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1235 MARIPOSA RD; ; CBR2024-0356; Permit
Building Permit Finaled Print Date: 02/18/2025 Job Address: Permit Type: Parcel#: Valuation: 1235 MARIPOSA RD, BLDG-Residential 2122203700 $17,003.80 Occupancy Group: #of Dwelling Units: 1 Bedrooms: Bathrooms: Occupant Load : Code Edition: Sprinkled : Project Title: Residential Permit CARLSBAD, CA 92011-4207 Work Class: Track#: Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check #: Second Dwelling Un it Permit No: Status: {City of Carlsbad CBR2024-0356 Clos ed -Finaled Applied: 02/09/2024 Issued: 06/17/2024 Finaled Close Out: 02/18/2025 Final Inspection : 12/03/2024 INSPECTOR: de Roggenbuke, Dirk Renfro, Chris Description: AMELIO: CONVERT EXISTING BEDROOM TO JADU WIITH 1/2 BATH (295 OF EXISTING HOUSE 100 SF OF GARAGE) Applicant: KEVIN FARRELL 1768 CREST DR ENCINITAS, CA 92024-5213 (760) 436-2642 FEE BUILDING PLAN CHECK Property Owner: AMELIO FAMILY 1235 MARIPOSA RD CARLSBAD, CA 92011-4207 BUILDING PLAN REVIEW -MINOR PROJECTS (LDE) BUILDING PLAN REVIEW -MINOR PROJECTS (PLN) CERTIFICATE OF OCCUPANCY COMM RES & MULTI RES REMODELS -STRUCTURAL SB1473-GREEN BUILDING STATE STANDARDS FEE STRONG MOTION -RESIDENTIAL (SMIP) Total Fees : $1,771.26 Total Payments To Date: $1,771.26 Balance Due: AMOUNT $570.05 $197.00 $104.00 $20.00 $877.00 $1.00 $2.21 $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 Sect ion 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 wit h t his project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Building Division Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check Est. Value PC Deposit Date Cp ~ Zo¼-og,;~ $5]o . D5 b dd 1235 Mariposa Rd u . APN.·212-220-37-00 Jo A ress __________________ mt:. ____ __ CT/Project#: TRACT 97-14 Lot#:77 YearBuilt:2_0_0_1 _______ _ BRIEF DESCRIPTION OF WORK: CONVERT EXIST BR TO JR ADU, ADD 1 /2 BATH □ New SF: Living SF, ____ Deck SF, ___ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? I) Y O N New Fireplace? O VG> N , if yes how many? ___ _ 00 Remodel:Jr ADU SF of affected area Is the area a conversion or change of use? ~ 0 N D Pool/Spa: _____ SF Additional Gas or Electrical Features? ____________ _ □ Solar: ___ KW, ___ Modules, Mounted: 0Roof 0Ground, Tilt: ()YON, RMA: 0 Y O N, Battery:OvO N, Panel Upgrade:OvON Other: Z S APPLICANT (PRIMARY CONTACT} PROPERTY OWNER Name: ___ K_ev_in_F_ar_re_11_A_IA ___________ Name: __ F_ran_k_an_d_K_a_re_n_A_m_e_uo __________ _ Address: 1768 Crest Drive Address: ____ 123_s _M_an_·posa __ rd __________ _ City:Encinitas State:c_A __ Zip:92024 City: __ c_art_s_ba_d ______ State:c_A __ .Zip:92008 Phone: 760-436-2642 Phone: __ 7_60-_43_s-_26_4_2 _____________ _ Emal.I·. islandarch1@aol.com Emai'I•. --a·st~d-h.J.~-'---------------1 an arcao com DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: ___ FA_A_R_E_L_L_D_E_s_1G_N_A_s_s_o_c_1_N_c _. ______ Business Name: ____ o _w_N_E_R __________ _ Address: 1768 crest Drive Address:. _________________ _ City: Encinitas State:._c_A ___ Zip: 92024 City: _______ .State: ____ Zip: ______ _ Phone: 760-436-2642 Phone: __________________ _ Email: islandarch1@aol.com Email: __________________ _ Architect State License: __ c1_3_12_2 _______ _ CSLB License #: ______ Class: ______ _ carlsbad Business license# (Required): _______ _ APPLJCANT CERT/FICA TION: I certify that I have read the application and state that the obove information is correct and that the information of the plans is accurate. I agree to comply with all Qty ordinances and State laws relating to building construction. ' J NAME (PRINT): __ K_E_V_IN_FA_R_R_E_L_L__ SIGN_: __ {l __ ~ _____ DATE:2-2-24 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov I HI!; t'Abt Ktl.lUIKtU Al t'tKMI I l!>!>UANl.l: t'LAN LHtLK NUMtstK: _______ _ 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 LITTER IS REQUIRED PRIOR TO PERMIT ISSUANCE. (OPTION A): LICENSED CONTRACTOR DECLARATION: I herebyaf firm underpenaltyof perjury that/ am licensed underprovislonsof Chapter9 ( commencing with Section lOOO)of Divislon3 oftheBusinessandProfessionsCode,andmylicenseisinfullforceandeffect. lalsoaffirmunderpenaltyofperjuryoneofthe following declarations(CHODSE ONE): Di 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. Policy No. ___________________________________________ _ -OR- DI 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: Insurance Company Name:------------------------■ Policy No. __________________________ Expiration Date:----------------• -OR- D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California. WARNING: Failure to secure workers compensation coverage Is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000.00, In addition the to the cost of compensation, damages as provided for In Section 3706 of the Laibor 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). LA:nder's Name:, _______________________ l,ender's Address: ______________________ _ CONTRACTOR CERTIFICATION: The applicant certifies that all documents and plans clearly and accurately show all el<isting and proposed buildings, structures, access roads, and utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans Inconsistent