HomeMy WebLinkAbout2382 FARADAY AVE; ; CB101502; Permit.f City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-02-2010 Commercial/Industrial Permit Permit No: CB101502
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2382 FARADAY AV CBAD
Tl Sub Type:
Lot#: Status:
Valuation:
2120621700
$32,200.00 Construction Type:
INDUST
0
NEW Applied:
Occupancy Group:
Project Title:
Reference #:
1ST FLOOR SHOWERS REMODEL &
Entered By:
Plan Approved:
=500 SF///2ND FLOOR BATHROOM REMODEL=420 SF Issued:
Applicant:
WENDELL SALVADOR
6859 CARDIFF AV
CULVER CITY
CA 90232
310-204-2290
Building Pet'mit
Add'I Building Permit Fee
Plan Check
Add'I 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'I Pot. Water Con. Fee .
Reel. Water Con. Fee _
Green Bldg Stands (SB1473) Fee
Fire Expedited Plan Review
$306.87
$0.00
$199.47
$0.00
$0.00
$6.76
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1.00
$115.00
Inspect Area:
Plan Check#:
Owner:
KW FUND I CARLSBAD I LP
C/O THOMAS K ARMSTRONG
14524 LODESTAR DR
GRASS VALLEY CA 95949
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWAFee
CFO Payoff Fee
PFF (3105540)
PFF (4305540)
License Tax (3104193)
License Tax (4304193)
Traffic Impact Fee (3105541)
Traffic Impact Fee ( 4305541)
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Master Drainage Fee
Sewer Fee
Redev Parking Fee
Additional Fees
HMP Fee
TOT AL PERMIT FEES
Total Fees: $62~._10 Total Payments To Date: $629.10 Balance Due:
ISSUED
08/12/2010
JMA
09/02/2010
09/02/2010
$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
??
$629.10
$0.00
Inspector:
FINAL ~~PRQVAL
Date: :S//19~/ 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 '1ees/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
fees/exactions of which vou have nreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired.
t!'
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Plan Check No. C(3 l O l ~DZ
( I
CARLSBAD Fax 760-602-8558
www.carlsbadca.gov
SUITEI/SPACEf/UNrt,
:SWPPP
DESCRIPTION OF WORK: Include Square Feet of Affected Aroa(s) • "
/Mlllt>IJ{f;-t ~~ll ~ ~t,N\~~,A-'i>Z> ~ -Jl)I~ U1 ~ Mtw'-£, { 6')~/l(ltAJS
£¼.&rtk>Cf"h e;;iJ -p!-6 e.~ <F(oc,i... h'-Mo-..w-f ~~ti A}l'!w ~ ,~ 19tf)
~ AODL--;Mt!N'~ + l,l)Ot"'t~1 S, ~i.b-c>~ . q -zo SP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS ISFJ DECIIS (Sf) FIREPIJ\CE
VESO Nc[::J
CONTACTNAME (lfD~~Ap1ZJ ...A.nht A~--------1--rr--ffdo,._...._....!.. ______ +,
~ STATE ZIP I
Pt<ONE _______ ------rF"'AX,,,----------
EMAIL
Work.ers1 Compensation Declaratlon I heraby affirm urx1erpena.'ty ofpequry one of the fo110\nng declaraflons.
0 I have and will m.ilntaln a certificate or consent to scU-lnsure for workers.' compensa!bn'Bs provided by Section 3700 of the Labor Code, tor the pertormance of tile worl. for whlcll lhls permit ls issued i ~ I have and will main lain WWi\""1"'-aUon, as IC<IU«ed bv Sectlon 37000[ lhe Labor Crm.1or the per,"'iill,'i'j( ~i'f •;,w;ty oermrt 'ir"e<I My\\~tker,' compens;r!JOn !nsr. cam or and pot,cy
numoor are Insurance Co I _____________ Poi<:yNo 't!-~.!10..3..!!0-\-Exp,ation Dale ___2!/-L/--LL __
: This section need not be tomplf!ted 1r the permit is for one hundred dollars {S100} or Jess
I O Certificate of Exemption: l ctnrty that 1n the pe,formance of lhe work bf Yroich lhls pcmutl.S issued, I shatt not empby any person i:1 any manner so as lo b-Jcomo subject 10 the Wort ors· Com_pcnsauon Laws of
Catiomia WARNING: Failure to secure wo rs• compensation 1.ovorage is unlawful, aod shall sublect an employer to criminal penaltiC'S and civil fines up to one hundred thousand dollars (&100,000), in
, .addition to tho cost of compensation mag as ro id f in Sccti 7 fth abori::ode, lnte st d atfomey's fees .
