HomeMy WebLinkAbout1905 CALLE BARCELONA; 100; CBC2023-0158; PermitBuilding Permit Finaled
Commercial Permit
Print Date: 12/15/2023
Job Address: 1905 CALLE BARCELONA, # 100, CARLSBAD, CA 92009-8451
Permit Type: BLOG-Commercial Work Class: Tenant Improvement
Parcel#: 2550120400 Track#:
Valuation: $20,000.00 Lot#:
Occupancy Group: Project#:
#of Dwelling Units: Plan#:
Bedrooms: Construction Type:
Bathrooms: Orig. Plan Check#:
Occupant Load: Plan Check#:
Code Edition:
Sprinkled:
Project Title:
Description: INTERIOR DEMISING WALLS AND ELECTRICAL TENANT IMPROVEMENT -300SF
Applicant: Property Owner:
RYAN LABRUM TREA NW FORUM AT CARLSBAD OWNER LLC
731 HIGHWAY 101, # STE lM
SOLANA BEACH, CA 92075-2629
695 TOWN CENTER DR, # 17
COSTA MESA, CA 92626-1924
FEE
BUILDING PLAN CHECK
BUILDING PLAN REVIEW-MINOR PROJECTS (LDE)
BUILDING PLAN REVIEW-MINOR PROJECTS (PLN)
CERTIFICATE OF OCCUPANCY
COMM/IND Tl -NON-STRUCTURAL
SB1473-GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION -COMMERCIAL (SMIP)
Total Fees: $1,461.20 Total Payments To Date: $1,461.20
Permit No:
Status:
( City of
Carlsbad
CBC2023-0158
Closed -Finaled
Applied: 06/02/2023
Issued: 08/30/2023
Finaled Close Out: 12/15/2023
Final Inspection: 10/30/2023
INSPECTOR: Kersch, Tim
Balance Due:
AMOUNT
$453.70
$194.00
$98.00
$16.00
$698.00
$1.00
$0.50
$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 informat'1on 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
(cicyof
Carlsbad
Job Address 1905 CALLE BARCELONA
COMMERCIAL
BUILDING PERMIT
APPLICATION
B-2
Plan Check Cf:(?()'2.o-CJ\ SZ
Est. Value
PC Deposit
Date
Suite:,_1_oo ____ APN: 255-012-04-oo
Tenant Name #:._v_u_o_R_I c_L_O_TH_I_NG _____________ Lot #: ____ Year Built: _2_00_2 ________ _
Year Built: __ _ Occupancy:._M __ _ Construction Type:._v_-B __ Fire sprinklers@(ESQNO A/C:0YESQNO
BRIEF DESCRIPTION OF WORK: EXISTING SHELL SPACE RE-DEMISE
D Addition/New: ____________ New SF and Use,, __________ New SF and Use
_______ SF Deck, SF Patio Cover, SF Other (Specify), ____ _
0Tenant Improvement: _____ SF,
_____ SF,
Existing Use: _______ Proposed Use: ______ _
Existing Use: Proposed Use: ______ _
0 Pool/Spa:, _____ SF Additional Gas or Electrical Features? ____________ _
D Solar.: ____ KW, ___ Modules, Mounted:ORoofOGround
0 Re roof: _____________________________________ _
[{) Plumbing/Mechanical/Electrical MINOR REVISIONS TO (E) ELECTRICAL
I ✓ I Other: EXISTING SHELL SPACE RE-DEMISE FOR FUTURE TENANT IMPROVEMENTS (UNDER SEPARATE PERMIT)
APPLICANT (PRIMARY CONTACT)
Name· RYAN LABRUM
PROPERTY OWNER
Address· 731 S. HWY 101, SUITE 1 M
City· SOLANA BEACH State:_c_A __ Zip: 92075
Phone· s19_307_337s
Email· RYANL@AOARCHITECTS.COM
DESIGN PROFESSIONAL
Name· ROBERT PETER BUDETTI, JR
Address· 731 s. HWY 101, SUITE 1M
City· SOLANA BEACH State:_c_A __ Zip: 92075
Phone· 619.307.3378
Email· RYANL@AOARCHITECTS.COM
Architect State License: _c_-2_3_75_7 _________ _
Name: MATT WILLETT NORTHWOOD REATIL
Address: 8080 Park Lane, Suite 600
City: DALLAS State:,_T_x __ Zip: 75231
Phone: 214.365.0222
Email: mwillett@northwoodretail.com
CONTRACTOR OF RECORD
Business Name: ________________ _
Address:. ___________________ _
City:, ________ State:. ___ Zip: ______ _
Phone:, ____________________ _
Email:. ____________________ _
CSLB License #:. ________ Class:, _______ _
Carlsbad Business License# (Required):. _______ _
APPLICANT CERT/FICA TION: /certify that I have read the applicationandstate that the above information is correct and that the
information on the plans is accurate. /agree to comply with all City ordi te laws relating to building
construction. ., --------
NAME (PRINT): RYAN LABRUM SIGN:~;;~iji~~=~ E: 06/02/2023
1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
REV. 07/21
THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: (U 2.D 2 5 -0 I 58
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 herebyaffirm under penalty of perjury that I am licensed under provisions of Chapter9 (commencingwith Section 7000)of Division 3
of the Business and Professions Code, and my license is in fut I force and effect. I also affirm under penalty of perjury one of the
following dee/orations (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. _______________________ -----------~ _____ _
-OR-
D1 have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance 9f the work for which this permit is issued.
