HomeMy WebLinkAbout2521 PALOMAR AIRPORT RD; 106; CB141928; Permit09-12-2014
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Commerciai/lndustrial Permit Permit No:
Builciing Inspection Request Line (760) 602-2725
CB141928
Job Address;
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
2521 PALOMAR AIRPORT RD CBADSt: 106
Tl Sub Type: COIVIM
2130201800 Lot#: 0
$46,363.00 Construction Type: 5B
Reference #
ROOSTERS: 1,249 SF SHELL TO
BARBER SHOP
Status: ISSUED
Applied: 08/05/2014
Entered By: JMA
Plan Approved: 09/12/2014
Issued: 09/12/2014
Inspect Area
Plan Check #:
Applicant:
DAVID GRAVES
Owner:
COUNTY OF SAN DIEGO
2063 VILLAGE WOOD RD
ENCINITAS CA 92024-4340
858-204-9955
PUBLIC AGENCY OOOOO
Building Permit $429.41 Meter Size
Add'l Building Permit Fee $0.00 Add'l Red. Water Con. Fee $0.00
Plan Check $300.59 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 $9.74 PFF (3105540) $843.81
Park Fee $0.00 PFF (4305540) $778.90
LFM Fee $0.00 License Tax (3104193) $0.00
Bridge 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 $145.00
Add'l Renewal Fee $0.00 ELECTRICAL TOTAL $85.00
Other Building Fee $0.00 MECHANICAL TOTAL $49.28
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 BIdg Stands (SB1473) Fee $1.00 HMP Fee ??
Fire Expedidted Plan Review $115.00 Green BIdg Standards Plan Chk ??
TOTAL PERMIT FEES $2,757.73
Total Fees: $2,757.73 Total Payments To Date: $2,757.73 Balance Due: $0.00
Inspector:
FINAL APP
Date: _!L
PPR OVAL
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 pemit was Issued to protest Imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othew/ise expired.
/I
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMrr ISSUANCE: [ZfPLANNING [^iNGINEERING EIBUILDING SFIRE •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. ^4" 2-^
Est. Value
Plan Ck. Deposit
Date g/5//V SWPPP
CT/PROJECT#^ » |LOT# ~ j PHASE # TfOF
SUITE*/SPACE*/UNIT#
r 'Z. ICONSTFT. TYPE # BATHROOMS I^NT BUSINESS NAME ^fBD^V*^%
DESCRIPTION OF WORK: /nclude Square Feet of Affected Area(s; .
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES|~|# NOj I
AIR CONDITIONING
YES QNO I I
FIRE SPRINKLERS
YES I |NO| I
APPLICANT NAME
Primary Contac
PRQPER1jr,0WNER NAME.
MyjRESS . . I ADDRESS 1 , ^ ^ . ^ . ,
aiY V • SIATE ^ ZIP . ^STATE
' PHONE _ _. <-J FAX PHONE , ^
EMAIL I ^ MAI. I ^.^^ ^
DESIGN PROFESSIOlM ^
EMAIL
CONTRACTOR BUS. NAME
ADDRESS ADIJf^ESS,
=HONE I TFAX
STATE ZIP
PHONE FAX PHONE
EMAIL
STOTE LIC.# • • . , . I CLASS | CITY BUS. LIC.#
sri^morove. der (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construcL alter/improve, demoiish or repair any structure, prior to its issuance, also requires the applicantfor such permit to file a signed statement that he is licensed pursuantto the provisions of the Contractor's License Law (Chapter 9, commendingwlth Section 7000 of Division 3 ofthe 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 applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
W ORKERS' COMPE « SATION ]
Workers' Compensation Declaration: / hereby affirm under penalty ofperjuiy one ofthe foiiowing deciarations:
1 J I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this pemiit is issued.
Jr^i^t\ave and will maintain workers' compensation, as required by Section 3700 ot the Labor Code, for the perfomiance o^the wort for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Expiration Date
This section need not be completed if the permit is
I I Certificate of Exemption: I certify that in
Califomia. WARNING: Failure to secure wj
addition to the cost of compensation, daj
CONTRACTOR SIGNATURE' y ^ /t^^/^ / Z^^^^C'^^^'^ QAGENT
ition insurance cap'ier and policy
illars ($100) or less.
'hich this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
,3706 of the Labor code, interest and attomey's fees.
DATE
'•O W-W ER-8Ull.|>ell.OSC A'T I
; hereby affirm ttat / am exempf from Contractor's Ucense Law for the foiiowing reason:
I, as owner ol 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, as owner of the property, am exclusively contracting with licensed contractors to constnict 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 lo the Contractor's License Law).
I I I am exempt under Section Business and Professions Code for Ihis reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement, •ves I INO
•
•
2,1 (have / have not) signed an application for a building pemiit for the proposed work.
