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Home My WebLink About2110 RUTHERFORD RD; MULTI-PERMIT FILE; CB153982; PermitCity of Carlsbad 1635 Faraday Av Carlspad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 02-02-2016 Permit No: CB153982 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: . 2110 RUTHERFORD RD CBAD PME Status: Parcel No: 2120702200· Lot#: 0 Applied: Reference #: PC#: Projept Title: GENOPTIX; 2 GAS FIRED HUMIDIFI Ent.ered By: Plan Approved: issued: Inspect Area: TO 2 EXISTING AIR HANDLERS/ 2 °110V CIRCUITS Applicant: GREATER SAN DIEGO AIR CONDITIONING STEC 3883 RUFFIN RD SAN DIE:GO CA 92123 619-469-7818 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: BLACKMORE AIRPORT CENTRE C/O ALLEN J BLACKMORE PO BOX424 RANCHO SANTA FE CA 92067 ISSUED 11/17/2015 SLE 02/02/2016 02/02/2016 $0.00 $0.00 $163.00 $258.00 $421.00 Total Fees: $421.00 Total Payments To Date: $421.00 Balance Due: Clearance: _____ _ $0.00 NbnCE: Please ta<e t\OTICE tt,at ~ rJ ycu ~ect:indudes the·"ln,:osition" rJ fees, decications, reservations, qr cther exoctioos t'aa:lfter oolectively ra'ared to as ''fees'exoctions." You rave 9'.J day., frcm the date this pemit 1/105 issued to pretest irrp:isition of these f~exadions. If yru protest them, yru rrust fdlONthe prctest proa:dres set forth in C:ovooira1t Cooo Section e0020(a), cTd file the protest cTd crry dher req.ired infooration.v.ith the Qty 11/magerfer processing in a::ccrdcrce v.ith Calsta:f M.ridi:a Cooo Section 3.32.030. Fall.re to tirrely fdlONthat J)'OCSQ,.f"e v.ill ba" crry sut:sequent legal oction to attack, rEMew, set aside, vdd, er a-ru !flair irrp;llition. · You ere herelJj' FlRD-ER t\OllFIEDthat ya.r rigt to µ-ctest the sp3dfied fees'exoctions cx::es Nor APPLYtoVl0ler c:V'(l set.er connection fees arx:l Ccµ:city dmges, ra plmrtj, zoring, ga:ing er cther sirrila-c:Wication processing er service fees in cx:mection v.ith this ~ect. N:R OCES IT APPLY to crry fees/exactions of wich have · · NOii sirrila-to this er as to wich the statute of !irritations has eviousl dheMise 'red. THE FOi.LOWiNG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLAN_NING 0ENGINEERING CJ BUILDING 0FIRE 0HEALTH 0HAZMAT/APCD CCityof ·Carlsbad Building. Permit 4pplication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov Plan Check NoQ.f)_ · O www.carlsbadca.gov JOB ADDRESS i It-() . CT/PROJECT# PHASE# # OF UNITS # BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Aclc\ (l) 1"> ~r~ \.\-'--\M;d,frer :(_Z) 110 V C. ,'i'·C<A.1':J-5 EXISTING USE ZIP .iq.,z.1 ",,',.-"'""'""""' 1' ."'--' ~-~~ ZIP 2-\2.) .. STATELIC. # SUITE#/SPACE#/UNIT# #BATHROOMS PATIOS (SF) PROPERTY OWNER ~ CIT,)' : PHONE EMAIL ... STATE UC.# _l.\')J'\S-·_ ~t. Value Plan Ck. Deposit STATE ff;;;(. CLASS ~Z.C>· SWPPP ZIP CONSTR. lYPE OCC. GROUP FIRE SPRINKLERS YEs[X]NoD qzoof ZIP (Sec. 7031.5 ·susiness 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 pe_rmit to file a signed statement ttiat 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 m_ore than five hundred dollars {$500}). }!i90l'.iJfil Workers' Compens~tion D~laration: / hereby affirm under penalty of peljury one.of.the following declarations: ' -81 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. E'.J I have and will maintain workers' compensation, as reguired by Section ?700 of the Labgr Code; for the performance of the work for whi~.h this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. X:c..""-1 . ,, Policy No. h,} s 0502. 7 sxci 00 Expiration Date ID/I' I 7 ol,6 ~section need not be completed if the permitis for one hundred dollars ($100) or less. !J,l,Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in S • n 3706 of the Labor code,-interest and attorney's fee\ R$ CONTRACTORSIGNATURE •i1iiiiliiWiliii ~AGENT DATE . @ciia1mtt,f ;~. I hereby affirm that I am exempt from Contractor's license Lawfor the following reason: [J . 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 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 improvemenlis 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 th~reon, and contracts for such projects with contractor(s) lfcensed pursuant to the Contractor's License Law). I am exempt under Section . Business and Professions Code for this reason: 1. I personally plan to 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 (include name address I phone I contractors' license number): 4. 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): 5. I will provide some of the work, but I have·contracted (hired) the following !)\lrsons to provide the work indicated (include name/ address/ phone I type of work): R$ PROPERTY OWNER SIGNATURE 0AGENT DATE Is the applicant or future building occu,pant requiretj to submi\ a l)usiness 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 ihe air pollution control qjstrict or air Ql,lality management district? . :Yes .. No Is the facility to pe 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 UNLE~S THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending.agency for the pelformance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify th ail have read the application and state that the above lnfonmationis conectand that the infonmition on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building consbuction. I hereby authorize representative of the City of Carts bad to enter urx,n the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE. CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit 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 Building Official under-the provisions of this Code shall expire by limitation and become null and void if the building ot 'Mlrk authorized by such permit is not commenced 'hithin 180 days 1rom the date of such permit or if the building orv,,ork authorized by such permit is suspended or abandoned at any time after the v,,ork is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ....@S' APPLICANT'S SIGNATURE DATE . M/ (7/ / S- STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CiEI?) iflCATE (_; r OCCUPANCY fCommcrc,al PrOJC'CtS on I y J 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 ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# · · ·MAIL TO: CONTACT (Listed above) OCCUPANT (Llst~d above) . CONTRACTOR·(On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: ·CHANGE OF USE/ NO CONSTRUCTION .. --. .. .. -· . ,. ·-... .. ------·-· " .. -' ·--·• A$ APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB153982 Type: PME Date Inspection Item ____ _ 03/03/2016 44 Rough/Ducts/Dampers 03/03/2016 89 · Final Combo 02/29/2016 34 Rough Electric 02/29/2016 34 Rough Electric 02/09/2016 23 Gas/Test/Repairs Friday, March 04, 2016 Inspector Act RI PD AP PD PD RI AP AP GENOPTIX: 2 GAS FIRED HUMIDIFI TO 2 EXISTING AIR HANDLERS/ 2 -110V Comments ACCESS BEHIND BLDG/EQUIPMENT DISCONNECT Page 1 of 1 EsGil Corporation In Cl'attnersliip witli (]overninent for (}3ui(aing Safety DATE: 01/04/2016 JURISDICTION: Carlsbad PLAN CHECK NO.: CBlS-3982 SET: II 1:1 APPLICANT 1:1 JURIS. 