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1941 SILVERLEAF CIR; ; CB004674; Permit
04/06/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No CB004674 Building Inspection Request Line (760) 602-2725 fcs Job Address Permit Type Parcel No Valuation Reference # Project Title 1941 SILVERLEAF CR CBAD MECH Lot# $000 LA COSTA GLEN-CENTRAL PLANT PLUMBING, MECHANICAL & ELECTRICAL Status ISSUED Applied 12/12/2000 Entered By JM Plan Approved 04/06/2001 Issued 04/06/2001 lnSp6Ct >m 04/06/01 0002 01 02 CGP 545-00 Applicant KTGY - KEN ROHDY 17992 MITCHELL SOUTH IRVINE CA 92614 949-851-2133 Owner CONTINUING LIFE COMMUNITIES 800 MORINGSIDE DRIVE FULLERTON CA 92835 714-256-8088 Total Fees $545 00 Total Payments To Date $000 Balance Due $545 00 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES 0 0 0 0 0 0 $000 $000 $000 $000 $000 $000 $000 $545 00 $000 $545 00 BUILDING PLANS -V_ IN STORAGE ATTACHED Inspector, FINAL APPROVAL Date Clearance NOTICE Please take NOTId^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 othei 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 PROJECT INFORMATION Sda FOR OFFICE USE ONLY-.. PLAN CHECK NO EST VAL 00 Plan Ck Deposit- Validated By_ Date CrSPQ G-LGM -PL AW Address (include Bldg/Suite tt)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessor's Parcel S nin Existing Use Proposed Use Description of Work > / SQ FT /^ECffyWlC'fo- $ cUSlXftLvfa- /oVZ- 2 CONTACT PERSON (if afferent from applicant) #of Stones Name Address City 3 APPLICANT CD Contractor CD Agent for Contractor CD Owner CD Agent for Owner tt of Bedrooms tt of Bathrooms State/Zip Telephone # Fax tt Name 4 PROPERTY OWNER Address City State/Zip .Li 7707 yf?£ Telephone tt Name Address City State/Zip Telephone # 5 CONTRACTOR - COMPANY NAME (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve demolish or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged 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]) Name State License # Address License Class City State/Zip City Business License tt Telephone tt Designer Name Address City State/Zip Telephone State License tt 6 WORKERS' COMPENSATION Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q] 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 l~1 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 Insurance Company Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) l~l 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 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 7 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale) l~l 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) l~) 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 proper!/ improvement l~l YES l~lNO 2 I (have / have not) signed an application foi a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) 4 I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number) 5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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? CD YES CD NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CD YES l~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? CD YES CD NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OB IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code) LENDER'S NAME LENDER S ADDRESS 9 APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days/from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 1/fjferays (Sj^IoXloe 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE HITETile O ELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 01/21/2003 Permit* CB004674 Title LA COSTA GLEN-CENTRAL PLANT Description PLUMBING, MECHANICAL & ELECTRICAL Inspector Assignment PS 1941 SILVERLEAFCR Lot 0 Type MECH Sub Type Job Address Suite Location APPLICANT KTGY - KEN ROHDY Owner Remarks Phone 7608017853 Inspector Total Time Requested By BILL Entered By CHRISTINE CD Description 49 Final Mechanical Act Comment Associated PCRs/CVs Date 10/04/2002 09/23/2002 09/09/2002 09/09/2002 08/23/2002 08/22/2002 02/12/2002 01/29/2002 01/28/2002 12/13/2001 12/11/2001 12/10/2001 12/10/2001 12/07/2001 11/16/2001 09/06/2001 09/05/2001 05/25/2001 Inspection History Description 29 39 31 39 31 31 41 44 21 31 31 21 31 31 21 31 31 31 Final Plumbing Final Electrical Underground/Conduit-Wiring Final Electrical Underground/Conduit-Wiring Underground/Conduit-Wiring Underground Ducts Rough/Ducts/Dampers Underground/Under Floor Underground/Conduit-Wiring Underground/Conduit-Winng Underground/Under Floor Underground/Conduit-Wiring Underground/Conduit-Winng Underground/Under Floor Underground/Conduit-Wiring Underground/Conduit-Wiring Underground/Conduit-Wiring Act CO PA AP PA NR NR AP CO NR NR AP NR NR AP AP AP NS CA Insp PS PD PS PS PS PS PS PS PS PS PS PS PS PS PS PS PS PS Comments SEO NO METER VAULT BY SKILL NUR ON SITE 2 1/2 MRS CONDUIT 120 FT 0 IN 120-0" CONDUIT HOT H20 & CONDENSOR TO HEALTH CENTER UFER ON SITE BY BILL City of Carlsbad Bldg Inspection Request For 01/29/2002 Permit# CB004674 Title LA COSTA GLEN-CENTRAL PLANT Description PLUMBING, MECHANICAL & ELECTRICAL Inspector Assignment PS 1941 SILVERLEAFCR Lot 0 Type MECH Sub Type Job Address Suite Location APPLICANT KTGY - KEN ROHDY Owner Remarks CONDENSOR INSPECTION Phone 7604368604 Inspector ' Total Time Requested By BILL Entered By CHRISTINE CD Description 44 Rough/Ducts/Oampers Act Comments &L Associated PCRs Date 01/28/2002 12/13/2001 12/11/2001 12/10/2001 12/10/2001 12/07/2001 11/16/2001 09-06/2001 09/05/2001 00/25/2001 t Inspection Historv Description 21 31 31 21 31 31 21 31 31 31 Underground/Under Floor Underground/Conduit-Wiring Underground/Conduit-Wiring Underground/Under Floor Underground/Conduit-Wiring Underground/Conduit-Wiring Underground/Under Floor Underground/Conduit-Wiring Underground/Conduit-Wiring Underground/Conduit-Wiring Act NR NR AP NR NR AP AP AP NS CA Insp PS PS PS PS PS PS PS PS PS PS Comments CONDUIT 120 FT 0 IN 120-0" CONDUIT HOT H20 & CONDENSOR TO HEALTH CENTER UFER ON SITE BY BILL Testing Engineers-San