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Home My WebLink About1905 Calle Barcelona; 227; CBC2020-0001; PermitBuilding Permit Finaled Print Date: 03/18/2020 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1905 Calle Barcelona, 227 BLDG-Commercial 2550120400 $34,882.50 Commercial Permit Work Class: Tenant Improvement Lot#: Reference #: Construction Type Bathrooms: Orig. Plan Check#: Plan Check#: {'city of Carlsbad Permit No: CBC2020-0001 Status: Closed -Finaled Applied: 01/02/2020 Issued: PermitFinal 02/24/2020 Close Out: Inspector: CRenf Final Inspection: 03/18/2020 Description: GROTTO SPA: 750 SF TENANT IMPROVEMENT (YOGA STUDIO TO MASSAGE ESTABLISHMENT) TOTAL SUITE 1,800 SF FEE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) Owner: T-C FORUM AT CARLSBAD LLC 4675 Macarthur Ct Tiaa-Cref, 110 NEWPORT BEACH, CA 92660 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $626.77 Total Payments To Date: $626.77 Balance Due: AMOUNT $310.00 $217.00 $43.00 $45.00 $2.00 $9.77 $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Buildin Division 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov Page 1 of 1 (cicyof Carlsbad COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan CheckC(2i(...,Z.020--(X:() I Est. Value 34:,iV:.2.- PC Deposit --------- Date _,_\_-__,,Z,,,_---=2J=!=-l __ _ Job Address /jot c0rlle o,rce(oV!O,. ' Suite: Jl-J APN: 2,-)..J' -rJ/J.--olf ~0 TenantName: /l}_g,(<?1.'t' t;fft CT/Project#: ________ Lot#:~ Occupancy: B , Construction Type: VB Fire Sprinklers: yes/ ~Air Conditioning: ~ no BRIEF DESCRIPTION OF WORK: (,1111.IAlY--eic,'~\.1n!-\/DI.Cl)W':t 4/P'{€.. 4w Cf&• I D Addition/New: ___________ New SF and Use, ___________ New SF and Use, ____ Deck SF, Patio Cover SF (not including flatwork) 790 1}Q Tenant Improvement: fi/rf?J SF, Existing Use y,~ Proposed Use _~,c_L_p_,+,..._ __ _ _____ SF, Existing Use ______ Proposed Use _____ _ □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ------------ D Solar: ___ KW, __ Modules, ___ Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No D Plumbing/Mechanical/Electrical Only: _________________________ _ 1iO Other: Cdnv\Qr+ ,e,c,'t+?•I k Qgt-fitr'm wGu/4 . "bu,,q,( i V"' CA 11\±: ~ra..c ~ y..pww b,,( "'-'OM APPLICANT (PRIMARY) PROPERTY OWNER Name: 6vo L,',-i,1G-( J~vi Address: ,9~r cal(-e l!Anelone.,_ Name: /V1'n{1 L-, 1 Address: t bt'7 4° tdek fJ.()(,'l >e A 11\...e.. City: /\Jivto.. v:~rn State: Cfr: Zip: "'l/<113 Phone: ~J:$5:S~o/2.,[ Email: '@;,'lcfrotjti1t./@ :ft"'hCIV, C. ,,......, DESIGN PROFESSIONAL Name: ________________ _ Address: _______________ _ City: _______ State: ___ .Zip: ___ _ Phone: ________________ _ Email: ________________ _ Architect State License: __________ _ City: c.AtkW State: ck: Zip:1:1-dc> ~ Phone: 6M 2--lfB(c.t,J-] Email: rAjr/Ntft ,', # 'f Pi k ~-l """-• CONTRACTOR BUSINESS Name: (IN i) A C., ti (fJ<, <2 Ci: ;,n,, I /V C. Address: /l/-.S:/ 'f 1-A I I? 9.120 V-C Ave_ City: '-& pv€1/ie State: LA Zip: (!(/Y:,( Phone: :$,0)..S(f { 4 S:& Email: Th (l /,\l@JYAbc,o, (., ,..._, State License: 2o/ol (f $ Bus. License:/? lo$ J').3)'10~ (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/she is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he/she is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). 1635 Faraday Ave Carlsbad, CA 92008 B-2 Ph: 760-602-2719 Fax: 760-602-8558 Page 1 of 2 Email: Building@carlsbadca.gov Rev. 06/18 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury ane of the following declarations: □ I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. \Ji have and will maintain worke(s compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ workers' compensation insurance carrier and policy number are: Insurance Company Name: i 7A 'Te. C-tJ "'11: !, PU (& ...,..;•!