HomeMy WebLinkAbout2626 EL CAMINO REAL; B; CBC2020-0174; PermitBuilding Permit Finaled
(city of
Carlsbad
Commercial Permit
Print Date: 11/23/2020 Permit No: CBC2020-0174
Job Address: CARLSBAD, CA 92008-1253 Status: Closed -Finaled
Permit Type:
2626 El CAMINO REAL, # B,
BLDG-Commercial
1670307600
Work Class: Tenant Improvement
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
$125,297.94
Track#:
Lot#:
Project#:
Plan#:
Bedrooms: Construction Type:
Bathrooms: Orig. Plan Check#:
Plan Check#:
Project Title:
Description: COMPANION ANIMAL WELLNESS CENTER: 2,694 SF T.I.
Applicant: Property Owner:
PLAZA SOUTH LLC COMPANION ANIMAL WELLNESS CENTER OF
CARLSBAD
CARMINE BAUSONE
14646 STURNELLA WAY
ROBIN BEALE CAMERON
10721 TREENA ST, # STE 200
SAN DIEGO, 92131
VALLEY CENTER, CA 92082-5263
(760) 644-2952
FEE
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
(619) 469-3600
ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL
FIRE Plan Review Per Hour -Office Hours
MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-COMMERCIAL
Total Fees: $1,610.19 Total Payments To Date: $1,610.19
Applied:
Issued:
Finaled Close Out:
Inspector:
Final Inspection:
Contractor:
ADIV ELYSIUM
1006 HOPPER AVE
05/18/2020
07/22/2020
CRenf
11/23/2020
SAN MARCOS, CA 92069-2120
(760) 815-6553
Balance Due:
AMOUNT
$718.30
$502.81
$89.00
$204.00
$55.00
$6.00
$35.08
$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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), anq file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Building Division Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
Ccityof
Carlsbad
COMMERCIAL
BUILDING PERMIT
APPLICATION
B-2
Plan Chee• ~£ ~ 51
Est. Value ,er
PC Deposit --------
Date •~/l K~
JobAddressLi.;2h t?2 CAM1µv 12.e-4-L Suite: _/3 ___ APN:
CA2~.5A-,-, CA q l,..6>E>g
Tenant Name: ctt,t;,,,,?11v e: (3,4US&,U C CT/Project#: ______ Lot#:. ___ _
Occupancy: S::'.:> Construction Type: TL Fire Sprinklers:O YES~NO Air Conditioning~ YESQ NO
BRIEF DESCRIPTION OF WORK: (.;-~
D Addition/New: ___________ ,New SF and Use, __________ .New SF and Use,
_____ Deck SF, Patio Cover SF (not including flatwork)
~ Tenant Improvement: ;)C::fl o/ SF, Existing Use L (, 9 4( Proposed Use <.,_-b '7 ~
_____ SF, Existing Use ______ Proposed Use _____ _
D Pool/Spa: _____ SF Additional Gas or Electrical Features? ___________ _
□ Solar: ___ KW, __ Modules, ___ Mounted, Tilt:Q YQN, RMA:Q YQ N, Panel Upgrade:Q YQ N
D Plumblng/Mechanical/Electrical Only: _______________________ _
D Other: ______________________________ _
APPLICANT (PRIMARY CONTACT) PROPERTY OWNER
Name: C~;t11r-,c;. 6AU~/J~ Name: Pl.A2A-Sovff U (__
Address: l':('1':f\, STUl3,\..Ha.LA::: u-J~ Address: f/'J?Z--{ neeyA-~f-*'°"
City: I/A)~ (~ State:CA---Zip: 9 fiZ... City: '$ 1¥-1 State:C/4 Zip: 9?) 3 /
Phone: Z,_ O ~ ,2A 5 z._ Phone: C, t '7 'fl q:3d'CV
Email:C 412'11/JC< Re,v ~ Q. G-r!>-1 \. (0f"\ Email: 'j(o61 µ PAc I fit C.ot,,,;,1Co~<t.1.-(. (Ir'
DESIGN PROFESSIONAL ,/) CONTRACTOR BUSINESS
Name: :Ti2Ev\J-.> L...:. 5.Ctllt-L L Name: C.c,/-1-cJµ -fZA<0 Co,.;!.}.
