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HomeMy WebLinkAbout2470 FARADAY AVE | 6200 EL CAMINO REAL; ; CB101309; Permit,City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-29-2010 Commercial/Industrial Permit Permit No: CB101309 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2470 FARADAY AV CBAD Tl Sub Type: AFP Lot#: 0 Status: Valuation: 2090412600 $0.00 Construction Type: 5A AFP09001 Applied: Occupancy Group: Reference #: Project Title: BECKMAN COULTER Plan Approved: REMODEL EXISITING MANUFACTURING AREA Issued: Applicant: SMITH CONSULTING ARCHITECTS STE 200 12220 EL CAMINO REAL SAN DIEGO CA 92121 (858) 793-4777 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD#3 Fee Renewal Fee Add'! Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'! Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee Fire Expedited Plan Review $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 $0.00 Inspect Area: Plan Check#: Owner: BECKMAN COULTER INC 250 S KRAEMER BLVD BREA CA 92821 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFO Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees HMP Fee TOTAL PERMIT FEES ISSUED 07/15/2010 Entered By: 07/16/2010 07/16/2010 PD Total Fees: $0.00 Total Payments To Date: $0.00 Balance Due: MOP $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($1.00) ?? $0.00 $0.00 Inspector: FINA~_P~?VAL Date: ;;;,-: (0 Clearance: ------ NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. «~ Building 'Permit Application Plan Check No./(')· l3CJ9 ~ CITY 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value OF 760-602-2717 I 2718 / 2719 CARLSBAD Fax 760-602-8558 Plan Ck. DErposit r www.carlsbadca.gov Date ·7/ I~ 1/'C) I JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN l 2470 Faraday Avenue 209 -04 -20 - CT/PROJECT# ILOT# I PHASE# r OF UNITS r BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I coNsTR. TYPE I acc. GROUP Beckman Coulter 111-B F1 DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Remodel of existing manufacturing space (F1) which will remain (F1) space. Includes demolition of existing walls and ceiling grid. Installing new walls, ceiling grid, misc. electrical modifications and duct rework to accommodate revised room layout. At--11-11A 0-l-l?6!11tl"[:lh Ct!O:O't I i EXISTING USE I PROPOSED USE ! I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS F1 -Manufacturing F1 -Manufacturo YESO. No0 YES0No0 YES0NoD CONTACT NAME /If Different Fom Applicant) N d H k II S . h C A CO e as e -mat on. r APPLICANT NAME Smith consulting Architects ADDRESS ADDRESS 12220 El Camino Real, Ste 200 12220 El Camino Real, Ste 200 CITY STATE ZIP CITY STATE ZIP San Dieqo CA 92130 San Dieqo CA 92130 PHONE IFAX PHONE IFAX 858-793-4777 858-793-4787 858-793-4777 858-793-4787 EMAIL EMAIL nedh@sca-sd.com nedh@sca-sd.com PROPERTY OWNER NAME Beckman Coulter CONTRACTOR BUS. NAME Good and Roberts ADDRESS ADDRESS 2470 Faraday Avenue 1330 Park Center Drive CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Vista CA 92081 PHONE IFAX PHONE /FAX 760-438-6313 760-438-6504 760-598-7614 760-598-7659 EMAIL EMAIL DJTaniguchi@beckman.com KSergent@GoodandRoberts.com ARCH/DESIGNER NAME & ADDRESS 15TATELIC11701 STATE UC.#_., I CLASS rTY;Us/: c--r1h-~ Smith consultina Architects J f,] "'>~ / (Sec, 7031.5 Business ~nd Profes~ions Code: Any City or Cqun_ty which requires a permit to.c.onstruct, alter, improve, demolish or re air any structure, P,rior t9 its 1ssyan~. a!M'n!'qu1res the applicant for such permit to file a signed statement that he Is licensed pursuant to the provIsIons of the Contractor's License Law !C~apter 9, commendmgwIth 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)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: D 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. '~ave and will maintain worke;_;,;.compensation, <jS required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensati_on insurance crier and policy 7J... number are: Insurance Co /11 "t J ti} t C do f4 / q /J tC C:::: Policy No. C.. 