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Home My WebLink About2460 IMPALA DR; ; CBC2024-0014; PermitBuilding Permit Finaled Ccityof Carlsbad Commercial Permit Print Date: 08/28/2024 Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: 2460 IMPALA DR, CARLSBAD, CA 92010-7226 BLDG-Commercial 2090412100 $49,282.20 Work Class: Track#: Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Tenant Improvement Permit No: Status: (8(2024-0014 Closed -Finaled Applied: 01/11/2024 Issued: 03/14/2024 Finaled Close Out: 08/28/2024 Final Inspection: 08/13/2024 INSPECTOR: Alvarado, Tony Kersch, Tim Description: JAZZERCISE: (855 SF) TENANT IMPROVEMENT INCLUDING RESTROOMS FOR ADA COMPLIANCE Applicant: M ICHELE KUSH 925 FORT STOCKTO N DR SAN DIEGO, CA 92103-1817 (619) 297-6153 FEE BUILDING PLAN CHECK Property Owner: JAZZERCISE INC 2460 IMPALA DR CARLSBAD, CA 92010-7226 (760) 476-1750 BUILDING PLAN REVIEW -MINOR PROJECTS (LDE) BUILDING PLAN REVIEW -MINOR PROJECTS (PLN) CERTIFICATE OF OCCUPANCY COMM/IND Tl -NON-STRUCTURAL SB1473 -GREEN BUILDING STATE STANDARDS FEE STRONG MOTION -COMMERCIAL (SMIP) Total Fees: $1,689.90 Total Payments To Date: $1,689.90 Contractor: SPW CONSTRUCTION DBA WHITE CONSTRUCTION 1808 ASTON AVE, # STE 100 CARLSBAD, CA 92008-7369 (760) 931-1130 Balance Due: AMOUNT $533.00 $197.00 $104.00 $20.00 $820.10 $2.00 $13.80 $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT AP PLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Building Division Page 1 of 1 1635 Faraday Avenue, Carlsba d CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov { City of Carlsbad COMMERCIAL BUILDING PERMIT APP LI CATION B-2 Plan Check Cty 1,,()2-~ -0() I j Est. Value PC Deposit 1535. DO Date 1-I I -#Vj Job Address 2460 IMPALA DRIVE CARLSBAD, CA 92010 Suite: NIA APN: 209-041-21 -----· Tenant Name#: JAZZERCISE Lot#: PAR 1 PM2o9-o5 Year Built: 1985 --------------------------- Year Built: 1985 ---Occupancy: B & s, Construction Type:_111 __ Fire sprinklers@'ES0NO A/C:{vYES0No BRIEF DESCRIPTION OF WORK: COMMERCIAL TENANT IMPROVEMENT D Addition/New: ____________ New SF and Use, __________ New SF and Use ______ SF Deck, SF Patio Cover, SF Other (Specify) ___ _ 0Tenant Improvement: _85_5 ____ SF, Existing Use: OFFICE/WAREHOUSE Proposed Use: OFFICE/WAREHOUSE _____ SF, Existing Use: _______ Proposed Use: ______ _ D Pool/Spa: _____ SF Additional Gas or ElectricalFeatures? ____________ _ D Solar: KW, ___ Modules, Mounted:ORoof OGround D Re roof: _____________________________________ _ [{] Plumbing/Mechanical/Electrical D Other:-------------------------------------- APPLICANT (PRIMARY CONTACT) Name: MICHELE ARNOLD-KUSH Address· 925 FORT STOCKTON DRIVE PROPERTY OWNER Name: JAZZERCISE City· SAN DIEGO State:_c_A __ .Zip: 92103 Address: 2460 IMPALA DR. City: CARLSBAD State:_c_A __ Zip: 92010 Phone· 619-297-6153 Phone: 760-602-7143 Email· MICHELE@SAFDIERABINES.COM Email: bjones@jazzercise.com DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: SAME AS APPLICANT Business Name: WHITE CONSTRUCTION INC Address: Address: 1808 ASTON AVE . STE. 100 City: ________ State: ___ Zip: _____ City: CARLSBAD State: CA Zip:_9_20_0_8 ____ _ Phone: Phone: 760-931-11130 Email: Email: NANCY@WHITECONSTRUCTIONINC.COM Architect State License: CSLB License#: 1023856 Class:_B ______ _ Carlsbad Business License# (Required): BLNRooo431-02-2o17 APPLICANT CERT/FICA T/ON: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT): Michele Arnold-Kush SIGN: ----------DATE: 01 .11 .2024 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov 1 REV. 07/21 THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: _______ _ A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE. (OPTION A): LICENSED CONTRACTOR DECLARATION: /herebyaffirmunderpenaltyofperjurythatlamlicensedunderprovisionsofChapter9(commencingwithSection7000)ofDivision3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the fallowing declarations (CHOOSE ONE}: D1 have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. PolicyNo .. _____________________________________ _ -OR- [!)1 have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: lnsuranceCompany Name: _..,,._c_ .. _eo_o1_-._,..,._· _. •_A ______________ _ Polley No. 73•22•512 Expiration Date: _1_11125 _____________ _ -OR- Ocertificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage Is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000.00, In addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code, Interest and attorney's fees. CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). lender's Name: ____________________ Lender's Address: ___________________ _ CONTRACTOR CERT/FICA TION: I certify that I have read the opp/ icationand state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construct ion. NAME (PRINT): Nancy Young, Project jfSIGNATUR ... ·....L.~-::Q...;4::::::.i.::=-----DATE: 3113124 Note: If the person signing above Is an authorized agent for the contractor provide a letter of t on contractor letterhead. -OR - (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: n I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. '-7d44, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). -OR- 01, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). -OR-□I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, D FORM 8·61 "Owner Builder Acknowledgement and Verification Form" is required for any permit issued to a property owner. By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors./ understand that a copy of the applicable low, Section 7044 of the Business and Prof essions Code, is available upon request when this application is submitted or at the f ollowing Web site: http :llwww.leginfo.co.gov/colow.html. OWNER CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT): SIGN: _________ DATE: _____ _ Note: If the person signing above is an authorized agent for the property owner Include form B-62 signed by property owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442·339-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov 2 REV. 07/21 Building Permit Inspection History Finaled {city of Carlsbad PERMIT INSPECTION HISTORY for (CBC2024-0014) Permit Type: BLDG-Commercial Application Date: 01/11/2024 Owner: JAZZERCISE IN C Work Class: Tenant Improvement Issue Date: 03/14/2024 Subdivision: PARCEL MAP NO 12855 Status: Closed -Finaled Expiration Date: 11/18/2024 Address: 2460 IMPALA DR IVR Number: 54211 CARLSBAD, CA 92010-7226 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Date Start Date Status 05/02/2024 05/02/2024 BLDG-21 247155-2024 Passed Tim Kersch 05/17/2024 Underground/Underflo or Plumbing Checklist Item BLDG-Building Deficiency COMMENTS 05/17/2024 BLDG-14 248792-2024 Partial Pass Tony Alvarado Frame/Steel/Bolting/We lding (Decks) Checklist Item BLDG-Building Deficiency COMMENTS 1. Non-loadbearing partition ADA, interior building footprint restroom walls, per engineered, plans, and detail specifications -partial pass. 2. No scope of rough electrical work ready. BLDG-34 Rough Electrical 248793-2024 Failed Tony Alvarado Checklist Item BLDG-Building Deficiency COMMENTS 1. Non-loadbearing partition ADA, interior building footprint restroom walls, per engineered, plans, and detail specifications -partial pass. 2. No scope of rough electrical work ready. BLDG-SW-Inspection Checklist Item 248914-2024 COMMENTS Partial Pass Tony Alvarado Are erosion control BMPs functioning properly? Are perimeter control BMPs maintained? Is the entrance stabilized to prevent tracking? Have sediments been tracked on to the street? Has trash/debris accumulated throughout the site? Are portable restrooms properly positioned? Do portable restrooms have secondary containment? Wednesday, August 28, 2024 Reinspection Inspection Complete Passed Yes Reinspection Incomplete Passed Yes Reinspection Incomplete Passed No Reinspection Incomplete Passed Yes Yes Yes Yes Yes Yes Yes Page 1 of 5 I PERMIT INSPECTION HISTORY for (CBC2024-0014) Application Date: 01/11/2024 Owner: JAZZERCISE INC Permit Type: BLDG-Commercial Work Class: Tenant Improvement Issue Date: 03/14/2024 Subdivision: PARCEL MAP NO 12855 Status: Closed -Finaled Expiration Date: 11/18/2024 IVR Number: 54211 Address: 2460 IMPALA DR CARLSBAD, CA 92010-7226 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 05/21/2024 05/21/2024 BLOG-24 Rough/Topout 249108-2024 Passed Tony Alvarado Checklist Item COMMENTS BLDG-Building Deficiency BLOG-34 Rough Electrical 249109-2024 Passed Tony Alvarado Checklist Item BLDG-Building Deficiency COMMENTS May 21, 2024 1. Non-loadbearing partition ADA, interior building footprint restroom walls, per engineered, plans, and detail specifications -partial pass. 2. Rough combination inspection for MEPS -OK. BLOG-44 Rough/Ducts/Dampers 249110-2024 Partial Pass Tony Alvarado Checklist Item COMMENTS BLDG-Building Deficiency Mechanical ducting sealant at two restroom locations -partial pass BLDG-84 Rough Combo(14,24,34,44) 249219-2024 Checklist Item BLDG-14 Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout BLDG-34 Rough Electrical BLDG-44 Rough-Ducts-Dampers COMMENTS BLOG-SW-Inspection Checklist Item 249220-2024 COMMENTS Wednesday,August28, 2024 Are erosion control BMPs functioning properly? Are perimeter control BMPs maintained? Is the entrance stabilized to prevent tracking? Have sediments been tracked on to the street? Has trash/debris accumulated throughout the site? Are portable restrooms properly positioned? Do portable restrooms have secondary containment? Partial Pass Tony Alvarado Partial Pass Tony Alvarado Complete Passed Yes Complete Passed Yes Relnspectlon Incomplete Passed Yes Re Inspection Incomplete Passed Yes Yes Yes Yes Reinspection Incomplete Passed Yes Yes Yes Yes Yes Yes Yes Page 2 of 5 PERMIT INSPECTION HISTORY for (CBC2024-0014) Permit Type: BLDG-Commercial Application Date: 01/1 1/2024 Owner: JAZZERCISE INC Work Class: Tenant Improvement Issue Date: 03/14/2024 Subdivision: PARCEL MAP NO 12855 Status: Closed -Finaled Expiration Date: 11/18/2024 Address: 2460 IMPALA DR IVR Number: 54211 CARLSBAD, CA 92010-7226 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 05/22/2024 05/22/2024 BLDG-16 Insulation 249421-2024 Passed Tony Alvarado Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-85 T-Bar, Ceiling 249311-2024 Passed Tony Alvarado Complete Grids, Overhead Checklist Item COMMENTS Passed BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers BLDG-SW-Inspection 249422-2024 Partial Pass Tony Alvarado Reinspect ion Incomplete Checklist Item COMMENTS Passed Are erosion control BMPs Yes functioning properly? Are perimeter control BMPs Yes maintained? Is the entrance stabilized to Yes prevent tracking? Have sediments been tracked Yes on to the street? Has trash/debris accumulated Yes throughout the site? Are portable restrooms Yes properly positioned? Do portable restrooms have Yes secondary containment? 06127/2024 06/27/2024 BLDG-Final Inspection 253207-2024 Partial Pass Tony Alvarado Reinspection Incomplete Wednesday, August 28, 2024 Page 3 of 5 PERMIT INSPECTION HISTORY for (CBC2024-0014) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Closed -Finaled Application Date: 01/11/2024 Owner: JAZZERCISE INC Issue Date: 03/14/2024 Subdivision: PARCEL MAP NO 12855 Expiration Date: 11/18/2024 IVR Number: 54211 Address: 2460 IMPALA DR CARLSBAD, CA 92010-7226 Scheduled Date Actual Inspection Type Start Date Inspection No. Inspection Primary Inspector Reinspection Inspection Status Checklist Item COMMENTS BLDG-Building Deficiency June 27, 2024: 08/13/2024 BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final 08/13/2024 BLDG-Final Inspection Checklist Item BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final BLDG-SW-Inspection Wednesday, August 28, 2024 tenant improvement for two ADA title 24 compliant restrooms -partial approval. Pending: 1. ADA restroom signage required at restroom door, and wall locations for both (male and female) restrooms. 