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HomeMy WebLinkAbout2131 PALOMAR AIRPORT RD; ; CB151314; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-26-2015 Commercial/Industrial Permit Permit No: CB1 51314 Building Inspection Request Line (760) 602-2725 Job Address: 2131 PALOMAR AIRPORT RD CBAD Permit Type: TI Sub Type: IN DUST Status: ISSUED Parcel No: 2130702700 Lot #: 0 Applied: 04/30/2015 Valuation: $12,780.00 Construction Type: 3A Entered By: LSM Occupancy Group: . Reference # Plan Approved: 05/26/2015 Issued: 05/26/2015 Inspect Area Plan Check #: Project Title: CBD EXEC PLAZA COMMON AREA- 3RD FLOOR RESTROOM REMODEL 295 SF TO MEET ACCESSIBILITY REQUIREMENTS Applicant: Owner: MICHELE ARNOLD-KUSH REALTY ASSOCIATES FUND VII L P C/O TA ASSOCIATES REALTY 925 FORT STOCKTON 1301 DOVE ST #860 SAN DIEGO CA 92103 NEWPORT BEACH CA 92660 619-297-6153 Building Permit $140.65 Meter Size Add'l Building Permit Fee $0.00 Add'l Red. Water Con. Fee $0.00 Plan Check $98.46 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 $3.58 PFF (3105540) $0.00 Park Fee . $0.00• PFF (4305540) $0.00 LFM Fee $0.00 License Tax (3104193) $0:00 Bridge Fee $0.00 License Tax (4304193) $0.00 BTD #2 Fee $0.00 Traffic Impact Fee (3105541) . $0.00 BTD #3 Fee $0.00 Traffic Impact Fee (4305541) $0.00 Renewal Fee $0.00 PLUMBING TOTAL $105.00 Add'l Renewal Fee $0.00 ELECTRICAL TOTAL $45.00 Other Building Fee $0.00 MECHANICAL TOTAL $0.00 Pot. Water Con. Fee $0.00 Master Drainage Fee $0.00 Meter Size Sewer Fee $0.00 Add'I Pot. Water Con. Fee . $0.00 Redev Parking Fee $0.00 Red. Water Con. Fee $0.00 Additional Fees $0.00 Green Bldg Stands (SB1473) Fee $1.00 HMP Fee ?? Fire Expedidted Plan Review $182.50 Green Bldg Standards Plan Chk ?? TOTAL PERMIT FEES $576.19 Total Fees: $576.19 Total Payments To Date: $576.19 Balance Due: $0.00 InsDector: FINAL APROX'AL Date: 13 Clearance: NOTICE: Please take NOTICE thatpprovaI of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Ccde Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. . You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: EPLANNING EENGINEERING El BUILDING EIFIRE [--]HEALTH DHAZMATIAPCD I Building Permit Application Plan Check No. c2 I 131 L( 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value I€ I 80 CITY OF Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: building@carlsbadca.gov Plan Ck. Deposit ca -4 1) S www.carlsbadca.gov Date Lf O I I JOB ADDRESS 2131 PALOMAR AIRPORT ROAD ISUITE#/SPACE#/UNIT# 3RD FLR RR IAPN - I 213 - 070 - 16 - 00 CT/PROJECT# I#OFUNiTS I# BATHROOMS ITENANT BUSINESS NAME IC0NSTR.TYPE I OCC. GROUP J LOT # IPHASE# 13 11BEDROOMS COMMON AREA lilA B DESCRIPTION OF WORK: include Square Feet of Affected Area(s) T.I. WILL NOT INCLUDE STRUCTURAL WORK. T.I. WILL INCLUDE NON-LOAD BEARING PARTITIONS ONLY. EXISTING AND NEW GYPSUM CEILINGS, INCLUDING NEW LIGHT FIXTURES. HVAC/MECHANICAL SYSTEMS ARE EXISTING, EXISTING EXHAUST FANS TO REMAIN. NEW TITLE 24 RESTROOM REMODEL. ALTERING EXISTING RESTROOMS TO MEET ACCESSIBILITY REQUIREMENTS PER SECTION 202,4,3. AREA OF IMPROVEMENT: 295 SF * I .EXISTING USE I PROPOSE D USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE I AIR CONDITIONING RESTROOMS \ RESTROOMS I IYES# "* NO[.. YES[Z]NOD I FIRESPRINKLERS YESENOE APPLICANT NAME (Primary Contact) MICHELE ARNOLD-KUSH APPLICANT NAME (Secondary Contact) ...KELSEY DAMPIER ADDRESS ADDRESS 925 FORT STOCKTON 925 FORT STOCKTON DR CITY STATE ZIP CITY STATE ZIP SAN DIEGO CA 92103 SAN DIEGO ' CA 92103 PHONE FAX PHONE 'FAX 619 297 6153 6192996072 6192976153 6192996072 EMAIL EMAIL MICHELESAFDIERABINES.COM KELSEY@SAFDIERABINES.COM PROPERTY OWNER NAME TA ASSOCIATES C/O SENTRE PARTNERS CONTRACTOR BUS. NAME WHITE CONSTRUCTION ADDRESS . ADDRESS 2121 PALOMAR AIRPORT ROAD ' 2524 GATEWAY ROAD CITY STATE ZIP CITY STATE ZIP CARLSBAD CA 92011 CARLSBAD CA 92009 PHONE FAX PHONE FAX 760.804.0340 - 760.931.1130 760.931.1171 EMAIL EMAIL AJOHNSONSENTRE.COM GREGGWHITECONSTRUCTIONINC.COM ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# I ci.ss I CITY BUS. LIC.