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Home My WebLink About2559 EL CAMINO RAL; ; CBC2022-0426; PermitBuilding Permit Finaled {city of Carlsbad Commercial Permit Print Date: 07/26/2023 Job Address: 2559 EL CAMINO REAL, Permit Type: BLDG-Commercial Parcel#: 1563022600 Valuation: $35,000.00 Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: CARLSBAD, CA 92008-1202 Work Class: Track#: Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Tenant Improvement Permit No: Status: CBC2022-0426 Closed -Finaled Applied: 12/09/2022 Issued: 01/24/2023 Finaled Close Out: 07/26/2023 Final Inspection: 06/16/2023 INSPECTOR: Dreibelbis, Peter Description: MACY'S: REMOVE EXISTING STAND BY GENERATOR/AUTO TRANSFER SWITCH AND REPLACE WITH NEW Applicant: PAUL RASMUSSEN 16224 ARROW HWY IRWINDALE, CA 91706-2015 (562) 244-9743 FEE BUILDING PLAN CHECK CERTIFICATE OF OCCUPANCY ELEC: OTHER COMPLEX ELECTRICAL Property Owner: MSC LLC 6540 LUSK BLVD, # C170 SAN DIEGO, CA 92121 FIRE Special Equipment (Ovens, Dust, Battery) SB1473 -GREEN BUILDING STATE STANDARDS FEE STRONG MOTION -COMMERCIAL (SMIP) Total Fees: $1,253.40 Total Payments To Date: $1,253.40 Contractor: GAMMILL ELECTRIC INC 16224 ARROW HWY BALDWIN PARK, CA 91706-2015 (626) 812-4515 Balance Due: AMOUNT $288.60 $16.00 $444.00 $493.00 $2.00 $9.80 $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit 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 right 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Building Division Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov ( City of Carlsbad COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check Cr2,(~-c,;JJ -(lL/,20 Est, Value iJ >~ -, C'('c~ ~- PC Deposit ti S ;,: l---_ I ,0 Date /;;) -J -.) ':). Job Address2559 EL CAMINO REAL BLVD Tenant Name#: MACY'S DEPT, STORE Suite: APN: 156-302-1600 ·-----· Lot #:_1_9 ___ Year Built: ________ _ Year Built: __ _ Occupancy:, __ _ Construction Type:. __ _ Fire sprinklersQ'ESQNO A/C:QYESQNO BRIEF DESCRIPTION OF WORK:FOR REMOVE THE EXISTING STAND BY GENERATOR/AUTO TRANSFER SWITCH AND REPLACE W/NEW 0 Addition/New: ___________ New SF and Use,. _________ New SF and Use ______ SF Deck, _______ SF Patio Cover, SF Other (Specify) ___ _ OTenant Improvement: _____ SF, _____ SF, Existing Use: _______ Proposed Use: ______ _ Existing Use: Proposed Use: ______ _ 0 Pool/Spa:. _____ SF Additional Gas or Electrical Features? ___________ _ ' 0 Solar: ___ KW, ___ Modules, Mounted: 0Roof 0Ground 0 Reroof:. __________________________________ _ ~ Plumbing/Mechanical/Electrical Oother: __________________________________ _ APPLICANT (PRIMARY CONTACT) Name:PAUL RASMUSSEN Address· 16224 ARROW HWY City·IRWINDALE State:CA Zip:91706 Phone-562-244-97 43 Email·PAUL@GAMMILLELECTRIC.COM PROPERTY OWNER Name:MACYS DEPT STORE Address:2559 EL CAMINA REAL BLVD City: CARLSBAD State: CA Zip:._9_2o_o_B __ _ Phone: __________________ _ Email: __________________ _ DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name·PATRICK DOAN Business Name:GAMMILL ELECTRIC Address: 1230 ETHEL AVE Address: 16224 ARROW HWY City:ALHAMBRA State:CA Zip:_91_8_0_3 __ City:IRWINDALE State:CA Zip:_9_17_0_6 ____ _ Phone: 951-536-6B99 Phone: 626-B12-4515 Email:PATRICK@DOANENGR.COM Email:PAUL@GAMMILLELECTRIC.COM Architect State License: 6215 CSLB License #:2500?6 Class:C-10 & B -------------------Carlsbad Business License# (Required): BLOS010846-11-2021 APPLICANT CERT/FICA TION: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances an ta ws relating to building construction. NAME (PRINT): PAUL RASMUSSEN ,,.....:;;,e.