HomeMy WebLinkAbout1917 PALOMAR OAKS WAY; 200; CB140415; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-09-2014 Commercial/Industrial Permit Permit No: CB140415
Building Inspection Request Line (760) 60272725
Job Address: 1917 PALOMAR OAKS WY CBADSt: 200
Permit Type: TI . Sub Type: INDUST Status: ISSUED
Parcel No: 2120911900 Lot #: .0 Applied: *02/21/2014
Valuation: $366374.00 Construction Type: 5B Entered By: JMA
Occupancy Group: Reference # . Plan Approved: 04/09/2014
Issued: 04/09/2014
Inspect Area
Plan Check #:
Project Title: SPEC SUITE = 9,870 SF OFFICE
SAME
Applicant: Owner:
MICHAEL ARNOLD-KUSH WASATCH CORNERSTONE HOLDINGS L L C
925 FORT STOCKTON DR . 595 S RIVERWOODS PKWY #400
SAN DIEGO CA 92103-181.7 LOGAN UT 84321
619-297-6153 .
Building Permit $1742.26 Meter Size
Add'l Building Permit Fee $0.00 Add'l Red. Water Con. Fee $0.00
Plan Check . $1219.58 Meter Fee . $0.00
Addl Building Permit Fee $0.00 SDCWA Fee $0.00
Plan Check Discount $0.00 CFD Payoff Fee $0.00
Strong Motion Fee $76.94 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 Tax (4304193) $0.00
BTD #2 Fee : $0.00 Traffic Impact Fee (3105541) $0.00
BTD #3. Fee $000 Traffic Impact Fee (4305541) $0.00
Renewal Fee $0.00 PLUMBING TOTAL . $0.00
Add'l Renewal Fee $0.00 ELECTRICAL TOTAL $147.00
Other Building Fee . $0.00 MECHANICAL TOTAL $42.45
Pot. Water Con. Fee $0.00 Master Drainage Fee $0.00
Meter Size Sewer Fee $0.00
Add'l Pot. Water Con. Fee $0.00 Redev Parking Fee $0.00
Red. Water Con. Fee $0.00 Additional Fees $0.00
Green Bldg Stands (SB1473) Fee $12.00 HMP Fee ??
Fire Expédidted Plan Review $317.50 Green Bldg Standards Plan Chk ??
TOTAL PERMIT FEES $3,557.73
Total Fees: $3557.73 Totyl Payments To Date: $3,557.73 Balance Due: $0.00
Inspector:
FINAL APPROVAL
Date: 7/2 / 1Y" Clearance:
NOTICE:. Please take NOtICE At 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 tile 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 tees in connection with this project. NOR DOES IT APPLY to any
ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: ANNING INGINEERING tILDING E2flRE HEALTH E:IHAZMATIAPCD
Building Permit Application Plan Check No(,(L(, (.4-i ç
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value i") 4', 7 41 j.s C I T V 0 F Ph: 760-602-2719 Fax: 760-602-8558 ''
c/.\RLSBI\D email: buildingcarlsbadca.gov Plan Ck. Deposit
Date _, Z.J ( / '-r IswPPP I www.carlsbadca.gov
JOB ADDRESS -
1917 PALOMAR OAKS WAY
SUITE#/SPACE#/UNIT# •
- 200
APN
212 - 091 :01.. - 6..."
CT/PROJECT if - LOT if PHASE if if OF UNITS if BEDROOMS if BATHROOMS TENANT BUSINESS NAME CONSTR. PIPE 0CC. GROUP
I 2NDFLR SPEC SUITE VA B"
DESCRIPTION OF WORK: include Square Feet of Affected Area(s) .
T.I.WILL NOT INCLUDE STRUCTURAL WORK T.I.WILL INCLUDE NON LOAD ONLY EXISTING AND NEW SUSPENDED CEILINGS INCLUDING RELOCATED LIGHT
FIXTURES HVAC/ MECHANICAL SYSTEMS ARE EXISTING DUCT WORK ONLY
EXISTING USE ,. PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES # NO[Z]YES [Z] NO E YES E NOII
APPLICANT NAME (Primary Contact) MICHELE ARNOLD KUSH APPLICANT NAME (Secondary Contact)
ADDRESS .,, . - ... ADDRESS . . 925 FORT STOCKTON $
CITY . , . ............. . STATE -. ZIP .. CITY STATE - ZIP
SAN CA 92103 _DIEGO
PHONE.. . ,.. FAX PHONE .. .. FAX ,
6192976153 ___6192996072
EMAIL . - . ' . -
iIM ckk e robv7e co1
EMAIL .. . .. - . ... ......
_______________________
t'ROPERTYOWNER NAME _WASATÔH COMMERCIAL MANAGEMENT CONTRACTOR BUS. NAME _PACIFIC, BUILDING GROUP
ADDRESS ... . - . ., ADDRESS - - .• -
299 SOUTHMAIN,SUITE2400 9752 ASPEN CREEK COURT STE150
CITY - STATE ZIP . ,. - CITY . - . . STATE ZIP
SALTLAKECITY _____UTAH __84111 SANDIEGO ____CA _____92126
. PHONE, .......-, , FAX PHONE .....................FAX.
