HomeMy WebLinkAbout2521 PALOMAR AIRPORT RD; 104; CB130645; Permit07-11-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Commercial/Industrial Permit Permit No
Building Inspection Request Line (760) 602-2725
CBI 30645
Job Address
Permit Type
Parcel No
Valuation
Occupancy Group
Project Title
2521 PALOMAR AIRPORT RD CBADSt 104
Tl Sub Type COMM
2130201800 Lot# 0
$60,561 20 Construction Type 5B
Reference #
JERSEY MIKE 1204 SF SHELL TO
RESTAURANT
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
Plan Check*
ISSUED
03/18/2013
JMA
07/11/2013
07/11/2013
Applicant
LISA FRITZSCHING
Owner
COUNTY OF SAN DIEGO
3578 30TH ST
SAN DIEGO CA 92104
619-236-0595 x333
PUBLIC AGENCY OOOOO
Building Permit $504 52 Meter Size
Add'l Building Permit Fee $0 00 Add'l Red Water Con Fee $0 00
Plan Check $353 16 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 $12 72 PFF (3105540) $1,102 21
Park Fee $0 00 PFF (4305540) $1,017 43
LFM Fee $0 00 License Tax (3104193) $0 00
Bndge Fee $0 00 License Tax (4304193) $0 00
BTD #2 Fee $0 00 Traffic Impact Fee (3105541) $0 00
BTD #3 Fee $0 00 Traffic Impact Fee (4305541) $0 00
Renewal Fee $0 00 PLUMBING TOTAL $87 00
Add'l Renewal Fee $0 00 ELECTRICAL TOTAL $119 00
Other Building Fee $0 00 MECHANICAL TOTAL $84 96
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
Reel Water Con Fee $0 00 Additional Fees $0 00
Green Bldg Stands (SB1473) Fee $1 00 HMP Fee 99
Fire Expedidted Plan Review $0 00 Green Bldg Standards Plan Chk 9?
TOTAL PERMIT FEES $3,282 00
Total Fees $3,282 00 Total Payments To Date $3,282 00 Balance Due-$0 00
Inspector
FINAL APPROVAL
Date/^-^^-O Clearance
NOTICE Please take NOTICE that approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen'ed 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 previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
Plan Check No - B-1 55 WEB-CommercialPermit App pdf http //www carlsbadca gov/services/departments/building/Document
Plan Check No. ' 0(^^
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Csforna WARNING Failure to secure Viiarkcrs compensaton coverage is unlawful, and shall subject an employer to cnmmal penalties and civil fines up to one hundred thousand dollars t&lOO 0501,1
f addition to the cost of compensation damages as provided for in Section 370S of the Labor code interestaiTdjiifiniey s fees
CONTRACTOR SIGNATURE DATE
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J^PROPERTY OWNER SIGNATURE DATE
1 of 15 3/14/2013 3 28 PM
Plan Check No - B-1 55 WEB-CommercialPermit App pdf http //www carlsbadca gov/services/departments/building'Document
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Is^refac;, 0 teccrs'ucJed ll'h'1 £C€ ee st'6 ore toui!''3/d 3 scroo's e' 3 e« ftT'o
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNCESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EfllERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
I hereb,'affirm that there is a construction lending agencv fcrthejKrformancp ofthe '\a-kthis permit is issued iSec 3097 i^ CKII Code
Lenders Name Lenders Address
!<siti^thatlli3vereadtheapplic3tcn andstatethattiieabineinfonmtiaiiscoiTectandthattheirifotmatjanontheplansisaa^Qte lagieetocotripiy^
I heietv auttionzerEpBsertati.'S cf theCit/of Carstadloenter upautieatc >e n«3iticned praattWcr inspaaion purpDses I hl^C AGREE TC SAVE INDB,1NiFY A^JC HEEP H^KMESS THE CITV OF CARLSBAt
AGAINST nlL UABILITIES JUDGf 1ENTS CCSTS ANO QraSESrtHDH l,#Y IfLJXTWAv AQCRUE AGANST SSJD CITY IN Ca^l3EQUENCE OFTHE 'JRAhJTING GFTHIS PERI/IIT
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EXHRATION E.ff/|:eiiiiitissui?db,t|riE^itiiUing Ofiiaal jnitetteprM .ad if thebuildr^orinDik^uthonzeJt,'such permit is natixnin'ignosd vithin
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^gS'APPLICANT S SIGiWJURE 3/V73
' STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERilT ISSUANCE
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection
CERTIFICATE OF OCCUPANCY ICommerciai Projec Only)
Fax 17601 002-35r30 Email builring@carlsbadca QOV or Mail tne oonipletedfcrmtc Oit, of Carlsbad Buiiding Ci 'isi&n *635 F^rada , A enuf Car.sbnd California 920r3
CONTACT NAME OCCUPANT NAME
C0# (Office Use Only)
ADDRESS BWLDItvlG ADDRESS
CITY
Carlsbad CA
OCCUPANT S BUS LIC Mo
DELJVERY OPTIONS
3 PICK UP = CONTACT (Listed above I = OCCUPANT (Listed abo\e}
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3 MAIL TO Q CONTACT (Listed abovet = OCCUPANT 'Listed above)
z CONTRACTOR (OnPg 1'
3 IVIAIL/FAX TO OTHER _ ._,
r ASSOCIATED CB#
= NO CHANGE IN USE/NO CONSTRUCTION
= CHANGE OF USE/NO CONSTRUCTION
,«5'APPLICANT'S SIGNATURE
2 of 15 3/14/2013 3 30 PM
Inspection List
Permits CB130645 Type Tl COMM JERSEY MIKE
RESTAURANT
Date Inspection Item Inspector Act Comments
10/22/2013 89 Final Combo -Rl AM PLS - COF
10/22/2013 89 Final Combo PD AP
10/11/2013 85 T-Bar -Rl
10/11/2013 85 T-Bar PD AP
10/07/2013 39 Final Electrical PD PA
09/19/2013 17 Intenor Lath/Drywall PD AP
09/19/2013 23 Gas/Test/Repairs PD AP
09/19/2013 44 Rough/Ducts/Dampers PD AP
09/12/2013 84 Rough Combo PD AP
09/11/2013 84 Rough Combo PD NR
08/02/2013 21 Underground/Under Floor PD AP
Tuesday, October 22, 2013 Page 1 of 1
INSPECTION RECORD
CITY OF
CARLSBAD
Building Di^^lslon
SI INSPECTION RECORD CARD WITH APPROVED
PLANS MUST BE KEPT ON THE JOB
SI CALL BEFORE 3:30 pm FOR NEXT WORK DAY INSPECTION
SI FOR BUILDING INSPECTION CALL; 760-602-2725
OR GO TO: www.CarHbadra.ffow/Buildlna AND CUCK ON
"Request Inspection"
71/11/^?
CB130645
104
JERSEY MIKE 1204 SF SHELL TO
RESTAURANT
Tl COMM
Lot# LISA FRITZSCHING
2521 PALOMAR AIRPORTUD
RECORD COPY
DATE:
IF " YES" IS CHECKED BELOW THAT DIVISION S APPF^OVAL IS REQUIRED PRIOR TO REQUESTING A FlNAL BUILDING INSPECTION.
IF YOU HAVE ANY QUESTIONS PLEASE CALL THE APPLICABLE DIVISIONS AT THE PHONE NUMBERS PROVIDED BELOW. AFTER
ALL REQUIRED APPROVALS ARE SIGNED OFF- FAX TO 760-602-8560. EMAIL TO BLDGINSPECTIONS@CARLSBADCA.GOV
OR BRING IN A COPY OF THis CARD TO: 1635 FARADAY AVE.. CARLSBAD. CA 92008. BUILDING INSPECTORS CAN BE
REACHED AT 760-602-2700 BETWEEN 7:30 AM - 8:00 AM THE DAY OF YCp'uR INSPECTION.
NO YES Required Prior to Requesting Buiiding Final If CliecKed YES Date Inspector Notes
Planning/Landscape 760-944-8463 Allow 48 hours
J CM&I (Engineering lnspections| 760-438-3891 Call before 2 pm
Fire Prevention 760-602-4660 Allow 48 hours
\ 1
COD. # BUILDING [ Date Inspector ||^^9^^SS^3i^^S^I^Hi 1 Date Inspector
#11 FOUNDATION #31 • ELECTRIC UNDERGROUND DUFER /?
