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Home My WebLink About2762 LOKER AVE; ; CBC2024-0218; PermitPrint Date: 06/09/2025 Building Permit Finaled Commercial Permit CBC2024-0218Permit No: Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 2762 LOKER AVE W, CARLSBAD, CA 92010-6603 BLDG-Commercial 2090810900 $15,505.16 Work Class: Lot #: Project #: Tenant Improvement Status: Applied: Issued: 07/10/2024 09/10/2024 Finaled Close Out:06/09/2025 #of Dwelling Units: Track #: Plan #: Closed - Finaled Plan Check #: Orig. Plan Check #:Bathrooms: Final Inspection:01/27/2025Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: INSPECTOR:de Roggenbuke, Dirk Kersch, Tim Renfro, Chris NORDSON: 269 TI INCLUDING A NEW COFFEE/BREAKROOM, TWO UNISEX RESTROOMS ADDED TO EXISTING INTERIOR OFFICE SPACE (E-REVIEW) Description: Project Title: Applicant: RAM CONSTRUCTIONPATRICK WILLETTE4350 EXECUTIVE DR, # STE 100 SAN DIEGO, CA 92121-2116 (619) 730-8575 Property Owner: NORDSON CORPORATIONLARRY WHITE2747 LOKER AVE W CARLSBAD, CA 92010-6601 (760) 930-3382 Contractor: RENAULT AND MORAN CONSTRUCTION LLC20 EXECUTIVE PARK, # STE 250IRVINE, CA 92614-4732 (949) 412-6500 AMOUNTFEE BUILDING PLAN CHECK $482.30 BUILDING PLAN REVIEW – MINOR PROJECTS (LDE)$197.00 BUILDING PLAN REVIEW – MINOR PROJECTS (PLN)$104.00 CERTIFICATE OF OCCUPANCY $20.00 COMM/IND TI – NON-STRUCTURAL $742.00 FIRE S Occupancies < 50,000sq. ft. TI $471.00 SB1473 – GREEN BUILDING STATE STANDARDS FEE $1.00 STRONG MOTION – COMMERCIAL (SMIP)$4.34 Total Fees:$2,021.64 Total Payments To Date:$2,021.64 Balance Due:$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. 1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 442-339-2719 ï 760-602-8560 f ï www.carlsbadca.gov Building Division Page 1 of 1 {"Cityof Carlsbad Renault and Moran Construction LLC 20 Executive Park STE 250 Irvine CA 92614-4732 (949) 418-7688 mbailey@ramconstruction-us.com BLOS014377-09-2023 2762 W Loker Ave Carlsbad CA 92010 Nordson Corporation X X X Office Office X Added Restrooms AO Architects 731 Suoth Highway 101 Suite 1M Solana Beach CA 92075 (714) 639-9860 pszymanski@aoarchitects.com Nordson Corporation 2747 W Loker Ave Carlsbad CA 92010 (760) 406-2665 larry.white@nordsonasymtek.com Patrick Willette 07-08-24 1038156 B Renault and Moran Construction LLC 20 Executive Park STE 250 Irvine CA 92614-4732 (619) 730-8575 pwillette@ramconstruction-us.com 2762 Loker Ave, Carlsbad, CA 92010 N/A 209-081-09-00 NORDSON 1985 B, S-2 IIIB X X NEW COFFEE / BREAK AREA, TWO NEW UNISEX RESTROOMS ADDED TO EXISTING INTERIOROFFICE SPACE X 269 OFFICE / LAB / WAREHOUSEB - S-2 OFFICE / LAB / WAREHOUSEB - S-2 ROB BUDETTI 731 S HIGHWAY 101, SUITE 1M SOLANA BEACH CA 92075 714.639.9860 ROB@AOARCHITECTS.COM C-23757 ( City of Carlsbad COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check ________ _ Est. Value PC Deposit Date Job Address __________________ .Suite: _____ .APN: __________ _ Tenant Name #: _________________ Lot #: ____ Vear Built: _________ _ Year Built: __ _ Occupancy: __ _ Construction Type: __ _ Fire sprinklersQ{ESQ N0 A/C:QYESQ NO BRIEF DESCRIPTION OF WORK: D 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: ______ _ D Pool/Spa: _____ SF Additional Gas or Electrical Features? ____________ _ D Solar: ___ KW, ___ Modules, Mounted: 0 Roof 0 Ground D Reroof: ___________________________________ _ D Plumbing/Mechanical/Electrical D Other:------------------------------------ APPLICANT (PRIMARY CONTACT) PROPERTY OWNER Name_· _________________ Name: ___________________ _ Address· Address: __________________ _ City._· _______ State: ___ .Zip: ____ City: __________ State: ___ Zip: ____ _ Phone· Phone: ___________________ _ Email· Email: ___________________ _ DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name._· _________________ Business Name: _______________ _ Address: Address: __________________ _ City._· _______ State: ___ Zip: _____ City: _______ State: ___ Zip: ______ _ Phone: Phone: __________________ _ Email: Email: ___________________ _ Architect State License: CSLB License #: _______ Class: ______ _ Carlsbad Business License# (Required): _______ _ APPLICANT CERTIFICATION: 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 and State laws relating to building construction. n ' NAME (PRINT):_________ SIGN: ~-c0•_ \],%9:?' DATE: _____ _ 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov REV. 07/21 X March & McKennan Insurance Agency, LLC 06/12/2025 Patrick Willette 07-08-24 7039579206 PHILIP SZYMANSKI, RA, NCARB 2024/07/08 Valley Forge Insurance Company □ □ □ □ □ □ □ Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBC2024-0218) BLDG-Commercial 07/10/2024Application Date:Permit Type:Owner:NORDSON CORPORATION Tenant Improvement 09/10/2024Work Class:Issue Date:Subdivision:CARLSBAD TCT#74-21 06/02/2025Expiration Date:Status: IVR Number: 57587 Closed - Finaled 2762 LOKER AVE W CARLSBAD, CA 92010-6603 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 11/25/2024 11/25/2024 BLDG-84 Rough Combo(14,24,34,44) 269152-2024 Passed Tim Kersch Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-14 Frame-Steel-Bolting-Welding (Decks) Yes BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Rough-Ducts-Dampers Yes NOTES Created By TEXT Created Date Shawn Huff Rick Batson 949-241-6900 11/22/2024 11/27/2024 11/27/2024 BLDG-16 Insulation 269380-2024 Passed Tim Kersch Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-SW-Inspection 269623-2024 Partial Pass Tim Kersch Reinspection Incomplete COMMENTS PassedChecklist Item Are erosion control BMPs functioning properly? Yes Are perimeter control BMPs maintained? Yes Is the entrance stabilized to prevent tracking? Yes Have sediments been tracked on to the street? Yes Has trash/debris accumulated throughout the site? Yes Are portable restrooms properly positioned? Yes Do portable restrooms have secondary containment? Yes 12/04/2024 12/04/2024 BLDG-17 Interior Lath/Drywall 269888-2024 Passed Tim Kersch Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes 01/22/2025 BLDG-17 Interior Lath/Drywall 273888-2025 Cancelled Dirk de Roggenbuke Reinspection Incomplete Monday, June 9, 2025 Page 1 of 2 {cityof Carlsbad PERMIT INSPECTION HISTORY for (CBC2024-0218) BLDG-Commercial 07/10/2024Application Date:Permit Type:Owner:NORDSON CORPORATION Tenant Improvement 09/10/2024Work Class:Issue Date:Subdivision:CARLSBAD TCT#74-21 06/02/2025Expiration Date:Status: IVR Number: 57587 Closed - Finaled 2762 LOKER AVE W CARLSBAD, CA 92010-6603 Address: Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection InspectionActual Start Date COMMENTS PassedChecklist Item BLDG-Building Deficiency No 01/27/2025 01/27/2025 BLDG-Final Inspection 274083-2025 Passed Tim Kersch Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes Monday, June 9, 2025 Page 2 of 2 True North Compliance Services, Inc. 8369 Vickers Street, Suite 207, San Diego, CA 92111 T | 562.733.8030 Transmittal Letter July 25, 2024 City of Carlsbad FIRST REVIEW Community Development Department - Building Division City Permit No: CBC2024-0218 1635 Faraday Ave. True North No.: 24-018-633 Carlsbad, CA 92008 Plan Review: TI Add Coffee Area and ADA Restrooms. Address: 2762 Loker Ave W, Carlsbad CA Applicant Name: Renault and Moran Construction LLC Applicant Email: pwillette@ramconstruction-us.com. True North Compliance Services, Inc. has completed the review of the following documents for the project referenced above on behalf of the City of Carlsbad. Our comments can be found on the attached list. 1. Drawings: Electronic copy dated July 1, 2024, by AO architecture. Attn: Permit Technician, the scope of work on the plans has been reviewed for coordination with the scope of work on the permit application. See below for information if the scope of work on plans differs from the permit application: Valuation: Confirmed Scope of Work: Confirmed Floor Area: Confirmed Our comments follow on the attached list. Please call if you have any questions or if we can be of further assistance. Sincerely, True North