HomeMy WebLinkAbout2855 Carlsbad Blvd; ; PC2019-0049; PermitPrint Date: 07/26/2019
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2855 Carlsbad Blvd
BLDG-Plan Check
2032310100
$0.00
Plan Check Permit
Work Class: Commercial
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
-,._,,--y•·---------
(city of
Carlsbad
Permit No: PC2019-0049
Closed -Finaled
06/19/2019
07/11/2019
07/22/2019
Project Title;
Description: CARLSBAD BY THE SEA RETIREMENT COMMUNITY: INSTALLING STAIR EVACUATION CHAIRS IN STAIRWELLS
Applicant:
TOM HUTCHINS
FEE
FIRER Occupancies AU Tl's
Owner:
FRONT PORCH COMMUNITIES AND SERVICES
800 N Brand Blvd
GLENDALE, CA 91203
818-254-4100
MANUAL BUILDING PtAN CHECK FEE
Total Fees: $728.00 Total Payments To Date: $728.00 Balance Due:
Building Division
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
AMOUNT
$628.00
$100.00
$0.00
•
,.
{ Cicyof
Carlsbad
COMMERCIAL
BUILDING PERMIT
APPLICATION
B-2
Plan Check ('.)C 2_o I 7-OOL( f
Est. Value
PC Deposit ---------
Date ~6~/~/~f~;/_,/~-
Job Address 2 855""" fuc\.s.\oa,_cSl. :::0 \\J,9, Suite: ____ APN: Zo'3-2..3l -o1 -ao
Tenant Name: Cat I:, I;, 0 ..Q '9 1 Yb,e .S-ct. CT/Project#: _________ Lot#: ___ _
Occupancy: ________ Construction Type: J;-1/ Fire Sprinklers: d9/ no Air Conditioning: (§I no
BRIEF DESCRIPTION OF WORK: J:..., 6Tc.,\'l~ r::> ~,'.S .51"C:.:.r Euc;,c ...,,iiio"" G\x,,'\,s, ; ru ;;,.:-9,\ ~ ..,. .,\k,
D Addition/New: ___________ New SF and Use, ___________ New SF and Use,
____ Deck SF, Patio Cover SF (not including flatwork)
D Tenant Improvement: _____ SF,
_____ SF,
Existing Use ______ Proposed Use ______ _
Existing Use Proposed Use _____ _
□ Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _
D Solar: ___ KW, __ Modules, ___ Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No
D Plumbing/Mechanical/Electrical Only: ________________________ _
CANT (PRIMARY) PROPERTY OWNER
....,.~~-'.;I,).,,..,.., l<c.ds\,,,.JJ byYhe ¥':< Name: Frg;.,i" t>q,J,. ])~A (Ar\;,k-,~ bi '\rt...: 0eq
\
7
. Address: 8Qo r<> ::lira,.,l.l 'e> 1....,,9 l 9:'D P \go ,i
City:C,li'N&,..\e. State: C\/1 Zip: q1 Zo3
"--'-=<-J.."-'.....,L.;;..-""'"-'-'-----'::.....,------Phone: 9 l 8 -ZS' ':1 -'--11 D l -'-====="'-''-:'-'="":..,_=cs..::=-e=--Email: ___________________ _
/ ll /1'!
Name: C:.v~·, ""~""""'» 6 «N'?
Address: I o.3q 'I :51:c<cJ:
City:.5;,.o:~u~ State: ('. A Zip: 9 2 ID I
Phone: ( 9 -1080 -X ZSQ I
Email: c:,\ \ o/)1 ~--><? (' <..1N i ~ \,.c,..M ,(QM
Architect State License:C.1-'i~IO:C £2 c:?aj j -,31-Z.I
CONTRACTOR BUSINESS
Name: __________________ _
Address: __________________ _
City: _______ State: ___ Zip: _____ _
Phone: __________________ _
Email: ___________________ _
State License: ______ Bus. License: ______ _
(Sec. 7031.S Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement that he/she 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/she 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}).
