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Home My WebLink About1910 PALOMAR POINT WAY; 200; CB120367; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-04-2012 Commercial/Industrial Permit Permit No: CB120367 Building Inspection Request Line (760) 602-2725 Job Address: 1910 PALOMAR POINT WY CBADSt: 200 Permity Type: TI Sub Type: INDUST Status: ISSUED Parcel No: 2121204800 Lot #: 0 Applied: 02/29/2012 Valuation: $550,675.00 Construction Type: 5B Entered By: LSM Occupancy Group: Reference # Plan Approved: 04/04/2012 Issued: 04/04/2012 Inspect Area Plan Check #: Project Title: GLOBAL RESOURCE- 14,835 SF TI OFFICE TO OFFICE OF ENTIRE 2ND FLOOR Applicant: Owner: ERICA ROMAN LANIKAI PARTNERS II SMITH CONSULTING ARCH STE200 P 0 BOX 455 12220 EL CAMINO REAL 92130 SANTA YNEZ CA 93460 858-793-4777 Building Permit $2,432.94 Meter Size Add'l Building Permit Fee $0.00 Add'l Red. Water Con. Fee $0.00 Plan Check $1,703.06 Meter Fee $0.00 Add'l Building Permit Fee $0.00 SDCWA Fee . . $0.00 Plan Check Discount $0.00 CFD Payoff Fee $0.00 Stom Motion Fee $115.64 PFF (3105540) $0.00 Park Fee $0.00 PFF (4305540) - $0.00 LFM Fee $0.00 License Tax (3104193) $0.00 Bridge Fee . $0.00 . License Tai (4304193) - $0.00 BTD #2 Fee $0.00 Traffic Impact Fee'(3105541) $0.00 BTD #3 Fee $0.00 Traffic Impact Fee (4305541) $0.00 Renewal Fee $0.00 PLUMBING TOTAL $0.00 Add'l Renewal Fee $0.00 ELECTRICAL TOTAL" $215.00 Other Building Fee $0.00 MECHANICAL-TOTAL $66.00 Pot. Water Con. Fee $0.00 MasterD(ainãge Iee $0.00 Meter Size - Sewer Fee ' $0.00 Add'I Pot. Water Con. Fee $0.00 Redev Parkin Fee $0.00 Red. Water Con. Fee ' $0.00 Additiona!Fées $0.00 Green Bldg Stands (SB1473) Fee . $20.00 HMP Fee 1" ?? Fire Expedidted Plan Review $385.00 Green Bldg Standards Plan Chk ?? TOTAL PERMIT FEES $4,937.64 Total Fees $4,937.64 Total Payments To Date $4,937.64 Balance Due $0.00 FINAL APPR,OVAL Inspector: lift 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 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 limitations has previously otherwise expired. K4 CITY OF CARLSBAD Building Permit Application 760-602-2717 I 2718 / 2719 Fax 760-602-8558 wwwcarlsbadca.gov Plan Check No. 02Z I -O 3Co Est. Value Plan Ck. Deposit 170 Date -I.(i)_. ISWPPP JOB ADDRESS l9lo Palomar Pointe Way SUITE#/SPACE#/UNITC 200 APN 212 - 120 - 33 CT/PROJECT U LOT U PHASE B B OF UNITS U BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE • J#BEDROOMS Global Resource Inv. - V rGROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ,Y14 O( tpvuit 14, 'b35 Office Tenant Improvement Construction within anfl existing building consisting of demolition and new construcionof interior non-bearing partitions including new suspended ceiling, HVAC, plumbing and electrical. No work to be done in existing restrooms, elevators and stairwell. EXISTING USE -. PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS Office Office YESDI: NO YES ENOE YESNO APPLICANT NAME (Primary Contact) Smith Consulting Architects APPLICANT NAME (Secondary Contact) - ADDRE8 )j' - ADDRESS fA,L1 A 12220 El Camino Real Ste. 200 C ,4/J' STATE ZIP CITY , STATE ZIP San Dieqo CA 92130 - PHO r FAX PHONE - FAX I ,9 '858-793-4777 i7 858-793-4787 MIL. EMAIL ericar@sca-sd.com_ (Erica _Roman) PROPERTY OWNER NAME - ' - Lanikai Management CONTRACTOR BUS. Good and Roberts ADDRESS - - 2832 Faraday Ste. 310P ADDRESS •- -. 1330 Park Center Drive - CITY STATE ZIP CITY "STATE ZIP Carlsbad CA 92008 Vista C& 92081 PHONE FAX PHONE FAX 858-945-8969 760-419-2502 EMAIL • EMAIL gjs@lanikaimanagement.com (Greg Scadudo) srodkey@ghrgc.com (Sean Rodkey) ARCH/DESIGNER NAME & ADDRESS STATE L IC. U STATE LIII1.U-.-_ CLASS CITY BUS. UC.e ChervlD.Smith C-11701 5 1 (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 700001 Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). ØOC3OO° GGOPOøO Workers' Compensation Declaration: (hereby affirm under penally of perjury one of the following declarations: I 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 the work for which this permit is issued. have and will maintain w'orkers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which thi permit is issued. My workers' compensation insurance garner and policy numberare:InsuranceCo.-L2R-l1i' J411o,c,PrL. Ia CC) PoIicyNo.5L Ot) 5 27 ExpirationDate lO/c if Thi section need not be completed if the permit is for one hundred dollars ($100) or less. Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shalt subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in 'addition to the cost of compensation, d es s provided fOrtnn7~3106 of Labor code - s and attorney's fees. — CONTRACTOR SIGNATURE . 