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Home My WebLink About1207 CARLSBAD VILLAGE DR; G; CB004874; Permit02/14/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No Building Inspection Request Line (760) 602-2725 CB004874 Job Address Permit Type Parcel No Valuation Occupancy Group Project Title 02/14/2001 Applicant 1207 CARLSBAD VILLAGE DR CBAD St G Tl Sub Type COMM 1561804500 Lot# 0 $36,904 00 Construction Type VN Reference # LIETHEN-DENTIST-REMODEL 842 SF Status Applied Entered By MED TO MED & ADD 476 SF OFFICE TO MEDICAL Issued Inspect Area Owner DILLARD BUILDERS INC 262 GARDEN GROVE LN ELCAJON CA 92020 619461-7470 ISSUED 12/26/2000 RMA Plan Approved 02/14/2001 LANCER INDUSTRIES INC 1207 CARLSBAD VILLAGE DR PARTNERS 1547 AVENIDA LA POSTA ENCINITASCA92024 ,_,„154? 02/14/01 0002 01 1024-68 Total Fees $1,23296 Total Payments To Date $208 28 Balance Due $1,02468 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot Water Con Fee Meter Size Add'l Pot Water Con Fee Reel Water Con Fee $320 43 Meter Size $0 00 Add'l Reel Water Con Fee $208 28 Meter Fee ' $0 00 SDCWA Fee $0 00 CFD Payoff Fee~ $7 75 PFF $000 PFF (CFD Fund) $0 00 License Tax $0 00 License Tax (CFD Fund) $0 00 Traffic Impact Fee $0 00 Traffic Impact (CFD Fund) $0 00 ' LFMZ Transportation Fee $0 00 PLUMBING TOTAL $0 00 ELECTRICAL TOTAL $0 00 MECHANICAL TOTAL Master Drainage Fee $0 00 Sewer Fee $0 00 Redev Parking Fee TOTAL PERMIT FEES $000 $000 $000 $000 $000 $000 $000 $000 $269 36 $248 64 $000 $7700 $6000 $41 50 $000 $000 $000 $1,23296 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions" 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 attach 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 limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO ( ffftp t$7V Plan Ck Deposit Validated By Date Business Name (at this address)Address (include Bldg/Suite #} Subdivision Name/NumberLegal Description Assessor's Parcel Description of Work *A CT,PERSON (if,d Contractor, ' Q Agent for Contractor Name 4- € PROPERTY'OWNER Address City State/Zip Telephone ftName 5.1LCONTRACTORf-COMPA'NYNAME \ 7''"I"', '„„,.',,' , V7,_"„[-,„ ,~.~>~~ I ','„. ''" /"«"' <, ^ ' .;",{.' -^ ! ™ "" T •! ," IT""'\ l (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged qtion .Any violation of Section 7031 5 by any applicant for a petmit subjects the applicant to a civil penalty of-not more than five hundred dollarsJS500J) ' ' ' ypgfOr» c Name State License # Address License Class I fT/ f=. —J City Ctfy Business Lic£n City State/Zip se » State/Zip TelephoneDesigner Name" Address State License # _ ,6 WORKERS'i'COMPENSATIONEh^J^r', "!t 1 „"' "'"''' "'"',.,',"['„" „ "". ' ' """' ' ','!'..'"'-''« i Tfr.,i ", 1 !* Is '< I Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations C] 1 have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of tKe work for which this permit is issued •CJN ' nave and Wl" maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My worker's comperj^atio/nnsurance carrier and potfcy number are Insurance Company --2_J ^$~%~__ T~" ^^M. Policy No (J | l / J? '00 Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l$100] OR LESS) T n 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 o WARNING Failure to secure workers' comtnJnsa thousand dollars ($100,00, SIGNATURE COS pi awful, and shall subject an employer to criminal penalties and civil fines up to one hundred damages as provided for in Section 3706 of the Labor DATE ) de interest and attorney s fees 7 T^OWNER-BUILDER;DECLARATION- , , , ",{''« ,« _L_ , < "" ' . .. I hereby affirm that I am exempt from the Contractor s License Law for the following reason O 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 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) D 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 thereon, and contracts for such projects with contfactor(s) licensed pursuant to the Contractor s License Law) Q I am exempt under Section _ ...... Business and Professions Code for this reason YES1 I personally plan to provide the major labor and materials for construction of the proposed property improvement 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) 4 I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number) 5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) __.... _____ PROPERTY OWNER SIGNATURE DATE _ 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 Presley-Tanner Hazardous Substance Account Act7 d YES Cj NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 Q YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q NO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 8 rrcONSTRUCTTQNUNDING'AGENCY ™*;™ .^^ ^ •; _ ~' •"_,,' ' ;. ,,'' " ' '_' "il"""'. ,,', " ' ". "" " „ "' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code) LENDER'S NAME LENDER'S ADDRESS ___ >"'"' APPLICANT:CERTIFICATION" £ "' .7" ' "" '"'"" r<' "V " i, ",",,, .f , T- < '. t» •[ •_•-"- -~ "">i ' ', ^,, 'v< f," "T , 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 I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones in height EXPIRATION Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if Ihe building or work authorized by such permil is nol commenced wtthm ^ BO days 1rom the dale ol such permrt 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 10644 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance TTNSCHEDULED BUILDING INSPECTION DATE PERMITS JOB ADDRESS DESCRIPTION INSPECTOR s) •' PLAN CHECK # CODE DESCRIPTION ACT COMMENTS City of Carlsbad Bldg Inspection Request For 10/24/2001 Permit# CB004874 Title LIETHEN-DENTIST-REMODEL 842 SF Description MED TO MED & ADD 476 SF OFFICE TO MEDICAL Inspector Assignment JC 1207 CARLSBAD VILLAGE DR G Lot 0 Type Tl Sub Type COMM Job Address Suite Location APPLICANT DILLARD BUILDERS INC Owner SKELLY DARREN J&LISA Remarks Phone 6198879997 Inspector Total Time Requested By SCOTT Entered By CHRISTINE CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Act Comments Associated PCRs Date 10/22/2001 10/22/2001 10/22/2001 10/22/2001 05/07/2001 05/04/2001 05/02/2001 05/02/2001 04/30/2001 04/04/2001 04/04/2001 04/03/2001 03/09/2001 03/06/2001 Insoection Historv Description 11 Ftg/Foundation/Piers 19 Final Structural 29 Final Plumbing 39 Final Electrical 14 Frame/Steel/Bolting/Weldmg 14 Frame/Steel/Bolting/Welding 33 Service Change/Upgrade 39 Final Electrical 34 Rough Electric 16 Insulation 17 Interior Lath/Drywall 14 Frame/Steel/Boltmg/Welding 24 Rough/Topout 14 Frame/Steel/Bolting/Welding Act we CO CO CO AP CA AP we CO AP PA PA AP NR Insp JC JC JC JC JC JC JC JC JC JC JC JC JC JC Comments GFI THRU-OUT GFI THRU-OUT SEE ATTACHED NOTICE 1207 SUITE K SEE LIST ATTACHED City of Carlsbad Bldg Inspection Request For 10/22/2001 Permit# CB004874 Title LIETHEN-DENTIST-REMODEL 842 SF Description MED TO MED & ADD 476 SF OFFICE TO MEDICAL Inspector Assignment JC 