HomeMy WebLinkAbout2051 PALOMAR AIRPORT RD; 200; CB130224; PermitCity of Carlsbad.
1635 FaradayAv Carlsbad, CA .92008
03-11-2013 S Commercial/Industrial Permit Permit No: CB130224
Building Inspection Request Line (760) 602-2725.
Job Address: . 2051 PALOMAR AIRPORT RD CBADSt: 200
Permit Type: TI Sub Type: INDUST Status: ISSUED
Parcel No: 2130503900 Lot #: 0 Applied: 01/25/2013
Valuation: $697,336.00 Construction Type: 5A . Entered By:.LSM
Occupancy Group: Reference #' Plan Approved: 03/11/2013
Issued: 03/11/2013
Inspect Area -
Plan Check #:
Project Title: . CVI- 18,786 SF INTERIOR Tl . .
OFFICE TO OFFICE '. .
Applicant:
AARON KROLL
STE 290
3900 FIFTH AV
SAN DIEGO-CA 92101
619.:2990011
CC23554OLD
JCCE-PALOMAR L-LC
,44DR'
/O JAMES COXETER
I1lLLVILLEcA96o627
Building Permit / \.$2,920.98 Meter Size
AddI Building Permit Fee/ /' $0.00 AddI Red. Water ConFe ,_)
Plan Check / / $2,044.69 Meter Fee Add'l Building Permit Fee / $0 00 SDCWA Fee' " \ Plan Check Discount / / $0.00 !CFD Payoff Fee
Strong Motion Fee / $146.44. PFF (3105540)
Park Fee / .' $0.00 .2..PFF (4305540)
LFM Fee / . Tax (3104193)
Bridge Fee / $0.00 License Tax (4304193) ,
BTD #2 Fee I $0.00 Trffic)mpact Fee (310551)
BTD #3 Fee $O.00 Tffic Impact"Fee (4305541)'
Renewal Fee ' ( ' . . $0.00 " PLUMBING TOTAL
Addi Renewal Fee I $O.PO \ ELECTRICAL TOTAL-
Other Building Fee - $0.00 MECHANICALTOTAL\ .
Pot. Water Con. Fee , $0 00 MasterDrainage Fee,
Meter Size \ , tSewerFee"'s).
AddI Pot. Water Con. Fee \ $0.00 . Redev ParkingFee
Red. Water Con. Fee \ $0.00 Additional Fees'
Green Bldg Stands (SB173) Fee \ $24.00 HMF Fee,.
Fire Expedidted Plan Review $0.00 CO 1Gr4eiBIdg Standards RI Chk
\ ' . TOTAL PERMIT FEES'
\ --
' ,-dt. - - '\c Total Fees: $5,266.18 .\T,tal Payments rTo Date: $5,266:18 Balance Due:
II!r(,\Yt-\VN) /
\
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$41.00
$89.07
$0.00
$0.00
$0.00
-$0.00
??
??
$5,266.18
$0.00
FINAL APP~?,V#U
InsPcf(3ft
NOTICE:' Plese take NO ICE that approval of your project includes the "Imposition' of fees dedications, reservations, or other exactions hereafter, collectively
referred to as "fees/exactions." You have 90 days from the date this'pernhit was issued to protest imposition of these fees/exactions. If you protest them you must
follow the protest procedures set forth in Goveminent Code Se"ction 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition. •
,
• .
You are hereby FURTHER NOTIFIED that your right to l5rotest the specified fees/exactions DOES NOT APPLY to water and sewer cbnnection fees and capacity
changes, nor planning, zoning; grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactionsofwhichyouhavepreviously_beengivenaNOTICEsimilartothis,_orasto_whichthestatuteoflimitationshaspreviously_otherwiseexpired.
13
r
CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/2719
Fax 760-602-8558
www.carlsbadca.gov
Plan Check NoCQ 71 0cf
Est. Value 69:2 szfo
Plan Ck. Deposit c, '4', (L'9
Date I.411 3 lswp I
JOB ADDRESS 2051 Palomar Airport Road I AFrN
213 050 39 - 00 'I -
CT/PROJECT# LOT# PHASE# #0FUNITS #BATHR0OMS ENANBU$INES$NAME ICONSTR.TYPE I OCC. GROUP
I
I#BEDROOMS
CVI I I lb
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
-
Tenant improvements office space including non-structural partitions, and finishes
726
EXISTING USE PROPOSED USE IGARAGE (SF) PATIOS (SF) IDECKS(SF) IFIREPLACE IAIRCONDITIONING
office I offfice 0 0 0 I''D#. NO YES NO
IFIRESPRINKLERS
YES NO[_]
CONTACT NAME (If Different Fern Applicant) PLICANT NAME Aaron Kroll
ADDRESS - ADDRESS
3900 Fifth Avenue, Suite 290
CITY - STATE ZIP . CITY STATE ZIP
San Dieqo CA 92101
PHONE , FAX PHONE 'FAX
619-299-0011 619-299-5544 sz2o
EMAIL . EMAIL
_________________________________________ aarondpdesiqninc.com
PROPERTY OWNER NAME TCc2td- PAtcrnz. LA- CONTRACTOR BUS. NAME
- co&I
ADDRESS ADDRESS
t' P.& c4-.-- DIM 14 Or
CITY E ZIP . CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL . . EMAIL
ARCH/DESIGNER NAME & ADDRESS
• STATE LIC. # STATE LIC.# I CLASS
1
I CRY BUS L' It
9533
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the
Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
øl3C3G1D° ®WQWO?0®D
Workers' Compensation Declaration: I hereby affirm under penally of perjury one of the following declarations: .. .
RI 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' compensation, requirJ by Section 3700 of the Labor Code, for the performance of the work for which thjp permit is issued. My workers' compensation i surance carrier and policy
number are: lnsuranceo ettr a-. ')/ 24+,'4 4 I C., Policy No. LL'CIO(3 Expiration Date lb/)I
section need not be completed if the permit is It one hundred dollars ($100) or less.
Certificate of Exemption: I certify that in the perform work for which this permit is issued, I shall not employ any person in any manner soas to become subject to the Workers' Compensation Laws of
california. WARNING: Failure to secure workers' co satlon erage is unlawful, and shall subject an employer to crfmina penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as ded r in Sec on 3 of the Labor code, Interest and attorney's fees.
CONTRACTOR SIGNATURE AGENT DATE
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 Contractors 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 l:IYes [—]No
I (have! have fbi) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction Onclude 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):
PR0PERTY OWNER SIGNATURE . . • , []AGENT DATE ' .
)O&) D?OØO (@O DØ001O70 Q(DOOOO (PO(1OOD 0000V -
Is the applicant or future building occupant required to submit a business tan, 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? [J Yes I I INo
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air uality management district? [:Ives [] No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? IIYes / 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.
5 (JO1?WW'O®O QOO@@IZ)GS? -'
thereby affirm that there is a construction tending agency for the performance of the work this permit is issued (Sec. 3097 (I) Civil Code).
Lender's Name - Lender's Addressr
OO GO?D(?OGOØO
I certirthatI have read the application and statethatthe above Information iscorreand thatthe Information an the plans Isaccurata I aeeto complywith all City ordinances and State laws relatingto buitdingconstnicllon.
thereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly fur inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over5'O deep and demolition or construction of structures over 3 stories in height: - - -
EXPIRATION: Every permit issued bythe Building Official underthe provisions of this Code shall expire by limitation and become null and void if the building orwork authorized bysuch permit is not commenced within
180 days from the date olsuch permit or if the building authorized authorized by such permit is suspended orabandoned at any time after the work iscommenced fora period of l8o days (Section 106.4.4 Uniform Building Code).
.APPLICANTS SIGNATURE 1,2_. -
S .
- DATE
Inspection List
INDUST CVI- 18,786 SF INTERIOR TI Permit#: CB130224 Type: TI
OFFICE TO OFFICE
Date Inspection Item Inspector Act Comments
05/09/2013 89 Final Combo PY AP
05/01/2013 39 Final Electrical - RI
05/01/2013 39 Final Electrical PY WC
04/29/2013 49 Final Mechanical - RI
04/29/2013 49 Final Mechanical PY PA
04/10/2013 14 Frame/Steel/Bolting/Weldin PY AP
04/04/201.3 11 Ftg/Foundation/Piers PD AP
03/26/2013 17 Interior Lath/Drywall PY . AP
03/21/2013 14 Frame/Steèl/BoltinglWeldin PY AP
03/21/2013 34 Rough Electric PY . AP
Thursday, May 09, 2013 .
Page 1ot 1
Type 01 inspection
' Date
#11 FOUNDATION
#12 REINFORCED STEEL
#66 MASONRY PRE GROUT
[3 GROUT DWALLDRAINS
#10 TILT PANELS
#11 POUR STRIPS
#11 COLUMN FOOTINGS
#14 SUBFRAME 0 FLOOR 0 CEIUNG
#15 ROOF SHEATHING
EXT. SHEAR PANELS
#16 INSULATION
#18 EKTERIOR LATH
*17 INTERIOR ThDRYWALL
#51 POOL EXCA/STE D/FENCE
#55 PREPLASTER
PLUMBING
[3 Wrk
OuTDW0 ---
7 TUB SHOWER PA
#23 0 GAS TEST OGAS PIPING'
#25 WATER HEATER
#28 SOLARWATER
029 FINAL
#600 PRE-CONSTRUCTION MEETING
4603 FOLLOW UP INSPECTION
#605 NOTICE TO CLEAN
#607 WRITTEN WARNING -
#609 NOTICE OF VIOLATION
#610 VERBALWARNINO
REV 10012
Landscape 760-944-8463 AllOW 48 hours
RECEIVED MAR 112013 CR130224 2051 PALOMAR AR
LSBAD INSPECTION RECORD 200
ilding
• PRTRD
Division CVI- 18,786SF INTERbRTI
INSPECTION RECORD CARD WITH APPROVED
, OFFICE TO OFFICE
PLANS MUST BE KEPT ON THE JOB - TI INJUST -
CALL BEFORE 3:30 m FOR NEXT WORK DAY INSPECTION Lot. •AARONKROLL ,
FOR BUILDING INSPECTION CALL. 760-602-2725
OR GO TO: www.CarIsbada.4ov/Buagg AND CL
I
C
K
O
N RECORD COpy
"Request InSpctiofl'
TE:'S I •
-
IVES
Required Prior to Requesting Building Final If Ch::ked YES * Date Inspector
j
Notes
CM&I (Engineering Inspections)pm
Fire Prevention 760-602-4660 Aflow 48 hours'
Type of W.i-pectionji
ector lNector
#31 0 ELECTRIC UNGROUND '-D UFER
#34 ROUGH ELECTRIC I
#33 0 ELECTRIC SEISICE 0 TE0
#35 PHOTOVOLTAIC
#39 FINAL - -'
-
#41 UNDERGROUND XiCTS & PIPilG
#44 0DUCT&PLEN1 DREFVIPIN
#43 HEAT-AIR COND.SYSIEMS
049 FINAL
_____
]
#81 UNDERGROUNDI1,1221,311
#82 DRYWALL,[XTL&TH, GAS TES 17,18,23)
#83 ROOF SHEAT1NGCTSHEARfl3,l5) - -------
_______
#84 FRAME ROUGH COMBO (14,234,44)•
FINAL OCCUPANCY (1s,i 9,49
actor
te I
4jSUNDERGROUNO'ISUAL
A/S UNDERGROUNDIYDRO
• A/S UNDERGROUNC PLUSH -
• • t- /'
g/
• A/S OVERHEAD VtSDL '---i
A/S OVERHEAD HYOSTATIC
A/S FINAL : • 1L
• F/AROUGH4N • + ,,
F/AFINAL • •
• FIXED ONGUISHIG SYSTEM *OUGH.IN ;. •,
•
• FIXED EXTING SYS# HYDRG11C TEST
FIXED EXTINGUISHING SYSTEM iNAL
-
MEDICAL GAS PRSURETES1.
MED%CALGASFIN4L • •• ,_____
;• • 't OR S4Q1
EsGil Corporation
In (Partners flip with government for gui(iing Safety
DATE: 3/8/2013
JURISDICTION: City of Carlsbad
PLAN CHECK NO.: 13-0224 SET: III
0 APPLICANT
U RI S.
Li PLAN REVIEWER
O FILE
PROJECT ADDRESS: 2051 Palomar Airport Road
PROJECT NAME: CVI Office T. I.
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.
The applicant's copy of the check list has been sent to:
Aaron Kroll
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: Aaron Kroll Telephone #: 619 299 0011
Date contacted: (by: ) Email: aarondpdesigninc.00m Fax #:
Mail Telephone Fax In Person
REMARKS: Set Ill is three slip-sheets (A1.1, MO.1 & MO.2) to be slip-sheeted into the Set II
plan package to make the corrected plan sets.
By: Glen Adamek Enclosures:
EsGil Corporation
GA E EJ LI PC 3/4/2013
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576
EsGil Corporation
In Partnership with Government for Bui(ding Safety
DATE: 2/27/2013 El ARP-LICANT
JURIS.
JURISDICTION: City of Carlsbad PLANREVIEWER
LI FILE
PLAN CHECK NO.: 13-0224 SET: II
PROJECT ADDRESS: 2051 Palomar Airport Road
PROJECT NAME: CVI Office T. I.
Lii The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's codes.
El The plans transmitted herewith will substantially comply with the jurisdiction's
codes when minor deficiencies identified below are resolved and checked by building
department staff.
El The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
El The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
The applicant's copy of the check list has been sent to:
Aaron Kroll
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: Aaron Kroll Telephone #: 619-299-0011
Date contacted: zi I i.(by: ) Email: aarondpdesigninc.com Fax #:
c Mail - Telephone Fax In Person
REMARKS:
By: David Yao Enclosures:
EsGil Corporétion
GA E EJ L) PC •. 2/20
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576
City of Carlsbad 13-0224
2/27/2013
Please make all corrections, as requested in the correction list. Submit FOUR new
complete sets of plans for commercial/industrial projects (THREE sets of plans for
residential projects). For expeditious processing, corrected sets can be submitted
in one of two ways:
Deliver all corrected sets of plans and calculations/reports directly to the City of
Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760)
602-2700. The City will route the plans to EsGil Corporation and the Carlsbad
Planning, Engineering and Fire Departments.
Bring 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.
NOTE: The items listed below are from the previous correction list. These
remaining items have not been adequately addressed. The numbers of the items
are from the previous check list and may not necessarily be in sequence. THE
NOTES IN BOLD FONT ARE CURRENT REMAINING ITEMS.
PLUMBING AND MECHANICAL CORRECTIONS
PLAN REVIEW NUMBER: 13-0224 SET: II
PLAN REVIEWER: Glen Adamek
GENERAL AND ARCHITECTURAL PME ITEMS
Each sheet of the plans must be signed by the person responsible for their
preparation, even though there are no structural changes, before the permits are
issued. Business and Professions Code. The final set of corrected drawings
to be reviewed for signing and sealing just before the permits are to be
issued.
