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HomeMy WebLinkAbout2282 FARADAY AVE; ; CB972872; Permit\ -I 1/' C07 o~/~5 '<1/1~/97 13•28 . ,1/ !age 1 of 1 B U I L D I N G P E R M I T Permit No: CB972872 Project No: A9703646 Development No: \ Suite: IMPROVEMENT Job Address: 2282 FARADAY AV Permit Type: COMMERCIAL TENANT Parcel No: 212-061-33-00 Valuation: 17,056 Lot#: Occupancy Group: Reference#: 1616 11/19/97 0001 Construction TY~·~:11'#sEw02 _::i:o.r. , Status: ISSUEu·•-00 Description: CTI 656 SF, ELEC,LIGHTS,PLUMB Appl/Ownr : JESUS REYES 619 Applied: 10/01/97 Apr/Issue: 11/18/97 Entered By: JM 230-9211 *** Fees 1520 STATE STREET SAN DIEGO, CA 92101 Required *** .. ·*.** t~ea Collected & Credits *** ----------------------------.· -----7·--~~-----~,-------------------------Fees : 4 2 7. 0'C) -. · · ; ,, ·,, Adjustments: , . 00 · i.. To,t~)! .. :credfts: . 00 Total Fees: ~27. 0-0, Total'-·p~·ym~~~\ 123. 00 , ., / ~~l~nc~ '.Du.,e: \ 304. 00 Fee description . _· _ • . · ;: . Qrti ts·,. ,f'..eeifUn~ t Ext fee Data -------------------------->, / : ------.f, ,,. , .: ';-,, ,\ ,,, _____ \ ,---:~ __ _:~' --\------------------- Building Permit -~·;_ . .., .. ·\ ;,,> 189.00 Plan Check · 123.00 Strong Motion Fee '· ··.. ,,;,N ·.]' . ,·-, • 4. 00 * BUILDING TOTAL ·, , • -I; · ·. -'.,.· 316. 00 Enter "Y" for Plumbing· Issue. F<:je;\ f, ·,~.,"; :· 1,._-./·;:_:--1"'·-\\',· ... :/ i 20. oo Y E h P 1 b . F. t T 1 " " '. ; ., · • ac um ing ix 4re or :p.ap ··1 ;'--...?' ;, ·1: _: i / 7. 00 . 7. oo Each Install/Repair Water L_ine.. :::--, ".·::. ~( '.. ~.! ) "-{.I · 7 00 1 7. 00 * PLUMBING TOTAL ', . . <.\ 1 ,,., .. 1 ~_, ~-.-r / • , 34. 00 Enter "Y" for Electric Isf?'l,le F~e-> \" . 10. 00 Y Enter "Y" for Remodel-,.. 'jiC00\1~:t,.''20 / • ,,-·,_· 10. oo Y * ELECTRICAL TOTAL. , ... , . _ .. \··~-,., ".'.\ / 20.00 Enter 'Y' for Mechanical. Issue· Fee> , -\ , \ · .\~ / 15. 00 Y ' : ) ; } :~ ' ... ,,, \ ... \ '\ ..... ; Install Furn/Ducts/Heat Pumps :. ·: >-· , , ... \·._,, · -'. \1.·· · .·· 9. oo 9. 00 Each Boiler/Compressor to ·,1,5 HP > , . . . ,._. 2 16. 50 33. 00 * MECHANICAL TOTAL 57.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 l \ '(2-37-7 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 :1• .··,PRO· OT1NFOJ!MATION , '··~-2." ' ' "" '"'v...',, ~-:A Legal Description State/Zip Telephone# Fax# ' ' ' 0' '' • ' .-:· :'" .: r: -.~-'' ·~o: ~'Zt>:2. ,N~m. ,, . . .. . , ..... , . Addres~. Z£?. ~~ . {~;.f,;ij9(JJC#'fv.~~6iin~~-~:. __ .. 2i?:JZ: "1§4riiicii&·i.· AV6 . Name___________ Address City S.tate/Zip Telephone,# City · ~D, ~zip·tfZ.t "l :s.o-ci z..1 ~'40 .. ~ qid,g . tl)j. · ·t~t.> ~ • ~.:7'Q5r.itnAc1'oR-·coiVIPANYNRlllir-:· .. -:-~~D·:·.:,-,:~···:· --: .... :-::. < ·. :,·· ~-:· ,'. ,-· .. · · ·.· · :·":·.:, ··.: . , · ... (Seb:7031.5 Business and Professions Cod::1:y City or tounty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # ~~:;:-;'woRK~Rsi 'coMP~:.:._.:, .·::::~:·:.:'-~~:: :·~ ·:-.::,.::::.:~-: :·, · ·:: -~-· .·,:~---~·. : ~:.:.··.· .~'.::~ ~.:.:· · Workers~eomp·en·sation·Declaration; I hereby affirm under penalty of perjury one of the followin!;J declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are; Insurance Company____________________ Policy No. Ex~iration:'~ate _______ _ {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) -~~ ~- 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ ailly. 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 (fi~;;;~:;~~-"I, in . 1 1 n to the cost , f. ~om:en~ation: dam,ag"es as ~rovided for in Se:tion 3~~T;f the~~~~~~attorn:y's fees. :1; ·.:_Q.Wl\tEFM~!!/lJ:P.1;8:.Q!:JL .. !'!Nf.lQ.N ... , ........ .,: .... : .. ~-··-·--·-· .-~ : . , .. -. · " I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q/4as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D 1. 2. 3. 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 improveme~ES ONO I (have /~) 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 number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number): _____________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type ofwork): ~-r==:::_ PROPERTY OWNER SIGNATtA~~~ DATE _\._\:_,'""'_\,_O_\,...~_,,__;\-i--- ;Q,QMP!¥!["{ttl$$;Qi(!QN,.E91J§PN~SJP.$VT/.t!4Jl!,!ij;piN~:P,~fi.Ml'(S;:QN~Y":'~C'. .. ·:· :~.' • , :'. . ., . •. . . .: . , ··. ·. ·· . '.- Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. rni;.:t:_~~TllYitr~p1fia~~,GEfig,'.1{,_2':'.';:~'::,-:';_c:.:·· _:"Z~:~-~·:::..:. c:-;:::-~::z~:-.. ·7._c.,, .. ,· :~~·:::-~,:~-.: ,.':·-::·~· I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). 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 representatives of the Cit~ of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such per~it ~ rl!rSPFf-!_dM_ ~ or abandoned at any time aft the wo en d of 180 days (Section 106.4.4 Uniform Building Code). '\."'= \.""\. w'-. \ '0PLICANT'S SIGNATURE ~-. -DATE l !) • ) ' C\ 7 / r-,---=----·" PINK: Finance c-· -_J l---------------1 PERMIT# CB972872 DESCRIPTION: CTI 656 SF, CITY OF CARLSBAD INSPECTION REQUEST FOR 03/03/98 ELEC,LIGHTS,PLUMB INSPECTOR AREA TP PLANCK# CB972872 OCC GRP TYPE: CTI JOB ADDRESS: 2282 FARADAY APPLICANT: JESUS REYES CONTRACTOR: AV OWNER: REMARKS: C/RON/619/990-6066 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS--PERMIT# FA930018 AS930058 CB980065 SE980005 TYPE FALARM ASC CTI swow STE: CONSTR. TYPE NEW LOT: PHONE: 619 230-9211 PHONE: LY PHONE: , INSPECTOR u --7---------- STATUS ISSUED ISSUED ISSUED ISSUED CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical .I}/!_ _______ _ ~--- ------------------ ------------------ ------------------ ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 022798 Final Combo NR TP ND CONTACT PERSON 112597 Interior Lath/Drywall AP TP 112197 Rough/Topout AP TP 112197 Frame/Steel/Bolting/Welding AP TP 112197 Rough Electric AP TP 112197 Underground/Under Floor AP TP EsGil Corporation Professiona£ Pfan. !l{eview 'Engineers DATE: 11/17/97 JURISDICTION: Carlsbad PLAN CHECK NO.: 97-2872 PROJECT ADDRESS: 2282 Faraday Ave. PROJECT NAME: ISIS Pharmaceuticals TI SET: III D FILE D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. • The plans transmitted herewith will substantially comply with the jurisdiction's building 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 Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: • Esgil Corporation staff did not advise the applicant that the plan check has been completed. D Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone#: Date contacted: (by: ) Fax#: Mail Telephone Fax In Person • REMARKS: E,a&lrsReet-e~st-be-si-gned. and sealed by the ncensed areh-iteet- -assumiog design responsibHitr, 1} oAJ.