1207 CARLSBAD VILLAGE DR G Lot 0 Type Tl Sub Type COMM Job Address Suite Location APPLICANT DILLARD BUILDERS INC Owner SKELLY DARREN J&LISA Remarks TYPE????????? Phone 6198879997 Inspector /JjC_- Total Time CD Description 11 Ftg/Foundation/Piers/y &**&> Requested By SCOTT Entered By KAREN Act Comments ez -&#^ Associated PCRs Date 05/07/2001 05/04/2001 05/02/2001 05/02/2001 04/30/2001 04/04/2001 04/04/2001 04/03/2001 03/09/2001 03/06/2001 Inspection Historv Description 14 Frame/Steel/Bolting/Welding 14 Frame/Steel/Bolting/Weldmg 33 Service Change/Upgrade 39 Final Electrical 34 Rough Electric 16 Insulation 17 Interior Lath/Drywall 14 Frame/Steel/Bolting/Weldmg 24 Rough/Topout 14 Frame/Steel/Bolting/Welding Act AP CA AP we CO AP PA PA AP NR Ins JC JC JC JC JC JC JC JC JC JC Comments 1207 SUITE K SEE LIST ATTACHED NOTICECITY OF CARLSBAD (760) 602-2700 BUILDING DEPARTMENT 1635 FARADAY AVENUE DATE /V/^2/ Of TIME LOCATION PERMIT NO FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE? FOR FURTHER INFORMATION, CONTACT YES PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER City of Carlsbad Bldg Inspection Request For 05/02/2001 Permit# CB004874 Title LIETHEN-DENTIST-REMODEL 842 SF Description MED TO MED & ADD 476 SF OFFICE TO MEDICAL Inspector Assignment JC 1207 CARLSBAD VILLAGE G Lot 0 Type Tl Sub Type COMM Job Address Suite Location APPLICANT DILLARD BUILDERS INC Owner LANCER INDUSTRIES IN Remarks METER RELEASE INSPECTION Phone 6198879997 Inspector Total Time Requested By SCOTT Entered By CHRISTINE CD Description 39 Final Electrical 33 s^^c*r uPt*&&r>ur Act Comments Associated PCRs Inspection History Date Description Act Insp Comments 04/30/2001 34 Rough Electric 04/04/2001 16 Insulation 04/04/2001 17 Interior Lath/Drywall 04/03/2001 14 Frame/Steel/Bolting/Weldmg 03/09/2001 24 RoughATopout 03/06/2001 14 Frame/Steel/Bolting/Weldmg CO JC SEE LIST ATTACHED AP JC PA JC PA JC AP JC NR JC NOTICECITY OF CARLSBAD (760) 602-2700 BUILDING DEPARTMENT 1635 FARADAY AVENUE DATE y/5W &/ TIME LOCATION PERMIT NO f> &00 ^ S- FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE'? FOR FURTHER INFORMATION, CONTACT YES PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER City of Carlsbad Bldg Inspection Request For 04/30/2001 Permit# CB004874 Title LIETHEN-DENTIST-REMODEL 842 SF Description MED TO MED & ADD 476 SF OFFICE TO MEDICAL Inspector Assignment JC 1207 CARLSBAD VILLAGE DR G Lot 0 Type Tl Job Address Suite Location APPLICANT DILLARD BUILDERS INC Owner LANCER INDUSTRIES INC Remarks T/S P B RELEASE Sub Type COMM Phone 6198879997 Inspector Jr (L Total Time CD Description 34 Rough Electric Requested By SCOTT Entered By CHRISTINE Act Comments Associated PCRs Inspection History Date Description Act Insp Comments 04/04/2001 16 Insulation AP JC 04/04/2001 17 Interior Lath/Drywall PA JC 04/03/2001 14Frame/Steel/Bolting/Weldmg PA JC 03/09/2001 24 Rough/Topout AP JC 03/06/2001 14Frame/Steel/Boltmg/WeIdmg NR JC EsGil Corporation In Partnership with Government for Building Safet) DATE 2/6/01 a JURISDICTION City of Carlsbad a PLAN REVIEWER a FILE PLAN CHECK NO 00-4874 SET III PROJECT ADDRESS 1207 Carlsbad Village Dr. Suite G PROJECT NAME Dr Sue Liethen D.D.S. - TI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes x [Xj The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified in the remarks below 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 Corporation until corrected plans are submitted for recheck The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person The applicant's copy of the check list has been sent to X] Esgil Corporation staff did not advise the app/rcant that the plan check has been completed Esgil Corporation staff did advise the applicant that the plan check has been completed Person contacted Telephone # Date contacted (by ) Fax # Mail Telephone Fax In Person Xj REMARKS Applicant to remove and replace revised sheet A2 to City held sets By Doug Moody Enclosures Esgil Corporation D GA EU MB D EJ D PC 1/31/01 trnsmtldot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 4- (858)560-1468 + Fax (858) 560-1576 EsGil Corporation In Partnership with Government for Building Safety DATE 1/26/01 O^EEUCANT JURISDICTION City of Carlsbad a PLAN REVIEWER Q FILE PLAN CHECK NO 00-4874 SET II PROJECT ADDRESS 1207 Carlsbad Village Dr. Suite G PROJECT NAME Dr Sue Liethen D.D.S. - TI 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 deficiencies identified below 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 X] The check list transmitted herewith is for your information The plans are being held at EsgiJ Corporation until corrected plans are submitted for recheck The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person XI The applicant's copy of the check list has been sent to Scott N Dillard 262 Garden Grove, El Cajon, Ca 92020 Esgil Corporation staff did not advise the applicant that the plan check has been completed X] Esgil Corporation staff did advise the applicant that the plan check has been completed Person contacted Scott N Dillard Telephone # 619-461-7470 Date contacted //^/o, (by fax) Fax # 619-461-7478 Mail '"-Telephone Fax-^ In Person REMARKS By Doug Moody Enclosures Esgil Corporation D GA D MB D EJ D PC 1/19/01 trnsmtldot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 4 (858)560-1468 * Fax (858) 560-1576 City of Carlsbad OO-4874 II 1/26/01 RECHECK PLAN CORRECTION LIST JURISDICTION City of Carlsbad PLAN CHECK NO 00-4874 PROJECT ADDRESS 1207 Carlsbad Village Dr. Suite G SET II DATE PLAN RECEIVED BY DATE RECHECK COMPLETED ESGIL CORPORATION 1/19/01 1/26/01 REVIEWED BY Doug Moody FOREWORD (PLEASE READ): This plan review is limited to the technical requirements contained in the Uniform Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and disabled access This plan review is based on regulations enforced by the Building Department You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department or other departments The following items listed need clarification, modification or change All items must be satisfied before the plans will be in conformance with the cited codes and regulations Per Sec 106 4 3, 1997 Uniform Building Code, the approval of the plans does not permit the violation of any state, county or city law A Please make all corrections on the original tracings and submit two new sets of prints to ESGIL CORPORATION B To facilitate rechecking, please identify, next to each item, the sheet of the plans upon which each correction on this sheet has been made and return this sheet with the revised plans C The following items have not been resolved from the previous plan reviews The original correction number has been given for your reference In case you did not keep a copy of the prior correction list, we have enclosed those pages containing the outstanding corrections Please contact me if you have any questions regarding these items D Please indicate here if any changes have been made to the plans that are not a result of corrections from this list If there are other changes, please briefly describe them and where they are located on the plans Have changes been made not resulting from this list? QYes QNo City of Carlsbad 00-4874 II 1/26/01 These corrections are in response to items not fully addressed or as the result of information provided. Please revise the plans to be consistent with these requirement shown on the HC sheet. 