4J AGENT DATE / z ØCXJ°OOD , (hereby affirm that lam exempt from Contractor's Licens Law for the towing reaso I, as owner of the property or my employees with wa s as their le compensatio will do th 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 loan owner of property wh or improves thereon, o 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 sate). [] I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coe: 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). [J I am exempt under Section - Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. . Dyes [:]No I (have! have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name address / phone! contractors' license number): I plan to provide portions of the work, bull have hired the following person to coordinate, supervise and provide the major work (include name! address! phone contractors' license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name! address! phone! type of work): ,.PROPERTY OWNER SIGNATURE []AGENT DATE eotPiiD oc ociø teQ OOOiJ-a OWO&iUOO GODO Ø 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 Act? Dyes riNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality. management district?. Eyes ]No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYes CIJ 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. eo crn I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). . — - •. — -_ - -- -- - - - Lender's Name 200 t Lenders Address - 120 - I certifythatl have read the application and state that the above information is conectand thatthe information on the plans is accurate. I agree to thmplywtth all City ordinances and State laws retatingto buildingconsbuction. I hereby authorize representative 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, 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 69 deep and demolition drconstiudion of structures over 3 stories 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 tithe building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the buildhg'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 106.4.4 Uniform Building Code). APPUCANT S SIGNATURE cs D ATE 2..\ STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY (Commercial Projects Only) Fax (760) 602-8560, Email www.buildingf8.carIsbadca.qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME r'-- ____ ' "-- -'-' - OCCUPANT NAME r - - -------- - -'--- - ADDRESS r ___ ____.- __•_•__ BUILDING ADDRESS CITY 471 STATE n'-' ZIP CITY STATE ZIP GIobalResourceUivI V 11 Carlsbad - CA PHONE - -- 5 FAX . . Office EMAIL - ._- - .---- - -.--..---- --, -. .'.- -. -... OCCUPANT'S BUS. LIC. No.. - ----- -.---- ----'-'*- - - DELIVERY OPTiONS PICKUP: CONTACT ( Listed above) riOCCUPANT (Listed above) [CONTRACTOR (On P1) ASSOCIATED CB#_________________________ tMAIL TO: CONTACT (Listed above) J OCCUPANT (Listed above) ( CONTRACTOR (On P. NO CHANGE IN -USE/ NO CONSTRUCTION EMAIL / FAX TO OTHER: 191O Palomar Pointe Way - - CHANGE OF USE/ NO CONSTRUCTION 212 - -2 £APPUCANTSSIGNATURE #_ DATE IITTTIE City of Carlsbad Bldg Inspection. Request L1! For: 05/17/2012 Permit# CB120367 Title: GLOBAL RESOURCE- 14,835 SF Description: TI OFFICE TO OFFICE OF ENTIRE 2ND FLOOR Type: TI Sub Type: INDUST Job Address: 1910 PALOMAR POINT WY Suite: 200 Lot: 0 Location: APPLICANT FPI('A ROMAN Owner: LANIKAI PARTNERS II Remarks: Total Time: CD Description Act Comments 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By: NA Entered By: JANEAN Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments - 05/07/2012 84 Rough Combo AP MC T-GRID 05/03/2012 84 Rough Combo PA MC 05/01/2012 39 Final Electrical AP MC EMIR ONLY 05/01/2012 84 Rough Combo CO MC T-GRID 04/17/2012 17 Interior Lath/Drywall PA MC RM200 04/17/2012 84 Rough Combo PA MC RM 200/201 & 250 04/10/2012 17 Interior Lath/Drywall AP MC WALLS ONLY, EXCEPT AT ENTRY 04/05/2012 14 Frame/Steel/Bolting/Welding CO MC 1ST STOP, NO PLANS 04/05/2012 14 Frame/Steel/Bolting/Welding PA MC 2ND STOP WALLS ONLY 04/05/2012 17 Interior Lath/Drywall PA MC SEE CARD 04/05/2012 24 Rough/Topout WC MC 04/05/2012 34 Rough Electric PA MC 2ND STOP WALLS ONLY 04/05/2012 44 Rough/Ducts/Dampers WC MC Inspector Assignment: MC Phone:, 6197192629? inspector: Cliv of Carlsbad Final Building Inspection Dept: Building Engineering Planning CMWD St Lite fJJì Plan Check #: Date: Perrnit#: CB120367 Permit Type: Project Name:' GLOBAL RESOURCE- 14,635 SF Sub Type: TI OFFICE TO OFFICE OF ENTIRE 2ND FLOOR Address: 1910 PALOMAR POINT WY #200 Lot: 0 Contact Person: HECTOR Phone:' 6197193629 ' Sewer Dist: CA , Water Dist: CA Inspected ' '4 ' Date By: Inspected: '1 i—' Approved:,) Inspected Date By: ' , , Inspected: Approved:. Inspected , ' Date By: ' Inspected: Approved:. Comments: , ' 05/16/2012 TI INDUST Disapproved: Disapproved: Disapproved: EsGil Corporation In Partnership with govenimentfor.Bui(iing Safety DATE: 3/26/12 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 12-0367 SET: II PROJECT ADDRESS: 1910 Palomar Pointe Way Suite 200 PROJECT NAME: Global Resource Investment - TI U APPLICANT -1tiRIS. U PLAN REVIEWER U FILE 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 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 checklist is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: 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: Telephone #: ' Date contacted: (by: . ') Email: Fax #: Mail Telephone Fax In Person REMARKS:. rn . 