#12 REINFORCED STEEL #34 ROUGH ELECTRIC
#66 MASONRYPRE GROUT #33 • ELECTRIC SERVICE • TEMPORARY
• GROUT • WALL DRAINS #35 PHOTOVOLTAIC
#10 TILT PANELS #39 FINAL
#11 POUR STRIPS CODE # MECHANICAL
#11 COLUMN FOOTINGS #41 UNDERGROUND DUCTS & PIPING /
#14 SUBFRAME • FLOOR DCEIUNG #44 • DUCT & PLENUM • Rf I'IPING
#15 ROOFSHEATHING #43 HEAT-AIR COND. SYSTEMS
#13 EXT. SHEAR PANELS #49 FINAL
#16 INSULATION CODE # COMBO INSPECTION
#18 EXTERIOR LATH #81 UNDERGROUND (11,12^M1)
#17 INTERIOR UTH &DRYWAU #82 DRYWALLEXT UTH, GASTES (17,18,23)
#51 POOLEXCA/STEEl/BOND/FENCE, #83 ROOFSHEATING, EXTSHEAR(13,15) /
#55 PREPLASTER , . #84 FRAME ROUGH COMBO (14,24,34,44)
#19 FINAL^kcck®(l>xfc.<rv5y #89 FlfML OCCUPANCY (19,29,39,49)
CODE # PLyMBING Date inspector
#22 • SEWER & Bl/CO •PI/CO / FilRE Date Inspector
#21 UNDERGROUND DWASTE D WIR /I #24 TOPOUT DWASTE DWTR A/S UNDERGROUND VISUAL
#27 TUB & SHOWER PAN A A/S UNDERGROUND HYDRO
#23 • GAS TEST • GAS PIPING A/S UNDERGROUND FLUSH , /
#25 WATER HEATER ) -f A/S OVERHEAD VISUAL »0/\ 1/)=^
#28 SOLAR WATER A/S OVERHEAD HYDROSTATIC /O
#29 FINAL A/S HNAL
^ CODE # STORM WATER F/A ROUGH-IN
#600 PRE-CONSTRUCTION MEEHNG F/A RNAL
#603 FOLLOW UP INSPECTION FIXED EXnNGUISHING SYSTEM ROUGH-IN
#605 NOTICE TO CLEAN FIXED EXnNG SYSTEM HYDROSTATIC TEST
#607 WRITTEN WARNING FIXED EXTINGUISHING SYSTEM HNAL
#609 NOTICEOFVIOLATION MEDICAL GAS PRESSURE TEST
#610 VERBALWARNING MEDICALGAS HNAL
REV 10/2012 SEE BACK FOR SPECIAL NOTES
Section 5416. Health and Safety Code, State of California
(a) There shall be not less than one water closet for each 20 employees or fractional part thereof w9?'^')8^fcM
construction job site The water closet shall consist of a patented chemical type toilet - ^'"^w
(b) For the purpose of this section the term construction site shall mean the location on which actual cori8tnJdi^0Ji%i
building is in progress |
(c) A violation of this section shall constitute a misdemeanor '^h-p; '^^^^^
All construction or work for which a permit is required shall be subject to inspection and all such constructloji^^^J
shall remain accessible and exposed for inspection purposes until approved by the inspector Work shall nol Dt
beyond the point indicated in each successive inspection without first obtaining the approval ofthe inspectorJ
DATE ADDITIONAL NOTES
..-•.^-r.,"-5 i^^-'l
tv" 1^
EsGil Corporation
Iti <PartnersEip wtth government for (ButCdtng Safety
DATE 5/30/13 • APPLICANT
^JURIS
JURISDICTION City of Carlsbad • PLAN REVIEWER
• FILE
PLAN CHECK NO 13-0645 SET IV
PROJECT ADDRESS 2521 Palomar Airport Rd Suite 104
PROJECT NAME Jersey Mike's Subs - TI
XI 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
I I The check list transmitted herewith is for your information The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck
I I The applicant's copy of the check list is enclosed for the junsdiction to forward to the applicant
contact person
I I The applicant's copy of the check list has been sent to
I I EsGll Corporation staff did not advise the applicant that the plan check has been completed
IXI EsGll 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 Applicant to slip sheet revLpSS^&M^-^ to City held set
By Doug Moody Enclosures
EsGll Corporation
• GA • EJ • PC 5/22/13
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576
EsGil Corporation
In (PartnersHtp witH government for (BuiCchng Safety
DATE 5/13/13 aJM^^PtieANT
•QURIS^
JURISDICTION City of Carlsbad • PLAN REVIEWER
• FILE
PLAN CHECK NO 13-0645 SET III
PROJECT ADDRESS 2521 Palomar Airport Rd Suite 104
PROJECT NAME Jersey Mike's Subs - 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
X The check list transmitted herewith is for your information The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck
I I The applicant's copy of the check list is enclosed for the junsdiction to forward to the applicant
contact person
X The applicant's copy of the check list has been sent to
MPA Inc / Lisa Fritzsciting
3578 30'^ Street, San Diego, CA 92104
I I EsGll Corporation staff did not advise the applicant that the plan check has been completed
X EsGll Corporation staff did advise the applicant that the plan check has been completed
Person contacted Lisa Fritzsciting Telephone # 619-236-0595 _
Date contacted 'S!i3|,0j(by ) Email lisa(%mpa-architects com Fax # 619-236-0557
Ma\\^ Telephone Fax-^ In Person
• REMARKS
By Doug Moody Enclosures
EsGll Corporation
• GA • EJ • PC 5/7/13
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576
City of Carlsbad 13-0645
5/13/13
Please make all corrections on the ongmal 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
EsGll 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 Please provide plans and calculations signed by the California State licensed
engineer or architect for the structural support of the 795# and 900# rooftop air
handler units 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 The resubmitted plans included a set
of calculations that were not stamped or signed by the engineer that
prepared them, a single 8 Va" x 11" partial framing plan that is not stamped
or signed by the engineer the prepared it and it references details that are
not provided? What is this intended to be? Is this intended to be part of
this plan? Not stamped or signed and incomplete? Is it intended to show
another permit has been applied for if so what is that permit number?
Please provide a copy ofthe roof structure desiqn for permit 12-0788
showing the designed for the new equipment load.
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 lisf?
Please indicate
Yes • No •
^ City of Carlsbad 13-0645
5/13/13
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 Doug Moody at
Esgil Corporation Thank you
EsGil Corporation
In (Partnersfiip with government for (BuMmg Safety
DATE 4/18/13 O^PPLICANT
^JURIS
JURISDICTION City of Carlsbad • PLAN REVIEWER
• FILE
PLAN CHECK NO 13-0645 SET II
PROJECT ADDRESS 2521 Palomar Airport Rd Suite 104
PROJECT NAME Jersey Mike's Subs - TI
I I The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's codes
I I The plans transmitted herewith will substantially comply with the 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
^ 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
X The applicant's copy of the check list has been sent to
MPA Inc / Lisa Fritzsciting
3578 30*^ Street, San Diego, CA 92104
I I EsGll Corporation staff did not advise the applicant that the plan check has been completed
EsGll Corporation staff did advise the applicant that the plan check has been completed
Person contacted Lisa Fritzsciting Telephone # 619-236-0595
Date contacted A'M^ (by Email lisa(a)mpa-architects com Fax # 619-236-0557
V^Mail Telephone VFax In Person
• REMARKS
By Doug Moody Enclosures
EsGll Corporation
• GA • EJ • PC 4/11/13
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576
City of Carlsbad 13-0645
4/18/13
Please make all corrections on the ongmal 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
EsGll 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 Please provide plans and calculations signed by the California State licensed
engineer or architect for the structural support of the 795# and 900# rooftop air
handler units 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 The resubmitted plans included a set
of calculations that were not stamped or signed by the engineer that
prepared them, a single 8 Vz' x 11" partial framing plan that is not stamped
or signed by the engineer the prepared it and it references details that are
not provided? What is this intended to be? Is this intended to be part of
this plan? Not stamped or signed and incomplete? Is it intended to show
another permit has been applied for if so what is that permit number?