2. Toilet water tank flush handle required to be reversed at both male and female restroom locations. Note: a) Informed Contractor representative. b) Photos will suffice for final building inspection approval. 3. the rest of interior, tenant improvement, ADA restroom upgrades -OK per approve stamped, signed plans and detail specifications. 257877-2024 COMMENTS August 13, 2024: Passed Tony Alvarado Existing Tenant improvement for (2) -alteration of existing ADA title 24 compliant restrooms -final approval OK. Pending items completed: 1. ADA restroom signage required at restroom door, and wall locations for both (male and female) restrooms-installed and approved. 2. Toilet water tank flush handle required to be reversed at both male and female restroom locations-installed, verified, and approved. a) Informed Contractor representative. b) Photos will suffice for final building inspection approval. 3. the rest of interior, tenant improvement, ADA restroom upgrades -OK per approve stamped, signed plans and detail specifications. 257878-2024 Passed Tony Alvarado Passed Yes Yes Yes Yes Yes Passed Yes Yes Yes Yes Complete Complete Page 4 of 5 PERMIT INSPECTION HISTORY for (CBC2024-0014) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Closed -Finaled Application Date: 01/11/2024 Owner: JAZZERCISE INC Issue Date: 03/14/2024 Subdivision: PARCEL MAP NO 12855 Expiration Date: 11/18/2024 IVR Number: 54211 Address: 2460 IMPALA DR CARLSBAD, CA 92010-7226 Scheduled Date Actual Inspection Type Start Date Inspection No. Inspection Primary Inspector Reinspection Inspection Wednesday, August 28, 2024 Checklist Item Are erosion control BMPs functioning properly? Are perimeter control BMPs maintained? Is the entrance stabilized to prevent tracking? Have sediments been tracked on to the street? Has trash/debris accumulated throughout the site? Are portable restrooms properly positioned? Do portable restrooms have secondary containment? Status COMMENTS Passed Yes Yes Yes Yes Yes Yes Yes Page 5 of 5 Hazardous Materials Questionnaire Record ID #: Not in System Plan Check#: DEH2024-HHMBP-014137 County of San Diego, Department of Environmental Health and Quality PO Box 129261, San Diego, CA 92112-9261 (858) 505-6700 (800) 253-9933 www.sdcdehq.org Business Name Jazzercise Business Contact michele Arnold Kush Telephone # Plan File # ( 161) 920-3835 Project Address 2460 impala DR 11 0 130 City carlsbad State CA Zip Code 92010 APN# 209-041-21 Applicant Applicant E-Mail Applicant Telephone# michele Arnold Kush michele@safdierabines.com (161) 920-3835 The o ow ng quest ons reprHent the aclllty • actlvltlu, 0 t e spec c pro eel dHc pt on. PART 1· EIRE DEPARTMENT· HAZARDOUS METERIALS DIVISION· OCCUPANCY CLASSIFICATION: (Not required for projects within the City of San Diego.) Indicate by selecting the item, whether your business will use, process, or store any of the following hazardous materials. If any of the ~ems are selected, Applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: B Facility's Square Footage (Including proposed project): 855 0 Explosive or Blasting Agents D Organic Peroxides 0 Water Reactives D Corrosives D 0 0 Compressed Gases Flammable/Combustible Liquids Flammable Solids D D 0 Oxidizers Pyrophorlcs Unstable Reactives D Cryogenics O Other Health Hazards D 0 Highly Toxic or Toxic Materials Radioactives 0 None of These PART U: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH • HAZARDOUS MATERIALS DIVISION (HMD): If the answer to any of the questions Is yes, applicant must contact the County of San Diego Hazardous Materials Division, in person at 5500 Overland Ave., Suite 110, San Diego, CA 92123, or by phone at (858) 505-6700 prior to issuance of a building permit. FEES ARE REQUIRED. Project Completion Date: 1/2/2024 YES 1. D 2. D 3. D 4. D 5. 0 6. 0 7. D 8. D NO Iii Iii Iii 0 Iii Iii Iii Iii 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 equal to or greater than 55 gallons, 500 pounds, or 200 cubic feet? Will your business handle carcinogens or reproductive toxins in any quantity? Will your business use an existing, or install an underground storage tank? Will your business store or handle Regulated Substances (CalARP)? Will your business use or install a Hazardous Waste Tank System (Title 22, Arlicle 10)? Will your business store petroleum In tanks or containers at your facility with a total storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). 0 0 0 CalARP Exempt CalARP Required CalARP Complete Review Date: PART 111· SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD)· If the answer to Question #1 is 'Yes' and the answer to Question #2 is 'No', the applicant must contact the APCD prior to the issuance of a building or demolition permit. If any answer to Questions #3, #4, or #5 is 'Yes', the applicant must contact the APCD prior to the issuance of a building or demolition permit. If the answer to Question #3 or #4 is 'Yes', the applicant may need to submit an asbestos notifocatlon form to the APCD at least 10 wor1dng days prior to commencing demolition or renovation (some residential projects may be exempt from the notification requirements). Contact the APCD at 10124 Old Grove Road, San Diego, CA 92131 or telephone (858) 586-2600 for more Information. YES NO 1. 00 0 2. 00 0 3. 0 Iii 4. 0 Iii Will any existing building materials be disturbed as part of this project? (If the answer Is 'Yes', an asbestos survey may be required.) Has a survey been performed to determine the presence of asbestos containing materials? Will the project Involve handling or disturbance of any asbestos containing materials? Will the project involve the removal of any load supporting structural member? 5. D Iii Iii Will the subject facility or construction activities Include operations or equipment that emit or are capable of emitting an air contaminant? (See the APCD factsheet at http://www.sdapcd.org/info/facts/permits.pdf 6. 