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HomeMy WebLinkAbout2669 GATEWAY RD; 104; CB110587; Permit04-26-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB110587 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 2669 GATEWAY RD CBAD St: 104 Tl Sub Type: 2131912600 Lot#: $46,696.96 Construction Type: Reference #: EUOPEAN WAX CENTER: 1258 SF SHELL TO WAX CENTER COMM 0 5B Applicant: THOMAS BOUFFARD 419 MASON ST STE215 VACAVILLE 95688 707-469-7739 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: Owner: LNR CPI BRESSI RETAIL L L C C/0 LNR PROPERTY CORP 4350 VON KARMAN AVE #200 NEWPORT BEACH CA 92660 ISSUED 03/22/2011 JMA 04/26/2011 04/26/2011 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee ; BTD #2 Fee BTD#3Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'l Pot, Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee Fire Expedited Plan Review $398.85 Meter Size $0.00 Add'l Reel. Water Con. Fee $259.25 Meter Fee $0.00 SDCWA Fee $0.00 CFD Payoff Fee $9.81 PFF (3105540) $0.00 PFF (4305540) $0.00 License Tax (3104193) $0.00 License Tax (4304193) $0.00 Traffic Impact Fee (3105541) $0.00 Traffic Impact Fee (4305541) $0.00 PLUMBING TOTAL $0.00 ELECTRICAL TOTAL $0.00 MECHANICAL TOTAL $0.00 Master Drainage Fee Sewer Fee $0.00 Redev Parking Fee $0.00 Additional Fees $1.00 HMPFee $497.50 TOTAL PERMIT FEES $0.00 $0.00 $0.00 $0.00 $849.88 $0.00 $0.00 $0.00 $0.00 $0.00 $34.00 $20.00 $24.00 $0.00 $0.00 $0.00 $0.00 $2,094.29 Total Fees:$2,094.29 Total Payments To Date:$2,094.29 Balance Due:$0.00 Inspector: FINAL APPROVAL Date: tf ' M" f f Clearance: NOTICE: Please take NOTICE thai 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 66Q20(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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. C !TY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www.carlsbadca.gov Plan Check No.£D£> 1 I OS^7 Est. Value <-{£?, Plan Ck. Deposit (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 theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: IJI 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 carrier and policyLJrHiave and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the worMor whjch this permit is issued. My workers' compensaUonyisurantfe carrfc number are: Insurance Co -• ij«AT?Ai£?pg : C*l3OTS Policy No. ^QOfclTOG^ •—2.O \ O Expiration Date -''.: f '. IT: • 12.O^—* ^ =•• • i i This section need not be completed if the permit is for one hundred dollars ($100) or less. | | Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject 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 thousand dollars (&100,000), in addition to the cost of compensation, damagesjs provided forHlJSection 3706 of the Labor code, Interest and attorney's fees. >eS" CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following 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 intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). | | I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The 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 Section a : ^Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. I lYes I JNo 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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 / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE QAGENT DATE 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? I I Yes I iNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or ainjuality management district? I lYes LI No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I lYes I I No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPAN EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 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 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 OSHA: An OSHA permit is required for excavations over SO 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 180 days from the date of such permit or if the riiildingfflji«lwuthgrJ2e*teuc^^^ or abandoned at anytime after-the work is commenced for a period of 180 days (Section 105.4.4 Uniform Building Code). .