To speed up the review process, note on this list (or a copy) where each
correction item has been addressed, i e , plan sheet, note or detail number,
calculation page, etc
Please indicate here if any changes have been made to the plans that are not a
result of corrections from this list If there are other changes, please briefly
descnbe them and where they are located in the plans
Have changes been made to the plans not resulting from this correction lisf?
Please indicate
Yes • No •
City of Carlsbad 13-0645
4/18/13
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 Doug Moody at
Esgil Corporation Thank you
EsGil Corporation
In (Partnership with government for (BuiCding Safety
DATE 3/22/13 •AEELICANT
•(JURI^
JURISDICTION City of Carlsbad • PLAN REVIEWER
• FILE
PLAN CHECK NO 13-0645 SET I
PROJECT ADDRESS 2521 Palomar Airport Rd Suite 104
PROJECT NAME Jersey Mike's Subs - 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 ] 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
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
MPA Inc / Lisa Fritzsciting
3578 30*^ Street, San Diego, CA 92104
I I EsGll Corporation staff did not advise the applicant that the plan check has been completed
X EsGll Corporation staff did advise the applicant that the plan check has been completed
Person contacted Lisa Fritzsciting Telephone # 619-236-0595
Date contacted 'b]lz}\b (by »«_ ) Email lisaOljmpa-architects com Fax # 619-236-0557
^Mail "^Telephone Fax-/ In Person
• REMARKS
By Doug Moody Enclosures
EsGll Corporation
• GA • EJ • PC 3/19/13
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576
City of Carlsbad 13-0645
3/22/13
PLAN REVIEW CORRECTION LIST
TENANT IMPROVEMENTS
PLAN CHECK NO 13-0645 JURISDICTION City of Carlsbad
OCCUPANCY B USE Restaurant
TYPE OF CONSTRUCTION VB ACTUAL AREA 1204sf
ALLOWABLE FLOOR AREA STORIES 1
HEIGHT
SPRINKLERS'? YES OCCUPANT LOAD 38
REMARKS
DATE PLANS RECEIVED BY
JURISDICTION 3/18/13
DATE PLANS RECEIVED BY
ESGIL CORPORATION 3/19/13
DATE INITIAL PLAN REVIEW
COMPLETED 3/22/13
PLAN REVIEWER Doug Moody
FOREWORD (PLEASE READ):
This plan review is limited to the technical requirements contained in the California version of
the International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National
Electrical Code and state laws regulating energy conservation, noise attenuation and access for
the disabled This plan review is based on regulations enforced by the Building Department
You may have other corrections based on laws and ordinances enforced by the Planning
Department, 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 vou submit the revised plans.
City of Carlsbad 13-0645
3/22/13
Please make all corrections on the original 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
EsGll Corporation is complete
1 Provide evidence of Health Department approval (for restaurants), where
regulated by the local Health Department
2 Please provide plans and calculations signed by the California State licensed
engineer or architect for the structural support of the 795# and 900# rooftop air
handler units 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
3 Please review the requirements, revise the plans appropnately and imprint on
the plans the City of Carlsbad Policies and Procedures for Roof Mounted
Equipment to the plans
4 Please complete the LTG-1-C part 2 of 3 mandatory automatic controls portion
of the LTG-1-C forms
5 Please have the pnnciple designer complete the Statement of Compliance
System Acceptance section of the LTG-1-C part 3 of 3 documents
6 Please provide the required LTG-5C for the track lighting
7 Provide complete plumbing plans, mcluding
a) Complete the dram, waste and vent plans to show all floor drains to be
vented
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 13-0645
3/22/13
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 briefly
descnbe them and where they are located in the plans
Have changes been made to the plans not resulting from this correction lisf?
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 13-0645
3/22/13
[DO NOT PAY- THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION City of Carlsbad PLAN CHECK NO 13-0645
PREPARED BY Doug Moody DATE 3/22/13
BUILDING ADDRESS 2521 Palomar Airport Rd Suite 104
BUILDING OCCUPANCY B TYPE OF CONSTRUCTION VB
BUILDING
PORTION
AREA
(Sq Ft)
Valuation
Multiplier
Reg
Mod
VALUE ($)
Tl 1204 50 30 60,561
Air Conditioning
Fire Sprinklers
TOTAL VALUE 60,561
Junsdction Code cb By Ordinance
Bldg Permit Fee by Ordinance
Plan Check Fee by Ordinance
Type of Review
QRepetitve Fee
~ Repeats
[v] Complete Review
• Other
|—I Hourly
EsGii Fee
• Structural Only
Hr @
$504 52
$327.94
$282.53
Comnnents
Sheet 1 of 1
macvalue doc +
^ CITY OF
CARLSBA
PLAN CHECK
REVIEW
TRANSMITTAL
Community & Economic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www carlsbadca gov
DATE: 03/18/13 PROJECT NAME: JERSEY MIKES PROJECT ID: CB13 0645
PLAN CHECK NO: li-0<«»*fS'SET#: 1 ADDRESS: 2521 PALOMAR AIRPORT RD APN:
VALUATION: $60,561
Vj \ This plan check review is complete and has been APPROVED by the ENGINEERING
LH-J Division.
By: KATHLEEN LAWRENCE 03/18/13
A Final Inspection by the Division is required [jYes 7JNO
1 1 This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
' - j the attached checklist. Please resubmit amende.d plans as required.
Plan Check Comments have been sent to: LISA@MPA-ARCHITECTS.COM
You may a/so 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
/ifr 760-602-2750
Flr.^...F!RE I^.REVENTIp-C; ?|
fr^ .^760-602^4665;^ J'-S-.i:
; " Chris Sexton
'' " ' 760-602-4624
Chris Sexton@carlsbadca gov
; y 1 Kathleen Lawrence
LVJ 760-602-2741
Kathleen Lawrence@carlsbadca fiov
I— J 760-602-4663
Grefiorv Rvan@carlsbadca fiov
f j Gina Ruiz
* ^ j 760-602-4675
Gma RuizOcarlsbadca gov
r 1 Linda Ontiveros
L _j 760-602-2773
Lmda Ontiveros@carlsbadca fiov
r " 1 Cindy Wong
L_,j 760-602-4662
Cvnthia Wong@carisbadca fiov
1 1 r-—1, 1 Dominic Fieri
i 760-602-4664
Dommic Fieri@carlsbadca gov
Remarks:
^^^^
^ CITY OF
CARLSBAD
BUILDING PLANCHECK
CHECKLIST
QUICK-CHECK/APPROVAL
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www carlsbadca gov
ENGINEERING Plan Check for CBI 3-0645 Date 03/18/13
Project Address 2521 PALOMAR AIRPORT RD APN
Project Description Tl FEES PAID FOR ON SHELL Valuation $60,561
ENGINEERING Contact Kathleen Lawrence
Phone 760-602-2741
Email kathleen.lawrence@carlsbadca.gov
Fax 760-602-1052
• RESIDENTIAL INTERIOR [ZJ TENANT IMPROVEMENT
• RESIDENTIAL ADDITION MINOR
INTERIOR ONLY {<$20,000.00)
PLAZA CAMINO REAL
• CARLSBAD PREMIER OUTLETS • COMPLETE OFFICE BUILDING
• OTHER: CELL ANTENNAS
OFFICIAL USE ONLY
ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT
BY. KATHLEEN LAWRENCE
REMARKS NO ADDITIONAL ENG. FEES-
DATE. 03/18/13
Notification of Engineering APPROVAL has been sent to
via EMAIL on 03/18/13
E-36 Page 1 of 1 REV 4/30/11
CITY OF
CARLSBAD
PLANNING DIVISION
BUILDING PLAN CHECK
REVIEW CHECKLIST
P-28
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www carlsbadca eov
DATE: 3-19-13 PROJECT NAME: PROJECTID:
PLAN CHECK NO: CB 13-0645 SET#: 1 ADDRESS: 2521 Palomar Airport Road APN: 213-020-18
• This plan check review is complete and has been APPROVED by the
Division.
