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1945 PALOMAR OAKS WAY; ; CB142278; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-02-2014 Commercial/Industrial Permit Permit No: CB142278 Building Inspection Request Line (760) 602-2725 Job Address 1945 PALOMAR OAKS WY CBAD Permit Type: TI Sub Type. INDUST Status ISSUED Parcel No: 2130910200 Lot #. 0 Applied. 09/08/2014 Valuation: $20,000.00 Construction Type: 5B Entered By JMA Occupancy Group: Reference # Plan Approved 10/02/2014 Issued 10/02/2014 Inspect Area Plan Check # Project Title: SENDEX: INSTALL LIQUID NITROGE TANK, 400 GAL. Applicant: Owner: WESTAIR GASES & EQUIPMENT, INC PALOMAR B L C L L C C/O BIXBY LAND CO 2506 MARKET ST 2211 MICHELSON DR #500 SAN DIEGO CA 92102-3010 IRVINE CA 92612 619-239-7571 Building Permit $20239 Meter Size Add'I Building Permit Fee $0.00 Add'l Red. Water Con. Fee $000 Plan Check $14167 Meter Fee $0.00 Add'l Building Permit Fee $0.00 SDCWA Fee $0.00 Plan Check Discount $0.00 CFD Payoff Fee $0.00 Strong Motion Fee $5.60 PFF (3105540) $0.00 Park Fee $0.00 PFF (4305540) $0.00 LFM Fee $000 License Tax (3104193) $0.00 Bridge Fee $000 License Tax (4304193) $0.00 BID #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 $000 ELECTRICAL TOTAL $0.00 Other Building Fee $000 MECHANICAL TOTAL $0.00 Pot. Water Con. Fee $0.00 Master Drainage Fee $000 Meter Size Sewer Fee $000 Add'I Pot. Water Con Fee $0.00 Redev Parking Fee $0.00 Red. Water Con Fee $0.00 Additional Fees $000 Green Bldg Stands (5B1473) Fee $1.00 HMP Fee Fire Expedidted Plan Review $0.00 Green Bldg Standards Plan Chk ?? TOTAL PERMIT FEES $35066 Total Fees: $350.66 Total Payments To Date: $350.66 Balance Due: $0.00 FINAL APPROVAL I Inspector. I 4 A04,/" Date 2jl z Clearance. I NOTICE: Please take NOTICE That approval of your project includes the "Imposition of fees, dedications, reservations, or other exactions hereafter collectively referred to as feesIexactions." 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 nght 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 THE FOLLOWING APPROVALS'REQUIRED PRIOR TO PERMIT ISSUANCE: LANNING fttt!!RIN6- UNUILDING 9? IRE DHEALTH 0HAZMAT!APCD Building Permit Application Plan Check No. 3jLf. 221& 1635 Faraday Ave Carlsbad, CA 92008 Est. Value V 10, o-0b CITY OF Ph 760-602-2719 Fax 760-602-8558 CARLS BAD email bullding@carlsbadca gov Plan Ck. Deposit Date ?/'//6' IswPPP I www.carlsbadca.gov JOB ADDRESS i 4-5,'I i SUITE#/SPACE#/UNIT# laa7Ixt -S -6`1 N -1 o7. - CT/PROJECT # LOT C PHASE # C OF itNI I # BATHROOMS i TENANT BUSINESS NAME CONSTR TYPE 0CC GROUP I#BEDROOMS 55AI2))c !4.2r.(A' 41,J I DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 'v%S4I LLut'c1 M 0? '-RiO Ito,i EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) I FIREPLACE I AIR CONDITIONING YESE:I# NO[:] YES [:]NO E] IFIRESPRINKLERS YESNOE __ APPLICANT NAME PROPERTY OWNER.—, Thsc3v LJJJ3 Cts'Iwy Primary Contact £D4t z ADDRESS wj7. ADDRESS CITY STATE ZIP CJA ts 7) CA o CITY STATE ZIP —Or jzct C) ?Mt. PHONE IFAX 7C. a3— 3ycc7 7&c. 30-. (3(t PHONF ) 11 33'.— 7oj FAX ¶'y7 33.— 70f EMAIL 'pill iZi. EMAIL j boc,t)E DESIGSSAL 4 CCTOR ME GsS l5qu pr 4 ADDRESS 1 70 V* ((h) ADDRESS L504 (flarI(k 154ydpe.4 CITY STATE ZIP CITY ST q.joL ix c PHONE V IFAX IRS 7-6,1 4711 18 z5'1 —c732. PHONE FAX ej Ig31757I -I EMAIL CP(PI EMAIL A a I STATE LIC qr7 ZV33I STATE LIC# ICLASS JCITYIS "lo s iICa - I,,, se (Sec 70315 Business and Professions Code' Any City or County which requires a permit to construct, alter, improve, demolish or repair any strucibiB, prier !b ilf 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 oenalty of not more than five hundred dollars 1550011 27®flW3 (®3M?Q®() Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declaratIons. U 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 i'ave and will maintain wo ers' o ensation, 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 amer and policy number are. Insurance Co_4 hLf'I t 4 Z'%5'(Aft(L_C& Policy No '1 Z12O1 I -45 Expiration Date 0 gj o, 2o5 Thi section need not be completed the permit is for one hundred dollars ($100) or less NA l . jf MCertificate 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 subiect 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 rovided for Section of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE t?,12. EQZENT DATE 9 f g], ([i?t170®C thereby affimr theft am exempt from Contractor's License Law for the following reason I, as owner of the property or my employees with wages as their sole compensation, will do the 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) [1 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) [] 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. EYes []No 2 I (have I 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! 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 I address I phone /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 I address I phone! type of work). ..PROPERTY OWNER SIGNATURE []AGENT DATE '7 zjtpacirn 1?C003 .Q ' 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 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes 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. 0 1'0®GI G)C)0tJ® JCY ' V 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 I ceilifythatl have read the application and state thatthe above information is conectand thatthe information on the plans Is accurate. I agree to cemplywith all City, ordinances and State lava relating to buildingconstniction. 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 IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height. EXPIRATION. Every permit issued by the Building Offtuial under the provisions of this Code shall expire by limitation and become null and void it the building orrk authorized by such permit is not commenced within 180 days from the dale of such permit or if the building or work authorized permit 4~su orabandoned at any time after the work a commenced fora period of 180 days (Section 10644 Uniform Building Code) LAPPLICANT'S SIGNATU DATE 49AA 0( STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFIC ATE OF O CC UPANCY (Com. .. .. N. - azi... .rirj Fax (760) 602-8560, Email buiIdlnacarlsbadCa.aOv 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 ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS LIC No DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL! FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION Z'APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB142278 Type: TI INDUST SENDEX: INSTALL LIQUID NITROGE TANK, 400 GAL. Date -Inspection Item Inspector- Act Comments 02/12/2015 22 Sewer/Water Service PY AP 11/21/2014 89 Final Combo PY NS Friday, February 13, 2015 Page 1 of 1 CITY or CARLSBAD INSPECTION RECORD Building Division I1 INSPECTION RECORD CARD WITH APPROVED PLANS MUST JEaT ON THE JOB L?I CALL BEFOI 3.:,O. 7; NEXT WORK DAY INSPECTION 0 FOR BUILDING INSPECTION CALL: 760-602-2725 OR GO TO; www.Carlsbadca.gov/Building AND CLICK ON "Request Inspection" DATE: &/ z CB142278 1945 PALOMAR OAKS WY SENDEX INSTALL LIQUID NITROGE TANK, 400 GAL TI INDUST Lot#: WESTAIR GASES & EQUIPMENT, INC. IF YES IS CHECKED BELOW THAT DIVISION'S APPROVAL IS REQUIRED PRIOR TO REQUESTING A FINAL BUILDING INSPECTION F YOU HAVE ANY QUESTIONS PLEASE CALL THE APPLICABLE DIVISIONS AT THE PHONE NUMBERS PROVIDED BELOW AFTER [ALLREQUIRED APPROVALS ARE SIGNED OFF— FAX TO 760 602-8560, EMAIL TO BLDG INSPECTIONS@CARLSBADCA GOV OR BRING INACOPYoF THIS CARD TO: 1635FARADAYAVE.,CARLSBAD, CA 92008. BUILDING INSPECTORS CAN BE REACHED AT 760-602-2700 BETWEEN 7:30 AM - 8:00 AM THE DAY OF YOUR INSPECTION Required iPrior tor?i Requesting IUBuilding TIFinal !1I 1kTT Checked iYES Notes PI anning/Landscape 760-944-8463 Allow 48 hours CM&I (Engineering Inspections) I01I.91 WIIt2'4.1it MM Fire Prevention 760-6024660 Iwo Allow 48 hours Type of Inspection Type of Inspection #11 .1IJI]IIc FOUNDATION Date Inspector 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 PHOTO VOLTAIC #10 TILT PANELS #39 FINAL #11 POUR STRIPS #41 UNDERGROUND DUCTS & PIPING #11 COLUMN FOOTINGS #14 SUBFRAME 0 FLOOR 0 CEILING #44 0 DUCT& PLENUM 0 REF. PIPING #15 ROOFSHEATHING #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 #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 I _ #84 FRAME ROUGH COMBO (14,24,34,44) #19 FINAL %1q fr / 11r)jector , #85T-Bar (14,24,34,44) #22 0 SEWER & BL/CO 0 PL/CO Date #89 FINAL OCCUPANCY (19,29,39,49) Date Inspector I;1 #21 UNDERGROUND OWASTE_DWTR __________ #24 TOP OUT OWASTE DWTR A/S UNDERGROUND VISUAL _(4 #27 TUB & SHOWER PAN A/S UNDERGROUND HYDRO - #23 0 GAS TEST 0 GAS PIPING A/S UNDERGROUND FLUSH - #25 WATER HEATER A/S OVERHEAD VISUAL - #28 SOLAR WATER A/S OVERHEAD HYDROSTATIC - #29 FINAL A/S FINAL F/A ROUGH-IN - #600 PRE-CONSTRUCTION MEETING F/A FINAL - #603 FOLLOW UP INSPECTION FIXED EXTINGUISHING SYSTEM ROUGH-IN #605 NOTICE TO CLEAN FIXED EXTINO SYSTEM HYDROSTATIC TEST #607 WRITTEN WARNING FIXED EXTINGUISHING SYSTEM FINAL #609 NOTICE OF VIOLATION MEDICAL GAS PRESSURE TEST #610 VERBALWARNING MEDICAL GAS FINAL REV 1012012 SEE BACK FOR SPECIAL NOTES Section 5416. Health and Safety Code, State of California There shall be not less than one water closet for each 20 employees or fractional part there o f w o r k i n g a t a construction job site. The water closet shall consist of a patented chemical type toilet. For the purpose of this section the term construction site shall mean the location on whi c h a c t u a l c o n s t r u c t i o n o f a building is in progress. A violation of this section shall constitute a misdemeanor. All construction or work for which a permit is required shall be subject to inspection and all su c h c o n s t r u c t i o n o r w o r k shall remain accessible and exposed for inspection purposes until approved by the inspec t o r . W o r k s h a l l n o t b e d o n e beyond the point indicated in each successive inspection without first obtaining the approval of the i n s p e c t o r . DATE ADDITIONAL NOTES CTE Construction Testing & Engineering, Inc. lnspoclicn I Testing j Geotechnical I Environmental & Construction Engineeiing I Civil Engineering I Surveying INSPECTION REPORT PAGE 1 OF CTE JOB NO. 10-12295T REPORT NO. PROJECT NAME Sendx ADDRESS 1945 Palomar Oaks Way Carlsbad, CA. ARCHITECT ENGINEER Engineering Consulting Grou CONTRACTOR Owner builder OTHER INSPECTION DATE 11-17-2014 PLAN FILE BLDG. PERMIT CB142278 INSPECTION CONCRETE 0 REINF STEEL 0 MASONRY Li P.T. CONCRETE REINF. STEEL GR /SIZE 0 FIELD WELDING STRUCTURAL STEEL 0 SHOP WELDING HIGH-STRENGTH BOLT 0 BATCH PLANT MASONRY BLOCK X EXP. ANCHOR OTHER 0 OTHER - MATERIAL IDENTIFICATION CONC. MIX NO. & Win GROUT MIX NO & Win MORTAR TYPE & lb/in2 MATERIAL SAMPLING 0 CONCRETE 0 MORTAR 0 GROUT 0 FIREPROOFING 0 MASONRY BLOCK 0 REINFORCING STEEL 0 STRUCTURAL STEEL 0 BOLTS 0 OTHER INSPECTIONS PERFORMED, MATERIAL IDENTIFICATION, PROGRESS, WORK REJECTED, REMARKS PLEASE NOTE ANY RE-INSPECTION, TESTING, OR OTHER PROJECT ISSUES. I observed the Installation procedures and torque tested the 518"x6" KB-TZ wedge anchors into the (E) concrete as noted below. Locations: (4) anchors at the (N) 1500L LN2 Microbulk Tank Hole diameters= 5/8". Effective embedment: 3-1/8" per Const. Notes Minimum torque= 60 ft lbs per Table 1 of ESR 1917. Note: All holes were drilled with a rotary hammer drill and carbide tipped bit The holes were brushed with a nylon brush and blown out with compressed air. The wedge anchors were driven in with a hammer followed by torqueing with an electric impact. Each bolt was verified to meet the minimum required torque by means of a calibrated torque wrench. No failures occurred The entire procedure meets or exceeds plan details and ESR-1917 requirements. No discrepancies were observed or noted. All work is subject to City of Carlsbad approval. Certification of Compliance: All work, unless otherwise noted, complies with applicable codes and the approved plans and specifications. I PRINTED NAME Craig Bechtel - CERTIFICATION NO. SD 1024 ICC 5265295 SIGNATURE kf4 1441 Montiel Road, Suite 115 1 Escondido, CA 92026 1 Ph (760) 746-4955 1 Fax (760) 746-9806 1 www,cte-inc.net INSPECTION MATERIAL IDENTIFICATION 1-1 CONCRETE CONC. MIX NO & Win LI REINF STEEL GROUT MIX NO & Win LI MASONRY MORTAR TYPE & Win 1—i PT CONCRETE REINF STEEL GR/SIZE o FIELD WELDING STRUCTURAL STEEL o SHOP WELDING HIGH-STRENGTH BOLT 0 BATCH PLANT MASONRY BLOCK X EXP. ANCHOR OTHER LI OTHER CT'E Construction Testing & Engineering, Inc. do Inspection I Testing I Geotechnical I Environmental & Construction Engineering I Civil Engineering I Surveying INSPECTION REPORT PAGE 1 OF CTE JOB NO. 10-12295T REPORT NO. PROJECT NAME Sendx ADDRESS 1945 Palomar Oaks Carlsbad, CA. ARCHITECT ENGINEER Engineering Consulting Group CONTRACTOR Owner builder OTHER INSPECTION DATE 11-17-2014 PLAN FILE BLDG. PERMIT CB142278 MATERIAL SAMPLING LI CONCRETE 0 MORTAR LI GROUT 0 FIREPROOFING LI MASONRY BLOCK 0 REINFORCING STEEL LI STRUCTURAL STEEL LI BOLTS LI OTHER INSPECTIONS. PERFORMED, MATERIAL IDENTIFICATION, PROGRESS, WORK REJECTED, REMARKS PLEASE NOTE ANY RE-INSPECTION, TESTING, OR OTHER PROJECT ISSUES. I observed the installation procedures and torque tested the 518"x6" KB-TZ wedge anchors into the (E) concrete as noted below. Locations: (4) anchors at the (N) 1500L LN2 Microbulk Tank Hole diameters 5/8". Effective embedment: 3-1/8" per Const. Notes Minimum torque= 60 ft. lbs. per Table I of ESR 1917. Note: All holes were drilled with a rotary hammer drill and carbide tipped bit. The holes were brushed with a nylon brush and blown out with compressed air. The wedge anchors were driven in with a hammer followed by torqueing with an electric impact Each bolt was verified to meet the minimum required torque by means of a calibrated torque wrench. No failures occurred. The entire procedure meets or exceeds plan details and ESR-1917 requirements No discrepancies were observed or noted. All work is subject to City of Carlsbad approval. I Certification of Compliance: All work, unless otherwise noted, complies with applicable codes and the approved plans and specifications. I PRINTED NAME Craig Bechtel CERTIFICATION NO. SD 1024 ICC 5265295 SIGNATURE J44j_'13L2/i 1441 Montiel Road, Suite 115 1 Escondido, CA 92026 1 Ph (760) 746-4955 1 Fax (760) 746-9806 1 www.cte-inc.net 7Mr Craig A Bechtel. Master of Special Inspection - 5265295 Mr Craig A Bechtel, Master of Special Inspection :5285295 - - Commercial Budding Inspector - Exp. 05/0612015 Master of Special Inspection - Exp 05/06/2015 Reinforced Concrete Special Inspector - Exp 05/06/2015 Structural Masonry Special Inspector - Exp 05/06(2015 Structural Steel and Boiling Special Inspector - Exp 05/05/2015 Structural Welding Special Inspector - Exp. 05106/2015 - ~( I- of r_1 -1 0 k0a ~ -03 SPECIAL INSPECTION AGREEMENT B-45 Develooment Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov In accordance with Chapter 17 of the California Building Code the following must be completed when work being performed requires special Inspection, structural observation and construction material testing. ProjectIPermit:03' 72 Project Address: /'PI 5?alatvti 0 a Xsr £J-'—/ r(5I,tsL c4 cIZ.d)I( THIS SECTION MUST BE COMPLETED BY THE PROPERTY OWNER!AUTHORIZED AGENT. Please check if you are Owner-Builder 0. (if you checked as owner-builder you must also complete Section B of this agreement.) Name: (Please pnnt) 1 F-k y I -1 (First) (M I) (Last) Mailing Address: 250(o fl,k 57&fSX4k Scti it.ec: cia- ej Email c ic-kn4 UJQthut a 45 4Z 5 6 ccwy L Phnny/at q 2,( — d, '-t q I am: UProperLy Owner a'roperty Owner'iAgent of Record UArchitect of Record DEngineer of Record State of California Registration Number: 8 (33Z I Expiration Date:_j.