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Home My WebLink About1901 CAMINO VIDA ROBLE; 202; CB911323; PermitPermit No: Project No: Development No : Str: ** Fl : **** Ste : 202 BUILDING PERMIT 10/23/91 14:30 Page 1 of 1 Job Address: 1901 CAMINO VIDA ROBLE Permit Type: INDUSTRIAL TENANT IMPROVEMENT Parcel No: Valuation: 36,.834 Construction Type: VN Occupancy Group: B2 Class Code: ^31 Description: 1754 SF OFFICE METRO LIFE : Apr/Issue: Validated By: Appl/Ownr : JOHNSON AND JENNINGS 619 279-6911 9449 BALBOA AVENUE #202 SAN DIEGO, CA 9212 CB911323 A9101682 10/23/91 DC * * * Fees Required * * 1,9Fees : Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee Enter "Y" to Autoc * BUILDING TOTAL Enter "Y" for Plumbi Enter "Y" for Electri Three Phase Per AMP * ELECTRICAL TOTAL Enter 'Y' for Mechanical Install Furn/Ducts * MECHANICAL TOTAL cted & Credits *** 50 9 .00 . 00 215.00 1,720.00 Ext fee Data 330. 215. 8. 670. 619 . 1842. 10. 50. 60. 15. 18. 33. 00 00 00 00 00 00 00 00 00 00 00 00 Y N Y Y INSP. CLEARANCE VAL DATE/Hff CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 /ERMIT APPLICATION tity of Carlsbad Building Department /2075 Las Palmas Dr., Carlsbad, CA 92009 (619} 438-nei 1. PERMIT TYPE A - jgtOMHERCULQHEW BttENANT IMPROVEMENT B - D INDUSTRIAL DMEW D^ENAWT IMPROVEMENT C - DRES1DENTIAL QAPAHTMENT D0*00 DSIMGLE FAMILY DWELLING (^ADDITION/ALTERATION DWPUEX DDEMOLITION DISLOCATION DMOBILE HOME D^ECTRICAL nPt-*6i«G DMECNAMICAL DP°°L DSPA QRETAINING WALL QsOLAR DOTHE£, 2. PROJECT INFORMATION PLAN CHECK No. **«"1901 Camino Vida Roble Nearest Cross streets PalCTnaT OcdCS W3V Building or Suite No. EST. VAL r PLAN CK DEPOSIT. VALID. BY , DATE wi o*/»m -wororC-PRHT 215-00 FOR OFFICE USE ONLY 202 LEGAL DESCRIPTION Lot No. Subdivision Nam/Number Unit No. 6 Carlsbad Tract No. 81-46 1 CHEC&jELOU IF SUBMITTED: •^HR Energy Calcs Q2 Structural Calcs Cz Soils Report jQU Addressed Envelope ASSESSOR'S PARCEL 212-092-20 EX1ST1BG USE Vacant of fine BE5CRIPTION OF lAWK Phase No. PROPOSED USE Of fiOP New walls, ceiling, electrical, HVAC, finishss BLOG. so. FTG. Project: 1754 • OF STORIES Project: 2 3.CONTACT PERSON NAME Finite Concepts Inc. CITY San Diego STATE CA ADDRESS 1550 Hotel Circle North, Suite 120 ZIP CODE 92108 DAY TELEPHONE 296-6110 SIGNATURE 4. APPLICANT a CONTRACTOR NAME Finite Concepts Inc. CITY San Dieoo Q AGENT FOR CONTRACTOR QoWNEH STATE Q2lnft IT FOR OWNER Circle North, Suite 120 DAY TELEPHONE 2Qfi-fi1in 5. PROPERTY OWNER HAME Fox/Croft One Partnership San Diegocm f. CONTRACTORHAHE Johnson & Jennings CITY San Diego ITE LIC. * 438667 OWNER QL.ESSEE DTENANTADDRESS 404 camino del Rio South, Suite 106 STATE CA ZIP CODE 92108 DAY TELEPHONE 296-6110 ADDRESS STATE 9449 Balboa Avenue, Suite 202 DAY TELEPHONE 279-6911 "OO ZIP CODE 92123 LICENSE CLASS B cm BUSINESS LIC. *808400 1 Con CITY San Diego Inc. STATE COPE 1550 Hotel Circle North, Suite 120 92108 DAY TELEPHONE 296-6110 STATE LK.f SOP? 13 WORKERS' COMPENSATION sWorkers' Compensation Declaration: i hereby affirm that 1 have a certificate of consent to se(f-insure issued by^he Director <jFIndustrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY Zenith Insurance Co.POLICY NO. P54098 EXPIRATION DATE^ I/ 1/92 Certificate of Exemption: I certify that in the performance of the work for HtiJch this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers1 Compensation Laws of California. 8. OWNER-BUIL DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 1 as owner of the property or my employees with wages as their sole compensation, wiU 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.