By:
A Final Inspection by the Division Is required DYes • 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 Comments have been sent to: lisa@mpa-architects.com
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 Chris Sexton
760-602-4624
Chris SextonOcarlsbadca gov
1 1 Kathleen Lawrence
760-602-2741
Kathleen LawrenceOcarlsbadca gov
Greg Ryan
760-602-4663
Gregory Rvan@carlsbadca gov
1 1 Gina Ruiz
760-602-4675
Gma Ruiz@carlsbadca gov
1 1 Linda Ontiveros
760-602-2773
Lmda Ontiveros@carlsbadca fiov
n Cindy Wong
760-602-4662
Cvnthia Wong@carlsbadca gov
• • 1 1 Dominic Fieri
760-602-4664
Dommic Fieri@carlsbadca gov
Remarks:
Plan Check No CB 13-0645Address 2521 Palomar Airport Rd Date 3-19-13Review #
1
Planner Chns Sexton Phone (760) 602-4624
Type of Project & Use Tl Net Project Density N/A DU/AC
Zoning M/P-M/C-2-Q General Plan G/PI/GC Facilities Management Zone 5
CFD (in/out) #_Date of participation Remaining net dev acres
(For non-residential development Type of land use created by this permit )
REVIEW #:
12 3 Legend ^ Item Complete • Item Incomplete - Needs your action
• • Environmental Review Required YES • NO • TYPE
DATE OF COMPLETION
Compliance with conditions of approval If not, state conditions which require action
Conditions of Approval
lEl • • Discretionary Action Required. YES • NO • TYPE
APPROVAL/RESO NO DATE
PROJECT NO
OTHER RELATED CASES
Compliance with conditions or approval If not, state conditions which require action
Conditions of Approval
Q Q Coastal Zone Assessment/Compliance
Project site located in Coastal Zone^ YES Q NO •
CA Coastal Commission Authonty^ YES Q NO •
If California Coastal Commission Authonty Contact them at - 7575 Metropolitan Dnve,
Suite 103, San Diego, CA 92108-4402, (619) 767-2370
Determine status (Coastal Permit Required or Exempt)
• • Habitat Management Plan
Data Entry Completed'? YES • NO •
If property has Habitat Type identified in Table 11 of HMP, complete HMP Permit application
and assess fees in Permits Plus
(A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, HMP Fees, Enter Acres of
Habitat Type impacted/taken, UPDATE')
• • Inclusionary Housing Fee required YES • NO •
(Effective date of Inclusionary Housing Ordinance - May 21, 1993 )
Data Entry Completed^ YES • NO •
(A/P/Ds, Activity Maintenance, enter CB#, toolbar. Screens, Housing Fees, Construct
Housing Y/N, Enter Fee, UPDATE')
• • Housing Tracking Form (form P-20) completed YES • NO • N/A •
p-28 Page 2 of 3 07/11
Site Plan-
S • • Provide a fully dimensional site plan drawn to scale Show North arrow, property lines,
easements, existing and proposed structures, streets, existing street improvements, nght-of-
way width, dimensional setbacks and existing topographical lines (including all side and rear
yard slopes) Provide legal descnption of property and assessor's parcel number
City Council Policy 44 - Neighborhood Architectural Design Guidelines
• • 1 Applicability YES • NO •
• • 2 Project complies YES • NOQ
• •
• •
Zoning:
1 Setbacks
Front
Intenor Side
Street Side
Rear
Top of slope
Required
Required
Required
Required
Required,
2 Accessory structure setbacks
Front Required
Interior Side Required
Street Side Required.
Rear Required
Structure separation Required
Shown
Shown
Shown
Shown
Shown
Shown
Shown.
Shown.
Shown
Shown
S • •
K • •
K • •
• • •
3 Lot Coverage
4 Height
5 Parking
Required
Required.
Spaces Required
Shown
Shown
Shown
(breakdown by uses for commercial and industnal projects required)
Residential Guest Spaces Required Shown
Additional Comments 1) Please show how the new roof mounted equipment will be
screened See example
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE
p-28 Page 3 of 3 07/11
CARLSBAD
CITY OF
PLANNING DIVISION
BUILDING PLAN CHECK
REVIEW CHECKLIST
P-28
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www carlsbadca gov
DATE: 3-19-13 PROJECT NAME: PROJECTID:
PLAN CHECK NO: CB 13-0645 SET#: 2 ADDRESS: 2521 Palomar Airport Road APN: 213-020-18
^ This plan check review is complete and has been APPROVED by the Planning
Division.
By: Chris Sexton
A Final Inspection by the Planning Division Is required • Yes ^ No
You may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the issuance of a building permit.
Resubmitted plans should include corrections from ali 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 Comments have been sent to: lisa@mpa-archltects.com
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 fiov
1 Greg Ryan
760-602-4663
Grefiorv Rvan@carlsbadca fiov
1 1 Gina Ruiz
760-602-4675
Gma Ruiz@carlsbadca gov
1 1 Lmda Ontiveros
760-602-2773
Lmda Ontiveros@carlsbadca fiov
O Cindy Wong
760-602-4662
Cvnthia WongOcarlsbadca gov
• • 1 1 Dominic Fien
760-602-4664
Dommic Fien@carlsbadca gov
Remarks:
REVIEW #
Plan Check No CB 13-0645Address 2521 Palomar Airport Rd Date 3-19-13Review #
1
Planner Chns Sexton Phone (760) 602-4624
Type of Project & Use H Net Project Density N/A DU/AC
Zoning M/P-M/C-2-Q General Plan G/PI/GC Facilities Management Zone 5
CFD (in/out) #_Date of participation Remaining net dev acres
(For non-residential development Type of land use created by this permit )
2 3 Legend |^ Item Complete • Item Incomplete - Needs your action
• • Environmental Review Required YES • NO • TYPE
DATE OF COMPLETION
Compliance with conditions of approval If not, state conditions which require action
Conditions of Approval
• • Discretionary Action Required. YES • NO • TYPE
APPROVAL/RESO NO DATE
PROJECT NO
OTHER RELATED CASES
Compliance with conditions or approval'? If not, state conditions which require action
Conditions of Approval
D D Coastal Zone Assessment/Compliance
Project site located in Coastal Zone'? YES • NO O
CA Coastal Commission Authonty'? YES • NO •
If California Coastal Commission Authonty Contact them at - 7575 Metropolitan Dnve,
Suite 103, San Diego, CA 92108-4402, (619) 767-2370
Determine status (Coastal Permit Required or Exempt)
n • Habitat Management Plan
Data Entry Completed'? YES • NO •
If property has Habitat Type identified in Table 11 of HMP, complete HMP Permit application
and assess fees in Permits Plus
(A/P/Ds, Activity Maintenance, enter CB#, toolbar. Screens, HMP Fees, Enter Acres of
Habitat Type impacted/taken, UPDATE')
• • Inclusionary Housing Fee required: YES • NO •
(Effective date of Inclusionary Housing Ordinance - May 21, 1993 )
Data Entry Completed'? YES • NO •
(A/P/Ds, Activity Maintenance, enter CB#, toolbar. Screens, Housing Fees, Construct
Housing Y/N, Enter Fee, UPDATE')
• • Housing Tracking Form (form P-20) completed. YES • NO • N/A •
P-28 Page 2 of 3 07/11
Site Plan
13 • • Provide a fully dimensional site plan drawn to scale Show North arrow, property lines,
easements, existing and proposed structures, streets, existing street improvements, nght-of-
way width, dimensional setbacks and existing topographical lines (including all side and rear
yard slopes) Provide legal descnption of property and assessor's parcel number
City Council Policy 44 - Neighborhood Architectural Oesign Guidelines
• • 1 Applicability YES • NO •
• • 2 Project complies YES • NOQ
• •
Zoning.
• •
K • •
S • •
• •
• S •
1 Setbacks
Front
Intenor Side
Street Side
Rear
Top of slope
Required.
Required
Required
Required
Required.
2 Accessory structure setbacks
Front
Intenor Side
Street Side
Rear
Structure separation
3 Lot Coverage
Required
Required
Required
Required.
Required.
Required
4 Height
5 Parking
Required
Spaces Required
Shown
Shown
Shown
Shown
Shown
Shown
Shown
Shown
Shown
Shown
Shown
Shown
Shown
(breakdown by uses for commercial and industnal projects required)
Residential Guest Spaces Required Shown
Additional Comments 1) Please show how the new roof mounted equipment will be
screened See example 4-10-13 Sheet M2 depicts the roof mounted equipment is behind a
parapet and will not be visible
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER Chns Sexton DATE 4-10-13
P-28 Page 3 of 3 07/11
CITY OF
CARLSBAD
PLAN CHECK
REVIEW
TRANSMITTAL
Community & Economic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www carlsbadca gov
DATE: 5/22/13 PROJECT NAME: jersey mikes PROJECTID:
PLAN CHECK NO: cbl30645 SET#: III ADDRESS: 2521 par #104 APN:
•
This plan check review Is complete and has been APPROVED by the fire Division.
