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HomeMy WebLinkAbout1854 MARRON RD; 100; CBC2021-0199; PermitPERMIT REPORT (city of Carlsbad Commercial Permit Print Date: 07/25/2022 Job Address: Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Project Title: 1854 MARRON RD, # 100, CARLSBAD, CA 92008-1186 BLDG-Commercial Work Class: 1563011600 Track#: $4,651.00 Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Permit No: CBC2021-0199 Status: Closed -Finaled Tenant Improvement Applied: 06/07/2021 Issued: 02/07/2022 Finaled Close Out: 06/23/2022 Inspector: Final Inspection: 06/23/2022 Description: GREEK CORNER: REPLACEMENT OF MECHANICAL HOOD AND UNIT ON ROOF DUE TO FIRE DAMAGE Applicant: Property Owner: DODD AND ASSOCIATES 7490 OPPORTUNITY RD, # 3500 SAN DIEGO, CA 92111-2273-SAN DIEGO (619) 260-0057 P K I NORTH COUNTY PLAZA LP 3333 NEW HYDE PARK RD, # 100 NEW HYDE PARK, NY 11042 FEE FIRE Plan Review (per hr -Regular Office Hours) FIRE Plan Review (per hr -Regular Office Hours) BUILDING PLAN REVIEW-MINOR PROJECTS (PLN) STRONG MOTION -COMMERCIAL (SMIP) SB1473 -GREEN BUILDING STATE STANDARDS FEE Total Fees: $527.80 Total Payments To Date: $527.80 Contractor: AMERICAN TECHNOLOGIES INC 120 S CENTRAL AVE, # STE 350 CLAYTON, MO 63105 (760) 559-0333 Balance Due: AMOUNT $223.50 $204.00 $98.00 $1.30 $1.00 $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 I Carlsbad, CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov ( City of Carlstiad COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check {Jd{r:2();:y/ -0 J qq Est. Value PC Deposit _______ _ Date fa / ':f= /QA Job Address 1854 MARRON RD., CARLSBAD, CA., 92008 Suite: APN: 156-301-16-00 ---- Tenant Name: Ezikiel Castillo ----------------Lot#: Year Built: _____ Occupancy:, ____ _ Construction Type_· ----Fire Sprinklers:~ ~A/C:~ ~ BRIEF DESCRIPTION OF WORK: REPLACEMENT OF MECHANICAL HOOD AND UNIT ON THE ROOF DUE TO FIRE DAMAGE D Addltion/New:. ___________ New SF and Use,. ___________ New SF and Use, ___ Deck SF, Patio Cover SF (not including flatwork) D Tenant lmprovement:. _____ SF, _____ SF, Existing Use ______ Proposed Use _____ _ Existing Use Proposed Use _____ _ D Pool/Spa: SF Additional Gas or Electrical Features? ___________ _ DD DD DD D Solar:. ___ KW, Modules,. ___ Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No ~ Plumbing/Mechanical/Electrical Only: MECHANICAL HOOD AND UNIT ON THE ROOF O 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 Name: Ezequil Castillo APPLICANT O PROPERTY OWNERS AUTHORIZED AGENT APPLICANT 0 Address: 1854 Marron Rd City: Carlsbad Phone: 760453-9219 State:_ca __ Zip: 92008 Email: castilloezequiel1@gmail.com DESIGN PROFESSIONAL Name: DODD AND ASSOCIATES APPLICANT Ii) Address: 7490 OPPORTUNITY RD., SUITE 3500 City: SAN DIEGO State: CA Zip:_9_21_1_1 __ Phone: 619-260-0057 Name: DODD AND ASSOCIATES Address: 7490 OPPORTUNITY RD., SUITE 3500 City: Sc...... o,e~o State: G,Pr-Zip:_9_21_1_1 __ _ Phone: 619-260-0057 Email: e,loc\cl~~.,c.--~@rl>c..jt..!, ... 1. If!~-\'.:-_______ _ APPLICANT 0 CONTRACTOR BUSINESS Name:ATI ·-------------------Address: 8444 Miralani Dr City: San Diego State:_ca __ Zip: 92126 Email: J.or.lc.l "'~$oc:,tto..\-es € sbc..410 1,.._\ . .--q Email: mark.espinoza@atirestoration.com Architect State License: C48224 State License;-i-liii O!t:--Bus. License: Q (212iJ.'o d Phone: 000 530 2400 -----101551/3 1 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-2 Page 1 of 2 Rev. 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 am licensed under provisions of Chapter 9 (commencing with Section 7000} of Division 3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the following declarations: 0 I have and 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. ________________________ _ 1!!!!11 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. 7 My workers' compensation insurance carrier and policy number are: Insurance Company Nam!"· Eve,;:-est....,l_nde_m_nitv...,.1_zu,..r_cih_Am_e_ncan_· _________ _ Polley No. WC#i664101 Expiration Date: J...Q_~/0 t / ;9.09::9:, ' I 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 })11 ~ become subject to the workers' compensation laws of callfornia. WARNING: Failure to secure workers compensation coverage Is unlawful and shall subject an employer to aimlnal penalties and civil fines up to $100,000.00, In addition the to the cost of compensation, damqes 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's Address: 2: CONTRACTOR PRINT fVlon \(C\ 6ia<-zf<:l,t SIG~~ ,. >ATE: cjj/CJ}7-~ (OPTION B): OWNER-BUILDER DECLARATION: I hereby affinn that I am exempt from Contractor's Ucense Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not Intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's license law). 