Address: 51? 3 VJ ~£..\A.J t:r ~ -o • :Su,-1<. 9 I Address: / Gl:X? Af:,,ff612".-Ave .,-
City: 5Ai.J $)EC;,;-s:2 State:CA Zlo:1?2)20 Cltv:f;4+! t(~ State:CA Zip: '7ZOC.'z
Phone: i S" · C.'12..' 3 "p '3$ Phone: Ztei! -8(5"-c;.S-~3
Email: TscJl,'t;u@ S'c/Jq.\l tt!qtl-,l'Gc'/'S.-(0"1 Email: ,tq ✓ez_yqu-t. Z.~tO C:rf'V'l,C, (Of\..
Architect State License:<.: -pl $ Lf Z:1 State Ucense:l'S'%s'b"i4 l Bus. License: /?t..QS IZ.'::f 003--=,..
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demo~~ ,!,r aiv'i.ilr:;,~o 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.S by any applicant for a permit subjects the appllcant to a civil penalty of not more than five hundred dollars {$500)).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-1 Page 1 of 2 Rev. 03/20
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury Q!lf of the following declarations: 01 have and will maintain a certificate of consent to self•lnsure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued.
DI 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: ____________________ _
Polley No. _____________ Explratlon Date: _________ _
D Certificate of Exemption: I certify that ln 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 compensatlon coverase Is unlawful, and shall subject an employer to
criminal penalties and clvll 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: DI, 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).
DI, as owner of the property, am excluslvely 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) llcensed
pursuant to the Contractor's license Law).
DI am exempt under Section ...,.. ______ ,Business and Professions Code for this reason:
1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES Q NO
2. I (have/ have not) signed an appllcatlon 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. r 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 wlll provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work):
OWNER SIGNATURE: _________________ □ AGENT DATE: _____ _
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there ls a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) C'ivil 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 materlals 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 I No
Is the facllity 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 POUUTION 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 cartsbad 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, com AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID cnv IN CONSEQUENCE OF
THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit Is required for excavations overS'O' deep and demol'ttion or oonstruction of structures over 3 stories In height.
EXPIRATION: Every permit Issued by the Building Official under the provisions of this Code shall expire by Hmltatlon and become null and void if the building or work authorized
by such permit is not commenced within 365 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 {AB2913).
APPLICANT SIGNATURE: ____________________ DATE: _______ _
1635 Faraday Ave Carlsbad, CA 92008
B-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of 2
Email: Building@carlsbadca.gov
Rev. 03/20
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury Q!1!f. of the following declarations: DI 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 ls issued.
0 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 C.Ompany Name: ____________________ _
Polley No. _____________ Explratton Date: _________ _
~ Certificate of Exemption: I certify that in the performance of the work for which this permit ls issued, I shall not employ any person in any manner so as to be come
~ct to the workers' compensation Laws California. WARNING: Failure to secure workers compensation coverage is unlawful, and shall subject an employer to
criminal penaltles and clvil fines up to $1 , In addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code,
Interest end attorney's fees.
CONTRACTOR SIGNATURE:
( OPTION B ): OWNER-BUILDER
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 wort 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 hls 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 bulld 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(sl lfcensed
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. Q YES Q NO
2. I (have / have not) signed an application for a bullding 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):
5. I wlll provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name /address/ phone / type of work):
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 registr~rm or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes ~ , ~
Is the applicant or future building occupant required to obtain a permit from the air pollution co!JID)I district or air quality management district? Yes~
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes /W
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.
1 hereby authorize representative of the City of cartsbad to enter upon the above mentioned propMyfor inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP
HARMLESS THE CllY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHI~ MAY IN ANY WAY ACCRUE AGAINST SAID OTY IN CONSEQUENCE OF