'Z&o f/d £/3 ?O Z Expiration Date / <!> " 0 -co/0 .? 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 any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' com_p~~o~yage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, dam a r~~ <!lion 3706 of the Labor code, interest and attorney's fees. J/5 CONTRACTORSIGNATURE ___ ,,,,,,,y ·· QAGENT DATE -b-0 I hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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 improvemenls 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 D I, as owner of the property, am exclusively contracting with licensed contraclors to construcl 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). I am exempt under Seclion ____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and malerials for construction of the proposed property improvement. 0Yes 0No 2. I (have/ have not} signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm} to provide the proposed construction (include name address I phone/ conlractors' license number}: 4. I plan to provide portions of the work, but I have hired the following person lo coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number}: 5. I will provide some of the work, but I have contracted (hired} the following persons to provide the work indicated (include name/ address I phone/ type of work}: J/5 PROPERTY OWNER SIGNATURE OAGENT DATE . <s0mi@t:1mw t?ooo~ 0@<3tio0ro C10m ~0ro~rnoo0@rooo~n, 0©oi:10oro@ @@mooov~ 0roo.t1 Is the applicant or future building occupant required to submit a business0 , 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 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a0ality management district? 0Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0Yes v No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 130ro0um©@u-o®ro 11@ro0oro© ~©&ro<W I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address ~@@C1O<36lIDl1 <3@C&u'OC1O<36) u"O0ffi ,' I certify that I have read the application and state that the above information is correctandthatthe information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE 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 permitissued 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 180 days from the date of such permit or if the building or work au h rized by such permitis suspended or abandoned at anytime after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code), /DAPPLICANT'SSIGNATURE ~~A DATE l //t:1-; 1/() ~ , City of Carlsbad Bldg Inspection Request For: 09/28/2010 Permit# CB101309 Inspector Assignment: PD Title: BECKMAN COULTER Description: REMODEL EXISITING MANUFACTURING AREA Type:TI Job Address: Suite: Location: Sub Type: AFP 2470 FARADAY AV Lot: O OWNER BECKMAN COULTER INC Owner: BECKMAN COULTER INC Remarks: Total Time: Requested By: N/A Entered By: KATHY CD Description Act Comments 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# PCR09085 WITHDRAW BECKMAN: CHANGES TO PADS FOR; HEAT EXCHANGER & WATER TANK SW090006 ISSUED BECKMAN COULTER; DOCK ADDITION & PARKING LOT EXPANSION lns12ection Histoty Date Description Act lnsp Comments 08/19/2010 84 Rough Combo AP PD CEILING 08/05/2010 17 Interior Lath/Drywall AP PD 08/05/2010 44 Rough/Ducts/Dampers WC PD 08/05/2010 84 Rough Combo AP PD CEILING OK -PENDING FIRE OK 08/04/2010 84 Rough Combo CA PD 07/29/2010 14 Frame/Steel/Bolting/Welding AP TP WALLS RM252 07/29/2010 21 Underground/Under Floor WC TP 07/29/2010 24 Rough/Topout AP TP RM250 07/29/2010 34 Rough Electric AP TP 07/28/2010 