HomeMy WebLinkAbout2556 GATEWAY RD; ; CB130163; Permit05-01-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Commercial/Industrial Permit Pernnit No: CB130163
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Occupancy Group
Project Title
2556 GATEWAY RD CBAD
Tl Sub Type COiVllVI
2132611508 Lot# 0
$129,289 00 Construction Type 5B
Reference #
ALP-N-ROC
OFFICE
3483 SF SHELL TO
Status ISSUED
Applied 01/23/2013
Entered By MA
Plan Approved 03/06/2013
Issued 03/06/2013
Inspect Area MC
Plan Ctieck #
Applicant
WARE MALCOIViB/SAVANAH BATT
6363 GREENWICH DR
SAN DIEGO CA 92122
858-638-7277
Owner.
OCEAN COLLECTION LLC
C/O PETERSON&PRICE APC
655 W BROADWAY #1600
SAN DIEGO CA 92101
Building Permit $813 22 Meter Size
Add'l Building Permit Fee $0 00 Add'l Reel Water Con, Fee $0 00
Plan Ctieck $569 25 Meter Fee $0 00
Add'l Building Permit Fee $0 00 SDCWA Fee $0 00
Plan Check Discount $0 00 CFD Payoff Fee $0 00
Strong IVIotion Fee $27 15 PFF (3105540) $2,353 06
Park Fee $0 00 PFF (4305540) $0 00
LFiVl Fee $0 00 License Tax (3104193) $0 00
Bndge Fee $0 00 License Tax (4304193) $0 00
BTD #2 Fee $0 00 Traffic impact Fee (3105541) $4,940 00
BTD #3 Fee $0 00 Traffic Impact Fee (4305541) $0 00
Renewal Fee $0 00 PLUMBING TOTAL $109 00
Add'l Renewal Fee $0 00 ELECTRICAL TOTAL $143 00
Other Building Fee $0 00 MECHANICAL TOTAL $72 11
Pot Water Con Fee $0 00 Master Drainage Fee $0 00
Meter Size Sewer Fee $2,183 64
Add'l Pot Water Con Fee $0 00 Redev Parking Fee $0 00
Reel Water Con Fee $0.00 Additional Fees $0 00
Green Bldg Stands (SB1473) Fee $4 00 HMP Fee 99
Fire Expedidted Plan Review $317 50 Green Bldg Standards Plan Chk 99
TOTAL PERMIT FEES $11,531 93
Total Fees $11,531 93 Total Payments To Date. $11,531 93 Balance Due: $0.00
FINAL APPROVAL \PPRC
Inspector
f^'^-^jM< Date ^^^t//?
Clearance
NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen-ed to as "fees/exactions" You have 90 days from the date this pemiit 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 nght 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 previously been Qiven a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMfr ISSUANCE : 0PL PLANNING ENGINEERING IZTBU BUILDING LtffFIRE • HEALTH • HAZMAT/APCD
Building Permit Appiication
Ph 760-602-2719 Fax 760-602-8558
email buiiding@carlsbadca gov
www.carlsbadca.gov
Plan Check No.
Est. Value (2-^^2>P^
Plan Ck. Deposit
Date llZS\y^ 01/22/2013
JOB ADDRESS
CT/PROJECT # LOT# PHASE # I I # OF UNITS # BEDROOMS
SUITE#/SPACE#/UNIT#
# BATHROOMS TENANT BUSINESS NAME CONSTR TWE OCC GROl
DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s)
THE SCOPE OF THIS PROJECT IS A FIRST GENERATION Tl FOR 3,483 SF OF OFFICE SPACE WITHIN AN EXISTING BUILDING.
NO STRUCTURAL WORK TO BE PERFORMED.
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YEsQ/ NOjT]
AIR CONDITIONING
YESITINOI I
FIRE SPRINKLERS
YESPTINOI I
-J
vi
I
APPLICANT NAME (Primary Contact) WARE MALCOMB APPLICANT NAIVIE
ADDRESS
6363 GREENWICH DRIVE
ADDRESS
(Secondary ContaclL
CITY
SAN DIEGO
STATE
CA 92122
CITY STATE ZIP
PHONE
858-638-7277 858-638-7506
PHONE FAX
EMAIL
PROPERTir OWNER NAIVIE GREENE PROPERTIES, INC CONTRACTOR BUS. NAIVIE WHITE CONSTRUCTION
ADDRESS
1800 THIBODO ROAD
ADDRESS 2540 GATEWAY ROAD
CITY STATE
VISTA CA
ZIP
92081
CITY
CARLSBAD
STATE
CA
ZIP
92009
PHONE
760-727-6888
PHONE
760-931-1130
FAX noo-93l//7l
EMAIL EMAIL,
UJ ' C li'i ARCH/DESIGNER NAME & ADDRESS H5C^5 /3 CITY BUS LIC#
(Sec 70315 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, commending with Section 7000 of Division 3 of the Business and Professions Code) or tnat 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))
Workers' Compensation Declaration / tiereby allirm under penalty ofpequiy one of the follomng declarations'
Bl have and will maintam a certificate of consent to self-msure for vwjikeis' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued
1 have and will maintain woriiers' compensation, as required by Section 3700 of the Labor Code, for the peiformance of the woh< for whiph this peimit is issued My woiteis' compensation insurance earner and policy
numberare Insurance Co f\f>,Ki ^OrU. fAnt .'rV Policy No UJC i'blhf rOOQIQ'k'^ Expiration Date I I'M
Bsection need not be completed if the pemiit is for one hundred dollars ($100) or less
Certificate of Exemption I certify that in the perfonnance of the work for which this pennit is 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 compensatioru4a<nagera5~prwid«^r in S^on 3708 of the Labor code, interest and attomey's fees.