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. TOi-i, 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 contractors) licensed pursuant to the Contractor's License Law). Q 1 am exempt under Section Business and Professions Code for this reason: (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 permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLETE THIS SECTION FOR HOH-RESIDEIJIIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES SNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES SNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DTES ^9 NO IF ANY OF THE ANSWERS ARE YES. A HMM, CERTIFICATE OF OCCUPANCY Ntr NOT BE ISSUED AFTER JULT I, IMP UNLESS THE APPLICANT MAS NET O) IS MEET INC THE KEQUIHENENTSOf THE OFFICE OF EMERGENCY SEBV1CES AH) THE A1K POLLUTION CONTKOt OISTRICT. 9. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that ] have read the application and^tate that"the above information is correct, I agree to comply with all City Ordinances and State laws relating" to building construction. I hereby authorize representatives 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 LIABILITIES. JUDGMENTS, COSTS AND EXPENSES UHICH NAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issued by the Building official under the provisions of this Code shall expire by limitation ard become null and void if the building or worfc authoriied/by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended abandoned atj^ny time afte/^he work >6 commenced for a period of 180 days (Section 303(d) Uniform Building Code). [OWNER Q CONTRACTOR PHONE WHITE: File YELLOW: Applicant PINK: Finance PERMIT* CB911323 DESCRIPTION: 1754 CITY OF CARLSBAD INSPECTION REQUEST FOR 11/14/91 SF OFFICE METRO LIFE TYPE: ITI JOB ADDRESS: 1901 CAMINO VIDA ROBLE APPLICANT: JOHNSON AND JENNINGS PHONE; CONTRACTOR: PHONE: OWNER: PHONE; STR:** FL:**** 619 279-6911 INSPECTOR AREA HP PLANCK* CB911323 OCC GRP CONSTR. TYPE VN STE: 202 REMARKS: MH/VIC/279-6911 INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION COMMENTS 19 29 39 49 ST Final Structural PL Final Plumbing EL Final Electrical ME Final Mechanical ***** INSPECTION HISTORY ***** DATE DESCRIPTION 103091 Interior Lath/Drywall 103091 Rough Combo 102891 Rough Combo 102591 Frame/Steel/Bolting/Welding 102591 Rough Electric 102591 Rough/Ducts/Dampers ACT INSP AP MP AP MP MP PK PK PK PA CO CO NR COMMENTS OK TO DROP TILE PNDNG FIRE WALL OK - CARD CORR ON WALL ON JOB CARD CORR ON WALL ON JOB CARD GRID INCOMPLETE ESGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92123 (619)566-14-68 DATE: JURISDICTION: PLAN CHECK NO: SAO SET: 3? PROJECT ADDRESS: I3o\ Oft-W \ VUO UiDtf PROJECT NAME: ^UVTVS 'Z.Q'Z- OTRISDICTIQ] ECKER FILE COPY QUPS ("'DESIGNER The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. - ' ( The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficien- cies identified are resolved and checked by building department staff. D D D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at Esgil Corp. until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to return to the applicant contact person. || The applicant's copy of the check list has been sent to: ^3 Es?il staff did not advise the applicant contact person that plan check has been completed. r~| Esgil staff did advise applicant that the plan check has — been completed. Person contacted: Date contacted: REMARKS: Telephone I & By; O ivu C ESGIL CORPORATION DGA DAA DRN QDM Enclosures: Datei Jurisdiction Prepared, byt VALUATION AND PLAN CHECK FEE Bldg. Dept Esgil PLAN CHECK MO. <S\~_ BUILDING ADDRESS \3Q| Cfr ****•>/> \) I APPLICANT/CONTACT PHONE NO.C*1l O BUILDING OCCUPANCY e>~2 C.T. i. TYPE OF CONSTRUCTION V/-NI DESIGNER PHONE " CONTRACTOR PHONE BUILDING PORTION OFr&ICJS- f. li Air Conditioning Commercial Residential Res. or Comm. Fire Sprinklers Total Value BUILDING AREA \ p B--4- 6 VALUATION MULTIPLIER / 2UOO @ 0 e" • VALUE • " 36-934- ' d -• 36,834 COM HCNTSi Building Permit Fee $ Plan Check