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1949 PALOMAR OAKS WAY; 100; CBC2017-0056; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 04/21/2017 Commercial Permit Permit No: CBC2017-0056 www.carlsbadca.gov Job Address. 1949 Palomar Oaks Way, 100 Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Closed - Finaled Parcel No 2130910100 Lot # Applied: 02/02/2017 Valuation $114,036.64 Reference #: Issued: 03/28/2017 Occupancy Group. Construction Type: Finaled # Dwelling Units: Bathrooms: Inspector: iWest Bedrooms: Orig. Plan Check #: Plan Check #. Project Title Description: CRYTERION MEDICAL: 1762 SF OFFICE TO MEDICAL OFFICE TI Applicant. Owner: Contractor: JESUS GOMEZ PLAOMAR CREATIVE LLC BURGER CONSTRUCTION 222 Kearny St 11760 Sorrento Valley Rd, Ste A 619-299-0011 San Francisco, CA 94108-4503 SAN DIEGO, CA 92121-1018 858-755-1800 BUILDING PERMIT FEE $2000+ $679.25 BUILDING PLAN CHECK FEE (BLDG) $475.48 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL $89.00 FIRE Haz Mat Storage Chem Class <10 Chemicals $470.00 MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL $55.00 5B1473 BUILDING STANDARDS FEE $5.00 STRONG MOTION-COMMERCIAL $31.93 Total Fees: $1,805.66 Total Payments To Date: $1,805.66 Balance Due: $0.00 Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exaction. You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. ThE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING DENGINEERING 0 BUILDING [JFIRE [:]HEALTH [JHAZMAT!APCD dt Building Permit Application Est. Value IiiJ 03 ...2— Plan Check No.( c..'2- — y of 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Cc.rlsba.d '. 1/ email: buildingcarlsbadca.gov Plan Ck.,Deiosit Date 2 I-I I 1 iswppp I www.carlsbadca.gov JOB ADDRESS 1949 PALOMAR OAKS WAY SUITE#/SPACE#/UNIT# APN 213 - 091 - 01 - 00 CT/PROJECT # LOT # PHASE # # OF UNITS I # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE 0CC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 1762 SF RETROFIT OF AN EXISTING INTERIOR OFFICE SPACE TO A NEW TENTANT IMPROVEMENT OFFICE SPACE. OFFICE TO OFFICE, INCLUDING NON-STRUCTURAL PARTITIONS, SUSPENDED T-BAR CEILING, LIGHTING, CARPET, MECHANICAL UPGRADES AND LIGHTING UPGRADES EXISTING USE PROPOSED USE ARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS T YES J# NOI YES NO J YESD NOJ APPLICANT NAME JESUS GOMEZ PROPERTY OWNER NAME Primary PALOMAR ACQUISITION PARTNERS LLC Contact ADDRESS ADDRESS 3900 FIFTH AVE SUITE 290 525 B ST. SUITE 220 CITY STATE ZIP CITY STATE ZIP SAN DIEGO CA 92103 SAN DIEGO CA 92101 PHONE FAX PHONE FAX 619 299 0011 858-435-4026 EMAIL EMAIL JESUS@DONALDPITMANDESIGNINC.COM DESIGN PROFESSIONAL DONALD PITMAN DESIGN INC CONTRACTOR BUS. NAME BURGER CONSTRUCTION ADDRESS ADDRESS 3900 FIFTH AVE SUITE 290 11760 SORRENTO VALLEY ROAD CITY STATE ZIP CITY STATE ZIP SAN DIEGO CA 92103 SAN DIEGO CA 92121 PHONE FAX PHONE FAX 619 299 0011 8587551800 EMAIL EMAIL DONALD@DPDESIGNINC.COM BOB@BURGERCON.COM STATE LIC C STATE LiC.# CLASS Taw'BUS. LIC # ., ( (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)) 27®[(12 ®?O©C} Workers' Compensation Declaration I hereby affirm under penalty of peguiy one of the following declarations' 1211 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 El l have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carner and policy number are. Insurance Co . FAILM 5 Policy No I I t.'3 3 Expiration Dale La 1011 2-017 This section need not be completed if the permit is for one hundred dollars ($100) or less. [ 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' c pensation 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, ages as W qd for in Section 3706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE - ENT DATE 0 6 t 28 / / 7 thereby affirm that lam 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) [J 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. Dyes IJNo 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/address! 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! address! phone! type of work) ..PROPERTY OWNER SIGNATURE []AGENT DATE (®G5 ?13 ?C]03 ?0@0 V@)W 000[~@ 00@ (0[L'7 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. 1?0®l) 1@0@0010 &1@90(gv 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 0(öL7 00 0® I certitjrthatl haw mad the application and state thatthe above information us correct and thattheinfonnation on the plans is accurate. I agree tocomplywithall City ordinances and State laws ,elatingto building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE Cr1)' 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 deep and demolition or construction of structures over 3 stones in height EXPIRATION. Every permit issued by the Budding Official under the provisions of this Code shall expire by Imitation and become null and void if the budding or work authorized by such pemiftrs riot commenced within 180 days from the date of such permit orifthebuiIdtiig thorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106AA Uniform Building Code). .APPLICANT'S SIGNATURE J\._.. DATE is STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. t (Comm ercial Fax (760) 602-8560, Email bUilding@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LlC. No. DELIVERY OPTiONS PICK UP: CONTACT (Usted above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. NO CHANGE IN USE / NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION APPLICANT'S SIGNATURE DATE Permit Type: BLDG-Commercial Application Date: 02/02/2017 Owner: PLAOMAR CREATIVE LLC Work Class: Tenant Improvement Issue Date: 03/28/2017 Subdivision: Status: Closed - Finaled Expiration Date: 09/27/2017 Address: 1949 Palomar Oaks Way, 100 Carlsbad, CA 92011-1312 IVR Number: 1767 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date 03/29/2017 03/29/2017 BLDG-14 018043-2017 Partial Pass Jonathan West Reinspection Incomplete Frame/Steel/Bolting! Welding (Decks) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-21 018042.2017 Passed Jonathan West Complete Underground/Underf loor Plumbing Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-34 Rough 018041.2017 Partial Pass Jonathan West Reinspection Incomplete Electrical Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 03/31/2017 03/31/2017 BLDG-17 Interior 018381.2017 Passed Jonathan West Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 04120/2017 04/20/2017 BLDG-Fire Final 020759.2017 Passed Dominic Fier! Complete Checklist Item COMMENTS Passed FIRE- Building Final Yes 04121/2017 04/21/2017 BLDG-Final 020792-2017 Passed Jonathan West Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes April 21, 2017 Page 1 of Natianal AIR & ENERGY AIR BALANCE TEST REPORT PROJECT: CRYTERION MEDICAL SUITE 100 PROJECT ADDRESS: 1949 PALOMAR OAKS WAY, SUITE 100 CITY, STATE, ZIP: SAN DIEGO CA 92011 SYSTEM: ROOF TOP HEAT PUMP NAE JOB# 11755-17 TEST APPARATUS: FLOW HOOD DESIGN PRELIMINARY FINAL SUITE/ ROOM# REG. NO. REG. SIZE UNIT NO. MIN CFM MAX CFM MIN CFM MAX CFM MIN CFM MAX CFM 1 10 HP-1 250 193 226 2 10 HP-I 250 223 231 3 10 HP-I 250 232 233 4 10 HP-I 250 285 237 TOTAL 1000 933 927 1 8 HP-2 200 250 208 2 12 HP-2 400 385 368 3 12 HP-2 400 323 373 4 1 HP-2 240 201 228 5 8 HP-2 150 127 142 6 8 HP-2 150 172 164 7 8 HP-2 150 77 138 TOTAL 1690 1535 1621 1 10 HP-3 300 251 272 2 10 HP-3 300 249 291 3 10 HP-3 3000 350 338 4 10 HP-3 350 395 344 5 10 HP-3 350 289 369 TOTAL 4300 1534 1614 TEST PERFORMED BY: LUIS S DATE: 4/18/2017 t mtl"n m i AIR & ENERGY AIR BALANCE TEST REPORT PROJECT: CRYTERION MEDICAL SUITE 100 PROJECT ADDRESS: 1949 PALOMAR OAKS WAY, SUITE 100 CITY, STATE, ZIP: SAN DIEGO CA 92011 SYSTEM: ROOF TOP HEAT PUMP NAE JOB# 11755-17 VITITI "u; I I II TEST PERFORMED BY: LUIS S DATE: ua AIR & ENERGY AIR BALANCE TEST REPORT PROJECT: CRYTERION MEDICAL SUITE 100 PROJECT ADDRESS: 1949 PALOMAR OAKS WAY, SUITE 100 CITY, STATE, ZIP: SAN DIEGO CA 92011 SYSTEM: ROOF TOP HEAT PUMP NAE JOB# 11755-17 TEST APPARATUS: FLOW HOOD DESIGN PRELIMINARY FINAL SUITE/ ROOM# REG. NO. REG. SIZE UNIT NO. MIN CFM MAX CFM MIN CFM MAX CFM MIN CFM MAX CFM 10 HP-1 250 193 226 2 10 HP-i 250 223 231 3 10 HP-I 250 232 233 4 10 HP-I 250 285 237 TOTAL 1000 933 927 I 8 HP-2 200 250 208 2 12 HP-2 400 385 368 3 12 HP-2 400 323 373 4 1 HP-2 240 201 228 5 8 HP-2 150 127 142 6 8 HP-2 150 172 164 7 8 HP-2 150 77 138 TOTAL 1690 1535 1621 1 10 HP-3 300 251 272 2 10 HP-3 300 249 291 3 10 HP-3 3000 350 338 4 10 HP-3 350 395 344 5 10 HP-3 350 289 369 TOTAL 4300 1534 1614 TEST PERFORMED BY: LUIS S DATE: 4/18/2017 Natianal AIR & ENERGY AIR BALANCE TEST REPORT PROJECT: CRYTERION MEDICAL SUITE 100 PROJECT ADDRESS: 1949 PALOMAR OAKS WAY, SUITE 100 CITY, STATE, ZIP: SAN DIEGO CA 92011 SYSTEM: ROOF TOP HEAT PUMP NAE JOB# 11755-17 Muff mm~mffurmllm~mTumilm~ I I 'I TEST PERFORMED BY: LUIS S DATE: EsGil Corporation In Partn.rs flip with government for Building Safety DATE: 03/27/2017 0 APPLICANT U JURIS. JURISDICTION: City of Carlsbad U PLAN REVIEWER U FILE PLAN CHECK NO.: C2017-0056 SET:V PROJECT ADDRESS: 1949 Palomar Oaks Way PROJECT NAME: OFFICE/LAB TI FOR "CRYTERION MEDICAL" The plans transmitted herewith haie been corrected where necessary and substantially comply with the jurisdiction's building cods. 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. 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: Mail Telephone Fax In Person LI REMARKS: By: Sergio Azuela Enclosures: EsGil Corporation El GA El EJ El MB [1 PC 03/24/2017 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax(858)560-1576 EsGil Corporation In (Partners flip with government for Building Safety DATE: 03/22/2017 JURISDICTION: City of Carlsbad PLAN CHECK NO.: C2017-0056 SET IV PROJECT ADDRESS: 1949 Palomar Oaks Way PROJECT NAME: OFFICE/LAB TI FOR "CRYTERION MEDICAL" U APPLICANT URIS. U PLAN REVIEWER U FILE The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. 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. LII 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: )esus Gomez Telephone #: 619-299-0011 /Date contacted-9 (by: ãEmail: iesuscdpdesiqninc.com e4ail Telephone Fax In Person LII REMARKS: By: Sergio Azuela Enclosures: EsGil Corporation LI GA LI EJ [1 MB 0 PC 03/14/2017 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax(858)560-1576 V. City of Carlsbad C2017-0056 03/22/2017 NOTE: The items listed below are from the previous correction list. These remaining items have not been adequately addressed. The numbers of the items are from the previous check list and may not necessarily be in sequence. The notes in bold font are current. Please make all corrections, as requested in the correction list. Submit FOUR new complete sets of plans for commercial/industrial projects (THREE sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. Bring TWO 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. 5. 03/22/2017 - After checking the Technical Report provided the following corrections are applicable: Clearly show on plans the location of the wall separation between Control areas. . Provide construction details for the construction of the wall separation between control areas. Clearly show the Exhaust and Ventilation over the storage areas, according to Section 4.10 of the Technical Report. (ICFM/SF) The EF/3 shown on the mechanical plans is undersized to provide the exhaust/ventilation for the Wet Labs 11 & 12 according to Section 4.10 of the Technical Report. To speed up the review process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, note or detail number, calculation page, etc. Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes, please briefly describe them and where they are located in the plans. Have changes been made to the plans not resulting from this correction list? Please indicate: U Yes U No The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to - City of Carlsbad C2017-0056 03/22/2017 perform the plan review for your project. If you have any questions regarding these plan review items, please contact Sergio Azuela at Esgil Corporation. Thank you. EsGil Corporation In Partners flip with government for(Building Safety DATE: 03/0612017 UPPLICANT 6 JURIS. JURISDICTION: City of Carlsbad IJ PLAN REVIEWER D FILE PLAN CHECK NO.: C2017-0056 SET- III PROJECT ADDRESS: 1949 Palomar Oaks Way PROJECT NAME: OFFICE/LAB TI FOR "CRYTERION MEDICAL" LII 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. LII 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. IIIIII The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. El The applicant's copy of the check list has been sent to: EsGil Corporation staff did not advise the applicant that the plan check has been completed. EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Jesus Gomez Telephone #: 619-299-0011 D5e contacted: 3( , (by:J'YJ Email: iesusdpdesiqninc.com Pail Telephone Fax In Person REMARKS: By: Sergio Azuela Enclosures: EsGil Corporation E GA LI EJ LI MB LI PC 02/27/2017 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax(858)560-1576 City of Carlsbad C2017-0056 03/06/2017 NOTE: The items listed below are from the previous correction list. These remaining items have not been adequately addressed. The numbers of the items are from the previous check list and may not necessarily be in sequence. The notes in bold font are current. Please make all corrections, as requested in the correction list. Submit FOUR new complete sets of plans for commercial/industrial projects (THREE sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. Bring TWO 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. 5. A complete description of the activities and processes that will occur in this tenant space should be provided. A listing of all hazardous materials should be included. The materials listing should be stated in a form that would make classification in Tables 307.1(1) and 307.1(2) possible. The building official may require a technical report to identify and develop methods of protection from hazardous materials. Section 414.1.3. a) Clearly show it on plans for the "WET LAB" rooms 11 and 12. 03/06/2017 - Provide the following information: Listing of all hazardous materials should be included. The materials listing should be stated in a form that would make classification in Tables 307.1(1) and 307.1(2) possible. Technical report to identify and develop methods of protection from hazardous materials. Section 414.1.3. 03/06/2017 - The "HAZARDOUS MATERIALS QUESTIONAIRE" provided does not replace the required "TECHNICAL REPORT". Original correction is still applicable. To speed up the review process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, note or detail number, calculation page, etc. EsGil Corporation In (Partnership with Government for Building Safety DATE: 02/27/2017 LJPPLICANT URIS. JURISDICTION: City of Carlsbad 11 PLAN REVIEWER D FILE PLAN CHECK NO.: C2017-0056 SET. II PROJECT ADDRESS: 1949 Palomar Oaks Way PROJECT NAME: OFFICE/LAB TI FOR "CRYTERION MEDICAL" LI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. LI The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. El The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at EsGil Corporation until corrected plans are submitted for recheck. LII The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. El The applicant's copy of the check list has been sent to: 1-1 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: Jesus Gomez ,...-Date acted: f'7iJ.- (b'Y) JVI au REMARcl(1fl.. Fax In Person By: Sergio Azuela EsGil Corporation EGA EEJEMB EPc Telephone #: 619-299-0011 Email: Iesus(ädpdesiqninc.com Enclosures: 02/21/2017 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax(858)560-1576 City of Carlsbad C2017-0056 02/27/2017 NOTE: The items listed below are from the previous correction list. These remaining items have not been adequately addressed. The numbers of the items are from the previous check list and may not necessarily be in sequence. The notes in bold font are current. Please make all corrections, as requested in the correction list. Submit FOUR new complete sets of plans for commercial/industrial projects (THREE sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. Bring TWO 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. Provide a note on the plans indicating if any hazardous materials will be stored and/or used within the building which exceed the quantities listed in IBC Tables 307.1(1) and 307.1(2). 02/27/2017 - The note provided on sheet AO.0 reads as follow: "HAZARDOUS MATERIALS WILL BE STORED AND OR USED WITHIN THE BUILDING WICH EXCEED THE QUATITIES LISTED IN IBC TABLES 307.1 (1) AND 307.1 (2)". Therefore, the following required information shall be provided: Listing of all hazardous materials should be included. The materials listing should be stated in a form that would make classification in Tables 307.1(1) and 307.1(2) possible. Technical report to identify and develop methods of protection from hazardous materials. Section 414.1.3. A complete description of the activities and processes that will occur in this tenant space should be provided. A listing of all hazardous materials should be included. The materials listing should be stated in a form that would make classification in Tables 307.1(1) and 307.1(2) possible. The building official may require a technical report to identify and develop methods of protection from hazardous materials. Section 414.1.3. a) Clearly show it on plans for the "WET LAB" rooms 11 and 12. 02/27/2017 - Provide the following information: Listing of all hazardous materials should be included. The materials listing should be stated in a form that would make classification in Tables 307.1(1) and 307.1(2) possible. City of Carlsbad C2017-0056 02/27/2017 Technical report to identify and develop methods of protection from hazardous materials. Section 414.1.3. To speed up the review process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, note or detail number, calculation page, etc. Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes, please briefly describe them and where they are located in the plans. Have changes been made to the plans not resulting from this correction list? Please indicate: U Yes U No The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Sergio Azuela at Esgil Corporation. Thank you. DISABLED ACCESS REVIEW LIST REMODELS, ADDITIONS AND REPAIRS DOORS 5. Show or note that all hand-activated door opening hardware meets the following requirements, per Section 11 B-404.2.7: b) Is to be centered ~34" but 44" above floor. 02/27/2017 - Revise the plans to include the 44" number in the new note provided on sheet A1.2 END OF DOCUMENT EsGil Corporation In (Partners/lip with government for Bui(uing Safety DATE: 02114/2017 JURISDICTION: City of Carlsbad PLAN CHECK NO.: C2017-0056 SET:I PROJECT ADDRESS: 1949 Palomar Oaks Way PROJECT NAME: OFFICE/LAB TI FOR "CRYTERION MEDICAL" 0 FPLICANT URIS. L3 PLAN REVIEWER Q FILE The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. 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: 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: Jesus Gomez Telephone #: 619-299-0011 Date c3ptacted:7 I Email: jesus@donaldpitmandesigninc.com all / Telephone Fax In Person REMARKS: By: Sergio Azuela Enclosures: EsGil Corporation El GA El EJ El MB El PC 02/06/2017 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 City of Carlsbad C2017-0056 02/14/2017 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: C2017-0056 JURISDICTION: City of Carlsbad OCCUPANCY: B USE: Office/Lab TI TYPE OF CONSTRUCTION: Not shown ACTUAL AREA: 1,762 SF (TI space only) ALLOWABLE FLOOR AREA: STORIES: 1 HEIGHT: SPRINKLERS?: Not shown REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 02/02/2017 DATE INITIAL PLAN REVIEW COMPLETED: 02/14/2017 OCCUPANT LOAD: 121 DATE PLANS RECEIVED BY ESGIL CORPORATION: 02/06/2017 PLAN REVIEWER: Sergio Azuela FOREWORD (PLEASE READ): This plan review is limited to the technical requirements contained in the California version of the International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review is based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building permit. Code sections cited are based on the 2013 CBC, which adopts the 2012 IBC. The following items listed need clarification, modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 105.4 of the 2012 International Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. City of Carlsbad C2017-0056 02/14/2017 Please make all corrections, as requested in the correction list. Submit FOUR new complete sets of plans for commercial/industrial projects (THREE sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. Bring TWO 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. 2. Provide a statement on the Title Sheet of the plans, stating that this project shall comply with the 2016 California Building Code, which adopts the 2015 IBC, 2015 UMC, 2015 UPC and the 2014 NEC. a) Update the IBC information provided under the APPLICABLE CODES on sheet AO.1 Provide a Building Code Data Legend on the Title Sheet. Include the following code information for each building proposed: Description of Use Type of Construction Sprinklers: Yes or No Stories Height Provide a note on the plans indicating if any hazardous materials will be stored and/or used within the building which exceed the quantities listed in IBC Tables 307.1(1) and 307.1(2). A complete description of the activities and processes that will occur in this tenant space should be provided. A listing of all hazardous materials should be included. The materials listing should be stated in a form that would make classification in Tables 307.1(1) and 307.1(2) possible. The building official may require a technical report to identify and develop methods of protection from hazardous materials. Section 414.1.3. a) Clearly show it on plans for the "WET LAB" rooms 11 and 12. Provide a note on the plans or on the finish schedule, stating, "Wall and ceiling materials shall not exceed the flame spread classifications in IBC Table 803.11." City of Carlsbad C2017-0056 02/14/2017 Exit signs are required whenever two exits are required. Show all required exit sign locations. Section 1013.1. Clearly show it on plans for all exits. (on sheet E2. 1. Show that the means of egress path will be lighted with at least one foot candle at floor level. Section 1008. Provide notes and details on the plans to show compliance with the enclosed "Disabled Access" Review List. Multilevel lighting controls are required in areas exceeding 100 square feet in area and have a connected general lighting load exceeding .5 watts per square foot (Classrooms are .7 watts). Review ES Table 130.1-A for design requirements. Include control placement and design on the floorplans. (AB switching no longer complies for most fixture types). Shut-Off Controls: Each floor, each space (not exceeding 5,000 square feet), and each type (general, display, and ornamental) of lighting shall be individually capable of being automatically shut-off when the building is unoccupied. Include the control design. (A percentage of egress lighting is now included in the shut- off requirement). ES 130.1(c) Please clarify why? The Section B "Mandatory and Prescriptive Indoor Lighting Control Schedule" on page 2 of 3 of the NRCC-LTl-02-E form is not been completed. Provide complete construction details, and specifications for the "CHAIN LINK" at Storage Cage. To speed up the review process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, note or detail number, calculation page, etc. Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes, please briefly describe them and where they are located in the plans. Have changes been made to the plans not resulting from this correction list? Please indicate: U Yes U No The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Sergio Azuela at Esgil Corporation. Thank you. City of Carlsbad C2017-0056 0211412017 DISABLED ACCESS REVIEW LIST REMODELS, ADDITIONS AND REPAIRS When alterations, structural repairs or additions are made to an existing building, that building, or portion of the building affected, is required to comply with all of the following requirements, per Section 11 B-202.4: The area of specific alteration, repair or addition must comply as "new" construction. A primary entrance to the building and the primary path of travel to the altered area, must be shown to comply with all accessibility features. o The path of travel shall include the existing parking. Existing toilet and bathing facilities that serve the remodeled area must be shown to comply with all accessibility features. Existing signage. SITE PLAN REQUIREMENTS 2. Clearly show that the site development and grading are designed to provide access to all entrances and exterior ground floor exits, as well as access to normal paths of travel, per Section 11 B-206. Where necessary to provide access, shall incorporate pedestrian ramps, curb ramps, stairways and handrails, etc. Revise the plans to show the location of the truncated domes, and the slopes for the routes of travel. Also include the routes of travel from the Public Way. DOORS 3. Where a pair of doors is utilized, at least one of the doors shall provide a clear, unobstructed opening width of 32 inches, per Section 11 B-404.2.2. a) Show it on plans for the "ED" doors. 4. Show or note that the maximum effort to operate doors shall not exceed 5 pounds, with such pull or push effort being applied at right angles to hinged doors and at the center plane of sliding or folding doors. When fire doors are utilized, the maximum effort to operate the door may be increased to not exceed 15 pounds. Section 11 B-404.2.9. 5. Show or note that all hand-activated door opening hardware meets the following requirements, per Section 11 B-404.2.7: Latching, or locking, doors in a path of travel are operated with a single effort by lever type hardware, by panic bars, push-pull activating bars, or other hardware designed to provide passage without requiring the ability to grasp the opening hardware. Is to be centered ~34" but :544" above floor. City of Carlsbad C2017-0056 02/14/2017 SANITARY FACILITIES 6. Provide a complete fully dimensioned layout of the existing SANITARY FACILITIES serving the proposed TI space. Additional corrections may follow. END OF DOCUMENT City of Carlsbad C2017-0056 02/14/2017 [DO NOT PAY— THIS IS NOTAN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK NO.: C2017-0056 PREPARED BY: Sergio Azuela DATE: 02/14/2017 BUILDING ADDRESS: 1949 Palomar Oaks Way BUILDING OCCUPANCY: BUILDING PORTION AREA (Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) Office TI 1762 45.78 80,664 Air Conditioning Fire Sprinklers TOTAL VALUE 80,664 Jurisdiction Code 1cb 1By Ordinance Bldg Permit Fee by Ordinance V Plan Check Fee by Ordinance V] I t115L/?'I Type of Review LI Complete Review Structural Only Repetitive Fee V Repeats LI] Other LI Hourly Hr. @ * EsGil Fee I $301.521 Comments: Sheet 1 of 1 macvaluedoc + CRYTERION MEDICAL, INC. TECHNICAL REPORT HAZARDOUS MATERIALS SUMMARY For (Plan Check No: C2017-0056) 1949 Palomar Oaks Way, Suite 100 Carlsbad, CA 92008 (March 13, 2017) (Rev.-IA March 23, 2017) CITY OF CARLSBAD FIRE DEPARTMENT APPROVED Subject to field Inspection and required tests; notations hereon, conditions In correspondence and conformance with applicable regulations. The stamping of these plans shall not be hIi, to pa approve violation of fly 7ws. By Date 3 41~i7 21 2017 OCCUPATIONAL SERVICES, INC. Cryterion Medical (Plan Check No: C2017-0056) (Rev.1A 3/23/2017) March 10, 2017 Hazardous Materials Technical Report -- Page 2 Table of Contents OSI's CAS2CIass Database used to Produce Technical Reports..................................................4 1.1. Report Preparation Process........................................................................................................4 I 1.2. Report Submission to the Carlsbad Fire Department........................................................4 1.3. Executive Summary ..........................................................................................................5 1.4. Building/Facility & Company Information.....................................................................................5 ' 1.5. Control Area Information .............................................................................................................5 Hazardous Materials Information ...................................................................................................5 2.1. Table I Hazardous Materials Storage and Use Area Locations........................................5 I 2.2 Hazard Classification Process .................................................................................................6 2.3 Table 1.1 (Hazard Classes and Codes Reference Table)........................................................6 Table 2 (Chemical Inventory Form) Cryterion Medical, Inc., Control Area 1 ............................7 I 3.1. Table 2.1 (Physical Hazard Report Summary) Cryterion Medical, Inc., Control Area 1 ...........8 3.2. Table 2.2 (Health Hazard Report Summary) Cryterion Medical, Inc., Control Area 1 ............12 3.3 Table 2.3 (Detailed Inventory Report) Cryterion Medical, Inc., Control Area 1 ......................13 3.4. Attachment Information..........................................................................................................17 I 3.5. Operational Information .........................................................................................................17 Operational Controls..............................................................................................................19 4.1. Automatic Fire Extinguishing System for buildings..........................................................19 I 4.2. Fire Extinguishers............................................................................................................19 4.3. Security ...........................................................................................................................19 4.4. Seismic Bracing and Shelf Construction for hazardous materials ...................................19 I 4.5. Storage of Hazardous Materials......................................................................................19 4.6. Approved Flammable Liquid and Hazardous Materials Storage Cabinets ......................20 4.7. Separation of Incompatible Materials ..............................................................................20 I 4.8. Empty Containers and Tanks ..........................................................................................20 4.9. Sources of Ignition...........................................................................................................20 1 4.10 Building Exhaust and Ventilation.....................................................................................21 4.11. Hazard Identification Signs..............................................................................................21 4.12. Laboratory use of Combustible and Flammable Liquids..................................................21 1 4.13. Compressed Gases.........................................................................................................21 4.14. Oxidizing Materials..........................................................................................................22 4.15. Oxidizing Gases ..............................................................................................................22 I 4.16. Organic Peroxides...........................................................................................................22 4.17. Spill Control & Secondary Containment for liquid & Solid Hazardous Materials..............22 4.18. Explosion Control ............................................................................................................22 I 4.19. Limit Controls ..................................................................................................................22 4.20. Treatment Systems .........................................................................................................22 4.21. Protection from Vehicles .................................................................................................23 I 4.22. Employee Training and Response Procedures/Hazard Communication.........................23 Hazardous Materials Information Summary........................................................................23 Attachment I (Vicinity Map-Project Site) ........................................................................................25 Attachment 2 (Facility First Floor Plan) ..........................................................................................26 I Attachment 3 (Nitrous Oxide System Design)................................................................................27 Attachment 3.1 (ISt DEMO HVAC Floor Plan MI.I) ......................................................................... 28 Attachment 3.2 (Mechanical Schedule MO.2)..................................................................................29 I Attachment 3.3 (Wet Lab(s) 11 & 12 Exhaust System Plan)..........................................................30 I Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.1A 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 3 Attachment 3.4 (Control Area Plan).................................................................................................31 I Attachment 4 (Curriculum Vitae) .....................................................................................................32 Attachment 5 (NCSA Certificate Number CFCO3O6.13) .................................................................. 33 I Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.1A 3/23/2017) March 13, 2017 I Hazardous Materials Technical Report Page 4 1. OSI's CAS2CIass Database used to Produce Technical Reports I Occupational Services, Inc. ("OSI") owns a custom-designed Microsoft Access database that has been continually improved, updated and amended to reflect the current California Fire Code. Over 125,000 I chemicals are currently recognized and classified by their Chemical Abstract Service Number (CAS No.) in OSI's database, called "CAS2CIass." The foundation of OSI's Technical Report are the Physical Hazard Summary and Health Hazard Summary reports produced by CAS2Class. 1.1. Report Preparation Process Before presenting a Technical Report to a Code Official, OSI collects the tenant's "proposed" chemical inventory and imports the inventory into CAS2Class. OSI then makes a proper hazard determination for every unclassified chemical. OSI uses trained and degreed HazMat professionals to determine the hazard categories, which are based on the chemical's Material Safety Data Sheet (MSDS), the manufacturer's product literature, and textbooks, along with the concentration, physical state, chemical properties and health hazards of that chemical. OSI also refers to NIOSH, OSHA, EPA and DOT hazard classifications. OSI uses all these physical and chemical references to properly classify the chemical according to the categories listed in Appendix E of the 2016 California Fire Code (CFC). When 100% of the tenant's chemical inventory is properly classified, OSI generates these two tables: Physical Hazard Summary and Health Hazard Summary. OSI then compares the tenant's summaries to the Maximum Allowable Quantities (MAQs) per Control Area of Hazardous Materials Posing a Physical Hazard listed in 2016 CBC Table 307.1(1) and 2016 CFC Tables 5003.1.1(1) & 5003.1.1(3) and the Maximum Allowable Quantities (MAQs) per Control Area of Hazardous Materials Posing a Health Hazard in 2016 CBC Table 307.1(2) and 2016 CFC Tables 5003.1.1(2) & 5003.1.1(4). If the entire inventory does not exceed the MAQs, OSI advises the architect to design and construct one control area. If the MAQs are exceeded, OSI advises the architect to design more control areas until the inventory does not exceed MAQs. Many hours of technical expertise are spent designing the quantity and one-hour boundaries of the control areas. OSI and the architect use this CAS2Class report at the beginning of the design process and the information is used to form the basis of the building design. This Technical Opinion Report is based on the storage, use and handling of Hazardous Materials. 