3.1 have contracted with the following person (fimi) to provide the proposed construction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and pravide the major work (include name / address / phone / contractors' license number);
5.1 will provide some of the work, but I have contrxted (hired) the following persons to pravide the work indicated (include name / address / phone / type of work):
>eS'pROPERTY OWNER SIGNATURE []AGENT DATE
COMP tETE THIS SECTiON FOR NON RESIDENTIAL BUILOING FERMITS ON
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or luture building occupant required to obtain a permit fram the air pollution control district or air quality management district? Yes No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes 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
CONSTRUCTION LENOING AGi
I hereby affirm that there is a construction lending agency for the performance of the work this pemnit is Issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
A P P L IC A N T C ERTIFICATIO ms I certify that I have read the application and state thatthe above itifonriation Is conectand thatthe infomnation on the plam
I hereby authorize iBpresentative ofthe City of Carisbad to enter upon the above mentioned property Ibr Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL UABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA peimit Is requined for excavations over 5'0' deep and demolition or constmctton of staictures over 3 stories in height.
EXPIRATION; Every permit issued by the Building Olliciai under the provisioiiwjf this Code shall expire by limitation and become null and void if the building or v<Dri< authorized by such pennit is not commenced wilhin
180 days Irom the date of such pennit oaiMie building or wort( auttiorized byfsuCTltfjemiit is suspended or abandoned at any time after the «ori< is commenced for a period of 180 days (Sectton 106.4.4 Unifonn Bullding Code).
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 building(5)carlsbadca.qov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On P|. 1)
MAILTO: 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
>ef APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB141928 Type: Tl COMM ROOSTERS: 1,249 SF SHELL TO
BARBER SHOP
Date Inspection Item Inspector Act Comments
11/10/2014 19 Final Structural -Rl late pm
11/10/2014 89 Final Combo MC Fl
11/07/2014 85 T-Bar -Rl AM PLS
11/06/2014 85 T-Bar -Rl LATE PM PLS
11/06/2014 85 T-Bar MC NR AFTER STOP, NEED TO COMPLETE
CLIPS & ATTACHMENT
11/03/2014 33 Service Change/Upgrade -Rl AM PLS
11/03/2014 33 Service Change/Upgrade MC WC
11/03/2014 39 Final Electrical MC AP CALLED IN TO SDGE VOICE MAIL
11/03/2014 39 Final Electrical -Rl
10/15/2014 17 Interior Lath/Drywall MC AP
10/14/2014 17 Interior Latlr/Drywall MC AP WALLS & HARD LIDS
10/09/2014 16 Insulation MC AP DEMISING WALLS
10/07/2014 14 Frame/Steel/Bolting/Weldin MC AP WALLS ONLY
10/07/2014 34 Rough Electric MC AP WALLS
10/06/2014 24 Rough/Topout MC AP
09/23/2014 11 Ftg/Foundation/Piers MC AP
09/19/2014 21 Underground/Under Floor MC AP 2ND STOP
09/19/2014 21 Underground/Under Floor MC NR 1ST STOP
Monday, November 10, 2014 Page 1 of 1
CARLSBAD INSPECTION RECORD
Juilding Division • "^"^ •^«iwwr%ii#
IZl INSPECTION RECORD CARD WITH APPROVED
PLANS MUST BE KEPT ON THE JOB
0 CALL BEFORE^:30 pm FOR NEXT WORK DAY iNSPECTION
IZl FOR BUILDING INSPECTION CALL: 760-602-2725 *
OR GO TO: www.Carisbadca.qov/Builclinq AND CLICK ON
"RequesMnspectiDn"
3ATE: ^
•CB141928
106
2521 PALOMAR AIRPORT RD
1
ROOSTERS: 1,249 SF SHELL TO
BARBER SHOP
Tl COMM
Lot#: DAVID GRAVES
RECORD COPY
IF "YES" IS CHECKED BELOW THAT DIVISION'S APPROVAL IS REQUIRED PRIOR TO REQUESTING A FINAL 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 B LDG I NSP ECTIONS(gc ARLS BADCA.GOV OR
BRING IN A COPY OF THIS CARD TO: 1 635 FARADAY AVE.. CARLSBAD. CA 92008. BUILDING INSPECTORS CAN BE REACHED
AT 760-602-2700 BETWEEN 7:30 AM — 8:00 AM THE DAY OF YOUR INSPECTION.
NO YES Required Prior to Requesting Building Final If Checked YES Date Inspector Notes
v/ Planning/Landscape 760-944-8463 Allow 48 hours
J r^^ CM&I {Engineering Inspections) 760-438-3891 Call before 2 pm /I . Fire Prevention 760-602-4660 Allow 48 hours
Type of Inspection
COOE # BUILDING
#11 FOUNDATION
Date Inspector
Type of Inspection
#31 •ELECTRICUNDERGROUND DUFER
Date Inspector
#12 REINFORCED STEEL #34 ROUGH ELECTRIC
#66 MASONRY PRE GROUT #33 >ZrELECTRICSERVICE DTEMPORARY
• GROUT • WALL DRAINS #35 PHOTOVOLTAIC
#10 TILTPANELS
#11 POURSTRIPS ^> O.