-, By: Chuck Mendenhall Enclosures: Esgil Corporation 0 GA D CM D EJ D PC 11 /7 /97 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (619) 560-1468 + Fax (619) 560-1576 EsGil Corporation Professiona[ Pfan. ~view 'F.ngineers DATE: 10/ 17 /97 JURISDICTION: Carlsbad PLAN CHECK NO.: 97-2872 PROJECT ADDRESS: 2282 Faraday Ave. PROJECT NAME: ISIS Pharmaceuticals TI SET: II D APPLICANT ~- 0 PLAN REVIEWER D FILE D 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 building codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck . • The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person . • The applicant's copy of the check list has been sent to: John Pohling 1520 State St, #100, San Diego, CA 92101 • Esgil Corporation staff did not advise the applicant (except by mail) that the plan check has been completed. D Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Date contacted: (by: ) Mail Telephone Fax In Person D REMARKS: By: Chuck Mendenhall Esgil Corporation D GA D CM D EJ D PC Telephone #: Fax#: Enclosures: 10/10/97 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (619) 560-1468 + Fax (619) 560-1576 CITY OF CARLSBAD PLAN REVIEW No. 97-2872, SET II DATE: 10/17/97 1. Please make all corrections on the original tracings, as requested in the correction list. Submit three sets of plans for commercial/industrial projects (two sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 1. Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 2075 Las Palmas Drive, Carlsbad, CA 92009, (619) 438-1161. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring one corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (619) 560-1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. 2. Provide revised hazardous materials report if quantities or types of hazardous materials will change with addition of cooler. Show use of cooler. The response was that there will be no hazardous materials stored in the new cooler box. Provide the MSDS sheets for the chemicals you intend to store. · · 3. Provide plans from manufacturer of cooler for installation and assembly. There were no construction plans provided for the walk-in cooler box. Provide construction plans and design calc's signed by a Calif licensed engineer or architect. 4. Show where refrigeration compressor will be located. Include with the plans design calc's from and engineer or architect to show the two 240# compressor units can be supported on the existing roof framing. To speed up the review process, note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, note or detail number, calculation page, etc. EsGil Corporation Professional Plan ~view 'Engineers DATE: 10/7 /97 JURISDICTION: Carlsbad PLAN CHECK NO.: 97-2872 PROJECT ADDRESS: 2282 Faraday Ave. PROJECT NAME: ISIS Pharmaceuticals TI SET:I D APPLICANT D ~ D PI.JINREVIEWER D FILE D 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 building 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. [g] The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. [g] The applicant's copy of the check list has been sent to: John Pohling 1520 State St. #100 San Diego, Ca. 92101 [g] Esgil Corporation staff did not advise the applicant,except in writing, that the plan check has been completed. D Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone#: Date contacted: (by: ) Fax#: Mail Telephone Fax In Person D REMARKS: By: Mike Puckett Enclosures: Esgil Corporation 0 GA DCM D EJ D PC 10/2/97 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (619) 560-1468 + Fax (619) 560-1576 Carlsbad 97-2872 10/7/97 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: 97-2872 OCCUPANCY: B TYPE OF CONSTRUCTION: IIIN ALLOWABLE FLOOR AREA: SPRINKLERS?: Yes REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 10/1/97 DATE INITIAL PLAN REVIEW COMPLETED: 10/7 /97 FOREWORD (PLEASE READ): JURISDICTION: Carlsbad USE: Office/Lab ACTUAL AREA: 27,567sqft STORIES: HEIGHT: OCCUPANT LOAD: DATE PLANS RECEIVED BY ESGIL CORPORATION: 10/2/97 PLAN REVIEWER: Mike Puckett This plan review is limited to the technical requirements contained in the Uniform Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review is based on regulations enforced by. the Building Department. You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building permit. Code sections cited are based on the 1994 UBC. The following items listed need clarification, modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 106.4.3, 1994 Uniform Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. LIST NO. 40, TENANT IMPROVEMENTS WITHOUT SPECIFIC ENERGY DATA OR POLICY SUPPLEMENTS (1994UBC) tiforw.dot Carlsbad 97-2872 10/7/97 1. Please make all corrections on the original tracings, as requested in the correction list. Submit three sets of plans for commercial/industrial projects (two sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 1. Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 2075 Las Palmas Drive, Carlsbad, CA 92009, (619) 438-1161. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring one corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (619) 560- 1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. 2. Each sheet of the plans must be signed by the person responsible for their preparation, even though there are no structural changes. Business and Professions Code. 3. Show all walls of 1 hr. occupancy separation between control areas to extend to underside of roof sheathing above. 4. Provide revised hazardous materials report if quantities or types of hazardous materials will change with addition of cooler. Show use of cooler. 5. Provide plans from manufacturer of cooler for installation and assembly. 6. Show where condensate from fan coils in cooler will drain. 7. Show where refrigeration compressor will be located. 8. Show dimensions of new cooler. 9. Is new cooler to be sprinklered? To speed up the review process, note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, note or detail number, calculation page, etc. Carlsbad 97-2872 10/7/97 Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes, please briefly describe them and where they are located in the plans. Have changes been made to the plans not resulting from this correction list? Please indicate: Yes CJ No CJ The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 619/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Mike Puckett at Esgil Corporation. Thank you. Carlsbad 97-2872 10/7/97 VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 97-2872 PREPARED BY: Mike Puckett DATE: 10/7 /97 BUILDING ADDRESS: 2282 Faraday Ave. BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: HIN BUILDING PORTION BUILDING ARl=A VALUATION VALUE (ft. 2) MULTIPLIER ($) Tenant Improvement 656 26.00 17,056.00 Air Conditioning Fire Sprinklers TOTAL VALUE 17,056.00 ~ 1991 UBC Building Permit Fee D Bldg. Permit Fee by ordinance:$ 189.00 ~ 1991 UBC Plan Check Fee D Plan Check F_ee by ordinance: $ 122.85 Type of Review: D Complete Review D Structural Only D Hourly D Repetitive Fee Applicable D Other: Esgil Plan Review Fee: $ 98.28 Comments: Sheet of macvalue.doc 5196 Ocrober 23, 1997· Mr. John Pohling Licensed Architect. Carrier Desl'gn Group 1510Stilte Road, Suite 100 San Diego, CA 92101 Dear Mr. Pohling: ISIS PHARMACEUTICALS . ------------- Per your request, this' memo addresses the description for the use of the cold box, which is to store drug product in existing refrigerator's, to the ct>ltl box with a redundant back up system. 