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Home My WebLink About1935 CALLE BARCELONA; 176; CBC2023-0203; PermitBuilding Permit Finaled Commercial Permit Print Date: 04/02/2024 Job Address: Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: 1935 CALLE BARCELONA, # 176, BLDG-Commercial 2550120400 $86,845.77 CARLSBAD, CA 92009-8465 Work Class: Tenant Improvement Track#: Lot#: Project#: Plan#: Construction Type: Orig. Plan Check #: Plan Check #: Permit No: Status: {cityof Carlsbad CBC2023-0203 Closed -Fina led Applied: 07/06/2023 Issued: 10/18/2023 Finaled Close Out: 04/02/2024 Final Inspection: 03/08/2024 INSPECTOR: Kersch, Tim Renfro, Chris Description: PARAKEET CAFE: T.I. REMODEL OF EXIST RESTARAUNT WITH NEW CONSTRUCTION FOR NEW KITCHEN EQUIPMENT, NEW RESTROOM, AND OUTDOOR DINING (1,083 SF) Applicant: Property Owner: MURRIE ALCORN 8126 DAVISTA DR WHITTIER, CA 90602-2741 (213) 305-3583 TREA N W FORUM AT CARLSBAD OWNER LLC 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 FIRE Plan Review (per hr -Regular Office Hours) FIRE Plan Review (per hr -Regular Office Hours) 581473 ._ GREEN BUILDING STATE STANDARDS FEE STRONG MOTION -COMMERCIAL (SM IP) Total Fees: $2,162.86 Total Payments To Date: $2,162.86 Balance Due: AMOUNT $533.28 $197.00 $104.00 $20.00 $870.26 $240.00 $170.00 $4.00 $24.32 $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereaft er 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, Ca rlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov ( City of Carlsbad COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check Ce(20Z.~·-02..o·5 Est. Value J ,A6) AY:S, 72 PC Deposit -f S33,Z8 Date 7 /f/2.3 Job Address 1935 Calle Barcelona Tenant Name #:Jonathan Goldwasser Suite: 176 APN: -----· ·----------- Lot #: ____ Year Built: ________ _ Year Built: __ _ Occupancy: __ _ Construction Type: __ Fire sprinklers@'ES0NO A/C:0YEs0No BRIEF DESCRIPTION OF WORK:Tenant Improvement remodel of existing restuarant with new Tenant and new tenant inprovement construction for new kitchen equipment, new restroom, and outdoor dining 0 Addition/New: ___________ New SF and Use, _________ New SF and Use ______ SF Deck, _______ .SF Patio Cover, SF Other (Specify) ___ _ ~Tenant Improvement: _1_,0_8_3 ___ SF, Existing use: A2. restuarant Proposed use: A2 Restuarant _____ SF, Existing Use: _______ Proposed Use: ______ _ □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _ D Solar: ___ KW, ___ Modules, Mounted: 0Roof 0Ground D Reroof: __________________________________ _ ~ Plumbing/Mechanical/Electrical New Kitchen equipment, restroom mrelocation. 0 Other: 458 sf of outdoor dining APPLICANT (PRIMARY CONTACT} Name: Murrie Alcorn -MIA Design Group Addres5.675 Arroyo Parkway, Suite 500 PROPERTY OWNER Name: Wellness Eatery Carlsbad LLC Address: 7514 Girard Avenue, Suite 101 City· Pasadena State: CA Zip: 91105 City: La Jollla State: CA Zip:._9_20_3_7 __ _ Phone·213 305 3583 Phone:619 578 1040 Email. murrie@ma-dg.com Email: jonathan@parakeetcafe.com DESIGN PROFESSIONAL CONTRACTOR OF RECORD . / Name: Charles Younblood -M/ A Design Gro_u_p ___ Business Name •--r---..,'Cf._~ ___ , ',,,._c. __ Address:675 Arroyo Parkway, Suite 500 Addr ss: City: Pasadena State: CA Zip: 91105 City: Phone:213 229 8906 Phone·~~;.....,~~---~~-~--,-~~---- Email:charlie@ma-dg.com Email: :,,---/4 e /~-,:-lP ........ Architect State License: _c_o_45_o_3_1 ________ CSLB License #:/o l 4 / J Class: ______ _ Carlsbad Business License# (Required): lff(ff 1J Lo/ 1(/'PJ 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 tocompl with all City or • te laws relating to building construction. NAME (PRINT): _M_u_r_ri_e_A_tc_o_rn __________ _ 1635 Faraday Ave Carlsbad, CA 92008 Email: Building@carlsbadca.gov 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 herebyaff i rm under penalty of perjurythat I am licensed under provisions of Chapter 9 ( commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the following declarations (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 ls issued. Policy No. _____________________________________ _ -OR- D1 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 ls Issued. My workers' compensation insurance carrier and policy number are: Insurance Company Name: ____________________ _ Policy No. ___________________________ Expiration Date: _______________ _ 'tJf ~:~cate 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 ~ect 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. truction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender'sName:~~-~7--_______________ Lender'sAddress: ___________________ _ -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-builder will have the burden of proving that he did not build or improve for the purpose of sale). -OR-D ,, as owner of the property, am exdusively 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-□, 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./ 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: I lwww.leginfo.ca.gov/ ca/aw.html. OWNER 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): SIGN: DATE: ----------------------Note: If the person signing above is an authorized agent for the property owner include form B-62 signed by property owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Fax: 760-602-SSSS Email: Building@carlsbadca.gov 2 REV. 07/21 Building Permit Inspection History Finaled {City of Carlsbad PERMIT INSPECTION HISTORY for (CBC2O23-O2O3) Permit Type: BLDG-Commercial Application Date: 07/06/2023 Owner: TREA N W FORUM AT CARLSBAD OWNER LLC Work Class: Tenant Improvement Issue Date: 10/18/2023 Subdivision: CARLSBAD TCT#92-08 GREEN VALLEY Status: Closed -Finaled Expiration Date: 08/19/2024 Address: 1935 CALLE BARCELONA, # 176 IVR Number: 50460 CARLSBAD, CA 92009-8465 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 10/26/2023 10/26/2023 BLDG-21 228485-2023 Passed Tim Kersch Complete Underground/Underflo or Plumbing Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 10/30/2023 10/30/2023 BLDG-12 Steel/Bond 228704-2023 Cancelled Tim Kersch Reinspection Incomplete Beam Checklist Item COMMENTS Passed BLDG-Building Deficiency No 11/01/2023 11/01/2023 BLDG-12 Steel/Bond 228990-2023 Passed Tim Kersch Complete Beam Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 11/08/2023 11/08/2023 BLDG-21 229862-2023 Passed Tim Kersch Complete Underground/Underflo or Plumbing Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 12/21/2023 12/21/2023 BLDG-84 Rough 234431-2023 Passed Tim Kersch Complete Combo(14,24,34,44) 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 01/09/2024 01/09/2024 BLDG-17 Interior 235986-2024 Partial Pass Tim Kersch Reinspection Incomplete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-44 235988-2024 Passed Tim Kersch Complete Rough/Ducts/Dampers Tuesday, April 2, 2024 Page 1 of 4 PERMIT INSPECTION HISTORY for ( CBC2023-0203) Permit Type: BLDG-Commercial Application Date: 07/06/2023 Owner: TREA NW FORUM AT CARLSBAD OWNER LLC Work Class: Tenant Improvement Issue Date: 10/18/2023 Subdivision: CARLSBAD TCT#92-08 GREEN VALLEY Status: Closed -Finaled Expiration Date: 08/19/2024 Address: 1935 CALLE BARCELONA, # 176 IVR Number: 50460 CARLSBAD, CA 92009-8465 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 01/11/2024 01/11/2024 BLDG-44 236363-2024 Passed Tim Kersch Complete Rough/Ducts/Dampers Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 01/29/2024 01/29/2024 BLDG-44 238018-2024 Passed Tim Kersch Complete Rough/Ducts/Dampers Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-85 T-Bar, Ceiling 238017-2024 Partial Pass Tim Kersch Reinspection Incomplete Grids, Overhead Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 No Rough-Ducts-Dampers 02/08/2024 02/08/2024 BLDG-17 Interior 238993-2024 Passed Tim