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Home My WebLink About2604 EL CAMINO REAL; C; CB130922; Permit-. . '• ' - ip1 / City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-112013. 1 Commercial/Industrial Permit Permit No: CB130922 •' I Building Inspection Request Line (760) 602-2725 Job Address: 2604 EL CAMINO REAL CBADSt: C - '• -' Permit Type: TI Sub Type: COMM Status: ISSUED Parcel No: 0000000000 Lot #: 0 . Applied: 04/09/2013 '. VaIuation: $88025.00 Construction Type: 5B •' Entered By: JMA Occupancy Group: Reference # • Plan Approved: 06/11/2013 Issued: 06/11/2013 - ., - , Inspect Area Plan Check #: Project Title: JERSEY MIKES: 1750 SF RETAIL •, - TO RESTAURANT Owner: USA FRZSCHiNG - . * • • S 3578 T 5T (" 9 n-A SAN OCA 92104 619-236-0595 Building Permit /" \'-,) $641.72 Meter Size Add'l Building Permit Fee/ ,/ $0.00 Add'l Red. Water Con-Fee ) \ • - $0.00 Plan Check / / $449.20 Meter Fee \ .'j \ $0.00 •- • S. Add'I Building Permit Fee /' $0.00 SDCWA Fee \ $0.00 Plan Check Discount / / $0.00 CFD Payoff Fee \ ' $0.00 Strong Motion Fee / $18.49 PFF (3105540) , . \ $1,602.06 Park Fee PFF (4305540) ' " \ $1,478.82 • • LFM Fee f ' $0'00*.....,.,License Tax (3104193) $0.00 Bridge Fee f '$0.00 LicenséTax (4304193) A I I $0.00 • BTD #2 Fee J $0.00 Trafficlmpact Fee (3105541) $0.00 BTD #3 Fee $0.00 Traffic Impact Fee (4305541) , $0.00 ' Renewal Fee $0.00 \ PLUMBING TOTAL I $45.00 • Add'l Renewal Fee $0.00 ELECTRICAL TOTAL I $41.00 . ' • Other Building Fee \- $0.00 I MECHANICAL f j $53.61 Pot. Water Con. Fee *$0.00\Mast6r Draige Fê ' I I $0.00 Meter Size Sewer Fee ç-. 1 / / $0 00 Add 'I Pot Water Con Fee .$0.00 Redev Parking Fee $0.00 Red. Water Con. Fee \ \ /so.00 Additional Fees , / / $0.00. , Green Bldg Stands (5B1473) Fee \ L$1.00 , HMPtFee,r,, / / ?? , '., • ' Fire Expedidted Plan Review ' $0.00" Green Bldg Standards Flan Chk "-- ?? 'TOTAL PERMIT FEES' ('- $4,330.90 • r .. I J Total Fees: $4,330.90 Ttal Payme'/.ntsjTo p9te $4-,---•-330 9O yBalan.' t ce Due:, $0.00 N U/i Y . Inspector NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as fees/exactions.' .You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for . . processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, ' review, set aside, void, or annul their imposition. . . ••• • • - You are hereby FURTHER NOTIFIED that your 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 tees in connection with this project. NOR DOES IT APPLY to any - - fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.- -. .. . •;. .,' ,• • • • ' - x , , - • • . __i - - • •, - . S • .5- '1. . • . . , • * , . • ,•• . .• • • • • •, , . .- . • S. '*' . ' - -S. • . S ' L. •-, . . ,,• - . • • • . . -S - - - . , . . - -• - . - ' - . • -S., '5 4 - • S • s,• 5 4 , ,•.S .' Plan Check No - B- 1.55 WEB-CommercialPermitApp.pdf http://www.carlsbadca.gov/'services/departments/building/Docunient... Plan Check No 3 O22 I . Est.Value Plan Ck._Deposit DateLj!3. JoBADDRESS2LO{ _..i —. . .. UI/FROJEM Fl-fSt CF I' S.D. FL 5 NF'CM ...... . IS F'JTBUSFNESSNAPIE .....L...:: ... .....,I.......4...H......... ; .....de~ . . . . . . ...... .RJ ..... .... .. \ DESCRIPTION OFWORjjScIide Square Fee ofAftectedArea(s) . . . . OLW-Vt. p flT\C131 1 YAw;, tbYL 1Lkei\t, Mrirn' . ,., •. . .. •:. . 1 EXISTING USE. . 5OPOSED USE 0.°13E tSFt PATIOS SF 1 D-_Ci<SiSF) 1 FIR5PLCE AIR CONDffIcPlNG FIRS SPRINKLERS i - . N1' OO \E FOD rim 42L . . APPuCANTNAME (secondary Coflfacclj . .i .DOR % WN ClP , STTh 3 uc ....... . ... u 3 Jc2 cP- L SMAP Il ot{0 CI LJ4 37 ( !PROPERrOWNER NAME . CONTRACTOR NAME IvU/e £&fl.cJ ..- . - - --- . . .-- ADDRESS ......... - --- ---....- ..... ... . f øiit ra,4L; do PHO'J P10N L.....................:...........................J -: . m t - ec. 11031.5 Business and Professions Code: Arry, Ohs' orCounitv,which recuires a permit to co truct'alter.irn prove. dernoIish or repair anystricture.psorto its iSsUa e. Iso requiresthe - applicant for such permit to file, a signed statement that he Islicensed pursuant to the provisions of the Contractors License Law Chsp:er 9.comrnending with Sect ,0'O cf Division 3 of the Busiressand Professions Ccde)'erthat he is exempttherefom. arid the dads forthe alleged evemption. A violation of Seior.7C31.5 byerryapplicant fora permit suojeOsthe applinsnt to a civil penaltyof novmoiw than We hundred dollars S500)1. . . 