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HomeMy WebLinkAbout2744 LOKER AVE W; ; CB051387; Permit. '( ·-l 06-28-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB051387 Building Inspection Request Line (760) 602-2725 Job Address: 2744 LOKER AV WEST CBAD Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Tl Sub Type: INDUST 2090814000 Lot#: 0 Status: $79,701.00 Construction Type: IIN Applied: Reference #: Entered By: QUANTUM ORTHOPEDICS-2571 SF Plan Approved: WAREHOUSE TO 1891 SF MANUFACT & 680 SF OFFICE Issued: Inspect Area: Plan Check#: Owner: ISSUED 04/18/2005 AMA 06/28/2005 06/28/2005 PACIFIC STARR ESSEX-CARLSBAD LL C C/O JOHN F PIPIA Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee $469.56 $0.00 $305.21 $0.00 $0.00 $16.74 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 650 SIERRA MADRE VILLA AVE #100 PASADENA CA 91107 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFO Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees TOT AL PERMIT FEES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $286.00 $0.00 $41.00 $35.00 $24.00 $0.00 $247.68 $0.00 $0.00 $1,425.19 Total Fees: $1,425.19 Total Payments To Date: $305.21 Balance Due: $1,119.98 B~LDING PLANS ·1557 ·:__:TN' Si~E .:5l4.ll I\ e.o _ATTACHED 06./28 .. /05 ()002 01 t:Gr,::r. 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 '1ees/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 ou have reviousl been iven a NOTICE similar to this or s to which the statute of limitations has reviousl otherwise ex ired. FOR-OFFICE USE ONLY· PERMIT APPLICATION· CffY OF CARLSBAD BUlLDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO. CIJ O,S' l Y?7 esT. YAL. 79 1 ?o ! Plan Ck. Deposit '30 5" 2 / Validated By . . ~ Date . L// lf:lo< . c?r-l4to ~~ · Name Address . City' S.tete/Zlp Telephone # l/jifflj!lJl'-'ll!ftllY#~Jiillii~~!,.,J02JiiJlfN'K8f1~~iffi:¥ill'.t!Ait~J~:~1r\f ~ii'.{::~i:-:;i~!4tl'::f ~Sii!siJ/h:; i-' JJ,?_;1ttN11~~::.,1:l~:tt!.'!f::'.if ;;ri~::f~';:,;-'.~il{1Wri}1ttititlt~'ll1I~~i1111.~t/~J~:i;~1:t·il,i:1w,~11,fili1f1\r,,:1\;)1~11i1~~;1,1/1l~ft (Sec. 7031.6 Business end Professions Code: Any City or County whlc;h requires e permit to construct, alter, lmprov~, demollsh or repair any structure, prior to Its Issuance, also requires the appllcant for such permit to fife 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 th_e basis for the alleged exemption •. A y vi latlon of action 7931,6 by ny applicant for a permit subjects the applicant to a civil penalty of not ]"ore the~ five hundred dollar ($600)) --f1-.v . l f--z:. '/ ()T 0 / 2A5<;? .. Address ~ . City St~~ 04/18/~P~! 01 License Class --2-"'-------City Business License # CGF" Name State License # _L-f,.:;..,~:....::Z:a..:5J°"'7:........3<----.02 Designer. Name Address City . State/Zip Tel_ephone State License# _____ __.____ . ijfi~w..01t1tlffl~tJi'Ml?Rr.iJJrt,txNif~1~11~~~1i~L~:~;J~~~JY.tsl1~t~-r~~n:ijf;.J;f~~i.i~?~iJi~i~:~~:1~~;,fitl~~~~GI~~~~~~~i~*i~~1·s~;r~;gi:~t~~J:~~~~ibr~::4·,i~~~i1tI~: .. ;iJ~1;!~~tif.:~tf~~;!:~;;·;?~·\·:i,1~~~f~;.~1ti;!:H Workers' Compensation Declaration: I hereby affirm under penalty of perjury ~me of the following declarations: · · . O I have and wlll maintain a certificate of consent to self-insure ~or workers' com·pensatlon as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ~ I have and will maintain workers' qompensatlon, as required by Section 3700 of the Labor Code, for the performance of the work for which thl~ permit is 1"fsued. My worker's compen atlon_lnsuran rrler and cy number are: . / 0 Insurance Company · Polley No. x" 7~ d ...., ~e, C Expiration Date'?/"~~ . > (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) O · CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit ls Issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of Callfornhi, WARNING:· F11flure.to11ecure workers' compensation coverage 11 unlawful, and ahall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars ($10 Ol, l dltlon to the coat-of co ensatlon, damages as provided for In Section 3706 of the Labor code, I terest arid attorney's fees. SIGNATURE: __ ~~::::_-========:i!::q:._ ________ ~-------DATE : 9, ~ la111/[IW[~B.1f.ii!!illi~Jl'lile00tlfri~~i~ili1ijfit\l'g::i>m:M;1Jii:ffl!;m1n;j'1J\"i~~~ir-;it1;-~:rJ~fj)y)'Fg1i,ii&J1.lt,t'P-tilr};:1.:fi1\~l~f:~~.;::.:~:ijJ:'ili~i,!l§,'i-i:';1 .. {1¥'.f1.'i1.,~~~~:jfi~IN1ii\?