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HomeMy WebLinkAbout2744 CARLSBAD BLVD; 102; CB060369; Permit05-10-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB060369 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 2744 CARLSBAD BL CBAD St: 102 Tl Sub Type: 2031722701 Lot#: $29,225.00 Construction Type: Reference #: ANASTASI 835 SF SHELL TO RETAIL, SPEC SUITE COMM 0 NEW Applicant: LAUGHLIN GREG 3210 HARDING ST CARLSBAD CA 92008 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check*: ISSUED 02/14/2006 MDP 05/10/2006 05/10/2006 Owner: ANASTASI DEVELOPMENT 511 TORRANCEBLVD REDENDO BEACH CA 92008 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'l Pot. Water Con. Fee Reel. Water Con. Fee $242.99 Meter Size $0.00 Add'l Reel. Water Con. Fee $157.94 Meter Fee $0.00 SDCWAFee $0.00 CFD Payoff Fee $6.14 PFF (3105540) $0.00 PFF (4305540) ' $0.00 License Tax (3104193) $0.00 License Tax (4304193) $0.00 Traffic Impact Fee (3105541) $0.00 Traffic Impact Fee (4305541) $0.00 PLUMBING TOTAL $0.00 ELECTRICAL TOTAL $0.00 MECHANICAL TOTAL $0.00 Master Drainage Fee Sewer Fee $0.00 Redev Parking Fee $0.00, Additional Fees HMPFee TOTAL PERMIT FEES $0.00 $0.00 $0.00 $0.00 $531.90 $490.98 $0.00 $0.00 $0.00 $0.00 $48.00 $35.00 $30.50 $0.00 $0.00 $0.00 $0.00 ?? $1,543.45 Total Fees:$1,543.45 Total Payments To Date:$1,543.45 Balance Due:$0.00 BUILDING PLANS IN STORAGE ATTACHED Inspector: FINALAPPJRQVA Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 i. FOR OFFICE USE O PLAN CHECK NO. EST. VAL. 2. 001 Plan Ck. Deposit Validated By_ Date 4£ »/UXAAJ) Address (include Bldg/Suite if)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work YAfJiU~1t\ 2. CONTACT PERSON (if different from applicant) SQ. FT.#of Stories # of Bedrooms,# of Bathrooms Name 3. A!'PLICANT & Q Contractor D Agent Address for Contractor D Owner <KT City Agent for Owner State/Zip Telephone #Fax # . *~*, — ' Telephone #Name 4. PROPERTY OWNER Address City State/Zip 7>BA 5VJ fcatewte _^ Q. Address City State/Zip Telephone*Name 5. CONTRACTOR - COMPANY NAME (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 is licensed pursuant to the provisions of the Contractor's License Law [Chapter 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]). Name State License # Address License Class City State/Zip City Business License # Telephone # Designer Name Address City State/Zip Telephone State License # 6. WORKERS'COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: l~l I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. l~l I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) f~| CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. : WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the 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). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The extractor'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). O 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. l~l YES f~lNO 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 number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): • 5. I will provide some of the work, but I have contracted ihired) the Allowing persons to provide the work indicated (include name / address / phone number / type of work): ' _ ,. ._ OWEPROPERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR WW-ffES/DrfV77/4£-feUILD"lrtG PERM~ITS ONLY 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? l~l YES l~l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~| YES l~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? |~l YES l~l NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT B£ ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. «, CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 9. 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 representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days fron^the date of such permit or if the building or work authorized by such permjt is suspended or abandoned at any time after the work is commenced for ajfe^yd of 180 dayp (Section 10H4.4 UniforrrvBuilding Code). APPLICANT'S SIGNATURE WHITE: File DATE ELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/26/2007 Permit* CB060369 Title: ANASTASI Description: 835 SF SHELL TO RETAIL, SPEC SUITE Inspector Assignment: PY Sub Type: COMMType: Tl Job Address: 2744 CARLSBAD BL Suite: 102 Lot: 0 Location: APPLICANT LAUGHLINGREG Owner: Remarks: Phone: 8587176454 Inspector: Total Time:Requested By: SHARRON Entered By: CHRISTINE CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Comments 1* Comments/Notices/Holds Associated PCRs/CVs Original PC# PCR06161 ISSUED