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HomeMy WebLinkAbout2544 CAMPBELL PL; 150; CBC2020-0034; Permit( (7clty of Carlsbad Building Permit Finaled 1I III 11111Commercial Permitl Permit No: CBC2020-0034 Status: Closed - Finaled Applied: 01/29/2020 Issued: 04/09/2020 Finaled Close Out: Print Date: 08/10/2020 Job Address: 2544 CAMPBELL PL, # 150, CARLSBAD, CA 92009-1768 Permit Type: BLDG-Commercial Work Class: Tenant Improvement Parcel #: 2132611800 Track #: Valuation: $631,884.86 Lot #: Occupancy Group: B/S1/A2 Project #: #of Dwelling Units: Plan #: Bedrooms: Construction Type: V-8 Bathrooms: Orig. Plan Check #: Inspector: CRenf Plan Check #: Final Inspection: 08/10/2020 Project Title: Description: ADVANCED DIABETES SUPPLY: 13,586 SF TENANT IMPROVEMENT (11,174 SF OFFICE TO OFFICE/I 2,952 SF WAREHOUSE TO WAREHOUSE) Property Owner: Contractor: SIR CAMPBELL PLACE INC ' . PACIFIC BUILDING GROUP 255 WASHINGTON ST, #300 9752 ASPEN CREEK CT, #STE 100 NEWTON, MA 02458 SAN DIEGO, CA 92126-1082 (858) 652-5088 FEE . AMOUNT BUILDING PERMIT FEE ($2000+) $2,433.00 BUILDING PLAN CHECK FEE (BLDG) . $1,703.10 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL . . $242.00 FIRE A-2 & A-3 Occupancies - TI 1 $628.00 GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION . $175.00 MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL $104.00 PLUMBING BLDG COMMERCIAL NEW/ADDITION/REMODEL $124.00 SB1473 GREEN BUILDING STATE STANDARDS FEE $26.00 STRONG MOTION-COMMERCIAL . ' . $176.93 Total Fees: $5,612.03 Total Payments To Date: $5,612.03 Balance $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively, referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. . . . You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection. fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Building Division Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 1 760-602-2700 1 760-602-8560 f I www.carlsbadca.gov COMMERCIAL Plan Check (City of BUILDING PERMIT __________ Est. Value 63( 't'- Carlsbad APPLICATION PC Deposit f1 17t'3-10 B2 Date / - 29 2.020 2544 CAMPBELL PL Job Address Suite: 150 APN: 2132611800 Tenant Name: ADVANCED DIABETES SUPPLY CT/Project#: Lot #: Occupancy: - B, S-i - Construction Type: V-B Fire Sprinklers: no Air Conditioning: no BRIEF DESCRIPTION OF WORK: SECOND GENERATION TI, SCOPE INCLUDES DEMOLITION, NEW PARTITIONS, NEW LIGHTING AND NEW EXTERIOR PUNCHED OPENINGS WITH ASSOCIATED MECHANICAL AND ELECTRICAL- Addition/New: New SF and Use, ___New SF and Use, Deck SF, Patio Cover SF (not including flatwork) Tenant Improvement: 13,586 SF, Existing Use O FF1 Proposed Use OFf (G5 SF, Existing Use Proposed Use LI Pool/Spa: SF Additional Gas or Electrical Features? LI Solar: KW, _Modules, Mounted, Tilt: Yes / No, RMA: Yes / No, Panel Upgrade: Yes / No 0 Plumbing/Mechanical/Electrical Only: 0 Other: APPLICANT (PRIMARY) PROPERTY OWNER Name: WARE MALCOMB (BRITTANY MONTGOMERY) Name: THE RMR GROUP _BOBBIE PURCELL Address: 3911 SORRENTO VALLEY BLVD, SUITE 120 Address: 3655 NOBEL DRIVE, SUITE 120 City: SAN DIEGO State:CA Zip: 92121 City: SAN DIEGO State: Zip: 92122 Phone: 858.638.7277 Phone: (858) 427-3600 Email: bmontgomery@waremalcomb.com Email: BPURCELL@RMRGROUP.COM DESIGN PROFESSIONAL CONTRACTOR BUSINESS Name: WARE MALCOMB (BRITTANY MONTGOMERY) Name: PACIFIC BUILDING GROUP - ANDRE CHILDERS Address: 3911 SORRENTO VALLEY BLVD, SUITE 120 Address: 9752 ASPEN CREEK CT City: SAN DIEGO State:CA Zip: 92121 City: SAN DIEGO State: CA Zip: 92126 Phone: (858)638-7277X1339 Phone: (858) 552-0600 Email: bmontgomery@waremalcomb.com Email: ACHILDERS@PACIFICBUILDINGGROUP.COM Architect State License: C33185 ( NATHAN DEAN, WARE MALCOMB)State License: Bus. License: F LOS I 2_o1f 9 f/VQ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, rior tcl its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he/she 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}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Buildingccarlsbadca.gov El B-2 Page 1 of 2 Rev. 06/18 .' (OPTION A): WORICERS'COMPENSATION DECLARATION:. I hearby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. cM have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Company Name: Old Republic General Insurance Policy No. A-i Cw-36841 8-16 Expiration Date: 3/1/2021 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to be come subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, Interest and attorney's fees. Cindy JoneL¼% LJAGENT DATE: CONTRACTOR SIGNATURE: (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that lam exempt from Contractor's License Law for the following reason: O I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes 0 No I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): S. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): OWNER SIGNATURE: DAGENT DATE: CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name: Lender's Address: ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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? 0 Yes 0Q No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes IQ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. APPLICANT CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavations over 5,0' deep and demolition or construction of structures over 3 stones in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT SIGNATURE: DATE: 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: BuiIdingccarIsbadca.gov B-2 Page 2 of 2 Rev. 06/18 (OPTiON A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. 0 I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Company Name: Policy No. Expiration Date: O Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to be come subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code, interest and attorney's fees. CONTRACTOR SIGNATURE: DAGENT DATE: (OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: O I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). O I am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes 0 No I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): S. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): OWNER SIGNATURE: DAGENT DATE: CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name: Lender's Address: ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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? 0 Yes NNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes CQ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes CQ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. APPLICANT CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavations over 5,0' deep and demolition or construction of structures over 3 stones in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT SIGNATURE: b2hM4x VkA DATE: 01 - 29 t'>t) 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carIsbadca.gov B-2 Page 2 of 2 Rev. 06/18 Permit Type: BLDG-Commercial Application Date: 01/29/2020 Owner: SIR CAMPBELL PLACE INC Work Class: Tenant Improvement Issue Date: 04/09/2020 Subdivision: Status: Closed - Finaled Expiration Date: 01/11/2021 Address: 2544 CAMPBELL PL, #150 IVR Number: 24494 CARLSBAD, CA 92009-1768 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date - Status BLDG-18 Exterior 131715-2020 Passed Tony Alvarado Complete Lath/Drywall - Checklist Item COMMENTS Passed BLDG-Building Deficiency July 2, 2020: Yes Rough frame and electrical scope of work for two Corredor partition doorways added to existing fire rated envelope and exiting path of travel - approved. Drywall nailing and fire caulking at penetrations (4) qty. through Corridor fire rated area - approved Per photo. 0711312020 0711312020 BLDG-85 T-Bar, Ceiling 132593-2020 Passed Chris Renfro Complete Grids, Overhead Checklist Item COMMENTS Passed BLDG-Building Deficiency . . Yes BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes. BLDG-44 . . . Yes Rough-Ducts-Dampers 0711512020 0711512020 BLDG-34 Rough 132855-2020 Partial Pass Chris Renfro Reinspection Incomplete Electrical Checklist Item COMMENTS Passed BLDG-Building Deficiency Partial pass rough electrical for pharmacy Yes cabinet millwork areas. 0811012020 0811012020 BLDG-Final Inspection 135141-2020 - Passed Chris Renfro Complete Checklist Item COMMENTS . Passed BLDG-Building Deficiency . Yes BLDG-Plumbing Final . Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final . Yes Monday, August 10, 2020 Page 3 of 3 Permit Type: BLDG-Commercial Application Date: 01/29/2020 Owner: SIR CAMPBELL PLACE INC Work Class: Tenant Improvement Issue Date: 04/09/2020 Subdivision: Status: Closed - Finaled Expiration Date: 01/11/2021 Address: 2544 CAMPBELL PL, # 150 IVR Number: 24494 -- CARLSBAD, CA 92009-1768 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status Checklist Item COMMENTS Passed BLDG-Building Deficiency June 5, 2020- Yes overhead inspection above T-bar gnd ceiling areas in kitchen break room area-approved. Scope of work primarily existing equipment With new lighting and hangers. BLDG-14 June 5, 2020- Yes Frame-Steel-Bolting-Welding overhead inspection above T-bar grid (Decks) ceiling areas in kitchen break room area-approved. Scope of work primarily existing equipment With new lighting and hangers. BLDG-24 Rough-Topout June 5, 2020- Yes overhead inspection above T-bar grid ceiling areas in kitchen break room, area-approved. Scope of work primarily existing equipment with new lighting and hangers. BLDG-34 Rough Electrical June 5, 2020- ' Yes overhead inspection above T-bar grid ceiling areas in kitchen break room area-approved. Scope of work primarily existing equipment With new lighting and hangers. BLDG-44 June 5, 2020- . Yes Rough-Ducts-Dampers overhead inspection above T-bar grid ceiling areas in kitchen break room area-approved. Scope of work primarily existing equipment with new lighting add hangers. 