HomeMy WebLinkAbout2788 LOKER AVE W; ; CB940654; Permit. l
B U I L D I N G P E R M I T Permit No: CB940654
Project No: A9400906
Development No:
06/17/94 15:41
Page 1 of 1
Job Address: 2788 LOKER AV WEST
Permit Type: INDUSTRIAL TENANT IMPROVEMENT
Parcel No: 209-081-14-00
Valuation: 26,050
Construction Type: VN
Suite:
Lot#:
Occupancy Group: B2 Reference#:
Description: 1042 SF OFFICE PEARL COMMUNICN
Appl/Ownr : E.F.B.P. ASSOCIATES
1947 CAMINO VIDA ROBLE
CARLSBAD, CA 92008
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion Fee
Enter Number of EDU'
Enter "Y" to Autocal
(Lie
Enter Bridge Fee
* BUILDING TOTAL
Enter "Y" for Plumbing
Enter "Y" for Electric
Remodel/Alter Per AMP
* ELECTRICAL TOTAL
Enter 'Y' for Mechanical Issue Fee>
Install Furn/Ducts/Heat Pumps >
* MECHANICAL TOTAL
619
1
CITY OF CARLSBAD
Status:
Applied:
Apr/Issue:
Entered By:
431-7612
ISSUED
05/27/94
06/17/94
DC
.25
9.00
.oo
172.00
3,034.00
***
Ext fee Data
265.00
172.00
5.00
888.00
474.00 Y
438.00
275.00
253.00
352.00
3122.00
N
10.00 y
50.00
60.00
15.00 y
9.00
24.00
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
L
City of carlsbad Building Department
2075 Las Palmas Dr., carlsbad, CA 92009 (619) 438-1161
I. PEltMI I IYP£
A -D Commercial LI New ButJdmg xut'enant Improvement
B -LI Industrial D New Building D Tenant Improvement
C -0 Residential D Apartment D Condo O Single Family Dwelling
a V
a Addition/ Alteration
0 Duplex O Demolition O Relocation O Mobile Home O Electrical D Plumbing
C Mechanical D Pool D Spa D Retaining Wall D Solar C Other ____ _
PLAN CHECK NO.
2. PROJF.Cf INFORMATION FOR OFFICE USE ONLY
Address Bmldmg or Suite No. 2788 Loker Avenue West Building #3
Nearest Cross Street Palomar Airport Road/El Fuerte STreet
LEGAL DESCRIPTION Lot No. su6d1vts1on Name/Number 0mt No. Phase No.
CHECK BEIDW IF sOBMII IEb:
D 2 Energy Cales a 2 Structural Cales a 2 Soils Report Cl 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK
SQ. FT. 1,042 # OF STORIES (1) one
3. WN IACI PERSON (tf dtfferenf from applicant)
NAME ADDRESS
Andrew Tarango
CITY San Diego STATE CA ZIP CODE
ento Place, Suite 750
DAY TELEPHONE (619) 452-3188
s. PkOP£itiY OWN£k
NAME E.F.B.P. Associates ADDRESS 1947 Camino Vida Roble, Suite 104
CITY Carlsbad STATE CA ZIP CODE 92008 DAYTELEPHONE (619) 431-7612
6
. ~~~~o"i'..Qo~,Sf(2ocr,oAJADDRESS 1065 EL Cti::rol\l EL-Vt>
CITYSA~~ STATE C-A ZIP CODE q 2.1 l <; DAY TELEPHONE '2&'~ -/ '1 2;; 3
sTATE uc. #Ml oYo ucENsE cIASs C,El'J 'L CITY BusINEss uc. # 1 ~o r ~ g
DESIGNER NAME Smith Consulting ArdWPt¥§ii:.s 5355 Mira Sorrento Place, Suite 750
CITY San Diego STATE CA ZIP CODE 92121 DAY TELEPHONE 452-3188 STATE UC.# Cll,701
1. WOkRERS' wMP£NSA.11dN
Workers' Compensation beclaratlon: I hereby afhrm that I have a certthcate of consent to self-msure issued by the Director of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). / l
INSURANCE COMPANY ~lSr. r. DQ t VE POUCY N<:JX.P ~(57 I I EXPIRATION DATE , f)\ q 4
rtt tcate o xemptlon: certt at m e pe ormance o e wor or w 1s permit ts 1ssu , s a not emp oy any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
A. OWN£k-B0llD£k b£cLAltAfioN
a
D
D
0Wner-Bu1tder Uectaratton: I hereby affirm that I am exempt from the Contracto?s Llcense Law for the followmg reason:
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 Llcense Law does not apply to an owner of property who builds
or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended
or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale.).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's Llcense 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 Llcense Law).
I am exempt under Section _______ Business and Professions Code for this reason:
(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 Llcense Law (Chapter 9, commencing 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 [$500)).
SIGNA11JRE DATE
COMPLETE mis SECTION FOR NON-RESIDEN'nAL BUIWING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? a YES Elmo
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
C YES ~NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
0 YES D{NO
IF ANY OF THE ANSWERS ARE YF.S, A FINAL CERTIFICATE OF OCDJPANCY MAY NOT BE l$UED AFTER JULY 1, 1989UNLF.SS TIIEAPPUCANT
HAS MET OR IS MEETING THE RF.QUIREMENTS OF 11-IE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUllON OON1ROL DISTRICT.
9. WNSIROCiioN mtmmc AG£NcY
I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for wfoch tbls permit 1s issued (Sec 3097(1) C1vu Code).
LENDER'S NAME LENDER'S ADDRESS
to. APPi.JcANT c£itl'McA'fioN
I certify that I have read the apphcauon and state that the above mformatton 1s correct. I agree to comply with all City ordmances 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 AISO AGREE TO SAVE INDEMNIFY AND l<EEP HARMLESS THE CTlY OF CARISBAD AGAINST AU. I.JABIIITIES, JUDGMENTS, CDSTS
AND EXPENSF.S WHICH MAY IN ANY WAY ACXllUE AGAINST SAID CTlY IN OONSF.QUENCE OF 11-IE GRANTING OF nIIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
WHITE: File YEILOW: Applicant PINK: Finance
S E W E R P E R M I T
06/17/94 15:40
Page 1 of 1
Job Address: 2788 LOKER AV WEST
Permit Type: SEWER -OFFICE/WAREHOUSE
Parcel No: 209-081-14-00
Description: 1042 SF OFFICE PEARL COMMUNICN
Suite:
Permit No: SE940038
Bldg PlanCk#: CB940654
Permitee: E.F.B.P. ASSOCIATES 619 431-7612
Status: ISSUED
Applied: 06/02/94
Apr/Issue: 06/17/94
Expired:
1947 CAMINO VIDA ROBLE #104
CARLSBAD, CA 92008
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Enter Office Square
<Enter CREDIT EDUs>
Total EDUs
Sewer Fee
Enter Sewer EDUs an
* SEWER TOTAL
***
Prepared By: HE
.00
.00
682.00
***
Ext fee Data
.58
-.21
.37
654.00
28.00 G
682.00
r------------------, ! r:INAL APPROVAL
":s __ DATE __
Fu\NCE ________ ,
i.. ·------------------
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB940654 FOR 07/11/94
DESCRIPTION: 1042 SF OFFICE PEARL COMMUNICN
TYPE: ITI
STE:
INSPECTOR AREA PY
PLANCK# CB940654
OCC GRP B2
CONSTR. TYPE VN
LOT: JOB ADDRESS: 2788
APPLICANT: E.F.B.P.
CONTRACTOR:
LOKER AV WEST
ASSOCIATES PHONE: 619 431-7612
PHONE:
OWNER:
REMARKS: MW/CHUCK/443-6789
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--PERMIT#
CB931288
SE930082
AS930083
SE940038
TYPE
ITI swow
ASTI swow
PHONE:
STATUS
ISSUED
ISSUED
ISSUED
ISSUED
CD LVL DESCRIPTION ACT COMMENTS
19 ST Final Structural
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
--------------------------------------------------------
***** INSPECTION
DATE DESCRIPTION ACT
070694 Frame/Steel/Bolting/Welding co
070694 Rough Electric co
070694 Rough/Ducts/Dampers co
062494 Interior Lath/Drywall AP
062494 Frame/Steel/Bolting/Welding AP
062294 Frame/Steel/Bolting/Welding PA
062294 Rough Electric AP
HISTORY *****
INSP · COMMENTS
PY
PY T-BAR
PY T-BAR
PY
PY
PY
PY
FINAL BUILDING INSPECTION RECEIVED .Ill! ~t
DEPT: BUILDING ENGINEERING ·] -~·LANNING U/M WATER
PLAN CHECK#: CB940654
PERMIT#: CB940654
PROJECT NAME: 1042 SF OFFICE PEARL COMMUNICN
ADDRESS: a
CONTACT PERSON/PHONE#: MW/CHUCK/443-6789
SEWER DIST: CA WATER DIST: CA
INSPECTED /\ .
