Loading...
HomeMy WebLinkAbout1880 MARRON RD; 102; CB920607; Permit-5- - - C, * 6 S S S . ••,b - ' * , 6U IL- DI NG ,P E RM I'.T Perrn'itNo: C6920607 07/28>'.92 15:22'• . . . ' '- Project No: A9201522 Page 1 of 1 Development No Job Address:, .1880 MARRONRD'-' * :.. - SUite: '1'0 2 . . Permit Type: .COMMERCIAL'TENANT. IMPROVEMENT ', 874 07/28/920001.01 02 - Parcel No Lot# jI tO3 CPR1T 477.-00 Valuation ' 10,000 * Construction Type VN Occupancy Group: 62 Referei'ice#: ,• : 'Status': ISSUED Descriptiôtt': 900 'SF CRUZ—CHIROPRACTIC—CARE - Applied: .06/23/92 77 Apr/Issue 07/28/92 Validated -,By: DC Appl/Ownr : DENNIS1 RENO.' '.. 619 --727-4047 - .• - P 0 BOX 210 . , CARLSBAD' CA 92008 - " '. • . 5••. 5 . 5 f S •_ , .- S S . . S. - - ' OWNER HUGHES INVEST ENTS2 4' 759 9531 TWO CORPORP . ','-•;':- - .NEWPOR'l B CH, .P . • . Fees-Required H '::F '& Credits '• *** Adjustmerits': 1 d' .00. aym 0014 ,.Total Fees: 152. anc 477. Buiiding Permit Plan Check 76.00 INCORPORATED 168 .00 19 2 * BUILDING TOTAL 545 00 ¶ Enter "Y' for.Electr,ic Issu- 1000 Y Three Phase Per AMP 00 50 50 00 %* ELECTRICAL TOTAL- - .', -' . ' 60.00. - Enter 'Y' for Mechanical Issue Fee 0- . . ' 15.00 Y ' Intall Fiirn/Ducts ' T. . ..> ' 1 p9.00 9.00 * MECHANICAL TOTAL -. , -. • 0 ' . - .24.00 - -. - • 5 5 ']L '_, - - - - . ": " APPROVAL INSP.DATE CLEARAN'E ,• -- - - :-- - - - .. . . ,: . • . S - - - t., ' '.5 - - . •• , - S. -: '' - '. ' •- . -'.- . , - • • . ' '- . - * CITY OF CARLSBAD - " , •' 2075 Las !a11m1s Dr.,'Carlsbâd, CA 92009 (619) 43871161 ' - -. ¼ • S ' _ ' " - . ' •.• * - - . . - * ' . •, .- • .. ' _ , • '-. - . - ' - _ - . - - ' • ' , .5 k. PERMIT APPLICATION . . City of CarLsbad BuiLding Department 2075 Las Patinas Dr., CarLsbad, CA 92009 (619)438-1161 ... - . . . 1. PERM1,IYPE -. . A -ZGommercial UNew Building JFertanr Improvement * B -0 Industrial 0 New Building 0 Tenant Improvement C - 0 Residential 0 Apatmenr 0 Cdndo 0 Single Family Dwelling 0 Addition/Alteration Duplex s. 13 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing O Mechanical 0 Pol 0 Spa 0 Retaining Wall 0 Solar 0 Other__________ 5: PLAN CHECK NO. Esr.vAL E rQ )1 PLAN KD VALID. BY J) . DATE O2 C-F'RHT ''12900 2. PROJECT I0DRMA11ON . . '. FOR OFFICE USE ONLY Address 0 KA -. - - Building,or Suite No. - . IDOU li(,WY1)fl t'-" tOc' . Nearest Cross Street S , . LEGAL DESCRIPTION Lot No. .Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMIITED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report . 0 1 Addressed Envelope ASSESSOR'S PARCEL : DUSTING USE PROPOSED USE maw 5 . . '. - SQ.VF. q0o . .#.OFSTORIES I ?ak-Ha fp.c( .5. (1JN-IAU1PtHUN (ir Girlerent from applicant) NAMEAi)\d4JCru. 1 1).C. ADDRESS IBO' (° CITY rVn STATE C / . ZIP CODE DAY TELEPHONE 7 7 '-O47' T. APPUCANT O(iikIHAuIuR UAGE IOR NAME . . CONTRACIOR ADDRESS IOWNER . UAGENT FOR OWNER, CITY . - STATE . ZIP CODE - DAY TELEPHONE - NAME— +eqqmrTyures-iryK As ADDRESS Corporc sk PIazc SOX S-) CITY STATE CA .'ZIP CODE q 2 (, 5s,. DAY TELEPHONE (7/4) - s 6. CDNTRACIUR NAME DYI ' ADDRESS p.o. L30.. lc . , . . .5 CITY Ceirti back STATE CA . •ZIP,CODE 90 0 DAY TELEPHONE . . : STATE UC. # 51lo . LICENSE CLASS B . . CITY BUSINESS UC. # DESIGNER NAMES . -' STATE ZIP CODE ADDRESS .. . DAY TELEPHONE STATE LIC. # I?•• WURKEHWMI!ENSHOr'1 - . . .' - ,. Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to sell-insure issued by the Director 01 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. INSURANCE COMPANY • .. . POLICY NO. EXPIRATION DATE - Certificate of Exemption: 1 certify that in the performance 01 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' Compenstion Laws of California. SIGNATURE ..'' DATE. . 