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HomeMy WebLinkAbout2701 Loker Ave W; 150; CBC2019-0312; Permit(city of Carlsbad Print Date: 09/17/2019 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2701 Loker Ave W, 150 BLDG-Commercial 2090812200 $33,787.60 Commercial Permit Work Class: Demo Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check #: Description: PALOMAR CREST: 5,485 SF INTERIOR DEMO (NO OCCUPANCY ON THIS PERMIT) Owner: Status: Applied: Issued: Permit Fina led: Inspector: Final Inspection: Contractor: Permit No: CBC2019-0312 Closed -Finaled 06/24/2019 06/28/2019 9/17/2019 2:34:02PM REEF PALOMAR LLC SP W CONSTRUCTION INC BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) S91473 GREEN BUILDING STATE STANDARDS FEE STRONG MOT\ON-COMMERCIAL Total Fees: $527.58 2701 Loker Ave CARLSBAD, CA 92008 Total Payments To Date: $527.5B 2524 Gateway Rd Carlsbad, CA 92009-1742 760-931-1130 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $303.60 $212.52 $2.00 $9.46 ._ (cicyof Carlsbad COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check ,8(2.-0/f-05/2._ Est. Value '33,J~ 7.QI PC Deposit --=-------- Date ~~""'/Z.._L/~/-'--'/f __ _ Job Address :2701 Lolzer Ave""ue west Suite: _1_5_o __ APN: Zof og(;-4:.A--OO Tenant Name: _"'-_1_ci ______________ CT/Project #: __________ Lot#: ___ _ Fire Sprinkler~ no Air Conditioning:~/ no BRIEF DESCRIPTION OF WORK: oleV\,\,oLitio"'-of existl"'-g wciLLs Cl"'-ol fl"'-ist-1es, V\,\,i"'-Or griol repciirs, pcitct-1 CIV\,ol CICV\,t ciffecteol WC!lls ~ i:- D Addition/New: ___________ New SF and Use, ___________ New SF and Use, ___ Deck SF, Patio Cover SF (not including flatwork) D Tenant Improvement: _____ SF, _____ SF, Existing Use ______ Proposed Use ______ _ Existing Use Proposed Use ______ _ 0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ D Solar: ___ KW, __ Modules, ___ Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No D Plumbing/Mechanical/Electrical Only: ________________________ _ Ill! Other: "'-O te""ci""t for tt-1e s cice -clrn""u Cl"'-ol oleV\,\,o o suite O"'-L APPLICANT (PRIMARY) Name: SPW COV\,StructioV\, Address: :25:24 ';iC1tewci1:;1 RoC!ol City: CC!rlsbciol State: CA Zip: '.):200'.) Phone: 700.'.)31.1130 Email: "'-Cl"'-CkJ@wviiteco"'structio""i"'c.coV\,\, DESIGN PROFESSIONAL Name: AVRP Siz!jport Address: J03 10tvi street suite :200 City: SCIV\, Diego State: CA Zip: j:2101 Phone: 019-704.:2700 Email: _______________ _ Architect State License: __________ _ PROPERTY OWNER Name: Reef PciLoV\,\,Clr, LLC clo l.-t"'-ire ReC!L 5stcite Address: 1200 5Clst IV\,\.ptriCIL rtieviwC!cJ Suite :205 City: lsrrn State: CA Zip: '):22:21 Phone: J-11:,;l_;)0.21 QQ Email: I cickcrtci rr1:;1 l¾CI "'®L--t"'-irec;rou:p.col¾ CONTRACTOR BUSINESS Name: SPW COV\,StructioV\, Address: :25:24 c;citeWC!cJ Rocio! City: c0rksb00 State: CA Zip: _.'2cc:2c:.o..::.o ... 9 __ _ Phone: 700.'331.1130 Ema 11: "'-Cl "'-Ci;;! ®wVl iteco "'s tructio "''"'c. COV\,\, State License: 10:23250 Bus. License: lsLNR000431-0:2-:2C (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commendlng with Section 7000 of Division 3 of the Business and Professions Cadet or that he/she is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). 1635 Faraday Ave Carlsbad, CA 92008 B-2 Ph: 760-602-2719 Fax: 760-602-8558 Page 1 of 2 Email: Building@carlsbadca.gov Rev. 06/18 I OPTION A): WORKERS'COMPENSAJION DECLARATION: I hearby affirm under penalty of perjury gg_ of the following declarations: □ I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit Is issued. ~ have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Insurance Company Name: State Compensation lns. Fund Polley No. 9243036-19 E>eplration Date: 01/01/2020 □ Certificate of ElCemption: 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 be come 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 $100,000.00, In addition the to the cost of compensation, damages as provided for in Section 3706 of the labor Code, interest and attorney's fees. CONTRACTOR SIGNATURE: ----1::::::::=,...,,.. ____________ uAGENr DATE:~1e'""'l""'2;=-4.:.