with the site plan are not approved for construction and may be required to be altered or removed. The city's approval of the application Is based on the premise that the submitted documents and plans show th!! correct dimensions of; the property, buildings, strucwres and their setbacks from property lines and from one another; access roads/easements, and utillties. The existing and proposed use of each building as stated Is true and correct; all easements and other encumbrances to development haw, been accurately shown and labeled as well as all on-site grading/site preparation. All improvements existing on the property were completed in accordance with all regulations in existence at the time of their construction, unless otherwise noted. NAME (PRINT): ________ SIGNATURE: _________ DATE: _____ _ Note: If the person signing above Is an authorized agent for the contrilct Id I tter of authorization 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: D 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 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- '2)1, 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- DI am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, D FORM 8-61 uowner Builder Acknowledgement and Verification Form" is required for any permit issued to a property owner. By my signature below I acknowledge that, except for my personal residence In which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed In its entirety by licensed contractors./ understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, isavailabl e upon request when this application is submitted or at the foll owing Web site: http: I I www.l ejinf o. ca. gov/ ca/aw. html. OWNER CERTIFICATION: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utillties/utlllty easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentlally existing detail within these plans Inconsistent with the site plan are not approved for construction and may be required to be altered or removed. The city's approval of the application Is based on the premise that the submitted documents and plans show the correct dimensions of; the property, buildings, strucwres and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed use of each building as stated Is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation. All improvements existing on the property were completed in accordance with all regulations in existence at the tlm of their construction, unless otherwise noted. NAME (PRINT): Karen Amelio Note: If the rson si nln above is an authorized a ent for the ro e 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov ( City of Carlsbad OWNER-BUILDER ACKNOWLEDGEMENT FORM B-61 Development Services Building Division 1635 Faraday Avenue 442-339-2719 www.carlsbadca.gov OWNER-BUILDER ACKNOWLEDGMENT FORM Pursuant to State of California Health and Safety Code Section 19825-19829 To: Property owner An application for construction permit(s) has been submitted in your name listing you as the owner-builder of the property located at: Site Address 1235 Mariposa Rd, Carlsbad CA 92011 The City of Carlsbad ("City") is providing you with this Owner-Builder Acknowledgment and Verification form to inform you of the responsibilities and the possible risks associated with typical construction activities issued in your name as the Owner-Builder. The City will not issue a construction permit until you have read and initialed your understanding of each provision in the Property Owner Acknowledgment section below and sign the form. An agent of the owner cannot execute this notice unless you, the property owner, complete the owner's Authorized Agent form and it Is accepted by the City of carlsbad. INSTRUCTIONS: Please read and initial each statement below to acknowledge your understanding and verification of this information by signature at the bottom of the form. These are very important construction related acknowledgments designed to inform the property owner of his/her obligations related to the requested permit activities. I. _x __ l understand a frequent practice of unlicensed contractors is to have the property owner obtain an "Owner- -Builder'' building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed contractor and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. II. _x __ l understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed contractor to assume this responsibility. Ill. _x __ l understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own. IV. _x __ l understand contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. V. _x __ l understand if I employ or otherwise engage any persons, other than California licensed contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. 