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HomeMy WebLinkAbout1902 WRIGHT PL; ; CBC2021-0128; PermitPERMIT REPORT Commercial Permit Print Date: 03/02/2022 Job Address: Permit Type: Parcel#: Valuation: 1902 WRIGHT PL, BLDG-Commercial 2120912600 $85,578.40 Occupancy Group: B #of Dwelling Units: CARLSBAD, CA 9200B-6583 Work Class: Track#: Lot#: Project#: Plan#: Tenant Improvement Bedrooms: Bathrooms: Construction Type:III B Orig. Plan Check#: Plan Check#: Project Title: Description: WRIGHT PLACE LOBBY REMODEL FIRST LEVEL (1840 SF) Applicant: Property Owner: PERMIT SOLUTIONS BRIAN LONGMORE PO BOX 503943 CORNERSTONE CORPORATE LLC 200 PINE AVE, # 502 LONG BEACH, CA 90802-3040 SAN DIEGO, CA 92150 (858) 603-9478 FEE BUILDING PLAN CHECK FEE (BLDG) SB1473 GREEN BUILDING STATE STANDARDS FEE ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL BUILDING PERMIT FEE ($2000+) MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL STRONG MOTION-COMMERCIAL Total Fees: $1,094.28 Total Payments To Date: $1,094.28 (city of Carlsbad Permit No: CBC2021-0128 Status: Closed -Finaled Applied: 04/14/2021 Issued: 06/30/2021 Fina led Close Out: 03/02/2022 Inspector: Final Inspection: Balance Due: TKers 12/29/2021 AMOUNT $395.84 $4.00 $60.00 $565.48 $45.00 $23.96 $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. 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov t... c:ity of c:arlsbad COMMERCIAL BUILDING PERMIT APPLICATION 8-2 l'f;,n Chock G Bc,2e-2J-QJ2-- 8: s;, ()c?D PC Deposit ______ _ llate _'-j~h-,L/+J-~_/,..____ Job Address • { q b '.),_. k//U GfJ(.f LIJ-C,e-Sulte:,\...c.~ ~ 4-APN: 0\/ i -9"/ l ,-.glk-00 TenantName: \....c\:i\::, ~ f'\?'Q:;)qde \ Lot#: (&75,'pJ/ 7:t;g,e:[1./a,~""-:.,.:Z,...__ Year Built, "J-&& l f2 V O I E9 □ O?JD Occupancy:~R---Construction Type· ·· R Fire Sprinklers: yes no A/C: yes no BRIEF DFSCRIPTION OF WORK: 0 Addition/New: New SF and Use, _________ New SF and Use, ___ Deck SF, ___ Patio Cover SF (not Including flatwork) ~Tenant Improvement: \<\. •I-\ Q SF, Existing Use_ Le,\; \:s '-\-Proposed Use \ ~ \,,b ~ _____ SF, Existing Use ______ ,Proposed Use _____ _ O Pool/Spa: ___ ~SF Additional Gas or Electrical Features? __________ _ nn DO DD D Solar:, ___ KW, ___ Modules, ___ Mounted, TIit: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No D Plumblng/Mechanlcal/Electrlcal Only: ----------------------- □ Other: This permit Is to be Issued In the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Aaent of the owner or contractor. The person listed as the Applicant below w/11 be the main point of contact throughout the permit process, APPIICANf & Of.SIGN PROFESSIONAi. APPLICAN'I O CONTRACTOR RUSINE~S APPUCANT 0 Name: LIJ-Name: flx_c Ii) (' Address:& r.cn 1/o,1 fi,(ty(g,(I Address:¼ <fio Allaancfu•zf"f ,i'lqct':/l /J- City:,lzy/Nf; State: (i?-Zip: '1?4t!r Cltv: $'q.(l JJ1err,p State:f/1 Zip: 9J,t,'2,.J Phone: s:ss 7'2$ 7 zct? Phone: ys:sr >3 7 19& I Email: ______ __,-...-------Emall: __ __,.,.,.,...,.,=-----------,,..,,- Archltect State license: 31~ ~ State License: L/'f'tf}& ·z, Bus. License: Qll ,ti] 1);+ 1635 Faraday Ave Carlsbad, CA 92008 B-2 Ph: 760-602-2719 Fax: 760-602-8558 Page 1 or 2 Email: Building@carlsbadca.gov_ Rev, 08/20 IDENTll'Y WHO Wll.l. PERFORM THE WORK BY COMPI.FIING (OPTION A) OR (OPTION ll) BU.OW: (OPTION A): !,lqr-.l!iED C:Ol'>JTRACT0.8 [JEC½Rf\.1]QN~ I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cade, and my license is in full force and effect. I also affirm under penalty af perjury one of the following dee/orations: 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. Polley No. --------------·--·-·-·--·--------- IX]rhave and wlll melntaln worker's compensation, as required by Section 3700 of the Labor Code, for the performance ~f the work for which this permit Is Issued, l My workers' compensation Insurance carrier and policy number are: Insurance Company Name: p~~~(y,tf; {em&H;z qi rite w,11r, ,-- Polley No. IJ5'n rc:r:>rl I '?i?t9C Ewplratlon Date: ,.1,'1-Tt-",-I--L'-'a..,_._1 __________ _ -' 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 become subject to the workers' compensation Laws of Callfomla. WARNING: Failure to secure workers compensation coverap Is unlawful 1nd 1h1II subject an employer to crlmln1I penaltl1s and clvll flnn up to $100,000,00, In addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code, lnterast and attorney's fees. CONSTRUCTION.LENDING AGENCY, IF A.NY: I hereby affirm that there rs a construction lendlng agency for the performance of the work this permit Is Issued (Sec. 3097 (1) CMI Code), Lender's Name: _____________________ ,Lender's Address: ~3/ DATE: J/ty:1,/ coNTRAcroR PRINT: Bo e;a ~W/'" SIGN: (OPTION BJ: OWNER-BUILDER.DECLARATION: I hereby a/firm thot I om exempt from Contractor's License Law for the followlna reason: O•, as owner of the propertv or my emplovees with wa1es as their sole compensation, wlll 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 propertv 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 bullding or Improvement Is sold within one year of completion, the owner•bu!lder wf/1 have the burden of proving that he did not build or improve for the purpose of sale). 0 I, as owner of the propertv, am e)(clusively 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 bu/Ids or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law), 0 I am exempt under Business and Professions Code Olvlsion 3, Chapter 9, Article 3 for this reason: 0 "Owner Builder acknowledgement and verification form" ha!. been flUed out, signed and attached to this application. Proof of ldentlflcatlon attached. 0 Owners "Authorized Agent Form" has been filled out, signed and attached to this application giving the agent authori!y to obtain the permit on the owner' behalf. Proof of ldentlfkatlon attached. By my sienature below I acknowledge that, except for my personal residence in which I must have resided for at least one vear prior to completion of the Improvements covered by this permit, I cannot legaUv sell a structure that I have built as an owner-builder If it has not been constructed In its entirety by licensed contractors./ understand thot a copy of the applicable law,Section 7044 of the Business and Professions Code, Is ovailabJe upon request when this opp/lcotion Is submitted or at the following Web site: http://www.ler,info.co.gov/calaw.html, OWNER PRINT: ___________ SIGN: ________ .DATE: _____ _ I\PP_LJCA~T_<:.§RTJ!'~l;I\JIO~: Sl§_N_ATU_R,~ REq(!l_f!EDI\T Tti_!:_TI_IVI~ QF SlJB.MnrAt By my signature below, I certify that: I am the property owner or State of California Licensed Contractor or authorized to act on the property owner or contractor's behalf. I certify that I have read the application and state that the above Information Is correct and that the Information on the plans Is accurate. I agree to comply with all City ordinances and State lows relating to building construction. I hereby authorize represenmtlve 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 LIABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID QTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories In height. APPLICANT PRINT: jJ([,M ¼fn&P .,,,<,/7 SIGN://;_;/~ 1635 Faraday Ave Carlsbad, CA 92008 B-2 Ph: 760·602·2719 Fax: 760-602·85 Page 2 of 2 DATE: ~lj~/ Email: Building@carlsbadca,goY. Rev. 08/20 \.._ City of Carlsbad OWNERS AUTHORIZED AGENT FORM B-62 lJ1!velopme11t Services, Building Division 163S Faraday AventH! 