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Home My WebLink About1040 CARLSBAD BLVD; 105; CBC2021-0410; PermitBuilding Permit Finaled (city of Carlsbad Commercial Permit Print Date: 12/30/2022 Permit No: CBC2021-0410 Job Address: 1040 CARLSBAD VILLAGE DR, # 105, CARLSBAD, CA 92008 Status: Closed -Fina led Permit Type: BLDG-Commercial Work Class: Tenant Improvement Parcel#: 2033204900 Track#: Valuation: $101,545.00 Lot#: Occupancy Group: #of Dwelling Units: A2 Project#: DEV16014 Plan#: Bedrooms: Bathrooms: Occupant Load: 69 Code Edition: 2019 Sprin~ed: Yes Project Title: CARLSBAD VILLAGE LOFTS Construction Type:11I-B Orig. Plan Check#: Plan Check#: Description: LOURDE'S MEXICAN; Tl (1569 SF) (SHELL TO RESTAURANT) Applicant: ALEX PARRA 7505 JEREZ CT, # C CARLSBAD, CA 92009-7435 (760) 535-6073 FEE BUILDING PLAN CHECK BUILDING PLAN REVIEW-MINOR PROJECTS (LOE) BUILDING PLAN REVIEW-MINOR PROJECTS (PLN) CERTI Fl CATE OF OCCUPANCY COMM/IND Tl -NON-STRUCTURAL FIRE Special Equipment (Ovens, Dust, Battery) PUBLIC FACILITIES FEES -outside CFO SB1473 -GREEN BUILDING STATE STANDARDS FEE SEWER CONNECTION FEE (General Capacity all areas) STRONG MOTION -COMMERCIAL (SMIP) Total Fees: $12,560.88 Total Payments To Date: $12,560.88 Applied: 10/22/2021 Issued: 03/15/2022 Finaled Close Out: 12/30/2022 Final Inspection: 11/16/2022 INSPECTOR: Kersch, Tim Contractor: Renfro, Chris Salcedo, Felix NORTH BAY DEVELOPMENT INC 8941 ATLANTA AVE, # STE 165 HUNTINGTON BEACH, CA 92646-7121 (714) 887-4848 Balance Due: AMOUNT $560.17 $194.00 $98.00 $15.00 $861.80 $458.00 $3,554.08 $5.00 $6,786.40 $28.43 $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. Building Division Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008·7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov Cci:cyof CarlsDad Job Address 1040 Carlsbad Village Drive Tenant Name#: Lourde's Mexican Year Built: 2021 Occupancy:_B __ _ COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check CBa/10:21--0--IID Est. Value Joi✓ 5:15= ,,,,.- PC Deposit a-47. /, go Date Suite: 1"138 APN: 203-320-49-00 ·-----· Lot#: Year Built: 2021 -------------- Construction Type: VA Fire sprinklers@'ESQNo A/C:(:)YEsQNo BRIEF DESCRIPTION OF WORK: tenant improvement of restaurant with restrooms in new building complex -first tenant within the existing space D Addltlon/New: ____________ New SF and Use, __________ New SF and Use ______ SF Deck, _______ SF Patio Cover, ________ SF Other (Specify) ___ _ (Z}renant Improvement: _1_5_69 ___ SF, Existing Use: _(_no_n_) _____ Proposed Use: restaurant _____ SF, Existing Use: Proposed Use: ______ _ D Pool/Spa: _____ SF Additional Gas or Electrical Features? ____________ _ D Solar: KW, ___ Modules, Mounted: ORoof OGround D Re roof:. ___________________________________ _ D Plumbing/Mechanical/Electrical 00ther: ___________________________________ _ PRIMARY APPLICANT Name: Alex Parra Address: 2115 San Elijo Avenue City: Cardiff by the Sea State:_C_A __ Zip: 92007 Phone: (760) 535-6073 Email: alexparra1856@gmail.com DESIGN PROFESSIONAL Name: Charles Ramm, Architect Address: 1001 Avenida Pico #C440 City: San Clemente State:_C_A _ _.Zip: 92673 Phone: (855) 437-8008 Email: charlesramm@cox.net PROPERTY OWNER Name: Carlsbad Village LLC Address: 3444 Camino Del Rio North #202 City: San Diego state: CA Zip:_9_2_10_8 __ _ Phone: (619) 285-5500 Email: ___________________ _ CONTRACTOR OF RECORD Email ..... """"~.;..;..;:~~~~~ ... """'"'...:,...;,,ii~;.....;;;;.---...;_--- Architect State License: C-10352 -----------LB __..._......, _____ Class:._-=------ Carlsbad Business License# (Required):=::o:;..,,:;.;· ~-"""""--"'-""-,;~ APPLICANT CERT/FICA TION: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT): Alex Parra SIGN: .t</~/Jt1AA4, DATE: 10•15~21 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.go_\'. REV. 07/21 THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _ A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE. (OPTION A): LICENSED CONTRACTOR DECLARATION: I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the following declarations(CHOOSE ONE): D1 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. ____________________________________ _ -0 - I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for t.