1.2. Report Submission to the Carlsbad Fire Department OSI and Cryterion Medical, Inc. understand the Carlsbad Fire Department will review this hazardous material I opinion and Technical Report and that the Building Official will request Carlsbad Fire Department's approval on this Hazardous Materials Opinion and Technical Report. Cryterion Medical, Inc., filed the San Diego Regional Hazardous Materials Questionnaire DEH HM-9171 on 14 February 2017 with the San Diego County I Department of Environmental Health. The Hazardous Material Questionnaire has the County Health stamp in the 'RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY' section. The Hazardous Materials Business Plan (HMBP) will be processed by the Client with the San Diego County Department of I Environmental Health California Environmental Reporting System (CERS) while construction occurs, and will be completed two weeks prior to the Certificate of Occupancy is obtained, and provided to the Fire Official. A completed copy of the Hazardous Materials Business Plan and this Technical Opinion Report will be submitted to the Carlsbad Fire Department: I City of Carlsbad Fire Department Fire Prevention Division I 1635 Faraday Avenue Carlsbad, CA 92008-7314 www. firemall(d!cadsbadca.aov P: (760) 602-4665 I F: (760) 602-8561 Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.1A 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 5 1.3. Executive Summary Cryterion Medical, Inc. is submitting this Technical Report as part of a tenant improvement to remodel within (9,490 ft2) square feet of the existing (19,105 ft2) square feet building. Cryterion Medical Inc.'s proposed scope of work is a (one room buildout - Cubicle install with utilities). This Technical Opinion Report was prepared by Ricky R. Francis Sr., Certified California Fire Code Inspector (CFC0306.13), AS, CCFCI, Curriculum Vitae attached), of Occupational Services, Inc. (OSI), 6397 Nancy Ridge Drive, San Diego CA 92121, and (858) 558-6736. This report includes: Building/facility information, Operational information, Hazardous Materials information for 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011. 1.4. Building/Facility & Company Information Cryterion Medical existing facility building located at 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011 is Group "B" Occupancy, and Fully-Sprinklered. Building is divided into two suites by a demising wall. Cryterion Medical, Inc., will occupy Suite 100 which is (9,490 ft) square feet of the existing (19,105 ft2) square feet building. Cryterion Medical, Inc., is a medical device company conducting business at 1949 Palomar Oaks Way, Suite 100 in the City of Carlsbad California. Please refer Attachment I for facility site location. 1.5. Control Area Information [2016 CFC 5003.8.3 & 2016 CBC 414.2.2] Control areas shall comply with the 2016 CFC Sections 5003.8.3.1 through 5003.8.3.5. There is one control area in the building located at 1949 Palomar Oaks Way listed below. Refer to Attachment 3.4 for illustration of building Control Area Plan. I a) Suite 100-Control Area 1-(9,490 ft2) square feet-(Occupied by Cryterion Medical) b) Suite 150-Control Area 1-(9,615 ft2) square feet (Not Occupied by Cryterion Medical) 1 2. Hazardous Materials Information [2016 CFC 5001, 5003 & 5004] Cryterion Medical will store, use and handle Hazardous Materials at different locations within the facility. Hazardous Materials are stored, used and handled in accordance with the 2016 California Fire Code (CFC). None of the Hazardous Materials stored , used or handled within (Control Area 1) exceed the Maximum Allowable Quantity per Control Area of Hazardous Materials posing a Physical Hazard listed in 2016 CFC Table 5003.1.1(1), 5003.1.1(3) and 2016 (CBC) Table 307.1(1) or the Maximum Allowable Quantities (MAQs) per Control Area of Hazardous Materials posing a Health Hazard in 2016 (CFC) Table 5003.1.1(2), 5003.1.1(4) and 2016 (CBC) Table 307.1(2). 2.1. Table 1 Hazardous Materials Storage and Use Area Locations [2016 CFC 5001, 5003 & 5004] Storage of hazardous materials in amounts not exceeding the maximum allowable quantity per control area as set forth in the 2016 CFC Section 5003.1 shall be in accordance with the 2016 CFC Sections 5001 and 5003. Hazardous Materials will be stored, used and handled within designated areas of Cryterion Medical as indicated below in Table 1. Refer to Attachment 2 for Hazardous Materials storage and use locations. All Hazardous Materials are stored, used and handled in accordance with the 2016 California Fire Code. 8 QC Use & Handling Area 7Suite100 11 Wet Lab Use & Handling Area 100 12 Wet Lab Use & Handling Area 100 Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.IA 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 6 Table I (Designated Hazardous Materials Storage, Usage and Handling Area Locations) ROOM NUMBER ROOM NAME Storage, Use or Handling Area CONTROL AREA I 14 Shipping Receiving Storage Area Suite 100 15 R & D Lab Use & Handling Area Suite 100 2.2 Hazard Classification Process [2016 CFC500I.21 Table 2 (Chemical Inventory Form) and 2.3 (Detailed Inventory Report) of this Technical Report list of all hazardous materials stored, used and handled within Cryterion Medical, Inc., located at 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011. Table 2 (Chemical Inventory Form) inventory lists are sorted by Chemical Name, Common Name, and (%) Percent Concentration, (CAS#) Chemical Abstract Service Number, State and/or Form (Liquid, Solid, Gas), Quantity, Unit, Hazard Classification, Storage Location, and Use Location. Table 2.3 (Detailed Inventory Report) inventory lists are sorted by Storage & Use Location, (Class) Hazard Classification, (Cname) Chemical Name, (CAS#) Chemical Abstract Service Number, Unit and Quantity. All Hazard Classifications were verified from the chemical manufacturers Material Safety Data Sheets/Safety Data Sheets (MSDS/SDS), OSI's Chemical Classification Database, and the 2016 California Fire Code. For example, Acetone is listed in Table 2 (Chemical Inventory Form) and Table 2.3 (Detailed Inventory Report) has three hazard classes, Flammable Class I-B (F-IB) (chemical liquid has a flash point below 73 degrees Fahrenheit and boiling point of above 100 degrees Fahrenheit), Irritants (IRR) (acute chemical exposure irritates the skin), and Other Health Hazards (OHH) (chronic chemical exposure causes affect target organs of the human body: Central Nervous System (CNS), and Lung damage. Table 2.1 (Physical Hazard Report Summary) totals all chemical and/or hazardous material posing a physical hazard in accordance with the 2016 CBC Table 307.1(1). Table 2.2 (Health Hazard Report Summary) totals all chemical and/or hazardous material posing a health hazard in accordance with 2016 CBC Table 307.1(2). 2.3 Table 1.1 (Hazard Classes and Codes Reference Table) Table 1.1 below is a reference table for identifying the chemical hazard classification codes listed in Table 2. For example, Acetone listed in Table 2 above is classified as a Flammable Class I-B Liquid, an Irritant and Other Health Hazards. Table 2 indicates Acetone Hazard Classes as (FL-IB), (IRR), and (OHH). Table 1.1 Reference Table for (Hazard Classifications and Class Codes listed in Table I) HAZARD CLASSIFICATION HAZARDOUS CLASS CODE HAZARD CLASSIFICATION HAZARDOUS CLASS CODE COMBUSTIBLE DUST CD FLAMMABLE SOLID FLS COMBUSTIBLE FIBER (LOOSE) CFL INERT GAS, GAS OR LIQUIFIED INERT GAS COMBUSTIBLE FIBER (BALED) CFB ORGANIC PEROXIDE UD, I THRU V OP-(UD THRU V) COMBUSTIBLE LIQUID CLASS II CL-11 OXIDIZER CLASS ITHRU 4 OX-(1 THRU 4) COMBUSTIBLE LIQUID CLASS lilA CL-lIlA OXIDIZER GAS, GAS OR LIQUIFIED OX-GAS COMBUSTIBLE LIQUID CLASS IlIB CL-IllB PYROPHORIC MATERIAL PYRO CRYOGENIC FLAMMABLE CRYO-FLAM UNSTABLE (REACTIVE) I THRU 4 UR-(1 THRU 4) CONSUMER FIREWORKS 1.4G CFWI.4G WATER REACTIVE I THRU 3 WR-(1 THRU 3) CRYOGENIC OXIDIZING CRYO-OX CORROSIVES CORR CRYOGENIC INERT CRYO-INERT HIGHLY TOXICS HTOX EXPLOSIVES 1.1 thru 1.6 CORR TOXICS TOX FLAMMABLE GAS EXP-(1.1-1.6) IRRITANTS IRR FLAMMABLE LIQUID CLASS IA FLG OTHER HEALTH HAZARDS OHH FLAMMABLE LIQUID CLASS lB FL-IA SENSITIZERS SEN FLAMMABLE LIQUID CLASS IC FL-113 FLAMMABLE LIQUID CLASS COMBINATION (IA, lB IC) FL-(IA,IB,IC) Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.IA 3/23/2017) March 13, 2017 Hazardous Materials Technical Report --- Page 7 3. Table 2 (Chemical Inventory Form) Cryterion Medical, Inc., Control Area I Table 2 (Chemical Inventory Form), list Chemical Names, Common Names, CAS#, State: Liquid-(L), Solid-(S), Gas-(G), Quantity, Unit, Hazard Classification, Storage Location, and Use Location of every chemical in Cryterion Medical, Inc., (Control Area 1) chemical, inventory located at 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011. TABLE 2 CHEMICAL INVENTORY FORM CRYTERION MEDICAL, INC., CONTROL AREA I % Hazard Storage Use Location Common Name Chemical Name Conc. CAS# State Quantity Unit Class Location (Room) SHIPPING QC 8, WET LAB 11 & 12, Acetone (Sunnyside) Acetone 100% 67-64-1 L 5.0 Gal. FL-lB, IRR, OHH RECEIVING 14 R&D LAB 15 Cantesco 365 Leak Detection SHIPPING QC 8, WET LAB 11 & 12, Formula Leak Detection Fluid 30-60% 018001-00-0 L 1.0 Gal. IRR, OHH RECEIVING 14 R&D LAB 15 Clorox Bleach (Sodium SHIPPING QC 8, WET LAB 11 & 12, Hypochlorite) Bleach 8.25% 7681-52-9 L 1.0 Gal. CORR RECEIVING 14 R&D LAB 15 SHIPPING QC B. WET LAB 11 & 12, Devcon 5 Minute Epoxy 5-Minute Epoxy 40-40% 017998-00-0 L 0.013 Gal. CL-lllB, IRR, SEN RECEIVING 14 R&D LAB 15 FL-IB, IRR, OHH, SHIPPING QC 8, WET LAB 11 & 12, Isopropyl Alcohol 70% Isopropyl Alcohol 70% 67-63-0 L 0.075 Gal. OP-IV RECEIVING 14 R&D LAB 15 SHIPPING QC 8, WET LAB 11 & 12, Loctite 3321 Loctite 3321 30-40% 017996-00-0 L 0.007 Gal. CL-lIlA, IRR, SEN RECEIVING 14 R&D LAB 15 SHIPPING QC B. WET LAB 11 & 12, Loctite 4011 Loctite 4011 90-100% 000242-00-0 L 0023 Gal. CL-lilA, IRR, OHH RECEIVING 14 R&D LAB 15 SHIPPING QC 8, WET LAB 11 & 12, Loctite 4035 Loctite 4035 90-100% 017997-00-0 L 0.062 Gal. CL-IIIB, IRR, SEN RECEIVING 14 R&D LAB 15 SHIPPING QC 8, WET LAB 11 & 12, Loctite 4061 Loctite 4061 60-100% 1 7085-85-0 L 0 007 Gal. CL-111A, IRR, OHH RECEIVING 14 R&D LAB 15 Loctite 4310 SHIPPING QC 8, WET LAB 11 & 12, (Ethyl 2-cyanoacrylate) Loctite 4130 60-100% 7085-85-0 L 0.007 Gal. CL-111A, IRR, OHH RECEIVING 14 R&D LAB 15 SHIPPING Nitrogen (Compressed Gas) Nitrogen 100% 7727-37-9 G 800 Cft3 INERT GAS RECEIVING 14 WET LAB 11 & 12 SHIPPING Nitrous Oxide (N20) Air Gas Nitrous Oxide 100% 10024-97-2 G 2000 Cft3 OX-GAS RECEIVING 14 WET LAB 11 & 12 Propylene Glycol - Natures Oil USP CL-IIIB, IRR, SHIPPING QC 8, WET LAB 11 & 12, Grade Propylene Glycol 100% 57-55-6 L 5.0 Gal. OHH, SEN RECEIVING 14 R&D LAB 15 SF50 Solvent Degreaser SF50 Solvent Degreaser L&R SF-50 Solvent Free Degreaser L&R SF-50 Solvent Free Degreaser 1 SHIPPING QC 8, WET LAB 11 & 12, Concentrate Concentrate 50% 017999-00-0 L 1.0 Gal. IRR RECEIVING 14 R&D LAB 15 Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.IA 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 8 3.1. Table 2.1 (Physical Hazard Report Summary) Cryterion Medical, Inc., Control Area 1 Table 2.1 indicates total summary of Hazard Classifications per Control Area of hazardous material