#11 COLUMN FOOTINGS
ML
#39 FINAL
coDE# MECHANICAL
#41 UNDERGROUND DUCTS & PIPING
#14 SUBFRAME •FLOOR • CEILING #44 • DUCT & PLENUM • REF. PIPING
#15 ROOFSHEATHING #43 HEAT-AIR COND. SYSTEMS
#13 EXT. SHEAR PANELS
#16 INSUUTION UJAa>->
#18 EXTERIORUTH
#49 FINAL
coDE# COMBO INSPECTION
#81 UNDERGROUND (11,12,21,31)
#17 INTERIOR UTH & ORYWALL #82 DRYWALL,EXT UTH, GAS TES (17,18,23)
#51 POOLEXCA/STEEL/BOND/FENCE #83 ROOFSHEATING, EXT SHEAR (13,15)
ItSS PREPUSTER/FINAL #84 FRAME ROUGH COMBO (14«,34,«)
#19 FINAL
CODE » PLUMBING
#22 • SEWER & BL/CO • PL/CO
#21 UNDERGR0UND^t2<VASTE • WTR
#85 T-Bar (14,24,34,44)
Date
#24 TOPOUT^^WASTE^^JZTWTR
Inspector #89 FINAL OCCUPANCY (19,29,39.49)
FIRE Date Inspector
A/S UNDERGROUND VISUAL
#27 TUB & SHOWER PAN A/SUNDERGROUND HYDRO
#23 • GAS TEST •GAS PIPING A/S UNDERGROUND FLUSH
#25 WATER HEATER A/S OVERHEAD VISUAL
#28 SOURWATER A/S OVERHEAD HYDROSTATIC
#29 FINAL
coDE» STORMWATER
#600 PRE-CONSTRUCTION MEETING
A/S FINAL
F/AROUGHIN
F/AFINAL
#603 FOLLOW UP INSPECTION FIXED EXTINGUISHING SYSTEM ROUGH-IN
#605 NOTICE TO CLEAN FIXEO EXTING SYSTEM HYDROSTATICTEST
#607 WRITTEN WARNING FIXED EXTINGUISHING SYSTEM FINAL
#609 NOTICEOFVIOUTION MEDICAL GAS PRESSURE TEST
#610 VERBALWARNING MEDICAL GAS FINAL
SEE BACK FOR SPECIAL NOTES
Section 5416. Health and Safety Code, State of Caiifornia
(a) There shall be not less than one water closet for each 20 employees or fractional part thereof working at a
construction job site. The water closet shall consist of a patented chemical type toilet.
(b) For the purpose of this section the term construction site shall mean the location on which actual construction of a
building is in progress.
(c) A violation of this section shall constitute a misdemeanor.
All construction or work for which a permit is required shall be subject to inspection and all such construction or work
shall remain accessible and exposed for inspection purposes until approved by the inspector. Work shall nc^be done
beyond the point indicated In each successive inspection without first obtaining the approval of the inspector.
DATE ADDITIONAL NOTES
fo/od/4
L 1 /
EsGil Corporation
In (PartnersHip witH government for (BuiCding Safety
DATE: 09/05/2014 • APPLICANT
• JURIS.
JURISDICTION: Carlsbad • PLANREVIEWER
• FILE
PLANCHECKNO.: CB14-1928 SET: II
PROJECT ADDRESS: 2521 Palomar Airport Rd. Suite 106
PROJECT NAME: Roosters Men's Grooming Center TI
XI The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
I I The plans transmitted herewith will substantially comply with the jurisdiction's
codes when minor deficiencies identified below are resolved and checked by building
department staff.
I I The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
I I The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
I I The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
I I The applicant's copy of the check list has been sent to:
IXI EsGil Corporation staff did not advise the applicant that the plan check has been completed.
I I EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone #:
Date contacted: (by: ) Email: Fax #:
Mail Telephone Fax In Person
• REMARKS:
By: John Le Vey Enclosures:
EsGil Corporation
• GA • EJ • MB • PC 08/28/2014
9320 Chesapeake Drive, Suite 208 • San Diego, Califomia 92123 • (858) 560-1468 • Fax (858) 560-1576
EsGil Corporation
In (PartnersHip witH government for (BuiCding Safety
DATE: 08/15/2014 • APPLICANT
JURIS.
JURISDICTION: Carlsbad PLANREVIEWER
• FILE
PLANCHECKNO.: CB14-1928 SET: I
PROJECT ADDRESS: 2521 Palomar Airport Rd. Suite 106
PROJECT NAME: Roosters Men's Grooming Center 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 jurisdiction's
codes when minor deficiencies identified below are resolved and checked by building
department staff.
I I The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
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 fonward to the applicant
contact person.
I I The applicant's copy of the check list has been sent to:
I I EsGil Corporation staff did not advise the applicant that the plan check has been completed.
IXI EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: David Graves Telephone #: 8582049955
Date contactedg^^^ ^"^y^yy,) Email: david.graves(gregisfranchise.com Fax
^^^/ Mail ^^elephone Fax In Person
• REMARKS:
By: John Le Vey Enclosures:
EsGil Corporation
• GA • EJ • MB • PC 08/07/2014
9320 Chesapeake Drive, Suite 208 • San Diego, Califomia 92123 • (858) 560-1468 • Fax (858) 560-1576
Carlsbad CBI4-1928
08/15/2014
PLAN REVIEW CORRECTION LIST
TENANT IMPROVEMENTS
PLANCHECKNO.: CB14-1928 JURISDICTION: Carlsbad
OCCUPANCY: B USE: Barber
TYPE OF CONSTRUCTION: IIB ACTUAL AREA: 1249
ALLOWABLE FLOOR AREA: STORIES: 1
HEIGHT: unknown
SPRINKLERS?: Yes OCCUPANT LOAD: 13
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION: 08/05/2014
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 08/07/2014
DATE INITIAL PLAN REVIEW
COMPLETED: 08/15/2014
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
Electrical Code and state laws regulating energy conservation, noise attenuation and access for
the disabled. This plan review is based on regulations enforced by the Building Department.
