HomeMy WebLinkAbout2501 EL CAMINO REAL; 140; CB160709; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-21-2016 Commercial/Industrial Permit Permit No: CB160709
Building Inspection Request Line (760) 602-2725
Job Address: 2501 EL CAMINO REAL CBADSt: 140
Permit Type: Tl Sub Type: COMM Status: ISSUED
Applied: 02/23/2016
Entered By: RMA
Parcel No: 1563020800 Lot#: 0
Valuation: $75,000.00 Construction Type: NEW
Occupancy Group: Reference#
Project Title: SHELL Tl -PREPARE SUITE FOR A
Plan Approved: 03/21/2016
Issued: 03/21/2016
Inspect Area
Plan Check #:
FUTURE Tl FOR DAVE & BUSTERS. MOVE WALL OUT IN TO LOADING
DOCK AREA TO EXPAND STE 140 BY 700 SF, NEW SHAFTS FOR
FUTURE HVAC, STRUCTURAL PENETRATIONS FOR FUTURE KITCHEN
EQUIPMENT
Applicant: Owner:
KYLE GODAT CARLSBAD RPI
STE 100 STE 100
2525 EL CAMINO REAL 2525 EL CAMINO REAL
CARLSBAD CA 92008 CARLSBAD CA 92008
619 370-6159 619 370-6159
Building Permit $516.31 Meter Size
Add'l Building Permit Fee $0.00 Add'l Reel. Water Con. Fee
Plan Check $361.42 Meter Fee
Add'l Building Permit Fee $0.00 SDCWA Fee
Plan Check Discount $0.00 CFD Payoff Fee
Strong Motion Fee $21.00 PFF (3105540)
Park Fee $0.00 PFF (4305540)
LFM Fee $0.00 License Tax (31 04193)
Bridge Fee $0.00 License Tax (4304193)
BTD #2 Fee $0.00 Traffic Impact Fee (3105541)
BTD #3 Fee $0.00 Traffic Impact Fee (4305541)
Renewal Fee $0.00 PLUMBING TOTAL
Add'l Renewal Fee $0.00 ELECTRICAL TOTAL
Other Building Fee $0.00 MECHANICAL TOTAL
Pot. Water Con. Fee $0.00 Master Drainage Fee
Meter Size Sewer Fee
Add'l Pot. Water Con. Fee $0.00 Redev Parking Fee
Reel. Water Con. Fee $0.00 Additional Fees
Green Bldg Stands (SB1473) Fee $3.00 HMP Fee
Fire Expedidted Plan Review $0.00 Green Bldg Standards Plan Chk
TOTAL PERMIT FEES
Total Fees: ments To Date: $901.73 Balance Due:
Inspector: Date: Clearance:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
??
??
$901.73
$0.00
NOTICE: Rease take awrova of yrur ptjed: irdudes the "lrrpJSitioo" of fees, Jcaticns, reservaticns, or other exroicns hereafter roledively
referred to as "feeslexroicns." have 00 days from the date this r;enit VIa'> issued to protest irrpJSitim of these feeslexroicns. If yru putest fran, yru rnst
fdlo.vthe rrotest procedures set forth in C?ov'emrrent Code Sed:im6002J(a), and file the protest and any other reqLired iriooratim wth the Oty M3nager fcr
pu::essing in acrordancewth Ca'lsbad M.Jndpal Code Sed:im3.32.030. Failu-etotirrelyfdlo.vthat procedurewll bar anysurnequent legal oc.timtoattack,
review, set aside, vdd, cr anru their irrpJSitim.
You are hereby FlRTl-ER I\OTlREDthat yrur rig,! to rrotest the sp'ldfiedfeeslexroicns !XES NO!' APR. Ytomer and sev\e!'<XXlnedim fees and capacity
d1arges, ncr planning, zcring, grading or other sinilar applicatim pucessing cr savioo fees in o:x1nectioo wth this ptjed:. f\.OR !XES IT APR. Y to any
feeslexacticns of Wich have · ousl been ·ven a NOTICE sinilar to tlis cr as to Wich the statute of linitaticns has · ousl otherWse ·red.
{_ Cicyof
Carlsbad
JOB ADDRESS~ s 0 I
CT/PROJECT #
EMAIL
OPLANNING 0ENGINEERING
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
ADDRESS
CITY
PHONE
EMAIL
STATE LIC. # STATE LIC.#
0BUILDING OF IRE
STATE ZIP
FAX
CITY BUS. LIC.#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500}).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' 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 Co. Policy No. Expiration Date
This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to 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 one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
~CONTRACTOR SIGNATURE 0AGENT DATE
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 Contractors
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 tor the purpose of sale).
D
D
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes 0No
2. I (have I have not) s'1gned an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
~PROPERTY OWNER SIGNATURE DATE ~ '-:J:~ • \ \o
I certify that I have read the application and state that the above information is conectand that the information on the plans is accurate. I agree to comply with all City ordinances and State law.; 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 permtt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within
180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Cede).
~APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFICATE OF OCCUPANCY (Commercial Projects 0 n ly I
Fax (760) 602-8560, Email building@carlsbadca.govor Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
I CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICKUP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER:
CHANGE OF USE/ NO CONSTRUCTION
~APPLICANT'S SIGNATURE DATE
Ins n ist
Permit#: CB160709 Type: Tl
Date Inspection Item -----
04/18/2016 89 Final Combo
04/15/2016 89 Final Combo
04/14/2016 19 Final Structural
04/14/2016 89 Final Combo
03/31/2016 66 Grout
03/30/2016 18 Exterior Lath/Drywall
03/30/2016 66 Grout
03/29/2016 17 Interior Lath/Drywall
03/29/2016 66 Grout
03/25/2016 66 Grout
03/25/2016 84 Rough Combo
03/22/2016 11 Ftg/Foundation/Piers
Thursday, April 21, 2016
COMM
Inspector Act
PY AP
Rl
py NR
Rl
py AP
PY AP
PY PA
PY AP
py AP
PY AP
PY NR
PY AP
SHELL Tl -PREPARE SUITE FOR A
FUTURE Tl FOR DAVE & BUSTERS. MOV
Comments
NRR
NFR
Page 1 of 1
7380 Park Ridge Blvd. Unit 124" San Diego, CA 92120 ICBOIICC
(858) 205-2333 ALL CITIES & lURISDICTIONS
INSPECTION & MATERIAL TESTING
~:tEGISTERED INSPECTOR'S DAILY REPORT
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I TYPEOf L] Reinforced Concrete -~ Structural Steel Assembly D Quality Control
INSPECTION Post Tensioned Concrete Fireproofing Epoxy Anchors
REQUIRED Structural Masonry .,. r-1 LJ Asphalt [] Other D
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REMARKS, ETC. INCLUDES INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,
NUMBER, TYPE AND IDENTIFICATION NUMBERS OF SAMPLES TAKEN. STRUCTURAL CONNECTIONS (WELD
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LIANCE: To tllC best or my koowtooge, all of the raported Wl:lrk,
~~~==~=~.:.;!he approved plans, specifications, and
SD#656
TIM€ IN
ICC# 0881693-88!84/89
Rt fml<, PRISMS I DENSITY
TIME: OUT REG. HOURS OTHX
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City of San Diego ·~
Inspection Services Division
Planning and Development Review
9601 Ridgehaven Court • Suite 220 • MS 11 02-B
San Diego, CA 92123
THE c,-rv oF s ... N DIEGo Information (858) 492-5070 • FAX (858) 492-5098
Special Inspection Agency 1
Construction Materials Testing
Laboratory Final Report
DATE: . ?f-
TO: Building Official, City of San Diego
Inspection Services, Planning and Development Review
9601 Ridgehaven Court, Suite 220
San Diego, CA 92123
SUBJECT: SATISFACTORY COMPLETION OF WORK REQUIRING: (PLEASE CHECK AS APPLICABLE)
f)aSPEC\AL INSPECTION 0 CONSTRUCTION MATERIALS TESTING
PERMIT NO.: c::; l2 /<6 f? 7f29> PLAN FILE NO.:-------------
PROJECT ADDRESS: -<._5 Z $ £I L-4/Vz ).(..,->'c-J t2E-./,} I
D The special inspection services were provided by: /
SPECIAL INSPECTION AGENCY: (3 !2.& f( ,1{( kJ f.;rJ CJ &dl_ 5Jf2-f§e-. /,I! . -. v p
ADDREss: 7?? $t!J f~pfc_ f<:ci7~ !]l1 5~-A/ D/-~ro
San Diego, California
SPECIAL INSPECTOR'S NAME: (TYPE OR PRINT)---------------------------
(each special inspector is required to complete and submit this Final Report form)
SPECIAL INSPECTOR'S CERTIFICATION NUMBER: /:C.-7 f:f'b EXPIRATION DATE: /2-3/-~ f?
D The construction materials testing were performed by:
TESTING LABORATORY: ___________________________________________________ ___
ADDRESS: ____________________________________________________________________ _
RESPONSIBLE MANAGING CIVIL ENGINEER OF THE TESTING LABORATORY: (MR./MS.) ___________ _
STATE OF CALIFORNIA REGISTRATION NUMBER:-------------EXPIRATION DATE: -------.. ~
t'f":>"/ " i { / J
COMMENTS: --~~~V?~-~-·~L'-·kL4!~~D~~-~~~~~~-=za··~c;-~~t~~.~~~1~ib~~~~-·~~-~~~~L'~~~-----------------------
I declare under penalty of perjury that, to the best of my knowledge, all the work requiring special inspection and/or material sampling
and testing for the structure/s constructed under the subject permit is in conformance with the approved plans and construction docu-
ments, the approved inspection and testing program and the applicable workmanship provisions of the California Building Code as
amended by The City of San Diego.
Executed on this 111
'-" f f,,...... /& day of --------
YEAR MONTH Signature:~~~~~·'~~~~~~~--~~~~~~~·~~·~'·~~~·~~~-~·~~~--~~~------~
(SPECIAL INSPECTOR OR RESPON lBLE MANAGING CIVIL ENGINEER, AS APPLICABLE)
NOTE: At your option this form may be stored electronically and reproduced on your company's letterhead.
This information is available in alternative formats for persons with disabilities.
To request this information in alternative format, call (619) 446-5446 or (BOO) 735-2929 (TT)
DS-31 0 (3-DD)
@ Pri111d on Rtcycl~d Paptr
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BRETT AI..BI.INGER SPECIAL INSPECTIONS
ICBOIICC 3828 Sierra Morena Ave, Carlsbad, CA 92010
{858) 205-2333 ALL CITIES & JURISDICTIONS
INSPECTION & MATERIAL T£ST/NG
REGISTERED INSPECTOR'S DAILY REPORT I J.ob Number I Date/; f t: ':z;;c ,
TYPE OF D Structural Steel Assembly D Quality ()o~trol I D Reinforced Concrete
INSPECTION D Post Tensioned Concrete D Fireproofing D Epoxy Anchors
REQUIRED 1;5l"Structural Masonry DAsphalt D Other
·Job Address City
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Type of Structure Architect
; __ ,.,_,,l,cj . ,,_ -·T·_. /'\
Material Description (type, grade, source) Engineer
.,--··:::-""·' • ,1 ·I ', ·. .:' .. ,, .. At o (''" ~,;"."' ·'-·ii .• ,,;•' '"'·'--,, Contractor -,,., ,.,_.
.(' " ·' -"""•• ;) •'J/' -, L .. ' Inspectors Name Subcontractor
Brett Alblinger /!,. '~~ :;:·) ;-<~,-.fl' < -----~
INSPECTION SUMMARY -LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS,
REMARKS, ETC. INCLUDES INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,
NUMBER; TYPE AND IDENTIFICATION NUMBERS OF SAMPLES TAKEN, STRUCTURAL CONNECTIONS (WELD
MADE .H.T. BOLTS TORQUED) CHECKED, ETC.
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CERTI~fiON OF COI\IlP'LIANCE: To the best of my knowledge, all of the. reported work, u~ othervyise not~d;ls in conformance with the approved plans, specifications, and
,-r~pplicable sections•'Ot the governing building.,Jaws..,_,
All inspections based on a minimum of 4 hours. Over 4 hours = 8 ·hours minimum.