BY: /1 .r·~e{·J__
INSPECTED
BY:
INSPECTED
BY:
COMMENTS:
DATE <" /,, / f:'u INSPECTED: wJL
DATE
INSPECTED:
DATE
INSPECTED:
DATE: 07/11/94
PERMIT TYPE: ITI
APPROVED 7:ISAPPROVED _
APPROVED DISAPPROVED
APPROVED DISAPPROVED
POOR
. UALITY
L r-'.· ,
f'
ORIGINAL (S
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619} 560-14-68
::>.ISDICTION:
::,N CHECK NO: SET: ::zL -
0APPLICANT
.JURISDICTION 0 PLAN CHECKER
QFILE COPY
QUPS
QDESIGNER
OJECT ADDRESS: __ 2. __ 7_;;.;..s_ga,._ __ /..._o_l<_C_~ __ A __ v_~_~---
OJECT NAME: -r: J:" --------------------
/
r71il The olans transmitted herewith have been corrected where
lM necessary and substantially comply with the jurisdiction's
building codes.
D
D
0
0
The plans transmitted herewith will substantiallyrcomply
with the jurisdic~ion's building codes when minor deficien-
cies identified...---------------,,,,-,----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 Corp. until corrected
plans are submitted for recheck.
The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person.
O The applicant's copy of the check list has been sent to:
~ Esgil staff did not advise the applicant contact person that
plan check has been completed.
O ~sgil staff did advise applicant that the· plan check has
oeen completed. Person contacted: -------------
Date contacted: Telephone! -----------------0 REMARKS: ---------------------------
By: C '-!tJJ /414-.,,..,, e-k
ESGIL CORPORATION
Enclosures:
( crj
Ocr-1 QPC ½ -/C,-yc..;
I
-----------
DATE:
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619) 560-14-68
{,p = tJ i..-1
JURISDICTION:
PL.~N CHECK NO: SET:
PROJECT ADDRESS: .;)7 82 La 1:5~.,.-a~ ,
PROJECT NAME: r,-_ __ ......,___._.,__ _____________ _
D
D
D
II
D
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 jurisdic~ion's building codes when minor deficien-
cies identified~---------,,...---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 herewitb is for your information.
The plans are being held at Esgil Corp. until corrected
plans are submitted for recheck.
The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person.
II The applicant's copy of the check list has been sent to:
G..,Av-~ 'ltJ.-6 ~6" B3'55 1-'1,r& So1-r--c,;r.;; ?la:4
• S,<D, I 4 j q~1al
II Esgil staff did not advise the applicant contact person that
plan check has been completed.
O Esgil staff did advise applicant that the plan check has
been completed. Person contacted: -------------
Date contacted: Telephone 1· ----------,---------0 REMARKS: . ---------------------------
By: U \ 1 '-;:,p,,dr<.
ESGIL CORPORATION J CP I
0GA DCM E(Pc
Enclosures:_A_)_o~~-~...._ ______ _
I~=-~-""'*'==-------~---~ . ..,. ...... ...,,..,..,....., ... """ .... """'~~----~-~_;.-:__-:..·,:--~~---1 ...
HEalAKICAL, PIDIBDCP EKERGt
PLAl( oun:rrOll smxr
DAiE=---~..,..,..,...---~--____ 9' ___ Y __
fljGLEK~
PLAif ™= D .
D-----
I ._
Jurisdiction CJ>t:r \sbo.d. Date: & IIJ/1~
Prepared bys
~H,,-VALUATION AND PLAN CHECK
o 3ldg, Dept,
g,/°Esgil
PLAN CHECK NO, l-6 '1 'r' -LP§4 ( :::-2
BUILDING ADDRESS _..J~J....,._S~i----"L=o"'-=k~~~~--G'--M.-a ........ ,~4-2.e...=-c~--k~----------
AP?LICAN'!'/CONTACT k"' Ae~· PHONE NO. __ -+'-f-5...,.._,2,......,c~3.._l.__.1'8......__
EUILD!NG OCCUPANCY '?=--: 2.. _....,__ __________ _ DESIGNER ?EONE -------TY?~ O? CONST~UCTION CONTRACTO~ ?EONE ------
BUILDING ?ORTION EUILD!NG AREA VALUATION I VA -u--.-.L .:.,
MULTTPLIE~
rr. \. ---,~ tf~ ~l I _J ,, 0 I") c:::; /> -I I I /
I .CZ
I
I
I I
I I
I I
I 1 ·
I
I
I 1
Air Conditionin~ I
Commercial @ .
Residential (cl
Res. or Conun. I \ Fire S-orinklers @
I
Total Value I I I -~~,(:)l;i'C>
Building Peri:iit fee$ _______________ _ s
Plan Check r ee_;:..S ___________________ _.::;_$_---=1_7w:J~·.czd:~·S-:___ __
COM HEN TS._:------------------------------
SHEET G) OF (u
12/87
City of Carlsbad
5 ¥i h· • i 044 Ii U· I •24·ki ;; ; ei§U I
0~~ BUILDING PLANCHECK CHECKLIST . ~L
DATE: ~L PLANCHECK NO. CB 7~-~j T
BUILDING AD RESS: c:>?7/"? bt#Fa: me--a/.
PROJECT DESCRIPTION: --C.:C: /t) 'f<B 4'--Q-frb-c.e. ~l"fl cJ/fse-
ASSESSOR's PARCEL NUMBER: e?4' -:5=-~J?/ -1 ;I-: , EST. VALUE ;.}?§ . o so
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.
DENIAL
Please see the attached report of deficiencies marked
with D Make necessary corrections to plans or
specifications for compliance with applicable codes and
standards. Submit corrected plans and/or specifications
to this office for review.
By:. _________ Date:. ___ _
D By: Date: A Right-of-Way permit is required prior to construction ·---------·----
of the following improvements:
ATTACHMENTS
D Dedication Application
D Dedication Checklist
D Improvement Application
D Improvement Checklist
D F\Aure Improvement Agreement
D Grading Permit Application
D Grading Submittal Checklist
D Right of Way Permit Application
D Ri~ht of Way Permit Submittal Checklist
and Information Sheet
D Sewer Fee Information Sheet
By: _________ 0ate:. ___ _
ENGINEERING DEPT. CONTACT PERSON
NAME: _____________ _
City of car1sbad
ADDRESS: 2075 Las Palmas Or., Carlsbad, CA 92009
PHONE: {619) 438-1161, Ext.
A-4
P:\DOCS\CHKLS1\BP0001.FRM REV 05/11 /94
2075 Las Palmas Dr.• Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-0894
BUILDING PLANCHECK CHECKLIST
SITE PLAN
1 .. +./2ndJ 3rdJ ~ D D 1. Provide a fully dimensioned site plan drawn to scale. Show:
A. North Arrow D. Property Lines Easements
B. Existing & Proposed Structures E. Easements
C. Existing Street Improvements F. Right-of-Way Width & Adjacent Streets
2. Show on site plan:
A. Drainage Patterns C. Existing Topography
B. Existing & Proposed Slopes
3. Include note: "Surface water to be directed away from the building foundation at a 2%
gradient for no less than 5' or 2/3 the distance to the property line (whichever is less)."
[Per 1985 UBC 2907(d)5].
On graded sites, the top of any exterior foundation shall extend above the elevation
of the street gutter at point of discharge or the inlet of an approved drainage device
a minimum of 12 inches plus two percent" (per 1990 UBC 2907(d)5.).
4. Include on title sheet
A. Site address
B. Assessor's Parcel Number
C. Legal Description
For commercial/industrial buildings and tenant improvement projects, include: Total
building square footage with the square footage for each different use, existing sewer
permits showing square footage of different uses (manufacturing, warehouse, office,
etc;) previously approved.
EXISTING PERMIT NUMBER DESCRIPTION
Se' :3 ~y.3 s.,ff(I tef:3/'"7 ~ fffc. ~ yoo ;:; , 3b Jf-1:'f/l/t'Pfre ;fa#(). r9.:::-/. 2,,5"t1JJ ---------------i...&.-=:.---.f-'-"--"'-----..::;....~.......,_......;....;...___., __ _
_ tt5 .......... f ..... 1 .... ·-'-J, __ fi ..... ,....._ ___ -__ ;?-..,.20~ ~r?. .e A:-fG. 4-irm wl,fs€ =
.€-"""',&:::;.......q._'1-._-"""b_S1f_,__ ___ 1. __ '0 ___ tf ;i, If e>-ff,:tce , ~"""fr::pv I ess lofa. Pwlfie ~ , ~, -
P:\DOCS\CHKLST\BP0001.FRM Page 1 of 4 REV 05/11 /94
BUILDING. PLANCHECK CHECKLIST
DISCRETIONARY APPROVAL COMPLIANCE
i .; 2nd./ 3rd./
D D s.
fr
Project does not comply with the following Engineering Conditions of approval for Project No. ________________________ _
Date: Conditions were complied with by: ______ _ --------
DEDICATION REQUIREMENTS
6. Dedication for all street Rights-of-Way adjacent to the building site and any storm
drain or utility easements on the building site is required for all new buildings and for
remodels with a value at or exceeding $ ________ -pursuant to Code Section
18.40.030.