1 rkers Compensation Declaration: hereby aht rm iCJC penal ty olpeqc.y crbe of the foioteiiro deciarabonn ., . . have and will maintain a certificate of consentto self•lnsure lorworkew c.cmsnewion as F'Oided by Sedds 37Tf thel abor Ce, fcrrfe cerfcrwar oe of the ctKfOrWhict hsc.rrttl. isistced. have and will maintain workers compensation as wiioc b, 5005 i'i 1'e Labor .. d r be ccrrn 5 of work rl hi CL ftc ro ..zc- rsa Ir a a s a l cx ater are: frmmns Co.42 'wc•. i~L__J I' L. Espiravon Cars Toe xeoron need not be a Its Perm: is to; one turdrsri detare tSl3t J Certificate of Exemption I cer 4y a i he pedcr— roe of hework for m his oe rink,15 is sI. ec. I ot a nipiv a P e rsn i, a a y nia n ne r a. as o beccr o to th 't is .. -p rs0ton Lavncf Csikrnia. WARNING: Failuretosecure .orkers' compensation coverage is unlawful, and shall eubjectan employerto criminal penalties and civil fines upto one hundredthoisand dollars (5100.000), in - - 4 addition to the cost of compensation. damages as provided for in Section 3706 of the Labor code 06 t and attorneys fees. * CONTRACTOR SIGNATURE __. . AGENT DATE _,A 1% x--- - . hereby atr,irthat amerenptfrornCcotrasior's Lssrnse c.ewfor the k.dc.w'rng .-eaaea:' -' . . .. I, as owner of i's propennyor ray employees watt wspes as r1CrrsOle cornrc-ensarror., rail do the 004: and the vvjcLtre:s act warded or offered Icr sate (Sec.. 7Cd_'. Bcsiness and Protesswne C-ode: The Contractors Lmenw Lawdoee no; epplyto an cooler oi property v1h, bode Crlrammees ivsreon, and who does scat work hetiecif oriirrc'lt;h tie cern smitloyces crc sidethat suchnrroesnwtts em nor intended Cr cffer'ed tc.r sa!e. If, hc,.vcver, the hwlthrgere-n a: -irs aold v n c x of.'wwior the r but 1i h3ve :he .r -to poor lvna00dc Irwr- cii oxprsoctso Issoarerot the prcperj,;me.e stvsti'c.ontrecsrc vrahlwense-oetrociomtocwacnjo the proeC (Sec.7CLI., Esvr.essand Prcfesscns.Ccds: The Contrnctors Lwenee Lewdoas not apptyro ancwrerof piopeevaito bribes nirrproee cc 'on a corrr a I r Ir prOol ..Cr aocnis w e'w. r a c be 'or ra' an I ic'rse Lao . . ,. .. I sin slxertnpe cr.derSeccron ____________Business and Frctesshcas Cons forrh:s mason: I psrmr.otiy plan, to proode see maci labor and materials for c.or.etrcction of its prCposed prcyecytmproretnenr. 0 Yes 0 ho . . . . 2.1 (have ! have not) *,-.ad an a ph.aiion for ud a n, be ace wore ..1 haae 000iradeG roth 're Vbvirig person (firm)to prosdeths proposedceasrrucr.ttan rcwa rains aberessiphz'nei contna0ors'iwsreC auntbsr: I plar tc. provide porionse eec It vs hr d f.10 war -cFn:n a soc a a pro a h r103cr ei flO ,.onn F'CC e cr wct r seas o'b€ I 5j v.4 prostde Fr Ithewecni. but Ihaveocorracrad inisditaeiolc.vinc persons to proedy thsvoorisrndraated (rncfacv-norbe !addrsssi ptone/r',oaolworic(: ..PROPER OWNER SIGNATURE AGENT . DATE X. - ,- . .' . .. . a . _.. - . .-. • I of 15 - . 4/5/2013 33:29 PM Plan Check No - B-1.55 WEB-Commercial Permit App.pdf http://www.carlsbadca.gov/services/departments/bui Idi ng/Document... tjt1i3 X7 IS! he n.pkant crfuwre b lm53 coroparri recurnd to subtmt u business elan. n ,.tnly hnadcus aieras r tics form or nec nesrant and erc.,sucn orcararn under Secons 2555 2533 cr 2553 of tIre Prautey-Tunner Hazardous Substance Account A-a 0 ')es 0 NO Is the a.ocant oniufure belen occupant requ:red toour, a petmt fromthe a.: o(lurnos ccntro e:rci or 1°ty mnsngnrsn eotrct? 0 es L-3 No Is roe facrbtv to be construcren vtthrn i,C (set circe cuter bousdury of a ucboci ste? 0 Yse 0 Nc. IF ANY OF THE ANSh€RS 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. hereby affirm that there is a c,strurdion lending agency for the performance crf the o-csk this permit is issued (Sec. 3097 (i) Civil Coda). 1 Lenders Name Lender's Address I iHjthatl have read the applithn and stethatthe above information s correct and thatthe information on the plans isaurate.l agreeto compb'with all Cyordinancesand State lawsrebtingtobuingconrdruion. I heceb/ authorize representative theCfyof Carlsbad loenter ~k`-Citk Louen rd - yfor bsspesionpurposes. I ALSOAGRETOSAVE, INDEMNIFY AND I<EEPHAFWLESS THE CITY CF CRLSBAO AGJNST ALL UAUTIES JUDGMENCOSTSANDE BSICH L INM)Y WA ACCRUE PW4NST S°JD CITY INCONSEQUENCE OF THE GRAVING OF THIS PERMIT. OSfb4M OSHA gesmit Ired brercautkns over E deapan cromstruction Ma'er351onissinhuight. EXARATION: E jpsrrmt eated eBuildeg undeM ons this Codasiet ebyiniilailonaxlbecon-e nit a Jvodiftheb orkauthorizatbyaichpemilis notoommonordaithH l80 days from the date dsuch erndt i thebuiIde' " sermilissus anedaianytIriienterlhewukisoonsrenordf a pericdci lOdrejs(Sadioi 106.4.4UnrformBuldingCccie). APPLINT'S GNRE / / - DATE i STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY •w . Pro jec ts O n l y ) Fax (760) 602-8560, Email bUiIdIriQi(Car)sbadCa.00v or Mail the completed formic City of Carlsbad, Building Division 1635 FaradaiAvenue, Carlsbad California 92008. CO#: (Office Use Only) CONTACTNAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANTS BUS. LIC. No. DEUVERVOPI1ONS - 0 PICK UP: c CONTACT (haled above) c OCCUPANT (haled abovei c CONTRACTOR (On Pg. 1) ASSOCIATED CB# ..... _ ... ................................... 