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HomeMy WebLinkAbout2701 LOKER AVE W; 235; CB151109; PermitCity of Carlsbad 1635 FaradayAv Carlsbad, CA 92008 0514-2015 Commercial/industrial Permit Permit No: CB1 51109 Building Inspection Request Line (760) 602-2725 Job Address: 2701 LOKER AV WEST CBADSt: 235 Permit Type: TI Sub Type: INDUST Status: ISSUED Parcel No: 2090812200 Lot #: 0 Applied: 04/13/2015 Valuation: $226,997.00 Construction Type: 5B Entered By: JMA Occupancy Group: Reference # Plan Approved: 05/14/2015 Issued: 05/14/2015 Inspect Area Plan Check #: Project Title: JDS INDUSTRIES: 5,240 SF TI TO EXIST. OFFICE Applicant: Owner: TONY MANSOUR GATEWAY COLORADO PROPERTIES INC STE 100 C/O TTA/E PROPERTY TAX - DEPT 207 6498 WEATHERS PL P 0 BOX 4900 SAN DIEGO CA 92121-3915 SCOTTSDALE AZ 85261 858-558-1509 Building Permit $1,074.37 Meter Size Add'l Building Permit Fee $0.00 AddI Red. Water Con. Fee $0.00 Plan Check $752.06 Meter Fee $0.00 Add'l Building Permit Fee $0.00 SDCWA Fee $0.00 Plan Check Discount $0.00 CFD Payoff Fee $0.00 Strong Motion Fee $63.56 PFF (3105540) $0.00 Park Fee $0.00 PFF (4305540) $0.00 LFM Fee $0.00 License Tax (3104193) $0.00 Bridge Fee $0.00 License Tax (4304193) $0.00 BTD #2 Fee $0.00 Traffic Impact Fee (3105541) $0.00 BID #3 Fee $0.00 Traffic Impact Fee (4305541) $0.00 Renewal Fee $0.00 PLUMBING TOTAL $0.00 Add'I Renewal Fee $0.00 ELECTRICAL TOTAL $102.50 Other Building Fee $0.00 MECHANICAL TOTAL $54.18 Pot. Water Con. Fee $0.00 Master Drainage Fee $0.00 Meter Size Sewer Fee $0.00 Add'l Pot. Water Con. Fee $0.00 Redev Parking Fee $0.00 Red. Water Con. Fee $0.00 Additional Fees $0.00 Green Bldg Stands (5B1473) Fee $10.00 HMP Fee ?? Fire Expedidted Plan Review $272.50 Green Bldg Standards Plan Chk ?? TOTAL PERMIT FEES $2,329.17 Total Fees: $2,329.17 Total Payments To Date: $2,329.1.7 Balance Due: $0.00 ~i<~-401 FINAL APPROVAL Inspector:Date: 7" ' - ic 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 Casbad 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 Inspection List Permit#: CB151109 Type: TI INDUST jbs INDUSTRIES: 5,240 SF TI TO EXIST. OFFICE Date Inspection Item Inspector Act Comments 07/01/201589 Final Combo - RI AM PLEASE/ EMAILING CARD 07/01/2015 89 Final Combo PB AP 06/11/2015 85 T-Bar PB AP 06/08/2015 85 T-Bar PB NR 05/21/2015 17 Interior Lath/Drywall • PB AP 05/19/2015 84 Rough Combo' PB AP C8151109 2141 : 1p fl0N RECORD ObUST RDARDThAPPR D OV TOY.Mt. 0 EEEDThiOB p!FOR NrwonK DAY IN G SPEcTO dAu 7 RE" ¼.' AND CUCK ON CIV Building 0 - - '•• Sims YES 1 77 Ii pect", .k 7'60-944-846.3-."Mew 48 %GV - 760436~389 ejocZpn Type ot-1npecdan . ectm Date 3t.DE1ECIRCUNDRGROWtD JcEi - . SWJ 34 ROUGLECPUC -- 93 0 fl.ECTCStRVCE irt t OCT LLOAINS - t L . *.PiioinvouAc 01. ...,j - 439 MAI , P SWJP . . -_v - 1. cw ThGS - 41 UDE GROWID UCtS&PIPI- C Loa JCEU1G QOUcT&PWM OP.Z P8ff(G rncow ssvts EXt 1E4R P4.RLS 449 fltAL IL8 1S.AUO 481 UftOERGPOWD3223 11TEIJR L4IR & RY#1AIL #5! POOL 4/StEEJBCZ4DftNCE f _________ #83 ROOFSHEAT1G,EXrSZAR(u5[ 2REtTE/flN4L ,- .1:.84F"EROUSF i19,F4AL #85 T -, .- ._ Date jtor 89 RH L OCCUPANCY(1gz3315) . Li Ote fl AID,SER&8cYCQ.0OIiCO pl, I0EOUNCD!JASZE W1R T0T DIR C W4STC OWrR [4/S UNDERG WUUD YLSUAL .B&SOWERPAP 23 !ST OGaSPI?G j P/SUUDERGROUDcUsH WATER 41S OVFRH FAD Vlstj,~~ TER • _ - •-. - - 0 A/S RIM, Tv/ARoucHu FIA FINAL 0 11 ll.