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Home My WebLink About2815 JEFFERSON ST; 300; CB112701; Permit02-13-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: Building Inspection Request Line (760) 602-2725 CBl 12701 Job Address: Permity Type: Parcel No: Valuation: Occupancy Group: Project Title: 2815 JEFFERSON ST CBADSt: 300 Tl Sub Type: COMM 2031102900 Lot#: 0 $76,909.00 Construction Type: NEW Reference # STAFFON DENTAL: OFF TO DENTAL 1529 SF Status: ISSUED Applied: 12/22/2011 Entered By: JMA Plan Approved: 02/13/2012 Issued: 02/13/2012 Inspect Area Plan Check #: Applicant: JOE WALTHOUR 166-11 N. SINGINGWOOD ST ORANGE CA 92869 714-997-9852 Owner: BICAJESSEE ADVENTURES LLC 2815 JEFFERSON ST #300 CARLSBAD CA 92008 Building Permit $582.92 Meter Size Add'l Building Permit Fee $0.00 Add'l Reel. Water Con. Fee $0.00 Plan Check $408.04 Meter Fee $0.00 Addl Building Permit Fee $0.00 SDCWA Fee $0.00 Plan Check Discount $0.00 CFD Payoff Fee $0.00 Storn Motion Fee $16.15 PFF (3105540) $0.00 Park Fee $0.00 PFF (4305540) $0.00 LFM Fee $0.00 License Tax (3104193) $0.00 Bridge Fee $0.00 Lieense Tax (4304193) $0.00 BTD #2 Fee $0.00 Traffic Impact Fee (3105541) $2,631.20 BTD #3 Fee $0.00 Traffic Impact Fee (4305541) $2,428.80 Renewal Fee $0.00 PLUMBING TOTAL $72.00 Add'l Renewal Fee $0.00 ELECTRICAL TOTAL $90.00 Other Building Fee $0.00 MECHANICAL TOTAL $50.00 Pot. Water Con. Fee $0.00 Master Drainage Fee $0.00 Meter Size Sewer Fee $0.00 Add'l Pot. Water Con. Fee $0.00 Redev Parking Fee $0.00 Reel. Water Con. Fee $0.00 Additional Fees $0.00 Green BIdg Stands (SB1473) Fee $1.00 HMP Fee ?? Fire Expedidted Plan Review $205.00 Green BIdg Standards Plan Chk ?? TOTAL PERMIT FEES $6,485.11 Total Fees: $6,485.11 Total Payments To Date: $6,485.11 Balance Due: $0.00 Inspector: FINALAPPROVAL Date: MJM&±^ Clearance: NOTICE: Please take NOTCE tti^pproval of your project includes the "imposition" of fees, dedications, reservations, or ottier exactions tiereafter collectively referred to as 'fees/exactions." You have 90 days from the date this pemiit was issued to pnDtest 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 infomiation with the City Manager for processing in accordance with Carisbad Municipal Code Section 3.32.030. Faiiure to timely follow that procedure will tiar any subsequent legal action to attaci<, 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 pianning, zoning, grading or other similar application processing or senrice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of iimitations has oreviouslv othenvise expired. ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/2719 Fax: 760-602-8558 www.ca risbadca .gov Plan Check No. OS> ( (• 2^0{ Est. Value Plan Ck. Deposit Date fg>/%71/ SWPP JOB ADDRESS CT/PROJECT # ' \\JSr»^ ' I PHASE # I # OF UNITS |# BEDROOMS SUITE#/SPACE#/UN1T# # BATHROOMS TENAIJT BUSINBSMAME D30 - WO - '/or/iL CONSTR. TYPE OCC GROUP DESCRIPTION OF WORK: Inc/utfe Square Feet of Affected Areata; EXISTINQ USE ' I PROPOSED USE inARAnF isn EXISTINQ USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES • # AIR CDNDITIONING FIRE SPRIN NO^I^ YEsSa^NO • YE^p FIRE SPRINKLERS YESV3 NOD ^^^Dcec ' _ . • PHONE FAX _ ^ ^ ^ PROPERTY OWNER NAME ADDRESS CITY. , tt . STAXW 1 Z CITY STATE ZIP PHONE EMAIL ARCH/DESIGNER NAME & ADDRESS (Sec. 7031.5 Business ana Professions Code: Any City or County which requires a permit to construfct,alter, improve, applicant for such permrt to file a sIBied statement that he Is licensed pursuantto the provisions ofthe Contractor's demoiishoTrepalTanT^^ License Law (Chapter g, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of notmore than five hundred dollars ($500)). WORKERS COIVIPENSATION Workers' Conipensitlon Declaration: /Aerety affinn under penalty of peijury one ofthe following declarations: n I have and will maintain a certificateof consent to seif-inaure for workers'compensation as provided by Section 3700 of the LaborCode, forthe perfomiance of the worK for which this pemnit Is Issued. s issued. My workers' compensatkin Insi^nce oBrrier and policy Expiration Date tO I \ / ("7 - ^^1 have and will maintain workers' compensatian, as required ly E^kin 3700 otthe Labor Code, for the perfbmiance of the work for whk;h this pemiit is iss number are: Insurance Co. This section need not be completed if the permit is for one hundred dollars ($100) or less. G Certificate of Exemption: I certify that in the perfomiance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Wohters' Compensation Laws of Califomia. WARNING: Failure to secure imriiere' oompensation coverage Is unlawful, and shall subject an employerto criminal penaitles and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, djmages if piwided fol In Sadion 3706 of the Labor code, interest and attomey's fees. CONTRACTOR SIGNATURE V ^C^LI OWNER-BUILr^ER ECLARATION •AGENT DATE — \ / hereby affimi that I am exempt from Contractor's License Law for the foliomng reason: • I, as owner of the property or my employees with wages as their sole compensatkin, will do the work and the structure is not intended or oflered for sale (Sec. 7044, Business and Professkins Code: The Contractor's License Law does not apply to an owner ol property who builds or improves thereon, and who does such WQrt( himself or through his own empioyees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sokl within one year of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of sale). • I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such prajects with contractor(s) licensed pursuant to the Contractor's License Law). • I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the praposed property improvement • Yes O No 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3.1 have contracted with the following person (fimi) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the folbwing person to coordinate, supenrise and provide the major work (Include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name / address / phone / type of work): vCTPROPERTir OWNER SIGNATURE •AGENT DATE COMPtETr THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or futuro building occupant requiied to submit a business plan, acutely hazardous materials registration fomi or risk management and prevention program under Sectkins 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? OYes ONo Is the applicant or future building occupant required to obtain a pemiit fram the air pollution control district or air quality management district? • Yes • No Is the facility to be constructed within 1,000 feet of the outer boundaiy of a school site? DYes HUo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT CONSTRUCTION LENDINQ AGENCY I hereby aflimi that there is a constniction lending agency for the perfomiance of the work this pennit is issued (Sec. 3097 (i) Civii Code). Lender's Name Lender's Address PPLICANT CERTIFICATION I ceitt^ that I have read the applkation and state tliat the above informatkin Is conBct and thatthe infbnnatkin on the plans is accuiate. I agiee to complywith all City ordinances and State lave relating to building constniction. I hereby authorize repiEsentative ofthe City of Carlsbad to enter upon the above nnentioned property tbr inspedton purposes, i ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CiTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CiTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT. OSHA An OSHA pemiit is required ibr excavations over SO deep and demolitkin or constiuction of structures over 3 skxies in height EXPIRATION: Every permit issued by the 6i|klirn Offidal unde the provlskins of this Code shail expire by Imitatbn and become nul and vdd if the building or vwik aulhorized by sudi permit is not commenced wilhin 180 days from the date of such pemnit or ifra bi|dii|g q|^k i Mpwdfs^ such pennit is suspended or abandoned at any time after the woik is commenced for a penod of 180 days (Sedkin 106.4.4 Unifbmi Buikling Code). APPLICANT'S SIGNATURE PATE u i nnaieaiiiM Heal BuMlliig losiiaiMii Dept: Building Engineering Pianning CMWD St Lit Plan Check #: Permit #: CBl 12701 Project Name: STAFFON DENTAL: OFF TO DENTAL 1529 SF Address: 2815 JEFFERSON ST #300 Lot: Contact Person: TONY Phone: 9492954579 Sewer DIst: CA Water Dist: CA Date: 03/13/2012 Permit Type: Tl Sub Type: COMM inspected By: Inspected By: Date Inspected: Date Inspected: Date Inspected: '3- '7- /7^ Approved^C^ Disapproved: .Approved: .Approved: Disapproved: Disapproved: Comments: City ofCarlsbad BIdg Inspection Request For: 03/13/2012 Permit# CB112701 Title: STAFFON DENTAL: OFF TO DENTAL Description: 1529 SF Inspector Assignment: PY Sub Type: COMM 2815 JEFFERSON ST 300 Lot: 0 Type:TI Job Address: Suite: Location: OWNER BICAJESSEE ADVENTURES L L C Owner: BICAJESSEE