0 (ANSWER ONLY IF QUESTION 5 IS 'YES') Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)? Search the California School Directory at http://www.cde.ca.gov/re/sd/ for public and private schools or contact the appropriate school district. Briefly describe business activities: office Briefly describe proposed project: non load bearing construction I declare under penalty of perjury that to the best of my knowledge and belief, the responses made herein are true and correct. Iii; Fees Acknowledged: Iii michele Amold Kush Name of Owner or Authorized Agent FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: BY: EXEMPT OR NO FURTHER INFORMATION REQUIRED COUNTY-HMO• :.S"''i OF S-0; Cl~ c.P '< VI wro ce M. Martinez IGN .. Tlllf ~:::,,; APCD FOR OFFICIAL USE ONLY RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY COUNTY-HMO APCD 2/27/2024 Date DATE: _________ _ RELEASED FOR OCCUPANCY COUNTY-HMO APCD ·A stamp in this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply. OEHQ_HMD_HMBP _Questionnaire v 2.0 (8/2021) Printed on: 3/13/2024 @ 11.41 AM ( City of Carlsbad PURPOSE CLIMATE ACTION PLAN CONSISTENCY CHECKLIST B-50 Development Services Building Division 1635 Faraday Avenue 442-339-2719 www.carlsbadca.gov This checklist is intended to help building permit applicants identify which Climate Action Plan (CAP) ordinance requirements apply to their project. This completed checklist (B-50) and summary (B-55) must be included with the building permit application. The Carlsbad Municipal Code (CMC) can be referenced during completion of this document by clicking on the provided links to each municipal code section. NOTE: The following type of permitsiare not required to fill out this form ; ., I. _'1?~ • , ' ., f . di I l • • '' ❖ Patio I ❖ Decks I ❖ PME (w/o panel upgrade) I ❖ Pool Consultation with a certified Energy Consultant is encouraged to assist in filling out this document. Appropriate certification includes, but is not limited to: Licensed, practicing Architect, Engineer, or Contractor familiar with Energy compliance, IECC/HERS Compliance Specialist, ICC G8 Energy Code Specialist, RESNET HERS rater certified, certified ICC Residential Energy Inspector/Plans Examiner, ICC Commercial Energy Inspector and/or Plans Examiner, ICC CALgreen Inspector/Plans Examiner, or Green Building Residential Plan Examiner. If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required by ordinance, check N/A and provide an explanation or code section describing the exception. Details on CAP ordinance requirements are available at each section by clicking on the municipal code link provided. The project plans must show all details as stated in the applicable Carlsbad Municipal Code (CMC) and/or Energy Code and Green Code sections. Project Name/Building Permit No.: JAZZERCISE Property AddresS/APN: 2460 IMPALA DRIVE CARLSBAD CA 92010 Applicant Name/Co.: MICHELE ARNOLD-KUSH Applicant Address: 925 FORT STOCKTON DRIVE SAN DIEGO, CA 92103 BP No.: Contact Phone: 619-297-6153 Contact Email: MICHELE@SAFDIERABINES.COM Contact information of person completing this checklist (if different than above): Name: M ICHELE ARNOLD-KUSH Contact Phone: 619-297-6153 Company name/address: SAFDIE RABINES ARCHITECTS Contact Email: MICHELE@SAFDIERABINES.COM Applicant Signature: __ JA,_id,,_eL_e-_A_'J'V11,G-__ Ld_-_X_wA _____ Date: 01/11/2024 8-50 Page 1 of 7 Revised 04/21 ... Use the table below to determine which sections of the Ordinance checklist are applicable to your project. For alterations and additions to existing buildings, attach a Permit Valuation breakdown on a separate sheet. Building Permit Valuation (BPV) $ breakdown $197,504.35 A high-rise residential building is 4 or more stories, including a .. D Residential Low-rise High-rise mixed-use building in which at least ~0% 'of its conditioned floor area is residential use □ New construction 2A*, 3A*, 1B, 2B, *Includes detached, newly constructed ADU 4A*, 3B,4A □ Additions and alterations: □ BPV < $60,000 N/A N/A All residential additions and alterations □ BPV ~ $60,000 1A, 4A 4A 1-2 family dwellings and townhouses with attached garages □ Electrical service panel upgrade only only. *Multi-family dwellings only where interior finishes are removed □ BPV ~ $200,000 1A, 4A* 1B, 4A* and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed [j] Nonresidential .. I □ New construction 1 B, 2B, 3B, 4B and 5 □ Alterations: □ BPV ~ $200,000 or additions~ 1,000 1B, 5 square feet □ BPV ~ $1,000,000 1B,28,5 Building alterations of~ 75% existing gross floor area □ ~ 2,000 sq. ft. new roof addition 2B,5 1 B also applies if BPV ;;: $200,000 1. Energy Efficiency Please refer to Carlsbad Municipal Code (CMC) 18.21.155 and 18.30.190,and the California Green Building Standards Code (CAL Green) for more information. Appropriate details and notes must be placed on the plans according to selections chosen in the design. A D Residentialadditionoralteration:?$60,000buildingpermitvaluation. □ NIA _________ _ Details of selection chosen below must be placed on the plans referencing CMC □ Exception: Home energy score~ 7 18.30.190. (attach certification) Year Built Single-family Requirements Multi-family Requirements □ Before 1978 Select one option: □ Ductsealing D Attic insulation □Cool roof □ Attic insulation □ 1978 andlater Select one option: D Lighting package D Water heating Package I!!! Between1978and1991 Select one option: □ Ductsealing D Attic insulation □Cool roof □ 1992 andlater Select one option: □ Lighting package D Water heating package Updated 4/16/2021 3 B. D Nonresidential* new construction or alterations~ $200,000 building permit valuation, or additions~ 1,000square feet. See CMC 18.21.155and CAL Green Appendix AS D N/A AS.203.1.1 Choose one: D .1 Outdoorlighting D .2 Restaurant service water heating (CEC 140.5) D .3 Warehouse dock seal doors. D .4 Daylight design PAFs D .5 