~eJ!S[fof!!)i!!lc_!:...Of t e for which this permit is issued. My workers' co ensation ins ran e carrier and policy number are: Insurance Company Name: _-ce:S,:......J...7-'-.!.. H--'---''77""!-'---,---'/-'-"·LL...,____..£.. __________ _ Polley No. 0 · Expiration Date: ~5,,.,__-_,/~----,;)._;J~------~ -OR- Ocertificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation Laws of California. WARNING: Fallure to secure workers compensation coverage Is unlawful and shall subject an employer to crimlnal penaltles 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, lntere5t and attorney'5 fee5. CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there Is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (I) Civil Code). Lender's Name:. ____________________ Lender'sAddress: ___________________ _ CONTRACTOR CERTIFICATION: 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. ~ _ NAME (PRINT): £:b(Jft1(b '1dt(.J;-t/ SIGNATURE:_....,..;;:;;."""'~-----------DATE: 3-J !5 -~:;)__ Note: If the person signing above Is an authorized agent for the contractor provide a letter of authorization on contractor letterhead. -OR - (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: n I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure Is not Intended or offered for sale (Sec. ~' 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-bullder will have the burden of proving that he did not build or improve for the purpose of sale). -OR-D1, as owner of the property, am exclusively contracting with licensed contractors to construct the 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). -OR-□1 am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, 0 FORM B-61 •owner Bullder Acknowledgement and Verification Form# is required for any permit issued to a property owner. By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044of the Business and Professions Code, isavailableupon request when this application is submitted or at the following Web site: http:/ lwww.leyinfo.ca.gov/calaw.html. OWNER CERTIFICATION: I certify that I have read the application and state that the above informatjon ;scorrectand that the informationontheplansisaccurate. lagreetocomply with all City ordinances and State laws relating to building construct;on. NAME (PRINT): SIGN: _________ DATE: _____ _ Note: If the person signing above Is an authorized agent for the property owner Include form B-62 sJcned by property owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-B558 Emall: Building@carlsbadca.gov 2 REV. 07/21 • '-1-""' ~ ' ' PERMIT INSPECTlO~ HISTORY for (CBC2021-0410) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Application Date: 10/22/2021 Owner: Issue Date: 03/15/2022 Subdivision: Status: Closed -Finaled Expiration Date: 05108/2023 IVR Number: 36606 Address: 1040 CARLSBAD VILLAGE DR, # 105 CARLSBAD, CA 92008 Scheduled Date 10/04/2022 11/07/2022 11/16/2022 Actual Inspection Type Start Date Inspection No. Inspection Status Primary Inspector 10/04/2022 11/07/2022 11/16/2022 Checklist Item BLDG-Building Deficiency BLDG-14 Frame-Steel-Bolling-Welding (Decks) BLDG-24 Rough-Topout BLDG-34 Rough Electrical BLDG-44 Rough-Ducts-Dampers COMMENTS BLDG-23 193296-2022 Passed Tim Kersch Gas/TesURepairs Checklist Item COMMENTS BLDG-Building Deficiency BLDG-84 Rough 195935-2022 Passed Tim Kersch Combo(14,24,34,44) Checklist Item COMMENTS BLDG-Building Deficiency Mu BLDG-14 One sided ok Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout BLOG-34 Rough Electrical BLDG-44 Rough-Ducts-Dampers BLDG-Final Inspection 196701-2022 Passed Tim Kersch Checklist Item COMMENTS BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final BLDG-Fire Final 196812-2022 Failed Felix Salcedo Checklist Item COMMENTS FIRE-Building Final Operational permit required for beverage dispensers. Amount exceed 100 lbs of CO2. Ok to operate beverage dispensers (includes storage) with one tank or below allowable quantities of 100 lbs. All remaining fire and life safety systems completed. Friday, December 30, 2022 Reinspection Inspection Passed Yes Yes Yes Yes Yes Passed Yes Passed No Yes Yes No No Passed Yes Yes Yes Yes Yes Reinspection Passed No Complete Complete Complete Incomplete Page 3 of 3 PERMIT INSPECTION HISTORY for (CBC2021-0410) Permit Type: BLDG-Commercial Application Date: 10/22/2021 Owner: Work Class: Tenant Improvement Issue Date: 03/15/2022 Subdivision: Status: Closed -Finaled Expiration Date: 05/08/2023 Address: 1040 CARLSBAD VILLAGE DR, # 105 IVR Number: 36606 CARLSBAD, CA 92008 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status Checklist Item COMMENTS Passed BLDG-Building Deficiency Partial pass smoke test on rough duct for Yes hood vents, double checked clean out accesses, on 3rd floor storage room. 07/07/2022 07/07/2022 BLDG-33 Service 186388-2022 Cancelled Tim Kersch Reinspection Incomplete Change/Upgrade Checklist Item COMMENTS Passed BLDG-Building Deficiency No 08/03/2022 08/03/2022 BLDG-BS T-Bar, Ceiling 188382-2022 Failed Tim Kersch Reinspection Incomplete Grids, Overhead Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-14 No Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout No BLDG-34 Rough Electrical No BLDG-44 No Rough-Ducts-Dampers 08/09/2022 08/09/2022 BLDG-44 188777-2022 Cancelled Tim Kersch Reinspection Incomplete Rough/Ducts/Dampers Checklist Item COMMENTS Passed BLDG-Building Deficiency No 08110/2022 08/10/2022 BLDG-44 188886-2022 Partial Pass Chris Renfro Reinspection Incomplete Rough/Ducts/Dampers Checklist Item COMMENTS Passed BLDG-Building Deficiency Partial pass No 09/20(2022 09/20/2022 BLDG-85 T-Bar, Ceiling 192049-2022 Cancelled Tim Kersch Reinspection Incomplete Grids, Overhead Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-14 No Frame-Steel-Bolting-Welding (Decks) BLOG-24 Rough-Topout No BLDG-34 Rough Electrical No BLDG-44 No Rough-Ducts-Dampers 09/22/2022 09/22/2022 BLDG-85 T-Bar, Ceiling 192352-2022 Passed Tim Kersch Complete Grids, Overhead Friday, December 30, 2022 Page 2 of 3 Building Permit Inspection History Finaled (city of Carlsbad PERMIT INSPECTION HISTORY for (CBC2021-0410) Permit Type: BLDG-Commercia I Application Date: 10/22/2021 Owner: Work Class: Tenant Improvement Issue Date: 03/15/2022 Subdivision: Status: Closed -Finaled Expiration Date: 05/08/2023 Address: 1040 CARLSBAD VILLAGE DR, # 105 IVR Number: 36606 CARLSBAD, CA 92008 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 03/25/2022 03/25/2022 BLDG-21 179067-2022 Passed Tim Kersch Complete Underground/Underflo or Plumbing Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 04/14/2022 04/14/2022 BLDG-84 Rough 180572-2022 Partial Pass Tim Kersch Reinspection Incomplete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency Mu No BLDG-14 One sided ok Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout No BLDG-34 Rough Electrical No BLDG-44 No Rough-Ducts-Dampers 04/19/2022 04/19/2022 BLDG-24 Rough/Topout 180844-2022 Passed Tim Kersch Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-34 Rough 180845-2022 Partial Pass Tim Kersch Reinspection Incomplete Electrical Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 04/28/2022 04/28/2022 BLDG-17 Interior 181649-2022 Partial Pass Chris Renfro Re inspection Incomplete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Partial pass drywall in restrooms, kitchen Yes area where FRP panel being applied, and fire rated wall OK to tape and mud BLDG-44 181544-2022 Partial Pass Chris Renfro Reinspection Incomplete Rough/Ducts/Dampers Checklist Item COMMENTS Passed BLDG-Building Deficiency