The response provided states: "Room 125 contains measuring
instrumentation and computer. No hazardous materials will be stored or
used in this room." But this is not addressed on the drawings and no
"Hazardous Material Opinion and Report" provided addressing the new
Lab #125. Please correct the plans. Please address type of materials and
type of actives to be done in the new Lab #125. Provide data on the proposed
hazardous materials to be stored and used. IBC 414. Present description of
hazardous materials in a format that coincides with the material classifications
found in CBC Tables 307.1(1) & 307.1(2).
A) Clearly show the types of hazardous materials being stored or used. Provide a
list of the proposed hazardous materials; include the material safety data sheets
(MSDS), if applicable.
City of Carlsbad 13-0224
2/27/2013
Clearly show the amounts for each type of hazardous material to be stored and
in use.
Clearly show the locations in the building where each type of hazardous material
is being stored or used.
Note: If hazardous materials are present in any amount, forward this information
to the mechanical designer for design compliance with CMC Chapter 5.
PLUMBING (2010 CALIFORNIA PLUMBING CODE)
The plumbing plans seem to substantially comply with jurisdiction's plumbing
codes.
MECHANICAL (2010 CALIFORNIA MECHANICAL CODE)
The plans do not show the existing use of the space where the new Lab
#125 is to be constructed and not MECH-3C form provided to show
required outside air amounts for the existing HP-17 serving the new Lab
#125 and the rest of the remaining area. Please provide. The mechanical
plans and the MECH-3C forms do not address the required mechanical
ventilation of the new Lab #125. Please correct.
The complete new updated energy package including the new MECH-3C
forms were not provided. On the MECH-3C forms please correct the required
ventilation rates for the two Break rooms and the two Conference rooms. Please
show the larger occupant loads and the larger outside air CFM requirements.
The complete new updated energy package including the new MECH-3C
forms were not provided. The plans do not clearly show the required minimum
outside air amounts for all the upper level HVAC units and the FC/HP-8 at the
first floor level, to agree with the Design Ventilation Air CFM amounts on the
MECH-3C forms. Please correct.
Note: If you have any questions regarding this Plumbing and Mechanical plan review
list please contact Glen Adamek at (858) 560-1468. To speed the review process, note
on this list (or a copy) where the corrected items have been addressed on the plans.
END OF DOCUMENT
EsGil Corporation
In Partnership with Government for Building Safety
DATE: 2/7/2013 D)PPLICANT
J URIS.
JURISDICTION: City of Carlsbad IJ PLAN REVIEWER
0 FILE
PLAN CHECK NO.: 13-0224 SET: I
PROJECT ADDRESS: 2051 Palomar Airport Road
PROJECT NAME: CVI Office T. I.
El The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's codes.
El 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.
Z The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
El The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
The applicant's copy of the check list has been sent to:
Aaron Kroll
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: Aaron Kroll Telephone #: 619-299-0011
Date contacted: . (by: ) Email: aarondpdesigninc.com Fax #:
Mail Telephone Fax In Person
LI REMARKS:
By: David Yao Enclosures:
EsGil Corporation
GA, 0 EJ F1 PC 1/29
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax(858)560-1576
City of Carlsbad 13-0224
2/7/2013
PLAN REVIEW CORRECTION LIST
TENANT IMPROVEMENTS
PLAN CHECK NO.: 13-0224 JURISDICTION: City of Carlsbad
OCCUPANCY: B USE: office
TYPE OF CONSTRUCTION: VB ACTUAL AREA: T. I. 18776 sf
ALLOWABLE FLOOR AREA: STORIES: 2
HEIGHT:
SPRINKLERS?: Y
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION:
DATE INITIAL PLAN REVIEW
COMPLETED: 2/7/2013
OCCUPANT LOAD:
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 1/29
PLAN REVIEWER: David Yao
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 2010 CBC, which adopts the 2009 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 2009 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 13-0224
2/7/2013
Please make all corrections, as requested in the correction list. Submit FOUR new
complete sets of plans for commercial/industrial projects (THREE sets of plans for
residential projects). For expeditious processing, corrected sets can be submitted
in one of two ways:
Deliver all corrected sets of plans and calculations/reports directly to the City of
Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760)
602-2700. The City will route the plans to EsGil Corporation and the Carlsbad
Planning, Engineering and Fire Departments.
Bring 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.
2. Provide a note on the plans indicating if any hazardous materials will be stored
and/or used within the building which exceed the quantities listed in IBC Tables
307.1(1) and 307.1(2).
Stairway riser must be 4 inches minimum and 7 inches maximum and minimum
run shall be 11 inches. Section 1009.4.2. What is the rise and run for the new
steps? Please clarify on the plan.
. GREEN BUILDING STANDARDS
(for nonresidential additions and tenant improvements)
The California Building Standards Commission (BSC) has adopted the Green Building
Standards Code which became effective January 1, 2011, revised on July 1, 2012 and
must be enforced by the local building official. The Green Building Standards apply to
nonresidential additions or tenant improvements throughout California. These
standards apply to Nonresidential additions of 2,000 sq. ft. or larger or alterations
(tenant improvements) with a value of $500,000 or more constructed after July-,1
2012. CGC 101.3 & Section 5.701.1
Submit to the Engineering Department or other City Agency that regulates
construction waste management a Waste Management Plan that outlines the
items listed in CGC Section 5.713.8.1.1
Note on the plans that a minimum of 50% of nonhazardous construction waste is
to be recycled. CGC 5.713.8.1
. Note on the plans that testing and adjusting of new systems as outlined in CGC
Section 5.713.10.4.2.
City of Carlsbad 13-0224
2/7/2013
Note on the plans that a building Operations & Maintenance Schedule" (0 & M)
as listed in CGC Section 5.713.10.4.5 shall be delivered to the building owner or
representative and the facilities operator.
Note on the plans that during construction, ends of duct openings are to be
sealed, and mechanical equipment is to be covered. CGC 5.714.4.3.
Note on the plans that VOC's must comply with the limitations listed in Section
5.504.4 and Tables 4.504.1, 5.504.4.1 5.504.4.2, 5.504.4.3 and 5.504.4.5 for:
Adhesives, Sealants, Paints and Coatings, Carpet and Composition Wood
Products. CGC 5.7 14.4.4.
Note on the plans that where landscape irrigation is a part of the addition or
tenant improvement, landscape irrigation water use shall have weather based
controllers. CGC 5.712.4.3.1.
Note on the plans that prior to final approval of the building the licensed
contractor, architect or engineer in responsible charge of the overall construction
must complete and sign the City approved Green Building Standards
Certification form or other documentation required by the city and given to the
building department official prior to building final approval to be filed with the
approved plans.
. ADDITIONAL
Please refer to the following corrections for mechanical, plumbing, electrical and
energy items.
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.
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: IJ Yes IJ No
The jurisdiction has contracted with Esgil Corporation located at 9320
Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of
858/560-1468, to perform the plan review for your project. If you have any
questions regarding these plan review items, please contact David Yao at Esgil
Corporation. Thank you.
City of Carlsbad 13-0224
2/7/2013
ELECTRICAL and ENERGY COMMENTS
PLAN REVIEWER: Eric Jensen
I'm not sure of the scope of this project: A single line was provided but the
only part that appears to be modified is the "DB3A" which doesn't seem to
be modified on the floorplans? Also, the second floor is limited on the
architectural plans but greatly expanded on the electrical floorplans.
Please explain.
ELECTRICAL (2010 CALIFORNIA ELECTRICAL CODE)
Describe the branch circuit to furniture homeruns on the plans: Plug and cord
connected, direct wired? Multiwire branch circuits or dedicated neutrals?
Offices (250' and smaller) and conference rooms require occupancy sensors.
Include these on the lighting floorplan layouts.
If part of the plans, include the egress lighting design for the second floor lighting
that is part of this tenant improvement but not shown on the revised lighting
layout.
Include all panelboard locations and single line revisions that occur as part of this
tenant improvement permit on the plans.
Note: If you have any questions regarding this Electrical and Energy plan review list
please contact Eric Jensen at (858) 560-1468. To speed the review process, note on
this list (or a copy) where the corrected items have been addressed on the plans.
PLUMBING AND MECHANICAL CORRECTIONS
PLAN REVIEWER: Glen Adamek
GENERAL AND ARCHITECTURAL PME ITEMS
Each sheet of the plans must be signed by the person responsible for their
preparation, even though there are no structural changes, before the permits are
issued. Business and Professions Code. The final set of corrected drawings to
be reviewed for signing and sealing just before the permits are to be issued.
Please address type of materials and type of actives to be done in the new Lab
#125. Provide data on the proposed hazardous materials to be stored and used.
IBC 414. Present description of hazardous materials in a format that coincides
with the material classifications found in CBC Tables 307.1(1) & 307.1(2).
a) Clearly show the types of hazardous materials being stored or used.
Provide a list of the proposed hazardous materials; include the material
safety data sheets (MSDS), if applicable.
City of Carlsbad 13-0224
2/7/2013
b) Clearly show the amounts for each type of hazardous material to be
stored and in use.
C) Clearly show the locations in the building where each type of hazardous
material is being stored or used.
d) •Note: If hazardous materials are present in any amount, forward this
information to the mechanical designer for design compliance with CMC
Chapter 5.
PLUMBING (2010 CALIFORNIA PLUMBING CODE)
No plumbing plans provided. Please clearly show the limits of any proposed
plumbing to be installed. Like in the new Break Rooms for the new Sinks, water
lines, DWV piping and hot water heaters.
Provide a plumbing material schedule on the plans describing the following
systems: Potable water piping, & drain, waste, and vent piping.
A complete plumbing review will be done when plumbing plans and calculations
are provided.
MECHANICAL (2010 CALIFORNIA MECHANICAL CODE)
The mechanical plans and the MECH-3C forms do not address the required
mechanical ventilation of the new Lab #125. Please correct.
On the MECH-3C forms please correct the required ventilation rates for the two
Break rooms and the two Conference rooms. Please show the larger-occupant
loads and the larger outside air CFM requirements.
The plans do not clearly show the required minimum outside air amounts for all
the upper level HVAC units and the FC/HP-8 at the first floor level, to agree with
the Design Ventilation Air CFM amounts on the MECH-3C forms. Please
correct.
Provide smoke detection in the supply air duct of an "air-moving system" for
required shut-off of equipment for smoke control. CMC Section 609.0 An "air-
moving system" is a system designed to provide heating, cooling, or ventilation in
which one or more air-handling units are used to supply air to a common space
or to draw air from a common plenum or space. CMC Section 203.0
Detail the primary and secondary mechanical condensate waste design: Pipe
sizing, routing, and termination areas. CMC 309.0 & CPC 807.0
Note: If you have any questions regarding this Plumbing and Mechanical plan review
list please contact Glen Adamek at (858) 560-1468. To speed the review process, note
on this list (or a copy) where the corrected items have been addressed on the plans.
'City of Carlsbad 13-0224
2/7/2013
DISABLED ACCESS REVIEW LIST
DEPARTMENT OF STATE ARCHITECT
TITLE 24
S DOORS
1. Revise plans, or door schedules, to show that every required passage door has
>32" clear width, per Section 113313.2. Please sDecifv all the door sizes on the
plan.
. STAIRWAYS AND HANDRAILS
2. Stair treads shall be no less than 11" deep, measured from riser to riser. Section
1133B.4.5.3. This applies even if basic UBC provisions may allow a narrower
tread.
3. Note that all tread surfaces comply with Section 11 33B.4.5, as follOws:
Open risers are not permitted.'
Stair treads shall be no less than 11" deep, measured from riser to riser.
GENERAL ACCESSIBILITY REQUIREMENTS
. ACCESSIBLE SINKS
4. Per Section 11 17B.9, non-commercial kitchen sinks (such as at employee break
rooms, etc.) shall provide the following:
The accessible sink shall be a maximum of 6-1h" deep. The sink shall be
mounted with the counter, or rim no higher than 34" above finish floor.
Knee clearance that is at least 27" high, 30" side and 19" underneath the
sink shall be provided. Hot water and drain shall be insulated or otherwise
configured so as to protect against contact. There shall be no sharp or
abrasive surfaces under the sink.
Faucet controls and operating mechanisms shall be operable with one
hand and shall not require tight grasping, pinching or twisting of the wrist.
Lever operated, push-type and electronically controlled mechanisms are
acceptable. Self-closing valves are allowed if the faucet remains open for
at least 10 seconds.
END OF DOCUMENT
Jurisdiction Code Icb IBY Ordinance
Bldg. Permit Fee by Ordinance V
Plan Check Fee by Ordinance
Type of Review: ED Complete Review
Repetitive Fee fl Other
Repeats _I El Hourly.
EsGil Fee
I $2,920.981
I $1,898.641
El Structural Only
Hr. @ *
I $1,635.75!
City of Carlsbad 13-0224
2/7/2013
[DO NOT PAY - THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Carlsbad PLAN CHECK NO.: 13-0224
PREPARED BY: David Yao DATE: 2/7/2013
BUILDING ADDRESS: 2051 Palomar Airport Road
BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: VB
BUILDING
PORTION
AREA
(Sq. Ft.)
Valuation
Multiplier
Reg.
Mod.
VALUE ($)
TI. 18786 per city 697,336
Air Conditioning
Fire Sprinklers
TOTAL VALUE 697,336
Comments:
Sheet 1 of 1
macvalue.doc +
A
CITY OF
CARLSD/AD
PLAN CHECK
REVIEW
TRANSMITTAL
Community & Economic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www.carlsbadca.gov
DATE: 2/14/13 PROJECT NAME:CVI PROJECT ID:
PLAN CHECK NO: CB 13-224 SET#: I ADDRESS: 2051 Palomar Airport Rd APN:213-°50-39.
VALUATION: $697,336
S
You may have corrections from one or more of the divisions Listed in the table below
/ This plan check review transmittal is to notify you of clearance by:
" LAND DEVELOPMENT ENGINEERING DIVISION
Final Inspection by the Construction & Inspection Division is required: Yes j No
For status from a division not marked below, please call 760-602-27.19
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:
PLANNING LAND DEVELOPMENT ENG.FIRE PREVENTION
760-602-4610 . 760-6022750 760-6024665'
Ej Chris Sexton
! F-1 Kathleen Lawrence Greg Ryan
760-602-4624 760-602-2741 760-602-4663-
ChrisSexton@carlsbadca.gov Kathleen.Lawrence@carlsbadca.gov Gregory.Ryan@carlsbadca.gov
.. : Gina Ruiz S Linda Ontiveros F1 Cindy Wong
760-602-4675 760-602-2773 760-6024662
Gina.Ruiz@carlsbadca.gov Linda.Ontiveros@carlsbadca.gov Cynthia.Wong@carlsbadca.gov
U S .
Dominic Fieri
760602-4664
Dominic.Fieri@carlsbadcagov
Remarks: 100% fee'd out. No new use of space.
BUILDING PLANCHECK
CHECKLIST
QUICK-CHECK/APPROVAL
Development Services -
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
'S .'ENGINEERING Plan Check for CB 13-224 Date: 2/14/13
: Project Address: 2051 Palomar Airport Rd. APN: 21305039
Project Description Valuation: $697,336
ENGINEERING Contact Linda Ontiveros Email: linda.ontiveros@carlsbadca.gov
Phone:. 760-602-2773 Fax: .760-602-1052
LI RESIDENTIAL 7JTENANT IMPROVEMENT
LI RESIDENTIAL ADDITION MINOR fl PLAZA CAMINO REAL
* (<$20,000.00)
LI CARLSBAD PREMIER OUTLETS LI COMPLETE OFFICE BUILDING •
LI OTHER: . : •
•
OFFICIAL USE ONLY
ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT
BY DATE 2/14/13
REMARKS
100%feed out. Nonewuseofspace
-- -. - S t -
r
Page 1 of 1 - REV 4/30/11
Project Address: Assessor Parcel No.
