HomeMy WebLinkAbout1000 Aviara Pkwy; 110; CBC2019-0192; Permit(city of
Carlsbad
Commercial Permit
Print Date: 06/26/2019 Permit No: CBC2019-0192
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1000 Aviara Pkwy, 110
BLDG-Commercial
2120407000
$160,878.09
B
Work Class: Tenant Improvement
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Status:
Applied:
Issued:
Permit
Finaled;
Inspector:
Closed -Flnaled
04/24/2019
DS/09/2019
AKrog
Plan Check#:
Final
Inspection: 6/26/2019 9:18:0lAM
Project Title:
Description: CENTENNIAL ESCROW: 3,459 SF T.I. (OFFICE TO OFFICE)
Applicant: Owner: Contractor:
MICHELE ARNOLD-KUSH
925 Fort Stockton Dr
lODO AVIARA HOLDINGS LLC SP WHITE CONSTRUCTION INC
San Diego, CA 92103-1817
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
595 S Riverwoods Pkwy
LOGAN, UT 84321
ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL
MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-COMMERCIAL
Total Fees: $1,628.38 Total Payments To Date: $1,628.38
2524 Gateway Rd
Carlsbad, CA 92009-1742
760-931-1130
Balance Due:
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.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$842.55
$589.78
$89.00
$55.00
$7.00
$45.05
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMATIAPCD
C City of
Building Permit Application Plan Check No.(-J~' ~;::)/') \C, -0/ ?c
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value fi,,,.,o-::;x.61
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 . -''II> ,, <re:} . 1 ;r
email: building@carlsbadca.gov Plan Ck. Deposit
www.carlsbadca.gov Date U-_'1t JJ-19
JOB ADDRESS SUITEt/SPACE#/UNIT# IAPN 212 1000 AVIARA PARKWAY 110 -040 -700 -0
CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS
ITENA~~;;;~;AL ESCROW I CONS~~PE l occ. ;OUP
DESCRIPTION OF WORK: Include Square Feet ot Affected Area(s)
TENANT IMPROVEMENT WILL NOT INCLUDE STRUCTURAL WORK. TENANT IMPROVEMENT WILL INCLUDE NON-LOAD BEARING INTERIOR AND
DEMISE PARTITIONS, EXISTING AND NEW SUSPENDED CEILINGS RELOCATED LIGHT FIXTURES. HVAC/ MECHANICAL SYSTEMS ARE EXISTING,
DUCT WORK ONLY.
3 I 1-159_ sF ~f\e.fl-0 f 1 Yh Af nYewie.4"
EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF) IDECK~(SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
B-OFFICE B-OFFICE N/A 0 YES[)i NoEJ YEs[!jNo □ YES[!jNo□
APPLICANT NAME MICHELE ARNOLD-KUSH PROPERTY OWNER NAME WASATCH COMMERCIAL MANAGEMENT Prlmatv Contact
ADDRESS ADDRESS
925 STOCKTON DR 299 SOUTH MAIN STE 2400
CITY STATE ZIP · CITY STATE ZIP
SAN DIEGO CA 92103 SALT LAKE CITY UTAH 84111
PHONE IFAX PHONE I"" 1<,,o. \&oJ .q1,4-0 619.297.5153
EMAIL
michelellilsafdierabines.com
EMAIL
.'1~11Co /j) CIS~eA-c,iqne1tur-e. UW1
DESIGN PROFESSIONAL SRI CONTRACTOR BUS. NAME \\11,1 • _ _ __ 1 !ff' GoMS.~~-H-
ADDRESS ADDRESS ~24 M~wA-'I ~o 925 STOCKTON DR
CITY STATE ZIP CITY STA(,A ZIP q,:wo4 SAN DIEGO CA 92103 CAftl,~-
PHONE IFAX PHONE IFAX 1(,o.llo:1.'tll4f0 • IOfo 619.297.5153
EMAIL EMAIL an'l-elA~ whitt' c.ori~1rucfloninc. -um michelellilsafdierabines.com I STATE UC.# STAT'r617-yisc ICLASSPi 121TY~'?'r~ 7-1011
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the
applicant for such per_m,t to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the B_usiness and Professions Code} or that he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a
crvil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
ave and will maintain a certificate of consent to self-insure for workers· compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
Section 3700 of the labor Code, for the performan~ o~ e work fsu:., ich th~s P91Jl,il is issued. My workers' compensation ins~ce carrier and policy
_ _..2'"'-lcC..-'-~"°"=.,._ _________ Policy No. '1 (.) } '1 Expiration Date } / L (j
I hereby affirm that I am exempt from Contractor's License Law for the following raason:
□
□
□
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 fO!'