06112/2020 0611212020 BLDG-85 1-Bar, Ceiling 129995-2020 Passed ( Tony Alvarado Complete - Grids, Overhead -. Checklist Item COMMENTS Passed BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 07/0212020 07102/2020 BLDG-14 131713.2020 Passed Tony Alvarado Complete Frame/Stool/Bolting/We L _Jding(Dcks) _____ __________________________••j Checklist Item COMMENTS Passed BLDG-Building Deficiency July 2, 2020: Yes Rough frame and electrical scope of work for two Corredor partition doorways added to existing fire rated envelope and exiting path of travel - approved. Drywall nailing and fire caulking at penetrations (4) qty. througti Corridor fire rated area - approved Per photo. Monday, August 10, 2020 Page 2 of 3 Building Permit Inspection History Finaled city of Carlsbad Permit Type: BLDG-Commercial Application Date: 01/29/2020 Owner; SIR CAMPBELL PLACE INC Work Class: Tenant Improvement Issue Date: 04/09/2020 Subdivision: Status: Closed - Finaled Expiration Date: 01/11/2021 Address: 2544 CAMPBELL PL, #150 IVR Number: 24494 CARLSBAD, CA 92009-1768 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Dite Start Date Status 05112/2020 0511212020 BLDG-21 1 127202.2020 Passed Chris Renfro Complete UndergroundlUnderfio or Plumbing Checklist Item . COMMENTS Passed BLDG-Building Deficiency Yes 0511512020 05/1512020 BLDG-84 Rough 127657.2020 Passed Tony Alvarado Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 05120/2020 05120I2020 BLDG-17 Interior 128033.2020 Passed Tony Alvarado Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency May 20,.2020: Yes Mechanical ducting rerouted and duct sealant - approved. Drywall nail screw scope of work-approved. 06/0312020 0610312020 BLDG-31 129163-2020 Partial Pass Tony Alvarado Reinspection Incomplete Underground/Conduit- Wiring Checklist Item COMMENTS Passed BLDG-Building Deficiency June 3, 2020-Underground conduit from Yes wall to island location in kitchen for/break room area approved only. OK to cover with concrete. 0610512020 06105/2020 BLDG-85 T-Bar, Ceiling 129469-2020 Passed Tony Alvarado Complete Grids, Overhead Monday, August 10, 2020 Page 1 of 3 1 CBC2O2O-0034 PErj,,qRD ADVANCED DIABETES SUPPLY: 13,586 SF TENANT 2544 CAMPBELL PL #150 CARLSBAD' INSPECTION Building Division IMPROVEMENT (11,174 SF OFFICE TO OFFICE// 2,952 SF IJ INSPECTION RECORD CARD WITH APPROVED WAREHOUSE TO WAREHOUSE) PLANS MUST BE KEPT ON THE JOB l• CALL BEFORE 3:00 Prn FOR NEXT WORK DAY INSPECTION 2132611800 l• FOR BUILDING INSPECTION CALL-760-602-2725 112912020 OR GO TO: www.CarIsbadca.gov/BuiIdi AND CLICK ON "Request Inspection" CB C20 20-0034 ) I - I 'IT.'i Ii If "YES" is.checked below that Division's approval is required prior to requesting a Final Building Inspection. If you have any question For please 760-602-8560, call the applicable divisions at the phone numbers provided below. After all required email to blclgj ectlpns@carlsbadca.gq or bring in a COPY of this card Inspection times or to speak to an Inspector call 760-602-2700 between 7:340am-8:001lm I approvals are signed to: 1635 Faraday the day of off- lax to Ave., Carlsbad. your ins p.'ctlon - Allow )'Z2 hours COPYOFCARD -IF MARKED "YES". APPROVAL REOUIRED PRIOR TO RECILIESTING BUILDING FINAL *-**-... RECUIRED MM - - - I # . M ~== MM Planning/Landscape 760-436-7327 Allow 48 hours - I4M.1I(. (Engineering -I -Inspections) I. .I:I:11 Type of Inspection Type of Inspection - (I.T :1111 uI.)IfJ #11 FOUNDATION Date Inspector . .i.ii1Ul I;1[W #31 D ELECTRIC UNDERGROUND 13 LIFER Date Inspector #12 REINFORCED STEEL #34 ROUGH ELECTRIC/ EVCHARGER #66 MASONRY PRE GROUT #33 0 FIEC SERVICE #3213TEMPORARY 0 GROUT 0 WALL DRAINS #35 PHOTOVOLTAIC #10 TILT PANELS ___________ #38 SIGNS #11 POURSTRIPS BLDG-FINAL #11 COLUMN FOOTINGS Date Inspector #14 SUBFRAME 0 FLOOR 0 CEIUNG ___________ 041 UNDERGROUND DUCTS & PIPING #15 ROOFSHEATHING _________ __________ #44 UCT&PLENUM DREF.PIPflIG4 sFS zo_f,,j #13 EXT. $'EAR PANELS _________ __________ #43 HEAIMRC0NDSYSTEMS #16 INSULATION ___________ ____________ BLDG-FINAL #18 EXTERIOR LATH pLIJ Date Inspector #17 INTERI0R LATH &DRYWALL11(I L2of.2 81 UNDERGROUND(11,12.21,31) BLDG-FINAL _____ 82 tp!WT#184 DRYWALL,EICT LATH, CASTES (17,18,23) Date $EfER & BL/CQ.D PL/CO ç-y. 83 ROOFSHEATING, EXTSHEAR (13,15) #22 FRAME ROUGH COMBO (14,24,34,44) #21 UDERGROUNDWASTE DWIR " #85 T-Bar(14,24,34,44) #24 TOPOIJT OWASTE DWTR _________ BLDG- FINAL OCCUPANCY #27 TUB&SHOWERPAN 11 Date inspector #23 0 GASTEST 0 GAS PIPING __________ ___________ A/S UNDERGROUND VISUAL #25 WATER HEATER - ___________ A/S UNDERGROUND HYDRO #28 SOLAR WATER __________ ___________ A/S UNDERGROUND FLUSH BLDG-FINAL I A/S OVERHEAD VISUAL EPJU Date Inspector #51 POOL EXCAV/STEEL ____________ A/S OVERHEAD HYDROSTATIC A/S FINAL #52 PLUMBING ____________ F/A ROUGH-IN #53 aEC/ CONDUIT/ WIRING ___________ F/AFINAL #54 EQUIPOTENTIAL BOND ___________ FIXED EXTINGUISHIN1 SYSTEM ROUGH-IN 955 PREPLASTER / FENCE! ALARMS ___________ FIXED EXTING SYSTEM HYDROSTATIC TEST 57 GUNITE ___________ FIXED EXTINGUISHING SYSTEM FINAL BLDG- FINAL MEDICALGAS PRESSURETEST I MEDICAP lAS FINAL RFV6!1e cl( MCi. WR cITCIAJ. i.orts Scanned by CamScanner . EsGil A SAFEbuittCornpany DATE: APR. 039 2020 (APPLICANT JURIS. JURISDICTION: CARLSBAD PLAN CHECK #.: CBC2020-0034 SET: II PROJECT ADDRESS: 2544 CAMPBELL PLACE PROJECT NAME: ADVANCED DIABETES SUPPLY.- T.I. The plans transmitted herewith have been corrected where. necessary and substantially comply with the jurisdiction's building codes. El 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. 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 until corrected plans are submitted for recheck. . The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. LI The applicant's copy of the check list has been sent to: EsGilstaff did not advise the applicant that the plan check has been completed. F-1 EsGil staff did advise the applicant that the plan check has been completed. Person'contacted: Brittany Montgciery Telephone #: 858-638-727T Dontacted: q ((.by: cy) Email: bthontgomerywaremalcomb.com Mall 'Telephone Fax In Pe!son LI rflARI<S: .. '. By: ALl S:1ç)RE Enclosures: VI EsGjI•. 3/16 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 DATE: FEB. 251, 2020 JURISDICTION: CARLSBAD PLAN CHECK #.: CBC2020-0034 EsGV. il A SAFEbulittompany U PLICANT JURIS. SET: I PROJECT ADDRESS: 2544 CAMPBELL PLACE PROJECT NAME: ADVANCED DIABETES SUPPLY - T.I. The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. 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. 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 until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: EsGil staff did not advise the applicant that the plan check has been completed. EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Brittany Montgomery Telephone #: 858-638-7277 Date contacted :y ) Email: bmontqomerv(äwaremalcomb.com Mail Telephone Fax In Person LI REMARKS: By: ALl SADRE, S.E. Enclosures: EsGil 1/30 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 CARLSBAD CBC2020-0034 FEB. 25, 2020 GENERAL PLAN CORRECTION LIST JURISDICTION: CARLSBAD PLAN CHECK #.: CBC2020-0034 PROJECT ADDRESS: 2544 CAMPBELL PLACE SCOPE: T.l.; STORIES = TWO; HEIGHT = NO CHANGE; AREA = 13,586; SPRINKLERS = YES; CONSTRUCTION = V-B; USE = OFFICE/ STORAGE/ ASSEMBLY; OCCUPANCY = B/S1/A2; NO CHANGE IN USE (NO NEED TO JUSTIFY ACTUAL VERSUS ALLOWABLE AREA INCREASES); A2 = 1,932 (1ST FLR.); DATE PLAN RECEIVED BY DATE REVIEW COMPLETED: ESGIL: 1/30 FEB. 25, 2020 REVIEWED BY: ALl SADRE, S.E. 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 disabled access. 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 or other departments. 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. The approval of the plans does not permit the violation of any state, county or city law. GENERAL Please make all corrections, as requested in the correction list. Submit FOUR new complete sets of plans for commercial/industrial projects (THREE sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 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 and the Carlsbad Planning, Engineering and Fire Departments. Bring TWO corrected set of plans and calculations/reports to EsGil, 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 only will not be reviewed by the City Planning; Engineering and Fire Departments until review by EsGil is complete. CARLSBAD CBC2020-0034 FEB. 25, 2020 To facilitate rechecking, please identify, next to each item, the sheet of the plans upon which each correction on this sheet has been made and return this sheet with the revised plans. 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 on the plans. Have changes been made not resulting from this list? E3 Yes U No PLANS Please revise the sheet index to include A4.2. Please label the new door to the exterior, on Sheet A2.I, as per demo plans and add it the door schedule on Sheet A7.1. Please include the existing doors into the corridor with 45-mm. rating, as a part of the one-hour fire barrier, between A2 & B/SI, on Sheet A2.I. Table 508.4. Please complete the information for door E108, on door schedule, as per Sheet A7.I. Please specify where doors E108, E119 & E120, per door schedule, on Sheet A7.I, are called out on the floor plans. Please specify the thickness of the glass in keynote #202, on Sheet A2.1. A reminder that all the (3) doors from the break room on the 1st floor shall be equipped with panic hardware; specify subject to field verification for the existing doors to remain. Section 101 0.1.10. GREEN BUILDING CODE Please reference 2019 on the title of Sheet AO.4. Water reduction. Show on the plans the following maximum fixture flow rates from the table below. Revise general notes, on Sheet AO.4, to match the following, CGC 5.303: MAXIMUM FIXTURE FLOW RATES FIXTURE TYPE IMAXIMUM FLOW RATE Showerheads 11.8 gpm @ 80 psi ACCESSIBILITY Please specify the relocated vending machines in the break room shall be HC accessible. CBC 11 B-228 & 11B-309. Please note on the plans that all the existing site facilities including, parking, ramps, curbs, walks, entrances, restroom facilities, drinking fountains, stairs, etc., are HG accessible subject to field verification. CARLSBAD CBC2020-0034 FEB. 25, 2020 MISCELLANEOUS Please see attached