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HomeMy WebLinkAbout2283 COSMOS CT; ; CB951474; Permit(-} V-^K^l,fen BUILDING PERMI 10/31/95 10 25 Page 1 of 1 Job Address 2283 COSMOS CT Suite Permit Type INDUSTRIAL TENANT IMPROVEMENT Parcel No. 213-050-43-00 Lot* Valuation- 15,000 Occupancy Group. Reference* Description INTERIOR PARTITIONS DEMO &CONS RELOCATE LIGHTS & MOVE REGISTERS FOR Permit No Project No Development No CB951474 A9502154' 4413 1.0/31/95 0001 0.1 Or C-PRMTConstruction Type Status Applied MEC Apr/Issue Entered By NEW ISSUED 10/16/95 10/31/95 RMA Appl/Ownr DESIGN WEST BUILDERS 3328 PIRAGUA ST CARLSBAD, CA 92009 ***Fees Required *** 619-633-1734 Fees •• Collected & Credits * * ;. :-',••• . i / -- \ -' "•-. x. Fees 314, 00>- .\'v V--^ •>-- \ / °^ / • Adjustments / 0;0/'V\> ' Tot a'l- '.Credits Total Fees / 314 . 00^ 'V Total 'Payments•-• — • -•- •• • . •-.. •' . •* -. •. -% \\ ( ,.- ' i;V-/. • -Balance',. Due -\ Fee description / .••- •,;•• ;/ "''^' •:•.••••. .,:;x'Units . xF,ee/Uriit Building Permit / ,.-•-.... .;; / -.. ••••••......-,/.. '•..•". ••__.'. •' ''/ '•''..- \ Plan Check ; ,.. ' -: / •.. "" ."-/. ••' ":" ^/"' ^ '?.'. , • Strong Motion Fee: '•,{, ^ } . x ...\j ... ' , .', '. ', : ', * BUILDING TOTAL • X -• ' i /,'.."'•. Y . •'' • •'''''.". '""•"'' ' Enter "Y" for Plumbing Issu.ie-Jve.e.- >, .... ' / ' , .^ ' / Enter "Y" for Electric Issue Fee^ >', ;| ;' \.' :' -.''-• / Enter "Y" for Remodel . '" 7;T> ''''••". ' ''"''' ' 1 * ELECTRICAL TOTAL'. !' , /', "~~" '' .'...' ( - '" ' / Enter 'Y' for Mechanical ,Is,sue Fee>-, ••;'•..<.• ;i. . . . Install Furn/Ducts/Heat Puriips . > ?.r . ' 1 '• '•'. -" 9 00 \ \ '• >^L . - -~ --i ... - f \ \ !* MECHANICAL TOTAL \ '. ., / . ' . - . .' '\ •"./•/.•• .-• . . > -. . . 105 209 00 00 00 Ext fee 162 105 3 270 10 10 . 20 15 9 24 00 00 00 00 00 00 00 00 00 00 Data N Y Y Y R|4/APPROVAL INSP, 22^1—DATE CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 au- Permit No Project No. Development No 10/31/95 0001 01 02 BUILDING PERMIT 10/31/95 11 37 Page 1 of 1 Job Address 2283 COSMOS CT Suite Permit Type INDUSTRIAL TENANT IMPROVEMENT Parcel No 213-050-43-00 Lot* Valuation 15,000 Construction Occupancy Group Referenced. Status Description INTERIOR PARTITIONS DEMO &CONS Applied: • RELOCATE LIGHTS & MOVE REGISTERS FOR MEC Apr/Issue Entered By Appl/Ownr DESIGN WEST BUILDERS 619-633-1734 3328 PIRAGUA ST CARLSBAD, CA 92009 CB951474 A9502154 NEW - ISSUED 10/16/95 10/31/95 RMA *** Fees Required ******Fees .Collected & Credits * * * Fees Adjustments Total Fees Fee description 334'. 0 Oi> •-.'••.- / .00;' v' /334. oo.;" ••;•• To'tJal^Credits Total:Payments .-;Balance'. Due :\ ,:v>Units- • 'FeW/Unit 00 105 00 229 00 Ext fee Data Building Permit .•••-.,."" .< -,"•-,; -: ...-.-.: ••:'.. -.••.-.. •;._!.•*• '••-,•/ .''.'/Z* : '. -... .• \x "• .-•;- • - -. .. . . • . £-: ' sfr .. • .s =(Plan Check • ,.., ' _•- / "--x " '•' *.-.?-• '"'" ^ ^ '••• , Strong Motion Fee i \ ^ •] \ 'X /..^ f.;,' /:^.\ ', ,-; ;, ; * BUILDING TOTAL i x--- ' i ^ ,./\/^ -,f f-;/ -,/ ' ., -• "^: 1 '] '" "'" / ,' Enter "Y" for Plumbing Is'sue- ,F^e,e;. \ \,$ :j i-"]<'\<:-/; -, * PLUMBING TOTAL •. \ \ "*-: i;;-,v '; ^ /: _jj •?;•.;//.// .' Enter "Y" for Electric Issue^Fee'; v-> --M .;'/ f -.--^': / / Enter "Y" for Remodel ;"\ // $ yv,-,./ ''•--' /:- ; * ELECTRICAL TOTAL \ . •:::;(. \.