17 Please revise the plans to show the required 18" for the centerlme of the toilet to an adjacent wall Section 1115B 7 2 18 Show that the water closet is located in a space, per Section 1115B7 2, which provides a) A minimum side clearance of either i) >28" from a fixture n) >32" from a wall on one side in) >48" clear space in front of the water closet 19 Revise plans to show that grab bars comply with the following, per Section 1115B8 a) Grab bars shall be located on each side or one side and the back of the water closet stall or compartment b) They shall be securely attached 33" above the floor, and parallel NOTE Where a tank-type toilet is used which obstructs placement at 33", the grab bar may be installed as high as 36" c) Grab bars at the side shall be located i) 15" to 16y2" (±1") from the center line of the water closet stool n) Be >42" long with the front end positioned 24" in front of the stool in) Total length of bars at the back shall be >36" d) The diameter, or width, of the grab bar gripping surface is >11/4" but £1Va", or the shape shall provide an equivalent gripping surface e) If mounted adjacent to a wall, the space between the wall and the grab bar shall be 11/2" f) Be designed to support 250# EsGil Corporation In Partnership with Government for Building Safety DATE 1/5/O1 JURISDICTION City of Carlsbad a PLAN REVIEWER a FILE PLAN CHECK NO 00-4874 SET I PROJECT ADDRESS. 1207 Carlsbad Village Dr Suite G PROJECT NAME Dr Sue Liethen D.D.S. - TI 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 building codes when minor deficiencies identified below are resolved and checked by building department staff The plans transmitted herewith have significant deficiencies identified on the enclosed 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 Corporation until corrected plans are submitted for recheck The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person [X] The applicant's copy of the check list has been sent to Scott N Dillard 262 Garden Grove, El Cajon, Ca 92020 LJ Esgil Corporation staff did not advise the applicant that the plan check has been completed [>(] Esgil Corporation staff did advise the applicant that the plan check has been completed Person contacted Scott N Dillard (V.M.) Telephone # 619-461-7470 (by fetuu) Fax # 619-461-7478 Mail "•" Telephone-' Fax~" In Person REMARKS By Doug Moody Enclosures Esgil Corporation D GA D MB D EJ D PC 12/27/00 trnsmtldot 9320 Chesapeake Drive, Suite 208 4- San Diego, California 92123 ^ (858)560-1468 4- Fax (858) 560-1576 City of Carlsbad 00-4874 1/5/01 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO 00-4874 OCCUPANCY B TYPE OF CONSTRUCTION VN ALLOWABLE FLOOR AREA SPRINKLERS'? NO REMARKS DATE PLANS RECEIVED BY JURISDICTION 12/26/00 DATE INITIAL-PLAN REVIEW COMPLETED 1/5/01 JURISDICTION City of Carlsbad USE Dental Office ACTUAL AREA 1321 STORIES 2 HEIGHT: OCCUPANT LOAD 18 DATE PLANS RECEIVED BY ESGIL CORPORATION 12/27/00 PLAN REVIEWER Doug Moody FOREWORD (PLEASE READ): This plan review is limited to the technical requirements contained in the Uniform Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled This plan review is based on regulations enforced by the Building Department You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department, Fire Department or other departments Clearance from those departrrlerrts may be required prior to the issuance of a building permit Code sections cited are based on the 1997 UBC The following items listed need clarification, modification or change All items must be satisfied before the plans will be in conformance with the cited codes and regulations Per Sec 106 4 3, 1997 Uniform Building Code, the approval of the plans does not permit the violation of any state, county or city law To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e.. plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. TENANT IMPROVEMENTS WITHOUT SPECIFIC ENERGY DATA OR POLICY SUPPLEMENTS (1997UBC)tiforw dot City of Carlsbad 00-4874 1/5/01 Please make all corrections on the original tracings, as requested in the correction list Submit three sets of plans for commercial/industrial projects (two sets of plans for residential projects) For expeditious processing, corrected sets can be submitted in one of two ways 1 Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave , Carlsbad, CA 92008, (760) 602-2700 The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments 2 Bring one corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468 Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments NOTE Plans that are submitted directly to EsGil Corporation only will not be reviewed by the Ctty Planning, Engineering and Fire Departments until review by EsGil Corporation is complete 1 Each sheet of the plans must be signed by the person responsible for their preparation, even though there are no structural changes Business and Professions Code 2 Glazing in the following locations should be of safety glazing material in accordance with Section 2406 4 a) Fixed or operable panels adjacent to a door where the nearest exposed edge of the glazing is within a 24-inch arc of either vertical edge of the door in a closed position And where the bottom exposed edge of the glazing is less than 60 inches above the walking surface 3 Provide a section view of all new interior partitions Show a) Type, size and spacing of studs Indicate gauge for metal studs Specify manufacturer and approval number or indicate "to be ICEJO approved" b) Method of attaching top and bottom plates to structure (NOTE Top of partition must be secured to roof or floor framing, unless suspended ceiling has been designed for partition lateral load) c) Wall sheathing material and details of attachment (size and spacing of fasteners) d) Show height of partition and suspended ceiling, and height from floor to roof framing or floor framing 4 Note on plan that suspended ceilings shall comply with UBC Tables 25-A, 16-O and 16-B 5 In Groups B, F, H, M and S Occupancies, if the number of employees exceeds four, provide separate toilet facilities for men and women If "the total number of employees will not exceed four", and only one restroom is provided, note the words in quotation above on the floor plan Section 2902 3 City of Carlsbad OO-4874 1/5/01 6 Provide evidence of Health Department approval (for tenants using X-ray equipment), where regulated by the local Health Department Please clarify, the x-ray equipment, shown on the floor plan in the hygiene room adjacent the reception area, was not shown in the physicist report is additional protection required for those wall? 7 Will medical gas be used9 If so please provide complete plans show compliance with Chapter 13 of the UPC 8 Please indicate on the plan the location of all electrical panels 9 Please note on the plans that all patient care receptacles shall comply with section 517-13 of the NEC 10 Please note on the plans "AC Cable is not allowed NM cable is restricted (without City approval) to one and two family dwellings Note on plans that an equipment ground conductor is to be installed in all flexible conduits" Per City of Carlsbad 11 Please note or show mechanical ventilation will be provided in all rooms, capable of,supplymg outside air, at a minimum rate of 15 cubic feet per minute per occupant UBC, Section 1202 2 1 12 Provide complete plumbing plans, including a) Complete dram, waste and vent plans b) Provide complete water line sizing calculations, including the water pressure, pressure losses, water demands, and developed pipe lengths UPC Section 6100 c) Show water heater size, type and location on plans UPC, Section 501 0 d) Please show the required Reduced Pressure Back-flow Prevention at the vacuum pump fc r 13 Show that water heater is adequately braced to resist seismic forces Provide two straps (one strap at top 1/3 of the tank and one strap at bottom 1/3 of the tank) UPC, Section 5105 14 Show P & T valve on water heater and detail dram line route from P & T valve to the exterior UPC Section 608 4 15 Show the accessible route of travel from the public way to the accessible entrance of the tenant space, per Section 1114B 1 2 16 Revise plans to show that the minimum strike edge distances are provided at the level area on the side to which a door (or a gate) swings, per Section 1133B 243 a) >18" at interior conditions City of Carlsbad OO-4874 1/5/01 17 Please revise the plans to show the required 18" for the centerlme of the toilet to an adjacent wall Section 1115B 7 2 18 Show that the water closet is located in a space, per Section 1115B72, which provides a) A minimum side clearance of either i) >28" from a fixture u) >32" from a wail on one side in) >48" clear space in front of the water closet 19 Revise plans to show that grab bars comply with the following, per Section 1115B8 b) Grab bars shall be located on each side or one side and the back of the water closet stall or compartment c) ^ They shall be securely attached 33" above the floor, and parallel NOTE Where a tank-type toilet is used which obstructs placement at 33", the grab bar may be installed as high as 36" d) Grab bars at the side shall be located i) 15" to 161/2" (±1") from the center line of the water closet stool n) Be >42" long with the front end positioned 24" in front of the stool in) Total length of bars at the back shall be >36" e) The diameter, or width, of the grab bar gripping surface is >1%" but ^11/2", or the shape shall provide an equivalent gripping surface" ' f) If mounted adjacent to a wall, the space between the wall and the grab bar shall be 11/2" g) Be designed to support 250# To speed up the review process, note on this list (or a copy) where each correction item has been addressed, i e , plan sheet, note or detail number, calculation page, etc Please indicate here if any changes have been made to the plans that are not a result of corrections from this list If there are other changes, please briefly describe them and where they are located in the plans Have changes been made to the plans not resulting from this correction list? Please indicate' City of Carlsbad OO-4874 1/5/01 Yes Q No Q The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123, telephone number of 858/560-1468, to perform the plan review for your project If you have any questions regarding these plan review items, please contact Doug Moody at Esgil Corporation Thank you City of Carlsbad 00-4874 1/5/01 VALUATION AND PLAN CHECK FEE JURISDICTION City of Carlsbad PLAN CHECK NO 00-4874 PREPARED BY Doug Moody DATE 1/5/01 BUILDING ADDRESS 1207 Carlsbad Village Dr Suite G BUILDING OCCUPANCY B TYPE OF CONSTRUCTION VN BUILDING PORTION Tl - Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code AREA ( Sq Ft ) 1321 cb Valuation Multiplier 2800 By Ordinance 1994 UBC Building Permit Fee ^ Reg Mod VALUE ($) 36,988 36,988 $320.43 1994 UBC Building Permit Fee * J Type of Review I I Repetitive Fee Repeats Complete Review D Other D Hourly Structural Only Hour(s) * $208 28 Esgil Plan Review Fee $166.62 Comments Sheet 1 of 1 macvalue doc BUILDING PLANCHECK CHECKLIST DATE /Jv/rrl BUILDING A6DRESS / £o 7 Cc, PROJECT DESCRIPTION -T~TL ASSESSOR'S PARCEL NUMBER / gC PLANCHECK NO CB ^ </€>"7 / ^-V^WMT^ l/y)y(^ic^ IT^T cSA-t° (^^ L i ^ B Wjeo-yS EST VALUE ENGINEERING DEPARTMENT APPROVAL 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 modifications, 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 build A Right-of-Way permit is required prior to construction of the following improvements DENIAL Please see^ the ^attached report of deficiencies marked with,Q-"Make necessary corrections to plansJf \ } r-or specifications for compliance with applicable codes and standards Submit corrected plans and/or specifications to this office for review By By Date Date Date FORfOFFICIAL USE ONLY ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT: Date fication Application Dedication Checklist Improvement Application Improvement Checklist Future Improvement Agreement Grading Permit Application Grading Submittal Checklist Right-of-Way Permit Application Right-of-Way Permit Submittal Checklist and Information Sheet Sewer Fee Information Sheet ENGINEERING DEPT CONTACT PERSON Name JOANNE JUCHNIEW1CZ City of Carlsbad Address 1635 Faraday Avenue, Carlsbad. CA 92008 Phone (760) 602-2775 CFD INFORMATION Parcel Map No Lots Record ation Carlsbad Tract A-4 H \WORD\DOCS\CHKLS-nBuilOing Planche* Cfclst Form (Gertenc) doc BUILDING PLANCHECK CHECKLIST 3RD D SITE PLAN 1 Provide a fully dimensioned site plan drawn to scale Show A North Arrow B Existing & Proposed Structures C Existing Street Improvements D Property Lines E Easements Right-of-Way Width & Adjacent Streets Driveway widths Existing or proposed sewer lateral Existing or proposed water service D 2 Show on site plan A Drainage Patterns 1 Building pad surface drainage must maintain a minimum slope of one percent towards an adjoining street or an approved drainage course 2 ADD THE FOLLOWING NOTE "Finish grade will provide a minimum positive drainage of 2% to swale 5' away from building " B Existing & Proposed Slopes and Topography C Size, type, location, alignment of existing or proposed sewer and water