The URL can be used to link to this page

Home My WebLink About1925 Palomar Oaks Way; 210; CBC2018-0323; Recycle( City of ·Cru-lsbad WASTE MANAGEMENT PLAN B-59 Owner: '\?(oo b.x.icrl Cf> \ I I \ C. ~ Cb \\ IJ(. Contractor: Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov Phone Number:_..,.L_.1.,.eao""'--"0_0.,._,? .... \_-_.II._.ID~_J_U_N_l _2_;;2c;;.O.:.;c18_ Permit#: C~l-r'( '~.-' ~· (~:_:_\ __ ::::L.S·:_:\D Estimated Cost of Project: $. ___ I_0_0_,00_~_9_! I __ ~--·_: c_,_c__; _['~!~'.~' :~S~i '-=..-~' i'J Type Of Project: D New Construction ,IIJ.Remodel or T.I. D Residential D Commercial ODemolition (check all that apply) D Other ------------------------------ Non-hazardous construction waste generated during the course of this project shall be recycled and/or salvaged for re-use at a minimum of 65% per CALGreen Sec. 5.408.1. Failure to comply may result in a penalty fee up to $1,000. For projects which consist of mainly equipment and/or racking, that have a combined weight of new construction disposal that does not exceed 2 lbs per square foot of building area affected by this permit, may be deemed to meet the 65% minimum requirement upon approval of Building Department. ALTERNATIVE FORMS OF COMPLIANCE: (If selected, do not complete Tables 1 & 2 below) D Construction waste shall not exceed 2 lbs. per sf. of area. All receipts shall be provided to the Building Official prior to final. (This option not applicable for most construction projects.) Square feet of construction area X 2 lbs. = lbs. of allowable waste. D I plan on using a WASTE MANAGEMENT roll-off bin. All receipts shall be provided to the Building Official prior to final. Table 1 -Estimated Waste (To be filled out prior to permit issuance -refer to example on Page 2.) MATERIALS lbs. of waste to be taken to lbs. of waste to be Waste Hauling Company or Re-Use Method LANDFILL RE-USED or RECYCLED Asphalt/ Concrete N/A Brick J Masonry N/A Gard board 101bs EDCO Drywall 501bs Landscape Debris N/A Lumber/ Wood N/A Mill work sub will recycle at sh:> Metals 20 EDCO Mixed Waste LLOIOS ll.,;I I Trash I Garbage LJIUS Other: TOTAL lbs: (0 2551bs Estimated Percentage to be Re-Used or Recycled __ -1-4 ___ % I certify that the information provided herein, to the best of my knowledge, is true and correct. Steve White CE a Contractor or Owner (print name) ~~cc==c-~=cc,"""'------r,Y---~-~---Contractor or Owner {signature) p· 06/12/18 Date Official Use Only D Plan Approved D Plan Denied D Project Valuation Approved Reviewed/ Approved by: _________________ _ Page 1of2 p Table 2 -Actua I Waste (To be completed after construction.) ' .. MATERIALS lbs. of waste taken to lbs. of waste Waste Hauling Company or Re-Use Method LANDFILL RE-USED or RECYCLED (complete only if different than Table 1) Asphalt I Concrete Brick/ Masonry cardboard Drywall Landscape Debris Lumber/ Wood Metals Mixed Waste Trash I Garba•e Other: TOTAL lbs.: Actual Percentage Re-Used or Recycled ______ % Official Use Only D 65% Goal Achieved D 65% Goal Not Achieved D Alternative Compliance Achieved Penalty Paid $ _______ _ Reviewed/ Approved by:. __________________ _ EXAMPLE: Use the following example as a guide to completing this form. MATERIALS lbs. of waste to be taken to lbs. of waste to be LANDFILL RE-USED o, RECYCLED Asphalt I Concrete 0 3000 Brick I Masonry 100 950 Cardboard 0 """" Drywall 0 50 Landscape Debris 0 1:20 Lwnber I Wood 500 0 Metals 300 :200 Mixed Waste 1500 0 Trash I Garbage 300 0 Other: Pool C,uL'C[te 0 900 TOTAL lbs.: ::1.J-00 5,:CJ-0 Percentage to be Re-Used or Recycled 6 7 % Formula: Total Re-used or Recycled X 100 = % Re-Used or Recycled (Total Combined Waste) Waste Hauling Company or Re-Use Method AlsC Hm,LlV\,CI Co. WM I Re-v\Seel 1':,rlciz o""-slte A1>.f' >+aL<L[V\,CI Cn. A&C HaL<Li""c, Co. ML<Lcnee1 c; Re-L<see1 o""-site waste Ma""ac,e""'e""t W/v\ I A lsC Hm,Livcg W/v\ W/v\ IA.Seel as C,yusv,eel lsase OL'C-Scte 5370 X 100 = 67% Re-Used or Recycled (2700 + 5370) Since 67% exceeds the minimum requirement of 65%, this plan complies. Page 2 of 2 INDUSTRIAL WASTEWATER DISCHARGE PERMIT ,~,.,.. ! I ~ SCREENING SURVEY -:::;":.."""""" DateG, _ l\. \g ; . ',,' Business Name ~_UI:} U9 Street Address \4¥ Ch\c:xmc ())\(5 vO! ~ :£'.2\D Cm\~ (Pi C\2C:Ce Email Address \em,~@, (hlN'( Q'). CO!""' PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) C8J "'Y (.~/""I Check all below that are present at your facility: \.., l::':' ! ,,. ~ Acid Cleaning Assembly Automotive Repair Battery Manufacturing Biofuel Manufacturing Biotech Laboratory Bulk Chemical Storage Car Wash Chemical Manufacturing Chemical Purification Dry Cleaning Electrical Component Manufacturing Fertilizer Manufacturing Film I X-ray Processing Food Processing Glass Manufacturing Industrial Laundry Ink Manufacturing Laboratory Machining I Milling Manufacturing Membrane Manufacturing (i.e. water filter membranes) Metal Casting I Forming Metal Fabrication Metal Finishing Electroplating Electroless plating Anodizing Coating (i.e. phosphating) Chemical Etching I Milling Printed Circuit Board Manufacturing Metal Powders Forming Nutritional Supplemefi\,I:,, JU,v. • ,2 ' ,,;··f:::[) Vitamin Manufacturif:l~. · ,' <0/9 Painting I Finishing , i'. /· · c· , ::~~~;n~~~~t~~~~ucts ' ,: 11{}t10 Manufacturing 'C.,y Pesticide Manufacturing I Packaging Pharmaceutical Manufacturing (including precursors) Porcelain Enameling Power Generation Print Shop Research and Development Rubber Manufacturing Semiconductor Manufacturing Soap I Detergent Manufacturing Waste Treatment I Storage SIC Code(s) (if known):---------------------- Brief description of business activities (Production I Manufacturing Operations): _____ _ Description of operations generating wastewater (discharged to sewer, hauled or evaporated): Estimated volume of industrial wastewater to be discharged (gal I day): _______ _ List hazardous wastes generated (type/volume): ______________ _ Date operation began/or will begin at this location: ---------------- Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes No If yes, when:--------------------- Site Contact. ______________ Title. ____________ _ Signature Phone No. ___________ _ ENCINA WASTEWATER AUTHORITY, 6200 Avenida Encinas Carlsbad, CA 92011 (760) 438-3941 FAX: (760) 476-9852 DISCHARGE PERMIT EXEMPT LIST The commercial enterprises listed below are a partial listing of businesses that are exempt from industrial wastewater discharge permitting under normal operating conditions. They are exempt because (a) they discharge no process wastewater (i.e., they only discharge sanitary wastewater with no pollutants exceeding any local limits), and (b) they have no potential to negatively impact the EWPCF or other wastewater treatment plants in the ESS. Any questions regarding exemptions should be referred to EWA Source Control staff. Automobile Detailers Barber/Beauty Shops Business/Sales Offices Carpet/Upholstery Cleaning Services Childcare Facilities Churches Community Centers Consulting Services Contractors Counseling Services Educational Services (no auto repair/film developing) Financial Institutions/Services Fitness Centers Gas Stations (no car wash/auto repair) Grocery Stores (no film developing) Home-based Businesses Hotels/Motels (no laundry) Laundromats Libraries Medical Offices (no x-ray developing) Mortuaries Museums Nail Salons Nursing Hornes /1( Office Buildings (no process flow) Optical Services Pest Control Services (no pesticide repackaging for sale) Pet Boarding/Grooming Facilities Postal Services Public Storage Facilities Restaurants/Bars Retail/Wholesale Stores (no auto repair/film developing) Theaters (Movie/Live) OFFICE USE ONLY e . SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE RECORDID#~~~~~~~~~~~~~~~~~I PLANCHECK#~~~~~~~~~~~~~~~~-1 C BP DATE Occupancy Rating: Faclllty's Square Footage (including proposed project): 1 . Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 2. Compressed Gases 3. Flammable/Combustible Liquids 6. Oxidizers 10. Cryogenics 7. Pyrophorics 11. Highly Toxic or Toxic Materials 4. Flammable Solids 8. Unstable Reactives 12. Radioactlves an Diego, CA 92123 1. 2. 3. 4. 5. 6. 7. 8. Expected Date of Occupancy: (for new construction or remodeling projects) 1s your business listed on the reverse side of this form? (check all that apply). WIii your business dispose of Hazardous Substances or Medical Waste in any amount? Will your business store or handle Hazardous Substances in quantities greater than or equat to 55 gallons, 500 pounds and/or 200 cubic feet? [iJ Will your business store or handle carcinogens/reproductive toxins in any quantity? ri] Will your business use an existing or install an underground storage tank? C8l WIii your business store or handle Regulated Substances (CalARP)? ~ Will your business use or Install a Hazardous Waste Tank System (Title 22, Article 1 O)? S Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or reater than 1,320 anons? California's Above round Petroleum Stora e Act . 