Dedication required as follows: _________________ _
Attached please find an application form and submittal checklist for the dedication
process. Provide the completed application form and the requirements on the
checklist at the time of resubmittal.
Dedication completed by ____________ _ Date: -----
IMPROVEMENT REQUIREMENTS
7a. All needed public improvements upon and adjacent to the building site must be
constructed at time of building construction whenever the value of the construction
exceeds $ -pursuant to Code Section 18.40.040.
Public improvements required as follows: ______________ _
Please have a registered Civil Engineer prepare appropriate improvement plans and
submit them together with the requirements on the attached checklist for a separate
plancheck process through the Engineering Department. Improvement plans must be
approved, appropriate securities posted and fees paid prior to issuance of permit.
Attached please find an application form and submittal checklist for the public
improvements requirements. Provide the completed application form and the
requirements on the checklist at the time of resubmittal.
Improvement Plans signed by: __________ _ Date: ___ _
P:\DOCS\CHKLST\BP0001.FRM Page 2 of 4 REV 05/11 /94
1 stJ 2nd/ 3rdJ DD D
BUILDING PLANCHECK CHECKLIST
7b. Construction of the public improvements may be deferred pursuant to code Section
18.40. Please submit a. recent property title report or current grant deed on the
property and processing fee of $ _________ so we may prepare the
necessary Future 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: ___________ _
Improvement Plans signed by: ___________ _ Date: -----
D D D 7c. Enclosed please find your Future Improvement Agreement. Please return signed and
notarized Agreement to the Engineering Department.
D D
D D
/lo
D
D
D
Future Improvement Agreement completed by: ____________ _
Date: _______ _
7d. · No Public Improvements required. SPECIAL NOTE: Damaged or defective
improvements found adjacent 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 11.06.030
of the Municipal Code.
8a. Inadequate information available on Site Plan to make a determination on grading
requirements. Include accurate grading quantities (cut, fill import, export).
8b. 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:
8c. No Grading Permit required.
P:\DOCS\CHKLST\BP0001.FRM Page 3 of.4 REVOS/11/M
BUILDING PLANCHECK CHECKLIST
MISCELLANEOUS PERMITS
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, trees, driveways, tieing into public storm drain, sewer
and water utilities.
Right-of-Way permit required for ________________ _
A separate Right-of-Way permit issued by the Engineering Department is required for
the following: ______________________ _
~ D D 10. A SEWER PERMIT is required concurrent with the building permit issuance. The fee
is noted in the fees section on the following page.
11. INDUSTRIAL WASTE PERMIT is required. Applicant must complete Industrial
Waste Permit Application Form and submit for City approval prior to issuance of a
Permit.
Industrial waste permit accepted by: ______ _ Date: ___ _
P:\DOCS\CHKLST\BP0001.FRM Page 4 of 4 REV 05/11 /94
ENGINEERING DEPARTMENT ENGINEERING REVIEW SECTION
FEE CALCULATION WORKSHEET
D Estimate based on unconfirmed information from applicant. ,;;f Calculation based on building plancheck plan submittal.
Address: 2 7/f J:-17K t3"" /Z-,dt// u( Bldg. Permit No. d/2' t/ //:"b s---~ ··
Prepared by:,~ Date: ,~;t Checked by: __ C_ ...... £ ..... __ Date: ' .. ;J_-9'(
EDU CALCULATIONS: List types and square footages for all uses.
Types of Use: ;J f.fiue,. Sq. Ft.: / 0 ¥' ~ -::: / h@P
' J
EDU's: • ~,?'
er-eRd,t' w;/fE /0 tf;, ::-~?1/o -,2-/
Total EDU's: __ -,_.3_7 ___ _
ADT CALCULATIONS: List types and square footages for all uses.
Types of Use: &!'-f-f-i ce.. Sq. Ft.: /'1 If"'~ yf)ir-tOADrs: ____ ,,,q....._/ ____ _
e;e/p;, w/1.f'P /o.tr~ .s~ -5 ~
Total ADrs:_ ..... / ..... b _______ _
FEES. REQUIRED:
PUBLIC FACILITIES FEE REQUIRED O YES)£:( NO (Sy:;eeui Ing Department for amount)
WITHIN CFO: D YES (no bridge & thoroughfare fee, 0
reduced Traffic Impact Fee) ·
~ 1.PAAK>N-UEIJ FEE PARK AREA: __ _
FEE/UNIT:____ X NO. UNITS: __ _ =$-~"-----
8J 2.TRAFFIC IMPACT FEE
ADrs: /C, X FEE/AOT: 3 3
J8I 3. BRIDGE AND THOROUGHFARE FEE
AOrs: / (:, X FEE/ADT: ote<
,J 4. FACILITIES MANAGEMENT FEE
'/'l} SQ.FT.:___ X FEE/SO.FT.: __ _
ZONE:. ___ _
:3S-.:2.. =$ ____ _
~ =$ ____ _
8 5. SEWER FEE
PERMIT No. SE"° f~t?JJr
EOU's: , .3 7 X FEE/EDU:_f._ 1 ~ ? =$ .C.st:
BENEFIT AREA: Q~ DRAINAGE BASIN: )F
3 1 1~--~ /jJ,, EOU's: • + X FEE/EOU:___,f--1'2---/1~ 6. SEWER LATERAL ($2,500 DEPOSIT)
=$ ?17
=$ ~
Ji 7. WATER FEE
EDU's: _. _3 __ / __ X FEE/EDU: ;l_ '{D O =$ rer
TOTAL OF ABOVE FEES*: $ )_ 'ISO
*N
P:\DOCS\MISFORMS\BP0002.FRM REV 04/12/94
'
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PLANNING QiECKIJST
Plan Check No. 9Lf -{;fit/ Address 27~~ fok~r Ave11.,,~ lX) t.
Planner DAVID RICK
(Name)
Phone 438-1161 ext. 4328 ------
APN: ---------------------------
Type of Project and Use __ tf....._:..\--__ . __________ _
Zone \?\I\ Facilities Management Zone __ G ___ _
O'D~out) # e?ll'cle {,.tf_p_r_o_pe-rty--111,-co_m_p_,l""""et·e SPECIAL TAX CALCULATION
WORKSHEET provided by Building Department.)
Legend.
12) . Item Complete
~ .t: .c .c u u u
C i i • a: --(9 Item Incomplete -Needs your action
A. A.
1, 2, 3 Number in circle indicates plancheck number where deficiency was
identified efo O Envimmnental Review a..quired: YES _ NO / n'PE __ _
DATE OF COMPLETION:
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval ______________________ _
. ~0 0 Discretionary Action Required: YES_ NO ~E __ _
APPROVAL/RESO. NO. __ _ DATE: ______ _
PROJECT NO. ___ _
OTHER RELATED CASES: ___________________ _
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval ______________________ _
~[] D c.alifoma Coastal Commission Permit Required: YES -NO L
DATE OF APPROVAL:
San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA. 92108-1725
(619) 521-8036
Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval ______________________ _
Gib O lndusionary Housing Fee required: YES _ NO /
(Effective date of Indusionary Housing Ordinance -May 21, 1993.)
Site Plan:
Zoning:
DD Dr/r>r
1.
2.
1.
2.
3.
4.
Provide a fully dimensioned site plan drawn to scale. Show: North
arrow, property lines, easements, existing and proposed structures,
streets, existing street improvements, right-of-way width, dimensioned
setbacks and existing topographical lines.
Provide legal description of property, and assessor's parcel number.
Setbacks:
Front: Required Shown
Int. Side: Required Shown
Street Side: Required Shown
Rear: Required Shown
Lot coverage: Required Shown
Height: Required Shown po,k''r
Parking: Spaces Required ~ /40 Shown iw:(~fl~J OA prR-J, o.J l ) \
Guest Spaces Required Shown f '"'c.vd~ . )
D D D Additional Comments _______________________ _
OK TO ISSUE AND ENl'ERED APPROVAL INTO COMPUTFJt C/l.2t., ~ DATE _C,,___,!1..._h....;;..¥_ rs
PLNCK.FRM
City of Carlsbad 94136
Fire Department • Bureau of Prevention
Plan Review: Requirements Category: Building Plan Check
Date of Report: Thursday, June 16, 1994 Reviewed by: (1• b,&cL
Contact Larry Kloha Name
Address
City, State
5355 Mira Sorrento Pl Ste 750
San Diego CA 92121
stag. Dept. No. _9 4_-_6_5_4 ___ _ Planning No.