ôl ( (t '1 AGREEMENT: I, the undersigned, declare under penalty of perjury under the laws of the State of California, that I have read, understand, acknowledge and promise to comply with the City of Carlsbad requirements for special inspections, structural observations, construction materials testing and off-site fabrication of building components, as prescribed in the statement of special ins ectiornl~apf~ved plans and, as required by the California Buiidin9 Code. Signature._______________________________________________ Date: IoLII'1 CONTRACTOR'S STATEMENT OF RESPONSIBILITY (07 CBC, Ch 17, Section 1706). This section must be completed by the contractor / builder I owner-builder. Contractor's Company Name: IAJCStFi41Y £rZ$4 4 6UVpj~-please check if you are Owner-Builder Name: (Please punt) 1i' k.cJ' (First) (MI) (Last) Mailing Address: Z5O) -J ~4YQk ~'C1 LO CJ g 2ic)2— Email: tkvLd't 6ekpircaSs LC(J/V' Phone: 60f Z( 7j3 State of California Contractor's License Number:_ ( 3311 Expiration Date: 10 131 IN I acknowledge and, am aware, of special requirements contained in the statement of special inspections noted on the approved plans; I acknowledge that control will be exercised to obtain conformance with the construction documents approved by the building official; I will have in-place procedures for exercising control within our (the contractor's) organization, for the method and frequency of reporting and the distribution of the reports; and I certify that I will have a qualified person within our (the contractor's) organization to exercise such control. CITY OF CARLSBAD 8-45 BjI pIvISION Rev. 08111 Carlsbad 14-2278 9/16/14 EsGil Corporation In PartnersIiip with government for Ouilding Safety DATE: 9/16/14 JURISDICTION: Carlsbad PLAN CHECK NO.: 14-2278 PROJECT ADDRESS: 1945 Palomar Oaks Way SET:! Q APPLICANT Q JURIS. o PLAN REVIEWER U FILE PROJECT NAME: New LN Outdoor Storage Tank The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. El 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: EsGil Corporation staff did not advise the applicant that the plan check has been completed. EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Email: Fax #: REMARKS: A. The notes & revisions clouded in red on sheet S1.0 of the approved plans from Esgil must be made to the city set of plans to make a 2nd set of approved plans. B. City Special Inspection Agreement form must be completed. - By: Chuck Mendenhall Enclosures: EsGil Corporation EGA E EJ U MB U PC 9/9/14 Carlsbad 14-2278 9/16/14 (DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 14-2278 PREPARED BY: Chuck Mendenhall DATE: 9/16/14 BUILDING ADDRESS: 1945 Palomar Oaks Way BUILDING OCCUPANCY: NA BUILDING PORTION AREA (Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) Tank Support NA Hrly Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code 1cb 1By Ordinance Bldg. Permit Fee by Ordinance qr Plan Check Fee by Ordinance Type of Review El Complete Review D El Other Repetive Fee Hourly Repeats ElEs Gil Fee Based on hourly rate J Structural Only 0.5 Hr. © * I $50.00I Comments N/A In addition to the above fee, an additional fee of $ is due ( hours @ $ /hr.) for, the CaIGreen'réviw. Sheet I of I macvalue.doc + PLANNING DIVISION B Development Services BUILDING PLAN CHECK Planning-Division C I TV OF APPROVAL 1635 Faraday Avenue CARLSBAD P-29 (760)602-4610 www.carlsbadca.20v DATE: 9/9/14 PROJECT NAME: PROPOSED NITORGEN TANK INSIDE OF EXISTING SCREENED STORAGE AREA PROJECT ID: PLAN CHECK NO: C13142278 SET#: ADDRESS: 1945 PALOMAR OAKS WY APN: This plan check review is complete and has been APPROVED by the PLANNING Division. By: GINA RUIZ A Final Inspection by the PLANNING Division is required El Yes Z 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. Plan Check APPROVAL has been sent to: DBAXTER@ SENDEX.COM For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING 760-602-4610 ENGINEERING 760-602-2750 FIRE PREVENTION 760-602-4665 Chris Sexton 760-6024624 Chris.Sexton@carlsbadca.gov KathIeen.Lawrence@carlsbadca.gov Kathleen Lawrence 760-602-2741 Greg Ryan 760-6024663 Gregorv.Rvan@carlsbadca.gov Gina Ruiz 760-602-4675 Gina.Ruiz@carlsbadca.gov Linda Ontiveros 760-602-2773 Linda.Ontiveros@carIsbadca.gov Cindy Wang 760-602-4662 Cvnthia.Wong@carlsbadca.gov Dominic Fieri 760-602-4664 Dominic.Fieri@carlsbadca.gov Remarks: TANK TO BE LOCATED WITHIN AN EXISTING SCREENED STORAGE AREA. SCREENING APPROVED PER CB112398 PLAN CHECK REVIEW TRANSMITTAL CITY OF CARLSBAD Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov DATE: 09/24/201' PROJECT NAME: SENDX - LN2 MICROBULK TANK PROJECT ID: CB142278 PLAN CHECK NO: I SET#: I ADDRESS: 1945 PALOMAR OAKS WY APN: 213-102-09 This plan check review is complete and has been APPROVED by the FIRE Division. By:GR A Final Inspection by the FIRE Division is required Z Yes D 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: D. Baxter, D. Ashcroft, D. Ehrlich 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: i'LANNING ENGINEERING FIRE PREVENfK)N 760-602 4610 760-602-2750 760.602-4665 Chris Sexton Kathleen Lawrence Z Greg Ryan 760-602-4624 760-602-2741 760-602-4663 Chris.Sexton@carlsbadca.gov Kathleen.Lawrence@carlsbadca.gov Gregorv.Ryan@carIsbadca.gov Gina Ruiz El Linda Ontiveros Cindy Wong 760-602-4675 760-602-2773 760-602-4662 Gina.Ruiz@carlsbadca.gov Linda.ontiveros@carlsbadca.gov Cynthia.Wong@carlsbadca.gov Dominic Fier! 760-602-4664 Dominic.Fieri@carlsbadca.gov Remarks: See Attached RECEIVED CITY OF CARLSBAD BUILDING DIVISION Carlsbad Fire Department Plan Review Requirements Category: TI, INDUST Date of Report: 09-24-2014 Reviewed by: if',air Name: WESTAIR GASES & EQUIPMENT, INC. Address: 2506 MARKET ST SAN DIEGO CA 92102-3010 Permit #: CB142278 Job Name: SENDEX: INSTALL LIQUID NITROGEN Job Address: 1945 PALOMAR OAKS WY CBAD INCOMPLETE The item you have submitted for review is incomplete. At this time, this office cannot adequately conduct a review to determine compliance with the applicable codes and/or standards. Please review carefully all comments attached. Please resubmit the necessary plans and/or specifications, with changes "clouded", to this office for review and approval. Conditions: Cond: CON0007710 [NOT MET] DELETE ANY REFERENCE TO THE CITY OF SAN DIEGO, AND REPLACE WITH THE CORRECT AUTHORITY HAVING JURISDICTION, CITY OF CARLSBAD. PROVIDE A DETAIL FOR THE ANCHORING, NOTES ARE GOOD, ALSO PROVIDE SIDE VIEW DETAIL. SEE ADDITIONAL NOTES TO BE ADDED TO PLANS. Entry: 09/24/2014 By: GR Action: CO Exterior Cryogenic Fluid Vessels PURPOSE The intent of this guideline is to provide the basic requirements and regulations for storage, use, and handling of exterior cryogenic fluid vessels. The following submittal requirements outline the minimum information required for plan review as set forth by the 2013 California Fire Code (CFC) Chapter 55 and 58, the general requirements of Chapter 50, NFPA 55 and ANSl/CGA P-18. Plans not conforming to these minimum requirements will be returned as incomplete. SCOPE This guideline is applicable to the exterior storage, use, and handling of cryogenic fluids in cryogenic vessels and applies to all new installations and/or alterations to existing exterior cryogenic fluid vessels within the jurisdiction of the Carlsbad Fire Department (CFD). The following definitions are provided to facilitate the consistent application of this guideline: Cryogenic container —A cryogenic vessel of any size used for the transportation, handling or storage of cryogenic fluids. Cryogenic fluids - Fluids that have a normal boiling point lower than -1302 F at 14.7 pounds per square inch atmosphere. Cryogenic vessel - A pressure vessel, low-pressure tank, or atmospheric tank designed to contain a cryogenic fluid on which venting, insulation, refrigeration, or a combination of these is used in order to maintain an operating pressure within the design pressure and the contents in a liquid phase. Design pressure -The maximum gauge pressure that a pressure vessel, device, component, or system is designed to withstand safely under the temperature and conditions of expected use. Flammable cryogenic fluid - A cryogenic fluid which is flammable in its vapor state. Inert gas - Nonflammable, non-toxic, non-oxidizing gases such as argon and nitrogen. Low pressure tank - A storage tank designed to withstand an internal pressure greater than .5 pounds per square inch gauge (psig) but not greater than 15 psig. Oxidizer— A material, other than a blasting agent or explosive that readily yields oxygen or other oxidizing gas, or that readily reacts to promote or initiate combustion of combustible materials. System - An assembly of equipment consisting of a container or