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Home My WebLink About1265 LAUREL TREE LN; ; CBC2021-0104; PermitBuilding Permit Finaled Commercial Permit Print Date: 08/11/2021 Job Address: Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: 1265 IAUREL TREE LN, CARLSBAD, CA 92011-4221 BLDG-Commercial Work Class: 2120407100 Track#: $15,000.00 Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Tenant Improvement (city of Carlsbad Permit No: CBC2021-0104 Status: Applied: Issued: Fina led Close Out: Inspector: Final Inspection: Closed• Finaled 03/26/2021 05/03/2021 TAlva 08/11/2021 Description: 24 HOUR FITNESS: Tl (200SF) LOBBY TO INCLUDE NEW STOREFRONT SYSTEM AND DOORS/NEW TENANT SUITE ENTRANCE DOORS Applicant: INTERIOR ARCHITECTS MICHAEL WILSON 17877 VON KARMAN AVE, # 200 IRVINE, CA 92614 FEE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) Property Owner: PALOMAR FITNESS PARTNERS LP 501 SANTA MONICA BLVD SANTA MONICA, CA 90401 (310) 393-4141 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL 561473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $356.03 Total Payments To Date: $356.03 Balance Due: AMOUNT $159.31 $111.52 $41.00 $39.00 $1.00 $4.20 $0.00 Please take NOTICE that approval of your project includes the 11lmposltion" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction. 11 You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service 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 Ccicyof Carlsbad COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check C'i3G:90;;() /-{)IQ t./ Est. Value 11,/s;ooo- PC Deposit ______ _ Date Jlc21obj Job Address 1265 Laurel Tree Suite: 200 APN: ________ _ Tenant Name:24 Hour Fitness Lot#: 2007 B&A-3 I B ul □ Ii:!□ Year Built:..:;.::.::.; __ Occupancy:____ Construction Type,:..· ... -.:.:..--Fire Sprinklers: yes no 'A/C: ves no BRIEF DESCRIPTION OF WORK: 0 Addltion/N-:, _________ New Sf and Use,, _________ New SF and Use, ___ Deck SF, Patio Cover SF (not including flatwork) Iii Tenant Improvement: ?QQ SF, Existing Use, _ __..O.uffi"'c.a.e..__Proposed Use _ _._.Owff,.,_jc..,e __ _____ SF, Existing Use, _____ Proposed Use _____ _ D Pool/Spa: ____ SF Additional Gas or Electrical Features? __________ _ □ nn DD DD Solar:, ___ KW,, ___ ,Modules,, ___ ,Mounted, TIit: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes /No D Plumblng/Mechan1cal/Electrlcal0nly: ______________________ _ 0 Other: This perr111t Is to be Issued In the name of the Property Owner as owner-Builder, flcensed contractol' or Authorized Agent of the owner or contractor. The person listed as the Applicant below will be the main point of contact throughout the permit process. PROPERTY OWNER APPLICANT 0 Name: Mark Burger Address: 11601 Wilshire Blvd. Suite 2110 City: Los Angeles State· CA Zip: 90025 Phone: 131 Pl.384:4141 Email: mtb@pdpllc.net DESIGN PROFESSIONAL APPLICANT (&I Name: IA Interior Architects Address: 17877 Von Karman Ave., Suite 200 City: lcvioe state: CA Zip: 92614 Phone: 949-798-7321 Emall: m.wilson@interiorarchitects.com Architect State License: CA 32528 (Lisa Kelly) PROPERTY OWNERS AUTHORIZED AGENT APPLICANT 0 Name: ________________ _ Address: _______________ _ Clty:, _________ State: __ Zlp:. ___ _ Phone: ________________ _ Email: ________________ _ CONTRACTOR BUSINESS Name: Ellis Contracting, Inc. Address:4010 Morena Blvd, Suite 210 APPLICANT 0 Cltv:San Diego State: CA Zip:,_9,.,2=-'1'-"1._7 __ _ Phone: (858} 581-1160 Email: John@elliscontracting.com State License: 785647 Bus. License: BLOS1228764 1635 Faraday Ave Carlsbad, CA 92008 B-2 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov Rev. 08/20 Page 1 of2 IDENTIFY WHO WILL PERFORM THE WORK BY COMPLETING (OPTION A) OR (OPTION B) BELOW: (OPTION A): LICENSED CONTRACTOR DECLARATION: I hereby affirm under penalty af perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000} of Division 3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the following declarations: 0 I have and wfh maintain a certificate of consent to self.