Exhaustairheatrecovery □ N/A AS.203.1 .2.1 Choose one: D .95 Energy budget (Projects with indoor lighting OR mechanical) D .90 Energy budget (ProjectswithindoorlightingAND mechanical) □ N/A A5.211.1** D On-site renewable energy: D N/A AS.211.3** □Green power: (If offered by local utility provider, 50% minimum renewable sources) D N/A A5.212.1 □ Elevators and escalators: (Project with more than one elevatorortwo escalators) D N/A A5.213.1 D Steel framing: (Provide details on plans for options 1-4 chosen) D N/A * Includes hotels/motels and high-rise residential buildings ---------- "* Foralterations~ $1,000,000 BPV and affecting> 75%existing grossfloorarea, OR alterationsthatadd 2, 000squarefeetof newroofaddiuon: comply with CMC 18.30.130 (section 28 below) instead. ,2. Photovoltaic Systems • , A. D Residential new construction (for low-rise residential building permit applications submitted after 1/1/20). Refer to 2019 California Energy Code section 150.1(c)14 for requirements. If project includes installation of an electric heat pump water heater pursuant to CAP section 3B below (low-rise residential Water Heating), increase system size by .3kWdc if PV offset option is selected. Floor Plan ID (use additional CFA #d.u. Calculated kWdc* sheets if necessary) Total System Size: kWdc = (CFAx.572) / 1,000 + (1.15 x #d.u.) *Formula calculation where CFA = conditional floor area, #du = number of dwellings per plan type If proposed system size is less than calculated size, please explain. kWdc Exception D D D D B. 0 Nonresidential new construction or alterations ~$1,000,000 BPV AND affecting ~75% existing floor area, OR addition that increases roof area by ~.ooo square feet Please refer to CMC 18.30.130 when completing this section. *Note: This section also applies to high-rise residential and hotel/motel buildings. Choose one of the following methods: □ Gross Floor Area (GFA}Method GFA: □ If< 1 O,OOOs.f. Enter: 5 kWdc Min.System Size: D If~ 1 O,OOOs.f. calculate: 15 kW de x (GFA/10,000) ** kWdc **Round building size factor to nearest tenth, and round system size to nearest whole number. Updated 4/16/2021 4 □ Time-Dependent Valuation Method Annual TDV Energyuse:*** ______ x .80= Min. system size: ______ kWdc ***Attach calculation documentation using modeling software approved by the California Energy Commission. ,3. Water Heati_ng i' ! ~ 1 1 • • , A D Residential and hotel/motel new construction. Refer to CMC 18.30.170 when completing this section. Provide complete details on the plans. □ For systems serving individual dwelling units choose one system: □ Heat pump water heater AND Compact hot water distribution AND Drain water heat recovery (low-rise residential only) □ Heat pump water heater AND PV system .3 kWdc larger than required in CMC 18.30.130 (high rise residential hotel/motel) or CA Energy Code section 150.1 (c) 14 (low-rise residential) □ Heat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higher □ Solar water heating system that is either .60 solar savings fraction or 40 s.f. solar collectors □ Exception: □ For systems serving multiple dwelling units, install a central water-heating system with ALL of thefollowing: □ Gas or propane water heating system □ Recirculation system per CMC 18.30.150(8) (high-rise residential, hotel/motel) or CMC 18.30.170(8) (low- rise residential) □ Solar water heating system that is either: □ .20 solar savings fraction □ .15 solar savings fraction, plus drain water heat recovery □ Exception: B. D Nonresidential new construction. Refer to CMC 18.30.150 when completing this section. Provide complete details on the plans. □ Water heating system derives at least 40% of its energy from one of the following (attach documentation): D Solar-thermal D Photovoltaics D Water heating system is (choose one): □ Heat pump water heater D Electric resistance water heater(s) D Recovered energy □Solar water heating system with .40 solar savings fraction D Exception: It may be necessary to supplement the completed checklist with supporting materials, calculations or certifications, to demonstrate full compliance with CAP ordinance requirements. For example, projects that propose or require a performance approach to comply with energy-related measures will need to attach to this checklist separate calculations and documentation as specified by the ordinances. Updated 4/ 16/2 l 5 , 4. Electric Vehicle Charging, A D Residential New construction and major alterations* Please refer to CMC 18.21.140 when completing this section. D One and two-family residential dwelling or townhouse with attached garage: D One EVSE Ready parking space required D Exception : □ Multi-familyresidential· □ Exception • Total Parking Spaces EVSE Spaces Proposed EVSE (10% of total) Installed (50% of EVSE) Other "Ready'' Other "Capable" Calculations: Total EVSEspaces = .10 x Total parking spaces proposed (rounded up to nearestwhole number) EVSE Installed= Total EVSE Spaces x .50 (rounded up to nearest whole number) EVSE other may be "Ready" or "Capable" *Majoralterations are: ( 1 )forone and two-family dwellings and townhouses with attached garages, alterations have a building permit valuation2'.