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HomeMy WebLinkAbout1923 CALLE BARCELONA; 139; PC2021-0020; PermitPERMIT REPORT Plan Check Permit Print Date: 01/11/2022 Job Address: 1923 CALLE BARCELONA, # 139, CARLSBAD, CA 92009-8457 Permit Type: BLDG-Plan Check Work Class: Parcel #: 2550120400 Track#: Valuation: $77,764.72 Lot#: Occupancy Group: Project#: #of Dwelling Units: Plan#: Bedrooms: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Project Title: Description: OWNER TO DEMISE SUITE 139 INTO THREE SUITES Applicant: Property Owner: STEVEN KOHN T-C FORUM AT CARLSBAD LLC 9939 HIBERT ST, # 202 SAN DIEGO, CA 92131-1029 (858) 274-1812 FEE 4675 MACARTHUR CT, # 110 NEWPORT BEACH, CA 92660 BUILDING PLAN REVIEW-MINOR PROJECTS (PLN) BUILDING PLAN REVIEW-MINOR PROJECTS (LOE) MANUAL BLDG PLAN CHECK FEE Commercial Total Fees: $1,442.00 Total Payments To Date: $1,150.00 (city of Carlsbad Permit No: PC2021-0020 Status: Closed -Finaled Applied: 04/15/2021 Issued: 07/08/2021 Finaled Close Out: 01/11/2022 Inspector: Final Inspection: Balance Due: AMOUNT $98.00 $194.00 $1,150.00 $292.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov { Cicyof Carlsbad Job Address 1923 Calle Barcelona COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check Est. Value PC Deposit Date Suite: 139 APN: 255-012-04 ----- Tenant Name: Demised by Owner into Three Suites -Tenants TBD Lot#: Year Built:_20_0_3 ___ _ Occupancy:_M ____ _ VB 0 □ 00 Construction Type_· --~---JF;•'! Sprinklers: yes no A/C: yes no BRIEF DESCRIPTION OF WORK: The retail tenant Jos. A. Banks has vacated the suite. We proposed to demise the existing suite into three separate suites with a facade remodel to accommodate two separate storefronts. We will deliver electrical and plumbing the tenants, who will submit tenant improvement drawings under separate permit applications. The remodel includes modifying the soffit and glazing system, routing of metered service, an HVAC unit to one of the suites, and one complete toHet room. The third suite wHI be storage only. D Addition/New: ____________ New SF and Use, ____________ New SF and Use, ___ Deck SF, Patio Cover SF (not including flatwork) [!] Tenant lmprovement:_1_.6_7_2 ____ .SF, Existing Use_R_e_ta_il _____ Proposed Use _R_e_ta_il _____ _ ______ SF, Existing Use Proposed Use ______ _ D Pool/Spa:, _____ SF Additional Gas or Electrical Features? Taking (E) Spare 200A Meter Socket DD DD DD D Solar: ___ ,KW, ___ ,Modules, ___ ,Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No D Plumbing/Mechanical/Electrical Only: ---------------------------- □ Other: This permit is to be issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the owner or contractor. The person listed as the Applicant below will be the main point of contact throughout the permit process. PROPERTY OWNER APPLICANT O PROPERTY OWNERS AUTHORIZED AGENT APPLICANT jj Name: T-C Forum at Carlsbad, LLC Name: Steven Kohn Address: 1905 Calle Barcelona, Suite 200 Address: 9939 Hibert St. Suite 202 City: Carlsbad State:_C_A __ ,Zip: 92009 City: San Diego State:_c_A __ .Zip: 92131 Phone: (760) 479-0166 Phone: (858) 274-1812 Email: steven@kohndesign.com Email: steven@kohndesign.com DESIGN PROFESSIONAL APPLICANT O CONTRACTOR BUSINESS APPLICANT 0 Name: Steven Kohn Name: Top Construction Address: 9939 Hibert St. Suite 202 Address: 113 West G Street City: San Diego State:_C_A __ ,Zip: 92131 City:San Diego State:_C_A __ Zip: 92101 Phone: (858) 274-1812 Phone: (760) 594-6061 Email: steven@kohndesign.com Email: steves@topcww.com Architect State License: C-26624 State License..,C ?F12aF -------i3-q5~ 7'r7 1635 Faraday Ave Carlsbad, CA 92008 8-2 Ph: 760-602-2719 Fax: 760-602-8558 Page 1 of 2 Bus. License:, _______ _ 1-'st-:).J ~(' Email: Building@carlsbadca.gov Rev. 08/20 .... IDENTIFY WHO WILL PERFORM THE WORK BY COMPLETING (OPTION A) OR (OPTION B) BELOW: (OPTION A): LICENSED CONTRACTOR DECLARATION: I hereby affirm under penalty of perjury that I om licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the following declarations: D 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. Policy No. ________________________ _ DI have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Company Name: __________________ _ Policy No. _____________________ Expiration Date: ____________________ _ .2§ Certjficate 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 ·1s Issued (Sec. 3097 (1) Civil Code). Lender's Name: _____________________ Lender's Address: ____________________ _ CONTRACTOR PRINT: f½ro" )-{..,+\-.~~ CS/.-.BP' Cf 5 C, 7"f7 (OPTION B): OWNER-BUILDER DECLARATION: SIGN: ~b:ii . DATE: 7-/] -?-( I hereby affirm that I am exempt from Contractor's License law for the following reason: DI, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). DI, as owner of the property, am 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). DI am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: D "Owner Builder acknowledgement and verification form" has been filled out, signed and attached to this application. Proof of identification attached. 0 Owners "Authorized Agent Form" has been filled out, signed and attached to this application giving the agent authority to obtain the permit on the owner' behalf. Proof of identification attached. 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 entiretv 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 orat the following Web site: http://www.leginfo.ca.gov/calaw.html. OWNER PRINT: SIGN: _________ DATE: ______ _ APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL 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. J certify that J have read the application and state that the above information is correct and that the information on the plans is accurate. f 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 SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY DF 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 over 5'0' deep and demolition or construction of structures over 3 stories in height. APPLICANT PR1NT:_S+e:~-v~~~Vt-~1::?_h~111 __ SIGN: tJt#lc::::~ DATE: ____ LJ_· _I~-· _'2J:J_'Z-~)- 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-2 Page 2 of 2 Rev. 08/20 DATE: 05/26/2021 JURISDICTION: Carlsbad PLAN CHECK#.: PC2021-0020.RC1 PROJECT ADDRESS: 1923 Calle Barcelona PROJECT NAME: TI T-C Forum 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 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. 0 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. D EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Date contacted: Mail Telephone 0 REMARKS: (by: Telephone#: ) Email: Fax In Person By: Erich A. Kuchar, P.E. (For S.M.) EsGil Enclosures: 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 ✓• EsG1I ,'\ '.:Ai U:ui!t (. '.)01pany DATE: 05/08/2021 JURISDICTION: Carlsbad PLAN CHECK#.: CB-PC2021-0020 PROJECT ADDRESS: 1923 Calle Barcelona PROJECT NAME: TI T-C Forum SET I □ 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: Steven Kohn 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: Steven Kohn Telephone#: (858) 274-1812 Date contacted: Mail Telephone 0 REMARKS: By: Steven Miller EsGil (by: ) Email: steven@kohndesign.com Fax In Person Enclosures: 05/08 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 CARLSBAD CB-PC2021-0020 05/08/2021 PLAN REVIEW CORRECTION LIST COMMERCIAL PLAN CHECK#.: CB-PC2021-0020 OCCUPANCY: M TYPE OF CONSTRUCTION: VB JURISDICTION: Carlsbad