^' WCORPOPATH.) ., ' ;'.,.... Enter 'Y' for Mechanical tissue' -Fee> ';;' -" r -\ "', •••••' / Install Furn/Ducts/Hea't Pump's/ >——••-_ .. ... i A ; .-9 00 * MECHANICAL TOTAL \ [' i / / / / ; ":.- , ••;; "V. . 0 ) '' - 'v-,/ " .* 162 105 3 270 20 20 10 10 20 15 9 24 00 00 00 00 00 00 00 00 00 00 00 00 Y Y Y Y CITY OF CARLSBAD 2075 Las Palmas Dr . Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Pa I mas Dr.. Carlsbad, CA 92009 (619) 438-1161 PliKMIT TYPE From List 1 (see back) give code of Permit-Type For Residential Proiects Only From Last 2 (see back) give Code of Structure-Type Net Loss/Gain of Dwelling Units PLAN CHECK NO. ^f S ' ' / EST VAL_ PLANCKI}] VALID BY DATE TZo. no 4174 10/16/95 0001 01 02 C-PRMT 105=00 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address<2ZNearest Cross Building or Suite No LEGAL DESCRIPTION Lot No .(vision Name/Number Unit No Phase No CHECK BELOW IF SUBMHTEL) D 2 Energy Gales D 2 Structural Gales C 2 Soils Report D1 Addressed Envelope DESCRIPTION OF WORK SQ FT # OF STORIES # OF BEDROOMS # OF BATHROOMS 3 IAJNTAUI FKHSUIM (.11 dirrerent from applicant; NAME (last name first)ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4 APPLICANT feKJONTKACTORU AGENT FOR CONTRACTOR U OWNER U AGENT FOR OWNER ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 6 CONTRACTOR NAME (last name >&&£(, " CITY STATE STATE LIC #CLASS DAY TELEPHONE^^3>, CITY BUSINESS LIC # to *f <•/ 11? O CIT STATE CJftr ZIP CODE DAY TELEPHON £<= 210 LIC 7 WORKERS' COMPENSATION Workers Compensation Declaration I hereby alnrm that I have a certificate or consent losclt-jnsure issuedoy the Director ol Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab C) INSURANCE COMPANY IMS POLICY NO DATE /£) - Certificate of Exemption I certify mat in the performance of the work lor which this permit is issued,] so as to become subject to the Workers' Compensation Laws of California _ _ shall not employ any person in any manner SIGNATURE DATE 8 OWNER-BUnDER DECLARATION Owner-Builder Declaration 1 hereby atrirm that 1 am exempt trom the Contractors License Law tor the tollowing reason I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intendedor offered for sale If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions Code The 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 I am exempt under Section Business and Professions Code for this reason (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing 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 [S500]) SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 Act7 D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF TI IE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNIESS THE APPLICANT IIAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POIJAJTION CONTROL DLSTRJCT 9 CONSTKUirriUN LENDING AGENCY I hereby allirm that there is a construction lending agency tor the perlormance ot the work tor which this permit is issued (Sec 3097(0 Civil Code) LENDER'S NAME LENDER'S ADDRESS 10 APPLICANT CLRIlrKATION 1 certify that I have read the application and state that the above inlormation is correct I agree to comply with all City ordinances and State laws relating to building construction I hereby authonze representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESSJFfffiTaW OF CARLSBAD AGAINST AIL LIABILITIES, JUDGMF.NTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE ACAINST $«fD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSIIA- An OSHA permit is