1 REV. 08/20 -••• ·-· --··--· • ·-·'"'· ·-•• ·--o-· ··-· .... --· ...... ·--- VI. _x __ l understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each ",employee." I also understand my failure to abide by these laws may subject me to serious financial risk. VII. _x __ 1 understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential structures cannot legally build them with the Intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work Is performed under contract with a licensed general building contractor. VIII. _x __ I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) which result from any latent construction defects in the workmanship or materials. IX. _x __ I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. X. _x __ l am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the following address: XI. _x __ l agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner-Builders as well as employers. XII . _x __ l agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractor's State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner- Builder and wish to hire contractors, you will be responsible for verifying whether or not those contractors are properly licensed and the status of their workers' compensation coverage. Before a building permit can be issued, this form must be completed, signed by the property owner and returned to the City of Carlsbad Building Division. I dedare under penalty of perjury that I have read and understand all of the Information provided on this form and that my responses, including my authority to sign this form, is true and correct. I am aware that I have the option to consult with legal counsel prior to signing this form, and I have either (1) consulted with legal counsel prior to signing this form or (2) have waived this right in signing this form without the advice of legal counsel. Karen A Amelio ~e-tv A ~ 2-s-24 Property Owner Name (PRINT) Property Owner Signature Date 2 REV.08/20 ( City of Carlsbad OWNERS AUTHORIZED AGENT FORM B-62 Development Services Building Division 1635 Faraday Avenue 442-339-2719 www .carlsbadca.gov OWNER'SAUTHORIZED AGENT FORM Only a property owner, contractor or their authorized agent may submit plans and applications for building permits. To authorize a third-party agent to sign for a building permit, the owner's third party agent must bring this signed form, which identifies the agent and the owner who s/he is representing, and for what jobs s/he may obtain permits. The form must be completed in its entirety to be accepted by the City for each separate permit application. Note: The following Owner's Authorized Agent form is required to be completed by the property owner only when designating an agent to apply for a construction permit on his/her behalf. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Property Owner Acknowledgement, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner-Builder Permit for my project. Scope of Construction Project (or Description of Work): __ J_r_A_D_U_w_i_th_i_n_E_x_is_t_in ___ g_S_F_R _____ _ Project location or Address: __ 1_2_3_5_M_a_r_ip_o_s_a_R_d_C_a_rl_sb_a_d_C_A_9_2_0_1_1 _____ _ Kevin Farrell AIA 760-436-2642 Name of Authorized Agent: __________________ Tel No. ________ _ Address of Authorized Agent: __ 1_7_6_8_C_r_e_s_t_D_r_, _E_n_c_i_n_it_a_s_C_A_9_2_0_2_4 ________ _ i declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Property Owner's Signature: ~811,,t A ~ 2-5-24 Date: ______ _ 1 Building Permit Inspection History Finaled {cityof Carlsbad PERMIT INSPECTION HISTORY for (CBR2024-0356) Permit Type: BLDG-Residential Application Date: 02/09/2024 Owner: TRUST AMELIO FAMILY Work Class: Second Dwelling Unit Issue Date: 06/17/2024 Subdivision: CARLSBAD TCT#97-14 UNIT#01 MARIANO Status: Closed -Finaled Expiration Date: 03/17/2025 Address: 1235 MARIPOSA RD IVR Number: 54690 CARLSBAD, CA 92011-4207 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 07/18/2024 07/18/2024 BLDG-13 Shear 255143-2024 Passed Chris Renfro Complete Panels/HD (ok to wrap) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-21 255144-2024 Passed Chris Renfro Complete Underground/Underflo or Plumbing Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 08/06/2024 08/06/2024 BLDG-18 Exterior 257109-2024 Passed Chris Renfro Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 08/29/2024 08/29/2024 BLDG-84 Rough 259381-2024 Passed Chris Renfro Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG -Building Deficiency Yes BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks ) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 09/10/2024 09/10/2024 BLDG-16 Insulation 260386-2024 Passed Chris Renfro Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 09/18/2024 09/18/2024 BLDG-17 Interior 261360-2024 Passed Dirk de Roggenbuke Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 12/03/2024 12/03/2024 BLDG-Final Inspection 269654-2024 Passed Chris Renfro Complete Tuesday, February 18, 2025 Page 1 of 2 PERMIT INSPECTION HISTORY for (CBR2024-0356) Permit Type: BLDG-Residential Application Date: 02/09/2024 Owner: TRUST AMELIO FAMILY Work Class: Second Dwelling Unit Issue Date: Status: Closed -Finaled Expiration Date: IVR Number: Scheduled Actual Inspection Type Inspection No. Date Start Date Tuesday, February 18, 2025 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS 06/17/2024 Subdivision: CARLSBAD TCT#97-14 UNIT#01 MARIANO 03/17/2025 Address: 1235 MARIPOSA RD 54690 CARLSBAD, CA 92011-4207 Inspection Primary Inspector Reinspection Inspection Status Passed Yes Yes Yes Yes Yes Page 2 of 2 True Nortl1 COMPLIANCE SERVICES May 16, 2024 City of