HomeMy WebLinkAbout1905 CALLE BARCELONA; 217; CB131200; Permit06-24-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Commercial/Industrial Permit Permit No: CB131200
Building Inspection Request Line (760) 602-2725
Job Aijciress'
Permit Type.
Parcel No
Valuation
Occupancy Group
Project Title
1905 CALLE BARCELONA CBADSt 217
Tl Sub Type COMM
2550120400 Lot# 0
$95,213 00 Construction Type 5B
Reference #
ONE LIFE 2565 SF RETAIL TO
WEIGHT LOSS CENTER
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
Plan Check #•
ISSUED
05/14/2013
JMA
06/24/2013
06/24/2013
Applicant:
JAN SOLOMON
#C101
143 S CEDROSAVE
SOLANA BEACH CA 92075
858-509-2123 X 101
Owner
T-C FORUM AT CARLSBAD LLC
C/O TIAA-CREF
4675 MACARTHUR CT#1100
NEWPORT BEACH CA 92660
Building Permit $676 02 Meter Size
Add1 Building Permit Fee $0 00 Add1 Red. Water Con Fee $0 00
Plan Check $473 21 Meter Fee $0 00
Add1 Building Permit Fee $0 00 SDCWA Fee $0 00
Plan Check Discount $0 00 CFD Payoff Fee $0 00
Strong Motion Fee $19 99 PFF (3105540) $0 00
Park Fee $0 00 PFF (4305540) $0 00
LFM Fee $0 00 License Tax (3104193) $0 00
Bndge Fee $0 00 License Tax (4304193) $0 00
BTD #2 Fee $0 00 Traffic Impact Fee (3105541) $0 00
BTD #3 Fee $0 00 Traffic Impact Fee (4305541) $0 00
Renewal Fee $0 00 PLUMBING TOTAL $80 00
Add1 Renewal Fee $0 00 ELECTRICAL TOTAL $48 80
Other Building Fee $0 00 MECHANICAL TOTAL $42 31
Pot Water Con Fee $0 00 Master Drainage Fee $0 00
Meter Size Sewer Fee $0 00
Add1 Pot Water Con Fee $0 00 Redev Parking Fee $0.00
Red Water Con Fee $0 00 Additional Fees $0 00
Green BIdg Stands (SB1473) Fee $1.00 HMP Fee ?'?
Fire Expedidted Plan Review $0 00 Green BIdg Standards Plan Chk ??
TOTAL PERMIT FEES $1,341 33
Total Fees $1,341 33 Total Payments To Date $1,341 33 Balance Due: $0.00
Inspector
FINAL AP
Date
APPROVAL
Clearance
NOTICE Please take NOTICE th^pproval 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 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 vou have previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv othenwise expired
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE ClPLANNiNG ]ENGINEERING •BUILDING JFIRE n HEALTH •HAZMATIAPCD
CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave , Carlsbad, CA 92008
Ph 760-602-2719 Fax 760-602-8558
email building(gcarlsbadca gov
www carlsbadca gov
Plan Check No. ^g)|3- 1'2JC>(^
Est. Value ^^SfH"?,.
Plan Ck. Deposit
Date 3 SWPPP
JOB ADDRESS
|LOT# I PHASE # I «o" UNITS |# BEDROOMS Z # BATHROOMS
SUITE«/SPACE#/UNIT<i
- 01^ - OH
I CONSTR fYPE CT/PROJECT # # BATHROOMS
I
TENANT BUSINESS NAME
y-M. I DESCRIPTION OF WORK Include Square Feet of Affected Atea(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESri#
AIR CONDiyONING
YESl
FIRE SPRipLERS
YESl
APPLICANTNAIVIE (Primary Contact)!
