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Home My WebLink About2701 LOKER AVE W; 110; CB112679; Permit4-..- .c • 4- City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-01-2012 Commercial/Industrial Permit Permit No C131 12679 Building Inspection Request Line (760) 60272725 V " JobAddress 2701 LOKER AV W EST CBAD St:110 Permit Type TI Sub Type INDUST Parcel No: 2090812200 , Lot#: 0 ' Status: .' ISSUED -' Valuation: $48,813.00 - Construction Type: NEW --. Applied: 12/21/2011 Occupancy Group - - Reference #: Entered By JMA Project Title: -.- - SG SOLUTIONS: .1315 SF OFFFICE -, Plan Approved: 02/01/2012 TO OFFICE' ..- • -• , . Issued: 02/01/2012 Inspect Area 4 . .' . • ' •. Plan Check#: Applicant Owner _. - TONY MANSOUR' ' -., ••', - - GATEWAY COLORADO PROPERTIES'INC C/O TTNE PROPERTY TAX DEPT 207 --5897 OBERLIN DR., STE lii ' I ,(p 0 BOX 4900 p) . , . •. • 'SAN DIEGO CA:92121 SCOTTSDALE AZ 858-558-1569 Büilding Permit .. . / .. ' Meter S ize ' \• , Add'l Building Permit Fee / -.' -/. . $0.00 AddI Red. Water ConFee \) \ \ $0.00 Plan Check • / / •' $310.49. -Meter Fee': . "., \ - . .' -$0.00..- - Add'l Plan Check Fee ' / . . ,' $0.00 . SDCWA Fee •- . \ , $0.00 Plan Check Discount / ., $0.00 CFD Payoff Fee \ - $0.00, StrongMotion Fee - /. . 1$o5 •;PFF (3105540) . •' \ \ $0.00_ :Park Fee , ' T' $0. ' 00 'PFF(4305540y . I - I - $0.00 'LFMFe , '' . • . ' $0.00 Lidnse Tax (3104193) . $0.00 - 'Bridge Fee . , - - $0.00 --ILicense Tax (4304193)_ $0.00 BTD #2 Fee . ' . ' $0.00 . -Traffic lrnri'ct Fee (3105541) ) I- . $0.00 BTD #3 Fee . ' , - $0.00 i-Traffic lmpact.Eee (4305541) '1 -- $0.00 Renewal Fee - , " •. $0.00 \ fLUMBlNG1TOTAL-4 t I I . 10.00 - Add'l Renewal Fee , $0.00 ELECTRiCALOTAL- / J $55.00 ' . .,Other Building Fee . . $000I MECHANICALTOTA,f I I . . $48.00 Pot.-Water Con. Fee - - $000 Master DrâinageFèe .-- '/ /. $0.00 •. ., . . - \_ ,.I. Sere $0.00 MeterSi±e - -. .. Add'I Pot. Water Con. Fee $0.00 , -%'Redev Prking Fee , 7 / . 10.00' . RecI. Water Con.Fee \ $O0O0Addionalees' / • -' , $0.00' Green Bldg Stands (5B1473) Fee -. . 1 $1.00 ' HMP Fe',4. -/ / Fire Expedited Plan Review $295.00 ' Green Bldg Standards Plan' Chk TOTAL eERMITFEES \v / • $1 163.29 -' Total Fees: '. $1,163.29 •Total'PaymentrTo1Date: $1163.29 Balance Due: . $0.00LJ I' - . .'; •• ' ' -. -. , '. . • •.'\ : : '. / FINAL APPROVAL ' •' •. Date: '( / 3 Clearance: . NOTICE: Please take NOTICE that aprbval of your project includes the ,"Imposition" of fees, dedications, reservations, or other exaction's hereafter collectively referred to as 'fees/exactions. Yoti have 90 days from the dat&this permit was issued to protest imposition of these fees/exactions. If you protét them, you must - - follow the protest procedureiet forth in Government Code Section 66020(a), and tile 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 the r imposition - -. 'l'' ' . - - - -4 '-.. .•t' ., . - . - . . - P You are hereby FURTHER NOTIFIED that your right to protest the 'specified fees/exac - tions 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 - .. i • fees/exactions of which you have previously bean given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.- • • -. . - - • _ , '.. :- -. - • •" 4 a . - - .. • .4 . ,. •. . . -• • . . - - "'• - •- '- '- : - 4-,. • 4 -,• • .- - . .-. ' - • . - . ,. . .4. CITY OF ..'-•. :•- Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 I 2719 Plan Check No. I _•2427 Est. Value ,' -?dcPy a '.f API 'CD A F - Fax: 760-602.8558 . Plan Uk.Deposit • .)L)rL./ . www.Carlsbacca.gov . ' . *•• I Date __(y• _SWPPP JOB ADDRESS . L.'KA. 1kw i• 47- 4. - SUITES/SPACES/UNITS ' ij . APN - - - T/PR0JEC1 S LOTS PHASES • S OF UNITS S BEDROOMS .. S BATHROOMS 'T a'u TENANT BUSINESS NAME CONJU TYPE 0CC. GROUP DESCRIPTION OF WORK: Include Square Feet ofAffectedArea(s) 4-wt Pro V_e EXISTING USE _PROPOSED USE GAR AGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD# NOD AIR CONDITIONING VINO FIRE SPRINKLERS YES 1D YES D APP T NAME (Prima Cont CE) . APPLICANT NAME (Secondary Contact) -. __________ AD . IL 4) '0/i(,vtd3-I ADDRESS CITY - STATE. -. ZIP sitv- CITY . STATE ZIP PH _Flk -• PHONE __• FAX _• • EMAIL . ce 44 MA4so c4_fli7C(. ( EMAIL POPERTY OWNER NA te'irnt _ ) T$Wfrni. 'CONTRACTOR BUS. NAMt - ---.• k LL CA tJL1f_- AD—... ea 'ym tAL)UR55 D &1&. e.+ _ —lop Cl STATE avQ1' ZIP - - -24 2-1 CITY 2)'ATE _ zip -, P E 7._- F t/ Z~' _. H____.'