HomeMy WebLinkAbout1959 PALOMAR OAKS WAY; 100; CBC2021-0103; PermitPERMIT REPORT
(city of
Carlsbad
Commercial Permit
Print Date: 12/29/2021 Permit No: CBC2021-0103
Job Address: 1959 PALOMAR OAKS WAY, # 100, CARLSBAD, CA 92011-1310 Status: Closed -Fina led
Permit Type: BLDG-Commercial Work Class: Tenant Improvement
Parcel#: 2130922600 Track#: Applied: 03/25/2021
Valuation: $518,353.95 Lot#: Issued: 05/11/2021
Occupancy Group: Project#: Finaled Close Out: 09/20/2021
#of Dwelling Units: Plan#:
Bedrooms: Construction Type:
Bathrooms: Orig. Plan Check#: Inspector: TKers
Plan Check#: Final Inspection: 09/08/2021
Project Title:
Description: FASHIONPHILE HQ3: (11,145 SF) OFFICE Tl TO INCLUDE 1ST FLOOR SUITE 100 & 2ND FLOOR SUITE 250
Applicant:
CHAMPION PERMITS
TIM SEAMAN
PO BOX 5955
CHULA VISTA, CA 91912
(619) 993-8846
FEE
STRONG MOTION-COMMERCIAL
Property Owner:
CC SD LLC
1959 PALOMAR OAKS WAY
CARLSBAD, CA 92009
ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL
SB1473 GREEN BUILDING STATE STANDARDS FEE
BUILDING PLAN CHECK FEE (BLDG)
MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL
GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN REVIEW-MINOR PROJECTS (LDE)
BUILDING PLAN REVIEW-MINOR PROJECTS (PLN)
Total Fees: $4,538.94 Total Payments To Date: $4,246.94
Contractor:
WHITE CONSTRUCTION
2524 GATEWAY RD
CARLSBAD, CA 92009-1742
Balance Due:
AMOUNT
$145.14
$242.00
$21.00
$1,465.80
$104.00
$175.00
$2,094.00
$194.00
$98.00
$292.00
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
(city of
Carlsbad
COMMERCIAL
BUILDING PERMIT
APPLICATION
B-2
Plan Check
Est. Value
PC Deposit
Date
Suite: 100 & 250 APN: 2130922600 Job Address 1959 Palomar Oaks Way, Carlsbad CA 92009
Tenant Name: Fashionphile Group, LLC
-----------
Lot#:
Vear Built:_1_98_9 ___ Occupancy: B-OFFICE VB Dc:::::::J c:::::::JD Construction Type_· '------__ __,F;•e Sprinklers: yes no A/C: yes no
BRIEF DESCRIPTION OF WORK: New office tenant improvement to include new non-load bearing walls,
new break room and copy room, new entry from existing office corridor
D Addition/New: ___________ New SF and Use, ___________ New SF and Use,
____ Deck SF, Patio Cover SF (not including flatwork)
[!] Tenant Improvement: Suite 100-6018 SF,
Suite 250 -5127 SF,
Existing Use B-OFFICE
Existing Use B-OFFICE
Proposed Use _B_-O_F_F_IC_E ___ _
Proposed Use _B_-O_F_F_IC_E ___ _
D Pool/Spa: _____ SF Additional Gas or Electrical Features? ____________ _
□□ □□ □□ 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
Name: Fash1onph1le Group LLC
Address:6359 Paseo Del Laqo
APPLICANT O PROPERTY OWNERS AUTHORIZED AGENT
Name: CHAMPION PERMITS (contact. TIM SEAMAN)
Address: Po BOX s9ss
APPLICANT ij]
City: Carlsbad State:_C_A __ .Zip: 92011 City: CHULA VISTA State:_C_A __ ,Zip: 91912
Phone: _________________ Phone: 619.993.8846
Email: tim@championpermits.com Email: tim@championpermits.com
DESIGN PROFESSIONAL APPLICANT 0 CONTRACTOR BUSINESS APPLICANT 0
Name: OCIO DESIGN GROUP (contact: MELISSA GOLDFARB)
Address: 1717 5TH AVENUE
Name: WHITE CONSTRUCTION INC. (contact SEAN MALLEY)
Address: 2524 GATEWAY ROAD
City: SAN DIEGO State:_C_A __ .Zip: 92101 City: CARLSBAD State: CA Zip:..:9c.:::2..:O..:O..:9 ___ _
Phone:619.232.0261 X 109 Phone: 760.931.1130X 104
Email: melissa@ociodesigngroup.com Email: sean@whiteconstructioninc.com
Architect State License: ___________ State License: 'J'3 lJof' 0 Bus. License: ______ _
1635 Faraday Ave Carlsbad, CA 92008