-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the wortcwhk:h this permit Is issued. PallcyNo. ____________________ _ l2J1 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: State Compensation Insurance Fund of California Polley No. 9077342-2020 Expiration Date: _1u1l!l/0u1i,12.,02,._1,_ ____________ _ D Certificate of Exemption: I certify that In the performance of the work for which this permit Is Issued, I shall not emp]av any person In any manner so as to become subject to the workers' compensation Laws of California. WARNING: FduretD secure workers campansatlon coverap Is unlawful and shall subject 1n employer to criminal penalties and dvll fines up to $100,000.00, In adcRtlon the to the cast of c:ompenution, dlffll&U as p,ovkled for In Section 370& af the Labor Coda, Interest and attorney's faes. CONSTRUCTION LENDING AGENCY. IF ANY: I hereby affirm that there ts a construction lendins agency for the performance of the work this permit Is Lender'sName:, __________________ Lender'sAddress:.....,,L-.~,&C,,,.:,,<:,...--,,..--------- CONTRACTOR PRINT: .:J::::oh.::.;n'-=E:::111•::.... _____ _ SIGN: (OPTION B): OWNER-BUILDER DECLARATION: I hereby a[ftrm that I am nempt from Contructor's License Law for tM following reason: D1, 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 sate (Sec. 7044, Business and Professtons Code: The Contractor's Ucense law does not apply ta 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 int1!nded or offered for safe. If, however, the building or Improvement Is sold within one year of completion, the owner-.bullder will have the burden of provlns; that he did not bufld or Improve for the purpose of Hie). 01, as owner of the property, am exclusively con1ractlns; with licensed contractors to construtt the project (Sec. 7044, Business and Professions Code: The Contractor's lk;ense Law does not apply to an owner of property who buUds or Improves thereon, and contracts for such projects with contractor(s} licensed pursuant to the Contractor's License Law). 0 I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: 0 110wner Bulkier ac:knowledpment and veriflcatfon form"' has been filled out, signed and attached to this applicatlon. Proof of ldentfflcatfon attached. 0 Owners "'Authorized Agent Form• has been filled out, signed and attached to this application giving the agent authority to obtain the permit on the owner' behalf, Proof of ldentfflcatfon attached. By my signature below I acknowledse that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder If it has not been constructed In Its entirety by licensed contractors. I Ulldmtand that a copy of~ applkable law, Section 7044 of the Bus/n@SS and Proje"1ons Code, fs awllable upon request wMn th/$ apPlicatJon fs submitted or at the fol/owing W,b sfto, http,//www.l<glnfo.ca.QOV/calaw.html. OWNER PRINT: __________ _ SIGN:. ________ DATE: _____ _ APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL By my signature below, I certffy that: I am the property owner or State of California Licensed Contractor or authorized to act on the property owner or contractor's behalf. 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 here/7/ authoriz, ,.,,,,,.._ of the City of carlsbod to enter upon the above mentioned property far Inspection purposes. I ALSO AGREE TO SAVE; INDEMNIFY AND KEEP HARMLESS THE crrY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAYIN ANY WAY ACCRUE AGAINST SAID crrY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required for excovot/ons over 5'0' deep and demolition or construction of structures over 3 stories In height. APPLICANT PRINT:_M_ic_h_a_el_W_ils_o_n ___ _ SIGN: ________ DATE: 3/22/2021 1635 Faraday Ave Carlsbad, CA 92008 B-2 Ph: 760-602-2719 Fax: 760-602-8558 Page 2of2 Email: Building@carlsbadca.gov Rev. 08/20 Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Closed -Finaled Scheduled Actual Inspection Type Date Start Date 08/02/2021 08/02/2021 BLDG-17 Interior Lath/Drywall Checklist Item Application Date: 03/26/2021 Issue Date: 05/03/2021 Expiration Date: 01/31/2022 IVR Number: 32364 Owner: PALOMAR FITNESS PARTNERS LP Subdivision: Address: 1265 LAUREL TREE LN CARLSBAD, CA 92011-4221 Inspection No. Inspection Primary Inspector Reinspection Inspection Status 163297-2021 Passed Tony Alvarado Complete COMMENTS Passed BLDG-Building Deficiency August 2, 2021. (Virtual inspection). No 08/11/2021 08/11/2021 BLDG-Final Inspection Checklist Item BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Wednesday, August 11, 2021 1. No interior bathroom remodel moisture resistant board Deficiencies. 