JAN
APPLICANT NAME (Secondary Contact;
ADDRESS Hb 6. oevm Av5 oio\ ADDRESS
CITY STATE ZIP ^ CITY STATE ZIP
EMAIL— ,1 .1
PHONE
PROPERTY OWNEI WNER I^AMJE CONTRACTOR BUS NAME
ADDRESS 10-7 ^. oa)aAf> /^ve ^ ADDRESS
STATE . ZIP CITY
~X .. ^ [FAX
CITY
PHONE
EMAIL ' EMAIL
ARCH/DESIGNER NAME&ADDRE^ # „ ^ 75 I CLASS /7) I CITY BUS LIC #
improve demolish or repair any structure, prior to its issuance, also requires ttie (Sec 70315 Business and Professions Code Any City or County which requires a permit to construct alter, improve demolish OT repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9 commending with Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption Any violaUon 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 / terety affirm under penalty ofpeijury one of the following declarations
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 perfonnance of the work for which this permit is issued
I 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 earner and policy
number are Insurance Co ^^^^&f fVfjf(6N(\l Policy No "7^ O 6C>£> L B 5 / .X ( Expiration Date l(~ I
This section need not be completed if the permit is for one hundred dollars ($100) or less
I I Certificate of Exemption I certify that in the perfonnance 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 cnminal penalties and civil fines up to one hundred thousand dollars (&100,0Q0), m
addition to the cost of compensation, damages as provided for in Section 3706 ofthe Labor code, interest and attomey's fees
JS^ CONTRACTOR SIGNATURE" • AGENT DATE
/ hereby affirm that I am exempt from Contractor's Ijcense Law for the following reason
I I 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 Contractors
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 I 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 I I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement j^Yes j |No
2 I (have / have not) signed an application for a building permit for the proposed work
3 I have contracted with the following person (fimi) to pnjvide the pnjposed constmction (include name address / phone / contractors' license number)
4 I plan fo provide portions of the work, but I have hired the followmg person to coordinate, supereise and provide the major work (include name / address / phone / contractors' license number)
5 I will provide some of the work, but 1 have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work)
I PROPERTY OWNER SIGNATURE QAGENT DATE
Is the applicant or future building occupant required to submit a business pla^acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505,25633 or 25534 of the
Presley-Tanner Hazardous Substance Account Acf C"* Yes (r No
Is the applicant or future building occupant required to obtain a permit from the air pollution control djstnct or air qujflfy management distncP Yes >r Mo
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 SE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lender's Name . Lender's Address
1 certify that I have read the application and state that the above infomnabon is conect and that the infonnation on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CFTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA permit is required for excavations over 5'0 deep and demolition or constmction of stmctures over 3 stones in height
EXPIRATION Every pennit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or v«rk authorized by such pennit is not commenced within
180 days from date of such permit or if Jie buildinqKvvoitaiilhonzad by such permit is suspended or abandoned af any time after the work is commenced far a penod of 180 days (Section 106 4 4 Uniform Building Code)
^APPLICANT'S SIGNATURE ^^'J&rf'-'^^— * DATE
> STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the followmg ONLY if a Certificate of Occupancy will be requested at final inspection.
C F R T I F I C A T IC OF O C C ly P A N C V [ C o m ni r s i .< i ^ c ( o c t i O n I y |
Fax (760) 502-8560, Email buildina(a)carlsbadca gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
ElVlAiL OCCUPANT'S BUS LIC No
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
IVIAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
IVIAIL/FAX TO OTHER: _ „
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
APPLICANT S SIGNATURE DATE
Inspection List
Permit*: CB131200 Type: Tl COMM ONE LIFE: 2565 SF RETAIL TO
WEIGHT LOSS CENTER
Date Inspection Item Inspector Act
09/09/2013 89 Final Combo -Rl
09/09/2013 89 Final Combo PY AP
09/06/2013 89 Final Combo -Rl
09/06/2013 89 Final Combo PB NR
08/27/2013 84 Rough Combo PD AP
08/12/2013 17 Interior Lath/Drywall PD PA
08/08/2013 84 Rough Combo PD PA
07/24/2013 17 Intenor Lath/Drywall PY AP
07/24/2013 24 Rough/Topout PY AP
07/15/2013 14 Frame/Steel/BoltingAA/eidin PY AP
07/15/2013 34 Rough Electric PY AP
Comments
COF
COF
Tuesday, September 10, 2013 Page 1 of 1
•x<|^> or
^^^^1^^"^^ INSPECTION RECORD
Building Division
0 INSPECTION RECORD CARD WITH APPROVED
PLANS MUST BE KEPT ON THE JOB
121 CALL BEFORE 3:30 pm FOR NEXT WORK DAY INSPECTION
B FOR BUILDING INSPECTION CALL: 760-602-2725
OR GO TO: www.Carisbadca.aov/Building AND CUCK ON
CB131200 1905 CALLE BARCELONA
217
ONE LIFE 2565 SF RETAIL TO
WEIGHT LOSS CENTER
Tl COMM
Lot# JAN SOLOMON
RECORD COPY
OATE:
Request Inspection"
IF "YES" IS CHECKED BELOW THAT DIVISION S APPROVAL IS REQUIRED PRIOR TO REQUESTING A FlNAL BUILDING INSPECTION.
IF YOU HAVE ANY QUESTIONS PLEASE CALL THE APPLICABLE DIVISIONS AT THE PHONE NUIi/IBERS PROVIDED BELOW. AFTER
ALL REQUIRED APPROVALS ARE SIGNED OFF— FAX TO 760-602-8560, Ef^AIL TO BLDGINSPECTIONS@CARLSBADCA.GOV
OR BRING IN A COPY OF THIS CARD TO: 1635 FARADAY AVE.. CARLSBAD. CA 92008. BUILDING INSPECTORS CAN BE
REACHED AT 760-602-2700 BETWEEN 7:30 AM - 8 OO AIVI THE DAY OF YOUR INSPECTION.