---- PH E EMAIL ' EM ________________________ ARCH DE G R NAME & ADDRE fL4 •_20 STAT IC. S . • L 2 STATE_U_• __C_ITY_US._UC.S 2'7-r, 1fl - • ,' '.- •*.J•'• • • -. -. (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to const'uct,alter, improve, demolish or repair any structure, prior to its issurce, also requires the applicant for such per to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law fChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a .,,. civil penalty of not more than five hundred dollars ($500)). . ... . . • Workers' Compensation Declaration: (hereby affirm under penalty of perjury onset the following declarations: . . . - I have and will maintain a certificate of consent to self-insure forworfcers' 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 work 'comp nsation, as required by Section 3700 of the Labor Code, for the performance oJth work for which this permit is issued. My workers' compensation insurance canter and policy number are: Insurance Co. '4 - . Policy No. .,I.._Cc Expiration Date 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 theb.,,0a, 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 ecure era' compensationgeis unlawful, and shalt subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compen 'on, da S asprovide for in370 0 the Laborc , interest and attorney's fees. NORSIGTU D GEN; DATE I hereby affirm that lam exempt from Contractor's License Law for the following reason: O 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). 0 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 Contractors License Law) O , I am exempt under Section _____________Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes , 0 No - I (have! have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name address! phone/contractors' license number): 4. I plan to provide portions of the work, but (have hired the following person to coordinate, supervise and provide the major work (include name! address! phone / contractors' license number): 5 I will provide some of the work bull have contracted (hired) the following persons to provide the work indicated (include name! address / phone! type of work) - , ., . ?' , •j, -.. ...'PR0PERTY OWNER SIGNATLJRE " i Li AGENT 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? 0 Yes I] No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? - DYes 0 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. CtJ)ktX I hereby affirm that there is a construcbon lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address / )oaa Icertify that I have read the application and statethattheabove information is correct: and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relabngto buildingconstruction. 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 MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavatons over 50' deep demoli n orconstwction of structures over 3 stones in height. . . . EXPIRATION Every permit issued by the Building Official wUprovAsioofthis Code shall expire by limitation and bocome null and void if the building orwortc authonzed by such rmit is not commenced within IOUuy40111Uled1UIbul.UI peiiiiiuriiuinUniloillyUIW r.ui permit is suspenanu or abandoned at anytime after the work is commenced ior a period or iou days (Section 106.4.4 unrronn Building Cone). SIGNATURE : DATE :i 4 4 i' (4 4 S w ..,,•-- - 5 4 ' . . - - ' " ' . . '' , - ' . .•.t (-.1 ,- - - .4 - 5 . '5 - S .5 .4 544 . . '- . 4. - I ''' - -' , S 4- 5 4. . . 45 •4 .'. ., S•• 5 '4 . t 5• - . 4 . _ • S - 44 3 - -- 'U, -•• .-. •- 4 . .' - "rI a ( 4 4 '.5 .-., _Sr 5- •'''' . 'S -'.4, '4 .. 4 •. .4-, •44,_ . .,' 4 '• - ?r .-'. .' ' : - .• .4 - .4.. . , * . . • " , - '- , . 4' 4 - - *4' . . - ' _.5 4 7.. . 4'S-U. - .......- •.• . U.. - ' - S - 4 - - - 4 4. . .4 5' ''-: .",z' '.-. fr'• •.-t ,5_ , - ',' . , ' . - - - .. . ., -. -- p - - . - ,••, , . 4' . . ii - 's'. ', -: - - , 4 4 , 5 .-. '. _5 '4,. - '-.5 - a •*, -., . 5- .4. 5 - . -. 4 44 • - - -, I - - ,' 5 ', - 54 . 4. - - . 4. ,.. - ,' .