B-2
Ph: 760-602-2719 Fax: 760-602-8558
Page 1 of 2
/3L.05/;)3l(q 5'(,,,
Email: Building@carlsbadca.gov
Rev. 08120
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 pel)ury one of the fo/lowinq 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. ------------------------~
■ 1 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: ~'";;';;.'';;;";;;m~;;;";;":;;=:;;;..'"';;;=;;;=:;;;..'";;00:;;;.. __________ _
Policy No. 92,3o:;r,_21 Expiration Date: -'-""-"-""-'-------------------
[] 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 California. WARNING: Failure to secure workers compensation coverage Is unlawful and shall subject an
employer to criminal penalties and civil fines up to $100,000.00, In addition the to the cost of compensation, damages as provided for in Section 3706 of the
Labor Code, interest and attorney's fees.
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 {i) Civil Code).
lender's Name:, _____________________ Lender's Address: ____________________ _
CONTRACTOR PRINT: Sean Malley, Vice President SIGN: Vice President DATE: 03/16/2021
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License 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),
D !, as owner of the property, am eKclusively 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)
tlcensed 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:
0 "Owner Builder a<knowledgement and verification form" hd> ht'NI hllPd out, signed and at!;u:hed to t!m ;ippliration Proof of identification attached,
D Owrw1 '., ''Authorized Agent form" has lwPn fill<'d out, ',1gnE>d end attadiPd to this ,ipplicatmn gN111g rlw oqent authority t,) obtain the pron./ on t/Je o.vne,' bt>halj
Proof of identification Jttached.
By 111y s1gn,l!ure below I <1tknowlvdge th.ii, (->xcept tor rny V'f'>-Onal residence in w!mh I mu:,t llavc ll·sided /01 at IPast one y('rif prior to wmpk•tion of t!w
imprnvf'nwrit:, covf'IPrl by t!m 1wrmit, I onnot leg;illy ¼ell ;1 ~tructw0 that l have bw!t <l'i an owner-buildPr ii it h.:i, not been cunslrnctPcJ 1n It', l'nt11ety bv li(('rt,cd
urn lr dr tor~ 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.leginfo.co,gov/calaw.html.
OWNER PRINT: ___________ SIGN: ________ ,DATE: _____ _
APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL
By my signature be/aw, 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. f certify that f have read the application and state that the above information is correct and that the
information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE,
INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY
ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0'
deep and demolition or construction of structures over 3 stories in height.
APPLICANT PRINT: ....,eT_.,im.!!...:.S:::e!!.am=aa!n _____ _ SIGN: :!f fa,-,'-~DATE: --"-'5/_l.c..1/ ... 2.;;,.l _
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building(alcarlsbadca.gov
8-2 Page 2 of 2 Rev. 08/20
, PERMIT INSPECT:ictN HISJfORY for (CBC2021-0103)
Permit Type: BLOG-Commercial
Work Class: Tenant Improvement
Application Date: 03/25/2021 Owner: C C S D LLC
Issue Date: 0_5/11/2Q.~1 Subdivision: CARLSBAD TCT#80-38
Status: Closed -Finaled Expiration Date'~-
IVR Number:
06/20/2022 ,) Address: 1959 PALOMAR OAKS WAY, # 100
Scheduled
Date
11/24/2021
Actual Inspection Type
Start Date
11/24/2021 BLDG-14
Frame/Steel/Bolting/We
lding (Decks)
Checklist Item
Inspection No.