required for exi Expiration Every permit issued by the building or work authonzcd by such such permit is suspended or abando: APPLICANTS SIGNATURE ion or construction of structures over 3 stones in height of this Code shall expire by limitation and become null and void if the from the date of such permit or if the building or work authonzcd by Ihced for a period of 180 days (Section 303(d) Uniform Building Code) DATE Apphcant PINK: Finance CITY OF CARLSBAD INSPECTION .BEQUEST PERMIT* CB951474 FOR Ol/J^/96 DESCRIPTION: INTERIOR PARTITIONS DEMO &CONS RELOCATE LIGHTS & MOVE REGISTERS FOR MEG TYPE: ITI JOB ADDRESS: 2283 COSMOS CT APPLICANT: DESIGN WEST BUILDERS PHONE: PHONE: PHONE: STE: 619-633-1734 INSPECTOR AREA PLANCK* CB951474 OCC GRP CONSTR. TYPE NEW LOT: CONTRACTOR: OWNER: REMARKS: MW/DAVID/633-1734 INSPECTOR SPECIAL INSTRUCT: FIRE DEPARTMENT HAS FINALLED TOTAL TIME: —RELATED PERMITS—PERMIT# TYPE CB890354 ELEC SE890115 SWOW CB951622 CTI STATUS EXPIRED ISSUED ISSUED CD 19 29 39 49 LVL DESCRIPTION ST Final Structural PL Final Plumbing EL Final Electrical ME Final Mechanical ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION 110395 Frame/Steel/Bolting/Welding 110395 Rough Electric 110395 Rough/Ducts/Dampers 110195 Frame/Steel/Bolting/Welding 110195 Rough Electric 110195 Underground/Under Floor ACT INSP COMMENTS AP PK CEILING AP PK CEILING AP PK CEILING AP TP 2ND FLR,ND REV WALL&BRACE AP TP WALLS 2ND FLR AP TP 4" EXT @ RM #1144115 FINAL BUILDING INSPECTION DEPT: BUILDING ENGINEERING (FIRED PLANNING U/M WATER PLAN CHECK*: ( CB95H PERMIT*: CB95±C74 PROJECT NAME: INTERIOR PARTITIONS DEMO &CONS RELOCATE LIGHTS & MOVE REGISTERS FOR MEC DATE: 01/16/96 PERMIT TYPE: ITI ADDRESS: 12283 COSMOS_CTD CONTACT PERSON/ PHONE*: MW/DAVID/633-1734 SEWER DIST: CA WATER DIST: CA INSPECTED f. BY: in.JVl^. Q INSPECTED BY: INSPECTED BY: RleiWI"Dr^ r| JAN 18 1996 jaw/ \ DATE * / INSPECTED: T/H APPROVED V DISAPPROVED DATE INSPECTED: APPROVED DISAPPROVED DATE INSPECTED: APPROVED DISAPPROVED COMMENTS : City of Carlsbad Engineering Department DATE BUILDINd ADDRESS PROJECT DESCRIPTION ASSESSOR'S PARCEL NUMBER BUILDING PLANCHECK CHECKLIST PLANCHECKNO CB Of, ~~ EST VALUE APPROVAL The item you have submitted for review has been approved The approval is based on plans, information and/or specifications provided in your submrttal, therefore any changes to these items after this date, including field modifications, 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 build I IA Right-of-Way permit is required prior to construction of the following improvements ENGINEERING DEPARTMENT DENIAL Please see the attached report of deficiencies marked with L_L Make necessary corrections to plans or specifications for compliance with applicable codes and standards Submit corrected plans and/or specifications to this office for review By.Date By.Date By.Date BY: - FOR OFFICIAL USE ONLY JN&NEERINQ AUTHORIZATION TO ISSUE BU&0ING *>£R.Mm DATE: ATTACHMENTS ENGINEERING DEPT. CONTACT PERSON I—I Dedication Application I—I Dedication Checklist I—I Improvement Application I—I Improvement Checklist I—I Future Improvement Agreement I—I Grading Permit Application LJ Grading Submrttal Checklist I—I Right of Way Permit Application I—I Right of Way Permit Submrttal Checklist and Information Sheet I—I Sewer Fee Information Sheet P \DOCS\CHKLST\BP0001 FRM NAME City of Carlsbad ADDRESS 2075 Las Palmas Dr. Carlsbad. CA 