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Home My WebLink About1753 ANDREA AVE; ; CBR2023-5133; PermitBuilding Permit Finaled Residential Permit Print Date: 03/17/2025 Job Address: 1753 ANDREA AVE, CARLSBAD, CA 92008-2623 Permit No: Status: (cityof Carlsbad CBR2023-5133 Closed -Finaled Permit Type: BLDG-Residential Work Class: Second Dwelling Unit Parcel#: 2071201600 Track #: Valuation: $39,000.00 Lot#: Project#: Plan#: Occupancy Group: #of Dwelling Units: 1 Bedrooms: Construction Type: Bathrooms: Orig. Plan Check#: Occupant Load: Plan Check#: Code Edition: Sprinkled: Project Title: Description: TRUJILLO: CONVERT GARAGE TO JADU (420 SF} Applicant: Property Owner: BA WORTHING INC ALENA BLASIO CO-OWNERS DILLION AND AMY TRUJILLO 1751 ANDREA AVE 3864 WESTHAVEN DR CARLSBAD, CA 92008-2754 (760) 533-8380 FEE BUILDING PLAN CHECK CARLSBAD, CA 92008-2623 BUILDING PLAN REVIEW -MINOR PROJECTS (LOE) BUILDING PLAN REVIEW -MINOR PROJECTS (PLN) 581473-GREEN BUILDING STATE STANDARDS FEE SFD & DUPLEXES STRONG MOTION -RESIDENTIAL (SMIP) Total Fees: $2,502.57 Total Payments To Date: $2,502.57 Applied: 11/28/2023 Issued: 03/22/2024 Finaled Close Out: 03/17/2025 Final Inspection: 09/16/2024 INSPECTOR: de Roggenbuke, Dirk Alvarado, Tony Contractor: BA WORTHING INC 5145 AVENI DA ENCINAS, # STE I CARLSBAD, CA 92008-4322 (760} 729-3965 Balance Due: AMOUNT $864.50 $197.00 $104.00 $2.00 $1,330.00 $5.07 $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 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 ( City of Carlsbad 110 Job Address J.2'&ndrea Ave ., RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check (.1,~202,~-SI 33 Est. Value +----,,2f-i"-r-'} ..... &f----'-----ciirz:::= ___ _ PC Deposit f n~~S°"l) Date I I -2 f -2'0 Z 6 Unit: APN: 207-120-16-00 ----- CT /Project #: __________________ lot #: ____ Year Built: _________ _ BRIEF DESCRIPTION OF WORK: Convert existing garage space to JADU ~ New SF : Living SF, 420 Deck SF, ___ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? O Y O N New Fireplace? O YO N , if yes how many? ___ _ EJ Remodel: 420 SF of affected area Is the area a conversion or change of use? e Y C N □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ □ Solar:. ___ KW,, ___ Modules, Mounted: ORoof O Ground, Tilt: 0 YON, RMA: 0 YO N, Battery:CYC N, Panel Upgrade: Cv ON Electric Meter number: 0th er: APPLICANT (PRIMARY CONTACT) Name: Alena Brooks Blasio Address: 5145 Avenida Encinas, Suite I City: Carlsbad State:._C_A __ Zip: 92008 Phone: (760) 729-3965 Email: admin@thisisbawinc.com DESIGN PROFESSIONAL Name: Alena Brooks Blasio Address: 5145 Avenida Encinas, Suite I ------------- PROPERTY OWNER Name: DILLION AND AMY TRUJILLO Address: 1751 Andrea Ave City: Carlsbad State: CA Zip: 92008 ---Phone:. ___________________ _ Email: ____________________ _ CONTRACTOR OF RECORD Business Name: ________________ _ Address: 5145 Avenida Encinas, Suite I City: Carlsbad State:_C_A __ .Zip: ____ _ City: Carlsbad State: CA Zip:,_9_2_00_8 ____ _ Phone: (760) 729-3965 Phone: (760) 729-3965 Email: admin@thisisbawinc.com Email: admin@thisisbawinc.com Architect State License: ___________ _ CSLB license#: 398764 Class: B-1 -------·-------- Carlsbad Business license# (Required):_54_9_2_0_0 _____ _ APPLICANT CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the information of the plans is accurate. I agree to comply with all City ordinances ond State laws relating to building construction. ~-_ -_ NAME (PRINT): Alena Brooks Blasio SIGN: ---~~--DATE: 11/25/2023 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@car1sbadca.gov REV. 04122 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 inf u/1 force and effect. I alsoaf firm under penalty of perjury one of the following declarations (CHOOSE 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- ~I 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: _I_ns_u_ra_nce_co_m~pa_n~y_o_f t_he_w_es_t ______________ 1 Policy No. wsosos2seso3 Expiration Date: _0_1,_0_112_0_2_4 ______________ 1 -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 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 CERTIFICATION: The applicant certifies that all documents and plans clearly and accurately show all existing 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 the correct dimensions of; the property, buildings, structures 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 • uction, unless otherwise noted. NAME (PRINT): Alena Brooks Blasio SIGNATURE: DATE: 11/25/23 Note: If the person signing above is an authorized agent for the contra t -OR- (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following r eason: 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- DI, 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 "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 law, Section 7044of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: http:/lwww.leginfo.ca.gov/calaw.html. OWNER CERT/FICA TION: The applicant certifies that all documents and plans clearly and accurately show all existing 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 the correct dimensions of; the property, buildings, structures 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 time of their construction, unless otherwise noted. NAME (PRINT): __________ SIGN: _________ DATE: _____ _ Note: If the erson si nin above Is an authorized a ent for the ro rt owner Include form B-62 sl owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442·339-2719 Email: Building@car1sbadca.gov 2 REV. 04/22 PERMIT INSPECTION HISTORY for (CBR2023-5133) Permit Type: BLDG-Residential Application Date: 11/28/2023 Owner: CO-OWNERS DILLION AND AMY Work Class: Second Dwelling Unit Status: Closed -Finaled TRUJILLO Issue Date: 03/22/2024 Subdivision: VALLEY MANOR SUB Expiration Date: 12/24/2024 IVR Number: 53497 Address: 1753 ANDREA AVE CARLSBAD, CA 92008-2623 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 06/28/2024 06/27/2024 BLDG-Electric Meter 253322-2024 Passed Tony Alvarado 09/16/2024 Release Checklist Item COMMENTS BLDG-Building Deficiency 09/16/2024 BLDG-Final Inspection Checklist Item BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final 261017-2024 COMMENTS Passed September 16, 2024 1. HERS report. 2. 8-59 form received and filed. Tony Alvarado 3. final inspection for junior ADU garage conversion -OK. BLDG-SW-Inspection Checklist Item 261269-2024 COMMENTS 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? Passed Tony Alvarado Monday, March 17, 2025 Passed Yes Passed Yes Yes Yes Yes Passed Yes Yes Yes Yes Yes Yes Yes Complete Complete Complete Page 4 of 4 PERMIT INSPECTION HISTORY for (CBR2023-5133) Permit Type: BLDG-Residential Application Date: 11/28/2023 Owner: CO-OWNERS DILLION AND AMY TRUJILLO Work Class: Second Dwelling Unit Issue Date: 03/22/2024 Subdivision: VALLEY MANOR SUB Status: C losed -Finaled Expiration Date: 12/24/2024 Address: 1753 ANDREA AVE IVR Number: 53497 CARLSBAD, CA 92008-2623 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 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? 06/24/2024 06/24/2024 BLDG-18 Exterior 252815-2024 Passed Tony Alvarado Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-SW-Inspection 252816-2024 Partial Pass Tony Alvarado Relnspection 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? 06/27/2024 06/27/2024 BLDG-33 Service 253188-2024 Passed Tony Alvarado Complete Change/Upgrade Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-34 Rough 253321-2024 Passed Tony Alvarado Complete Electrical Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes Monday, March 17, 2025 Page 3 of 4 PERMIT INSPECTION HISTORY for (CBR2023-5133) Permit Type: BLDG-Residential Application Date: 11/28/2023 Owner: CO-OWNERS DILLION AND AMY Work Class: Second Dwelling Unit Status: Closed -Finaled TRUJILLO Issue Date: 03/22/2024 Subdivision: VALLEY MANOR SUB Expiration Date: 12/24/2024 IVR Number: 53497 Address: 1753 ANDREA AVE CARLSBAD, CA 92008-2623 Scheduled Date Actual Inspection Type Start Date Inspection No. Inspection Primary Inspector Reinspection Inspection 06/19/2024 Checklist Item BLDG-14 Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout BLDG-34 Rough Electrical BLDG-44 Rough-Ducts-Dampers COMMENTS 06/18/2024 BLDG-13 Shear Panels/HD (ok to wrap) 252236-2024 Checklist Item COMMENTS BLDG-Building Deficiency BLDG-16 Insulation Checklist Item 252419-2024 COMMENTS BLDG-Building Deficiency BLOG-27 Shower Pan/Tubs 252238-2024 Checklist Item COMMENTS BLDG-Building Deficiency BLDG-SW-Inspection Checklist Item 252235-2024 COMMENTS 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? Monday, March 17, 2025 Status Passed Yes Yes Yes Yes Passed Tony Alvarado Complete Passed Yes Passed Tony Alvarado Complete Passed Yes Passed Tony Alvarado Complete Passed Yes Partial Pass Tony Alvarado Reinspection Incomplete Passed Yes Yes Yes Yes Yes Yes Yes Page 2 of 4 Building Permit Inspection History Finaled {city of Carlsbad PERMIT INSPECTION HISTORY for {CBR2023-5133) Permit Type: BLDG-Residential Application Date: 11/28/2023 Owner: CO-OWNERS DILLION AND AMY TRUJILLO Work Class: Second Dwelling Unit Issue Date: 03/22/2024 Subdivision: VALLEY MANOR SUB Status: Closed -Finaled Expiration Date: 12/24/2024 Address: 1753 ANDREA AVE IVR Number: 53497 CARLSBAD, CA 92008-2623 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 05/16/2024 05/16/2024 BLDG-21 248729-2024 Passed Tony Alvarado Complete Underground/Underflo or Plumbing Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-22 Sewer/Water 248822-2024 Passed Tony Alvarado Complete Service Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-24 Rough/Topout 248824-2024 Passed Tony Alvarado Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-SW-Inspection 248823-2024 Partial Pass Tony Alvarado Relnspection 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? 05/28/2024 05/28/2024 BLDG-11 249719-2024 Passed Dirk de Roggenbuke Complete Foundatlon/Ftg/Piers (Rebar) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 06/18/2024 06/18/2024 BLDG-84 Rough 252099-2024 Passed Tony Alvarado Complete Combo(14,24,34,44) Monday, March 17, 2025 Page 1 of 4 True North COMPLIANCE SERVICES February 2, 2024 City of Carlsbad Community Development Department -Building Division 1635 Faraday Ave. City of Carlsbad -FINAL REVIEW City Perm it No: CBR2023-5 l 33 True North No.: 23-0 I 8-1198 Carlsbad, CA 92008 Plan Review: Garage to JADU Conversion Address: 1751 Andrea Ave Applicant Name: Alena Brooks Blasio Applicant Email: admin@thisisbawinc.com OCCUPANCY AND BUILDING SUMMARY: Occupancy Groups: R3 Occupant Load: N/ A Type of Construction: V-B Sprinklers: No Stories: I Area of Work (sq. ft.): 420 sq. ft. The plans have been reviewed for coordination with the permit application. Valuation: Confirmed Scope of Work: Confirmed Floor Area: Confirmed Attn: Building & Safety Department, True North Compliance Services, Inc. has completed the final review of the following documents for the project referenced above on behalf of the C ity of Carl sbad: I. 2. 