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HomeMy WebLinkAbout2100 PALOMAR AIRPORT RD; 203; CB154013; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-07-2015 Commercial/Industrial Permit Permit No: CB154013 Building Inspection Request Line (760) 602-2725 Job Address: 2100 PALOMAR AIRPORT RD CBADSt: 203 Permit Type: TI Sub Type: COMM Status: ISSUED Parcel No: 2130201800 Lot #: 0 Applied: 11/19/2015 Valuation: $68670.00 Conètruction Type: 2A Entered By: SLE Occupancy Group: Reference # Plan Approved: 12/07/2015 Issued: 12/07/2015 Inspect Area Plan Check #: Project Title: CLAYTON PARKER: 1,500 SF TI SHELL TO OFFICE: CONSTRUCTION OF NON-STRUCTURAL, INTERIOR PARTITION WALLS, CEILINGS, DOORS AND MECHANICAL, ELECTRICAL, PLUMBING Applicant: Owner: RICHARD AND RICHARD CONSTRUCTION COUNTY OF SAN DIEGO STE 100 - 234 VENTURE ST SAN MARCOS CA 92078 PUBLIC AGENCY 00000 760-759-2260 X325 Building Permit $489.73 Meter Size Add'l Building Permit Fee $0.00 Add'l Red. Water Con. Fee $0.00 Plan Check $342.81 Meter Fee $0.00 Add'l Building Permit Fee $0.00 SDCWA Fee $0.00 Plan Check Discount $0.00 CFD Payoff Fee $0.00 Strong Motion Fee $19.23 PFF (3105540) $1,249.79 Park Fee $0.00 PFF (4305540) $1,153.66 LFM Fee $0.00 License Tax (3104193) $0.00 Bridge Fee $0.00 Licehse Tax (4304193) $0.00 BID #2 Fee .' $0.00 Traffic Impact Fee (3105541) $1,506.96 BID #3 Fee $0.00 Traffic Impact Fee (4305541) $1,391.04 Renewal Fee $0.00 PLUMBING TOTAL $51.00 AddI Renewal Fee $0.00 ELECTRICAL TOTAL $62.00 Other Building Fee $0.00 MECHANICAL TOTAL $54.54 Pot. Water Con. Fee $0.00 Master Drainage Fee $0.00 Meter Size Sewer Fee $466.93 AddI Pot. Water Con. Fee $0.00 Redev Parking Fee $0.00 Red. Water Con. Fee $0.00 Additional Fees $0.00 Green Bldg Stands (5B1473) Fee $3.00 HMP Fee ?? Fire Expedidted Plan Review $0.00 Green Bldg Standards Plan Chk TOTAL PERMIT FEES $6,790.69 Total Fees: $6,790.69 Total Pyments To Date: $6,790.69 Balance Due: $0.00 Insoector:~~L bl~ FINAL AP PiROViL Date: __________ Clearance: NXJ11E Ree take I)5ZJflcE of yciur pqed includes the"lriai" dfs, dedicatioris, ret'iaticris, or other exaticns hereMer cdIey refwed toas'feesler~bcns." You have 90 days frun the date this lTit v%is. issued to protest intiai of these fees/exaicr6. If you protest thetT you rn.&st fdlow the protest pitxires set forth in Gyni-th Oxie Soiia 20(a), and file the protest and arty other rired irftTefim wth the City Marfcr processing inacoydanoeWth Ca1ai MuricipEd Code Section 3.32.030. Fake to tirry fdlow that procedure Wll bar arty subsecluentlegEil action to attack reAew s vtd, or anJ their irrtxct You are hereby RJ11-ER NOTIFIED that your riçit to protest the specified fees/exaicrs DOES NOLAPFtYto ete axi seer cciicn fees and capacity des rn p-nr, zcn rig, gatrig or other sinila application processirg or service fees in cxrvietcrt Wth this pq. NICR DOES ITPPPLY to any ov ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING DENGINEERING 0 BUiLDING OFIRE []HEALTH OHAZMATIAPCD I Building Permit Application Plan Check No. CPI 40t3 Est. Value (.c~1J ¼ City of 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 CcirI sbad.. email: building©carlsbadca.gov Plan Ck. Deposit Date /Ck/I5 Iswppp I www.carlsbadca.gov JOB ADDRESS - 2100 Palomar Airport Road SUITE#/SPACE#/UNT. Suite 203 APN 1 213 - 020 - 180 - 00 CT/PROJECT # LOT # PHASE # a OF UNITS S BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0Cc. GROUP J#MDROOMS Clayton Parker Il-A B DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Interior tenant improvements(1,500sf). New construction of non-structural, interior partiton walls, ceilings, doors and all related mechanical, electrical and plumbing fixtures for a "B" occupancy occive use. (O"bli-0014 EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS B B YESDI( NC( YES NO U YES NO[::] APPUCANT NAME' - Jeff Taylor PROPERTY OWNER NAME