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Home My WebLink About2141 PALOMAR AIRPORT RD; ; CB131370; PermitCity of Carlsbad 1635 FárãdayAvCarisbad,CA:92008 07-10-2013 Commercial/Industrial Permit Permit No CB1 31370 "Building Inspection Request Line, (760) 602-2725 Job Address: 2141 PALOMAR AIRPORT RD CBAD . Permit Type: TI Sub Type: INDUST Status: ISSUED Parcel No: 2130701600 Lot #: 0 Applied: 06/04/2013 Valuation: $11136.00 Construction Type: 3A Entered By: RMA Occupancy Group: Reference# Plan Approved: 07/10/2013 Issued: 07/10/2013 . . Inspect Area Plan Check #: Project Title: CORE RESTROOM REMODEL:300 SF , UPGRADE FOR DISABLED REQUIREMENTSIN COMMON USE RESTROOM AREA . • CC Owner:- REALTYASSOCIATES FUND VII L P C/OTA ASSOCIATES REALTY 3o1 DOVE ST'#860 / - NEWPORT BEACH CA 92660 - 7- - Building Pernit 2'4647: Meter Size. ': - AddI Building Permit Fee / $0.00','.,• AddI Recl.,Water Con. Fee ( j $0.00 Plan Check $102.53 Meter Fee . \\ . $0.00 AddI Building Permit Fee / $0.00 - SDCWA Fee \ -' $0.00 Plan Check Discourt J-./ j $0.00 .CFD Payoff Fee - ' r7 $0.00 Strong Motion Fee fl-'.-..... / $2.34 - •PFF (3105540y $0.00 Park Fee -•-_D / soTooPFF (4305540). • \ $0.00 . LFM Fee I \ ( $0.00 License Tax (3104193) I $0.00 Bridge Fee J $0.00 . Lidene Tax (4304193) f $0.00 BTD #2 Fee - $0.O0 Tffiimpact Fee (3105541)\ • $0.00 BTD #3 Fee i$0.00 \ Traffic Impact Fee (4305541)j $0.00 Renewal Fee $0.00 \ PLUMBING TOTAL, -I 1- $59.00 AddI Renewal Fee j$0.00 I ELECTRlCAL:TOTAL\I / $41.00 Other Building Fee $0.00 - MECHANICAL TOTAL'j)f / 1 $0.00 Pot. Water Con. Fee s000 Mastr Drainage Fee)-' / I $0.00 Meter Size \ . I SeerFee%'L7 . J $0.00 Add'l Pot Water Con. Fee $0.00 Re1e Parking Fee / $0.00 Red. Water Con. Fee \ $0.00. A'dditional Fees . $0.00 - I .LI I I Green Bldg Stands (5B1473) Fee ' $1.00 HM Fee - . / ?? Fire Expedidted Plan Review . $160.00 Green Bldg Standard&Plan Chk / ?? TOTAL FEES\\V( $512.34 Total Fees $51234 Tot Due $000 r---'%•.•-p.- ___ FINLAPPROVA-< Inspector: Date: - 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/exáctions. You have 90 days from the date this permit was isued to protest imposition of these fees/exactiórs. If ydu 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 accodance 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 lees/exactions DOES NOT APPLYto water and sewer conhection 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 Applicant: SRI/MICHELE KUSH 925 FORT STOCKTON DR SAN DIEGO CA 92103-1817 619-297-6153 THE FOLIOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: PLANNING EJENGINEERING [:]BUILDING OFIRE OHEALTH D HAZMAT!APCD Building Permit Application Plan Check No. ~!An << ~v4> Est. Value I ~~ 1635 Faraday Ave., Carlsbad, CA 92008 C I I Y O F Ph: 760-602-2719 Fax: 760-602-8558 C 1AR LSBAD email: building@carlsbadca.gov Plan Ck. Deposit Date ( Jg I ( Iswppp www.carlsbadca.gov JOB ADDRESS 2141 Palomar Airport Road I SUITE#/SPACE#/UNIT# I I APN - I 213 - 070 - 160 - 0 CT/PROJECT B I LOT # I PHASE U I U OF UNITS I U BEDROOMS j U BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I 0CC. GROUP 13 I I first floor restroom remodel 111 A N/A DESCRIPTION OF WORK: include Square Feet of Affected Area(s) REMODEL OF EXISITNG RESTROOMS AS REQUIRED FOR TITLE 24 COMPLIANCE, NEW FINISHES alh~01~ Y0 9 tft EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) DECKS (SF) I FIREPLACE I AIR CONDITIONING RESTROOMS RESTROOMS I NOEl YESDNOE IFIRESPRINKLERS YESNOE APPLICANT NAME (Primary Contact) SRI APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS - 925 FORT _STOCKTON_DRIVE CITY STATE ZIP CITY STATE ZIP SAN DIEGO CA 92103 PHONE 619 297686r(c 619 2996072 PHONE FAX EMAIL EMAIL MICHELESAFDIERABINES.COM ___________________________________ PROPERTY OWNER NAME C/O SENTREPARTNERS CONTRACTORASSOCIATES CONTRACTOR BUS. NAME whiteconstructioninc ADDRESS - ADDRESS 2121 PALOMAR AIRPORTROADSUITE 200 2540 Gateway Rd CITY STATE ZIP CITY STATE ZIP CARLSBAD CA92011 Carlsbad. CA 92009 PHONE FAX PHONE FAX (760)931-1130 I EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. U STATE LIC.0 r CITY BUS. LIC.0 SRI 925 Fort Stockton Drive SDCA I 452513 _ CLA I sç — ec. tuji. business ana -'roressions uoae: Any (;ity or county wriicn requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the - applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). e0000 oOvo®w Workers' Compensation Declaration: I hereby affirm under penally of perjury one of the following declarations: El 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. Ell have and will maintain workers' compensation, as required by S vt/ lion 3700. of I e Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy l number are: Insurance Co. t.'_lJ)ti_- V1" _ Policy No Expiration Date 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 10 the Workers' Compensation Laws of California. WARNING: Failure to secure worke nsatiir erage is unlawful, and shall subject an employer to criminal penalties and civil lines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, da es as provided for in Se 706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE . ENT DATE (7 — 1 2. ®DOThoOWDGO Li)O QØ(ZJ thereby affirm that lam exempt from Contractors License Law for the following reason: [] I, as owner of the properly 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 properly who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale, If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). [] I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). [] I am exempt under Section ______________Business and Professions Code for this reason: . I personally plan to provide the major labor and materials for construct on of the proposed properly improvement DYes. [—]No 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) have hired the following person 10 coordinate, supervise and provide the major work (include name / address phone! contractors' license number): I will provide some of the work, bull have contracted (hired) the following persons to provide the work indicated (include name I address! phone! type of work): ..PROPERTY OWNER SIGNATURE . LIAGENT DATE IN iin 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 Iv No -, Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I Yes V 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. mrno®ii WMI111111630 020003S7 - - 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 I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all 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 C11'? OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA. An OSHA permit is required forexcavations over 501 deep and demolition orconslnjolion 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 tithe building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building orwork—au o 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). .APPLICANT'S SIGNATURE . DATE STOP. THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF O C CU PA NC Y4t(Comm e rc i a l11J11u.. Fax (760) 602-8560, Email buiIdingCarIsbadCa.