-CL!OC4 -- UP lospEcrioll:T FIX noulsHf,tGRo105 4- _ W - -. -- -FIXEb 0 HG SYSTEM D(GIL gG5AT1T,, - - - 0 - F1XEDEXTIl1GUSHIHGSTjF(AL.t 0 -- ::::: - I -. - 4 EsGiI Corporation In (Partners/lip with Government for cBui(&ng Safety DATE: 04/24/2015 . APPLICANT J CY JURIS. JURISDICTION: Carlsbad DPLAN REVIEWER U FILE PLAN CHECK NO.: 15-1109 SET: I PROJECT ADDRESS: 2701 Loker Ave.West Suite 235 PROJECT NAME: JDS Industries TI The plans transmitted herewith have been corrected where necessary and substantially comply with the,jurisdiction's codes. The plans transmitte&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. 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. EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Email: Mail Telephone Fax In Person Z REMARKS: Applicant to attach the "green code" ró Ijp jj9the plans prior to. issuing the permit plans examiner attached to shëfK1 'to owner set, responsible .Lo sign all sheets prior to issuing the permit By: John Le Vey Enclosures: EsGil Corporation [-]'GA LI EJ LI MB [1 PC 04/16/2015 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 -.' . . . .. . 4•1 - 'Carlsbad 15-1109 .. [DO. NOT PAY— THIS IS NOT AN INVOICE]. VALUATION AND PLANCHECK FEE JURISDICTION: Carlsbad . PLAN CHECK NO.: 15-1109 PREPARED BY: John Le Vey . DATE: 04/24/2015 BUILDING ADDRESS: 2701 Loker Ave.West Suite 235 .. - . BUILDING OCCUPANCY: -B .- . . . BUILDING PORTION AREA. (Sq. Ft.) Valuation Multiplier Reg. Mod. -. VALUE ($) TI per the city . 226,997 Air Conditioning .. . Fire Sprinklers TOTALVALUE . 226,997 .4 . Jurisdiction Code . cb By Ordinance • . $1,076.91 I Bldg.PermitFeebyOrdinance $69999 4 PlanCheckFeebyOrdinance W Type of Review CompleteReview Structural Only 'II -. . • ,. . - - . - -.,. ••• •• . -Eli 'Other :. . . - ERepetitive Fee - Repeats V Hourly Hr. @ * • .. 7-1 .. - EsGil Fee I_-$603.07 - - - .• i .--.-Comriénts: .. e-fèea r )f eicaK3reenree( - -- /4f1 PLAN CHECK Community & Economic - Development Department CITY OF - REVIEW 1635 Faraday Avenue CARLSBAD TRANSMITTAL Carlsbad CA 92008 . www.carlsbadca.gov DATE; 04-16-2015 PROJECT NAME: 2701 LOKER AVE WESTT.i. PROJECT ID: CB15- 1109 PLAN CHECK NO: 1 SET#: 1 ADDRESS: 2701 LOKER AVE WEST SUITE #235 APN: 209-081-22-00 VALUATION: $226,997 This plan check review is complete and has been APPROVED by the ENGINEERING Division. By: CG 4/16/15 - A Final Inspection by the Division is required JYes LNo - 1 7 This plan check review is NOT COMPLETE. Items missing or incorrect are listed on L_._ the attached checklist Please resubmit amended plans as required Plan Check Comments have been sent to: TMANSOUR@MANSOURARCHITECTURE.COM You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of ,a building permit Resubmitted plans should include corrections from all divisions For questions or clarifications on the attached. checklist please contact the following reviewer as marked: - -. .... :.-- ... -•' - •.:-: PLANNING - jr ENGINEERING FIRE PREVENTION. 4760 602 4610 760 602 2750 - 760 602 4665 Chris Sexton [j1 Chris Glassen [T Greg Ryan 760-602-4624 - ---i 760-602-2784 '--j 760-602-4663 Chns.Sexton'-carIsbadca.gc T Gina Ruiz 1 Linda Ontiveros r Cindy Wong L....J 760-602-4675 760-602-2773 -- 760-602-4662 jn .av1zcarIsbadca.gy Dominic Fieri - 760-602-4664 Dominic.Fieri'carlsbadcagi Remarks: _s BUILDING PLANCHECK Development Services / Land Development Engineering CITY OF CHECKLIST 1635 Faraday Avenue CARLSBAD QUICK-CHECK/APPROVAL 7606022750 www;carlsbadca.gov ENGINEERING Plan Check for CB15-1109...... Date: 04.16.2015 Project Address: 2701 LOKER AVE WEST SUITE #235 APN: 209-081-22'OO Project Description: 5,240 