0 I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: D •0wner Builder acknowledgement and verification form" has been filled out, signed and attached to this application. Proof of Identification attached. D 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 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://www.leglnfo.ca.gov/calow.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 ar State of California licensed Contractor or authorized to act on the property owner or contractor's behalf. I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST ALL LIABILTT/ES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY 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. SIGN: Jlb APPLICANT PRINT:_S_e_,~'"'~_c::>_l--_v_V\_c.... ___ _ v DATE: 0'1/ 0 -s,f 'J.-o'L-\ 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 ( City of Carlsbad OWNERS AUTHORIZED AGENT FORM 8-62 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov OWNER'SAUTHORIZED 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. REPLACEMENT OF MECHANICAL HOOD AND UNrT ON THE ROOF DUE TO FIRE DAMAGE Scope of Construction Project (or Description of Work): __________________ _ 1854 MARRON RD., CARLSBAD, CA., 92008 Project Location or Address: ___________________________ _ DODD AND ASSOCIATES 619-260-0057 Name of Authorized Agent: _________________ Tel No. ________ _ Address of Authorized Agent: 7 490 OPPORTUNITY RD., SUITE 3500 SAN DIEGO, CA., 92111 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. • D9!ally signed by Mark Eapinoza Mark Espinoza DN:a>-Marl<Espinoza.o-ATI,ou-ATI, emall•mark.asplnoza@alirestondlon.com, c-US Property Owner's Signature: Date: 2021.oo.oao1:36:os-o7'0<1 Date: 6/3/2021 1 Building Permit Inspection History Finaled {City of Carlsbad PERMIT INSPECTION HISTORY for (CBC2021-0199) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Application Date: 06/07/2021 Owner: PK I NORTH COUNTY PLAZA LP Issue Date: 02/07/2022 Subdivision: PARCEL MAP NO 15975 Status: Closed -Finaled Expiration Date: 12/06/2022 Address: 1854 MARRON RD, # 100 CARLSBAD, CA 92008-1186 IVR Number: Scheduled Actual Inspection Type Inspection No. Date Start Date 05/17/2022 05/17/2022 BLDG-44 182817-2022 Rough/Ducts/Dampers Checklist Item COMMENTS BLDG-Building Deficiency 06/09/2022 06/09/2022 BLDG-44 184513-2022 Rough/Ducts/Dampers Checklist Item COMMENTS BLDG-Building Deficiency 06/2312022 06/23/2022 BLDG-Final Inspection 185535-2022 Monday, July 25, 2022 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS 33828 Inspection Primary Inspector Reinspection Inspection Status Partial Pass Tim Kersch Relnspection Incomplete Passed Yes Passed Tim Kersch Complete Passed Yes Passed Tim Kersch Complete Passed Yes Yes Yes Yes Yes Page 1 of 1 • lW I NTERWEST A SAF', u ll .:>MPANV DATE: 10-12-2021 JURISDICTION: Carlsbad PLAN CHECK#.: CBC2021-0199.RC1 PROJECT ADDRESS: 1854 Marron Rd SET: II □ APPLICANT □ JURIS. PROJECT NAME: Greek Corner-Hood Replacement Due to Fire Damage ~ 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 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: ~ 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: Telephone#: Date contacted : (by: ) Email: Mail Telephone Fax In Person 0 REMARKS: By: Erich A. Kuchar, P.E. lnterwest Enclosures: 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 • lW IN TER WEST A SAFEbuill t'OMPANY DATE: 6-25-2021 JURISDICTION: Carlsbad PLAN CHECK#.: CBC2021-0199 PROJECT ADDRESS: 1854 Marron Rd SET: I □ APPLICANT □ JURIS. PROJECT NAME: Greek Corner-Hood Replacement Due to Fire Damage 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. ~ 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: D lnterwest staff did not advise the applicant that the plan check has been completed. ~ lnterwest staff did advise the applicant that the plan check has been completed. Person contacted: Dodd & Associates Telephone#: 619-2620-0057 Date contacted : (by: ) Email: doddassociates@sbcglobal.net Mail Telephone Fax In Person 0 REMARKS: By: Erich A. Kuchar, P.E. lnterwest 6-10-2021 Enclosures: 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Carlsbad CBC202 l-O 199 6-25-2021 PLAN REVIEW CORRECTION LIST COMMERCIAL PLAN CHECK#.: CBC2021-0199 OCCUPANCY: A-2/ B TYPE OF CONSTRUCTION: V-B ALLOWABLE FLOOR AREA: SPRINKLERS?: No REMARKS: DATE PLANS RECEIVED BY JURISDICTION: DATE INITIAL PLAN REVIEW COMPLETED: 6-25-2021 FOREWORD (PLEASE READ): JURISDICTION: Carlsbad USE: Resturant ACTUAL AREA: 100 sqft of work STORIES: 1 HEIGHT: OCCUPANT LOAD: DATE PLANS RECEIVED BY ESGIL CORPORATION: 6-10-2021 PLAN REVIEWER: Erich A. Kuchar, P.E. 