760 602,2719 www.urlsb;1dc,;1.gov OWNER'SAUTHORIZED AGENT FORM Only o property owner, contmctor or their authorized·ogent may !>abmit plans and applif;otions /or buildinq permit.~. 1 o authorite a third party agent to sign far a building permit, the owner's third party ogent must bring this signed form, which identifies the agent and the ownt!r who s/he is representing, and for what jobs s/he may obtain permit.s. The form must be completed in its entirety to be occPptea by the City for each r;eparate permit applicatio11. Note: The Joi/owing Owner's Authorized Agent form Is required to be completed by the property owner only when designat;ng an agent to apply for a construction perm;t on his/her behalf. AUlJ:!OJ!IZATION OF }\%NT TO ACT Qti PROPERTY OWNER1BEHALF. l:xc:luding the Property Owner Acknowledg1J1111..•nt, tht• l'X1..•cution of which I unclerst,:ind is my personal responsibility, I hereby ,1uthorilC the following person(s} to ttct as my agent(s) to ,1pply for, si~n, .:ind file tile documents necessary to obt,1in Jn Owner Huilder Perrrnt for rny project. Scope of Construction Project (or Description of Work): Pro1ect Location or Add""" 1~0~\Nrig~t_Pl~ce Name of Authorized Agnnt Brian Longmore 8586039478 Tel No. Permit Solutions PO Box 503943 Address of 1\uthori1t!d A~ent: ____ -·--·-.. -·----_ ~an __ (?iE3~9.~~-9_2.) 50 l decl.He lJnder penalty of pt~rjury that I <llTI tl1e property owner for the addre~s listed ,ibove and I p1~rson,1!ly filled out the allovP 1nforrnat1on ,1nd certify its acc71racy .. ~ .. I 1/'. .{_ __ ,// J . .· ........ ~ ... • .. ;~··•d"-~ , ~w '' ™"' -;f 11-, -- GENERAL CONTRACTORS To Whom it May Concern, Bycor authorizes Permit Solutions to issue permits and sign for both projects listed below. CBC2021-0128 -1902 Lobby & Corridor CBC2021-0127-1903 Lobby & Corridor If there are any questions or concerns please feel free to call our office at any time. Thank You Kindly, Devon Connors Project Engineer 6490 Marindustry Drive, Suite A San Diego, CA 92121 June 23, 2021 Building Permit Inspection History Finaled (city of Carlsbad PERMIT INSPECTION HISTORY f r (CBC2021-0128) Permit Type: BLDG-Commercial Application Date: 04/14/2021 Owner: CORNERSTONE CORPORATE LLC Work Class: Tenant Improvement Issue Date: 06/30/2021 Subdivision: CARLSBAD TCT#81-46 UNIT#01 Status: Closed -Finaled Expiration Date: 04/11/2022 Address: 1902 WRIGHT PL IVR Number: 32738 CARLSBAD, CA 92008-6583 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 07/13/2021 07/13/2021 BLDG-14 161723-2021 Passed Tim Kersch Complete Frame/Steel/Bolting/We ldlng (Decks) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 0712912021 0712912021 BLDG-17 Interior 163161-2021 Partial Pass Tim Kersch Reinspection Incomplete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 09/07/2021 09/07/2021 BLDG-84 Rough 165913-2021 Partial Pass Tim Kersch Reinspection Incomplete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 10/12/2021 10/12/2021 BLDG-85 T-Bar, Ceiling 168290-2021 Passed Tim Kersch Complete Grids, Overhead Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topoul Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 12/29/2021 12/29/2021 BLDG-Final Inspection 173506-2021 Passed Peter Dreibelbis Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No Wednesday, March 2, 2022 Page 1 of 2 ✓• EsG1I DATE: 06/16/2021 JURISDICTION: Carlsbad PLAN CHECK#.: CB-CBC2021-0128 PROJECT ADDRESS: 1902 Wright Place PROJECT NAME: TI Lobby Remodel SET II □ APPLICANT □ JURIS. ~ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: Brian Longmore ~ EsGil staff did not advise the applicant that the plan check has been completed. D EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Brian Telephone#: 858-603-9478 Date contacted: Mail Telephone 0 REMARKS: By: Steven Miller EsGil (by: ) Email: permitsolutions@hotmail.com Fax In Person Enclosures: 05/07 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 ✓• EsG1I DATE: 05/07/2021 JURISDICTION: Carlsbad PLAN CHECK#.: CB-CBC2021-0128 PROJECT ADDRESS: 1902 Wright Place PROJECT NAME: TI Lobby Remodel SETI □ 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. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. ~ The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. ~ The applicant's copy of the check list has been sent to: Brian Longmore D EsGil staff did not advise the applicant that the plan check has been completed. ~ EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Brian Telephone#: 858-603-9478 Date contacted: Mail Telephone 0 REMARKS: By: Steven Miller EsGil (by: ) Email: permitsolutions@hotmail.com Fax In Person Enclosures: 05/07 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Error! Bookmark not defined. Carlsbad CBC2021-0128Error! Bookmark not defined. 05/07/2021Error! Bookmark not defined. PLAN REVIEW CORRECTION LIST COMMERCIAL PLAN CHECK#.: CB-CBC2021-0128 OCCUPANCY: B TYPE OF CONSTRUCTION: IIIB JURISDICTION: Carlsbad USE: Office ACTUAL AREA: Tl 1840 sq ft ALLOWABLE FLOOR AREA: No Change STORIES: 3 stories No Change HEIGHT: No Change SPRINKLERS?: Yes REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 04/14/2021 DATE INITIAL PLAN REVIEW COMPLETED: 05/07/2021 FOREWORD (PLEASE READ): OCCUPANT LOAD: No Change DATE PLANS RECEIVED BY ESGIL CORPORATION: 04/19/2021 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. Error! Bookmark not defined. Carlsbad CBC2021-0128Errorl Bookmark not defined. 05/07/2021 Error! Bookmark not defined. 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 EsGil and the Carlsbad Planning, Engineering and Fire Departments. 2. 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. 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. Page A 1.0 Partition Schedule F08 shows it as NR or non-rated and the Lobby and corridors are shown as 1 hr. rated please clarify and show F08 as 1 hr. rated. 5. City of Carlsbad requires that all plans provide completed Climate Action Plan (CAP) Consistency Checklist, city form B-50. I have been asked that ever project must provide a completed B50 form even if everything is marked as NIA. MISCELLANEOUS LIFE/SAFETY Error! Bookmark not defined. Carlsbad CBC2021-0128Error! Bookmark not defined. 05/07/2021 Error! Bookmark not defined. 6. Page A8.0 Please provide notes on the plans to show the suspended ceilings in Seismic Design Categories D, E & F comply with ASCE 7-16 Section 13.5.6.2.2 as follows: a. The width of the perimeter supporting closure angle or channel shall be not less than 2.0 in. unless qualified perimeter supporting clips are used. b. Closure angles or channels shall be screwed or otherwise positively attached to wall studs or other supporting structures. Perimeter supporting clips shall be qualified in accordance with approved test criteria per Section 13.2.5. c. Perimeter supporting clips shall be attached to supporting closure angle or channel with a minimum of two screws per clip and shall be installed around the entire ceiling perimeter. d. In each orthogonal horizontal direction, one end of the ceiling grid shall be attached to the closure angle, channel, or perimeter supporting clip. The other end of the ceiling gird in each horizontal direction shall have a minimum 0. 75-in clearance from the wall and shall rest upon and be free to slide on a closure angle, channel, or perimeter supporting clip. e. Ceiling areas over 2500 ft.2 must have seismic separation joints or full height partitions. f. Ceilings without rigid bracing must have 2" oversize trim rings for sprinklers and other ceiling penetrations. ADDITIONAL 7. 