for any P/M/E items. Electrical and energy deign are approved. The jurisdiction has contracted with EsGil, 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 ALl SADRE, S.E. at EsGil. Thank you. PLUMBING AND MECHANICAL COMMENTS PLAN REVIEWER: Connor Reuss SET: I PLUMBING (2019 CALIFORNIA PLUMBING CODE) Plumbing plans comply with the jurisdiction's standards MECHANICAL (2019 CALIFORNIA MECHANICAL CODE) Detail the primary and secondary mechanical condensate waste design: Pipe sizing, required cleanout, routing, and termination areas. CMC 310.0 & CPC 814.0. All new mechanical ventilated units are required to have at minimum a MERV-13 filter within the outside air/return air duct. Please address. CMC 401.2 Clearly specify within the mechanical plans that a duct leakage test will be conducted that complies with CMC 603.10.1 Environmental exhaust duct terminations may be no closer than 3' from a property line or 3' from openings back into the building and 10' from forced air inlets. Revise the duct layout or clearly note on the plans that the exhaust termination will be no closer than 3' to the window and no closer than 10' to a forced air inlet. CMC 502.2.1 Note: If you have any questions regarding this Plumbing and Mechanical plan review list please contact Connor Reuss at (858) 560-1468. To speed the review process, note on this list (or a copy) where the corrected items have been addressed on the plans. CARLSBAD CBC2020-0034 FEB. 25, 2020 [DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: CARLSBAD PLAN CHECK #.: CBC2020-0034 PREPARED BY: ALl SADRE, S.E. DATE: FEB. 24, 2020 BUILDING ADDRESS: 2544 CAMPBELL PLACE BUILDING OCCUPANCY: B/S1/A2; V-B/SPR. BUILDING POR11ON AREA (Sq. FL) Valuation Multiplier Reg. Mod. VALUE ($) T.I. 13586 Air Conditioring Fire Sprinklers TOTAL VALUE 631,884 Jurisdiction Code 1GB JBy Ordinance 1997 USC Building Permit Fee LJ I tI I 1997UBC Plan Check Fee Type of Review: P Complete Review r Structural Only I— Repetitive Fee . FM Repeats V r Other r Hourly 1Hr.@* EsGil Fee I V I $1,581.621 Comments: Sheet 1 of 1 SAN DIEGO REGIONAL I OFFICE USE ONLY LCc ) HAZARDOUS MATERIALS IPLAN RECORD ID#__________________ '_______ -ooq CHECK #i2Q2..O QUESTIONNAIRE BP DATE 1 i OZC Business Name Business Contact Telephone # ADVANCED DIABETES SUPPLY CHRIS PIERSON (760) 579-7411 Project Address City State 2544 CAMPBELL PL,SUITE 150 CARLSBAD CA Zip Code 92009 APN# 213-261-1800 Mailing Address City State Zip Code Plan File# 2544 CAMPBELL PL,SUITE 150 CARLSBAD CA 92009 Project Contact Applicant E-mail Telephone # WARE MALCOMB (BRITTANY MONTGOMERY) bmontgomery@waremalcomb.com 858.638.7277 The following questions represent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT -HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: (not required for projects within the City of San Diego): Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are circled, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: Facility's Square Footage (including proposed project): Explosive or Blasting Agents S. Organic Peroxides 9. Water Reactives 13. Corrosives Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards Flammable/Combustible Liquids 7. Pyrophoncs 11. Highly Toxic or Toxic Materials 15. None of These. Flammable Solids 8. Unstable Reactives 12. Radioactives If the answer to any of the 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: YES NO (for new construction or remodeling projects) 0 I Is your business listed on the reverse side of this form? (check all that apply). 0 IX! Will your business dispose of Hazardous Substances or Medical Waste in any amount? 0 XI Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? 0 IX! Will your business store or handle carcinogens/reproductive toxins in any quantity? 0 IX! Will your business use an existing or install an underground storage tank? 0 I1 Will your business store or handle Regulated Substances (CatARP)? 0 IJ Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? 0 IX! Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). CalARP Exempt Date Initials CalARP Required Date Initials CaIARP Complete Date Initials PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD): Any YES* answer requires a stamp from APCD 10124 Old Grove Road, San Diego, CA 92131 aocdcomo5sdcountv.ca.aov (858) 586-2650). [No stamp required if QI Yes and Q3 Yes Q4-Q6 No]. The following questions are intended to identify the majority of air pollution issues at the planning stage. Projects may require additional measures not identified by these questions. For comprehensive requirements contact APCD. Residences are typically exempt, except - those with more than one building on the property; single buildings with more than four dwelling units; townhomes; condos; mixed-commercial use; deliberate bums; residences forming part of a larger project. rExcludes garages & small outbuildings.] YES NO I 0 Will the project disturb 160 square feet or more of existing building materials? 0 91 Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition. IX! 0 (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance Technician? 0 IX! (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification may be required 10 working days prior to commencing asbestos removal. 0 0 Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet (www.sdaocd.ora/info/facts/oermits.odf) for typical equipment requiring an APCD permit. 0 0 (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school boundary Briefly describe business activities: Briefly describe proposed project: OFFICE & STORAGE TENANT IMPROVEMENT to the best of my knowledge and herein are true and correct. flI2JII2O2dO Name of Owner ôt Authorized FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: FOR OFFICAL USE ONLY: DATE: BY: EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTYHMD* APCD COUNTY-HMD APCD COUNTY-HMD APCD A stamp in this box oniv exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply. LIST OF BUSINESSES WHICH REQUIRE REVIEW AND APPROVAL FROM THE COUNTY OF SAN DIEGO DEPARTMENT OF ENVIRONMENTAL HEALTH - HAZARDOUS MATERIALS DIVISION Check all that apply: AUTOMOTIVE Battery Manufacturing/Recycling Boat Yard Car Wash Dealership Maintenance/Painting Machine Shop 0 Painting Radiator Shop Rental Yard Equipment Repair/Preventive Maintenance Spray Booth Transportation Services Wrecking/Recycling CHEMICAL HANDLING Agricultural supplier/distributor Chemical Manufacturer Chemical Supplier/Distributor Coatings/Adhesive Compressed Gas Supplier/Distributor Dry Cleaning 0 Fiberglass/Resin Application 0 Gas Station Industrial Laundry Laboratory Laboratory Supplier/Distributor Oil and Fuel Bulk Supply Pesticide Operator/Distributor CHEMICAL HANDLING Photographic Processing 0 Pool Supplies/Maintenance Printing/Blue Printing Road Coatings 0 Swimming Pool Toxic Gas Handler Toxic Gas Manufacturer METAL WORKING Anodizing Chemical Milling/Etching Finish-Coating/Painting El Flame Spraying O Foundry Machine Shop-Drilling/Lathes/Mills Metal Plating O Metal Prepping/Chemical Coating Precious Metal Recovery Sand Blasting/Grinding Steel Fabricator Wrought Iron Manufacturing AEROSPACE Aerospace Industry Aircraft Maintenance O Aircraft Manufacturing OTHERS AND MISCELLANEOUS Asphalt Plant Biotechnology/Research Chiropractic Office Co-Generation Plant Dental Clinic/Office Dialysis Center Emergency Generator Frozen Food Processing Facility Hazardous Waste Hauler Hospital/Convalescent Home Laboratory/Biological Lab Medical Clinic/Office Nitrous Oxide (NOr) Control System Pharmaceuticals Public Utility Refrigeration System Rock Quarry Ship Repair/Construction Telecommunications Cell Site Veterinary Clinic/Hospital Wood/Furniture Manufacturing/Refinishing ELECTRONICS Electronic Assembly/Sub-Assembly Electronic Components Manufacturing Printed Circuit Board Manufacturing NOTE: THE ABOVE LIST INCLUDES BUSINESSES, WHICH TYPICALLY USE, STORE, HANDLE, AND DISPOSE OF HAZARDOUS SUBSTANCES. ANY BUSINESS NOT INCLUDED ON THIS LIST, WHICH HANDLES, USES OR DISPOSES OF HAZARDOUS SUBSTANCES MAY STILL REQUIRE HAZARDOUS MATERIALS DIVISION (HMD) REVIEW OF BUSINESS PLANS. FOR MORE INFORMATION CALL (858) 505-6880. LIST OF AIR POLLUTION CONTROL DISTRICT PERMIT CATEGORIES Businesses, which include any of the following operations or equipment, will require clearance from the Air Pollution Control District. CHEMICAL 47—Organic Gas Sterilizers 32— Acid Chemical Milling 33— Can & Coil Manufacturing 44— Evaporators, Dryers & Stills Processing Organic Materials Dry Chemical Mixing & Detergent Spray Towers 35— Bulk Dry Chemicals Storage 55—Chrome Electroplating Tanks COATINGS & ORGANIC SOLVENTS 27— Coating & Painting 37— Plasma Arc & Ceramic Deposition Spray Booths 38—Paint, Stain& Ink Mfg 27—Printing 27— Polyester Resin/Fiberglass Operations METALS 18— Metal Melting Devices 19— Oil Quenching & Salt Baths 32— Hot Dip Galvanizing 39— Precious Metals Refining ORGANIC COMPOUND MARKETING (GASOLINE. ETC) 25—Gasoline & Alcohol Bulk Plants & Terminals Intermediate Refuelers Gasoline & Alcohol Fuel Dispensing 34— Piston Internal - Combustion Engines 13— Boilers & Heaters (1 million BTU/hr or larger) 14—Incinerators & Crematories Bum Out Ovens Core Ovens 20— Gas Turbines, and Turbine Test Cells & Stands 48— Landfill and/or Digester Gas Flares ROCK AND MINERAL Hot Asphalt Batch Plants Rock Drills Screening Operations Sand Rock & Aggregate Plants Concrete Batch, CTB, Concrete Mixers, Mixers & Silos 10— Brick Manufacturing 51 - Aqueous Waste Neutralization 11 - Tire Buffers 17— Brake Debonders 23—Bulk Grain & Dry Chemical Transfer & Storage 45— Rubber Mixers 21 - Waste Disposal & Reclamation Units 36— Grinding Booths & Rooms 40— Asphalt Pavement Heaters 43—Ceramic Slip Casting 41 - Perlite Processing 40— Cooling Towers - Registration Only 91 - Fumigation Operations 56— WWTP (1 million gal/day or larger) & Pump Station FOOD 12— Fish Canneries 12— Smoke Houses 50— Coffee Roasters 35— Bulk Flour & Powered Sugar Storage SOLVENT USE 28—Vapor & Cold Degreasing 30—Solvent & Extract Driers 31 - Dry Cleaning ELECTRONICS OTHER 29— Automated Soldering 01 - Abrasive Blasting Equipment 42— Electronic Component Mfg 03— Asphalt Roofing Kettles & Tankers 46— Reverse Osmosis Membrane Mfg NOTE: OTHER EQUIPMENT NOT LISTED HERE THAT IS CAPABLE OF EMITTING AIR CONTAMINANTS MAY REQUIRE AN AIR POLLUTION CONTROL DISTRICT PERMIT. IF THERE ARE ANY QUESTIONS, CONTACT THE AIR POLLUTION CONTROL DISTRICT AT (858) 586-2600. HM-9171 (08/15) County of San Diego - DEH - Hazardous Materials Division ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT ENOM SCREENING SURVEY WMIMAM 6200 Avenida Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com Date:07°\.2'O' Business Name: ONWRA 17 V1lj1 Street Address: _.?