containers, appurtenances, pumps, compressors, and connecting piping. SUBMITTAL REQUIREMENTS 1. General Plans for all exterior cryogenic fluid vessels shall be submitted to the CFD for review. All new submittals and revisions will consist of 3 hard copies. Provide a minimum of three copies of the manufacturer's data sheets for the vessel(s). All data sheets shall be current and complete. Plans shall be legible, scaled to nationally recognized standards. A. Required Plan Information 1) Building construction type and occupancy classifications of all buildings within 50 feet of the vessel, as defined by the California Building Code (CBC) Applicable codes and standards used for the system design (e.g., 2013 CFC, 2013 CBC, etc.) Project location, including the full legal address of the facility, and building number, if applicable The contractor's name, telephone number, address, and California State contractor's license number A site plan identifying the location of the proposed vessel in relation to the nearest buildings, property lines, and public ways B. Requirements for All Types of Cryogenic Fluids Provide diagrams and specifications that indicate that the proposed vessel(s) complies with the following CFC requirements, regardless of cryogen type: 1) Cryogenic fluid systems shall be suitable for the use intended and designed by persons competent in such design. Equipment, machinery, and processes shall be listed or approved. 2) Containers—CFC 5503.1 Concrete containers shall be built in accordance with the CBC. Containers shall be provided with substantial concrete/masonry foundations or with structural steel supports on firm concrete/masonry foundations. Containers shall be supported to prevent the concentration of excessive loads on the supporting portion of the vessel shell. Foundations for horizontal containers shall be constructed to accommodate expansion and contraction of the container. Foundations shall also support the weight of vaporizers or heat exchangers. When container foundations or supports are subject to exposure to temperatures below —1509F (- bloC), the foundations or supports shall be constructed of materials to withstand the low-temperature effects of cryogenic fluid spillage. 3) Pressure-relief Devices—CFC 5503.2 Pressure-relief devices shall be provided at every point in the system where liquid can become trapped to protect containers and systems containing cryogenic fluids from rupture in the event of overpressure and must be designed in accordance with nationally recognized standards. Heat exchangers, vaporizers, insulation casings surrounding containers, vessels, and coaxial piping systems in which liquefied cryogenic fluids could be trapped due to leakage from the primary container shall be provided with a pressure relief device. Pressure-relief devices shall be sized in accordance with the specifications to which the container was fabricated. The relief device shall have sufficient capacity to prevent the maximum design pressure of the container or system from being exceeded. Pressure-relief devices shall be located such that they are readily accessible for inspection and repair. This shall be subject to verification by the CFD inspector. Pressure-relief devices shall be arranged to discharge unobstructed to the open air in such a manner as to avoid entering enclosed spaces and to prevent impingement of escaping gas on personnel, containers, equipment, and adjacent structures. Pressure-relief devices shall not be subjected to cryogenic fluid temperatures except when operating. 4) Pressure-relief Vent Piping—CFC 5503.3 a) Pressure relief vent piping systems shall be constructed and arranged so as to remain functional and direct the flow of gas to a safe location. Pressure-relief device vent piping shall have a cross-sectional area not less than that of the pressure- relief device vent opening and shall be arranged to not unduly restrict the flow of escaping gas. Pressure-relief device vent piping and drains in vent lines shall be arranged so that escaping gas will discharge unobstructed to the open air to avoid entering enclosed spaces and not impinge on personnel, containers, equipment, and adjacent structures. Pressure-relief device vent lines shall be installed in such a manner to exclude or remove moisture and condensation and prevent malfunction of the pressure-relief device due to freezing or ice accumulation. 5) Marking—CFC 5503.4 Cryogenic containers and systems shall be marked in accordance with nationally recognized standards. Visible hazard identification signs shall be provided at entrances to buildings or areas in which cryogenic fluids are stored, handled, or used. For inert cryogens, the sign should read "NONFLAMMABLE CRYOGENIC LIQUID". For flammable cryogens, the sign should read "FLAMMABLE CRYOGENIC LIQUID". For oxidizing cryogens, the sign should read "OXIDIZER CRYOGENIC LIQUID". The minimum size of lettering for the signs is three inches and the lettering shall contrast with the background. Stationary containers shall be identified with the manufacturing specifications and maximum allowable working pressure with a permanent nameplate. The nameplate shall be installed on the container in an accessible location and be marked in accordance with nationally recognized standards. Container inlet and outlet connections, liquid-level limit controls, valves, and pressure gauges shall be identified in accordance with one of the following: marked with a permanent tag or label identifying their function or identified by a schematic drawing which portrays their function and designates whether they are connected to the vapor or liquid space of the container. Schematic drawings shall be attached to the container and maintained in legible condition. State on the plans the method to be used. Piping and tubing shall be labeled per ASME A13.1 to indicate the material conveyed. A sign in a clearly visible location shall identify emergency shut-off valves. 6) Security—CFC 5503.5 Cryogenic containers and systems shall be secured against accidental dislodgment and against access by unauthorized personnel. Stationary containers shall be secured to foundations in accordance with the CBC. Vaporizers, heat exchangers, and similar equipment shall be anchored to a suitable foundation, and its connecting piping shall be sufficiently flexible to provide for the effects of expansion and contraction due to temperature changes. Containers, piping, valves, pressure-relief devices, regulating equipment and other appurtenances shall be protected against physical damage and against tampering. 7) Electrical Wiring and Equipment—CFC 5503.6 Electrical wiring and equipment shall be in accordance with the Electrical Code. Containers and systems shall not be located where they could become part of an electrical circuit or be used for electrical grounding. 8) Separation from Hazardous Conditions—CFC 5504.3.1 a) Cryogenic containers and systems in outdoor storage or use shall be separated from materials and conditions that present exposure hazards. b) Stationary containers, remote transfer points, and fill-connection points shall be separated from exposure hazards in accordance with the applicable CFC standard for the type of fluid contained and the minimum separation distances required as follows: Buildings/wall openings Property lines Air intakes Combustible materials Places of public assembly Non-ambulatory patient areas Other hazardous materials ifoot 50 feet 10 feet 15 feet 50 feet 50 feet 20 feet/noncombustible partition C. Inert Cryogenic Fluid Systems—ANSI/CGA P-18 The following requirements apply to the installation, maintenance, and use of inert cryogenic fluid systems: 1) Inert cryogenic fluid tanks shall not be diked, and the location shall not expose the system to electric power lines, crane-ways, or utility or process piping in any manner which creates a hazard condition. 2) Bulk inert gas systems installed outdoors shall be installed so that liquid leakage and fire-protection water from stored flammable and combustible liquids cannot flow to the bulk inert gas system. When necessary to locate a bulk inert gas system at a lower ground level than adjacent flammable or combustible liquid storage, the flammable or combustible liquids shall be diked or other means provided to divert any leaking flammable or combustible liquid away from the bulk inert gas system. 