My workers' compensation insurance carrier and policy number are: Insurance Company Name: _____________________ _
Policy No. ___________________________ Expiration Date: _______________ _
-OR-O 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 CERT/FICA T/ON: I certify that I have read the application and state that the above information is correct and that
the information on the plans isaccurate. lagree to comply with all City ordinances and State laws relating to building
construction.
NAME (PRINT): _________ SIGNATURE: __________ DATE: ______ _
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: D 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).
-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, D FORM B-61 "Owner Builder 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 7044 of the Business and Professions Code, is available upon request when this application Is
submitted orat the following Web site: http:l !www.leginfo.ca.govlcalaw.htmi.
OWNER 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. /agree to comply with all City ordinances and State laws relating to building
construction.
NAME (PRINT): SIGN: __________ DATE: ______ _
Note: If the person signing above is an authorized agent for the property owner include form 8-62 signed by property owner.
1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
2 REV. 07/21
Building Permit Inspection History Finaled
(city of
Carlsbad
PERMIT INSPECTION HISTORY for (CBC2023-0158)
Permit Type: BLDG-Commercial Application Date: 06102/2023 Dwner: MATT WILLETT NORTHWOOD RETAIL,
Work Class: Tenant Improvement Issue Date:
TREA NW FORUM AT CARLSBAD
OWNER LLC
08/30/2023 Subdivision: CARLSBAD TCT#92-08 GREEN
VALLEY
Status: Closed -Finaled Expiration Date: 04/08/2024 Address: 1905 CALLE BARCELONA, # 100
CARLSBAD, CA 92009-8451 IVR Number:
Scheduled Actual Inspection Type Inspection No.
Date Start Date
10/04/2023 10/04/2023 BLDG-14 225981-2023
Frame/Steel/Bolting/We
lding (Decks}
Checklist Item
BLDG-Building Deficiency
COMMENTS
10/11/2023 10/11/2023 BLDG-17 Interior 226610-2023
Lath/Drywall
Checklist Item COMMENTS
BLDG-Building Deficiency
10/30/2023 10/30/2023 BLDG-Final Inspection 228703-2023
Friday, December 15, 2023
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
49698
Inspection Primary Inspector Reinspection Inspection
Status
Passed Tim Kersch Complete
Passed
Yes
Passed Tim Kersch Complete
Passed
Yes
Passed Tim Kersch Complete
Passed
Yes
Yes
Yes
Yes
Yes
Page 1 of 1
Transmittal Letter
June 12, 2023
City of Carlsbad
Community Development Department • Building Division
1635 Faraday Ave.
Carlsbad, CA 92008
Plan Review: Tl Vuori
Address: 1905 Calle Barcelona, Carlsbad CA
Applicant Name: Ryan Labrum Applicant Email: ryanl@aoarchticcts.com
True North
COMPLIANCE SERVICES
FIRST REVIEW
City Permit No: CBC2023-0l58
Tme Nortb No.: 23-018-459
True North Compliance Services, Inc. has completed the review of the following documents for the project
referenced above on behalf of the City of Carlsbad. Our comments can be found on the attached list.
