HomeMy WebLinkAbout2251 Faraday Ave; 150; CBC2018-0404; Permit{city of
Carlsbad
Commercial Permit
Print Date: 10/24/2018
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2251 Faraday Ave, 150
BLDG-Commercial
2120610400
$751,834.15
B
Work Class:
Lot#:
Reference#;
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: ABBOTT RAPID DIAGNOSTICS: 16,165 SF T.I.
Applicant:
ABBOTT RAPID DIAGNOSTICS
9975 Summers Ridge Rd
San Diego, CA 92121-2997
858-805-2124
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
Owner:
FARADAY PROPERTY LLC
11444 W Olympic Blvd
LOS ANGELES, CA 90064
ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL
GREEN BUILDING STANOARDS PLAN CHECK & INSPECTION
MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-COMMERCIAL
Total Fees: $5,505.61 Total Payments To Date:
Tenant Improvement
$5,505.61
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. 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 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 ta 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 ta any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Permit No: C8C2018-0404
Closed -Finaled
07/24/2018
08/22/2018
10/19/2018 4:04:58PM
$0.00
$2,793.00
$1,955.10
$242.00
$170.00
$104.00
$31.00
$210.51
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH □HAZMATIAPCD I
{"city of Building Permit Application Plan Check No,I' fl,/ ;...1r')/R--tJ,,/JJ-P --1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Qepo111t email: building@carlsbadca.gov
Date '-:/-/r), <./ lswPPP www.oarlsbadoa.gov /x
JOB ADDRESS 2251 FARADAY AVENUE, CARLSBAD CA 92008 ""' 212 -061 -04 -00
CT/PROJECT# LOT# I '"AS~;A I" o~,;• I""'°;;• • l~mTRAPID DIAGNosT1cs l
00
N111"~s·" 1 occ ;·"· 7
1 ~ --K: Incl roe :Nluare Net or AffitGt8d Area(•)
16,165 SF RENOVATION OF OFFICE SPACE TO INCLUDES A NEW EXTERIOR STOREFRONT DOOR AND EXTERIOR WALKWAY
FOR EGRESS PATH OF TRAVEL, ADDITIONAL ELECTRICAL DISTRIBUTION TO ACCOMMODATE SYSTEMS FURNITURE
LAYOUT, NEW LIGHTING SYSTEM TO MEET LATEST TITLE 24 REQUIREMENTS, AND NEW WALL AND FLOOR FINISHES.
EXISTING USE l USE l GARAGE (SF) 0 ATIOS (SF) I DECKS (SF) FIREPLACE f/'\lr'{ 1.AJNDITIONlN1.2 I FIRE SPRINKLERS
Business Business YESQ NcCJ VES@No□ VES@NoO
APPLICANT NAME ABBOTT RAPID DIAGNOSITCS PROPERTY OWNER NAME BIOSITE INCORPORATED Prfff8N COnl:act
ADDRESS ADDRESS
9975 SUMMERS RIDGE ROAD 9975 SUMMERS RIDGE ROAD
CITY STATE ZIP CITY STATE ZIP SAN DIEGO CA 92121 SAN DIEGO CA 92121
PHONE !FAX PHONE YAX 858-805-2124 858-805-2124
EMAIL E~',. ~-'\r"V\ D {f., {'J J ('_ ()W(·ot ' ~
DESIGN PROFESSIONAL FPBA (ANDREW DARRAGH) CONTRACIOR BUS. NAME c..z. ~ I 1.-0lNfA LJ ~ p .J8B-
ADDRESS ADDRESS
4499 RUFFIN ROAD 5es l..,OM_I(>, SMJTA Fl!t t:>t. #20{>
CITY STATE ZIP CITY N ~ .....1.,J STATE ZIP 'f-Z.015 SAN DIEGO CA 92123 So~ A ...-.......ri cA.
PHONE !FAX PHONE IFAX NA 16191 231-0751 855-255-15'-i.S.
EMAIL EMAIL P::re c.2-s c. _ eo~ adarraah@fobarch.com I STATELICC 24431 STATIS LIC.# Cf'!~ 'i g "' !°LISS 8 ICITYBUS.UC.# 7550
(Sec, 7031.5 Busmess and Professions Code: Any City or County which requires a permit to construct, alter. improve. demolish or repair any structure. pnor 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 exem_pt therefrom, and the basis for the alleged eitemption. Any violation of Section ?o3.t.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {15001).