2. Two upstairs, back to back new interior bathroom additions, shower stall cement board with red rock Durashield-moisture protective material-approved. 163940-2021 COMMENTS August 11, 2021: Passed Tony Alvarado 1. Second floor, 24 hour fitness building, interior tenant improvement-stairwell remodel, per structural/architectural plans and detail specifications, framing, electrical, mechanical, scope of work - approved. August 11, 2021: 1. Second floor, 24 hour fitness building, interior tenant improvement-stairwell remodel, per structural/architectural plans and detail specifications, framing, electrical, mechanical, scope of work - approved. August 11, 2021: 1. Second floor, 24 hour fitness building, interior tenant improvement-stairwell remodel, per structural/architectural plans and detail specifications, framing, electrical, mechanical, scope of work - approved. Complete Passed Yes Yes Yes Page 2 of 2 Building Permit Inspection History Finaled (._ City of Carlsbad Permit Type: BLDG-Commercial Work Class: Tenant Improvement Application Date: 03/26/2021 Owner: PALOMAR FITNESS PARTNERS LP Status: Closed -Finaled Issue Date: 05/03/2021 Expiration Date: 01/31/2022 IVR Number: 32364 Subdivision: Address: 1265 LAUREL TREE LN CARLSBAD, CA 92011-4221 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 07/27/2021 07/27/2021 BLDG-84 Rough 162855-2021 Passed Tony Alvarado Wednesday, August 11, 2021 Combo(14,24,34,44) Checklist Item BLDG-14 Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout BLDG-34 Rough Electrical BLDG-44 Rough-Ducts-Dampers COMMENTS July 27, 2021: 1. 24 HOUR FITNESS: Tl (200SF) LOBBY. 2. INCLUDE Second level area, NEW STOREFRONT SYSTEM. 3. New non-load-bearing, demising/partition wall, pair of DOORS, for (2) NEW TENANT SUITE spaces ENTRY DOORS. 4. Rough combination frame inspection, per engineer's plans and detail specifications-approved. 5. Note: drywall patch inspection required. July 27, 2021: 1. 24 HOUR FITNESS: Tl (200SF) LOBBY. 2. INCLUDE Second level area, NEW STOREFRONT SYSTEM. 3. New non-load-bearing, demising/partition wall, pair of DOORS, for (2) NEW TENANT SUITE spaces ENTRY DOORS. 4. Rough combination frame inspection, per engineer's plans and detail specifications-approved. 5. Note: drywall patch inspection required. July 27, 2021: 1. 24 HOUR FITNESS: Tl (200SF) LOBBY. 2. INCLUDE Second level area, NEW STOREFRONT SYSTEM. 3. New non-load-bearing, demising/partition wall, pair of DOORS, for (2) NEW TENANT SUITE spaces ENTRY DOORS. 4. Rough combination frame inspection, per engineer's plans and detail specifications-approved. 5. Note: drywall patch inspection required. July 27, 2021. 1. 24 HOUR FITNESS: Tl (200SF) LOBBY. 2. INCLUDE Second level area, NEW STOREFRONT SYSTEM. 3. New non-load-bearing, demising/partition wall, pair of DOORS, for (2) NEW TENANT SUITE spaces ENTRY DOORS. 4. Rough combination frame inspection, per engineer's plans and detail specifications-approved. 5. Note: drywall patch inspection required. Complete Passed Yes Yes Yes Yes Page 1 of 2 DATE: 04/14/2021 JURISDICTION: Carlsbad I PLAN CHECK#.: CB-CBC2021-0104 ✓• EsG1I A SAFEbuilt Cornp<ny SET: I PROJECT ADDRESS: 1265 Laurel Tree Lane PROJECT NAME: TI 24 Hour Fitness □ APPLICANT □ JURIS. ~ 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: Lisa Kelly ~ 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: Telephone#: 949-798-7321 Date contacted: Mail Telephone 0 REMARKS: By: Steven Miller EsGil (by: ) Email: m.wilson@interiorarchitects.com Fax In Person Enclosures: 04/14 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 · Carlsbad CBC2021-0104 04/14/2021 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Steven Miller PLAN CHECK#.: CB-CBC2021-0104 DATE: 04/14/2021 BUILDING ADDRESS: 1265 Laurel Tree Lane BUILDING OCCUPANCY: B, A3 BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier Tl B 200 46.51 Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code CB By Ordinance 1997 UBC Buildin Permit Fee ... I g ~ 1:::.rorr you cnecKed c...;omp. Kev,ew ana Hourly at the same time 11997 UBC Plan Check Fee Type of Review: r Repetitive Fee 1 ..,;..1 Repeats • * Based on hourly rate Comments: Complete Review 1 Other p-Hourly EsGil Fee • Reg. VALUE Mod. 1 Structural Only c==::]Hr.