You may have other corrections based on laws and ordinances enforced by the Planning
Department, Engineering Department, Fire Department or other departments. Clearance from
those departments may be required priorto the issuance of a building permit.
Code sections cited are based on the 2013 CBC, which adopts the 2012 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 2012 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.
Carlsbad CB 14-1928
08/15/2014
Please make all corrections, as requested in the correction list. Submit FOUR new
complete sets of plans for commercial/industrial projects (THREE sets of plans for
residential projects). For expeditious processing, corrected sets can be submitted
in one of two ways:
1. Deliver all corrected sets of plans and calculations/reports directly to the City of
Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760)
602-2700. The City will route the plans to EsGil Corporation and the Carlsbad
Planning, Engineering and Fire Departments.
2. Bring one corrected set of plans and calculations/reports to EsGil Corporation,
9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468.
Deliver all remaining sets of plans and calculations/reports directly to the City of
Carlsbad Building Department for routing to their Planning, Engineering and Fire
Departments.
NOTE: Plans that are submitted directly to EsGil Corporation only will not be
reviewed by the City Planning, Engineering and Fire Departments until review by
EsGil Corporation is complete.
1. Provide the names, addresses and telephone numbers of the owner on the Title
Sheet. Sec. 107.2
2. Please reference the details for Al .3 and A.1.4 on the floor plan.
3. Please correct the plumbing fixture legend on sheet P1.1 is states 7 shampoo
bowls and only six are shown on the floor plan.
4. Please show a clean out for the laundry washing machine on the plumbing plan.
5. Please show clean outs for the shampoo bowls on the plumbing plan.
6. Hot water supplied to a public use lavatory is limited to a maximum temperature
potential of 120 degrees by a device that conforms to ASSE 1070 or CSA
B125.3; please provide the manufacturer's listing showing compliance. Detail
how this temperature limitation is achieved. The water heater thermostat may not
be used for compliance with this Code section. UPC 413.1 & UPC 414.
7. Please show door C meets the requirement of the CBC section 11 B-309.4
8. Please clarify the plans to show the exhaust ventilation in accordance with Table
4-4 per Section 403.7 ofthe UMC.
9. Please provide the washer and dryer manufacturer sheets and installation
specifications. (Not Residential)
10. Please provide notes on the plans to show the suspended ceilings in Seismic
Design Categories D, E & F complywith ASCE 7-05 Section 13.5.6.2.1 as
follows:
a) All ceilings shall use a Heavy Duty T-bar grid system.
Carlsbad CB 14-1928
08/15/2014
b) The width of the perimeter supporting closure angle shall be not less than
2 inches.
c) In each orthogonal horizontal direction, one end of the ceiling grid shall be
attached to the closure angle.
d) The other end in each horizontal direction shall have a YA" clearance from
the wall and shall rest upon and be free to slide on a closure angle or a
listed assembly.
e) Ceiling areas over 1,000 ft.^ must have horizontal restraint wires (typically
restraint would consist of four 12 gauge wires splayed 90° to each other
and sloped 45° to the horizontal, spaced 12" o.c).
11. Please provide the current LTI forms for the lighting
12. Multilevel liqhtinq controls are required in areas exceeding 100 square feet in
area and have a connected lighting load exceeding .5 watts per square foot
(Classrooms are .7 watts). Review ES Table 130.1-A for design requirements.
Include control placement and design on the floor plans. (AB switching no longer
complies for most fixture types.)
13. Shut-Off Controls: Each floor, each space (not exceeding 5,000 square feet),
and each type (general, display, and ornamental) of lighting shall be individually
capable of being automatically shut-off when the building is unoccupied. Include
the control design. (A percentage of egress lighting is now included in the shut-
off requirement). ES 130.1 (c)
14. Automatic davliqhtinq is required in rooms that have 120 watts or more of lighting
in the primarily sidelit daylit zone (PSDZ) or rooms having glazing area of 24
square feet or more. On the electrical floor plans, include the daylit locations
and control design. Note: Daylite dedicated multilevel control is required if
lighting power exceeds .3 watts/square foot. Include the daylighting zones on the
floor plans, complete with control design.
ES 130.1(d)
Note: PSDZ is defined as the area directly adjacent to each vertical glazing, one
window head height deep extending into the room with an overall width of the
window plus .5 ofthe window head height on each side.
15. Occupancy controls are required to shut off all lighting in: Offices 250 square
feet or smaller, multipurpose rooms of less than 1,000 square feet, conference
rooms, and classrooms of any size. ES 130.1(c)5
16. In ail buildings, controlled receptacles are required in private offices, open office
areas, reception lobby, conference room, kitchenette in office spaces, and copy
rooms per Energy Manual 130.5(d). Please include the control design and
receptacle locations on the electrical plans.
Carlsbad CB 14-1928
08/15/2014
Advisory Note: When alterations, structural repairs or additions are made to an
existing building, that building, or portion ofthe building affected, is required to
comply with all ofthe following requirements, per Section 11 B-202.4:
• The area of specific alteration, repair or addition must comply as "new"
construction.