^APPLICANT'S SIGNATURE / ^^^^^>-<^/ ^^^ DATE jLL City of Carlsbad Bldg Inspection Request For: 06/10/2011 Permit* CB110587 Title: EUOPEAN WAX CENTER: 1258 SF Description: SHELL TO WAX CENTER Inspector Assignment: MC Type:TI Sub Type: COMM Job Address: 2669 GATEWAY RD Suite: 104 Lot: 0 Location: OWNER LNR CPI BRESSI RETAIL L L C Owner: Remarks: mid day inspection please Needs Fri Phone: 6198403409 Inspector^ Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By: BILL Entered By: CHRISTINE Act Comments Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description 05/25/2011 14 Frame/Steel/Bolting/Welding 05/25/2011 14 Frame/Steel/Bolting/Welding 05/25/2011 24 Rough/Topout 05/25/2011 34 Rough Electric 05/25/2011 44 Rough/Ducts/Dampers 05/25/2011 303 Overhead Visual 05/13/2011 17 Interior Lath/Drywall 05/09/2011 14 Frame/Steel/Bolting/Welding 05/09/2011 34 Rough Electric 05/09/2011 44 Rough/Ducts/Dampers 05/05/2011 14 Frame/Steel/Bolting/Welding 05/05/2011 21 Underground/Under Floor 05/05/2011 31 Underground/Conduit-Wiring Act Insp Comments CO MC 1ST STOP NOT READY AP MC 2ND STOP, T-BAR AP MC AP MC T-BAR AP MC CPL DF AP PD PA MC WALLS & HARD LID ONLY PA MC PA MC DROPS TO HARD LID AREAS ONLY CO MC JOISTS IN LOBBY NOT PER PLAN WC MC AP MC CONDUIT ONLY FOR FLOOR RECEPTACLES EsGil Corporation In (Partnership with government for (Building Safety DATE: 4/21/11 JURISDICTION: City of Carlsbad a PLAN REVIEWER a FILE PLAN CHECK NO.: 11-0587 SET: II PROJECT ADDRESS: 2669 Gateway Rd Suite 104 PROJECT NAME: European Wax Center - TI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. X] 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. 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. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. I I The applicant's copy of the check list has been sent to: AJ Esgil Corporation staff did not advise the applicant that the plan check has been completed. Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Email: Fax #: Mail Telephone Fax In Person X] REMARKS: Applicant to add note in red on sheet A3 to City held set By: Doug Moody Enclosures: EsGil Corporationn GA n EJ n PC 4/u/n 9320 Chesapeake Drive, Suite 208 4 San Diego, California 92123 + (858)560-1468 4 Fax (858) 560-1576 EsGil Corporation In <Partnership with government for <Buifd*ing Safety DATE: 3/31/11 a APPtl^ANT JURISDICTION: City of Carlsbad a PLAN REVIEWER a FILE PLAN CHECK NO.: 11-0587 SET: I PROJECT ADDRESS: 2669 Gateway Rd Suite 104 PROJECT NAME: European Wax Center - TI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. 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. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. ,X] The applicant's copy of the check list has been sent to: TB Architects / Thomas Bouffard 419 Mason Street Suite 215, Vacaville, CA 95688 Esgil Corporation staff did not advise the applicant that the plan check has been completed. XI Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Thomas Bouffard G H) Telephone #: 707-469-7739 Date contacted:3/3i In (by: f*-) Email: Fax #: 707-469-6204 Mail Telephone-^ Fax1—- In Person REMARKS: By: Doug Moody Enclosures: EsGil Corporationn GA n EJ n PC 3/24/11 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 4 (858)560-1468 + Fax (858) 560-1576 City of Carlsbad 3/31/11 11-O587 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: 11-0587 OCCUPANCY: B TYPE OF CONSTRUCTION: VB ALLOWABLE FLOOR AREA: SPRINKLERS?: YES REMARKS: DATE PLANS RECEIVED BY JURISDICTION: DATE INITIAL PLAN REVIEW COMPLETED: 3/31/11 JURISDICTION: City of Carlsbad USE: Salon ACTUAL AREA: 1258sf STORIES: 1 HEIGHT: OCCUPANT LOAD: 18 DATE PLANS RECEIVED BY ESGIL CORPORATION: 3/24/11 PLAN REVIEWER: Doug Moody FOREWORD (PLEASE READ): This plan review is limited to the technical requirements contained in the International 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 2010 CBC, which adopts the 2009 IBC. 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. 105.4 of the 2009 International 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. City of Carlsbad 11-0587 3/31/11 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, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-2700. 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, (858) 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. 1 . Provide a section view of the new glass interior partition. Show: a) Specify manufacturer and approval number. b) Method of attaching top and bottom plates to structure. (NOTE: Top of partition must be secured to roof or floor framing, unless suspended ceiling has been designed for partition lateral load). c) Show height of partition and suspended ceiling, and height from floor to roof framing or floor framing. 2. Provide a section view of the new hard-lid ceiling in the lobby. Show: a) Type, size and spacing of studs. Indicate gauge for metal studs. Specify manufacturer and approval number or indicate "to be ICBO approved". b) Method of attaching top to the structure and lateral bracing. c) Show height of the hard-lid ceiling from floor, hard-lid ceiling to roof framing or floor framing. 