The URL can be used to link to this page

Home My WebLink About1850 MARRON RD; 102; CBC2022-0392; Permit (3)Building Permit Finaled {city of Carlsbad Commercial Permit Print Date: 05/18/2023 Job Address: 1850 MARRON RD, # 102, CARLSBAD, CA 92008-1174 Permit No: Status: CBC2022-0392 Closed -Finaled Permit Type: BLDG-Commercial Work Class: Tenant Improvement Parcel#: 1563011600 Track#: Valuation: $101,042.92 Lot#: Occupancy Group: B Project#: #of Dwelling Units: Plan#: Bedrooms: Bathrooms: Construction Type:V-B Orig. Plan Check#: Occupant Load: 14 Plan Check#: Code Edition: 2019 Sprinkled: Yes Project Title: Description: STRETCH LAB: 1,753 SF Tl (B TO B OCCUPANCY) Applicant: Property Owner: JOHN PICINICH 4319 SEA BRIGHT DR CARLSBAD, CA 92008-3627 (760) 283-7126 PKI NORTH COUNTY PLAZA LP 3333 NEW HYDE PARK RD, # 100 NEW HYDE PARK, NY 11042-1205 FEE BUILDING PLAN CHECK BUILDING PLAN REVIEW-MINOR PROJECTS (LOE) BUILDING PLAN REVIEW-MINOR PROJECTS (PLN) CERTIFICATE OF OCCUPANCY COMM/IND Tl -NON-STRUCTURAL SB1473 -GREEN BUILDING STATE STANDARDS FEE STRONG MOTION -COMMERCIAL (SMIP) Total Fees: $1,927.15 Total Payments To Date: $1,927.15 Applied: 11/03/2022 Issued: 01/12/2023 Finaled Close Out: 05/18/2023 Final Inspection: 04/12/2023 INSPECTOR: Kersch, Tim Contractor: VAKNIN CONSTRUCTION 6475 AVENI DA MANANA LA JOLLA, CA 92037-6223 (816) 651-0933 Balance Due: AMOUNT $624.73 $194.00 $98.00 $16.00 $961.13 $5.00 $28.29 $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, vo·1d, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Building Division Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov (city of Carlsbad COMMERCIAL BUILDING PERMIT APPLICATION 8-2 Plan Check ,C~C,~ 0392 Est. Value \C \ , \,L{3 PC Deposit<$ l..Q .2'4 o 7 3 Date \I·-~ -;;, r: Job Address 1850 Marron Road Suite: 102 APN: 1563011600 ·----- Tenant Name#: SiretchLab Lot#: Year Built: 1987 ----------------------------------- Year Built:._1_98_7 __ Occupancy:_8 __ _ Construction Type:_v_-8 __ Fire sprinklers:(:')YESQNO A/C:()YEsONo 8 R I E F D ES( RI PTI ON OF WO R K : Tenant improvement project -alteration to an existing tenant space Wori< to include new interior walls, ceiling systems, finishes, milJwork, and mechanical, plumbing and electrical systems. Existing restrooms are to be altered !or purpose of barrier removal. Existing condihons are to be maintained. Square footage is not modified. 0 Addition/New: ____________ New SF and Use, __________ New SF and Use _______ SF Deck, SF Patio Cover, SF Other (Specify) ___ _ ~Tenant Improvement: _____ SF, Existing Use: ________ Proposed Use: _______ _ _ 1_753 ____ SF, Existing Use: Business Proposed Use:_._,._, ... _____ _ D Other: ----------------------------------------- PRIMARY APPLICANT Name: John Picinich Address: 943 Alyssum Road City: Carlsbad Phone: (760J 809-2888 State:_c_A _ _.Zip: 92011 Email: john.picinich@stretchlab.com DESIGN PROFESSIONAL Name: Blair Leach, FM GROUP INC Address: 15974 N 77th Street, Suite 100 City: Scottsdale State:_AZ. __ _,Zip: 85260 Phone: (480) 279.3201 PROPERTY OWNER Name: PK I NORTH COUNTY PLAZA LP c/o Kimco Realty Corporation Address: 500 N Broadway, Suite 201 City: Jericho State:_N_v ___ Zip: 11753 Phone: (949) 529-6782 Email: mmagnaghi@kimcorealty.com CONTRACTOR OF RECORD Business Name: Vo.l<Din Cons-frl/c-/-,'011 Address: 61./ 75" fl Ve" ida. Mo. 11 ,v1 a. City: la.. :Jo ii a. State: C 4 Zip: 9 J.{, 3 7 Phone: i3H,-6S-/-O'i33 Email: dwilson@tmgroup.net Email: S Va. k ¥'\ i Y\ 9'!'1@ q"'«i {, Co M Architect State License: _c_25_78_8 _________ CSLB License #: / 0 7 8' 4 'i' W v Class:__.73:c.... ____ _ Carlsbad Bl\~ess License# (Required): ~ ~.;1.i,oU: ~ APPLICANT CERTIFICATION: I certify that/ have read the application and state that the above information is correct and that the informationontheplansisaccurate. /agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT): _J_oh_n_P_ic_in_ic_h _____ _ 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 SIGN: -rl)L_· -· ....... t_~-·----~--DATE: /j ,O :3 -),2- l Email:__llijj_jding&Dcarl~b<1dca yQ.'