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2681 GATEWAY RD; 103; CB153221; Permit
City of Carlsbad 12-11-2015 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB153221 Building Inspection Request Line (760) 602-2725 Job Address: 2681 GATEWAY RD CBADSt: 103 Permit Type: Tl Sub Type: COMM Status: ISSUED Applied: 09/29/2015 Entered By: JMA Parcel No: 2131911400 Lot#: 0 Valuation: $125,807.50 Construction Type: 58 Occupancy Group: Reference# Project Title: BOARD N'BREW: 1,975 SF Tl REST TO RESTAURANT Applicant: JACOB HEROLD STE 120 3600 BIRCH ST NEWPORT BEACH CA 92660-2623 949-7 57-0411 X28 Building Permit Add'l Building Permit Fee Plan Check Add'l Building Permit Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'l Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee Fire Expedidted Plan Review $718.36 $0.00 $502.85 $0.00 $0.00 $35.23 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $6.00 $0.00 Total Fees: $1,534.27 Total Payments To Date: Inspector: Date: Owner: Plan Approved: 12/11/2015 Issued: 12/11/2015 Inspect Area Plan Check #: REGENCY BRESSI L L C C/0 CORNERSTONE REAL ESTATE ADVIS 100 WILSHIRE BLVD #700 SANTA MONICA CA 90401 Meter Size Add'l Reel. Water Con. Fee Meter Fee SDCWA Fee CFD Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (31 05541) Traffic Impact Fee (4305541) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees HMP Fee Green Bldg Standards Plan Chk TOTAL PERMIT FEES $1,534.27 Balance Due: Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $77.00 $143.00 $51.83 $0.00 $0.00 $0.00 $0.00 ?? ?? $1,534.27 $0.00 NOTlCE: ReasetakeNOTlCEthat ~ ofyo..~r prqed irdudestre"lrrvniti "of fees, dedicatioos, reservatioos, orctrerexadioos hereaftercdledively referred to as 'feeslexactioos." You have 00 days from the date this p:mit was issued to protest irJ1X)Sition of trese feeslexa:tions. If yo..1 protest them yo..1 nust fdiONtre protest praa:lures set forth in C?o.temrnent COOe Section fill20(a), and tile tre protest and any ctrer reqJred inforrration wth the Oty ~for prcressing in oo::udance wth Caisbad M.Jiidpal C00e Section 3.32.030. Failure to tirrely fdiONthat praa:Jure \1\111 bar any subsequent legal action to attad<, review, set aside, vdd, or annt.J their irJ1X)Sition. You are rereby FURTl-ER NOTlRED that yoJr right to protest tre spadfied fees/exactions IXE> NOT APR.. Yto 'M:lter and reJo.H cronedion fees and capacity cilanges, nor plarring, za1ng, grading or ctrer sinilar application precessing or service fees in cronection wth this prqed. l'rn 1XE> IT APFl Y to any feeslexactioos of Wlich have viousl been ·vena NOTlCE sinilar to this or as to Wich tre statute of linitatioos has ·ous1 ctrer\l\1se e 'red. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: [JPLANNING []ENGINEERING []BUILDING []FIRE []HEALTH L::iHAZMAT/APCD (City of Building Permit Application Plan Check No. cJ?;> (':)--3 2.2-f 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value r;f 1 Z,l.j" 81)1. c;;-D Ph: 760-602-2719 Fax: 760-602-8558 Carlsbad Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date q. z_q. I) lsWPPP JOB ADDRESS SUITE#/SPACE#/UNIT# ~~03rPN 2681 Gateway Road --- CT /PROJECT # rOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME rONSTR. TYPE 1 occ. GROUP Board and Brew DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) TENANT IMPROVEMENT OF EXISTING RESTAURANT FOR NEW RESTAURANT TENANT. INTERIOR WALLS TO BE DEMOED. INSTALLATION OF NEW INTERIOR WALLS (NON STRUCTURAl), ELECTRICAL, MECHANICAL, & PLUMBING. i 4./S sP EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS Restaurant Restaurant YESO NoD YEsONoD YEsONoD APPLICANT NAME Jacob Herold PROPERTY OWNER NAME AHBNB, Inc. Primary Contact ADDRESS ADDRESS 3600 Birch St. #120 979 Avenida Pico, Unit C CITY STATE ZIP CITY STATE ZIP Newport Beach CA 92660 San Clemente CA 92673 PHONE I FAX PHONE I FAX 949-757-0411 x28 949-757-0511 760-443-5011 EMAIL EMAIL jherold@bickelgrp.com DESIGN PROFESSIONAL Jacob Herold CONTRACTOR BUS. NAME 5 0 Oe.s.","' ..-04. ... -t..\oc>~+ ADDRESS ADDRESS ~ <3>+. 3600 Birch St. #120 ~\ :\:.t ~' c:; CITY STATE ZIP CITY STATE cA ZIP a. d... Newport Beach CA 92660 gC."\ Q ;~g ~\0 PHONE I FAX PHONE I FAX A 949-757-0411 x28 949-757-0511 8sB<~1s-SJS.S ~ EMAIL EMAIL jherold@bickelgrp.com C3\)~\c;,p@. G-t-A~ :\ . co-.. I STATE LICC-20925 STATELIC.# ct'1 ~ '"1 \O I CLASS~ jO{)pt.L~d (Sec. 7031.5 Busmess and Profess1ons Code: Any C1ty or County wh1ch reqwres a perm1t to construct, alter, 1m prove, demolish or repa1r an~ structure, pnor to 1ts 1ssuance, also requ1res the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500}). Workers' Compensation Declaration: I hereby affirm under penafty of perjury one of the following declarations: QJ have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ,P!J I have and will maintain wo~pensation, as required by Section 3700 of the Labor Code, for the performance of the wo~or which this permit is ~sued. My workers' compensation in urance arrier and policy number are: Insurance Co. I r~...a.