(801)_961_1008 8583344112
. Andre pacificbuiIdinggroup corn
EMAIL- . . . . . - .....EMAIL
ARCH/DESIGNER NAME & ADDRESS - STATE LIC. if . - STATE LIC.# . CLASS .
SAFDIERABINES ARCHITECTS' _.... _- .
_502376 .B TZ,? _i
(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 issuarice, also requ'Tll 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, commendingwith Section 7000 of Division 3 of the 8usiness 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))..
- .
Workers' Compensation Declaration: I 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.
[] I have and will maintain workers' compensation, as requed by Section 3700 of the Labo Code, for the performance of the work for which this permit is issued: My workers' compensation insurance carrier and Ii y
re:lnsuranceC.'O/d' I21?ft)L711 C ( ute,vt1~'.. P1liyNo. - _____W36844307
, Expiration Date '- .. °1°'
This section need not be completed if the permit is for one hundred dollars ($100) or less.
E] Certificateof 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 fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, dam,39 s as p vided for in Section 3706 of the Labor code, interest and attorney's fees.
-CONr 1 GENT DATE !L2
@ODwOCJ D0OOøO -
(hereby affirm that (am exempt from Contractor's License Law for the following reason:
[I] I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply loan 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
Su!e. 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).
[] I, as owner of the property, an exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors 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 10 the Contractor's Ucense Law). .
I am exempt under Section Business and Professions Code for this reason:
I personally plan to prcvide the major labor and materials for construction of the proposed property improvement. IIYes IINo
I (have! have not) sigred an application for a building permit for the proposed work. -
(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, butt 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) have contracted (hired) the following persons to provide the work indicated (include name! address! phone type of work):
,.PROPERTY OWNER SIGNATURE ' - []AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes [I Ns -.
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district'? L"Yes [ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? - Yes rINo
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,
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 Lender's Address '
- IiRIJUflhII111 iii]IUiiII1 - -
I certify that i have read the application and state thatthe above information is coned and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws ielatingto building construction.
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 ANYWAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA- An OSHA permit is required for excavations over 50' deep and demolition orconstruchon 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 nut 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 butdi y suchnnit. suspended or abandoned at anytime after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANTSSIGNATURE DATE - 1
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy.will be requested at final inspection.
Fi:iEr?TIFICATE OF .X1JJPAN.CY (Com merci a l1JZ1
Fax (760) 602-8560, Email buiIding(CarISbadca.gOvor Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CONTACT NAME '- '-"- -._-t_. - . '---- --- OCCUPANT NAME MICHELEARNOLD-KUSH 2ND FLOOR SPEC SUITE .
ADDRESSr
925 FORT STOCKTON RD.'L BUILDING ESS. '-
i1i9!OAKS
ClTY'-, -'-'-'—-'cSTATEr ----------- ZlP-" --P:i. i. SAN CA
CITY STATE ZIP
.. ,921'3- P ,
Carlsbad 4 CA - "
PHONE -- - - -.. — - - -
L 6192976153 FAX .--- -. - - -
1 61
...- .-t'.---•-"'- BUS. LIC. No.
[OCCU
PANT's
MICHELEOSAFDIERAB04UWCOM I
DELIVERY OPTIONS . . ' PICK UP: 1 CONTACT (Listed above) r../ CUPANT (Listed above)
0 CONTRACTOR (On P. I
DASSOCIATEDCB#T
EMAIL TO: tJCONTACT (Llste ove) OCCUPANT (Listed above) -
CONTRACT npg 1) - - •- fl NO CHANGE IN USE / NO CONSTRUCTION
MAIL/ FAX TOOTH : ---- -..
flCHANGE OF USE NO CONSTRUCTION
APPUCANTS SIGNATURE I_'? DATE 11TTTTTi
Inspection List
SPEC SUITE = 9,870 SF OFFICE Permit#: CB140415 - Type: TI INDUST
SAME
Date - Inspection Item Inspector Act Comments
07/24/2014 89 Final Combo - RI PLS CALL AND COORDINATE ARRIVAL
TIME
07/24/2014 89 Final Combo PY AP -
07/24/2014 89 Final Combo PY AP
05/02/2014 39 Final Electrical MC
•
NR
05/01/2014 44 Rough/Ducts/Dampers PY • AP S
04/29/2014 85 T-Bar • PY AP
04/18/2014 34 Rough Electric PY AP
04/15/2014 17 Interior Lath/Drywall • PY AP
04/11/2014 14 Frame/Steel/Boltirig/Weldin PY PA •
Monday, July 28, 2014 5 • Page 1 of 1
CITY OF
CARLSBAD INSPECTION RECORD Building Division
0 INSPECTION RECORD CARD WITH APPROVED
PLANS MUST BE KEPT ON THE JOB
EI CALL BEFORE 3:30 pm FOR NEXT WORK DAY INSPECTION
LI FOR BUILDING INSPECTION CALL: 7606022725
OR GO TO: www.Carlsbadca.gov/Building AND CLICK ON
"Reque t Ispction"
DATE:
CB140415 1917 PALOMAR OAKS WY..