~~====OATE: 12-5-2022 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Fa . Email: Building@carlsbadca.gov REY. 07/21 THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _ A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE. (OPTION A): LICENSED CONTRACTOR DECLARATION: I hereby affirm under penal tyof per jury that I am I icensed under provisions of Chapter9 / commencing with Section 7000) of Divis ion 3 of the Business and Professions Code, and my license is in ful I force and ef feet. I also affirm under penaltyof per jury one of the fol/owing declarations (CHOOSE ONE): Dr have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. PolicyNo. ________________________________________ ~ -OR- (!]1 have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: lnsuranceCompany Name: INSURANCE COMPANY OF THE WEST Policy No. wveso31221os Expiration Date: _,._1_.2_02_, _____________ _ -OR- Ocertificate 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. WARNING: Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name: Lender's Address: _____________________ _ CONTRACTOR CERT/FICA TION: I certify that I have read the application and state that the above information is correct and that the information on the plans isaccurate. lagreetocomply with all City ordinances anq__S relating to building construction. NAME (PRINT): PAUL RASMUSSEN Note: If the person signing above is an authorized agent for the contractor prov· (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: n 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. '-,i,144, 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). -OR-01, 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 thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). -OR-D/ am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: A:'IJD, D FORM B-61 "Owner Builder Acknowledgement and Verification Form" is required for any permit issued to a property owner By my signature below I acknowledge that, except for my personal residence in wh·1ch I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed 1n its entirety by licensed con tr actors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this appf ication is submitted or at the following Web site: http:! /www.leginfo.ca.gov/ca/aw.html. OWNER CERT/FICA TION: I certify that I have read the applicationandstate that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinance a e laws relating to building construction. NAME (PRINT): PAUL RASMUSSEN SIGN: DATE: 12-5-2022 Note: If the person signing above is an authorized agent for the property owne 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov 2 REV. 07/21 Building Permit Inspection History Finaled {_ City of Carlsbad PERMIT INSPECTION HISTORY for (CBC2022-0426) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Closed -Finaled Application Date: 12/09/2022 Owner: MSC LLC Issue Date: 01/24/2023 Subdivision: CARLSBAD TCT#76-18 Expiration Date: 12/13/2023 IVR Number: 45156 Address: 2559 EL CAMINO REAL CARLSBAD, CA 92008-1202 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 06/16/2023 06/16/2023 BLDG-34 Rough 214478-2023 Passed Peter Dreibelbis Wednesday, July 26, 2023 Electrical