Partial pass smoke test on rough duct for No hood vents, double checked clean out accesses, on 3rd floor storage room. 05/02/2022 05/02/2022 BLDG-44 181789-2022 Passed Tim Kersch Complete Rough/Ducts/Dampers Friday, December 30, 2022 Page 1 of 3 Iii... -, ~ PROtNGINEERING MARCH 29, 2022 RE: Lourdes Carlsbad -Electrical Addendum to permitted plans This letter is regarding the permitted electrical plans for the Lourdes Restaurant TI project in Carlsbad, CA. The permitted drawings had shown that the panel LA is being fed via a 3-l/2"C, 4#600MCMJ#2GND, however, per our load site condition. the existing conduit is only 3", therefore #600MCM will not fit per 40% rule. Instead, we propose to run 4#500MCM CU wire rated at 90 degrees Celsius in order to provide the same ampacity rating for 400A. Please let us know if you have any questions regarding the addendum to the plans. ESSt p E 18400 ::o .06-30-202 • RAMIN PARSI PRO ENGINEERING CONSULTING PRO ENGINEERING Consulting, Inc, 1057 Sycamore Ave, VISTA, CA. 92081 PHONE (858)240-4336 FAX; 1866) 936-5447 E-MAIL:RAMIN@PROENGC.COM AIR DISTRIBUTION REPORT Supply or Location Return FC-1 Restroom Supply Restroom Supply Hallway Supply N. Entry Supply Middle Entry Supply Middle Entry Supply Middle Entry Supply S. Entry Supply R-2 Return FC-2 N. Kitchen Supply Middle Kitchen Supply Middle Kitchen Supply Middle Kitchen Supply S. Kitchen Supply S. Kitchen Supply R-1 Return /\ I 1 I I ~ I/ /J T~nicia Signature Project: Lourdes Mexican Restaurant Date: 11/10/2022 Unit: 1 Size ReqCFM 1st CFM 2nd CFM 6" 100 219 98 6" 100 150 100 8" 200 166 197 8" 200 222 201 8" 200 49 199 8" 200 267 203 8" 200 434 201 8" 200 199 193 16" 1200 1100 1202 8" 200 215 199 8" 200 150 203 8" 200 204 194 8" 200 204 196 8" 200 252 204 8" 200 224 199 12" 500 430 496 Jason McReynolds Technician Printed Name CA License No.: 613134 ~ NV License No.: 53529 + /-Amnt -2 0 -3 1 -1 3 1 -7 2 -1 3 -6 -4 4 -1 -4 11/10/2022 Date 9114 Adams Ave., Unit 112, Huntington Beach, CA 92646 ~ Pb. (714) 914-9304 Fax. (714) 964-5861 % -2.00% 0.00% -1.50% 0.50% -0.50% 1.50% 0.50% -3.50% 0.17% -0.50% 1.50% -3.00% -2.00% 2.00% -0.50% -0.80% OFFICE USE ONLY SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE RECORD ID# __________________ _ PLAN CHECK# ________________ _ BP DATE Busi~ess Name • Business Contact ;> Telephone # , ~ , • ; : -~ r, 1-:. -'~ I c?· ' d '(' r :...--4:•c ) '~~, ~7 0 -4-, ... ·< ·, 1 :---2, The following question• represent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT -HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: (not required for projects within the City of San Q!.!s21: 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. Organic Peroxides 9. Water Reactives 13. Corrosives 2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. other Health Hazards 3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These. 4. Flammable Solids 8. Unstable Reactives 12. Radioactives PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEAL TH HAZARDOUS MATERIALS DIVISION CHMD): 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) 50~700 prior to the issuance of a building permit. FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy: 1. 2. 3. 4. 5. 6. 7. 8. YES NO ,,. (for new construction or remodeling projects) D Q/js your business listed on the reverse side of this form? (check all that apply). D l!Y' Will your business dispose of Hazardous Substances or Medical Waste in any amount? 