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HomeMy WebLinkAbout1950 CAMINO VIDA ROBLE; 150; CB092138; Permit01-14-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB092138 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 1950 CAMINO VIDA ROBLE CBAD St: 150 Tl Sub Type: 2120931200 Lot#: $375,480.00 Construction Type: Reference #: JITTERBUG: 10.728SFTI INDUST 0 NEW Applicant: CARIN SCHIFANO HURKES HARRIS DESIGN 1510 FRONT ST, #300 SAN DIEGO 92101 619-702-0380 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: Owner: CARLSBAD CC L P C/OMATTHEWJROOT 10188TELESISCT#222 SAN DIEGO CA 92121 ISSUED 12/16/2009 JMA 01/14/2010 01/14/2010 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'l Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee $1,650.57 Meter Size $0.00 Add'l Reel. $1,072.87 Meter Re^ $0.00 SDCWA Fee $0.00 CFD Payoff-Fee $78.85 PFF (3105540)- $0.00 PFF (4305540) $0.00 License Tax (3104193) $0.00 License Tax (4304193) $0.00 Traffic Impact Fee (3105541) $0.00 Traffic Impact Fee (4305541) $0.00 PLUMBING TOTAL $0.00 ELECTRICAL TOTAL $0.00 MECHANICAL TOTAL $0.00 Master Drainage Fee Sewer Fee $0.00 Redev Parking Fee $0.00 Additional Fees $12.00 HMPFee TOTAL PERMIT FEES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $69.00 $160.00 $55.00 $0.00 $0.00 $0.00 $0.00 ?? $3,098.29 Total Fees:$3,098.29 Total Payments To Date:$3,098.29 Balance Due:$0.00 Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. < Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 7gOj302-8558 www.censbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Pate JOB ADDRESS 1950 Camlno Vlda Robles 150 212 ! 093 32-34 # OF UNITS'! i :•;V BEDROOMS DESCRIPTION OF WORK; /flc/into Square fosto/AffectedX/osfs) TENANT BUSINESS jitterbug CONSTR.TYPE VB Demolition, New Partitions, Electrical, HVAC, New Plumbing, New Finishes, (Of TZ? EXISTING USE :' General Office PROPOSED. USE General Office GARAGE |SF) PATIOS (SF)DECKS (SF)AIR CONDITIONING YES [3 NO n FIRE SPRINKLERS lNOl | : c$chifaiip@hhdaittc:.cprn CONTACT NAME (If Different Fom Applicant)GaiiniSchlfano • HMkes: Harris PesiflivAss:; ADDRESS ... CITY STATE ZIP STATE. CA PHONE FAX 619-702-0383 EMAIL PROPERTY OWNER NAME Amy White-Pacific OfftefrPropfertjes ADDRESS : 10188 TELESIS COURT, STE222 CITY SAN DIEGO STATE... ZIP 92127 PHONE 858^73-8500 FAX EMAIL awh ite@paciflcofficeproperties.cpm ARCH/DESIGNER NAME 4 ADDRESS Fti"t Street. Suite 3QOif STATE ,UC...* (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 slaied statement that he Is licensed pursuant to the provisions of the Contractor's License Law iCnapter 9, commending with Section 7000 of Division 3 of thaBusiness and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 70315 by any appllcanffor a permit subjects the applicant to acivil penally of not more than five hundred dollars [$500)). . ' Wortrara1 Coraptniitlon Declaration: I herety affirm under penalty of perjury one dthe following declarations: LJl h»v> and will maintain > cwtlficsts of conssnt to self-Insure lor worsts' compensation as provided ty Section 3700 ol the Labor Code, for the performance of the work lor which this permit Is Issued. ips I hav« and will maintain worken' compenssUon, as rsqj'ed bvSacJton 3700 ol Iho Lflbor Code, for llto peifonriflnca of lha workfor which this permit Is Issued. My workers' compensate Insurance Carrier end policy number m: Insurance Co ""ffcCQgO iS^tgPA : : ^^ Policy No^ ""' s permit Is Issued. My workers' compensate Insurance Carrier end : )da-ttQiJcig ExplraHan Data :^rl.f}C?!: .::" pisecta need not be completed If the peimlt Is for one hundred dollars ($100) 01 tess. i"»- C.O • \\ Certificate of Exemption: I certify that In the performance of the work for which this permit Is Issued, I shad not employ any person In any manner so as to become subject to Ihe Workers' Compensation Laws of California. WARNING: Failure to lacure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties ind civil fines up to one hundred thousand dollars (5100,000), In addition to ths cost of compensation, damages as provided for In Section 3706 of the Ltbor code, Interest and attorney's fees, JSS CONTRACTOR SIQNATURE fj] AGENT DATE ; fterety affita l/af I tm exempt ttm Cortfrador's Ucense Law for the following reason: | | |, as owner of the property or my employees with wages as their sole compensation, will do Ihe work