.@f CONTRACTOR SIGNATURE GENT DATE a
I he,ebyaffiw chal I am exemp/ from Co!llractor's l.tcenw Lart for tha Joll<mmg rearon 0 I as owner ol the property Ofl'rr/ empJ,)yees with \~es as their sole compensation. wi'iJ do the won. and the st.ructure IS not 1.i1eoooo« off creel for sale {Sec 70,14, Buskless aOO Professions Code The Contrac1or's l,cense law do<>-S ool apply 10 an owner of property v.flo Wikls or 11np:ovcs thereon, and who ooes such wotl. hk'nself or lhrot,gh his own emp!Oyees. pto\ided that such lmprovemems are no1 Intended or offered for
e II. hQY-.-ever 1he buillllng orUnpro\'efllenl is sold vt\tn1n one year of compJetJoo, the owner·bui~r wi1I have tho burden of proving thal he Ql-j r.ol build 01 improve for the, purpose of sale)
,o !
as owner ot the property,,am exdust.-efy contracimg with b:enSOO conlrai;:tois lo constrocl the proftci {5ec 7044, B1.1Sin!lss and Prolcssloos Codo The Contra::tors License law does not apply 10 an owner of prcperiyv.1"Q bviltls or improves 1hereon. and conifactsfor such projects with GQl'llfa:tor{s) rr.enred pursuant 10 the Contra;tor's license Lav-.?
1 am exempt under Sect®. _811siness arnj Professions Code ror lhlS ,cason
1 I personally plan to-provid'D tho rnaJor labor and matenals lorconstruc:tcin of the proposed property Improvement 0Yes 0N"o
2 I {nave r llave n:ll) si-;i:ned an appUcatlon fcf a bu.'iding pelfJUt for tha proposed work
3 I have CQntracted With the foDowlng person (P.rm} to provkle the proposed ccnstrucllon Qnclu!le name address/ phone/ contractois· license number).
4 I plan to provide portions of 1hev.'Ol'li, but I have hired the folbvting person to coontmate. supervise and provide tne major work: (11lcivde name I address I phone: contra:tors· license number)·
5 I w.l provide some or the \\Uri<, bu\ I have contracled {hired) the !O!b.ling pefSOOS to provide lhe\\Urk ~d<aled fmlude name I addmss I phone I l)'pe of mrk)
_es',.;.,n-~·-~ ·--_____ ~ ____ DATE_ ~µilio ___ -=-
' • _ _t-,~
ts the apphcan1 or Mure building occupant required to submit a business~teJy hatartklOs ma\.eiialsregistratbn form or risk managemenl and prevenlion ptogram under Sect10ns 25505. 25533 or 25534 of the
Presley.Tanner Hazru:dous Substance Account Act? D Yes ~No
Is the applicant or ruture tiuikhng ocwpant requ:red to obtain a penlm from tho a!t polk.llbn controldrstt1c1 or alto a~ emenl d1stnct? Oves ~
Is me laolJly lo oo co-cted ~ffhin 1,000 feel of tt,e ouler boonda,yof a school site? Ores ,
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED SS THE APPLICANT HAS MET OR IS MEETING TI-IE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
l hereby alfITTTl thal there is a construction lend mg agency for the peJfonnance of the work this pennit Is issued (Sec. 3097 (Q Civil Code),
Lender's Name Lender's Address
I ccrtif; that I have read tho appbcatlon and state that tho abo..e lnformaUon ls correct and that tho infonnabon on the plans ls ata1rate. I agree to comptyv..ith all City on:luwnoos and State laws relating to building construction.
