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Home My WebLink About1959 PALOMAR OAKS WAY; 150; CB141990; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-23-2014 Commercial/Industrial Permit Permit No: CB141990 Building Inspection Request Line (760) 602-2725 Job Address: 1959 PALOMAR OAKS WY CBADSt: 150 Permit Type: TI Sub Type: INDUST Status: ISSUED Parcel No: 2130922600 Lot #: 0 Applied: 08/11/2014 Valuation: $165,555.00 Construction Type: 5B Entered By: JMA Occupancy Group: Reference # Plan Approved: 09/23/2014 Issued: 09/23/2014 Inspect Area Plan Check #: Project Title: VIX SWIMWEAR: 4,460 SF OFF TO OFFICE Applicant: Owner: BRIAN DRACHE 1959 PALOMAR OAKS L P #125 13280 EVENING CREEK DR SO. 1959 PALOMAR OAKS WAY #200 SAN DIEGO CA 92128 CARLSBAD CA 92011 858-793-4777 Building Permit $954.34 Meter Size Add'I Building Permit Fee $0.00 Add'I Red. Water Con. Fee $0.00 Plan Check $668.04 Meter Fee $0.00 Add'I Building Permit Fee $0.00 SDCWA Fee $0.00 Plan Check Discount $0.00 CFD Payoff Fee $0.00 Strong Motion Fee $34.77 PFF (3105540) $0.00 Park Fee $0.00 PFF(4305540) $0.00 LFM Fee $0.00 License Tax (3104193) $0.00 Bridge Fee $0.00 License Tax (4304193) $0.00 BTD #2 Fee $0.00 Traffic Impact Fee (3105541) $0.00 BTD #3 Fee $0.00 Traffic Impact Fee (4305541) $0.00 Renewal Fee $0.00 PLUMBING TOTAL $0.00 Add'I Renewal Fee $0.00 ELECTRICAL TOTAL $95.00 Other Building Fee $0.00 MECHANICAL TOTAL $42.45 Pot. Water Con. Fee $0.00 Master Drainage Fee $0.00 Meter Size Sewer Fee $0.00 Add'I Pot. Water Con. Fee $0.00 Redev Parking Fee . $0.00 Red. Water Con. Fee $0.00 Additional Fees $0.00 Green Bldg Stands (5B1473) Fee $4.00 HMP Fee ?? Fire Expedidted Plan Review $587.50 Green Bldg Standards Plan Chk ?? TOTAL PERMIT FEES $2,386.10 Total Fees: $2,386.10 Total Payments To Date: $2,386.10 Balance Due: $0.00 FINAL APPROVAL Inspector:Z-ee Date: / 2& f7/ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as'fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any 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 limitations has previously otherwise expired. ITHE FOLLOW!IG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: NNING GINEERING 1UILDING DHEALTH IHAZMATIAPCD OtN 'Building Permit Application Plan Check No. C1?1 '-1 - 1'O 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 5.'5 CITY OF Ph: 760-602-2719 Fax: 760-602-8558 1ARLSBAD email: building@carlsbadca.gov Plan Ck. Deposit Date LI- IsWPP_ www.carlsbadca.gov JOB ADDRESS 1959PaIomarOaksWay SUITE#/SPACEU/UNIT# 150 APN 213 - 092 260 - 0 .T/PROJECT # LOT # PHASE# # OF UNITS # BEDROOMS # BATHROOMS BUSINESS NAME CONSTR. TYPE 0CC. GROUP I ]TENANT ViX Swimwear Vb B DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) .. - 4,460 SF interior office tenant improvement in an existing office building. There is 236 IF of new wall construction. The existing suspended ceiling is to remain with rerouting of existing ducts, diffusers and grills. The existing light fixtures will remain with a few being relocated. There will be a few new electrical outlets added EXISTING USE -, PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS Office Office N/A N/A N/A YES [D#. NO[Z] YES NOE YESNOE APPLICANT NAME- ..- ......- Smith Consulting Architects - Brian Drac PROPERTY OWNER NAME 1959 Palomar Oaks Way, LP ADDRESS ADDRESS • . . 13280 Evening Creek Dr S, suite 125 1959 Palomar Oaks Way, 2nd Fir. CITY - . STATE . ZIP , CITY, . STATE ZIP SanDiecio CA 92128 Carlsbad CA 92011 PHONE . FAX . PHONE ,. FAX . 858-793-4777 -7 -4 . 85893787 760-597-3737 EMAIL - . EMAIL briand@sca-sd.com abarter@dtwc.com DESIGN PROFESSIONAL Smith Consulting Architects . CONTRACTOR BUS NAME Vikina Commercial Construction. Inc. ADDRESS ,, ADDRESS 13280 Evenina Creek Dr S, suite 125 1825 Ashton Ave. CITY STATE . ZIP CITY ,. - .. - STATE ZIP San Dieao . CA - 92128 . Carlsbad .! CA 92008 PHONE . -. FAX . PHONE FAX . 858-793-4777 858-793-4787 760-931-9990 760-931-9955 EMAIL EMAIL briand@sca-sd.com blarson@vikinqcc.com LIC. # L C11701 TE LIC.# CLASS CITY BUS. LIC.# bi /Z7_-laf$ (sec. ruji.o uusiness ana I-'rotessions 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 ($5001). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: R I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' corn ensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co._a't4r ,L Policy No. 7(7 5 0 57 2. Expiration Date This section need not be completed if the permit is foane hundred dollars (p00) or less. [J Certificate of Exemption: I certify, that in the the performance of work'Tor 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 aMp;rovided ' ection of the Labor code, interest and attorney's fees. ..CONTRACTORSlGNATURE . DAGENT DATE D1DOGUNIZVO00 I hereby 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). [] 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: I personally plan to provide the major labor and materials for construction of the proposed property improvement. EYes ENO . I (have! have not) signed an application for a building permit for the proposed work. . I have contracted with the following person (firm) to provide the proposed construction (include name address! phone contractors' license number): ' 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): 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 eeopazm £?WOO E1O7000 Ohm =130000 Gamom 0c3S7 Is tht applicanttr future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? L Yes L/_ No - Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? fYes f No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes Ii No S 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. ODO OJc3 I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address - - I certify that I have read the application and state thatthe above information is correct and thatthe information on the plans is accurate. I agree to comply with all City ordinances and State laws mlatingto 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 CITY OF CARLSBAD AGAINST ALL LlABILfliES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by imitation and become null and void if the building or work authorized by such permit is not commenced within 180 days fron the date of such permit or if the building or work authorized by such it is suspended or abandoned at any time after the work is commenced fora period of 180 days (Section 106.4.4 Uniform Building Code). ,.APPLICANT'S SIGNATURE J DATE F - 4 STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. I CERTI FICATE fl a l Pr oje cts .j— -1_I Fax (760) 602-8560, Email buiIding(carIsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. • , . . , . . CO#: (Office Use Only) CONTACT NAME -- 5- - _--- . OCCUPANT NAME -. - ADDRESS1-- ---- .5.-- .__-:.--:..:-__- . _-.-----.----S - -. BUILDING ADDRESS, - -.-J-.--- . ----.5- --------- CITY 1STATE ZIP , CITY ,... STATE ,ZIP Carlsbad • ' CA PHONE --- FAX ,-- EMAIL r - - - - - - - - . . . - OCCUPANT'S BUS. LIC. No. .- - -- - DELIVERY OPTIONS --'PICK UP: CONTACT (Listed above) ( j OCCUPANT (Listed above) CONTRACTOR (On P. 1) MAIL TO: .r CONTACT (Listed above) 1 OCCUPANT (Listed above) L 4 ASSOCIATED CB# . . CONTRACTOR (On Pg. i) - - --- - -.- 1 NO CHANGE IN USE / NO CONSTRUCTION . MAIL / FAX TO OTHER........- -: -- - .5 5 '• - . CHANGEOF USE/ NOCONSTRUCTION . S. ..APPLICANT'S SIGNATURE - DATE - • 5. - .5 5-- 5-- - -. . ---5--- -5 - • ....• ..j Inspection List Permit#: CB141990 Type: TI IN DUST VIX SWIMWEAR: 4,460 SF OFF TO OFFICE Date Inspection Item. Inspector Act Comments 10/17/2014 19 Final Structural - RI 10/17/2014 19 Final Structural PB AP 10/15/2014 19 Final Structural - RI 10/15/2014 89 Final Combo -. RI Building inspection of prior to Fire 09/30/2014 17 Interior Lath/Drywall PY AP 09/29/2014 17 Interior Lath/Drywall PY AP 09/26/2014 17 Interior Lath/Drywall PY NS 09/24/2014 14 Frame/Steel/BoltinglWeldin PY AP 09/24/2014 34 Rough Electric PY AP Monday, October 20, 2014 Page 1 of I EsGil Corporation In Partners/lip with government for Building Safety DATE: 9/12/14 UAPPLICANT JURIS. JURISDICTION:. City of Carlsbad U PDN REVIEWER 0 FILE PLAN CHECK NO.: 14-1990 SET: II PROJECT ADDRESS: 1959 Palomar Oaks Way Suite 150 PROJECT NAME: ViX Swimwear - TI LI 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 building codes when minor deficiencies identified below are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. El The applicant's copy of the check list has been sent to: EsGil Corporation staff did not advise the appliôant that the plan check has been completed. El EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted:' (by: ) Email: Fax #: Mail Telephone Fax In Person REMARKS: The ACCESSIBILITY statement on the cover sheet TSI, shall be signed by the project designer. By: Doug Moody (SA) Enclosures: EsGil Corporation EGA EEJ LIMB F-1 PC 9/5/14 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858)560-146.8 • Fax(858)560-1576 EsGil Corporation In (Partnership with government for Bui(ding Safety DATE: 8/21/14 DAPPLICANT J' JURIS. JURISDICTION: City of Carlsbad U PLAN REVIEWER U FILE PLAN CHECK NO.: 14-1990 SET: I PROJECT ADDRESS: 1959 Palomar Oaks Way Suite 150 PROJECT NAME: VIX Swimwear - TI 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: Brian Drache Telephone #: 858-793-4777 /Date cytacted:fl1 (b1) Email: briandäsca-sd.com Fax #: c/.MaiI Telephone Fax In Person LII REMARKS: . By: Doug Moody • Enclosures: EsGil Corporation El GA El EJ El MB El PC 8/14/14 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax(858)560-1576 City of Carlsbad 14-1990 8/21/14 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: 14-1990 IOCCUPANCY: B 1 TYPE OF CONSTRUCTION: VB 1 ALLOWABLE FLOOR AREA: ISPRINKLERS?: Yes REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 8/11/14 - DATE INITIAL PLAN REVIEW COMPLETED: 8/21/14 JURISDICTION: City of Carlsbad USE: Office ACTUAL AREA: 4460sf STORIES: 1 HEIGHT: OCCUPANT LOAD: 81 DATE PLANS RECEIVED BY ESGIL CORPORATION: 8/14/14 PLAN REVIEWER: Doug Moody 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 14-1990 8/21/14 Please make all corrections on the original tracings, as requested in the correction list. Submit three sets of plans for commercial/industrial projects (two sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 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 one corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. Each sheet of the plans must be signed by the person responsible for their preparation, even though there are no structural changes. Business and Professions Code. 2. Please provide a door schedule; indicate the type of hardware and reference the doors on the floor plan. Please provide electrical plans for construction. Section 107.2. Please have the document author and the principle designer of the MCH forms complete and sign the imprinted document. Please have the document author and the principle designer of the LTI forms complete and sign