THE GRANTING OF TH1S PERMIT.OSHA: An OSHA permit is required for excavations over5'0' deep and demolition or construction of structures ewer 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 wort authorized
by such permit is not commenced within 365 days Iron of such permit or if · ng or work authorized by such permit Is suspended or abandoned at any time after
the wort ls commenced for a period of 1BJ days (
APPLICANT SIGNATURE:
1635 Faraday Ave Carlsbad, CA 92008
B-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of 2
DATE: YVcJO
Email: Building@carlsbadca.gov
Rev.03/20
PERMIT INSPECTION HISTORY for (CBC2020-0174)
Permit Type: BLDG-Commercial
Work Class: Tenant Improvement
Status: Closed . Finaled
Application Date: 05/18/2020 Owner: PLAZA SOUTH LLC
Issue Date: 07/22/2020 Subdivision: PARCEL MAP NO 08586
Expiration Date: 05/04/2021
IVR Number: 26412
Address: 2626 EL CAMINO REAL, # B
CARLSBAD, CA 92008-1253
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Sta rt Date
11/23/2020 11/23/2020 BLDG-Final Inspection 144535-2020
Monday, November 23, 2020
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLOG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Status
Passed Peter Dreibelbis
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Page 2 of 2
Building Permit Inspection History Finaled
(City of
Carlsbad
PERMIT INSPECTION HISTORY for (CBC2O2O-0174}
Permit Type: BLDG-Commercial
Work Class: Tenant Improvement
Status·. Closed -Finaled
Application Date: 05/18/2020 Owner: PLAZA SOUTH LLC
Issue Date: 07/22/2020 Subdivision: PARCEL MAP NO 08586
Expiration Date: 05/04/2021
IVR Number: 26412
Address: 2626 EL CAMINO REAL, # B
CARLSBAD, CA 92008-1253
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
08/07/2020 08/07/2020 BLDG-21 135056-2020 Passed Chris Renfro
Underground/Underflo
or Plumbing
Checklist Item
BLDG-Building Deficiency
COMMENTS
09/17/2020 09/17/2020 BLDG-84 Rough 138549-2020 Passed Tim Kersch
Combo(14,24,34,44)
Checklist Item
BLDG-Building Deficiency
BLDG-14
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Rough-Topout
BLDG-34 Rough Electrical
BLDG-44
Rough-Ducts-Dampers
COMMENTS
Virtual 9/17/20 screws and insulation,
09/28/2020 09/28/2020 BLDG-17 Interior 139443-2020 Partial Pass Tony Alvarado
Lath/Drywall
Checklist Item
BLDG-Building Deficiency
COMMENTS
September 28, 2020: (virtual inspection).
1. Demising wall between tenant
units-commercial, first layer, base layer,
drywall nailing pattern and type of drywall-
approved.
09/29/2020 09/29/2020 BLDG-17 Interior 139475-2020 Passed Chris Renfro
Lath/Drywall
Checklist Item
BLDG-Building Deficiency
COMMENTS
FaceTime inspection for drywall on
/29/2020, Ok
11/05/2020 11/05/2020 BLDG-85 T-Bar, Celling 143032-2020 Passed Chris Renfro
Monday, November 23, 2020
Grids, Overhead
Checklist Item
BLDG-Building Deficiency
BLDG-14
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Rough-Topout
BLDG-34 Rough Electrical
BLDG-44
Rough-Ducts-Dampers
COMMENTS
Complete
Passed
Yes
Incomplete
Passed
Yes
Yes
No
Yes
No
Reinspection Incomplete
Passed
Yes
Complete
Passed
Yes
Complete
Passed
Yes
Yes
Yes
Yes
Yes
Page 1 of 2
DATE: 7/1/2020
JURISDICTION: Carlsbad
PLAN CHECK#.: CBC2020-0174
✓• EsG1I
A SAFEbu1lf Cornp;:my
SET: II
PROJECT ADDRESS: 2626 El Camino Real
PROJECT NAME: TI Companion Animal
0 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:
Carmine Bausone
0 EsGil staff did not advise the applicant that the plan check has been completed.
D EsGil staff did advise the applicant that the plan check has been completed.
Person contacted: Carmine Bausone Telephone #: 760-644-2952
Date contacted:1 li.\'ZD (~ ) Email: carminebausone@gmail.com
Mail Telephone Fax In Person
0 REMARKS:
By: Steven Miller
EsGil
7/1/2020
Enclosures:
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
DATE: 6/1/2020
JURISDICTION: Carlsbad
✓• EsG1I
A SAFFbullt'Company
SET: I
PROJECT ADDRESS: 2626 El Camino Real
PROJECT NAME: TI Companion Animal
D APPLICANT
D JURIS.
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.
~ 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.
~ The applicant's copy of the check list has been sent to:
Carmine Bausone
D EsGil staff did not advise the applicant that the plan check has been completed.
~ EsGil staff did advise the applicant that the plan check has been completed.
Person contacted : Carmine Bausone Telephone#: 760-644-2952
Date contacted:
Mail Telephone
0 REMARKS:
By: Steven Miller
EsGil
(by: ) Email: carminebausone@gmail.com
Fax In Person
Enclosures:
6/1/2020
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92 123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
Carlsbad CBC2020-0174
6/1/2020
PLAN REVIEW CORRECTION LIST
COMMERCIAL
PLAN CHECK#.: CBC2020-0174
OCCUPANCY: B
TYPE OF CONSTRUCTION: VB
ALLOWABLE FLOOR AREA:
SPRINKLERS?:
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION: 5/18/2020
DATE INITIAL PLAN REVIEW
COMPLETED: 6/1/2020
FOREWORD (PLEASE READ):
JURISDICTION: Carlsbad
USE: B
ACTUAL AREA: 2694
STORIES: 1
HEIGHT:
OCCUPANT LOAD: 53
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 5/21/2020
PLAN REVIEWER: Steven Miller
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 2019 CBC, which adopts the 2018 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 2018 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.