1. Drawings: Electronic copy dated June 2, 2023, by AO Architects.
Attn: Permit Technician, the scope of work on the plans has been reviewed for coordination with the scope of
work on the permit application. See below for information if the scope of work on plans differs from the permit
application:
Valuation:
Scope of Work:
Floor Area:
Confinned
Confirmed
See Notes Below
Notes: No floor area provided on permit application.
Our comments follow on the attached list. Please call if you have any questions or if we can be of further
assistance.
Sincerely,
True North Compliance Services
Review By: Alaa Atassi • Plan Review Engineer
True North Compliance Services, Inc.
3939 Atlantic Avenue Suite 224, Long Beach, CA 90807
T / 562. 733.8030
Tl Vuori
1905 Calle Barcelona
June II, 2023
RESUBMITTAL INSTRUCTIONS:
Plan Review Comments
City of Carlsbad-FIRST REVIEW
City Penn it No.: CBC2023-0l 58
True N01th No.: 23-018-459
Page2
Please do not resubmit plans until all departments have completed their reviews.
For status, please go the City of Carlsbad Customer Self Service Portal Civic Access (carlsbadca.gov) and
register for an account. This account will offer the applicant access to plan review status, plan review
comment files and on-line payment capability:
https:// eg.carlsbadca. gov /EnerGov Prod/sel fservicc/CarlsbadCAProd#/home
Please utilize the Carlsbad Customer Self Service portal to schedule a time to resubmit. Resubmittals can be
made by appointment at https://kiosk.na6.gless.com/kiosk/app/home/92.
Note: If this project requires FIRE PREVENTION review, ensure that you follow their specific instructions
for resubmittal review. The City will not route plans back to Dennis Grubb & Associates for continued Fire
Prevention review.
GENERAL INFORMATION:
A. The following comments arc referred to the 2022 California Building, Mechanical, Plumbing, Electrical
Codes, California Green Building Standards Code, and Energy Code (i.e., 2021 !BC, UMC, UPC, and 2020
NEC, as amended by the State of California).
B. There may be other comments generated by the Building Division and/or other City departments that will
also require your attention and response. This attached list of comments, then, is only a portion of the plan
review. Contact the City for other items.
C. Respond in writing to each comment by marking the attached comment list or creating a response letter.
Indicate which details, specification, or calculation shows the required information. Your complete and
clear responses will expedite the re-check.
D. Where applicable, be sure to include the architect and engineer's stamp and signature on all sheets of the
drawings and on the coversheets of specifications and calculations per CBPC 5536.1 and CBPC 6735. This
item will be verified prior to plan approval.
OCCUPANCY & BUILDING SUMMARY:
Occupancy Groups:
Occupant Load:
Type of Construction:
Sprinklers:
Stories:
Area of Work (sq. ft.):
M
88
V-B
Yes
1
5,275 sq. ft.
ARCHITECTURAL COMMENTS:
Al. Sheet A2.0, address the following comments:
a) Egress through the loading dock is considered egress through intervening space and is not permitted
per CBC IO 16.2. Egress through adjacent tenant space is not permitted per CBC IO 16.2.1. On
plans, dimension the distance from the most remote point in suite I 00 to a where two exit paths are
TI Vuori
1905 Calle Barcelona
June 1 I, 2023
City of Carlsbad-FIRST REVIEW
City Permit No.: CBC2023-01 58
True North No.: 23-018-459
Page3
provided. Ensure distance does not exceed the required distance specified in CBC Table 1006.2.1,
and ensure doors are spaced more than 1/3 of the longest diagonal distance of the tenant space per
CBC 1007.1.1.
b) Clarify how door 00 I operated. Ts it sliding or swinging door? C larify hardware at door type D.
c) Identify the total occupant load of suite 150, and verify one exit is sufficient per CBC Table
1006.2.1.
d) At suite 150, dimension the distance from the most remote point of the suite to the exit door, and
verify the distance does not exceed the allowable distance specified in CBC Table 1006.2.1.
A2. Sheet Tl .0 provide plumbing fixture count, while plans do not show any plumbing facilities. Please clarify
and revise.
A3 . Provide new walls, provide top and bottom attachment details. Identify hardware and spacing.
A4. Doors 002 and 003 shall be equipped with panic hardware per CBC l 0 10.1.l 0.