NO YES Required Prior to Requesting Building Final If Checked YES Date Inspector Notes
Planning/Landscape 760-944-8463 Allow 48 hours
r CM&I (Engineering Inspections) 760438-3891 Call before 2 pm
Rre Prevention 760-602-4660 Allow 48 hourj
o
Type of Inspection
CODE # BUILDING
#11 FOUNDATION
Date Inspector
Type of Inspection
#31 • ELECTRIC UNDERGROUND • UFER
Date Inspector
#12 REINFORCED STEEL #34 ROUGH ELECTRIC
#66 MASONRY PRE GROUT #33 •ELECTRICSERVICE • TEMPORARY
• GROUT • WALL DRAINS #35 PHOTOVOLTAIC
#10 TILT PANELS
#11 POUR STRIPS
#11 COLUMN FOOTINGS
#39 FINAL
CODE # MECHANICAL
#41 UNDERGROUND DUCTS & PIPING
#14 SUBFRAME • FLOOR • CEILING #44 • DUCT & PLENUM • REF. PIPING
#15 ROOF SHEATHING #43 HEAT-AIR COND. SYSTEMS
#13 EXT. SHEAR PANELS
#16 INSUUTION
#18 EXTERIOR LATH
#49 FINAL
CODE # COMBO INSPECTION
#81 UNDERGROUND (11,12,21,31)
#17 INTERIOR UTH& DRYWALL #82 DRYWALL,EXTLATH, GASTES (17,18,23)
#51 POOLEXCA/STEEL/BOND/FEWCE #83 ROOFSHEAHNQ, EXTSHEAR (13,15)
#55 PREPLASTER #84 FRAME ROUGH COMBO (14,24,34,44)
#19 FINAL
#22 • SEWER &BL/CO • PL/CO
#89 HNAL OCCUPANCY (19,29,39,49)
CODE # PLUMBING Date
#21 UNDERGROUND DWASTE • WTR
Inspector
FIRE Date Inspector
#24 TOP OUT DWASTE DWTR A/S UNDERGROUND VISUAL
#27 TUB & SHOWER PAN A/S UNDERGROUND HYDRO
#23 DGASTEST • GAS PIPING A/S UNDERGROUND FLUSH
#25 WATER HEATER A/S OVERHEAD VISUAL
#28 SOLAR WATER A/S OVERHEAD HYDROSTATIC
#29 FINAL
CODE # STORM WATER
#600 PRE CONSTRUCTION MEETING
A/S HNAL
F/A ROUGH-IN
F/A HNAL
#603 FOLLOW UP INSPECTION FIXED EXTINGUISHING SYSTEM ROUGH-IN
#605 NOTICE TO CLEAN FDCED EXTING SYSTEM HYDROSTATIC TEST
#607 WRITTEN WARNING FD(ED EXTINGUISHING SYSTEM HNAL
#609 NOTICE OF VIOUnON MEDICAL GAS PRESSURE TEST
#610 VERBALWARNING MEDICAL GAS FINAL
REV 10/2012 SEE BACK FOR SPECIAL NOTES
EsGil Corporation
In tPartnersHip •witti government for (ButCding Safety
DATE: 6/13/13 • APPLICANT
ar JURIS
JURISDICTION: City of Carlsbad • PLAN REVIEWER
• FILE
PLAN CHECK NO.: 13-1200 SET II
PROJECTADDRESS: 1905 Calle Barcelona Suite 217
PROJECT NAME. One Life - TI
XI The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
I I 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.
I I The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
I I The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
I I The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
I I The applicant's copy of the check list has been sent to:
1X1 EsGil Corporation staff did not advise the applicant that the plan check has been completed.
I I 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
• REMARKS:
By: Doug Moody Enclosures:
EsGil Corporation
• GA • EJ • PC 6/6/13
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576
EsGil Corporation
In VartnersHip n/itfi government for (Building Safety
DATE: 5/23/13 p-Tfl^TOCAll^T
6 JURIS^
JURISDICTION: City of Carlsbad •~PCANREVIEWER
• FILE
PLAN CHECK NO.: 13-1200 SET I
PROJECT ADDRESS: 1905 Calle Barcelona Suite 217
PROJECT NAME: One Life - TI
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's codes.
I I 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.
! I The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
X The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
I I The applicant's copy of the check list is enclosed for the jurisdiction to fonward to the applicant
contact person.
X The applicant's copy of the check list has been sent to:
Jan Solomon
143 S. Cedros Ave Suite 101, Solana Beach, CA 92075
I I EsGil Corporation staff did not advise the applicant that the plan check has been completed.
X EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted. Jan Solomon C^"'^) Telephone #: 858-509-2123 ext.101
Date contacted: sU^ ''3(by: ^ ) Email: ian(S)solomonid.com Fax #: 858-509-2127
^ IWail "telephone Fax In Person
• REMARKS:
By. Doug Moody Enclosures:
EsGil Corporation
• GA • EJ • PC 5/16/13
9320 Chesapeake Drive, Suite 208 • San Diego, Califomia 92123 • (858) 560-1468 • Fax (858) 560-1576
City of Carlsbad
5/23/13
13-1200
PLAN REVIEW CORRECTION LIST
TENANT IMPROVEMENTS
PLAN CHECK NO.: 13-1200 JURISDICTION: City of Carlsbad
OCCUPANCY: B/M USE: Weight Loss Center
TYPE OF CONSTRUCTION: VB ACTUAL AREA: 2565sf
ALLOWABLE FLOOR AREA: STORIES: 2
HEIGHT:
SPRINKLERS?: Yes OCCUPANT LOAD: 35
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION: 5/14/13
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 5/16/13
DATE INITIAL PLAN REVIEW
COMPLETED: 5/23/13
PLAN REVIEWER: Doug Moody
FOREWORD (PLEASE READ):
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.
City of Carlsbad 13-1200
5/23/13
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. Each sheet of the plans must be signed by the person responsible for their
preparation, even though there are no structural changes. Business and
Professions Code.
2. Please revise the plans the break room is not a compliant exit path as only one
exit IS required please remove the exit signs directing the occupants to a non-
complying exit.
3. Hot water supplied to a public use lavatory is limited to a maximum temperature
potential of 120 degrees by a device that conforms to ASSE 1070 or CSA
B125.3; please provide the manufacturer's listing showing compliance. Detail
how this temperature limitation is achieved. The water heater thermostat may not
be used for compliance with this Code section. UPC 413.1 & UPC 414.
4. Please revise the plans to show a disabled accessible transaction counter located
at a section of the main counter that is at least 36" long and no more than 28" to
34" high. Section 1122B.5.
5. Show that grab bars comply with the following, per Section 1115B.4.1:
a) They shall be securely attached and centered 33" above the floor and
parallel and not 34" as shown in the elevation on sheet A-3.0
6. Please revise the plans to show the non-commercial kitchen sink in the
employee break room to provide the following:
a) A clear floor space at least 30"x 48" shall be provided for forward
approach.
b) The clear space shall extend a maximum of 19" underneath the sink.
c) The accessible sink shall be a maximum of 6 V'l' deep.
City of Carlsbad 13-1200
5/23/13
d) The sink shall be mounted with the counter or rim no higher than 34"
e) Knee clearance that is at least 27" high, 30" side and 19" underneath the
sink shall be provided.
f) Hot water and drain shall be insulated.
g) There shall be no sharp or abrasive surfaces under sinks.
7. Show a level area, or landing, per Section 1133B.2.4.2:
a) >60" in the direction of door swing at the Med Storage room.
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 • No •
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 Carlsbad 13-1200
5/23/13
[DO NOT PAY- THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Carlsbad PLAN CHECK NO.: 13-1200
PREPARED BY: Doug Moody DATE: 5/23/13
BUILDING ADDRESS: 1905 Calle Barcelona Suite 217
BUILDING OCCUPANCY: B/M TYPE OF CONSTRUCTION: VB
BUILDING
PORTION
AREA
( Sq FL)
Valuation
Multiplier
Reg
Mod.
VALUE ($)
Tl 2565 37.12 95,213
Air Conditioning
Fire Sprinklers
TOTAL VALUE 95,213
Junsdction Code cb By Ordinance
BIdg. Permit Fee by Ordinance
Plan Check Fee by Ordinance
Type of Reviews
I ^Repetitive Fee
~ Repeats
Q Complete Review
• Other
j~j Hourly
EsGil Fee
• Structural Only
Hr. @ *
$676.02
$439.41
$378.57
Comments-
Sheet 1 of 1
macvalue doc +
4.c:
CITY OF
CARLSBAD
PLAN CHECK
REVIEW
TRANSMITTAL
Community & Economic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www.carlsbadca.gov
DATE: 5/23/13 PROJECT NAME: One Life _ weight loss clinic PROJECT ID:
PLAN CHECK NO: CB131200 SET#: I ADDRESS: 1905 Calle Barcelona APN: 225-012-04
VALUATION: $95,213 APPLICANT CONTACT: jan@.solomonid.C()m
X This plan check review transmittal is to notify you of clearance by:
LAND DEVELOPMENT ENGINEERING DIVISION
Final Inspection by the Construction & Inspection Division is required: Yes NoM
^ For status from a division not marked below, please call 760-602-2719
This plan check review Is NOT COMPLETE. Items missing or Incorrect are listed
on the attached checklist. Please resubmit amended plans as required.
PLANNING
760-602-4610
LAND DEVELOPIVIENJ ENG.