{ REV. 04/22 THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _ A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE. (OPTION A): LICENSED CONTRACTOR DECLARATION: lherebyaffirmunderpenaltyofperjurythatlam/icensedunderprovisionsafChapter9(commencingwithSection7000)ofDivision3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the following declarations /CHOOSE ONE): 01 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. _____________________________________________ _ -OR- ~ I have and wHI maintain worker's compensation, as required by Section 3700 of the labor Code, fo ttJe perlorrr nee of the work for which this permit Js issued. My workers' compe~~avon i~urance carrierjlnd policy number are: Insurance Company Name: __.,,._,_,.,c,,._L...Y".c,._---;;c-ar--::-~r-t-:---,~'r------- Policy No. /I/CJ W CS "{--0 2 7-(; Expiration Date:_,.,__,__-=~·-____.=------ -OR-. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, J 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 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. CONSTRUCTION LENDING AGENCY, IF ANY: thereby 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'sAddress: _____________________ _ CONTRACTOR CERT/FICA T/ON; The applicant certifies that all documents and plans clearly and accurately show of/ existing and proposed buildings, structures, access roods, and utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site pion. Any potentially existing detail within these plans inconsistent with the site plan are not approved for construction and may be required to be altered or removed. The city's approval of the application is based on the premise that the submitted documents and plans show the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed use of each building as stated is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation. All improvements existing on the property were completed in accordance with all regulations in existence at the time of their cons ruction, herwise noted. NAME (PRINT):' 5:/::tALCVl /I £\141VV' SIGNATURE:_~~;z!::f,.__DATE:U /-/) ~ )3 Note: If the person signing above is an authorized agent for the contractor provide a letter of authorization on ontractor letterhead. (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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). -OR- 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). -OR- DI am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, D FORM B-61 "Owner Builder Acknowledgement and Verification Form" is required for any permit issued to a property owner. By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, t 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./ understand that a copy of the applicable law, Section 7044 of the BusinessandProfessions Code, isavaf labte upon request when thlsapplicatfon fs subm;ttedorat the following Website: http:/ !www.leginfo.ca.gov/calaw.html. OWNER CERT/FICA TION: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are not approved for construction and may be required to be altered or removed. The city's approval of the application is based on the premise that the submitted documents and plans show the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from ane another; access roads/easements, and utilities. The existing and proposed use of each building as stated is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all an-site grading/site preparation. All improvements existing an the property were completed in accordance with all regulations in existence at the time of their construction, unless otherwise noted. NAME {PRINT): SIGN: __________ DATE: ______ _ Note: If the person signing above is an authorized agent for the property owner include form B-62 signed by property owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.f:;ov 2 REV. 04/22 Building Permit Inspection History Finaled (city of Carlsbad PERMIT INSPECTION HISTORY for (CBC2022•0392) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Application Date: 11/03/2022 Owner: PKI NORTH COUNTY PLAZA LP Status: Closed -Finaled Issue Date: 01/12/2023 Subdivision: PARCEL MAP NO 15975 Expiration Date: 09/05/2023 IVR Number: 44447 Address: 1850 MARRON RD, # 102 CARLSBAD, CA 92008-1174 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 03/06/2023 