JS^ CONTRACTOR SIGNATI
/ /wBby affirm that I am exempt fnm Con/racftjr's License Law hr tlie following reason
I I I, as owner of the propeity or my employees with wages as their sole compensation, will do the work and the stmcture is not intended or offered for sale (Sec 7044, Business and Professions Oxle 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)
I, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec 7044, Business and Professions Code Ttie 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 Contractoi's Ijcense Law)
I am exempt under Section ^Business and Professions Code for this reason
1 I personally plan to provide the major labor and matenals for constmction of the proposed propeity improvement Qves I [No
2 I (have / have not) signed an application for a building permit lor the proposed work
3 I have contracted with the following person (firni) to provide the proposed construction (include name address / phone / contractors' license number)
4 I plan to provide portions of the wori(, but I have hired the following person to coordinate, supen/ise and provide the ma|or work (include name / address / phone / conlractois' 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 / type of work)
PROPERTY OWNER SIGNATURE •AGENT DATE
Is the applicant or future building occupant required to submit a businessxilan, acutely hazardous matenals registraton form or nsk management and prevention program under Sectons 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account AcP [ jYes j^i™
Is the applicant or luture building occupant required to obtain a pennit fromme air pollution control district or arquato management districP
Is the facility to be constructed vnthin 1,000 feet of the outer boundary of a school site'' jYes
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
Yes
I hereby affimi that there is a construction lending agency for the performance of the wori< this permit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
I certify that I have read the application and state thatthe above Infonnation is conect and that the infoima&on on the plans is accurate. 1 agree to comply with all City ordinanoes and State laws relating to builcSng consbuction.
I hereby authonze representative ofthe City of Cailsbad to enter upon the above mentioned property Ibr inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA pennit is required Ibr excavations over 50' deep and demolition or constaiction of stmctures over 3 stones in height
EXPIRATION Every pemnit issued by the Building (Mcial under the provisions of this Code shall expire by limitaton and become null and void if the building or work authonzed by such pemnit is not commenced within
180 days from (tie dale of such pemit or if the building or work authonzed by such pemit is suspended or abandoned at any time after the vraik is commenced for a penod of 180 days (Section 106 4 4 Unifomi Building Code)
APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTDFOCATE OF OCCSJIPAMCY fComraeirciall PfojecSs Only)
Fax (760) 602-8560, Email www buiidinqtScarisbadca gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
BUILDING ADDRESS
CITY STATE
Carlsbad OA
PHONE
EMAIL OCCUPANT'S BUS LIC No
DEUVERY OPTIONS
PICK UP: CONTACT (Usted above) OCCUPANT (Usted above)
CONTRACTOR (On Pg 1)
MAIL TO: CONTACT (Listed above) OCCUPANT (Usted above)
CONTRACTOR (On Pg 1)
MAIL / FAX TO OTHER:
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
JSJAPPUCANT'S SIGNATURE DATE
B^uSlei INSPECTION RECORD
0 INSPECTION RECORD CARD WITH APPROVED
PLANS MUST BE KEPT ON THE JOB
Si CALL BEFORE 3:30 pm FOR NEXT WORK DAY INSPECTION
EI FOR BUILDING INSPECTION CALL: 760-602-2725
OR GO TO: www.Carisbadca.gov/Buildlng AND CLICK ON
"Request Insaection"
DATE: 3/y, l3
CB130163 2556 GATEWAY RD
ALP-N-ROC 3483 SF SHELL TO
RETAIL
Tl COMIVI
Lot# WARE MALCOMB/SAVANAH BATT
RECORD COPY
IF "YES" is CHECKED BELOW THAT DIVISION S APPROVAL IS REQUIRED PRIOR TO REQUESTING A FlNAL BUILDING INSPECTION.
IF YOU HAVE ANY QUESTIONS PLEASE CALL THE APPLICABLE DIVISIONS AT THE PHONE NUMBERS PROVIDED BELOW. AFTER
ALL REQUIRED APPROVALS ARE SIGNED OFF- FAX TO 760-602-8560. EMAIL TO BLDGINSPECTIONS@CARLSBADCA.GOV
OR BRING IN A COPY OF THIS CARD TO: 1635 FARADAY AvE.. CARLSBAD. CA 92008. BUILDING INSPECTORS CAN BE
REACHED AT 760-602-2700 BETWEEN 7:30 AM - 8:00 AM THE DAY OF YoJjR INSPECTION.
