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HomeMy WebLinkAbout2385 CAMINO VIDA ROBLE; 200; CB891799; PermitBUILDING PERMIT 12/12/89 15:26 Page 1 of 1 Job Address: 2385 CAMINO VIDA ROBLE Permit Type: COMMERCIAL TENANT IMPROVEMENT Parcel No: 213-050-37-00 Valuation: 4,430 Construction Type: NEW Occupancy Group: B2 Class Code Description: REARRANGE EXISTING SUITE 200 Str Permit No: CB891799 Project No: A8903203 Development No : Fli989 12/123*9B «X>1 01 02 C-PRHT Status: Applied : Apr/Issue : Validated By: ISSUED 11/17/89 CD CONTRACTOR OWNER CONTRACTOR PLANT/COOK 2385 CAMINO VIDA/ CARLSBAD, CA 9/ MISSION WES?/ 1255 HIGH SAN EDDINGTOMvt 3330 '"""'92024 *** Fees Require^ Fees: Adjustments: Total Fees: Fee description Lie. C NO 438-5191 Lie. Lie. C Coll«ct#d & Credits 619-481-2782 619 436 1490 *** TotaJu Credits* ayments; nee Due: Building Permit Plan Check Strong Motion Fee Enter 'Yf to Autocalc * BUILDING TOTAL Xv Enter "Y" for Electric Issue Single Phase Per AMP * ELECTRICAL TOTAL ($10 Minimum) o.oo .25 .00 105.00 185.00 Ext fee Data 72.00 47.00 1.00 155.00 Y 275.00 5.00 Y 10.00 15.00 CrTY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) «8-n« I. . EERHIT TYPE ~T-^g£cOMMEHCfAL DNEU^S^NANT IMPROVEMENT B - O INDUSTRIAL Q^EU D"^"**1 IMPROVEMENT C - D^ESIDENTIAL DAPARTMENT D CONDD DSINGLE fAMILY DWELLING D*«>DI TION/ALTERAT10M DDUPLEX DEMOLITION DISLOCATION D*°BII.E HOME QELECTRICAL DPLUMBING DMECHAMICAL DPOOL QSPA O"ETAIN1NG WALL DSOLAR DOTHER_ 2.PROJECT INFORMATION PLAN CHECK _ _ ..'799.FOR OFFICE USE ONL YAddress Nearest Cross Streets 02 C-PRMT LEGAL DESCRIPTION Lot No.Subdivision Name/Number CHECK BELOW IF SUBMITTED: D2 Energy Calcs D2 Structural Calcs D2 Soils Report ASSESSOR'S PARCEL *2 1 *S ~ CJ'rO - -5>7 Unit No. f] 1 Addressed Envelope EXISTING USE tf^F"? £•& Phase No. PROPOSED USE £ f^f^^T 4. APPLICANT NAME QCONTRACTOR FOB CONTRACTOR ADDRESS DOWNER FOR OUWER ZIP COPE DAY TELEPHONE 5. PROPERTY OWNNAME ADDRESS ZIP CODE TENANT t DAY TELEPHONE 6. CONTRACTOR NAME ADDRESS ZIP CODE DAY TELEPHONE STATE LIC. #LICENSE CLASS CITY BUSINESS LIC. # SIGNATURE DESIGNER NAME CITY 7. WORKERS'COMPENSATION TITLE ADDRESS STHE ZIP CODE DATE QAf TELEPHONE STATE LIC. # Workers' Compensation Declaration: I hereby affirm that 1 have a certificate of consent to self-insure issued by the Director of industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO.EXPIRATION DATE Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner-Bui Ider Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: [~| ] 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.), Q 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 *o 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 ' am exempt under Section Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500}). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: 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? DYES D"o Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES DNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES QNO IF ANT OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY HAY NOT BE ISSUED AFTER JULY 1. 1989 UNLESS THE APPLICANT HAS NET OR is MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUT10H CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY I hereby affirm that there 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 10. APPLICANT'S SIGNATURE 1 certify that 1 have read the application and state that the above information is correct. I agree to comply with all City ordinances arid State laws relating to building construction. I hereby authorize representatives 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 CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every pewnit 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 1* sbch permit is not cormenced within 160 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any/t im/af ter the work is commenced for a period of 180 days (Section 303(d) Uniform/Bui Iding Code). APPLICANT'S SIGWATU D QCONTRACTOR PHONE APPROVED 8Y: DATE; WHITE: File YELLOW: Applicant FINAL BUILDING INSPECTION DECEIVED JAN J 6 1990 PLAN CHECK NUMBER: PROJECT NAME: ADDRESS: PROJECT NO.: TYPE OF UNIT: CONTACT PERSON:. CONTACT TELEPHONE:. 