•4 -. .,., . - -. _.5 ' " 1- i'i -. r. .......... -1. - I4 - . - 4-' 5 - . . .4 - - '4 , Inspection List Perrnit#: CB112679 Type: TI TSG SOLUTIONS: 1315 SF OFFFICE INDUST. - TO OFFICE Date Inspection Item InspectorAct Comments 10/04/2012 89 Final Combo PD AP 03/28/2012 19 Final Structural PD NR 03/28/2012 29 Final Plumbing PD NR 03/28/2012 39 Final Electrical PD • PA METER LEASE FOR STE 120 03/28/2012 49 Final Mechanical PD PA 02/21/2012 17 Interior Lath/Drywall PD AP • 02/13/2012 14 Frame/Steel/Bolting/Weidin PD PA . • 02/13/2012 1. Interior Lath/Drywall PD • NR 02/13/261234 Rough Electric PD PA Tuesday, February 12, 2013 • . Page 1 of 1 4 /A\, 04 h> flEDULEFIREPT1 CITY OF •I INSPECTIONS AND TESTS I CARLSBAD L!JJ!LI Building Department INSPECTION RECORD INSPECTION RECORD CARD WITH APPROVED PLANS MUST BE KEPT ON THE JOB CALL PRIOR TO 4:00 P.M. FOR NEXT WORK DAY INSPECTION. FOR BUILDING INSPECTION CALL: 760-602.2725 0 CB112679 2701 LOKERAVWEST 110 TSG SOLUTIONS: 1315 SF OFFFICE TO OFFICE TI INDUST Lot#: TONY MANSOUR DATE: 1 /1:1 APPROVED TO COVER Type of Inspection Date Inspector Notes BUILDING FOUNDATION 01 7, If'/d/ REINFORCED STEEL . 5r7 .J MASONRY GROUT 0 WALL DRAINS TILT PANELS POUR STRIPS COLUMN FOOTINGS SUBFRAME 0 FLOOR 0 CEILING ROOF SHEATHING S EXT. SHEAR PANELS FRAME f(7 INSULATION EXTERIOR LATH INTERIOR LATH & DRYWALL . f. (2... f r' FINAL PLUMBING D SEWER AND BL/CO Dpi/co UNDERGROUND 0 WASTE 0 WATER TOP OUT 0 WASTE 0 WATER TUB AND SHOWER PAN GAS TEST 0 GAS PIPING WATER HEATER 0 SOLAR WATER FINAL ELECTRICAL ELECTRIC UNDERGROUND 0 LIFER ROUGH ELECTRIC WALLS S All ROUGH ELECTRIC CEILING ELECTRIC SERVICE 0 TEMPORARY BONDING 0 POOL PHOTO VOLTAIC FINAL . MECHANLCAL UNDERGROUND DUCTS & PIPING DUCT & PLEM. 0 REF. PIPING HEAT -AIR COND. SYSTEMS VENTILATING SYSTEMS FINAL CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED FINAL Sign When Appropriate Building Dept. (Inspections) (760) 602-2725 Fire Department (760) 602-4660 S Planning Department (7601602-4602 Engineering Dept. (Inspections) (760) 438-3891 Building Inspectors (7am-4pm) (760) 602-2700 CMWD (7')4 '22Ext7151 ye. • Carlsbad, CA 92008 • 7 02-2700 • www.carlsb igov REV 10/2011 0 BACK FOR SPECIAL NOTES EsGil Corporation In (Partnership with Government for(Building Safety DATE: 1/18/12 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 11-2679 U CANT JURIS. UPtAN REVIEWER U FILE SET: II PROJECT ADDRESS: 2701 Loker Ave West Suite 110 PROJECT NAME: TSG Solutions - TI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. El 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. El 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. El The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: EsGil Corporation staff did not advise the applicant that the plan check has been completed. El 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 REMARKS: By: Doug Moody Enclosures: EsGil Corporation L GA 11 EJ E PC 1/10/12 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax(858)560-1576 EsGil Corporation In cPartners/iip with government for Bui(ding Safety DATE: 12/30/11 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 11-2679 SET: I U APPLICANT (:~ZAN REVIEWER U FILE PROJECT ADDRESS: 2701 Laker Ave West Suite 110 PROJECT NAME: TSG Solutions - 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. El 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. LII The applicant's copy of the check list i&enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: Tony Mansour 5897 Oberlin Dr Suite 111, San Diego, CA 92121 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: Tony Mansour Telephone #: 858-558-1509 Date contacted: % -3 -12- , (by: D1 Email: Fax #: 858-558-9221 Mail Telephone V Fax V' In Person LI REMARKS: By: Doug Moody Enclosures: EsGil Corporation LI GA LI EJ E Pc 12/22/11 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 City of Carlsbad 11-2679 12/30/11 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: 11-2679 JURISDICTION: City of Carlsbad OCCUPANCY: B USE: Office TYPE OF CONSTRUCTION: VB ACTUAL AREA: 1315sf ALLOWABLE FLOOR AREA: STORIES: 1 HEIGHT: SPRINKLERS?: YES REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 12/21/11 DATE INITIAL PLAN REVIEW COMPLETED: 12/30/11 FOREWORD (PLEASE READ): OCCUPANT LOAD: 13 DATE PLANS RECEIVED BY ESGIL CORPORATION: 12/22/11 PLAN REVIEWER: Doug Moody 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 11-2679 12/30/11 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. Each sheet of the plans must be signed by the person responsible for their preparation, even though there are no structural changes. Business and Professions Code. 2. Exit doors shall swing in the direction of exit travel when serving an occupant load of 50 or more persons (doors 101 and 103). Section 1008.1.2. 