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1950 Camino Vida Roble; ; CBC2017-0390; Permit
{_City of Carlsbad Commercial Permit Print Date: 02/13/2018 Permit No: CBC2017-0390 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: II Dwelling Units: Bedrooms: 1950 Camino Vida Roble BLDG-Commercial 2120931200 $142,599.66 Work Class: Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check II: Tenant Improvement Status: Applied: Issued: Permit Fina led: Inspector: Closed • Finaled 07/25/2017 10/10/2017 TFraz Plan Check #: Final Inspection: 2/13/2018 10:44:25AM Project Title: Description: BUCHANAN: 3,066 SF LOBBY & HALLWAY T.I. Owner: Contractor: BSP CACC LLC BURGER CONSTRUCTION 408-418-4607 1900 Main St C/0 Allen Matkins Leck IRVINE, CA 92614 11760 Sorrento Valley Rd, Ste A SAN DIEGO, CA 92121-1018 858-755-1800 BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL MANUAL BUILDING PERM IT FEE MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $1,513.64 Total Payments To Date: $1,513.64 Balance Due: Please take NOTICE t hat 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. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $778.65 $532.63 $89.00 $12.43 $55.00 $6.00 $39.93 THE FCdOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0ENGINEERING . ( City of Carlsbad JOB ADDRESS \ '\.SO Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNITI 0 BUILDING OFIRE Plan Check No . Est. Value Date APN CT/PROJECT # LOT# PHASE# II OF UNITS II BEDROOMS II BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE acc. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTl~G_fSE 6(n'-L':) PROP lL) GARAGE (SF) PATIOS (SF) FIREPLACE YES(Jt AIR CONDITIONING NOD vES O No O FIRE SPRINKLERS YES0 N00 APPLICANT NAME PROPERTYO ~ S\ ,u.,~ c.(~ 1..0 '-"' "'°" ~~ >--~~ \\. & t)\\ ZIP ZIP O\\<\\o c;., \; \ EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME u.~e( Cms{r "'c f,'on ADDRESS ADDRESS I I 7 0o Sor rel)f v V41!ey ~.l CITY STATE ZIP CITY s Oie o STATE CA ZIP qz(2( 'lr\ PHONE FAX PHONE~ s g _ 7 5 5 FAX -/too EMAIL EMAIL f t Q a.: f I CK ~ef (ct\ , (o,vi STATE LIC. # STATE LIC.# s ·o(4 5 ~ 7 CLASS [3 CllY BUS. LIC.# ~L6S z 4 '12~ (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 requ,res the applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of D1vis1on 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}}. Workers' Compensation Declaration: I hereby affJfm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D I have and will maintain workers' compensa~on, as reauired by ~lion 3709 of the Labor Code, for the performanc~f the work for which this permit is issued My workers' compensation insurance carrier and policy number are: Insurance Co S:h~ e,, Lof'I\P e'l\~1 I 0/) I\ ~v\rqf\(( Po'icy No I \ \ 1_ ~ 3 3 Expiration Date ~~ This section need not be completed ~ the permit is for one hundred dollars ($100) 01 less. T '\I\~ l,o trt? D Certificate of Exemption: I certify that ,n !he performance of !he work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. J!S CONTRACTOR SIGNATURE 0 AGENT DATE I hereby affirm that I am exempt from Contractor's License Law for /he following reason· D D D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply 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 wilhin one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contraclors 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 Contractors License Law) I am exempl under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials lor construction of the proposed property improvement O ves 0 No 2 I (have I have not) signed an application for a building permit for the proposed work. 3 I have contracted with the following person (firm} to provide the proposed construction (include name address I phone I contractors' license number)· 4 t plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone f contractors· license number): 5. I will provide some of the work, but I have contracted (hired) the following persons 10 provide the work indicated (include name I