171347-2021
COMMENTS
32348 CARLSBAD, CA 92011-1310
Inspection Primary Inspector Reinspection Inspection
Status
Partial Pass Tim Kersch Reinspection Incomplete
Passed
BLDG-Building Deficiency Partial inspection for framing. Yes
12/09/2021 12/09/2021 BLDG-17 Interior 172363-2021 Partial Pass Tim Kersch Reinspection Incomplete
Lath/Drywall
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Notes on card. Yes
12/16/2021 12/16/2021 BLDG-44 172844-2021 Passed Tim Kersch Complete
Rough/Ducts/Dampers
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
12/22/2021 12/22/2021 BLDG-85 T-Bar, Ceiling 173254-2021 Partial Pass Tim Kersch Reinspection Incomplete
Grids, Overhead
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
Wednesday, December 29, 2021 Page2of2
Building Permit Inspection History Finaled
{ City of
Carlsbad
l
PERMIT INSPECTION, HISTORY for (CBC2021-0103)
Permit Type: BLDG-Commercial
Work Class: Tenant Improvement
Application Date: 03/25/2021
Issue Date: 05/11/2021
Expiration Date: c·06/20/2022)
Owner: C C S D LLC
Subdivision: CARLSBAD TCT#80-38
Address: 1959 PALOMAR OAKS WAY, # 100 Status: Closed -Finaled
32348 CARLSBAD, CA 92011-1310
Scheduled
Date
07/27/2021
08/18/2021
09/08/2021
09/16/2021
Actual Inspection Type
Start Date
07/27/2021 BLDG-14
Frame/Steel/Bolting/We
lding (Decks)
Checklist Item
IVR Number:
Inspection No. Inspection Primary Inspector
Status
162891-2021 Partial Pass Tim Kersch
COMMENTS
BLDG-Building Deficiency Partial inspection for framing.
08/18/2021 BLDG..S1 Underground 164427-2021
Combo(11, 12,21,31)
Checklist Item
BLOG-Building Deficiency
BLDG-11 Foundation-Ftg-Piers
(Rebar)
BLDG-12 Steel-Bond Beam
BLDG-21
Underground-Undertloor
Plumbing
BLDG-31
Underground-Conduit Wiring
COMMENTS
09/08/2021 BLDG-17 Interior
Lath/Drywall
165961-2021
Checklist Item COMMENTS
BLDG-Building Deficiency Notes on card.
BLDG-Final Inspection
Checklist Item
165960-2021
COMMENTS
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
09/16/2021 BLDG-85 T-Bar, Ceiling 166588-2021
Grids, Overhead
Checklist Item COMMENTS
Partial Pass Tim Kersch
Partial Pass Tim Kersch
Passed Tim Kersch
Passed Tim Kersch
BLDG-Building Deficiency
BLDG-14
Frame-Steel-Bolting-Welding
(Decks)
Ok all framing for drywall
BLDG-24 Rough-Topout
BLDG-34 Rough Electrical
BLDG-44
Rough-Ducts-Dampers
Wednesday, December 29, 2021
Reinspection Inspection
Reinspection Incomplete
Passed
Yes
Reinspection Incomplete
Passed
Yes
Yes
Yes
Yes
Yes
Reinspection Incomplete
Passed
Yes
Incomplete
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Passed
Yes
Yes
Yes
Yes
Yes
Page 1 of2
OFFICE USE ONLY SAN DIEGO REGIONAL
HAZARDOUS MATERIALS
QUESTIONNAIRE
RECORD ID # __________________ I
PLAN CHECK # __________________ I
BP DATE
Business Name Business Contact Telephone#
Fashionphile Group, LLC
Project Address
1959 Palomar Oaks Way, Building D
City
Carlsbad
State
CA
Zip Code
92009
APN# 2130922600
Mailing Address
Project Contact
Sean Malley, Vice President
City State
Ap_e.licant E-mail
sean@whiteconstructioninc.com
Zip Code Plan File#
Telephone#
760-473-2401
The following questions represent the facility's activities, NOT the specific project description.
PART I: FIRE DEPARTMENT -HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: not re uired for ro·ects within the Ci of San
Diego): Indicate by circling the item, whether your business will use, process, or store any o the follollling hazardous materials. If any o the items are circled,
applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal.