the imprinted document. In all buildings, controlled receptacles are required in private offices, open office areas, reception lobby, conference room, kitchenette in office spaces, and copy rooms per Energy Manual 130.5(d). Please include the control design and receptacle locations on the electrical plans. Please provide a statement on the cover sheet of the plans that as the designer the restrooms serving the area of tenant improvement and path of travel to the area of improvement have been reviewed and fully comply with the current disabled accessibility requirements. If not please provide complete plans and details showing the restrooms and path of travel to be brought into compliance. To speed up the review process, 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. City of Carlsbad 14-1990 8/21/14 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: Yes El No U 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 Doug Moody at Esgil Corporation. Thank you. City of Carlsbad 14-1990 8/21/14 [DO NOT PAY — THIS IS NOT ANINVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK NO.: 14-1990 PREPARED BY: Doug Moody DATE: 8/21/14 BUILDING ADDRESS: 1959 Palomar Oaks Way Suite 150 BUILDING OCCUPANCY: B BUILDING PORTION AREA ( Sq. Ft.) Valuation Multiplier Reg.. Mod. VALUE ($) TI 4460 37.12 165,555 Air Conditioning Fire Sprinklers TOTAL VALUE 165,555 Jurisdiction Code 1cb IBY Ordinance Bldg. Permt Fee by Ordinance Plan Check Fee by Ordinance Type of Review: F71 Complete Review LiliRepetitive Fee [I] Other Repeats Hourly EsGill Fee I $95434I I $620.32! Structural Only 1 $534.431 Comments: Sheet 1 of 1 macvaluedoc + <KV0* CITY OF CARLSDD13 A PLAN CHECK REVIEW TRANSMITTAL Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov DATE: 08/26/14 PROJECT NAME: VIX SWIMWEAR PROJECT ID: CB14-1990 PLAN CHECK NO: 1 SET#: ADDRESS: 2800 ROOSEVELT ST APN: 213-092-26 VALUATION: $165,555 TI -- OFFICE TO OFFICE This plan check review is complete and has been APPROVED by the ENGINEERING Division. By: KATHLEEN LAWRENCE 08/26/14 A Final Inspection by the Division is required EYes f2JNo ET This plan check review is NQT.CQMPLETE. Items missing or incorrect are listed on Li the attached checklist. Please resubmit amended plans as required. Plan Check Comments have been sent to: BRIAND@SCA-SD.COM You may also hávé correötións from önèâr more of t hedi Wsiàh !itèd below. Aprot'ai Yom these divisions majbe rëquired prior to the ,ssua nce ófabiiilding permit t Resubthitted plans should include corrtiâhs fth jjthj For questions or clarifications on the attached. checklist please contact the following reviewer as marked: PLANNING ENGINEERING . FIRE PREVENTION 7606024610 7606022750 .,, J606024665 fl Chris Sexton 71 Kathleen Lawrence fl Greg Ryan 760-602-4624 - 760-602-2741 760-602-4663 Chris.Sexton@carlsbadca.gov Kathleen.Lawrence@carlsbadca.gov Gregory.Ryan@carlsbadca.gov Gina Ruiz E.— Linda Ontiveros Cindy Wong 760-602-4675 --. 760-602-2773 760-602-4662 Gina.Ruiz@carlsbadca.gov Linda.Ontiveros@carlsbadca.gov Cvnthia.Wong@carlsbadca.gov F-1 El Dominic Fieri 760-602-4664 Dominic.Fieri@carIsbadca.gov Remarks: NO ADDTL ENG FEES BUILDING PLANCHECK Development Services Land Development Engineering CITY OF CHECKLIST 1635 Faraday Avenue 760-602-2750 CARLSBAD QUICK-CHECK/APPROVAL www.carlsbadca.gov ENGINEERING Plan Check for CBI4-1990 Date:08!26!14 Project Address: 2800 ROOSEVELT ST APN: 213-092-26 TI -- OFFICE TO OFFICE Project Description: Valuation: $165,555 ENGINEERING Contact: Kathleen Lawrence Phone: 760-602-2741 El RESIDENTIAL INTERIOR El RESIDENTIAL ADDITION <$20,000> El CARLSBAD PREMIER OUTLETS Email: kathleenJawrencecarlsbadca.gov Fax: 760-6021052 [] TENANT IMPROVEMENT El PLAZA CAMINO REAL El COMPLETE OFFICE BUILDING El OTHER: --TEMP CONVERSION TO SALES OFFICE OFFICIAL USE ONLY •1 ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT BY: KATHLEEN LAWRENCE DATE:08126114 REMARKS: TI -. OFFICE TO OFFICE Notification of Engineering APPROVAL has been sent to BRIAND@SCA-SD.COM via EMAIL on 08/26114 E-36 Page 1 of 1 REV 4/30/11 PLANNING DIVISION BUILDING PLAN CHECK Development Services Planning Division C IT V 0 F APPROVAL 1635 Faraday Avenue CARLSBAD P 29 (760)602-4610 - - www.carlsbadca.eov r DATE: 8/12/14 PROJECT NAME: T.I.-OFFICE TO OFFICE PROJECT ID: -: PLANCHECK NO: CB141990 SET#: ADDRESS: 1959 PALOMAR OAKS WY APN: This plan check review is complete and has been APPROVED by the Division.. - By: A Final Inspection by the Division is required Yes No You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. • Resubmitted plans should include corrections from all divisions. This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. V Plan Check APPROVAL has been sent to: BRIAND@SCA-SD.COM For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING FIR PREVENTION Remarks: EXISTING NON-CONFORMING PARKING (192 REQ'D, 185 SHOWN) OK AS NO CHANGE IN USE & NO ROOF MOUNTED EQUIPMENT PROPOSED : V - 7606024610 7606022750 ,7606024665 Chris Sexton Kathleen Lawrence Greg Ryan 760-602-4624 760-602-2741 . 760-602-4663 Chris.Sexton@carIsbadca.gov Fathleen.Lawrence@carlsbadca.ov Gregorv.Ryan@carIsbadca.gov V Gina Ruiz V - Linda Ontiveros Cindy Wang 760-602-4675 V 760-602-2773 V 760-602-4662 V Gina.Ruiz@carlsbadca.gov V Linda.Ontiveros@carlsbadca.gov V Cvnthia.Wong@carlsbadca.gov V - • - V,V V V V • Dominic Fieri ..