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1914 PALOMAR OAKS WAY; ; CB020924; Permit
ii City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB020924 Building Inspection Request Line (760) 602-2725 :p4-23-2002 "Job Address: 1914 PALOMAR OAKS WY CBAD St: 150 ;'.Permit Type: TI Sub Type: INDUST ;Parcel No: 2120923500 Lot # 0 Status: ISSUED Valu'ation: $270,251.00 Construction Type: NEW Applied: 03/27/2002 ccupancy Group: Reference #: •. Entered By: MDP .Projéct Title: ACTIVE MOTIF Plan Approved: 04/23/2002 8,673 SF IMPROVEMENT S Issued: 04/23/2002 Inspect Area: Applicant: "KRENEK KIMBERLY :STE C255 .v6540 LUSK BLVD 92121 .858 558-5935 Owner: - _..--• STRUCTURES ON THE GREEN L L C C/O MCKEAN FINANCIAL 5636 04/23/02 0002 01 02 P0 BOX 2763 COP 1411..49 / LA JOLLA CA 92038 / . . .. • / . Total Fees: $2,109.10 Total Payments To Date: $697.61 / Balance Due: $1,411.49 * . Building Permit J $1,073.24 2 Meter Size, Add 'I Building Permit Fee $0.00 ; Add I Red Water Con Fee '- \ $0.00 T Plan Check f /. / $697.61 Meter Fee '\ \'j ', $0.00 Add'I Plan Check Fee $0.00 SDCWA Fee -- . ' $0.00 ' Plan Check Discount $000 CFD Payoff Fee - ' -' i,,' ,) $000 Strong Motion Fee - '.' $56.75 PFF $0.00 Park Fee --- LFM Fee . / "$0.00 $0.00 PFF (CFD Fund) , '5-' ., ,License Tax '7' 5, •-, $0.00 . $0.00 Bridge Fee - - $0.00 License Tax (CFD Fund) '- $0.00 BTD#2 Fee I $0.00 ' Traffic Impact Fee. . $0.00 BTD #3 Fee ' ' . $0.00 Traffic Impact (CFD Fund) $0.00 Renewal Fee $0 00 PLUMBING TOTAL\ J $16000 AddI Renewal Fee $0.00 ' ELECTRICAL TOTAL / ,/ / $60.00 Other Building Fee \ $0.00 MECHANICAL TOTAL / ( $61.50 Pot. Water Con. Fee' , $0.061-\., , Master Drainage Fee -' / $0.00 Meter Size • . Sewer Fee / S / $0.00 ' Add'l Pot. Water Con. Fee . \ $0.00 Redev Parking Fee,' / $0.00 Red. Water Con. Fee . . $0.00 Fees -'' '--. / 1Additionàl . $0.00 ' . TOTAL PERMIT FEES $2,109.10 S S..'-. •J 'S • -.5- FINAL APPROVAL '- lnsector: Date: 4 .- 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 - - - - tj .. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO CITY OFbARLSBAD BUILDING DEPARTrVIENT EST. VAL. 1635 Faraday-Ave., Carlsbad i CA 92008 Plan Ck Deposit ( Validated By_________________________ Date f 2 ( 6 1PROCJJNF&RMAIJON ?coo __O,,\Jy_,-c-to --"'w' _____-nv-__1t, Address (include Bldg/Suite #) Business Name (at this address) . - -41 CLD Legal Description Lot No. Subdivision Name/Number Unit No. -' Phase N1- Total #ofuiiits oO,. - Assessor's Porcel# ' . Existing Use Proposed Use 1*SA lt'1toiJ_=*AP1lI4,r_/vkL/(Z i7 _ , 1? . F-. Description of Work -#of Stories # Of-Bedrooms -. # of Bathrooms pt)" ''pq L.O. __tp, 89'5 Name - Address _ 45 State/Zip 'Felephone # Fax # 1JPICANT Contrtr EAntfQrctor ONne EAgen!rJ ,nr \222 LJ((LO L- C'O 24 C12 Name , Address - City State/Zip - Telephone #- PROPEWNER -- -LTZ 4U 4LLt_ T. 0 150'K1011 Name - . - Address City State/Zip Telephone # -- c0MA4yjNjE A (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 Codelor 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 thIn five hundred dollars l$5001). ~ _ 0. t2lZ 4dL-S-O Name ,. Address - City . State/Zip Telephone # .State License # 1p3" _7 License Class City Business License it -5540 Qj .S.2.1CA Designer Name ' ' Address ' - - City State/Zip - Telephone State License # - . - - - Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. I have and will maintain workers' compensation, as required b Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: - - q00 Insurance Company _______ -- Policy No.Og'".'6l. Expiration Date '(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) O 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 shall subject an employer to criminal- penalties and civil fin'es up to one hundred thousand dollars ($1100,090), in addition to the cost of conpensation, damages as provided for in Section 3706 of the Labor code, interest and attorrey's fees, SIGNATURE DATE 3/7/D '- - -• -' - " vmm T J - :1 hereby affirm that I am exempt from the Contraátors License Law for the following reason: - - -- -- - - o .1, as owner of--the property or my employees with wages as their sole compensation, will do the work and th &tructure is not intended ort 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). 0 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' contractor(s) licensed' 'Pursuant to the Contractor's License Law). - • - 0 I am exempt undei Section Business and Professions Codefor this reason: -- - -, ,-•-- - 1. 1 personally plan toprovide the major labor and materials for construction-of the proposed property improvement. 0 YES C] NO - - - -2. I (have / have not) signed an application for a building pernit 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 contractedihired) the following persons to provide the work indicated (include name / address / phone number I type - of work): - • - - -- • "- - - • -. - PROPERTY OWNER SIGNATURE DATE- - -• - - - - -ls the applicant or-future building occupant required to submit ,a business plan, acutely hazardous matrials registration form or risk management 'and prevention' program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES 0 N0 - ' - - Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constucfed within 1,66o feet of the outer boundary of a school site? 0 YES 0 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. - t. - -- :. - T.H: -..