21 Underground/Under Floor AP TP 07/27/2010 17 Interior Lath/Drywall AP TP SEE CARD FOR LOC 07/26/2010 14 Frame/Steel/Bolting/Welding AP PD WALLS/ PARTIAL CilY of Carlsbad ~" · Final Buildlng Inspection . y Dept: Building Engineering Planning CMWD St Lit~ Plan Check#: ~ 09/28/201 o Permit#: CB101309 PermitType: Tl Project Name: BECKMAN COULTER Sub Type: AFP REMODEL EXISITING MANUFACTURING AREA Address: 2470 FARADAY AV Lot: 0 Contact Person: N/A Phone: 7608010701 Sewer Dist: CA Water Dist: CA ......................................................................................................................................................... lnspec~d Date Qi 1 h n / /,-, By: G,{)27\~ lnspected:~Approved: __ Disapproved: __ Inspected ()_ Date By: __________ Inspected: ______ Approved: ___ Disapproved: __ Inspected Date By: __________ Inspected: _____ Approved: ___ Disapproved: __ II II I I I I 11 I JI I 111 I I I I Ill I I I I I I I I I l Ill ll l Ill I I I Ill Ill lllll Ill l I Ill lll ll I I 111111 llllllll lll llll 1111 l 11 I I I I l I 1111 I I I II I 11 II I II l l I 11 l l I l I 111 I llll I lllll Ill llll I Comments: ------------------------------- ,. . ' SHEET t I ( GSSINO._-__ _ Structural Engineers DATE_'t(_.__1 =' __ Sc,,,. r~ ; I{ ..:i. ~ls:. c....s ~ , ,:)_ f4._ M-r&,.of o l.c.~ l~t..O :. "$ p~~ ~'-.....,. b • C =-'1c. \.½ Wt-1 / "t "'~ ~~ ~ ( I 'l..;_ ,-_. ,,,h /2..E. (ti) 1-,..tf 1-\ N ~~ ~\ ~\ob ~* ~l~ ~·t,.-:.--I~ /'>e° u.,.~ ... 1o,~. _, H0 , 'J,;.. ....,.._ 4 ~ 1,.17 '"( > 'ltr-o ft--,,,. H~\ ;:: '( <t4:, +-'t-L \,,is~ Lf'{ .-:, f; S'Si:=- ~ ~, ~--f .fte...t,.\~.,J.:.. ~CJ:..~e,.._;~fro'"'-1.c.,~~ l,.J.11-0,.,.) \£>,-..f) e_ ~ .... c.. _, Material CAS# lsopropanol 67-63-0 Premoistened Alcohol / BECK-10-005 DI Clean Wipes AlcoSCRUB Foam BECK-10-002 Spill Scenario: Evaportation Time -Worst Case Definitions: Calculations 25% LFL: BECKMAN COULTER -SPECIAL FILL ROOM CFM Required for Vapor-Air Mixtures @ </=25% LFL in Exhaust Ducts Volumes of Cubic Feet of Exhaust CFM to Keep LFL 25% of LFL Airto One Specific Vapor Ventilation Air Needed to Evaporation Rate Evaporated Liquid at Location Used Volume of Gravity Density* Keep @25% LFL Per Gal galls 25% LFL if All of the Vapor of Liquid Evaporated Liquid is Evaporated 2.5 0.6250 159.0000 0.785 2.079 6542.1953 0.0005 196.2659 Special Fill Room -L TG and IMMAGE Consumable 2.5 0.6250 159.0000 0.86 2.079 7167.2458 0.0005 215.0174 Special Fill Room -LTG and IMMAGE Consumable 3.3 0.8250 120.2121 0.886 1.594 7236.0518 0.0005 ;217.0~16 Special Fill Room -L TG and IMMAGE Consumable Based on largest liquid transfer amount or largest containers, whichever is less -worst case use-open conditions. Hood Face Velocity: >/=100 fpm Spill Depth: </=1/4" Temperature: </=72oF Evaporation Rate: </=0.0005 gin/sec CFM -Cubic Feet of Exhaust Ventilation Needed to Keep Vapors @ 10% & 25% LFL per Volume of Liquid Indicated LFL = Lower Flammable Limit Reference: NFPA Fire Protection Handbook & NFPA 86 25% of LFL = 0.25xLFL Volume of Air to One Volume of Vapor = (100-25%LFL)/25%LFL Cubic Feet Exhaust Ventilation Needed to Keep @ 25%LFL Gallon of Liquid Evaporated = 4x[(8.33/0.075)]x[(specific gravity/vapor density)] x [(100-LFL)/LFL] CFM = [Cubic Feet per Minute Exhaust Ventilation Needed to Keep @ 25% LFL Per Gallon of Liquid Evaporated] x [Gallons per Minute of Evaporated Liquid] Maintaining vapors at </=25% LFL required in work areas and allows ducts to extend through other areas. " «~ ~ CITY OF CARLSBAD STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov I am applying to the City of Carlsbad for the following type(s) of construction permit: D Building Permit D Right-of-Way Permit D My project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types: Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler Water Discharge ti. My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because I ' it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tier 1 -Low Threat Assessment Criteria D My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 -Moderate Threat Assessment Criteria D My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Tier 3 -Significant Threat Assessment Criteria CJ My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or CJ My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, CJ My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). I certify to the best of my knowledge that the above checked statements are true and correct. I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards. Project Address: Assessor Parcel No. *The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. B-24 Owner/Owner's Authorized Agent N me: Ci~rrence: /t;fYES ONO Page 1 of 1 Title: Date: 7/;J/10 Project ID: c6 (O· 3o Rev.03/09 GOOD & ROBERTS, INC. GENERAL CONTRACTOR, SINCE 1979 1330 Park Center Drive• VISTA, CA 92081-8300 • 760.598.7614 FAX: 598.7659 City of Carlsbad 405 Oak Avenue Carlsbad, CA 92008 www.goodandroberts.com CA Lie. #377551 The undersigned hereby authorizes Eric Moody to act as our representative for all necessary paperwork required by the City of Carlsbad Building Department in regard to Beckman Coulter 2470 Faraday Avenue Carlsbad, CA 92010 This authorization shall be valid from the date set below and you may rely on this authorization in connection with all dealings you may have with Eric Moody regarding the above referenced matter. Date of Authorization: July 15, 2010 Authorized by: ~~ Executive Vice President Good & Roberts, Inc. Business N<?me SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE Business Contact Telephone# D U.h 7~ State C'A Zip Code q 2CJC) City State 0:'.J. Project Contact VOUG UC\-\- OFFICE USE ONLY UPFP# ______ _ HV# _______ _ BP DATE _ _..._~--- The following questions represent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT-HAZARDOUS MATERIALS 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 5. Organic Peroxides 9. Water Reactives 13. Corrosives 2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards 3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These. 4. Flammable Solids 8. Unstable Reactives 12. Radioactives PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISIONS (HMO): If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 1255 Imperial Avenue, 316 floor, San Diego, CA 92101. Call (619) 338-2222 prior to the issuance of a building permit. FEES ARE REQUIRED. Expected Date of Occupancy: ____ / ___ ~/ __ _ YES NO 1. 00 D 2. 00 D 3. $1 D Is your business listed on the reverse side of this form? (check all that apply). Will your business dispose of Hazardous Substances or Medical Waste in any amount? 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. 5. 6. D D D ~ Will your business use an existing or install an underground storage tank? '6'J Will your business store or handle Regulated Substances (CalARP)? ~ Will your business use or install a Hazardous Waste Tank System (Title 22, Article 1 0)? 0 CalARP Exempt I Date Initials 0 CalARP Required I Date Initials 0 CalARP Complete I Date Initials PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT: If the answer to any of the questions below is yes, applicant must contact the Air Pollution Control District (APCD), 10124 Old Grove Road, San Diego, CA 92131-1649, telephone (858) 586-2600 prior to the issuance of a building or demolition permit. Note: if the answer to questions 3 or 4 is yes, applicant must also submit an asbestos notification form to the APCD at least 1 0 working days prior to commencing demolition or renovation, except demolition or renovation of residential structures of four units or less. Contact the APCD for more information. YES NO 1. D ii21 Will the subject facility or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the APCD factsheet at http://www.sdapcd.org/info/facts/permits.pdf, and the list of typical equipment requiring an APCD permit on the reverse side of this from. Contact APCD if you have any questions). 