3. Please note in the general wiring notes on the plans "AC Cable is not allowed in A, B, E, H, F, M, S and I occupancies. NM cable is restricted (without City approval) to one and two family dwellings. Note on plans that an equipment ground conductor is to be installed in all flexible conduits". 4. Provide automatic shut-off controls for lighting as per Title 24, Part 6, Section 5. Please complete the LTG-1-C part 3 of 4 mandatory automatic controls portion of the LTG-1-C forms. 6. Please have the principle designer check the appropriate box(s) and complete the Statement of Compliance System Acceptance section of the LTG-1-C part 4 of 4 documents. City of Carlsbad 11-0587 3/31/11 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. 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 Q No Q The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Doug Moody at Esgil Corporation. Thank you. City of Carlsbad 11-0587 3/31/11 [DO NOT PAY-THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK NO.: 11-0587 PREPARED BY: Doug Moody DATE: 3/31/11 BUILDING ADDRESS: 2669 Gateway Rd Suite 104 BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: VB BUILDING II AREA PORTION ( Sq. Ft.) Tl Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code 1258 cb Valuation Multiplier 34.37 By Ordinance Reg. Mod. VALUE ($) 43,237 43,237 Bldg. Permit Fee by Ordinance Plan Check Fee by Ordinance Type of Review: Repetitive FeeRepeats Complete Review D Other r—I Hourly EsGil Fee Structural Only Hr. @ $379.14 $246.44 $212.32 Comments: Sheet 1 of 1 macvalue.doc + PLANNING/ENGINEERING APPROVALS PERMIT NUMBER II -58 7- ADDRESS RESIDENTIAL RESIDENTIAL ADDITION MINOR (<$17,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE ENGIN Q:\FDEng\Development 8afviC8s\Carre3pondance\OntivarasVor planchad(ing\BUILOIN6 PLANCHECK CKLIST FORM - PUNNING ENGINERING APPROVALS.docx PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB 11-0587 DATE3/22/11 ADDRESS 2669 Gateway Rd RESIDENTIAL ADDITION- MINOR (<17,000.00) RETAINING WALL VILLAGE FAIRE POOL/SPA IMPROVEMENT COMPLETE OFFICE BUILDING OTHER PLANNER ENGINEER .DATE DATE H:\ADMIN\CO«NTER/PUNNING/ENCINEERINC APPROVALS Carlsbad Fire Department Plan Review Requirements Category: TI , COMM Date of Report: 04-25-201 1 Reviewed by: Name: Address: THOMAS BOUFFARD 41 9 MASON ST STE215 VACAVILLE CA 95688 Permit #: CB1 10587 Job Name: EUOPEAN WAX CENTER: 1258 SF Job Address: 2669 GATEWAY RD CHAD St: 1 04 VVVVVVVA/VVVVVVVVVVV\/VVVVVVVV\/\/\/V^\/Ajtt£\£VJO'^^WM^^ wK^Wi^HtH*/WWWitvwwvvvwwww \7vwww Conditions: Cond: CON0004578 [MET] ** CITY OF CARLSBAD FIRE DEPARTMENT - APPROVED: THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUANCE OF BUILDING PERMIT. THIS APPROVAL IS SUBJECT TO FIELD INSPECTION AND REQUIRED TEST, NOTATIONS HEREON, CONDITIONS IN CORRESPONDENCE AND CONFORMANCE WITH ALL APPLICABLE REGULATIONS. THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE THE VIOLATION OF ANY LAW. Entry: 04/25/2011 By: GR Action: AP * • CORRECTION LIST Page: 1 of 3 • BLDG, DEPT COPY Daryl K. James & Associates, Inc. Plan Checker: J. Charles Weber Date: March 24, 2011 APPLICANT: Carmen Genovese JURISDICTION: Carlsbad Fire Department PROJECT NAME: European Wax Center PROJECT ADDRESS: 2669 Gateway Rd Ste 104 PROJECT DESCRIPTION: CB110587 Tenant Improvement for European Wax Center - five (5) wax rooms, lobby office, storage, revise existing restroom, electrical panel, HVAC, new lighting, duct work and floor finishes. This plan review has been conducted in order to verify conformance to minimum requirements of codes adopted by the Carlsbad Fire Department. The items below require correction, clarification or additional information before this plan check can be approved for permit issuance. INSTRUCTIONS • To expedite the re-check process, please note on this list (or copy) how and where each correction item has been addressed, i.e. sheet number, note number, detail number, legend number, etc • The items below require correction, clarification or additional information before this plan check can be approved for permit issuance. • To expedite the re-check process, please note on this list (or copy) after each correction your response and where each correction item has been addressed, i.e., sheet number, note number, legend number, etc. ' CORRECTIONS OR MODIFICATIONS TO THE PLANS MUST BE CLOUDED AND PROVIDED WITH NUMBERED DELTAS AND REVISION DATES. PLEASE SEND OR DELIVER REVISED PLANS DIRECTLY TO: J. Charles Weber 9146 Bubbling Wells