891793 DATE: 2385 Camino Vlda Roble UNIT NUMBER: CTt NUMBER OF UNITS: PHASE NO. Ite tarry or Ed 548-4193 INSPECTEi BY: INSPECTED BY: INSPECTED BY: Sldg, PI re DATE INSPECTED: DATE INSPECTED: DATE INSPECTED: APPROVED _L. APPROVED APPROVED DISAPPROVED DISAPPROVED DISAPPROVED COMMENTS: Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB891799 FOR 01/17/90 DESCRIPTION: REARRANGE EXISTING SUITE 200 TYPE: CTI JOB ADDRESS APPLICANT: CONTRACTOR: OWNER: 2385 CAMINO VIDA ROBLE PLANT/COOK EDDINGTON,T LARRY MISSION WEST PROPERTIES PHONE: PHONE: PHONE: STR: 438-5191 619 436 1490 619-481-2782 INSPECTOR AREA MC PLANCKfl CB891799 OCC GRP CONSTR. TYPE NEW FL: STE: REMARKS: T3/MH/RENA/438-4333 SPECIAL INSTRUCT: INSPECTOR TOTAL TIME: —RELATED PERMITS-PERMIT! CB880063 CB880064 CB880723 CB880900 CB881474 CB881475 CB890276 CB890392 TYPE CTI CTI CTI CTI CTI CTI CTI CTI CD LVL DESCRIPTION STATUS ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ACT COMMENTS 19 29 39 49 ST Final Structural PL Final Plumbing EL Final Electrical ME Final Mechanical ***** INSPECTION HISTORY ***** DATE DESCRIPTION 011190 Final Structural 011190 Final Electrical 122289 Interior Lath/Drywall 122089 Frame/Steel/Bolting/Welding 122089 Rough Electric 121989 Rough Electric ACT INSP COMMENTS CO MFC NEEDS FIRE MARSHALL OK CO MFC NEEDS FIRE MARSHALL OK AP MFC CO MFC WALLS ONLY CO MFC WALLS ONLY CO MFC NDS COND/BXS ADQT SUPPORTS PERMIT* CB900015 DESCRIPTION: ADD CITY OF CARLSBAD INSPECTION REQUEST FOR 01/12/90 1 INFRA RED HEATER CALOWAY GOLF BLDG #2 TYPE: MECH JOB ADDRESS APPLICANT: CONTRACTOR: OWNER: 2325 CAMINO VIDA ROBLE MONTANO, EDDIE CLIMATE CONTROL CALLAWAY GOLF REMARKS: T2/MH/ED/276-5424 SPECIAL INSTRUCT: GAS LINE FINAL TOTAL TIME: —RELATED PERMITS—PERMIT! TYPE CB880636 CTI CB900014 MECH PHONE: PHONE: PHONE: STR: 931-1771 619 276-5424 INSPECTOR AREA MC PLANCK! CB900015 OCC GRP CONSTR. TYPE NEW FL: STE: INSPECTOR CD 23 LVL DESCRIPTION PL Gas/Test/Repairs STATUS ISSUED ISSUED ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS * CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB891799 FOR 01/11/90 DESCRIPTION: REARRANGE EXISTING SUITE 200 TYPE: CTI JOB ADDRESS 2385 CAMINO VIDA ROBLE APPLICANT: PLANT/COOK CONTRACTOR: EDDINGTON,T LARRY OWNER:MISSION WEST PROPERTIES PHONE: PHONE: PHONE: STR: 438-5191 619 436 1490 619-481-2782 INSPECTOR AREA MC PLANCK# CB891799 OCC GRP CONSTR. TYPE NEW PL: STE: REMARKS: Tl/MH/548-4193 SPECIAL INSTRUCT: INSPECTOR TOTAL TIME: —RELATED PERMITS—PERMIT* TYPE CB880063 CB880064 CB880723 CB880900 CB881474 CB881475 CB890276 CB890392 CTI CTI CTI CTI CTI CTI CTI CTI STATUS ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED CD 19 39 LVL DESCRIPTION ST Final Structural EL Final Electrical ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 122289 Interior Lath/Drywall AP MPC 122089 Frame/Steel/Bolting/Welding CO MPC 122089 Rough Electric CO MPC 121989 Rough Electric CO MPC COMMENTS WALLS ONLY WALLS ONLY NDS COND/BXS ADQT SUPPORTS ESGIL CORPORATIO 9320 CHESAPEAKE DR., SUITE 2O8 SAN DIEGO, CA 92123 (619) 56O-I468 DATE: ICTION: OwrZ-LS'ais^r-i HECK NO: €><b - \™I <*&> T ADDRESS: ^S&'S C&m T NAME: V-^Jvy}0X}i5"L. "*7 SET: IT \ i ,^7» tun Vion- 'iOor^t^?" ~Sc) SoiTtf" 2.