HomeMy WebLinkAbout1921 PALOMAR OAKS WAY; ; CB131878; PermitCity of Carlsbad
09-09-2013
1635 Faraday Av Carlsbad, CA 92008
Commercial/Industrial Permit Permit No: CB131878
Building Inspection Request Line (760) 602-2725
Job Address: 1921 PALOMAR OAKS WY CBADSt: 205
Permit Type: Tl Sub Type: INDUST Status: ISSUED
Applied: 08/06/2013
Entered By: SKS
Parcel No: 2120911800 Lot#: 0
Valuation: $257,093.00 Construction Type: 38
Occupancy Group: Reference#
Project Title: SOURCE INTELLIGENCE -6,926 SF
Plan Approved: 09/09/2013
Issued: 09/09/2013
Inspect Area
Plan Check #:
Tl OFF TO OFF -NEW PRIVATE OFFICES, CEILING GRID, CHANGE
SOME DOORS, NEW A/C IN DATA ROOM ONLY
Applicant:
VICTORIA MEL VIN-MAGGETTIELAM
STE 207
3160 CAMINO DEL RIOS
SAN DIEGO CA 92108-3834
619-624-0521 X 14
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Building Permit Fe.e
Plan Check Discount
Strong Motion Fee
Park Fee
LFM Fee
Bridge Fee
BTD #2 Fee
BTD #3 Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Pot. Water Con. Fee
Meter Size
Add'I Pot. Water Con. Fee
Reel. Water Con. Fee
Green Bldg Stands (SB1473) Fee
Fire Expedidted Plan Review
$1,314.98
$0.00
$920.49
$0.00
$0.00
$53.99
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$8.00
$317.50
Owner:
COGNAC PLAZAL LC
C/0 PRUDENTIAL REAL ESTATE INVEST
4 EMBARCADERO CTR #2700
SAN FRANCISCO CA 94111
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWA Fee
CFO Payoff Fee
PFF (3105540)
PFF (4305540)
Lice.nse Tax (3104193)
License Tax (4304193)
Traffic Impact Fee (3105541)
Traffic Impact Fee (4305541)
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Master Drainage Fee
Sewer Fee
Redev Parking Fee
Additional Fees
HMP Fee
Green Bldg Standards Plan Chk
TOTAL PERMIT FEES
Total Fees: $2,768.48 TotalPaymentsTo Date: $2, 7q8.48 Balance Due:
Inspector:
t=INAL APPROVAL
Date: 1/:-'I-l J Clearance:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$66.00
$38.02
$49.50
$0.00
$0.00
$0.00
$0.00
??
??
$2,768.48
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this perrrit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:
Af~_·:_;;; .• ,,~If;,
~ CITY Of
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 I 2718 I 2719
PHASE#
Fax 760-602-8558
www.carlsbadca.gov
# OF UNITS # BEDROOMS
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
-ll -17-
CONSTR. TYPE OCC. GROUP
UI-S B
(3.0S\.f.)EiSS.. oR=-fc:.ES Wltt'-._,a.w o~tc.£S ,ot&~ ~,c.e.., Ut-'l=~c.La.«J~~
'81'\.S.A-\&-fl,cX)M L NS--'-" 'i>o...>fi..'1.-.$, DA-""M a.r-p, N-C. w c...&lL.li'>'-"'1. lb .;,. LI C..1-\11/UG, I 'f ~
(pJ92.,[p SF ~ ~ I~ 0~ ~
EXISTING USE PROPOSED USE GARAGE (SF) orz-e. f c.-C.?--o~~
CITY STATE ZIP
S,4-,-., vl E-C..U C..~ C, Z. I t:,
ADDRESS ,o l lALo~ A-l~dlI''il-OS-.llU: Z..t,1>
CITY STATE ZIP
~~ ~ .,tol\
PHONE FAX
PATIOS (SF) DECKS (SF) AIR CONDITIONING FIREPLACE
YESO N~ YEs~oD
APPLICANT NAME (Secondary Contact)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
ADDRESS
b '1. t:to MfLJ t->O v'$,,.T(l:.
CITY $.L) STATE Lt+--ZIP
C\. uri..t
PHONE FAX
FIRE SPRINKLERS
YEs[Jg,NoO
,1.0-s-,i-01 '1"1 f:S'Sb --tro i...-e.,t~ t,n, -re7-L c;o3
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.# CLASS CITY BUS. UC.#
lc,5 Y-1 0
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he 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 fhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500}).
Workers' Compensation Declaration: I hereby 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 as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this .permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. ::zu,·,c...,V\ ,AMecrzzu\ :&\s, l.O. Policy No. WCl.e 'SLf a Lj L, 00 '-{ Expiration Date b-1 -1.o{~
This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to 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 one hundred thousand dollars (&100,000), in
addition to the cost of compensation, d mages as provided for in Section 3706 of the Labor code, interest and attorney's fees .
.Ji5 CONTRACTOR SIGNATURE l
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
D
D
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).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
.Ji5 PROPERTY OWNER SIGNATURE 0AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certifythatl have read the applicaUon and state that the above information is correct and that the infonnation on the plans is accurate. I agree to comply with all CHy ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or 'M'.lrk authorized by such permit is not commenced within
180days from the date of such permit or if th/ b~lding or'M'.lrk authorized by such permit is suspended or abandoned at anytime after the 'M'.Jrk is commenced for a period of 180days {Section 106.4.4 Uniform Building Code) .