Fee $ £• | ^T" * OQ SHEET OF 12/87 BUILDING PLANCHECK ENGINEERING CHECKLIST DATE; IO-1-^l •—' ITEM COMPLETE PLANCHECK NO. C& q\- \"52S ^ ITEM INCOMPLETE NEEDS YOUR ACTION ITEM SELECTED1s T C H E K/ 2 N D C H E K 3 R D C H E K IMOl C-<^mir\0 V i Q& ( \-7SH *rt#f£fi io , PROJECT ID: AI>M 212- C LEGAL REQUIREMENTS site_JPlan K.0,p\C. sffiW sV*^ >^Z- ZO '—' '—' 1. Provide a fully dimensioned site plan drawn to scale. Show: north arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width and dimension setbacks. '—' '—' 2. Show on site plan: Finish floor elevations, pad elevations, elevations of finish grade adjacent to building, existing topographical lines, existing and proposed slopes, driveway with percent (%) grade and drainage patterns. I I I I i Ii—i i—i i—i 3< Provide legal description and Assessors Parcel Number. Discretionary Approval Compliance IjLl I—II—I 4> No Discretionary approvals were required. IIIIII1—' '—' '—' 5. Project complies with all Engineering Conditions of Approval for Project No. . '—' '—' *—' 6. Project does not comply with the following Engineering Conditions of Approval for Project No. Conditions complied with by: Date: Field Review '—' '—' '—' 7. Field review completed. No issues raised. I—I I—II—I 8_ Field review completed. The following issues or discrepancies with the site plan were found: '—' '—' '—' A. Site lacks adequate public improvementsn n ni—i i—i i—i Bs Existing drainage improvements not shown or in conflict with site plan. I—II—II—I C- site is served by overhead power lines. P:\DOCS\MISFORNS\FRM0010.DH REV. 02/27/91 I—' '—I '—' D. Grading is required to access site, create pad or provide for ultimate street improvement. '—' '—I '—' E. Site access visibility problems exist. Provide onsite turnaround or engineered solution to problem. LJ LJ LJ F> other: Dedication Requirements 9. No dedication required. 10. Dedication required. Please have a registered Civil Engineer or Land Surveyor prepare the appropriate legal description together with an 8V1 x 11" plat map and submit with a title report and the required processing fee. All easement documents must be approved and signed by owner(s) prior to issuance of Building Permit. The description of the dedication is as follows: Dedication completed, Date By: Improvement Requirements llm No pubilc improvements required. SPECIAL NOTE: Damaged or defective improvements found adjacent to building site must be repaired to the satisfaction of the Citv inspector prior to occupancy. ' — '' — '' — 'l2. Public improvements required. This project requires construction of public improvements pursuant to Section 18.40 of the City Code. Please have a registered Civil Engineer prepare appropriate improvement plans and submit for separate plancheck process through the Engineering Department . Improvement plans must be approved , appropriate securities posted and fees paid prior to issuance of permit. The required improvements are: _ Improvement plans signed, Date: by:. P:\DOCS\M1SFORHS\FRH0010.DH REV. 02/27/91 i—'I—li—I 13. improvements are required. Construction of the public improvements may be deferred in accordance with Section 18.40 of the City Code. Please submit a letter requesting deferral of the required improvements together with a recent title report on the property and the appropriate processing fee so we may prepare the necessary Future Improvement Agreement. The Future Improvement Agreement must be signed, notarized and approved by the City prior to issuance of a Building Permit. Future Improvement Agreement completed. Date: By:nnc J 13a. Inadequate information available on site plan to make a determination on grading requirements. Please provide more detailed proposed and existing elevations and contours. Include accurate estimates of the grading