Compliance Services Review By: Mohammad Afaneh - Plan Review Engineer Quality Review By: Alaa Atassi - Plan Review Engineer True orth '/. COMPLIANCE SERVICES TI Add Coffee Area and ADA Restrooms. City of Carlsbad– FIRST REVIEW 2762 Loker Ave W City Permit No.: CBC2024-0218 July 25, 2024 True North No.: 24-018-633 Page 2 Plan Review Comments ELECTRONIC - RESUBMITTAL INSTRUCTIONS: Please do not resubmit plans until all departments have completed their reviews. For status, please contact building@carlsbadca.gov Please make all corrections, as requested in the correction list. Corrected sets can be submitted as follows: Email the revised plans and comment response letter(s) to building@carlsbadca.gov for continued review. Note: If this project requires FIRE PREVENTION review, ensure that you follow their specific instructions for resubmittal review. The city will not route plans back to Dennis Grubb & Associates for continued Fire Prevention review. GENERAL INFORMATION: A. The following comments are referred to the 2022 California Building, Mechanical, Plumbing, Electrical Codes, California Green Building Standards Code, and Energy Code (i.e., 2021 IBC, UMC, UPC, and 2020 NEC, as amended by the State of California). B. There may be other comments generated by the Building Division and/or other City departments that will also require your attention and response. This attached list of comments, then, is only a portion of the plan review. Contact the City for other items. C. Respond in writing to each comment by marking the attached comment list or creating a response letter. Indicate which details, specification, or calculation shows the required information. Your complete and clear responses will expedite the re-check. D. Where applicable, be sure to include the architect and engineer’s stamp and signature on all sheets of the drawings and on the coversheets of specifications and calculations per CBPC 5536.1 and CBPC 6735. This item will be verified prior to plan approval. E. If you have any questions regarding the comments below, please contact Mohammad Afaneh via email mohammada@tncservices.com or telephone (562) 733-8030. OCCUPANCY & BUILDING SUMMARY: Occupancy Groups: B/S-2 Occupant Load: 203 Type of Construction: III-B Sprinklers: Yes Stories: 1 Area of Work (sq. ft.): 42,706 sq. ft. ARCHITECTURAL COMMENTS: A1. In regards to the scope of work, please verify the exact area which the modifications. Scope of work specified sheet T10 specify tenet improvements of existing building in addition to new ADA restrooms and break area. Please clarify the extent of the tenet improvements TI Add Coffee Area and ADA Restrooms. City of Carlsbad– FIRST REVIEW 2762 Loker Ave W City Permit No.: CBC2024-0218 July 25, 2024 True North No.: 24-018-633 Page 3 a) Review was based on that only break room and restrooms are the scope of work, if work is proposed in any other areas, additional comments will be generated. A2. Revise sheet T1.0, address the following: a) Add City of Carlsbad Municipal code to the list of applicable codes. b) Please remove allowable area statement as it is not required for this permit. c) Provide documentation to demonstrate that the minimum number of required fixtures is within the minimum required by CPC 422.0 and Table 422.1. PROJECT SCOPE [I] PROJECT SCOPE !TENANT IMPROVEMENT OF EXISTING BUILOI G l REFRESHED ANO ADDED RESTROO ~SAND COFFEE AREA. NET SITE AREA: BUILDING AREA: ([] BUILDING QUALIFICATION MAX HEIGHT: 75 FT SPRINKLERED: YES 3.00ACRES 129,373 SF 42.706SF PARKING IS EXISTING TO REMAIN, NO CHANGES TO PARKING TI Add Coffee Area and ADA Restrooms. City of Carlsbad– FIRST REVIEW 2762 Loker Ave W City Permit No.: CBC2024-0218 July 25, 2024 True North No.: 24-018-633 Page 4 A3. Revise sheet LS1.0 and LS1.0b, address the following: a) In the tenet improvements right section, specify the roofing material to have a Class A fire classification. Per City of Carlsbad instruction. No work is proposed on the roof, remove note of not applicable. b) New