SQ. FT. INTERIOR T.I. Valuation: $226,997 r ENGINEERING contact: CHRIS GLASSEN Phone: 7604602-2784 E RESIDENTIAL INTERIOR EJ RESIDENTIAL ADDITION MINOR (<$20,000.00) DCARLSBAD PREMIER OUTLETS Email: CIiristopher.GIassencarIsbadca.gov Fax: 760-602-1052 ] TENANT IMPROVEMENT El PLAZA CAMINO REAL El COMPLETE OFFICE BUILDING E]OTHER: GYM -S PLANNING DIVISION. BUILDING PLANCHECK Development Services XO>Planning Div'ision T Y o APPROVAL 1635 Faraday AvenUe CARLSBAD P28 wwwr 26 4,--, 5.4 4 DATE: 5/5/15 PROJECT NAME: Ti. PROJECT ID: - 5- 4 54 PLAN CHECK NO: CB151109 SET#: ADDRESS: 2701LOKE0-AVW . This plan check review is complete and has been APPROVED by the PLANNING Division I . . St -. - *4 -• ••4 .4 4 5- By: GINA RUIZ . - . . ' I.).;-.-,- •" - A Final Inspection by the PLANNING Division is required Yes No You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions S , Thisplan check review is NOT COMPLETE. Items .missing or incorect aelistedon -, the attached checklist Please resubmit amended plans as required Plan Check Comments have been sent to 4 S. TMANSOUR@MANSOURARCHITECTURE.COM For questions or clarifications on the attached checklist please contact the following reviewer as marked - PLANNING ..t ENGINEERING FIRE PREVENTION '760-02 4610 760 602 2750 —.760-602-4665 Chris Sexton . 760-602-4624 Chris.Sexton@carlsbadca.gov Gina Ruiz -. 760-602-4675 Gina.Ruiz@carlsbadca.gov .4- Si Remarks: ii Plan Check No. CB1 511.09 Address 2701 LOKER.AV W' Date 5/5/15' Review #2 Planner GINA RUIZ Phone (760) 602- 4675 Type of Project & Use: T.I. Zoning: P-M General Plan: Fl Facilities Management Zone: CFD (in/out) # Date of participation: ___. Remaining net dev acres:_____ (For non-residential development: Type of land use created by this permit: REVIEWt#: . . 123 P-28 Legend: Z Item Complete Item Incomplete - Needs your action. Environmental Review Required: YES NO N TYPE DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditiohs which reuire action. Conditions of Approval: Discretionary Action Required: YES 0 N&M TYPE APPROVAL/RESO. NO. . DATE.. . . PROJECT NO. OTHER RELATED CASES: Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval: . Coastal Zone Assessment/Compliance . . . Project.site lOcated in Coastal Zone? YES NO . '. CA Coastal Commission Authority? YES D NO M . If California Coastal Commission Authority: Contact them at - 7575 Metropolitan Drive, Suite 103, San Diego, CA 92108-4402; (619) 767-2370 Determine status (Coastal Permit Required or Exempt): Habitat Management Plan Data Entry Completed? YES LI NO If property has Habitat Type identified in Table 11 of HMP, complete HMP Permit application and assess fees in Permits Plus (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, HMO Fees, Enter Acres of' Habitat Type impacted/taken, UPDATE!) Inclusionary Housing Fee required: YES LI NO . (Effective date of Inclusionary Housing Ordinance - May 21, 1993.) . Data Entry Completed? YES LI NO (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing.Y/N, Enter Fee, UPDATE!) S - '. Housing Tracking Form (form P-20) completed: YES LI NO LI N/A Page 2of3 07/11 SitéPlàh: Li Li City Council Policy 44 Neighborhood Architectural Design Guidelines El El Applicability: YES Li NO IZI El Li Project complies: YES El NOD Zoning LI Li 1 • Setbacks: Front: Required Shown Interior Side: Required Shown Street Side: Required Shown Rear: Required Shown Top of slope: Required Shown LI Li 2. AccessOry structure setbacks: Front: Required Shown Interior Side: Required