•: --:-i-iiiii •] -H .1 hereby affirm that there is a construction lending agenc for the perf rr Jr of the v,ork for which this permit is issued (Set 3097)1) Civil Code). -'LENDE'R'S : , • - - - - .- ,-- -- , . -- .,- f -LENDER'SNAME ----------------- LENDER'S ADDRESS _• _---- -- - APPUcANT10ERTIFICATIONT L--S - - - - ¶Lj$'- - - - 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 lIws eIating to building construction. I hereb authoriz representItives of'the Cit, 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 L 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 exèavations over 5'O" deep and demolition or construction of structures over ,3 stories in height..- • -. , - 0-EXPIRATION: Every permit issued by the building Official under the provisions of this Code shallexpire by limitation and become null and void if-the building or work . - - - authorized by such permit is not commenced within 180 days from the date of such 'iermit or if the building or work authorized by such erçnit is suspended or abandored at any time after the work is-cOmmence f r a period of 180 days (Section 106.4.4 Uniform Building COde). - -- APPLiCANTSSlGNATURE - - - -t DAJE- -- -- - - - - -- - - - - . WHITE: File - YELLOW: Applicant.. PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/27/2002 Permit# CB020924 Title: ACTIVE MOTIF Description: 8,673 SF IMPROVEMENT Type: TI Sub Type: IN DUST Job Address: 1914 PALOMAR OAKS WY Suite: 150 Lot 0 Location: APPLICANT KRENEK KIMBERLY Owner: STRUCTURES ON THE GREEN L L C Remarks: Total Time: Inspector Assignment: RB Phone: 6198405552 Inspector: Requested By: PRESTON Entered By: KAREN CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Act Comment 7 7 Associated PCRs PCR02124 ISSUED Inspection History Date Description Act Insp Comments 06/29/2002 29 Final Plumbing PA RB OK FOR GAS METER RELEASE 06/20/2002 39 Final Electrical CO RB © SUBS & TRANSFORMER 06/20/2002 49 Final Mechanical PA RB ROOF INSP OK 06/19/2002 29 Final Plumbing NS RB 06/19/2002 44 Rough/Ducts/Dampers NS RB 06/18/2002 15 Roof/Reroof WC RB 06/18/2002 29 Final Plumbing WC RB 06/18/2002 34 Rough Electric CO RB ON ROOF 06/18/2002 39 Final Electrical WC RB 06/18/2002 49 Final Mechanical WC RB 06/18/2002 84 Rough Combo AP RB ON T-BAR SYSTEM 06/07/2002 23 Gas/Test/Repairs AP RB 06/06/2002 23 Gas/Test/Repairs PA RB START 24HR TEST AGAIN 06/04/2002 14 Frame/Steel/Bolting/Welding WC RB 06/04/2002 23 Gas/Test/Repairs CO RB ON 24 HR TEST 06/04/2002 27 Shower Pan/Roman Tubs. AP RB Inspection List Permit#: CB020924 Type: TI INDUST ACTIVE MOTIF 8,673 SF IMPROVEMENT Date Inspection Item Inspector Act Comments 06/27/2002 89 Final Combo - RI 06/27/2002 89 Final Combo RB AP 06/26/200219 Final Structural RB CO 06/26/2002 19 Final Structural - RI 06/26/2002 24 Rough/Topout RB AP 06/26/2002 39 Final Electrical RB CO NEED 3-OAMP DISCON. @ AUTO PLATE MACH. 06/26/2002 44 Rough/Ducts/Dampers RB AP 06/20/2002 29 Final Plumbing - RI 06/20/2002 29 Final Plumbing RB PA OK FOR GAS METER RELEASE 06/20/2002 39 Final Electrical RI 06/20/2002 39 Final Electrical RB CO © SUBS & TRANSFORMER 06/20/2002 49 Final Mechanical - RI 06/20/2002 49 Final Mechanical RB PA ROOF INSP OK 06/19/2002 29 Final Plumbing - RI 06/19/2002 29 Final Plumbing RB NS 06/19/2002 44 Rough/Ducts/Dampers - RI 06/19/2002 44 Rough/Ducts/Dampers RB NS 06/18/2002 15 Roof/Reroof RB WC 06/18/2002 15 Roof/Reroof ' - RI 06/18/2002 29 Final Plumbing - RI 06/18/2002 29 Final Plumbing RB WC 06/18/2002 34 Rough Electric ' RB CO ON ROOF 06/18/2002 39 Final Electrical - RI 06/18/2002 39 Final Electrical RB WC 06/18/2002 49 Final Mechanical RB WC 06/18/2002 49 Final Mechanical - RI 06/18/2002 84 Rough Combo RB AP ON T-BAR SYSTEM 06/07/2002 23 Gas/Test/Repairs RB AP 06/06/2002 23 Gas/Test/Repairs RB PA START 24HR TEST AGAIN 06/04/2002 14 Frame/Steel/Bolting/Weldin RB WC 06/04/2002 23 Gas/Test/Repairs RB CO ON 24 HR TEST 06/04/2002 27 Shower Pan/Roman Tubs RB AP 06/04/2002 84 Rough Combo 'RB PA ON T-BAR - MISSING LIGHTING IN RMS 125 & 140 06/03/2002 23 Gas/Test/Repairs RB PA STARTED 24 HR TEST 06/03/2002 84 Rough Combo RB CO SEE NOTICE FOR T-BAR INSP. 05/24/2002 14 Frame/Steel/Bolting/Weldin RB WC 05/24/2002 17 Interior Lath/Drywall RB AP ALL WALLS COMPLETED 05/22/2002 14 Frame/Steel/Bolting/Weldin RB AP' HIGH & LOW WALLS 05/22/2002 34 Rough Electric RB AP HIGH & LOW WALLS 05/20/2002 14 Frame/Steel/Bolting/Weldin RB PA OK OF 8FT & HIGHER WALLS 05/20/2002 17 Interior Lath/Drywall RB PA OK OF 8FT & HIGHER WALLS 05/17/2002 14 Frame/Steel/Bolting/Weldin RB NS 05/17/2002 17 Interior Lath/Drywall RB NS Thursday, June 27, 2002 ' Page 1 of 2 05/16/2002 14 Frame/Steel/Bolting/Weldin RB CO 05/16/2002 17 