.Jl.S"APPLICANT'SSIGNATURE (/ ~ DATE e.--{,-{ g
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email www.building@carlsbadca.gov or Mail tlle completed fonm to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: ________________ _
.E APPLICANT'S SIGNATURE
ASSOCIATED CB#------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE 1635 Faraday Ave., Carlsbad, CA 92008
ZIP
Inspection List
Permit#: CB131878 Type: Tl IN DUST SOURCE INTELLIGENCE -6,926 SF
Tl OFF TO OFF -NEW PRIVATE OFFICES,
Date Inspection Item Inspector Act Comments
11/01/2013 19 Final Structural RI
11/01/2013 19 Final Structural PB AP
10/09/2013 34 Rough Electric PB AP
10/09/2013 44 Rough/Ducts/Dampers PB AP
10/09/2013 85 T-Bar PB AP
09/26/2013 17 Interior Lath/Drywall PY AP
09/23/2013 14 Frame/Steel/Bolting/Weldin PB AP
09/23/2013 34 Rough Electric PB PA
09/16/2013 24 Rough/Topout · PB PA
09/16/2013 34 Rough Electric PB PA
09/12/2013 14 Frame/Steel/Bolting/Weldin PB PA
09/12/2013 44 Rough/Ducts/Dampers PB PA
Monday, November 04, 2013 Page 1 of 1
City of Carlsbad
Permit No:
SFD and Duplexes
Residential Additions
Remodels I Lofts
Apartments & Multi-family ·
Garages/Sunrooms/Solariums
Patio/Porch/Carport
Enclosed Patio
Decks/Balconies/Stairs
Retaining Walls, concrete,masonry
Pools/Spas-Gunite
Tl/Stores, Offices
Tl/Medical, restaurant, H occupancies
Photovoltaic Systems/# of panels
Fire Sprinkler System
Air Conditioning -commercial
Air Conditioning -residential
Fireplace/ concrete, masonry
Fireplace/ prefabricated Metal
Valuation:
Comm/Res (C/R):
Building Fee
Plan Check Fee
Strong Motion Fee
Green Bldg. Stand. Fee
Green Bldg PC Fee
License Tax/PFF
License Tax/PFF (in CFO)
CFO
1st hour of Plan CheckFire Expedite
Plumbing
Mechanical
Electrical
VALUATION WORKSHEET Building Division
6,926
$257,093
C
$1,314.98
$920.49
$54.00
$8.00
$0.00
$8,998.26
$4,679.09
TBO
TBO
TBO
. . ". ·/ 'JtJ
$110.17
$131.73
$57.48
$98.20
$28.74
$9.58
$15.51
$15.57
$19.16
$40.72
$37.12
$50.30
$400.00
$0.00
$0.00
$0.00
$0.00
$3.11
$5.03
$4.19
$3,855.98
$2,621.34
TOTAL
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$257,093.12
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$257,093.12
CFD
@ Yes (PFF=l.82%) @ No (PFF = 3.5%)
Land Use:
Density:
Improve. Area:
Fiscal Year:
Annex. Year:
Factor:
CREDITS
PFF and/or CFO
Explanation:
J
EsGil Corporation
In <Partnersliip witli <;jovernment for <Bui{aing Safety
DATE: 8/30/13
JURISDICTION: City of Carlsbad
PLAN CHECK NO.: 13-1878 SET: II
PROJECT ADDRESS: 1921 Palomar Oaks Way Suite 205
PROJECT NAME: Source Intelligence -TI
D APPLICANT
D JURIS.
D PLAN REVIEWER
D FILE
[XI 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
Corporation 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:
[XI EsGil Corporation staff did not advise the applicant that the plan check has been completed.
D EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone#:
Date contacted: (by: ) Email: Fax #:
Mail Telephone Fax In Person
D REMARKS:
By: Doug Moody
EsGil Corporation
D GA D EJ D PC
Enclosures:
8/23/13
9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576
-------·I-·---------
•
EsGil Corporation
In Partnersnip witn government for <BuiCaing Safety
DATE: 8/16/13
JURISDICTION: City of Carlsbad
PLAN CHECK NO.: 13-1878 SET: I
PROJECT ADDRESS: 1921 Palomar Oaks Way Suite 205
PROJECT NAME: Source Intelligence -TI
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.
~ The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation 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.
~ The applicant's copy of the check list has been sent to:
Maggetti Elam I Victoria Melvin
3160 Camino Del Rio South Suite 207,San Diego, CA 92108
D EsGil Corporation staff did not advise the applicant that the plan check has been completed.
~ EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Victoria Melvin Telephone#: 619-624-0521 ext 14
Date contacted: q-1,CPl?:> (by: fA.. ) Email: victoria@maggettielam.com Fax #: 619-624-0530
t:: Mail . .,,, Telephone
D REMARKS:
Fax../ In Person
By: Doug Moody
EsGil Corporation
D GA D EJ D PC
Enclosures:
8/8/13
9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576
I City of Carlsbad 13-1878
8/16/13
PLAN REVIEW CORRECTION LIST
TENANT IMPROVEMENTS
PLAN CHECK NO.: 13-1878
OCCUPANCY: B
TYPE OF CONSTRUCTION: IIIB
ALLOWABLE FLOOR AREA:
SPRINKLERS?: Yes
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION: 8/6/13
DATE INITIAL PLAN REVIEW
COMPLETED: 8/ 16/ 13
FOREWORD {PLEASE READ):
JURISDICTION: City of Carlsbad
USE: Office
ACTUAL AREA: 6926sf
STORIES: 2
HEIGHT:
OCCUPANT LOAD: 136
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 8/8/13
PLAN REVIEWER: Doug Moody
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 2010 CBC, which adopts the 2009 IBC.
The following items listed need clarification, modification or change. All items must be satisfied
before the plans will be in conformance with the cited codes and regulations. Per Sec. 105.4 of
the 2009 International Building Code, the approval of the plans does not permit the violation of
any state, county or city law.
To speed up the recheck process, please note on this list (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.