+-J/1~Ci=--bL---I I ( OPTION B ): OWNER-BUILDER DECLARATION: J hereby affirm that/ am exempt from Contractor's License Law for the following reason: 0 l, 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 _______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired ttie 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, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work): OWNER SIGNATURE: __________________ LJAGENT DATE: _____ _ CONSTRUCTION LENDING AGENCY. IFANY: 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: ____________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLV; ls 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 Pres!ey-Tanner Hazardous Substance Account Act? □ Yes ,,sJ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes 11 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes .,. 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, APPLICANT CERTIFICATION; I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit Is required for excavations over S'O' deep and demolition orcon~ruction of structuresover3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by !imitation and become null and 1/0id if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit ls suspended or abandoned at any time after the work ls commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). (/~ APPLICANT SIGNATURE: _ __;ff:.._ _________________ DATE: _0_1_:2_4_1_1.')"------ 1635 Faraday Ave Carlsbad, CA 92008 B-2 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of 2 Email: Building@carlsbadca.gov Rev. 06/18 1 ''t ,, 'f 1~ } ,, '\) > ,, 4 a; \ 1 i ' ' ' 1,f ,, J (' • '" ," ' '. J ;/t:'.' , ~::,,~, · ~ ~\' • \,,, · . fJ:RMlt •lll~P~cT10~ H1stro1v ffllo,~1'. <eaclo,19.o,12t -. \• · - P0rm1t rypc: Work Class· Statu~; · Scheduled Date BLDG-Commercial Demo Closed -Finaled Actual Start Date Inspection Type Application Date: 06/24/2019 Issue Date: 06/28/2019 Expiration Date: 03/16/2020 IVR Number: 19946 Inspection No. Inspection Status 0911712019 0911712019 BLOG-11 FoundationlFtg/Pier s (Rebar) 104399-2019 Passed BLOG-Final Inspection Checklist Item BLDG-Building Deficiency 104400-2019 Chee klist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed COMMENTS Ownci-: Subdivi1">ion: Address: Primary Inspector Paul York Paul York REEF PALOMAR LLC CARLSBAD TCT#74-21 2701 Loker Avew , 150 Carlsbad, CA 92010-6641 Re inspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete September 17, 2019 Page 1 of 1 ltl-8S8-6n-8900 fiee • IISl-ltl-4522 fax -858-677-900'1 PatJlotlAll.oom June 17, 2019 66•0 LIiii Blvd., Switt A-100, San Dit110, CA 92111 Environmental Laboratory Services, Inc. Darrin Ward White Construction 2524 Gateway Road Carlsbad, CA 92009 Re: Limited Asbestos Inspection Palomar Crest Suite 150 2701 Loker Avenue Suite 150 Carlsbad, CA 92008 Claim No: NIA Project No: SD 129383A Dear Mr. Ward, RECEi\/ED JUtl 2 ,t 2019 CITY OF cr,:0n SB/\D BLJILDlr.Jl~ u . :.:c:•J On June 14, 2019, California DOSH Certified Site Surveillance Technician, Mr. Francisco Barney (CSST 14-5283) of Patriot Environmental Laboratory Services, Inc. (Patriot) performed a limited asbestos inspection at the above subject property located in Carlsbad, California. The purpose of the inspection was to determine if asbestos is present in any of the building materials soon to be disturbed by an upcoming renovation at the subject property. Summary of Findings No asbestos was detected in the building materials sampled. Property Description The subject property is a commercial structure. The subject building is a multi-story wood and metal frame building set on a cement slab foundation. Scope of Work On June 14, 2019, Mr. Francisco Barney, (CSST 14-5283) of Patriot conducted a limited asbestos inspection at the subject property. The interior of the building was visually inspected for the purpose of inventorying any suspect asbestos containing materials soon to be disturbed by an upcoming renovation at the subject property. Once the inventory of suspect materials was created, physical bulk samples were collected of the materials from representative locations. Samples were collected in airtight containers. Upon collection, sample numbers, descriptions, and collection locations were entered on to a chain of custody for transportation to Patriot's NVLAP accredited laboratory. >-,_ -0 Sampled Suspect Materials Samples of the following