@* ~ ($) 9,302 9,302 $9o.ooJ Sheet 1 of 1 OFFICE USE ONL V SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE RECORD ID# _________________ _ PLAN CHECK# _________________ _ Project Address (include suite) 1265 Laurel Tree Lane M~i\jng,Mctr.ess (ir;icludi:.suite)Rd -JUL2U .Kancno VteJo . Pi;oject C~mtas:t _ Lars Anaersen #B Business Contact Lars Andersen City Carlsbad S J Cit'h . an uan "\..,ap1strano ,8pplipant E-mail lars(g!papsJc.net State CA Telephone# (949) 481-0463 Zip Code 92011 ZiJ) Code 92675 Telephone# (949) 481-0463 BP DATE APN# Plan File# The following questions represent the facility's activities, NOT the specific project description. PART I: 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 2. Compressed Gases 6. Oxidizers 10. Cryogenics 3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 4. Flammable Solids 8. Unstable Reactives 12. Radioactives PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION (HMO): 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. Cali (858) 505-6700 prior to the issuance of a building permit. FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy: 0 CalARP Exempt I 1. 2. 3. 4. 5. 6. 7. 8. YES NO (for new construction or remodeling projects) Is your business listed on the reverse side of this form? (check all that apply). D IX! D IX! Will your business dispose of Hazardous Substances or Medical Waste in any amount? D 00 Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? D D D D D IX! Will your business store or handle carcinogens/reproductive toxins in any quantity? IX] Will your business use an existing or install an underground storage tank? IX! Will your business store or handle Regulated Substances (CalARP)? IX! Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? IX! 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 0 CaiARP Required I Date Initials 0 CalARP Complete I Date Initials PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCO): The following questio~s ar iFm1l\.il~ majority of air pollution issues at the planning stage. Your project may require additional measures not identified by these questions s ill )lo}cts'rlfay be exempt from APCD requirements. If yes is answered for either questions 1, 2 or 5 or for more comprehensive requirements, ac APCD at apcdcomp@sdcounty.ca.gov; (858) 586-2650; or 10124 Old Grove Road, San Diego, CA 92131 . 'l n L \ ~s ~ 'G iLu 1. 2. 3. D IX! Will the project disturb 100 square feet or more of existing building materials? ~ ' ,...0 D IX! Will any load supporting structural members be removed? r A.RLSB,.._ 0 0 (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed tic,\~iQlral't111!fh~s,~~~t'fl EPA-approved 4. D D ~~~~~sb~~~ 1~ 0 ~~~ 7 STION 1 or 2 IS YES) Based on the survey results, will the project{oi~~~lPto~'Vcontaining material? If yes, a notification may be required at least 10 working days prior to commencing asbestos removal. Additionally, a notification may be required prior to the removal of a load supporting structural member(s) regardless of the presence of asbestos. 5. D IX] Will the project or associated construction equipment emit air contaminants? See the reverse side of this form for typical equipment requiring an APCD permit. If yes, contact APCD prior to the issuance of a building permit. 6. D 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 ? Briefli' describe business activities: -Office Use Briefly describe proposed project: New interior storefront system and door at existing building lobby and new tenant suite entry doors I declare under penalty of perjury that to the best of my knowledge and be i nses made herein are true and correct. 04 1 20 12021 -Lars Andersen Name of Owner or Authorized Agent Signature of Owner or Authorized Agent FOR OFFICAL USE ONL V: Date 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 APCD COUNTY-HMO APCD * A stamp In this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply HM-9171 (9/18) County of San Diego -DEH -Hazardous Materials Division 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 Seivices D Wrecking/Recycling 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 □ Oil and Fuel Bulk Supply D Pesticide Operator/Distributor CHEMICAL HANDLING D Photographic Processing D Pool SuppliestMaintenance 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 D Precious Metal Recovery D Sand Blasting/Grinding D Steel Fabricator D Wrought Iron Manufacturing AEROSPACE D Aerospace Industry D Aircraft Maintenance D Aircraft Manufacturing MISCELLANEOUS 0 Asphalt Plant D Biotechnology/Research D Cannabis-related D Manufacturing D Dispensary D Other D Co-Generation Plant D Dental Clinic/Office 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 □ Public Utility D Refrigeration System D Rock Quarry D Ship Repair/Construction D Telecommunications Cell Site D Veterinary Clinic/Hospital D Wood/Furniture Manufacturing/Refinishing D Brewery/Winery/Distillery 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 4 7 -Organic Gas Sterilizers 32 -Acid Chemical Milling 33 -Can & Coil Manufacturing 44 -Evaporators, Dryers & Stilts 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 -Burn Out Ovens 16 -Core Ovens 20 -Gas Turbines, and Turbine Test Cells & Stands 48 -Landfill and/or Digester Gas Flares ELECTRONICS 29 -Automated Soldering 42 -Electronic Component Mfg FOOD 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 10-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 & Reclamation Units 36 -Grinding Booths & Rooms 40 -Asphalt Pavement Heaters 43 -Ceramic Slip Casting 41 -Per1ite 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 (9/18) County of San Diego -DEH -Hazardous Materials Division □ □ □ □ □ □ □ □ □ □ ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY 6200 Avenida Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com Date: '7/f / '),_/ Business Na::: 1}f /low-ffr,.t'Sr, Street Address: /l.t, 5 IAAVrt I rre, Email Address: 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 D Food Processing D Metal Powders Forming Assembly 0 Glass Manufacturing D Nutritional SupplemenUVitamin Automotive Repair DI ndustrial Laundry D Manufacturing Battery Manufacturing D Ink Manufacturing D Painting/Finishing Biofuel Manufacturing D Laboratory D Paint Manufacturing Biotech Laboratory D Machining/Milling D Personal Care Products Bulk Chemical Storage 0 Membrane manufacturing D Manufacturing Car Wash D (i.e. waterfilter membranes) D Pesticide Manufacturing/ Packaging Chemical Manufacturing D Metal Casting/Forming D Pharmaceutical Manufacturing Chemical Purification D Metal Fabrication D (including precursors) D Dental Offices D Metal Finishing D Porcelain Enameling D Dental Schools D Electroplating D Power Generation D Dental Clinics D Electroless Plating D Print Shop D Dry Cleaning D Anodizing D Research and Development □ Electrical Component D Coating (i.e. phosphating) D Rubber Manufacturing □ Manufacturing □Chemical Etching/Milling D Semiconductor Manufacturing □ Fertilizer Manufacturing D Printed Circuit Board D Soap/Detergent Manufacturing □ Film/ X-ra y Processing D Manufacturing D Waste Treatment/Storage New Business? Yes0No00 SIC Code(s) if known: _______ Date operation began/will begin: ______ _ Tenant Improvement? Yes ~NoO If yes, briefly describe improvement. ___________________ _ New ,r1,-fe-ett-w-y dtM") (i) <;eec,,,cf tr.el 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? YesOoate: ______ ,No□ Page 1 of 2 ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY 6200 Avenida Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com 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 Detailer s □ Barber/Beauty Shops □ Business/Sales Offices □ Cleaning Services □ Carpet/Upholstery □ Childcare Facilities □ Churches □ Community Centers □ Consulting Services □ Contractors □ Counseling Services □ Educational Services (no auto repair/film □ Financial Institutions/Services □ Fitness Centers □ Gas Stations (no car wash/auto repair) □ Grocery Stores (no film developing) □ Residential based Businesses developing) □ □ □ □ □ □ □ □ ~ □ □ □ □ □ □ □ □ 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 (no car wash/auto repair) Public Storage Facilities Restaurants/Bars Retail/Wholesale Stores (no autorepair/film developing) Theaters (Movie/Live) CERTIFICATION STATEMENT I certifY that the information uhove is true and correct to the hest olrny knmvledge. Signature ~&~ Print Name: ---'/J.'----1--'--tk---'-u-e'---'('-------'U}'-"---'-,'--"/So,,i=--=----"----Date: Title: ~{(µ lf;r • ENCINA WASTEWATER AUTHORITY 6200AVENIDA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com Page 2 of 2 PERMIT REPORT Revision Permit Print Date: 08/13/2021 Job Address: 1265 LAUREL TREE LN, CARLSBAD, CA 92011-4221 (City of Carlsbad Permit No: PREV2021-0063 Status: Closed -Finaled Permit Type: BLDG-Permit Revision Work Class: Commercial Permit Revis Parcel#: 2120407100 Track#: Valuation: $0.00 Lot#: Occupancy Group: Project#: #of Dwelling Units: Plan#: Bedrooms: Bathrooms: Project Title: Construction Type: Orig. Plan Check#: CBC2021-0104 Plan Check #: Description: 24 HOUR FITNESS: FIELD REVISIONS Applicant: INTERIOR ARCHITECTS MICHAEL WILSON 17877 VON KARMAN AVE, # 200 IRVINE, CA 92614 FEE BUILDING PLAN CHECK REVISION ADMIN FEE MANUAL BLDG PLAN CHECK FEE Property Owner: PALOMAR FITNESS PARTNERS LP 501 SANTA MONICA BLVD SANTA MONICA, CA 90401 (310) 393-4141 Total Fees: $147.50 Total Payments To Date: $147.50 Building Division Applied: 05/11/2021 Issued: 06/21/2021 Finaled Close Out: 08/13/2021 Inspector: Final Inspection: Balance Due: AMOUNT $35.00 $112.50 $0.00 Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov { Cicyof Carlsbad PLAN CHECK REVISION OR DEFERRED SUBMITTAL APPLICATION B-15 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov Original Plan Check Number CBC2021101 o4 Plan Revision Number Pl«>! 20:2.J-OOlQ 3 Project Address 1265 Laurel Tree Lane General Scope of Revision/Deferred Submittal: Add Glass Lites in Lobby Wood Doors. Metal Stud Fur Out and Drywall in Lobby Niche CONTACT INFORMATION: Name Lars Andersen Phone (949) 292-8624 Fax (949) 481-0452 Address 30220 Rancho Viejo Road. Suite B City San Juan Capistrano Zip 92675 Email Address lars@pdpsjc.net Original plans prepared by an architect or engineer. revisions must be signed & stamped by that person. 1 . Elements revised: [ii Plans D Calculations D Soils D Energy D Other 2. 3. Describe revisions in detail List page(sJ where each revision is shown Add Glass Lites to New 20 Wood Doors AN-5.1 Add Metal Stud and Drywall to infill Niche in Lobby A-1.2 Detail 7. Add Metal Stud and Drywall to infill Niche in Lobby A-8.0 4. Does this revision, in any way, alter the exterior of the project? D Yes [ii No 5. Does this revision add ANY new floor area(s)7 D Yes D No 6. Does this revision affect any fire related issues? D Yes [ii No 7. Is this a complete set? [ii Yes D No CJltllally aignad ~ Lano ~ Lars Andersen ~ui:'=-~-,...,,,.. • ..,.., ..e'.S'Signature _,.,,,.,..,.,,,,,,,.,,.,. Date 5/6/2021 1635 Faraday Avenue, Carlsbad, CA 92008 fll: 760-602-2719 fll1I: 760-602-8558 flDilit. building@carlsbadca.gov www.carlsbadca.gov ✓• EsG1I A SAFEbuHr Cornp<VlY DATE: 05/27/2021 JURISDICTION: Carlsbad PLAN CHECK#.: CB-PREV2021-0063 PROJECT ADDRESS: 1265 Laurel Tree Lane PROJECT NAME: TI 24 Hour Fitness SETI 0 APPLICANT 0 JURIS. 1:8] 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: Lisa Kelly 1:8] 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: Telephone#: 949-798-7321 Date contacted: Mail Telephone 0 REMARKS: By: Steven Miller EsGil (by: ) Email: m.wilson@interiorarchitects.com Fax In Person Enclosures: 04/14 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Carlsbad CBC2021-0104 04/14/2021 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Steven Miller PLAN CHECK#.: CB-CBC2021-0104 DATE: 04/14/2021 BUILDING ADDRESS: 1265 Laurel Tree Lane BUILDING OCCUPANCY: B, A3 BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier Tl B 200 46.51 Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code CB By Ordinance ... l e I 1997 UBC Bulldmg Perm t Fe ~ t:.rorr you cnecKea Gomp. KeV1ew ana Hourly at the same time I 1997 UBC Plan Che-ck Fee- Type of Review: I Repetitive Fee I~ Repeats • • Based on hourly rate Comments: ' Complete Review 1 Other ~ Hourly EsGil Fee • ' Reg. VALUE Mod. 1 Structural Only c==:::]Hr.@* ~ ($) 9,302 9,302 lfl//;J-3°7 $90.00] Sheet 1 of 1