2O5( FLnev- Arpwt-
Ow ne Owner's Authorized Agent Name: Title:
Date:
/ / ;11 13
City Concurrence/
DYE LO
t 4T- Project to:
I ~ 6
Page lofi Rev.03/09
IV CITY OF
CARLSBAD
STORM WATER
COMPLIANCE
ASSESSMENT
B-24
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
I am applying to the City of Carlsbad for the following type(s) of construction permit:
Building Permit U Right-of-Way Permit
5Jv1y project is categorically EXEMPT from Electrical Patio/Deck
Fire Additional Re-Roofing
the requirement to prepare a storm water Fire Alarm Sign pollution prevention plan (SWPPP) because it Fixed Systems Spa-Factory only requires issuance of one or more of the Mechanical Sprinkler
following permit types: Mobile Home Water Discharge
Plumbing
.
Project Storm Water Threat Assessment Criteria*
t Assessment Criteria
ZMy
No
project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because
it meets the no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier
Level. My project does not meet any of the High, Moderate or Low Threat criteria described below.
Tier I - Low Threat Assessment Criteria
El My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project
meets one or more of the following criteria:
Results in some soil disturbance; and/or
Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling).
Tier 2 - Moderate Threat Assessment Criteria
U My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria:
Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or,
Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement
removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria:
Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or
Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or
Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or
Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30).
Tier 3 - Significant Threat Assessment Criteria
U My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any
associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or
U My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any
associated construction staging, equipment storage, refueling and maintenance areas: or,
U My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant
potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s).
I certify to the best of my knowledge that the above
checked statements are true and correct I understand
and acknowledge that even though this project does
not require preparation of a construction SWPP, I must
still adhere to, and at all times during construction
activities for the permit type(s) check above comply
with the storm water best management practices
pursuant to Title 15 of the Carlsbad Municipal Code
and to City Standards.
The City Engineer may authorize minor variances from the Storm
Water Threat Assessment Chteria in special circumstances where it
can be shown that a lesser or higher Construction SWPPP Tier Level is
warranted.
B-24
CITY OF
CARLSD/-%D13
STORM WATER
STANDARDS
QUESTIONNAIRE
E-34
Development Services
Engineering Department
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
SECTION 1 NEW DEVELOPMENT
PRIORITY PROJECT TYPE YES NO Does you project meet one or more of the following criteria:
Housing subdivisions of 10 or more dwelling units. Examples: single family homes, multi-family homes,
condominium and apartments
Commercial - greater than 1-acre. Any development other than heavy industry or residential. Examples: hospitals;
laboratories and other medical facilities; educational institutions; recreational facilities; municipal facilities; commercial
nurseries; multi-apartment buildings; car wash facilities; mini-malls and other business complexes; shopping malls;
hotels; office buildings; public warehouses; automotive dealerships; airfields; and other light industrial facilities.
Heavy Industrial / Industry- greater than I acre. Examples: manufacturing plants, food processing plants, metal
working fleet truck, _facilities, _printing _plants, _and _storage _areas _(bus,_ _etc.).
Automotive repair shop. A facility categorized in any one of Standard Industrial Classification (SIC) codes 5013,
5014, 5541, 7532-7534, and 7536-7539
Restaurants. Any facility that sells prepared foods and drinks for consumption, including stationary lunch counters
and refreshment stands selling prepared foods and drinks for immediate consumption (SIC code 5812), where the
land area for development is greater than 5,000 square feet. Restaurants where land development is less than 5,000
square feet shall meet all SUSMP requirements except for structural treatment BMP and numeric sizing criteria
requirements and hydromodification requirements.
Hillside development. Any development that creates 5,000 square feet of impervious surface and is located in an
area with known erosive soil conditions, where the development will grade on any natural slope that is twenty-five
percent (25%) or greater.
Environmentally Sensitive Area (ESAY. All development located within or directly adjacent2 to or discharging
directly3 to an ESA (where discharges from the development or redevelopment will enter receiving waters within the
ESA), which either creates 2,500 square feet of impervious surface on a proposed project site or increases the area
of imperviousness of a proposed project site to 10% or more of its naturally occurring condition.
Parking to Area of 5,000 square feet or more, or with 15 or more parking spaces, and potentially exposed to urban
runoff
Streets, roads, highways, and freeways. Any paved surface that is 5,000 square feet or greater used for the
transportation of automobiles, trucks, motorcycles, and other vehicles
Retail Gasoline Outlets. Serving more than 100 vehicles per day and greater than 5,000 square feet
Coastal Development Zone. Any project located within 200 feet of the Pacific Ocean and (1) creates more than
2500 square feet of impermeable surface or (2) increases impermeable surface on property by more than 10%.
More than 1-acre of disturbance. Project results in the disturbance of more than 1-acre or more of land and is
>c' considered a Pollutant-generating Development Project4.
1 Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas designated as Areas of Special
Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies
designated with the RARE beneficial use by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments);
areas designated as preserves or their equivalent under the Multi Species Conservation Program within the Cities and County of San Diego; and any other equivalent
environmentally sensitive areas which have been identified by the Copermittees.
2 'Directly adjacent" means situated within 200 feet of the Environmentally Sensitive Area.
3 'Discharging directly to' means outflow from a drainage conveyance system that is composed entirely of flows from the subject development or redevelopment site, and
not commingled with flow from adjacent lands.
4 Pollutant-generating Development Projects are those projects that generate pollutants at levels greater than background levels. In general, these include all projects
that contribute to an exceedance to an impaired water body or which create new impervious surfaces greater than 5000 square feet and/or introduce new landscaping
areas that require routine use of fertilizers and pesticides. In most cases linear pathway projects that are for infrequent vehicle use, such as emergency or maintenance
access, or for pedestrian or bicycle use, are not considered Pollutant-generating Development Projects if they are built with pervious surfaces or if they sheet flow to
surrounding pervious surfaces.
Section 1 Results:
If you answered YES to ANY of the questions above your project is subject to Priority Development Project requirements. Please check the
"meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3. A Storm Water Management Plan, prepared in accordance with City
Storm Water Standards, must be submitted at time of application.
If you answered NO to ALL of the questions above, then your project is subject to Standard Stormwater Requirements. Please check the "does
not meet PDP requirements" box in Section 3.
E-34 Page 2 of 3 . REV 3/23/10
nnhi,-nI Infn,n..,nn .,..,,1 Qj,,.,,•, ...
Address: Assessor's Parcel Number(s):
Applicant Name: Applicant Title:
Applicant Signature: Date:
>>
CITY OF
CARLSBAD
STORM WATER
STANDARDS
QUESTIONNAIRE
E-34
Develo pment Services
Engineering Department
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
SECTION 2 SIGNIFICANT REDEVELOPMENT
Complete the questions below regarding your redevelopment project: YES NO
1. Project results in the disturbance of more than 1-acre or more of land and is considered a Pollutant-generating
Development Project (see definition in Section 1).
If you answered NO, please proceed to question 2.
If you answered YES, then you ARE a significant redevelopment and you ARE subject to PRIORITY DEVELOPMENT PROJECT
requirements. Please check the "meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3 below.
2. Is the project redeveloping an existing priority project type? (Priority projects are defined in Section 1) I
If you answered YES, please proceed to question 3.
If you answered NO, then you ARE NOT a significant redevelopment and your project is subject to STANDARD STORMWATER
REQUIREMENTS. Please check the "does not meet PDP requirements" box in Section 3 below.
3. Is the project IgLely. limited to just one of the following:
Trenching and resurfacing associated with utility work?
Resurfacing and reconfiguring existing surface parking lots?
New sidewalk construction, pedestrian ramps, or bike lane on public and/or private existing roads?
Replacement of existing damaged pavement? .
If you answered NO to ALL of the questions, then proceed to question 4.
If you answered YES to ANY of the questions then you ARE NOT a significant redevelopment and your project is subject to Standard
Stormwater Requirements. Please check the "does not meet PDP requirements" box in Section 3 below.
4. Will your redevelopment project create, replace, or add at least 5,000 square feet of impervious surfaces on an existing
development or, be located within 200 feet of the Pacific Ocean and (1)create more than 2500 square feet of
impermeable surface or (2) increases impermeable surface on the property by more than 10%?
If you answered YES, you ARE a significant redevelopment, and you ARE subject to PRIORITY DEVELOPMENT PROJECT requirements.
Please check the "meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3 below.
If you answered NO, then you ARE NOT a significant redevelopment and your project is subject to STANDARD STORMWATER
REQUIREMENTS. Please check the "does not meet PDP requirements" box in Section 3 below.
SECTION 3 71
U My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must comply with additional stormwater criteria
per the SUSMP and must prepare a Storm Water Management Plan for submittal at time of application.
My project does not meet PDP requirements and must only comply with STANDARD STORMWATER REQUIREMENTS per the
SUSMP.
E-34 Page 3 of 3 REV 3/23/10
PLANNING DIVISION 'Development Services BUILDING PLAN CHECK Planning Division
CITY.0F ' REVIEW CHECKLIST ,1635 Faraday Avenuè
(760) 60i-4610 CARLSBAD
'
P28
,
DATE 2-21-13 PROJECT NAME PROJECT ID
' PLAN CHECK NO: CB 13-0224 SET#:2 ADDRESS: 2051 Palomar Airport Rd APN: 213-050-39-00
This plan check review is complete and has been APPROVED by the Planning
Division.
'L' By: Chris Sexton .• ' ••
A Final Inspection by the Planning 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
. a" 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: aaron@dpdesigninc.com
0 • S.
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
-. -4 - •''
PLANNING
' • . •t'•'•'I .'•r • ENG'INEERIN'G-,-'
• ''O '' !• "-•',
FIRE PREVENTION
760-602-46.10 -760-6U-2750 760-602-4665.'
Chris Sexton Kathleen Lawrence Greg Ryan
760-602-4624 - 760-602-2741 760-602-4663
Chris.Sexton@carlsbadca.gov Kathleen.Lawrence@carlsbadca.gov
0
Gregory.Rvan@carlsbadcaov
Gina Ruiz
' - -
Linda Ontiveros Cindy Wong
760-602-4675 0 760-602-2773 5
760-602-4662
- . Gina. Ruiz@carlsbadca,gov a Linda.Ontiveros@carlsbadca.gov Cynthia.Won@carIsbadca.ov
• El Dominic Fieri •
• 760-602-4664 -- -
,• • 0 Dominic.Fieri@carlsbadca.gov
4 5%
5 -
Plan Check No. CB 13-0224 Address 2051 Palomar Airport Rd Date 2-21-13 Review #2
Planner Chris Sexton Phone (760) 602-4624
Type of Project & Use: fl Net Project Density:N/ADU/AC
Zoning: P1 General Plan: PM Facilities Management Zone:
CFD (in/out) #_Date of participation: Remaining net dev acres:_____
(For non-residential development: Type of land use created by this permit:
REVIEW #:
1 2 3 Legend: Z Item Complete Item Incomplete - Needs your action
LI LI Environmental Review Required: YES LI NO [I] TYPE
DATE OF COMPLETION:
Compliance with conditions of approval? If not, state conditions which require action
Conditions of Approval:
LI LI .
Discretionary Action Required: YES*[] NO LI TYPE
APPROVAL/RESO. NO.- DATE
PROJECT NO.
OTHER RELATED CASES: .
Compliance with conditions or approval? If not, state conditions which require action.
Conditions of Approval:
LI LI Coastal Zone Assessment/Compliance
Project site located in Coastal Zone? YES LI NO U
CA Coastal Commission Authority? YES Q NO U
If California Coastal Commission Authority: Contact them at - 7575 Metropolitan Drive,
Suite 103, San Diego, CA 92108-4402; (619) 767-2370
Determine status (Coastal Permit Required or Exempt):
LI LI Habitat Management Plan
Data Entry Completed? YES LI NO L
If property has Habitat Type identified in Table 11 of HMP, complete HMP Permit application
and assess fees in Permits Plus
(A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, HMP Fees, Enter Acres of
Habitat Type impacted/taken, UPDATE!)
LI LI Inclusionary Housing Fee required: YESL] NOLI
(Effective date of Inclusionary Housing Ordinance - May 21, 1993.)
Data Entry Completed? YES LI NO LI
(A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct
• Housing Y/N, Enter Fee, UPDATE!) •
LI LI Housing Tracking Form (form P-20) completed: YES LI NO E] N/A LI
P-28 Page 2 of 3 07/11
Site Plan:
Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines,
easements, existing and proposed structures, streets, existing street improvements, right-of-
way width, dimensional setbacks and existing topographical lines (including all side and rear
yard slopes): Provide legal description of property and assessor's parcel number.
City Council Policy 44 - Neighborhood Architectural Design Guidelines
LI LI 1 Applicability: YES LI NO LI
LI LI LI 2. Project complies: YES LI NO
Zoning:
LI LI. 1. Setbacks:
Front: Required Shown
Interior Side: Required Shown
Street Side: Required Shown
Rear: Required Shown
Top of slope: Required Shown
2: Accessory structure setbacks:
Front: Required _____ Shown
Interior Side: Required Shown
Street Side: Required _____ Shown
Rear: Required Shown
Structure separation: Required Shown
LI LI 3. Lot Coverage: Required Shown
Lii LI] 4. Height: Required Shown
LI LI] 5. Parking: Spaces Required office to office Shown
(breakdown by uses for commercial and industrial projects required)
Residential Guest Spaces Required _____ Shown
Li Z LI Additional Comments 'Please show how the new roof mounted equipment will be screened.
Please see attached examole.
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER Chris Sexton DATE 2-21-13
P-28 Page 3 of 3 07/11
BUI LDING oEFr
PLAN CHECK Cor_o jj& Economic XA ok
V
Development Department
C I T Y 0 F REV IEW 1635 Faraday Avenue
CARLSBAD
TRANSMITTAL Carlsbad CA 92008
www.carlsbadca.gov
DATE: J/22/2013 PROJECT NAME: CVI• PROJECT ID: CB130224
PLAN CHECK NO: 2 SET#: 1 ADDRESS: 2051 Palomar Airport Rd APN:
This plan check review is complete-and has been APPROVED by the FIRE Division.
By:GR
A Final Inspection by the FIRE Division is required Z Yes j 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: DP Design
You may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the issuance of a building permit.
Resubmitted plans should include corrections from all divisions.
For questions or clarifications on the attached checklist please contact the f011owirg reviewer as marked:
-... •
-.. - •: •:.'• ..• .: '. • :- • • • .• : . .