0 CalARP Exempt I Date Initials 0 CalARP Required I Date Initials 0 CalARP Complete I Date Initials PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCDl: Any YES" answer requires a stamp from APCD 10124 Old Grove Road, San Diego, CA 92131 apcdcomp@sdcounty.ca.gov (858) 586·2650). [*No stamp required if Q1 Yes 2lli1 Q3 Yes i!!Q Q4.Q6 No]. The following questions are intended to identify the majority of air pollution issues at the planning stage. Projects may require additional measures not identified by these questions. For comprehensive requirements contact APCD. Residences are typically exempt, except • those with more than one building+ on the property; single buildings with more than four dwelling units; townhomes; condos; mixed·commercial use; deliberate burns; residences fanning part of a larger project. rExcludes garages & small outbuildings.] YES NO 1. D IS. Will the project disturb 160 square feet or more of existing building materials? 2. D Iii Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition. 3. D D (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos smvey been performed by a Certified Asbestos Consultant or Site Surveillance Technician? 4. D D {ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification may be required 10 working days prior to commencing asbestos removal. 5. D IE,. WIii the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet (www.sdapcd.qrg/info/factslpennits.pdfl for typical equipment requiring an APCD permit. 6. D D (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school bound a Cc I \\ I \'& Date EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILOING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY·HMO• APCD COUNTY·HMD APCD COUNTY·HMD APCD . A stamp 1n this box e exempts businesses from completing or updating a Hazardous Matenats Business Plan. Other pem11ttmg requirements may still apply . HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division f Ll~T OF BUSINESSES WHICH REQUIRE REVIEW AND APPROVAL FROM THE COUNTY OF SAN DIEGO ' DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION Check all that apply: AUTOMOTIVE D Battery Manufacturing/Recycling 0 Boat Yard 0 Car Wash D Dealership Maintenance/Painting 0 Machine Shop 0 Painting 0 Radiator Shop D Rental Yard Equipment D Repair/Preventive Maintenance O Spray Booth D Transportation Services 0 Wrecking/Recycling CHEMICAL HANDLING D Agricultural supplier/distributor D Chemical Manufacturer D Chemical Supplier/Distributor D Coatings/Adhesive D Compressed Gas Supplier/Distributor D Dry Cleaning D Fiberglass/Resin Application 0 Gas Station D Industrial Laundry 0 Laboratory D Laboratory Supplier/Distributor 0 Oil and Fuel Bulk Supply D Pesticide Operator/Distributor CHEMICAL HANDLING D Photographic Processing D Pool Supplies/Maintenance D Printing/Blue Printing 0 Road Coatings 0 Swimming Pool D Toxic Gas Handler D Toxic Gas Manufacturer METAL WORKING 0 Anodizing 0 Chemical Milling/Etching D Finish-Coating/Painting D Flame Spraying 0 Foundry D Machine Shop-Drilling/Lathes/Mills 0 Metal Plating D Metal Prepping/Chemical Coating D Precious Metal Recovery 0 Sand Blasting/Grinding D Steel Fabricator D Wrought Iron Manufacturing AEROSPACE D Aerospace Industry D Aircraft Maintenance D Aircraft Manufacturing OTHERS AND MISCELLANEOUS 0 Asphalt Plant D Biotechnology/Research D Chiropractic Office 0 Co-Generation Plant 0 Dental Clinic/Office D Dialysis Center 0 Emergency Generator D Frozen Food Processing Facility D Hazardous Waste Hauler D Hospital/Convalescent Home 0 Laboratory/Biological Lab 0 Medical Clinic/Office D Nitrous Oxide (NOx) Control System D Phannaceutlcals 0 Public Utility 0 Refrigeration System D Rock Quarry O Ship Repair/Construction D Telecommunications Cell Site 0 Veterinary Clinic/Hospital D Wood/Furniture Manufacturing/Refinishing ELECTRONICS D Electronic Assembly/Sub-Assembly D Electronic Components Manufacturing D Printed Circuit Board Manufacturing NOTE: THE ABOVE LIST INCLUDES BUSINESSES, WHICH TYPICALLY USE, STORE, HANDLE, AND DISPOSE OF HAZARDOUS SUBSTANCES. ANY BUSINESS NOT INCLUDED ON THIS LIST, WHICH HANDLES, USES OR DISPOSES OF HAZARDOUS SUBSTANCES MAY STILL REQUIRE HAZARDOUS MATERIALS DIVISION (HMD) REVIEW OF BUSINESS PLANS. FOR MORE INFORMATION CALL (858) 505-6880. LIST OF AIR POLLUTION CONTROL DISTRICT PERMIT CATEGORIES Businesses, which include any of the following operations or equipment, will require clearance from the Air Pollution Control District. CHEMICAL 47 -Organic Gas Sterilizers 32 -Acid Chemical Milling 33 -Can & Coil Manufacturing 44 -Evaporators, Dryers & Stills Processing Organic Materials 24 -Dry Chemical Mixing & Detergent Spray To"W"ers 35 -Bulk Dry Chemicals Storage 55 -Chrome Electroplating Tanks COATINGS & ORGANIC SOLVENTS 27 -Coating & Painting 37 -Plasma Arc & Ceramic Deposition Spray Booths 38 -Paint, Stain & Ink Mfg 27 -Printing 27 -Polyester Resin/Fiberglass Operations METALS 18 -Metal Melting Devices 19 -Oil Quenching & Salt Baths 32 -Hot Dip Galvanizing 39 -Precious Metals Refining ORGANIC COMPOUND MARKETING {GASOLINE. ETC) 25 -Gasoline & Alcohol Bulk Plants & Terminals 25 -Intermediate Refuelers 26 -Gasoline & Alcohol Fuel Dispensing COMBUSTION 34 -Piston Internal -Combustion Engines 13-Boilers & Heaters (1 million BTU/hr or larger) 14 -Incinerators & Crematories 15 -Burn Out Ovens 16 -Core Ovens 20 -Gas Turbines, and Turbine Test Cells & Stands 48 -Landfill and/or Digester Gas Flares ELECTRONICS 29 -Automated Soldering 42 -Electronic Component Mfg FOOD 12 -Fish Canneries 12 -Smoke Houses 50 -Coffee Roasters 35 -Bulk Flour & Powered Sugar Storage SOLVENT USE 28 -Vapor & Cold Degreasing 30 -Solvent & Extract Driers 31 -Dry Cleaning ROCK AND MINERAL 04 -Hot Asphalt Batch Plants 05 -Rock Drills 06 -Screening Operations 07 -Sand Rock & Aggregate Plants OB -Concrete Batch, CTB, Concrete Mixers, Mixers &Silos 1 O -Brick Manufacturing OTHER 01 -Abrasive Blasting Equipment 03 -Asphalt Roofing Kettles & Tankers 46 -Reverse Osmosis Membrane Mfg 51 -Aqueous Waste Neutralization 11 -Tire Suffers 17 -Brake Debonders 23 -Bulk Grain & Dry Chemical Transfer & Storage 45 -Rubber Mixers 21 -Waste Disposal & Reclamation Units 36 -Grinding Booths & Rooms 40 -Asphalt Pavement Heaters 43 -Ceramic Slip Casting 41 -Per1ite Processing 40 -Cooling Towers -Registration Only 91 -Fumigation Operations 56 -VW./TP (1 million gal/day or larger) & Pump Station NOTE: OTHER EQUIPMENT NOT LISTED HERE THAT IS CAPABLE OF EMITIING AIR CONTAMINANTS MAY REQUIRE AN AIR POLLUTION CONTROL DISTRICT PERMIT. IF THERE ARE ANY QUESTIONS, CONTACT THE AIR POLLUTION CONTROL DISTRICT AT (858) 586-2600. HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division . ( City of NONRESIDENTIAL GREEN Develog_ment Services BUILDING CODE STANDARDS Building Division MANDATORY MEASURES 1635 Faraday Avenue Carlsbad CERTIFICATION CHECKLIST 760-602-2719 B-52 www.carlsbadca.gov This form, signed and completed, and all receipts for the recycled materials shall be submitted to the Building Inspector prior to Final Inspection. Site Development Mandatory 5.106.1 Storm water pollution prevention plan. For projects of one acre or less, develop a Storm Water Pollution Prevention Plan (SWPPP) that has been designed specific to its site, conforming to (X) the State Storm water NP DES Construction Permit or local ordinance, whichever is stricter, as is required for projects over one acre. The plan should cover prevention of soil loss by storm water run-off and/or wind erosion, of sedimentation and/or of dust/narticulate matter air pollution. 5.106.4 Bicycle parking and changing rooms. Comply with Sections 5.106.4.1 and 5.106.4.2; or (X) meet local ordinance, whichever is stricter. 5.106.4.1 Short-Term bicycle parking. If the project is expected to generate visitor traffic, provide permanently anchored bicycle racks within 200 feet of the visitor's entrance, readily visible to (X) passers-by, for 5 percent of visitor motorized vehicle parking capacity, with a minimum of one two- bike capacity rack. 5.106.4.2 Long Term bicycle parking. For buildings with over 10 tenant-occupants, provide secure bicycle parking for 5 percent of tenant-occupied motorized vehicle parking capacity, with a minimum (X) of one space. 5.106.5.2 Designated parking. Provide designated parking for any combination of low emitting, fuel-efficient and carpool/van pool vehicles as shown in Table 5.106.5.3.1. (X) 5.106.8 Light pollution reduction. Comply with lighting power requirements in the California Energy Code and design interior lighting such that zero direct-beam illumination leaves the building (X) site. Meet or exceed exterior light levels and uniformity ratios for lighting zones 1-4 as defined in Chapter 1 O of the California Administrative Code, using the following strategies: 1. Shield all exterior luminaries or use cutoff luminaries (X) 2. Contain interior lighting within each source (X) 3. Allow no more than .01 horizontal foot candle 15ft. beyond the site (X) 4. Contain all exterior lighting within property boundaries (X) Exception: See part 2, Chapter 12, Section 1205.6 for campus lighting requirements for parking facilities and walkwavs. 