suspect materials were collected: Drywall & Joint Compound Carpet Mastic Black 4" Cove Base with Mastic 2'x4' Acoustic CT 12" Vinyl Floor Tile Pink Fiberglass Duct Insulation with White Mastic Sample ProtocoVAnalysis ,_- / ,/ , '' I --··--. I Samples were collected in accordance with the Asl,~~,tos. ~chool H"""azard EmeTgency Re1"onse Act (40 CFR 763 Subpart E) as mandated by Cal/QSHA ('fitle 8 Section 1529). . / \ ·, I } ! ' ' -·,, d '/ 11 .i I ; Physical bulk samples were analyze9. by Patriot. P11triot. is accredited bx ihj:--Watio-!:tal ~ oluntary Laboratory Accreditation ProgranJ,{200358-0). The met,hod of analysi& was:Jfol~zecf Light Microscopy (EPA 600/M4-82-0,20))) . · · : 1 // 1 .. , 1 • /. '. ✓ / ) ·.__ ._) I, I / { .~\,\\) i .. I ,/ ) I ~ I Recommendations ' ' i .,,--.. ---.' i ---- No asbestos was detected in the buil\iing materials ~ampled. Therefore, no recommendations.:are warranted at this time. \ ' ) · 1 / .;~ --~ i / / \ ' , ~---__ ,,. ,,..,..-· ; / ' / I I Disclaimer 1 \.., , .. \ 1 / r-· _ .. ,/ ·. \, ' \,.", \ ;' ' ' / changes or changes izythe condition of tbe building. ' :' / / / \ \ ' J '} } .' ---._ Limited destructive sampJ'ng)waii\06,ducted at the subject property. If additional-suspect'/ materials are discovered d'(llajg rerioxation, all work should cease until a Certified Asbes}os / Consultant is contracted to\1Scertain the possibiJJty of iisbestos content.,.'this inspection Was / performed in accordance with current r'egula1/QilS(~fkr1rte of the arl;,~J~qes. Th~ invc;rttory of asbestos contain~ng mat_e;i'als lifd detepmn~fiol,i o~_!bqr cotjdition ~.~ ~~e<,i upon,.con1tiorys observed at the tune oY,nspect!Qn. Patilot does mltl ass:t ~espons1b1fity for futute regulatpry Enclosed is the la~;atory analysi~\-eport, Pi~ase. contact ur office if ther~ arekiy ~~e~~;s regarding this i~~ection. ./ / ',, // ,, .. ,) __ .. :,. . . ,_/ Sincerely, ,./ ,/ ,-/_,.,,/ 1 /-/.,, .. ~ / / ;'/ \ I _,,, ~ ,/',) , __ ,,. •••• / \ ~-~ / // \ ".' ,:··, T / 1, I _. / 1 I . , : / Cristophe~ J. Meile : / /. Certified Aisbestos Consultrult 08-43}1() \ I I / \ 1, ' ' ' Enclosure:):.aboratory Rfsults / / J _; ' •, -· ) .. _ ,-',,.,. / \ / ·-,, ., / , '••-.. _// ·, ', \ \. i ' r:: ---·--·---~ I . \ I '' --- .•· \ J ' C--L -, / J .. I ; I I ' ' j -- , ( Certificale of Analysis PLM Asbestos Identification tel· 858·677-8900 free -855-787-4522 fax -858-6n-9009 Patriotlab.com 6640 Lusk Blvd., Suite A-100, San Diego, CA 92121 White Construction Report Number: 770542 Darrin Ward Project Number: SD129383A 2524 Gateway Road Project Name: Palomar Crest Suite 150 Carlsbad, CA 92009 Project Location: 2701 Loker Avenue Suite 150 Carlsbad, 92008 Date Collected: 6/14/2019 Collected By: Francisco Barney Date Received: 6/14/2019 Claim Number: Date Analyzed: 6/14/2019 PO Number: Date Reported: 6/14/2019 Number of Samples: 46 Lab/Client ID/Layer Location Material Description Color 770542-001 Computer Area Wall Drywall and Joint White Compound Total Asbestos None Detected 770542-00IA Computer Area Wall DrywaU White Total Asbestos None Detected 770542-00lB Computer Area Wall Joint Compound White Total Asbestos None Detected 770542-002 Office 5 Wall Drywall and Joint White 2 Compound Total Asbestos None Detected 770542-002A Office 5 Wall Drywall White 2 Total Asbestos None Detected Composition ( % ) 80% Sulfate 10% Cellulose 6% Carbonate 2 % Glass Fibers 2% Paint 85% Sulfate 10% CeUulose 5% Glass Fibers 97% Carbonate 3% Paint 80% Sulfate 10% Cellulose 6% Carbonate 2% Glass Fibers 2% Paint 85% Sulfate I 0% Cellulose 5% Glass Fibers Page I of9 G:ertificate of Analysis PLM Asbestos Identification White Construction Darrin Ward 2524 Gateway Road Carlsbad, CA 92009 Date Collected: 6/14/2019 Date Received: 6/14/2019 Date Analyzed: 6/14/2019 Date Reported: 6/14/2019 Lab/Client ID/Layer Location 770542-00ZB Office 5 Wall 2 Total Asbestos None Detected 770542-003 Office 20 Wall 3 Total Asbestos None Detected 770542-003A Office 20 Wall 3 Total Asbestos None Detected 770542-003B Office 20 Wall 3 Total Asbestos None Detected 770542-004 Lobby Wall 4 Total Asbestos None Detected Report Number: Project Number: Project Name: Project Location: Collected By: Claim Number: PO Number: Number of Samples: tel· 