ADVENTURES LLC Remarks: Piione: 9492954579 Inspector: Total Time: CD Description 19 Final Structurai 29 Final Plumbing 39 Finai Eiectricai 49 Finai Mechanical Act Comments Requested By: TONY Entered By: JANEAN Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Originai PC# Inspection Historv Date Description Act Insp Comments 03/12/2012 89 Final Combo CA PY 03/09/2012 89 Final Combo CO MC COMPLETE ADA SIGNAGE AND COMPLETE ALL ELECTRICAL & EXIIT SIGNAGE 02/27/2012 84 Rough Combo AP PY T-BAR 02/21/2012 17 Interior Lath/Drywall AP PY EsGil Corporation In Vartnersliip with government for (Buifdtng Safety DATE: 2/8/12 • APPLICANT • JURIS. JURISDICTION: City of Carlsbad • PLAN REVIEWER • FILE PLANCHECKNO.: 11-2701 SET: III PROJECT ADDRESS: 2815 Jefferson Street Suite 300 PROJECT NAME: Staffon Dental OfRce - TI I I The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. I I The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. I I The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. XI The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. I I The applicant's copy of the check list is enclosed for the jurisdiction to fonward to the applicant contact person. ^ The applicant's copy of the check list has been sent to: Joe Walthour 166-11 North SIngingwood Street, Orange, CA 92869 I I 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: Joe Walthour Telephone #: 714-997-9852 Date contacted: (by: ) Email: Fax #: 714-997-9857 Mail Telephone Fax In Person • REIVIARKS: By: Doug Moody by TJ Enclosures: EsGil Corporation • GA • EJ • PC 1/20/12 9320 Chesapeake Drive, Suite 208 • San Diego, Califomia 92123 • (858) 560-1468 • Fax (858) 560-1576 CityofCarlsbad 11-2701 2/8/12 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 92008, (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. These corrections are in response to items not fully addressed or as the result of information provided, the text in bold underlined print indicates the unresolved issue. Please provide notes on the plans to show the suspended ceilings in Seismic Design Categories D, E & F complywith ASCE 7-05 Section 13.5.6.2.1 as follows: These requirements apply to all new constructed suspended ceilings as shown on the reflective ceiling plan. Demo plan, sheet D1.0 does not match the reflected ceiling plan, sheet A2.0. a) All ceilings shall use a Heavy Duty T-bar grid system. b) The width of the perimeter supporting closure angle shall be not less than 2 inches. c) In each orthogonal horizontal direction, one end of the ceiling grid shall be attached to the closure angle. d) The other end In each horizontal direction shall have a '/i" clearance from the wall and shall rest upon and be free to slide on a closure angle or a listed assembly. Ceilings without rigid bracing must have 2" oversize trim rings for sprinklers and other ceiling penetrations. Please indicate on the plans the location of the air intake for the compressor showing it to complywith section 1325.3 ofthe UPC. No information provided. Air intake shall be located above roof level, at a minimum distance not less than 10' from anv door, window, exhaust, other intake, or opening in the building and a distance of not less than 20' above ground. CityofCarlsbad 11-2701 2/8/12 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. Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes, please briefly describe them and where they are located in the plans. Have changes been made to the plans not resulting from this correction list? Please indicate: Yes • No • 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 Doug Moody by TJ at Esgil Corporation. Thank you. EsGil Corporation In Tartnersfiip tvith government for (Buifding Safety DATE: 1/27/12 • APPLICANT B^IURIS. JURISDICTION: CityofCarlsbad • PLAN REVIEWER • FILE PLANCHECKNO.: 11-2701 SET: II PROJECTADDRESS: 2815 Jefferson Street Suite 300 PROJECT NAME: Staffon Dental Office - TI I I The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. I I The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. I I 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. I I The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. 3 The applicant's copy of the check list has been sent to: Joe Walthour 166-11 North Singingwood Street, Orange, CA 92869 I I EsGil Corporation staff did not advise the applicant that the plan check has been completed. IXI EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Joe Walthour Telephone #: 714-997-9852 Date contacted: 27-/2(by: OX) Email: Fax #: 714-997-9857 Mail Telephone Fax In Person • REMARKS: By: Doug Moody Enclosures: EsGil Corporation • GA • EJ • PC 1/20/12 9320 Chesapeake Drive, Suite 208 • SanDiego, Califomia 92123 • (858)560-1468 • Fax (858) 560-1576 CityofCarlsbad 11-2701 1/27/12 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., Cartsbad, CA 92008, (760) 602-2700. The City will route the plans to EsGil Corporation and the Carisbad 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 bythe City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. These corrections are in response to items not fully addressed or as the result of information provided, the text in bold print indicates the unresolved issue. 3. Please provide notes on the plans to show the suspended ceilings in Seismic Design Categories D, E & F comply with ASCE 7-05 Section 13.5.6.2.1 as follows: These requirements apply to all new constructed suspended ceilings as shown on the reflective ceiling plan. a) All ceilings shall use a Heavy Duty T-bar grid system. b) The width of the perimeter supporting closure angle shall be not less than 2 inches. c) In each orthogonal horizontal direction, one end ofthe ceiling grid shall be attached to the closure angle. d) The other end in each horizontal direction shall have a clearance from the wall and shall rest upon and be free to slide on a closure angle or a listed assembly. e) Ceilings without rigid bracing must have 2" oversize trim rings for sprinklers and other ceiling penetrations. 4. Please show the compressor and vacuum pump to be installed per sections 1325 and 1326 ofthe UPC. No information provided. 5. Please indicate if the vacuum pump is connected to the water system? If so please show the required reduced pressure principle back-flow prevention. No information provided. 7. Please provide a roof plan clearly show the exhaust discharge of the vacuum system to complywith section 1326.2 ofthe UPC. No information provided. CityofCarlsbad 11-2701 1/27/12 8. Please indicate on the plans the location of the air intake for the compressor showing it to complywith section 1325.3 ofthe UPC. No information provided. Note : When alterations, structural repairs or modifications or additions are made to an existing building, that building, or portigoof the buildipg^ffected, is required to comply with all of the requirerlerife^r neW'l5uildin?jST-peF^cti requirements applyy Jk ^9 'a) j A primary entrance to the building and the primarv path of travel to the altered area, must be shown to comply with all accessibility features. Per section 1114B the accessible path of travel shall to the maximum extent possible coincide with the path of travel ofthe general public. The path shown on the plan shows a general public path of travel of approximately 68' and an accessible path of travel of 200'. Please revise the plans to show the path of travel to coincide with the geners path of travel. To speeBHp 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. Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes, please briefly describe them and where they are located in the plans. Have changes been made to the plans not resulting from this correction list? Please indicate: Yes • No • 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 Doug Moody at Esgil Corporation. Thank you. EsGil Corporation In (Partnership tvith government for (Buifding Safety DATE: 1/3/12 • APELiCANT ^"lURIS JURISDICTION: CityofCarlsbad •"PLANREVIEWER • FILE PLANCHECKNO.: 11-2701 SET: I PROJECTADDRESS: 2815 Jefferson Street Suite 300 PROJECT NAME: Staffon Dental Office - TI I I The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. I I The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. I I 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. I I The applicant's copy of the check list is enclosed for the jurisdiction to fonward to the applicant contact person. ^ The applicant's copy of the check list has been sent to: Joe Walthour 166-11 North Singingwood Street, Orange, CA 92869 I I EsGil Corporation staff did not advise the applicant that the plan check has been completed. IXI EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Joe Walthour (>(->A) Telephone #: 714-997-9852 Date contacted: ) | ^llZ- (by: 1^ ) Email: Fax #: 714-997-9857 Mail Telephone-^ Fax in Person • REMARKS: By: Doug Moody Enclosures: EsGil Corporation • GA • EJ • PC 12/27/11 9320 Chesapeake Drive, Suite 208 • San Diego, Califomia 92123 • (858)560-1468 • Fax (858) 560-1576 CityofCarlsbad 11-2701 1/3/12 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLANCHECKNO.: 11-2701 JURISDICTION: City ofCarlsbad OCCUPANCY: B USE: Dental Office TYPE OF CONSTRUCTION: VA ACTUALAREA: 1529sf ALLOWABLE FLOOR AREA: STORIES: 3 HEIGHT: SPRINKLERS?: Yes OCCUPANT LOAD: 21 REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 12/22/11 DATE PLANS RECEIVED BY ESGIL CORPORATION: 12/27/11 DATE INITIAL PLAN REVIEW COMPLETED: 1/3/12 PLAN REVIEWER: Doug Moody FOREWORD (PLEASE READ): This plan review is limited to the technical requirements contained in the International 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 2010 CBC, which adopts the 2009 IBC. 