Kersch Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-SW-Inspection 239142-2024 Passed Tim Kersch Complete Tuesday, April 2, 2024 Page 2 of 4 PERMIT INSPECTION HISTORY for ( CBC2023-0203) Permit Type: BLDG-Commercial Application Date: 07/06/2023 Owner: TREA NW FORUM AT CARLSBAD OWNER LLC Work Class: Tenant Improvement Issue Date: 10/18/2023 Subdivision: CARLSBAD TCT#92-08 GREEN VALLEY Status: Closed -Finaled Expiration Date: 08/19/2024 Address: 1935 CALLE BARCELONA, # 176 CARLSBAD, CA 92009-8465 Scheduled Date IVR Number: Actual Inspection Type Start Date Inspection No. Checklist Item Are inactives slopes properly stabilized? Are areas flatter than 3:1 covered or protected? Are sediment controls properly maintained? Are erosion control BMPs functioning properly? Are natural areas protected from erosion? Do basins appear to be maintained as required? Are perimeter control BMPs maintained? Is the entrance stabilized to prevent tracking? Have sediments been tracked on to the street? Are storm drain inlets protected and maintained? Have materials collected around the storm drains? Has sediment accumulated on impervious surfaces? Are dumpsters and trash receptacles covered? Has trash/debris accumulated throughout the site? Are stockpiles and spoils protected from runoff? Are all storage areas clean and maintained? Are spill kits provided onsite? Are washout areas maintained and protected? Were spills/leaks observed during the inspection? Were there any discharges during the inspection? Is the SWPPP wall map up to date and accurate? Was the SWPPP or Erosion Control Plan reviewed? Are portable restrooms property positioned? Do portable restrooms have secondary containment? COMMENTS Tuesday, April 2, 2024 50460 Inspection Status Primary Inspector Reinspection Inspection Passed Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Page 3 of 4 PERMIT INSPECTION HISTORY for (CBC2023-0203) Permit Type: BLDG-Commercial Application Date: 07/06/2023 Owner: TREA NW FORUM AT CARLSBAD OWNER LLC Work Class: Tenant Improvement Issue Date: 10/18/2023 Subdivision: CARLSBAD TCT#92-08 GREEN VALLEY Status: Closed -Finaled Expiration Date: 08/19/2024 Address: 1935 CALLE BARCELONA, # 176 IVR Number: 50460 CARLSBAD, CA 92009-8465 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status Are BMPs stockpiled for Yes emergency deployment? 02/21 /2024 02/21/2024 BLDG-23 239960-2024 Passed Chris Renfro Complete Gas/Test/Repairs Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 02/27/2024 02/27/2024 BLDG-Final Inspection 240351-2024 Failed Tim Kersch Reinspection Incomplete Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final Need fire and no ready. No BLDG-Structural Final No BLDG-Electrical Final No 03/07/2024 03/07/2024 BLDG-Final Inspection 241380-2024 Partial Pass Tim Kersch Reinspection Incomplete Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final Need fire and no ready. No BLDG-Structural Final No BLDG-Electrical Final No 03/08/2024 03/08/2024 BLDG-Final Inspection 241636-2024 Passed Tim Kersch Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Need fire and no ready. Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes Tuesday, April 2, 2024 Page4 of 4 True North COMPLIANCE SERVICES October 5, 2023 City of Carlsbad Community Development Depa1tment -Building Division 1635 Faraday Ave. City of Carlsbad -FINAL REVIEW City Pem, it No: CBC2023-0203 True No1th No.: 23-018-606 Carlsbad, CA 92008 Plan Review: TI Parakeet Cafe Address: 1935 Calle Barcelona Applicant Name: Murrie Alcorn Applicant Email: murrie@ma-dg.com OCCUPANCY AND BUILDING SUMMARY: Occupancy Groups: A-2 Occupant Load: 48 Type of Construction: V-B Sprinklers: Yes Stories: I Area of Work (sq. ft.): 1,541 sq. ft. The plans have been reviewed for coordination with the perm it application. Valuation: Confirmed Scope of Work: Confirmed Floor Area: Confirmed Attn: Building & Safety Department, True North Compliance