1:1 PLAN REVIEWER 1:1 FILE PROJECT ADDRESS: 2110 Rutherford Rd. PROJECT NAME: Genoptix "Gas humidifiers for mechanical equipment" D The plans transmitted herewith have.been corrected where necessary and substantially comply D D D D ~ D 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: 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 Fa~. In Person /t~ REMARKS: Applicant to slip sheets M1, E2.4, E4.1, E4.2 to all city held set I prior to issuing the permit,~ the person responsible for the ·design of the plans to sign all sheets prior to issuing the permit \._ v\ ~OV\(_ By: John Le Vey Enclosures: EsGil Corporation D GA D EJ D MB D PC 12/24/2015 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 f EsGil Corporation In <Partnersliip witli qo11ernment for <Bui{aing Safety DATE: 12/01/2015 JURISDICTION: Carlsbad PLAN CHECK NO.: C:1315-3982 PROJECT ADDRESS: 2110 Rutherford Rd. SET: I ~PLICANT ~ JURIS. CJ PLAN REVIEWER CJ FILE PROJECT NAME: Genoptix "Gas humidifiers for mechanical equipment" D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. ~ The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: D EsGil Corporation staff did not advise the applicant that the plan check has been completed. r8:] EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Gleater San Diego Air Conditioning Telephone#: 619-469-7818 Date coryacted: I l, { (by: t\~ Email: construction@gsdac.com ~ail VTelephone ax In Person D REMARKS: By: John Le Vey EsGil Corporation D GA D EJ D MB D PC Enclosures: 11/19/2015 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 • Carlsbad CBlS-3982 12/01/2015 Please make all corrections, as requested in the correction list. Submit FOUR new complete sets of plans for commercial/industrial projects (THREE sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 1. Deliver all. corrected sets of plans and calculations/reports directly to the City of Carlsbad Buildimg 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 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. 1. Each sheet bf the plans must be signed by the person responsible for their preparatibn, even though there are no structural changes. California State Law. 2. Please provide evidence from an engineer the additional weight of the humidifiers placed upon the mezzanine will or will not require additional support, provide a stamped and signed response from the engineer. 3. Please provide a shut off valve prior to the regulator for the new system CPC 1311.10 4. Please provide shut off for each humidifier per the CPC 305.0 5. Please show compliance with the required 120 volt receptacle within 25 feet per the CPC 310.0 To speed up the review process, note oh 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: D Yes D 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 John Le Vey at E$gil Corporation. Thank you. ' '' Carlsbad CBlS-3982 12/01/2015 [DO NOT PAY-THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: John Le Vey PLAN CHECK NO.: CBlS-3982 DATE: 12/01/2015 BUILDING ADDRESS: 2110 Rutherford Rd. BUILDING OCCUPANCY: F BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier Mechanical eauip Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordi_nance Bldg. -Permit Fee by Ordinance Plan Check Fee by Ordinance Type of Review: D Complete Review D Repetitive Fee 3Repeats * Based on hourly rate D Other 0 Hourly EsGil Fee R~g. VALUE Mod. D Structural Only --------131 Hrs.@• $86.00_ ($) $2ss.001 ·- «~ ~ C!TY OF CARLSBAD PLANNING DIVISION BUILDING PLAN CHECK APPROVAL P-29 Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.eov DATE: 11/18/2015 PROJECT NAME: OFFICE TO OFFlCE INTERIOR IMPROVEMENT PROJECT ID: PLAN CHECK NO: CB153982 SET#: 1 ADDRESS: 2110 RUTHERFORD RD APN: [8] This plan check review is complete and has been APPROVED by the PLANNING Division. By: VERONICA MORONES A Final Inspection by the PLANNING Division is required D Yes IZJ 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. D 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: construction@gsdac.com For questions or clarifications on the attached checklist please contact the following reviewer as marked: ,' ·,,'",'' -. Pl.ANNING -,,, '-; ,, ' ,_,'.' ' D Chris Sexton 760-602-4624 .Chris.Sexton@carlsbadca.gov D Gina Ruiz 760-602-4675 Gina.Ruiz@carlsbadca.gov IZJ Veronica Morones 760-602-4619 Veronica.Morones@carlsbadca.gov t \, D Chris Glassen 760-602-2784 Christopher.Glassen@carlsbadca.gov D ValRay Marshall 760-602-27 41 ValRay.Marshall@carlsbadca.gov D Linda Ontiveros 760-602-2773 Linda.Ontiveros@carlsbadca.gov D Greg Ryan 760-602-4663 Gregory.Ryan@carlsbadca.gov D CindyWong 760-602-4662 Cynthia.Wong@carlsbadca.gov D Dominic Fieri 760-602-4664 Dominic.Fieri@carlsbadca.gov Remarks: ADDITION OF 2 GAS HUMIDIFIERS TO (2) EXISTING AIR HANDLERS. CONF'IRMATION FROM ENGINEER THAT USE IS REMAINING THE SAME AND THAT THERE ARE NOT TO BE ANY EXTERIOR MODIFICATIONS. All MODIFICATIONS TO BE DONE TO BUILDING INTERIOR. !,.:. 1 I , Shar Even From: Sent: To: Subject, Christina Wilson Tuesday, November 17, 2015 5:02 PM CONSTRUCTION@GSDAC.COM; Building CB153982 Genoptix does not need Carlsbad Fire dept. review Greater San Diego Air Conditioning, CB153982 Genoptix .does not need Carlsbad Fire dept. review. Thank you, Chris .(cifyof Carlsoad Christina Wilson Fire Prevention Secretary City of Carlsbad 1635 Faraday Ave. Carlsbad, CA 92008-7314 www.carlsbadca.gov P 760-602-4665 phone I F 760-602-8561 1 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical-(PME) Permit 10-14-2015 Permit No: CB153033 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2110 RUTHERFORD RD GBAD PME; Status: Parcel No: 2120702200 Lot#: 0 Applied, Entered By: . Plan Approved: Reference #: PC#: Issued: Inspect Area: Project Title: GE;NOPTIX-ADP OUTLETS @ EXIST! LAB BENCHES FOR NEW DESK-TOP EQUIPMENT, RELOCATE LIGHTS Applicant: DENNY HIRZEL 17065 CAMINO SAN BERNARDO SAN DIE:GO CA 92127 858 673-4445 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: . BLACKMORE AIRPORT CENTRE C/O ALLEN J BLACKMORE PO BOX424 RANCHO SANTA FE CA 92067 ISSUED 09/16/2015 RMA 10/14/2015 10/1412015 $0.00 $163.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.oo· Balance Due: FINAL APPFf:V ~ Date: I 1.... f · IS Clearance: ------ $0.00 NOTICE: Please ta<e flOTICE that cqro,,a r:i jUJr prtject irdudes tre "lrrpa,ition" r:i fees, dedcations, reservations, or cther exa::tions hereafter cdledively ra'erredtoas ''fees'exa::ticrs." Yoo have OOdaysfrcmtredatetns pemit'M:IS issued to pretest irrp:isition r:ithesefees'exa::ticrs. If jUJ pretest them, jUJ rrust fcilONthe pretest ~ set forth in G:Narrrent QxJe Section 60020(a), a"d file tre protest aid any cther required infooration \'.Ith tre Qty l\itlnagerfor processirg in ocrodam wth Calsboo M.rid,:a CaJe Sedion 3.32.CID. Fall.re t<;> tirrely fdlONthat µ-cxm.re wll ta-any suooecµrt I~ oction to attock, rfNiew, set-aside, \tid, or aru treir irrpa,ition. · Yoo.are herel:1/ R.RTJ-ER flOTIFIEDthatya.rrig-t to pretest trespecifie:lfees'exa::ticrs cx::ES NOr APPI...Ytowaterl:rd set.eroonnedicnfees and~ cra,ges, nor plmrg, zairg, gcdrg or cther sinila-~ication processirg or ser,ire fees in oonnedion \'.Ith tns prtject. !