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Home My WebLink About2271 COSMOS CT; ; CBC2020-0036; PermitBuilding Permit Finaled (City of Carlsbad Commercial Permit Print Date: 05/19/2021 Job Address: Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: 2271 COSMOS CT, BLDG-Commercial 2130504100 $36,603.37 CARLSBAD, CA 92011-1517 Work Class: Track#: Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Tenant Improvement Permit No: CBC2020-0036 Status: Applied: Issued: Finaled Close Out: Inspector: Final Inspection: Closed -Finaled 01/30/2020 06/11/2020 PBurn 08/20/2020 Description: CAPNOGRAPHY LAB (PHILIPS): 787 SF T.I. LAB TO LAB AND UPDATE ADA STALLS Property Owner: KOCH INVESTMENTS LP PO BOX 23166 LOS ANGELES, CA 90023-0166 (213) 627-3617 FEE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL FIRE A-2 & A-3 Occupancies -Tl FIRE Gas Systems (Med Gas, Industrial Gas, LPG) FIRE Haz Mat Storage Chem Class 10-25 Chems MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL 581473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $2,450.01 Total Payments To Date: $2,450.01 Contractor: LCS CONSTRUCTORS INC -INACTIVE 15205 ALTON PKWY IRVINE, CA 92618-2360 (949) 870-4500 Balance Due: AMOUNT $322.80 $225.96 $43.00 $628.00 $417.00 $756.00 $45.00 $2.00 $10.25 $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.11 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 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov ( City of Carlsbad COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check (;8~0-QJ?lo Est. Value J; 3fu)gc13, cJ_J PC Dep::~: _....:./_,_/_'3()_'--'1/d)=-'-=-- Job Address 2.2-71 C.ASMA!S C&uct Suite:..L_APN:2t3'-o ;O-JJ~oa Tenant Name: rli.hf,s CT/Projlct #:. ___ ,--_____ Lot#: ___ _ Occupancy: rJ2, Construction Type: 7ZT--A Fire Sprinklers:8/ no Air Conditioning:@/ no BRIEF DESCRIPTION oF woRK: ]U'SF. Loh ouu,-/.,/46.A ~ dd /6c...-tl.r:iJ 6 foJJp "tv 6,k u o D Addition/New: ___________ New SF and Use, ___________ ,New SF and Use, ____ Deck SF, ____ Patio Cover SF (not including flatwork) liJ:Tenant Improvement: J 31--SF, Existing Use (J:-}LAB Proposed Use (Q)l4t'\ _____ SF, Existing Use ______ Proposed Use ______ _ 0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _ D Solar: ___ KW, __ Modules, ___ Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No ~ Plumbing/Mechanical/Electrical Only: _________________________ _ tlcl Other: 6i fe.-: //fgral,,, lee /Ill -& floB '&" l 3: To to V APPLICANTZMAR~ • Name: Ar-✓ Y/,l'.2:U Address: {Sp[$ All,,,v ~ 1 #./2-5 City: [(VJK'.\&:: State:-=....__.Zip: '} Z...hl Z Phone: ~ I/ ):tJ._-':i2-I~ Email: 0: ~wti, r,/(¢qccJ, ·CA'1row DESIGN PROFESSIONAL Name: --P./,er: &acOS Address: ISl,I!, A-He,,.,, ~a p i#/2..'5 City: Vt',;,, e State:C-2] Zip: 9Z61 f: Phone: L2!UJ~i-!;22-11. Email: ZcrJ;[{§fwJ,,;,+r;,so,rcl.,.gpJf,y Architect State License: .,,C..:-:;;...,3..,2."""'0""9"'/,.,_ ____ _ PROPERTY O~NER~ Name: J.u/t-l,, p Address: 10()0 f>. ~,__, , '"'"~~ .... ,LJl ·-~, Phone: qt . 2-0 ·;z.,5 Email: ~~'l· ,:11 ,.,-- CONTRACTOR BUSINESS Name: LC--f:: Address: If• ,; {-}f fDtv Yc-w 1 · City: J:N,'.y,< Staie: cA' Zip: 2'Z-bl'3 Phone: (9 Y, ) 'b19 -11 5oO Email: R-.tr,;, /u,§@ /c..s lob .ca l'Y"r , State Llcense::5-b':\t!Ol?9, Bus. License: ~~-() (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demollsh or repair any structure, prior to 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.S 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 B-2 Ph: 760-602-2719 Fax: 760-602-8558 Page 1 of 2 Email: Building@carlsbadca.gov Rev. 06/18 ( OPTION A): WORKERS'COMPENSATION DEClARATION: I h,arby affirm under p,,natty of p,,r}ury 11111: of IM following declarations: 0 I have and wHI m11ntaln • certificate of consent to self-Insure for workers' com1•111atlon pl'O\llded by Section 3700 ofth• Labor Code, for the performance of the --lhllpermltk-. lJ I have and wHI maintain wot1cer' • compensation. u required by Section 3700 of the: Labor Code, for the performance of the work for which thn permit Is Issued. Mvwomrs"compenlltlonlnsurancetlfflerandpokynumbtrarr. lmurance Com~ Name: Insurance Company of the West Polk:yNo. UWSQ5Q5119QQQ fJIPfrationDIIU: 10/27/2020 a Certtflc:ate of Exemption: J Qrt1fY that In the parfonnance Gf the work: for which this permit 1, llsued, I shall not employ any per.son In any manner so as to be come subject to the workert compehSl1ton LIWS ot Caftfomla. WAININ8: Failure to MCUl'tl worller1 com,.,_tknl cover .. • ls Wllawful, and lhell 11111fect an llmployer to atmlnal panelttN and dvll nn. up to $100.0DD.DO, In addition the to th• cost of compensation. darnqes as provided fat Ill 5ecdon 3706 of th• labor Code, Interest and 41ltomey'a ,..._ CONTRACTOR SIGNATIJl',;M:e;;;::: /4_ il,,rGENT DATE: ~ /Z.