quantities (cut, fill, import, export). I—I I—I 14 s NO grading required as determined by the information provided on the site plan. I—II—II—I 15> Grading Permit required. A separate grading plan prepared by a registered Civil Engineer must be submitted for separate plan check and approval through the Engineering Department. NOTE; The Grading Permit must be issued and grading substantially complete and found acceptable to the City Inspector prior to issuance of Building Permits. Grading Inspector sign off. Date: by: Miscellaneous Permits D _ 1—' 16. Right-of-Way Permit not required. '—' '—' '—' 17. Right-of-Way Permit required. A separate Right-of-Way Permit issued by the Engineering Department is required for the following: Sewer Permit is not required. sewer Permit is required. A sewer Permit is required concurrent with Building Permit issuance. The fee required is noted below in the fees section. 20. Industrial Waste Permit is not required. P:\DOCS\HISFORMS\FRH0010.DH REV. 02/27/91 I — I I — 1 21. Industrial Waste Permit is required. Applicant must complete Industrial Waste Permit Application Form and submit for City approval prior to issuance of a Building Permits. Permits must be issued prior to occupancy. Industrial Waster permit accepted - Date : _ _ By : _ Fees Required « 27. Park-in-Lieu Fee Quadrant:.Fee per Unit:. 23 24 Total Fees: Traffic Impact Fee Fee Per Unit: Bridge and Thorough fare Fee Fee Per Unit: .Total Fee:, Total Fee: Public Facilities Fee required. Facilities Management Fee Zone:. Sewer Fees Permit No. Fee: EDU • s_ Benefit Area:Fee: 28. Sewer Lateral Required:, Fee: 29. REMARKS: ENGINEERING AUTHORIZATION TO ISSUE PERMIT BY:DATE:7-f/ P:\DOCS\MISFORHS\FRH0010.DH REV. 02/27/91 PLANNING CHECKLIST > Plan Check No. _fZAO*£Address /<?£>/ CA^f/^a (J/hAII / —— —1—• • •«_ i in mn&^dBbah- Planner L^li/J Iwi/^L .. Phone 438-1161 ext.. (Name) * **h * .^K — ^^APN: « a aa a a Type of Project and Use Zone P//) Facilities Management Zone Legend you i—-H 565 Lu Item Complete S S S a. a. r~"l Item Incomplete - Needs your action 1, 2, 3 Number in circle indicates plancheck number where deficiency was identified D Environmental Review Required: YES NO txf TYPE DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval ; D D Discretionary Action Required: YES NO j_ TYPE APPROVAI/RESO. NO. DATE: PROJECT NO. OTHER RELATED CASES: _^__^__ Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval D D California Coastal Commission Permit Required: YES DATE OF APPROVAL: \ San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA. 92108-1725 (619) 521-8036 Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval D D Landscape Plan Required: YES _ NO See attached submittal requirements for landscape plans Site Plan: D D 1. Provide a fully dimensioned site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width and dimensioned setbacks. 2. Show on Site Plan: Finish floor elevations, elevations of finish grade adjacent to building, existing topographical lines, existing and proposed slopes and driveway. 3. Provide legal description of property. 4. Provide assessor's parcel number. nn DD nn nn n n Zoning: 1. Setbacks: nnn *; npy Front: ijTi / Int. Side: Street Side: Rear: A$j 2. Lot coverage: \J/^ 3. Height: 7 /^' 4. Parking: Additional Comments _ Required Required Required Required Required Required Spaces Required Guest Spaces Required Shown Shown Shown Shown Shown Shown Shown Shown OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE PLNCK.FRM COMMERCIAL/INDUSTRIAL APPLICATION FORM FOR INDUSTRIAL WASTE DISCHARGE PERMIT CITY OF CARLSBAD APPLICATION: NEW X (CHECK ONE) REVISED BY: / / £+ "7 ^ BUILDING P.C. N0.:_^J__? APPLICATION NO.; g*fo INDUSTRIAL CLASS: £/ DATE: Signature of City Representative APPLICATION FOR INDUSTRIAL WASTE DISCHARGE PERMIT <T 6rO <r 3O A. GENERAL: Metropolitan Life APPLICANT; c/o Finite Concepts Inc. TYPE OF BUSINESS; Life insurance company SITE ADDRESS s 1901 Camino Vida Roble APPLICANT'S ADDRESS! 