Job Name Pearl Communications
Job Address 2788 Loker ------------------Ste. or Bldg. No. ____ _
~ Approved -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 modifica-
tions, 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
construct or install improvements.
D Disapproved -Please see the attached report of deficiencies. Please make corrections to
plans or specifications necessary to indicate compliance with· applicable
codes and standards. Submit corrected plans and/or specifications to this
office for review.
For Fire Department Use Only
Review 1st. __ _ 2nd. __ _ 3rd. __ _
Other Agency ID
CFD Job# __ 94_1_3_6 __ File# ----
2560 Orion Way • Carlsbad, California 92008 • (619) 931-2121
TITLE 24 REPORT FOR:
Pearl Communications
Carlsbad, CA
PROJECT DESIGNER:
REPORT PREPARED BY:
Steve Balderrama
Haynal & Co., Inc.
425 West Fifth Street
Escondido, CA 92025
(619) 743-5408
Job Number:
Date: 5/24/1994
The COMPLY 24 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 Building Energy Efficiency Standards.
This program developed by Gabel Dodd Associates (510) 428-0803.
Table Of Contents for Title 24 Report
Cover Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Table of Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Form ENV-1 Envelope Certificate of Compliance ....................... 3
Form ENV-2 Envelope Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Form ENV-3 Construction Assemblies .................................. 9
Form LTG-1 Lighting Certificate of Compliance ....................... 12
Form LTG-2 Lighting Compliance Summary .............................. 14
Form MECH-1 Mechanical Certificate of Compliance .................... 15
Form MECH-2 Mechanical Summary ...................................... 18
Form MECH-3 Mechanical Equipment Summary ............................ 19
Form MECH-4 Mechanical Ventilation .................................. 20
HVAC Zone & Space Loads Summary ..................................... 21
CERTIFICATE OF COMPLIANCE (part 1 of 2)
Project Name: Pearl Communications
Address:
ENV-1 page 3 of 24
Date: 5/24/1994
Carlsbad, CA Building Permit No
Envelope
Designer: Checked by/ Date
Documentation: Haynal & Co., Inc. C:::L n ~A COMPLY 24 User 2875 ----------------------------------~----------------------
GENERAL INFORMATION
Date of Plans: Building Conditioned Floor Area: 1079 sf
Building Type: Nonresidential Climate Zone: 7
Phase of Construction: O New Construction ~ddition O Alteration
Method of Envelope Compliance: Prescriptive -Overall Envelope
STATEMENT OF COMPLIANCE
This Certificate of Compliance lists the building features and performance
specifications needed to comply with Title 24, Part 6, Chapter 1 and Title
20, Chapter 2, Subchapter 4, Article 1 of the California Code of Regula-
tions. This certificate applies only to building envelope requirements.
The Principal Envelope Designer hereby certifies that the proposed build-
ing design represented in this set of construction documents is consistent
with the other compliance forms and worksheets, with the specifications,
and with any other calculations submitted with this permit application.
The proposed building has been designed to meet the envelope requirements
contained in sections 110, 116 through 118, and 143 or 149 of Title 24,
Part 6, Chapter 1.
Please check one:
0
0
I hereby affirm that I am eligible under the provisions of Division 3
of the Business and Professions Code to sign this document as the
person responsible for its preparation; and that I am a civil engineer
or architect.
I affirm that I am eligible under the exemption to Division 3 of the
Business and Professions Code by Section 5537.2 of the Business and
Professions Code to sign this document as the person responsible for
its preparation; and that I am a licensed contractor preparing docu-
ments for work that I have contracted to perform.
I affirm that I am eligible under the exemption to Division 3 of the
Business and Professions Code by Section~---of the
Code to sign this document as the person responsible for its
preparation; and for the following rea on:~-----------------
PRINCIPAL ENVELOPE DESIGNER
re)
ENVELOPE MANDATORY MEASURES ~
Indicate location on plans of Note Block for Mandatory Measures: ~M~J __ _
~----------------------------
CERTIFICATE OF COMPLIANCE (part 2 of 2)
Project Name: Pearl Communications
Documentation: Haynal & Co., Inc.
OPAQUE SURFACES
Assembly Name
Const
Type Location/Comments
Exterior Wall
ENV-1 page 4 of 24
Date: 5/24/1994
COMPLY 24 User 2875
Note to
Field
6 11 Concrete Wall
R-11 Metal Stud
None
Metal
Wood
-Demising Wall _________ _
=Typical _____________ _ R-19 Roof(R.19 on Tile)
FENESTRATION Frame
Orient Panes Type Exterior Shade OH Glazing Type ----------------------------------------------------------------Back ( s) 1 None None y Single Tinted
Back (SW) 1 None None y Single Tinted
Right (W) 1 None None N Single Tinted
OVERALL ENVELOPE METHOD Part 1 of 4
Project Name: Pearl Communications
Documentation: Haynal & Co., Inc.
WINDOW AREA TEST
A. Display Perimeter 0.0 ft X 6 ft =
B. Gross Exterior Wall Area 630.0 sf X 0.40 =
C. Gross Exterior Wall Area 630.0 sf X 0.10 =
D. Enter Larger of A or B
E. Enter Proposed Window Area
If Eis greater than Dor less than C, proceed to
for window area adjustment.
1. If Eis greater than D:
D. Maximum Standard Area
252.0
2. If Eis less than C:
C. Minimum Standard Area
N/A
SKYLIGHT AREA TEST
If not, go to part 2
I
I
E. Proposed Area
291.0
E. Proposed Area
N/A
=
=
ENV-2 page 5 of 24
Date: 5/24/1994
COMPLY 24 User 2875
0.0 sf Display Area
252.0 sf 40%. Area
63.0 sf Min Std Area
252.0 sf Max Std Area
291.0 sf Proposed Area
the next calculation
of 4.
Window
Adjustment Factor
0.8660
Window
Adjustment Factor
N/A
Atrium Height
0.0 ft
If Height< 55 ft If Height>= 55 ft
Standard= 5% ----------+----------Standard= 10% I V
A. Gross Exterior Roof Area 1079.0 sf X 0.05 = 54.0 sf Standard Area
B. Enter Proposed Skylight Area 0.0 sf Proposed Area
If the Proposed Skylight Area is greater than the Standard Skylight Area,
proceed to the next calculation for the skylight area adjustment. If not
got to part 2 of 4.
1. If Proposed Skylight Area> Standard Skylight Area:
Standard Skylight Area
N/A I
Proposed Skylight Area
N/A =
Skylight
Adjustment Factor
N/A
OVERALL ENVELOPE METHOD Part 2 of 4
Project Name: Pearl Communications
Documentation: Haynal & Co., Inc.
OVERALL HEAT LOSS
PROPOSED
Assembly Name Area HC U-Val ----------------------------------
6" Concrete Wall 129.0 15.4 0.752
6" Concrete Wall 73.5 15.4 0.752
R-19 Roof(R.19 on Tile) 640.0 1.4 0.043
Single Tinted 69.0 N/A 1.100
Single Tinted 34.5 N/A 1.100
6" Concrete Wall 63.0 15.4 0.752
6" Concrete Wall 18.0 15.4 0.752
6" Concrete Wall 55.5 15 .4 0.752
R-19 Roof(R.19 on Tile) 237.0 1.4 0.043
Single Tinted 72.0 N/A 1.100
Single Tinted 81. 0 N/A 1.100
Single Tinted 34.5 N/A 1.100
R-19 Roof(R.19 on Tile) 202.0 1.4 0.043
Total
** OVERALL HEAT LOSS COMPLIES
UxA ------
97.0
55.3
27.8
75.9
38.0
47.4
13.5
41. 7
10.3
79.2
89.1
38.0
8.8 ------
621.9
PROPOSED
ENV-2 page 6 of 24
Date: 5/24/1994
COMPLY 24 User 2875
Adj. STANDARD
Area U-Val UxA -----------------
138.2 0.690 95.4
78.1 0.690 53.9
640.0 0.078 49.9
59.8 1.230 73.5
29.9 1.230 36.7
72.6 0.690 50.1
28.9 0.690 19.9
60.1 0.690 41.5
237.0 0.078 18.5
62.4 1.230 76.7
70.1 1.230 86.3
29.9 1.230 36.7
202.0 0.078 15.8 ------
Total 654.9
UA <= STANDARD UA **
OVERALL ENVELOPE METHOD Part 3 of 4
Project Name: Pearl Communications
Documentation: Haynal & Co., Inc.