5.106.10 Grading and paving. The site shall be planned and developed to keep surface water away from buildings. Construction plans shall indicate how site grading or drainage system will (X) manage all surface water flows. Water Efficiency and Conservation Indoor Water Use 5.303.1 Meters. Separate meters shall be installed for the uses described in Sections 503.1.1 (X) through 503.1.3. 5303.1.1 Buildings in excess of 50,000 square feet. Separate sub-meters shall be installed as follows: (X) 1. For each individual leased, rented, or other tenant space within the building projected to consume more than 100 gal/day. 2. For spaces used for laundry or cleaners, restaurant or food service, medical or dental office, laboratory or beautv salon or barber shoo oroiected to consume more than 100 Qal/dav. B-52 Page 1 of 5 Rev. 5/17 ... 5.303.1.2 Excess consumption. Any building within a project or space within a building that is projected to consume more than 1,000 gal/day. (X) 5.303 Percent savings. A schedule of plumbing fixtures and fixture fittings that will reduce the overall use of potable water within the building by 20 percent shall be provided (Calculate (X) savings by Water Use Worksheets or utilize Table 5.303.2.3). 5.303.2.1 Multiple showerheads serving one shower. When single shower fixtures are served by more than one showerhead, the combined flow rate of all the showerheads shall not (X) exceed the maximum flow rates specified in the 20 percent reduction column contained in Table 5.303.2.3 or the shower shall be designed to allow only one showerhead to be in oneration at a time. 5.303.6 Plumbing fixtures and fittings. Plumbing fixtures (water closets and urinals) and fittings (faucets and showerheads) shall comply with the requirements listed As applicable for each type in items listed in Table 5.303.6. 1. Water closets (toilets) -flushometer type (X) 2. Water closets (toilets) -tank type (X) 3. Urinals (X) 4. Public lavatory faucets (X) 5. Public metering self-closing faucets (X) 6. Residential bathroom lavatory sink faucets (X) 7. Residential bathroom lavatory sinks (X) 8. Residential showerheads (X) 9. Sinale shower fixtures served bv more than one showerhead (Xl Outdoor Water Use . 5.304.1 Water Budget. A water budget shall be developed for landscaping irrigation use. (X) 5.304.2 Outdoor potable water use. For new water service, separate meters or submeters shall be installed for indoor and outdoor potable water use for landscaped areas between 1,000 and 5,000 square feet. (X) 5.304.3 Irrigation design. In new nonresidential projects with between 1,000 and 2,500 square feet of landscaped area (the level at which the MLO applies), install irrigation controllers and sensors which include the following criteria and meet manufacturer's recommendations. 5.304.1.1 Irrigation controllers. Automatic irrigation system controllers installed at the time of final inspection shall comply with the following: 1. Controllers shall be weather-or soil moisture-based controllers that automatically adjust irrigation in response to changes in plant's needs as weather conditions change. (X) 2. Weather based controllers without integral rain sensors or communication systems that As applicable account for local rainfall shall have separate wired or wireless rain sensors which connects or (X) communicates with the controller(s). Soil moisture-based controllers are not required to have rain sensor input. Construction Waste Management Plan 5.408.1 Construction waste diversion. Establish a construction waste management plan or (X) meet local ordinance, whichever is more stringent. (X) 5.408.2 Construction waste management plan. Submit plan per this section to enforcement authority within the city. 5.408.1.4 Documentation. Provide documentation of the waste management plan (see form (X) 8-59) that meets the requirements listed in Section 5.408.1.1 thru 5.408.1.3 and the plan is accessible to the enforcement authority. 5.408.3 Construction waste. Recycle and/or salvage for reuse a minimum of 50 percent of nonhazardous construction and demolition debris or meet local ordinance, whichever is more stringent. (X) Exceptions: 1. Excavated soil and land-clearing debris 2. Alternate waste reduction methods, developed by working with local agencies if diversion or recycle facilities capable of compliance with this item do not exist. 5.408.3 Excavated soil and land clearina debris. 100 oercent of trees. Stumos, rocks and B-52 Page 2 of5 Rev. 5/17 associated vegetation and soils resulting primarily from land clearing shall be reused or recvcled. Building Maintenance and Operation 5.410.1 Recycling by occupants. Provide readily accessible areas that serve the entire building and are identified for the depositing, storage and collection of nonhazardous materials ( X) for recycling. 5.410.2 Commissioning. For new buildings 10,000 square feet and over, building ( X) commissioning for all building systems covered by T24, Part 6, process systems and renewable energy systems shall be included in the design and construction processes of the building project. Commissioning requirements shall include items listed in Section 5.410.2. - 5.410.2.6 (X) 5.410.2.1 Owner's Project Requirements (OPR). Documented before the design phase of the project begins the OPR shall include items listed in Section 5.410.4. (X) 5.410.2.2 Basis of Design (BOD). A written explanation of how the design of the building systems meets the OPR shall be completed at the design phase of the building project and updated periodically to cover the systems listed in Section 5.410.2.2. ( X) 5.410.2.3 Commissioning plan. A commissioning plan describing how the project will be commissioned shall be started during the design phase of the building project and shall include items listed in Section 5.410.2.3. (X) 5.410.2.4 Functional performance testing shall demonstrate the correct installation and operation of each component, system and system-to-system interface in accordance with the ( X) approved plans and specifications. 5.410.2.5 Documentation and training. A Systems manual and systems operations training are required. ( X) 5.410.2.5.1 Systems manual. The systems manual shall be delivered to the building owner or representative and facilities operator and shall include the items listed in Section 5.410.2.5.1. (X) 5.410.2.5.2 Systems operations training. The training of the appropriate maintenance staff for each equipment type and/or system shall include items listed in Section 5.410.2.5.2. (X) 5.410.2.6 Commissioning report. A complete report of commissioning process activities undertaken through the design, construction and reporting recommendations for post construction phases of the building project shall be completed and provided to the owner or representative. 5.410.4 Testing and adjusting. Testing and adjusting of systems shall be required for (X) buildings less than 10,000 square feet. 5.410.4.2 Systems. Develop a written plan of procedures for testing and adjusting systems. (X) Systems to be included for testing and adjusting shall include, as applicable to the project, the systems listed in Section 5.410.3.2. (X) 5.410.4.3 Procedures. Perform testing and adjusting procedures in accordance with industry best practices and applicable national standards on each system. ( X) 5.410.4.3 HVAC balancing. Before a new space-conditioned system serving a building or space is operated for normal use, the system should be balanced in accordance with the procedures defined by national standards listed in Section 5.410.3.3.1. ( x) 5.410.4.4 Reporting. After completion of testing, adjusting and balancing, provide a final report ( X) of testing signed by the individual responsible for performing those services. maintenance instructions and copies of guaranties/warranties for each system prior to final inspection. 5.410.4.5 Operation and maintenance manual. Provide the building owner with detailed operating and maintenance manual 5.410.4.5.1 Inspection and reports. Include a copy of all inspection verifications and reports reauired bv the enforcina aaencv. B-52 Page 3 of 5 Rev. 5/17 Environmental Quality Fireplaces 5.503.1 Install only a direct-vent sealed-combustion gas or sealed wood-burning fireplace or a sealed woodstove and refer to residential requirements in the California Energy Code, Title 24, (X) Part 6, Subchapter 7, Section 150. As Applicable 5.503.1.1 Woodstoves. Woodstoves shall comply with US EPA Phase II emission limits. IXl Weather Resistance and Moisture Management 5.407.1 Weather protection. Provide a weather-resistant exterior wall and foundation envelope as required by California Building Code Section 1403.2 and California Energy Code Section 150, manufacturer's installation instruction instructions or local ordinance, whichever is more stringent. (X) 5.407.2 Moisture control. Employ moisture control measured by the following methods: 5.407.2.1 Sprinklers. Prevent irrigation spray on structures. (X) 5.407.2.2 Entries and openings. Design exterior entries and openings to prevent water intrusion (X) into buildinos. Pollution Control 5.504.3 Covering of duct openings and protection of mechanical equipment during construction. At the time of rough installation or during storage on the construction site and until final start up of the heating and cooling equipment, all duct and other related air distribution component openings shall be covered with tape, plastic, sheet metal or other methods to reduce (X) the amount of debris or duct which may collect in the system. 