3. Please review the requirements, revise the plans appropriately and imprint on the plans the City of Carlsbad Policies and Procedures for Roof Mounted Equipment to the plans. 4. On the mechanical plans clearly show the limits of ceiling space used as duct or plenum. Clearly show that all material exposed within the plenum complies with UMC Section 604.2. "Materials shall have a mold-, humidity-, and erosion-resistant face that meets the requirements of UL 181 Combustibles within the plenum space must comply with UMC Section 601.3. Flame-spread index of not more than 25 and a smoke-developed rating of not more than 50. 5. Provide complete energy designs for the proposed changes in the mechanical systems. Provide the completed MECH-1-C forms showing energy compliance. The mechanical equipment in the server room is not considered process cooling unless the temperature is maintained outside the range of 550F through 90°F and the system is designed and controlled to be incapable of operating at above 550F and below 900F. 6. Provide complete energy designs for the proposed changes in the mechanical systems. Provide the completed MECH- forms showing energy compliance. City of Carlsbad 11-2679 12/30/11 The completed and signed MECH-1 forms must be imprinted on the plans. Please revise the single line diagram to show the grounding location of the new transformer to be per section 250-30 A (4) of the NEC. 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 El No U 4 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 11-2679 12/30/11 (DO NOTPAY— THIS IS NOTAN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK NO.: 11-2679 PREPARED BY: Doug Moody DATE: 12/30/11 BUILDING ADDRESS: 2701 Loker Ave West Suite 110 BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: VB BUILDING PORTION AREA ( Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) TI 1315 37.12 48,813 Air Conditioning Fire Sprinklers TOTAL VALUE 48,813 Jurisdiction Code ICB jBy Ordinance I Bldg. Permit Fee by Ordinance V Plan Check Fee by Ordinance V I $288.311 Type of Review: Complete Review Structural Only —]Repetitive Fee 1. Repeats Other Hourly Hr. @ * EsGil Fee I $248.391 Comments: Sheet I of 1 macvalue.doc + CITY OF CARLSDtA.D BUILDING PLANCHECK CHECKLIST QUICK-CHECK/APPROVAL Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsb'adca.gov ENGINEERING Plan Check for CB 11-2679 Date: 12128111 Project Address: 2701 Loker Ave West #110' APN: 209-081-22 Project Description: TI 1,315 SF office to office Valuation: $48,812 ENGINEERING Contact: Kathleen Lawrence Email: kathleen.Iawrence@ca'rlsbadca.gov Phone: 760-602-2741 Fax: 760-602-1052 El RESIDENTIAL ' ' [7] TENANT IMPROVEMENT ' El RESIDENTIAL' ADDITION MINOR , fl PLAZA CAMINO REAL (<$20,000.00) LJCARLSBAD PREMIER OUTLETS ' ' El COMPLETE OFFICE BUILDING EjOTHER': OFFICIAL USE ONLY ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT BY KATHLEEN LAWRENCE DATE 12/28111 REMARKS: ' '• ' Notification of Engineering APPROVAL has been sent to via on E-36 ' ' Page 1 of 1 REV 4/30/11 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB 11-2679 DATEI2I22II.1 ADDRESS 2701 . Loker Avenue RESIDENTIAL ADDITION- POOL/SPA S MINOR (<179000.00) ROVEM RETAINING WALL • S . S COMPLETE OFFICE BUILDING VILLAGE FAIRE SOLAR PANELS OTHER. S PLANNER elk4,tL DATE! ENGINEER DATE_____________ U:\AI)MIN\COUNTE/PLANNiNGJENGINEEHING APPROVALS • S S STORM WATER Development Services CITY OF COMPLIANCE Building Division CARLSBAD ASSESSMENT 1635 Faraday Avenue 760-602-2719 6-24 www.carlsbadca.gov I am applyinqto the City of Carlsbad for the following type(s) of construction permit: 19. Building Permit L1 Right-of-Way Permit U My project is categorically EXEMPT from Electrical Patio/Deck the requirement to prepare a storm water Fire Additional Photo Voltaic pollution prevention plan (SWPPP) because it Fire Alarm Re-Roofing only requires issuance of one or more of the . Fixed Systems Sign following permit types: - Mechanical Spa-Factory Mobile Home Sprinkler Plumbing Water Discharge Project Storm Water Threat Assessment Criteria* N Th eat Assessment Criteria 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. Tier I - Low Threat Assessment Criteria U 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 