SPEC SUITE = 9,870 SF OFFICE
SAME
TI INDUST
Lot#: MICHAEL ARNOLD-KUSH
RECORD COPY
IF "YES" IS CHECKED BELOW THAT DIVISION'S APPROVAL IS REQUIRED PRIOR TO REQUESTING A FINAL BUILDING INSPECTION.
IF YOU HAVE ANY QUESTIONS PLEASE CALL THE APPLICABLE DIVISIONS AT THE PHONE NUMBERS PROVIDED BELOW. AFTER
ALL REQUIRED APPROVALS ARE SIGNED OFF— FAX TO 760-602-8560. EMAIL TO BLDGINSPECTIONS@CARLSBADCA.GOV
OR BRING IN A COPY OF THIS CARD TO: 1635 FARADAY AVE.. CARLSBAD, CA 92008. BUILDING INSPECTORS CAN BE
REACHED AT 760-602-2700 BETWEEN 7:30 AM - 8:00 AM THE DAY OF YOUR INSPECTION.
["Ago Required Prior to Requesting Building IITIFinal I 11Checked&YES — . •i r
Planning/Landscape 760-944-8463 Allow 48 hours
10f:5I:91 1IITbefore 4.J
MIMM Fire Prevention I.'!.!.!' AllowL:Ihours
—
WIN
Type of Inspection Type of inspection
rii:I1111JI1JI[C
411 FOUNDATION
Date Inspector ii IISI1:1[W.. Date
#31 0 ELECTRIC UNDERGROUND 0 UFER
Inspector
#12 REINFORCED STEEL #34 ROUGH ELECTRIC
#66 MASONRY PRE GROUT . #33 0 ELECTRIC SERVICE 0 TEMPORARY
0 GROUT 0 WALL DRAINS #35 PHOTOVOLTAIC
#10 TILT PANELS #39 FINAL
#11 POUR STRIPS
#11 COLUMN FOOTINGS #41 UNDERGROUND DUCTS & PIPING
#14 SUSFRAME 0 FLOOR' 0 CEILING #44 0 DUCT & PLENUM D REF. PIPING '
#15 ROOF SHEATHING #43 HEAT-AIR COND. SYSTEMS
#13 EXT. SHEAR PANELS #49 FINAL
#16 INSULATION
#18 EXTERIOR LATH #81 UNDERGROUND (11,12,21,31)
#17 INTERIOR LATH & DRYWALL 12 161V ffr//" #82 DRYWALL,EXT LATH, GAS TES (17,18,23)
#51 POOL EXCA/STEEL/BOND/FENCE #83 ROOF SHEATING, EXT SHEAR (13,15)
#55 PREPLASTER/ FINAL #84 FRAME ROUGH COMBO (14,24,34,44)
#19 FINAL 0 #85 T-Bar(14,24,34,44) 111101Jo) (t M
JIuJ I:II[c
#22 0 SEWER & BL/CO 0 PL/CO
Date Inspector #89 FINAL OCCUPANCY (19,29,39,49)
Date
'/7
Inspector I:1
#21 UNDERGROUND OWASTE_DWTR
#24 TOP OUT 0 WASTE DWTR Y12c/i_( h,.. A/S UNDERGROUND VISUAL
#27 TUB & SHOWER PAN /// A/S UNDERGROUND HYDRO
#23 OGASTEST DGASPIPING A/S UNDERGROUND FLUSH
#25 WATER HEATER A/S OVERHEAD VISUAL / ,)/il1
#28 SOLAR WATER A/S OVERHEAD HYDROSTATIC ij,2' /1',I
#29 FINAL A/S FINAL e42.?I2m4' (
F/A ROUGH-IN ((.(g4
#600 PRE-CONSTRUCTION MEETING F/A FINAL
#603 FOLLOW UP INSPECTION FIXED EXTINGUISHING SYSTEM ROUGH-IN
#605 NOTICE TO CLEAN FIXED EXTING SYSTEM HYDROSTATIC TEST frJ4s.
#607 WRITTEN WARNING FIXED EXTINGUISHING SYSTEM FINAL
#609 NOTICE OFVIOLATION MEDICAL OAS PRESSURE TEST
#610 VERBAL WARNING MEDICAL GAS FINAL
SEE BACK FOR SPECIAL NOTES
EsGil Corporation
In Partnership with Government for Bui(iing Safety
DATE: 04/02/2014 LI APPLICANT
uThJRISVV
JURISDICTION: Carlsbad LI PLAN REVIEWER
U FILE
PLAN CHECK NO.: 14-0415 SET: II
PROJECT ADDRESS: 1917 Palomar Oaks Way Suite 200
PROJECT NAME: 2nd Floor Spec Suite TI
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
V codes when minor deficiencies identified below are resolved and checked by building V
V 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.