5.504.5.3 Filters. In mechanically ventilated buildings, provide regularly occupied areas of the buildina with outside and return air Prior to occuPancv that provides at least a MERV of 8. 5.504.4 Finish material pollutant control. Finish materials shall comply with Sections 5.504.4.1 through 5.504.4.6 5.504.4.1 Adhesives, sealants, caulks. Adhesives and sealants used on the project shall meet the requirements of the following standards: (X) 1. Adhesives, adhesive bonding primers, adhesive primers, sealants, sealant primers and caulks shall comply with local or regional air pollution control or air quality management district rules where applicable or SCAQMD Rule 1168 voe limits as shown in Tables 5.504.4.1 and 5.504.4.2. 2. Aerosol adhesives and smaller unit sizes of adhesives and sealant or caulking compounds (in units of product, less packaging, which do not weigh more than one pound and do not consist of more than 16 fluid ounces) shall comply with statewide voe standards and other requirements, including prohibitions on use of certain toxic compounds, of California Code of Regulations, Title 17, commencing with Section 94507. 5.504.4.3 Paint and coatings. Architectural paints and coatings shall comply with Table 5.504.4.3 5.504.4.3.1 Aerosol paints and coatings. Aerosol paints and coatings shall meet the Product- Weighted MIR limits for ROC in Section 94522 (a)(3) and other requirements, including prohibition on use of certain toxic compounds and ozone depleting substances (CCR, Title 17, Section 94520 et seq.). 5.504.4 Carpet systems. All carpet installed in the building interior shall meet the testing and product requirements of one of the standards listed in Section 5.504.4.4. 50504.4.4.1 Carpet cushion. All carpet cushion installed in the building interior shall meet the requirements of the Carpet and Rug Institute Green Label Program. 5.504.4.4.2 Carpet adhesive. All carpet adhesive shall meet the requirements of Table 804.4.1. 5.504.4.5 Composite wood products. Hardwood, plywood, particleboard and medium density fiberboard composite wood products used on the interior or exterior of the building shall meet the requirements for formaldehyde as specified in Table 5.504.4. 5.504.4.5.2 Documentation. Verification of compliance with this section shall be provided as requested by the enforcing agency. Documentation shall include at least one of the following: 1. Product certification and specifications 2. Chain of custody certifications 3. Other methods acceptable to the enforcing agency 5.504.4.6 Resilient flooring systems. Comply with the voe emission limits defined in the 2009 (X) CHPS criteria and listed on its Low-emitting Materials List (or product registry) or certified under the FloorScore oroaram of the Resilient Floor Coverin~ Institute. B-52 Page 4 of 5 Rev. 5/17 Indoor Moisture and Radon Control 5.505.1 Indoor moisture control. Buildings shall meet or exceed the provisions of the California Buildlna Code Title 24 Part2 Sections 1203 /Ventilation} Chapter 14.1. Air quality and Exhaust 5.506.1 Outside air delivery. For mechanically or naturally ventilated spaces In buildings, meet the minimum requirements of Section 121 of the California Energy Code, CCR, Title 24, Part 6 and Chapter 4 of CCR, Title 8 or the applicable local code, whichever is more stringent. 5.506.2 Carbon DIOXIDE (CO2) monitoring. For buildings equipped with demand control ventilation, CO2 sensors and ventilation controls shall be specified and installed in accordance with the reauirements of the latest edition of the California Enerav Code, Title 24, Part 6, Section 120.1.IC\ 14\. Outdoor Air Quality 5.508.1 Ozone depletion and global warming reductions. Installations of HVAC, refrigeration and fire suppression equipment shall comply with Sections 5.508.1.1 and 5.508.1.2. 5,508.1 CFCs. Install HVAC and refrigeration equipment that does not contain CFCs. 5.508.1.2 Halons. Install fire suppression equipment that does not contain Halons. (X} (X) (X) As applicable (X) (X) I, as the professional responsible for this project, certify that, to the best of my knowledge, the mandatory items listed on this form have been incorporated into the project in order to comply with Title 24, Part 11 of the 2016 California Green Building Standards. All receipts for recycled materials have been attached to this form. Project Address: \Q1S ~a\omc Cab, \i~, (o;<\r.W Plan Check Number: Cf3('., ~ 0 -0~ ::> Print Name: ~~ \\ru~ Signad: _/£/ J / 6'3t>± Date: 61\1,/\B (/ 1 License Number: B-52 Page 5 of 5 Rev. 5/17 \CERTIFICATE OF INSTALLATION \\NRCI-LTl-01-E !Indoor Lighting lrrojcc1 Name: OUM !IEnforccmcnt Agc11cy: CITY OF CARLSBAD lfrcrmit Numb<.-r: CBC2018-0323 IProjccl Addr~ss: 1925 Palomar Oaks Way Suite 210 IICity: Carlsbad IIZip c,idc: 92008 General Information Building Type: P' Nonresidential r High-Rise Res (Common Area) r Hotel/Motel (Common Area) Phase of Construction: r New Construction r Addition 17 Alteration r Unconditioned Scope of Responsibility Enter the date of approval by enforcement agency of the Certificate of Compliance that provides th e specifications for the energy efficiency measures for the scope of responsibility for this Installation Certificate. I Date: CAL0TP 6/29/2018 12:00:00 AM ca111ornla Advanced Lighting Controls Training Program Thi s is page I of 2 ICERTIFlCATE OF INSTALLATION Indoor L1gh1ing jProjcc1 Name: OUM ! Enforccmcm Agency: CITY OF CARLSBAD jProjccl Address: 1925 Palomar Oaks Way Suite 210 I City: Cruisba<l DOCUMENTATION AUTHOR'S DECLARATION STATEMENT I certify that this Certificate of Acceptance document 1s accurate and complete. Documentation Author Name Address Zip Code CEA/ATT Cert1f1cat1on ldent1f1cat1on ( 1f applicable) Date of Signature. Caryn Remy 1432 Eastmore Pl 92056 13·0261 09/19/2018 Company Name City Phone Author Signature RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of periury, under the laws of the State of California. JjNRCI-LTl-01 ·E cn11i1 Number. CBC2018-0323 ip Code: 92008 North County Electric Co. Oceanside (760)532 6359 1 I am the Field Technician, or the Field Techn1c1an 1s acting on my behalf as my employee or my agent and I have reviewed the rnformat,on provided on this Cert1f1cate of Acceptance. 2 I am eligible under D1v1s1on 3 of the Business and Professions Code 1n the applicable class1f1cat1on to accept respons1bllity for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provjded on this Certificate of Acceptance substantiates that the construction or installation 1dent1fled on this Certificate of Acceptance complies with the acceptance reQuirements tndicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonres1dent1al Appendix NA7 4. I have confirmed that the Cert1f1cate(s) of lnstallat1on for the construction or installation 1dent1f1ed on this Cert1f1cat e of Acceptance has been completed and 1s posted or made available with the building perm1t(s) issued for the building 5. I will ensure that a completed, signed copy of this Cert1f1cate of Acceptance shall be posted, or made available with the building perm1t(s) issued for the building, and made available to the enforcement agency for all applicable 1nspect1ons. I understand that a signed copy of this Cert ificate of Acceptance 1s required to be Included with the documentation the builder provides to the building owner at occupancy. Responsible Acceptance Company Name Person Name Caryn Remy North County Electric Co Address Zip Code CSLB License Date of Signature. cAL0TP 1432 Eastmore Pl 92056 946430 California Advanced Lighting Controls Training Program city Oceanside Phone (760)532-6359 Pos1t1on with Company Vice President (Title) This is page 2 of2 !CERTIFICATE OF ACCEPTANCE IINRCA-L Tl-02-A Lighting: Cona·ol JJEnforccmcnl Agency: CITY OF CARLSBAD JJPcm,il Number: CBC2018-0323 jrrojcct Name: OUM Project Addres.s: 1925 Palomar Oaks Way Suite 210 JCity: Carl<ba<l JJZip Code: 92008 Enforcement Agency Use: Checked by/Date LIGHTING CONTROL ACCEPTANCE DOCUMENT Automatic Shut-off Controls: Automatic Time Switch Control and Occupant Sensor Intent: Lights are turned off or set to a lower level when not needed per Section l10.9(a) & 130.l(c). A. Construction Inspection Fill out Section A to cover spaces 1 through 3 that are functionally tested under Section B. Instruments needed to perform tests include, but are not limited to: hand-held amperage meter, power meter, or light meter 1: Automatic Time Switch Controls Construction Inspection-confirm for all listed in Section B a. All automatic time switch controls are programmed for (check all): r Weekdays r Weekend r Holidays