• 760-602-4664 V V • V V V - V • • Dominic.Fieri@carlsbadca.gov 1501 PLAN CHECK Communuty&Economic <K do ~>D II tA! Development Department - C I TY- OF REVIEW WV 1635 Faraday Avenue CARLSD/AD A •' TRANSMITTAL carlsbad CA 92008 I) www.carlsbadca.gov OLp10 DATE: 09/22/14 PROJECT NAME. vux PROJECT ID. 17 PLAN CHECK NO: 6141990 SET#: I ADDRESS: 3115Tflë1iöb APN: • P Q(; This plan check review is complete and has been APPROVED by the fire Division By:cwong •• .•. • ,-. •: A Final Inspection by the Division is required Z Yes .fl No This plan check review is NOT COMPLETE Items missing or incorrect are listed on - the attached checklist Please resubmit amended plans as required Plan Check Comments have been sent to briand@sca-sd.com You may also have corrections from one or more of the divisions listed below. Approval from these divisions maybe required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING - 760-602-4610 ENGINEERING 760-602 2750 FIRE PREVENTION 760-602-4665 Chris Sexton -. 760-602-4624 • ' Chris.Sexton@carisbadca.gov Kathleen Lawrence S 760-602-2741 ' Kathieen.Lawrence@carisbadca.gov ' Greg Ryan' 760-602-4663 Greorv.Ryan@carisbadca.ov -. Gina Ruiz 760-602-4675• Gina.Ruiz@carisbadca.gov Linda Ontiveros. . 760-602-2773 Linda.Ontiveros@carisbadca.gov Cindy Wong 760602-4662 Cvnthia.Wong@carlsbadca.gov S Dominic Fieri 760-602-4664 Dominic.Fieri@carlsbadca.gov THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUEANCE OF A BUILDING PERMIT. THIS APPROVAL. IS SUBJECT TO FIELD INSPECTIONS, ANY REQUIRED TESTS, FIRE DEPARTMENT NOTATIONS, CONDITIONS IN CORRESPONDENCE AND COMPLIANCE WITH ALL APPLICABLE CODES AND REGULATIONS. THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE ANY VIOLATION OF THE LAW. **Bubble All Changes - include corresponding delta *** 1. Sheet WXI: Showroom with 53 person occupant load all cannot exit through one exit as shown. In addition, doors shall have panic hardware. See doors 150B, 151 and 150A. 2. Sheet A2.1: Door 151 and 150B shall have hardware Group 3: change to reflect in matrix. - Sheet M2.1: Indicate duct detector locations on plans. Place according to the following: Air moving systems supplying air in excess of 2000 cubic feet/minute shall be equipped with smoke duct detectors and be tied in to the building fire alarm system. If no fire alarm is present, then an audible, local alarm shall be required. CMC, 2010 edition, section 609 and NFPA72 - Sheet M0.1: General Notes: Add the following note: . Air moving systems supplying air in excess of 2000 cubic feet/minute shall be equipped with smoke duct detectors and be tied in to the building fire alarm system. If no fire alarm is present, then an audible, local alarm shall be required. CMC, 2010 edition, section 609 :and NFPA72 Sheet E2.1: Showroom shall have two (2) compliant means of egress that are clearly identified. (West sid of double doors on west wall shows egress from open office.. This should show egress FROM showroom. - 5. Sheet E2.1: From showroom through office shall met the following: Visibility - Exit signs shall be readily visible from any direction of egress travel. Access to exits shall be marked by readily visible exit signs in cases where the exit or path of egress travel is not immediately visible to the occupants. Exit signs placement shall be such that no point in a corridor is more than 100 feet or the listed viewing distance of the sign, whichever is less, from the nearest visible exit sign. CFC 1011.1 Page 2of2 • 'IFocrCarlsbad U tT71Department Plan Review Requirements Category: TI, 1NDUST Date of Report: 09-22-2014 Reviewed bk. Name: BRIAN DRACHE Address: #125 13280 EVENING CREEK DR SO. SAN DIEGO CA 92128 Permit#: CB141990 Job Name: VD( SWIM WEAR: 4,460 SF OFF TO Job Address: 1959 PALOMAR OAKS WY CBAD St: 150 INC e item you have submitted for review is incomplete. At thistime, this office cannot adequately conduct a review to th the ap licable ase review carefully all comments attached. Please resub ~ecifications, with changes "clouded", an am Conditions: Cond: C0N0007696 [NOT MET] **Bubble All Changes - include corresponding delta *** Sheet WX1: Showroom with 53 person occupant load all cannot exit through one exit as shown. In. addition, doors shall have panic hardware. See doors 150B, 151 and 150A. Sheet A2.1: Door 151 and 150B shall have hardware Group 3 : change to reflect in matrix. SheetM2. 1: Indicate duct detetor locations on plans. Place according to the following: Air moving systems supplying air in excess of 2000 cubic feet/minute shall be equipped with smoke duct detectors and be tied in to the building fire alarm system. If no fire alarm is present, then an audible, local alarm shall be required. CMC, 2010 edition, section 609 and NFPA 7.2 Sheet MO. 1: General Notes: Add the following note: Air moving systems supplying air in excess of 2000 cubic feet/minute shall be equipped with smoke duct detectors and be tied in to the building fire alarm system. If no fire alarm is present, then an audible, local alarm shall be required. CMC, 2010 edition, section 609 and NFPA 72 Sheet E2.1: Showroom shall have two (2) compliant means of egress that are clearly identified. (West sid of double doors on west wall shows egress from open office. This should show egress FROM showroom. . 5. Sheet E2.1': From showroom through office shall met the following: Viibilit' - Exit signs shall be readily visible from any direction of egress travel. Access to exits shall be marked by readily visible exit signs in cases where the exit or path of egress travel is not immediately visible to the occupants. Exit signs placement shall be such that no point in a corridor is more than 100 feet or the listed viewing distance of the sign, whichever is less, from the nearest visible exit sign. CFC 10 11. 