Shown Street Side: Required Shown Rear: Required Shown Structure separation: Required Shown El U Lot Coverage: Required Shown El 0 LI Screening of Equipment: Required YES Shown SECTIONS NOT SHOWN PLANCHECK NO2: SECTIONS ADDED TO SHEET A5 Li Li Parking: Spaces Required Shown (breakdown by uses for commeril and industrial projects required) Residential Guest Spaces Required Shown El IZI El Additional Commentc #1 CONFLICTING INFORMATION STATED ON THE PLANS SHEET OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER GINA RUIZ DATE 5/5/15. P-28 Page 3 of 3 07/11 PLAN CHECK Economic .; jiiiti P.r' Development Department C IT V 0 F -) 1635 Faraday Avenue ( A fl CD A r. : TRANSMaTTAL Carlsbad CA 92008 .wwwcartsbadca.ov DATE 5-11-15 PROJECT NAME JDS industries Inc.PROJECT ID PLAN CHECK NO C8I5I109 SET# 2 ADDRESS 2701 Loker Av. West APN This plan check review is complete and has been APPROVED by the Fire Division By D Fled A Final Inspection by the Fire Division Is required Z ,Yes 5' This plan, check review' Is, NOT COMPLETE. Items mlssingor incorrect are listed on the attached ôhecklist. Please resubmit amended plans as required.'• Plan Check Comments have been sent to You may also have corrections from one or more of the divisions listed below Approval from these divisions may be required prior to the Issuance of a building permit. S Resubmitted plans should include corrections from all divisions. For questions or clarifications on the attached checklist please contact- the following reviewer as marked: IMP ENTION 760-602-4610 ',- T60-602-2 J Chris Sexton Kathleen Lawrence Greg Ryan 5 S 760-602-4624 S 760-602-2741 . ' 760-602-4663 Chris.SextoncarIsbdca.gov Kathieen.Lawrence@carisbadca.gov Gregory.Rvan@carisbadca.gov Gina Ruiz Linda Ontiveros 5 Cindy Wong 760-602-4675 T . 760-602-2773. 5 760-602-4662 Gina.Ruiz@carisbadca.gov S j.pda.Ontiveros@carIsbadca,gov Cynthia.Wo@çarlsbadca.g9y El Dominic Fieri 760-602-464 Dominic Fier@carisbadcggy Remarks 2 .5 •..S •' -S . •. • S • S . S . S • S S 5 55 .....................S . 5 5 5 5 S SS 5' 5' , _5• - • S '' '• 5 . .5 . - .- - - ':. ':•; , t ' .• -,5 ........................... , _t•I S .5, 5 • " . 15•k 5- : . S. . . . . .. . .• . RECOMMENDATION FOR APPROVAL See remarks, in blue font, and correct notes forfuture 'plans. :' BLDG DEPT COPY Daryl IC James & Associates, Inc . . . Checked by: Daryl Kit James 205 Colina Terrace .' . . S• . ...... ': ' Date: 5/05/2014 ' S Vista, CA 92084 T. (760) 724-7001 Email: kithre©sbcglobal.net APPLICANT Tony Mansour JURISDICTION Carlsbad Fire Department PROJECT NAME: JDS.Industries, Inc. I . . . PROJECT ADDRESS: 2701 .Loker.West PROJECT DESCRIPTION: CB151109 s TI Walls and ceilings, modifications. No new, mechanical — ductwork only. Relocate existing power and lighting as required. This plan was reviewed 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 plan check approval by the fire official for permit issuance COMMENTS'.. . ' ' ' : •' ": . '' , ADDITIONAL COMMENTS MAY BE GENERATED BASED ON RESUBITTAL RESPONSES TI Gefleral Notes 34, 42 (Should be 803 & 804) & 45. Replace City. of San Diego with Carlsbad. 803.3 - Heavy Timber .Revise code section from CFC 1415.1 to CFC 3315.1...... . . . . . . .. . Revise CFC Chapter 14 to Chapter. 33 and CFC Chaptér'26.to Chapter 35................. v'Deferred Submittals Provide the Following List of Deferred Submittals .'