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Certification Number
ICC# 0881'693-88184189
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BRETTALBLINGERSPECIAL INSPECTIONS
ICBOIICC 3828 Sierra Morena Ave, Carlsbad, CA 92010
(858) 205-2333 ALL CITIES & JURISDICTIONS
INSPECTION & MATERIAL TESTING
•
REGISTERED INSPECTOR'S DAILY REPORT I Job Num.ber ; IDate / l :::::: . . ;;: ., '/ '~fll'
TYPE OF D Reinforced Concrete D Structural Steel Assembly , . , , • . I [] Qpality Co:ntrol
INSPECTION D Post Tensioned Concrete D Fireproofing [;:1 Epoxy Anchors
REQUIRED 12'i~Structural Masonry D Asphalt CJ Other ',•' :! I
Job Address ·7e: ·• ( ,,/\ ; .:·~~
City ·'':J:\, "' <:>. !,:; ( . ('. /:;., ,, ) r:···;·:~A '-.. ,,. "' ') ... • ·.'J /'
Job Name f)/\ ':.,,./?
Permit Number
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' Contractor '
( ;·: t .? .. ''";) < Ci;<'\ · ;,
Inspectors Name Subcontractor
·Brett Alblinger ./~·. ',.:f .:> ( .; <~: ·'''~··"
INSPECTION SUMMARY -LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, P~OGRESS,
REMARKS, ETC. INCLUDES INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,
NUMBER, TYPE AND IDENTIFICATION NUMBERS OF SAMPLES TAKEN, STRUCTURAL CONNECTIONS (WELD
MADE H.T BOLTS TORQUED) CHECKED, ETC. . , ,
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Certification Number
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BLOCK PRISMS DENSITY
TIME IN TIMEOUT REG. HOURS OT1.5X OT2X "
All inspections based o1~ ~-~~imum 4
Any inspections ,<;xJirn'}lil§ on·
l'.tr APPROVED . / i ·'/
BY / " PROJECT SUPERINTENDEN'f' ··
ICC# 0881693-88184189
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BRETT ALBLINGER SPECIAL INSPECTIONS
ICBO/ICC 3828 Sierra Morena Ave, Carlsbad, CA 92010
(858) 205-2333 ALL CITIES & JURISDICTIONS
INSPECTION & /v1ATERIAL TESTING
REGISTERED INSPECTOR'S OAILY REPORT
TYPE OF
.INSPECTION
REQUIRED
Job Address
Job Name
D Reinforced Concrete
~ost Tensioned Concrete
· ~tructural Masonry
0 Structural Steel Assembly .
0 Fireproofing
OAsphalt
D. Qu~lity Control
D. Epox~:Anchors
DOt~~f, '
M!lterial Description (type, grade, source)
' -~~ (_,:;J·'(:"'~--<-"
CONCRETE
LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS,
REMARKS, ETC. INCLUDES INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,
NUMBER, TYPE AND. IDENTIFICATION NUMBERS OF SAMPLES TAKEN, STRUCTURAL CONNECTIONS (WELD
MADE H.T. BOLTS TORQUED) CHECKED, ETC.
SAMPLES
MORTAR BLOCK PRISMS DENSITY
..
PAGE , OF TIME IN TIMEOUT REG. HOURS OT1.5X OT2X
OJECT SUPERINTENDENT
Certification-Number
ICC# 08&1693.,.88184189
4
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BRETT ALBLINGER SPECIAL INSPECTIONS
3828 Sierra Morena Ave, Carlsbad, CA 92010
(858) 205-2333
REG.ISTERED INSPECTOR'S DAILY REPORT
ICE30/ICC
ALL-CITIES&. JURISDICTIONS
INSPECTION & MATERIAL TESTING
Job Number
TYPEOF: ·.
INSPECTION
REQUIRED·
D Reinforced Concrete D Structural Steel Assembly D Quality Cbntrol
D Epoxy·Arichors
D Other·· ·
JobAddrl!ss
Job Name
D · PostTensioned Concrete
D.Structural Masonry
M.aterial Description' (type, grade, source)
:: 'i'::~:>.~ "''{.~.>~~,, ' ;'\
lnsJ)ector~. Name
Brett:Aiblhilger
D Fireproofing ·
D Asphalt
Engineer
Contractor
i!;
1 !I l:
INSPECTION SU!VIMARY -LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN,WORK REJECTED, JOB PROBLEMs;!f1R.OGRESS,
REMARKS, ETC. INCLUDES INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,
NUMBER, TYPE AND IDENTIFICATION NUMBERS. OF SAMPLES TAKEN, STRUCTURAL CONNECTI,b~S (WELD
MADE H.T. BOLTS TORQUED) CHECKED, ETC. : II
SAMPLES
CONCRETE MORTAR GROUT
PAGE OF
CERTIFICATION OF COMPLIANCE: To the best of my knowledge, all of the reported work,
ynless otherWise n rrrcooformance with the approved plans, specifications, and
applicable se~; f the governing buildipg laws.
l""' " ~~.""~--, .... .,~.~-...... ·"·.,._
\ . ! ''Z::;";z~-"·.t I. SD#656 '"t._
Certification Number
TIME IN
APPROVED
BY
ICC# 0881693-88184189
BLOCK PRISMS
TIMEOUT REG. HOURS OT2X
PROJECT SUPERINTENDENT
I '
- - -"-- -'. ---" ,_-'-~---------·: --. --------
' " • ->c".\--;, .m.,_~,~·• t" "'~' ~/,':"F\7,":;--:j',-:., '~ ' ,-,. ".,.'•' .,.., • ., ,~/', \.,''' • , ,i~"' ·'1.';".-<"•'!·f "d-::"f•J':). "h.oc, .. ;,•, C. L'"C "''" C>
250\ E-C'K~ /~ 6?09 .. ·
BRETTALBLINGER SPECIAL INSPECTIONS ..
ICBO/ICC 3828 Sierra Morena Ave, Carlsbad, CA 92010
(858) 205-2333 ALL CITIES & JURISDICTIONS
INSPECTION .&·MATERIAL TESTING
REGISTERED INSPECTOR'S DAILY REPORT
D Reinforced Concrete D Quality TYPE OF
INSPECTION !••,;.·-D Post Tensioned Concrete
I Masonry
D Structural Steel Assembly
D Fireproofing
DAsphalt
D EpoxyAnchors
0 Other.
LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB r"'-'"'L·"'•v•v.