posing a Physical Hazard that is stored and/or used in Cryterion Medical Inc., Control Area 1 per 2016 CBC Table 307.1(1) and 2016 CFC Table 5003.1.1(1). TABLE 21-2016 CBC TABLE 307.1(1) MAXIMUM ALLOWABLE QUANTITY PER CONTROL AREA OF HAZARDOUS MATERIALS POSING A PHYSICAL HAZARD (Page 1) MATERIAL CLASS STORAGE USE-CLOSED SYSTEMS USE-OPEN SYSTEMS Solid pounds Liquid gallons Gas (cubic Solid pounds Liquid Gas Solid Liquid (cubic feet) (pounds) feet @ (cubic feet) gallons (cubic pounds gallons NTP) (pounds) feet @ (cubic (pounds) NTP) feet) Combustible dust N/A N/A N/A N/A N/A N/A Loose Combustible fiber Baled N/A N/A N/A N/A N/A Combustible liquid It lilA 0.007 Gal 0.037 Gal tuB 5.00 Gal 0.020 Gal N/A N/A N/A N/A N/A Cryogenic flammable NIA N/A N/A N/A N/A N/A Cryogenics, oxidizing N/A N/A N/A N/A N/A N/A Division 1.1 N/A N/A Division 1.2 N/A N/A Division 1.3 N/A N/A Division 1.4 N/A N/A N/A N/A Explosives Division 1.4G N/A N/A N/A N/A N/A N/A Division 1.5 N/A N/A Division 1.6 N/A N/A N/A N/A N/A N/A N/A - - - - - - - - - - - - - - - - - - - Cryterion Medical, Inc (Plan Check No: C2017-0056) (Rev.IA 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 9 TABLE 2.1-2016 CBC TABLE 307.1 (1) MAXIMUM ALLOWABLE QUANTITY PER CONTROL AREA OF HAZARDOUS MATERIALS POSING A PHYSICAL HAZARD (Page 2) MATERIAL CLASS STORAGE USE-CLOSED SYSTEMS USE-OPEN SYSTEMS Solid pounds Liquid gallons Gas (cubic Solid pounds Liquid Gas Solid Liquid (cubic feet) (pounds) feet @ (cubic feet) gallons (cubic pounds gallons NTP) (pounds) feet @ (cubic (pounds) NTP) feet) Flammable gas Gaseous N/A N/A Liquefied N/A N/A N/A N/A N/A N/A IA Flammable liquid lB and IC N/A 5.00 Gal N/A N/A N/A N/A 0.075 Gal Flammable liquid, Combination NIA (IA,IB,IC) N/A 5.00 Gal N/A N/A N/A N/A 0.075 Gal Flammable solid NIA N/A N/A N/A N/A N/A Inert Gas Gaseous N/A N/A 600 Cft3 N/A N/A 200 Cft3 N/A N/A Liquefied N/A N/A NL N/A N/A NL NA N/A Cryogenic Inert NA N/A N/A N/A N/A NL N/A N/A UD N/A N/A I N/A N/A Organic peroxide If N/A N/A Ill N/A N/A IV 0.075 Gal N/A N/A V N/A N/A Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.IA 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 10 TABLE 2.1-2016 CBC TABLE 307.1(1) MAXIMUM ALLOWABLE QUANTITY PER CONTROL AREA OF HAZARDOUS MATERIALS POSING A PHYSICAL HAZARD (Page 3) MATERIAL CLASS STORAGE USE-CLOSED SYSTEMS USE-OPEN SYSTEMS Solid pounds Liquid gallons Gas (cubic Solid pounds Liquid Gas Solid Liquid (cubic feet) (pounds) feet @ (cubic feet) gallons (cubic pounds gallons NTP) (pounds) feet @ (cubic (pounds) NTP) feet) N/A N/A 3 N/A N/A Oxidizer 2 N/A N/A 1 .026 Gal N/A N/A Oxidizing gas Gaseous N/A N/A 1600 Ctt3 N/A N/A 400 Cft3 N/A N/A Liquefied N/A N/A N/A N/A N/A N/A Pyrophoric N/A 4 3 Unstable (reactive) 2 Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.IA 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 11 TABLE 2.1-2016 CBC TABLE 307.1(1) MAXIMUM ALLOWABLE QUANTITY PER CONTROL AREA OF HAZARDOUS MATERIALS POSING A PHYSICAL HAZARD (Page 4) MATERIAL CLASS STORAGE USE-CLOSED SYSTEMS USE-OPEN SYSTEMS Solid pounds Liquid gallons Gas (cubic Solid pounds Liquid Gas Solid Liquid (cubic feet) (pounds) feet @ (cubic feet) gallons (cubic pounds gallons NTP) (pounds) feet @ (cubic feet) (pounds) NTP) N/A N/A 2 N/A N/A Water reactive I N/A N/A For SI: I cubic foot = 0.023 m3, 1 pound = 0.454 kg, 1 gallon = 3.785 L. NL = Not Limited; NIA = Not Applicable; UD = Unclassified Detonable p. The following shall not be Included in determining the maximum allowable quantities: Liquid or gaseous fuel In fuel tanks on vehicles. Liquid or gaseous fuel In fuel tanks on motorized equipment operated In accordance with this code. Gaseous fuels in piping systems and fixed appliances regulated by the International Fuel Gas Code. Liquid fuels in piping systems and fixed appliances regulated by the International Mechanical Code. Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.1A 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 12 3.2. Table 2.2 (Health Hazard Report Summary) Cryterion Medical, Inc., Control Area I Table 2.2 indicates total summary of Hazard Classifications per Control Area of hazardous material posing a Health Hazard that is stored and/or used in Cryterion Medical, Inc., Control Area I per 2016 CBC Table 307.1(1) and 2016 CFC Table 5003.1.1(1). MTERiAL PèSI1L HEALTiHAZARD YST EM M WATERIO c 2C Ov 1.00 Gal ilv For SI: 1 cubic foot = 0.028 m3, 1 pound = 0.454 kg, 1 gallon = 3.785 L. I Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.1A 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 13 3.3 Table 2.3 (Detailed Inventory Report) Cryterion Medical, Inc., Control Area 1 Table 2.3 (Detailed Inventory Report) for a list of Chemicals and/or Hazardous Materials stored and/or used by Cryterion Medical Facility within Control Area 1. Inventory Report for Cryterion Medical Inc., 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011 Location Stor Loc.- Warehouse & Use Loc: QC Lab 8, Wet Lab ll,& 12, R&D Lab 15 Class: COMBUSTIBLE LIQUID CLASS Ill-A (LIQUIDS) Cname CAN Unit Quantity Quantity in Gallon Loctite 3321 017996-00-0 Gal 0.007 0.007 Loctitc 4011 000242-00-0 Gal 0 023 0 023 L.octite 4061 7085-85-0 Gal 0 007 0 007 Loctite 4310 (Ethyl 2-cyanoaylatc) 7095-85-0 Gal 0.007 0.007 Summat y for Gallons (4 detail records Siiiii 0.044 Class: COMBUSTIBLE LIQUID CLASS 111-B (LIQUIDS) Cname CAS# Unit Quantity Quantity in Gallon Devcon 5 Minute Epoxy 017998-00.0 Gal 0.013 0013 Loctite 4035 017997-00-0 Gal 0.007 0 007 Propylene Glycol - Nature's Oil (iSP Grade 57-55-6 Gal 5 000 5.000 Summary fix Gallons (3 detail recoids Sum 5.020 Class.- CORROSIT'ES (LIQUIDS) Cname CAS# Unit Quantity Quantity in Gallon Clorox Bleach (Sodium H>podilonte) 7681-52-9 Gal 1 000 1000 Summary for Gallons it detail record) Sum 1.000 Monday. March 13. 2017 Page 1 of 4 I Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.IA 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 14 I Location Stor Loc. Warehouse .& Use Loc: QC Lab 8, Wet Lab ll,& 12, R&D Lab 15 I Class. FL4MMABLE LIQUID GL4SS 1-B (LIQUIDS) Cname CAS# Unit Quantity Quantity in Gallon I Acetone (sunnysidc) 67-64-I Gal 5.000 5 000 Isopropyl Alcohol 70% 67-63-0 Gal 0.075 0.075 I Summary for Gallons 12 detail records Sum 5.075 I Class: IRRITANTS (LIQUIDS) Cname CAN Unit Quantity Quantity In Gallon Acetone (swinyside) 67-64-I Gal 5.000 5000 Canteson 365 Leak Detection Formula 018001-00.0 Gal 1.000 I 1000 Devcon 5 Minute Epoxy 017998-00-0 Gal 0.013 0013 I Isopropyl Alcohol 70% 67-63-0 Gal 0 075 0 075 Loctite 3321 017996-00-0 Gal 0.007 0007 Loctite 4011 000242-00-0 Gal 0.023 0 023 Loctite 4035 017997-00-0 Gal 0.007 I 0.007 Loctite 4061 7085.85.0 Gal 0 007 0007 I Loctite 4310 (Ethyl 2-cyanoaaylatc) 7085-85-0 Gal 0 007 0.007 Propylene Glycol - Natures Oil USP Grade 57.55.6 Gal 5 000 5 000 SF50 Solvent DegreaserLAR SF-SO Solvent 017999-00-0 Gal 1000 1.000 l Sunimai y for Gallons Ut detail records) Sum 12.139 I Class.- OTHER HEALTH HAZ4RDS (LIQUIDS) Cname CAS# Unit Quantity Quantity in Gallon Acetone tsunnyside 67-64-I Gal 5000 5000 Cantesco 365 Leak Detection Formula 018001-00-0 Gal 1000 I 1000 Isopropyl Alcohol 70% 67-63-0 Gal 0075 0075 Loctite 4011 000242-00-0 Gal 0.023 0 023 Monday. Mardi 13.2017 I I I Page 014 I Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.1A 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 15 I I Location Stor Loc.- Warehouse & Use Loc: QC Lab 8, Wet Lab 11, & 12, R&D Lab 15 I Class.' OTHER HEALTH HAZ4RDS 'LIQUIDS) Cnanae CAS# Unit Quantity Quantity in Gallon I Loctite 4061 7085-55.0 Gal 0007 0.007 Loctite 4310 (Ethyl 2-cyanoaaylate) 7085-85-0 Gal 0007 0007 Propylene Glycol - Nature's Oil USP Grade 57-55-6 Gal 5 000 5 000 Summary for Gallons (7 detail records) Sum 11.112 I Class: ORGANIC PEROXIDES CL4SS IV (LIQUIDS) Cnarne CAS# Unit Quantity Quantity in Gallon I Isopropyl Alcohol 70% 67.63-0 Gal 0075 0075 Summary for Gallons (1 detail record) Sum 0.015 I Class: SENSITIZERS (LIQUIDS) Cnarne CAS# Unit Quantity Quantity In Gallon Dcvcon 5 Minute Epoxy 017995.00.0 Gal 0.013 I 0.013 Loctite 3321 017996-00-0 Gal 0.007 0 007 I Loctite 4035 017997.00-0 Gal 0.007 0.007 Piopylenc Glycol - Natuic's Oil USP Grade 57.55.6 Gal 5 000 5.000 Summary foi Gallons 14 detail records) Sum I I 5.027 Monday. Mardi 13. 2017 I 1 I Page 3 of 4 I Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.IA 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 16 I I Location Stor. Loc.- Warehouse & Use Loc: Wet Lab 11 & 12 Class: INERT GAS, GASEOUS (GAS) I Cnanae CAS# Unit Quantity Quantity in Cu. Ft. Nitrogen (Compressed Gas 7727-37-9 Cft3 800.000 800 000 Summary for Cu. Ft. (1 detail record Sum 800.000 I Class: OXIDIZER GAS GASEOUS (GAS) Cname CAS# Unit Quantity Quantity In Cu. Ft. Nitrous Oxide (N20) Air Gas 10024.97-2 Cft3 2000.000 2.000 000 Summary for Cu Ft. (1 detail record) I Sum I I I I 2.000.000 I I I Page 4 of 4 Monday. Mardi 13. 2017 I II I Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.1A 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 17 3.4. Attachment Information Attachment 1 is a copy of Cryterion Medical, Vicinity Map showing overall vicinity and project site location for Cryterion Medical, Inc.'s facility located at 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011. Attachment 2 is a copy of Cryterion Medical, Inc.'s facility First Floor Plan located at 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011. Attachment 3 is a copy of the proposed Nitrous Oxide System(s) to be installed within Cryterion Medical, Inc.'s facility located at 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011. Attachment 3.1 is a copy of the proposed HVAC System to be installed within Cryterion Medical, Inc.'s facility located at 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011. Attachment 3.2 is a copy of the proposed Exhaust System (Mechanical Schedule) to be installed within Cryterion Medical, Inc.'s facility located at 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011. Attachment 3.3 is a copy of the proposed Exhaust System to be installed within Cryterion Medical, Inc.'s facility Wet Lab(s) 11 & 12 located at 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011. Attachment 3.4 is a copy of the Control Area plan within Cryterion Medical, Inc.'s facility located at 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011. Attachment 4 is a copy of Curriculum Vitae for Ricky R. Francis Sr. Attachment 5 is a copy of NCSA Certificate Number CFC0306.13 for Ricky R. Francis, Sr.: Certified California Fire Code Inspector. 3.5. Operational Information Cryterion Medical, Inc., is a medical device company located at 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011. Cryterion Medical, Inc., will store, use and handle Hazardous Materials within the building/facility. An operational permit is required to store, transport on site, dispense, use or handle hazardous materials in excess of the amounts listed below in the 2016 CFC Table 105.6.21. Cryterion Medical, Inc., will stored, used and handled Hazardous Materials in accordance with the 2016 California Fire Code (CFC) 2016 California Building Code (CBC) and all state, federal, and local regulations. 