HomeMy WebLinkAbout2501 EL CAMINO REAL; 210; CBC2021-0218; PermitBuilding Permit Finaled
Commercial Permit
Print Date: 03/20/2023
Job Address: 2501 EL CAMINO REAL, # 210, CARLSBAD, CA 92008-1215
Permit Type: BLDG-Commercial Work Class: Tenant Improvement
Parcel#: 1563023500 Track#:
Valuat ion: $148,856.00 Lot#:
Occu pancy Group: A2 Project#:
#of Dwelling Units: Plan#:
Bedrooms: Construction Type:II-B
Bathrooms: Orig. Plan Check#:
Occupant Load: 74 Plan Check#:
Code Edition: 2019
Sprinkled: Yes
Project Title:
Description: TASTY NOODLE HOUSE: 2,300 SF T.I. (N O CHANGE IN USE)
Property Owner:
RPI CARLSBAD LP
1114 AVENUE OF THE AMERICAS, # FLOOR 4~
NEW YORK, NY 10036-7700
(214) 660-5232 x215232
FEE
BUILDING PLAN CHECK FEE (BLDG)
BUILDING PLAN REVIEW -MINOR PROJECTS (LOE )
BUILDING PLAN REVIEW-MINOR PROJECTS (PLN)
COMM/IND Tl -NON-STRUCTURAL
FIRE A-2 & A-3 Occupancies -Tl
SB1473 -GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION -COMMERCIAL (SMIP)
Total Fees: $2,535.64 Total Payments To Dat e: $2,535.64
Permit No:
Status:
(city of
Carlsbad
CBC2021-0218
Closed -Finaled
Applied: 06/17/2021
Issued: 01/03/2022
Finaled Close Out: 03/20/2023
Final Inspection: 03/17/2023
INSPECTOR: Renfro, Chris
Balance Due:
AMOUNT
$559.96
$194.00
$98.00
$1,008.00
$628.00
$6.00
$41.68
$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/exa ction." 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 accord ance 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 connect ion wit h this
project. NOR DOES IT APPLY t o 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.carls badca.gov
C cityof
Carlsbad
Job Address2501 El Camino Real
Tenant Name: Tasty Noodle House
COMMERCIAL
BUILDING PERMIT
APPLICATION
B-2
Plan Check~ao0 /,. Citlf>
Est. Value dJL'-18; ~..a, 0d
PC Deposit _______ _
Date &:>' I 7 -,)../
Suite:._2_1o ___ APN: _________ _
Lot#:
Year Built: _____ Occupancy:_A_-2 ___ _ C:JD fZJ □ Construction Type_· ____ fire Sprinklers: yes no 'A/C: yes no
BRIEF DESCRIPTION OF WORK:
D Addition/New: __________ New SF and Use,, __________ New SF and Use,
___ Deck SF, Patio Cover SF (not including flatwork)
[!] Tenant lmprovement:_2_30_0 ____ SF, Existing Use Restaurant Proposed Use Restaurant
_____ SF, Existing Use ______ Proposed Use _____ _
D Pool/Spa: _____ SF Additional Gas or Electrical Features? ___________ _
□□ □□ □□ D Solar: ___ KW,. ___ Modules,, ___ Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No
D Plumbing/Mechanical/Electrical Only: ------------------------
□ Other:
This permit Is to be issued In the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the
owner or contractor. The person listed as the Applicant below will be the main point of contact throughout the permit process.