1f you have t.my furth~ que.gions,}itiase-contact me at 760.603-2384. Sincerely, Ron Gordon Afsistant Director Operations----·- Carlsh:tc.l llt·:.t·;irdl n-111..-r l.!.'J.!. f;lr;ldar AW11Ul' (:itrl.~had. C\ ').?tim1 61') • 9.H • ').!{K) FAX (,Jl) A 'J:H ,I. 9(i;\9 oct-23-97 09:09A ~s1s Pha~aceut1ca1s /60 603 0265. ISIS 2302 (Drug Product) Material Safety Data Sheet Issue Date: 1/24/95 I. Genera( Information Chemlcal Name and Synonyms: Trade Name and Syn~l'l_Yll!S: Phosphoiothtiiate ·01lgonucf eotide IS/S2302 Chemlcal FamUy: Formula: Deoxyribonqctelc acid Proprietary Proper DOT Shtpplng Name: DOT Hazard Classlficatlon: NIA NIA Manufacturer: Emergency Phone Numl;ler: /S/S Pharmaceuticals 619-931-9200 Manufacturer•s Address: 2292 Faradav Ave., Carlsbad, CA 92008 ll. lnaredlents -- P~tentlally Hazardous Components: Percent: .Basis for. Hazard Designation: 1S15 2302, a phosphorothioate offgonucleotide Approx. An investigationaf cf rug candidate of targeting tha human ICAM-.1 sequence (20 nucleo-90% pure unknown toxicity. Studies conducted in P.04 tide chain length). Major Impurities have similar (major animals and humans with similar compounds structure and activity. impurities suggest a low order of toxicity. Accidental are closely oiallngestion of small quantitl6$ not related considered hazardous. No skin se11Sltization structures) observed in animals with a related compound. --. ·--,-Ill. P.hvslcal Data ' -· . -,- Bolllng Point ("F): Specific Gravity (water -1 ): NIN (degradation above -200°C) -1 Vapor Pressure (mm Hg}: Percent Volatlle by Volume (%): Negligible NIA Vapor Density (air ·1): Evaporation Rate {ether -1): NIA Negligible Solubility In Water: pH: >50mg/ml -pH 7.4 in phosphate buttered saline Appearance and Odor: Clear colorless solution; no odor -·-·-. IV, ___ Flre and Exoloslon Hazard Data . ~ . --~ Ffash Point (Te$t Method): Auto Ignition Temperature: Unknown Not Flammable Flammable limits: LEL: NIA UEL: N'A Not Aammable Extinguishing Media: NIA Special Fire Fighting Procedures: NIA Unusual Fire and Exploslon Hazards: None , .. ..,, . ·- Material Safety Data Sheet (Cont.) V. Health Hazard Data Threshold Limit Value: OSHA : Not determined ACGIH : Not detennlned Carcf nogentctty: NTP: Not det0m1ined IARC: Not determined Symptoms of Exposure: Unknown Primary Route{s) of Entry: Skin & eye absorption negligible; oral bioa.vailability negligible Respiratory route, unknow but likely minimal Emergency First Aid: Rinse with coolous amounts of water Vt. Reactlvftv Data Unstable · Conditions to Avoid: Stability: Heating abave 200 °C X Stable Incompatibility: Materlals to Avold: Strong acids and t,ases Hazardous May Occur Condttlons .to Avoid: .-_u;:, Polymerl;zatloh: Heating in the presence of acids & bases -X Will Not. Occur .. ----< Hazardous Decomposition Products: None Identified vu. Environmental Protection Procedures Spill Response: Notify safety personnel; clean up with water Waste Disposal Method: In accordance with anolicable local. state. and federal reaulations vm. Soeclal Protection Information Eye Protection: Skin Protection Glasses Gloves· -Respiratory Protection (Specific type): ----Ventilation Recommendations Probably unnecessary Standard building code specifications Other Protection: Unnecessary IX. Soeclal Precautions Hygienic Practices In Handllng and Storage: Standard proced1Jres for materials of unknown toxicity Precautlons tor Repair ~nd Maintenance of Contaminated Equipment: NIA Other Precautions: Not needed The above lofotmation is believed to be correct but does not claim to be all inclusive and shall be used only as a guide. Isis Pharmaceuticals shall not be held liable for any damage resulting from handling or from contact with the above product ISIS PHARMACEUTICALS Mr. John Pohling Licensed Architect Carrier Design Group 1520 State Road, Suite 100 San Diego, CA 92101 Dear Mr. Pohling: October 10, 1997 Per your request, this memo addresses the question of hazardous materials related to the 2282 construction of the cold box. The materials that will be stored in the cold pox are non-hazardous intermediate drug materials which are currently being stored in individual refrigerators within the 2282 GMP Suite. Therefore, since the control zone is not changing and the materials are non- hazardous in nature, no hazardous material report or amendment to the original report is needed. If you have any further questions, please contact me at 7 60-603- 2341. Sincerely, ~ .. ~ (J VJf/\/ Ci;d;bwen HS &E Manager ( :,,rf,h:id lks.•:tKh t :nm·r 1.N..!. l':1r.1t1:tr :\, nmt· C1tlsh;1d. <:A 'J !OOH (>I <J .. 95 I ,. •)1110 1"1\X 619,.. 9.~ l .a. 9659 P.02 ,, ~ --' ' ! : " ~ ISIS PHARMACEUTICALS Mr. John Poh1ing Licensed Architect Carrier Design Group 1520 State Road, Suite 100 San Diego, CA 92101 Dear Mr. Pohling: October l O, 1997 RECEIVED OCl 1 4 1S~7 ENG\NEER\NG DEPARTMENT Per your request, this memo addresses the question of hazardous materials related to the 2282 construction of the cold box. The materials that will be stored in the cold box are non-hazardous intermediate drug materials which are currently being stored in individual refrigerators within the 2282 GMP Suite. Therefore, since the control zone is not changing and the materials are non-:: hazardous in nature, no hazardous material report or amendment to the original report is needed. If you have any further questions, please contact me at 760-603- 2341. Sincerely, -~w?u(;Je/\/ HS &E Manager PLANNINC/ENCINEERINC APPROVALS PERMIT NUMBER CB 9 ? ;28 / ~ DATE /0 -/-p 7 • ADDRESS 2_91:l...:J /-A fl. AP1f Mt RESIDENTIAL RESIDENTIAL ADDITION MINOR (<$10,000.00) OTHER TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING ------------------- PLANNER ~ --r .. ---"'------DATE ENCINEdJ?. //')~ DATE /0-7-77 Docs/Mlsforms/Planning Engineering Approvals ~/ City of Carlsbad 97351 Fire Department • Bureau of Prevention Plan Review: Requirements Category: Building Plan Check Date of Report: Friday, October 1 o, 1997 Contact Name John Pohling Address 1520 State St ) Reviewed by: f'\~ ~ ------------------ City, State San Diego CA 92101 Bldg. Dept. No. CB97-2872 Planning No. Job Name ISIS Pharmaceuticals Job Address _2_2_82_Fa_ra_d_a~y _____________ _ Ste. or Bldg. No. ____ _ ~ Approved -The item you have submitted for review has been approved. The approval is based on plans; information and/or specifications provided in your submittal; therefore any changes to these items after this date, including field modifica- tions, must be reviewed by this office to insure continued conformance with applicable codes. Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements. D Disapproved -Please see the attached report of deficiencies. Please make corrections to plans or specifications necessary to indicate compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. For Fire Department Use Only Review 1st~--2nd __ _ 3rd. __ _ Other Agency ID CFD Job# _ __;:_97c....:3=5--=--1 __ File# ___ _ 2560 Orion Way • Carlsbad, California 92008 • {619) 931-2121 PROJECT: DESIGNER: Structural Technology Consultants Inc. 651 Arroyo Drive, Suite 100, San Diego, CA 92103 (619) 296-2096 • (800) 681-8106 • FAX (619) 296-2196 SHEET / OF DATE: / b[)c..., ~ 7 ~ \\ io' \ ! t./ is I i • ~ I• I I l / I l 10 1 I I l ! . l - ~ o,.-Z I , G,x ~3o-tr0 Uttt 000JC 'LO, S-= o.5O > D,2/ p_,.H~x -:. Z Ob X /i) 3 =-l74-~ /sT tJ I) f orL ~ -=--I O' w I nJ \ oad.-;:.. r; p-s F '??8?C 1, 0 ~,u O ~ I b ,., 0/c.. p ~ l( ~ I "2 60 *-= 7 1 14 # PROJECT: DESIGNER: +:---- .r . -. -·-·-- ,,.._ Structural Technology Consultants Inc. 651 Arroyo Drive, Suite 100, San Diego, CA 92103 (619) 296-2096 • (800) 681-8106 • FAX (619) 296-2196 SHEET 'L. OF DATE: f/F/0 ifVAFc~ kAD ? l::"1..t F O ~ f '-J.. IN e:, ~ uvv @ I b IJ o/C -F==:::g;;._~=====l_~~-(d;o]c. 2. o. (; @ If::>'' o/(:. ~'---'?S8?C. 'Z.O-?TUD ~ ,~li°le- ?E"E /i R,e,y._ '1, P"v I> "1 ~ 8 ~ c. b. (L, {l.,t ~~ Dees 1 G N (j#(eu p, fe>R Le c...t.> -rvo;_, , . . \ -~ LOA. D) N~ ~ lo E S.F. L\\/E LoA.t:> 5 P.~.F. bE.~t) LOJ:\D \ 15" ·P,'S."F, TOT~L LOP\D (RoO~) CODE: UBC \~~<q-) 'S.TP(TE O\=' C~L\t=°O'i<.\---11~ RooF P~"-lEL~ T~ELE FoR "31/2.,11 w~u ::;-::s:4=o/,~ > \53/t2-(s£.£. S\4T. i: ) \_~""1"£..'K.Pt\...: s:o/1"'-= 4,'7s.-(S:j= z.4*/1 1r=. 4(1.0'") 2. ,~(_w )/ro =-~183 w =. \~3( 20.2.(i)-i-4.?~(s-')2.)= 2. 1,2. o/1 =, IB~ ( 1 O· ~~(SJ +1' ?s(s);a..)"" I 5_ zllo/1 '2--0 '-Z." CJ,1-'o/r ~ 7..7.Z( S. I "l) ,.. / 41 # TH'l, -.:o 2. 4 (20, 17)~ (10) ==Jzz"# -2?,z.(!o,s~)7a (20,J~e. /8#- <-3 -#,gs-s(J 1&-)z:.~=1+- ---------++2/'Z, ?-(~I?') ~ 141* t C,1-t~c..~ C.AM Loe~s. :· z.-:s.4(4)(1 )/4 = z.l(* ~ 3 (4s--o).: ;ss-d''#- t\Jc ~t..~ ~A~~ C..r>uO ', --#_S, @-/2-v ~ I IS 'If > Zs, 1-#/1 • MILLER CONSULTING EN G·I NEER S 9570 SW Barbur Blvd. Suite One Hundred Portland, OR 97219·5412 (503) 246-1250 FAX: 246-1395 ,11-S-X tY2-I/ 7),e; I) E r'I/..J = 1so7Pt1..) ~lf£Jt!{f_ > Z.(z.s.<f)z.U.,.8l Project Name HA4(i UT Y R€..PIZJ(i£,e;4f/t),(Jproject # 9 7 0~ S / Location S?~II.J6, VALLt'.Y, C:-.14-LIFOl::.V/A- cuent J tA P ,£. f!.1 II L JU// ,,0 ti/:=' 4 e.. 7 t/ ,e1 A.Jq, By X(?: ){t Ck'd KJM M Date / t? /-z 7 /9 / Pa · •• l I ~-,F--IE~~~~-~I ~ -,w .l. ~ 03/13/96 FLOOR/ROOF/CEILING PANELS SPAN CHART WITH METAL CLADDING MAXIMUM ALLOWABLE SUPERIMPOSED LOAD IN POUNDS PER SQ. Ff. PANEL SPAN L / 240 5' 6' 7' 8' 9' 10' I 11' I 12· I 13' I 14' I 15' I 16' I 17' I 18' I 19' I 20' I 21° 41 26 17 12 1:~~~~~~~~1~~~~~~~~t~~:~Th~t~~~n~~nif§H:~;~;~1;~}~;~;~;m~~;~;~;m~~;~;~;1;~;~;;;~;~~ --~-~-;frAi\:£1~::::{:~1.a::::::::p :E1::::::J~:~1tqq9.I::1 30 I 23 I 18 14 I 11 (@?}@;;}l_\~l[}fmff} :t&tt:iiet::t:~f:J:/7:~:f:E~j:\J::J;f/F~j/Jjf\l 33 I 21 I 22 I 18 I 15 I 12 I 10 JQ9./l::J:1.~rn:~~r:n~~\:::l:::::~i:r:n~~?:F~~t:Jt$.:t:n:::11:::::::i:::::~trF1ffk~j:tJ::::Yf/lt~r::: 60 I 44 ft 34 I 27 I 21 I 17 I 14 I 12 I 10 ~f.:J.~.9.:/l::J1.~}:j:}::~:t::J 96 I 75 I 59 I 48 I 39 I 33 I 28 ~i:::ijJ/li6:itl:X~tJ:JiiIJ:J6.itL:aittfftt:tltt~:::::::::i 61 1 53 38 I 33 I 29 :faK:~h:S\F:::FiilE:]~::5K;:/1 41 I 31 I 25 I 20 I 16 ----------i----------t -------·---i-----------r---------r-·-------r---------13 I 11 1:::~::(::~::(::i5::::: :::!?-::::::::~::::::::~:::fr::*:::: .......... ·1 · ... "3·. ·t · .......... i .. ·u ..... ·t--·s.2 ... · 1 I I I d~·:;,·r.1'11-R?::19:J:;:::]..~:/: :\.J\:::::: . .-:-..:::/ 41 32 25 21 17 I 14 I 12 I 10 i::::~:::;F;-t:;:;:l:_;:;;2:;:::l:;_::~_:::_;:1::::~::_::: :,:z.~,>: :,~~~,:~>>j:,:~:~:~: :~:1:,:,: ~fifii?.illrnitl[fa!]J§:faT:iR2[[~:§l:@t]§'[§1 39 I 32 26 I 22 I 19 I 16 I 14 I 12 I 10 t/iffj::::S::::: ........................... _ .. Notes: Dead loads of panel factored In 1. A 15% Increase In wood stresses for snow load duratl n.al been used. Csnow = 1.00 2. Panel skin thickness Is OJllZi Inches top and bottom. 3. Panel width used Is il Inches. 4. The following empirical values were used for the low & high densHy foam LDU Ult F.S. Wor1<1n! HDU UH F.S. Workln! Skin Workln (2pcf) value value (10pcf) value value Steel value Shear strength 2B.4 2.5 11.36 Shear strength 185 2.5 74 Shear strength 14400 psi . -controlled by rail shear '"~ ::\~ ~ Adhes. strength 25 2.5 10 Comp. strength 300 2.5 120 Comp. strength 23760 psi i .: ~:~:~::::: :~ ~;:'::::~ -does not meet minimum criteria Comp. strength 27.2 2.5 10.BB Flex. strength 430 2.5 172 Rex. strength 42.2 2.5 16.88 Elastic modulus 10000 psi Elastic modulus 463.2 psi Shear modulus 2000 psi Shear modulus 161.3 psi 5. Wood design values are based on 1991 NDS, with DF/L No. 1 6. Panel end bearing width ls assumed lo be equal to panel depth or 5 1/2inches whichever Is less 7. WFF -wood framed panel with fiberglass lnsulallon Interior WFU -wood framed panel with 2 pcf urethane Insulation Interior HOU -framed wllh 10pcf density urethane rails, and filled wilh 2 pcf urethane Insulation Interior Ten. strengtp 23760 Elastic modulus 3E+07 Shear modulus 1 E+07 B. Wood frametl panels with fiberglass Insulation will require adaitlonal sheathing if used for flooring or roofing. 9. Panel loads are resulls from testing, and panel analysis. 10. Metal skin working stress capacities are determined using AISC 9th edition. 11. Fiberglass panels exceeding 27' In width require (3) vertical framing members equally spaced. psi psi psi . ._ 1/l ¢-. ~ ~ <\l l( ~ ~ ~ ~ :::::u.. - ., .- ,,., SO.FT. \.'ALLS 446 :£:ILING 200 c-LOOR 200 TOTAL 846 ~'r\'·~~~~-i,i~.:nt~;~· \~·~~~,,.._~1;u,, .'~''CL1~:~~.;,;;~ ,';;:':'," .:'J:'?;~"' :::~:-~·'c;;;1~~""'j _ .. '~;~ .• ~'"*.:' ~a. 'd'e ~ ·:;,;,:;:.La_;o;;.M<..h e ""::..,=_,_~~~ ;,:; '/11·~ . .,~.~-"~''' j ;,;;;, --::~~ ~~~-:1.:L-.;,_:... ;vze:--,·:;u ~ ,c,<)o ~ w 20' -1 112· [241 lV2J CLOSURE J ~ 28 7/16 23 :h 0 1 0 47 47 28 3/4 0 0 0 I ~11° ~ .... C\J -~ v I ~r C) - 2l~ ~SPL cu _ 1 1/2 @ COOLER @ @ 47 47 28 3/4 r CLOSURE 215 SMOOTH \/H !TE 4 , 3' -6· L:::: 1 ..... .... ~\LCLasutE 16 15/ 6 '50' PNL ~..,. SPL 9 ~u @ _A C\J @11~ @11~ @ @) 47 19 15/16 l~ • LJ ,- :I: ~ :I: t-o D :::,: .,, WALL PANELS 47 47 47 7 33 1/4 TT 4 3 1f r 16 15/16 47 ~1~/16 --' "' "' '-C"l "' C"l '~ CD CD CD ,l 36 " 36 -, ., :£11 "' CD (I) '-' tn C"l .... 