NO YES Required for Building Final If Checked YES Date Inspector Notes
Planning / Landscape 760-944-8463 Allow 48 hours
>< CM&I (Engineering Inspections) 760-438-3891 Call before 2 pm
Fire Prevention 760-602-4660 Allow 48 hours
Type of Inspection
CODE # BUILDING
#11 FOUNDATION
Date Inspector
Type of Inspection
CODE # ELECTRICAL
#31 • ELECTRIC UNDERGROUND • UFER
Date Inspector
#12 REINFORCED STEEL #34 ROUGtiELECTRIC 14 ROUgH
13^,^LEC #66 MASONRY PRE GROUT #33 J^TaSCmC SERVICE • TEMPORARY
• GROUT • WALL DRAINS #35 PHOTOVOLTAIC
#10 TILTPANELS
#11 POUR STRIPS
#11 COLUMN FOOTINGS
#39 FINAL
CODE # MECHANICAL
#41 UNDERGROUND DUCTS & PIPING
#44 J^ITUCT & PLENUM • REF. PIPING #14 SUBFRAME • FLOOR • CEILING
#15 ROOF SHEATHING #43 HEAT-AIR COND. SYSTEMS
#13 EXT. SHEAR PANELS
#16 INSULATION
#18 EXTERIOR LATH
#49 FINAL
CODE # COMBO INSPECTION
#81 UNDERGROUND (11,12,21,31)
#17 INTERIOR UTH & DRYWALL #82 DRYWALLEXTUTH.GASTES(17,18,23)
#51 POOLEXCA/STEEL/BOND/FENCE #83 ROOF SHEATING, EXT SHEAR (13,15)
#55 PREPLASTER #84 FRAME ROUGH COMBO (14,24,34,44)
#19 FINAL
CODE # PLUMBING
#22 • SEWER & BL/CO • PL/CO
#21 UNDERGROUND^ASTE • WTR
#89 FINAL OCCUPANCY (19,29,39,49)
Date
#24 TOPOUT jaliVASTE DWTR
Inspector
FIRE Date Inspector
A/S UNDERGROUND VISUAL
#27 TUB & SHOWER PAN A/S UNDERGROUND HYDRO
#23 • GAS TEST • GAS PIPING A/S UNDERGROUND FLUSH
#25 WATER HEATER A/S OVERHEAD VISUAL
#28 SOLAR WATER A/S OVERHEAD HYDROSTATIC
#29 FINAL
CODE # STORM WATE
#600 PRE-CONSTRUCTION MEETING
A/S FINAL
F/AROUGHIN
F/A FINAL
#603 FOLLOW UP INSPECTION FIXED EXTINGUISHING SYSTEM ROUGH-IN
#605 NOTICE TO CLEAN FDCED EXTING SYSTEM HYDROSTATIC TEST
#607 WRITTEN WARNING FIXED EXnNGUISHING SYSTEM FINAL
#609 NOTICEOFVIOLATION MEDICAL GAS PRESSURE TEST
XT #610 VERBALWARNING MEDICAL GAS FINAL
SEE BACK FOR SPECIAL NOTES
Inspection List
Permlt#: CB130163 Type: Tl COMIVI ALP-N-ROC: 3483 SF SHELL TO
RETAIL
Date Inspection Item Inspector Act Comments
04/26/2013 89 Final Combo MC Fl
04/25/2013 19 Final Structural -Rl CODE 1955
04/25/2013 89 Final Combo MC PA NEED COF
04/16/2013 39 Final Electncal MC AP EMR ONLY, CALLED IN TO MONICA
03/19/2013 17 Interior Lath/Drywall MC AP
03/13/2013 84 Rough Combo MC AP WALLS
03/07/2013 21 Underground/Under Floor MC AP WASTE ONLY
03/07/2013 24 Rough/Topout MC PA WASTE/VENT ONLY
Tuesday, April 30, 2013 Page 1 of 1
EsGil Corporation
In (PartnersHip witH government for (BuiCcftng Safety
DATE: 2/5/13
JURISDICTION: City of Carlsbad
PLAN CHECK NO.: 13-0163
PROJECT ADDRESS: 2550 Gateway Rd
PROJECT NAME: Alp-N-Rock - TI
•/APPLICANT
p JURIS
• PLAN REVIEWER
• FILE
SET I
XI The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
I I 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.
I I The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
I I The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
I I The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
I I The applicant's copy of the check list has been sent to:
[X] EsGil Corporation staff did not advise the applicant that the plan check has been completed.
r~| EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone #:
Date contacted: (bv: ) Email: Fax #:
Mail Telephone
• REMARKS:
(by: ) Email:
Fax In Person
By: Doug Moody
EsGil Corporation
• GA • EJ • PC
Enclosures:
1/25/13
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576
City of Carlsbad 13-0163
2/5/13
^DO NOT PAY- THIS IS NOTAN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Carlsbad PLAN CHECK NO.: 13-0163
PREPARED BY: Doug Moody DATE: 2/5/13
BUILDING ADDRESS: 2550 Gateway Rd
BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: VB
BUILDING
PORTION
AREA
( Sq. Ft)
Valuation
Multiplier
Reg.
Mod
VALUE ($)
Tl 3483 37 12 129,289
Air Conditioning
Fire Sprinklers
TOTAL VALUE 129,289
Junsdiction Code cb By Ordinance
Bldg. Permit Fee by Ordinance
Plan Oieck Fee by Ordinance
Type of Review
[^Repetitve Fee
~ Repeats
0 Complete Review
• Other
j—j Hourly
EsGil Fee
• Structural Only
Hr. @
$813.22
$528.59
$455.40
Comments
Sheet 1 of 1
macvalue doc +
PLAN CHECK PLAN CHECK Community & Economic
CITY OF REVIEW Development Department
1635 Faraday Avenue
CARLSBAD TRANSMITTAL Carlsbad CA 92008
www carlsbadca.gov
DATE:01/30/13 PROJECT NAME: ALP-N-ROC
PLAN CHECK NO: 1 SET#: 1 ADDRESS: 2550 GATEWAY RD
VALUATION: $129,289
PROJECT ID: CB 13-0163
APN: 213-261-08
1^ 71 This plan check review is coinplete and has been APPROVED by the ENGINEERING
t._X^~t nivlcinn Division.
By: KATHLEEN LAWRENCE 01/30/13
A Final Inspection by the Division is required Lives GONO
r I This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
L„j the attached checklist. Please resubmit amended plans as required.
Plan Check Comments have been sent to: SBAF@WAREMALCOMB.COM
You may also have corrections from one or more of ttie divisions listed below. Approval
from these divisions may be required prior to the issuance of a building permit.