... • ' . . ' S Fire Sprinkler System 2013 CFC 903 and 2013 NFPA Ill...' Fire Alarm System 2013 CFC 907 including CFC 907.2 sections applicable to occupancy groups, and 2013 NFPA 72. - . . . " ,•" '. .. ' . ' . " . . Proposed Floor Plan Denote type and, location(s) of fire extinguisher(s). " ' S • ' • . S Legend . '. " ' ": ' ' . " •' . '• .• • " . . 'Provide a symbol for pattern shown within the alcove at Door 230.: .' 1' . • H . ..• S ' '• .' S General Notes Note 1.. Add "Deferred Submittal'. Add this Note See E-2.0 for lighting provisions in accordance with CBC Section 1006 & All01 Break 214 Apply an occupant load factor of 15 and revise occupant load Denote revised occupaht load and number of occupants exiting out of each exit door. ' • . Denote egress hardware types for new and existing doors to verify that all new and existing doors are openable without the use of akey or special knowledge or effort. i'. Carlsbad Fire Department Plan Review Requirements Category: TI , INDUST Date of Report: 05-11-2015 Name: TONY MANOUR Address: STE 100 6498 WEATHERS PL SAN DIEGO CA 92121-3915 Permit #:C13151109 Job Name:•' JDS INDUSTRIES: 5,240 SF TI TO Job Address: 2701 LOKER AV WEST CBAD St: 235 BLDG. DEPT COPY Reviewed by: item ybuairnited for review isompJ At thitth off ce cant Nme adeqL tely conduct a iew to deRe~j e comphance with the appi cable code&andlo tandard Please eview sTha, with eud Cond: C0N0008261 [MET] 0 VED 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: :95/11/2015 By: df. Action: AP • 0 • - ageiot CORRECTION LIST BLDG DEPTCO Daryl K. James & Associates, Inc.. S Checked by: Daryl Kit James 205Colina Terrace Date: 4/15/2014 Vista, CA 92084 . T. (760) 724-7001 Email: kitfire@sbcglobal.net APPLICANT Tony Mansour JURISDICTION Carlsbad Fire Department PROJECT NAME: JDS Industries, Inc. PROJECT ADDRESS: 2701 Lokèr West PROJECT DESCRIPTION CB151109 TI Walls and ceilings modifications No new mechanical — ductwork only. Relocate existing power and lighting as required This plan was reviewed 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 befQre plan check approval by the fire official for permit issuance RESUBMITTA INSTRUCTIONS TO AVOID DELAY IN EXPEDITED RECHECK SERVICES1 Corrections or modifications to the plans 'must be clouded and provided with numbered deltas and revision dates . Provide a written response following each comment, On This Correction Lis, explaining how* and where each plan review comment has been addressed ide a copy_ofuildingpartment (EsGil)comments' Please direct any questions regarding this review to Daryl K.' James 760-724-7001 or kitfiresbcglobal.net . .. . S S . '. •, 5 ., • S COMMENTS MUST BE SUBMITTED DIRECTLY Td, THE FOLLOWING ADDRESS DARYL K JAMES & ASSOCIATES, INC 205 COLINA TERRACE . VISTA, CA 92084 PLEASE -DO NOT REQUIRE MY SIGNATURE TO ACCEPT DELIVERY OF REVISED PLANS COMMENTS ADDITIONAL COMMENTS MAY BE GENERATED BASED ON RESUBITTAL RESPONSES . . . '; • .5 .5 ;. . Ii General Notes • . . -. S 34,42 &45. Replace City of San Diego with Carlsbad...i' •. :; 40 Revise code section from CFC 1415.1 to CFC 3315 1 41. Revise CFC Chapter 14 to Chapter 33 and CFC Chapter 26 to ChápteE 35 . . S Deferred Submittals S • 5 . 555 . : Provide the Following List of Deferred Submittals Fire Sprinkler System 2013 CFC 903 and 2013 NFPA 13. . S •• 5,5 ' Fire Alarm System 2013 CFC 907 including CFC 907.2 sections applicable to occupancy groups, and 2013 NFPA 72 - .5 •• • 5 .5- .5: ragez 012, Al Proposed. Floor Plan . . . Denote type an locatión(s):offire extinguisher(s). Legend . 