<?o JFILE COPYmups ^DESIGNER 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's building codes when minor deficien- cies identified "QtgLouJ are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at Esgil Corp. until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to return to the applicant contact person. The applicant's copy of the check list has been sent to: Esgil staff did not plan check has the applicant contact person that ipleted. Esgil sta been com Date contact REMARKS: ^.se applicant that the plan check has >erson contacted: r c\M>nOtt& Suti Enclo.sures:By: vTy\M £» ESGIL CORPORA DGA DAA Dvw QDM Prepared byt Jurisdiction C*r<U>±QT*nO VALUATION AND PLAN CHECK FEE Bldg. Dept. Esgil PLAN CHECK MQ. BUILDING ADDRESS APPLICANT/CONTACT BUILDING OCCUPANCY TYPE OF CONSTRUCTION WO \J \ O ?'' ^30 PHONE NO. 4*53 'S £>~2,Gr.t>>DESIGNER PHONE CONTRACTOR PHONE BUILDING PORTION o^v-n. Air Conditioning Commercial Residential Res. or Comm. Fire Sprinklers Total Value BUILDING AREA -?5>o ( VALUATION MULTIPLIER *, n-^«- 'e e e VALUE * l^f-O1?^/ 14.^5-3 Building Permit Fee $ •4 *^^* Plan Check Fee__J I Q ^ t C 0 H HE NT Si SHEET OF 12/87 BUILDING PLANCHECK ENGINEERING CHECKLIST DATE: J2-6- 99 0 ITEM COMPLETE PLANCHECK NO. 8?/79? _ \y ITEM INCOMPLETE - NEEDS YOUR ACTION 1 2 3 S N R X ITEM SELECTED TDD C C C PROJECT ID: _ H H H E E E LEGAL REQUIREMENTS C C C K X K Site Plan [r\ LJ LJ if Provide a fully dimensioned site plan drawn to scale. Show: north arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of- way width and dimensioned setbacks. I I I ILJ i_i 2. Show on site plan: Finish floor elevations, pad elevations, elevations of finish grade adjacent to building, existing topographical lines, existing and proposed slopes, driveway with percent (%) grade and drainage patterns. r- 1 r— I i— ' i— ' 3. Provide legal description and Assessors Parcel Number. Discretionary Approval Compliance 4. No Discretionary approvals were required. / rvf ri— i i Project complies with all Engineering Conditions of Approval for Project No. _ . Project does not comply with the following Engineering Conditions of Approval for Project No. _ Conditions complied with by: _ Date: Field Review 7. Field review completed. No issues raised. 8. Field Review completed. The following issues or discrepancies with the site plan were found: A. Site lacks adequate public improvements. B. Existing drainage improvements not shown or in conflict with site plan. C. Site is served by overhead power lines. D. Grading is required to access site, create pad or provide for ultimate street improvement. FRM0010.DH 08/29/89 Site access visibility problems exist. Provide onsite turnaround or engineered solution to problem. Other: Dedication Requirements . No dedication required. .10. Dedication required. Please have a registered Civil Engineer or Land Surveyor prepare the appropriate legal description together with an Qh" x 11" plat map and submit with a title report and the required processing fee. All easement documents must be approved and signed by owner(s) prior to issuance of Building Permit. The description of the dedication is as f ol 1 ows: ____. _^_^ Dedication completed, Date:.By:. Improvement Requirements 11. No public improvements required. SPECIAL NOTE: Damaged or defective improvements found ad.iacent to building site must be repaired to the satisfaction of the City inspector prior to occupancy. .12. Public improvements required. This project requires construction of public Improvements pursuant to Section 18.40 of the City Code. Please have a registered Civil Engineer prepare appropriate improvement plans and submit, for separate plancheck process through the Engineering Department. Improvement plans must be approved, appropriate securities posted and fees paid prior to issuance of permit. The required improvements are: _ Improvement plans signed, Date:.By:. FRM0010.DH 08/29/89 .13. Improvements are requ1 red. Constructi on of the pub!i c Improvements may be deferred In accordance with Section 18.40 of the City Code. Please submit a letter requesting deferral of the required improvements together with a recent title report on the property and the appropriate processing fee so we may prepare the necessary Future Improvement Agreement. The Future Improvement Agreement must be signed, notarized and