-1-u-s Policy No. ~ &o 1-:;.. e;;... b b 0 Expiration Date ' 1, /6 This section need not be completed if the permit is for one hundred dollars [$1 00) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, Section 3706 of the interest and attorney's fees. Ji$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes 0No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): _.g PROPERTY OWNER SIGNATURE ENT DATE I certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection pwposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennR is required for excavations over 5'0' deep and demolition or consbuction of sbuctures over 3 stories in height. EXPIRATION: Every penn it issued by the Building Official under the provisions of this Code i by limitation and become null and void if the building or work authorized by such penn it is not commenced within 180 days from the date of such penni! or if the building or work authorized by such or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifonn Building 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. CERTIFICATIE OF OCCUPANCY (Commercial Projects 0 n I y l Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: CONTACT (listed above) OCCUPANT (listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (listed above) OCCUPANT (listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION ..r'7 R5 APPLICANT'S SIGNATURE p~ DATE / I paction List Permit#: CB153221 Type: Tl Date ~ection Item 03/31/2016 89 Final Combo 03/31/2016 89 Final Combo 03/28/2016 89 Final Combo 03/28/2016 89 Final Combo 02/29/2016 44 Rough/Ducts/Dampers 02/16/2016 45 Hoods 02/16/2016 84 Rough Combo 01/20/2016 14 F rame/Steei/Bolting!Weldin 01/20/2016 24 Roughffopout 01/20/2016 34 Rough Electric 12/23/2015 21 Underground/Under Floor Tuesday, April 05, 2016 COMM Inspector Act Rl py AP Rl py NR py AP py AP py AP py AP py AP py PA py AP BOARD N'BREW: 1 ,975 SF Tl REST TO RESTAURANT Comments LATE PM PLEASE/COF EARLY AM PLEASE/EMAILING CARD Page 1 of 1 EsGil Corporation In Partnersliip witli government for CBui(aing Safety DATE: 10/30/15 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 15-3221 SET: II PROJECT ADDRESS: 2681 Gateway Rd Suite 103 PROJECT NAME: Board and Brew-TI [gj The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes . . 0 The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: [gj EsGil Corporation staff did not advise the applicant that the plan check has been completed. D EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: --,....,_,!)Telephone#: Date contacted: -(b~ ) Email: Mail Telephone Fax In Person D REMARKS: By: Doug Moody Enclosures: EsGil Corporation 0 GA 0 EJ 0 MB 0 PC 10/26/15 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 EsGil Corporation In Cl'artnersliip witli government for CBui(aing Safety DATE: 10/9/15 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 15-3221 SET: I PROJECT ADDRESS: 2681 Gateway Rd Suite 103 PROJECT NAME: Board and Brew-TI DflPLICANT ,.AJ JURIS. D PLAN REVIEWER D FILE D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. t:8J The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: D 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: Jacob Herold Telephone#: 949-757-0411 ex 28 _Vate coptacted: \0j t:t ~ail ..f ~~n~ Fax D REMAR~n, (b~ Email: jherold@bickelgrp.com By: Doug Moody EsGil Corporation In Person 0 GA 0 EJ 0 MB 0 PC Enclosures: 10/1/15 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 c;,ty of Carlsbad 15-3221 10/9/15 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: 15-3221 OCCUPANCY: A2 TYPE OF CONSTRUCTION: VB ALLOWABLE FLOOR AREA: SPRINKLERS?: Unknown REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 9/29/15 DATE INITIAL PLAN REVIEW COMPLETED: 10/9/15 FOREWORD (PLEASE READ): JURISDICTION: City of Carlsbad USE: Restaurant ACTUAL AREA: 1975 STORIES: 1 HEIGHT: OCCUPANTLOAD: 90 DATE PLANS RECEIVED BY ESGIL CORPORATION: 10/1/15 PLAN REVIEWER: Doug Moody 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 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 you submit the revised plans. City of Carlsbad 15-3221 10/9/15 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. 