U 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 U 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 U 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, U 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). - t-itc' 27'f 14-4-H-Af '1o?1-L2-v2. Project Address: Assessor Parcel No. sAut d N e: Agent Title: Owner/Owner's Authorized Agent Signature: . Date: 12-2--i--u D e: / ProectiD: *32' Page 1 of 1 ReviO3IO9 I certify to the best of my knowledge that thp 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. - B-24 X 04-10') CITY OF CARLSD/-%D CONSTRUCTION THREAT ASSESSMENT WORKSHEET FOR DETERMINATION OF PROJECT'S PERCEIVED THREAT TO STORM WATER QUALITY E-33 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov Construction Perceived SWPPP Tier Construction Threat Assessment Criteria* Threatto Level Storm Water Quality Tier 3 - High Construction Threat Assessment Criteria U Project site is 50 acres or more and grading will occur during the rainy season U Project site is 1 acre or more in size and is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA High U Soil at site is moderately to highly erosive (defined as having a predominance of soils with Tier 3 USDA-NRCS Erosion factors kf greater than or equal to 0.4) U Site slope is 5 to 1 or steeper U Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through. April 30). U Owner/contractor received a Storm Water Notice of Violation within past two years Tier 3 - Medium Construction Threat Assessment Criteria U All projects Medium not meeting Tier 3 High Construction Threat Assessment Criteria Tier 2 High Construction Threat Assessment Criteria U Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA U Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kf greater than or equal to 0.4) High U Site slope is 5 to 1 or steeper Tier 2 U Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). U Owner/contractor received a Storm Water Notice of Violation within past two years U Site results in one half acre or more of soil disturbance I Tier 2 - Medium Construction Threat Assessment Criteria Medium U All projects not meeting Tier 2 High Construction Threat Assessment Criteria Tier 1 - Medium Inspection Threat Assessment Criteria U Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, within or directly adjacent to an environmentally sensitive area (ESA) or discharges direbtly to an ESA U Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kf greater than or equal to 0.4) Medium U Site slope is 5 to 1 or steeper Tier 1 U Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). . U Owner/contrctor received ,a Storm WaterJJotice of Violation within past two years ' .1 - ,:•M .,.. - . - U Site resblts'in one half 98r6 ornore of soH disturbance Tier 1 - Low Inspection Threat Assessment Criteria I Low U All prOjeptsnot .m'eçting.Tier. 1 Mediumonstruction Threat Assessment Criteria Exempt .. -. . - Not Applicable - , Exempt *The city engineer may authorize minor variances from the construction threat assessment criteria in special circumstances wheçe it can, béshown that a lesser or higher amount of storm water compliance inspection is warranted in the opinion of the city engineer E-33 Page 1 of 1 REV 4/30/10 ' Carlsbad Fire Department Plan Review Requirements Category TI , ll'JDUST Date of Report: 0 1 -20-2012 Reviewed by, -v Name: TONY MANSOUR Address: 5897 OBERLIN DR., STE 111 SAN DIEGO CA 92121 Permit #:CB112679 1 - EPJ. Tr Job Name: TSG SOLUTIONS: 1315 SF OFF TO Job Address: 2701 LOKER AV WEST CBAD St: 110 fi 1fice cannot adequately conduct a review to determine • ii the applicable codes and/or standards. Please review carefully all comments attache se resubmit the necessary p ecifications,with changes "clouded", to this office for-revie approval. Conditions: S • Cond: CON0005 157 • S • [MET] S **D-E k S • - . THIS PROJECT HAS BEEN REVIEWED. AND APPROVED FOR THE PURPOSES OF ISSUEANCE OF A BUILDING PERMIT. S THIS APPROVAL IS SUBJECT TO FIELD INSPECTIONS, ANY REQUIRED TESTS, FIRE DEPARTMENT NOTATIONS, CONDITIONS IN CORRESPONDENCE AND COMPLIANCE WITH ALL APPLICABLE CODES AND REGULATIONS. . . S .• S • THIS APPROVAL SHALL NOT -BE HELD TO PERMIT OR APPROVE ANY VIOLATION OF THE LAW. Entry: 01/20/2012 By: cwong .