and Vie structure Is not Intended or offered for sale (Sec. 7044, Business and professions Cede: The Contractor's ^~^ License Law does ml 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 nol Intended or offered for sale, if, however, the building or improvement Is sold wltrilnoneyearof completion, the owner-builder wil have the burden of proving that he did not bund or Improve for the purpose of sale]. [ | |, as ower of the property, am exclusively contracting with licensed contractors to construct tha project (Sec. 7044, Business and Professions Code: Ths Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and contracts for such projects with conliaclor(s) licensed pursuant to the Contractor's License Law). | [ I am exempt under Section '-business and Professions Code for Ihis reason: 11 r^rsonally plan to provide Ihs major labor and materials fcrconstfuctlonol the proposed proiMrtylniprowme'lt. I )Yes I |NO 2.1 (have / have not) signed an application for a building permit for Ilia proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (Include name address / phone / contractors' license number): 4.1 plan to provide portions of the wotk, but I have hired the following person to coordinate, supenfce and provide the major woik (Include name I address (phone / contractor' license number): 5.1 will provide some of Ihe work, but I have conlraclad (hired) the following persons to provide the work indicated (Include name / address / phone / type of work): ER SIGNATURE QAQENT DATE I «rt)rytJ«tl have »adUwappllcatJwai^st^ thatttwaboveinformation Is cmeda^dthatthelrfom^ I hereby authorize reprasentalivB of lie City of Carlsbad to erterupon the above merfcnedprorarty for Inspection purposes.) ALSOAGREETDSAVE.INC^ OSHA: An OSHA, permil Is requlied for enavallons over SO deep and danoBon or construction of slnjclurescAierSslorfes in halght. EXHRATION: Ewry permit issued by the Building Official under Ihe provfsbns of this Co* she! expire by MtatiwaiKlberomenullaridTO^ 180 da/s torn the date of such permit or If the budding or work authojad bysuch permit is sijspemiedw abandoned at any irmafertrB wale is comrnence^^ ^APPLICANT'S SIGNATURE DATE City of Carlsbad Final Building Inspection Dept: Building Engineering Planning CMWD St Lit Plan Check #: Permit*: CB092138 Project Name: JITTERBUG: 10.728SF Tl ire ss* Date: 03/05/2010 Permit Type: Tl Sub Type: INDUST Address: Contact Person: Sewer Dist: Inspected By: Inspected By: Inspected By: Comments: 1950CAMINOVIDAROBLE #150 DON Phone: 6192477245 CA Water Dist: CA A / Date // v A I A/^xV '^2\L,l^/^/v_-- (j \ x^ Inspected: "^y 1 U Date Inspected: Date Inspected: Lot: 0 // ' (J Approved: *-^ Approved: Approved: /Disapproved: Disapproved: Disapproved: City of Carlsbad Bldg inspection Request For: 03/16/2010 Permit* CB092138 Title: JITTERBUG: 10.728SF Tl Description: Inspector Assignment. TP 1950 CAMINO VIDA ROBLE 150 Lot: 0 Type:TI Sub Type: INDUS! Job Address: Suite: Location: APPLICANT CARIN SCHIFANO Owner: CARLSBAD CC L P Remarks: Phone: 6192477245 Inspector: ~ Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By: NA Entered By: CHRISTINE Act Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Date 03/11/2010 03/05/2010 02/18/2010 02/17/2010 02/16/2010 02/16/2010 02/16/2010 02/16/2010 01/22/2010 01/20/2010 01/20/2010 01/20/2010 01/20/2010 Inspection History Description 89 Final Combo 89 Final Combo 84 Rough Combo 84 Rough Combo 14 Frame/Steel/Bolting/Welding 24 Rough/Topout 34 Rough Electric 44 Rough/Ducts/Dampers 24 Rough/Topout 14 Frame/Steel/Bolting/Welding 21 Underground/Under Floor 24 Rough/Topout 34 Rough Electric Act NR CO AP CO AP AP AP AP AP AP AP AP AP Insp TP TP TP TP TP TP TP TP TP TP TP TP TP Comments OCP GRANTED T-CEIL CLNG LITES DUCTS (HP S EXISTING T-CLNG T-CLNG SEE PUN FOR LOG. CLNG LITES DUCTS RE-LOC. WALLS EsGii Corporation In fartnership -with government for <BuiCding Safety DATE: 12/29/20O9 . JURISDICTION: City of Carlsbad a PLAN REVIEWER a FILE PLAN CHECK NO.: O9-2138 SET: I PROJECT ADDRESS: 1950 Camino Vida Robles PROJECT NAME: Jitterbug TI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. XI The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. 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 Corporation until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: Esgil Corporation staff did not advise the applicant that the plan check has been completed. Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Fax #: Mail Telephone Fax In Person REMARKS: All sheets of plans must be signed by the person responsible for their preparation. (California Business and Professions Code). By: Aaron Goodman Enclosures: EsGil Corporation D GA D EJ D PC 12/21/2009 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858)560-1468 * Fax (858) 560-1576 City of Carlsbad O9-2138 12/29/2009 [DO NOT PAY- THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK NO.: O9-2138 PREPARED BY: Aaron Goodman DATE: 12/29/2OO9 BUILDING ADDRESS: 1950 Camino Vida Robles Set I BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: V-B Sprinklered BUILDING II AREA PORTION ( Sq. Ft.) Office Tl + PME Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code 10728 cb Valuation Multiplier 34.37 By Ordinance Reg. Mod. VALUE ($) 368,721 368,721 $1,625.09 Plan Check Fee by Ordinance Type of Review: [2 [~~| Repetitive Fee ^~] Repeats Complete Review D Other j—I Hourly EsGil Fee Structural Only Hr. $1,056.31 $910.05 Comments: Sheet 1 of 1 macvalue.doc + PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB ADDRESS DATE \/H I/O I I RESIDENTIAL TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR (<$17,000.00) PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE ENGINEER DATE i t Appr -^ -* _^o o o» « o o o o J c cra rc D D D D PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No. CB09-2138 Address 1950 Camino Vida Roble Planner Chris Sexton Phone (760) 602- 4624 APN: 212-093-12 Type of Project & Use: JJ Net Project Density: DU/AC Zoning: P-M General Plan: PJ Facilities Management Zone: 5 CFD (in/out) #_Date of participation: Remaining net dev acres:. Circle One (For non-residential development: Type of land used created by this permit: Legend: £3 Item Complete Q Item Incomplete - Needs your action Environmental Review Required: YES G NO Q TYPE DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: Discretionary Action Required: APPROVAL/RESO. NO. DATE PROJECT NO. OTHER RELATED CASES: YES n NO D TYPE Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval: Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES Q NO Q CA Coastal Commission Authority? YES D NO D If California Coastal Commission Authority: Contact them at - 7575 Metropolitan Drive, Suite 103, San Diego, CA 92108-4402; (619) 767-2370 Determine status (Coastal Permit Required or Exempt): Habitat Management Plan Data Entry Completed? YES Q NO D If property has Habitat Type identified in Table 11 of HMP, complete HMP Permit application and assess fees in Permits Plus (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, HMP Fees, Enter Acres of Habitat Type impacted/taken, UPDATE!) Inclusionary Housing Fee required: YES Q NO Q (Effective date of Inclusionary Housing Ordinance - May 21, 1993.) Data Entry Completed? YES D NO D (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE!) H:\ADMIN\Template\Building Plancheck Review Checklist.doc Rev 4/08 Site Plan: IEI DO Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines (including all side and rear yard slopes). Provide legal description of property and assessor's parcel number. Policy 44 - Neighborhood Architectural Design Guidelines 1. Applicability: YES D NO D 2. Project complies: YES Q NOQ Zoning: 1. Setbacks: Front: Interior Side: Street Side: Rear: Top of slope: Required Required Required Required. Required Shown Shown Shown Shown Shown 2. Accesso ry stru ctu re setbacks: Front: Interior Side: Street Side: Rear: Structure separation: Required Required Required Required Required Shown Shown Shown Shown Shown D 3. Lot Coverage:Required Shown D 4. Height:Required Shown Spaces Required Shown5. Parking: (breakdown by uses for commercial and industrial projects required) Residential Guest Spaces Required _ Shown _ Additional Comments No change in use. New roof mounted equipment is screened.D OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTE H:\ADMIN\Template\Building Plancheck Review Checklist.doc Rev 4/08 Carlsbad Fire Department Plan Review Requirements Category: TI, INDUST Date of Report: 12-30-2009 Reviewed by: Name: Address: CARIN SCHIFANO HURKES HARRIS DESIGN 15 10 FRONTS!, #300 SAN DIEGO CA 92101 Permit #: CB092138 Job Name: JITTERBUG: 1 OJ28SF TI Job Address: 1 950 CAMINO VIDA ROBLE CBAD 8j.liG.DEPT COPY cannot with the