WORKERS' COMPENSATION
Wortun' Compenaallon Oedaratton: I hen/by afmn under pe118ty of fHHiury one of the following declarations:
0 I have a,d wlll maintain a certificale of conNnt to seff.ineure for M'.ll'kers' oompensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
'
12f I h,.. and will maintain ""'11 .. ' --•· dS ""'"ied bv Section 3700 of tt,e •'"" Code, for tt,e pe,formMce of tt>e-for which 1his oenni is issued. My ""1<s,s' compensation ""'""'" canier and picy
oumber '"' lnsu1""'8 eo ~Ml'MJY OF-·nt:£ Wei'l;l' ( I C.\/JJ Policy No. Ii'! Pk 50'-111'110-0 Expiration o.te 01:,/1 g/'2.l>l '1_ 1
piii.section need not be completed if the pemit is for one hurdred dollas ($100) or less_ U Certificate of Exemption: I certify that in the performance of the work for which this pem,tt is issued, I shall not employ any person in 51)' manner so as to become subject to the Workers' Compensation lBws of
California. WARNING: Failure to secure workers' coq,analion cov.age ii unlawful, and lhall subject an employ9 to criminal pa,affles Md civil fines up to one hundred thouwd dolllr9 (&100,000), In
addition to the cost of compensation, damag11 ~ for In Secdon 3708 of the Labor code, Interest a,d attorney'• fea
A!! CONTRACTOR SIGNATURE 3/ .,,e_...__j • ~ QAGENT DATE O 1/2-z_/2..Di ~
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from c:ortractor's lic9nse Law for the tollolWlfl 18Bson: 0 I, as ownef of the property or my empl0)'88S with wages as their sole oompensation, wiU do the work and lhe structure is not intended a-offered fol" sale {Sec. 7044, Business Md Professions Code: The Contractor's
License law does not SWIY to an owner of property who builds or improves thereon, and who does suet, work himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, howewr, the building or impro\lement is sold within one yea of canpletion, the owner-builder will have the OOrden of proving that he dKI not build or improve for the purposed sale). D I, as owner of the property, em exclusiwly contracting with licensed contractors to construct the project (Sec. 7044, Business and ProfessK>ns Code: The Contractor's License Law does not apply to an owner of
property who builds or improws thereoo, and cootracts fa 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:
1. I pen,onal~ plan to pro,ide tt>e major I-ard materios for coostruction of tt>e proposed property knprowmenl Oves Do
2. t (have I have not) signed an application for a building perrrit for the proposed work.
3. I have contracted with lhe foHowing person (firm) to provide lhe proposed construction (include name address/ phone I contractors' license number):
4. I plm lo provide portions of the wof1c, but I have hired the foHowing persoo lo coordinate, supervise and provide lhe major wort (lncltxle nane /address/ phooe I oontra:tors' licel'ISe number)·
5. t wiH provide some of the wor1<, but I have contracted (hired) the follatting persons to provide the work indcated (include name I address / J:i1one / type d work):
A5 PROPERTY OWNER SIGNATURE (]AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant orfutuie building occupant required to submit a business plan. ~ hazardous materials registration form or risk management end prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazsdous Substance Account Act? Yes " No
Is the applicant or future building occupant required to obtain e pemlit from the air pollution oontrol disbict or air quality man8CJ8rt18nl disbict? Yes " No
Is the facility to be constructed within 1,000 feet of the outer boundmy of a school site? Yes " No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS IIET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm 1hat there 5 a construction \endmg agency for 1he pertonnance of 1he work 1h~ permit m ISSUed (Sec 3097 (Q Cw! Code)
Lende(s Name Lender's Address
APPLICANT CERTIFICATION
lce,tilythatlhavereod1heeppllaltionend-that1hee-lnlonnetioolscom,ctendthatlhelni>lmetlonon1heplo111lsea:u18'1.lagreemoomplywllhellCllr..-.,,.•ndSlatelews-ngmbulldlngaJl1S1ndon.
I he-eby 1111horizerep, .... 11111Netllhe Cilytl ~ menklrupon lhe ab<M! merrtioned prql8[1ylorilspedion purposes I Al.SO AGREE TOSA\IE, INIJEIINIFY ANO KEEP HARM.ESS THE CITY OF CARLSBAD
AG6.NST ALL LIABILITIES, JIJOGl,ENTS, COSTS ANO EXl'ENSESWHICH IW\Y IN ANY Y AC EAGAINST SAD CITY IN CONSEQUENCE OF TI-IE GRANTING OF TI-IIS PEHMT.