# SAFDIE RABINES ARCHITECTS 452513 I B B1995011681 (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 IChapter 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)). 00031130819 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. R1I 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 carder and policy number are: Insurance Co. EVEREST NATIONAL INSURANCE CO Policy No. 7600014158151 Expiration Date 01.01-2016 This section need not be completed if the permit is for one hundred dollars ($100) or less. 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 Section 3706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE ' El AGENT DATE ®OWOO(i) I hereby affirm that lam exempt from Contractor's License Law for the following reason: I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). Eli I, 6s 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). El I am exempt under Section ______________Business and Professions Code for this reason: ' I personally plan to provide the major labor and materials for construction of the proposed property improvement. EYes IlNo I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name address! phone! contractors' license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name! address! phone /contractors' license number): - 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name! address I phone I type of work): ..PROPERTY OWNER SIGNATURE ' - ' . []AGENT DATE 00IP1G73 RM00 O?O® ®I? 0I1I00 G00096 0019 Is the applicant or future buitdin occuant 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 tequired 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. 00700€900&J 00C90000 iZ000310 I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lenders Name Lenders Address D(? G00(0(300&1 I certilythat I have read the application and state thatthe above information is cormctand thatthe information on the plans is accurate. I agree to comptywith 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 LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations '0' deep and demolition or construction of stiuctures over 3 stories in height EXPIRATION: Every permit issued by the Bui g Official u er 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 e buildin rwo authorized by such permit 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). A!fAPPLICANT'S SIGNATURE DATE 4f / STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CE R T IFICATE OCCUP A NCY Only ) Fax (760) 602-8560, Email buiIding(äcarIsbadca.gOv or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. O#: (Office Use Only) r CONTACT NAME OCCUPANT NAME MICHELE ARNOLD-KUSH CARLSBAD EXECUTIVE CENTER ADDRESS BUILDING ADDRESS 925 FORT STOCKTON DR. 2131 PALOMAR AIRPORT RD CITY STATE ZIP CITY STATE ZIP SAN DIEGO CA 92103 Carlsbad CA 92008 PHONE FAX 619-29776153 619-299-6072 EMAIL OCCUPANT'S BUS. LIC. No. MICHELE@SAFDIERABINES.COM DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On P. 1.) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL! FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION ..APPLICANT'S SIGNATURE , f' DATE Inspection List Permit#: C8151314 Type: TI INDUST CBD EXEC PLAZA COMMON AREA- 3RD FLOOR RESTROOM REMODEL 295 Date Inspection Item Inspector Act Comments 07/30/2015 89 Final Combo - RI PM PLEASE/COF 07/30/2015 89 Final Combo PY AP 06/23/2015 17 Interior Lath/Drywall PB AP 06/18/2015 84 Rough Combo PD AP * I Friday, July 31, 2015 - I Page lofi I - _ •! err - Cis3Z4 21n LN PAt PECT1'ON RECORD FOR c ciFL 29 - c'o irw Arre -$- jxcrr'0JM'rHm JOB It oUQ.P0 Ixwct !6'Q Alanijop4e, twlptcTxw CAM yo. ft , COD" RE c. .1 RP EsGil Corporation In Partnership with Government for Building Safety DATE: 05/12/2015 JURISDICTION: Carlsbad PLAN CHECK NO.: 15-1314 SET: I PROJECT ADDRESS: 2131 Palomar Airport Rd. PROJECT NAME: Third floor restroom remodel LI-APPLICANT P DPLAN REVIEWER D FILE The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. LII The plans transmitted herewith will substantially comply with the jurisdiction's codes when min'pr deficiencies identified below are resolved and checked by building department staff'- LII 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. Lii The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. El The applicant's copy of the check list has been sent to: EsGil Corporation staff did not advise the 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: By: John Le Vey Enclosures: EsGil Corporation LI GA LI EJ [1 MB LI PC 05/04/2015 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • !Fax(858)560-1576 q Carlsbad 15-1314 05/12/2015 PLAN REVIEW CORRECTION LIST (DO NOTPAY— THIS IS NOTAN IN VOICE) VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 15-1314 PREPARED BY: John Le Vey DATE: 05/12/2015 BUILDING ADDRESS: 2131 Palomar Airport Rd. BUILDING OCCUPANCY: N/A BUILDING PORTION AREA (Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) Restroom remodel per city 12,780 Air Conditioning Fire Sprinklers TOTAL VALUE 12,780 Jurisdiction Code Icb IBY Ordinance Bldg. Permit Fee by Ordinance I $141.201 Plan Check Fee by Ordinance V I $91.781 Type of Review: IZI Complete Review Structural Only E Repetitive Fee !" I Repeats E Othe El Hourly Hr. @ * EsGil Fee Comments: Sheet of macvalue.doc + CITY OF CARLSBAD PLAN CHECK REVIEW TRANSMITTAL Community & Economic Development Department 1635 Faraday Avènue Carlsbad CA 92008 www.carlsbadca.gov DATE:05-05-2015 PROJECT NAME: NEW RESTROOM PROJECT ID: CB15-1314 PLAN CHECK NO: 1 SET#: 1 ADDRESS: 2131 PALOMAR AIRPORT RD. APN: 213-070-16-00 VALUATION: $12,780 This plan check review is complete and has been APPROVED by the ENGINEERING - - Division. By: CG 5/5/15 - A Final Inspection by the Division is required 'Eyes No This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required Plan Check Comments have been sent to: MICHELE@SAFDIERABINES.COM You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions. For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING `FIRE PREVENTION _760-602-4610-,,-,";760 602275O - r,-760-602-4665 • j , Chris Sexton 7] Chris Glassen E-1 Greg Ryan 760'602-4624 Lj 760-602-2784 760-602-4663 Chris.Sexton@carlsbadca.gov Christopher.Glassen@carlsbadca.gov Greory.Ryan@carIsbadca.ov Gina Ruiz 0 Linda Ontiveros ED Cindy Wong - 760-602-4675 760-602-2773 760-602-4662 Gina.Ruiz@carlsbadca.gov Linda.0ntiveros@carIsbadca.ov Cynthia.Wonp@carIsbadca.gov T1 fl fl Dominic Fieri 760-602-4664 Dominic.Fieri@carIsbadca.gov Remarks: Development Services BUILDING PLANCHECK Land Development Engineering CITY OF CHECKLIST 1635 Faraday Avenue CARLSBAD QUICK-CHECK/APPROVAL 760-602-2750 www.carlsbadca.gov ENGINEERING Plan