03/06/2023 BLDG-84 Rough 204735-2023 Passed Combo(14,24,34,44) 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 NOTES Created By Becky Falk COMMENTS TEXT PEDRO 760-975-6445 04/12/2023 04/12/2023 BLDG-Final Inspection 207837-2023 Passed Thursday, May 18, 2023 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final NOTES Created By Angie Teanio COMMENTS TEXT 760-975-6445 Pedro Tim Kersch Complete Passed Yes Yes Yes Yes Yes Created Date 03/03/2023 Tim Kersch Complete Passed Yes Yes Yes Yes Yes Created Date 04/11/2023 Page 1 of 1 tel-818-677-8900 free -855-787-45ll fax -858-677-9009 Patriotlab.com 6640 Lusk Blvd., Suite A-100, San Diego, CA 91111 October 7, 2022 Shatha Odish Kimco Realty 1621-B South Melrose Drive Vista, CA 92081 Re: Limited Asbestos Survey North County Plaza -Suite 25 1880 Marron Road Carlsbad, CA 92008 Claim No: NIA Project No: SD 156697 Dear Ms. Odish, PA Environmental laboratory erv,ces, nc. On October 6, 2022, California DOSH Certified Site Surveillance Technician, Mr. Brennan Bales (CSST # 19-6731) of Patriot Environmental Laboratory Services, Inc. (Patriot) performed a limited asbestos inspection at the above subject property located in Carlsbad, California. The purpose of the inspection was to determine if asbestos is present in the building materials soon to be disturbed by an upcoming renovation at the subject property. Summary of Findings No asbestos was detected in the building materials sampled. Property Description The subject property is a commercial structure. The subject building is a single-story wood frame building set on a cement slab foundation. Scope of Work On October 6, 2022, Mr. Brennan Bales (CSST #19-6731) of Patriot conducted a limited asbestos inspection at the subject property. The interior of the building was visually inspected for the purpose of identifying suspect asbestos containing materials soon to be disturbed by an upcoming renovation at the subject property. Once the inventory of suspect materials was created, physical bulk samples of the materials were collected from representative locations. Samples were collected in airtight containers. Upon collection, sample numbers, descriptions, and collection locations were entered on to a chain of custody for transportation to Patriot's NVLAP accredited laboratory. Sampled Suspect Materials Samples of the following suspect materials were collected: Ceiling Tile Wall Texture Drvwall/Joint Compound FRP Adhesive Carpet Glue Wood Panel Adhesive l 2"x I 2" White Vinyl Floor Tile with Glue ---- Sample Protocol/ Analysis Samples were collected in accordance with the Asbestos Hazard Emergency Response Act ( 40 CFR 763 Subpart E) as mandated by Cal/OSHA (Title 8 Section 1529) and San Diego Air Pollution Control District Rule 1206. Physical bulk samples were analyzed by Patriot. Patriot is accredited by the National Voluntary Laboratory Accreditation Program (200982). The method of analysis was Polarized Light Microscopy (EPA 600/M4-82-020). Recommendations No asbestos was detected in the building materials sampled. Therefore, no recommendations are warranted at this time. Disclaimer Limited destructive sampling was conducted at the subject property. If additional suspect materials are discovered during renovation, all work should cease until a Certified Asbestos Consultant is contracted to determine the asbestos content of the building materials. This inspection was performed in accordance with current regulations and state of the art practices. The inventory of asbestos containing materials and determination of their condition are based upon observations at the time of inspection. Patriot does not assume responsibility for future regulatory changes or changes in the condition of the building or materials. Enclosed is the laboratory analysis report and sample location diagram. Please contact our office if there are any questions regarding this inspection. Sincerely, Patriot Environmental Laboratory Services, Inc. Zach Levin Certified Asbestos Consultant No. 16-5772 Attachments: Laboratory Results Sample Location Diagram Certifications Certificate of Analysis PLM Asbestos Identification Kimco Realty Report Number: 935575 