service (s) that serves the project Each unit requires a separate service, however, second dwelling units and apartment complexes are an exception D Sewer and water laterals should not be located within proposed driveways, per standards 3 Include on title sheet A Site address B Assessor's Parcel Number C Legal Description For commercial/industrial buildings and tenant improvement projects, include, total building square footage with the square footage for each different use, existing sewer permits showing square footage of different uses (manufacturing, warehouse, office, etc) previously approved D EXISTING PERMIT NUMBER DESCRIPTION H IWORDlDQcSlCHKLSTlBoMmB PlanehecK Cklsl Form (Genene) doc BUILDING PLANCHECK CHECKLIST 3rd DISCRETIONARY APPROVAL COMPLIANCE Q 4a Project does not comply with the following Engineering Conditions of approval for Project No CD D D ^b All conditions are in compliance Date DEDICATION REQUIREMENTS D D 5 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 $15.000. pursuant to Carlsbad Municipal Code Section 18 40 030 Dedication required as follows Dedication required Please have a registered Civil Engineer or Land Surveyor prepare the appropriate legal description together with an 8 Yz" x 11" plat map and submit with a title report All easement documents must be approved and signed by owner(s) prior to issuance of Building Permit Attached please find an application form and submittal checklist for the dedication process Submit the completed application form with the required checklist items and fees to the Engineering Department in person Applications will not be accept by mail or fax. Dedication completed by Date1 IMPROVEMENT REQUIREMENTS D D D 6a 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 $75.000. pursuant to Carlsbad Municipal Code Section 1840040 Public improvements required as follows Attached please find an application form and submittal checklist for the public improvement requirements A registered Civil Engineer must prepare the appropriate improvement plans and submit them together with the requirements on the attached checklist to the Engineering Department through a separate plan check process The completed application form and the requirements on the H \WORD\DOCS\CHKLST\Buikllno Ptanchech Cklst Form (RIDDLE HARVEY 7 12-00) doc BUILDING PLANCHECK CHECKLIST IST checklist must be submitted in person Applications by mail or fax are not accepted Improvement plans must be approved, appropriate securities posted and fees paid prior to issuance of building permit Improvement Plans signed by Date C] d Q 6b Construction of the public improvements may be deferred pursuant to Carlsbad Municipal Code Section 1840 Please submit a recent property title report or current grant deed on the property and processing fee of $280 so we may prepare the necessary Neighborhood Improvement Agreement. This agreement must be signed, notarized and approved by the City prior to issuance of a Building permit Neighborhood Improvement Agreement will include the following CD D D 6c Enclosed please find your Neighborhood Improvement Agreement Please return agreement signed and notarized to the Engineering Department Neighborhood Improvement Agreement completed by Date D CI 6d 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 GRADING PERMIT REQUIREMENTS The conditions that invoke the need for a grading permit are found in Section 11 06 030 of the Municipal Code CD CD D 7a Inadequate information available on Site Plan to make a determination on grading requirements Include accurate grading quantities (cut, fill import, export) n Q [3 7b Grading Permit required A separate grading plan prepared by a registered Civil Engineer must 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 D D D 7c Graded Pad Certification required (Note. Pad certification may be required even if a grading permit is not required ) H \WQRO\DOC5\CMKLS~nBuUdinaPlancheckCXIslFomi (RIDDLE HARVEY 7-12-00) (toe ,. Rev 9T2SKX} D D D D BUILDING PLANCHECK CHECKLIST 7d No Grading Permit required. 7e If grading is not required, write "No Grading" on plot plan MISCELLANEOUS PERMITS 8 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, tree trimming, driveway construction, tying into public storm dram, sewer and water utilities Right-of-Way permit required for ^^^ D D D n n n n INDUSTRIAL WASTE PERMIT If your facility is located in the City of Carlsbad sewer service area, you need to contact the Carlsbad Municipal Water District, located at 5950 El Cammo Real, Carlsbad, CA 92008 District personnel can provide forms and assistance, and will check to see if your business enterprise is on the EWA Exempt List You may telephone (760) 438-2722, extension 7153, for assistance Industrial Waste permit accepted by Date 10 NPDES PERMIT Complies with the City's requirements of the National Pollutant Discharge Elimination System (NPDES) permit The applicant shall provide best management practices to reduce surface pollutants to an acceptable level prior to discharge to sensitive areas. Plans for such improvements shall be approved by the City Engineer prior to issuance of grading or building permit, whichever occurs first 11 Q Required fees are attached Q No fees required WATER METER REVIEW 12a Domestic (potable) Use Ensure that the meter proposed by the owner/developer is not oversized Oversized meters are inaccurate during low-flow conditions If it is oversized, for the life of the meter, the City will not accurately bill the owner for the water used • All single family dwelling units received "standard" 1" service with 5/8" service H \WORD\DOCS\CHKLST\SufMlnQ Ranchech CHsl Form (Generic) doc 1ST jND iRD D D 12b BUILDING PLANCHECK CHECKLIST • If owner/developer proposes a size other than the "standard", then owner/developer must provide potable water demand calculations, which include total fixture counts and maximum water demand in gallons per minute (gpm) A typical fixture count and water demand worksheet is attached Once the gpm is provided, check against the "meter sizing schedule" to verify the anticipated meter size for the unit • Maximum service and meter size is a 2" service with a 2" meter • If a developer is proposing a meter greater than 2", suggest the installation of multiple 2" services as needed to provide the anticipated demand (manifolds are considered on case by case basis to limit multiple trenching into the street) Irrigation Use (where recycled water is not available) All irrigation meters must be sized via irrigation calculations (in gpm) prior to approval The developer must provide these calculations Please follow these guidelines 1. If the project is a newer development {newer than 1998), check the recent improvement plans and observe if the new irrigation service is reflected on the improvement sheets If so, at the water meter station, the demand in gpm may