b. Document for the owner automatic time switch programming (check all): r Weekday settings r Weekend settings r Holidays settings r Set-up settings r Preference program setting r Verify the correct time and date 1s properly set in the time switch r Verify the battery 1s installed and energ,zed r Override time limit is no more than 2 hours r Occupant Sensors and Automatic Time Switch Controls have been certified to the Energy Commission in accordance with the applicable prov1s1on in Section 110.9 of the Standards, and model numbers for all such controls are listed on the Comm1ss1on database as Certified Appliance and Control Devices 2. Occupancy Sensor Construction Inspection-confirm for all listed in Section B P Occupancy sensors are not located within 4 feet of any HVAC diffuser P Ultrasonic occupancy sensors do not emit audible sound 5 feet from source CAL0TP Gallfornla Advanced Lighting Controls Training Program This is page I of 23 /CERTIFICATE OF ACCEPTANCE I/NRCA-L Tl-02-A Lighting Control !Projcc1 Name: OUM IProJe<:t Addn::~s 1925 Palomar Oaks Way Suite 210 !!Enforcement Agency: CITY OF CARLSBAD !!Permit NumbcT: CBC20 I 8-0323 !!City· Carlsbml !!Zip Ctxlc· 92008 B. Functional Testing of Lighting Controls For every space in the building, conduct functional tests 1 through 5 below if applicable. If there are several geometrically similar spaces that use the same lighting controls, test only one space and list in the cells below which "untested spaces'' are represented by that tested space. EXCEPTION: For buildings w ith up to seven (7) occupancy sensors, all occupancy sensors shall be tested. (NA7.6.2.3) Representative Spaces Selected Tested space/room name: Space Type (office, corridor, etc) I Untested areas/rooms Office 211 office Confirm compliance for all control system types (1-5) present in each space: 1. Automatic Time Switch Controls Step 1: Simulate occupied condition a. All lights can be turned on and off by their respective area control switch b. Verify the switch only operates lighting 1n the ceiling-height partitioned area in which the switch is located. Step 2: Simulate unoccupied condition a. All lighting, including emergency and egress lighting, turns off. Exempt lighting may remain on per Section 130.l(c)l and 130.l{a)l. b. Manual override switch controls only the lights in the selected ceiling height partitioned space where the override switch 1s located and the lights remain on no longer than 2 hours (unless serving public areas and override switch 1s captive key type). Step 3: System returned to 1n1tial operating conditions 2. Occupancy Sensors Step 1: Simulate an unoccupied condition a Li ghts controlled by occupancy sensors turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section l l0.9(b) b. The occupant sensor does not trigger a false 'on' from movement 1n an area adJacent to the controlled space or from HVAC operation. Step 2: Simulate an occupied condition a Status indicator or annunciator operates correctly b Lights controlled by occupancy sensors turn on 1mmed1ately upon an occupied condition OR sensor 1nd1cates space 1s 'occupied' and lights may be turned on manually CAL0TP California Advanced Lighting Controls Training Program r r r r r This is page 2 of 23 !CERTIFICATE OF ACCEPTANCE IINRCA-LTl-02-A Lighting Control I Project Name: OUM IIEnforcemcnt Agency: CITY OF CARLSBAD l!Pc,mit Number: CBC2018-0323 I Sten 3: System returned to initial operating conditions 3. Partial Off Occupancy Sensor Step 1: Simulate an unoccupied condition a. Lights go to partial off state within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110. 9(a) b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. For library book stacks or warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in the aisle or stack. c. In the partial off state, lighting shall consume no more than 50% of installed lighting power, or: No more than 60% of installed lighting power for metal halide or high pressure sodium lighting in warehouses. No more than 60% of installed lighting power for corndors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category Method. Light level may be used as a proxy for lighting power when measurements are taken Step 2: Simulate an occupied condition The occupant sensing controls shall turn lights fully ON in each separately controlled areas, Immediately upon an occupied condition 4. Partial On Occupancy Sensors Step 1. -Simulate an occupied condition. Verify partial on operation. a. Immediately upon an occupied condition, the first stage activates between SO to 70% of the lighting automatically. b. After the first stage occurs, manual switches allow an occupant to activate the alternate set of lights, activate 100% of the lighting power, and manually deactivate ail of the lights. Step 2. Simulate an unoccupied condition a. Both stages (automatic on and manual on) lights turn off w1th1n a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110 9(a) b. The occupant sensor does not trigger a false 'on' from movement 111 an area adJacent to the controlled space or from HVAC operation CAL0TP Galifornla Advanced lighting Controls Training Program r r r r r r r r This is page 3 of 23 !CERTIFICATE OF ACCEPTANCE IJNRCA-L Tl-02-A Lighting Control JProject Name: OUM IProji.:ct Address: 1925 Palomar Oaks Way Suite 210 jJEnforcemc,11 Agency: CITY OF CARLSBAD JJrcrmi1 Number: CBC2018-0323 JJCi1y: Carlsbad jJZip Code: 92008 5. Ad~tional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than 250 ft , to Qualify for a Power Adjustment Factor {PAF) Step 0: First, complete Functional Test 2 (above) for each controlled zone. Step 1: Verify area served and compare actual PAF with claimed PAF. Refer t o Functional Test 2. a. Area served by controlled lighting ft2 b. Enter PAF corresponding to controlled area from line (a) above ( < 125 ft2 for PAF=0.4, 126-250 ft2 for PAF=0.3, 251-500 ft2 for PAF=0.2). c. Enter PAF claimed for occupant sensor control in this space from the Certificate of Compliance. d. The PAF corresponding to the controlled area (line b), is greater than or equal to the PAF claimed in the compliance documentation (line c). e. Sensors shall not trigger in response to movement in adJacent walkways or workspaces f. All steps are conducted in Functional Test 2 'Occupancy Sensor (On Off Control)' and all answers are Yes. CAL~'-TP CallfornlaAd~anced Lighting \J Controls Training Program r r r This is page 4 of 23 !CERTIFICATE OF ACCEPTANCE Lighting Control !Project Name: OUM !Project Address: 1925 t'alomar Oaks Way Suit~ 210 !!Enforcement Agency: CITY OF CARLSBAD !!City: Carlsbad IC: Testing Results 1. Automatic Time Switch Controls (all answers must be Yes). 2. Occupancy Sensor (On Off Control) (all answers must be Yes). 3. Partial Off Occupancy Sensor (all answers must be Yes). For warehouses, library book stacks, corridors, stairwells in nonresidential buildings must also be accompanied by passing Test 1 or Test 2. 4. Partial On Occupant Sensor for PAF (all answers must be Yes). 5. Occupant Sensor serving small zones for PAF (all answers must be Yes). Also must pass Test 2. Representative Spaces Selected Tested space/room name: Space Type (office, corridor, etc) I Untested areas/rooms Office 207 office > 250ft2 Confirm compliance for all control system types (1-5) present rn each space: 1. Automatic Time Switch Controls Step 1: Simulate occupied condition a. All lights can be turned on and off by their respective area control switch b. Verify the switch only operates lighting in the ceiling-height partitioned area 1n which the switch is located. Step 2: Simulate unoccupied condition a. All lighting, including emergency and egress lighting, turns off. Exempt lighting may remain on per Section 130.l(c)l and 130.l(a)l. b. Manual override switch controls only the lights 1n the selected ceiling height partitioned space where the override switch 1s located and the lights remain on no longer than 2 hours (unless serving public areas and override switch is captive key type). Step 3: System returned to initial operating cond1t1ons 2. Occupancy Sensors Step 1: Simulate an unoccupied condition a Lights controlled by occupancy sensors turn off N1th1n a maximum of 20 minutes CAL~-·TP CallrornlaAd~~ced Lighting \;_I Controls Trammg Program IINRCA-LTl-02-A !!Permit Numbc~ CBC2018-0323 !!Zip Code: 92008 r r r r r r r r r This is page 5 of 23 !CERTIFICATE OF ACCEPTANCE !Project Name: OUM I Enforcement Agency: CITY OF CARLSBAD I Project Address: 1925 Palomar Oaks \Vay Suite:: 210 I City: Carlsbad I from start of an unoccupied condition per Standard Section 110.9(b) b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. Step 2: Simulate an occupied condition a. Status indicator or annunciator operates correctly b. Lights controlled by occupancy sensors turn on immediately upon an occupied condition OR sensor indicates space is 'occupied' and lights may be turned on manually Step 3: System returned to initial operating conditions 3. Partial Off Occupancy Sensor Step 1: Simulate an unoccupied condition a. Lights go