1. Provide a Building Code Data Legend on the Title Sheet. Include the following code information for each building proposed: • Occupancy Classification(s) to be an A2 • Sprinklers: Yes or No • Occupant Load 2. Please provide plans and calculations signed by the California State licensed engineer or architect for the structural support of the 1400# water heater. Include all calculations and finding on the plans. Please include the California license number, seal, date of license expiration and date plans are signed. Business and Professions Code. 3. Please review the requirements, revise the plans appropriately and imprint on the plans the City of Carlsbad Policies and Procedures for Roof Mounted Equipment to the plans. Advisory Note : When c;ilterations, structural repairs or additions are made to an existing building, that building, or portion of the building affected, is required to comply with all of the following requirements, per Section 11 B-202.4: • The area of specific alteration, repair or addition must comply as "new" construction. • A primary entrance to the building and the primary path of travel to the altered area, must be shown to comply with all accessibility features. • The path of travel shall include the existing parking. • Existing toilet and bathing facilities that serve the remodeled area must be shown to comply with all accessibility features. • Please address the following comments that are the result of the alterations. , City of Carlsbad 15-3221 10/9/15 4. It is unclear from the plans if the restrooms servicing the tenant improvement are disabled accessible, please provide a dimensioned restroom plans showing the restroom to be accessible compliant. 5. Show that the minimum strike edge distances are provided at the level area on the side to which a door swings, per Section 11 B-404.2.4: a) ~18" at interior conditions for the new door to the kitchen. 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 D No D 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 15-3221 10/9/15 [DO NOT PAY-THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PREPARED BY: Doug Moody PLAN CHECK NO.: 15-3221 DATE: 10/9/15 BUILDING ADDRESS: 2681 Gateway Rd Suite 103 BUILDING OCCUPANCY: A2 BUILDING AREA Valuation PORTION (Sq. Ft.) Multiplier Tl 1975 63.70 Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance Bldg. Permit Fee by Ordinance Pian Check Fee by Ordina nee Type of Review: D Complete Review 0Repetitive Fee ,.. Repeats Comments: D Other D Hourly EsGil Fee Reg. VALUE Mod. D Structural Only 1-------tl Hr. @ • ($) 125,808 125,808 $718.361 $466.931 $402.281 Sheet 1 of 1 macvalue.doc + DATE: PLAN CHECK REVIEW TRANSMITTAL PROJECT NAME: BOARD AND BREW Tl Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www .ca rlsbadca .gov PLAN CHECK NO: 1 SET#: 1 ADDRESS: 2681 GATEWAY ROAD PROJECT ID:CB153221 APN: VALUATION: This plan check review is complete and has been APPROVED by: LAND DEVELOPMENT ENGINEERING DIVISION Final Inspection by the Construction Management Division is required Yes No D 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: Christopher.Giassen@carlsbadca.gov D Linda Ontiveros 760-602-2773 Linda.Ontiveros@carlsbadca.gov VaiRay Nelson 760-602-2741 VaiRay.Nelson@carlsbadca.gov For questions or clarifications on the attached checklist please contact the reviewer as marked above. Remarks: NO CHANGE OF USE. ONLY CHANGE IN THE LAYOUT AND LOCATION. BOARD AND BREW Tl 1 Lot I Map No.: uu•·Hucv issues are nutrked with . Please make the necessary rn•'I'N'tuu•" codes and standards and re-submit corrected nuuuuw division. items that to -or-have 1. SITE PLAN Provide a fully dimensioned site plan drawn to scale. Show: North arrow Existing & proposed structures • Property line dimensions Easements Show on site plan: , Drainage patterns · Existing & proposed slopes Existing topography Retaining Walls (location and height) . Indicate what will happen with soil excavated from pool area. lncluae on title sheet: Site address Assessor's parcel number Legal description/lot number For all commercial/industrial building and tenant improvements, include: total building square footage with the square footage fore each different use, showing square footage of different uses (manufacturing, storage, warehouse, office, etc.) Example: 10,900 sf of SHELL to 10,900 sf OFFICE 7,000 sf of SHELL to 7,000 sf STORAGE 3,900 sf of SHELL to 3900 sf MANUFACTURING Subdivision/Tract: Reference No(s): E-37 Page 2 of 4 REV 6/2012 BOARD AND BREW Tl 1 Attachments: E-37 2. GRADING PERMIT REQUIREMENTS The conditions that require a grading permit are found in Section 11.06.030 of the Municipal Code. Inadequate information available on site plan to make a determination on grading requirements. Include accurate grading quantities in cubic yards (cut, fill, import, export and remedial). This information must be included on the plans. If no grading is proposed write: "NO GRADING" Minor Grading Permit required. NOTE: The grading permit must be issued and grading approval obtained prior to issuance of a building permit. A separate grading plan prepared a registered civil engineer must be submitted together with the completed application form attached. Graded Pad Certification required. All required documentation must be provided to your Construction Management & Inspection division inspector, . The inspector will then provide the Land Development Engineering counter with a release for the building permit. See attached checklist for minimum submittal requirements. 