REMARKS, ETC. JNCLUDES INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED
NUMBER, TYPE AND IDENTIFICATION NUMBERS OF SAMPLES TAKEN; STRUCTURAL COINNEoCl'l
MADE H.T. BOLTS TORQUE CH ETC.
SAMPLES
PAGE OF TIME IN TIMEOUT REG.HOI.IRS OT2X
CERTIFICATION OF ~ANCE To the best of my knowledge, all of the reported work,
unless oth~erwise R¢~tf is In conformance with the approved plans, specifications, and
applicable ions.pf the governing building laws.
All inspections based on a minimum o; 4 hourS.: Ov~r,4ih~~rs .. ;;:Jl ~ours minimum.
Any inspecti~~--~tej;lding past o~n Will b I harged as::aryifh~mr ~inimum. " I '"··~ "'-...... _.. _ .... ~ ..
~\.. ., .. ,.,~
\ ' :" k~" " 1'• ,.,.....""" '\ ~ ~ .
APP:~VED //:;~'>j;/ .. . . ,,,";?:.:,::cHi/';;' ~-.... -.. _·-·"-·" ·
SD#656
Signat't':;e;;ispeciall~gtor~"(
\
Certification Number
ICC# 0881693-88184189
EsGil Corporation
In Cl'artnersfzip witfz government for c.Bui{aing Safety
DATE: 3/17/16
JURISDICTION: City of Carlsbad
PLAN CHECK NO.: 16-0709 SET: II
PROJECT ADDRESS: 2501 El Camino Real Suite 140
PROJECT NAME: Dave & Buster's Landlord Work-TI
0 APPLICANT
ErJURIS.
0 PLAN REVIEWER
0 FILE
l8J The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
D The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
D The check list transmitted herewith is for your information. The plans are being held at EsGil
Corporation until corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
D The applicant's copy of the check list has been sent to:
l8J EsGil Corporation staff did not advise the applicant that the plan check has been completed.
D EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted~ tl Telephone#:
Date contacted: ( ¥" ) Email:
Mail Telephone Fax I erson
D REMARKS:
By: Doug Moody
EsGil Corporation
D GA D EJ D MB D PC
Enclosures:
3/10/16
9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576
EsGil Corporation
In CEartnersfiip witfi government for CBui(aing Safety
DATE: 3/7/16
JURISDICTION: City of Carlsbad
PLAN CHECK NO.: 16-0709 SET: I
PROJECT ADDRESS: 2501 El Camino Real Suite 140
PROJECT NAME: Dave & Buster's Landlord Work-TI
D j}.PPLICANT
-efJURIS.
D PLAN REVIEWER
D FILE
D The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's codes.
D The plans transmitted herewith will substantially comply with the jurisdiction's
codes when minor deficiencies identified below are resolved and checked by building
department staff.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
[g] The check list transmitted herewith is for your information. The plans are being held at EsGil
Corporation until corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
D The applicant's copy of the check list has been sent to:
D EsGil Corporation staff did not advise the applicant that the plan check has been completed.
[g] EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Kyle Godat Telephone#: 619-370-6159
_Lf)ate co?tacted::3 \ .=}-(by'(\L} Email: kyle.godat@rouseproperties.com
~ail {zy~~~~ Fax In Person
D REMAR~
By: Doug Moody
EsGil Corporation
D GA D EJ D MB D PC
Enclosures:
2/25/16
9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576
City of Carlsbad 16-0709
3/7/16
PLAN REVIEW CORRECTION LIST
TENANT IMPROVEMENTS
PLAN CHECK NO.: 16-0709
OCCUPANCY: Shell
TYPE OF CONSTRUCTION: IIIB
ALLOWABLE FLOOR AREA:
SPRINKLERS?: Yes
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION: 2/23/16
DATE INITIAL PLAN REVIEW
COMPLETED: 3/7/16
FOREWORD (PLEASE READ):
JURISDICTION: City of Carlsbad
USE: Shell
ACTUALAREA: 3177~
STORIES: 1
HEIGHT:
OCCUPANT LOAD: N/A
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 2/25/16
PLAN REVIEWER: Doug Moody
This plan review is limited to the technical requirements contained in the California version of
the International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National
Electrical Code and state laws regulating energy conservation, noise attenuation and access for
the disabled. This plan review is based on regulations enforced by the Building Department.
You may have other corrections based on laws and ordinances enforced by the Planning
Department, Engineering Department, Fire Department or other departments. Clearance from
those departments may be required prior to the issuance of a building permit.
Code sections cited are based on the 2013 CBC, which adopts the 2012 IBC.
The following items listed need clarification, modification or change. All items must be satisfied
before the plans will be in conformance with the cited codes and regulations. Per Sec. 1 05.4 of
the 2012 International Building Code, the approval of the plans does not permit the violation of
any state, county or city law.
To speed up the recheck process, please note on this list (or a copy) where each
correction item has been addressed, i.e., plan sheet number, specification section, etc.
Be sure to enclose the marked up list when you submit the revised plans.
City of Carlsbad 16-0709
3/7/16
Please make all corrections on the original tracings, as requested in the correction
list. Submit three sets of plans for commercial/industrial projects (two sets of plans
for residential projects). For expeditious processing, corrected sets can be
submitted in one of two ways:
1. Deliver all corrected sets of plans and calculations/reports directly to the City of
Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760)
602-2700. The City will route the plans to EsGil Corporation and the Carlsbad
Planning, Engineering and Fire Departments.
2. Bring one corrected set of plans and calculations/reports to EsGil Corporation,
9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468.
Deliver all remaining sets of plans and calculations/reports directly to the City of
Carlsbad Building Department for routing to their Planning, Engineering and Fire
Departments.
NOTE: Plans that are submitted directly to EsGil Corporation only will not be
reviewed by the City Planning, Engineering and Fire Departments until review by
EsGil Corporation is complete.
1. Each sheet of the plans must be signed by the person responsible for their
preparation, even though there are no structural changes. Business and
Professions Code.
2. On the cover sheet of the plans, specify any items requiring special inspection, in
a format similar to that shown below. Section 107.2.
• REQUIRED SPECIAL INSPECTIONS
In addition to the regular inspections, the following checked items will also require
Special Inspection in accordance with Sec. 1701 of the Uniform Building Code.