PROPERTY OWNER APPLICANT I] PROPERTY OWNERS AUTHORIZED AGENT APPLICANT 0
Name: Zhengyi Pan Name: _________________ _
Address: 2501 El Camino Real Suite 210 Address: _________________ _
City: Carlsbad State: CA Zip: 92008 City:. _________ State:. ___ Zip:. ___ _
Phone: (626)453-6587 Phone: _________________ _
Email: tastynoodlehouseca@gmail.com Email: __________________ _
DESIGN PROFESSIONAL APPLICANT O CONTRACTOR BUSINESS APPLICANT Iii
Name:. ________________ Name: Ruifeng Li / Arlico
Address: Address: 10373 Trademark St. Ste i
City: _______ State: ___ Zip:. ____ City:Rancho Cucamonga State:_C_A __ Zip:91730
Phone: Phone: 626.216.4656
Email: Email: rli@arlico.us
Architect State License: State License: 1026779
1635 Faraday Ave Carlsbad, CA 92008
B-2
Ph: 760-602-2719 Fax: 760-602-8558
Paae 1 of2
Bus. License:. _____ _
Email: Building@carlsbadca.gov
Rev. 08/20
IDENTIFY WHO WILL PERFORM THE WORK BY COMPLETING (OPTION A) OR (OPTION B) BELOW:
(OPTION A): LICENSED CONTRACTOR DECLARATION:
I hereby affirm under penolty of perjury that I om 1/censed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, ond my license Is In full force and effect. I also affirm under
penalty of perjury one of the fol/owing declarations:
0 I have and w1II maintain a certificate or consent to self-Insure for workers' c:ompensatlon ptovldtd by Section 3700 of the labor Cod41, for the pttformance of
the work which this permit Is Issued. Polley No. ______________________ _
'f;il I have and wlll maintain worker's compensation, as required by Section 3700 of the Labor COde, for theffi~r ,nee of the work for whtch this permit Is Issue~ r My workers' com nu Ion Insurance earner and pollcy number are: Insurance Company Name: --~~4ifl1ZMU #8/(CMQi! «Af,f
Polley No. -Expiration Date: -1,(~0'..i./..JJ~'-'"~"""'--------------
D eertrflcate of Exemption: I certify that In the performance of the work for which this permit Is Issued, I shall not employ any pel'$0rl In any manner so as to
become subject to the workers' compensation Laws of California. WARNING: Fallure to secure workers companutlon covera1e Is unlawftll and shall subject an
employer to crlmtnal penaltles and dvll fine, up to $100,000,00, In addition the to the cost of compensation, dam1111 •• prOllldad for In Sadlon 3706 of the
Labor Code, Interest and attorney's fttes.
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there Is a construction tending agency for the performance of the work this permit Is Issue c. 3097 (I) CMI code).
Lender'sName: ____________________ l.ender'sAddress:_...AL--Jt.---------------
CONTRACTOR PRINT:~ (],cfj),//,A
(OPTION B): OWNER-BUILDER DECLARATION:
SIGN:
I hereby affirm that I am exempt from Contractor's Llamse Law for the fol/owing reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure Is not Intended or offered for sale (Sec.
7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who bullds 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 bulldlng or Improvement Is
sold within one year of completion, the owner-builder will have the burden of proving that he did not bulld or Improve for the purpose of sale).
0 I, as owner of the property, am exduslvely contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's Ucense 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 Ucense Law).
0 I am e><empt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
0 •0wner Builder acknowledgement and verification form" has been fllled out, signed and attached to this application. Proof of ldentlflatlon attached.
0 owners "Authorized Agent Form" has been fllled out, signed and attached to this application giving the a~nt authority to obtain the permit on the owner' behalf.
Proof of Identification attached.
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 bullt as an owner-bullder If It has not been constructed In Its entirety by licensed
contractors. J understand that a copy of the appllcab/e Jaw, Section 7044 of the Buslnen and Professions Code, Is oval/able upon request when this application Is
submitted or at the fol/owing Web site: http://www.leglnfo.ca.gov/calaw.html.
OWNER PRINT: SIGN: _________ DATE: _____ _
APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL
By my signature below, I certify that: I am the property owner or State of Calif om/a Licensed Contractor or authorized to act on the property
awner or contractor's behalf I certify that I have read the application and state that the above information is correct and that the
Inf ormatlon on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for iraspectlon purposes. I ALSO AGREE TO SA VE,
INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABII.ITIES, JUDGMENT'S, COSTS AND EXPENSES WHIOI M4YIN ANY WAY
ACCRUE AGAINST SAID Cl7Y IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excovatlons over 5'0'
deep and demalklan o, a>nffndon of"'"'""" ow,, 3 ,..,,., ,n heigh: ~
APPLICANT PRINT: Ruifeng Li SIGN: G~~ -DATE: kl f \ q., / ~/
✓-
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760·602-2719 Fax: 760-602-855 Email: Bullding@carlsbadca.gov
PERMIT INSPECTION HISTORY for (CBC2021-0218)
Permit Type: BLDG-Commercial
Work Class: Tenant Improvement
Status: Closed -Finaled
Application Date: 06/17/2021 Owner: RPI CARLSBAD LP
Issue Date: 01/03/2022 Subdivision: CARLSBAD TCT#76-18
Expiration Date: 09/05/2023
IVR Number: 34012
Address: 2501 EL CAMINO REAL, # 210
CARLSBAD, CA 92008-1215
Scheduled
Date
Actual Inspection Type
Start Date
Inspection No. Inspection Primary Inspector Reinspection Inspection
Checklist Item
BLDG-Building Deficiency
BLDG-14
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Rough-Topout
BLDG-34 Rough Electrical
BLDG-44
Rough-Ducts-Dampers
NOTES Created By
Angie Teanio
Status
COMMENTS
Partial pass. Need third-party hood vent
duct test certificate
TEXT
626-998-1809 Jingpeng
03/17/2023 03/17/2023 BLDG-Final Inspection 205756-2023 Passed Chris Renfro
Monday, March 20, 2023
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
NOTES Created By
Angie Teanio
COMMENTS
TEXT
626-998-1809 Jingpeng
Passed
No
Yes
Yes
Yes
Yes
Created Date
03/06/2023
Passed
Yes
Yes
Yes
Yes
Yes
Created Date
03/16/2023
Complete
Page 2 of 2
Building Permit Inspection History Finaled
C cityof
Carlsbad
PERMIT INSPECTION HISTORY for (CBC2021-0218)
Permit Type: BLDG-Commercial Application Date: 06/17/2021 Owner: RPI CARLSBAD LP
Work Class: Tenant Improvement Issue Date: 01/03/2022 Subdivision: CARLSBAD TCT#76-18
Status: Closed -Finaled Expiration Date: 09/05/2023 Address: 2501 EL CAMINO REAL, # 210
IVR Number: 34012 CARLSBAD, CA 92008-1215
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
04/07/2022 04/07/2022 BLDG-14 179979-2022 Passed Chris Renfro Complete
Frame/Steel/Bolting/We
lding (Decks)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-22 Sewer/Water 179980-2022 Passed Chris Renfro Complete
Service
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-34 Rough 179978-2022 Partial Pass Chris Renfro Re inspection Incomplete
Electrical
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
05/25/2022 05/25/2022 BLDG-17 Interior 183525-2022 Passed Chris Renfro Complete
Lath/Drywall
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
10/25/2022 10/25/2022 BLDG-85 T-Bar, Ceiling 194956-2022 Failed Chris Renfro Reinspection Incomplete
Grids, Overhead
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Need fire inspection of sprinkler system, No
alarm system and hood vent Ansell
system, prior to overhead inspection. Need
third-party hood vent duct test certificate
BLDG-14 No
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Rough-Topout No
BLDG-34 Rough Electrical No
BLDG-44 No
Rough-Ducts-Dampers
03/07/2023 03/07/2023 BLDG-85 T-Bar, Ceiling 204841 -2023 Partial Pass Chris Renfro Re inspection Incomplete
Grids, Overhead
Monday, March 20, 2023 Page 1 of 2
Commercial Test and Balance Report
2501 El Camino Real St e 210, Carlsbad, Ca 92008
9/13/20 22
Certified by
JPS Mechanical
(562)632-6264
Certified Since: February 19, 2015
Certification # 15 -510-22
Expires: February 19, 2023
EXHAUST FAN
MANUFACTURER Central Blower
MODEL 18 Bl
TYPE Power Ventilator
SERIAL NUMBER 72200
EXHAUST FAN MOTOR DATA
MANUFACTURER US Motors
VOL TS/PHASE 115v/1 ph
HORSEPOWER 1
FULL LOAD AMPS 8.8
RPM 1725
EXHAUST MOTOR PULLEY DATA
DIAMETER 10
SHAFT 8"
ADJ/FIXED Fixed
BELT NO. & SIZE A26
EXHAUST FAN PULLEY DATA
DIA METER Direct Drive
SHAFT 1"
ADJ/FIXED Fixed
MAKE UP AIR UNIT
MANUFACTURER
MODEL
STYLE
SERIAL NO.