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 CITY1 - - STATE - ZIP CITY STATE ZIP Carlsbad CA PHONE - . - - EMAIL . . - - .- - OCCUPANT'S BUS. LIC. No. - - - - - . - ---- •• DELIVERY OPTIONS PICKUP: L (Listed above) I OCCUPANT (Listed above) .-• .'CONTACT . . ' . ['CONTRACTOR (On Pg. 1) , - - ASSOCIATED CB#1 MAIL TO: r'CONTACT (Listed above) - -. OCCUPANT (Listed above) L CONTRACTOR (On Pg. 1) , : NO CHANGE IN USE / NO CONSTRUCTION :'MAIL/ FAX TO OTHER: - - - - - - - CHANGE OF USE / NO CONSTRUCTION ZAPPLICANT'S SIGNATURE - - DATE -I Inspection List CORE RESTROOM RE-MODEL-300 SF Permit#: CB131370 Type: TI INDUST UPGRADE FOR DISABLED REQUIREMEN Date Inspection Item InspectorAct Comments 09/10/2013 89 Final Combo - RI COF 09/10/2013 89 Final Combo PB AP 07/31/201317 Interior Lath/Drywall MC AP 07/26/2013 14 Frame/Steel/Bolting/Weldin PB AP 07/26/2013 34 Rough Electric PB AP - - - - Wednesday, September 11.'2013 Page 1ot 1 ,\ cir O CARLSBAD INSPECTION RECORD Building Division El INSPECTION RECORD CARD WITH APPROVED PLANS MUST BE KEPT ON THE JOB 0 CALL BEFORE 3:30 pm FOR NEXT WORKDAY INSPECTION iZ FOR BUILDING INSPECTION CALL: 760-602-2725 OR GO TO: www.Carlsbadca.g9v/8uildlng AND CLICK ON Requesifl5tIOfl" CB131370 2141 PALOMAR AIRPORT RD CORE RESTROOM RE-MODEL-300 SF UPGRADE FOR DISABLED REQUIREMENTS IN COMMON USE RESTROOM AREA TI INDUST Lot#: WHITE CONSTRUCTION DATE: fF1 L"&z L IF "YES" IS CHECKED BELOW THAT DIVISION'S APPROVAL IS REQUIRED PRIOR TO REQUESTING A FINAL BUILDING INSPECTION. IF YOU HAVE ANY QUESTIONS PLEASE CALL THE APPLICABLE DIVISIONS AT THE PHONE NUMBERS PROVIDED BELOW. AFTER ALL REQUIRED APPROVALS ARE SIGNED OFF— FAX To 760-602-8560. EMAIL TO BLDGINSPECTIONS(§)CARLSBADCA.GOV OR BRING IN A COPY OF THIS CARD TO: 1635 FARADAY AVE.. CARLSBAD, CA 92008. BUILDING INSPECTORS CAN BE REACHED AT 760-602-2700 BETWEEN 7:30 AM — 8:00 AM THE DAY OF YOUR INSPECTION. NO YES Required Prior to Requesting Building Final If Checked YES DaWj Inspector Notes Planning/Landscape 760-9448463 Allow 48 hours CM&I (Engineering inspections) 760-438-3891 Call before 2 p Fire Prevention 760-6024660 Allow 48 hours - Type of Inspection Type of Inspection :IUJI.] I[e Date Inspector Date Inspector #11 FOUNDATION #31 0 ELECTRIC UNDERGROUND 0 UFEP #12 REINFORCED STEEL #34 ROUGH ELECTRIC #66 MASONRYPREGROUT #33 D ELECTRIC SERVICE 0 TEMPORARY 0 GROUT 0 WALL DRAINS #35 PHOTO VOLTAIC #10 TILT PAN ELS #39 FINAL #11 POUR STRIPS #41 UNDERGROUND DUCTS & PIPING #11 COLUMN FOOTINGS #14 SUBFRAME 0 FLOOR 0 CEILING #44 0 DIJCT& PLENUM 0 REF. PIPING #15 ROOFSIIEATHING #43 HEAT-AIR CON D. SYSTEMS #13 EXT. SHEAR PANELS #49 FINAL #16 INSULATION #81 UNDERGROUND (11,12,21,31) #18 EXTERIORLATh #17 INTERIOR LATH &DRYWALL r3 #82 DRYWALL,EXTLATh, GAS TES (17,18,23) #51 POOL EXCA/STIEL/ BOND/ FENCE . #83 ROOFSHEATINO, EXT SHEAR (1315) #55 PREPLASTER #84 FRAME ROUGH COMBO (14,24,34,44) #19 FINAL #85 T-Bar(14,24,34,44) ii m:lmtgjkvjlzjlzle Date Inspector #89 FINAL OCCUPANCY (19,29,39,49) #22 0 SEWER& BL/CO 0 PL/Co_ i:i Date Inspector - #21 UNDERGROUND DWASTEDWTR #24 TOP OUT OWASTE OWTR A/S UNDERGROUND VISUAL #27 TUB & SHOWER PAN A/S UNDERGROUND HYDRO #23 DOASTEST OGASPIPING . A/S UNDERGROUND FLUSH #25 WATER HEATER . A/S OVERHEAD VISUAL #28 SOLAR WATER A/S OVERHEAD HYDROSTATIC #29 FINAL A/S FINAL #600 PRE-CONSTRUCTION MEETING F/A ROUGH-IN F/A FINAL #603 FOLLOW UP INSPECTION FIXED EXTINGUISHING SYSTEM ROUGH-IN #605 NOTICE TO CLEAN FIXED CITING SYSTEM HYDROSTATIC TEST #607 WRITTEN WARNING FIXED EXTINGUISHING SYSTEM FINAL #609 NOTICE OFVIOLATION MEDICALGASPRESSURETEST #610 VERBAL