Interior Lath/Drywall RB DN 05/15/2002 14 Frame/Steel/Bolting/Weldin RB NR 05/15/2002 17 Interior Lath/Drywall RB NR 05/14/2002 14 Frame/Steel/Bolting/Weldin RB PA 05/14/2002 16 Insulation RB AP 05/14/2002 17 Interior Lath/Drywall RB NR 05/14/2002 23 Gas/Test/Repairs RB PA 05/14/2002 24 Rough/Topout RB AP 05/14/2002 34 Rough Electric RB PA 05/09/2002 16 Insulation RB PA 05/08/2002 14 Frame/Steel/Bolting/Weldin RB PA 05/08/2002 34 Rough Electric RB AP 05/03/2002 11 Ftg/Foundation/Piers RB AP 05/02/2002 21 Underground/Under Floor RB AP 05/02/2002 21 Underground/Under Floor 31 'AP 04/30/2002 21 Underground/Under Floor RB PA 04/30/2002 24 Rough/Topout RB WC 04/29/2002 21 Underground/Under Floor RB CO 04/25/2002 14 Frame/Steel/Bolting/Weldin RB NR NOT READY AGAIN ON CORRECTIONS ON CO OK @ HARD LIDS @ INTERIOR WALL OK@HARD LIDS SEE JOB CARD SEE ATTACHED NOTICE WALLS ONLY DOWELS @ PLUMBING TRENCHES SEE JOB PLANS SEE NOTICE ATTCH CALLED FOR COURTESY INSP. Thursday, June 2., 2002 1 Page 2 of 2 I I" qI — CLEM ACIWE [MOTIF SHNGLE LONE DIAGRAM MAIMl1 AVAIL.AI.E P,AUL 6UNT • 420 JF e'rrpi THE L.E1TER FWM 8GE 10 pgrHccM CONTOUR acmic 1B Nth Mee o Ste.D VWMCA93 (760) 94151oT l7d0)7604462-fI ALLIC b b fl 51 0 twm ROAM I20iC3 ZGm. PEPI. elA. A 4Ab T PNA AC1WE MOTIF Phase One Tenant Irnovement 1914PaIomOaie Way.sulte 150 caddxxLccdlf.90B PFALNWPM 02101 A?1BE KIM 9fl2 SINGLE LINE DIAGRAM PANEL SCK. TMJB I ) EXISTING PANEL 141, 200A 205/120V, 30,41.4 EXISTNG TRANSFORMER, 19 KVA 4e0,08-I20V. EXISTING PANEL LI, 200A, 208020V, 30, 4.4. EXISTING SUE-PANEL L2, 1004, 205/I20'V, 30, 4fr4. ©NEW TRANSFORMER NA, EO KVA, 2051120V, 30,414, EO DEG. RISE, 220 DEG. INSULATION ,NEW R.ISED DISCONNECT 400A 3 P. 2$0V. NE1.4 PANELNA°, 400A, 208/120,30,44.4,22 KAIC fr4/ 400,4 MAIN G.E. ©NEI.4 PANELNA-I, 1004, 208/120, 30, 41.4, 22 KAIC FOR FUTURE USE. NEW PANEL NC, 2284, 480tT71V, 30, 4N, 22KAIC. @NEW TRANSFc1ER INC. 15 KvA, 4801208-I20v, 3o, 4w, ISO DEG. RE, 220 DEG. INSULATION NEW PANEL NE, 228,4, 208/120Y, 30,4.4, 22KAIC. ,, PROVIDE TWO 10' TAPS ONTO THE EXISTING PREDRILL.ED " SWITCI.4EOARO BUSS. TERMINATE AT FUSED DISCONNECTS (KEY NOTE'13). O (2) NEW FUSED DISCONNECTS - 2004,3 POLE, 600V WITH RK FUSES. I'44LL. MOUNTED laliTi-IIN 10' FROM THE 8'IITCfIBOARD. 0 NEW FEEDER FTNA - I 2 1i2"C., 3 04/0 CU., I 04 CU. EG 4D NEW FEEDER R4C - 2 I/2"C., 4'4/O CU., I '4 CU. EG I . Cl d3t4 .%%J (AA1 EsGil Corporation In Partnership with Government for Building Safety DATE: 4/19/02 JURISDICTION: City of Carlsbad MC ANT 0 PLAN REVIEWER U FILE PLAN CHECK NO.: 02-924 SET: II PROJECT ADDRESS: 1914 Palomar Oaks Way Suite 150 PROJECT NAME: Active Motif - 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 in the remarks below are resolved and checked by building department staff. El The plans transmitted. herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. LI The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. LI The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. El 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. El 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 Z. REMARKS: The applicant to make changes marked in red on sheet A2.1 and P1 to city held sets. By: Doug Moody Enclosures: Esgil Corporation El GA El MB [J EJ El PC LOG trnsmtl.dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 EsGil Corporation In Partnership with Government for Building Safety DATE: 4/8/02 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 02-924 SET:! g_A2P,LICANT JURIS. U PLAN REVIEWER U FILE PROJECT ADDRESS: 1914 Palomar Oaks Way Suite 150 PROJECT NAME: Active Motif - TI LI 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. El 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 chebk list has been sent to: Kimberly Krenek 6540 Lusk Blvd Suite C255,San Diego, CA 92121 El 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: Kimberly Krenek Telephone #: 858-558-5935. Date contacted: 'I—-i'Z.- (by:1-) Fax #: 858-558-5945 Mail TeIephone— Fax— In Person LI REMARKS: By: Doug Moody Enclosures: Esgil Corporation LI GA [] MB [1 EJ [1 PC 3/28/02 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 City of Carlsbad 02-924 4/8/02 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: 02-924 JURISDICTION: City of Carlsbad OCCUPANCY: B/F/S USE: Office / Manufacturing/ Storage TYPE OF CONSTRUCTION: VN ACTUAL AREA: 8673 sf ALLOWABLE FLOOR AREA: STORIES: 2 HEIGHT: SPRINKLERS?: YES REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 3/27/02 DATE INITIAL PLAN REVIEW COMPLETED: 4/8/02 FOREWORD (PLEASE READ): OCCUPANT LOAD: 77 DATE PLANS RECEIVED BY ESGIL CORPORATION: 3/28/02 PLAN REVIEWER: Doug Moody 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 energyconservation, 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 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 02-924 4/8/02 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: 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. 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. 