1635 Faraday Ave Carlsbad, CA 92008
B-2
Ph: 760-602-2719 Fax: 760-602-SSSS
Page 1 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
-
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby a/firm under penalty of perjury one of the following declarations:
□ I have and will maintain a certificate of consent to self-Insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued.
□ I have and will mainta·1n worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit ls issued.
My workers' compensation insurance carrier and policy number are: Insurance Company Name: _____________________ _
Polley No. _____________ Expiration Date: _________ _
□ Certificate of Exemption: r 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 be come
subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage Is unlawful, and shall subject an employer to
criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code,
interest and attorney's fees.
CONTRACTOR SIGNATURE: □AGENT DATE: -----------------------------
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
ill"(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. □ Yes □ No
2. I (have/ 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/ phone/ 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/ address/ phone/
contractors' license number):
s. I will provide some of the work, but I have contracted {hired) the folio ing persons to provide the work indicated {Include name/ address/ phone/ type of work):
OWNER SIGNATURE: ~GENT DATE: r,,,/r=,lr?
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name: _____________________ Lender's Address: ____________________ _
ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
APPLICANT CERTIFICATION:
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to bullding construction.
I hereby authorize representative of the City of carlsbad to enter u JX)n the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP
HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF
THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit Issued by the Building Officlal under the provlsioos rA th Is Code shall expire by limitation and become null and void If the building or work authorized
by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time
after the work is commenced for a period of 180 days (Section 106.44 Uniform Building Code).
APPLICANT SIGNATURE: :::f4._c,,. 44. ~);~
1635 Faraday Ave Carlsbad, CA 92008
B-2
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of2
DATE: _G,-/t_l9...,h_t_9 __ _
Email: Building@carlsbadca.gov
Rev. 06/18
..
• •
{'cicyof
Carlsbad
COMMERCIAL
BUILDING PERMIT
APPLICATION
B-2
Est. Value
PC Deposit ---------
Date _+-'---'/---Ll,..,_1/...,_)1-+---
Job Address __________________ ~Suite: _____ APN: __________ _
Tenant Name: ________________ CT/Project #: _________ Lot#: ___ _
Occupancy: _________ Construction Type: ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
BRIEF DESCRIPTION OF WORK: ----------------------------
D Addition/New: ___________ New SF and Use, ___________ New SF and Use,
___ Deck SF, Patio Cover SF (not including flatwork)
D Tenant Improvement: SF, ------_____ SF,
Existing Use------Proposed u_s~-._ r:~ 1 \/ F o
Existing Use Proposed BJ.:. t.,, • · '" · ""
0 Pool/Spa: _____ SF Additional Gas or Electrical Features? JUL 1 1 2G\9 -------------
D Solar: ___ KW, __ Modules, ___ Mounted, Tilt: Yes/ No, RM A: Yes/ r-fu} ~,~~rupgrad~;v~~)to LU',~_, .. :. · .
D Plumbing/Mechanical/Electrical Only: ---------------------------
D Other: ---------------------------------------
APPLICANT (PRIMARY) PROPERTY OWNER
Name: D\t=C,o t..,,t,.0'\Q,><::.'½ Name: ______________ _
Address:~ lQ:7\) lo SIUIT Address: ______________ _
City: ~ tll tji() State: CA Zip:____ City: _________ State: ___ .Zip: ____ _
Phone: 3::60 ":}()\ :Z-5,.'TO Phone: _______________ _
Email: :0J"M1''Af!?(!G0/\J IN,(;,µ:NJ1 . cOM.Email: ______________ _
DESIGN PROFESSIONAL
Name: viJIJ\JJ(o\\-:NJ\ -Ae0::\tt~-CONTRACTOR BUSINESS
Name: ___________________ _
Address: ________________ _ Address: __________________ _
City: _______ State: ___ Zip: ___ _ City: ________ State: ___ Zip: ______ _
Phone: _________________ _ Phone: ___________________ _
Email: ------------------Email: --------------------Architect State License: ___________ _ St ate License: ______ Bus. License: ______ _
(Sec. 7031.S Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement that he/she 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/she 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}).
