HomeMy WebLinkAbout1925 Palomar Oaks Way; 300; CBC2017-0503; Permit(city of
Carlsbad
Print Date: 05/23/2018
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1925 Palomar Oaks Way, 300
BLDG-Commercial
2120911800
$13,724.48
Commercial Permit
Work Class: Tenant Improvement
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Status:
Applied:
Issued:
Permit
Fina Jed:
Inspector:
Final
Inspection:
Description: BROOKWOOD: T.I. 2,228 SF TO REMOVE All FINISHES, T-BAR CEILING,MILLWORK,LIGHT FIXTURES
Applicant: Owner: Contractor:
Permit No: CBC2017-0503
Closed -Finaled
09/22/2017
09/29/2017
TFraz
5/23/2018 8:52:26AM
5 P WHITE CONSTRUCTION
SHELLY EDWARDS
BROOKWOOD PACIFIC OFFICE I LLC SP WHITE CONSTRUCTION INC
72 Cherry Hill Dr Brookwood Financial
BEVERLY, MA 01915
760-931-1130 x117
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL
MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL
591473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-COMMERCIAL
Total Fees: $340.59 Total Payments To Date: $340.59
2524 Gateway Rd
Carlsbad, CA 92009-1742
760-931-1130
Balance Due: $0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$150.44
$105.31
$41.00
$39.00
$1.00
$3.84
jTHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE; 0PLANNING 0ENGINEERING 0BUILD1NG OFIRE OHEALTH 0HAZMATIAPCD I
Ccityof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No~t)/ 7 _,. ~-, J•
Est. Value f 5, 7:i...~. 4. 9
Plan Ck. Deposit
Date 'f l:J :J / I I lswPPP
JOB ADDRESS SUITE#/SPA~olo I APN
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROO~S " BATHROOMS I TENANT 8(Jsj; NAME I CONSTR. TYPE I OCC. GROUP
EXISTING USE I PROPOSED USE
Office Office
I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE
YES[),
AIR CONDITIONING IFIRE SPRINKLERS
No(2] YES0No0 YES0N00
APPLICANT NAME SPW Construction 3 Wt.Y·.&:PEIMO
PROPERTY OWNER NAME 1-\<biJMa: 'I,, '
ADDRESS
2524 Gatewav Rd
ADDRESS 1o '<-:V 111w-n v ~ r w-t-Q..£) 'f...J.:J. /6)
CITY STATE ZIP
Carlsbad CA
CITY Ca_r[c.. h,, A STAf-f.c 2
~1 N1'i 92009
PHONE !FAX 760-931-1130
PHONE !FAX
EMAIL EMAIL
shelly@whiteconstructioninc.com
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME SPW Construction
ADDRESS /J /,t ADDRESS 2524 Gateway Rd
CITY 1 STATE ZIP CITY STATE ZIP
Carlsbad CA 92009
PHONE PHONE
(760l 931-1130 !FAX
EMAIL EMAIL
shellvlnlwhiteconstructioninc.com e1' 111
'STATE UC.# STATE UC.# 1023856 /cLASs B /c1BL.NR(l00431-02-2017
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to.construct, alter, improve, demolish or repair any structure, pnor torts issuance, also requires the
applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, comme.nding with Section 7000 of Division 3 of the Business and Professions Code) or that he 1s exempt therefrom, and the basis for the alleged exemption. Any v10lation of Section 7031.5 by any apphcant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars {$500}).
WORKERS. COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D l have and will maintain a certiffcate 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 th·1s permit ·1s 'issued.
[2] 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 workers' compensation insurance carrier and policy
number are: Insurance Co Eve~est National Insurance Cam _____ . ____ Policy No _ -----~ 7600014158171 __ Expiration Date ---· ~-
~section need not be completed 'if the permit is for one hundred dollars ($100) or less. LJ 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 crlminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as vided r ·n Section 3706 of the Labor code, interest and attorney's fees.
Ai:f CONTRACTOR SIGNATURE .. d.,jv JS ~ENT
1 I hereby affirm that I am exempt from Contractor's License Law for the to/lowing reason·
iD
I
!D
D
/, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of property who builds or ·improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement 1s 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).
f. as owner of the property, am exdusively 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 p-ojects with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section _ __Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No
2.1 (have I have not) signed an ap~ication for a bu~ding permit for the proposed work.
