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Home My WebLink About2051 Palomar Airport Rd; ; CBC2017-0606; Permit(city of Carlsbad Commercial Permit Print Date: 07/26/2018 Permit No: CBC2017-0606 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2051 Palomar Airport Rd BLDG-Commercial 2130503900 $131,251.22 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Tenant Improvement Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 11/16/2017 01/18/2018 TFraz Plan Check#: Final Inspection: 3/29/2018 7:43:28AM Project Title: Description: PALOMAR AQUISITION: 2,822 Sf Tl FOR COMMON AREA RESTROOMS AND ACCESSIBLE PATH Of TRAVEL FOR FUTURE SUITE #105 Applicant: Owner: Contractor: WAREMALCOMB ARCHITECTS MICHAEL MEIZEN PALOMAR ACQUISITIONS PARTNERS LLC SP WHITE CONSTRUCTION INC 6363 Greenwich Dr San Diego, CA 92122-5947 858-638-7277 xl325 BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) 4747 Executive Dr, Ste 410 San Diego, CA 92121-3091 858-435-4000 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL MECHANICAL BLDG COMMERCIAL NEW/AODITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $1,444.07 Total Payments To Date: $1,444.07 2524 Gateway Rd Carlsbad, CA 92009-1742 760-931-1130 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction.'' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. lf you protest them, you must follow the protest procedures set forth in Government Code Section 66020{a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 I I www.carlsbadca.gov $739.60 $517.72 $89.00 $55.00 $6.00 $36.75 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILOING OFIRE 0HEALTH 0HAZMATIAPCD Ccicyof Building Permit Application Plan Check No.f',@.(I ?f\\1-cx.n.cx.o 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value \ "_2.. I 2-'=>t- Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit . email: building@carlsbadca.gov ' www.carlsbadca.gov . Date \\-ILQ-11 lswPPP JOB ADDRESS 2051 Palomar Airport Rd, Carlsbad CA 92011 SUITU/SPACEI/UNITr IAPN 213 -050 -39 - CT/PROJECT# I LOT# 1 PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS l TENANT BUSINESS NAME I CONSTR. TYPE I DCC. GROUP DESCRIPTION OF WORK: Include Square FHt of Affitcted Antat•J THE SCOPE OF THIS PROJECT INCLUDES A MUTLI-TENANT CORRIDOR AND SHARED RESTROOMS IN AN EXISTING BUILDING (FOR A FUTURE TENANT BUILD-OUT) AND PROVIDING A NEW ACCESSIBLE PATH TO A NEW TENANT ENTRY. THE FUTURE TENANT SUITE IS #105 • -2822 SF EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I I FIRE SPRINKLERS Office Office YES0, Nqzj YES[ZjNoD vEs[Z]NoO APPLICANT NAME Michael Meizen PROPERTY OWNER NAME Palomar Aauisition Partners Prlmarv Contact ADDRESS ADDRESS 6363 Greenwich Drive, Suite 175 525 B St. Suite 220 CITY STATE ZIP CITY STATE ZIP San Diego CA 92122 San Diego CA 32101 PHONE 1FAX PHONE IFAX 619.564.5127 858.435.4026 EMAIL EMA.IL mmeizen@waremalcomb.com DESIGN PROFESSIONAL SAME AS ABOVE (Annlicant Name} CONTRACTORBUS.NAMES'fi\J fl'r,y'l~~b>-'\ / ,,ii,,-,.\+> Gw..,, ADDRESS ADDR~i;cx t-{ Gtdewru.. RA . I CITY STATE ZIP CITY ""'11 v le../,,~, ,1 Sl}TE(l .A-ZIP C/J-!Jd} PHONE IFAX PHON' "'(po) '131 /t3D IFAX EMAIL EMAIL -Shf'J /,, tfy_ Wht.k foyt s+ru..c..f.~ iV1, ,CO'< ISTATEUC.# srA~~c?._ ~ i S /_ lcLAS\2, IRZ\J°i:2. I ~o'.l ~~ (Sec. 7031.5 Business and Professions Code: Any c· or County which requires a permit to construct alter, improve, demolish or re air an structure, prior to its issuance, als~ re uires the applicant for such permit to file a signed statement fil'at he is licensed pursuant to the provisions of the Contractor's License Law rc~apter ~. commending with Section 7000 of D~ision 3 of the Business and Professions Code} or fhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following dedaratkms: D I have and wlll maintain a certificate of consent to ult-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. @..have and wlll maintain workers' compensation, 81 ~uiid by Section 00 of ~e Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insura ce carrier and policy aumber a,e: Insurance Co. V cl-I~ \ l'IS, Cc, · Pol;cy No. "'1 Iii&>?!~ \S8 I ] I Exp;ralion Date, -~/+-'-1_,_~l~--- l]l§.section need not be completed if the permit is for one hundred dollars ($100) or lass. LJ Certificate of Exemption: I certify that in the performance oftha work for which this permit ls Issued, I shall not employ any person In any manner so as to become subject lo the Workers' Comperisallon Laws of California. WARNING: Fallure to secure wort:ars' compensation coverage ls unlawful, and shall subject an employer to crlmlnal penaltlu and clvll flnu up to one hundred thousand dollars (&100,000), In addHlon to the cost of compensation, dama rovl r In Section 3706 of Iha Labor code, Interest and attorney's flu. 25 CONTRACTOR SIGNATURE I hereby affinn that I am exempt from Contractor's License Law for