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. If exit signs are required, provide the following notes on the plans, per Section 1003.2.8.2: Exit signs shall be located as necessary to clearly indicate the direction of egress travel. No point shall be more than 100 feet from the nearest visible sign. Exit signs shall be, readily visible from any direction of approach. 4. Please attach the City of Carlsbad Policies and Procedures for Roof Mounted Equipment to the plans. 5. Please clarify the electrical plans, the equipment schedule indicates the boiler to require 120A, the panel schedules indicate the boiler to be feed from panel NC and the plans indicate the circuits to the boiler to be NB 26,28? 6. Please revise the plans to show the new HVAC equipment to have a GFCI protected service receptacles within 25'. 7. Please provide the boiler listing information and manufacturers installation recommendations. City of Carlsbad 02-924 4/8/02 Please indicate the types of material to be exhausted from the fume hoods in room 124 they do not appear to be addressed in the technical report. Is the 650 CFM provided adequate. to reduce the flammable vapors to <10% of their LFL? Please provide the sizes of all gas piping shown on the isometric diagram on sheet P2. Please revise the drain, waste and vent diagram to show the required clean-outs per section 707 of the UPC. Please indicate on the plans the location of the water heater, indicate the method of providing combustion air per section 507. Show P & T valve on water heater and detail drain line route from P & T valve to the exterior. UPC Section 608.4. Showers and tub-shower combinations, control valves must be pressure balance or thermostatic mixing valves. UPC Section 420.0. Show that the minimum strike edge distances are provided at the level area on the side to which a door (or a gate) swings for the door entering the shower, per Section 1133B.2.4.3: a) ~18" at interior conditions. Please revise detail 4 on A5.1 to be consistent with the notes on sheet T1.3 to show the grab bars mounted at 33" above the floor. 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: Yes El No U 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 POLICIES AND PROCEDURE - - "UMBER: 80-6 SUBJECT: ROOF MOUNTED EQUIPMENT EFFECTIVE: 5/1/92 SECTION: BUILDING DEPARTMENT SUPERSEDES: 80-6(9/10/80) 80-6(5/01/81) PURPOSE: PROVIDE INSTALLATION STANDARDS FOR ALL ROOF MOUNTED EQUIPMENT AND PENETRATIONS ON COMMERCIAL AND INDUSTRIAL BUILDINGS. INTENT: A. Maintain roof integrity. Prevent hazardous condition to firemen who must fight fire on the roof. Provide an installation that is aesthetically sensitive to the building and the adjoining properties. POLICY: 1. All equipment shall be concealed from view and the design* shall meet the approval of the Planning Department. All equipment shall be specifically designed and approved for exterior use and shall be approved by the City of Carlsbad Building Department. All roof mounted equipment shall be on a platform which shall be an integral part of the roof--flashed and waterproofed. When a screen is approved, it shall - have as few roof connections as possible and be structurally adequate. 4. All electrical, plumbing, mechanical duct work and related piping shall be inside the building and not on the roof. All connections related to equipment shall be made in the same roof opening on the platform or have the prior approval from the building official. 5. Sewer vents shall be brought to one main vent below the roof and have one penetration where restrooms or other plumbing fixtures are back to back or in the general proximity. Air exhaust fans and other equipment shall be within the building and use the same roof opening where restrooms and other equipment are back to back or in • general proximity. Existing buildings and equipment, remodel or replacement, shall meet the above regulations or shall have the prior approval from the building official. Where new equipment is installed, unused or abandoned equipment, including all roof mounted piping, electrical, mechanical, duct, and other related appurtenances shall be removed from roof and unused openings properly sealed -to maintain roof integrity. *The architect should, through design, conceal the heating/AC unit and other equipment whether they are on the roof or elsewhere. initiated By: • Approved City of Carlsbad 02-924 4/8/02 VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK NO.: 02-924 PREPARED BY: Doug Moody DATE: 4/8/02 BUILDING ADDRESS: 1914 Palomar Oaks Way Suite 150 BUILDING OCCUPANCY: B/F/S TYPE OF CONSTRUCTION: VN [BUILDING PORTION AREA (Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) TI 8673 City Valuation 260,190 Air Conditioning Fire Sprinklers TOTAL VALUE 260,190 Jurisdiction Code Icb I By Ordinance 1994 UBC Building Permit Fee I $1,042.441 1994 UBC Plan Check Fee I $677.59 Type of Review: I Complete Review L Structural Only E Other fl Repetitive Fee Repeats Hourly Hour * Esgil Plan Review Fee I $583.77 Comments: Sheet of 1 - macvalue.doc PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB DATE /' '-06- ADDRESS RESIDENTIAL TENNPROVEMENT RESIDENTIAL ADDITION MINOR PLAZA CAMINO REAL (<$10,000.00) CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE ENGINEER' i1 L~12-a~DATE - oocslMisforms/Planning Engineering Approvals Plan Check Planner APN: PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST 3 Address /iY Ai,v41t 54v Phone (760) 602- tfb_2-? 