1635 Faraday Ave Carlsbad, CA 92008
B-2
Ph: 760-602-2719 Fax: 760-602-8558
Page 1 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
•
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury one of the following declarations:
D I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued.
□ I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My workers' compensation insurance carrier and policy number are: Insurance Company Name: ______________________ _
Policy No. ______________ Expiration Date: _________ _
□ 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 be come
subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage is unlawful, and shall subject an employer to
criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code,
Interest and attorney's fees.
CONTRACTOR SIGNATURE: □AGENT DATE: ------------------------------
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
0 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).
0 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).
0 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. 0 Yes O No
2. J (have/ have not) signed an application for a building permit for the proposed work.
3. r have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number):
4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/
contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of wor~):
OWNER SIGNATURE: □AGENT DATE: _____ _ ----------------------
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 {i) Civil Code).
Lender's Name: ______________________ lender's Address: _____________________ _
ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes O No
Is the facility to be constructed within 1,000 feet ofthe outer boundary of a school site? 0 Yes O No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
APPLICANT CERTIFICATION:
I certify that I have read the application and state that the above information is correct and that the information 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 purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP
HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF
THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized
by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time
after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT SIGNATURE: _____________________ DATE: ________ _
1635 Faraday Ave Carlsbad, CA 92008
B-2
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
•
I
DATE: 6/27/2019
JURISDICTION: Carlsbad
PLAN CHECK#.: PC2019-0049
✓• EsG1I
A SAFEbuilfCompany
SET: I
PROJECT ADDRESS: 2855 Carlsbad Blvd.
□ APPLICANT
□ JURIS.
PROJECT NAME: Carlsbad by the Sea Evacuation Chair Installation
~ The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building 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.
D The check list transmitted herewith is for your information. The plans are being held at EsGil
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:
~ EsGil staff did not advise the applicant that the plan check has been completed.
0 EsGil staff did advise the applicant that the plan check has been completed.
Person contacted:
Date contacted:
Mail Telephone
0 REMARKS:
By: Jason Pasiut
EsGil
(by:
Telephone#:
) Email:
Fax In Person
Enclosures:
6/20/2019
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
Carlsbad PC2019-0049
6/27/2019
[DO NOT PAY-THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad
PREPARED BY: Jason Pasiut
PLAN CHECK#.: PC2019-0049
DATE: 6/27/2019
BUILDING ADDRESS: 2855 Carlsbad Blvd.
BUILDING OCCUPANCY: R-2.1
BUILDING AREA Valuation
PORTION ( Sq. Ft.) Multiplier
Tl hourly review
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code #NIA
\ 1997 UBC Building Permit Fee E]
\ 1997 UBC Plan Check Foe L•J
Type of Review: r Complete Review
r Other
Reg. VALUE
Mod.
r Structural Only
r Repetitive Fee '1111 / ~j Repeats P' Hourly
EsGII Fee
~
c:===]Hr.@ •
~ ~ ~
" Based on hourly rate
Comments:
($)
/
/ ,
.,?-'
V ~ 1/:J. 5ul
I
$90.007
Sheet 1 of 1
(cicyof
Carlsbad
CLIMATE ACTION PLAN
CONSISTENCY CHECKLIST
B-50
Development Services
Building Division
1635 Faraday Avenue
(760) 602-2719
www.carlsbadca.gov
PURPOSE
This checklist is intended to assist building permit applicants identify which Climate Action Plan (CAP) ordinance
requirements apply to their projects. Unless none of the requirements apply, the completed checklist must be
included in the building permit application. It may be necessary to supplement the completed checklist with
supporting materials, calculations or certifications, to demonstrate full compliance with CAP ordinance
requirements. For example, projects that propose or require a performance approach to comply with energy-
related measures will need to attach to this checklist separate calculations and documentation as specified by
the ordinances.