~;Il-'1'.}~:/2'fii1~~~1::::.,if'i1t~,i::~·tf i' he~~i;;·;,,i~~-th;t""1 --~ni·~;e~i,i'tr;m the co'ntr;ctor~s"Llce~s~ Law'" io/the·f~,,~...;lng reason: .. . . .. . .• •. . • • ... , ... . . ' -· . . •.. . .. .. ... . . , ' ... ' .. 0 I, as owner of the property or my employees ·with wages as their sole compensation, wlll 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 bullds 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 wlll hav!i' the burden of proving that he did not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting-with licensed contractors to construct the project "(Sec. 7044, Business and Professions Cpde: 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(sl licensed pursuant to the Contractor's License Lewi, 0 I am exempt under Section _.__ ____ Business and Professions Code for this re!3son: 1. I personally plan to provide the major labor and ~aterlals for construction of the proposed property improveme_nt. 0 YES ONO . 2. I (have / have natl signed an application for a buildi_ng permit for the proposed work. 3. I have contracted _with the foll owing 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 rriejor work (include n~me / address / phone number/ contractors license number):·-------------------'-'-------------'------------------ 5. I wlll provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include nam~ /address/ phone number/ type of work):. ____________ _,_ _____________________________________________ _ PROPERTY OWNER SiGNATURE __ _._ __________________ _ DATE ___ -'------- t'g;gr,)J(!.i!ij!i:fiilff,f_i~[~ECiT.40iJF;~jlifQQN1.f!f$/Q.fiiJ.T!.J.!.r::EJti!.~~-jN_~:!_~E8M!J.-$:~N.!l¥:~l~)~;-{.;-;f'.i·t•~!;fa.:1.ff~\<:;t_:;•::/!{lf.::f;f:~t'.;f,-i;::1jJ!?~!f~:('.-:;;-f\'i:~~'~l!_~t,;'f.f;:;~t'.'.·-i\i·~;,;·:;, ·w·;,i{j:;;,;~) Is the applicant or future building occupant required to submit a business plan, acutely ha~erdous materials registration form or risk management and prevention program under Sections 25505,-25533 or 25534 of the Presley-Tanner Hazardous Substance Account .~ct7 0 YES O NO Is the applicant or future bullding occupant required to obtain a permit from the air pollution control district or air quality. manageinent district? -[] YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 · YES O 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. OOllitlGl'NltlP,:l]l~!l.~iRtN~~Aiirtt:~t~ffirt~f11ftft?:Jif~~~~~~t}ti~·~~:i1f:~t~~;t~~\~:r-~:i!f~t~:~!l:.t~~~~;·~:t;~.~t~:i:~~--?fi~~;'·:· !~;~~:?;·:~~; ::?~t/\1 :.:~;~~hf .,'..:i}/-~Y.~f J;t_-;:;;/~~ .}.,:.~'.i:: ;»-\(} --~. J :r~r ·.,i ~:··:~ • ~ :· I hereby affirm that th~re 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. _______________________ _ . l'-~i'l(ij~Jg1.{gJiJT,f~ff8ffif((q~(~m,1f~Di:~1!i~~j;~k11~t~;}fiTf ~:r-\~~rJJJ:1ri~i~:f ~~~i.t,~/t'::5iJ;ti~Jf t:1\t~"';t}11\[~~~-11l1;,;~!~1'.'..t!t~~1:t~! t;:~t~:;!:!.;;,~;:~:!.~;~:t;;~tt:f~~~3 ~===b~.ii~iJ~~;:~t~ ::·1tt~t1:t:'t, 3ii:~~-~~J~:1::?~r-:~t\~:~~)::~r~ilif;\r{t~~ I certify that I have read the appllcatlon and state that the above Information Is correct and that the information on the plans Is accurate. 1 agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 l>ERMIT. . ' OSHA: An OSHA permit Is required for excavations over 5'0" deep and demolitlon or construction of structures over 3 ~torles in height. EXPIRATION: Every permit issued by the bulidlng Otticlal under the provisions of this C_ode shall expire by limitation and become null and void If the bulldlng or work authorized by such permit Is not commenced within 180 days from the date of such permit or If the bulidlng or work authorized liy such permit is suspended or abandoned at any time after the work Is commenced for a rlod of 180 days (Section .4.4 Uniform Building Code). WHITE: FIie ·Y~LLOW: Applicant PINK: Finance Cltv of Carlsbad · Final Building Inspection Dept: Building Engineering Planning CMWD St Lite 'F-i~ Plan Check #: Date: 09/21/2005 Permit#: CB051387 Permit Type: Tl Project Name: QUANTUM ORTHOPEDICS-2571 SF Sub Type: INDUST WAREHOUSE TO 1891 SF MANUFACT & 680 SF OFFIC Address: 2744 LOKER AV WEST Lot: 0 Contact