07;L -057 Type of Project & Use:___________ Net Project Density: DU/AC Zoning: General Plan: Facilities Management Zone: CFD (in/out) # Date of participation Remaining net dev acres:______ Circle One (For non-residential development: Type of land used created by this permit:________________________________________________ Legend: Item Complete Item Incomplete - Needs your action UI. Environmental Review Required: YES NO TYPE DATE OF COMPLETION: Compliance with conditions of approval? Conditions of Approval: E 7 Discretionary Action Required: APPROVAL/RESO. NO. - PROJECT NO. OTHER RELATED CASES: If not, state conditions which require action. YES NO TYPE DATE._____ 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 NO CA Coastal Commission Authority? YES NO 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): Coastal Permit Determination Form already completed? YES NO If NO, complete Coastal Permit Determination Form now. Coastal Permit Determination Log #: Follow-Up Actions: Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans). Complete Coastal Permit Determination Log as needed. E Inclusionary. Housing Fee required: YES NO (Effective date of Inclusionary Housing Ordinance - May 21, 1993.) Data Entry Completed? YES NO (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE') H:\ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01 Site Plan: Provide a fully dimensional site plan drawn to sale. Show: North arrow, property lines, easements existing and proposed structures streets existing street improvements right 'Width,'dimensional of-\y setbacks and existing topograDhial lines (including all side and rear yard slopes). -. . * '. c F-1 F-1 • Provide legal description of propert andassessor's parcel number. Policy 44 - Neighborhood Architectural Design Guidelines r L\ 0 0 Applicability: YES NO________ fl Project complies YES NO________ ( Zoning: L1 0 0 Setbacks: \ Front: Required Shown I1\J Interior Side: Required Shown Street Side: Required • Shown • Rear: Required Shown Top of slope: Required Shown i\ 0 0 Accessory structure setbacks: Front: Required Shown Interior Side: Required Shown • Street Side: Required Shown Rear: Required Shown Structure separation: Required Shown 0 0 Lot Coverage: Required Shown Height: Required Shown 0 0 Parking: Spaces Required / 2 Shown ./ (breakdown by uses for commercial and industrial projects required) ( Residential Guest Spaces Required Shown 0 0 Additional Comments S S OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE 2/0 H:\ADMiN\COUNTER\BldgPinchkRevChkist 1, Rev 9/01 'Si Carlsbad Fire Department '020924 1635 Faraday Ave. Fire Prevention " Carlsbad, CA 92008 (760) 602-4660 Plan Review Requirements Category: Building Plan Date of Report: 04/01/2002 Reviewed by: Name: Krenek Design Group Address: 6540 Lusk Blvd. City, State San Diego CA 92121 Plan Checker: Job #: 020924 Job Name: Active Motif ' Bldg:#6020924 Job Address 1914 Oalomar Airport Rd Ste. or Bldg. No. 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. D 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. E 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. 1st _________ 2nd _________ 3rd _________ Other Agency ID FD Job # 020924 ED File # Carlsbad Fire Department 020924 1635 Faraday Ave. Fire Prevention' Carlsbad, CA 92008 . (760) 602-4660 Plan Review Date of Report: . 04/01/2002 Reviewed by: Name: Krenek Design Group Address: 6540 Lusk Blvd. City, State: San Diego CA 92121 Plan Checker: 020924 Job Name: Active Motif Job Address: 1914 Oalomar Airport Rd Ste. or Bldg. No. Please see comments on Sheets A1.2 and A3.1. /ullmc%A ELECTRIC BOILERS ES ELECTRIC STEAM BOILER Auto Re Control Pilot Light Main ON/OF] Switch Control Pan Carbon Si Pressure Floo Clea )ata Plate et Operating Data Plate Water Cut-off/ id Level Control ter Level Sight ss 'lass Valves mel Finish Valve th SUSSMAN ES PACKAGED ELECTRIC STEAM BOILERS Suitable for industries requiring efficient, high quality saturated steam, including laboratories, hospitals, industrial plants, pilot plants, food and chemical processing applica- tions. These versatile generators are perfect for almost any application requiring steam from 0-150 PSIG. Each unit is complete with automatic features including pressure and liquid level controllers, ASME Code pressure vessel and safety valve and are fully tested under power. Each one must pass Sussman's rigid quality control inspection before it is shipped. Sussman Electric Boilers - your source for fast economical steam energy. ES SERIES FEATURES: Safe easy -to-use heat source - No on-site products of con: 3ustion. Ea.;y, quick