Occupancy Rating: Facility's Square Footage (including proposed project):
1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives
6. Oxidizers 10. Cryogenics
13. Corrosives
14. Other Health Hazards 2. Compressed Gases
7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These. 3. Flammable/Combustible Liquids
4. Flammable Solids 8. Unstable Reactives 12. Radioactives
PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION IHMDI: If the answer to any of the
questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 110. San Diego, CA 92123.
Call (858) 505-6700 prior to the issuance of a building permit.
Expected Date of Occupancy: FEES ARE REQUIRED Project Completion Date:
(for new construction or remodeling projects)
Is your business listed on the reverse side of this form? (check all that apply).
0 CalARP Exempt
I
1.
2.
3.
4.
5.
6.
7.
8.
YES NO
□ IXI Will your business dispose of Hazardous Substances or Medical Waste in any amount? □ IXI Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500
pounds and/or 200 cubic feet? □ IXI
□ □ □ □ □
IR] Will your business store or handle carcinogens/reproductive toxins in any quantity?
IX] Will your business use an existing or install an underground storage tank?
Ix:] Will your business store or handle Regulated Substances (CalARP)?
Ix:] Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)?
IX] 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).
Date Initials
0 CalARP Required
I
Date Initials
0 CalARP Complete
I
Date Initials
PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD): Any YES* answer requires a stamp from APCD 10124 Old Grove Road, San
Diego, CA 92131 apcdcomp@sdcounty.ca.gov (858) 586-2650). [*No stamp required if 01 Yes and 03 Yes and Q4-O6 NoJ. 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.]
1.
2.
3.
4.
5.
6.
YES NO
I&] □ □ IXI
IXI □
□ IZI
Will the project disturb 160 square feet or more of existing building materials?
Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition.
(ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance
Technician?
□
□
(ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification
may be required 10 working days prior to commencing asbestos removal.
[XI Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet
(www.sdapcd.org/info/facts/permits.pd0 for typical equipment requiring an APCD permit.
{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:
New office tenant im rovement
I declare under penalty of perjury that to the best of my knowledge and belief t e responses made herein are true and correct.
Sean Malley, Vice President , Vice President 03 / 30 / 2021
Name of Owner or Authorized Agent Signature of Owner or Authorized Agent Date
FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: _______________________________ _
BY· DATE· I I
EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY-HMO* APCD COUNTY-HMO APCD COUNTY-HMO APCD
,._.,(;fl ~, .. «"' -R<hniitwv1,i 0
" ~1/2!.-.:'l' ~
(),,;h1/f rnf;;,:1:;,
f/1000
*A stamp in this box only exempts businesses from completing or updating a Hazardous Matenals Business Plan. Other permIttIng requirements may st111 apply.
HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division
, '
□ □ □ □ □ □ □ □ □ □ □
ENCINA WASTEWATER AUTHORITY
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
SCREENING SURVEY
6200 Avenida Encinas, Carlsbad, CA 92011
Phone: 760-438-3941 Fax: 760-476-9852
SourceControl@encinajpa.com
Date: 03.16.2021
Business Name: Fashionphile Group, LLC
Street Address: 1959 Palomar Oaks Way, Ste 100 & 250, Carlsbad CA 92009
Email Address:
PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT ION REVERSE SIDE CHECK TYPE OF BUSINESS, l ✓I
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 D (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)
Dental Offices D Metal Finishing D Porcelain Enameling D Dental Schools D Electroplating D Power Generation D Electroless Plating D Print Shop D Dental Clinics
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/ X-ray Processing D Manufacturing D Waste Treatment/StoraQe
New Business? YesONo[:] SIC Code(s) if known _______ Date operation began/will begin. ______ _
Tenant Improvement? YesE]NoO If yes_ briefly describe improvement New office T.I. w/ new non-load bearing
walls, new break room, new copy room, new entry from existing office corridor
Description of operations generating wastewater (discharged to sewer, hauled orevaporated)._N_IA _________ _
Estimated volume of industrial wastewater to be discharged (gal/ day) : _N_I_A ____________________ _
Listhazardouswastesgenerated(type/volume):_N_/_A __________________________ _
Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? YesOoate _____ No[!]