MERMAID DERMATOLOGY; REVISE FLOOR PLAN AND USE Inspection History Act InspDate Description 09/04/2007 39 Final Electrical PA PC 08/30/2007 39 Final Electrical NR PY 08/21/2007 14 Frame/Steel/Bolting/Welding AP PY 08/21/2007 • 89 Final Combo WC PY 08/16/2007 89 Final Combo NR PY 08/14/2007 84 Rough Combo CA PY 05/07/2007 17 Interior Lath/Drywall AP PY 03/29/2007 14 Frame/Steel/Bolting/Welding AP PY 03/29/2007 34 Rough Electric AP PY 03/07/2007 21 Underground/Under Floor AP PY 03/07/2007 24 Rough/Topout WC PY Comments EMR LOCKED OUT NO ONE THERE T-BAR NEED FIRE NO ACCESS NO ONE THERE EsGil Corporation In (Partnership with government for (BuiCcfing Safety DATE: 2/24/06 a APPUfiANT JURISDICTION: City of Carlsbad a PLAN REVIEWER a FILE PLAN CHECK NO.: 06-369 SET: I PROJECT ADDRESS: 2744 Carlsbad Blvd Suite 102 PROJECT NAME: Spec Suite 102 - TI X3 The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: X] 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. v¥Person contacted: Telephone #: Date contacted: (by: ) .,• — Fax #: Mail Telephone Fax In Person _^ REMARKS: By: Doug Moody Enclosures: Esgil Corporation D GA D MB D EJ D PC 2/16/06 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858)560-1468 4 Fax (858) 560-1576 J City ,oJT Carlsbad 06-369 2/24/06 VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK NO.: O6-369 PREPARED BY: Doug Moody DATE: 2/24/06 BUILDING ADDRESS: 2744 Carlsbad Blvd Suite 102 BUILDING OCCUPANCY: M TYPE OF CONSTRUCTION: V1H BUILDING PORTION Tl Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code AREA ( Sq. Ft.) 835 cb Rlrln Permit* Fpp hu OrHinanrp .^W Valuation Multiplier City Valuation By Ordinance Reg. Mod. VALUE ($) 29,225 29,225 $242.99 Plan Check Fee by Ordinance Type of Review: CD Repetitive Fee Repeats 0 Complete Review D Other i—i. Hourly Structural Only Hour* Esgil Plan Review Fee $157.94 $136.07 Comments: Sheet 1 of 1 macvalue.doc VA ro Q PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No. CB Vd> - "M,*! Planner \\. ^?\\\io>'. APN: 70^ -ni-UU-Oft Type of Project & Use: "T. i . Zoning: \/£-~ General Plan: l/£L CFD (in/out) # Date of participation: Address /-7H«f /, Phone (760) 434- Net Project Density: Facilities Management Zone Avja»^ Rl^tL- >>U. 10 1^\-L~ DU/AC : » Remaining net dev acres: Circle One (For non-residential development: Type of land used created by this perm it: _) D DD Legend: £<] Item Complete Q Item Incomplete - Needs your action Environmental Review Required: YES _ NO ^ TYPE _ DATE OF COMPLETION: _ Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: _ Discretionary Action Required: APPROVAL/RESO. NO. PROJECT NO. _ YES NO~X TYPE. DATE OTHER RELATED CASES: Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval: D Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES"VL_ NO CA Coastal Commission Authority? YES N 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): £x&*fpr Coastal Permit Determination Form already completed? YES NO If NO, complete Coastal Permit Determination Form now. Coastal Permit Determination Log #: Follow-Up Actions: 1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans). 2) Complete Coastal Permit Determination Log as needed. O d Inclusionary Housing Fee required: YES (Effective date of Inclusionary Housing Ordinance - May 21, 1993.) Data Entry Completed? YES NO (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE!) Site Plan: H:\ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01 nan >o H a 0 n a 1- Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines (including all side and rear yard slopes). (sJcJT -fa 2. Provide legal description of property and assessor's parcel number. Policy 44 - Neighborhood Architectural Design Guidelines 1. Applicability: YES_ NO xi 2. Project complies YES Zoning: 1 . Setbacks: Front: Interior Side: Street Side: Rear: Top of slope: 2. Accessory structure sett Front: Interior Side: Street Side: Rear: Structure separation: 3. Lot Coverage: NO Required Required Required Required Required >acks: Required Required Required Required Required Required w/rt Shown N4/A f " Shown '' '' " " Shown " ,» " Shown '• '' " '' Shown l' v ^"V** Shown t^/-A " * Shown " I'" " " Shown " " '' '' Shown " ^ ' " Shown " " ^ /n Shown A//M 4. Height:Required Shown CH Spaces Required Shown5. Parking: (breakdown by uses for commercial and industrial projects required) Residential Guest Spaces Required Shown Additional Comments I -& »tJr> AP..QC OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE H:\ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01 PLANNlNC/ENCINf ERINC APPROVALS PERMIT NUMBER CB ADDRESS /? DATE RESIDENTIAL