Diego, Inc. 7895 Convoy Court, Suite 18 San Diego, CA 92111 Phone (858) 715-5800 Fax (858) 715-5810 REPORT OF COMPRESSION TEST Sample Group # 24414 Project Name La Costa Glen - Central Plant Project Address - 1941 Silver Leaf Circle Gen Contractor Koll Construction Engineer N/A BldgPermitNo CB 004674 Gov't Contract # n/a Project No 2000-495c Sub-Contractor N/A Architect N/A Plan File No n/a DSA/OSHPD OSHPD # HS99-2089-37. Sample Group Data Report of Placement Date Supplier/Plant Mix Number Mix Description Mix Design Specified Strength Truck No 203 Sample Mark Admixture Grout 3/20/2002 SUPERIOR 01 866P 3/8" 2000 psi 2000 psi Ticket* 180331 Load Prisms Slump Air Temp Mix Temp Air Content 138 MPa Unit Weight 138 MPa # 1 Time Batched 630AM Delivered by JG Date Rec'd Gallons of water added at Measured (in ) 8 00 (°F) 67 (°F) 68 (%) N/A pcf 0 Time Sampled 7 30 AM Specified N/A N/A N/A N/A Age N/A Mm in Lab Logged in by N/A by Specific Location ROOF BEAM POCKETS @ CMU WALL Special Instructions/Remarks Compression Laboratory Data Sample Age 7 28 28 56 Lab No 77893 77894 77895 77896 Date Tested 3/27/2002 4/17/2002 4/17/2002 5/15/2002 Discard n D D 2 Dimensions 318X3 3 16X3 318X3 15m 16m 18m in Test Area 10 9 10 02 in2 99mz 11 in2 in2 Max Load 11,900 21,490 22,550 !bs Ibs Ibs Ibs Compressive 11 90 psi 2150 psi 2230 psi psi Strength 8 2 MPa 148MPa 154MPa MPa Comments- 28 day test meets specifications Sampling and testing conducted in accordance with ASTM Standard designations C31-91, C39/B6, $78-84, C6 Checked by Date Reviewed by ', C42-90 Date cc KTGY Group Koll Construction Beniamm Shirer // Staff Engineer Continuing Life OSHPD- Facilities OSHPD Te s 11 n g E n g i ii e e i s - S a n D i e g o, I h c Established 1946 Continuing Life Communities, LLC Attn Bob Bouchard 7707 El Cammo Real Carlsbad, CA 92009 June 20, 2002 TESD Job No 2000-495C Job Name LA COSTA GLEN - CENTRAL PLANT Addiess 1941 Silver Leaf Circle Carlsbad, California Building Permit No CB 004674 OSHPO # HS5992089-37 The following pages present TESD's field inspection reports for the above referenced pioject for work performed thiough 06/14/02. These reports covei the locations of work inspected in accordance with generally accepted standards and do not constitute engineering opinions or project contiol It is the responsibility of the contractor to schedule ictests or remspections of any areas that do not meet project specifications TESD neither controls nor supei vises the work at the site We are not responsible for errois and omissions of the contiactoi, noi foi the contractor's failure to keep the work on schedule 01 cairy it out in accordance with the project plans, specifications and all applicable codes We appreciate the opportunity to provide services on this project Should you have any questions regarding your reports, please contact Sayed Shah at (858) 715-5800 ext 46 Respectfully submitted, Testing Engineers - San Diego, Inc Gregory J Smith Vice President of Inspection cc KTGY Group - Mr Axel Stoltz Koll Construction - Mr George Irvine OSHPD - Facilities Development Division - lames Wu City of Carlsbad - Building Department OSHPD- Don Varner Testing Engineers - San Diego Inc 7895 Con\ oy Court Suits. 1 8 San Diego C-\ 9: 1 1 1 [8 5 8] 7 1 5-5800 Fax [85 8] 7 1 5-5 8 1 0 estmg Engineers - San Diego, Inc 7895 Convoy Court, Suite 18 San Diego, California 92111 phone (858)715-5800 fax (858)715-5810 rj Testing Engineers - Inland Empire 571-E Crane Street Lake Elsmore, California 92530 phone (909)471-3500 fax (909) 471 3732 Page 1 of / Esf 194S Date Job Name Address Job No Mi?SAP Client/Contractor. Report D Notice to Comply Type of Service Performed Soil Asphalt Concrete Engr Observation Concrete Q Structural Steel Pre-stress Concrete L~H Fireproofmg Masonry Waterproofing Roofing nspection Check List Q Soils Report ET Plans Building Permit# C/j? CO *•/£ ?T p,an F||e# ETSpecs DSA # DRFI On-Site Equipment Tests Performed (see attached)Sample Type . u& c, A T J.Su W o tf Tsf \J&u&&>To &- m i , AD x-fa*-, J 6 7 3 l/ k*- tf CERTIFICATION OF COMPLIANCE All of the observed work, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable code For any "non-conforming" items the contractor shall schedule TESD for reinspection and retestmg Inspector's Signature/Name Approval Signature/Name/Company TESD Form 10001 TestmgEngmeeis- San Diego, Inc Established 1946 Continuing Life Communities, LLC May 15, 2002 Attn Bob Bouchaid TESD Job No 2000-495C 7707 El Cammo Real Carlsbad, CA 92009 Job Name LA COSTA GLEN - CENTRAL PLANT Addiess 1941 Silvei Leaf Circle Carlsbad, California ,rj Building Permit No CB 004674 OSHPO # HS5992089-37 The following pages present TESD's field inspection repoits foi the above referenced project for work performed through 05/07/02. These icports cover the locations of work inspected in accoi dance with generally accepted standards and do not constitute engineering opinions or project control It is the responsibility of the contractor to schedule retests or remspections of any aieas that do not meet project specifications TESD neither controls nor supervises the work at the site We are not responsible for errors and omissions of the conti actor, nor for the contractor's failure to keep the work on schedule or carry it out in accordance with the project plans, specifications and all applicable codes We appreciate the opportunity to provide services on this project Should you have any questions regarding your icports, please contact Sayed Shah at (858) 715-5800 ext 46 Respectfully submitted, Testing Engineers - San Diego, Inc Gregory J Smith Vice President of Inspection cc KTGY Group -Mi Axel Stoltz Koll Construction - Mr George Irvine OSHPD- Facilities Development Division- Fames Wu City of Carlsbad - Building Department OSHPD - Don Varner Testing Engineers - San Diego Inc 7895 Conv oy Court Suite 1 8 San Diego CA 92 1 1 1 [858] 7 1 5-5 SOO Fax f 85 8] 7 1 5-58 1 0 resting Engineers - San Diego, Inc 7895 Convoy