3. I have contracted with the followmg person (firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but! have hired the following person to coordinate, supeivise and provide the major work (include name I address I phone I contractors' license number)
5. I will provide some of the work, but I have contracted (hired) the follow·1ng persons to provide the work indicated ('include name! address I phone I type of work):
2$ PROPERTY OWNER SIGNATURE 0AGENT DATE
Is the applicant or future building occupant required to submit a business plan, as:utely 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 (.!)Id ~
Is the applicant or future building .occupant required to obtain a permit from the air pollution control district or air quality management district? Yes
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes .I' 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.
CONSTRUCTION LENDING AGENCY
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).
~
I certify that I have read the application and state that the above information Is c:onect and that the information on the plans Is accurate. I agree to comply 'Mth all City ordinances and State laws relating to building c:onsbuctlon.
I hen,by authorize representative of ~e City of Carlsbad lo enler upon ~e above rrenlioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE GrTY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA penTilt is required for excavations over 5'0' deep and demoliooo Of construction of slrucb.Jres over 3 stories in height
EXPIRATION: Every penTiil issued by lhe Building Official under lhe provisions of !his Code shall expire by limitation and become null and void if the building or work aulhorized by such permit is not commenced within
180 days from lhe date of such permil or if lhe building or · by such penTiil is suspended or abandoned at any time after the work is commenced for a perKXI of 180 days (Section 106.4.4 Unifoml Building Code).
,/iS APPLICAN_T·s_s_1GNA_ru_•_E ------cc,/----""=7'\--'"'" .. .._..__·...,,v-d.9..__,'--.. ----------DATE _ __!]J_ ».LJ ]_ ___ _
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No,
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (listed above)
CONTRACTOR (On Pg. .1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL/ FAX TO OTHER:
.IS APPLICANT'S SIGNATURE
OCCUPANT (Listed above)
ASSOCIATED CB#--------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
, PERMIT INSPECTION HISTORY REPORT (CBC2017-0503)
Permit Type: BLDG-Commercial Application Date: 09/22/2017 Owner: BROOKWOOD PACIFIC OFFICE I
LLC
Work Class: Tenant Improvement Issue Date: 09/29/2017 Subdivision: CARLSBAD TCT#81-46 UNIT#01
Status: Closed -Finaled Expiration Date: 03/28/2018 Address: 1925 Palomar Oaks Way, 300
IVR Number: 6493
Carlsbad, CA 92008-6526
Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete Date Start Date
03/06/2018 03/06/2018 BLDG-34 Rough 050752-2018 Failed Tim Frazee ReinspecUon Complete
Electrical
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Nobody At The Site No
05/23/2018 05/23/2018 BLOG-Final 058875-2018 Passed Tim Frazee Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
May 23, 2018 Page 1 of 1
OFFICE USE ONLY SAN DIEGO REGIONAL
HAZARDOUS MATERIALS
QUESTIONNAIRE
RECORD ID# _______ ....,s ... F ... P_".,., • ..,2 .... 2 .. a...,17,__ __ 1
PLANCHECK#~~~~~~~~~~~~~~~~-1
BP llATE . I
Telephone# '131· i/ 30
APN#
Plan File#
1/Qc-9~\ U36
e following questions represent t e faclll activities, NOT the specific project description.
PART I: FIRE DEPARTMENT-HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: (not required for projects within tho City of San
Diego): Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are circled,
applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal.
Occupancy Rating: Faclllty's Square Footage (including proposed project):
1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives
2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards
3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These.
4. Flammable Solids 8. Unstable Reactives 12. Radioactives
PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION (HMDl: If the answer to any of the
questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 110, San Diego, CA 92123.
Call (858) 505-6700 prior to the issuance of a building permit.
FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy:
1.
2.
3.
4.
5.
6.
7.
8.
YES NO (for new construction or remodeling projects) D er Is your business listed on the reverse side of this form? (check all that apply). D g Will your business dispose of Hazardous Substances or Medical Waste in any amount?
D 12(" Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500
pounds and/or 200 cubic feet? D Id" Will your business store or handle carcinogens/reproductive toxins in any quantity? D Id" Will your business use an existing or install an underground storage tank? D ...0""" Will your business store or handle Regulated Substances (Ca1ARP)? D 0" Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? D ~ Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to
or reater than 1,320 allons? California's Above round Petroleum Stora e Act .