8.. OWNER-BUILI)ER DECLARATION. , . . . •. . . . - Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the tollowing reason: 0 1, as owner of the propertyor 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 Cede: 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.). P 1, 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). - • - I am exempt under Section Business and Professions Code for this reason: (Sec. 7031.5 Busines and Profession 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.hasis 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, autely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? - - - D YES 1' 13 NO . - . . • Is the applicaiit or future building occupant required to obtain a ennit from the air pollution control district or air quality management district? E3 YES ONO' Is the facility to be èonstructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AF= JULY 1, 1989 UNLESS THE APPLICANT- 'HAS MET OR IS MEETING ThE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION WN11tOL DISnucr: 9. WNSIRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance 01 the work borwhich this permit is issued (Sec 3097(i) Civil Code). . , S - _5 ••' . S , .. LENDER'S NAME NAME - LENDER'S ADDRESS . - .• 10. APPLICANT CERIIFLCA11ON 1 certily that 1 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, (X)IS AND EXPENSES WHICH MAY IN ANY WAY MX3LUE AGAINST SAID CI1Y IN CDNSEQUENCE OF THE GRANTING OF ThIS PERMIT. OSHA: An OSHA perriit is required for excavations over 5,0 deep and demolition or construction of structures over 3 stories in height. - . Expiration. Every Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). 75 .5 S , •,. . S -- - DATE: 126..2 TT)J (T - . - • WHITE: File YELLOW: Applicant - PINK: Finance - • •. - -S -, •- '-S & 5 • -- . . S CITY O' CARLSBAD INSPECTION REQUEST. PERMIT# CB920823 FOR 12/04/92 DESCRIPTION: DISPLY/SALES'CABINET CONNECT NO MFG ON PREMISES TYPE: CTI JOB ADDRESS: 1880 MARRON RD STR:** APPLICANT: BROOKER ASSOCIATES PHONE: 714 993- CONTRACTOR: PHONE: OWNER: PHONE: INSPECTOR AREA TP PLANCK# CB920823 0CC GRP B2 STR. TYPE NEW FL**** STE: 104 REMARKS: MH/PHILLIP/563-3824 PAGER INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural 4P 29 -PL PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 100992 Rough Electric CO TP RECESS LITES REQ APR BRCKTS 100792 Rough Electric CO TP PA WALLS, ND PERMIT' 190792 Interior Lath/Drywall PA TP 092992 Frame/Steel/Bolting/Welding AP TP WALLS RECEIVED AUG 1 ,FINAL BUILDING INSPECTION DEPT: BUILDING ENGINEERING PLANNING U/M WATER PLAN CHECK#: CB920607 -. DATE: 08/27/92 PERNIT#: CB920607 - PERMIT TYPE: CTI PROJECT NAME:' 900 SF CRUZ CHIROPRACTIC CARE = * ADDRESS: -. - CONTACT PERSON/PHONE#:- MH/DR. USE/729-3970 • • SEWER P1ST: WATER DIST: - • ------------------------- INSPECTED DATE BY: -Qc• • INSPECTED: APPROVED L DISAPPROVED INSPECTED DATE BY: INSPECTED: APPROVED - DISAPPROVED - INSPECTED - - DATE • - BY: • • INSPECTED: APPROVED DISAPPROVED COMMENTS: • ESGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92123 (619) 560- 1468 DATE: 7// 2_ EAPPLICANT I JURISDICTION JURISDICTION: HPLAN CHECKER F.IFILE COPY PLAN CHECK NO: 92- O7 SET: UPS []DESIGNER PROJECT ADDRESS: 'cco PROJECT NAME: rec,s g The plan$ 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 are resolved and checked -by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. Fj The check list transmitted herewith is. for your information. The plans are being heldat Esgil Corp. until corrected plans are submitted for recheck. . D 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 thecheck list has been sent to: Esgii staff;did not advise the applicant contact person that plan check has been cornpleted. Esgil staff did advise applicant that the plan check has been completed. Person contacted: )-j Qciuz Date contacted: 92-.