0 IQ -""Wm your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 □ □ □ □ □ pounds and/or 200 cubic feet? GY .,Will your business store or handle carcinogens/reproductive toxins in any quantity? Gt" ~ill your business use an existing or install an underground storage tank? 13-, Will your business store or handle Regulated Substances (CalARP)? g---: Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? ~ 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 Abov round Petroleum Stora e Act . □ CalARP Exempt I Data Initials 0 CalARP Required I Date lnitlals 0 CalARP Complete I Data Initials PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD): Any YES" answer requires a stamp from APCO 10124 Old Grove Road, San Diego, CA 92131 apcdcomp@.sdcounty_c;a.gov (858) 586-2650). (*No stamp required if 01 Yes and Q3 Yes and 04-06 No). The following questions are intended to identify the majority of air pollution issues at the planning stage. Projects may require additional measures not identified by these questions. For comprehensive requirements contact APCD. Residences are typically exempt, except -those with more than one building• on the property; single buildings with more than four dwelling units; townhomes; condos; mixed-commercial use; deliberate bums; residences forming part of a larger project. rExciudes garages & small outbuildings.] YES NO,,--· 1. D [3~m the project disturb 160 square feet or more of existing building materials? 2. D [9 Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition. 3. D D (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance Technician? 4. 0 D (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. 5. D IE 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. 6. □ 0 (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school bounda Briefl~ ~escri~ business activ(ties: ~riefl descr:ibe proposed project: \ <'• .1t-,...._,._, ~ -l, ... \ •·-'7. -v-.... 1 / c,w l'L· / Date FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: ________________________________ _ BY· I EXEIIPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDNG P£RMIT BUT HOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMO* APCO COUNTY-HMO APCO COUNTY-HMO APCD *A stamp m this box only exempts businesses from completing or updating a Hazardous Matenals Business Plan. other permitting requirements may still apply. HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division -· . ' CHARLES RAMM ~ March 25, 2022 Project ID: CBC2021-0410 Lou rd e's 1040 Carlsbad Village Drive Public Restrooms: all (both) restrooms are "single occupant" toilet rooms (unisex) and clustered -as per CBC 11 B-213.2 only one toilet room is required to comply with CBC 11 B-603. Thank you Charles Ramm, Architect RLESA. RA C-10352 7-31-23 1001 Avenida Pico, Suite C440 -San Clemente, California 92673 -(855) 437-8008 BACICFLOWTFST REPORT FOR\4 Disttict Use Only-Date Receiyed MANUFACTURER MODEL SERIAL NUMBER. ACCOUNT NUMBER SE..ltVICEADDRESS: \ C'-'\ o ~\,.,~t,,-,;, ""v~ 0. EX1STING O NEW ~RE.PLACED □ . STOLEN C :..OCATION: ~ o,e:>,;,. ~e,..t,1..1, a-rE S · METD.t: SIZE: f lNI i TIAL j TEST ! R E p A R s j FINAL i TEST ,: CBECIC #1 VALVE j l. LEAKED ; j 2. CLOSED TJOBT i □ APPARENT ___ _ ACTUAL ____ _ CHECX ii2 VAL\l! l.LSADP 2. CLOSED TlGBT □ IJNE PB.DSUll / 0 DC ____ .PSID DC ____ PSID (Direclion of flow) (1>mdioa of &w) ' i CLEANED i REPLACJ!P: 1 DISC □ 1 SPRING .□ l GUIDE 0 l PIN RETAlNElt D II HINGE PIN □ SEAT . □ ! OTHER. DBSCRIB~ □ i I I a.BAN'ID IU!PLACBD: DISC 0 SPRING 0 OUJDE □ ·PD( RETAJNER 0 BDIOBPIN □- SEAT 0 OTID!I,. DBSCRIBE 0 > rL DIFJlliR.&NTIAI. PIU!SSUU ULIBF VALVE OPBNEl>AT w. REDUCED PRESSURE. DIDNOTOPEN 'DUMPED CLEANED JU!PLACBD: DISC: SPRING DIAPBJtAOM: SMALL SBAT: UPPSB. ·LOW:ER. SPACER: LOWER Cfl'BBR.. DB8CltlBE 0 D □ □ 0 □ □ □ □ □ □ OPENED.AT ' 0 LBS. RBDUCBJ> ftBSSUB.E. PRESSURE V AClJUM BR.EAKER Aflt.INLET OPENED AT ____ psr DD>NOTOPEN CHBCKVALVE TIGHT AT PSI DID NOT CLOSE C CLEANED 0 "REPLACED: AIR. INLET DISC C CHECK DISC r ..... AIR. INLST SPRING C CRECX SPRING L OTBEB. DESClUBE ·c ipi111110· • is amfied to &e true at die time of the at. 1'ESTBlt PHONE NUMBER: (;e {q · S§O . €,29::'3 !N!TIAL TEST B -...-:=::;~i----.-~~~~""Z.."'-CER.TIPJED TESTEll NO: ____ DATE: \ ~ ?,-, /°2-"2- DATS: \6(~,,~,·~· :,, :: .' ·,.:{ CERTJFi:ED TESIEit NO: .;.,;.' !.;...i.', .... 1 :_......,_ DATE: WA"J!R-BASICTO LIFE. BEAL"IHAND PRODltl!SS