3 9/16 8 1/2 "''-C"l "' M r- rr I -~11 ><I ~== 1-d ~ INTERIOR RAMP ~ STANDARD FLOOR r--. II/ URETHANE INSULATION LJ - \// INFIT DOOR IN 3 1/2' \/ALL 17. 30' _r-- ,l CD ..,. C\J FLOOR PANELS 4 3 1/2 , HOLES FOR-------+,1,..,---i #14 x l' FHSMS i~ 2 TYP. EA END <v ~j-¥",,. '<T ---~""' M 'DRILL 3/4'0 3 9/16 FOR 1/2' CONDUIT 6 3/8 1D GA. THRESHOLD 3 1/2' \/ALL / INF!l DOOR \// 4-SIDED HEAT CABLE SPEC IF I CA TI ONS 3 1/2' \/ODD FRAME URETHANE COOLER BOX FINISH: . EXTERIOR• STUCCO GALV. (EXCEPT AS NOTED) INTERIOR: SMOOTH \/HITE CEILING: CAM LOCK LOOSE CEILING CAPS FLOOR• 3 1/2' \/OOD FRAME URETHANE 16 GA. GALVANIZED \/EARSURFACE 22 -SLEEPERS@ 96' 2 -36' x 84' FLUSH FREEZER DOOR EACH W/ 4-SIDED HEAT CABLE MAGNETIC GASKET (2> KASON 1248 HINGES (1) KASON 77 LATCH~ STRIKE Cl) KASON 1094 DOOR CLOSER (1) KASON 487 INSIDE RELEASE 8 -6' x 96' SMOOTH \/HITE COVE BASE 7 -1 1/2' x 1 1/2' x 120' STUCCO GALV. FLOOR TIE <FIELD CUT TO FIT INDIVIDUAL FLOOR PANELS AND SCRE\/ TO FLOOR PANEL FIRST> 7 -2' x 2' x 120' SMOOTH \/HITE CEILING TIE 5 -I' x 3' x 120' SMOOTH \/HITE CLOSURE RUSSELL REFRIGERATION: C2> MCHl50H22, 230v, 3ph C 4) AA! 6-4BB, 1 I 5v ti "r r; 'i<--- ·,:_ w/'):•,~\I "~..-;~t,~t •', .. ,~tr:.-;:;_~•".\ ·•~tM? ·:-; 'j,~~ z 0 ...... ~ p:; i::c:l c.J 5:l <[ i:c...u i::c:l ' 0:: >-w :>-, _J E-< <i! O::> i:-:,a:il.:J c.'.lz o-<Cl,'. ::c: e, Cl 1- c::i- .J CJ "' D l.:J w i=i !'az U) <[ 1-1 (/) w I--vi "' CJ -, f5~:i 52 ~ ~:z:a CIC ~~;:: ~ 0\ X<C-l&.J(D WwA 1-~ 2:d~ 5 ~ ~t:J°' :z °' -lt-0 CJ/ ~ z O u ~ Cl -Ck:: w ~Ee5 ~g§ AO.. 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D z 4 1/4 1.I -irVlW CJJ>r, -< r, .i,. .,, r, • i;rn;ll;o Cl ;o ;o -I ;;o Cl VJ. -..,:x:roCJ J>... ;o zJ>;n Pz·g "'Cl Cl ]> r, ;o r,("1 ~ EB r7 r f"'1 < ]> -I ....., D z 4 l/4 I - ~ ruJ -I\,. ~ -~ w, " c:, 0 ' -, I c:::j~ 1J t\) . w, .~ ~ . ~ ·~ ~ Cl) ~ Cl:) i 103 3/4 108 91 -3 1/2' Cl 11 1/2) n c::, 0 ' 7 I <=ilr> ~ J W1 103 3/4 108 8 12 7/16 19 9/16 ll 1/2 3 1/2 -... U1 X ' .... "' ' ("1 Cl z ("1 ;;o r, -I "' x. -c:, ~ .... ' < "' r, I-' Pl I-' .,, r Cl .,, X z .... It) "' " nJ Cl ;;o "' "' Cl -'! '? Cl ]> r: ) (J'\ "' z (/) 'l n D < , .. · . : · . . r'l to J> (/) r'l --j 1--i r'l 3 1/2 .. a, X w ' -'! .,, ::c "' :,: "' It) ~ p .... - X ' 1'l X w ; ' .... ' (J\ -I> . "' . "U X :u :c .... ;c "' (I) :,: (l\ ;;: "' Cl (I) N ;i,- -'! [\) Cl ... J> . SPL 124 r--------------, I e I I I I ("1 I I .,, 8 I I I I I I I I I I e I I I I I I I I I I I fll ..... ' .... "' N w ... ..... I 8 I ,, I ... ..... I I I I I I I e I I I I I I I I I I e I I I I I I I I L ______ @ ______ J .... ... "I w N "' f"'1 ;::: ....... ()\ r ....... z Cl -0 ]> z r, r (/) "O J> z /Tl r SPL ~ -;::: "' n r7 ,_. r t-1 z Cl ]> z Cl r lri ~ "' w "' ;::: "' :.: ui ' -"' ,c J> r r "O J> z r, r N OJ w ' ... ... ..... .... -.tJ -"' w2 ;::: 11 7/16 81/2 "' J>11"1m:(f\l ("1 -I -, " f'1 ,-,I\) H r,W • .. x r '? v pron, Z #c, "" Cl rro-x r, [\) "O ciro~~"' ~ r(l)::U-1>G1 r, J>7J 'J> r 7Jrri . .i,.rP>~n ,r,rCll~ :,:.!"r13:;-t H G")• ;z !" (/) 1J r ,_. n f"'1 9' -3 1 /2' C I 1 I l /2) p r> r :( p t=1 rrl --l ]> r> ,_. r ~ t::, L (I) b:I t:;j t:;j t:;j (I) t:;j f)~ei>~f?> ~ Imperial I •· · AGGERTY REFRIGERATION ;;o Cl :c Cl ;;o l> l> n 0 J> b:/ Pl X J> -I -I l> O SPRING VALLEY, CA $'!!' /Tl .. :( r, r, r Q '11: z ::I z "O t:;j t'.1 t::, D LJ JOB SITE• ISIS Cl b:/ ;;o ;u ~ '!!' -< .... J> Ul SAN DIEGO .. z :( n -i z ~ /Tl •• ~t;l w g llilI.E• TO PREVENT CONDENSAT!ON, THERE MUST BE A MINIMUM CLEARANCE Of 2' FROM THE VALK-IN EXTER!DR ;,;: ;::: SURF ACE, HIGH HUMIDITY CONDITIONS MAY REQUIRE FORCED VENTILATION IN ADDITION TO CLEARANCE. ~nru-ri ......... ~ Ul MANUFACTURING llillf.i FLOORS OF INSTALLATION SITES SHALL BE TRUE AND LEVEL \/!THIN 3/16' PER 10' OR ADDITIONAL UJ b:I O 0 t::, 1 oo·;:;;;::: II ~ 2271 N.E. 194TH COSTS MAY BE INCURRED. ~~ .,,.,, ;~~ PORTLAND, OR 97230 .llilIE• IMPERIAL MFG CO IS NOT RESPONSIBLE FOR ELECTRICAL, PLUMBING, PERMITS OR CONCRETE \./ORK t z ~ Phone: 503-665-5539 <D<D ru-::U-..J-..J q c;) Fox: 503-665-2929 UNLESS LISTED ON THE QUOTE. I FILE• F :\IMPERIAL \DESIGN\ACAD\CURRENT\ 975489.D\,/G "'· ! I J ~ ~.., I I n 0 ~t/ I ! I ! I i ! l I I -' 1 } J 10FT X 20FT X 9FT 4deg C VVALK IN COOL.ER "" i& =-=-iJt.l PROJECT: !SIS RECEIVED OCT 1 4 1997 ENGINEERING DEPARTMENT ,-. ,:: J 0 ' k:..J • .,;,,.;....,, • ._,.._, -~ • -· •• Imperial Super Insulated Wall<-ln Struf lmperiol manufactures o wide variety of wolk-io freezers and coolers, insulated panels ond cold storage doors:. Imperial mointoins o posirion of !eodarship in the industry through experience, knowhow, foresight ond o detetmination to give each customer the very highest quality and value. All pone!s ore built for eose-of-insta!lotion, disassembly, ond future expansion or relocation. Our 50,000 squore foot monufocturing foci!ity, coupled with the latest machinery ofld technology, offers wstome1s the most dependable, odvonced, energv efficient product in lhe industry. Continual customer service and satisfaction hove been thf keys to oursuccess. We strive in "Exceeding Customer Commitments & Expectations," Cam Lock ·section Fasteners Mean Quick Assembly and Tax $ Savings The illusrrotion or the right shows how panels ore joined together utilizing o rugged steel com-lock actuated from the inside of the unit with o srondord hsx-heod alien wrench for _quick assembly of walk-ins. Com-lock holes ore then covered with snap cops. All sections to be joined hove two rows of closed cell gosket moteriol adhered to the metal creating self-sealing, air tight ioints. Imperial' s cam-lock fastening device allows prefabricated walk-ins to be lreoted os equipment, permitting the walk-in ro be depreciated over o shorter ~riod of time !hon built-in-place coolers ond freezers. Finishes Interior and exterior surfaces may consist of the following in ony combination: • Stucco galvanized steel (stondord) • Smooth bright galvanized steel " White high gloss enamel in either o smooth or stucco pnttern • Stucco aluminum • SiOinless steel 304 #4 finish • Custom colors ovoiloble, osk your Imperial rep1esentotive Our unique rigidized m~tul pattern is offered os o no cost option on oil panel finishes. This feorvre improves oppeoronce and overoll strength. lt is offered in oll lmperiol metol finishes and recommended on panels over 12 feet high. Insulation Urethane Urethane offers the very bes! insulating value with on "R'1 value raring from 25 to 46 depending on thickness. Urethane insulation ·hos o 97% closed cell content to prevent moisture absorption. This insulation is o foomed-in-plnce