address I phone I type of work)· J!S PROPERTY OWNER SIGNATURE 0AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes 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. I certifythatl have read the application and state that the above Information is correct and that the Information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Ca1sbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Y WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: /lJi OSHA permit is required for excavations (J,/ef 5'0' and demolition or ction of structures (Jvef 3 stories in height EXPIRATION: Evef)' permit issued by the Building Official the provisions of this e shall expire by fimitation and become null and void W the building or wcx1( authorized by such permit · not commenced 'Mthin 180 days from the date of such permit or Wthe building or authorized by it is suspended or abandoned at anytime after the wcx1( is commenced for a period 180 days ( · 106.4.4 Uniform Building Code). /7 _A$ APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CONTACT NAME ADDRESS CITY STATE PHONE EMAIL DELIVERY OPTIONS PICKUP: MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) CONTACT (Listed above) CONTRACTOR (On Pg. 1) ZIP FAX OCCUPANT (Listed above) OCCUPANT (Listed above) MAIL/FAXTOOTHER: ________________ _ A5 APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE ZIP Carlsbad CA OCCUPANT'S BUS. UC. No. ASSOCIATED CB#------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE PERMIT INSPECTION HISTORY REPORT (CBC2017-0390) Permit Type: BLDG-Commercial Application Date: 07/25/2017 Owner: BSP CACC LLC Work Class: Tenant Improvement Issue Date: 10/10/2017 Subdivision: CARLSBAD TCT#81-46 UNIT#02 Status: Closed -Finaled Expiration Date: 07/09/2018 Address: 1950 Camino Vida Roble Carlsbad, CA 92008 IVR Number: 5249 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Checklist Item COMMENTS Passed BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 01/09/2018 01/09/2018 BLDG-17 Interior 045383-2018 Passed Tim Frazee Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 02/13/2018 02/13/2018 BLDG-Final 048583-2018 Passed Tim Frazee Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes February 13, 2018 Page 2 of 2 #• • \• '-' j '~~-."'• I PERMIT INSPECTION HISTORY REPORT (CBC2017-0390) Permit Type: BLDG-Commercial Application Date: 07/25/2017 Owner: BSP CACC LLC Work Class: Tenant Improvement Issue Date: 10/10/2017 Subdivision: CARLSBAD TCT#81-46 UNIT#02 Status: Closed -Finaled Expiration Date: 07/09/2018 Address: 1950 Camino Vida Roble Carlsbad, CA 92008 IVR Number: 5249 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete 11/16/2017 11/16/2017 BLDG-24 040680-2017 Cancelled Tim Frazee Reinspection Complete Rough/Topout Checklist Item COMMENTS Passed BLDG-Building Deficiency No 11/17/2017 11/17/2017 BLDG-24 040836-2017 Passed Tim Frazee Complete Rough/Topout Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 11/21/2017 11/21/2017 BLDG-34 Rough 041145-2017 Passed Chris Renfro Complete Electrical Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 11/27/2017 11/27/2017 BLDG-17 Interior 041441-2017 Partial Pass Tim Frazee Reinspection Incomplete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Screws in woman's & men's restrooms OK Yes 11/30/2017 11/30/2017 BLDG-84 Rough 041897-2017 Passed Tim Frazee Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 12/08/2017 12/08/2017 BLDG-17 Interior 042810-2017 Failed Tim Frazee Reinspection Complete Lath/Drywall Checklist 1tem COMMENTS Passed BLDG-Building Deficiency Screws in woman's & men's restrooms OK No 12/18/2017 12/18/2017 BLDG-17 Interior 043634-2017 Passed Tim Frazee Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Screws in woman's & men's restrooms OK Yes 01/04/2018 01/04/2018 BLDG-84 Rough 045002-2018 Passed Tim Frazee Complete Combo(14,24,34,44) February 13, 2018 Page 1 of 2 Carlsbad C201 7-0390 8/24/17 EsGil Corporation In (l'artnersfiip witfi q overnment for <BuiCain9 Safety DATE: 8/24/17 JURISDICTION: Carlsbad PLAN CHECK NO.: C2017-0390 PROJECT ADDRESS: 1950 Camino Vida Roble PROJECT NAME: Public Space Refurbish TI SET: II D APPLICANT ,,.a" JURIS. D PLAN REVIEWER D FILE C8J The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D 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. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D 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. D EsGil Corporation staff did advise the applicant that the plan check has been completed . Person contacted: 171 Telephone#: Date contacted: /<.I (by:_JM> Email: Mail Telephone Fax In Person REMARKS: Counter tech to slip sheet the approved partial set II plans into the set I p.l,ns. By: Jason Pasiut (for CM) Enclosures: Al~ EsGil Corporation -V 0 GA O EJ O MB O PC 8/17/17 EsGil Corporation In <Partnersliip witli (}overnment for <Bui(tfing Safety DATE: 8/3/17 JURISDICTION: Carlsbad PLAN CHECK NO.: C2017-0390 PROJECT ADDRESS: 1950 Camino Vida Roble PROJECT NAME: Public Space Refurbish TI SET: I O~PPLICANT ~ JURIS. 0 PLAN REVIEWER 0 FILE D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. D 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. D 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. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. IZJ The applicant's copy of the check list has been sent to: Rich Guerena D 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 : Rich Guerena Telephone#: (858) 523-9836 ~ate contacted : m ~ail Aelephone Fax D REMARKS: By: Chuck Mendenhall EsGil Corporation (by:~ Email: In Person Enclosures: D GA D EJ D MB D PC 7/27/17 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 · Carlsbad C201 7-0390 8/3/17 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: C2017-0390 OCCUPANCY: B TYPE OF CONSTRUCTION: VB ALLOWABLE FLOOR AREA: No Change SPRINKLERS?: YES REMARKS: DATE PLANS RECEIVED BY JURISDICTION : DATE INITIAL PLAN REVIEW COMPLETED: 8/3/ l 7 FOREWORD (PLEASE READ): JURISDICTION: Carlsbad USE: 40 ACTUAL AREA: 3,066 sf TI Only STORIES: 2 HEIGHT: no change OCCUPANT LOAD: 40 DATE PLANS RECEIVED BY ESGIL CORPORATION: 7/27/17 PLAN REVIEWER: Chuck Mendenhall 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 2016 CBC, which adopts the 2015 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 2015 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. Carlsbad C201 7-0390 8/3/17 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: 1. Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602- 2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring 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. 1. Keynote #1 on sheet A2.1 indicates the attachment of the new guardrail/ handrail is a deferred submittal. Expand the note to indicate the following: The rail supports and attachment must be designed and constructed to resist 50 lbs/ ft of rail applied at the top of the rail. CBC section 1607.8.1. 2. Show or note that interior stair treads are marked at the upper approach and the lower tread of each stair, by a strip of clearly contrasting color, per Section 11 B- 504.4.1, as follows: a) At least 2" wide (but not more than 4" wide). b) Placed parallel to and not more than 1" from the nose of the step or landing. c) The strip shall be as slip resistant as the other treads of the stair. 3. Show that at least one water closet fixture , located in a compartment, shall provide the following, per Section 11 B-604: a) For water closet compartments having end-opening doors, compliance with the following figure must be shown on the plans. The door shall be in partition farthest from the water closet the and shall be 4" maximum from the side partition. Please address the following specific concerns: See compartment details on sheets A6.2 & A6.3. stall door is not opposite the WC. END OF PLAN REVIEW 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 Chuck Mendenhall at EsGil Corporation. Thank you. Carl'.sbad C2017-0390 8/3/17 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: C2017-0390 PREPARED BY: Chuck Mendenhall DATE: 8/3/ 17 BUILDING ADDRESS: 1950 Camino Vida Roble BUILDING OCCUPANCY: B BUILDING AREA Valuation Reg . VALUE ($) PORTION ( Sq . Ft.) Multiplier Public space Tl 3066 City Est Air Conditioning Fire Sprinklers TOTAL VALUE Jurisd,ction Code Cb By Ordinance Bldg. Permit Fee by Ordinance • I Plan Check Fee by Ordinance 3 Type of Review: Complete Review 0 Repetitive Fee 3 Repeats D Other 0 Hourly EsGil Fee Mod . O Structural Only Comments: N/A In addition to the above fee, an additional fee of$ $ /h r.) for the CalGreen review. 