858·677-8900 free -855-787-4522 fax -858-677-9009 Patriotlab.mm 6640 Lusk Blvd., Suite A-100, San Diego, CA 92121 770542 SDJ29383A Palomar Crest Suite 150 270 I Loker A venue Suite 150 Carlsbad, 92008 Francisco Barney 46 Material Description Color Composition ( % ) Joint Compound White 97% Carbonate 3% Paint Drywall and Joint White 80% Sulfate Compound 10% Cellulose 6% Carbonate 2% Glass Fibers 2% Paint Drywall White 85% Sulfate I 0% Cellulose 5% Glass Fibers Joint Compound White 97% Carbonate 3% Paint Drywall and Joint White 80% Sulfate Compound 10% Cellulose 6% Carbonate 2% Glass Fibers 2% Paint Page2of9 Certificate of Analysis PLM Asbestos Identification White Construction Darrin Ward 2524 Gateway Road Carlsbad, CA 92009 Date Collected: 6/14/2019 Date Received: 6/14/2019 Date Analyzed: 6/14n0I9 Date Reported: 6/14/2019 Lab/Client ID/Layer Location 770542-004A Lobby Wall 4 Total Asbestos None Detected 770542-004B Lobby Wall 4 Total Asbestos None Detected 770542-005 Office I 5 Wall 5 Total Asbestos None Detected 770542-005A Office 15 Wall 5 Total Asbestos None Detected 770542-005B Office 15 Wall 5 Total Asbestos None Detected tel· 858·677-8900 free -SSS-787-4522 la~· 858-671-9009 Patriotlab.wm 6640 Lusk Blvd., Suite A-100, San Diego, CA 92121 Report Number: 770542 Project Number: SD129383A Project Name: Palomar Crest Suite 150 Project Location: 2701 Loker Avenue Suite 150 Carlsbad, 92008 Collected By: Francisco Barney Claim Number: PO Number: Number of Samples: 46 Material Description Color Composition ( % ) Drywall White 85% Sulfate 10% Cellulose 5% Glass Fibers Joint Compound White 97% Carbonate 3% Paint Drywall and Joint White 80% Sulfate Compound 10% Cellulose 6% Carbonate 2% Glass Fibers 2% Paint Drywall White 85% Sulfate 10% Cellulose 5% Glass Fibers Joint Compound White 97% Carbonate 3% Paint Page 3 of9 Certificate of Analysis PLM Asbestos Identification White Construction Darrin Ward 2524 Gateway Road Carlsbad, CA 92009 Date Collected: 6/14/2019 Date Received: 6/14/2019 Date Analyzed: 6/14/2019 Date Reported: 6/14/2019 Lab/Client ID/Layer Location 770542-006 Office JO Wall 6 Total Asbestos None Detected 770542-006A Office JO Wall 6 Total Asbestos None Detected 770542-006B Office!O Wall 6 Total Asbestos None Detected 770542-007 Breakroom Wall 7 Total Asbestos None Detected 770542-007 A Breakroom Wall 7 Total Asbestos None Detected tel • 858-677-8900 free -855-787-4522 fal -858-6n-9009 Patriotlab.com 6640 Lusk Blvd., Suite A-100, San Diego, CA 92121 Report Number: 770542 Project Number: SD129383A Project N arne: Palomar Crest Suite 150 Project Location: 270 I Loker Avenue Suite 150 Carlsbad, 92008 Collected By: Francisco Barney Claim Number: PO Number: Number of Samples: 46 Material Description Color Composition ( % ) Drywall and Joint White 80% Sulfate Compound I 0% Cellulose 6% Carbonate 2% Glass Fibers 2% Paint Drywall White 85% Sulfate 10% Cellulose 5 % Glass Fibers Joint Compound White 97% Carbonate 3% Paint Drywall and Joint White 80% Sulfate Compound 10% Cellulose 6% Carbonate 2 % Glass Fibers 2% Paint Drywall White 85% Sulfate 10% Cellulose 5% Glass Fibers Page 4 of9 Clertificate of Analysis PLM Asbestos Identification White Construction Darrin Ward 2524 Gateway Road Carlsbad, CA 92009 Date Collected: 6/14/2019 Date Received: 6/14/2019 Date Analyzed: 6/14/2019 Date Reported: 6/14/2019 Lab/Client ID/Layer Location 770542-007B Breakroom Wall 7 Total Asbestos None Detected 770542-008 Lobby Floor 8 Total Asbestos None Detected 770542-009 Office 8 Floor 9 Total Asbestos None Detected 770542-010 Computer Area Floor 10 Total Asbestos None Detected 770542-011 Office 14 II Total Asbestos None Detected 770542-012 Corridor Floor 12 Total Asbestos None Detected Report Number: Project Number: Project Name: Project Location: Collected By: Claim Number: PO Number: Number of Samples: tel· 858·677·8900 free· SSS-787·4522 fax· 858·677-9009 Patriotlab.rom 6640 Lusk Blvd., Suite A·lO0, San Diego, CA 92121 770542 SD129383A Palomar Crest Suite I 50 2701 Loker Avenue Suite 150 Carlsbad, 92008 Francisco Barney 46 Material Descrij!tion Color Composition ( % ) Joint Compound White 97% Carbonate 3% Paint Carpet Mastic Yellow 100% Non- Fibrous Material Carpet Mastic Yellow 