• Existing toilet and bathing facilities that serve the remodeled area must be
shown to comply with all accessibility features.
17. Sales and service counters shall have a portion of the counter which is at least 36"
in length with a maximum height of 34 inches. Section 11 B-904.4.1.
18. Please correct the water closet center line to 17-18 CBC section 11 B604.2
19. Please correct the grab bar mounting heights to 33-36 inches per 11 B609.4
20. Show that accessible lavatories comply with the following, per Section 11B-606:
a) When lavatories are adjacent to a side wall or partition, there shall be a
minimum of 18" to the center line of the fixture to the wall.
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 brieflv
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. Ifyou have any
questions regarding these plan review items, please contact John Le Vey at
Esgil Corporation. Thank you.
Carlsbad CB 14-1928
08/15/2014
[DO NOT PAY- THIS IS NOTAN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad PLANCHECKNO.: CB14-1928
PREPARED BY: John Le Vey DATE: 08/15/2014
BUILDING ADDRESS: 2521 Palomar Airport Rd. Suite 106
BUILDING OCCUPANCY: B Building Type IIB
BUILDING
PORTION
AREA
(Sq.Ft.)
Valuation
Multiplier
Reg.
Mod.
VALUE ($)
Tl 1249 37.12 46,363
Air Conditioning
Fire Sprinklers
TOTAL VALUE 46,363
Jurisdiction Code cb By Ordinance
Bidg. Permit Fee by Ordinance
Plan Check Fee by Ordinance 3
Type of Review:
n Repetitive Fee
Repeats
El Complete Review
• Other
J—I Hourly
EsGil Fee
• Structural Only
Hr. @
$429.41
$279.12
$240.47
Comments:
Sheetl of 1
macvalue.doc +
PLAN CHECK Community & Economic
^ CITY OF REVIEW Development Department
1635 Faraday Avenue
CARLSBAD TRANSMITTAL Carlsbad CA 92008
www.carisbadca.gov
DATE: 8/12/14 PROJECT NAME: Roosters tenant imp @ Paiomar Commons PROJECT ID: SDP 09-05
PLAN CHECK NO: CB141928 SET#:I ADDRESS: 2521 Palomar Airport Rd #106 ^PN:
VALUATION: $46,363 APPLICANT CONTACT: david.graves@regisfrancliise.com
X This plan check review transmittal is to notify you of clearance by:
LAND DEVELOPMENT ENGINEERING DIVISION
Final Inspection by the Construction & Inspection Division is required: Yes No X
Ior status from a division not marked below, please call 760-602-2719
This plan check review is NOTCOMPLETE Items missing or incorrect are listed
on the attache d checklist. Please resubmit amended plans as required.
LAND DEVELOPMENT ENG.
760-602-2750
1 \/ linda Ontiveros
/\ 760-602-2773
Linda.Qntiyeros@carlsbadca.gov , ,•
-•••••'• Remarks: pees paid as 'community shopping center' with COMMIND, CB120788.
^ CITY OF
CARLSBAD
PLANNING DIVISION
BUILDING PLAN CHECK
APPROVAL
P-29
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.eov
DATE: 8/6/14 PROJECT NAME: T.l. PROJECTID:
PLAN CHECK NO: CB141928 SET#: ADDRESS: 2521 PALOMAR AIRPORT RD #106 APN:
This plan check review is complete and has been CONDITIONALLY APPROVED
(SEE REMARKS BELOW FOR CONDITION) by the PLANNING Division.
By: GINA RUIZ
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 ofa building permit.
Resubmitted plans should include corrections from all divisions.
Q 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: DAVID.GRAVES@REGISFRANCHISE.COM
For questions or clarifications on tlie attactied ciiecl<list please contact ttie following reviewer as mariced:
PLANNING
760-602-4610
ENGINEERING
760-602-2750
FIRE PREVENTION
760-602-4665
1 1 Chris Sexton
760-602-4624
Chrls.Sexton@carlsbadca.gov
[ 1 Kathleen Lawrence
760-602-2741
Kathleen.Lawrence@carlsbadca.gov
Greg Ryan
760-602-4663
Gregorv.Rvan@carlsbadca.gov 1 j Gina Ruiz
760-602-4675
Glna.Ruiz@carlsbadca.gov
Linda Ontiveros
760-602-2773
Llnda.Ontlveros@carlsbadca.gov
\~2 Cindy Wong
760-602-4662
Cvnthia.Wong@carlsbadca.gov
• •
Dominic Fieri
760-602-4664
Dominic.Fierl@carlsbadca.gov
Remarks: PER SHEET IVIl.l ROOF IVIOUNTED EQUIPIVIENT IS EXISTING. IF ROOF IVIOUNTED
EQUIPMENT BECOMES APART OFTHIS PERMIT, SCREENING WILL BE REQUIRED.
^ CITY OF
CARLSBAD
PLAN CHECK
REVIEW
TRANSMITTAL
Mftv'JIIfnLic
DevdS^OlimDepartment
1635 Faraday Avenue
Carlsbad CA 92008
www.carisbadca.gov
DATE: 08.22.2014
PLAN CHECK NO: 1 SET#: 1
PROJECTNAME: ROOSTERS
ADDRESS: 2521 PALOIVIAR AIRPORT RD
PROJECT ID: CB141928
APN:
•
This plan check review is compiete and has been APPROVED by the FIRE Division.