approved by the City prior to issuance of a Building Permit. Future Improvement Agreement completed, Date By: Grading Requirements 13a. Inadequate information available on site plan to make a determination on grading requirements. Please provide more detai1ed proposed and exi sti ng elevati ons and contours. Include accurate estimates of the grading quantities (cut, fill, import, export). V_1_^14. No grading required as determined by the information provided on the site plan. 15. Grading Permit required. A separate grading plan prepared by a registered Civil Engineer must be submitted for separate plan check and approval through the Engineering Department, NOTE: The Grading Permit must be issued and grading substantially complete and found acceptable to the City Inspector prior to issuance of Building Permits. Grading Inspector sign off. Date: By: Miscellaneous Permits X- 16- Right-of-Way Permit not required. 17. Right-of-Way Permit required. A separate Right-of-Way Permit issued by the Engineering Department is required for the fol1 owlng: OS. Sewer Permit is not required. .19. Sewer Permit 1s required. A Sewer Permit is required concurrent with Building Permit issuance. The fee required 1s noted below in the fees section. 20. Industrial Waste Permit is not required. FRM0010.DH " 08/29/89 21.Industrial Waste Permit is required. Applicant must complete Industrial Waste Permit Applicantion Form and submit for City approval prior to issuance of Building Permits. Permits must be Issued prior to occupancy. Industrial Waste Permit accepted - Date: _ By: _ Fees Required !. Park-in-Lieu Fee Quadrant: — Fee per Unit: AJA 23. Traffic Impact Fee Total Fee Per Unit:Total Fee: w& 24. MA 25. X&- 26. Bridge and Thoroughfare Fee Fee per Unit: Total Public Facilities Fee required. Facilities Management Fee Zone:_Fee: Up -r3? Sewer Fees Fee: Permit No.EDU's 28. REMARKS : Sewer Lateril required:. Fee : /A)Smc£.. ENGINEERING AUTHORIZATION TO ISSUE PERMIT BY: ^—. *==r=~<£s^ *~ Date: FRM0010.DH 08/29/89 V V Vf £ £(_) CJ U ricD dn n PLANNING CHECKLIST Plan Check No. APN: _ Planner Address Phone 438-1161 (NameU Type of Project^and Use Zone Facilities Management Zone Legend El Item Complete ^n) Item Incomplete - Needs your action 1, 2, 3 Number in circle indicates plancheck number that deficiency was identified Environmental Review Required: YES DATE OF COMPLETION: NO TYPE Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval Discretionary Action Required: YES APPROVAL/RESO. NO. PROJECT NO. - TYPE DATE: OTHER RELATED CASES: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval D Coastal:YES NO DATE OF APPROVAL: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval ElD D Landscape Plan Required: YES NO See attached submittal requirements for landscape plans Site Plan: DD D l- Provide a fully dimensioned site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width and dimensioned setbacks. Q 2. Show on Site Plan; Finish floor elevations, elevations of finish grade adjacent to building, existing topographical lines, existing and proposed slopes and driveway. [j 3. Provide legal description of property, rj 4. Provide assessor's parcel number. Zoning: QDD 1. Setbacks: Front: Required Shown Int; Side: Required Shown Street Side: Required Shown Rear: Required Shown D 2. Lot coverage: Required Shown rj 3. Height: Required Shown Q 4. Parking: Spaces Required Shown Guest Spaces Required Shown Additional cements and remarks have been wide on the building plans. These •arked-up plans My be picked up at the Building Department. These aarked- up plans mist be resubaitted with the revised plans for this project. Have plans been marked up? YES NO /^~ DD D Additional Comments OK TO ISSUE S"*v**^<f / DATE PLNCK.FRM .