2016 CFC Table 105.6.21 PERMIT AMOUNTS FOR HAZARDOUS MATERIALS TYPE OF MATERIAL AMOUNT Combustible Liquids See Section 2016 CFC 105.6.17 Corrosive materials Gases See Section 2016 CFC 105.6.9 Liquids 55 gallons Solids 500 pounds Explosive materials See Section 2016 CFC 105.6.15 Flammable materials Gases See Section 2016 CFC 105.6.9 Liquids See Section 2016 CFC 105.6.17 Solids 100 pounds Highly toxic materials Gases See Section 2016 CFC 105.6.9 Liquids Any Amount Solids Any Amount Oxidizing materials See Section 2016 CFC 105.6.9 Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.1A 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 18 2016 CFC Table 105.6.21 PERMIT AMOUNTS FOR HAZARDOUS MATERIALS TYPE OF MATERIAL AMOUNT Gases Liquids Any Amount 1 gallon Class 4 10 gallons Class 3 55 gallons Class 2 Class 1 Any Amount Solids 10 pounds Class 4 100 pounds Class 3 500 pounds Class 2 Class 1 Organic peroxides Liquids Class I Any Amount Class II Any Amount Class III 1 gallon Class IV 2 gallons Class V No Permit Required Solids Class I Any Amount Class II Any Amount Class III 10 pounds Class IV 20 pounds Class V No Permit Required Pyrophoric materials Gases Any Amount Liquids Any Amount Solids Any Amount Toxic materials Gases See Section 2016 CFC 105.6.9 Liquids 10 gallons Solids 100 pounds Unstable (reactive) materials Liquids Any Amount Any Amount Class 4 5ga11ons Class 3 10 gallons Class 2 Class 1 Any Amount Solids Any Amount Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.IA 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 19 2016 CFC Table 105.6.21 PERMIT AMOUNTS FOR HAZARDOUS MATERIALS TYPE OF MATERIAL AMOUNT Class 4 50 pounds Class 3 100 pounds Class 2 Class I Water-reactive materials Liquids Any Amount Class 3 5ga11ons Class 2 55 gallons Class I Solids Class 3 Any Amount Class 2 50 pounds Class 1 500 pounds 4. Operational Controls The following operational controls are installed in Cryterion Medical, Inc.'s facility located at 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011 4.1. Automatic Fire Extinguishing System for buildings 12016 CFC 903&2OI6NFPA 131 Cryterion Medical, Inc.'s facility is equipped with an approved, automatic wet fire extinguishing system in accordance with the 2016 CFC Section 903 and the 2016 NFPA 13. I 4.2. Fire Extinguishers (2016 CFC 9061 The Cryterion Medical, Inc.'s facility will be equipped with portable dry chemical fire extinguishers. There will I be an appropriate amount of approved fire extinguishers mounted not more than 75 feet apart within Cryterion Medical, Inc.'s facility located at 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011. 4.3. Security (20 14 NFPA 730 & 2015 NFPA 7311 Cryterion Medical, Inc.'s Facility hazardous material storage areas are equipped security measures to prevent unauthorized entry or access to hazardous materials. The security measures in place at 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011 is within compliance of the Code. 4.4. Seismic Bracing and Shelf Construction for hazardous materials [2016 CFC 5003.9.91 Shelves greater than six feet high are braced and anchored and is of substantial construction. Shelves are provided with lips or guards. Shelf storage of Hazardous Materials are maintained in an orderly manner and in compliance with the Code. 4.5. Storage of Hazardous Materials (2016 CBC Table 307.1 (1) & Table 307.1 (2) and 2016 CFC 5001, 5003, Tables 5003.1.1(1) through Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.IA 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 20 5003.1.1(4), 5003, 5004] The storage, use and handling of hazardous materials in quantities not exceeding the maximum allowable quantity per control area indicated in 2016 CFC Tables 5003.1.1 (1) through 5003.1.1(4), shall be in accordance with the 2016 CFC Sections 5001 and 5003. None of the hazardous materials stored, used or handled at Cryterion Medical, Inc.'s facility exceed the maximum allowable quantity per control area for "B" Occupancy in accordance with the 2016 CFC. 4.6. Approved Flammable Liquid and Hazardous Materials Storage Cabinets [2016 CFC 5003.8.7 & 5704.3.2] Where storage cabinets are used to increase maximum allowable quantity per control area or comply with the 2016 CFC Chapter 50 such cabinets shall be in accordance with the 2016 CFC Sections 5003.8.7.1 and 5003.8.7.2. Flammable and combustible liquids are stored in approved flammable & combustible liquid and approved (DOT) storage containers. Doors are well fitted, self-closing, and equipped with a latch. Cabinets shall be in accordance with the 2016 CFC Sections 5003.8.7.1. Safety cans are listed in accordance with (UL 30) when used to increase maximum allowable quantity of flammable or combustible liquids. All Hazardous Materials are stored in (FM) approved and/or (UL) Listed self-closing safety cabinets or containers. I 4.7. Separation of Incompatible Materials [2016 CFC 5003.9.8] Incompatible materials are separated from each other in storage in (FM) approved self-closing storage I cabinets, or in separate (UL) listed or (DOT) approved waste collection containers. To ensure compliance, one or more of the following methods will separate incompatible materials: Storage in separate approved self-closing storage cabinets as follows: Flammable/Combustible liquids (Class I, II, and Ill-A) is stored in approved flammable liquids cabinets, Acids are stored in acid cabinets, Bases are stored in base cabinets. Trained personnel will further distinguish between incompatible materials (i.e. acids and bases; oxidizers and flammables; acids and flammables) and store them in an appropriate manner with adequate distance to avoid incompatible reactions. Incompatible gases are separated by a distance of more than twenty feet Incompatibles are separated using noncombustible partitions/barrier greater than 18" high. Employees and Staff whose job requires them to handle hazardous materials will receive chemical safety instruction on the separation of incompatible materials 4.8. Empty Containers and Tanks [2016 CFC 5003.2.5, 2012 NFPA 30] The storage of empty containers and tanks previously used for the storage of flammable or combustible liquids, unless free from explosive vapors, is stored as required for filled tanks and containers. Tank and containers, when emptied will have the covers or plugs immediately replaced in openings. In accordance with the 2016 CFC and 2012 NFPA 30. 4.9. Sources of Ignition [2016 CFC 5003.7, 5704.2.4 & 5803.1.41 In locations where flammable vapors could be present, precautions are taken to prevent ignition by eliminating or controlling sources of ignition. Adequate grounding and bonding is provided to prevent the accumulation of static electricity wherever Class I or II liquids are stored, used and handled. Smoking and open flames are prohibited in locations where flammable vapors could be present. Sources of ignition will comply with the 2016 CFC Sections 5003.7.1 through 5003.7.3. Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.1A 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 21 4.10 Building Exhaust and Ventilation [2016 CIVIC Chapter-5, 2016 CFC 5001 .3.3.10] Where ventilation is necessary to limit the risk of creating an emergency condition resulting from normal or abnormal operations, means of ventilation shall be provided. Wet Laboratories 11 and 12 each will be provided 50 cfm per snorkel with a nitrous oxide hose running into each snorkel and flowing at 0.25 cfm. Nitrous Oxide is pumped in and out at a rate of 0.25 cfm on four (4) minute cycles. Maximum use on one station would be approximately 80 cycles in eight (8) hour shift on a very busy day. Refer to Attachment 3 and Attachment 3.1 for proposed Nitrous Oxide and HVAC System(s) design located at 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011. 4.11. Hazard Identification Signs [2016 CFC 5003.5 & 5703.5, 2012 NFPA 7041 Unless otherwise exempted by the fire code official, visible hazard identification signs specified in 2012 NFPA 704 for the specific material contained shall be placed on stationary containers and above ground tanks and at entrances to locations where hazardous materials are stored, dispensed, used or handled in quantities requiring a permit and at specific entrances and locations designated by the fire code official. The marking and Identification Signs is in accordance with the 2016 CFC Sections 5003.5, 5703.5 and the 2012 NFPA 704. 4.12. Laboratory use of Combustible and Flammable Liquids I Cryterion Medical, Inc., will dispense combustible and flammable liquids within locations identified in Table 1. Combustible and flammable liquids when used in any amount in their pure form, they will be used within the facility areas identified in Table 1. Class lB Flammable liquid (70% isopropyl I alcohol) will be used as a laboratory disinfectant within the areas identified in Table 1 and Attachment 2. Combustible and/or flammable liquids transferred into Low-density polyethylene (LDPE) safety wash bottle(s) (Model No. 2425-0504) complying with OSHA regulations. Refer to I (Figure 1) for picture of Low-density polyethylene (LDPE) safety wash bottles/squirt bottles (Model No. 2425-0504). (Figure 1) Low-density polyethylene (LDPE) safety wash bottles 4.13. Compressed Gases (2016 CFC 5301, 55011 Storage, use and handling of compressed gas containers, cylinders, tank and systems shall comply with the 2016 CFC Chapter 53. Partially full compressed gas containers, cylinders or tanks containing residual gases shall be considered as full containers for the purposes of the controls required. Compressed gases in service and in storage are stored upright and adequately secured in a Gas Cabinet with one or more support straps and/or chains to prevent cylinders from falling or being knocked over. Cylinders, including empty ones, will have their caps in place and valves tightly closed. Cylinder will always be secured. Cylinders will only be moved by properly trained Cryterion Medical employees and Licensed Commercial Contractors with an approved cylinder cart and/or dolly. The storage, use and handling of compressed gases at Cryterion Medical, Inc., shall be in accordance with the 2016 CFC. Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.1A 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 22 4.14. Oxidizing Materials [2016 CFC 63031 The storage and use of oxidizing materials in amounts not exceeding the maximum Allowable quantity per control area indicated in the 2016 CFC Section 5003.1 shall be in accordance with the 2016 CFC Sections 5001, 5003, 6301 and 6303 and Chapter 53... Cryterion Medical, Inc., will store and use oxidizing materials In quantities below maximum allowable quantities indicated in the 2016 CFC Table 5003.1.1(1). Oxidizing materials will be stored, used and handled in accordance with the 2016 CFC Sections 5001, 5003, 6301 and 6303. 4.15. Oxidizing Gases [2016 CFC Chapters 50, 53, 63] The storage, handling and use of oxidizing gases shall be in accordance with the 2016 CFC Chapter 50, Chapter 53, and Chapter 63. Cryterion Medical, Inc., proposed to install a Nitrous Oxide Gas system installed within Wet Lab (11) and Wet Lab (12). The Nitrous Oxide System(s) are designed to provide a continuous flow of Nitrous Oxide in and out of the system at an approximate rate of 0.25 cubic feet per minute (cfm). Refer to Attachment 3 for Nitrous Oxide System design. 4.16. Organic Peroxides [2016 CFC 6201, 2002 NFPA 4321 The storage and use of organic peroxides in amounts not exceeding the maximum Allowable quantity per control area indicated in the 2016 CFC Section 5003.1 shall be in accordance with the 2016 CFC Sections 5001, 5003, 6201 and 6203. Cryterion Medical, Inc., will store and use organic Peroxides in quantities below maximum allowable quantities indicated in the 2016 CFC Table 5003.1.1(1). Organic Peroxides will be stored, used and handled in accordance with the 2016 CFC and the 2002 NFPA 432. 4.17. Spill Control & Secondary Containment for liquid & Solid Hazardous Materials [2016 CFC 5004.2] Rooms, buildings or areas used for the storage of liquid or solid hazardous materials shall be provided with spill control and secondary containment in accordance with the 2016 CFC Sections 5004.2.1 through 5004.2.3. Spill control and secondary containment will be in accordance the 2016 CFC. 4.18. Explosion Control [2016 CFC 911, 5004.6 & 5005.2. 1.2] Explosion control shall be provided in accordance with the 2016 CFC Section 5004.6 when an explosive environment can occur because of the characteristics or nature of the hazardous materials dispensed, used, or as a result of the dispensing use process. The explosion controls within Cryterion Medical Inc.'s facility will be in compliance with the 2016 CFC Sections 911, & 5004.6. 