100% Non- Fibrous Material Carpet Mastic Yellow 100% Non• Fibrous Material Carpet Mastic Yellow 100% Non· Fibrous Material Carpet Mastic Yellow 100% Non- Fibrous Material Page 5 of9 Certificate of Analysis PLM Asbestos Identification White Construction Darrin Ward 2524 Gateway Road Carlsbad, CA 92009 Date Collected: 6/14/2019 Date Received: 6/14/2019 Date Analyzed: 6/14/2019 Date Reported: 6/14/2019 Lab/Client ID/Layer Location 770542-013 Computer Area Wall 13 Total Asbestos None Detected 770542-014 Computer Area Wall 14 Total Asbestos None Detected 770542-015 Office 12 Wall 15 Total Asbestos None Detected 770542-016 Office 12 Wall 16 Total Asbestos None Detected 770542-017 Office 22 Wall 17 Total Asbestos None Detected 770542-018 Office 22 Wall 18 Total Asbestos None Detected Report Number: Project Number: Project Name: Project Location: Collected By: Claim Number: PO Number: Number of Samples: tel -858·677-8900 free -85>-787-4522 fax -858-677-9009 Patriotlab.com 6640 Lusk Blvd., Suite A-100, San Diego, CA 92121 770542 SDl29383A Palomar Crest Suite 150 270 I Loker A venue Suite 150 Carlsbad, 92008 Francisco Barney 46 Material Description Color Composition ( % ) 4 Inch Cove Base Black 100%Non- Fibrous Material Mastic Beige 100% Non- Fibrous Material 4 Inch Cove Base Black 100% Non- Fibrous Material Mastic Beige 100% Non- Fibrous Material 4 Inch Cove Base Black 100%Non- Fibrous Material Mastic Beige 100%Non- Fibrous Material Page 6 of9 G:ertificate of Analysis PLM Asbestos Identification White Construction Darrin Ward 2524 Gateway Road Carlsbad, CA 92009 Date Collected: 6/14/2019 Date Received: 6/14/2019 Date Analyzed: 6/14/2019 Date Reported: 6/14/2019 Lab/Client ID/Layer 770542-019 19 Total Asbestos 770542-020 20 Total Asbestos 770542-021 21 Total Asbestos 770542-022 22 Total Asbestos Location Computer Area Ceiling None Detected Lobby Ceiling None Detected Office 9 Ceiling None Detected Corridor Ceiling None Detected tel· 858·677·8900 free • 855-781-4522 fax -858-677-9009 Patriotlab.com 6640 Lusk Blvd., Suite A-100, San Diego, CA 92111 Report Number: Project Number: Project Name: Project Location: Collected By: Claim Number: PO Number: 770542 SDJ29383A Palomar Crest Suite 150 2701 Loker Avenue Suite 150 Carlsbad, 92008 Francisco Barney Number of Samples: 46 Material Description Color 2x4 Inch Acoustic CT White 2x4 Inch Acoustic CT White 2x4 Inch Acoustic CT White 2x4 Inch Acoustic CT White Composition ( % ) 65% Cellulose 20% Mineral Wool 12% Perlite 3% Paint 65% Cellulose 20% Mineral Wool 12% Perlite 3% Paint 65% Cellulose 20% Mineral Wool 12% Perlite 3% Paint 65% Cellulose 20% Mineral Wool 12% Perlite 3% Paint Page 7 of9 Certificate of Analysis PLM Asbestos Identification White Construction Darrin Ward 2524 Gateway Road Carlsbad, CA 92009 Date Collected: 6/14/2019 Date Received: 6/14/2019 Date Analyzed: 6/14/2019 Date Reported: 6/14/2019 Lab/Client ID/Layer Location 770542-023 Office 10 Ceiling 23 Total Asbestos None Detected 770542-024 Office 14 Floor 24 Total Asbestos None Detected 770542-025 Office 14 Floor 25 Total Asbestos None Detected 770542-026 Corridor Floor 26 Total Asbestos None Detected 770542-027 Corridor Floor 27 Total Asbestos None Detected 770542-028 Office 13 Floor 28 Total Asbestos None Detected tel· 858·677-8900 free -855-787-4522 fax -858-6n-9009 Patriotlab.rom 6640 Lusk Blvd., Suite A-100, San Diego, CA 92121 Report Number: 770542 Project Number: SD129383A Project Name: Palomar Crest Suite 150 Project Location: 270 I Loker Avenue Suite 150 Carlsbad, 92008 Collected By: Francisco Barney Oaim Number: PO Number: Number of Samples: 46 Material Description Color Composition ( % ) 2x4 Inch Acoustic CT White 65% Cellulose 20% Mineral Wool 12% Perlite 3% Paint 12 Inch Vinyl Floor White 100% Non- Tile Fibrous Material Mastic Yellow 100% Non- Fibrous Material 12 Inch Vinyl Floor White 100% Non- Tile Fibrous Material Mastic Yellow 100% Non- Fibrous Material 12 Inch Vinyl Floor White 100% Non- Tile Fibrous Material Page 8 of9 Certificate of Analysis PLM Asbestos Identification White Construction Darrin Ward 2524 Gateway Road Carlsbad, CA 92009 Date Collected: 6/14/2019 Date Received: 6/14/2019 Date Analyzed: 6/14/2019 Date Reported: 6/14/2019 Lab/Client ID/Layer Location 770542-029 Office 13 Floor 29 Total Asbestos None Detected 770542-030 Plenum Ducts 30 Total Asbestos None Detected 770542-031 Plenum Ducts 31 Total Asbestos None Detected 770542-032 Plenum Ducts 32 Total Asbestos None Detected Krystal Prodigalidad -Analyst Report Number: Project Number: Project Name: Project Location: Collected By: Claim Number: PO Number: Number of Samples: tel· 858·677·8900 free -855-787·4522 tax • 858•6n-900'J Patriotlab.