HomeMy WebLinkAbout2451 IMPALA DR; B; CBC2021-0288; PermitPERMIT REPORT
Commercial Permit
Print Date: 03/07/2022
Job Address: 2451 IMPALA DR, # B, CARLSBAD, CA 92010-7227
PermitType:
Parcel#:
Valuation:
BLDG-Commercial
2090411100
$195,062.94
Occupancy Group: B
#of Dwelling Units:
Work Class:
Track#:
Lot#:
Project#:
Plan#:
Tenant Improvement
Bedrooms:
Bathrooms:
Construction Type:VB
Orig. Plan Check#:
Plan Check #:
ProjectTitle:
Description: 4,194 SF OFFICE TO OFFICE Tl
Property Owner:
RI F Ill-IMPALA LLC
11620 WILSHIRE BLVD, # 300
LOS ANGELES, CA 90025
FEE
BUILDING PLAN REVIEW -MINOR PROJECTS (LDE)
BUILDING PLAN REVIEW -MINOR PROJECTS (PLN)
BUILDING PLAN CHECK FEE (BLDG)
SB1473-GREEN BUILDING STATE STANDARDS FEE
COMM/IND Tl -NON-STRUCTURAL
STRONG MOTION -COMMERCIAL (SMIP)
Total Fees: $2,418.18 Total Payments To Date: $2,418.18
{city of
Carlsbad
Permit No: CBC2021-0288
Status: Closed -Finaled
Applied: 08/05/2021
Issued: 11/10/2021
Fina led Close Out: 03/07/2022
Inspector:
Final Inspection:
Balance Due:
TKers
12/21/2021
AMOUNT
$194.00
$98.00
$676.76
$8.00
$1,386.80
$54.62
$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.
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 c.fl:J:::::2.D 2..\-022jo
Est. Value 195 /QlQ 2..
PC Deposit
Date
Job Address 2451 Impala Drive, Carlsbad, CA. 92010
Tenant Name: Dynamis Space
Suite:,_B ___ ,APN: 209-041-11-00
Lot#:
Year Built: 1984 Occupancy: ____ _ . VB F" s . kl IXJDAIC DD □ Construction Type,:..·----ire pnn ers: yes no ,., : yes no
BRIEF DESCRIPTION OF WORK: Tenant Improvements
D Addition/New: __________ New SF and Use, __________ New SF and Use,
___ Deck SF, Patio Cover SF (not including flatwork)
G Tenant lmprovement:. _ __.:4.,_, 1:..:9c.:4c..__SF,
_____ SF,
Existing Use 4,194 Proposed Use __ 4~,_19_4 __ _
Existing Use ______ Proposed Use _____ _
D Pool/Spa:, _____ .SF Additional Gas or Electrical Features? ___________ _
DD DD DD D Solar:. ___ KW,, ___ Modules, Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No
D Plumbing/Mechanical/Electrical Only: ________________________ _
□ Other:
This permit is to be issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of
the owner or contractor. TURN IN PAGE ONE OF THIS APPLICATION UPON SUBMITTING PLANS. PAGE TWO IS REQUIRED~~~
PERMIT ISSUANCE.
PROPERTY OWNER APPLICANT O PROPERTY OWNERS AUTHORIZED AGENT APPLI AN%
Name: Rexford Industrial Realty LP Name:
Address: 8930 Activity Road, Ste H Address-,-4~..Llo,o\,,l.1,.X..--l...W'--l.~':i~'-----~:::::::;:.,
City: San Diego State: CA Zip: 92126 City:, _____ -=-___ State: Zip .. · ____ _
Phone: _____________ Phone: 7L<)0:: C\ :OI-· ll ;\.~, D?t \ \3
Email: Email: OCtl:cui e,.@u.\Y) de (µQ'.:)tflXt1 C n
DESIGN PROFESSIONAL APPLICANT 0 CONTRACTOR BUSINESS
Name: Trevin Schall Architect Inc Name: White Construction Inc.