Carlsbad Community Development Depaitment -Building Division 1635 Faraday Ave. City of Carlsbad -FINAL REVIEW City Penn it No: CBR2024-0356 True No1th No.: 24-0 18-11 8 Carlsbad, CA 92008 Plan Review: Residential Convert Bedroom to JRADU Address: 1235 Mariposa Rd Applicant Name: Kevin Farrell AIA Applicant Email: islandarch l@aol.com OCCUPANCY AND BUILDING SUMMARY: Occupancy Groups: R-3 Occupant Load: N/ A Type of Construction: VB Sprinklers: No Stories: One Area of Work (sq. ft.): 393 sq. ft. The plans have been reviewed for coordination with the permit applicati on. Valuation: Confirmed Scope of Work: Confirmed Floor Area: Confirmed Notes: Project was rev iewed and approved as a JADU. Approved plans redlined to indicate JADU instead of ADU at various locations. Attn: Building & Safety Department, True North Compliance Services, Inc. has completed th e final review of the foll owing documents for the project referenced above on behalf of the City of Carlsbad: I. Drawings: One (I) copy dated April 12, 2024, by Island Style Architect . The 2022 California Building, Mechanical, Plumbing, and Electrical Codes (i.e., 2021 IBC, UMC, UPC, and 2020 NEC, as amend ed by the State of Cali fornia), 2022 Cali fornia Green Building Standards Code 2022 Cali fornia Existing Building Code, and 2022 California Energy Code, as applicable, were used as the basis of our review. Please note that our review has been completed and we have no further comments, however, we bring the following to your attention: I. In order to expedite the pennitting process, we have made annotations (in red ink) to sheets T 1.0, A 1.1, and A4.0. True North Compliance Services, Inc. 8369 Vickers Street, Suite 207, San Diego, CA 92111 T / 562.733.8030 We ha ve enclosed the above noted documents bearing our review stamps fo r your use. Please cal I if you have any questions or if we can be of further assistance. Sincerely, True North Compliance Services Review By: Bryan Montes -Plan Review Engin eer PCSD Engineering Corp 3529 Coastview Court Carlsbad, CA 92010 Ph : 760-207-1885 ,, Structural Design Calculations Residential Remodel Client Island Style Architects Project Amelio Residence 1235 Mariposa Road Carslbad, CA 92011 Paul RCE C57182, exp. 12/31/25 CBR2024-0356 1235 MARIPOSA RD AMELIO : CONVERT EXISTING BEDROOM TO JADU WITH 1/2 BATH (295 OF EXISTING HOUSE 100 SF OF GARAGE) March 23, ~ PCSD File #: ~ 2122203700 4/15/2024 CBR2024-0356 Paul Christenson San Diego Engineering 3529 Coastview Ct -Carlsbad, CA 92010 Telephone (760) 207-1885 -Email: paul.pcsd@gmail.com 1.0 Design Criteria: Amelio Residence 24-138 Code: Timber: 2022 California Building Code -ASCE 7-16 Douglas Fir-Larch (DF-L), WWPA or WCLIB 2x Wall Framing: DF-L #2 (unless noted otherwise) 2x Rafters & Joists: DF-L #2 " " Posts & Beams: DF-L #1 " " Glue-Lam Beams: Simple Span: Grade 24F-V4 (OF/OF) Grade 24F-V8 (OF/OF) Cantilevers: Sheathing: Min. APA-Rated Sheathing, Exposure 1, Plywood or OSB (U.N.O.) Engineered Framing Wood I-Joists: TJI 110,210,230,360,560 ICC ESR-1153 1.9E Microllam, 2.0E Parallam ICBO ER-4979 Concrete: Concrete Block: Mortar: Grout: LVL,PSL Compressive Strength @ 28 days per ASTM C39-96: Footings: f'c = 2500 psi Grade Beams: f'c = 3000 psi Grade N-1 per ASTM C90-95, f'm = 1500 psi per ASTM E447-92 Type S Mortar Cement per ASTM C270-95, Min. f'm = 1800 psi @ 28 days. Coarse Grout w/ 3/8" Max. Aggregate per ASTM C476-91, Min . f'm = 2000 psi @ 28 days. Reinforcing Steel: #4 & Larger: #3 & Smaller: ASTM A615-60 (Fy = 60 ksi) ASTM A615-40 (Fy = 40 ksi) Structural Steel: 'W' Shapes: ASTM A992, Fy= 50-65 ksi Plates, Angles, Channels ASTM A36 , Fy = 36 ksi Tube Shapes: ASTM A500 , Grade B, Fy= 46 ksi Pipe Shapes: ASTM A53, Grade 8 , Fy=35 ksi Welding Electrodes: Structural Steel: E70-T6 E90 Series Bolts: Soils: References: A615-60 Rebar: Sill Plate Anchor Batis & Threaded Rods: Steel Moment & Braced Frames: 1500 psf Bearing Pressure A307 Quality Minimum A325 (Bearing, U.N.O.) ~,u/f;,t~.11.l'0.11 'efat ~~o bJmeeMJ JOB SHEET NO CALCULATED BY CHECK BY SCALE 24-138 t OF PSC DA_T_E _3"""/2=3=""/2"""4,- DATE 3529 Coastview Ct -Carlsbad, CA 92010 Telephone (760) 207-1885 -Email: paul.pcsd@gmail.com 2.0 LOAD LIST 2.1 Roof (Vaulted) Roofing 15/32" Sheathing Roof Framing 5/8" Gyp. Bd. Insulation and Misc. IoL = ILL= Total Load= 2.2 Roof {w/ ceiling) Roofing 15/32" Sheathing Roof Framing Insulation and Misc. 2.3 Ceiling Ceiling Joists loL = ILL= Total Load = 5/8" Gyp. Bd. Insulation and Misc. 2.4 Walls IoL = Iu_ = Total Load= Exterior Wall 7/8" Stucco 15/32" Sheathing 2x4 Studs @ 16" o.c. 5/8" Gypsum Bd. Misc. 10.0 psf 1.5 psf 2.8 psf 2.8 psf 1.9 psf 19.0 psf 20.0 psf 39.0 psf 10.0 psf 1.5 psf 2.8 psf 1.7 psf 16.0 psf 20.0 psf 36.0 psf 1.3 psf 2.8 psf 1.9 psf 6.0 psf 10.0 psf 16.0 psf 9.0 psf 1.5 psf l.1 psf 2.8 psf 0.6 psf 15.0 psf Interior Wall 1/2'' Gyp. Bd. (2 Sides) 2x4 Studs @ 16" o.c. Misc. --------- 4.6 psf 1.1 psf 2.3 psf 8.0 psf ~ ,u/f;,+mten.ron d171 ,Dz'!fo bJUlfHJTUIJ 3529 Coastview Ct -Carlsbad, CA 92010 JOB 24-138 SHEET NO ~ OF -----CALCULATED BY PSC DATE 3/23/24 CHECK BY _____ DATE ___ _ SCALE Telephone (760) 207-1885 -Email: paul.pcsd@gmail.com 2.0 LOAD LIST (CONTIN) 2.5 Floor Floor Cover Sheathing 2x F.J. 5/8" Gyp. Rd. Insulation and Misc. !,OL = }:LL = Total Load= 5.5 psf 2.3 psf 3.5 psf 2.8 psf 0.9 psf 15.0 psf 40.0 psf (60.0 psf -Decks) 55.0 psf WIND PARAMETERS 2.6 Wind Basic Wind Speed = 110 mph Exposure Cat = B Ps = ,\Kzt•l*Ps30 (ASCE 7-16 -Equation 28.5-1) P = 26.6 psf P = 16.0 psf (*0 .6 -ASD) 2.7 Seismic SMs = 1.259 Sos= (2/3) SMs Sos = 0.839 Sos Cs = (R/I) Cs = 0.129 USE: V= 0.129 WoL ASD BASE SHEAR V ASD-c.woL 1.4 ( 11.4.5) ,\ = 1.00 (fig. 28.5.1-Ps3o = .Kzt = 1.00 (fig. 26.8-1) I= 26.6 psf 1.0 USGS APPLlCA TION S,= 1.049 S1 = 0.379 F0 = 1.20 Fv= 0.00 R = 6.5 T= 1.00 h" = 25.00 Occupancy Category: 2 Site Class: D SEISMIC DESIGN CATEGORY S1 <0.1s S1 > o.o4 Ss >o.1s (11.6 ASCE 7-16) ( 11.4.2 ASCE 7-16) (fig. 28.5-1) (table 1.5-2) T0 = C1 * (hJ0•75 = 0.224 Ts = Soi/Sos -0 k = 1.0 i::qn. 12.8-1 Not OJ Ta<0.5 Seismic Design Category: D 3/19/34, 8:07 AM U.S. Seismic Design Maps US GS web services were down for some penod of time and as a result this tool wasn't operational, resulting in timeout error. USGS web services are now operational so this tool should work as expected. Amelio 1235 Mariposa Rd, Carlsbad, CA 92011, USA Latitude, Longitude: 33.1174972, -117.3026737 . ,,, L,, ~ ~ 1 i ·,, Advantage Elevator lncq Mariposa Rd OSHPD ~-~ '6 'Z --9- Coastal Con crete q Map data ©2024 Google • Date Design Code Reference Document Risk Category Site Clan Type Value Ss 1.049 S1 0.379 , SMs 1.259 SM1 null -See Section 11 .4.8 , Sos 0.84 So1 null -See Section 11 .4.8 Type Value soc null -See Section 11.4.8 , Fe 1,2 Fv null -See Section 11.4.8 PGA 0.462 FPGA 1.2 PGAM 0.554 TL 8 SsRT 1.049 : SsUH 1.175 SsD 1.5 , S1RT 0.379 'S1UH 0.42 1 S10 0.6 https://www.seismlcmaps.org Description 3/19/2024, 8:07:28 AM ASCE7-16 II D -Default (See Section 11.4.3) MCER ground motion. (for 0.2 second period) Description MCER ground motion. (for 1.0s period) Site-modified spectral acceleration value Site-modified spectral acceleration value Numeric seismic design value at 0.2 second SA Numeric seismic design value at 1.0 second SA Seismic design category Site amplification factor at 0.2 second Sile amplification factor at 1.0 second MCEG peak ground acceleration Site amplification factor at PGA Site modified peak ground acceleration Long-period transition period in seconds Probabilistic risk-targeted ground motion. (0.2 second) Factored uniform-hazard (2% probability of exceedance in 50 years) spectral acceleration Factored deterministic acceleration value. (0.2 second) Probabilistic risk-targeted ground motion. (1 .0 second) Factored uniform-hazard (2% probability of exceedance in 50 years) spectral acceleration, Factored deterministic acceleration value. (1.0 second) 1/3 ~fORTEWEB- + 0 ill MEMBER REPORT Floor Framing, (FB-1) Hdr Bm 1 piece{s-}4x 10 Of No.2 overall Length. 7' 7" [fil Drawing is Conceptual. All locations are measured from the outside face of left support (or left cantilever end). All dimensions are horizontal. Member Reaction (lbs) 2883 @ 2" 7656 (3.50") Passed (38%) --1.0 D + 0.75 L + 0.75 LI {All Spans) Shear (lbs) 1785 @ 1' 3/4" 3885 Passed {46%) 1.00 1.0 D + 1.0 L (All Spans) Moment (Ft-lbs) 4298 @ 3' 9 1/2" 4492 Passed (96%) 1.00 1.0 D + 1.0 L (All Spans) live Load Defl. (in) 0.055 @ 3' 9 1/2" 0.242 Passed (L/999+) ·-1.0 D + 0.75 L + 0.75 Lr (All Spans) Total Load Defl. (In) 0.128 @ 3' 9 1/2" 0.363 Passed (L/680) ·-1.0 D + 0.75 L + 0.75 Lr (All Spans) • Deflection criteria: LL (1./360) and n (1./240). • Allowed rnomenr does not reflect the adjustment for the beam stabtllty t'actor. • Applicable calculations are based on NDS. 1 -Column -DF 3.50" 3.50" 1.50" 16-46 834 815 2883 Blocking 2 -Column -DF 3.50" 3.50" 1.50" 16-46 834 815 2883 Blocking • Blod<1ng Panels are assumed to carry no loads applied dlrectly above them and the full load Is applied to the member being designed. Top Edge (Lu) 7' 7" o/c Bottom Edge (Lu) 7' 7" o/c •Maldmum allowable bracing lnteMls based on applied load. N/A 8.2 l -Uniform (PLF) N/A 426.0 + 0 PASSED 4/ Member Length : 7' 7" System : Floor Member Type : Drop Beam Building Use : Resldentlal Building Code : IBC 2021 Design Methodology : ASD Weyerhaeuser warrants that tne sizing of tlS products will be In accordance with Weyerhaeuser product design crtter1a and published design values. Weyerhaeuser expro,ssty dfSclalms any other warrantleS related to ttoe software. Use of this software Is not Intended to circumvent the need for a design professional as determined by the authority having Jurisdlctlon. The designer of record, builder or framer Is responsible to assure that this calculatlon Is compatlble with the overall project. Accessories (Rim Board, Blocking Panels and Squash Blod:s) are not designed by this software. Products manufactuttd at Weyerhaeuser fadlltleS are third-party certlfled to sustillnable forestry standards. Weyerhaeuser Engineered Lumber Products have been evaluated by ICC-ES under evaluatlon reportS ESR-1153 and ESR-1387 and/or tested in accordance with applicable ASTM standards. For current code evaluation reports, Weyerhaeuser product literature and lnstallatlon details refer to www. weyerhaeuser.con\fwoodproduct:s/document-llbrary. The product applicatlon, Input design loads, dlmenSlons and support lnformatlon have been provided by ForteWEB Software Operator ForteWEB Software Operator Job Notes Paul Christenson PCSD Engineering (760) 207-1885 A paul.pcsd@gmall .. com Wc:ycrhacu,er 3/29/2024 8:39:03 PM UTC ForteWEB v3.7, Engine: VS.4.0.40, Data: VS.1.5.0 File Name: Amelio Page 1 / 1 #5uu/"f;,,'n'm,n,cn "eJ1.11 ~"'c btJUleen'nJ 3529 Coastview Ct -Carlsbad, CA 92010 JOB 24-138 SHEETNO ~ OF -----CALCULATED BY PSC DATE 3/23/24 CHECK BY _____ DATE __ _ SCALE Telephone (760) 207-1885 -Email: paul.pcsd@gmail.com 5.0 Lateral Design & Analysis (Two-Story) Wind: P = A Kzt I ps30 >-.