3 MAIL TO: o CONTACT (Listed above) c OCCUPANT (Listed above) CONTRACTOR (on Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION 0 MAIL! FAX TO OTHER: _____________- = CHANGE OF USE /NO CONSTRUCTION .ApPLICANrS SIGNATURE DATE 2of15 . 4/5/2013 3:29 PM Inspection List Permit#: CB130922 Type: TI COMM JERSEY MIKES: 1750 SF RETAIL TO RESTAURANT Date Inspection Item Inspector Act Comments_________________ - 09/12/2013 84 Rough Combo - RI 09/12/2013 89 Final Combo PD AP 08/28/2013 84 Rough Combo PD AP 08/22/2013 23 Gas/Test/Repairs PD AP 08/16/2013 23 Gas/Test/Repairs PD CO 08/06/2013 1. Interior Lath/Drywall PD AP 08/06/2013 17 Interior Lath/Drywall PD AP 07/29/2013 14 Frame/Steel/Bolting/Weldin PD CA 07/22/2013 14 Frame/Steel/Bolting/Weldin PD CO .07/12/2013 11 Ftg/Foundation/Piers PD AP 07/101/2013 21 Underground/Under Floor PD AP 07/09/2013 21 Underground/Under Floor PD AP Thursday, September 12, 2013 Page 1 of 1 - 41 '4 CB130922 2604 ELCAMINçrREAL C .' lTY o .. . . S . I INiPECTION RECORD TO RESTAURAN Building Division . 11 1. T TI COMM .. Ez INSPECTION RECORD CARD WITH APP1OVED Lot#: LISA FR1rZScHU4G;,. 'S . PLANS MUST BEKEPrbN THE JOB • t CALL BEFORE 3:30 pm FOR NEXT WORK DAY INSPEcTION. . EI FOR BUILDING INSPEC11ONCAW76O602..2725 RECOUnir COPY TO. II# 411ffl" . . . .. - . DATE: : •; ... . . .. . YES. •' Required PrIor to Requesting Building Final If Checked YES Plannln(Landscape 760.944-8463 Allow 48 hours CM&I (Engincatlng InspectIons) 760-438.3891 Call bforeZpm. Fire PreventIon 760.602-4660 Allow 48 hours Date inspector mites 'Type of on ;1!flU FOUNDATION WMNRYOREGROUr DOROUT 1WALL #10 TILT PANELS 011 pousmis _i COLUMN FOOTINGS - 014 SUPERAME 0 FLOUR - 015 ROOF SHEATHING 113 EXT. SHEAR PAN US #16 iNSULATION: -..-. #18 FXTERIORLA1'H 217 INTERIQRIATH&DRYWAU #51 POOL EXCA/STE(,fBONDj #55 PREPIASTER #19 FINAL coot ~i PLUMBING #21 UNDERGROUN(L2A37111 0 WTR. 024 TOPOUT 0 WASTE OWFR #27 TUB &7 WER PAN iGMt ZMg PIPING #25 WATER .lLMtR -. SOLAR WATER #$ FINAL 9600 PREcWlSTRUdflON MEETING #803 FOLLOW UP INSPECTION - 0805 NO110ETQCLEAN .-5Q7 WRITTEN WARNING #609 NOTICE OF VIOLATION #610 VVIIIALWARNING Type of lnspectIoi, Dale DaTe Inspector #31 E3 ELECTRIC UNDERGROUND CIUM #34 ROUGHELECIRIC #33 OUPCIRICSERVICE 1TEMPORA1Y - — #35 PHOOVOLTAIC #SSFUIAL. 4:rff3 041 UNDEGROUND DUCTS & PIPING . .' . . 0DUC!LMThIE.PiPiNG 7'z1zE HEAT.AIR CONb SXStEMS . #49 FINAL #81 UNDERG*OUND(1L,12401.) 082 .ORTWALL,EXTLATN, OASTES (17,18,23) - , #83 HOOF SHEATING, EXT SRL#Jk (13,15) 484 FRAME ROUGH COMBO (14,24,3444) 1I"1j j'T #89 FINAL OCCUPANCY (19,29,39,O) - Date lllspecsor_ . . . . inspector,.. US UNDERGROUND VISUAL A/$ UNDERGROUND HYDRO N. - \s1s: ... .. A/S UNDERGROUND FLUSH ALSOVUUIEADVISUAL ••; \ ..... ______ -. — A/SOVERHEAOHYUROSTAIIC • \ k•••'••,• A/SRNAL F/AR000HIN - - - - FIXED EXTINGUISHING SYSTFM ROUGH411 — S -• FUOEImNGSYsTEMHYDRoSTAncTFsT • • DLXTgIOUISHING SYSTEM FINAl. SEBAOOR$cCAI.NOTES EsGil Corporation In Partnership with government for Building Safet)i DATE: 5/6/13 U AP RANT JURIS. JURISDICTION: City of Carlsbad U REVIEWER U FILE PLAN CHECK NO.: 13-0922 SET: II PROJECT ADDRESS: 2604 El Camino Real Suite C PROJECT NAME: Jersey Mike's Subs - TI LII The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. El 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. Eli The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. El The applicant's copy of the check list has been sent to: EsGil Corporation staff did not advise the applicant that the plan check has been completed. El 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: A. The revision clouded in red on sheet R4 of the approved plans from Esgil must be made to the city set to make a 2nd set of approved plans. B. I City tyqfy Health Dept. approval prior to permit issuance. V By: Chuck Mendenhall Enclosures: EsGil Corporation E] GA LIEJ F-1 PC 4/29/13 EsGil Corporation In (Partnership with government for tBui(iing Safety DATE: 4/18/13 LI APPLIQANT iURIS) JURISDICTION: City of Carlsbad Q PLAN REVIEWER 0 FILE PLAN CHECK NO.: 13-0922 SET: I PROJECT ADDRESS: 2604 El Camino Real Suite C PROJECT NAME: Jersey Mike's Subs - TI El The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. El The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: MPA Inc. / Lisa Fritzsciting 3578 30th Street, San Diego, CA 92104 El EsGil Corporation staff did not advise the applicant that the plan check has been completed. EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Lisa Fritzsciti ng Telephone #: 619-236-0595 Date contacted:'-f LI g() b (by: p-) Email: lisampa-architects.com Fax #: 619-236-0557 -Mail ..,,Telephone Fax--- In Person REMARKS: By: Doug Moody Enclosures: EsGil Corporation EGA EJ fl PC 4/9/13 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858)560-1576 City of Carlsbad 13-0922 4/18/13 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: 13-0922 OCCUPANCY: A2 TYPE OF CONSTRUCTION: VB ALLOWABLE FLOOR AREA: SPRINKLERS?: YES REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 4/9/13 DATE INITIAL PLAN REVIEW COMPLETED: 4/18/13 FOREWORD (PLEASE READ): JURISDICTION: City of Carlsbad USE: Restaurant ACTUAL AREA: 1750sf STORIES: 1 HEIGHT: OCCUPANT LOAD: 56 DATE PLANS RECEIVED BY ESGIL CORPORATION: 4/9/13 PLAN REVIEWER: Doug Moody H This plan review is limited to the technical requirements contained in the California version of the International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review is based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building, permit. Code sections cited are based on the 2010 CBC, which adopts the 2009 IBC. S The following items listed need clarification, modification or change. Al! items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 105.4 of the 2009 International Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. City of Carlsbad 13-0922 4/18/13 Please make all corrections on the original tracings, as requested in the correction list. Submit three sets of plans for commercial/industrial 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, 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. Provide evidence of Health Department approval (for restaurants), where regulated by the local Health Department. A 1-hour fire barrier separation is required between the A2 occupancy and the B occupancy. Table 508.4 (see exceptions) Provide details on the plans for the fire-resistive construction. Include roof/ceiling assemblies, floor/ceiling assemblies, wall assemblies, column and beam assemblies, etc. Be sure to list with each detail the basis of approval (U.L. listing number, ICC research report, etc.). Provide a note on the plans stating: "Penetrations of fire-resistive walls, floor-- ceilings and roof-ceilings shall be protected as required in IBC Section 713." Each door in a means of egress from an occupancy of Group A having an occupant load of 50 or more shall not be provided with a latch or lock unless it is panic hardware. Section 1008.1.10. Please review the requirements, revise the plans appropriately and imprint on the plans the City of Carlsbad Policies and Procedures for Roof Mounted Equipment to the plans. Please complete the LTG-1-C part 3 of 4 mandatory automatic controls portion of the LTG-1-C forms. Please have the principle designer complete the Statement of Compliance System Acceptance section of the LTG-1 -C part 4 of 4 documents. Provide complete plumbing plans, including: a) Complete the drain, waste and vent plans to show all floor drains to be vented. City of Carlsbad 13-0922 4/18/13 b) Revise the waste line plans to show the water waste line to be a minimum of 3" and the vent to be a minimum of 2" Please revise the plumbing plans to show the total aggregate vent area to be equalto the required sewer size per section 904.1 of the UPC. (A minimum of 7.06 square inches). Show the required floor drains in the following locations, as per UPC. Section 411.2: a) Commercial kitchens. UPC. Section 411.2.2 and in accordance with section 704.3 Provide complete kitchen hood plans, details, and calculations to show compliance with UMC, Chapter 5, Part II Clearly show the material used to construct the hood and exhaust duct. UMC Section 508.1.1 Provide a section detail for the hood showing the relative dimensioned locations for the hood, ceiling, and overhead construction framing of the floor or ceiling . Be sure to describe the construction materials (combustible, limited combustible, or non-combustible) used adjacent to the hood and duct. UMC 507.2 Provide construction details for the fire rated grease duct enclosure. Note: Clearance distances from the grease duct to the enclosure inside face is not less than 6" (non-combustible) and 18" (combustible). UMC Sections 510.7 & 510.7.2.3. The State Fire Marshall does not adopt this design. A single story non-rated building does not require an enclosure (shaft) protection for the grease duct installation above the ceiling. It does, however, mandate minimum clearance distances from the duct to combustible, limited, or non-combustible materials. Detail compliance with UMC 507.2 on the plans. Note: The State Fire Marshall does not recoghize this design. Detail the kitchen hood duct termination clearances as per UMC 510.8. 