//Z,q,'k,I ( OPTION B ): OWNER-BUILDER DECLARATION: / M,-.by affirm that I am exempt from Cantraaor's Uamse Law for th• Jo/lawing roason: a I, u owner ot the property or my llfflployeN With waps II thalr IOI• compenutlon, wll do the work and the structure II not lntfflded or offered for sale (Sec. 7044, .,._. and Profaslonl Code: Thi Contrtctor'a Uc:enN law don not apply to an owr.r of PfOIMrtY who lKIMs or lmprows thereon, and who does such work hlmHlf orthrouati his own em~ provided that such "'1f)roNml!ntl are not Intended or offef'td for sale. If, however, the bulldfn& or Improvement hi sold within one ynr of completlon, the OWMr~bulder wll haw the burden of provtna that he dkl not build or hprow for the purpon of sale). C I, as owner of the property, am eJU:lustwly contnldlnC with llc.nsed contractors to construct the project (Sac. 7044, lullnNS and Profeulonl. Code: The Contractor'•~ law dou not apptv to an owner of prop.my who bulkls or lmprova thereon, and contrKts for such projects With concractor(s) llctitsed pursuant to the Contractor's lJcenle Law). 0 I am •umpt under SlctJon ~-----'luslne" ind Professions COde for thhi reason: 1. I pam,nalty plan to provide the maJor tabor and mamials for construction of tht proposad property Improvement. C Yu C No 2.1 (have/ have not) ..-cl an appllcatlon for a buUdJns permit far the propolff work. 3. I have contracted with the folowtni person (ftrm) to provtda the proposed construction (lndude name addl'flS / phone / contractorl' llcenn number): 4. I plan to provide portions of the work, but I have hired the follvwlnt person to coordinate, supervise ind provkte the major wot1t (Include n1me / address / phone / contractors' NclftH number): 5. I wNI provide 1ome of the work, but I have contraded (hired) the foUowlna pet'SOfll to provide th1 work Indicated (Include name/ address / phone / type of WO!'k): OWNER SIGNATURE: _________________ □AGENT DATE: _____ _ CONSTRUCTION LENDING AGENCV. IF ANY: I htraby affirm that dtere II I CDNtructfon lendlns 111,v;y for th. performancti 0Uh1 work thlt permit Is Issued (Sec. JOI? (I) Civil Code) . ....,.r'INlme: _________________ Lendlr'IAddl'fll: ________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: 11 the applkant or future buldlnl occupant rciqulred to aubmlU business plan, acutely hlaardaus mJterllls rqlstration form or rtlk mana1ement and prevention l)Rllrlffl .,... Secdonl 25505, l55J3 or 25534 cf the Prffl~T•Mar Hazardous Subltanct AccountAdl O Yu a No t, the •pplicant or fuhn buldlna; occupant required to obtain • permit from th• •Ir pollution conlrof dlstrlct or air quality manqemant district? C Yes CJ No IS the facmtv to be constNc:ted within 1wOOO fut of the outer bound1ry of I school site? 0 Yes CJ No IF AH'I 0, THI AHIWIRSAIII YU,A FINA&. CIIITIFICATI Of' OCCU,ANCY MAY NOTH JSSUED UNLESS THE APl'UCANT HAI MIT Dlt ts MEmNG THE AIQUIIIIMINTI Of THI OFFICE 0, IMlll&INCY S11MC1S ANO THE MR POlLUTION CONTROL DISTRICf. APPLICANT CERTIFICATION: I certffy that I have rnd the applk:aUon and state ttt.t the above Information Is correct end that the Information on the plans b accu,-te. I qree to comply with 1H ctty ordfnlnffl and state laws retatlna to bultdlna awtructlon. I hefebV"tuthorlze ~dthaatyofcartsbad to enter upondwabowmen HARMLESS THE CllYOF CARLS8ADN'iAINST ALL UAIIUTIES, JUDGMENTS, COSTS propertyforlnspedlon purposes. I AlSOAGREETOSAVf., INDEMNIFY AND K£EP NSE5 WHICH MAY IN /INY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF 5'0' deep and demoltlon orconmvctlon ofsttucturescwer J slor1es In hefaht. THE GIWfflNG Of THIS PERl'dl .0SHA: An OSHA pffmlt II Ired for EXl'lRATION:Ewfypermlt,_by"1ellUlld"110ffldll by such pennlt II not canmenced wtthln 180 days fwm after the work Is commenced for• pariod of 19J days 1635 Faraday Ave Carlsbad, CA 92008 B-2 Codi shall ..,_ by Rmltadon and become nul and YOld lftha buldlnl or work authorbad lftheblJld~ orworkauthorlzff byltlCh permit 11-.,.ndtd or abandoned at any tfmt Codel. Ph: 760-602-2719 Fax: 760-602-8558 Page 2 012 Email: Building@carlsbadca.gov Rev.06/18 . PERMIT INSPECTIQN HISTORY t:or (CBC2020-0036) Application Date: 01/30/2020 Owner: KOCH INVESTMENTS LP Permit Type: BLDG-Commercial Work Class: Tenant Improvement Issue Date: 06/11/2020 Subdivision: PARCEL MAP NO 11589 Status: Closed -Finaled Expiration Date: 06/11/2021 IVR Number: 24527 Address: 2271 COSMOS CT CARLSBAD, CA 92011-1517 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Checklist Item BLDG-Building Deficiency BLDG-14 Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout BLDG-34 Rough Electrical BLDG-44 Rough-Ducts-Dampers COMMENTS 07/27/2020 07/27/2020 BLDG-Final Inspection 133891-2020 Wednesday, May 19, 2021 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Status Failed Passed No No No No No Paul Burnette Reinspection Incomplete Passed No No No No No Page 2 of 2 Building Permit Inspection History Finaled (city of Carlsbad ---"'""" h t ~ h :::;h s: 1" if- ,:j:>ER,MIT It,1SeECTION;lil~T0~'¥:for (CBC2020-0Q36) _ _ "'4 Permit Type: BLDG-Commercial Application Date: 01/30/2020 Owner: KOCH INVESTMENTS LP Work Class: Tenant Improvement Issue Date: 06/11/2020 Subdivision: PARCEL MAP NO 11589 Status: Closed -Finaled Expiration Date: 06/11/2021 Address: 2271 COSMOS CT IVR Number: 24527 CARLSBAD, CA 92011-1517 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Relnspection Inspection Date Start Date Status 08/20/2020 BLDG-Final Inspection 157752-2021 Passed Paul Burnette Complete Checklist ltern COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes 06/29/2020 06/29/2020 BLDG-84 Rough 131332-2020 Passed Paul Burnette Complete Combo(14,24,34,44) 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 07/13/2020 07/13/2020 BLDG-15 Rool/ReRoof 132620-2020 Partial Pass Mlchael Collins Rolnspection Incomplete (Patio) Checklist Item COMMENTS Passed BLDG-Building Deficiency HVAC roof curbs Yes 07/20/2020 07/20/2020 BLDG-44 133286-2020 Cancelled Paul Burnette Reinspection Incomplete Rough/Ducts/Dampers Checklist Item COMMENTS Passed BLDG-Building Deficiency No 07/23/2020 07/23/2020 BLDG-44 133681-2020 Partial Pass Paul Burnette Relnspectlon Incomplete Rough/Ducts/Dampers Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-85 T-Bar, Celling 133682-2020 Partial Pass Paul .Burnette Reinspectlon Incomplete Grids, Overhead Wednesday, May 19, 2021 Pago 1 of 2 ------··· ----.. .. _. _________ -·. DATE: 5/14/2020 JURISDICTION: Carlsbad PLAN CHECK#.: CBC2020-0036 PROJECT ADDRESS: 2271 Cosmos Ct. ✓• EsG1I A SAF£built Compa'.1y SET: II □iPLICANT / JURIS. PROJECT NAME: Philips Capnograpby Lab Tenant Improvement ~ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: ~ EsGil staff did not advise the applicant that the plan check has been completed. D EsGil staff did advise the applicant that the plan check has been completed. Person contacted:.f.rde Shirazi Telephone#: 949-383-5211 Date contacted: s; I lf/;JJ(byt>!YT) Email: arde@twinsteparch.com Mail Telephone 0 REMARKS: By: Steven Miller EsGil Fax In Person Enclosures: 2/3/2020 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 / . DATE: 2/14/2020 JURISDICTION: Carlsbad PLAN CHECK#.: CBC2020-0036 PROJECT ADDRESS: 2271 Cosmos Ct. ✓• EsG1I SET: I PROJECT NAME: Philips Capnography Lab Tenant Improvement □ PPLICANT JURIS. D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. D 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. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. [gJ The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: D EsGil staff did not advise the applicant that the plan check has been completed. [gJ EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Arde Shirazi Telephone#: 949-383-5211 Date contacted: ~\"1\:0 (by~ ) Email: arde@twinsteparch.com Mail Telephone 0 REMARKS: By: Jason Pasiut EsGil Fax In Person Enclosures: 2/3/2020 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Carlsbad CBC2020-0036 2/14/2020 PLAN REVIEW CORRECTION LIST COMMERCIAL PLAN CHECK#.: CBC2020-0036 OCCUPANCY: B, S-1, A-3 TYPE OF CONSTRUCTION: III-A ALLOWABLE FLOOR AREA: complies SPRINKLERS?: YES REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 1/30/2020 DATE INITIAL PLAN REVIEW COMPLETED: 2/14/2020 FOREWORD (PLEASE READ): JURISDICTION: Carlsbad USE: Office / Lab ACTUAL AREA: 787 STORIES: 2 HEIGHT: unchanged OCCUPANT LOAD: DATE PLANS RECEIVED BY ESGIL CORPORATION: 2/3/2020 PLAN REVIEWER: Jason Pasiut This plan review is limited to the technical requirements contained in the California version of the International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review is based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building permit. Code sections cited are based on the 2019 CBC, which adopts the 2018 IBC. The following items listed need clarification, modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 105.4 of the 2018 International Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. Carlsbad CBC2020-0036 2/14/2020 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: 1. Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602- 2700. The City will route the plans to EsGil and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring "JJt:K)_ 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. BUILDING AND LIFE SAFETY REQUIREMENTS 1. Van accessible spaces shall have the access aisle on the passenger side. 11 B- 502.3.4. Please remove reference to the parking stall sign for "van accessible" which is detail 2 sheet A2.1 at the top-left parking stall in the group. 2. There are a total of 7 accessible stalls proposed. Per 11 B-208.2.4, each group of 6 stalls or fraction of 6 stalls requires 1 van accessible stall. Therefore, please clearly designate 2 van accessible stalls. Preferably 1 stall in the group and the individual stall on the other side of the building. 3. The handrail for the stairs near the individual stall protrudes into the access aisle which is part of the accessible route. Please turn that rail section 90 degrees so ii does not protrude into the access aisle. 11 B-307 .2. 4. Please provide a note on the plans stating that the medical gas system shall be installed by a certified installer and shall be certified prior to service by an independent third-party certification agency approved with the City per section 1302 of the UPC. 5. Detail on the plans how fire-resistive wall and ceiling protection will be maintained at all duct penetrations at the bottom and through the rated roof for this building of Ill-A construction. CBC 717. 