-r0'" 'L 4(Q CU'JVt'sc9cd Email Address: (20 flMC1T 9 C31 PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) Check all below that are present at your facility: o Acid Cleaning o Food Processing o Metal Powders Forming o Assembly o Glass Manufacturing o Nutritional Supplement/Vitamin o Automotive Repair o Industrial Laundry Manufacturing o Battery Manufacturing o Ink Manufacturing o Painting/Finishing o Biofuel Manufacturing o Laboratory o Paint Manufacturing o Biotech Laboratory o Machining/Milling o Personal Care Products o Bulk Chemical Storage o Membrane manufacturing Manufacturing o Car Wash (Le. water filter membranes) o Pesticide Manufacturing/ Packaging o Chemical Manufacturing o Metal Casting/Forming a Pharmaceutical Manufacturing o Chemical Purification o Metal Fabrication (including precursors) o Dental Offices o Metal Finishing o Porcelain Enameling Dental Schools Electroplating o Power Generation Dental Clinics Electroless Plating o Print Shop o Dry Cleaning a Anodizing o Research and Development o Electrical Component Coating (i.e. phosphating) a Rubber Manufacturing Manufacturing Chemical Etching/Milling o Semiconductor Manufacturing o Fertilizer Manufacturing Printed Circuit Board o Soap/Detergent Manufacturing o Film/X-ray Processing Manufacturing o Waste Treatment/Storage New Business? Yes F] NoN3 SIC Code(s) if known: Date operation began/will begin:__________________ Tenant Improvement? Yes W No[] If yes, briefly describe improvement: Description of operations generating wastewater (discharged to sewer, hauled or evaporated): NOCOk at I cD Estimated volume of industrial wastewater to be discharged (gal/ day): N1/I\ List hazardous wastes generated (type/volume):1\i_51\)J Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes 0 Date: No LJ Page 1 of 2 ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT MUM SCREENING SURVEY WMEWATR 6200 Avenida Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com The commercial enterprises listed below are a partial listing of businesses that are exempt from industrial wastewater discharge permitting under normal operating conditions. They are exempt because (a) they discharge no process wastewater (i.e., they only discharge sanitary wastewater with no pollutants exceeding any local limits), and (b) they have no potential to negatively impact the EWPCF or other wastewater treatment plants in the ESS. Any questions regarding exemptions should be referred to EWA Source Control staff. Automobile Detailers Barber/Beauty Shops Business/Sales Offices Cleaning Services Carpet/Upholstery Childcare Facilities Churches Community Centers• Consulting Services Contractors Counseling Services Educational Services (no auto repair/film developing) Financial Institutions/Services Fitness Centers Gas Stations (no car wash/auto repair) Grocery Stores (no film developing). Residential based Businesses Hotels/Motels (no laundry) Laundromats Libraries Medical Offices (no x-ray developing) Mortuaries Museums Nail Salons Nursing Homes Office Buildings (no process flow) Optical Services Pest Control Services (no pesticide repackaging for sale) Pet Boarding/Grooming Facilities Postal Services (no car wash/auto repair) Public Storage Facilities Restaurants/Bars Retail/Wholesale Stores (no auto repair/film developing) Theaters (Movie/Live) CERTIFICATION STATEMENT I certify that the information above is true and correct to the best of my knowledge. Signature: 'Print Name:F0#oV!4 M-MM9 r Facility Contact: _____tA1\ktThJ Title:___________________________________ ENCINA WASTEWATER AUTHORITY 6200 AVEN IDA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852 SourceControI@encinaipa.com Page 2 of 2 Ocity of Carlsbad CLIMATE ACTION PLAN CONSISTENCY CHECKLIST B-50 Development Services Building Division 1635 Faraday Avenue (760) 602-2719 www.carlsbadca.gov PURPOSE This checklist is intended to assist building permit applicants identify which Climate Action Plan (CAP) ordinance requirements apply to their projects. The completed checklist must be included in the building permit application. It may be necessary to supplement the completed checklist with supporting materials, calculations or certifications, to demonstrate full compliance with CAP ordinance requirements. For example, projects that propose or require a performance approach to comply with energy-related measures will need to attach to this checklist separate calculations and documentation as specified by the ordinances. NOTE: The following type of permits are not required to fill out this form •• Patio • Decks I + PME (w/o panel upgrade) + Pool 4 If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required by ordinance, an explanation must be provided to the satisfaction of the Building Official. A Details on CAP ordinance requirements are available on the city's website. A A CAP Building Plan template (form B-55) shall be added to the title page all building plans. This template shall be completed to demonstrate project compliance with the CAP ordinances. Refer to the building application weboacie and download the latest form. Application Information Project Name/Building Permit No.: BP No.: Ci3 C2t0 Oo1J Property Address/APN: 2544 CAMPBELL PL #150, CARLSBAD, CA, 92009 APN: 213-261-1800 Applicant Name/Co.: BRITTANY MONTGOMERY Applicant Address: 3911 SORRENTO VALLEY BLVD. SUITE 120 SAN DIEGO CA 92121 Contact Phone: (858) 638-7277 x 1359 Contact Email: BMONTGOMERY@WAREMALCOMB.COM Contact information of person completing this checklist (if different than above): Name: Contact Phone: Company name/address: Contact Email: Applicant Signature: 11[k7oVJIy Date: B-50 Page 1 of 6 Revised 08/19 City of Carlsbad Climate Action Plan Consistency Checklist. Use the table below to determine which sections of the Ordinance Compliance checklist are applicable to your project. For alterations and additions to existing buildings, iftach Building Building Permit Valuation (BPV) from wot $ Construction Type - - - Complete Section(s) I Notes: A high-rise residential building is 4 or more stories, including a Residential Low-rise High-rise mixed-use building in which at least 20% of its conditioned floor area is residential use 0 New construction 2A, 3A, IB,2B, 4A 3B 4A 0 Additions and alterations: BPV < $60,000 N/A N/A All residential additions and alterations BPV k $60,000 IA 4A 4A 1-2 family dwellings and townhouses with attached garages Electrical service panel upgrade only ' only 'Multi-family dwellings only where interior finishes are removed 0 BPV 21200,000 IA, 4At IB, 4A* and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed E Nonresidential 0 New construction I 1B, 2B, 3B, 4B and 5 O Alterations: Z1BPV ~! $200,000 or additions ~ 1,000 lB 5 square feet BPV 2! $1,000,000 IB, 2B, 5 2! 2,000 sq. ft. new roof addition 2B, 5 Building alterations of ? 75% existing gross floor area 1 B also applies if BPV a $200,000 CAP Ordinance Compliance Checklist Item Check the appropriate boxes, explain all not applicable and exception items, and provide supporting calculations and documentation as necessary. 1. Energy Efficiency Please refer to Carlsbad Municipal Code (CMC) sections 18.21.155 and 18.30.190, and the California Green Building Standards Code (CALGreen) for more information when completing this section. A. 0 Residential addition or alteration? $60,000 building permit valuation. 0 N/A___________________________ See CMC section 18.30.190. 0 Exception: Home energy score a 7 (attach certification) Year Built Single-family Requirements Multi-family Requirements Before 1978 Select one: O Duct sealing 0 Attic insulation 0 Cool roof 0 Attic insulation 1978 and later Select one: O Lighting package 0 Water heating Package Between 1978 and 1991 Select one: O Duct sealing 0 Attic insulation 0 Cool roof 1992 and later Select one: O Lighting package 0 Water heating package B. l] Nonresidentiar new construction or alterations? $200,000 building permit valuation, or additions? 1,000 square feet. 0 N/A___________________________ Updated 8/15/2019 2 City of Carlsbad Climate Action Plan Consistency Checklist See CMC 18.21 .155 and CALGreen Appendix A5, Division A5.2 - Energy Efficiency. A5.203.1.1 Choose one: 0.1 Outdoor lighting 0.2 Warehouse dock seal doors Not installing outdoor lighting, 0.3 Restaurant service water heating (comply with California Energy Code section 140.5, as amended) C1 N/A interior scope only. Occupancy = O A Daylight design PAR 0.5 Exhaust air heat recovery B, S-i, not restaurant A5.203.1.2.1 Choose one as applicable: 0.95 Energy budget 9 .90 Energy budget 0 N/A A5.203.1 .2 tier 1.2. A5.211.1** 0 On-se renewable energy 01 N/A Don't intend to use A5.211.3" Not offered by utility provider, o Green power (if offered by local utility provider, 50% minimum renewable sources) IN N/A A21 i A5.212.1 0 Elevators and escalators ix N/AA5.212.1, not in scope A5.213.1 D Steel framing Cl N/ANo new steel framing, A5.213.1 * Includes hotels/motels and high-rise residential buildings ** For alterations 2! $1,000,000 BPV and affecting >75% existing gross floor area, or alterations that add 2,000 square feet of new roof addition: comply with CMC 18.30.130 instead. 