By: G. RYAN
A Final Inspection by the FIRE Division is required ^ Yes • No
This pian 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:
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 ofa buildmg 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
Chris.Sexton@carlsbadca.fiov
1 1 Kathleen Lawrence
760-602-2741
Kathleen.Lawrence@carlsbadca.fiov
X Greg Ryan
760-602-4663
Gregorv.Rvan@carlsbadca.fiov
1 1 Gina Ruiz
760-602-4675
Gina.Ruiz@carlsbadca.gov
1 1 Linda Ontiveros
760-602-2773
Linda.Ontiveros@carlsbadca.gov
1 1 Cindy Wong
760-602-4662
Cvnthia.Wong@carlsbadca.gov
• 1 1 Dominic Fieri
760-602-4664
Dominlc.Fieri@carlsbadca.gov
Carlsbad Fire Department
BUILDiNG DEP
Plan Review
Date of Report:
Name:
Address:
Pennit #:
Job Name:
Job Address:
Requirements Category: TI, COMM
08-25-2014 Reviewed by:
DAVID GRAVES
2063 VILLAGE WOOD RD
ENCINITAS CA
92024-4340
CB141928
ROOSTERS: 1,249 SF SHELL TO
2521 PALOMAR AIRPORT RD CBAD St: 106
an
Please review carefully all comments attached.
Conditions:
CITY OF CARLSBAD FIRE DEPARTMENT - APPROVED:
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.
At or prior to Final Fire and Building inspection an Emergency lighting facilities test shall be conducted by CFD
personnel during pre-davra or dusk hours when ambient light is at 0.00 Lux or 0.0 Foot-candle.
This test shall be conducted to test the initial loss of power reading of illumination that is at least an average of 1 foot
candle (11 lux) and a minimum of 0.1 foot-candle (1 lux) measured along the path of egress at the floor level.
And tested after 60-minutes to 0.6 fc (6 lux). Failure to provide sufficient lighting in egress aisles, corridors, exit
enclosures, exit passageways and stair enclosures is the AOR's responsibility. CFC Ch. 10, Sec. 1006.
Entry: 08/25/2014 By: GR Action: AP
SAN DIEGO REGIONAL
HAZARDOUS MATERIALS QUESTIONNAIRE
OFFICE USE ONLY
UPFP#
HV#
BP DATE /
<e«6iness Name BualQess Contact Telephone #
Project Addraas ^, ^ City State Zip Code APN#
Mailing Address City State Zip Code Plan File*
Praject Contact Telephone* ^ ,
The following 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 materials. If any of the items are circled, applicant must contact the Flre Protection Agency with
jurisdiction prior to plan submittal. Facility's Square Footage (including proposed project): Occupancy Rating:
1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives
2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Othe^^alttLtlajards
3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials JSH^one of Thesg
4. Flammable Solids 8. Unstable Reactives 12. Radioactives
PART li: SAN DiEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH - HAZARDOUS MATERIALS DIVISIONS (HMD): If the answer to anv of the
questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overiand Ave., Suite 110, San Diego, CA 92123.
Call (858) 505-6700 prior to the issuance of a building permit.
FEES ARE REQUIRED. Project Completion Date: / /
YES
Expected Date of Occupancy: / / • CalARP Exempt
I
Date Initials
• CalARP Required
I
Date Initials
• CalARP Complete
/ Date Initials
NO (for new construction or remodeling projects)
Is your business listed on the reverse side of this form? (check all that apply).
2. • 1^ Will your business dispose of Hazardous Substances or Medical Waste in any amount?
3. • ^ Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds
200 cubic feet, or carcinogens/reproductive toxins in any quantity?
4. n £l Will your business use an existing or install an underground storage tank?
5. • '0 Will your business store or handle Regulated Substances (CalARP)?
6. • j3 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 lli: 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 District (APCD), 10124 Old Grove Road, San Diego, CA 92131-1649, telephone (858) 586-2600 prior 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://www.sdapcd.ora/info/facts/permits.pdf. and the list of typical equipment requiring an APCD permit on the reverse side
of this from. Contact APCD if you have any questions).
(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://vww.cde.ca.qov/re/sd/ for public and private schools or contact the appropriate 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 material that contains non-friable asbestos?
Will there be demolition involving the removal of a load supporting structural member?
YES NO
•
•
•
•
•
Bnefly descnbe business activ tie^
I dficlare under penalty qf rjury that to the best of my knowledge and
Name of Owner or Authorized Agent
Briefly describe proposed project: .
