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HomeMy WebLinkAbout2505 PALOMAR AIRPORT RD; 101; CB132298; Permit12-05-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No Building Inspection Request Line (760) 602-2725 CB132298 Job Address Permit Type Parcel No Valuation Occupancy Group Project Title 2505 PALOMAR AIRPORT RD CBADSt 101 Tl Sub Type COMM 2130201800 Lot# 0 $50,300 00 Construction Type 5B Reference # JAMBA JUICE 1000 SF SHELL TO RESTAURANT Status Applied Entered By Plan Approved Issued Inspect Area Plan Check # ISSUED 09/24/2013 JMA 12/05/2013 12/05/2013 Applicant DAVID KANG STE 111 17852 17TH ST TUSTIN CA 92780-2142 888-505-0052 Owner COUNTY OF SAN DIEGO PUBLIC AGENCY 00000 Building Permit $455 52 Meter Size Add'l Building Permit Fee $0 00 Add'l Red Water Con Fee $0 00 Plan Check $318 86 Meter Fee $0 00 Add'l Building Permit Fee $0 00 SDCWA Fee $0 00 Plan Check Discount $0 00 CFD Payoff Fee $0 00 Strong Motion Fee $10 56 PFF (3105540) $915 46 Park Fee $0 00 PFF (4305540) $845 04 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 Renew/al Fee $0 00 PLUMBING TOTAL $101 00 Add'l Renewal Fee $0 00 ELECTRICAL TOTAL $77 20 Other Building Fee $0 00 MECHANICAL TOTAL $58 74 Pot Water Con Fee $0 00 Master Drainage Fee $0 00 Meter Size Sewer Fee $0 00 Add'l 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 9? Fire Expedidted Plan Review $295 00 Green BIdg Standards Plan Chk 99 TOTAL PERMIT FEES $3,078 38 Total Fees $3,078 38 Total Payments To Date $3,078 38 Balance Due $0 00 Inspector FINAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this 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 nght 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 oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenwise expired [^PLANNING E3BU1LDING THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE IGINEERING FIRE • HEALTH •HAZMAT/APCD CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email building@carlsbadca gov www carlsbadca gov Plan Check No-C^ (3>-^ l-TJH ^ Est. Value ^'579> -2/^0.0^ Plan Ck. Deposit Date SWPPP JOB ADDRESS ^ 1 1 . A 1 SUITE#/SPACE#/UNIT# ""-W^-Oio- IK -OO CT/PROJECT# LOT* 1 PHASE #' # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME j CONSTR TYPE OCC GROUP TlUN Uh WUKK inciuae square Feet ot Attectea Area{s) EXISTING USE PROPOSED USE . GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESQ# NdjS?1 AIR CONDITIONING YESI FIRE SPRINKLERS YES I |NO| I APPLICANT NAIVIE (primary Confact) APPLICANT NAME (Secondary Contact; ADDRESS ADDRESS CITY STATE PHONE PHONE EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS NAME ADDRESS IDRESS A CITY STATE 5"<aM P(-€^o, cA STATE PHONE |^V57 EMAIL ARCH/DESIGNER NAME & ADDRESS . STATE LIC # (Sec 70315 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issusjhcaf also requires thL 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 Sectian 7B00 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 applicant for a perma suBjects the applicant to a civil penalty of not more than five hundred dollars ($500)) Workers' Compensation Declaration / hereby affirm under penalty of peijury 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 performance of the wort for which this permit is issued • I have and will maintain workers' compensation as required bv Section 3700 of the Labor Code, for the performance of the wori( for which this permit is issued My workers' compensation insurance earner and policy number are Insurance Co _ Policy No . Expiration Date _ 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 sub|ect to the Workers' Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees JS^ CONTRACTOR SIGNATURE • AGENT DATE I hereby affirm that I am exempt from Contractor's License Law for the " "j . 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale If, however, the building or improvement is sold within one year of completion, the owner builder will have the burden of proving that he did not build or improve for the purpose of sale) I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct 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 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 QVes I |No 2 I (have / have not) signed an application for a building pemiit for the proposed work 3 I have contracted with the following person (fimn) to provide the proposed constmction (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, supen/ise 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) ^eTpROPERTY OWNER SIGNATURE QAGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account AcP Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncP Yes No Is the facility to be constmcted withm 1,000 feet of the outer boundary of a school site'' ' Yes " No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a constnjction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address I certify that I have read the application and state that the above infoimation is conect and that the infoimaton on ttie plans is accuiate I agree to comply with all City oidinances and State laws relating to building construction I hereby authonze representative of the City of Cartsbad to enter upon the above mentioned property fbr 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 CFIY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA peimit is required tor excavations over 5'0' deep and demolition or constmction of stnictures over 3 stones in heght EXPIRATION Every perniit 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 authoreed by such permit is not commenced within 180 days from the date of such pemiit or if the building or v»ri( authonzed by such pemnit is suspended or abandoned at any lme after the vmrk is commenced for a penod of 180 days (Section 106 4 4 Unifonn Building Code) yfi^APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buildinqtSicarlsbatJca 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 BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE OCCUPANT'S BUS LIC No DELIVERY OPTIONS PICKUP CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg 1) ' IVIAIL TO CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg 1) MAIL/FAX TO OTHER ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION vSf APPLICANT'S SIGNATURE DATE Inspection List Permit* CB132298 Type Tl COMM JAMBA JUICE 1000 SF SHELL TO RESTAURANT Date Inspection Item Inspector Act 01/27/2014 89 Final Combo -Rl 01/27/2014 89 Final Combo PD AP 01/09/2014 23 Gas/Test/Repairs PD AP 12/26/2013 17 Intenor Lath/Drywall PB AP 12/20/2013 84 Rough Combo PD AP 12/10/2013 21 Underground/Under Floor PD AP Comments COF Thursday, January 30, 2014 Page 1 of 1 t 'if ••=3 I 't vin!riHrjnri»r nn THK J^DK i P«« jajpLC^ B, li I Ml l ite ri-M im.iM: 71" • H& 3 2-J f 2 S 1!!! RECORD COPY BP "'UB'l. * ,ZII], iiiu.ik''i:<-i «j -a u3iir''clli'HP^ t ; 111 {;nKycp«Biai.ai :JLIIJ> t-H nm. 1^ J ».i i: I- *i u I n i f i r>i, '. 11 »M r«««? mm* ^ • H !».'. :i 111,; I, l-lfej, itiiE itr&s^.'u-i^.i; I! • i E 412 tin nu laiS'Ka mv 'ue mill ji mmi. EsGil Corporation In (Partnersfiip wttH government for <ButCding Safety DATE 11/26/13 • APPLICANT • JURIS JURISDICTION City of Carlsbad • PLAN REVIEWER • FILE PLAN CHECK NO 13-2298 SET IV PROJECT ADDRESS 2505 Palomar Airport Rd Suite 4-101 PROJECT NAME Jamba Juice - TI ^ The plans transmitted herewith have been corrected where necessary and substantially connply with the jurisdiction's building codes r~| The plans transnnitted herewith will substantially comply with the junsdiction'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 r~| 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 junsdiction to forward to the applicant contact person I I The applicant's copy of the check list has been sent to IXI EsGil Corporation staff did not advise the applicant that the plan check has been completed [ 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 John Le Vey Enclosures EsGil Corporation • GA • EJ • PC log 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 / EsGil Corporation In (PartnersHip tvitH government for (ButCding Safety DATE 11/25/13 •-'APPLICANT • ^JURIS JURISDICTION City of Carlsbad • PLAKTREVIEWER • FILE PLAN CHECK NO 13-2298 SET III PROJECT ADDRESS 2505 Palomar Airport Rd Suite 4-101 PROJECT NAME Jamba Juice - TI I I The plans transmitted herewith have been corrected where necessary and substantially comply with the junsdiction's codes I I The plans transmitted herewith will substantially comply with the junsdiction'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 XI 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 junsdiction to fonward to the applicant contact person X The applicant's copy of the check list has been sent to CDI Architects & Engineers / David Kang 17852 1 Street Suite 111, Tustin CA 92780 I I EsGil Corporation staff did not advise the applicant that the plan check has been completed EsGil Corporation staff did advise the applicant that the plan check has been completed Person contacted David Kang Telephone # 888-505-0052 Date contacted \\]z5l )}> (by \^ ) Email dkang(g)cdiarchitests net Fax # <^6r MailTelephone Fax In Person • REMARKS By John Le Vey Enclosures EsGil Corporation • GA • EJ • PC 11/20/13 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 City of Carlsbad 13-2298 11/25/13 Please make all corrections on the onginal tracings, as requested in the correction list Submit three sets of plans for commercial/industnal 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, Engineenng and Fire Departments 2 Bnng 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, Engineenng and Fire Departments NOTE Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineenng and Fire Departments until review by EsGil Corporation is complete These corrections are in response to items not fully addressed or as the result of information provided, the text in bold underlined print indicates the unresolved issue 2 Provide complete plumbing plans, including A Complete dram, waste and vent plans to show a separate vent for the floor dram and floor sink m the service area Still shown as vented together. No response B Provide gas line plans and calculations, showing pipe lengths and gas demands UPC Section 1217 0 It appears the gas line is undersized No response 6 Please complete the LTG-1-C part 3 of 4 mandatory automatic controls portion of the LTG-1-C forms. Please show the complete building control in the title 24 forms. No response 7. Please have the pnnciple designer complete the Statement of Compliance System Acceptance section of the LTG-1-C part 4 of 4 documents See above note 6. No response 