ITEM
FIELD WELDING
STRUCTURAL MASONRY
REQUIRED? REMARKS
3. Please revise the electrical plans to show the required working clearance in front
of the relocated disconnect switches.
4. Please complete the plumbing plan to show the DWV piping and connection
location and the location of the trap primer connection to the water line?
To speed up the review process, note on this list (or a copy) where each
correction item has been addressed, i.e., plan sheet, note or detail number,
calculation page, etc.
Please indicate here if any changes have been made to the plans that are not a
result of corrections from this list. If there are other changes, please briefly
describe them and where they are located in the plans.
City of Carlsbad 16-0709
3/7/16
Have changes been made to the plans not resulting from this correction list?
Please indicate:
Yes 1:1 No 1:1
The jurisdiction has contracted with Esgil Corporation located at 9320
Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of
858/560-1468, to perform the plan review for your project. If you have any
questions regarding these plan review items, please contact Doug Moody at
Esgil Corporation. Thank you.
City of Carlsbad 16-0709
3/7/16
[DO NOT PAY-THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Carlsbad PLAN CHECK NO.: 16-0709
PREPARED BY: Doug Moody DATE: 3/7/16
BUILDING ADDRESS: 2501 El Camino Real Suite 140
BUILDING OCCUPANCY: A2
BUILDING AREA Valuation
PORTION (Sq. Ft.) Multiplier
ti 3177 City Valuation
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Ju risd dion Code cb By Ordinance
Bldg. Permit Fee by Ordinance
Plan Oleck Fee by Ordinance
Type of Review: EJ Complete Review
0Repetitive Fee
.,... Repeats
Comments:
D Other
D Hourly
EsGil Fee
Reg. VALUE
Mod.
D Structural Only
1--------11 H r @ •
($)
75,000
75,000
$511.851
$332.701
$286.641
Sheet 1 of 1
macvalue.doc +
PLAN CHECK
REVIEW
TRANSMITTAL
Community & Economic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www.carlsbadca.gov
DATE: 03/04/2016 PROJECT NAME: DAVE AND BUSTERS SHELL Tl PROJECT ID:CB160709
PLAN CHECK NO: 1 SIET#: 1 ADDRESS: 2501 EL CAMINO REAL STE 140 APN:
VALUATION: $75,000
D
This plan check review is complete and has been APPROVED by:
LAND DEVELOPMENT ENGINEERING DIVISION
Final Inspection by the Construction Management Division is required • Yes X No
This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check Comments have been sent to: KYLE.GODAT@ROUSEPROPERTIES.COM
Christopher.Giassen@carlsbadca.gov
D Linda Ontiveros
760-602-2773
Linda.Ontiveros@carlsbadca.gov
VaiRay Nelson
760-602-27 41
VaiRay.Nelson@carlsbadca.gov
For questions or clarifications on the attached checklist please contact the reviewer as marked above.
Remarks: MALL IS FEE'D OUT. NEW PROPOSED SPOTS ARE EXCHANGING FOR OPEN SPACES.
DAVE AND BUSTERS SHELL Tl • 1
Tl
SHELL ONLY TO
EXPAND EXISTING
SPACE
Lot I Map No.:
Outstanding issues a1'e marked with :X,,; . Please make the necessary corrections for
compliance with applicable codes and standards and re-submit corrected plans and/or
specifications to the Building division. Items that conform to permit requirements are
marked with' .f i -or-have intentionally been left blank.
1. SITE PLAN
Provide a fully dimensioned site plan drawn to scale.
Show:
North arrow
Existing & proposed structures
Property line dimensions
Easements
Show on site plan:
Drainage patterns
Existing & proposed slopes
Existing topography
Retaining Walls (location and height)
Indicate what will happen with soil excavated from pool area.
Include on title sheet:
Site address
Assessor's parcel number
Legal description/lot number
For all commercial/industrial building and tenant improvements, include: total building square
footage with the square footage fore each different use, showing square footage of different
uses (manufacturing, storage, warehouse, office, etc.) Example:
MAP 8956 LOT 12
10,900 sf of SHELL to 10,900 sf OFFICE
7,000 sf of SHELL to 7,000 sf STORAGE
3,900 sf of SHELL to 3900 sf MANUFACTURING
Subdivision/Tract: CT 76-18
Reference No(s): WESTFIELD MALL
E-37 Page 2 of4 REV 6/2012
DAVE AND BUSTERS SHELL Tl 1
N/A
Attachments:
E-37
2. GRADING PERMIT REQUIREMENTS
The conditions that require a grading permit are found in Section 11.06.030 of the Municipal
Code.
Inadequate information available on site plan to make a determination on grading
requirements. Include accurate grading quantities in cubic yards (cut, fill, import, export and
remedial). This information must be included on the plans. If no grading is proposed
write: "NO GRADING"
Minor Grading Permit required. NOTE: The grading permit must be issued and grading
approval obtained prior to issuance of a building permit. A separate grading plan prepared a
registered civil engineer must be submitted together with the completed application form attached.
Graded Pad Certification required. All required documentation must be provided to your
Construction Management & Inspection division inspector, . The
inspector will then provide the Land Development Engineering counter with a release for the
building permit. See attached checklist for minimum submittal requirements.
3. MISCELlANEOUS PERMITS
RIGHT-OF-WAY PERMIT is required to do work in city right-of-way and/or private work
adjacent to the public right-of-way.
A separate right-of-way issued by the engineering division is required for the following:
N/A
Engineering Application Storm Water Form Right-of-Way Application/Info .f Reference Documents
Page 3 of 4 REV 6/2012
***THIS CALCULATION WORKSHEET IS NOT ALL-INCLUSIVE OF FEES THAT MAY BE DUE FOR THIS PROJECT*** o
Fee Calculation Worksheet
ENGINEERING DIVISION
Prepared by: Date: GEO DATA:LFMZ : /B&T:
Address: Bldg. Permit#:
Fees Update by: Date: Fees Update by: Date:
EDU CALCULATIONS: List types and square footages for all uses.
Types of Use: Sq.Ft./Units EDU's:
Types of Use:
Types of Use:
Types of Use:
Sq.Ft./Units
Sq.Ft./Units
Sq.Ft./Units
ADT CALCULATIONS: List types and square footages for all uses.