3. MISCELLANEOUS PERMITS RIGHT-OF-WAY PERMIT is required to do work in city right-of-way and/or private work adjacent to the public right-of-way. A separate right-of-way issued by the engineering division is required for the following: Engineering Application Storm Water form Right-of-Way Application/Info Reference Documents Page 3 of 4 REV 6/2012 THIS PROJECT*** Fee Calculation Worksheet ENGINEERING DIVISION Prepared by: Date: GEO OAT A:LFMZ : I B&T: Address: Bldg. Permit#: Fees Update by: Date: Fees Update by: Date: EDU CALCULATIONS: List types and square footages for all uses. Types of Use: Sq.Ft.!Units EDU's: Types of Use: Types of Use: Types of Use: Sq.Ft.!Units Sq.Ft./Units Sq.Ft.!Units ADT CALCULATIONS: List types and square footages for all uses. EDU's: EDU's: EDU's: Types of Use: Sq.Ft.!Units ADT's: Types of Use: Types of Use: Types of Use: FEES REQUIRED: Sq. Ft./Units Sq.Ft.!Units Sq. Ft./Units ADT's: ADT's: ADT's: Within CFD: :!YES (no bridge & thoroughfare fee in District #1, reduces Traffic Impact Fee) : NO 1. PARK-IN-LIEU FEE:, ~NW QUADRANT NE QUADRANT : SE QUADARANT SW QUADRANT ADT'S/UNITS: I X FEE/ADT: I =$ 2.TRAFFIC IMPACT FEE: ADT'S/UNITS: I X FEE/ADT: I=$ 3. BRIDGE & THOROUGHFARE FEE: 1 DIST. #1 DIST.#2 1DIST.#3 ADT'S/UNITS: I X FEE/ADT: I=$ 4. FACILITIES MANAGEMENT FEE ZONE: ADT'S/UNITS: IX FEE/SQ. FT./UNIT: I=$ 5. SEWER FEE EDU's IX FEE/EDU: I=$ BENEFIT AREA: EDU's IX FEE/EDU: I=$ 6. DRAINAGE FEES: PLDA: I HIGH i MEDIUM ,LOW ,~, ACRES: IX FEE/AC: I=$ 7. POTABLE WATER FEES: UNITS CODE CONN. FEE METER FEE SDCWA FEE TOTAL PLANNING DIVISION BUILDING PLANCHECK APPROVAL P-28 DATE: 10/22/15 PROJECT NAME: T.l. PROJECT ID: Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.e:ov PLAN CHECK NO: CB153221 SET#: ADDRESS: 2681 GATEWAY RD #103 k8J This plan check review is complete and has been APPROVED by the PLANNING Division. By: GINA RUIZ A Final Inspection by the PlANNING Division is required DYes ~No You may also have one or more from divisions may be required prior to the Resubmitted plans should from divisions listed below. Approval a building permit. D 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: JHEROLD@BICKELGRP.COM For questions or clarifications on the attached checklist please contact the following reviewer as marked: PlANNING ENGINEERING FIRE PREVENTION 760-602-4610 760-602-2750 760-602-4665 D Chris Sexton D 760-602-4624 Chris.Sexton@carlsbadca.gov [8] Gina Ruiz D 760-602-4675 Gina.Ruiz@carlsbadca.gov D Remarks: REVIEW#: 1 2 3 ~DO ~DO ~DO ~DO ~DO ~DO Site Plan: P-28 Plan Check No. CB153221 Address 2681 GATEWAY RD Date 10/22/15 Review#£ Planner GINA RUIZ Phone (760) 602-4675 Type of Project & Use: LL Net Project Density: DU/AC Zoning: P-C General Plan: RH/L/CF Facilities Management Zone: .11 CFD (in/out) #_Date of participation: __ Remaining net dev acres: __ (For non-residential development: Type of land use created by this permit: __ ) Legend: ~ Item Complete D Item Incomplete -Needs your action Environmental Review Required: YES 0 NO ~ TYPE DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: Discretionary Action Required: YES 0 NO ~TYPE __ APPROVALIRESO. NO. DATE PROJECT NO. OTHER RELATED CASES: Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval: __ Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES 0 NO 181 CA Coastal Commission Authority? YES 0 NO 181 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): Habitat Management Plan Data Entry Completed? YES 0 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!) lnclusionary Housing Fee required: YES D NO ~ (Effective date of lnclusionary Housing Ordinance-May 21, 1993.) Data Entry Completed? YES D NO D (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE!) Housing Tracking Form (form P-20) completed: YES D NO D N/A ~ Page 2 of 3 07111 C8JDD C8JDD C8JDD C8JDD C8JDD C8JDD DC8JD C8JDD DC8JD City Council Policy 44 -Neighborhood Architectural Design Guidelines 1. Applicability: YES D NO [8J 2. Project complies: YES D NOD Zoning: 1. Setbacks: Front: Interior Side: Street Side: Rear: Top of slope: Required __ Shown __ Required __ Shown __ Required __ Shown __ Required __ Shown __ Required __ Shown __ 2. Accessory structure setbacks: Front: Required __ Shown __ Interior Side: Required __ Shown __ Street Side: Required __ Shown __ Rear: Required __ Shown __ Structure separation: Required __ Shown __ 3. Lot Coverage: Required __ Shown __ 4. Screening of Equipment: Required YES Shown STATED ON PLANS THAT EQUIPMENT IS SAME HEIGHT OF EXISTING EQUIPMENT AND NOT HIGHER THAN EXISTING PARAPET. 