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 bnefly descnbe 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 junsdiction has contracted with Esgil Corporation located at 9320 Chesapeake Dnve, 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 John Le Vey at Esgil Corporation Thank you EsGil Corporation In (Partnership witH government for (ButCcftng Safety DATE 11/18/13 • APPLICANT ja<JURIS JURISDICTION City of Carlsbad • PLAN REVIEWER • FILE PLAN CHECK NO 13-2298 SET II PROJECT ADDRESS 2505 Palomar Airport Rd Suite 4-101 PROJECT NAME Jamba Juice - TI Q The plans transmitted herewith have been corrected where necessary and substantially comply with the junsdiction's codes \~] The plans transmitted herewith will substantially comply with the junsdiction's codes when minor deficiencies identified below are resolved and checked by building department staff n The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck ^ The check list transmitted herewith is for your information The plans are being held at Esgil Corporation until corrected plans are submitted for recheck |~~| The applicant's copy of the check list is enclosed for the junsdiction to forward to the applicant contact person XI The applicant's copy of the check list has been sent to CDI Architects & Engineers / David Kang 17852 17'^ Street Suite 111, Tustin CA 92780 I I EsGil Corporation staff did not advise the applicant that the plan check has been completed IX EsGil Corporation staff did advise the applicant that the plan check has been completed Person contacted David Kang Telephone # 888-505-0052 Date contacted \l \^ (by]\^' Email dkang(a)cdiarchitests net Fax # fe^Mail Telephone Fax In Person • REMARKS By John Le Vey Enclosures EsGil Corporation • GA • EJ • PC 11/12/13 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 City of Carlsbad 13-2298 11/18/13 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO 13-2298 JURISDICTION City of Carlsbad OCCUPANCY B USE Restaurant TYPE OF CONSTRUCTION VB ACTUAL AREA lOOOsf ALLOWABLE FLOOR AREA STORIES 1 HEIGHT SPRINKLERS? No OCCUPANT LOAD 21 REMARKS DATE PLANS RECEIVED BY JURISDICTION 9/24/13 DATE PLANS RECEIVED BY ESGIL CORPORATION 11/12/13 DATE INITIAL PLAN REVIEW COMPLETED 11/18/13 PLAN REVIEWER John Le Vey 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 Electncal 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, Engineenng Department, Fire Department or other departments Clearance from those departments may be required pnor 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 13-2298 11/18/13 Please make all corrections on the onginal tracings, as requested in the correction list Submit three sets of plans for commercial/industnal 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, Engineenng and Fire Departments 2 Bnng 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, Engineenng and Fire Departments NOTE Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineenng and Fire Departments until review by EsGil Corporation is complete These corrections are in response to items not fully addressed or as the result of information provided, the text in bold print indicates the unresolved issue 2 Provide complete plumbing plans, including A Complete dram, waste and vent plans to show a separate vent for the floor dram and floor sink in the service area Still shown as vented together B Provide gas line plans and calculations, showing pipe lengths and gas demands UPC Section 1217 0 It appears the gas line is undersized 6 Please complete the LTG-1-C part 3 of 4 mandatory automatic controls portion of the LTG-1-C forms. Please show the complete building control in the title 24 forms 7. Please have the pnnciple designer complete the Statement of Compliance System Acceptance section of the LTG-1-C part 4 of 4 documents See above note 6. 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 bnefly descnbe 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 junsdiction 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 John Le Vey at Esgil Corporation Thank you EsGil Corporation In (Partnersfiip witfi government for (ButCtfmg Safety DATE 10/4/13 • APPLICANT ja" JURIS JURISDICTION City of Carlsbad • PLAN REVIEWER • FILE PLAN CHECK NO 13-2298 SET I PROJECT ADDRESS 2505 Palomar Airport Rd Suite 4-101 PROJECT NAME Jamba Juice - TI I I The plans transmitted herewith have been corrected where necessary and substantially comply with the junsdiction's codes I I The plans transmitted herewith will substantially comply with the junsdiction'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 XI 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 fon/vard to the applicant contact person ^ The applicant's copy of the check list has been sent to CDI Architects & Engineers / David Kang 17852 17'^ Street Suite 111, Tustin CA 92780 I I EsGil Corporation staff did not advise the applicant that the plan check has been completed 1X1 EsGil Corporation staff did advise the applicant that the plan check has been completed Person contacted David Kang Telephone # 888-505-0052 Date contacted C^vY^) Email dkana(S)cdiarchitests net Fax # •^Mail V^elephone Fax In Person • REMARKS By Doug Moody Enclosures EsGil Corporation • GA • EJ • PC 9/24/13 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 