OVERALL HEAT GAIN
PROPOSED
Glazing WF Area SC --------------------
South 1.31 69.0 0.69
West 1.34 34.5 0.69
South 1.31 72.0 0.69
South 1.31 81.0 0.69
West 1.34 34.5 0.69
** OVERALL HEAT GAIN COMPLIES
H
3.0
3.0
3.0
V OHF Total ------
6.8 0.59 36.7
31. 9
10.0 0.69 45.1
10.0 0.69 50.8
31. 9 ------
Total 196.4
ENV-2 page 7 of 24
Date: 5/24/1994
COMPLY 24 User 2875
STANDARD
Area RSHG Total -------------
59.8 0.71 55.6
29.9 0.71 28.4
62.4 0.71 58.0
70.1 0.71 65.2
29.9 0.71 28.4
-------
Total 235.7
PROPOSED HG<= STANDARD HG**
OVERALL ENVELOPE METHOD Part 4 of 4
Project Name: Pearl Communications
Documentation: Haynal & Co., Inc.
Window Area Adjustment Calculations
Wall Name
South
West
South
Southwest
West
Gross
Dir Area
s
w
s
s w
TOTALS
198.0
108.0
135.0
99.0
90.0
630.0
Skylight Area Adjustment Calculations
Roof Name
R-19 Roof
R-19 Roof
R-19 Roof
Gross
Dir Area
H
H
H
640.0
237.0
202.0
TOTALS 1079.0
Door
Area
0.0
Window
Area ------
69.0
34.5
72.0
81. 0
34.5 ------
291. 0
Skylt
Area ------
0.0
0.0
0.0 ------
0.0
ENV-2 page 8 of 24
Date: 5/24/1994
COMPLY 24 User 2875
Adjust
Adjusted
Window Wall
Factor Area Area ------------------0.8660 59.8 138.2
0.8660 29.9 78.1
0.8660 62.4 72.6
0.8660 70.1 28.9
0.8660 29.9 60.1 ------------
252.0 378.0
Adjust
Adjusted
Skylt Roof
Factor Area Area ------------------
0.0000 0.0 640.0
0.0000 0.0 237.0
0.0000 0.0 202.0 ------------
0.0 1079.0
PROPOSED CONSTRUCTION ASSEMBLY
Project Name: Pearl Communications
Documentation: Haynal & Co., Inc.
COMPONENT DESCRIPTION
Sketch of Construction Assembly
ASSEMBLY U-VALUE
Construction Components
Outside Air Film
1. Concrete, 140 lb, Not Dried
2 .
3 .
4.
5.
6 .
7 .
8 .
9 .
Inside Air Film
ADJUSTMENT FOR FRAMING
ENV-3 page 9 of 24
Date: 5/24/1994
COMPLY 24 User 2875
Assembly Name: 6 11 Concrete Wall
Assembly Type: Wall
Assembly Tilt: 90 deg (Vertical)
Framing Material: None
Framing Spacing: 11 O.C.
Framing Percent: 0.0 %
Absorptivity: 0.70
Roughness: Concrete, Asph. Shingles
Th R-Value
Fr (in) Cavity Frame
6.000
Unadjusted R-Values
0.17
0.48
0.68
1.33
0.17
0.48
0.68
1.33
(1 / 1.33) X (1.00) + (1 / 1.33) X (0.00) = 0.752
Weight:
Heat Capacity:
70.0 lb/sqft
15.40
TOTAL U-VALUE = 0.752
=====
TOTAL R-VALUE = 1.33 ----------
PROPOSED CONSTRUCTION ASSEMBLY
Project Name: Pearl Communications
Documentation: Haynal & Co., Inc.
COMPONENT DESCRIPTION
Sketch of Construction Assembly
ASSEMBLY U-VALUE
Construction Components
Outside Air Film
1. Gypsum or Plaster Board
2.
3. Insulation, Mineral Fiber, R-11
4. Gypsum or Plaster Board
5.
6 .
7.
8.
9.
Inside Air Film
ENV-3 page 10 of 24
Date: 5/24/1994
COMPLY 24 User 2875
Assembly Name: R-11 Metal Stud
Assembly Type: Wall
Assembly Tilt: 90 deg (Vertical)
Framing Material: Metal
Framing Spacing: II 0.C.
Framing Percent: 15.0 %
Absorptivity: 0.70
Roughness: Smooth Plaster, Metal
Th R-Value
Fr (in) Cavity Frame
0.17
0.625 0.56
* 3.500 11.00
0.625 0.56
Unadjusted R-Values
0.68
12.98
TOTAL U-VALUE =
0.17
0.56
11. 00
0.56
0.68
0.00
0.164 ----------
TOTAL R-VALUE = 6.10
=====
Weight:
Heat Capacity:
5.4 lb/sqft
1.38
PROPOSED CONSTRUCTION ASSEMBLY
Project Name: Pearl Communications
Documentation: Haynal & Co., Inc.
COMPONENT DESCRIPTION
Sketch of Construction Assembly
ASSEMBLY U-VALUE
Construction Components
Outside Air Film
1. Roofing, Built-Up
2. Membrane, Vapor-Permeable Felt
3. Plywood
ENV-3 page 11 of 24
Date: 5/24/1994
COMPLY 24 User 2875
Assembly Name: R-19 Roof(R.19 on Tile)
Assembly Type: Roof
Assembly Tilt: 22 deg (Tilted Up)
Framing Material: Wood
Framing Spacing: II 0.C.
Framing Percent: 10.0 %
Absorptivity: 0.70
Roughness: Concrete, Asph. Shingles
Th R-Value
Fr (in) Cavity Frame
0.375
0.010
0.500
0.17
0.33
0.06
0.62
0.80
0.17
0.33
0.06
0.62
0.80 4. Air Space
5. Insulation, Mineral Fiber, R-19
6. Acoustical Tile, Interior Finish
7.
12.000
6.000
0.500
19.00
1.43
19.00
1.43
8.
9.
Inside Air Film
ADJUSTMENT FOR FRAMING
Unadjusted R-Values
0.61
23.02
(1 /23.02) X (0.90) + (1 /23.02) X (0.10) = 0.043
Weight:
Heat Capacity:
4.6 lb/sqft
1.45
TOTAL U-VALUE =
TOTAL R-VALUE =
0.61
23.02
0.043
=====
23.02
=====
CERTIFICATE OF COMPLIANCE (part 1 of 2)
Project Name: Pearl Communications
Address:
LTG-1 page 12 of 24
Date: 5/24/1994
Carlsbad, CA
Lighting
Designer: Checked by/ Date
Building Permit No
Documentation: Haynal & Co., Inc.~~~ COMPLY 24 User 2875 ------------------------------------------------------------------------
GENERAL INFORMATION
Date of Plans: Building Conditioned Floor Area: 1079 sf
Building Type: Nonresidential Climate Zone: 7
Phase of Construction: O New Construction ~ddition O Alteration
Method of Lighting Compliance: Prescriptive
STATEMENT OF COMPLIANCE
This Certificate of Compliance lists the building features and performance
specifications needed to comply with Title 24, Part 6, Chapter 1 and Title
20, Chapter 2, Subchapter 4, Article 1 of the California Code of Regula-
tions. This certificate applies only to building lighting requirements.
The Principal Lighting Designer hereby certifies that the pro~osed build-
ing design represented in this set of construction documents is consistent
with the other compliance forms and worksheets, with the specifications,
and with any other calculations submitted with this permit application.
The proposed building has been designed to meet the lighting requirements
contained in sections 110, 119, 130 through 132 and 146 or 149.
Please check one:
0
0
I hereby affirm that I am eligible under the provisions of Division 3
of the Business and Professions Code to sign this document as the
person responsible for its preparation; and that I am a civil engineer
electrical engineer or architect.
I affirm that I am eligible under the exemption to Division 3 of the
Business and Professions Code by Section 5537.2 of the Business and
Professions Code to sign this document as the person responsible for
its preparation; and that I am a licensed contractor preparing docu-
ments for work that I have contracted to perform.
I affirm that I am eligible under the exemption to Division 3 of the
Business and Professions Code by Section.,.......---of the
Code to sign this document as the person responsible for its
preparation; and for the following rea nN=--+-11--------------
PRINCIPAL LIGHTING DESIGNER
e
LIGHTING MANDATORY MEASURES
Indicate location on plans of Note Block for Mandatory Measures: M\
CERTIFICATE OF COMPLIANCE (part 2 of 2)
Project Name: Pearl Communications
Documentation: Haynal & Co., Inc.