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 CBC2021-0199 6-25-2021 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. PLANS 3. Provide the names, addresses and telephone numbers of the owner and the responsible design professionals on the Title Sheet. Sec. 107.2. 4 . All sheets must be stamped and signed by engineer responsible for their preparation. Sheets A1 , A2, and A3 must be stamped and signed. STRUCTURAL 5. Provide cut sheet of new Hood and structural attachment details. 6. Provide complete structural details and attachment for new MEP unit to new curb as shown on detail 2/M1 .2/M0.7c. ADDITIONAL 7. See below for Mechanical comments. 8. Please provide a response list indicating where each correction item has been addressed on the plans. I.e., specify the plan sheet, note, or detail number, calculation page, etc., where the item is corrected on the plans. Carlsbad CBC202 l-O 199 6 -25-2021 9. 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 10. The jurisdiction has contracted with lnterwest, 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 Erich A. Kuchar, P.E. at lnterwest. Thank you. MECHANICAL COMMENTS PLAN REVIEWER: Connor Reuss, P.E. SET: I ARCHITECTURAL P&M ITEMS 11. Please place the required hood fire suppression system within a Deferred Submittal section on the title sheet. 12. Roof mounted equipment must be screened and roof penetrations should be minimized (City Policy 80-6). MECHANICAL (2019 CALIFORNIA MECHANICAL CODE) 13. Please show the required 42 inches tall "Guards" (guard rails) or building parapets height where appliances, mechanical equipment, fans, roof hatch openings or other components that require service are located within 10 feet of a roof edge or open side of a walking surface. CBC 1015.6/1015. 7 & CMC 14. Please fill out all the necessary information for the MAU schedule. NOTE: Currently, each section just states COOK. 15. Complete kitchen hood plans, details, and calculations to show compliance with CMC, Chapter 5, Part II are required. Please address the following: • Clearly address the required 6' clearance from the edge of the cooking equipment to the edge of the hood. • Show the required replacement air for each kitchen hood. Include an air balance schedule. CMC 511 .3 • If not installed interior of an enclosure, then provide a section detail for the hood showing the relative dimensioned locations for the hood , duct, ceiling, and overhead construction framing of the floor or ceiling detailing minimum clearances. Be sure to describe the construction materials (combustible, limited combustible or non-combustible) used adjacent to the hood and duct. CMC 507.3. Carlsbad CBC2021-0199 6-25-2021 • Describe the wall construction behind the hood in detail. If combustible, provide the hood installation instructions allowing installation adjacent to combustibles or include detailing of the clearance reduction design on the plans' 507.3 NOTE: Fire rated gypsum board on wood studs is still considered a combustible material per CMC & NFPA 96 . Table A.3.3.37 lypes of C.Onstruction Assemblies Containing NoncomblL'itible, Limiled-Combustible, and C.Ombuslible Materials Classifications for Detennining Hood and Grease Duct Clearance• Non-Limited- Type of Assembly combustible C.Ombustible C.Ombustible Wall assemblies Brick, clay tile, or concrete masonry prod11cL~ Plaster, ceramic, or quarry tile 011 brick, clay tile, or concrete masonry producL~ Pla~ter on metal lath on metal studs Gypsum board on metal s11.1cl~ Solid !,')'P um boardt Plaste1 Oil woocl or metal lath Oil wood studs G)1JSum board on wood stml~ Plywood or other wood sheathing on wood o r mewl studs Floor-ceiling or roof-ceiling assemblies X X X Pla.