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HomeMy WebLinkAbout2772 LOKER AVE W; ; CB900248; Permitr. B U I L D I N G P E R M I T Permit No: CB900248 Project No: A9000340 Development No: 03/13/90 12:18 Page 1 of 1 Str: Fl: Ste: Job Address: 2772 LOKER AV WEST Permit Type: INDUSTRIAL TENANT Parcel No: 209-081-25-00 Valuation: 113,459 Construction Type: NEW Occupancy Group: IMPROVEMENT 3997 03/13/90 0001 0.1. {)2 ~-PRMT 6850a00 ~{1 tr/ I 7:>·~· Class Code: Status: ISSUED 02/09/90 03/13/90 DC Description: 5894 SF OFF/WHSE : TS BLDG BLOT 13 ENERGY CONCEP Applied Apr/Issue Validated By: CT 74-21 SUITE B CONTRACTOR WHITE CONSTRUCTION Lie. C 452513 619 753-9272 4206 SORRENTO VALEY BLVD STE ·13·. SAN DIEGO CA 92121 OWNER DAVISON PARTNERS ,.Lie. 714-854-4600 4199 CAMPUS DR STE 830 IRVINE, CA 92715 *** Fees Required *** *** F.e .. es Collected & Credits *** --------------------·--~-----, ---------, ' --, --L. --. ----------------------- Fees: Adjustments: Total Fees: Fee description 7,2'98.-00 .oo 7,29~:f.OO ·.' ·Total Cr~dit-s: Tot1:rL P~yments: .· -~>'.Eia:.lance Due : Units Fee/Onit .oo 448.00 6,850.QO Ext fee Data -------------------' ----' -------' ~---. -·-----. ~--. '. , ____ .:.., ___________________ _ Building Permit Plan Check Strong Motion Fee Enter 'Y' to Autocalc License F.M,F./G.M.F. and Zone(99) Traffic Impact Fee Bridge Fee Tax.> ' > . > > ' .. Enter Number of EDU's MFF > > ' * BUILDING TOTAL Enter "Y" for Plumbing Issue Fee Each Plumbing Fixture or Trap Each Building Sewer Each Water Heater and/or Vent * PLUMBING TO'I'AL >· > > > Enter "Y" for Electric Issue Fee > Three Phase Per AMP > * ELECTRICAL TOTAL ($10 Minimum) Enter 'Y' for Mechanical Issue Fee> Install Furn/Ducts > * MECHANICAL TOTAL :· , ; 5.00 . 247'. 0-0\ 544 ,O·O ,'-63 -1079. 00 3.00 1.00 1.00 400.00 6.00 .00 2.50 6.50 2.50 .50 689.00 448.00 17.00 3973..00 Y ·s.oo 247.00 544.00 .00 1079.()0 7000.00 7.50 Y 7.50 6.50 2.50 24.00 5,00 Y 200.00 205.00 15.00 Y 54.00 69,00 A\! · t APPROVAL INS~~-DAYE .. s::c2Lr22. CLEARANCE~~==--• CITY OF CARLSBAD '6f!r.. ~ ~ <:f;tJ <:'Y.;::;r 2W5 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 ,:...A<-1:,. 7-" ,"",(,.~~ PERMIT APPLICATION • City of Carlsbad Building Department EST. VAL.____,___,h'-'-1/-'i~.,_,t.,._,.0.c..t}-:==---2075 Las Pal mas Dr., Carlsbad, CA 92009 (619) 438-1161 . PLAN CK DEPOSIT ____ ---'~--"M.....,..,,.. __ _ . VALID. BY _________ :0,,.,..=C::::,,;;,,, __ 1. PERMIT TYPE . DATE --a,,=-..,,..,,,-----_;J,...O:j1.:...!~::!:~....:~~b~-_ •:?'7.1,. IV:> /\0 .m . A • COMMERCIAL B • D INDUSTRIAL ONEIi TENANT IMPROVEMENT 0 TENANT IMPROVEMENT C • ORES!DENTIAL OAPARTMENT OCONDO OSINGLE FAMILY DI/ELLING OADDJTION/ALTERATION ODUPLEX ODEMOL!TION ORELOCATION OMOBILE HOME OELECTRICAL OMECHANICAL OPOOL OsPA ORETAINING I/ALL OSOLAR OoTHER. ___ -/,,,atj,:;:_/ iU. C-Pl\r'fT 2. PROJECT INFORMATION PLAN C Address ?-. 77-J... l,Of,~P-,.. A\/(,i,,.. Buildiiplr Jr.lite CA-i::e-.£,...'SIZ,AJ7 1 CA-Q-1,.PIJ'b _ P d'f:) Nearest Cross "streets rt-"'LLW1A?J AJ:f?:Rt2'.f'It: :fJJZ: LEGAL DESCRIPTION Lot No. r Subdivision Name/Number ( ELIM IF suBM1lfJ, ·, 2 s 1~ :f'73AC6 µn, '14-~ Unit Nof!? Phase No. jj:' PROPOSED USE ff!JAIX 1mpP--t:VemtUYr BLDG. SQ. FTG. f5"f:}Cf # OF STORIE$_ 3. CONTACT PERSON / J NAME ~l..,eA,i-}Of1 COl-1!1--( I tJI D¢-tl,l,- LJ.'i"""\l.,..'"71,~~ STATECA, ZIP CODE ADDRESS CITY '3" It$' 'A A,le,, eJJe,,1 IJP-6 -Tb Cf'J../Xlf:J DAY TELEPHONE 41:12; -er~/):;) 4. APPLICANT NAME Oll,}f5t(_A/ 0 AGENT FOR CONTRACTOR O OWNER ~ENT FOR OWNER ADDRESS 6/G~ ,4,-vt;., f;.IJC.tlJAS -$ CITY CAeJ~J? 5. PROPERTY OWNER NAME PAVl?OLJ ? -p'A"f"«~S STATE CA-ZIP CODE °11-,t:lt?eJ DAY TELEPHONE 4:~e,-CJgo-;8 OWNER ~ESSEE OTENANT ADDRESS 41°1'7 CAVYlf~ -pf\, 61":e,, tj"?:;O CITY IP\VIIJ¢, STATE CA ZIP CODE q1,.7J'5° DAY TELEPHONE l714) 861-4:&60 6. CONTRACTOR NAME W H 11' t,. c;, O~f°'!AC-1'1 t)LJ ADDRESS 77'?-Cl /5-l--CAY>'liAJO ?\-it.Ai/ .Jt;'Z,/J CITY CM1~ SIGNATURE DESIGNER NAME ol/Je/t,,.(..,- CITY ~k:22?.AJ?' STATE C-A ZIP CODE (f~.tJt;t:f DAY TELEPHONE "7'5-:?:;-0J 'J-7,;/._ STATE LIC. # 461-.:-6/1:J LICENSE CLASS _____ _ CITY BUSINESS LIC. # TITLE DATE ADDRESS 51'5~ Ave--. ea1~.k5 :#-fb STATE CA:-ZIP CODE qwe> DAY TELEPHONE J..j'8R;)-lf)"g[)'Z:J STATE L!C. # 7. WORKERS' COMPENSATION 8. llorkers• Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations or a certificate of llorkers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of th~ insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers• Compensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for 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 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 h'is own employees, provided that such improvements are nO"t intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner·bui lder will have the burden of proving that he did not build or improve for the purpose of sale.). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereoh, and contr-acts 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 a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, corrrnencing 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 [$500Jl. SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: 448:::(H) Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Pres Ley-Tanner Hazardous Substance Account Act? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES IF ANY OF THE ANS\IERS ARE YES, A FINAL 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 CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(iJ Civil Code). LENDER'S NAME LENDER IS ADDRESS 10. APPLICANT'S SIGNATURE ! certify that ! 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 HARMtESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES IIHICH MAY IN ANY IIAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issue'd by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the buUding or work authorized by such permit is not corrrnenced with in 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is corrrnenced for a period of 180 days (Section 303(d) Uniform Building Code). APP LI CANT'S SIGNATURE D OWNER D CONTRACTOR OBY PHONE AePR0VEb"-B'fr --,-.--,-~--,-OA_TE: _________ ,..... __ WHITE: File YELLOW: Applicant PINK: Finance E N G I •i t B R I H G 03,l'.:t.-·:1(1 15:;::9 f•agE> 1 or 1 ,:r,:,b !~•J-:-kes:.:;;: 277.~ LOKER Ail Wf;S'l::' f'e:cmi t Typ,::-: ;;EWEF. -OPFIC'.E/h•P,REHOU:.::E }',,:/,r1;e,]_ i:.JO: 2 lJ 9-1 If l-:~ '.)-(11) [)<::':::c-ripl::-1.orn ?772 '(,OEt:R AV tJEST 5891 S0.FT. TI OFFICE f:,;;:Jp Pa·cty: •)NEILL EN'1iIRONHEHTS 515 2 4~ VEI·lIJ)/.-~ EI,JCJIJb.::~ l=,~13 CARLSBAD, CA 920u8 '·,. t, FE R'M IT P0rmjt N0: l?ro j<=·ct N,:,: Pi:v ;;-1 or,,rn0-n t Nr., : 3997 03/13/90 0001 01 · C-f'RMT , . !/3'l r h # :5t,3ttus: Appli•::-d ::~ E ~' I I' H l l to~ - A'::Hh,1(1 :, .J.H 02 7C8.l)O (~:SU£[' o::;i11 .-~:i,, ~l .. t;1r,1 Issttt.? o:;11 j ·'1:'t 1 619 ~38-ozoj Prepar~d By: SEE --------------------------------~ ----------- l::..djustm,snt;,;;: Tc-t,:iJ. f'i?.e:;;: 7·s::: • r, f, ' I} I) i ,,:, i:\ ' 1,1 (.I 'X,,t;.tl C.1.':?.di t.s: 'f',:-e·..::,J. li:,vrnt?nt:::, Ba J.,.:Ul;:til l)Ui:1 : U:rti t:: · F'e-€1 ,11Jni t • !I IJ . 1)0 --------------------------------------------------------------------------Off i c,:: $9t1.2ir0, F r:10 t.:J•J•? Off icr;,, s,~i,1.f:-r Fi?E· Wari:HousG Squ,9:r•: :f,1(.t·',;1,:r,: t1,!.:1.rehouse Si?-wer F,= .. , <se·wer Credit> ,\ SEWER ~roTJ\f., ,' 22 zs. or, " S6.6~1·; 00 ~ . H,7~. HO CITY OF CARLSBAD 1 • l){J, :l • \)(1 .oo 2075 Las Palinas Dr., Carlsbad CA 92009 (619) 438-1161 1. 24 155iJ.IJ(i '"i 3 . , 913.00 -1675. t10 788.(lll PERMIT# CB900248 CITY OF CARLSBAD INSPECTION REQUEST FOR 05/18/90 INSPECTOR AREA TP PLANCK# CB900248 OCC GRP DESCRIPTION: 2225 SF OFF 3669 BLDG B, STE B SF MFG TI CT 74-21 TYPE: ITI JOB ADDRESS: 2772 LOKER AV WEST APPLICANT: ONEILL ENVIRONMENTS CONTRACTOR: WHITE CONSTRUCTION OWNER: DAVISON PARTNERS REMARKS: T2/MH/PAM/ SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS--PERMIT# SE883325 SE900042 CB900655 TYPE swow swow SIGN NSTR. TYPE NEW STR: L STE: PHONE: 619 438-03 PHONE: 619 753-272 PHONE: 714-854 460 STATUS ISSUED ISSUED ISSUED CD 19 29 39 49 LVL DESCRIPTION ACT COMMENTS ST Final Structural PL Final Plumbing EL Final Electrical ME Final Mechanical ------------------------------------------ ------------------- U?ll& ~/.J [oh ~ V -- ***** INSPECTION HISTORY***** DATE 041390 041290 041190 040590 040490 040390 031990 031490 031490 031490 030690 030690 030690 DESCRIPTION Final Combo Final Combo Underground/Under Floor Rough Combo Rough Combo Frame/Steel/Bolting/Welding Interior Lath/Drywall Rough Electric Rough/Topout Frame/Steel/Bolting/Welding Rough Electric Rough/Topout Frame/Steel/Bolting/Welding ACT co NR AP CA NS AP AP AP AP AP co co co INSP TP TP TP TP TP TP TP TP TP TP TP TP TP COMMENTS INSUL NOT COMPLETE 2 INCH SEWER LAD DUPLICATE DUPLICATE T-BAR WALLSONLY OK TO D.W. FINAL BUILDING INSPECTION RECEIVED APR 1 ? 11,a PLAN CHECK NUMBER: ____ 9_· o_-_z_,.}_8_' ---------- PROJECT NAME:--,,::.