\CR IXES IT APA.. Y to any t exa::ticrsr:iwich have 'a.JS! been ·venaNOTI sinih,rtotlis orastbwichtrestatuteoflinitationsras ·ous1 otheM1se ·rec1. ., , J.HE FOI.LQININifAPPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLAN~ING Or;NGINEERING ,OBUILDING OFIRE Ccityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov -.vww.carlsbadca.go_v Plan Check No. JOB ADDRESS CT/PROJECT# # BEDROOMS # BATHROOMS TENANT BUSINESS NAME _ 0eno r SWPPP CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~Mwx.x S2-,ec.e (4~c( .es a..+ £N~+'""'-d L0tb Ecvic"1 e ~ a1,..J --\--0 e'~c~ ··h ~ C < rco t'+4£ 1 11 L ~ b, t2e loc 4.,+ J "~ · /?:.. ,>e=1~~ r r ~ L -(2\ ~J~d w°"~ e GARAGE (SF) PATIO (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESO. NoO YEsONoD YESONoD PROPERTY OWNER sr~~k M<.>v-e-Co. PHONE , FAX 7w--So4-~ b00 EMAIL A-COviSJ\+~ EMAIL . -.$V\V'-.c,OWl . CONTRACTOR BUS. NAME ld<l-er Elecfrlc ADDRESS ADDRES\ 1-l J :;;-{:-{Afte CITY STATE ZIP CITY PowtA z~ e '?,,()(;, PHONE FAX PHONE . 85'3 ,~3~0'1'1 FAX EMAIL EMAIL ' . · oh"" -~e--\--z_@.i.c.h I~ el<'c."tlflt. _!.c)lfYt STATELIC. # ~li\TELIC.# 0 ? ~J '3 ~ t> CLASS CITY BUS. LIC,# c.~,~ ll Cf~ b be; (Sec. 7031.5 Business and Professions Code: Any City or County which req·u1res a permit to construct, alter, improve, demolish or repair anx structure, prior to its issuance, also requires the applicant for such,permlt to file a signed statement ttiat 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 _n9t_m_ore than five hundred dollars ($500)). . . . __ _ . . Workers' Compensation Declaration: I hereby affirm under penalty of perjury ohe of the following dec/araffons: D I have and will maintain a c·ertlficate 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. ~'f ttave and will maintain worilers' compensation, as reQuired by Section 'F/JO of the Labor Code,-for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy . numbetare1lnsuranceCo.~..1'.lSU~__,4 C.O. &,M..a..L«/e~r: . PolicyNo. \J;.O!..\S-,Ohlj ExpirationDate J-8...-,b, This section.need,not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the rrformance 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 wo ifs' lompensation overag~r'ui\lawful, and shall s-ubject an employer to criminal penalties and civil fines up to one hundred thousand dollars {&100,000), in addition to the cost of compensation, damage s rovlded f I ri"3706 of the Labor code, interest and attorney's fees. Ji5CONTRACTORSIGNATURE . ·--· -· __ .,_. -, OAGENT_ DATE 10/,11/1>° I hereby affirm that I am exempt from Contracto s Ucense 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 ~aw 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 Contractors License Law). I am exempt under Section . Business and Professions Code for this reason: 1: I personally plan to provide the major labor and materials for construction of'the proposed property improvement. OYes 0No 2. I {have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person {firm) to provide the proposed construction {include name adaress I phone I contractors' license number): 4. 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): 5.-1 will provide some of the work, but I have contracted {hired) the following persons to provide the work Indicated {include name/ address/ phone I type of work): .fi5 PROPERTY OWNER SIGNATURE 0AGENT DATE .. / -'' .·· Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials-registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner-Hazardous Substance· Account Act? Yes No Is the applicant or future building occupant required to obtain a permit from the air poUution 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 ~M~NR-i;,i~;~~:~J1~::!~~~~:!1: ~~~~~~RNT~~c:,.r:o~Fo?s~~~gNcY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF ···,', r : I hereby affirm that there is a construction lending agency for th~ performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read the application and state that the above Information Is conectand that the lnfoimation on the plans Is accurate, I agree to complywith all Cify ordinances and State laws relating to building constructlon. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly 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 AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pemilt is required for excavations over 5'0' deep and demolition or \X)rlstruction of structures over 3 stones in height. EXPIRATION: Every pemiit issued by the-Building Official under the provisions of this Code shall expire by limitation and.become null and void if the building or mrk authortzed by such pemiit is not commenced v.ithin 180 days from the date of such pemiit or if the buiiding or mrk authortzed by such permit is suspended or abandoned at anytime after the mrk is commenced for a pertod of 180 days (Section 106.4.4·Unifomi Building Code). Ji$ APPLICANT'S SIGNATURE ____ .,. DATE ~ . . STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCI:. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspecti~n. CERTIFICATE OF OCCUPANCY (Commercial Projects only I Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the com-plated form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT·NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL ocqUPANT'S BUS. llC. No • . . DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg, 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CQNTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION _ MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION ~ APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB153033 Type: PME Date Inspection Item ----- 12/14/2015 39 Final Electrical 12/14/2015 39 Final Electrical 11/06/2015 19 Final Structural Tuesday, December 15, 2015 GENOPTIX-ADD OUTLETS @ EXISTI LAB BENCHES FOR NEW DESK-TOP EQU Inspector Act Comments RI PD AP PD PA Page 1 of 1 ... -· City of Carlsbad 1535· Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-24-2015 Permit No: CB153142 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2110 RUTHERFORD RD CBAD PME Status: Parcel No: 2120702200 Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: GENOPTIX: MOVE 2 LAB SINKS// ADD 1 EMERGENCY SHOWER, 1 FLR SINK & 1 LAUNDRY TRAY Applicant: COLLINS PLUMBING, INC. 8130 COMMERCIAL ST LA MESA CA 91942-2926 619-469-0800 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: BLACKMORE AIRPORT CENTRE C/0 ALLEN J BLACKMORE PO BOX424 RANCHO SANTA FE CA 92067 ISSUED 09/24/2015 JMA 09/24/2015 09/24/2015 $163.00 $0.