l llereby autnonze ropresenl.a:M> of tt,e C<iyof Coosbad to enter upon lhe abow menlilned prope,tyforbspectl)npmposes, l Al.SO AGREE TOSAVE. INDEMNIFY AND KEEP HARMLESS TI-IE CITY OF CARLSBAD AGAINST All U/\BIUTIES, JUDGMENTS COSTS AND EXPENSES l'IHICHM,\Y INANY WAY ACCRUE AGAINSTSAJOC1TY1NCONSEQUENCE OF THE GAANTING Of THIS PERMIT. OSHA An OSHA penn1 • reqUired forexcava:,onsover50" deep anddemolrtiln orconslrucioo of slruciures ove<J S!orieS ,n "-",ht EXPIR~llON Ew,y pem,t ISSOOd by lhe Bu.'dmg Olfoo ondertt,eprowoos oltDs Codesltel 8lll"C bylmtlllon and ro:omenu!I aoovod ~ the bl,l<fng orwoll: authonzed by such pemut • no1 romioonced 1111run
, 180daysfromlheda!eolsuchper~nzedbysudlpenn11ssuspendedorabaooooedata'lytmla•,,nhewtXl<,s"""""""'forapcriodof180days(Secoon10044UnilormBuld,ngCode)
!.""'-=-as () ·---_____ -----~A1e_d.J1J_o___ j
City of Carlsbad Bldg Inspection Request
For: 03/08/2011
Permit# CB101502 Inspector Assignment: TP ---
Title: 1ST & 3RD FLOOR SHOWERS &
Description: PLUMBING REMODEL (APPROX 500 SF), 420 SFl//2ND
FLOOR BATHROOM REMODEL/MINOR ELECTRIC
Type:TI
Job Address:
Suite:
Location:
Sub Type: INDUST
2382 FARADAY AV
Lot: 0
APPLICANT WENDELL SALVADOR
Owner: KW FUND I CARLSBAD I LP
Remarks: 3RD FLR MENS /WOMANS REST RM INSP ?
Total Time:
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
CV051092 CLOSED 0-NO BUSINESS LICENSE;
CV060214 CLOSED 0-EXPIRED BIZ LICENSE;
CV070577 CLOSED 0-EXPIRED BIZ LICENSE;
CV071144 CLOSED 0-NO BUSINESS LICENSE;
CV080164 CLOSED H-TENANT IMPROVEMENT W/0 PMT;
CV080506 CLOSED 0-NO BUSINESS LICENSE;
CV090086 CLOSED 0-NO BUSINESS LICENSE;
CV090101 CLOSED 0 -NO BIZ LICENSE; SUITE #310
CV090469 CLOSED 0-NO BUSINESS LICENSE;
CV090470 CLOSED 0-NO BUSINESS LICENSE;
CV100387 CLOSED 0-EXPIRED BUSINESS LICENSE;
Inspection History
Date Description Act lnsp Comments
Phone: 9498788027
Inspector: _£_
Requested By: JIM YOUNG
Entered By: CHRISTINE
09/21/2010 17 Interior Lath/Drywall
09/20/2010 14 Frame/Steel/Bolting/Welding
AP
AP
TP 3RD FLR RESTRMS, 1 ST FLR SHOWERS
TP 3RD FLR RESTROOMS
09/20/2010 34 Rough Electric
09/17/2010 24 Roughrropout
AP
AP
TP
TP RE-LOC 3RD FLR LAVS ADD 2 W/CLOSETS DEMO JAN SINK RE-LOC
CONSIDATES TO 2ND FLR JAN SINK
DATE: August 25, 2010
JURISDICTION: Carlsbad
PLAN CHECK NO.: 10-1502
EsGil Corporation
In IPartnersli.ip witli. government for <Bui[aing Safety
SET: II
PROJECT ADDRESS: 2382 Faraday Ave.
PROJECT NAME: Restroom/Shower Renovation
~NT
~ Q PLAN REVIEWER
Q FILE
D 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.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
D 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:
~ 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
~ REMARKS: A clearance of 18" must be provided at the strike-side of the stall doors (for the ... \/,1 isabled), per Title 24. The designer stated that Will Foss has waived this requirement. Please
~v.. verify.
~urtCulver
, , O fiS EsGil ~rporation
~ ~ J-1\J GA D EJ D PC log ~ ~~,-~ :Q VmiJO}ttV-~ ~~~peakeDrive, Suite208 + San Diego, California 92123 + (858) 560-1468 + Fax(858) 560-1576
Enclosures:
•
DATE: August 20, 2010
JURISDICTION: Carlsbad
PLAN CHECK NO.: 10-1502
EsGil Corporation
In <Partnersfzip witfz <;;overnment for <J3ui{tfing Safety
SET: I
PROJECT ADDRESS: 2382 Faraday Ave.
PROJECT NAME: Restroom/Shower Renovation
~NT
~ D PLAN REVIEWER
D FILE
D The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's . codes.
D 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.
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.
~. The applicant's copy of the check list has been sent to: {~/t/10 '-
Wendell Salvador 3859 Cardiff Ave. Culver City, CA 90232 --dv~at7 ~ /lull fkte'(U f
ddlJy -r u% -to~tletf
Wtt/ ft,,f/tt::t-1 1-fv~! uj 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 chec~~s fe~o~pleted.
