HomeMy WebLinkAbout2560 EL CAMINO REAL; ; CB961810; Permit4
: *
1. 4 B U I LS D I N G P E R N I Permit No CB961810
Pr03ectNo:,A9602559
Page -1 of 1 Development No
Job Address 2560 EL CAMINO REAL ' ' Suite t
Permit Type.: COMMERCIAL TENANT IMPRdVEMENT a ,• . 0.10/29/96 0001;01 02
Parcel No 167t030_5000 4" Lot# " -Pf1T 448 00
Valuation 23,040 Construction Typ VN
Occupancy., Group Refer'ence# ,- Status ISSUED
. - Description 640 SF PANDA EXPRESS Applied 09/20/96
- ... . . . '. Apr/Issue:. 10/29/96 * Entered-By MDP
Apçl/Ownr CASTANEDA,GEORGE 714 529-1826
625 S POOPLAR AVE '$1 ....',. - ' 4 ,•t , • r BREA,. CA.:92821 "
F Reu'ired'L 2#*ld &Credts :.
Fe e s 60 6/ 0
Adjustments 7' 0O ,)'.) Tota Cebs\ ' " 00
Total ,Fees
jO
6 00 Tot _\\ 158 00
Feedescription J / Ext fete Data
a. —'—' .. - r . - Building Permit ( C'- / \ \ 243 00
I
BUIdIN94TOTAL
Enter
Each Install/Rpair\ater L2?/
Each Water Heater and\or O2RATED ç7 ' , 7 Ô"o 195
PLUMBING--TOTAL 17 6-..0
Three. Phase Per AMP. ' .- &) 0-'. "6 0. 00
Enter "Y' for Re m"-o d e >10, 00.-Y
*'ELECTRICAL TOTAL' - • •.: -- .. .8.0.'. 00 .
'Entek' Y."- for Mecharii.a1 Issue Fee> . 1'5.. 00 -Y
•.' ; Install Furn/Ducts/Heat Pumps > 1 9 00 'g.00,- *
Each ExhaustFan 2 650 13 00 • -- - -S - • '- •' .
Each" Hood - > , 1 -' 6 50 6 50 ' A
* MECHANICAL TOTAL 4444 00 S • - '. -. -- .' 4' - - - 5- S._
— I 4
5_a! 5. • 4. 4 -. .- - •44 4 •.; • • ''it- . ., •.--•..a -- -
I
y
AT -77
- .. . •• , . , . f'- • •:'.' . ,'
OF CARLSBAD ,.
. •; • 2075 Las Palm, Carlsbad, CA-920O9 (619) 438-1161 : . - ' ..; • . - 4. • . .- .. -; •9 9 -• • -. r • • ,c S
4 4 4
'a I - , .4• 4 — 4 Sc • 4 -' -. 9•t•• s. . - k. * .r. - ' -- a t._ - __•-..•t.. 44 ••'•! •.,' j _5..• •-. :_a•••.. •. .5. - -.5...
C----
PERMIT APPUCATION
City of CarLe Building Department 10'
2075 Las PalmsOr..,, Crte, CA 92009 C619
4
3
8-1161
TFRMl1Lv
Prom LIst 1 (in back) give code of Permit-Type:
For Residential Projeet On-IT From List 2 (sec back) give.