5. Parking: Spaces Required no change of use Shown n/a Additional Comments PLANCHECK NO. 1: #1. PLEl\SE ADD SECTIONS SHOWING HOVV THE EXISTING PARAPET IS OF SUFFICIENT HEIGHT TO SCREEN THE NEW ROOF MOUNTED EQUIPMENT (SHOVVN ON SHEET M2.0) FROM VIEVV FROM STREETS WITHIN 500 FEET (SEE l\TTACHMENT FOR EXAMPLE FOR HOVV TO SHOVV THE SECTION). OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE P-28 Page 3 of 3 07111 DATE: 10e7~15 PROJECT NAME: Board and Brew PROJECT ID; PLAN CHECK NO: eb16332ib SET#: I ADDRESS: 26$1 Gateway rd. st«:l:102 APN: 1'532.'2..\ ~ This plan cheek review Is complete and haa been APPROVED by the Fire Olvis.ion. By: D. Flsrl A Final Inspection by the Fire Division is required t21 ¥$s 0 NQ O This plan check review Is NOT COMPLETE, Items missing or Incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Cheek 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: Chris Sexton 760~602~4624 0 Gina Ruiz 760-6024675 ~Ruiz@e~ri~b§gc~ D Remarks: 0 Kathleen Lawrence 760~602~2741 i\rirthle~n.l,.awrenq~~ 0 D linda Ontiveros 760~602~2773 D Greg Ryan 760-602,.4663 0 ClndyWong 760~602-4662 CY~ong®cmrlsl;la<;!el\i.gov ~ Dominie Fieri 7eo~eo2,4eG4 Qom~~ Carlsbad Fi.re Department Plan Review Requirements Category: TI , COMM Date of Report: 10~07-2015 Name: Address: Permit#: CBl53221 JACOB HEROLD STE 120 3600 BIRCH ST NEWPORT BEACH CA 92660~2623 Job Name: Job Address: BOARD N'BR.EW: 1,975 SF Tl REST 2681 GATEWAY RD CBAD St: 103 Cond: CON0008599 [MET] ~ lJEPTCOP'Y Reviewed by~ 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 PERJvUT OR APPROVE THE VIOLATION OF ANY LAW. Entry: 10/07/2015 By: df Action: AP Project: Board& Brew Project No. 15-177 Designed By: DST 10115 Bickel Group DATE Client: Reviewed By: DATE CALCULATION TABLE OF CONTENTS Page Subject These calculations contain information proprietary to STB Structural Engineers, Inc. This document or its contents may not be reproduced or disclosed to others without the prior written consent of STB Structural Engineers, Inc. All rights reserved. © 2015 STB Structural Engineers, Inc. STRUCTURAL DESIGN CRITERIA CODE: 2013 CALIFORNIA BUILDING CODE CUJ l.f JJA; Ll.l ~ " I-c;j < ~ 0 ~' g -<=>' 0; c' ~ m, !il ,8 >-8' c:o ~ 0 lU u ~ >< !!! ;.: w .. 5 w w ...J 0::: u:: Sawn Lumber! GLB Analysis: J1 Member Size: 2x6 Grade= No.1 Point Load: Point Load: Fv = 180 psi Fb = 1000 psi E = 1, 700,000 psi Location a (ft) = 1.5 Location a (ft) = 0.0 Partial Uniform Load: J1 Location a (ft) = 0 0 Location b (ft} = 0 0 Member Size: 2x6 Grade= No.1 Point Load: Point Load: Fv = 180 psi Fb = 1000 psi E = 1,700,000 psi Location a (ft} = 0.5 Location a (ft) = 0.0 Partial Uniform Load: Location a (ft) = 0.0 Location b (ft) = 0.0 PROJECT: Board & Beer T.l. CLIENT: Bickel Group STB JOB NO. 15-177 SHEET NO. 4 OF BY· DST DATE: 9/15 2012 NOS SPAN (ft) = 3.00 Uniform Load: wDL (#/ft) = 10 wTL (#/ft) = 1 0 PDL (#) = 700 PTL (#) = 700 POL(#)= 0 PTL (#) = 0 wDL (#/ft) = 0 wTL (#/ft) = U SPAN (ft) = 3.00 Uniform Load: wDL (#/ft) = 1 0 wTL (#/ft) = 10 PDL (#) = 700 PTL (#) = 700 PDL (#) = 0 PTL (#) = 0 wDL (#/ft) = 0 wTL (#/ft) = 0 R1 = 365 # R2 = 365 # V@ d = 360 # v:4.1/dst/cmh A= 8.3 in2 Sx = 7.6 in3 lx = 21 in114 Mmax = 536 ft-# Cd=0.90 Cf=1.30 tv= 66 psi< F'v = Fv Cd = 162 psi OK fb = 851 psi < F'b = Fb Cd Cf = 1 , 170 psi OK Deflection Criteria: Total Load Ll 180 L\ DL = ,\ LL = .• :-. TL = Live Load Ll 240 0.02 in = Ll 1829 0.00 in= Ll 999999 0.02 In:: L/ 1829 Use 2x6 R1 = 598 # R2 = 132 # V@ d = 594 # Mmax = 291 ft-# A= 8.3 in2 Sx = 7.6 in3 lx = 21 in114 Cd = 0.90 Cf= 1.30 tv= 108 psi< F'v = Fv Cd = 162 psi OK fb = 462 psi < F'b = Fb Cd Cf = 1,170 psi OK Deflection Criteria: Total Load Ll 180 Live Load Ll 240 A DL = 0.01 in = L/ 3684 ALL= 0.00 in= ll 999999 A TL = 0.01 in= Ll 3684 Use 2x6 Design Maps Summary Report Design Maps Summary Report User-Specified Input Report Title Board and Brew !'-ion Septembr"r 28, 2015 18:-18:45 IJTC Building Code Reference Document 2012 International Building Code (which utilizes USGS hazard data avaii<Jble in 2008) Site Coordinates 33.12714°N, 117 .25219°W Site Soil Classification Site Class D -"Stiff Soil" Risk Category I/II/III ~mapquest ~·." .. ·,._--.. ···· USGS-Provided Output S5 = 1.037 g sl = OA02 g SMS = 1.125 g SM1 = 0.643 g S 05 = 0.750 g S 01 = 0.428 g For information on how the SS and Sl values above have been calculated from probabilistic (risk-targeted) and deterministic ground motions in the direction of maximum horizontal response, please return to the application and select the "2009 NEHRP" building code reference document. a. _. 