Check for C131 5-1314 Date: 05-05-2015 Project Address: 2131 PALOMAR AIRPORT RD. APN: 213-070-16-00 Project Description: ADD NEW 3RD FLOOR RESTROOM Valuation: $12,780 ENGINEERING Contact: CHRIS GLASSEN Phone: 760-602-2784 El RESIDENTIAL INTERIOR El RESIDENTIAL ADDITION MINOR (<$20,000.00) El CARLSBAD PREMIER OUTLETS Email: Christopher.GIassencarIsbadca.gov Fax: 760-602-1052 121 TENANT IMPROVEMENT El PLAZA CAMINO REAL El COMPLETE OFFICE BUILDING MOTHER: GYM OFFICIAL USE ONLY ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT BY: CG 5/5/15 DATE:05052015 REMARKS: NO ADDITIONAL ENGINEERING FEE Notification of Engineering APPROVAL has been sent to MICHELE@SAFDIERABINES.COM. via EMAIL on 05-05-2015 E-36 Page 1 of 1 REV 4/30/11 PLANNING DIVISION BUILDING PLAN CHECK Development Services 4 ell'~, 4) Planning Division C I T Y 0 F APPROVAL 1635 Faraday Avenue CARLSBAD P-29 (760)602-4610 www.carIsbdcov DATE: 4-30-15 PROJECT NAME: PROJECT ID: PLAN CHECK NO: CB 15-1314 SET#: I ADDRESS: 2131 Palomar Airport RD APN: 213-070-16-00 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 Yes Z 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. F-] 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: michele@safdierabines.com For questions or clarifications on the attached checklist please contact the following reviewer as marked: .:- • t . r. .- ., . - . . -••, - -••..-• - . •,•-. . . ..... ........ ,, . . - PLANNING ' ENGINEERING ,. FIRE PREVENTION 7606024610 7606022750 7606024665 Chris Sexton Chris Glässen Greg Ryan 760-602-4624 760-602-2784 760-602-4663 ChrisSexton@carlsbadca.gov ChristopherGlassen@carlsbadca.gov Gregorv.Rvan@carIsbadca.gov Gina Ruiz ValRay Marshall Cindy Wong 7606024675 r 7606022741 7606024662 Gina.Ruiz@carlsbadcagov VaIRay.MarshaU©carIsbadca.gy Cynthia.Wono-@carlsbadca.gov Linda Ontiveros Dominic Fieri 760-602-2773 760-602-4664 Linda.0ntiveros@carIsbadca.ov DominicFieri@carlsbadcagov Remarks: PLANNING ENGINEERING FIRE PREVENTION 760-602-4610 760-602-2750 760-602-4665 Chris Sexton Kathleen, Lawrence Greg Ryan 760-602-4624 760-602-2741 760-602-4663 Chris.Sexton@carlsbadca.gov , Kathleen.Lawrence@carisbadca.gov Gregory. Rya n©carlsbadca.gov Gina Ruiz • Linda Ontiveros : • Cindy Wong 760-602-4675 760-602-2773 760-602-4662 Gina.Ruiz@carlsbadca.gov Linda.Ontiveros@carisbadca.gov Cynthia.Wong@carlsbadca.gov fl , Dominic Fieri • 760-602-4664 S . S • • • Dominic.Fieri@carisbadca.gov Remarks: '5/2i1i5 **APPROVED: PLAN CHECK Community& Economic REVIE W Development Department CITY OF 1635 Faraday Avenue CA TRANSMITTALRL SBAD Carlsbad CA 92008 www.carlsbadca.gov DATE: 5/21/15 PROJECT NAME: Restrooms PROJECT ID: 'PLAN CHECK NO: cb151314 SET#: I ADDRESS:21311 APN: - This plan check review is complete and has been APPROVED byQ1@fip Division By cwong A Final Inspection by the Division is required Z 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 sent to You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions For questions or clarifications on the attached checklist please contact the following reviewer as marked: Carlsbad Fire Departm Plan Review Requirements Categoiy: TI , INDUST Date of Report: 05-21-2015 Reviewed by: Name: Address: WHITE CONSTRUCTION 2540 GATEWAY RD CARLSBAD CA 92009 Permit. #: CB 151314 Job Name: CBD EXEC PLAZA COMMON AREA- Job Address: 2131 PALOMAR AIRPORT RID CBAD INCOMPLETE The item you have submi lie eW adequate view to dete m liance h the carefully all comments attac . ease resubmit the necessary to this office for revi d approval. Conditions: Cond: C0N0008300 [MET] "APPROVED: Th thjsffice cannot licable codes and/or standards. Please review with changes "clouded", THIS PROJECT HAS BEEN REVIEWED AI'D APPROVED FOR THE PURPOSES OF ISSUEANCE OF A BUILDING PERMIT. THIS APPROVAL IS SUBJECT TO FIELD IrSPECTIONS, ANY REQUIRED TESTS, FIRE DEPARTMENT NOTATIONS, CONDITIONS IN CORRESPONDENCE AND COMPLIANCE WITH ALL APPLICABLE CODES AND REGULATIONS. S 0 THIS APPROVAL SHALL NOT BE HELD Tb PERMIT OR APPROVE ANY VIOLATION OF THE LAW. Entry: 05/21/2015 By: cwong Action: 4P J DEPT COPY Page lofi rLurJItrIeIIUdLIur1 or MIJIJFUVdI Daryl K. James & Associates, Inc. Prepared by: Kevin H. Scott Date: May 8, 2015 Telephone: (661) 431-5897 Email: khscottassoc@gmail.com APPLICANT: Safdie Rabines Architects JURISDICTION: Carlsbad Fire Department PROJECT NAME: 31 Floor Restroom Remodel PROJECT ADDRESS: Carlsbad Executive Plaza 2131 Palomar Airport Road S PERMIT No.: CB151314 PROJECT DESCRIPTION: Remodel of existing restroom and common area on 3rd floor. Building is a sprinklered Group B office building of Type lilA construction. Total of 295 sq.ft. This plan review is to verify conformance to minimum requirements of codes adopted by the Carlsbad Fire Department applicable to the scope of work INSTRUCTIONS 1. Direct any questions regarding these plan review comments to: Kevin H. Scott (661) 431-5897 - khscottassoc©gmail.com COMMENTS : Plans for Building Permit CBI 5-1314 have been evaluated and reviewed, and are in conformance to the codes adopted by the Carlsbad Fire Department applicable to the scope of work. These plans are recommended for approval. End of Comments %VE IS OFFICE USE ONLY RECORD ID # SAN DIEGO REGIONAL I HHMBP # _________________________ OcCC HAZARDOUS MATERIALS QUESTIONNAIRE BP DATE I Business Name Business Contact Telephone # CARLSBAD EXECUTIVE CENTER Project Address City State Zip Code APN# 2131 PALOMAR AIRPORT ROAD (3RD FLOOR RESTROOMS) CARLSBAD CA 92008 213-070-16-00 Mailing Address City State Zip Code Plan File# Project Contact Telephone # MICHELE ARNOLD-KUSH 619.297.6153 The following questions represent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT - HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: (not required for projects within the City of San Diego): Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. 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 15. None of These. Flammable Solids 8. Unstable Reactives 12. Radioactives questions is yes, applicant must contact the County of San Di Call (858) 505-6700 prior to the issuance of a building permit. If the answer to any of the n Diego, CA 92123. FEES ARE REQUIRED. Project Completion Date: Expected Date of Occupancy: YES NO (for new construction or remodeling projects) 0 121 Is your business listed on the reverse side of this form? (check all that apply). 0 121 Will your business dispose of Hazardous Substances or Medical Waste in any amount? 0 121 Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? 0 121 Will your business store or handle carcinogens/reproductive toxins in any quantity? 0 121 Will your business use an existing or install an underground storage tank? 0 121 Will your business store or handle Regulated Substances (CaIARP)? 0 El Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? 0 El Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). 