Jeff Taylor 0I]a U'nvcbtUjti ADDRESS ADDRESS 991-444 Lomas Santa Fe C-suite 991-444Lomas Santa Fe C-suite CITY STATE ZIP CITY STATE ZIP Solana Beach Ca 92075 Solana Beach Ca 92075 PHONE FAX PHONE - FAX 805-794-8100 858-923-2140 805-794-8100 858-923-2140 EMAIL ' . EMAIL jtaylorccIayton Parker. net jtaylorcclayton Parker. net DESIGN PROFESSIONAL Gary Seward - CONTRACTOR BUS. NAME - Richard & Richard Construction ADDRESS ADDRESS 234 Venture Street Suite 100 ' 234 Venture Street Suite 100 CITY STATE 'ZIP CITY STATE ZIP San Marcos Ca 92078 San Marcos Ca 92078 PHONE FAX PHONE FAX - 760-759-2260 760-759-2269 760-759-2260 760-759-2269 EMAIL - EMAIL garyrrconstruction.com glenn(rrconstruction.com STATE UC. S STATE LIC.# CLASS CITY BUS. LIC.# C-24178 646033 B 1236383 (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)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I have and will maIntain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maIntaIn workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Insurance CO. Oak River Insurance Policy No. - 2250086059.141 Expiration Date 1.1.2017 I secton need not be completed if the permit is for one hundred dollars ($100) or lass. Certificate of Exemption: i certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, dams a a ad for In Se 706 of the Labor code, Interest and attorney's fees. .CONTRACTORSIGNATURE AGENT DATE /1.- /5 '' OWNER-BUILDER DECLARATION I hereby affirm theft em exempt from Contractor's License Law for the following reason: (J 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 Contractof a License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. if, however, the building or Improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). [J I, as owner of the property, am exdusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply loan owner of properly 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 Oyes lJNo I (have! have not) signed an application for a building permit for the proposed work. - I have contracted with the following person (firm) to provide the proposed construction (indude 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, butt have contracted (hired) the following persons to provide the work indicated (include name! address! phone! We of work): ..PROPERTY OWNER SIGNATURE []AGENT DATE 1 .1 t I- '1 .1 -- gOoPaaocu 1C]OO OO(3?QØO ow 0MOOM000mam OWOO()O (?OOOOB amv I Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes I 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? I 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. øoow000 om oow I hereby affirm that there is construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lenders Name Lenders Address QQGOO? GUDOO I certifythat I have read the application and statethatthe above Information Isconectand thatthe Information on the plans Is accurate. I agree to complywith all Cityordtnanoes and State laws reiatingto building construction. - .1 hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property (or 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 over 5)' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every permit Issued by the Building Official under the provisions of this Code shall epne by limitation and become nut and void lithe building or work authorized by such permit is not commenced within 180 days from the data of such permit orif the buldin or work authorized bysuch permit issuspended or abandoned at any time after the work rscommenosd for a period of 180 days (Section 106.4.4 Uniform Building Code). ..APPLICANTS SIGNATURy"1..__ - DATE - 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. C E RTIFICATE OF O C CUPANCY ku•g (Comm e rc ial Pr ojects Only) - Fax (760) 602-8560, Email buHdingcasbadca.pov 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 - •-. - '-V. - . •._,_i- - •. -V. - - - CITY . STATE - - ZIP CITY STATE • ZIP - - - - - - -- - - Carlsbad CA PHONE - EMAIL. •: - .. - OCCUPANTS BUS. LIC. No. . - . • .