$60,000 or include an electrical service panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), alterations have a building permit valuation 2'. $200,000, interiorfinishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed. *ADU exceptions for EV Ready space (no EV ready space required when): (1) The accessory dwelling unit is located within one-half mile of public transit. (2) The accessory dwelling unit is located withi n an architecturally and historically significant historic district. (3) The accessory dwelling unit is part of the proposed or existing primary residence or an accessory structure. (4) When on-street parking permits are required but not offered to the occupant of the accessory dwelling unit. (5) When there is a car share vehicle located within one block of the accessory dwelling unit. B. D Nonresidential new construction (includes hotels/motels) □ Exception:--------------,--- Please refer to CMC 18.21.150 when completing this section Total Parking Spaces Proposed EVSE (10% of total) I Installed (50% of EVSE) I Other "Ready" I Other "Capable" I I I Calculation-Refer to the table below· Total Number of Parking Spaces provided Number of required EV Spaces Number of required EVSE Installed Spaces D 0-9 1 1 D 10-25 2 1 D 26-50 4 2 D 51-75 6 3 D 76-100 9 5 D 101-150 12 6 □ 151-200 17 9 □ 201 andover 10 percent of total 50 percent of Required EV Spaces Calculations: Total EVSE spaces= .10 x Total parking spaces proposed ( rounded up to nearestwhole number) EVSE Installed = Total EVSE Spaces x .50 (rounded up to nearest whole number) EVSE other may be "Ready" or "Capable" Updated 4/16/2021 6 5. □Transportation Demand Managem'.e~t (TDll.:1): Nbnreside'ntia, ONLY An approved Transportation Demand Management (TOM) Plan is required for all nonresidential projects that meet a threshold of employee-generated ADT. City staff will usethetablebelowbased on your submitted plans to determinewhetherornoryourpermit requires a TOM plan. lfTDM is applicable to your permit, staff will contact the applicant to develop a site-specific TD M pl an based on the permit details. Acknowledgment: Employee ADT Estimation for Various Commercial Uses Use EmpADTfor first 1,000 s.f. EmpADT/ 1000 s.f.1 Office (all)2 20 Restaurant 11 Retaib 8 Industrial 4 Manufacturing 4 Warehousing 4 , Unless otherwise noted, rates estimated from /TE Trip Generation Manual, 10th Edition 13 11 4.5 3.5 3 1 2 For all office uses, use SAN DAG rate of 20 ADT/1,000 sf to calculate employee ADT • 3 Retail uses include shopping center, variety store, supermarket, gyms, pharmacy, etc. Other commercial uses may be subject to special consideration Sample caicylatjons: Office: 20,450 sf 1. 20,450 sf/ 1000 x 20 = 409 Employee ADT Retail: 9,334 sf 1. First 1,000 sf= 8 ADT 2. 9,334 sf -1,000 sf= 8,334 sf 3. (8,334 sf / 1,000 x 4.5) + 8 = 46 Employee ADT I acknowledge that the plans submitted may be subject to the City of Carlsbad's Transportation Demand Management Ordinance. I agree to be contacted should my permit require a TOM plan and understand that an approved TOM plan is a condition of permit issuance. JU&oAdQ, A ,,-vn,G-id -Xw.Jv 01/11/2024 Applicant Signature: Date: _____ _ Person other than Applicant to be contacted for TOM compliance (if applicable): Name(Printed): ___________________ _ Phone Number. _____ _ Email Address: ____________________ _ Updated 4/16/2021 7 ( City of Carlsbad I INSTRUCTIONS: STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 442-339-2750 www.carlsbadca.gov To address post-development pollutants that may be generated from development projects, the city requires that new development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (BMPs) into the project design per Carlsbad BMP Design Manual (BMP Manual). To view the BMP Manual, refer to the Engineering Standards (Volume 5). This questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of storm water standards that must be applied to a proposed development or redevelopment project. Depending on the outcome, your project will either be subject to 'STANDARD PROJECT' requirements, "PRIORITY DEVELOPMENT PROJECT (PDP) requirements or not considered a development project. This questionnaire will also determine if the project is subject to TRASH CAPTURE REQUIREMENTS. Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City staff has responsibility for making the final assessment after submission of the development application. If staff determines that the questionnaire was incorrectly filled out and is subject to more stringent storm water standards than initially assessed by you, this will result in the return of the development application as incomplete. In this case, please make the changes to the questionnaire and resubmit to the city. If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, please seek assistance from Land Development Engineering staff. A completed and signed questionnaire must be submitted with each development project application. Only one completed and signed questionnaire is required when multiple development applications for the same project are submitted concurrently. PROJECT INFORMATION PROJECT NAME: JAZZERCISE APN: 209-041-21 ADDRESS: 2460 IMPALA DRIVE CARLSBAD, CA 92010 The project is (check one): D New Development D Redevelopment The total proposed disturbed area is: ft2 ( ) acres The total proposed newly created and/or replaced impervious area is: ft2 ( ) acres If your project is covered by an approved SWQMP as part of a larger development project, provide the project ID and the SWQMP # of the larger development project: Project ID SWQMP#: Then, go to Step 1 and follow the instructions. When completed, sign the form at the end and submit this with your application to the city. This Box for City Use Only YES NO Date: Project ID: City Concurrence: □ □ By: E-34 Page 1 of 4 REV08/22 STEP1 TO BE COMPLETED FOR ALL PROJECTS To determine if your project is a "development project", please answer the following question: YES NO Is your project LIMITED TO routine maintenance activity and/or repair/improvements to an existing building or structure that do not alter the size (See Section 1.3 of the BMP Design Manual for guidance)? [XI □ If you answered "yes" to the above question, provide justification below then go to Step 6, mark the box stating "my project is not a 'development project' and not subject to the requirements of the BMP manual" and complete applicant information. Justification/discussion: (e.g. the project includes only interior remodels within an existing building): PROJECT IS A COMMERCIAL INTERIOR TENANT IMPROVEMENT If you answered "no" to the above question, the project is a 'development project', go to Step 2. STEP2 TO BE COMPLETED FOR ALL DEVELOPMENT PROJECTS To determine if your project is exempt from PDP requirements pursuant to MS4 Permit Provision E.3.b.(3), please answer the following questions: Is your project LIMITED to one or more of the following: YES NO 1. Constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria: a) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non- erodible permeable areas; OR □ □ b) Designed and constructed to be hydraulically disconnected from paved streets or roads; OR c) Designed and constructed with permeable pavements or surfaces in accordance with USEPA Green Streets quidance? 2. Retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in □ □ accordance with the USEPA Green Streets guidance? 3. Ground Mounted Solar Array that meets the criteria provided in section 1.4.2 of the BMP manual? □ □ If you answered "yes" to one or more of the above questions, provide discussion/justification below, then go to Step 6, mark the second box stating "my project is EXEMPT from PDP ... " and complete applicant information. Discussion to justify exemption (e.g. the project redeveloping existing road designed and constructed in accordance with the USEPA Green Street guidance): If you answered "no" to the above questions, your project is not exempt from PDP, go to Step 3. E-34 Page 2 of 4 REV 08/22 STEP3 TO BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECTS To determine if your project is a PDP, please answer the following questions (MS4 Permit Provision E.3.b.(1 )): YES NO 1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces □ 00 collectively over the entire project site? This includes commercial, industrial, residential, mixed-use, and public development projects on public or private land. 2. Is your project a redevelopment project creating and/or replacing 5,000 square feet or more of impervious surface collectively over the entire project site on an existing site of 10,000 square feet or more of □ IXI impervious surface? This includes commercial, industrial, residential, mixed-use, and public development projects on public or private land. 3. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface collectively over the entire project site and supports a restaurant? A restaurant is a □ IXI facility that sells prepared foods and drinks for consumption, including stationary lunch counters and refreshment stands selling prepared foods and drinks for immediate consumption (Standard Industrial Classification (SIC) code 5812). 4. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious □ IZl surface collectively over the entire project site and supports a hillside development project? A hillside development project includes development on any natural slope that is twentv-five oercent or areater. 5. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface collectively over the entire project site and supports a parking lot? A parking lot is a □ IXI land area or facility for the temporary parking or storage of motor vehicles used personally for business or for commerce. 6. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious street, road, highway, freeway or driveway surface collectively over the entire project □ IXI site? A street, road, highway, freeway or driveway is any paved impervious surface used for the transportation of automobiles, trucks, motorcycles, and other vehicles. 7. Is your project a new or redevelopment project that creates and/or replaces 2,500 square feet or more of impervious surface collectively over the entire site, and discharges directly to an Environmentally □ I}{] Sensitive Area (ESA)? "Discharging Directly to" includes flow that is conveyed overland a distance of 200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an isolated flow from the project to the ESA (i.e. not commingled with flows from adjacent lands).* 8. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface that supports an automotive repair shop? An automotive repair □ IXI shop is a facility that is categorized in any one of the following Standard Industrial Classification (SIC} codes: 5013, 5014, 5541, 7532-7534, or 7536-7539. 9. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious area that supports a retail gasoline outlet (RGO)? This category includes □ IXI RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily Traffic (ADT) of 100 or more vehicles per day. 1 O. Is your project a new or redevelopment project that results in the disturbance of one or more acres of land □ IX] and are expected to generate pollutants post construction? 11 . Is your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of □ IXI impervious surface or (2) increases impervious surface on the property by more than 10%? (CMC 21.203.040) If you answered "yes" to one or more of the above questions, your project is a PDP. If your project is a redevelopment project, go to step 4. If your project is a new project, go to step 5, complete the trash capture question. If you answered "no" to all of the above questions, your project is a 'STANDARD PROJECT'. Go to step 5, complete the trash capture question. • Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas designated as Areas of Special Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); areas designated as preserves or their equivalent under the Multi Species Conservation Program within the Cities and County of San Diego; Habitat Management Plan: and any other equivalent environmentally sensitive areas which have been identified by the City. E-34 Page 3 of 4 REV 08/22 STEP4 TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPMENT PROJECTS (PDP) ONLY Complete the questions below regarding your redevelopment project (MS4 Permit Provision E.3.b.