Code of Structure-Type:
Net Loss/Cain of Dwelling Units ,
2.. PROJEcr INFORMATION
PLAN CHECK NO. — (L)
w.vAL
posrr
VALU). BY
9827 09 /20,'96 0001 01. 02
C—PRMT 156-00
FOR OFFICE USE ONLY
F 01
OtUJW IF MOVII1 FED: -
.02 Energy Calcs 02 Structural Cal 2 Soils Report Dl Addressed Envelope
SQ. FT. 6'40 63F # OF STORIES I ii OF BEDROOMS ' OF MTOOMS
4. 'rsf/v2rnJc,tJr4 (tl Uillerenl xgôrn apoitcaiij
NAME (len name firsi)6, C?.ZDDRE$S 5. 1 LA7
CITY STATE C;PC ZIPCODEq22 DAYTELEPHONE (714) 62q /7-6
4 MPLLCAJ'4T ULAMIMUICK CI AGNI FUR COI W C1JK U OWjjjR U
NAME (last name first) C/ZbJPn 6g&ixss ç
_crry STATE ZIP CODE 92S2I DAY TELEPHOHE C719) S7? 162 (716') 166 72-'
VKUYS.KIT (JYVNS.K
NAME (last name firt)L-L-C-' C7flPflTjJ
CITY 5;1 pf/)Z:SdJM STATE CA ZIP CODE
ADDRESS 37 cJ O
3'o. DAY TEIFHONE ( 7'!'! 9' X /72-
WffltAWVK -
____________________
NAME (last namc first) TO 1$4JEZ2 _-i ci tf A0 o
)4.Sc
CITY 3J STATE C4& ZIP CODE92fl5T DAY ULEPI4ONE 716(c( ZO
5l STATEUC. #_ - LICENSE CLASS - Cm' BUSINESS Ur—
DtSJtINA NAME uast name nrsr AL)L)kSS cj PDfi/f
CITY STATE 4. ZIP CODE '7 2/ DAY TELEP IONE7/1M2 7/4545 *ATE uc. #
WQRKRS WMI'1NsA110w
- Workers' Compensation Declaration: 1-flereby aflrm that I have a cerulicate of consent to cTiInsure issue*1 by the Director oUruiuSLnal -
I(etitions, 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
Ceruricate ot Exemption: 1 cattily that in the performance oFitie work lot which this permit Is asued. I snail not employ any person in any manner -
so as to.beeome subject to the Workers! Compensation Laws of California.
SIGNATURE DATE
S. 0 NER.lSUiLDEJ VEUAIU11ON
uwher-tsull'uclaulion: a nereDy anlrnuzlat £ am exempt from we cintracto(s License Law tot theiouowing reason:
0 1, as owner of the property or my employees With wages as their sole compensation, wilt 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.).
O 1. as owner of the property, am exclusively contracting with licensed coinractors to construct the project (See. 7044, Business and Professions
Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law). . .
0 I 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 n 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 70313 by any applicant for at. permit
subjects the applicant to a civil penalty of not more than five hundred dollars (55003).
SIGNATURE .
DAlE
Is the applicant or future bulldingocvuparn required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Section
2!
an
S, 25533 or 2.5534 of the Presley-Tanner Hazardous Substance Account Act?
DYEs NO
Is the applicant or future building c requited to obtain a permit from the air pollution control district or air quality management district?
DYES ,NO
Is the facility to be constructed within 4,000 feet of the outer boundary of a school site?
DYES
W ANY OF TfM AHWS AI1E YES A FINAL C11PICATh OF OCCUPANCY MAY NOT BE ISSUED M1ER JULY 1, 1989 UNLESS THE APPUCAwr
HAS MET OR IS MEETING TIM RPQUIRDAEN1S OF TILt OFFIC'2 OF DtUtGENCY SERvIcfrs AND THE AIR POLUYtION CONTROL DISTRICT.
LENDER'S NAME LENDER'S ADDRESS
10. AFL'UCANT tflhICAUvr
relating to building eonstructioi I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO ACRE ZU SAVE INDEMNIFY AND XW HARMLESS ThE. CITY OF CARLSBAD AGAIN
S
T
A
L
L
U
A
B
[
I
X
f
l
E
S
,
J
U
D
C
M
E
N
T
S
C
O
S
T
S
AND EXPENSES WIUQI MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQtSENCE OF THE GRAJI11NG OF ThiS PETtMrr.
OSHA± An OSHA permit 11 required for excavations over 5V' deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit Issued by the Building official under the provisions of this Ccxfe shall expire by limitation and become null and void If the
building or work authorized by such permit Is not commenced within 365 days From the date of such permit or If the building or work authorized by
any time olter the work is commenced for a period of 180 days (Section 303(d) Uniform
FINAL.BUILDiNGINSPECTION
DEPT BUILDING ENGINEERING PLANNING/--. U/M WATER
PLAN CHECK# CB961810 - DATE 02/04/97
PERNIT#: CB961810 PERMIT TYPE: CTI
PROJECT NAME 640 SFANDAEXPRESS...
ADDRESS 2 56OELCAN,546REAL C
CONTACT PERSON/PHONE#: MW/ FE 11 1997 SEWER DIST: CA WATER DIST:CA : -
INSPECTED DATE )
By
BY LN IN APPROVED V DISAPPROVED
INSPECTED DATE
BY INSPECTED APPROVED - DISAPPROVED
INSPECTED DATE
BY: ,
l INSPECTED: APPROVED DISAPPROVED
COMMENTS
-
-
CITY OF CARLSBAD
-INSPECTION REQUEST
PERNIT# CB961810 FOR 02/07/97 INSPECTOR AREA TP
DESCRIPTION 640 SF PANDA EXPRESS PLANCK# CB9618].0
OCCGRP
TYPE CTI CONSTR. TYPE VN
JOB ADDRESS:, 2560 EL CAMINO REAL -. -- STE: LOT:
APPLICANT: CASTANEDA,GEORGE, PHONE: 714 529-1826
CONTRACTOR PHONE
OWNER PHONE
REMARKS MW/ERIC/PG 714-286-2093 AM PLS INSPECTOR
SPECIAL INSTRUCT
OTAL TIME:--
--RELATED PERMITS-- PERNIT# TYPE STATUS
CB960939 CTI . ISSUED
FS960020 FIXSYS -ISSUED
A5960070 ASC 'ISSUED
AS960077 ASTI ISSUED
FS960028 FIXSYS ISSUED
AS970002 ASTI ISSUED
FAD97003 FADD ISSUED
CB961109 SIGN ISSUED
CB962197 CTI ISSUED
CB962234 SIGN • ISSUED
CB970032 , SIGN ISSUED
CD LVL DESCRIPTION ACT COMMENTS
19 ST Final Structural dQ
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
INSPECTION HISTORY *****
DATE DESCRIPTION ACT INS? COMMENTS
020497 Final Structural -
CO . TP
020497 Final Plumbing CO TP
.020497 Final Electrical CO TP
020497- Final Electrical CO TP ELEC @ HOOD ON ROOF
020497 Final Mechanical • Co TP C/O FOR HOOD DUCTS
020397 Final Electrical S NR, TP
020397 Final Mechanical NR TP
123196 Rough Electric AP TP CElL LITES
123196 Rough/Ducts/Dampers •. AP TP • DUCTS & M-UP AIR
123196' Frame/Steel/Bolting/Welding AP TP T-BAR GRID
122796 Gas/Test/Repairs • NR TP BLDG LOCKED
122796 Rough Electric. • NR TP
121896' Rough Combo • CO TP N/COMP .T-BAR GRID SYSTEM
120996 Interior Lath/Drywall AP TP
120696 Frame/Steel/Bolting/Welding AP TP
120696 Gas/Test/Repairs AP TP
J
.
EsGil Corporation
Professzona( P1zn Review Engineers
DATE: OCT25, 1996 ANT,
••
•2 ' JURIS U FIRE
JURISDICTION: CARLSBAD N REVIEWER
I E3 FILE
PLAN CHECK NO 96-1810 SET II
PROJECT ADDRESS 2560 EL CAMINO REAL
PROJECT NAME PANDA EXPRESS
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 ** codes
when minor deficiencies identified below 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 checklist transmitted herewith is for your information The plans are being held at Esgil
Corporation until corrected. plans are submitted for recheck.
The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
The applicant's copy of the check list has been sent to:
Esgil CorporatiOn staff did not advise the applicant that the plan check'has been completed;
Esgil Corporation staff did advise the applicant that the plan check has been completed
1 Person contacted: - •.
Date contacted: (by:.' S Telephone #: • -•
REMARKS
By:-Ali,Sadre Enclosures:
Esgilr Corporation' •' - :
'0 GA 0 CM '0 EJ 0 PC • 10/17 trnsmtl.dót
•• ' ,
9320 Chesapeake Drive, Suite 208 4 San Diego, California 92123 • (619) 560-1468 • Fax (619)560-1576 •
EsGil Corporation
L'rofesszona(fF(an Review ngzneers
DATE OCT 7, 1996 UFfJ4NT
&UFJRIS) U FIRE
JURISDICTION CARLSBAD U PLAN REVIEWER
U FILE
PLAN CHECK NO 96-1810 SET I
PROJECT ADDRESS 2560 ELCAMINO REAL
PROJECT NAME PANDA EXPRESS
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 ********** codes
when minor deficiencies identified below 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
Corporation until corrected plans are submitted for recheck
El 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
GEORGE CASTANEDA 625 S POPLAR AVE, BREA, CA 92621
4 - z
Esgil Corporation staff did not advise the applicant that the plan check has been completed.
Esgil Corporation staff did advise the applicant that the plan check has been completed
Person contacted
Date contacted (by ) Telephone #
REMARKS l
By Ali Sadre Enclosures
Esgil Corporation
GA C1, CM 0 EJ 0 Pc 9/23 trnsmtl dot
9320 Clesapeake Drive Suite 208 • San Diego California 92123 • (619) 560-1468 • Fax (619) 560-1576'
FOREWORD (PLEASE READ)
This plan review is limited to the technical requirements contained in the Uniform
Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical
Code and state laws regulating energy conservation, noise attenuation and disabled
access.,This plan review is based on regulations enforced by the Building Department
You may have other corrections based on laws and ordinances enforced by the
Planning Department, Engineering Department or other departments
The following items listed need clarification, modification or change All items must be
satisfied before the plans will be in conformance with the cited codes and regulations
Per Sec 1,06.4.3, 1994 Uniform Building Code, the approval of the plans does not
permit the violation of any state, county or city law
1 Please make all corrections on the original tracings, as requested in the correction
list.
Submit three sets of plans For expeditious processing, corrected sets can be
submitted in one of two ways
I Deliver all corrected sets of plans and calculations/reports directly to the
City of Carlsbad Building Department, 2075 Las Palmas Drive, Carlsbad, CA
92009, (619) 438-1161 The City will route the plans to EsGil Corporation and the
Carlsbad Planning, Engineering and Fire Departments
2 Bring one corrected set of plans and calculations/reports to EsGil
Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (619)
560-1468 Deliver all remaining sets of plans and calculations/rports directly to
the City of Carlsbad Building Department for routing to their Planning, Engineering
and Fire Departments
NOTE Plans that are submitted directly to EsGil Corporation only will not
be reviewed by the City Planning, Engineering and Fire Departments until review
by EsGil Corporation is complete
- 4
CARLSBAD 96-1810
OCT 7, 1996
2 .' 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:; . . . . .. .. .
3.' Please show a. stare plan indicating- wheretherestaurantis located within the
store.
4 Please show the use of all spaces on floor plan within the addition on sheet A-I
5. Please note city to 'verify that all site' and . sanitary, facilities afe,, existing
handica'pped. complying subject to field verification including the parking, walks,'
: ramps, .restrooI'ns, eta. .
6 Please show the gage of the partitions on detail 81A-3
7 Please specify the height of the studs on'detail 8/A-3" "for all typical interior
partitions
8.' Note any new roof mounted equipment must be screened and roof penetrations
should be minimized (City Policy 80-6). ..
.
1
9. Specify no wiring is permitted on theroof of a building.and wiring on the exterior of
' a building requires approval by the Building Official. (City Policy). . .
10. . Note all roof-mounted equipment shall be concealed from view. Provide structural
detailing for the screening
. II., Please see attached forP1M/E items.' .. . ,. . . .
12. The jurisdiction has contracted with Esgii Corporation located at 9320 Chesap'eake Drive, Suite :
208, San Diego, California 92123; telephone number of 619/560-1468, to perform the plan review
for your. project. If you have any questions regarding these plan review. items, please cbntact Au
Sadre at Esgil Corporation. Thank-you. .4 . ...,
PLUMBING, MECHANICAL AND ENERGY CORRECTIONS
• JURISDICTION: Carlsbad . , DATE: 10/4/96
• PLAN REVIEW NUMBER 96-1810 SET I
•
4 .. .
, . . .. •...
PLAN REVIEWER: Glen Adamék •
• • . .
.
13 Provide evidence of Health Department approval
-
•
- -4. . :'
• 4 •• . - *
CARLSBAD 96-1810 • ..
OCT 4'7, 1996. ' , I -• 4 • •- 4 -
. PLUMBING (1994 UNIFORM PLUMBING CODE)
14 Provide water line sizing calculations, including the water pressure, pressure
losses, water demands, nd developed, pipe lengths. UPC Section 610
15 Provide gas line plans, showing the existing gas line sizes and demands from
the gas meter to the connection of the new gas line UPC Section 12170
16. Detail how floor d1a1n trap seal, is be-maintained. UPC Section 1007.0 (floor
drain trap primers).
17 Show water heater size, type and location on plans UPC, Section 501.0
' MECHANICAL (1994 UNIFORM MECHANICAL CODE)
18 Provide complete kitchen, hood plans, details, and calculations to show
compliance with UMC, Chapter 5, Part II as per the following
Próyide roof framing around new openings in the. roof for the exhaust and,
make-up air ducts for kitchen hoods. - . .• '-
Each room pfovided4with ákithen exhaust system shall have air supplied
- to the-room equal to the amount of air to be exhausted. .The exhaust and
-call make-up air' systems' shall besconnected by ;anelectricaI interlocking
switch.,UMC, Section 402.4
Note: if you have any questions regarding this plan,review list please contact Glen Adanek at
(619) 560-1468. To speed the review process, note on this list (ora copy) whee the corrected'
items have been addressed on the plans
.4
' • ' - ' '4 ' 'V . , '4-
1.
.4 -
--
.4. . . - • -
-
. -
-
-
-'
.
•' ' ' 4 -
4 . ,IF.,
9
CARLSBAD 96-1810 V : .
OCT 7, 1996 •: V V
-. V. VALUATION AND PLAN CHECK FEE
JURISDICTION: CARLSBAD PLAN CHECK NO.: 96-1810 V
PREPARED BY Ali Sadre DATE OCT 7, 1996
BUILDING ADDRESS: 2560 EL CAMINO REAL V .•
•
V
BUILDINGOCCUPANCY: Ml TYPE OF CONSTRUCTION: IlIN
V •• • •, • V V •
BUILDING PORTION BUILDINGAREA. -• VALUATION - VALUE
V (ft?) • MULTIPLIER ($) V *
RESTAURANT V 650'
•
• V •
V V
Air Conditidning V * V V V V • - : • • V
Fire Sprinklers
V •
- V V
V
TOTAL VALUE 23040*
1991 UBC Building Permit Fee LI Bldg Permit Fee by ordinance $ 2413.00.-'.
1991 UBC Plan Check Fee V LI Plan Check Fee by ordinance: $ 157.95
Type of Review:
V
• Complete Review
,
StructuraI Only V LI Hourly .
.' LI, Repetitive Fee Applicable n Other: V
V
V
4 Esgil Plan Review- Fee: $ 12636
•• Comments: *PER CITY
V
' • V
V
V
Eire Services Review:
V
Complete Review, J Suppression, System • V
• Fire Alarm M Other: V •
V
V
Esgil Fire Services Review Fee: •
V
V
V
$ V
V
Comments: • •
V
V • -, • • V -
V
• Sht1 of
V
V
• -
- macvalue.doc 5196
- •• V
V, • • V -. ..
V • 4 . V.