I City of Carlsbad 13-1878 ' . 8/16/13
Please make all corrections on the original tracings, as requested in the correction
list. Submit three sets of plans for commercial/industrial projects (two sets of plans
for residential projects). For expeditious processing, corrected sets can be
submitted in one of two ways:
1. Deliver all corrected sets of plans and calculations/reports directly to the City of
Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760)
602-2700. The City will route the plans to EsGil Corporation and the Carlsbad
Planning, Engineering and Fire Departments.
2. Bring one corrected set of plans and calculations/reports to EsGil Corporation,
9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468.
Deliver all remaining sets of plans and calculations/reports directly to the City of
Carlsbad Building Department for routing to their Planning, Engineering and Fire
Departments.
NOTE: Plans that are submitted directly to EsGil Corporation only will not be
reviewed by the City Planning, Engineering and Fire Departments until review by
EsGil Corporation is complete.
1. Please clarify the section view of all new interior partitions. Show:
a) Method of attaching top plates to structure. Please revise details 2 and 3
on sheet Tl-6.0.
b) Show height of partition and suspended ceiling, and height from floor to
roof framing or floor framing.
2. Please clarify the mechanical plans to show the outside air connection to the
new air handler AH-1.
3. Please review the requirements, revise the plans appropriately and imprint on
the plans the City of Carlsbad Policies and Procedures for Roof Mounted
Equipment to the plans.
4. Please complete the L TG-1-C part 3 of 4 mandatory automatic controls portion
of the L TG-1-C forms.
5. Occupancy sensors are required for the following room types: Offices 250
square feet and smaller, multipurpose rooms less than 1,000 square feet, and
classrooms and conference rooms of any size. Please add where appropriate.
Section 131 .
6. Please provide the required L TG-5C forms for the new track lighting.
7. Please revise the electrical plans to show emergency egress lighting in room 205
and the aisle way in rooms 211 and 212.
8. Please revise the plans to show the non-commercial kitchen sink in the break
room and the work area to provide the following:
a) A clear floor space at least 30"x 48" shall be provided for forward
approach.
C~ty of Carlsbad 13-1878
8/16/13
b)
c)
d)
e)
f)
g)
The clear space shall extend a maximum of 19" underneath the sink.
The accessible sink shall be a maximum of 6 %" deep.
The sink shall be mounted with the counter or rim no higher than 34"
Knee clearance that is at least 27" high, 30" side and 19" underneath the
sink shall be provided.
Hot water and drain shall be insulated.
There shall be no sharp or abrasive surfaces under sinks.
To speed up the review process, note on this list (or a copy) where each
correction item has been addressed, i.e., plan sheet, note or detail number,
calculation page, etc.
Please indicate here if any changes have been made to the plans that are not a
result of corrections from this list. If there are other changes, please briefly
describe them and where they are located in the plans.
Have changes been made to the plans not resulting from this correction list?
Please indicate:
Yes D No D
The jurisdiction has contracted with Esgil Corporation located at 9320
Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of
858/560-1468, to perform the plan review for your project. If you have any
questions regarding these plan review items, please contact Doug Moody at
Esgil Corporation. Thank you.
City of Car~sbad 13-1878
8/16/13
[DO NOT PAY -THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Carlsbad PLAN CHECK NO.: 13-1878
PREPARED BY: Doug Moody DATE: 8/16/13
BUILDING ADDRESS: 1921 Palomar Oaks Way Suite 205
BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: IIIB
BUILDING AREA Valuation Reg. VALUE
PORTION ( Sq. Ft.) Multiplier Mod.
Tl 6926 37.12
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code Cb By Ordinance
Bldg. Permit Fee by Ordinance
Plan O,eck Fee by Ordinance •
Type of Review: 0 Complete Review D Structural Only
D Repetitive Fee
.., Repeats
Comments:
D Other
D Hourly
EsGil Fee
------11 Hr @ '
($)
257,093
257,093
$1,314.981
$854.741
$736.391
Sheet 1 of 1
macvalue.doc +
PLAN CHECK
REVIEW·
TRANSMITTAL
DATE:08/27/13 PROJECT NAME: SOURCE INTELLIGENCE
PLAN CHECK NO: 1
VALUATION: $257,093
SET#: ADDRESS: 1921 PALOMAR OAKS WAY
Tl OFFICE TO OFFICE
Community & Economic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www.carlsbadca.gov
PROJECT ID: CB13-1878
APN: 212-091·11·12
This plan check review is complete and has been APPROVED by the ENGINEERING
' Division.
By: KATHLEEN LAWRENCE 08/27/13
A Final Inspection by the Division is required .'Yes ?:iNo
This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check Comments have been sent to: VICTORIA@MAGGEHIELAM.COM
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
Chris.Sexton@carlsbadca.gov
Gina Ruiz
760-602-4675
Gina.Ruiz@carlsbadca.gov
Remarks:
Kathleen Lawrence
760-602-27 41
Kathleen. Lawrence@carlsbadca.gov
Linda Ontiveros
760-602-2773
Linda.Ontiveros@carlsbadca.gov
Gregory.Ryan@carlsbadca.gov
Cindy Wong
760-602-4662
Cynthia.Wong@carlsbadca.gov
Dominic Fieri
760-602-4664
Dominic.Fieri@carlsbadca.gov
~---!-··--------
BUILDING PLANCHECK
CHECKLIST
QUICK-CHECK/APPROVAL
Development .Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
ENGINEERING Plan Check for C813-1878
Project Address: 1921 PALOMAR OAKS WAY
Tl OFFICE TO OFFICE
Project Description:
ENGINEERING Contact : Kathleen Lawrence
Phone: 760-602-27 41
RESIDENTIAL INTERIOR
RESIDENTIAL ADDITION MINOR
(<$20,000.00)
CARLSBAD PREMIER OUTLETS
OTHER:PCR
Date:08/27/13
APN: 212-091-11·12
Valuation: $257,093
Email: kathleen.lawrence@carlsbadca.gov
Fax: 760-602-1052
TENANT IMPROVEMENT
PLAZA CAMINO REAL
COMPLETE OFFICE BUILDING
r .. -.. - . ··-.. ~-·. ~ ,.,. - . ·,~---· ·.-:~,,· ~ ~ ~:~-~:/:·r--·. -•. ~-_·"'\:\,~,:,·,.:\,~-,~. -,. ~-~ •.• ~ .• ,
• . .· . . ..... ·· .... OFFICIAL.USE ONLY . . .. . .> • ••.• · . ·. .·. .