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. 105.4 of the 2009 International 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 for a copy) where each correction item has been addressed, i.e.. plan sheet number, specification section, etc. Be sure to enclose the marlced up list when vou submit the revised plans. CityofCarlsbad 11-2701 1/3/12 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 92008, (760) 602-2700. The City will route the plans to EsGil Corporation and the Carisbad 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 bythe City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. 1. Each sheet of the plans must be signed by the person responsible for their preparation, even though there are no structural changes. Business and Professions Code. 2. Provide a section view of the new hard lid ceilings. Show: a) Type, size and spacing of studs. Indicate gauge for metal studs. Specify manufacturer and approval number or indicate "to be ICBO approved". b) Method of attaching top to the structure and lateral bracing. c) Show height of the hard lid ceilings from floor, hard lid ceilings to roof framing or floor framing. 3. Please provide notes on the plans to show the suspended ceilings in Seismic Design Categories D, E & F complywith ASCE 7-05 Section 13.5.6.2.1 as follows: a) All ceilings shall use a Heavy Duty T-bar grid system. b) The width of the perimeter supporting closure angle shall be not less than 2 inches. c) In each orthogonal horizontal direction, one end of the ceiling grid shall be attached to the closure angle. d) The other end in each horizontal direction shall have a VA clearance from the wall and shall rest upon and be free to slide on a closure angle or a listed assembly. e) Ceilings without rigid bracing must have 2" oversize trim rings for sprinklers and other ceiling penetrations. 4. Please show the compressor and vacuum pump to be installed per sections 1325 and 1326 of the UPC. 5. Please indicate if the vacuum pump is connected to the water system? If so please show the required reduced pressure principle back-flow prevention. CityofCarlsbad 11-2701 1/3/12 6. Please indicate if water will be supplied to the dental chairs? If so please show the required reduced pressure principle back-flow prevention. 7. Please provide a roof plan cleariy show the exhaust discharge of the vacuum system to comply with section 1326.2 ofthe UPC. 8. Please indicate on the plans the location of the air intake for the compressor showing it to comply with section 1325.3 ofthe UPC. 9. Provide separate restroom facilities for each sex as per UPC, Section 412.1. 10. Please note on the plans "All patient care receptacles and fixed equipment shall comply with Section 517.13(A) and 517.13 (B). All patient care receptacles and fixed equipment be grounded by an insulated copper conductor sized per Table 250-122. In addition the circuits serving patient care receptacles and fixed equipment shall be installed in a metal raceway or cable that qualifies as an equipment grounding return path in accordance with section 250-118. 11. Please have the document author and the principle designer of the LTG-1 C form sign the imprinted document. Note : When alterations, structural repairs or modifications or additions are made to an existing building, that building, or portion ofthe building affected, is required to comply with all of the requirements for new buildings, per Section 1134B.2. These requirements apply as follows: a) A primary entrance to the building and the primarv path of travel to the altered area, must be shown to comply with all accessibility features. b) Existing sanitary facilities that serve the remodeled area must be shown to comply with all accessibility features. 12. Please revise the plans to show the store room to be disabled accessible per 1105B.3.6ofthe CBC. 13. Revise plans, or door schedules, to show that every required passage door has >32" clear width for door #5, per Section 1133B.2. 14. Show that the minimum strike edge distances are provided at the level area on the side to which a door swings for door #2, per Section 1133B.2.4.3: a) >18" at interior conditions. 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. CityofCarlsbad 11-2701 1/3/12 Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes, please briefly describe them and where they are located in the plans. Have changes been made to the plans not resulting from this correction list? Please indicate: Yes • No • 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 Doug Moody at Esgil Corporation. Thank you. CityofCarlsbad 11-2701 1/3/12 [DO NOT PAY- THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: CityofCarlsbad PLANCHECKNO.: 11-2701 PREPARED BY: Doug Moody DATE: 1/3/12 BUILDING ADDRESS: 2815 Jefferson Street Suite 300 BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: VA BUILDING PORTION AREA ( Sq. Ft.) Valu ation Multiplier Reg. Mod. VALUE ($) Tl 1529 50.30 76,909 Air Conditioning Fire Sprinklers TOTAL VALUE 76,909 Jurisdiction Code cb By Ordinance BIdg. Permit Fee by Ordinance Plan Checl< Fee by Ordinance Type of Review: I [Repetitive Fee ~ Repeats H Complete Review • Other |—I Hourly EsGil Fee • Structural Only Hr. @ $582.92 $378.90 $326.44 Comments: Sheet 1 of 1 macvalue.doc + CITY OF CARLSBAD BUILDING PLANCHECK CHECKLIST QUICK-CHECK/APPROVAL Development Services Land Deveiopment Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov ENGINEERING Plan Check for CB 11-2701 Date: 12/27/11 Project Address: 2815 JEFFERSON ST APN: 230-110-29 Project Description: CONVERT OFFICE SPACE INTO DENTAL OFFICE Valuation: 76,305 ENGINEERiNG Contact: Kathleen LawrencG Phone: 760-692-2741 Email: kathleen.lawrence@carlsbadca.gov Fax: 760-602-1052 • RESIDENTIAL !ZJ TENANT IMPROVEMENT n RESIDENTIAL ADDITION MINOR (<$20,000.00) • PLAZA CAMINO REAL • CARLSBAD COMPANY STORES COMPLETE OFFICE BUILDING • OTHER: OPFICIAI. USE ONLY ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMiT BY: KATHLEEN LAWRENCE REMARKS: DATE: 12/27/11 Notification of Engineering APPROVAL has been sent to via on E-36 Page 1 of 1 REV 4/30/11 Fee Calculation Worksheet ENGINEERING DIVISION Prepared by: Kathleen Lawrence Date: 12/27/11 GEO DATA; LFMZ: /B&T: Address: 2815 Jefferson (going from reg offices to med offices) BIdg. Permit #: CBl 1-2701 Fees Update by: KML Date: Fees Update by: Date: EDU CALCULATIONS: List types and square footages for all uses. Types of Use: MEDICAL OFF Types of Use: Types of Use; Types of Use: Sq, Ft./Units 1517 SF Sq,Ft./Units Sq,Ft./Units Sq.Ft./Units ADT CALCULATIONS: List types and square footages for all uses. EDU's EDU's EDU's EDU's CREDIT Sq.Ft./Units 1517 SF Sq.Ft./Units Sq.Ft./Units Sq.Ft./Units Types of Use: MEDICAL OFF Types of Use: Types of Use: Types of Use: FEES REQUIRED: Within CFD: DYES (no bridge & thoroughfare fee in District #1, reduces Traffic Impact Fee) ADT's ADTs ADT's ADT's 46 ADTS 1517/1000=1.517 1.517X30 (50-20) = 46 Addtl ADT's • NO 1, PARK-IN-LIEU FEE:nNW QUADRANT ONE QUADRANT DSE QUADARANT GSW QUADRANT ADTS/UNITS: 2. TRAFFIC IMPACT FEE: ADTS/UNITS: 46 3. BRIDGE & THOROUGHFARE FEE: ADT'S/UNITS: 4. FACILITIES MANAGEMENT FEE ADTS/UNITS: 5. SEWER FEE EDU's BENEFIT AREA: ' EDU's I > 6. DRAINAGE FEES: PLDA: ACRES: I > 7. POTABLE WATER FEES: UNITS CODE X FEE/ADT: X FEE/ADT: $110 • DIST#1 X FEE/ADT: ZONE: X FEE/SQ.FT./UNIT: X FEE/EDU: X FEE/EDU: •HIGH C FEE/AC: CONN. FEE =$ N/A =$ $5,060.00 • DIST.#2 =$ N/A =$ N/A |DIST.