESS: 2285 Rutherford Road PROJECT NAME: Callaway Golf/Back-up Generator addition D APPLICANT 1:1 JURIS. D PLAN REVIEWER 1:1 FILE D rhe.plans 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 rhe 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: Applicant to add "yellowed" notes on sheet E3.1 to remaining sets. By: Eric Jensen Esgil Corporation 0 GA D MB D EJ ,D PC Enclosures: OTC/7/17 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 + San Die&o, Califorpia 92123 + (858) 560-1468 + Fax (858) 560-1576 DATE: 07 /02/04 JURISDICTiON: Carlsbad PLAN CHECK NO.: 04-2502 EsGil Corporation In <Partnersliip witli (]011ernment for <Buiufin9 Safety SETI PROJECT ADDRESS: 2285 Rutherford Road D APPLICANT ~ D PLAN REVIEWER D FILE PROJECT NAME: Backup Generator addition ( C-Au ... .A. wA '1 GcLF) D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith witr substantially comply With the jurisdiction's building codes when minor deficiencies identified below. c1re 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 fo·r the jurisdiction to forward to the applicant contact person. ·[8] 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. [gj Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: H \ ~e ( "' H) Telephone#: (760) 931-1771 Date contacted:~ f z./oY' (by: ~ ) Fax #: (760) 930-5055 Mail ...,/Telephone v Fax__.. In Person D REMARKS: By: Morteza Beheshti Esgil Corporation O GA D MB D EJ D PC Enclosures: 6/24 trnsrntl.dot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 .Carl~bad 04-2502 07/02/04 GENERAL PLAN CORRECTION LIST JURISDICTION-: Carlsbad PROJECT ADDRESS: 2285 Rutherford Road DATE PLAN RECEIVED BY ESGIL CORPORATION: 6/24 REVIEWED BY: Morteza Beheshti -FOREWORD (PLEASE READ): PLAN CHECK NO.: 04-2502 DATE REVIEW COMPLETED: 07/02/04 This plan 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 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 change$ been made not resulting from this list? o· Yes 0 No 'I ,-• ~arisbad 04-2502 · 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 lihe diagram to clearly justify the generator integration in to the existing service and building. Please 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 SDG&E approval. ( 5. Please submit the following: Air quality approval, Structural load brace design, Grounding of the generator. NEC 110-26,240 .. 24, 250-30,300-21. 6.. Please remember: Rebar OR ground rods are not acceptable grounding electrodes for commercial applications in the· City of Carlsbad. Please describe what the "UFER" ground will be. (footage, conductor material and size, depth in footing.) Note: 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 Morteza Behe~hti at Esgil Corporation. Thank you. ; .) --~ Carlsbad 04-2502 .. 07102/04 . !VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 04-2502 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 1994 UBC Plan Check Fee Type of Review: D Complete Review D Structural Only D Other D R~petitive Fee ~ Repeats ~ 0 Hourly 31 Hours * Esgll Plan Review Fee * Based on hourly rate Comments: ELECTRICAL REVIEW ONLY. $360.001 $2as.001 Sheet 1 of 1 macvalue.doc PLANNING/ENGINEERING. A.PPROVALS ... ·,~ PERMIT NUMBER cB 6 tf 0 s()l./ · DATE_. --,-~ ...... /;-¥'~;...:../2_6_· r:-_. __ ADDRESS_· ___ ·?~·i~if_·-'-~--·--· --t~-1----·--·--------- RESIDENTIAL RESIDENTIAL ADDITION MINOR (<$10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER·----------------------- ' . . PLANNER ____ --'--+----DATE_----:. ___ ;__ __ ENGINEER_· ·-=c_c__,__ ______ . DATE __ 7_/~_W_-}-_ . Oocs/Misforms/Plannlng Engineering Approvals /200 PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST I) I . /" ~!!.._ ~ - Plan Check No. CB O { )so.J--AddressP> /LJ&_~/u ~ Planner · Greg Fisher · Phone (760) 602-4629 APN: f//r -c)b :)._,_c);j . ------ Type of Project & Use: ,;t:;::pV'l>l,AI-Net Project Density: DU/AC Zoning: CAI General Plan: tr Facilities Manag_e_m_e_n_t_Z_o_n-e:--~-'--_;;__- CFD (in/out) # _Date of participation: Remaining net dev acres: ------- Circle One·· (For non-residential development: Type of lan1 used created· by this p·ermit: ___________________ ) · Legend, [8J 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. -----------'---O THE R RELATED CASES: ------------------------- Compliance 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 l 03, 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: 1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans). 