USE: RETAIL ACTUAL AREA: TI 5065 sq ft ALLOWABLE FLOOR AREA: No Change STORIES: 1 No Change HEIGHT: SPRINKLERS?: YES REMARKS: DA TE PLANS RECEIVED BY JURISDICTION: 04/15/2021 DATE INITIAL PLAN REVIEW COMPLETED: 05/08/2021 FOREWORD (PLEASE READ): OCCUPANT LOAD: 85 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. • CARLSBAD CB-PC2021-0020 05/08/2021 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@esqil.com . (858) 225-2775 GENERAL 1. Please make all corrections and submit two new complete sets of prints, to: Esgil, 9320 Chesapeake Drive, Suite 208, San Diego, California 92123, (858) 560-1468 2. Please make all corrections and submit two new complete sets of prints, to: The jurisdiction's building department. 3. 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. 4. 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 5. Provide the names, addresses and telephone numbers of the owner and the responsible design professionals on the Title Sheet. Sec. 107.2. 6. All sheets of the plans and the first sheet of the calculations are required to be signed by the licensed architect, engineer, or the person responsible for the plan's preparation. California State Law. ACCESSIBIL TY 7. Page SA 1 Show the location of the required ADA restroom facility and Mop Sink, for each tenant space and must be within 300' of each tenant space. 8. Page A3 suite 139B show the turning space with the door going into the restroom. Please show either the circular turning space pr the t shaped turning space. ADDITIONAL 9. 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-PC2021-0020 05/08/2021 10. 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 11. 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. CARLSBAD CB-PC2021-0020 05/08/2021 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Steven Miller BUILDING ADDRESS: 1923 Calle Barcelona BUILDING OCCUPANCY: M BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier Tl M Occupancy 5065 46.51 Air Conditioning Fire Sprinklers TOTAL VALUE Jurisd ict1on Code CB By Ordinance 1997 use Buildin Permit Fee g ... 1997 UBC Plan Check Fee • Type of Review: Complete Review D Repetitive fee .., Repeats □ Other 0 Hourly EaGil Fee Comments: PLAN CHECK#.: CB-PC2021-0020 DATE: 05/08/2021 Reg_ VALUE ($) Mod. 235,573 235,573 D Structural Only Sheet 1 of 1 MESRI ENGINEERING STRUCTURAL CONSUL TING PROJECT: REMODEL AT 1923 CALLE BARCELONA ROOF LOADS !FLAT): RC)CJHN(i Pl YWOOI) JOISTS J.0(NOGIL\VU.l 1.8 3.0 CUi. t INSULATION J.0 SPRINKLER 2.0 MI\C 2.2 DEAD LOAD LIVE LOAD TOTAL LOAD 15,0 PSI 20.0 PSF (RliDIJCAIJLL) J5.0 PSI" WALL(EXT J: 16.0 PSF WALL (INT.): IO.O PSF Bl'AMS:111 POSTS: #I JOIST & BI.OCKINU:#2 OR #I STUDS & Pl.A 11'.S: 112 (JR /JI LJ.()N. ALL CONCRETE TO BE A MIN. OF -WOO PSI AT 28 DAYS STRENCiTJ I. (SEL PLANS FOR SPH'IAI. JNSPECTl(JN RLOtJllffMENTS) WIND: CBC 20Jq EXP.It% Ml'I I. 3 SEC tiUS"I SOIL l'IU:SSlJRE: 1500 psf ((i' 1s·· BEi.OW (iRADF BY: enc MIN Tllt:st: CAI.CIII.ATIONS ARE :--iOT \iAJ.m Oil {!SARI.I•: WITIIOllT TIii-: WET SIC:1\ATl;RE OF O~E OF nu~ rRINCIP,\I.S ()I,' TIIE MESRI F.NGINEERl:"G. TIIESl: CAl.('1:1.ATIONS ARE ONI.Y FOR TIIE ITB1S INCU•nt:D 1n:Rt:I~, SPH:IFIEI) HY TIIF: CLIENT ANO DO NOT IMPLY APPROVAL 01,. A;"'li\' OTlll-:R PART 01,. TH.: STRl!CTliH.E RV TIIIS ()J."Flf:1-:. .JOH ~O.: 211124 DATE: 04-111-21 DESl(;!\F,I) RV: \I.M CHECKED H\':, __ _ fi!O .$~~t'v\C., ~a,a~ 'lo 1\-t~ ~,~._.~,J AU. ~ ~~ ~'( '\\4 (:. <.A-Ma,. ~tf.OW ~w mt ii~t'\\K~ ~~ Dr-\ n1i!- ~ "'"6 (S~'O l;\'"\.~ ~ v-.t .s \Co ~1.,-t l~ ;11. '2. + (\-0 .s-ID + ~ ~ ffi1..-~l M~,~ .s 12-P< \~fl(--~ ~ 3'8ZI #-) c:;3~ :: 4t-l~ s: 1-~. n...1r, 't <._ ll..1 ~ 1-:) bO ot.