--,,...~'"--=----_ '-="'--"'.,;;c-;.,,<----~--......,.c-'-------------------- 'J.172 Lom::ir Avonuo woct ~ ADDRESS: --------------------------------- DATE: ,q,.,.U-f;O PROJECT NO.: _______ UNIT NUMBER: _______ PHASE NO.: ______ _ TYPE OF UNIT: ___ C_T_f ________ NUMBER OF UNITS: -":tr;,,,•lt'!! ,,,. • ) CONTACT PERSON: __ '"' __ "-_______________ ·_.,'.,_.'=-~·_,_\ .,_1 _______ _ 153-t2i2 CONTACT TELEPHONE: _____________________________ _ ~Y~PE?~~p (l , · /t:ccrQg.L_, DATE '-4/fµJ/ '16 ¥--INSPECTED: APPROVED DISAPPROVED I INSPECTED DATE BY: INSPECTED: APPROVED DISAPPROVED INSPECTED DATE BY: INSPECTED: APPROVED DISAPPROVED COMMENTS:--------------------------------- I. Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire t, ESGIL CORPORATIO~ 9320 CHESAPEAKE DR,, SUITE 208 ~'0. /36:;it.-Zj 12-1 ~O . SAN.DIEGO, CA 92123 (619) 560-1468 DATE : '2 \ 2-0 \ '3 () I OAPPL URISDICT!ON JURISDICTION: C¥n'2..L..S S,:, 1::91? jPLAN CHECKER QFILE COPY QUPS QDESIGNER PLAN CHECK NO: 90 --24£> SET: -::C: PROJECT ADDRESS:· 2-"11~ L,.o~72.. B:u6:, PROJECT NAME: ·161,....n ~, B ~-l=:vUL~i Co r-1c..t::::J?T.6 _) D D 0 D D The plans transmitted herewith have been corrected where necessary and substantially comply with the .jurisdiction's building codes. · The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficien- cies identified ~8...0µ) are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the .enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at Esgil Corp. until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to return to the applicant contact person. The applicant's copy of the check list has been sent to: ~ Esgil staff did not advise the applicant contact person that plan check has been completed. O Esgil staff did advise applicant tha been completed. Person contacted:t-,~-,4-~,.....e:::::._-1-1---f,--=--h~ Dvw 0DM C PERMIT APPLICATION City of Carlsbad Building Department EST. VAL __ ~//__,~....,fe<~-'--"0"'---~--2075 Las Pal mas Dr.; Ca.rl sbad, CA 92009 (619) 438-1161 PLAN CK OEPOSIT ____ -'-f"-'--~~~--- 1. PERMIT.TYPE VALID. BY _________ :o,___C--,,L,,,-- DATE -==-,----,.-=--,---_:?,~h_-;e:;'--"~-~-~-- A • COMMERCIAL B • 0 INDUSTRIAL ONEIi TENANT IMPROVEMENT QTENANT IMPROVEMENT .s.·J'7f,. 1)-1//\0.l:-\ft. '•JL. C • 0 RESIDENT JAL O APARTMENT QC0NDO QSINGLE FAMILY DI/ELLING C-PRMT 448,00 QDUPLEX QDEHOLITION. QHECHANICAL QPOOL QRELOCATION QMOBILE HOME QELECTRJCAL OsPA ORETAINING I/ALL OsoLAR OoTHER ___ __..a.a,,::::; 2. PROJECT INFORMATION PLAN C Unit Nov Phase No. ::rt ' 0 2 Soils Re PROPOSED USE --reµA).)-r /1>1~111~ BLDG. SQ. FTG. Eif;,'1 # OF STORIES 3. ADDRESS '5 I~ Ne-, eµC,,/}..).A6 -Tb ZiP CODE Cj'JJXlf; DAY TELEPHONE 1':J8 -0-;l..0:;J 4. APPLICANT NAME 01 µf51W 0 AGENT FOR CONTRACTOR° 0 0\/NER ~ENT FOR 0\/NER ADDRESS 5/G~ ,4,-v,e, £.JJC-11..JAS -~ CITY cAf7~:t7 5. PROPERTY OWNER ; 16'-a..L STATE CA-ZIP CODE C/2-t:f?e? DAY TELEPHONE q-J;f;J-ow-:;; 0\/NER ~ESSEE QTENANT NAME 1/AVISDU ? f7A'f\'flvvr ,~ CITY IF-.V1U¢: ADDRESS 4t'T'1 CAY>1fl)-? m. &re, e,30 STATE CA ZIP CODE q-'J..7/5" DAY TELEPHONE L7f4) 8'51-4-{pa? 6. CONTRACTOR NAME WH/1£., C,Oµ&ff"'\t.--lC/C/OU CJTYCM")~ ADDRESS 77-j.0 "{5.l,.. CAr'YIIIJO f'\-P,AI./ -:#W STATE CA_ ZIP CODE 'J-;zLIC?J DAY TELEPHONE --J'5'2)-&:] 27-J-. STATE LIC. # 461-:' 611:J LICENSE CLASS ____ _ CITY BUSINESS LIC. # SIGNATURE DESIGNER NAME O lkJe/1,-v CITY ~l/2f!?AJ2 7. WORKERS' COMPENSATION TITLE DATE ADDREss515~ AV~. e,ce.1JJ,A!j :t¥'15 STATE CA ZIP CODE q~ DAY TELEPHONE 1-{'bR;-&rJ.0'3 STATE LIC. # 1/orkers' Coa-pensaticin Declaration: I hereby affirm that I have a certificate of consent to self·insure·issued by the Director of Industrial Relations, or a certificate ·of 1/orkers• Coa-pensation Insurance by an acinitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the 1/orkers• Coa-pensation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: l hereby affirm th~t I am exempt from the Contractor's License Law for the following reason: 0 I as ·owner of the property or my employees with wages as their sole coopensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or irrproves thereon., and who does such work himself or through his own employees, provided that such irrprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of COITl)letion, the owner·builder will have the burden of proving that he did not build or i,rprove for the purpose of sale.). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or· i,rproves 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, i,rprove, demolish, or repair any structure, prior to its issuance, also requires· the applicant for such perm1 t to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, coomencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). SIGNATURE DATE COMPLETE THIS SECTION FOR NON·RESJ0ENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant requir~ to subnit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 o( the Presley-tanner Hazardous Subs tanc:e Accoun~ Aq? DYES Duo I Date1~0 Prepared by1 Jurisdiction Cfil?-L?BAO ~vV\ VALUATION AND PLAN CHECK FEE o Bldg. Dept. 0 Esgil PLAN CHECK NO. BUILDING ADDRESS -Z:J,2 l-0~6r2.. APPLICANT/CONTACT l::::LsB:Y\J2t2 CoLEj BUILDING OCCUPANCY ]3~'2 G-r, I ,) TYPE OF CONSTRUCTION. V-\1../ .. BUILDING PORTION BUILDING AREA NIA-\t\1u~-ut2-10 r:.,.. -r. I I ~ c. 02 9 . . Ot= ~\I 1: Ji I , '2,"Z '2'5 -------5~34 I Air Conditionin.e: Commercial Residential Res. or Comm •. F'ire· Snrinklers Total Value t;-ve;-, ) 61.-tJ~ \ 13; blV&::-rw( uH-u::.~""PT.S PHONE NO. 43 Bo~O.?;> DESIGNER PHONE II CONTRACTOR PHONE ____ _ VALUATION VALUE MULTIPLIER f'v .2 \'312..S :::. l ! 3 1 4(Q 0 @ @ .. @ (13,4~0 Build in 9 Perm it re e $ ___ i_8_B_,_5_o __________ _,$.___ _____ _ Plan Che ck f ee___;:$,:.__ __ 4_4-_,__j_,__1 5-=-:3.......:. __________ $::;.._ _____ _ COMMENTS._:--------------------------- SHEET OF --1?/87 ... ,: l1 ,,~ t ~ ~ ~ ~ DATE: -<-.Z6>-9o BUILDING PLANCHECK ENGINEERING CHECKLIST PLANCHECK NO. · ~ ;(iS-9tJ,.. ~ ~8 [Z] © 1 2 S N T D 3 2 772 4.K#te Av We.sr: ITEM COMPLETE ITEM INCOMPLETE - NEEDS YOUR ACTION R D _X_ITEM SELECTED C C H H C PROJECT ID: 1:£_ E E C C ~ H E C K D ~DD [y{D D -------------- LEGAL REQUIREMENTS Site Plan 1. Provide a fully dimensioned site plan drawn to scale. Show: north arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of- way width and dimensioned setbacks. 2. Show on site plan: Finish floor elevations, pad elevations, elevations of finish grade adjacent to building, existing topographical lines, existing and proposed slopes, driveway with percent (%) grade and drainage patterns. 3. Provide legal description and Assessors Parcel Number. Discretionary Approval Compliance --$...__4. No Discretionary approvals were required. __ 5. Project complies with all Engineering Conditions of Approval for Project No. ________ _ ___ 6. Project does not comply with the following Engineering Conditions of Approval for Project No. ________ _ Conditions complied with by: ______ Date: ___ _ Field Review __ 7. Field review completed. No issues raised. __ 8. Field Review completed. The following issues or discrepancies with the site plan were found: __ A. __ B. ___ C. __ D. Site lacks adequate public improvements. Existing drainage improvements not shown or in conflict with. site plan. Site is served by overhead power lines. Grading is requi_red to access site, create pad or provide for ultimate street improvement. 08/29/89 FRMOOlO.DH ---E. Site access visibility problems exist. Provide onsite turnaround or engineered solution to problem. · ___ F. Other: ___________________ _ Dedication Requirements ~9. No dedication required. ___ 10. Dedication required. Please have a registered Civil Engineer or Land Surveyor prepare the appropriate legal description together with an 8~" x 11" plat map and submit with a title report and the required processing fee. All easement documents must be approved and signed by owner(s) prior to issuance of Building Permit. The description of the dedication is as follows=--------------------- Dedication completed, Date: ____ _ By: ____ _ Improvement Requirements ~l. No public improvements required. SPECIAL NOTE: Damaged or defective improvements found adjacent to buildino site must be repaired to the satisfaction of the City inspector prior to occupancy. ___ · 12. Public improvements required. This project requires construction of public improvements pursuant to Section 18.40' of the City Code. Please have a registered Civil Engineer prepare appropriate improvement plans and submit. for separate p 1 ancheck process through the Engineering Department. Improvement pl ans must be approved, appropriate securities posted and fees paid prior to issuance of permit. The required improvements are: _________________ _ Improvement plans signed, Date: ____ _ By: ____ _ 08/29/89 FRMOOIO.DH ___ 13. Improvements are required. Construction of the public improvements may be deferred in accordance with Section 18.40 of the City Code. Please submit a letter requesting deferral of the required