OSHA: AA OSHA pemit is reqtel lorexcavalions ,_5U' deep:t=:';~cllolrucli<tl<f si!rllu,es,<M>' 3stcries il heiihl
EXP™IDN: Every pemit issued by 1he Euldilg Official underlhe •=~:i~~~and becane nul and l.tid llhe buidilg or-llllhoozed by such pemitisnoloor11,,.rced lMlhil
180 days from 1he dale ti such pemit or I lhe buidilg or-,....,, ,..,,,. ~ line m lhe-is ca ,mer reed fore peliJd ti 180 days (Section 1116.4.4 Uriam ai.i;,g Code).
A$ 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.
Fu (760) 602-8560, Email buildinq@carlsbadca.gov or_Mall 1he oompleled 1onn m Cily of Gar1sbad, Building Div~ion 1635 Faraday Avenue, Garlsbad, Galifomia 92008.
CONTACT NAME LARRY TURNER
ADDRESS 9975 SUMMERS RIDGE ROAD
CITY
SAN DIEGO
STATE CA
PHONE FAX
858-805-2124
EMAIL
Laurence.Turner@alere.com
llEIJYEIIY OPllONS
PICK UP: CONTACT (Listed above)
CONTRACTOR (On Pg. 11
MAIL TO: , CONTACT (Ustad above)
CONTRACTOR (On Pg. 1J
OCCUPANT (l.Jlted above)
OCCUPANT (Listed above)
ZIP
92121
MAIL/ FAX TO OTHER: _______________ _
,lt5 APPLICANTS SIGNATURE
COi: (Office Uoe Only)
OCCUPANT NAME
BUILDING ADDRESS
CITY STATE
Carlsbad CA
OCCUPANT'S BUS. UC. No.
ASSOCIATEDCBI-----------
NO CHANGE IN USE/ NO CONSlRUCTION
CHANGE OF USE/ NO CONSlRUCTION
DATE
ZIP
PERMIT INSPECTION HISTORY REPORT (CBC2018-0404)
Permit Type: BLDG-Commercial Application Date: 07/24/2018 Owner:
Work ClaS'::>: Tenant Improvement Issue Date: 08/22/2018 Subdivision:
Status: Closed -Finaled Expiration Date: 04/16/2019 Address:
Scheduled
Date
08/27/2018
Actual
Start Date
08127/2018
09/11/2018 09(11/2018
09/19/2018 09/1912018
1011512018 10/15/2018
10/18/2018 10/18/2018
10/2412018 10/1912018
October 24, 2018
IVR Number: 12738
Inspection Type Inspection No.
BLDG-31
Underground/Condu
It• Wiring
068321-2018
Checklist Item
BLDG-Building Deficiency
BLDG-34 Rough
Electrical
069671-2018
Checkhst Item
BLDG-Building Deficiency
BLDG-85 T-Bar,
Celling Grids,
Overhead
069763-2018
Checklist Item
BLDG-Building Deficiency
BLDG-34 Rough Electrical
BLDG-85 T-Bar,
Ceiling Grids,
Overhead
070402-2018
Checklist Item
BLDG-Building Deficiency
BLDG-34 Rough Electrical
BLDG-34 Rough
Electrical
072917-2018
Checklist Item
BLDG-Building Deficiency
BLDG-Building Deficiency
BLDG-31
Underground/Condu
it-Wiring
073492-2018
BLDG-Fin al
Inspection
Checklist Item
BLDG-Building Deficiency
073654-2018
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Inspection Status Primary Inspector
Partial Pass Michael Colllns
COMMENTS
Conduit only at Rm 1018 & 1026
Partial Pass Michael Collins
COMMENTS
Walls at Rm 1028, 1026 for systems
furniture
Partial Pass Michael Collins
COMMENTS
New lighting at Rm 1027, 1205-1206
Passed Andy Krogh
COMMENTS
New lighting at Rm 1027, 1205-1206
Partial Pass Michael Collins
COMMENTS
Systems furniture
Walls at Rm 1028, 1026 for systems
furniture
Passed Paul Burnette
COMMENTS
Conduit only at Rm 1018 & 1026
Passed Paul Burnette
COMMENTS
FAAADAY PROPERTY LLC
CARLSBAD TCT#81-10 UNIT#01
2251 Faraday Ave, 150
Carlsbad, CA 92008-7209
Re inspection Complete
Relnspection Incomplete
Passed
Yes
Reinspection Incomplete
Passed
Yes
Relnspectlon Incomplete
Passed
Yes
Yes
Complete
Passed
Yes
Yes
Reinspection Incomplete
Passed
Yes
Yes
Complete
Passed
Yes
Complete
Passed
No
No
No
No
No
Page 1 of 2
DATE: 8/20/2018
JURISDICTION: Carlsbad
PLAN CHECK#.: CBC2018-0404
✓• EsG1I
A SAFEbuilfCompany
SET: II
PROJECT ADDRESS: 2251 Faraday Ave
□ APPLICANT
□ JURIS.