-"i ~y ,s: '3~~i~ .s 2.1 1n 7 ,< b~ ~ c)4> .L I• :>'7 f£cc.CP6'.S "'-'~~ .,.. Q <?.d.s. -e t g I ~ &PA-H ' v 1-,1_ llA t.. M,1>,.1-H 1~G€.:.~ a lo'-~I-\ rz M = 2--"?o ~ /4.,,, $1-ti~ II> i1' t(. \ .,~ )(\, ~ ,.~ b.. ~ , ,~- / // // // // // / f 5~f.? fo(Z ottr "' ~ . jN/l\-1 ~.,..c~ AU. ld\O(;~ ~t~lt) ,...,""' "''~ ~ To specify your title block on these five lines, use the SETTINGS main menu selection, choose the Printing & Title Block tab, and ent your title block infonnation. Title: Dsgnr: Description : Scope : Single Span Beam Analysis Description SOFFIT FRAMING I General lnfonnatlon Center Span Left Cantilewr Right Cantilever I Unifonn Loads On Center Span ... #1 I Query Values Center Location Moment Shear Deflection Ill Summary Moments ... Max + @ Center Max • @ Center @Left Cant @Right Cant Maximum = 4.75 ft Moment of Inertia ft Elastic Modulus 4.75 ft Beam End Fixity On Left Cantilever ... 0.024 k/fl #1 A ••• 0.000ft Left Cant 0.00 k•ft 0.00 k 0.00000 in 19 Shears ... 0.00 k-ft at 0.00 ft @Left -0.27 k•ft at 4.75 ft @Right 0.00 k•ft Maximum -0.27 k-ft Deflections ... 0.27 k-fl @Center @ Left Cant. @Right Cant 20.790 in4 1,600 ksl Pin-Pin k/fl 0.000 ft 0.00 k-ft 0.00 k 0.00000 in 0.00 k 0.11 k 0.11 k 0.012 In 0.000 in -0.158 in Job# Date: 1 :09PM, 2 APR 21 Page 1 ·l?fi' j ) On Right Cantilever ... #1 0.024 k/ft ,e J Right Cant 4.750 ft -0.27 k•ft -0.11 k 0.00000 in Reactions ... @Left 0.00 k @Right 0.23 k at 2.99 ft at 0.00 ft at 9.50 ft 2X8 SILL ~/ 9/8" 511 LAGS @ 12" 0 .~. / E) TRUSSES OFFICE USE ONLY SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE RECORD ID# ________________ _ PLAN CHECK# _______________ _ Future Retail Project Address (include suite) 1923 Calle Barcelona. Suite 139 Mai!ing Address (include suite) Project Contact Ste¥en Kohn Business Contact Raj Chandani • Center Manager City State Carlsbad CA City State Telephone# (760) 479-0166 Zip Code 92009 Zip Code Applicant E•mail Telephone# sto<Jen@kohndesign.com (858) 274--1812 BP DATE Plan File# The following questions represent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT -HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: (not regulrad for projects within the City of San Diego): Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are circled, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: Facility's Square Footage (including proposed project): 1. Explosive or Blasting Agents 5. Orgamc Peroxides 9. Water Reactlves 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 OEP : lf the answer to any of the questions is yes, app ccant must con act e ounty o an 1ego an Diego. CA 92123 Call (858) 505-6700 prior to the issuance of a building permit. FEES ARE REQUIRED Project Comptetion Date: Expected Date of Occupancy: 0 CalARP Exempt I 1. 2. 3. 4. 5. 6. 7. 8. YES NO B ~ □ □ (for new construction or remodeling projects) Is your business listed on the reverse side of this form? (check all that apply). Will your business dispose of Hazardous Substances or Medical Waste in any amount? Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? Will your business store or handle carcinogens/reproductive toxins in any quantity? Will your business use an existing or install an underground storage tank? Will your business store or handle Regulated Substances (CalARP)? wm your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? wm your business store petroleum in tanks or containers at your facility with a Iota! facility storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act) Dale Initials D CalARP Required I Date trntials D GalARP Complete I Date lrntials PART 111: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD): The following questions are intended to identify the majority of air pollution lssues 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,ea.gov; (858) 586-2650; or 10124 Old Grove Road, San Diego. CA 92131. 