City of Carlsbad 13-2298 10/4/13 Please make all corrections on the onginal tracings, as requested m the correction list Submit three sets of plans for commercial/industnal 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, Engineenng and Fire Departments 2 Bnng 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, Engineenng and Fire Departments NOTE Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineenng and Fire Departments until review by EsGil Corporation is complete 1 Please provide plans and calculations signed by the California State licensed engineer or architect for the structural support of the 586# rooftop air handler unit Include all calculations and finding on the plans Please include the California license number, seal, date of license expiration and date plans are signed Business and Professions Code 2 Provide complete plumbing plans, including a) Complete dram, waste and vent plans to show a separate vent for the floor dram and floor sink in the service area b) Provide gas line plans and calculations, showing pipe lengths and gas demands UPC Section 1217 0 3 Please provide water heater specifications 4 Please review the requirements, revise the plans appropnately and impnnt on the plans the City of Carlsbad Policies and Procedures for Roof Mounted Equipment to the plans 5 Please have the document author and pnnciple designer sign the impnnted PERF-1 C forms 6 Please complete the LTG-1-C part 3 of 4 mandatory automatic controls portion of the LTG-1-C forms 7 Please have the pnnciple designer complete the Statement of Compliance System Acceptance section of the LTG-1-C part 4 of 4 documents 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 City of Carlsbad 13-2298 10/4/13 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO 13-2298 JURISDICTION City of Carlsbad OCCUPANCY B USE Restaurant TYPE OF CONSTRUCTION VB ACTUAL AREA lOOOsf ALLOWABLE FLOOR AREA STORIES 1 HEIGHT SPRINKLERS'? No OCCUPANT LOAD 21 REMARKS DATE PLANS RECEIVED BY JURISDICTION 9/24/13 DATE PLANS RECEIVED BY ESGIL CORPORATION 9/24/13 DATE INITIAL PLAN REVIEW COMPLETED 10/4/13 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 Electncal 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, Engineenng 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 13-2298 10/4/13 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 bnefly 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 13-2298 10/4/13 [DO NOT PAY- THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION City of Carlsbad PLAN CHECK NO 13-2298 PREPARED BY Doug Moody DATE 10/4/13 BUILDING ADDRESS 2505 Palomar Airport Rd Suite 4-101 BUILDING OCCUPANCY B TYPE OF CONSTRUCTION VB BUILDING PORTION AREA (Sq Ft) Valuation Multiplier Reg Mod VALUE ($) Tl 1000 50 30 50,300 Air Conditioning Fire Sprinklers TOTAL VALUE 50,300 Junsdction Code cb By Ordinance BIdg Permit Fee by Ordinanoe • Plan Check Fee by Ordinance • Type of Review 0 Complete Review Q^Repetitve Fee ^ Repeats • Other |—I Hourly EsGil Fee • Structural Only Hr @ * $455.52 $296.09 $255.09 Comments Sheet 1 of 1 macvalue doc + PLAN CHECK Community & Economic ^ CITY OF REVIEW Development Department 1635 Faraday Avenue ^^^^^^ L^^^^^^[) TRANSMITTAL Carlsbad CA 92008 ^^^^^^ L^^^^^^[) www carlsbadca gov DATE:10/08/13 PROJECT NAME: PALOMAR COMMONS-JAMBA JUICE PROJECTID: CB 13-2298 PLAN CHECK NO: 1 SET#: 1 ADDRESS: 2505 PALOMAR AIRPORT RD #4-101 APN: VALUATION: $50,300 / This plan check review is complete and has been APPROVED by the ENGINEERING Division. By: KATHLEEN LAWRENCE 10/08/13 A Final Inspection by the Division is required i 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: DKAY@CKIARCHITECTS NET You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions. For questions or clarifications on the attached checklist please contact the following reviewer as marked. .pLANNiNG^ m- "TV.-* •^60-60274610.'' -;*%**'l^>. A'*''^ ?i f' "'' . ~ '" •; ENGINEERING "yeo-eoa-aTso"^.-- ; *: .'il-4iRE¥.REVENTioiyif-r , I '-*7,6p-6p2-4665 ; - i k:^r Chris Sexton 760-602-4624 Chns Sexton@carlsbadca gov / Kathleen Lawrence - 760-602-2741 Kathleen Lawrence@carlsbadca gov : Greg Ryan 760-602-4663 Gregory Rvan@carlsbadca gov Gma Ruiz 760-602-4675 Gma RuizOcarlsbadca gov Linda Ontiveros 760-602-2773 Linda Ontiveros@carlsbadca gov Cindy Wong 760-602-4662 Cynthia Wong@carlsbadca gov Dominic Fieri 760-602-4664 Dommic Fieri@carlsbadca gov Remarks: PLANNING DIVISION Development Services Planning Division BUILDING PLAN CHECK Development Services Planning Division ^ CITY OF APPROVAL 1635 Faraday Avenue CARLSBAD P-29 (760) 602-4610 www carlsbadca eov DATE: 9-30-13 PROJECT NAME: PROJECTID: PLAN CHECK NO: CB 13-2298 SET#: 1 ADDRESS: 2505 Palomar Airport Rd APN: ^ This plan check review is complete and has been APPROVED by the Planning Division. By: Cliris 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: dkay@cdiarchitects.net 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 X Chns Sexton 760-602-4624 Chris SextonOcarlsbadca gov 1 1 Kathleen Lawrence 760-602-2741 Kathleen Lawrence@carlsbadca gov 1 Greg Ryan 760-602-4663 Gregorv Rvan@carlsbadca gov Gma Ruiz 760-602-4675 Gma RuizOcarlsbadca gov 1 1 Linda Ontiveros 760-602-2773 Linda Ontiveros@carlsbadca gov 1 Cindy Wong 760-602-4662 Cvnthia Wong@carlsbadca gov • • 1 I Dominic Fieri 760-602-4664 Dommic Fieri@carlsbadca gov Remarks: PLAN CHECK A PLAN CHECK Community & Economic <^ CITY OF REVIEW Development Department ^ 16@^r^ay Avenue Carlsbad CA 92008 ^"^^v3 • CJ, „ www carlsbadca gov AR ISBAD TRANSMITTAL Development Department ^ 16@^r^ay Avenue Carlsbad CA 92008 ^"^^v3 • CJ, „ www carlsbadca gov DATE: 11-27-13 PROJECT NAIVIE: Jamba Juice PROJECTID: PLAN CHECK 1^0: CB132298 SET#: I ADDRESS: 2505 Palomar Airport Rd Ste 4-101 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 |3 Yes • No This plan check review is NOT COIVIPLETE. 