Rd. Lakeside, CA 92040 Please direct any questions regarding this review directly to: J. Charles Weber (619)933-3767 embersnoop@cox.net DEFERRED SUBMITTALS Add Fire Alarm System to Deferred Submittal List Fire Alarm System plans, modifications, installation to be in compliance with Chapter 9 of the California Fire Code and NFPA 72 National Fire Alarm Code (as adopted and amended by State of California). Page 2 of 3 CORRECTIONS: T-1 Title Page A. Plan does not provide the following Minimum Submittal Requirements: 1. Contact and Owner Information 2. Scope of Work Provide the above identified Minimum Submittal Requirements B. Building Data Occupancy Group stated as "B/M" - per California Fire Code Chapter 2 definitions, the proposed project is a Group "B" Occupancy throughout ("office area"; "professional transactions"; "beauty shops"; "telephone area"; "professional services" C. Building Data - Occupant Load Table The Tenant Improvement Area encompasses 1258 square feet Overall Occupant Load is 13 persons (1258/100 sf per person, no partial persons allowed) Reception Area- 296 square feet/100 = 3 persons; the reception area is included within the CFC Chapter 2 definitions as "office area". Wax Rooms - plan shows 89 square feet per room (gross); net area created by cabinets/tables/etc, within occupiable space decreases floor space available for occupants and occupant load rating evaluation. 89 square feet/100 square feet per person = .89 occupant load (1 occupant per room). There is an assumption that there will be a minimum of two (2) people occupying each wax room while in use (ten [10] possible occupants in five [5] rooms). Correct Overall Occupant Load factor, Reception Area occupant load factor and Wax Room occupant load factor to correct Occupant Load rating and provide additional information allowing "Increased Occupant Loads" pursuant to CFC 1004.2 D. Plan Notes. Item # 5 - Plan States that door hardware height is to be between 30 and 44" above floor; CFC 1008.1.8.2 requires door hardware to be between 34 and 48" above the floor. Correct door hardware height to reflect CFC requirements. E. Sheet Index A-1 - Partial Site Plan and Demolition Sheet - no Demolition Sheet/Plan provided. Provide Demolition Sheet/Plan A-4 - Door Schedule - no door schedule is provided. Provide Page A-4 Door Schedule Page 3 of 3 s "** A-2 - Floor Plan Door Plan The floor plan provides Door Plan symbols; Page A-4 "Door Schedule" is not provided and an evaluation of the proposed doors cannot be completed for Fire Code compliance. Provide Page A-4 Door Schedule. (See E Sheet Index A-4 note above) Exit/Egress Plan Provide exit/egress plan including, but not limited to, exit width analysis, directional arrows, internal distances to egress doors and distance to approved "public ways" A-3 - Reflected Ceiling Plan Provide manufacturer's specification sheet for Emergency Exit Light(s) and diagram(s) denoting proposed installation details. A-5 - Interior Finish CFC 803.1.1 and 803.3 require Interior Wall finishes to comply with Table 803.3 in accordance with ASTM-E84 and/or NFPA 286 testing parameters. Interior wall finish must comply with ASTM E-84/NFPA 286 "C" ratings (flame spread 76 to 200; smoke developed index of 0 to 450) E-1 - Electrical Plan A. General Notes, Note "17" - states that Fire Alarm System shall be on a separate plan and permit and will be reviewed by the Fire Department. Add Fire Alarm System to Page T-1 "Deferred Submittal" list. Fire Alarm System plans, modifications, installation to be in compliance with Chapter 9 of the California Fire Code and NFPA 72 National Fire Alarm Code (as adopted and amended by State of California). SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY UPFPtf 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. Facility's Square Footage (including proposed project): ^ 'iff} Occupancy Rating: fe/yH 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 Sol ids 8. Unstable Reactives 12. Radioactives PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH - HAZARDOUS MATERIALS DIVISIONS (HMD): If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Ave., Suite 110, San ICall (858) 505-6700 prior to the issuance of a building permit. FEES ARE REQUIRED. 1 . 2. 3. 4. 5. 6. 