- . Telephone (jy çfçO'\ • REMARKS: By: ') Lk_ LJ SGIL CORPbRATION( El GA ECM - ESGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92123 (619) 560-1468: DATE: •' flAPPLICANT JURISDICTION: El E40 PLAN CHECK. NO: -01 SET: PROJECT ADDRESS: \ MczoJ PROJECT NAME: ' PITUC H EC KER FILE COPY UPS DESIGNER Lj 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 .buiding.codes when minor deficién- cies identified 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. D The check list transmitted herewith is for your information.' The plans are being held at Esgil Corp. uhtil corrected plans are submitted for recheck. - The applicant's-copy of the check list Le'enclosed for the jurisdiction to return to the applicancontact person. fl 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. Esgil staff did advise applicant that the plan check has been completed. Person contacted:________________________ Date contacted: Telephone t________________ REMARKS () o.i V - 0 IC14 4 I -7\, I70A L=11 V-r.0 Ic , - Enclosures Y34J5 ESGIL CORPORATION 0GA 11CM . 6IZ5 Date: c(2 Prepared by: ZThA Jurisdiction ________ VALUATION AND PLAN CHECK FEE Bldg-. Dept. o Esgil PLAN CHECK NO. BUILDING ADDRESS - %O VV1 QrZ.J (2.c -\O APPLICANT/CONTACT D1VD CUZ PHONE NO.7Z-7 404L.7 BUILDING OCCUPANCY _-2_('1 DESIGNER PHONE TYPE.OF CONSTRUCTION. . CONTRACTOR PHONE__________ BUILDING PORTION • BUILDING AREA - . . VALUATION MULTIPLIER VALUE c p 0 13 00 Air Conditioriine S Commercial. . .@ _____________________ Residential Res. or Comm. Fire Sprinklers . . . . . . . . . Total Value . S. • Bmilding Permit Fee Plan Check Fee $ I 5 0 $ COMMENTS: . . SHEET OF 12/87 REMODEL OR TENANT IMPROVEMENT CONSTRUCTION VALUATION The Building Official. is mandated by State law to deterthine the value o work proposed in. each application for a Buildinq Permit. The value to be used, shall be thetotal value of all construction work for which the permit .is issued as well as all finishwork, painting, roofing, electrical, plumbing, heating, air conditioning, elevators, fire exting- uishing systems and any other permanent equipment. Uniform Building Code Section 304 (a) . * * * * * * * * * * * * * * * * * * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * *•* * * * * * * * * * * * * * * APPLICANT PLEASE COMPLETE . . . SITE ADDRESSjQ PLAN CHECK NO. DESCRIPTION OF PROPOSED WORK _T1,s -4 qoo 5f r AREA OF REMODEL___________________________________ TENANT IMPROVEMENT____________________ 1/ ADDITION . . PROPOSED WORK INCLUDES: NEW SUSPENDED CEILING YES NO NEW HVAC LIJ YES NO NEW FIRE SPRINKLERS El YES TJ NO NEW PARTITIONS J YES . NO NEW PLUMBING fl YES NO 000 NEW ELECTRICAL . Eli YES - NO HAS A CONTRACTORS ESTIMATE BEEN RECEIVED FOR THE PROPOSED WORK?T<1YES [ INO ITEMIZED COST ESTIMATE IS ATTACHED YES [ ] NO I CERTIFY THE VALUE OF ALL PROPOSED CONSTRUCTION WORK COVERED BY THE PERMIT APPLICATION INCLUDING: ALL STRUCTURAL WORK, FINISH WORK, PAINT ING, ROOFING; ELECTRICAL, PLUMBING, HEATING, AIR CONDITIONIN—EE-VAORS, FIRE EXTINGUISHING SYSTEMS, AND ALL PERMANENT EQUIPMENT I$7OooO THIS VALUE IS BASED ON: DESIGNER'S ESTIMATE c. CONTRACTOR'S ESTIMATE THER, DESCRIBE BASIS oc/bç THE ABOVE INFORMATION IS TRUE AND CORRECT f. APPLICANT DESIGNER CONTRACTOR PLAN CHECKER USE ONLY THE VALUE IS ACCEPTABLE El YES NO AN IT21IZED COST BREAKDOWN IS REQUIRED TO CCNEIRN THE ESTIMATED CONSTRUCTION VALUE. El YES El NO BY: DATE: 1 f Vol _ City ,04 , Carl sbad Wlzj : BUILDING PLANCHECK CHECKLIST t DATE 9 TUL92 .4 PLANCHECK NO .,92 BUILDING ADDRESS 1880 M,qRN TE 102- PROJECT DESCRIPTION COMM T 1 4 ASSESSOR's PARCEL NUMBER EST VALUE - - ENGINEERING DEPARTMENT 4 2 APPROVAL " DENIAL The item you have submitted for review has been Please see the attached report of deficiencies "J approved The approval is based on plans marked with Q. Make necessary corrections to information and/or specifications provided in your plans or specifications for compliance with submittal therefore any changes to these items applicable codes and standards Submit corrected after this date, including field modifications, must plans and/or specifications to this office for review be reviewed by this office to insure continued conformance with applicable codes Please review * carefully all comments attached, as failure to - comply with instructions in this report can result in suspension of permit to build .. - '.