4.19. Limit Controls 12016 CFC 5005.1.4] Limit controls shall be in accordance with the 2016 CFC Sections 5005.1.4.1 through 5005.1.4.4. Temperature Controls will be maintained in the event of a power failure. Temperature controls will be in compliance with the 2016 CFC. Pressure controls are not applicable. Cryterion Medical, Inc.'s facility will not store stationary tanks onsite. 4.20. Treatment Systems [TITLE 22 CCR CH-12 ARTICLE-1 (66262.10] A generator who treats, stores, or disposes of hazardous waste on-site shall comply with the California Code of Regulations Title 22. Social Security, Division 4.5. Environmental Health Standards for the Management of Hazardous Waste Chapter 12-Standards Applicable to Generators of Hazardous Waste Article 1- Applicability, Section 66262.10. Cryterion Medical will properly manage any hazardous waste generated at 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011 in accordance with all Federal, State and Local regulations. Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.IA 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 23 4.21. Protection from Vehicles [2016 CFC 312] Vehicle impact protection required by the 2016 CFC Section 312 shall be provided by posts that comply with the 2016 CFC Section 312.2 or by other approved physical barriers that comply with the 2016 CFC Section 312.3. Currently Cryterion Medical, Inc.'s facility stores all hazardous materials inside the building and any vehicle impact protection required will be in compliance with the 2016 CFC Section 312. 4.22. Employee Training and Response Procedures/Hazard Communication [2016 CFC 406, 2016 CFC 407, and Title 8 CCR 5194] Persons responsible for the operational of areas in which hazardous materials are stored, bulked, dispensed, handled, or used shall be trained initially and annually on the chemical hazards of the materials and the appropriate spill mitigation procedures. The supplied training is in compliance with 2016 CFC Section 406, 2016 CFC Section 407, and Cal/OSHA Title 8 CCR §5194. Cryterion Medical will provide Cal/OSHA compliant Hazard Communication safety training course and will continue to provide refresher courses every year. The following information is taught to each hazmat employee in the facility: In the event of a FIRE: First, immediately notify local fire department by dialing 911 from a landline when possible, versus a mobile phone. Next, if possible, have an employee trained on the proper use of a fire extinguisher extinguish the fire with an ABC or D fire extinguisher. If the fire cannot be extinguished safely with one extinguisher, evacuate all personnel from the building. SMALL SPILL: Use the emergency spill kits compatible with the spilled materials. Refer to Material Safety I Data Sheets (MSDS) and/or Safety Data Sheets (SDS) for protective clothing and clean up guidelines. Waste products are handled and disposed of as hazardous waste. I LARGE SPILL: Secure the area and warn others away. Contact Eugene J. Jung Jr.. (631) 921-6820 to develop a clean-up plan. Call the Fire Department by dialing 911 if the spill represents a health hazard or materials are released outside of the building. Arrangements will be made with a licensed disposal firm for assistance with cleanup and disposal of any hazardous wastes. 5. Hazardous Materials Information Summary The chemical classifications within this technical report are based on 2016 CBC Tables 307.1(1) and 307.1(2) and the 2016 CFC Tables 5003.1.1(1) through 5003.1.1(4). None of the hazardous materials exceed the Maximum Allowable Quantities (MAQs) for Physical or Health Hazards for storage or use. This technical report identifies hazardous materials by chemical name and Chemical Abstract Service (CAS) Number. All classifications were based on hazard categories delineated in 2016 CFC Appendix E "Hazard Categories," chemical Material Safety Data Sheets (MSDS) and/or Safety Data Sheets (SDS). Aggregate quantities of each hazardous material and each hazard category have been specified. Materials have been identified as: in use, open system use, closed system use. The aggregate quantity in use and storage shall not exceed the quantity listed for storage. I Cryterion Medical, Inc., will store, transport on site, use and handle hazardous materials in amounts not exceeding Maximum Allowable Quantities (MAQs) per Control Area listed in the 2016 California Fire Code Table 5003.1.1(1) through 5003.1.1(4) and the 2016 California Building Code Tables 307.1(1) and 1 307.1(2) in its facility located at 1949 Palomar Oaks Way, Suite 100, in the city of Carlsbad California. I certify that all information contained herein, including the attachments, are true and correct. I have authority ' to act on behalf of Cryterion Medical, Inc., relative to matters involved in this Technical Opinion Report. A copy of my Curriculum Vitae (Attachment 4) is attached along with a copy of current certification as a Certified California Fire Code Inspector from National Code Services Association (Attachment 5). I Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.1A 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 24 I Approved: Ricky R. Francis Sr., AS, CCFCI Certified California Fire Code Inspector Occupational Services, Inc. 6397 Nancy Ridge Drive San Diego, CA 92121 Tel: 858-558-6736/Fax: 858-558-6756 I www.occserv.com Reviewed and Approved: V. Chad Hansen, MS, CIH, CSP, CPE Vice President Occupational Services, Inc. 6397 Nancy Ridge Drive San Diego, CA 92121 Tel: 858-558-6736/Fax: 858-558-6756 I www.occserv.com As a representative of Cryterion Medical, Inc., I certify that I have reviewed and approve all of the information contained herein, including the attachments of this Technical Opinion Report, I act on behalf of Cryterion Medical, Inc., relative to matters involved in this Technical Opinion Report. Reviewed and Approved: Eugene J. Jung Jr., Cryterion Medical, Inc. 1949 Palomar Oaks, Way, Suite 100 Carlsbad CA 92011 Tel: (631) 921-6820 Cryterion Medical, Inc. (Plan Check No. C2017-0056) (Rev.IA 3/23/2017) March 13, 2017 Technical Report / Chemical Classification Packet Page 25 Attachment I (Vicinity Map-Project Site) Attachment I is a copy of Cryterion Medical, Vicinity Map showing overall vicinity and project site location for Cryterion Medical, Inc.'s facility located at 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011. Palomar Oaks Way ji parking Not Occupied by Cryterion 1945 Palomar Oaks Way I *Evacuation Area mar uas vvay Cryterion Medical Suite 1OO- - % 40 Project Site Location No Gas to building Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.1A 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 26 Attachment 2 (Facility First Floor Plan) Attachment 2 is a copy of Cryterion Medical, Inc.'s facility First Floor Plan located at 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011. First Floor Plan Cyterion Medical 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011 Hazardous Materials Use Locations III III I II NOx Storage NOx Use IIa)Ji:?ja Hazardous Materials Storage And Waste Storage Area EXISTING OPEN OFFICE AREA EXISTING OFFICE EXISTING OFFICE EXISTING CONFERENCE ROOM BREAK ROOM CONFERENCE ROOM OPEN WORK AREA QC JANITOR CLOSET IT SERVER ROOM WET LAB WET LAB STORAGE CAGE SHIPPING RECEIVING R&D LAB a) Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.IA 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 27 Attachment 3 (Nitrous Oxide System Design) Attachment 3 is a copy of the proposed Nitrous Oxide System(s) to be installed within Cryterion Medical, Inc.'s facility located at 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011. NOx hose connected to Exhaust Pipe Lb r- JrR 2 JL !7 41 W 05 _ ApproxJn1te Pump Location: The hose coniiioff of the equipment can be long p(ough to allow to slide the pump location a few feet in each direction NOx Returned into Pump NOx is Pumped in and out at a rate of approximately 0.25 CFMs on 4 minute cycles. Maximum use on one station would be approximately 80 cycles in an 8 hr. shift on a very busy day. Plan to have one Station in Room 11 and one in Room 12 Confidential: Property of Cryterion Medical NOx Pumped out to exhaust Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.IA 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 28 Attachment 3.1 (18t DEMO HVAC Floor Plan MI.1) Attachment 3.1 is a copy of the proposed HVAC System to be installed within Cryterion Medical, Inc.'s facility located at 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011. . DW WI PC L on A161K W/ IC 1 — OR ' nf ILL aw r NO 10 ME LE!r IOU ®EXHAUST FAN 4 SECTION VIEW (I) O• - MECHANICAL NEW WORK FLOOR PLAN A Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.IA 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 29 Attachment 3.2 (Mechanical Schedule MO.2) Attachment 3.2 is a copy of the proposed Exhaust System (Mechanical Schedule) to be installed within Cryterion Medical, Inc.'s facility located at 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011. EXISTING HEAT PUMP UNIT SCHEDULE - --., DIFFUSERS. GRILLES & REGISTERS CC fi-fi 5 Ia P5 - y y. - ,T. VP C - * 115 - - ,C... fl-flfl - ••_S PS - CPay lie fifi P0 - fiF 1*-PS W* 50 Pm - flt n uS Sn - 50. IJV I CIa U5& PAW lAPS flat ycy - SWAn Ala yI5 a PAW-Pd - 1501 Nfl C Ills 50IC SIC Eb NahonaIS MO.2 Cryterion Medical, Inc. (Plan Check No C2017-0056) (Rev.IA 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 30 Attachment 3.3 (Wet Lab(s) 11 & 12 Exhaust System Plan) Attachment 3.3 is a copy of the proposed Exhaust System to be installed within Cryterion Medical, Inc.'s facility Wet Lab(s) 11 & 12 located at 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011. EF-3 (ROOF OPENING. FRAMING AND FLASHING BY OTHERS) 1 Ox 10 METAL DUCT W/ PVC COATIC 4 METAL PIPE W/ PVC COATING OR PVC PIPE CEILING BACKDRAFT DAMPER (!2) WET LAB iH 2" GAP BETWEENI I NOZZLE AND HO! NOx HOSE TO EXHALJtT PIPE (INSTALL BY CTHERS1, (ii) WET LAa 4"0 METAL PIPE W/ PVC COATING OR PVC PIPE EXH. NOZZLE NOx HOSE TO EXHAUST PIPE - (INSTALL BY OTHERS) NOx PUMP—' '—NOx PUMP (FURNISH AND INSTALL (FURNISH AND INSTALL BY OTHERS) BY OTHERS) EXHAUST FAN -3 SECTION VIEW ccALF 1/4" — Control Area 1 Suite 150 Not occupied by Cryterion Medical, Inc. Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.IA 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 31 Attachment 3.4 (Control Area Plan) Attachment 3.4 is a copy of the Control Area Plan with Demising Wall within Cryterion Medical, Inc.'s facility located at 1949 Palomar Oaks Way, Suite 100, Carlsbad CA 92011. Demising I - ( .1 - Control Area 1 1 I Suite 100 Occupied By Cryterion Medical, Inc. ci " k..:AD 'let _a' i • r I 1. • 0 49 : L1L I- - - .