WARNING MEDICAL GAS FINAL REV 10/2012 SEE BACK FOR SPECIAL NOTES Section 5416. Health and Safety Code, State of California There shall be not less than one water closet for each 20 employees or fractional part thereof working at a construction job site. The water closet shall consist of a patented chemical type toilet. Fa, the purpose of this section the term construction site shall mean the location on which actual construction of a building is in progress. A violation of this section shall constitute a misdemeanor. All construction or work for which a permit is required shall be subject to inspection and all such construction or work shall remain accessible and exposed for inspection purposes until approved by the inspector. Work shall not be done beyond the point indicated in each successive inspection without first obtaining the approval of the inspector. DATE ADDITIONAL NOTES EsGil Corporation In Partnership with government for Building Safety DATE: 6/14/13 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 13-1370 SET: I PROJECT ADDRESS: 2141 Palomar Airport Rd PROJECT NAME Common Restroom Accessibility Upgrade - TI LIAPP LI CANT Er J URIS. LI PLAN REVIEWER U 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 minor 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. El The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: 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: Fax #: Mail Telephone Fax In Person - REMARKS: By: Doug Moody Enclosures: EsGil Corporation E GA E EJ E PC 6/6/13 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 City of Carlsbad 13-1370 6/14/13 (DO NOT PAY— THIS IS NOTAN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK NO.: 13-1370 PREPARED BY: Doug Moody DATE: 6/14/13 BUILDING ADDRESS: 2141 Palomar Airport Rd BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: VB BUILDING PORTION AREA ( Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) TI 300 37.12 11,136 Air Conditioning Fire Sprinklers TOTAL VALUE 11,136 Jurisdiction Code Icb jBy Ordinance I Bldg. Permit Fee by OrdinanceV Plan Check Fee by Ordinance Type of Review: Complete Review LIIRepetive Fee Other Repeats 11 Hourly EsGil Fee I $146.471 I. $95.211 Structural Only Hr. @ * I $82.021 Comments: Sheet 1 of 1 macvaluedoc + DATE:06/12/13 PROJECT NAME: CARLSBAD EXECUTIVE PLAZA PROJECT ID: CB13-1370 PLAN CHECK NO: 1 SET#: 1 ADDRESS: 2141 PALOMAR AIRPORT RD ' APN: 213-070160 VALUATION: $11,136 11/ I This plan check review is complete and has been APPROVED by the ENGINEERING L_..J Division By KATHLEEN LAWRENCE 06/12/13 A Final Inspection by the Division is required Dyes No r 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 aI ffë' öhave_cot,öffifrom one or drrioTtothissuance oLibTh!d1ngoermIt) (Rë?Ub7fiittëd 751ans slfóiild ,nIuidëTãorret,öiW from all For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING "• " ENGINEERING, FIRE PREVENTION 760-602-4610 .. .760-602-2750 760-602-4665 U Chris Sexton . Kathleen Lawrence Greg Ryan 760-602-4624 760-602-2741 . 760-602-4663 Chris.Sexton@carisbadca.gov - - Kathleen.Lawrence@carisbadca.gov Gregorv.Ryan@carlsbadca.gov LII -..Gina Ruiz T-1 - Linda Ontiveros F-1 . CindyWong - 760-602-4675 - -- ' - . 760-602-2773 760-602-4662 Gin'Ruiz@carIsbadca.gov . Linda.Ontiveros@carlsbadca.gov cvnthia.wong@carlsbadca.gov Dominic Fieri - . . . . . 760-602-4664 Dôminic.Fieri@carIsbadca.ov BUILDING PLANCHECK Development Services Land Development Engineering C I T Y OF CHECKLIST . 1635 Faraday Avenue CARLSBAD. QUICK-CHECK/APPROVAL . www.c 760-602-2750 . gov ENGINEERING Plan Check for CBI 3-1370 P . -. .