PENANT IMPROVEMENT^• __—--— v / RESIDENTIAL ADDITIOf* MINOR I<$10.000.001 CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICEBUltDING! OTHER PLANNER PATS' ENGINEER DATE Carlsbad Fire Department Plan Review Requirements Category: TI, COMM Date of Report: 02-15-2006 Reviewed by: Name: Address: Permit #: CB060369 Job Name: ANASTASI Job Address: 2744 CARLSBAD BL CBAD St: 102 INCOMPLETE The item you have submitted for review is incomplete. At this time, this office cannot adequately conduct a review to determine compliance with the applicable codes and/or standards. Please review carefully all comments attachedi Please resubmit the necessary plans and/or specifications, with ohangoo "oloudod'\ to this office for review and approval.' Conditions: Cond:CON0001105 [MET] APPROVED: THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUANCE OF BUILDING PERMIT. THIS APPROVAL IS SUBJECT TO FIELD INSPECTION AND REQUIRED TEST, NOTATIONS HEREON, CONDITIONS IN CORRESPONDENCE AND CONFORMANCE WITH ALL APPLICABLE REGULATIONS. THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE THE VIOLATION OF ANY LAW. Entry: 02/15/2006 By: GR Action: AP 02-16-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plan Check Revision Permit No PCR06161 Building Inspection Request Line (760) 602-2725 Job Address 2744 CARLSBAD BL CBAD St 102 Permit Type PCR Parcel No 2031722701 Lot# Valuation $0 00 Construction Type Reference # CB06 369 Project Title MERMAID DERMATOLOGY REVISE FLOOR PLAN AND USE 0 NEW Applicant KARNAK PLANNING SUITE C 2802 STATE ST CARLSBAD CA 92008 434-8400 Status Applied Entered By Plan Approved Issued Inspect Area Owner SIMONS JOHN&MAUREEN 2744 CARLSBAD BLVD #209 CARLSBAD CA 92008 ISSUED 09/13/2006 MDP 02/16/2007 02/16/2007 Plan Check Revision Fee Additional Fees $18000 $000 Total Fees $180 00 Total Payments To Date $18000 Balance Due $000 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition of fees dedications reservations or other exactions hereafter collectively referred to as fees/exactions You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them you must follow the protest procedures set forth in Government Code Section 66020(a) and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack review set aside void or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes nor planning zoning grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHE EST VAL Plan Ck Deposit Validated By. Date Business Name (at this address) .. No Subdivision Name/Number /Unit No Phase No Total # of units Existing Use Proposed Use Description of Work 2 % CONTACT PERSON (if different from applicant) SO ET #of St Bedrooms Name Address APPLICANT D ContractorS' D Agent fpjcontractor Q Owner City Agent for Owner State/Zip Telephone i Fax* State/Zip Telephone #Name CONTRACTOR"" COMPANY NAME (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 is licensed pursuant to the provisions of the Contractor s License Law (Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom and the basi 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 [$500]) Name State License # Address License Class City State/Zip City Business License # Telephone # Designer Name Address City State/Zip Telephone State License # 6 WORKERS COMPlNSATIONilJ*^ *" ~ / *vf <i '' " „ , **"" „.««!$! w"^m ~ jfck < **^" Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations d I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code for 1 he performance of the work for which this permit is issued (~| I have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the work for which this permit is issued My worker s compensation insurance carrier and policy number are Insurance Company Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) |~l CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE DATE 7 IffOWNER BUILDER DECLARATIONS^ > sii**""' ,.-'it* -M^ .... *r~ if ** " t. I hereby affirm that I am exempt from the Contractor s License Law for the following reason 0 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) D 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 contreictor(s) licensed pursuant to the Contractor s License Law) C] 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 l~l YES l~lNO 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 number / contractors license number) 4 I plan to provide portions of the work but I have hired the following person to coordinate supervise and provide the major work (include name / address / phone number / 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 number / type of work) PROPERTY OWNER SIGNATURE DATE COMPUTE THIS SECTION FOR NOflflES/OBVr/XU BU1LDINGSPERMITS ONLY ~ Sj,jS....... -^tSPL"**" /*** ~~ """ 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? d YES L3 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES d NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? D YES fj 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 8 c^tlucTlolil'ENmi^pSJQENCjrtt^ _ "!"" ._,** "' ^ *- „ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S NAME LENDER S ADDRESS 9 APPLICANT CERTIFICATION ,«,!