11 a:n MCE., Response Spectrum 1.20 1.09 O.!il> O.S4 0.72 0.1!:0 0.49 0.)!; 0.24 0.12 0. 00 +---l,..._-+--+--+--+--+--+--+--+--1 0.00 0.20 0.40 O.GO 0.90 1.00 1.20 1.40 LGO 1.90 2.00 Period, T (sec) ...... 0 II Ill Design Response Spectrum 0.911 o.so 0.72 o.u 0.51'; O.(Q 0.40 O.l2 0.24 0.11'; 0.09 0.00 +---lf---+--+--+--t--+-+----,f--+--i 0.00 0.20 0.40 0.,0 0.90 LOO L20 lAO l.GO 1.90 2.00 Period, T C sec) Although this information is a p:·oduct of thi~ U.S. Geolog,c;JI Survey, we provide no .,..,arrilnty, expressed or implied, as to th1~ http://ehp2-earthquake. wr .usgs.gov/designmaps/us/summary .php?template=minimal&latitude= 33.127142&1ongitude=-117.252191&siteclass=3&riskcategory=O.. . 1/2 "t 'HE3E CALCCJLiiTiOijS GONIA'~ !ljfORW,fiON PkOPRI:Oift.RY TO STB STRIJCTURAL ENGiNEERS. !NC. TH!S DOCUMENT 0'< !TS CONTENTS /,lAY NOT BE RtPRODUCED OR DISCLOSED iO OTfiERS 'NITHOUT THE PRIOR VIRIFEN CONSENT 'JF :STB STPUG.TURAL E"JGINEJ:RS INC ':; 2:";!1 1\t.L RlGHTS RESERV!:D REVIEWED BY-·-·· E' ~ 1~. . r=~· ··1-" ~-~._.:.,_,. . .. , ... :' ~~--I'~ ·\" ~~' ~ t_ . L-.,( .. . ....... !. -I . : ~~ • ! ~ "> ~ I.~ ..... -----, .. -. . . .; --f-'\\1 ! ~ ~ ~.I~ : f ~ll . .;_j) ' . t ~~I (:~ ! ·i;~ I" : · . _.;, ~ """' ·-,/.. :: t' . : ....... ........... t~ ' .... l;; ' ~ ~· . -~· ~--····· ~ ' ! ·····-·· -._w_·-· 1 ~ ·~· -~ ' ~ ~ i f ~ '::i ~ ~ ~ <;;;'- !";>~{-. 'I --b.... .. ... ----~·. ----- ~..~ . : ~ ~~ .V ~ j ~ ~ ~ l i' ~ \ \ \ . ~ ... ~~j. ·-~ ·. [. " . .......,"; . . . . ~ ·.c:> ~ !-. -~ . ·-~ ..... ~ 0! 11F . .. .. r-,--· : .... ~\t~ -~ .. JJ-- · .. .-'X , .ra ~ i ..., :.:t \i' w·· /---......... -+ ~ .. 3\rl ''·· '• ___ / I ~ ~ :~ .. ~ ~ wU u ,~ u. j -------···-·-· --r--------·------- ···~····-·---· r I ~ r:.. ~-l .. ··. \ $ ...... ts - t"! .. :~~ ~j~_~ . ~ ; j ··---~--··" i '" II II iL. 0 "'0 c ::0 m o z c:.. -t m .. 0 Ill ~ ~ -'1 !'!' !/) !/) ::t -'1 m to m c.. -'1 0 z to ~~~ 0 "II :-:' ELIZABETH POZZEBON Director DBA: Board & Brew QCountp of ~an !J.Biego DEPARTMENT OF ENVIRONMENTAL HEALTH FOOD AND HOUSING DIVISION P.O. BOX 129261, SAN DIEGO, CA 92112-9261 Phone: (858) 505-6659 FAX: (858) 505-6824 1 (800) 253-9933 www.sdcdeh.org PLAN APPROVAL SHEET SITE: 2681 Gateway Ste 102 Carlsbad 92009 BUSSINESS OWNER: David Suor Plans are approved contingent upon the following: AMY HARBERT Assistant Director DATE: 5/11/15 PC #: FFPP-004993 1) Department of Environmental Health (DEH) stampetl plans shall be maintained at the jobsite and available for review at the time of the inspection. 2) Changes to equipment layout, menu, or application must be submitted for approvaL Changes made without approval will make the plan approval null and void. 3) Obtain local Building Department and all applicable agencies permits and approvals PRIOR TO FINAL INSPECTION AND APPROVAL TO OPERATE BY THIS DEPARTMENT. 4) All food and utensil-related equipment shall be certified to applicable sanitation standards by an ANSI accredited testing agency. 5) Upon completion of 60%-80% of construction, call (858) 505-6660 to schedule a preliminary inspection. In lieu of a plumbing inspection by DEH: a. Floor sinks shall be installed \1, exposed and equipped with an appropriate grill cover if no access is provided for cleaning. b. Drain lines 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. c. No condensate drainage of any kind, including HV AC can drain to the mop sink. d. The entire floor surface must be sloped to the floor drains approximately 1/8 inch per foot or a four feet diameter depression that slopes 1:50 (approximately '14 inch per foot). e. Conduits of all types shall be installed within walls as practicable. When otherwise installed, they shall be mounted or enclosed in a chase so as to facilitate cleaning. 6) Owners and/or operators must pass an approved and accredited Food Safety Certification course. Proof of successful completion of this course is to be furnished at the fmal inspection. 7) At the time when the final inspection is requested, the facility shall have all utilities operational and all refrigeration shall have an ambient air temperature of38oF or below and shall be equipped with a thermometer accurate to+/-2°F in the warmest section of the unit. All equipment is to be in place and functionaL 8) Seal all cracks, gaps and crevices in counters, cabinets, around metal flashing, sink backsplashes, around pipes and conduits with silicone sealant. 