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).
I. 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).
I am exempt under Section ____ ,Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes Oo
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the foUowing person (firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone/ contractors' license number):
5. 1 will provide some of the work, but I have contracted {hired) the following persons lo provide the work indicated {include name I address I phone I type of work):
~ PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business p!_in, acu. tely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes 11' No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes Ji No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes Ji( No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED U~LEss THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there rs a construction lending agency for the performance of the work this permit 1s issued {Sec. 3097 {1) C1v1I Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above infonnation is correct and that the information on the plans is accurate. I agree to comply with all etty ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIAEILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST &JD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pemilt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void W the building or work authorized by such pem,tt is not commenced within
180 days from the date of such permit or , the bui~ing W:orized by such !!'.'.'.'.' is suspended Of abardoned al any time after fue work is commenced for a period of 180 days (Section 106.4. 4 Uniform Building Code).
~APPLICANT'SSIGNATURE . _> DATE b4,;2.4.1
PERMIT INSPECTION HISTORY REPORT (CBC2019-0192)
Permit Type: BLDG-Commercial Application Date: 04/24/2019 Owner: 1000 AVIARA HOLDINGS LLC
Work Class: Tenant Improvement Issue Date: 05/09/2019 Subdivision: PARCEL MAP NO 19207
Status: Closed · Finaled Expiration Date: 12/23/2019 Address: 1000Aviara Pkwy, 110
Carlsbad, CA 92011-4218
IVR Number: 18603
Scheduled Actual Inspection Type Inspection No. Reinspection
Date Start Date Inspection Status Primary Inspector Complete
05/10/2019 05/10/2019 BLDG-84 Rough 091505-2019 Passed Andy Krogh Complete
Combo(14,24,34,44)
Checklist Item COMMENTS Passed
8LDG-14 Yes
Frame-Steel-Bolting-Welding
(Decks)
BLDG-34 Rough Electrical Yes
05/14/2019 05/14/2019 BL0G-17 Interior 091770-2019 Passed Andy Krogh Complete
Lath/Drywall
06/03/2019 06/03/2019 BLDG-85 T-Bar, 093446-2019 Failed Andy Krogh Reinspection Complete
Ceiling Grids,
Overhead
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No one onsite No
BLDG-14 No
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Rough-Topout No
BLOG-34 Rough Electrical No
BLDG-44 No
Rough-Ducts-Dampers
Checklist Item COMMENTS Passed
BLDG-14 Yes
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Rough-Topout Yes
BLOG-34 Rough Electrical Yes
BLDG-44 Yes
Rough-Ducts-Dampers
06/25/2019 06/25/2019 BLDG-Fire Final 095448-2019 Passed Felix Salcedo Complete
Checklist Item COMMENTS Passed
FIRE-Building Final Building ple·ase verify suite number 110 on Yes
NW double glass doors. 2) Directional exit
sign must illuminate under back up power.