Person: RICK Phone: Sewer Dist: CA Water Dist: CA ·~;~:~~~~ ....................... ~£~::::·~~i~···;~~=~:;L··~;~~:::::~~:·=· Inspected Date By: __________ Inspected: ______ Approved: ___ Disapproved: __ Inspected Date By: __________ Inspected: _____ Approved: __ _ Disapproved: __ .......................................................................................................................................................... , Comments: ------------------------------- City of Carlsbad Bldg Inspection Request For: 09/21/2005 Permit# CB051387 Inspector Assignment TP --- Title: QUANTUM ORTHOPEDICS-2571 SF Description: WAREHOUSE TO 1891 SF MANUFACT & 680 SF OFFICE Type:TI Job Address: Sub Type: INDUST 2744 LOKER AV WEST Suite: Location: APPLICANT RICHARD LUND Owner: Remarks: Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical -- Lot 0 Associated PCRs/CVs Comment Phone: lnspe<Jto,g_ Requested By: RICK Entered By: CHRISTINE PCR03228 ISSUED PCR03244 ISSUED CARLSBAD OAKS BLDG B; Q.C CORRECTIONS & ROOF FRAMING REV CARLSBAD OAKS BLDG B; REV JAMB REINFORCEMENT PCR03252 ISSUED SPEC BLDG-ADD OPENINGS; Inspection History Date Description Act lnsp Comments 08/22/2005 14 Frame/Steel/Bolting/Welding AP PY T-BAR 07/28/2005 17 Interior Lath/Drywall AP TP 07/19/2005 84 Rough Combo NR TP PLUMB. NOT COMP. 06/30/2005 11 Ftg/Foundation/Piers WC TP 06/30/2005 12 Steel/Bond Beam WC TP 06/30/2005 21 Underground/Under Floor AP TP NEED A/B PLAN REV. 06/30/2005 31 Underground/Conduit-Wiring WC TP Carlsbad 05-1387 6/21/,05 DATE: 6/21/05 JURISDICTION: Carlsbad PLAN CHECK NO.: 05-1387 EsGil Corporation · In Partnersliip witli (jovemment for '.BuiCaing Safety SET:Ill PROJECT ADDRESS: 2744 Loke Ave W., Suite 103 PROJECT NAME: Quantum Orthopedics Office TI O~ANT D~' D PLAN REVIEWER D FILE • The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D 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. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be ·corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D 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. D 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: The additional sheets E-1 E-4M-1 & M-2 enclosed with the approved plans from EsGil Corp. must be incorpor ed into tJ,e City set of plans to make an approved 2nd set of plans. By: Chuck Mendenhall Esgil Corporation o GA o MB o EJ O PC 6/14/05 Enclosures: trnsrntl.dot- DATE: 6/6/05 JURISDICTION: Carlsbad PLAN CHECK NO.: 05-1387 EsGil Corporation In Partnersfiip witfi (jovernment for '.BuiUing Safety SET:ll PROJECT ADDRESS: 2744 Loke Ave W., Suite 103 PROJECT NAME: Quantum Orthopedics Office TI D APe.LlCANT gJUR~ D PLAN REVIEWER D FILE D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D 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. D 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 . . D .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: Lund Vandruff Kush Architects, Att'n: Richard Lund 3970 Sorrento Valley Blvd, Suite 'H', San Diego, CA 92121 D 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: f ~hard Lund Telephone #: (858) 457-6860 Date contacted: 6/fl-/lJJ _J;J:_WJ Fax #: (858) 457-6862 Mail ~phone Fax In Person D REMARKS: By: Chuck Mendenhall Esgil Corporation D GA D MB D EJ D PC Enclosures: 5/27/05 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 ,.. Carlsbad 05-1387 6/6/05 • Please ·make all corrections on the original tracings, as requested in the correction list. Submit three sets of plans for commercial/industrial projects (two sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 1 . Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92009, (760) 602-2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring one corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. NOTE: The items listed below are from the previous correction list. These remaining items have not been adequately addressed. The numbers of the items are from the previous check list and may not necessarily be in sequence. The notes in bold are current. It appears that you have made inked notations to the plans and submitted sheets E-1 thru E-4 and M- 1 with inked notes to the plans. Why didn't you included additional revised sheets TS-1, SP-2 & Tl-4 that include inked revisions to the plans. Please clarify. 