Checklist Item BLOG-Building Deficiency NOTES Created By Angie Teanio COMMENTS TEXT 562-244-9743 Paul// Enter at east side of facility BLDG-Final Inspection 214479-2023 Passed Peter Dreibelbis Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final NOTES Created By Angie Teanio COMMENTS TEXT 562-244-9743 Paul// Enter at east side of facility Passed No Created Date 06/15/2023 Passed No No No No Yes Created Date 06/15/2023 Complete Complete Page 1 of 1 STRUCTURAL DESIGN CALCULATIONS Prepared for: Gammill Electric 16224 Arrow Hwy. Irwindale, CA 91706 626-812-4515 paul@gammil!electric.com Prepared by: Doan Engineering Inc. 1230 S Ethel Ave Alhambra, CA 91803 951.536.8899 patrick@doa ne ngr. com Generator Replacement For Macy's Carlsbad 2559 El Camino Real, Carlsbad, CA 92008 November 18, 2022 Table of Contents Seismic Parameters Generator Anchorage Cutsheets (reference) CBC2022-0426 2559 EL CAMINO REAL Page 1 2 7 MACY'S REMOVE EXISTING STAND BY GENERATOR/AUT TRANSFER SVv1TCH AND REPLACE WITH NEW 1563022600 12/9/2022 CBC2022-0426 Pro Ject, Generator replacement -Macy's Carlsbad Doan Engineering, Inc. patricl<@<loanengr.com 951.536.8899 Architect, ______________________ _ Engr.: _P_D _______________ Date: 11/18/2022 Generator replacement MACYS 2559 El Camino Real, Carlsbad, CA 92008, USA Latitude, Longitude: 33.1782106, -117.3309806 __-/ OSHPD • f verizon • I:,\ ' • f Dave & Buster's The Shoppes at Carlsbad y T ZARA v The Cheesecake Factory Vons9 Chase Bank I' t,Jlarron Rd f Olive Garden Google Marron Rd Italian I Date j OHIGn Code Referenct Document 1 Risk Category ISM• Clas• 'TyP<I Yak.le Ss 1.006 I Is, 0.368 I SMS 1.207 $Ml null-See Section 11.4.8 I Sos 0.805 so, null -See Section 11.4.8 jTYP<I Value soc null -See Section 11.4.8 I Fa 1.2 I F, null -See Section 11.4.8 PGA 0.44 FpGA 1.2 I PG"M 0.528 Tc 8 SsRT 1.006 Description Marron Rd 11/18/2022. 11:03:04 PM ASCE7-16 D -Default (Seo Section 11.4.3) MCER ground motion. (for 0.2 second period) Description Seismic design category MCER ground motion. (for 1.0s perk>d) Sita-modified spectral acceteralton value Site-modified spectra, acceleration value Numeric seismic design value at 0.2 second SA Numeric seismic design value at 1.0 second SA Site amplfficatlon factor at 0.2 second Site amplification factor al 1.0 second MCE0 peak ground acceleration Site amplification factor al PGA Site modified peak ground acceleration Long-period lransition period in seconds Probabibtic risk-targeted ground motion. (0.2 second) r The UPS Store ' I Sprouts ~ar~5'~~a~~~0J2Q9,e 1 SsUH 1.116 -I s.o ---1':5 ----- Factored ooiform~ard (2% probability of e,cceedance In 50 yeara) spectral acceleration Fact«od determiniltie accetoration vatue. (0.2 ,ocontt) ---1-- S1RT S1UH S10 PGAd I PGAuH CRs CR1 I~ 0 368 0.404 0.6 0.5 0.44 0.901 0.911 1.301 Probabllstic risk--tergeted grouncl motion (1.0 second) Factored ooiform-hazard (2'.4 probability of e,cceedance in 50 years) spectral acceteratk>n. Factored deterministtC acceleration value. (1.0 second) Factored deterministic acceleration value. (Peak Ground Acceleration) Unlfonn-hazard (2% probabillly of exceedance r, 50 years) Peek Ground Accelerallon Mapped value of the rtsk coefficient at short penods MappAd value of the risk coefficient at a period of 1 s Vertical coefficient Doan Engineering, Inc. Pro Ject, Generator replacement -Macy's Carlsbad patrick@doanengr.com 951.536.8899 Architect, _______________________ _ Engr.: _P_D _______________ Date: 11/18/2022 Generator Anchorage CG GENERATOR $ CGT».t< $ SIDE ELEVATION Equipment Dimensions: "£.W= B'= D = CG= n = n1= 2,938 34.0 in 50.0 in 26.4 in 6 3 lbs Vert. dist to C.G. # of anchors # of anchors in tension Seismic Parameters: Forces: Sos= 0.805g Ip= 1.0 z/h = Fph,min= Fp1,= F.,.,= 0 0·Fp1, = Fov = 0.242W 0.773W 2270 Lbs 4541 Lbs 0.16W Fov = 473 Lbs v.