A If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required
by ordinance, an explanation must be provided to the satisfaction of the Building Official.
A Details on CAP ordinance requirements are available on the city's website.
Project Name/Building
Permit No.:
Property Address/APN:
Applicant Name/Co.:
Applicant Address:
Contact Phone:
G -~ , L -, , _ BP No.: -~oi...c.VQ.\ io1v a.,r -.-.:>~1a...,..g,1 ~99 _________ _
"'7'0~ l.~!S _ ~I~ Contact Email: \ " ~ 1 \. "' ~ ~ ~-2 ~C\i\,g-,e rro,ll I Orc.,l..,\,-l\ler'
Contact information of person completing this checklist (if different than above):
Name:
Company
name/address:
B-50
Contact Phone:
Contact Email:
Applicant Signature:~ 1-{fi, .~ Date: 9 /r rd f
Page 1 of 3 Revised 04/19
City of Carlsbad Climate Action Plan Consistency Checklist
Use the table below to determine which sections of the Ordinance Compliance checklist are applicable to your project.
For residential alterations and additions to existing buildings, contact the building counter for the building permit valuation.
Building Permit Valuation (BPV) $ ___________ _
I Compllll Slctlon(•> I Nalll:
D Residential
D New construction 1A
D Alterations: D exempt
D BPV c!: $60,000
D Electrical service panel upgrade
1A
1A
1-2 family dwellings and townhouses with attached garages
only
D BPV c!: $200,000 1A
Multi-family dwellings only where interior finishes are removed
and significant site work and upgrades to structural and
mechanical, electrical, and/or plumbing systems are proposed
D Nonresidential
D New construction 1B and 2
Q . Alterations 2
1. Electric Vehicle Charging
A. D Residential New construction and major alterations (or electric panel upgrade)*
Please refer to Car1sbad Ordinance CS-349 when completing this section.
D One and two-family residential dwelling or townhouse with attached garage:
D One EVSE ready parking space requ ired D Exception :
D Multi-family residential· D Exception ·
Total Parking Spaces EVSE Spaces
Proposed Capable I Ready I
I I
Calculations: Total EVSE spaces = .10 x Total parking (rounded up to nearest whole number)
EVSE Installed = Total EVSE Spaces x .50 (rounded up to nearest whole number)
EVSE other= Total EVSE spaces -EVSE Installed
(EVSE other may be "Capable," "Ready" or "Installed.")
Installed I Total
I
*Major alterations are: (1) for one and two-family dwellings and townhouses with attached garages, alterations have a building permit valuation 2: $60,000 or
include an electrical service panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), alterations have a building permit valuation
2: $200,000, interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed.
B D Nonresidential new construction (includes hotels/motels) D Exception ·
Total Parking Spaces EVSE Spaces
Proposed Capable I Ready I Installed I Total
I I I
Calculation: Refer to the table below·
Total Number of Parking Spaces provided Number of required EV Spaces Number of reauired EVSE Installed Spaces
□ 0-9 1 1
□ 10-25 2 1
□ 26-50 4 2
□ 51-75 6 3
□ 76-100 9 5
□ 101-1 50 12 6
□ 151-200 17 9
□ 201 and over 1 0 percent of total 50 percent of Required EV Spaces
Updated 4/12/2019 2
· City of Carlsbad Climate Action Plan Consistency Checklist
2. D Transportation Demand Management (TOM)
A List each proposed nonresidential use and gross floor area (GFA) allocated to each use.
B. Employee ADT/1,000 square feet is selected from the table below.
Use GFA Employee ADT for first Employee ADT for each
1,000 S.F. subsequent 1,000 S.F.
Total
If total employee ADT is greater than or equal to 110 employee ADT, a TOM plan is required.
