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Home My WebLink About2501 El Camino Real; 230; CBC2018-0374; Permit(City of Carlsbad Commercial Permit Print Date: 10/17/2018 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2501 El Camino Real, 230 BLDG-Commercial 1563023500 $89,345.71 Work Class: Lot#: Reference#; Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: LEAP COFFEE: 1,921 SF T.I. (COFFEE SHOP TO COFFEE SHOP) Applicant: Owner: CHRIS KELLY RP t CARLSBAD LP Tenant Improvement 1114 Avenue Of The Americas, Floor 45 New York, NY 10036-7700 214-660-5232 x215232 BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL FIRE A-2 & A-3 Occupancies -Tl MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL PLUMBING BLDG COMMERCIAL NEW/ADDITION/REMODEL S61473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $1,BDS.46 Total Payments To Date: $1,805.46 Status: Applied: Issued: Permit Fina led: Inspector: Final Inspection: Balance Due: 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 otherwlse expired. Permit No: CBC2018-0374 Closed -Finaled 07/11/2018 08/22/2018 PBurn 10/17/2018 2:48:49PM $0.00 $583.20 $408.24 $60.DD $609.DD $45.00 $71.DO $4.00 $25.D2 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING 0 ENGINE.ERIMG ( Cicyof Carlsbad JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.car1sbadca.gov 9~008 •BUILDING •RRE O HEALnt O HAZIIAT/APCO Plan Check No Est. Value Plan Ck. Deposit Date APN ;)..501 CT/PROJECT • I.OT I PHASE I I Of UNITS I B8lROOMS CONSlR. TYPE OCC. GROIJ' GARAGE (Sf) PATIOS(Sf) DECKS (Sf) FIREPLACE AIR CONDITlONING ARE SPRINKL£RS APPUCANf NAME C l' Prima, Contact ~'1-1:S Y-.t: L-L 'i EMAIL it.A STATEc.A FAX ZIP 9 JC\ '-I J ZIP 91311 STATE UC.# C-105b \ YES0, N<@ YES~NO• YES'8JNOQ PROPERTY OWNER NAM~ f f . L.-A~ un+e<a... ADDRESS () .s& \ \ \' c...\ ""'~.r S'(...L,+e..D CllYC o.r lsbo-d\ ZIP q!}...C) ( 0 PHONE 160 -'-{ lf 8 -6 t I:, 7 .. :\- CllY STATE ZIP PHONE FAX EMAIL Ct.ASS aTY ?:> c-n (Sec. 7031.5 Business and Professions Code: Arry City or County which requires a permit to construct, alter, improve. demolish or repair any stJuctJJre. prior to its issUance, 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 that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any appicant for a pe,mit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). Worilers' Compensation Declaration: / hereby atlim ll1der penalty of peljury one of the following declarations: B I have and will maintain a cenificale of consent to self-inSUIII for wof1mrs' ~salion as provided by Section 3700 of the Labor Code, for the performance of lhe w1U:r:lltidl hs penril is issued. I have and will maintain wOltcelS' COQ)ellSallon . .p,reQUired bv Section 3700 of the labor Code. for Jhe performance d the -1c for which lhis oennil is issued My -11.ers' ~ '15"8F carrier and policy nurnbef are: lnsmnceCo. lro-ve,\ e.r '< er0 e er~,r Cc..s-...1 !:y Policy No. ut!. ac'.;2. 8tJ.. 6 6 0 ExpralionDale 9 JIIL'd jm, section need not be compleled I the pemil Is lor one hundred dollals ($100) or Jess. LJ CertificatB of Exemplion: I arify 8lat in Jhe performance of Jhe wont for which this pemitt is issued, I shal not employ any person in any manner so as to become smjed lo 1he Workers' ~, Laws ot California. WARNING: Faikn to secure worters' · coverage Is unlawful, and shall subject an employer to criminal pen.fies and civil fines up to one hundred thousand dolars (&100,000), in addijlon to the cost of compensation, dama Section 3706 of the Labor code, Interest and attorney's lees. Ji$ CONTRACTOR SIGNATURE •AGENT DATE I hereby aff,nn that I am exempt from Contractors License Law for the following reason: 0 I. as owner of Jhe property or my employees with wages as !heir sole compensation, will do the woo. and the structure is not intended or offered for sale (Sec. 7044, Busi1ess and