3. Drawings: One (I) copy dated January 18, 2024, by Brooks Design . Other Documents: One ( 1) copy, by Rinnai. Other Documents: One (I) copy dated December 21, 2023, by City of Carlsbad. The 2022 Cali fornia Building, Mechanical, Plumbing, and Electrical Codes (i.e., 2021 IBC, UMC, UPC, and 2020 NEC, as amended by the State of California), 2022 California Green Building Standards Code, 2022 California 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. True North Compliance Services, Inc. 8369 Vickers Street, Suite 207, San Diego, CA 92111 T / 562.733.8030 We have enclosed the above noted documents bearing our review stamps for your use. Please call if you have any questions or if we can be of further assistance. Sincerely, True North Compliance Services Review By: Jasmine Saffaqa -Plan Review Engineer Quality Review By: Ryan DeCastro -Plan Review Engineer Scan to Validate PROJECT SUMMARY Project Name: Trujillo HERS VERIFIABLE I COMPLETE •I Address: 1753 Andrea Ave MEASURES City, State, Zip: Carlsbad, CA 92008 Building Department: Carlsbad, City of ENERGY CODE I COMPLETE •I Permit Number: on site COMPLIANCE Building Energy Code: 2022 Standards CERTIFICATE OF COMPLIANCE (CF1R) DATE 09/16/2024 DOCUMENT CF1 R-AL T-02-E TITLE REGISTRATION NUMBER STATUS Residential HVAC Alterations 424-A020213999A-000-000-0000000-0000 0 CERTIFICATE OF INSTALLATION (CF2R) DATE 09/16/2024 DOCUMENT CF2R-MCH-01 b-E TITLE HVAC, Ducts and Fans REGISTRATION NUMBER STATUS 424-A020213999A-000-001-M01001 A-0000 0 ICHEERS NOTICE: This compliance summary report has been generated by a registration platform provided by CHEERS using information that has been uploaded to that registration platform by third parties that are not affiliated or related to CHEERS. Therefore, CHEERS Is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this certificate. Page 1 of 1 $ CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE Project Name: Dwelling Address: City and Zip Code A. General Information ALTERATIONS TO SPACE CONDITIONING SYSTEMS (FORMERLY CF-lR-ALT-HVAC) Trujillo Enforcement Agency: 1753 Andrea Ave Permit Number: Carlsbad, 92008 Permit Application Date: CFlR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. 01 Project Name Trujillo 02 Date Prepared 03 Project Location 1753 Andrea Ave 04 Building Type 05 CA City Carlsbad 06 Dwelling Unit Name ' 07 Zip Code 92008 08 Dwelling Unit Conditioned Floor Area (ft2) i Number of Space Conditioning 09 Climate Zone 7 10 (SC) Systems in this Dwelling Unit: B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 SC System Installing a Installing new SC Installing more SC System ID or CFA served by this Is the SC system a refrigerant Name Location or Area SC System (ft2) ducted system? containing system than 25 feet of Served component? components? ducts? System 1 Location 1 420 No Yes Yes No CFlR-ALT-02-E (Page 1 of 3) Carlsbad, City of on site 2024-09-16 2024-09-16 Single family Trujillo 420 1 08 09 10 Installing entirely Installing entirely new duct system? new SC system? Alteration Type Altered space No No conditioning system Registration Number: 424-A020213999A-000-000-0000000-0000 Registration Date/Time: 2024-09-16 11:12:17 HERS Provider: CHEERS NOTICE: This document has been generated by Cal/fomla Home Energy Efficiency Ratin9 Services (CHEERS) using Information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the Information contained In this document. CA Building Energy Efficiency Standards -2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2024-09-16 11:12:54 Schema Version: rev 20220101 ~ CALIFORNIA ENERGY COMMISSION ALTERATIONS TO SPACE CONDITIONING SYSTEMS {FORMERLY CF-lR-ALT-HVAC) C. Extension of Existing Duct System, Greater Than 25 Feet {Section150.2{b)1Diib) This section does not apply to this project. D. Altered Space Conditioning System {Sections 150.2(b)1E and F) 01 02 03 04 OS 06 07 08 09 010 Cooling SC System Altered Heating Altered Minimum Description Heating Heating Heating Minimum Cooling Cooling Cooling Efficiency System ID/ of Area System Component Efficiency Efficiency System Component Efficiency Value Name Served Type s Type Value Type s Type SEER/SEER2 Ductless Ductless Outdoor System 1 Location 1 MiniSplit HP Fancoil AHU HSPF2 6.7 mini-split condensing EERSEER 14 HP unit Rcguircg DQ&!!mcnta!iQn: CF2R-MCH-0l-E • Space Conditioning Systems • Duct insulation requirement for the new portions of supply-air and return-air ducts or plenums: R6 (CZ 3, 5-7) and RB (CZ 1, 2, 4, 8-16) 11 12 Cooling Minimum Efficiency Value Required EER/EER2/C Thermostat EER Type 11.7 Setback CFlR-ALT-02-E (Page 2 of 3) 13 14 New or Replaced New Duct Duct Length R-Value n/a n/a CF2R and CF3R-MCH-20-H -Duct Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 25 ft of duct length is replaced -Leakage rate compliance: less than or equal to 10% or less than or equal to 