- • • S • . S DNAL RECOMMENDATION FOR APPROJ Page: 1 of 2 TblTlON: - Provide ICC-ES Evaluation Report No. for 1-hr construction for recessed alcjDJiEPT COPY Imprintor attach Carlsbad Policy 80-6 to roof plan., Provide a note that Intent B (Fireman Safety) will be maintained on previously approved roof. Daryl K. James & Associates, Inc. Checked by: Daryl Kit James 205 Colina 'Terrace Date: January 17, 2012 Vista, 'CA 92084 T. (760) 724-7001 Email: kitfiresbcgIobal.net APPLICANT: Tony Mansour '. JURISDICTION: Carlsbad Fire Department PROJECT NAME: TSG Solutions PROJECT ADDRESS: 2701 Loker Ave W. Suite 115 'PROJECT DESCRIPTION: CB 112679 Tenant Improvement 1,315 s.f. Office This plan review has been conducted in order to verify conformance to minimum requirements of codes adopted by the Carlsbad Fire Department. The conditions written in blue font require correction, clarification or additional information before this plan check can be approved for permit issuance. COMMENTS TI V Revise Governing Codes to Read as Follows: 2010 California Building Code ....... . based on the 2009. International Building Code 2010 California Fire Code .............based on' the 2009 International Fire Code 2010 California Electrical Code ......based on the 2008 National Electrical Code 2010 California Mechanical Code ... based on the 2009 Uniform Mechanical Code 2010 California Plumbing Code ......based on the 2009 Uniform Plumbing Code 2010 California Energy Code Project Data . Revise Building Type in accordance with 2010 CBC Table 601 Denote total square footage of Suite' 115. Denote aggregate square footage of the building. Denote total occupant load, of Suite 115. Denote occupancy classifications of adjacent tenants. 2010 CBC Chapter 3 Deferred Submittals . VAdd list of deferred submittals 'Fire Sprinkler System 2010 CFC 903 and 2010 NFPA 13 Fire Alarm System 2010 CFC 907 and 2010' NFPA 72 Card Reader Electrical Hardware CBC 1008.1.9.8. A2 Proposed Floor Plan, V Label all areas and-doors on floor plan matching Exiting (Means of Egress) Plan. (See Area 111) V Denote type, height and location(s) of fire extinguishers. CFC 906 'VStorage/IT Server Room 104 is listed in CBC Table 508.2.5 as an Incidental use. Provide details illustrating compliance with CBC 508.2.5.2. Legend Revise references to details. ' V Provide a reference to details for Storage/IT Server Room 104. N/A Page: 2 of 2 General Notes . VI & 3. Add Deferred Submittal, to notes. . . VAdd a note: Means of egress illumination must be provided with 1-foot candle illumination. CBC 1006.2 Provide a note: 90-minute battery backup must be provided in accordance with CBC 1006.3 & 1011.5.3. Reflective Ceiling Plan (RCP) VAdd an exit sign above door 101. s.Remove. sprinkler head symbols Legend. V Provide symbol under. Legend for means of egress illumination. A4 Door Schedule VAdd H (gasket) to Door 104. Hardware Notes VL. Add (Add deferred submittal) Finish Notes V Provide a note: All finish materials shall be in compliance with CBC Chapter 8. Details Provide ICC-ES Evaluation Report No. for 1 -hr construction for recessed alcove in detail. M-O.l Sign stamp . Verify that there will not be any new mechanical units on the roof. New condensing unit on roof. Imprint or attach Carlsbad Policy 80-6 to roof plan. Provide a note that Intent B (Fireman Safety) will be maintained on previously approved roof. M-l.l Sign stamp Label all areas. VSee Sheet A2 for resistance of the passage of smoke construction requirements in Area 104. CBC508.2.5.2. Address penetration of smoke resistant construction. N/A El Lighting Plan V Denote the locations of means of egress illumination. Key Notes Proyide the following notes: V Means of egress illumination level shall be not less than 1-foot candle at the walking surface and equipped. with minimum 90-minute battery backup. CBC 1006 V Exit signs illumination shall be illuminated at all times. V Externally illuminated exit signs shall have an intensity of not less than 5 foot-candles. Legend V Provide symbol under Legend for means of egress illumination. CORRECTION LISTTDG DEPT p9e I of 2 Daryl K. James & Associates, Inc. .. ' Checked by: Daryl Kit James 205 Colina Terrace' , Date: December 26, 2011 Vista, CA 92084 - T (760) 724-7001 Email kitfire@sbcglobal.net I APPLICANT: Tony Mans-our JURISDICTION: Carlsbad Fire Department PROJECT NAME TSG Solutions PROJECT ADDRESS 2701 Loker Ave W Suite 115 PROJECT DESCRIPTION CB 112679 Tenant Improvement 1,315 sf. Office - .