Address: 5173 Waring Road, Ste 91 Address: 2524 Gateway Road
t(1C·, CO{Y,
APPLICANT (2!:
City: San Diego State: CA Zip: 92120 City: Carlsbad State: CA Zip:._9_2_0_09 __ _
Phone: (858) 692-3835 Phone: (760) 931-1130
Email: JSMVEDRA@schallarchitects.com Email: sean@whiteconstructioninc.com
Architect State License: __________ State License: 1023856 Bus. License:. _____ _
Page 1 of 2
Email: Building@carlsbadca.gov
Rev. 08/20
IDENTIFY WHO WILL PERFORM THE WORK BY COMPLETING (OPTION A) OR (OPTION B) BELOW:
(OPTION A): LICENSED CONTRACTOR DECLARATION:
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section
7000} of Division 3 of the Business ond Professions Code, and my license is in full force and effect. I also affirm under
penalty of perjury one of the following declarations:
D 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. Policy No. ________________________ _
.i I have and wlll 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: lnsuranceCompany Name:..: ... =";;;-=;;;-=""=~;;;~;;;;;;'";;;"'------------
Policy No.,0'c."cc''cc'•c.c' ... ' __________________ Expiration Date: _,_,._'"-"'-'------------------
D 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
become subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage Is unlawful and shall subject an
employer to crlmlnal penaltles and dvll 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.
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) Clvil Code).
Lender's Name: _____________________ ,Lender's Address: ____________________ _
CONTRACTOR PRINT: Sean Malley, Vice President SIGN: , Vice President DATE: 06/30/2021
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt/ram Contractors License law for the following reason:
DI, 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).
DI, 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).
DI am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
D "Owner Builder acknowledgement and verification form" has been filled out, signed and attached to this application. Proof of identification attached.
D Owners "Authorized Agent Form" has been filled out, signed and attached to this application giving the agent authority to obtain the permit on the owner' behalf.
Proof of identification attached.
By my signature below I acknowledge that, except for my personal residence 1n which I must have resided for at least one year prior to completion of the
improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed
contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is
submitted or at the following Web site: http://www.Jeginfo.ca.gov/calaw.html.
OWNER PRINT: ____________ SIGN: _________ .DATE: ______ _
APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL
By my signature below, I certify that: I am the property owner or State of California Licensed Contractor or authorized to act on the property
owner or contractors behalf. 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 S4 VE,
INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All llABll/TIES, 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 stories in height.
APPLICANT PRINT: Sean Malley, Vice President SIGN:
Page 2 of 2
/
/
, Vice President DATE: __,;0;__;6.;,,;/3;,,,,;0c,,;/2;;,,;0;,,;;2;.,;1 __
Email: Building@carlsbadca.gov
PERMIT INSPECTION HISTORY for (CBC2021-0288)
Permit Type: BLDG-Commercial
Work Class: Tenant Improvement
Status: Closed -Finaled
Application Date: 08/05/2021 Owner: R I F Ill-IMPALA LLC
Issue Date: 11/10/2021 Subdivision: PARCEL MAP NO 12561
Expiration Date: 06/06/2022 Address: 2451 IMPALA DR, # B
CARLSBAD, CA 92010-7227 IVR Number: 35028
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date
Monday, March 7, 2022
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Status
Passed
Yes
Yes
Yes
Yes
Yes
Page 2 of 2
Building Permit Inspection History Finaled
{city of
Carlsbad
PERMIT INSPECTION HISTORY for (CBC2021-0288)
Permit Type: BLDG-Commercial Application Date: 08/05/2021 Owner: RI F Ill-IMPALA LLC
Work Class: Tenant Improvement Issue Date: 11/10/2021 Subdivision: PARCEL MAP NO 12561
Status: Closed -Finaled Expiration Date: 06/06/2022 Address: 2451 IMPALA DR, # B
IVR Number: 35028 CARLSBAD, CA 92010-7227
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
11/12/2021 11/12/2021 BLDG-81 Underground 170639-2021 Passed Tim Kersch Complete
Combo(11, 12,21,31)
Checklist Item COMMENTS Passed
BLDG-11 Foundation-Ftg-Piers Yes
(Rebar)
BLDG-21 Yes
U nderg round-Underfloor
Plumbing
BLDG-84 Rough 170638-2021 Passed Tim Kersch 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
11/18/2021 11/18/2021 BLDG-17 Interior 170998-2021 Passed Tim Kersch Complete
Lath/Drywall
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
12/08/2021 12/0812021 BLOG-85 T-Bar, Ceiling 172129-2021 Passed Tim Kersch Complete
Grids, Overhead
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-14 Yes
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Rough-Top out Yes
BLDG-34 Rough Electrical Yes
BLDG-44 Yes
Rough-Ducts-Dampers
12/21/2021 12/21/2021 BLDG-Final Inspection 173148-2021 Passed Tim Kersch Complete
Monday, March 7, 2022 Page 1 of 2
Hazardous Materials Questionnaire
County of San Diego, Department of Environmental Health and Quality
PO Box 129261, San Diego, CA 92112-9261
Record ID#: Not in System
Plan Check#: DEH2021-HHMBP-
010282
(858) 505-6700 (800) 253-9933 www.sdcdehq.org
Business Name Business Contact Telephone# Plan File#
Dynamis Space Natalie A Molina Ortega 7609311130
Project Address City Zip Code APN#
2451 Impala Dr Carlsbad
1s1ate
CA 920107227 209-041-11-00
Applicant Applicant E-Mail Applicant Telephone#
Natalie A Molina Ortega natalie@whiteconstructioninc.com 7609311130
The followlng questions represent the faclllty's activities, NOT the specific project description.