to install, they require only a water feed connection and electrical hook-up. Applications i.clude: Steam for tanks, reactors, distilla- tion, autoclave3, dyestuffs, food products, cosmetics, paraffins, glues resin varnishes, sterilizers, pipe tracing and un1idification. Btilt to Section I, of ASME Boiler and Pressure Vessel Cocs - UL listcd and CSA certified. PUR100217 March, 1994 L STANDARD FEATURES LOW WATER CUT-OFF/LEVEL CONTROL - A McDonnell Miller #150 control automatically maintains proper water level, shutting off the boiler when water supply in the boiler drops below a safe operating level. WATER LEVEL SIGHT GLASS -Allows constant observation of water level while boiler is in operation. ' rIIAIN ON/OFF SWITCH - Allows manual operation of the .boile operation control circuit. PILOT LIGHT'- Indicates the boiler's-on/off condition. INTEGRAL POWER CO,NTACTORS Magnetic contactors for ënergiziñg- the boiler elements. lntegriilly mounted in the control unit. BLOWDOWN/DRAIN VALVES - Facilitates emptying the boiler pressure vessel Eind MMISO water- coliinm piping during blowdown sequence. , LONG LIFE HEATING ELEMENTS '- Industrial grade.. heavy duty 0.420" diameter stainless steel heating elements equipped with, one piece resistance welded terminations for added strength and safety.. OPERATING PRESSURE CONTROL - Resets automati- cally to maintain preset pressure within boiler. - . ENERGY SAVINGS AND MINIMUM MAINTENANCE - Pressure vessel insulation; minimum heat loss and maxintutn energy savings is 'insured by fibrous glass material. EASY CONTROL MAINTENANCE - All' control panels and components are easily accessible. Fully-louvered opernings avoid component heat build-up. RUGGED CONSTRUCTION - Perforniance is insured for all typical industrial applications. ' MEETING CODE REQUIREMENTS Pressure vessel rated at 100 PSIG to ASME Section 1. Code M. Vessel National Board Registered. Sect '1 Code to .150, PSIG rating available. TJL Listed, Canadian Standards Association Approved.. All electrical construction conforms to NEC standards. SAFETY FEATURES ' STEAM SAFETY VALVE - Automatically opens to reduce pressure should excessive steam cause pressure build-up. STEAM PRESSURE GAUGE - Allows visual observation of steam pressure over full range 'MANUAL RESET PRESSURE CONTROL - Provides high limit pressure cut-out with manual reset, STANDARD OPTIONAL EQUIPMENT' 'E'S ELECTRIC STEAM BOILERS )$(5. '' Si4L4X ' •sr ' '.r,Th$OI.4 c",Fny' VP I D 1 ifi • H '. 6 • '- '. IMP - 4 H:L ' at 4 4,1104 SPECIFICATIONS' FOR ES BOILERS D'unensions Lbs. 3 Field Wiring , Inches Stearn/Hr. Phase Total Size Power Bhp 212F Voltage ppi Boiler Input Copper :(L .) KW Rating ft t . Model Draw 90'C°° ' . H 208 34 8 240 29 0 1.22 36.2 .1 20 28 36 230 480 15 14 49 6 298 ' 240 4iO- 42 6 17 51.2 20 , 28 3,6 240 1.73 , 10 24 2.45 72.320 , - 23 xt 44 '300 t80 29 to 208 81 240 70 4 E.S-30 29 2.96 87.4 23 33 44 480 35 8 , 310 209 '95 2 240 82 3 ES-36 34 3.47 102.5 310480 23 33 6 44 41 208 128 2/0 .240 ' ' 46 4.69 111ES-48. 138.7 313480 23 33 6 44 56 208 161 3/0 5859lt 174ff 240 140 2)0 2O8'189 250 MCM 6S-72 68 6.93 , 205 240 164 -3/0 • ' 23 33 44 390 490 82 3 208 284' .400 MCM ES:100 102 10.4 307 ' 240 246 350 MCM , 28 - 34 59 625 480 . 123 ' , ,,0 208 378 700 MCM 240 327 600 MCM " ES-135 136 .13.9 410 30 36 59 785 240 379 700 MCM ES- 160 157.3 16.1 475 480 190 250MCM , 30 , 36 ' 61 785 ES-180 ISO ' 18.4 543 240 433 2-300 MCM 30 36 61 790 4i6 217 300 MqM A complete complement of optional equipment for ES and other Sussman steam boilers is described in Stissman . . ' Single phase available " AWO unless otherwise indicated. t Other voltages available. Product Sheet OES. Options covered are water feed systems tt With 50' leedwaicr., ' s NOTE: Allow 21 inches ror heating element removal.' condensate returns, aux: low-water cut-off controls, progrés- ES12 - ES72 have one oerating pressure control; larger units have two. sive sequencers, automatic blowdown 'systems, blowdown separators and transformers. -I - •/' SUSSMAN ELECTRIC BOILERS, a division of SUSSMAN-AUTOMATIC CORPORATION, - 43-20 34TH STREET, LONG ISLAND CITY, NEW YORK 11101 • 718) 9374500 ELECTRIC. BOILERS ' • - -. ' 'Telefax: 718-937-4676 - • - - E-MAIL: sussmanboilers@woridnet.att.net www.sussmanelectricbojlers.com OFFICE USE ONLY H# c3cc BP DATE I / SAIM APCD SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE 'Business Name Contact Person R ECALVEZ Telephone Mailing Address City State Zip28 J Plan File# I Site Address pj w City State Zip Plan File#/Permit# I PART I: FIRE DEPARTMENT- HAZARDOUS MATERIALS MANAGEMENT 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 circled, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. 0A U-52 i3:3 Pi 31073 1. Explosive or Blasting Agents Flammable Solids Pyrophorics Q Cryogenics ['i.it Corrosives 1145. 