break room is proposed. Break rooms, lunch areas, and conference rooms are considered assembly areas and shall be analyzed with an occupant load factor of 15 instead of 50 or 150 per CBC 1004.5. c) Signage table detail references are incorrect, please revise and amend, sheet T3.3 does not provide sign details. d) Where building requires two exits per CBC 1006, show the distance between the exits and the overall diagonal distance of the room, area, or building to ensure that the two exits are separated by more than one-third the diagonal distance for a sprinklered building CBC 1007.1.1. Mt:.Mtlt:.K:::i MIN ROOF COVERING CLASSIFICATION CLASS C {TABLE 1505.1 )~<----0 7 105 HALLW Y TACTILE EXrT SIGNAGE CID EXITSIGNAGE-"EXITROUTE" (ill) EXITSIGNAGE-"TOEXrl" (§[} EXITSIGNA.GE·"EXITSTAIRDOWN" TACTILE ACCESSIBLE RESTROOM AND SHOWER SIGNAGE (ill ACCESSIBLEMEN'STOILETGEOMETRICSYMBOI. ~ ACCESSIBLE~EN'STOILETGEC™ETRICS».IBOL GD ACCESSIBLEUNISEXTOILETGEOMETRICSYMBOL <Efil) ACCESSIBLE MEN'S TOILET IDENTIFICATION SIGN @Qi) .t.CCESSIBLE WOt,IEN'S TOILET OEHTIFICATl()N SIGN @@ ACCESSIBLEUNISEXlOILET IDENTlFCATIONSIGN CTD ACCESSIBLE SHOWER GEOMETRIC SYMBOL CillD ACCESSIBLE SHOWER IDENTIFICATION SIGN 6& 12/T3.3 GEIi 1. SITEINFORMATIONISI PERMIT. ~-REFERTOTH:CM.O DETAILS.CURB RAMP I '3. THIS F'tAN 15 FOR GEN INFORMATION 4. REFERTOTHELNLISI ~-REFERTOTHELAtl)SI 6 FLOORAREASAREBA: INTERIC'.flOfEXTERIO 7 THEEXITTRAVELPAn OETERMJNE0BYFIJTU le, THISISASliELLOM.Y AREREOUIREDPRIOR ISSUESAOORESSEDA" '9. FIREWl>US.AREBARI 0THEAWALLREOORE IOENTIFIEOWITHSIGN tHTERINGATLEAST1 1.,:;:,R;:-E E;::X;;::Tl:;:NG:;U:;:IS:;:HE;:;R~L;::EG:;:E:;:ND;---------(;J,;:;;;;:,::,;::;;;;:,;j.Jio. ~=~= FEC FIRE EXTINGUISHER CA81NET FEW FIRE EXISTINGUISHER {WALL MOUNTED) FAPS FlRE ALARM PULL ST A TION KNOX STANFORD KNOX BOX PERMITTING PROCESS 11. THEMEANSOFEGRES THEWAUONGSURFAC OCCUPIED 12.UGHTINGFIKTIJRESC( EOUIPMENTORANON FORAOURATKlNOFN TI Add Coffee Area and ADA Restrooms. City of Carlsbad– FIRST REVIEW 2762 Loker Ave W City Permit No.: CBC2024-0218 July 25, 2024 True North No.: 24-018-633 Page 5 e) Revise plans to show location of installed exit signs conforming to the CBC 1013. Exit signs shall be readily visible from any direction of approach and shall be located as necessary to clearly indicate the direction of egress travel. A4. Provide legend in all floor plans to specify the in scope area and NIC areas. A5. Revise sheet A7.1, address the following: a) Revise all details provided as the are referencing ICBO, ICBO evaluation reports are no longer valid, provide updated report numbers. b) Detail 10, specify non bearing wall bottom connection. A6. Justify providing sheet A9.X sheets, no remodeling is proposed in labs and other areas. Remove details if not applicable. ACCESSIBILITY COMMENTS: D1. Detail 11/T3.1, Revise the unisex restroom signage to exclude the pictogram of a male and female figure. Assembly Bill No. 1732 and CBC 11B-703.7.2.6.3 D2. Sheet T3.3, restrooms details, specify the mounting height to the grab bar to be 33” to 36” to the top if grab bar instead to the center of the bar. CBC 11B-609. ATER l NOLE AWAY ~ 1. MIN. REQU IREMENTS FOR A 1- HOUR FIRE RATED WALL TO BE PER 2. ICBO NO. NER-211 (MFR UNIMADT. INCORP.) F.0.F.WAl.l ~---WALL MOUNTED TOILET PAPER DISPENSER (WITHOUT STOPS) TI Add Coffee Area and ADA Restrooms. City of Carlsbad– FIRST REVIEW 2762 Loker Ave W City Permit No.: CBC2024-0218 July 25, 2024 True North No.: 24-018-633 Page 6 D3. CBC 11B-202.3 requires that accessibility be provided to the altered spaces. This accessibility shall include the requirements of CBC 11B-202.4, which entails: a primary entrance, a primary path of travel, sanitary facilities serving the area, a drinking fountain, and signs. Please address the following: a) Revise sheet A1.0 address the following: i) On the site plan, specify the accessible route to be 5% maximum running slope with 2% maximum cross slope per CBC 11B-403.3. ii) Provide detectable warning where the accessible route crosses