92009 PHONE (619) 438-1161. Ext A-4 REV 05/11794 2O75 Las Palmas Dr • Carlsbad, CA 92OO9-1576 • (619) 438-1161 • FAX (619) 438-O894 BUILDING PLANCHECK CHECKLIST SITE PLAN D 1 Provide a fully dimensioned site plan drawn to scale Show A North Arrow D Property Lines Easements B Existing & Proposed Structures E Easements C Existing Street Improvements F Right-of-Way Width & Adjacent Streets D 2 Show on site plan A. Drainage Patterns C Existing Topography B Existing & Proposed Slopes D 3 Include note "Surface water to be directed away from the building foundation at a 2% gradient for no less than 5' or 2/3 the distance to the property line (whichever is less) " [Per 1985 UBC 2907(d)5] On graded sites, the top of any exterior foundation shall extend above the elevation of the street gutter at point of discharge or the inlet of an approved drainage device a minimum of 12 inches plus two percent" (per 1990 UBC 2907(d)5 ) D 4 Include on title sheet A. Site address B Assessor's Parcel Number C Legal Description For commercial/industrial buildings and tenant improvement projects, include Total building square footage with the square footage for each different use, existing sewer permits showing square footage of different uses (manufacturing, warehouse, office, etc ) previously approved EXISTING PERMIT NUMBER DESCRIPTION P \DOCS\CHKLST\BP0001 FRM Page 1 Of 4 REV 05/11/94 BUILDING PLANCHECK CHECKLIST MISCELLANEOUS PERMITS 9 A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or private work adjacent to the public Right-of-Way Types of work include, but are not limited to street improvements, trees, driveways, tiemg into public storm dram, sewer and water utilities. Right-of-Way permit required for A separate Right-of-Way permit issued by the Engineering Department is required for the following D D 10 A SEWER PERMIT is required concurrent with the building permit issuance The fee is noted in the fees section on the following page D 11 INDUSTRIAL WASTE PERMIT is required Applicant must complete Industrial Waste Permit Application Form and submit for City approval prior to issuance of a Permit Industrial waste permit accepted by Date P \DOCS\CHKLST\BP0001 .FRM Page 4 Of 4 REV 05/11 /94 ENGINEERING DEPARTMENT ENGINEERING REVIEW SECTION FEE CALCULATION WORKSHEET D Estimate based on unconfirmed information from applicant ^Calculation based on building plancheck plan submrttal Address t£<^£3 ^^<^x^<L> (jrf~ Bldg Permit No Prepared by Date by / 7 EDU CALCULATIONS List types and square footages for all uses Date fP3 5 Types of Use Sq Ft/Units,EDU's Total EDU's APT CALCULATIONS List types and square footages for all uses Types of Use Sq Ft /Units ADT's Total ADT's FEES REQUIRED PUBLIC FACILITIES FEE REQUIRED X-J Y^S U NO (See Building Department for amount) WITHIN CFD D YES (no bridge 4 thoroughfare fee, D NO reduced Traffic Impact Fee) 1 PARK-IN-LIEU FEE FEE/UNIT PARK AREA. X NO UNITS 2 TRAFFIC IMPACT FEE ADT's/UNITS FEE/ADT =$ 3 BRIDGE AND THOROUGHFARE FEE ADT's/UNITS 4 FACILITIES MANAGEMENT FEE SOFT . 5 SEWER FEE PERMIT No EDU's BENEFIT AREA EDU's X FEE/ADT _ ZONE X FEE/SQ FT X FEE/EDU DRAINAGE BASIN X =$ =$ 6 DRAINAGE FEES PLDA_ ACRES FEE/EDU HIGH ./LOW FEE/AC SEWER LATERAL ($2,500 DEPOSIT) 8 WATER FEE EDU's _ A = $_ = $ FEE/EDU.