2) Complete Coastal Permit Determination Log as needed. lnclusionary Housing Fee required: YES NO (Effective date of lnclusionary Housing Ordinance -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 DOD ODD ODD DOD ODD DOD ODD ODD @oo @oo Site Plan: 1. Provide a fully dimensional site plan drawn to ·scale. Show: North arrow, J3,r,0per.ty lines, easements, existing and proposed structures, streets, existing street improvements.; right- of-way width, dimensional setbacks and existing topographical lines (including all side and rear yard slopes). 2. Provide legal description· 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 ------Rear: Required -----'--- Shown ------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 pr.ejects required) Shown --'------___ ...;._ __ OK TO ISSUE AND ENTERED APPROVAL INTO COMP.UTER DATE. ___ _ H: \ADMI N\COUNTER\BldgPlnchkRevChklst Re.v 9/01 , . Business Name c~. \\"\O •1s" SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE Business Contact Telephone# OFFICE USE ONI..Y UPFP# \ 32.. q L-\ '2,_., BPDATE_~-~''---I Ct:>. fot:k.e.... M ' Dr~ ( 1~c!') no -? tr o 6" City State Zip Code APN# A.~ 15" A.v\~\...v~.l f'-(,'"'-,.\&\,~ cA 'f'i..00 l( Malling Address City State Zip Code Plan File# Project Contact Telephone# f\ .q__r &dl"J..~A f ; fiO "'&'f';; 6"' ( & I '1 ) ~ 'l. o -b~ 7 0 Tha ollowlng questl s represent the faclllty's activities, NOT the specific project description. PART I: FIR!: DEPARTMENT-HAZARDOUS MATl:RJALS DMS(ON; OCCUPANCY CLASSIFICATION: Indicate by clrcllng the item, whether your business will use, process, or store any of the followlng hazardous materials. If any of the items are circled, applicant must contact the Fire Protection Agency with Jurisdiction prior to plan submittal. 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives t:2i_ Compressed Gases 6, Oxldlzers 10. Cryogenics '& Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials: 4. f'lammable Solids 8. Unstable Reactives 12. Radfoaclives ~ Corrosives 14, Other Health Hazards 15. None of These, PART II: SAN DIEGO COUNTY DEl>ARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISIONS (HMO}: If the answer to any of th~ questions Is yes, applfcant must contact the County of San Diego Hazardous Materials Dil/lsion, 1255 lmperlal Avenue, 3"' floor, San Diego, CA 92101. Call {619} 338-2222 prior to the issuance of a bulldi,ng permit. FEES ARE Rl:Ql.JIRED. Exp!!!cled date of Occupancy _ __./ ____ / __ 1. 2. 3. 4. 5. 6, YES NO !RI D l&I D Im D Is your business listed on the reverse side ofthls fonn? Will your business dispose of Hazardous Substances or Medical Waste In any amount? D D D WUI your business store or handla Hazardous Substances in quantltles equal to or greater than 55 gallons, 500 pounds, 200 cubic feet, or CB'Cinogens/reproducUve toxins in any quanuty? IX! WIii your business use an existing or install an underground storage tank? D'9. Will your business stcre or handle Regulate<! Substances (CalARPJ? 121 Will your business use or Install a Hazardous Waste Tank System (Title 22, Arllcle 10)? 0 CalARP Exempt J Date Initials 0 CatARP Required Date fnlttaf!:i D CalARP Complete Date Initials PART Ill: San Diego County Air PoHution Control Dlstrlc,t; If the answer ls yes to any of the following questions, applic.int must contact the Air Pollution Control District, 9150 Chesapeake Drive, SanDtago, CA, 92123. Cell (858) 650-4550 priOrto the Issuance ofa building permit. YES NO 1. Iii D ~II the subject facllfty install or use any of the equipment listed on the Listing of Air Pollution ~ooo~~rr.t~egorl~ the reverse '!?"l::'1M side of this form? • :.1 !'\LJ.::;t _,. 1 :.1 o 2. D ~ (ANSWER ONLY IF QUESTION 1 IS YES) Will the subject faclllty be located within 1,000 feet of the ou~undary of a school (K through 12) ·$7'1 OD as listed In the current Directory of School and Community College Districts, published by the San Diego County of Education and the current "'' Calffomia Private School Directory, complied In accordance with the provisions of Education Code Sectlon 33190? 3, 0 ~ Does the building or structure for which this permit is·requested contain any friable asbestos? 4. 0 121 ls there demollllon involvl · the removal of a load su ortln structural member? Briefly describe business aclMties: Briefly describe proposed project: MC11v1. ~~c.. ~ ~\-$ i,r,\~11 C:,ssJ.7) /dr/.t.tk.., T.5c.c.k. /~lN'V-c,-(,1,er-t:,.l-;o,1 l declare under pe~_x of perjury that tot e best of my knowledge and belief the responses ade herein are true and correct. /?J?'K&-/.r/~ f orz: . ..._ · · " Name of owner or AuthJi'zed A ant 6 L--<81 oy Date FOR OFF!CAL USE ONLY: FIRE DEPARTMENTOCCUPANCYCLASSIFICATION: _____ ---'-'-------------------------- BY:--'-------------.-------------------DATE: __ ~/--~-- 1:XEMPT OR NO FURTHER INFORIMTION REQUIRED Rl:LEASED FOR OCCUPANCY COUNTY-HMMD APC!) APCD COUNTY-HMMD APCO .. ' TO FROM SCHOOLFORM CFO FORM PE & M WORKSHEET BLDG FEES COMPI.ETE PLAN CORR ENGCORR ESGILCORR FIRE CORR