-;--'PLANNING;-_-1,". ; ENGINEERING FIRE PREVENTION
-- .. 476"02-46'10-, 4610 - 760-2 2750 60 - 760 602 4665
__________________________________ jll ____________________________________ _.e•.• ;:.i
Chris Sexton Kathleen Lawrence Greg Ryan
760-602-4624 760-602-2741 760-602-4663
Chris.Sexton@carIsbadca.gov Kathieen.Lawrence@carlsbadca.gov Gregory.Rvan@carlsbadca.gov
Gina Ruiz Linda Ontiveros Cindy Wong
760-602-4675 760-602-2773 760-602-4662
Gina.Ruiz@carlsbadca.gov Linda.Ontiveros@carIsbadca.gov Cynthia.Wong@carlsbadca.gov
• Dominic Fieri
. 760-602-4664
- •• S Dominic.Fieri@carisbadca.gov
Remarks:
I S BUILDING DEPT.
Carlsbad Fire Department ,op
Plan Review Requirements Category: TI, INDUST
Date of Report: 02-22-2013 Reviewed by: 0 0!!A
Name: AARON KROLL
Address: STE 290
3900 FIFTH AV
SAN DIEGO CA
92101
Permit #: CB130224
Job Name: CVI- 18,786 SF INTERIOR TI
Job Address: 2051 PALOMAR AIRPORT RD CBAD St: 200
Please review carefully all comments attached. S
CITY OF CARLSBAD FIRE DEPARTMENT - APPROVED:
S
THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUANCE OF BUILDING PERMIT.
THIS APPROVAL IS SUBJECT TO FIELD INSPECTION AND REQUIRED TEST, NOTATIONS HEREON, CONDITIONS IN
CORRESPONDENCE AND CONFORMANCE WITH ALL APPLICABLE REGULATIONS. S S
THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE THE VIOLATION OF ANY LAW.
S IMPORTANT: / have calculated the usable 2nd floor area for a total occupant load of 92 for this area. Per CFC
907.2.2- An occupant notification fire alarm system shall be required anytime an occupant load is 100 or more on
the floor above or below the level of exit discharge or a combined occupant load of 500 or more. S
Entry: 02/22/2013 By: gr Action: AP
N
CITY OF
CARLSD/AD
PLAN CHECK
REVIEW
TRANSMITTAL
JLUI'4
Community & Economic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www.carlsbadca.gov
DATE: 01/19/2013 PROJECT NAME: CVI PROJECT ID: CB130224
- PLAN CHECK NO: I SET#: I ADDRESS: 2051 PALOMAR AIRPORT RD APN:
This plan check review is complete and has been APPROVED by the FIRE Division.
By:GR .
A Final Inspection by the FIRE Division is required Yes j 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: DP DESIGNS'
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.
'S
For questions or clarifications on'the attached checklist please contact the following reviewer as marked:
V.- . . ..
-
-.
' PLANNING
. . . . . - . . ENGINEERING , S. . "•.
FIRE PREVENTION
t37 602-4610 * 760-602-2750 7606024665' '
________________________________
Chris Sexton Sexton Kathleen Lawrence 1 Greg Ryan
760-602-4624 - • ' 760-602-2741 . 760-602-4663
Chris.Sexton@carlsbadca.gov Kathleeniawrence@carlsbadca.gov Gregory.Rvan@carlsbadca.gov
Gina Ruiz . 'Linda Ontiveros Cindy Wong
760-602-4675 ' 760-602-2773 ' 760-602-4662. -
Gina.Ruiz@carlsbadca.gov Linda.Ontiveros@carIsbadca.gov Cvnthia.Wong@carlsbadca.gov
-
' • Dominic Fieri
760-602-4664
Dominic.Fieri@carlsbadca.gov
Remarks:, S -.
4
' ..
5,
BUI LDI NG DEPi Carlsbad Fire Department copy
Plan Review Requirements Category: TI , INDUST
Date of Report: 02-19-2013 Reviewed by: 9.K410"-V
Name: AARON KROLL
Address: STE 290
3900 FIFTH AV
SAN DIEGO CA
92101
Permit #: CB130224
Job Name: CVI- 18,786 SF INTERIOR TI
Job Address: 2051 PALOMAR AIRPORT RD CBAD St: 200
INCOMPLETE The item you have submitted for review is incomplete. At this time, this office cannot
adequately conduct a review to determine compliance with the applicable codes and/or standards. Please review
carefully all comments attached. Please resubmit the necessary plans and/or specifications, with changes
"clouded",
to this office for review and approval.
Conditions:
Cond: C0N0006090 [NOT MET]
No Interior Photometric plan was submitted so determining the interior emergency and
Means of Egress Illumination is not possible. Please provide a photometric plan of emergency
lighting and add the following notes to the appropriate sheets.
Hówevér at or prior to Final Fire and Building inspection an Emergency lighting facilities test
shall be conducted by CFD personnel during pre-dawn or dusk hours when ambient light isat 0.00 Lux
or 0.0 Foot-candle.
This test shall be conducted to test the initial loss of power reading of illumination that is at
least an average of 1 foot candle (11 lux) anda minimum of 0.1 foot-candle (1 lux) measured along
the path of egress at the floor level.
And tested after 60-minutes to 0.6 fc (6 lux). Failure to provide sufficient lighting in egress
aisles, corridors, exit enclosures, exit passageways and stair enclosures is the AOR's
responsibility. CFC Ch. 10, Sec. 1006.
Provide a statement that all. new roof mounted equipment shall comply with City of Carlsbad
Policy 80-6 Roof Mounted Equipment.
Entry: 02/19/2013 By: gr Action: CO
BURKEU & WONG
Structural & Civil Engineers & Surveyors
3434 Fourth Avenue • San Diego, CA 92103-4911
Tel: (619) 299-5550 • Fax: (619) 299-9934
DATE- JANUARY 259, 2013
ENGINEER- MBB
JOB No. 11587A.1.00
STRUCTURAL CALCULATIONS
FOR
CVI - T.I.
2051 PALOMAR AIRPORT ROAD
CARLSBAD, CA it
6
RECEIVED DONALD PITTMAN DESIGN, INC
3900 FIFTH AVE
JAN 34 20113 SAN DIEGO, CA
CITY OF CRLAD
BUILDING iVON
/ BURKTT&VVNG DATE_1/ I7 ENGINEERS SHEET______________
ENGR_1 JOB NO_I D14
PROJECT
) TAAt 1 V/WOA /tT Ftao:
2-
- %& l4/215
ToP
i Cf) isJ P*AJ Co 4j - S
2 Ft-or FvZM-c
- I2óVZT pcj 1;-4AJ
: -v
Fr-W
C
116 BURKTF&WONG
DATE ENGINEERS
ENGR__________________
PROJECT C)I\
SHEET
JOB NO__________
LO
+k-; Ld-o
vj. iOo
4t L7O Ao
\r2Q
Page 1 o13
Anchor Calculations
Anchor Selector (Version 4.5.1.0)
Job Name: Date/Time :7/21/2011 3:19:50 PM
1) Input
Calculation Method : ACI 318 Appendix D For Uncracked Concrete
Code : ACI 318-05
Calculation Type : Analysis
a) Layout
Anchor: 1/2" Strong-Bolt Number of Anchors: 1
Embedment Depth : 2.75 in
1
L V .!
I
I
.", ?$.. •,.
Anchor Layout Dimensions:
c,:24in -.
b) Base Material
Concrete: Sand lightweight over Metal Deck f: 3000.0 psi minimum
Cracked Concrete: No
Condition: B tensin and shear
Supplementary edge reinforcement: No
C) Factored Loads
Load factor source : ACI 318 Section 9.2
Nua :751b • . V ax :Olb
Vuay Olb
ahout:btank 7/21/2011
Page 2 ot 3
e:0in
e:Oin
Moderate/high seismic risk or intermediate/high design category: No
d) Anchor Parameters
From [C-SAS-2009];
Anchor Model = STB50 d0 = 0.5 in
Category = 1 het = 2.25 in
hmin = [see figure for minimum concrete thickness)
Cmin = 4.5 in Smin = 6.75 in
Ductile = Yes
Tension Force on Each Individual Anchor
Anchor #1 Nuai = 75.00 lb
Sum of Anchor Tension ENUa = 75.00 lb
eNX = 0.00 in
e NY =0.90 in
Shear Force on Each Individual Anchor
Resultant shear forces in each anchor:
Anchor #1 Vuai = 0.00 lb ('ua1x = 0.00 lb , Vuaiy = 0.00 lb)
Sum of Anchor Shear EVuax = 0.00 lb, ZVday = 0.00 lb
e'Vx = 0.00 in
e'vy = 0.00 in
Steel Strength of Anchor In Tension [Sec. D.5.11
N3 = se uta IEq. 0-31
Number of anchors acting in tension, n 1
Nsa = 13500 lb (for a single anchor) [C-SAS-2009]
= 0.75 [D.4.4]
= 10125.00 lb (for a single anchor)
Concrete Breakout Strength of Anchor in Tension [Sec. D.5.2]
This section not applicable.
Pullout Strength of Anchor in Tension [Sec. D.5.31
Npn.deck.uncr = 1830.00 lb [C-SAS-2009]
= 0.65 [D.4.4]
lNpn deck uncr = 1189.50 lb (for a single anchor)
Side Face Blowout of Anchor in Tension [Sec. D.5.4]
about:blank 7/21/2011
Page 3 of 3
This section not applicable.
8) Steel Strength of Anchor in Shear [Sec D.6.11
st.deck = 4405 lb (for each individual anchor) [C-SAS-2009]
= 0.65 [0.4.4]
~Vstdeck = 2863.25 lb (for each individual anchor)
Concrete Breakout Strength of Anchor in Shear [Sec 0.6.21
This section not applicable.
Concrete Pryout Strength of Anchor in Shear [Sec. D.6.3]
This section not applicable.
Check Demand/Capacity Ratios [Sec. D.T]
Tension
- Steel : 0,0074
Breakout: N/A
- Pullout : 0.0631
- Sidef ace Blowout: N/A
Shear
- Steel: 0.0000
- Breakout: N/A
- Pryout: N/A
V.Max(0) <= 0.2 and T.Max(0.06) <= 1.0 [Sec D.7.11
Interaction check: PASS
Use 1/2" diameter Strong-Bolt anchor(s) with 2.75 in. embedment
LE
about:hlank 7/21/2011
1w RECORD COPY
0111, A
SAN DIEGO REGIONAL
HAZARDOUS MATERIALS QUESTIONNAIRE
OFFIC
HV#
BP DATE I I
Business Name Business Cnntaót
61/0r Tetephone#
(7,c) ,(SW 31
Project Address
20S1
City
_LkL _/)rgv—c è21il) 34SIU (p4,924 11
Slate Zip Code APN#
Mailing Address City Stale Zip Code Plan File#
Project Contact Telphorie #
Ku&r GiUiIi .6 5 {Aie The following qudllons represent the facility's activities, NOT the specific project description.
P/IRT I:_FIREDEPARTMENT—HAZARDOVS_P1ATERIALS_OtVlSON_OCCUPfiNCY_CLASStfICATtON, Indicate by circfing the item, whether your business
willuse,process,orstoreanyofthetollowinghazardousmaterials.tanyoftheItemsareclrIed._applicant must contact the Fire Protection Agency with
jurisdiction pilot to plan submittal. Facility's Square Footage (including proposed project): .Ii ___5I1 Occupancy Rating:
1:- Explosive or Blasting Agents--- —5: Organic-Peroxides- - --- - -- 9.- Water Reactives - -- - dj) Corrosives-- - ---"- - .-- -
Compressed Gases Oxidizers t1 Cryogenics 14. Other Health Hazards
FlammablelConibustible Liquids 7. Pyrophortcs Ii. Highly Toxic or Toxic Materials 15. None of These.
4. Flammable Solids 8. Unstable Roaclives 12. Radloaclives
a answer to any
CA 92123.
Call (856) 505.6700 prior to the Issuance of building permit. H M.b FIEM I r H)!.0-7 - Of 2..
FEES ARE REQUIRED. Project Completion Date: _L/1j.j...1?j1 Expected Date of Occupancy: ,,•> D CaiARP Exempt
YES NO (for new construction or rei1ing projects) L3 0 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 CalARP Required 0 Will your business store or handle Hazardous Substances In quantities equal to or greater than 56 gallons, 500 pounds
200 cubic feet, or cardnogens(reproductive toxins In any quantity? Date Initials 0 §3 Will your business use an existing or Install an underground storage tank?
D
0
0
Will your business store or handle Regulated Substances (CalARP)?
your or a (Title
0 CaLARP Complete
ff111 business use Install Hazardous Waste Tank System 22, Article 10)? ') Date Initials fJ IR Will your business store petroleum In tanks or containers at your facility with a total storage capacity equal to
or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act).
PART _III: SAN _DIEGO COUNTY_ AIR _POLLUTION CONTROL DlSTlCT: If the oh&wr1b any ofiho quoitions below Is yes. applicant must contat the Air
Pollution Control District (APCD) 10124 Old Grove Road San DIego lA 92131 .1640i telephone (858) 56-2600 prior to Ilia Issuance ala building or demolition
permit Note If the answer to questions 4 or 5 Is yes applicant must also submit an asbestos nolillcatlon term to the APCD at least 10 working days prior to
commencing demolition or renovation, except demolition_or_renovation of resIdential structures of four units or less Contact the APCD for rnoro Information
YES NO i . /tO —Pro - 92. i. j. jj 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 b!tp:/Iwww.sdancd.orglinfollactslpeimils.pdl, and the list of typical equipment requiring an APCD permit on the reverse side
of this from. Contact APCD If you have any questions). I (ANSWER ONLY IF QUESTION 1 IS YES) Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)?
(Search the California School Directory at htlp;/(www,cde.cri,gov/re(sdf for public and private schools or contact the appropriate school dIstrict).
0 (A Has a survey been performed to determine the presence of Asbestos Containing Materials?
4. 0 Cd Wilt there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos?
5. 0 (A Will there be demolition Involving the removal of a load supporting structural member?
Briefly describe business activitIes: Briefly describe proposed project:
i.)/FZ/ir, f44i-E d 010
I declare under penalty of perjury that to the best of my knowledge and bell f the,.çogponrii, made herein are true and correct.
Name of Owner or Authorized Agent . Sigrener or AuthorizedAgent
Date
FOR OFItAL USE ONLY:
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:__________________________________________________________________
BY DATE:
EXEMPT OR NO FURTHER INFORMAOI F,iIREO Rftts4oflJ,IiitçPERMIT BUT NOT FOR OCCUPANCY ,i4EoFOR OCCUPANCY
COUNfl'-HMD _ APCO1 _, 'h.COUNTY-i.0/% APCO/WNT APCD
CL
. lit itVLU c'./
Ajll e
'i
REVIEWED
01- It 13 .. I ________
DA
.7 SRO$
,.._ stamp in in's oox only exempts niistnosscs.trom completing or Lipdeting al-lazarciotis Material BusIness Plan, Otltèp.enniffThg requirements may still apply.
HM-917 1(02/ti) . County of Sjii Diego - DEll - Hazardous Materials Division
I
COUNTY OF SAN DIEGO. -.
OCT DEPARTMENT OF ENVIRONMENTAL HEALTH 2013
UNIFIED PROGRAM FACILITY PERMIT
P.O. BOX 129261, SAN DIEGO, CA 92112-9261 1-800-253-9933 1 868-505-6700 FAX 858-505-6848 www.sdcdeh.org .