1. Plans shall be signed by the California state licensed engineer or architect. Please include the California license number, seal, date of license expiration and date plans are signed. Business and Professions Code. This applies to sheets TS-1 thru Tl-10. Only the plan sheets at EsGil were signed. • ENERGY 8. Provide plans, calculations and worksheets to show compliance with current energy standards for the new conditioned envelope. The response was " E sheets" The 'E' sheets contain the electrical energy compliance forms only. This does not include the envelope and mechanical compliance forms. 9. Provide complete energy designs for the proposed changes in envelope, and mechanical systems. Provide the completed ENV-, and MECH-forms .showing energy compliance. Not provided Carlsbad 05-1387 6/6/05 1 o. On the plans clearly show the wall and roof insulation locations, thickness, and A-values, as per the energy design. The inked note found on sheet Tl-4 indicates the ceilings are to be insulated with R-30 insulation but the typical interior partition detail. 1/Tl-7 indicates R-11 ceiling insulation. Please clarify what is intended. 11. The completed and signed ENV-1, and MECH-1 forms must be imprinted on the plans. Not provided. END OF PLAN REVIEW To speed up the review process, note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, note or detail number, calculation page, etc. The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform.the plan review for your project. If you have any questions regarding these plan review items, please contact Chuck Mendenhall at Esgil Corporation. Thank you. "· DATE: 5/3/05 JURISDICTION: Carlsbad PLAN CHECK NO.: 05-1387 EsGil Corporation In Partnersliip witli (jove.mment for 'Builaing Safety SET:I PROJECT ADDRESS: 2744 Loke Ave W., Suite 103 PROJECT NAME: Quantum Orthopedics Office TI Cg JllffiS~ 0 PLAN REVIEWER D FILE D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D 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. D 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 s_ubmitted for recheck. D 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: Lund Vandruff Kush Architects, Att'n: Richard Lund 3970 Sorrento Valley Blvd, Suite 'H', San Diego, CA 92121 D 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: Richard Lund Telephone#: (858) 457-6860 Date contacted:5/lf.(O=x,by:J/:i3) Fax #: (858) 457-6862 Mail v'Telephone y Fax Vin Person D REMARKS: V 1/vl,,- By: Chuck Mendenhall Esgil Corporation D GA D MB D EJ D PC Enclosures: 4/21/05 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 Carlsbad 05-1387 5/3/05 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: 05-1387 OCCUPANCY: B TYPE OF CONSTRUCTION: V N ALLOWABLE FLOOR AREA: no change SPRINKLERS?: Yes REMARKS: DATE PLANS RECEIVED BY JURISDICTION: DATE INITIAL PLAN REVIEW COMPLETED: 5/3/05 FOREWORD (PLEASE READ): JURISDICTION: Carlsbad USE: offices ACTUALAREA: 2571TI STORIES: no change HEIGHT: no change OCCUPANT LOAD: 24 TI Only DATE PLANS RECEIVED BY ESGIL CORPORATION: 4/21/05 PLAN REVIEWER: Chuck Mendenhall This plan review is limited to the technical requirements contained in the Uniform Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review is based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building permit. Code sections cited are based on the 1997 UBC. The following items listed need clarification, modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 106.4.3, 1997 Uniform Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. TENANT IMPROVEMENTS WITHOUT SPECIFIC ENERGY DATA OR POLICY SUPPLEMENTS (1997UBC) tiforw.dot Carlsbad 05-1387 I 5/3/05 • Please make all corrections on the original tracings, as requested in the correction list. Submit three sets of plans for commercial/industrial projects (two sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 1. Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA. 92009, (760) 602-2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring one corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. 