or adjoins the vehicular path of travel per CBC 11B-247.1.2.5. iii) Show location and provide details for curb ramps in accordance with CBC 11B-406. b) Revise sheet A2.2, address the following: i) Dimension a minimum clear floor space of 60” wide and 48” deep maneuvering clearance in front of the water closet. CBC 11B-604.3.1. ii) The provided 60” diameter circle shall not intersect with the water coset, please revise and amend, CBC 11B-304.3.1, iii) Provide clear floor space in accordance with CBC 11B-305 for a forward approach. CBC 11B-606.2 iv) Centerline of lavatories to be 18 inches minimum from adjacent wall or partition instead of 15”. CBC 11B-606.6. v) Accessible urinal within an alcove that is more than 24 inches deep shall be provided with a clear width of 36 inches minimum per CBC 11B-605.3 and 11B-305.7.1. Revise to show compliance. vi) Reference sheet T3.3 for mounting height details. c) Sheet A2.3, address the following: i) Dimension a minimum clear floor space of 60” wide and 48” deep maneuvering clearance in front of the water closet. CBC 11B-604.3.1. ii) Dimension a 18” minimum strike distance at the pull side of the doors per CBC 11B-404. iii) Toilet tissue dispensers shall be located on the wall within 7 to 9 inches of the front edge of the toilet seat, at a minimum height of 19 inches. Dispensers that control delivery or do not permit continuous paper flow shall not be used. CBC 11B-604.7. TI Add Coffee Area and ADA Restrooms. City of Carlsbad– FIRST REVIEW 2762 Loker Ave W City Permit No.: CBC2024-0218 July 25, 2024 True North No.: 24-018-633 Page 7 d) Sheet A2.4, address the following: i) Dimension a minimum clear floor space of 60” wide and 48” deep maneuvering clearance in front of the water closet. CBC 11B-604.3.1., ii) Provide clear floor space in accordance with CBC 11B-305 for a forward approach. CBC 11B-606.2 iii) Centerline of lavatories to be 18 inches minimum from adjacent wall or partition instead of 15”. CBC 11B-606.6. iv) Accessible urinal within an alcove that is more than 24 inches deep shall be provided with a clear width of 36 inches minimum per CBC 11B-605.3 and 11B-305.7.1. Revise to show compliance. v) Reference sheet T3.3 for mounting height details. e) At the women’s and men’s accessible water closet compartments, dimension 18” strike clearance at the pull side of the doors per CBC 11B-404.2.4.1. TI Add Coffee Area and ADA Restrooms. City of Carlsbad– FIRST REVIEW 2762 Loker Ave W City Permit No.: CBC2024-0218 July 25, 2024 True North No.: 24-018-633 Page 8 D4. Sheet A4.0, revise provided cross section of the counter surface at the break rooms. a) Show the height of the counter surface to be 34-inches maximum above the finish floor per CBC 11B-902.3. b) Show an accessible sink in accordance with CBC 11B-606. Provide details D5. On sheet A6.1, address the following: a) Specify door thresholds, if provided at doorways, to be ½ inch high maximum. Raised thresholds and changes in level at doorways shall comply with CBC Section 11B-302 and 11B-303. CBC 11B-404.2.5. b) Door opening hardware is mounted 34” to 44” above the finish floor per CBC 11B-404.2.7. c) Door hardware are operable with one hand and do not require tight grasping, pinching, or twisting of the hand. CBC 11B-404.2.7 and 11B-309.4. d) Door opening force is 5-pounds maximum for interior and exterior doors per CBC 11B-404.2.9. e) Doors with vision panels to specify the bottom of the vision panel in the door to be 43” maximum above the finish floor per CBC 11B-404.2.11. :STROOM E:J •SF - a I ... I ... Ii ' 1 .. 1.,1 .. ;,:J .. ; .. I .. IJ I TI Add Coffee Area and ADA Restrooms. City of Carlsbad– FIRST REVIEW 2762 Loker Ave W City Permit No.: CBC2024-0218 July 25, 2024 True North No.: 24-018-633 Page 9 MEP COMMENTS: M1. New restrooms and restrooms ventilation are proposed, please provide mechanical plans that show the mechanical work proposed with the tenant improvement. a) Provide exhaust ventilation for the restroom. CMC 112.2. ENERGY COMPLIANCE COMMENTS: No comments. STRUCTURAL COMMENTS: S1. Note on cover sheet, “No structural work is proposed with this permit.”