improvements together with a recent tit 1 e report on the property and the appropriate processing fee so we may prepare the necessary Future Improvement Agreement. The Future Improvement Agreement must be signed, notarized and approved by the City prior to issuance of a Building Permit. Future Improvement Agreement completed, Date ______ _ By: ______ _ Grading Requirements ___ 13a. ~14. __ 15. Inadequate information available on site plan to make a determination on grading requirements. Please provide more detailed proposed and existing elevations and contours. Include accurate estimates of the grading quantities (cut, fill, import, export). No grading required as determined by the information provided on the site plan. Grading Permit required. A separate grading plan prepared by a registered Civil Engineer must be submitted for separate plan check and approval through the Engineering Department. NOTE: The Grading Permit must be issued and grading substantially-complete and found acceptable to the City Inspector prior to issuance of Building Permits. Grading Inspector sign off. Date: _____ By: ___ _ Miscellaneous Permits _Lis. __ 17. __ 18. _JL19, _20. Right-of-Way Permit not required. Right-of-Way Permit required. A separate Right-of-Way Permit issued by the Engineering Department is required for the following: ____________________ _ Sewer Permit is not required. Sewer Permit is required. A Sewer Permit is required concurrent with Building Permit issuance. The fee required is noted below in the fees section. Industrial Waste Permit is not required. 08/29/89 . f FRMOOIO.DH _J(.21 . Industrial Waste Permit is required. Applicant must complete Industrial Waste Permit Applicantion Form and submit for City approval prior to issuance of Building Permits. Permits must be issued prior to occupancy. Industrial Waste Permit accepted Date: ____ By: ______ _ Fees Required ~22. Park-in-lieu Fee Quadrant: -Fee per Unit: _____ Total Fee:~ Traffic Impact Fee Fee Per Unit: __ --___ Total Fee:·~f}7$ _£24. Bridge and Thoroughfare Fee -i se-Fee per Unit: _____ Total Fee: 5# Public Facilities Fee required. Facilities Management Fee Zone:_~6="~--Fee: w~ __!!/k.2s. Ji/a:-26. _l-21. Sewer J"ees J!ermit No. 5E </CXD'-fL EDU's_-.::...:Jo:;._3 ___ _ Fee: ff> 78B - ENGINEERING AUTHORIZATION TO ISSUE PERMIT ·~~...:!.-~.::::::..~:::::::-===~c:s§:::::::==:==::=:~ Date:__,..3'-/4_,;3~ff_6 __ ~ 7 l 08/29/89 I ._,., Date1~0 Jurisdiction C".JYZ.l;sBAO Prepared by1 (JI 11\/\ VALUATION AND PLAN CHECK FEE PLAN CHECK NO, o Bldg. Dept. O Esgil j I ,.J :,i '."\l ~ · I ! BU I LD ING A DD RESS -Z. --:1 r 2 L-o ~ 61'2.. ~ g-, ) 6 t-!:)C \ 13 ; (;;'yl__} 6-::::i:w-t U>~ "Pf.S 1 APPLICANT/CONTACT l:::l.15Y-bWe CoLE:::( PHONE NO. 43 S o~o 3 BUILDING OCCUPANCY-· }3~'2 l,, I,) DESIGNER PHONE LI TYPE OF CONSTRUCTION \/-\'-J ·· CONTRACTOR PHONE ----- BUILDING PORTION BUILDING AREA VALUATION VALUE , MULTIPLIER ~lh\10~-uf2.l'U r.,,,_ r: I I ~ C. ~ 9 Of=~, 11.::::-1, I . ,z,-z 'ZS ~ 52::>~4 tp_,. 1 '3,2.'-5 -::. l 13, 4~0 I. 11~t-l)t.c,-zmr) · ,--Tir=PI( 22if~'t. ~ )C.~r) ~Tu.ti,fd l( ~ ?~ ~ _,,,'f/8 ,.. :::::-~:Z.L/7~ ,.__ -r--.. Bt2106t£-=,;,/ (2;22,f¢)C.:~I ~-1;;/)t{~'ftj) ,r::~or l fl'~j)I -RC/ l9 (t,. S'f. Cltt:(}ff) -fl> ",.1,/4 f!5? 6Fwu -=t> r (2~-f ,~, v~ t-C3Eloc;~.;..s-d:l> i/&J ~) 1---/,3'/ 4Jl)t ',;,rJTd~T) == .G3wv Air Conditionin.2: Commercial @ .. Residential @ -· Res. or Comm •. F'ire· Surinklers @ Total Value I 13, 4G;,0 Building Permit Fee $ i 88, S 0 ----------------·--"'------- Plan Check F ee----.::$:__ __ 4_4-.:,__,--Y,_1_'5=--.o,3__._ _________ ___;:;,_$ _____ _ COMMENTS: ------------------------------ SHEET OF --• ,., , 0-, ? ~ ~ I 'f I N I\-') QI QI .. ... "' "' Q Q -i~I .t .t i ~ .,. .,. u u QI QI .c .c u u C: C: "' "' --Q. Q. QI ... "' Q .t ,., 'It .,. u QI .c u C: "' -Q. PLANNING CHECKLIST Plan Check No. ?O-2r B Address 2-712-1.-of.!eR... All€ '?7€ {3 APN: zo f ~ OBI-2--S- Planner U4,J · lY111elr.. Phone ·438-1161 --------=-=~----_ J Name) Type of Project and Use _r....._~...ca_ ____________ =------ Zone j> /\-1 Facilities Management Zone _...:;.F _____ _ Legend Q'.] Item Complete @ Item Incomplete -Needs your action 1, 2, 3 Number in circle indicates plancheck number that deficiency was identified Environmental Review Required: YES __ NO ?( TYPE _____ _ DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval _________________ _ Discretionary Action Required: YES __ NO )( TYPE _____ _ APPROVAL/RESO. NO. ___ _ DATE: PROJECT NO.