Carlsbad CBC2020-017 4
6/1/2020
[DO NOT PAY-THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad
PREPARED BY: Steven Miller
BUILDING ADDRESS: 2626 El Camino Real
BUILDING OCCUPANCY: B
!BUILDING I AREA
I
Vaklation
(Sq.Ft.) M!Mipfier PORTION
Tl 2694
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code CB By Ordinance
1997 use Bulldin Permit Fee
1997 USC Plan Check Fee
Type of Review: RI Complete Review
PLAN CHECK#.: CBC2020-0174
DATE: 6/1/2020
Reg. VALUE ($)
Mod.
125,298
126,298
□ Structural Only
v
D Other
Hourly □ E&GIIFee 1--------<IHr. @•
.___ __ $46_6_.9_,31 ~
Comments:
Sheet 1 of 1
OFFICE USE ONLY SAN DIEGO REGIONAL
HAZARDOUS MA TE RIALS
QUESTIONNAIRE
RECORDID# __ ,..,... _______ --+~------
PLAN CHECK # ----L..,_,.ll..""-".:!o!...6::!o<!.........LU..:.r.:..p½---::~-=----::.
'felephone #
7(,o
Project Address 2-(,Z-f-
Malling Address Plan File#
Project Contact Telephone # ,~ ~ ~ ~
The followi g questions represent tlie faclllty's activities, NOT the specific project description.
P RT I: F E DEP ENT -ARDOUS MATERIALS DIVISI N: CCUPANCY CLASSIFICATION: not r uired for ro ects
~: Indicate by circling the Item, whether your business wiU use, process, or store any o the ollowing hazardous materials. If any
applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal.
Occupancy Rating: Faclllty's Square Footage (including proposed project):
1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13.
2. Compressed Gases 6. Oxidizers 1 o. Cryogenics 14.
3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15.
4. Flammable Solids 8. Unstable Reactives 12. Radioactives
PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEAL™ -gAZtaRDOUS~TERlALS DIVl~ION IHMDJ; If t answer to any of the
questions Is yes, applicant must contact the County of San Diego Hazardous Matealslvison, 5500 rtand Avenue,utte 110, San Die o, CA 92123.
Call (858) 505-6700 prior to the issuance of a building permit.
0 CalARP Exempt
I FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy:
1.
2.
3.
4.
5.
6.
7.
8.
YES NO (for new construction or remode6ng projects) D l ls your business listed on the reverse side of this form? (check all that apply). O Will your business dispose of Hazardous Substances or Medical Waste in any amount?
O Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500
□ D □ D D
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 (CalARP)?
WIil your business use or install a Hazardous Waste Tank System (Title 22, Miele 10)?
Will your business store petroleum in tanks or containers at your faclllty with a total facility storage capacity equal to
or reater than 1 320 allons? California's Above round Petroleum Stora e Act. .
Date Initials
0 CalARP Required
I
Date Initials
0 CalARP Complete
Date Initials
PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT IAPCDI: Any YES' answer requires a stamp from APCD 1012 Old Grove Road, San
Diego, CA 92131 apcdcomp@sdcounty.ca.gov (858) 586-2650). [•No stamp required If Q1 Yes and Q3 Yes fillQ Q4-Q6 No]. The following uestions are intended
to identify the majority of air pollution issues at the planning stage. Projects may require additional measures not identified by these questio . For comprehensive
requirements contact APCD. Residences are typically exempt, except -those with more than one building• on the property; single buildin s with more than four
dwelling units; townhomes; condos; mixed-commercial use; deliberate burns; residences forming part of a larger project. rExcludes garage & small outbuildings.]
YES NO
1. El O Will the project disturb 160 square feet or more of existing building materials?
2. 0 Ill. Will any load supporting structural members be removed? Notification may be required 10 working days prior to commenci demolition.
3. ~ 0 (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consult t or Site Surveillance
4. D
5. D
6. □
Technician? 1') (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing m terial? Notification
may oe required 1 O working days prior to commencing asoestos removal.
• Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD fa !sheet
(www.sdapcd.org/lnfo/fads/permits.pdf) for typical equipment requiring an APCD permit. O (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 f et of a school
bounda
Bri fty describe business activities: Briefly describe proposed project:
~ Cor-QM,l,OLJ
t of my knowledge and in are true and correct. ,-
BY: DATE: I I
EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY
COUNTY-HMO• APCD COUNTY-HMO APCD COUNTY-HMO APCD
*A stamp in this box .Q.!lh'. exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting require nts may still apply.