06/26/2019 06/26/2019 BLDG-Final 095709-2019 Passed Andy Krogh Complete
Inspection
Checklist ltom COMMENTS Passed
BLDG-Building Deficiency Yes
BLOG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
BLDG-Fire Final 093424-2019 Scheduled Fellx Salcedo Incomplete
June 26, 2019 Page 1 of 2
RECORD COPY
'-~ Gt fY 01
CARLSBAD INS PECTION RECORD
Building Division
CBC2019-0192
1000 AVIARA PKWY
CENTENNIAL ESCROW 3.459 SF T I (OFFICE TO
OFFICE)
#110
0' INSPECTION RECORD CARD WITH APPROVED
PLANS MUST BE KEPT ON THE JOB
0' CALL BEFORE~ FOR NEXT WORK DAY INSPECTION
@' FOR BUii.DiNG INSPECTION CALL: 7 60-602-272 5
2120407000
4/24/2019
OR GO TO: www.Carfsbadca.gol(/Building AND CLICK ON
"Request Inspection~ CBC2019-0192
DATE:
If ~yes" is checked below that Division's approval is required r~_q_uest!J!g a Final Building Inspection. If you have any questions
please call the applicable divisions at the phone numbers provided below. After all required approvals are signed off-fax to
760-602-8560, omail to bldginsp~ctions~rl~.!rndc~ or bring In a COPY of this card to: 1635 Faraday Ave., Carlsbad .
. " -,, ,.u ,,, l:1 :' •up; s.:all 71i•.J-C02-l700 l;ctwct:n 7:30nm-8:00:1m tl11: 11.1, 1i ,,.·
IF MARKED -YES", IT IS REOUIRtD PRIOR TO ANY CONSTRUCTIO
STORM WATI:R PRECON MEETING REQUIRED 760-602-2725 Allow24hOUN
IF MARKED "YES', APPROVAL REQUIRED PRIOR TO REQUESTING BUILOINC.
Fire Prevention 760-602-4660
Plannlng/Landscape 760-944-8463
CM&I I Engineering lmpectlonst 76<>-438-389 l
Type or Inspection
coo,: 11 BUILDING Date Ins ec:tor
#11 FOUNDATION
#12 REINFORCED STEEL
#66 MASONRY PR£ GROUT
0 GROUT O WALL DRAINS
#10 TILT PANELS
#11 POUR STRIPS ---'--------------t--------t #11 COWMN FOOTINGS
#14 SUBFRAME O FLOOR O CEILING
#15 ROOF SHEATHING
#13 EXT. SHEAR PANELS
#16 INSUlATION
#18 EXTERIOR lATH
#17 INTERIOR lATH & DRYWALL
BLD~ANAL
IIWPll!IIIIII!!!
#21 UNDERGROUND □WASTE O W1R
#24 TOP OUT O WASTE O WfR
#27 TUB & SHOWER PAN
#23 0 OAS TEST O OAS PIPING
#25 WAJEI HEATER
#28 SOLAR WATER
BUMI-FUW
CODE :t POOLS Date
Allow 48 hours
Allow 48 hours
Call before 2 pm
Type of Inspection
coor: u ELECTRICAL
#31 D ELECTRIC UNDERGROUND O UFER
#34 ROUGH ELECTRIC EV CHARGER
#33 0 ELEC SERVICE #32O TEMPORARY
#35 PHOTO VOLTAIC
1138 SIGNS
BLDG-ANAL
CODE# MECHANICAL
#41 UNDERGROUND DUCTS & PIPING
#44 0 DUCT & PLENUM O REF. PIPING
#43 HEAT-AIR COND. SYSTEMS
A S UNDERGROUND FLUSH
S OVERHEAD VISUAl.
S OVERHEAD HYDROSTATIC
FIXED EXTINGUISHING SYSTEM ROUGH-IN
Date
Date
Date
Notes
Inspector
Ins or
Ins or
Ins ector
FIXED EXTINO SYSTEM HYDROSTATIC TEST _
FIXED EXTINGUISHING SYSTEM RNAL ------11------4------: MEDICAL OAS PRESSURETEST
MEDICAL GAS ANAL
DATE: 5/1/2019
JURISDICTION: Carlsbad
PLAN CHECK#.: CBC2019-0192
✓• EsG1I
A SAFEbuilt Company
SET: I
PROJECT ADDRESS: 1000 Aviara Parkway #110
PROJECT NAME: Centennial Escrow Tenant Improvement
D APPLICANT
D JURIS.