C!uss I ZS flame spread urethane with o smoke developed of no greoter thon 450 in accordance with ASTM E 84. This insulotion will remain stable ot o temperotvie range of -60°r to + 200°F. Note thot test results ore not intended to reflect hozo.rds presented by this or other moleriol · under nctual fire conditions. Stondord pone! thicknesses ore 3.5", 4.0" or 5.0" in the high density perimeter ponels ond 3.51' or S.5" in wood frome const1uction. Fiberglass Fiberg!oss is composed of inorganic fibrous glass with a low "K" factor which will n3t rar, corrode or support combustion. Imperial utilizes overs~zed bans to prevent sagging of the insulalion. Stoodord panel thickness is 3.5" for coolers and 5.5" Of 7 .25" for freezers. .. ctures Pre-fabricated Floors floo,s, when reQuired. ore constrncted in the some manne1 os wull .ond ceiling panels except o heavy gauge metol wearing surface is provided. Standord floors ore mode to withstand 300 po11ods per square foot. Pallet ond forklift floors ore ovollable on request. (ontoct your soles represeototive. Options & .. Accessories Imperial walk-ins may include rem~te or sell contained refrigeration systems; metal shelving, solid or glass doors, vapor proof lights, door closures, viewing windows, digitol tnermomerers. temperature olorms and much more. Other options con be stfip curtains, fluorescefll lighting, ond interior/exterior romps. Special base metnl coving (shown below) will make cleanup easy 011d is used when on NSF lobe! is required. Warranty A 15-yeor worronly is provided with wood frame urethane ond high density vrethone panels and o 1-yeor worronty is provided with wood frame fiberglass panels. In keeping with the company policy of constont improvement ond engineering development, lmperial reserves the right to change specific.otions 01 detoils without notite or obligation. A Wide Range of Door Options &.. Accessories A variely of standard and custom door sizes ore produced by lmperiol's skilled door aoftsmen. Standard infitting swing door sizes ms 36" x 84", 52" x 84", ond 60" x %", with rustom sizes available on request. Swing doors ore bvilt into one of the modular panel sections ond equipped with durobf e com-rise hinges ond o positive I otch with inside safety release. freezer doors feature o self-regulaling onti-sweot perimeter heot cable (UL approved). Hordware finish can be either chrome or polished olominum. Swing doo1s hove do~ed cell sponge rubber "O" gusket mounted on the top ond two sides. The bottom edge of each door hos ::':_,:t.·.·.·i , :, . . ... · 1 . ~ ... . . ,-\.J .. .· o double bladed odjustoble neoprene wiper, Standard equipment· mounted on eoch door frame includes u r dial thermometer, o pilot light and o switch. Imperial provides Cascade 2000 monuol and elec!Tic sliding doors in o vorieiy of styles (siagle, bi- portiog, sectional and vertical) ond a wide range of door coverings 10 meet all your requirements. For larger opplicotions, doors ore mode in sections ond cam-locked together on-site. Easy to replace neoprene bulb-type gasket seals ore provided. Single ond bi-porling door frocks ore completely horizontal for BO)e of door operation. The ends of eoch frock at9 inset so the door is outomaticolly snugged to the home for o positive seol every time. The slidi11g-track unit is welded, hot dip galvanized ond/01 powder coated for corrosion protection. Rollers ore concealed behf nd the full width door hanger for o streamline appearance. Exceeding Customer Commitments a... ·Expectations 1-' l-<UM HAt:iGt:.Kk f r Kt:.r K 1 G l f\lC' b 'I ~ o /~ bD!:::1~ P.9 FOUR EACH MODEL# AA 16-48B 115' VOLTS Low Profile Unit Cooler Technical No. 100.9 October 1996 FOR WALK --IN COOLERS AND FREEZERS 3,400 TO 39,000 B TlJH STANDARD FEATURES II A·i~J.,'lt)le 1i'l Ai(, Electric and Hot Gas models, Si :::,:·,!: \<J lt'\e ceiling rnoun\ing, r't'leets NSF standards. le :,:(;:;•?o nangers provided for easy installation. Ii H-2avy gauge. rust-free Aluminum Musing. BB ~:;s; proot eooxy resin fan guards. Ii A11~1eo aracn fitting is sloped 10 reduce Joss Of useful ,;::-;r,:ge space taken up by drain tines. Ill. ~'.)r"'.~Pv!enzed coil circuiting is used to enhance the ;J,:,icrmance for varying applications. a Staggered copper tubes are expande(J into corrugated a!um:num fins ror increased heat transfer. 18 lmernal placemen! of the detrost heaters allows ior extremely rapid defrost. Iii Separate defrosi terminarion thermostat and fan delay tnerrnos1a1. allowing ideal location for each function. a H(:!ater safety control, preventing over-heating of coil. Ii Screw type terminal blocks are providec, for easy wir,ng. OPTIONAL FEATURES ~ r.,f;:-: et11ciency PSC fan motors. II ~60 volt :notors and heaters. ~ ('r,,_:norl ;ir. ,mi/"11 im fin~ nr ~(lnOP.r fin~. • High throw plastic fan guard may be suostituted in lieu of the wire fan guard tor up to 50 toot air throw. • Reheat kits (not Ull. Physical Oala ··.: .... . . (1) ~rnal equali?er Hne is fl.imiShed on all tnQdels. (21 Ho! gas connections only apply to the AH models. l~tallation Noto: {1} tnstalr 1 Z' away from back wall. (2) Dr$.lo eonnectiOn on AA 8lld AE units are centered on drain pan: and on the left end (facing air discharge) on AH aOQ AG units. (3} For Ieng airttuow requl~m&nts, specify high 1hrowfan guard. {4) Unit height at drain end ot hot gas models is as follows: 1, 2 and 3 fan mooels • 1st,", 4, 5 and 6 fan models • 16¼". 1~·1-· I [f ~ ~·~ \ ELECT~ KNOCK•OUTS , ¥ROMT,SACKAN0T~ \ OAAIN,AH, AG UNITS 3/s 1Ya 11/a w B 361/~ j ,a~ -=-1-. Yz 81½ 99½ 117½ 135 220 24S n 1S ~ ;.. "-½ X 1" MTG SLOTS AIR FLOW , ~ -, 1'/4 ~ ~==::::t:::::> · % MPT OAAIN _[ 2Yi L 11½ ... Jrnl I I _____ ... C 1 S'I« I. ~·~ ~i~I~ ii ~ ;_ :---1. '-DAAIN-AA. Af:. UNITS / _{. 2¼ ~ ·· · SUCT(ON CONN I HOT GAS CONN.-,.,.. /1.UI 1,tM"~ -If TWO EACH MODEL# MCH150H22 230 VOL TS/ 3PHASE 1-'.6 Air Cooled Condensing Units 1/2 Through 6 H.P Bulletin No. 502.4 August 1995 • Low1 Medium and High Temperature • R-22 and R404A • Outdoor and Indoor Applications NOM. H.P. o.so 0.75 ,.oo 1.50 2.00 3.00 ll,QO 5.00 o.~ 0.76 1.00 1.50 2.00 3.00 0.50 0.75 l.00 1.SO 2.00 3.00 4.00 5.00 0.50 0.75 l.00 1.~o 2.00 3.00 4.00 5.00 +40" 6250 8950 13000 18560 21100 3S700 46000 569'00 +30° + . 8000 5-400 8800 1100 12200 11300 15700 14300 23900 21100 26000 ~$300 34700 31600 42300 37SQO 5050 4550 7300 5550 10600 9550 14900 13200 110QO ,s,oo 29100 26100 37600 33800 47100 42550 (450 7150 10050 CAPACllY (STUH) AT ~S•F AMl3U:Nl' SUCTION TEMPERAl\JRE (¥} ... 20· .. 10· 4800 3800 7400 $200 10500 6500 1$000 10400 19300 1~700 22700 18100 2asoo 22700 34300 27500 4050 3150 5800 4450 8500 6550 11600 8700 13250 9950 23200 1780-'.l 30200 23600 38200 30000 4100 3400 6S00 5800 91!