• F P Date 06/12/13 - P Project Address 2141 PALOMAR AIRPORT RD APN 213-070-160 REMODEL EXISTING RESTROOMS Project Description Valuation $11,136 ENGINEERING Contact: Kathleen Lawrence Email: Phone 760-602-2741 Fax 760-602-1052 - S RESIDENTIAL INTERIOR ,} TENANT IMPROVEMENT - RESIDENTIAL ADDITION MINOR PLAZA CAMINO REAL (<$20,000 00) r El CARLSBAD PREMIER OUTLETS El COMPLETE OFFICE BUILDING - .- . . F ,•S.• -- .'_, EIOTHER PCR 1: OFFICIAL • USE ONLY ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT. BY: KATHLEEN LAWRENCE • . • DATE:06112113 . .• REMARKS: NO CHANGE IN USE NO ADDITIONAL ENG. FEES BLDG AT 100% SEE LIST - • • . S - . 4 . . . - • • •4 I. - • . .1 Notification of Engineering APPROVAL has been sent to I • via EMAIL • on 06/12/13 • EJ-36 - Page 1 of 1 • - -. REV 4/30/11 • .5 5- . • * - STORM WATER Development Services CITY O F COMPLIANCE Building Division CARLSBAD ASSESSMENT 1635 Faraday Avenue 760-602-2719 B-24 www.carlsbadca.gov I am applying to the City of Carlsbad for the following type(s) of construction permit: U Building Permit U Right-of-Way Permit 13 My project is categorically EXEMPT from Electrical Patio/Deck the requirement to prepare a storm water Fire Additional Photo Voltaic pollution prevention plan (SWPPP) because it Fire Alarm Re-Roofing only requires issuance of one or more of the Fixed Systems Mechanical Sign Spa-Factory following permit types: Mobile Home Sprinkler Plumbing Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because V N it meets the no threat' assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tier I - Low Threat Assessment Criteria U My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: Results in some soil disturbance; and/or Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 - Moderate Threat Assessment Criteria Cl My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Tier 3 - Significant Threat Assessment Criteria O My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or El My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, U My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). 23. c'704et Project Address: Assessor Parcel No. 2L Owner/Owner's Authorized Agent Name: Title: Owner/Ow oriz Agent Signature: Date: I4/D12//. I certify to the best of my knowledge that the above checked statements are true and correct I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards. The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is - warranted. B-24 Page 1 of 1 Rev.03/09 PLANNING 760-602-4610 , ENGINEERING 760-602-2750 FIRE PREVENTION 760-602-4665 Chris Sexton 760-602-4624 ,. Cli ris.Sexton@carlsbadca.gov Kathleen Lawrence 760-602-2741 Kathleen.Lawrence@carlsbadca.gov • Greg Ryan- 760-602-4663 - Greuory.Ryan@carlsbadca.gov Gina Ruiz 760-602-4675 - . Gina.Ruiz@carlsbadca.gov - Linda Ontiveros 760-602-2773 Linda.Ontiveros@carlsbadca.gov LII Cindy Wong 760-602-4662 Cynthia.Wong@carlsbadca.gov ,. - - • • Dominic Fieri 760-602-4664 Dominic.Fieri@carlsbadca.gov 11 PLANNING DIVISION Development Services <4el"!hk 7 BUILDING PLAN CHECK Planning Division APPROVAL 1635 F C I T Faraday Avenue Y 0 F (760) 602-4610 CAR LSBAD P29 DATE: 6-7-13 PROJECT NAME: - PROJECT ID: PLAN CHECK NO: CB 13-1370 SET#: 1 ADDRESS: 2141 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 N No You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. , Resubmitted plans should include corrections from all divisions This plan checkreview 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 