LI The check list transmitted herewith is for your information. The plans are being held at Esgil V
Corporation until corrected plans are submitted for recheck. V
The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
V V contact person.
V
V
LI The applicant's copy of the check list has been sent to V
EsGil Corporation staff did not advise the applicant that the plan check has been completed.
V ' EsGil Corporation staff did advise the applicant that the plan check has been completed.
V
V Person contacted: V Telephone #: V
V
Date contacted: (by: ) Email: Fax #: V
Mail Telephone Fax In Person V
V
REMARKS:
By: John Le Vey Enclosures: - V
EsGil Corporation V
V LI GA LI EJ fl MB •E c V 03/27/2014
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 •Fix (858) 560-1576
EsGil Corporation
In cPartnersliip with government for Bui(Iing Safety
DATE: 03/05/2014
JURISDICTION: Carlsbad.
PLAN CHECK NO.: CL 14-15 SET: I I'
PROJECT ADDRESS: 1917 Palomar Oaks Way Suite 200
PROJECT NAME: 2nd Floor Spec Suite TI
O ,APPLICANT
loe
J URIS.
U PLAN REVIEWER
U FILE
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.
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.
El The applicant's copy of the check list has been sent to:
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: Michele Arnold -Kush Telephone #: 619-297-6153
Date contacted: (b : ) Email: Michele@safdierabines.com Fax #:
i/ Mail Telephone Fax In Person
REMARKS:
By: John Le Vey Enclosures:
EsGil Corporation .
E GA Ej EJ MB J PC 02/25/2014
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax(858)560-1576
Carlsbad CB14-415
03/05/2014
PLAN REVIEW CORRECTION LIST
TENANT IMPROVEMENTS
PLAN CHECK NO.: CB14-415
OCCUPANCY: B.
TYPE OF CONSTRUCTION: VA
ALLOWABLE FLOOR AREA:
SPRINKLERS?: yes
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION: 02/21/2014
DATE INITIAL PLAN REVIEW
COMPLETED: 03/05/2014
JURISDICTION: Carlsbad
USE: Office
ACTUAL AREA: 9870
STORIES: 3
HEIGHT:
OCCUPANT LOAD: z 196
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 02/25/2014
PLAN REVIEWER: John Le Vey
FOREWORD (PLEASE READ):
This plan review is limited to the technical requirements contained in the California version of
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 2013 CBC, which adopts the 2012 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 2012 Internatiohal 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.
¶ Carlsbad CB14-415
03/05/2014
Please make all corrections, as requested in the correction list. Submit FOUR new
complete sets of plans for commercial/industrial projects (THREE 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
EsGilCorporation is complete
Each sheet of the plans must be signed by the person responsible for their
preparation, even though there are no structural changes. California State Law.
2. Please provide an exit sign at door N2 next to open office 201 leading into the
corridor.
The emergency egress lighting is not adequate, Please provide an exit analysis
to show the isle's will be provided with the required 1 foot candle at floor level per
the CBC 1006.3.1
Please provide mechanical plans to show the new work, demolition plans were
provided only.
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: lJ Yes U No
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 John Le Vey at
Esgil Corporation. Thank you.
Ca4s4ad CB14-415
03/05/2014
(DO NOTPAY— THIS IS NOTAN INVOICE)
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad PLAN CHECK NO.: CB14-415
PREPARED BY: John Le Vey DATE: 03/05/2014
BUILDING ADDRESS: 1917 Palomar Oaks Way Suite 200
BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: VA
BUILDING
PORTION
AREA
(Sq. Ft.)
Valuation
Multiplier
Reg.
Mod.
VALUE ($)
TI 9870 37.12 366,374
Air Conditioning
Fire Sprinklers
TOTAL VALUE 366,374
Jurisdiction Code 113y Ordinance - I $1,742.261 Bldg. Permit Fee by Ordinance lw]
Plan Check Fee by Ordinance . I $1,132.471
Type of Review: Complete Review El Structural Only
El Repetitive Fee Other
* Hr. Repeats : !J Hourly El @
EsGil Fee
Comments: .
Sheet of 1
macvalue.doc +
CITY OF
CARLSBAD
PLAN CHECK
REVIEW
TRANSMITTAL
Community & Economic
Development Department
1635 Faraday Avenue
CaIsbad CA 92008
www.carlsbadca.gov
DATE:03/03/14 PROJECT NAME: SPEC SUITE PROJECT ID: CB 14-415
PLAN CHECK NO: 1 SET#: ADDRESS: 1917 PALOMAR OAKS WY #200 APN: 212-091-01
VALUATION: $366,374
{ 7
This plan check review is complete arid has been APPROVED bythe ENGINEERING
Division.
By: KATHLEEN LAWRENCE 03/03/14
A Final Inspection by the Division is required DYes 2JNo
r This plan check review is NOT COMPLETE. Items missing or Incorrect are listed on
'-- the attached checklist. Please resubmit amended plans as required.