- - - DELIVERY OPTIONS PICK UP: : CONTACT (Listed above) OCCUPANT (Usted above) - CONTRACTOR (On Pg.I) -. . L ASSOCIATED CB# - MAIL TO: Y :CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On P. 1) - - NO CHANGE IN USE! NO CONSTRUCTION - MAIL / FAX TO OTHER: - _- _--- - - CHANGE OF USE NO CONSTRUCTION - - - - - - ..APPLIC ANTIS SIGNATURE - - DATE . - '- Inspection List Permit#: CB154013 Type: TI COMM CLAYTON PARKER: 1,500 SF TI SHELL TO OFFICE: CONSTRUCTION OF Date Inspection Item Inspector Act Comments 01/20/2016 89 Final Combo - RI NRR 01/20/2016 89 Final Combo 01/06/2016 85 T-Bar 12/31/2015 85 T-Bar 12/29/2015 24 Rough/Topout 12/14/2015 17 Interior Lath/Drywall 12/08/2015 84 Rough Combo PY AP PY AP PY NR PY AP PY AP PY' AP need fire 41 Monday, January 25, 2016 ' Page 1 of 1 EsGil Corporation In (Partners/lip with government for Bui(Iing Safety DATE: 12/03/2015 JURISDICTION: Carlsbad PLAN CHECK NO.: CB15-4013 U APPLICANT U JURIS. U PLAN REVIEWER U FILE SET:I PROJECT ADDRESS: 2100 Palomar Airport Rd. PROJECT NAME: Clayton Parker Suite 203 TI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. The plans transmitted herewith will substantially comply with the jurisdiction's codeswhen 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. - II The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: EsGil Corporation staff did not advise the applicant that the plan check has been completed. EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Email: Mail Telephone Fax In Person REMARKS: it By: John Le Vey Enclosures: EsGil Corporation El GA LI EJ El MB El PC 11/23/2015 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax(858)560-1576 Casbad CB15-4013 12/03/2015 [DO NOT PAY— THIS IS NOTAN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: CB15-4013 PREPARED BY: John Le Vey DATE: 12/03/2015 BUILDING ADDRESS: 2100 Palomar Airport Rd. BUILDING OCCUPANCY: B BUILDING PORTION AREA (Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) TI ___________ 68,670 Air Conditioning Fire Sprinklers TOTAL VALUE 68,670 Jurisdiction Code 1cb 1113y Ordinance Bldg. Permit Fee by Ordinance Plan Check Fee by Ordinance Type of Review: Fj Complete Review El Other Repetitive Fee - Repeats Hourly - EsGil Fee I $485.271 I $315.431 Structural Only Hr. @ * $271.751 Comments: Sheet of macvaluedoc + PLAN CHECK Community& Economic Development Department C I T Y 0 F REVIEW 1635Faraday Avenue CARLSBAD TRANSMITTAL Carlsbad CA 92008 www.carlsbadca.gov DATE: 12/02/2015 PROJECT NAME: CLAYTON PARKER SUITE TI PROJECT ID:CB154013 PLAN CHECK NO: 1 SET#: 1 ADDRESS: 2100 PALOMAR AIRPORT STE203 APN: 21302018000 VALUATION: $68,670 ) This plan check review is complete and has been APPROVED by: LAND DEVELOPMENT ENGINEERING DIVISION Final Inspection by the Construction Management Division is required EJ Yes 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 dent to: JTAYLOR@CLAYTON PARKER. NET '' PLANNING 7606024610 ri Chris Sexton tJ 760-602-4624 Chris.Sexton@carlsbadca.gov [ Gina Ruiz L_J 760-602-4675 Gina.Ruiz@carlsbadca.gov Li For questions or clarifications on the attached checklist please contact the reviewer as marked above Remarks: * - H - ( ----- ,j'• - -r-, ENGINEERING - - -.-_.; FIRE PREVENTION . 7606022750 760-602-4665 E ChnsGlassen F-1 Greg Ryan 760-602-2784 760-602-4663 Christopher.Glassen@carlsbadca.gov Gregory.Ryan@carlsbadca.gov Linda Ontiveros Cindy Wong 760-602-2773 760-602-4662 Linda.Ontiveros@carlsbadca.gov Cynthia.Wong@carlsbadca.gov F(1 ValRay Nelson Ti Dominic Fieri 760-602-2741 U 760-602-4664 ValRay.Nelson@carlsbadca.gov Dominic.Fieri@carlsbadca.gov .: •. ., .:4 • 84 4 4 :' - - 4 • .LAYTONPARKERSUiTETl 4 I SITE PLAN Provide a fully dimensioned site plan drawn to scale. - . . Show E2I North arrow Existing & proposed structures [ Property line'dimensions - LIJ Easements 4 . Show on site plan TI Drainage patterns -' * EJ E11::J Existing & proposed slopes EIIJ Existing topography -. . . :J Retaining Walls (location and height) - J Indicate what will happen with soil excavated from pool area. ., • . 