to partial off state within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) b. The occupant sensor does not trigger a false 'on' from movement in an area adJacent to the controlled space or from HVAC operation. For library book stacks or warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in the aisle or stack. c. I n the partial off state, lighting shall consume no more than 50% of installed lighting power, or: No more than 60% of installed l1ght1ng power for metal halide or high pressure sodium lighting in warehouses. No more than 60% of installed lighting power for corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category Method. Light level may be used as a proxy for lighting power when measurements are taken Step 2 : Simulate an occupied condition The occupant sensing controls shall turn lights fully ON in each separately controlled areas, Immediately upon an occupied condition 4. Partial On Occupancy Sensors Step 1. -Simulate an occupied condition. Verify partial on operation. a Immediately upon an occupied cond1t1on, the first stage activates between SO to 70% of the lighting automatically b After the first stage occurs, manual switches allow an occupant to activate the alternate set of lights, activate 100'"\',, of the lighting power, and manually deactivate all of tl1e l1gllts. Step 2. Simulate an unoccupied condition CAL~·. TP California Adv~ced Lighting \;,J Controls Training Program !!NRCA-L Tl-02-A II Permit Number: CBC2018-0323 IIZip Code: 92008 I'" I r r r r r r This is page 6 of 23 !CERTIFICATE OF ACCEPTANCE Lighting Control !Projcc1 Name: OUM I Enforcement Agency: CITY OF CARLSBAD Project Addrcs!i: 1925 Pulomar Oaks Way Suite 210 City: Carlsbad a. Both stages (automatic on and manual on) lights turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. CAL0TP ca111ornla Advanced Lighting Controls Training Program jjNRCA-LTl-02-A cnnit Number: CBC2018-0323 Zip Code: 92008 r r This is page 7 of 23 [CERTIFICATE OF ACCEPTANCE [[NRCA-L Tl-02-A Lighting Cona-ol !Project Name: OUM jProjcct Address: 1925 Palomar Oak:. Way Suite 210 !iEnforccmcm Agency: CITY OF CARLSBAD !!Permit Number: CBC2018-0323 UCiiy: Carlsbad !!Zip Code: 92008 5. Ad?jtional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than 250 ft , to Qualify for a Power Adjustment Factor (PAF) Step O: First, complete Functional Test 2 (above) for each controlled zone. Step 1: Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test 2. a. Area served by controlled lighting ft2 b. Enter PAF corresponding to controlled area from line (a) above ( < 125 ft2 for PAF=0.4, 126-250 ft2 for PAF=0.3, 251-500 ft2 for PAF=0.2). c. Enter PAF claimed for occupant sensor control in this space from the Certificate of Compliance. d. The PAF corresponding to the controlled area (line b), is greater than or equal to the PAF claimed in the compliance documentation (line c). e. Sensors shall not trigger in response to movement in adjacent walkways or workspaces f. All steps are conducted in Functional Test 2 'Occupancy Sensor (On Off Control)' and all answers are Yes. CAL0TP California Advanced Lighting Controls Training Program r r r This is page 8 of23 !CERTIFICATE OF ACCEPTANCE Lighting C.OOtrol jProjcct Name: OUM I Enforcement Agency: CITY OF CARLSBAD ]Project Address: 1925 Palomar Oaks Way Suite 210 I City: Carlsbad I c: Testing Results l. Automatic Time Switch Controls (all answers must be Yes). 2. Occupancy Sensor (On Off Control) (all answers must be Yes). 3. Partial Off Occupancy Sensor (all answers must be Yes). For warehouses, library book stacks, corridors, stairwells in nonresidential buildings must also be accompanied by passing Test 1 or Test 2. 4. Partial On Occupant Sensor for PAF (all answers must be Yes). 5. Occupant Sensor serving small zones for PAF (all answers must be Yes). Also must pass Test 2. Representative Spaces Selected Tested space/room name: Space Type (office, corridor, etc) Untested areas/rooms Office 204 office <250ft2 Office 205, 206, 208, 209, 210 Confirm compliance for all control system types ( 1-5) present in each space: 1 . Automatic Time Switch Controls Step 1: Simulate occupied condition a. All lights can be turned on and off by their respective area control switch b. Verify the switch only operates lighting in the ceiling-height partitioned area in which the switch 1s located. Step 2: Simulate unoccupied condition a. All lighting, including emergency and egress lighting, turns off. Exempt lighting may remain on per Section 130.l(c)l and 130.l(a)l. b. Manual override switch controls only the lights 1n the selected celling height part1t1oned space where the override switch 1s located and the lights remain on no longer than 2 hours (unless serving public areas and override switch 1s captive key type). Step 3: System returned to 1n1t1al operating conditions 2. Occupancy Sensors Step 1: Simulate an unoccupied condition a. Lights ~ontrolled by occupancy sensors turn off within a maximum of 20 11,nutes CAL/'..:: ·TP California Ad~nced Lighting \;,I Controls Training Program !!NRCA-L Tf-02-A crmit Numlx.T: CBC2018-0323 ip Code: 92008 r r r r r r r r r This is page 9 of 23 !CERTIFICATE OF ACCEPTANCE Lighting Control !Proje<:1 Name: OUM !!Enforccmcnl Agency: CITY OF CARLSBAD Project Addre.;;s: 19:!5 Palomur Oaks Way Suite 210 !City: Carlsbad from start of an unoccupied condition per Standard Section 110.9(b) b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. Step 2: Simulate an occupied condition a. Status indicator or annunciator operates correctly b. Lights controlled by occupancy sensors turn on immediately upon an occupied condition OR sensor indicates space is 'occupied' and lights may be turned on manually Step 3: System returned to 1n1tial operating conditions 3. Partial Off Occupancy Sensor Step 1: Simulate an unoccupied condition a. Lights go to partial off state within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 11 0.9(a) b. The occupant sensor does not trigger a false 'on' from movement 1n an area adjacent to the controlled space or from HVAC operation. For library book stacks or warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in the aisle or stack. c. In the partial off state, lighting shall consume no more than 50% of installed lighting power, or: No more than 60% of installed lighting power for metal halide or high pressure sodium lighting in warehouses. No more than 60% of installed lighting power for corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category Method. Light level may be used as a proxy for lighting power when measurements are taken Step 2: Simulate an occupied condition The occupant sensing controls shall turn lights fully ON in each separately controlled areas, Immediately upon an occupied condition 4. Partial On Occupancy Sensors Step 1. ·Simulate an occupied condition. Verify partial on operation. a. Immediately upon an occupied condition, the first stage activates between SO to 70% of the lighting automatically b. After the first stage occurs, manual switches allow an occupant to activate the alternate set of lights, activate 100% of the lighting power, and manually dea<.t1vate all of the lights. Step 2. Simulate an unoccupied condition CAL~,. TP California Advanced Lighting \;,I Controls Training Program ilNRCA-L Tl-02-A !!P<.-nnil Number: CBC2018-0323 !!Zip Code: 92008 r r r r r r This is page IO of 23 !CERTIFICATE OF ACCEPTANCE Lighting Corurul !Projc-ct Name: OUM !!Enforcement Agency: CITY OF CARLSBAD jProjccl Address: 1925 Palomur Oaks Way Suite 210 !!City: Carlsbad a. Both st'ages (automatic on and manual on) lights turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. CAL0TP caurornla Advanced Lighting Controls Training Program l!NRCA-LTl-02-A !!Permit Number: CBC2018-0323 !!Zip Code: 92008 r r This is page I I of 23 !CERTIFICATE OF ACCEPTANCE IINRCA-L Tl-02-A Lighting Conu-ol Project Name: OUM [Permit Number: CBC2018-0323 Pmjt:ct Addres..,: I 925 PaJomar Oaks Way Suite 210 [Zip Code: 92008 5. Ad~tional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than 250 ft , to Qualify for a Power Adjustment Factor (PAF) Step O: First, complete Functional Test 2 (above) for each controlled zone. Step 1: Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test 2. a. Area served by controlled lighting ft2 b. Enter PAF corresponding to controlled area from line (a) above ( < 125 rt2 for PAF=0.4, 126-250 ft2 for PAF=0.3, 251-500 ft2 for PAF=0.2). c. Enter PAF claimed for occupant sensor control in this space from the Certificate of Compliance. d. The PAF corresponding to the controlled area (line b), is greater than or equal to the PAF claimed in the compliance documentation (line c). e. Sensors shall not trigger 1n response to movement 1n adjacent walkways or workspaces f. All steps are conducted in Functional Test 2 'Occupancy Sensor (On Off Control)' and all answers are Yes. CAL0TP tallfomla Advanced Lighting Controls Training Program r r r This is page 12 of 23 !CERTIFICATE OF ACCEPTANCE LiW11mg Coorrnl !Project Name: OUM \Pruject Address: 1925 Palomar Oaks Way Suite 210 [[Enforcement Agency: CITY OF CARLSBAD [[City: Carlsbad I c: Testing Results 1. Automatic Time Switch Controls (all answers must be Yes). 