2440 Csmino Ramon, San Ramon, CA 94583 B. WASTES AND PROCESSING: (Check where applicable) 1^1 Domestic Waste Only Industrial Waste |~| Industrial Waste NOT Discharged to Sewer Discharged to Sewer GENERAL DESCRIPTION OF WASTE (Chemical and Physical Characteristics of proposed waste): ' GENERAL DESCRIPTION OF PROCESS (If Applicable): C. WASTES TO-6E DISCHARGED TO SEWER: TREATED:WASTE: (Check One)UNTREATED: QUANTITY: AVERAGE (Daily) MAXIMUM GPD GPD (Gallons Per Day) APPLICANT OR REPRESENTATIVE OF FIRM; Randall Weidner, Finite Concepts Inc, '"""(Print) TITLE: Director of Design SIGNATURE:DATE: CARLSBAD, CA 92008 TELEPHONE (619)931-2121 PRO.IF<-:T /) i€7Rorrt£ /T/^V/ £ i AHrWITFCT FlAJlTE' fo^JC€PT^ OWNFR T'CiY. / ffioFT O^E nrriiPANr.v /52_ r.oNST. .. l^SPRINKLERED ^TENANT IMP. /"?S FIRE DEPARTMENT PLAN CHECK REPORT ff J>J$. ADDRESS /9O/ /Xl/M/t/0 \JitiA PAGE 1 OF _/_ , APPROVED , DISAPPROVED PLAN CHECK# y/« / 3^J «^t" *2n7. ^ ADDRESS S/l/U D/f&O PHONE OR to" I //n AnnRESS PHONE S^ / ///< TOTAL SO. FT. STORIES Jl^J & V f-,^ APPROVAL OF PLANS IS PREDICATED ON CONFORMING TO THE FOLLOWING CONDITIONS AND/OR MAKING THE FOLLOWING CORRECTIONS: 1. 2. 3. 4. 5. PLANS, SPECIFICATIONS, AND PERMITS Provide one copy of: floor plan(s); site plan; sheets _ ta Provide two site plans showing the location of all existing fire hydrants within 200 feet of the project. Provide specifications for the following: Vl 9. _ 10. 11. 12. 13. Permits are required for the Installation of all fire protection systemsc^klers>tand pipes, dry chemical, halon, CO2, alarms, hydrants). Plan must be approved by the fire department prior to installation. The business owner shall complete a building Information letter and return it to the fire department. FIRE PROTECTION SYSTEMS AND EQUIPMENT / -, //A? Jtfrtt) r€R M f rA 15 _ ) fl The following fire protection systems are required: ^Automatic fire sprinklers (Design Criteria: D Dry Chemical, Halon, COa (Location: D Stand Pipes (Type: D Fire Alarm {Type/Location:\ 7. Fire Extinguisher Requirements: 2A rated ABC extinguisher for each extinguisher not to exceed 7g feet of travel. D An extinguisher with a minimum rating of sq. ft. or portion thereof with a travel distance to the nearest to be located: _ Qthar 8. Additional fire hydrant(s) shall be provided EXITS Exit doors shall be openable from the Inside without the use of a key or any special knowledge or effort. A sign stating, " This door to remain unlocked during business hours" shall be placed above the main exit and doors _ EXIT signs (6" x W letters) shall be placed over all required exits and directional signs located as necessary to clearly indicate the location of exit doors. GENERAL Storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and hazardous chemicals shall comply with Uniform Fire Code. Building(s) not approved for high piled combustible stock. Storage in closely packed piles shall not exceed 15 feet in height, 12 feet on pallets or In racks and 6 feet for tires, plastics and some flammable liquids. If high stock pil- ing Is to be done, comply with Uniform Fire Code, Article 81. 