-.l . - • . . - . 4 1st CHECK By S SC)-4EJELL Date JUL92.. By Date ", 4- .4-h -. . 26d CHECK By ' Date - a . By Date - - - -. ,- 4,4 4- 3rd CHECK By Date By: Date ATTACHMENTS CONTACT PERSON 0 Dedication Application 0 Dedication Checklist * 0 Improvement Application ' - 0 Improvement Checklist NAME 0 Future Improvement Agreement 0 Grading Permit Application ADDRESS I 0 Right of Way Permit Application 4 U Sewer Fee Information Sheet 4 PHONE j - - 1. - - P:\doce\chk19t\bp0001.frm -' ' . -' .. REV 6/5/92 - -., 2075 Las Palmas Dr. • Carlsbad, CA 92009-1576,- (619) 438-1161 FAX (619) 438-0894 : BUILDING PLANCHECK CHECKLIST SITE PLAN 1 stV 2ndv1 3rdv' MElD 1. Provide a fully dimensioned site plan drawn to scale. Show: North Arrow . D. Property Lines Easements Existing & Proposed Structures E. Easements. Existing Street Improvements F. Right-of-Way Width & Adjacent Streets O 0 ' 0 2. Show on site plan: A., Drainage Patterns C. Existing Topography' B. Existing & Proposed Slopes El 0 0 3. Show on a section drawing or include a note stating that there is a minimum of 611 difference between the finished floor and thefinished grade elevation adjacent to the structure. , El 0 0 4. 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 (whichever is less)." [Per 1985 UBC 2907(d)5]. On graded sites, the top of any exterior foundation shall extend above the 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 2907(d)5.). .1 IL] 0 El 5. Include on title sheet Site address Assessor's Parcel Number 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 square footage of different uses (manufacturing, warehouse, office, etc.) previously approved. . EXISTING PERMIT NUMBER DESCRIPTION CB 81 - O% BLD LSO MA1ON PERM1T1E1 4,125 OFFICE- SPACE . 2.42 .U.'C&+4RD P:\doci\chkt.t\bp0001.frm Page 1 of 4 REV 6/5/92 BUILDING PLANCHECK CHECKLIST DISCRETIONARY APPROVAL COMPLIANCE 1st' 2nd/ 3rd' 12 0 0 Project does not comply with the following Engineering Conditions of approval for Project No. Conditions were complied with by: Date:___________________ N4/f DEDICATION REQUIREMENTS : 0 0 0 Dedication for all Street Rights-of-Way adjacent to the building site and any storm • drain or utility easements on the building site is required for all new buildings and for remodels with a value at or exceeding $______________ -pursuantto Code Section 18.40.030. S Dedication required as follows: Attached 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. S S S Dedication completed by S Date:___________ Not IMPROVEMENT REQUIREMENTS O 12 0 8a. All needed public improvements upon and adjacent to the building site must be • constructed at time of building construction whenever the value of the construction exceeds $ -pursuant to Code Section 18.40.040. 5 Public improvements required as follows: S Please have a registered Civil Engineer prepare appropriate improvement plans and submit them together with the requirements on the attached checklist for a separate S plancheck process through the Engineering Department. Improvement plans must be approved, appropriate securities posted and fees pid prior to issuance of permit. Attached please find an application form and submittal checklist for the public S S improvements requirements. Provide the completed application form and the • requirements on the checklist at the time of resubmittal. S Improvement Plans signed by: • bate: P:\docs\ch1dst\bp0001.