= 1.00 Kzt= 1.0 PS30 = 26.6 psf T= 1.0 (ASCE 7-16 • Equation 28 5-1) (fi~ 28 5 1-1) (fl8 26.S) 1fig. 28.5-1 i (table I 5-2) Seismic: V = Cs W DL (ASCE 7-16-Eqn 12.8-2) s = s 1.049 S1 = 0.379 F = a 1.2 Fv= 0.0 R = 6.50 r = 1.00 V= 0.092 *Wt* p (p -Redundancy) P = 16.0 psf Criteria 1st Story 2nd Story Each Story Resists > 35% Base Shear: not satisfied Wind Loads Any Shear Wall w/ (h/I)>1 .0 is < 33% Story Force: P = 16.0 psfx Trib Area Roof Level Direction: Direction: 2nd Floor Level Direction: Direction: Roof Weight Roof Wt. Exterior Wall Wt = Interior Wall Wt = Ceiling Wt = Floor Weight Diaphragm = Exterior Wall Wt = Interior Wall Wt = 1st Flr. Roof Wt. = N /S = 16.0 psf X 187 sq. ft.= E /W = 16.0 psf X 499 sq. ft.= N I S = 16.0 psf X 390 sq. ft.= E /W = 16.0 psf X 661 sq . ft.= 16.0 psf x 1989 sq. ft.= 31824 lbs. 15.0 psf x 753 sq. ft. = I 1295 lbs. 8.0 psf x 647 sq. ft.= 5176 lbs. 6.0 psf x 1631 sq. ft. = 9786 lbs. ------Total Trib. WR = 58081 lbs. 15.0 psf X 1631 sq. ft. 24465 lbs. 15.0 psf X 1495 sq. ft. = 22425 lbs. 8.0 psf X 729 sq . ft. = 5832 lbs. 19.0 psf X 367 sq . ft. = 6973 lbs. Total Trib. WR = 59695 lbs. Total Seismic Dead Load: Wt = 117776 lbs. ASD Base Shear: V = 0.092 * p*Wt = 14120 lbs. 2985 lbs. 7964 lbs. 6224 lbs. 10550 lbs. satisfied p= 1 Use p = 1.3 satisfied not satisfied I JOB 24-138 SHEET NO c;" ~ OF ----~,u/f;,tn'J'&en.ron efllll zfl'!f" bJ'neen~ CALCULATED BY PSC DATE 3/23/24 CHECK BY ____ DATE __ _ 3529 Coastview Ct -Carlsbad, CA 92010 SCALE Telephone (760) 207-1885 -Email: paul.pcsd@gmail.com Roof Dia12hra2m: N I S Direction E /W Direction V= 9654 lbs. V= 9654 lbs. A= 1989 sq. ft A= 1989 sq. ft f =VIA= p 4.85 psf f =VIA= p 4.85 psf Floor DiaJ:!hrai:;m: N / S Direction E /W Direction V= 6224 lbs. V= 10550 lbs. A= 1998 sq. ft A= 1998 sq. ft f =VIA= p 3.12 psf f =VIA= p 5.28 psf Seismic Lateral Distribution V = 14120 lbs. *p F V Level Wx hx Wx hx (lbs) (ft) (lbs-ft) (lbs) (lbs) Roof 58081 20 1161620 9654 9654 2nd Floor 59695 9 537255 0.316 4465 14120 1698875 1.000 14120 ? ,u/f;,tn.l't'e:nJ'O:n ef nt ~!f'O :&Jbteerbtf 3529 Coastview Ct -Carlsbad, CA 92010 JOB 24-138 OF PSC DATE DATE 3/23/24 SHEET NO CALCULATED BY CHECK BY SCALE ----------- Telephone (760) 207-1885 -Email: paul.pcsd@gmail.com 5.2 Lateral Design & Analysis -1st Story Shear Walls N I S E /W Gridline Length of ShearwaUs Total Wall Ht. Type Gridline Length of Shearwalls Total Wall Ht. Type I 15 3.0 2.7 3.5 24.17 9 e, 0 #D /0! 0 0 #D yo, 0 0 #D~ /0! 0 0. 0 #DJ1, O! 0 I 0 #DI /0! 0 #DU /0! 0 #D /0! 0 #D '/0! 0 #D 1/0! 0 #DI /0! 0 #D ~ /0! 0 # /0! 0 #D } /0! 0 # V/0! 0 #0 N10, ?nJf;",tn'J't'en.ron 'efat ~~o bJVIDeMJ 3529 Coastview Ct -Carlsbad, CA 92010 Telephone (760) 207-1885 -Email: paul.pcsd@gmail.com 5.2 Lateral Design & Analysis (cont.) Gridline CD 28 % 6224 X 0.28 = 1743 #) 1743 lbs. + 4827 p]f -c (_ t.,1\-1i2.. r'.F V = 24.17 ft. 272 I• 1- OTF ~,,1o lbs. "t,IAN,.O JOB 24-138 SHEET NO 7 OF ___ _ CALCULATED BY PSC DATE 3/23/24 CHECKBY _____ DATE __ _ SCALE & ~ov\.\ #5uuf"G".l"'nnen.ron 'efmt c.Vl,-o bJ'neennJ 3529 Coastview Ct -Carlsbad, CA 92010 Telephone (760) 207-1885 -Email: paul.pcsd@gmail.com 6.0 FOUNDATION DESIGN 6.1 CONTINUOUS FOOTING w = 1125 plf width = ~plf _1500 psf 0.75 ft (MIN.) => 9 INCHES (MIN.) ( E) 15 "WIDE CONTIN. FTG WI I -# 4 TOP AND BOTTOM & EMBED. 18 "INTO UNDISTURBED SOIL (MIN.) 6.2 MAX POINT LOAD ON FOOTING JOB SHEET NO g 24-138 OF i, ----CALCULATED BY CHECK BY SCALE PSC DA TE 3/23/24 DATE ASBP = 1500 psf Pa11 = 1500 * J2. * ~ 12 12 P a11 = 7500 lbs 2(0+6) I I 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 pennit 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. NOTE: The following type of permits are not required to fill out this fonn ❖ Patio I ❖ Decks I ❖ PME (w/o panel upgrade) I ❖ Pool The B-50 checklist was originally developed several years ago to support implementation of the CAP. Recent updates to the California Building Standards Code have imposed newer performance standards on building permit applications. Therefore, the applicant is advised to review all applicable code sections and apply the maximum performance standard, which may exceed the CAP consistency checklist requirements 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 NIA and provide an explanation or code section describing the exception. The project plans must show all details as stated in the applicable Carlsbad Municipal Code (CMC) and/or Energy Code and Green Code sections . .... c..._ _____________________________________ _ App