1. Plans shall be signed by the California state licensed engineer or architect. Please include the California license number, seal, date of license expiration and date plans are signed. Susiness and Professions Code. 2. . Complete and sign the disabled accessible verification statement found on sheet SP-2 & EX-3 of the plans. • ELECTRICAL 3. Why isn't new subpanel 1 00B shown on the single line on sheet E-4. Please clarify 4. ]Complete the panel schedule for new panel 1 00B as shown on sheet E-4. The panel lists loads but the individual circuits do not indicate any loads. Please clarify. • MECHANICAL 5. Note on the plans that the new mechanical ventilation in all rooms will be capable of supplying outside air at a minimum rate of 15 cubic feet per minute per occupant. UBC, Section 1202.2.1. 6. Detail ladder access to roof mounted HVAC equipment. 7. Detail disposal of main condensate drainage from air conditioning units. (UMC Section 309) Carlsbad 05-1387 5/3/05 • ENERGY 8. Provide plans, calculations and worksheets to show compliance with current energy standards for the new conditioned envelope. 9. Provide complete energy designs for the proposed changes in envelope, and mechanical systems. Provide the completed ENV-, and MECH-forms showing energy compliance. 10. On the plans clearly show the wall and roof insulation locations, thickness, and R-values, as per the energy design. 11. The completed and signed ENV-1, and MECH-1 forms must be imprinted on the plans. END OF PLAN REVIEW To speed up the review process, note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, note or detail number, calculation page, etc. The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Chuck Mendenhall at Esgil Corporation. Thank you. Carlsbad 05-1387 5/3/05 !VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 05-1387 PREPARED BY: Chuck Mendenhall DATE: 5/3/05 BUILDING ADDRESS: 2744 Loke Ave W., Suite 103 BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: V N BUILDING AREA Valuation Reg. VALUE PORTION (Sq.Ft.) Multiplier Mod. Tl 2571 City Est Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance Bldg. Permit Fee by Ordinance \ • \ Plan Check Fee by Ordinance I • I Type of Review: 0 Complete Review D Structural Only D Repetitive Fee . =8 Repeats Comments: D Other D Hourly I _Hour * Esgil Plan Review Fee ($) 79,701 79,701 $460.561 $299.361 $257.911 Sheet 1 of 1 macvalue.doc ENGINEERING DEPARTMENT FEE CALCULATION WORKSHEET D Estimate based on unconfirmed information from applicant. 1(1" Calculation based on building plancheck plan submittal. rJ L A,.. t:f::/0? Address: o--Jl/~ 6/Aer ~ vJ. Bldg. Permit No. Prepared by: ~ Date: L/ /2-1:/05" Checked by: ____ Date: ___ _ EDU CALCULATIONS: List types and square footages for all uses. Types of Use: SN?,t;/ iP (!)J)/2,a Sq. Ft/Units: (o'1(o ft EDU's: a 9-4 Types of Use: ______ _ Sq. Ft./Units: _______ EDU's: _____ _ ADT CALCULATIONS: List types and square footages tor all uses. Types of Use: $Ael/ i:?c?Jff.,'ce Sq. Ft./Units: (l~o I( ADT's: _ __,J'-1,1--- Types of Use: ______ _ Sq. Ft./Units:, _______ ADT's: _____ _ FEES REQUIRED: WITHIN CFD:FS (no bridge & thoroughfare fee in District #1, reduced Traffic Impact Fee) D NO D 1. PARK-IN-LIEU FEE PARK AREA & #: __ _ FEE/UNIT: ___ _ X NO. UNITS: __ _ ~ TRAFFIC IMPACT FEE ADT's/UNITS: _1_·1 __ X FEE/ADT: ~(c D 3. BRIDGE AND THOROUGHFARE FEE (DIST. #1 __ DIST. #2 ADT's/UNITS: X FEE/ADT: D 4. FACILITIES MANAGEMENT FEE ZONE: UNIT/SQ.FT.: X FEE/SQ.FT./UNIT: ~5. SEWER FEE • ?--tj_ FEE/EDU: _q:J_:;:f EDU's: X BENEFIT AREA: EDU's: ~ J::_4 X FEE/EDU: {0 ':) D 6. SEWER LATERAL ($2,500) D 7. DRAINAGE FEES PLDA HIGH /LOW ACRES: X FEE/AC: D 8. POTABLE WATER FEES =$ ____ _ DIST.#3 __ ) =$ ____ _ =$ ____ _ =$ =$ =$ ____ _ =$ ____ _ UNITS CODE CONNECTION FEE METER FEE SDCWA FEE IRRIGATION 1 of 2 . F:IFEE CALCULATION WORKSHEET.doc Rev. 7/14/00 a·\ -l ENGINEERING DEPARTMENT FEE CALCULATION WORKSHEET 0 9. RECLAIMED WATER FEES UNITS CODE CONNECTION FEE METER FEE TOTAL OF ABOVE FEES*:$ ________ _ * NOTE: This calculation sheet is NOT a complete list of all fees which may be due. Dedications and Improvements may also be required with Building Permits. Wh'. F:\FEE CALCULATION WORKSHEET.doc ~ -t /4 ~ e rJ--4 6uGJ 2 of2 ',. Rev. 7 /14/00 ODD ODD ODD PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST PlanChi,CkNo.CB. 6/:~13n A~dr8ss Z7lfl/ ~ Ave rvq+ . Planner Mt fi.r;_ S"ffi)!va . . P~one (760) 602-_ --1-fffi:.1..