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
Sou rceC o ntrol@e nci naj pa. 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
□ 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
CERTIFICATION STATEMENT
Signature ______________ _
Facility Contact: ___________ _
developing)
Print Name
D Hotels/ Motels (no laundry)
D Laundromats
D Libraries D Medical Offices (no x-ray developing)
D Mortuaries
D Museums
D Nail Salons
D Nursing Homes
[!] 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
D Restaurants/Bars
D Retail/Wholesale Stores (no autorepair/film
developing)
D Theaters (Movie/Live)
Date· _____ _
Title: ______________ _
ENCINA WASTEWATER AUTHORITY
6200AVENIOA 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 pemlits 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 website.
" 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.: BP No.:
PropertyAddress/APN 1959 Palomar Oaks Way, Ste. 100 & 250, Carlsbad CA 92009 -APN 2130922600
Applicant Name/Co.: Champion Permits (Contact: Tim Seaman)
ApplicantAddress P.O. Box 5955 ------------------------------
Con tact Phone: 619.993.8846 Contact Email: tim@championpermits.com
Contact information of person completing this checklist (if different than above):
Name:
Company
name/address:
B-50
Melissa Goldfarb
Ocio Design Group
Contact Phone:
Contact Email:
Page 1 of6
619.232.0261 X 109
melissa@ociodesigngroup.com
Revised 06/1 e
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, atach Bulldlng Pe!mitValwlllon worksheet.
Building Permit Valuation (BPV) from worksheet: $_s_,a_,354 ___ _
□ New construction 2A, 3A, 18, 28,
4A 38, 4A
D Additions and alterations:
□ BPV < $60,000 N/A NIA All residential additions and alterations
□ BPV 2: $60,000 1A,4A 4A 1-2 family dwellings and townhouses with attached garages
□ Electrical service panel upgrade only only
'Multi-family dweffings only where interior finishes are removed
□ 8PV 2: $200,000 1A, 4A' 18,4A' and significant site work and upgrades to structural and
mechanical, elecbical, and/or olumbina S""tems are proposed
, , ,, ",' , .. ·-· , .. ----__ --·_:_
□ New construction 18, 28, 38, 48 and 5 r
Iii Alterations:
@ 8PV 2: $200,000 or additions 2: 1,000 18, 5 square feet
□ BPV 2: $1,000,000 18, 28, 5 Building alterations of 2: 75% existing gross floor area
□ 2: 2,000 sq. ft. new roof addition 28,5 18 also applies if BPV 2: $200,000
Please refer to Carlsbad Municipal Code (CMC) sections 1821.155and 18.30.190, and Ille California Green Bu~ Standartls Code (CAI.Green) for
more information when CO!J1)1eting this section.
A. 0 Residential addition or alleration ~ $60,000 building penntt valuation. □WA ________ _
See CMC section 18.30.190. D Exception: Horne energy score~ 7
(attach airtification)
Year Built Single-family Requirements Multi-family Requlmments
□ Before 1978 Select one:
C Duct sealina D Altic insula1ioo [l Cool roof □ Attic insulation
□ 1978 and later Select one:
□ Lighting padlage []water heating Padlage
D Between 1978 and 1991 Select one:
[Jlluct sealina □Altic insulation □Coal roof
□ 1992 and later Select one:
CUghting padlage Cwater heating padlage
B. [!I Nonresidential' new construction or allenltlons ~ $200,000 building pennit valuation,
or additions ~ 1.000 square feet O WA
U pdatcd 8/1512019 2
City of Carlsbad Climate Action Plan Consistency Checklist
See CMC 18.21.155 and CAL Green Appendix AS, Division AS.2 -Energy Efllciency.
A'i.203.1.1 Choose one: CU Oltdoor lighting □.2 'llllrehouse dock seal dool$
D .3 Restaurant seriice water heating (romply with C8/ilomia Energy Code section 140.5, as amended) B NIA ________ _
D .4 Daylight design PAFs C 5 Exhaust air heat recovery
A5.203.1.2.1
Choose one as applicable 095 Energy budget □ 90 Energy budget
A5211.1"
□ On-5ite renewable energy
A5.211.3"
□ Green power(~ offered by local utility provider, 50% miniroom ~ sources) □ NIA
A5.212.1
□ Elevators and escalators
□ NIA
• ndudes holelshllotels and hig!Hise residential buildings {'I U r---u •· (..._ f, ')
"For allerations ~ $1,000,000 BPI/ and affecting > 75% existing gross floor area, or alterations that add 2,000 square feel of new roof addition: comply
with CMC 18.30.130 insNi .