00 J Compressed Gases 5. Organic Peroxides Unstable Reactives QHighly Toxic or Toxic Materials GOther Health Hazads (3) Flammable or Combustible Liquids in Oxidizers M Water Reactives 12. Radloactives PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH - HAZARDOUS MATERIALS MANAGEMENT DIVISION IHMMDI: It the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Management Division, 1255 Imperial Avenue, 3rd Floor, San Diego, CA 92101. Telephone 16191 338-2222 prior to the issuance of a building E CalARP Exempt department permit. Date Initials FEES Yes MAY No BE REQUIRED CalARP Required Is your business listed on the reverse side of this form? Date Initials fJ fl Will your business dispose of Hazardous Substances or Medical Waste in any amount? 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? 0 CalARP Complete fl Will your business use an existing or install an underground storage tank? I Date Initials Will your business store or handle Regulated Substances lCalARP)? fl Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10) 1 PART III; SAN DIEGO COUNTY AIft.EÜLLUTIONS CONTROL DISTRICT If the answer to any of the questions is yes, applicant must contact the Air Pollution Control District, 9150 Chesapeake Drive, San Diego, CA 92123. Telephone . (858) 650-4550 prior to the issuance of a building department permit. YES NO Will the intended occupant install or use any of the equipment listed on the Listing of Air Pollution Control District Permit Categories, on the reverse side of this form? (ANSWER ONLY IF QUESTION 1 IS YES.) Will the subject facility be located within 1,000 feet of the outer boundary of a school (1< through 12) as listed in the current Directory of School and Community College Districts, published by the San Diego County Office of Education and the current California Private School Directory, compiled in accordance with provisions of Education Code Section 331907 11 I Does the building or structure for which this permit Is requested contain any friable asbestos? .- - Briefly describe business activity and proposed project: I:TI -%'L cniLt.. - Name of Owner or Authorized Agent Signature of Owner or Authorized Agent Date LE c4L7 ____ &2,I7iO2 I declare under penalty of perjury that to the best of my knowledge and belief the responses made here e and correct, FOR OFFICIAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICA BY: Date: I EXEMPT OR NO FURTHER INFORMATION REouIREo RELEASEO F ulLoING PERMIT Our NOT FOR OCCUPANCY EASED FOR OCCUPANCY _OUNT41MMD APCO Uf- t APCO 0T -H , APCD I REEW!D RD __L City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-09-2002 Plan Check Revision Permit No: PCR02124 Building Inspection Request Line (760) 602-2725 Job Address: ermit Type: Parcel No: Valuation: Reference #: :-Project Title: 1914 PALOMAR OAKS WY CBAD St: 150 PCR 2120923500 Lot #: 10 $0.00 Construction Type: NEW CBO2-924 ACTIVE MOTIFF RAISE INTERIOR FROM 6 TO 8 FEET Status: ISSUED Applied: 05/06/2002 Entered By: MDP Plan Approved: 05/09/2002 Issued: 05/09/2002 Inspect Area: Applicant: Owner: KRENEK KIMBERLY ' STRUCTURES ON THE GREEN L L C . . C/O MCKEAN FINANCIAL .5, P 0 BOX 2763 6788 05/09/02 0002 01 02 .' / LA JOLLA CA92O38 COP 120.00 858 558-5935 / •, . V• / Total Fees: $120.00 Total Payments To Date: $0.00 Balance Due: $120.00 f 45 •'• Plan Check Revision Fee / " $120.00 Additional Fees $0.00 / / 'S \ •/ •1! / I / S •• S - - tn ' 'O \ - • / / • ' \,'\.• \' / I • •/ 5'. FINAL APPROVAL Inspector: 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 oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviously otherwise exoired_________ FOR OFFICE USE ONLY .• PERM ITAPPLICATION PLAN CHECK NO. CITY OF CARLSBAD BUILDING DEPARTMENT EST VAL. 1635 Fara'däy Ave., Carlsbad, CA 92008' " Plan Ck. Deposit Validated By__________________________ Date' ROCTJNFPRMMION L Address (include Bidg/Suite.#). . . Business Name (at this address) . . Total # of units Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Assessor's Parcel # Existing Use Proposed Use Description of Work 7 ' . SQ. FT.- )#of Stories # of Bedrooms ', , # of Bathrooms If 2 QERS(fferentjromapphcant) . ...-..-.-..-................................tr...-.............................,---.-.. -- - ' Co54O A)5 t0i CA- 'Z12 Name Address . . City' . State/Zip TeIephon,.. Fax # for o ,r' MgoN,IANT ciTcr Af cta'? 14am8 Aouress ., i,uty taie,ip Itslupriurlu ff ......... ........ c:tU-E-, Name . Address i City State/Zip • Telephone # . QYJJ1jL (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 Codel 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 l$5001). 'Name ' Address fcity State/Zip . - Telephone # State License # . ' License Class . . City Business License # -' Designer Name . 'Address . . City - . . State/Zip Telephone Sthe License # 2'" Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: . . 