13 By:DougMy L'L - ,'////2 .7' EsGil Corporation - C17 i2-7- - El GA ' El EJ El PC 3/21/12 9320 Chesapeake Drive, Suite 208 • San Diego, California' 92 123 • (858) 560-1468 • Fax (858) 560-1576 AjJ12 ftl_ ,-YtL7 'V LC4 EGiI Corporation In Partnership with Government for (Building Safety DATE: 3/13/12 , U APPLICANT JURISDICTION: City of Carlsbad , U PLAN REVIEWER U FILE PLAN CHECK NO.: 12-0367 SET: I PROJECT ADDRESS: 1910 Palomar Poiñte Way Suite 200 PROJECT NAME Global Resource Investment - TI LII The plans transmitted herewith have been corrected where. necessary and substantially comply with the'jurisdiction's codes; The plans transmitted herewith will substantially comply with the jurisdiction's 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. . The applicant's copy of the check list has been sentto: Smith consulting Arbhitécts I Erica Roman 12220 El Camino Real Suite 200, San Diego, CA 92130 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 Erica Roman Telephone # 858-793-4777 Date contacted: 3-13.-12 (by:D l) Email: éricar(äsca-sd.com Fax #: 858-793-4787 E Mail V Telephone V Fax In Person . . REMARKS By Doug Moody Enclosures EsGil Corporation . E GA E EJ fl PC 3/5/12 . • • 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 t I. • • I - City of Carlsbad 12-0367 3/13/12 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: 12-0367 OCCUPANCY: B TYPE OF CONSTRUCTION: VB ALLOWABLE FLOOR AREA: SPRINKLERS?: YES REMARKS:- DATE PLANS RECEIVED BY JURISDICTION: 2/29/12 DATE INITIAL PLAN REVIEW COMPLETED: 3/13/12 JURISDICTION: City of Carlsbad USE: Office ACTUAL AREA: 14835 STORIES: 2 HEIGHT: OCCUPANT LOAD: 234 DATE PLANS RECEIVED BY ESGIL CORPORATION: 3/5/12 PLAN REVIEWER: Doug Moody FOREWORD (PLEASE READ): This plan review is limited to the technical requirements contained in the International 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 departments may be required prior to the issuance of a building permit. Code sections cited are based on the 2010 CBC, which adopts the 2009 IBC. 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. 105.4 of the 2009 International 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. City of Carlsbad 12-0367 3/13/12 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 City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. Provide a section view of all new interior partitions. Show: a) Method of attaching top plates to structure.( Please revise the spacing of the studs used for lateral bracing to 4' or provide calculations to show the 8' adequate). 2. Provide a section view of the new soffits. Show: Type, size and spacing of studs. Indicate gauge for metal studs. Specify manufacturer and approval number or indicate "to be ICBO approved". Method of attaching top to the structure and lateral bracing. C) Show height of the soffit from floor, soffit to roof framing or floor framing. 3. Each door in a means of egress from an occupancy of Group A having an occupant load of 50 or more (the training room) shall not be provided with a latch or lock unless it is panic hardware. Section 1008.1.10. 4. All doors and gates, within the exit path to.a public way from an occupancy of Group A or E having an occupant load of 50 or more (and any occupancy of Group H) shall not be provided with latches or locks unless they are equipped with panic hardware. Sections 1008.1.10 and 1002. 5. When additional doors are provided for egress purposes, they also shall conform to the requirements of Section 1008 (width, swing, hardware, etc.). Section 1008.1. 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. City of Carlsbad 12-0367 3/13/12 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: Yes El No V 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. V n City of Carlsbad 12-0367 3/13/12 [DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK NO.: 12-0367. PREPAREDBY: Doug Moody DATE: 3/13/12 BUILDING ADDRESS: 1910 Palomar Pointe Way Suite 200 I - BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: VB BUILDING PORTION AREA (Sq..Ft.) Valuation Multiplier Reg. Mod. . VALUE. ($) S TI 14835 37.12 550,675 Air Conditioning Fire Sprinklers TOTAL VALUE S 550,675 Jurisdction Code cb 1113y Ordinance Bldg. Permit Fee by Ordinance S I $2,432.941 Plan O,eckFeebyOrdinance . I $1,581.411 