1 Entry: 09/18/2014 By: cwong Action: CO Cond: C0N0007698 [MET] t* *APPROVED: THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUEANCE OF A BUILDING PERMIT. THIS APPROVAL IS SUBJECT TO FIELD INSPECTIONS, ANY REQUIRED TESTS, FIRE DEPARTMENT NOTATIONS, CONDITIONS IN CORRESPONDENCE AND COMPLIANCE WITH ALL APPLICABLE CODES AND REGULATIONS. S THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE ANY VIOLATION OF THE LAW. Entry: 09/22/2014 By: cwong Action: AP . RECOMMENDATION FOR APPROVAL Daryl K. James & Associates, Inc. APPLICANT: Brian D., Primary Applicant Smith Consulting Architects (858) 793-4777; briand@sca-sd.com BLDG. DEPT COPY Page: 1 of 4 Checked By: Robert Salgado Back Check Date: 09/0912014 JURISDICTION: Carlsbad Fire Department, Fire Prevention PROJECT NAME: VIX Swimwear T.I. PROJECT ADDRESS: 1959 Palomar Oaks Way, Suite 150 PROJECT DESCRIPTION: CBI4-1990 - The work under this permit involves improvements to the interior portions of an existing 'B' Occupancy, Type V-B, (Sprinkled in lieu of 1-Hr), 3-Story, 49,032 SQ/FT office building. All 'TI. work will take place on the first floor only and will only cover an area of about 4,460 SQ/FT. The scope of work, as described on the building permit is limited to construction of a new interior wall, relocation of mechanical equipment; relocation of lighting fixtures; and the installation of new electrical outlets. Fire alarm and detection systems, fire sprinkler systems or other types of fire protection systems will be submitted separately as deferred submittal items. This plan review has been conducted in order to verify conformance to minimum requirements of codes adopted by the Carlsbad Fire Department applicable to the scope of work. FLS COMMENTS (non-structural plan review): o i/Please provide a copy of Building Department (EsGil) comments with the revised drawings at time of 1st BACK CHECK and input fire revisions onto the Building Department plan check. i/SHEET TS1TITLE SHEET: (1) i/Update the "CODES" box to reflect the current edition and year of amended model codes, and list the NFPA Standards that apply to this project. 2013 California Administrative Code (CAC) Part 1, Title 24, California Code of Regulations (CCR) 2013 California Building Code (CBC), Volumes 1 and 2 Part 2, Title 24, California Code of Regulations (CCR) Based on the 2012 International Building Code (IBC) with 2013 Amendments 2.013 California Electrical Code (CEC Part 3, Title 24, California Code of Regulations (CCR) Based on the 2011 National Electrical Code. (NEC) with 2013 Amendments 2013 California Mechanical Code (CMC • (' \? Part 4, Title 24, California Code of Regulations (CCR) Based on the 2012 Uniform Mechanical Code (UMC)with 2013 Amendments , 11-CP 2013 California Plumbing Code (CPC , Part 5, Title 24, California Code of Regulations (CCR) Based on the 2012 Uniform Plumbing Code (UMC) with 2013 Amendments 2013 California Fire Code (CFC) • . • Part 9, Title 24, California Code of Regulations (CCR) . Based on the 2012 International Fire Code (IFC) with 2013 Amendments v'Does the (E) 49,032 SQ/FT building have a complete fire alarm and detection system? U YES or 0 .•;. NO NOTE: This would be in addition to the automatic fire safety functions for elevators and sprinkler monitoring. V'lf the answer to the question in comment #2 above is yes; then please clarify the following: Will the T.I. work under the scope of the building application permit [CBI4-1990] trigger fire alarm work, such as; relocation of existing appliances or devices, or the installation of new fire alarm appliances/devices? 0 YES or 0 NO VAdd a separate box onto the Cover Sheet; label it: "FIRE DEPARTMENT DEFERRED SUBMITTALS" and insert the following "TEXT" [verbatim]: V Deferred Submittal Items: Fully-Automatic Fire Sprinkler System, designed in accordance with 2013 CFC, Section 903, and NFPA 13, 2013 edition. NOTE: The AOR should consult with the city of Carlsbad Fire Marshal to obtain specific design criteria for aboveground fire sprinkler requirements (hazard class/density), and underground piping (hydraulics for water supply and sprinkler demand). Fire Alarm and Detection System, 2013 CFC, Sections 907.1 through 907.9 (which includes all other uses and occupancy groups associated with this project), and NFPA 72, 2013 edition. Specify type of system: Manual or automatic, combination automatic/manual alarm and detection system, and specify sprinkler monitoring requirements in accordance with 2013 CFC, 903.4 through 903.4.2. VSHEET AI.1, FIRST FLOOR PLAN/DETAILS: VProvide a DEMO plan which shows the existing conditions before the T.I. work, and clarify whether the building was an empty shell or occupied prior to the T.I. work (Compare and contrast (Existing -Demo) and (N) floor plan to show the construction of the new 236 LF wall. 0 Vls the box at the right margin, labeled "FLOOR PLAN KEY NOTES" considered the door schedule for this project? If yes, please add a notation onto the plans indicating that it calls out door schedule criteria. V Both doors serving Show Room #150 must be equipped with "PANIC HARDWARE;" revise floor plan key note #4 to specify panic HDWR. (Door #7 shows P.H. - Ok). VProvide and show afire extinguisher next to, or near door #6. V Provide and show afire extinguisher next to, or near door #7 (inside of suite #150). VKnox Box - Carlsbad Ordinance 17.04.350 "When access to or within a structure or an area is unduly difficult because of secured openings or where immediate access is necessary for life saving or firefighting purposes, a key box will be required and installed in an accessible location. The key box shall be a type approved by the Carlsbad Fire Marshal, and shall contain keys to gain necessary access to the building, as required by the Carlsbad Fire Department." Provide a note on the plans, and show the location of the key box where firefighting personnel can obtain a key to unlock the main entry of each suite. 