142,599 142,599 $778.71 I $506.1 6 I $443.861 is due ( hour@ Sheet 1 of 1 macvalue.doc + ( City of Carlsbad WASTE MANAGEMENT PLAN B-59 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www .ca rlsbadca .gov Owner. BSP CACC, LLC c/o Cush man& Wakefield Contractor: Village Property System_~~!:l~~a Burger Construction Job Address: \<;.S o Cr-,<"t) \k \c. ~o'-D\ JL c..., ~L a-o \ 1 -O ~ °' D Phone Number: 858· 755· 1 800 Permit#: ~ Estimated Cost of Project: $-"6-'-76=-'-72""'1'------------- Type of Project: D New Construction ~emodel or T.I. D Residential D Commercial O Demolition (check all that apply) D Other ------------------------------- Non-hazardous construction waste generated dunng the course of this project shall be recycled and/or sa lvaged for re-use at a minimum of 65% per CALGreen Sec. 5.408.1. Fai lure to comply may result in a penalty fee up to $1,000. For projects which consist of mainly equipment and/or racking, that have a combined weight of new construction disposal that does not exceed 2 lbs per square foot of bu ilding area affected by this permit, may be deemed to meet the 65% minimum requirement upon approval of Building Department. ALTERNATIVE FORMS OF COMPLIANCE: (If selected, do not complete Tables 1 & 2 below) D Construction waste shall not exceed 2 lbs. per sf. of area. All receipts shall be provided to the Building Official prior to final. (This option not applicable for most construction projects.) Square feet of construction area X 2 lbs. = lbs. of allowable waste. IZJ I plan on using a WASTE MANAGEMENT roll-off bin. All receipts shall be provided to the Building Official prior to final. Table 1 -Estimated Waste (To be filled out prior to permit issuance -refer lo example on Page 2.) MATERIALS lbs. of waste to be taken to lbs. of waste to be Waste Hauling Company or Re-Use Method LANDFILL RE-USED or RECYCLED Asphalt / Concrete Brick / Masonry Cardboard - - - Drywall -Landscape Debris ~ Lumber/ Wood . Metals Mixed Waste Trash I Garbage Other: TOTAL lbs: Estimated Percentage to be Re-Used or Recycled ______ % I certify that the information provided herein, to the best of my knowledge, is true and correct. Patrick · Contra Date Official Use Only D Plan Approved D Plan Denied O Project Va luation Approved Reviewed/ Approved by: _________________ _ Page 1 of 2 REV.01-2017 Table 2 -Actual Waste (To be completed after construction.) MATERIALS lbs. of waste taken to lbs. of waste Waste Hauling Company or Re-Use Method LANDFILL RE-USED or RECYCLED (complete only if different than Table 1) Asphalt/ Concrete Brick/ Masonry Cardboard Drywall Landscape Debris Lumber/ Wood Metals Mixed Waste Trash I Garbae.e Other: TOTAL lbs.: Actual Percentage Re-Used or Recycled. ______ % Official Use Only D 65% Goal Achieved D 65% Goal Not Achieved D Alternative Compliance Achieved Penalty Paid $ ______ _ Reviewed / Approved by: _________________ _ EXAMPLE: Use the following exampl e as a guide to completing this form. MATERIALS lbs. of waste to be token to lbs. of woste lo be LANDFILL RE-USED or RECYCLED Asphalt I Concrete 0 3000 Brick I Masonry iOO 050 Cardboard /) -f r::r, Drywall 0 so Landscape Debris 0 120 Lumber I Wood 500 0 Metals 300 ~00 Mixed Waste :!..500 0 Trash I Garbage 300 0 Other: PooL c;uv\,i'..te 0 ')00 TOTAL lbs.: 2.."J·OO 5,3J-O Percentage to be Re-Used or Recycled 6 7 % Formula: Total Re-used or Recycled X 100 = % Re-Used or Recycled (Total Combined Waste) Waste Hauling Company or Re-Use Method ABC 1-tviuLLII\,~ Co. WM I Re-used BrfoR. OV'v-Si'..te A~f' H-n uU 11\.n f'.n A"E.C t-tctuLi,11\,C,1 Co. MuLd-,ed £; Re-used OV'v-Si'..te wvis. te M e111\.tl Cl ew..e 11\.t WM I A"BC t-tciuL[~ WM WM vt.Sed Cls crus.li\ec( Be1se 011\.