Type of Review: . Complete Review Structural Only Li Other EIRepetitJve Fee Repeats Hourly • Hr. @ * EsGil Fee - I $1,362.451 Comments: S • Sheet of 1 macvalue.doc + BUILDING PLANCHECK Development Services C I TV 0 F CHECKLIST Land Development Engineering CARLSD/-%D Faraday Avenue QUICK-CHECK/APPROVAL 1635 760-602-2750 www.carlsbadca.gov ENGINEERING Plan Check for CB 12-367 Date: 03/07/12 Project Address: 1910 Palomar Pt Way APN: 212-120-33 Project Description: TI office to office Valuation: $ 550,675 ENGINEERING Contact.: Kathleen Lawrence Phone: 760-692-2741 E RESIDENTIAL E RESIDENTIAL ADDITION MINOR (<$20,000.00) LI CARLSBAD COMPANY STORES Email: kathleen.IawrencecarIsbadca.gov Fax: 760-602-1052 [7J .TENANT IMPROVEMENT LI PLAZA CAMINO REAL LI COMPLETE OFFICE BUILDING LI OTHER: OFFICIAL USE ONLY • •. - . • .: 1 ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT, . BY KATHLEEN LAWRENCE DATE 03/07/12 REMARKS I' • . ......... Yr . -, •. .-' , i .......................c • .:;.... •;-,---•.. .•. •• . . - I -... . I ':. • Notification of Engineering APPROVAL has been sent '. - • . - - .. • -. . •. . I. H-'.' - •..• to. -•...- . .via. ./ .. • on E-36 Page 1 of 1 REV 4/30/11 CITY OF CAR LSBAD STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov I am applying to the City of Carlsbad for the following type(s) of construction permit: JL Building Permit IJ Right-of-Way Permit Li My project is categorically EXEMPT from Electrical Patio/Deck the requirement to prepare a storm water Fire Additional Photo Voltaic pollution prevention plan (SWPPP) because it Fire Alarm Fixed Systems Re-Roofing Sign only requires issuance of one or more of the - Mechanical Spa-Factory following permit types: Mobile Home Sprinkler Plumbing Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the 'no threat' assessment criteria on the City's Project Threat Assessment Worksheet for Determination of construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tier I - Low Threat Assessment Criteria Li My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: Results in some soil disturbance; and/or Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 - Moderate Threat Assessment Criteria Li My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal code); or, Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Tier 3 - Significant Threat Assessment Criteria Li My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or Li My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, Li My project is located inside or within 200 feet of an environmentally sensitive area (see city ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). I certify to the best of my knowledge that the above checked statements are true and correct. I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards. 'The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. Project Address: Assessor Parcel No. \' 'j• -- Owner/Owner's Authorized Agent Name: Title: Owner/Owner's Authorized Agent Signature: Date: CIE 2\2jIL City Concurrence: By: Date: Project I DYES UNO B-24 Page 1 of 1 Rev.03/09 PLANNING DEPARTMENT d BUILDING PLAN CHECK REVIEW CHECKLIST Irk — Plan Check No. CB 12-0367 Address 1910 Palomar Pointe Way 1fj J Planner Chris Sexton Phone (760) 602-4624 'I APN: 212-120-33 01 Type of Project & Use: fl Net Project Density: N/ADU/AC Zoning: P-M General Plan: P1 Facilities Management Zone: CFD (in/out) #_Date of participation: Remaining net dev acres:_____ , . . '. ' (For non-residential development: Type of land used created by this permit: Circle One . a) . 0) . 0) . . Legend: Item Complete tem Incomplete - Needs your action', LI LI Environmental Review Required: YES LI NO LI TYPE DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: LI' LI Discretionary Action Required: YES E] NO LI TYPE 'APPROVAL/RESO. NO. DATE PROJECT NO. OTHER RELATED CASES: ' Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval: LI LI Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES Li NO El CA Coastal Commission Authority? YES 0 NO Li If California Coastal Commission Authority: Contact them at - 7575 Metropolitan Drive, Suite 103, San Diego, CA 92108-4402; (619) 767-2370 Determine status (Coastal Permit Required or Exempt): LI LI Habitat Management Plan Data Entry Completed? YES LI NO LI If property has Habitat Type identified in Table 11 of HMP, complete HMP Permit application and assess fees in Permits Plus (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, HMP Fees, Enter Acres of Habitat Type impacted/taken, UPDATE!) ' LI LI Inclusionary Housing Fee required: YES LI NO LI' (Effective date of Inclusionary Housing Ordinance - May 21, 1993.) Data Entry Completed? YES LI NO LI ' (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE!) LI LI HoUsing Tracking Form (form