• ENGINEERlNG AUTHORIZATION TO ISSUE BUILDING PE~lllilT
E-36
BY: KATHLEEN LAWRENCE
REMARKS: NO ENG. FEES··BLOG AT 100%
Page 1 of 1
DATE:08/27/13
REV 4/30/11
------·I-·---------
PLANNING DIVISION
BUILDING PLAN CHECK
APPROVAL
CAR BAD P-29
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.e:ov
DATE: 8/8/13
PROJECT ID:
PROJECT NAME: T.I. -INTERIOR ONLY NO NEW ROOF EQUIP
PLAN CHECK NO: CB131878 SET#: ADDRESS: 1921 PALOMAR OAKS WY APN:
~ This plan check review is complete and has been CONDITIONALLY APPROVED by
the PLANNING Division. *NO NEW ROOF MOUNTED EQUIPMENT STATED ON THE
PLANS. IF NEW EQUIPMENT IS INSTALLED AND NOT SCREENED, THIS APPROVAL (
WILL BE NULL AND VOIDED* 5.fl~ (Y1 t-~ D /tOOe?(J@ ~{ f}t:-
By: GINA RUIZ Lik.-pu-G(Z., ~-9/q/13/Sk.$
A Final Inspection by the PLANNING Division is required D Yes [g] No
You may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the issuance of a building permit.
Resubmitted plans should include corrections from all divisions.
D This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check APPROVAL has been sent to: VICTORIA@MAGGETTIELAM.COM
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
D
D
760-602-4624
Chris.Sexton@carlsbadca.gov
Gina Ruiz
760-602-4675
Gina.Ruiz@carlsbadca.gov
760-602-27 41
Kathleen.Lawrence@carlsbadca.gov
D
D
Linda Ontiveros
760-602-2773
Linda.Ontiveros@carlsbadca.gov
Greg Ryan
760-602-4663
Gregory.Ryan@carlsbadca.gov
D CindyWong
760-602-4662
Cynthia.Wong@carlsbadca.gov
D Dominic Fieri
760-602-4664
Dominic.Fieri@carlsbadca.gov
, ..
1 DATE: 09,?a:2/2013
PLAN CHECK
REVIEW
TRANSMITTAL
PROJECT NAME: Source Intelligence
SUtLDING DEP'[
ConSe)'"4 Economic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www.carlsbadca.gov
PROJECTID:CB131878
PLAN CHECK NO: 2 SET#: 1 ADDRESS: 1921 Palomar Airpert Ad ac....l.._g. l>.J\/ APN:
~ This plan check review is complete and has been APPROVED by the FIRE Division.
By: GR
A Final Inspection by the FIRE Division is required kSI Yes D No
D This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check Comments have been sent to: v. Melvin
You may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the issuance of a building permit.
Resubmitted plans should include corrections from all divisions.
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
Chris Sexton
760-602-4624
Chris.Sexton@carlsbadca.gov
D Gina Ruiz
760-602-4675
Gina.Ruiz@carlsbadca.gov
D
Remarks: See Attached
Kathleen Lawrence
760-602-27 41
Kathleen.Lawrence@carlsbadca.gov
D
D
Linda Ontiveros
760-602-2773
Linda.Ontiveros@carlsbadca.gov
Gregory.Ryan@carlsbadca.gov
D CindyWong
760-602-4662
Cynthia.Wong@carlsbadca.gov
D Dominic Fieri
760-602-4664
Dominic.Fieri@carlsbadca.gov
RECEIVED
SEP 09 2013
CITY OF CARLSBAD
BUILDING DIVISION
C~rlsl;>ad Fire Department
Plan Review
Date of Report:
Name:
Address:
Permit#:
Job Name:
Job Address:
Requirements Category: Tl, INDUST
09-09-2013
VICTORIA MELVIN-MAGGETTIELAM
3160 CAMINO DEL RIOS -STE 207
SAN DIEGO CA
92108-3834
CB131878
SOURCE INTELLIGENCE -6,926 SF
1921 PALOMAR OAKS WY CBAD St: 205
Please review carefully all comments attached.
Conditions:
BUILDING DEF f. r:·o ri'l" , ~ ,r"" ~
Reviewed by: -~=-t1---C--~+---w--
CITY OF CARLSBAD FIRE DEPARTMENT-APPROVED: w/ Requirements
THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUANCE OF BUILDING PERMIT.
THIS APPROVAL IS SUBJECT TO FIELD INSPECTION AND REQUIRED TEST, NOTATIONS HEREON, CONDITIONS IN
CORRESPONDENCE AND CONFORMANCE WITH ALL APPLICABLE REGULATIONS.
THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE THE VIOLATION OF ANY LAW.
Requirements:
1. At or prior to Final Fire and Building inspection, Fire shall require receipt of the most current 5-year certification
of the fire sprinkler system and a copy of the Annual Fire Alarm test certificate.
2. At or prior to Final Fire and Building inspection an Emergency lighting facilities test shall be conducted by CFD
personnel during pre-dawn or dusk hours when ambient light is at 0.00 Lux or 0.0 Foot-candle.