2. Occupancy Sensor (On Off Control) (all answers must be Yes). 3. Partial Off Occupancy Sensor (all answers must be Yes). For warehouses, library book stacks, corridors, stairwells in nonresidential buildings must also be accompanied by passing Test 1 or Test 2. 4. Partial On Occupant Sensor for PAF (all answers must be Yes). 5. Occupant Sensor serving small zones for PAF (all answers must be Yes). Also must pass Test 2. Representative Spaces Selected Tested space/room name: Space Type ( office, corridor, etc) \ Untested areas/rooms Break 202 support Confirm compliance for all control system types (1-5) present in each space: 1. Automatic Time Switch Controls Step 1: Simulate occupied condition a. All lights can be turned on and off by their respective area control switch b. Verify the switch only operates lighting 1n the ce11ing-he1ght partitioned area in which the switch is located. Step 2: Simulate unoccupied condition a. All lighting, 1nclud1ng emergency and egress lighting, turns off. Exempt lighting may remain on per Section 130.l(c)l and 130.l(a)l. b. Manual override switch controls only the lights m the selected ceiling height partitioned space where the override switch 1s located and the lights remain on no longer than 2 hours (unless serving public areas and override switch is captive key type). Step 3 : System returned to 1nit1al operating conditions 2. Occupancy Sensors Step 1: Simulate an unoccupied condition a L.ghts _ontrolled by occupancy sensors turn off w1th1n a '11ax1mum of 20 minutes Callfornla Advanced Lighting Controls Training Program IINRCA-L Tl-02-A [!Permit Number: CBC2018-0323 [[Zip Code: 92008 r r r r r r r r r This is page 13 of 23 !CERTIFICATE OF ACCEPTANCE Lighting ConO'ol Project Name: OUM y: CITY OF CARLSBAD Project Address: 1925 Palomar Oaks \Vuy Suite 210 from start of an unoccupied condition per Standard Section 110.9(b) b. The occupant sensor does not trigger a false 'on' from movement 1n an area adjacent to the controlled space or from HVAC operation. Step 2: Simulate an occupied condition a. Status indicator or annunciator operates correctly b. Lights controlled by occupancy sensors turn on immediately upon an occupied condition OR sensor indicates space is 'occupied' and lights may be turned on manually Step 3: System returned to initial operating conditions 3. Partial Off Occupancy Sensor Step 1: Simulate an unoccupied condition a. Lights go to partial off state within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. For library book stacks or warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in the aisle or stack. c. In the partial off state, lighting shall consume no more than 50% of installed lighting power, or: No more than 60% of installed lighting power for metal halide or high pressure sodium lighting 1n warehouses. No more than 60% of installed lighting power for corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category Method. Light level may be used as a proxy for lighting power when measurements are taken Step 2: Simulate an occupied condition The occupant sensing controls shall turn lights fully ON in each separately controlled areas, Immediately upon an occupied condition 4. Partial On Occupancy Sensors Step 1. -Simulate an occupied condition. Verify partial on operation. a. Immediately upon an occupied condition, the first stage activates between 50 to 70% of the lighting automatically. b After the first stage occurs, manual switches allow an occupant to activate the alternate set of lights, activate 100% of the lighting power, and manually deactivate all of the lights. Step 2. Simulate an unoccupied condition CAL~· ·TP California Ad~ced Lighting \;,,I Controls Trammg Program !jNRCA-L Tl-02-A 'crmit Number: CBC2018-0323 Zip Code: 92008 '"'. r r r r r r This is page 14 of 23 !CERTIFICATE OF ACCEPTANCE Lighting Omtrol !Project Name: OUM IIEnforccmcnt Agency: CITY OF CARLSBAD !Project Addres.<: I 925 Palomar Oaks Way Suite 210 ilCity: Carlsbad a. Both stl'lges (automatic on and manual on) lights turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. cAL0TP California Advanced Lighting Controls Training Program !INRCA-LTl-02-A iiPcnnit Number: CBC2018-0323 IIZip Code: 92008 r r This is page 15 of 23 [CERTIFICATE OF ACCEPTANCE i[NRCA-L Tl-02-A Lighting Control !Project Name: OUM !Project Address: I 925 P,1lomar Oaks Way Suite 210 ! Enforcement Agency: CITY OF CARLSBAD cnnil Number: CBC2018-0323 ! Cicy: Carlsbad ip Code: 92008 5. Ad~tional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than 250 ft , to Qualify for a Power Adjustment Factor (PAF) Step O: First, complete Functional Test 2 (above) for each controlled zone. Step 1: Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test 2. a. Area served by controlled lighting ft2 b. Enter PAF corresponding to controlled area from line (a) above ( < 125 ft2 for PAF=0.4, 126-250 ft2 for PAF=0.3, 251-500 ft2 for PAF=0.2). c. Enter PAF claimed for occupant sensor control in this space from the Certificate of Compliance. d. The PAF corresponding to the controlled area (line b), is greater than or equal to the PAF claimed m the compliance documentation (line c). e. Sensors shall not trigger in response to movement m adjacent walkways or workspaces f. All steps are conducted in Functional Test 2 'Occupancy Sensor (On Off Control)' and all answers are Yes. CAL0TP ca111ornla Advanced Llgtrtlng Controls Training Program r r r This is page 16 of 23 jCERTIFICATE OF ACCEPTANCE Lighting Control !Project Name: OUM !!Enforccmem Agency: CITY OF CARLSBAD !l'roject Address: 1925 Palomar Oaks Way Suite 210 !!City: Carlsbad I c: Testing Results 1. Automatic Time Switch Controls (all answers must be Yes). 2. Occupancy Sensor (On Off Control) (all answers must be Yes). 3. Partial Off Occupancy Sensor (all answers must be Yes). For warehouses, library book stacks, corridors, stairwells in nonresidential buildings must also be accompanied by passing Test 1 or Test 2. 4. Partial On Occupant Sensor for PAF (all answers must be Yes). 5. Occupant Sensor serving small zones for PAF (all answers must be Yes). Also must pass Test 2. Representative Spaces Selected Tested space/room name: Space Type ( office, corridor, etc) I Untested areas/rooms IT room support Confirm compliance for all control system types (1-5) present in each space: 1. Automatic Time Switch Controls Step 1: Simulate occupied condition a. All lights can be turned on and off by their respective area control switch b. Verify the switch only operates lighting in the ceiling-height part1t1oned area in which the switch is located. Step 2: Simulate unoccupied condition a. All lighting, including emergency and egress lighting, turns off. Exempt lighting may remain on per Section 130.l(c)l and 130.l(a)l. b. Manual override switch controls only the lights in the selected ceiling height part1t1oned space where the override switch is located and the lights remain on no longer than 2 hours (unless serving public areas and override switch 1s captive key type). Step 3: System returned to 1n1t1al operating conditions 2 . Occupancy Sensors Step 1: Simulate an unoccupied condition a. Lights controlled by occupancy sensors turn off w1th1n a maximum cf 20 minutes CAL~-. TP Gallfornla Ad~ced Lighting \::J Controls Training Program IINRCA-LTl-02-A !!Permit Number: CBC2018-0323 !!Zip Code: 92008 r r r r r r r r r This is page I 7 of 23 !CERTIFICATE OF ACCEPTANCE Lighting Control Project Name: OUM Enforcement A ncy: CITY OF CARLSBAD Project Addres~: I ens Palomar Oaks Way Suite 210 City: Carlsbad from start of an unoccupied condition per Standard Section 110.9(b) b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. Step 2: Simulate an occupied condition a. Status indicator or annunciator operates correctly b. Lights controlled by occupancy sensors turn on immediately upon an occupied condition OR sensor Indicates space is 'occupied' and lights may be turned on manually Step 3: System returned to initial operating conditions 3. Partial Off Occupancy Sensor Step 1: Simulate an unoccupied condition a. Lights go to partial off state within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. For library book stacks or warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in the aisle or stack. c. In the partial off state, lighting shall consume no more than 50% of installed lighting power, or: No more than 60% of installed l1ght1ng power for metal halide or high pressure sodium lighting in warehouses. No more than 60% of installed lighting power for corridors and stairwells in which the installed lighting power is 80% or less of the value allowed under the Area Category Method. Light level may be used as a proxy for lighting power when measurements are taken Step 2: Simulate an occupied condition The occupant sensing controls shall turn lights fully ON in each separately controlled areas, Immediately upon an occupied condition 4 . Partial On