>0 7500 o· -10• -20• -25° •30~ 40• - 2050 2000 1500 1200 4400 3350 2250 1600 - 5700 4$00 2950 2250 $2$0 7350 5500 4650 3850 2500 1$t00 10300 7850 6750 5700 3600 HlSOO 14300 t0450 seoo -2400 3200 4750 6300 7100 !8100 22300 2750 2100 1550 4~00 3650 2800 6000 4650 3400 11000 6000 5800 5050 .:soa 1$200 10700 8480 7380 62!SO 13700 $600 34100 26000 21800 19350 16900 1JQOO 39500 :02100 2S300 22450 19600 15000 S.00 64100 53300 48300 4$00 34800 3.00 26700 20600 1S600 ;~550 \1500 7900 4.oo sogoo 24100 1s100 1s6so 13000 ssoo 5.00 $7300 29200 22100 19050 16000 11000 NO'l'.e! For 90'F ambient ln\lltiply capacity t>y 1.~ . For 100,:-ambient multiply ca~clt)' i>y Q.9fl:. For capaciti<:s at 105°F and abo\·e. consult _faetoty. Physical Dimensions -Outdoor Models 7 COMO. sas El.EC. ELEC. ~~~ S> COIL BOX ;9• BOX ANO ==~ J == FAN §~~ ' p 0 <> 9 C L [ --. COHO. EI..EC. COIL BOX AND MN ,. • 9 I 5.1 e.e a.e 8.6 16.8 24.3 24.3 5.1 5.1 s.1 8.6 6.6 16.8 s.o 6.0 6.0 10.0 10.0 19.S 28.2 28 $.0 6.0 6.0 10.0 10.0 1s.a 24.3 24.3 28.2 19.S Zl.l.l; 28.2 7 w sue. 3/8 SIS 145 , 3/8 5/8 150 2 3/e S/6 155 2 318 7/8 210 2 3/8 7l8 250 3 1/2 1,1/8 3.:0 3 1/Z 1-1/S 370 3 1/2. 1-1/8 385 s,e SlfJ 145 , 3/S 5/S ,so 1 :JIB SIB 155 .2 3/8 718 210 ?, 3/8 71$ 250 3 1/2 1-1/8 340 318 5/8 145 3il3 5/8 150 3.16 S/8 ,ss 2 318 11a 210 2 3/6. 7/$ 230 3 1/2 7/8 340 3 !/2 7/S 370 3 1/2 7/S 385 , Sill 5/8 135 1 318 S/8 1-40 1 3/8 5/8 145 2 31$ 7/8 180 2 3/8 7/8 200 3 · ,,2 3 1/2 1-1/8 3 1/2 1-1/8 s,o 3 3 3 3 112 1/2 1/2 i/2 El.EC. BOX 1-1/0 Si!O 1-1/S 460 1-l/8 500 1-1/S $10 OUT- OOOR 170 175 ,eo 240 2.70 :.l60 -~10 425 170 175 180 240 270 380 ,~o 175 180 2J0 260 380 410 425 170 175 180 240 260 560 500 540 550 ~ JO" I I 32" I J ~w-~ ..... I ----3a·-~-- LEFT SIDE VIEW FRONTVlfW CONDENSER HAS ONE 12" PIAM. FAN. Figure 1 (see page B for Indoor Models) LEFT SIPE. VIEW CONOENSi;R-HAS TWO 12" DIAM. FANS. Figure2 FRONTVIEW -E--- ~ :( ' '· 41 . rKVi"l n ... l.a\.:IC:.Kk I l KC.rK.J.\.:I .J.l\jl, 0 I:::, 0/~ oo:::i,::, Electrical Data MOOSL NUMBER MODEi. COMPR. N B·R RI.A LAA Fl.A M•t1QS0M44 ~S43C1E $.4 24.1 1.0 M"H07SM44 RS70C1E 7.0 34.2 1.0 M"Hf()1M44. RS97CIE 11,Q 51.0 2.0 M"t!1SOM44 CS12K6E 10.9 56.0 a.o M"H201M44 cs,eK6E 16.0 S2.0 2.0 M"H300M44 CS20K6E ,a.o 96.0 2.9 M"H400M44 CS271<3E 23.9 95.4 S . .2 M·HS00M44 CS33K3E 30.7 '125.0 3-2 M"t-10501.44 RS43C1E 5.4 24,1 1,0 M"HO?Sl..44 RS?'OC1E '1.0 34.2 1.0 M"H100L44 RS97C1E 11.0 51.0 1.0 M•H150L44 AH2485 10.7 75,0 .2.o M"H200L44 AH2490 14.2 103.0 2.0 M"K3001.A4 CS33 Ji 30.7 12s.o 2.9 M"H05CM22 JRE•0050 s.o 2~.5 1.0 M'H07SM2, MS-0075 7.1 3S.5 1.0 M'H100H22 AEK-b125 7.0 34,2 1.0 M"H1SOH22 CRA-0150 10.$ 48.0 2.0 M"H200H22 CRD-0200 13.4 59.0 2.0 M"H:1001-422 CRK•0325 23.9 95.4 2.9 M"H40OH~i CRM--0400 30.? ,2s.o 3.2 M"HSOOH22 CRN-0500 34.3 142.0 3.2 M"HOSOLS2 RSU-OOSO S.4 24.1 1.0 M"lf075l.!i2 RSN--0075 a.a 45.0 1.0 M"l-ltOOlS2 RSL-0100 10.4 51.0 1.0 M"H1S01.S2 AH~480J 9.i ?S.O 2.0 M·H200LS2. AH2511A 11.4 81.0 2.0 M"D300L44 2DF-030E M"O400I,,.44 20L·040i: M"DSOOl.44 .2DA-060.E M"0SOOH22 200-0500 ---·--~ M"D300L22 20F•0200 -·· -- M"0400L22 WL-0400 -·--- M"Os0OU2 20A-0600 ---~ • ln$ett ·E· for Indoor models or •c• for outdoor mod~l$. TOTAL MCA UNIT 7.4 15 &.O 15 14.0 17 13.9 17 19.0 23 21.9 27 2S.t" 35 34.9 43 7.4 15 9.0 15 13.0 18 13.7 17 17.2 21 34.6 d3 7.0 1S 9.1 ,s !l.O t5 13.8 17 16.4 20 27.8 31,1 34.9 43 38.S 48 7.4 15 10.8 15 12.4 1S 12.7 16 14.4 18 ~--· ------·-- COMPR. Ri.A LAA 4.7 31.0 7,() 35.0 7.5 51.0 i0.4 65.0 11.4 75.0 IS.3 82.0 20.7 &Q.O 4,7 31.0 7.0 35,0 8,0 47.0 8.1 65.0 20.7 90.0 -- -- 4,7 31.0 9.3 58.0 8.7 50.0 ,s.s s2 .. :i 17.9 90.0 21.4 130.0 ---- $.7 35.0 5.6 47.0, 7.0 65.0 161.0 28.8 ,s,.o 22.S 120.0 HUl 102.0 26.3 161.0 28.8 161.0 •• All Mod&is using ·cs· Compressors are rated for 20012M/3/G0 application. COND Fl.A 1.0 2.0 2.0 .2.0 2.9 3.2 J,Z 1.0 ,.o :to 2.0 2.~ -- 1.0 2.0 2.0 :?..9 3.2 3..2 ~ -·- 1.0 2.0 2.0 2.9 3.2 3.2 3.2 2.9 3.2 3.2 TOTAL UNIT 6.7 10.0 10.5 13.4 15,3 19.5 ,14,9 6.7 9.0 M 11.1 24.6 --6.7 12.3 ,1.7 19.2 22.1 2$.IS --·- 7.7 8.6 10.0 30.5 ,33.0 26.5 20.7 30.5 33.0 t 'l'oiar Vr>•l Amps includes approximate allowance tor control circuit as follows: 1A • 208/230V; 0.5A • 460V. MCA ... RIA 15 15 15 1G 19 .24 31 ~-6 15 15 1.$ 15 3.8 30 8.6 ---- 15 - 15 -·- 15 - 24 7.7 27 8.6 31 9.S --·-~- 15 - 15 - 15 - 41 10.2 ~ 10.5 25 8.1 38 10.2 41 10.2 lRA 45,0 27.0 45.0 ---·-- 41.0 45.0 50.0 - ~ --·-· eo.o 60.0 60.0 52.0 60.0 60.0 FLA 1,3 1.0 1.3 ---- - ,.3 1.3 1.3 ---· -..... 1.$ 1.3 1.3 1.a 1.3 1.3 :t MCA Minimum Circuit Ampacity does I\OI mc!vcre evapor1;1.tor(s) elec:rlcal requirements. (Evap0rator Fan Motor Amps. Oarrost Heatar Amps) Conr3cr factory tor specific de1aif$. Physical Dimensions -Outdoor Models I Sg§B COMO. ag~~ ($ COIL ELEC. 'SOX 2'5= = AND 30" ==== ==== FAM ==== ==== !--.............. -.._ l! ~ C ==== 0 O 0 II _,.J ..I -+. 1 L.%" 3 ;.tPING.f rJ r · -e.___ 314·J~ 35" LEFT SIDE VIEW CONDENSER HAS ONE 20" OtAM .. FAN. Figure$ {see page B for JndO{)r Models) 5 FRONTVIEW P.8 UNIT 10.4 5.3 10.4 --------- 9.5 10.4. 11.4 ------- 12.3 9.9 12.0 12.0 MCA 15 15 1S -·-· -- - 15 15 15 - ·-· ---· - 15 1S 15 ,s 15 15 ___J zzn ra.v~ llv-e.. ?7287z, \ \ CtJc {;tf~ iiF (6(t(n r -C {Jy (!,-,ij f fi.g ~cb__, ~e.,e_j~1;v r;h-,fo / ;Ju /26 ~ (6{-1~1,~ c-tf ct,(A, {, Re. a (6/1/r 7 --cuw. . . l o(r r-/c, 1 Sf'_tv/-.f=l/l-L ])_ ~ ~t1L c... (e,//7 {q--t,,-., CUt-t, C. L sly Q__ @) f.G FINALED lt/f'l--/(7 6Vµc,)-'[lC-:b t-'..St'/ cvi1 U:C.-e f ~c. {1(1'>('11-l2eL cw~ S,)-1{-_JJJ-Ac--J. ~ ~ l.[CrL- Ai.I-AJ-q ~ C+f I ~v'/~ f C-ffh s ~-Pk oiul-- ( (17(11,,__ P;ff~ --·-"""--------. ---------..... --:~l .,,_,,,"'!:'--·--'-,j -·-'- \ APPROVALS Date LL '/ f17 Building ' .. · Planning Engineering --=f"7"T.·-r;:::::_-. :t72._ Fire --------Coc1stal ------! :Jalth ----Assoc. DATES To I From Applicant· AppUcant I HAZMATFORM -----t----INOWASTEAPP ----+-· ____ SCHOOLFEEFORM ----i-----PLANCORR -----,;----ENGRGCORR ------,;----BUS LIC ----11-----WCOMP ----11----FIRE PLANS ----11-----ASSESSORPLANS CoFO 03/16/98 15:12 Page 1 of 1 B U I L D I N G P E R M I T suite: Lot#: PCR No: PCR97095 Project No: A9703646 Development No: Construction Type: Job Address: 2282 FARADAY AV Permit Type: PLAN CHECK REVISION Parcel No: 212-061-33-00 Valuation: O Occupancy Group: Reference#: Status: NEW PENDING 12/01/97 Description: REVISION-STRUCTURAL : ORIG 972872 Appl/Ownr: JOHN POHLING 1520 STATE STREET *** SAN DIEGO, CA 92101 Fees Required *** Fees: Adjustments: Total Fees: Fee description 87.00 .oo 87.00 Plan Check Revision Fee *** > Applied: Apr/Issue: 619 Entered By: 230-9211 JM Fees Collected & Credits Total Credits: Total Payments: Balance Due: .00 .00 87.00 *** Units Fee/Unit Ext fee Data 87.00 87.00 PERMIT APPLICATION FOR OFFICE USE ?