4 - 4 ; ; •1 -.- 4 4 s_ - - 1 4 4 - 1500 SF SHELL TO Include on title sheet ' OFFICE Site address iiIIi ZiJ Assessors parcel number 4 - LII Legal description/lot number - :- •. . - . FOr all commercial/industrial building and tenant, improvements,. include: total building square 4 footage with the square footage fore each different use showing square footage of different uses (manufacturing storage warehouse office etc) Example , 10,900 sf of SHELL to 10,900 sf OFFICE . 4 . F - - 7,000 sf of SHELL to 7,000 sf STORAGE - : - • 4. - r - 3,900 sfof SHELL to 3900 sf MANUFACTURING - I - - . . • 0 -. 4- I 2 Lot I Map No PALOMAR AIRPORT PUBLIC LAND Subdivision/Tract Reference No(s) 0 ,- •. 4 - .4 - • - E-37 - • - .. Page 2 of 4 - • . - REV 6/2012 • - I - - - .4 . •4 .4 4 CLAYTON PARKER SUITE TI 1 2. GRADING PERMIT REQUIREMENTS The conditions that require a grading permit are found in Section 11.06.030 of the Municipal Code. N/A fl Inadequate information available on site plan to make a determination on grading requirements. Include accurate grading quantities in cubic yards (cut, fill, import, export and remedial). This information must be included on the plans. If no grading is proposed write: "NO GRADING" i: Minor Grading Permit required. NOTE: The grading permit must be issued and grading approval obtained prior to issuance of a building permit. A separate grading plan prepared a registered civil engineer must be submitted together with the completed application form attached. Graded Pad Certification required. All required documentation must be provided to your Construction Management & Inspection division inspector, . The inspector will then provide the Land Development Engineering counter with a release for the building permit. See attached checklist for minimum submittal requirements. 3. MISCELLANEOUS PERMITS RIGHT-OF-WAY PERMIT is required to do work in city right-of-way and/or private work adjacent to the public right-of-way. EJ EJ A separate right-of-way issued by the engineering division is required for the following: N/A Attachments Engineering Application i Storm Water Form Right-of-WayApplication/info Reference Documents E-37 Page 3 of 4 REV 6/2012 I THIS CALCULATION WORKSHEET IS NOT ALL-INCLUSIVE OF FEES THAT MAY BE DUE FOR THIS PROJECT*** Fee Calculation Worksheet ENGINEERING DIVISION Prepared bY:VALRAY NELSON Date: 12/02/2015 GEO DATA:LFMZ 5 I B&T: Address: 2100 PAR STE 203 Bldg. Permit #: CB154013 Fees Update by: Date: Fees Update by: Date: EDU CALCULATIONS: List types and square footages for all uses. Types of Use: WAREHOUSE 1500 Sq.Ft./Units SF/5000 EDU's: Types of Use: OFFICE 1500SF Sq.Ft./Units SF/1800 EDU's: Types of Use: 1500/5000= 0.3 Sq.Ft./Units EDU's: 0.3-0.83=0.53 EDU Types of Use: 150011800= 0.83 Sq.Ft./Units EDU's: ADT CALCULATIONS: List types and square footages for all uses. Types of Use: WAREHOUSE 1500 Sq.Ft./Units 5/1000 CR ADT's: 20.5 15 Types of Use: OFFICE 1500SF Sq.Ft./Units 20/1000 ADT's: Types of Use: 1500/1000= 1.5 Sq.Ft./Units 1.5* 15= 22.5 ADT's: 22.5 Types of Use: Sq.Ft./Units ADT's: FEES REQUIRED: Within CFD:JYES (no bridge & thoroughfare fee in District #1, reduces Traffic Impact Fee) EIJNO 1. PARK-IN-LIEU FEE:DNW QUADRANT LINE QUADRANT USE QUADARANT EJSW QUADRANT ADT'S/UNITS: X FEE/ADT: 23RAFFIC IMPACT FEE: ADT'S/UNITS: 23 X FEE/AD. $2461 BRIDGE & THOROUGHFARE FEE: DIST. #1 DlST.