-si'..te 5370 X 100 = 67% Re-Used or Recycled (2700 + 5370) Since 67% exceeds the minimum requirement of 65%, this plan complies. .. D RECORD 0. OFFICE USE ONLY • . . SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE PLAN CHECK#~~~~~~~~~~~~~~~ OCT 1 O BP DATE Business Name S-1 >~"'~ Business Contact :,\\ct e.. fQ~~ Project Address \J ~ ~\,\a_ APN# ~so (_p-.'°"" \ C--0 \, L 12--~~-D~rl Malling Address (p ~ccf'ef\\O \Jo. \lei City ~(\ ~;e'jo Plan Fife# \ \ 1 0 fl.. Project Contact w; \le\t(.. Ar cant -m~I a..\ric.V... p<\ r ;c.~ vf,'!:Jli-0". (rrt'I 75.s -I €a:> The following questions represent faclllty's activities, NOT the specific project descripUon. P RT : FIRE DEPARTMENT-HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: n t re uired for ro ects with n the Cl of Si Q.!.ta21: Indicate by drc ing the Item, whether your business will use, process, or store any o the ollowing aza ous matenals. I any o the Items are le applicant must contact the Fire Protection Agency wilh Jurisdiction prior to plan submittal. Occupancy Rating: Faclllty's Square Footage (including proposed project): 1. Explosive or Blasting Agents 2. Compressed Gases 3. Flammable/Combustible Liquids 4. Flammable Solids 5. Organic Peroxides 9. Water Reactives 6. Oxidizers 10. Cryogenics 7. Pyrophorlcs 11. Highly Toxic or Toxic Materials 8. Unstable Readives 12. Radioactives 13. Corrosives 14. Other Health Hazards 15. None ofThese. PA T II: A I O COUNTY DEPARTM NT OF ENVIRONMENTAL H LTH -HAZAR O S MA RIALS DIVISION HMD : If the answer to any of It questions is yes, applicant must contact the ounty o an iego Hazardous Matenats !vision, an Diego, CA 92123. Call (858) 505-6700 prior to the issuance of a bulldlng pennit FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy: YES ,. (for new construction or remodeling projects) 1. 0 Is your business llsted on the reverse side of this form? (check all I.hat apply), 2. 0 Will your business dispose of Hazardous Substances or Medlcal Waste In any amount? 3. 0 Will your business store or handle Hazardous Substances In quantitles greater than or equal to 55 gallons, 500 pounds andloc 200 cubic feet? 4. 5. 6. 7. 8. D 0 D D D i Will your business store or handle carcinogens/reproductive toxins In any quantity? W~I your business use an existing or Install an underground storage tank? Will your business store or handle Regulated Substances (CalARP)? R" Will your business use or lostan a Hazardous Waste Tank System (Title 22, Article 10)? '1" Will your business store petroleum In tanks or containers at your facility with a total facility storage capacity equal to or realer than 1,320 allons? (California's Abov round Petroleum Stora e Ad . 0 CalARP Exempt I Dale Initials 0 ColARP Require< I Date 0 CalARP Complet, I Date Initials PART Ill; SAN DIE~ CO~N~IRt.OLL~TliN CONTROL DISTRICT (APCD): Any YES• answer requires a stamp from APCD 10124 Old Grove Road, Sa Diego, CA 92131 aJQm C un ca.gj, ( 58) 586-2650). rNo stamp required if Q1 Yes fill!1 Q3 Yes B.D.!1 Q4-06 No]. The following questions are intende- to identify the majority of air pollution issues al the planning stage. Projects may require additional measures not Identified by these questions. For comprehensiv, requirements contact APCD. Residences are typically exempt, except -those with more than one tiulldlng• on the property: single buildings with more than fou dweJHng units; townhomes: condos: mixed-commercial use; dellberate bums; residences fanning part or a larger project. rExctudes garages & small outbuildings.: YES NO 1. if D Win the project disturb 160 square feet or more of existing building materials? 2. Q,, 1-l"' Wlfl any load supporting structural members be removed? Nollftcation may be required 10 working days prior to commencing demolition. 