0 CalARP Exempt
I
Date Initials
D CalARP Required
I
Date Initials
D CalARP Complete
I
Date Initials
PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCDl: Any YES' answer requires a stamp from APCD 10124 Old Grove Road, San
Diego, CA 92131 apcdcomp@sdcounty.ca.gov (858) 586-2650). ["'No stamp required if 01 Yes and 03 Yes and 04-06 No]. The follOINing questions are intended
to identify the majority of air pollution issues at the planning stage. Projects may require additional measures not identified by these questions. For comprehensive
requirements contact APCD. Residences are typically exempt, except -those with more than one building+ on the property; single buildings with more than four
dwelling units; townhomes; condos; mixed-commercial use; deliberate burns; residences forming part of a larger project. [ ... Excludes garages & small outbuildings.}
YES NO
1. ,E1" D Will the project disturb 160 square feet or more of existing building materials?
2. D 0" Will any load supporting structural members be removed? Notification may be required 1 O working days prior to commencing demolition.
3. .f]" D {ANSWER ONLY IF QUESTION 1 or 2 18 YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance
Technician?
4. D .0'"'" (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification
may be required 1 O working days prior to commencing asbestos removal.
5. D fl Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet
(www.sdapcd.org/info/facts/permits.pdf) for typical equipment requiring an APCD permit.
6. D D (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school
bounda
Briefly describe business activities:
'
Name o
EXEMPT OR NO FURTHER INFORMATION REQUIRED
COUNTY-HMO* APCO
9 I ;J'J-I (7
Date
RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY-HMO APCO COUNTY-HMO APCO
. A stamp tn this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other perm1tt1ng requirements may still apply .
HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division
LIST OF BUSINESSES WHICH REQUIRE REVIEW AND APPROVAL FROM THE COUNTY OF SAN DIEGO
DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION
Check all that apply:
AUTOMOTIVE
D Battery Manufacturing/Recycling
D Boat Yard
D Car Wash
D Dealership Maintenance/Painting
D Machine Shop
D Painting
D Radiator Shop
D Rental Yard Equipment
D Repair/Preventive Maintenance
D Spray Booth
D Transportation Services
D Wrecking/Recycling
CHEMICAL HANDLING
0 Agricultural supplier/distributor
D Chemical Manufacturer
D Chemical Supplier/Distributor
D Coatings/Adhesive
D Compressed Gas Supplier/Distributor
D Dry Cleaning
D Fiberglass/Resin Application
D Gas Station
D Industrial Laundry
D Laboratory
D Laboratory Supplier/Distributor
D Oil and Fuel Bulk Supply
D Pesticide Operator/Distributor
CHEMICAL HANDLING
D Photographic Processing
D Pool Supplies/Maintenance
D Printing/Blue Printing
D Road Coatings
D Swimming Pool
D Toxic Gas Handler
D Toxic Gas Manufacturer
METAL WORKING
0Anodizing
D Chemical Milling/Etching
D Finish-Coating/Painting
D Flame Spraying
D Foundry
D Machine Shop-Drilling/Lathes/Mills
D Metal Plating
D Metal Prepping/Chemical Coating
D Precious Metal Recovery
D Sand Blasting/Grinding
D Steel Fabricator
D Wrought Iron Manufacturing
AEROSPACE
D Aerospace Industry
D Aircraft Maintenance
D Aircraft Manufacturing
OTHERS AND MISCELLANEOUS
D Asphalt Plant
D Biotechnology/Research
D Chiropractic Office
D Co-Generation Plant
D Dental Clinic/Office
D Dialysis Center
D Emergency Generator
D Frozen Food Processing Facility
D Hazardous Waste Hauler
D Hospital/Convalescent Home
D Laboratory/Biological Lab
D Medical Clinic/Office
D Nitrous Oxide (NOx) Control System
D Pharmaceuticals
D Public Utility
D Refrigeration System
D Rock Quarry
D Ship Repair/Construction
D Telecommunications Cell Site
D Veterinary Clinic/Hospital
D Wood/Furniture Manufacturing/Refinishing
ELECTRONICS
D Electronic Assembly/Sub-Assembly
D Electronic Components Manufacturing
D Printed Circuit Board Manufacturing
NOTE: THE ABOVE LIST INCLUDES BUSINESSES, WHICH TYPICALLY USE, STORE, HANDLE, AND DISPOSE OF HAZARDOUS SUBSTANCES.