(2)): YES NO Does the redevelopment project result in the creation or replacement of impervious surface in an amount of less than 50% of the surface area of the previously existing development? Complete the percent impervious calculation below: Existing impervious area (A) = sq. ft. □ □ Total proposed newly created or replaced impervious area (B) = sq. ft. Percent impervious area created or replaced (B/A)*100 = % If you answered "yes", the structural BMPs required for PDP apply only to the creation or replacement of impervious surface and not the entire development. Go to step 5, complete the trash capture question. If you answered "no," the structural BM P's required for PDP apply to the entire development. Go to step 5, complete the trash capture question. STEPS TO BE COMPLETED FOR ALL DEVELOPMENT PROJECTS Complete the question below regarding your Project (SDRWQCB Order No. 2017-0077): YES NO Is the Project within any of the following Priority Land Use (PLU) categories and not exempt from trash capture requirements per section 4.4.2.2 of the BMP Manual? R-23 (15-23 du/ac), R-30 (23-30 du/ac), Pl (Planned Industrial), CF (Community Facilities), GC (General □ □ Commercial), L (Local Shopping Center), R (Regional Commercial), V-B (Village-Barrio), VC (Visitor Commercial), 0 (Office), VC/OS (Visitor Commercial/Open Space), Pl/O (Planned Industrial/Office), or Public Transportation Station If you answered "yes", the 'PROJECT' is subject to TRASH CAPTURE REQUIREMENTS. Go to step 6, check the first box stating, "My project is subject to TRASH CAPTURE REQUIREMENTS ... " and the second or third box as determined in step 3. If you answered "no", Go to step 6, check the second or third box as determined in step 3. List exemption if applicable for 'no' answer here: STEP6 CHECK THE APPROPRIATE BOX(ES) AND COMPLETE APPLICANT INFORMATION □ My project is subject to TRASH CAPTURE REQUIREMENTS and must comply with TRASH CAPTURE REQUIREMENTS of the BMP Manual. I understand I must prepare a Storm Water Quality Management Plan (SWQMP). 0 My project is a 'STANDARD PROJECT' OR EXEMPT from PDP and must only comply with 'STANDARD PROJECT' stormwater requirements of the BMP Manual. I will submit a "Standard Project Requirement Checklist Form E-36". If my project is subject to TRASH CAPTURE REQUIREMENTS, I will submit a TRASH CAPTURE Storm Water Quality Management Plan (TCSWQMP) per E-35A. □ My project is a PDP and must comply with PDP stormwater requirements of the BMP Manual. I understand I must prepare a Storm Water Quality Management Plan (SWQMP) per E-35 template for submittal at time of application. Note: For projects that are close to meeting the PDP threshold, staff may require detailed impervious area calculations and exhibits to verify if 'STANDARD PROJECT' stormwater requirements apply. ~ My project is NOT a 'development project' and is not subject to the requirements of the BMP Manual. Applicant Information and Signature Box Applicant Name: MICHELE ARNOLD-KUSH Applicant Title: DESIGNER Applicant Signature: .AA.id,.£., .d-✓cL X«:J,, Date: 01.11 .2024 E-34 Page 4 of 4 REV 08/22 Building Permit Finaled Revision Permit Print Date: 08/28/2024 Job Address: 2460 IMPALA DR, CARLSBAD, CA 92010-7226 Permit No: Status: (city of Carlsbad PREV2024-0060 Closed -Finaled Permit Type: BLDG-Permit Revision Work Class: Commercial Permit Revision Parcel#: Valuation: Occupancy Group: #of Dwelling Units: 2090412100 Track#: $0.00 Lot#: Project#: Plan#: Bedrooms: Construction Type: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: Orig. Plan Check#: CBC2024-0014 Plan Check#: Description: JAZZERCISE: BATHROOM LAYOUT CHANGE Applicant: MICHELE KUSH 925 FORT STOCKTON DR SAN DIEGO, CA 92103-1817 (619) 297-6153 FEE BUILDING PLAN CHECK REVISION ADMIN FEE THIRD PARTY REVIEW -Consultant Cost (BLDG) Property Owner: JAZZERCISE INC 2460 IMPALA DR CARLSBAD, CA 92010-7226 (760) 476-1750 Total Fees: $275.00 Total Payments To Date: Building Division $275.00 Applied: 04/11/2024 Issued: 04/19/2024 Finaled Close Out: 08/28/2024 Final Inspection: INSPECTOR: Contractor: SPW CONSTRUCTION OBA WHITE CONSTRUCTION 1808 ASTON AVE, # STE 100 CARLSBAD, CA 92008-7369 (760) 931-1130 Balance Due: AMOUNT $35.00 $240.00 $0.00 Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov ~· ~ ( City of PLAN CHECK REVISION OR Deve/ol!_ment Services DEFERRED SUBMITTAL Building Division Carlsbad APPLICATION 1635 Faraday Avenue 442-339-2719 8-15 www.carlsbadca.gov Original Plan Check Number CBC2o24-oo 14 ( by City Stafil Plan Revision Number PL/V,JOJ'l./-/£)/,0 Project Address 2460 Impala Dr. Carlsbad, CA 9201 0 General Scope of Revision/Deferred Submittal: Men's bathroom 102 layout changed to retain existing structural column. CONTACT INFORMATION: Name Michele Arnold-Kush Phone 619-297-6153 _________ Fa.~---------- Address 925 Fort Stockton Email Address michele@safdierabines.com City San Diego Z. 92103 IP ----- Original plans prepared by an architect or engineer, revisions must be signed & stamped by that person. 1 . Elements revised: [i] Plans D Calculations D Soils D Energy D Other 2. Describe revisions in detail FLOOR PLAN CHANGED AT MEN'S RESTROOM 102 TO KEEP EXISTING COLUMN AND WALL CHANGES REFLECT NEW LAYOUT. FLOOR PLAN CHANGED AT MEN'S RESTROOM 102 TO KEEP EXISTING COLUMN AND WALL. PLANS AND ELEVATIONS CHANGED TO REFLECT NEW LAYOUT. DETAIL 3 ROOM NAMES CHANGED TO REFLECT NEW RESTROOM LAYOUT. MECHANICAL MOVED TO REFLECT NEW RESTROOM LAYOUT. FLOOR PLAN CHANGED AT MEN'S RESTROOM 102. POWER MOVED TO REFLECT NEW LAYOUT. FLOOR PLAN CHANGED AT MEN'S RESTROOM 102. PLUMBING LOCATIONS MOVED TO REFLECT NEW LAYOUT. 4. Does this revision, in any way, alter the exterior of the project? 5. Does this revision add ANY new floor area(s)? 6. Does this revision affect any fire related issues? Oves Oves Oves 3. List page(s) where each revision is shown GN200, A100. A200, A300, A400, A401, ID100 A700 & A701 A500 M1.0 E2.1 & 3.1 P-1 & P-2 7. Is this a full set replacement (all sheets)? ~ 0ves 0No £$'Signature ___________________ _ Date 04.10.2024 1635 Faraday Avenue, Carlsbad, CA 92008 fb: 760-602-27 19 fax: 760-602-8558 Email: building@carfsbadca.gov www.carlsbadca.gov