mlchele@safdlerablnes corn For questions or clarificationson the attached checklist please contact the following reviewer as marked: 7 I >> CITY OF CARLSBAD PLAN CHECK Community & Economic REVIEW Development Department 1635 Faraday Avenue TRANSMITTAL Carlsbad CA 92008 www.carlsbadca.gov DATE: 6/26/13 PROJECT NAME: 18t floor restroom remodel PROJECT ID: PLAN CHECK NO: 0131370 SET#: I ADDRESS: 2141 pa APN: This plan check review is complete and has been APP JOVED by the fire Division. By:cwong - A Final Inspection by the Division is required Z Yes fl 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: PLANNING 760-602-4610 ENGINEERING 760-602-2750 FIRE PREVENTION 760-602-4665 Chris Sexton 760-602-4624 Chris.Sexton@carlsbadca.gov Kathleen Lawrence 760-602-2741 Kathleen.Lawrence@carlsbadca.gov Greg Ryan 760-602-4663 Gregorv.Rvan@carlsbadca.gov Gina Ruiz 760-602-4675 Gina.Ruiz@carIsbadca.gov Linda Ontiveros 760-602-2773 Linda.Ontiveros@carlsbadca.gov Z Cindy Wong 760-602-4662 Cvnthia.Wone@carIsbadca.gov • V Dominic Fieri 760-602-4664 Dominic.Fieri@carlsbadca.gov Remarks: V V V V THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUEANCE OF A BUILDING PERMIT. V • - Page 1 of THIS APPROVAL IS SUBJECT TO FIELD INSPECTIONS, ANY REQUIRED TESTS, FIRE DEPARTMENT NOTATIONS, CONDITIONS IN CORRESPONDENCE AND COMPLIANCE WITH WALL APPLICABLE CODES AND REGULATIONS. THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE ANY VIOLATION OF THE LAW. Page 2 of 2 Carlsbad Fire Department Plan Review Requirements Category: TI , INDUST Date of Report: 06-26-2013 Name: WHITE CONSTRUCTION Address: 2540 GATEWAY RD CARLSBAD CA 92009 Permit #:CB131370 Job Name: CORE RESTROOM RE-MODEL-300 SF Job Address: 2141 PALOMAR AIRPORT RD CBAD Rviewed by: INCOMPLETE The item you hivesu mi e ce cannot rnpliance with the applicable co adequately conduct a review to dete resubmit the necessary review carefully all comments lease to this office for r and approval. Conditions: Cond: C0N0006441 [MET] **APPROVED: THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUEANCE OF A BUILDING PERMIT. THIS APPROVAL IS SUBJECT TO FIELD INSPECTIONS, ANY REQUIRED TESTS, FIRE DEPARTMENT NOTATIONS, CONDITIONS IN CORRESPONDENCE AND COMPLIANCE WITH ALL APPLICABLE CODES AND REGULATIONS. THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE ANY VIOLATION OF THE LAW. Entry: 06/26/2013 By: cong Action: AP i'ãe 1 01 2 RECOMMENDATION FOR APPROVAL BLDG. .DEPT COP 'Daryl K. James & Associates, Inc. Checked by: Daryl Kit James 205 Colina Terrace Date June 12 2013 -- Vista, CA 92084 T. (760) 724-7001 Email: kitfiresbcglobal.net APPLICANT: Michele Arnold Kush PROJECT NAME: 1st Floor Restroom Remodel JURISDICTION: Carlsbad Fire Department ADDRESS: 2141 Palomar Airport Rd. PROJECT DESCRIPTION: CB131370 300w Remodel of existing restrooms as required for T24 compliance, New finishes. This plan was to verify conformance to minimum requirements of codes adopted by the Carlsbad Fire Department. The items below require correction, clarification or additional information before this plan check can be approved for permit issuance. RESUBMITTAL INSTRUCTIONS TO AVOID DELAY IN EXPEDITED RECHECK SERVICES Corrections or modifications to the plans must be clouded and provided with numbered deltas and revision dates. Provide a written response following each comment, On This Correction List, explaining how and where each plan review comment has been addressed. Provide a copy of Building Department (EsGil) comments. Input fire revisions onto the Building Dept. plan check. Please