7% leakage to outside, or seal all accessible leaks. CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2R and CF3R-MCH-23 Airflow Rate greater than or equal to 300 CFM per ton required when MCH-25 is required. Ex&c12tiQn~: -Duct systems registered with HERS provider as previously sealed are exempt from MCH-20 Duct Leakage Testing requirements. -Heating-only systems and Air Handler Furnace changes do not require verification of Air Flow MCH-23, or Refrigerant Charge MCH-25. -Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout {Sections 150.2{b)1Diia and 150.Z{b)lE, F} This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System {Section 150.Z(b)lC) This section does not apply to this project. Registration Number: 424-A020213999A-000-000-0000000-0000 Registration Date/Time: 2024-09-16 11:12:17 HERS Provider: CHEERS NOTICE: This document has been generated by California Home Energy Effidency Ratin9 Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the informat;on contained in this document. CA Building Energy Efficiency Standards• 2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2024-09-16 11:12:54 Schema Version: rev 20220101 • CALIFORNIA ENERGY COMMISSION ALTERATIONS TO SPACE CONDITIONING SYSTEMS (FORMERLY CF-lR-ALT-HVAC) DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Douglas Holzhauer v01, r11 ru ff. ol.a,,fv~ ~, ,., Company: Signature Date: - T & Cheat and air inc. 2024-09-16 Address: CEA/ HERS Certification Identification (if applicable): 28905 Olive Ln City/State/Zip: Phone: Valley Center CA 92082 7609458300 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. CFlR-ALT-02-E (Page 3 of 3) 2. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. I understand that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to accomplish this requirement. 6. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to accomplish these requirements. Responsible Designer Name: Responsible Designer Signature: Douglas Holzhauer Dov nl n A.,-ff. o1Jil, n.u n Company: Date Signed: T & Cheat and air inc. 2024-09-16 Address: License: 28905 Olive Ln 1120991 City/State/Zip: Phone: Valley Center CA 92082 7609458300 Digitally signed by California Home Energy Effidency Rating Services (CHEERS). This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the infonnation. - Registration Number: 424-A020213999A-00O-000-O00000O-00O0 Registration Date/Time: 2024-09-16 11:12:17 HERS Provider: CHEERS NOTICE: This document has been generated by California Home Energy Effidency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. CA Building Energy Efficiency Standards -2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-09-16 11:12:54 (i) CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CF2R-MCH-01-E (Page 1 of 6) CERTIFICATE OF INSTALLATION Project Name: Trujillo Enforcement Agency: Carlsbad, City of Dwelling Address: 1753 Andrea Ave Permit Number: on site City and Zip Code Carlsbad, 92008 Permit Application Date: 2024-09-16 A. General Information 01 Dwelling Unit Name Trujillo 02 Climate Zone 7 03 Dwelling Unit Total Conditioned 420 04 Number of Space Conditioning 1 Floor Area (ft2) Systems in this Dwelling Unit. 05 Certificate of Compliance Type Prescriptive alterations (CFl R-ALT ) 06 Method Used to Calculate HVAC Not applicable -equipment changeout, like-for-like Loads (See Section 150.0(h)) 07 Calculated Dwelling Unit n/a 08 Calculated Dwelling Unit Heating n/a Sensible Cooling Load (Btu/h) Load (Btu/h) 09 Dwelling Unit Number of 1 Bedrooms MCH-Olb -Space Conditioning Systems Ducts and Fans -Prescriptive Alterations Registration Number: 424-A020213999A-000-001-M01001A-0000 Registration Date/Time: 2024-09-16 11:13:16 HERS Provider: CHEERS NOTICE: This document has been generated by CJ/ifomia Home Energy Efficiency Ratin9 Services (CHEERS) using infonnation uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the infonnation contained In this document. CA Building Energy Efficiency Standards -2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2024-09-16 11:13:53 Schema Version: rev 20220101 (i) CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS B. Space Conditioning (SC) System Information 01 02 03 04 OS 06 07 08 Does work Does work Does work Does work SC System ID/ SC System CFA served by this Is the SC system a include installing include installing include installing include installing Name from Description of SC System (ft2) ducted system? a refrigerant new SC system more than 25 feet an "entirely new parent CC Area Served containing component? components? of ducts? duct system"? System 1 Location 1 420 No Yes Yes No No Notes: C. Space Conditioning (SC) System Alterations Compliance Information 01 02 03 04 05 06 07 08 09 10 11 12 Cooling Cooling SC System SC System Heating Altered Heating Heating Cooling Altered Cooling Minimum Minimum Required ID/ Name Description System Heating Efficiency Minimum System Cooling Efficiency Efficiency Efficiency Thermostat from of Area Type Componen Type Efficiency Type Componen Type Value Value Type parent CC Served t Value t SEER/SEER EER/EER2/ 2 CEER Ductless Fancoil Ductless Outdoor System 1 Location 1 MiniSplit HSPF2 6.7 mini-split condensing EER/SEER 14 11.7 Setback HP AHU HP unit Notes: D. Installed Heating Equipment Information for Gas Furnace Indoor