3) Connections used for filling tanks and liquid level limit controls shall be installed at an approved location at the exterior of the building and in accordance with the following: Filling controls shall be accessible to the delivery vehicle. Liquid level limit controls and pressure gauges on the storage vessel shall either be visible, readable, and operable at the delivery point or duplicate controls shall be provided. Filling controls shall be protected from the elements. Filling controls shall be secured against unauthorized access. 4) Warning signs shall be posted at each entrance to an enclosure or confined space where a bulk inert gas system is installed. Wording for such signs shall include, at a minimum, the following: WARNING—(Name of Gas) HIGH CONCENTRATION OF GAS MAY OCCUR IN THIS AREA AND MAY CAUSE ASPHYXIATION. VERIFY THAT OXYGEN CONCENTRATION IS ABOVE 19.5% BEFORE ENTERING AND DURING ACTIVITY IN THIS AREA 5) Adequate ventilation is to be provided when bulk inert gas systems are installed in courtyards and similar enclosed areas and such areas shall be clearly posted with a warning. Gas piping may be placed above or below ground. All piping shall run as directly as practicable, carefully protected against physical damage, and with allowance for expansion, contraction, and vibration. Underground piping shall be adequately protected against corrosion and other physical damage and shall be in ducts or casings when it passes under roads, railroad tracks, or parking lots. Valves for shutting off the gas supply in case of an emergency shall be provided for all buildings at readily accessible outside locations. A shutoff valve at the gas supply vessel shall also be provided. 3. Notes Provide the following notes, verbatim, on the plan under the heading "FIRE DEPARTMENT NOTES": CFD inspection required. Please schedule all field inspections at least 48 hours in advance. Inspections canceled after 1 p.m. on the day before the scheduled date will be subject to a re-inspection fee. Call CFD Inspection Scheduling at 760-602-4660. When addition of a cryogen tank modifies the existing fire department access, plans for fire department access and fire lane markings shall be submitted to and approved by the CFD prior to approval of the cryogen tank plans. Piping systems shall be tested and proven free of leaks after installation, as required by the standards to which they were designed and constructed. Test pressures shall not be less than 150 percent of the maximum allowable working pressure when hydraulic testing is conducted or 110 percent when testing is conducted pneumatically. The area within 15 feet of any cryogen tank shall be kept free of paper, leaves, weeds, or other combustible debris. A CFC permit is required for cryogenic liquids. This permit will be issued by an CFD inspector. Locations and classifications of extinguishers shall be in accordance with CFC 906.2 and Chapter 3, Title 19 California Code of Regulations and placement is subject to the approval of the fire inspector. Storage, dispensing, or use of any additional hazardous materials shall comply with CFC regulations. Cryogenic fluid systems shall be suitable for the use intended and designed by persons competent in such design. Where nationally recognized good practices or standards have been established for the process employed, such practices and standards shall be followed. Concrete containers shall be built in accordance with the CBC. Barrier materials and membranes used in connection with concrete, but not functioning structurally, shall be compatible with the materials contained. Piping systems, valves and accessory equipment shall be suitable for the use intended through the full range of pressure and temperature to which they will be subjected and shall be designed and built to provide adequate allowance for expansion, contraction, settlement, and fire exposure. Aboveground piping systems shall be well supported and protected from physical damage. Piping passing through walls shall be protected from mechanical damage. Pressure-relief devices shall be located such that they are readily accessible for inspection and repair. This shall be subject to verification by the CFD inspector. Pressure-relief devices shall not be subjected to cryogenic fluid temperatures except when operating. 0. Stationary containers shall be identified with the manufacturing specifications and maximum allowable working pressure with a permanent nameplate. The nameplate shall be installed on the container in an accessible location and be marked in accordance with nationally recognized standards. Container inlet and outlet connections, liquid-level limit controls, valves, and pressure gauges shall be identified in accordance with one of the following: marked with a permanent tag or label identifying their function or identified by a schematic drawing which portrays their function and designates whether they are connected to the vapor or liquid space of the container. Schematic drawings shall be attached to the container and maintained in legible condition. Stationary containers shall be secured to foundations in accordance with the CBC. Electrical wiring and equipment shall be in accordance with the Electrical Code and inspected by the City of Carlsbad Building Department. Containers and systems shall not be located where they could become part of an electrical circuit or be used for electrical grounding. Storage containers shall be designed, constructed, and tested in accordance with nationally recognized standards. After installation, all field-erected piping shall be tested and proved gas tight at operating pressure and temperature. Testing shall be performed in accordance with nationally recognized standards. Electrical wiring and equipment shall comply with the Electrical Code requirements for Class I locations. Flammable cryogenic fluid containers and associated piping shall be electrically bonded and grounded. Engineering Calculations for SENDX MEDICAL, INC 1945 Palomar Oaks Way, Carlsbad, CA 92011 APN 213-091-02 Project No: 140721 SEP 0 2U4 CITY OF CARLSBAD BUILDING DIVISION Prepared By: 04, TNGMEMG NI CONSULTING GROUP PH (858) 259-4711 FX: (858) 259-5732 Date: August 28, 2014 OF- PROJECT NAME ENGINEERING PN DESIGNED BY CONSULTING GROUP DATE CHECKED BY C. -;z L ( '4' S - CLLX'\S \J.ç 'f-c' -y1cT i', 15 Jt 51-1 CALL - I U1( to cL'r CA LLr\5 PROJECT NAME t4fY12 ENGINEERING PN CONSULTING DESIGNED BY —a -- GROUP DATE CHECKED BY LAT: : :LTLos,T -117, Z$7,1- j c Là cc 'ci .....4PP( 1.. '5DI 1 N CACc - 59RA c \tvWc 4C FtJ 5 LI Design Maps Summary Report Page 1 of Design Maps Summary Report im User-Specified Input Report Title Sendx Medical, Inc - Carlsbad i-ri AuJst ?9, 2014 7039:03 UTC Building Code Reference Document 2012 International Building Code (which Utill7CS USGS hazard data available in 2008) Site Coordinates 33.118880N, 117.28756°W Site Soil Classification Site Class D - "Stiff Soil" Risk Category I/II/III I i I5000m "I CarIsbad - - - San Marci / MERICA ncinitas MapQuet USGS-Provided Output S= 1.086g S,= 1.157g SDS= 0.772g S1 = 0.419 g SM1 = a.662 g S = 0.441 g For information on how the SS and Si values above have been calculated from probabilistic (risk-targeted) and deterministic ground motions in the direction of maximum horizontal response, please return to the application and select the "2009 NEHRP" building code reference document. MCEIt Response Spectrum 0 Ile Design Response Spectrum 20 020 072 094 0,56 048 111.0 040 024 451G 400 000. 000 0 U 0.40 OGO 0.00 00 1 N 1 40 CO 1 00 2 ao 0.00 0 20 640 040 020 100 1 20 1140 1.00 ) 00 00 Period, I sec) Period. I (sec) httn://ehn4-erthouake.crjisgs.ov/designrnans/ns/summarv.nhn?temn1ate=minjma1&1itjim.. 