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 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 L3 City of Carlsbad 13-0922 4/18/13 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 13-0922 4/18/13 [DO NOT PAY- THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK NO.: 13-0922 PREPARED BY: Doug Moody DATE: 4/18/13 BUILDING ADDRESS: 2604 El Camino Real Suite C BUILDING OCCUPANCY: A2 TYPE OF CONSTRUCTION: VB BUILDING PORTION AREA ( Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) TI 1750 50.30 . '88025 Air Conditioning Fire Sprinklers TOTAL VALUE 88,025 Jusdiction Code cb 113y Ordinance Bldg. Permit Fee by Ordinance I Plan Check Fee by Ordinance Type of Review: I1 Complete Review Structural Only LilOther .. LllRepettjve Fee Repeats Hourly Hr. @ * Es Gil Fee ' I $359.361 Comments: . Sheet of 1 macvalue.doc + PLAN CHECK Community.& Eèonomic REVI 'M Development Department C I T Y .0 F 1635 Faraday Avenue C A DI SBA TRANSMITTAL Carlsbad CA 92008 /'tI'4 L Ii www.carlsbadca.gov DATE: 04/12/13 PROJECT NAME JERSEY MIKES PROJECT ID: CB130922 PLAN CHECK NO: 1 . SET#: 1 ADDRESS: 2604 EL CAMINO REAL APN: - VALUATION: $88,025 / This plan checkreview is complete and has been APPROVED by the ENGINEERING Division. •: By: KATHLEEN LAWRENCE 04/12/13 S A Final.Inspection,by the Division 'is required Eyes IZiNo This plan check review is NOT COMPLETE. Itenis missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Pln Check Comments have 'been sent to: You mayàlso have corrections from one ormore of the divisions listed below. Approval fromthese 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 "r.' j.,, '' ,•?' ENGINEERING' , FIRE PREVENTION 7606024610 j 7606022750 760602 4665' '.' Chris Sexton Kathleen Lawrence. Greg Ryan 760-602-4624 • 760-602-2741 5 760-602-4663 Chris.Sexton@carlsbadca.gov S Kathleen.Lawrence@carIsbadca.ov Gregorv.Ryan@carlsbadca.gov , F]Gina Ruiz S _ , Linda Ontiveros Cindy Wong 760-6024675 S .. 760-602-2773 5 760-602-4662 Gina.Ruiz@carlsbadca.gov, Linda.0ntiveros@carIsbadca.ov Cvnthia.Won@carIsbadca.ov S . F-1 Dominic Fieri S 760-602-4664 Dominic.Fieri@carlsbadca.gov 4 Remarks: .4 . 410w BUILDING PLANCHECK Development Services C I TY OF CHECKLIST Land Development Engineering 1635 Faraday Avenue CARLSD/-%D QUICK-CHECK/APPROVAL 760-602-2750 www.carlsbadca.gov S ENGINEERING Plan Check for CBI 30922 Project Address: 2604 EL CAM INO REAL -. T Project Description: TI FOR SANDWICH SHOP - ENGINEERING Contact: Kathleen Lawrence Phone: 760-602-2741 LI RESIDENTIAL INTERIOR Date: 04/12/13 APN: Valuation: $88,025 Email: kathleen.lawrence@carlsbadca.gov Fax: 760-602-1052 j TENANT IMPROVEMENT LI RESIDENTIAL ADDITION MINOR LI PLAZA CAMINO REAL (<$20,000.00) El CARLSBAD PREMIER OUTLETS LI COMPLETE OFFICE BUILDING F-1 OTHER: CELL ANTENNAS I - OFFICIAL USE ONLY • ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT ( - BY KATHLEEN LAWRENCE DATE 04112/13 REMARKS NO ADDITIONAL ENG FEES SHOPPING CTR AT 100% - :: ':. -.•.-.,. - - I, Notification of Engineering APPROVAL has bee sent to n L v?aEMAI L / - on 04112113 (-36 - Page 1 of 1 REV 4/30/11 4 - PLANNING DIVISION Development Services BUILDING PLAN CHECK Planning Division C IT V OF APPROVAL 1635 Faraday Avenue (760) 602-4610 CARLSBAD P-28 - www.crlsbdc.ov 4 S DATE: 4/29/13 PROJECT NAME:4 T.I. PROJECT ID: PLAN CHECK NO: CB130922 SET#: ADDRESS: 2604 ELCAMINO REAL #C APN: This plan check review is complete and has beenAPPROVED by the PLANNING 4 Division. 4 By: GINARUIZ A Final Inspection by the PLANNING Division is required Yes Z 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. 4 - This plan check review is NOT COMPLETE. Items missing or incorrect are listed on - . theattached checklist. Please resubmit amended plans as required. V Plan Check APPROVAL has been sent to:. LlSA@MPATARCHITECTS.COM 7 4 For questions or clarifications on the attached checklist please contact the following reviewer as marked: 77 7 --V _4 •• PLANNING V 'YENGINEERING , 4 t •44 •4V_.•. FIRE PREVENTION 76O 602 4610 • d 76O6O2275O. , -'- - , '-7606024665 V__•V47 - *V 7 -•' _-_•i_ - - 7 •': - 84 •4 V - •8i , •V•• V Chris Sexton -4 Kathleen Lawrence Greg Ryan 760-602-4624 V V V 760-602-2741 V 760-602-4663 V Chris.sexton@carlsbadca.gov Kathleen.Lawrencé@carlsbadca.ov Gregory.Ryan@carlsbadca.gov Gina Ruiz Eli Linda Ontiveros ' Cindy Wong - 760-602-4675 760-602-2773 . . 