2. Photovoltaic Systems El Residential new construction (for low-rise residential building permit applications submitted after 111120). Refer to 2019 California Energy Code section 150.1(c)14 for requirements. Notes: 1) High-rise residential buildings are subject to nonresidential photovoltaic requirement (213 below) instead. 2) If project includes installation of an electric heat pump water heater pursuant to CMC 18.30.150(B) (high-rise residential) or 18.30.170(B) (low-rise residential), increase system size by .3kWdc if PV offset option is selected. Floor Plan ID (use additional sheets if necessary) CFA #d.u. Calculated kWdct Exception 0 0 0 0 Total System Size: kWdc kWdc = (CFAx.572) / 1,000+ (1.15 x #d.u.) *Formula calculation where CFA = conditional floor area, #du = number of dwellings per plan type If proposed system size is less than calculated size, please explain. [1 Nonresidential new construction or alterations 2$1,000,000 BPV and affecting ?750/6 existing floor area, or addition that increases roof area by ?2,000 square feet. Please refer to CMC section 18.30.130 when completing this section. Note: This section also applies to high-rise residential and hotel/motel buildings. Choose one of the following methods: 0 Gross Floor Area (GFA) Method GFA: 13,586 Mm. System Size: 20.4 kWdc 0 If < 10,000sf. Enter: 5 kWdc IX If 2t 10,000s.f. calculate: 15 kWdc x (GFNI0,000) Round building size factor to nearest tenth, and round system size to nearest whole number. 0 Time- Dependent Valuation Method Updated 8/15/2019 City of Carlsbad Climate Action Plan Consistency Checklist 5. I[Jrransportation Demand Management (TDM): Nonresidential ONLY I An approved Transportation Demand Management (TOM) Plan is required for all nonresidential projects that meet a threshold of employee-generated ADT. City staff will use the table below based on your submitted plans to determine whether or nor your permit requires a TDM plan. If TDM is applicable to your permit, staff will contact the applicant to develop a site-specific TOM plan based on the permit details. Employee ADT Estimation for Various Commercial Uses dill ADT for z Use 10Y0i0IMPJ Office (all)2 20 13 Restaurant 11 11 Retail3 8 4.5 Industrial 4 3.5 Manufacturing 4 3 4 1 Warehousing i Unless otherwise noted, rates estimated from ITE Trip Generation Manual, 10Edition 2 For all office uses, use SANDAG rate of 20 ADTII ,000 sf to calculate employee ADT Retail uses include shopping center, variety store, supermarket, gyms, pharmacy, etc. Other commercial uses may be subject to special consideration Sample calculations: Office: 20,450 sf 1. 20,450 sf/1000 x 20 = 409 Employee ADT Retail: 9,334 sf First 1,000 sf=8ADT 9,334sf- 1,000 sf= 8,334 sf (8,334 sf11,000 x 4.5) + 8 =46 Employee ADT Acknowledgment I acknowledge that the plans submitted may be subject to the City of Casbad's Transportation Demand Management Ordinance. I agree to be contacted should my permit require a TOM plan and understand th tan approved TDM plan is a condition of permit issuance. Applicant Signature: _L(It~1 14"\/\JVT) Date: '29 'l) Person other than Applicant to be con cted for TDM compliance (if applicable): Name (Panted): Phone Number: Email Address: Updated 8/15/2019 : 9590 CHESAPEAKE DR, SUITE 5 SAN DIEGO, CA 92117 : PHONE (619)-474-8548 : FAX (858)-412-3305 H.M. —Pit tLabs,Jac. July 26,2019 RECEIVED Pacific Building Group JAN 29 2020 9752 Aspen Creek Ct. Ste. 150 CITY OF CARLSBAft San Diego, CA 92126 BUILDING DIVISION ATTN: Dan Monda Re: Lab #1697 10 - 2544 Campbell Place, Carlsbad, CA 92009. On July 19th and July 22nd 2019, Kevin Groth, AHERA Building Inspector #ASBBII 00074, and Christian Cardenas, AHERA Building Inspector #ASBBH 00075, with H.M. Pitt Labs, Inc., performed limited directed asbestos sampling of materials inside the locker rooms, conference room, break room, storage room, gym room and outer conference room at 2544 Campbell Place, Carlsbad CA 2009'as\diected by Dan Monda with Pacific Building Group. 'puildingrnateials are identified by the EPA as asbestos containing materials (ACM) when the fiber concentration\of the material is identified as containing asbestos fibers in excess of one percent (>1%). Building materials are identified by Cal/OSHA as asbestos containing construction merials (ACCM) as ving greater than 0.1% by weight. Building materials found to contain asbestos, which wilLbej disturbed, must be abated prior to demolition by a DOSH licensed Asbestos a1teent contra/c'—tor. Any building materials homogeneous to identified asbestos containing mteria1s must b cnsidered asbestos containing. Aslièstos Contlinin! Materials: This limited sampling did NOT detect asbestos containing materials/building components in the samples that were collected and analyzed. Attached are the lab certification, technician certification, floor plans, and bulk asbestos analysis. If you need additional information or clarification, please call (619) 474-8548. Sincerely, Christian Cardenas AHERA Building Inspector #ASBBII00075 H.M. Pitt Labs, Inc. Kevin Groth AHERA Building Inspector #ASBBII00074 H.M. Pitt Labs, Inc. S S S S • S • S S S S S S S S S S • S • S • S • • S • S CUtDZO =0 00 3I ELIELTIFG PARTITION TO REMAIN NOTE' ALL EXISTING TO REMAIN INDICATED BY SOLID USE C===3 SKEITIHO PARTITION TO DEMOLISH - i I I - NOM' ALL EXISTING TODEMOUS INDICATED BY DASHED GRAY LINE A ..UIL.. EXISTING 000IITO BE REMOVED Fi -iuJw.r T7. w1Ff1 - U I C] I o1 =3 ° - E EXISTING ITEM TO REMAIN -n-.,-- IL - )I 1' II)i j 'M y NOT IN SOME DEMOLITION KEYNOTES Fil DEMO ENTIRE EXISTING LOCKER ROOMS INCLEIDIPID PARTITIONS. CLO. LID.. FLOORING. RECYCLE MATERIALS PER CAL GREEN REQUIREMENTS. CAP OAF ALL ELECTRICAL AND PLUMBING. SPACE TO BE FUTURE TENANT SPACE. --H----H------+----< r IAIflF -- - - - I RFMOAEUUEIEARACCSTIC*LUTNVIIINRFROMFJ.ISTNGCONFERENCE ROOM REMOVE ALLSISEL ANOFRUEISO IEAOERSISCFFITETO ALLOW FOR I CONTEUUOUGCLG. 0 - . . . ] •3 ________ ,. REMOVE ALL FLOORINO.WAUL, BASE.WUL MOUNTED EOUPMENT. DANK OWL TS.CELINO.A1IOUGIIT FIXTURES. _Q) 1±1 PATCH ANDPREP WALLS FOR PAINT. 0-11 REMOVE RT EXTERIOR VNNDOWBTO OPEN WALL FOR NEW OVERIIEA0DOOR. -' IF.L ' 1 I DEMOLITION GENERAL NOTES rA -. REPEl TOIDG.2,GENERALNOTESPORAOCmCNALINFORMATION. 1 I . BEMOALLEL TIAGWALLCOWRING.SIEMCOATWALLLSELLSAS NEEDED. YERAYWmI OWNER EM STORAGEOR OISFOSALOF ANY REUSABLE MATERIALS. SEE -- - - AA-1 - I&..J- I ZYPRTGUNERALNOTESFORAOCITIONALREDJIREMEJIIS. -.0 3 NETH000POEBINS REMOIALTO BE APPROVED BY THE DJLOIIIOOWNER. I . I I 4 IWOTEC1ALL EXTERIOR CLASTI000RS AS REWIRED OIIRING DEMEJITON. NOTIFY OWNER OFANYREQUIREDREPMRSIDAMAGE. I S REMOVE ALL lION-REQUIRED ELECTRICAL. TEL.GRTAAND RELATED Q I CABUNGIECUEIITAT AREAS OF DEMOLITION. (IICLLEING ALL PATCH PMELS, R.W.000 BACKBOARDS AND SECURITY EQUIPMENT) PATCH WELLS TOMATCH ADMCEMT FRESH. BLANK COAER PLATES WILL NOT BE ACCEPTED. 5JISTFLODR LOCKER DEMOLITION IN.AII 2 ISYFLOOR LOBBY DETITOUTION PLAN N REMOVE EXISTING BASE INARSABOF FLOON DEMO. GE. TO CLEAN ALL GLUE FROM '., WALLS. PATCft REPAIR A PAINT WALLS TO REMAIN. 7 REMOVE EXISTING THERMOSTAT(S) IN AREAS CA DENOUTIOU RE REGUIRED N COORDINATE AU.ELECIRCALOEUO WITH ELECTRICAL ENGINEERED PLANS.REMOV ALL EAISTINGSMTCHIIIO TNST IS NOTWIUZED IN NEWPLAN. DC. TO PATCH AND REPAIR REQIERED. V CLEAR AU. AREAS TO UIIE NEW CONDITION PRIOR TO OEJVERYOF TENANT SPACE. SE. PATCH EXISTING HOLES. ETC. AT ALL LUSTING PARTITIONS. PREP IWR NEW FINISH! SKIM COAT. II. REMOVE MEQUANICALSUFPLYIRElURN OWLLSAS REQUIRED. SAVE FORPOSSIBLE IEIAN. b.J t'J 0 July 26, 2019 Page 3 Lab Certification United States Department of Commerce National Institute of Standards and Technology Certificate of Accreditation to ISO/IEC 17025:2005 NVLAP LAB CODE: 2005910 H.M. Pitt Labs Inc. San Diego, CA is accredited by the National VoluntatyLaboratoiy Accreditation Program for specific services, listed on the Scope of Accreditation. for Asbestos Fiber Analysis This laboratory is accredited in accordance with the recognized International Stànda,vi ISOIlEC 17025:2005. This accreditation demonstrates technical competence fore defined scope and the Operation of laboratory quality management system (refer to joint ISO-ILAC-lAF Communique dated January 2009). 2018-10.01 thmug20I909.3O Effacth'e Dates \ tJ / For ft AttkW VaSt Accreditation P109mm July 26, 2019 Page 4 Technician Certification Cer O .q if.'rajzing I ®r Hu toapisiud tbe -b.ir AHERA I h.buipsdS! UT1I ii approved by Tb. Calf.ri&. Dh1i I S.fy aid U..Itb as Jews ______ Cal-OSHAC.. .mbq5-I4I45 4qiAftTscAode" A. !ffill y-r -.i.-- - ,-• •••• •.., .-•.--- '.- C'ertificate..of Training Cbri,U.n Card,us LutFaáiSN: 122 flopkbd the 34-beer AHIRA I. ilfiag Iaip.cr C..rs.aiappreeed by. Tb. Cariferils D[vW= O1QVpPatiDIS1 S.f.*v and Reelib ON ha. 40 tbii4ue',2oI9 I . Ca AC.. sA('bMbifCA-O4145 A.Mt c .smisiiijr*te w,der)4Z4 ddell -490- ~ ___aeLIb .__- ... • ______ TriiiOict.i' - '. IIJ.PIkI ii' -: (I47I&40 Cetdllcsts I A.SEBU 00073 - •-.-._-- erA -.--.