be listed there Irrigation services are listed with a circled "I", and potable water is typically a circled "W" The irrigation service should look like STA 1+00 Install 2" service and 1 5 meter (estimated 100 gpm) If the improvement plans do not list the irrigation meter and the service/meter will be installed via another instrument such as the building plans or grading plans (w/ a right of way permit of course), then the applicant must provide irrigation calculations for estimated worst-case irrigation demand (largest zone with the farthest reach) Typically, Larry Black has already reviewed this if landscape plans have been prepared, but the applicant must provide the calculations to you for your use Once you have received a good example of irrigation calculations, keep a set for your reference In general the calculations will include • Hydraulic grade line • Elevation at point of connection (POC) • Pressure at POC in pounds per square inch (PSl) • Worse case zone (largest, farthest away from valve • Total Sprinkler heads listed (with gpm use per head) • Include a 10% residual pressure at point of connection In general, all major sloped areas of a subdivision/project are to be irrigated via separate irrigation meters (unless the project is only SFD with no HOA) As long as the project is located within the City recycled water H \WORD\DOCS\CHKLST\Buiid1no Planche* Chlsl Form (Generic) toe 6 BUILDING PLANCHECK CHECKLIST IST 2ND 3RD service boundary, the City intends on switching these irrigation services/meters to a new recycled water line in the future CD CH 12c Irrigation Use (where recycled water is available) 1 Recycled water meters are sized the same as the irrigation meter above 2 If a project fronts a street with recycled water, then they should be connecting to this line to irrigate slopes within the development For subdivisions, this should have been identified, and implemented on the improvement plans Installing recycled water meters is a benefit for the applicant since they are exempt from paying the San Diego County Water Capacity fees However, if they front a street which the recycled water is there, but is not live (sometimes they are charged with potable water until recycled water is available), then the applicant must pay the San Diego Water Capacity Charge If within three years, the recycled water line is charged with recycled water by CMWD, then the applicant can apply for a refund to the San Diego County Water Authonty (SDCWA) for a refund. However, let the applicant know that we cannot guarantee the refund, and they must deal with the SDCWA for this D D D 13 Additional Comments: H \wORD\DOCS\CHKLST18iilldlnQ Ptancheck Cklst Form (Generic) doc n s- ENG1NEERING DEPARTMENT FEE CALCULATION WORKSHEET ^Estimate based on unconfirmed information from applicant Calculation based on building plancheck plan submittal. Address / (9-0"? Prepared by Date 4^ Bldg Permit No / Checked by Date EDU CALCULATIONS List types Types of Use ^ Types of Use1 ADT CALCULATIONS List types _ ( 5-£f^ tx^ct^ &S sU°cTypes of Use. u Types of Use 1 • I ! • / (r- and square footages for all uses */,,{) s-r^L , JJJ^. Sq Vt ?Units ' WfT1 ED|J)S ^ f Sq. Ft /Units. EDU's. and square footages for all uses Sq Ft/Units-^ ADT's / J Sq Ft /Units- ADT's- FEES REQUIRED: WITHIN CFD D YES (no bridge & thoroughfare fee tn District #1, reduced Traffic Impact Fee) B'N"o" D 1 PARK-IN-LiEU FEE FEE/UNIT PARK AREA & # X NO UNITS _ * 13^2 TRAFFIC IMPACT FEE ADT's/UNfTS X FEE/ADT 3"?S/8 a n Q 3 BRIDGE AND THOROUGHFARE FEE ADT's/UNITS 4 FACILITIES MANAGEMENT FEE ; UNIT/SO FT 5 SEWER FEE EDU's BENEFIT AREA EDU's (DIST X ZONE -X X X #1 DIST #2 FEE/ADT t FEE/SO FT /UNIT FEE/EDU FEE/EDU " DIST #3 ) = S ' =>$ * D 6 SEWER LATERAL ($2,500) D 7 DRAINAGE FEES PLDA_ ACRES = 4 HIGH /LOW X FEE/AC O 8 POTABLE WATER FEES UNITS CODE CONNECTION FEE METER FEE SDCWA FEE IRRIGATION \Vord\Docs\Misforms\Fea Calculation Worksheet Iof2 Rev 7/14/00 ENGINEERING DEPARTMENT FEE CALCULATION WORKSHEET D 9 RECLAIMED WATER FEES UNITS CODE CONNECTION FEE METER FEE TOTAL OF ABOVE FEES* $ *NOTE: This calculation sheet is NOT a complete list of all fees which may be due. Dedications and Improvements may also be required with Building Permits. 2 of 2 Wnrri\Dors\Ml«forms\Fee Calculation WonVahaet o a-4 PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No. CB Address iaa~7 lA'll «<> Planner Paul Godwin ARM- \SS>- Phone (760) 602-4625 Type of Project & Use: OeA4ai Q£(\CC. Net Project Density DU/AC Zoning* C-J- _ General Plan. ~T*R Facilities Management Zone: I Date of participation: Remaining net dev acres:CFD fin/niitl # Circle One (For non-residential development Type of land used created by this permit ) v/ 7 Legend: X Item Complete Environmental Review Required: DATE OF COMPLETION: YES Item Incomplete - Needs your action NO TYPE Compliance with conditions of approval7 If not, state conditions which require action Conditions of Approval: Discretionary Action Required: APPROVAL/RESO. NO PROJECT NO. YES NO TYPE DATE OTHER RELATED CASES: Compliance with conditions or approval' If not, state conditions which require action Conditions of Approval: Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES CA Coastal Commission Authority7 YES NO NO If California Coastal Commission Authority. Contact them at - 3111 Camino Del Rio North, Suite 200, San Diego CA 92108-1725, (619J 521-8036 Determine status {Coastal Permit Required or Exempt): Coastal Permit Determination Form already completed? YES NO If NO, complete Coastal Permit Determination Form now Coastal Permit Determination Log #• Follow-Up Actions: 1} Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans). 2) Complete Coastal Permit Determination Log as needed. H \ADMIN\COUNTER\BldgPlnchkRevChklst V Inclusionary Housing Fee required- YES / \ (Effective date of Inclusionary Housing Ordinance • May 21 Data Entry Completed? YES NO (A/P/Ds, Activity Maintenance, enter CB#, toolbar. Screens \ ; Site Plan: NO X 1993 ) , Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE') X 1 Provide a fully dimensional site plan drawn to scale. Show: North arrow, / property lines, easements, existing street improvements, right-of-way / topographical lines. V 2. Provide legal description of property Zoning: 1 Setbacks: Front: Required Interior Side: Required Street Side1 Required Rear: Required 2. Accessory structure setbacks' Front: Required Interior Side. Required Street Side: Required Rear: Required Structure separation Required 3. Lot Coverage: Required 4. Height. Required ^ \-/r— |UJ \r 5 Parking: Spaces Required™* A Guest Spaces Required \ . CJP _V Additional Comments V\ T>\ 1 \j 1/ r I £ a $d -SHoco por^i^ci C<al f\^ eK^^alc l<> a-f-iacUfJ and proposed structures, streets, existing width, dimensional setbacks and existing and assessor's parcel number. Shown Shown Shown Shown Shown Shown