9/29/701 4 Design Maps Detailed Report Page 1 of 4 LJSGS Design Maps Detailed Report 2012 International Building Code (33.118880N, 117.28756°W) Site Class D - "Stiff Soil", Risk Category I/Il/Ill Section 1613.3.1 - Mapped acceleration parameters Note: Ground motion values provided below are for the direction of maximum horizontal spectral response acceleration. They have been converted from corresponding geometric mean ground motions computed by the USGS by applying factors of 1.1 (to obtain S) and 1.3 (to obtain Si). Maps in the 2012 International Building Code are provided for Site Class B. Adjustments for other Site Classes are made, as needed, in Section 1613.3.3. From Figure 1613.3.1(1) Ss 1.086 g From Figure 1613.3.1(2) (2] S1 = 0.419 g Section 1613.3.2 - Site class definitions The authority having jurisdiction (not the USGS), site-specific geotechnical data, and/or the default has classified the site as Site Class D, based on the site soil properties in accordance with Section 1613. 2010 ASCE-7 Standard - Table 20.3-1 SITE CLASS DEFINITIONS Site Class VS NorNCh su Hard Rock >5,000 ft/s N/A N/A Rock 2,500 to 5,000 ft/s N/A N/A Very dense soil and soft rock 1,200 to 2,500 ft/s >50 >2,000 psf Stiff Soil 600 to 1,200 ft/s 15 to 50 1,000 to 2,000 psf Soft clay soil <600 ft/s <15 <1,000 psf Any profile with more than 10 ft of soil having the characteristics: Plasticity index P1> 20, Moisture content w? 40%, and Undrained shear strength S., < 500 psf F. Soils requiring site response See Section 20.3.1 analysis in accordance with Section 21.1 For SI: lft/s = 0.3048 m/s llb/ft2 = 0.0479 kN/m2 1,ttn//ehn4-eArthoi1ke.cr.usgs.ov/desianma1Ds/us/reDort.Dho?temD1ateminima1&1atitude... 8/29/2014 Design Maps Detailed Report Page 2of4 Section 1613.3.3 - Site coefficients and adjusted maximum considered earthquake spectral response acceleration parameters -. TABLE 1613.3.3(1) VALUES OF SITE COEFFICIENT F. Site Class Mapped Spectral Response Acceleration at Short Period S5 :5, 0.25 SS = 0.50 SS = 0.75 SS = 1.00 Ss 2: 1.25 A 0.8 0.8 0.8 0.8 0.8 B 1.0 1.0 1.0 1.0 1.0 C 1.2 1.2 1.1 1.0 1.0 D 1.6 1.4 1.2 1.1 1.0 E 2.5 1.7 1.2 0.9 0.9 F See Section 11.4.7 of ASCE 7 Note: Use straight-line interpolation for intermediate values of S For Site Class = D and S. = 1.086 g, F. = 1.066 TABLE 1613.3.3(2) VALUES OF SITE COEFFICIENT F1 Site Class Mapped Spectral Response Acceleration at 1-s Period S :5 0.10 S1 = 0.20 S1 = 0.30 S = 0.40 S1 > 0.50 A 0.8 0.8 0.8 0.8 0.8 B 1.0 1.0 1.0 1.0 1.0 E E 1.5 1.4 ' 1.6 E F See Section 11.4.7 of ASCE 7 Note: Use straight-line interpolation for intermediate values of S. For Site Class = D and S1 = 0.419 g, F, = 1.581 http://ehp4-earthcuake.cr.usgs.gov/designmaps/us/report.php?temp1ate=minimal&1atitude=... 8/29/2014 Design Maps Detailed Report Page 3of4 Equation (16-37): SMS = FS5 = 1.066 x 1.086 = 1.157 g Equation (16-38): SM1 = FS = 1.581 x 0.419 = 0.662 g Section 1613.3.4 - Design spectral response acceleration parameters Equation (16-39): S0 = % SMS = 2/3 x 1.157 = 0.772 g Equation (16-40): S01 = % SMI = % x 0.662 = 0.441 g htfn//ehn4-ethrniakecr.usQs.ov/deshrnmaus/us/reDort.nhD?temiDlateminimaI&latitude... 8/29/2014 Design Maps Detailed Report Page 4 of 4 ~1( Section 16 13.3.5 - Determination of seismic design category TABLE 1613.3.5(1) SEISMIC DESIGN CATEGORY BASED ON SHORT-PERIOD (0.2 second) RESPONSE ACCELERATION VALUE OF SOS RISK CATEGORY loril III IV SDs A A A 0.1679 SOS < 0.33g B B C 0.33g SOS < 0.509 C C D 0.509:5S D D D For Risk Category = I and S05 = 0.772 g, Seismic Design Category = D TABLE 1613.3.5(2) SEISMIC DESIGN CATEGORY BASED ON 1-SECOND PERIOD RESPONSE ACCELERATION VALUE OF S01 RISK CATEGORY or III IV 501 <0.067g A A A 0.067g 501 < 0.133g B B C 0.133g 5 SOS < 0.209 C C D 0.20gS01 D D D For Risk Category = I and S01 = 0.441 g, Seismic Design Category = D Note: When S1 is greater than or equal to 0.75g, the Seismic Design Category is E for buildings in Risk Categories I, II, and III, and F for those in Risk Category IV, irrespective of the above. Seismic Design Category 'the more severe design Category in accordance with Table 1613.3.5(1) or 1613.3.5(2)" = D Note: See Section 1613.3.5.1 for alternative approaches to calculating Seismic Design Category. References Figure 1613.3.1(1): http ://earthquake.usgs.gov/hazards/designmaps/downloads/pdfs/IBC-2012- Fig 1613p3p1(1). pdf Figure 1613.3.1(2): http://earthquake.usgs.gov/hazards/designmaps/downloads/pdfs/IBC-20 12- Figl6l3p3pl(2). pdf 1#n//e1,n4-prthnkecrusgs.ov/desi nmans/us/ret,ort.oho?temoIate=minima1&1atitude=... 8/29/2014 1'4 F-3VEI43L' IRE V. 'OF'. I C,-IC,tVAV. 0-2 ,LI,35ALAE F.,I SAIl F-SF r5.F A-', 50 'FF-..LIO'EOGKS'.,.YE Al AE5I. L.U. AC IS 51,.I32S'ALI.l'.u'I J. '* ,k'rA'flF. F-' PAESI.L-,c",31r,Au IF-i '41,11. E35 - CCF'M)855 'i0' 'RELIEF IAJ,F- 102 I'41P..E 42- S-lR5'CSC p I, ,PSIt B L'IOlA,1A.. C ,PRFSSII-FL '.1. '5 PRFFIAI,,l, Slit 131.501. 1 F F F LIQI,'OPAASE F SA"OAp,'k,S - - G 'sIF'r-r,,L,.TR'ooc; 'I LA.' IV Z. 4SF-IT SCHEMATIC - I'.D-1469B219 - DCSIGII. S0ECIFIC.ATIC. - - - iriv -- IN'JERvLsSL - - - r " COPE ASME SEC Viii Dlvi 350 PSI 1 24 IlBAR (F/P a HP) - - RLLl , $11 1C3 MAWP I -________ 530 PSI, 3447 BAR (V'1P) -: - CROSS VOLUME 1550 LITERS '405 GA_LONE - VO,UML :: - 3.350 111—' 151? kqVHP %PER D? V NITP,C'GP& OX 3PN NORMA,. E/APORATICW RATE 62% PER DAY ARGON 3", PsR D0Y CARBO", 3IOXIDL I MFI - ,1Yp324Si;sSrLL - - - 3AS(0)ISEC,IIVALCITAT I/-'MAIID7O'111 AMND0 - - PALETBASEPOWDERCOA7EDCSA38 NtTRO,381, 35780 SC 11.01 Nm' I - OXYGEN 44720SCI 1.750 Mn,' - - - I ARGO?, 43224 SC' I 1223 Nfl,' - - - (tARE' IN Oil 4UF - 3 -3 3 tQ SC 1830 Mn" - - I3ASF3ELIVLRYRATCHP NI1R33SN , CXGEN 1,350 135 304 NI,,"I' -- P.RGO?, - 1,351;SCF-H1354Nn,'I' - - CARBON DIOXiDE 450 SC?' 11127 N"? - GASDELIVER'4PA1EI'I' —_[ S UI 'V4 -V-A '4-4 NITROGEN - i,350S,.,F'I,'3581.n,5I' - - - - ,1,350S2F'354km'i1 - ,CXYGLN ARGON 1,250 BCE '1.1304 Nm"I' - - virw t,,A SCALE 114 - SZCFAI,TA LIZ'J".' SPEC DWG PERMA.CYL II j n,1 1500 OFT 03 16151 F , D-14698219 14698219 ,4'5s' 1 nil •/ 'v\-\c v I C PROJECT NAME PA DESIGNED BY —2-- DATE CHECKED BY . cf- ENGINEERING CONSULTING GROUP - I f7 \J\J (1( - I To 43 v 3ci I 5j4 4w -I \J cs 1 !F 1• H 4-'_' -V. ------- •4-3' V (L s -n_QPç . tcw iL) 4 •c N'N \\QJ\C cc3 1W ' oc\I -3 f \c 5kc \tCA\UC PROJECT NAME P. N. DESIGNED BY DATE CHECKED BY ti t• 2 ,)_L-- L&1 c Wc MERL MLIL ENGINEERING CONSULTING GROUP cy cc_) Tp ç CRSc (-t L-3 k c -. ,y _, -,, -- ,- .-•- - :--' •t •'-'.--- if, '->T\\1. PROJECT NAME 1k7Zi PN DESIGNED BY S O4 DATE CHECKED BY e ENGINEERING CONSULTING GROUP - ( .f;- )r• S.-.-- I. I .. : - (Vt ID - Zcsf3i lk N C ' - IL&NA; i G IS I - -r-- • Monolithic Slab Design Bearing Pressures Xfo Tank weight, W = Unit weight of concrete, w H= Slab thickness, t = Slab length, L = Seismic coefficient, Ca = Importance Factor, I = v= (H/2)*V = Max. allow, bearing = Seismic Stress Allowance: F. of S. overturning (max.) F. of S. sliding (max.) = Resistance to sliding = 5739 lbs 145 pcf 7.67 ft 0.50 ft 8.00 ft (B or a NUMBER) 0.154 I 884 fts 3389 ft-lbs 1000 33% 2 1.5 0.25 (Coeff. or ps F of S Distance, Eccentricity Mm. Max. Over- F of S B Slab weight Resultant, R x , e bearing bearing turning Sliding 8.00 ft 4640 lbs 10379 lbs 3.63 ft 0.37 ft 117 psf 207 psf 12.25 2.94 9.00 ft 5220 lbs 10959 lbs 4.15 ft 0.35 ft 117 psf 188 psf 14.55 3.10 10.00 ft 5800 lbs 11539 lbs 4.67 ft 0.33 ft 116 psf 173 psf 17.02 3.26 11.00 ft 6380 lbs 12119 lbs 5.18 ft 0.32 ft 114 psf 161 psf 19.67 3.43 12.00 ft 6960 lbs 12699 lbs 5.70 ft 0.30 ft 112 psf 152 psf 22.48 3.59 13.00 ft 7540 lbs 13279 lbs 6.21 ft 0.29 ft 111 psf 145 psf 25.47 3.76 14.00 ft 8120 lbs 13859 lbs 6.72 ft 0.28 ft 109 psf 138 psf 28.62 3.92 15.00 ft 8700 lbs 14439 lbs 7.23 ft 0.27 ft 108 psf 133 psf 31.95 4.08 16.00 ft 9280 lbs 15019 lbs 7.74 ft 0.26 ft 106 psf 129 psf 35.45 4.25 17.00 ft 9860 lbs 1559914s 8.25 ft 0.25 ft 105 psf 125 psf 39.12 4.41 18.00 ft 10440 lbs 16179 lbs 8.76 ft 0.24 ft 103 psf 121 psf 42.96 4.58 19.00 ft 11020 lbs 16759 lbs 9.27 ft 0.23 ft 102 psf 118 psf 46.97 4.74 20.00 ft 11600 lbs 17339 lbs 9.78 ft 0.22 ft 101 psf 116 psf 51.16 4.90 21.00 ft 12180 lbs 17919 lbs 10.29 ft 0.21 ft 100 psf 113 psf 55.51 5.07 22.00 ft 12760 lbs 18499 lbs 10.79 ft 0.21 ft 99 psf 111 psf 60.04 5.23 23.00 ft 13340 lbs 19079 lbs 11.30 ft 0.20 ft 98 psf 109 psf 64.73 5.40 Page 1 ENGINEERING CONSULTING GROUP SENDXSLABSIZE 1500LxIsx PROJECT NAME PN. DESICNED BY DATE CHECKED BY - :9 c \1i •'\_ -"•: ..: 'g -'- ? 