By: cwong
A Final Inspection by the Division Is required ^ Yes • No
This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check Comments have been sent to: lisa@mpa-archltects.com (and via usps)
Vou may also have corrections from one or more of the divisions Usted below. Approval
from these divisions may be required prior to the issuance of a building permit.
Resubmitted plans should include corrections from all divisions.
For questions or clarifications on the attached checklist please contact the following reviewer as marked
PLANNING
760-602-4610
ENGINEERING
760-602-2750
FIRE PREVENTION
760-602-4665
1 1 Chris Sexton
760-602-4624
Chns Sexton@carlsbadca gov
1 1 Kathleen Lawrence
760-602-2741
Kathleen Lawrence@carlsbadca gov
1 1 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
X Cindy Wong
760-602-4662
Cynthia Wong@carlsbadca gov
• • 1 1 Dominic Fieri
760-602-4664
Dominic.Fieri@carlsbadca.gov
Remarks:
5/22/13
1
**** For Fire Approval to Be Valid, Please Slip Sheet the Following Into City and Owner
Set: i
Page 1 of2
1. Sheet Al
2. Sheet Ml
3. Sheet A7
**APPROVED:
THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUEANCE
OF A BUILDING PERMIT.
THIS APPROVAL IS SUBJECT TO FIELD INSPECTIONS, ANY REQUIRED TESTS, FIRE
DEPARTMENT NOTATIONS, CONDITIONS IN CORRESPONDENCE AND COMPLIANCE WITH
ALL APPLICABLE CODES AND REGULATIONS.
THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE ANY VIOLATION OF THE
LAW.
4/1V2013
*** Bubble All Changes***
1. Address Item #1 from 3/28/2013 comments.
2. Add the following or similar: "All references to hood and duct Installation within this
submittal Is for building, mechanical, electrical, etc. code compliance only."
3. Sheet A-7, detaii #5. Add that menu board will not obstruct sprinkler spray pattern.
•
3/28/2013
*** Bubble All Changes***
1. Sheet Ai: Add section for Deferred Submittals. List the following that shall be required: 1. Fire Sprinkler, NFPA 13, 2010 edition 2. Fire Alarm, NFPA 72, 2010 edition 3. Hood and Duct,NFPA 17A, 2010 edition
Page 2 of 2
Carlsbad Fire Department
Plan Review Requirements Category TI, COMM
Date of Report-05-22-2013 Reviewed b
Name
Address.
LISA FRITZSCHING
3578 30TH ST
SAN DIEGO CA
92104
Permit # CBI30645
Job Name. JERSEY MIKE 1204 SF SHELL TO
Job Address 2521 PALOMAR AIRPORT RD CBAD St 104
JNCO]>lP'LfE^l!y'"-'-ijfee'^@^;^te^^ review is incomplete At this time, this office cannot
adequately conduct a review to det^gj^^^^^^^^W^P^^^^^S^x5fe=^idite=st^d^ds Please review
carefully all comme^sa^agRSST^lease resubmit the necessary pla^'^^'6p=spssi£,cations, withc^Bges^&louded",
to this office*^''r^ew and approval.
Conditions:
Cond CON0006192
[NOT MET]
*** Bubble All Changes ***
1 Sheet Al Add section for Deferred Submittals. List the following that shall be required
1 Fire Sprinkler, NFPA 13, 2010 edition
2 Fire Alarm, NFPA 72, 2010 edition
3 Hood and Duct,NFPA 17A, 2010 edition
Cond CON0006239
[NOT MET]
*** Bubble All Changes***
1 Address item #1 from above
2 Add the following or similiar "All references to hood and duct installation withm this
submittal is for building, mechanical, electrical, etc. code compliance only."
3 Sheet A-7, detail #5 Add that menuboard will not obstruct sprinkler spray pattem
Entry. 04/11/2013 By. cwong Action. CO
Cond. CON0006342
[MET]
**** For Fire Approval to Be Valid, Please Slip Sheet the Following into City and Owner Set
Sheet Al
Sheet Ml
Sheet A7
** APPROVED
THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUEANCE OF A
BUILDING PERMIT i
THIS APPROVAL IS SUBJECT TO FIELD INSPECTIONS, ANY REQUIRED TESTS, FIRE DEPARTMENT
NOTATIONS,
CONDITIONS IN CORRESPONDENCE AND COMPLIANCE WITH ALL APPLICABLE CODES AND
REGULATIONS
THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE ANY VIOLATION OF THE LAW.
Entry 05/22/2013 By cwong Action-AP !
^ CITY OF
CARLSBAD
PLAN CHECK
REVIEW
TRANSMIT
Community & Economic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www carlsbadca gov
DATE: 4/18/13 PROJECT NAME: jersey mikes PROJECTID:
PLAN CHECK NO: cbl30645 SET#: II ADDRESS: 2521 par #104 APN:
This plan check review is complete and has been APPROVED by the fire Division.
By: cwong
A Final Inspection by the Division is required ^ Yes • No
3 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: llsa@mpa-architects.com (and via usps)
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
760-602-4610
ENGINEERING
760-602-2750
FIRE PREVENTION
760-602-4665
1 1 Chris Sexton
760-602-4624
Chns Sexton@carlsbadca gov
1 1 Kathleen Lawrence
760-602-2741
Kathleen Lawrence@carlsbadca gov
1 1 Greg Ryan
760-602-4663
Gregory Rvan@carlsbadca gov
1 1 Gina Ruiz
760-602^675
Gma Ruiz@carlsbadca gov
1 1 Linda Ontiveros
760-602-2773
Linda Ontiveros@carlsbadca gov
X Cindy Wong
760-602-4662
Cynthia Wong@carlsbadca gov
• • 1 1 Dominic Fieri
760-602-4664
Dominic Fieri@carlsbadca gov
Remarks.
4/11/2013
*** Bubble All Changes***
Page 1 of2
1. Address Item #1 from 3/28/2013 comments.
2. Add the following or similar: "All references to hood and duct Installation within this
submittal Is for building, mechanical, electrical, etc. code compliance only."
3. Sheet A-7, detail #5. Add that menu board will not obstruct sprinkler spray pattern.
3/28/2013
*** Bubble All Changes***
1. Sheet Al: Add section for Deferred Submittals. List the following that shall be required:
1. Fire Sprinkler, NFPA 13, 2010 edition
2. Fire Alarm, NFPA 72, 2010 edition
3. Hood and Duct,NFPA 17A, 2010 edition
Page 2 of 2
^ CITY OF
CARLSBAD
PLAN CHECK
REVIEW
TRANSMITTAL
BLDG. DEPTC
Community & Economic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www carlsbadca gov
:OPY
DATE: 3/28/13 PROJECT NAME: jersey mikes PROJECT ID:
PLAN CHECK NO: cbl30645 SET#: 1 ADDRESS: 2521 par #104 APN:
Q This plan check review is complete and has been APPROVED by the fire Division.