P.20) completed: YES [-] NO E] N/A LI Rev 6/11 Site Plan: E E Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines (including, all side and rear yard slopes). Provide legal description of property and assessor's parcel number. Policy 44— Neighborhood Architectural Design Guidelines LI LI 1. Applicability: YES LI NO LI LI LI LI 2. Project complies: YES LI NOD Zoning: 1. Setbacks: Front: Interior Side Street Side: Rear: Top of slope Required Shown Required Shown Required Shown Required Shown Required Shown Z LI LI Accessory structure setbacks: Front: . Required Shown 'Interior Side: Required Shown Street Side: Required Shown Rear: Required Shown Structure separation: Required Shown LI LI Lot Coverage:.. Required Shown LI LI Height: Required Shown LI LI Parking: Spaces Required office: 32,800 sq ft = 132 Shown 132 (breakdown by uses for commercial and industrial projects required) LI Residential Guest Spaces Required Shown Additional Comments 1) Please show how new roof mounted equipment will be screened. 412. CLtio 0 VXJ~-,.A OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER °DATE-I • Rev 6/11 IL Carlsbad irè Department Plan Review. Requirements Category TI ; II''DUST Date of Repo 04-04-2012 Reviewed by Name ERICA ROMAN Address"SMITH CONSULTING ARCH ' STE200 - 12220 EL CAMINO REAL BM "T COPY SAN DIEGO 92130 Permit # CBi20367 Job Name:' GLOBAL RESOURCE- 14,835 SF - Job Address 1910 PALOMAR PO[NLWY CBAD St 200 INCO or review is incomplete At this time, this office cannot adequately conduct a r standards Please review resubmit the necessary plans and/or sp K'4LQs,s, with changes "clouded", o ice for review aifd approval. Conditions: ,. Cond C0N0005339 [MET] * * **ht as - deerredto FDforall eleLtromagjocsets***** THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUEANCE OF A BUILDING PERMIT. p. f THISAPPROVAL IS SUBJECT TO'FIELD INSPECTIONS, ANY REQUIREDTESTS, FIRE DEPARTMENT' NOTATIONS, CONDITIONS IN CORRESPONDENCEAND COMPLIANCE WITH ALL -APPLICABLE CODES AND, REGULATIONS F THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE ANY VIOLATION OF THE LAW. • Entry 04/04/2012 By cwong - S -- p RECOMMENDATION FORAPPROVAL Page: 1 of 2 BLDG DEPT COPY Daryl K. James & Associates, Inc. 205 Colina Terrace Vista, CA 92084 T. (760) 724-7001 Email: kitfiresbcglobal.net APPLICANT: Erica Roman SCA PROJECT NAME: Global Resource Investments Checked by: Daryl Kit James Date: 3/22/2012 JURISDICTION: Carlsbad Fire Department PROJECT ADDRESS: 1910 Palomar Pointe Way PROJECT DESCRIPTION: CB120367 14,835m Office Tenant Improvement construction within an existing building of demolition and new construction of interior non-bearing partitions including new suspended ceiling, HVAC, plumbing and electrical. No work to be done in existing restrooms, elevators and stairwell. This plan review is to verify conformance to minimum requirements of codes adopted by the Carlsbad Fire Department. COMMENTS VTSI Deferred Submittals Please list deferred submittals as follows:. Fire Sprinkler System 2010 CFC 903 and 2010 NFPA 13. Fire Alarm System 2010 CFC 907 including CFC 907.2 sections specific to applicable occupancy groups and 2010 NFPA72 Sheet Index Add Sheets TS3 and A4. Project Data Construction type should be shown as VB. Accessibility Requirements Please complete and sign. V TS2 Fire Notes (Miscellaneous) Note 3. Update code section. See CFC 507.5 VAXI Provide the following notes: Card readers/Electric hardware will comply with CBC 1008.1.9.8 and will be field-tested. Hardware listings to be provided upon request from the Fire Department. See Sheet A3. i/Al Denote all locations of fire extinguishers in accordance with CFC 906 Chair Storage 250 - Show compliance with CBC 508.2.5.2. Hard Lid okay VA2 Reflected Ceiling Notes 6. Sprinkler plans shall be provided to the Carlsbad Fire Dept. for review and comment prior to installation. Add the following notes: . . See E2 for locations of means of egress illumination and exit signs. See E2 for means of egress illumination and exit sign notes. CBC 1006.2 & CBC 1011.5.3. Page: 2of2 VA3 Door Notes 10. Revise code reference. See CBC 1008.10. Add the following notes: Card readers/Electric hardware will comply with CBC 1008.1.9.8 and will be field-tested. Hardware listings to be provided upon request from the Fire Department. Door Types/Hardware Groups/Suggested Manufacturers (Or Equal)/Door Schedule Denote the following for rated doors and assemblies, including salvaged doors that rated doors are equipped with self-closing devices and smoke and draft seals. V 14. Revise this note. The sign is not applicable to all exit doors with non-panic hardware. The sign applies to the main exit only. Code reference is incorrect. See CBC 1008.1.9.3. Door 200A - Address the requirements for he connection