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. 8. 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: D Yes D No 9. 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. Error! Bookmark not defined. Carlsbad CBC2021~0128Errorl Bookmark not defined. 05/07/2021 Error! Bookmark not defined. [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Steven Miller BUILDING ADDRESS: 1902 Wright Place BUILDING OCCUPANCY: B PLAN CHECK#.: CB-CBC2021-0128 DATE: 05/07/2021 !BUILDING I AREA Valuation ( Sq. Ft.) Multiplier PORTION Tl B 0cc 1840 46.51 Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code CB By Ordinance 1997 UBC Building Permit Fee ... 1997 UBC Plan Check Fee • Type of Review: Complete Review D Repetitive Fee --~ ~ Repeats ... Comments: □ Other 0 Hourly E&GilFee Reg. VALUE ($) Mod. 85,578 85,578 D Structural Only $364.381 Sheet 1 of 1 OFFICE USE ONLY SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE RECORDID#-::------------------1 PLAN CHECK# ________________ / BP DATE Telephone# p . clrdng _the item, w e er your business will use, proces , s ore any of the ro lowing hazardo fte · apphcant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. 9 ms are circled. Occupancy Rating: Faclllty's Square Footage (including proposed project): 1. Explosive or Blasting Agents 5. Organlc Peroxides 9. water Reactives 2. Compressed Gases 6. Oxidizers 10. Cryogenics 3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 4. Flammable Solids 8. Unstable Reactives 12. Radioactives 13. 14. 15. Corrosives Other Health Hazards None of These. PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH HAZARDOUS MATERIALS DIVISION (HMDI: ~ the answer to any of the questions 1s yes, apphcant must contact the County of San Drego Hazardous Materials Division 5500 Overland Avenue Suite 110 San 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: 0 CalARP Exempt YES ~0./T' . . (for new construction or remodeling projects) ___ .1/ ___ _ 1. D Yid'"" .. 1s _your busin~ss hst~d on the reverse side of this form? (check all that apply). Date lnftlals 2. D i§/" W!ll your bus~ness dispose of Hazardous Substances or Medical Waste in any amount? 3. 0 ~Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 4. 5. 6. 7. 8. □ □ □ □ □ pounds and/or 200 cubic feet? ~ Will your business store or handle carcinogens/reproductive toxins in any. quantity? l.!f Will your business use an existing or install an underground storage tank? [3/ )'Viii your business store or handle Regulated Substances (Ca!ARP)? Q/° /V11'ill your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? {g'" Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or reater than 1,320 allons? California's Above round Petroleum Stora e Act. 0 CalARP Required I Date Initials 0 CalARP Complete I Date Initials PART 111: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCDI: Any YES• answecrequires a stamp from APCD 10124 Old Grave Road, San Diego, CA 92131 apcdcomp@sdcounty.ca.gov (858) 586-2650). ['"No stamp required if 01 Yes filld. Q3 Yes m!.Q. 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 burns: residences forming part of a larger project. ['Excludes garages & small outbuildings.] YES NO 1. ii"" D Will the project disturb 160 square feet or more of existing building materials? 2. D lid"""Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition. 3. ~ D (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance _/ Technician? 4. O IW" (ANSWER ONLY IF QUESTION 3 IS YES} Based on the swvey results, will the project disturb any asbestos containing material? Notification _/1ay be required 1 D working days prior to commencing asbestos removal. s. □ IB""" Will the project or associated construction equipment emit air contaminants? See the reverse side of this fonn or APCD factsheet {w&,sdapcd.org/info/facts/permits.pdf) for typical equipment requiring an APCD permit. 