Resubmitted plans should include corrections from all divisions.
for questions or clarifications on the attached checklist please contact the following reviewer as marked:
: PLANNING
r ; 760-602-4610* i
ENGINEERING
760-602-2750
FIRE PREVENTION ;
760-602-4665 , .
[ j Chris Sexton
' ' 760-602-4624
Chris.Sexton@carlsbadca.gov
[yi Kathleen Lawrence
[•.J 760-602-2741
Kathleen.Lawrence@carlsbadca.fiov
!
I
(
Greg Ryan
760-602-4663
3refiorv.Rvan@carlsbadca.fiov
1 Gina Ruiz
! 1 760-602-4675
Glna.Ruiz@carlsbadca.gov
j j Linda Ontiveros
' i 760-602-2773
Linda.Ontiveros@carlsbadca.fiov
1 Cindy Wong
_„j 760-602-4662
Cvnthia.Wonfi@carlsbadca.fiov
1 .
[
Dominic Fieri
760-602-4664
)ominic.Fleri@carlsbadca.gov
Remarks:
^ CITY OF
CARLSBAD
BUILDING PLANCHECK
CHECKLIST
QUICK-CHECK/APPROVAL
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
ENGINEERING Plan Check for CB 13-0163 Date 01/30/13
Project Address 2550 GATEWAY RD APN 213-261-08
Project Descnption WAREHOUSE TO OFFICE Valuation. $129,289
ENGINEERING Contact Kathleen Lawrence
Phone 760-602-2741
Email, kathleen.lawrence@carlsbadca.gov
Fax 760-602-1052
RESIDENTIAL INTERIOR IZ] TENANT IMPROVEMENT
RESIDENTIAL ADDITION MINOR
(<$20,000.00)
• PLAZA CAMINO REAL
• CARLSBAD PREMIER OUTLETS • COMPLETE OFFICE BUILDING
• OTHER: PCR
OFFICIAL USE ONLY
ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT
BY: KATHLEEN LAWRENCE
REMARKS:
DATE:01/30/13
Notification of Engineering APPROVAL has been sent to
via EMAIL on 01/30/13
E-36 Page 1 of 1 REV 4/30/11
Fee Calculation Worksheet
ENGINEERING DIVISION
Prepared by: K LAWRENCE
Address: 2550 GATEWAY RD
Fees Update by: KML
Date: 01/30/13 GEO DATA: LFIVIZ: / B&T:
Bldg. Permit* CB 13-0163
Date: 01/30/13 Fees Update by: Date: 01/30/13
EDU CALCULATIONS: List types and square footages for all uses.
Types of Use: OFFICE
Types of Use:
Types of Use:
Types of Use:
Sq.Ft./Units 3433 SF
Sq.Ft./Units
Sq.Ft./Units
Sq.Ft./Units
ADT CALCULATIONS: List types and square footages for all uses.
EDU's:
EDU's:
EDU's;
EDU's:
1.24
Types of Use: OFFICE Sq.Ft./Units 3483SF ADT's: 52
Types of Use: Sq.Ft./Units ADT's:
Types of Use: Sq.Ft./Units ADT's:
Types of Use: Sq.Ft./Units ADT's
FEES REQUIRED:
Within CFD: QYES (no bridge & thoroughfare fee in District #1, reduces Traffic Impact Fee) • NO
1. PARK-IN-LIEU FEE: DNW QUADRANT • NE QUADRANT DSE QUADARANT DSW QUADRANT
ADT'S/UNITS: | X FEE/ADT:
2. TRAFFIC IMPACT FEE:
ADT'S/UNITS: 52 | X
3, BRIDGE & THOROUGHFARE FEE:
ADT'S/UNITS:
4, FACILITIES MANAGEMENT FEE
ADT'S/UNITS: | X
5. SEWER FEE
EDU's 1.24
BENEFIT AREA: H
EDU's 1.24 I X
6. DRAINAGE FEES: PLDA:
ACRES:
7, POTABLE WATER FEES:
FEE/ADT: 95
[ZJDIST. #1
FEE/ADT:
ZONE:
FEE/SQ.FT./UNIT:
X FEE/EDU: 842
FEE/EDU: 919
HIGH
=$ N/A
=$ 4940
• DIST.#2
|=$ N/A
I =$ N/A
I =$ 1044.08
• DiST.#3
• MED
X FEE/AC:
=$ 1139.56
UM
^$ N/A
LOW
UNITS
EXISTG
CODE CONN. FEE METER FEE SDCWA FEE TOTAL
€.cf>
^ CITY OF
CARLSBAD
PLANNING DIVISION
BUILDING PLAN CHECK
REVIEW CHECKLIST
P-28
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www carlsbadca eov
DATE: 1-29-13 PROJECT NAIVIE: PROJECT ID:
PLAN CHECK NO: CB 13-0163 SET#: 1 ADDRESS: 2550 Gateway Rd APN: 213-261-15-05
Q This plan check review is complete and has been APPROVED by the
. Division.
By: Chris Sexton
A Final Inspection by the Division is required DYes ^ No
You may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the issuance of a building permit.
Resubmitted plans should include corrections from all divisions.
^ This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check Comments have been sent to: sba1tt@waremalcomb.com
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
PLANNING
760-602-4610
ENGINEERING
760-602-2750
FIRE PREVENTION
760-602-4665
X Chris Sexton
760-602-4624
Chrls.Sexton@carlsbadca.gov
1 1 Kathleen Lawrence
760-602-2741
Kathleen.Lawrence@carlsbadca.gov
Greg Ryan
760-602-4663
Gregorv.Rvan@carlsbadca.gov
1 1 Gina Ruiz
760-602-4675
Gina.Ruiz@carlsbadca.fiov
1 1 Linda Ontiveros
760-602-2773
Linda.Ontiveros@carlsbadca.eov
1 Cindy Wong
760-602-4662
Cvnthla.Wong@carlsbadca.gov
• • 1 1 Dominic Fieri
760-602-4664
Dominic.Fieri@carlsbadca.gov
Remarks:
Plan Check No CB 13-0163 Address 2550 Gateway Rd Date 1-29-13 Review # 1.