Court, Suite 18 San Diego, California 92111 phone (858)7155800 fax (858)715-5810 Testing Engineers - Inland Empire 571-E Crane Street Lake Elsmore, California 92530 phone (909)471-3500 fax (909)471-3732 Esl 1946 Date Page 1 of ' 7 01. Job Name Address I r ^ /)1-A L-gST^V C-"7/-gAJ - L£.gA/TTSAt- rtA<^r Job No 7.OOO- Client/Contractor Field Report D Notice to Comply Type of Service Performed Soil Asphalt Concrete Engr Observation Concrete Pre-stress Concrete Masonry D Structural Steel [H Fireproofing D Other Waterproofing Roofing nspection Check List Building Permit # Soils Report Plan File # Plans D Specs DSA# D Codes OSHPD # On-Site Equipment Tests Performed (see attached)Sample Type S. QAO TZ? SO ^=^ / .IV 3" Si CERTIFICATION OF COMPLIANCE All of the observed work, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable code For any "non-conforming" items the contractor shall schedule TESD for remspection and retesting ^— Inspector's Signature/Name Approval Signature/Name/Company TESD Form 10001 Cert No A ^ T Date Testing Engineers - San C3iego, Inc. Established 1946 7895 CONVOY CT, SUITE 18 SAN DIEGO, CA 92111 (619)715-5800 FAX (619) 715-5810 ATLANTIC CITY RAHWAY FT LAUDERDALE ORLANDO SAN DIEGO CONCRETE BATCH PLANT INSPECTION CERTIFICATE INSPECTION DATE -~~l TIME ( Q ' TO THE PROJECT INSPECTOR, TESD inspector. ,n0O 'v Arz.u concrete plant and is inspecting concrete for MIX DESIGN NO project. SACKS/CU.YD :UBIC YARDS PER LOAD J5~^D TRUCK NUMBER H^^i ICY- DESIGN MOISTURE CONTENT 1 C Y WEIGHTS S~' Clc Y WEIGHTS PERCENT POUNDS CORR FOR MOIST WEIGHTS, Ibs Portland Cement, Ibs H-iiH H SM £-£-{{/> Fly Ash, Ibs S> O f%0 L(Ot> Sand (SSD), Ibs |40H ?. O %3& ^^^iH3Z ~\\\)Q Rock 11. Ibs (/XH) IHSB (.£> /S"~ (V73 73b£~ Rock #2. Ibs f 5^& > ^ / 1> "&--^~" ^- 3/ ^ 1 "5^7 O Rock #3, Ibs ( s^~ ) ^ ^ s^" ' /* — " Cum Sand & Reek. Ifaa- \>f\fif^CJ-^-\ \ <\ 1^2. "73 ^_ "ZlH Admixture #1, a oz f k/W A^i . <^ b1^ ) "2-1 -3 t> ^ ( Oft Admixture #2, fl oz ( \\13Z~ \ C& O> ) vS^. oz, 2-S SCALE WEIGHTS, Ibs SPECIFICATION 22g© ± 1% ^^C* ±1% ~]\\>O IM3 ±2% 73 bO 7H ±2% 'Z-OOO fO ±296 ^-— ' ±2« Z M(3riVJ TAK^ ) + 1% 107 +3% •^r' +3% Water in Aggregates, Ibs CJZ- f- Water in Aggregates, gal ^"7" Water batched, gal / Cf\ Total Water at Plant, gal Design Water, gal ^ ^ Water Allowed in Field, gal Water Added m Field, gal Total Water, gal ^_ . Ob to <>£M\ ± 1% ^^ ^^^^^^--. ^ -. NOTE: The above weights are being sent on this truck. Weights of subsequent loads will be checked until variations in moisture content necessitate an adjustment, at which time a new ticket of this kind will be sent with the first truck changed. OVER 50 YEARS OF QUALITY SERVICE Date Job No Job Name Addiess Report No ENGINEER LAB NO PROJECT SUBJECT Core No A 1 Testing Engineers - San Diego, Inc MASONRY CORE COMPRESSION TEST May 13,2002 2000-495C LA COSTA GLEN - CENTRAL PLANT 1941 Silver Leaf Circle Carlsbad, California Plan Number N/A Permit CB 004674 OSHPDPeimit# HS99-2089-37 Established 1946 SH1RER, STAFF ENGINEER 3968 BENJAM 4481,4483,4485 LA COSTA GLEN - CENTRAL PLANT Compressive strength on thiee cores submitted to our firm on 4/3/02 Requned minimum strength was specified to be 2000 psi Shown below are locations and test results of the three cores which were tested on 5/10/02 Location CENTRAL PLANT (10" CORE), CORED TO 6" IN L\BORATORY CENTRAL PLANT (13 5" CORE), CORED TO 6" IN LABORATORY CENTRAL PLANT (135" CORE), CORED TO 6" IN LABORATORY COMPRESSIVE STRENGTH Cores tested in accoi dance with ASTM C-42 CoieNo Date Tested Length as Received, Inches Length, Inches (Before Capping) Length, as Tested (Capped, Inches) Coie Diameter, In L/D Ratio Area, Squaie Inches Ultimate Load, Lbs Unconected Compressive Stiength PSI Correction Factor Compressive Strength Collected for L/D Ratio, PSI A 5/10/02 11 66 11 66 11 87 593 200 2762 82,200 2980 1 00 2980 1 5/10/02 11 65 11 65 11 95 593 202 2762 79,200 2870 100 2870 3 5/10/02 11 73 11 73 1201 593 203 2762 77,200 2800 1 00 2800 Samples were dry conditioned seven days prior to testing in accordance with ACI301, Chapter 17 and UBC 1905 643 Testing Engineers - San Diego. Inc 7895 Convoy Court Suite 18 San Diego CA 92111 [858] 715 5800 Fax [858] 715-5810 TestingEngmeeis-San Diego, Inc Established 1946 Continuing Life Communities, LLC Attn Jim Bishop 7707 El Cannno Real Cailsbad, CA 92009 Tanuaiy23,2002 TESD Job No 2000-495 Job Name LA COSTA GLEN - CENTRAL PLANT Addiess 1941 Silver Leaf Cucle Carlsbad, CA Building Peimit No CB 004674 Plan File No The following pages piesent TESD's field inspection icports for the above referenced pioject for woik performed thiough 01/1 1/02 These leports cover the locations of woik inspected in accordance with geneially accepted standards and do not constitute engmeeimg opinions or pioject control It is the lesponsibihty of the contractor to schedule retests or remspections of any areas that do not meet project specifications TESD neither controls nor supei vises the work at the site We are not lesponsible foi errois and omissions of the conti actor, nor for the contractor's failure to keep the work on schedule or carry it out in accoi dance with the project plans, specifications and all applicable codes We appreciate the opportunity to provide services on this project Should you have any questions regarding your reports, please contact Sayed Shah at (858) 715-5800 ext 46 Respectfully submitted, Testing Engmeeis - San Diego, Inc Giegory T Smith Vice Piesident of Inspection cc K.TGY Group - Mr Axel Stoltz Koll Construction - Mr Mark Wolioid City of Carlsbad - Building Department Continuing Life Communities - Mr dm Bishop Testing Engineers - San Diego. Inc 7895 Convoy Court, Suite 18 San Diego CA 92111 [858] 715-5800 Fax [858] 715-5810 Testing Engineers - San Diego, Inc. Established 1946 7895 Convoy Ct, Suite 18 San Diego, CA 92111 Field Report Tel (858)715-5800 Fax (858)715-5810 Date D Notice to Comply Rage 1 of. ob Name Address , Job No 5eneral/Subcontractor _ < ype of Service Performed nspection Checklist ermit# .Soil tngmeeringUbservation . Soils Report _ L. Plans Plan File # Concrete Fireproofmg Prestre^s Concrete Waterproofing Other. Masonry . Roofing Specs RFI •TOO. J_7ccCodes Material Description Sample Type D Tests Performed (see attached) ^ !^> CERTIFICATION OF COMPLIANCE All of the observed work, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable code For any non-conforming items the contractor shall schedule TESD for remspection or retesting OTHrs Note All inspections are based on 4 and B^hour mmimums Inspector's any inspection extending past 12 00 p m (noon) will be billed an 8 hour minimum Cert NQ Approval Signature/Name/Compan' (Verification of on site Hours ONLY) Fnrminm 4 Testing Engineers - San Diego, Inc. Established 1946 7895 Convoy Ct, Suite 18 San Diego, CA 92111 IZ^Field Report Tel (858)715-5800 Fax (858) 715-5810 Date ] Notice to Comply Page 1 of. I / ob Name Address Job No eneral/Subcontractor ype of Service Performed List Permit* _ Engineering Observation . Soils Report / Plans Plan File # Prestress Concrete Waterproofing Other Masonry . Roofing RFI // Codes Material Descriptionlaterial Desc /&'(Ai<rf), /%- Sample Type D Tests Performed (see attached) CERTIFICATION OF COMPLIANCE All of the observed work, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable code For any non-conforming items the contractor shall schedule TESD for remspection or retesting "/ •4- Stop Reg Mrs OT Hrs Note AM inspections are based on 4 and 8 hour minimums In additiorj any inspection extending past 12 00 p m (noon) will be billed an 8 hour minimum Inspector's Signature/Name j^^<^ '—v—&Z—Z^ms^*- . Cert No Approval Signature/Name/Company (Verification of on site Hours ONLY) Form* nrn A Testing Engineers - San Diego, Inc. Established 1946 t 7895 Convoy Ct, Suite 18 San Diego, CA92111 Field Report Tel (858)715-5800 Fax (858) 715-5810 ] Notice to Comply ob Name General/Subcontractor ype of Service Performed nspection Check List Permit # JSoil Structurj . Concrete . Fireproofing engineering Observation . Soils Report s' Plans Prpitress Concrete Waterproofing Other Masonry Roofing Codes Sample Type D Tests Performed (see attached) /^ x. X" CERTIFICATION OF COMPLIANCE All of the observed work, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable code For any non-conforming items the contractor shall schedule TESD for remspection or retesting Start Stop Reg Mrs Note All inspections are based on 4 and 8 hou/mimmums In addition, Z^ ' OTHrs Inspector's Signature/Name. spection extending past 12 00 p m (noon) will be billed an 8 hour minimum ^Cert No <5® Approval Signature/Name/Company (Verification of on site Hours ONLY) S\^~~ Fnrm# (im A Testing Engineers - San Diego, Inc. Established 1946 7895 Convoy Ct , Suite 18 San Die9°' CA 921 1 1 Tel (858) 715-5800 Fax *858) 715'5810 ob Name Address General/Subcontractor ype of Service Performed nspection ermit# List Cfr . Engineering Observation . Soils Report ^_ Plans Plan File # Concrete . Fireproofing P/estress Concrete . Waterproofing . Other . Masonry . Roofing Specs RFI , Sample Type ^ests Performed (see attached) X, / W~< _ ! f i ,A / (/O CERTIFICATION OF COMPLIANCE All of the observed work, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable code For any non-conforming items the contractor shall schedule TESD for remspection or retesting Start Stop Reg Mrs OT Mrs Note All inspections are based on 4 and a hour rjiinirnums In addition^any inspection extending past 12 00 p m (noon) will be billed an 8 hour minimum Inspector's Signature/Name /W^1^ ^—•*- /^t^-^"^t-^r ^ *" s Cert No Approval Signature/Name/Company (Verification of on site Hours ONLY) Form* 003 A Testing Engineers - San Diego, Inc. Established 1946 ^"7 / 7895 Convoy Ct, Suite 18 San Diego, CA 92111 Field Report Tel (858)715-5800 Fax (858)715-5810 _Date ] Notice to Comply . /r. Rage 1 of. ob Name Address ieneral/Subcontractor ype of Service Performed nspection Check List 5ermit# .Soil Structural Steel ingineermg Observation /~i Soils Report s Plans Fireproofing Prestress Concrete Waterproofing Other . Masonry . Roofing SampleType Tests Performed (see attached) CERTIFICATION OF COMPLIANCE All of the observed work, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable code For any non-conforming items the contractor shall schedule TESD for remspection or retestmg Start Stop Reg Hrs OTHrs Note All inspections are based on 4 and 8 hour minimums In additioX/any inspection extending past 12 00 p m (noon) will be billed an 8 hour minimum Inspector's Signature/Name /(f^^^l 7 ^)S^s~-~&c~^ ^ Qert ^o Approval Signature/Name/Company (Verification of on site Hours ONLY) Form# 003 A Testing Engineers - San Diego, Inc. Established 1946 7895 Convoy Ct, Suite 18 Tel (858) 715-5800 San Diego, CA92111 Fax (858) 715-5810 El Field Report Date e 1 of D Notice to Comply ob Name ,ddress jeneral/Subcontractor ype of Service Performed nspection Check List Permit # Soil . Concrete Fireproofing Ttngineering Observation . Soils Report f Plans Plan File # Prpstress Concrete Waterproofing Other . Masonry . Roofing Specs RFI Material Description c Sample Type D Tests Performed (see attached) ,/*4«-Tfai- fl o CERTIFICATION OF COMPLIANCE All of the observed work, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable code For any non-conforming items the contractor shall schedule TESD for reinspection or retesting Start Stop Reg Hrs V OT Mrs Note All inspections are based on 4 and 8/iour mmimums In additioji^any inspection extending past 12 00 p m (noon) will be billed an 8 hour minimum Inspector's Signature/Name /^>4Z^^ ^ /^^ ^g>^--°e^-^^ Cert No ®j_£^&d ~~Q/ Approval Signature/Name/Company (Verification of on site Hours ONLY) Form#003 A Testing Engineers - San Diego, Inc. Established 1946 / 7895 Convoy Ct, Suite 18 San Diego, CA92111 Field Report Tel (858)715-5800 Fax (858)715-5810 _Date Page 1 of D Notice to Comply ob Name ,ddress General/Subcontractor ype of Service Performed Engineering Observation nspection Check List Soils Report s Plans ermit# ( .frW AffiS Plan File# Concrete Fireproofing Prestress ^Concrete Waterproofing Other Masonry Roofing Sample Type Tests Performed (see attached) CERTIFICATION OF COMPLIANCE All of the observed work, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable code For any non-conforming items the contractor shall schedule TESD for remspection or retestmg Start ^,/ Stop Reg Hrs OTHrs Note All inspections are based on 4 and 8 hour minimums In addition anjwpspection extending past 1200 p m (noon) will be billed an 8 hour minimum Inspector's Signature/Name &^£^*^-—^-, ? )2l^S'*~^*—7 Cert No Approval Signature/Name/Company (Verification of on site Hours ONLY) Form* 003 A Testing Engineers - San Diego, Inc. Established 1946 X 7895 Convoy Ct, Suite 18 San Diego, CA92111 Field Report Tel (858) 715-5800 Fax (858) 715-5810 _Date D Notice to Comply Pade 1 of ob Name kddress aeneral/Subcontractor ype of Service Performed nspection Checj^List ermit# Struct Concrete Fireproofmg Engineering Observation . Soils Report S* Plans Prestress Concrete Waterproofing Other . Masonry . Roofing Specs 'RFI Codes Sample Type D Tests Performed (see attached) Q. . /J, CERTIFICATION OF COMPLIANCE All of the observed work, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable code For any non-conforming items the contractor shall schedule TESD for remspection or retesting Start Stop Reg Mrs OTHrs Note All inspections are based on 4 and 8 hour^minimums In addition anyjjjspection extending past 12 00 p m (noon) will be billed an 8 hour minimum Inspector's Signature/Name hs^**^- ^ /" J^C^ ***** ^ Cert No Approval Signature/Name/Company (Verification of on site Hours ONLY) f £S Form* 003 A Testing Engineers - San Diego, Inc. Established 1946 7895 Convoy Ct , Suite 18 San Diego, CA 92111 Tel (858) 715-5800 Fax (858)715-5810 ^0 Fi Date Field Report D Notice to Comply ob Name iddress aeneral/Subcontractor ype of Service Performed nspection Check List 'ermit# £^Soil _ Structural Steel _ Engineering Observation .Soils Report / Plans _£^ConcreteJ) Fireproofmg Prestress Concrete Waterproofing Other. Masonry Roofing Codes ) Sample Type Tests Performed (see attached) 7-77^zg: CERTIFICATION OF COMPLIANCE All of the observed work, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable code For any non-conforming items the contractor shall schedule TESD for reinspection or retesting Start St°P Reg Mrs ^6 OT Hrs. Note All inspections are based on 4 and Sjjour mimmums Inaddjj^pn any inspection extending past 12 00 p m (noon) will be billed an 8 hour minimum Inspector's Signature/Name * J£X"""L.—s, /fZ-^i^*^*^. Cert No Approval Signature/Name/Company (Verification of on site Hours ONLY)/ Form* 003 A Date Job No Job Name Addiess Testing Engineers- San Diego,Inc REPORT OF TFNSTT.E TESTS January TO,2002 2000-495 LA COSTA GLEN 7707 El Camino Real Cailsbad,CA92009 Report No 3484 ENGINEER BENJA Established 1946 SHJRER, STAFF ENGINEER PROJECT MATERIAL SUPPLIER DATE RECEIVED LAB NUMBER HEAT NUMBER MILL TYPE OF STEEL NOM SIZE, mm TEST AREA, sq in YIELD, Ibf TENSILE STRENGTH, Ibf YIELD, psi TENSILE STRENGTH, psi % ELONGATION IN 8" BEND, (PASS OR FAIL) WEIGHT SHIPPED, Ib GRADE LA COSTA GLEN REINFORCING STEEL NOT SUBMITTED 12/26/01 3104 13077 TAMCO A615 22 60 44,050 bf 67,100 73,400 jsi 122,300 150 i PASS ^ 3105 12434 TAMCO A615 19 44 35,420 50,650 80,500 115,100 150 PASS MOT err 3106 57586 BORDER A615 22 60 38,700 61,800 64,500 103,000 185 PASS CJMrTTCTl 3107 67698 BORDER A615 19 44 28,600 43,770 65,000 99,500 175 PASS 60 60 60 60 COMMENTS ALL MATERIALS WERE SAMPLED AND TAGGED, HEAT NUMBERS AND MILL CERTS WERE CHECKED WEIGHT SHIPPED WAS NOT AVAILABLE CONFORMS TO ASTM A615, GRADE 60/420 AND TO THE DSA APPROVED PROJECT SPECIFICATIONS Testing Engineers - San Diego, Inc 7895 Convoy Court Suite IS San Diego, CA 92111 [858] 715-5800 Fax [858] 715-5810 EsGil Corporation In ^Partnership uiitH government for EmUing Safety DATE April 3, 2001 OAEPyCANT~ JURISDICTION Carlsbad a PLAN REVIEWER a FILE PLAN CHECK NO 00-4674 SET II PROJECT ADDRESS 1941 Silverleaf Circle PROJECT NAME Central Plant La Costa Glen [X] The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck The check list transmitted herewith is for your information The plans are being held at Esgil Corporation until corrected plans are submitted for recheck The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person The applicant's copy of the check list has been sent to X] Esgil Corporation staff did not advise the applicant that the plan check has been completed ]j 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 XI REMARKS Esgil Corporation has only performed a plan review for the plumbing, mechanical and electrical portions of the Central Plant By Kurt Culver Enclosures Esgil Corporation D GA D MB D EJ n PC log trnsmtldot 9320 Chesapeake Drive, Suite 208 * San Diego, California 92123 ^ (858)560-1468 ^ Fax (858) 560-1576 EsGil Corporation In TartnersHip witA government for %ui£tfing Safety DATE January 3, 2001 Q-AEELICANT JURISDICTION Carlsbad a PLAN REVIEWER a FILE PLAN CHECK NO 00-4674 SET I PROJECT ADDRESS 1941 Silverleaf Circle PROJECT NAME Central Plant La Costa Glen ^] The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes I | 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 I I The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck XI The check list transmitted herewith is for your information The plans are being held at Esgil Corporation until corrected plans are submitted for recheck I | The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person 1X1 The applicant's copy of the check list has been sent to Ken Rohde c/o KTGY 17992 Mitchell South Irvine 92614 [U Esgil Corporation staff did not advise the applicant that the plan check has been completed XI Esgil Corporation staff did advise the applicant that the plan check has been completed Person