applicable codes and/or standards. Please review lans and/or specifications, with changes "clouded", INCOMPLETE The item you have submitted adequately conduct a carefully all comrnejjJs-attaCrieaPlease rebmi to this oji&ecrfoTreview and approval. -^^.Conditions: Cond: CON0003805 [MET] ** APPROVED: THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUEANCE OF A BUILDING PERMIT. THIS APPROVAL IS SUBJECT TO FIELD INSPECTIONS, ANY REQUIRED TESTS, FIRE DEPARTMENT NOTATIONS, CONDITIONS IN CORRESPONDENCE AND COMPLIANCE WITH ALL APPLICABLE CODES AND REGULATIONS. THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE ANY VIOLATION OF THE LAW. Entry: 12/30/2009 By: cwong Action: AP CERTIFICATE OF COMPLIANCE (Part 1 of 2} ENV 1 C PROJECT NAME PROJECT ADDRESS PRINCIPAL DESIGNER-ENVELOPE DOCUMENTATION AUTHOR DATE Jitterbug Expansion 12/7/200S 1SSO Carnino Vids RoWes TELEPHONE BuMing Permit * HHDA (619)702-0380 TELEPHONE Plum Engineering, inc (858)672-2100 Checked by/Date Enforcement Agency Use GENERAL INFORMATION DATE OF PLANS 1 BUILDING TYPE 0 D PHASE OF CONSTRUCTION D, METHOD OF ENVELOPE D COMPLIANCE SUPPORTING FORMS D SUW1TTSO | BUILDING CONDITIONED -LOOR AREA 10,933 sqft CLfMATEZONE ? NONRESIDENTIAL D HIGH-RISE RESIDENTIAL D HOTEL/MOTEL GUEST RELOCATABLE - Indicate; LJ specific climate - list . or EH all climates NEW CONSTRUCTION D ADDITION D ALTERATION D UNCONDITIONED (file affidavit) COMPONENT D OVERALL ENVELOPE ENV-2-C (Component) D ENV-3-C (Overa i Envelope} D ENV-4-C (SNyligM Worksheet) STATEMENT OF COMPLIANCE This Certificate of Compliance lists the building features and performance specifications need to comply with Title 24, Parts 1 and 6 of K> California Code of Regulations, This certificate apples only to building envelope -sqairements. The documentation prepare? hereby certifies that the documentation is accurate and complete. DOCUMENTATION AUTHOR *>« &^^Si^f"^ , '^., ^ 12fif«D09 . The Principal Envelope Designer hereby certifies that the proposed balding design reprss,ariteJ in this set or sot.sirttCtteri documents is consistent with the other compliance fctms and *od«heets, vwth She speaflcatiors, and with any other caicuiations submitted with this permrt appKcation, Trie propose} byiiding has been designed to meet tie envelope reqyiremeits contained in sections 110,116 through 118, and 140,142.143 or 149 of Title 24, Part 8, Phase cheek one: lij i hereby affirm that I am eiigifcie under the provisions of Division 3 o: the &ssiness and Professions Code to sifln Ms document as the person responsible for its preparation; and that I am licensed in the Sta!« ot California as a civil engineer or meefiantcai engineer, or I srn a licensed architect ' ( I affirm that i am eligible under the provisions of Division 3 of tteBusineM and Professions Code fcy wetien 6837.2 or 8?3?,3 to sign this ttee-ument as the person responsible for its preparation; and that i am a licensed contractor performing this work. D I affirm that I am eligible under Division 3 of the Business arrtJ Professions Code to sign Ihis decuman) 6ecaus« it pertains to a structure or type of work described as exempt pursuant to Business and Professions Cod« Sections 5537, 6538 and 6737,1. (These sections of the Businessand^Professions Code are printed in fM in the ffenresidarrtial Manual.) Indicate location on plans of Note Bto<* for Mandstocy Measures NO CHANGES TO ENVELOPE PRINCIPAL ENVELOPE DESiGNER4iAME SIGNATURE DATE UC* ENVELOPE MANDATORY MEASURES INSTRUCTIONS TO APPLICANT ENVELOPE COMPLIANCE & WORKSHEETS (eh««N feox tf workshe«t te Inclutled) For detailed instnjcfions on the use 6^ this and' aii Er»rgy Efficiency SSmJards compliance forms, please wfef to the NonresKSential ^arsyal published [Tj ENV-l-C D ENV-2-C D ENV-3-C D ENV-4-C. CertificaSe of Compliance. Required on plans for a!i submittate. Part 2 may be incorporate?! in schedules on plans. Use with the Envelope Component complanse method. Use with Ite Gwsrali Envelope compHanc-3 rrethos!. Optional Use for She minimum skyiight rKjui-emefits for farge enclosed spaces. *NO CHANGES TO ENVELOPE 2005 Nonresidential Compliance Forms CERTIFICATE OF COMPLIANCE (Part 1 of 3} IVECH-1-C PROJECT NAME PROJECT ADDRESS Jitterbug Expansion 1 950 Camino Victe RcWes PRINCIPAL DESIGNER-MECHANICAL Plum Engineering, ine DOCUMENTATION AUTHOR Brandon T, Plum, P£ GENERAL INFORMATION DATE Of