·------OTHER RELATED CASES: ______________ _ Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval Coastal: YES --NO --4-DATE OF APPROVAL: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval _________________ _ ~.o C5'tJtr ···oo o .. ~ ~andscape. Plan Requi-red: YES ____ ·NO X:, See .a.ttached ·submsitta.J reqt,Jtrements for 1 andscape plans 1. 2. 3. 4 . . Zoi'ling,: 1. 2. ' '. 1;. 4. _. f , .. ' ' Provide a fu]ly dimensioned site .. ,plan, ,drawn to scale. Show: North arr.Qw, · property 1 j nes, easements, eX'i sting_ and proposed s.tructures, streets, exj_sting street i'mprovements, right-of-way width and dimension·ed·-setbacks. · : .'\ 1 Show on She -Plan·:: Finish .fi.oor elevations, elevations of finish grade adj~cetit to building., existing topogra_phi ca 1 lines, ·existing and proposed $lopes and dri:veway. · · ... .- J.'., Provtde. lega 1 descri,pti.on of p.roperty. Provide a.sse$sor" $. par.eel number. Setbacks·: Front: lnt. Si:de:: Street Si:de: Rear: Required ______ Shown __ _ Reqµir.ed .. · Shown __ _ ·~equi red Shown __ .,.. Required Shown --- · lot coverag1:1 :. Required Shown ____ _ Height: ·Parking:· ~-.. ' Required ____ Shown___ · .-_ 5~ /-F7rJJ/CU s6J '5')10!:f I Spates Required ___ ~Shown .. Guest Spaces· .Required ___ Shown ____ _ Additional ct>nnents and rema.rks ~ave been aade on the ·buildin.g plans.. These marked-up .Plans··ilay be picked-up at the Buildlng Depart111ent. These marked- .up .plans must be. re·subllitted with the r~vised plans for this proJett. Have plans been marked up-? YES ---NO --- "PLNCK .. F'RM A. Langert Golf Office Mfg. Whse. 7,761 0 10,531 BUILDING B. 2772 Loker Avenue Energy Concepts Office Mfg. Whse. C. Essco Office Mfg. Whse. D. Pacific Snacks Office Mfg. Whse. E. West Bridge Office Mfg. Whse. F. Vacant G. Vacant H. Enertron Office Mfg. Whse. 373 Parking Space 3,473 4,769 2,755 956 0 9,892 2,517 0 2,372 7,851 0 10,489 1,178 0 13,964 Total Office = 25,490 Del Tile Office Mfg. Whse. *NOT TO EXCEED 49,000 SF. Office Mfg. Whse Parking Spaces 102 12 59 Parking Req'd 173 Parking Available 373 VL:kd Building 25,490 Sq. Ft. 4,769 Sq. Ft. 58,502 Sq. Ft. -1,754 0 -8,498 (To Date) 3/26/90 2560 ORION WAY CARLSBAD, CA 92008 <!Citp of Carl~bab FIRE DEPARTMENT PAGE 1 OF _j_ TELEPHONE (619) 931-2121 APPROVED 'I- DISAPPROVED PLAN CHECK R.EPORT PLAN CHECK# 9o-4~a PROJECT eYtlt,---:if (, i em J ("P-f!T:S ADDREss ;;;)772:, LoK1:::.,L Aue .St£ 13 ARCHITECT ~€11 I £:NU1/?fflcJ~ ADDRESS L!AJilSJ'.:?AO PHONE 4J73-,c:::t2o?:, OWNER {)fkJf.SQ,11 ?{IRTIJ1::.1l.S. . ADDRESS ________ PHONE _____ _ OCCUPANCY f32 CONST. _v-""-"'v\'"""'J ___ TOTAL SQ. FT. //, Lf 26 STORIES 6/4../f:=-r bjLSPRINKLERED ~TENANT IMP. -;;0..........,8,,... q_L-;-f--.,,,.S~t-~· -------------------- __ 1. __ 2. __ 3, ~4. __ 5, ...._J__ 6. '1. 7. APPROVAL OF PLANS IS PREDICATED ON CONFORMING TO THE FOLLOWING CONDITIONS AND/OR MAKING THE FOLLOWING CORRECTIONS: PLANS, SPECIFICATIONS, AND PERMITS Provide one copy of: floor plan(s); site plan; sheets Prov:ide two site plans showing the location of all existing fire hydrants wi~hin 200 feet of the project. Provide specifications for the following: _______________________ _ Permits are required for the installation of all fire protection systems~leri:stand pipes, dry chemical, h?lon, CO2, alarms, hydrants). Plan must be approved by the fire department prior to installation. The business owner shall complete a building information letter and return-it to the fire department. FIRE PROTECTION SYSTEMS AND EQUIPMENT The following fire protection systems are required: '~~Automatic fire sprinklers (Design Criteria: _f._:\=S..,. _?'-'1:::="Y\..--=---....,~f-'-'-'cr'-· .,__(1..._f..._\ -'-/ '::>-"'--------------0 Dry Chemical, Halon, CO2 (Location: ________________________ _ D Stand Pipes (Type: ------:----------------~-------'-------0 Fire Alarm (Type/Location: ___________________________ _ Fire Extinguisher Requirements: 'r-ti,One 2A rated ABC extinguisher for. each t cDt.:::. b sq. ft. or portion thereof with a travel distance to the nearest T extinguisher not to exceed 75 feet of travel. o An extinguisher with a minimum·rafing of ___ to be_located:. -~--~--------------·----_, -·-~ ---., ----' - · · --. Tj Other:. ----~--------------------------------8. Additional fire hydrant(s). shall be provided ______________________ _ "-l 9. '-..J 10. , . y 11. ~12. __ 13. I __ 14. __ 15. EXITS Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort. A sign st?ting, " This door to remain unlocked during business hours" shall