6. Provide construction details showing location of fire dampers and how fire resistivity will be maintained at floors and roofs. Section 712. END OF REVIEW To speed up the review process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, note or detail number, calculation page, etc. Carlsbad CBC2020-0036 2/14/2020 Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes. please briefly describe them and where they are located in the plans. Have changes been made to the plans not resulting from this correction list? Please indicate: □ Yes □ No The jurisdiction has contracted with EsGil, 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 Jason Pasiut at Esgil. Thank you. Carlsbad CBC2020-0036 2/14/2020 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Jason Pasiut BUILDING ADDRESS: 2271 Cosmos Ct. BUILDING OCCUPANCY: B, S-1, A-3 BULDING AREA Valuation PORTION (Sq.Fl) Wtiplier Tl 787 46.51 Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance i 1997 UBC Building Permit Fee ..., ',.,l: I 1997 UBC Plan Check F .. .... Type ofRe.;ew: w Complete Review r Repeltive Fee ,. 1 ..., Repeats ! r Comments: r Other r Ho..ty EIIGilFee r Reg. Mod. PLAN CHECK#.: CBC2020-0036 DATE: 2/14/2020 VALUE ($) 36,603 36,603 7 , 1 Structural Only 1--------<]Hr.@ • Sheet 1 of 1 • \ PHILIPS; April 28, 2020 Philips, HRC 2271 Cosmos Court Carlsbad, California 92011 760-918-1050 TO: Carlsbad Fire Department, City of Carlsbad RE: PHILIPS CAPNOGRAPHY LAB, Car1 sbad Permit#: CBC2020-0036, DGA#: C0031 Corrections 1 & 5 Date of Review: 2/10/2020: Dennis Grubb "Philips Capnography Lab" is a research and development company which studies and tests ventilators in order to improve the design and maintain high standards of the equipment. A ventilator is used during and sometimes· after surgery when general anesthesia is given. A ventilator can also be used if the person has a condition that affects normal breathing. "Philips Capnography Lab" is located at 2271 Cosmos Court, in Carlsbad, California. Currently, this work is of upmost importance due to the conditions of the COVID-19 and your assistance in this matter is greatly appreciated. Hazardous Material Storage and Handling: Note the following: MEDICAL GASES-2019 CFC Chapter 53 5306.1 General. Medical gases at health care-related facilities intended for patient or veterinary care shall comply with Sections 5306.2 through 5306.5 in addition to other requirements of this chapter and Section 427 of the California Building Code. 5306.2 Interior supply location. Medical gases shall be located in areas dedicated to the storage of such gases without other storage or uses. Where containers of medical gases in quantities greater than the permit amount are located inside buildings, they shall be in a 1-hour exterior room, a 1-hour interior room or a gas cabinet in accordance with Section 5306.2.1, 5306.2.2 or 5306.2.3, respectively. Rooms or areas where medical gases are stored or used in quantities exceeding the maximum allowable quantity per control area as set forth in Section 5003.1 shall be in accordance with the California Building Code for high-hazard Group H occupancies. "Philips Capnography Lab" is not a hospital or a treatment center. The anesthetic gases and other gases are used for testing medical devices, not on humans. The anesthetic gas is used in small quantities. The quantities of anesthetic gas are minimal with: 20-30 canisters (.5 cubic feel/canister), similar to the size of a small green propane cans in storage. Non-anesthetic Gas in cylinders are also relatively small (7.25 cubic feet) reference the Chemical Classification Disclosure for Hazardous Materials that accompanies the Plans. Even though no gases are classified as Flammable and we are not subject to the Medical Gases conditions, the Company will store the anesthetic gas in a "Fire Rated Cabinet" in accordance with the 2019 CFC, 5003.8.7 Hazardous materials storage cabinets (also we are not in need of an increase in MAO'S). "Philips Capnography Lab" will adhere to the required CFC Code/Regulations for a Compressed Gas and/or as specified by the classification of the gas. Also, the following applies to the "Philips Capnography Lab Project" and the Company is in accordance with conditions of the CFC 2019 Chapter 50, Hazardous Materials General Provisions. Hazardous materials posing a "Health Hazard" in storage and use are below the Maximum Allowable Quantities (MAQ's) and are in accordance with the CFC Chapter 50, Table 5003.1.1 (2&4). Hazardous materials such as Flammable and Combustible liquids posing a "Physical Hazard" in storage and use are below the Maximum Allowable Quantities (MAQ's) and are in accordance with the CFC Chapter 50, Table 5003.1.1 (1&3) Further still an automatic sprinkler system is installed in the entire building. The existing fire sprinkler system is NFPA 13 approved and supervised by a UL certified central station. This includes H20 flow & tamper switches on all control valves. Should you need to contact me I can be reached at 760-505-5646. Respectfully submitted, Rubens A Mu oz Soares Hon M. Lee Real Estate Design & Construction Director Director -Gas Sense Technology Chemical Classification Disclosure for Hazardous Materials Control Room One Prepared For PHILIPS CAPNOGRAPHY LAB 2271 Cosmos Court Carlsbad,Ca CITY OF