EDU's:
EDU's:
EDU's:
Types of Use: Sq.Ft./Units ADT's:
Types of Use:
Types of Use:
Types of Use:
FEES REQUIRED:
Sq.Ft./Units
Sq.Ft./Units
Sq.Ft./Units
ADT's:
ADT's:
ADT's:
Within CFD: z.;YES (no bridge & thoroughfare fee in District #1, reduces Traffic Impact Fee) 'NO
1. PARK-IN-LIEU FEE: jNW QUADRANT NE QUADRANT w;SE QUADARANT jSW QUADRANT
ADT'S/UNITS: I X FEE/ADT: I =$
2.TRAFFIC IMPACT FEE:
ADT'S/UNITS: IX FEE/ADT: I =s
3. BRIDGE & THOROUGHFARE FEE: DIST. #1 DIST.#2 DIST.#3
ADT'S/UNITS: IX FEE/ADT: I =s
4. FACILITIES MANAGEMENT FEE ZONE:
ADT'S/UNITS: IX FEE/SQ. FT./UNIT: I =s
5. SEWER FEE
EDU's IX FEE/EDU: I =s
BENEFIT AREA:
EDU's IX FEE/EDU: I =s
6. DRAINAGE FEES: PLDA: :~]HIGH MEDIUM .:~w!LOW
'--·~
ACRES: IX FEE/AC: I =s
7. POTABLE WATER FEES:
UNITS CODE CONN. FEE METER FEE SDCWA FEE TOTAL
PLANNING DIVISION
BUILDING PLAN CHECK
APPROVAL
P-29
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.!!ov
DATE: 2/25/16 PROJECT NAME: INTERIOR T.l. FOR FUTURE TENANT PROJECT ID:
PLAN CHECK NO: CB160709 SET#: ADDRESS: 2501 EL CAMINO REAL #140 APN:
161 This plan check review is complete and has been APPROVED by the PLANNING
Division.
By: GINA RUIZ
A Final Inspection by the PLANNING Division is required DYes lXI No
You may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the issuance of a building permit.
Resubmitted plans should include corrections from all divisions.
D This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check APPROVAL has been sent to: KYLE.GODAT@ROUSEPROPERTIES.COM
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
·':~'"PLANNING
. '7~6~~02-46.10 \
760-602-4624
Chris.Sexton@carlsbadca.gov
Gina Ruiz
760-602-4675
Gina.Ruiz@carlsbadca.gov
D Veronica Morones
760-602-4619
Veronica.Morones@carlsbadca.gov
Remarks:
760-602-2784
Christopher.Giassen@carlsbadca.gov
VaiRay Marshall
760-602-27 41
VaiRay.Marshall@carlsbadca.gov
Linda Ontiveros
760-602-2773
Linda.Ontiveros@carlsbadca.@Y:
760-602-4663
Gregory.Ryan@carlsbadca.gov
Cindy Wong
760-602-4662
Cynthia.Wong@carlsbadca.gov
760-602-4664
Dominic.Fieri@carlsbadca.gov
Shay Even
From:
Sent:
To:
Cc:
Subject:
Good morning,
Amber Ressmer
Wednesday, February 24, 2016 10:03 AM
KYLE.godat@ rouseproperties.com
Building
CB160709 Dave & Busters
CB160709 Dave and Busters plan does not require Carlsbad Fire Department fire plan review.
Thank you,
Amber
Amber Ressmer
Fire Prevention Office Specialist
City of Carlsbad
1635 Faraday Ave
Carlsbad, CA 92008-7314
www .ca rlsbadca .gov
p 760-602-4665 I F 760-602-8561
1
STRUCTURAL CALCULATIONS
G&C Job Number: 16-005
TABLE OF CONTENTS
Calculation p. 1-6
17500 Redhi/1 Ave., Suite 240 • Irvine • California •
Dave & Buster's
The Shoppes at Carlsbad
Loading Dock Revision
Plan Check Submittal
February 19, 2016
PREPARED FOR:
TSArchitects
2501 EL CAMINO REAL 140
1563020800 T I
03-09-2016
CB160709
GRIMM & CHEN STRUCTURAL ENGINEERING, INC.
Date:
Page No: j of ~
Job No.
Engineer:
~'V ~~ .... th -C" p.;..\. •• ::: \~
~~ \l.?OO fL.f' "'\~-·:: j~~~ ----T-yf£ \l/\~l\7.6
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17500 Redhill Avenue, Suite 240, Irvine, CA 92614 I P 949-250-3150 I F 949-203-0450 I www.gcstructurol.com
Title Block Line 1 Project Title:
You can change this area
using the 'Settings' menu item
and then using the 'Printing &
Engineer:
Project Oeser:
Project 10: ~
Title Block' selection.
Title Block Line 6 I ···-----··------·--··~--··-.. ---·-·----
' Masonry Slender Wall
Description: -None-
Code References
Calculations per
·····--·-·-.---.-·--·-------·--·-------
Load Combinations Used: ASCE 7-02
General Information -.---..-.--·-··-·-----
Construction Type :Grouted Hollow Concrete Masonry
F'm 1.50 ksi Nom. Wall Thickness
Fy-Yield = 60.0 ksi Actual Thickness
Fr-Rupture = 163.0 psi Rebar "d' distance
Em= fm * = 900.0 Lower Level Rebar ...
Max% of pbal.
Grout Density
Block Weight
= 0.1039 Bar Size #
Wall Weight
140 pcf
Medium Weight
= 78.0 psf
Wall is Solid Grouted
~One-Story Wall Dimensions
A Clear Height
8 Parapet height
20.0 ft
0.0 ft
Wall Support Condition Top & Bottom Pinned
Lateral Loads
Bar Spacing
8 in
7.625 in
3.810 in
5
16 in
Full area WIND load 0.0 psf
33.0 psf
Wall Weight Seismic Load Input Method :
Fp 1.0 Seismic Wall Lateral Load
DESIGN SUMMARY ,c:;___ _____ __;_ __________ ..•• -------··-·-"-·· -----
Temp Diff across thickness
Min Allow Out-of-plane Deft Ratio=
Minimum Vertical Steel %
Calculations per
deg F
150.0
0.0020
____________ Governing Loa_cl_~?f!lbination ... Actual Values ... Allowable Values ...
PASS Moment Capacity Check
+0.90D+E
PASS Service Deflection Check
D + L + S + E/1.4
PASS Axial Load Check
+1.20D+0.50L +0.20S+E
PASS Reinforcing Limit Check
PASS Minimum Moment Check
+1.400
Maximum Bending Stress Ratio = 0.4529
Max Mu 1.660 k-ft Phi * Mn
Min. Deft. Ratio 1 ,683.37 Max Allow Ratio
Max. Deflection 0.1426 in Max. Allow. Deft.