---- H.M. Pitt Labs, Inc. Lab Number: 169710-237971 9590 Chesapeake Dr - Ste 5 San Diego, CA 92123 Tel: 619-474-8548 Fax: 858-412-3305 Company: Pacific Building Group 9752 Aspen Creek Ct. Ste. 150 San Diego, CA 92126 Date Entered: 07/2312019 Analyzed By: Tisha Melville Date Analyzed: 07/26/19 Customer P0! Claim#: Contract Number: Job Site: 2544 Campbell Place, Carlsbad, CA. 92009 Date Sampled Who Sampled Lab Notes: 07/19/2019 Kevin Groth POLARIZED LIGHT MICROSCOPY ANALYSIS REPORT - EPA-6001R-931116 AND EPA-600!M4-82-020 Analysis Number: 169710-1 Customer Number: 01 Classification: Ceiling tile 2 ft x 4 ft Description: White - Conference Room Results: Non-Asbestos: 75% Cellulose Fibers in Tan Ceiling Tile Analysis Number: 169710-2 Customer Number: 02 Classification: Ceiling tile 2 ft x 4 ft Description: White - Conference Room Results: Non-Asbestos: 75% Cellulose Fibers in Tan Ceiling Tile Analysis Number: 169710-3 Customer Number: 03 Classification: Ceiling tile 2 ft x 4 ft Description: White - Conference Room Results: Non-Asbestos: 70% Cellulose Fibers & < 1% Glass Fibers in Tan Ceiling Tile Analysis Number: 169710.4 Customer Number: 04 Classification: Drywall Description: White - Conference Room Results: Non-Asbestos: Non-Fibrous White Drywall • All samples tested as submitted to the lab. H.M. PITT LABS, INC. does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M. PITT LABS, INC. These test results relate only to the sample(s) identified above. This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. This report shall not be reproduced, except in full, without written approval of H.M. Pitt Labs, Inc. Samples are archived for 90 days from date of receipt and will be disposed of properly following this period. Quantitative value is based on PLM CVES (Calibrated Visual Estimates) with a detection limit of <1%. OAOV~f 10 9411 APPILOVUI BY 5 Datot 01/25/2010 REVIEWED BY:_____________________ LELAND S. PITT, CIH Lee Pitt Page 1 of 14 H.M. Pitt Labs, Inc. Lab Number: 169710-237971 9590 Chesapeake Dr Ste 5 San Diego, CA 92123 Tel: 619-474-8548 Fax: 858-412-3305 Company: Date Entered: 07/23/2019 Pacific Building Group Analyzed By: Tisha Melville 9752 Aspen Creek Ct. Ste. 150 Date Analyzed: 07/26/19 San Diego, CA 92126 Customer P0! Claim#: Contract Number: Job Site: 2544 Campbell Place, Carlsbad, CA. 92009 Date Sampled Who Sampled Lab Notes: 07/19/2019 Kevin Groth POLARIZED LIGHT MICROSCOPY ANALYSIS REPORT - EPA-6001R-931116 AND EPA-600!M4-82-020 Analysis Number: 169710-5 Customer Number: 05 Classification: Drywall Description: White - Conference Room Results: Non-Asbestos: Non-Fibrous White Drywall Analysis Number: 169710-6 Customer Number: 06 Classification: Drywall Description: White - Conference Room Results: Non-Asbestos: Non-Fibrous White Drywall Analysis Number: 169710-7 Customer Number: 07 Classification: Carpet Glue Description: Yellow - Conference Room Results: Non-Asbestos: Non-Fibrous White Glue Analysis Number: 169710-8 Customer Number: 08 Classification: Carpet Glue Description: Yellow - Conference Room Results: Non-Asbestos: 5% Synthetic Fibers in White Glue All samples tested as submitted to the lab. H.M. PITT LABS, INC. does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M. PITT LABS, INC. These test results relate only to the sample(s) identified above. This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. This report shall not be reproduced, except in full, without written approval of H.M. Pitt Labs, Inc. Samples are archived for 90 days from date of receipt and will be disposed of properly following this period. Quantitative value is based on PLM CVES (Calibrated Visual Estimates) with a detection limit of <1%. APPIIOVUI BY DatoIl 07/25/2010 REVIEWED BY: OAfte gQev _____________ LELAND S. PITT, CIH Lee Pitt Page 2of14 k.1I H.M. Pitt Labs. Inc. Lab Number: 169710-237971 9590 Chesapeake Dr Ste 5 San Diego, CA 92123 Tel: 619-474-8548 Fax: 858-412-3305 Company: Date Entered: 07/23/2019 Pacific Building Group Analyzed By: Tisha Melville 9752 Aspen Creek Ct. Ste. 150 Date Analyzed: 07/26/19 San Diego, CA 92126 Customer P0! Claim#: Contract Number: Job Site: 2544 Campbell Place, Carlsbad, CA. 92009 Date Sampled Who Sampled 07/19/2019 Kevin Groth Lab Notes: POLARIZED LIGHT MICROSCOPY ANALYSIS REPORT - EPA-6001R-931116 AND EPA-600!M4-82-020 Analysis Number: 169710-9 Customer Number: 09 Classification: Carpet Glue Description: Yellow - Conference Room Results: A: Non-Asbestos: 90% Synthetic Fibers in Brown Carpet B: Non-Asbestos: Non-Fibrous White Glue Analysis Number: 169710-10 Customer Number: 10 Classification: Cove base mastic Description: Tan - Conference Room (Exit) Results: Non-Asbestos: Non-Fibrous White Cove Base Mastic Analysis Number: 169710-11 Customer Number: 11 Classification: Joint Compound Description: White - Conference Room Results: Non-Asbestos: < 1% Cellulose Fibers in White Joint Compound Analysis Number: 169710-12 Customer Number: 12 Classification: Joint Compound Description: White - Conference Room Results: Non-Asbestos: Non-Fibrous White Joint Compound All samples tested as submitted to the lab. H.M. PITT LABS, INC. does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M. PITT LABS, INC. These test results relate only to the sample(s) identified above. This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. This report shall not be reproduced, except in full, without written approval of H.M. Pitt Labs, Inc. Samples are archived for 90 days from date of receipt and will be disposed of properly following this period. Quantitative value is based on PLM CVES (Calibrated Visual Estimates) with a detection limit of <1%. APPROVIII BY:_ ilateit 01/25/2010 REVIEWED BY:_____________ LELAND S. PITT, CIH Lee Pitt Page 30f14 H.M. Pitt Labs, Inc. Lab Number: 169710-237971 9590 Chesapeake Dr - Ste 5 San Diego, CA 92123 Tel: 619-474-8548 Fax: 858-412-3305 Company: Pacific Building Group 9752 Aspen Creek Ct. Ste. 150 San Diego, CA 92126 Date Entered: 07/23/2019 Analyzed By: Tisha Melville Date Analyzed: 07/26/19 Customer P0! Claim#: Contract Number: Job Site: 2544 Campbell Place, Carlsbad, CA. 92009 Date Sampled Who Sampled Lab Notes: 07/19/2019 Kevin Groth POLARIZED LIGHT MICROSCOPY ANALYSIS REPORT - EPA-600!R-931116 AND EPA-600/M4-82-020 Analysis Number: 169710-13 Customer Number: 13 Classification: Joint Compound Description: White - Conference Room Results: Non-Asbestos: c 1% Cellulose Fibers in White Joint Compound Analysis Number: 169710-14 Customer Number: 14 Classification: Interior Wall Texture Coat Description: White - Conference Room Results: Non-Asbestos: Non-Fibrous White Wall Texture Analysis Number: 169710-15 Customer Number: 15 Classification: Interior Wall Texture Coat Results: Non-Asbestos: Non-Fibrous White Wall Texture Analysis Number: 169710-16 Customer Number: 16 Description: White - Conference Room Classification: Interior Wall Texture Coat Description: White - Conference Room Results: Non-Asbestos: Non-Fibrous White Wall Texture All samples tested as submitted to the lab. H.M. PITT LABS, INC. does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M. PITT LABS, INC. These test results relate only to the sample(s) identified above. This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. This report shall not be reproduced, except in full, without written approval of H.M. Pitt Labs, Inc. Samples are archived for 90 days from date of receipt and will be disposed of properly following this period. Quantitative value is based on PLM CVES (Calibrated Visual Estimates) with a detection limit of <1%. APt'HOVHI BY: Datfilt 01/25/2019 REVIEWED BY: OA4;e 'OG4'>001 ______________________ LELAND S. PITT, CIH Lee Pitt Page 4 of 14 H.M. Pitt Labs, Inc. Lab Number: 169710-237971 9590 Chesapeake Dr - Ste 5 San Diego, CA 92123 Tel: 619-474-8548 Fax: 858-412-3305 4•_. .( Company: Date Entered: 07/23/2019 Pacific Building Group Analyzed By: Tisha Melville 9752 Aspen Creek Ct. Ste. 150 Date Analyzed: 07/26/19 San Diego, CA 92126 Customer P0! Claim#: Contract Number: Job Site: 2544 Campbell Place, Carlsbad, CA. 92009 Date Sampled Who Sampled 07/19/2019 Kevin Groth Lab Notes: POLARIZED LIGHT MICROSCOPY ANALYSIS REPORT - EPA-600!R-93/116 AND EPA-6001M4-82-020 Analysis Number: 169710-17 Customer Number: 17 Classification: Floor tile 12 in x 12 in Description: Beige - Conference Room Results: Non-Asbestos: Non-Fibrous Tan Ceramic Tile Analysis Number: 169710-18 Customer Number: 18 Classification: Floor tile 12 in x 12 in Description: Beige - Conference Room Results: Non-Asbestos: Non-Fibrous Tan Ceramic Tile Analysis Number: 169710-19 Customer Number: 19 Classification: Floor tile 12 in x 12 in Description: Beige - Conference Room Results: Non-Asbestos: Non-Fibrous Tan Ceramic Tile Analysis Number: 169710-20 Customer Number: 20 Classification: Carpet Glue Description: Yellow - Conference Room (Exit) Results: Non-Asbestos: Non-Fibrous Yellow Glue All samples tested as submitted to the lab. H.M. PITT LABS, INC. does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M. PITT LABS, INC. These test results relate only to the sample(s) identified above. This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. This report shall not be reproduced, except in full, without written approval of H.M. Pitt Labs, Inc. Samples are archived for 90 days from date of receipt and will be disposed of properly following this period. Quantitative value is based on PLM CVES (Calibrated Visual Estimates) with a detection limit of <1%. IQ APPROVED BY: Datall 07/25/2010 REVIEWED BY:_____________ LELAND S. PITT, CIII Lee Pitt Page 5of14 It H.M. Pitt Labs. Inc. Lab Number: 169710-237971 9590 Chesapeake Dr - Ste 5 San Diego, CA 92123 Tel: 619-474-8548 Fax: 858-412-3305 Company: Pacific Building Group 9752 Aspen Creek Ct. Ste. 150 San Diego, CA 92126 Date Entered: 07/23/2019 Analyzed By: Tisha Melville Date Analyzed: 07/26/19 Customer P0! Claim#: Contract Number: Job Site: 2544 Campbell Place, Carlsbad, CA. 92009 Date Sampled Who Sampled 07/19/2019 Kevin Groth Lab Notes: POLARIZED LIGHT MICROSCOPY ANALYSIS REPORT - EPA-6001R-931116 AND EPA-600!M4-82-020 Analysis Number: 169710-21 Customer Number: 21 Classification: Carpet Glue Results: Non-Asbestos: c 1% Cellulose Fibers in Yellow/Black Glue Analysis Number: 169710-22 Customer Number: 22 Classification: Carpet Glue Results: Non-Abestos: 1-2% Cellulose Fibers in Yellow Glue Analysis Number: 169710-23 Customer Number: 23 Classification: Drywall Results: Non-Asbestos: Non-Fibrous White Drywall Analysis Number: 169710-24 Customer Number: 24 Classification: Drywall Results: Non-Asbestos: Non-Fibrous White Drywall Description: Yellow - Conference Room Description: Yellow - Conference Room Description: White - Locker Room Description: White - Locker Room All samples tested as submitted to the lab. H.M. PITT LABS, INC. does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M. PITT LABS, INC. These test results relate only to the sample(s) identified above. This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. This report shall not be reproduced, except in full, without written approval of H.M. Pitt Labs, Inc. Samples are archived for 90 days from date of receipt and will be disposed of properly