be placed above the main exit and doors----------------------------------- EXIT signs (6" x ¾" letters) shall be placed over all required exiits and di_rectional signs located as necessary to clearly indicate the location of exit doors. GENEijAL Storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and hazardous chemicals shall comply with Uniform Fire Code. Building(s) not approved for high piled combustible stock. Storage in closely packed piles shall not exceed 15 feet in height, 12 feet on pallets or-in racks and 6 feet for tires, plastics and some flammable liquids. If high stock pil- ing is to be done, comply with Uniform Fire Code, Article 81. · Additional Requirements. ---,-----------------'------------ G:.i'~e1,of< ~)1 B,1·/ C5 1/</F1L.L 7 i .,PJ JS 2 f-J1}1-c."')\_111)A 6-'t:7 ~ t ,1 ,>:'1 S _J, Comply with regulations on attached sheet(s). Plan Examin~~ i ~ -=f'-1 ~ Report mai16d to architect Date· ?)/ (__.,,., /'7l) ___ Met with ___________ ,___ Attach to Plans .... Qfouutg of jsau ~iego DEPARTMENT OF HEALTH SERVICES HAZARDOUS MATERIALS MANAGEMENT DIVISION BUILDING DEPARTMENT QUESTIONNAIRE For Office Use Only H (619) 338-2222 _Businesses which handle, store, or dispose of hazardous substances will be required to provide a chemical inventory and a basic emergency response plan before a certificate of occupancy can be issued. This plan called a 11Business Plan11 will become a valuable tool aiding you, your employees, and emergency responders should an emergency occur at your business. Certain hazardous substances called "Acutely Hazardous Materials" may require a more detailed emergency response plan known as a "Risk Man~gement and Prevention Plan11 (RMPP). If your business handles Acutely Hazardous Materials and will be Located within 1,000 feet of the outer boundary of a school (K thru 12) you may be required to prepare an RMPP before a building permit can be issued. A definition of hazardous substances and a List of Acutely Hazardous Materials are available at the Hazardous Materials Management Division (HMMD) or your Local building department. To determine if your business needs to submit an emergency plan, please complete this questionnaire. Business Name (OBA) Contact Person Telephone C:.o"Ni<:..t t) · ~\E\,\L < 61'1_ > 43f -'Z~G Mailing Address ?o ~:-,< Site Address 7.]"17- YES NO 1. l><J [ ] 2. [ ] ~ State ! Cf} Is your business type Listed on the reverse side of this form? Zip q.c..oog Will your business dispose of Hazardous Substances or Medical Wastes in any amount? 3. [ ] !Xii Will your business store, or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds or 200 cubic feet of compressed gas? 4. [ ] !Xii Will your business use an existing, or install an underground storage tank? 5. [ ] 6. [ ] LXI C>(J Will your business store, use or handle carcinogens, reproductive toxins, or Acutely Hazardous Materials? Will your business be Located within 1,000 feet from the outer boundary of a school and handle Acutely Hazardous Materials? If the answer to any of the above questions are YES, your business will need to prepare an emergency plan. Submit this questionnaire along with an application fee of $100.00 made payable to 11COONTY OF SAN DIEGO" to: In person -1255 Iq,erial Ave., 3rd Floor, San Diego, CA 92101. By mail -P.O. Box 85261, San Diego, CA 92138-5261 Attention: Business Plan Review (Questionnaires will not be accepted without an application fee.) If all of the above questions are NO, return this questionnaire to your local building department. Briefly Describe the Nature of the Business Activity or Process .. c\ec__ ~\C.. -Ps:=z;Q/\~.... ~ s ~ As;s<e~b \L, Printed Name of owner or Authorized Agent \ Titl& "1').s.rt>,1::Hc c ,E-. Signature of Owner or Authorized Agent ~-S~,rJ_~ STATUS: Htol> APPROVED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY D Date PLAN FILE NUMBER HMtl> REQUIREMENTS HAVE BEEN MET FOR OCCUPANCY D ->f wi II AJtw. k "'SP-Pt 11 K Y-"1'2, t.-"ffi. ~-CONif'titk;RG!!sTJOfp CONFIRMING STAMP CONFIRMING STAMP Init. THESE STAMPS IN'O°Ii:kTE ACCEPTANCE BY HAZARDOUS MATERIALS MANAGEMENT DIVISION (HMMD) AND DO NOT DESIGNATE APPROVAL BY ANY OTHER AGENCY. DHS:HM-972 (7/89) I, ~SINESSES .REQl!IRIN~. ~EViEV_ :FR~ TH!: HAZARDOUS MAJERJALS MANAGEMENT DIVISION: · AEROSPACE :i::~:.::~~M!~~~!~~~RI ~G . · ,AIRCRAFT: MAINTENANCE: .. · AUT(M)TIVE . . . BATTER-Y. MANUF;4;CTYRI NG/Rl;CYC~ rNG, · ·BOAT YARD· ·CAR WASH j)EAL:ERS!{IP.~AI~TENANCE AND PAINT Mi\CH i NE ·SHOP. . . .. P.Al'NTING RADIATOR SHOP 'RENTAL YARD. EQUIPMENT ' REPAIR, PR~VE~TIVI; -,,.,A'iNTENAN!