Planner Ctiris Sexton Phone (760) 602-4624
Type of Project & Use. Tl Net Project Density. DU/AC
Zoning P-C General Plan- PM Facilities Management Zone 17
CFD (in/out) #_Date of participation: Remaining net dev acres
(For non-residential development Type of land use created by this permit- )
REVIEW #:
12 3 Legend: |E1 Item Complete • item Incomplete - Needs your action
KI • • Environmental Review Required: YES • NO • TYPE
DATE OF COMPLETION:
Compliance with conditions of approval? If not, state conditions which require action
Conditions of Approval.
lEI • • Discretionary Action Required: YES • NO • TYPE
APPROVAL/RESO NO DATE
PROJECT NO
OTHER RELATED CASES
Compliance with conditions or approval If not, state conditions which require action.
Conditions of Approval:
O n Coastal Zone Assessment/Compliance
Project site located in Coastal Zone? YES • NO O
CA Coastal Commission Authority? YES Q NO O
If California Coastal Commission Authority: Contact them at - 7575 Metropolitan Drive,
Suite 103, San Diego, CA 92108-4402, (619) 767-2370
Determine status (Coastal Permit Required or Exempt)
O n Habitat Management Plan
Data Entry Completed"? YES • NO •
If property has Habitat Type identified in Table 11 of HMP, complete HMP Permit application
and assess fees in Permits Plus
(A/P/Ds, Activity Maintenance, enter CB#, toolbar. Screens, HMP Fees, Enter Acres of
Habitat Type impacted/taken, UPDATEi)
• O Inclusionary Housing Fee required: YES • NO •
(Effective date of Inclusionary 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, UPDATEi)
• • Housing Tracking Form (form P-20) completed: YES • NO • N/A •
p-28 Page 2 of 3 07/11
Site Plan:
S • • Provide a fully dimensional site plan drawn to scale. Show North arrow, property lines,
easements, existing and proposed structures, streets, existing street improvements, nght-of-
way width, dimensional setbacks and existing topographical lines (including all side and rear
yard slopes) Provide legal descnption of property and assessor's parcel number
City Council Policy 44 - Neighborhood Architectural Design Guidelines
• • 1 Applicability. YES • NO •
• • 2 Project complies- YES • NOQ
• •
• •
• •
• •
Zoning:
1 Setbacks
Front-
Intenor Side:
Street Side-
Rear
Top of slope.
Required.
Required.
Required.
Required.
Required.
2 Accessory structure setbacks.
Front-
Interior Side.
Street Side-
Rear:
Structure separation
3 Lot Coverage
4. Height-
Required
Shown
Shown
Shown
Shown
Shown
Required Shown.
Required Shown
Required Shown.
Required Shown.
Required Shown.
Required.
Shown
Shown
K • •
• • •
5 Parking-Spaces Required Shown
(breakdown by uses for commercial and industnal projects required)
Residential Guest Spaces Required Shown
Additional Comments Please show how the new roof mounted equipment will be screen,
See attached example QI^ L )
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTEF0?^^ATE
p-28 Page 3 of 3 07/11
r/
CITY OF
CARLSBAD
PLAN CHECK
REVIEW
TRANSMITTAL
Community & Economic
Deveiopment Department
1635 Faraday Avenue
Carlsbad CA 92008
www.carlsbadca.gov
DATE: 02/28/2013 PROJECT NAME: ALP-N-ROC
PLAN CHECK NO: 2 SET#: 1 ADDRESS: 2550 GATEWAY RD
PROJECT ID: CB130163
APN:
•
This plan check review is complete and has been APPROVED by the FIRE Division.
By: GR
A Final Inspection by the FIRE Division is required Yes • No
This plan check review is NOT COIVIPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check Comments have been sent to:
You may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the issuance of a building permit
Resubmitted plans should include corrections from all divisions.
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
^: :PL/^ii^^^3
' 7604pl^^Pp-|i^ i^%^^^i%ii^'|o|'l
5':|f5^SE PREVENTS^^^'-'"
1 1 Chris Sexton
760-602-4624
Chris.Sexton@carlsbadca.gov
1 1 Kathleen Lawrence
760-602-2741
Kathleen.Lawrence@carlsbadca.gov
X Greg Ryan
760-602-4663
Gregorv.Rvan@carlsbadca.gov
1 1 Gina Ruiz
760-602-4675
Gina.Ruiz@carlsbadca.gov
1 1 Linda Ontiveros
760-602-2773
Linda.Ontiveros@carlsbadca.gov
1 1 Cindy Wong
760-602-4662
Cvnthia.Wong@carlsbadca.gov
• • 1 1 Dominic Fieri
760-602-4664
Dominic.Fieri@carlsbadca.gov
Remarks:
Carlsbad Fire Department lUILDiW
COPY
Plan Review
Date of Report:
Name:
Address:
Requirements Category: Tl, COMM
02-28-2013
WARE MALCOMB/SAVANAH BATT
6363 GREENWICH DR
SAN DIEGO CA
92122
Reviewed by:
Permit #:
Job Name:
Job Address:
CB130163
ALP-N-ROC: 3483 SF SHELL TO
2550 GATEWAY RD CBAD
Please review carefully all comments attached.