=$ TOTAL OF ABOVE FEES* $ *NOTE This calculation sheet Is NOT a complete list of all foes which may b« due Dedications and Improvements may also be required with Building Permits P \DOCS\MISFORMS\BP0002 FRM REV 01/04/95 PLANNING CHECKLIST Plan Check Planner 1/fliJ ess d/ Phone 438-1161 ext. (Name)Y j «l 0) 0 Type of Project and Use . .. t Zone y f] Facilities Management Zone 5> CFD Cayolrt tire Legend £ .e fu u <-) IIIa. a. a. D D (If property in, complete SPECIAL TAX CALCULATION WORKSHEET provided by Building Department.) Item Complete Item Incomplete - Needs your action 1, 2, 3 Number in circle indicates plancheck number where deficiency was identified Environmental Review Required: YES NO p\ TYPE DATE OF COMPLETION- izraiD Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval Discretionary Action Required: YES NO !X TYPE DATE:APPROVAL/RESO. NO. PROJECT NO. OTHER RELATED CASES: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval D California Coastal Commission Permit Required: YES NQA DATE OF APPROVAL: San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA. 92108-1725 (619) 521-8036 Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval &U[ DD D 1D n E^DI DDD Inclusionaiy Housing Fee required: YES NO XL (Effective date of Inclusionary Housing Ordinance - May 21, 1993.) Site Plan: Zoning: Provide a fully dimensioned site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensioned setbacks and existing topographical lines Provide legal description of property, and assessor's parcel number Setbacks- >' {.njU f Front: F^T^P^ Int. Side. 'filMr street Side: Rear: *vj <-^ 2. Lot coverage: f[C/ 3. Height: 4. Parking: Additional Comments Required Required Required Required Required Required Spaces Required Guest Spaces Required Shown Shown Shown Shown Shown Shown Shown ~l & Shown OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE PLNCK.FRM Hazardous Materials 3&<-~SAN DIEGO REGIONAL no H HAZARDOUS MATERIALS QUESTIONNAIRE Management Division Business Name Mailing Address ' Site Address NO OKU U^tWlQ/ COUNTY OF SAN DIICO Contact Person (J Telephone City State Zip C-/ps/)Jyi&i? £ /Q 7 J- 00 f City State Zip Plan File* Plan File* PART I FIRE DEPARTMENT - HAZARDOUS MATERIALS MANAGEMENT DIVISION OCCUPANCY CLASSIFICATION 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 1 Explosive or Blasting Agents 4 Flammable Solids 2 Compressed Gases 5 Organic Peroxides 3 Flammable or Combustible Liquids 6 Oxidizers 7 Pyrophoncs 10 Cryogenics 8 Unstable Reactives 11 Highly Toxic or Toxic Materials 9 Water Reactives 12 Radioactives 1 3 Corrosives 14 Other Health Hazards PART II COUNTY OF SAN DIEGO HEALTH DEPARTMENT - HAZARDOUS MATERIALS MANAGEMENT DIVISION CONTINGENCY PLAN REVIEW \\ the answer to any o\ the questions is yes, applicant must contact the County o\ San Diego Hazardous Materials Management Division, 1255 Imperial Avenue, 3rd Floor, San Diego, CA 92186-5261 Telephone (619) 338-2222 prior to the issuance of a building permit FEES MAY BE REQUIRED Yes No 1 FA" I Is your business listed on the reverse side of this form? 2 ~TT "' Will your business dispose of Hazardous Substances or Medical Waste in any amount? 3 1 [~]P* Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons. 500 pounds, 200 cubic feet or carcinogens/reproductive toxins in any quantity? 