Signature of Owner or Authorized Agent 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 only exempts businesses from completing or updating a Hazardous Materials 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 FROIVI THE COUNTY OF SAN DIEGO
DEPARTMENT OF ENVIRONMENTAL HEALTH - HAZARDOUS MATERIALS DIVISION
Check all that apply:
AUTOMOTIVE
• Battery Manufacturing/Recycling
• Boat Yard
• Car Wash
• Dealership Maintenance/Painting
• Machine Shop
• Painting
• Radiator Shop
D Rental Yard Equipment
• Repair/Preventive Maintenance
• Spray Booth
• Transportation Services
• Wrecking/Recycling
CHEMICAL HANDLING
• Agricultural supplier/distributor
• Chemical Manufacturer
• Chemical Supplier/Distributor
• Coatings/Adhesive
• Compressed Gas Supplier/Distributor
• Dry Cleaning
• Fiberglass/Resin Application
• Gas Station
• Industrial Laundry
• Laboratory
• Laboratory Supplier/Distributor
• Oil and Fuel Bulk Supply
• Pesticide Operator/Distributor
CHEMICAL HANDLING
• Photographic Processing
• Pool Supplies/Maintenance
• Printing/Blue Printing
• Road Coatings
• Swimming Pool
• Toxic Gas Handler
• Toxic Gas Manufacturer
METAL WORKING
• Anodizing
• Chemical Milling/Etching
• Finish-Coating/Painting
• Flame Spraying
• Foundry
• Machine Shop-Drilling/Lathes/Mills
• Metal Plating
• Metal Prepping/Chemical Coating
• Precious Metal Recovery
• Sand Blasting/Grinding
• Steel Fabricator
• Wrought Iron Manufacturing
AEROSPACE
• Aerospace Industry
• Aircraft Maintenance
• Aircraft Manufacturing
OTHERS AND MISCELLANEOUS
• Asphalt Plant
• Biotechnology/Research
• Chiropractic Office
• Co-Generation Plant
• Dental Clinic/Office
• Dialysis Center
• Emergency Generator
• Frozen Food Processing Facilify
• Hazardous Waste Hauler
• Hospital/Convalescent Home
• Laboratory/Biological Lab
• Medical Clinic/Office
• Nitrous Oxide (NOx) Control System
• Pharmaceuticals
• Public Utility
• Refrigeration System
• Rock Quan7
• Ship Repair/Construction
• Telecommunications Cell Site
• Veterinary Clinic/Hospital
• Wood/Furniture Manufacturing/Refinishing
ELECTRONICS
• Electronic Assembly/Sub-Assembly
• Electronic Components Manufacturing
n Printed Circuit Board Manufacturing
NOTE: THE ABOVE LIST INCLUDES BUSINESSES, WHICH TYPICALLY USE, STORE, HANDLE, AND DISPOSE OF HAZARDOUS SUBSTANCES.
ANY BUSINESS NOT INCLUDED ON THIS LIST, WHICH HANDLES, USES OR DISPOSES OF HAZARDOUS SUBSTANCES MAY STILL REQUIRE
HAZARDOUS MATERIALS DIVISION (HMD) REVIEWOF BUSINESS PLANS. FOR MORE INFORMATION CALL (858) 505-6880.
LIST OF AIR POLLUTION CONTROL DISTRICT PERMIT CATEGORIES
Businesses, which include any of the following operations or equipment, will require clearance from the Air Pollution Control District
CHEMICAL 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 Drills
33 - Can & Coil Manufacturing 14 - Incinerators & Crematories 06 - Screening Operations
44 - Evaporators, Dryers & Stills Processing 15 - Bum Out Ovens 07 - Sand Rock & Aggregate Plants
Organic Materials 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 - Brick Manufacturing
35 - Bulk Dry Chemicals Storage
55 - Chrome Electroplating Tanks ELECTRONICS OTHER
29 - Automated Soldering 01 - Abrasive Blasting Equipment
COATINGS & ORGANIC SOLVENTS 42 - Electronic Component Mfg 03 - Asphalt Roofing Kettles & Tankers
27 - Coating & Painting 46 - Reverse Osmosis Membrane Mfg
37 - Plasma Arc & Ceramic Deposition Spray FOOD 51 - Aqueous Waste Neutralization
Booths 12 - Fish Canneries 11 - Tire Buffers
38 - Paint, Stain & Ink Mfg 12 - Smoke Houses 17 - Brake Debonders
27 - Printing 50 - Coffee Roasters 23 - Bulk Grain & Dry Chemical Transfer & Storage
27 - Polyester Resin/Fiberglass Operations 35 - Bulk Flour & Powered Sugar Storage 45 - Rubber Mixers - Bulk Flour & Powered Sugar Storage
21 - Waste Disposal & Reclamation Units
SOLVENT USE
28 - Vapor & Cold Degreasing
30 - Solvent & Extract Driers
31 - Dry Cleaning
METALS
18 - Metal Melting Devices
19-011 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 MAY REQUIRE AN AIR POLLUTION
CONTROL DISTRICT PERMIT. IF THERE ARE ANY QUESTIONS, CONTACT THE AIR POLLUTION CONTROL DISTRICT AT (858) 586-2600.
36 - Grinding Booths & Rooms
40 - Asphalt Pavement Heaters
43 - Ceramic Slip Casting
41 - Periite 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 Materials Division
^ PLUMBING, Development Services
<y^^ ELECTRICAL, Building Division
CITY OF MECHANICAL '''''%t%02.7i
r^ARI ^RAP) WORKSHEET www.carlsbadca.gov
V»»./iI\L*3L//%Ly B-18 Building(S)carlsbadca.gov
Project Addressro^f^V ^ Permit No.: / / %^
Information provided beiow refers to worh being done on the above mentioned permit oniy.
This form must be compleled and returned to the Buildinq Division before the permit cnw be issued.
Building Dept. Fax: (760) 602-8558
Number of new or relocated fixtures, traps, or floor drains 14
New building sewer line? Ves No ^
Number of new roof drains? ^
Install/alter water line? YES
1
"o~
Number of new water heaters?