* ^ „*"* „ *"~ >•" ~ """ 3r " £ 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 representatives of the CitV 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 AIL LIABILITIES JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenoeti within 1Sfateyaf rom the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is crAmencad/for^j^iod£^80Ma^s_(Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE / itftJUk J)^nP*/X J> DATE 'HITE File YELLOW Applicant PINK Finance EsGil Corporation In (Partners/tip wit k government for (Building Safety DATE 2/13/07 (^APPLICANT JURISDICTION City of Carlsbad Q PLAN REVl EWE R Q FILE PLAN CHECK NO O6-369 PCR06-161 SET III PROJECT ADDRESS 2744 Carlsbad Blvd Suite 102 PROJECT NAME Mermaid by the Sea - Retail TI XI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck The check list transmitted herewith is foryour 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 XI 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 ) Fax # Mail Telephone Fax In Person REMARKS By Doug Moody Enclosures Esgil Corporation D GA D MB D EJ D PC 2/7/07 trnsmtldot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858)560-1468 *• Fax (858) 560-1576 EsGil Corporation In Partnership with government for (Building Safety DATE I/ 18/07 a APPLICANT JURISDICTION City of Carlsbad /a PLAN REVIEWER a FILE PLAN CHECK NO O6-369 PCR06-161 SET II PROJECT ADDRESS 2744 Carlsbad Blvd Suite 102 PROJECT NAME Mermaid by the Sea - Retail TI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck X] 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 Robert Richardson 2802 State Street Suite C, Carlsbad, CA 92008 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 Robert Richardson Telephone # 760-434-8400 Date contacted M°^ (by $/) Fax # 760-434-8493 Mail ^-""Telephone Fax —in Person REMARKS By Doug Moody Enclosures Esgil Corporation D GA D MB D EJ D PC 1/16/07 trnsmtldot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858)560-1468 <* Fax (858) 560 1576 City of Carlsbad BUILDING PLANCHECK CHECKLIST DATE PLANCHECK NO BUILDINGlfoDRESS PROJECT DESCRIPTION ASSESSOR'S PARCEL NUMBER ENGINEERING DEPARTMENT APPROVAL The item you have submitted for review has been approved The approval is based on plans information and/or specifications provided in your submittal therefore any changes to these items after this date including field modifications must be reviewed by this office to insure continued conformance with applicable codes Please review carefully all comments attached as failure to comply with instructions in this report can result in suspension of permit to build D A Right-of-Way permit is required prior to construction of the following improvements EST VALUE DENIAL Please see» the^attached report of deficiencies marked withJSFlvlake necessary corrections to plans or specifications for compliance with applicable codes and standards Submit corrected plans and/or specifications to this office for review Date Date DateBy By FOR OFFICIAL USE ONLY ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT Date ATTACHMENTS D Dedication Application C! Dedication Checklist D Improvement Application D Improvement Checklist D Future Improvement Agreement D Grading Permit Application D Grading Submittal Checklist D Right-of Way Permit Application Q Right-of Way Permit Submittal Checklist and Information Sheet D Sewer Fee Information Sheet Name ENGINEERING DEPT CONTACT PERSON JOANNE JUCHNIEWICZ City of Carlsbad Address 1635 Faraday Avenue Carlsbad CA 92008 Phone (760) 602-2775 CFD INFORMATION Parcel Map No Lots Recordation Carlsbad Tract • Carlsbad CA 9200817314 • (76O) 6O2-2720 • FAX (76O) 602 BUILDING PLANCHECK CHECKLIST SITE PLAN ,.ST 2ND 3RD D D D 1 Provide a fully dimensioned site plan drawn to scale Show A North Arrow F B Existing & Proposed Structures G C Existing Street Improvements H D Property Lines I E Easements J Right-of-Way Width & Adjacent Streets Driveway widths Existing or proposed sewer lateral Existing or proposed water service Existing or proposed irrigation service D D D 2 Show on site plan Drainage Patterns 1 Building pad surface drainage must maintain a minimum slope of