£"\ ,\,,, \ • Policy No. / q I 'J Ct: 'f-Expiration Date: a ~r O I / cal II Ii} _ ' D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to be come subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to $100,000.00, In addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code, Interest and attorney's fees. \ CONTRACTOR SIGNATURE: __ ;V __ r_n___o:g_:c... _ _;C::__:,' ______ ___,hAGENT DATE: o-../ ~sc 1 ~ 2.cJ ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's license Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). D 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). D 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. □ Yes □ 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 (firm) to provide the proposed construction (include name address/ phone/ 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/ address/ phone/ 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/ address/ phone/ type of work): OWNER SIGNATURE: ___________________ □AGENT DATE: _____ _ CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). lender's Name: ______________________ Lender's Address: _____________________ _ QNLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: 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 O 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. APPLICANT CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. l 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 CllY 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 overS'O' 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 work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT SIGNATURE: __ /\ ...... /'--, '_n..,.J=~--=1..-'-'-: ----------DATE:....!...( _,_(_.:i....:c/_:z...o,_...::~_-_o __ 1635 Faraday Ave Carlsbad, CA 92008 B-2 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of 2 Email: Building@carlsbadca.gov Rev. 06/18 Building Permit Inspection History Finaled {cityof Carlsbad Permit Type: Work Class: Status: Scheduled Date 02/25/2020 PERMIT INSPECTION HISTORY for (CBC2020-0001) BLDG-Commercial Tenant Improvement Closed -Finaled Actual Inspection Type Start Date 02/2512020 BLDG-14 Frame/Steel/Bolting/We !ding (Decks) Checklist Item Application Date: 01/02/2020 Issue Date: 02/24/2020 Expiration Date: 08/25/2020 IVR Number: 23997 Inspection No. Inspection Status 120293-2020 Partial Pass COMMENTS Owner: T-C FORUM AT CARLSBAD LLC Subdivision: CARLSBAD TCT#92-08 GREEN VALLEY Address: 1905 CALLE BARCELONA, # 227 CARLSBAD, CA 92009-8453 Primary Inspector Reinspection Inspection Chris Renfro Relnspectlon Incomplete Passed BLDG-Building Deficiency Partition walls only at front and rear treatment rooms. OK to drywall Yes BLDG-34 Rough Electrical Checklist Item 120494-2020 COMMENTS BLDG-Building Deficiency Passed Chris Renfro Complete Passed Yes 02/27/2020 02/27/2020 BLDG-17 Interior 120819-2020 Passed Chris Renfro Complete Lath/Olywall Checklist Item COMMENTS BLDG-Building Deficiency 03/13/2020 03/13/2020 BLDG-Final Inspection 122229-2020 Failed Chris Renfro Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Need title 24 forms, test and balance and nonresidential forms at final inspection 03/18/2020 03/18/2020 BLDG-Final Inspection 122518-2020 Passed Chris Renfro Wednesday, March 18, 2020 Checklist Item BLOG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Need title 24 forms, test and balance and nonresidential forms at final inspection Passed Yes Reinspection Incomplete Passed No No No No No Complete Passed Yes Yes Yes Yes Yes Page 1 of 1 ✓• EsG1I DATE: 2/07/2020 JURISDICTION: CARLSBAD PLAN CHECK#.: CBC2020-0001 PROJECT ADDRESS: 1905 CALLE BARCELONA PROJECT NAME: SPA ADDITION FOR SHEN SETI D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. ~ The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. 0 The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. 0 The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. 0 The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. 0 The applicant's copy of the check list has been sent to: NING LI ~ EsGil staff did not advise the applicant that the plan check has been completed. 0 EsGil staff did advise the applicant that the plan check has been completed. Person contacted: NING LI? Telephone#: 858 380 6125RA YDRAFTIN@Y AHOO. COM Date contacted: ::i-\,\?'>(by:~) Email: Mail Telephone Fax In Person ~ REMARKS: Please show the L TG -E to the inspector prior occupancy By: Bert Domingo EsGil 1/03/2020 Enclosures: 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 CARLSBAD CBC2020-0001 2/07/2020 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: CARLSBAD PREPARED BY: Bert Domingo PLAN CHECK#.: CBC2020-0001 DATE: 2/07/2020 BUILDING ADDRESS: 1905 CALLE BARCELONA BUILDING OCCUPANCY: B BUILDING AREA Valuation Reg. PORTION (Sq.Ft.) Multiplier Mod. CTY ESTIMATE Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code CB By Ordinance ----.;-1 1997 UBC Buildin Permit Fee g VALUE ($) 34,882 34,882 Type of Review: [2J Complete Review D Structural Only D Repetitive Fee --;,;] Repeats ' □ Other 0 Hourly EsGII Fee 1----------<1 Hr. @ ' Comments: In addition to the above fee, an additional fee of$ $ /hr.) for the CalGreen review. $201.82J is due ( hour@ Sheet 1 of 1 l«.,<::> c,«> c{$,~ ~ ~~ «>, ~ 0"7~~"tluntp of $>an 1.lBtego (,_~ X (,Ir-' 0'' DEPARTMENT OF ENVIRONMENTAL HEALTH 0 \G FOOD AND HOUSING DIVISION r-0--1_ \)~ P.O. BOX 129261, SAN DIEGO, CA 92112-9261 v \) ~ Phone: (858) 505-6859 FAX: (858) 505-6824 ~ 1 (800) 253-9933 www.sdcdeh.org PLAN APPROVAL SHEET DBA: GROTTO SPA SITE: 1905 CALLE BARCELONA. CARLSBAD, CA 92009 BUSSINESS OWNER: STEVEN HOU Plans are approved contingent upon the following: A'1!f HARBERT Assistant Director DATE: 1/27/2020 PC #: FMSG-000453 1) Department of Environmental Health (DEH) stamped plans shall be maintained at the jobsite and available for review at the time of the inspection. 2) Changes to equipment layout or application must be submitted for approval. Changes made without approval will make the plan approval null and void. 3) Obtain local Building Department and all applicable agencies permits and approvals. 4) Final Approval to operate is contingent upon the facility completing a final inspection with DEH. S) Be advised, other agencies may have requirements and restrictions outside of Environmental Health jurisdiction. Check with an applicable agencies for their restrictions. 6) Please call 858-505-6659 or email plnchk(d:sdcounty.ca.gov to schedule an inspection when the project is ready. Plans reviewed by Mickey Lay, EHT EMAIL FLUEG@SDCOUNTY.CA.GOV AT LEAST 10 WORKING DAYS IN ADVANCE TO SCHEDULE PRELIMENARY AND FINAL INSPECTIONS. A FINAL INSPECTION SHALL BE CONDUCTED AND AN ENVIRONMENTAL HEALTH PERMIT SHALL BE ISSUED PRIOR TO OPENING AND OPERATING THIS FOOD ESTABLISHMENT. cc: File District Inspector "Environmental and public health lhro11gh leadership, partnership and science" SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY RECORD ID# __________________ I PLAN CHECK # _________________ I BP DATE Business Name Business Contact Telephone# APN# ?-P.-OJ ►O Plan File# The following questions represent the facility's activities, NOT the speci 1c project description. PART I: FIRE DEPARTMENT-HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: lnot required for projects within the City of San Diego): Indicate by circling the item, whether your business wm use, process, or store any of the following hazardous materials. If any of the items are circled, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: Facility"s Square Footage (including proposed project}: 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives 14. Other Health Hazards 2. Compressed Gases 6. Oxidizers 10. Cryogenics 15. None of These. 3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 4. Flammable Solids 8. Unstable Reactives 12. Radioactives PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION IHMDl: If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 110, San Diego, CA 92123. Call (858) 505-6700 prior to the issuance of a building permit. Expected Date of Occupancy: FEES ARE REQUIRED Project Completion Date: (for new construction or remodeling projects) Is your business listed on the reverse side of this form? (check all that apply). 0 CalARP Exempt I 1. 2. 3. 4. 5. 6. 7. 8. YES NO B I D ~ D D D D D I Will your business dispose of Hazardous Substances or Medical Waste in any amount? Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? Will your business store or handle carcinogens/reproductive toxins in any quantity? Will your business use an existing or install an underground storage tank? Will your business store or handle Regulated Substances (CalARP)? Will your business use or install a Hazardous Waste Tank System (Title 22, Article 1 0)? Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or reater than 1,320 allons? California's Above round Petroleum Stora e Act . Date Initials 0 CalARP Required I Date Initials 0 CalARP Complete I Date Initials PART 111: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT IAPCDl: Any YES• answer requires a stamp from APCD 10124 Old Grove Road, San Diego, CA 92131 apcdcomp@sdcounty.ca.gov (858) 586-2650). [*No stamp required if 01 Yes and Q3 Yes and Q4-Q6 No]. The following questions are intended to identify the majority of air pollution issues at the planning stage. Projects may require additional measures not identified by these questions. For comprehensive requirements contact APCD. Residences are typically exempt, except -those with more than one building• on the property; single buildings with more than four dwelling units; townhomes: condos; mixed-commercial use; deliberate burns; residences forming part of a larger project. rExcludes garages & small outbuildings.] 