0 CalARP Exempt Date Initials D CalARP Required Date Initials D CalARP Complete Date Initials PART III: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD): If the answer to Question #1 below is no or the answer to any of the Questions #2-5 is yes, applicant must contact the APCD at 10124 Old Grove Road, San Diego, CA 92131-1649 or telephone (858) 586-2600 prior to the issuance of a building or demolition permit. If the answer to questions #4 or #5 is yes, applicant must also submit an asbestos notification form to the APCD at least 10 working days prior to commencing demolition or renovation. (Some residential projects may be exempt from the notification requirements. Contact the APCD for more information.) YES NO 0 Has a survey been performed to determine the presence of Asbestos Containing Materials? 0El Will the subject facility or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the APCD factsheet at http://www.sdapcd.org/irrfo/facts/permits.pdf, and the list of typical equipment requiring an APCD permit on the reverse side of this from. Contact APCD if you have any questions). 0 El (ANSWER ONLY IF QUESTION 1 I YES) Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)? (Search the California School Directory at http://www.cde.ca.qov/re/sd/ for public and private schools or contact the appropriate school district). 0 El Will there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos? 5 0 El Will there be demolition involving the removal of a load supporting structural member? Briefly describe business activities: COMMERCIAL OFFICE RESTROOMS I declrq under pe .aIty of perjury that to the best of my knowledge and belief ivprcv Name of Owne'r or Authorized Agent Sigr% Briefly describe proposed project: COJy1ERCIAL OFFICE RESTROOMS true and correct. or Authorized Agent 11- /2-1 iic Date FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: BY: DATE: EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTYHMD* APCD COUNTY-HMD APCD COUNTY-HMD APCD A stamp in this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply. HM-9171 (03/14) County of San Diego - DEH - Hazardous Materials Division INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY Date 430 ,/5. Business Na Street Addre Email Address PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) Check all below that are present at your facility: Acid Cleaning Ink Manufacturing Nutritional Supplement / Assembly Laboratory Vitamin Manufacturing Automotive Repair Machining I Milling Painting I Finishing Battery Manufacturing Manufacturing Paint Manufacturing Biofuel Manufacturing Membrane Manufacturing Personal Care Products Biotech Laboratory (i.e. water filter membranes) Manufacturing Bulk Chemical Storage Metal Casting I Forming Pesticide Manufacturing / Car Wash Metal Fabrication Packaging Chemical Manufacturing Metal Finishing Pharmaceutical Manufacturing Chemical Purification Electroplating (including precursors) Dry Cleaning Electroless plating Porcelain Enameling 'Electrical Component Anodizing Power Generation Manufacturing Coating (i.e. phosphating) Print Shop Fertilizer Manufacturing Chemical Etching / Milling Research and Development Film/ X-ray Processing Printed Circuit Board Rubber Manufacturing Food Processing Manufacturing Semiconductor Manufacturing Glass Manufacturing Metal Powders Forming Soap/ Detergent Manufacturing Industrial Laundry Waste Treatment/Storage SIC Code(s) (if known): Brief description of business activities (Production / Manufacturing Operations): 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 Wastewatér Discharge Permit from the Encine Wastewater Authority? Yes No If yes, when: Site Contact Title ________________ Signätue Phone No. ( R2g- Q7 ENCINA WASTEWATER AUTHO'RI 7,16200 Avenida Encinas Carlsbad, CA 92011 (760) 438-3944 FAX: (760) 476-9852