760i5O2%50:
FIRE PREVENTION
760-602-4665
'; Cliris Sexton
-i 760-602-4624
Chris.Sexton@carlsbadca.gov
1 Gina Ruiz
^-i 760-602-4675
Gina.Ruiz@carlsbadca.gov
.J
I Kathleen Lawrence
760-602-2741
Kathleen.Lawrence@carlsbadca.gov
LX Linda Ontiveros
760-602-2773
Linda.Ontiveros@carlsbadca.gov
I Greg Ryan
760-602-4663
Gregory.Ryan@carlsbadca.gov
i Cindy Wong
760-602-4662
Cynthia.Wong@carlsbadca gov
I Dominic Fieri
—! 760-602-4664
Dominic.Fieri(#ca rlsbadca.gov
Remarks
W CITY OF
ARLSBAD
PLANNING DIVISION
BUILDING PLAN CHECK
APPROVAL
P-29
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www carlsbadca sov
DATE: 5-14-13 PROJECT NAME: PROJECT ID:
PLAN CHECK NO: CB 13-1200 SET#: 1 ADDRESS: 1905 Calle Barcelona APN: 225-012-04-00
This plan check review is complete and has been APPROVED by the Planning
Division.
By: Chris Sexton
A Final Inspection by the Planning Division is required • Yes ^ 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.
^ 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: jan@solomonid.com
For questions or clarifications on tlie attaclied cPiecklist please contact tlie following reviewer as marl<ed:
PLANNING
> 760-602-4610 , : ,
ENGINEERING
; .760-602-2750
FIRE PREVENTION
760-602-4665
X Chris Sexton
760-602-4624
Chris.Sexton@carlsbadca.gov
1 1 Kathleen Lawrence
760-602-2741
Kathleen.Lawrence@carlsbadca.gov
I 1 Greg Ryan
760-602-4663
Gregorv.Rvan@carlsbadca.gov
1 1 Gina Ruiz
760-602-4675
Gina.Ruiz@carlsbadca.gov
1 1 Linda Ontiveros
760-602-2773
Linda.Ontiveros@carlsbadca.gov
O Cindy Wong
760-602-4662
Cvnthia.Wong@carlsbadca.gov
• • 1 1 Dominic Fieri
760-602-4664
Dominic.Fieri@carlsbadca.gov
Remarks:
INDUSTRIAL WASTEWATER DISCHARGE PERI
^ . SCREENING SURVEY
Date S-lH-f)
Business Name Qt4fe U|j^
Street Address
Email Address
liT
PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS)
Check ail beiow tiiat are present at your facility:
Acid Cieaning
Assembly
Automotive Repair
Battery [Manufacturing
Biofuel Manufacturing
Biotecii Laboratory
Bulk Ctiemical Storage
Car Wasti
Cliemicai IVianufacfuring
Ctiemical Purification
Dry Cieaning
Electrical Component
IVIanufacturing
Fertilizer Manufacturing
Film / X-ray Processing
Food Processing
Glass IVIanufacturing
industrial Laundry
Ink l\/1anufacturing
Laboratory
I\^achining / Miljing
Manufacturing
Membrane Manufacturing
(i.e. water filter membranes)
Metal Casting / Forming
Metal Fabrication
Metal Finishing
Electroplating
Electroless plating
Anodizing
Coating (i.e. phosphating)
Chemical Etching / Milling
Printed Circuit Board
Manufacturing
Metal Powders Forming
Nutritional Supplement/
Vitamin Manufacturing
Painting/Finishing
Paint Manufacturing
Personal Care Products
Manufacturing
Pesticide Manufacturing /
Packaging
Pharmaceutical Manufacturing
(including precursors)
Porcelain Enameling
Power Generation
Print Shop
Research and Development
Rubber Manufacturing
Semiconductor Manufacturing
Soap / Detergent Manufacturing
Waste Treatment / Storage
SIC Code(s) (if known):
Brief description of business activities (Production / Manufacturing Operations):,
Description of operations generating wastewater (discharged to sewer, hauled or evaporated):
Estimated volume of industrial wastewater to be discharged (gal /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 If yes, when:
Site Contact ^UYy^^^J
Signature
ENCINA WAST
Title DirSlhrsl^O^
Phone No.
[Ep? AUTHORITY, 6200 Avenida Encinas Carlsbad, CA 92011 (760)438-3941
FAX: (760)476-9852
DISCHARGE PERMIT EXEMPT LIST
The commercial enterprises listed below are a partial listing of businesses that are exempt
from industrial wastewater discharge permitting under normal operating conditions. They
are exempt because (a) they discharge no process wastewater (i.e., they only discharge
sanitary wastewater with no pollutants exceeding any local limits), and (b) they have no
potential to negatively Impact the EWPCF or other wastewater treatment plants in the
ESS. Any questions regarding exemptions should be referred to EWA Source Control
staff.
Automobile Detailers
^ Barber/Beauty Shops
Business/Sales Offices
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)
4%
CITY OF
CARLSBAD
PLAN CHECK BLDG. QEP^rLQ^XEconomic
RFX/IFW *^' >r Development Department
KCVICVV " ' 1635 Faraday Avenue
TRANSMITTAL carisbad CA 92OO8
www.carlsbadca.gov
DATE: 5-29-13 PROJECT NAME: One Life PROJECT ID: cbl31200
PLAN CHECK NO: cbl31200 SET#: I ADDRESS: 1905 calle barcelona APN:
•
This plan check review is complete and has been APPROVED by the Fire Division.