Champion
N41SD
Evap Cooler
GJ1060543
MAU MOTOR DATA
MANUFACTURER Dail
VOL TS/PHASE 115v/1 ph
HORSEPOWER 1/2
FULL LOAD AMP S 7.9
RPM 1725
MAU MOTOR PULLEY DATA
DIAMETER 4"
SHAFT 1"
ADJ/FIXED Adj
BELT NO. & SIZE A54
MAU FAN PULLEY DATA
DI AMETER
SHAFT
ADJ/FIXED
REMARKS
11"
1"
Fixed
Exhaust Duct Hood 1 3,024
Make Up Air Register 1,500 1,534
Make Up Air Register 1,500 1,523
TOT AL MAKEUP AIR 3,000 3,057
DIFFERENCE 0 33
HORSEPOWER 1 1
AMP DRAW 8.8 3.2
MOTOR RPM 1725 1721
STATIC PRESSURE 1.5 0.89
HORSE POWER 1/2 1/2
AMP DRAW 7.9 3 .6
MOTOR RPM 1725 1732
STATIC PRESSURE 1 0.97
HOOD TYPE 1 OR 2
HOOD DIMENSIONS
HOOD AREA -SQ. FT.
FILTER TYPE SS Baffel SS Baffel
iEXH~USTi O:U.GiTi#.11
DUCT DIMENSIONS 22"X12" 22"X12"
DUCT AREA -SQ. FT. 1.83 1.83
DUCT FPM 1,639 1,652
DUCT DIMENSIONS 18" 18"
REGISTER DIMENSION 24"x24" 24"x24"
Make Up Air Register CFM 1,500 1,534
Make Up Air Register CFM 1,500 1,523
use EF-1 & EF-2 lnter1ock with Make Up Air unit MUA-1 & MUA-2,unlt test:PASS, Mechlnlcal units are+/-10% with In range of plans specs
1-ll.tloa.c·~,is 10'-0"-T'-0" (Section) long with (1) duct(s), 22"x12" (1) exhaust fans (1) Make up air fan
FILTERS-(7) 20" X 16" SS Captrate Solo Grease filters
UL Listed Hood CFM Calculation
10 x 300= 3,000 CFM (Per Plans) per CMC Section 508.10.1.4
c 2022 JPS Mechanical
DATE
13-Sep-2022
PROJ ECT
Tasty Noodle
2501 El Camino Real Ste 210, Car1sbad,
Ca 92008
SYSTEM
EF-1
READINGS BY
Joel Perales
JOB NUMBER
091 322
n:s E
0 (.) l:! ·-C: ro n:s E ..c: 0)
(.) @) Cl) ro :E (.) (.)
en ro > a.. .c
Cf) -, a. -,
EXHAUST FAN
MANUFACTURER Central Blower
MODEL 18 Bl
TYPE Power Ventilator
SERIAL NUMBER 78129
EXHAUST FAN MOTOR DATA
MANUFACTURER Weg
VOL TS/PHASE 115v/1 ph
HORSEPOWER 1.5
FULL LOAD AMPS 13
RPM 1740
EXHAUST MOTOR PULLEY DATA
DIAMETER 4"
SHAFT 5/8"
ADJ/FIXED Fixed
BELT NO. & SIZE A40
EXHAUST FAN PULLEY DATA
DIAMETER 6"
SHAFT 1"
ADJ/FIXED Fixed
MAKE UP AIR UNIT
MANUFACTURER
MODEL
STYLE
SERIAL NO.
Champion
N41SD
Evap Cooler
HC1100222
MAU MOTOR DATA
MANUFACTURER Dail
VOL TS/PHASE 115v/1 ph
HORSEPOWER 3/4
FULL LOAD AMPS 10.9
RPM 1725
MAU MOTOR PULLEY DA TA
DIAMETER 4"
SHAFT 1"
ADJ/FIXED Adj
BELT NO. & SIZE A54
MAU FAN PULLEY DATA
DIAMETER
SHAFT
ADJ/FIXED
REMARKS
11"
1"
Fixed
Exhaust Duct 1
Exhaust Duct 2
Make Up Air R ister
Make Up Air Register
TOT AL MAKEUP AIR
DIFFERENCE
HORSEPOWER
AMP DRAW
MOTOR RPM
STATIC PRESSURE
HORSE POWER
AMP DRAW
MOTOR RPM
STATIC PRESSURE
HOOD 1YPE 1 OR 2
HOOD DIMENSIONS
HOOD AREA • SQ. Ff.
FILTER 1YPE
rEX.tiAUSJt Dl!.CTf#.1I
DUCT DIMENSIONS
DUCT AREA • SQ. Ff.