CARLSBAD FIRE DEPARTMENT APPROVED April 2020 Subject to field Inspection and required notations hereon, condlJons In COll8Spond'::; and conformance with appllc:able ragulatlons. The stamping of then plans sheff not be held to permit or approve lhe vlolallon ot enr lawa, av b .G...,s~ 0a1esl? ,~ A lt"l't, .,, A'-bo "'-S .,_,,,..,.. ,-c. &.....e.._ I: Jl.r S ,-, -~ ~u Li<:, .Oil. s ')>-orA'4._. J..,,._/)/o A. v .S ""I:.... ,1J Prepared By Compliance First, Inc. 1057 E Imperial Hwy Placentia. CA 92870 714.572.4410 WWW .compliancefirst.com Tables of Contents SECTION A CHEMICAL CLASSIFICATION SUMMARY TOTALS SECTION B CHEMICAL SUMMARY SECTIONC CHEMICAL CLASSIFICATION PACKET SECTION A CHEMICAL CLASSIFICATION SUMMARY TOTALS CHEMICAL CLASSIFICATION SUMMARY TOTALS CONTROL ROOM ONE PHILIPS CAPNOGRAPHY LAB -CARLSBAD, CA Note: In a Sprinklered Building -Below MAQ's according to 2019 CFC, Chapter 50. I nert C omnresse dG as -- Location Interior Storage: Exterior Storage: Ooen System Use: Closed System Use: 0 "d". C d G x1 1zmg omnresse as Location Interior Storage: Exterior Storage: Open System Use: Closed System Use: Unstable Reactive 1 .. . -- Location Interior Storage: Exterior Storage: Ooen System Use: Closed System Use: Irritant Location Interior Storage: Exterior Storage: Open System Use: Closed System Use: Other Health Hazards Location Interior Storage: Exterior Stora!!e: Open SYstem Use: Closed System Use: Prepared By: 714-572-4410 Compliance First, Inc. .. ---- -. Ouantitv Maximum Allowable Quantities 95 cu/ft Nm Limited (5003. l. l ( l )"F) 46.25 cu/ft Not Limited (5003.1.1 ( i )"F) -----Ouantitv-. ---------. ·----· Maximum Allowable Ouantities 29 cu/ft 3000 cu/ft (5003.1.1 (I)) )* D) 14.5 cu/ft 3000 cu/ft ( 5003. I. I (I)) .. -----. ---Quantitv Maximum Allowable Quantities 14.50 cu/ft Not Limited (5003.1.1 /I)) )*D) 7.25 cu/ft Not Limited (5003.1.1 (I)) Ouantitv Maximum Allowable Ouantities 22.5 cu/ft Not Rel!Ulated by CFC 10 cu/ft Not Remtlated by CFC Ouantity Maximum Allowable Ouantities 32.5 cu/ft Not Re!!ulated by CFC 15.25 cu/ft Not Regulated by CFC APRIL2020 Page I of! -- - SECTION B CHEMICAL SUMMARY Philips Capnography Lab 2271 Cosmos Court Carlsbad, Ca Chemical Name Hazard Class Inert Compressed Gas Carbon Dioxide Helium Nitrogen Carbon Dioxide (0.0001%- 2.999%) in Nitrogen Carbon Dioxide (3.00% -99.99%) in Nitrogen Enflurane (1.0000% -9.9999%), Carbon Dioxide (3.0000% - 98.9999%) in Nitrogen Desflurane (10.00% -19.99%), Carbon Dioxide (3.0000% - 89.9999%) In Nitrogen Halothane (3.00% -9.99%), Carbon Of oxide (3.0000% - 90.9999%) In Nitrogen lsofiurane (1.00% -19.99%), Carbon Dioxide (3.00% -98.99%) in Nitrogen Sevoflurane (0.1000% - 9.9999%), Carbon Dioxide (3.0000% -99.8999%) In Nitro en TOTAL INERT COMPRESSED GAS Amount Stored 14.50 14.50 14.50 14.50 14.50 4.50 4.50 4.50 4.50 4.50 95 Prepared By: Compliance First, Inc. comply@compliancefirst.com (714)572-4410 -office SUMMARY FORM Unit cu/ft cu/ft cu/ft cu/ft cu/ft cu/ft cu/ft cu/ft cu/ft cu/ft CU/FT o.s. Use 0 0 0 0 0 0 0 0 0 0 0 Unit cu/ft cu/ft cu/ft cu/ft cu/ft cu/ft cu/ft cu/ft cu/ft cu/ft CU/FT APRIL 2020 c.s. Use 7.2S 7.25 7.25 7.25 7.25 2 2 2 2 2 46.25 Unit cu/ft cu/ft cu/ft cu/ft cu/ft cu/ft cu/ft cu/ft cu/ft cu/ft CU/FT CONTROL ROOM ONE Location of Location Storage of Use CONTROL CONTROL ROOM 1 ROOM 1 CONTROL CONTROL ROOM 1 ROOM 1 CONTROL CONTROL ROOM 1 ROOMl CONTROL CONTROL ROOM 1 ROOM 1 CONTROL CONTROL ROOM 1 ROOMl CONTROL CONTROL ROOM 1 ROOMl CONTROL CONTROL ROOM 1 ROOM 1 CONTROL CONTROL ROOM 1 ROOMl CONTROL CONTROL ROOM 1 ROOM 1 CONTROL CONTROL ROOM 1 ROOM 1 Page 1 of 4 Philips Capnography Lab 2271 Cosmos Court Carlsbad, Ca Chemical Name Hazard Class Ox1d1zmg Compressed Gas Oxygen Nitrous Oxide TOTAL OXIDIZING COMPRESSED GAS Hazard Class Unstable Reactive 1 Nitrous Oxide TOTAL UNSTABLE REACTIVE 1 Amount Stored 14.50 14.50 29 14.50 14.50 Prepared By: Compliance First, Inc. comply@compliancefirst.com (714)572-4410 -office SUMMARY FORM Unit cu/ft cu/ft CU/FT cu/ft CU/FT o.s. Use a a 0 a 0 Unit cu/ft cu/ft CU/FT cu/ft CU/FT APRIL 2020 c.s. Use 7.25 7.25 14.5 7.25 7.25 Unit cu/ft cu/ft CU/FT cu/ft CU/FT CONTROL ROOM ONE Location of Location Storage of Use CONTROL ROOM 1 CONTROL ROOM 1 CONTROL ROOMl CONTROL ROOM 1 CONTROL ROOM 1 CONTROL ROOMl Page 2 of 4 Philips Capnography Lab 2271 Cosmos Court Carlsbad, Ca Chemical Name Hazard Class Irritant Enflurane (1.0000% -9.9999%), Carbon Dioxide (3.0000% - 98.9999%) in Nitrogen Desflurane (10.00% -19.99%), Carbon Dioxide (3.0000% - 89.9999%) in Nitrogen Halothane (3.00% -9.99%), Carbon Dioxide (3.0000% - 90.9999%) in Nitrogen lsoflurane (1.00% -19.99%), Carbon Dioxide (3.00% -98.99%) in Nitrogen Sevoflurane (0.1000% - 9.9999%), Carbon Dioxide (3.0000% -99.8999%) in Nitrogen TOTAL IRRITANT Hazard Class Other Health Hazards Desflurane (10.00% -19.99%), Carbon Dioxide (3.0000% - 89.9999%) in Nitrogen Amount Stored 4.50 4.50 4.50 4.50 4.50 22.50 4.50 Prepared By: Compliance First, Inc. comply@compliancefirst.com (714)572-4410 -office SUMMARY FORM Unit cu/ft cu/ft cu/ft cu/ft cu/ft CU/FT cu/ft o.s. Use 0 0 0 0 0 0 0 Unit cu/ft cu/ft cu/ft cu/ft cu/ft CU/FT cu/ft