0 V Provide specifications and California State Fire Marshal listings and other acceptance criteria for flame spread and smoke developed index for new carpet, padding and carpet base, 2013 CFC, Section 804. () V Provide specifications and California State Fire Marshal listings and other acceptance criteria for flame spread and smoke developed index for wall finish material and corner guards, 2013 CBC, Section 803.1.2. V Provide specifications and other acceptance criteria for flame spread and smoke developed index for furniture. V Denote all decorative materials and trim, and evidence of compliance in accordance with 2013 CFC 807.2. V Denote all furnishings and evidence of compliance with 2013 CFC, Section 808. s/Will any of the egress doors serving suite #150 be equipped with "CARD READER DEVICES." If yes, then please add notes and details onto the plans explaining which of the following provisions apply: Access—Controlled Egress Doors. 2013 CBC, Section 1008.1.9.8 Delayed Egress Locks. 201.3 CBC, Section 1008.1.9.7 V SHEET M0.1, MECHANICAL NOTES, SCHEDULES & DETAILS: (1) s/Add the following note onto Sheet MO.1: All work shall be in accordance with the 2013 California Mechanical Code (CMC) Part 4, Title 24, California Code of Regulations (CCR) . . • Based on the 2012 Uniform Mechanical Code (UMC) with 2013 Amendments s/SHEET E0.1, ELETRICAL LEGEND AND NOTES: (1) s/Revise note #2 in the "FIRE ALARM DEFERRED APPROVAL NOTES" box to specifically call out "The city of Carlsbad" as the Authority Having Jurisdiction (AHJ) for submittal and plan check purposes. Delete any references to the State Fire Marshal's Office, Typical. • • EN OF COMMENTS • S S • (./ . it S S 3 cs kJL L1- - riLQ— Jc\ L A ir m\Q-• exit N f.LcO1- jsf A- I Js& vir o 5 \t 6 oz 23 I I \ I 3 'I BLDG DEPT COPY CORRECTION LIST " . ' . Page: 1 of 4 Daryl K. James & Associates, Inc. Checked By: Robert Salgado Plan Check Date: 08/14/2014 APPLICANT: Brian D., Primary Applicant" - .. Smith Consulting Architects (858) 793-4777; briand@sca-sd.com - JURISDICTION: Carlsbad Fire Department, Fire Prevention PROJECT NAME: VlX Swimwear Ti.. PROJECT ADDRESS: 1959 Palomar Oaks Way, Suite 150 PROJECT DESCRIPTION: CB14-1990 - The work under this permit involves improverients to the interior portions of an existing 'B' Occupancy, Type V-B, (Sprinkled in lieu of 1-Hr), 3-Story, 49,032 SQ/FT 'office - , building. All T.I. work will take place on the first floor only and will only cover an area of about 4,460 SQ/FT. The scope of work, as described on the building permit is limited to construction of a new interior wall, relocation of mechanical equipment; relocation of lighting fixtures; and the installation of new electrical outlets. Fire alarm and detection systems, fire sprinkler systems or other types of fire protection systemswill ,' be submitted separately as deferred submittal items. This plan, review has been conducted in order to verify conformance. to minimum requirements of codes adopted by the Carlsbad Fire Department applicable to the scope of work. '. . The items below require correction, clarification or additional information before this plan check can be - approved for permit issuance. RESUBMITTAL INSTRUCTIONS TO ...A.VOID....DELAY IN EXE'DlTED RECHECK '. 8 ERVICES: . . . •. . . Corrections or modifications to the plans must be clouded and provided with numbered deltas and revision dates. . . Provide a written response following each comment, On This Correction List, explaining how and where you've .addressed each plan review comment. -u Provide a copy of Building Department (EsGil) comments. Iflput fire revisions onto the Building Department plan check. , .• - .. • ' Please direct any questions regarding this review directly to: Robert Saigado at: (951) 541-4380, or to his email address at: flsreview_inspectionroadrunnercom. MEuTEUBM.TD_F.EtU' t. tH E LLöJN .. DDRESS O hAY Attn: Robert Salgado 27425 Blackstone' Road .,- . * • , . ' CA 92591 1 FLS COMMENTS (non-structural plan review): U Please provide a copy of Building Department (EsGil) comments with the revised drawings at time of 1st BACK CHECK and input fire revisions onto the Building Department plan check. SHEET TSI, TITLE SHEET: Update the "CODES" box to reflect the current edition and year of amended model codes, and list the NFPA Standards that apply to this project. 