1. 2. 3. 4. 5. 6. YES NO § I Will the project disturb 160 square feet or more of existing building materials? Will any load supporting structural members be removed? Notification may be required 1 0 working days prior to commencing demolition. (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance Technician? D D D ' (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification may be required 10 working days prior to commencing asbestos removal. ~ Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet (www.sdapcd.org/infqffacts/permits.pdf) for typical equipment requiring an APCD permit. ljll (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school bounda Briefly describe business activities: Briefly describe proposed project: I declare under penalty of perjury that to the best of my knowledge and belief t~e herein are true and correct. ,vtnC--l , 1. ,' Name of Owner or Authorized Agent Signature of Owner or Authorized Agent ( I 2--I 'U/2..<I Date FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: ________________________________ _ BY· I I EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMO' APCD COUNTY-HMO APCO COUNTY-HMO APCD ""A stamp rn this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permIttmg requirements may still apply. HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division LIST OF BUSINESSES WHICH REQUIRE REVIEW AND APPROVAL FROM THE COUNTY OF SAN DIEGO DEPARTMENT OF ENVIRONMENTAL HEALTH-HAZARDOUS MATERIALS DIVISION Check all that apply: AUTOMOTIVE D Battery Manufacturing/Recycling D Boat Yard D Car Wash D Dealership Maintenance/Painting D Machine Shop D Painting D Radiator Shop D Rental Yard Equipment D Repair/Preventive Maintenance D Spray Booth D Transportation Services D Wrecking/Recycling CHEMICAL HANDLING D Agricultural supplier/distributor D Chemical Manufacturer D Chemical Supplier/Distributor D Coatings/Adhesive D Compressed Gas Supplier/Distributor D Dry Cleaning D Fiberglass/Resin Application D Gas Station D Industrial Laundry D Laboratory D Laboratory Supplier/Distributor 0 Oil and Fuel Bulk Supply D Pesticide Operator/Distributor CHEMICAL HANDLING D Photographic Processing D Pool Supplies/Maintenance D Printing/Blue Printing D Road Coatings D Swimming Pool D Toxic Gas Handler D Toxic Gas Manufacturer METAL WORKING D Anodizing 0 Chemical Milling/Etching D Finish-Coating/Painting D Flame Spraying D Foundry D Machine Shop-Drilling/Lathes/Mills D Metal Plating D Metal Prepping/Chemical Coating D Precious Metal Recovery D Sand Blasting/Grinding D Steel Fabricator D Wrought Iron Manufacturing AEROSPACE D Aerospace Industry D Aircraft Maintenance D Aircraft Manufacturing OTHERS AND MISCELLANEOUS 0 Asphalt Plant D Biotechnology/Research D Chiropractic Office D Co-Generation Plant 0 Dental Clinic/Office D Dialysis Center D Emergency Generator D Frozen Food Processing Facility D Hazardous Waste Hauler D Hospital/Convalescent Home D Laboratory/Biological Lab 0 Medical Clinic/Office D Nitrous Oxide (NO,) Control System D Pharmaceuticals D Public Utillty D Refrigeration System D Rock Quarry D Ship Repair/Construction D Telecommunications Cell Site D Veterinary Clinic/Hospital D Wood/Furniture Manufacturing/Refinishing ELECTRONICS D Electronic Assembly/Sub-Assembly D Electronic Components Manufacturing D Printed Circuit Board Manufacturing NOTE: THE ABOVE LIST INCLUDES BUSINESSES, WHICH TYPICALLY USE, STORE, HANDLE, AND DISPOSE OF HAZARDOUS SUBSTANCES. ANY BUSINESS NOT INCLUDED ON THIS LIST, WHICH HANDLES, USES OR DISPOSES OF HAZARDOUS SUBSTANCES MAY STILL REQUIRE HAZARDOUS MATERIALS DIVISION (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 District. CHEMICAL 47 -Organic Gas Sterilizers 32 -Acid Chemical Milling 33 -Can & Coi1 Manufacturing 44 -Evaporators, Dryers & Stills Processing Organic Materials 24 -Dry Chemical Mixing & Detergent Spray Towers 35 -Bulk Dry Chemicals Storage 55 -Chrome Electroplating Tanks COATINGS & ORGANIC SOLVENTS 27 -Coating & Painting 37 -Plasma Arc & Ceramic Deposition Spray Booths 38 -Paint, Stain & Ink