PART I· FIRE PEPABIMENJ -HAZARPAYS MEIEBIAI S DIVISION· OCCUPANCY Cl ASSIEICAJIQN· (Not required for projects within the City of San Diego.)
Indicate by selecting the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are selected, Applicant must
contact the Fire Protection Agency with jurisdiction prior to plan submittal.
Occupancy Rating: Faclllty's Square Footage (including proposed project): 4194
□ Explosive or Blasting Agents □ Organic Peroxides □ Water Reactives □ Corrosives
□ Compressed Gases □ Oxidizers □ Cryogenics □ Other Health Hazards
□ Flammable/Combustible Liquids D Pyrophorics □ Highly Toxic or Toxic Materials D None of These
□ Flammable Solids □ Unstable Reactives □ Radioactives
PART H· SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEAi TM -HAZARDOUS MATERIAi 5 PIVISION (HMP)· If the answer to any of the questions is
yes, applicant must contact the County of San Diego Hazardous Materials Division, in person at 5500 Overland Ave., Suite 110, San Diego, CA 92123, or by phone at (858)
505-6700 prior to issuance of a building permit. FEES ARE REQUIRED.
Project Completion Date: 7/16/2021
1.
2.
3.
4.
5.
6.
7.
8.
YES NO
□ "' □ "'
□
□ □ □ □
□
"' □ "' II!]
II!]
II!]
Is your business listed on the reverse side of this form? (check all that apply).
Will your business dispose of Hazardous Substances or Medical Waste in any amount?
Will your business store or handle Hazardous Substances in quantities equal to or greater than
55 gallons, 500 pounds, or 200 cubic feet?
Will your business handle carcinogens or reproductive toxins in any quantity?
Will your business use an existing, or install an underground storage tank?
WIii your business store or handle Regulated Substances (CalARP)?
Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)?
Will your business store petroleum in tanks or containers at your facility with a total storage capacity
equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act).
□ □ □
CalARP Exempt
CalARP Required
CalARP Complete
Review Date:
PART m· SAN DIEGO COUNIY AIR PAI I LIDON CONTROL DISTRICI (APCD)· If the answer to Question #1 is 'Yes' and the answer to Question #2 is 'No', the applicant
must contact the APCD prior to the issuance of a building or demolition permit. If any answer to Questions #3, #4, or #5 is 'Yes', the applicant must contact the APCD prior to
the issuance of a building or demolition permit. If the answer to Question #3 or #4 is 'Yes', the applicant may need to submit an asbestos notification form to the APCD at
least 1 o working days prior to commencing demolition or renovation (some residential projects may be exempt from the notification requirements). Contact the APCD at
10124 Old Grove Road, San Diego, CA 92131 or telephone (858) 586-2600 tor more information.
1.
2.
3.
4.
YES NO
II!] □
l!;J □
□ II!] □ II!]
Will any existing building materials be disturbed as part of this project? (If the answer is 'Yes', an asbestos survey may be required.)
Has a survey been performed to determine the presence of asbestos containing materials?
Witl the project involve handling or disturbance of any asbestos containing materials?
Will the project involve the removal of any load supporting structural member?
5. □ II!] Will the subject facility or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the APCD
factsheet at http://www.sdapcd.org/info/facts/permits.pdf
(ANSWER ONLY IF QUESTION 5 IS 'YES') Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)?
Search the California School Directory at httpJtwww.cde.ca.gov/re/sd/ for public and private schools or contact the appropriate school district. 6. □ □
Briefly describe business activities: Briefly describe proposed project:
Tenant Office Space with warehouse Tenant Improvement
I declare under penalty of perjury that to the best of my knowledge and belief, the responses made herein are true and correct. II!!; Fees Acknowledged: 181
Natalie Ortega, Project Coordinator 7/9/2021
Name of Owner or Authorized Agent Date
FOR OFFICIAL USE ONLY
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:
BY: DATE: __________ _
EXEMPT OR NO FURTHER INFORMATION RELEASED FOR BUILDING PERMIT BUT NOT FOR RELEASED FOR OCCUPANCY
REQUIRED OCCUPANCY
COUNTY-HMD* APCD COUNTY-HMO APCD COUNTY-HMO APCD
_( ;J:.:."" ◄ :)I -;::A,11 ('.\,.. I ~./-.... li".".'\I
,,
'r_:
' G. Garcia
0,l(;•·lAfl_.~)_;
7/20/2021
:/,I!