Shatha Odish Project Number: SD156697 1621-B South Melrose Drive Project Name: North County Plaza -Suite 25 Vista, CA 92081 Project Location: 1880 Marron Road Carlsbad, 92008 Date Collected: 10/6/2022 Collected By: Brennan Bales Date Received: 1on12022 Claim Number: Date Analyzed: 10n12022 PO Number: Date Reported: 10n12022 Number of Samples: 42 Lab/Client ID/Layer Location Material Description Color Composition ( % ) 935575-001 Sales Floor -Ceiling Ceiling Tile Beige 20% Mineral Wool 65% Cellulose 12% Perlite 3% Paint Total Asbestos None Detected 935575-002 Sales Floor -Ceiling Ceiling Tile Beige 20% Mineral 2 Wool 65% Cellulose 12% Perlite 3% Paint Total Asbestos None Detected 935575-003 Sales Floor -Ceiling Ceiling Tile Beige 20% Mineral 3 Wool 65% Cellulose 12% Perlite 3% Paint Total Asbestos None Detected 935575-004 Storage -Ceiling Ceiling Tile Beige 20%Mineral 4 Wool 65% Cellulose 12% Perlite 3% Paint Total Asbestos None Detected Page I of9 Certificate of Analysis PLM Asbestos Identification Kimco Realty Report Number: 935575 Shatha Odish Project Number: SD156697 1621-B South Melrose Drive Project Name: North County Plaza -Suite 25 Vista, CA 92081 Project Location: 1880 Marron Road Carlsbad, 92008 Date Collected: 10/6/2022 Collected By: Brennan Bales Date Received: 1on12022 Claim Number: Date Analyzed: 1on12022 PO Number: Date Reported: 10n12022 Number of Samples: 42 Lab/Client ID/Layer Location Material Description Color Composition ( % ) 935575-005 Storage -Ceiling Ceiling Tile Beige 20% Mineral 5 Wool 65% Cellulose 12% Perlite 3% Paint Total Asbestos None Detected 935575-006 Storage -Wall Wall Texture Beige 20% Mineral 6 Wool 65% Cellulose 12% Perlite 3% Paint Total Asbestos None Detected 935575-007 Storage -Wall Drywall White 100% Non- 7 Fibrous Material Total Asbestos None Detected 935575-008 Storage -Wall Joint Compound Beige 20% Mineral 8 Wool 65% Cellulose 12% Perlite 3% Paint Total Asbestos None Detected 935575-008C Storage -Wall Drywall and Joint White 85% Sulfate 8 Compound 8% Cellulose 5% Carbonate 2% Paint Total Asbestos None Detected Page2 of9 Certificate of Analysis PLM Asbestos Identification lf'I -358-6)4-)121 Im· SH-l3J-\I)) SOlab .~ patriotlab.com 6,lO lull 8l1d su,1, A·IJD. l,,n 0,eqo. {A 9111] •PAffll0T LAB Kimco Realty Report Number: 935575 Shatha Odish Project Number: SD156697 1621-B South Melrose Drive Project Name: North County Plaza -Suite 25 Vista, CA 92081 Project Location: 1880 Marron Road Carlsbad, 92008 Date Collected: 10/6/2022 Collected By: Brennan Bales Date Received: 10n12022 Claim Number: Date Analyzed: 1on12022 PO Number: Date Reported: 10n12022 Number of Samples: 42 Lab/Client ID/Layer Location Material Description Color Composition(%) 935575-009 Restroom -Wall Wall Texture Beige 20% Mineral 9 Wool 65% Cellulose 12% Perlite 3% Paint Total Asbestos None Detected 935575-010 Restroom -Wall Drywall White 100% Non- IO Fibrous Material Total Asbestos None Detected 935575-01 I Restroom -Wall Joint Compound Beige 20%Mineral 11 Wool 65% Cellulose 12% Perlite 3% Paint Total Asbestos None Detected 935575-0l!C Restroom -Wall Drywall and Joint White 85% Sulfate I I Compound 8% Cellulose 5% Carbonate 2% Paint Total Asbestos None Detected 935575-012 Sales Floor -Wall Wall Texture Beige 20%Mineral 12 Wool 65% Cellulose 12% Perlite 3% Paint Total Asbestos None Detected Page 3 of9 Certificate of Analysis PLM Asbestos Identification 1,1 -3\H-6\Hll/ fri'f• -SH-737-)ll} SOlJbc1patri0!!ab.com ~A.'JRl~T LAB 6,lO lulk 81•,d, \u1le A-IOD. \.111 Oieqo. (A 9/121 .• -"' ~ Kimco Realty Report Number: 935575 Shatha Odish Project Number: SD156697 1621-B South Melrose Drive Project Name: North County Plaza -Suite 25 Vista, CA 92081 Project Location: 1880 Marron Road Carlsbad, 92008 Date Collected: 10/6/2022 Collected By: Brennan Bales Date Received: 1on12022 Claim Number: Date Analyzed: 10n12022 PO Number: Date Reported: 10n12022 Number of Samples: 42 Lab/Client ID/Layer Location Material Description Color Composition(%) 935575-013 Sales Floor -Wall Drywall White 100% Non- 13 Fibrous Material Total Asbestos None Detected 935575-014 Sales Floor -Wall Joint Compound Beige 20% Mineral 14 Wool 65% Cellulose 12% Perlite 3% Paint Total Asbestos None Detected 935575-014C Sales Floor -Wall Drywall and Joint White 85% Sulfate 14 Compound 8% Cellulose 5% Carbonate 2% Paint Total Asbestos None Detected 935575-015 Sales Floor -Wall Wall Texture Beige 20%Mineral 15 Wool 65% Cellulose 12% Perlite 3% Paint Total Asbestos None Detected 935575-016 Sales Floor -Wall Drywall White 100% Non- 16 Fibrous Material Total Asbestos None Detected Page4 of9 Certificate of Analysis PLM Asbestos Identification h?! -BS8-6).!