PLANS 12/7S099 TELEPHONE (858) 672-21 OS TELEPHONE (858)872-2100 DATE 12/7/2008 Building Permit # Ch«cMed by/Dale Enforcement Agency Use BU1LOMC5 CQtCJITIQNED rlGOR AREA 10.933 sqft CLIMATE ZONE ? BUILDING TYPE ll! NONRESIDENTSAL D HIGH-RISE DENT! At. D HOTEL/MOTEL GUEST ROOM PHASE OF CONSTRUCTION Q NEW CONSTRUCTION D ADDITION D ALTERATION D UNCONDITIONED (Sle affidavit) ISETHOD OF ENVELOPE COMPLIANCE 0 PREVIOUS ENVELOPE PERMIT Q ENVELOPE COMPLIANCE ATTACHED STATEMENT OF CQSJPUANCe slrsnee lists the building features and performance specifications need to comply with Tiite 24, Patte 1 and 6 of the California Code of Regulations. This certificate appfes onty to Building mechanical Mq The documentation pmparar hereby certifies that the documefitaUon ts ac-iuMte and complete. DOCUMENTATION AUTHOR Brandon T, Bum, PE sior DATE 12/7/2008 The Principal Mechanical Designer hereby certifies that the proposed teiWmg design represented in this sat of construction documents is consistent with the other compliance forms and worksheets, wish the specifications, end wish any other calculations submitted with this permit application. The fsreposed building has been designed to meet tte mechanical requirements contained in tha applicable parts of Sections 100, 101,102,110 through 115,120 through 125, 142,144 and 145, bd The plans 4 specifications meet the requirements of Part 8 (Sections l«)-l03aS, D The installation certificates meet the requirements of Part 6 {10-103»3;. M The operation & maintenance information meets the requirements w Part 8 {10-lOSc). Piease check one: (These sections of the Business arsd Professions Goce we printed in full in the Nonresidentiat Manual) PI t hereby affirm eat I am eligible under the provisions of Division 3 o tft« Business and Professions Code to sign this document as the person responsible for fts preparation; and that i am licensee! in the State oi California as a civil engineer or mechanical engineer, or! am a licensed LJ 1 affirm that i am eligible mcSer trse exemption of Division 3 of tw Bt-slnsss and Professions Code Sy section 5537.2 or 8737.3 to sign this document as the person responsible for "its preparation: and that 1 am a licensed contractor performing this work. LJ I affirm that I am eligible under the exemption to Division 3 of She Bi-sttsss and Professions Code to sign this document because it pertains to a structure oftftm of work described pursuant to Business and Profefsiois Code $ed',^nsj>537 5538 ?nd §737.1, PRINCIPAL MECHANICAL DESIGNER-NAME BrarMten T. Hum, PE SKtfijAIUHe-^ \ ^ . r^ ^- - * fSSKMS^ _ DATE 12/7/2009 UC# M32374 ENVELOPE MANDATORY MEASURES location on plans of Note Block fer Mandatory Measyes WO 1 INSTRUCTIONS TO APPLICANT MECHANICAL COMPLIANCE & WORKSHEETS fchsek box if woriattMrt Is incjurfw!} a 0 0 MECH-1-C MECH-2-C MeCH-3-C 0 fe1ECH-4-C Certificate of Complianoa, Part 1 of 3, 2 of 3, 3 of 3 are required on plans for alt submittate Certificate of Compliance Part 1 of 3. 2 of 3, 3 of 3 are required for a!l submltjals. but ma Certificate of Compliance are required for ail sobmitiais wiffi mechanical ventilation, but rr y be on plans. lay ce on plans. Cenifieate of Compliance are required for ali prescriptive submitlate, but may be an plans. 2005 Nonresidential Compliance Forms April 2005 CERTIFICATE OF COMPLIANCE (Part 2 of 3) MECH-1 -C PROJECT NAME &'ATE Jitterbug Expansion 12/712009 Designer: This form is to be used by the designer and attached to the stens. Listed below are all the acceptance for mechanical systems. The designer is required to check the x>xes by all acceptance tests that apply and list all equipment that requires an acceptance test, if all equipmerr of a certain type requires a test, list the equipment description and the number of systems to be tested in parer theses, The NJ number designates the Section in the Appendix of the Nonresidenial ACM Manual that describes the test. Also indicate the person responsible for performing the tests (i,e, the installing contractor, design professional ex an agent selected by the owner). Since this form wil be part of the plans, completion of this section wilt allow the responsible party to budget for the scope of work appropriately. Building Departments: Systems Acceptance, Before occupancy permit is granted for a newly constructed building or space, or a new space conditioning system