Unit, or Heat Pump Indoor Unit, or Packaged Unit (Gas Furnace or Heat Pump) 01 02 03 04 05 06 07 08 SC System ID/ SC System Heating Efficiency Heating Efficiency Indoor Unit or Indoor Unit or Indoor Unit or SC System Rated Name from Description of Packaged Unit Packaged Unit Packaged Unit Heating Capacity, Type Value parent CC Area Served Manufacturer Model Number Serial Number Output (Btu/h) System 1 Location 1 HSPF2 6.7 FUJITSU ASU09RLZ EXA044108 9000 CF2R-MCH-01-E (Page 2 of 6) 09 10 Does work include installing an "entirely new Alteration Type SC system"? Altered space No conditioning system 13 14 15 Number of Central Fan Number of Ducted Integrated Indoor Indoor (CFI) Units for Units for Ventilation this System this System System Status Not a CFI 1 n/a system 09 10 Multi-Split Systems only Indoor Unit Name Indoor Unit Duct or Description of Status Area Served n/a n/a Registration Number: 424-A020213999A-000-001-M01001A-OOOO Registration Date/Time: 2024-09-16 11:13:16 HERS Provider: CHEERS NOTICE: This document has been generated by California Home Energy Efficiency Rating Se,vices (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the Information contained in this document. CA Building Energy Efficiency Standards -2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2024-09-16 11:13:53 Schema Version: rev 20220101 (i) CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS E. Installed Cooling Equipment Information for Outdoor Condenser or Packaged Unit (Air Conditioner or Heat Pump) 01 02 03 04 05 06 07 SC System ID/ SC System Cooling Efficiency Cooling Efficiency Cooling Efficiency Condenser or Package Condenser or Package Name from Description of Type Value SEER/SEER2 Value EER/EER2/CEER Unit Manufacturer Unit Model Number parent CC Area Served System 1 Location 1 EER/SEER 18 11.7 FUJITSU AOU09RLZ Notes: F. Altered Space Conditioning System Duct Information ( < 75% of duct system is altered; or duct system is not altered) This sect ion does not apply to this project. G. Installed New or Complete Replacement Duct System Information This section does not apply to this project. H. Installed Air Filter Device Information This section does not apply to this project. I. Air Filter Device Requirements This section does not apply to this project. J. HERS Verification Requirements for Duct Systems 01 02 03 04 OS 06 07 MCH-20 MCH-21 MCH-22 SC System SC System Indoor Unit Name Exemption From Identification or 08 Condenser or Package Unit Serial Number EXN042960 CF2R-MCH-01-E (Page 3 of 6) 09 10 System Cooling Capacity at Condenser Design Nominal Conditions Capacity (tons) (Btu/h) 9000 0.75 08 09 MCH-23 MCH-28 Description of Area or Description of Duct Leakage Duct Location AHU Fan Efficacy AHU Airflow Rate Return Duct Design Name Served Area Served Requirements Verification (cfm/ton) • Table 160.3-A or B Duct Leakage Test (W/cfm) Notes: Registration Number: 424-A020213999A-000-001-M01001A-0000 Registration Date/Time: 2024-09-16 11:13:16 HERS Provider: CHEERS NOTICE: 1his document has been generated by California Home Energy Effidency Ratin9 Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the infonnation contained in this document. CA Building Energy Efficiency Standards -2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2024-09-16 11:13:S3 Schema Version: rev 20220101 (i) CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS K. HERS Verification Requirements For Space Conditioning Equipment 01 02 SC System ID/ Name from parent CC SC System Description of Area Served System 1 Location 1 Notes: L. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures 03 MCH-25 CF2R-MCH-01-E (Page 4 of 6) Refrigerant Charge No Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements. Heating Equipment 01 Equipment Efficiency: All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency Regulations. 02 Controls: All unitary heating systems, including heat pumps, must be controlled by a setback thermostat. These thermostats must be capable of allowing the occupant to program the temperature set points for at least four different periods in 24 hours. See Sections 150.0(i), 110.2(b). 03 Sizing: Heating load calculations must be done on portions of the building served by new heating systems to prevent inadvertent undersizing or oversizing. See sections 150.0(h)l and 2). 04 Furnace Temperature Rise: Central forced-air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum inlet-to-outlet temperature rise specification. See Section 150.0(h)4. 05 Standby Losses and Pilot Lights: Fan-type central furnaces may not have a continuously burning pilot light. Section 110.5 and Section 110.2(d). Cooling Equipment 06 Equipment Efficiency: All cooling equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency Regulations. 07 Refrigerant line Insulation: All refrigerant line insulation in split system air conditioners and heat pumps must meet the R-value and protection requirements of Section 150.0(j)2 and 3, and Section 150.0(m)9. 