-)lll fru, -3B-i37-SllJ SOLa~,1patriollab.com ftA.'JRl~T LAB bl:O ill\K 81•,d, \111l eA-IGO, \.mOieqo, (A q1111 •--" ~ Kimco Realty Report Number: 935575 Shatha Odish Project Number: SD156697 1621-B South Melrose Drive Project Name: North County Plaza -Suite 25 Vista, CA 92081 Project Location: 1880 Marron Road Carlsbad, 92008 Date Collected: 10/6/2022 Collected By: Brennan Bales Date Received: 10n12022 Claim Number: Date Analyzed: 10n12022 PO Number: Date Reported: 10n12022 Number of Samples: 42 Lab/Client ID/Layer Location Material Description Color Composition(%) 935575-017 Sales Floor -Wall Joint Compound Beige 20% Mineral 17 Wool 65% Cellulose 12% Perlite 3% Paint Total Asbestos None Detected 935575-0l 7C Sales Floor -Wall Drywall and Joint White 85% Sulfate 17 Compound 8% Cellulose 5% Carbonate 2% Paint Total Asbestos None Detected 935575-018 Sales Floor -Wall Wall Texture Beige 20% Mineral 18 Wool 65% Cellulose 12% Perlite 3% Paint Total Asbestos None Detected 935575-019 Sales Floor -Wall Drywall White 100%Non- 19 Fibrous Material Total Asbestos None Detected 935575-020 Sales Floor -Wall Joint Compound Beige 20% Mineral 20 Wool 65% Cellulose 12% Perlite 3% Paint Total Asbestos None Detected Page 5 of9 Certificate of Analysis PLM Asbestos Identification 1,1 -8\H\H/ll !m: -SH-737-)llJ SOlab[lpalt10tl~b.com ~~~,~T LAB &\10 l1,1I BIid .1111\e A-IJO. \.m o,,qrr. (A ,Im . 1-"' I 1'-~ Kimco Realty Report Number: 935575 Shatha Odish Project Number: SD156697 1621-B South Melrose Drive Project Name: North County Plaza -Suite 25 Vista, CA 92081 Project Location: 1880 Marron Road Carlsbad, 92008 Date Collected: 10/6/2022 Collected By: Brennan Bales Date Received: 10n12022 Oaim Number: Date Analyzed: 1on12022 PO Number: Date Reported: 10n12022 Number of Samples: 42 Lab/Client ID/Layer Location Material Description Color Composition ( % ) 935575-020C Sales Floor -Wall Drywall and Joint White 85% Sulfate 20 Compound 8% Cellulose 5% Carbonate 2% Paint Total Asbestos None Detected 935575-021 Restroom -Wall FRP Adhesive Yellow 100% Non- 21 Fibrous Material Total Asbestos None Detected 935575-022 Restroom -Wall FRP Adhesive Yellow 100% Non- 22 Fibrous Material Total Asbestos None Detected 935575-023 Restroom -Wall FRP Adhesive Yellow 100% Non- 23 Fibrous Material Total Asbestos None Detected 935575-024 Sales Floor -Floor Carpet Glue Yellow !00%Non- 24 Fibrous Material Total Asbestos None Detected 935575-025 Sales Floor -Floor Carpet Glue Yellow 100% Non- 25 Fibrous Material Total Asbestos None Detected Page6of9 Certificate of Analysis PLM Asbestos Identification l~i -358-6)4-)121 !rer -S:B-/3!-)lll ' IDLJb,'palr<ollabcom • DA'JRl~T LAB f,10 t,,,, 81•,n. lu11, A·IJO, \,m Oieq,, (A 11121 : .-~ ~ Kimco Realty Report Number: 935575 Shatha Odish Project Number: SDJ56697 1621-B South Melrose Drive Project Name: North Couoty Plaza -Suite 25 Vista, CA 92081 Project Location: 1880 Marron Road Carlsbad, 92008 Date Collected: 10/6/2022 Collected By: Brennan Bales Date Received: 1on12022 Claim Number: Date Analyzed: 1on12022 PO Number: Date Reported: 10n12022 Number of Samples: 42 Lab/Client ID/Layer Location Material Description Color Composition ( % ) 935575-026 Sales Floor -Floor Carpet Glue Yellow 100% Non- 26 Fibrous Material Total Asbestos None Detected 935575-027 Sales Floor -Floor Carpet Glue Yellow 100% Non- 27 Fibrous Material Total Asbestos None Detected 935575-028 Sales Floor -Floor Carpet Glue Yellow 100% Non- 28 Fibrous Material Total Asbestos None Detected 935575-029 Sales Floor -Floor Wood Panel Adhesive Yellow 100% Non- 29 Fibrous Material Total Asbestos None Detected 935575-030 Sales Floor -Floor Wood Panel Adhesive