9 CA . ... AM ENGINEERING CONSULTING GROUP .--- . - --1 V 1- e+I4 www.hilti.us Profis Anchor 2.4.8 Company: Engineering Consulting Group Page 15 Specifier: David Ashcroft, PE Project SENDX MEDICAL, INC Address: 12760 Via Terceto, San Diego, CA Sub-Project I Pos No - 140721 Phone I Fax 858-259-4711 x213 858-259-5732 Date 8/29/2014 E-Mail daa@ecgnet.com Specifiers comments: 1500 LITER LN2 TANK I Input data Anchor type and diameter: Kwik Bolt TZ - CS 518 (3 1/8) Effective embedment depth hCf = 3 125 in., hnom = 3 563 in. Material: Carbon Steel Evaluation Service Report. ESR-1 917 Issued I Valid 5/1/2013 5/1/2015 Proof design method ACI 318 / AC193 Stand-off installation. ea = 0 000 in (no stand-oft), t = 1.000 in. Anchor plate: lxx l, x t = 4 000 in x 4 000 in. x 1.000 in.; (Recommended plate thickness: not calculated) Profile. no profile Base material. cracked concrete, 2500, f0'= 2500 psi; h = 6 000 in Reinforcement: tension. condition B, shear condition B; no supplemental splitting reinforcement present edge reinforcement > No 4 bar Seismic loads (cat. C, D. E, or F) yes (D 3.3.6) Geometry [in.] & Loading jib, ft.lbj t ........- - Sw- Input data and results must be checked for agreement with the existing conditions and for plausibility' PROFIS Anchor (C) 2003-2009 Huh AG, FL-9494 Schaan Hilt is registered Trademark of Hiiti AG, Schaan E]IiiU www.hilti.us Profis Anchor 2.4.8 Company: Engineering Consulting Group Page: 16 Specifier. David Ashcroft, PE Project SENDX MEDICAL, INC Address: 12760 Via Terceto, San Diego, CA Sub-Project I Pos. No.: 140721 Phone I Fax 858-259-4711 x213 1858-259-5732 Date 8/29/2014 E-Mail daa©ecgnet corn 2 Load case/Resulting anchor forces I Load case Design loads Anchor reactions [lb] Tension force (+Tension, -Compression) Anchor Tension force Shear force Shear force x Shear force y 1 0 221 0 221 max. concrete compressive strain - max concrete compressive stress. - [psi] resulting tension force in (xly)=(0.000/0 000). 0 [lb] resulting compression force in (x/y)(0 000/0.000): 0 [lb] 3 Tension load Load N (Ib] Capacity 4N5 [lb] Utilization p, = N5J4N5 Status Steel Strength* N/A N/A N/A N/A Pullout Strength N/A N/A N/A N/A Concrete Breakout Strength** N/A N/A N/A N/A *anchor having the highest loading —anchor group (anchors intension) Input data and results must be checked for agreement with the existing cnditions and for plausibility' PROMS Anchor (C) 2003-2009 Hilti AG PL-9494 5chaan HitS isa registered Trademark of Hitti AG. Schaan ir a Profis Anchor 2.4.8 www.hilti.uS -____________________________________________________________________ Company. Engineering Consulting Group Page. 17 Specifier: David Ashcroft, PE Project. SENDX MEDICAL, INC Address 12760 Via Terceto, San Diego, CA Sub-Project! Pos. No.: 140721 Phone I Fax. 858-259-4711 x213 858-259-5732 Date 8/2912014 E-Mail daa©ecgnet corn 4 Shear load Load Vuc Fib] Capacity 4V [lb) Utilization Py = VJ4V, Status Steel Strength 221 4940 5 OK Steel failure (with lever arm)* N/A N/A N/A N/A Pryout Strength— 221 1972 12 OK Concrete edge failure in direction y+ 221 3463 7 OK anchor having the highest loading **anchor group (relevant anchors) 4.1 Steel Strength Vsa,eq = ESR value refer to ICC-ES ESR-1 917 0Vsteei Vua AC! 318-08 Eq (D-2) Variables n Asev [in 2] fut. [psi] 1 0.16 106000 Calculations V[lb] 7600 Results V [lb] 4stee1 V5 [lb] Vua [lb] 7600 0.650 4940 221 4.2 Pryout Strength tjled,N 'IJc.N tjlcp,N Nb] Vcp - - k[( ACI 318-08 Eq (D-30) O VW 2: Vua AC! 318-08 Eq (D-2) AN, see AC! 318-08, Part D.5 2.1, Fig RD.5.2.1(b) ANch = 9 h ACI 318-08 Eq (D-6) 1 VecN + 2 eN) 1.0 = ( AC! 318-08 Eq (D-9) 3 WeaN = 0.7 + 0.3 () 5 1 0 AC! 318-08 Eq (D-1 1) MAX(.!!!!. 1_t!) 51 0 ACI 318-08 Eq (0-13) lVcp,N = cac ccc No = kg?. N Ffc h 5 ACI 318-08 Eq (D-7) Variables her [in.] -k 9 eel N[in _eN [in ]camn[in 2 3.125 0000 0.000 24000 Wc.N Ccc[in]- k5 (.[psi] - 1000 6500 17 1 2500 Calculations ANC [in 21 ANch [in.2] 'IJec1.N tfec2.N tVed,N MIcp,N N [lb] 87.89 87.89 1 000 1 000 1 000 1.000 4696 Results [lb] 4iconc.ete +swsmuc Ononaueae V, [lb] Vu. [lb] 9391 0700 0750 0.400 1972 221 Input data and results must be checked for agreement with the existing conditions and for plausibilityi PROFiS Anchor( C) 2003-2009 Iiiiti AG, FL-9494 Schasn Hub is registered Trademark of Hdti AG. Schaan www.hiltLus - Profis Anchor 2.4.8 Company: Engineering Consulting Group Page. 18 Specifier: David Ashcroft, PE Project. SENDX MEDICAL, INC Address 12760 Via Terceto, San Diego, CA Sub-Project I Pos. No.: 140721 Phone I Fax 858-259-4711 x213 1 858-259-5732 Date: 8/29/2014 E-Mail daaecgnet.com 4.3 Concrete edge failure in direction y+ Ied,V 'Vc,v 'IIi1.v '.11paraliei.V Vb Avco ACI 318-08 Eq. (D-21) 4> V ? Vea ACI 318-08 Eq (D-2) Av, see ACI 318-08, Part D6 2.1, Fig. RD 62 1(b) Avcj = 45 c ACI 318-08 Eq. (D-23) 'Vec.V = (1 + 2e,') :5 1 0 ACI 318-08 Eq (D-26) 3C 1 / Wed,V = 07 + 0 3(-—) ~ 10 ACI 318-08 Eq (D-28) 'l'h.V = j1 ~ 10 he ACI 318-08 Eq (D-29) Vb = (7 ()02 10. Af. d. ACI 318-08 Eq (D-24) Variables ;, [in.] ;2 [in.] eev [in.] lyc.v he [in 24000 24.000 0 000 1.200 6.000 Is [in] de [in.] t [psi] - 3.125 1.000 0625 2500 1.000 Calculations A 0 [in 2] Av 2 [in ] 1ec.v wed Wh.V Vb [lb] 360.00 259200 1 000 0.900 2,49 44887 Results Vol,[lb] 4>canciete 4seusmic 4>noiauctiie V, [lb] - Vu. [lb] 16492 0.700 0.750 0.400 3463 221 5 Warnings Load re-distributions on the anchors due to elastic deformations of the anchor plate are not considered The anchor plate is assumed to be sufficiently stiff, in order not to be deformed when subjected to the loading! Condition A applies when supplementary reinforcement is used. The 12 factor is increased for non-steel Design Strengths except Pullout Strength and Pryout strength. Condition B applies when supplementary reinforcement is not used and for Pullout Strength and Pryout Strength. Refer to your local standard. Refer to the manufacturers product literature for cleaning and installation instructions Checking the transfer of loads into the base material and the shear resistance are required in accordance with ACI 318 or the relevant standard! An anchor design approach for structures assigned to Seismic Design Category C, D, E or F is given in ACI 318-08 Appendix D, Part D.3.3 4 that requires the governing design strength of an anchor or group of anchors be limited by ductile steel failure. If this is NOT the case, Part D.3.3.5 requires that the attachment that the anchor is connecting to the structure shall be designed so that the attachment will undergo ductile yielding at a load level corresponding to anchor forces no greater than the controlling design strength. In lieu of D.3.3.4 and D 3.3 5, the minimum design strength of the anchors shall be multiplied by a reduction factor per D 3.3.6. An alternative anchor design approach to ACI 318-08, Part D 3 3 is given in IBC 2009, Section 1908.1.9. This approach contains "Exceptions" that may be applied in lieu of D 3 3 for applications involving "non-structural components" as defined in ASCE 7, Section 13.4.2 An alternative anchor design approach to ACI 318-08, Part D 3.3 is given in IBC 2009, Section 1908.1 9. This approach contains "Exceptions" that may be applied in lieu of D.3.3 for applications involving "wall out-of-plane forces" as defined in ASCE 7, Equation 12.11-1 or Equation 12.14-10 It is the responsibility of the user when inputting values for brittle reduction factors (4>nondudule) different than those noted in ACI 318-08, Part D 3.3 6 to determine if they are consistent with the design provisions of ACI 318-08, ASCE 7 and the governing building code Selection of 4>nonductIe = 1.0 as a means of satisfying ACI 318-08, Part D.3.3 5 assumes the user has designed the attachment that the anchor is connecting to undergo ductile yielding at a force level < the design strengths calculated per ACI 318-08, Part D.3.3.3 Fastening meets the design criteria! Input data and results must be checked for agreement with the existing conditions and for plausibility' PROFIS