6. D O (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school bounda Briefly describe business activities: Brlefiy describe proposed prgiect: Cc: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: FOR OFFfCAL USE ONLY: BY: DATE: I I EXEMPT OR NO FURTHER 1NFORM4TION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMO' APCD COUNTY-HMO APCO COUNTY-HMO APCD 1\\0fl "»"\ .,_,, " Reviewed <? " fl§/!0/2I .~.1/Af ~ OAte/fn1trai'fti O;eqO (.'>",;;'-' I tin "A stamp In this box only exempts businesses from comp e g oru atin pd g a Hazardous Materials Business Plan. Other permitting requirements may still apply. HM-9171 (08/15) County of San Diego -OEH -Hazardous Mat&rials Division 8 □ □ B □ □ 8 ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY 6200 Avenlda Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinaJpa.com /,,fl't,, I . . \\;\'il.lW.\TCI( , IIUJHC>Rll'I ,. Date: 9/1 f u-{ r ,L .A-• Business Name: liJJl/bof t:r;St!!{o, 7e • StreetAddress: /C/O;),,Wl',5/tr floe~ Email Address: PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT : (ON REVERSE SIDE CHECK TYPE OF BUSINESS) ~ Check all below that are present at your facility: F Acid Cleaning El Food Processing 8 Metal Powders Forming Assembly Glass Manufacturing Nutritional SupplemenWitamin Automotive Repair 0 Industrial Laundry 0 Manufacturing Battery Manufacturing O Ink Manufacturing O Painting/Finishing Biofuei Manufacturing El Laboratory a Paint Manufacturing Biotech Laboratory Machining/Milling Personal Care Products Bulk Chemical Storage 0 Membrane manufacturing 0 Manufacturing Car Wash O (i.e. waterfilter membranes) O Pesticide Manufacturing/ Packaging Chemical Manufacturing a Metal Casting/Forming a Pharmaceutical Manufacturing Chemical Purification Metal Fabrication (including precursors) 0 Dental Offices O Metal Finishing 0 Porcelain Enameling 0 Dental Schools a Electroplating a Power Generation O Dental Clinics Electroiess Plating Print Shop 0 Dry Cleaning 0 Anodizing 0 Research and Development 0 Electrical Component 0 Coating (i.e. phosphating) 0 Rubber Manufacturing □ Manufacturing QChemicai Etching/Milling D Semiconductor Manufacturing □ Fertilizer Manufacturing O Printed Circuit Board O Soap/Detergent Manufacturing □ Film/ X-ra y Processing O Manufacturing O Waste TreatmenVStorage New Business? YesQNoO SIC Code(s) if known: ______ Date operation began/will begin: _____ _ Tenant Improvement? Yes~NoO If yes, briefly describe Improvement: _________________ _ Description of operations generating wastewater(discharged to sewer, hauled or evaporated): _________ _ Estimated volume of industrial wastewater to be discharged (gal/ day) : ____________________ _ List hazardous wastes generated (type/velum e): ___________________________ _ Have you applied for a Wastewater Discharge Permit from the Enclna Wastewater Authority? YesODate: _____ .NoO Page 1 of 2 ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY •- (h'ON,\ . "'""w·'"" ,. AUTI-IOMV 6200 Avenlda Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@enclnaJpa.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. 