By: D. Fieri
A Final Inspection by the Fire Division is required ^ Yes • No
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:
Vou 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:
PLANNING
760-602-4610
ENGINEERING
760-602-2750
FIRE PREVENTION
760-602-4665
1 1 Chris Sexton
760-602-4624
Ch ris.Sexton@carlsbadca.gov
1 1 Kathleen Lawrence
760-602-2741
Kathleen.Lawrence@carlsbadca.gov
1 1 Greg Ryan
760-602-4663
Gregory. Rya n@ca rlsbadca .gov
1 1 Gina Ruiz
760-602-4675
Gina.Ruiz@carlsbadca.gov
1 1 Linda Ontiveros
760-602-2773
Linda.Ontiveros@carlsbadca.gov
1 1 Cindy Wong
760-602-4662
Cvnthia.Wong@carlsbadca.gov
• • X Dominic Fieri
760-602-4664
Dominic.Fieri@carlsbadca.gov
Remarks:
Carlsbad Fire Department BLDG gEPT COPY
Plan Review Requirements Category: TI, COMM
Date of Report: 05-29-2013 Reviewed by: f^(^^2j^^
Name: JAN SOLOMON
Address: #C101
143 S. CEDROS AVE
SOLANA BEACH CA
92075
Permit #: CB 131200
Job Name: ONE LIFE: 2565 SF RETAIL TO
Job Address: 1905 CALLE BARCELONA CBAD St: 217
INCOMPLETE The item you hava jubiiiittod for rovio^^r io inoomplotoi At thio timoi thio officQ cannot
• adoquatoly oonduot a roviow to datai•l^in^^ momplionoo with tho applioablo oodoo ond^or otandcuHio. Ploaae; icdniii
oafofully all oommonto attaohnd. rimjii i'OGubmit tho noooooarjr piano and^or opooifioationo, with ohangoo "clouded",
"tffl thia eiffiaa im raviow and uppiu ml.'
•I Conditiono! •
Cond: CON0006366
[MET]
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.
Entry: 05/29/2013 By: df Action: AP
SAN DiEGO REGIONAL
HAZARDOUS IVIATERIALS QUESTIONNAIRE
OFFICE USE ONLY
UPFP#
HV#
BP DATE / /
Business Contact T" Business Name Tejephone #
Project Address
mng Address
City., _ , State Zip Code _ APN# ,r
Plan File# | Mailing / City State Zip Code
act I Project Contact Telephone # ^
crfpti The following questions represent the facility's activities, NOT the specific project descrfption.
PART I: FIRE DEPARTMENT - HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: Indicate by circling the item, whether your business
will use, process, or store any of the following hazardous materials If any of the items ara circled applicant must contact the Fire Protection Agency with
junsdiction pnor to plan submittal Facility's Square Footage (including proposed project): Z Occupancy Rating: |g .
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 Pyrophoncs 11 Highly Toxic or ToxicMaterials 15 Noneof These
4 Flammable Solids 8 Unstable Reactives 12 Radioactives
PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH - HAZARDOUS MATERIALS DIVISIONS (HMD): If the answer to anv of the
questions is yes, applicant must contact the County of San Diego Hazardous Matenals Division, 5500 Overland Ave , Suite 110, San Diego, CA 92123
Call (858) 505-6700 pnor to the issuance of a building permit
FEES ARE REQUIRED Project Completion Date Expected Date of Occupancy • CalARP Exempt
I
Date Initials
• CalARP Required
I
Date Initials
• CalARP Complete
I
Date Initials
YES NO (for new construction or remodeling projects)
Is your business listed on the reverse side of this form' (check all that apply)
2 • H Will your business dispose of Hazardous Substances or Medical Waste in any amount'
3 • 0^ Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds
200 cubic feet, or carcinogens/reproductive toxins in any quantity'
4 • Will your business use an existing or install an underground storage tank'
5 • B^Will your business store or handle Regulated Substances (CalARP)'
6 • H\,VVill your business use or install a Hazardous Waste Tank System (Title 22, Article 10)'
7 • •"^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)
PART III: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT: If the answer to any of the questions below is yes, applicant must contact the Air
Pollution Control Distnct (APCD), 10124 Old Grove Road, San Diego, CA 92131-1649, telephone (858) 586-2600 pnor 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 pnor to
commencing demolition or renovation, except demolition or renovation of residential structures of four units or less Contact the APCD for more information
YES NO
1 • 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 //wvw sdapcd orq/info/facts/permits pdf, and the list of typical equipment requiring an APCD permit on the reverse side
of this from Contact APCD if you have any questions)
2 • 0^ (ANSWER ONLY IF QUESTION 1 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 http l/wmi cde ca gov/re/sd/ for public and pnvate schools or contact the appropriate school district)
3 • H*^ Has a survey been performed to determine the presence of Asbestos Containing Materials'
4 • [2r Will there be renovation that involves handling of any friable asbestos matenals, or disturbing any material that contains non-friable asbestos'
5 • C^Kwili there be demolition involving the removal of a load supporting structural member'
Bnefly descnbe business activities , Briefly descnbe proposed project
I
I declare under penalty of perjury that to the best of my knovirtedge and belief the eclare under penalty of perjure
Name of Ovmer or Authorized Agent
e herein are true and correct
Signal ler or Authorized Agent g / / V / q
Dale
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION .
BY
FOR OFFICIAL USE ONLY
DATE
EXEMPT OR NO FURTHER INFORMATION REQUIREO RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY-HMD* APCD COUNTY-HMD APCD COUNTY-HMD APCD
*A stamp in this box only exempts businesses from completing or updating a Hazardous Matenals Business Plan Other permitting requirements may still apply
HM-9171 (02/11) County of San Diego - DEH - I lazardous Materials Division
LIST OF BUSINESSES WHICH REQUIRE REVIEW AND APPROVAL FROM THE COUNTY OF SAN DIEGO
DEPARTMENT OF ENVIRONMENTAL HEALTH - HAZARDOUS MATERIALS DIVISION
Check all that apply:
AUTOMOTIVE
• Battery Manufactunng/Recycling
• Boat Yard
• Car Wash
• Dealership Maintenance/Painting
• Machine Shop
• Painting
• Radiator Shop
• Rental Yard Equipment
• Repair/Preventive Maintenance
• Spray Booth
• Transportation Services
• Wrecking/Recycling
CHEMICAL HANDLING
• Agricultural supplier/distnbutor
• Chemical Manufacturer
• Chemical Supplier/Distributor
• Coatings/Adhesive
• Compressed Gas Supplier/Distnbutor
• Dry Cleaning
• Fiberglass/Resm Application
• Gas Station
• Industnal Laundry
• Laboratory
• Laboratory Supplier/Distnbutor
• Oil and Fuel Bulk Supply
• Pesticide Operator/Distnbutor
CHEMICAL HANDLING
• Photographic Processing
• Pool Supplies/Maintenance
• Printing/Blue Pnnting
• Road Coatings
• Swimming Pool
• Toxic Gas Handler
• Toxic Gas Manufacturer
METAL WORKING
• Anodizing
• Chemical Milling/Etching
• Finish-Coating/Painting
• Flame Spraying
• Foundry
• Machine Shop-Dnlling/Lathes/Mills
• Metal Plating
D Metal Prepping/Chemical Coating
• Precious Metal Recovery
• Sand Blasting/Gnnding
• Steel Fabricator
• Wrought Iron Manufacturing
AEROSPACE
• Aerospace Industry
• Aircraft Maintenance
• Aircraft Manufacturing
OTHERS AND MISCELLANEOUS
• Asphalt Plant
• Biotechnology/Research
• Chiropractic Office
• Co-Generation Plant.
• Dental Clinic/Office
• Dialysis Center
• Emergency Generator
• Frozen Food Processing Facility
• Hazardous Waste Hauler
• Hospital/Convalescent Home
• Laboratory/Biological Lab
• Medical Clinic/Office
• Nitrous Oxide (NO,) Control System
• Pharmaceuticals
• Public Utility
• Refngeration System
• Rock Quarry
• Ship Repair/Construction
• Telecommunications Cell Site
O Vetennary Clinic/Hospital
• Wood/Furniture Manufacturing/Refinishing
ELECTRONICS
• Electronic Assembly/Sub-Assembly
• Electronic Components Manufacturing
• Pnnted Circuit Board Manufacturing
NOTE THE ABOVE LIST INCLUDES BUSINESSES, WHICH TYPICALLY USE, STORE, HANDLE, AND DISPOSE OF HAZARDOUS SUBSTANCES
ANY BUSINESS NOT INCLUDED ON THIS LIST, WHICH HANDLES, USES OR DISPOSES OF HAZARDOUS SUBSTANCES MAY STILL REQUIRE
HAZARDOUS MATERIALS DIVISION (HMD) REVIEW OF BUSINESS PLANS FOR MORE INFORMATION CALL (858) 505-6880
LIST OF AIR POLLUTION CONTROL DISTRICT PERMIT CATEGORIES
Businesses, which include any of the following operations or equipment, will require clearance from the Air Pollution Control Distnct
CHEMICAL COMBUSTION ROCK AND MINERAL
47 - Organic Gas Stenlizers 34-Piston Internal - Combustion Engines 04 - Hot Asphalt Batch Plants
32 - Acid Chemical Milling 13-Boilers & Heaters (1 million BTU/hr or larger) 05 - Rock Dnils
33 - Can & Coil Manufactunng 14-Incinerators & Crematones 06 - Screening Operations
44 - Evaporators, Dryers & Stills Processing 15-Burn Out Ovens 07 - Sand Rock & Aggregate Plants
Organic Matenals 16-Core Ovens 08 -Concrete Batch, CTB, Concrete Mixers, Mixers
24 - Dry Chemical Mixing & Detergent Spray 20-Gas Turbines, and Turbine Test Cells & Stands & Silos
Towers 48-Landfill and/or Digester Gas Flares 10 - Bnck Manufacturing