PROJECT NAME: Abbott Rapid Diagnostics Tenant Improvement
~ The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
D The plans transmitted herewith will substantially comply with the jurisdiction's
codes when minor deficiencies identified below are resolved and checked by building
department staff.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
D The check list transmitted herewith is for your information. The plans are being held at EsGil
until corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
D The applicant's copy of the check list has been sent to:
~ EsGil staff did not advise the applicant that the plan check has been completed.
D EsGil staff did advise the applicant that the plan check has been completed.
Telephone#: Person contacted: Andy Dari
Date contacted: / (by ) Email:
Mail Telephone Fax In Person
0 REMARKS:
By: Jason Pasiut
EsGil
8/13/2018
Enclosures:
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
-SAN DIEGO REGIONAL OFFICE USE ONLY
HAZARDOUS MATERIALS RECORD ID#
PLAN CHECK#
QUESTIONNAIRE BP DATE I I
Business Name Business Contact Telephone#
ABBOTT RAPID DIAGNOSTICS LARRY TURNER 858-805-2124
State APN# Project Address 8ARLSBAD
Zip Code
2251 FARADAY AVENUE CA 92008 212-061-04-00
Mailing Address City State Zip Code Plan File#
9975 SUMMERS RIDGE ROAD SAN DIEGO CA 92121
Project Contact Applicant E-mail Telephone#
LARRY TURNER Laurence.Turner@alere.com 858-805-2124 . . . .. . . .. The following questions represent the facIhty"s actIvItIes, NOT the specIfIc proJect descnptIon •
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: I11-B Facility's Square Footage (including proposed project): 65,431 SF
13. Corrosives 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives
2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards
3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These.
4. Flammable Solids 8. Unstable Reactives 12. Radioactives
PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEAL TH -HAZARDOUS MATERIALS DIVISION /HMDl: If the answer to any of the
questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 110, San Diego, CA 92123.
Call (858) 505-6700 prior to the issuance of a building pennit.
FEES ARE REQUIRED Project Completion Date: 09/30/19 Expected Date of Occupancy: 10/01 /19
(for new construction or remodeling projects)
Is your business listed on the reverse side of this form? (check all that apply).
0 CalARP Exempt
I
1.
2.
3.
4.
5.
6.
7.
8.
YES NO
□ !XI □ !XI Will your business dispose of Hazardous Substances or Medical Waste in any amount?
Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500
pounds and/or 200 cubic feet? □ !XI
□ □ □ □ □
!Kl Will your business store or handle carcinogens/reproductive toxins in any quantity?
IXI Will your business use an existing or install an underground storage tank?
ISZI Will your business store or handle Regulated Substances (CalARP)? IXl Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? IXI Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to
or realer than 1,320 allons? California's Above round Petroleum Stora e Act .
Date Initials
□ CalARP Required
I
Date Initials
0 CalARP Complete
I
Date Initials
PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT /APCD): Any YES• answer requires a stamp from APCD 10124 Old Grove Road, San
Diego, CA 92131 apcdcomp@sdcounty.ca.gov {858) 586-2650). [*No stamp required if 01 Yes and 03 Yes .arlQ Q4-Q6 No]. The following questions are intended
to identify the majority of air pollution issues at the planning stage. Projects may require additional measures not identified by these questions. For comprehensive
requirements contact APCD. Residences are typically exempt, except -those with more than one building+ on the property; single buildings with more than four
dwelling units; townhomes; condos; mixed-commercial use; deliberate bums; residences fanning part of a larger project. rExcludes garages & small outbuildings.]