the following reason: D D D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves !hereon, and contracts for such projects with contractor{s) licensed pursuant lo the Contractor's License Law). I am exempt under Section Business and Professions Code for thls reason: 1. ! personally plan lo provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction Qnclude name address I phone I contractors' license number): 4. l plan to provide portions of the work, but I have hired Iha following person to coordinate, supervise and provide the major work (indude name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone/ type of work): 25 PROPERTY OWNER SIGNATURE 0AGENT OATE Ch: VJ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or Mure building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above Information Is correct and that the Information on the plans is accurate. I agree to comply with all Cify ordinances and State lwws relating to building construction. I hereby authorize rapresentative of the City of Carlsbad to en\Br upon the-., menwned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAJNST SAID CITY IN CONSEQUENCE OF THE GRANTING Of THIS PERMIT. OSHA: AA OSHA pem,it is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the Buikfing Olocial under the provisions of !his Code shall expire by ~mitation and become nun and void if the buildrtg or work authorized by sud'J permit is not commenced 'Mthin 180 days from lhe date of such permit or if !he building a-work authortzed by such permit is suspended or abandoned at any time after the work is commenced fora period of 180 days (Section 106.4.4 Uniforrn Buikling Code). R$ APPLICANT'S SIGNATURE ~ DATE il 1 .. /-z.aJ-"7, ~~~~~~------"'--4<'-~~---'~~---'"----;J,fC--~~~~~~~~~~~~~~--1----'-~~~~~~~~~~~~~~ STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/FAXTOOTHER: ________________ _ A$ APPLICANT'S SIGNATURE ASSOCIATED CB#'--------~--- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Permit Type: Work Class: Status: Scheduled Date 07/26/2018 July 26, 2018 ' PERMIT INSPECTION J,IISTORY REPORT (CBC2017-0606) BLDG-Commercial Application Dato: 11/16/2017 Owner: PALOMAR ACQUISITIONS PARTNERS LLC Tenant Improvement Issue Date: 01/18/2018 Subdivision: PARCEL MAP NO 09959 Closed -Finaled Expiration Date: 09/1712018 Address: 2051 Palomar Airport Rd Carlsbad, CA 92011-1462 IVR Number: 7791 Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete BLDG-Fire Final 052853-2018 Scheduled Dominic Fleri Incomplete Checklist Item COMMENTS Passed FIRE-Building Final No Page 2 of 2 ' ' -· PERMIT INSPECTION HISTORY REPORT (CBC2017-0606) Permit Type: BLDG-Commercial Application Date: 11/16/2017 Owner: PALOMAR ACQUISITIONS PARTNERS LLC Work Class: Tenant Improvement Issue Date: 01/18/2018 Subdivision: PARCEL MAP NO 09959 Status: Closed -Finaled Expiration Date: 09/17/2018 Address: 2051 Palomar Airport Rd Carlsbad, CA 92011-1462 IVR Number: 7791 Scheduled Actual Inspection Type Date Start Date Inspection No. Inspection Status Primary Inspector Reinspection Complete 01/19/2018 01/19/2018 BLDG-21 046262-2018 Passed Michael Collins Complete Underground/Underf loor Plumbing Checklist Item COMMENTS Pas sod BLDG-Building Deficiency Waste to POC, Rm 122-124 Yes 02/13/2018 02/13/2018 BLDG-16 Insulation 048656-2018 Passed Tim Frazee Complete Checklist !tom COMMENTS Passed BLDG-Building Deficiency Yes 02/21/2018 02/21/2018 BLDG-84 Rough 049390-2018 Passed Tim Frazee Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 02/23/2018 02/23/2018 BLDG-17 Interior 049628-2018 Passed Tim Frazee Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 03/21/2018 03/21/2018 BLDG-85 T-Bar, 052290-2018 Passed Tim Frazee Complete Ceiling Grids, Overhead Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 03/29/2018 03/2912018 BLDG-Final 065117-2018 Passed Tim Frazee Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes July 26, 2018 Page 1 of 2 City of Carlsbad CBC2017-0606 1/12/18 DATE: 1/12/18 JURISDICTION: City of Carlsbad PLAN CHECK#.: CBC2017-0606 ~ EsG1I /J.. SAf f:bt.nlt Co1np;,ny SET II PROJECT ADDRESS: 2051 Palomar Airport Rd PROJECT NAME: Common Corridor and Restrooms -TI [J APPLICANT ~URIS ~ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: ~ EsGil staff did not advise the applicant that the plan check has been completed. D EsGil staff did advise the applicant that the plan check has been completed. Person contacted: ----fl C\ Telephone#: Date contacted: (e1'~ 1 ) Email: Mail Telephone Fax In Person D REMARKS: By: Morteza Beheshti Es Gil 1/3 Enclosures: DATE: 11/30/17 JURISDICTION: City of Carlsbad PLAN CHECK#.: CBC2017-0606 EsG1I SETI PROJECT ADDRESS: 2051 Palomar Airport Rd PROJECT NAME: Common Corridor and Restrooms -TI 0 APPLICANT rRIS. D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. lz;J The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: D EsGil staff did not advise the applicant that the plan check has been completed. lz;J EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Michael Meizen Telephone#: 619-564-5127 yate ~acted:\\ \pd (by:~ Email: 'tiMail ~Jepho~ Fax In Person D REMA~\]'\, By: Doug Moody EsGil Enclosures: 11/20/17 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 City of Carlsbad CBC2017-0606 11/30/17 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK#.: CBC2017-0606 OCCUPANCY: B? TYPE OF CONSTRUCTION: VB ALLOWABLE FLOOR AREA: SPRINKLERS?: YES REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 11/16/17 DATE INITIAL PLAN REVIEW COMPLETED: 11/30/17 FOREWORD (PLEASE READ): JURISDICTION: City of Carlsbad USE: Office ACTUAL AREA: 2822sf STORIES: 1 HEIGHT: OCCUPANT LOAD: 28 DATE PLANS RECEIVED BY ESGIL CORPORATION: 11/20/17 PLAN REVIEWER: Doug Moody This plan review is limited to the technical requirements contained in the California version of the International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review is based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building permit. Code sections cited are based on the 2016 CBC, which adopts the 2015 IBC. The following items listed need clarification, modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 105.4 of the 2015 International Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. City of Carlsbad CBC2017-0606 11/30/17 Please make all corrections on the original tracings, as requested in the correction list. Submit four sets of plans for commercial/industrial projects (three sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 1. Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring two corrected sets of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. 1. Glazing in the following locations should be of safety glazing material in accordance with Section 2406.3 at the new store front. a) Fixed or operable panels adjacent to a door where the nearest exposed edge of the glazing is within a 24-inch arc of either vertical edge of the door in a closed position. And where the bottom exposed edge of the glazing is less than 60 inches above the walking surface. 2. Provide complete energy designs for the proposed changes in the envelope (new storefront glazing) systems. Provide the completed ENV-forms showing energy compliance. 3. The completed and signed ENV forms must be imprinted on the plans. 4. Please review the requirements, revise the plans appropriately and imprint on the plans the City of Carlsbad Policies and Procedures for Roof Mounted Equipment to the plans. 5. Please provide a roof plan showing the new roof mounted equipment and a service receptacle located less than 25' from the new equipment and GFCI protected. 6. Please clarify the plans to show the lighting controls in the restrooms. 7. Please clarify the single line diagram to show the feeders for panel PA. Advisory Note : When alterations, structural repairs or additions are made to an existing building, that building, or portion of the building affected, is required to comply with all of the following requirements, per Section 11 B-202.4: City of Carlsbad CBC2017-0606 11/30/17 • The area of specific alteration, repair or addition must comply as "new" construction. • A primary entrance to the building and the primary path of travel to the altered area, must be shown to comply with all accessibility features. • The path of travel shall include the existing parking. • Please address the following comments that are the result of the alterations. 8. Show on the site plan in greater detail the complying disabled accessible path of travel from the disabled accessible parking spaces to the primary entrance of the tenant space. Please provide detailed plans of the path of travel, indicate slope and width, any pedestrian ramps, curb ramps, walks, handrails, provide dimensioned parking stall details etc. 9. Note that the doorways leading to sanitary facilities shall be identified, per Section 118-703.7.2.6, as follows: a) An equilateral triangle Y." thick with edges 12" long and a vortex pointing upward at men's rest rooms. b) A circle Y." thick, 12" in diameter at women's rest rooms. c) A 12" diameter circle with a triangle superimposed on the circle and within the 12" diameter at unisex rest rooms. d) The required symbols shall be centered on the door at a height of 58" -60". e) Braille signage shall also be located on the wall adjacent to the latch outside of the doorways leading to the sanitary facilities. 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: Yes D No D The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Doug Moody at Esgil Corporation. Thank you. City of Carlsbad CBC2017-0606 11/30/17 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PREPARED BY: Doug Moody PLAN CHECK#.: CBC2017-0606 DATE: 11/30/17 BUILDING ADDRESS: 2051 Palomar Airport Rd BUILDING OCCUPANCY: B BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier Tl 2822 46.51 Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance Plan Check Fee by Ordinance Type of Review: 0 Complete Review D Repetitive Fee -·;,;.1 Repeats -------" Comments: D Other 0 Hourly EsGil Fee Reg. VALUE Mod. D Structural Only 1-------11 Hr. @ • ($) 131,251 131,251 $739.661 $480.78J $421.61 J Sheet 1 of 1 OFFICE USE ONLY SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE RECORDID#~~~~~~~~~~~~~~~~~~I PLAN CHECK#~~~~~~~~~~~~~~~~~, Business Name Palomar Acquisition Partners Business Contact Carla Alexander BP DATE Telephone # 858.435.4026 Project Add ss 2051 P lomar Airport Rd, City Carlsbad State A Zip Code 92011 APN# 213-050-39 Project Contact Michael Meizen City State Zip Code Plan File# Applicant E-mail Telephone# mmeizen@waremalcomb.com 619.564.5127 The following questions represent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: (not required for projects within the City of San Diego): Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. Jf any of the items are circled, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: Faclllly's Square Footage (including proposed project): 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives 2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards 3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These. 4. Flammable Solids 8. Unstable Reactives 12. Radioactives PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH HAZARDOUS MATERIALS DIVISION (HMDI: If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 110, San Diego, CA 92123. Call (858) 505-6700 prior to the issuance of a building permit. FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy: 0 CalARP Exempt 1. 2. 3. 4. 5. 6. 7. 8. YES NO (for new construction or remodeling projects) Is your business listed on the reverse side of this form? (check all that apply). D ~ D 181 Will your business dispose of Hazardous Substances or Medical Waste in any amount? D ~ Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? D D D D D ~ Will your business store or handle carcinogens/reproductive toxins in any quantity? 181 Will your business use an existing or install an underground storage tank? ~ Will your business store or handle Regulated Substances (CalARP)? ~ Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? t8J Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or reater than 1,320 allons? California's Above round Petroleum Stora e Act. Date Initials 0 CalARP Required I Date Initials 0 CalARP Complete I Date Initials PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCDI: Any YES' answer requires a stamp from APCD 10124 Old Grove Road, San Diego, CA 92131 apcdcomp@sdcounty.ca.gov (858) 586-2650). ['No stamp required if Q1 Yes l!!lQ Q3 Yes l!!lQ Q4-Q6 No]. The following questions are intended to identify the majority of air pollution issues at the planning stage. Projects may require additional measures not Identified by these questions. For comprehensive requirements contact APCD. Residences are typically exempt, except -those with more than one building+ on the property; single buildings with more than four dwelling units; townhomes; condos; mixed-commercial use; deliberate bums; residences forming part of a larger project. rExcludes garages & small outbuildings.] YES NO 1. 2. 3. 4. 5. 6. D 181 D 181 D D Will the project disturb 160 square feet or more of existing building materials? Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition. (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance Technician? D D D D (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos ccntaining material? Notification may be required 10 working days prior to commencing asbestos removal. ~ Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet {www.sdapcd.org/info/facts/permits.pdf) for typical equipment requiring an APCD permit. D (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school bounda Briefly describe business activities: Briefly describe proposed project: Standard Office use New Multi-Tenant Corridor/Restrooms. Tenant Entry I declare under penalty of perjury that to the best of my knowledge and belief t e responses made herein are true and correct. Michael Meizen -~&,,. • .,:1,J,..,,&, .. .,,..,. . .__ ___________ _ 11 / 15 / 2017 Name of Owner or Authorized Agent Signature of Owner or Authorized Agent Date FIRE DEPARTMENT OCCUPANCY CLASSIFICATION· FOR OFFICAL USE ONLY: BY: DATE: I I EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMO* APCD COUNTY-HMO APCD COUNTY-HMO APCD .. *A stamp 1n this box only exempts businesses from completing or updating a Hazardous Matenals Business Plan. Other perm1tt1ng requirements may still apply. HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division