7. YES D D D D D D D NQ Project Completion Date:Expected Date of Occupancy: go, CA 92123. D CalARP Exempt (for new construction or remodeling projects) 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? |Pf Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds, x-200 cubic feet, or carcinogens/reproductive toxins in any quantity? B^Will your business use an existing or install an underground storage tank? tByWill your business store or handle Regulated Substances (CalARP)? [jQy'will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? Will your business store petroleum in tanks or containers at your facility with a total storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). Date Initials D CalARP Required Date Initials D CalARP Complete Date Initials PART III: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT: If the answer to any of the questions below is yes, applicant must contact the AirPollution Control District (APCD), 10124 Old Grove Road, San Diego, CA 92131-1649, telephone (858) 586-2600 prior to the issuance of a building or demolition permit. Note: if the answer to questions 4 or 5 is yes, applicant must also submit an asbestos notification form to the APCD at least 10 working days prior to commencing demolition or renovation, except sisMlsMfeloi .'enovayon of residential structures of four units or less. Contact the APCD for more information. YES 1 • D 2. D 3. 4. 5. D D NO y [IK 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 httB;//wwwJMaflM,OTg/in|Q/fac^s/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). D (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 1 2)? ^yfsearch the California School Directory at http.://yvww.cde.ca.gov/re/sd/ for public and private schools or contact the appropriate school district). E3/ Has a survey been performed to determine the presence of Asbestos Containing Materials? EN^Will there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos? LJ Will there be demolition involving the removal of a load supporting structural member? Briefly describe business activities:Briefly describe proposed project: soonses made herein are true and correct.penalty ofperjury that to the best of my knowledge and belief t £me of Owner orA^hofized Ag Signatureof Owner or Authorized Agent Date FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:, BY: FOR OFFICIAL USE ONLY: DATE: EXEMPT OR NO FURTHER INFORMATION REQUIRED COUNTY-HMD*APCD RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY COUNTY-HMD APCD RELEASED FOR OCCUPANCY COUNTY-HMD APCD CITY OF STORM WATER STANDARDS QUESTIONNAIRE E-34 Engineering Department 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov SECTION 2 SIGNIFICANT REDEVELOPMENT Complete the questions below regarding your redevelopment project: 1 . Project results in the disturbance of more than 1 -acre or more of land and is considered a Pollutant-generating Development Project (see definition in Section 1). YES NO / If you answered NO, please proceed to question 2. If you answered YES, then you ARE a significant redevelopment and you ARE subject to PRIORITY DEVELOPMENT PROJECT requirements. Please check the "meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3 below. 2. Is the project redeveloping an existing priority project type? (Priority projects are defined in Section 1)K If you answered YES, please proceed to question 3. If you answered NO, then you ARE NOT a significant redevelopment and your project is subject to STANDARD STORMWATER REQUIREMENTS. Please check the "does not meet PDP requirements" box in Section 3 below. 3. Is the project sojejy limited to just one of the following: a. Trenching and resurfacing associated with utility work? b. Resurfacing and reconfiguring existing surface parking lots? c. New sidewalk construction, pedestrian ramps, or bike lane on public and/or private existing roads? d. Replacement of existing damaged pavement? / /7fc/ If you answered NO to ALL of the questions, then proceed to question 4. If you answered YES to ANY of the questions then you ARE NOT a significant redevelopment and your project is subject to Standard Stormwater Requirements. Please check the "does not meet PDP requirements" box in Section 3 below. 4. Will your redevelopment project create, replace, or add at least 5,000 square feet of impervious surfaces on an existing development or, be located within 200 feet of the Pacific Ocean and (1)create more than 2500 square feet of impermeable surface or (2) increases impermeable surface on the property by more than 10%?X If you answered YES, you ARE a significant redevelopment, and you ARE subject to PRIORITY DEVELOPMENT PROJECT requirements. Please check the "meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3 below. If you answered NO, then you ARE NOT a significant redevelopment and your project is subject to STANDARD STORMWATER REQUIREMENTS. Please check the "does not meet PDP requirements" box in Section 3 below. SECTION 3 Questionnaire Results: My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must comply with additional stormwater criteria per the SUSMP and must prepare a Storm Water Management Plan for submittal at time of application. My project does not meet PDP requirements and must only comply with STANDARD STORMWATER REQUIREMENTS per the SUSMP. Applicant Information and Signature Box This Box for City Use Only Assessor's Parcel Number(s) E-34 Page 3 of 3 REV 3/23/10 Date Business Name Street Address Email Address ?