760-602-4662 Gina.Ruiz@carlsbàdca.ov- - Linda.0ntiveros6carlsbadca.ov Cvnthia.Wong@carlsbadca.gov V V V • V V • V Dominic Fieri V • 760-602-4664 Dominic.Fieri@carlsbadca.gov • Plan Check No. CB130922 Address 2604 EL CAMINO REAL Date 4/29/13 Review #2 Planner GINA RUIZ Phone(760)602-4675 Type of Project & Use: T.I. Net Project Density: DU/AC Zoning: . General Plan: L Facilities Management Zone: 2 CFD (in/out) #_Date of participation: Remaining net dev acres:_____ - (For non-residential development: Type of land use created by this permit: REVIEW #: 2 3 Legend: Item Complete -D Item Incomplete - Needs your action E LI Environmental Review Required: YES LII NO M TYPE DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: LI LIII Discretionary Action Required: YES NO Z 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: LI LII Coastal Zone Assessment/Compliance Project site located inCoastal Zone? YES Li NO CA Coastal Commission Authority? YES Li NO If California Coastal Commission Authority: Contact them at - 7575 Metropolitan Drive, Suite 103, San Diego, CA 92108-4402; (619) 767-2370 Determine status (Coastal Permit Required or Exempt): LI LI Habitat Management Plan Data Entry Completed? YES LI 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!) LI LI Inclusionary Housing Fee required: YES LI NO (Effective date of Inclusionary Housing Ordinance - May 21, 1993.) Data Entry Completed? YES LI NO LI (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE!) Z LI LI Housing Traöking Form (form P-20) completed: YES LI NO D N/A P-28 - Page 2 of 3 071 .11, Site Plan: LI City Council Policy 44 - Neighborhood Architectural Design Guidelines • LI LI Applicability: YES LI NO • LI LI Project complies: YES LI NOD Zoning: LI Lii Setbacks: Front: Required Shown Interior Side: Required Shown Street Side: Required Shown Rear: Required Shown Top of slope: Required Shown LI LI Accessory structure setbacks: Front: Required Shown Interior Side: Required Shown Street Side: Required Shown Rear: Required Shown Structure separation: Required Shown LI LI Lot Coverage: Required Shown LI Z LI Screening of Equipment: Required YES Shown NOT SHOWN ADDED TO SHT M2 LI LI 5. Parking: Spaces Required Shown (breakdown by uses for commercial and industrial projects required) Residential Guest Spaces Required Shown LI Z LI Additional Comments #1. PLEASE ADD SECTIONS/ELEVATIONS TO THE PLANS PLANCHECK#2:SECTIONS & POLICY ADDED TO SHEET M2 OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER GINA RUIZ DATE 4/29/13 / P-28 Page 3 of 3 1 07/11 4 /AIN 04h> CITY OF CARLSIZ AD PLAN CI1G. DEPT cmu 0nbmic REVIEW evelopment Department 1635 Faraday Avenue TRANSMITTAL Carlsbad CA 92008 www.carlsbadca.gov DATE: 4-17-13 PROJECT NAME: Jersey Mikes PROJECT ID: C8130922 PLAN CHECK NO: SET#: I ADDRESS: 2604 El Camino Real #C APN: This plan check review is complete and has been APPROVED by the Fire Division. By: D.Fieri A Final Inspection by the Fire Division is required Yes E No LII 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: 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 Chris Sexton • 760-602-4624 Chris.Sexton@carlsbadca.gov Kathleen Lawrence 760-602-2741 Kathleen.Lawrence@carlsbadca.gov Greg Ryan 760-602-4663 Gregory.Ryan@carlsbadca.gpv Gina Ruiz • 760-602-4675 Gina.Ruiz@carlsbadca.gov J Linda Ontiveros 760-602-2773 Linda.Ontiveros@carlsbadca.gov Cindy Wong 760-602-4662 Cynthia.Wong@carlsbadca.gov LI * • • • • Dominic Fieri 760-602-4664 Dominic.Fieri@carlsbadca.gov Remarks: Deferred Submittals required fire Hood Suppression system and fire sprinkler system. Carlsbad Fire Departñient BLD(3. flEPT copy Plan Review Requirements Category. TI, COMM Date of Report: 04-17-2013 Reviewed by:• Name: Address: Permit #: CB130922 LISA FRITZSCHING 3.578 30TH ST SAN DEIGO .CA 92104 / Job Name: JERSEY MIXES: 1750 SF RETAIL Job Address: 2604 EL CAMINO REAL CBAD St: C i s i[ rrcu 1rLT I iiiniiii'i 'riru uThninii 'n I H !JIffJI fl 1UUU9 W t JUfli lJUh1U tT1 I ti R 111 11 IUJfl E a .JJJli.tI!J11Ji rc Cond: C0N0006247 [MET]' VED: -. THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUANCE -OF BUILDING PERMIT. THIS APPROVAL IS SUBJECT TO FIELD INSPECTION AND REQUIRED TEST, NOTATIONS HEREON, CONDITIONS IN CORRESPONDENCE AND CONFORMANCE WITH ALL APPLICABLE REGULATIONS. THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE THE VIOLATION OF ANY LAW. Entry: 04/17/2013 By: df Action: AP Jun. 11. 2013 5:45PM No'. 2219 P. 2 S (tountp of*an teo JACK MILLER DEPARTMENT OF ENVIRONMENTAL HEALTH ELIZABETH POZZEBON niprrwa FOOD AND HOUSING DIVISION ASSISTANT DIRECTOR P.O. BOX 129261, SAN DIEGO, CA 92112-9261 Phone: (860)605.6660 FAX: (868)605.6624 1(800) 263.9933 'www.sdcdeh.ora ' PLAN APPROVAL SHEET 'DBA: Jersey Mikes , 5/20/2013 SITE 2604 El Camino Real #C, Carlsbad, CA 92008 , DE112013-FFPP- 001664 BUSSINESS OWNER: Yada Wada LLC Plans are approved contingent upon the following: 1) Department of Environmental Health (DEH) stamped plans, shall be maintained at the jobsite and available for review at the time of the Inspection. 2) Changes to equipment layout, menu, or application must be submitted for approval. Changes made without approval will make the plan approval null and void. 3) Obtain local Building Department and all applicable agencies permits and approvals.. 