Yellow 100% Non- 30 Fibrous Material Total Asbestos None Detected 935575-031 Sales Floor -Floor Wood Panel Adhesive Yellow 100% Non- 31 Fibrous Material Total Asbestos None Detected Page? of9 Certificate of Analysis PLM Asbestos Identification Kimco Realty Report Number: 935575 Shatha Odish Project Number: SD156697 1621-B South Melrose Drive Project Name: North County Plaza -Suite 25 Vista, CA 92081 Project Location: 1880 Marron Road Carlsbad, 92008 Date Collected: 10/6/2022 Collected By: Brennan Bales Date Received: !On/2022 Claim Number: Date Analyzed: 10n12022 PO Number: Date Reported: 10n12022 Number of Samples: 42 Lab/Client ID/Layer Location Material Description Color Composition ( % ) 935575-032 Storage -Floor 12x12 Vinyl Floor White 100% Non- 32 Tile Fibrous Material Total Asbestos None Detected 935575-033 Storage -Floor Glue Yellow 100% Non- 33 Fibrous Material Total Asbestos None Detected 935575-034 Storage -Floor 12xl2 Vinyl Floor White 100% Non- 34 Tile Fibrous Material Total Asbestos None Detected 935575-035 Storage -Floor Glue Yellow 100% Non- 35 Fibrous Material Total Asbestos None Deteeted 935575-036 Storage -Floor 12x12 Vinyl Floor White 100% Non- 36 Tile Fibrous Material Total Asbestos None Detected 935575-037 Storage -Floor Glue Yellow 100% Non- 37 Fibrous Material Total Asbestos None Detected Page 8 of9 Certificate of Analysis PLM Asbestos Identification tel -P.SF.-6S~-)ll1 trt:>f: · 3B-1Bl-5l11 IOlab,palriollabcom nA~1~T LAB 6\10 tu,, Slid, \u1le A-WO \,,n 0:eqo, (A 91111 .-"" I 1'-~ Kimco Realty Shatha Odish I 62 I -B South Melrose Drive Vista, CA 92081 Date Collected: I 0/6/2022 Date Received: IOn /2022 Date Analyzed: 10n 12022 Date Reported: 10n /2022 Lab/Client ID/Layer Location Charlene Kingston -Analyst Report Number: Project Number: Project Name: Project Location: Collected By: Claim Number: PO Number: 935575 SDI56697 North County Plaza -Suite 25 1880 Marron Road Carlsbad, 92008 Brennan Bales Number of Samples: 42 Material Description Color Composition ( % ) Ian Reyes -Laboratory Director -Approved By Bulk sample{s) submitted was (were) analyzed in accordance with the procedure outlined in the US Federal Register 40 CFR 763, Subpart F, Appendix A; EPA-600/R-93/116 (Method for Determination of Asbestos in Building Materials), and EPA-600/M4-82-020 (US EPA Interim Method for the Detennination of Asbestos in Bulk Insulation Samples). Samples were analyttd using Calibrated Visual Estimations (CVF.s); therefore, results may not be reliable for samples of low asbestos concentration levels. Samples of wall systems containing discrete and separable layers are analyzed separately and reported as composite unless specifically requested by the customer to report analytical results for individual layers. This report applies only to the items tested. Results are representative of the samples submitted and may not represent the entire material from which the samples we.re collected. ''None Detected" means that no asbestos was observed in the sample. "< 1 %" (less than one percent) or Trace means that asbestos was observed in the sample but the concentration is below the quantifiable level of 1 %. This report was issued by a NIST/NVLAP (Lab Code 200982-0) and CADOHS-ELAP (Cert. No. 2805) accredited laboratory and may not be reproduced, except in full without the expressed written consent of Patriot Environmental Laboratory Services, Inc. This report may not be used to claim product certification, approval or endorsement by NIST, NVI.AP, ELAP or any government agency. ASB_Rep_S.14 Page9 of9 Lab Use Only: _~_)_s_s_~-- Turn Around Time: ax --- PatrlotLab.oom () ERS ( ) 24 HRS 6640 Lusk Blvd., Suite A-IOO, San Diego, CA 92121 Environmental Laboratory Services, Inc. ( ) 48 HRS ( ) 72 HRS ASBESTOS FIELD BULK SAMPLE COC lel-8S8-6n-B900 ~~m&-free -855-787-ISll f 858 6n 9009 , Project Name: JV ..,q.h c:.,.,..i,'1 Vco-. 74.. _ ~ I Proj~#()J56 C,tf7 Office Use Only: D MH Project Address: / 89:> /14.,,.fr.. (/_ o,( City: Cc. .... /J~ Zip:~a:.,9, '-~,·, Sample Sample Location Material Type F NF Condition Notes ID . A \ ~las.~~ -(k)\\\L (>,eJ I~ r-G(V( e.