Shown Shown Shown Shown Shown Shown H ~7 Shown I 4 1 I OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER^! Xj0 >WK> DATEQ- ? ^0 / H \ADMIN\COUNTER\BldgPlnchkRevChklst Carlsbad Fire Department 004874 1635 Faraday Ave Carlsbad, CA 92008 Plan Review Requirements Category Date of Report 01/05/2001 Fire Prevention (760) 602^660 Building Plan Reviewed by Name Address Dillard Builders 262 Garden Grove Ln City, State El Cajon CA 92020 Plan Checker Job Name Dr Sue Liethen Job # 004874 Job Address 1207 Carlsbad Village Dr Bldg # CB004874 Ste or Bldg No G Approved 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 modifications, must be reviewed by this office to insure continued conformance with applicable codes and standards 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 Approved The item you have submitted for review has been approved subject to the Subject to attached conditions The approval is based on plans, information and/or specifications provided in your submittal 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 Please resubmit to this office the necessary plans and / or specifications required to indicate compliance with applicable codes and standards Incomplete The item you have submitted for review is incomplete At this time, this office cannot adequately conduct a review to determine compliance with the applicable codes and / or standards Please review carefully all comments attached Please resubmit the necessary plans and / or specifications to this office for review and approval Review FDJob# 1st 2nd 3rd 004874 FD File # Other Agency ID TITLE 24 REPORT Title 24 Report for: Dr. Sue Liethen Carlsbad, CA Project Designer: Report Prepared By: Steve Balderrama, CEPE Stueven Engineering Consultants 425 W. 5th Ave Suite 103 Escondido, CA 92025 (760)735-8577 Job Number: Date: 12/08/2000 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 1998 Building Energy Efficiency Standards This program developed by Gabel Dodd/EnergySoft, LLC (415) 883-5900 EnergyPro 21 By EnergySoft Job Number _^____ User Number 3429 02/13/01 THE 14 49 FAX 619 694 3434 DEH / ORHD nf nn DEPARTMENT OF ENVIRONMENTAL HEALTH RICHARD HAAS ASSISTANT DIREC-OR PO BOX 129261 SAN DIEGO CA 92.113.s2b1 (353) 338-2222 FAX (858) 339-237? PAX T R A N_SM ITT A L T Department/Company Attentior: Subject-^ FAX Phone Number: -*/£/- 74 f f Office Phone Number _ AX T R A N_S M I T T A L FROM; Name of Sender- Date / Time: V.^//3Yg?/ FAX ft- (858)694-3434 NOTES/COM M E N T S Total number of pages including cover pace: If the correct number of pages are not received, Please call at C858) 694-3550 02/13/01 THE 14:49 FA.\ 619 694 3434 DEH / ORHD COUNTY OF 5AN DIEGO - DEPARTMENT OF ENVIRONMENTAL HEALTH HAZARDOUS MATERIALS MANAGEMENT DIVISION RADIATION SHIELDING PLAN CHECK APPLICATION FORM PLANS SUBMITTED SY PHONE ADDRESS en.5"ZIP CODE OANER PHONE ADDRESS(TO'?ZIP COD= JOS SITE ADDRESS Of different) MACHINE INFORMATION ZIP CODE PHONg NUMBER OF ROOMS MANUFACTURER MODELS 4 THIS SPACE FOR OFFlCf USE ONLY COUNTY OF SAN 01E60 DEPARTMENT OF ENVIROWENUl HEM-™ ^ This facility will meet the structuralshielding requirements of trie California Radiation Control Regulations PLAN CHECK #RPAC FEEAMOUNT S FEE SCHEDULE RADIATION SHIELDING C^SSlBCATtON Derttal Radiation Medical Radnor Ondudes ChirooracicA'eterinary) InCustnal Radiahcn 'Refer to Item #3 on mstrxjdion sheet First room Eadi addibonal room in same facility 'Orvsjte instruction Fast ream Each additional team In same facility *On-srte construction First loom Eacft adciittonai room in same S 45 CC S 1000 5 2500 5 5000 S 2500 5 23.00 5150 OC S 7500 S 7500 OWNER/REPRESENTATIVS DECLARATION. I understand that Ihe fee paid is based on my CedaratJon of *e radiation shielding dassificatjon declaration isincorre^. I uniJer$t3nd thai this appftcaBon wfll not t« approved until the appropriate Tec is paid Signature DEH ORHD/1401 (8-98) Title Date REM MEDICAL RADIATION PHYSICS P.O. Box 231687 Enclnlt&s, CA 92023-1687 (858) 759-1147 (888) 736-7497 December 07, 2000 Vital Dental Services Attention: Paul Jacob sen Tele: 619/449-7422, FAX: -7859 1991 Friendship Drive, Suite J El Cajon, CA. 92020 RE: Dental X-ray Suite. Dr. s. Leithen, D.D.S. The following recommendations for radiation shielding have been made in accordance with recommendations of NCRP #35, #49 and the California Radiation Control Regulations, Title 17. Recommendations for the facility were made from information supplied by Paul Jacobsen in the form of a facility plan and equipment information. The assumptions below are consistent with the information supplied. If any changes are made in the site layout or equipment, then please notify this office so that appropriate modifications in these recommendations can be made. . 1. Workload <W) : The Workload (W) factor in units of milliamperes-minutes per week or milliroentgen per week is supplied from customer, or is assumed that which represents a common value for the specified use. 2. Use (U) : The Use <U) factor indicates the fraction of exposure to Primary beam (U- 1/4) or the Scattered beam (U « 1) . Dental facility Use is assumed to be 1. 3. Occupancy (T): ^e occupancy (T) factor indicates the fraction of time of exposure at a sP?ci^ *°^°n' *?RP Report No. 49, Appendix C, Table 4, is followed for non controlled areas where T* 0.125 to 1.00. workers and is 100 mrem per wee* '^^^Sver the non- occupational radiation workers (NCRP ^ J ' H°w|^tor of 5 radiation worker limit has been reduced by a ^°r 3 ot 3g per 10 CFR 20.1001-20.2402 and Title 17. CCR Group ^. 30358. Td Wb8S:<!.0 6002 IT '35Q ifrU 6Si 6T9 : 'ON Xbd SDISAHd NOIIbiaba W3&f': U RB: Dental X-ray Suite, -2- 12/07/00 5. KiloVoltage Potential (kVp): The KiloVoltage potential (kVp) ia assumed to be an average of 70 for scattered dental X-rays and 1QO for radiographic x-rayg. 6. Distance (d): The Distance (d) used in shielding calculations is the distance from the scattering object or from the source of the primary beam to the position of occupancy. 7. Walls: The walls of the rooms, unless otherwise noted are assumed to consist of one 5/8" layer of sheetrock on each side of a 3 inch or greater wall stud. This is approximately equivalent to 0.3 mm lead. 8. Doors: The doors of the rooms are assumed to be solid core doors of minor shielding significance. 9. Windows: The windows of the room are assumed to be of minor shielding significance. 10. Floor/Ceiling: The Floor and Ceiling occupancies must be specified, 11. Height of Shielding: The height of shielding must be 80 inches (or more if specified) as per California Radiation Control Regulations, Title 17. 12. Primary Barrier: The primary barrier is not utilized in a dental facility (secondary scatter shielding only). 13. Half-Value-Layer (HVL) and tenth-Value-Layer <TVL): These values at specific kVp values are taken from NCRP Report No. 49, Appendix C, Table 27. 