08 Condensing Unit Location: Condensing units shall not be placed within five (5) feet of a dryer vent outlet. See Section 150.0(h)3A. 09 liquid line Filter Drier: A liquid line filter drier shall be installed according to the manufacturer's specifications 150.0(h)3B Registration Number: 424-A020213999A-000-001-M01001A-0000 Registration Date/Time: 2024-09-16 11:13:16 HERS Provider: CHEERS NOTICE: This document has been generated by California Home Energy Efficiency Ratin9 Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. CA Building Energy Efficiency Standards -2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2024-09-16 11:13:53 Schema Version: rev 20220101 e CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS L. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures CF2R-MCH-01-E (Page 5 of 6) Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements. 10 Sizing: Cooling load calculations must be done on portions of the building served by new cooling systems to prevent inadvertent undersizing or oversizing. See Section 150.0(h)l and 2. Air Distribution System Ducts, Plenums and Fans 11 Insulation: The minimum duct insulation value is R-6 or ducts can be uninsulated if the duct system is located entirely in conditioned space. Note that higher values may be required by the prescriptive or performance requirements. See Section 150.0(m)lB for exceptions. 12 Connections and Closures: All installed air-distribution system ducts and plenums must be, sealed and insulated to meet the requirements of CMC Sections 601.0, 602.0, 603.0, 604.0, 605.0 and ANSI/SMACNA-006--2006. Heat Pump Thermostat 13 A thermostat shall be installed that meets the requirements of Section 110.2(b) and Section 110.2(c). 14 The thermostat shall be installed in accordance with the manufacturers published installation specifications 15 First stage of heating shall be assigned to heat pump heating. 16 Second stage back up heating shall be set to come on only when the indoor set temperature cannot be met. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: 424-A020213999A-000--001-M01001A-0000 Registration Date/Time: 2024-09-16 11:13:16 HERS Provider: CHEERS NOTICE: This document has been generated by California Home Energy Efficiency Ratin9 Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. CA Building Energy Efficiency Standards -2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2024-09-16 11:13:53 Schema Version: rev 20220101 (i) CALIFORNIA ENERGY COMMIHION SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Douglas Holzhauer nm.1r1lnA +lrHn'1tn,11n~/' Company: Signature DM'e: V T & Cheat and air inc. 2024-09-16 Address: CEA/ HERS Certification Identification (if applicable): 28905 Olive Ln City/State/Zip: Phone: Valley Center CA 92082 7609458300 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Installation is true and correct. CF2R-MCH-01-E (Page 6 of 6) 2. II am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement, orb) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person's behalf. 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency. 4. I understand that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 5. I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Responsible Builder/Installer Signature: Douglas Holzhauer 1)m1r1lnA +lrHn'1tr1.11n~/' Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Position Witw'Company (Title): v T & Cheat and air inc. Address: CSLB License: 28905 Olive Ln 1120991 City/State/Zip: Phone: Valley Center CA 92082 7609458300 Digitally signed by callfomia Home Energy Effidency Rating Services (CHEERS).. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the Information. !Date Signed: 2024-09-16 Registration Number: 424-A020213999A-000-001-M01001A-0000 Registration Date/Time: 2024-09-16 11:13:16 HERS Provider: CHEERS NOTICE: This document has been generated by califomia Home Energy Effidency RatinfJ Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. CA Building Energy Efficiency Standards -2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2024-09-16 11:13:S3 Schema Version: rev 20220101 Dudley Insulation, Inc. 0 856 Gcble Way El C~on, Ca 92020 (619) 32~0751 Complete in duplicate and post with the inspection record card This is to certify that insulation has been installed in conformance with the current energy regulations, California administrative code, Title 24, State of California, in the building located at: 1751 Andrea Avenue Carlsbad CA 92008 Street Address: City: State: Zip: Thermal Roof Manufacturer: Certainteed Thickness/Type: Unfaced R value: 30 Exterior Walls Manutacturer: Certainteed Thickness/Type: Untaced K value: 15 Title-24: Foam (doors, windows & bottom plate as required) Insulation Contractor: Dudley Insulation, Inc. License# 992550 By: Corey Dudley Title: President --'----'---~-----------Date: 9/16/2024 Attention: You will need this form for final inspection STORM WATER POLLUTION PREVENTION NOTES 1. All NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION ANO SEDIMENT CONTROL BMPs WHEN RAIN IS EMINENT. 2. lHE O~ER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO WORKING ORDER TO lHE SATISFACTION OF lHE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING RAINFALL. 3. lHE O~ER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY lHE CITY INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. 4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE AT lHE ENO OF EACH WORKING DAY 'M-iEN lHE FIVE (5) DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT ( 40%). SILT AND OlHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL. 5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM AGGREGATE. 6. AOEQUA TE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED ANO MAINTAINED. 7. lHE CITY INSPECTOR SHALL HAVE lHE AUlHORITY TO ALTER lHIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED TO ENSURE COMPLIANCE WllH CITY STORM WATER QUALITY REGULATIONS. OWNER'S CERTIFICATE: I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO AVOID THE EXPOSURE OF STORM WATER TO CONSTRUCTION RELATED POLLUTANTS; AND (2) ADHERE TO, AND AT ALL TIMES, COMPLY WITH THIS CITY APPRO\o£0 TIER 1 CONSTRUCTION SYIPPP THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPRO\o£0 BY THE CITY OF CARLSBAD. DATE E-29 STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE Erosion Control Sediment Control BMPs BMPs Traddng -rmWaler W§e Management and Maleria~ Control BMPs Management BMPs Pollution Control BMPs i ~ ls i i -,:, "' :g -,:, -,:, ., C ~ ,g .E "' E C ~ C 0 0 .s "E -~ 0 0 E " -,:, ::I c,, ~:J "' -~ ~ ' i "' CL ., .E £ ;~ j ~ O" § ~ Best Management Practice• ~ C OQ 0 a, CL Ii w :.c :~ ., "' " ~ -~ & u~ I ~ ~ 2i (BMP) Description ➔ ., u .!;; E ., "' " "' 0' ., -,:, ., ~ :::,: iii C 0 :::, " 3 ~g I:' 1l ~ 0 '8 0 :-~ ~~ Ji 8:l Cc 0"' " :; ~E ::I C) iii 0 a, g' O:;; Oo ., :g g c ! "' t~ "':;:; .,!!.£ ]-ct~ 3' " ., ... E 1i l ,, ~ u ~[ 11 :a .ii "' "8 ~-~ ~ ~g -,:, 2 ~g 0 f ~ -,:, 0 0 ~ 'u ~ .)le -e ict 0 2~ 0 g ;;s :H ~ i ~ ., .,:. ,, o-WO ii'I Vl u c.: Vl> V) 0.. in C V)"' 0.. >U :::,: V) :::,: in cl!"u CASQA Desi!J,alion ➔ ..... ., "' .,, ... .,., "' ..... ., 0 N .,, ..... ., ' N .,, ... .,., I I I ' ' I I I I I I ' ' I ' I I I I I I I u u u u t,! t,! t,! t,! w t,! t)f ~ ~ ~ V) V) V) V) i i i i i Consl1udion AdiYity w w w "-' V) z z z z Grodina/Soil Disturbance TrenchinQ/Excavotion X X St""'nilino )('. X Drill inn /Rorina Concrete/Asphalt Sawcuttina Concrete Flotwor1< Povina Conduit/Pipe Installation Stucco/Mortar Wor1< x Waste Disoosol X Stoaina /I av Down Areo E~•;nm011t Maintenance and fuelina Hazardous Substance Use/Storooe Dewoterina Site Access Across Dirt Other /listl: Instructions: 1. Check the box to the left of oll applicable construction activity (first column) expected to occur during construction. 2. Located along the top of the BMP Tobie is o list of BMP's with it's corresponding Colifornio Stormwoter Quality Association (CASOA) designation number. Choose one or more BMPs )OU inlend to use during construction from the list. Check the box where the chos011 activity row intersects with the BMP column. 3. Refer to the CASOA construction handbook for information and detoffs of the choSOfl BMPs ond how to apply them to the project. PROJECT INFORMATION Site Address: 1751 Andrea ave , 207-120-16-00 Assessor s Parcel Number. Emergency Contact: Nome: Alena Blasjo 24 Hour Phone: (760) 729-3965 Construction Threat to Storm Water Quality (Check Box) 0 MEDIUM }g! LOW ~ 0 3'-C ~ E -,:, " ~"' oo NC 0 0 :c ::I "' I i ., ., o-3' iii "E ~g' 81 ., I i Page 1 of 1 REV 11/17 CITY ( Cicy of Carlsbad PURPOSE CLIMATE ACTION PLAN CONSISTENCY CHECKLIST 8-50 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 permits are not required to fill out this form ❖ 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 GB 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.: Property Address/APN: Applicant Name/Co.: Applicant Address: Contact Phone: Appllcatlon Information Trujillo JADU BP No.: 1751 Andrea Ave/207-120-16-00 Alena Brooks Blasio/Brooks Design 5145 Avenida Encinas, Suite I Contact Email: Contact information of person completing this checklist (if different than above): Name: Company name/address: B-50 Contact Phone: Contact Email: Date: 11/25/23 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 $39,000 Construction Type I Complete Section(s) I Notes: A high-rise residential building is 4 or more stories, including a ~ Residential Low-rise High-rise mixed-use building in which at least 20% of its conditioned floor area is residential use □ New construction 2A*, 3A*, 1B, 2B, *Includes detached, newly constructed ADU 4A*, 3B, 4A !!!I Additions and alterations: ~ BPV < $60,000 NIA NIA All residential additions and alterations $39,000 □ BPV 2: $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 2: $200,000 1A, 4A* 1B,4A* and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed □ Nonresidential □ New construction 1 B, 2B, 3B, 4B and 5 □ Alterations: □ BPV 2: $200,000 or additions 2: 1,000 1B, 5 square feet D BPV2: $1 ,000,000 1B, 2B, 5 Building alterations of 2: 75% existing gross floor area □ 2: 2,000 sq. ft. new roof addition 2B,5 1B also applies if BPV 2: $200,000 Checklist Item Check the appropriate boxes, explain all not appficable and exception items, and provide supporting calculations and documentation as necessay. 1. Energy Efficiency Please refer to Cartsbad Municipal Code (CMC) 18.21.155 and 18.30.190,and the California Green Building Standards Code (CALGreen) for more information. Appropriate details and notes must be placed on the plans according to selections chosen in the design. A D Residentialadditionoralteration2:$60,000buildingpennitvaluation. □ N/A _________ _ DetailsofselectionchosenbelowmustbeplacedontheplansreferencingCMC □ Exception: Home energy score 2: 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 and later Select one option: □ Lighting package □ Water heating Package D Between1978and 1991 Select one option: □ Ductsealing D Attic insulation □Cool roof □ 1992 and later Select one option: □ Lighting package D Water heating package Updated 4/16/2021 3 B. D Nonresidential* new construction or alterations:?: $200,000 building pennit valuation, or additions:?: 1,000 square feet. See CMC 18.21.155and CAL Green Appendix AS D N/A AS.203.1.1 Choose one:□ .1 Outdoor lighting □ .2 Restaurant service water heating (CEC 140.5) □ . 