-^fJF- >•**<#•• 2560 ORION WAY CARLSBAD, CA 92008 TELEPHONE (619) 931-2121 PROJECT ARCHITECT OWNER JiL OCCUPANCY Pi -E/.SPRINKLERED T l CONST. IMP. Citp of Cariftafr FIRE DEPARTMENT PLAN CHECK REPORT ADDRESS ADDRESS ADDRESS TOTAL SQ.FT. S.F PAGE1 OF_/_ APPROVED DISAPPROVED PLAN CHECK* PHONE PHONE STORIES APPROVAL OF PLANS IS PREDICATED ON CONFORMING TO THE FOLLOWING CONDITIONS AND/OR MAKING THE FOLLOWING CORRECTIONS: 1. 2. 3. PLANS, SPECIFICATIONS, AND PERMITS Proyide one copy of: floor plan(s); site plan; sheets , • Provide two site plans showing the location of all existing fire hydrants within 200 feet of the project. Provide specifications for the following: • ; • Permits are required for the Installation of all fire protection systemsjapflnklera stand pipes, dry chemical, halon, CO*, alarms, hydrants). Plan must be approved by the fire department'piI6r to Installation. The business owner shall complete a building Information letter and return It to the fire department. FIRE PROTECTION SYSTEMS AND EQUIPMENT The following fire protection systems are required: Automatic fire sprinklers (Design Criteria: H^ D Dry Chemical, Halon, CO* (Location: D Stand Pipes (Type: D Fire Alarm (Type/Location: . Fire Extinguisher Requirements: <«£& One 2A rated ABC extinguisher for^ach extinguisher not to exceed 75 feet of travel. D An extlnguisherWlth a minimum rating of ) •sq. ft. or portion thereof with a travel distance to the nearest- 4*^ ^- ->,,,* j.^,-- y _ l_ to be located: _ l • ' D Other: 8. Additional fire hydrant(s) shall be provided EXITS Exit doors shall be openable from the Inside without the use of a key or any special knowledge or effort. 10. A sign stating, " This door to remain unlocked during business hours" shall be placed above the main exit and doors ' . . , ' . • - 11. EXIT signs (6" x */4" letters) shall be placed over all required extlts and directional signs located as necessary to clearly indicate the location of exit doors. GENERAL 12. Storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and hazardous chemicals shall comply with Uniform Fire Code. 13. Buildlng(s) not approved for high piled combustible stock. Storage in closely packed piles shall not exceed 15 feet In height, 12 feet on pallets or in racks and 6 feet for tires, plastics and some flammable liquids. If high stock pil- ing Is to be done, comply with Uniform Fire Code, Article 81. , 14. Additional Requirements. : t .15. Comply with regulations on attached sheet(s). Plan Examiner. Report mailed to architect Met with Dat»- \ /I .Attach to Plans (Eawtig 0f j&nt DEPARTMENT OF HEALTH SERVICES HAZARDOUS MATERIALS MANAGEMENT DIVISION For Office Use Only H (619) 338-2222 BUILDING DEPARTMENT QUESTIONNAIRE Businesses which handle, store, or dispose of hazardous substances will be required to provide a chemical inventory and a basic emergency response plan before a certificate of occupancy can be issued. This plan called a "Business Plan" will become a valuable tool aiding you, your employees, and emergency responders should an emergency occur at your business. Certain hazardous substances called "Acutely Hazardous Materials" may require a more detailed emergency response plan known as a "Risk Management and Prevention Plan11 (RMPP). If your business handles Acutely Hazardous Materials and will be located within 1,000 feet of the outer boundary of a school (K thru 12) you may be required to prepare an RHPP before a building permit can be issued. A definition of hazardous substances and a list of Acutely Hazardous Materials are available at the Hazardous Materials Management Division (HHHO) or your local building department. To determine if your business needs to submit an emergency plan, please complete this questionnaire. Business Name (DBA) Mailing Address Site Address YES NO 1. t 1 ~p£2. c i 'y£. 3. [ 1 >C( *. 