0 Automobile Detailer s 0 Barber/Beauty Shops 0 Business/Sales Offices 0 Cleaning Services 0 Carpel/Upholstery 0 Childcare Facilities 0 Churches 0 Community Centers 0 Consulting Services 0 Contractors 0 Counseling Services O Educational Services (no auto repair/film developing) O Financial Institutions/Services 0 Fitness Centers 0 Gas Stations (no car wash/auto repair) 0 Grocery Stores (no film developing) 0 Residential based Businesses CERTIFICATION STATEMENT 0 Hotels/ Motels (no laundry) 0 Laundromats 0 Libraries 0 Medical Offices (no x-ray developing) 0 Mortuaries O Museums O NailSalons 0 Nursing Homes 'XJ> Office Buildings (no process flow) 0 Optical Services O Pest Control Services (no pesticide repackaging for sale) O Pet Boarding/Grooming Facilities O Postal Services (no car wash/auto repair) D O Public Storage Facilities Restaurants/Bars 0 Retail/Wholesale Stores (no autorepair/film developing) 0 Theaters (Movie/Live) I certijj1 that the information above is true and correct to the best ofmy knowledge. '""""& ~ '"" ,.~, f}r, c., ;.,,., .. ,,, Date:¥/?,-( Facility Contact: __________ _ Title: ./4e11 r ENCINA WASTEWATER AUTHORITY 6200AVENIDAENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852 SourcP.Control(iJJnncinajpa.corn Page 2 of 2 l_ City of Carlsbad PURPOSE CLIMATE ACTION PLAN CONSISTENCY CHECKLIST B-50 Building Division 1635 Faraday Avenue (760) 602-2719 www.carlsbadca.gov 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 I ❖ PME (w/o panel upgrade) I ❖ Pool ~ 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. ~ Details on CAP ordinance requirements are available on the city's y,,eb.§)Jg, ~ 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 ~fill.Q,!g~ and download the latest form. Project Name/Building Permit No.: Property Address/APN: Applicant Name/Co.: Applicant Address: Contact Phone: BP No.: 1 ?t oa 1..yR.,ic,w---r ff41tE-, Boc.,a L~,n,,r!C!/f_ t~'l•fl• r 5v4-ct"';e1~ Contact information of person completing this checklist (if different than above): Name: Company name/address: B-50 Contact Phone: Contact Email: Page 1 of6 Date: / /; 'o &1 1 I ' Revised 06/16 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) from worksheet: $ ConlllucllonType D Residential □ New construction □ Additions and alterations: D 8PV < $60,000 □ BPV" $60,000 □ Electrical service panel upgrade only □ BPV" $200,000 g;J Nonresidential □ New construction lJ;J> Alterations: ~ BPV" $200,000 or additions" 1,000 square feet □ BPV" $1,000,000 □ l: 2,000 sq. ft. new roof addition Chtoldlltlilem I ~Sectlon(I) I Nolll: A high-rise residential building is 4 or more stories, Including a Low-rise High-rise mixed-use building In which at least 20% of Its conditioned floor area Is residential use NIA NIA All residential additions and alterations 1A,4A 4A 1-2 family dwellings and townhouses wilh attached garages only 1A, 4A' 18, 4A' •Multi-family dwellings only where interior finishes are removed and significant site work and upgrades lo structural and mechanical, electrical, and/or plumbing systems are proposed I 1B, 28, 38, 48 and 5 j 1B,5 1B,2B,5 Building alterations of" 75% existing gross floor area 2B, 5 1B also applies If BPV" $200,000 ehecklhell!llilCPllale'-8, IICl)lalrJ llnctappbialltd axteplk¥Jllemt, aid prlMdell.lA)Oltlng cab.lallons anddoa.mnalion•1111C811811Y· 1. Energy Efflcklncy Please refer to Carlsbad Municipal Code (CMC) sections 18.21.155 and 18.30.190, and lhe Calffomia Green Building Standards Code (CALGreen) for more infonnation when cofll)leting this section. A. D Raeldenllal addition or altllratlon? $80,000 buHdlng permit valuation. See CMC IKtlon 18.30.190. D N/A. ________ _ D Exception: Home en8fg)' score ~ 7 (attach certificatioo) Yearl!ultt Single.family Requlramants Mulll-famlty Requirements □ Before 1978 Select one: □Ductsealim D Altic insulation D Cool roof □ Altic insulation □ 1978 and later Select one: D Lighting package D Water heating Package D Between 1978 and 1991 Select one: D Duct seaHno D Attic inslAation D Cool roof ----Selact one: D 1992 and later D Lighting package D Water heating package B. J:I Nonmldenllar new construction or altaratlons ? $200,000 building pannlt valuation, or lddlllona? 1,000 equare feet □ NIA Updated 8/15/2019 2