This test shall be conducted to test the initial loss of power reading of illumination that is at least an average of 1
foot candle (11 lux) and a minimum of 0.1 foot-candle (1 lux) measured along the path of egress at the floor
level.
And tested after 60-minutes to 0.6 fc (6 lux). Failure to provide sufficient lighting in egress aisles, corridors, exit
enclosures, exit passageways and stair enclosures is the AOR's responsibility. CFC Ch. 10, Sec. 1006.
Entry: 09/09/2013 By: GR Action: AP
BLDG. DEPT COPY Page 1 of2
CONDITIONAL RECOMMENDATION FOR APPROVAL
CONDITIONS
M1 .0 Note 11 -Denote air-moving systems supplying air in excess of 2000 cfm equipped with smoke
detectors on the Mechanical Alteration Plan. CMC 609. Locations not shown on Mechanical Alteration
Plan. Show locations. Okay per PDF. Slip Sheet revised M1 .0, over the counter.
Slip Sheet M1 .1 and M2.0 into the set, over the counter.
Daryl K. James & Associates, Inc.
205 Colina Terrace
Vista, CA 92084
T. (760) 724-7001 Email: kitfire@sbcglobal.net
APPLICANT: Victoria Melvin
PROJECT NAME: Source Intelligence
Checked by: Daryl Kit James
Date: September 3, 2013
JURISDICTION: Carlsbad Fire Department
ADDRESS: 1921 Palomar Airport Rd Ste. 205
PROJECT DESCRIPTION: CB131878 Business offices with new offices, open office, conference
rooms, break room, new power & data and new ceiling grid & lighting, & New A/C in data room. 3,671 co
This plan was reviewed in order to verify conformance to minimum requirements of codes adopted by
the Carlsbad Fire Department. The items below require correction, clarification or additional information
before this plan check can be approved for permit issuance.
• Corrections or modifications to the plans must be clouded and provided with numbered deltas and
revision dates.
• Provide a written response following each comment, on this correction list, explaining how and
where each plan review comment has been addressed.
• Provide a copy of Building Department (EsGil) comments. Input fire revisions onto the corrected
Building Dept. plan check set.
• Please direct any questions regarding this review to: Daryl K. James 760-724-7001 or
kitfire@sbcg lobal. net
• COMMENTS MUST BE SUBMITTED DIRECTLY TO THE FOLLOWING ADDRESS, TO AVOID
DELAY:
DARYL K. JAMES & ASSOCIATES, INC.
205 COLINA TERRACE
VISTA, CA 92084
CORRECTIONS
Each sheet in the plans must signed by the person responsible for their preparation, even if there are
no structural changes. Business and Professions Code.
t.lTl-0.0
vBuilding Data
Verify that the No. of Floors in the building is 2 and not 3.
v'Sheet Index
Provide Sheet T1-04. Removed from Index
v'Tl-2.0
v'Door Notes
Pag~ 2 of~
Add the following note: Each rated door will be equipped with a rating label, self-closing device and
smoke seals.
Add the following note: Card reader/Electric hardware will comply with CBC 1008.1.9.8 and field-tested.
v'Tl-1-5.0
Provide specifications and California State Fire Marshal listings as well as other acceptance criteria for
flame spread and smoke developed index for new carpet, padding and carpet base. CFC 804
v'E1.0
Lighting Plan
Justify the omission of fixtures provided with a 90-minute emergency battery pack in dedicated egress
routes in larger rooms or spaces. For example, an aisle in an open office plan, but not in individual
offices that egress through the open area.
v Lighting Plan Legend
Specify whether Emergency Lighting Fixture Dual Lite LZ65-12V-low-Black is provided with a 90-minute
emergency battery pack.
v Electrical Notes
Specify whether emergency battery pack provides 90-minutes of backup.
v'Keyed RCP Notes
Add the following note: The means of egress system shall be illuminated at all times with a level not
less than 1 foot-candle at the walking surface.
v Photometric Plan
Denote the foot-candle illumination level at the walking surface, for each light fixture, throughout the
means of egress system on a photometric plan. The means of egress system consists of the Exit
Access, Exit and Exit Discharge. The exit access is that portion of the means of egress system that
consists of all floor areas that lead from usable spaces within the building to the exit or exits serving
that floor area. Exit access begins at the furthest points within each room or space and ends at the
entrance to the exit, that portion of the means of egress system between the exit access and the exit
discharge or public way. CBC 1006.2.
M1.0
Note 11.
Denote air-moving systems supplying air in excess of 2000 cfm equipped with smoke detectors on the
Mechanical Alteration Plan. CMC 609. Locations not shown on Mechanical Alteration Plan. Show
locations. Okay per PDF. Slip Sheet
Two copies of Sheet M1 .0 were attached to this set. Slip Sheet M1 .1 and M2.0 over the counter.
End of Comments
BLDG. DEPT COPY Pagel of2
PLAN CHECK COMMENTS 2
Daryl K. James & Associates, Inc.
205 Colina Terrace
Vista, CA 92084
T. (760} 724-7001 Email: kitfire@sbcglobal.net
APPLICANT: Victoria Melvin
Checked by: Daryl Kit James
Date: August 26, 2013
JURISDICTION: Carlsbad Fire Department
PROJECT NAME: Source Intelligence ADDRESS: 1921 Palomar...A.ir.port Ra Ste. 205
oc.~s w 1
PROJECT DESCRIPTION: CB131878 Business offices with new offices, open office, conference
rooms, break room, new power & data and new ceiling grid & lighting, & New A/C in data room. 3,671 ctJ
This plan was reviewed in order to verify conformance to minimum requirements of codes adopted by
the Carlsbad Fire Department. The items below require correction, clarification or additional information
before this plan check can be approved for permit issuance.
• Corrections or modifications to the plans must be clouded and provided with numbered deltas and
revision dates.