CITY OF CARLSBAD FIRE DEPARTMENT - APPROVED:
THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUANCE OF BUILDING PERMIT.
THIS APPROVAL IS SUBJECTTO FIELD INSPECTION AND REQUIRED TEST, NOTATIONS HEREON, CONDITIONS IN
CORRESPONDENCE AND CONFORMANCE WITH ALL APPLICABLE REGULATIONS.
THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE THE VIOLATION OF ANY LAW.
Entry: 02/28/2013 By: GR Action: AP
BLDG. DEPT C
RECOMMENDED FOR APPROVAL
Daryl K. James & Associates, Inc.
205 Colina Terrace
Vista, CA 92084
T. (760) 724-7001 Email: kitfire(gsbcglobal.net
Checked by: ROBERT SCOTT
Date: Februarv 19, 2013
APPLICANT: Ware Malcomb
PROJECT NAME: Alp-N-Roc
JURISDICTION: Carlsbad Fire Department
PROJECT ADDRESS: 2550 Gateway Rd.,
Bldg. 'B', Suite #3
PROJECT DESCRIPTION: CBI 3-0163, 3,483[ti first generation Tl of unused space in existing building Work
includes HVAC, ductwork, electrical, partition walls, restrooms and replacement of light fixtures. Space is equipped
with existing fire spnnkler system.
This plan review has been conducted in order to venfy conformance to minimum requirements of codes adopted by
the Carlsbad Fire Department The items below require correction, clanfication or additional information before this
plan check can be approved for permit issuance.
COMMENTS - Additional comments made shall be generated by response on revised set.
A0.3
Imprint Carlsbad Policy 80-6 to plans. Provide a note that Intent B (Fireman Safety) will be
maintained on previously approved roofs.
Add note: The contractor shall contact Carlsbad Fire Department prior to taking fire sprinkler
system out of service, if system will be out of service overnight. Relocation of fire sprinklers in
existing space requires Carlsbad Fire Dept. approval
A2.1
Fire extinguisher required for second floor. Add fire extinguisher note # 3 to second floor
partition plan notes and floor plan.
A5.1
Reflected ceiling plan for first and second floor shows existing illuminated exit signs at north
and south exit doors or areas on each floor. The symbol indicates the 'Exit' portion of the sign
will not be visible from other areas of the floor. Change symbol on floor plan at door that
indicates illuminated 'exit' portion of sign will face toward office area to indicate location of exit
door.
Add note: Illuminated Exit signs will be provided with directional arrows as needed and will be
visible from all areas in suite to indicate location of exit door.
A7.1
Door schedule for door 101-stairs (E) and door 201-stairs (E), mdicate doors are existing and no
doors are needed. These doors lead mto a one-hour rated stairwell
Add notes to door legend that provide door type, fire ratmg and hardware of existing doors
leading into rated stairwell on each floor
Indicate on door schedule 'Hardware Group', the type of existing hardware provided on doors
ICQ -reception area and doors 101 and 201 leadmg exit on l®*^ floor and exit stairwell on 2"^
floor
If mam entry door # 100 is provided with and uses key locking hardware, then
Add note a sign shall be provided mside above front mam entry door that reads.
"This door to remain unlocked whenever building is occupied".
Note if key locking hardware is not used, then no sign (or note on plan) is required.
E-2
Revise note to read: Means of egress illumination level shall be not less than 1-foot candle at
the walking surface and equipped with mmimum 90 minute battery backup where required.
CBC 1006
Add note Exit signs shall be lUurmnated at all times and equipped with minimum 90 minute
battery backup CBC 1011.5.3
The means of Egress shall be illuminated at all times building space is served, in accordance
with CA. Building Code, Section 1006 1; 1006 2. and 1006.3 Provide detail on plan for means
of egress lUummation
Provide a symbol for light fixtures equipped with 90-minute battery backup and denote locations
of light fixtures equipped with 90-minute battery backup on plan CBC 1006.3
Provide a PHOTOMETRIC plan of all accessible areas Demonstrate that the submitted plan
comphes with CBC 1006
Ml.O
Denote HVAC units provided with smoke detectors m accordance -with CMC 609
R.£comi^eiA^ Approval - /e^s
CORRECTION LIST
I'age 1 01 z
BLDG. DEPT COPY
Daryl K. James & Associates, Inc Checked by: ROBERT SCOTT
Date: Januarv 28, 2013
APPLICANT: Ware Malcomb JURISDICTION: Carlsbad Fire Department
PROJECT NAME: Alp-N-Roc PROJECT ADDRESS: 2550 Gateway Rd.,
Bldg. 'B', Suite #3
PROJECT DESCRIPTION: CBI3-0163, 3,483rJ first generation Tl of unused space in existing building Work
includes HVAC, ductwork, electncal, partition walls, restrooms and replacement of light fixtures. Space is
equipped with existing fire spnnkler system
This plan review has been conducted in order to verify conformance to minimum requirements of codes adopted
by the Carlsbad Fire Department The items below require correction, clarification or additional information before
this plan check can be approved for permit issuance
INSTRUCTIONS FOR EXPEDITED PLAN REVIEW SERVTCE
• CORRECTIONS OR MODIFICATIONS TO THE PLANS MUST BE CLOUDED AND PROVIDED WITH
NUMBERED DELTAS AND REVISION DATES ALONG WITH A DESCRIPTIVE NARRATIVE OF
CORRECTIONS ADDRESSING ALL COMMENTS. PLEASE BE SURE TO PUT FIRE REVISIONS ON THE
BUILDING DEPT. PLAN CHECK SET.