#2 EDIST,#3 ADT'S/UNITS: X FEE/ADT: FACILITIES MANAGEMENT FEE ZONE: ADT'S/UNITS: 1 X FEE/SOFT/UNIT: 15. SEWER FEE EDU's 0.53 BENEFIT AREA: EDU's DRAINAGE FEES: ACRES: POTABLE WATER FEES: UNITS I CODE X FEE/EDU: 881 $ 466.93 X FEE/EDU: =$ PLDA: FIHIGH EIMEDIUM ELOW X FEE/AC: I CONN, FEE I METER FEE I SDCWA FEE I TOTAL PLANNING DIVISION Development Services BUILDING PLAN 'CHECK Planning Division Services C iTY OF APPROVAL 1635 Faraday Avenue (760) 602-4610 CARLSBAD - www.carIsbadca.ov DATE: 11-20-15 PROJECT NAME: PROJECT ID: -• PLAN CHECK NO CB 15-4013 SET# I ADDRESS 2100 Palomar Airport Rd APN 213-020-18-00 This plan check review is complete and has been APPROVED by the Planning Division. By Chris Sexton A Final Inspection by the Planning Division is required fl Yes No You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit Resubmitted plans should include corrections from all divisions This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check APPROVAL has been sent to itaylor@claytonparker.net For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING FIRE PREVENTION 760-602-4610 760-602-2750 760-602-4665 Chris Sexton Chris Glassen - Greg Ryan 760-602-4624 - 760-602-2784 760-602-4663 Chris.Sexton@carlsbadca.gov - Ch ristopher.GIassen@carIsbadca.gov Gregory.Ryan@carisbadca.gov Gina Ruiz VaiRay Marshall I Cindy Wong 760-602-4675 760-602-2741 760-602-4662 Gina.Ruiz@carlsbadca.gov ValRay.Marshail@carlsbadca.gov Cvnthia.Wong@carlsbadca.gov Veronica Morones Linda Ontiveros Dominic Fieri 760-602-4619 760-602-2773 Veronica.Morones@carisbadca.gov Linda.Ontiveros@carisbadca.gov 1Remarks office to office 760-60-466 4 - - - nic.Fieri@carisbadca.gov a - : - Shay Even Uk JQ C? /5/401,5 From: Amber Ressmer Sent: Wednesday, November 25, 2015 10:32 AM To: jtaylor@claytonparker.net Cc: Building; Christina Wilson Subject: - CB154013 - Clayton Parker Dear Jeff, CB154013 Clayton Parker plan does not require Carlsbad Fire Department fire plan review. Thank you, Amber 1 1 I (JL) '- (city of Carlsbad Amber Ressmer Fire Prevention Office Specialist City of Carlsbad 1635 Faraday Ave Carlsbad, CA 92008-7314 www.carlsbadca.gov P 760-602-4665 1 F 760-602-8561 1 ENONA INDUSTRIAL WASTEWATER DISCHARGE PERMIT WASTEWATER SCREENING SURVEY Date______ Business Name Ci'tZA/ PAaZ(Z_ Street Address t oo ( °'• ''- --'( ç,. ;4-e 7 - Email Address ?L. ) Cc-/ 'i'TCAJ P"v frC&' ,&'cu1 PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ONREVERSE SIDE CHECK TYPE OF BUSINESS) Check all below that are present at your facility: E~r Acid Cleaning Ink Manufacturing Nutritional Supplement I Assembly Laboratory Vitamin Manufacturing Automotive Repair Machining I Milling Painting! Finishing Battery Manufacturing Manufacturing Paint Manufacturing Biofuel Manufacturing Membrane Manufacturing Personal Care Products Biotech Laboratory (i.e. water filter membranes) Manufacturing Bulk Chemical Storage Metal Casting .1 Forming Pesticide Manufacturing! Car Wash Metal Fabrication Packaging Chemical Manufacturing Metal Finishing Pharmaceutical Manufacturing Chemical Purification Electroplating (including precursors) Dry Cleaning Electroless plating Porcelain Enameling Electrical Component. Anodizing Power Generation Manufacturing Coating (i.e. phosphating) Print Shop Fertilizer Manufacturing Chemical Etching I Milling Research and Development Film IX-ray Processing Printed Circuit Board Rubber Manufacturing Food Processing Manufacturing Semiconductor Manufacturing Glass Manufacturing Metal Powders Forming Soap/ Detergent Manufacturing IndustrialLaundry Waste Treatment/ Storage SIC Code(s) (if known): Brief description of business activities (Production I Manufacturing Operations):_______________ Description of operations generating wastewater (discharged to sewer, hauled or evaporated): Estimated volume Of industrial wastewater to be discharged (gal / day): List hazardous wastes generated (type/ volume): Date operation began/or will begin at this location: Have you applied for a Wastewater Discharge Permit from the Ehcina Wastewater Authority? Yes No If yes, when: Site Contact Title Signätuie Phone No._____________________________ ENCINA WASTEWATER AUTHORITY, 6200 Avenida Encinas Carlsbad, CA 92011 (760) 438-3941 FAX: (760) 476-9852 E IS SAN DIEGO REGIONAL I OFFICE USE ONLY ( ,... HAZARDOUS MATERIALS I RECORD ID IPLAN CHECK # QUESTIONNAIRE I BP DATE I Business Name Business Contact çj Telephone # Project Address City 200 oI'\M(- C-Ar ks State C-1 Zip Code 'vul I I APN# 2( Mailing Address City State Zip Code I Plan File# t ( C/ C( C( (-fr43 SIsA - -S'L,L Sca t~tch 4. 