...... 111111 tr ,..3£~,l.m35 ....... C#ll!L ..
A. D Residential new construcllon (for low-riae l'Nidential building pennlt applications submilt8d aft8r 111120,. Refer to 2019 Calfornla
Ef181!1Y Code section 150,1(c)14 for requmerns. Notes: 1) HlglH18e llllldential buildings are subject to nonlllSldential photovoltalc
requirement (28 below) inelllad. 2) H projact Includes lnslallatlon of an electric heat pump water healer pursuant to CMC 18.30.150(8)
(high-rise resklentlal) or 18.30.170(8) Pow-rite nJSidenllal), Inc,_ system size by .3kWdc If PV offset option is &elected.
Floor Plan ID (use additional CFA #d.u. Calculated kWlc'
sheets~ neoossary)
Total System Size
kW!c = (CFAx.572) I 1,000 + (1.15 x #d.u.)
'Formula calculation where CFA = condi1ional floor area, #du = number al dwsllings per plan type
~ proposed system size iS less lhan calculated size. please explain.
Exception
D
D
D
D
kW!c
B. D Nonnisldentlal new construction or altlllalions 1!$1,000,000 BPV and aflactlng i!:75% exllllng floor area, or addition 1l1at lncf1111111 roof
area by 1!2,000 square feet Pleaae rererto CMC section 18.30.130when completing this section. Note: Thia aedlon also applies to
high-rise NSldentlal and hotel/molal buildings.
Choose one of the following methods:
a Gross Floor Area (GFA) Method
GFA:
□If< 10,000s.f. Enter. 5 kVl/dc
Min. System Size
□If<! 10,000s.f. calculate: 15 kWdc x (GFA/10,000) ..
__ kWdc
-Round building size factor to nearest tenth, and round system size to nearest whole number.
□ Time-Dependent Valuation Method
Updated 8115/2019 3
City of Carlsbad Climate Action Plan Consistency Checklist
Annual IDV Energy use:------X .BO= Min. system size:-----kWdc
••• Attach calculation documentation using modeling software approved by the California Energy Commission.
Iii_. l ,m111iii , ·
A D Residential and hoteUmotel new construction
Please refer to CMC aectlons 18.30.150 and 18.30.170 when completing this section.
D For systems serving individual dwelling units choose one:
D Heat pump water heater AND Compact hot water distribution AND Drain water heat recovery (low-rise
residential only)
D Heat pump water heater AND PV system .3 kWdc larger than required in CMC section 18.30.130 (high rise
residential hotel/motel) or CA Energy Code section 150.1 (c) 14 (low-rise residential)
D Heat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higher D Solar water heating system that is either .60 solar savings fraction or 40 s. f. solar collectors D Exception:
D For systems serving multiple dwelling units, install a central water-heating system with all of the following:
D Gas or propane water heating system
D Recirculation system per CMC 18.30. 150(8) (high-rise residential, hotel/motel) or CMC 18.30.170(8) (low-
rise residential)
D Solar water heating system that is either:
□ .20 solar savings fraction
□ .15 solar savings fraction, plus drain water heat recovery
□Exception:
8. D Nonreeldentlal n-construction
Please refer to Carlsbad Ordinance CMC section 18.30.150 when completing this sacllon.
0 Water heating system derives at least 40% of its energy from one of the following (attach documentation):
D Solar-thermal □ Photovoltaics □Recovered energy
□Water heating system is (choose one):
□ Heat pump water heater
□ Electric resistance water heater(s)
□Solar water heating system with .40 solar savings fraction
0 Exception:
Updated 8/15/2019 4
City of Carlsbad Climate Action Plan Consistency Checklist
<t llrfl!l:M! 111111 .Sl!fl!N
A. D Residential New construction and major alterations•
Please refer to Carlsbad Ordinance CMC section 18.21.140 when this section.