3 Warehouse dock seal doors. □ .4 Daylight design PAFs □ . 5 Exhaust air heat recovery □ N/ A AS.203.1 .2.1 Choose one:□ .95 Energy budget (Projects with indoor lighting OR mechanical) □ .90 Energy budget (Projects with indoorlightingAND mechanical) □ N/A AS.211.1 ** □ On-site renewable energy: □ N/A AS.211.3** □ Green power: (If offered by local utility provider, 50% minimum renewable sources) □ N/A AS.212.1 □ Elevators and escalators: (Project with more than one elevator or two escalators) □ N/A AS.213.1 □ Steel framing: (Provide details on plans for options 1-4 chosen) □ N/A • Includes hotels/motels and high-rise residential buildings --------- **Foralterations~ $1,000, OOOBPVand affecting> 75% existing gross floor area, OR alterations that add 2,000squarefeetof new roofaddilion: comply with CMC 18.30.130 (section 28 below) instead. 2. Photovoltaic Systems A D Residential new construction (for low-rise residential building pennit 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 □ □ □ □ B. D Nonresidential new construction or alterations :?:$1,000,000 BPV AND affecting :?:75% existing floor area, OR addition that increases roof area by :?:2,000 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: D Gross Floor Area (GFA)Method GFA: D If< 10,000s.f. Enter: 5 kWdc Min. System Size: D If;:; 10,000s.f. calculate: 15 kWdcx (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 TDVEnergy use:*** ______ .x .80= Min. system size: ______ kWdc ***Attach calculation documentation using modeling software approved by the California Energy Commission. 3. Water Heating 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: D Heat pump water heater AND Compact hot water distribution AND Drain water heat recovery (low-rise residential only) D 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) D Heat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higher D Solar water heating system that is either .60 solar savings fraction or 40 s.f. solar collectors D Exception: D For systems serving multiple dwelling units, install a central water-heating system with ALL of thefollowing: D Gas or propane water heating system D Recirculation system per CMC 18.30.150(8) (high-rise residential, hotel/motel) or CMC 18.30.170(8) (low- rise residential) D Solar water heating system that is either: D .20 solar savings fraction D .15 solar savings fraction, plus drain water heat recovery D 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 □ Photovoltaics D Recovered energy D Water heating system is (choose one): D Heat pump water heater D Electric resistance water heater(s) □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/ 16/21 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 : D Multi-family residential· D Exception • Total Parking Spaces EVSE Spaces Proposed EVSE (10% of total) I Installed (50% of EVSE) I Other "Ready" I I I Other "Capable" I Calculations: Total EVSE spaces= .1 Ox Total parking spaces proposed (rounded up to nearestwholenumber) EVSE Installed= Total EVSE Spaces x .50 (rounded up to nearest whole number) EVSE other may be "Ready" or "Capable" *Major alterations are: (1 )foroneand two-family dwellings and townhouses with attached garages, alterations have a building permit valuation~ $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~ $200,000, interior finishes 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 within 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 : ------------- PI ease 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 □ 0-9 1 1 □ 10-25 2 1 □ 26-50 4 2 □ 51-75 6 3 □ 76-100 9 5 □ 101-150 12 6 □ 151-200 17 9 □ 201 and over 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 Management (TOM): Nonresidential 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 use the table below based on yoursubmitted plans to determinewhetherornoryourpermit requires a TOM plan. If TOM is applicable to your permit, staff will contact the applicant to develop a site-specific TOM plan based on the permit details. Acknowledgment: Employee ADT Estimation for Various Commercial Uses Office (all)2 20 Restaurant 11 Retaib 8 Industrial 4 Manufacturing 4 Warehousing 4 1 Unless otherwise noted, rates estimated from /TE Trip Generation Manual, 10thEdition 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 calcy!atjons: 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 maype subject to the City of Carlsbad's Transportation Demand Management Ordinance. I agree to be contacted should my permit require a TOM plan undersra111□-mm..alll approved TOM plan is a condition of permit issuance. Date: 11/16/23 Person other than Applicant to be contacted for TDM compliance (if applicable): Name(Printed): __________________ _ Phone Number. _____ _ Email Address: __________________ _ Updated 4/16/2021 7