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 clanfications on the attached checklist please contact the following reviewer as marked: PLANNING 760^02-4610 FIRE PREVENTION -*760^bW665' 1 1 Chris Sexton 760-602-4624 Chns Sexton@carlsbadca gov 1 1 Kathleen Lawrence 760-602-2741 Kathleen Lawrence@carlsbadca gov Q Greg Ryan 760-602-4663 Gregory RYan@carlsbadca gov 1 1 Gina Ruiz 760-602-4675 Gma Ruiz@carlsbadca gov 1 1 Linda Ontiveros 760-602-2773 Linda.Ontiveros@carlsbadca gov Cindy Wong 760-602-4662 Cvnthia Wong@carlsbadca gov • X Dominic Fieri 760-602-4664 Dominic.Fieri@carlsbadca gov Remarks: Carlsbad Fire Department BLDG DBPT COP^ Plan Review Requirements Category TI, COMM Date of Report-11-27-2013 Reviewed by Name: DAVID KANG Address STE 111 17852 17TH ST TUSTIN CA 92780-2142 Permit #: CBI32298 JobName. JAMBA JUICE 1000 SF SHELL TO Job Address: 2505 PALOMAR AIRPORT RD CBAD St. 101 I INCOfllPLETE The item you ha\fe Bubmitted for reiifisw ic mffompletsi At thic tima, thic offisa cannot I adoquatoly oonduot a roviow to dotormmo oomplianoo with tho applioablo oodoo and^or otondardo Ploaoo roviow • • carifuUy all oommonto attaohodi Ploaoo rooubmit tho noooooaFi' piano and^or opooifioatioi'ia, with ohangoo "oloudcd"," to thio offioo for roviovr and approval. * Cond CON0006836 [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 11/27/2013 By df Action AP RECOMMENDATION FOR APPR0|^|3G. DEPT £QP-X>f 1 Daryl K. James & Associates, Inc Checked by: Matthew Ernau Date: 11/20/2013 APPLICANT: David Kang JURISDICTION: Carlsbad Fire Department PROJECT NAME: jamba juice PROJECT ADDRESS: 2505Palomar Airport Rd suite 4-101 PROJECT DESCRIPTION: CBI 32298 INSTRUCTIONS • This plan reviev\/ has been conducted in order to verify conformance to minimum requirements of codes adopted by the Carlsbad Fire Department • The items below require correction, clarification or additional information before this plan check can be approved for permit issuance A-000 A1.121 El In Responsibility matnx section fire sprinklers are references In project information section under sprinklers it says no field verify if building has fire sprinklers OK In separate submittals Section 1) Including Fire Spnnkler System 2010 CFC 903 and 2010 NFPA 13 (If building has fire Spnnklers) OK Add to buildmg code summary section Complete plans and specifications for fire-extinguishing system, including fire alarm systems, automatic sprinkler systems, shall be submitted to Fire and Life safety for review and approval pnor to installation OK Show type and location of fire extinguisher in accordance with CFC 906 OK In Electrical symbols section include in descnption and a symbol that must provide 90 minutes battery back-power for type of emergency lighting being used OK In Electrical symbols section include in descnption that must provide 90 minutes battery back-power for exit sign OK PC Comments Daryl K. James & Associates, Inc 205 Colina Terrace Vista, CA 92084 T. (760) 724-7001 Email: kitfire@sbcglobal.net Page: 1 of 2 Checked by: Matthew Ernau Date: 10/5/2013 APPLICANT: David Kay PROJECT NAME: Jamba Juice 101 PROJECT DESCRIPTION: CBI 32298 JURISDICTION: Carlsbad Fire Department PROJECT ADDRESS: 2505Palomar Airport Rd suite 4- INSTRUCTIONS • This plan review has been conducted in order to verify conformance to minimum requirements of codes adopted by the Carlsbad Fire Department • The items below require correction, clarification or additional information before this plan check can be approved for permit issuance *,i To expedite the recheck^prbcess, please'nbte on this listjor^gogy)^how and where each correction itemfias beehZ'addressed, i e sheet' number, note number? ^'defaiitlnumber, legendSjumber, etc CorrectionssPi; _ rtiMilBitions to thTplife must be clouded and provided^ith^nu^^d 6^r^ revision dates ^ Pleasejidjrect^^an^iiguest^ regarding this review-•td:'^f|tthew"'Ernau 760-738-8279 or ernau57@coxfnet •^CORRECalEDlP^NSf DESCRIPTIVE NARRATIVE OF REVISIONS FOLLOWIfslGiEACH COMMENT ON THJI^FORM, AND A COPJ^j|,QI=||B|JILDING ^DEPARTMENT^(EsGil) COMMENTS MUST-^BE 3UBMlffED DIRECfLYlp- • Matthew Ernau I3S2 Hale Ave E§ibndid^y^ieiW2029 *IF PLANS ARE NOT SENT OR DELIVERED DIRECTLY TO THE ADDRESS ABOVE RECOMMENDATION FOR APPROVAL COULD BE DELAYED Page 2 of 2 A-000 A1.121 El In Responsibility matnx section fire spnnklers are references In project information section under sprinklers it says no field verify if building has fire sprinklers In separate submittals Section 1) Including Fire Spnnkler System 2010 CFC 903 and 2010 NFPA 13 (If building has fire Spnnklers) Add to building code summary section Complete plans and specifications for fire-extinguishing system, including fire alarm systems, automatic