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: f=INAL APP~VAL Date: ( Z. · l · IL --_, -I -Clearance: ------ $0.00 NOTICE: Please ta<e NOTICE that~ ct ,wr ptject indudes the "lrrpa,ition" ct fees, dEdcaticns, reservaticns, or cther exa:ticns hereafter cnledivefy referred to as "feesexocticns." Yoo rave 00 days frcm the date tlis pemit was iSSLa:l to prctest irrJX)Sition ct these feesexa:ticns. If ,w potest them, ,w rrust fdlo.vthe potest puced.res set forth in C?oJaTirent QxJe Sedicci 60020(a), a-d file the p-otest aid any cther req..ired infooretion v.ith the Oty IIA:nager for p-cx;essing in cKXXl"darcev.ith Caisbocl M.lidfB QxJe Section 3.32.030. Faihreto tirrelyfdlo.vthat i:rocedrev.ill ba' anysutooquent lega action to attack, re.iiew, set aside, vcid, er an.J tf-eir in,:x:sition. Yoo ere hef'et¥ Fl.Rll-ER i'DllRED that yo.x rigt to jl'dest the Sfl,dfied feesexocticns tx:ES Nor APA.. Y to 'Aater a-d OONer oonnedion fees and~ changes, ra plmng, :zaing, ga:ing or cther sirril!I' ~ication p-cx;essing or saviD;l fees in oonnedion v.ith tlis ptject. I'm EXES IT APA.. Y to any fees'exocticns ct wich rave ·rusi been ·veri a NOTICE sirrilct to tlis a-as to wich the statute of lirritations has ENirusl otherwse ·rect. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING 0FIRE 0HEALTH 0HAZMAT/APCD ·ccityof Carlstiad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www'.carlsbadca.g6v Plan Check No.(Bf,!f-.3 \c.f 2-- Est. Value Plan Ck. Deposit Date q. 21.f. (-! lswPPP JOB ADDRESS ·· ---:2110 Rutherford,· Carlsbad, CA 92008 SUITE#/SPACE#/UNIT# IAPN I CONSTR. 1YPE 1.0cc. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) · · Plumbing work as necessary to do the following: Move 2 labotatgry Si_nks. with_ fixtures\ add 1" emergency shower, 1 floor · , · .. ·sink; an_d 1-i'aun.dry:tr~y. · · Z:e ssj1A°"'" . /aJ{) ~ 11- . ·· . . ·, ·· · -,k.7Ztc/ wak..5p,-e,~ EXISTING USE. . · · . ·· L_aboratory : I GARAGE .(SF) APPLICANT NAME COLLINS PLUMBING, INC, 3E6.)'.·.&Pfil<In ; ADDRESS 8130 COMMERCIAL STREE'r .. .. .. "~-' CITY STATE ZIP . LAMESA CA 91942 PHONE 619-4.69-.0930 EMAIL e(l@collinslumbing.com . DESIGN PROFESSIONAl · RANDAt:,L ~AIVIB .. ADDRESS 4757 PALM AVE CITY STATE LAMESA ... CA ZIP. 9194.i PHONE . 619-713-5700 · 619-713-5701 EMAIL rnligora.@rand!illlamt:>.c~m ·_ I STATE LJC. It . _ _ ·I · ·3153·1 PATl~S (SF) I DECKS(SF) FIREPLACE YESO ' AIR CONDITIONING IFIRE SPRINKLERS Notzl YES [2]No D YEs[2] NoD PROPERTY OWNER NAME THE BLACKMORE COMPANY ADDRESS 1811 ASTON AVE., STE.102 CITY CARLS.BAD STATE ZIP CA 92008 PHONE . . · · ]60-804·9~00 EMAIL colleen@theblackmorecompany.com . CONTRACTOR BUS. NAME COLLINS PLUMBING, INC. ADDRESS 8130 COMMERCIAL STREET CITY STATE ZIP ~A MESA CA 91942 PHONE 61'9-469-0800 619-469-0930 EMAIL . .. ed@collinsplumbing.com STATE LJC.# (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!, aJ;o requires the app!i_cant for such pe~mit to file a signed st~tement tnat 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 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). . Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of !he Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy -..,j_ number are: Insurance Co. &c ;,:£ rL . . . Policy No. ,£' 0 4 :2-'f :iD a.G Expiration Date f6 /I/ ;),cJ I C This section need not be completed if the permit is for one hundred dollars ($100) or less. D 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 lo criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as p for in Section 3706 of the Labor code, Interest and attorney's fees. RS C0NTRACT0RSIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: 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 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). D D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds-or improves thereon, and contracts for such projects with contractor{s) licensed pursuant to·the Contractor's License Law). I am exempt under Section ___ c.._,Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I (have/ have not) signed an application for a building permit for the proposed work, 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. 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): 5. 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): RS PROPERTY OWNER SIGNATURE OAGENT DATE Is the applicant or future building occupant required to submit a b.usiness 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 Mure building occupant required to obtain a permit from the air pollution control district or air quality management district? · _Yes . No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? · · Yes ~--~No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certifythatl have read the application and st.ate that the above infonnation is correct and that the lnfonnation on the plans ls accurate. I agree to complywith all City ordinances and State laws relating to building construction. I_ hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection pul)JOS6s. 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 pem,it is required for excavations over 5'0' deep and demolition or construction of structures over 3 stones in height EXPIRATION: Every pem,it issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such pem,it is not commenced within 180 days from the date of such pem,it or if~ work aulhorized by such pem,it is suspended or abandoned -~t any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifom, Building Code). ,,@S'APPLICANT'SSIGNATURE ·"''~ . . . .-... ·:-. DATE 6;,· J-'1 I STOP: THIS SECTION NOT REQUIRED FO'R BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CfRTif!CAlE Of OCCUPANCY /Commercial Projects Only) Fax (760) 602-8560, Email building@catlsbadca.gov or Mail the completed form to City of Cartsbad, Building Division 1635 Faraday Avenue, Cartsbad, California 92008. CONTACT NAME -ADDRESS . ,', ,' :-·: .;---_ " L, J' ) '. ,, CITY . : STATE : PHONE d FAX EMAIL DELIVERY OPTIONS -PICK UP: CONTACT (Listed above) -OCCUPANT (Listed above) CONTRACTOR (On Pg. :I.) MAIL TO: CONTACT (Listed above) : . OCCUPANT (Listed above) CONTRACTOR (On Pg. :I.) >MAIL/FAX TO OTHER: _____ -__ .. ,_ .. ________ _ , ' • l' '' ,/,",,' ,, "' -., ,. -~-,: . -@S' APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME ' BUILDING ADDRESS · • CITY STATE ZIP Carlsbad CA OCCUPANT'S BUS. LIC. No. -·· ASSOCIATED CB#~---------~·=-· -- -~ NO CHANGE IN USE/ NO CONSTRUCTION _-'; CHANGE OF USE/ NO CONSTRUCTION DATE .. 1:nspection List Permit#: CB153142 Type: PME G!:NOPTIX: MOVE 2 LAB SINKS// ADD 1 EMERGENCY SHOWER, 1 FLR SIN Date Inspection Item Inspector Act Comments 12/14/2015. 