. If you have any questions regarding the above comments, please contact Mohammad Afaneh via email mohammada@tncservices.com or telephone (562) 733-8030. [END] IScale: V,1 DOOR TYPES >---3-116-•• -1-._0-. --<l HM-9171 (9/18) County of San Diego - DEH - Hazardous Materials Division OFFICE USE ONLY RECORD ID # PLAN CHECK # BP DATE / / SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE Business Name Business Contact Telephone # Project Address (include suite) City State Zip Code APN# Mailing Address (include suite) City State Zip Code Plan File# Project Contact Applicant E-mail Telephone # 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 13. Corrosives 2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards 3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. 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: YES NO (for new construction or remodeling projects) 1. Is your business listed on the reverse side of this form? (check all that apply). 2. Will your business dispose of Hazardous Substances or Medical Waste in any amount? 3. Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? 4. Will your business store or handle carcinogens/reproductive toxins in any quantity? 5. Will your business use an existing or install an underground storage tank? 6. Will your business store or handle Regulated Substances (CalARP)? 7. Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? 8. 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). CalARP Exempt / Date Initials CalARP Required / Date Initials CalARP Complete / Date Initials PART III: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD): The following questions are intended to identify the majority of air pollution issues at the planning stage. Your project may require additional measures not identified by these questions. Some residential projects may be exempt from APCD requirements. If yes is answered for either questions 1, 2 or 5 or for more comprehensive requirements, please contact APCD at apcdcomp@sdcounty.ca.gov; (858) 586-2650; or 10124 Old Grove Road, San Diego, CA 92131. YES NO 1. Will the project disturb 100 square feet or more of existing building materials? 2. Will any load supporting structural members be removed? 3. (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by an individual that has passed an EPA-approved building inspector course? 4. (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Based on the survey results, will the project disturb any asbestos containing material? If yes, a notification may be required at least 10 working days prior to commencing asbestos removal. Additionally, a notification may be required prior to the removal of a load supporting structural member(s) regardless of the presence of asbestos. 5. Will the project or associated construction equipment emit air contaminants? 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. 6. (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school boundary? Briefly describe business activities: Briefly describe proposed project: I declare under penalty of perjury that to the best of my knowledge and belief the responses made herein are true and correct. / / Name of Owner or Authorized Agent Signature of Owner or Authorized Agent Date FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: BY: DATE: / / EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMD* APCD COUNTY-HMD APCD COUNTY-HMD APCD *A stamp in this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply NORDSON LARRY WHITE LARRY.WHITE@NORDSONAYMTEK.COM 2762 Loker Ave Carlsbad, CA 92010 2762 Loker Ave Carlsbad, CA 92010 Philip Szymanski pszymanski@aoarchitects.com 858.342.2185 209-081-09-00 PHILIP SZYMANSKI, RA, NCARB 07 02 2024 COFFEE BREAK AREA AND TWO RESTROOMSADDED TO EXISTING OFFICE SPACE XX X X X X X X X X X General Office & Electronics Testing □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □