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Home My WebLink About2674 GATEWAY RD; 190; CBC2020-0042; Permitity of Building Permit Finaled Carlsbad I1IJII±Iiiiai Permit T1iI__ Print Date: 10/15/2020 Job Address: 2674 GATEWAY RD, # 190, CARLSBAD, CA 92009-1785 Permit Type: BLDG-Commercial Work Class: Tenant Improvement Parcel #: 2132622100 Track #: Valuation: $93,585.12 Lot #: Occupancy Group: Project #: #of Dwelling Units: Plan U: Bedrooms: '- Construction Type: Bathrooms: Orig. Plan Check U: Plan Check U: Project Title: Description: TABU SHABU: 1,446 SF Ti. (SHELL TO RESTAURANT) Permit No: CBC2020-0042 Status: Closed - Finaled Applied: 02/03/2020 Issued: 03/24/2020 Finaled Close Out: Inspector: CRenf Final Inspection: 10/15/2020 Property Owner: Contractor: SHEA PROPERTIES MANAGEMENT CO INC HANDIAN CORPORATION 130 VANTIS DR, U 200 2335 FAIR OAKS AVE ALISO VIEJO, CA 92656-2691 ALTADENA, CA 91001-5740 (949) 389-7000 .(626) 800-7566 FEE AMOUNT BUILDING PERMIT FEE ($2000+) $600.92 BUILDING PLAN CHECK FEE (BLDG) $420.64 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL $60.00 FIRE Plan Review Per Hour - Office Hours ) $272.00 MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL _$45.00 PUBLIC FACILITIES FEES - inside CFD . $1,703.25 SB1473 GREEN BUILDING STATE STANDARDS FEE $4.00 STRONG MOTION-COMMERCIAL $26.20 Total Fees: $3,132.01 Total Payments To Date: $3,132.01 Balance Due: . $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), 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 1635 Faraday Avenue, Carlsbad CA 92008-7314 1760-602-2700 1760-602-8560 f I www.carlsbadca.gov C(7'C#y 0f Carlsbad COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check Est. Value PC Deposit Date ? -3'- g2boln Job Address 2 ( Lj y Pd. Suite: 170 APN:___________________ Tenant Name: S ke&t'/j A*'i I iC 'CT/Project #1: Lot #:________ Occupancy: 1.j Construction Type: V13 Fire Sprinklers: jj/ no Air Conditioning: no BRIEF DESCRIPTION OF WORK: Il4'i-i gc/Iz'/ Sma, V.T to L1PLiJ IPC1t7tI1bq'i /€LA cri> c1oor f 141. o Addition/New: New SF and Use, __New SF and Use, Deck SF, _________ Patio Cover SF (not including flatwork) Tenant Improvement: 1491 SF, Existing Use tt(t2eI) Proposed Use 5 (res*uee.) SF, Existing Use Proposed Use 0 Pool/Spa: Additional Gas or Electrical Features? 0 Solar: KW, _Modules, Mounted, Tilt: Yes / No, RMA: Yes / No, Panel Upgrade: Yes / No 0 Plumbing/Mechanical/Electrical Only: 0 Other: APPLICANT (PRIMARY) PROPERTY OWNER Name: JPQ GQL % L*,diiétk $e(fri'ie' Name:Sbe& A Pal eCai,j,,ii Address: 233S,' fr Oaks Ave Address:I 3 0 Vo4's / 5e 200 City: M'J4IA6... State:CA- Zip: '7100 1 city: 4f,v jf,'.eJft State--Ch—zip: Phone: M: 34-6I74 O2-_7/lOt Phone: 749 3?— .?I2( Email: i4ife ( ha nol'set n C0p. CPY1 Email: -%S________________________________ DESIGN PROFESSIONAL CONTRACTOR BUSINESS Name: cVCILP Ore Name: ['4U Hi, oiv Address: 2 3 ,4 r 0.,ks ,4i,e Address: 2-33 ks Ave City: Al hzilMa.- State; CA' Zip: 1100! City: State:C4 Zip: "1 iOU I Phone: -. 3161 Phone: C16-100-7- 5-44; Email: im4Q oaCrp. cot" Email: iWPA I1u..tj64Gitk APV'vus. co,- Architect State License: State License: )- 57 Bus. License:_______________ Civr' /1 (Sec. 70315 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 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-2 Page 1 of 2 Rev. 06/18 (OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury one of the folio wing declarations: 0 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 oerformancepf the work for which this permit is issued. 1I, .: My workers' compensation insurance carrier and policy number are: Insurance 71, ny Name: 5 -vJt e £!e '6e (,(.#re Policy No. JtI'4 5OL.17Q1(1 _Expiration Date: 3 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to 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 I'AGENT DATE: 2/3/20 (OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that lam exempt from Contractor's License Law for the following reason: O 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). O 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). O I am exempt under Section __Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes 0 No I (have! have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 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): 5.1 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 work): OWNER SIGNATURE: DAGENT DATE:____________ CONSTRUCTIONLENDING 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? 0 Yes 0 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 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Dyes 0 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 over5'O' deep and demolition or construction of structures over 3 stones 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 anytime after the work is commenced for a period of 1days (S ion 106.4.4 U .1 Buildi g de). APPLICANT SIGNATURE:A_~ DATE: 22o 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: BuiIdingICarIsbadca.Rov B-2 Page 2 of 2 Rev. 06/18 Permit Type: BLDG-Commercial Application Date: 02/03/2020 Owner: SHEA PROPERTIES MANAGEMENT CC INC Work Class: Tenant Improvement Issue Date: 03/24/2020 Subdivision: Status: Closed - Finaled Expiration Date: 03/29/2021 Address: 2674 GATEWAY RD, # 190 IVR Number: 24595 CARLSBAD, CA 92009-1785 Scheduled Actual Inspection Type Inspection No. inspection Primary Inspector Reinspection Inspection Date Start Date Status Checklist item COMMENTS Passed BLDG-Building Deficiency Electric meter release partial pass, need Yes engineer of record to verify conductor size changes. 09/24/2020 09/24/2020 BLDG-Gas Meter 139151-2020 Passed Tim Kersch Complete Release Checklist item COMMENTS Passed BLDG-Building Deficiency Yes 09130/2020 09/30/2020 BLDG-85 T-Bar, Ceiling 139673-2020 Partial Pass Chris Renfro Reinspection Incomplete Grids, Overhead Checklist Item COMMENTS Passed BLDG-Building Deficiency Partial pass. Need to add seismic clips per No plans. OK to lay tile in areas with seismic clips leave open. BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 10/06/2020 10/06/2020 BLDG Final Inspection 140189-2020 Partial Pass Chris Renfro Reinspection incomplete Checklist Item COMMENTS Passed BLDG-Building Deficiency Not ready. Need fire final prior to building No final. Need final paperwork, title 24, test and balance and lighting. Double check signage and proper mirror height in restroom. Call for reinspection. BLDG-Plumbing Final Yes BLDG-Mechanical Final • Yes • BLDG-Structural Final Yes BLDG-Electrical Final . Yes 10/15!2020 10/15/2020 BLDG-Final Inspection 1409872020 Passed-- Chris Renfro - - Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency • Yes BLDG-Plumbing Final . Yes BLDG-Mechanical Final • Yes BLDG-Structural Final Yes BLDG-Electrical Final • • Yes Thursday, October 15, 2020 : Page 6 of 6 Permit Type: BLDG-Commercial Application Date: 02/03/2020 Owner:. SHEA PROPERTIES MANAGEMENT CC INC Work Class: .Tenant Improvement Issue Date: 03124/2020 Subdivision: Status: Closed - Finaled Expiration Date: 03/29/2021 Address: 2674 GATEWAY RD. # 190 IVR Number: 24595 CARLSBAD, CA 92009-1785 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status Checklist Item COMMENTS Passed BLDG-14 July 7, 2020: Yes Frame-Steel-Bolting-Welding Metal soffit framing to existing roof (Decks) system structural detail and calculations verified and approve. Transformer metal platform anchoring and metal framing detail approve per structural calculations and details. Kitchen area drywall nailing approved. OK to drywall rest of tenant improvement area. BLDG-44 June 22, 2020: Yes Rough-Ducts-Dampers Rough combo inspection-partial approval for kitchen/dishwasher prep area approved. Approved —OK to drywall kitchen/dishwasher/prep area only. 07120/2020 07/2012020 BLDG-13 Shear 133329-2020 Cancelled Chris Renfro Reinspection Incomplete Panels/HD (ok to wrap) Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-44 I33266-2020 - Passed Chris Renfro -. Complete -. - Rough/Ducts/Dampers - - - Checklist Item COMMENTS Passed BLDG-Building Deficiency . Yes 08/1312020 0811 3/2020 BLDG-44 135544-2020 Partial Pass Chris Renfro Reinspection Incomplete Rough/Ducts/Dampers Checklist Item COMMENTS Passed BLDG-Building Deficiency Duct wrap in main dining area hard lids Yes only. 09/01/2020 09101/2020 BLDG-17 Interior 137132-2020 Passed Chris Renfro Complete Lath/Drywall -. - - Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 09/04/2020 09/04/2020 BLDG-Electric Meter 137508.2020 Failed Chris Renfro Reinspection Incomplete Release . Checklist Item COMMENTS Passed BLDG-Building Deficiency Not ready. No access to main electrical No room, sub panels not open, call for reinspection 09/0812020 09/08/2020 BLDG-Electric Meter 137654-2020 Partial Pass Chris Renfro Reinspection Incomplete Release . Thursday, October 15, 2020 . Page 5 of 6 Permit Type: BLDG-Commercial Application Date: 02/03/2020 Owner: SHEA PROPERTIES MANAGEMENT CC INC Work Class: Tenant Improvement Issue Date: 03/24/2020 Subdivision: Status: Closed - Finaled Expiration Date: 03/29/2021 Address: 2674 GATEWAY RD. # 190 IVR Number: 24595. CARLSBAD, CA 92009-1785 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status Checklist Item COMMENTS Passed BLDG-14 June 22,2020:' . Yes Frame-Steel-Bolting-Welding 1. Rough combo inspection-partial approval (Decks) . for kitchen/dishwasher prep area approved. 2. Approved —OK to drywall kitchen/dishwasher/prep area only. BLDG-24 Rough-Topout June 22, 2020: Yes Rough comboinspection-partial approval for kitchen/dishwasher prep area approved. Approved —OK to drywall kitchen/dishwasher/prep area only. BLDG-34 Rough Electrical June 22. 2020: . . Yes 1 Rough combo inspection-partial approval for kitchen/dishwasher prep area approved. 2. Approved —OK to drywall kitchen/dishwasher/prep area only: BLDG-44 June 19, 2020 rough combo inspection - No Rough-Ducts-Dampers incomplete. Water lines, gas line, waste and vent lines all under water test —approved. Two straps missing at vent pipes in restroom and kitchen wall areas. Rest of work OK. Structuralengineer/engineer of record to provide approval letter for as built conditions of new 2 x 8 metal framing connection to existing truss roof system-not per engineers plan. Ground rod to be installedbelow new transformer per engineers electrical plan. Rest of Electrical scope of work appears to be in OK. Mechanical scope of work missing ' exhaust fan and ducting and mechanical units. Need to Verify fire department fire sprinkler rough inspection approval sign off. Superintendents Chris and Daisy were not able to provide at time of inspection. BLDG-44 June 22, 2020: Yes Rough-Ducts-Dampers . 1. Rough combo inspection-partial approval for kitchen/dishwasher prep area approved. 2. Approved —OK to drywall kitchen/dishwasher/prep area only. 0710712020 07/07/2020 BLDG-84 Rough 132069-2020 Alvarado Complete - Thursday, October 15, 2020 . . Page 4 of 6 Permit Type: BLDG-Commercial Application Date: 02/03/2020 Owner: SHEA PROPERTIES MANAGEMENT CC INC Work Class: Tenant Improvement Issue Date: 03/24/2020 Subdivision: Status: Closed - Finaled Expiration Date: 03/29/2021 Address: 2674 GATEWAY RD, # 190 CARLSBAD, CA 92009-1785 IVR Number: 24595 Scheduled Actual Inspection Type Inspection No. ' Inspection Primary Inspector Reinspection Inspection Date Start Date Status BLDG-34 Rough Electrical June 19, 2020 rough combo inspection - No incomplete. Water lines, gas line, waste and vent lines all underwater test —approved. Two straps missing at vent pipes in restroom and kitchen wall areas. Rest of work OK. Structural engineer/engineer of record to provide approval letter for as built conditions of new 2 x 8 metal framing connection to existing truss roof system-not per engineers plan. Ground rod to be installed below new transformer per engineers electrical plan. Rest of Electrical scope of work appears tobeinOK. Mechanical scope of work missing exhaust fan and ducting and mechanical units. Need to Verify fire department fire sprinkler rough inspection approval sign off. Superintendents Chris and Daisy were not able to provide at time of inspection. BLDG-44 - • June 19, 2020 rough combo inspection - No Rough-Ducts-Dampers incomplete. 1. Water lines, gas line, waste and vent lines all under water test —approved. Two straps missing at vent pipes in restroom and kitchen wall areas. Rest of work OK.. • 2. Structural engineer/engineer of record to provide approval letter for as built conditions of new2 x 8 metal framing connection to existing truss roof system-not per engineers plan. Ground rod to be installed below new transformer per engineers electrical plan. Rest of Electrical scope of work appears tobeinOK. • Mechanical scope of work missing exhaust fan and ducting and mechanical units. . 5. Need to Verify fire department fire sprinkler rough inspection approval sign off. Superintendents Chris and Daisy were not able to provide at time of inspection. 06/22/2020 06/22/2020 BLDG-84 Rough 130751-2020 Partial Pass Tony Alvarado . Reinspectión Incomplete -Combo(14 24,34,44) Thursday, October 15, 2020 • • Page 3 of 6 Permit Type: BLDG-Commercial Application Date: 02/03/2020 Owner: SHEA PROPERTIES MANAGEMENT CC INC Work Class: Tenant Improvement Issue Date: 03/24/2020 Subdivision: Status: Closed - Finaled Expiration Date: 03/29/2921 Address: 2674 GATEWAY RD, # 190 CARLSBAD, CA 92009-1785 IVR Number: 24595 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status Checklist Item COMMENTS . Passed BLDG-Building Deficiency Not ready. DWV, rough plumbing needs to No be topped off, rough electrical incomplete. Complete all rough and Call for reinspection. BLDG-14 June 19, 2020 rough combo inspection - No Frame-Steel-Bolting-Welding incomplete. (Decks) Waterlines, gas line, waste and vent • lines all underwater test —approved. Two straps missing at vent pipes in restroom and kitchen wall areas. Rest of work OK. Structural engineer/engineer of record to provide approval letter for as built conditions of new 2 x 8 metal framing • connection to existing truss roof system-not per engineers plan. Ground rod to be installed below new transformer per engineers electrical plan. Rest of Electrical scope of work appears • tobeinOK. Mechanical scope of work missing exhaust fan and ducting and mechanical units. Need to Verify fire department fire sprinkler rough inspection approval sign off. Superintendents Chris and Daisy were not able to provide at time of inspection. BLDG-24 Rough-Topout June 19, 2020 rough combo inspection - No • incomplete. Waterlines, gas line, waste and vent lines all underwater test —approved. Two straps missing at vent pipes in restroom and kitchen wall areas. Rest of work OK. Structural engineer/engineer of record to provide approval letter for as built conditions of new 2 x 8 metal framing. connection to existing truss roof system-not per engineers plan. Ground rod to be installed below new transformer per engineers electrical plan. Rest of Electrical scope of work appears tobeinOK. Mechanical scope of work missing exhaust fan and ducting and mechanical ' units. Need to Verify fire department fire • sprinkler rough inspection approval sign off. Superintendents Chris and Daisy were not able to provide at time of inspection. Thursday, October 15, 2020 . Page 2 of 6. Building Permit Inspection History Finaled (7city of Carlsbad Permit Type: BLDG-Commercial Application Date: 02103/2020 Owner: SHEA PROPERTIES MANAGEMENT CC INC Work Class: Tenant Improvement Issue Date: 03/24/2020 Subdivision: Status: Closed - Finaled Expiration Date: 03/29/2021 Address: 2674 GATEWAY RD, # 190 IVR Number: 24595 CARLSBAD, CA 92009-1785 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 04107/2020 04107/2020 BLDG-21 124174-2020 Passed Chris Renfro Complete UndergroundlUnderflo or Plumbing Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 04/10/2020 04I10/2020 BLDG-10 Tilt 124564-2020 Passed Michael Collins Complete Panels/Floors Checklist Item COMMENTS Passed BLDG-Building Deficiency Slab dowels and floor steel. Yes 04116I2020 04/1612020 BLDG-17 Interior 125009-2020 Partial Pass Chris Renfro Reinspection Incomplete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Drywall at party wall Yes 06/09/2020 06/09/2020 BLDG-84 Rough 129655-2020 Failed Chris Renfro Reinspection Incomplete Combo(1424,34,44) Checklist Item COMMENTS. Passed BLDG-Building Deficiency Not ready. DWV, rough plumbing needs to No be topped off, rough electrical incomplete. Complete all rough and Call for reinspection. BLDG-14 . No Frame-Steel-Bolting-Welding (Decks) . BLDG-24 Rough-Topout No BLDG-34 Rough Electrical . No BLDG-44 No Rough-Ducts-Dampers 06/19/2020 06/19/2020 BLDG-84 Rough 130667-2020 Failed Tony Alvarado Reinspection Incomplete Combo(14,24,34,44) Thursday, October 15, 2020 -- Page 1 of 6 24C CBC2020-0042 / ITY 01 CARLSBAD INSPECTION RECORD 1 2674GATEWAYRD #190 Building Division TABU SHABU 1,446 SF T.I. (RETAIL TO RESTAURANT) 121 INSPECTION RECORD CARD WITH APPROVED RECORD COPY PLANS MUST BE KEPT ON THE JOB EJ CALL BEFORE 300 pm FOR NEXT WORK DAY INSPECTION 2132622100 10 FOR BUILDING INSPECTION CALL: 7606022725 2/3/2020 OR GO TO: www.Carlsbadca.gov/Building AND CLICK ON "Request Insuction" - CBC2020"0042 If "YES Is please call checked below that Division's approval Is required arior to reauestln a Final Building Inspection. If you have any questions the applicable divisions the below. After all required approvals are signed off- fax to 760-602.8560, at phone numbers provided email to 1gtnsnectlon29cprIsba'dcp.gov or bring In a COPY of this card to: 1635 Faraday Ave., Carlsbad. For Inspection times or to speak to an Inspector call 760602-2700 between 7:30am-8:00am the day of your Inspection. IF MARKED"YES". IT IS REOUIRED PRIOR TO ANY CONSTRUCTION -Date Inspector Notes '411. IF MARKED"YES", APPROVAL REOUIRED PRIOR TO REOUESTING BUILDING FINAL COPY OF CARD REOUIRED • Fire I1Prevention Planning/Landscape 760-436-7327 Allow 48 hours TyPO of Inspection Tvnn.øf Irinection .i at) :iiii.ii!F.. #11 FOUNDATION I Date Inspector t.uIi1I.rll(S1.I #31 (1 #31 DUFER Tft: Inspector #12 REINFORCED STEEL #34 ROUGH ELECTRIC / EV CHARGER #66 MASONRY PRE GROUT - #33 0 ELEC SERVICE #320TEMPORARY OGROUT D WALL DRAINS I #35 PHOTOVOLTAIC #10 TILT PANELS #38 SIGNS #11 POUR STRIPS 4gf 60-~~O4[1f/1 #11 COLUMN FOOTINGS :_____ BLDG-FINAL - P041 UgNPERGROUND DUCTS& PIPING Date Inspector - #14 SUBFRAME OFLOOR OCEILING #15 ROOF SHEATHING PINUM 0 REF. PIPINGS _S4_'DUCT& #13 EXT. SHEAR PANELS COND. SYSTEMS #16 INSULATION LG-FINAL #18 EXTERIOR LATH LL_. Date Inspector #17 INTERIOR LATH & DRYWALL !/!.J 4_._ #B1U1NDERGROUND(11.12.21.31) BLDG-FINAL - #22 0 SEWER & BL/CO/ o PL/96 I' Inspector #82DRYWALL,EXT LATH, GAS TES (17.18,23) #83 ROOF SHEATING,EXT SHEAR (13,15) #84 FRAME ROUGH COMBO (I4,24,34.44) Date 7//ap - '*twmM #21 UNDERGROUND WASTE 'WTR 'f Ø ______ ________ #85 1-Bar 114,26,34,44) iit5/,f.o #24 TOPOUT OWASTE OWIR - BLDG FINAL OCCUPANCY #27 TUB p(HOWER PAN '•'1' WS UNDERGROUND VISUAL - te Inspector #23 c6ASTEST OGASPIPING 1IZJ-I(c, 225 WATER HEATER A/S UNDERGROUND HYDRO #28 SOLAR WATER A/S UNDERGROUND FLUSH BLDG-FINAL A/S OVERHEAD VISUAL PL ..x.0 Date Inspector ES OVERHEAD HYDROSTATIC - #51 POOL EXCAV/STEEL A/S FINAL #52 PLUMBING F/A ROUGH-IN #53 ELEC/ CONDUIT/ WIRING F/AFINAL #54 EQUIPOIENTIAL BOND - FIXED EXTINGUISHING SYSTEM ROUGH-IN #55 PREPLASTER/ FENCE/ ALARMS FIXED EXTING SYSTEM HYDROSTATIC TEST #57 GUNITE FIXED EXTINGUISHING SYSTEM FINAL BLOG- FINAL , MEDICAL GAS PRESSIJRETEST MEDICAL GAS FINAl. - KEY 6/I8 SEE BACK FORSPECIAI.NOL3 Section 5416. Health and Safety Code, State of California There shall be not less than one water closet for each 2o employees or fractional part thereof working at a construction job site. The waer closet shall consist of a patented chemical type toilet. For the purpose of this section the term construction site shall mean the location on which actual, construction of a building is in progress. A violation of this section shall constitute a misdemeanor. All construction or work for which a permit is required shall be subject to inspection and all such construction or work shall remain accessible and exposed for inspection purposes until approved by the inspector. Work shall not be done beyond the point indicated in each successive inspection without first obtaining the approval of the inspector. CONSTRUCTION HOURS: MONDAY - FRIDAY 7AM - 6PM, SATURDAY 8AM - 613M NO WORK ON SUNDAYS OR FEDERAL HOLIDAYS DATE ADDITIONAL NOTES 140 -- -I- S - — 1 — . - , . • - -. - - - . '- -''S •. - •1 r • 4.. BRETT ALBLINGER SPECIAL INSPECTIONS 1223 Cinchona St, Vista, CA 92083 (858) 205-2333 ICBO/ICC ALL CITIES & JURISDICTIONS INSPECTION & MATERIAL TESTING REGISTERED INSPECTOR'S DAILY REPORT Job Number Dt/ 0 41 f... TYPE OF INSPECTION REQUIRED 0 Reinforced Concrete 0 Structural Steel Assembly 0 Quality Cdntrol 0 Post Tensioned Concrete 0 Fireproofing 0 Epoxy Anchors 0 Structural Masonry, 0 Asphalt 0 Other Job Address city 64.TL/1f R2544t - > Job Name Trt3Lit Permit Number Issued By CArt.< Type of Structure Architect Material Description (type, grade, source) (I/ f.c.XiZ Engineer ,& ZI Contractor Inspectors Name Brett Alblinger Subcontractor INSPECTION SUMMARY - LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE AND IDENTIFICATION NUMBERS OF SAMPLES TAKEN, STRUCTURAL CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED, ETC. - - l?-E4-1z. -r - 44. ( CiA E-P.x/- 14n_rf idrr 4-/ . 44lflf (7 . I t -, r. C -, . SAMPLES CONCRETE MORTAR GROUT BLOCK PRISMS DENSITY PAGE OF CERTIFICATION OF COMPLIANCE: To the best of my knowledge, all of the reported work, unless otherwise noted, is in conformance with the approved plans, specifications, and applicable sections f the roverning building laws. < .'-- SD#656 TIME IN I TIME OUT I REG. HOURS I OT 1.5 X I OT 2X All inspections based an minimum of 4 hours. Over 4 hours = 8 hours minimum. Any inspections extending past noon will be charged as an 8 hour minimum. APPROVED BY PROJECT SUPERINTENDENT of Special in ,ector S .,, ), Certification.Number ICC# 0881693-88/84/89 'Ir A R R a w D ES I Q N Consulting Englna.r. ELECTRICAL ENGINEERS 14151 E. Colorado Street Suite 203A, Glendale, CA. 91205 Phone: (818)241.3751 Fax: (818)241.3761 E-mail: arrowdesignengr@gmail.com Sept. 8, 2020 Mr. Chris Renfro City of Carlsbad Building Division 1635 Faraday Ave. Carlsbad, CA. 92008 Re: Permit CBC2020-0042 Tabu Shabu, Panel "PA" Main feeder 2674 Gateway Road #190, Carlsbad, CA. 92009. Dear Mr. Renfro, The panel "PA" main feeder, parallel #3/0 CU conductors in common raceway is acceptable based on connected load of 252 amp, The parallel feeder, derating per CEC Table 310.15 (B)(2)(a) #3/0 conductor ampacity is 200 amp, for 8 current-carrying conductors in the same raceway ampacity ® 70% (2) #3/0 per phase 2x200x70%=280 amp, panel "PA" connected load is 252 amp. The 40% conduit fill is not exceeded, in 4" conduit can have up to (22) #3/0 CU conductors. Thank you for your continued support of this project. - Sincerely, Vrej Ratavousian; P.E. Arrow design Consulting Engineers EsGil A SAFEbuilt Company DATE: MARCH 16, 2020 U APPLICANT _ U JURIS. JURISDICTION: ( __ r1s _ bi) PLAN CHECK #.: CBC2020-0042 SET: II PROJECT ADDRESS: 2674 Gateway Rd. PROJECT NAME: Tabu Shabu Tenant Improvement E The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. F-1 The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: EsGil staff did not advise the applicant that the plan check has been completed. L EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Jose Gonzalez Telephone #: 323-826-0179 Date contacted: (by: ) Email: jose@handiancorp.com Mail Telephone Fax In Person REMARKS: etA11,.to relocate perrñittëd bhind the graber CBC StIi B:p7'i2 pp-sHII((hich djha ithin the Prep-area is required to drain intôthe grease interceptor Please corret'Iig ithin the Service Area i11éqüired todrain intthegrease waste systemPléaé' correct greasecIeanout at thitopof the vertical grease ducts for EF-1 EF;9, EF-3 and,EF-8.45 Inote to the mechanical plans The grease hoods and grease ducts will háéminimum. matil By: ALl SADRE, S.E. (for J.P.) Enclosures: EsGil 2/26/20 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 a DATE: 2/14/2020 JURISDICTION: Carlsbad EsGil A SAFEbuilt' Company U APPLICANT U JURIS. PLAN CHECK #.: CBC2020-0042 SET: I PROJECT ADDRESS: 2674 Gateway Rd. PROJECT NAME: Tabu Shabu Tenant Improvement LI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. LI 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. LI 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. LI The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. LI The applicant's copy of the check list has been sent to: LI 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: Jose Gonzalez Telephone #: 323-826-0179 Date contacted: (by: ) Email: jose@handiancorp.com Mail Telephone Fax In Person LI REMARKS: By: Jason Pasiut Enclosures: EsGil 2/4/2020 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858)560-1576 Carlsbad CBC2020-0042 2/14/2020 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK #.: CBC2020-0042 OCCUPANCY: B ITYPE OF CONSTRUCTION: V-B ALLOWABLE FLOOR AREA: complies SPRINKLERS?: YES REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 2/3/2020 DATE INITIAL PLAN REVIEW COMPLETED: 2/14/2020 FOREWORD (PLEASE READ): JURISDICTION: Carlsbad USE: Restaurant ACTUAL AREA: 1,446sf STORIES: 1 HEIGHT: unchanged OCCUPANT LOAD: 46 DATE PLANS RECEIVED BY ESGIL CORPORATION: 2/4/2020 PLAN REVIEWER: Jason Pasiut 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 2016 CBC, which adopts the 2015 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 2015 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 CBC2020-0042 2/14/2020 Please make all corrections, as requested in the correction list. Submit FOUR new complete sets of plans for commercial/industrial projects (THREE sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602- 2700. The City will route the plans to EsGil and the Carlsbad Planning, Engineering and Fire Departments. Bring TWO corrected set of plans and calculations/reports to EsGil, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil is complete. BUILDING AND LIFE SAFETY REQUIREMENTS 1. Please update the following sheets / notes: Detail 9 sheet A-1.1 references incorrect code section of II2913.4. Please update to the appropriate 2019 code section. The occupant load and plumbing fixture occupant loads appear to have been reversed for the customer area. ACCESSIBILITY FOR REMODELS, ADDITIONS, AND REPAIRS The following disabled access items are taken from the 2016 edition of California Building Code. Per Section 1.9.1.2, all privately funded public accommodations and commercial facilities shall be accessible to persons with disabilities. Where existing elements or spaces are altered, each altered element or space shall comply with applicable requirements of Division 2, including CBC section 11 B-202.4. CBC section 11 B-202.4 states that when alterations or additions are made to existing buildings, an accessible path of travel to the specific area of alteration shall be provided. See exceptions to 11 B-202.4. Detail on the plans the following elements of the existing path of travel that are required to comply with the 2016 accessibility standards: 2. Existing primary path of travel to the building or facility entrance, including: The location of detectable warnings at hazardous vehicle areas. II B- 705.1.2.5. The curb ramp (if any) 48" minimum width, 48" x 48" turning space at the bottom, landing length of 48" at the top, slope and cross-slope in compliance with CBC 11 B-406. Carlsbad CBC2020-0042 2/14/2020 C) Note that the walking surface from the access aisle to the building entrance complies with slope, cross slope, changes in level and clear width provisions of 11 B-403. d) Note the accessible entrance door threshold, door hardware, door width, and maneuvering clearances on either side of the door in compliance with CBC 11 B-206.4. 3. Existing accessible parking reflectorized identification including the "unauthorized vehicle parking" signs per 11 B-502.8.2. a) Provide the address and phone number for the location to reclaim towed vehicles. 11 B-502.8.2. 4. Please clearly show the 44" clear path required to the restrooms. 11 B-403.5.1(5). INTERIOR BEARING/NON-BEARING PARTITIONS 5. Provide a section view of all new interior partitions. Show: Type, size and spacing of studs. Indicate gauge for metal studs. Specify manufacturer and approval number or indicate "to be ICC approved". Method of attaching bottom plates to structure. C. Provide top of wall details at rated walls. 6. Provide a section view of the new soffits. Show: d. Indicate gauge for metal studs. Specify manufacturer and approval number or indicate "to be ICC approved". MECHANICAL / ELECTRICAL I PLUMBING HOOD(S) 7. Provide complete kitchen hood plans, details, and calculations to show compliance with UMC, Chapter 5, Part II. Plans call for I type I hood but there appear to be 2. Please clarify. Also, clearly label exhaust fan number 7 on Captiveaire sheet 1. 8. Show details of the hood bracing and support connections to the structure above, including hardware and fastener type and size and material being supported from. CMC 510.1.6. a) Hoods shall be secured in place to resist the lateral loads given in the California Building Code, Title 24, Part 2 by non-combustible supports. Carlsbad CBC2020-0042 2/14/2020 Provide structural calculations to show that the existing ceiling/roof framing is adequate to support the weight of the hoods, exhaust fans, and make-up air systems in excess of 400 pounds. ASCE 1.3.1.4 (6) c.i. Provide a net exhaust airflow calculation based on the manufacturer installation instructions for all equipment being installed under each hood and the required replacement/make-up air for each hood. Include an air balance schedule. State whether the appliances are extra-heavy-duty, heavy-duty, medium-duty or light- duty. If required, the exhaust and make-up air systems shall be connected by an electrical interlocking switch. PLUMBING REVIEW Please show that the water supply connection to the commercial dish washing machine(s) is protected by an air gap or a back-flow prevention device. CPC 414.2. Show that indirect waste pipes that are 5' to 15' long are trapped. (A vent is not required on the indirect waste pipe). CPC 803.3. Show that indirect waste pipes that are less than 15' in length are provided with a clean-out. CPC 803.3. Provide a sizing chart showing the appropriate size of the grease interceptor using gravity flow rates or fixture capacity. No food waste disposer or dishwasher shall be connected to or discharge into a grease interceptor. Please remove the food waste disposer and/or dishwasher from the grease waste. CPC 1014.1.3. Each fixture discharging into a grease interceptor shall be individually trapped and vented in an approved manner. Please show on the plans how each fixture entering the grease interceptor is vented individually with trap arm lengths in compliance with CPC 1002.2. a) Show all floor drains and the prep sink flowing through the grease interceptor. Plumbing fixtures or equipment connected to a Type A and B hydromechanical grease interceptor shall discharge through an approved type of vented flow control installed in a readily accessible and visible location. CPC 1014.2. Please provide details of the flow control and show on the plans. The vented flow control device shall be located such that no system vent shall be between the flow control and the grease interceptor inlet. CPC 1014.2. Carlsbad CBC2020-0042 2/14/2020 Note on the plans that the flow control device vent will terminate through the roof of the building. CPCI0I4.2. Show the vent installed downstream of the hydromechanical grease interceptor. CPC 1014.2. Please consult with the City of Carlsbad Wastewater Division as to whether they require a grease interceptor and sample box. Show all details on the plumbing plans if required. Please review CPC Table 703.2 footnote #6. The total permitted horizontal length of any vent cannot exceed 1/3 of the total outlined within CPC Table 703.2. (ex: 2" vent = 120'; 120'x 1/3 = 401 Please upsize all 2" vents that horizontally extend more than 40'. END OF REVIEW To speed up the review process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, note or detail number, calculation page, etc. Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes, please briefly describe them and where they are located in the plans. Have changes been made to the plans not resulting from this correction list? Please indicate: 0 Yes 0 No The jurisdiction has contracted with EsGil, located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Jason Pasiut at Esgil. Thank you. Carlsbad CBC2020-0042 2/14/2020 [DO NOT PAY- THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK#.: CBC2020-0042 PREPARED BY: Jason Pasiut DATE: 2/14/2020 BUILDING ADDRESS: 2674 Gateway Rd. BUILDING OCCUPANCY: B BUILDING POR11ON AREA (Sq. FL) Valuation Multiplier Reg. Mod. VALUE ($) TI 1446 64.72 93,585 Air Condi5orng Fire Sprinklers TOTAL VALUE 93,585 Jurisdiction Code 1cb 113y Ordinance 1997 UBC Building Permit Fee IIJ I • 11997 UBC Plan Check Fee Type of Review: P Complete Review r Structural Only r Other I Repeats ______ I- Repetitive Fee . r Hourly Hr. @ EsGil Fee * p. p. Comments: Sheet 1 of 1 Dir,cW cc QCount of sanflicgo DEPARTMENT OF ENVIRONMENTAL HEALTH FOOD AND HOUSING DIVISION P.O. aox 129261, SAN DIEGO, CA 92112.9261 Phone: (858) 505-6659 FAX: (858) 505-6824 1(800) 253-9933 th.or AMY HARBERT Assistant Director DATE: 2/20/20 PC #: DEH202OFFPP0121 12 Plans are approved contingent upon the following: 1) Department of Environmental Health (DElI) stamp ed Dians shall be maintained at the iobslte and available for review at the time of the inspection. 2) Changes to equipment layout, menu, or application must be submitted for approval. Changes made without approval will make the plan approval null and void. 3) Obtain local Building Department and all applicable agencies permits and approvals PRIOR TO FINAL INSPECTION AND APPROVAL TO OPERATE BY THIS DEPARTMENT. 4) All food and utensil-related equipment shall be certified to applicable sanitation standards by an ANSI accredited testing agency. 5) Upon completion of 500/6-80% of construction, email: celeste.oenn(ãsdcountv.ca.gov to schedule an inspection. In lieu of a plumbing inspection by DEH, ensure that the plumbing is constructed to these standards: Floor sinks shall be installed Y2 exposed and equipped with an appropriate grill cover if no access is provided for cleaning. Drain lines shall slope 'A" per foot, shall not exceed 15' in length and shall terminate a minimum of 1" above the floor sink with a legal au gap or otherwise approved by the enforcing agency. Drain lines shall not intersect walkways or door ways. No condensate drainage of any kind can drain to the mop sink. 3-compartment sinks, preparation sinks, dump sinks, and any other plumbed equipment must drain indirect to a floor sink. C. Grease traps/interceptors, if required by the local waste water authority must be located outside of the food preparation, food storage, or warewashing areas. Floor surfaces must be sloped 1:50 to required floor drains. Conduits of all types shall be installed within walls as practicable. When otherwise installed, they shall be mounted or enclosed in a chase so as to facilitate cleaning. 6) Owners and/or operators must pass an approved and accredited Food Safety Certification course. Proof of successful completion of this course is to be furnished at the final inspection. 7) All equipment is to be in place and functional. At the time when the final inspection is requested, the facility shall have all utilities operational and all refrigeration shall have an ambient air temperature of 387 or below and shall be equipped with a thermometer accurate to +1- 27 in the warmest section of the unit. 8) Seal all cracks, gaps and crevices in counters, cabinets, around metal flashing, sink backsplashes around pipes and conduits with silicone sealant. 9) AN AIR BALANCE REPORT IS REQUIRED IF THE FACILITY HAS VE HOODS. PROCESSING AREAS 10) p U COMPLETELY ENCLOSED. OPERABLE OR OTHER MEANS OF DOWS MOVEABLE NOT FULLY ENCLOSED NOT APPROVED. ESS11N 11) Be advised. aPOlicabieJUTin4!n e uirementsal 1 —jhat t in chan es to rovdla Department Plans reviewed by: Celeste Penn, REHS 858505.6703 AT LEAST 10 10R~K lDff A~ YADVA IIC~E TO SCHEDULE INsPECTIONS A INSPECTION MUSTBE CONDUCTED AND AN ENViRONMENTAL HETH L BSSUED PRIOR TO OPENING AND OPERATING THIS FOOD ESTABLISHMENT. "Environmental and public health through leadership, parmershf1., and science,, DBA: TABU SHABU PLAN APPROVAL SHEET SITE: 2674 GATEWAY RD # 190 CARLSBJtJ) 92009 BUSINESS OWNER: TS SOUTH LLC SAN DIEGO REGIONAL OFFICE USE ONLY HAZARDOUS MATERIALS 'RECORD ID#________________________________ IPLAN CHECK # QUESTIONNAIRE I BPDA I 3 i2 Buggss Name Buspess Contact Telephone # Lo,d S1#ioloJ 1e+f CLios ?iO '-3O1'7 Project Address City State Zip Code APN# 2Ci- Go1'a o( S" 116 C.c,,'IcI,ô( CL 'iOo Mailing Address City State Zip Code Plan File# 17 a. I7-u-' 9t. #2O0C CosI/?e-4o.. C4 9227 Project Contact Applicant E-mail Telephone # iccc$: The following questions represent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT -_HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: (not reaulred for proiects 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): Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials None of These. Flammable Solids 8. Unstable Reactives 12. Radioactives [the answer to any Diego, CA 92123. Call (858) 505.6700 prior to the issuance of a building permit. FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy: YES NO (for new construction or remodeling projects) 0 Is your business listed on the reverse side of this form? (check all that apply). 0 Will your business dispose of Hazardous Substances or Medical Waste in any amount? 0 Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? 0 EJ Will your business store or handle carcinogens/reproductive toxins in any quantity? 0 .. Will your business use an existing or install an underground storage tank? 0 13 Will your business store or handle Regulated Substances (CalARP)? 0 0 Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? 0 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). CalARP Exempt Date Initials CalARP Required Date Initials CalARP Complete Date Initials PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD): Any YES* answer requires a stamp from APCD 10124 Old Grove Road, San Diego, CA 92131 aocdcomotsdcountv.ca.aov (858) 586-2650). [ONo stamp required if QI Yes and 03 Yes and 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. [Excludes garages & small outbuildings.] YES NO 0 0 Will the project disturb 160 square feet or more of existing building materials? 0 Q Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition. DI- . (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance Technician? 0 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 10 working days prior to commencing asbestos removal. 0 fiff Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet (www.sdaocd.ora/info/factsloermits.odfl for typical equipment requiring an APCD permit. 0 0 (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school Briefly describe busins Briefly describe proposed project: activitias- ' J C stoC -, 7D os-' I I declare under penalty of p'ê1jUrf'fl1áfliie best of my knowledge belie e onses4nade herein are true and correct. 'ct 'gent Date Name of Owner or Authorized FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:__________________________________________________________________ BY: DATE: EXEMPT on NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMD APCD COUNTY-HMD APCD COUNTY-1-11101D APCD A stamp in this box OnIV exempts businesses Irom completing or upoating a Iiazaraous iviatenais business Man. umer permitting requirements may sun apply. HM-9171 (08/15) 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 SourceControI@encinajpa.com Date: Z,/3/z o Business Name: /C.( kk, ,51114bC1, Street Address: 2-4 ct'Ou io1 #1?O Email Address: PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) 12 Check all below that are present at your facility: o Add Cleaning o Food Processing o Metal Powders Forming o Assembly o Glass Manufacturing o Nutritional Supplement/Vitamin o Automotive Repair o Industrial Laundry Manufacturing o Battery Manufacturing o Ink Manufacturing o Painting/Finishing o Biofuel Manufacturing o Laboratory o Paint Manufacturing o Biotech Laboratory o Machining/Milling o Personal Care Products o Bulk Chemical Storage o Membrane manufacturing Manufacturing o Car Wash (i.e. water filter membranes) o Pesticide Manufacturing/ Packaging o Chemical Manufacturing o Metal Casting/Forming o Pharmaceutical Manufacturing o Chemical Purification o Metal Fabrication (including precursors) o Dental Offices o Metal Finishing o Porcelain Enameling Dental Schools Electroplating o Power Generation Dental Clinics Electroless Plating o Print Shop o Dry Cleaning Anodizing o Research and Development o Electrical Component Coating (i.e. phosphating) o Rubber Manufacturing Manufacturing Chemical Etching/Milling o Semiconductor Manufacturing o Fertilizer Manufacturing Printed Circuit Board o Soap/Detergent Manufacturing o Film/X-ray Processing Manufacturing o Waste Treatment/Storage J(/Pk' 2020 New Business? Yes No[] SIC Code(s) if known: Date operation began/will begin: _o!oX.) Tenant Improvement? YesIR NoD If yes, briefly describe improvement:/U.u.i regtot T._C Description of operations generating wastewater (discharged to sewer, hauled or evaporated):Gir.e.ce ttc.e 1Vt9 Estimated volume of industrial wastewater to be discharged (gal/ day): Ot 00 al C41 AE-4 List hazardous wastes generated (type/volume):FO 6 Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes El Date:____ No 19 Page 1 of 2 ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT ENUM SCREENING SURVEY WMEWAM 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 Detailers 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 developing) Financial Institutions/Services Fitness Centers Gas Stations (no car wash/auto repair) Grocery Stores (no film developing) Residential 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 (no car wash/auto repair) P blic Stora e Facilities estaurants/Bar Retail/Wholesale Stores (no auto repair/film developing) Theaters (Movie/Live) CERTIFICATION STATEMENT I certify that the information above is true and correct to the best of my knowledge. Signatur1.. — AZ- Print Name:)Q M. 91?C4 DATE: 2/3/20 jer,C Facility Contact: _-, Title:Pre5Id wi* 119 ENCINA WASTEWATER AUTHORITY 6200 AVENIDA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852 SourceControkencinaipa.com Page 2 of 2 C"City of 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. 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. NOTE: The following type of permits are not required to fill out this form + Patio I + Decks + PME (w/o panel upgrade) • Pool 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. A A CAP Building Plan template (form B-55) shall be added to the title page all building plans. This template shall be completed to demonstrate project compliance with the CAP ordinances. Refer to the building application webøage and download the latest form. Application Information Project Name/Building Permit No.: BP No.: Property Address/APN: 2 7Y 67-e w ME ApplicantNamelCo.: ' WI1IL41Irk SevwJce Applicant Address: 2- 33 ç f),- Okc Av-e Contact Phone: '323 . Contact Email: .io.e Ii fr1/04, c vog (On Contact information of person completing this checklist (if different than above): Name: Contact Phone: Company name/address: Contact Email: Applicant Signature B-50 Page 1 of 6 &,M~ - t.'v.O&A 02b0/C Revised 08/19 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 alterations and additions to existing buildings, attach Building Permit Valuation worksheet. Building Permit Valuation (BPV) rom worksheet $Fit Construction Type Complete Section(s) Notes: A high-rise residential building is 4 or more stories, including a Residential Low-rise High-rise mixed-use building in which at least 20% of its conditioned floor area is residential use 0 New construction 1B, 2B, 2A, 3A, 4A 3B, 4A 0 Additions and alterations: BPV <$60,000 N/A N/A All residential additions and alterations BPV 2! $60,000 1A 4A 4A 1-2 family dwellings and townhouses with attached garages Electrical service panel upgrade only ' only -Multi-family dwellings only where interior finishes are removed BPV 2:$200,000 1A, 4A* 1B, 4A* and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed Nonresidential 0 New construction IB, 2B, 3B, 4B and 5 erations: YW - 200K 5E- BPV a $200,000 or additionsa 1,000 square feet BPV ;-,, $1,000,000 I B, 28,5 Building alterations of 2: 75% existing gross floor area 2t 2,000 sq. ft. new roof addition 2B, 5 1 also applies if BPV $200,000 CAP Ordinance Compliance Checklist Item Check the appropriate boxes, explain all not applicable and exception items, and provide supporting calculations and documentation as necessary. 1. Energy Efficiency Please refer to Carlsbad Munidpal Code (CMC) sections 1821.155 and 18.30.190, and the California Green Building Standards Code (CALGreen) for more information when completing this section. A. El Residential addition or alteration? $60,000 building permit valuation. 0 N/A___________________________ See CMC section 18.30.190. 0 Exception: Home energy score 2:7 (attach certification) Year Built 51ng1e4am11y Requirements Multi4mily Requirements Before 1978 Select one: Duct sealing 0 Attic insulation 0 Cool roof 0 Attic insulation 1978 and later Select one: Lighting package 0 Water heating Package Between 1978 and 1991 Select one: 0 Duct sealing 0 Attic insulation 0 Cool roof Select one: 1992 and later 0 Ughting package 0 Water heating package B. 0 Nonresidential* new construction or alterations? $200,000 building permit valuation, or additions? 1,000 square feet. 0 N/A__________________________ Updated 8/15/2019 2 City of Carlsbad Climate Action Plan Consistency Checklist See CIVIC 18.21.155 and CALGreen Appendix A5, Division A5.2 - Energy Efficiency. A5.203.1.1 Choose one: 0.1 Outdoor lighting 02 Warehouse dock seal doors 193 Restaurant service water heating (comply with California Energy Code section 140.5, as amended) 0 N/A____________________________ .4 Daylight design PAR 0.5 Exhaust air heat recovery A5.203.1.2.1 Choose one as applicable: 0 .95 Energy budget 0 .90 Energy budget 0 N/A____________________________ A5211.1" 0 On-site renewable energy 0 N/A____________________________ A5.211.3" 0 Green power (if offered by local utility provider, 50% minimum renewable sources) 0 N/A____________________________ A5.212.1 0 Elevators and escalators 0 N/A__________________________ A5.213.1 0 Steel framing 0 N/A__________________ * Includes hotels/motels and high-rise residential buildings "For alterations 211,000,000 BPV and affecting >75% existing gross floor area, or alterations that add 2,000 square feet of new roof addition: comply with CIVIC 18.30.130 instead. 2. Photovoltaic Systems 0 Residential new construction (for low-rise residential building permit applications submitted after 111120). Refer to 2019 California Energy Code section 150.1(c)14 for requirements. Notes: 1) High-rise residential buildings are subject to nonresidential photovoltaic requirement (2B below) instead. 2) If project includes installation of an electric heat pump water heater pursuant to CMC 18.30.150(8) (high-rise residential) or 18.30.170(6) (low-rise residential), increase system size by .3kWdc if PV offset option is selected. Floor Plan ID (use additional sheets if necessary) CFA #d.u. Calculated kM1c* Exception 0 0 Total System Size: kWdc kWdc = (CFAx.572) I 1,000 + (1.15 x #d.u.) 'Formula calculation where CFA = conditional floor area, #du = number of dwellings per plan type If proposed system size is less than calculated size, please explain. 0 Nonresidential new construction or alterations 41 000,000 BPV and affecting 2750/6 existing floor area, or addition that increases roof area by 22,000 square feet Please refer to CIVIC section 18.30.130 when completing this section. Note: This section also applies to high-rise residential and hotellmotel buildings. Choose one of the following methods: o Gross Floor Area (GFA) Method GFA: Mm. System Size: kWdc 0 If < 10,000s.f. Enter 5 kWdc 0 If 2: 10,000s.f. calculate: 15 kWdc x (GFAII0,000) Round building size factor to nearest tenth, and round system size to nearest whole number. 0 Time.. Dependent Valuation Method Updated 8/15/2019 City of Carlsbad Climate Action Plan Consistency Checklist Annual TDV Energy use:***_ x.80= Mm. system size: kWdc Attach calculation documentation using modeling software approved by the California Energy Commission. I 3. Water Heating & 0 Residential and hotellmotel new construction Please refer to CIVIC sections 18.30.150 and 18.30.170 when completing this section. 0 For systems serving individual dwelling units choose one: O Heat pump water heater AND Compact hot water distribution AND Drain water heat recovery (low-rise residential only) O Heat pump water heater AND PV system .3 kWdc larger than required in CIVIC section 18.30.130 (high rise residential hotel/motel) or CA Energy Code section 150.1(c) 14 (low-rise residential) O Heat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higher O Solar water heating system that is either .60 solar savings fraction or 40 s.f. solar collectors 0 Exception: For systems serving multiple dwelling units, install a central water-heating system with all of the following: Gas or propane water heating system Recirculation system per CIVIC 18.30.150(B) (high-rise residential, hotel/motel) or CIVIC 18.30.170(6) (low- rise residential) O Solar water heating system that is either: .20 solar savings fraction .15 solar savings fraction, plus drain water heat recovery Exception: 8. 0 Nonresidential new construction Please refer to Carlsbad Ordinance CIVIC section 18.30.150 when completing this section. 0 Water heating system derives at least 40% of its energy from one of the following (attach documentation): 0 Solar-thermal 0 Photovoltaics 0 Recovered energy Water heating system is (choose one): Heat pump water heater O Electric resistance water heater(s) DSolar water heating system with .40 solar savings fraction 0 Exception: Updated 8/15/2019 4 City of Carlsbad Climate Action Plan Consistency Checklist 4. Electric Vehicle Charging Residential New construction and major alterations* Please refer to Carlsbad Ordinance CIVIC section 18.21.140 when completing this section. 0 One and two-family residential dwelling or townhouse with attached garage: 0 One EVSE Ready parking space required 0 Exception: 0 Multi-family residential: 0 Exception:_______________________________ Total Parking Spaces Proposed EVSE Spaces Capable Ready Installed Total 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. *Major alterations are: (1) for one and two.family dwellings and townhouses with attached garages, alterations have a building permit valuation 2460,000 or include an electrical service panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), afterations have a building permit valuation k $200000, interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed. 0 Nonresidential new construction (includes hotelslmotels) 0 Exception: Total Parking Spaces Proposed EVSE Spaces Capable Ready Installed Total Calculation: Refer to the table beIow. Total Number of Parking Spaces provided Number of required EV Spaces Number of required EVSE Installed Spaces 0.9 1 1025 2 26.50 4 2 51.75 6 3 76-100 9 5 101.150 12 6 0 151-200 17 9 0 201 and over 10 percent of total 50 percent of Required EV Spaces Updated 8/15/2019 5 Employee ADT Estimation for Various Commercial Uses Off ice (all)2 20 13 Restaurant Retail3 8 4.5 Industrial 4 3.5 Manufacturing 4 3 Warehousing 4 1 i Unless otherwise noted, rates estimated from ITE Trip Generation Manual, 10"7Edition 2 For all office uses, use SANDAG 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 maybe subject to special consideration Sample calculations: Office: 20,450 sf 1. 20,450 sf/ 1000 x 20 = 409 Employee ADT Retail: 9,334 sf First l,000sf=8ADT 9,334sf- 1,000 sf= 8,334 sf (8,334 sf/1,000 x 4.5) + 8 =46 Employee ADT WA !itis('.)= 9.? c IC Ep1ave 401- City of Carlsbad Climate Action Plan Consistency Checklist 5. 0 Transportation Demand Management (TOM): Nonresidential ONLY An approved Transportation Demand Management (TOM) Plan is required for all nonresidential projects that meet a threshold of employee-generated ADT. City staff will use the table below based on your submitted plans to determine whether or nor your permit requires a TOM plan. If TOM is applicable to your permit, staff will contact the applicant to develop a site-specific TOM plan based on the permit details. Acknowledgment: I acknowledge that the plans submitted may be subject to the City of Cadsbad's Transportation Demand Management Ordinance. I agree to be contacted should my permit require a MM p139 and understand that n approved TOM plan is a condition of permit issuance. Applicant Signature: Date:____________ Person other plicant to be contacted for MM pliance (if applicable): Name (Printed): Phone Number Email Address: Updated 8/15/2019