Person contact~5; Wendell Salvador Telephone#: 310-204-2290
Date contactedl/..23/to (b~ Fax #: 310-838-6109
Mail Telephone V Fax .,/1n Person
D REMARKS: (YMJ
By: Kurt Culver
EsGil Corporation
D GA D EJ D PC
Enclosures:
8/16/10
9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576
Carlsbad 10-1502
, August 20, 2010
• ,~· GENERAL PLAN CORRECTION LIST
JURISDICTION: Carlsbad
PROJECT ADDRESS: 2382 Faraday Ave.
DATE PLAN RECEIVED BY
ESGIL CORPORATION: 8/16/10
REVIEWED BY: Kurt Culver
FOREWORD (PLEASE READ):
PLAN CHECK NO.: 10-1502
DATE REVIEW COMPLETED:
August 20, 2010
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. Th_is 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.
• Please make all corrections 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 changes been made not resulting from this list?
D Yes D No
Carlsbad 10-1502
'August 20, 2010
1. .,, The door into the accessible water closet compartment shall be provided with a clearance
of at least 18" at the strike side of the door, per Section 1115B.3.1.4.5.
2. It appears that each of the entire restrooms must be re-worked.
3. 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 Kurt Culver at Esgil Corporation. Thank you.
Carlsbad 10-1502
· August 20, 2010
i. [DO NOT PAY -THIS JS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad
PREPARED BY: Kurt Culver
PLAN CHECK NO.: 10-1502
DATE: August 20, 2010
BUILDING ADDRESS: 2382 Faraday Ave.
BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: III-B
BUILDING AREA Valuation Reg. VALUE
PORTION ( Sq. Ft.) Multiplier Mod.
Tl 920 34.37
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code cb By Ordinance
Bldg. Permit Fee by Ordinance ''.~'.j!.
Plan Check Fee by Ordinance "':'·~1
Type of Review: 0 Complete Review D Structural Only
D Repetitive Fee
2
,~j Repeats
Comments:
D Other
D Hourly
EsGil Fee
1--------11Hr. @ •
($)
31,620
31,620
$300.301
$195.201
$168.171
Sheet 1 of 1
macvalue.doc +
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB I D---{5 /2:
ADDRESS_t_3_t -i, ____ fAJcf\~_O_A-f-y_ft)-J-----_____ _
I
RESIDENTIAL
RESIDENTIAL ADDITION MINOR
(<$17,000.00}
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
· OTHER _______________________ _
PLANNER __________ _ DATE _________ _
ENGINE~~ -. DATE <i(io/z J
H:\Development Services\Correspondence\Ontiveroslfor planchecklng\BUILDING PLANCHECK CKLIST FORM -PLANNING ENGINERING APPROV ALS.docx
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB101502 DATE 8/12/10
ADDRESS 2382 FARADAY AV
RESIDENTIAL ADDITION-
MINOR (<17,000.00)
RETAINING WALL
VILLAGE FAIRE
POOL/SPA
TENANT IMPROVEMENT
COMPLETE OFFICE BUILDING
OTHER INTERIOR Tl-RESTROOM & SHOWER ONLY
PLANNER GINA RUIZ DATE 8/13/10
ENGINEER. ________ _ DATE. ______ _
11:\AD!!IN\COUNTER/PLANNING/ENGINEERING APPROYA!S
Daryl K. James & Associates, Inc.
205 Colina Terrace
Vista, CA 92084
CORRECTION LIST
T. (760) 724-7001 Email: kitfire@sbcglobal.net
Plan Checker: qaryl K. James
Date: August 16, 2010
BLDG. DEPT COP ... Y
APPLICANT: Wendell Salvador JURISDICTION: Carlsbad Fire Department
PROJECT NAME: Not Available PROJECT ADDRESS: 2382 Faraday
1
; '/ _ /) •
PROJECT DESCRIPTION: CB101502 Restroom & Shower Renovation Juv ~~ ~
. _/h~ P, 11A ~ ~
INSTRUCTIONS -rv.-rA J{ tf'il~P(} ~
• This plan review has been conducted in order to verify conformance to minimum requirements of codes .dJ/d,J
adopted by the Carlsbad Fire Department. I if _t'"'"),C r-,, ~bv41l)
• The items below require correction, clarification or additional information before this plan check can be
1
I}_ Ill
approved for permit issuance. . #i w~~
• PLEASE SEND OR DELIVER REVISED PLANS WITH ESGIL COMMENTS DIRECTLY TO: tf/
DARYL K. JAMES
205 COLINA TERRACE
VISTA, CA 92084
• Please direct any questions regarding this review directly to: Daryl K. James 760-724-7001 or
kitfire@sbcglobal.net
RECOMMENDATION FOR APPR6V AL CONTIN-GENT UPON ADDITION OF THE
FOLLOWING DATA TO SHEET AO.O:.