Plan Check Comments have been sent to: MICHELE@SAFDIERABINES.COM
Youmay. alsà have côrections from one.-or more ofthedh'isiónslistedbelow.Approval
from these divisions may be required prior to the i&uance of áffUildingpermit,
,Resubm,tted plans should include äó,rect,ons frornjildivisiôns
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
:.-'•
...
PLANNING ENGINEERING - FIRE FREVENTION
760 60f4610 ' ... 760-602 2750 . '. 760 602 4665
1] Chris Sexton []! Kathleen Lawrence fli Greg Ryan L_..... 760-602-4624 760-602-2741 1______j 760-602-4663
Chris.Sexton@carlsbadca.gov KathIeen.Lawrence@carIsbadca.gov Greporv.Rvan@carisbadca.gov
El Gina Ruiz - Linda Ontiveros Cindy-Wong
Ej --- 760-602-4675 . 760-602-2773 760-602-4662
Gina.Ruiz@carlsbadca.gov Linda.Ontiveros@carlsbadca.gov Cynthia.Wong@carIsbadca.gov
[i [1 fli Dominic Fieri
t_J 760-602-4664
Dominic.Fieri@carisbadca.gov
Remarks:
4
BUILDING PLANCHECK Development Services
C I T Y 0 F CHECKLIST Land Development Engineering
CARLSD/-%DA QUICK-CHECK/APPROVAL
1635 Fa
760-602-27510
raday Avenue
-
www.carlsbadca.gov
ENGINEERING Plan Check for CB 14-415
Project Address: 1917 PALOMAR OAKS WY #200
Project Description: TI 9870 SF
ENGINEERING Contact Kathleen Lawrence
Phone: 760-602-2741
Date: 03/03114
APN: 212-091-01
Valuation: $366,374
Email: kathIeen.IawrencecarIsbadca.gov
Fax: 760-602-1052
El RESIDENTIAL INTERIOR ] TENANT IMPROVEMENT
El RESIDENTIAL ADDITION El PLAZA CAMINO REAL
<$20,000>
El CARLSBAD PREMIER OUTLETS El COMPLETE OFFICE BUILDING
El OTHER: --CELL EQUIPMENT
! OFFICIAL USE ONLY : - •!
ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT
BY: KATHLEEN LAWRENCE,,DATE:03103114
-. REMARKS: -- NO ADDTL ENG FEES.-SEE CB04.1659 FOR FEES PAID FOR OFFICE
I -. • -• ••- --•;• :- I
ie
I Notification of Engineering APPROVAL has been sent to MICHELE@SAFDIERABINES COM I
via EMAIL • • on, 03/03/14 -. I
E-36 Page 1 of 1 REV 4/30/11
'V
PLANNING DIVISION
'
BUILDING PLAN CHECK Planning Division
Development Services
CITY 'O F APPROVAL 1635 Faraday Avenue
(760) 602-4610 CARLSBAD S - —29 www.arIsbadca.ov
DATE: 2-24-14 PROJECT NAME: PROJECT ID:
PLAN ÔHECK NO: CB 14-0415 SET#: I ADDRESS: 1917 Palomar Oaks Way APN: 212-091-01
:. This plan checkreview is-complete and has been APPROVED by thePianning
- •
d
- Division.
By Chris Sexton
A Final Inspection by the Planning Division is required Yes No
You may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the issuance of a building permit.
Resubmitted plans should include corrections from all divisions
This plan check review is NOT COMPLETE. Items missing or incorrect 'are listed on
the attached checklist. Please resubmit amended plans as required. '
-L .' - .• - -.
4 9 V
Plan Check APPROVAL has been sent to: michele@safdierabines.com -
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
c' E - c',•
PLAN NlNG rj EN E.RI!'IG FIE RE E1TON;
760-602-4610 " , .j 760-602-4665
Chris Sexton Kathleen Lawrence GrégRyan
760-602-4624 - 760-602-2741 760-602-4663 -
Chris.Sexton@carIsbadca.gov Kathieen.Lawrence@carisbadca.gov Greorv.Ryan@carlsbadca.gov
'Gina Ruiz Linda Ontiveros Cindy Wóng • V
760-602-4675 760-602-2773 760-602-4662
Gina:Ruiz@carIsbadca.ov Linda.0ntiveros@c6risbadca.ov Cynthia.Won@carIsbadca.ov
V
-
: . - Dominic Fier! -
- 760-602-4664 • -.
DominicFieri!carlsbadca.óv
Remarks:
- .:
V •
H .
PLAN CHECK. . . Com<g munity& Economic
D Development Department
CITY. OF . REVIEW - . 1635 Faraday Avenue
CARLSBAU. •. TRANSMITTAL CarlsbadCA 92008
. . . . . . . .. . .. www.carlsbadca.gov
DATE: 03/28/14 PROJECT NAME: spec suite PROJECT ID:
.,.