TOM plan required: Yes D No D
Updated 4/12/2019
ADT for first Emp ADTI
Use 1,000 s.f. 1000 s.f.1
Office (all)2 20
Restaurant 11
Retaib 8
Industrial 4
Manufacturing 4
Warehousina 4
1 Unless otherwise noted, rates estimated from /TE Trip
Generation Manual, 1()1hEdition
20
11
4.5
3.5
3
1
2 For all office uses, use SAN DAG rate of 20 ADT/1,000 sf to
calculate employee ADT
3 Retail uses include shopping center, variety store, supermarket,
gyms, pharmacy, etc.
Other commercial uses may be subject to special
consideration
Sample calculations:
Office: 20,450 sf
1. 20,450 sf/ 1000 x 20 = 409 Employee ADT
Retail: 9,334 sf
1. First 1,000 sf= 8 ADT
2. 9,334 sf -1,000 sf= 8,334 sf
3. (8,334 sf/ 1,000 x 4.5) + 8 = 46 Employee ADT
Total Employee ADT
3
OFFICE USE ONLY • SAN DIEGO REGIONAL
HAZARDOUS MATERIALS
QUESTIONNAIRE
RECORD ID# _________________ _
. . PLAN CHECK# __________________ 1
Mailing Address
..:Set.---~ a~ c::a.,\oc, u c:-
Business Contact col.)A.. \AJTc
City
BP DATE
Telephone# ''° -'i5r --z.o ,~
Plan File#
Project Contact
le-....... \AS-~w
Applicant E-mail
T
Telephone#
7(-o 4.3s · Z.3 --e-c
The following questions represent the facil 's activities, NOT the specific project descrlp Ion.
PART I: FIRE DEPARTMENT -HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLA~SIFICATION: (not required for projects within the City of San
Diego): Indicate by circling the item, whether your business will use, process, or store any o 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
3. Flammable/Combustible Liquids
4. Flammable Solids
6. Oxidizers 10. Cryogenics
7. Pyrophorics 11 . Highly Toxic or Toxic Materials
8. Unstable Reactives 12. Radioactives
14. Other Health Hazards
@Jone of These.
questions is yes, applicant must contact the ounty o an Diego Hazardous Materials Division, 5500 vertand Avenue,
Call (858) 505-6700 prior to the issuance of a building permit.
FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy:
YES Ng. (for new construction or remodeling projects)
1. 0 ~Is your business listed on the reverse side of this form? (check all that apply).
2. 0 ~ _,.Will your business dispose of Hazardous Substances or Medical Waste in any amount?
3. D [ii"' Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500
___,......pounds and/or 200 cubic feet?
4. 0 LH.,-Will your business store or handle carcinogens/reproductive toxins in any quantity?
5. 0 l!J/Will your business use an existing or install an underground storage tank?
6. 0 ~111 your business store or handle Regulated Substances (CalARP)?
7. 0 111 your business use or install a Hazardous Waste Tank System (TIiie 22, Article 1 0)?
8. D Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to
or realer than 1,320 allons? California's Above round Petroleum Stora e Act .
0 CalARP Exempt
I
Date Initials
0 CalARP Required
I
Date Initials
0 CalARP Complete
I
Date Initials
PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCDl: Any YES* answer requires a stamp from APCD 10124 Old Grove Road, San
Diego, CA 92131 apcdcomp@sdcoynty.ca.gov (858) 586-2650). [*No stamp required if Q1 Yes amt Q3 Yes amt Q4-Q6 No]. The following questions are intended
to identify the majority of air pollution issues at the planning stage. Projects may require additional measures not Identified by these questions. For comprehensive
requirements contact APCD. Residences are typically exempt, except -those with more than one building• on the property; single buildings with more than four
dwelling units; townhomes; condos; mixed-commercial use; deliberate bums; residences forming part of a larger project. i♦Excludes garages & small outbuildings.)
1.
2.
3.
4.
5.
6.
YES NO 0 ~Will the project disturb 160 square feet or more of existing building materials? 0 l!I Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition. D D (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance
D
D
D
Technician?