Professions Code: The Conlractll(s License Law does not apply to an owner of property who builds or improves thereon, and who does such wof1( himself or through his own employees, pr0\1ded 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 Jhe burden of proving thal he did not build or improve for the ptJlpOSI! of sale). • • I, as owner of the property. am exdusively conlracting with licensed contractors Jo construct the project (Sec. 7044, Business and Professions Code: The Contracto(s license Law does not apply ID an owner or property who builds or improves thereon, and conlracts for such projects with contractor(s) licensed pursuanl Jo the Conlractor's License Law). I am exempt under Section ____ Business and Professions Code for this reason: 1. I personally plan to provide Jhe major labor and materials for construction of Jhe proposed property improvement O ves O o 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 ~ndude name address I phone I conlraclors' 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/ phone I conlraclors' 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 I phone I type of work): 2$ PROPERTY OWNER SIGNATURE DATE Is the applica!lt or future buiding occupant required to submit a business plan, aartely hazardous materials registration form or risk management and prevention program Uf1der Sectioos 25505, 25533 or 25534 of the Presley-Tanner Hazardous SIAlstance Aro:>untAcl? a Yes 9-(No Is the appficant or future buiding occupant required to obtain a peimit from the air polu1ion oontml district or air quality management district? a Yes Ill No ts the facility to be constructed within 1,000 feet of the outer bru1dary of a school site? a Yes ia'No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNU:SS THE APPLICANT HAS MET OR IS IIEET1NG THE RE<llJREMENTS OF ntE OFACE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. Lender's Address I certify that I have read the applicatlon and state that the allow infonnatlon is correct and that the infonnation on the plans Is aocurate.I ai,eeto comply with all City ordinances and Slale laws nilalingto building oonstrudion. I hereby authorize represemtiYe cl 1he Cly of calsbad kl enter upon lhe atx,,,e mentiored property for inspecoon puposes. I ALSO AGREE TO SAVE, INDEl,t,IIFY AND KEEP IWM.ESS nE aTY OF CARI.S8AO AGAINST All. LIABILITlES, JUOGM:NTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OFTHIS PERMT. OSHA: MOSHA permit is~ bexcavalims OYef so· deep ll1d demolition or conslnDion clsiudlllls OYef 3 stories il heqt. EXPIRATION: Every permit issued by 1he ~ Oftm under the provisions of this Code shal expie by lirlilatioo ll1d be<xllre rd ll1d \ol if Ile bltilg or work auhorized by such pemil is rd commenced v.illwl 180 days from the date of such permit or llhe or work · permit is suspended or ab.nloned at iil1Y lire after lhe work is amnenood b a perild cl 11Kl mys (Sedm 100.4.4 lhbm ~ Code). ~ APPLICANrs SIGNATURE DATE -, / 1 1 / , 9 " (!f': f" , ' PERMIT INSPECTION HISTORY REPORT (CBC2018-0374) ' Permit Type: BLDG-Commercial Application Date: 07/11/2018 Owner: R P I CARLSBAD LP Work Class: Tenant Improvement Issue Date: 08/22/2018 Subdivision: CARLSBAD TCT#76-18 Status: Closed -Finaled Expiration Date: 04/15/2019 Address: 2501 El Camino Real , 230 Carlsbad, CA 92008-1215 IVR Number: 12467 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete 10/02/2018 10/02/2018 BLDG-Flnal 071696-2018 Failed Paul Burnette Reinspection Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No 10/11/2018 10/11/2018 BLDG-34 Rough 072478-2018 Partial Pa&& Michael Collins Reinspection Incomplete Electrical Checklist Item COMMENTS Passed BLDG-Building Deficiency Partial, see card. Yes BLDG-Final 072480-2018 Failed Michael Collins Reinspection Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Not ready, see card. Ok to stock /train. No BLDG-Electrical Final No 1011712018 10117/2018 BLDG-34 Rough 073249·2018 Passed Paul Burnette Complete Electrical Checklist Item COMMENTS Passed BLDG-Building Deficiency Partial, see card. Yes BLDG-Final 073250-2018 Pa&&ed Paul Burnette Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Not ready, see card. Ok to stock ftrain. No BLDG-Electrical Final No October 17, 2018 Page 1 of 1 City of Carlsbad CBC2018-0374 8/16/2018 DATE: 8/16/2018 JURISDICTION: City of Carlsbad PLAN CHECK#.: CBC2018-0374 ✓• EsG1I A SAFEbuilt C0inpcv1y SET: II PROJECT ADDRESS: 2501 El Camino real PROJECT NAME: Coffee shop T.I. 0 APPLICANT 0 JURIS. ~ 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. D The check list transmitted herewith is for your information. The plans are being held at EsGil 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: ~ EsGil staff did not advise the applicant that the plan check has been completed. D EsGil staff did advise the applicant that the plan check has been completed. Person contacted: yIephoi. Date contacted~/ (by: 1 Email: Mail Telephone Fax In rson 0 REMARKS: By: Morteza Beheshti EsGil 8/13 Enclosures: DATE: 7/25/2018 JURISDICTION: City of Carlsbad PLAN CHECK#.: CBC2018-0374 ✓• EsG1I A SAFEbu1lt Co,npany SETI PROJECT ADDRESS: 2501 El Camino real PROJECT NAME: Coffee shop T.I. D APPLICANT ;zr JURIS. 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. [gJ The check list transmitted herewith is for your information. The plans are being held at EsGil 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. [gJ The applicant's copy of the check list has been sent to: le1e111y bleWltldii D EsGil staff did not advise the applicant that the plan check has been completed. [gJ EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Russell Myers Telephone#: 818.788.9498 Date contacted:7/1-6 lto(b~ Email: russell@rem-architects.com ~ -(;Mail Telephone ~ Fax In Person REMARKS: ---. 'f12oNT" i?E:&f-vEtz-1fN:;O- By: Morteza Beheshti EsGil 7/16 Enclosures: 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 qity of Carlsbad CBC2018-0374 7/25/2018 PLAN REVIEW CORRECTION LIST COMMERCIAL PLAN CHECK#.: CBC2018-0374 OCCUPANCY: A2 TYPE OF CONSTRUCTION: III-B ALLOWABLE FLOOR AREA: SPRINKLERS?: Y REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 1/9 DATE INITIAL PLAN REVIEW COMPLETED: 7/25/2018 FOREWORD (PLEASE READ): JURISDICTION: City of Carlsbad USE: Restaurant ACTUAL AREA: 1969 sf STORIES: 3 HEIGHT: OCCUPANT LOAD: 73 DATE PLANS RECEIVED BY ESGIL CORPORATION: 7/16 PLAN REVIEWER: Morteza Beheshti 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 2016 CBC, which adopts the 2015 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 2015 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. C)ity of Carlsbad CBC2018-0374 7/25/2018 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PREPARED BY: Morteza Beheshti BUILDING ADDRESS: 2501 El Camino real BUILDING OCCUPANCY: S1/B PLAN CHECK#.: CBC2018-0374 DATE: 7/25/2018 BUILDING AREA PORTION ( Sq. Ft.) Tenant Improvement Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb 1997 UBC Building Permit F==--~---• I 1997 UBC Plan Check Fee . ~ Valuation Multiplier By Ordinance Type of Review: Q Complete Review D Repetitive Fee ··•I Repeats Comments: D Other D Hourly EsGII Fee Reg. VALUE ($) Mod. per city 89,346 $578.301 $375.901 D Structural Only 1-------,1 Hr. @ * $329.631 Sheet of City of Carlsbad CBC2018-0374 7/25/2018 Please make all corrections, as requested in the correction list. Submit FOUR new complete sets of plans for commercial/industrial projects (THREE 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 and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring TWO corrected set of plans and calculations/reports to EsGil, 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 only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil is complete. GENERAL 1. Please make all corrections and submit two new complete sets of prints, to: Esgil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, California 92123, (858) 560-1468. 