I icat ion Information Project Name/Building Pennit No.: 1235 Mariposa Rd, Carlsbad CA 92011 BP No.: Date: Property Address/APN: 212-220-37-00 ApplicantName/Co.: Kevin Farrell AIA ApplicantAddress: 1768 Crest Dr, encinitas CA 92024 Contact Phone: 760-436-2642 Contact Email: islandarch1@aol.com Contact information of person completing this checklist (if different than above): Name: Kevin Farrell AIA Contact Phone: 760-436-2642 Company name/address: Farrell Design Assoc. Inc. Contact Email: islandarch1@aol.com D:ino 1 ,...,f 7 Use the table below to detem1ine 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. For purposes of detem1ining valuation, the amount should be upon either the actual contract price for the work to be pem1itted or shall be determined with the use of the current "ICC Building Valuation Data" as published by the International Code Council, whichever is higher (refer to Section 18.04.035 of the CMC}. Building Permit Valuation (BPV} $ breakdown_$_3_5_, 0_0_0 ______ _ Construction Type I Complete Section(s) j Notes: Ii] Residential D New construction 2A*, 3A*, 4A* *Includes detached, newly constructed ADU 111 Additions and alterations: l!I BPV < $60,000 NIA All residential additions and alterations D BPV 2: $60,000 1A,4A 1-2 family dwellings and townhouses with attached garages D Electrical service panel upgrade only only. *Multi-family dwellings only where interior finishes are D BPV<!: $200,000 1A, 4A* removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are orooosed 28* *Multi-family dwellings only where 2:$1,000,000 BPV AND BPV .!: $1,000,000 affecting 2:75% existing floor area D Nonresidential and hotels/motels D New construction 1 B, 28, 38, 48 and 5 D Alterations: D BPV 2: $200,000 or additions 2: 18, 5 1,000 square feet D BPV <!: $1,000,000 18, 28, 5 Building alterations of 2: 75% existing gross floor area 2: 2,000 sq. ft. new roof addition 28,5 18 also applies if BPV 2: $200,000 Instructions: 1. Choose first between residential or non-residential based on the type of project being submitted. 2. Next chose between new construction or addition/alteration for residential or non-residential. 3. The columns to the right of your selection will determine which sections of the CAP program are applicable to your project. 4. Appropriate details must be included on the plans for selections made. EXAMPLE: Scope of work includes a new, 2 story, single family residential structure. The selections would be: Residential and New construction in the table above. For a 2-story structure, CAP sections 2A, 3A and 4A would be applicable. (Solar PV, water heating, 8/ charging) The * indicates that new detached ADU's are included. EXAMPLE: Scope of work includes a tenant improvement (i.e., alterations) valued at over one million dollars. The selections would be: Non-residential and Alteration BPV 2! $1,000,000. CAP sections 1 B, 2B and 5 would be applicable to this project. (Energy efficiency, Solar PV and Transportation Demand Management (TOM)*) 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. 5. D Transportation Demand Management (TOM): Nonresidential ONLY An approved Transportation Demand Management (TOM) Plan is required for all nonresidential projects that meet a threshold of employee-generated A0T. City staff will use the table below based on your submitted plans to determine whether your permrr requires a TOM plan. If TOM is applicable to your permrr, staff will contactthe applicant to develop a site-specific TDM plan based on the permit details. Acknowledgment: Employee ADT Estimation for Various Commercial Uses Use Office (all)2 Restaurant Retaib Industrial Manufacturing Warehousing EmpADTfor _ fi~~t 1,000 sf 20 11 8 4 4 4 EmpADTI 1000 s.f.1 13 11 4.5 3.5 3 1 1 Unless otherwise noted, rates estimated from /TE Trip Generation Manual, 10thEdition 2 For all office uses, use SANDAG 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 ca1cu1at;ops; Office: 20,450 sf 1. 20,450 sf/ 1000 x 20 = 409 Employee AOT 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. ,Applicant Signature: Kevin Farrell Name: ______________ _ Date: 2-6-2024 Phone No.: 760-436-2642 • (_ Cicyof Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Development Services Building Division 1635 Faraday Avenue www.carlsbadca.gov This form shall be completed for all demolitions and new construction, additions, and alterations. The California's Green Building Standards Code (CALGreen) requires that at least 65% of construction site debris generated during demolition projects, most new construction, as well as the majority of building additions or alterations be recycled, reused, or otherwise diverted from landfill disposal. STEP 1: The Applicant must submit PART 1 of this form before a building permit application is approved. STEP 2: The permit holder shall utilize a waste management company that can provide verifiable documentation that meets 65% waste diversion. Republic Services is the exclusive franchised waste hauler in the City of Carlsbad. • Option A -Roll -Off Bins: Call Customer Service (760) 332-6464 and ask for a C&D account for waste diversion. Republic Services will provide ro ll-off bins for