14. Additional Requirements. h/u/TE .15. Comply with regulations on attached sheet(s). Plan E --- iM,Dale I &/ Z ^ / Report mailed to architect Met with Attach to Plans CA LICENSE #409557 8406 North Magnolia Ave. • Suite G • Santee, California 92071 (619) 258-5848 City of Carlsbad, Building Dept- Attn: electrical inspection re: 1901 Camino Vida Roble Ste 202 Carlsbad, Ca. 92008 The electrical sub feed conduit feeding the 100 amp sub pnl. for suite 202 has been changed from 2" emt to 1 1/2" emt. This size is adequate for the 4 #1 cu copper conductors. Thank You n 13 - X Ul H- O WO Ct H- ooo ooo OOG OOO to n H- n O O a H- Ct N) Oc OO3a o HI (-•ceoct Efl O (D HO CO O (D OHHi tJ fttto C 3 CO H I O t- l-l O H i—tntr o a 3 H- O 3DJ O H-asu enct fp 10 O ctho•ao M H- H- i-h 0) Certificate of Compliance (Parti 0(2)"Performance Requirements CF-1 B For Enforcement Agency Use Only Building Permil Number Plan Checked By Dale Field Checked By Dale Documentation Author/Firm Telephone Approved By Dale Principal Designer. The proposed building will be in substantial compliance with the California Building Energy Efficiency Standards provided it is built according to the plans and specifications and provided future Improvements are completed according to the requirements indicated on (his Certificate ol Compliance. The plans and specifications have been prepared to include all significant energy conservation features required (or compliance with (he Standards. Building areas that are unconditioned and/or not subject to the standards are indicated on the plans. Specs dated CaT. License No. Owner. The energy conservation features and performance specifications indicated on this document and on the plans and specifications shall apply to future alterations, unless compliance is demonstrated anew and a new Certificate of Compliance is submitted. A copy ol this Certificate will be retained and transmitted to future tenants, subsequent owners or others with responsibility for making improvements or modifications to the building. If this certificate is lost, a new Certificate may be required before a permit is Issued for alterations. Unconditioned areas are indicated on the plans and, if these areas are conditioned in the future, they must be made to comply with the applicable energy standards Ihe'n in effect. Enforcement Agency. The proposed building, and future alterations will comply with the California Building Energy Elficiency Standards, provided future alterations meet the requirements Indicated on this Certificate and all applicable mandatory measures, as long as the building occupancy typo remains unchanged. Signature Date Name/Title Agency Address Ctty/Sla Is/Zip Energy Analyst. The energy performance analysis summarized below was performed using an approved CEC calculation method, with CEC approved fixed and restricted engineering inputs for the applicable climate zone and occupancy type, ana using an appropriate representation ol building-zoning and physical configuration. All significant energy consejVqtion feaigioa^ire lisrted below, or on an attached supplement. Name/Tide Company Address Cily/Sla e/Zi Telephone General Reference Unconditioned or Multi-tenant shell? CEC Occupancy Type .... _ UBC Occ. Group/Division . . Climate Zone ....... Conditioned Floor Area . . . Unconditioned Floor Area . . Budget Table (Ir. Standards) . All. Energy Budget (WS-1A) . C ale, Method CEC Code/Dale Multiplier ......... Calculated Energy Use . . Envelope Requirements 12 Average Root/Ceiling R| . . Average Exterior Floor R| . . Average Opaque Wall R| . . Glazing Area in Wall .... Average SC (Wall glazing) . Glazing Area in Roof . . . Average SC (Roof glazing) . Lighting Requirements 19 Allowed Whole Building LPD 20 21 22 23 Allowed Common Areas LPD Allowed Tenant Space LPD . Package Lighting Reduction , Lighting Controls Required? , Mechanical Requirements 24 System Type Unit Fan Power.... Rated Cooling Efficiency Rated Cooling Capacity Rated Heating Efficiency Rated Healing Capacity Economizer cooling? . CF-1X Attached? kBtu/sl-yr kBtu/sl-yr h-F-sl/Btu h-F-sf/Blu h-F-sf/Btu si si f^fCT watts/si wans/si watts/si watts/si (Y/N) 25 26 27 28 29 30 31 watts/elm E£^T( units) M6H (units) (units) .(units) EEM Form Revised September 1988 Pnge of - /'3'2*3