• Provide a written response following each comment, on this correction list, explaining how and
where each plan review comment has been addressed.
• Provide a copy of Building Department (EsGil) comments. Input fire revisions onto the corrected
Building Dept. plan check set.
• Please direct any questions regarding this review to: Daryl K. James 760-724-7001 or
kitfire@sbcglobal.net
• COMMENTS MUST BE SUBMITTED DIRECTLY TO THE FOLLOWING ADDRESS, TO AVOID
DELAY:
DARYL K. JAMES & ASSOCIATES, INC.
205 COLINA TERRACE
VISTA, CA 92084
CORRECTIONS
Each sheet in the plans must signed by the person responsible for their preparation, even if there are
no structural changes. Business and Professions Code.
v'Tl-0.0
v'Building Data
Verify that the No. of Floors in the building is 2 and not 3.
v'Sheet Index
Provide Sheet T1-04. Removed from Index
l,ITl-2.0
t,1D0or Notes
. I · ·cs "·"' ·. ·, •••'" " n ,
Page 2 of2
Add the following note: Each rated door will be equipped with a rating label, self-closing device and
smoke seals.
Add the following note: Card reader/Electric hardware will comply with CBC 1008.1.9.8 and field-tested.
VTl-1-5.0 ' Provide specifications and California State Fire Marshal listings as well as other acceptance criteria for
flame spread and smoke developed index for new carpet, padding and carpet base._ CFC 804
VE1.0
Lighting Plan
Justify the omission of fixtures provided with a 90-minute emergency battery pack in dedicated egress
routes in larger rooms or spaces. For example, an aisle in an open office plan, but not in individual
offices that egress through the open area.
vlighting Plan Legend
Specify whether Emergency Lighting Fixture Dual Lite LZ65-12V-low-Black is provided with a 90-minute
emergency battery pack.
vElectrical Notes
Specify whether emergency battery pack provides 90-minutes of backup.
v Keyed RCP Notes
Add the following note: The means of egress system shall be illuminated at all times with a level not
less than 1 foot-candle at the walking surface.
vPhotometric ,Plan
Denote the foot-candle illumination level at the walking surface, for each light fixture, throughout the
means of egress system on a photometric plan. The means of egress system consists of the Exit
Access, Exit and Exit Discharge. The exit access is that portion of the means of egress system that
consists of all floor areas that lead from usable spaces within the building to the exit or exits serving
that floor area. Exit access begins at the furthest points within each room or space and ends at the
entrance to the exit, that portion of the means of egress system between the exit access and the exit
discharge or public way. CBC 1006.2.
M1.0
Note 11.
Denote air-moving systems supplying air in excess of 2000 cfm equipped with smoke detectors on the
Mechanical Alteration Plan. CMC 609. Locations not shown on Mechanical Alteration Plan. Show
locations.
Two copies of Sheet M1 .0 were attached to this set. Provide Sheets M1 .1 and M2.0.
End of Comments
BLDG. DEPT C01¥e 1 of2
PLAN CHECK COMMENTS
Daryl K. James & Associates, Inc.
205 Colina Terrace
Vista, CA 92084
T. (760) 724-7001 Email: kitfire@sbcglobal.net
APPLICANT: Victoria Melvin
PROJECT NAME: Source Intelligence
Checked by: Daryl Kit James
Date: August 9, 2013
JURISDICTION: Carlsbad Fire Department
ADDRESS: 1921 Palomar A~~ S.t.e. 205
PROJECT DESCRIPTION: CB131878 Business offices with new offices, open office, conference
rooms, break room, new power & data and new ceiling grid & lighting, & New A/C in data room. 3,6711!1
This plan was reviewed in order to verify conformance to minimum requirements of codes adopted by
the Carlsbad Fire Department. The items below require correction, clarification or additional information
before this plan check can be approved for permit issuance.
• Corrections or modifications to the plans must be clouded and provided with numbered deltas and
revision dates.
• Provide a written response following each comment, on this correction list, explaining how and
where each plan review comment has been addressed.
• Provide a copy of Building Department (EsGil) comments. Input fire revisions onto the corrected
Building Dept. plan check set.
• Please direct any questions regarding this review to: Daryl K. James 760-724-7001 or
kitfire@sbcglobal.net
• COMMENTS MUST BE SUBMITTED DIRECTLY TO THE FOLLOWING ADDRESS, TO AVOID
DELAY:
DARYL K. JAMES & ASSOCIATES, INC.
205 COLINA TERRACE
VISTA, CA 92084
CORRECTIONS
Each sheet in the plans must signed by the person responsible for their preparation, even if there are
no structural changes. Business and Professions Code.
Tl-0.0
Building Data
Verify that the No. of Floors in the building is 2 and not 3.
Sheet Index
Provide Sheet T1-04.
Page_ 2 of~
Tl-2.0
Door Notes
Add the following note: Each rated door will be equipped with a rating label, self-closing device and
smoke seals.
Add the following note: Card reader/Electric hardware will comply with CBC 1008.1.9.8 and field-tested.
Tl-1-5.0
Provide specifications and California State Fire Marshal listings as well as other acceptance criteria for
flame spread and smoke developed index for new carpet, padding and carpet base. CFC 804
E1.0
Lighting Plan
Justify the omission of fixtures provided with a 90-minute emergency battery pack in dedicated egress
routes in larger rooms or spaces. For example, an aisle in an open office plan, but not in individual
offices that egress through the open area.
Lighting Plan Legend
Specify whether Emergency Lighting Fixture Dual Lite LZ65-12V-low-Black is provided with a 90-minute
emergency battery pack.
Electrical Notes
Specify whether emergency battery pack provides 90-minutes of backup.