4) All food and utensil-related equipment shall be certified to applicable sanitation standards by an ANSI accredited testing agency. 5) Upon completion of 60°h-80% of construction, Call (858) 505-6660 to schedule a mid Inspection. In lieu of a plumbing inspection by DER Floor sinks shall be Installed % exposed and equipped with an appropriate grill cover If no access is provided for cleaning. Drain tines shall slope W per foot to gravity, shall not exceed 15' in length and shall terminate a minimum of 1" above the floor sink with a legal air gap. Drain lines shall not intercept walkways or door ways. No condensate drainage of any kind, including HVAC can drain to the mop sink. The entire floor surface must be sloped to the floor drains approximately 1/8 inch per foot or a four feet diameter depression that slopes 1:50 (approximately 34 inch per foot). Conduits of all types shall be installed within walls as practicable. When otherwise Installed, they shall be mounted or enclosed in a chase so as to facilitate cleaning. Backliow devices shall be provided and initially tested upon installation by a certified tester. 6) An air balance test shall be furnished at the time of the final inspection for all hoods. 7) The operational Health Permit may be applied for after the preliminary inspection. New business owners are encouraged to be present at the time of the final Inspection. B) Owners and/or operators must pass an approved and accredited Food Safety Certification course. Proof of successful completion of this course Is to be furnished at the final inspection. 9) At the time when the final inspection is requested, the facility shall have all utilities operational and all refrigeration shall have an ambient air temperature of 38F or below and shall be equipped with a thermometer accurate to +1- 2F in the warmest section of the unit. All equipment Is to be In place and functional. Plans reviewed by. Maria Oreciel I Sergio Gracia @ (858) 505.6659 CALL (858)505-6660 ATIEAI 5 WORKING DAYSJffADYANCE TO SCHEDULE PRELIMENARY AND FINAL INSPECTIONS. A FINAL INSPECTION SHALL BE CONDUCTED AND AN ENVIRONMENTAL HEALTH PERMIT SHALL-BE ISSUED PRIOR TO OPENING AND OPERATING THIS FOOD ESTABLISHMENT. cc; File District Inspector "Environmental and public health through leadership, pa1ners hip and 04/1e/2013 16:04 6192360557 MPA ARCHITECTS PAGE 02/16 SAN DIEGO REGIONAL •• HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY UPFP#_____________ MW_________________ SP DATE I I I: FiRE DEPARTMENT — j4ZRDOUMAThR1AI.S OIV1,SICN: OCCUPANCY CL*SSiFCATION: Indicate by circling the item, whether your business will use, prooess, or store anydf the rollowlng hazardous materials. If any of the Items are pplicam must contact the Fire Prot n Agency with jurisdiction prior to plan submittal. FacUlty's Square Footage (including proposed project): Occupancy Rating: r Explosive orBiastingAgents S. Organic Peroxides 0. Water Reacilvas 13. Corrosives Compressed Gases 5. Oxidizers 10, cryogenics 14. Other Health Kazerds Fiammabie/Combustible Liquids 7. Pyrophorics 11. HIghly Toxic or Toxic Materials 15. None of These. Flammable Solids S. Unstable Reectives 12. Radicactives EART II: SNDIEQOUNTY PEPA questions Is yes, applicant must contact t,ITAL HEALTh - HAZARDOUS IIIATERIALS DMSIONSJHMD If the answer to any of the Diego Hazardous MatedãIDIvision00 Overland Ave., Suite 110, sãff1ego, CA 92123. Coil (858) 505-6700 prIor to the Issuance of a building permit FEES ARE REQUIRED. Project Completion Date: _(J.LI_ Expected Date of Occupancy; 0 Ca[P,RP Exempt. .1 YES t-A (for new construction or rem Date Initials ts your business listed on the reverse side of this form? (check all that apply). 0 VVtIl your business dispose of Hazardous Substances or Medical Waste l any amount? 0 CalAR? Required 0 Will your business store or handle Hazardous Substances In quantities equal to or greater than 55 gallons, 600 pounds 200 cUbic feet, or carcinogens/reproductive toxins in any quantity? Date Initials 0 Will your business use an existing or install an underground storage tank? C] Wilt your business store or handle Regulated Substances (CalARP)? C] CaIARP Complete C] £., Mil your business use or Install a Hazardous Waste Tank System (Title 22, Mole 10)? 