one percent towards an adjoining street or an approved drainage course 2 ADD THE FOLLOWING NOTE "Finish grade will provide a minimum positive drainage of 2% to swale 5' away from building " Existing & Proposed Slopes and Topography Size, type, location, alignment of existing or proposed/Jpewer and water service (s) that serves the project Ea^'drfin^quireTa^epar^^Bofie, however, second ient complexes are aq^xcjspflon not be located v^fpproposed driveways, per Vdwelling units and apar Sewer and water late, standards tx-V^A-MInclude on title shee Site address Assessor's Parcel Number Legal Description For commercial/industrial i^djngsandtenant improvement projects, include total building square footage wrtFTtne sqoare footage for each different use/ existing sewer permits showing square footaae^oljljaeFeflt-trseTTrTianufactur warehouse, office, etc) previously approved EXISTING PERMIT NUMBER DESCRIPTION F BUILDING PLANCHECK CKLST FORM doc I U>^^ ^W—^ rvejjjX— ^o o^^es S BUILDING PLANCHECK CHECKLIST 1ST 2NU 3KU DISCRETIONARY APPROVAL COMPLIANCE L~H d CD 4a Project does not comply with the following Engineering Conditions of approval for Project No 4b All conditions are in compliance Date DEDICATION REQUIREMENTS D D D 5 Dedication for all street Rights-of-Way adjacent to the building site and any storm dram or utility easements on the building site is required for all new buildings and for remodels with a value at or exceeding $ 17.000 . pursuant to Carlsbad Municipal Code Section 18 40 030 Dedication required as follows Dedication required Please have a registered Civil Engineer or Land Surveyor prepare the appropriate legal description together with an 8 Vz x 11" plat map and submit with a title report All easement documents must be approved and signed by owner(s) prior to issuance of Building Permit Attached please find an application form and submittal checklist for the dedication process Submit the completed application form with the required checklist items and fees to the Engineering Department in person Applications will not be accept by mail or fax Dedication completed by Date IMPROVEMENT REQUIREMENTS CH d C 6a All needed public improvements upon and adjacent to the building site must be constructed at time of building construction whenever the value1 of the construction exceeds $ 82.000 . pursuant to Carlsbad Municipal Code Section 1840040 Public improvements required as follows Attached please find an application form and submittal checklist for the public improvement requirements A registered Civil Engineer must prepare the appropriate improvement plans and submit them together with the requirements on the attached checklist to the Engineering Department through a separate plan check process The completed application form and the requirements on the F BUILDING PLANCHECK CKLST FORM doc ST BUILDING PLANCHECK CHECKLIST checklist must be submitted in person Applications by mail or fax are not accepted Improvement plans must be approved, appropriate securities posted and fees paid prior to issuance of building permit Improvement Plans signed by Date CD 6b Construction of the public improvements may be deferred pursuant to Carlsbad Municipal Code Section 1840 Please submit a recent property title report or current grant deed on the property and processing fee of $410 so we may prepare the necessary Neighborhood Improvement Agreement This agreement must be signed, notarized and approved by the City prior to issuance of a Building permit Future public improvements required as follows C3 d C3 6c Enclosed please find your Neighborhood Improvement Agreement Please return agreement signed and notarized to the Engineering Department Neighborhood Improvement Agreement completed by Date EH [U CH 6d No Public Improvements required SPECIAL NOTE Damaged or defective improvements found adiacent to building site must be repaired to the satisfaction of the City Inspector prior to occupancy GRADING PERMIT REQUIREMENTS The conditions that invoke the need for a grading permit are found in Section 15 16 010 of the Municipal Code Q [U HH 7a Inadequate information available on Site Plan to make a determination on grading requirements Include accurate grading quantities in cubic yards (cut, fill, import, export and remedial) This information must be included on the plans Q CD Q 7b Grading Permit required A separate grading plan prepared by a registered Civil Engineer must be submitted together with the completed application form attached NOTE The Grading Permit must be issued and rough grading approval obtained prior to issuance of a Building Permit Grading Inspector