'"'', ~-
*A stamp in this box .a.nbt: exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply.
DEHQ_HMD_HMBP _Questionnaire v 1.34 (2/2021)
Printed on: 7/20/2021 @ 5:34 PM
ENCINA WASTEWATER AUTHORITY
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
SCREENING SURVEY
6200 Avenida Encinas, Carlsbad, CA 92011
Phone: 760-438-3941 Fax: 760-476-9852
SourceControl@encinajpa.com
Date: 08/05/2021
Business Name: Dynamis Space
street Address: 2451 Impala Drive, Carlsbad, CA. 92010
Email Address: natalie@whiteconstructioninc.com
PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) [Kl
Check all below that are present at your facility:
o Acid Cleaning
o Assembly
o Automotive Repair
o Battery Manufacturing
o Biofuel Manufacturing
o Biotech Laboratory
o Bulk Chemical Storage
o Car Wash
o Chemical Manufacturing
o Chemical Purification
o Dental Offices
• Dental Schools
• Dental Clinics
o Dry Cleaning
o Electrical Component
Manufacturing
o Fertilizer Manufacturing
o Film/X-ray Processing
o Food Processing
o Glass Manufacturing
o Industrial Laundry
o Ink Manufacturing
o Laboratory
o Machining/Milling
o Membrane manufacturing
(i.e. water filter membranes)
o Metal Casting/Forming
o Metal Fabrication
o Metal Finishing
• Electroplating
• Electroless Plating
• Anodizing
• Coating (i.e. phosphating)
• Chemical Etching/Milling
• Printed Circuit Board
Manufacturing
o Metal Powders Forming
o Nutritional Supplement/Vitamin
Manufacturing
o Painting/Finishing
o Paint Manufacturing
o Personal Care Products
Manufacturing
o Pesticide Manufacturing/ Packaging
o Pharmaceutical Manufacturing
(including precursors)
o Porcelain Enameling
o Power Generation
o Print Shop
o Research and Development
o Rubber Manufacturing
o Semiconductor Manufacturing
o Soap/Detergent Manufacturing
o Waste Treatment/Storage
New Business? Yes D No~ SIC Code(s) if known: ______ Date operation began/will begin: ______ _
Tenant Improvement? Yes !Kl NoO If yes, briefly describe improvement: Tenant Improvement
Description of operations generating wastewater (discharged to sewer, hauled or evaporated): Bathroom toilet and sink
Estimated volume of industrial wastewater to be discharged (gal/ day):------------------~
List hazardous wastes generated (type/volume): ___________________________ _
Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes D Date: ____ No Ix]
Page 1 of 2
ENCINA WASTEWATER AUTHORITY
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
SCREENING SURVEY
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.
o Automobile Detailers o Hotels/Motels (no laundry)
o Barber/Beauty Shops o Laundromats
o Business/Sales Offices o Libraries
o Cleaning Services o Medical Offices (no x-ray developing)
o Carpet/Upholstery o Mortuaries
o Childcare Facilities o Museums
o Churches o Nail Salons
o Community Centers o Nursing Homes
o Consulting Services )( Office Buildings (no process flow)
o Contractors o Optical Services
o Counseling Services o Pest Control Services (no pesticide repackaging for sale)
o Educational Services (no auto repair/film developing) o Pet Boarding/Grooming Facilities
o Financial Institutions/Services o Postal Services (no car wash/auto repair)
o Fitness Centers o Public Storage Facilities
o Gas Stations (no car wash/auto repair) o Restaurants/Bars
o Grocery Stores (no film developing) o Retail/Wholesale Stores (no auto repair/film developing)
o Residential based Businesses o Theaters (Movie/Live)
CERTIFICATION STATEMENT
I certify that the information above is true and correct to the best of my knowledge.
/ y; .4 ,/ Signature: J, ,-"A·'J , Vice President Print Name:Sean Malley, Vice President DATE: 08/05/2021
Facility Contact: ____________ Title: ______________ _
ENCINA WASTEWATER AUTHORITY
6200 AVENI DA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852
Sou rceCo nt rol@e nc i na i pa .com
Page 2 of 2