#3 MED =$ N/A =$ N/A UM =$ N/A •LOW METER FEE SDCWA FEE TOTAL CITY OF CARLSBAD STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov am applying to the City of Carlsbad for the following type(s) of construction permit: Building Permit • Right-of-Way Permit X y project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types: Electrical Fire Additional Fire Alarm Fixed Systems Meciianical Mobile Home Plumbing Patio/Deck Photo Voltaic Re-Roofing Sign Spa-Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria'' No Thaeat Assessment Criteria pLM^ project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because '' >t meets the "no threaf assessment criteria on the City's Project Threat Assessment Worksheet for Detennination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tierl - • TVer 2 - • 7/er3 • • • LoMT r/ireaf/Assessment Criteria My pnDject does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Moderate TTtreat Assessment Criteria My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuantto the Carisbad Grading Ordinance (Chapter 15.16 of the Cartsbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is tocated on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is tocated along or within 30 feet of a storm drain Inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Significant Threat Assessment Criteria My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or. My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of stomi water mnoff or non-storm water discharge{s). / certify to tfie best of my knowledge that tlie above checked statements are true and conect I understand and acknowledge that even though this project does not require preparation ofa construction SWPP, I must stiff adhere to, and at all times during constmction activities for tiie permit type(s) check above comply wlOi the storm water best management practices pursuant to Titie 15 of tiie Carlsbad Municipal Code and to City Standards. "The City Engineer may authorize minor variances from the Stomi Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Constmction SWPPP Tier Level is wananted. Project Address: Assessor Parcel No. Owner/Owner's Authorized Agent Name: w Agent Signature: city ConcjiRWce: a;/esauQ nB/u - Project ID: , B-24 Page 1 of 1 Rev.03/09 December 23, 2011 TO: BUILDING DEPARTMENT FROM: Assistant Planner, Housing & Neighborhood Services CB112701 I have reviewed the building plans for the above referenced building permit at 2815 Jefferson Street for a tenant improvement. The Housing and Neighborhood Services Department supports issuing the building permit at this time. The information has been entered into Permits Plus. If you have any questions, please contact me at x2813. AUSTIN SILVA to (0 n OQQ « $ S OOO m (0 a. Q. 0 • • HDD man 0 • • REDEVELOPME/VT DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No. CB ilt-lO\ Planner fto^^tV Address Phone (760) 434- APN: UQ'l-'l LL Type of Project & Use: Zoning:_ Mk General Plan: M CFD (in/out) #_Date of participation: Net Project Densitv: V^/A DU/AC Facilities Management Zone: Remaining net dev acres: Circle One (For non-residential development: Type of land used created by this permit: ) Legend: ^ Item Complete [• Item Incomplete - Needs your action Environmental Review Required: YES NO 7^ TYPE DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: Discretionary Action Required: APPROVAL/RESO. NO.. PROJECT NO. YES NO TYPE DATE OTHER RELATED CASES: Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval: Coastal Zone Assessment/Compliance Project site located in Coastal Zone?YES_ CA Coastal Commission Authority? YES_ If California Coastal Commission Authority: Contact them at 103, San Diego CA 92108-4402; (619) 767-2370 Determine status (Coastal Permit Required or Exempt): NO 7575 Metropolitan Drive, Suite N0>< Habitat Management Plan Data Entry Completed? YES _ If property has Habitat Type identified in Table 11 of HMP, complete HMP Permit application and assess fees in Permits Plus (A/P/Ds, Activity Maintenance, enter CB#, toolbar. Screens, HMP Fees, Enter Acres of Habitat Type impacted/taken, UPDATE!) *0 O n Inclusionary Housing Fee required: YES N (Effective date of Inclusionary Housing Ordinance - May 21, 1993.) Data Entry Completed? YES NO (A/P/Ds, Activity Maintenance, enter CB#, toolbar. Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE!) H:\ADMIN\COUNTER\BldgPlnchkRevCtiklst Rev 3/06 Site Plan: CD CZI O Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of- way width, dimensional setbacks and existing topographical lines (including all side and rear yard slopes). Provide legal description of property and assessor's parcel number. • • • • • • • • • Policy 44 - Neighborhood Architectural Design Guidelines 1. Applicability: YES NO 2. Project complies YES NO Zoning: \l 1. Setbacks: Front: Required Interior Side: Required Street Side: Required Rear: Required Top of slope: Required dl IZI CD 2. Accessory structure setbacks: Front: Required Interior Side: Required Street Side: Required Rear: Required Structure separation: Required Shown Shown Shown Shown Shown Shown Shown Shown Shown Shown • • • • • • • • • • • • 3. Lot Coverage: 4. Height: 5. Parking: Required Required Spaces Required Shown Shown Shown (breakdown by uses for commercial and industrial projects required) Residential Guest Spaces Required Shown Additional Comments S&e Me./Aj Ki>i"(//i^^ J^Jg^ OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER H:\ADIVIIN\COUNTER\BldgPinchkRevChklst M/<^ PATE Ip/// Rev 3/06 Carlsbad Fire Department BLDCT. nEPT copy Plan Review Requirements Category: TI, COMM Date of Report: 02-06-2012 Name: JOE WALTHOUR Address: 166-11 N. SINGINGWOOD ST ORANGE CA 92869 Permit #: CBl 12701 Job Name: STAFFON DENTAL: OFF TO DENTAL Job Address: 2815 JEFFERSON ST CBAD St: 300 Reviewed by: _^^^^0-Z^^^ TNCDMPtETE Tin- imm yAll Tmm .MiUinittpH fnr rpYi^W ic ja<^-«iit|i1i-«n ^ I fliii- timr'^ tliin nffirn nnnnnt . ^Hp.qiia)Hly i.iiiiilm.t n i-nvinw tn di-ti-rmini-. iMiiiiplinnPf^ xnnth thp applj^^flblf <^nf!f<f 'iriH/nr Ft^lll^^l•l^^ Plnmi- I-I-I'II-VF ^.nrcfiillv nil RDTtimnntr. nttaGhoH Plonjin rwruhmit thr' nRces.sary planp anrl/nr oppn^fif'qtjnnc ^uriih r^linngnn "oUnHnH" •to this office for review and approvalr- Conditions; Cond:CON0005211 [MET] APPROVED: THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUANCE OF BUILDING PERMIT. THIS APPROVAL IS SUBJECT TO FIELD INSPECTION AND REQUIRED TEST, NOTATIONS HEREON, CONDITIONS IN CORRESPONDENCE AND CONFORMANCE WITH ALL APPLICABLE REGULATIONS. THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE THE VIOLATION OF ANY LAW. Entry: 02/06/2012 By: df Action: AP RECOMMENDED FOR APPROVAL BLDG. DEPT COPY Daryl K. James & Associates, Inc. 205 Colina Terrace Vista, CA 92084 T. (760) 724-7001 Email: kitflre@sbcglobal.net Page: 1 of 1 Checked by: Anne Marie Bland Date: Januarv 20. 2012 APPLICANT: Joe Walthour JURISDICTION: Carlsbad Fire Department PROJECT NAME: Dental Office PROJECT ADDRESS: 2815 Jefferson Ste. 300 PROJECT DESCRIPTION: CBl 12701 Tenant Improvement INSTRUCTIONS This plan review has been conducted in order to verify conformance to minimum requirements of codes adopted by the Carlsbad Fire Department. The items below require correction, clarification or additional information before this plan check can be approved for permit issuance. Corrections or modifications to the plans must be clouded and provided with numbered deltas and revision dates along with a descriptive narrative of corrections addressing all comments. Please direct any questions regarding this review to: Anne Marie Bland 760-434-7885 or ambland@pacbell.net CORRECTED PLANS, DESCRIPTIVE NARRATIVE OF REVISIONS FOLLOWING EACH COMMENT ON THiS FORM, AND A COPY OF BUILDING DEPARTMENT (EsGil) COMMENTS MUST BE SUBMITTED DIRECTLY TO: ANNE MARIE BLAND 4380 CARMEL DRIVE CARLSBAD, CA 92010 COMMENTS Comments emailed to: jwalthour@socal.rr.com PN1.0 Plan Notes Fire Notes (Remove reference to Standard 10-1 from note 2. Current standard is NFPA 10, 2007 edition. Remove reference to UFC Article 81, NFPA 231, 231C and 231D from note 14. Current standard is NFPA 13, 2010 edition. |Add the following note to the section - Plans for modifications to the existing fire sprinkler system must be submitted to the Fire Department for review prior to making changes to the system. IConstruction, alteration and demolition must comply with CFC Chapter 14. Add this note to the plans. General Notes INote 15 - reference 2010 CBC and applicable sections from this edition. Note 20 - reference 2010 CBC and applicable sections from this edition. Note 27 - reference 2010 CBC. Note 30 - amend section reference 7610 to 710. A3.0 Symbols Index; Door & Window Scheduie Fire Notes iRemove reference to UFC Article 81, NFPA 231, 2310 and 231D from note 12. Current standard is NFPA 13, 2010 edition. RECOMMENDED FOR APPROVAL Daryl K. James & Associates, Inc. 205 Colina Terrace Vista, CA 92084 T. (760) 724-7001 Email: kitfire@sbcglobai.net Page: 1 of 1 Checked by: Anne Marie Bland Date: January 20, 2012 APPLICANT: Joe Walthour JURiSDiCTION: Carlsbad Fire Department PROJECT NAME: Dental Office PROJECT ADDRESS: 2815 Jefferson Ste. 300 PROJECT DESCRIPTiON: CBl 12701 Tenant Improvement INSTRUCTiONS