One and two-family residential dwelling or townhouse with attached garage:
0 One EVSE Ready parking space required D Exception :
D Multi-family residential: D Exception :
I
Total Parking Spaces I EVSE Spaces
: Proposed : Capable Ready I Installed
Calculations: Total EVSE spaces= .10xTOlal paoong (rounded uptorearestwholenumber)
EVSE Installed= TOlal EVSE ~x .50(rounded upto nearest whole nlllffl)
EVSE other= Total EVSE spaces-EVSE Installed
(EVSE other may be 'Capable," "Ready' or 'lnslalled ")
Total
•Major alterations are: (1) for one and two-family dweNillgs and townhouses 'Mth attached garages, alterations have a building permit valuation~ $60,000
or include an electrical serv'ire panel upgrade; (2) for muHifamily dwellings (three uni1s or more without attached garages), alterations have a buildirYJ permit
valuation ~ $200,000, interior finishes are removed and significant site work and upgrades to strucrural and mechanical, elecbical, and/or plumbing
sysE111S are proposed
8. 0 Nonresidential new COll51ruction (includes hoillla/motel6) 0 Exception ·
Total Parl<ing Spaces EVSESoaces
Pmnn<:ed Caoable I Readv Installed I Total
I I
Calculation· Refer to the table below
Total Number of Parki nrnlli1Ar1 Nurrter of r!!nuired EV SDOO!S Nunter of IP.OUiBd E\ISE lnstaled SruwR,
I 0-9 1 1
□ 10-25 2 1
l 26-50 4 2
D 51-75 6 3
□ 76-100 9 5
101-150 12 6
151-200 17 9
201 and over 10 oein!nl of tolal 50 .........tof~""Uired EV-
Updated 8/l 512019 5
City of Carlsbad Climate Action Plan Consistency Checklist
AA approved Transportation Demand Management (TOM) Plan is required fur all nonlllSilential ~ that meet a 1hreshold of~ /JDT
City staff will use the table below based on yoor Sllbmitled plans to determine whe1her or nor your penTlit requires a TOM plan If TOM is applicable to your
perrrit, staff will contad the applicant ID de'lelop a site-specific TOM plan based on the penn~ de1ails.
Ackna.vledgment
Employee ADT Estimation for Various Commercial Uses
Use
. Office (all)2
Restaurant
Retail,
Industrial
Manufacturing
Warehousin
Emp ADTfor
first 1,000 s.f .
•
11
8
4
4
4
EmpADT!
1000s.f.,
11
4.5
3,5
3
1
: , Unless otherwise noted, rates estimated from /TE Trip
· Generation Manual, 1 (JJ>Edltion
2 For all office uses, use SANDAG rate of 20 ADT/1,000 sf to
calculate employee ADT
3 Retail uses include shopping center, variety store, supermarket,
gyms, pharmacy, etc.
Other commercial uses may be subject to spec/al
consideration
Sample calculations:
Office: 20,450 sf
1. 20,450 sf I 1000 x 20 = 409 Employee ADT
Retail: 9,334 sf
1. First 1,000 sf= 8 ADT
2. 9,334 sf -1,000 sf= 8,334 sf
3. (8,334 sf/ 1,000 x 4.5) + 8 = 46 Employee ADT
I ad<oowfedge that the plans Sllbmitled may be
my penTlit require a TOM plan nders
to the City of Carlsbad's Transportation Demand Management Ordinance. I agree to be contacted should
an approved TOM plan is a condition of permit issuance.