serving a building or space is operated for normai use, at! control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance. In addition a Certificate of Acceptance, MECH-1 -A, Form shall be submitted to the building department that certifies plans, specifications, installation certificates, and operating and maintenance information meet the requirements of §10- 103{b) and Title 24 Part 8, Test Description * El MECH-2-A: Ventilation System Acceptance Docunent • Variable Air Volume Systems Outdoor Air Acceptance * Constant Air Volume Systems Outdoor Air Acceptance Test required on all New systems both New Construction and Retrofit Equipment requiring acceptance testing <9) Existing WSHFS, (tj New WSHP, OSA Fan System * D I^ECH-3-A: Packaged HVAC Systems Acceptance Document Test required on all New packsg ed systems both New Construction and Retrofit, Equipment requiring acceptance testing * D MECH-4-A: Air-Side Economizer Acceptance Document Test required on all new sir-side economizers for both New Construction and Retrofit. Units with economizers that are installed at the factory and certified wih the Commission do not require equipment testing but do require construction inspection. Equipment requiring acceptance testing Test Performed By: INSTALLING CONTRACTOR N/A NM 2005 Nonrestdential Compliance' Forms April CERTIFICATE OF COMPLIANCE (Part 3 of 3) f PROJECT NAME Jitterbug Expansion Test Description * 0 MECH-5-A: Air Distribution Acceptance Document This t&st required If the unit serves 5, 000 ft 2 of space or less and 25% or more of the ducts are in noncondiioned or semieonditioned space tine an attic., tew systems that meet the above requirements. Retrofit systems that meet the above r^q-jirements and either extend ducts, ducts or replace the packaged unit, Equipment requiring acceptance testing W Existing WSHPS, ti s New WSHP, OSA Fan System $ D MECH-6-A: Demand Control Ventilation Acceptance Document All new DCV controls InstBtled on new or existing packaged systems must be tested. Equipment requiring acceptance testing * D MECH-7-A: Supply Fan Variable Flow Controls Acceptance Document All new VAVfan volumen controls installed on new or existirg systems must be tested. Equipment requiring acceptance testing * D MECH-S-A; Hyctronic System Control Acceptance Document « Variable Fiow Controls, Applies to chitted and hot wafer systems. * Automatic Isolation Controls, Applies to new Mien and chillers and the primary pumps are connected to a common fteader. * Supply Water Temperature Reset Controls, Applies to new constant flow chilled and hot wafer systems that have a design capacity greater than or equal to 500,000 Btu/hr. * Water-loop Heat Pump Controls, Applies to all new watertoop fteaf pump systems whsiw the combined pamps am greater than 5 tip. • Variable Frequency Control Applies to all new disribJtion pumps on new variable tow chilled, hydronsc or condenser water systems whsre the pumps motors are greater than 5 ftp, I Equipment requiring acceptance iflECH-1-C DATE 12/07/09 Test Performed By; INSTALLING CONTRACTOR N/A N/A NM 2005 Nonr&sid&ntia! Compliance Forms April AIR SYSTEM REQUIREMENTS (Part 1 of 3) MECH-2-C PROJECT NAME: jitterbug Expansion ITEM or SYSTEM TAG(S) MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efficiency Heat Pump Thermostat Furnace Controls Natural Ventilation Minimum Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback ond Setup Control outdoor Damper uontroi Isolation Zones Pipe Insulation Duct Insulation • T-24 Section 112(a) 1 12(a) JL11M____^ 112(c), 115(a) 121(b) 121(b) 121{c) 121(C) 121(c), 122(e) JMaL 122(0 122(9} 123 124 DATE: 12/7/2009 AIR SYSTEMS, Central or Single Zone (E)WHP-1, 2,3,4,5,46 (E)WHP-13,14,&15 WHP-7 Reference on Plans or Specification * EXISTING EQUIPMENT EXISTING EQUIPMENT Y NA N SEE MECH-3C NA MA PROGRAMMABLE HFATINR s mm INA BAROMETRIC 0 N/A R-8 EXISTING EQUIPMENT EXISTING EQUIPMENT Y NA N SEE MECH-3C NA NA PROGRAMMABLE HFATiNfi s nnni INH BAROMETRIC 0 N/A R-8 SEE MO. 1 SEE M0.1 Y NA N SEE MECH-3C NA NA PROGRAMMABLE HFATINfl ft fiOOl (NO BAROMETRIC 0 N/A R-8 PRESCRIPTIVE MEASURES Calculated Heating Capacity2 x1,43 Proposed Heating Capacity2 Calculated Cooling Capacity2 x1.21 Proposed Cooling Capacity2 Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous Heat/Cool Economizer Heat and Coot Air Supply Reset Duct Sealing 1: For each central and single zone air systems {or group of similar units) fill in the reference to sheet number and/or specification section and paragraph number where the required features are documented, !f a requirement Is not applicable, put "N/A" in the column, 2: Not required for hydroriic heating or cooling. Either enter value here or put in reference to pterts and specifications per footnote 1. 