3. oa CJ (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been perfonned by a Certified Asbestos Consultant or Site SurveHlance Technician? · 4. 5. 6. 0 D D 'ii" (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification may be required 10 wor1clng days prior to commencing asbestos removal. S-Wil the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet (www.sdapcd.org/in(olfactslpermlts.pdO for typical equipment requiring en APCD permit. 0 (ANSWER ONLY IF QUESTION 5 IS YES) Will.the project or associated construction equipment be located within 1,000 feet of a school bouoda I declare u~nalty of perjury that to the best of my knowledge and be He Ra c::.H -Ggm.JA . w1:1, mer Name of Owner or Authorized A' nt l c:, I G, 12..ot : Date or FOR OFACAL USE ONLY: FIREDEPARTMENTOCCUPANCYCLASSIFICATION: ______________________________ _ BY: DATE: I I EXEMPT OR NO FUR'TliER INFORMATION REQUIRED RELEASED FOR IIUIU>ING PEJllollT BUT NOT FOR OCC\JPAHCY REl.£ASED FOR OCCUPANCY COUNTY-HMO' APCD COUNTY-HMO APCD COUNTY-HMO APCD :t,cn co,.,t,.._ ~\)~~· 0/ q 0 .... Re ,ewed i/l <( ,.., c, oate/l~ls 8, o" rq'i ,i ~ /)t J, Of 5'a<' ·A stamp In this box 2l!l:r: exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply. HM-9171 (08115) County of San Diego -DEH -Hazardolr.l Materials Division OFFICE USE ONLY SAN DIEGO REGIONAL i HAZARDOUS MA TE RIA LS :~~~~~~~~-# ==========_-:=_=_-:=_-:=_-:=_-=_-=_-=_~~-= ~~~Q_U_E_S_TIONNA l~R~E ~~~====~=:---~~B~PD~AT~E~==--~== Business Name Business Contact Telephone# Villa e Property Systems, Inc dba Burgor Construction Patrick Will~~e___ ____ 858-755 1800 Project Adclrcss \J \. () . ~ _ City State Zip Code APN# \ "5 0 (.p-""', <'O , ~t. ~'\? \ l... Carlsbad CA 92008 t-c-M-:-a-:--IH,-n-g Address City • ----·---·-::s""ta-:t-e---:z:::1-p-=c""'o-:d-e-----t-,p=J:-a-n-=F"'ile-#,,..--------- 11 760 Sorrento Valley Rd San Diego CA 92121 Project Contact Applicant E-mail Telephone# Patrick Willette patrick@burgercon.com 858· 755-1800 Explosive or Blasting Agents Compressed Gases Flammable/Combustible Liquids Flammable Solids 5. Organic Peroxides 6 Oxidizers Water Reactives Cryogenics 13 Corrosives 7 Pyrophorics Highly Toxic or Toxic Materials Radioactives 14. Other Health Hazards 15 None of These. 8. Unstable Reactives ~uest1ons s yes, applicant must contact t e ounty o an tego Hazardous ater a s vis on, :all (858) 505-6700 prior to the issuance of a bulldlng permit. FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy: YES NO (for new construction or remodeling projects) 0 00 Is your business listed on the reverse side of this form? (check all that apply). 2. 0 ra Will your business dispose of Hazardous Substances or Medical Waste in any amount? 3. 0 00 Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? ~-0 !xi Will your business store or handle carcinogens/reproductive toxins in any quantity? 5. 0 lil Will your business use an existing or install an underground storage tank? 5. 0 Ix) WIii your business store or handle Regulated Substances (CalARP)? 1 O !il Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? 3. 0 ocl Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or realer than 1,320 allons? California's Above round Petroleum Stora e Act . I. 0 CalARP Exempt Date lnltJals 0 CalARP Required I Date lnihals 0 CalARP Complete I Date Initials ) I. W ill the project disturb 160 square feet or more of existing building materials? Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition. (A NSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance Technician? I. D i, D i. D 0 ~ D (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification may be required 10 working days prior to commencing asbestos removal. Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet {www.sdapcd.org/info/facts/pennits.pdfl for typical equipment requiring an APCD permit. {ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school bound a l riefly describe business activities: commercial construction Jame of Owner or Authorized Agent declare under penalty of perjury that to the best of my knowledge and beli Patrick Willette C{ fU::...; I Cl _ Date FOR OFFICAL USE ONLY: ~REDE~RTMENTOCCU~NCYC~SSIFlCATION: __ ~~---~-~-~~-~--~---~-~~-~~--~-~ IY: DATE: I I EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASEO FOR OCCUPANCY COUNTY-HMO* APCD COUNTY-HMO APCD COUNTY-HMO APCO I . . . 