PLAN CHECK NO: cb140415 SET#: I ADDRESS: 1917 pa lomar odivay ste 200 APN:
This plan check review is complete and has been APPROVEby the fire Division
By cwong
A Final Inspection by the • Division is required Z Yes fl No . '.
This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required..
Plan Check Comments have been sent to:
You may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to' the issuance of a building permit.
Resubmitted plans should include corrections from all divisions
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
& : LANNlNG ENGINEERING FIRErPREvENTIONF -
i 760-602-4610 . 760-602-2750 ' 760-602-4665 ' .'? . (''t
Chris Sexton. • ' Kathleen Lawrence ' Greg Ryan
760-602-4624 760-602-2741 - 760-602-4663
Chris.Sexton@carlsbadca.gov . Kathieen.Lawrence@carisbadca.gov Grepory.Ryin@carisbadca.gov
-
. Gina Ruiz . - Linda Ontiveros . 'Cindy Wong
-760-602-4675 - . 760-602-2773 760-602-4662
-Gina.Ruiz@carIsbadca.gov - ' Linda.Ontiveros@carisbadca.gov Cynthia.Wong@carisbadca.gov --
Dominic Fier! -
- . . . -, . 760-602-4664.
- . .
-
. . - Dominic.Fieri@carisbadca.gov -.
Page lof2
r. CarlsbadFire Department
Plan Review Requirements Category: TI , 1NDUST
Date of Report: 03-28-2014 Reviewed by:
Name: MICHAEL ARNOLD-KUSH
Address:
925 FORT STOCKTON DR
SAN DIEGO CA 92103-1817
Permit #: CB140415
Job Name: SPEC SUITE = 9,870 SF OFFICE
Job Address: 1917 PALOMAR OAKS WY CBAD St: 200
have submitted for review is incomplete. At this time, this office cannot
adequately conduct a review to ne comp 1T1e licable codes and/or standards. Please review
carefully all comment "clouded",
to this office for revie royal.
Conditions:
Cond: C0N0007164
[MET]
*A1ovED:
THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUEANCE OF A
BUILDING PERMIT.
THIS APPROVAL IS SUBJECT TO FIELD INSPECTIONS, ANY REQUIRED TESTS, FIRE DEPARTMENT
NOTATIONS,
CONDITIONS IN CORRESPONDENCE AND COMPLIANCE WITH ALL APPLICABLE CODES AND
REGULATIONS.
THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE ANY VIOLATION OF THE LAW.
Entry-'-03/28-/2014 By cwong Action AP
BLDG. DEPT COPY
RECOMMENDED FOR APPROVAL
Daryl K. James & Associates, Inc. Checked by: ROBERT SCOTT
205 Colina Terrace Date: March 20, 2014
Vista, CA 92084
T. (760) 724-7001 Email: kitfiresbcgIobaI.net
APPLICANT: Michele Arnold-Kush JURISDICTION: Carlsbad Fire Department
NAME: 2nd Floor Spec. Suite PROJECT ADDRESS: 1917 Palomar Oaks Way, Ste. 200
PROJECT DESCRIPTION: C13140415, 9,870 1s TI of existing office space. Work includes interior non-
bearing partition walls, suspended ceiling, finishes, duct works only (has existing HVAC)
This plan review has been conducted in order 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 shall be generated by response on revised set and Clouded
TS.1
Provide the Following List of Applicable Codes in Code Information:
2013 California Building Code ....... .based on the 2012 International Building Code
2013 California Fire Code .............based on the 2012 International Fire Code
2013 California Electrical Code ......based on the 2012 National Electrical Code
2013. California Mechanical Code ...based on the 2012 Uniform Mechanical Code
2013 California Plumbing Code .......based on the 2012 Uniform Plumbing Code
2013 California Energy Code
TS.1
Revise Deferred Submittals to reflect Current Codes:
-Fire Sprinkler System - 2013 CFC 903 and 2013 NFPA 13
-Fire Alarm System - 2013 CFC 907 and 2013 NFPA 72
Delete the following notes 'Fire safety and Prevention Notes'
-Note 6 —sprinklers are deferred submittal
-Note 10 -fire alarm is deferred submittal
-Note 24 —open fla\me and burning not applicable
-Note 27 - fire alarm is deferred submittal
Delete the following 'Additional Notes'
-Note 2 - Sprinklers are deferred submittal to City of Carlsbad-Fire Prevention Division, not state fire
marshal
-Note 3- Sprinkler system is tested in presence of Carlsbad Fire Dept., not the state fire marshal
Delete the following 'Reflected Ceiling Plan Note'
Note 7- Fire sprinkler plan is deferred submittal only
TI.5
Revise partition Plan Legend - Door hardware Section as follows:
-Door NI - sign above door shall read 'This Door Shall remain Unlocked When Building is Occupied'
Identify type of door hardware used on inner doors that lead directly to stairwell at east and west sides of
office.
- Identify type of latch or door hardware at bottom of stair- where stairwell door exits building.