Keyed RCP Notes
Add the following note: The means of egress system shall be illuminated at all times with a level not
less than 1 foot-candle at the walking surface.
Photometric Plan
Denote the foot-candle illumination level at the walking surface, for each light fixture, throughout the
means of egress system on a photometric plan. The means of egress system consists of the Exit
Access, Exit and Exit Discharge. The exit access is that portion of the means of egress system that
consists of all floor areas that lead from usable spaces within the building to the exit or exits serving
that floor area. Exit access begins at the furthest points within each room or space and ends at the
entrance to the exit, that portion of the means of egress system between the exit access and the exit
discharge or public way. CBC 1006.2.
M1.0
Note 11.
Denote air-moving systems supplying air in excess of 2000 cfm equipped with smoke detectors on the
Mechanical Alteration Plan. CMC 609.
End of Comments
Aug 02 13 04:09p VGS 5037475065
SAN DIEGO REGIONAL
HAZARDOUS MATERIALS QUESTIONNAIRE
p.1
OFFICE USE ONLY
UPFP#_~~-~~~
~V#_~~~~~~-
8? DATE _______ _,__ __
Telephone# s:r-=r c:11 ~ · '=,~ ~
A?N#
Plan File#
to. 1'551
The following questions represent the facftity's activities, NOT the specific project description.
PART I: FIRE DEJ>ARTUENT -HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: lndica1e by cir::ling the item, whether your business
will use. process, or s1ore any of the following hazardous materials. If any of the items are circled, applicant must contact the Fire Protec1ion Agency with
jurisdiction prier 10 plan submittal. Facility's Square Footage {including proposed project): Occupancy Rating:---------
1. Explosive or Blastir.g Agents 5. Organic Peroxides 9 Water Readives 13. Corrosi\1es
2. Compressed Gases 6. Oxidizers 10. CrJOgenics 1A. Other Health Hazards
3. Flammable/Combustible Liquids 7. Pyrophcrics 11 Highly Toxic er Toxic Materials @Nore of These.
4. Flammaoie Solids 8. Unstable Reactives 12. Radioactives
PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEAL TH -HAZARDOUS MATERIALS DIVlSIONS jHMDl: If U,e answer to any of the
questions is yes, appl'cant must contact the County of San Diego Hazardous Materials Division, 5500 Overtand Ave., Suite 110, San Diego. CA 92123.
Call (858) 505-6700 prior to !he issuance of a building permit.
FEES ARE REQUIRED. Project Completion Date'. __ 1 __ 1__ Expected Dale of Occupancy: _1_1 _I O I ,..!.3_ 0 Ca!ARP Exempt
I
1.
2.
3.
4.
5.
6.
7.
YES NO (for new construction or remodeling projects)
0 ff Is your business listed on the reverse side of this form? (check all that apply}.
0 8"' \Nill your business dispose of Hazardous Substances or Medical Waste in any amounl?
0 ~ Will your business store °' handle Hazardous Subs lances in quantities equal to or greater than 55 gallons, 500 pounds
D
D
0
D
200 cubic feet. or carcincgenslreproductive toxins in any quantity? ~ Will your business use an existing or install an underground storage tank?
~ WiU your business store or handle Regulated Substances (CalARP}?
Gr \Nill your business use or install a Hazardous Waste TanK Syslem (Title 22, Article 10)?
[3""' Will your busiress store petroleum in tanks or containers at your facility with a total storage capacity equal lo
or greater than , ,320 gallons? (California's Aboveground Petroleum Storage Act).
Date Initials
0 CalARP Required
I
Date Initials
0 CalARP Complete
I
Date Initials
PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT: If the answer lo any of the qtJestions below is yes, applicant must contact the Air
Pollution Control District (APCD), 10124 Old Grove Road, San Diego, CA 92131-1649, telephone (858) 586-2600 prior to the issuance of a building or demolition
permit. Note: if the answer to questions 4 or 5 is yes, applicant must also submit an asbestos notification form to the APCD at least 10 working days prior lo
commencing demolition or renovation, except demolition or renovation of residential structures of four ur:ils or less. Contact the APCD for more infonnation.
YES NO
1. 0 ~ Will the subject facilitv or construction actlvities include operations or equipment that emit or are capable of emitting an air contaminant? (See the
APCD factsheet at http:I/\WM'.sdaocd orn/into/facts/oermi:s.::ic·;, ancl the Ust of typical equipment requiring an APCD permit on the reverse side
2. D
D
D
D
of this from. Contact APCD ii you have any questions). I!(° (ANSWER ONLY lF QUESTION 1 IS YES) VIJIU the subject facility be located within 1,000 feel of the ouler boundary of a school (K through 12)'
.ASearch the California School Direclol)' at http:/lw\'111N cde.ca.aov/re/sc for public and private schools or contact the appropriate school district).
3.
4
5.
B"' ..,Has a survey been performed lo determine the presence of Asbestos Containing Materials? ~ Will there be renovation that involves handling of any friable asbestos materials, or disturbing any material that conlair.s non-friable asbestos?
~ Will there be demolition involving the removal of a load supporting structural memoer?
Briefly describe business activities: Briefly describe proposed project: ~ C.Or orq~e rr"'Y)--no~ -a DC<:h.__ re.Sea.~h
~ I 2 I I:,
Dale
FOR OFFICIAL USE ONLY FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: _________________________________ _
BY:-------------------------~
EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED l'OR BUILDING PERMIT' BUT NOT FOR OCCUPANCY RELEASEO FOR OCCUPANCY
COUNTY-HMO• APCO COUNTY-HMO APCO COUNTY-HMO APCO
I
·A stamp 1' this box only exempts ousinesses from completing or updat,ng a Haz.ardous Matenals Business Plan. Otr,er perm1t11ng requirements may still apply.