Applicable Codes
Add:
2007 CFC
Denote Deferred Approvals
· 2002 NFPA 13 Deferred fire sprinkler design
2002 NFPA 72 Deferred fire alarm design
SAN DIEGO REGIONAL
HAZARDOUS MATERIALS QUESTIONNAIRE
OFFICE USE ONLY
UPFP# ______ _
HV# _______ _
BP DATE. _ _,__.,_ __
PART I: FIRE DEPARTMENT-HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: 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 circled, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal.
1 Explosive or Blasting Agents 5 Organic Peroxides
2. Compressed Gases 6. Oxidizers
3. Flammable/Combustible Liquids 7. Pyrophorics
4 Flammable Solids 8. Unstable Reactives
9. Water Reactives
10. Cryogenics
11. Highly Toxic or Toxic Materials
12. Radioactives
13. Corrosives
14. Other Health Hazards ,[!!r. None of Tfie.§D
PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISIONS (HMO): If lhe answer to any of the
questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 1255 Imperial Avenue, 3" floor, San Diego, CA 92101. Call (619) 338-2222 prior to the issuance of a building permit.
FEES ARE REQUIRED. Expected Date of Occupancy:---~--~---
YES NcY
1 D fit ,tis your business listed on the reverse side of this form? (check all that apply).
2. D g, Wilt your business dispose of Hazardous Substances or Medical Waste in any amount?
3. D Ill Will your business store or handle Hazardous Substances in quantities equal lo or greater than
-/55 gallons. 500 pounds, 200 cubic feet, or carcinogens/reproductive toxins in any quantity?
4 D -ef /41 your business use an existing or Install an underground storage tank?
5 D I;( .Ain your business store or handle Regulated Substances (CalARP)?
6 D Will your business use or install a Hazardous Waste Tank System (Title 22. Article 10)?
0 Ca!ARP Exempt
I
Date Initials
0 CalARP Required
I
Dale Initials
0 Ca!ARP Complete
I
Date Initials
PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT: If the answer to any of the questions below is yes. apphcanl must contact the Air Pollut,on Control District (APCD), 10124 Old Grove Road, San Diego, CA 92131-1649, telephone (858) 586-2600 prior to the issuance of a building or demohtion permit Note: if the answer lo questions 3 or 4 is yes, applicant must also submit an asbestos notificaUon form lo the APCD at least 10 working days prior to
commencing demolition or renovation. except · of residential structures of four units or less. Contact the APCD for more information.
2.
3
YES No/ D 121' Will the subject facility or construction activities include operations or equipment that emit or are capable of emitlmg an air contaminant? (See the
D
D D
APCD factsheel at Jillp ;\·.t·:w -sdrpr.d Clf'(1-rtto,rac:t'3lf,Nn·d::...r:.;!!. and the list of typical equ1pmen1 requiring an APCD permit on the reverse side of this from. Contact APCD if you nave any questions). D (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)? ublic and private schools may be found after search of the Callrornia School Directory at 1•1111 ,fv11m1:f1j') 11.9J1v·r{'/sdt; or contact the ppropriate school district). g" )Diiif there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos?
ii;V"Will there be demolition involving the removal of a load supporting structural member?·
£3 I I/ /0
Date
FOR OFFICIAL 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
COUNTY-HMO APCO COUNTY-HMO APCO COUNTY-HMO APCO
f!M.9171 {04/07} County of San Diego-DEH -Hazardous Materials D1vismn
CB101502 2382 FARADAY AV
1 ST & 3RD FLOOR SHOWERS &
PLUMBING REMODEL (APPROX 500 SF), 420 SF///2ND
q/ ,z l, D -To ? l('}N/ tf\JJ/ Ft-ie.£ 4 &-1L-
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Approved Date
BUILDING rl ,z_,y-/ ,o
PLANNING ~t"°?>-/0
ENGINEERING w/5YA K--Ja-to
FIRE Expedite? ( y_j N "B'-l~o t,,J/n(f:1,,a -
HazMat
APCD
Health
Forms/Fees Sent
Encina
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HazHealthAPCD
PE&M 911'2-ltD
School
Sewer
Stormwater
Special Inspection
CFD: Y ,(!j)
LandUse: Density:
PFF: y ,(NI
Comments Date
Building r?', ]r)..,-1 0
Planning
Engineering
Fire
Need?
Application Complete?
Fees Complete?
I
-
Rec'd
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Date
y N
y N
Date
By
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Due? By
y N
y N
y N
y N
y N
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Factor:
Date
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ODone
ODone
ODone
By:
By: