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HomeMy WebLinkAbout2714 LOKER AVE W; ; CB962357; PermitN 1: : BUILDING PERMIT' 4 PermitNo CB962357 O1/.28/9714:14 . . Page 1 of 1 . Development No Job Address 2714 LOKER AV WEST Suite 108 ,'Prmit :,Type: INDUSTIAL TENANT IMPROVE1ENT 2153 0128/97O00lO1 02' Parcel No 209-081-02-00 Lot# F C'PMT . 13OO Valuation 12,000 Conztxuction Type VN Occupan r cy Group Refeence# -. Status ISSUED Descrition 12 PANEL ANTENNAS-GTE MOBILE Applied 12/1/96 ;. ..' Api/Issu: oi228/97 - Entered By RMAf Appl/Ownr SUAREZ, ROBERT 619 434-8474 P' .o,. 4651, .;'•: •:. CARLSBAD,CA 92018, I' *** Fees Required Th's..S..11ected'& Credits "Adjustments 0 \±iat 00 Total Fees 22 00 Total e s 88 oo . eee on -- ' Strong, M6tion','Fee. "0007, 22 ! 01 4 INCORPORATED - ...'. J. .. -. 4_•_ .. . -,.. 4 FINA,kAPPROVA L - .. ir'isp." ..DA .4 - ... : CL CITY OF CARLSBAD CA 92009 (619) '- 2075 Las Palinas Dr Carlsbad 438-1161 -4 •4 . ,--. 4 - ._& 4 - 4 PERM1TAPPUCAIION PLAN CHECK NOg357 City of Carlsbad Building Department 2075 Las LnsD Pa r CarLsbad, CA 92009,'(619).4318-1161 vi._ PLAN CKDEPOSIT * ' _ 71?" 1. PERMIT TYPE VALLD. BY, - •, '. DATE ___ From List I (see back) give code of Permit Type , U ------------------------------------------------ . ---------------------------------------------,- 'For Residential Projects Only: Froni'List 2 (see back)'give ' •". .. - Code of Structure-Type: '. . '• .. •-' O•I12(2/9&obo1. ol_ ..s• ',".,.! :•- •.-''- ..,'..- ,.• ...'. -. -C-PRMT i,> 8800. Net Loss/Gain of Dwelling Units PROJECT INFORMATION ., . f - ... , ... •.. FOR OFFICE USE ONLY Address 2'7j L<'.p.. Je -j- Building or Suite No. Nearest Cross Street LEGAL DESCRIPTION Lot No. Subdi ion Name/Number. . • Unit No... Phase No. - 2- -(5ba1 77QC 742-f - CHECK BELOW IF SUBMITTED: 02 Energy Calcs. 02 Structural Calcs - 0.2 Soils Report 0 1 Addressed Envelope - . ',. . . ASSESSOR'S PARCEL - , EXjT1-JG USE ' ' - PROPOSED USE - - -; DESCRIPTION OF WORK o17 ,Qaj-' (Ii a' t#i r) •. . •. ,. ;• sQ:F-r. - I #OFSTORIES . #OFBEDROOMS. - #OF BATHROOMS, t' WNI'ASJ! PFHJN (ii clitterent Irom applcant) s1O)t .. ........- NAME (last,name first) ADDRESS r,O1 . - CITY STATE (2l ZIP CODE Z.o,T DAY TELEPHONE 434 - 474, I APPLF -O coN I' (510K U AGENT FOR CONTRACT K- - Li OWNER i')GENT-FO( OWNER NAME (last name . . ADDRESS 7,W.Cetl q0y.. ()Wfr • '' . ', CITY 9f4/) STATE 'ZIP CoDEg /// " DAY. TELEPHONE NAME (last nrst) MareO /Q 11)hsf-.<5 ADDRESS 5oS) e,i,o1 EMCl5 CITY STATE (1,bQjCf . STATE 4-.ZIP CODE DAY TELEPHONE NAME Gast name first) (!)74t91), /'Jc ADDRESS 2Z(i'2_ I he4brd1&zMf1 OYe /ô9 CITY , STATEñ -1ZIP,CODE 'DAY.TELEPHONE . STATE UC. #(p.44'5 UCENSE CLASS 'CITY BUSINESS UC. # . -.-,• .. - DESIGNER NAME (last name first) v/?'c5(Iare - ADDRESSIJ - ' - - --- - CITY - - ' STATE - ZIP CODE - - DAY TELEPHONE 43 '97 -STATE LIC. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to sell-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. Q. - 4 INSURANCE COMPANY '7L& ~%'tid POLICY NO /3th3 -7—f IRATION DATE Certificate of Exemption:- I certify that in the performance of the workfor 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.' * -7. *•-.--- - -•-,. .., -- . -. ' * ,.-. • . .- - I......- - •---._-.. .. ..--. - -- SIGNATURE DATE OWNER-BUILDER ..Owner-Builder Declaration: ,I hereby affirm that exempt am exempt from,the Contractors License law loT the following reason: •__, .0 I, as owner of the property, or my employees with wages as their sole compensation, will do the work and the structure is not intendedör - offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of própérty 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 sali If, however,-the building or improvement is sold within One year of completion, the owner-builder will have the bufaen of proving that he did not build or improve for the purpose of sale.). - -. . ' • ' ' - - - . . 0 1, as owner of thii property, am exclusively contracting with licensed contractors to construct the project (Sec. 70441 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: . -.7 .7- " - •' -, .'- - * * • .7 -4* ,..... . - — - - .,, , - . - . - - (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 [$5001). 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 preventiori program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? - - -DYES .'NO------ - - - Is the applicant or future building ocupant required to obtain a permit e air rmit from the pollution control district or air quality management district? DYES NO .. ' .. . Is the facility to he constructed within 1,000 feet of the outer boundary of a school site? DYES 'NO . IF ANY OF THE ANSWERS ARE YES, A PINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CX)NThOL DISTIUCr. - 9. WNS11iUCI1ON LENDING AGENCY - •;. . . - -;.; - - I hereby attirm that ere 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. APPUCANr CERI1FIGAT1UN -- I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and 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. - -i-- - _j - .7 4 I-_ - j -' - -.-' •. i.?, - OSHA. An OSHA permit is required for excavations over 5'0", deep and demolition or construction of structures over 3 stones in height Expiration Every permit issued by the Building Official der the provisions of this Code shall expire by limitation and become null and void if the - building or work authorized by such permi • ot c enced within 365 days from the date of such permit or if the building or work authorized by.. - - 1' 3 - - . CITY OF CARLSBAD - - I.. "INSPECTION REQUEST 1 ' PERNIT#.CB962357 ••, FOR -03/12/.97 ' INSPECTOR AREA TP DESCRIPTION 12 PANEL ANTENNAS-GTE MOBILE PLANCK# CB962357 OCCGRP TYPE ITI CONSTR TYPE VN JOB ADDRESS 2714 LOKER AV WEST STE 108. LOT APPLICANT SUAREZ, ROBERT PHONE 619 4348474 " CONTRACTOR: . ,,' ' . PHONE: - OWNER " PHONE - ' - - REMARKS RS/ ' •-# . INSPECTOR "jl ... SPECIAL INSTRUCT TOTAL TIME " - r : •• ,'-.: '30 --RELATED PERMITS-- PERMIT# TYPE STATUS — CB962004 ITI ISSUED' CD LVL DESCRIPTION , ACT COMMENTS - 19 ST Final Structural'f4-,p 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical 4 1 INSPECTION HISTORY DATE ODESCRIPTION ACT INSP' COMMENTS •' -' -* 030497. Final Structural . '-- CO" TP ' DOOR LOCKED-, 022897 Final Combo CO TP DOOR LOCKED 4 -. -- 4 - lo I - 0 I _•0 . ,0 ' V . I -I'--' ' -.-' I ' ',0 I • 4 0 •0. I A 0 • * ' 0/ 4 .Sfd 4 0 • V •- . , •- - I— 0,, - - - - 1. - • -. - •0; .,- - -Th . — THIS CONNECTION TO AN EXISTING SWITCHBOARD FOLWWSU.L 891 STANDARD FOR DEAD-FRONT SWITCHBOARDS. ALTHOUGH THE U.L. LABEL CANNOT BE FIELD APPLIED. HAD WE PROVIDED THIS TYPE OF CONNECTION IN OUR MANUFACTURING FACILITY WE 'WOULD HAVE MET THE UL. 891 STANDARD, AND COULD AFFIX A LABEL. A TORQUE SPECIFICATION LABEL WILL BE INCLUDED WITH CICOMPARThIEMFIIARJUSR -p. THE SHIPMENT FOP THE PROPER TIGHTENING OF THE BOL1s .. PROVIDED FOR THIS CONNECTION. ØA : .09 oc N PLEASENOTE; THE CONTRACTOR IS RESPONSIBLE TO PROPERLY TIGHTEN ALL BOLTS AND LUG CONNECTIONS IN ACCORDANCE WITH THE TORQUE LABEL PROVIDED. YOU MUST ALSO PRO VIDEA LETTER TO THE INSPECTION SD.G. & E. LANDING STUDS AUTHORITIES CERTIFYING THE ABOVE BEFORE THE BUILDING INSPECTOR WILL APPROVE THIS INSTALLATION. p - • -. iU;•- FIBRE EHEETBARRIEL / (EASLN OVER EXSflNG BOLTS) "b. " Wr HOLE IN CJTOOMPARTSIENT. . BARiUEX L FOR . . l - CABLEEXfl a: - TOPV]EW _ -..... - DATE- 11/21/96 SHEE.T or ; Pacific Electric, Inc. JAIARK 42024 Avenida Alvasado Ternecula, Ca. 92590 - 909-676-3374 ________________________ - OISIRIBUTOR p.o_No. DRAWN BY: GTE MOBILNET - - . 2714 LOKERAVE. . DATE BY - REVISIONS CARLSBAD CA 92008 DRAWING NO_6A4 123 1 SIDE VIEW U, - -I.- UI 11 U, II 'U U :' 114 X I fir ALUM BUS FLAGS • j .WIIH (1) 2SMCM LUG MOUNTED. 1E 11243 X I IT GRAVE 3 1Ilr' AGEFOLTSTOOONNEer- • (MOUNT ON (MO2NDHOI,EIROM REAR 05'sECTlO}O - FLAGS OCCUPY 2NDBOLEFRUl1 EACKOFELJE 1 o'0000 ru_400000 S.D.G. & L LANDING STUDS - FRONT VIEW a • [ '. .øA 0 I I [ I . øB L oc r : E5a1ThO ROLE tJR )IEUIRAL USE N'16-,8x I P,2 L C>: IIEXHEADQL 5 BOLT,PROVIDED. N m.e SERVICE - - 200A I20208V JPH. 4W FROM - - EXISTING I600Ao.E. U/Cl CTF SECTION.- _-- MIS AUJMINUM, AISTAN 80 * PLATED LUGS ç)#6.2soMCM A1JCL1 PER LEG -' '-0 - -J cc I- 0 - F- • ( -I. _7 — - is. FINAL BUILDING INSPECTION DEPT BUILDING ENGINEERING EEIR _EMJ PLANNINd U/N WATER PLAN CHEC #: CB962357 ., :. DATE: 02/28/97 PERNIT#:. 7 .. -, PERMIT TYPE: ITI PROJECT NAME: 12 PANEL ANTENNAS-GTE MOBILE : 1. .ADDRESS:,2.714 LOKER AV WEST SUITE# 108 CONTACT PERSON/PHONE#: . SEWER DIST:- CA . WATER BJN/MARX/929-9277 DIST: CA MAR -3 1997 - INSPECTED.- BY:' ,DATE ------------ - -- ---- - --- 1_ INSPECTED: APPROVED -- DISAPPROVED - INSPECTED DATE -.. .. . . BY: . . INSPECTED: APPROVED . DISAPPROVED - INSPECTED S : DATE - . * BY: -- 5- INSPECTED: APPROVED DISAPPROVED :COMMENTS: I . - - 0 • - S__S.. IS . . S 1 •: -.. • - . . : . - • S . • S • •I - S - . .1 -S. ,• - - - - 5 5- —• S . . - . S - - EsGil Corporation * - Professionafai'Qeview'Engineers DATE DEC 19, 1996 U AppucAN; TJLiEiI C3 FIRE JURISDICTION: CARLSBAD . U PLAN REVIEWER - U FILE PLANCHECKNO 96-2357 , SETI PROJECT ADDRESS: 2714LOKER AVE. WEST . ,4 PROJECT NAME ANTENNA The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes Jill. The plans transmitted herewith will substantially comply with the jurisdiction's ****AAAAAA 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 checklist, 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 The applicant's copy of the check list is enclosed for the jurisdiction to forward to the appcant contact person '4 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 II Esgil Corporation staff did advise the applicant that the plan check has been completed Person contacted Date contacted (by ) Jelphone # REMARKS - By: All Sadre '. Enclosures: Esgil Corporation ILI El GA El CM [] ,EJ El pc:. 12/6 - - trnsmti dot .-. I 4_ - :' . - * - •- . -. .8 9320 Chesapeake'Dnve Suite-208,• Sai Diego California 92123 • (619) 560-1468 • Fa'. (619) 560-1576 VALUATION AND-,PLAN CHECK FEE JURISDICTION CARLSBAD PLAN CHECK NO 96-2357 PREPARED BY: SAbRE DATE: 1I19 BUILDING ADDRESS 2714 LOKER AVE W BUILDING OCCUPANCY B TYPE OF, CONSTRUCTION: V-1HR(SPR. IN LIEU OF) City of Carl sbad '' • ___________________________________ BUILDING PLANCHECK CHECKLIST DATE: /-/79 0 ', PLANCHECKNO.: CB93S,7 BUILDING ADDRESS: '7/. ikia " PROJECT DESCRIPTION: ASSESSOR'S PARCEL NUMBER: O .. EST. VALUE: ,;.. ' ENGINEERING DEPARTMENT .' APPROVAL ' ,• DENIAL ' . •',. The item you have submitted for review has been Please see the attached 'report of deficiencies approved. The approval is based on plans, marked mAth <Make necessary corrections to plans ' information and/or specifications provided in, your or specifieis for, compliance with applicable submittal; therefore any changes to these items after, codes and standards. Submit corrected plans and/or this date, including field modifications, must be , ' specifications to this'office for review. ' 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 build. . Date: LI A Right-of-Way permit is required prior to , .' " ' '. •.. ' ' ' •, ,' ' •• construction of the following improvements:By Date By: '- " '. Date: ATTACHMENTS ENGINEERING DEPT CONTACT PERSON LI Dedication Application LI Dedication Checklist LI Improvement Application : ' Name:'Miàhele Masterson El . Improvement Checklist City of Carlsbad' ' . ' El Future lmprovment Agreement Address 2075 Las Palmas Dr.,Carlsbad CA 92009 LI Grading-Permit Application ' Phone': (619)438-1161, ext. 415 LI Grading Submittal Checklist LI Right-of-Way Permit Application LI Right-of-Way Permit Submittal Checklist and Information Sheet.,, '. ", . ' : . ' . ' '• ' ,0 ,, ' LI Sewer Fee.lnformatidn Sheet 0 A4 ' P,,dec1, c196 BP000I Fern, I,96.doc Rev. 8121196 • 2075 Las Palmas Dr. • Carlsbad CA 92009-1576. (619)"4384161 • FAX (619) 438-0894 : • BUILDING PLANCHECK CHECKLIST SITE PLAN', ST 2ND 3R0/ Y U U I Provide a fully dimensioned site plan drawn to scale Show A North Arrow D Property Lines Easements B Existing & Proposed Structures E Easements C -Existing Street Improvements F Right-of-Way Width & Adjacent Streets I, 4 FY' U U 2 Show on site plan A Drainage Patterns B. Existing & Proposed Slopes - - C Existing Topography : :- - ---. .• U U 3 Include note "Surface water to be directed away from the building foundation at a 2% gradient for no less than 5' or, 2/3 the distance to the property line 1 : . (whichever-is less)." [Per 1985UBC 2907(d)5] - -- . On graded sites, the top of any exterior foundation shall extend above, the 7.elevation of the street gutter at point of discharge or the inlet of an approved drainage device a minimum of 12 inches plus two percent" [Per 1990 UBC 4/ 2907(d)5] 4 i U U 4 Include on title sheet A. Site address 4 B Assessors Parcel Number -. C Legal Description', For commercial/industrial buildings and tenant improvement projects, include - total building square footage with the square footage for each different use, '- existing sewer permits showing quare footage-of different uses (manufacturing, warehouse, office, etc) previously approved - •_4 - ç 'I 'k 1 .. - . EXISTING PERMIT NUMBER DESCRIPTION - - - . V - • - -. - . V - Vt, - '1 •- .. '-V • I V - - V .4. .---. •• - - -- - .' - ;- ' - Page lof4 V. • - 4 4 G LlBR RV4ENGWORD OCS HI(LST\&415n5 Plancheck CidsI BP000I Fo,m MM ADC Rev. 5121196 V V.- •.' • • . V • - • '1 • -. -• - -- - -. BUILDING PLANCHECK CHECKLIST / DISCRETIONARY APPROVAL COMPLIANCE .. I ' NDf 3RD 'dJ 197'0 5. Project does * not comply with the following Engineering Conditions of approval ( for Project No (,OIf- Conditions were complied with by Date:. DEDICATION REQUIREMENTS L 6. Dedication for all street. Rig hts-0f-Way adjacent, to the building, site and any storm drain or utility easements on the building site is, required for alInew- I buildings and for remodels with a value at or exceeding . $______________ pursuant to Code Section 18.40.030. . . Dedication required as follows: . -. . Dedication required. Please have a registered Civil Engineer or Land Surveyor , prepare the appropriate legal description together with an 8 W x 1.1" plat map and submit with a title report. All easement documents must be approved and - signed by owner(s) prior to issuance of Building Permit Attachedi please find an application form and submittal checklist for the dedication process Provide the completed application form and the requirements on the checklist at the time of resubmittal Dedication completed by: .__. Date: H . . IMPROVEMENT REQUIREMENTS . .. . .- 7a. All needdd public impro'vements upon and adjacent to the building site must.be constructed, at time of. building construction whenever the value of the construction éxcéeds $ , pursuant to Code Section 18.40.040. Public improvements required as follows: * '9 . . . - ''s *- • - * •' fl Pleasehave a registered Civil Engineer prepare appropriate improvement plans and submit them together with the requirements on the attached checklist for a . . separate plancheck process through the -Engineering Department. Improvement plans must be approved, appropriate securities posted and fees paid pnor to - •. issuance of permit. . . .-..- ' -. • - Attached please find an application form and-submittal checklist for the public improvement requirements Provide the completed application form and the requirements on the checklist at the time of resubmittal . :. Improvement Plans signed by: - .- - •' 'Date: * - . Page 2of4 G:lLIBRARY1ENG\WORODOCSCHKLSr19.jng Plsncheck Clds* BP000I Fon,, Wdoc - - .• • - • Ro,. 8121198 • - . . - • p . * . - -- BUILDING PLANCHECK CHECKLIST 1'V 2"' 3'' t I a 7b. Constrution of the public improvements may be deferred pursuant to Code •.Section 18A0.. Please submit a recent property title report or current rànt ded on the property and processing fee of $. .so wemây prepare the necessary Future Improvement Agreement. This agreement must be sighed, notarized and approved by the City prior to issuance of a Building permit Future public improvements required as follows "Improvement Plans signed by:' Date: - *- a ' -- a '76 Enclosed ,please find' your Future lmpr6vement Agreement. .,Please return agreement signed and notarized to the Engineering Department Future Improvement Agreement' completed by:' •• •. 7 ' Date: a a ' 7d. No' Public lmprovenents required. SPECIAL NOTE: Damaged' or defective improvements found adiacent to building site must be repaired to the satisfaction of the City Inspector prior to occupancy GRADING PERMIT REQUIREMENTS - -' The conditións'that invoke the ,need .for a grading permit are found in Section ' . '11.06.030 of the Municipal Code. . . a a 8a. Inadequate information available ,on Site Plan to make, a de*termination on, grading requirements. Include accurate 'grading quantities (cut, fill' import,. export) a a a 86. Grading Permit required. A' separate grading plan prepared .by a registered Civil Engineer-.must be' submitted - together.. -with the completed application form ' . . •attacheth NOTE: The 'Grading Permit* must be issued and rough a Fading. approval obtained prior to issuance of a Building Permit p •' ,, -. - ' , / Grading Inspector sign off by Date 9/ a a 8c No Grading Permit required - ' , ' ' ,• '- ' '. - - . . - - • 'Page 3014 - '• , ' ' ' - '•" ..' (,1 - .' ' ' G:LI8RARGWORDtDOCSC#K1S'fl3*AI8ng Pnthedc Cdst BP0001 Fo,m M,doc • ' ' ' R6v, 8121198 BUILDING PNCHECK CHECKLIST .. ,. MISCELLANEOUS PERMITS • ;fld/ 3rd . . '. :. . U "9. A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or V private work adjacent to the public Right-of-Way. Types of work include, but are not limited', to: street improvements, trees, driveways, tieing into public storm S •' drain, sewer and water utilities.. Right-of-Way permit required for A separate Right-of-Way permit issued by the Engineering Department is S ' 1 required for.the'following: U . U 1O:A SEWER PERMIT is.required concurrent with the building permit issuance. The fee is. noted in the fees section on the following page. • . ' 5 5 U U .. II. INDUSTRIAL WASTE PERMIT is required. 'Applicant must complete Industrial - S • ' Waste Permit ApplicatiOn Form and submit for City approval prior to issuance of • , - S . a Permit. - S • 5 . '5 Industrial Waste permit accepted by S ' S Date: U U y 12 NPDES PERMIT ' Complies with the City's requirements of' 'the National 'Pollutant Discharge Elimination System' (NPDES) permit. The applicant . shall provide 5 best • management 'practices to reduce surface pollutants to an acceptable level prior to discharge to sensitive areas. Plans for such improvements shall be approved by the•City Engineer prior to issuance of grading or building permit whichever occurs first. ' 5 5 ' ', S ' 5' 5 • • ' Page 4of4 Pkndwck adst BP000I Foim .N4oc • ' ' S • S • •:' R.' 8121M , • • ' ' S . - . * t -.- - ., PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No CB - '5'7 Address 0, 'Planner ó L Phone (619) 438-1161, extension -/i) -- Type of Project and Use 0 ,AdO /'!-7'i--7 2 Zone: - 1V7 Facilities Management Zone: . COD (in/out) # Circle One (lf.property in, complete SPECIAL TAX CALCULATION WORKSHEET provided by Building .' .' Department.) . ,. C.., C. . - -6 LeaendW cu CD - . . Item Complete : . Item Incomplete -Needs. your action EZ'1 E Environmental Review Required YES VNO TYPE DATE OF COMPLETION: 1 ', Compliance with conditions of approval? If not, state conditions which require actiän Conditions of Approval Discretionary Action Required YES VNO TYPE APPROVAL/RESO NO. .2/ I DATE PROJECT NO -OTHER RELATED CASES: Compliance with conditions or approval' If not, state conditions which require action Conditiorcs of Approal 0" F fl.. Coasial Zone Assessment/Complianèe - Project site located in-Coastal Zone? YES N0____ ... • -. , If NO, proceed with checklisi;if YES, proceed below. - .... Determine status (Exempt or Coastal. Permit Required):: If Exempt, procéedwith cheàkiist; if Coastal Permit required,.hold building permit until Coasta l - Permit issued * Coastal Permit Determination Form already completed? YES,UO If NO, complete Coastal Permit Determination Form now. Coastal Perthit--betermination Log #: b Follow-Up Actions: - • -- . . - -, VfT Stamp Building-plans as "Exempt" or "Coastal Permit Required" (at minimum S , ,—FloorPlans). \/2) Complete Coastal Permit Determination Log as needed. . S . S • •S• 4 . . _.'. ,. . ,. .. .. E fl Inclusionary Housing 'Fee required ES NO___ (Effective date of Inclusionary Housing Ordinance May21 1993 )W Site Plan 1 Pjovide a fully dimensional siteplan'. drawn tscale Show Nbrth arrow property lines, easements, existing and proposed structures, streets,,, existing' street improvements, right-of-way' width, dimensional setbacks and existing .-topographial lines 2Pröidlgaltdesiptionofproperty and assessor's-parcel number, Zoning • IZ1 fl 1 Setbacks I Front Rquired V /c- Shown lnt Side Required / Shown Street Side Required Shown Rear Required / StovJn L I ' 2 Lot Coverage Required ______________ Sho,n E 4 3 l Height Reqtired _______________ Shown E 4 Parking Spaces Required ) Shown Guest Spaces Required "/ Shown14 : Additional Coñ,md'nts___________________________________________________________ -, S.1. -. I • - ,• ...•.. •4 I- - -: .,. 4 . . 4 L I..'. , '_,._.,l•. ••'.• --; -, ,. . 1-,- 4- -, . 4 -! i •- •. ' . . - OK TO. ISSUE AND. ENTERED APPROVAL INTO- COMPUTER _- DATE'_ 4 .4 3 - -. -'i:'. -• 44_' 3 4, •-•- '4- r 4 _ • 4, C' -, - :- . -. .-- _• ,• . -• --- - 4, . -.', 4, . - ,-. • . -. - •.'•- 4 ' . -. * . : - - . . • . ,, - a - - •- - . . I • , •.I-••. '' 'f - 4 I 44- . -- I -. 