2. Provide evidence of health department approval of food establishment. PLANS 3. Provide a statement on the Title Sheet of the plans, stating that this project shall comply with the 2016 California Building Code, which adopts the 2015 IBC, 2015 UMC, 2015 UPC and the 2014 NEC. 4. Provide complete information in regards to the signs, or clearly show them as not included on the plans. SITE PLAN 5. Provide a fully dimensioned site plan drawn to scale. Sec. 107.2. Include the following: a) Clearly dimension building setbacks from property lines, street centerlines, and from all adjacent buildings and structures on the site plan. b) North arrow. c) Property lines/easements. d) Streets/alleys. e) Existing and proposed buildings and structures. 6. Show dimensioned parking layout, including any required disabled access spaces. Section 107.2. City of Carlsbad CBC2018-0374 7/25/2018 7. When the character of the occupancy or use changes within a building, the building must be made to comply with current Building Code requirements for the new occupancy. IEBC Section 407. Please provide complete details to show the building will comply. 8. Show on the Title Sheet all buildings, structures, walls, etc. included under this application. Any portion of the project shown on the site plan that is not included with the building permit application filed should be clearly identified as "not included" on the site plan or Title Sheet. Sec. 107.2. EGRESS BALCONIES 9. Egress balconies serving more than 50 occupants must be a minimum 44 inches wide and 7'-6" high to the lowest projection. A minimum width of 36 inches may be used if the occupant load is 50 or less. Section 1021.1. INTERIOR WALL AND CEILING FINISHES 10. Provide a note on the plans or on the finish schedule, stating, "Wall and ceiling materials shall not exceed the flame spread classifications in IBC Table 803.11." EXITS 11. Each door in a means of egress from an occupancy of Group A or E having an occupant load of 50 or more (and any occupancy of Group H) shall not be provided with a latch or lock unless it is panic hardware. Section 1010.1.10. Clearly show on plans the required Panic Hardware for the two exit doors shown. ENERGY CONSERVATION 12. A complete energy plan check will be performed after completed and/or the corrected energy design has been provided. 13. Multilevel lighting controls are required in areas exceeding 100 square feet in area and have a connected general lighting load exceeding .5 watts per square foot (Classrooms are .7 watts). Review ES Table 130.1-A for design requirements. Include control placement and design on the floorplans. (AB switching no longer complies for most fixture types). PLUMBING 14. Please provide complete plumbing plans to include kitchen and bathroom for review. City of Carlsbad CBC2018-0374 7/25/2018 ELECTRICAL 15. Please provide completed electrical plans for review. MECHANICAL 16. Please provide completed mechanical plans for review. DISABLED ACCESS REVIEW LIST REMODELS. ADDITIONS AND REPAIRS 17. When alterations, structural repairs or additions are made to an existing building, that building, or portion of the building affected, is required to comply with all of the following requirements, per Section 11 B-202.4: • The area of specific alteration, repair or addition must comply as "new'' construction. Show that dining, banquet and bar facilities are accessible, as follows: Show 4 accessible seats instead of 3. Where a counter has a height >34" high, a portion of the main counter (a minimum of 60" long) shall be provided with a height of 34" maximum. Section 11 B-226.3. • A primary