6, stamp m this box only exempts businesses from completing or updatrng a Hazardous Materials Business Plan. Other permittrng requirements may st1tl apply . IM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division Revision Permit (city of Carlsbad Print Date: 07/18/2019 Permit No: PREV2017-0294 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: Applicant: TIM SEAMAN 408-418-4607 FEE 1950 Camino Vida Roble BLDG-Permit Revision 2120931200 $0.00 Work Class: Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Residential Permit Revision CBC2017-0390 Status: Closed -Finaled Applied: 12/08/2017 Issued: 01/22/2018 Permit 07/18/2019 Finaled: Inspector: TFraz Final Inspection: BUCHANAN: UPDATING OUTSIDE TO ADD PLANTER WALL// ADD RAMP// REMOVE LANDSCAPE ON ISLANDS// REPLACE CONCRETE SLABS Owner: BSP CACC LLC 1900 Main St C/0 Allen Matkins Leck IRVlNE, CA 92614 Contractor: BURGER CONSTRUCTION 11760 Sorrento Valley Rd, Ste A SAN DIEGO, CA 92121-1018 858-755-1800 MANUAL BUILDING PLAN CHECK FEE Total Fees: $112.SO Total Payments To Date: $112.SO Balance Due: Building Division 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov AMOUNT $112.SO $0.00 ('cicyof Carlsbad PLAN CHECK REVISION OR DEFERRED SUBMITTAL APPLICATION B-15 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov Original Plan Check Number c...C>c ao\ 1 -0 ~ ~ 0 Plan Revision NumbeillEv '9.01 1 -c::Q.94 ,-\J,~..._D Project Address \ C\~ D (__p,. 'N\," D 't't)o \J._ \ . 7 ' General Scope of Revision/Deferred Submittal:~ ~-~J,<'j O""f '-' "~ \z,. ""'~~-·~- "' \u-\i-1'-\ \ CA "~ \ 0-.'I"\ \I) \ a ,,:.'I-d", J.., \ °"" ~;, e,_"" A.. t " \. ~ \ ,~ ts . CONTACT INFORMATION: ~ ~ ~c."j-L d\--CIJ,-,_U ,1.,K_ , Name\ \1/'C'\ S t_ °' ""o...,..,. Phone (Q \ <\-G\. o,,, -'l, '6'1 iii Fax,__ _______ _ Address ~ D ~o-,< S c,_5<, CityO-i\"'~°'-\)~~),,.:_ Zip <\\1 I.- Original plans prepared by an architect or engineer, revisions must be signed & stamped by that person. 1 . Elements revised: ef Plans D Calculations D Soils D Energy D Other 2. Describe revisions in detail Re \/V\ Ovl~ \ \J (/'(', \ 4. Does this revision, in any way, alter the exterior of the project? 5. Does this revision add ANY new floor area(s)? D Yes 6. Does this revision affect any fire related issues? D Yes 7. Is this a complete set? ~o ~o Date 3. List pagels) where each r vision is shown 0 No Fax: 7 60-602-8558 Email: building@carlsbadca.gov www.carlsbadca.gov DATE: 12/18/2017 JURISDICTION: Carlsbad PLAN CHECK#.: CBC2017-0390.rev ✓• EsG1I SET: I PROJECT ADDRESS: 1950 Camino Vida Robles DJ.PPLICANT ~JURIS. PROJECT NAME: Buchanan Street Partners Tenant Improvement Revision ~ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D 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. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: ~ EsGil staff did not advise the applicant that the plan check has been completed. D EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Telephone#: Date contacted: ----::(ifQ{? Email: Mail Telephone Fax In Person ~ REMARKS: PREV2017-0294 By: Jason Pasiut EsGil 12/12/2017 Enclosures: 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 ,, Carlsbad CBC2017-0390.rev 12/18/2017 ' [DO NOT PAY-THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK#.: CBC2017-0390.rev PREPARED BY: Jason Pasiut DATE: 12/18/2017 BUILDING ADDRESS: 1950 Camino Vida Robles BUILDING OCCUPANCY: BUILDING AREA Valuation PORTION (Sq.Ft.) Multiplier Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code #N/A ----- Bid . Permit Fee b Ordinance g y ... Type of Review: D Repetitive Fee -• ~,;-I Repeats ~ Based on hourly rate Comments: □ Complete Review D Other 0 Hourly EsGil Fee Reg. VALUE Mod. D Structural Only 1\Hr.