Anchor (C) 2003-2009 Hilt AG. FL-9494 Schaan Hill, is a registered Trademark of Hill> AG, Schaan www.hiltlus Company: Specifier Address Phone I Fax: E-Mail: Engineering Consulting Group David Ashcroft, PE 12760 Via Terceto, San Diego, CA 858-259-4711 x213 1 858-259-5732 daa©ecgnet corn Page- Project: Sub-Project I Pos. No. Date ILl 6 Installation data Anchor plate, steel: - Anchor type and diameter Kwik BoltTZ - CS 5/8(31/8) Profile: no profile; 0.000 x 0.000 x 0 000 in. Installation torque- 60 000 ft lb Hole diameter in the fixture. d1= 0.688 in. Hole diameter in the base material- 0 625 in. Plate thickness (input) 1.000 In. Hole depth in the base material 3.750 in Recommended plate thickness: not calculated Minimum thickness of the base material 5 000 in. Cleaning: Manual cleaning of the drilled hole according to instructions for use is required Coordinates Anchor in. Anchor x y c., c, c., c4,.1 1 0 000 0000 72.000 24.000 72 000 24 000 Input data and results must be checked for agreement with the existing conditions and for plausibility' PROFIS Anchor (c) 2003-2009 Hilt, AG, FL-9494 Scliaan Hub isa registered Trademark of Hiiti AG, 5chaan ftJ www.hilti.us Profis Anchor 2.4.8 Company Engineering Consulting Group Page 20 Specifier David Ashcroft, PE Project: SENDX MEDICAL, INC Address: 12760 Via Terceto, San Diego, CA Sub-Project I Pos No 140721 Phone I Fax: 858-259-4711 x213 1858-259-5732 Date. 812912014 E-Mail daa@ecgnet.com 7 Remarks; Your Cooperation Duties Any and all information and data contained in the Software concern solely the use of Hilti products and are based on the principles, formulas and security regulations in accordance with Hilti's technical directions and operating, mounting and assembly instructions, etc , that must be strictly complied with by the user. All figures contained therein are average figures, and therefore use-specific tests are to be conducted prior to using the relevant Hilti product. The results of the calculations carried out by means of the Software are based essentially on the data you put in. Therefore, you bear the sole responsibility for the absence of errors, the completeness and the relevance of the data to be put in by you. Moreover, you bear sole responsibility for having the results of the calculation checked and cleared by an expert, particularly with regard to compliance with applicable norms and permits, prior to using them for your specific facility. The Software serves only as an aid to interpret norms and permits without any guarantee as to the absence of errors, the correctness and the relevance of the results or suitability for a specific application. You must take all necessary and reasonable steps to prevent or limit damage caused by the Software In particular, you must arrange for the regular backup of programs and data and, if applicable, carry out the updates of the Software offered by Hilti on a regular basis. If you do not use the AutoUpdate function of the Software, you must ensure that you are using the current and thus up-to-date version of the Software in each case by carrying out manual updates via the Hilti Website. Hilti will not be liable for consequences, such as the recovery of lost or damaged data or programs, arising from a culpable breach of duty by you Input data and results must be checked for agreement with the existing conditions and for plausibility' PROFiS Anchor ( c) 2003-2009 Huh AG. FL-9494 Schaan Huh is registered Trademark of Huh AG, Schaan OFFICE USE ONLY UPFP# SAN DIEGO REGIONAL HV#_________________ kOCCGt' HAZARDOUS MATERIALS QUESTIONNAIRE BP DATE / I -Ck Project Address A 42-0 It 13- 09-10 State Zip Code Plan File# I Project Contact Telephone # Dc&rsj Ictirfr(" The following questions represent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT -HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are circled, applicant must contact the Fire Proeqtion Agency with jurisdiction prior to plan submittal Facility's Square Footage (including proposed project): Occupancy Rating: C)OtcJOOr rd~f, I Explosive or Blasting Agents 5. Organic Peroxides Water Reaclives 13 Corrosives 2. Compressed Gases 6 Oxidizers 10 Cryogenics 14. Other Health Hazards 3 Flammable/Combustible Liquids 7 Pyrophoncs 11 Highly Toxic or Toxic Materials 15 None of These 4 Flammable Solids 8 Unstable Reactives 12 Radioactives PART It: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH - HAZARDOUS MATERIALS DIVISIONS (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' _/_/__ Expected Date of Occupancy C3 CalARP Exempt YES NO (for new construction or remodeling projects) Date Initials 1 0 g Is your business listed on the reverse side of this form? (check all that apply) s 2 0 ad Will your business dispose of Hazardous Substances or Medical Waste in any amount? 0 CalARP Required 3 0 E!I 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 4 0 EEl' Will your business use an existing or install an underground storage tank'? 5 0 Will your business store or handle Regulated Substances (CalARP)' 0 CalARP Complete 6 0 Will your business use or install a Hazardous Waste Tank System (Title 22. Article 10)'? / 7 0 lEt' Will your business store petroleum in tanks or containers at your facility with a total storage capacity equal to Date Initials or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act) PART III: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT: If the answer to any of the questions below is yes, applicant must contact the Air Pollution Control District (APCD), 10124 Old Grove Road. San Diego. CA 92131-1649. telephone (858) 586-2600 prior to the issuance of a building or demolition permit Note' if the answer to questions 4 or 5 is yes, applicant must also submit an asbestos notification form to the APCD at least 10 working days prior to commencing demolition or renovation, except d'olltII1j/ rEt:oa"?fl of residential structures of four units or less Contact the APCD for more information YES NO 1 0 j' 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 sdapccl org/info/facts/permits pd f. and the list of typical equipment requiring an APCD permit on the reverse side of this from Contact APCD if you have any questions) 2 0 ?f (ANSWER ONLY IF QUESTION 1 IS YES) Will the subject facility be located within 1.000 feet of the outer boundary of a school (K through 12)' (Search the California School Directory at httpi/www cde.ca.gov/re/sd/ for public and private schools or contact the appropriate school district) 3 0 E' Has a survey been performed to determine the presence of Asbestos Containing Materials'? 4 0 a Will there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos? 5 0 E' Will there be demolition involving the removal of a load supporting structural member'? Briefly describe business activities ffl p (.jfacft,p i't) Briefly describe proposed project. ftj th-oqc,u S-cnaç'e I declare under penalty of perjury that to the best of my knowledge and belief the responses made herein are true and correct. / Name of Owner or Authorized Agent Signature of Owner or Authorized Agent Date FIRE DEPARTMENT OCCUPANCY CLASSIFICATION FOR OFFICIAL USE ONLY BY DATE / I EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR occupANcy RELEASED FOR OCCUPANCY COUNTY.HMD* APCD COUNTY-HMD APCD COUNTY-HMD APCD iirlUHS uu. VUSM655va, iiuni wnipieung or updating a Hazardous Materials business Plan Other permitting requirements may still apply [IM-9171 (02/I1) County of San Diego - l)EI I - llazardi'us Materials Division CB142278 1945 PALOMAR OAKS WY SENDEX: INSTALL LIQUID NITROGE TANK, 400 GAL ~/Irk/ - n Ka", f q/4/,L( c2ct Ft '7 A- Final Inspection required by 0 PJan M CM&I $ C-S 67 (-- tvl e&-~ le-'s al r~ ,1-ssr /(f SW DISSUED I UCV. Approved Date By BUILDING 4g 9/f ( / / /Cm PLANNING ENGINEERING FIRE Expedite? Y UNji..— DIGITAL FILES Required? Y N HazMat APCD Health Forms/Fees Sent Recd Due? By Ericiria Y N Fire V N HazHeaIthAPCD V N PE&M V N School V N Sewer V N Stormwater V N Special inspection '((/ ?y ID(Z/f._( V N LandUse Density ImpArea FY Annex Factor. PFF: Y N Comments Date Date Date Date Building Planning Engineering Fire 13 Done 0 Done U Done 13 Done