DUCT FPM
DUCT DIMENSIONS
REGISTER DIMENSION
Make Up Air Register CFM
Make Up Air R ister CFM
3,000 2,982
3,000 3,022
3,000 3,012
3,000 2,967
6,000 5,979
0 24
1.5
13 3.6
1740 1722
1.5 1.3
3/4 3/4
10.9 4.3
1725 1721
1 0.89
22" X 11" 22" X 11"
1.68 1.68
1,785 1,775
24"x24" 24"x24"
3,000 3,012
3,000 2,967
use EF-1 & EF-2 Interlock with Make Up Air unit MUA-1 & MUA-2,unlt test:PASS, Mechlnlcal units are+/-10% with In range of plans specs
II-L"""-"""-'·..1..,is 13'-0"-4''.Q" (Section) long with (2) duct(s), 22"x1 1" (1) exhaust fans (1) Make up air fan
El LIEB$· (9) 16" X 16" SS Capt rate Solo Grease filters
UL Listed Hood CFM Calculation
13 x 400= 6,000 CFM (Per Plans) per CMC Section 508.10.1.4
c 2022 JPS Mechanical
DATE
13-Sep-2022
PROJECT
Tasty Noodle
2501 El Gamino Real Ste 210, Carlsbad,
ca 92008
SYSTEM
EF-2
READINGS BY
Joel Perales
JOB NUMBER
091322
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(.) @)
(1) cu :ilE (.)
(.)
ti) cu > a.. .c
Cl) -, a.
7
CERTIFICATE OF CALIBRATION
TSI Incorporated, Alnor Products, 500 C1rdlg1n Road, Shoreview, MN 55126 USA
Tu:1-800-874-2811 1-651-490-2811 FAX: 1-651-490-3824 www.1lnor.com
\.
TEMPERATURE 71.9 Of
RELATIVE HUMIDITY 28.6 %
BAROMETRIC PRESSURE 28.4 in.Hg
,__.,.,...
CALIBRATION STANDARDS USED
Capture Hood Calibration System I
I-··
MODEL
SERIAL NO.
181AS LEFT
□As FOUND
LoFlo Balometer®
62000
72128401
181 IN TOLERANCE
0 OUT OF TOLERANCE
CALIBRATION DATA
AIR VOLUME MEASURED IN ft3/min Tolerance:±( 3" of reading+ 5.0 cfm)
VENT SUPPLY DATA RETURN DATA
POSITION
CALIBRATION INSTRUMENT ALLOWABLE CALIBRATION INSTRUMENT ALLOWABLE
STANDARD OUTPUT RANGE STANDARD OUTPUT RANGE
CLOSED 15 16 10 • 20 15 16 10 -20
CLOSED 49 47 43.55 49 47 43 -55
CLOSED 100 101 92 -108 100 101 92 · 108
OPEN 223 222 211 • 235 223 223 211 • 235
OPEN 300 297 286 • 314 300 298 286-314
OPEN 448 446 430 · 466 450 448 432 • 469
• Indicates out of tolerance condition
Standard Conditions: Ambient Temperature • 21.1 °C, Barometric Pressure= 760.0 mmHg
TS/ Incorporated doa lrenby certify that tl1t above dtscrlbtd Instrument cofl/orms to tht original manufacturer's sptc/Jlcatlons ( not
applicable to A.r Found data) and Ira bttn calibrated using .rtandt1rd.r who.rt accuracies are tractable to tht National Institute of
Standards and Technology wltltln the /Imitations of NIST's ca/lbrt1tlon services or have been dtrlvtdfrom accepted values of natural physical constants or have bttn derived by tht ratio type of self calibration techniques. The calibration ratio for this Instrument Is at /eat J.6:1. TS/ Is reglsttndto IS0-9001:1015 and compiles with ISO 10011:1003, Quality Assurance Rtqulrtmtntsfor
Measuring Equlpmtnl. This nport may not be nprodl,ced, except In full, 11n/ess µrmlsslon for the pub/lcatlon of an approved alntract Is obtained In writing from tht calibration organization ls.ruing this report.
Mm11~m~DI Vaciabl~ Snl~m 10 ~11m~c Cl111~ Lui C11libc11~d C11libl:lli!lll Cl~ Dile
DC Voltage E0102S6 06-08-21 06-30-22
Thermometer E002044 01-12-22 07-31-22
Pressure EOOISS4 03-11-22 09-30-22
Pressure E002079 03-11-22 09-30-22
Pressure E010849 01-24-22 07-31-22
Flow E0I0 l37 09-14-18 09-30-22
Flow E0040l4 09-17-18 09-30-22
Flow E0040l3 09-13-18 09-30-22
Barometric Pressure E003782 06-01-21 06-30-22
Calibration procedure used: 10000026901
Mar. 30, 2022
Calibration Date
TEMPERATURE
RELATIVE HUMIDITY
BAROMETRIC PRESSURE
CALIBRATION STANDARDS USED
CERTIFICATE OF CALIBRATION
TSI Incorporated, Alnor Products, 500 Cardigan Road, Shoreview, MN 5S126 USA
TEL:1-800-874-2811 1-651-490-2811 FAX: 1-651-490-3824 www.alnor.com
22.2 oc
28.6 %
721.4 mml·lg
\.,
MODEL
SERIAL NO.
LoFlo Balometer®
6200D
72128401
181 IN TOLERANCE
Capture Hood Calibration System I
181 AS LEFT
OAS FOUND 0 OUT OF TOLERANCE
/ CALIBRATION DATA
AIR VOLUME MEASURED IN 1/s Tolerance:±( 3% of reading+ 1.1/ lls)
VENT SUPPLY DATA RETURN DATA
POSITION
CALIBRATION INSTRUMENT A LLOWABLE CALIBRATION INSTRUMENT ALLOWABLE
STANDARD OUTPUT RANGE STANDARD OUTPUT RANGE
CLOSED 7.1 7.6 4.5 -9.7 7.1 7.6 4.5-9.7
CLOSED 23 ~ 22 20-26 23 22 20-26
CLOSED 47 48 43 · 51 47 48 43-51
OPEN 1or 105 99 • 111 105 105 99 • 111
OPEN 141 140 134 • 148 141 141 134-148
OPEN 212 210 203 • 221 212 211 203 · 221
~
~
• Indicates out of tolerance condition
Standard Conditions: Ambient Temperature = 21.1 •c. Barometric Pressure a 760.0 mm Hg
TS/ Incorporated does htrtb)I certify that the above described Instrument conforms to the original manufacturer's specifications ( not
applicable to As Found data) and has been calibrated using standards whose accuracies are traceable lo the National Institute of
Standards and Technology within the /Imitations of NIST's calibration services or have been derived from accepted va/11es of nat11ral
physical constants or have been derived by the ratio type of self calibration techniques. The calibration ratio for this Instrument is at
least 1.6: 1. TS/ Is registered to /S0-900/:2015 and complies with ISO /0012:2003, Quality Assurance Requirements/or
Measuring Equipment. This report may not be reproduced, except In full, unless permission for the pub/lent/on of an approved
abstract Is obtained In writing from tlle calibration organization Issuing this report.
M~Ml!r~ment V1ri~l!l~ S~~tem IQ tll!ml!~c Cl@lt L~~! Calibrate!! ~tlil!rntisia Cll!t Dote
DC Voltage E010256 06-08-21 06-30-22
Thermometer E002044 01-12-22 07-31-22
Pressure EOOI 554 03-11-22 09-30-22
Pressure E002079 03-11-22 09-30-22
Pressure EOI0849 01-24-22 07-31 -22
Flow EOIOl37 09-14-18 09-30-22
Flow E004014 09-17-18 09-30-22
Flow E004013 09-13-18 09-30-22
Barometric Pressure E003782 06-01 -21 06-30-22
Calibration procedure used: 10000026901
~By
Mar.30,2022
CERTIFICATE OF CALIBRATION
cusro11a1 JP MICHANICAL CAUIIIIATION DAffl
PONU--1 NIA CAUUATION DUI:
INff. IIANUfACTUUR1 FIELDPIECE l'ltOCIDUltll
INII'. DISCIIIPTIONJ THERMOANEMOMETER CAUllltATION FLUID:
IIODI&. NUMUlt1 STA2 ltlCalVID CONDITIONa
ARIALNUll■a, 122294 UPT CONDfflONa
IIATID ACCUltAC1'1 ± 5% RD. ••0 :t 1.0°F AIIBIINr CONDfTIONSz
UNCUTAINTY .. VIN, ± 0.37% RD ; K=2 CIIITIIICATI RU #1
NOTIS: Q..MANUAL IM 2.0 REV 2020..2 DATED 7•27-2020 .... DICISION IWLE: NO PFA1'
.,,,. \
UUT DII.STD. UUT DMSTD. ~ INDICATID ACTUAL INDICATID ACTUAL l I FT/MIN FT/MIN DIG.F DN.F
64 67 -4 TO 140•F -4 TO 140°F I
r 517 527 I 43.3 43.8 I
1035 1055 73.6 ,._,... 74A j
1520 1547 98.5 99.1 i ~ 2196 2239
2541 2595
3025 3099
3942 I 4055
05/11/2022
05/11/2023
T. O.33K6-4-1769-1
AIR@ 14.7 PSIA 70°F
WITHIN MFG. SPECS.