1 1 ^C 5. [ 1 JX 6. t ] y^ Contact Person City ] State <2l£f "Z-GO City ?O V(P$~K$£ C&tfJ-^Ert £> £fr Telephone C ) Zip Zip Is your business type listed on the reverse side of this form? Will your business dispose of Hazardous Substances or Medical Wastes in any amount? Will your business store, or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds or 200 cubic feet of compressed gas? Uill your business use an existing, or install an underground storage tank? Will your business store, use or handle carcinogens, reproductive toxins, or Acutely Hazardous Materials? Uill your business be located within 1,000 feet from the outer boundary of a school and handle Acutely Hazardous Materials? If the answer to any of the above questions arc YES, your business Mill need to prepare an esergency plan. Subsrit this questionnaire along with an application fee of SI00.00 Bade payable to "COUNTY OF SAN DIEGO11 to: In person - 1255 Isperi'sl Ave., 3rd Floor, San Of ego, CA 92101. By sail - P.O. Box 85261, San Diego, CA 92138-5261 Attention: Business Plan Review (Questionnaires will not be accepted without an application fee.) If all of the above questions are NO, return this questionnaire to your local building department. Briefly Describe the Nature of the Business Activity or Process Printed Name of Owner or Authorized Agent Title I declare under penalty of perjury tha best of my knowledge and belief the res made herein are true and correct. orized Agent BUILDING INSPECTION DEPT, PLAN FILE NUMBER Init. HMD use only: EXEMPT FROM HNND PERMIT REQUIREMENTS HMND APPROVED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY HMD REQUIREMENTS HAVE BEEN NET FOR OCCUPANCY CONFIRMING STAMP CONFIRMING STAMP CONFIRMING STAMP THESE STAMPS INDICATE ACCEPTANCE BY HAZARDOUS MATERIALS MANAGEMENT DIVISION (HMD) AND DO NOT DESIGNATE APPROVAL BY ANY OTHER AGENCY. OHS:HM-972 (7/89) SAN DIEGO AIR POLLUTION CONTROL DISTRICT 9150 CHESAPEAKE DRIVE, SAN DIEGO, CALIFORNIA 92123-1095 (619) 694-3307 AIR POLLUTION CONTROL QUESTIONNAIRE New State law, effective July 1,1989, (AB 3205, Chapter 1589. Statutes 1988) requires that an applicant for a building permit provide information indicating whether a permit is required from the Air Pollution Control District This law further prohibits a City or a County from issuing Certificate of Occupancy unless a business has complied with provisions of the law that are administered by the Air Pollution Control District. The new law also imposes additional permitting requirements for a facility within 1,000 feet of the outer boundary of a school (K thru 12). To determine whether your business is subject to these new requirements, please complete this questionnaire. Business Name (DBA)Contact Person Phone ( ) Mailing Address City State Zip Street Address of Proposed Facility City Zip YES: D D NO; 1 . Will the intended occupant install or use any of the equipment listed on the Listing of Air Pollution Control District Permit Categories? (IF ANSWER TO 1 IS YES, APPLICANT MUST CONTACT THE APCD DIRECTLY) 2. (Answer only if the answer to 1 above is YES) Will the subject facility be located within 1000 feet of the outer boundary of a school (K thru 12) as listed in the current Directory of School and Community College Districts, published by the San Diego County Office of Education and the current California Private School Directory, compled in accordance with provisions of Education Code Section 33190? Briefly Describe Nature of the Intended Business Activity: Name of Owner or Authorized Agent:Title: ture^ of Q\jmer or Authorized Agent: I declare under penalty of perjury that to the best of my knowledge and belief the responses made herein are / true and correct Building Inspection Plan File No: Initials .PCEnjse only STATUS: EXEMPT FROM APCD PERMIT REQUIREMENTS Confirming Stamp APPROVED FOR ISSUANCE OF BUILDING PERMIT, BUT NOT FOR OCCUPANCY Confirming Stamp APPROVED FOR OCCUPANCY (APCD Authority to Construct Issued) Confirming Stamp COMMERCIAL/INDUSTRIAL APPLICATION FORM FOR INDUSTRIAL WASTE DISCHARGE PERMIT CITY OF CARLSBAD APPLICATION: NEW (CHECK ONE) REVISED BUILDING P.C. NO.; APPLICATION NO.: INDUSTRIAL CLASS: DATE: Signature of City Representative 79<? APPLICATION FOR INDUSTRIAL WASTE DISCHARGE PERMIT A. GENERAL: APPLICANT: SITE TYPE OF BUSINESS: APPLICANT'S ADDRESS: 8. WASTES AND PROCESSING: (Check where applicable) Domestic Waste Only Industrial Waste Discharged to Sewer Industrial Waste NOT Discharged to Sewec GENERAL DESCRIPTION OF WASTE (Chemical and Physical Characteristics of proposed waste): ' GENERAL DESCRIPTION OF PROCESS (If Applicable): C. WASTES TO-6E DISCHARGED TO SEWER: WASTE: TREATED: (Check One) UNTREATED! QUANTITY: AVERAGE (Daily) MAXIMUM GPO GPD (Gallons Per Day) APPLICANT OR REPRESENTATIVE OF FIRM: TITLE: SIGNATURE:DATE: REMODEL OR TENANT IMPROVEMENT CONSTRUCTION VALUATION The Building Official is mandated by State law to determine the value of work proposed in each application for a Building Permit. The value to be used, shall be the total value of all construction work for which the permit is issued as well as all finish work, painting, roofing, electrical , plumbing , heating, air conditioning , elevators, fire exting- uishing systems and any other permanent equipment. Uniform Building Code Section 304 (a) APPLICANT PLEASE COMPLETE SITE ADDRESS fegffe" PLAN CHECK DESCRIPTION fL&LoCStfTZ' AREA OF / PROPOSED WORK OF PROPOSED WORK t)&0 1tO\ fa&M At a- poc.Tk> l &ztf&p 5. F t^T REMODEL ~7 *& O IT"! TENANT IMPROVEMENT [ [ ADDITION INCLUDES: NEW SUSPENDED CEILING NEW HVAC NEW FIRE SPRINKLERS NEW PARTITIONS NEW PLUMBING NEW ELECTRICAL TZZJOt 4~F aa aa 2. P* /A.? ^ YES YES YES YES YES fcTi Tio^J^ 'fifrTf+s&j ofT^t^^* 1 i NO EH NO [ ] NO f i NO CD NO HAS A CONTRACTORS ESTIMATE BEEN RECEIVED FOR THE PROPOSED WORKT^YES [ ]NO ITEMIZED COST ESTIMATE IS ATTACHED JX^YES [ ] NO I CERTIFY THE VALUE OF ALL PROPOSED CONSTRUCTION WORK COVERED BY THE PERMIT APPLICATION INCLUDING: ALL STRUCTURAL WORK, FINISH WORK, PAINT- ING, ROOFING, ELECTRICAL, PLUMBING, HEATING, AIR CONDITIONING, ELEVATORS, FIRE EXTINGUISHING SYSTEMS, AND ALL PERMANENT EQUIPMENT IS:$ THIS VALUE IS BASED ON: 11 DESIGNER'S ESTIMATE * CONTRACTOR'S ESTIMATE i1 OTHER, DESCRIBE BASIS INFORMATION IS TRUE AND CORRECT APPLICANT I TDESIGNER II CONTRACTOR********************************************************************** PLAN CHECKER USE ONLY THE VALUE IS ACCEPTABLE iI YES i] NO AN ITEMIZED COST BREAKDOWN IS REQUIRED TO CONFIRM THE ESTIMATED CONSTRUCTION VALUE. O YES 11 NO BY: DAr GEORGE P. LOUNSBURY R.C.E. 1330 NORTH ELM STREET ESCONDIDO, CA y*0ZA TEL (619)743-6262 3 JAN 1989 Steve White White Construction Inc. 7720 El Cam!no Real *2N Carlsbad, CA 92009 RE: 2383 Cam1no VIda Roble Dear Steve, As you are aware Jack and I reviewed the AC units that installed at 2385 Garni no VIda Roblea. The Building desires that the loading -From these units be reviewed that the -framing is not over-stressed. The roof estimated to weigh 400 pounds or 10% of the calculated (the affected area being 200 sq ft) since this is at allowed reduction of live loads to 16 psf from 20 psf opinion that these units will not over-stress the roof have been Department to assure units are live load the first it is my framing. a smal ler unit suspended from the floor framing in a lower suite. This unit is well under 3% of the design loading and again will not over-stress the framing. *orge C.E. 21291 2560 ORION WAY CARLSBAD, CA 92008 Citp of Cartebab FIRE DEPARTMENT December 9, 1988 Misson West Properties C/O White Construction 7720 El Camino Real #2N Carlsbad, CA ' 92009 RE: 2325 & 2365 Camino Vida Robles, DBA G&G Designs Attached are copies of the fire inspection conducted at 2325 Camino Vida Robles. Since G&G Designs occupy both buildings for the same purpose these requirements apply to both addresses. As you can see the original inspection date was 9-18-87 and we have never gotten complete compliance to these requirements. Therefore, the Fire Department has also denied their business license. After meeting with