9) An air balance test shall be furnished at the time of the final inspection (for facilities with mechanical exhaust systems). 10) ANY FOOD PROCESSING AREAS MUST BE COMPLETELY ENCLOSED. OPERABLE WINDOWS, MOVEABLE WALL PANELS, GARAGE ROLL-UP DOORS, OR OTHER MEANS OF RENDERING FOOD PROCESSING AREAS NOT FULLY ENCLOSED ARE NOT APPROVED. Plans reviewed by Heidi Sundberg, SEHS @ (858) 505-6909 Chris Cardwell, EHT @ (858) 505-6775 CALL (858) 505-6660 AT LEAST 10 WORKING DAYS IN ADVANCE 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: District Inspector File "Environmental and public health through leadership, partnership and science" INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY Date. ___ _ Business Name. _ ___._,&=h''-'-'--'J::..._=M:....-.l!o<.J-=(3'--'-r:.Ji<r=ir.J---------------- Street Address _ _,Zb.::::=-....._8 ._l --=4z""'A-~'--'M=.+.c.:.::;?r--~oe."'""J=--..:::.~-=u:...:..: .....::h=---·..wl o~'Z _________ _ Email Address. __________________________ _ PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) I ~ I Check all below that are present at your facility: Acid Cleaning Ink Manufacturing Nutritional Supplement I Assembly Laboratory Vitamin Manufacturing Automotive Repair Machining I Milling Painting I Finishing Battery Manufacturing Manufacturing Paint Manufacturing Biofuel Manufacturing Membrane Manufacturing Personal Care Products Biotech Laboratory (i.e. water filter membranes) Manufacturing Bulk Chemical Storage Metal Casting I Forming Pesticide Manufacturing I Car Wash Metal Fabrication Packaging Chemical Manufacturing Metal Finishing Pharmaceutical Manufacturing Chemical Purification Electroplating (including precursors) Dry Cleaning Electroless plating Porcelain Enameling Electrical Component Anodizing Power Generation Manufacturing Coating (i.e. phosphating) Print Shop Fertilizer Manufacturing Chemical Etching I Milling Research and Development Film I X-ray Processing Printed Circuit Board Rubber Manufacturing Food Processing Manufacturing Semiconductor Manufacturing Glass Manufacturing Metal Powders Forming Soap I Detergent Manufacturing Industrial Laundry Waste Treatment I Storage SIC Code(s) (if known):----------------------- Brief description of business activities (Production I Manufacturing Operations): _____ _ 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 I volume):--------------- Date operation began/or will begin at this location:--------------- Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes No If yes, when:-------------------- ~ I Site Contact U4<--v7 l'rt;;JZ-c?(.,l'? Title kz)-,.-f,cc f- Signature __ ~~=-~---------Phone No. &i~J '?57-(!) o/ II n t-3' ENCINA WASTE R AUTHORITY, 6200 Avenida Encinas Carlsbad, CA 92011 (760) 438-3941 FAX: (760) 476-9852 OFFICE USE ONLY RECORDID# __________________ ~ SAN DIEGO REGIONAL HHMBP# ____________________ ~ HAZARDOUS MATERIALS QUESTIONNAIRE BPDATE ____ ~--~---- Business Name CvAv-.}. AAJ Business Contact'DA-vt j Telephone! l ?&o) 'I 'I:!> -5'0 II Project Address City fo State C-.tr State CA Zi» Code APN# '12..00;? Zip Code e:::z 7'$ Plan File# The following questions represent the facility's activities, NOT the specific project description. PART 1: FIRE DEPARTMENT-HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: (not required for projects within the City of San Diego): Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are circled, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: Facility's Square Footage (including proposed project): 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives 2. Compressed Gases 6. Oxidizers 1 0. Cryogenics 14. Other Health Hazards 3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These. 4. Flammable Solids 8. Unstable Reactives 12. Radioactives PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION CHMD): If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 170, San Diego, CA 92123. Call (858) 505-6700 prior to the issuance of a building permit. FEES ARE REQUIRED. Project Completion Date: Expected Date of Occupancy: D CaiARP Exempt I 1. 2. 3. 4. 5. 6. 7. 8. YES NO § I D D D D D I (for new construction or remodeling projects) Is your business listed on the reverse side of this form? (check all that apply). Will your business dispose of Hazardous Substances or Medical Waste in any amount? Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? Will your business store or handle carcinogens/reproductive toxins in any quantity? Will your business use an existing or install an underground storage tank? Will your business store or handle Regulated Substances (CaiARP)? Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). Date Initials D CaiARP Required I Date Initials D CaiARP Complete I Date Initials PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT !APCDl: If the answer to Question #1 below is no or the answer to any of the Questions #2-5 is yes, applicant must contact the APCD at 10124 Old Grove Road, San Diego, CA 92131-1649 or telephone (858) 586-2600 prior to the issuance of a building or demolition permit. 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. (Some residential projects may be exempt from the notification requirements. Contact the APCD for more information.) YES 1. ~ 2. 3. D 4. D 5. D NO D _pa r& Has a survey been performed to determine the presence of Asbestos Containing Materials? 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.org/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://www.cde.ca.gov/re/sd/ for public and private schools or contact the appropriate school district). 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 involvin the removal of a load su ortin structural member? Briefly describe business activities: Briefly describe proposed project: ~I"' 4rJI-~tV!} :e,... /l}v'&--!L/1 r I declare under penalty pf perjury that to the best of my knowledge and belief t e resp C)~~ H:f£/!A(.. D -----=.fL..,,L:4~-!::_------erein are true and correct. I I Name of Owner or Authorized Agent Date FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: _______________________________ _ BY' DATE· I I EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMO* APCO COUNTY-HMO APCO COUNTY-HMO APCO . . *A stamp m th1s box only exempts busmesses from completmg or updatmg a Hazardous Matenals Bus1ness Plan. Other perm1ttmg requirements may still apply . HM-9171 (03/14) County of San Diego-DEH-Hazardous Materials Division cftECEIVED DEC 11 2015 CITY OF CARLSBAD PLUMBING, ELECTRICAL, MECHANICAL WORKSHEET B-18 Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov Building@carlsbadca.gov Project Address: 2.LDgt CJiccnrw OJ..\ ect -Permit No.: (J6 15 3 2 '2._{ Information provided below refers to wor~ being done on the above mentioned permit only. This form must be completed and returned to the Building Division before the permit can be issued. B-18 Building Dept. Fax: {760) 602-8558 Number of new or relocated fixtures, traps, or floor drains ....................................................... ....Qt._ New building sewer line? ......................................................................................... Yes __ No£ Number of new roof drains?............................................................................................................... 0 Install/alter water line? ......................................................................................................................... }6. Number of new water heaters? ......................................................................................................... _I_ Number of new, relocated or replaced gas outlets? .................................................................... _a_ Number of new hose bibs? .................................................................................................................. __Q_ Residential Permits: New/expanded service: Number of new amps: Minor Remodel only: Yes__ No Commercial/Industrial: Tenant Improvement: Number of existing amps involved in this projed: Number of new amps involved in this projed: 0 New Construction: Amps per Panel: Single Phase ............................................................... Number of new amperes _______ _ Three Phase ................................................................. Number of new amperes _______ _ Three Phase 480 ........................................................ Number of new amperes _______ _ Number of new furnaces, A/C, or heat pumps? ....................................................... 7............. _Q_ New or relocated duct worl:?? .......................................................................... Yes No __ _ Number of new fireplaces? ................................................................................................................. _Q_ Number of new exhaust fans? ........................................................................................................... . Relocate/install vent? ........................................................................................................................... . Number of new exhaust hoods? ....................................................................................................... . Number of new boilers or compressors? ........................................................... Number of HP 0 0 I 0 Page 1 of 1 Rev. 03/09