'il.cil 1 Project Contact Applicant E-mail Telephone # 1Ff "V'"1c12- Ps 31 Y - /a [he 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. If any of the items are circled, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: Facility's Square Footage (including proposed project): Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 1fsJone of These. Flammable Solids 8. Unstable Reactives 12. Radioactives PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH - HAZARDOUS MATERIALS DIVISION (HMD): questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 110, San Call (858) 505-6700 prior to the issuance of a building permit. FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy: YES N O (for new construction or remodeling projects) 0 our business listed on the reverse side of this form? (check all that apply). 0 your business dispose of Hazardous Substances or Medical Waste in any amount? 0 D/WilI your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 ,,Punds and/or 200 cubic feet? 0 D.'WIll your business store or handle carcinogens/reproductive toxins in any quantity? 0 t )j1I-your business use an existing or install an underground storage tank? 0 PworlilgIlryy(eater illyour business store or handle Regulated Substances (CalARP)? 0 our business use or install a Hazardous Waste Tank System (Title 22, Article 10)? 0 our business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to than 1,320 gallons? (California's Aboveground Petroleum Storage Act). the answer to any Diego, CA 92123. El CalARP Exempt Date Initials El CalARP Required Date Initials El CalARP Complete Date Initials PART III: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD): Any YES* answer requires a stamp from APCD 10124 Old Grove Road, San Diego, CA 92131 apcdcomD(sdcountv.ca.gov (858) 586-2650). [*No stamp required if 01 Yes and 03 Yes and 04-06 Nol. 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; townhornes; condos; mixed-commercial use; deliberate bums; residences forming part of a larger project. ['Excludes garages & small outbuildings.] YES NOy' 0 0..Wuithe project disturb 160 square feet or more of existing building materials? 0 E3 Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition. 0 0 (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance Technician? 0 0 (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification may be required 10 working days prior to commencing asbestos removal. 0 0 Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet (www.sdaocd.org/info/facts/permits.pdf) for typical equipment requiring an APCD permit. 0 0 (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school Brlefly describe business activities: Briefly describe proposed project: d( ! 'flk'iv ,f cOO S1' 'T , I ç R'€ I declare under penalty of penury that to the best of my knowledge and belief tile esponses made herein are true and correct. I tS Ai , i..., 114-t cC. .t /1 ,' (I ' ( J- Name of Owner or Authorized Agent Si ature of Owner or Authorized Agent Date FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: FOR OFFICAL USE ONLY: BY: DATE: EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMD APCD COUNTY-HMD APCD COUNTY-HMD APCD A stamp in mIs box ggy exempts Dusinesses trom completing or updating a hazardous Materials Business Plan. Other permitting requirements may still apply. HM-9171 (08/15) County of San Diego - DEH - Hazardous Materials Division