29 Final Plumbing RI 12/14/2015 29 Final Plumbing p[j AP 12/01/2015 24 Roughrr opciut PD AP 11/06/2015 89 Final Combo PD PA 10/08/2015 24 R0ughffopout PD AP 10/06/2015 21 Underground/Under Floor PD AP Tuesday, December 15, 2015 Page 1 of 1 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 -,, ~· 09-28-;i2009 Mechanical Permit Permit No: CB091595 Building Inspection Request Line (760) 602-2725 Job Address: 2110 RUTHERFORD RD CBAD Permit Type: MECH . .Status: Parcel No: 2120702200 Lot#: 0 Applied: Valuation: Reference #: $0.00 Entered By: Plan Approved: PC#: Issued: Project Title: GENOPTIX-ADD NEW 5 TON UNIT Inspect Area: TO EXISTING SHIPPING/RECEIVING AREA Applicant: GRTR SAN DIEGO AIR CONDITION. 8141 CENTER ST LA MESA, CA 91942 619-469-7818 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES 1 0 0 0 0 0 .owner: BLACKMORE AIRPORT CENTRE C/O ALLEN J BLACKMORE PO BOX424 RANCHO SANTA FE CA 92067 Total Fees: $74.00 Total Payments To Date: $74.00 Balance Due: ISSUED 09/28/2009 KG 09/28/2009 09/28/2009 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $50.00 $0.00 $74.00 Clearance: _____ _ $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively ref~rred to as "fees/~xactions." You have 90 days.from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth inGovemment 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. ~~~ Building P.ermit·Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No&CJtl/.s-f'S-- ~ (:!"FY OF CARLS-BAD JOB ADDRESS I") . ..£-1 CT/PROJECT# ~-- EXISTING USE CONTACT NAME /If Different Fom App/leant) ADDRESS CITY STATE PHONE FAX EMAIL PHONE FAX EMAIL ARCH/DESIGNER NAME &-ADDRESS Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# # OF UNITS # BEDROOMS #BATHROOMS GARAGE (SFr ZIP ZIP CITY PHONE EMAIL STATELIC.# Est. Value Plan Ck. Deposit Date STATE ee.· STATE FAX CLASS AIR CONDITIONING YES D NOD ZIP ZIP CITY BUS. LIC.# FIRE SPRINKLERS YES D NDD /02-~QQ (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 ttiat 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·J)epalty of not more than five hundred dollars {$500)). _ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one;9f the following declarations: D I have and will maintain a certificate of consent lo self-insure for workers' ~ompensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D I have and will maintain workers' compensatio as required by Section 3700 oflh; Labor Code, for the perform~ of jbe~or for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. _ Policy No. "..)~/ 0 U ~ -0 Expiration Date /0/(/OC/ This seclio~ need.not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify Jhat 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 shalrsubject a·n employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages-as provided for in Section 3706 of the Labor code, interest and attorney's fees. _,g CONTRACTOR SIGNATURE I hereby affirm that I am ex~mpt from-contractor's License Law for the following reason: 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 to an owner of property who builds or improves thereon, and who do~s such work himself or through his own employee_s, 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). D 1; as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contrilctor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section ____ -<Business and Professions Code·for this reason: 1.1 personally plan to·provide the major labor and materials for construction of the proP,osed property improvement. D Yes D No 2. I (have J have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address /-phone /-contractors' license number): 4.1 plan to provide portions df the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address I phone/ contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work): ~ PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant requiredto 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,HazardousSubstanceAccountAct? D Yes ~o · Is the applicant or fllture building occupant required to obtain a permit from. the air pollution control district or air quality management district? D Yes ~o Is th~ facility to be constru_ctiid within 1,000 feet of the outer boundary of a school site? D Yes .-"Q'No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY N'oT BE ISSUED Ut-i~ESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the periormance of the work !his permit·is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read the application and state that the above infonnatiori is correct and that the infoimation on the pldns is accurate. I agree to comply with all City ordinances and State laws relating to building construction. ·I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITll;S, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFTHE GRANTING OF THIS PERMIT. OSHA: An OSHA permit 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 Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such pennit is not commenced within 180 days from the date of such permit or if the buiding or work authorized by such pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). _R$ APPLICANT'S SIGNATURE DATE · ·city of Carlsbad Bldg Inspection Request For: 10/14/2009 Permit# CB091595 Title: GENOPTIX-ADD NEW 5 TON UNIT Description: TO EXISTING SHIPPING/RECEIVING AREA Type:MECH Sub Type: Job Address: 2110 RUTHERFORD RD Suite: Lot: 0 Location: APPLICANT GRTR SAN DIEGO AIR CONDITION. Owner: BLACKMORE AIRPORT CENTRE Remarks: ask for richard if you need to call Total Time: CD Description Act Comments 43 AirCond/Furnace Set Afl _!i!i_ ___ ~ __ Af Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 6~00 Inspector: - Requested By: RON Entered By: CHRISTINE -1~--------TI_TL_E_2_4_R ___ E_PO_R_T _______ --II Title 24 Report for: Genoptix Shipping and Recieving · 2110 Rutherford rd Carlsbad , Ca 92009 Project Designer: NIA Report Prepared By: Ross Baillargeon Greater San Diego Air Conditioning Co. Inc. 8141 Center Street La Mesa, CA 91942 (619) 469-7818 ~ob Number: Date: 9/25/2009 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2005 Building Energy Efficiency Standards. This p1ogram developed by EnergySoft, LLC -www.energysoft. EnergyPro 4.4 by EnergySott Job Number: I I I I I I I ·l~ __ ......,_ ____ TA_B_L_E_O_F_C_O_N_T_E_N_T_S _______ __, ' Cover Page· Table of Contents Form MECH-1-C Certificate of Compliance Form MECH-2-C Air & Water System Requirements Form MECH-3-C Mechanical Ventilation Form M~CH-4-C HVAC Misc. Prescriptive .Requirements EnergyPro 4.4 by EnergySoft _ •. Job Number: User Number: 6272 1 2 3 5 6 7 ·lcE 1 RTIFICATE OF COMPLIANCE (Part 1 of 2) MECH-1-C I 'PROJECT N~ -------. --------- 1 _ -~----G~ngptix ShipQjng a11Q_Recieving __ tROJECT ADDRESS 2110 Rutherford rd Carlsbad iPRiNC-JPAL DESIGNER·-MECHANICAL --------' ! __ Greater San Diego Air Conditioning .DOCUMENTATION AUTHOR ----. ---- ,DATE 9/25/2009 -.. ' ------' TELEPHONE Building Permit # : 619-469-7818 ______ J_____ . -•- ) TELEPHONE Checked by/Date I____ <;3r~~~r.San I:?.iego Air Conditioning Co. L~c. (619) 4~9=7~18 'GENERAL INFORMATION !. _ ~;:rcem~!:_! A~e_n~--_____ 1 : DATE OF PLANS BUILDING CONDITIONED FLOOR AREA ! --9/2~/09j ___ -·· 1,22Osq.Ft. 1 CLIMATE ZONE 7 , BUILDING TYPE :X. NONRESIDENTIAL j _j HIGH RISE RESIDENTIAL HOTEL/MOTEL GUEST ROOM ,~H~SE OF ~~NSTRUCTI_O_~_-· __ ":] ___ N_EW CONSTR-UCTIO~--~~ ADDITION I : ALT~~TION I 1 UNCONDITIONED (File Affidavit) l. METHOD OF MECHANICAL COMPLIANCE ----·~ -·------ ,x: 1 PROOF OF ENVELOPE COMPLIANCE PRESCRIPTIVE _j PERFORMANCE &:J PREVIOUS ENVELOPE PERMIT I STATEMENT OF COMPLIANCE . f---, ENVELOPE COMPLIANCE ATTACHED This Certificate of Compliance lists the building features and performanGe specifications needed to comply with Title 24, /Parts 1 and 6 of the California Code of Regulations. This certificate applies only to building mechanical requirements. /The documentation preparer hereby certifies that the documentation is accurate and complete. I DOCUMENTATION AUTHOR · . -· .S~ATURE /7 -----·----· : DATE ·, R_o_ss B.aillarg.e_on_ _ ___________ I~-~~--. _ . ______ Cf/1--1/0j __ . .i The Principal Mechanical Designer hereby certifies that the proposed building de~ represented in this set of construction ! 