(Om 6640 Lusk Blvd., Suite A-100, San Diego, CA 92121 770542 SD129383A Palomar Crest Suite 150 2701 Loker Avenue Suite 150 Carlsbad, 92008 Francisco Barney 46 Material Description Color Composition ( % ) Mastic Yellow 100% Non- Fibrous Material Fiberglass Duct Pink 100% Mineral Insulation Wool Fiberglass Duct Pink I 00% Mineral Insulation Wool Fiberglass Duct Pink I 00% Mineral Insulation Wool Michelle Lavallee -Approved By Bulk sample(s) submitted was (were) analyzed in accordance with the procedure outlined in the US Federal Register 40 CFR 763, Subpart F, Appendix A; EPA-600/R-93/116 (M"ethod for Determination of Asbestos in Building Materials), and EPA-600/M4-82-020 (US EPA Interim Method for the Determination of Asbestos in Bulk Insulation Samples).Samples were analyzed using Calibrated Visual Estimations (CVES); therefore, results may not be reliable for samples of low asbestos concentration levels. Samples of wall systems containing discrete and separable layers are analyzed separc1.tely and reported as composite unless specifically requested by the customer to report analytical results for individual layers. This report applies only to the items tested. Results are representative of the samples submitted and may not represent the entire material from which the samples were collected. ''None Detected" means that no asbestos was observed in the sample. "<. l %" (less than one percent) means that asbestos was observe.din the sample but the concentration is below the quantifiable level of 1 %. This report was issued by a NIST/NVLAP (Lab Code 200982.Q) and CADOHS· ELAP (Cert. No. 2805) accredited laboratory and may not be reproduced, except in full without the expressed written consent of Patriot Environmental Laboratory Services, Inc. This report may not be used to claim product certification, approval or endorsement by NIST, NVLAP, ELAP or any government agency. Page 9 of9 'um Arou~d Tl e: ) ERS 4HRS ) 48 HR ( ) 72 HRS ·o~ 1 Npme: ~· _,._A ,._ ,, C'"<& (~w~C S() Prf:!,,•f ~q 3 <?>'b~ I ~:irse Only: ·o ectA< d~~. ~\'SO City: ~0,.'( \~ \~c\ Zip:q ir:1:5'6 , ,;;., :()1 1mple Sample Location Material Type F NF Condition Notes ID . \ r r--\_ L-.. \JJ ~\\ -pW\C(_ ¥-c~c,~ , \ • ) '\ ""' II_ -c:::;: - ~ ~hlJ. 1A t .o\\..., -" t "' !.e._ 15 ~ ) nf~,c.e. 'l:J 7 ~(et,~\Oll~ . '--·- ~ I _\\ ~ \oc.i.' (t\fQfk~lf' " r\.Ch~e. 'i\ . ~ 0 tr -. -. .b. YO,""- • I \ ().fJ,ca. \4 ()._ no,,,.,_,\...., \ _,_ -.... ~'-\ -": · . , • '-\\\er,, -•• r r "'· C\ .... o. &.,req, w ... ,, ,.. -.... • ... .a .. ..:. •. -~ -I-Tl 11'11lf l • . 27PM \'$ rt 1 i ~« \?... I \ ..... _ ..... \ \- \ r\{, J.-\ (..Q. 2...'L \ \ l \tA - \'\ Cc>~\). ~ye_'> (\:\~in. ~tt.Jl A ('J}A~~c. --r 'IC. "Ill .. JO tJ\,\.y -J l ... \ I . I~\ (\\-~CL °I l-.L-~ "J . -, • •' Samplecl/Rellnaulshed Bv: Sign: C f\. u~ f. h J Date:£. ~ ,~ Time: Samoles Received Bv: Siem: -'UA 'I. I Date: [.I. 'fATime: -,, '" Page 0 -' J Bulk Sample COG Rev 12.27.2017 I .ab Use Only: J] Q Slf 1~ ~-408-452-9700 he· 855-346-8900 fall· 408-63a-G945 ~um Arounc(!JJ:lw: )ERS ~24HRS } 48 HRS ( ) 72 HRS Pal!IGllab.com 2186 Paragon Drive, San J111t, CA 95131 ASBESTOS FIELD BULK SAMPLE COC r .. ,.-~;ne: ~ 'S\..(v.\-~ SD p!&v\~'68cA-~:J'se Only: roject~~rec,: l n1£.t"r ~ 'o. \"SO City: QA.v-\~,A.l') Zlpb.2.~ unple Sample Location Material Type F NF Condition Notes ID )~ L \ 1 , .. O~l.c.c. \4 -' , 0~,htct \~ l---,{;' ---if----'---'-'---==---_:c..-+--------+-+--+-+--+-------i..J. _.> -~O-l-<-~..:..'.\~~~IJ'..!:V.~,-.::_~~•"-~ts:1k~~'---"+~~'-'f\_~...s;:~;,i.C,..~-.r~•--t L~-••~i.l~,\H_:}(-:.+--l--+-----IJ'\ '3\ 1 \ ' -,,-"l,,--i----➔L..------+---lL,__ _______ +-._-+--.t--------+------t.0 ... , . . SamoleclJRellnauished Bv: Sia~ Date: {~ II -' Time: \ / .