following this period. Quantitative value is based on PLM CVES (Calibrated Visual Estimates) with a detection limit of <1%. APPROVUI BY- Datet 01/25/2019 RE19EWED BY:4 f'G ;~ LELAND S. PITT, CIH Lee Pitt Page 6of14 ., H.M. Pitt Labs, Inc. Lab Number: 169710-237971 9590 Chesapeake Dr Ste 5 San Diego, CA 92123 Tel: 619-474-8548 Fax: 858-412-3305 Company: Pacific Building Group 9752 Aspen Creek Ct. Ste. 150 San Diego, CA 92126 Date Entered: 07/23/2019 Analyzed By: Tisha Melville Date Analyzed: 07/26/19 Customer P0! Claim#: Contract Number: Job Site: 2544 Campbell Place, Carlsbad, CA. 92009 Date Sampled Who Sampled Lab Notes: 07/19/2019 Kevin Groth POLARIZED LIGHT MICROSCOPY ANALYSIS REPORT - EPA-6001R-931116 AND EPA-6001M4-82-020 Analysis Number: 169710-25 Customer Number: 25 Classification: Drywall Description: White - Locker Room Results: Non-Asbestos: Non-Fibrous White Drywall Analysis Number: 169710-26 Customer Number: 26 Classification: Joint Compound Description: White - Locker Room Results: Non-Asbestos: Non-Fibrous White Joint Compound Analysis Number: 169710-27 Customer Number: 27 Classification: Joint Compound Description: White - Locker Room Results: Non-Asbestos: Non-Fibrous White Joint Compound Analysis Number: 169710-28 Customer Number: 28 Classification: Joint Compound Description: White - Locker Room Results: Non-Asbestos: Non-Fibrous White Joint Compound All samples tested as submitted to the lab. H.M. PITT LABS, INC. does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M. PITT LABS, INC. These test results relate only to the sample(s) identified above. This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. This report shall not be reproduced, except in full, without written approval of H.M. Pitt Labs, Inc. Samples are archived for 90 days from date of receipt and will be disposed of properly following this period. Quantitative value is based on PLM CVES (Calibrated Visual Estimates) with a detection limit of <1%. APPROVIII BY:_ Datahl 07/25/2019 REVIEWED BY: OAeCeV'941?1 _____________ LELAND S. PITT, CIH Lee Pitt Page 70f 14 H.M. Pitt Labs, Inc. Lab Number: 169710-237971 9590 Chesapeake Dr - Ste 5 San Diego, CA 92123 Tel: 619-474-8548 Fax: 858-412-3305 Company: Pacific Building Group 9752 Aspen Creek Ct. Ste. 150 San Diego, CA 92126 Date Entered: 07/23/2019 Analyzed By: Tisha Melville Date Analyzed: 07/26/19 Customer P0! Claim#: Contract Number: Job Site: 2544 Campbell Place, Carlsbad, CA. 92009 Date Sampled Who Sampled Lab Notes: 07/19/2019 Kevin Groth POLARIZED LIGHT MICROSCOPY ANALYSIS REPORT - EPA-6001R-931116 AND EPA-600!1110114-82-020 Analysis Number: 169710-29 Customer Number: 29 Classification: Interior Wall Texture Coat Description: White - Locker Room Results: Non-Asbestos: < 1% Cellulose Fibers in White Wall Texture Analysis Number: 169710-30 Customer Number: 30 Classification: Interior Wall Texture Coat Description: White - Locker Room Results: Non-Asbestos: Non-Fibrous White Wall Texture Analysis Number: 169710-31 Customer Number: 31 Classification: Interior Wall Texture Coat Description: White - Locker Room Results: Non-Asbestos: Non-Fibrous White Wall Texture Analysis Number: 169710-32 Customer Number: 32 Classification: Ceiling tile 2 ft x 4 ft Description: White - Locker Room Results: Non-Asbestos: 80% Cellulose Fibers in Tan Ceiling Tile All samples tested as submitted to the lab. H.M. PITT LABS, INC. does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M. PITT LABS, INC. These test results relate only to the sample(s) identified above. This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. This report shall not be reproduced, except in full, without written approval of H.M. Pitt Labs, Inc. Samples are archived for 90 days from date of receipt and will be disposed of properly following this period. Quantitative value is based on PLM CVES (Calibrated Visual Estimates) with a detection limit of <1%. OAOr~1106;~ APPROVUI BY: _ DateiL 01/25/2010 REVIEWED BY:_______________ LELAND S. Pin, CiH Lee Pitt Page 80f 14 It H.M. Pitt Labs, Inc. Lab Number: 169710-237971 9590 Chesapeake Dr - Ste 5 San Diego, CA 92123 Tel: 619-474-8548 Fax: 858-412-3305 Company: Pacific Building Group 9752 Aspen Creek Ct. Ste. 150 San Diego, CA 92126 Date Entered: 07/23/2019 Analyzed By: Tisha Melville Date Analyzed: 07/26/19 Customer P0! Claim#: Contract Number: Job Site: 2544 Campbell Place, Carlsbad, CA. 92009 Date Sampled Who Sampled Lab Notes: 07/19/2019 Kevin Groth POLARIZED LIGHT MICROSCOPY ANALYSIS REPORT - EPA-6001R-931116 AND EPA-600!M4-82-020 Analysis Number: 169710-33 Customer Number: 33 Classification: Ceiling tile 2 ft x 4 ft Description: White - Locker Room Results: Non-Asbestos: 80% Cellulose Fibers in Tan Ceiling Tile Analysis Number: 169710-34 Customer Number: 34 Classification: Ceiling tile 2 ft x 4 ft Description: White - Locker Room Results: Non-Asbestos: 80% Cellulose Fibers in Tan Ceiling Tile Analysis Number: 169710-35 Customer Number: 35 Classification: Ceiling tile 2 ft x 4 ft Description: White - Locker Room Results: Non-Asbestos: 70% Cellulose Fibers & 10% Glass Fibers in Tan Ceiling Tile Analysis Number: 169710-36 Customer Number: 36 Classification: Ceiling tile 2 It x 4 ft Description: White - Locker Room Results: Non-Asbestos: 50% Cellulose Fibers & 30% Glass Fibers in Tan Ceiling Tile • All samples tested as submitted to the lab. H.M. PITT LABS, INC. does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M. PITT LABS, INC. These test results relate only to the sample(s) identified above. This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. This report shall not be reproduced, except in full, without written approval of H.M. Pitt Labs, Inc. Samples are archived for 90 days from date of receipt and will be disposed of properly following this period. Quantitative value is based on PLM CVES (Calibrated Visual Estimates) with a detection limit of <1%. Fw—"~~C OA"Pe 10 9421 API'ROVHI BY:__ DateiL 01/25/2010 REVIEWHI BY:___________________ LELAND S. PITI, CIH Lee Pitt Page 9of14 S H.M. Pitt Labs, Inc. Lab-Number: 169710-237971 9590 Chesapeake Dr Ste 5 San Diego, CA 92123 Tel: 619-474-8548 Fax: 858-412-3305 Company: Pacific Building Group 9752 Aspen Creek Ct. Ste. 150 San Diego, CA 92126 Date Entered: 07/23/2019 Analyzed By: Tisha Melville Date Analyzed: 07/26/19 Customer P0! Claim#: Contract Number: Job Site: 2544 Campbell Place, Carlsbad, CA. 92009 Date Sampled Who Sampled 07/19/2019 Kevin Groth Lab Notes: POLARIZED LIGHT MICROSCOPY ANALYSIS REPORT - EPA-6001R-931116 AND EPA-6001M4-82-020 Analysis Number: 169710-37 Customer Number: 37 Classification: Ceiling tile 2 ft x 4 ft Description: White - Locker Room Results: Non-Asbestos: 50% Cellulose Fibers & 30% Glass Fibers in Tan Ceiling Tile Analysis Number: 169710-38 Customer Number: 38 Classification: Floor tile 12 in x 12 in Description: Brown - Locker Room Floor Tile Results: Non-Asbestos: Non-Fibrous Gray Ceramic Tile Analysis Number: 169710-39 Customer Number: 39 Classification: Floor tile 12 in x 12 in Description: White - Locker Room Floor Tile Results: Non-Asbestos: Non-Fibrous Tan Ceramic Tile Analysis Number: 169710-40 Customer Number: 40 Classification: Floor tile 9 in x 9 in Description: Tan - Locker Room Floor Tile Results: Non-Asbestos: Non-Fibrous Tan Ceramic Tile All samples tested as submitted to the lab. H.M. PITT LABS, INC. does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M. PITT LABS, INC. These test results relate only to the sample(s) identified above. This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. This report shall not be reproduced, except in full, without written approval of H.M. Pitt Labs, Inc. Samples are archived for 90 days from date of receipt and will be disposed of properly following this period. Quantitative value is based on PLM CVES (Calibrated Visual Estimates) with a detection limit of <1%. APP1IOVHI BY:___ IBM 01/25/2019 REVIEWED BY:___________________ LELAND S. PITT, CIH Lee Pitt Page 10 of 14 H.M. Pitt Labs. Inc. Lab Number: 169710-237971 9590 Chesapeake Dr - Ste 5 San Diego, CA 92123 Tel: 619-474-8548 Fax: 858-412-3305 Company: Pacific Building Group 9752 Aspen Creek Ct. Ste. 150 San Diego, CA 92126 Date Entered: 07/23/2019 Analyzed By: Tisha Melville Date Analyzed: 07/26/19 Customer P0! Claim#: Contract Number: Job Site: 2544 Campbell Place, Carlsbad, CA. 92009 Date Sampled Who Sampled 07/19/2019 Kevin Groth Lab Notes: POLARIZED LIGHT MICROSCOPY ANALYSIS REPORT - EPA-6001R-931116 AND EPA-6001M4-82-020 Analysis Number: 169710.41 Customer Number: 41 Classification: Mastics and Glues Description: Black - Locker Room Results: Non-Asbestos: Non-Fibrous Gray Glue Analysis Number: 169710.42 Customer Number: 42 Classification: Gasket materials Description: Brown - Outer Conference Wall Results: Non-Asbestos: Non-Fibrous White Gasket Analysis Number: 169710.43 Customer Number: 43 Classification: Gasket materials Results: Non-Asbestos: Non-Fibrous White Gasket Analysis Number: 169710-44 Customer Number: 44 Description: Brown - Outer Conference Wall Classification: Gasket materials Description: Brown - Outer Conference Wall Results: Non-Asbestos: Non-Fibrous White Gasket All samples tested as submitted to the lab. H.M. PITT LABS, INC. does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M. PITT LABS, INC. These test results relate only to the sample(s) identified above. This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. This report shall not be reproduced, except in full, without written approval of H.M. Pitt Labs, Inc. Samples are archived for 90 days from date of receipt and will be disposed of properly following this period. Quantitative value is based on PLM CVES (Calibrated Visual Estimates) with a detection limit of <1%. APPflOVBY:______________ DatoiL 07/25/2010 REflEWEDBY:4( 10 9411 LELAND S. PITT, cIH Lee Pitt Page 11 of 14 S H.M. Pitt Labs, Inc. Lab Number: 169710-237971 9590 Chesapeake Dr - Ste 5 San Diego, CA 92123 Tel: 619-474-8548 Fax: 858-412-3305 4... d Company: Pacific Building Group 9752 