4 I I fjjf) Will your business use an existing or install an underground storage tank? 5 1 1 rH Will your business store or handle Acutely Hazardous Materials? PART III SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT OFFICE USE ONLY | [ RMPP Exempt / Date Initials | | RMPP Required / Date Initials | | RMPP Completed , Date Initials If the answer to any of the questions is yes, applicant must contact the Air Pollution Control District, 9150 Chesapeake Drive, San Diego, CA 92123 Telephone (619) 694-3307 prior to the issuance of a building permit YES NO 1 I I r^l Will the intended occupant install or use any of the equipment listed on the Listing of Air Pollution Control District Permit Categories, on the reverse side of this form? 2 | 1 r-Tg*] (ANSWER ONLY IF QUESTION 1 IS YES ) Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12) as listed in the current Directory of School and Community College Districts, published by the San Diego County Office of Education and the current California Private School Directory, compiled in accordance with provisions of Education Code Section 33190? Briefly describe nature of the intended business activity T - Name of Owner or Authorized Agent Signature of Owner or Authorized Agent I declare udeferjjenaljy of perjury that to the best of my knowledge and belief the responses made herein are true and correct J^^^ , CT"* ,<li^^^LSTS&'G? ___Date Do not write below this hne FIRE DEPARTMENT OCCUPANCY CLASSIFICATION BY Date EXEMPT FROM PERMIT REQUIREMENTS COUNTY-HMMD APCD APPROVED FOR OCCUPANCY MD APCD APPROVED FOR BUILDING PERMIT BUT NOT OCCUPANCY APCD SIGNATURE 10 fa County of San DiegoEnvironmental Health Services DHS HM-9171 (6/92) • NEW IMAGE INDUSTRIES INC MEMORANDUM Date 10/16/95 To Hazardous Materials Management Division/ Air Pollution Control District CC Janet Morris, Director Human Resourcesis ./ / ' nazaruuus waienais uuesuurinaire Supplement The purpose of this memo is to act as a supplement to the Hazardous Materials Questionnaire which has been submitted It is intended to more fully describe the nature of New Image's business and how this may relate to the material usage issues requested New Image is primarily a repackager of commercially available electronic products (i e Monitors, Cameras, Printers, etc) We do assemble a small optical hand piece which consists of metal and glass components which are bonded in place Small quantities of cleaning agents and epoxy are used in this process Additionally, we assemble a light source cabinet for a fiberoptic system which compliments our product line This process requires some hand soldering All chemicals which are flammable are stored in a fireproof cabinet No quantity of any specific chemical exceeds two gallons at any one time ES/es 32961 Calle Perfecto San Juan Capistrano, CA 92675 (714) 248-9538 Fax (714) 248-5724 10/17/95 10 11 12 35 ©619 431 7656NEU1 IMftSE INDUSTRIES DUSINESS R E » G1943176S6 NO 1002/006Ul New Image Industries Inc.San Juan Capistrano Ca.August 25, 1995 CHEMICAL INVENTORY******************Storage Locations1 Stock Room Flam.Locker 2. Prod..Floor Flam.Locker3 Chemical Storage Locker4 RefrigeratorApprox .StorageQuantity l) 2) 3) 4) 5) 6) 7) 8) 9) Diehloro— MethaneCMethalene Chloride) Acetone Cyano- Aery late(Prism 4O3) Optical Adhesive(Norland 61) Optical Adhesive(Norland 68) Optical Adhesive(Norland Bl) Xsopropal Alcohol Ethyl Alcohol(Anhydrol ) Black Pigment Gallon Gallon Ounce Ounce Ounce Ounce Gallon Gallon Pint ContainerType Glass Metal Plastic Plastic Plastic Plastic Metal Metal Plastic Hazard StorageType Location Health Fire None None None None Fire Fire Health l 1 4 4 4 4 1 1 3 2 2 2 2 (Copper Chromite) 10) Catalyst Type F .