~ The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
D The plans transmitted herewith will substantially comply with the jurisdiction's
codes when minor deficiencies identified below are resolved and checked by building
department staff.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
D The check list transmitted herewith is for your information. The plans are being held at EsGil
until corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
D The applicant's copy of the check list has been sent to:
~ EsGil staff did not advise the applicant that the plan check has been completed.
D EsGil staff did advise the applicant that the plan check has been completed.
Person contacted:
Date contacted:
Mail Telephone
0 REMARKS:
By: Jason Pasiut
EsGil
{ill , Telephone#:
(by~ Email:
Fax In Person
Enclosures:
4/25/2019
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
Carlsbad CBC2019-0192
5/1/2019
[DO NOT PAY -THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad
PREPARED BY: Jason Pasiut
PLAN CHECK#.: CBC2019-0192
DATE: 5/1/2019
BUILDING ADDRESS: 1000 Aviara Parkway #110
BUILDING OCCUPANCY: B
BUILDING AREA Valuation
PORTION ( Sq. Ft.) Multiplier
Tl 3459 46.51
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code cb By Ordinance
I 1997 UBC Building Permit Fee L~J
] 1997 use Plan Check Fee L~.;
Type of Re>new: P' Complete Review
r Repetitive Fee "'Ill I L"'i Repeats
Comments:
r Other
r Hourly
EsGil Fee ,.
Reg. VALUE
Mod.
r Structural Only
'--------1] Hr. @ *
($)
160,878
160,878
J ,
$513.99)
Sheet 1 of 1
SAN DIEGO REGIONAL
HAZARDOUS MATERIALS
au ESTION NAIRE
Business Name
CENTENNIAL ESCROW
Project Address (include suite)
1000AVIARAPARKWAY SUITE 110
Mailing Address (include suite)
299 SOUTH MAIN, STE 2400
Project Contact
Business Contact
ANGELA SLEVINSKY
City
ARLSBAD
Cily
SALT LAKE CITY
OFFICE USE ONLY
RECORD 10 # ____________________ ,
PLAN CHECK # __________________ I
State
CA
State
UTAH
BP DATE
Telephone#
760.931.1130 x106
Zip Code
92011
Zip Code
APN#
212-040-7000
Plan File#
MICHELE ARNOLD-KUSH
Applicant E-mail
michele safdierabines.com
Telephone#
619.297.6153
The following questions represent the facility's activities, NOT the specific project description.
PART I: FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: (not r9gµjr9d for proiects within the City of San
Diego): Indicate by circling the item, whether your business will use, process. or store any of the following hazardous materials If any of the items are circled,
applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal
Occupancy Rating: Facility's Square Footage (includrng proposed project):
1 Explosive or Blasting Agents
2. Compressed Gases
3. Flammable/Combustible Liquids
4 Flammable Solids
5 Organic Peroxides 9 Water Reaclives 13. Corrosives
6 Oxidizers 1 O Cryogenics 14. Other Health Hazards
7 Pyrophorics 11 Highly Toxic or Toxic Matenals 15. None of These
8 Unstable Reactives 12 Radioactives
II: AN DIE O NTY D P TMENT OF ENVIRONMENTAL HEALTH -H ARD AT RIA S DIVI I N HMO: If the answer lo any of the
questions is yes, applicant must contact the Counly a an Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 170, San Diego. CA 92123
Call (858} 505-6700 prior to the issuance of a building permit.
FEES ARE REQUIRED ProJecl Completion Date: fapected Dale of Occupancy· 0 CalARP Exempt
I
1
2
3
4
5
6
7
8
YES NO
§ I
□ □ □ □ □ I
(far new construction or remodeling proiects)
Is your business listed on the reverse side of this fonn? (check all that apply).