0 (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification
_ _,,.may be required 1 0 working days prior to commencing asbestos removal.
[!I" Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet
cwww.sdapcd.org/lnfolfacts/permits.pdf) for typical equipment requiring an APCD permit. 0 (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school
bounda
Briefly describe business activities:
T rr. -,
I declare under penalty of perjury that to the bes ~ )'t\p..,:,. l-\ St""c;;...,~ "'\. 19 "')
Date
117
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• APCD COUNTY-HMO APCO COUNTY-HMO APCO
. . . A stamp m this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply .
HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
SCREENING SURVEY
PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS)
Check all below that are present at your facility:
Acid Cleaning Ink Manufacturing Nutritional Supplement/
Assembly Laboratory Vitamin Manufacturing
Automotive Repair Machining/ Milling Painting/ Finishing
Battery Manufacturing Manufacturing Paint Manufacturing
Biofuel Manufacturing Membrane Manufacturing Personal Care Products
Blotech Laboratory (I.e. water filter membranes) Manufacturing
Bulk Chemical Storage Metal Casting/ Forming Pesticide Manufacturing/
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 / Milling Research and Development
Film/ 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/ Storage
SIC Code(s) (if known): _____________________ _
Brief description of business activities (Production/ Manufacturing Operations): Le £ ,-,.5,,, $l
:R-e..:.rr¾..,,-,. \ Cc,re <;:'c;,.c'i \·,,-,, £' .. r ':r½.e ELS"-" '1 ( 'Refe)
Description of operations generating wastewater (discharged to sewer, hauled or evaporated):
Estimated volume of industrial wastewater to be discharged (gal I day): _______ _
List hazardous wastes generated (type/volume): _______________ _
Date operation began/or will begin at this location: _______________ _
Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority?
Yes No If yes, when: ____________________ _
~,=="'="--""'-'"'-"'""":"-'O::.....il'-----Title O' r«:"'ic:aC" C, r c::;r A.>(./L rq"'-:>~"l Se1~>
~/:e:~~~'#.}_~~=-:----,-,--=-IPhone No. C 7(,,,0) 43S:-2.3 C 3
HORITY, 6200 Avenida Encinas Carlsbad, CA 92011 (760) 438-3941
FAX: (760) 476-9852
LIST OF BUSINESSES WHICH REQUIRE REVIEW AND APPROVAL FROM THE COUNTY OF SAN DIEGO
DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION
Check all that apply:
AUTOMOTIVE
D Battery Manufacturing/Recycling
D Boat Yard
D Car Wash
D Dealership Maintenance/Painting
D Machine Shop
D Painting
D Radiator Shop
D Rental Yard Equipment
D Repair/Preventive Maintenance
D Spray Booth
D Transportation Services
D Wrecklng/RecycHng
CHEMICAL HANDLING
D Agricultural supplier/distributor
D Chemical Manufacturer
D Chemical Supplier/Distributor
D Coatings/Adhesive
D Compressed Gas Supplier/Distributor
D Dry Cleaning
D Fiberglass/Resin Application
D Gas Station
D Industrial Laundry
D Laboratory
D Laboratory Supplier/Distributor
0 Oil and Fuel Bulk Supply
D Pesticide Operator/Distributor
CHEMICAL HANDLING
D Photographic Processing
D Pool Supplies/Maintenance
D Printing/Blue Printing
D Road Coatings
D Swimming Pool
D Toxic Gas Handler
D Toxic Gas Manufacturer
METAL WORKING
D Anodizing D Chemical Milling/Etching
D Finish-Coating/Painting
D Flame Spraying
D Foundry
D Machine Shop-Drilling/Lathes/Mills
D Metal Plating
D Metal Prepping/Chemical Coating
O Precious Metal Recovery
D Sand Blasting/Grinding
D Steel Fabricator
D Wrought Iron Manufacturing
AEROSPACE
D Aerospace Industry
D Aircraft Maintenance
D Aircraft Manufacturing
OTHERS AND MISCELLANEOUS
□ Asphalt Plant
D Biotechnology/Research
D Chiropractic Office
D Co-Generation Plant
D Dental ClinidOffice
D Dialysis Center
D Emergency Generator
D Frozen Food Processing Facility
D Hazardous Waste Hauler
D Hospital/Convalescent Home
D Laboratory/Biological Lab
D Medical Clinic/Office
D Nitrous Oxide (NO,) Control System
D Pharmaceuticals
0 Public Utility
D Refrigeration System
D Rock Quarry
D Ship Repair/Construction
D Telecommunications Cell Site
D Veterinary ClinidHospital
D Wood/Furniture Manufacturing/Refinishing
ELECTRONICS
D Electronic Assembly/Sub-Assembly
D Electronic Components Manufacturing
D Printed Circuit Board Manufacturing
NOTE: THE ABOVE LIST INCLUDES BUSINESSES, WHICH TYPICALLY USE, STORE, HANDLE, AND DISPOSE OF HAZARDOUS SUBSTANCES.