of magnetid hold open devices to a smoke detection system. CFC 907.1. Deferred Item V Doors 200B & 200C are rated doors. Provide hardware listings in order to verify that new hardware on reused rated doors and assemblies will not compromise label rating. V Door 250 - smoke resistant assemblies will be provided in accordance with CBC 508.2.5.2. v'AD1 V Rated wall details to include ICC evaluation report # or reference to Item number in 2010 CBC Table 720.1(2). If any rated assemblies will be penetrated, provide details fireproofing product listings. No penetration 'AF1 V V Provide a note: All finish materials shall comply with CBC Chapter 8. Provide specifications and California State Fire Marshal listings as well as other acceptance criteria for flame spread and smoke developed index for new carpet, padding and carpet base. CFC 804 to be offered to AHJ upon request when architect approves product. V v'M-2B V Denote any new mechanical units on a roof plan. No new roof mounted equipment. Imprint Carlsbad Policy 80-6 to roof plan. Provide a note that Intent B (Fireman Safety) will be maintained. VE2 Electrical Lighting Legend Provide the following notes: Means of egress illumination level shall be not less than 1-foot candle, at the walking surface. CBC 1006.2 Exit signs shall be illuminated at all times and equipped with minimum 90-minute battery backup. CBC 1011.5.3 - CORRECTION LIST BLDG DEPTPO2 Daryl K. James & Associates, Inc. Checked by Daryl Kit James 205 Colina Terrace Date March 4 2012 Vista, CA 92084 T. (760) 724-7001 Email: kitfiresbcgIobaI.net : APPLICANT Erica Roman SCA JURISDICTION Carlsbad Fire Department PROJECT NAME: Global Resource Investments ' ' PROJECT ADDRESS: 1910 Palomar Pointe Way PROJECT DESCRIPTION: CB120367 14,835w Office Tenant Improvement construction within an existing building of demolition, and new construction of interior non-bearing partitions including new suspended ceiling, HVAC plumbing and electrical No work to be done in existing restrooms elevators and stairwell INSTRUCTIONS Corrections or modifications to the plans.must be clouded and provided with numbered deltas and revision dates along with a descriptive narrative .Of corrections addressing all comments. Please be sure to put fire revisions on the Building Dept. plan check set.. Please direct 'any questions regarding this review to: Daryl. K. James 760-724-7001 or kitfire@sbcglobal.net ' Corrected plans, descriptive narrative of revisions following each comment on this form, and a copy of Building Department (EsGil) COMMENTS MUST BE SUBMITTED DIRECTLY TO THE FOLLOWING ADDRESS. TO AVOID DELAY: DARYL K. JAMES & ASSOCIATES, INC. 205 COLINA TERRACE VISTA, CA 92084 This plan review is to verify conformance to minimum requirements of codes adopted by the Carlsbad Fire Department. The items below require correction, clarification or additional information before this plan check can be approved for permit issuance. COMMENTS - Additional comments made be generated by response on revised set GENERAL COMMENT: Denote oroiect address on each sheet. ..TSI Deferred Submittals Please list deferred submittals as follows: Fire Sprinkler System 2010 CFC 903 and 2010 NFPA 13. . . Fire Alarm System 2010 CFC 907 including CFC 907.2 sections specific to applicable occupancy groups and 2010 NFPA72 Sheet Index Add Sheets T53 and A4. Project Data Construction type should be shown as VB. Accessibility Requirements Please complete and sign TS2 Fire Notes (Miscellaneous) Note 3. Update code section. See CFC 507.5 AXI Page: 20f2 Provide the following notes: Card readers/Electric hardware will comply with CBC 1008.1.9.8 and will be field-tested. Hardware listings to be provided upon request from the Fire Department. See Sheet A3. - Al Denote all locations of fire extinguishers in accordancewith CFC 906 Chair Storage 250 - Show compliance with CBC 508.2.5.2. A2 Reflected Ceiling Notes 6. Sprinkler plans shall be provided to the Carlsbad Fire Dept. for review and comment prior to installation Add the following notes: See E2 for locations of means of egress illumination and exit signs. See E2 for means of egress illumination and exit sign notes. CBC 1006.2 & CBC -1011.5.3. A3 Door Notes 10. Revise code reference. See CBC 1008.10.. Add the following notes: Card readers/Electric hardware will comply with CBC 1008.1.9.8 and will be field-tested. Hardware listings to be provided upon request from the Fire Department. Door Types/Hardware Groups/Suggested Manufacturers (Or Equal)/Door Schedule Denote the following for rated doors and assemblies, including salvaged doors that rated doors are equipped with self-closing devices and smoke and draft seals. 