Mfg 27 -Printing 27 -Polyester Resin/Fiberglass Operations METALS 18 -Metal Melting Devices 19 -Oil Quenching & Salt Baths 32 -Hot Dip Galvanizing 39 -Precious Metals Refining ORGANIC COMPOUND MARKETING {GASOLINE. ETC) 25 -Gasoline & Alcohol Bulk Plants & Terminals 25 -Intermediate Refuelers 26 -Gasoline & Alcohol Fuel Dispensing COMBUSTION 34 -Piston Internal -Combustion Engines 13 -Boilers & Heaters (1 million BTU/hr or larger) 14-Incinerators-& Crematories 15 -Burn Out Ovens 16 -Core Ovens 20 -Gas Turbines, and Turbine Test Cells & Stands 48 -Landfill and/or Digester Gas Flares ELECTRONICS 29 -Automated Soldering 42 -Electronic Component Mfg FOOD 12 -Fish Canneries 12 -Smoke Houses 50 -Coffee Roasters 35 -Bulk Flour & Powered Sugar Storage SOLVENT USE 28 -Vapor & Cold Degreasing 30 -Solvent & Extract Driers 31 -Dry Cleaning ROCK AND MINERAL 04 -Hot Asphalt Batch Plants 05 -Rock Drills 06 -Screening Operations 07 -Sand Rock & Aggregate Plants 08 -Concrete Batch, CTB, Concrete Mixers, Mixers & Silos 10 -Brick Manufacturing OTHER 01 -Abrasive Blasting Equipment 03 -Asphalt Roofing Kettles & Tankers 46 -Reverse Osmosis Membrane Mfg 51 -Aqueous Waste Neutralization 11 -Tire Buffers 17 -Brake Debonders 23 -Bulk Grain & Dry Chemical Transfer & Storage 45 -Rubber Mixers 21 -Waste Disposal & Reclamation Units 36 -Grinding Booths & Rooms 40 -Asphalt Pavement Heaters 43 -Ceramic Slip Casting 41 -Perlite Processing 40-Cooling Towers-Registration Only 91 -Fumigation Operations 56 -VWvTP (1 million gal/day or larger) & Pump Station 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 (08/15) County of San Diego -DEH -Hazardous Materials Division ' 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY 6200 Avenlda Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@enclnajpa.com Date: / f ?-I "l--"' "l-.., Business Name:_.,,.£'--°'~r:;_tfv~· --~~A-"-~-=-------- Street Address::..Jj~_f.:_:E!!,!~~!D::g!!IJ!.:'4........U'i1.c.' LlQ:.....,__£'.b rl ~-MAH"-. vA. q 2c91 Email Address:_..JL.:::......,µ.u..:=-4µ:_:____,"'--',:::._.1,__:_..:...:...:....:...1<..::..:.:::...!.... PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) ..... _., Check all below that are present at your facility: Acid Cleaning 0 Food Processing 0 Metal Powders Forming Assembly 0 Glass Manufacturing 0 Nutritional Supplement/Vitamin Automotive Repair 0 Industrial Laundry Manufacturing Battery Manufacturing 0 Ink Manufacturing 0 Painting/Finishing Biofuel Manufacturing 0 Laboratory 0 Paint Manufacturing Blotech Laboratory 0 Machining/Milling 0 Personal Care Products Bulk Chemical Storage 0 Membrane manufacturing Manufacturing Car Wash (I.e. water filter membranes) 0 Pesticide Manufacturing/ Packaging Chemical Manufacturing 0 Metal Casting/Forming 0 Pharmaceutical Manufacturing Chemical Purification 0 Metal Fabrication (including precursors) Denta I Offices 0 Metal Finishing 0 Porcelain Enameling • Dental Schools • Electroplating 0 Power Generation • Dental Clinics • Electroless Plating 0 Print Shop Dry Cleaning • Anodizing 0 Research and Development Electrical Component • Coating (I.e. phosphatlng) 0 Rubber Manufacturing Manufacturing • Chemical Etching/Milling 0 Semiconductor Manufacturing Fertilizer Manufacturing • Printed Circuit Board 0 Soap/Detergent Manufacturing Film/X-ray Processing Manufacturing 0 Waste Treatment/Storage New Business? Yes D No D SIC Code(s) If known: _____ _ Date operation began/will begin:. ______ _ Tenant Improvement? Yes D NoD If yes, briefly describe Improvement:. _________________ _ 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): _________________________ _ Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes D Date: ____ No D Pagel of 2 ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY 6200 Avenida Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@enclnaJpa.com The commercial enterprises listed below are a partial listing of businesses that are exempt from Industrial wastewater discharge permitting under normal operating conditions. They are exempt because (a) they discharge no process wastewater (i.e., they only discharge sanitary wastewater with no pollutants exceeding any local limits), and (b) they have no potential to negatively impact the EWPCF or other wastewater treatment plants in the ESS. Any questions regarding exemptions should be referred to EWA Source Control staff. o Automobile Detailers o