entrance to the building and the primary path of travel to the altered area, must be shown to comply with all accessibility features. • The path of travel shall include the existing parking. Clearly show that the site development and grading are designed to provide access to all entrances and exterior ground floor exits, as well as access to normal paths of travel, per Section 11 B-206. Where necessary to provide access, shall incorporate pedestrian ramps, curb ramps, stairways and handrails, etc. Show that an accessible route of travel is to be provided to all portions of the building, to accessible building entrances and between the building and the public way. per Section 11 B-206.2.1. Show that a 36" wide detectable warning material is provided at boundaries between walkways and vehicular ways. Sections 11 B- 247 .1.2.5 and 11B-705.1.2.5. • Existing signage. DOORS 18. Revise plans, or door schedules, to show that every required passage door has 2:32" clear width, per Section 11 B-404.2.3. 19. Where a pair of doors is utilized, at least one of the doors shall provide a clear, unobstructed opening width of 32 inches, per Section 11 B-404.2.2. City of Carlsbad CBC2018-0374 7/25/2018 20. Show, or note, that there is a level floor or landing on each side of all doors. The floor or landing is to be S½" lower than the doorway threshold, per Section 11 B- 404.2.5. 21. Show or note that all hand-activated door opening hardware meets the following requirements, per Section 118-404.2.7: a) Latching, or locking, doors in a path of travel are operated with a single effort by lever type hardware, by panic bars, push-pull activating bars, or other hardware designed to provide passage without requiring the ability to grasp the opening hardware. b) Is to be centered ~34" but S44" above floor. SANITARY FACILITIES 22. Where toilet rooms are provided, each toilet room shall comply with Section 11 B- 213. Where bathing facilities are provided, each bathing room shall comply with Section 11 B-603. Section 11 B-213.2. 23. Where facilities are to be used solely by children, the specific heights may be adjusted to meet their accessibility needs, per Section 11 B-604.9. 24. Show that passageways leading to sanitary facilities have required clear access widths. Show that all doorways have: a) ~32" clear opening. b) A clear area: i) <!60" in the direction of the door swing. ii) <!44" away from the direction of door swing. c) All strike edge clearance dimensions are required to be met (i.e. 18" strike edge distance). 25. Show that the water closet is located in a space which provides: a) A clear space at the water closet in compliance with Section 11 B-604.3.2 (this prohibits any fixtures from encroaching into the clear space at the rear wall). b) A clear space in front of the water closet measuring 60" wide by 48" in front. Section 11 B-604.3.1. See the following figures. i) Please notice that the 28" clearance required in the previous code (between the water closet and the lavatory) has been changed to a 60" clearance as shown in the figure. City of Carlsbad CBC2018-0374 7/25/2018 Nt~ --~ FLUSH ACTIVATOR ON WIDE SIDE ----iv 60. MIN. CENTERLINE OF FIXTURE CENTERLINE OF FIXTURE I 4 on I ~ 28"MIN. rfl TOEDGE l_J OF WATER - CLOSET ......._ /z~ I -<( :E w \ ~ d \ ---- \ \ I I I / END OF DOCUMENT To speed up the review process, please 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, 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 Morteza Beheshti at Esgil. Thank you. SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY RECORD ID# __________________ I PLAN CHECK# _________________ I BP DATE Business Name Busi~s Contact Telephone# L~A<7 \-3" C>r.\-c.... 160 -l-/ <-/ 8 -bl 6 7 Project Address City State Zip Code $.,,.,4 .;to3o cA oog APN# 50 I G.L Cc.