= 0 0·Vu :._ Pu= !lo·Pu = 378 Lbs Shear per anchor ?5? L~s Sh~ar pe! ~n_<:h.~r ~( 00 226 Lbs Tension per anchor 814 Lbs Tension per anchor w/ 0 0 Anchor check: Hilli KB-TZ2 SS: 5/8" ♦ (3.25" EMBED) •Wn = 2999 Lbs ♦Vn = 4976 Lbs OCR•= 0.27 < 1.0, ok OCR,= 0.15 <1.0,ok DCRp,v = 0.16 < 1.0, ok <El 2.0 2.5 2.0 END ELEVATION CG analysis: w hcg gen 2,5001bs 30.0" diesel 4381bs 6.0" sum 2,9381bs CG = "£.Wi'h1 / "£.W = 26.4 In Vu= F,Jn no Vu= Olp,/~ --- P. = (Fp1,CG) / [min(B',D)nJ -(0.9W•-Fp,) / n 0 0Pu = (00Fp1,CG) / [min(B',D)nJ -(0.9Wp -F,s,,) / n 00PJ♦Pn s 1.0 00VJ♦Vns 1.0 (00PJ4>Pn)513+ (00VJ♦Vn)513 S 1.0 I ~ ~ I w•h09 75 k-in 3 k-in 78 k-in Sheet, 2 Doan Engineering, Inc. patricl<@doanengr.com 951.536.8899 Pro Ject, Generator replacement -Macy's Carlsbad Architect, ______________________ _ Enq-.: _P_D ________________ Date: 11/18/2022 i : i i S ~ • ---------------------Hut, PROFIS Engineering 3.0.81 Specifier's comments: 1 Input data Anchor type and diameter: Item number: Effective embedment depth: Material: Evaluation Service Report: Issued I Va6d: Proof: Stand-off installation: Profile: Base material: Installation: Reinforcement: Seismic loads (cat. C. D. E, or F) Geometry [In.] & Loading (lb, In.lb) Kwik Bolt TZ2 -SS 304 5/8 (3 1/4) hnom2 2210278 KB-TZ2 5/8x4 3/4 SS304 h,,.ac:1 = 3.250 in., hnom = 3. 750 in. AISI 304 ESR-4266 12/17/2021 J 1211/2023 Design Method ACI 318-14 / Mech cracked concrete, 2500, fc' = 2,500 psi; h = 8.000 in. ham,,,.r drilled hole, Installation condition: Dry tension: condition B, shear: condition B; no supplemental splitting reinforcement present edge reinforcement: none or < No. 4 bar Tension load: yes (17.2.3.4.3 (d)) Shear load: yes (17.2.3.5.3 (c)) Input data 91'\d resub must be chocked fo, confonnity wtth the e»smg coodWons and for ptausiblityl PROFl:S Eng-nffl'ng ( e) 2003-2022 Billi AG, Fl-9494 Sehun H1li is a ,eg,stered Trademark of Hili AG, Schain 3 Doan Engineering, Inc. Project, Generator replacement -Macy's Carlsbad Sheet, palric.l<@doanengr.com Architect, 951.536.8899 PD 11/18/2022 4 Erq.: Date, i : I I -■ ~ i Hllti PROFIS Engineering 3.0.81 1.1 Design results Case Description Forces (lb]/ Moments pn.lb] Seismic Max. Util. Anchor(%] 1 Combination 1 N = 814; V, = 757; V, = O; yes 28 M, = O; M, = O; M, = O; -----------·---------------- lnpul det• llfld resul• mull be dloc;;kod tor ~ wi1ti the e»leing c:ooditions end for plausiblityf PROFts Eng•neering ( c) 2003-2022 t-litti AG, FL•94!M Schaan Hill it a regisle,ed Trademark of .. till AG, Seh11n 2 Doan Engineering, Inc. Pro Ject, Generator replacement• Macy's Carlsbad patncl<@doanengr.com 951.536.8899 .Architect: ______________________ _ Engr.: _P_D _______________ Date: 11/18/2022 i : 1 1 S • • ---------------------Hiltl PROFIS Engineering 3.0.81 2 Proof I Utilization (Governing Cases) Loading Proof Concrete Breakout Failure Tension Shear Concrete edge failure in