' PLEASE DIRECT ANY QUESTIONS REGARDING THIS REVIEW TO: ROBERT SCOTT 760-331-7907
OR FYRWISE07@GMAIL.COM
• CORRECTED PLANS, DESCRIPTIVE NARRATIVE OF REVISIONS FOLLOWING EACH COMMENT ON
THIS FORM, AND A COPY OF BUILDING DEPARTMENT (ESGIL)
• ONE COMPLETE PLAN CHECK SET (initial or revised) MUST BE DELIVERED DIRECTLY TO THE
FOLLOWING ADDRESS TO AVOID DELAY:
ROBERT SCOTT
4906 CHAUCER AVE
_ SAN DIEGO, CA. 92120
COIVIMENTS:
Additional comments made shall be generated by response on revised set and clouded.
A0.3
Imprint Carlsbad Policy 80-6 to plans. Provide a note that Intent B (Fireman Safety) will be
maintained on previously approved roofs.
Add note: The contractor shall contact Carlsbad Fire Department prior to taking fire
sprinkler system out of service, if system will be out of service overnight. Relocation of fire
sprinklers in existing space requires Carlsbad Fire Dept. approval
fage z Ol z
A2.1
Fire extinguisher required for second floor Add fire extinguisher note # 3 to second floor
partition plan notes and floor plan
A5.1
Reflected ceiling plan for first and second floor shows existing illuminated exit signs at north
and south exit doors or areas on each floor The symbol indicates the 'Exit' portion of the
sign -will not be visible from other areas of the floor Change symbol on floor plan at door
that indicates illuminated 'exit' portion of sign will face toward office area to indicate location
of exit door
Add note Illuminated Exit signs will be provided with directional arrows as needed and will
be visible from all areas m suite to indicate location of exit door
A7.1
Door schedule for door 101-stairs (E) and door 201-stairs (E), indicate doors are existing and
no doors are needed These doors lead into a one-hour rated stairwell
Add notes to door legend that provide door type, fire rating and hardware of existing doors
leading into rated stairwell on each floor
Indicate on door schedule 'Hardware Group', the type of existing hardware provided on doors
100 -reception area and doors 101 and 201 leading exit on 1^' floor and exit stairwell on 2"^
floor
If mam entry door # 100 is provided with and uses key locking hardware, then
Add note a sign shall be provided mside above front mam entry door that reads
"This door to remain unlocked whenever buildmg is occupied"
Note if key locking hardware is not used, then no sign (or note on plan) is required
E-2
Revise note to read Means of egress illumination level shall be not less than 1-foot candle at
the walking surface and equipped with minimum 90 minute battery backup where required
CBC 1006
Add note Exit signs shall be illuminated at all times and equipped with minimum 90 minute
battery backup CBC 10115.3
The means of Egress shall be illuminated at all times building space is served, m accordance
with CA Buildmg Code, Section 1006 1, 1006.2 and 1006 3 Provide detail bn plan for
means of egress illumination
Provide a symbol for light fixtures equipped with 90-minute battery backup and denote
locations of light fixtures equipped with 90-minute battery backup on plan CBC 1006 3
Provide a PHOTOMETRIC plan of all accessible areas Demonstrate that the submitted plan
complies with CBC 1006
Ml.O
Denote HVAC umts provided with smoke detectors m accordance with CMC 609
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
SCREENING SURVEY
Date
Busine: 3ss Name r\\i
Street Address ^^0,V* ^•.("'^^X
Email Address
PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK "TYPE OF BUSINESS)
Check ail below that are present at your facility:
Acid Cleaning Ink Manufacturing Nutritional Supplement/
Assembly Laboratory Vitamin Manufacturing
Automotive Repair Machining/Milling Painting / 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 Qflbbg^ Ox\^CO^^
Signature
Title Pe&i>\ec:^ H^XAA^CT
_PhoneNo.7^0-^3( -//
ENCINA WASTEWATER AUTHORITY. 6200 Avenida Encinas Carlsbad, CA 92011 (760)438-3941
FAX: (760)476-9852
PROJECT NUMBER
CARLSBAD FIRE DEPARTMENT
EXPEDITED PLAN CHECK REQUEST
am requesting 'Expedited Plan Check Services' and understand I
will be levied an additional fee assessed at the rate of $90.00 dollars per hour plus $25.00 dollars
administration fee.
I understand that my plans shall not be released until all fees are paid.
V
I, ^the applicant, am solely responsible for all fees due should the
project be withdrawn or otherwise not completed. And by signing below I acknowledge that my plans shall be
forwarded by the City of Carlsbad to an independent contractor/consultant.
Your Name
I, acknowledge that the 'first reviev/ time for all expedited Fire plan
reviews will be ten- (10) business days from date of submittal. These additional day account for acceptance
and delivery of your plans and then the parcel return to our office if recommended for approval.
Your Name
J, ^ the applicant, acknowledges that corrected or revised plans
shall be sent directiv to the plan checker, at the address specified on the Correction List, at my cost, parcel
post or other means.
I, acknowledge that a turn-around time for re-submittals is
five- (5) business days from the date plans are received at the address specified by the plan checker on the
Correction List.
Once all corrections are made, your plans are then returned to the Carlsbad Fire Department with a
. "Recommendation for Approval" based solely on the adopted Codes and Standards.
This is not an approval.
Your plans are then forwarded to the Carlsbad Fire Department, and once your plans are received by our
office they are subject to an additional review to ensure conformance with Carlsbad Municipal Code. This
additional review is subject to an additional review period of seven- (7) days from date that we receive the
plans from the plan reviewer.