sign off by Date D D 7c Graded Pad Certification required (Note Pad certification may be required even if a grading permit is not required ) F \BUII_DING PLANCHECK CKLST FORM doc BUILDING PLANCHECK CHECKLIST G Q 7d No Grading Permit required G G 7e If grading is not required, write "No Grading" on plot plan MISCELLANEOUS PERMITS G Q 8 A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or private work adjacent to the public Right-of-Way Types of work include, but are not limited to street improvements, tree trimming, driveway construction, tying into public storm dram, sewer and water utilities Right-of-Way permit required for G D 9 INDUSTRIAL WASTE PERMIT If your facility is located in the City of Carlsbad sewer service area, you need to contact the Carlsbad Municipal Water District, located at 5950 El Cammo Real, Carlsbad, CA 92008 District personnel can provide forms and assistance, and will check to see if your business enlerpnse is on the EWA Exempt List You may telephone (760) 438-2722, extension 7153, for assistance Industrial Waste permit accepted by Date D D 10 NPDES PERMIT Complies with the City's requirements of the National Pollutant Discharge Elimination System (NPDES) permit The applicant shall provide best management practices to reduce surface pollutants to an acceptable level prior to discharge to sensitive areas Plans for such improvements shall be approved by the City Engineer prior to issuance of grading or building permit, whichever occurs first G G 11 D Required fees are attached D No fees required i WATER METER REVIEW G G 12a Domestic (potable) Use Ensure that the meter proposed by the owner/developer is not oversized Oversized meters are inaccurate during low-flow conditions If it is oversized, for the life of the meter, the City will not accurately bill the owner for the water used • All single family dwelling units received "standard" 1" service with 5/8" service f \BUILOING PLANCHECK CKLST FORM doc ,ST iND D D BUILDING PLANCHECK CHECKLIST • If owner/developer proposes a size other than the "standard", then owner/developer must provide potable water demand calculations, which include total fixture counts and maximum water demand in gallons per minute (gpm) A typical fixture count and water demand worksheet is attached Once the gpm is provided, check against the "meter sizing schedule" to verify the anticipated meter size for the unit • Maximum service and meter size is a 2" service with a 2" meter • If a developer is proposing a meter greater than 2", suggest the installation of multiple 2" services as needed to provide the anticipated demand (manifolds are considered on case by case basis, to limit multiple trenching into the street) Irrigation Use (where recycled water is not available) All irrigation meters must be sized via irrigation calculations (in gpm) prior to approval The developer must provide these calculations Please follow these guidelines 1 If the project is a newer development (newer than 1998), check the recent improvement plans and observe if the new irrigation service is reflected on the improvement sheets If so, at the water meter station, the demand in gpm may be listed there Irrigation services are listed with a circled "I", and potable water is typically a circled "W The irrigation service should look like STA 1+00 Install 2" service and 5 meter (estimated 100 gpm) If the improvement plans do not list the irrigation meter and the service/meter will be installed via another instrument such as the building plans or grading plans (w/ a right of way permit of course), then the applicant must provide irrigation calculations for estimated worst-case irrigation demand (largest zone with the farthest reach) Typically, Larry Black has already reviewed this if landscape plans have been prepared, but the applicant must provide the calculations to you for your use Once you have received a good example of irrigation calculations, keep a set for your reference In general the calculations will include • Hydraulic grade line • Elevation at point of connection (POC) • Pressure at POC in pounds per square inch (PSI) • Worse case zone (largest, farthest away from valve • Total Sprinkler heads listed (with gpm use per head) • Include a 10% residual pressure at point of connection In general, all major sloped areas of a subdivision/project are to be irrigated via separate irrigation meters (unless the project is only SFD with no HOA) As long as the project is located within the City recycled water F VBUILDING PLANCHECK CKLST FORM doc BUILDING PLANCHECK CHECKLIST ..ST 2ND 3RD service boundary, the City intends