Aspen Creek Ct. Ste. 150 San Diego, CA 92126 Date Entered: 07/23/2019 Analyzed By: Tisha Melville Date Analyzed: 07/26/19 Customer P0! Claim#: Contract Number: Job Site: 2544 Campbell Place, Carlsbad, CA. 92009 Date Sampled Who Sampled Lab Notes: 07/19/2019 Kevin Groth POLARIZED LIGHT MICROSCOPY ANALYSIS REPORT - EPA-6001R-93!116 AND EPA-6001M4-82-020 Analysis Number: 169710.45 Customer Number: 45 Classification: Concrete Wall Description: Brown - Outer Conference Wall Results: Non-Asbestos: Non-Fibrous Gray Concrete Analysis Number: 169710-46 Customer Number: 46 Classification: Concrete Wall Description: Brown - Outer Conference Wall Results: Non-Asbestos: Non-Fibrous Gray Concrete Analysis Number: 169710.47 Customer Number: 47 Classification: Concrete Wall Description: Brown - Outer Conference Wall Results: Non-Asbestos: Non-Fibrous Gray Concrete Analysis Number: 169710-48 Customer Number: 48 Classification: Cove base mastic Description: White-Break Room Results: Non-Asbestos: Non-Fibrous White Cove Base Mastic All samples tested as submitted to the lab. H.M. PITT LABS, INC. does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M. PITT LABS, INC. These test results relate only to the sample(s) identified above. This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. This report shall not be reproduced, except in full, without written approval of H.M. Pitt Labs, Inc. Samples are archived for 90 days from date of receipt and will be disposed of properly following this period. Quantitative value is based on PLM CVES (Calibrated Visual Estimates) with a detection limit of <1%. APPIIOVUIBY: Fo_&G~,F*Datfilt 01/25/2010 RE1flEWED BY- /( 0*9411 LELAND S. PITT, CIH Lee Pitt Page 12 of 14 , H.M. Pitt Labs, Inc. Lab Number: 169710-237971 9590 Chesapeake Dr Ste 5 San Diego, CA 92123 Tel: 619-474-8548 Fax: 858-412-3305 Company: Pacific Building Group 9752 Aspen Creek Ct. Ste. 150 San Diego, CA 92126 Date Entered: 07/23/2019 Analyzed By: Tisha Melville Date Analyzed: 07/26/19 Customer P0! Claim#: Contract Number: Job Site: 2544 Campbell Place, Carlsbad, CA. 92009 Date Sampled Who Sampled Lab Notes: 07/19/2019 Kevin Groth POLARIZED LIGHT MICROSCOPY ANALYSIS REPORT - EPA-600/R-93/116 AND EPA-600!M4-82-020 Analysis Number: 169710.49 Customer Number: 49 Classification: Cove base mastic Description: White Break Room Results: Non-Asbestos: Non-Fibrous White Cove Base Mastic Analysis Number: 169710-50 Customer Number: 50 Classification: Cove base mastic Description: White Office Storage Results: Non-Asbestos: Non-Fibrous White Cove Base Mastic Analysis Number: 169710-51 Customer Number: 51 Classification: Floor tile 12 in x 12 in Description: Beige Storage Room Results: Non-Asbestos: < 1% Cellulose Fibers in Tan Floor Tile Analysis Number: 169710-52 Customer Number: 52 Classification: Floor tile 12 in x 12 in Description: Beige Storage Room Results: Non-Asbestos: c 1% Cellulose Fibers in Tan Floor Tile All samples tested as submitted to the lab. H.M. PITT LABS, INC. does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M. PITT LABS, INC. These test results relate only to the sample(s) identified above. This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. This report shall not be reproduced, except in full, without written approval of H.M. Pitt Labs, Inc. Samples are archived for 90 days from date of receipt and will be disposed of properly following this period. Quantitative value is based on PLM CVES (Calibrated Visual Estimates) with a detection limit of <1%. APPROVUI BY:_______________ B0107/25/2010 REVIEWED BY: 04or-elo'9411 _____________ LELAND S. PITt, CIH Lee Pitt Page 13 of 14 I.•.i H.M. Pitt Labs. Inc. Lab Number: 169710-237971 9590 Chesapeake Dr - Ste 5 San Diego, CA 92123 Tel: 619-474-8548 Fax: 858-412-3305 4 Company: Date Entered: 07/23/2019 Pacific Building Group Analyzed By: Tisha Melville 9752 Aspen Creek Ct. Ste. 150 Date Analyzed: 07/26/19 San Diego, CA 92126 Customer P0! Claim#: Contract Number: Job Site: 2544 Campbell Place, Carlsbad, CA. 92009 Date Sampled Who SamPled Lab Notes: 07/19/2019 Kevin Groth POLARIZED LIGHT MICROSCOPY ANALYSIS REPORT - EPA-6001R-931116 AND EPA-600!M4-82-020 Analysis Number: 169710-53 Customer Number: 53 Classification: Floor tile 12 in x 12 in Description: Beige Storage Room Results: Non-Asbestos: Non-Fibrous Tan Floor Tile Analysis Number: 169710-54 Customer Number: 54 Classification: Cove base mastic Description: Brown Exercise Room Results: Non-Asbestos: Non-Fibrous White Cove Base Mastic Analysis Number: 169710-55 Customer Number: 55 Classification: Cove base mastic Description: Brown Exercise Room Results: Non-Asbestos: Non-Fibrous White Cove Base Mastic Analysis Number: 169710-56 Customer Number: 56 Classification: Cove base mastic Description: Brown Exercise Room Results: Non-Asbestos: Non-Fibrous White Cove Base Mastic • All samples tested as submitted to the lab. H.M. PITT LABS, INC. does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M. PITT LABS, INC. These test results relate only to the sample(s) identified above. This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. This report shall not be reproduced, except in full, without written approval of H.M. Pitt Labs, Inc. Samples are archived for 90 days from date of receipt and will be disposed of properly following this period. Quantitative value is based on PLM CVES (Calibrated Visual Estimates) with a detection limit of <1%. APPROVED BY: Datot 01/25/2010 REVIEWED BY:_____________ LELAND S. PITT, CIH Lee Pitt Page 14 of 14 PERMIT REPORT r(c ity of Carlsbad Permit No: PREV2020-0071 CARLSBAD, CA 92009-1768 Status: Closed - Finaled Work Class: Commercial PermitRevisi Track #: Applied: 05/07/2020 Lot #: Issued: 06/01/2020 Project #: Finaled Close Out: 08/11/2020 Plan #: Construction Type :V-B Orig. Plan Check #: CBC2020-0034 Inspector: Plan Check #: Final Inspection: Print Date: 08/11/2020 Job Address:•• 2544 CAMPBELL PL, # 150, Permit Type: BLDG-Permit Revision Parcel #: 2132611800 Valuation: $ 0.00 Occupancy Group: B/S1/A2 #of Dwelling Units: Bedrooms: Bathrooms: Project Title: Description: ADVANCED DIABETES SUPPLY: CHANGES TO ARCHITECTURAL PLANS Property Owner: Contractor: SIR CAMPBELL PLACE INC PACIFIC BUILDING GROUP 255 WASHINGTON ST. #300 97S2 ASPEN CREEK CT, #STE 100 NEWTON, MA 02458 SAN DIEGO, CA 92126-1082 (858) 652-5088 FEE AMOUNT BUILDING PLAN CHECK REVISION ADMIN FEE' $35.00 MANUAL BLDG PLAN CHECK FEE - $300.00 Total Fees: $ 335.00 1 Total Payments To Date: $ 335.00 Balance Due: $0.00 Building Division Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 1 760-602-2700 1 760-602-8560 f I www.carlsbadca.gov CC*tyof Carlsbad PLAN CHECK REVISION OR DEFERRED SUBMITTAL APPLICATION B-15 Development Services Building Division 1635 Faraday Avenue .760-602-2719 www.carlsbadca.gov Original Plan Check Number CBC2020-0034 Plan Revision Number 702 Project Address 2544 Campbell P1. #150 General Scope of Revision/Deferred Submittal: Reduced scope of work. Removed build out of offices, phone rooms and conference room in open offices, removed roll-up door. Existing ACT ceiling to remain at break room. CONTACT INFORMATION: Name Brittany Montgomery Phone 858-638-7277 Fax Address 3911 Sorrento Valley Blvd. #120 City San Diego Zip 92121 Email Address bm0ntg0mery@waremalc0mb.com Original plans prepared by an architect or engineer, revisions must be signed & stamped by that person. 1 . Elements revised: lJ Plans LI Calculations LI Soils EJ Energy LI Other 2 Describe revisions in detail 3. List page(s) where each revision is shown Removed build out of phone rooms and conference room at (E) open office 110. Existing lighting to remain. A2.1, A3.1, A4.1 Removed build out of offices at open office 113. Existing ACT ceiling and lighting to remain. A2.1, A3.1, A4.1, A5.1 Removed interior/exterior roll-up door at break room 118. A2.1, A6.1, A7.1 Existing ACT ceiling and lighting to remain at break room 118. A4.1, AD.3 Does this revision, in any way, alter the exterior of the project? .LI Yes Eli No Does this revision add ANY new floor area(s)? LI Yes • No Does this revision affect any fire related issues? LI Yes U No Is this a complete set? Wil Yes LI No 5Signature_i.tttt 7i YicX) Date 05-04-2020 1635 Faraday Avenue, Carlsbao, CA 92008 X. 760-602- 2719 E: 760-602-8558 Email: building@carlsbadca.gov wcadsbaov EsGil / A SAFEbuilt Company / DATE: MAY 14, 2020 APPLICANT /0 JURIS. JURISDICTION: CARLSBAD ( PLAN CHECK #.: CBC2020-0034 (REV.-1) - PREV2020-0071 - SET: I PROJECT ADDRESS: 2544 CAMPBELL PLACE, #150 PROJECT NAME: ADVANCED DIABETES SUPPLY The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. Lj 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. EJ 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 until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. . The applicant's copy of the check list has been sent to: EsGil staff did not advise the applicant that the plan check has been completed. E EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted:511L2( ji1/'- Email: Mail Telephone Fax In Person FEMARKS: The owner's revisions are under this permit to reduce the scope of work. Selected sheets are impacted. Replacement sets are submitted for review & approval. By: ALl SADRE S.E. Enclosures: EsGil 5/11 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 CARLSBAD CBC2020-0034 (REV.-1) - PREV2020-0071 SET: I MAY 149 2020 (DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: CARLSBAD PLAN CHECK #.: CBC2020-0034 (REV.-1) - PREV2020-0071 PREPARED BY: ALl SADRE S.E. DATE: MAY 14, 2020 BUILDING ADDRESS: 2544 CAMPBELL PLACE, #150 BUILDING OCCUPANCY:• B/S1/A2; V-B/SPR. BUILDING PORTION AREA (Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) PLAN REV. Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code 1CB By Ordinance 1997 UBC Building Permit Fee [j 1997 UBC Plan Check Fee Type of Review: r Complete Review 1 Structural Oni r Repetitive Fee . r Other Repeats .Hourly EsGil Fee P. V * Based on hourly rate I 21 Hrs. @* $120001 I $240.001 Comments: Sheet 1ofi