-·--=~~-._r ____ _ APN: Q,e-q-·o~o · Type of .P[o]ect & Us_e:. __ . ______ Net"Project Density: DU/AC ZoningP-_._/1/_l_ General Plan: ·pJ Facilities Management._Z_o-ne-:---~:i.o.::~- CFD (in/out) #_Date of participation: Remaining net dev acres:.-__ _ Circle One . (For non-residential developme_n~: Type of ·iand used created ·by this permit: · Legend: 18:1 Item Complete.· D Item Incomplete· -Needs your acti~n . Environmental Review Required: YE$__-_ NO~ TYPE~------.: DATJ= OF COMPLETION: _______ _ . . Compliance with conditions of approval? If not, state conditions which require action.· Condi_tions of Approval: Discretionary Action Required: YES_ NO __ ·. TYPE ___ _ APPROVAU~ESO.NO. ______ DATE __ PROJECT NO. _______ __,.._ OTHER RELATED CASES: ___ -:------------------ Compliance with conditions or approval? If not; state conditions which require action. Conditions of Approval: ___ '----·-::--·---------------- Coastal Zone Assessment/Compliance . . . . . . . Project site located·ir:i Coastal Zone? YES_ NO_ CA Coastal Commission Authority? YES_ NO~ . If California Coastal Commission Authority: Contact them at -.7575· ~etropolitan Drive, Suite 103, · San Diego._CA 92108-~402; (619} 767-2370 · Determine status (Coastal Permit Required or Exempt): Coastal Permit Determination Form a·lready completed? _YES __ NO_ . _If NO, complete Coastal Permit Determination Form now. Coastal Permit:D_etermination Log#: . Follow~Up Actions: . 1) Stamp Building Plans as "Exempf' or "Co~stal Permit Required" (at m~nirnum.Floor Plans). 2) Complete Coastal Permit Determination Log as· needed. lnclusionary Housing· Fee required: YE$_ NO_ (Effective-date of loclusionary Housing .Ordinance -M;iy 21, 1993.) Data Entry Completed? ·YES __ NO_ (A/P/Ds, Activity Maintenance, enter CB#,. toolbar, Screens, Housing Fees, Construct Housing YIN, Enter Fee, UP.DATE!) · Site Plan: H:\ADMIN\eOUNTER\BldgPlnchkRevChklst Rev 9101. :D· o·-· D ' ' , ' ' . ·t. Pr:ovide a fully dimensi.onal. site, plan drawn to scale. Show:. North· arrow •. property ·lines, easements.,. existing and proposed structures, streets, existing street improvements, righf·of:.way width, dimensional setback.s. and existing, topographical lines (including all .side and·.'.rear :y~rd slopes).-· .· ·, . . . _ · · . 1 · . · [J.O:D· ·2~ Pr9vid~ Jegaldescrjption·ot-prope.11¥ and asse$~~r's parcel number. Policy 44 -Neighbor!lood Archlt~~tural D~sign Guide.lines . . . . . . . . t. Applicability: YES NO __ .. __ .. ____ D·-'OD D t:J, D · 2. Project c_omplles YEs._· __ No:·-· ------- Zoning: 1. . Se.tbacks: Front.: . · · ... ·interior, Side: Street Side: .. .Rear: ·Top of slope:·· ·· Required· .... ·:--· ~------~----Shown------------,,- Required Shown-------------- Required · 'Shown ___ ---------...:. Required · · Shown ___ ...,...__,..,._ Req1.Hr~d. · · Sh()wn ~A--··----- O·PD 2. · Accessory·$trllcture·setbacks: · Required· ______ ........,.__.,. Sho~n _______ _ Front: · Interior Sl_de: Street Side.: Rear:·· · · .Structure:-separation: 'Re_qulre<:I .. Showri ___ ___,.......,....,._ Required· . · Shown_. ------~..__,;-- . ,R.equlted· · ~hewn ____ .;....._ · Aequir~q·_ ; Shown _____ _ . :J ·o D' -~-LotCoverage:. · '.fiequired_· · ..... · -. ---------. -Showri --.----------- I ' .... ·. £ :J· o· D 191 4. Hei~ht: , .. (I.· . ~J; . Q~-parking: Spaces Aeq1.,1ired. . ·shown . , ~ l}f . :(breakdo_wilby:usesfor ~ommercl~I and inc;lustrial·project~ required), ., /lt. · · esidential -Gµest Sp~ces· Required . · Shown ___________ __,; Required . .......:._:·------------· .Shown ___ "'"!"""""___,......,.. ,,• AdditionaLComments . ..,.· ·-.-,.;------------.-,--....-----------------..,..,... ....... ---- ' . • , , , • . , I • . , , ·, . . ... •. , : , , . i I i!l11 ~ .' / JK:TO ISSUE.AND ENTERE~-APPROVAL.INTO COMPUTI:~ __ y:...-~~: -.. _. -II!-, ...... __ bATl:. H:\ADtJIIN\COUNT!:;R\BidgPlnchkAevChklsi . · Rev9/01 PLANNINC/ENCINEERINC APPROVALS PERMIT NUMBER CB ©S--1345 r DATE lf/J.7/05 ADDRESS ~ rtfL/ loKer A0z-: wes+I 4/?