on switching these irrigation services/meters to a new recycled water line in the future [U El ED 12c Irrigation Use (where recycled water is available) 1 Recycled water meters are sized the same as the irrigation meter above 2 If a project fronts a street with recycled water, then they should be connecting to this line to irrigate slopes within the development For subdivisions, this should have been identified, and implemented on the improvement plans Installing recycled water meters is a benefit for the applicant since they are exempt from paying the San Diego County Water Capacity fees However, if they front a street which the recycled water is there, but is not live (sometimes they are charged with potable water until recycled water is available), then the applicant must pay the San Diego Water Capacity Charge If within three years, the recycled water line is charged with recycled water by CMWD, then the applicant can apply for a refund to the San Diego County Water Authority (SDCWA) for a refund However, let the applicant know that we cannot guarantee the refund, and they must deal with the SDCWA for this D D D 13 Additional Comments F \BUILDING PLANCHECK CKLST FORM doc n a & S £ PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No CB Planner APN Address Phone (760) 434- Type of Project & Use T) Zoning Vj2. General Plan CFD (in/out) #_Date of participation Net Project Density DU/AC Facilities Management Zone _ Remaining net dev acres Circle One (For non-residential development Type of land used created by this permit ) Legend Item Complete Environmental Review Required DATE OF COMPLETION Item Incomplete - Needs your action YES NO X TYPE Compliance with conditions of approval? If not, state conditions which require action Conditions of Approval Discretionary Action Required APPROVAL/RESO NO PROJECT NO YES NO X TYPE DATE OTHER RELATED CASES Compliance with conditions or approval? If not state conditions which require action Conditions of Approval L~H H L~H Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES )*• NO. CA Coastal Commission Authority? YES NO 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) Coastal Permit Determination Form already completed? YES NO If NO, complete Coastal Permit Determination Form now Coastal Permit Determination Log # Follow-Up Actions 1) Stamp Building Plans as "Exempt or 'Coastal Permit Required' (at minimum Floor Plans) 2) Complete Coastal Permit Determination Log as needed Inclusionary Housing Fee required YES (Effective date of Inclusionary Housing Ordinance - May 21 1 993 ) Data Entry Completed? YES NO (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE') Site Plan H \ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01 na 1 Provide a fully dimensional site plan drawn to scale Show North arrow, property lines, easements, existing and proposed structures streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines (including all side and rear yard slopes) 2 Provide legal description of property and assessor's parcel number Policy 44 - Neighborhood Architectural Design Guidelines 1 Applicability YES N 2 Project complies YES NO Zoning ,0 /ft 1 Setbacks Front Interior Side Street Side Rear Top of slope 2 Accessory structure setbacks Front Interior Side Street Side Rear Structure separation 3 Lot Coverage 4 Height Required Required Required Required Required »KS ^) \r\ Required Required Required Required Required Required Shown Shown Shown Shown Shown Shown Shown Shown Shown Shown Shown Required Spaces Required Shown Shown5 Parking \ (breakdown by uses for commercial and industrial projects required) Residential Guest Spaces Required Shown £•Additional Comments fo OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE H \ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01 January 16, 2007 TO Raenette Abbey, Building Department FROM Austin Silva, Redevelopment Dept Tenant Improvement (CB 060369) I have approved the building permit request for a tenant improvement at 2744 Carlsbad Blvd , Ste 102 The Redevelopment staff has worked with the business owner and has classified the use as a retail use (beauty salon) which is permitted in District 9 of the Redevelopment area No additional parking is required If you have any questions, please contact me at x2812 Austin Silva Planning Technician NT( ^ j « O CL, Q. Q. -0 D D n PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No CB Ol^O^L^ Planner H^II^J $tt.Vfi APN 2.0S-/ 7? -27 Tvpe of Proiect & Use t\ Zonmq VR- General Plan \f(~. CFD (in/out) # Date of participation Address 2-7 ^H <S)*u.ss« Phone (760) 434- 23/2- Net Proiect Density