@* ,__ __ $_9_0_. 0--10 ~---~ ($) $112.501 $90.001 Sheet of Revision Permit Print Date: 07/18/2019 Job Address: {city of Carlsbad Permit No: PREV2017-0240 Permit Type: 1950 Camino Vida Roble BLDG-Permit Revision 2120931200 Work Class: Residential Permit Revision Status: Closed -Finaled 10/16/2017 Parcel No: Lot#: Valuation: $0.00 Reference#: Occupancy Group: Construction Type: # Dwelling Units: Bathrooms: Bedrooms: Orig. Plan Check#: CBC2017-0390 Plan Check#: Project Title: Description: BUCHANAN: REDUCED SCOPE OF WORK Applicant: TIM SEAMAN 408-418-4607 FEE MANUAL BUILDING PLAN CHECK FEE Total Fees: $112.50 Building Division Owner: BSP CACC LLC 1900 Main St C/O Allen Matkins Leck IRVINE, CA 92614 Total Payments To Date: $112.50 Applied: Issued: Permit Finaled: Inspector: Final Inspection: Contractor: 11/06/2017 07/18/2019 BURGER CONSTRUCTION 11760 Sorrento Valley Rd, Ste A SAN DIEGO, CA 92121-1018 858-755-1800 Balance Due: 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-85601 I www.carlsbadca.gov AMOUNT $112.50 $0.00 Ccicyof Carlsbad PLAN CHECK REVISION OR DEFERRED SUBMITTAL APPLICATION B-15 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov Original Plan Check Number c.,Q, <.., o-o \ 1 • O 'o '10 Plan Revision Number ffi€>f W 17-02. 40 Project Address \"\SO c...,_""',,-.c. V ~ ~<. ~\ol.c General Scope of Revision/Deferred Submittal: R(,""'""~\ al-\k=~ f-0 CONTACT INFORMATION: Name \ ,-1'<'\ S 11.J:..\l'I"\ ""-" Phone (o \ 0..-'\"',; · ~ ~ ~ (Q Fax'----------- Address _Q_._o _ _,~_V_")('-'---_S_"'-_S_-; _________ City C)(..-...\c... \J,l)k '\\"\\'a-Zip ____ _ Email Address _____ ,_,_""' __ @,-=-_B_\.\-_:_p.=S_o_"'_\_,_"_c.,_:•_c...o_""" __________ _ Original plans prepared by an architect or engineer, revisions must be signed & stamped by that person. 1 . Elements revised: '@" Plans D Calculations D Soils D Energy D Other 2. Describe revisions in detail &. Q-'-=uv<-J-.. -~ \n ~<..c.,( t..F-c)-l-Sc-c,Dv .... .,.. ~ ~}- <-.,..., e,r ,_,k \o\o <.bl ) ';:)"'-~ c,,.::, \N-.\\ l ~ c,.,V ,l.., - -e_,-.,( ''i::, }-1, M (p,-..C.,( 1.J._ 6\.,._\o ~ 012,,,,....:, ? -.,( ,~~""' Q-h;, Fv.r"' ,t\r-r ~ - 4. Does this revision, in any way, alter the exterior of the project? ~es 5. Does this revision add ANY new floor area(s)? D Yes ~o 6. Does this revision affect any fire related issues? D Yes 7. _is this a complete set? : Yes ~ .©'Signature ~ ~ ~o Date 3. List page/s) where each revision is shown h G:i, '-t 0 No I 1635 Faraday Avenue, Carlsbad, CA 92008 Ph: 760-602-2719 ~: 760-602-8558 Emaii: building@carlsbadca.gov www.carlsbadca.gov DATE: 10/23/2017 JURISDICTION: Carlsbad PLAN CHECK#.: CBC2017-0390.rev ✓• EsG1I A SAFEbuilt"Compar>y SET: I PROJECT ADJ:ll;(ESS: 1950 Camino Vida Roble □ APPLICANT ;:f" JURIS. PROJECT Ni\M.E: Buchanan Street Partners Tenant Improvement Revision ~ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D 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. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: ~ EsGil staff did not advise the applicant that the plan check has been completed. D EsGil staff did advise the applicant that the plan check has been completed. Person contacted~ Date contacted: Telephone#: (br-Pf) Email: Mail Telephone Fax In Person ~ REMARKS: PREV2017-0240 By: Jason Pasiut EsGil 0 GA O EJ O MB O PC Enclosures: 10/17/2017 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Carlsbad CBC2017-0390.rev 10/23/2017 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad 0390.rev PLAN CHECK#.: CBC2017- PREPARED BY: Jason Pasiut DATE: 10/23/2017 BUILDING ADDRESS: 1950 Camino Vida Roble BUILDING OCCUPANCY: B BUILDING AREA Valuation PORTION (Sq.Ft.) Multiplier Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code #N/A ----------------------. - Bid . Permit Fee b Ordinance g y ... Plan Check Fee by Ordinance Type of Review: □ Complete Review D Repetitive Fee = ;:J Repeats * Based on hourly rate □ Other 0 Hourly EsGil Fee Reg. VALUE Mod. D Structural Only 11Hr.@* ~=====$=s=o=.a:a ($) $112.501 $90.001 Comments: Sheet 1 of 1