- Show on plan the terminus of the existing stair wells for east and west stair. Plan does not indicate if
stairwell terminates directly to outside of building or to interior of building.
TI.7
-Add note to reflected ceiling plan key notes that reads: Suspended acoustical ceilings shall comply with
section 808.1 and 808.1.1.1 of 2010 CBC and meet flame spread and smoke developed ratings.
-Remove General Note - bullet point 5 : fire sprinkler work is deferred submittal only.
E2.1
-Add note: the means of Egress shall be illuminated at all times building space is served, in accordance
with CA. Building Code, Section 1006.1; 1006.2. and 1006.3.
-Add Note: A photometric plan of all occupied areas, that demonstrates compliance with CBC 1006 will be
provided upon request by the Carlsbad Fire Dept., Deputy. Fire Marshal Greg Ryan (760) 602-4665
E3.1
Remove General Note - bullet point 5 on this sheet also; fire sprinkler work is deferred submittal only.
Recommend Approval RS
rage 1 0
CORRECTION LIST BLDG DEPT COPY
Daryl K. James .& Associates, Inc. Checked by: ROBERT SCOTT
Date: March 5, 2014
V : *
* . V
APPLICANT: Michele Arnold-Kush JURISDICTION: Carlsbad Fire Department
PROJECT NAME: 2nd Floor Spec. Suite PROJECT ADDRESS: 1917 Palomar Oaks Way, Ste. 200
PROJECT DESCRIPTION: CB14-415, 9,870 lai TI.of existing office space. Work includes. interior non—
bearing partition walls, suspended ceiling, finishes, duct works only (has existing HVAC)
This plan review has been conducted in order 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. .
_____________________________
. .;
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: ROBERT SCOTT 760-
331-7907 OR FYRWISE07@GMAIL.COM -:
CORRECTED PLANS, DESCRIPTIVE NARRATIVE. OF REVISIONS FOLLOWING EACH
COMMENT ON THIS FORM, AND A COPY OF BUILDING DEPARTMENT (ESG!L)
ONE COMPLETE PLAN CHECK SET (initial or revised) MUST BE DELIVERED DIRECTLY TO
THE FOLLOWING ADDRESS TO AVOID DELAY: . .
IP 4906 CHAUCER AVE
SAN DIEGO, CA 92120
COMMENTS Additional comments made shall be generated by response on revised set and Clouded
TS.1 - V • - - - -
Provide the Following List of Applicable Codes in Code Information:
2013 California Building Code ....... .based Von the 2012 International Building Code
2013 California Fire Code .............based on the 2012 International Fire Code - •
V
2013 California Electrical Code ......based on the 2012 National Electrical Code
2013 California Mechanical Code ...based on the 2012 Uniform Mechanical Code V
•
• V
2013 California Plumbing Code ......based on the 2012 Uniform Plumbing Code V V
2013 California Energy Code
rage 2 01 2
TS. I
Revise Deferred Submittals to reflect Current Codes:
-Fire Sprinkler System - 2013 CFC 903 and 2013 NFPA 13
-Fire Alarm System - 2013 CFC 907 and 2013 NFPA 72
Delete the following notes 'Fire safety and Prevention Notes'
-Note 6 —sprinklers are deferred submittal
-Note 10 - fire alarm is deferred submittal
-Note 24 —open flame and burning not applicable
-Note 27 - fire alarm is deferred submittal
Delete the following 'Additional Notes'
-Note 2 - Sprinklers are deferred submittal to City of Carlsbad-Fire Prevention Division, not state fire
marshal
-Note 3- Sprinkler system is tested in presence of Carlsbad Fire Dept., not the state fire marshal
Delete the following 'Reflected Ceiling Plan Note'
Note 7- Fire sprinkler plan is deferred submittal only
T1.5
Revise partition Plan Legend - Door hardware Section as follows:
-Door NI - sign above door shall read 'This Door Shall remain Unlocked When Building is Occupied'
- Identify type of door hardware used on inner doors that lead directly to stairwell at east and west
sides of office.
- Identify type of latch or door hardware at bottom of stair- where stairwell door exits building.
- Show on plan the terminus of the existing stair wells for east and west stair. Plan does not indicate
if stairwell terminates directly to outside of building or to interior of building.
TI.7
-Add note to reflected ceiling plan key notes that reads: Suspended acoustical ceilings shall comply
with section 808.1 and 808.1.1.1 of 2010 CBC and meet flame spread and smoke developed ratings.
-Remove General Note - bullet point 5: fire sprinkler work is deferred submittal only.
E2.1
-Add note: the means of Egress shall be illuminated at all times building space is served, in accordance
With CA. Building Code, Section 1006.1; 1006.2. and 1006.3.
-Add Note: A photometric plan of all occupied areas, that demonstrates compliance with CBC 1006 will
be provided upon request by the Carlsbad Fire Dept., Deputy Fire Marshal Greg Ryan (760) 602-4665
E3.I
Remove General Note - bullet point 5 on this sheet also; fire sprinkler work is deferred submittal only.