-W\(~ Mailing Addre~ o 1/o'llu- Plan File# Applicant E-mail Telephone# c..' o\e""--\., e._ ""'°'". co....... 6 ~e.,-3 'ss-{'~s_s- The following questions represent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: (not required to, projects within the City of San Diego): Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. tt any of the jtems are circled, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: Facility's Square Footage (including proposed project): 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives 2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards 3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These. 4. Flammable Solids 8. Unstable Reactives 12. Radioactives PART 11: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH HAZARDOUS MATERIALS DIVISION IHMDl: ~ the answer to any of the quesbons is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Over1and Avenue, Suite 110, San Diego, CA 92123. Call (858) 505-6700 prior lo the issuance of a building permit. 0 CalARP Exempt I FEES ARE REQUIRED Project Completion Dale: Expected Date of Occupancy: 1. 2. 3. 4. 5. 6. 7. 8. YES NO (for new construction or remodeling projects) Is your business listed on the reverse side of this form? (check all that apply). • ~ • ~ Will your business dispose of Hazardous Substances or Medical Waste in any amount? • l.'il Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? • • • • • KJ Will your business store or handle carcinogens/reproductive toxins in any quantjty? rfl 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 10)? ~ Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or realer than 1 320 Hons? California's Above round Petroleum Stora e Act . Date Initials 0 CalARP Required I Date Initials 0 CalARP Complele I Date Initials PART 111: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCDI: 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 Q1 Yes and 03 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 typicalty 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 10 working days prior to commencing demolition. (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been perfonned by a Certified Asbestos Consultant or Site Surveillance Technician? • • • 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 1 O working days prior to commencing asbestos removal. ~ WiH the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet (www.sdapcd.org/info/facts/permtts.pclf) for typical equipment requiring an APCD permit 0 (ANSWER ONLY IF QUESTION 5 IS YES) Wm the project or associated construction equipment be located within 1,000 feet of a school bounda Briefly describe business activities: C.,+.C:e~ Sk EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY COUNTY-HMO" APCD COUNTY-HMD APCD ff II fie Date RELEASED FOR OCCUPANCY COUNTY-HMO APCO . . "A stamp tn this box only exempts busmesses from completmg or updating a Hazardous Matenals Business Plan. Other permitting requirements may still apply . HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division -. 'r R~0 --l::·,v~ AUG l ,D ELISE ROTHSCHILD Director rr t f ,o:.. ~ , Ct 1 0 20/R \Q..,oun p o ;:;:2'an ~ te~, ..., '"' AMYHARBERT DEPARTMENT OF ENVIRONMENTAL HEALTH FOOD AND HOUSING DIVISION P.O. BOX 129261, SAN DIEGO, CA 92112-9261 Phone: (858) 505-6659 FAX: (858) 505-6824 1 (800) 253-9933 www.sdcdeh.org PLAN APPROVAL SHEET OBA: LEAP COFFEE SITE: 2501 EL CAMINO REAL #230 CARLSBAD 92008 BUSINESS OWNER: SAA Plans are approved contingent upon the following: .... o,IVG · 1ssjstant Director Dh , c_ 1D I ;:j/(Jtv DATE: 8/9/18 PC #: DEH2018- FFPP-009944 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, menu, 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 PRIOR TO FINAi.; INSPECTION AND APPROVAL TO OPERATE BY THIS DEPARTMENT. 4) All food and utensil-related equipment shall be certified to applicable sanitation standards by an ANSI accredited testing agency. 