ANY BUSINESS NOT INCLUDED ON THIS LIST, WHICH HANDLES, USES OR DISPOSES OF HAZARDOUS SUBSTANCES MAY STILL REQUIRE
HAZARDOUS MATERIALS DIVISION (HMO) REVIEW OF BUSINESS PLANS. FOR MORE INFORMATION CALL (858) 505-6880.
LIST OF AIR POLLUTION CONTROL DISTRICT PERMIT CATEGORIES
Businesses, which include any of the following operations or equipment, will require clearance from the Air Pollution Control District.
CHEMICAL
47 -Organic Gas Sterilizers
32 -Acid Chemical Milling
33 -Can & Coil Manufacturing
44 -Evaporators, Dryers & Stills Processing
Organic Materials
24 -Dry Chemical Mixing & Detergent Spray
Towers
35 -Bulk Dry Chemicals Storage
55-Chrome Electroplating Tanks
COATINGS & ORGANIC SOLVENTS
27 -Coating & Painting
37 -Plasma Arc & Ceramic Deposition Spray
Booths
38 -Paint, Stain & Ink Mfg
27-Printing
27 -Polyester Resin/Fiberglass Operations
METALS
18 -Metal Melting Devices
19 -Oil Quenching & Salt Baths
32 -Hot Dip Galvanizing
39 -Precious Metals Refining
ORGANIC COMPOUND MARKETING
!GASOLINE, ETC)
25 -Gasoline & Alcohol Bulk Plants & Terminals
25 -Intermediate Refuelers
26 -Gasoline & Alcohol Fuel Dispensing
COMBUSTION
34 -Piston Internal -Combustion Engines
13-Boilers & Heaters (1 million BTU/hr or larger)
14 -Incinerators & Crematories
15 -Bum Out Ovens
16 -Core Ovens
20 -Gas Turbines, and Turbine Test Cells & stands
48 -Landfill and/or Digester Gas Flares
ELECTRONICS
29 -Automated Solderlng
42 -Electronic Component Mfg
fOQQ
12 -Fish Canneries
12 -Smoke Houses
50 -Coffee Roasters
35 -Bulk Flour & Powered Sugar Storage
SOLVENT USE
28 -Vapor & Cold Degreasing
30 -Solvent & Extract Driers
31 -Dry Cleaning
ROCK AND MINERAL
04 -Hot Asphalt Batch Plants
05 -Rock Drills
06 -Screening Operations
07 -Sand Rock & Aggregate Plants
08 -Concrete Batch, CTB, Concrete Mixers, Mixers
&Silos
1 O -Brick Manufacturing
OTHER
01 -Abrasive Blasting Equipment
03 -Asphalt Roofing Kettles & Tankers
46 -Reverse Osmosis Membrane Mfg
51 -Aqueous Waste Neutralization
11 -Tire Buffers
17 -Brake Debonders
23 -Bulk Grain & Dry Chemical Transfer & Storage
45 -Rubber Mixers
21 -Waste Disposal & Redamation Units
36 -Grinding Booths & Rooms
40 -Asphalt Pavement Heaters
43 -Ceramic Slip Casting
41 -Perlite Processing
40 -Cooling Towers -Registration Only
91 -Fumigation Operations
56 -WWTP (1 million gal/day or larger) & Pump
Station
NOTE: OTHER EQUIPMENT NOT LISTED HERE THAT IS CAPABLE OF EMITTING AIR CONTAMINANTS MAY REQUIRE AN AIR POLLUTION
CONTROL DISTRICT PERMIT. IF THERE ARE ANY QUESTIONS, CONTACT THE AIR POLLUTION CONTROL DISTRICT AT (858) 586-2600.
HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division
-----------· ~--··
DISCHARGE PERMIT EXEMPT LIST
The commercial enterprises listed below are a partial listing of businesses that are exempt
from Industrial wastewater discharge permitting under normal operating conditions. They
are exempt because (a) they discharge no process wastewater (i.e., they only discharge
sanitary wastewater with no pollutants exceeding any local limits), and (b) they have no
potential to negatively impact the EWPCF or other wastewater treatment plants in the
ESS. Any questions regarding exemptions should be referred to EWA Source Control
staff.
.)<
Automobile Detailers
Barber/Beauty Shops
Business/Sales Offices
Carpet/Upholstery Cleaning Services
Childcare Facilities
Churches
Community Centers
Consulting Services
Contractors
Counseling Services
Educational Services (no auto repair/film developing)
Financial Institutions/Services
Fitness Centers
Gas Stations (no car wash/auto repair)
Grocery Stores (no film developing)
Home-based Businesses
Hotels/Motels (no laundry)
Laundromats
Libraries
Medical Offices (no x-ray developing)
Mortuaries
Museums
Nail Salons
Nursing Homes
Office Buildings (no process flow)
Optical Services
Pest Control Services (no pesticide repackaging for sale)
Pet Boarding/Grooming Facilities
Postal Services
Public Storage Facilities
Restaurants/Bars
Retail/Wholesale Stores (no auto repair/film developing)
Theaters (Movie/Live)
Justin Ernst
From:
Sent:
To:
Cc:
Subject:
Sent from my iPhone
Diego Lastres <dlastres@cuningham.com>
Thursday, July 11, 2019 11 :38 AM
Joan Johnson
Building
Re: Stair Evacuation Chair
> On Jul 11, 2019, at 11:20 AM, Joan Johnson <J0JOHNS0N@frontporch.net> wrote:
>
> Diego,
>
JUl l l '2.0\g
err--/
t,) __ ;;i. <
. ·: .. : , l
> You have my authorization to sign in place of Thomas Hutchins, who is no longer employed at Carlsbad By The Sea.
>
> Thank you,
>
>Joan
>
> Joan Johnson
> Executive Director
> Carlsbad By The Sea Retirement Community
> (Office) 760-435-2321
> jojohnson@frontporch.net
>
>
>
>
>
>
> -----Original Message-----
> From: Diego Lastres [mailto:dlastres@cuningham.com]
> Sent: Thursday, July 11, 2019 11:14 AM
> To: Joan Johnson <JOJOHNSON@frontporch.net>
> Cc: building@carlsbad.gov
> Subject: Stair Evacuation Chair
>
> Hi Joan,
> I just left you a voice message. I am at the counter of the city of Carlsbad pulling the permit for the stair evacuation
chairs.
> If you can respond to all in this email authorizing me to sign instead of Thomas Hutchins to pull the owner/builder
permit I can bring the permit back to you this afternoon. I will pay the total fee of 874.5$ and reimburse it if you agree to
that too.
> Let me know.
> Diego
> Sent from my iPhone
1
> This e-mail and any files transmitted with it are confidential and intended solely for the use of the individual or entity
to whom they are addressed. If you have received this e-mail in error please notify the originator of the message.
2