144{a & b) 144(a&b) 144|a & b) 144{a & b) 144(c) 144(e) 144(c) 144{d) 144(e) 144(f) 144(k) 343.2 312.0 248.2 225.6 CONSTANT VOLU WE N/A N/A N N/A y y 200.3 182,5 148.5 135,0 CONSTANT VOLUME N/A N/A N N/A Y Y 25.5 232 20.0 18.2 CONSTANT VOLUME N/A N/A N N/A Y Y WGS Nonresidential Compliance Forms April 2005 <Part 2 of 3) MECH-2-C PROJECT NAME: Jitterht/g E)fpanston ITEM or TAQ(S) MANDATORY MEASURES Equipment Efficiency Pipe Insulation PRESCRIPTIVE Calculated Capacity Proposed Capacity Tower Fan Controls Tower Flow Controls Variable Flow System Design Chiller and Boiler isolation CHW and HHW Reset Controls WLHP Isolation Valves VSD on CHW, CW & WLHP Pumps >5HP DP Sensor Location 1 : For each chiller, cooling tower, boiler, and hydro where the required features are documented. If a r 2; Water side systems include wet side systems us T-24 Section 112(3} 123 DATE; i2/7/2t»9 WATER* SIDE SYSTEMS; Chillers, Towers, Boilers, Hydfonic Loops N/A Reference on Plans or Specification * i 144{a & b) 144(a & b) 144{h) 144{h) 1440) 144fi> W(j) 1440) 1440) 1440) nic loop (or groups of similar equipment) fill in the reference to sheet number and/or specification section and paragraph number aquirement is not applicable, put "N/A" in the column, irtg other liquids such as glycol or brine. 2005 Nonresidential Compliance Forms April 2005 HOT WATER & POOL (Part 3 of 3) MECH-2-C PROJECT NAME; Jitterbug EKpansion ITEM or TAG(S) MANDATORY Water Heater Certification Water Heater Efficiency Service Water Heating Installation Pool and Spa Efficiency and Control Pool and Spa installation Pool Heater - No Pilot Light Spa Heater - No Pilot Light T-24 Section §113 (a) §113 (b) §113(c) §114 (a) §114 (b) §115{c) §11 5 (d) DATE: 12/T/2009 Service Hot Water, Pool Hmting N/A Reference on Plans or Specification * 1 : For each water heater, pool heat and domestic water loop (or groups of similar equipment) fill in the reference to sheet number and/or specification section and paragraph number where the required features are documented. If a requirement is not applicable, put "N/A* in the column. Nonresidential Forms April 2005 MECHANICAL VENTILATION AND REHEAT MECH-3-C PROJECT NAME ,,„ . _ . iDAf£ i-ynnnnaJitterbug Expansion 1 1 2/7/2009 MECHANICAL VENTILATION (§121(b)2) A Zone/ System WHP-1 WHP-2 WHP-3 WHP-4 WHP-5 WHP-6 WHP-? WHP-1 3 WHP-1 4 WHP-1 5 AREA BASIS B Condition Area (ft2) 1475 1000 350 1435 1720 733 320 1,100 130G 1300 C CFM per (ft2) 0,15 0,15 0,15 0.15 0,15 0,15 0.15 0,15 0,15 0.15 D Win CFM by Area BxC 221,25 150 52,5 215,29 258 109.95 48 195 196 195 Totals OCCUPANCY BASIS E Hum of People L___1I__ 21 3 16 22 s 10 1S 15 15 135 F CFM per Person 15 15 15 IB 15 15 Jfl I ^ 18 15 G Min CFM by Occupant ExF 195 316 45 240 330 75 150 225 225 __£2i__J H REQ'D VA Max of DorG 221 315 53 240 330 109,95 150 225 225 225 2094 I Design Ventilation Air cfm 225 315 55 240 330 110 150 225 225 225 2100 REHEAT LIMITATION (§144(d|| VAV Minimum J 30% of Design Zone Supply cfm K 8x0,4 cfm/ft2 L Max of Columns H, J, K. or 300 cfm M Design minimum Air setpoint Column I Total Design Ventilation Air N Transfer Air C E H 1 J K L M N Minimum ventilation rate per Section §121, Table 121 -A, Based on fixed or the greater of the expected number of occupants and 50% of the CBC occupant load for egress purposes fixed seating. Required Ventilation Air (REQ'D VA.) is the larger of the ventilation rates calculated on an AREA BASIS or OCCUPANCY for spaces without {Column D or G). Must be greater than or equal to H, or use Transfer Air (column N) to make up the difference. Design fan supply cfm (Fan CFM) x 30%; or Condition (ft2) x 0,4 cfm/ff; or Maximum of Columns H( J, K, or 300 cfm This must be than or equal to Column L and greater than or equal to the sum of Columns H plus N. Transfer Air must be provided where the Required Ventilation Air (Column H) is greater than the Design Minimum Air (Column M), Where required, transfer air must be greater than or equal to the difference between the Required Ventilation Air (Column H) and the Design Minimum Air (Column M), Column H minus M. 2005 Nonr&sid&ntial Compliance Forms April 2005 HVAC MISC PRESCRIPTIVE REQUIREMENTS: MECH-4-C PROJECT NAME Jitterbug Expansion DATE 12/7/200S flFAM f»OPER CQMSUMPTtON g144{c) NOTE: Provide one espy of this worksheet for each fan system with a total fan system horsepower greater than 25 hp for Constant Volume Fan Systems or Variable Air Vetwws (VAV) Systems wrier) usteg trie Prescriptive Approach, FAN DESCRIPTION NA FILTER PRESSURE ADJUSTMENT Eawrtion. 