0 .........0 .. Provide a symbol for pattern shown within the alcove at Door 230. A2 0 0 0• •0 0 General Notes Note 1. Add "Deferred Submittal" Add this Note:. See E-2.0 for lighting provisions in accordance with CBC Section 1006 & 1101:: A3 . 0 . . 0 00 . 0 •0 Break 214: Apply an occupant load factor of 15 and revise occupant load; 0 Denote revised occupant load and number of occupants exiting Out of each exit door. Denote egress hardware types for new and existing doors to verify that all new and existing doors are openable without the use of a key or special knowledge or effort. A5 . . 0 .0 0 • Detail 3: Revise One Hour Corridor to One HoUr Alcove. 0 0 0 Rated wall detail to include ICC evalUation report #, UL Listing or reference to Item number in 2013 0 CBC Table 721.1(2). 0 0 0 0 0 . . 0 •0 Detail 4: Rated wall detail to include ICC evaluation report #, UL Listing or reference to Item number in 2013 CBC Table 721.1(2). •0 0 0 0 . .: .. . END OF COMMENTS OFFICE USE ONLY RECORD ID #__________________ SAN DIEGO REGIONAL HHMBP#_____________ *HAZARDOUS MATERIALS QUESTIONNAIRE BID DATE 8usine ame c Business Contact Ab1y +9oI Telephone if 7—iaa—P11V 'N /01 Project Address City State Zip Code APN# 1 Z 72t L& IC9A fr iN. It 2 C2t CA- ioi a 4 ? Mailing Address 1/1 City State Zip Code Piaii , Project Contact T 27 iA,h.iSQ-t Telephone if 11 IV IV! 1VWIIJV quesuurw 1VprV5enL me aciuirys acilvicies, NUi me specific project deSCnptfon. PART I: FIRE DEPARTMENT -_HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLP1lFlçTlQN: (not reguired for orQjects WithIn the CIty of San Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. If any of oft aided, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: Facility's Square Footage (including proposed project): Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives Compressed Gases 1 6. Oxidizers 10. Cryogenics 14 Other Health Hazards Flammable/Combustible Liquids 7. Pyrophorics II. Highly Toxic or Toxic Materials one of These. Flammable Solids 8. Unstable Reactives 12. Radloactives PART II: SAN DIEGO COUNTY'DEPARTMENT OF ENVIRONMENTAL HEALTh - HAZARD)US MATERIALS DMSI9N (HMt: if the answer to any of the questions is yes, applicant must contectthe County of San Diego Hazardous MalenaisDivision, 5500 OvertandAvenue,Suite 170. Sen Diego, CA 92123. Call (858) 505-6700 prior to the Issuance of a building permit. FEES ARE REQUIRED. Project Completion Date: Expected Date of Occupancyr. YES 0 new construction or remodeling projects) jr(M',ls your business listed on the reverse side of this form' (check all that apply). 0 (' Will your business dispose of Hazardous Substances or Medical Waste in any amount? 0 (' Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons. 500 0 nds and/or 200 cubic feet? your business store orhandle carc nogendlreproducttve toxins.In any quantity? Olilnuul 0 your business use an exis ti ng or install an underground storage tank'?5 0 your business store or handle Regulated Substances (CaIARP)? 7. 0 p" Will your businessuse or install a Hazarddus Waste Tank System (Title 22, Artidé 10)? 5. 0 91 Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). 