ACCESSIBILITY COMMENTS:
DI. CBC 11 B-202.3 requires that accessibility be provided to the altered spaces. This accessibility shall include
the requirements of CBC l lB-202.4, which entails: a primary entrance, a primary path of travel, sani tary
facilities serving the area, a drinking fountain, and signs. Please address the following:
TI Vuori City of Carlsbad-FIRST REVIEW
City Permit No.: CBC2023-0l58
True North No.: 23-018-459
Page 4
1905 Calle Barcelona
June 11, 2023
a) Show the accessible path of travel from the accessible parking and public way to the area of
alteration.
b) On the site plan, specify the accessible route to be 5% maximum running slope with 2% maximum
cross slope per CBC l IB-403.3.
c) Provide detectable warning where the accessible route crosses or adjoins the vehicular path of travel
per CBC I I B-24 7.1.2.5. Provide detectable warning details in accordance with CBC I I B-705.1.
d) Show location and provide details for curb ramps in accordance with CBC 118-406.
e) Show location and provide details and dimensions of accessible parking, accessibl e aisles,
markings, signage, etc., to verify it meets the requirements of CBC 11 B Division 5.
02. Sheet A6.0: Revise door note 13 to specify the height of the door hardware to be 34" to 44", instead of 48"
max, per CBC l lB-404.2.7.
ELECTRICAL COMMENTS:
El. The electrical plan has different layout for the MSA room than the architectural plans. Please clarify and
revise to show consistency.
r
STRUCTURAL COMMENTS:
No Comments.
lfyou have any questions regarding the above comments, please contact Alaa Atassi via email
alaa@tncservices.com, or telephone (562) 733-8030.
IENDI
Date: 6/13/2023 Permit No: CVC2023-0158
Project
Name: The Forum -Shell Space
#100/105 Redemise
Comments Company: City of Carlsbad
By: Ala a Atassi Fax: (True North)
Phone No: 562.733.8030
Response Company: AO (Architects Orange)
By: Ryan Labrum
Phone No: 619.307.3378
• General Note: The title of this project is incorrectly listed-please see Project Name above. This
application is for a shell space and minor modifications to access existing electrical room from the
exterior.
ARCHITECTURAL COMMENTS:
Comment Al:
a) Egress through the loading dock is considered egress through intervening space and is not permitted
per CBC 1016.2. Egress through adjace nt tenant space is not permitted per CBC 1016.2.1. On plans,
dimension the distance from the most remote point in suite 100 to a where two exit paths are provided.
Ensure distance does not exceed the required distance specified in CBC Table 1006.2.1, and ensure
doors are spaced more than 1/3 of the longest diagonal distance of the t enant space per CBC 1007.1.1.
• Noted and addressed. See sheet LS l.O for the egress.
• General Note: this application is for a shell space and minor modifications to access existing
electrical room from the exterior; occupancy calc's, egress plans, etc. for shell space to be by future
(separate) Tl permit.
b) Clarify how door 001 operated. Is it a sliding or swinging door? Clarify hardware at door type D.
• Noted and addressed. See sheet A6.0 for the door clarification, and it is a roll up door.
c) Identify the total occupant load of suite 150 and verify one exit is sufficient per CBC Table
1006.2.1.
• Noted and addressed. See sheet LSl.O for occupancy load and exit updates.
d) At suite 150, dimension the distance from t he most remote point of the suite t o the exit door,
and verify the distance does not exceed the allowable distance specified in CBC Table 1006.2.1.
• Noted and addressed. See sheet LSl.0 for the exit travel distance.
Comment A2: Sheet Tl.O provide plumbing fixture co unt, while plans do not show any plumbing
facilities. Please clarify and revise.
• The building does not have plumbing fixtures. Plumbing fixtures per future Tl.
Comment A3: Provide new walls, provide top and bottom attachment details. Identify hardware and
spacing.
• Noted and addressed. See sheet A6.0 and A7.0 for details and hardware information.
Comment A4: Doors 002 and 003 shall be equipped with panic hardware per CBC 1010.1.10.
• Noted and addressed. See sheet A6.0 for the schedule and hardware set criteria.