INSTALLED LIGHTING SCHEDULE
No of
Name Lamp Type Lamps -----------------------
Fluorescent 2
Fluorescent 3
Incandescent 1
MANDATORY AUTOMATIC CONTROLS
Control
Watts/ Ballast
Lamp Type
----------------34 Standard
34 Standard
60 n/a
LTG-1 page 13 of 24
Date: 5/24/1994
COMPLY 24 User 2875
Ballasts/ No of Note to
Luminaire Fixt. Field ---------------------1.0 8
1.5 8
n/a 2
Control Location ID Control Type Space Controlled
Note to
Field
CONTROLS FOR CREDIT
Control
Control Location ID Control Type Space Controlled
Note to
Field
LIGHTING COMPLIANCE SUMMARY
Project Name: Pearl Communications
Documentation: Haynal & Co., Inc.
ACTUAL LIGHTING POWER
Name Description
48" T-12 Low Watt /2 Lamp
48" T-12 Low Watt /3 Lamp (Tandem)
60 w Incandescent/Exhaust Fan Combo
No of
Lumin
-----
8
8
2
LTG-2 page 14 of 24
Date: 5/24/1994
COMPLY 24 User 2875
Watts
per -----
72.0
108.0
60.0
Default -------y -y--y---
Total
Watts
576.0
864.0
120.0
SubTotal 1560
Less Control Credits (LTG-3) o
Total Proposed Watts 1560
* If not CEC Default value, please provide supporting documentation.
ALLOWED LIGHTING POWER BY SPACE Allowed
Floor LPD Total Tailored
Space Name Occupancy Area (w/sf) (watts) (watts) ----------------------------------------------------------------------
Office Areas Office 640 1.600 1024 0
Reception Lobby (General) 237 1.600 379 0
Hall7Restrooms Corridor/Restroom 202 0.800 162 0 -------------------------
TOTALS 1079 1.450 1565 0
* Note: Tailored Allotment requires supporting documentation on form LTG-4.
CERTIFICATE OF COMPLIANCE (part 1 of 3)
Project Name: Pearl Communications
Address:
MECH-1 page 15 of 24
Date: 5/24/1994
Building Permit No
Checked by/ Date
Carlsbad, CA
Mechanical
Designer:
GENERAL INFORMATION
Date of Plans: Building Conditioned Floor Area: 1079 sf
Building Type: Nonresidential Climate Zone: 7
Phase of Construction: O New Construction 6ddition O Alteration
Method of Mechanical Compliance: Prescriptive /
Proof of Envelope Compliance: O Previous Permit O Compliance Attached
STATEMENT OF COMPLIANCE
This Certificate of Compliance lists the building features and performance
specifications needed to comply with Title 24, Part 6, Chapter 1 and Title
20, Chapter 2, Subchapter 4, Article 1 of the California Code of Regula-
tions. This certificate applies only to building mechanical requirements.
The Principal Mechanical Designer hereby certifies that the proposed build-
ing design represented in this set of construction documents is consistent
with the other compliance forms and worksheets, with the specifications,
and with any other calculations submitted with this permit application.
The proposed building has been designed to meet the mechanical requirements
contained in sections 110 through 115, 120 through 124, 140 through 142,144
and 145.
Please check one:
0
0
I hereby affirm that I am eligible under the provisions of Division 3
of the Business and Professions Code to sign this document as the
person responsible for its preparation; and that I am a civil engineer
mechanical engineer or architect.
I affirm that I am eligible under the exemption to Division 3 of the
Business and Professions Code by Section 5537.2 of the Business and
Professions Code to sign this document as the person responsible for
its preparation; and that I am a licensed contractor preparing docu-
ments for work that I have contracted to perform.
I affirm that I am eligible under the exemption to Division 3 of the
Business and Professions Code by Section ____ of the
Code to sign this document as the person responsible for its
preparation; and for the following rea on:--1-1---------------
PRINCIPAL MECHANICAL DESIGNER
Date
MECHANICAL MANDATORY MEASURES
Indicate location on plans of Note Block for Mandatory Measures: Ml
CERTIFICATE OF COMPLIANCE (part 2 of 3) MECH-1 page 16 of 24 ---------------------------------------------------------------------------Project Name: Pearl Communications
Documentation: Haynal & Co., Inc.
Date: 5/24/1994
COMPLY 24 User 2875 ---------------------------------------------------------------------------
SYSTEM FEATURES
Zone Name Addition Area
Time Control S ----Setback Control None
# of Isolation Zonesn/a
HP Thermostat Yes
Electric Heat o.o KW
Fan Control Constant Volume
VAV Min Position n/a
Simul. Heat/Cool n/a
Heat Supply Reset Constant Temp
Cool Supply Reset Constant Temp
Ventilation C
OA Damper Control --A--
Economizer Type No Economizer
Outdoor Air CFM 252
Heat Equip Type Heat Pump
Make & Model No. Carrier 50NQ036
Cool Equip Type DX
Make and Model
Code Tables
Time Control
S:Prog Switch
O:Occ Sensor
M:Man Timer
Ventilation
B:Air Balance
C:OA Cert.
M:OA Measure
D:Demand Cont
N:Natural
OA Damper
A:Auto
G:Gravity
Note to
Field
CERTIFICATE OF COMPLIANCE (part 3 of 3) MECH-1 page 17 of 24 ---------------------------------------------------------------------------Project Name: Pearl Communications Date: 5/24/1994
Documentation: Haynal & Co., Inc.
DUCT INSULATION
System Name -----------------------Carrier 50NQ036
PIPE INSULATION
System Name
Domestic Hot Water
Type Duct Location
--------------------------Heating Ducts in Attic
Cooling Ducts in Attic
Insul
Pipe Type Required
y I N
NOTES TO FIELD -For Building Department Use Only
COMPLY 24 User 2875
Duct Tape
Allowed -------y I N y I N
Insul
R-Val
-----
4.2
4.2
Note to
Field -------
Note to
Field
MECHANICAL SIZING AND FAN POWER MECH-2 page 18 of 24 ---------------------------------------------------------------------------Project Name: Pearl Communications
Documentation: Haynal & Co., Inc.
SIZING AND EQUIPMENT SELECTION
HVAC Zone Name:
Heating System Name:
Cooling System Name:
System Multiplier:
Peak Load Method:
Relative Humidity:
1. DESIGN CONDITIONS FOR Carlsbad
2. SIZING
SPACES SERVED BY SYSTEM
Office Areas
Reception
Hall/Restrooms
Warehouse
PEAK
(Jan 12am)
(Jan 12am)
(Jan 12am)
(Jan 12am)
TOTAL SPACE LOAD
Duct Gains & Losses:
Ventilation: ( 211 CFM)
Return Air Lighting Gain
TOTAL SYSTEM LOAD
3. SELECTION
A. Safety/Warmup Factor
B. Maximum Adjusted Load
C. Installed Equipment Capacity
If Line 3-C > Line 3-B, Explain:
FAN POWER CONSUMPTION
No.
Fan Description Sys BHP --------------------------
Supply Fan 1 X 0.24 I
Date: 5/24/1994
COMPLY 24 User 2875
Addition Area
Carrier 50NQ036
Btu/hr -------
12408
11600
1359
0 -------
25367
2537
7285
-------
35189
1.43
50320
28691
HEATING
38 F
PEAK
(Aug 5pm)
(Aug 5pm)
(Aug 5pm)
(Aug 5pm)
1
COINCIDENT
50 %
COOLING
SENSIBLE LATENT
83 F 67 F
Btu/hr Btu/hr --------------
11484 427
13166 846
1420 101
0 0 --------------
26070 1374
2607
683 269
0 --------------
29360 1643
1.21
35526
27201 10847
---------------------
Efficiency Peak Conv Peak Supply
Motor Drive HP Fact Watts CFM
--------------------------
[0.60 X 1.00] = 0.40 X 746 = 298 1200 ----------------
Totals 0.40 298 1200
FAN POWER DEMAND 298 watts/ 1200 cfm = 0.249 watts/cfm
MECHANICAL EQUIPMENT SUMMARY
Project Name: Pearl Communications
Documentation: Haynal & Co., Inc.
PLANT EQUIPMENT SUMMARY
Equipment Name Equipment Type ------------------------------------------Std Gas 50 gal or Less
CENTRAL SYSTEM SUMMARY
Sys
Gas Fired
No
No.