direction x+ Loading Combined tension and shear loads 0.271 3 Warnings • Please consider all details and hints/warnings given in the detailed report' Design values [lb) Load Capacity 814 2,999 757 4,976 llv t 0.152 5/3 Fastening meets the design criteria! Utilization PH I Pv [%) 28/ · • I 16 Utilization P. v (%] 16 ----------------------------·--- Input deta end te"-111 mutt be cheek~ fot conformity wilh the ubta,g condibons and Jot" plautibiityf PROFIS Eng neenng ( c ) 2003-2022 Hillli AG, FL-9-i94 Sch11n H•I 11 • regi11ered Trademark of Hill! AG, Schaan Status OK OK Status OK 3 Sheot, 5 t':....1000O y @ @) I 0 20.07~ 18.00 9.07 1 3.27 5.05 10.05 12.00 APPROX. BREAKER LOCATION ---==t===~I _[ 2 .00. TYP. 80.00 16.49 ~ f 8.00 I ,s.1s I (CORE) r 1n'" "'=" 26.87 L, ' 26.00 DOOR (BOTH SIDES) --i---16·00 4.00 I ,--CONTROL PANEL 2.00 36.00 (TYP.) 2.oo J 03.00 LIFT HOLE(4X) I 8.00 ~ 25.00 --\---1----25.00 NOTES: 66.00-----+----...; 60GL OW UL LISTED SUB BASE FUEL TANK W/ STUB-UP AREA 1. APPROX. BREAKER LOCATION SHOWN otL DRAIN 2. FUEL SUPPLY: 5/16" FUEL RETURN: 5116" 3. RADIATOR CORE WIDTH: 17.63" 4. (XX.XX) DIMENSIONS ARE FOR REFERENCE ONLY (66.00) 60.00 L 6.00 r 12.00 11 0 .688MTG. HOLES (6X) 34.oo ----1 I i-------36.00 --1 ---- DRAWING: JD30-031T 4-119-01 APPROXIMATE SHIP WEIGHT: 2,SOOLBS. PRELIMINARY DRAWING ALL DIMENSIONS MAY CHANGE DURING SUBMITTAL PROCESS. DRAWING IS NOT CERTIFIED BY BLUE STAR POWER SYSTEMS INTAKE AREAS SO AMP CIRCUIT BREAKER lM\· Df:SCftt,n()N: R(VISK>HS· DAR )_!Y nlf~noHCXllll"~•Ml~CMSOU:l'l0fflll'f'OJ•VfP .. POl«AMTt~ INC. -~TIQIII ... ,.,.roa.Ul'lfll'•te1U,W'll"'QlfTMl-,,itllf11111iMHIION•~ r,.;.w;; IMJK e 1~-22 -3029TFG89 jCIUIIMn:M S1L2-J41 atUE ST*ll Powwlptenulnc. _!JSClf"IIJOIIOIWf.,~~10.WNIOrAMDtJ t lWJWl1..,. =-31178 B jtcN.LIIC)tffjJHU"f lOflj C, 0 s::>) 0 1: tTl a: 0 ~® (JQ ~I s· ::=J ('t) :s ~ (b ~ .., 0 i .... ... ....... ... ~ ::1 . 0 ~ __, 0 (') ~ =ti ;!' ~ f ~ ~~ G> n, ::, ~ .. Q ~ n, ,, ~ n, 3 n, ~ ii:: ~ ~-n ~ .;;- CT .. Q. ~ 0 ... ... 0) i ~ Business Name SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE Business Contact OFFICE USE ONLY RECORD ID# _________________ _ PLAN CHECK# __________________ , BP DATE Telephone# macy's Department store 760-729-9121 Project Address (include suite) 2559 EL CAMINO REAL City CARLSBAD State CA Zip Code 92008 APN# -/5"<!;>-302-f/00 Mailing Address (include suite) Project Contact PAUL RASMUSSEN City State Applicant E-mail PAUL@GAMMILLELECTRIC.COM Zip Code Telephone# 662-244-97 43 Plan File# The following questions represent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT -HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: (not required for projects within the City of San Diego): Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are circled, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: Facility's Square Footage (including proposed project): 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives Corrosives 2. Compressed Gases 6. Oxidizers 10. Cryogenics 3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 13. 14, 15. Other Health Hazards None of These. 4. Flammable Solids 8. Unstable Reactives 12. Radioactives PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH HAZARDOUS MATERIALS DIVISION (HMD): If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 170, San Diego, CA 92123. Call (858) 505-6700 prior to the ·issuance of a building permit. FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy: □ CalARP Exempt I 1. 