OWNER!OPERATOR NAME: CVI MELLES GRIOT S
FACILITY NAME: .. CVI MELLES GRIOT
FACILITY LOCATED AT: 2051 PALOMAR AIRPORT RD -Carlsbad, CA 92009
Mailing CVI MELLES GRIOT Jack Miller Address CVI MELLES GRIOT S DIRECTOR, DEH
PERMIT; HKO7-i39012 PlO: 450362
2051 PALOMAR AIRPORT RD 4200
CARLSBAD CA 92009-.
* A A A A A 8 A A * A A
ATTENTION
A 4 A A A 4 1 * 4 A A A
THIS IS AN OFFICIAL DOCUMENT
- DO- NOT DISCARD - S
THIS PERMIT DOES NOT EXCUSE ANY OWNER OR OPERATOR FROM COMPLYING WITH ALL APPLICABLE
FEDERAL, STATE, COUNTY OR LOCAL LAWS, ORDINANCES OR REGULATIONS. THE OWNER OR
OPERATOR IS REQUIRED TO DETERMINE IF ANOTHER PERMIT OR APPROVAL FROM ANY OTHER
AGENCY OR DEPARTMENT IS NECESSARY. THE COUNTY, BY ISSUING THIS PERMIT, DOES NOT
RELINQUISH ITS RIGHT TO ENFORCE ANY VIOLATION OF LAW.
Issue Date below is the date of Initial Permit billing. This Is NOT an Underground Storage.Tank Operating Permit.
ISSUE DATE: 31-OCT.2001
EXPIRATION DATE: 31-OCT.2013, RENEWAL IS REQUIRED BEFORE EXPIRATION DATE. .
ANY CHANGES IN THE ABOVE OWNER, LOCATION OR NOTIFICATION(S) MUST BE REPORTED
BY SUBMITTING A NEW UNIFIED FACILITY PERMIT APPLICATION
VERIFY THE ABOVE MAILING ADDRESS AND REPORT ANY CHANGES
PERMIT IS NOT VALID FOR ANY FACILITY LOCATION OR OWNER NOT LISTED ABOVE
POST IN A CONSPICUOUS PLACE
A COPY OF THIS PERMIT MUST BE MAINTAINED AT THE FACILITY LOCATION
This permit is provisional. The Director or designee of the Director may order that the Unified Program Facility Permit or any..
permit element be denIed, suspended or revoked for violation of any relevant requirement established or provided by law. -
COUNTY OF SAN DIEGO, AIR POLLUTION CONTROL DISTRICT
- : FAX
• . (858) 586'2uuu uiii - .
. www.sdapcd.org
PERMIT ID
Sectors: 2, E APCD200B-PTO-974925
Site
.
APP 10 APCD2000 APP 974925 1IIIIII 1II liii lI1Ll11t1lIl1lIll1IIItlIIIlt1Ill 11 ii iii ii iii
EQUIPMENT ADDRESS
CVI M It s Griot CVI Mefles Griot
Owner Manager . . . •.• .... . . 2051 Palomar Airport Rd-#200
2051 Palomar Airport Rd #200 Carlsbad CA 92011
.............Carlsbad CA- 92011................................................................................................................... ... ...... ...... ........ ... ----- . ...... .. ......... ........ ........................................
PERMIT TO OPERATE
EXPIRES: June 30, 2O13
This permit is not valid until required fees have been paid.
The above is hereby granted a Permit To Operate the article, machine, equipment or contrivance described below. This
permit is not transferable to a new owner nor is it valid for operation of the equipment at another location except as
specified. This Permit To Operate or copy must be posted on or within 25 feet of the equipment, or readily available on
the operating premises.
EQUIPMENT DESCRIPTION
VAPOR DEGREASER (<5 SQ. FT. SURFACE AREA) MANUFACTURER: BARON BLAKESLEE
MODEL NO.: MLR120 20 IN. DIMENSIONS: 20 IN. I X 12 IN. W X 18.5 IN. H
SERIAL NO: 54109 DEGREASING SOLVENT: SEE ATTACHMENT BB 974925 GDS 8/00(MODIFIED 07-08 SRH)
Every person who owns or operates this equipment is required to comply with the conditions listed below and all
applicable requirements and District rules, including but not limited to Rules 10, 20, 40, 50, 51.
Fee Schedules: I [28H] Vapor Degreaser .
..
••
BEC: APCD2010-CON-000140 . . . .
FAILURE TO OPERATE IN COMPLIANCE IS A MISDEMEANOR SUBJECT TO CIVIL AND CRIMINAL PENALTIES
1. This solvent cleaning operation shalt comply with all applicable requirements of Rule 67.6.2. (Rule 67.6.2)
2. The i5ermitlee shall only use solvents listed in Attachment BB for the equipment described above. (Rule
67.6.2)-
3. The vapor degreaser described above shall be equipped with a cover that can be easily operated without
disturbing the vapor layer and completely covers the solvent tank when work is not being performed. The
cover shall not be removed except to process work or to perform maintenance. (Rule 67.6.2)
4. The above equipment shall be equipped with:
a primy condenser which is situated above the boiling solvent;
a water separatorthat does not operate by means of evaporation or distillation;
a perimeter trough (a receptacle within the vapor degreaser located below the primary condenser that
conveys condensed solvent and atmospheric moisture to a water separator; . • •
a device that shuts off the sump heat it the condensers coolant or refrigerant temperature becomes higher
than the designed operating temperature. . .
a device that is only manually re-settable and which shuts off the sump heat if the vapor level rises above
the deigned operating level. ..
1) a device that shuts off the sump heat if the condenser's coolant stops circulating. This requirement does
not apply to vappr degreasers equipped with refrigerated condensers. (Rule 67.6.2) • - . •
5. Vapor degreasers employing spray shall have:
Revised Date:06/09/2011 . Page lot 3 • • Print Date: July 26, 2012
. . - V2
COUNTY OF SAN DIEGO, AIR POLLUTION CONTROL DISTRICT
(858) 586-2600 FAX (858) 586-2601
tenh? si SAN !II$s . vrww.sdapcd.org
PERMIT ID
Sectors: 2, E
S APCD2008-PTO-974925 Site ID: APC01992-SITE-08593
App ID: APCD2000-APP-974925 . . 11111 1111111111 IIl IlIlIlIlIlIll tIII llllhlllllllllflll 11111 11111 I1It Illilifi
PERMIT TO OPERATE-
EXPIRES: June 30, 2013
........(a)spraynozzieshaving....pressure low. enough .to.prevent.liquid splashingoutsideof -the tank...................................... .............. ....... ........ . ..... .........
spray nozzles which produce continuous liquid flow, rather than fine atomized or shower type sprays; or
spray nozzles which are located below the vapor air interface.
a device that prevents spray pump operation if solvent vapor-air interface temperature falls below the••,
designed operating level. (Rule 67.6.2) . . .
6. The vapor degreaser shall have one of the following: a freeboard ratio of at least 1.0, or a refrigerated
freeboard chiller, where the chilled air blanket is not greater than 40% of the initial boiling point of the solvent;
or be designed in such a manner that its cover or door opens only when the dry part is entering or exiting the
degreaser. (Rule 67.6.2) . .
7. A permanent, conspicuous, legible label listing the applicable operating requirements must be posted on or .
near the above permitted equipment. (Rule 67.6.1 or 67.6.2)
8. There shall be no liquid leaks from any portion of the vapor degreaser. Upon detection of a liquid teak, the
leak shall be repaired immediately, or the degreaser shall be shut down and drained in a manner that
minimizes emissions. (Rule 67.6.2) . . . . . . .
9. Ventilating fans shall not be positioned near the degreaser openings in such a way as to disturb the vapor
zone. (Rule 67.6.2) . . . .
10. At startup, the primary condenser and the refrigerated freeboard chiller, if required, shall be turned on before
the sump heater is turned on. At shutdown, the sump heater-shall be turned off before the primary condenser
and refrigerated freeboard chiller are turned off. (Rule 67.6.2)
11. No porous or absorbent materials, such as cloth, leather, wood, or rope shall be cleaned with solvent. (Rule . .
67.6.1 and'67.6.2)
12. Workloads placed in the degreaser shall occupy a horizontal cross-sectional area that is less than one half of
the vapor-air interface area. (Rule 67.6.2)
.
13. Exhaust ventilation rate shall not exceed 65 cubic feet per minute per square foot of the degreaser vapor-air.
interface area. (Rule 67.6.2) . • . . . . . : .
14. The water separator shallbe maintained to prevent water from returning to the surface of the boiling solvent
sump or from becoming visibly detectable in the solvent exiting the water separator. (Rule 67.6.2)
15. Solvent carry-out shall be minimized by the following methods: .
rack parts for full drainage; . S.
move parts in and out of the degreaser at a speed less than 11 feet per minute;
cleaning the work load in the vapor zone until condensation ceases;
tipping out any pools of solvent on the cleaned parts before removal;
e). not removing parts from the degreaser until they are visually dry. •
5
•. S •. • •
(Rule 67.6.2) •
16. Solvent shall not be sprayed above the vapor-air interface. (Rule 67.6.2) 5 ......S
17. Current material safety data sheets (MSDS) or manufacturers specifications regarding volatile organic•
compound (VOC) content and toxic air contaminant (TAC) content shall be maintained onsite and made
readily available to the District upon request. MSDS and manufacturer's specifications shall, at a minimum, S
contain the following information: VOC content weight or weight percentage, TAC content weight orweight
percentage, material density (weight per volume) or material specific gravity (material density relative to the
density of water) and initial boiling point of the material. • S S • S
18. Waste solvent and contaminated residue, if any, shall be recycled, or disposed of according to requirements
Revised Date:06109/2011 Page 2 of 3 • . . Print Date: July 26, 2012
V2
COUNTYOF SAN DIEGO, AIR POLLUTION CONTROL DISTRICT..
M21-
S (858) 586-2600 FAX (858) 586-2601
COT oiuo . www.sdapcd.org
PERMIT ID
Sectors: 2, E . .
. .. APCD2008-PTO-974 925 Site ID: APCD1992-SITE-08593
I IIIIIIIlIIIIlIIII1llhI liii llhIIllhIIlIlII1I(lIIIIII 11IllhIII 11111111 11111 1111111111 11111 llhIIIMIIII
PERMIT TO OPERATE
EXPIRES: June 30, 2013
- based ontheCalifornia Health and Safety Code,'Divisiow20, Chapter 6.3--(beginning atsecion25100)-' .........:.............................
concerning hazardous waste disposal. (Rule 67.6.2) . . . .
19.. Access, facilities, utilities and any necessary safety equipment for source testing and inspection shalt be
provided upon request of the Air Pollution Control District.
This Air Pollution Control District Permit does not relieve the holder from obtaining permits or authorizations
required by other governmental agencies.
The permittee shall, upon determination of applicability and written notification by the District, comply with all
applicable requirements of the Air Toxics "Hot Spots" Information and Assessment Act (California Health and
Safety Code Section 44300 et seq.)
Revised Date:06109/201 I Page 3 of 3 Print Date: July 26, 2012
UPFP# W GENERAL NFOJ&flO
DATE: 26 May 2005 S EMERGENCY EQUIPMENT
INSJRUC'flONS ebkfcaapdedcrlbe the yUxcpou, (or use ir ==S=q7zxW2i00& lfp=ttCD4 report
the eptaocding to v 1jobthporwokaedvrscetlth our fhaffiW. Ifan4cWc.c4odethe dli the 1c3
CazdeReimtocs I ThcEea(IpeA.B.C.D) Tc1cp3 B=s&DI-Ion
So1f-CoulshedBreuthi Fire Eases
Axmea (SeA) By&. Safety Slowors bc Radio(s) OvorPnekDr)
.cal S= ka1M000gEqiiesem(rype) Verbal CanzaksucatVaults
Boots P5xtEoods CbmnioalAL==-Bc etc. BdSups
Safety Olasaca FastAidSdice Cca1 5pm! mem-Aorbis,
Facc Saied Cus1Amidcsos kkutmhurs.Saad Leak Rcpafr Kits (Jndctgrour4
BdN1us Tank Leak DetcetioaMooiass
LOCATION PES ECTIVE ENIERGENCYRESPONSE COMMUNICATIONS STRUCTURAL INSPECTION
SHOP ORAREA &SAFETYEQUIPtvIENT SPILL EQUIPMENT EQUIPMENT EQUIPMENT FREQUENCY
FireExzinguisliersABC Verbal OverPak Drum Daily
Chemical Szeane area Safety glasses Face ahild chemical spill eqtpmem
Neutralizers Eye Wash
Safety glasses Face slüei FersABC Telephone verbal None Daily
Chemical Cleaning Area Aproa First aid simian chemical ill e :
Exhaust Hoods' ye
Shower
Solvent Bottle 611 area Safety glasfts ExhWist FireExtenguisber Telephone Verbal None - Daily
Hood -
EXAMPLE
LOCATION PERSONNEL PROTECTIVE EMERGENCY RESPONSE COMMUNiCATIONS STRUCrURAL INSPECTION
SHOP ORAREA &SAFRIEQUIPMENT SPILL EQUIPNT
-
EQUIPMENT EQUIPMENT FREQUENCY
PAINT SHOP , CARMUDGEREWMAMRS, FIRE EXIINGMSMM SAND TELEPHONE - VERBAL NOM MONTIflY
SHOP COATS, GLOVES. S
- : OAUSTB
14 County ofSsaLugo
DepurtncaLofEnâoaatitaLHeath
cF I ii •
kj:. '.L
1J..1.J 1. Fd IF D- I fi f Un P U .
!
-
-••-• i
I I tIttL, hI
g ig
• •
r l. --
U
• I 1
. .
' rt t
F 0 ii rr
i•• ••
•
H . I'i
_ .11
flAZARDOUS MATERIALS BUSINESS PLAN REVIEW CILECKUST
'
Before submittina vrnir11znrirni, Mntrkls Rusin eQ Pifin nIese verily
t- your submission contains all required information s.
I. SJTEMAP
A, Header Information
Oath' '' 3.BusinessName' ' Thomas Brothers Coordinates ' 4. Address (include Zip Code)"
13. Site ,,,,,,,,,.,,, ,,,,,,. :: ,,,,,
1. Entrances/Exits ' ' ' 13. Knox Box (ED. Key Box) 2. Fences
, 14. Aboveground Storage Tank and Capacity :
3. 'EvacuatioiFStaging Area ' ' 15. Underground Storage Tank and Capacity 4. Sewer Drain , "' ' ' 16. Electric MAIN Shutoff 5. Storm Drain 17. Gas MAIN Shutoff 6. North Arrow (upper left corner) , 18, Water MAIN Shutoff
7. StreetNaine (facility location) 19. Annunciator Panel 8. Closest Cross Street 20. Stairwell - (range of floors) 9. Map PageNumber 21. Elevator -(range of floors) 10. Fire Hydrant ' 22. Surrounding Land Use 0 11. F.D. Sprinkler Connect 23. Hazard Categories 12. F.D. Standpipe Connect
IL EMERGENCY RESPONSE PLANS ,
1. Business Name 4. Description of Business 2. Site Address ' S. Evacuation Procedures' 3. a; Business Phone , , 6. Notification Procedures
b. 24-Hour Phone ' 7. Emergency Procedures
'
'
M. INVENTORY 1"
1. Chemical Name/Product Name 5. Units
2. CAS Number (For Chemical)' f) 6. 'Storage 3. Maximum Amount at One Time , 7. Hazard Categories '4. Average Daily Amount
W EMPLOYEE TRAD1NC
Procedures for handling Hazardous , 3. Use of Emergency Equipment
Material's/Waste
Procedures for Coordination with ' 4. Emergency Response Plan Implementation
RespondingAgencies
16 Cow1yef San Diego DBH:RM-952 (Rev. 072) D'pzlnwrd of unronrnento1Irc1Ui
'SAN DIEGO COUNTY
))EPATh1ENT OF ENVJBONMENTAIJflEALTE - CUPA
HAZARDOUS MATERIALS DIVISION .