APRIL 2020 c.s. Use 2 2 2 2 2 10 2 Unit cu/ft cu/ft cu/ft cu/ft cu/ft CU/FT cu/ft CONTROL ROOM ONE Location of Location Storage of Use CONTROL ROOM 1 CONTROL ROOM 1 CONTROL ROOM 1 CONTROL ROOMl CONTROL ROOM 1 CONTROL ROOM 1 CONTROL ROOM 1 CONTROL ROOM 1 CONTROL ROOMl CONTROL ROOM 1 CONTROL ROOMl CONTROL ROOM 1 Page 3 of 4 Philips Capnography Lab 2271 Cosmos Court Carlsbad, Ca Chemical Name Halothane (3.00% • 9.99%), Carbon Dioxide (3.0000% • 90.9999%) in Nitrogen lsoflurane (1.00% • 19.99%), Carbon Dioxide (3.00% • 98.99%) in Nitrogen Sevoflurane (0.1000% • 9.9999%), Carbon Dioxide (3.0000% • 99.8999%) in Nitrogen Nitrous Oxide TOTAL OTHER HEALTH HAZARDS Amount Stored 4.50 4.50 4.50 14.50 32.5 Prepared By: Compliance First, Inc. comply@compliancefirst.com (714)572-4410 -office SUMMARY FORM Unit o.s. Unit Use cu/ft 0 cu/ft cu/ft 0 cu/ft cu/ft 0 cu/ft cu/ft 0 cu/ft CU/FT 0 CU/FT APRIL 2020 CONTROL ROOM ONE c.s. Unit Location of Location Use Storage of Use CONTROL CONTROL 2 cu/ft ROOM 1 ROOMl CONTROL CONTROL 2 cu/ft ROOM 1 ROOM 1 cu/ft CONTROL CONTROL 2 ROOM 1 ROOM 1 cu/ft CONTROL CONTROL 7.25 ROOM 1 ROOM 1 15.25 CU/FT Page 4 of 4 SECTION C CHEMICAL CLASSIFICATION PACKET Phflips Capnography Lab 2271 Cosmos Court Carlsbad, Ca COMMON • NAME 1 Carbon Dlox!de 2 Helium ' Nitrogen 4 Nitrous Oxide 5 oxygen CHEMICAL NAM£ Carbon Dioxide Helium Nitrogen Nitrous Q)dde O,cygen Prepared Sy: Compliance First, Inc. comply@compliancefirst.com (714)572-4410-office " CAS# MATERIAL FORM 100 124-38-9 GAS 100 7440-59-7 GAS 100 7727-37-9 GAS 10024-97-100 GAS 2 100 7782-44-7 GAS CHEIMICAL CLASSIFICATION PACKET CONTROL ROOM ONE QUANTITY LOCATION QUANTITY IN USE LOCATION HAZARD UNIT (Open Unless stated UNIT JUSTIFICATON STORED !storage) (use) CLASSES closed) CONTROL 7.25 CONTROL MSDS, fLUER· 14.5 cu/ft cu/ft ICG HMEx, 2019 CfC ROOMl (Closed) RDOMl DEflN. CONTROL 7.25 CONTROL MSDS, fLUER· 14.5 cu/ft ROOM 1 (Closed) cu/ft ROOM 1 ICG HME11, 2019 CfC DEAN. CONTROL 7.25 CONTROL MSDS, FLUER· 14.5 cu/ft ROOM 1 (Closed) cu/ft ROOMl ICG HMEx, 2019 CfC DEFIN. CONTROL 7.25 CONTROL MSDS, fLUER· 14.5 cu/ft ROOM 1 (Closed) cu/ft ROOM 1 OXCG,UR-1, OHH HME11, 2019 CfC DEflN. CONTROL 7.25 CONTROL MSDS, fLUER- 14.5 cu/ft ROOM 1 (dosed) cu/ft ROOM 1 OXCG HMEx, 2019 CFC DEFIN. APRIL 2020 Page 1 of4 Phillps Capnography Lab 2271 Cosmos Court Carlsbad, Ca ' COMMON NAME Carbon Dioxide (0.0001%" 6 2.999%) in Nitrogen carbon Dioxide 7 (3.00%-99.99%) In Nitrogen 8 Desflurane CHEMICAL NAME Nitrogen Carbon Dioxide Nitrogen Carbon Dioxide Carbon Dioxide Nitrogen Desflurane Prepared By: Compliance First, Inc. comp1y@compliancefirst.com (714)572-4410 -office " CAS# MATERIAL FORM 9HOO 7727-37-9 GAS 0-3 124-38-9 1-97 7727-37-9 GAS 3-100 124-38-9 3-90 124-38-9 GAS o-87 7727-37-9 10-20 57041-67- 5 CHEIMICAL CLASSIFICATION PACKET CONTROL ROOM ONE QUANTITY LOCATION QUANTITY IN USE LOCATION HAZARD UNIT (Open Unless stated UNIT STORED (storage) (use) CLASSES JUSTIFICATON closed) CONTROL 7.25 CONTROL MSDS, FLUER- 14.5 co/ft cu/ft ICG HMEx, 2019 CFC ROOMl (Closed) ROOMl DEFIN. CONTROL 7.25 CONTROL MSDS, FLUER- 14.5 co/ft cu/ft ICG HMEx, 2019 CfC ROOM 1 (Closed) ROOM 1 DEFIN. CONTROL 2 CONTROL MSOS,FWER- 4.5 cu/ft ROOMl (Closed) cu/ft ROOM 1 ICG,IRR, OHH HMEx, 2019 CFC DEFIN. APRIL 2020 Page 2 of 4 Phillps Capnography Lab 2271 Cosmos Court Carlsbad, Ca COMMON • NAME ' Enflurane 10 Halothane 11 lsoflurane CHEMICAL NAME Carbon Dioxide Nitrogen Enflurane Carbon Dioxide Nitrogen Halothane Carbon D!oxlde Nitrogen !softurane Prepared By: Compliance First, Inc. comply@complianceflrst.com (714)572-4410 • office " CAS# MATERIAL FORM , .. , 124"38·9 GAS 0-96 7727.37.9 1-10 13838-16- ' 6-94 124-38-9 GAS 3-91 7727-37-9 3-10 151-67-7 3-99 124-38-9 GAS 0-96 7727-37-9 1-20 26675-46- 7 CHEIMICAL CLASSIFICATION PACKET CONTROL ROOM ONE QUANTITY LOCATION QUANTITY IN USE LOCATION HAZARD STORED UNIT (storase) (Open Unless stated UNIT (use) CLASSES JUSTIFICATON closed! CONTROL 2 CONTROL MSDS, FLUER· 4.S cu/ft (Closed) cu/ft ROOM 1 ICG,IRR HME1, 2019 CFC ROOMl DEFIN. CONTROL 2 CONTROL MSDS, FLUEft.. 4.5 cu/ft cu/ft ICG,IRR, OHH HMEx, 2019 CFC ROOMl (Closed) ROOMl DEFIN. CONTROL 2 CONTROL MSDS, FLUER· 4.5 cu/ft (Oosed) cu/ft ROOM 1 ICG,IRR, OHH HMEx, 2019 CFC ROOM 1 DEFIN. APRIL 2020 Page3 of4 Phillps Capnography Lab 2271 Cosmos Court Carlsbad, Ca COMMON • NAME 12 Sevoflurane CHEMICAL NAME Carbon Dioxide Nitrogen Sevoflutane Prepared By: Compliance First, Inc. comply@compliancefirst.com {714)572-4410 -office " CAS# MATERIAL FORM 3-99 124-38-9 GAS 0-97 7727-37•9 o-10 28523-86- 6 CHEIMICAL CLASSIFICATION PACKET CONTROL ROOM ONE QUANTITY LOCATION QUANTITY IN USE LOCATION HAZARD STORED UNIT (storage) (Open Unless stated UNIT (use) CLASSES JUSTIFICATON closed) CONTROL 2 CONTROL MSDS, FLUER· 4,5 cu/ft (Closed) cu/ft ICG,JRR, OHH HMEx, 2019 CFC ROOM 1 ROOM1 DEFIN. APRIL 2020 Page4of4 -SAN DIEGO REGIONAL OFFICE USE ONLY HAZARDOUS MATERIALS RECOROIDI PLAN CHECK# .. • . . QUESTIONNAIRE BP DATE I I Business Name Business Conlact Telephone• Philips Rubens A. Munhoz Soares (425) 420-7212 Projed Address Cily State Zip Code APNI 2271 Cosmos Court Carlsbad CA 92011 Mailing Address Cily State 2ip Code Plan File# 2271 Cosmos Court Carlsbad CA g2011 Project Contact Applicant E•mlil Telephone# Andrew Adams A1d1ms@lcslab.com (951) 858-5769 13. Corrosives 14. Other Health Hazards 15. None of These. questions yn. ap nt must contact I o an o Cal (851) 506-8700 prior to the ilsuanc:e of I building permit FEES ARE REQUIRED Projed Completion Oate: Expeded Date of Occupancy: YES N9 (for new consh'Uelion or remodeling projac:ta) 1 . D e5 Is your buslnesa listed on the rwerse side of this form? {check all that apply). 