By: cwong
A Final Inspection by the Division is required ^ Yes • No
^ This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check Comments have been sent to: lisa@mpa-architects.com (and via usps)
You may also have corrections from one or more of the divisions Hsted 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
760-602-4610
ENGINEERING
760-602-2750
FIRE PREVENTION
760-602-4665
1 1 Chris Sexton
760-602-4624
Chns Sexton@carlsbadca gov
1 1 Kathleen Lawrence
760-602-2741
Kathleen Lawrence@carlsbadca gov
1 1 Greg Ryan
760-602-4663
Gregory RyaniScarlsbadca gov
1 1 Gina Ruiz
760-602-4675
Gma Ruiz@carlsbadca gov
1 1 Linda Ontiveros
760-602-2773
Lmda Ontiveros@carlsbadca gov
X Cindy Wong
760-602-4662
Cynthia Wong@carlsbadca gov
• • 1 1 Dominic Fieri
760-602-4664
Dominic Fieri@carlsbadca gov
Remarks:
3/28/2013
*** Bubble All Changes***
1 Sheet Al: Add section for Deferred Submittals. List the following that shall be required:
Page 1 of 2
1 Fire Sprinkler, NFPA 13, 2010 edition
2. Fire Alarm, NFPA 72, 2010 edition
3. Hood and Duct,NFPA 17A, 2010 edition
Page 2 of 2
CERTIFICATE OF COMPLIANCE (Part 2 of 3) LTG-1 C
Project Name
Jersey Mike's
Date
INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST
Fill in controls for all spaces- a) area controls, b) multi-level controls, c) manual daylighting controls for daylit areas > 250 ft^,
automatic daylighting controls for daylit areas > 2,500 f^, d) shut-off controls, e) display lighting controls, f) tailored lighting controls -
general lighting controlled separately from display, ornamental and display case lighting and g) demand responsive automatic
controls for retail stores > 50,000 ft^, in accordance with Section 131
MANDATORY LIGHTING CONTROLS - FIELD INSPECTION ENERGY CHECKUST Field
Inspector
Type/ Descnption
Number
of Units Location in Building
Special
Features Pass Fail
z • •
' J T • •
n\LA\+i-Uvt\ cor\iraK (c^(\^ S^tVllUL (\f-e.A , SllUlf^^ £JAK •
\L\ Vch^ n Qf (A, el^LWuL' pireK •
OCCu.pan(\J S-en^or C^eslrooirv^ ' • " • •
r 7 • ;• •
• O •
• '• •
• • •
• • •
• • •
• • , •
• • •
• • •
• • •
• • •
• • •
• • •
• O
• . •
• • - •
• • •
• • •
• • •
SPECIAL FEATURES INSPECTION CHECKLIST (See Page 2 of 4 of LTG-IC)
The local enforcement agency should pay special attention to the items specified in this checklist These items require special written
justification and documentaton, and special verification The local enforcement agency determines the adequacy of the justification,
and may reject a building or design that othenwise complies based on the adequacy of the special justification and documentation
submitted
Field Inspector's Notes or Discrepancies:
EnergyPro 51 by EnergySon User Number 3835 RunCode: 2013-03-13713-35:19 ID 12348 Page 7 of 19
CERTIFICATE OF COMPUANCE (Part 3 of 3) LTG-10
Project Name
Jersey Mike's
Date
3/13/2013
CONDITIONED AND UNCONDITIONED SPACE LIGHTING MUST NOT BE COMBINED FOR COMPLIANCE
Indoor Lighting Power for Conditioned Spaces Indoor Lighting Power for Unconditioned Spaces
Watts Watts
Installed Lighting
(from Conditioned LTG-IC, Paqe 2) 7,699 Installed Lighting
(from Unconditoned LTG-IC, Page 2) 0
Lighting Control Credit
Conditioned Spaces (from LTG-2C) 0 Ughting Control Credit
Unconditioned Spaces (from LTG-2C) 0
Adjusted Installed _
Lighting Power 7,699 Adjusted Installed _
Ligtiting Power 0
Complies if Installed ^ Allowed t
> <
Complies if Installed ^ Allowed \ \
Allowed Lighting Power
Conditioned Spaces (from LTG-3C or PERF-1) 7,699 Allowed Lighting Power
Unconditioned Spaces (from LTG-3C) 0
Required Acceptance Tests
Designer:
This form is to be used by the designer and attached to the plans Listed below is the acceptance test for the Lighting system,
LTG-2A and LTG-3A The designer is required to check the acceptance tests and list all control devices serving the building or space
shall be certified as meeting the Acceptance Requirements for Code Compliance If all the lighting system or control of a certain type
requires a test list the different lighting and the number of systems The NA7 Section in the Appendix of the Nonresidential
Reference Appendices Manual descnbes the test Since this form will be part of the plans, completion of this section will allow the
responsible party to budget for the scope of work appropnately Forms can be grouped by type of Luminaire controlled
Enforcement Agency:
Systems Acceptance Before Occupancy Permit is granted for a newly constructed building or space or when ever new lighting
system wnth controls is installed in the building or space shall be certified as meeting the Acceptance Requirements
The LTG-2A and LTG-3A forms are not considered complete forms and are not to be accepted by the enforcement agency unless
the boxes are checked and/or filled and signed In addition, a Certificate of Acceptance forms shall be submitted to the enforcement
agency that certfies plans, specifications, installation certificates, and operattng and maintenance information meet the requirements
of §10-103(b) of Title 24 Part 6 The field inspector must receive the properly filled out and signed fonns before the building can
receive final occupancy A copy of the LTG-2A and LTG-3A for each different lighting luminaire control(s) must be provided to the
owner of the building for their records
Luminaires Controlled
LTG-2A and
LTG-3A
Equipmertt Requinng Testing Descnption
Number of
Luminaires
controlled Location
Controls and
Sensors and
Automatic
Daylighting Controls
Acceptance
d(XUhojj\hni\ C(i^M^ Svxiikbts ^.^k 4
iY\uii-i-Ae\itlJri\hlToK 1A iz kiklot ^(Xff ^\iiA^^ Is c/
1
•
•
•
•
•
•
•
•
•
•
•
•
EnergyPro 51 by EnerqySofi User Number 3835 RunCode: 2013-03-13X13:35:19 ID 12348 Page 8 of 19
LINE VOLTAGE TRACK LIGHTING WORKSHEET (Page 1 of 2) LTG-5C
PrcectName ;J^..^^^^^.S
vfH METHOD 1 - VOLT-AMPERE (VA) RATING OF THE BRANCH CIRCUIT(S)
L!l This is the only option available for determining wattage of line-voltage busway and track ratedfor more than 20 amperes
f~] One of four options available for determining wattage of line-voltage buswav and track rated for 20 amperes or less
A B
BRANCH CIRCUIT NAME OR ID
VOLT-AMPERE (VA) RATING OF
THE BRANCH CIRCUIT
TOTAL
Enter total on the bottom of LTG-5C Page 2 of 2
METHOD 2 - USE THE HIGHER OF: 45 WATTS / LINEAR FOOT OF TRACK - OR TOTAL RATED WATTAGE
OFXLL LUMINAIRES
] One qffovr options available for determining wattage of line-voltage busway and track ratedfor 20 amperes or less
A B C D E F
TRACK#
OR NAME
LINEAR FEET OF
TRACK (W/LF)
BxC
(W)
TOTAL RATED WATTAGE OF j LARGER OF
ALL LUMINAIRES I (D or E)
P\xVu(e E \z 45 •340 400 540
45
45
45
45
45
45 1 45 1 45
45
45
45
45
45
45
45
45
TOTAL
Enter total on the bottom of LTG-5C Page 2 of 2
2008 Nonresidential Compliance Form August 2009
LINE VOLTAGE TRACK LIGHTING WORKSHEET (Page 2 of 2) LTG-5C
Project Name -r-Date ^ , ^
•2>l2.Sj IS
METHOD 3 - USE THE HIGHER OF: 12.5 WATTS / LINEAR FOOT OF TRACK - OR VA RATING OF
INTEGRAL CURRENT LIMITER
M One of four options available for determining wattage of line-voltage busway and track ratedfor 20 amperes or less
D Only integral current limiters which are certified to the Energy Commission use this method
A B C D E F
Track or Name #
Lmear Feet of
Track (W/LF)
BxC
(W)
VA Ratmg of Integral Current
Limiter
Larger of
(D or E)
12 5
12 5
12 5
12 5 1 12 5
12 5
TOTAL
Enter total on the bottom of this page
METHOD 4 - DEDICATED TRACK LIGHTING OVERCURRENT PROTECTION PANEL
rl One of four options available for determming wattage of line-voltage busway and track ratedfor 20 amperes or less
O Overcurrent protection panel is listed as defined in §101 m accordance with §130(d) 3B(iv)a
O Overcurrent protection panel is used only with track lighting in accordance with §130(d)3B(iv)b
n Overcurrent protection panel is permanently installed in an electrical equipment room or permanently installed adjacent to the lighting panel
board providing supplementary overcurrent protection for the track lighting circuits served by the supplementary overcurrent protection panel
in accordance with §130(d)3B(n/)c
n Overcurrent protection panel is prominently labeled m accordance with §l30(d)3B(iv)d
OVERCURRENT PROTECTION PANEL
A B C D E
NAMEOR ID
Voltage of the
Branch Circuit
Complete hst
of Amperage Ratmg for Each Etevice
Installed m the Panel
Sum of the
Ampere Ratmg of
all Devices
Sum of the Ampere
Ratmgs of all of the
Devices Times The
Branch Circuit Voltage
(BxD)
TOTAL
Enter total on ttie bottom of this page
V^riTOTALS OF ALL METHODS USED TO DETERMINE THE WATTAGE OF LINE-VOLTAGE TRACK AND PLUG-IN BUSWAY
ENTER TOTAL FROM METHOD 1
ENTER TOTAL FROM METHOD 2
ENTER TOTAL FROM METHOD 3
ENTER TOTAL FROM METHOD 4
TOTAL TRACK / BUSWAY WATTAGE" 640
2008 Nonresidential Compliance Form August 2009
rnLUiviMK UUMMUNJD
.OMAR AIRPORT ROAD, SUITE 104
:ARLSBAD, CALIFORNIA
DEPARTMOf OF
PLAN CHECK
COUNTY OF sm DIEGO
,< DEPARTMENTOF
> ENVIRONMENTAL HEALTH
PLAN REVIEW
sHOMED SET FOR'=>LAH? MUS l
DATE
^MINONTHE 'ioSS»TE DURING «ONSTR»J JCfTION
1 ALL INTERIOR WALL AND CEILING FINISH MATERIALS SHA
FIRE SPREAD RATING AS SPECIFIED BY INTERNATIONAL
2 FIRE DAMPERS OR DOORS SHALL BE PROVIDED WHERE /
RATED OR AREA SEPARATION WALLS ALL REQUIRED PE
FIRE PREVENTION BUREAU BEFORE THIS EQUIPMENT IS I
3 CONTRACTOR TO PROVIDE SUFFICIENT 2A10BC FIRE EXT
REACHED WITHIN 75 FEET OF NORMAL TRAVEL FROM AN'