*m Page 2of4 • S S REV. 6/5/92 .. ' . BUILDING PLANCHECK CHECKLIST 1 SW 2ndv' 3rd,/. o 0 0 Construction of the public improvements may be deferred pursuant to code Section 18.40. Please submit a recent property title report or current grant deed on the property and processing fee of $____________________ so we may prepare the necessary Future Improvement Agreement. This agreement must be signed, notarized and approved by the City prior to issuance of a Building Permit. Future public improvements required as follows:_______________________________ Improvement Plans signed by: . Date:___________ O 0 0 Enclosed please find your Future Improvement Agreement. Please return signed and notarized Agreement to the Engineering Department. Future Improvement Agreement completed by: Date: - O 0 0 No Public Improvements, 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. N/Pt GRADING PERMIT REQUIREMENTS The conditions that invoke the need for a grading permit are found in Section '11 .06.030 of the Municipal Code: O 0 . 0 ga. Inadequate information available on Site Plan to make a determination on grading requirements. Include accurate grading quantities (cut, fill import, export). . 0 0 0 .9b. Grading. Permit required. A separate grading plan prepared by a registered Civil Engineer,rnust be Submitted together with the completed application form attached. NOTE The Grading Permit must be issued and rough grading approval obtained prior to issuance of a Building Permit Grading Inspector sign off by Date 1. BUILDING PLANCHECK CHECKLIST - P:\docschkIs1\bpOOO1.frm -. 'Page 3 of 4 - . REV 6;5rn2 MISCELLANEOUS PERMITS 1 SW 2fldv' 3rd' O 0 El 10. A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or private work adjacent to the public Right-of-Way. Types of work include, but are not limited to: Street improvements, trees, driveways. A separate Right-of-Way permit issued by the Engineering Department is required for the following: Please complete attached Right-of-Way application form and return to the Engineering Department together with the requirements on the attached Right-of-Way checklist, at the time of resubmittal. 0 El El 11. A SEWER PERMIT is required concurrent with the building permit issuance. The fee is noted in the fees section on the following page.. 0 El El 12:, INDUSTRIAL WASTE PERMIT is required. Applicant must complete Industrial Waste Permit Application Form and submit for City approval prior to issuance of a Permit. Industrial. waste permit accepted by: Date: • P:\docs\ch1dst\bp0001.frm CALCULATIONS WORKSHEET EDU CALCULATIONS: EDU's: ADT CALCULATIONS: 0 ADT's: FEES REQUIRED: cOMPLIETE OFIC.E.. BLD. WITHIN CEO: El YES (NO BRIDGE & THOROUGHFARE FEE, REDUCED TRAFFIC IMPACT FEE) El NO El 1. PARK-IN-LIEU FEE 0 PARK AREA: FEE/UNIT:________ 0 2 TRAFFIC IMPACT FEE ADT's FEE/ADT El 3 BRIDGE AND THOROUGHFARE FEE ADTs FEE/ADT O 4. FACILITIES MANAGEMENT FEE 0 ZONE: 0 FEE/EDU: • 0 0 0 0 •5 PUBLIC FACILITIES FEE 0 0 6. SEWER FEES PERMIT No. 0 • EDU's: • 0 FEE/EDU: 0 • • BENEFIT AREA 'FEE: El 7 SEWER LATERAL REQUIRED (2,500 DEPOSIT) 0 8 MELLO ROOS REMARKS I P:\docs\chklst\bp000l.frrn 0 0 • REV 6/5/92 PLANNING O-LEOaJSr r.J Plan Check No. f'2- (b7 Address /60 Planner VAN LYNCH Phone 438-1161 ext. 4325 (Name) APN:- - S' Type of Project and Use z5 7Z Zone Facilities Management Zone I .- ... Legend r'j PoN 19 Ad U U VIc V C y Item Complete Item Incomplete -'Needs your action - 1, 2,, 3 Number in circle indicates plancheck number where deficiency was identified I Environmental Review Required: YES - NO TYPE DATE OF COMPLETION: - " Cortp1iance with conditions of approval If not, state conditions which require action , of Approval 'S .'. 