direct any questions regarding this review to: Daryl K. James 760-724-7001 or kiffire@sbcglobal.net COMMENTS MUST BE SUBMITTED DIRECTLY TO THE FOLLOWING ADDRESS, NO SIGNATURE REQUIRED, TO AVOID DELAY: DARYL K. JAMES & ASSOCIATES, INC. 205 COLINA TERRACE VISTA, CA 92084 COMMENTS - Additional comments made be generated by responses to the following comments. TS. I V Door and Hardware Notes Revise contents and code section references in accordance with the 2010 Edition of the California Building Code. VSheet Index Place sheet TI.6.1 in the order shown under Sheet Index VDescription of Work\ Description includes duct work only. Justify omission of a mechanical plan showing changes to duct work. I-'age 2 ot 2 VTI.4 Doors Add the following under Ni. Rated doors will be fitted with smoke seals. CBC 715.4.3.1. Doors shall be readily openable from the egress side without the use of a key or special knowledge or effort. VTI.5 Detail I Rated wall detail to include ICC evaluation report #, UL Listing or reference to Item number in 2010 CBC Table 720.1(2). END OF COMMENTS A rage I 01 CORRECTION LIST BLDG. DEPT COPY I! Daryl K. James & Associates, Inc. Checked by: Daryl Kit James 205 Colina Terrace Date: June 6, 2013 Vista, CA 92084 T. (760) 724-7001 Email: kitfiresbcglobaI.net APPLICANT: Michele Arnold Kush JURISDICTION: Carlsbad Fire Department PROJECT NAME: 1st Floor Restroom Remodel PROJECT ADDRESS: 2141 Palomar Airport Rd. PROJECT DESCRIPTION: CB131370 300s Remodel of existing restrooms as required for T24 compliance, New finishes. This plan was to verify conformance to minimum requirements of codes adopted by the Carlsbad Fire Department. The items below require correction, clarification or additional information before this plan check can be approved for permit issuance. Corrections or modifications to the plans must be clouded and provided with numbered deltas and revision dates. S Provide a written response following each comment, On This Correction List, explaining how and where each plan review comment has been addressed. Provide a copy of Building Department (EsGil) comments. Input fire revisions onto the Building Dept. plan check. I Please direct any questions regarding this review to:• Daryl K. James 760-724-7001 or kitfire@sbcglobal.net COMMENTS MUST BE SUBMITTED DIRECTLY TO THE FOLLOWING ADDRESS, NO SIGNATURE REQUIRED, TO AVOID DELAY: DARYL K. JAMES & ASSOCIATES, INC. 205 COLINA TERRACE VISTA, CA 92084 COMMENTS - Additional comments made be generated by responses to the following comments. TS.1 S Project Data Number of Stories: Please clarify the discrepancy between 2 stories or mezzanine (A6.3). Tenant Occupancy: Denote the Specific S group occupancy designation in the warehouse. CBC Chapter 3. - Door and Hardware Notes Revise contents and code section references in accordance with the 2010 Edition of the California Building' Code. rage z 01 L Sheet Index Place sheet T1.6.1 inthe order shown under Sheet Index 1. • •, - Description of Work\ Description includes duct work only. Justify omission of a mechanical plan showing changes to duct work. TI.4 Doors Add the following under NI. Rated doors will be fitted with smoke seals. CBC 715.4.3.1. Doors shall be readily openable from the egress side without the use of a key or special knowledge or effort. T1.5 Detail I Rated wall detail to include ICC evaluation report #, UL Listing or reference to Item number in 2010 CBC Table 720.1(2). END OF COMMENTS %V iS . SAN DIEGO REGIONAL C HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY UPFP# HV# BP DATE I I Businpss Napi iArA1a7W)S Business Contact Afrlkl Teleohone # (7 'Ofc' Proe 1ss . p Qf_co 2(,A c,7Q /(,00 srtom '1V4'1 Mailing Address City State Zip Code Plan File# Telephone# 2'7(&T 163 The following questions represent the facility's activities, NOT the specifiproject description. PART I: FIRE DEPARTMENT - HAZARDOUSMATERIALSDIVISION:OCCUPANCYCLASSIFICATION: 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. Facility's Square Footage (including proposed project): 27.)