\J \"1 Samples Received By: Sign: -·-•e: • /L" J ll,time: • ' Page· ... ~ -✓~ ' I Bulk Sample COG Rev 12.27.2017 SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY RECORD ID #--------~---------1 PLAN CHECK# cec.2~9 -0 3 1 :i- sP DATE The following questions rep sent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT -HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: (not required for projects within the City of San Diego): 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. Occupancy Rating: Facility's Square Footage (including proposed project): 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives 2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards 3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These. 4. Flammable Solids 8. Unstable Reactives 12. Radioactives PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION (HMO): If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 110, San Diego, CA 92123. can (858) 505-6700 prior to the issuance of a building permit. FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy: 0 CalARP Exempt I 1. 2. 3. 4. 5. 6. 7. 8. YES NO □ E:f □ 13' □ 13' csr ~ (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? Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? Will your business store or handle carcinogens/reproductive toxins in any quantity? Will your business use an existing or install an underground storage tank? □ □ □ □ □ G}-Will your business store or handle Regulated-Substances (CalARP)? [9" Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? rr' Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or reater than 1,320 allons? California's Above round Petroleum Stora e Aci . Date Initials 0 CalARP Required I Date Initials 0 CalARP Complete I Date Initials PART 111: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCDI: Any YES• answer requires a stamp from APCD 10124 Old Grove Road, San Diego, CA 92131 apcdcomp@sdcounty.ca.qov (858) 586-2650). [•No stamp required WQ1 Yes.MQ Q3 Yes and Q4-Q6 No). The following questions are intended to identify the majority of air pollution issues at the planning stage. Projects may require additional measures not identified by these questions. For comprehensive requirements contact APCD. Residences are typically exempt, except -those with more than one building+ on the property; single buildings with more than four dwelling units; town homes; condos; mixed-commercial use; deliberate burns; residences forming part of a larger project. rExcludes garages & small outbuildings.} YE~ N□O 1. B Will the projeci disturb 160 square feet or more of existing building materials? 2. Q, g 0 Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition. 3. t::::1 (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos suivey been performed by a Certified Asbestos Consultant or Site Surveillance Technician? 4. 5. 6. □ □ □ [3' (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification may be required 10 working days prior to commencing asbestos removal. s' Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet (www.sdapcd.org/info/faqts/permrts.pdf) for typical equipment requiring an APCD permit. D (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school bounda Briefly describe proposed project: (\tm~ Qi'31"10 i..t\llS"' f,n1SIUS ,-Y1100.-.,,,... e responses ma e herein are true and correct. Q(o I ?4 t10(~ Signature of Owner or Authorized Agent Date FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: ________________________________ _ BY· DATE· I I EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMO* APCD COUNTY-HMO APCD COUNTY-HMO APCD *A stamp m this box only exempts busmesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply. HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division LIST OF BUSINESSES WHICH REQUIRE REVIEW AND APPROVAL FROM THE COUNTY OF SAN DIEGO DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION • Check all that apply: AUTOMOTIVE D Battery Manufacturing/Recycling D Boat Yard D Car Wash D Dealership Maintenance/Painting D Machine Shop D Painting D Radiator Shop D Rental Yard Equipment D Repair/Preventive Maintenance D Spray Booth D Transportation Services D Wrecking/Recycling CHEMICAL HANDLING D Agricultural supplier/distributor D Chemical Manufacturer D