0 Will your tiuslness Store petroleum in tanks or containers at your facility with 'a total storage capacity equal to bate Initials or greater than 1.320 gallons? (California's Aboveground Petroleum Storage Act). PART lii: SAPiDIEGO COUNTLA.IR POLLUTIONNTROLDiSTRICT: If the answer to any of the questions below Is yes, applicant must contact the Air Pollution Control D1 !APCD), 10124 Old Grove d, San Diego, Ck82131-1649 telephone (858) 586-2800 prior to the issuance of a building or demolition permit. NOW If the answer to questions 4 or 5 Is yes, applicant must also submit an asbestos notlitcation form to the APCD at least 10 working days prior to commencing demolition or renovation, except deiarlidon or repovation of residential structures of four units or less. Contact the APCD for more Information. YES NO 0 i 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 htto:/Nmr.x,sdaped.orqIlifoMactsIcermlts.odf, and the list of typical equipment requiring an APCD permit on the reverse side of this from. Contact APCD if you have any questions). 0 C] (ANSWER ONLY IF QUESTION I IS YES) Will the subject facility be located within 1,000 feet of the outer boundary of a zchol (K through 12)? J (Search the California School Directory at http:IAwmcde.ca.eov/re/sd/ for public and private schools or contact the appropriate school district). 0 \I Has a survey been performed to determine the presence of Asbestos Containing Materials? 0 J Will there be renovation that involves handling of any triable asbestos materials, or disturbing any material that contains non-friable asbestos? 0 $ Will there be demolition Involving the removal of a load supporting structural member? Briefly describebusiness activitiet: grtefly describe proposed project: I declare under penalty of perjury That to the best of my knowledge and belief the responses made herein are true and correct. Name of Owner or Authorized Agent Signature of Owner or Authorized Agent Date FIRE DEPARTMENT OCCUPANCY CLASSIFICATiON: FOR OFFICIAL USE ONLY: BY; DATE: I I EXEMI'? OR NO FUNTH RIrIrORMAnON REQUIRED - RELSASED FOR WILDING PERMIT BUT NOT l'OR OCCUPANCY RELeASED F000CUPANCY C0uNTrHMD* APCD COUNYY.IIMD APCD COUN'U.MMD APCD A stamp in this box gjj exempts businesseWWmpVng or updating a MazardouMterials BualnesiPian. Other permitting requirements may still apply. HM-9171 (02111) County of San Diego - DEli—Hazardous Materials Division 04/10/2013 16:04 6192360557 MPA ARCHITECTS PAGE 03/16 INDUSTRIAL. WASTEWATER DISCHARGE" PERMIT 'i ',, . SCREENING SU.RVEY Dates )uih \ i Business' Ndme I ) \ Street Address D (3L WIAXN Em*ii AddresS 1)4 fl MD(A&1)li Ihk - PLEASE CHECK HERE IF YOUR BUSINESSIS EXEMPT' (PNRE'R5E SIPE CHgcK:1vPE OF BUSINESS) Check all 'below That are' present: at your'faciIit: Acid Cleaning' ink.. Manufactrihg N.u*nàl.'$upplemenf/ A'sémbIy Labgratary. .. Vitarptn. ..Manufactwing Automolve Repair Machining I Milling Painting I Finishing Battery Manufa6turin9 . Manufacturing Paint Manufacturing Biofuel Manufacturing Membrane Manufacturing ' 'Personal Care Products, Biotech Laboratory (I e water filter membranes) Manufacturing Bulk Chemical Storage Metal Casting/ Forming Pesbcde Manufacturing I Car Wash Metal .Fabtcation . ' Packaging. Chemical Manufacturing Metal Finishing Pharmaceutical Manufacturing Chem ca] Punifi'cabon El ctOplat1ng (indudiflg'precursors) Pry Cleaning . . ' Eiectrpless plating .Porcelain Enameling Electrical. Component Aflodiing ' Power Generation Manufacturing Coating (1 .0, phosphating) ?riht Shop Fertilizer Manufacturing Chemical Etching'./ Milling Research and Development Film IX-ray Processing 'Printed Circuit Board . Rubber Manufacturing' Food Processing Manufacturing Semiconductor Manufacturing (3lass Manufactunng Metal Powders Forming Soap! Detergent Manufacturing - indqstilal Laundry ' ' Waste TreatrnentfStórage SIC Code(s) (if known): Brief des1ptlon of busins acMttes' (Producion'/"Manqfacturing Qperations):_- Descriptlor. --" generatlng wastewater (discharged to sewer, hauled or evaporated): Eatimàted volume of fldUstria 'wasteW3ter to be dipic List .hazarfous wastes generated (yp'e/volume) ',. • Date operation began/br will begin at this 'location: • ' Have you applied for a Wastewater. Discharge Pernt from' the :Encina Wastewater Authority? Yes 'No If yes, when:..________________________________________________ Site Contact, 'Title - SIgnatu're - Phope No.. ENCINAWASTEWAThR AUTHORITY, 6O0Aveflida Encinas Carlsbad, CA 92011 (TO) 43"941- FAX-,..(760) 476-852 CB130922 2604 EL CAMINO REAL C JERSEY MIKE'S: 1750 SF RETAIL TO RESTAURANT I. sw Dissui, -FL3cv Approved / Date By BUILDING 6///73 t , em PLANNING '//2.9/,L3 ENGINEERING L/ / / / FIRE Expedite? y 4fr7 /13 ,1)F AFS Checked by HazMat APCD Health - F Forms/Fees Sent Rec'd Due? By Ericina V N HazHealthAPCD y N PE&M V N School V N Sewer V N Stormwater - - V N Special Inspection V N CFD: Y andUse: Density. ImpArea: FY: Annex: Factor PFF: (i) N m Coments Date Date Date Date Building Planning Engineering Fire S Need? U Done U Done U Done U Done U Done 0 Done /tO(i' p_±V et4 (ch (/;j a4AA/\Ltf L$/L fCC q(ilI3 zz