1j documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application. The proposed building has been designed to meet the mechanical '. requirements contained in the applicable parts of Sections 100, 101, 102, 11 0 through 115, 120 through 125, 142, 144, and 145. I '--·. The plans &·specifications meet the requirements of Part 1 (Sections 10-103a); . [_ j The installation certificates meet the requirements of Part 1 (10-103a 3). 1 I The operation & maintenance information meets the requirements of Part 1 (10-103c). I Please check one: (These sectionsofthe Business and Professions Code are.printed in full in the Nonresidential Manual.) f"-J I hereby·affirm that I am eligible under the-provisions of Division 3 of the Business and Professions Code to sign this document as the I --person-responsible for its preparation; and that I am licensed-in the State of California as a civil engineer, or mechanical engineer or I I am a licensed architect. ~ I affirm that I am eligible under the exemption to·Division 3 of the Business and Professions Code by Section 5537.2 or 6737.3 to sign . -this document as the person responsible for its preparation; and that I f!m a licensed contractor performing this work. 1J i I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code to sign this document because it pertains to a ' structure or type of work described pursuant to Business and Professions Code sections 5537, 5538, and 6737.1. PRINCIPAL MECHANICAL DESIGNER -NAME i -~~ TURE -. . . ----·. -;DATE J, ~--.. Greater_SgJl.Dieg.o..Air Con_difu:ming __ : ~-=-~~271 ocr 'LIC.# .Y17JD. !INSTRUCTIONS TO APPLICANT _) I!'-~ MECH-1-C: Certificate of Compliance. Part 1, 2, 3 of 3 are required on plans for all submittals. , [l<i MECH-2-C: Air/Water/Service/Water Pools Requirements. Part 1 of 3, 2 of 3, 3 of 3 are required for all submittals, but may be on plans. ! XI MECH-3-C: Mechanical Ventilation and Reheat is required for all submittals with mechanical ventilation, but may be on plans. /[II MECH-4-C: HVAC Misc. Prescriptive Requirements is required for all prescriptive submittals, but may be on plans. , ·· i MECH-5-C: Mechanical Equipment Details are required for all performance submittals. ! I --------------L ___ J:_ne__i:Q¥P.i:_o ~_.4 bY. Ene!~YS_oft __ _ User Number: 6272 . . . --·--~---~---"---Job Number· Page:3 of 7 ·!CERTIFICATE OF COMPLIANCE (Part 2 of 2) MECH-1-C I PROJECT NAME l _______ . GeQoptix ShippJog__9-.nd Reft~Yt!J.9 Designer: ! DA Tf______ - 9/25/2009 '] ·--------. ----· - This form is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for mechanical systems The designer is required to check the boxes by all acceptance tests that apply-and list all equipment that requires an acceptance test. If all equipment of a certain type requires a test, list the equipment description and the number of systems to be tested in parentheses. The NJ number designates the Section in the Appendix of the Nonresidential ACM Manual that describes the test. Also indicate the person responsible for performing the tests (i.e. the installing contractor, design professional or an agent se!ected by the owner). Since this form will be part of the plans, completion of this section will allow the responsible party to budget for the scope of work appropriately. . Building Departments: SYSTEM ACCEPTANCE. Before an occupancy permit is granted for a newly constructed building or space, or a new space-conditioning system serving a building or space is operated for normal use, all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance. -In addition a Certificate of Acceptance, MECH-1-AFdrm shall be submitted to the building department that certifies plans. specifications. installation certificates. and o eratin and maintenance information meet the re uirements of Section 10-103 b and Title 24 Part 6. STATEMENT OF COMPLIANCE 1jKJ MECH-2-A: Ventilation System Acceptance Document -Variable Air Volume Systems Outdoor Air Acceptance -Constant Air Volume Systems Outdoor Air Acceptance Equipment requiring acceptance testing JrJ0~.1 G)' -~"-cfo/": ___ .. r;=;-::~'1.u~red on all New systems_ b<Jth Ne_w Co_n•'lroctio:!_ and Retrofit. _ . [::_:: MECH-3-A: Packaged HVAC Systems Acceptance Document Equipment requiring acceptance testing Test required on all New systems both New Constroction and Retront. T I': .1 MECH-4-A: Air-Side Economizer Acceptance Document Equipment requiring acceptance testing______ _ __ _ I Test required on all New systems both New Constroction and Retrofit. Units with economjzen; that are installed at the factory and certJfied wrth the commrs:iion do not require equipment testing but do require constroclion inspection. I 1 :::] MECH-5:~: Air Dist~;:::ii~~ ~cceptanc: ~ocument Equipment requiring acceptance testing __ _ This test required If the unrt serves 5,000 fl2 of space or less and 25% or more of the ducts are in noncondkroned or semrcondll!Oned space lrke an attic. New systems that meet the above requirements. Retront systems that meet the above reqwrements and effher extend ducts. replace ducts or ! . I I I ;:~:~:.:c~::::~ Con;~, Vent~~on A~~~-;;-t;n~ Docum~~~----- Equipment requlring acceptance testing All new DCV controls installed on new or existing packaged systems must he tested i I: · MECH-7-A: Supply Fan Variable Flow Control Acceptance Document I Equipment requiring acceptance testing ____ _ All new VA V fan volume controls Installed on new or exist mg systems must Ile tested · =: MEGH-8-A: -Hydronic System Control Acceptance Document -Variable Flow Controls Applies to chUled and hot water systems. -Automatic Isolation Controls Applies to new boilers and chrllers and the pnmary pumps are connected to a common header -Supply Water Temperature Reset Controls Applies to new constant flow chilled and hot water systems that have a design capacity greater than or equal lo soo,ooo Btufllr. -Water-loop Heat Pump