Hotels/Motels (no laundry) o Barber/Beauty Shops o laundromats o Business/Sales Offices o Libraries o Cleaning Services o Medical Offices (no x-ray developing) o Carpet/Upholstery o Mortuaries o Childcare Facilities o Museums o Churches o Nall Salons o Community Centers o Nursing Homes o Consulting Services o Office Buildings (no process flow) o Contractors o Optical Services o Counseling Services o Pest Control Services (no pesticide repackaging for sale) o Educational Services (no auto repair/film developing) o Pet Boarding/Grooming Facilities o Financial Institutions/Services o Postal Services (no car wash/auto repair) o Fitness Centers o Public Storage Facilities o Gas Stations (no car wash/auto repair) o Restaurants/Bars o Grocery Stores (no film developing) o Retail/Wholesale Stores (no auto repair/film developing) o Residential based Businesses o Theaters (Movie/Live) CERTIFICATION STATEMENT I certify that the information above Is true and correct to the best of my knowledge. Signature:. _____________ _ Print Name:. ___________ _ DATE:. _____ _ Facllity Contact.: ___________ _ Title:. ______________ _ ENCINA WASTEWATER AUTHORITY 6200 AVENI DA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com Page 2 of2 , C cicyof Carlsbad PURPOSE CLIMATE ACTION PLAN CONSISTENCY CHECKLIST 8-50 Development Services Building Division 1635 Faraday Avenue {760) 602-2719 www.carlsbadca.gov This checklist is intended to assist building permit applicants identify which Climate Action Plan (CAP) ordinance requirements apply to their projects. The completed checklist must be included in the building permit application. It may be necessary to supplement the completed checklist with supporting materials, calculations or certifications, to demonstrate full compliance with CAP ordinance requirements. For example, projects that propose or require a performance approach to comply with energy-related measures will need to attach to this checklist separate calculations and documentation as specified by the ordinances. NOTE: The following type of permits are not required to fill out this form ❖ Patio l ❖ Decks I ❖ PME (w/o panel upgrade) I ❖ Pool ,. If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required by ordinance, an explanation must be provided to the satisfaction of the Building Official. ,. Details on CAP ordinance requirements are available on the city's website. ,. A CAP Building Plan template (form B-55) shall be added to the title page all building plans. This template shall be completed to demonstrate project compliance with the CAP ordinances. Refer to the building application webpage and download the latest form. Project Name/Building Permit No.: BP No.: c.e,c.z..olQ-DCO \ ------------------- Property Address/APN: Applicant Name/Co.: Applicant Address: Contact Phone: Contact Email: Contact information of person completing this checklist (if different than above): Name: Company name/address: Y~Y Hv'O\V'\8--Contact Phone: Contact Email: l 6 l ~ 6 ° l J e ~ 8--C>(;-1-e. /1-""'-l_ dJA (//t;k. U . 0,,9, s ft/~~ I ,' Applicant Signature: ____ ' ~-"',__ __ v.:__ _____ _ Date: l ( 9-( ~ -2.> i B-50 Page 1 of6 Revised 08/19 City of Carlsbad Climate Action Plan Consistency Checklist Use the table below to determine which sections of the Ordinance Compliance checklist are applicable to your project. For alterations and additions to existing buildings, attach Building Permit Valuation worksheet. Building Permit Valuation (BPV) from worksheet: $--;t-d I iJ cAi-:? ~ J g_g 2._ - D Residential D New construction D Additions and alterations: D BPV < $60,000 D BPV ~ $60,000 D Electrical service panel upgrade only D BPV ~ $200,000 >f(J Nonresidential D New construction D Alterations: D BPV ~ $200,000 or additions~ 1,000 square feet D BPV ~ $1 ,000,000 D ~ 2,000 sq. ft. new roof addition Checkllat Item A high-rise residential building is 4 or more stories, including a Low-rise High-rise mixed-use building in which at least 20% of its conditioned floor area is residential use 2A, 3A, 1B, 2B, 4A 3B,4A NIA N/A All residential additions and alterations 1A, 4A 4A 1-2 family dwellings and townhouses with attached garages only *Multi-family dwellings only where interior finishes are removed 1A, 4A* 1B, 4A* and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed 1 B, 2B, 3B, 4B and 5 N/A ,~~"')~ 18,5 1B,2B,5 Building alterations of~ 75% existing gross