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
SCREENING SURVEY
Datel/ZI -
Buses Name J ftTckt M PJA~c-I. V-t
Street Address 29 AAJ f\J Oi'T 200
Email AddressY14Ad"4-4P ( a&L-e r-v1L-c. c
PLEASE CHECK HERE IF YOUR BUSINESS 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 I
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 IX-ray Processing Printed Circuit Board Rubber Manufacturing
Food Processing Manufacturing Semiconductor Manufacturing
Glass Manufacturing Metal Powders Forming Soap I Detergent Manufacturing
Industrial Laundry Waste Treatment I Storage
SIC Code(s) (if known):
Brief description of business activities (Production I Manufactyring Operations):_______________
Description of operations generating wastewater '(discharged to sewer, hauled or evaporated):
Estimated volume of industrial wastewater to be discharged (gall day)......
List hazardous wastes generated .type./ volume):
Date operation began/or will begin at thislocation: .
Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority?
Yes No If yes, when
Site contact Title________________________
Signtre Phone No. 2-17
ENCINA WASTEWATER AUTHORITY 6200 Avenida Encinas Carlsbad CA 92011'(76.0)438-73941
FAX: (760) 476-9852
%V Ins
6.1
SAN DIEGO REGIONAL
OcCC HAZARDOUS MATERIALS QUESTIONNAIRE
OFFICE USE ONLY
UPFP#
HV#__________________
BP DATE / I
Business Name Business Contact 9'hiH_-çr R(_uS8r7501 42
Project Ae C State Zip Code I # APN I Mailino Address City State 'zt't ' flu 1ww skuz r Zip Code
4 II I I Plan File# I
Project Contact rtic4'Zi t)t-- Telephone #
The following questions represent the facility's activities, NOT the specific project description.
PART I: FIRE DEPARTMENT — HAZARDOUSMATERIALSDIVISION:OCCUPANCYCLASSIFICATION: 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 Prot tion Agency with
jurisdiction prior to plan submittal. Facility's Square Footage (including proposed project): 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 15. None of These.
Flammable Solids 8. Unstable Reactives 12. Radioactives
PARTII:SANDIEGOCOUNTYDEPARTMENTOFENVIRONMENTALHEALTH —HAZARDOUSMATERIALSDIVISIONS(HMD): 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: 4'',I1 Expected Date of Occupancy: Li CalARP Exempt
YES NO (for new construction or remodeling projects) D 0 Is your business listed on the reverse side of this form? (check all that apply). ate Initials
0 Will your business dispose of Hazardous Substances or Medical Waste in any amount? 0 CalARP Required fl 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 0 Will your business use an existing or install an underground storage tank?
0 Will your business store or handle Regulated Substances (CalARP)? . 0 CalARP Complete
LI 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).
PARTIII:SANDIEGOCOUNTYAIRPOLLUTIONCONTROLDISTRICT: 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
LI 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 http://www.sdapcd.org/info/facts/permits.pdf, and the list of typical equipment requiring an APCD permit on the reverse side
of this from. Contact APCD if you have any questions). LI (ANSWER ONLY IF QUESTION 1 I 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 htto://www.cde.ca.ciov/re/sd/ 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?
0 Will there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos?
LI Will there be demolition involving the removal of a load supporting structural member?
Briefly describe business activities: Briefly describe proposed project: 7/1 A-' v-e 3(4 rV 5p o t o1CCe L'-s
Ic1e _of tag..thebestofmy knowledge and belNtoionses_mad ,'ein are true and correct. L-c_
Name of Owner or Authorized Agent Signire of Owner or Authorized Agent Date
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: FOR OFFICIAL USE ONLY:
BY: DATE:
EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTYHMD* APCD COUNTY-HMD APCD COUNTY-HMD APCD
0 01 1 1P fl uuuI IJUA W111Y VACI 11PLb UUIl lt:b=b 11U111uuuuipieurig or UpUduiiq a ruazaruous uvuateruaus tusiness vian. utner permitting requirements may stiii apply.
HM-9171 (02/11) County of San Diego - DEH - Hazardous Materials Division
Final inspection required by.
U Plan j CM&i LI Fire U
SW . 0 ISSUED I
Approved Date By
BUILDING . '-f),z
PLANNING
ENGINEERING
FIRE Expedite7ny N 3/d871LJ u)
DIGITAL FILES Required? Y N
HazMat
APCD
Health
Forms/Fees Sent Recd Due? By
Encina V N
Fire Y N
HazHeaIthAPCD Y N
PE&M V N
School V N
Sewer . V N
Stormwater . V N
Special Inspection V N
LandUse: Density: ImpArea:
CFD: Y N
FY: Annex: Factor:
PFF: V N
Comments Date Date Date Date
Building
Planning
Engineering
Fire
Need?
it/da (IA7t4c1 (:i%7 Done
U Done
U Done
0Dqne
:p 900
C8140415 1917 PALOMAR OAKS WY
SPEC SUITE = 9.870 SF OFFICE
.
CIS
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P
J 46