5) 5-10 business days before completion of 60%-80% of construction, call (858) 505-6660 to schedule a mid- inspection. In lieu of a plumbing inspection by DEH: a. Floor sinks shall be installed ½ exposed and equipped with an appropriate grill cover if no access is provided for cleaning. b. Drain lines shall slope¼" per foot to gravity, shall not exceed 15' in length and shall terminate a minimum of I" above the floor sink with a legal air gap. Drain lines shall not intersect walkways or door ways. c. No condensate drainage of any kind can drain to the mop sink. d. The entire floor surface must be sloped to the floor drains approximately 1/8 inch per foot or a four feet diameter depression that slopes I :50 (approximately ¼ inch per foot). e. Conduits of all types shall be installed within walls as practicable. When otherwise installed, they shall be mounted or enclosed in a chase so as to facilitate cleaning. 6) Owners and/or operators must pass an approved and accredited Food Safety Certification course. Proof of successful completion of this course is to be furnished at the final inspection. 7) At the time when the final inspection is requested, the facility shall have all utilities operational and all refrigeration shall have an ambient air temperature of38°F or below and shall be equipped with a thermometer accurate to +/-2"F in the warmest section of the unit. All equipment is to be in place and functional. 8) Seal all cracks, gaps and crevices in counters, cabinets, around metal fl ashing, sink backsplashes, around pipes and conduits with silicone sealant. 9) An Air Balance Report will be required at final inspection. 10) ANY FOOD PROCESSING AREAS MUST BE COMPLETELY ENCLOSED. OPERABLE WINDOWS, MOVEABLE WALL PANELS, GARAGE ROLL-UP DOORS, OR OTHER MEANS OFl RENDERING FOOD PROCESSING AREAS NOT FULLY ENCLOSED ARE NOT APPROVED. 11) Be advised, applicable jurisdiction requirements that result in chan2es to approved plans may require revisions to the Department of Environmental Health plans. Plans reviewed by CELESTE PENN. REHS CALL (858) 505-6660 AT LEAST 10 WORKING DAYS IN ADVANCE TO SCHEDULE MID AND FINAL INSPECTIONS. A FINAL INSPECTION SHALL BE CONDUCTED AND AN ENVIRONMENT AL HEAL TH PERMIT SHALL BE ISSUED PRIOR TO OPENING AND OPERATING THIS FOOD ESTABLISHMENT. cc: File "Environmental and public health through leadership, partnership and science" INDUSTRIAL WASTEWATER DISCHARGE PERMIT Date 1 li,1 1 0 SCREENING SURVEY Business Name L ,~(? Lu \--t-e-e Street Address o?,5'0 I E.1 Cr-""';.,"'" [e.-.. I + io~C) C;,rl d,~~ CA 0otoog Email Address 9-:S-@.. \ ec." . co 4-e ~ 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 Ink Manufacturing Nutritional Supplement/ Assembly Laboratory Vitamin Manufacturing Automotive Repair Machining I Milling Painting/ 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/ Forming Pesticide Manufacturing/ 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 / Milling Research and Development Film/ X-ray Processing Printed Circuit Board Rubber Manufacturing Food Processing Manufacturing Semiconductor Manufacturing Glass Manufacturing Metal Powders Forming Soap/ Detergent Manufacturing Industrial Laundry Waste Treatment/ Storage SIC Code(s) (if known): ______________________ _ Brief escription of business activities (Production/ Manufacturing Operations):. _____ _ ~ -e L De~iption of operations generating wastewater (discharged to sewer, hauled or evaporated): e'i>.1,-,,_._,."'-~+-u c..s-\-e Estimated volume of industrial wastewater to be discharged (gal/ day): _ __:_1'.J.=A:..._:_ ___ _ List hazardous wastes generated (type I volume): __ .L:::::..!...A-"------------- Date operation began/or will begin at this location: __ .:c8_,__1 '---1_8 _________ _ Have you apJlliEicl_ for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes ~ If yes, when: ____________________ _ Site Contact ~ (') c \-e.') c.... Title ___________ _ Signature. _______________ Phone No.:--,------,--=-:------=---,--,-,,.,,.....