0 Discretionary Action Required YES - NO APPROVALJRESO. NO. DATE: N PROJECT NO. OTHER RELATED CASES: Compliance with conditions of approval? If not, state conditions which' require action. Conditions of Approval CS California Coastal Commission Permit Required: YES - NO DATE OF APPROVAL: San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA. 92108-1725 (619) 521-8036 ' Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval 0 Landscape Plan Required: YES ___ NO See attached submittal requirements for landscape. plans Site Plan: n1o 0 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. 0 0 2. Show on Site Plan: Finish floor elevations, elevations of finish grade adjacent to building, existing topographical lines, existing and proposed / S slopes and driveway. 0 3. Provide legal description of pr'Derty. E3iEE 0 4. Provide assessor's parcel number. Zoning: 1. Setbacks: / Front: Required Shown )7i J 1 mt. Side: Required Shown /' Street Side: Required Shown 7 Rear: Required Shown [E'i ' 0 2. Lot coverage: Required Shown 3. Height: Required Shown 0 4. Parking: Spaces Required Shown Guest Spaces Required Shown O 0 0 Additional Comments - S - OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE \ - PLNCFt City of Carlsbad 92140 Fire Department Bureau of Prevention Plan Review: Requirements Category: Building Plan Check Date of Report:Wednesday, July 1, 1992 Reviewed by:___________________ Contact Name David Cruz, D.C. Address 1880 Marron Rd Ste 102 City, State Carlsbad CA 92008 Bldg—Diapt—N-K 72 Planning No. Job Name Chiropractic/Therapy Job Address 1880 Marron Ste. or Bldg. No. 102 (ppo.ve.d- The item you* have submitted for review has been approved. The approval is based on plans; information and/or specifications provided in your submittal; therefore any changes to these items after this date, including field modifica- tions, must be reviewed by this office to insure continued conformance with applicable codes. Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspensiOn of permit to construct or install improvements. D Disapproved - Please see the attached report of deficiencies. Please make corrections to plans or specifications necessary to indicate compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. For Fire Department Use Only Review 1St 2nd 3rd Other Agency ID CFD Job# 92140 File#__________ * 2560 Orion Way ' Carlsbad, California 92008 •,, (619)931-2121 City of Carlsbad . 92140. Fire Department • Bureau of Prevention General Comments: Date of Report:Wednesday, July 1, 1992 Contact Name David Cruz, D.C. -. .. Address 1880 Marron Rd Ste 102 . - City, State Carlsbad CA 92008 Bldg. Dept. No. Planning No. Job Name Chiropractic/Therapy Job Address 1880 Marron Ste. or Bldg. No. .102 - 2560 Orion Way Carlsbad, California 92008 (619) 931-2121 INDUSTRIAL WASTE DISCHARGE PERMIT APPLICATION 'JSlN9SNAME Cru2- C 1c7C (ve X1DDRESS .( ''o (o ,ed ,JCr-RSÔN(at business)I v 1 . c -b. C. PfONE NUMBER (C4) Ti --{01 Type of Business (check all that apply) Q Agricultural O Assembly O Automotive 0 Chemical Handling O Electronics O Food O Government O Laboratory El Laundry O Manufacturing O Medical O Metal Work O office El Photo Lab O Retail O Service Station O Warehouse Other Ckpioco /DEBE WASTE OTHER THAN DOMESTIC (Chemicals, Particulates, etc.) CRE BUSINESS ACTIVITY:C 1Psc( • ERAL DESCRIPTION OF ONSIE WASTEWATER PROCESSING: (chemical & physical characteristics)_ Is business presently in operation at site? 0 YES 0 NO • • Has W3tewater Discharge Permit been applied for through the. Encina Water Authority? 0 YES 0 NO i3p61cant's NameIIIIv L C Lrz Q 1 'C..Aone,_7c 7 7 Please Print • •; W, Date • Date (0•zc-2_ Signature dtity Representative O EXEMPT , NOT EXEMPT •• Date forwarded to Encina (i'. Zc P:\DCCSVI1SF0RISS\FRN0005 • S S REV. 2/10/92