2. 3. 4, 5. 6, 7. 8. YES NO □ El □ El □ El □ □ □ □ □ El El El El El (for new construction or remodeling projects) Is your business listed on the reverse side of this form? (check aU that apply). Will your business dispose of Hazardous Substances or Medical Waste in any amount? Will your business store or handle Hazardous Substances in quant'lties greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? Will your business store or handle carcinogens/reproductive toxins in any quantity? Will your business use an existing or install an underground storage tank? Will your business store or handle Regulated Substances (CalARP)? Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). Date Initials □ CalARP Required I Date Initials 0 CalARP Complete I Date Initials PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD): The following questions are intended to identify the majority of air poltution issues at the planning stage. Your proJect may require additional measures not identified by these questions. Residences are typically exempt, except-single building with more than four dwelling units and those with more than one detached residential buildings on the property-e.g. granny flats [+Excludes garages & small outbuildings not used as dwelling units]. If yes is answered for the questions below please see link for further instructions: here or for more comprehensive requirements, please contact apcdcomp@sdapcd.org or call (858) 586-2650. YES NO 1·0 0 2D 0 3. □ 40 0 0 Will the project disturb 100 square feet or more of existing building materials? If yes, submit an asbestos survey to apcdcomp@sdapcd.org. Will any load supporting structural members be removed? If yes, submit an asbestos survey and demolition notification to apcdcomp@sdapcd.org at least 10 working days prior to starting the demolition of a load bearing structure. A notification is required even if no asbestos is present in the structure. (ANSWER ONLY IF QUESTION 1 IS YES) Will 100 square feet or more of friable asbestos material be disturbed? If yes, submit a notification of asbestos removal to apcdcomp@sdapcd.org at least 10 working days prior to starting asbestos removal. Will any equipment or operations be installed that may require an APCD Permit to Operate? Please see the reverse side of this form for typical equipment requiring an APCD permit. If yes, contact APCD prior to the issuance of a building permit. Briefly describe business activities: department store Briefly describe proposed project: replacement of an existing stand by generator with new I declare under penalty of perjury that to the best of my knowledge and belief t PAUL RASMUSSEN /1Z-Z12--3 ' Name of Owner or Authorized A ent Date FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: ___________________________________ _ sv-I I EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMO' APCD COUNTY-HMO APCD COUNTY-HMO APCD ~A stamp In this box !2Ilti exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting reqwrements may still apply HM-9171 (01/22) County of San Diego -DEH -Hazardous Materials Division STORM WATER POLLUTION PREVENTION NOTES ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION AND SEDIMENT CONTROL BMPs 1M-!EN RAIN IS EMINENT 2. THE Q\111'-jER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION OF TI-ff CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING RAINFALL. 