- - . , . - , .•1 - ..,,-. S I .. ,- 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 . .- •7 Corrections or modifications to the plans must be clouded and provided with numbered deltas and revision. dates along with a descriptive narrative of corrections addressing all comments. 1 Please direct any questions regarding this review to: Daryl K. James 760-724-7001 or kitfiresbcgIobaI.net . THISFORM,AND A COPY OF BUILDING pIREcTLYToTHEOLLOw ADDRESS JQAyoIDDELEAYr • ... .-•. . DARYL K. JAMES & ASSOCIATES, INC: 205 COLINA TERRACE VISTA, CA 92084 . t - . . .-,--• - k. -. - .4 .- •,. ,,,•_ , - :• -- '- .•k .. :- II • • •-.- . COMMENTS , 4 4., * . -- •. * - -,- -S. • •- - H--,'-.- 5- 54 I Revise Governing Codes to Read as Follows: 2010 California Building Code based on the 2009 International Building Code l I 2010.California Fire Code .............based on the 2009 International Fire Code '. • -" 2010 California Electrical Code ........based on the 2908 National Electrical Code ,' - ;• - 2010 California MechanicaI Code.. based on the 2009 Uniform Mechanical Code 2010 California Plumbing Code..: .... based on the 2009 Uniform Plumbing Code 2010 California Energy Code 7 . ..- - ' 1 ...: - • • Project Data * Revise Building Type in accordance with 2010 CBC Table 601- .. . . .• ... •• Denote total square footage of Suite 115. • .. ,• - . Denote aggregate square footage of the building Denote total occupant load of Suite 115 Denote occupancy classifications of adjacent tenants 2010 CBC Chapter 3 • -Deferred Submittals - Add list of deferred submittals . .5 ., • - Fire Sprinkler System 2010 CFC 903 and 2010 NFPA 13 ' ' " . - . : ... Fire Alarm System 2010 CFC 907 and 2010 NFPA 72 •. - .. • . -, :- ,Card Reader Electrical Hardware CBC 1008.1.9.8. .•.- - 45 - . - 4 - - , • :- • -. - -_ - . .-- . . • a - - t -- , ' . Page: 20f2 A2 Proposed Floor Plan Label all areas and doors on floor plan matching Exiting (Means of Egress) Plan. (See Area 111) Denote type, height and location(s) of fire extinguishers. CFC 906 Storage/IT Server Room 104 is listed in CBC Table 508.2.5 as an Incidental use. Provide details illustrating compliance with CBC 508.2.5.2. 0 Legend Revise references to details. Provide a reference to details for Storage/IT Server Room 104. A3 General Notes 1 & 3. Add Deferred Submittal, to notes. 0 Add a note: Means of egress illumination must be provided with 1-foot candle illumination. CBC 1006.2 Provide a note: 90-minute battery backup must be provided in accordance with CBC 1006.3 & 1011.5.3. Reflective Ceiling Plan (RCP) Add an exit sign above door 101. Remove sprinkler head symbols Legend Provide symbol under Legendfor means of egress illumination. A4 Door Schedule Add H (gasket) to Door 104. Hardware Notes L. Add (Add deferred submittal) Finish Notes Provide a note: All finish materials shall be in compliance with CBC Chapter 8. M-O.1 Sign stamp Verify that there will not be any new mechanical units on the roof. M-l.l Sign stamp Label all areas. See Sheet A2 for resistance of the passage of smoke construction requirements in Area 104. CBC508.2.5.2. Address penetration of smoke resistant construction. El Lighting Plan Denote the locations of means of egress illumination. Key Notes Provide the following notes: Means of egress illumination level shall be not less than 1-foot candle at the walking surface and equipped with minimum 90-minute battery backup. CBC 1006 Exit signs illumination shall be illuminated at all times. Externally illuminated exit signs shall have an intensity of not less than 5 foot-candles. Legend Provide symbol under Legend for means of egress illumination. INDUSTRIAL WASTEWATER . DiSCHARGEi PERMIT Date _)2.-2-.t- u Business Nam Street Addres5 EmaIl Address SCREENING SURVEY PLEASE CHECK HERE IF YOUR.BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) Check all below that are present.at your faôility Acid Cleaning Ink ManUfacturing Nutritional Supplernht/ Assembly Laboratory Vitamin Manufacturing Automotive Repair Machining/ Milling Painting / Finishing Battery Manufacturing Manufacturing Paint Manufacturing Biofuel Manufacturing Membrane Manufacturing Personal Care Products Biotech Laboratory (i e water filter membranes) Manufacturing Bulk Chemical Storage Metal Casting /Forming Pesticide Manufacturing/ Car Wash Metal Fabrication Packaging Chemical