~ PLAN CHECK No.f? 7?5 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Or., Carlsbad CA 92009 ~ (760) 438-1161 ~ EST. VAL. ________ _ Plan Ck. Deposit _______ _ Validated By _________ _ DMe ____________ _ ,. Bulil'INI Name Cit Legal Description Lot No. Subdivilion Name/Number Unit No. Phase No. T ottl I of units Assessor's Percel I Existing UM Description of Work . I of II of Bathrooms :3. APPLICANT Name Address 4. PROPERTY OWNER Name AddrNS City . Cl 0wneF '-Cl Agiiniiai 0wner· StatlfZip StatllZlp Telephone I Telephone II 5. CONTRACTOR ~ COMPANY NAME .. -· .. ,·. -·· ...... , .... ··-·-· . ··----~:--i .. ""'" ··.e+t:t .·./ ':'!!"~-~ ..... ---... ··---· . ., ,._ . ~·-· .. (Sec. 7031.5 Business and Profa..-Code: Any City or County which raqulras a permit to construc:t. .... Improve, dlmollsh. or repair any structure, prior to Its issuance, also requires the applicant tor such permit to file a signed statement that he is licensed ~ to the PIIIMliw of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Buainns and Profaalons Code) or thltj he is eMmpt u..trom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a_permlt subjecu the applicant to a civil ,..itv of not 1111n than fiw hundred dollars lt500JJ. Name AddrNS City StatltZip Telephone I State Ucense '-------- Ucensa Class _______ _ City ... LIC8rwe '------ Designer Name AddrNS City Telephone State License, _______ _ I. WORKERS• COMPENSATION ... ..,.. --···-•·:.~--... , ..... !'."'_---~;:-~:-----· ~--::,.~=~---~:~; __ :r::···'.?::'-·":}:,··,- Workers' Compensation Declaration: I hereby affirm under penalty of perjury -of the foNowing cleclalti~: O I have and will maintain a certificate of consent to self-insure for work .. ' compenutlon as provided ~ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, Jot the performence of the work for which this permit is issued. My worker's compensation insurance carrier end policy number are: Insurance Company__________________ Policy No. , Expire.ion Date ______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt100J OR a.isst O CERTIFICATE OF EXEMPTION: I certify thlt in the performance of the work for which this permit is ..._., I lhaU ,_ employ any person In any marvier so as to become subject to the Workers' Compensation Laws of California. . ' WARNING: Failure to -worun' compei•tlon CO-. Is unlawful, and ahal aubject M .....,., 11o crlmnl ........... and clvll fines up 10 -hundrN thouaand dollan tt100,000J, In addition to the mst of cc,mp.-atlon, ....... • provided far In Sectlan 3 .. of the Lal9Dr Ollde, lntllnt end atamy'a ten. · SIGNATURE ___________________________ !)ATE ________ _ 7. OWNER-BUILDER DECLARATION ' .' ,·~l;o-·:·:~~··:· .. '' .. ,.::· :;7'~.;~..,-~•.:;i•:t:1 : • •" ,,.~·:.r···•"'<····:· '~ ' I hereby affirm that I am exempt from the Contractor's Uc=-.e Law for the following ,-: O I, as owner of the property or my employees with wagn u their Iola compensation, wll do the watt and the ltlUChn Is not intended or offered for sale (Sec. 7044, Bualnesa and Profeaions Code: The Contractor's Ucense Law does not apply to 11n OWMr of qrope,ty who llllllda or lrniwoves thereon, and who does such work himself or through hia own employees, provided that auch Improvements are not Intended or or,-,.. for Nie. H, however, the building or Improvement Is sold within one year of completion, the OWMr-builder wlll have the burden of proving that he did not build or"""'°" for die purpoee of ulel. 0 I, as owner of the property, am eJIClualvely contracting with licensed contractora to c:onstruct the pnjlect (Sec. 7044, 8uslnen and Profeaione Code: The Contractor's Ucense Law does not apply to an OWMr of property who builds or improves thereon, and tontracta for IIICh projecta with contractortsl llcenHCI pursuant to the Contractor's Ucense LawJ. 0 I am exempt under Section _____ Bualnesa and Profaslons Code for this reuon: 1. I personally plan to provide the major labor and rnsterials for construction of the proposed property lmprpvement. CJ VES []NO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following parson lfirml to provide the propoaed CCll'lltnlction (include name// addreu / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to c:oordinate, supervise anf provide the major work (Include name / addreu / phone number/ contractora lic8M8 numberl: · 6. I will provide some of the work, but I have contracted Chiredl the following penons to provide the workilndiclted tin.ludl name/ addrHs / phone number / type of work): · PROPERTY OWNER SIGNATURE ~TE ________ _ 'COMPUTETHISSECTioNFOR~lUI.DiNGPiliMiTiDNi.f:";.t~,F-'~ '•,:-~"::~"''""~~°t:~~;(:-:~1-;tt,~~,~-'.~,,~.,-· , .. ·: · re.·, ---,·· Is the applicant or future building occupant requiracl to aubmit a business plan, acutely hannlous ........., ,agiltratlon farm or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Subatance Account Act1 i [] YES O NO is the applicant or future building occupant requiracl to obtain a permit from the air pollution control distrl_ct orlair quality mtnagemlnt district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school aite? [] YES O Nb IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLES. THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRlc:1. fa. .. cOt\istilUcTioN U:NDiNci AGENCY ··;· ,, .. , '"•·'. "·-· ,,~,·, -~--"~r ":"": '':':,··•-r7~.:"'.".'"'_....,~-.. '· ,..,..,_,,,-,.~· ,.-1,,,. . .,.. .,_.-,., •• ··,-~ · ... , ......... ~ .... . I hereby affirm that there Is a construction lending agency for the performance of the work for which this .-.i1t is iuued l&ec. 3097111 Civil Code). LENDER'S NAME_____________ LENDER'S ADDRESS ______ ----1---------------- f![ APPUCANTCERTIFICATior~r·~:-,, ......... ,... ,. =~------···---.~-~,-.-~~.;-,,_ __ w,-""...., ..• ,.,..,.,.,T:;.=il'."'"..,..,!!!'::"'.""'"""''',."'"i' ,. I cenify that I have read the application and state that the above Information is conect and thlt the lnformatllln on the plane is accurate. I agrH to comply with ell City ordinances and State laws relating to building construction. I hereby authorize representatives of a:itt of Carltbad to enter upon the above mentioned propeny for inspection purposea. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS T CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY R CONSE ENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of stnlCtl.• over 3 storias in height. EXPIRATION: Every permit Issued by the Building Official under the provisions of this Code shaH expire limitation and become null and void If the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the or work authorized by such permit is suspended or aba!ldoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Code). APPLICANT'S SIGNATURE DATE ____________ _ WHITE: FHe YELLOW: Applicant PINK: Finance