HM-917: (02/11) County of San Diego-DEH -Hazardou~ Materi~s Division
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
SCREENING SURVEY
Date 'O"b-{~
Business Name Worc..Jz... \r-''1U....L.l Gi,.a f'l'-'-
Street Address l:''2.l \:>f'-L()Mfr(t D~ W/lc'r , Sta.. 2.0~
Email Address '{ 1 C...:b.>et o.. ~ np..~ $-(.C-\ 1~~\a/\0, c OfV\
PLEASE CHECK HERE IF YOUR BUSINESS tS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) .t:=t'
Check all below that are present at your facility: ~
Acid Cleaning Ink Manufacturing Nutritional .Supplement I
Assembly Laboratory Vitamin Manufacturing
Automotive Repair Machining I Milling Painting I Finishing
Battery Manufacturing Manufacturing Paint Manufacturing
Biofuel Manufacturing Membrane Manufacturing Personal Care Products
Biotech Laboratory (i.e. water filter membranes) Manufacturing
Bulk Chemical Storage Metal Casting I Forming Pesticide Manufacturing I
Car Wash Metal Fabrication Packaging
Chemical Manufacturing Metal Finishing Pharmaceutical Manufacturing
Chemical Purification Electroplating (including precursors)
Dry Cleaning Electroless plating Porcelain Enameling
Electrical Component Anodizing Power Generation
Manufacturing Coating (i.e. phosphating) Print Shop
Fertilizer Manufacturing Chemical Etching I Milling Research and Development
Film I X-ray Processing Printed Circuit Board Rubber Manufacturing
Food Processing Manufacturing Semiconductor Manufacturing
Glass Manufacturing Metal Powders Forming Soap I Detergent Manufacturing
Industrial Laundry Waste Treatment/ Storage
SIC Code(s) (if known):-----------------------
Brief description of business activities (Production I Manufacturing Operations): _____ _
Description of operations generating wastewater ( discharged to sewer, hauled or evaporated}:
Estimated volume of industrial wastewater to be discharged (gal I day): _______ _
List hazardous wastes generated (type/volume):---------------
Date operation began/or will begin at this location: ________ ...._ _____ _
Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? -
Yes No lfyes,when: ___________________ ~
Site Contact Title
Signature (A; L-r--/lA:-:l Phone._N_o__l,._(_1_--,--z.~4-_-o_S_1_l_k"_/_i __
ENCINA WASTEWATER AUTHORITY, 6200 Avenida Encinas Carlsbad, CA 92011 (760) 438-3941
FAX: (760) 476-9852
J
DISCHARGE PERMIT EXEMPT LIST
The commercial enterprises listed below ar~ a partial listing of bl,Jsinesses that are exempt
from industrial wastewater discharge permitting· under normal operating conditions. They
are exempt because (a) they discharge,no process wastewater (i:e., they only discharge
sanitary wastewater with no pollutants exceeding any local limits), and (b) they have no
potential to negatively impact the EWPCF or other wastewater treatment plants in the
ESS. Any questions regarding exemptions should be referred to EWA Source Control
staff.
Automobile Detailers
Barber/Beauty Shops
Business/Sales Offices
Carpet/Upholstery Cleaning Services
Childcare Facilities
Churches
Community Centers
Consulting Services
Contractors
Counseling Services
Educational Services (no auto repair/film developing)
Financial Institutions/Services
Fitness Centers
Gas Stations (no car wash/auto repair)
Grocery Stores (no film developing)
Home-based Businesses
Hotels/Motels (no laundry)
Laundromats
Libraries
Medical Offices (no x-ray developing)
Mortuaries
Museums
Nail Salons
Nursing Homes
Office Buildings (no process flow)
Optical Services
Pest Control Services (no pesticide repackaging for sale)
Pet Boarding/Grooming Facilities
Postal Services
Public Storage Facilities
Restaurants/Bars
Retail/Wholesale Stores (no auto repair/film developing)
Theaters (Movie/Live)
CB131878 1921 PALOMAR OAKS WY
205
~/ w//2) 1"1? ~. PuJ'J 1
?/<tf (J p~ ~ f0o::>
8)1£o(I~ fj,C,,IL.-~
g,{~ "a [l '!::) ~ &,re., ~ -re
C\l~t\3 ~ c~n-.J @
qlq / 1":) ~"CC-~ ._,J ;::~
c;(q/;3 -µ_;; uEP
f"t (l£ ~Plt> 4 t:;:S6i (LG-/
~ c..,,.,Ly
Final Inspection required by:
D Plan D CM&I ~Ire
SW DtSSUED
Approved Date
BUILDING --~/-:1.fi , , Q.
PLANNING \.Wt!!, t"V M -x1x1 t?;,
ENGINEERING" -x,~_,,,3
FIRE Expedite? {. Y) N , I . L &) J,zlr
AFS Checked by: ' ' I
HazMat
APCD
Health
Forms/Fees Sent Rec'd
Encina Y--11" I I L..
Fire
HazHealthAPCD v-1 '"" /,,;_
PE&M V"1 (,,I/~ -'qjq/,"'(,
School -,
Sewer
Stormwater
Special Inspection
CFD: y ~ LandUse: Density: lmpArea: FY: Annex:
-PFF: y ({N)
Comments-Date Date Date
Building Y J1c../,!>
Planning
Engineering
Fire 'll/c;jt-3 R/z(p/ 13
Need?
()Ay"\W f .L I nf...-c
0<..MN~~UL
-...J
-. . .. --------------··~~~~~----------------------------------------~~~~
I Dev
By
.O;r..l
U1 rt-
/<._L
l!;. C:n tL-
Due? By
y N 9t_,.s7,.
y N
y N 8l.r\
y N -~IJ\
y N
y N
y N
y N
Factor:
Date
'id Done
~e
ODone
ODone
ODone