2. B la Win your buslneu dispose of Hazardous Substances or Medical W■sle in any amount? 3. Ii' Wil your busklns store or handle HazardOU$ Substances in quantities greater than or equal to 55 gallons, 500 •• 5. 6. 7. e. D D B D pound■ and/or 200 cubic feet? l Will your business store or handle carcinogenaJreproductive toxins in any quantity? WtH your busineu use an existtng or install an underground storage tank? WUI your bualneu store or handle Regulated Subatances (C■IARP)? WWI your business use or lnstaU a H■zardoua Waste Tank System (Title 22. Artide 10)? Will your buslne11 store petroleum in tanks or containers ■t your fadllty with I total facHity storage capacity equal to or realer than 1,320 anons? (Califomi1'1 Abo ound Petroleum Stor e Act . • If the answer to any of the an Diego, CA 92123. 0 CalARP Exempt Date lniti_,. 0 CalARP Required I Date lnitlala D CalARP Complete DIie lniliala p I: N C o I C P : Any YES* answer requires a stamp from APCD 10124 Ok1 Grove Road, San Diego, A 92131 ( 5 ). 'No atamp required if Q1 Yes .lllll Q3 Yes l!l!l Q4-Q8 NoJ. The followinp queationa a,e Intended to identify the ma ty o air po n ues ■t the planning stage. Projects may requl,. additional measures not identified by these quest10n1. For comprehensive requirements contact APCO. Residences are typically exempt, except• those with more than one building• on the property: single buildings with more than four dweNlng unill; townhomea: condos; mixed•commercial use; deliberale burns; residences forming part of a larger project. rexdudes garages & small outbuildings.] , . 2. 3. YES NO □ 11!,1' D ~ D D Will the project diaturb 160 square feet or more of existing bulkftng materials? Wlfl any load aupporting structural members be removed? NoUlicltion may be required 10 wortdng days prior to commencing demolition. (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has ■n asbestos 1urvey been performed by a Certified Asbestos Consultant or Site Surveillance Technician? •· D 0 (ANSWER ONLY IF QUESTION 3 IS YES) Sued on the survey resutts, wHI the projed dlslurt> any 11b11los containing matertal? Notification may be required 10 worlting days prior lo commencing ube1t01 removal. 5. 8. D D lir Wil the project or asaodated construction equipment emit air contaminants? See the reverse aide of this form or APCQ.factaheet (w,yw 1dlQCd,orqllnfp/f4CfflRlpnlts pdQ for typical equipment requiring an APCO permit. ri\\1.~ 0 (ANSWER ONLY IF QUESTION 5 IS YES) WiH the projed or 111ociated construdion equipment be local 1~ t :000 feet of a school bounda Briefly describe buaineu actMUe1: Briefly describe proposed projed: Medical device research and development Minor Tenant improvment in an existing lab I dedare under penalty of perjury 11111 to Ille best of my knowledge and belief B1me□s Andre M1mhoz Soares 06/09/2020 Name of Owner or Authorized A ent Date FIRE DEPARTMENT OCCUPANCY CLASSIFICATION· BY; DATE; I I E>IEMPT OR NO ,uRTHER 1111,oRMATION REQUIRED RELEASEO fOR BUU.DtNG PeRMIT IIUT NOT FOR OCCUPANCY RELEAIEO FOR OCCUPANCY COUNTY--HMO• APCO COUNTY-HMO APCO COUNTY-HMO APCD *A stamp in this box~ exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply. HM-9171 (08/15) County of San Diego -OEH -Hazardous Materials Division 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 0 Battery Manufacturtng/Recycllng 0 Boat Yard □car Wash 0 Oeak!rship Maintenance/Painting 0 Machine Shop D Painting D Radiator Shop D Rental Yard Equipment D Repair/Preventive Maintenance 0 Spray Booth D TransportaUon Services 0 Wrocldng/Recycllng CHEMICAL HANDLING D Agricultural auppllar/dlstrlbulor D Chemical Manufacturer D Chemical Suppller/Dlatrlbutor 0 CoaUnga/Adhfflw 0 Compressed Gas Suppllerlllillributor 0 Ory Cleenlng D Flberglau/Realn Application 0 Gas Station 0 lnduatrtal Laundry D Laboratory D laboratory Supplier/Distributor D Oil and Fuel Bulle Supply D Pesticide Operalor/Dlstrtbulor CHEMICAL HANDLING D Photographic Processing D Pool Supplies/Maintenance 0 Printing/Blue Prtnting D Road Coatings D Swimming Pool D Toxic Gas Handler O Toxic Gas Manufacturer METAL WORKING D AnodiZlng 0 Chemical MIiiing/Etching D Finish-Coating/Painting D Flame Spraying D Foundry D Machine Shop-Drilling/Lathes/Milla D Metal Plating D Metal Prepping/Chemical Coating D Precious Metal Recovery 0 Sand BlasUng/Grtndlng D Steel Fabricator O Wrought Iron Manufacturing AEROSPACE 0 Aerospace Industry D AK'craft Maintenance 0 Aircraft Manufacturing OTHERS AND MISCELLANEOUS 0 Asphalt Plant D Blotechnotogy/Research D Chiropractic Office D Co-Generation Plant 0 Dental Clinic/Office D Dialysis Center 0 Emergency