3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES \.VHICH MAY ARISE 4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE AT THE ENO OF EACH WORKING DAY WHEN THE FIVE (5) DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT ( 40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL. 5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM AGGREGATE. 6. ADEQUATE EROSION ANO SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. 7 THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED TO ENSURE COMPLIANCE 'MTH CITY STORM WATER QUALITY REGULATIONS. OWNER'S CERTIFICATE·. I UNDERSTAND AND ACKNO'M...EDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID THE MOBILIZATION OF POlLUTANTS SUCH AS SEDIMENT AND TO AVOID THE EXPOSURE Of STORM WATER TO CONSTRUCTION RELATED POLLUTANTS; ANO (2) ADHERE TO, AND AT ALL TIMES, COMPLY WITH THIS CITY APPRO\IED TIER 1 CONSTRUCTION SWPPP THROUGHOUT THE DURATION OF TliE CONSTRUCTION ACTIVITIES UNTIL TI-,E CONSTRUCTION WORK IS COMPLETE AND APPRD\IED BY THE Cll)' j)F CAR4. _ ) .:r N ':,,15mfs s 6 '/\J OWNER(S)/OWNER S A"GE~ /-,lZ-23 = STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE Erosion Controj Sed,men1 Control BMPs Tracking Non-Stirn, water Waste Managemen! and Materiats BMPs Control BMPs Management BMPs PojliJl!on Control BMPs . u ! ! rn 1 ~ u 1 u § _§ .~ § 0 ,; ~ ~ -t .~ § . 2 u. ! rn • . • 8 .z i 8, 0 0. ~ .s E ~ ~ Best Management Practice* ~ ~ oo ! lg 8 • § ,g 0 £ ~~ . :,_ E ~ u., ~ I u ~ • 2 • -2!~ !i (BMP) Description ➔ ~ ~ . . rn • rn u. 0 0 ~ :, ~., l 8 0 ~ ~-~ uw u > 0 " ag Orn • i ~E OE ·-.\1 2 o rn ~ ~ ~~ ~ 0 ~i CJ':;:; . jj ]f 0 ~ cte ;q, "E :g., £.~ . ~ .n E ~ :.: ,. -~ i ~ ] 0 1l g. ,i . •• 0 ~ Be ~i ~] ~ g ~E :2 ~ ~~ 5e ~ O ~ U ~ ll 6 0 ;;:;~ -ict ~;;:; ~~ WO '" ~ cc ~ ~~ ~~ ~o ~ >U 2 ;;:; Jru I2 CASOA Desigiafion ➔ ~ w rn ~ ~ ~ w ~ w 0 N ~ ~ w ' N ~ v ~ w ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' u u u u ts w :,j :,s :,s :,j :,j :,s I" I" ~ ~ ~ ~ ii! ;! l! ii! ;! ii! Constl\Jction Adivity w w w w ~ z z z z Grad inn /Soil Disturbance Trenchirl ,,_ xcavation Stockoilin~ Drill in orln" Concrete IAsoholt Sawcuttin" Concrete Flatwork Povina Conduit "'i-e lnstollotioo Stucco,.-,--ortar Work Waste Disoosol Staaina fl av Down Area Enui"menl Maintenance and Fuelin" Hazardous Substance Use/Storane Dewaterln" Site Access Across Dirt Other rtist : Instructions: 1. Check the box to the left of oil applicable construction activity (first column) expected to occur during construction. 2. Located along the top of the BMP Table is a list of BMP's with it's corresponding California Slormwater Quality Association (CASQA) designation number. or more BMPs you intend to use during construction from the llst. Ctieck the box where the chosen activity row intersects with the BMP column. Choose one 3. Refer to the CASOA coostruction handbook for information and details of the chosen BMPs and how to apply them to the pro}ec\. Poge1of1 PROJECT INFORMATION s,t, Addte,s•2 :>:5"9 l!{l ('!'P'tl"O }2,,.,q/ Assessor's Parcel Number: /.5°(j} -302.-/(500 Emergency Coo~ct: Al\] Nemec fi./ "5 TU ,1./<:T 24 Hoo/:ec, 760--5'173 -,;:t:J,,/ Construction Threat to Storm Water Quality (Checl,; Box) 0 MEDIUM O LOW a; i] !! ~ b g, oO 0 0 U2 w ' ;! REV 11/17