7 • •''' •.- - •, - • '-7 • -, 7 - . . 4 - . * ..- . ..- -. - . • .,,. ' - . • • ,•- 4 1 4_'•*4 •. • , . 4 . . City olSan Diego Building inspection Department Hazardous Materials Questionnaire usi005,a,Name nrs TolePh7,jq) 571-4/OO ¶abng Ørqs, ,# Cdy - SJaje • I Plan File I roject Address i7fC3 City ¼s' Slate Zip Permit I 27/1- 'Oft4* ,4jVC/F 9,7 * qj-' RT I: CITY OF SAN DIEGO FIRE DEPARTMENT- HAZARDOUS MATERIALS MANAGEMENT DIVISION: OCCUPANCY CLASSIFICATION Jicate, by circling the item, whether your business will or did process or store any of the following hazardous materials. II any of the items are checked oh. plicant must contact the Fire Department-Hazardous Materials Management Division, 1222 First Ave.. San Diego, CA 9210* • 41h Floor • Telephone (6 19) 6-6883 (except item $15). Explosives or Blasting Agents 6. Oxidizers 11. Highly Toxic or Toxic Materials Compressed Gases 7. Pyrophoecs. Obther Radioactives Flammable or Combustible Liquids 8. Unstable (reactive) Materials Corrosives Flammable Solids 9. Water-Reactives Health Hazards S. Organic Peroxides 10. Cryogenics 15. None of These Items RT II: COUNTY OF SAN DIEGO HEALTH DEPARTMENT-HAZARDOUS MATERIALS MANAGEMENT DIVISION: CONTINGENCY PLAN REVIEW he answer to any of the questions is yes, applicant must contact the County of San Diego Health Department Hazardous Materials Management Division, 5 imperial Avenue, 3rd floor, San Diego, CA 92138. Telephone (619) 338-2222 prior to the Issuance of a building permit. OFFICE USE Y R NO (FEE MAY BE REQUIRED) 0 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? RMPP EWVIPI 0 Will your business store, or handle Hazardous Substances in quantities equal to or greater than 55 gallons, I________ 500 pounds or 200 cubic feet or carcinogens/reproductive toxins In any quantity? Dan C3 )( Will your business use an existing, or install an underground storage tank? 'zI 0 Will your business store, use or handle carcinogens, reproductive toxins, or Acutely Hazardous Materials? 0 iipe R.qi:.d 0 For. DemolitiOn Permits Only: Does the building or structure fr which this demolition permit is requested contain any friable asbestos?Dale 'RI Ill: SAN DIEGO AIR POLLUTION CONTROL DISTRICT le answer to any of the questions Is yes, applicant must contact the Air Pollution Control District, 9150 Chesapeake Drive, 0 RMPP ComØ.ia ri Diego. CA 92113. Telephone (619) 694-3307 prier to the Issuance of a building permit. . YES NO Dan l.i,Is C3 ) Will the intended occupant install or use any of the equipment listed an the Listing of Air Pollution Control District Permit Categories, on the reverse side of this form. O 0 (ANSWER ONLY IF THE ANSWER TO QUESTION I IS YES.) Will the subject facility be located within 1,000 feet of the outer boundary of a school (gthru 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, compiled in accordance with provisions of Education Code Section 33190. 0 For Demolition Permits Only: Does the building or structure for which this demolition permit is requested contain any friable asbestos? oily Describe Nature of the intended Business Activity: 4je a47Ya6J me of Owner or Authorized Agt: RE 01-17-97 14:12 L-Y nature of Owner or J correct NOT 1E DEPARTMENT OCCUPANCY CLASSIFICATION: that to the best of my knowledge and belief thu'responses made herein are true Oats:____ Date:_________________ EXEMPT FROM PERMIT REQUIREMENTS COUNTY HMMD APCO APPROVED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY COUNTYHMMD APCD APPROVED FOR OCCUPANCY COUNTY HMMD APCD 'I Ile_ / rvir Tu too DATE' J ., . c DATE Ica (3-W) \AA.k 1 'fl