Services, Inc. has completed the final review of the following documents for the project referenced above on behalf of the C ity of Carl sbad: 1. Drawings: One (I) copy dated July 17, 2023, by MA Design Group. The 2022 Cali fornia Building, Mechanical, Plumbing, and Electrical Codes (i.e., 2021 IBC, UMC, UPC, and 2020 NEC, as amended by the State of California), 2022 California G reen Building Standards Code, 2022 Cali fornia Existing Building Code, and 2022 Cali fornia Energy Code, as applicable, were used as the basis of our review. Please note that our review has been completed and we have no further comments. We have enclosed the above noted documents bearing our review stamps for your use. Please call if you have any questions or ifwe can be of fu1ther assistance. Sincerely, True North Compliance Services Review By: Alaa Atassi -Plan Review Engineer True North Compliance Services, Inc. 15375 Barranca Pkwy, Suite A202, Irvine, CA 92618 T / 562. 733.8030 Amy Harbert Director Record ID: DEH2023-FFPP-0 16204 DBA: PARAKEET CAFE Qtountp of ~an 71Btego Department of Environmental Health and Quality Food and Housing Division P.O. 8011: 129261, San OMgo, CA 92112·9261 Phone: (858) 505-'659 I Fax: {851) 999-8920 www sdcdehq.org PLAN APPROVAL SHEET Address: 1935 CALLE BARCELONA, CARLSBAD, CA 92009 Submitted By: Melinda Lam Email: melinda@fsdesigngroup.com Heather Buonomo, REHS Director of Environmental Health Date: 05/11 /2023 Plans are approved by the Department of Environmental Health and Quality, Food and Housing Division (DEHQ-FHD) contingent upon the following: I) DEHQ-FHD stamped plans must be maintained at the jobsite, followed during construction, and available for the Specialist to review at the time of inspection. 2) Changes to equipment layout, menu, or application must be submitted to DEHQ-FHD as a revision for prior approval. Changes made without approval will make the plan approval null and void. 3) All food and utensil-related equipment shall be certified to applicable sanitation standards by an American National Standards Institute ANSI accredited testing agency. 4) Indirect waste drain lines shall slope I /4 inch per foot, shall not exceed 15 feet in length, shall terminate a minimum of I inch above the flood rim of fl oor sink with a legal air gap, and cannot intersect walkways or doorways. 5) Grease traps/interceptors, if required by the local waste water authority, must be located outside of the food preparation, food storage, or ware-washing areas. 6) Floors must slope I :50 to fl oor drains and fl oor sinks shall be installed half exposed and equipped with an appropri ate grill with access for cleaning. 7) Conduits of all types shall be installed within walls as practicable. When otherwise installed, they shall be mounted or enclosed in a chase to facilitate cleaning. 8) Seal all cracks, gaps, and crevices in counters, cabinets, around metal flashing, around sink backsplashes, and around pipes and conduits with silicone sealant. 9) An air balance report will be required at the time of final inspection to verify proper functionality of the exh aust ventilation hood(s) and make-up air system(s). 10) All areas where open food is being prepared must be constructed to be fully enclosed. All openable windows must be equipped with fixed 16 mesh fl y screens and exterior doors must be self-closing. Moveable wall/window systems, garage roll-up doors, or other means of rendering food processing areas not fully enclosed are not approved. 11 ) At the time of final inspection, all equipment is to be in place and functional, the facility shall have all utilities operational and all refrigeration shall be capable of maintaining foods at 41 degrees For below and shall be equipped with a thermometer accurate to +/-2 degrees Fin the warmest section of the unit. 12) Owner and/or operator must pass an approved and accredited Food Safety Certification course within 60 days of obtaining final approval from DEHQ-FHD to operate. 