0 CSIAR Exempt Date Initials CaIARP Required Data Initials CalARP Complete Date Initials PART Ill; SAN DIEGO C,OUNTY AIR POLLUTION CONTROL D1TRICT /APCO): If the answer to Question #1 below Is no or the answer to any of the Questions #2-5 is yes, applIcant must contact the APCD at 10124 Old Grove Road, San Diego, CA 92131-1649 or telephone (858) 586-2600 prior to the issuance of a building or demolition permit. If the answer to questions #4 or #5 Is yes, applicant must also submit anasbestos notification form to the APCD at least 10 working days prior to commencing demoirtion or renovation (Some residential projects may be exempt from the notification requirements. Contact the APCD for more Information.) YES NO I. 0 2"Has a survey been perfomiedto determine the presence of Asbestos Containing Materials? 0 ffKWiII 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 httpj/www,sdapcd,orajlnfo/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). 0 0 (ANSWER ONLY IF QUESTION 1 IS YES) Will the subject facility be located within 1,000 feet of the outer boundary of a school (1< through 12)? , '(Search the California School Directory htto'JIw.w.'.cdé.ca.pov/refsdl for public and private schools or contact the appropriate school district). 4 fl ( Will at there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non feeble asbestos? 5. 0 ["WIll there be demolition involving the removal of a Iced supporting structural member? Briefly describe business activities: I I Briefly describe proposed project I decgigAunder penal fr ie' etiestof my knowledge and belief tl a made7( ,are true and correct.. Name of, Owner & Authorized jst Signature Owner or uthorized Agent Date FOR OFFICAL 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' APCD . COUNTY-HMO APCO COUNTY-HMD APCD Ui "Y" '""" "I"Qi V UWUdUI! ivierenara ousineas man. caner permitting requirements may still apply. HM-9171 (03/14) County of San Diego- DEN - Hazardous Materials Division INDUSTRIAL WASTEWATER DISCHARGE PERMIT / SCREENING SURVEY ) Date-251-117-Ier Business Name 3Y9$ Street Address 2."7 L.. ,4.i/1( t41- /4- —a& s' Email Address Ao'i G 5-9 5-9e, PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) Check all below that are present at your facility: Acid Cleaning Ink Manufacturing, Nutritional Supplement/ Assembly Laboratory Vitamin Manufacturing Automotive Repair Machining /Milling Painting 1 Finishing Battery Manufacturing Manufacturing Paint Manufacturing Biofuel Manufacturing Membrane Manufacturing Persànal Care Products Biotech Laboratory (i.e. water filter membranes) Manufacturing Bulk Chemical Storage ' 'Metal Casting! Forming Pesticide Manufacturing I 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 / 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 description of business activities (Production / 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/ volume): Date operation began/or-will begin at this location: Have you appl for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes o If yes, when: Site Contact A)Kc), tky or-Is —Title IMZ1L-4 Signature _Phone No. 7O__71c19'Y'/ )r ENCINA WASTIEWA10 AUTHORITY, 6200 Avenida Encinas Carlsbad, CA 92011 (760) 438-3941 FAX: (760) 476-9852 CB151109 2701 LOKERAV WEST 235 JOS INDUSTRIES: 5,240 SF TI TO - tots E -&7 S-i frmi fr7 \Z 7ZJ4/g2,Y3f5 //5 bg ic .57ç q 5(tq/. Final Inspection required by U Plan U CM&I U Fire 0 SW UISSUE A" I Approv / V Date By BUILDING /. /• / 3- PLANNING 57/5)25_ ENGINEERING & / iS '— FIRE Expedite?(3 DIGITAL FILES Required? Y N HazMat APCD Health Forms/Fees Sent Recd Due? By Encina qq'3.f S V N Fire V N HazHeaIthAPCD '- /3 -I i_. .5J j ç V N PE&M -(3.( Y N School V N Sewer V N Stormwater V N Special Inspection V N LandUse: CFD: V N Density: ImpArea: FY., Annex: Factor: PFF: V .N Comments Date Date Date Date Building Planning Engineering Fire Need?' Done L3 Do.ne L3 Done