Will your business dispose of Hazardous Substances or Medical Waste in any amou-[ll'? 1~ f . .,., r \ :t {;: r"'~
Will your business store or handle Hazardous Substances in quantities greater Q i~(t~~ ~(f,55 gJ11d'M', ~db
pounds and/or 200 cubic feet? l \ "" ·'
Will your business store or handle carcinogens/reproductive toxins in any quantity? v O 9 ?.0\9
Will your business use an existing or install an underground storage tank? MA I
Will your business store or handle Regulated Substances (CalARP)? ~
Will your business use or install a Hazardous Waste Tank System (Title 22, Arti<;J,~.-10).7 ) \ .... ·. ,"-. . • :_ :. ·'
Will your business store petroleum 1n tanks or containers at your facility with a tfua, Jadilit~. storage.:cap~qlty_ f!,9U?l lo
or greater than 1,320 gallons? (California's Aboveground Petroleum Storage ActU \LL:·.\·-;:,.:. ; ; · ~-
Date Initials
0 CalARP Required
I
Date Initials
0 CalARP Complete
I
Date Initials
PART Ill: SAN DIEGO COUNTY AIR POLLUTION CQNTRQL DISTRICT (APCD): The following questions are intended to identify the majority of air pollution
issues al the plannmg stage Your project may require additional measures not identified by these questions. Some residential projects may be exempt from APCD
requirements. If yes is answered for either questions 1, 2 or 5 or for more comprehensive requirements, please contact APCD at apcdcqmp@sdcounly.ca.gqv,
(858) 586-2650: or 10124 Old Grove Road. San Diego, CA 92131.
1.
2.
3.
4
5.
6.
YES NO
igJ □ :i ~
□
□
□
□
igJ
□
Will the project disturb 100 square feet or more of existing building materials?
Will any load supporting structural members be removed?
(ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by an individual that has passed an EPA•approved
building inspector course?
(ANSWER ONLY IF QUESTION 1 or 21S YES) Based on the survey results, will the project disturb any asbestos containmg material? If yes, a
notification may be required at least 10 working days prior to commencing asbestos removal. Additionally, a notification may be required prior to
the removal of a load supporting structural member(s) regardless of lhe presence of asbestos
Will the project or associated construction equipment emit air contaminants? See the reverse side of 1h15 fonn for typical equipment requiring an
APCO permit If yes, contact APCD prior to the issuance of a building permit
(ANSWER ONLY IF QUESTION 5 rs YES) Will the project or associated construction equipment be located within 1,000 feel of a school
bounda ?
Briefly describe business activities,
OFFICE
Briefly describe proposed project:
TENANT SUITE IN EXISTING OFFICE BUILDING
I declare under penalty of perjury that to the best of my knowledge and belief span made herein are true and correct. o</ I:µ{ 1201. o/ MICHELE ARNOLD-KUSH
Name of Owner or Authorized Agent Signature of Owner or Authorized Agent
FOR OFFICAL USE ONLY:
Date
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION---------------------------------
BY DATE I I
EXEMPT OR NO FURrHER INFORMATION REQUIRED RELEASED roR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY·HMD" 4PCQ COUNTY-HMO APCD COUNTY-HMO APCD
'.<:l-a = .Jo
OS ~ ..... /€!1;,l.J C. 15 \~Qr,;l/a-:0o :~
I -,t,j~l!I
0 "'l "' ";I ' .....
(,OJ &,ij, uf
•A stamp in this box .2.!1!:t exempts businesses from completing or updating a Hazardous Materials Busmess Plan Other permilling requirements may still apply
HM-9171 (9/18) County of San D1eqo DEH Hazardous Materials Orv1s1on
'
C cicyof
Carlsbad
PURPOSE
CLIMATE ACTION PLAN
CONSISTENCY CHECKLIST
B-50
Development Services
Building Division
1635 Faraday Avenue
(760) 602-2719
www .ca rlsbadca .gov
This checklist is intended to assist building permit applicants identify which Climate Action Plan (CAP) ordinance
requirements apply to their projects. Unless none of the requirements apply, the completed checklist must be
included in the building permit application. 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 calcu lations and documentation as specified by
the ordinances.
~ If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required
by ordinance, an explanation must be provided to the satisfaction of the Building Official.