~rer applied directly to underside of concrete slab X Suspended membr.me ceiling With noncombustible mineral wool acoustica l X mate1ial With combustible fibrous tile G}'PSUm board on steel joi~ts beneath concrete slab Gypsum board on wood joists Notes: X X X (I) Wall assembly dcsctiptions assume samt: facing matctial on both sicks ufswds. (2) Categories are 1101 changed by u e of fire re1ardant-1reated wood products. (3) Categoiies are 1101 changed by 11 <: of Type X gypsum board. X X X X X • Grease ducts require a minimum 5' horizontal clearance from combustible portions of the roof. Please address. CMC 510.9 Note: If you have any questions regarding this Mechanical plan review list please contact Connor Reuss, P.E. at creuss@esgil.com. To speed the review process, note on this list (or a copy) where the corrected items have been addressed on the plans. END OF DOCUMENT • •, Carlsbad CBC2021-0199 6 -25-2021 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Erich A. Kuchar, P.E. BUILDING ADDRESS: 1854 Marron Rd BUILDING OCCUPANCY: A-2/ B BULDING AREA PORTION (Sq.Ft.) Fire Repair 100 Air Conditioring Fire Sprinklers TOTAL VALUE .llrisdiction Code cb I 1997 UBC Building Permit Fee iJ I I'll ;-,1: I 1997 UBC Plan Check Fee I 1\1 lia: Valuation ~ 46.51 By Ordinance Type of Review: ~ Complete Review r RepeltiveFee "" ~ Repeats ,.. r Other r Howy EaGIFee ,.. Reg. Mod. PLAN CHECK#.: CBC2021-0199 DA TE: 6-25-2021 VALUE ($) 4,651 . 4,651 7 , r Structural Only $45.66) Sheet 1 of 1 OFFICE USE ONLY SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE RECORD ID# _________________ _ PLAN CHECK# _________________ _ Business Name G~1<.. C04"1£< &.fi Project Address (indude suite) ~~S'-l ~n a.J Mailing Address (include suite) Business Contact City Carlsbad City ca State State Telephone# Zip Code q-iooe, Zip Code BP DATE APN# ,~~-~0 ,-u, -oo Plan File# Project Contact Applicant E-mail Telephone# L-._M_o..-_1<. __ .,,,£:_s=4-c:..c..:.-=--,:j~~-,--...,......---.----rv'\-Ct_,-K-= f>•tl '3 ... @c.t+i r~to• ... -\-io., .iB.r3a_ 1 ~o-S ~'1-4 GH e following questions represent the facility's acttv1nes, NOT the specific project description. PART I: FIRE DEPARTMENT -HAZARDOUS MATERIALS DMSION: OCCUPANCY CLASSIFICATION: {not required for projects within the City of San .ID!92}: 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 (induding 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 11: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEAL TH -HAZARDOUS MATERIALS DIVISION (HMO): If the answer to any of the questions Is yes, applicant must contact ihe County of San Diego Hazardous Matenals D1v1s1on, 5500 Overland Avenue, Suite 170, 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: D CalARP Exempt YES NO (for new construction or remodeling projects) ___ _,_/ ___ _ 2. Will your business dispose of Hazardous Substances or Medical Waste in any amount? 1. ~ J Is your business listed on the reverse side of this form? (check all that apply). Date Initials 3. Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 0 CalARP Required pounds and/or 200 cubic feet? I 5. Will your business use an existing or install an underground storage tank? 6. Will your business store or handle Regulated Substances (CalARP)? O CalARP Complete 4. ~ f Will your business store or handle carcinogens/reproductive toxins in any quantity? Date Initials 7. Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? / 8. 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 IAPCO): 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 . 2. , Will any load supporting structural members be removed? YES i 1. ~ Will the project disturb 100 square feet or more of existing building materials? 3. (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by an individual that has passed an EPA-approved 4. □ 5. □ 6. □ building inspector course? D (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 10 working days prior to commencing asbestos removal. Additionally, a notification may be required prior to ..,/ the removal of a load supporting structural member(s) regardless of the presence of asbestos. (2g Will the project or associated construction equipment emit air contaminants? See the reverse side of this form for typical equipment requiring an APCD permit. If yes, contact APCD prior to the issuance of a building permit. D (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: Briefly describe proposed project l ~~v•....__+ J C...t-,· bu, i"'iu.. '4-i>\«c<-'""' ... + o-1--v.