MaxPu/Ag 10.947 psi 02*fm
Location 9.667 ft
Controlling As/bd 0.005079 As/bd €l.1 039 rho bal
Mcracking
Maximum Reactions ...
Top Horizontal
Base Horizontal
Vertical Reaction
1.579 k-ft Minimum Phi Mn
for Load Combination ....
EOnly
EOnly
0 + L + S + E/1.4
. -···-·-·· ------
3.666 k-ft
150.0
1.60 in
300.0 psi
0.1039
4.569 k-It
0.330 k
0.330 k
1.560 k
Title Block Line 1
You can change this area
using the 'Settings' menu item
and then using the 'Printing &
Title Block' selection.
Project Title:
Engineer:
Project Oeser:
Project ID:
Title Block LiQ.§.l_§_ ______________________________ ..... ···------~-----·--·----·····-·-··---·-·-------········----·-·----····----.:::-:-
• Masonry Slender Wall File;,C:\PROGRA-2\ENERcA-1
Printed: iS FEB 2016. 5:13PM
I· • t * • : t ~
Description : --None-
_Q_esign M~ximu~ Combinations -Moments
Load Combination
+1.20D-t0.50L -t{).20S+E at 9.33 to 10.00
Axial Load
Pu 0.2*fm*b*t
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000
0.998
0.000
0.000
27.360
0.000
-t{).90D+E at 9.33 to 10.00 0.749 27.360
Mer
'--_fr
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
1.58
0.00
1.58
·-----------
~~··· ~------------------
Mu
k-f1_ ___ ,_
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
1.67
0.00
1.66
_f?~~!.9!l_l!aximum Combinations -Deflections
Axial Load Moment Values
Load Combination Pu
k ·-----·-···-··-----···-····
D +L +S +E/1.4 at 9.33 to 10.00
0.000
0.000
0.000
0.000
0.832
0.000
D +0.5(L-+Lr)+0.7E at 9.33 to 10.00 0.832
Reactions -Vertical & Horizontal
Mer
\\••ft
0.00
0.00
0.00
0.00
1.58
0.00
1.58
Load Combination Base Horizontal
DOnly
S Only
WOnly
E Only
D +L +Lr
D+L+S
D +L +W +S/2
D+L+S+W/2
D +L +S +E/1.4
0.0 ~
0.0
0.0
0.3
0.0
0.0
0.0
0.0
0.2
Mactual
idt
0.00
0.00
0.00
0.00
1.19
0.00
1.16
ENERCALC, NC. 1983-2012, Build:6.12.12.7, Ver.6.14.7.31
-~----------~ -----------.. ···-····-··-------.-------·-·· -.. --------
Phi
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.90
0.00
0.90
I gross
tn:-·z:t
0.00
0.00
0.00
0.00
443.30
0.00
443.30
Moment Values 0.6 *
PhiMn As As Ratio rho bal ~-ft _____ Jj~_?: ___ -------·-------------
0.00 0.000 0.0000 0.0000
0.00 0.000 0.0000 0.0000
0.00 0.000 0.0000 0.0000
0.00 0.000 0.0000 0.0000
0.00 0.000 0.0000 0.0000
0.00 0.000 0.0000 0.0000
0.00 0.000 0.0000 0.0000
0.00 0.000 0.0000 0.0000
0.00 0.000 0.0000 0.0000
3.73 0.233 0.0051 0.1039
0.00 0.000 0.0000 0.0000
3.68 0.233 0.0051 0.1039
---·····----·-···-··--
Stiffness Deflections
I cracked I effective Deflection Defl. Ratio
!fl''4 ~r(,t ir,
0.00 0.000 0.000 0.0
0.00 0.000 0.000 0.0
0.00 0.000 0.000 0.0
0.00 0.000 0.000 0.0
41.80 443.300 0.143 1,683.4
0.00 0.000 0.000 0.0
41.80 443.300 0.140 1,717.7
··-------· .. ··-··--···----------·--··-·-······--·-···· .. ·····--
Horizontal
0.00 ',
0.00
0.00 k
0.33 "
0.00 ~
0.00 i'.
0.00
0.00
0.24 ;,
Vertical Wall Base
1.560 "
0.000 ;,
0.000
0.000
1.560 i'
1.560
1.560
1.560 ~-
1.560
. '
GRIMM & €HEN STRUCTURAl ENGINEERING, INC.
Date:
Engineer:
V7~ MN ~~
f..) I.>~-(-ry~; X K= 1'
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Job No.
Page No: 4 of L
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17500 Redhill Avenue, Suite 240, Irvine, CA 92614 I P 949-250-3150 I F 949-203-0450 I www.gcstructural.com
GRIMM & €h-IEN STRUCTURAL ENGINEERING, INC.
Date:
Page No: (; of (p.
Job No.
Engineer:
I·S'I~
~~·~i71p -~r~~ '?o'{-(t4\~ wl
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17500 Redhill Avenue, Suite 240, Irvine, CA 92614 I P 949-250-3150 I F 949-203-0450 I www.gcstructural.com
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~RIMM & <CHEN STRUCTURAL ENGINEERING, INC.
Date:
Engineer:
.. 1\ \L
J~~t-· c A
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Job No.