2. 3. 4. D D D i,g. (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)? (Public and private schools may be found after search of the California School Directory at http://www.cde.ca.gov/re/sd/; or contact the appropriate school district). IE Will there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos? 1¥ Will there be demolition involving the removal of a load supporting structural member? Briefly describe business activities: Briefly describe proposed project: I t4 /to Signature of Owner or Authorized Agent Date FOR OFFICIAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:~-------------------------------- BY: _______________________ _ DATE: __ ..,__/ __ ...!,/ __ _ EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMO APCO COUNTY-HMO APCO COUNTY-HMO APCO HM-9171 (04/07) County of San Diego -DER -Hazardous Materials Division INDUSTRIAL VVASTEWATER DISCHARGE PERMIT SCREENING .SURVEY Date 7 / /flt I> Busin;; Name B@L.~l\..) CDy_ L-~ StreetAddress 2470 'J:MA:i>A.:j A~ Email Address 0.!'1"".A:'N \6UCl-\-\ (2 13GC\d ).M..A~ .. C ovt..._ PLEASE CHECK HERE IF YOUR BUSINESS 1$ EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) D Check all below that ~re present at your facility: Acid Cleaning Ink Manufacturing Nutritional Supplement/ Assembly Labort;itqry Vitamin Manufacturing Automot1ve Repair Machining/ Milling Painting / Finishing Battery Manufacturing Manufacturing Paint Manufacturing Biofuel Manufacturing Membrane M,:mufa:cturing Personal Care Products Biotech Laboratory (i.e. water filter membranes) Manufacturing Bulk Chemical Storage Metal CastingJ F9rming Pesticide Manufacturing / CarWash Metal Fabrication Packaging Chemical Mam.1Jacturing Metal Finishing Pharmaceutical Manufacturing Chemical Purification Electroplating (including precursors) Dry Cleaning Electroless plating Porc~lain Enameling Electric€!I Component Anodizing Power Generation Manufacturing Coating (i.e. phosphating) Print Shop Fertili_zer Manufacturing Chemical Etching / Milling Research and Development Film / X-ray Processing Printed Circuit Board Rubber Manufacturing Food Processing Manufacturing Semiconductor Manufacturing Glass Manufacturing Metal Powders Forming Soap / Detergent Manufacturing Industrial Laundry Waste Treatment/ Storage SIC Code(s) (if known): ____________________ _ Brief descriptibn of business activities (Pr9c!uctJon I Manufacturing Opera~ions ): ____ _ f<'ew\.ona ~ leXl $1].IY--2 t.AE> :rn N:EW co!JFt~o~\ "-)t> Ci+9t~ ,w uee 7 · Description of operations genetating wastewater ( diScharged to sewer, ha1Jled or evaporated): Estimated volutne of industrial wastewater to be discharged (gal/ day): ---"'------ List hazardous wastes generated (type/ volume): .... · _____________ _ Date operation began/or will begin at this location: ______________ _ Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes No If yes, when: ___________________ _ Site Contact 'DOL.t.Gl ~~\ \ c:,uc..H: I Title._ . .;...:Ft\C-\:..=..,,L-"'-'t:n~~!,<..,2~, _____ _ Signature ____________ Phone No. 71PO -458 -(~31$ ENCi NA WAST8N ATER AUTHORITY, 6200 Avenicla Encinas Carlsqad, CA 92011 (760) 438 ... 3941 FAX, (760) 476-9852 \i~. KL..AUSBRUCKNER 4105 Sorrento Valley Blvd. ,\} AND ASSOCIATES SanDiego,CA92121 ...... ll!l!_J_, , ___ d,)(._ ... __ , __ d!Sil _______ -·--~~~·------~....,.l"'"'I \Ct 't,...,....