The Carlsbad Fire Department does not perform 'Over-the-counter' plan review services. Plans submitted to
the Carlsbad Fire Department for review by CFD staff shall be checked on a 'first come, first served' basis and
could take 10 days or more for 'First' review.
NO
Applicant Signature "^^^ '/^j^^p^ Date ^ /^3/ / ^
Copy to Building and Fire Prevention file Revised 06/13/2011
^ PLUMBING, Development Services
ELECTRICAL, Building Division
^ CITY OF MECHANICAL I635 Faraday Avenue
r^Ani cnAr\ WORKSHEET 760-602 2719
CAKLODAU B-18 WWW carlsbadca gov
^^i-Tojirt ^diress:t^gty^ Permit No.:
Information provided below refers to worb being done on the above mentioned permit only.
This form must be completed and returned to the Buildinq Division before the permit can be issued.
Building Dept. Fax: (760) 602-8558
Number of new or relocated fixtures, traps, or floor drains S
New building sewer line? Ves No
Number of new roof drains? K-jiA
Install/alter water line?
Number of new water heaters? 3
Number of new, relocated or replaced gas outlets?
Number of new hose bibs? ,
Residentiai Permits: _ ^
New/expanded service: Number of new amps: —
Minor Remodel only: Ves No
Commercial/industrial:
Tenant Improvement: Number of existing amps involved in this projed: .2-^^^^^-^
Number of new amps involved in this project: T.jO'X^
New Construction: Amps per Panel: Z. CO
Single Phase Number of new amperes HZ
Three Phase Number of new amperes_
Three Phase 480 Number of new amperes "
Number of new furnaces, A/C, or heat pumps? ^
New or relocated duct worb? Ves ^ No
Number of new fireplaces?
Number of new exhaust fans? 2-
Reloccite/install vent? yy^
Number of new exhaust hoods?
Number of new boilers or compressors? Number of HP hf^A
B-18 Page 1 of 1 Rev 03/09
SAN DIEGO REGIONAL
HAZARDOUS MATERIALS QUESTIONNAIRE
OFFICE USE ONLY
UPFP#
HV#
BP DATE _L _L
Business Name K» . <—^ Business Contact Telephone #
( ) Project Address » , .City state Zip Code APN#
Mailing Addres|^^j2^ ^
ik^ dSb ^M\]^Kbvr>
State •ZTp Code Plan File*
Project Contac^ _ Telephone #
The following questions represent the facility's activities, NOT the specific project description.
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 matenals If any of the items are circled, applicant must contact the Fire Protection Agency with
junsdiction prior to plan submittal Facility's Square Footage (including proposed project): Occupancy Rating:
1 Explosive or Blasting Agents 5 Organic Peroxides 9 Water Reactives 13 Corrosives
2 Compressed Gases 6 Oxidizers 10 Cryogenics 14 Other Health Hazards
3 Flammable/Combustible Liquids 7 Pyrophorics 11 Highly Toxic or Toxic Materials f'i ^ None of These
4 Flammable Solids 8 Unstable Reactives 12 Radioactives
PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH - HAZARDOUS MATERIALS DIVISIONS (HMDl: If the answer to anv of the
questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Ave , Suite 110, San Diego, CA 92123
Call (858) 505-6700 pnor to the issuance of a building permit
FEES ARE REQUIRED Project Completion Date / /
YES
Expected Date of Occupancy / /
Date Initials
• CalARP Required
/ Date Initials
NO (for new construction or remodeling projects)
• _ Is your business listed on the reverse side of this form' (check all that apply)
• N Will your business dispose of Hazardous Substances or Medical Waste in any amount'
• IS Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds
200 cubic feet, or carcinogens/reproductive toxins in any quantity'
• ^ Will your business use an existing or install an underground storage tank'
• Kl, Will your business store or handle Regulated Substances (CalARP)'
• 15 Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)'
D \S Will your business store petroleum in tanks or containers at your facility with a total storage capacity equal to
or greater than 1,320 gallons' (California's Aboveground Petroleum Storage Act)
PART III: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT: If the answer to any of the questions below is yes, applicant must contact the Air
Pollution Control Distnct (APCD), 10124 Old Grove Road, San Diego, CA 92131-1649, telephone (858) 586-2600 pnor to the issuance of a building or demolition
permit Note if the answer to questions 4 or 5 is yes, applicant must also submit an asbestos notification form to the APCD at least 10 working days pnor to
commencing demolition or renovation, except demolition or renovation of residential structures of four units or less Contact the APCD for more information
• CalARP Exempt
I
• CalARP Complete
I
Date Initials
YES
•
•
•
•
•
Will the subject facility or construction activities include operations or equipment that emit or are capable of emitting an air contaminant' (See the
APCD factsheet at http //www sdapcd oro/info/facts/permits pdf, and the list of typical equipment requinng an APCD permit on the reverse side
of this from Contact APCD if you have any questions)
(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)'
(Search the California School Directory at http //www cde ca qov/re/sd/ for public and private schools or contact the appropriate school district)
Has a survey been performed to determine the presence of Asbestos Containing Materials'
Will there be renovation that involves handling of any fnable asbestos materials, or disturbing any matenal that contains non-fnable asbestos'
Will there be demolition involving the removal of a load supporting structural member'
^ I aeclareuna
y> —
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION .
BY
FOR OFFICIAL USE ONLY
DATE
EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY-HMD* APCD COUNTY-HMD APCD COUNTY-HMD APCD
*A stamp in this box onlv exempts businesses from completing or updating a Hazardous Matenals Business Plan Other permitting requirements may still apply
HM-9171 (02/11) County ot San Diego - DEH - Hazardous Materials Division