floor area 2B, 5 1 B also applies if BPV ~ $200,000 Ctledc the,.,,,,.. boxes,~ al nm~ aid e,ap11or1111ms, aid plNkteaptlngcak:INllons n docunlntallm •nec11111Y- 1. Energy Efficiency Please refer to Carlsbad Municipal Code (CMC) sections 18.21.155 and 18.30.190, and the California Green Building Standards Code (CAL Green) for more infonnation when completing this section. A. D Residential addition or alteration ~ $60,000 building pennit valuation. See CMC section 18.30.190. Year Built Single-family Requirements □ Before 1978 Select one: □ Duct sealing □ Attic insulation □ Cool roof □ 1978 and later Select one: □ Lighting package □ Water heating Package □ Between 1978 and 1991 □ 1992 and later □ NIA _________ _ □ Exc:eption: Home energy score <! 7 (attach c:ertification) Multi-family Requirements □ Attic insulation Select one: □ Duct sealing □ Attic insulation □ Cool roof Select one: □ Lighting package □ Water heating package B. D Nonresidential* new construction or alterations~ $200,000 building pennit valuation, or additions~ 1,000 square feet □ N/A Updated 8/ I 5/20 19 I 2 City of Carlsbad Climate Action Plan Consistency Checklist See CMC 18.21.155 and CALGreen Appendix AS, Division A5.2-Energy Efficiency. A5.203.1.1 Choose one: D .1 Outdoor lighting D .2 Warehouse dock seal doors D .3 Restaurant seNice water heating (comply with California Energy Code section 140.5, as amended) D N/A _________ _ D .4 Daylight design PAFs D .5 Exhaust air heat recovery A5.203.1.2.1 Choose one as applicable: D .95 Energy budget D .90 Energy budget D N/A A5.211.1 ** D On-site renewable energy D N/A A5.211.3** D Green power (if offered by local utility provider, 50% minimum renewable sources) D N/A A5.212.1 D Elevators and escalators D N/A A5.213.1 D Steel framing D N/A * Includes hotels/motels and high-rise residential buildings •• For alterations ~ $1,000,000 BPV and affecting > 75% existing gross floor area, or alterations that add 2,000 square feet of new roof addition: comp~ with CMC 18.30.130 instead. 2. Photovoltaic Systems A. D Residential new construction (for low-rise residential building pennit applications submitted after 1/1/20). Refer to 2019 California Energy Code section 150.1(c)14 for requirements. Notes: 1) High-rise residential buildings are subject to nonresidential photovoltaic requirement (28 below) instead. 2) If project includes installation of an electric heat pump water heater pursuant to CMC 18.30.150(8) (high-rise residential) or 18.30.170(8) (low-rise residential), increase system size by .3kWdc if PV offset option is selected. Floor Plan ID (use additional CFA #d.u. Calculated kWdc* sheets if necessary) Total System Size: kWdc = (CFAx.572) / 1,000 + (1.15 x #d.u.) *Formula calculation where CFA = conditional floor area, #du= number of dwellings per plan type If proposed system size is less than calculated size, please explain. Exception D D D D kWdc B. D Nonresidential new construction or alterations ~$1,000,000 8PV and affecting ~75% existing floor area, or addition that increases roof area by i!:2,000 square feet Please refer to CMC section 18.30.130 when completing this section. Note: This section also applies to high-rise residential and hotel/motel buildings. Choose one of the following methods: □ Gross Floor Area (GFA) Method GFA: D If < 10,000s.f. Enter: 5 kWdc Min. System Size: D If ;:: 1 0,000s.f. calculate: 15 kWdc x (GFN10,000) ** ___ kWdc **Round building size factor to nearest tenth, and round system size to nearest whole number. □ Time-Dependent Valuation Method Updated 8/15/2019 3 City of Carlsbad Climate Action Plan Consistency Checklist Annual TDV Energy use:*** ______ x .80= Min. system size: _____ kWdc ***Attach calculation documentation using modeling software approved by the California Energy Commission. 