~i,, June 1, 2010 Carlsbad Fire & Building Departments City of Carlsbad 1635 Faraday Ave. Carlsbad, CA 92008 RE: Beckman Coulter-2470 Faraday Ave. Tel: (858) 677-9878 Fax: (858) 677-9894 IMMAGE, AMPOULE, LTG-Process Relocations to Special Fill Room in Building 2 To Whom It May Concern: Attached is an updated inventory based on relocation of the IMMAGE, AMPOULE, and L TG processes to Special Fill Room, some which include moving associated chemicals from Building 1 to Building 2. This letter is to confirm that these revisions do not affect the contro I areas within the facility or any major construction as a result of hazardous materials use for that control area. Should the facility expansion or tenant improvements include moving into an area which was previously an office, the sprinkler requirements will change as follows: Design Density Required: Ordinary Hazard Group 2 0.2/1500 plus 250 gpm hose demand Additionally, exhaust calculations have been provided to maintain any flammable vapors in the room to below 25% LFL. Based on these calculations and the inventory, the Special Fill Room will require a minimum exhaust rate of218 cfm where flammable liquids are in open system use for the IMMAGE, AMPOULE, and LTG processes. If you have any questions or need additional information, do not hesitate to call at 858- 677-9878. Sincerely, [lausbruckner Fire Protection Consultant By way of my signature, we agree to the conditions stated in this letter. Beckman Coulter Check a License -Contractors State License Board Contractor's License Detail -License # 377551 & DISCLAIMER: A license status check provides information taken fr~m the CSLB license database. Before relying on this information, you should be aware of the following limitations. ··» CSLB complaint disclosure is restricted by law (B&P 7124 6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. --~> Per B&P 7071.17 , only construction related civil judgments reported to the CSLB are disclosed. -·~> Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. ··» Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number Business Information Entity: Issue Date Expire Date License Status Additional Status: Classifications: Bonding: Workers' Compensation: 377551 GOOD & ROBERTS INC 1330 PARK CENTER DRIVE VISTA, CA 92081-8300 Business Phone Number:(760) 598-7614 Corporation 07/02/1979 07/31/2011 Extract Date: 7/15/2010 This license is current and active. All informatlon below should be reviewed. CLASS C-9 B D34 DESCRIPTION DRYWALL GENERAL BUILDING CONTRACTOR PREFABRICATED EQIJ!EMENT CONTRACTOR'S BOND This license filed Contractor's Bond number 1503112 in the amount of $12,500 with the bonding company INSURANCI;;: COMPANY OF THE WEST. Effective Date: 01/01/2007 Contractor's Bonding Histo[Y. BOND OF QUALIFYING INDIVIDUAL 1. The Responsible Managing Officer (RMO) GOOD CURTIS JACK certified that he/she owns 10 percent or more of the voting stock/equity of the corporation. A bond of qualifying individual is not required. Effective Date: 01/01/1980 BQl's Bonding History This license has workers compensation insurance with the M8.,!ESTlC INSURANCk COMPANY Policy Number:C20080643502 Effective Date: 10/01/2009 Expire Date: 10/01/2010 Workers' Compensation History Personnel listed on this license (current or disassociated) are listed on other licenses. Conditions of Use I Privacy Policy Copyright© 2010 State of California Page 1 of 1 https:/ /www2.cslb.ca.gov/OnlineServices/CheckLicenseIVLicenseDetail.aspx?LicNum=3... 07/15/2010 CB101309 2470 FARADAY AV BECKMAN COULTER REMODEL_EX!SITING MANUFACTURING AREA -----. lel@2 Jm: {q/10 r \ggacs, C,, lac, /4 V J 1 , C .. 9 -ffeiiUr "89 i ) --t ;, t ii ~L ~ft,e; sf ~II 6a 1r1<ze~r 7/L<:[LD (LT'4-vv[ co"'+--"\,~~ \J fl~ ® ffC-PSl~ r(-/b-10 -I-s~~ f-/D I µJr_