14: Revise this note. The sign is not applicable to all exit doors with non-panic hardware. The sign applies to the main exit only. Code reference is incorrect. See CBC 1008.1.9.3. Door 200A - Address the requirements for he connection of magnetic hold open devices to a smoke detection system. CFC 907.1. Doors 200B & 200C are rated doors. Provide hardware listings in order.to verify that new hardware on reused rated doors and assemblies will not compromise label rating. Door 250 - smoke resistant assemblies will be provided in accordance with CBC 508.2.5.2. ADI . Rated wall detail to include ICC evaluation report# or reference to Item number in 2010 CBC. Table 720.1(2). If any rated assemblies will be penetrated, provide details fireproofing product listings. AFI . . Provide a note: All finish materials shall comply with CBC Chapter 8. Provide specifications and California State Fire Marshal listings as well as other acceptance criteria for flame spread and smoke developed index for new carpet, padding and carpet base. CFC 804 M-2B Denote any new mechanical units on a roof plan. . . Imprint Carlsbad Policy 80-6 to roof plan. Provide a note that Intent B (Fireman Safety) will be maintained. E2 . . Electrical Lighting Legend Provide the following notes: Means of egress illumination level shall be not less than 1-foot candle at the walking surface. CBC 1006.2 Exit signs shall be illuminated at all times and equipped with minimum 90-minute battery backup. CBC 1011.5.3 INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY Date2.\ \ Business Name Name 110k74i bl\JQS+Mh3 Street Address ( (0 V4.ID Email Address_____________ PLEASE CHECK HERE IF YOUR. BUS1 NESS, iS EXEMPT: (ON REVERSE SIDE CHECK-TYPE-OF BUSINESS) Check all below that are present at your facility. Acid Cleaning Ink Manufacturing Nutritional Supplement! Assembly Laboratory Vitamin Manufacturing Automotive Repair Machining I Milling Painting / Finishing Battery Manufacturing Manufacturing Paint Manufacturing Biofuel Manufacturing Membrane Manufacturing Personal Care Products Biotech Laboratory (I .e. water filter membranes) Manufacturing Bulk Chemical Storage Metal Casting,/ Forming Pesticide Manufacturing / Car Wash Metal Fabrication Packaging Chemical Manufacturing Metal Finishing Pharmaceutical Manufacturing Chemical Purification Electroplating (including precursors) Dry Cleaning Electroless plating Porcelain Enameling Electrical Component Anodizing Power Generation Manufacturing Coating (i e phosphating) Print Shop Fertilizer Manufacturing Chemical Etching / Milling Research and Development Film I X-ray Processing Printed Circuit Board Rubber Manufacturing Food Processing Manufacturing Semiconductor Manufacturing Glass Manufacturing Metal Powders Forming Soap /Detergent Manufacturing Industrial Laundry Waste Treatment] Storage SIC Code(s) (if known):. Brief description of business activities Production / Manufacturing Operations):_______________ Description of operations .eherating wastewater (discharged o. sewers, hauled or evaporated): Estimated volume of industrial wastewater to be discharged (gal iday) List hazardous wastes generated (type [volume): Date operatiop began/or will begin at this. location:: Have yOu applied for a Wastewâter Discharge Permit from the Encina Wastewater Authority? Yes No If yes, When; Site Contact E}IIL OW4t.t4 Title. 44OV -Signature Phone No. 1LJ77 7 ENCINA WASTEWATER AUTHORITY 6200 Avenida Encinas Carlsbad CA 92011 (760) 438 3941 FAX: (760) 4769852 'EWE ia . O) SAN DIEGO REGIONAL cd' HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY UPFP# HV# BP DATE I I Business Name Ib1 sowu \y)vesj_act ?4I sin ss Telephone # _4edI ati3_30i Project Address 010 t1 o vwii-V tvi1-eL&.j _:'5*4 Stattk Zip Codtj AP Mailing Address (—'sane as City State Zip Code oS_,Z -33 Plan File# Project Contact ___ Telnhone # _rq -4777 The following questions represent the facility's activities, NOT the specific project description. PART 1: FIRE DEPARTMENT - HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: 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 çirc a Ii nt must contact the Fire Pr9te tion Agency with jurisdiction prior to plan submittal. Facility's Square Footage (including proposed project): Wi Occupancy Rating: - Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials None of These. Flammable Solids 8. Unstable Reactives 12. Radioactives PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH - HAZARDOUS MATERIALS DIVISIONS (HIVID): If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Ave., Suite 110, 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: El CalARP Exempt YES NO (for new construction or remodeflng projects) I' El ' Is your business listed on the reverse side of this form? (check all that apply). Date Initials El 9 Will your business dispose of Hazardous Substances or Medical Waste in any amount? El CalARP Required El J Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds 200 cubic feet, or carcinogens/reproductive toxins in any quantity? Date Initials El Will your business use an existing or install an underground storage tank? El 's,, Will your business store or handle Regulated Substances (CalARP)? El CalARP Complete El Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? 