=J: 'REPAIR, ··MAJOR :QVERHAlJL : JRANSPORJATION SERVrCES wR~cKrNci.ANI;>-fi;cYc4iN,f • METAL \KIRKING ANODIZING ,. . CHEM~CAL_ MillLINGi:rrcHIN!l. FHHSH·COAT·ING, ·'P.AINTING FLAME· SPRAy,ING' FOUNDRY ' MACHINE' SHOP·DRlLt'ING, .LATHES, ·MI-lLS ···~i!;~O~~~~~i~~/~-;~~t~~~-.~OAT·IN9: . ·· -$AND BLAST-ING', -G~INPING · . ST.EEL -FABRICATOR \,/ROU9_ih IRON. MANUFAC'TURING . CHEMicAL HANDLING . AGRfCUL:JURAL SUPPLIERS/DISTR'IBUTORS . CHEMICAL: SUPPLIERS/DISTRIBUTORS • CHEMICAL MANUFACTURER 'COATINGS/ADHESIVES COMPRESSED GAS 'SUPPllER/DJSTRIBUTER DRY-CLEANING . . . Fl Bl;RGLASS/RESI N APPLI CATI CNS GAS:STATION ' -IN_DUS.T.l~IAL LAUNDRY . 1.,A!30RATOR IE.S LABORATORY SUPPLiERS/DISTRIBUTORS · 01 l AND .FUEL BUL!( SUPPLY . PESTICIDE OPERATOR/DI STR I BUTQR PHOTOGRAPHIC PROCESSlNG. . . POOL S.UPPl'i ES/M~l'NTENANCE ·PR'i NT I NG/BlUE ·PR I NT I NG ROAD C.OATINGS . SWIMMING POOL· (GAS CHLORINATION .SYST-EMS ONL:Y) . TOXIC GAS HANDLER' . . • '. ·toxic GAS. _MFG. E[ECTRONICS E'LECTRONIC. COMPONENTS MFG. . iti~}:~N~~:c~~~-E:~~~b A:~~~UB A$SEMB~Y · ,OTHERS AND MiSCELLANEOUS ASPHALT PLANO! :Cd-GENERATION P~ANT ·Dl'AL,YSX.S CENTERS FROZEN· FOOD PROCESSING FACI.LI,Tl!;S . GOVERNMENT AGENCIES (USING HAZARDOUS MATERIALS)· :HAzARDOUS WASTE . HAULERS· HbSPI:tALS/CONVAlESCENT,HOMES ~A$ORAT9RIES, BIQtOG'i.cAL L,ABORATQR'IES MEDICAL :CLINICS/OF-FICES •Pl:JE!L.IC ·uULITI!;S . ·ROCK QUARRY · · ·\,/OOD!FURNI.TURE MANUFACTURER/Rl;FINISflING . .• -~".i • .. , . · NOTE: 'THE. ABOVE ~LI~t :I~ct~Es ~sINEsses: iiHI~H T-YP1;~lLY ~sE. sr~E_. ·. ~!>LI; AND _o~sPQSE ·of· HA~RDciis sussr~~c~!--A~Y sus1NES~ · N9T'-INCL~ED OH THIS UST WHICH HANDLE~·. STORES~ USES OR -D'I~POSES OF IIAZAROqJS SUBSTANCES MAY '.STILL REQUiijE:.HAARDOUS MATEIHALS. MAN_AGE'4ENT DIVISJON CH~) REVIEW':OF BUSINESS Pl,.ANS. IF -TH!;RE. ARE ANY. QUE$HONS<Pl:EASE ·~TACT-T,HE D~TY SPEpi\gsr; AJ: . . -<~W>: 338'-2222 -. · · -' . · ·, :. ' •,, ·•·. ,,; ·, ; ' ·~ .. ... SAN DIEGO AIR POLLUTION CONTROL DISTRICT 9150 CHESAPEAKE DRIVE, SAN DIEGO, CALIFORNIA 92123-1095 (619) 694-3307 AIR POLLUTION CONTROL QUESTIONNAIRE New State 1aw, effective Ju1y 1, 1989, (AB 3205, Chapter 1589. Statutes 1988) requires that an app1icant for a bui1ding permit provide information indicating whether a permit is required from the Air Po11ution Control Distlict. This 1aw further prohibits a City or a County from issuing Certificate of Occupancy unless a business has comp1ied with provisions of the 1aw that are administered by the Air Po11ution Contro1 District. - The new law also imposes additional permitting requirements for a facllity within 1,000 feet of the outer boundary of a school (K thru 12). To determine whether your business is subject to these new reqUirements, please complete this questionnaire. Business Name (DBA) ~ tv £« G'J C:.,C) 1".}C.E., ~ Contact Person --:D · 't) \ E \"i'L Phone ( t 19 ) 43¥ -1-:z.01.... Mailing Address City State Cl\«.l> BA-\) c~ Zip ~~@ '\)c:, ~DX \2.,S Street Address of Proposed Facility 2.17 7-Lor.:.Erl Ave YES: NO: City CA~LSBA-D D ~ 1. Wm the intended occupant insta11 or use any of the equipment 1isted on the Listing of Air Pollution Control Distlict Permit Categolies? (IF ANSWER TO 1 IS YES, APPLICANT MUST CONTACT THE APCD DIRECTLY) D D 2. (Answer only if the answer to 1 above is YES) wm the subject faCJ1ity be 1ocated within 1000 feet of the outer boundary of a schoo1 (K thru 12) as listed in the current Directory of Schoo1 and Community College Districts, pub1ished by the San Diego County Office of Education and the current Ca1ifomia Private Schoo1 Directory, compiled in accordance with provisions of Education Code Section 33190? Btiefly Describe Nature of the Intended Business Activity: '\z.. \~C..~\, f\-s.~b\\..\ .J,... 'S ~½ -~S~'\h,L, Name of Owner or Authorized Agent: ' \ Title: . ~~ s. ,a\t\._ °'-\~~ O ,...,...,~,...,,....,.--o~~ ----~~;;;....;.-.=-.:.=;...;...>,:=,-~---=~-~------------,-----=~;;:.:...,._...;:~;..----~.::..;.....;;;;..__;. Signature of Owner or Authorized Agent: I declare underpena1ty of Building Inspection Plan'Fne No: ~ ~-~\~ Date: 1)rz_k10 perjury that to the best of my know1edge and be1ief the responses made herein are true and correct -- APCD use only STATUS: EXEMPT FROM APCD PERMIT IREMENTS Confirming Stamp APPROVED FOR ISSUANCE OF BUILDING PERMIT, BUT NOT FOR OCCUPANCY Confirming Stamp _______ Initia1s ___ _ APPROVED FOR OCCUPANCY (APCD Authority to Construct Issued) Confirming Stamp