This plan review has been conducted in order to verify conformance to minimum requirements of codes adopted by the Carlsbad Fire Department. The items below require correction, clarification or additional information before this plan check can be approved for permit issuance. Corrections or modifications to the plans must be clouded and provided with numbered deltas and revision dates along with a descriptive narrative of corrections addressing all comments. Please direct any questions regarding this review to: Anne Marie Bland 760-434-7885 or ambiand@pacbeil.net CORRECTED PLANS, DESCRIPTIVE NARRATIVE OF REVISIONS FOLLOWING EACH COMMENT ON THiS FORM, AND A COPY OF BUiLDiNG DEPARTMENT (EsGii) COMMENTS MUST BE SUBMITTED DIRECTLY TO: ANNE MARIE BLAND 4380 CARMEL DRIVE CARLSBAD, CA 92010 COMMENTS Comments emailed to: jwalthour@socal.rr.com PN1.0 Plan Notes Fire Notes IRemove reference to Standard 10-1 from note 2. Current standard is NFPA 10, 2007 edition. Remove reference to UFC Article 81, NFPA 231, 231C and 231D from note 14. Current standard is NFPA 13, 2010 edition. |Add the following note to the section - Plans for modifications to the existing fire sprinkler system must be submitted to the Fire Department for review prior to making changes to the system. IConstruction, alteration and demolition must comply with CFC Chapter 14. Add this note to the plans. Generai Notes iNote 15 - reference 2010 CBC and applicable sections from this edition. iNote 20 - reference 2010 CBC and applicable sections from this edition. [Note 27 - reference 2010 CBC. INote 30 - amend section reference 7610 to 710. A3.0 Symbols index; Door & Window Scheduie Fire Notes IRemove reference to UFC Article 81, NFPA 231, 2310 and 231D from note 12. Current standard is NFPA 13, 2010 edition. CORRECTiON LIST BLDG. DEPT COPY Daryl K. James & Associates, Inc. 205 Colina Terrace Vista, CA 92084 J. (760) 724-7001 Email: kitfire@sbcgiobai.net Page: 1 of 1 Checked by: Anne Marie Bland Date: Januarv 13. 2012 APPLICANT: Joe Walthour JURISDICTION: Carlsbad Fire Department PROJECT NAME: Dental Office PROJECT ADDRESS: 2815 Jefferson Ste. 300 PROJECT DESCRiPTiON: CBl 12701 Tenant Improvement INSTRUCTIONS This plan review has been conducted in order to verify conformance to minimum requirements of codes adopted by the Carisbad Fire Department. The items below require correction, clarification or additional information before this plan check can be approved for permit issuance. Corrections or modifications to the plans must be clouded and provided with numbered deltas and revision dates along with a descriptive narrative of corrections addressing all comments. Please direct any questions regarding this review to: Anne Marie Bland 760-434-7885 or ambland@pacbell.net CORRECTED PLANS, DESCRIPTIVE NARRATIVE OF REVISIONS FOLLOWING EACH COMMENT ON THIS FORM, AND A COPY OF BUILDING DEPARTMENT (EsGil) COMMENTS MUST BE SUBMITTED DIRECTLY TO: ANNE MARIE BLAND 4380 CARMEL DRIVE CARLSBAD, CA 92010 COMMENTS PN1.0 Plan Notes Comments emailed to: jwalthour@socal.rr.com Fire Notes • Remove reference to Standard 10-1 from note 2. Current standard is NFPA 10, 2007 edition. • Remove reference to UFC Article 81, NFPA 231, 231C and 231D from note 14. Current standard is NFPA 13, 2010 edition. • Add the following note to the section - Plans for modifications to the existing fire sprinkler system must be submitted to the Fire Department for review prior to making changes to the system. • Construction, alteration and demolition must comply with CFC Chapter 14. Add this note to the plans. Generai Notes • Note 15 - reference 2010 CBC and applicable sections from this edition. • Note 20 - reference 2010 CBC and applicable sections from this edition. • Note 27 - reference 2010 CBC. • Note 30 - amend section reference 7610 to 710. A3.0 Symbols index; Door & Window Schedule Fire Notes • Remove reference to UFC Article 81, NFPA 231, 231C and 231D from note 12. Current standard is NFPA 13, 2010 edition. CORRECTiON LIST Daryl K. James & Associates, Inc. 205 Colina Terrace Vista, CA 92084 T. (760) 724-7001 Email: kitfire@sbcglobal.net Page: 1 of 1 Checked by: Anne Marie Bland Date: Januarv 13. 2012 APPLICANT: Joe Walthour JURISDICTION: Carlsbad Fire Department PROJECT NAME: Dental Office PROJECT ADDRESS: 2815 Jefferson Ste. 300 PROJECT DESCRIPTiON: CB112701 Tenant Improvement INSTRUCTIONS This plan review has been conducted in order to verify conformance to minimum requirements of codes adopted by the Carlsbad Fire Department. The items below require correction, clarification or additional information before this plan check can be approved for permit issuance. Corrections or modifications to the plans must be clouded and provided with numbered deltas and revision dates along with a descriptive narrative of corrections addressing all comments. Piease direct any questions regarding this review to: Anne Marie Bland 760-434-7885 or ambland@pacbell.net CORRECTED PLANS, DESCRIPTIVE NARRATIVE OF REVISIONS FOLLOWING EACH COMMENT ON THIS FORM, AND A COPY OF BUILDING DEPARTMENT (EsGII) COMMENTS MUST BE SUBMITTED DIRECTLY TO: ANNE MARIE BLAND 4380 CARMEL DRIVE CARLSBAD, CA 92010 COMMENTS Comments emailed to: jwalthour@socal.rr.com PN1.0 Plan Notes Fire Notes • Remove reference to Standard 10-1 from note 2. Current standard is NFPA 10, 2007 edition. • Remove reference to UFC Article 81, NFPA 231, 231C and 231D from note 14. Current standard is NFPA 13, 2010 edition. • Add the following note to the section - Plans for modifications to the existing fire sprinkler system must be submitted to the Fire Department for review prior to making changes to the system. • Construction, alteration and demolition must comply with CFC Chapter 14. Add this note to the plans. General Notes • Note 15 - reference 2010 CBC and applicable sections from this edition. • Note 20 - reference 2010 CBC and applicable sections from this edition. • Note 27 - reference 2010 CBC. • Note 30 - amend section reference 7610 to 710. A3.0 Symbols index; Door & Window Scheduie Fire Notes • Remove reference to UFC Article 81, NFPA 231, 231C and 231D from note 12. Current standard is NFPA 13, 2010 edition. TOPIC: Wall and Celling Construction - IBC/25/#2 CODE: REVISED: Structural Specialty Code: 2004 Edition February 1,2006 [Paul Scarlett] [Hank McDonald] REFERENCE: Section 803.9.1 - Structurai Specialty Code SUBJECT: Installation Standards for Suspended Celling System and Lighting Fixtures I. QUESTION: RESPONSE: What standards does the Bureau use to review and Inspect suspended ceiling systems? What are the standards for permit application? When must existing ceilings be upgraded? The Bureau accepts suspended ceiling systems which are either engineered or which comply with the prescriptive design standard as detailed below. NEW SUSPENDED CEILiNQS - PRESCRIPTIVE DESIGN For buildings that are classified as either Category I or II buildings by Table 1604.5 in the Oregon Structural Specialty Code (OSSC), the Bureau will accept suspended ceilings that comply with the following prescriptive design standards without an engineer or architect approved design. A. Permit Application The permit application for a suspended ceiling to be installed to this prescriptive standard shall include three copies of manufacturer's data or ICC-ES Evaluation Reports identifying that the system is a heavy duty system confomnlng to the requirements of ASTM C635 - 00; provide a schedule of fixtures and other ceiling supported equipment, devices and components and their weights; identify all connection devices and their loading capabilities. B. General Celling system ciassification All buildings within the jurisdiction of the City of Portland are considered as seismic design category D. As such, all suspended ceiling systems tiiat are installed using the provisions of this guide shall be classified as "heavy-duty" ceiling systems as defined by ASTM C 635 - 00. 2. Limitations and allowances C^lhZlol iBC/25/#2 installation Standards for Suspended Ceiling System and LIgiitIng Fixtures Page 2 of 16 February 1,2006 a. General. 1) Use of this guide is limited to buildings with a seismic importance factor (4) of 1.00 as determined by Table 1604.5 in the OSSC. Suspended ceiling systems installed in buildings with a seismic importance factor exceeding 1.00 must be engineered. For engineered designs, see Part II of this guide. 2) Ceilings greater than 144 square feet in area with a length to width ratio of 16:1 or greater between ceiling breaks or expansion joints may not use the prescriptive bracing standards specified in this guide. Such systems shall be engineered. For engineered designs see Part II of this guide. 