Sys
1
MECH-3 page 19 of 24
Date: 5/24/1994
COMPLY 24 User 2875
Fuel Elec Total
Input Input Output
(KBtu) (KW) (KBtu) ------------------
40.0 0.0 31.2
No System Name System Type Sys Economizer Type
1 Carrier 50NQ036 Packaged Heat Pu 1 No Economizer
CENTRAL SYSTEM RATINGS
Sys-------Heating----------------------------------Cooling----------
No Type Output Aux KW EFF Type Output Sensible EER SEER
1 Heat Pump 35000 0.0 6.60 DX 35500
CENTRAL FAN SUMMARY------------Supply Fan-----------
Sys Mtr Drv
No Fan Type Motor Location CFM BHP Eff Eff
1 Constant Volume Draw-Through 1200 0.24 60 100
26300 8.50 10.00
Return Fan
Mtr Drv
CFM BHP Eff Eff
None
ZONAL FAN SUMMARY
Space Name No CFM
Zonal Fan-----
Mtr Drv
BHP Eff Eff
-------Exhaust Fan
Mtr
No CFM BHP Eff
Drv
Eff
None
MECHANICAL VENTILATION MECH-4 page 20 of 24 ---------------------------------------------------------------------------Project Name: Pearl Communications Date: 5/24/1994
Documentation: Haynal & Co., Inc. COMPLY 24 User 2875
VENTILATION SUMMARY BY SPACE Tran
Floor sqft CFM Min Design sfer
Space Name T Occupancy Area /Occ /Occ CFM CFM CFM
------------------------------------------------
Office Areas Office 640 143 21.5 96 96
Reception Lobby (General 237 29 15.4 126 126
Hall/Restrooms Corridor/Restr 202 200 30.0 30 30 ------
TOTALS 252 252
Note: If Tailored (T=*), user must document sqft/Occ and/or CFM/Occ values.
HVAC ZONE HEATING & COOLING LOAD SUMMARY
Project Name: Pearl Communications
Documentation: Haynal & Co., Inc.
HVAC ZONE DESCRIPTION
HVAC Zone Name:
Heating System Name:
Cooling System Name:
System Multiplier:
Fan Schedule:
Peak Load Method:
Relative Humidity:
SPACES IN THIS ZONE
Office Areas
Reception
Hall/Restrooms
Warehouse
PEAK
(Jan 12am)
(Jan 12am)
(Jan 12am)
(Jan 12am)
TOTAL SPACE LOAD
Duct Gains & Losses:
Ventilation: ( 211 CFM)
Return Air Lighting Gain
TOTAL SYSTEM LOAD
SYSTEM OUTPUT AT DESIGN CONDITIONS
HEATING
12408
11600
1359
0
25367
2537
7285
35189
28691
page 21 of 24
Date: 5/24/1994
COMPLY 24 User 2875
Addition Area
Carrier 50NQ036
1
Day Fans STD
COINCIDENT
50 %
COOLING
PEAK SENSIBLE LATENT
427
846
101
--------
(Aug 5pm) 11484
(Aug 5pm) 13166
(Aug 5pm) 1420
(Aug 5pm) 0 0 --------
26070 1374
2607
683 269
0 --------
29360 1643
27201 10847
NOTE: The TOTAL SYSTEM LOAD shown represents the minimum size equipment
which will heat or cool this zone during the design conditions indicated.
These numbers include no safety factor, and the HVAC contractor should
oversize by a reasonable margin to account for variations in weather
conditions and the pick-up capacity required to bring the zone to temper-
ature as a result of a setback thermostat. Those responsible for final
equipment selection should note that Sensible and Latent Cooling Loads are
indicated to allow for accurate comparison with manufacturer's output data.
~·
SPACE HEATING & COOLING LOAD SUMMARY page 22 of 24 ---------------------------------------------------------------------------Project Name: Pearl Communications Date: 5/24/1994
Documentation: Haynal & Co., Inc. COMPLY 24 User 2875
SUMMARY OF PEAK HOUR LOADS FOR SPACE
Space Name: Office Areas
COOLING
DESIGN CONDITIONS HEATING SENSIBLE LATENT -----------------------------------------
Peak Hour: Jan 12am Aug 5pm
Indoor Conditions: 70 F DB 78 F DB 50 % RH
Outdoor Conditions: 38 F DB 81 F DB 65 F WB
LOAD COMPONENT Quantity Btu/hr Btu/hr Btu/hr ------------------------------------------------------
Wall Conduction 598.5 sqft 4872 2716
Window Conduction 103.5 sqft 3643 218
Door Conduction 0.0 sqft 0 0
Roof Conduction 640.0 sqft 890 141
Skylight Conduction 0.0 sqft 0 0
Floor Conduction 0.0 sqft 0 0
Slab Conduction 640.0 sqft 3003 0
Interior Conduction 0.0 sqft 0 0
Infiltration 0.0 AC/hr 0 0
Solar Gain 103.5 sqft 0 4570
Lighting 864.0 watts 0 2214
Receptacle 640.0 watts 0 1092
Process 0.0 watts 0 0
Occupants 4.3 occs 0 533 427 ---------------------
SPACE LOADS 12408 11484 427
Heating AirFlow:
Cooling AirFlow:
12408 Btu/hr/ [1.08 x 35 F DeltaT)] =
11484 Btu/hr/ [1.08 x 23 F DeltaT)] =
329 cfm
463 cfm
SPACE HEATING & COOLING LOAD SUMMARY
Project Name: Pearl Communications
Documentation: Haynal & Co., Inc.
SUMMARY OF PEAK HOUR LOADS FOR SPACE
Space Name:
DESIGN CONDITIONS
Peak Hour:
Indoor Conditions:
Outdoor Conditions:
LOAD COMPONENT
Wall Conduction
Window Conduction
Door Conduction
Roof Conduction
Skylight Conduction
Floor Conduction
Slab Conduction
Interior Conduction
Infiltration
Solar Gain
Lighting
Receptacle
Process
Occupants
Quantity
136.5 sqft
187.5 sqft o.o sqft
237.0 sqft o.o sqft
0.0 sqft
237.0 sqft
0.0 sqft
0.0 AC/hr
187.5 sqft
360.0 watts
237.0 watts
0.0 watts
6.8 occs
SPACE LOADS
page 23 of 24
Date: 5/24/1994
COMPLY 24 User 2875
Reception
COOLING
HEATING SENSIBLE LATENT
Jan 12am
70 F DB
38 F DB
Btu/hr
3284
6600
0
329
0
0
1386
0
0
0
0
0
0
0
11600
Aug 5pm
78 F DB
81 F DB
50 % RH
65 F WB
Btu/hr Btu/hr
1712
350
0
46
0
0
0
0
0
8978
828
404
0
846
13166
846
846
Heating AirFlow:
Cooling AirFlow:
11600 Btu/hr/ [1.08 x 35 F DeltaT)] =
13166 Btu/hr/ [1.08 x 23 F DeltaT)] =
307 cfm
531 cfm
SPACE HEATING & COOLING LOAD SUMMARY
Project Name: Pearl Communications
Documentation: Haynal & Co., Inc.
SUMMARY OF PEAK HOUR LOADS FOR SPACE
Space Name:
DESIGN CONDITIONS --------------------Peak Hour:
Indoor Conditions:
Outdoor Conditions:
LOAD COMPONENT Quantity
---------------------------------Wall Conduction 252.0 sqft
Window Conduction 0.0 sqft
Door Conduction 0.0 sqft
Roof Conduction 202.0 sqft
Skylight Conduction 0.0 sqft
Floor Conduction 0.0 sqft
Slab Conduction 202.0 sqft
Interior Conduction 0.0 sqft
Infiltration 0.0 AC/hr
Solar Gain 0.0 sqft
Lighting 336.0 watts
Receptacle 202.0 watts
Process 0.0 watts
Occupants 0.8 occs
SPACE LOADS
page 24 of 24
Date: 5/24/1994
COMPLY 24 User 2875
Hall/Restrooms
COOLING
HEATING SENSIBLE LATENT ---------------------
Jan 12am Aug 5pm
70 F DB 78 F DB 50 % RH
38 F DB 81 F DB 65 F WB
Btu/hr Btu/hr Btu/hr ---------------------
0 0
0 0
0 0
281 48
0 0
0 0
1078 0
0 0
0 0
0 0
0 926
0 345
0 0
0 101 101 ---------------------
1359 1420 101
Heating AirFlow:
Cooling AirFlow:
1359 Btu/hr/ [1.08 x 35 F DeltaT)] =
1420 Btu/hr/ [1.08 x 23 F DeltaT)] =
36 cfm
57 cfm
MANDATORY REQUIREMENTS
ENVELOPE MANDATORY MEASURES (NONRESIDENTIAL)
1. Exterior manufactured doors, windows, and fenestration products shall meet the infiltration and U-value certification requirements of Section
116(a).
2. Site-constructed doors, skylights, and windows shall be caulked and weather-stripped per Section 116(b).
3. All joints and openings which are potential sources of air leakage shall be caulked, gasketed, weather-stripped or otherwise sealed to limit
infiltration and exfiltration per Section 117.
4. Certified insulation materials per Section 118(a).
5. Urea Formaldehyde foam insulation installed per Section 118(b).
6. Insulation installed to meet flame spread and smoke density requirements per Section 118(c).
LIGHTING MANDATORY MEASURES
1. Each enclosed area shall have independent controls (per Section 131 (a) and exceptions).
2. Lighting shall be uniformly reducible by one half in areas which are greater than 100 sf, exceed 1.2 watts/sf, and have more than one luminaire
(per Section 131 (b) and exceptions; exceptions include lights in corridors).