Controls App/res to all new waterloop heal pump systems where the combined loop pumps are greater than 5 hp -Variable Frequency Controls Applies co all new distnbutJon pumps on new variable now chilled, hyoronic heat pump or condensetivster systems where lhe pumps moton; are greater than 5 hp. I ___§guip_r:r_iemt ~~quiring acceptan~_te5.ting ______ .;c· ______ ··-- ! -EnergyPro 4.4. by EnergySoft. . --~~_r: Number: 6272 Job Number: Page:j of7 ·!AIR SYSTEM REQUIREMENTS Part 1 of 2 MECH-2-CI !PROJECT NAME--· . ·_______ _ __ _ Genoptix_~_fJ!QPlD9. and Recieving ioATE I 9/25/2009 !SYSTEM FEATURES ITEM OR SYSTEM TAG(S) Number of Systems MANDATORY MEASURES Heatln_g Equipment Efficiency Cooling Equipment Efficiency Heat Pump Thermostat Furnace-Controls Natural Ventilation Minimum Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Insulation PRESCRIPTIVE MEASURES 1 ____________ A!R ~YSTEMS, Central or Single fone Undefined System __ _ T~24 Section Reference on Plans or Specification 1 t 112(a) ------+-_ 6.80 HSPF ~1.m& . . _ , 13.0.SEER / 9.5.i;t=!:L 112(b) Yes W-12.(q),. 11 S(a) j n/a ! 121 (b) ____ Y_e_s __ 121(b) 0 cfm J_fil{c) ·-··1 No I ! 121(c) No jj21(91_ 12~1~E..m[Tlabl~ Switch l122(e) , N_~§e!_back Required ..1~2m Auto I p22(g) n/a 123 Lt2~---R-8.0 . -··f -··-----'------- ! ... ··--· .. ---------1··---------. -... ! -l Calculated Heating Capacity x 1.43 2 b~_(<3~b) ·1 I I Proposed Heating Capacity 2 ..H._4_ {~ & b) 60,508 btuh _____ J ___ _ 39,397 btuh -·------·I ------------·' Calculated Sensible Cooling Capacity x 1.212 1141 (a & b) Proposed Sensible Cooling Capacity 2 [144 _(a & b) Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous HeaUCool Economizer Heating Air Supply Reset Cooling Air Supply Reset Duct Sealing for Prescriptive Compliance3 1144 {c)_ 144 (c) 144 (C) 1144(d) I 144 (e) , 14_4 (f) 1144 (f) 1--. 144 (I<) I 60,378btuh 58,840 btu~ __ . t Constant Volume . -~----------- 1-----------------.. - i I Yes I No 1--L. I No Economizer I Constant Temi:1 Constant Temp No --·--------· 1: For each central and single zone air systems (or group of similar units) fill in the referen,;e to sheet number and/or spec,ficauon section and paragraph number where the required features are documented, If a requirement is not applicable, put "NIA" in the column. 2; Not required for hydronic heating and cooling. Either enter a value here or put in reference at plans and specificatons per footnote 1. 3: Enter Yes if System is; Constant Volume, Single Zone; Serves< 5,000 sqft; Has> 25% duct in unconditioned space. Duct sealing is required for Prescriptive Compliance, see PERF-1 fo, performance method duct sealing requirements .. !NOTES TO EIELD -For ByHdjng Department Use Only r ---·----. ---------·----. I ' .. . ---··· .......... -·-- User Number: 6272 Job Number: Page.5_ of~ J • I ·!MECHANICAL VENTILATION MECH-3-CI rPROJEcr NAMe ---- ___ Genopti~_§_hipping_End R_eciev!!Jg __________ _ '!DATE 9/25/2009 MECHANICAL VENTILATION Section 121 b 2 PRESCRIPTIVE REHEAT LIMITATION (Section 144(d)) ! _____ _ [ ______ _ A ZONE/SYSTEM ~- 'Ext Zone j Undefined System I I --f I AREA BASIS , OCCUPANCY BASIS VAV MINIMUM ---..-------r --' I -----.. ---, -. -. I . 9 __ 1,_.Q_i, _!; ___ I F . G __ lj ____ l ___ :·--)·c,;·L K L UI · l:T , No :;,;0 O.o :ii:! Z· I '<3: ;u <IO~ 0 io2. ~ > g Iii 'O o, 'iii~ s-~ 3 ;;? _ o Im l:h· . 1 o ~ ~ 11 o g; fiil : 0 i ~ ~ w , ~ 3 s: v,-,0, "'<1>"111)()> 01:T l""CD"ll 1 >CO o-""l'lr+tn '"!1CI)""'' /jf>< O::,~; .:!!IE,1!-,3: ,..:;i.,,o '0<1> :g.,3: cO -.><Cl;i: (5" 3:cc I .oP o"'o1· 0 .,. .,_ iii"'::, · ,!h::i.'"11,G)O< l>::, '0<111 • ~ C") :, g -0,3:_ o I 1 . m:1: --4'1)> ::;· I '2_~. ? ·""ll:'-ttr .. i ..... a .. i '<'§ ls::- 1,220 0.11-_1_83:. 1 , ---r~;;r---o i · ·1 -;~1_: ___ !§_3_:_ 0\ 1 B ! 183; --:--I "i -I I -------i------f -. I - I , . . -----------L -- i -------· t--! -------i I 1 -----1-' I .... L---i---- j j -----i I ·r --- ' ---·i·--------------~--- ~----- ----~-. + I I . __ I ____ f_--_--- 1.--, -., -----~---- 1 ! --l-------. ____ !_ ---! I" I !-J ·+---1 ___ [ I .,_______,__! --,--_ _I ~ --1------1-,~ I _,._, ___ J_ 1····· I I I ----/ +--'------,· ---·--+ ! ---. ' :------1 -' -+---i . -I I . I . . l · -i---------'-1 f----' -----, .-----·-·r-- f-_____ J. ___ . I ! i l ' . ---------- i. i --t···--+-··· ! ! -L ' I --I I ! • I -·t-----1-----. ! j__ ' , ___ _ ---~-----. l·---: ------, ! ____ L_,,__ I -"·-----+--I -' t--i I-···-------.. -1 -,-----.. +------I I I --~----r----_ -;----~---- f-_-_ .-1/-_-____ ¥mImum venblationratepersection 121. Table 1?1-A _ ____________ _ ______ ... _,E ):l@sed 9n fix~S) s_!!at £1'.!h• greater of the expected_n_\!mber of o,cuparts ~nd 50% of the CBC occupant_!~§~ f(l_r egr115s purposes for spaces without ~><_ej_~~~l]l). _ H -I Required Ventlla_tion_Alr lREQ'D V.A.J is the larger of th~e11tilation rates calc~lated on and AREA or OCCUPAtJ.fY ~ASIS (column Dor GJ t_-~_ ~-_J' .:_ _,l.1_L,§1 !1e greaJer_than_or_eqyal to H. or use Transfer Alr!loJl\!mn_J,l))o make up tb~ ~ijference. _____ _ I-. Design ten supply crm (Fan_C_FMJ x30%; or _ _ . ___________ . _ _ 1--K _ ,Condition area (fl sq.) x 04 ctmlft. sq.: or L : Maximum of Col~mns I{ J:i(, or 300 elm M !This m_ustJ?e~iJb~ ~~egual to Column Land-gf.~~~r::-th_~loreg_ual_lO_!h_e s~m ~f Columns H + N. ----------• r N Transfer air must be provided where the Required Ventilation Air(column I) is greater than the Design Minimum Air (column M) Where required, transfer air must be greater than or equal to the difference between the Required vennlabon AJr (column I) and the Design Minimum Air (column M). column H -M. EitergyPro 4.4 by Ene_r-=-gy,_S_o_ft ___ _ User Number. 6272 Job Number: __ __ Pa~e:6 of 7 .. ... -!MECHANICAL SIZING AND FAN POWER MECH-4-CI 1P-ROJECT NAME. DATE I __ Genoptix S_/}J.PQl!}g and _/3._ecieving I 9/25/2009 !SYSTEM NAME Undefined System : FLOOR AREA ___ _ 1,220 !FAN POWER CONSUMPTION ! . --------I ! t __ A __ _ FAN DESCRIPTION _Supply__Fan B __ __Q__ .. R E j ___ __ _ F DESIGN ' i EFFICIENCY _______ ., NUMBER PEAK WATTS ; BRAKE HP ___ MOTOR pRIY.!;_ ! : OF FAN_~-, ;~ x Ex 746 / (C X D) 1 !-1.oqol ~-.. -85.5%i 97.0% 1 , 1.01 1 899 --------~-;j_ :j L -----1 1------~ I · ------~---~ r-·-· I 1 ! I I' • J ( ___ . -----· ! • • ---· --1 I I! ! ---, I ·- .I---------I I _______ _ i I i I! I FILTER PRESSURE ADJUSTMENT EQUATION 144-A A) If filter pressure drop is greater than 1 inch W.c. enter / filter pressure drop. SPa on line 4 and Total Fan pressure SPf on Line 5. · j B) Calculate Fan Adjustment and enter on Line 6. \ 1 C) Calculate Adjusted Fan Power Index and enter on Line 7. I /Jotal Adjllstmen~ ===~ __ 1 TOTAL _FAN_§)'STEM POWER (Watts, Sum Column F) 2) SUPP~ Y D!§~IGN AIRFLQW (CFM) r~TOIAL FAN_~.'.f§TEM_.f'OWER INDE~J~~~ 1/Row 2)1 _41.§P.a . ------------------- ~)_§Pf ________ .. ______ _ _____ __ ~-Fan Adjustment= 1-(SP!,! -1,!!SP!___ __ __ J __ ! 