3) Specialty ceilings. Specialty ceilings, must be installed using an engineered design and may not use the provisions of this guide. Specialty ceilings include but are not limited to those: a) Incorporating arched ceilings, curved or curvilinear ceilings or sloped ceilings; or b) Having no direct connection to the surrounding walls, such as "free floating" or "cloud" ceiling elements. 4) Suspended ceilings without panels. Suspended ceilings where no ceiling panels are installed may use the provisions of this guide provided all of the provisions of the guide are incorporated into the design including, but not limited to the requirements for: a) Heavy duty grid; b) Splay wires; c) Lateral bracing; and d) Compression struts. Otherwise, such systems shall be engineered. 5) Suspended ceiling support. Each individual ceiling module must be rigidly supported on two adjacent sides by walls, partitions or soffits. Ceiling designs not meeting this requirement fall out of the scope of this guide and must be engineered. 6) Weight limitation. Suspended ceilings installed according to this prescriptive design shall not exceed 4 pounds per square foot. This weight limitation includes the weight of the grid, panels and any building components or elements Including but not limited to light fixtures, mechanical services, electrical or communication or control wiring or cables or insulation. IBC/25/#2 Installation Standards for Suspended Ceiling System and Lighting Fixtures Page 3 of 16 February 1, 2006 b. interstitial space. The provisions of this guide apply to suspended ceiling systems that have an interstitial space of 15 feet or less between the suspended ceiling and the supporting structure. c. Grid systems. Suspended ceilings installed to this prescriptive design may use standard grid module systems that are not more than 5 feet in any direction. d. Ceiling panels. 1) Suspended ceilings installed to this prescriptive design may use either standard acoustical lay-in ceiling panels, tegular or kerfed ceiling panels. 2) Specialty ceiling panels such as metal or wood or similar panels may also be used provided the panels: a) Weigh less than 2.75 pounds per square foot; and b) Are retained in the grid by clips or other mechanical fastening devices designed to prevent the panels from dislodging in a seismic event. e. Installation of partitions. Ceilings installed according to this guide shall not support partitions. Partitions may be attached to the grid for cosmetic purposes provided: 1) The partition Is supported independently such that the connection between the partition and the celling grid does not impose any additional loads on the ceiling grid system; and 2) The connection of the partition to the grid does not cause the grid to deflect or rotate more than allowed by other provisions of this guide. C. General installation Requirements [See Diagram 1] 1. Hanger requirements. a. Hangers shall be located and sized as noted below. All hangers shall be of soft annealed mild steel wire. I4anger location (measured in botii directions) IMinlmum Diameter (In Inches) American Wire Gauge number 4 feet on-center 0.080 12 5 feet on-center 0.102 10 b. Hangers shall be attached to ceiling suspension members and to supports above with a minimum of three full tums within a 3 inch length. iBC/25/#2 Installation Standards for Suspended Ceiling System and Ughting Fixtures Page 4 of 16 February 1,2006 1) Hangers shall not press against pipes or ducts. Where hangers are sloped they shall comply with the following: a) Wires more than one in six out of plumb shall have countersloping wires added. b) Countersloping hangers shall be installed with a minimum 45 degree angle from the horizontal. 2) A trapeze or equivalent shall be used where obstructions prevent direct attachment to the structure. Trapeze suspensions shall be level to within 1/4 inch in 10 feet and shall be a minimum of back to back 1- 1/4 inch cold rolled channels when spans exceed 48 inches. 2. Hanger attachments. Hanger attachment devices shall be capable of carrying either 200 pounds or 3 times the ceiling design load as shown by the manufacturer's data or ICC-ES report, whichever is greater. 3. Carrying channels. Carrying channels and main runners shall be level to within 1/4 inch in 10 feet. Leveling shall be perfomned with hangers taut. Kinks or bends shall not be used to level channels or main runners. Wire loops shall be tightly fomied to prevent any vertical movement. 4. Deflection limitations. Deflection from the installation of lighting fixtures or other equipment shall be limited to ^/360 times the span between hangers. Where the fixture or equipment causes a deflection in excess of ^/360 times the span between hangers, the fixture or equipment shall be independently supported as indicated in Section D. 2 j. A ceiling fixture installation shall not cause the mnners to rotate more than two degrees from the horizontal. D. Seismic Design Requirements 1. General. a. Closure angle. The perimeter supporting closure angle horizontal leg shall be not less than 2 inches. The closure angle supporting the grid wall attachments as noted in b below shall be anchored to the perimeter walls by at least one #6 screw directly attached to the wail framing at not more than 24 inches on-center or by a means approved by BDS staff. [See Diagram 3] b. Grid attachment. One end of the grid shall be attached to the closure angle at each of two adjacent walls. The grid shall be attached by screws, rivets or other approved fasteners. The opposite end of the grid in each horizontal direction shall rest upon the closure angle such that there is 3/4 inch clearance between the end of the grid and the wall and the grid is free to slide on the closure angle. [See Diagrams 2,3 & 4] 2. Lateral Bracing Requirements IBC/25/#2 installation Standards for Suspended Celling System and Lighting Fixtures Page 5 of 16 February 1,2006 Lateral bracing shall be provided for suspended ceilings as follows: a. Ceiling height allowance. Ceilings with a maximum of 12 inches between the grid and structural support do not require lateral bracing or compression struts. b. Ceiling area bracing. 1) Ceiling areas less than 144 square feet. Ceiling areas 144 square feet or less in area which are surrounded by walls or soffits which connect directly to the structure above do not require additional lateral bracing. 2) Ceiling areas greater than 144 square feet. a) Ceilings in excess of 144 square feet in area shall be provided with diagonal bracing (splay) wires. Bracing wires shall consist of four 0.080 inch (12 gauge) A.W.G. wires connected within 2 inches of an intersection of a main runner with a cross runner, and splayed 90 degrees from each other at an angle not exceeding 45 degrees from the plane of the ceiling. [See Diagrams 1 & 2] (1) Wires are required within 6 feet of any wall and at 12 feet on- center in each direction. (2) Where ceilings are 12 feet or less in width, two rows of bracing wires shall be provided. Wires shall be located off-center (less than 6 feet from any wall) and shall be staggered in such a manner that the wires are not directly across from one another. Wires may be located up to 12 feet apart. b) Splay wire alternate. As an altemate to the diagonal splay wires specified above, ceilings may use rigid braces. Braces shall be attached to the grid and to the stmcture above in a manner to limit lateral deflections at the point of attachment to the ceiling to less than 1/4 inch for the lateral loads expected for the system. c. Perimeter wires. All perimeter wires shall conform to the requirements in Section C, General Installation Requirements, of this guide. In addition, all runners (mains or cross tees) shall be independently supported at the perimeter within 8 inches of the wall or ceiling discontinuity. The wall angle or closure strip shall not be used for this purpose. Perimeter wires may be attached to perimeter walls instead of the stmcture above provide the wires are positively attached to the wall by using a mechanical fastener such as a drywall screw. The perimeter wire shall be attached to the wall at a slope of not more than 1 horizontal:6 vertical. [See Diagrams 2, 3 & 4] d. Compression struts [See Diagram 1] IBC/25/#2 installation Standards for Suspended Celling System and Lighting Fixtures Page 6 of 16 February 1,2006 1) A strut shall be provided at 12 feet on-center maximum, which shall be fastened to the main runner and shall be extended and fastened to the stmcture. The structure attachment shall be capable of supporting the dead load of the compression stmt. A stmt which encapsulates a hanger wire that is attached to the main mnner and the stmcture above need not be separately attached to the mnner or the stmcture above. 