0 Will your business store petroleum in tanks or containers at your facility with a total storage capacity equal to Date Initials or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). - PART III: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT: If the answer to any of the questions below is yes, applicant must contact the Air Pollution Control District (APCD), 10124 Old Grove Road, San Diego, CA 92131-1649, telephone (858) 586-2600 prior to the issuance of a building or demolition permit. Note: if the answer to questions 4 or 5 is yes, applicant must also submit an asbestos notification form to the APCD at least 10 working days prior to commencing demolition or renovation, except demolitionorrenovation of residential structures of four units or less. Contact the APCD for more information. YES NO El Will the subject facility or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the APCD factsheet at httO://www.sdapcd.org/infolfacts/permits.Ddf, and the list of typical equipment requiring an APCD permit on the reverse side of this from. Contact APCD if you have any questions). El 0 (ANSWER ONLY IF QUESTION 1 IS YES) Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)? (Search the California School Directory at http://www.cde.ca.ciov/re/sdl for public and private schools or contact the appropriate school district). El Has a survey been performed to determine the presence of Asbestos Containing Materials? El Will there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos? El Will there be demolition involving the removal of a load supporting structural member? Briefly describe business activities: vwttviit O*i&ei Briefly describe proposed project: 'ri. csio4eI —Ir-k otick.'l4iIttc. I declare unde enalty of perjury that to the be t of my knowledge and belief th esponses made herein are true and correct. SO (A *.OW1OJL _LA!t1t)VA Aa Name of Owner or Authorized Agent Signature of Owner or Authorized Agent FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: FOR OFFICIAL USE ONLY: BY: DATE: EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR occupcv RELEASED FOR OCCUPANCY COUNTYHMD* APCD COUNTY-I-IMD APCD COUNTY-HMD APCD -, stamp in this box oniv exempts ousinesses trom completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply. HM-9171 (02/I1) County of San Diego - DEH - Hazardous Materials Division Date S • fr • • PLUMBING, Development Services ELECTRICAL,.,Building Division ciTY• o MECHANICAL i6s.araay,venue R , 1 17J'r .WORKSH EET: 766P2-7191 CAeL B-18 www carlsbadca gov (q 10 M//L O(AJ f IAJ1 S4co Project Address. Permit No sf2, ji— o Information provided below refer, lx, work being done on the above mentioned permit only Thisform musi be cärnàleted and biviSiofl beforethe permllcan be issued, ligeFàé28SS8 * • 5 Number of new or relocated fixtures traps4, or floor drains New building sewer, line' •...... Yes_____ No)( Number of new roof &atns? instoll/ä1te water Number of new water he ers7..__ q Number of new, relocated or replaced gas outlets?... Numberofnewhoseblb? Residential PermIts NIexpanded service Number of new amps. Mnor Remodel oi* Yes No , Commercial/Industrial / ( , Tenant Improvement Number of e3d5t1n9 amps Inuoluedin thic proleth ________ Number of new amps InvoIvedmth,spmJect iOO )4?1V/Afr lew Constructlonx Amps per Panel 0 t Single Phase .... ........_ ..... .. - Number of newamperes______________ Three'Phase 480 - .. ----------------------._.. Number of new amperes_____________ Number of new furnaces NC o ps?_ ' New or relocated duct woth?.. ---Yes No____ ;. ithberfnewf --. .__... i Number .of Ntiftib& of neL ediaust hoods' Number of n'ew, boilers or compressors?_..._-----..._..._ Number of HP S • S Pagelofi, Rv.03I09 PLPr) / 6ii Cr- / Fir IQ / E&-' L. 31-711?- 2AL 31' f ESc94 L -3-N-1-2,QtIU p.'f 4-A~ 4 W' JXA/C yq a4, -411: k7~1 1,2, TrIl f. (q- - (,f)/ f ((f S CB120367 1910 PALOMAR POINT WY 200 LICV Approved Datq By BUILDING J 12 /- / 4- PLANNING V 2— ENGINEERING FIRE Expedite? (c) N AFS Checked by: HazMat APCD Health Forms/Fees Sent Rec'd Due? By Encina 1/7? Is a iEii : Fire V N HazHealthAPCD j44 / i V N PE&M 24 Z4IIZ. 'flg(IT., Ii School V N Sewer V N Stormwater V N Special Inspection V N LandUse: CFD: Y N Density: ImpArea: F'?: Annex: Factor: PFF: Y N Comments Date Date Date Date Building Planning Engineering Fire Need? ,)j)one U Done U Done U Done U Done SW . U Issued.