/03 RESIDENTIAL TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR < < $10,000.00) OTHER PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING ------------------- PLANNER DATE --------------- oocs/Mlsforms/Plannlng Engineering Approvals Carlsbad Fire Department 051387 1635 Faraday Ave. Car.lsbad,.CA 92008 Fire Prevention Plan Review Requirements Category: Building Plan Reviewed by: ?~ Date of Report: _0_41_22_1_20_0_5 _______ _ Name: Lund Vandruff-Kush Address: 3970 Sorrento Valley Bl Suite H City, State: San Diego CA 92121 Plan Checker: Job#: 051387 ------- Job Name: Quantum Orthopedics Bldg#: CB051387 -----------------=-- Job Address: 2744 Loker Ave. W Ste. or Bldg. No. 103 IZI Approved D Approved Subject to · D Incomplete Review FD Job# ------ The item you have submitted for review ht;ts-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 and standards. Please review carefully all comments attached as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements. The item you have submitted for review has been approved subject to the attached conditions. The approval is based on plans, information and/or specifications provided in your submittal. Please review carefully all comments r . attached, as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements. Please resubmit to this office the necessary plans and / or specifications required to indi'cate compliance with applicable codes and standards. 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 attached. Please resubmit the necessary plans and / or specifications to this office fc;,r review and approval. 1st 051387 2nd FD File# 3rd Other Agency ID APR 15 2005 12:54PM QUANTUM ORTHOPEDICS AFr 15 05 01:0Sp '160-607-0125 r,i. 2 I City of San Diego Planning and Development Revbw lnto,msiitm end Application Services 1222 Fir.st Ave.., MS-301 Hazardous Materials Questionnaire San Diego, CA 92101 T><s en-,""....,. 1:11 .... 0 App(lin1!J)ents (619 446-5300, lntorma!loo (1819) 446-5000 WiH your bu.im1ss use, slcre or dlspansa any oHhs foffcwing hazardous male rials? ll aoy ol 1M i!eme is ctrcled (e.:c:lllpt item 15}, a San Diego Fire Department Hazardous Materials lnforma1ion Shee1 (fc1m FPB-500} must blil submitted with your pmjact far review to: Planning & Development R&"MW, Fire Ha:?rudous Mat&riii.lt PIil!\ Re\t!QW, 121!2 rl!GI Avm,uo, 41h floor, San Oill{lo, CA 92101 (619) 446-54$. 1. Expl0siuu a, Blasllnl'J a911nls 6. Oxidizers 11. Highly Toxic or To1<ic Matar!als 2. Comprassod Gases 7. Pyropho,ics 12. Radioa1i1i11as 3. Flammable or Combusllble Liquids a. Unslable (Reacilve) Materials 13. Corrosives 4. Flammable Solid$ 9. W111tar-R0.iiclil1es 14. Other Hl!llllh Huama 5. Organic Paroxldes 10. Cryogeni~ 15. Nono cf Thase Items; PART II: Sall Diego Caun1:»> 00pmment ot EnvlrMmentaa Health• Haz11rdws Malerlafs Dhtl11lan (HMD): If th{! anffier to any of the questions t:in this form Is ye:;, appiH;!ll'lt must 0on1act ths County of San Diego Hazimlous Materials DlvlSlllfl, 1:225 Imperial Avenue, 3rd lloOr, San Di;)go, CA 92101, IDl1phono {619) 338·2222, prlOr to the lssuaru,e of a bllllding p!llTIJKt. Ves No 1. o ft. Is your oos1ness type tistei:1 on 100 reverse Ela of llliS torm7 2. Cl Si--Will your business dlspDS& ol Hazardous Substances or Medical Wasles in anv emcunt? e. Cl ~ WtD your businass stoNt or handle tlftl!ardo11$ Substances In quenl!ti§ equ11.I llCi or gr&ates lllan 55 gallons, 500 pounds, 200 cubic feet or carcifffl!)llflS,'reJ)loductivP:1 lolffl!3 in llll)f qu11ntlty? 4. O lit. Wl!I your busine-'S use an existing or lns!flll an underg,ound .storage tank? 5. o flt.. Will ynur business s!ore, use or hand!a Regulateo Subslanees (Ca1AFIPJ7 6. Cl g., Will your business use or install a Hazardous Wasto TQ!lk System (Title 22, Miele 10)? PART NI: San Dht!JfJ Air Pollution Cont~ Dlalrlct If the flllswru' 10 MJf of the questions on th IS form is yes, epplli:am mus I COJ'ltaet the Air f'o!Cull.)n Control Oistr!ct, 9150 Chasapaelta Oriva, &an Diego, CA 92123, telephon& {858) 851>-4550, prior to 11W lssuarn:e f.lf a bUlldlns pannit Yes NCI 1. a g._ Will the intended occupant Int.tall or use MJ1 of the equipmant Ustllld on the Listing of Air PollUill'm C011tro! Olstrlc! Perrnil Categories reverse side of this form? 2. a o (Answor only If tlle answei to (!l.le61ioo 1 is yes) Will the subject facllity ba locatad wllhin 1,000 fo.at of IFl\!l ou!er t>oundary,Df II sc3lool (K through 