EXTINGUISHER LOCATIONS MAY BE DETERMINED BY FIEL
4 ALL INTERIOR VENEER SHALL COMPLY WITH INTERNATIOI
5 TENANT SHALL PROVIDE PORTABLE FIRE EXTINGUISHER?
6 ALL FINISH SURFACES OF WALL & CEILING MATERIALS SH
RATING OF 200 AND A SMOKE DENSITY RATING OF 450
7 PROVIDE VENTILATION IN ACCORDANCE WITH IBC SECTIO
IN ACCORDANCE WITH THE INTERNATIONAL MECHANICAL
8 COMPLETE PLANS AND SPECIFICATIONS FOR FIRE-EXTING
SPRINKLERS AND WET DRY STANDPIPES, HALON SYSTEMS
FIRE-EXTINGUISHING SYSTEMS, BASEMENT PIPE INLETS, Al
APPURTENANCES THERETO SHALL BE SUBMITTED TO FIRE
PRIOR TO INSTALLATION
9 BUILDINGS UNDERGOING CONSTRUCTION, ALTERATION OP
CFC CHAPTER 14
10 DECORATIVE MATERIALS SHALL BE MAINTAINED IN A FLAM!
11 FIRE-EXTINGUISHING SYSTEMS SHALL BE INSTALLED IN ACI
12 A FIRE EXTINGUISHER LISTED AND LABELED FOR CUSS K F
OF COMMERCIAL FOOD HEAT-PROCESSING EQUIPMENT
13 EMERGENCY PLANS SHALL BE SUBMITTED TO FIRE AND LIFl
SUITE 300, FOR REVIEW AND APPROVAL PRIOR TO OCCUPAI
14 ANY TIME A BUILDING IS OCCUPIED, THE MEANS OF EGRESS
OF NOT LESS THAN 1 FOOTCANDLE AT THE WALKING SURFA
15 TWO EXIT OR EXIT ACCESS DOORS REQUIRED FOR A, B, E, F
THAN 49 (CBC 10151)
16 DOORS MUST SWING IN THE DIRECTION OF TRAVEL WHEN SI
OR MORE OR A GROUP H OCCUPANCY (CFC 1008 1 2)
17 EACH DOOR IN A MEANS OF EGRESS FROM A GROUP A, E, 1-2
OCCUPANT LOAD OF 50 OR MORE AND ANY GROUP H OCCUP
LATCH OR LOCK UNLESS IT IS PANIC HARDWARE OR FIRE EX
OF A GROUP A OCC IN COMPLIANCE WITH CFC SECTION 100
DOOR SCHEDULE AND LOCATION ON PLANS
18 ANY ROOM OR SPACE THAT IS AN ASSEMBLY OCCUPANCY SI-
ROOM POSTED ON AN APPROVED SIGN IN A CONSPICUOUS P
SHOW DESIGN AND LOCATION ON THE PLANS (CFC 1004 3)
19 PROVIDE ILLUMINATED EXIT SIGNS READILY VISIBLE FROM Ah
(CBC 10111) SHOW LOCATION ON PLANS
20 EGRESS ILLUMINATION REQUIRES A SURCE OF EMERGENCY f
21 MAIN EXIT CAN HAVE A DEADBOLT IF SIGN ATTACHED "THISC
BUSINESS HOURS" (CBC SEC 1008 1 9) - A MAIN EXIT OF A GRC
CBC SEC 1008 1 3 ITEM 2 IN BUILDINGS IN OCC GRP A, OCCU
B, F, M AND S, AND PLACES OF RELIGIOUS WORSHIP, THE MAll
TO BE EQUIPPED WITH KEY OPERATED LOCKING DEVICES FR(
DEVICE IS DISTINGUISHABLE AS LOCKED 2 2 - THE SIGN IS PO
BACKGROUND
22 SPRINKLERS REQUIRED IF BUSINESS IS OVER 5000 SQ FT, R
OR MORE, FIRE AREA IS LOCATED ON A FLOOR OTHER THAN T
(CBC SEC 903 212)
PROJECT NUMBER
CARLSBAD FIRE DEPARTMENT
EXPEDITED PLAN CHECK REQUEST
I, yourN^m^ TequestiHg 'Expedited Plan Check Services' and understand I
will be levied an additional fee assessed at the rate of $90 00 dollars per hour plus $25.00 dollars
administration fee
I understand that my plans shall not be released until all fees are paid
I, ^o^'Nim^ ^jl^g applicant, am solely responsible for all fees due should the
project be withdrawn or otherwise not completed. And by signing below I acknowledge that my plans shall be
forwarded by the City of Carlsbad to an independent contractor/consultant.
Vm ir Mamc
acknowledge that the 'first review' time for all expedited Fire plan
reviews will be ten- (10) business days from date of submittal. These additional day account for acceptance
and delivery of your plans and then the parcel return to our office if recommended for approval
Your Name
I, the applicant, acknowledges that corrected or revised plans
shall be sent directiv to the plan checker, at the address specified on the Correction List, at my cost, parcel
post or other means.
I, yo^rN^m^ acknowledge that a turn-around time for re-submittals is
five- (5) business days from the date plans are received at the address specified by the plan checker on the
Correction List
Once all corrections are made, your plans are then returned to the Carlsbad Fire Department with a
"Recommendation for Approval" based solely on the adopted Codes and Standards.
This is not an approval.
Your plans are then forwarded to the Carlsbad Fire Department, and once your plans are received by our
office they are subject to an additional review to ensure conformance with Carlsbad Municipal Code. This
additional review is subject to an additional review period of seven- (7) 'Government Business' days from
date that we receive the plans from the plan reviewer.