contacted Ken Rohde (v-H^ Telephone # (949) 851-2133 Date contacted i / W lot (by di- ) Fax # Mail ^-Telephone ^ Fax In Person REMARKS The City of Carlsbad has requested that Esgil Corporation perform a plan review for the plumbing/mechanical/electrical portions of the Central Plant By Kurt Culver Enclosures Esgil Corporation D GA D MB D EJ D PC 12/18/00 trnsmtldot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 * (858)560-1468 4 Fax (858) 560-1576 Carlsbad OO-4674 January 3, 2001 GENERAL PLAN CORRECTION LIST JURISDICTION Carlsbad PROJECT ADDRESS 1941 Silverleaf Circle DATE PLAN RECEIVED BY ESGIL CORPORATION 12/18/00 REVIEWED BY Kurt Culver PLAN CHECK NO OO-4674 DATE REVIEW COMPLETED January 3, 2001 FOREWORD (PLEASE READ): This plan review is limited to the technical requirements contained in the Uniform Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and disabled access This plan review is based on regulations enforced by the Building Department You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department or other departments The following items listed need clarification, modification or change All items must be satisfied before the plans will be in conformance with the cited codes and regulations Per Sec 106 4 3, 1997 Uniform Building Code, the approval of the plans does not permit the violation of any state, county or city law • To facilitate rechecking, please identify, next to each item, the sheet of the plans upon which each correction on this sheet has been made and return this sheet with the revised plans • Please indicate here if any changes have been made to the plans that are not a result of corrections from this list If there are other changes, please briefly describe them and where they are located on the plans Have changes been made not resulting from this list? Yes a No Carlsbad 00-4674 January 3, 20O1 4 Please make all corrections on the original tracings, as requested in the correction list Submit three sets of plans for commercial/industrial projects (two sets of plans for residential projects) For expeditious processing, corrected sets can be submitted in one of two ways 1 Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave , Carlsbad, CA 92008, (760) 602-2700 The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments 2 Bring one corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468 Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments NOTE Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete PLUMBING, MECHANICAL AND ENERGY CORRECTIONS * PLAN REVIEWER: Glen Adamek 1 The licensed designer must sign each sheet of the plans 2 Provide data on proposed hazardous material to be stored and used UBC, Section 307 and UFC a) Clearly show types of hazardous material is being stored or used Provide a list of the proposed hazardous materials as per the types in UBC, Tables 3-D, and 3-E Provide the material safety data sheets (MSDS) b) Clearly show the amounts of each type of hazardous material to be stored and in use c) Clearly show where in the buildings each type of hazardous material is being stored or used PLUMBING (1997 UNIFORM PLUMBING CODE) 3 Provide the site plumbing plans showing the sizes and locations of the gas meters and water meter, and the sizes, routes, and slopes of the building sewer, storm drainage system, site gas lines, and site water lines 4 Provide complete water line sizing calculations, including the water pressure, pressure losses, water demands, and developed pipe lengths UPC Section 610 0 and Appendix 'A' 5 Provide gas line plans and calculations, showing gas meter location, gas pressures, pipe lengths and gas demands UPC Section 1217 0 Carlsbad OO-4674 January 3, 2001 6 Show that water heater is adequately braced to resist seismic forces Provide engineers design calculations and details (For the hot water tanks provide two straps One strap at top 1/3 of the tank and one strap at bottom 1/3 of the tank ) UPC, Section 5105 7 Detail the water heater flue (vent) terminations as per UPC, Section 517 0 Minimum 8 feet from the wall or above the top of the wall 8 Detail the water heater flue (vent) offsets, length, pitch and clearances as per UPC, Section 5160 9 Detail the backflow protection of water connection to fire protection systems as per UPC, Section 6034 18 MECHANICAL (1997 UNIFORM MECHANICAL CODE) 10 Correct the required access to Condenser Water Boilers and Hot Water Boilers as per UMC, Section 307 1 Equipment shall be accessible for inspection, service repair and replacement without removing permanent construction or other equipment or disabling the function of required fire-resistant construction 11 Detail the flue (vent) terminations as per UMC, Section 806 12 Detail the flue (vent) offsets, length, pitch and clearances as per UMC, Section 805 ENERGY CONSERVATION 13 Provide plans, calculations and worksheets to show compliance with current energy standards Show the Condenser Water Boilers and Hot Water Boilers comply with the energy designs fore the building served except for the I- occupancies 14 Complete energy plan check will be done when complete corrected energy designs are provided Note: If you have any questions regarding this plumbing, mechanical and energy plan review list please contact Glen Adamek at (858) 560-1468 To speed the review process, note on this list (or a copy) where the corrected items have been addressed on the plans Carlsbad 00-4674 January 3, 2001 * ELECTRICAL PLAN REVIEW • 1996 NEC 4 PLAN REVIEWER: MORTEZA BEHESHTI 1 Note at the bottom right corner of sheet 7E-5 1 indicated generator is a deferred submittal However, the generator set are shown on the single line Please clarify the drawings 2 Please provide a complete optional and emergency load calculations for each generator NEC 700 3 Show the ampere interrupting capacity (AIC) ratings of the subservice equipment NEC 110-9,230-65 4 Show on the plans the method used to limit fault currents to 10,000 amps on branch circuits 