14. Shielding Value Minimum: The values of shielding are minimum values. Larger values can be used if cost effective. 2d wbss:<ia 0002 u '"a it>n SQL 6T9 : *ON RB: Dental X-ray Suite, -3- 12/07/00 FACILITY INFORMATION: Name: Dr. S. Leithea, D.D.S. Address: 1207 Carlsbad Village Drive, Carlsbad, CA 92008 Level: second of two-story Ceiling: roof Floor: ceiling of area below walls, interior; 2 layers of 5/8" gypsum board (assumed) Workload, x-ray: 30 mA-min/week ®70 fcVp each X-ray room Equipment, X-ray: 1 swing through/around unit RECOMMENDATIONS FOR SHIELDING: BARRIER A: Use: scattered x-ray barrier (U - l) Adjacent space; outside second story Occupancy: 0%Distance: 6' Shielding Recommendation: use common construction materials BARRIER B: Use: scattered X-ray barrier (U = 1} Adjacent apace: storage, wash area Occupancy: 4% Distance: 6'Shielding Recommendation: use common construction materials BARRIER C:Use: scattered x-ray barrier (u * i) Adjacent space; hallway, control area Occupancy: 25% , Oi_at*mcfi* 5* iShielding Recommendation: use common construction materials Read X-ray operator's instructions at the end ot this report , BARRIER D : ,Use: scattered X-ray barrier (U = D Adjacent space: operatory Occupancy: 75% Distance: 6' ,,™«~« /*nn«truction TnaterialsShielding Recommendation: use conwonconstructio ^ The doors to swing through x-ray c abi ^^^3. For themuch as possible during the rt t^^ °f radiograp fintuse of a swing through/swing ground cabi »*^c ^ ^^ themust be positioned such that the cacmet TT -o=a ifrTT 6£i 6T9 • 'ON RB: Dental X-ray Suite -4- 12/07/00 accent "* ****** ^^ radiographed in the BARRIER B; Use: scattered X-ray barrier (U = 1)Adjacent space: outside Occupancy: 90% Distance: €' Shielding Recommendation; use common construction materials BARRIER P; Use; scattered X-ray barrier <U « 1)Adjacent space; lab Occupancy; 50V Distance: 6' Shielding Recommendation; use common construction materials BARRIER G; Use: scattered X-ray barrier (U « 1}Adjacent space: roof Occupancy: 4%Distance; ?' Shielding Recommendation: use common consdruccj.cn materials BARRIER H: use: scattered X-ray barrier (U - 1) Adjacent space: ceiling of area belowOccupancy: 90%Distance: 8' Shielding Recommendation; use common construction materials Dental X-r-av Aa^le^a^f ffT it is important that the control units for each x-ray machine be mounted in such a manner that the x-ray dental assistants are protected by at least two layers of 5/8" eheetrock or equivalent at a distance of at least 5'; or at least one layer of 5/8" eheetrock or equivalent at a distance of 6'; or if no shielding is present, they must stand at a distance of at least 10' from the source of scattered x-rays. Those assistants should be cautioned that their standing position must be such that the x-ray tube is not pointing in their direction, Since the doorways into the x-ray rooms may be open doorways, then the x-ray assistants should be aware of persons in those doorway areas eo that they might caution such persons not to be in the doorway areas during the taking of radiographs . Wb00:S0 000? TT -oaa Wl 6S^ 6T9 : 'ON XWJ SDIS-sHcf NGtlbldyd RB: Dental X-ray Suite -5- 12/07/00 It I might be of further assistance on the above project, then please contact m*. Donald B. Holmes, Ph.D. Medical Radiation Physicist enclosures: Floor plan with shielded areas marked Certification form wtr,0:£fc 0aaz u eis : -ON xyj soiSAHd woiidiatia HEM MEDICAL RADIATION PHYSICS P.O. Box 231687 Encnvtas, CA 92023-1687 (858} 759-1147 (888) 736-7497 CERTIFICATION FOR RADIATION PROTECTION HAMS OF FACILITY; DR. S. LEITHEN, D.D.S. ADDRESS: 1207 Carlsbad Village Drive Carlsbad, CA 92028 DESCRIPTION OF PROPOSED PROJECT: Dental X-ray Suite Based on my assumptions and calculations, I declare under penalty of perjury, that the radiation protection design for the above project**will conform to the applicable provisions of Title 17, California Administrative Code, relating to radiation protections. I further declare that I am a certified radiation physicist, health physicist and medical physicist. See NOTE i. NAME: DONALD E. HOLMES, Ph. D. TITLE: Professor Emeritus of Medical Physics SIGNATURE: **as per my radiation shielding report of December 7, 2000 and any following addenda. NOTE 1: My responsibility is for the design of the radiation shielding and not for the installation of the shielding. 9d Wyt0:80 0002 IT '"d ifrIT 6S<L 619 : 'ON XHd SOJSxHd FROM REM RADIPTION PHYSICS FPX NO. - S19 759 1147 Dec. 11 2000 08:02AM P7 FACILITY : Or. S. X«ith»n, 0.D.S., Carlabad, CA ROOM I.D.i Dental X-ray WORKX.OAD : 3O uA-min/w*«k 9 7O kVp i 12-O3-200O Barrier Z.D.te fi.OO ft Vat itttvt ta •fatUir 6.00 it Facto* (VI ,, n/ Occupancy Ftotor '** 0.0000 0.0020 Sacondary MCRF 4» ar Archer Urchot mm rb 0.00 0.0 G.OO tt *.00 ft a/*9.0400 n.onao 0.00 9 00 *t &.QQ it n/0.2SOD 0.0030 Archer O.D2 « 09 ft i.OO ft.n/A 0.7500 o.ooao S^coninry Archer 0.0* * DO <t i.OO ft 0.9000 0.0020 0.0ft . 6.00 ft 4.00 it 0. 5(1 00 0.6020 0.03 v/ / 7.00 ft 7.00 It n/.0.0400 0.0020 0.00 * 00 ft 8,00 tt 0 *OOQ 0.0020 Secondary Archtr o.oa / ^ P.O. BOX 231687 ENCtNfTAS, CA 92024 759-1147 8d Ub20:80 0002 U 65^. 6t9 : 'ON d MQtiyrabM City of Carlsbad Community Development May 14, 2001 LANCER INDUSTRIES 1547 AVENIDA LA POSTA ENCINITASCA 92024 RE DISABLED ACCESS AT 1207 CARLSBAD VILLAGE DR, CARLSBAD, CA The above multi-tenant commercial facility has been issued four tenant improvement permits since 1993 The aggregate valuation of those permits is approximately $110,000 The disabled access regulations for existing buildings in the California Building Code require that all buildings that have had improvements made to them with an aggregate valuation exceeding $93,132 must be modified to comply with the accessibility standards for new buildings What this means in practical terms is that the City cannot issue any more tenant improvement permits for this building until the building is upgraded to meet the current disabled access regulations Typically, owners of multi-tenant buildings have had to consult with architectural firms to determine deficiencies from the current access regulations and devise a work plan to address the deficiencies The City will issue a building permit to modify any feature of the building, which is part of an overall accessibility upgrade But no further tenant improvement permits can be issued until the accessibility provisions for new buildings have been met My telephone number is (760) 602 2716 if you wish to discuss this matter or your architect has questions about the specific standards contained in the State Building Code Accessibility provisions for existing buildings Patrick Kelley Principal Building Inspector C Front Counter Address File Darren J Skelly 1635 Faraday Avenue * Carlsbad, CA 92OO8-7314 • (76O) 6O2-271O • FAX (76O) 6O2-856O