7) ADJUSTED FAN POWER INDEX (Line 3 x Line~)~----• 1. TOTAL FAN SYSTEM POWER INDEX or ADJUSTED FAN POWER INDEX must not exceed 0.8 W/cfm for Constant Volume systems or 1.25 W/cfm forVAV systems. I ITEM or SYSTEM T AG(l) 1 PRESCRIPTIVE MEASURES I-Electric Resistance Heating 1 [ j Heat Rejection System 2 1Air Cooled Chiller Limitation 3 T-24 · Section }~~tig}_ __ [ 144 (h) 144 _(i)_ Capacity I _____ J Exception Notes i 1. Total installed capacity (MBtu/hrJ of all electric heat on this project exclusive of electnc auXJ!lary heat for heat pumps. If electric heat is used, explain which except1on(s) ro Secrion(g} arply. 2 Are centnfugal-fan cooling towers used on this proJect? {Enter ''Ye:;'' or "No") If cen\ntsgal ran cooling tcrwer are used, explain which axcepuonts) to Secuon ·I44\nJ appIy 899: 1,950 I -----1 Q,.461! 3. Total installed capacity (tons) of all water and air cooled chIllers under this permit If there are more lhan 100 tons of air-cooled ct11ller capacity being installed, explain which except,on(s) to Sechon 144(1) apply, _ _ EnergyPro 4.4 by EnergySoft User Number. 6272 Job Number. 12-27-2001 Job Address: Permit Type: Parcel No: Reference #: }Project Title: i .I' ::Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No:CB013622 Building Inspection Request Line (760) 602-2725 2110 RUTHERFORD RD CBAD PLUM 2120702200 Lot#: 0 Construction Type: NEW CANCERVAX-UNDERGROUND PLUMBING ONLY -Tl IN PLAN CK Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/21/2001 JM 12/27/2001 12/27/2001 · fBECKETT BILL ·:: BLACKMORE AIRPORT CENTRE C/0 ALLEN J BLACKMORE 7737 121,,7/0l 1450 FRAZEE RD SAN DIEGO CA 92108 -619-520-8985 P O BOX 424 -.:. 0002 01 RANCHO SANTA FE CA 92067 CGP .i1 :-:. Y· ~1 ., ·,,-: i Total Fees: $30.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Total Payments To Date: $0.00 0 0 0 0 0 0 0 FINAL APPROVAL Date: 'f/4"{42-- Balance Due: $30.00 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0:00 $0.00 $30.00 Clearance: _____ _ NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the-date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protestand 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 capactiy changes, nor planning, zoning, grading or other similar applicationprocessing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. 02 30-00 FOR OFFICE USE ONLY ' ,PERMIT APPLICATION PLAN CHECK No.a50/JbbU CITY Of= CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Legal Description Lot No. Subdivision Name/Number . J/.,(} e,,1N'f"" Unit No. Phase No·. Total # of uriits Assessor's Parcel # t,/-tA:?b(l6flt'4:1,v,O Existing Use f2U~IVf«_, d Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# l4~~Elid~~~~-·-:.C4 .·· ·-ff)tF_:.;)~fii/lJ/:;,::,~~-::: i}/;/fj~tf :·.:~. £1/·'~::;~'.;:,:itJ~!:i£~:jJ: :,; -~; ,~ Name Address----~-City S.tate/Zip Telephone # tsw..:.Q.Q,llT.8A9JO.ft~A9J'!'IP.~N~~E:,, ,, __ •. ,;,:,:· . , 5: .. • ~-.:·.;_,;_. :; ,,,s,·~- (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 exe'!).P..gon. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant t~iv~nalty of not more than five hundred dollars [$5001). PC<2--vo e~q7,0cr1...-vc:,, /'9c0;7 /-"£A)2,ctL tffO 5 ,,, A w-1 t?16C-,1J CXJ. 61(}-,;2;;(}-CJ,;i.!23/ Name • Address City State/Zip Telephone# State License# 6 ?Y &6 9 License Class -:?r/ City Business License # / ,;zoo 6~ J ~ C~4) ~1.,C.11:I. ?01 :ZS S'J?l/L,~ <::.t:J,;..} 'V/6-&--Q C,,O · 9,:1/CJ/ 619-c? 7/-0 ZO Designer Name · Address City State/Zip Telephone State License # -----~----fiC~~Rlf(lfsfioMPEN§Ai°10N~·~-v:-N ,' ~ ---~~ -~ll 0 --~~H,, ',, M~-~, '·~·,,,*'' v, , ' :· ~~::;:-,·,~·,-:_:·,~: Workers' Compensation Declaration: I hereby affirm under penalty of perjury ooe of the following declarations: 0 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 worker's compensation insurance carri policy·nurriber rel// 0 / "7 Insurance Company . , ~ ,-olicy No. /C;/0.,J ?_f(}/ Expiration Date ~ L_{} ~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) / 0 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 lo criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE. ____________________ --'----------DATE _________ _ ~7"'~'"'1>WNiR~)ulEoe'ilbEcLAi':1Af1ot1,:· __ ;:.~·. ""' : ... _ _, ·:"_:· _··. _..,.:,:_ -""~::·,·: :;__,, ::: ·,2. -... : .. ): I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole comp·ensation, 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). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of th!! proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted_with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. 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 number/ 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 / phone number / type of work): _________________________ ~------------------------------- PROPERTY OWNER SIGNATURE-----------------'------DATE;;-::::;-::::;:::::-;;:::;;;:-~::;-:::::;::::;;:;;;:::;-::- LQ.9JVl.~Uf:1r.!:!!~.J~~Q:.1JQ.~'.€Qfl~1fQN~!lf$./Q.Et{,m~pt,!11;1;>.J.JV~;e!;,~lT,~ oNt.Y.'E.~,.;..~:;...'.:...;,, .. :'.'" ~--~'. ,· .. ,, . .,,_,:._;,,,·,., 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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. L~i.J::.,9C!NJ!1:ftJilQ1tQ_~;~1;_,ijp_1~~.Aq~N~X . :: ~ :.. ·.:..i·. < . :-...'t: ;:"', . .:.. :-:'. ·~ .• : • .,,,.:: : :} · '.1:t; ~ _,L;;:::;=:~ ::.ts..,,:>;:.: .: 2;:;:::£fD·::JfI·:o.:·:k·;1,:,_ ::. ;.:z.:s,;'::·:, .·. ~'"\-· ii ·: . :'t :._ ·,,., : I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRE:,:_S:_:S::::;::::;:::::::::;=;:::::;:::::;::=::;;:::=,;:::::::::;;:::::::::::::;::;==:;:::::::::::::;::::::;::::;::::;;::::;:::;: l~;.,:,,·.JAp.eJ,;J~A1tTJ:,;J;Rii.fJqp.,r,QN.,:~.~, .. :-:~. "-"·•' ... ,:L ...•• ;...,_,,.~; , __ ;;:~-.:-:-.. :.·.,.~<-, .::-·,;;.',: < ~~J,fI-:~~~;"":~-:/:7,.,:::,.~---~; x.i, .,~;. /,,:z:~.-~o: \ .~.,~J I certify tf1at 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 City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL 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 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the-building or work authorized by such permit is suspended or abandoned at any time after the work is com~r a period of 180 days (Se · 06.4.4 Uniform Building Code). APPLICANT'S SIGNATURE _-__: ~=----___s.---~~L.c~=-----------DATE /4/ •_;2 ?, 0/ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/06/2002 Permit# CB013622 Title: CANCERVAX -UNDERGROUND Description: PLUMBING ONLY -Tl IN PLAN CK Type:PLUM Sub Type: Job Address: 2110 RUTHERFORD RD Suite: Lot O Location: APPLICANT BECKETT BILL Owner: Remarks: Total Time: CD Description Act Comments Inspector Assignment: TP --- Phone: 7604382633 Inspector: L Requested By: BILL Entered By: CHRISTINE 24 Rough/Topout p.1{_,, _____________________ _ ...:1d__ -------------AP fiP/2 ,,,d/1,I 191~/L-/:?/ Pl '71 Associated PCRs Inspection History Date Description 01/29/2002 21 Underground/Under Floor Act lnsp Comments AP TP