ANY BUSINESS NOT INCLUDED ON THIS LIST, WHICH HANDLES, USES OR DISPOSES OF HAZARDOUS SUBSTANCES MAY STILL REQUIRE
HAZARDOUS MATERIALS DIVISION (HMD) REVIEW OF BUSINESS PLANS. FOR MORE INFORMATION CALL (858) 505-6880.
LIST OF AIR POLLUTION CONTROL DISTRICT PERMIT CATEGORIES
Businesses, which include any of the following operations or equipment, will require clearance from the Air Pollution Control District.
CHEMICAL
47 -Organic Gas Sterilizers
32 -Acid Chemical Milling
33 -Can & Coil Manufacturing
44 -Evaporators, Dryers & Stills Processing
Organic Materials
24 -Dry Chemical Mixing & Detergent Spray
Tov,.,ers
35 -Bulk Dry Chemicals Storage
55 -Chrome Electroplating Tanks
COATINGS & ORGANIC SOLVENTS
27 -Coating & Painting
37 -Plasma Arc & Ceramic Deposition Spray
Booths
38 -Paint, Stain & Ink Mfg
27 -Printing
27 -Polyester Resin/Fiberglass Operations
METALS
18 -Metal Melting Devices
19 -Oil Quenching & Salt Baths
32 -Hot Dip Galvanizing
39 -Precious Metals Refining
ORGANIC COMPOUND MARKETING
{GASOLINE. ETC)
25 -Gasoline & Alcohol Bulk Plants & Terminals
25 -Intermediate Refuelers
26 -Gasoline & Alcohol Fuel Dispensing
COMBUSTION
34 -Piston Internal -Combustion Engines
13-Boiters & Heaters (1 million BTU/hr or larger)
14 -Incinerators & Crematories
15 -Burn Out Ovens
16 -Core Ovens
20 -Gas Turbines, and Turbine Test Cells & Stands
48 -Landfill and/or Digester Gas Flares
ELECTRONICS
29 -Automated Soldering
42 -Electronic Component Mfg
FOOD
12-=i=i'sh Canneries
12 -Smoke Houses
50 -Coffee Roasters
35 -Bulk Flour & Powered Sugar Storage
SOLVENT USE
28 -Vapor & Cold Degreasing
30 -Solvent & Extract Driers
31 -Dry Cleaning
ROCK AND MINERAL
04 -Hot Asphalt Batch Plants
05 -Rock Drills
06 -Screening Operations
07 -Sand Rock & Aggregate Plants
08 -Concrete Batch, CTB, Concrete Mixers, Mixers
&Silos
10 -Brick Manufacturing
OTHER
~asive Blasting Equipment
03 -Asphalt Roofing Kettles & Tankers
46 -Reverse Osmosis Membrane Mfg
51 -Aqueous Waste Neutralization
11 -Tire Buffers
17 -Brake Debonders
23 -Bulk Grain & Dry Chemical Transfer & Storage
45 -Rubber Mixers
21 -Waste Disposal & Reclamation Units
36 -Grinding Booths & Rooms
40 -Asphalt Pavement Heaters
43 -Ceramic Slip Casting
41 -Perlite Processing
40 -Cooling Towe rs -Registration Only
91 -Fumigation Operations
56 -1/WvTP (1 million gal/day or larger) & Pump
Station
NOTE: OTHER EQUIPMENT NOT LISTED HERE THAT IS CAPABLE OF EMITTING AIR CONTAMINANTS MAY REQUIRE AN AIR POLLUTION
CONTROL DISTRICT PERMIT. IF THERE ARE ANY QUESTIONS, CONTACT THE AIR POLLUTION CONTROL DISTRICT AT (858) 586-2600.
HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division
Ccityof
Carlsbad
WASTE MANAGEMENT
Development Services
PLAN St.
B-59
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
Owner: Contractor: SP W Construction, Inc.