3. Water Heating A D Residential and hotel/motel new construction Please refer to CMC sections 18.30.150 and 18.30.170 when completing this section. □ For systems serving individual dwelling units choose one: □ Heat pump water heater AND Compact hot water distribution AND Drain water heat recovery (low-rise residential only) □ Heat pump water heater AND PV system .3 kWdc larger than required in CMC section 18.30.130 (high rise residential hotel/motel) or CA Energy Code section 150.1 ( c) 14 (low-rise residential) □ Heat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higher □ Solar water heating system that is either .60 solar savings fraction or 40 s. f. solar collectors □ Exception: □ For systems serving multiple dwelling units, install a central water-heating system with all of the following: □ Gas or propane water heating system □ Recirculation system per CMC 18.30.150(8) (high-rise residential, hotel/motel) or CMC 18.30.170(8) (low- rise residential) □ Solar water heating system that is either: □ .20 solar savings fraction □ .15 solar savings fraction, plus drain water heat recovery □ Exception: B. D Nonresidential new construction Please refer to Carlsbad Ordinance CMC section 18.30.150 when completing this section. □ Water heating system derives at least 40% of its energy from one of the following (attach documentation): □ Solar-thermal □ Photovoltaics □ Recovered energy □ Water heating system is (choose one): D Heat pump water heater □ Electric resistance water heater(s) □Solar water heating system with .40 solar savings fraction □ Exception: Updated 8/15/2019 4 City of Carlsbad Climate Action Plan Consistency Checklist 4. Electric Vehicle Charging A D Residential New construction and major alterations* Please refer to Carlsbad Ordinance CMC section 18.21.140 when completing this section. □ One and two-family residential dwelling or townhouse with attached garage: □ One EVSE Ready parking space required □ Exception : □ Multi-family residential· □ Exception · Total Parking Spaces EVSE Soaces Proposed Capable I Ready I I I Calculations: Total EVSE spaces= .10 x Total parking (rounded up to nearest whole number) EVSE Installed = Total EVSE Spaces x .50 (rounded up to nearest whole number) EVSE other= Total EVSE spaces -EVSE Installed (EVSE other may be "Capable," "Ready'' or "Installed.") Installed Total *Major alterations are: (1) for one and two-family dwellings and townhouses with attached garages, alterations have a building permit valuation <! $60,000 or include an electrical service panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), alterations have a building permit valuation <! $200,000, interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed. B D Nonresidential new construction (includes hotels/motels) □ Exception · Total Parking Spaces EVSE Spaces Proposed Capable I Ready I Installed 1 Total I I I Calculation: Refer to the table below: Total Number of ParkinQ Spaces provided Number of reauired EV Spaces Number of reauired EVSE Installed Spaces D 0-9 1 1 D 10-25 2 1 D 26-50 4 2 D 51-75 6 3 D 76-100 9 5 D 101-150 12 6 D 151-200 17 9 D 201 and over 10 percent of total 50 percent of Reau ired EV Spaces Updated 8/15/2019 5 City of Carlsbad Climate Action Plan Consistency Checklist 5. D Transportation Demand Management (TDM): Nonresidential ONLY An approved Transportation Demand Management (TOM) Plan is required for all nonresidential projects that meet a threshold of employee-generated ADT. City staff will use the table below based on your submitted plans to detennine whether or nor your pennit requires a TOM plan. If TOM is applicable to your permit, staff will contact the applicant to develop a site-specific TOM plan based on the permit details. Acknowledgment: Employee ADT Estimation for Various Commercial Uses Emp ADTfor first 1,000 s.f. EmpADTI 1000 s.f.1 Office (all)2 20 Restaurant 11 Retaib 8 Industrial 4 Manufacturing 4 Warehousin 4 1 Unless otherwise noted, rates estimated from /TE Trip Generation Manual, 1 ()lhEdition 13 11 4 .5 3.5 3 1 2 For all office uses, use SAN DAG rate of 20 ADT/1 ,000 sf to ca lculate employee ADT 3 Retail uses include shopping center, variety store, supermarket, gyms, pharmacy, etc. Other commercial uses may be subject to special consideration Sample calculations: Office: 20,450 sf 1. 20,450 sf/ 1000 x 20 = 409 Employee ADT Retail: 9,334 sf 1. First 1,000 sf= 8 ADT 2. 9,334 sf -1,000 sf= 8,334 sf 3. 8,334 sf/ 1,000 x 4.5 + 8 = 46 Em lo ee ADT I acknowledge that the plans submitted may be subject to the City of Cartsbad's Transportation Demand Management Ordinance. I agree to be contacted should my permit require a TOM plan and understand that an approved TOM plan is a condition of permit issuance. Applicant Signature: __________________ _ Date: ------- Person other than Applicant to be contacted for TDM compliance (if applicable): Name (Printed): __________________ _ Phone Number: ------ Email Address: ___________________ _ Updated 8/ 15/20 19 6