5 Specify common ground electrode for all separate services NEC 250-54 6 Please remove notes such as note #5 on sheet 7E-5 1 Engineering calculations should be the responsibility of the design engineer and not the installation contractor 7 Specify size and show the "nearest electrode" used for each transformer secondary ground system (i e , building steel, cold water pipe) NEC 250-26(c) 8 Submit load calculations Include long continuous loads (LCL) and the largest motor loads NEC 220 9 Show or identify new loads proposed for the existing equipment 10 Indicate the total load demand on the service 11 Note the following requirements on the prints for panelboards supplying fire alarm equipment Lockable cover, identified circuit breaker (red), and a breaker "lock-off1 device to be installed 12 Include the following specifications on the single line diagram when utilizing a four pole ATS The grounding electrode, conductor size, and the neutral bond at the generator (NEC 250- 26), and both required signs installed at the service NEC 700-8 (a & b) 13 Note that the mam service will not be energized prior to the Building Inspectors' receipt of a third party NRTL testing laboratory performance test certification for the service ground fault protection NEC 230-95 Carlsbad OO-4674 January 3, 2OO1 14 If utilizing a series-rated system, note on plans "Overcurrent device enclosures will be identified as series-rated and labeled in accordance with NEC 110-22" and " The overcurrent devices shall be AIC rated per manufacturers labeling of the electrical equipment" Note: If you have any questions regarding this electrical plan review list please contact Morteza Beheshti at (858) 560-1468 To speed the review process, note on this list (or a copy) where the corrected items have been addressed on the plans 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 Kurt Culver at Esgil Corporation Thank you Carlsbad 00-4674 January 3, 2001 JURISDICTION Carlsbad VALUATION AND PLAN CHECK FEE PLAN CHECK NO 00-4674 PREPARED BY Kurt Culver DATE. January 3, 2001 BUILDING ADDRESS 1941 Silverleaf Circle BUILDING OCCUPANCY TYPE OF CONSTRUCTION BUILDING PORTION Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code AREA II Valuation (Sq Ft) Multiplier cb By Ordinance 1994 UBC Building Permit Fee ! ^ Reg Mod VALUE ($) 1994 UBC Building Permit Fee j ^$544 69 Type of Review C] Repetitive Fee Repeats Domplete Review D Other F1 Hourly Structural Only Hours * Esgil Plan Review Fee $435 75 * Based on hourly rate Comments PME review Esgil fee = 5 hrs @ $87 15/hr Sheet 1 of 1 macvalue doc Q; 01-17-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plan Check Revision Permit No PCR02005 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1941 SILVERLEAF CR CBAD PCR 2550121600 Lot* $0 00 Construction Type CB004674 0 NEW LA COSTA GLEN - CENTRAL PLANT REV SITE ELEC & BULLETIN 7-16 Status ISSUED Applied 01/08/2002 Entered By JM Plan Approved 01/17/2002 Issued 01/17/2002 Inspect Area 9106 01/17/02 0002 01 02 Applicant LA COSTA GLEN 7707 EL CAMINO REAL CARLSBAD CA 92009 760-479-2196 Owner CONTINUING LIFE COMMUNITIES LLC C/O RICHARD ASCHENBRENNER 800 MORNINGSIDE DR FULLERTON CA 92835 COP 120-00 Total Fees $12000 Total Payments To Date $000 Balance Due $12000 Plan Check Revision Fee Additional Fees $12000 $000 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 lees/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 capactiy changes nor planning zoning grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 PROJECT INFORMATION La Costa Glen FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (inclu Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel tt Existing Use Proposed Use Desertion of Work SQ FT #of Stories 2 CONTACT PERSON (if different, from applicant) Gary Kutz 7707 T?1 Pam-inn # of Bedrooms # of Bathrooms i: ir.-.. •*. Carlsbad CA 92009 (760) 479-2196 Name Address City 3 SUPPLICANT Q Contractor D"Agent for Contractor ^QjOwiieirJ? 03 Agent-tor Owner,. -. Same State/Zip Telephone tt Fax tt (760) 479-0574 Name Address City State/Zip Telephone tt "*, SPRQPERTY OWNER i ..'-S7 "\ ,- V "Hn::^, ., ,- ...L ,"„. ^i- "f. inv •-1.-"''.:'".^^^^ •- ' .,„/;./:, V .„ ...V i* ,,.„'• :. , • Continuing Life Communities LLC, 7707 El Camino Real. Carlsbad CA 92009 (760) 6H2-4800 Name Address City State/Zip Telephone tt JS^-'i CONTRACTOR -.COMPANY NAME V ,- •; yfcM' <:-5;, tk->*'' '; H*?'''*;'&« (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter improve demolish or repair any structure prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor s License Law (Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom and the basis for the alleged 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]) Name State License # Address License Class City State/Zip City Business License # Telephone tt Address City State/Zip TelephoneDesigner Name State License # J8 " WORKERS'COMPENSATION:« "(', Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n 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 Q 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 Insurance Company Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) l~l 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 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 (73:-OWNER'BUILDER DECLARATION^ ;• '• - „ •-. '"SJlsiK'iati.-! V'.M', ' ,.. "''.^K.%S?:h ^':'"' * .£;.