Generator D Frozen Food Proceuing Facility D Hazardous Waste Hauler D Hospital/Convalescent Home D Laboratory/Biological Lab 0 Medical Clinic/Office 0 Nitrous Oxide (NO,) Control System D Pharmaceuticals D Public Utility D Refrigeration System 0 Rock Quany 0 Ship Repair/Construction D Telecommunlcatlons Cell Site D Vetertnary Cllnlc/Hoapltal D Wood/Furniture Manufacturing/Refinishing ELECTRONICS D Electronic Assembly/Sub-Assembly D Electronic Components Manufacturing D 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 (HMO) 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 & Coll Manufacturing 44 -Evaporators, Dryers & Stills Proceaalng Organic Materials 24 -Dry Chemical Mixing & Detargont Spray Towers 35 -Bulk Dry Chemlcals Storage 55 -Chrome Electroplating Tanks COATING§ & 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 -OIi Quenching & Sall Baths 32 -Hot Dip Galvanizing 39 -Precious Metals Refining ORGANIC COMPOUND MARKETING (GASOLINE, ETCI 25 -Gasoline & Alcohol Bulk Plants & Terminals 25 -Intermediate Refuelers 26 -Gasoline & Alcohol Fuel Dispensing COMBUSTION 34 -Piston lntemat -Combustion Engines 13 -Boilers & Heaters (1 million BTU/hr or larger) 14 -Incinerators & Crematories 1 e -Bum Out Ovens 16 -Core Ovens 20 -Gaa Turbinu, and Turbine Test Cells & Stands 48 -Landfill and/or Digester Gas Flares ELECTRO NJ CS 29 -Automated Soldering 42 -Electronic Component Mfg fi!Ol2 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 -Ory Cleaning ROCK AND MINERAL 04 -Hot Asphalt Balch Plants 05 -Rock Drills 08 -Screening Operations 07 -Sand Rock & Aggregate Plants 08 -Concrete Batch, CTB, Concrete Mixers. Mixers &Silo& 1 O -Brick Manufacturing l2Il:lm 01 -Abrasive Blaatlng Equipment 03 -Asphalt Roofing Kettles & Tankers 46-Reverse Olrnosls Membrane Mfg 51 -Aqueous Waste Neutralization 11 -Tire Buffers 17 -Brake Oebonders 23 -BuJk Grain & Ory Chemical Transfer & Storage 415 -Rubber Mixers 21 -Waste Disposal & Reclamation Units 36 -Grinding Booths & Rooms 40 -Asphah Pavement Heaters 43 -Ceramic Slip Casting 41 -Periite Processing 40 -Cooling Towers -Registration Only 91 -Fumigation Operations 56 -WWTP (1 million gaVday or larger} & Pump Statton 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 OISTRICT AT (858) 586-2600. HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division C cityof Carlsbad PURPOSE CLIMATE ACTION PLAN CONSISTENCY CHECKLIST B-50 Development Services Building Division 1635 Faraday Avenue (760) 602-2719 www.carlsbadca.gov 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 I ❖ Decks I ❖ PME (w/o panel upgrade) I ❖ Pool A 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 webpage and download the latest form. Project Name/Building Permit No.: Property Address/APN: Applicant Name/Co.: Applicant Address: Contact Phone: Appllcatlon lnfonnallon I 5bl b A:lbn..c B,f.wW, ;, :;If (2-5 , ~('v,~ , cA-9 2-61 !!i (_9Lf42) ct~_ 5:z_ I\ Contact Email: o..rd e.@ +"'-':"-~te.r~o.rc~-c..o ft-\. Contact information of person completing this checklist (if different than above): Name: Company name/address: B-50 Contact Phone: Contact Email: 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, attach Building ermit Valuation worksheet. Building Permit Valuation (BPV) from worksheet: $._~~~~_,,_ D Residential D New construction D Additions and alterations: D BPV < $60,000 D BPV ~ $60,000 D Electrical service panel upgrade only '"II D BPV ~ $200,000 ~Nonresidential D New construction ~ ~ Alterations: D BPV ~ $200,000 or additions ~ 1,000 sQuare feet D BPV ~ $1,000,000 D ~ 2,000 sq. ft. new roof addition A high-rise residential building is 4 or more stories, including a Low-rise High-rise mixed-use building in which at least 20% of its conditioned floor area is residential use 2A, 3A, 1B, 2B, 4A 3B,4A N/A N/A All residential additions and alterations 1A,4A 4A 1-2 family dwellings and townhouses with attached garages only *Multi-family dwellings only where interior finishes are removed 1A, 4A* 1B,4A* and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed 1 B, 2B, 3BI' 4B and 5 NIA , 1B, 5 1B, 2B, 5 Building alterations of~ 75% existing gross floor area 2B,5 1 B also applies if BPV ~ $200,000 Checklist Item I Chea( the appropriate boxes, expain al rd applicable and exceJfu, items, and provide supporting calcuations and doamenlation es necessaiy. 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 infonnation when completing this section. A D Residential addition or alteration i!: $60,000 building pennit valuation. D WA _________ _ See CMC section 18.30.190. D Exception: Home energy score ::!: 7 ( attach certification) Year Built Single-family Requirements Multi.family Requirements D Before 1978 Select one: D Duct sealina D Attic insulation D Cool roof D Attic insulation D 1978 and later Select one: D Lighting package D Water heating Package D Between 1978 and 1991 Select one: D Duct sealina D Attic insulation D Cool roof D 1992 and later Select one: D Lighting package D Water heating package B. D Nonresidential* new construction or alterations i!: $200,000 building pennit valuation, or additions i!: 1,000 square feet D WA Updated 8/15/2019 2