HomeMy WebLinkAbout2687 GATEWAY RD; ; CBC2021-0325; PermitPERMIT REPORT
(city of
Carlsbad
Commercial Permit
Print Date: 05/05/2022 Permit No: CBC2021-0325
Job Address: 2687 GATEWAY RD, CARLSBAD, CA 92009-1726 Status: Closed -Finaled
Permit Type: BLDG-Commercial Work Class: Tenant Improvement
Parcel#: 2131911500 Track#:
Valuation: $38,138.20 Lot#:
Occupancy Group: M
#of Dwelling Units:
Project#:
Plan#:
Bedrooms:
Bathrooms:
Construction Type: 1118
Orig. Plan Check#:
Plan Check#:
Project Title:
Description: STATER BROS: 820 SF T.I. (NO CHANGE IN USE)
Applicant:
RMCA ARCHITECTS
JESSE LARA
2687 GATEWAY RD
CARLSBAD, CA 92009-1726
(213) 483-0530
FEE
Property Owner:
STATER BROS MARKETS
2687 GATEWAY RD
CARLSBAD, CA 92009
COMM RES & MULTI RES REMODELS -NON-STRUCTURAL
BUILDING PLAN CHECK FEE (manual)
BUILDING PLAN REVIEW -MINOR PROJECTS (LDE)
BUILDING PLAN REVIEW -MINOR PROJECTS (PLN)
Fl RES Occupancies< 50,000sq. ft. Tl
BUILDING PLAN CHECK FEE (BLDG)
SB1473 -GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION -COMMERCIAL (SMIP)
Total Fees: $1,780.14 Total Payments To Date: $1,780.14
Applied: 08/30/2021
Issued: 03/04/2022
Finaled Close Out: 05/05/2022
Inspector:
Final Inspection:
Contractor:
TAlva
04/07/2022
CLASSIC REFRIGERATION SOCAL INC
1450 E WALNUT AVE, #STEA
FULLERTON, CA 92831-4755-0RANGE
(714) 853-2704
Balance Due:
AMOUNT
$846.00
$113.15
$194.00
$98.00
$411.00
$105.31
$2.00
$10.68
$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTH ER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
1635 Faraday Avenue I Carlsbad, CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
{ City of
Carlsbad
COMMERCIAL
BUILDING PERMIT
APPLICATION
B·2
Plan Check t:~2o~J ,... 0 3aJ,-
Est. Value
PC Deposit
Date
JobAddress '2.-b~7 6A-,-ev-t-Aj_ g~. Suite: ____ .APN: _________ _
Tenant Name #: 451" ~ie-· l1 f OJ1:f€ T( '$ V\1 },.:li:"ot #: ____ Year Built: ________ _
Vear Built: __ _ Occupancy: __ _ Construction Type=~-Fire sprinklers0ESQNO A/C:QYESQNO .
BRIEF DESCRIPTION OF WORK: ,t.Jsw CC? 7 F.Lut./ 5 f)A-r,o ;c../
0 Addition/New: ___________ New SF and Use, _________ New SF and Use
______ SF Deck, ______ SF Patio Cover, SF Other (Specify) ___ _
0Tenant Improvement: ____ SF, Existing Use: ______ Proposed Use: _____ _
____ SF, Existing Use: Proposed Use: _____ _
D Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _
0 Solar: ___ KW, ___ Modules, Mounted: ORoof OGround
D Reroof:. ________________________________ _
D Plumbing/Mechanical/Electrical
D Other:----------------------------------
PRIMARY APPLICANT PROPERTY OWNER
Name: 7-¾@t:f ~ :P:f ~ ~\-\iF~( Name: __ ~ __ :-e_~_?_e __ \..G\_t.f'_t\. _____ --.-__
Address: 3-0, -,. ~ff>e°"-"'"e 'ls:Je-Address: l5L}:1 w' )~\'\~ >5)va ~·He. {\\O
City: 7v\}J }t-lV'Ol-tJ'Sffte: ;;A Zip: df'2.J..JOf} City:-1,C;'> \A.¥:le?S State:C-\4. Zip: 400\7
Phone: 9dJ -7:r,-,:2. 75' Phone: t,2,~ • '2--ty-$'2"3<.J
Email: ~\q~C-\ &.,y:w,t,-C\CIV'Z-\.'\~+ec-~-(0 r-Email: j 1-..vC\ (!_ "1""-"C'°I -rckFke-\s.10~
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
Name: Po.'-'\' '2,c)\,,c \.1. Business Name: Cl t4-S,1L-jl--ef"e-,o ~"f'.~41..V 5 0 ~
Address: \ !;"4 ( VI\ 'f.;w ,v-c_ blvd 45'<,Je. JJ'OAddress: \yS-iO E-\NA L-Nvr,.__i\....__v_i::: ___ _
City: LO$ f\~G') State: C!\: Zip: Cf t?iv(? City:~v ~ o/1/ State:C...14" Zip: j'Z.03 I
Phone: '"2-\1-!:L'o1.-OS-o"i Phone: t ~ \'31 \
Email: 'fl.Ml:*@ ;;.v.,,c:'C\q('c\.t/ifC-#• t'0 ~mail: v--ee.vt-tt\vt, /cls-S•C <0Co. /.CO-..
Architect State License: cs~ 1 1'2-Lf CSLB License#: / Qa ff3 Bl Class: B , C 7-0 / C...:Sf,
I Carlsbad Business License# (Required): [Sl 0$0/131,.>--o-q-
APPLICANT CERT/FICA T/ON: I certify that I have read the application and state that the above information is correct and that the "'2-(J. z;t,..,,
information on theplansisaccurate. lagree to comply with all City ordinances and State laws relating to building
construction. J ~
NAME (PRINT): 't,. fut:,WJ)\P#h·.760-602-2S711G9FNax:.76 _ DATE: "3-'3 -'2-2-
1635 Faraday Ave Carlsbad, CA 92008 -Email: Building@carlsbadca.gov
REV. 07/21
THIS PAGE REQUIRED ~T PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _
A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON
SIGNING THIS FORM 15 AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO
PERMIT ISSUANCE.
(OPTION A): LICENSED CONTRACTOR DECLARATION:
I herebyaf firm under penalty of perjury that lam licensed underprovisionsof 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 (CHOOSE ONE):
01 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. Policy No. _______________________________________ _
"2'1-0 R-
~ I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My workers' compensation insurance carrier and policy number are: Insurance Company Name: AC? -.e.OJ '11?P S VJlr?Tf TNSIJJ?lf#'(e CO
Policy No. l V\"'.tl--""! 1900 I --/ 0 P.o Expiration Date: ___,Lf-/~'f-/,_~Z.."""-"'2--"--------
.oR-
Ocertificate of Exemption: I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become
subject to the workers' compensation Laws of California. WARNING: Failure to secure 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.
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 {i) Civil Code).
lender's Name: _____________________ lender'sAddress: ____________________ _
CONTRACTOR CERT/FICA TION: 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.
-OR -
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason: n 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.
'-m'44, 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).
-OR-D1, as owner of the property, am exclusively contracting with licensed contractors to construct the pro1ect (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).
-OR-01 am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
AND,
D FORM B-61 "Owner Builder Acknowledgement and Verification Form" is required for any permit issued to a property owner.
By my signature below I acknowledge 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 understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is
submitted or at the following Web site: http:l lwww.leginfo.ca.gov/ca(aw.html.
OWNER CERT/FICA TION: I certify that I have read the application and state that the above information is correct and that the
information on the plans isaccurate. lagreetocomply with all City ordinances and State laws relating to building
construction.
NAME (PRINT): SIGN: __________ DATE: ______ _
Note: If the person signing above is an authorized agent for the property owner include form B-62 signed by property owner.
1635 Faraday Ave Carlsbad, CA 92008 Ph 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
2 REV. 07121
( City of
Carlsbad
OWNERS
AUTHORIZED
AGENT FORM
8-62
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
OWNER'S AUTHORIZED AGENT FORM
Only a property owner, contractor or their authorized agent may submit plans and applications for building
permits. To authorize a third-party agent to sign for a building permit, the owner's third party agent must bring
this signed form, which identifies the agent and the owner who s/he is representing, and for what jobs s/he
may obtain permits. The form must be completed in its entirety to be accepted by the City for each separate
permit application.
Note: The following Owner's Authorized Agent form is required to be completed by the
property owner only when designating an agent to apply for a construction permit
on his/her behalf.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Property Owner Acknowledgement, the execution of which I understand is my personal responsibility,
I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary
to obtain an Owner-Builder Permit for my project.
New cut fruit station, new seafood refrigerated case and service counter
Scope of Construction Project (or Description of Work): ____________________ _
Project Location or Address: 2687 Gateway Rd. Carlsbad, CA 92009
. Jesse Lara 213-483-0530 Name of Authorized Agent: -----------------~Tel No. ________ _
Address of Authorized Agent: 1541 Wilshire Blvd Suite 110
Los Angeles, CA 90017
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled
out the above information and certify its accuracy.
Building Permit Inspection History Finaled
(city of
Carlsbad
Permit Type:
Work Class:
Status:
PERMIT INSPECTION HISTORY for (CBC2021-0325)
BLDG-Commercial
Tenant Improvement
Closed -Finaled
Application Date: 08/30/2021
Issue Date: 03/04/2022
Expiration Date: 09/06/2022
IVR Number: 35564
Owner: STATER BROS MARKETS
Subdivision:
Address: 2687 GATEWAY RD
CARLSBAD, CA 92009-1726
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date
03(08(2022 03/08(2022
Status
BLDG-21 178015-2022 Passed Tony Alvarado
Underground/Underflo
or Plumbing
Checklist Item
BLDG-Building Deficiency
COMMENTS
March 8, 2022:
1. Underground new floor Plumbing in
produce area, mop sink and hand sink,
underground plumbing under
test-approved.
04(07/2022 04/07/2022 BLDG-Final Inspection 179995-2022 Passed Tony Alvarado
Thursday, May 5, 2022
Checklist Item
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Passed
Yes
Passed
Yes
Yes
Yes
Yes
Complete
Complete
Page 1 of 1
DATE: 12/03/2021
JURISDICTION: CARLSBAD
PLAN CHECK#.: CB-CBC2021-0325
• l\\T
INTERWEST
SET II
PROJECT ADDRESS: 2687 Gateway Rd
PROJECT NAME: Stater Bros TI Cut Fruit and Seafood.
□ 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 lnterwest
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:
Jesse Lara
~ lnterwest staff did not advise the applicant that the plan check has been completed.
D lnterwest staff did advise the applicant that the plan check has been completed.
Person contacted: r.\ Telephone#: 626-214-5230
Date contacted: (~ ) Email: jlara@rmcaarchitects.com
Mail Telephone Fax In Person
0 REMARKS:
By: Steven Miller
lnterwest
09/10
Enclosures:
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
• lW
INTERWEST
DATE: 09/10/2021
JURISDICTION: CARLSBAD
PLAN CHECK#.: CB-CBC2021-0325
PROJECT ADDRESS: 2687 Gateway Rd
SET: I
PROJECT NAME: Stater Bros TI Cut Fruit and Seafood.
□ APPLICANT
□ JURIS.
D The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's codes.
D The plans transmitted herewith will substantially comply with the jurisdiction's codes
when minor deficiencies identified below are resolved and checked by building department staff.
0 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 lnterwest
until corrected plans are submitted for recheck.
0 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:
Jesse Lara
D lnterwest staff did not advise the applicant that the plan check has been completed.
cg] lnterwest staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone#: 626-214-5230
Date contacted: (by: ) Email: jlara@rmcaarchitects.com
Mail Telephone
0 REMARKS:
By: Steven Miller
lnterwest
Fax In Person
Enclosures:
09/10
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
CARLSBAD CB-CBC2021-0325
09/10/2021
PLAN REVIEW CORRECTION LIST
COMMERCIAL
PLAN CHECK#.: CB-CBC2021-0325
OCCUPANCY: M
TYPE OF CONSTRUCTION: IIIB
ALLOWABLE FLOOR AREA: 37,500
SPRINKLERS?: Yes
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION:
DATE INITIAL PLAN REVIEW
COMPLETED:09/10/2021
FOREWORD (PLEASE READ}:
JURISDICTION: CARLSBAD
USE: Mercantile
ACTUAL AREA: TI 820 sq ft
STORIES: 2
HEIGHT: No Change
OCCUPANT LOAD: No Change
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 08/31/2021
PLAN REVIEWER: Steven Miller
This plan review is limited to the technical requirements contained in the California version of
the International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National
Electrical Code and state laws regulating energy conservation, noise attenuation and access for
the disabled_ This plan review is based on regulations enforced by the Building Department.
You may have other corrections based on laws and ordinances enforced by the Planning
Department, Engineering Department, Fire Department or other departments. Clearance from
those departments may be required prior to the issuance of a building permit.
Code sections cited are based on the 2019 CBC, which adopts the 2018 IBC.
The following items listed need clarification, modification or change. All items must be satisfied
before the plans will be in conformance with the cited codes and regulations. Per Sec. 105.4 of
the 2018 International Building Code, the approval of the plans does not permit the violation of
any state, county or city law.
To speed up the recheck process, please note on this list (or a copy} where each
correction item has been addressed, i.e., plan sheet number, specification section, etc.
Be sure to enclose the marked up list when you submit the revised plans.
CARLSBAD CB-CBC2021-0325
09/10/2021
NOTICE: CITY AND ESGIL'S HOURS OF OPERATION ARE AFFECTED BY
THE CURRENT COVID-19 EPIDEMIC. PLAN REVIEWER MAY NOT BE
AVAILABLE TO ANSWER QUESTIONS BY PHONE, BUT MAY BE
REACHED BY E-MAIL AT stmiller@esgil.com . (858) 225-2775
GENERAL
1 _ 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:
1. Deliver all corrected sets of plans and calculations/reports directly to the City of
Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760)
602-2700. The City will route the plans to lnterwest and the Carlsbad Planning,
Engineering and Fire Departments.
2. Bring TWO corrected set of plans and calculations/reports to lnterwest, 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 lnterwest only will not be reviewed by
the City Planning, Engineering and Fire Departments until review by lnterwest is
complete.
2. Plans may be submitted in electronic format, subject to the jurisdiction's
approval. If so, they must have restrictions removed from the security settings.
Electronic plans with restrictions to markups, printing, or stamping will not be
approved.
3. A reminder that due to Covid-19, the City will not permit counter corrections.
Please make sure all the items are satisfied; otherwise, another round of
corrections will be necessary.
PLANS
4. All sheets of the plans and the first sheet of the calculations are required to be
signed by the licensed architect or engineer responsible for the plan preparation.
California Business and Professions Code.
5. Please provide a signed copy of the Title 24 ADA Compliance sheet to page TS-
1 the Title page. Please see a copy of the Compliance Form at the end of the list.
6. Page TS-1 Provide a Building Code Data Legend on the Title Sheet. Include the
following code information for each building proposed:
♦ Occupancy Classification(s)
CARLSBAD CB-CBC2021-0325
09/10/2021
♦ For Mixed Occupancy Buildings, state whether the "nonseparated" or
"separated" option was chosen from Sections 508.3/508.4.
♦ Description of Use
♦ Type of Construction
♦ Sprinklers: Yes or No
♦ Stories
♦ Height
♦ Floor Area 820 area shown on page A1.0 1/8" scale.
FIRE EXTINGUISHING
7. Specify on the plans that portable fire extinguishers will be installed in the
building in accordance with Section 906
ACCESSIBILITY
SITE PLAN REQUIREMENTS
8. Page SD.1 Show the locations of the detectable warnings, with details and
references on the plans, as per Sections 11 B-247 & 11 B-705.
9. Page SD.1 Detectable warnings shall be installed in curb ramps with one or two
entrance/ exit points that are 6' or 9' wide, respectively. Section 11-B-705.1.2.2.
See Exceptions.
CARLSBAD CB-CBC2021-0325
09/10/2021 r-------------------
"' (aJ
one enfl'anQl/ex/t "°"" ' ,.
36mln .,.
3Bmln y;
(b)
two e,tfnlnca'exlt po/ta
FIGURS 118-105.. 1 .2.2.2
PAlfALLS. CURS RAIIPS
10. Page SD .1 Detectable warnings are not permitted in the clear floor spaces,
turning spaces, landings for doors, ramps, stairs, access aisles to parking , drop
off and loading zones. Sections 11 B-304.2, 11 B-305.2, 11 B-404.2.4.4, 11 B-
405. 7, 11 B-502.4, 11 B-503.4, 11 B-504.4, and 11 B-705.1.2.2.
CARLSBAD CB-CBC202 1-0325
09/10/2021
Figure 11 B-404.2.4.1 (a)
Truncated Domes
Requires outside of
landing and show
details and notes,
11 B-247 and 11 B-705
-3'-0" MIN
Access Aisle,
11 B-502, were
occurs, must maintain
parking stall length
COUNTERS AND TABLES
11. Page A 1.1 Detail #4 please provide the dimensions for the ADA register counter
SS-2. Sales and service counters shall have a portion of the counter which is at
least 36" in length with a maximum height of 34 inches. Section 11 B-904.4.
ELECTRICAL
12. Page E1 .0 Submit plan showing location of all panels.
13. Page E1 .0 Submit panels schedules.
14. Page E1 .0 Submit electrical load calculations.
15. Page E1 .0 Indicate existing main service size. I need to verify the existing loads
will work for the proposed loads.
16. Page E1 .0 Indicate existing total main service load .
ADDITIONAL
17. 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.
CARLSBAD CB-CBC2021-0325
09/10/2021
18. Please indicate here if any changes have been made to the plans that are not a
result of corrections from this list. If there are other changes, please briefly
describe them and where they are located in the plans.
Have changes been made to the plans not resulting from this correction
list? Please indicate: □ Yes □ No
19. 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 Steven Miller at Esgil. Thank you.
TITLE 24 ADA COMPLIANCE
Permit# ------------
THE ACCESSlllE ROUTE(S) OF TRA'IIEL SHALL BE THE MOST PRACTICAL CIRECT ROUTE BE'IWEEN
ACCESSIBLE POINTS.
I AM THE DESIGNERJOWNER IN RESPONSIBLE CHARGE OF tl-flS PROJECT. I HAVE INSPEClH>THE
PREMISES AND DETERMINED THAT ll-lE tEW RESTROOM(S>ANDJOR AREA. OF ALTERATION 'IIILL
IIE FULL V ACCESSIBLE .ACCORDING TO CURRENT CODE REQUIRl::MENTS.
SGNA.TURE,__ __________ _
F'lin!Name ____________ _
D"1£ ____________ _
I AM THC DCSIGNCR.l()WN;R IN RESPOHSIDLE CHIIROE Cf' TtlS PROJECT, I HAVE INSPECTED THE
SITEIPREM15E& AND OETERMll'ED THAT EXfSTING CONDITIONS SHALL BE MODIFIED IN ~ULL
COMPLIANCE WITH CURRENT SITE it.CCESSIBILllY REQU1R£MEr-f'l'S TO THE EXTENT REQUIRED BY
LAW.
SIGNATURE _____________ _
P:1-rtNano:~--------------
DATE. ____________ _
IF THE BUILDING INSPECTOR CETERMlNES NON-COMPLIANCE WI IH ANY CURRiiNT ACC66olBUTY
F'ROVISIONS OF THE LAW, HE/SHE SHALL REQUIRE SUBMITTAL OF COMPLET~ AN> OCTALEO
PLANS TO BUILDING AI-D SAFETY DIVISION 01' THE DE'\IELOP&ENT SERI/ICES llFPARMFNT FOR
FURTHER 'REVIEW. PLANS MUST a.EARLY SH0\111' ALL EXISTl'tlG NON-COMPI.YING CONDITIONS
AFFECTED BY THE REMODEL (lNCLUOING SITE Pt.AN, FLOOR PLAIIIS, DETAILS. ETC.) f'#D
PROl-'OSf.U MOLJIHCJ;I ION$ OF Pl;f-1CIENC1E5 TO MEET CURRENTS ACCESSIBLITY PROVISIONS.
THE PLANS MUST BE SIGNED AND OATC:D BY THC AGLO INSPECTOR PRIOR SUBMITTAL FOR PLAN
REVIE1/\/.
IF THE BUILDllJG INSPECTOR DE"TERlflNES Tl-fAT FULL COMPUANCI:; WITH CURRENT 5ITE
ACCES$1BILIT'I" RcOUIREMENTS IS NOT PROVIDED. HEfSHE SH/ILL RCQUIRC SlJDMITTAI. OF A
DETAILED SITE PLAN FOR ADDITIONAL PLAN Rf'\IIFW AND C0r,.!h,IFNTS.
(;1\1uih:line:•nd~1rl'ty\!1AM.llJUTS\,lllc 24AOA Con,pltallClt
END OF DOCUMENT
CARLSBAD CB-CBC2021-0325
09/10/2021
[DO NOT PAY -THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: CARLSBAD
PREPARED BY: Steven Miller
BUILDING ADDRESS: 2687 Gateway Rd
BUILDING OCCUPANCY: M
!BUILDING
II
AREA
I
Valuation
(Sq.Ft.} M'-'tipier PORTION
Tl M Occupancv 820 46_51
Air Conditioning
Fire Sprinklers
TOTAL.VALUE
Jurisdiction Code cb By Ordinance
1997 UBC Building Permit Fee •
I (,I ,;,I:
1997 UBC Plan Check Fee Y
Type of Review: Complete Review
D Repetitive Fee .,.. Repeats
Comments:
D Other
□ Holily
&Gil Fee
PLAN CHECK#.: CB-CBC2021-0325
DATE: 09/10/2021
Reg. VALUE ($)
Mod_
38,138
38,138
D Structural Only
$218.46J
Sheet 1 of 1
SAN DIEGO REGIONAL OFFICE USE ONLY
HAZARDOUS MATERIALS :~~~~~!-.=:::::::::::::::::::::=1
~ •• -'iocce\..'00
~ ___ ___::Q~U~E~S~T~JQ~N~N~A~l~R~E:.,,_,,---.......L..__.....,_~___,,.___,. _ ____;B:,;.P.:;DA:.:.;,TE:=====l
Business Name Business Contact Telephone#
Stater Bros. Markets Eddie Garcia (909) 783-5005
Project Address (include suite) City State Zip Code
2687 Gateway Road San Bemarddino CA 92009
Mailing Address (indude suite) City State Zip Code
1541 Wilshire Blvd. Suite 110
Project Contact
Jesse Lara
Los Angeles CA 90017
Applicant E-mail Telephone#
jlara@rmcaarchitects.com (626) 214-5230
APN#
213--191-15-00
Plan File#
The following questions represent the faclllty's activities, NOT the specific project description.
PART I: FIRE DEPARTMENT-HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION; fnot required for pi:wacts within the City of San
Diegol: Indicate by cirding the item, whether your business will use, process, or store any of the following hazardous materials.T any of the items are circled,
applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal.
Occupancy Rating: Facility's Square Footage (including proposed project): .
1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives
2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards
3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These.
4. Flammable Solids 8. Unstable Reactives 12. Radioactives
PART II: SAN DIEGO COUNTY DEP : If the answer to any of the
questions is yes, app cant must contact n Diego, CA 92123.
Call (858) 505-6700 prior to the issuance of a building permit.
Expected Date of Occupancy: R Fr' E f V FEES ARE REQUIRED Project Completion Date: iJS i (for new construction or remodeling proje~
Is your business listed on the reverse side of this fonn? (check all that apply).
Will your business dispose of Hazardous Substances or Medical W'.~ste in any amount? t, ; ' ' ; ; j} z 0 "1
Will your business store or handle Hazardous Substances in quant1t1es greater than or equal to 55 gaWoWs, -!otS UL i 0 CalARP Required
4.
5.
6.
7.
8. ~ i
pounds and/or 200 cubic feet?
Will your business store or handle carcinogensfreproductive toxins in any quantity?
Will your business use an existing or install an underground storage tank?
Will your business store or handle Regulated Substances (CalARP)?
Will your business use or install a Hazardous Waste Tank System (Title 22, Article 1 O)?
CITY OF CARLS Af.r
BUILDING DiVISI NJ] CalARP Complete
I
Initials
oe-za-21 /
Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to Date Initials
or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act).
PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCDj: The following questions are intended to identify the majority of air pollution
issues at the planning stage. Your project may require additional measures not identified by these questions. Some residential projects may be exempt from APCD
requirements. If yes is answered for either questions 1, 2 or 5 or for more comprehensive requirements, please contact APCD at apcdcomp@sdcounty.ca.gov;
(858) 586-2650; or 10124 Old Grove Road, San Diego, CA 92131.
1.
2.
3.
4.
5.
6.
YES NO
1::1 I!]
t:t El
Wdl the project disturb 100 square feet or more of existing building ma1erials?
Will any load supporting structural members be removed?
□
□
□
(ANSWER ONLY lF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by an individual that has passed an EPA-approved
building inspector course?
□ (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Based on the survey results, will the project disturb any asbestos containing material? If yes, a
notification may be required at least 1 O 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. El 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 buHding pennit. □ (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feel of a schOOI
bounda ?
Briefly describe business activities: Briefly describe proposed project:
Super Market Install new cut fruit, seafood case. and ada counter
Jesse Lara 08 / 26 / 2021
Name of Owner or Authorized Agent Date
FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: _______________________________ _
BY· DATE· I I
EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY-HMO* APCO COUNTY-HMO APCD COUNTY-HMO APCD
.. *A stamp 1n this box only exempts businesses from completing or updating a Hazardous Matenals Business Plan. Other permitting requirements may still apply
HM-9171 (9118) County of San Diego -DEH -Hazardous Materials Division
□ □ □ □ □ □ D
□ □ D
ENCINA WASTEWATER AUTHORITY
INDUSTRIAL WASTEWATER DISCHARGE PERMIT .,
SCREENING SURVEY VNIIWAllll
6200 Avenida Encinas, Carlsbad, CA 92011 -
Phone: 760-438-3941 Fax: 760-476-9852 REC~, ::;-
SourceControl@encinajpa.com C.
Date: 08-26-21 i\._i,j J O 202.1
Business Name: Stater Bros. Markets CITY OF CARLSB
i3U/LDING AD
street Address: 2687 Gateway Road, Carlsbad, CA 92009 DIVISION
Email Address: jlara@rmcaarchitects.com
PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT : (ON REVERSE SIDE CHECK TYPE OF BUSINESS) L8l
Check all below that are present at your facility:
Acid Cleaning 0 Food Processing 0 Metal Powders Forming
Assembly D Glass Manufacturing D Nutritional SupplemenWitamin
Automotive Repair 0 Industrial Laundry D Manufacturing
Battery Manufacturing D Ink Manufacturing O Painting/Finishing
Biofuel Manufacturing D Laboratory O Paint Manufacturing
Biotech Laboratory D Machining/Milling D Personal Care Products
Bulk Chemical Storage D Membrane manufacturing 0 Manufacturing
Car Wash D (i.e. waterfilter membranes) O Pesticide Manufacturing/ Packaging
Chemical Manufacturing 0 Metal Casting/Forming 0 Pharmaceutical Manufacturing
Chemical Purification D Metal Fabrication 0 (including precursors) D Dental Offices 0 Metal Finishing D Porcelain Enameling D Dental Schools D Electroplating 0 Power Generation D Dental Clinics D Electroless Plating D Print Shop D Dry Cleaning OAnodizing 0 Research and Development
D Electrical Component D Coating (i.e. phosphating) 0 Rubber Manufacturing
D Manufacturing D Chemical Etching/Milling 0 Semiconductor Manufacturing
□ Fertilizer Manufacturing D Printed Circuit Board D Soap/Detergent Manufacturing
D Film/ X-ra y Processing D Manufacturing D Waste Treatment/Storage
New Business? Yes0No0 SIC Code(s) if known: ______ Date operation began/will begin: _____ _
Tenant Improvement? Yes0No0 If yes, briefly describe improvement: _________________ _
Description of operations generating wastewater (discharged to sewer, hauled or evaporated): _________ _
Estimated volume of industrial wastewater to be discharged (gal/ day) : ___________________ _
Listhazardouswastesgenerated(type/volume): __________________________ _
Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? YesODate: ----~No□
Page 1 of2
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 □ Hotels/ Motels (no laundry)
□ Barber/Beauty Shops □ Laundromats
□ Business/Sales Offices □ Libraries
□ Cleaning Services □ Medical Offices (no x-ray developing)
□ CarpeUUpholstery □ Mortuaries
□ Childcare Facilities □ Museums
□ Churches □ Nail Salons
□ Community Centers □ Nursing Homes
□ Consulting Services □ Office Buildings (no process flow)
□ Contractors □ Optical Services
□ Counseling Services □ Pest Control Services (no pesticide repackaging for sale}
□ Educational Services (no auto repair/film developing) □ Pet Boarding/Grooming Facilities
□ Financial Institutions/Services □ Postal Services (no car wash/auto repair)
□ Fitness Centers □ Public Storage Facilities
□ Gas Stations (no car wash/auto repair) □ Restaurants/Bars
[!] Grocery Stores (no film developing) □ Retail/Wholesale Stores (no autorepair/film
□ Residential based Businesses developing)
□ Theaters (Movie/Live)
CERTIFICATION STATEMENT
08-26-21 Date: ____ _
Christopher Boyer Facility Contact __________ _ Executive Coordinator Title: ______________ _
ENCINA WASTEWATER AUTHORITY
6200AVENIDA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852
SourceControl@encinajpa.com
Page 2 of2
Amy Harbert
Director
QI:ountp of ~an :mtcgo
Department of Environmental Health and Quality
Food and Housing Division
Heather Buonomo, REHS
Director of Environmental Health
I
P.O. Bo~ 129261, San Diego, CA 92112-9261
Phone; (858) 505-6659 I Fax: (858) 999-8920
www.sdcdehq org
PLAN APPROVAL SHEET
Record ID: DEH2021-FAMD-008731
OBA: STATER BROS MARKETS
Date: 09/30/2021
Address: 2687 GATEWAY RD, CARLSBAD, CA 92009-1726
Submitted By: JESSE LARA
Email: JLARA@RMCAARCHITECTS.COM
Plans are approved by the Department of Environmental Health and Quality, Food and Housing Division (DEHQ-FHD)
contingent upon the following:
1) DEHQ-FHD stamped plans must be maintained at the jobsite, followed during construction, and available for the
Specialist to review at the time of inspection.
2) Changes to equipment layout, menu, or application must be submitted to DEHQ-FHD as a revision for prior approval.
Changes made without approval will make the plan approval null and void.
3) All food and utensil-related equipment shall be certified to applicable sanitation standards by an American National
Standards Institute ANSI accredited testing agency.
4) Indirect waste drain lines shall slope 1/4 inch per foot, shall not exceed 15 feet in length, shall terminate a minimum of
I inch above the flood rim of floor sink with a legal air gap, and cannot intersect walkways or doorways.
5) Conduits of all types shall be installed within walls as practicable. When otherwise installed, they shall be mounted or
enclosed in a chase to facilitate cleaning.
6) Seal all cracks, gaps, and crevices in counters, cabinets, around metal flashing, around sink backsplashes, and around
pipes and conduits with silicone sealant.
7) At the time of final inspection, all equipment is to be in place and functional, the facility shall have all utilities
operational and all refrigeration shall be capable of maintaining foods at 41 degrees F or below and shall be equipped
with a thermometer accurate to+/-2 degrees Fin the warmest section of the unit.
8) Obtain all applicable local building and safety authority permits and approvals prior to the final inspection by DEHQ-
FHD.
9) Upon completion of construction, call your plan check specialist directly or the scheduling line at (858) 505-6660 to
schedule a mid-inspection.
CALL YOUR PLAN CHECK SPECIALIST OR THE SCHEDULING LINE AT (858) 505-6660 AT LEAST 10 WORKING
DAYS lN ADVANCE TO SCHEDULE MID AND FINAL INSPECTIONS. A FINAL INSPECTION MUST BE
CONDUCTED AND AN ENVIRONMENTAL HEAL TH AND QUALITY PERMIT SHALL BE ISSUED PRIOR TO
OPENING AND OPERA TING THIS FOOD ESTABLISHMENT.
Celeste Penn
Contact Info: (619) 571-7182, Celeste.Penn@sdcounty.ca.gov
"Environmental and public health through leadership,partnership and science"