P.O. BOX 129261, SAN DIEGO, CA92112-926J . . DateSubmitted
(O.-W W W10iffA of Ammi)l
(619) 338-2222 FAX (619) 38-23fl
1-800-253-9933
OZARDOUS MATERIALS INVENTORY.- CHEMICAL DESCRIPTION
DADD Doji. []REVISE P8O of
L FACILITY INFORMATION
BUSINESS NAME (Saino a3 FACILITY NAME or DBA— Doing Butneas A) 3
Melles Griot Inc.
CHEMICAL LOCATION 201 CHBMICAL LOCATION CONFIDENTIAL 202
SEE SITE MAP/PLAN JtPCRA DYES 0 NO
1 3 N 0 0 0 Iii I 3 9 1-6-1
T.
2 MAP H(
ANOT USED
I NOT IZED
1. CREMICAL INFORMATION
CHEMICALNAME - 2$ 7RADE1!CRET DYER ONO Im
flydxochlorio Acid 0 •,,
.
.
. .
COMMONNAME
Murialic acid . .
. EHS . DYES ONO
CAS#._209
7647-01-0 . . .
'If JIltS ic Ye', alt nnwimla bIowmuat be In Iba.
PINE CODE HA2A" CLASSES (Complete iIreuhedbyCUPA) . . 210
. . -
NOT REQUIRED Ifl' SAN DIE, GO COUNTY
HAZAMUS MATERIAL TYPE n7oMY) Z&1iiR! Db.MIXIuRE o.WA$TE'
211
RDOACEDYn IR No .
2121 2))
PHYSICAL STArE 214
( Ono Item only) 0 a. SOLID N bAIQUID 0 a.OAS
-
LAROESTCO4TATHER i
VED
715
HAZARD ATEORJES Do. 0 b. RACflVt Do. PRESSURE RELEASE 0 d. ACIJIE )OEAL71L 0 CHRONIC HEALTH
216
AVBRAOEDAILYAMOUHI 217 IULSOAILYA)AOIJRT 214 AENUALWIISThALOOUHT 2)9 STAIEW/tSTEOODE -.
10 16 850
-...............
UNITS to a. OALLO7IS 0 b. amicpp.r rJ . pomos o 2i DAYS ON SITU: 222
(Ctck one ikmony)'(fEUSoraaagbalnp3ur,d,, . 90
LTORAOE D o.ADOVE OROUNO7IK Do. ONONSIETALUC DRUM 0 L EWER ORLPO rn GLASS BqrlLE 0 q. RAIL CAR' CO}flARIEIt
. Ob.UNDEROROVNDTANK Of CAN Oj.BAO Dfl. PLAS11C BOTTLE Dr. OTHER
LI.. TANK INS) DEBUILDING 08.CARBOY JLBOX Oo.TOIEBIN
Dd.STEELDRUM Db.SILO IjECYLINDER 0p. TANK WAGON
S1ORA011PRESSURE . 0 OA2.4BI2IT Ob ABOVE !IMRIINT Do. B!I.OWAMBI7T
3TORAOETELIPbRIGURE 0a.AMMENT . 0 b. ABOVE MIDIENT Do. BWAAIBIEHT D d. CRYOGENIC
%WT HAZARDOUS COMPONENT (For n3btuoor wastoonly)' . BBS , CAS
nO 221 210 . . 229
Dyes ONo
2 , L]YesDNo
29
3 . ...
233 236
DYsDHo
232 -- 2)9 240 20 4 . . D Yes DNo
2.12
S
- 243 244 DYe.aONO
245
.. --- . .146 ADDITIONAL LOCALLY COLLECTED INFORMATION . 0 CHECK TS BOX W ThiS HAZARDOUS MATERIAL'IS ATOXICOAS THAT IIASA THRESHOLD LIMITCONCENTRATION (TLV) IO ppm.
THIS HAZARDOUS MATERIAL MUST BE INVENTORIBI) IN ANY QUANTITY
O ('NECK THIS BOX IF ThIS HAZARDOUS MATERIAL IS SUBJECT TORMPREQIJTRBMBNTS AND/OR COIARP REQUIREMENTS
17 ' ' '
CoofEnnOtego
DBftHM952 (Roy 01102) ' " 0epaoiw,l of Envhonmonlol Henith
- --------- --.----..
SAN DIEGO COUNTY
DEPARThIENTOFERONMNTALIfE.L'FB - CUPA
HAZARDOUS MTERIAIS DIVISION S
P.O. BOX 129261, SAN DIEGO, CA 92112-9261 Date Submitted
(619) 338-2222 FAX (19) 338-2317
1400453-9933
HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION
-
DADD DDELETE ORB VISE pgo 'f
- L FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DEA— Doing Business As) . 3
Melles Gilot Inc.
-. cHEMIcAL LOCATION 2*1 CHEMICAL LOOXfI0NCQNFJDENTfAL .
SEE SITE MAP/PLAN -. [IPCRA 0 YES NO
PACILFI 1 1'1 7 4] 0 0 1] 3] 9 0 1 2' USED I NOT USED
I. CUE cc, L INFORMATION
CHEMICAL NAME ' . WADE SECRET D YES NO
Isopropyl Alcohol
COW" NAME 207 203
alcohol .
nHs• DYES ONO
- CAN 20
67.63.0 .. .. .
. *If BUS is 'YCS', all amounts be)ovnmtbo In Ibs;
FIRE CODBIIAZAIWCIASSBS (CoinplctàlfrequlredbyCUPA) . 210
NOTREQUJREDBYSANDIEGOCOUNT/
-
TYPE (Chak one hem oAly) RI0AflVEDYcsNo .2121 'oiiis
(tnflocJy)
-
& SOLID Mb.LIQUID . 0 a. GAS.
•a
LARGEST CO TAJNER I .
FEDUIiZARD CATEGORIES a. 0 b. REACTIVE 0 a. PRESSURE RELEASE - 0 d.ACUIB HEALTH 0a. CHROlIIC HEALTH (Clwkoll that apply)
MA)GMUM DAILY AMOUNT 310 ANHUALWMIEAMOUHT 219 STATEWASTECODE 220 AVERAOEDA1LYAMOUNT 217J
10 28 1500
UNITS' 0a.0ALLONS 0b.0JBlCPI3L4 oo.ioums oos 31 DAYSONSITE:
(Ck item only) BUS, attooasL mug tainpoursh . 99
STORAGE Os. ABO VF OROUND'IAHK 0 a. VI STICMO7ThiRTAU1C DRUM CI L FIBER DRUM 0 m. GLASS BOTTLE 0 q. RAIL CAR COHTAINER 13b.UERGR0UNDTaER OLCiN CIJ.SAO Da. PLASTIC BOTTLE ,oimnm
a. TANK INSIDE 1iUILDIN10 0$. CARBOY C3 k. BOX 00.1071 DIN
E1d. STEEL DRUM h. Sao DLCYLINDER 0p.?ANKWAGON
STORAGEPRESSURB DaAABHETF tJbPBOVEAMBIENT 0o.BE(.OWAMBIENT 234
STORAGE TEMPERATURE DnMiBtznT Ob.ABOVEAMBWNI Cjo.BvwwAMwNT Od.CRYOOENLC 225
%\fl HAZARDOUS COMPONENT (Pot mixture or waste only) BHS . CAS Ii
- S
tJYes0No
.5
2
S 231 232
ODNo
233
Ii4 23$ 234
3 . S O Yes DNo.
230 239 . 210
DYasONo
. 240
242 . 241 - 244
DYCODNo
241
ADDITIONAL LOCALLY COLLECTED INFORMATION 5 214
0 CHECK THIS BOX IP THIS HAZARDOUS MATERiAL IS A10XIC GAS TEAT HAS A THRESHOLD LIMIT CONCDNT1LAT(C-N (TLV) :S. 10prn
THIS HAZARDOUS MATERIAL MUST BE INVENTORIED IN ANY QUANTITY.
0 CHECK THIS BOX IF THIS HAZARDOUS MATERIAL IS SLJBJECTTO lIMP REQUIREMENTS A )/QRCa'IARP REQUIREMENTS
17 County of Son Diego
DBftHM-9S2(Rev.07/02) •• 5 5 .• 5 5 DeWrtntent
SAN DIEGO COUNTY .
DEPARTMENT OF ENVIRONMENTAL HEALTH - CUPA
BAZARDOUS MiS'IRIALSDW1SION
P.O. BOX 129261, SAN DIEGO, CA 92112.9261 Date Subnilttd
IOU,
(619) 338-2222 FAX (619) 338-2377
1-800-253-9933
MATERIALS ThWENTORY - CILEMICAL DESCRIPTION
008 .
DADD DDBLIm3 . DREVISE . P650 01
L FACILITY iNFORMATION
BUSINESS NAME (Some as FACILITY NAME or DBA— DoIng Business As) .. .... 3
Melles Griot Inc. . .
CHEMICAL LOCATION . ... . 201 CHEMICAL LOCATION CONFIDENTIAL
SEE SITE MAP/PLAN . EPCRA DYES m NO
PACIL1?YID# 1 '' 1S1 0 I ° 1° I: 'I 9 o 112 li~~Al 0001,4 203 {ORiD(8c4%$) 204
NOT USE
L ChEMICAL iNFORMATION
CHEMICALNAME - 20$ TRADESECRET DYES ONO 206
Hydrogen ...
.
COMMONNAME . .247 305
Hydrogen BHS 0 YES NO
.. CAM -
1333-74-0 . . '[fBHSb"Y&',ali amuntsbotoxvnnidboinlbs,
FIRE CODE HAZARD CLASSES (Complete Irroqufred by CIJPA) 21U
-- .. NOT REQUIRED BYS0AN DIE, GOCOUNIY . .
HAZARDOUS MATERIAL 211
o.PUR! Db.MIXTURE flo.WASTE
. 212
RADIOACTIVE 0?ooNo
215
OJPJES
PHYSICALSTM
(Cb% only) DII.SOLID 0 b.L2QUID o.OM
214
LARGMTOONTAINER i
215
ORICS a.. SiRE 0 5.. REACTIVE N o. PRESSURE RELEASE 04. Ae*jrs HEALTh 0 o. CHRONIO HEALTh
216
- AVERAGE DAILY AMOUNT 211 MAXIMUM DAILY AMOUNT .218 ANNUALWASTEAMOUNT 219 ST ATE WASTE CODE 220
UNTIS' 0a..GALLO4S Db. CUB ICIEET Do.POUNDS Dd.TONS 221 DAYS ONSITE: m
(Ckeneitcm only) *If EH&ernoont Mid ba.upcuod. . . . 90
STORAGE [Ia. A13OVE GROUND TAJiJL 0 a. PIASTI0HO2ThIETAU.2CI)RUM DL FIBER DRUM 0 m. GLASS BOTTLE o RAIL CAR CONTARIER 05.. UNDERGROUNDT/NK 0 0j.BAO O n. PLASTIC BOTTLE or-OTHER
00.TAm&rNsnBBIflLono rJ8.CARBOY 9R.BOX oo. TOM DIN
Oh-SILO 0).CYUNDER D TANK WAGON
STORAOEPRESSURE 0 8.M.*BIIDIT - -. - 95.. AEovE AMBIENT Do. BELOW AAWIENT . . . . 221
FTORAOEX[IMPEATURE Do. AMDICNT . 0 b ABOVE AMBIENT Oc. DEI.OW AMBIENT 0 d. CRYOGENIC
%WT HAZARDOUS COMPONENT (For mixture oi waste only) ENS CAS U
226
I
222
. DYtsONo
224
234
2
...--.
•••231
. . -
223
[)Yes []No
43
234
3 .
235 234
D Yes ONo
. 231
20*
4
us,
.
240
DYe,DNo
241
242 5 . 263
.
244
D Yes ONo
243
ADDITIONAL LOCALLY COLLECTED INFORMATION . . . .
-.240
CIWCKTIIIS BOX IF THIS HAZARDOUS MATERIAL 15 ATOXIC GAS THAT HAS ATHRESHOLD 1.IMITCONCEITn2ATLON (TLV) IOpp,n-
THIS HAZARDOUS MAfl1R1ALM1JST LIE WVWTORIRO IN ANY QUANTITY: . . ...
o CHECK THIS BOX IFTHIS MATERIAL IS SUBJECT TO RMP REQUIREMENTS ANDADR CaIARP REQUIREMENTS
17 Co1m*yofSanDieo
DBII:HM-952 (lbov. 07/02) . . . Deportment of Environmental Health
-
SAN DGO COUNTY . DEPARThIENT OF EN V]RONMENTAL HEALTH - CUPA . . .
HAZARDOUS MATERIALS DIVISION
P.O. ]BOX 129261, SAN DIEGO, CA 92112-9261 . Date Subrntcd
(619) 338-2222 FAX (619) 338-237 .
1-800-253-9933
'*IAZARDOUS MATERIALS INVENTORY - CKEMICAL DESCRIPTION
ffib32 I I
" DADD EIDAEM - -. . DPJ3V)SJR Pago or
.- FACILWY INFORMATION BUSINESS NAM (Setnos FACILITY NAME or DBA— D0145 Th.tsfleSs As) 3
Meiies Oiiot Inc.
CBBM1AL LOCATION . . •. 201 CHEMIcAL LOCAIEON CONFIDENtIAL
SEE SITE M4P/FLAN. . .. . EPCRA 0 'lBS NO
FACILITY ID!! 3] 7 0 0 (o 1 1 3 9 o 1
1- 03 NOT USED NOT WED
L CREblICAL INFORMATION CIMMICALNAMB 205 -TRADE SECRET p YES NO
Hydroflouric Acid 1% Aqueous Solution
COMMON
HF EMS. 0 Y 91 NO
CAU
7664-39-3 'If ENS is Y&', oil emounts bclowsniist bo InibS.
FIRE CODE HAZARD CLASSES (Complete If requited by CUPA) . . . . . . . .210
NOTREQUIRED BYSAN DIEGO COUNTY
HAURDOUSMATERIAL 7YPr(ctk ow ftavi ly) o i. wrs 211
RADIOAMW o vs No •
212
CURIW
• 211
214 fi s.SOUD b.0 AM PITYSICALSTATE QIJID - 0 O 215 LARolsTCO}nAmnE -.