--, tj CD Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.1A 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 32 Attachment 4 (Curriculum Vitae) Curriculum Vitae for Ricky R. Francis Sr., AS, CCFCI EDUCATION Associate Science Degree, Environmental Health and Safety Management (EHSM), Cuyamaca College, San Diego, California 2009. PROFESSIONAL TRAINING National Code Services 2014 California Fire Code Inspector Recertification Exam, 2014 National Code Services 2016 California Fire Code Training, 2016 California Fire Prevention Officers 2009 IFC High-Piled Combustible Storage Training, 2012 Confined Space Entry Certification Training Certificate OSHA 29CFR (1910.146) 2004 OSHA 40-Hour HAZWOPER Training, 2004 with Eight Hour HAZWOPER Refresher Training, 2016. US Navy Hazardous Materials Control and Management (HMC&M) Technician, Naval Occupational Safety and Health and Environmental Training, 1995 PROFESSIONAL HISTORY Occupational Services, Inc. (2001 to Present) Hazardous Materials Specialist: Conducts chemical inventories, hazardous materials technical reports and Combustible, Explosive and Dangerous Materials (CEDMAT) inspection preparation, providing accurate Chemical Health Hazard, Physical Hazard and Chemical Hazard Classification limits per building control area in accordance with the 2016 California Fire Code and Building Code. Prepares Combustible, Explosive and Dangerous Materials (CEDMAT) reports, state and local Hazardous Materials Business Plans (HMBP). Updates and maintains a Microsoft Access Database Chemical Classification Program of over 200,000 chemicals, and chemical compounds. Accomplishments: Compiles required physical chemical inventories of over 150,000 hazardous/non-hazardous chemicals and chemical compounds. Provides necessary chemical safety Material Safety Data Sheet (MSDS) and/or Safety Data Sheet (SDS) training. Drafted and implemented over 50 Occupational Safety Injury Illness and Prevention Programs (llPP), Hazardous Material Business Plans (HMBP), California Accidental Release Programs (CalArp), Industrial User Wastewater Discharge Permits, and Hazardous Material/Toxic Chemical and Controlled Substance Management Reports in accordance with federal, state and local regulations. Naval Air Station North Island, Coronado CA (1994-2001) Aviation Maintenance Department Quality Assurance Chief Petty Officer, and Egress System AM (E) Supervisor. Manages 10 First Class Petty Officers Supervises Maintenance Safety Program for over 750 Squadron personnel during launching, recovering, inspecting, maintenance and servicing of over 20 C-2 Greyhound, and E-2 Hawkeye aircraft. Responsible safety of flight aircraft inspections, investigating accident/mishaps, analyzing material damage, personal injury accidents and cases of occupational illnesses and injuries. Generate and Submits Aircraft (HMR) Hazardous Material Reports for defective and ineffective C-2/E-2 Aircraft Systems and Subsystems. Conducts quarterly audits and monitors all aircraft organizational level maintenance programs. Compiles statistical data and prepares charts, tables and hazard reports to prevent the occurrence of accidents and defects. Performs risk assessment of hazardous process/conditions identified. Advises the Aircraft Maintenance Officer of methods of control and/or elimination of identified hazards, including various available alternative measures. Aircraft Mechanic performing depot and organizational level maintenance on C-2/E-2 aircraft Propulsion, Air-conditioning, Pressurization, Structural, Flight Control, Hydraulics, and Emergency Systems. Cryterion Medical, Inc. (Plan Check No: C2017-0056) (Rev.1A 3/23/2017) March 13, 2017 Hazardous Materials Technical Report Page 33 Attachment 5 (NCSA Certificate Number CFC0306.13) NCSA Certificate Number CFC0306. 13 I Ricky R. Francis Sr., AS, CCFCI: Certified California Fire Code Inspector NATIONAL CODE SERVICES ASSOCIATION, INC. Ricky Renard Francis Sr. Certified California Fire Code Inspector The Nadonai Code Sam ces Association attests that the individual named on this certificate has satisfactorily demonstrated knowledge of the California Fire Code by successfid4v completing the prescribed written examination, based on the 2013 edition. Witnessed by our hand Certificate No. CFC0306.13 r the National Code Sances Association Issued: August 3 2014 !?Lc2=:s MQ ames eigan Business Name _Q!ytenon Medical Project Address 1949 Palomar Oaks Way Mailing Address 213-same as above SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE Business Contact Gene Jung City Carlsbad City OFFICE USE ONLY RECORD to - (_ -r PLAN CHECK#i)J- act 7 -1 I-tM BI-'-DJ.1fli_ - -- —: - BP DATE / ' Telephone # - - State Zip Code 1 APP-10 CA 92011- 213-091-0100 State Zip Code Plarf File# Project Contact Applicant E-mail Telephone # JoseDelgarJo - jdelgado©vcoptimizers corn -- (7((j) 3ØLj \ The following questions represent the l:icllity's activities, NOT (ho specific project desciptian. PART I: FIRE DEPARTMENT -hAZARDOUSMATERIALS_ DIVISION, _OCCUPANCY _Ci.ASSiFiCATtON:Inot_roniilrodlotnroieclswithintheCity oiii jQfl): indicate by CilciluTI Itlo Iloni wMtIict' yctijr liminess will use, piocesti. Ot stole niiy ol the 1011OwiflU hazardous uiiatilaIs U any ol the items are uu:liu applicant illuisi cot tao Ilte Fiu' Protecilun Agui i•;y will itiii isdicliun Imor to plan submillal, Occupancy Rating: B Facility's Square Footage (Iu1cluuJiu1g proposed project): 18,943 SF u 6 DID I Explosive or 131951unfj Aguitis 5 organic Peroxides 9 Waist Reaclives 13 Ccitrosivas I I lB. Ciyogonics 14. Other I icailli Hazards 3<1''F Pyinphoiics ii Highly Toxic or 1 oxic Mritenals 15. NOne of f lose q,4 ii 4 FImnua15oiir 8 UiisibI Rencilves 12 Rmtioactives Call (858) 505-6700 pilot to the issuance of a buuldiii(i permit FEES ARE REQUIRED YES NO Pro ectçomplq1or),Date; 'i i i Expected Date of Occupancy' 2017-04-13 I D( LOC, -4' droti XJC1 1 0 C@ . (for new construction or remodeling piolects) Is your business listed on the reverse side of this form? (check all that apply). 2 0 0 Will your business dispose of Hazardous Substances or Medical Waste In any amount? 3. L 0 Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons. 500 pounds and/or 200 cubic feet? 4 0 0 Will your business store or handle carcinogens/reproductive toxins in any quantity? 5 0 Will your business use an existing or install an underground storage tank? 6 0 JR Will your business store or handle Regulated Substances (CalARP)? 7 0 13 Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? 8. 0 C9 Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). PART _III: _SAN _DIEGO _COUNTY AIR POLI.UTION_CONTROL DISTRICT JAPCDI The following questions are intended to identify the majority of air pollution issues at the planning stage Your project may require additional measures not identified by these questions. Some residential projects may be exempt from APCD requirements For more comprehensive requirements, please contact APCD at pc4comof6tsdcounIv.cn.uov. (858) 586-2650, or 10124 Old Grove Road San Diego, CA 92131 YES NO 1 0 0 Will the project disturb 160 square feet or more of existing building materials? 2. 0 0 Will any load supporting structural members be remoied? If yes, contact APCD prior to issuance of a building or demolition permit A notification may be required at least 10 working days prior to commencing demolition. 3 0 0 (ANSWER ONt V IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed' 4 0 0 (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Based on the survey results, will the project disturb any asbestos containing material') if yes contact APCD prior to the issuance of a building or demolition permit A notification may be required at least 10 working days prior to commencing asbestos removal 5 0 Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or the APCD factsheet "I Lialmits.pd for typical equipment requiring an APCD permit, If yes, contact APCD prior to the issuance of a building permit 6 0 0 (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1.000 feet of a school .. -. Briefly describe business activities Briefly describe proposed project: MedicalDevice Research & Development 1 room buildout- cubicle install with utilities I cg clara under penalty of perjury that to the best of my knowledge and betta f'S e las use aria hero ri are true and correct ....> LJ2 I ,Ct Owner or Authorized jit' - - Anwit -- Dale - FOROi-FlCA U ONL FIRE DEPARTMENT OCCUPANCY CLASSIFICATION BY DATE. EXEMPT OR NO FURTHER INFORMATION REQUIRED oJUGPERI.lIT BUTNOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMD' APCD sOuiI'lTY i'Mtz\ i' APCD COUNTY-HMD -- r_) Un', It—P (—IILLLL-. )(. A stamp in this box only exempts businesses from .e.ardoUs Materials Business Plan Other permitting requirements may still apply HM-9171 (08/15) ['fl pJf) - County of San Diego- OEH-t-tazardous Materials Division b mmi&4 vn r , 2 .4Jv 61Il1 t C.,rw - HAZARDOUS _MATERIALS DIVISION(HMD) If the answer to any of Is Division, 5500 Overland Avenue, Suiie ItO, Sen L)iego, CA 92123 O CalARP E-xempl Date Initials C1 CalARP Required Date initials - C1 CalARP Complete Date Initials The following infor4nation shall be submitted for determination of occupancy classification and/or CEDMAT inspection declaration. Any deviations r reclassification of this building. List all of the following hazardous materials, including waste materials, used and stored in your business: Combustible Fibers Cryogenic Fluids Combustible Liquids Explosives Compressed Gases - Inert Flammable Gases Corrosive Materials Flammable Liquids 1. 2. 3a 3b 3c 3d 3e 4. CONCEN- Total Container Unit of State (gas, CLASSIFICATION Containers Size Measure liquid, solid) CHEMICAL NAME CAS NUMBER TRATION CFC -APPENDIX E (%) (I-B, CORR, ETC) Nitrous Oxide (N20) Air Gas 10024-97-2 100 10 200 Cu Ft gas Oxidzer - Gas Nitrogen (Compressed Gas) 7727-37-9 100 4 200 Cu Ft gas Compressed Gas - Inert Isopropyl Alcohol 70% 67-63-0 70 1 10 OZ liquid Flammable Liquid - Class lB Acetone (sunnyside) 67-64-1 100 1 5 Gallon liquid Flammable Liquid - Class lB Cantesco 365 Leak Detection 107-21-1 30-60 1 1 Gallon liquid Irritant Formula Propylene Glycol - Nature's Oil LISP 57-55-6 100 1 5 Gallon liquid Irritant Grade SF50 Solvent Degreaser Mixture Mixture 1 1 Gallon liquid Irritant L&R SF-SO Solvent Free Degreaser Clorox Bleach (Sodium 7681-52-9 8.25 1 1 Gallon liquid Corrosive, Oxidizer - Liquid Hypochiorite) Loctite 4011 7085-85-0 90-100% 1 3 OZ liquid Irritant Loctite 4035 Mixture Mixture 1 1 OZ liquid Irritant Devcon 5 Minute Epoxy Mixture Mixture 1 50 ML liquid Irritant Loctite 3321 5888-33-5 2680-03-7 30-40% 10-20% 1 25 ML liquid Combustible Liquid Class lilA Loctite 4310 (Ethyl 2-cyanoacrylate) 7085-85-0 60-100% 1 1 OZ liquid irritant Loctite 4061 7085-85-0 60-100% 1 0.7 OZ liquid irritant nay require Flammable Solids Pyrophoric Materials Highly Toxic Materials Toxic Materials Organic Peroxides Unstable Reactive Materials Oxidizers - Solid, Liquid or Gas Water-Reactive Materials 5. PROPERTIES (FLASH POINT, 1.0-50, pH, etc.) 6. QUANTITIES 7. LOCATION a. IN USE- OPEN SYSTEM b. IN USE- CLOSED SYSTEM C. STORAGE 4000 1600 R&D Lab 200 600 R&D Lab <1 gallon R&D Lab 5 gallons R&D Lab ethylene glycol, LD60 = 5840 mg/kg 1 Gallon (rat) 1 gallon R&D Lab FP> 212, BP >212 1 gallon R&D Lab 1 gallon R&D Lab ph 12.5, 1 gallon R&D Lab FP - 176F, BP> 300.2 F, TLV 0.2ppm (ACGIH), LD50 rat 30z R&D Lab FP >212F loz R&D Lab FP >200F, pH 9.5 50 ML R&D Lab FP172.04F Isobornyl acrylate N,N-Dimethylacrylamide 25 ML R&D Lab FP - 176F, BP> 300.2 OF, TLV 0.2ppm (ACGIH), LD50 rat >5000mg/kg R&D Lab FP - 176F, BP> 300.2 OF, TLV 0.2ppm (ACGIH), LDSO rat R&D Lab UPFI OFFICE USE ONLY REVIEWED BY:____________ DATE: Cryterion Medical Inc. DATE 2/14/2017 1949 Palomar Oaks Way, Suite 100, Carlsbad CA ZIPCODE: 92011 F 0 R Palc$mar I Cryterion Not Occupied I Medical by Cryterion I Suite 100 1945 Palomar Oaks Way THOMAS BROS COORDINATES SITE MAP (Page lof 2 P I3 B [a I C D I S C [a 0 S U R E BUSINESS NAME: BUSINESS ADDRESS y Palomar Oaks Way parking 21 CozofSDe DXHM.52 (R07.02) Dpiait orIHakh p U B L I C D I S C L 0 S U R E MA UPFP - OFFICE USE ONLY RV1EW BY:___________ DATE: THOMAS BROS COORDINATES SITE MAP (Page 2 of 2) BUSINESS NAME: Cryterion Medical Inc. DATE 2/14/2017 BUSINESS ADDRESS 1949 Palomar Oaks Way, Suite 100, Carlsbad CA ZIPCODE: 92011 ------------------------------------ N Haz Mat Areas (as I designated by the dashed I - lines) may have the following o hazardous materials and T re ulated wastes I o FH DC 13 F V cul 13 41 Hazardous Mat and Waste Storage Area 1W )1FH)(DC 1 EXISTING OPEN ~07/7 J/ OFFICE AREA - : 2 EXISTING OFFICE 3 EXISTING OFFICE 4 EXISTING CONFERENCE ROOM 5 BREAK ROOM 6 CONFERENCE ROOM 7 OPEN WORK AREA 8 QC 9 JANITOR CLOSET __ 5 (D __ (D 1 10 IT SERVER ROOM L 11 WET LAB (•) I:: Jmrr (i) 12 WET LAB — 13 STORAGE CAGE 14 SHIPPING RECIEVING DKHM432(lkev.002) 21 CofSnDie Depnnt o&itIH1h