Page No: ft, of ~
17500 Redhill Avenue, Suite 240, Irvine, CA 92614 I P 949-250-3150 I F 949-203-0450 I www.gcstructural.com
INDUSTRIAl WASTEWATER DISCHARGE PERMIT
SCREENING SURVEY
Business Name >t-f-Ct£1.£21'~ ba_c::{ Cj'2C1J CA Street Address ·25 2 5 _ · rYLLIIl () 1? -W , ~~it: Q) )}L~~l~td
Email Address Ktt;JIC, 4JOCft1±C~~ RcxJ&;pro,oerbe.s:·· c£YY\
PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) D
Check all below that are present at your facility:
Acid Cleaning Ink Manufacturing Nutritional Supplement I
Assembly Laboratory Vitamin Manufacturing
Automotive Repair Machining I Milling Painting I Finishing
Battery Manufacturing Manufacturing Paint Manufacturing
Biofuel Manufacturing Membrane Manufacturing Personal Care Products
Biotech Laboratory (i.e. water filter membranes) Manufacturing
Bulk Chemical Storage Metal Casting I Forming Pesticide Manufacturing I
Car Wash Metal Fabrication Packaging
Chemical Manufacturing Metal Finishing Pharmaceutical Manufacturing
Chemical Purification Electroplating (including precursors)
Dry Cleaning Electroless plating Porcelain Enameling
Electrical Component Anodizing Power Generation
Manufacturing Coating (i.e. phosphating) Print Shop
Fertilizer Manufacturing Chemical Etching I Milling Research and Development
Film I X-ray Processing Printed Circuit Board Rubber Manufacturing
Food Processing Manufacturing Semiconductor Manufacturing
Glass Manufacturing Metal Powders Forming Soap I Detergent Manufacturing
Industrial Laundry Waste Treatment I Storage
SIC Code(s) (if known):----------------------
Brief description of business activities (Production I Manufacturing Operations): _____ _
~~'C r~ ·a.,..~ IMs,.\\
Description of operations generating wastewater (discharged to sewer, hauled or evaporated):
Estimated volume of industrial wastewater to be discharged (gal/ day): -~.N~A.__ _____ _
List hazardous wastes generated (type I volume): ---'-f'J----"-A,_ ___________ _
Date operation began/or will begin at this location: _\-~.-~--'--!~!!!!:-.:~~-----------
Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority?
Yes No lfyes,when: ___________________ ___
,,... d Site Contact t..A ~o . c.+ Title (:; ~V"\ e..fG\. , M o.il\.o... ,~r
Signature.-:-:-!!:±:::;;o:~=-E-~::-::-=-~-:------Phone No. (9 I"J • ~ 7o · ~ \ b "'
ENCINA WASt TER AUTHORITY, 6200 Avenida Encinas Carlsbad, CA 92011 (760) 438-3941
FAX: (760) 476-9852
OFFICE USE ONLY SAN DIEGO REGIONAL
HAZARDOUS MATERIALS
QUESTIONNAIRE
RECORDID# ____________________________________ I
PLANCHECK#-----------------------------------1
Telephone#
Plan File#
The following questi ns rep sent the facility's acti 1ties, NOT the specific project description.
PART 1: FIRE DEPARTMENT-HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: (not required for projects within the City of San
Diego): 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 HEALTH -HAZARDOUS MATERIALS DIVISION (HMO): 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.
FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy:
1. YrSS J· 2. D #
3. D ,
(for new construction or remodeling projects)
Is your business listed on the reverse side of this form? (check all that apply).
Will your business dispose of Hazardous Substances or Medical Waste in any amount?
Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500
pounds and/or 200 cubic feet?
4.
5.
6.
7.
8.
D
D
D
D
D
JZ1 Will your business store or handle carcinogens/reproductive toxins in any quantity? ~ Will your business use an existing or install an underground storage tank?
]2f Will your business store or handle Regulated Substances (CaiARP)? .0' Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? )2r Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to
or greater than 1,320 gallons? (California's Above round Petroleum Storage Act).
D CaiARP Exempt
I
Date Initials
D CaiARP Required
I
Date Initials
D CaiARP 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 Q1 Yes and Q3 Yes and Q4-Q6 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 burns; residences forming part of a larger project. [+Excludes garages & small outbuildings.]
YES NQ
1. .EJ' g Will the project disturb 160 square feet or more of existing building materials?
2. ~ ~ Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition.
3. T' D (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance
1 Technician?
4. D )Zl (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification
r:l may be required 10 working days prior to commencing asbestos removal.
5. D
6. 0
)Ll 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.pdD for typical equipment requiring an APCD permit.
0 (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school
boundary
Briefly describe business activities:
')\r..c ~0.\\
Q 1~3 I\~
Date
FO 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 APCO COUNTY-HMO APCO
* . . A stamp m th1s box only exempts busmesses from completing or updat1ng a Hazardous Matenals Bus1ness Plan. Other perm1tt1ng requirements may still apply .
HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division
W CITY OF
PLUMBING,
ELECTRICAL,
MECHANICAL
WORKSHEET
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
Building@carlsbadca.gov CARLSBAD B-18
Project Addres• Perm~ No.: {)b / b {) 7 fJ f
Information provided below refers to worR being done on the above mentioned permit only.
This form must be completed and returned to the Building Division before the permit can be issued.
Building Dept. Fax: (760) 602-8558
Number of new or relocated fixtures, traps, or floor drains .~.t ........................................... __
New building sewer line? ......................................................................................... Yes __ No __K_
Number of new roof drains? .... N..A ................................................................................................. __
Install/alter water line? ............... ~ ... ~ ............................................................................................. ..
Number of new water heaters? .. ~ .. A .......................................................................................... ..
Number of new, relocated or replaced gas outlets? .. N. .. A ...................................................... =
Number of new hose bibs? ... N.~ .................................................................................................. ..
Residential Permits:
New/expanded service: Number of new amps: _~_t.. _____ _
Minor Remodel only: Yes t0 P. No t±!L__
Commercial/Industrial:
Tenant Improvement: Number of existing amps involved in this projed:
Number of new amps involved in this projed:
New Construdion: Amps per Panel:
Single Phase .. P.~ ..................................................... Number of new amperes-11')~--"'-'-f\_,__ ____ _
Three Phase ..... f;?..~ .................................................... Number of new amperes__...(\)-'-'-A'-------
Three Phase 480 .. ..t.~.~ ........................................... Number of new amperes_t.J.....,.._,~~->-----
Number of new furnaces, A/C, or heat pumps? .. N. .. ~ ............................................................ ..
New or relocated duct worl:?? .......................................................................... Yes No ~
Number of new fireplaces? ... ~ .. ~ ................................................................................................... __
Number of new exhaust fans? .. ~.A .............................................................................................. ..
Relocate/install vent? ... N.A ............................................................................................................ .
Number of new exhaust hoods? ...... N.~ ...................................................................................... =
Number of new boilers or compressors? .... r.:J.A ............................................ Number of HP
B-18 Page 1 of 1 Rev. 03/09