35 - Bulk Dry Chemicals Storage
55 - Chrome Electroplating Tanks ELECTRONICS OTHER
COATINGS & ORGANIC SOLVENTS
29-Automated Soldenng 01 - Abrasive Blasting Equipment
COATINGS & ORGANIC SOLVENTS 42-Electronic Component Mfg 03 - Asphalt Roofing Kettles & Tankers
27 - Coating & Painting 46 - Reverse Osnnosis Membrane Mfg
37 - Plasma Arc & Ceramic Deposition Spray FOOD 51 - Aqueous Waste Neutralization
Booths 12-Fish Canneries 11 - Tire Buffers
38 - Paint, Stain & Ink Mfg 12-Smoke Houses 17 - Brake Debonders
27 - Pnnting 50-Coffee Roasters 23 - Bulk Gram & Dry Chemical Transfer & Storage
27 - Polyester Resin/Fiberglass Operations 35-Bulk Flour & Powered Sugar Storage 45 - Rubber Mixers Bulk Flour & Powered Sugar Storage
21 - Waste Disposal & Reclamation Units
METALS SOLVENT USE 36 - Gnnding Booths & Rooms
18 - Metal Melting Devices 28-Vapor & Cold Degreasing 40 - Asphalt Pavement Heaters
19 - Oil Quenching & Salt Baths 30-Solvent & Extract Driers 43 - Ceramic Slip Casting
32 - Hot Dip Galvanizing 31 -Dry Cleaning 41 - Perlite Processing
39 - Precious Metals Refining 40 - Cooling Towers - Registration Only
91 - Fumigation Operations
ORGANIC COMPOUND MARKETING 56 - WWTP (1 million gaS/day or larger) & Pump
(GASOLINE. ETC) Station
25 - Gasoline & Alcohol Bulk Plants & Terminals
25 - Intermediate Refuelers
26 - Gasoline & Alcohol Fuel Dispensing
NOTE OTHER EQUIPMENT NOT LISTED HERE THAT IS CAPABLE OF EMITTING AIR CONTAMINANTS MAY REQUIRE AN AIR POLLUTION
CONTROL DISTRICT PERMIT IF THERE ARE ANY QUESTIONS, CONTACT THE AIR POLLUTION CONTROL DISTRICT AT (858) 586-2600
HM-9171 (02/11) County of San Diego - DEH - Hazardous Materials Division
CITY OF
CARLSBAD
PLUMBING,
ELECTRICAL,
MECHANICAL
WORKSHEET
B-18
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
Project Address: ONE UFE Permit No.:
1905 CALLE BARCELQNIA SUITE 217 CARLSPAP CA 9209
Information provided below refers to worb being done on the above mentioned permit only.
This form must be tompleted and returned to the Building Division before the permit can be issued.
Building Dept. Fax: (760) 602-8558
Number of new or relocated fixtures, traps, or floor drains .!..f:^y..".?!?.^^.!f..?.'.?!.'^..."..l..I^I||£L
New building sewer line? Ves X No
Number of new roof drains? 0
Install/alter water line? 3
Number of new water heaters? ^
Number of new, relocated or replaced gas outlets? 0_
Number of new hose bibs?
Residential Permits:
New/expanded service: Number of new amps:
Minor Remodel only Ves No
Commercial/Industrial:
Tenant Improvement: Number of existing amps involved in this project:
Number of new amps involved in this project: 30
New Construction: Amps per Panel:
Single Phase Number of new amperes
Three Phase Number of new amperes
Three Phase 480 Number of new amperes
Number of new furnaces, A/C, or heat pumps?
New or relocated duct worb? Ves ^ No
Number of new fireplaces? ^
Number of new exhaust fans?
Relocate/install vent? ]_
Number of new exhaust hoods? ^
Number of new boilers or compressors? Number of HP 0_
B-18 Page 1 of 1 Rev 03/09
CB131200 1905 CALLE BARCELONA
217
ONE LIFE 2565 SF RETAIL TO
SW QlSSUED •cv
Approved Date , By
BUILDING /Onq
PLANNING
ENGINEERING S)^ Jl 3
FIRE Expedite? Of
AFS Checked by
HazMat
APCD
Health
Forms/Fees Sent Rec'd Due? By
Encina Y N
Fire Y N
HazHealthAPCD • 1 Y N
PE&M It Y N
School Y N
Sewer Y N
Stonnwater Y N
Special Inspecnon Y N
CFD: Y N
LandUse Density ImpArea FY Annex Fattor
PFF: Y N
Comments Date Date Date Oate
Building 5'/a3//3
Planning
Engineenng
Fire
Need?
Gr)CCCa,<:^^^ ^Done
• Done
• Done
• Done
• Done
• Done