The Carlsbad Fire Department does not perform 'Over-the-counter' plan review services. Plans submitted to
the Carlsbad Fire Department for review by CFD staff shall be checked on a 'first come, first served' basis and
could take 10 days or more for 'First' review
YES ( "^0/
PLEASE CIRCLE YOUR SELEaiON
Applicant Signature / k,2-Jv Date 03 / l3 /13:^
Copy to Building and Fire Prevention file Revised 06/13/2011
Plan Check No - B-1 55 WEB-CommercialPermit App pdf http //www carlsbadca gov/services/departments/building/Document
SAN DIEGO REGIONAL
HAZARDOUS MATERIALS QUESTIONNAIRE
OFFICE USE ONLY
UPFP#
HV#
BP DATE ; /
I Business Name
r Project Address,
Business Contact
Mailing Address
j Project Contact
T£toh 009 #
Stat^jj^^ Zip Code i^APN#
Plan File#
Telephone*
I L
The following questions represent the facility s activities NOT the specific project description
PART I FIRE DEPARTMEhfT - 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 cit[cf^d/-agi[ licant must contact the Fire Protection Agency with
jurisdiction pnorto plan submittal Facility s Square Footage (including proposed project) I LAy Occupancy Rating ^
1 Explosive or Blasting Agents 5 Organic Peroxides 9 Water Reactives 13 Corrosives
2 Compressed Gases 6 Oxidizers 10 Cryogenics >K, Other Health Hazards
3 Flammable/Combustible Liquids 7 Pyrophoncs 11 Highly Toxic or Toxic M atenals I 15 JNoneofThese
4 Flammable Solids 8 Unstable Reactives 12 Radioactives
PART II SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENfTAL HEALTH - HAZARDOUS MATERIALS DIVISIONS (HMD) If the answer to any of the
questions IS yes applicant must contact the County of San Diego Hazardous Materials Division 5500 Overland Ave Suite 110 San Diego, CA 92123
Call (858) 505-6700 pnor to the issuance of a building permit
FEES ARE REQUIRED Project Completion Date / Expected Date of Occupancy / /
Date Initials 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 • ^ Will your business dispose of Hazardous Substances or Medical Waste in any amounf?
3 • 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 capacih/ equal to
or greater than 1 320 gallons? (California's Aboveground Petroleum Storage Act)
PA.RT III SAN DIEGO CpUNTY AIR POLLUTION CONTROL DISTRICT If the answer to any of the questions below is yes applicant must contact the Air
Pollution Control District (Al^Cb) 1Cil24 Old Srove Road San biego CA 9^131-1649 telephone (858) 586-2600 pnorto the issuance of a building or demolition
permit Note if the answer to questions 4 or 5 is yes applicant must also submit an asbestos notification form to the APCD at least 10 working days pnor to
commencing demolition or renovation except do.noyti'^'j^wj,, jiy^^noii of residential structures of four units or less Contact the APCD for more information
• CalARP Exempt
/
• CalARP Required
„ _l
Date Initials
• CalARP Complete
i
Date Initials
YES
•
NO.
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//wivtv sdapcd org/inforfacts/pprmits 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 ofthe outer boundary of a school (K through 12)?
(Search the California School Directory at http iiwm cde ca qovr e/sd/ for public and private schools or contact the appropnate school distnct)
Has a survey been performed to determine the presence of Asbestos Containing Matenals?
Will there be renovation that involves handling of any fnable asbestos matenals, or disturbing any matenal that contains non-fnable asbestos?
Will there be demolition involving the removal of a load supporting structural member?
Bnefly^escnbe bt^siness activities efly descnbe proposed project
true and correct --7 i. i / o Me|>p^altycif^f|J>r^ that to the best of my knowledge and be/ef the res^cifises m_sde her^n are true and correit )eXef the resocifises msde hersfn are truf
^/,r/7 mif2<^ifinJhi
Signature of Owner or Authorized Agent Date
ENT OCCUPANCY CLASSIFICATION FOR OFFICIAL USE ONLY
DATE
EXEMPT OR NO FIIRTHER INFORMATION REOUIRED
COUNTY-HMD' APCD
RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY
COUNTY-HMD APCD
RELEASED FOR OCCUPANCY
COUNTY-HtifID APCO
'A Stamp in this box only exempts businesses from completing or updating a Hazardous Matenals Business Plan Other permitting requirements may still apply
HM-9171 (02/11) County of San Diego - DEH - Hazardous Matenals Division
11 of 15 3/14/2013 3 30 PM
Plan Check No - B-1 55 WEB-CommercialPermit App pdf http //www carlsbadca gov/services/departments/building/Document
INDUSTRIAL WASTEWATER DISCHARGE PERI
0 , > ,^ SCREENING SURVEY
Date
Business Name
Street Address^
Email Address
t
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
Assembly
Automotive Repair
Battery Manufacturing
Biofuel Manufacturing
Biotech Laboratory
Bulk Chemical Storage
Car Wash
Chemical Manufacturing
Chemical Punfication
Dry Cleaning
Electrical Component
Manufacturing
Fertilizer Manufacturing
Film / X-ray Processing
Food Processing
Glass Manufacturing
Industrial Laundry
Ink Manufacturing
Laboratory
Machining / Milling
Manufacturing
Membrane Manufactunng
(i e water filter membranes)
Metal Casting / Forming
Metal Fabrication
Metal Finishing
Electroplating
Electroless plating
Anodizing
Coating (i e phosphating)
Chemical Etching / Milling
Pnnted Circuit Board
Manufacturing
Metal Powders Forming
Nutritional Supplement/
Vitamin Manufacturing
Painting/Finishing
Paint Manufactunng
Personal Care Products
Manufacturing
Pesticide Manufacturing /
Packaging
Pharmaceutical Manufactunng
(including precursors)
Porcelain Enameling
Power Generation
Print Shop
Research and Development
Rubber Manufacturing
Semiconductor Manufacturing
Soap / Detergent Manufacturing
Waste Treatment / Stoiage
SIC Code(s) (if known)
Brief description of business activities (Production / Manufactunng Operations)
Description of operations generating wastewater (discharged to sewer, hauled or evaporated)
Estimated volume of industrial wastev/ater to be discharged (gal / day).
List hazardous wastes generated (type / volume)
Date operation began/or will begin at this location
^ Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority'^
Yes No if yes, when
Site Contact
S(gnature_
^-^Wr ^i^o^'^^ -Title ^rcUt\</fe>„ ^.^f y^^uf
Phone No '2-3(^ - DV^ ^
ENCINA WASTEWATER AUTHORITY, 6200 Avenida Encinas Carlsbad, CA 92011 (760) 438-3941
FAX (760) 476-985?
13 of 15 3/14/2013 3 30 PM
Plan Check No - B-1 55 WEB-Comtnercial Permit App pdf http //www carlsbadca gov/services/departments/building/Document
CITY OF
CARLSBAD
PLUMBING,
ELECTRICAL,
MECHANICAL
WORKSHEET
B-18
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
w> 'w carlsbadca gov
Permit No Project Address:
Information proyided befow refers lo worl? being done on the aboue mentioned pernut onl^
This form must be conmiefed ond returited fothe Buitdinq Division before the permit can be issued.
Building Dept Fax (760) 602-8558
Number of new or relocated fixtures, traps, or floor drains ,
New building sewer line'
Number of new roof drams'
install/alter water line' ... . .
Number of new water heaters' . ...
Number of new, relocated or replaced gas outlets'
Number of new hose bibs'
Ves No
4-
J2_
Residentiai Permits:
New/expanded service: Nurrfoer of new an^s.
Minor Remodel oni/: Ves No
Cmninerdal/lndustrial:
Tenant Improvement: Number of exirting amps irn/olved n ths project-
Nun±ier of new amps n wived nths project:
New Construction: Amps per Panel
Single Phase .
Three Phase ..
Three Phase 480 , .
. Number of new amperes^
Number of new amperes_
Number of new amperes.
Number of new furnaces, A/C, or heat pumps'
New or relocated duct worb'.. .. . .
Number of new f replaces'
Number of new e>diaust fans'
Relocate/install vent' . . ...
Number of new exhaust hoods'
Number of new boilers or compressors'
Ves \/ No. n
1
. . 21
Number of HP
B 18 Page 1 of 1 Rev 03'09
15 of 15 3/14/2013 3 30 PM
CB130645 2521 PALOMAR AIRPORT RD
104
IPDiSPV Mlk^P 1904 "^F <5HPI I TO
3)(^/'^
sw •ISSUED •cv
Approved
AFS Checked by
HazMat
APCD
Health Chirr
Forms/Fees Sent Reed
Encina
Fire
HazHealthAPCD
PE&M
School
Sewer
Stormwater
Special Inspection
CFD Y
LandUse
Due? By
If
Y N
Density ImpArea FY Annex Fattor
PFF
Commi nSfits Date Date
Building
Planning
Engineering
Fire
Date Date
Need?
3 Jone
• Done
• Done
• Done
• Done