ApplicantSignature:_-WJE,<_-'-'7""-·~------------
contacted for TOM romp/illnce (If applicable):
Phone Number ≤ -<\ '1':> -
Email Address ~/Sq~
Updated 8/ I 5/2019 6
PERMIT REPORT
Revision Permit
Print Date: 09/20/2021
( City of
Carlsbad
Permit No: PREV2021-0086
Job Address: 1959 PALOMAR OAKS WAY, # 100, CARLSBAD, CA 92011-1310 Status: Closed -Fina led
Permit Type: BLDG-Permit Revision Work Class: Commercial Permit Revis
Parcel#: 2130922600 Track It: Applied: 06/22/2021
Valuation: $0.00 Lot It: Issued: 08/17/2021
Occupancy Group: B Project It: Fina led Close Out: 09/20/2021
#of Dwelling Units: Plan#:
Bedrooms:
Bathrooms:
Project Title:
Construction Type:VB
Orig. Plan Check It: CBC2021-0103
Plan Check#:
Inspector:
Final Inspection:
Description: FASHIONPHILE HQ3: LAYOUT CHANGES TO 1ST FLR/INFO ADDED TO 2ND FLR RECEPTION
Applicant:
CHAMPION PERMITS
TIM SEAMAN
PO BOX 5955
CHULA VISTA, CA 91912
(619) 993-8846
FEE
BUILDING PLAN CHECK REVISION ADMIN FEE
MANUAL BLDG PLAN CHECK FEE
Property Owner:
CC SD LLC
1959 PALOMAR OAKS WAY
CARLSBAD, CA 92009
Total Fees: $372.50 Total Payments To Date:
Building Division
$372.50
Contractor:
WHITE CONSTRUCTION
2S24 GATEWAY RD
CARLSBAD, CA 92009-1742
Balance Due:
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
AMOUNT
$35.00
$337.50
$0.00
Page 1 of 1
( City of
Carlsbad
PLAN CHECK REVISION OR
DEFERRED SUBMITTAL
APPLICATION
8-15
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
~~'T .2C2.l-008'(J)
Original Plan Check Number CBC2021 -01 o3 Plan Revision Number _______ _
Project Address 1959 PALOMAR OAKS WAY, CARLSBAD CA 92009
General Scope of Revision/Deferred Submittal: LAYOUT CHANGES TO THE FIRST FLOOR,
ADDT'L INFO. ADDED TO THE 2ND FLOOR RECEPTION AREA
CONTACT INFORMATION:
Name TIM SEAMAN Phone 619.993.8846 ________ Fax,_ ________ _
Address P.O. BOX 5955 City CHULA VISTA Zip 91912
Email Address tim@championpermits.com
Original plans prepared by an architect or engineer, revisions must be signed & stamped by that person.
1 . Elements revised: [j] Plans [j] Calculations D Soils D Energy D Other
2. 3.
Describe revisions in detail List page(s) where each
revision is shown
CELL BOOTH 111 & STORAGE 105B REMOVED. PHOTO ROOM 105 GREW IN SIZE.COPY AREA 104 MOVED ADJACENT TO MAIN ENTRY 101 A1 .0, A3.0, A3.2, A3.3, A4.0,
A5.0, A6.0, A7.0, 02, S2, S3,
M1 .0, E1 .0, E2.0, E3.0, E5.0,
MORE DETAIL/INFO. ADDED FOR 2ND FLOOR RECEPTION 201 CUSTOM PANELS A3.4, A9.1, S2.1, S3, M1.1
ADDT'L INFO. FOR PROJECT TEAM ADDED. STRUCTURAL DWGS ADDED TO SHEET LIST. ALL SHEETS UPDATED INDICATED W/ DELTA 2 T1
STRUCTURAL CALCULATIONS INCLUDED FOR PHOTO ROOM 105 & 2ND FL RECEPTION 201 CUSTOM PANELS STRUCTURAL CALCS.
4. Does this revision, in any way, alter the exterior of the project? D Yes [j] No
5. Does this revision add ANY new floor area (s)? D Yes [j] No
6. Does this revision affect any fire related issues? D Yes ■ No
7. Is this a complete set? [j] Yes D No
£S'Signature ________________ _ Date ----------
1635 Faraday Avenue, Carlsbad, CA 92008 f.b.: 760-602-2719 ~: 760-602-8558 Email: building@carlsbadca.gov
www.carlsbadca.gov
' ~
STRUCTURAL ENGINEERS
• 858/453-7339 • FAX 619/237-1019
STRUCTURAL CALCULATIONS
FOR
FASHIONPHILE HQ3 T.l.
1959 PALOMAR OAKS WAY, SUITE 100 & 250
CARLSBAD, CA 92009
CLIENT:
OCIO DESIGN GROUP
PROJECT NO.: 3193.49
MEMBER OF STRUCTURAL ENGINEERS ASSOCIATION OF CAL1Fvtc1'11M
MALEK ENGINEERS, INC.
SAN DIEGO, CA.
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