PEDIWARDCAIWoRMS flc.2235 Ob.REACTIVII PRESSURE RILE ASS 115EEAL1U 4RIEALTh
•210
(Chwk Oil Imt apply)
- AVERAOB DA)LY/.1.IOUNT 217 MAXIMUM DAILY AMOIJHT III M*ULWASTEAMOtNT 219 STAThWASTh CODE 220
10 16 850
UNITS' o. O?ILLONS Pb. CUBIC FEET (Jo. POUNDS El d.IONS - VI DAYSON 13)Th: 222
(Chb*ombomo%ly)*IEEHS,aAvAmtcnust bo(npmT&90
S1DRAOE 0 s./5OVEGROUl1DTMK El o,PASflOMETALUCDR1JM . .0 DIBER DRUM 0 m.OLASSBOYfLB 0 q. RAILCAR CONTAINER Oh. D2RORO1fl4DYANI( •p C CAN . . 1% SAO • DIL.P1J.S11O130111E 0r.OThM O.TAWKR4S1DESUItDTuO URCAJIBO? . . Jk.BOX lJo. TOTE DIN . .
d. STIIEL. DRUM Oh. SILO IJL CYLINDER... 0 P. TA9X WACCIN •.
SIORAOEI'RESSURE
- flo,AMBIENT Db.AEOVSAMBIFNT 06.1)BLOWAMBIE)1T . . .
ELoRArImtPDtAIt)RE 0 o.AMIM El b.ABOVEM4BIEHT 0 Od.CRYOOENLC -
%WT HAZARDOUS COMPONENT (For mixturoorwasLeonly) . fl]j5 . . - ...• cAs#. 226
1 - 227 - 223
DYes LJNo
••
'2)0 - 231 . 232 . 333 2 . D Yes DNo
234
3 . 235
. . QYesflNo
- 2)7
- 538
4 239
-236
240
DY.30N0 218
242 S - 243 -- 244 flYe1DNo • 245 •
ADDITIONAL LOCALLY COLLBCTBD INFORMATION . . • 240
D CUECKTh18 BOX WThJS UAZAROOUS MATERIAL ISADXJO OAS INAT RAZATMtESHOLDLIMIT CONCENTRATION (=) :00 peu ThIS HAZARDOUS MATERIAL MUST BE INVENTORIED IN ANY QUANFITY.' . . . . D CRECK Tills BOX IF TM HAZARDOUS MATERIAL IS SUBIECT TO RMP REQUIREM 3NTSAN2OR COIARP RE)1IffiEMENLS
'
17 County otSsnDiego
• DBHIIM-952 (Rv.O72) - .- . bcpo3lment of &wiroiuuentnl Jtaith
' k
Hazardous Materials Inventory Chemical Description
You must complete a separate Hasadous MaNchIs Inventory- Chemtcal Description page for each hajerdous matoilaf(haraidow substanoos end hezardow sto) that you haird.e at your facIlity In aggregate quanties aat,al to or Stealer than 600 pounds. 65 gallons. 200 ctiblo feat of gas (calculated at standard temperature and pressure) or the federal threshold piajvirg quantity for Extremely Hazardous Substances, Wohever Is less. Also coorplete a page (or each radloscthe material handled over qjantMas (or.Whlth an emergency plan Is required to be adopted p5JreJaM to 10 CFR Posts 3040, or 70. The completed Inventory should reflect all reportable quantities of hazardous materials at your (acTfl reported separately for each bti3dlng or outside adjacent area, with separate pages for unkiue occurrences of ptrjefcsl stale, storage tempiretwe and storage
pressure. (Note: the numbering of the krslnotione foBows the data element taanboro that two on the UPCF pages. These dale eteanerel numbers are used for elecfroa0o eubqntes)on seed we the some as The numbering used In 21 CCR. AppeThdtX C, the Seslnasa flecOon of the Unified Program Date Olcdonr) Please number all pages of your submittal. Thin helps your CUPAoyM Idenlify, whether the submittal Is complete and II any pages ore separated.
1. FACILITY ID NUMBER - Enter your B character Pernth ft from your UnIfied Proem FedLty Permit (UPFP). If you do not have a Uplfled Prcgrem Feaflity Pomth leave this blank. . 3. BUSINESS NAME- Enter the test legal name crithe business. This Is the some settee terms 'cecllly Name' 6108V - Doing eualnessAs. 200. ADD/DELETE! REVISE Indicate If the material Is being added to the frneentory, deleted from the Inventory, or If the brfonnatton proelcUaty submitted Is beIng revised. NOTE: You may choose to leave this bleak If you resubmit your crtllro tereatcey. 201. CHEMICAL LOCATION-. Do not complete thIs section. Your as mapiplan Identifies the location ci ysttera the howdaus material Is stored. NOTE: This Information Is not avbteot to pubito disclowe pursuant to HOC 20500. . . 202. CHEMICAL LOCATION CONFIDENTIAL - EPCRA. All bustresses which see aubjoot to the Emergency planning and Community Rigid to Know Act (EPCRA) must check Ye' to keep chemical location Information confidential. if the buslnessdoea i,etvhh to keep chemical location Information confidential check 'NO. . . 200. MAP NUMBER- Do net complete this section. ThIs re.enbt Is NOT USED. Your site map/plan Identifies the Icoetion cfwttero the hazardous meteilai Is stated. 204.-GRIO.NUMBER.- Do rod complato-ftsectión.Gddcoocfnates are NOT USSO.-Your as mapkden Identifies theIeoa$iore of leherftthtiuibz5rdOiis liflitteifl taCtia............. 205. CHEMICAl. NAME - Enter the proper chemloal name ascdiated vrith the Chemical Abstract Semico (CAS) raznber of the hazardous materIaL This should be the International Union of Pure, and Applied Cliroretlotry IIUPAC) name found on the Materiel Safety Date Street (M308). NOTE: If the ctremloal is a mbctuto do not complete this 11aid complete the 'COMMON NAME' field Indeed. For aqueous solutions containing one hazardous crenponent, fat the component and the percentage In the 'CHEMICAL NAME' med leave the 'HAZARDOUS COMPONENT' Section blank. 208. ThADEOECRET - Chack'llthobrlormadonnthloeectionledectared a trade eocrsttor'No IfItlenot
Stale requirement If yea, end business Is not subject to EPCRA. doclesurs of ths'des!gnated trade secret InformatIon Is bcuredby HOD §26511. Federal requirement It yes, nnd business Is subject to EPCRA, disclosure of the designated Trade Secret Information Is bound by 40 CFR end the business mu.ct submit a Srjbotarr4JatIon tefurcecrrpsrey Claims of Trade Secrecy' form (40 CFR 30.27) to USEPA. 207. COMMON NAME. Enter the common name or trade name of the hazardous material or mixture containing a hazardous materiaL Each hesordeus component of the mtcture will be listed below In the *HAZARDOUS COMPONENT' 203. EHO - Cheek Yee it the hazardous material Is an Extremely Hazardous Substance (EHA) as defined In 40 CFR, Pert 336, AppcndlxA If the material Is a rntxtwe containing on EHS, leave thIs section blank end ,ocrnpleto the section on hazardous components below.
CAS ft. Enter the ChemIcalAbetract SeMce (CAb) number for the hazardous material. For nibrturee, enter the CAC number of the mbrtune It K has been assigned a numbs, thrtnot fToffl'Ito components. If the mtebne her no CAR number, leave this column blank and report Use CAR numbers, of the Individual hazardous compcnejete be the appropriate, section baio'et Use the CASH format with hyphens and do no use leading zeros. Exemple. 12045-67-8. FIRE CODE HAZARD CLASSES - This Isformallorelonot required by San Diego County at this time. . 211, HAZARDOUS MATERIAL TYPE Check the one boll that best docrflaos the We of hagadous malarial: puce, rnhoi.re or waste. i/waste material, check only that box If mixture orwasle, complete hawdouaccrnponerteasectioer. - RADIOACTIVE - Chock 'Yes' If the hazardous materiel is ,adlagctivo or 'No' it RIG net
CURIES -If the hazardous material Is radioactive, use this area to report the ectwity he caries. You may use up to nine digits with it floatIng decirnil pclnito report ociMly in
PHYSICAL STATE- Check the one boX that best dascitbes the slate Inwtrlcbthe hazardous material Is handed: solid, "or gas. LARGEST CONTAlNER - title, the total capacity of the largest container Invelelcir the material Is Stored. Use the unIte reported In 11221. Enter only the nwnedovaluo 61 the Unttsifl this box. . 210. FEDERAL hAZARD CATEGORIES - Check at categories that descrftrothe physical and heath hazards ausocistodwlth the hazardous materiel. PMYSICALHAZARD3- . . HFALTHHAZARD3 E1t: Flammable tiqeddeared Seilde, Conebustibie Uqukie, Pyrophorice, Oakhrera Acemteileelthftrnrtwdlatel: Highly Toxto. Toato. Irritants, Seneltizere, Ccmoahies, Reastieec Unstable Reactive Orgardo Peroxides. Water Reactive, RodoactIse other hazardous chemicals talUs an odvarBe effect with short term exposure Preacure Release: Explosives, Compressed Oases, SlasthegAgonte Chronlo Heath fOaleymi)' Carcinogens, other hazardous ch,rnlol wIth an
adverse effect wIth 1en54erm exposure At/TRADE D/eILYAMOUNT - Calculate the average dally eanountol the hazardous material or mixture containing a hazardous material, In each buildIng or adJscont!otitsldo area. Calculations shat be based on the piovicus year's Inventory of Material reported on this pago. Total all dally amounts end didde by the ,wrnbcr of days the clremloalwtflbe on &b. Ifihialee mstenleltixtt has not previouety been Present at this location, the amount shall be the average detly amount you project toboon hand during the course of the year. OR: The amount can be calculated using the following exemplear If you ceder tow drums (220 gallons) d hazardous malarIal every month end we It withIn the month, your calculated average dalty amount wouki be half the monthly order wirloit Is equal to two domes or 110 gallons. OR. If your hazardous materiel is stored In e process tank that Is 600 gaiiorre and the level naverthangee, teen your average daily aneorast would be 600 gallons. This emoom) should be consistent with the units reported In box 221 and should not exceed that of mnwAnvnr daily amount MAXIMUM DAILY AMOUNT - Enter the mardmum erleount oteach hazardous materiel or mixture containing e hazardous material, revirich Is handled In a building or edjacañt/oulelde area at anyone time over the course of the year. ThIs amount must contain at a minimum last year's Inventory of the material reported on thIs page, with the refioctioçr of additions, deletions, or reelclona projected for the current year. Title otnount should be eom1s1on1whh the t'rdte reported Is box 221. ANNUALWAtiTE AMOUNT • It the hazardous materiel being Inverdorlod Is waste, pro'ride an estimate of the annual ernowet handled. STATE WASTE CODE - If the hazardous material Is waste, enter the appropriate California 3digit hazardous waste code as listed on the beck of the Uniform Hazardous Waste Manifest
UNITS- Check the unfi of measure that Is most appropriate for the material being reported on this page: gallons, pounds. cobb reel or tone. NOTE: if the material is a federally defined Extremely Hazardous Subsfltrece (ENS), at amounts roust b reported In pour if material Is a mixture cctriaWrig an ENS, report the units that the materiel Is stored in (gellone, pounds, cob) fool, or tons).
. DAYS ON SITE - List the total number of days during the year thai the material Ia on alto. STORAGE CONTAINR - Check of boxes that describe the typo of storage containers In stitch the hazardous material Is stored. NOTE: If appropriate, you may choose
STORAGE PRESSURE - Check the one box that best dsscribes the pressure etvrtdchthe hazardous material is stored. 226. STORAGE TEMPERATURE - Check the one box that best describos the temperature at whIch the hazardous material Is stored. HAZARDOUS COMPONENTS 1-5 (ii BY WEIGHT) - Enter the percentage weight Of the hazardous component In a mixture. If a rango, of psrcerrtsgae Is available, report the highest percentage In that range. (Report for Components 2 through 6 I M. 234,2A end 242.) HAZARDOUS COMPONENTS 1.6 NfiJdE -Whert reporting a hazardous material that is a mixture. Eat up to fivo chemical names of hazardous coonpecrente In that mMure by percent weIght ((efer to MOOS or, k'ithe case of bade ascrate, refer to rnereufecturer).Ail hazardous components he the mixture present at greeter there 1% by weight K nerecarcinogenfo, or 0.1% by weight If carcinogenic, should be reported. When reporting waste rabstures. mineral end chemical consposidon should be listed. (Report for components 2 through 8 In 23)235,239, and 243). For aqueous eo&ittwrs oontalnlng ores component, list the component and the percentage In the"CHEMICAL NAME' end leave the'HAZARDOUS COMPONENT' Section blank 226. HAZARDOUS COMPONENTS 1-6 ENS- Clreck'yes' It the ooqnporront of the mixture Is corraldel-ed an Extremely Hazardous Substance as defined in 40 CFR, Part 356, or'No lilt Is not. (Report for components 2tlenargh She 23Z 236,240, and 244.) 229. HAZARDOUS COMPONENTS 1-6 CAS - List the CleemloalAbsliaot 6ervic (CAS) numbers as related to the hazardous components bethe rnbrtwe. (Repeat for 2.6.) 246. LOCALLY 001 XECThD INFORMATION - Check these boxes It you are subject to the requirements toted. . . .. .
18 CoesntyofSaoDiego DEHil4-92 (Rev, 072) ' . . . 0 Dqxsrtrnentofllnvironmcnnd Mmliii
t
A
.. ..,.. AN DIEGO courn . •:
DEPARThIENT OF ENVIRONMENTAL IEEALTB - CUI'A
. . UAZARDOIJS MATERJAIIS DIVISION P.O. BOX 1$261, SAN DIEGO, CA 92112-9261
(619) 338-2222 FAX (619) 338-2377
1800-263-9933
BUSINESS OWNERJOPERATOR IDENTIFICATION .• . -..-
Page of 1. IDENTIFICATION
FACLITY[D)! ja (7 (o (0 (0 (L' 1 19 1.01.1 121 BEOThNINO1)ATE ICO(ENDINODATE
BUSINESS NAME
. . . BUSINESS PHONE . 102 MdllesGriotInc. . .• (760)603-3161 x BUSINESS srI1MDD(uS . .
. • 10 2051PaloinarAirpozi M. 200 . . •. -.- ......•..: •- .................. .............. CITY......................................... CA ZIP CODE .10) Carlsbad • .
. 92009- . . DUN &BRADSTREKT 106 SIC COD(4 digit l0
113505424 3827 S coun'y
. . San Dlco ''• • BUSINESS OPBRJfrOR NAME . . S 109 BUSINESS OPERATOR PHONE -
Melles (3r1o1 mo (760) 603-3161 x -. 11. BUSINESS OWNER . . OWNER NAME
S UI OWNER PRONE TIi
Melles Griot Inc (760) 603-3161 x OWNER MAILING ADDRESS
. . S. . 113 2051 Palomar Airport Rd. 200 V crr V. 114 SME —5s Z[P CODP 114 Carlsbad .- . CA . . . ..
1
92009- W. EN VIRONMENTAL CONTACT CONTACTNAMI3
. 117 CONTACFPJIONB
. Ill Jon Powers V . 1(760)603-3161 CONTACT MAILINOADDRESS 2051 Palomar Airport Rd. 200
STAT '3' ZIPCObB . 122 City 120
. Carlsbad. .... .V .. CA . 92009- -PRIMARY— IV. EMERGENCY CONTACTS —SECONDARY— NAME 123 NAM . . . Jon Powers . •.: . An Garcia TMU 121 TffLF, ENS Msna&er.. . V • V Padilites Manager .. V BUSINESS PEONS . .. .5 lu BUSINESS PHONE . . U (760)603-3161x . (760)268-5137x V 24 -HOUR PHONE '' 24-HOUR PHONE (760-434-7699 V V : • (619) 229-8289 x PAOER. 0 121 PAOER# •• V (760) 500-2226 • . . (619-229-8289 • V
V
VS V . V ADDI110124LLOCALLYcOL1.ECThD INFORMATION:
V I3-MA)L' S. V V V E-MAIL . V • . S. joiip(ãcar1sbad,mellesriot.corn V artgärcia(carkbad.nellesgrlot.com *This lnfonnatlon Is optional and WIll remain confidentIal. Complete you want to receive periodic program updtoa from HMD. • ALWAYS SUBMIT A COPY OF THIS COMPLETED PAGE WITh SUBMITTAL OF ANY OTHER UNIFIED PROGRAM CONSOLIDATED FORM.
Codification: Based no n' £ncpilry ofahoso Individuals tosponsibtu for obtaining the information, I certify nndeo pen1ty o(sw Ibat I havopcmnally examined end eni
familiaz with the iafoxniallon eiibmiUed and belloyc the InformalJop is Into, eccuralo, and cotoplele. 6!QNA3 WHER/OPERATOR OR DESIGNATE!) RESE)ThU1VE VS
DATE lW NAME OP DOCUMENT.PIU!PAAER
iWeoocI : • SR(p.,) 'c,.J(?oAi P35 IUIVB OF StORER •131
. 19 County oISox3Diego DB4:IIM-952 (Rev, 0 i2) V • • . S V • • Doçottmneut of E.wtaomnental Health
Business Owner/Operator Identification
Please submit the Businesp ActIvitIes page, the Business Owner/Operator identification page (DES Form 2730), and Hazardous Materials - Chemical Description pages (OES Form 2731) for all hazardous materials Inventory submissions. For the inventory to be considered complete this page must be
elgned by the appropriate Individual. 0
(Note: the numbering of the instructions follows the data element numbers that are on the UPOF pages. These data element numbers are used for electronic
submission and are the same as the numbering used In 27 COR, Appendix C. the Business Section of the Unified Program Data DlolIoflert) Please number
ON pages of your submittal. This helps your CUPA orM Identify whether the svbmlttat Is complete and It any pages ore separated.
ALWAYS SUBMIT A COPY OF THIS COMPLETED PAGE WITH SUBMITTAL OF ANY OTHER UNIFIED PROGRAM CONSOLIDATED FORM.
1. FACILITY ID NUMBER- Enter your 6 character Permit # on your Unified Program Fnclfrty Permit (JPFP). If you do not have a Unified Program Facility Permit, teavó this blank.
3. BUSINESS NAME- Enter the lull legal name of the business. This is the seam as the terms "Facility Name" or "DBA - Doing Business As. BEGINNING DATE - Enter the beginning year and date (YYYYMMDD) of the inventory report, recyclable materials report, or on-site tiered
permitting report for PBR sites.
ENDING DATE - Enter the ending year and dale (YYYYMMDD) of the reports Identified In 11100.
BUSINESS PHONE -Enter the phone number, area cede brat, and any extension.
BUSINESS SITE ADDRESS Enter the street address where the facility Is located. No post ofilcO box numbers are allowed. This Information must
provide a means to geographically locate the facility, lithe mailing address Is different, complete 11113- 9116.
.104..CVT'Y.- Enter the clty.cr unincorporated area In which business site is louated.--------... ..... ... .... ... .. ... ..- . 106. ZIP CODE -Enter the zip code of business she. The extra 4-dialt zip may also be added.
DUN & BRAOSTR.EET- Enter the Dun 6 Bradstreet number for the facility. If you do not have one, leave thIs field blank.
$IC CODE - Enter the primary Standard IñdusWaiCiasslflcatlon Coda number for primary business ocW. NOTE: If code Is more then 4 digIts, report
only the first tow.
COUNTY - Enter the county In which the business site Is booted. . . . 108. BUSINESS OPERATOR NAME - Enter the name of the business operator which is the name used for mailing correspondence.
BUSINESS OPERATOR PHONE - Enter business operator phone number, If different from business phone, area code first, and any extonsion.
OWNER NAME - Enter name of business owner, If different from business operator.
OWNER PHONE- Enter the business owner's phone number if different from business phone, area code first, andany extension.
OWNER MAiLING ADDRESS - Enter the owner's mailing address where business related correspondence should be sent, If different from business
site address, 000
OWNER CITY- Enter the name of the city for the owner's mailing address.
116. OWNER STATE Enter the 2 character state abbreviation fortho owner's mailing address. 116. OWNER ZIP CODE- Enter the zip code for the owner's address. The extra 4-digit zip may alto be added.
11?. ENVIRONMENTAL CONTACT NAME - Enter the name of the person, if different from the Business Owner or Operator, who will respond to
enforcement activity.
118. CONTACT PHONE -Enter the phone number. If different from Omer or Operator, aiwitich the environmental contact can be contacted.
119, CONTACT MAILING ADDRESS -Enter the mailing address where all environmental contact correspondence should be sent.
120 CITY- Enter the name of the oily for the environmental contact's.malting address.
STATE - Enter the 2 character state abbreviation for the environmental contact's mailing address,
0 ZIP CODE- Enter the zip code for the environmental contacta melilng address. The extra 4-digit zip may also be added.
PRIMARY EMERGENCY CONTACT NAME - Enter the name ala representative that con be contacted in case of an emergency Involving hazardous
materials at the business site. The contact shall have FULL facility access, site familiarity, and authority to make doelsions for the business
regarding Incident mitIgation.
TITLE- Enterthe title of the primary emergency contact.
BUSINESS PHONE- Enter the business number for the primary emergency contact, area code first, end any extensions.
. 0 126.24-HOUR PHONE - Enter a 24-hour phone number for the primary emergency contact. The 24-hour phone number ravel be one which is answered 24
hours a day. If It Is not the contacl'e home phone number, then the service ens'weflng the phone must be able to Immediately contact the Individual
stated above. 0 0
PAGER NUMBER - Enter the pager number for the primary emergency contact, If available,
SECONDARY EMERGENCY CONTACT NAME - Enter the name of a secondary representative that can be contacted In the event that the primary emergency contact Is not available. The contact shall have FULL facility access, site faInlilàrlty, and authority to make decisions for the business
rogard)ng incident mitigation.
TITLE - Enter the title of the secondary emergency contact. ..
0
BUSINESS PHONE- Enter the business telephone number for the secondary emergency contact, area code first, and any extension.
24-HOUR PHONE - Enter a 24-hour phone number for the secondary emergency contact. The 24-hour phone number must be one that Is enswered24
hours a day. lflt ie not the contact's home phone number, then the service answering the phone must be able to Immediately contact the indMduel
stated above. .
132, PAGER NUMBER - Enter the pager number for the secondary emergency contact, H available. 0 0 00
ADD)TIONA%. LOCALLY COLLECTED INFORMATION -This space may be used for CUPAc crAM to collect any additional Information necessary to
meet the requirements of their Individual programs. Contact your boot agency for guidance.
DATE - Enter the dale that the document was signed. (YYYYMMDD) 0 0 0
135, NAME OF DOCUMENT PREPARER "Enter the full name of the parson who prepared the Inventory submittal Information. 0 NAME OF SIGNER - Enter the full printed name of the person signing the page. The signer certifies to a lemlilarIty with the Information submitted and
that based on the signer's inquiry of those Individuals responsible for cbtatnlngtho information, all the Inlormatton submitted is We, accurate and
complete. 0
SIGNATURE OF OWNER! OPERATOR OR DESIGNATED REPRESENTATIVE -The Business Owner/Operator, or officially deslgnated.representative
O of the Owner/Operator, shell sign In the spaceprovided. This signature cerliff as that the signer is familiar with the information submitted and that
based on the signer's Inquiry of those Individuals responsible for obtaining the Information It Is the SIgner's ballet that the submitted Information is
We, accurate and complete.
TITLE OF SIGNER - Enter the title of the person signing the page.
1. 20 County of Son Diego DBH410$ (Rev. 01R)2) Department of Envison,nrntal ifastth
HAZARDOUS MATERIAL_LOCATLO
THOMAS BROS COORDINATES PAGE 11.27 3-D . 'j' gp (page 1 of 1) uP'p ffa-39m2
BUSINESS NAME CYT METER'P . . Dm 124/20U E Oa.Y JIZVLLY
BUSINESS ADDRESS 2051 Palomar Airport Rpad. Carlsbad Ca. ZIP CODE 92904
cd Palomar airport road
DAIE
. . . .. .. 30G-NOK
Spervalves
- Office Waste AcidlWater NoriRCR& W3tC 7e Mae entry \ - BCl/-950Ga1 Water, 1500G Max-.
HNO3-9500al Max Deionized Water
.
- . . 24 Gal Acetone z P. 28 Gal L,epropenol -/
= / : 30 . .
P. I 2 Gal Aceton Waste drums •. .
-. . I . 2 Gal Iopropan. Isupropenel/Acetone .
- 200 Gal Max
inn n
H HHft !'/ Main Building
210,000 sqft
MeRes
/Not Pa t/. . .
48 00 02 Ft
Aq X2 Not part o 5000Gal
_____ t1III1IIIIlIIIIIIIItII1I J
THOMAS BROS COORD1NTES MS MAP (Page of ) UPFP#
BUSINESS NAME DATE OFFICE USE ONLY
BUSINESS ADDRESS ZIP CODE REWBW) BY:_________
MTF-
21 CoyofSuDiagD
DBM-952 .cv. 07/M)DpxxofEanzaL HeaLth
HAZARDOUS MATERIALS BUSINESS PLAN OPFICE USE ONLY
TI. EMERGENCY RESIONSE PLAN REVIEWED BY:___________
Date 26-May-2005 .
. DATE:
UPFP# . •.
0 ________________________
Dunn and Bradsfreet I 113505424
I. Business Name: Melles (li-lot Inc. . .
Business Site Address: 2051 Palomar Aliport Rd 200
Business Telephone: (760) 2682131 x 24-Hour-
Brief description ofprodnct manufactured and/or service provided: Gas laser and high Intensity light sources
vaation !ro. Empioyçes v.i1! k y.t.ccon, vejbat..prliie ainnn..system..Bmployees.will.o,dt through the nearest exterior door and assemble in assigned staging areas in the front and rear parking lots. Emergency coordinator will be available for assistance and to check head count
5. Notification Procedures:
In the event of a release or threatened release of a hazardous material the following agencies are to be notified.
hene4 Local Emergency Response Agencies 911
Hazardous Materials DIvision 338-2222 (911 after working hours)
State Office of Emergency Services (916) 845-8991
Toll-Free Number . (800) 852-7550
Name of person(s) responsible for completing nOtifications: Jon Powers El-IS Manager and Art Garcia Facilities Manager
Describe notification procedures: As listed above and will call 3E if necessary
Emergency Procedures: Main concerns: Fire or chemical spill.
Fire- Employees will notify fire department. If safe, assigned personnel will shut off power, compressed gases and
natural gas. Employees are trained in the 'use of fire control equipment and will attempt to control or extinguish the fire if
they can do it safety, prior to the arrival of the Fire Department,
Chemical Spills: Small spills will be contained and cleaned up by trained personal with the use of supplied chemical
clean up kits.Tlie use of proper procedures and PPE will be strictly enforced. Large spills: Employees are to notify the
Fire Department. Trained personnel MU attempt to contain it using company supplied spill kits. 3M will be called In for
Clean up. . 0
DBaRM-952 (Rev, 072)
23 Cnty of San Diego Djut of Onviro=enlal Health
OFFICE USE ONLY .
Date: 2005-05-26 HAZARDOUS MATERIALS BUSINESS PLAN REV)BWEDBY:__________
uPFPu .. . . 111. EMPLOYEE TRA1NINO DESCRIPTION DATh:______________
The following describes the employee trainingprovided for all employees that handle hazardous substances.
L. Training Topic- Pmcedures for handling hazardous ,naieilals, including hazardous wastes:
Persons Trained:Manuf'aciuring.Eugineers and Maintenance Personnel
Training Time: 2 hours. Refresher Frequency: annual. . Refresher Time: ihour
Training Content: Read and understand MSDS she es procedures for handling fires and spills. Storage and disposal of hazardous wastes, record keeping, material handling and update of safety procedures and MSDS sheets póitinent to the facility.
2..... Training. Topic --ProceduresforcoorcUnationwithcmergeneyresponseagencles: ..................................
Persons Trained: Emergency coordinator, Mnnufaciuriisg manager and fadilites manager
Training Time: 2 hours Refresher Frequency: annual . Refresher Time: 1 hour
Training Content: Review of emergency response plan and emergency no procedures. Instruct methods to
coordinate alli emergency services, fire, paramedics, bazmat and cleanup contractors.
. Training Topic'. Use of emergency response equipment and materials under the business control.-
Persons Trained: Manufacturing engineers, maintenance personnel and safety committee members.
Training Time: 2 Itours Refresher Frequency: monthly Refresher Time:) hour
Training Content: . . .
4. Training Topic Emeigenoy Response Plan Implementation:
Persons Trained: Company wide
Training Time: 1.5 bouts . . Refresher Frequency: annual Refresher Thne: 1 hour .
Training Content: Review of Emergency response and evacuation routes. Location of safety and fire fighting eqitipment, location of emergency shut offs and information to all employees as to whielipersonel are specifically trained for
emergency actions. .. -
'4
-
25 Cointyof Son Diego DI3H:1iT(-952 (116v. 071 ) . ..... .. . .. . tpaztmeiI of Bnv roomidaI Health
CB130224 2051 PALOMAR AIRPORT RD
200 -
c"11. 1 7P c lMTRPIflP TI
//25-/i3 10
I /,,14/1-3 1D
.q 1/4 6s -s
4)
- e- 4 /
' 4 L
6113
Ef
-a
41,
El CV,
nnallnsp. Approved Date By
BUILDING 31 ,?//-3 (27t
PLANNING Alai Ii c?
ENGINEERING IL1lj/ 3
FIRE Expedite? V (I)
AFS Checked by:
HazMat
APCD
Health
Forms/Fees Sent Recd Due? By
Encina V N
Fire V N
HazHeaIthAPCD V N
PE&M i/5/i3 V N
School V N
Sewer V N
Stormwater V N
Special Inspection - V N
LandUse:
CFD: V N
Density lmpArea: FY: Annex: Factor:
PFF: Y N
Comments Date Date Date Date
Building c-/ /i.' /-? 1/3
Planning
Engineering
Fire I//c1
Need?
qone
f7L4 J —S774,7 /:f Done
Done
U Done
U Done
SW -
0 Issued