--- ENCINA WASTEWATER AUTHORITY, 6200 Avenida Encinas Carlsbad, CA 92011 (760) 438-3941 FAX: (760) 476-9852 {_ City of Carlsbad Owner: WASTE MANAGEMENT PLAN B-59 Contractor: -------~------·-- Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov Job Address: ~50 I i:: I (c,~;.,.., '2.e~ \ -p:,'lo30 PhoneNumber: _ _,,B~S-='---"'8'---"'-3-"'3-=~'---=-r-<)'--'S:=~=------ Permit#: Estimated Cost of Project: $ __ '.s~5__,_0_()_0 ______ _ Type of Project: O New Construction J1'{ Remodel or T.I. O Residential O Commercial O Demolition (check all that apply) O Other ------------------------------- Non-hazardous construction waste generated during the course of this project shall be recycled and/or salvaged for re-use at a minimum of 65% per CALGreen Sec. 5.408.1. Failure to comply may result in a penalty fee up to $1,000. For projects which consist of mainly equipment and/or racking, that have a combined weight of new construction disposal that does not exceed 2 lbs per square foot of building area affected by this permit, may be deemed to meet the 65% minimum requirement upon approval of Building Department. ALTERNATIVE FORMS OF COMPLIANCE: (If selected, do not complete Tables 1 & 2 below) 0 Construction waste shall not exceed 2 lbs. per sf. of area. All receipts shall be provided to the Building Official prior to final. (This option not applicable for most construction projects.) 3 r) 4 ,. Squarefeetofconstructionarea I C\A\ X 21bs.= -~-'-o=--'-"c:J-..'---=-___ lbs.ofallowablewaste. O I plan on using a WASTE MANAGEMENT roll-off bin. All receipts shall be provided to the Building Official prior to final. Table 1-Estimated Waste (To be filled out prior to permit issuance-refer to example on Page 2.) MATERIALS lbs. of waste to be taken to lbs. of waste to be Waste Hauling Company or Re-Use Method IANDALL RE-USED or RECYCLED Asphalt/ Concrete Brick / Mason,y Cardboard Drywall Landscape Debris Lumber/ Wood Metals Mixed Waste Trash I GarbMe Other: -r.-\" 1,°IJ--1 \ )D,N"\Q TOTAL lbs: I, C\ ~ \ Estimated Percentage to be Re-Used or Recycled, ______ % Date Official Use Only D Plan Approved D Plan Denied D Project Valuation Approved Reviewed/ Approved by: _________________ _ Page 1 of 2 REV.01-2017 Table 2 -Actual Waste (To be completed after construction.) MATERIALS lbs. of waste taken to lbs. of waste Waste Hauling Company or Re-Use Method LANDFILL RE-USED or RECYCLED (complete only if different than Table 1) Asphalt/ Concrete Brick/ Masonry cardboard Drywall Landscape Debris Lumber/ Wood Metals Mixed Waste Trash/ Garba~e Other: TOTAL lbs.: Actual Percentage Re-Used or Recycled ______ % Official Use Only D 65% Goal Achieved D 65% Goal Not Achieved D Alternative Compliance Achieved Penalty Paid $ _______ _ Reviewed/ Approved by: __________________ _ EXAMPLE: Use the following example as a guide to completing this form. MATERIALS lbs. of waste to be taken to lbs. of waste to be LANDALL RE-USED or RECYCLED Asphalt / Concrete 0 3000 Brick / Masonry 1.00 '150 Cardboard 0 , t:n Drywall 0 50 Landscape Debris 0 1.20 Lumber/ Wood 500 0 Metals 300 200 Mixed Waste 1.500 0 Trash / Garbage 300 0 Other: Pool c;"'"''te 0 ')OO TOTAL lbs.: 2.J-00 5,3J-O Percentage to be Re-Used or Recycled 6 7 % Formula: Total Re-used or Recycled X 100 = % Re-Used or Recycled (Total Combined Waste) Waste Hauling Company or Re-Use Method AB-C uci"ll··" Co. WM I Re-L,tsect 1sr,ckc ovc-s,te ,~ n unL,(I [i,cn r,. AB-C HC!"llvco Co. M"lc~ect £ Re-"5ect ovc-.s,te wciste Mcivcac,e.,,_evct WM I ABC Ha "'l,w:, WM WM L,tsect as Cr"5~ect 13-cise ovc-s,te 5370 X 100 = 67% Re-Used or Recycled (2700 + 5370) Since 67% exceeds the minimum requirement of 65%, this plan complies. Page 2 of 2