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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 -E co 0 (.) (.) ·-C: cu co E .c: 0) (.) @) (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