Jack from White Construction at 2365 Camino Vida Robles it is apparent that they have made some attempt at compliance, however, the dust accumulation is still a big problem. Should you have further questions please contact Mrs. Daryl James "at 931-2129. Sincerely, Colleen Balch Fire Prevention Officer 1200 ELM AVENUE CARLSBAD, CA 92008-1989 TELEPHONE (619)438-5550. Citp of Cartefmb FINANCE DEPARTMENT NOVEMBER 15, 1988 G&G DESIGNS/OMMUNICATIONS 2325 CAMINO VIDA ROBLE CARLSBAD, CA 92008 As you were informed when applying for your-business license, all new businesses must be approved by the Building Depart- ment, the Fire Department, and the Planning Department before a license may be issued.i Due to a rejection from the: Building Department Fire Department XXXXXX HAZARDOUS OCCUPANCY .IN BLDG. NOT ADEQUATELY PROTECTED OR UPGRADED. Planning Department __ your application for a business license is denied. If you wish further information concerning this matter, please do not hesitate to call. Sincerely, Marty Arthur Business Licenses /me a *****CONTACT COLLEEN BALCH AT-FIRE DEPT.931-2127 FOR FURTHER INFORMATION Issued tn Address U ( ' CARLSBAD FIRE DEPARTMENT ' *2b60 Orion Way, Carlsbad, California 92008 931-2121 INSPECTION NOTICE (Final Notice) ' • Page.of Notice No,., _ '. Date (f' /?']f7 53?City Owner, Occupant or Manager Address ,-^Q/ Phone V Phone C-77^ 7 £ V . : -,/f City V /Ulfl The items listed below are D VIOLATIONS [W REQUIREMENTS D (OTHER) ,iM - /^tff-rvt^ tv 0 .*b /-^t. */-L .'itftlQf T'•*• "''' ' •' •** ' /> -"• *~ 'M* ' ' -**---^'/''-^J- •>- J ." C.rL* l&-*T^t*''«^*t_*" ^' •^ Measures shall be taken immediately to correct all of the violations listed herein. Failure to comply within the specified time frame will result in legal action. RECEIVED BY X _ 'DATE REINSPECTION DATE RECEIVED BY X . EXTENSION DATE RECEIVED BY ~l- f J DATE ft DATE FAILURE TO COMPLY: This matter has now been referred If there are any questions call to the Fire Marshal's Office for final legal determination. Fire Station No. FINAL NOTICE J f CAnL33AO FIRE DEPARTMENT . , f r . '"/bSO Orion Way, Carlsbad, California 92008 931-2121 INSPECTION NOTICE Pa9e / of *- o , \ . (Rnal ^otice> Notice No. Issued tn / > V- 6 A<g ^>IC\\\^ Date (j- I? Address .W-^^?.^ /lvy<L A Citv f MffV^S r^l /> Phone Owner, Occupant or Manager A11 PV) \f i -S /feg>. £0L&&rri6^s Phone 70.1^7^7 Address ^4*01 / Qni A-s *>-\ * n-n. P^ Q^ .:r. V , *4('.^Q City .'> v /•'.< i/> /'i'i' ( ^ ' l).^? The items listed below are D3 VIOLATIONS Q REQUIREMENTS Q (OTHER) A * t ^ "J .fys.i r~ n /% ^ ."'-'I st ' Jl S' A /* S~ ' " " ~ >.-"•— --«M""" /• Mt r/ . . . ..'Jl, I. " *l-* . V.__^- 7 C5 C •" t- • !„• ^^ I t(__;:r f --- -. -'-.A-^-A- -£ -f-^- --X-^ vC^. --' --^-/-^- f:C'~St'f-. , . - ^. ---- ' *• * ~' '•' ' • " 'f _f ">i >4" -• ---.j «-p "-., p ^' • •i^ - v . ^- - j **^ - J tft/'T'/ 'r^s -.Jfl'-f /' / /'>> -^ ^* V^x iLy.'i. .' t'.p* l »-• f_ c *-—f .-•-**• tf i r /•-" u^«j-t. • r--' * — *-*— ^ ( A.,, /t //v^x/.-! ,'4*f'.i •' i .1 ' Sf .$__ 3.*^ ^Vr-/- • f., r " ^--t*" *• ^"*^ J * ^J •— *' ' ' I * f . '^- ' * ^— -w?-— " - -L~~t/ t^^ !* L * — * . "_ *• / : _ f&*4 £*•'( / [ •' ' :'7 >>-/<. / .1(Mr • • -" — C— iiHi--^*-. n- W, # ^ -'.- •- "" -=—*s>~- f•; f ''£•* -rtlS'' -^f''- •'-i-^f "~. x ^ /•.' yV/.V>^/>^J^™""' aj* •,--'** ^^-^-^ - -^" y .Measures shall be taken immediately to correct all of the violations listed herein. Failure to comply within the specified time frame will result in legal action. RECEIVED BY X _ DATE _ REINSPECTION DATE /Q/fj*-f _ /-'. RECEIVED BY X ,. -- ^ 7 nATF _ By: / Jj/x /('_ • .' •? .? .' ..U _ EXTENSION DATE f'^/lLS^B / . _ J "-/ Fire Inspector RECEIVED BY - . - . - - DATE - Fire Station No. ZZ- Battalion __ _ FA I LU R E TO CO M P LY: . This matter has now been referred tf there are any questions call / -j/ ..^} t .^' / to the Fire Marshal's Office for final legal determination. FINAL NOTICE