~ Details on CAP ordinance requirements are available on the city's website.
Project Name/Building
Permit No.: __,C~f?~C-~_,__,()._L...l-) Q..,__-_.__Q.L...L[_,_Q-=;:2~----BP No.: CJoC..., 2.01 q -0( q 2..,
Property Address/APN: \OOO .,....,/1~ ~P..':{
Applicant Name/Co.:
Applicant Address:
Contact Phone: Contact Email:
Contact information of person completing this checklist (if different than above):
Name:
Company
name/address:
B-50
SR\
~1'2 ~~~ \)'2,
~ Ot~O , c.A C\"2.\~
Contact Phone:
Contact Email:
Applicant Signature: tiif:.. # ~
Page 1 of 3
Date: O'/ · .7l/ -11
Revised 04/19
City of Carlsbad Climate Action Plan Consistency Checklist
Use the table below to determine which sections of the Ordinance Compliance checklist are applicable to your project.
For residential alterations and additions to existing buildings, contact the building counter for the building permit valuation.
Building Permit Valuation (BPV) $ /(g 6 ; g 7¥", CA
New construction 1A
□ Alterations: □ exempt
□ BPV 2: $60,000 1A 1-2 family dwellings and townhouses with attached garages
□ Electrical service panel upgrade 1A only
Multi-family dwellings only where interior finishes are removed
□ BPV 2: $200,000 1A and significant site work and upgrades to structural and
mechanical, electrical, and/or plumbing systems are proposed
~ Nonresidential
' □ New construction 1B and 2 -
}(" Alterations • 2
1. Electric Vehicle Charging
A. D Residential New construction and major alterations (or electric panel upgrade)*
Please refer to Carlsbad Ordinance CS-349 when completing this section.
□ One and two-family residential dwelling or townhouse with attached garage:
□ One EVSE ready parking space required □ Exception :
□ Multi-family residential· □ Exception ·
Total Parking Spaces EVSE Spaces
Proposed Capable Readv I
I
Calculations: Total EVSE spaces = .10 x Total parking (rounded up to nearest whole number)
EVSE Installed = Total EVSE Spaces x .50 (rounded up to nearest whole number)
EVSE other= Total EVSE spaces -EVSE Installed
(EVSE other may be "Capable," "Ready'' or "Installed.")
Installed Total
I
*Major alterations are: (1) for one and 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.
B D Nonresidential new construction (includes hotels/motels) □ Exception ·
Total Parking Spaces EVSE Spaces
Proposed Capable I Readv I Installed I Total
I I I
Calculation· Refer to the table below·
Total Number of Parking Spaces provided Number of reauired EV Spaces Number of required EVSE Installed Spaces
D 0-9 1 1
D 10-25 2 1
D 26-50 4 2
D 51-75 6 3
D 76-100 9 5
D 101-150 12 6
D 151-200 17 9
D 201 and over 10 percent of total 50 percent of Required EV Spaces
Updated 4/12/2019 2
'
' City of Carlsbad Climate Action Plan Consistency Checklist
2. ransportation Demand Management (TOM)
A. List each proposed nonresidential use and gross floor area (GFA) allocated to each use.
B. Employee ADT/1,000 square feet is selected from the table below.
Use GFA Employee ADT for first Employee ADT for each
1,000S.F. subsequent 1,000 S.F.
6Ffi·~ :lo· 10
Total
If total employee ADT is greater than or equal to 110 employee ADT, a TOM plan is required.
TOM plan required: Yes D Naj,
Updated 4/12/2019
Employee ADT Estimation for Various Commercial Uses
ADT for first
1,000 s.f.
EmpADTI
1000 s.f.1
• Office ( all)2 20
Restaurant 11
Retaib 8
Industrial 4
Manufacturing 4
Warehousin 4
1 Unless otherwise noted, rates estimated from /TE Trip
Generation Manual, 1(/hEdition
20
11
4.5
3.5
3
1
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 calculations:
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 Em lo ee ADT
Total Employee ADT
10
'J_O
3