12) u fisted in the cur10nl Directory of School and Community College Districts pubUsned by too San Diego County ornce of Eaucatfor. and lhs cummt Callfomi'iill Privati> SllhOOI Oiractoiy compil@d In aceoldanc~ with provisions of Educaiion Code Section 33190? :11. QI ~ Doss !he l.iuildln9 r;;ir structure for which Dli11 damoUlion p.,,,-mit is requested conlain etll}I frieible as• t!estas'I Brially aeoorlbe business aelivlty and proposed projec:t: OFFICE USE ONLY H# ------BP DATE _J__I_ I SA/M_· ___ _ APCO ____ _ OFFICE USE ONLY 0 Cal ARP E,cempl Date Initials CII Cai ARP R®ql.dred Date lmliails 0 Cml ARP Completed Date lnl11als Name of 0Wn151r or Authorized Agant"' Date s;rev'£ "M' (;,tM,)4y ---~=-:re,~L,~~:::::::::..___ 3/'kAs: I dB<:l!lKe U!lder pe11al1Y o'I perjury thal ro !he bes I Qf my l!nowledge and be6ef lh 1:1ponses made tiaro~l 111e true al'\d eorreel. !=OR OFFICIAL USE ONLY: FIRE OJ;PARTMENT OCCUPANCY CLASSIFICATION: ______________ _ By:--------~------------Date: _______ _ EXE\IPT ~ 1\10 FllF\11-ER lll!FOIIU/.\.TION REQUIRED REI.EASB> IFOA/:Wll.OING PERMIT riur NOT FOR OCCUPI\NCV flE~EASSDFOO OCCUPMWV COUl\llY llMD APCD COUl'ITV IIMI) IIPCO COUNTV HMO it,PCD This-!n1ml"rnlltion is au&ll!lll>lo ,n lllll1o1ma1iv0 formal~ for pe)l"i!OM ~illl dloab;Jlii11s. To reqwe:sl Dhis infOOM1iori in altem111lve lormnt, call (61 S) 449.5445 or {000) 735"-2929 {TT} 8-D sUBre 1a aes us «in the World Wfde Web atwww.e1.sat1-tl~.c:iu.!S/ds11elo.:irn.mt-"nsici1rs p.2 \t • TITLE 24 REPORT Title 24 Report for: Quantum Orthopedics 2744 Loker Avenue West, Suite 100 Carlsbad, CA • -· . .. Project Designer: Lund Vandn.,1ff Kush .'• ' Report Prepared By: Michael Dell DELL CO. 1629 York Drive Vista, CA 92084 (760) 940-0064 Job Number: NR4-6 Date: 4/6/2005 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2001 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC (415) 897-6400. EnergyPro 3.1 By EnergySoft Job Number: NR4-6 User Number: 1712 ~I STATE , ,COMPENSATION l"JSURANCE POLICYHOLDER COPY P.O. BOX 807, SAN FRANCISCO,CA 94142-0807 . Fu ND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DA~ 01-01-2005 GROUP: 000046 POLICY NUMBER: 0008760-2005 CERTIFICATE ID: 61 CERTIFICATE EXPIRES: 01-01-2ooe:·· 01-01-2005/0.1-01-200Et. · -··-:,·· . '· .~ ' . ....... :' .... .,_ .·-, -=--~-. . -: . . -. -~~-;:... -: ~--- JOB·. ALL OPERATIONS"·.·:·· >.-·. -~:·-"~:;· -· CITY OF CARLSBAD ATTN: BUILDING -DEPARTMENT SD ' ~ . . ..... _ .::y·-.:~:.·, ·-,..::., ··. :'-: __ :~:~~1~ •·. :t-' --.··-... _ . 1635 FARADAY AVENUE . CARLSBAD CA 92008 ~ .. -_: . ..... "'' . ,~. This is to certify that we have issued a valid Workers' Compensation. insurance policy in a· form approved by, the,:·.. :. .,··0 •• _· ~- California Insurance Commissioner to the employer· named below for the policy period indicated. -·::·. · This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer:.' ... We will also give you -30. days' ·advance notice should this policy be. cancelled prior to . its, no·r~al expiration. This certificate .of insurance is not an insurance policy and does not amend~ extend-or alter the coverage at.forded. by the policies-listed herein. Notwithstanding any requirement, term, or condition of any contract or· other-document-. with respecrto which this certificate of insurance may. be Issued or may pertain, the insurance afforded: by,: the ·· . ,· ----.... policies described herein is subject to all the terms, exclusions and conditions of suctr policies. ,. ._: .. -~--,: ;,-. . ;: t =. ' .· ,: . . ',"'.:, ... ~-. :-... . AUTHORIZED -REPRESENT A, TIVE PRESIDENT · ··.· .: ( · .... .-,. \ . EMPLOYER'S.LIABILITY LIM~T INCLUDING DEFENSE. COS!S\ $,1,000;~00,90.,PE_R'o~RRENCE.:'. "-,~ '':,_ /--· ·--- ~~::s:M::T #~r~Hi~~~~~gy ~ERTIFICA'.J'.E, HOLDERS, NOTICE EFFECTIVE' ·0·1-~.1-2005/ IS ~TI'ACHE-~:: !0 AND ' -~:-, ;:: ~ EMPLOYER WHITE CONSTRUCTION 5937 DARWIN CT STE 100 CARLS8AD CA 92008 '·. ' .-,~,~ ,, I;; !.•• ·~·''(;' w. -• • -.{~; . ' _..,_ .. ~ .,,: ..... ..... .· - LEGAL NAME' ..,, ·.--:·' -- • • •• -•• '\,". •',t::i... S P: WHITE CONSTRUCTION"'.' INC,7 .. ·.' .' . ( : -"~--->t -''(;\,k\ .. ·. (REV.3•03) PRII\ITl::n. 12/17/2004 lif P 111~1•I•@1J~l=l~ll#tJ.~41=1911=1W1l=t;f~li•l=J,sH3et;t•l11WI• SCIF 1026!' SD