0 l have and will maintain a certificate ofconsent to self-insure for workers' compensation s'provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued: 0 I have and will ?maintain workers' compensation, as required by Section 3700 of the Labor Code, for the-performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Z. ,. ', • . .1'; lnstañce Company . . . . . Policy No.. ' Expiration Date .. . - (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS.I$ 1001 OR LESS) . . CERTIFICATE OF EXEMPTION: I certify thEt in the performance of the work for which this permit isissued,i shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE . . DATE '. . • . , L7 ptR ckA& - ' — .1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: . -- I, as owner of the property or my employees with wages as their sole compensation, will do the wok 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 prEperty who builds or improvds thereon, and who does such work himself or through his own employees, provided that such improvements'are not intended or offered fEr 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). 0 I, as owner of the property, am exclJsively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions code: T)e 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). 0 . 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. 0 YES DNO ., I (have /.have not) signed an application for a building permit for the proposed work. ', r have contracted with the following person (firm) to provide the proposed construction (include name I address /'phone number / contractors license number): I plan to provide portionsof the work, but I have hired the following person to coordinate, supervise and provide the major work (include iame / address / phone number I-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 I phone' number / type -' - of work): PROPERTY OWNER SIGNATURE ....- ___. DATE '.. Is the applicant or future building occupant required to submit 'a business, plan, actely hazardous materials registration form or risk management and prevention - - program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance AccountAct? 0 ,YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES IJ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES . 0' NO V 1,•' ' . . . 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. , '-" - -RU I hereby affirm that thereis a construction lending agency for the performance of the work fOr which this permit isissued (Sec. 3097(il Civil Code). , V LENDER'S NAME . ___._.' LENDER'S ADDRESS .... __. T — 'V LICETI4! ION " * I certify that lha've read the application and state that the above information is correct and that the information on the plans is accurate. I agree tocomply with all - City ordinances and State laws relating to building construction. I hereby authorize representatives of, the Cit' of Carlsbad to enter upon the abOve mentioned property for inspection Vpurposes. 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 INCONSEQUENCE OF THE GRANTING OF THIS PERMIT.. OSHA: An OSHA permit is required for excavations over. 5'0 deep and demolition or constructiori'Zif structures over 3 stories in height, EXPIRATION: Every-permit issued b the building Official under the-provisions of this Code shall expire by limitation and become null and void if the building or work EfFCorporation In Partnership with Government for Building Safety DATE: 5/0/02 U APPLICANT U JURIS. JURISDICTION: City of Carlsbad U PLAN REVIEWER U FILE PLAN CHECK NO.: 02-924 PCR02-124 SET: I PROJECT ADDRESS: 1914 Palomar Oaks Way Suite 150 - PROJECT NAME: Active Motif - Revision to Floor Plan The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. El 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. El 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. El The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. El 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: ) Fax #: Mail Telephone Fax In Person REMARKS: The applicant to hand carry the plans directly to the city of Carlsbad. This does not assure a permit will be issued the city may have other corrections. By: Doug Moody Enclosures: Esgil Corporation E GA E MB E EJ E PC LOG - trrsmtI.dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 City of Carlsbad 02-924 PCR02-124 5/0/02 VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK NO.: 02-924 PCR02- 124 PREPARED BY: Doug Moody DATE: 5/0/02 BUILDING ADDRESS: 1914 Palomar Oaks Way Suite 150 BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: VN BUILDING PORTION AREA (Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) PCR Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code 1cb I6Y Ordinance 1994 UBC Building Permit Fee V 1994 UBC Plan Check Fee j V I $120.001 Type of Review: fl Complete Review Structural Only E Repetitive Fee Repeats * Based on hourly rate Comments: E Other Hourly 1 ii Hour* Esgil Plan Review Fee I $96.00I Sheet 1 of 1 macvalue.doc M N BU/LDI!VG JO Sp DATE ENGR PROJECT A C 71v t5 qO77, burkett &wong Structu(OI & civil engineefs / SHEET JOB NO_____________ c-ic #7.? . r' 1.01 /0. &) -= 3ve Y 22, 714 #4- Co(s" V r/,iii5'/ 7,1 CM '40 -3 F. ,Q. V ..!(L77;2. I ( Il C.7 2,3 co ll No. 2529 - N p. 3-31-03 1 H C / y 3 7 / DATE ENGR_ PROJECT Ac7'L' 416711 7-, ,~. D I 2't 'Co 4 71 /2- 7A-øC, burkett &WOfl9 .. strvctuiol & civil eno)neefs SHEET JOB NO_7yr84 pC,