Rr::cs-:1\/CO "4 __ J)f.i-~»\itt.-.....
HM-9171 (08/15) County of San Diego-DEH-Hazardous aterials Division
JUL 2 i 2020
CITY OF CARLSBAD
BUILDING Di\/lSION
ENCINA WASTEWATER AUTHORITY
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
SCREENING SURVEY
6200 Avenlda Encinas, Carlsbad, CA 92011
Phone: 760-438-3941 Fax: 760-476-9852
SourceControl@enclnaJpa.com
The commerclal 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 limlts), 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.
o Automoblle Detailers o Hotels/Motels (no laundry)
o Barber/Beauty Shops o Laundromats
o Business/Sales Offices o Libraries
o Cleaning Services o Medical Offices (no x-ray developing)
o Carpet/Upholstery o Mortuaries
o Childcare Facilities o Museums
o Churches o Nail Salons
o Community Centers o Nursing Homes
o Consulting Services o Office Buildings (no process flow)
o Contractors o Optical Services
o Counseling Services o Pest Control Services (no pesticide repackaging for sale)
o Educational Services (no auto repair/film developing) o Pet Boarding/Grooming Facilities
o Financial Institutions/Services o Postal Services (no car wash/auto repair)
o Fitness Centers o Public Storage Facilities
o Gas Stations (no car wash/auto repair) o Restaurants/Bars
o Grocery Stores (no film developing) o Retail/Wholesale Stores (no auto repair/film developing)
o Residential based Businesses o Theaters (Movie/Live)
CERTIFICATION TATEMENT
/ certi that the information above is ue and correct to the best of my knowledge.
Print Name:-/2~_1_v ___ 4t _ _,_~f_l_v_A __
Facility Contact: __________ _ Title:. ______________ _
ENCINA WASTEWATER AUTHORITY
6200 AVENIDA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852
SourceControl@encinajpa.com
Page 2 of 2
ENCINA WASTEWATER AUTHORITY
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
SCREENING SURVEY
Date:5 /r3/ 2 0
6200 Avenlda Encinas, Carlsbad, CA 92011
Phone: 760-438-3941 Fax: 760-47&..gas2
SourceControl@enclnajpa.com
Business Name: Co f"\ 'P A NI (l lJ
Street Address: ~"d-'=, E2-C Al" IIJO
Email Address:, __________________ _
PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS);:::::z,
Check all below that are present at your facility: . ~
o Acid Cleaning
o Assembly
o Automotive Repair
o Battery Manufacturing
o Biofuel Manufacturing
o Biotech Laboratory
a Bulk Chemical Storage
o CarWash
o Chemical Manufacturing
o Chemical Purification
o Dental Offices
Dental Schools
Dental Clinics
o Dry Cleaning
o Electrical Component
Manufacturing
o Fertilizer Manufacturing
o Film/X-rav Processing
o Food Processing
o Glass Manufacturing
o Industrial Laundry
o Ink Manufacturing
o Laboratory
o Machining/Milling
o Membrane manufacturing
(i.e. water filter membranes)
o Metal Casting/Forming
o Metal Fabrication
o Metal Finishing
Electroplating
Electroless Plating
Anodizing
Coating (i.e. phosphating)
Chemical Etching/Milling
Printed Circuit Board
Manufacturing
o Metal Powders Forming
o Nutritional Supplement/Vitamin
Manufacturing
o Painting/Finishing
o Paint Manufacturing
o Personal Care Products
Manufacturing
o Pesticide Manufacturing/ Packaging
o Pharmaceutical Manufacturing
(including precursors)
o Porcelain Enameling
o Power Generation
o Print Shop
o Research and Development
o Rubber Manufacturing
o Semiconductor Manufacturing
o Soap/Detergent Manufacturing
o Waste Treatment/Storage
<kl, D J, = '"'5 rlw,c, •~7,) New Business? Ye ... \,C:t"No SIC Code(s) if known: ______ Date operation began/will begln=~w::)~~,-.,,_--~~'
Tenant Improvement? YesliJ..Nc{J If yes, briefly describe improvement: _________________ _
Description of operations generating wastewater (discharged to sewer, hauled or evaporated):_~--~------
Estimated volume of industrial wastewater to be discharged (gal/ day): __________________ _
List hazardous wastes generated (type/volume):. __________________________ _
Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? YesODate: ____ No!A__
Pagelof2