1. 2. 3. 4. 5. 6. YES NO r.:l l!J ~ ~ □ □ □ I!! I!! Will the project disturb 100 square feet or more of existing buildlng materials? Will any load supporting structural members be removed? (ANSWER ONLY IF QUESTION 1 or 21S YES) Has an asbestos survey been performed by an individual that has passed an EPA-approved buildlng inspector course? (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Based on the survey results. wi!l lhe project disturb any asbestos containing material? lf yes. a notlflcation may be required at least 10 working days prior to commencing asbestos removal. Addltional!y, a notification may be required pnor to the removal of a load supporting structural member(s} regardless of the presence of asbestos. Will the project or associated construction equipment emit air contaminants? See the reverse side of !his form for typical equipment requiring an APCD permit. If yes, contact APCD prior to the issuance of a building permit. · (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within i .000 feet of a school bounda Briefly describe business activities: Briefly describe proposed project: Retail Demise and Remodel Existing Relail Shops I declare under penalty of pe~ury that to the best of my knowledge and belief t Name of Owner or Authorized Agent FIRE DEPARTMENT OCCUPANCY CLASSIFICATION BY: DATE: I I EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMO• APCD COUNTY•HMD APCD COUNTY-HMO APCD . A stamp in th1s box~ exempts businesses from comptetmg or updating a Hazardous Matenals Busmess Plan. Other permitting requirements may still apply HM-9171 (9/18) County of San Diego -DEH -Hazardous Materials Division • □ □ □ □ □ □ □ □ □ □ Date: 4/14/21 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 Business Name: Building Owner for Retail (Warby Parker) street Address: 1923 Calle Barcelona, Suite 139 Email Address: steven@kohndesign.com PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) □ Check all below that are present at your facility: Acid Cleaning D Food Processing D Metal Powders Forming Assembly D Glass Manufacturing D Nutritional Supplement/Vitamin Automotive Repair D Industrial Laundry D Manufacturing Battery Manufacturing D Ink Manufacturing D Painting/Finishing Biofuel Manufacturing D Laboratory D Paint Manufacturing Biotech Laboratory D Machining/Milling D Personal Care Products Bulk Chemical Storage D Membrane manufacturing D Manufacturing Car Wash O (i.e. waterfilter membranes) D Pesticide Manufacturing/ Packaging Chemical Manufacturing D Metal Casting/Forming D Pharmaceutical Manufacturing Chemical Purification D Metal Fabrication D (including precursors) D Dental Offices D Metal Finishing D Porcelain Enameling D Power Generation 0 Dental Schools D Electroplating O Dental Clinics D Electroless Plating D Print Shop D Dry Cleaning D Anodizing D Research and Development □ Electrical Component D Coating (i.e. phosphating) D Rubber Manufacturing □ Manufacturing D Chemical Etching/Milling D Semiconductor Manufacturing □ Fertilizer Manufacturing D Printed Circuit Board D Soap/Detergent Manufacturing □ Film/ XR ra y Processing D Manufacturing D Waste Treatment/Storage New Business? YesONoE] SIC Code(s) if known: ______ Date operation began/will begin: _____ _ Tenant Improvement? YesE]NoO If yes, briefly describe improvement: Demo interior of existing suite, demise existing suite, and add toilet room. Description of operations generating wastewater (discharged to sewer, hauled or evaporated): _________ _ Demo two restrooms. Build one single-use restroom facility. Estimated volume of industrial wastewater to be discharged (gal/ day) : _0 ___________________ _ List hazardous wastes generated (type/volume): ___________________________ _ Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? YesODate: _____ N,oD Page 1 of 2 ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY 6200 Avenida Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com ~ The commercial enterprises listed below are a partial listing of businesses that are exempt from industrial wastewater discharge permitting under normal operating conditions. They are exempt because (a) they discharge no process wastewater (i.e., they only discharge sanitary wastewater with no pollutants exceeding any local limits), and (b} they have no potential to negatively impact the EWPCF or other wastewater treatment plants in the ESS. Any questions regarding exemptions should be referred to EWA Source Control staff. □ Automobile Detailer s □ Hotels/ Motels (no laundry) □ Barber/Beauty Shops □ Laundromats □ Business/Sales Offices □ Libraries □ Cleaning Services □ Medical Offices (no x-ray developing) □ Carpet/Upholstery □ 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 I certify that the information above is true and correct to the best of my knowledge. Signature:_tl-'----<"'!4'1,J.""'W-=-_t:t;)-1'-·~e,,=- FacilityContact: Raj Chandani Print Name: Steven Kohn Title: Manager ENCi NA WASTEWATER AUTHORITY 4/14/21 Date: ____ _ 6200AVENIDA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com Page 2 of 2 ( City of Carlsbad PURPOSE CLIMATE ACTION PLAN CONSISTENCY CHECKLIST B-50 Development Services 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 ..i1 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. ..i1 Details on CAP ordinance requirements are available on the city's website . ..i1 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 webpage and download the latest form. Project Name/Building Permit No. 1923 Calle Barcelona, Suite 139 BP No.: Property Address/APN: 255-012-04 ------------~--------------------- App Ii cant Name/Co. Steven Kohn,..,....--: /.iii.,ert ApplicantAddress: 9939 ~t. Suite 202 Contact Phone: (858) 274-1812 contactEmail: steven@kohndesign.com Contact information of person completing this checklist (if different than above): Name: Company name/address: B-50 Contact Phone: Contact Email: Page 1 of 6 Revised 06/18 Lululemon Storog Fitness Genom e e e A,ailab Dr Leah Walke ,I Forum Family Dent, Grotto Massage Yago 6 lµfil ~ w ~- 230 ~ CJ m;B ~ M w H&M ~ - ~ A,ailable ~ ~ ,,, Associates ~ c:=::J ~ Eo'si of Bali ~ "m::p p 1-~ Re~ne One Life Diet 12#,l Stretchlab ~ ~ 1905 2ND FLDDR ~! •. .. . . . . . ~· 05~0' nagement Bosics N Beyond ;lliam Neff, D.D.S l 200' n Clin;c Nails THE FORUM CARLSBAD CALLE BARCELONA, CARLSBAD, CALIFORNIA u ◊ ◊ ◊ ◊ ◊ ◊ ◊ ◊ ◊ ◊ ◊ ◊ ◊ ◊ ◊ ◊ = = ◊ ◊ ◊ ◊ ◊ ◊ ◊ = ~ ~ ' ~ 1905 Bed Bath & Beyond qD T Ult□ ~ Urkm Outfitters @p H&M ~ cb .,, Casa de Bondini 1!1IJ1 T$i 1911 Free Seder□ P1mJe la] Anthropologie @] White Hovse Black Mkt 1W] ~' IAso,lob~·· "'··.· .. · ATM • :ill] . .. ' Studio 12-20 Pressed Juirnry @ nm ,-t-· <c, Chico's • AY□ilable-Talbot's Q;ip . 1925 @;I ~ SOMAl::l}l] Mulloy ,-~ IBIJ ••--• Jewelers ' ' Blue ITMJ Mer,;ury ···•· PrM ~ Storage 0 9/1 • A A A A A A ~ ,_•v~ ~~ □ ~ Porker o;w Was Collection but Water D;,:gJ [fill ~ " :;; A;;;, B Apple g J aylor N,coleMade Victoria's loft Millet Well Secret MAC [@] Urbon -~, Plates ~ ~ " [TI] J ' ... [IJzl Qi!Q.61 " ~~o;m Q4] 1923 Q1I Jimbo's ~ Apple Break Raom __ LGeppetto'sStorage ih------c,s [ill] fiB ,., "' -.... --~ -I l l ' I =--L __ ,_ [ill] ~ J -@ Gepp a's (~9/J-/JJ; 1EJ Pita p • /offe Bean I ~c/.M 17:JJ \NI ~ .. . . . ~ 111 i f' I YI C J> '25 ~; ~o ~~ (©)) )ONES LANG LASALLE. pa.Tl, 7.IU~T-21 ARCHITECTURE [ill ~