<•""'":'-: -'• •«& '' '• ' '"' ' • I hereby affirm that I am exempt from the Contractor s License Law for the following reason PI I as owner of the property or my employees with wages as their sole compensation will do 1he work and the structure is not intended or offered for sale (Sec 7044 Business and Professions Code The Contractor s License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees provided that such improvements are not intended or offered for sale If however the building or improvement is sold within one year of completion the owner builder will have the burden of proving that he did not build or improve for the purpose of sale) OJ 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) l~l 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 l~l YES QNO 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) 4 I plan to provide portions of the work but I have hired the following person to coordinate supervise and provide the major work (include name / address / phone number / contractors license number) 5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE. - --. V .. .'COMPlEtE'THiS SECTION FOR NON RESIDENTIAL I 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? l~l YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? O YES O NO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT [8 i CONSTRUCTION LENDING AGENCY '• 'iV" ? ^ Y ;> '" . -Al^M&MiMiX.-! i'AI^ : ', < ~ '" '' •.:>*• ' ' - - ... , I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code) LENDER S NAME LENDER S ADDRESS _:'„•' APPLICANT CERTIFICATION;' V--1 ':V, f^i "i//'\ "J'>..: "; ijTRj i"*"X"' -^/Y ,'•... rj_" .^A;'1 •' ' ., -. v j^-- ,r • I-;..- . I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excavations over 5 0' da»n and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by the building Official undffr th* provisions of tlpis Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 daya'Knvjfte date,c*<?ch^errnit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period gM 9^axS\[SectKftl QfjW Uniform Building Code) APPLICANT S SIGNATURE DATE / " YELLOW Applicant PINK Finance EsGil Corporation In Partners/lip with, government for 3) ui (ding Safety DATE January 16, 2O02 a APPLICANT JURISDICTION Carlsbad a PLAN REVIEWER a FILE PLAN CHECK NO 00-4674 (REV. # 1) PCR 02-O5 SET I PROJECT ADDRESS 1941 Silverleaf Circle PROJECT NAME Central Plant La Costa Glen The plans transmitted herewith have been corrected where1 necessary and substantially comply with the jurisdiction's building codes The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck '" The check list transmitted herewith is for your information The plans are being held at Esgil Corporation until corrected plans are submitted for recheck The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person The applicant's copy of the check list has been sent to XI 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 XI REMARKS REVISIONS TO THE ELECTRICAL PLANS By ALI SADRE for Kurt Culver Enclosures Esgil Corporation D GA D MB n EJ D PC 1/10 trnsmtldot 9320 Chesapeake Drive, Suite 208 4 San Diego, California 92123 •* (858)560-1468 * Fax (858) 560-1576 Carlsbad OO-4674 (REV # 1) PCR O2-O5 January 16, 20O2 * VALUATION AND PLAN CHECK FEE JURISDICTION Carlsbad 1) PCR 02-05 PREPARED BY ALI SADRE for Kurt Culver BUILDING ADDRESS 1941 Silverleaf Circle PLAN CHECK NO 00-4674 (REV # DATE January 16, 2002 BUILDING OCCUPANCY TYPE OF CONSTRUCTION BUILDING PORTION Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code AREA (Sq Ft) cb Valuation Multiplier By Ordinance 1994 UBC Building Permit Fee ^ Reg Mod VALUE ($) 1994 UBC Building Permit Fee $120 00 Type of Review D Complete Review Structural Only CH Repetitive Fee Repeats Based on hourly rate D Other PI Hourly Hour(s) * Esgil Plan Review Fee $9600 Comments ELECTRICAL review Sheet 1 of 1 macvalue doc KTGY GROUP, INC Architecture Planning 17992 Mitchell South Irvine California 92614 949/851-2133 FAX 949/851 5156 Fort Lauderdale FL BULLETIN "7-16" Date Project December 17, 2001 La Costa Glen Central Plant Carlsbad, California The following are revisions, indicated by a Delta "16", to the Construction Drawings This is not a change order nor direction to proceed with the work described herein The contractor shall notify the owner of changes to pricing and schedule and shall not incorporate these items until given authorization When authorization is conferred, the contractor shall coordinate the items with all affected trades A Electrical Refer to attached memo by DGM & Associates dated January 4, 2002 Page 1 of 1 illDGM& ASSOCIATES ELECTRICAL ENGINEERING A CALIFORNIA CORPORATION LETTER FACSIMILE to Mr Axel Stoltz KTGY fax# (949)851-5156 from Russ Shepard re LA COSTA GLEN SITE LIGHTING REVISIONS VILLAS BULLETIN #2 ILU-A BULLETIN #44 CENTRAL PLANT BULLETIN #16 DGM# 284-0505 date January 4, 2002 pages 2, including this cover sheet Dear Axel The following revisions have been made to the electrical drawings Villa's. Delta #2. Bulletin #2. dated 12/17/oT^ \dded fixture type 'SN'to lighting fixture schedule Revised paneLachedule DP10 Revised Bartejschedule DP 17 Reused panel sche'dqle DP24 Added two (2) 'SN' fixtures>Glarified Circuitry ^-^j 9ESP-5 Added two (2) 'SN' fixtures, Clarified Cjpetfitry ILU-A. Delta #44. BJttetm #44. dated 12/17701_^ 2ESP-6A Added circuitryNtotwox(2) pole lights, revised bollards to 120 volt Added reference for carg^groundmg 2ESP-6B Added twpx(2) pole hghts\<evised bollards to 120 volt Added reference for carBOft'groundmg 125 E Baker Street Suite 150 • Costa Mesa CA 92626 • (714) 546-3251 • FAX (714) 546-3252 • www dgmassociates com . PAGE 2 LA COSTA GLEN SITE LIGHTING REVISIONS VILLAS BULLETIN #2 ILU-A BULLETIN #44 CENTRAL PLANT BULLETIN #16 DGM# 284-0505 January 4 2002 2E-4 2 Aoded carport grounding detail #2 2E-4 3 Revised panel schedule 2HP>/2HP2 & 2EAL, revised exterior light control ILU-B. Delta #44. Bulletin #44. datecM2/17/01 Added carpo Added detail receptacle for carport grounding Addedjdelail receptacle^for carport grounding ,dded detail receptacle for carport grounding detail #7 Central Plant. Delta #16. Bulletin #16. dated 12/17/01 (Revisions made to OSHPD & Building Department Sets) Revisions to fixture type 'SB1 and 'SD' Removed five (5) type 'SB' fixtures Revised panel schedule 7PD' If you have any questions or require any additional information, please do not x>ntact me at (714) 546-3251, x 18 teto Russ Shepard Project Manager G \LETTERS\W4278 WPD cA C\§^^S^CN.^r- -D 7J r~ 2a o m > o* 3J < O '(7) Ooo(nOr~mz o0m £ «m 0S^-om£Co —'^oP^%n3 m>^?D