(Dow Corning) 11) Silicon* Rubber(3112 RTV) 12) Sili cone Primer (Dow Corning 12O1 ) 13) Inst. Disinfectant(Omni II) 14) Disinfectant 15) Aluma Black A14 Pint Pint Pint Pint Pint Pint Plastic Health 3 Plastic Health 3 Glass Health 3 Plastic Health 2 Plastic Health 2 Metal Health OCT \7 95 (TUE) 1O O9 COMMUNICATION NT r, -71 10/17/95 10 11 ^619 431 7656 BUSINESS R E08/25/95 12 36 NEU IMAGE INDUSTRIES •* 619431YS56 003/006 16) Screw Adhesive(LocTite 242) 17) Teflon Grease(Magnalube) IB) vacuum Grease(Dow Corning-) 19) Epoacy Patch(9340 Gray) 20) Hi Temp Catalyst (Pura Pot 4538) 21) Hx Temp Res in (Dura Pot 453B) 22) Cleaning Compound(Cidex Plus) 23) COE Sterile 24) APC Cleaner 25) Electrolyte(Formula MSCl) 26) Electrolyte(Formula MSC4) 27) Screw Adhesive(Perma Loc) 28) Spray Paint(Uline) 29) Spray Paxnt(Krylon) 30) Spray Paint(Rust Oleum) 31) Liquid Plastic (Varithane) 32) Adhesive(3M # 78) -• 33)(3M # 90) (2) Ounce Ounce Pint Pint Pint Pint Gallon Gallon Gallon Gallon Gallon Ounce Pint Pint Pint Pxnt Pint Pint Plastic Tube Tube Metal Tube Tube Plastic Plastic Plastic Plastic Plastic Plastic Metal(Aerosol ) Metal( Aerosol ) Metal(Aerosol) Metal(Aerosol) Metal(Aerosol ) Metal(Aerosol ) None None None Health Health Health Health Health Health Health Health None Health Health Health Health Health Health 3 3 3 3 3 3 1 2 2 2 2 2 3 1 2 1 2 1 2 1 2 1 2 1 2 ^ ("MUTUjfT TKT T / 10/17/95 10 12 -QeiS 431 7656 BUSINESS R E12 3& IIEW IMAGE INDUSTRIES - 619431V&56 N0..1O04/00641 34) Lubricant (WD-40) 35) Ferra-G Chloride 36) Caustic Soda. 37) Nail Polish(Acrylic Enamel) 36) Epoxy 5 Minute 39) Epoxy 2 Ton 40) Adhesive (97O Ceramic) 41) Paint Resin (# 63975) 42) Paint Catalyst (# 63975) 43) Graphite Lubricant(Crown # 8O78) 44) Plux Remover (Safe- Zone) 45) Heat Sink Compound. (GCE Silicone) 46) Clear( Permatex ) 47) Rust Solvent(Navel Jelly) 48) Plastxc Dip 49 ) Touch Up Paint(Black) 50) Stripping Power 51) Ethylene Glycol 52) Dioxygan Peroxide (3) Pint Gallon Gallon Ounce Ounce Ounce Ounce Pint Pint Pint Pint Ounce Ounce Pint Pint Pint Gallon Gallon Gallon Metal (Aerosol) Glass Plastic Glass Plastic Tube Metal Plastic Plastic Metal(Aerosol ) Metal(Aerosol ) Metal Tube Plastic Plastic Glass Plastic Plastic •Plastic Health Health Health None Health Health Health Health Health Health Health Health Health Health Health Health Health Health Health 1 2 1 2 1 2 3 3 3 3 3 3 2 2 2 2 2 2 2 2 2 2 T TKT T r- A T T /-»*.T 10/17/95 00^25/95 10 12 12.37 431 7656 BUSINESS R E NEW IMOGE INDUSTRIES -» 619431V656 121005/006NO/S41 GX35 53) 54) 55) 56) 57) 58) 59) 6O) 61) 62) 63) 64) 65) 66) Solvent (Si Sulxa Sol) Muriatic Acid. Solder Flux (Kester) Drain. Opener(Plumbers Brand) Kerosene Tr i cfaloroethane Cleaner MS26O( Mil ler-Stephenson ) Epoxy Resin (SA-1873) Epoxy Catalyst(SB-1873) Cutting Oil(Helton A9) Grease C Ultra-Lube) Wood Putty(DAP) PVC Adhesive(Oatly # 30780) Spray Paint (4) Gal Ion Gallon. Gallon Quart Gallon Gallon Pint Quart Quart Pint Pint Pint Ounce Pint Plastic Plastic Plastic Plastic Plastic Metal Metal(AeroSol ) Metal Metal Metal Tube Metal Metal Metal Health Health Health Health Fire/Hea. Fire/Hea. Health Health Health Health Health None Fire Health 2 2 3 2 2 2 2 2 2 2 3 3 3 3 3(Tru-Test UX-2) 67) Polyuarethane Enamel Ounce(Dupont ) 68) Enamel Activator Pint(Dupont 192S) 69) Paint, Gray Pint (Dupont) (Aerosol) Metal Metal Fire/Hea. 3(Aerosol) Metal