WITHIN MFG. SPECS.
763mm HGA 48% RH 72°F
509930.2022
I -:-:--:---,----=Sf==AN!!::=:P=All==DS===U=S=IQ:!:::-________ ~----~-----1
A220: 12• WIND TUNNEL O -8000 FPM CMC :t 0.203% RD I TRACE# 1329407628 DUE 04/26/2023
A24: HART SCIENTIFIC TEMP. STANDARD I :t 0.024 FI TRACE# 1649766843 DUE 04/12/2023
All instruments used in the performance of the shown calibration have traceability to the National Institute of Standards and Technology (NIST). The
uncertainty ratio between the calibration standards (OM.STD.) and the Unit Under Test (UUT) is a minimum of 4: I, unless otherwise noted. Calibration
has been performed according to the shown procedure. The use ofIAS/ILAC logo indicates calibrations are in accordance to ISO/IEC 17025:2017.
Dick Munns Company • 11133 Winners Circle, Los Alamitos, CA 90720
Phone: 71~827-1215 · www.dlckmunns.com
Tbb CaUbratloa Ctrtlllcate 1ball aot be reproduced uccpl, la full, wltbout appraYal b:, Dick M11na1 Company. Tbt data sbowa appUet oaly to tbt la1tr11mtat btln& calibrated and 11adtr tbt
stated condllloDJ of calibration.
Issuing Date: Cal. Technician: Calibrated at: LLab
_ On-Site (Customer's)
12,C, Page __j_ of _L
SAN DIEGO REGIONAL
HAZARDOUS MATERIALS
QUESTIONNAIRE
Buslnou Conlaet
OFFlCE USE ONLY
RECORD ID•------------------
PLAN CHECK•-Cw' B..,..c __ ;i...,o"""\.l.__.)_-.... a .... 2 .... L!3....,__ ____ _
BP DATE ( L
Stat&
Plan FIie#
or lo an su mitta .
Occupancy Rating: F1clllty'1 Square Footage (Including proposed project):
1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactlves
2. Compfessed Gases 6. OXidlzers 10. Cryogenics
3. Aammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials
4. Aammable Solids 8. Unstable Reactlves 12. Radioactives
13. Corrosives
1j._ Other Health Hazards & None of These.
PART II· SAN DIEGO COUNTY DEPARTMENT Qf ENVl~ONMENTAL H~LTH H~DOUS MATERIALS DMSl~N (HMD): If the answer to any of the
questiok ls yes, applicant must contact the County of San ego Haz.ardous alerials Divisn, 5500 Overland Avenue, Sule 170, San Diego, CA 92123.
Can {858) 50~700 prior to the issuance of a building permit.
FEES ARE REQUIRED Project Completion Dale: Expected Dale of Occupancy: 0 CalARP Exempt
,.
2.
3.
4.
5.
6.
7.
8.
YES NO (for naw construction or remodeling projects) 0 i] Is your business listed on the reverse side of this form? (check all that apply). 0 181 Will your business dispose of Hazardous Substances or Medical Waste In any amount? 0 .181 Will your business store or handle Hazardous Substances In quantities greater than or equal to 55 gaUons, 500
D D D D D
pounds and/or 200 cubic feel? t!!I Will your business store or handle carcinogens/reproductive toxins in any quantity? 181 Will your business use an existing or Install an underground storage tank?
~ Will your business store or handle Regulated Substances (CatARP)?
(is] Will your business use or Install a Hazardous Waste Tank System (Title 22, Article 10)?
l2Q 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 Aboveground Petroleum Storage Act).
Date lnltlals
0 CalARP Required
I
Date Initials
0 CalARP Complete
Date Initials
PART m: SAN DIEGO COUNTY AlR POLLUTION CONTROL DISTRICT (AP~D): The following questions are Intended to Identify the majority of air polluUon
issues et the planning stage. Your project may require additional measures not i entilied by these questions. Some residential projects may be exempt from APCD
requirements. If yes is answered for either questions 1, 2 or 5 or for more comprehensive requirements, please contact APCD at apcdcomp@sdcounty.ca.gov:
(858) 586-2650; or 10124 Old Grove Road, San Diego, CA 92131.
1.
2.
3.
4.
5.
6.
YES NO
§ ~ Will the project disturb 100 square feet or more of existing building materials?
Will any load supporting structural members be removed?
(ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by an individual that has passed an EPA-approved
building Inspector course?
D
D
D
O (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Based on the survey results, will the project disturb any asbestos containing material? If yes, a
notification may be required at least 10 working days prior to commencing asbestos removal. Addltlonally, a notlficaUon may be required prior to
the removal of a load supporting structural member(s) regardless of the presence of asbestos.
~ yYill the project or associated construction equipment emit air contaminants? See the reverse side of this form for typical equipment requiring an
APCD permit. If yes, contact APCD prior to the Issuance of a building permlL O (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school
bounda
ent Date
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:. _______________________________ _
BY· DATE·
EXEMPT OR NO FURTHER IHFOl'UllATIOH REQUIRED RELEASED FOR BUILDING PERMIT BIIT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY-HMO• APCO COUNTY-HMO APCO COUNTY-HMO APCD
•A stamp in this box only exempts businesses from completing or updating a Hazerdous Materials Business Plan. Other perm1ttlng requirements may still apply
HM-9171 (9/18) County of San Diego • DEH -Hazardous Materials Division
ENCINA WASTEWATER AUTHORITY
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
SCREENING SURVEY
6200 Avenida Encinas, Carlsbad, CA 92011
Phone: 760-438-3941 Fax: 760-476-9852
SourceControl@encinajpa.com
The commercial enterprises listed below are a partial listing of businesses that are exempt from industrial wastewater discharge
permitting under normal operating conditions. They are exempt because (a) they discharge no process wastewater (i.e., they
only discharge sanitary wastewater with no pollutants exceeding any local limits}, and (b) they have no potential to negatively
impact the EWPCF or other wastewater treatment plants in the ESS. Any questions regarding exemptions should be referred
to EWA Source Control staff.
□ Automobile Detailer s
□ Barber/Beauty Shops
□ Business/Sales Offices
□ Cleaning Services
□ Carpet/Upholstery
□ Childcare Facilities
□ Churches
□ Community Centers
□ Consulting Services
□ Contractors
□ Counseling Services
□ Educational Services (no auto repair/film
□ Financial Institutions/Services
□ Fitness Centers
□ Gas Stations (no car wash/auto repair)
□ Grocery Stores (no film developing)
□ Residential based Businesses
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
00 Restaurants/Bars D Retail/Wholesale Stores (no autorepair/film
developing)
D Theaters (Movie/Live)
CERTIFICATION STATEMENT
I certify that the information above is true and correct to the best of my knowledge.
Signature: __ ,,.L·d_...c.~"-..,,_j~~__::_-=~::...· · ____ _
-='c.7 J Print Name: _R_u_if_e _n_g_L....c....· i __ _
6/14/2021
Date: ____ _
FacilityContact:Tiffany Yu Corporation Manager T itle: ______________ _
ENCINA WASTEWATER AUTHORITY
6200 AVENI DA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852
SourceControl@encinajpa.com
Page 2 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
Date:6/14/2021
Business Name: Tasty Noodle House
Street Address: 2501 El Camino Real, Ste 210, Carlsbad, CA 92008
Email Address: tastynoodlehouseca@gmail.com
PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT : (ON REVERSE SIDE CHECK TYPE OF BUSINESS) I ✓ I
Check all below that are present at your facility:
Acid Cleaning D Food Processing D Metal Powders Forming
Assembly D Glass Manufacturing D Nutritional SupplemenWitamin
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 D 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/Storage
NewBusiness?YesE)NoO SICCode(s)ifknown: ______ Date operation began/will begin: 10/1/2021
Tenant Improvement? Yes E]NoO If yes, briefly describe improvement: _n_e_w---'-p_a_rt_it_io_n_w_a_ll, _________ _
new electrical and plumbing works, install new type '1' grease hood and fans
Description of operations generating wastewater (discharged to sewer, hauled or evaporated): food grease
Estimated volume of industrial wastewater to be discharged (gal/ day) : _6_0 ___________________ _
List hazardous wastes generated (type/volume):_n_/a __________________________ _
Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? YesODate: _____ No[!]
Page 1 of 2