construction waste. • Option B -Self Haul to Republic Services or other dump site that can provide verifiable documentation. It must be a Certified Source Separated Recycling Facility. When you enter the site, explain to gate operator that this is C&D materia I. When you exit the site, request a receipt and certificate from gate operator for waste diversion. STEP 3: Prior to permit close-out (permit final), the permit holder shall complete PART 2 of this form and submit all trash and recycling weight receipts to the building inspector. Waste log, acknowledgement, and tickets must be submitted to release your certificate of occupancy. C&D CERTIFICATION: !B"" I certify under penalty of perjury under the laws of the State of California that the information provided in and with this form pertains to construction and demolition debris generated only from the project listed in PART 1, that I have reviewed the accuracy of the information, and that the information is true and correct to the best of my knowledge and belief. [Q/ I understand the waste diversion requirements of the State of California and submit this Construction Waste Management Plan pursuant to California Green Building Standards Code 4.408.2 or 5.408.1.1. Failure to provide documentation of C&D reporting, reporting of waste diversion less than 65%, and failure to provide adequate weight receipts, may result in enforcement action against me or other responsible parties, including a notice of violation, citations, and any other remedies provided in Chapters 1.08 and 1.10 of the Carlsbad Municipal Code . Projects are required to submit their Waste Log, Acknowledgement Form, and Weight Receipts prior to Certificate of Occupancy (CO) issuance. ~ This project does not involve disposal of universal or hazardous waste OR this project includes disposal of universal or hazardous waste in a responsible, safe and verifiable manner. Disposal of asbestos- containing materials, batteries, electronic waste, fluorescent bulbs, lead based paints, mercury containing equipment and refrigerants, require special processing prior to commencement of Date: U /17(2 ½ Page 1 of4 rev 4/24 PART 1 Complete and submit this form when applying for a building permit. Permits will not be issued without a completed Construction Waste Management Plan. -.,::f1ur1w•· Permit No. CB&2,Q.2. 4 -o35 <P Project Title .JA1>U Project Address I Z..35 Mctv I ~Q,20-. lZ(! APN c6 Applicant Name P«Y\ e \ l 0 Ka:vtY\ Phone 1 ~0 -Y~ s~ 8 go.2 Last First -.,::1•1[111.'■: Complete the following table with estimated waste tonnage to be generated by your project. A B C Material Type Estimated Place a(✓) check Place a ( ✓) check next Place a (✓) check next Waste Quantity next to items to be to items to be to items to be (tons) reused or salvaged recycled disposed at landfill Complete this line af the table only if only using WASTE MANAGEMENT roll-aft bins. '2. Mixed C&D Debris Asphalt & Concrete v Brick/ Masonry/ Tile 0 Mixed Inert Debris V Cabinets, Doors, Fixtures, 0 Windows (circle all that apply) Carpet 0 Carpet Padding/ Foam 0 Cardboard 0 Ceiling Tile (acoustic) V Drywall (used, new, scrap) V Landscape Debris (brush, trees, 0 stumps, etc.) No dirt. Unpainted Wood & Pallets 0 Roofing Materials 0 Scrap Meta l 0 Stucco I ·tvo. s~ co. fl Other: TOTAL -..'1:r:•1111.,.-- To meet 65% Diversion Requirement (estimate) X 0.65 = tons t ,;;;;KQA . a Total Estimated Waste from above M inimum Required Diversion Applicant Signa _Q 11...'0 ',,I ... Date (p -l7 -r2..~ I ' Page 2 of 4 rev 4/24 CLIMATE ACTION PLAN (CAP) COMPLIANCE CAP Building Plan Template B-55 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov The following summarizes project compliance with the applicable Climate Action Plan ordinances of the Carlsbad Municipal Code and California Green Building Standards Code (CALGreen), current version. The following certificate shall be lnduded on the plans for all building permits that are required to comply with the CAP measures: 1. ENERGY EFFICIENCY APPLICABLE: Oves [i] NO Complies with CMC 18.30.060 or 18.21.050 0Yes ON/A Existing Structure, year built ______ ., Prepared Energy Audit? 0es 0No Energy Score: _____ _ Efficiency Measures included in scope: 2. PHOTOVOLTAIC SYSTEM APPLICABLE: Oves [I] NO 3. 4. s. Complies with CMC section 18.30.040 and 2022 California Energy Code section 150.1(c)14 0 Yes (i}JIA Size of PV system (kWdc): Sizing PV by load calculations 0Yes 0No If by Load Calculations: Total calculated electrical load: 80%of load: Exception Requested Exception Approved a~:: az: ALTERNATIVE WATER HEATING SYSTEM APPLICABLE: OvEs ll]No Complies with CMC sections 18.30.020 18.20.030 and/or 18.30.050? Alternative Source: o Electric o Passive Solar Exception Requested Exception Approved ELECTRIC VEHICLE (EVtCHARGING APPLICABLE: Complies with CMC section 18.21.0307 Panel Upgrade? OYes ON/A Oves 0Yes Oves By ON/A Y:: □No Required Provided Total EV Parking Spaces: No. of EV Capable Spaces: No. of EV Ready Spaces: No. of EV Installed Spaces: Hardship Requested Hardship Approved --r:::]ves oves TRAFFIC DEMAND MANAGEMENT APPLICABLE: Compliant? TOM Report on file with city? 0No □No Oves0NO 0Yes0No n vesnNo