ACCESSIBILITY COMMENTS:
Comment D1: CBC llB-202.3 requires that accessibility be provided to the altered spaces. This
accessibility shall include the requirements of CBC llB-202.4, which entails: a primary entrance, a
primary path of travel, sanitary facilities serving the area, a drinking fountain, and signs. Please address
the following:
• General Note: this application is for a shell space and minor modifications to access existing
electrical room from the exterior; occupancy calc's, egress plans, accessibility requirements, etc. for
shell space to be by future (separate) Tl permit.
a) Show the accessible path of travel from the accessible parking and public way to the area of
alteration.
• Noted and addressed. See sheet Al.0 for the existing path of travel from the accessible and
public way.
b) On the site plan, specify the access ible route to be 5% maximum running slope with 2% maximum
cross slope per CBC llB-403.3.
• Site is existing and only the area shown in 1/A2.l is new. See 21/T3.0 for slope requirements
added to plans.
c) Provide detectable warning where the accessib le route crosses or adjoins the ve hicular path of
travel per CBC llB-247.1.2.5. Provide detectable warning details in accordance with CBC llB-705.1.
• Noted and addressed. See sheet A2.1 for the detectable warnings, and sheet T3.0 for detectable
warning details. Drawing 1/A2.1 illustrates the only location where new construction is being
proposed on the site. The rest of the site accessibility features are existing.
d) Show location and provide details for curb ramps in accordance with CBC llB-406.
• Noted and addressed. See sheet A2.l for the location of the curb ramps, and sheet T3 .0 for curb
ramps & island details. Only new construction on site is shown on 1/ A2.1.
e) Show location and provide details and dimensio ns of accessible parking, accessible aisles,
markings, signage, etc., to verify it meets the requirements of CBC llB Division 5.
• Site is existing. See sheet Al.0 for the lo cation of the accessible parking (provided for reference,
as a courtesy), and sheet T3.0/T3.1 for details.
Comment D2: Sheet A6.0: Revise door note 13 to specify the height of the door hardware to be 34" to
44", instead of 48" max, per CBC llB-404.2.7.
• All doors except #003, #007, #008, & #009 are existing. See sheet A6.0 for door notes.
ELECTRICAL COMMENTS:
Comment El: The electrical plan has different layout for the MSA room than t he architectural plans.
Please clarify and revise to show consistency.
• Electrica l plans have been updated to reflect current layout.
□ □
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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: 06/02/2023
Business Name: NORTHWOOD RETAIL
Street Address: 1905 Calle Barcelona, Suite 200, Carlsbad, CA 92009
Email Address: rruiz@northwoodretail.com
PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) □
Check all below that are present at your facility:
Acid Cleaning D Food Processing D Metal Powders Forming
Assembly D Glass Manufacturing D Nutritional Supplement/Vitamin
Automotive Repair D Industrial Laundry D Manufacturing
Battery Manufacturing D Ink Manufacturing D Painting/Finishing
Biofuel Manufacturing D Laboratory D Paint Manufacturing
Biotech Laboratory D Machining/Milling D Personal Care Products
Bulk Chemical Storage D Membrane manufacturing D Manufacturing
Car Wash 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)
D Dental Offices D Metal Finishing D Porcelain Enameling 0 Dental Schools D Electroplating D Power Generation D Dental Clinics D Electroless Plating D Print Shop D Dry Cleaning D Anodizing D Research and Development
□ Electrical Component D Coating (i.e. phosphating) D Rubber Manufacturing
□ Manufacturing D Chemical Etching/Milling D Semiconductor Manufacturing
□ Fertilizer Manufacturing D Printed Circuit Board D Soap/Detergent Manufacturing
□ Film/ X-ra y Processing D Manufacturing D Waste Treatment/StoraQe
New Business? YesONoE] SICCode(s) if known: Date operation began/will begin: 10/01/2023
Tenant Improvement? Yes E]No[:J If yes, briefly describe improvement: ___________________ _
Description of operations generating wastewater (discharged to sewer, hauled or evaporated): __________ _
N/A
Estimated volume of industrial wastewater to be discharged (gal/ day) : ______________________ _
Listhazardouswastesgenerated(type/volume): ______________________________ _
Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? YesODate: ______ 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
SourceControl@encinajpa.com
The commercial enterprises listed below are a partial listing of businesses that are exempt from industrial wastewater discharge
permitting under normal operating conditions. They are exempt because (a) they discharge no process wastewater (i.e., they
only discharge sanitary wastewater with no pollutants exceeding any local limits), and (b) they have no potential to negatively
impact the EWPCF or other wastewater treatment plants in the ESS. Any questions regarding exemptions should be referred
to EWA Source Control staff.