Number of new, relocated or replaced gas outlets?
Number of new hose bibs? ^
Residential Permits:
New/expanded service; Number of new amps:
Minor Remodel onfs^ Ves No
Commerdai/industrial:
Tenant Improvement: Number of existing amps involved in this project:
Number of new amps involved in this project: 200
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 fumaces, A/C, or heat pumps? 1_
New or relocated duct worb? Ves X No
Number of new fireplaces? 2_
Number of new exhaust fans? 1_
Relocate/install vent? NO
Number of new exhaust hoods? ^
Number of new boilers or compressors? Number of HP ^
B-18 Page 1 of 1 Rev. 03/09
Date
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
^te/Zf" SCREENING SURVEY
Business Name ^^S^tofsJcrg. VWc> (ATCom^XYX CgA4e/
Street Adciress Jgi?! Paif^w^^ A'rjP^^ e4r^«^/C>(^ (IftgLSftftO^ Sgtel 1
Email Address d^xArJi .^faoig9>rp Cejl'S^iWjlAisg.. .cIiD*^
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 IVIanufacturing
Biofuei Manufacturing
Biotech Laboratory
Bulk Chemical Storage
Car Wash
Chemical IVIanufacturing
Chemical Purification
Dry Cleaning
Eiectrical Component
Manufacturing
Fertilizer Manufacturing
Film /X-ray Processing
Food Processing
Glass Manufacturing
industrial Laundry
Ink Manufacturing
Laboratory
Machining / Milling
Manufacturing
Membrane Manufacturing
(i.e. water filter membranes)
Metal Casting / Forming
Metal Fabrication
Metal Finishing
Electroplating
Electroless plating
Anodizing
Coating (i.e. phosphating)
Chemical Etching / Milling
Printed Circuit Board
Manufacturing
Metal Powders Forming
Nutritional Supplement/
Vitamin Manufacturing
Painting / Finishing
Paint Manufacturing
Personal Care Products
Manufacturing
Pesticide Manufacturing /
Packaging
Pharmaceutical Manufacturing
(including precursors)
Porcelain Enameling
Power Generation
Print Shop
Research and Development
Rubber Manufacturing
Semiconductor Manufacturing
Soap / Detergent Manufacturing
Waste Treatment / Storage
SIC Code(s) (if known):
Brief description of business activities (Production / Manufacturing Operations): -/^v f^yh \
Description of operations generating wastewater (discharged to sewer, hauled or evaporated):
Estimated volume of industrial wastewater to be discharged (gal/day):
List hazardous wastes generated (type/volume):
Date operation began/or will begin at this location: _
Have you aagtted for a Wastewater Discharge Pennit from the Encina Wastewater Authority?
Yes (JP^ y®s, when:
V/'D ^ep[/^f\ Title Oco>-^C^ Site Contact
Signature
ENCINA WASTEWATEFTAUTTHORITX
Phone No.
6200 Avenida Encinas Carlsbad.CA 92011 (760)438-3941
FAX: (760)476-9852
V
DISCHARGE PERMIT EXEMPT LIST
The comnnercia! enterprises listed beiow are a partial listing of businesses that are exempt
from industrial wastewater discharge permitting under normal operating conditions. They
are exempt because (a) they discharge no process wastewater (i.e., they only discharge
sanitary wastewater with no pollutants exceeding any local limits), and (b) they have no
potential to negatively impact the EWPCF or other wastewater treatment plants in the
ESS. Any questions regarding exemptions should be referred to EWA Source Control
staff.
Automobile Detailers
Barber/Beauty Shops
Business/Sales Offices
Carpet/Upholstery Cleaning Services
Childcare Facilities
Churches
Community Centers
Consulting Services
Contractors
Counseling Services
Educational Services (no auto repair/film developing)
Financial Institutions/Services
Fitness Centers
Gas Stations (no car wash/auto repair)
Grocery Stores (no film developing)
Home-based Businesses
Hotels/Motels (no laundry)
Laundromats
Libraries
Medical Offices (no x-ray developing)
Mortuaries
Museums
Nail Salons
Nursing Homes
Office Buildings (no process flow)
Optical Services
Pest Control Services (no pesticide repackaging for sale)
Pet Boarding/Grooming Facilities
Postal Services
Public Storage Facilities
Restaurants/Bars
Retail/Wholesale Stores (no auto repair/film developing)
Theaters (Movie/Live)
CB141928 2521 PALOMAR AiRPORT RD
106
ROnSTFR.c; 1 94Q ^SF c;ui=i i Tn
Final Inspection required by:
• Plan a CM&I
SW •ISSUED
•
•cv.
Approveci Date
BUILDING
PLANNING
ENGINEERING
FIRE Expedil it^^) N
DIGITAL FILES Required? Y N
HazMat
APCD
Health
Forms/Fees Sent Rec'd
Encina
Fire
HazHealthAPCD
PE&M
School
Sewer
Stormwater
Specialjnsi
CFD:
LandUse:
Due? By
Density: ImpArea: FY: Annex:
PFF: / yy IsT
Commnits Date Date Date
Building
Planning
Engineering
Fire
Factor-
Date
CIrOone
^ a Done
• Done
• Done