-.u.h ... "';u,J \,\006 CA"'• \)1"'°1'\:-o"" ih.. ,oc,f-Jvc fo r, '""'j< I declare under P.enalty of perjury that to the best of my knowledge and belief t respo <_;" U''.'J 10 l..v"'-"'-.. y<'' (>" / 0 ~ /?.oL/ Name of Owner or Authorized Agent Sign lure of er or Authorized Agent Date FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:. ________________________________ _ BY· DATE· I EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMO• APCD COUNTY-HMO APCD COUNTY-HMO APCD .. *A stamp in this box only exempts businesses from completing or updating a Hazardous Matenals Business Plan. Other permitting requirements may still apply HM-9171 (9/18) County of San Diego -DEH -Hazardous Materials Division ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY 6200 Avenida Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com The commercial enterprises listed below are a partial listing of businesses that are exempt from industrial wastewater discharge pennitting under nonnal operating conditions. They are exempt because (a) they discharge no process wastewater (i.e., they only discharge sanitary wastewater with no pollutants exceeding any local limits), and (b) they have no potential to negatively impact the EWPCF or other wastewater treatment plants in the ESS. Any questions regarding exemptions should be referred to EWA Source Control staff. □ Automobile Detailer s □ Barber/Beauty Shops □ Business/Sales Offices □ Cleaning Services □ Carpet/Upholstery □ Childcare Facilities □ Churches □ Community Centers □ Consulting Services □ Contractors □ Counseling Services □ Educational Services (no auto repair/film □ Financial Institutions/Services □ Fitness Centers □ Gas Stations (no car wash/auto repair) □ Grocery Stores (no film developing) □ Residential based Businesses developing) D Hotels/ Motels (no laundry) D Laundromats D Libraries D Medical Offices (no x-ray developing) D Mortuaries D Museums D NailSalons D Nursing Homes D Office Buildings (no process flow) D Optical Services D Pest Control Services (no pesticide repackaging for sale) D Pet Boarding/Grooming Facilities D Postal Services (no car wash/auto repair) D Public Storage Facilities ~ Restaurants/Bars D Retail/Wholesale Stores (no autorepair/film developing) D Theaters (Movie/Live) CERTIFICATION STATEMENT I certify that the information above is true and co"ect to the best of my knowledge. s;gnatu,e 1-r Print Name: -~-u--.~.,..i_o __ L_..,_"""' _____ _ Date: or..fo~/1.02.1 Facility Contact: Title: __ T_~_C.v\_-b _______ _ ENCINA WASTEWATER AUTHORITY 6200 AVENI DA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-4 76-9852 SourceControl@encinajpa.com Page 2 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 Date: 0(,-0~-20-z.1 Business Name: _'fux.:.;.rL.;;;;.{/.;;.I_L __ C_o_,_,.,_u--__ c_~_f_c,,_' ________ _ Street Address: \6~~ M.c..,vo.._ 0-.,(, C&vl~~J, CA. '1'-z.«> 8 Email Address: Cu<:>+1\\o ~J:t= ~v;~..J .1@ fj,IVl.,.._;f.c 0 YVJ PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT : (ON REVERSE SIDE CHECK TYPE OF BUSINESS) M Check all below that are present at your facility: ~ Acid Cleaning Assembly Automotive Repair Battery Manufacturing Biofuel Manufacturing Biotech Laboratory Bulk Chemical Storage Car Wash Chemical Manufacturing Chemical Purification D Food Processing D Glass Manufacturing D Industrial Laundry D Ink Manufacturing D Laboratory D Machining/Milling D Membrane manufacturing D (i.e. waterfilter membranes) D Metal Casting/Forming D Metal Fabrication D Metal Powders Forming D Nutritional SupplemenWitamin D Manufacturing D Painting/Finishing D Paint Manufacturing D Personal Care Products D Manufacturing D Pesticide Manufacturing/ Packaging D Pharmaceutical Manufacturing D (including precursors) D Dental Offices D Metal Finishing D Porcelain Enameling D Dental Schools D Dental Clinics D Dry Cleaning □ Electrical Component □ Manufacturing □ Fertilizer Manufacturing □ Film/ X-ra y Processing D Electroplating D Electroless Plating D Anodizing D Coating (i.e. phosphating) D Chemical Etching/Milling D Printed Circuit Board D Manufacturing D Power Generation 0 Print Shop D Research and Development D Rubber Manufacturing D Semiconductor Manufacturing D Soap/Detergent Manufacturing D Waste Treatment/Storage NewBusiness?YesON0'3f SICCode(s)ifknown: ______ Date operation began/will begin: ______ _ Tenant Improvement? Yes 0Nora:lf 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/volume): ____________________________ _ Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? YesODate: ____ _ Page 1 of 2