Occupancy Sensors Step 1. -Simulate an occupied condition. Verity partial on operation. a. Immediately upon an occupied condition, the first stage activates between SO to 70% of the lighting automatically b. After the first stage occurs, manual switches allow an occupant to activate the alternate set of lights, activate 100% of the lighting power, and manually deactivate all of tl1e lights. Step 2. Simulate an unoccupied condition CAL~, ·TP California Ad~ced Lighting \;;,J Controls Trammg Program l!NRCA-L Tl-02-A Permit Number: CBC2018-0323 ip Cude: 92008 , ... r r r r r r This is page I 8 of 23 JCERTIFICATE OF ACCEPTANCE Lighting Control !Projcc1 Name: OUM !!Enforccmclll Agency: CITY OF CARLSBAD !Projccl Address: 1925 Palomar O•ks Way Suile 210 !!City: Carlsbad ii. Both stages (automatic on and manual on) lights turn off within a maximum of 20 minutes from start of an unoccupied condition per Standard Section 110.9(a) b. The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. CAL0 TP California Advanced Lighting Controls Training Program IINRCA-L Tl-02-A !!Penni! N,unbcr: CBC2018-0323 UZip Code: 92008 r r This is page 19 of 23 !CERTIFICATE OF ACCEPTANCE IINRCA-LTl-02-A Lighting Control [Projcc1 Name: OUM [!Enforcement Agency: CITY OF CARLSBAD [[Permi1 Numlx:r: CBC2018-0323 jPruj<et A<ldress: 1925 Palomar Oaks Way Suite 210 [!City: Carlsbad [[Zip Code: 92008 5. Ad~tional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than 250 ft , to Qualify for a Power Adjustment Factor (PAF) Step O: First, complete Functional Test 2 (above) for each controlled zone. Step 1: Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test 2. a. Area served by controlled lighting ft2 b. Enter PAF corresponding to controlled area from line (a) above ( < 125 ft2 for PAF=0.4, 126-250 ft2 for PAF=0.3, 251-500 ~2 for PAF=0.2). c. Enter PAF claimed for occupant sensor control in this space from the Certificate of Compliance. d. The PAF corresponding to the controlled area (line b), is greater than or equal to the PAF claimed in the compliance documentation (line c). e. Sensors shall not trigger in response to movement in adJacent walkways or workspaces f. All steps are conducted in Functional Test 2 'Occupancy Sensor (On Off Control)' and all answers are Yes. CAL0TP California Advanced lighting Controls Training Program r r r This is page 20 of 23 !CERTIFICATE OF ACCEPTANCE Lighting Control !Project Address: 1925 Palomar Oaks Way Suite 210 l!Enforccmcnt Agency: CITY OF CARLSBAD !Project amc: OUM l!City: Carlsbad .. Testing Results 1. Automatic Time Switch Controls (all answers must be Yes). 2. Occupancy Sensor (On Off Control) (all answers must be Yes). 3. Partial Off Occupancy Sensor (all answers must be Yes). For warehouses, library book stacks, corridors, stairwells in nonresidential buildings must also be accompanied by passing Test 1 or Test 2. 4. Partial On Occupant Sensor for PAF (all answers must be Yes). 5. Occupant Sensor serving small zones for PAF (all answers must be Yes). Also must pass Test 2. D. Evaluation P PASS: All applicable Construction Inspection responses are complete and all applicable Equipment Testing Requirements responses are pos1t1ve. CAL0TP Galifornla Advanced Lighting Controls Training Program IINRCA-L Tl-02-A l!Pcnnit Nwnbcr: CBC2018-0323 l!Zip Code: 92008 r r r r This is page 21 of 23 !CERTIFICATE OF ACCEPTANCE liNRCA-L Tl-02-A Li~hting Control !Project Name: OUM I Enforcement Agency: CITY OF CARLSBAD cnnit Number: CBC2018-0323 !Project Address: 1925 Palomar Oaks Way Suite 210 I City: C.rrlsbad DOCUMENTATION AUTHOR'S DECLARATION STATEMENT l certify that this Certificate of Acceptance documentation 1s accurate and complete. Documentation Author Company Name Name Caryn Remy Address Zip Code CEA/ATT Cert1ficat1on ldent1ficat1on (1f appltcable) Date of Signature: 1432 Eastmore Pl City 92056 Phone Author Signature FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perJury, under the laws of the State of Cal1forn1a: t The information provided on this Cert,f1cate of Acceptance IS true and correct. ip Code: 92008 North County Electric Co. Oceanside (760)532 6359 2. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician) 3 The construction or rnstallat1on identified on this Cert1f1cate of Acceptance compiles with the appltcable acceptance requirements indicated m the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures spec1f1ed in Reference Nonresidential Appendix NA 7 4. I have confirmed that the Cert1f1cate(s) of Installation for the construction or installation 1dent1f1ed on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building perm1t(s) Issued for the building. Field Techn1c1an Name Caryn Remy Company Name North County Electric Co. Address. Zip Code ATT Cert1ftcat1on Identification Date of Signature. 1432 Eastmore Pl 92056 09/19/2018 City Phone Pos1t1on with Company (Title) RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of periury, under the laws of the State of Cal1forn,a. Oceanside {7b0)532-6359 Vice President 1 l am the Field Techrnc,an, or the Field Techn1c1an 1s acting on my behalf as my employee or my agent and I have reviewed the 1nformat10n prov,deel on this Cert,f1cate of Acceptance I am ehg,ble under Division 3 of the Business and Professions Code in the applicable class1f1cat1on to accept responsibility for the ,;ystem design, construction or installation of features, materials, components, or manufactured devices for the scope of work 1dent1f1ed on this Certificate of Acceptcrnce and attest to the declarations in this statement (responsible acceptance person) The 1nformat1on provided on thts Certificate of Acceptance substant1,;1tes that the construction or installation 1dentjf1ed on ttws Cert1f1cat~ of Ar.· eptann.• complir:''i with the acceptance 1·equ1rements indicated 1n the plans and 5pec1ficdtlons dpproved bv the enforcement agency, and conforms to the c1op1icc1ble dcceptcrnce .. eQu1rements and µroccdurt?S sµeufied 1n Ref~rence Nonres1dent1al Appendix NA7 4 I have cont1rmed that the Cert1f1cate(s) of Installat,on for the construction or installation 1dent1he>d on th,~ Cert1trcatr ol Acc~ptance ha5 been completed and re; posted or mdde available with the building perm1t(s) issued for rhc butlding 5. I mll ~msure chat a completed, ;1gn~d <:opy of th15 Cert:1ficate of Acceptance shall be posted, or made avd1lable Nith tht::: building permit\5) issued for the budding, and mt1dc ;,valldble to the enforcement agency for cill applicdblt1 1nspect1ons. T undersL"nd th;;tt a signed copy of this Ccrt1t1catc <'>f Acccpta11ce s required to be mcluded with the docume1,tat1on the builder provides to the build111g owner at oc<.upancy Rt .. ,pon'i1b!e Acc~ptanc.e Comp.H1y Name Person Name Caryn Remy NorH1 Cot1nty EIPctric Co Addrej,S Zip Code CSLB License Date of Signature; cAL0TP 1432 Eastmore Pl 92056 946430 09/19/2018 California Advanced Lighting Controls Training Program City Phone Position w1th Company (Title) (760)532 6359 Vice President This is page 22 of 23 !CERTIFICATE OF ACCEPTANCE IINRCA-LTl-02-A Lightmg C,mnnl IPrnjec\ Addres,;· \925 Palomar Oaks Way Suite 210 Project Name: OUM IEnforccmcnt Agency: CITY OF CARLSBAD IIPcnnit Nwnbcr: CBC2018-0323 I City: Carlsbad lzip Code: 92008 ~-~-T_P_ea_Contro1s_,11o_m_l•_=_· _•o_"'Prot_u_u!_"' _______ _ J This is page 23 of 23 JOB ADDRESS VENDOR NAME LIST OF MA TE RIALS TAKEN OFF OF JOBSITEAND TONNAGE/LBS HOW MANY LBS/TONS WAS RECYCLED FOR EVERYTHING THAT WAS RECYCLED DO YOU HAVE A C&D DIVERSION CERTIFICATE AND INVOICE? HOW MANY LBS/TONS WAS THROWN AWAY DATES YOU WERE ON THE JOB NOTES 12694 -1925-210 OUM 1925 Palomar Oaks Rd, Suite 210, Carlsbad, CA Seaside Specialty Construction Cardboard/30 lbs 301bs n/a Zero Various days between 8/20/18 -9/18/18 All cardboard put in recycle bins at our office ('") <X) O> <l) u CC ii, "' a. E "' C: 0 '<ii ~ Cl C ~ Cl fl] 2524 Gateway Road. Car1soad. CA 92009 P 760.931 I I.JO I F 760 9311171 I Lie #1023856 wh1teconstruct1ornnc.com 12694 -1925-210 OUM JOB 1925 Palomar Oaks Rd, Suite 210, Carlsbad, CA ADDRESS VENDOR NAME Spring Valley Insulation Contractors LIST OF MATERIALS TAKEN OFF OF Insulation wrappers JOBSITEAND TONNAGE/LBS HOW MANY LBS/TONS 0 WAS RECYCLED FOR EVERYTHING THAT WAS RECYCLED DO YOU HAVE A C&D DIVERSION CERTIFICATE AND INVOICE? HOW MANY LBS/TONS 1 ounce WAS THROWN AWAY DATES YOU WERE ON 7/24/18 THE JOB NOTES 2524 Gateway Road, Carlsbad, CA 92009 [ P: 760.931.1130 f F: 760.931.117'1 [ Lie. #1023856 f 2l C: 'ui [!l. :.c ~ 0 ~ ~ g, ~§ ·5 ill whiteconstructioninc.com JOB ADDRESS VENDOR NAME LIST OF MATERIALS TAKEN OFF OF JOBSITEAND TONNAGE/LBS HOW MANY LBSffONS WAS RECYCLED FOR EVERYTHING THAT WAS RECYCLED DO YOU HA VE A C&D DIVERSION CERTIFICATE AND INVOICE? HOW MANY LBSffONS WAS THROWN AWAY DATES YOU WERE ON THE JOB NOTES 12694 -1925-210 OUM 1925 Palomar Oaks Rd, Suite 210, Carlsbad, CA Tristar Cabinets None September 10 2018 -September 11 2018 <l) g uo <I) a. E .,., C Q 1§ t,' O> C :g d'i 2524 Gateway Road. Carlsbad. CA 92009 I P 760.931 1130 j F· 760 931 1171 I Lie. #1023856 I whiteconstructioninc.com