□ Automobile Detailers
□ 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 Nail Salons
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
D Restaurants/Bars
[!] Retail/Wholesale Stores (no autorepair/film
developing)
D Theaters (Movie/Live)
CERTIFICATION STATEMENT
I certi/11 that the in}Ormation above is true and correct to the hes! o.fm.v knowledge.
RYAN LABRUM 06/02/2023
Print Name: ____________ _ Date: _____ _
619.307.3378 Facility Contact: ___________ _
ASSOCIATE Title: ______________ _
ENCINA WASTEWATER AUTHORITY
6200AVENIDAENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852
SourceControl@encinajpa.com
Page 2 of 2
Building Permit Finaled
Revision Permit
Print Date: 12/15/2023 Permit No:
(cityof
Carlsbad
PREV2023-0185
Job Address: 1905 CALLE BARCELONA, # 100, CARLSBAD, CA 92009-8451 Status: Closed -Fina led
Permit Type: BLDG-Permit Revision Work Class: Commercial Permit Revision
Parcel#: 2550120400 Track#: Applied: 09/01/2023
Valuation: $0.00 Lot#: Issued: 10/05/2023
Occupancy Group:
#of Dwelling Units:
Project #: Finaled Close Out: 12/15/2023
Bedrooms:
Bathrooms:
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
Plan#:
Construction Type:
Orig. Plan Check #: CBC2023-0158
Plan Check #:
Description: NORTHWOOD RETAIL: SINGLE LINE & SIDEWALK CHANGE
Applicant: Property Owner:
AO TREA NW FORUM AT CARLSBAD OWNER LLC
KEITH EBN ER 695 TOWN CENTER DR, # 17
731 S HIGHWAY 101, # lM COSTA M ESA, CA 92626-1924
SOLANA BEACH, CA 92075-2626
Final Inspection:
INSPECTOR:
FEE AMOUNT
BUILDING PLAN CHECK FEE (manual) $120.00
BUILDING PLAN CHECK REVISION ADMIN FEE $35.00
Total Fees: $155.00 Total Payments To Date: $155.00 Balance Due: $0.00
Building Division Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-27 19 I 760-602-8560 f I www.carlsbadca.gov
( City of
Carlsbad
PLAN CHECK REVISION OR
DEFERRED SUBMITTAL
APPLICATION
B-15
Development Services
Buildfng Division
1635 F~radi31f Avenue
~42'-"3~1l-2719
www .. carlshadca. go.
Original Plan Check Number ~G 2,0Z,;,--6\5Bpran Revrs,on Number £Rf~2°23:o ~
Project Address l~os C,AlL.£._Bf\\\Uc_L,o~A -5u (f E /OC, ~ (OS
CA~l.56At;., lA 5f-zoo9. General Scope of Revision/Oeferred~ubmfttc,f~ _______________ _
_ 3~~Le:._~e < s, D~u-<.._ CL..lC:~ ~~Noc: ____ _
CONTACTtNFORMATION: /:
Name ~H e3Kt\<-Phone( {p(q)qb(-737CfFax1.-.__ _ _
Address 73 \ 2_\..\ l~tttJp,.y _JO\ S~\!e (r'l .City 2!)/j\-PABEK/$ Cf.~OrS
Email Address-JsE:1-r-He:@ Ao A{<C.H \ 'r.£C\.S. ♦c:oe:1
Original plans prepared by an archjtect or engineer, revisions. must be signed & sramped by that person.
1 . Elemem.s u.Msed. ~rrans O Calcolatlons D Sofls D Energy D Other
lS \\X)1"" Re
~Llfl~ C eb12£b.S 0
4 • Doti t.hi~revision, in ,my way, alter the exterior off.he pro.Jcct? ~ Yes D No
5., O01.=s lhiHev,slon add ANY new floor arcars-J7 [:) Yes ti{! No '> Or.Jl.Y S\~K
6. Doe, this revi51on affect any tire mlarcd lSsuc.s? O Yes ~ No
1 • a-m f:;,a complere !:ct? □ 'fes @_ No c \.4~ N0C:.S O..:>V'I -ro S ~~<:, t,Jg.~ l'SJ
4
.Z:-Signature ______ ..,,_....,..,.. _ __,,___ __ Date