AJA Facilities Manaqement Zone / Remaining net dev acres D O^vP -W /#>2. DU/AC Circle One (For non-residential development Type of land used created by this permit ) Legend IE1 Item Complete Environmental Review Required DATE OF COMPLETION Item Incomplete - Needs your action YES NO ^X TYPE Compliance with conditions of approval7 If not, state conditions which require action Conditions of Approval Discretionary Action Required APPROVAL/RESO NO PROJECT NO YES NO X TYPE DATE OTHER RELATED CASES Compliance with conditions or approval7 If not, state conditions which require action Conditions of Approval Coastal Zone Assessment/Compliance Project site located in Coastal Zone7 YES CA Coastal Commission Authority7 YES_ 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) " Coastal Permit Determination Form already completed7 YES If NO, complete Coastal Permit Determination Form now Coastal Permit Determination Log # _ NO_ Follow-Up Actions 1) Stamp Building Plans as "Exempt' or "Coastal Permit Required (at minimum Floor Plans) 2) Complete Coastal Permit Determination Log as needed Inclusionary Housing Fee required YES NO (Effective date of Inclusionary Housing Ordinance - May 21 , 1993 ) Data Entry Completed7 YES _ NO _ (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE') Site Plan H \ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01 , 13 |f] Q s 1 Provide a fully dimensional site plan drawn to scale Show North arrow, property lines, ^ easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines (including all side and rear yard slopes) D D D 2 Provide legal description of property and assessor's parcel number D Policy 44 - Neighborhood Architectural Design Guidelines 1 Applicability YES NO_ 2 Project complies YES NO_ ^ A' -0 Zoning 1 Setbacks Front Interior Side Street Side Rear Top of slope 2 Accessory structure setbacks Front Interior Side Street Side Rear Structure separation 3 Lot Coverage Required Required Required Required Required ;ks Required Required Required Required Required Required Shown Shown Shown Shown Shown V Shown Shown Shown Shown Shown Shown 4 Height Required Shown Spaces Required N* /A Shown5 Parking (breakdown by uses for commercial and industrial projects required) Residential Guest Spaces Required Shown Additional Comments OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE H \ADMIN\COUNTER\BldgPlnchkRevChklst Rev 9/01 September 14, 2006 TO Raenette Abbey, Building Department FROM Austin Silva, Redevelopment Dept Tenant Improvement (CB 060369) I have denied the building permit request for a tenant improvement at 2744 Carlsbad Blvd , Ste 102 The denial is based on the fact that the business "Mermaid Dermatology," is classified as a medical treatment office which is a provisional use in District 9 of the Village Redevelopment Area In addition, there is not a business license on file or pending for such business Information has been entered in Permits Plus If you have any questions, please contact me at x2812 Austin Silva Planning Technician Carlsbad Fire Department Plan Review Requirements Category PCR , Date of Report 09-14-2006 Name Address Reviewed by Permit # PCR06161 Job Name MERMAID DERMATOLOGY Job Address 2744 CARLSBAD BL CBAD St 102 CTE___The item you have submitted for review is adequately conduct a revTe'vvTo'^eTeTlHm^PHlpfriHi^g standards Please review carefully all commentsattachgd^Btoaw^WHtffln'nne necessary plans and/or specmc£ and approval Conditions Cond CON0001632 [MET] No Comments Entry 09/14/2006 By MS Action AP CERTIFICATE OF COMPLIANCE (Part 1 of 4) LTG-1 -C w^CI>IAW*HeRM^fD BY Tr*e sEA "If ^CA * «~* e* D et-vo CA&CS s AO c A <?2.oo^ isfe 102 vhiNCiPAi DtSKMER USHt*» G , i *etEPH€»«£ M»fU'Tof4 c, ^G-iOEfS HA^S> ^^^°^y\^>5'- ^>?!>S 5 OCtWENTAT»OJl*WTrtOa .-,,. ,,, . _,A^ ^ , JEtEPHOKE MtTTKOD OF COMPLIANCE l< Af^i 1 W A*C ASpOU K f'Tfoo J*i *To ~O2,€> S" OAT!>2~oa -OIL **"**'*" MM^A^^o GENERAL INFORMATION DATE OF PLANS o Z, -o 2 -« SUIiDINO TYPE El CONDITIONED SPACES PHASE OF CONSTRUCTION METHOD OP COMPLIANCE =>^-j SUILDINSCONDlflONbOrLOORARLA ® NONRESfDENTIAL Q HIGH RISE RESIDENTIAL D UNCONDITIONED SPACES D INDOOR / OUTDOOR SIGNS CLUilATL EONC DllOTCUMOlFUGUeST £3 NEW Q ADDITION D ALTERATION D PERFOfJMANCF O COMPLETE 8U1LOIN6 (^ A06A CATgCOft Y D TAILORED O COMMON I K3HTINO STAtlMENT OF COMPUANCE swxi 6 ot trw CaVomta This c«»tifca'6 at»ps«« oi^/ to teulchog Bgtamg foqobwmmu OATS _ -02 -07 TA^ »V,fv5.pnt UgMiiv) t3«jgnef hereUy certr'.cs that Dhv p:Ofx>»«J buiWiX) deston rofi-foicrttcd in this 5-ijt of <x?n.Mruc<soi 0ocunwM» i» wri*.'Vrn! 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