2) Based on the maximum spacing of 12 feet on-center in each direction, the following stmt sizes and corresponding maximum lengths may be used: Max. Length 1/2" diameter conduit (EMT) 5'-10" 3/4" diameter conduit (EMT) 7'-8" 1" diameter conduit (EMT) 9'-9" Single 162S125-33 metal stud 12'-0" (1-5/8" X 20 gauge) Back to Back 162S125-33 metal studs 15'-0" (1-5/8" X 20 gauge) Single 250S125-33 metal stud 13'-6" (2-1/2" X 20 gauge) Back to Back 250S125-33 metal studs (2-1/2" X 20 gauge) 15'-0" Where utilizing a strut that is not indicated on the table above, the strut shall be capable of resisting the vertical component of 180 pounds induced by the wires. e. Seismic separation Joints required. [See Diagram 7] 1) General. Ceilings with an area greater than 2,500 square feet shall be provided with seismic separation joints. Separation joints shall divide the ceiling area into areas less than 2,500 square feet and shall allow for a minimum of 2 inches of lateral movement of the ceiling providing 1 inch of movement for the portions of ceiling located on either side of the separation joint. Each 2,500 square foot ceiling area shall have its grid attached to a closure angle or other approved device on two adjacent sides as required in section D 1 above. 2) Alternate. In lieu of seismic separation joints, the ceiling may be divided into areas less than 2,500 square feet by the use of partitions or soffits as described below. [See Diagram 6] IBC/25/#2 Installation Standards for Suspended Celling System and Lighting Fixtures Page? of 16 February 1,2006 a) Partitions. Where used, partitions shall extend a minimum of 6 inches above the level of the plane of the grid and shall be independently braced to the structure above. b) Soffits. Where used, soffits shall extend to a point at least level with the plane of the grid and shall be independently supported and braced to the stmcture above. f. Spacing of bracing members. Lateral force bracing members shall be spaced a minimum of 6 inches from all horizontal piping or duct wori^ that is not provided with horizontal bracing restraints. g. Wire attachment. Wire attachment devices shall be attached to the stmcture and support a design tension load of at least 200 pounds of pull out. Powder-driven pins shall not be allowed as acceptable attachment devices in concrete construction based on the prohibition of their use by ASCE 9.6.1.6.5. The following table is provided to give guidance for alternates to powder driven pins: Construction Type Fastener Wood 1/4" X 3" screw eyes Steel deck Pre-drop wires, CMI DC1 or DC 2 1/4" metal deck screw eyes Post tension concrete Pre-drop wires, embeds, 1/4 x 3/4" metal hit anchors Poured in place concrete Pre-drop wires, embeds, 1/4 x 3/4" metal hit anchors h. Stabilizing members. Members perpendicular to the wall at the unattached sides of the grid shall be tied together (stabilized) to prevent their spreading. Members shall be tied together at a point not more than 8 inches from and parallel to the wall. [See Diagrams 2 & 4] i. Ceiling mounted light fixtures, egress lights, speakers, air terminals and mechanicai services. [See Diagram 8] Lighting fixtures, egress lighting, speakers, air temninals or mechanical services weighing up to 56 pounds and directly supported by the ceiling grid system shall be positively attached to the ceiling system. Attachment shall be made with a minimum of 4 approved fasteners located within 3 inches of the grid intersections to suspension main runners, or to cross runners with the same carrying capacity as the main runners. In addition to the above grid connection fixtures weighing 20 pounds but not more than 56 pounds, shall have two 0.080 inch (12 gauge A.W.G) IBC/25/#2 installation Standards for Suspended Celling System and Lighting Fixtures Page 8 of 16 February 1,2006 hangers connected from the fixture to the ceiling system hangers or to the stmcture above. These wires may be slack. Fixtures weighing less than 20 pounds do not require slack wires. [See Diagram 10] Fixtures weighing more than 56 pounds shall be supported independently from the grid system directly from the structure above by approved hangers. J. Ceiling penetrations. Sprinkler heads or other similar ceiling penetrations shall be provided with at least one inch of clearance in all directions surrounding the sprinkler head or extension. The opening shall allow for at least 11nch of lateral movement by the ceiling, in any horizontal direction, without causing damage to the sprinkler head or extension. Where either of the following alternates is used, the opening surrounding the penetration may be reduced to 1/4 inch. 1) Where rigid braces as described in Ceiling area bracing, splay wire altemate above (I D 2 b 2) b)) are used or, 2) If the sprinkler head or other penetration is provided with a listed flexible connector capable of accommodating 1 inch of ceiling movement in all horizontal directions without banning the sprinkler head or other protmsion. [See Diagram 9] . k. Cable trays, electrical conduit, communication cable and other similar installations shall be supported independently from the ceiling. 3. Special Inspection. Special inspections will not be required for suspended ceiling systems installed in compliance with all of the prescriptive standards specified in this guide. II. NEW SUSPENDED CEILINGS • ENGINEERED DESIGN A. General An "engineered design" for a suspended ceiling shall be designed and certified by an architect or engineer, registered in the State of Oregon. Engineered systems shall include support of lighting, mechanical systems or partitions. B. Permit Application The permit application for a suspended ceiling to be installed according to an engineered design shall include three copies of certified drawings and specifications, and one copy of calculations, prepared by an architect or engineer IBC/25/#2 installation Standards for Suspended Ceiling System and Lighting Fixtures Page 9 of 16 February 1,2006 registered in the State of Oregon. The submittal shall show that the ceiling system's capacity to resist vertical loads and seismic loads in compliance with applicable code chapters and standands; shall identify whether the suspension is light, intermediate, or heavy duty; and shall Identify all connection devices and their allowable capacities. The submittal shall include appropriate substantiating data, manufacturer's data and ICC-ES Evaluation Reports. Ili. Upgrading of Existing Ceilings A. Ceilings without Seismic Bracing Where existing ceilings are without seismic bracing, the ceiling system shall be brought into substantial compliance with current code requirements (Including compression stmts at the center of the splayed wires, attachment of slack wires from light fixtures and air terminals to the stmcture, etc.) when a substantial amount (50% or more) of the ceiling tile is removed, altered or repaired as part of a general space alteration, or if all the celling is removed for washing, painting or replacement. This requirement does not trigger the need for a closure angle as required above in part ID 1 of this guide. These upgrades are not required when: 1. Removing portions of tiles or panels and/or grid to alter ductwori^, sprinkler pipe, etc. 2. Lateral bracing and fixture attachment will not be required when portions of a ceiling are removed only to facilitate the installation of sprinkler piping. B. Ceilings without Compression Struts Where existing ceilings have seismic bracing but do not have compression stmts at the center of the splayed wires, the addition of compression struts will only be required when and where the grid is replaced, altered, raised or lowered. Attachments: The diagrams included with this guide are intended to help clarify for the user some of the requirements specified in the guide. These diagrams are not design or constmction documents and are intended only to illustrate some of the technical aspects of the guide. Updates March 1,1999 edition Replaces Code Guide UBC 47/#1 which replaced Policy & Procedure #=s D-36, D-37 & D-38. IBC/25/#2 Installation Standards for Suspended Ceiling System and Lighting Fixtures Page 10 of 16 February 1,2006 *J.«i(EMBERS»|Th|fi mmmm. CCWPRE5SI0N STRUT *1 '?O.C.MCMWAy SEFiWATE ajiw?r ms. cawjuiTs, ere. SSyjRE KUKGK S TO BUIl»G WE nW^ZE A<?aM DUCmORK AND OT»€l! C3KSSTCEF|T 8Fr*WENMAWRUM€RS SSBBBBSH C£H»i1iRSlOPE HANGERS IF W3f!E THiW1JiaiTCyn.Uf(l6 BOBBaBBBB tMNRUWtERSATiOi'C SUWRT'/»|r^(#1?HA)«3Rft1l^ AT4'ac'c«»i9fff*£»rroc.