1.
2.
3.
4.
5.
6.
YES NO
□ IX] Will the project disturb 160 square feet or more of existing building materials?
Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition.
(ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance
Technician?
D IXl □ !XI
□
□
□
D (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification
may be required 10 working days prior to commencing asbestos removal.
[XI Will the project or associated construction equipment emit air contaminants? See the reverse side of this fonn or APCD factsheet
(www.sdapcd.org/info/facts/pennits.pdf) for typical equipment requiring an APCD permit. 0 (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school
boundarv
Briefly describe business activities: Briefly describe proposed project:
I 6,1 ,5 S -ENOVATION OF OFFICE SPACE OFFICE ACTIVITIES
I declare unde~enalty of perjury that to the best of my knowledge and belief ti ~
IISHA S THI fj( =ma~ I Ill ~nrr
1
t!N8 Bnd correct. 07/ 24 / 18
Name of Owner or Authorized Anent Sianature of Owner or~ thorized Anent Date
FOR OFFICAL USE ONLY.
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION
BY: DATE: I I
EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY-HM□• APCD COUNTY-HMO APCD COUNTY-HMO APCO
*A stamp 1n this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other penn1tt1ng requirements may still apply.
HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division
LIST OF BUSINESSES WHICH REQUIRE REVIEW AND APPROVAL FROM THE COUNTY OF SAN DIEGO
DEPARTMENT OF ENVIRONMENTAL HEAL TH -HAZARDOUS MATERIALS DIVISION
Check all that apply:
AUTOMOTIVE
D Battery Manufacturing/Recycling
D Boat Yard
D Car Wash
D Dealership Maintenance/Painting
D Machine Shop
D Painting
D Radiator Shop
D Rental Yard Equipment
D Repair/Preventive Maintenance
D Spray Booth
D Transportation Services
D Wrecking/Recycling
CHEMICAL HANDLING
D Agricultural supplier/distributor
D Chemical Manufacturer
D Chemical Supplier/Distributor
D Coatings/Adhesive
D Compressed Gas Supplier/Distributor
D Dry Cleaning
0 Fiberglass/Resin Application
D Gas Station
D Industrial Laundry
D Laboratory
D Laboratory Supplier/Distributor
0 Oil and Fuel Bulk Supply
D Pesticide Operator/Distributor
CHEMICAL HANDLING
D Photographic Processing
D Pool Supplies/Maintenance
D Printing/Blue Printing
D Road Coatings
D Swimming Pool
D Toxic Gas Handler
D Toxic Gas Manufacturer
METAL WORKING
D Anodizing
D Chemical Milling/Etching
D Finish-Coating/Painting
D Flame Spraying
D Foundry
D Machine Shop-Drilling/Lathes/Mills
D Metal Plating
D Metal Prepping/Chemical Coating
D Precious Metal Recovery
D Sand Blasting/Grinding
D Steel Fabricator
D Wrought Iron Manufacturing
AEROSPACE
D Aerospace Industry
D Aircraft Maintenance
D Aircraft Manufacturing
OTHERS AND MISCELLANEOUS
0 Asphalt Plant
D Biotechnology/Research
D Chiropractic Office
D Co-Generation Plant
D Dental Clinic/Office
D Dialysis Center
D Emergency Generator
D Frozen Food Processing Facility
D Hazardous Waste Hauler
D Hospital/Convalescent Home
D Laboratory/Biological Lab
D Medical Clinic/Office
D Nitrous Oxide (NOx) Control System
D Pharmaceuticals
0 Public Utility
D Refrigeration System
D Rock Quarry
D Ship Repair/Construction
D Telecommunications Cell Site
D Veterinary Clinic/Hospital
D Wood/Furniture Manufacturing/Refinishing
ELECTRONICS
D Electronic Assembly/Sub-Assembly
D Electronic Components Manufacturing
D Printed Circuit Board Manufacturing
NOTE: THE ABOVE LIST INCLUDES BUSINESSES, WHICH TYPICALLY USE, STORE, HANDLE, AND DISPOSE OF HAZARDOUS SUBSTANCES.