Chemical Supplier/Distributor 0 Coatings/Adhesive D Compressed Gas Supplier/Distributor D Dry Cleaning D Fiberglass/Resin Application D Gas Station D Industrial Laundry D Laboratory D Laboratory Supplier/Distributor 0 Oil and Fuel Bulk Supply D Pesticide Operator/Distributor CHEMICAL HANDLING D Photographic Processing D Pool Supplies/Maintenance 0 Printing/Blue Printing D Road Coatings D Swimming Pool D Toxic Gas Handler D Toxic Gas Manufacturer METAL WORKING D Anodizing D Chemical Milling/Etching D Finish-Coating/Painting D Flame Spraying D Foundry D Machine Shop-Drilling/Lathes/Mills D Metal Plating D Metal Prepping/Chemical Coating D Precious Metal Recovery D Sand Blasting/Grinding D Steel Fabricator D Wrought Iron Manufacturing AEROSPACE D Aerospace Industry D Aircraft Maintenance D Aircraft Manufacturing OTHERS AND MISCELLANEOUS □ Asphalt Plant D Biotechnology/Research D Chiropractic Office D Co-Generation Plant D Dental Clinic/Office D Dialysis Center D Emergency Generator D Frozen Food Processing Facility D Hazardous Waste Hauler D Hospital/Convalescent Home D Laboratory/Biological Lab D Medical Clinic/Office D Nitrous Oxide (NO,J Control System D Pharmaceuticals 0 Public Utility D Refrigeration System D Rock Quarry D Ship Repair/Construction D Telecommunications Cell Site D Veterinary Clinic/Hospital D Wood/Furniture Manufacturing/Refinishing ELECTRONICS D Electronic Assembly/Sub-Assembly D Electronic Components Manufacturing D Printed Circuit Board Manufacturing NOTE: THE ABOVE LIST INCLUDES BUSINESSES, WHICH TYPICALLY USE, STORE, HANDLE, AND DISPOSE OF HAZARDOUS SUBSTANCES. ANY BUSINESS NOT INCLUDED ON THIS LIST, WHICH HANDLES, USES OR DISPOSES OF HAZARDOUS SUBSTANCES MAY STILL REQUIRE HAZARDOUS MATERIALS DIVISION (HMO) REVIEW OF BUSINESS PLANS. FOR MORE INFORMATION CALL (858) 505-6880. LIST OF AIR POLLUTION CONTROL DISTRICT PERMIT CATEGORIES Businesses, which include any of the following operations or equipment, will require clearance from the Air Pollution Control District. CHEMICAL 47 -Organic Gas Sterilizers 32 -Acid Chemical Milling 33 -Can & Coil Manufacturing 44 -Evaporators, Dryers & Stills Processing Organic Materials 24 -Dry Chemical Mixing & Detergent Spray Towers 35 -Bulk Dry Chemicals Storage 55 -Chrome Electroplating Tanks COATINGS & ORGANIC SOLVENTS 27 -Coating & Painting 37 -Plasma Arc & Ceramic Deposition Spray Booths 38 -Paint, Stain & Ink Mfg 27 -Printing 27 -Polyester Resin/Fiberglass Operations METALS 18 -Metal Melting Devices 19 -Oil Quenching & Salt Baths 32 -Hot Dip Galvanizing 39 -Precious Metals Refining ORGANIC COMPOUND MARKETING {GASOLINE, ETC} 25 -Gasoline & Alcohol Bulk Plants & Terminals 25 -Intermediate Refuelers 26 -Gasoline & Alcohol Fuel Dispensing COMBUSTION 34 -Piston Internal -Combustion Engines 13 -Boilers & Heaters (1 million BTU/hr or larger) 14-/ncinerators & Crematories 15 -Burn Out Ovens 16 -Core Ovens 20 -Gas Turbines, and Turbine Test Cells & Stands 48 -Landfill and/or Digester Gas Flares ELECTRON/CS 29 -Automated Soldering 42 -Electronic Component Mfg FOOD 12 -Fish Canneries 12 -Smoke Houses 50 -Coffee Roasters 35 -Bulk Flour & Powered Sugar Storage SOLVENT USE 28 -Vapor & Cold Degreas·Ing 30 -Solvent & Extract Driers 31 -Dry Cleaning ROCK AND MINERAL 04 -Hot Asphalt Batch Plants 05 -Rock Drills 06 -Screening Operations 07 -Sand Rock & Aggregate Plants 08 -Concrete Batch, CTB, Concrete Mixers, Mixers &Silos 10-Brick Manufacturing OTHER 01 -Abrasive Blasting Equipment 03 -Asphalt Roofing Kettles & Tankers 46 -Reverse Osmosis Membrane Mfg 51 -Aqueous Waste Neutralization 11 -nre Buffers 17 -Brake Debonders 23 -Bulk Grain & Dry Chemical Transfer & Storage 45 -Rubber Mixers 21 -Waste Disposal & Reclamation Units 36 -Grinding Booths & Rooms 40 -Asphalt Pavement Heaters 43 -Ceramic Slip Casting 41 -Perlite Processing 40 -Cooling Towers -Registration Only 91 -Fumigation Operations 56 -WWTP (1 million gal/day or larger) & Pump Station NOTE: OTHER EQUIPMENT NOT LISTED HERE THAT IS CAPABLE OF EMITTING AIR CONTAMINANTS MAY REQUIRE AN AIR POLLUTION CONTROL DISTRICT PERMIT. IF THERE ARE ANY QUESTIONS, CONTACT THE AIR POLLUTION CONTROL DISTRICT AT (858) 586-2600. HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division