_5t_Occupancy Rating: j= ion 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 PART It: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH - HAZARDOUS MATERIALS DIVISIONS (HIVID)_ If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Ave., Suite 110, San Diego, CA 92123. Call (858) 505-6700 prior to the issuance of a building permit. El CalARP Exempt FEES ARE REQI6IRED. Project Completion Date: II Expected Date of Occupancy: YES NO! / (for new construction or remodeling projects) I' El i / Is your business listed on the reverse side of this form? (check all that apply). Date Initials El L',ANill your business dispose of Hazardous Substances or Medical Waste in any amount? LI CalARP Required El M//,WilI your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds / 200 cubic feet, or carcinogens/reproductive toxins in any quantity? Date Initials El PJJ Will your business use an existing or install an underground storage tank? 0 L/ your business store or handle Regulated Substances (CalARP)? 1Will 0 CalARP Complete 0 I!1 / Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? / 0 1 Will your business store petroleum in tanks or containers at your facility with a total storage capacity equal to Date Initials or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). PARTIII:SANDIEGOCOUNTYAIRPOLLUTIONCONTROLDISTRICT: If the answer to any of the questions below is yes, applicant must contact the Air Pollution Control District (APCD), 10124 Old Grove Road, San Diego, CA 92131-1649, telephone (858) 586-2600 prior to the issuance of a building or demolition permit. Note: 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 Kill tion or renovation, except demolition or renovation of residential structures of four units or less. Contact the APCD for more information. YES 1. El 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/info/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). El 0 (ANSWER ONLY IF QUESTION 1 IS YES) Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)? 9/Will (Search the California School Directory at http://www.cde.ca.ciov/re/sd/ for public and private schools or contact the appropriate school district). 0 Has a survey been performed to determine the presence of Asbestos Containing Materials? El there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos? 0 0' Will there be demolition involving the removal of a load supporting structural member? Briefly describe by activities: \d t vc- Ipet Name of Owner or Authorize Aaei describe proposed project: re Avr+-Tfrv\ erin_ai:e-true and correct. ter or Authorized Agent the best of my knowledge and belief the Signature Date FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: FOR OFFICIAL USE ONLY: BY: DATE: EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTYl.tMD* APCD COUNTY-HMD APCD COUNTY-HMD APCD 7 stamp in this box only exempts businesses Irom completing or Updating a Hazardous Materials Business Plan. Other permitting requirements may still apply. HM-9171 (02/11) County of San Diego - DEH - Hazardous Materials Division