spnnkler systems, shall be submitted to Fire and Life safety for review and approval pnor to installation Show type and location of fire extinguisher in accordance with CFC 906 In Electrical symbols section include in descnption and a symbol that must provide 90 minutes battery back-power for type of emergency lighting being used In Electrical symbols section include in descnption that must provide 90 minutes battery back-power for exit sign Rinnai. Type of Appliance Rinnai Model Number Operation / Exhaust System Minimum/Maximum Gas Rate (Input) Electrical Electncal Consumption Ignition System Hot Water Capacity Temperature Temperature (without remote) Approved Gas Types Installation Energy Factor Thermal Efficiency Service Connections Water Flow Control Minimum/Maximum Water Supply Pressure ?0G R75LSi (VB2528FFUD-US) Temperature controlled, continuous flow, gas hot water system, certified for installation in manufactured (mobile) homes REU-VB2528FFUD-US Forced combustion / Direct vent 9,900 - 180,000 BTU/h (Natural Gas) 10,300 - 180,000 BTU/h (Propane) AC 120 Volts-60 Hz DC 12 Volts 76 watts 2 watts 184 watts Appliance Controller Normal Standby Anti-frost protection Direct electronic ignition Minimum flow rate 0 26 GPM Minimum activation flow rate 0 4 GPM Maximum flow rate 7 5 GPM (40° F nse) 98° -120° F (factory default) Maximum temperature is selectable at 120° F or at 140° F, 98° -160° F available with the MCC-91 controller for commercial and hydronic applications 120° F (factory default) Natural or Propane (ensure unit matches gas type at location) Indoor only Natural Gas 0 82 Propane 0 82 Natural Gas 82% Propane 82% Gas supply 3/4 inch MNPT Cold water inlet 3/4 inch MNPT Hot water outlet 3/4 inch MNPT Water flow sensor, electronic water control device and fixed by-pass 20- 150 PSI (recommended 30-80 PSI for maximum performance) FLOW TABLE 25 50 75 100 125 delta T - Temperature Rise (°F) 150 © 2010 Rinnai Corporation R75LSI VB SP 8/2010 lama Rinnai. Water Temperature Control Controller Controller Cable Safety Devices Clearances from Combustibles (suitable for closet, attic, and crawl space installations) Clearances from Non-combustibles Mm / Max Gas Supply Pressure (sea level) Manifold Gas Pressure (inches W.C. NOx Warranty R75LSi (VB2528FFUD-US) Simulation feed forward and feedback MC-91-1US (part of the front panel) Deluxe controller MC-100V-1US (optional) Bathroom controller BC-100V-1US (optional) MCC-91-1 US (for commercial applications) Non-polarized two-core cable, minimum 22 AWG • Flame failure - Flame Rod • Boiling protection • Combustion fan rpm check • Over current - glass fuse (3 amp) Remaining flame (OHS) Thermal fuse Automatic frost protection Top of heater - 6 inches Front of heater - 6 inches Sides of heater - 2 inches Top of heater - 2 inches Front of heater - 6 inches Sides of heater -1/2 inch Back of heater - 0 inches Ground / bottom -12 inches From vent pipe - 0 inches Back of heater - 0 inches Ground / bottom -12 inches From vent pipe - 0 inches Natural Gas Propane Gas Natural Gas Propane Gas mm 5" WC min 8" WC high fire 2 9" WC high fire 4 5" W C max 10 5" WC max 13 5" WC low fire 0 55" low fire 0 96" WC WC Meets California and Texas NOx Emission Rules Heat exchanger 12 years* for residential and 5 years* for commercial and hydronic applications, (10 years* if used with the Rinnai Hydronic Air Handler), all other parts 5 years*, labor 1 year, (* 3 years if used as a circulating water heater within a circulation loop, when the water heater is in series with a circulation system and all circulating water flows through the water heater) DIMENSIONS WEIGHT 51 LBS (23 KG) HD1 t-IEP OUII Fl C-El F trCESS PCllFP SliPPLi The wall bracket is adjustable to allow an additional 1 57 inches (40 mm) it DIM DESCRIPTION R75LSI in (mm) A Width 14 (355 6) B Depth * 9 6 (244 5) C Height - Unit 22 9 (582) D Height - with brackets 25 5 (648 2) E Hot Water Outlet - from wall * 3 6(91) F Hot Water Outlet - from center 4 3 (110) G Cold Water Inlet - from wall * 2 8 (70) H Gold Water Inlet - from center 1 1 (27) 1 Gas Connection - from wall * 3 9 (99) J Gas Connection - from center 3 5 (89) From base to gas connection 1 6 (40) K From base to cold connection 2 0 (50) From base to hot connection 1 6 (41) Rinnai Corporation • 103 International Dnve • Peachtree City, GA 30269 • Toll-Free 1-800-621-9419 • Fax 678-364-8643 • www nnnai us PLUMBING, Development Services ELECTRICAL, Building Division CITY OF MECHANICAL 1635 Faraday Avenue CARLSBAD WORKSHEET B-18 760-602-2719 www carlsbadca gov Project Address: Permit No.: Information provided below refers to worb being done on the above mentioned permit only This form must be tompleted and returned to Ihe Building Division before the permit con be issued. Building Dept Fax. (760) 602-8558 Number of new or relocated fixtures, traps, or floor drains ^ New building sewer line'' Yes No Number of new roof drams? . Install/alter water line? Number of new water heaters? "2- Number of new, relocated or replaced gas outlets? I 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: 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 V No Number of new fireplaces? Number of new exhaust fans'?. . / Relocate/install venf "Z- Number of new exhaust hoods? Number of new boilers or