4
City of Carlébad 96271
Fire Department • Bureau of Prevention
Plan Review Requirements Category Building Plan Check
Date of Report:-Thursday, November 7 1996 Reviewed by Nk
Contact Name David Geiser
Address 4180 La Jolla Village Dr STE 330
City, State La Jolla CA 92037 1
Planning No
Job Name Panda Express
Job Address 2560 El Camino Real Ste or Bldg No
Approved - The item you have submitted for review has been approved The approval is
based on plans, information and/or specifications provided in your submittal,
4 therefore any changes to these items after this date, including field modifica-
tions, must be reviewed by this office to insure continued conformance with
applicable codes Please review carefully all comments attached, as failure
to comply with instructions in this report can result in suspension of permit to
construct or install improvements
El Disapproved - Please see the attached report of deficiencies Please make corrections to
plans or specifications necessary to indicate compliance with applicable
codes and standards.'Submit corrected plans and/or specifications to this
office for review.
:. -
I
2 . C
For Fire Department Use Only
Review 1st 2nd 3rd
OthérAgency,iD
CFD Job# 96271. File#__________
• • •• . - .•-
1• --'.-
2560 Orion Way • Carlsbad, California 92008 • (619) 931-2121
- . -
City of Carlsbad 96 2711
Fire Department Bureau of Prevention
General Comments
Date of Report Thursday November 17, 1996
Contact Name David Geiser
Address 4180 La Jolla Village Dr STE 330
City, State La Jolla CA 92037
Bldg Dept No 96-1810 Planning No
Job Name Panda Express
Job Address 2560 El Camino Real - Ste or Bldg No
Hood & Duct require separate permit and submittal to Fire Department from licensed extinguishing company.
- a
if
7
. -
- -
4 1, • --
- .- 4 - • -*
•-
4 _4. -• -
• I 4
- - * •
f • -4
- .-• - • .4
- - ,-_' • _.•. - .- S
-'
4 -• 5 .4
4-
1
4 - I - -- - -,
- *
2560 Orion Way Carlsbad, California 92008 • (619) 931-2121
44 45
44
1
- Consuiuer Food Protection Plan Check
and Construction Unit OFFICE USE ONLY
REMODEL/ADDITION OF VONS,' E06772 . .
JADING PANDA EXPRESS WITHIN VONS STORE) .
Intake Date 9/17/96
Act. Code SOT •..CT19•01
PAID. $400 , 9/17/96
': . . •' . . City/County Code 02 :
CHECK #127819 PLAN CORRECTION SHEET Route Code FA05/SUNDBERG
Field PC Staff GATH
Plan Check #E 47292
. . .
EST. NAME PANDA EXPRESS _(in 'Vons Store)
,• EST. TYPE*.RESTAURANT
SITE ADDRESS 2560 EL CANINO REAL, CITY CARLSBAD zIP92008-120'
OWNER/BUILDER PANDA EXPRESS 'INC. . . '. . PH0NE7145291826 S
MAILING ADDRESS 899 EL CENTRO STREET . ''S CITY5._PASADENA ZIP910303101
44 4 GENERAL CONTRACTOR'__ JATDA . . . . PHONE445?9826.START DATE : b4 SOUTH 10FLAR AVE., BREA, CA .92621 FAX -714-529-4189 Mó/Yr '
P/U CONTACT ',
.
. PHONE
-PLAN S. APPROVED/DI APPROVED PLAN CHECKER IAL4 41 . DATE
(Circle One) , . . / / (Signa!ture).
Est.
RECHECK FEE,REOUIRED: S Time RECHECK APPOINTMENT DATE
I U 4
ENV. HEALTH OFFICE (S.D.) ' 'EAST CO. ENV. HEALTH OFFICE . SAN MARCOS OFFICE
1255 Imperial 'Ave. -3rd Fir. 151 Van Houten Ave. Ste. B 338 Via Vera Cruz
San Diego, CA 92186 El Cajon, CA 92020-4429 : , San Marcos, CA 92069
(619) .338-2222 "' '(619) 441-6666 ' (619) 471-0730
DHS:EHS-886 (8/91)
-S •