Fire/Hea. 3 OCT 1 7 ITUE) 1 O 1O COMMUNICATION No 21 10/17/95 08/25/95 10 12 12-37 431 7656 BUSINESS R E.NEW IPWGE INDUSTRIES -* 6194317656 NO.:1006/006 70) Paint Hardener (Dupont 792S) 71) Paint: Additive (Dupont 259S) 72) Acrylic Lacquer (R-M AT190) 73) Spray Paint(Tru-Test UX-46) 74) Paint, Yellow ( Dupont ) 75) Clear Varnisn(Carver Tripp) 76) Paint Enamel (Simi Gloss) 77) Cleaner, Autoclave (Schein) 78) X-Ray . (5) Ounca Metal Fire/Hea. 3 Pint Pint Pint Quart Quart Metal Fire/Hea. 3 Metal Fire/Hea 3 Fire/Hea. 3 Fire/Hea. 3 Fire/Hea. 3 Gallon Metal Fir/Hea. 3 Quart Plastic Fire/Hea. 3 Metal (Aerosol) Metal Metal Souroff) 79) Lead/Acid Battera.es(Fork Lift.) (Only when Lead in use) n/a FactoryCShp/Rec) HealtWFlammable Health Eng. Lab Shp/Rec. OCT 1 7 (TUE) 1O 11 COMMUNICATION No •> 1 CHAPO&HALL ARCHITECTS 777 South Highway 101, Suite 210 Solatia Beach, California 92075 Gene Chapo Architect (619) 481 7446 F (619) 481 8034 Stephen W Hall Architect (619)9431915 F (619) 943 8248 David Burks DESIGN WEST BUILDERS By Hand November 1,1995 re NEW IMAGE INDUSTRIES 2283 COSMOS COURT CARLSBAD, CA Dear David Please find attached revised wall details for the referenced project I have noted the changes on the Owner copy of the permit sets and stamped the details If you have any questions, please do not hesitate to call Stephen W Hall G EXISTING BUILDING STRUCTURE 3 5/8° METAL STUD BRACING AT 4' 0 C STAGGER EACH SIDE OF WALL 2 BRACES MINIMUM AT EACH WALL OVER 10' LONG SUSPENDED CEILING 6" METAL TOP TRACK 5/8" DRYWALL EACH SIDE -3 5/8" METAL STUDS AT 24° OC STAGGERED EACH SIDE OF WALL OFFSET 12" EACH SIDE OF WALL 6" METAL BOTTOM TRACK • POWER DRIVEN PINS (ICBO No 1639) INTO (E) SLAB AT 36" 0 C U 0 N -EXISTING SLAB METAL STUDS AT SUSPENDED CEIUNGpAmnn NOT TO SCALE 05002-16 C.I1 l-i^l-/ Wblti-ll1\?WALL w/ STAGGERED STUDS -EXISTING BUILDING STRUCTURE -3 5/8° METAL STUD BRACING AT 4' 0 C STAGGER EACH SIDE OF WALL 2 BRACES MINIMUM AT EACH WALL OVER 10' LONG -SUSPENDED CEILING -5/8" DRYWALL EACH SIDE -METAL STUDS PER PLAN POWER DRIVEN PINS (ICBO No 1639) INTO (E) SLAB AT 36" 0 C U 0 N EXISTING SLAB METAL STUDS AT SUSPENDED CEILINGPARTmON WALL NOT TO SCALE 05002-1 I', J1 i. J! ' i IV City of Carlsbad Building Department WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations. I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by section 3700 of the Labor Code, for the performance of the work for which this permit is issued I have and will maintain workers' compensation, as required by section 3700 B. of the Labor Code, for the performance of the work for which this permit is issued My workers' compensation insurance carrier and policy number are. INSURANCE COMPANY POLICY NO EXPIRATION DATE (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) I certify that in the performanceojLtfie work for which this permit is issued, I shall not employ any persorMnanyymanner so as to become subject to the wm C. workers compensation laws of California. Signature Date Warning. Failure to secure workers' compensation coverage is unlawful, and shall be subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, Interest and attorney's fees. March 3, 1995 2O75 Las Palmas Dr • Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-O894 - 0 *3 X ^" i~~ $fc?r^^L5 ,^__£JQ <5^ ^ 63 Or«lw.« *=hfl w3 05 _ill S= S w 2 2 S3 <0 C .£- O fl>CD o. iu u. O X ofeo \ -tJ^ «" ^(J~v IAH \ S5- ^\ ^O —• •O