Manufacturing Metal Finishing Pharmaceutical Manufacturing Chemical Purification Electroplating (including precursors) Dry. Cleaning Electroless plating Porcelain Enameling Electrical Component Anodizing Power Generation Manufacturing Coating (i.e. phosphating) Print Shop Fertilizer Manufacturing Chemical Etching I Milling Research and Development Film I 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 Côdë(s) (if known):._____________________________________________________________ Brief description of business activities (Production I Manufacturing Operations) Description of Operations generating wastewater (discharged to sewer, hauled or evaporated): Estimated volume of industrial wastewater to be discharged (gal/ day): List.hazardous wastes generated (type tvôlurne): Date operation began/or will begin at this location: Have you applied for a Wastewater Discharge Permit from the Ehcina Wastewater Authority? Yes No If yes, when: Site Contac 4447/tA.,. Title Signature Phone No.________________________ ENCINA WASTEWATER AUTHORITY 6.200 Avenida Encinas Carlsbad CA 92011 (760) 43&39%:1 FAX: (760) 476-9852 .çAVE IS p SAN DIEGO REGIONAL OCCC HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY UPFP# HV# BP DATE I I ame BU)D __cwpavio _uøi_ Business Contact iU'14Q-L (1q5 Project Telephone # Ad ess 2-M W944,44, KA fJ , State Code Zip e* , 2' I APN# I Mailing A dress City State p Code Plan File# Project Con= Tel knT ss'K7° ' The following questions represent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT - HAZARDOUSMATERIALSDIVISION:OCCUPANCYCLASSIFICATION: 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): Occupancy Rating: Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards Flammable/Combustible Liquids 7. Pyrophoncs 11. Highly Toxic or Toxic Materials None of These. Flammable Solids 8. Unstable Reactives 12. Radioactives If the answer to any of the mo. CA 92123. Call (858) 505-6700 prior to the issuance of a building permit FEES ARE REQUIRED. Project Completion Date: II Expected Date of Occupancy: // 0 CalARP Exempt YES i~ill (for new construction or remodeling projects) Date Initials 0 our business listed on the reverse side of this form? (check all that apply). 5 0 your business dispose of Hazardous Substances or Medical Waste in any amount? 0 CaIARP Required Q " Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds / 0 cubic feet, or carcinogens/reproductive toxins in any quantity? Date Initials 0 1Will your business use an existing or install an underground storage tank? El ill your business store or handle Regulated Substances (CaIARP)? 0 CaIARP Complete ,kV 0 R" Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? 7. 0 "Will your business store petroleum in tanks or containers at your facility with a total storage capacity equal to Date Initials or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). PARTIII:SANDIEGOCOUNTYAIRPOLLUTIONCONTROLDISTRICT: 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 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 demolitionorrenovation of residential structures of four units or less. Contact the APCD for more information. YES NO 0 "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/perrnits.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). 0 0 (ANSWER ONLY IF QUESTION 1 I YES) Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)? (Search the California School Directory at http:llwww.cde.ca.qov/re/sd/ for public and private schools or contact the appropriate school district). El 0 Has a survey been performed to determine the presence of Asbestos Containing Materials? 0 0 Will there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos? 0 0 Will there be demolition involving the removal of a load supporting structural member? Briefly describe business activities: Briefly describe proposed project: ury that to the best of my knowledge and belief thc spon sm_________________________ / de herein are true and correct. I dec penalp Namiof Owner ér Signatureof O? or Authoi t Date FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: FOR OFFICIAL USE ONLY: DATE: I/ BY: EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTYHMD* APCD COUNTY-HMD APCD COUNTY-HMD APCD A stamp in this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply. HM-9171 (02/11) County of San Diego - DEH - Hazardous Materials Division