3. Daylit areas larger than 250 sf shall be seperately controlled and uniformly reducible by one half (per Section 131 (c) and exceptions).
4. Seperately metered spaces 5,000 sf or greater shall have automatic shutoff controls (per Section 131 (e), no exceptions).
5. Display lighting shall be seperately switched on circuits that are 20 amps or less (per Section 131 (e), no exceptions).
6. Exterior lighting controlled from a lighting panel within the building shall be automatically controlled (per Section 131 (f) and exceptions).
7. Pairs of one-lamp and three-lamp fluorescent luminaires shall be tandem-wired where reasonable (per Section 132 and exceptions).
MECHANICAL AND PLUMBING MANDATORY MEASURES
Equipment and Systems Efficiency
1. HVAC and service water heating equipment shall meet Appliance Efficiency Regulations, per Sections 111 and 112.
2. Piping, except those conveying fluids at temperatures between 60 and 105 degrees F, or within HVAC equipment, shall be insulated in
accordance with Section 123.
3. Air handling duct systems shall be sealed in accordance with the SMACNA HVAC Ducts Construction Standards, Metal and Flexible, 1985,
per Section 124(a) and (b). Ducts shall be installed and insulated as provided in UMC, Chapter 10.
4. Pilot lights shall not be installed for natural gas central furnaces, and pool and spa heaters, per Section 115.
Ventilation
1. Every space in a building shall be designed to have outdoor air ventilation according to Section 121 (a), (b) and (e).
2. Operation and control of outdoor air shall meet the timeT'of-occupancy and pre-occupancy requirements of Section 121 (c).
3. When a return plenum is used to distribute outdoor air to a covered HVAC unit, the ducted discharge shall be in accordance with Section
121 (d).
4. Systems shall meet the completion and balancing requirements of Section 121 (f).
Controls
1. Each space conditioning zone shall be controlled by an individual thermostatic control that responds to temperature within the zone. Heating
shall be adjustable down to 55 degrees or lower, and cooling shall be adjustable up to 85 degrees or higher. The control shall provide a
dead-band of 5 degrees between heating and cooling, Section 122(a) and (b).
2. Heat pumps with supplementary electric resistance heaters shall have controls per Section 112(b).
3. Each space conditioning system shall be installed with an automatic time switch, able to shut off operation during off-hours of up to four
hours, per Section 122(e)1.
4. Thermostat setup and setback controls are required if the summer design dry bulb temperature is more than 99 degrees F, or if the winter
design temperature is less than 33 degrees, per Section 122(e) 2, and its exceptions.
5. Outdoor air supply and exhaust equipment shall be installed with dampers that automatically close during periods of non-use for the areas
served by the equipment, per Section 122(f).
6. Each space conditioning system serving multiple zones with a combined conditioned floor area more than 25,000 square feet shall be
designed, installed, and controlled to serve isolation areas, per Section 122(9).
SERVICE WATER HEATING SYSTEMS
1. Temperature controls and recirculating pump controls shall meet the requirements of Section 113(a) and (b).
2. Flow rates and temperature controls for public lavatories shall meet the requirements of Section 113(b )3.
3. Unfired service water heater storage tanks and backup tanks for solar water heating shall comply with Section 113(b)4.
INDUSTRIAL WASTE DISCHARGE PERMIT
APPLICATION
BUSINESS NAME __ P_e_a_r1_· ,_c_o_mm_un_i_c_at_i_o_n_s ___________________ _
SITE ADDRESS ___ 2_1_88_Lo_ke_r_A_ve_n_u_e_w_e_s_t_,_c_a_r_1_sb_a_d_,_c_a_1_i_fo_r_n_i_a_9_2_0_08_· ______ _
Vaughn Jackson CONTACT PERSON (at business) ________________ ~-------
PHONE NUMBER (619) 438-3331
Type of Business (check all that apply)
D Agricultural
DAssembly,
D Automotive
D Chemical Handling D Electronics D Food ·
..
D Government
D Laboratory
D Laundry
D Manufacturing
D Medical
D Metal Work ~ Office
D Photo Lab
D Retail
D Service Station
Dwarehouse D Other --------
DESCRIBE WASTE OTHER THAN DOMESTIC (Chemicals, Particulates, etc.) _________ _
Domestic
DESCRIBE BUSINESS ACTIVITY: Office -computer .Integration
GENERAL DESCRIPTIO_N OF ONSITE WASTEWATER PROCESSING: (chemical & physical characteristics)_
N/A (domestic)
Is business presently in operation at site? D YES e NO .
Has Wastewater Discharge Permit been applied for through the Encina Water Authority? D YES D NO
.Applicant's N~me Vaughn Jackson Title President Phone (619) 438-3331
Please Print
Agency: ___________ ....-________ _
Date K f,.... t-1-1 f._r _
Signature of City Representative
D EXEMPT 0 NOT EXEMPT
Date forwarded to Encina. _____ _._ ___ _
P:\DOCS\NISFcmlS\FRM00045
Date ---------------
REV. 2/10/92
Hazardous Materials
Management Division
Business Name
SAN DIEGO REGIONAL
HAZARDOUS MATERIALS QUESTIONNAIRE
Telephone
Al Pll.Ul1U CIN1KI. mmicr
COUITT IP UN D1110
Pearl Communications
Contact Person
Vaughn Jackson (619) 438-3331
Mailing Address City
2103 Camino Vida Roble, Suite D
State
Carlsbad, CA
Site Address
2788 Loker Avenue West
City
Carlsbad,
State
CA
Zip
92008
Zip
92008
Plan File#
Plan File#
PART I: FIRE DEPARTMENT-HAZARDOUS MATERIALS MANAGEMENT DIVISION: OCCUPANCY CLASSIFICATION
Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are
circled, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal.
1. Explosive or Blasting Agents 4. Flammable Solids 7. Pyrophorics 10. Cryogenics 13. Corrosives
2. Compressed Gases 5. Organic Peroxides 8. Unstable Reactives 11. Highly Toxic or Toxic Materials 1 4. Other Health Hazards
3. Flammable or Comb1_:1stible Liquids 6. -Oxidizers 9. Water Reactives -12. -Radioactives
PART II: COUNTY OF SAN DIEGO HEALTH DEPARTMENT• HAZARDOUS MATERIALS MANAGEMENT DIVISION:
CONTINGENCY PLAN REVIEWj
If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Management
Division, 1255 Imperial Avenue, 3rd Floor, San Diego, CA 92186-5261. Telephone (619) 338-2222 prior to the issuance of a
building permit.
FEES MAY BE REQUIRED
Yes No
1-0 aaa 2-0 am 3,0 [D
4.0
5.Q
Is your business listed on the reverse side of this form?
Will your business dispose of Hazardous Substances or Medical Waste in any amount?
Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons,
500 pounds, 200 cubic feet or carcinogens/reproductive toxins in any quantity?
Will your business use an existing or install an underground storage tank?
Will your business store or handle Acutely Hazardous Materials?
PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT
OFFICE USE ONL',
D RMPP Exempt
I
Date Initials D RMPP Required
Data Initials 0 RMPP Completec:
Date Initials
If the answer to any of the questions is yes, applicant must contact the Air Pollution Control District, 91 50 Chesapeake Drive, San Diego, CA 92123
Telephone (619) 694-3307 prior to the i~suance of a building permit.
YES NO
1. D [Jg: Will the intended occupant install or use any of the equipment listed on the Listing of Air Pollution Control District Permit Categories, on th~
reverse side of this form?
2. D m (ANSWER ONLY IF QUESTION 1 IS YES.) Will the subject facility be located within 1,000 feet of the outer boundary of a school (K througr
12) as listed in the current Directory of School and Community College Districts, published by the San Diego County Office of Education an.:
the current California Private School Directory, compiled in accordance with provisions of Education Code Section 331907
Briefly describe nature of the intended business activity:
Office/Computer Integration
Name of Owner or Authorized Agent:
Vaughn Jackson
enalty of perjury that to the best of my knowiedge and belief the responses made herein are true
Date:)(_ Y "2,-?rt; ~
'
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: ________________________________ _
BY: _____________________________________ Date: _________________ _
EXEMPT FROM PERMIT REQUIREMENTS
COUNTY-HMMD
E.nvironment.'.11 Health Ser,,ices
OHS:HM-9171 (6/92)
APCD
APPROVED FOR BUILDING PERMIT BUT NOT OCCUPANCY
COUNTY·HMMD APCD
APPROVED FOR OCCUPANCY
COUNTY-HMMD APCD
County of San Dicg,,
D<"partment of Health Ser,,ica,