compressors'? ... Number of HP B-18 Page 1 of 1 Rev 03/09 INDUSTRIAL WASTEWATER DISCHARGE PERMIT / SCREENING SURVEY Date Ij^-flC^ Business Name ^i-M^^ -JIM'CC^ Street Address Email Address T^^OS' p6llof^<^K Awp^^ J S^U-e. Lf^(o{ PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT (ON REVERSE SIDE CHECK TYPE OF BUSINESS) Check al! below that are present at your facility Acid Cleaning ink Manufacturing Nutntional Supplement/ Assembly Laboratory Vitamin Manufactunng Automotive Repair Machining / Milling Painting / Finishing Battery Manufacturing Manufacturing Paint Manufactunng Biofuel Manufacturing Membrane Manufactunng Personal Care Products Biotech Laboratory (i e water filter membranes) Manufactunng Bulk Chemical Storage Metal Casting / Forming Pesticide Manufactunng / Car Wash Metal Fabncation Packaging Chemical Manufacturing Metal Finishing Pharmaceutical Manufactunng Chemical Purification Electroplating (including precursors) Dry Cleaning Electroiess plating Porcelain Enameling Electrical Component Anodizing Power Generation Manufactunng Coating (i e phosphating) Pnnt Shop Fertilizer Manufactunng Chemical Etching / Milling Research and Development Film / X-ray Processing Printed Circuit Board Rubber Manufacturing Food Processing Manufacturing Semiconductor Manufactunng Glass Manufacturing Metal Powders Forming Soap / Detergent Manufactunng Industrial Laundry Waste Treatment / Storage SIC Code(s) (if known). Brief description of business activities (Production / Manufactunng Operations) .. hA/}-[<^ Jlu'ce//^gen'g^ Il^'Os-r [ Description of operations generating wastewater (discharged to sewer, hauled or evaporated)-on ot operations -food (J^Q4-f Estimated volume of industnal wastewater to be discharged (gal / day) _ List hazardous wastes generated (type/volume) .To^^/^(-^(^'-^ Cl/€.\MtcJk Date operation began/or will begin at this location Have you appjii^for a Wastewater Discharge Permit from the Encina Wastewater Authority'? Yes C^^^ y®^' wl^sn. Site Contact Title (^U}y\e<^ Phone No - ' ^4PZo Signature_ ENCINA WASTEWATER AUTHORITY,~~B20CAvenida Encinas Carlsbad, CA 92011 (760)438-3941 F/kX (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 wastev/afer (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) SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY UPFP# HV# BP DATE / / BusinessName , —-Business Contact Telephone # SOT Project Address City state Zip Code APN# Mailing Address^ r-> . , A City state Zip Code cA ^0,0/0 Plan File* Project Contact ' r <J Telephone # ( ^<r\ TheTOllowing questions represent the facility's activities, NOT the specific project description 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 matenals If any of the items are circled, applicant must contact the Fire Protection Agency with jurisdiction pnor to plan submittal Facility's Square Footage (including proposed project) /DOO Occupancy Rating 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 Toxic Materials ^f^None of 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 any 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 /2>/ l^ I Expected Date of Occupancy / ?g> / /3 YES NO (for new construction or remodeling projects) 1 • )^ Is your business listed on the reverse side of this form' (check all that apply) 2 • • • • • • CalARP Exempt / Date Initials • CalARP Required I Date Initials • CalARP Complete / Date Initials Will your business dispose of Hazardous Substances or Medical Waste in any amounf 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' 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 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 prior to commencing demolition or renovation, except demolition or renovation of residential structures of four units or less Contact the APCD for more information 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 /Avww sdapcd orq/info/facts/permits pdf, and the list of typical equipment requinng an APCD permit on the reverse side of this from Contact APCD if you have any questions) (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 //www cde ca qov/re/sd/ for public and pnvate schools or contact the appropnate school district) Has a survey been performed to determine the presence of Asbestos Containing Materials' Will there be renovation that involves handling of any friable asbestos materials, or disturbing any matenal that contains non-fnable asbestos' Will there be demolition involving the removal of a load supporting structural member' Bnefly descnbe business activities Bnefly descnbe proposed project nnQ«f*R marie hpiPin are true anri correct ' — I declare undgr penalty pf ppr[ury that to the best of my knowledge and belief thejgsgggaes^made heiein are true and cofrect Signature of Owner or•^Stf^o^zedAge(^t^^ Name ire und&- penalty pf penury that of Owner or Authorized AgenW I Date FIRE DEPARTMENT OCCUPANCY CLASSIFICATION . BY FOR OFFICIAL USE ONLY DATE / / EXEMPT OR NO FURTHER INFORMATION REQUIRED 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 onlv 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 - 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 • 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/Distnbutor • Coatings/Adhesive • Compressed Gas Supplier/Distributor • Dry Cleaning • Fiberglass/Resin Application • Gas Station • Industnal Laundry • Laboratory • Laboratory Supplier/Distnbutor • Oil and Fuel Bulk Supply • Pesticide Operator/Distnbutor CHEMICAL HANDLING • Photographic Processing O 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 • Metal Prepping/Chemical Coating • Precious Metal Recovery • Sand Blasting/Gnnding • Steel Fabricator • Wrought Iron Manufacturing AEROSPACE • Aerospace Industry • Aircraft Maintenance • Aircraft Manufactunng 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 (NOx) Control System • Pharmaceuticals • Public Utility • Refrigeration System • Rock Quarry • Ship Repair/Construction • Telecommunications Cell Site • Vetennary Clinic/Hospital • Wood/Furniture Manufactunng/Refinishing ELECTRONICS • Electronic Assembly/Sub-Assembly • Electronic Components Manufactunng • 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, w/hich 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 Sterilizers 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 Dnlls 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 Manufactunng 35 - Bulk Dry Chemicals Storage 55 - Chrome Electroplating Tanks ELECTRONICS OTHER 29 - Automated Soldenng 42 - Electronic Component Mfg FOOD 12 - Fish Cannenes 12-Smoke Houses 50 - Coffee Roasters 35 - Bulk Flour & Powered Sugar Storage SOLVENT USE 28 - Vapor & Cold Degreasing 30 - Solvent & Extract Dners 31 - Dry Cleaning COATINGS & ORGANIC SOLVENTS 27 - Coating & Painting 37 - Plasma Arc & Ceramic Deposition Spray Booths 38 - Paint, Stain & Ink Mfg 27 - Pnnting 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 NOTE OTHER EQUIPMENT NOT LISTED HERE THAT IS CAPABLE OF EMITTING AIR CONTAMINANTS MAV REQUIRE AN AIR POLLUTION CONTROL DISTRICT PERMIT IF THERE ARE ANY QUESTIONS, CONTACT THE AIR POLLUTION CONTROL DISTRICT AT (858) 586-2600 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 Gram & Dry Chemical Transfer & Storage 45 - Rubber Mixers 21 - Waste Disposal & Reclamation Units 36 - Gnnding Booths & Rooms 40 - Asphalt Pavement Heaters 43 - Ceramic Slip Casting 41 - Perlite Processing 40 - Cooling Towers - Registration Only 91 - Fumigation Operations 56 - WWTP (1 million gal/day or larger) & Pump Station HM-9171 (02/11) County of San Diego - DEH - Hazardous Matenals Division RESPONSIBILITY MATRIX NOTES: 1. THIS SCHEDULE IS PROVIDED FOR QUICK REFERENCE ONLY. THE GENERAL CONTRACTOR IS RESPONSIBLE FOR ALL WORK DESCRIBED IN THE CONSTRUCTION DOCUMENTS. CONFLICTS BETWEEN SCHEDULE AND THE REST OF THE CONTRACT DOCUMENTS SHALL BE BROUGHT TO THE OWNER'S ATTENTION PRIOR TO BEGINNING WORK. 2. SEE EQUIPMENT SCHEDULE FOR DIVISION OF EQUIPMENT ORDER. SUPPLY AND INSTALLATION RESPONSIBILITY COUNTY OF SAN DIEGO DEPARTMENT OF ENVIRONMENTAL HEALTH PLAN CHECK i^TICE: CALL 858-50&^660 TO SCHEDULE PRELIMINARY, MID AND FINAL INSPECTIOW IF THERE IS NO CONSTRUCTION BEGUN AFTER Owi M) YEAR FROM THE DATE THE PLANS WERE APPROVED, THEN THE APPROVED PLANS WILL BE VOIDED AND NEW PLANS ftflUST 3E RESUBMITTED FOR APPROVAL La JtLLce. ^1360 \RCOMMONS T RD. & EL CAMINO REAL ITE 4-101 CALIFORNIA 92009 GOIMfnrOFSANO(£60 DEP/mMEKTOF GNVIRONiMBn»LHEAUH PLAN REVIEW , PROVISIONAL APPROm PUM8ACCEPTED FOR CONSTRUCTION SUBjeCT1B.THB" RlQUlRaAENTS OF THE STATE AND LOCAL RE< " THIS STOMP IS NO ASSURANCE THAT THE PLANS OR FlWnONS ARE CORRECT IN EVERY RESPECT. DESIGN OR CONSTRUCTION MUST BE CORRECTED. DATE. a]"34)iy- OUftlNGCO^fSTPIICTTON MATION ^PROVEMENT CONSISTING OF BUILD-OUT SED SPACE IN AN EXISTING. ONE STORY. PROJECT DIRECTORY FRANCHISEE WHIRL SAN DIEGO 228 LORTON AVENUE. UNiT 4 TENANT'S CDI ARCHITECTS & ENGINEERS APrHlTFPT. •( -700 t -riu CTDrrr ci iiTr m DRAWING INDEX GENERAL A-OGO A r\r\l COVER SHEET rrkiroAi ikirnoiiATinki FLOOR WORK k DEMOUTiQ! SAWCUT SU^ FOR NEW lN-SU^B PLUMBING FIXTURES REPAIR. LEVEL & SLOPE FOR FINISHES AND TRANSHic NE^ CONCRETE EQUIPMENT CURB AND PUTFORMS FLOOR COVERING CERAMIC TILE. BASE & GROUT NE^ SU^ CONCRETE CONCRETE TOPPlNG/LEVEUNG/lNFIU. DEMISING PARTITIONS FRAMING U.L PENETRATION CAUU<ING AT RATED ASSEMBLIESj'4: PATCH & REPAIR GYPSuM BOARD AT TENANT SIDE yg, SOUND INSUUTION INTERIOR PARTmONS^ANDll FRAMING. PLYWOOD & GYPSuM BOARD'(W/mS.^CEiy>jl WALL BLOCKING FOR EQUIPMENT AND FIXTURESi T'fJ F.R.P. / WALL TILE •i A' PAINTING 0R> STAINING,. 5^ ACOUSTICAL LAY-lN CEIUNG WiTH '-SUSPENSIOlf SYSTE>^ DOORS. FRAMES AND HARDWARE (SEE A-605)6*1 PATCH k REPAIR EXISTING PARTITIONS AS REQ'D. 5& RADIUS SOFFIT AND MENU BOARD SOFFIT WOOD WAINSCOTING STOREFRONT BARRICADE "coMiNG SOON" SIGN STOREFRONT ENTRY DOORS STOREFRONT FRAMING & GUZING REKEY LOCKS AFTER CO. WINDOW FILM FURNISHINGS MILLWORK PACKAGE; STAINLESS STEEL PACKAGE* FURNITURE PACKAGE. MANAGER'S OFFICE EQUIPMENT KITCHEN EQUIPMENT*: WAU-IN FREEZER PACKAGE CB132298 2505 PALOMAR AIRPORT RD 101 Final Inspection required by • Plan • CM&I • Fire SW aissuED GCV. Approved Date By BUILDING U~l—> PLANNING ENGINEERING IC>/}ih-l FIRE Expedite7//Y) N )\l>7h^ AFS Checked by HazMat APCD Health Forms/Fees Sent ' Re'cd Due? By Encina Y N Fire Y N HazHealthAPCD Y N PE&M Y N School If Y N Sewer .— Y N Stormwater Y N Special Inspection Y N CFD Y LandUse CFD Y LandUse Density ImpArea FY Annex Factor PFF f Y^ N Comments Date }ate Date Date Building I-Mo ll Planning f * Engineering Fire /o/T/is Need? (jr\ VY^LO-HSV^^ QDone • Done a Done • Done