&**? PLEASE CHECK HERE IF YOURBUSINESS : IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) Check all below that are present at your facility; Acid Cleaning Assembly Automotive Repair Battery Manufacturing Biofuel Manufacturing Biotech Laboratory Bulk Chemical Storage Car Wash Chemical Manufacturing Chemical Purification Dry Cleaning Electrical Component Manufacturing Fertilizer Manufacturing Film /X-ray Processing Food Processing Glass Manufacturing Industrial Laundry Ink Manufacturing Laboratory Maehfnfng / Milling Manufacturing Membrane Manufacturing (f,e, water filter membranes) Metal Casting / Forming Metal Fabrication Metal Finishing Ilectroplating Electroless plating Anodizing Coating (i.e. phosphating) Chemical Etching/Milling Printed Circuit Board Manufacturing Metal Powders Forming Nutritional Supplement/ Vitamin Manufacturing Painting / Finishing Paint Manufacturing Personal Care Products Manufacturing Pesticide Manufacturing / Packaging Pharmaceutical Manufacturing (including precursors) Porcelain Enameling Power ©eneration Print Shop Research and Development Rubber Manufacturing Semiconductor Manufacturing Soap / Detergent Manufacturing Waste Treatment/Storage SIC Code(s) (if known): Brief description of business activities (Production/ Manufacturing Operations): Qescripttefl of operations generating wastewater (discharged to sewer, hauled or Estimated volurti&of industrial wastewater'to be discharged (gal/day):, List haiprdoys wastes generated (type / volume): Date Operation began/or will begin at this location: Have you applied: for a Wastewater Discharge Permit from the Enema Wastewater Authority? Mo If yes, when: , _ _ :...._,. -, ' * Titlelite Conlael Phone No. :1TY, 6200 Avenida EnGinas Carlsbad, GA 92011 (760) 438-3941 FAX: {780)476-9852 CITY OF STORM WATER COMPLIANCE ASSESSMENT B-24 DeveloDment Sgrs/ices 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: Permit Q Right-of-Way Permit Q 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 Fi*ed Systems Mechanical Mobile Home Plumbing Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria 21 My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because 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. Tierl • Low Threat Assessment Criteria Q 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 O 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 Q 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 Q 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, Q 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). / certify to the best of my knowledge that the above checked statements are true and correct. I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards. *The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. Project Address:Assessor Parcel No. Owner/Owner's Authorized Agent Name: Agent Signature: CAyConc&etfce: YES a NO r/ L ) Date:/M/ 5/zS/) Title: Date: Project ID: B-24 Page 1 of 1 Rev.03/09 POLICYHOLDER COPY STATE COVIPENSATI ON 1 N S U R A N C. E FUND ISSUE DATE: 01-01-2011 P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE GROUP: 000238 POLICY NUMBER: 0004863-2010 CERTIFICATE ID: 107 CERTIFICATE EXPIRES: 01-01-2012 01-01-2011/01-01-2012 SD CITY OF SAN DIEGO DEVELOPMENT SERVICES DEPT OF BLDG INSPECTION 1222 1ST AVE MS 301 SAN DIEGO CA 92101-4101 SD This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. Authorized Representative V ) President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #1600 - UTGARD, BARBARA JO SECRETARY,TREASURER - EXCLUDED. ENDORSEMENT #1600 - UTGARD, STEPHEN C PRESIDENT - EXCLUDED. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01-01-2011 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER UTGARD CONSTRUCTION COMPANY PO BOX 50104iV SAN DIEGO CA 92150 INC SD [PAF.CN] PRINTED : 12-29-2010 Affairs License Number Sfate Of California CONTRACTORS STATE LICENSE BOARD ACTIVE LICENSE 563379 ^CORP UTGARD CONSTRUCTION COMPANY INC B 04/30/2013 www.cslb.ca.gov