13) Obtain all applicable local building and safety authority permits and approvals prior to the final inspection by DEHQ- FHD. 14) If no inspections are completed after one (I) year from the date the plans were approved, then the approved plan will be voided and new plans must be resubmitted for approval. "£11viro11mental and public health through leadership.partnership and science" -2 -Date: 05/11/2023 CONTACT YOUR PLAN CHECK SPECIALIST AT LEAST 10 WORKING DAYS IN ADVANCE TO SCHEDULE MID AND FINAL INSPECTIONS. A FINAL INSPECTION MUST BE CONDUCTED AND AN ENVIRONMENTAL HEAL TH AND QUALITY PERMIT SHALL BE ISSUED PRIOR TO OPENING AND OPERATING THIS FOOD ESTABLISHMENT. Celeste Penn Contact Info: ( 619) 571-7 182, Celeste.Penn@sdcounty.ca.gov "Enrironmentol and public health through leadership.partnership and science" TO: • <!Countp of ~an 1JBiego DEPARTMENT OF ENVIRONMENTAL HEAL TH AND QUALITY FOOD AND HOUSING DIVISION P.O. BOX 129261, SAN DIEGO, CA 92112-9261 Phone: (858)505-8900 I Fax: (858) 999-8920 REQUEST FOR EXEMPTION CLAMSHELL GRILL COUNTY Or SAN DIEGO DEPARTMENT OF ENVIRONMENTAL HEALTH AND QUALITY BUSINESS OW1'"ER: Name: Jonathan Goldwasser Company Wellness Eatery Carlsbad LLC Mailing Address: 7514 Girard Ave Suite 1601 City La Jolla State CA Zip 92037 Site Address: 1935 Calle Barcelona Suite 176 City Carlsbad State CA Zip 92009 Phone: (611)578-1040 Fa'<( ). ______ E-Mail jonathan@parakeetcafe.com The Clamshell grill __ N_emco __ M_oo_e_1: 7_02_o_A ___________________ .., (Make and Model) I agree that the noted equipment will be used at the above site address under the following conditions: 1. The establishment will be limited to two Panini or similar styled two-sided grills or one dual grill unless an adequate hood exhaust ventilation system is appropriately installed. 2. The unit must be installed, serviced, and maintained according to the manufacturer's specifications. Food residues must be scraped off the grill after each use. The unit is not to be on unless preparing food. 3. The grill must be operated in a well ventilated area approved for food preparation. 4. The grill cannot be used for grilling meats, poultry, fish or other foods that may produce smoke or grease-laden vapors. • This mechanical exhaust exemption is specifically limited to the preparation of sandwiches and warming ofbakery products. 5. This exemption shall not be deemed to supersede any local building and tire code requirements. 6. List the food items that are to be prepared with the Clamshell grill: _41\k"w).._f\fft....,_,Jl<.:es,::.._ __________ _ I understand that if the type of operation changes or the grill use causes a sanitation, ventilation or safety problem. this exemption may be revoked and an approved mechanical exhaust system will be installed, or the grill will be removed. Also, if ownership is changed, the new owner/operator will be infonnc,d of these operating conditions. J dedan: under p<:1111lty of perjury that to !he best ofmy knowk.'<lgc and belief, the description of use and information contain.:d on this kiter are, conse~ to al! nccessal) i'.1s~tioo~ mlllle ptirsuant to luw an~ incidentul to the i~suance of this revi.-"W an~ the ~ration of th.~, business. \\i!TW cond1hons. order... and d1rct.i1011s, 1s~ued pursuant to the Cahfom1a Health and Safety Code. and all upphcablc C'o1mty a11d (. ft)' Ord1 the releHsed dbcumeDtS will oo submitted and filed with the County of San Diego. Department of Environment Health ai1d Quality ,>f Authorw..-dSignaturc-~-·~'-·,_, ~"--"-·'-~.......,• """"~'------- Print Name and Title Uere __ MeL.J>-.l ... re1..ndo.....,,=-..,Letm==------RJLL,~ .. ;pte .... ~-=..----~--!!LI0"""1.-'-------- Review by ____________________ _ \Spt.-cialis1·s ~igruitureJ "Environmental and public hettlt/1 tlirougll leaders/1ip, part/lership mul science"