\a""" 0 I_.,," ,r r-._ IY.S uJ n 760-931-1130
Job Address: __ L~ IV __ .J_f'~q)()-==..c"':""::L'--'--L,CU-.cc_--'--=-;-, -,Phone Number.·._----------------
Permit#:C 6C.c)Dr'7 -050 .3 Estimated Cost of Project: $,_'iJJ _ ___._0_0_0 ________ _
Type of Project: D New Construction [l:Remodel or T.I. D Residential ll!J Commercial D Demolition
(check all that apply) D Other -------------------------------
Non-hazardous construction waste generated during the course of this project shall be recycled and/or salvaged for re--use at a
minimum of 50% per CALGreen Sec. 5.408.1. Failure to comply may result in a penalty fee up to $1,000. For projects which
consist of mainly equipment and/or racking, that have a combined weight of new construction disposal that does not exceed 2
lbs per square foot of building area affected by this permit, may be deemed to meet the 50% minimum requirement upon
approval of Building Department.
ALTERNATIVE FORMS OF COMPLIANCE: (If selected, do not complete Tables 1 & 2 below)
D Construction waste shall not exceed 2 lbs. per sf. of area. All receipts shall be provided to the Building Official prior to
final. (This option not applicable for most construction projects.)
Square feet of construction area X 2 lbs.= lbs. of allowable waste.
D I plan on using a WASTE MANAGEMENT roll-off bin. All receipts shall be provided to the Building Official prior to final.
Table 1-Estimated Waste (To be filled out prior to permit issuance-refer to example on Page 2.)
MATERIALS lbs. of waste to be taken to lbs. of waste to be Waste Hauling Company or Re-Use Method LANDFILL RE-USED or RECYCLED
Asphalt/ Concrete l,.IIA
Brick/ Masonry .,,.
cardboard -tn IL -... ,...,..,.._
Drywall i::n &h~
Landscape Debris II.I I II.
Lumber/ Wood 11.l I II. Mill wnrk ,,. ·h will ' e>t chnn
Metals 20 EDCO
Mixed Waste 2251bs EDCO
Trash I Garbae:e 251bs
Other:
TOTAL lbs: 75 2551bs
60 Estimated Percentage to be Re-Used or Recycled ______ %
I certify that the information provided herein, to the best of my knowledge, is true and correct.
Steve White
Contractor or Owner (print nam~ ( I ------
Contractor or Owner (signature) y -~------------
Official Use Only tJ
Date
D Plan Approved D Plan Denied D Project Valuation Approved
Reviewed/ Approved by: _________________ _
Page 1 of 2
EP = Existing
Panel to Remain
I;~ Brookwood
CARLSBAD PLAZA
1925 PALOMAR OAKS WAY
SUITE 300
t :)kds, biil-h11>orn s I e(evo..:1-vr (.,,bby n (£/rlcl.lVJ o:.s · tS.
¥:"No Ocxupa..Ylf t;.-tCiLrp~(~
Project To Comply With:
2016 CA Building Code
2016 CA Residential Code
2016 CA Green Code
2016 CA Mechanical Code
2016 CA Electrical Code
2016 CA Plumbing Code
2016 CA Energy Code
2016 CA Fire Code
Cit of Carlsbad Municipal Code
SE~ 2 2 .·
SEP 22 ~11
~~~F=3~~==="~ Relocate
Demolition of Non-Structural
Components as follows:
Walls, soffits, hard lids
Doors
Millwork, save for owner
Carpet, sheet vinyl, base
Tbar, ceiling tile
Soft ducting to mains
Conduit
Light fixtures, except for egress
Tel/Data cabling
Cabinetry
(:;~ ·/ c~,r c~:·!-=·,;;
g,. iic.lit;ci r-~:,
SEP 2 9 2017
.J:1.t° -.....
.... ~lk.
Note: wall with electric panels will remain in tact
and panels will remain as is. SAN DIEGO, CA 92008
Demo Plan
·t: lnspedv-r..fo vu1fy .e,/cc..+r1·ca.J <1-Jrtecha..v,icll./
ttvef-efv'Vl l\'lJ--eJ .lVl 0..,~1 ~ed !Yld~\I\U. NORTH
ssccA~L~E~:~1,;16~"~=~1·~-or";W~HEE~NP~R~IN~TE~D~oo~N11~"~X~1;7'~.~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~JO~B~#~3~8g2~.o441±..j
NOT FOR CONSTRUCTION DATE: 06.15.2016 DRAWN BY: PF
l~URKES
~ARRIS
INTERIOR DESIGN-SPACE f>LANNING
1620 FIFTH AVENUE, SUITE 100
SAN DIEGO, CA 92101
PHONE 619-702-0380
FAX 619-702-0383
www.hhdainc.,om
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