- 4'j-Q.c (Siraci- Diagram 1: General Installation Requirements IBC/25/#2 Installation Standards for Suspended Ceiling System and Lighting Fixtures Page 11 of 16 February 1,2006 ATTACHED X o UNATTACHED Diagram 2: Typical Ceiling Grid Layout IBC/25/#2 InstaUation Standards for Suspended Ceiling System and Lighting Fixtures Page 12 of 16 February 1,2006 « SCREW sama- Diagram 3: Unattached End of Grid 51 •• S" HAS 2" • Diagram 4: Attached End of Grid BEST COPY iBC/25/#2 installation Standards for Suspended Ceiling System and Lighting Fixtures Page 13 of 16 February 1,2006 7 WAI I WTMNrOFWAll STASUZEB BAR mm r OFWAU TYPICAL 4'CRKS flgOUIREO OHLV AT UNAHK^ED SIDE APPROVED FASTNEB SEE DIO Diagram 5: Perimeter Wires & Stabilizer Bar IBC/25/#2 Installation Standards for Suspended Ceiling System and Lighting Fixtures Page 14 of 16 February 1,2006 ) n O O O O ajpeacacacsacaesscaEacsicai Soffit laterally braced to structure above o o o O n o tts3t=icac=3ac=ae3c=iE3csiajeac Diagram 6: Soffit Detail SEISMIC SEPARATION JOINT PER MANUFACTURER- ^ 0 ^-iTp!.0--f -° > 0 0 k-2"-H 3- Diagram 7: Seismic Separation Joint iBC/25/#2 installation Standards for Suspended Ceiling System and Lighting Fixtures Page 15 of 16 February 1,2006 HANGER MRES mm AWES HAftSERWIKS lIGHIFyclURE siecoce SECTON t)2i Diagrams: Fixture Support BEST COPY iBC/25/#2 installation Standards for Suspended Ceilmg System and LIghtInq Fixtures Page 16 of 16 February 1, 2006 flam. (9'* " • «« • EXPCStSTE CSCSVSTEM Diagram 9: Alternate Sprinkler Penetration araa SYSTEM I Diagram 10: Light Fixture - Less Than 20 Pounds INDUSTRIAL WASTEWATER DISCHARGE PERIVIIT , / SCREENING SURVEY street Address. Email Address PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: {ON REVERSE SIDE CHECK TYPE OF BUSINESS) Check all below that are present at your facility: Acid Cleaning Assembly Automotive Repair Battery Manufacturing Biofuel Manufacturing Biotech Laboratory Bulk Chemical Storage Car Wash Chemical Manufacturing Chemical Purification Dry Cleaning Electrical Component Manufacturing Fertilizer Manufacturing Film / X-ray Processing Food Processing Glass Manufacturing Industrial Laundry Ink Manufacturing Laboratory Machining/Milling Manufacturing Membrane Manufacturing (i.e. water filter membranes) Metal Casting /Forming Metal Fabrication Metal Finishing Electroplating Electroless plating Anodizling Coating (I.e. phosphating) Chemical Etching / Milling Printed Circuit Board Manufacturing Metal Powders Forming Nutritional Supplement/ Vitamin Manufacturing Painting/ Finishing Paint Manufacturing Personal Care Products Manufacturing Pesticide Manufacturing / Packaging Pharmaceutical Manufacturing (including precursors) Porcelain Enameling Power Generation Print Shop Research and Development Rubber Manufacturing Semiconductor Manufacturing Soap / Detergent Manufacturing Waste Treatment / Storage SIC Code(s) (if known): Brief description of business activities (Production/Manufacturing Operations): Description of operations generating wastewater (discharged to sewer, hauled or evaporated): Estimated volume of industrial wastewater to be discharged (gal/ day): List hazardous wastes generated (type/volume): Date operation began/or will begin at this location: Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes No Ifyes, when: Site Contact Title Signature ENCINA W Phone No. .TY, 6200 Avenida Encinas Cartsbad. OA 92011 {760)438^3941 FAX: (760) 476-9852 ^ PLUIVIBING, Develooment Services <^C^ ELECTRICAL, Building Division ^ CJY OF MECHANICAL iess Faraday Avenue r-AOi CDA^^ WORKSHEET 7605022719 V^AKLODAU g.lg www.carlsbadca.gov Project Adciress: Permit No.: Information provided below refers to wortt being done on the above mentioned permit only. This form must be completed and returned to the Buildinq Division before the permit can be issued. Building Dept. Fax: (760) 602-8558 Number of new or reloccAed fixtures, traps, or floor drains ^ New building sewer line? Ves No Number of new roof drains? Install/alter water line? Number of new water heaters? Number of new, relocated or replaced gas outlets? ^ Number of new hose bibs? ^ Tenant Improvement/Remodels: Number of existing Panels Onvolved in this project) Amps per panel Gn this/project) Remodel only - (relocate/add outlets/switches) Ves \/ No New Conttructiont Number of new panels or subpanels? Amps per Panel: Single Phase Number of new amperes Three Phase Number of new amperes_ Three Phase 480 Number of new amperes Number of new furnaces, A/C, or heat pumps? (P New or relocated duct worb? Ves i/^ No Number of new fireplaces? t7 Number of new exhaust fans? I Relocate/install went? \ Number of new exhaust hoods? O Number of new boilers or compressors? Number of HP B-18 Page 1 of 1 Rev. 03/09 SAN DIEGO REGIONAL HAZARDOUS IVIATERIALS QUESTIONNAIRE OFFICE USE ONLY upFP# HV# BP DATE Business Name _ Business Contact ^ Sf. CiMUc^A CA'"' Qz-ffu ^ vA IL City , I . state Zip Cod Zip Code APN# ,, ^ _ Plan File# Project Cpnti ep^sne # ' L The following questions represent the facility's activities, NOT the specific project description. PART I: FiRE DEPARTMENT - HAZARDOUS MATERIALS 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 circjed^DBll^t must contact the Fire Prgjection Agency with jurisdiction prior to plan submittal. Facility's Square Footage (including proposed project): 1^1 f \? Occupancy Rating: _ 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives 2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards 3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. NoneofThese. 4. Flammable Solids 8. Unstable Reactives 12. Radioactives PART il: SAN DiEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH - HAZARDOUS MATERIALS DIVISIONS (HMD): If the answer to anv of the questions is yes, appiicant must contact the County of San Diego Hazardous Materials Division, 5500 Overiand Ave., Suite 110, San Diego, CA 92123. Call (858) 505-6700 prior to the issuance of a building permit. FEES ARE REQUIRED. Project Completion Date: / / Expected Date of Occupancy: /___/__ (far new eewetmotion or romodoling projeete) NO • Is your business listed on the reverse side of this form? (check all that aJply). i-» A i r\ • ^Will your business dispose of Hazardous Substances or Medical Waste i any amount? i Ml U }^ Will your business store or handle Hazardous Substances in quantities i qual to or greater than 55 gallons, 500 pounds • • • • 200 cubic feet, or cardnogens/reproductive toxins in any quantity? Will your business use an existing or install an underground storage tanl|? Will your business store or handle Regulated Substances (CalARP)? Will your business use or install a Hazardous Waste Tank System (Title 62, Article Will your business store petroleum in tanks or containers at your fs :ilH or greater than 1,320 gallons? (Califomia's Aboveground Petroleum Sto agi DEC 2 2 2011 r.ni\iFM • CalARP Exempt I Date Initials • CalARP Required Date Initials • CalARP Complete / Date Initials PART III: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT: If the answer tcrgfiyof the questions below is yes,'applicant must contact the Air Pollution Control District (APCD), 10124 Old Grove Road, San Diego, CA 92131-1649, telephone (858) 586-2600 priorto the issuance ofa building or demolition permit. Note: if the answer to questions 4 or 5 is yes, applicant must also submit an asbestos notification form to the APCD at least 10 vvorking days prior to commencing demolition or renovation, except demolition or renovation of residential structures of four units or less. Contact the APCD for more information. 1. YES NO • • • • • • • • • • Will the subject facility or constmction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the APCD fectsheet at http://www.sdapcd.orQ/info/fects/permits.pdf. and the list of typical equipment requiring an APCD pennit pn the reverse side ofthis fr-om. Contact APCD if you have any questions). (ANSWER ONLY IF QUESTION 1 IS YES) Will the subject fecility be located within 1,000 feet of the outer boundary of a school (K through 12)? (Search the Caiifomia School Directory at http://www.cde.ca.gov/re/sd/ fbr public and private schools or contact the appropriate school district). Has a survey been perfbrmed to determine the presence of Asbestos Confeining Materiais? Will there be renovation that involves handling of any friable asbestos materiais, or disturbing any material that contains non-friable asbestos? Wili there be demblitiqn involving the removal of a load supporting stmctural member? Briefly describe business activities: Briefly describe proposed project: i declare under penalty of perjury that to the best of my knowledge and belief the responses made herein are tme and conect. Name of Owner or Authorized Agent Signature of Owner or Authorized Agent Date FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:. BY: FOR OFFICIAL USE ONLY: DATE: EXEMPURNO FURTHER INFORMATION REQUIREO RELEASED FOR BUILOING PERMn BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY APCD COUNTY-HMD APCD COUNTY-HMD APCD 5^ REVIEW imf J HM-9171 (02/11) County of San Diego - DEH - Hazardous Materials Division > O 00 3! -n cn O D m >