2013 California Administrative Code (CAC) Part 1, Title 24, California Code of Regulations (CCR) 2013 California Building Code (CBC), Volumes I and 2 Part 2, Title 24, California Code of Regulations (CCR) Based on the 2012 International Building Code (IBC) with 2013 Amendments 2013 California Electrical Code (CEC Part 3, Title 24, California Code of Regulations (CCR) Based on the 2011 National Electrical Code (NEC) with 2013 Amendments 2013 California Mechanical Code (CMC Part 4, Title 24, California Code of Regulations (CCR) Based on the 2012 Uniform Mechanical Code (UMC) with 2013 Amendments 2013 California Plumbing Code (CPC Part 5, Title 24, California Code of Regulations (CCR) Based on the 2012 Uniform Plumbing Code (UMC) with 2013 Amendments 201.3 California Fire Code (CFC) Part 9, Title 24, California Code of Regulations (CCR) Based on the 2012 International Fire Code (IFC) with 2013 Amendments Does the (E) 49,032 SQ/FT building have a complete fire alarm and detection system? 0 YES orD NO NOTE: This would be in addition to the automatic fire safety functions for elevators and sprinkler monitoring. If the answer to the question in comment #2 above is yes; then please clarify the following: Will the T.I. work under the scope of the building application permit [CBI4-1990] trigger fire alarm work, such as; relocation of existing appliances or devices, or the installation of new fire alarm appliances/devices? 0 YES or 0 NO Add a separate box onto the Cover Sheet; label it: "FIRE DEPARTMENT DEFERRED SUBMITTALS" and insert the following "TEXT" [verbatim]: . Deferred Submittal Items: Fully-Automatic Fire Sprinkler System, designed in accordance with 2013 CFC, Section 903, and NFPA 13, 2013 edition: NOTE: The AOR should consult with the city of Carlsbad Fire Marshal to obtain specific design criteria for aboveground fire sprinkler requirements (hazard class/density), and underground piping (hydraulics for water supply and sprinkler demand). . . 2 Fire Alarm and Detection System, 2013 CFC, Sections 907.1 through 907.9 (which includes all other uses and occupancy groups associated with this project), and NFPA 72, 2013 edition. Specify type of system: Manual or automatic, combination automatic/manual alarm and detection system, and specify sprinkler monitoring requirements in accordance with 2013 CFC, 903.4 through 903:4.2. SHEET AI.1, FIRST FLOOR PLAN/DETAILS: Provide a. DEMO plan which shows the existing conditionsbefore the T.I. work, and clarify whether the building was an empty shell or occupied prior to the T.I. work (Compare and contrast (Existing -Demo) and (N) floor plan to show the construction of the new 236 LF wall. Is the box at the right margin, labeled "FLOOR PLAN KEY NOTES" considered the door schedule for this project? If yes, please add a notation onto the plans indicating that it calls out door schedule criteria. Both doors serving Show Room #150 must be equipped with "PANIC HARDWARE;" revise floor plan key note #4 to-specify panic HDWR. (Door #7 shows P.H. - Ok). Provide and show a fire extinguisher next to, or near door #6. Provide and show a fire extinguisher next to, or near door #7 (inside of suite #150). Knox Box - Carlsbad Ordinance. 17.04.350 "When access to or within a structure or an area is unduly difficult because of secured openings or where immediate access is necessary for life saving or firefighting purposes, a key box will be required and installed in an accessible location. . The key box shall be a type approved by the Carlsbad Fire Marshal, and shall contain keys to gain necessary access to the building, as required by the Carlsbad Fire Department." Provide a note on the plans, and show the location of the key box where firefighting personnel can obtain a key to unlock the main entry of each suite. Provide specifications and California State Fire Marshal listings and other acceptance criteria for flame spread and smoke developed index for new carpet, padding and carpet base, 2013 CFC, Section 804. Provide specifications and California State Fire Marshal listings and other acceptance criteria for flame spread and smoke developed index for wall finish material and corner guards, 2013 CBC, Section .803.1.2. Provide specifications and other acceptance criteria for flame spread and smoke developed index for furniture. . Denote all decorative materials and trim, and evidence of compliance in accordance with 2013 CFC 807.2. Denote all furnishings and evidence of compliance with 2013 CFC, Section 808. Will any of the egress doors serving suite #150 be equipped with "CARD READER DEVICES." If yes, then please add notes and details onto the plans explaining which of the following provisions apply: O Access—Controlled Egress Doors. 2013 CBC, Section 1008.1.9.8 0 Delayed Egress Locks. 2013 CBC, Section 1008.1.9.7 SHEET M0.1, MECHANICAL NOTES, SCHEDULES & DETAILS: (1) Add the following note onto Sheet M0.1: All work shall be in accordance with the 2013 California Mechanical Code (CMC) Part 4, Title 24, California Code of Regulations (CCR) Based on the 2012 Uniform Mechanical Code (UMC) with 2013 Amendments SHEET EO.1, ELETRICAL LEGEND AND NOTES: (1) Revise note #2 in the "FIRE ALARM DEFERRED APPROVAL NOTES" box to specifically call out "The city of Carlsbad" as the Authority Having Jurisdiction (AHJ) for submittal and plan check purposes. Delete any references to the State Fire Marshal's Office, Typical. END OF COMMENTS 4 SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY UPFP# HV# BP DATE I I Business Name Business Contact Telephone # V IX 't vca (77) - 372.7 Project Address State Zip Code I APN# I PALcM4&P t "12,011 I 22z a6e Mailing Address City .2a' State Zip Code I Plan File# Project Contact Telephone # AR rR- (7O 5 3727 The following questions represent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT - HAZARDOUSMATERIALSDIVISION:OCCUPANCYCLASSIFICATION: Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are circled, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Facility's Square Footage (including proposed project): Occupancy Rating: Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These. Flammable Solids 8. Unstable Reactives 12. Radioactives PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH - HAZARDOUS MATERIALS DIVISIONS (HIVID): If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Ave., Suite 110, San Diego, CA 92123. Call (858) 505-6700 prior to the issuance of a building permit. FEES ARE REQUIRED. Project Completion Date: /O/3'/)_1- Expected Date of Occupancy: Jj3 7 i_ 0 CaIARP Exempt YES NO (for new construction or remodeling projects) / 0 L Is your business listed on the reverse side of this form? (check all that apply). Date Initials 0 Will your business dispose of Hazardous Substances or Medical Waste in any amount? 0 CaIARP Required 0 ( Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds / 200 cubic feet, or carcinogens/reproductive toxins in any quantity? Date Initials 0 ( Will your business use an existing or install an underground storage tank? 0 ' Will your business store or handle Regulated Substances (CaIARP)? 0 CaIARP Complete 0 ( Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? 0 J Will your business store petroleum in tanks or containers at your facility with a total storage capacity equal to Date Initials or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). PARTIII:SANDIEGOCOUNTYAIRPOLLUTIONCONTROLDISTRICT: If the answer to any of the questions below is yes, applicant must contact the Air Pollution Control District (APCD), 10124 Old Grove Road, San Diego, CA 92131-1649, telephone (858) 586-2600 prior to the issuance of a building or demolition permit. Note: if the answer to questions 4 or 5 is yes, applicant must also submit an asbestos notification form to the APCD at least 10 working days prior to commencing demolition or renovation, except demolitionorrenovation of residential structures of four units or less. Contact the APCD for more information. YES NO 0 Will the subject facility or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the APCD factsheet at http://www.sdapcd.org/info/facts/Dermits.pdf, and the list of typical equipment requiring an APCD permit on the reverse side of this from. Contact APCD if you have any questions). 0 0 (ANSWER ONLY IF QUESTION 1 I YES) Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)? (Search the California School Directory at httø://www.cde.ca.qov/re/sd/ for public and private schools or contact the appropriate school district). 0 Has a survey been performed to determine the presence of Asbestos Containing Materials? 0 Will there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos? 0 Will there be demolition involving the removal of a load supporting structural member? Briefly describe business activities: Briefly describe proposed project: OFFk wrrj.i LØz Tr to EXJ BL)ILPI I declare under penalty ofry that to the best ofmy knowledge and belief ttr4esponsesmaereInare true and correct. Name of Owner or Authorized Agent Signature of Owner or Authorized Agent Date FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: FOR OFFICIAL USE ONLY: BY: DATE: EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTYKMD* APCD COUNTY-HMD APCD COUNTY-HMD APCD P% stamp in mis oox only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply. HM-9171 (02/11) County of San Diego - DEH - Hazardous Materials Division • PERMIT WM INDUSTRIAL WASTEWATER DISCHARGE SCREENING SURVEY Date___ Business Name \Iy Street Address Email Address PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) Check all below that are present at your facility: Acid Cleaning Ink Manufacturing Nutritional Supplement / Assembly Laboratory Vitamin Manufacturing Automotive Repair Machining / Milling Painting I Finishing Battery Manufacturing Manufacturing Paint Manufacturing Biofuel Manufacturing Membrane Manufacturing Personal Care Products Biotech Laboratory (i.e. water filter membranes) Manufacturing Bulk Chemical Storage Metal Casting I Forming Pesticide Manufacturing / Car Wash Metal Fabrication Packaging Chemical Manufacturing Metal Finishing Pharmaceutical Manufacturing Chemical Purification Electroplating (including precursors) Dry Cleaning Electroless plating Porcelain Enameling Electrical Component Anodizing Power Generation Manufacturing Coating (i.e. phosphating) Print Shop Fertilizer Manufacturing Chemical Etching / Milling Research and Development Film IX-ray Processing Printed Circuit Board Rubber Manufacturing Food Processing Manufacturing Semiconductor Manufacturing Glass Manufacturing Metal Powders Forming Soap! Detergent Manufacturing Industrial Laundry Waste Treatment/ Storage SIC Code(s) (if known): Brief description of business activities (Production / Manufacturing Operations):_______________ 7p I w i-f 171 PL' Description of operations generating wastewater (discharged to sewer, hauled or evaporated): Estimated volume of industrial wastewater to be discharged (gal / day): List hazardous wastes generated (type/ volume): tJOJ) Date operation began/or will begin at this location: Have you app• for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes No If yes, when: Site Contact ,A1ZT B6RTR.. Title Signature Phone No.72 57' 37Q7 ENCINA WATWATER AUTHORITY, 6200 Avenida Encinas Carlsbad, CA 92011 (760) 438-3941 FAX: (760) 476-9852