ANY BUSINESS NOT INCLUDED ON THIS LIST, WHICH HANDLES, USES OR DISPOSES OF HAZARDOUS SUBSTANCES MAY STILL REQUIRE
HAZARDOUS MATERIALS DIVISION (HMO) REVIEW OF BUSINESS PLANS. FOR MORE INFORMATION CALL (858) 505-6880.
LIST OF AIR POLLUTION CONTROL DISTRICT PERMIT CATEGORIES
Businesses, which include any of the following operations or equipment, will require clearance from the Air Pollution Control District.
CHEMICAL
47 -Organic Gas Sterilizers
32 -Acid Chemical Milling
33 -Can & Coil Manufacturing
44 -Evaporators, Dryers & Stills Processing
Organic Materials
24 -Dry Chemical Mixing & Detergent Spray
Towers
35 -Bulk Dry Chemicals Storage
55 -Chrome Electroplating Tanks
COATINGS & ORGANIC SOLVENTS
27 -Coating & Painting
37 -Plasma Arc & Ceramic Deposition Spray
Booths
38 -Paint, Stain & Ink Mfg
27-Printing
27 -Polyester Resin/Fiberglass Operations
METALS
18 -Metal Melting Devices
19 -Oil Quenching & Salt Baths
32 -Hot Dip Galvanizing
39 -Precious Metals Refining
ORGANIC COMPOUND MARKETING
(GASOLINE. ETC)
25 -Gasoline & Alcohol Bulk Plants & Terminals
25 -Intermediate Refuelers
26 -Gasoline & Alcohol Fuel Dispensing
COMBUSTION
34 -Piston Internal -Combustion Engines
13 -Boilers & Heaters (1 million BTU/hr or larger)
14 -Incinerators & Crematories
15 -Bum Out Ovens
16 -Core Ovens
20 -Gas Turbines, and Turbine Test Cells & Stands
48 -Landfill and/or Digester Gas Flares
ELECTRONICS
29 -Automated Soldering
42 -Electronic Component Mfg
FOOD
12 -Fish Canneries
12 -Smoke Houses
50 -Coffee Roasters
35 -Bulk Flour & Powered Sugar Storage
SOLVENT USE
28 -Vapor & Cold Degreasing
30 -Solvent & Extract Driers
31 -Dry Cleaning
ROCK AND MINERAL
04 -Hot Asphalt Batch Plants
05 -Rock Drills
06 -Screening Operations
07 -Sand Rock & Aggregate Plants
08 -Concrete Batch, CTB, Concrete Mixers, Mixers
&Silos
10 -Brick Manufacturing
OTHER
01 -Abrasive Blasting Equipment
03 -Asphalt Roofing Kettles & Tankers
46 -Reverse Osmosis Membrane Mfg
51 -Aqueous Waste Neutralization
11 -Tire Buffers
17 -Brake Debonders
23 -Bulk Grain & Dry Chemical Transfer & Storage
45 -Rubber Mixers
21 -Waste Disposal & Reclamation Units
36 -Grinding Booths & Rooms
40 -Asphalt Pavement Heaters
43 -Ceramic Slip Casting
41 -Perlite Processing
40 -Cooling Towers -Registration Only
91 -Fumigation Operations
56 -WWTP (1 million gal/day or larger) & Pump
Station
NOTE: OTHER EQUIPMENT NOT LISTED HERE THAT IS CAPABLE OF EMITTING AIR CONTAMINANTS MAY REQUIRE AN AIR POLLUTION
CONTROL DISTRICT PERMIT. IF THERE ARE ANY QUESTIONS, CONTACT THE AIR POLLUTION CONTROL DISTRICT AT (858) 586-2600.
HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division
.....
C cityof
Carlsbad
STORM WATER STANDARDS
QUESTIONNAIRE
Development Services
Land Development Engineering
1635 Faraday Avenue
(760) 602-2750
www .ca rlsbadca .gov
E-34
J 1NSTRUCTIONS:
To address post-development pollutants that may be generated from development projects, the city requires that new
development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management
Practices (BMPs) into the project design per Carlsbad BMP Design Manual (BMP Manual). To view the BMP Manual,
refer to the Engineering Standards (Volume 5).
This questionnaire must be completed by the applicant in advance of submitting for a development application
(subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of
storm water standards that must be applied to a proposed development or redevelopment project. Depending on the
outcome, your project will either be subject to 'STANDARD PROJECT' requirements or be subject to 'PRIORITY
DEVELOPMENT PROJECT' (PDP) requirements.
Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City
staff has responsibility for making the final assessment after submission of the development application. If staff
determines that the questionnaire was incorrectly filled out and is subject to more stringent storm water standards than
initially assessed by you, this will result in the return of the development application as incomplete. In this case, please
make the changes to the questionnaire and resubmit to the city.
If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the
questions, please seek assistance from Land Development Engineering staff.
A completed and signed questionnaire must be submitted with each development project application. Only one
completed and signed questionnaire is required when multiple development applications for the same project are
submitted concurrently.
PROJECT INFORMATION
PROJECT NAME: ABBOTT RAPID DIAGNOSTICS PROJECT ID:
ADDRESS: 2251 FARADAY AVENUE, CARSLBAD CA 92008 APN: 212-061-04-00
The project is (check one): D New Development IX] Redevelopment
The total proposed disturbed area is: 692 ft2 ( .015 ) acres
The total proposed newly created and/or replaced impervious area is: 692 ft2 ( .015 ) acres
If your project is covered by an approved SWQMP as part of a larger development project, provide the project ID and the
SWQMP # of the larger development project:
Project ID N/A SWQMP#:
Then, go to Step 1 and follow the instructions. When completed, sign the form at the end and submit this with your
application to the city.
E-34 Page 1 of 4 REV 02/16
.,
STEP 1
TO BE COMPLETED FOR ALL PROJECTS
To determine if your project is a "development project", please answer the following question:
YES NO
Is your project LIMITED TO routine maintenance activity and/or repair/improvements to an existing building 00 □ or structure that do not alter the size (See Section 1.3 of the BMP Design Manual for guidance)?
If you answered "yes" to the above question, provide justification below then go to Step 5, mark the third box stating "my
project is not a 'development project' and not subject to the req uirements of the BMP manual" and complete applicant
information.
Justification/discussion: (e .g. the project includes only interior remodels within an existing building):
The project is limited to improvements for the new egress walkway in order to comply with
ADA standards. These improvements will not alter the size of the existing building.
If you answered "no" to the above question, the project is a 'development project', ao to Step 2.
STEP2
TO BE COMPLETED FOR ALL DEVELOPMENT PROJECTS
To determine if your project is exempt from PDP requirements pursuant to MS4 Permit Provision E.3.b.(3), please answer
the following questions:
Is your project LIMITED to one or more of the following:
YES NO
1. Constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria:
a) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non-
erodible permeable areas; □ □ b) Designed and constructed to be hydraulically disconnected from paved streets or roads;
c) Designed and constructed with permeable pavements or surfaces in accordance with USEPA
Green Streets quidance?
2. Retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in □ □ accordance with the USEPA Green Streets guidance?
3. Ground Mounted Solar Array that meets the criteria provided in section 1.4.2 of the BMP manual? □ □
If you answered "yes" to one or more of the above questions, provide discussion/justification below, then go to Step 5, mark
the second box stating "my project is EXEMPT from PDP ... " and complete applicant information.
Discussion to justify exemption ( e.g. the project redeveloping existing road designed and constructed in accordance with
the USEPA Green Street guidance):
If you answered "no" to the above questions, your project is not exempt from PDP, ao to Step 3.
E-34 Page 2 of 4 REV 04/17
..
STEP3
TO BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECTS
To determine if your project is a PDP, please answer the following questions (MS4 Permit Provision E.3.b.(1 )):
YES NO
1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces
collectively over the entire project site? This includes commercial, industrial, residential, mixed-use, □ □
and oublic develooment orojects on public or orivate land.
2. Is your project a redevelopment project creating and/or replacing 5,000 square feet or more of
impervious surface collectively over the entire project site on an existing site of 10,000 square feet or □ □ more of impervious surface? This includes commercial, industrial, residential, mixed-use, and public
develooment oroiects on oublic or orivate land.
3. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more
of impervious surface collectively over the entire project site and supports a restaurant? A restaurant is
a facility that sells prepared foods and drinks for consumption, including stationary lunch counters and □ □ refreshment stands selling prepared foods and drinks for immediate consumption (Standard Industrial
Classification (S IC) code 5812).
4. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious
surface collectively over the entire project site and supports a hillside development project? A hillside □ □ development proiect includes development on anv natural slooe that is twenty-five percent or qreater.
5. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more
of impervious surface collectively over the entire project site and supports a parking lot? A parking lot is □ □ a land area or facility for the temporary parking or storage of motor vehicles used personally for
business or for commerce.
6. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more
of impervious street, road , highway, freeway or driveway surface collectively over the entire project □ □ site? A street, road, highway, freeway or driveway is any paved impervious surface used for the
transportation of automobiles, trucks, motorcvcles, and other vehicles.
7. Is your project a new or redevelopment project that creates and/or replaces 2,500 square feet or more
of impervious surface collectively over the entire site, and discharges directly to an Environmentally
Sensitive Area (ESA)? "Discharging Directly to" includes flow that is conveyed overland a distance of □ □ 200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an
isolated flow from the oroiect to the ESA (i.e. not comminaled with flows from adiacent lands).•
8. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square
feet or more of impervious surface that supports an automotive repair shop? An automotive repair □ □ shop is a facility that is categorized in any one of the following Standard Industrial Classification (SIC)
codes: 5013, 5014 5541, 7532-7534 or 7536-7539.
9. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square
feet or more of impervious area that supports a retail gasoline outlet (RGO)? This category includes □ □ RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily
Traffic (ADT) of 100 or more vehicles oer dav.
10. Is your project a new or redevelopment project that results in the disturbance of one or more acres of land □ □ and are expected to generate pollutants post construction?
11 . Is your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of
impervious surface or (2) increases impervious surface on the property by more than 10%? (CMC □ □
21.203.040)
If you answered "yes" to one or more of the above questions, your project is a PDP. If your project is a redevelopment
project, go to step 4. If your project is a new project, go to step 5, check the fi rst box stating "My project is a PDP ... "
and complete applicant information.
If you answered "no" to all of the above questions, your project is a 'STANDARD PROJECT.' Go to step 5, check the
second box statinq "My proiect is a 'STANDARD PROJECT' ... " and complete aoolicant information.
E-34 Page 3 of 4 REV 04/17
STEP4
TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPMENT PROJECTS (PDP)
ONLY
Complete the questions below regarding your redevelopment project (MS4 Permit Provision E.3.b.(2)):
YES NO
Does the redevelopment project result in the creation or replacement of impervious surface in an amount
of less than 50% of the surface area of the previously existing development? Complete the percent
impervious calculation below:
Existing impervious area (A) = sq. ft. □ □
Total proposed newly created or replaced impervious area (8) = sq. ft.
Percent impervious area created or replaced (B/A)*100 = %
If you answered "yes", the structural BMPs required for PDP apply only to the creation or replacement of impervious
surface and not the entire development. Go to step 5, check the first box stating "My project is a PDP ... " and complete
applicant information.
If you answered "no," the structural BM P's required for PDP apply to the entire development.
check the first box statinQ "My project is a PDP ... " and complete aoolicant information.
Go to step 5, check the
STEP 5
CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION
D My project is a PDP and must comply with PDP stormwater requirements of the BMP Manual. I understand I must
prepare a Storm Water Quality Management Plan (SWQMP) for submittal at time of application.
0 My project is a 'STANDARD PROJECT' OR EXEMPT from PDP and must only comply with 'STANDARD PROJECT'
stormwater requirements of the BMP Manual. As part of these requirements, I will submit a "Standard Project
Requirement Checklist Form E-36" and incorporate low impact development strategies throughout my project.
Note: For projects that are close to meeting the PDP threshold, staff may require detailed impervious area calculations
and exhibits to verify if 'STANDARD PROJECT' stormwater requirements apply.
IX] My Project is NOT a 'development project' and is not subject to the requirements of the BMP Manual.
Applicant Information and Signature Box
Applicant Name: lish~ Applicant Title: Senior Job Captain
Date: 07/24/2018 Applicant Signature: ' . '--
.. .. • Environmentally Sens1t1ve Areas include but are not limited to all Clean Water Act Section 303(d) 1mpa1red water bodies; areas designated as Areas of Special
Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies
designated with the RARE beneficial use by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and
amendments); areas designated as preserves or their equivalent under the Multi Species Conservation Program within the Cities and County of San Diego; Habitat
Management Plan; and any other equivalent environmentally sensitive areas which have been identified by the City.
Th1 B fi c· U O I s ox or ,tv se n,y
YES NO
City Concurrence: □ □
By:
Date:
Project ID:
E-34 Page 4 of 4 REV 04/17