-k G(Pd 1760~ l 0 ~ -ll... 3 1,/ - ~ 4::;>~fo...."IL --r s _1; V ' v ' V V V ~:r;s ,.J/ -WAll w?i'OW/Jc., ,i,,,,-. (l.~c~ I '-""" "t ,11>, I.\ - l'l-,\51\~ Sc..l e..s Jf_,. -·~ t~,l'/1 ,~1q,~ ,v \ / " v ~ I/ \)/' v //,,\ j4attCQ,k -A<.P 4~~ve. ~ ~ I . , "l'3 V'" YI ~ \Y V \.[/ 24 SJ~~~,... .-i:=-;c,..r (lrfef' G/u(L lfw {M ---,, V 26 I <O~>M I •41PH lG I 1-r--r. • . \ I I ?~-B w ' i:;:;;; V V \/ ~ J .. Samoled/Relinauished Bv: Sian: rr7 l Date:/0 v,/l; Time: !-?-II . Samoles Received Bv: Sign: H -Date: 11 , r • IT~e:, ,_,,,, IYI :ti,, ' l<-<I I of 7 ' I II --- Bulk Sample CCC Rev 12.27.2017 Lab Use Only: ________ _ tel -858-677-8900 free-855-Jal-.lln lax• 858•6ll·9009 Patriotlab.com 6640 luslc Blvd., Suile A-100, San Diego, CA 91111 PA'fRllr Environmental Laboratory Services, Inc. Project#: ASBESTOS FIELD BULK SAMPLE COC Sample Sample Location Material Type F NF Condition Notes ID ~ '5<.\u~cor -n<,t)T rfc.u:J lire{ AJ~\lo, '/.. G-::;) i-? 0::) :-f'~ .~o .~ \ \/ \ / ~ ' ./ \ ..I \. I ?i?;;-~ ~,t-i.,n.. ~ -1"1..><IZ ~ w/l!Ji.s.V~ ie.-Z~#t- 3435' ..J 0~ ~v V ~ ~,/ \1/ \ l/ -- ,, r . Sampled/Relinauished Bv: Sian: 'f~ , .I.: \II. _/ Date:"..,. t.x._._ i;;,,,e: , , ~ Samples Received Bv: Sian: I / J Date: 10 0 I~: lUV•, ~ ~ ,, of // - Bulk Sample COC Rev 12.27.2017 rel-858-6n-a,oo tree -855-787--4521 fai -858·617·9009 ,_. Palriollab com 6640 lusl Blvd, Suitt A-100, San Diego, CA 92121 SAMPLE LOCATION DIAGRAM Environmental Laboratory Services, Inc. Project Name: Project Address: } gaD ~o.f('o/\. (Z.J. Loss Type: D Fire D Water Reno □ Demo (During I Upcoming) (Full / Limited Survey) D Vehicle Impact D ewage D Confirm Suspect ACM D Other (Specify): _____ _ Foundation: Building Type: L...evel: ~ame: D Raised □SF Residential D School ~Single Story ~ Wood "'&cement Slab ~Commercial D Mobde Home D Two Story D Brick D '&th ~F Residential D Church D Mulh -Story D Metal # of Units D Cinder Block Date: ~ '~ SAN DIEGO REGIONAL OFFICE USE ONLY ;/ ~· .. -;; 0 RECORD ID# 0 HAZARDOUS MATERIALS "· /& PLAN CHECK# -...:_N1:>.s,_cc\.'0 QUESTIONNAIRE BP DATE I I Business Name Business Contact Telephone# Stretch Lab John Picinich (760) 809-2888 Project Address City State Zip Code APN# 1850 Marron Road, Suite 102 Carlsbad CA 92008 1563011600 Mailing Address City State Zip Code Plan File# 1850 Marron Road, Suite 102 Carlsbad CA 92008 Project Contact Applicant E-mail Telephone# " The following questions represent the fac,llty'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 QimQ}.: 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): 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives 2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards 3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These. 4. Flammable Solids 8. Unstable Reactives 12. Radioactives questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, uite 110, San Diego, CA 92123. Call (858) 505-6700 prior to the issuance of a building pemiit. FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy: 1, 2. 3. 4. 5. 6. 7. 8, YES NO (for new construction or remodeling projects) Is your business listed on the reverse side of this fom,? (check all that apply). D IZI D IZI Will your business dispose of Hazardous Substances or Medical Waste in any amount? D IZI Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? D D D D D IZ] Will your business store or handle carcinogens/reproductive toxins in any quantity? 00 Will your business use an existing or install an underground storage tank? 00 Will your business store or handle Regulated Substances (CalARP)? 00 Will your business use or install a Hazardous Waste Tank System (Title 22, Article 1 0)? 00 Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or reater than 1,320 allons? California's Above round Petroleum Stora e Act . D CalARP Exempt I Date Initials 0 CalARP Required I Date Initials 0 CalARP Complete I Date Initials PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT {APCDl: Any YES' answer requires a stamp from APCD 10124 Old Grove Road, San Diego, CA 92131 apcdcomp@sdcounty.ca.gov (858) 586·2650). [*No stamp required if 01 Yes~ 03 Yes and 04·06 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 burns; residences fom,ing part of a larger project. [+Excludes garages & small outbuildings.] YES NO 1. lX1 D Will the project disturb 160 square feet or more of existing building materials? 2. D IZ] Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition. 3, IZI D (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Stte Surveillance Technician? 4. D IXl (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. 5. D IZ] Wilt the project or associated construction equipment emit air contaminants? See the reverse side of this fom, or APCD factsheet (www.sdapcd.org/info/facts/perm1ts.pdf) for typical equipment requiring an APCD pem,it. 6. D D (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school bounda Briefly describe business activities: Briefly describe proposed project: One on one assisted stretch studio Tenant improvement of existing space to a stretching facihty I declare under penalty of perjury that to the best of my knowledge and belief t John Picinich ade herein are true and correct. ti I tJ3 I 2.2-- Name of Owner or Authorized A ent Date FICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION_:_-------------------------------- BY DATE / I EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMO .. APCD COUNTY-HMO APCD COUNTY-HMO APCD ;'~ ( If"--·-· :j { ·, ,J/>,, '~1 "<x)a , '-;. ' / , / j' r;,f" *Asta~ lhfs box .M&, exempts businesses from completing or updating a Hazardous Materials Business Plan. Other pemiitting requirements may still apply. HM-9171 (08115) County of San Diego -DEH -Hazardous Materials Division Building Permit Finaled Revision Permit Print Date: 05/18/2023 Job Address: 1850 MARRON RD, # 102, CARLSBAD, CA 92008·1174 Permit No: Status: {city of Carlsbad PREV2023-0019 Closed -Finaled Permit Type: BLDG-Permit Revision Work Class: Commercial Permit Revision Parcel#: 1563011600 Valuation: $101,042.92 Occupancy Group: 8 #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: 14 2019 iprinkled: Yes Track#: Lot#: Project#: Plan#: Construction Type:V-8 Orig. Plan Check #: CBC2022-0392 Plan Check#: )roject Title: iescription: STRETCH LAB: REVISION ADD MECHANICAL pplicant: lHN PICINICH :19 SEA BRIGHT DR ,RLSBAD, CA 92008-3627 ;o) 283-7126 E LDING PLAN CHECK FEE (manual) Property Owner: PK! NORTH COUNTY PLAZA LP 3333 NEW HYDE PARK RD, # 100 NEW HYDE PARK, NY 11042-1205 · Plan Review (per hr• Regular Office Hours) I Fees: $840.00 Total Payments To Date: $840.00 Division Applied: 02/27/2023 Issued: 05/17/2023 Finaled Close Out: 05/18/2023 Final Inspection: INSPECTOR: Contractor: VAKNIN CONSTRUCTION 6475 AVENI DA MANANA LA JOLLA, CA 92037-6223 (816) 651-0933 Balance Due: AMOUNT $600.00 $240.00 $0.00 Page 1 of 1 ,y Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov ( City of Carlsbad ,. PLAN CHECK REVISION OR DEFERRED SUBMITTAL APPLICATION B-15 Development Services Building Division 1635 Faraday Avenue 442-339-2719 www.carlsbadca.gov i>R..W 2()2..3 -00 ~ q Original Plan Check Number e,tat,. Z02.2 · 03 'tol. Plan Revision Number ________ _ Project Address 1850 Marron Road, Suite 102 General Scope of Revision/Deferred Submittal: Deferred Mechanical submittal CONTACT INFORMATION: Name John Picinich Phone (760) 809-2888 Fax N/A '----------- Address 943 Alyssum Road City Carlsbad Zip 92011 Email Address john.picinich@stretchlab.com Original plans prepared by an architect or engineer, revisions must be signed & stamped by that person. 1. Elements revised: [j] Plans D Calculations D Soils D Energy D Other 2. 3. Describe revisions in detail List pagefs) where each revision is shown Scope includes new 7.5 ton rooftop HVAC unit, new exhaust fan at the Restroom, ductwork and diffusers M1.0, M1.1, M2.0 PREV2023-0019 1850 MARRON RD #102 C ' ( I"! . ) STRETCH LAB: REVISION ADD MECHANICAL// 1,753 SF T ~-:::; .~-t (B TO B OCCUPANCY) 1563011600 CBC2022-0392 2/27/2023 PREV2023-0019 4. Does this revision, in any way, alter the exterior of the project? D Yes [j] No 5. Does this revision add ANY new floor area(s)? D Yes [j] No 6. Does this revision affect any fire related issues? [j] Yes D No 7. Yes [j] No 'Plf-tt..n/4--1 $h ✓-t:--f6 Date 1635 Faraday Av e, Carlsbad, CA 92008 Ph: 442-339-2719 Fax: 760-602-8558 Email: building@carlsbadca.gov www.carlsbadca.gov