144-A A) If filter pressure drop is greater than 1 inch W. C. enter fitter pressure drop. SP» on Sine 4 and Total Fan Pressure SPf on Line 5, 8) Calculate Fan Adjustment and enter on }i« 5, C) Caicyiate Adjusted Fan Power index and enter on R»w? DESIGN BRAKE HP EFFICIENCY MOTOR DRIVE NUMBER OF FANS 1) TOTAL FAN SYSTEM POWER (WATTS, SUM COLUMN F) 2) SUPPLY DESIGN AIRFLOW (CFM) 3) TOTAL FAN SYSTEM POWER INDEX (Row 1 / Row 2} ' 4)SP» 5} SP, 8} Fan Adjustment = 1-(Sps - 1)/SP, ?} ADJUSTED KAN POWER INDEX (Line 3 x Line 6}' PEAK WATTS BxEx746/(Cx D) VWCFM W/CFM 1, TOTAL FAN SYSTEM POWER INDEX or ADJUSTED FAN 3OWER INDEX must not exceed CX8 w/cfm, for C V systems or 1 26 w/cfm for VAV systems or TA6(S) PRESCRIPTIVE MEASURES Elearic Resistance Heating'' Heat Rejection System3 Air Cooted ChilSer Limitation4 T-24 Secfton §144{g} §144 (h) §144 (!) Reference on Plans or SpecWcaffion * 1. Fill in the reference to sheet number srsd/or specification se rticn and paragraph number where the required features are documented. If a requirement is not applicable, put "N/A" in th« column. 2. Total installed capacity (Mbtu/hr) of ail electric heat on this pospet exclusive of electric auxiliary heat for heas pumps If electric he: is used explain which exception^) to §144{§) apply, 3, Are centrifugal fan coding towers used on (his project? (Enter 'Yes" or "No") If centrifugal fan cooling towers are used explain which exeeptioft(s) to §1 *4{ti) apply. 4, Total installed capacity (tons) of ail chiliers and air cooled efclers under this permit, If there are more than 100 tons of air-cooled chiHer capacity being installed explain which exception(s) to §144<j) apply. 2005 Nonresidential Compliance Forms April Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat... Page 1 of 1 ~p>j- Department of Consumer Affairs **»•" ^ 'feov Contractors State License Boardi.' Contractor's License Detail - License # 504587 f*A DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. ••» CSLB complaint disclosure is restricted by law (B&P J124.6). If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. ••» Per B&P ZQZl J 7, only construction related civil judgments reported to the CSLB are disclosed. » Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. » Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number: Business Information: Entity: Issue Date: Reissue Date: Expire Date: License Status: Classifications: Bonding: Workers' Compensation: Miscellaneous Information: 504587 Extract Date: 01/14/2010 VILLAGE PROPERTY SYSTEMS INC dba BURGER CONSTRUCTION AND PROPERTY SERVICES 420 STEVENS AVENUE SUITE 100 SOLANA BEACH, CA 92075 Business Phone Number: (858) 755-1800 Corporation 01/27/1987 11/13/1995 11/30/2011 This license is current and active. All information below should be reviewed. CLASS DESCRIPTION GENERAL BUILDING CQN.IRACIQR CONTRACTOR'S BOND This license filed Contractor's Bond number BD7900603492 in the amount of $12,500 with the bonding company NAllQNWJDE MUTUALJNSURANCE COMPANY. Effective Date: 01/01/2007 Contractorls. Bonding History BOND OF QUALIFYING INDIVIDUAL 1. The Responsible Managing Officer (RMO) JOHN EDWARD BURGER certified that he/she owns 10 percent or more of the voting stock/equity of the corporation. A bond of qualifying individual is not required. Effective Date: 11/13/1995 This license has workers compensation insurance with the EVEREST NATIONAL INSURANCE COMPANY Policy Number: 760000153409 Effective Date: 04/01/2009 Expire Date: 04/01/2010 Workers!. Compensation .History 11/13/1995 DESCRIPTION LICENSE REISSUED TO ANOTHER ENTITY Personnel List Conditions of Use | Privacy Policy Copyright © 2010 State of California https://www2.cslb.ca.gov/OnlineServices/CheckLicense/LicenseDetail.asp 01/14/2010 CB092138 150 1950 CAMINO VIDA ROBLE _/_ Approved ,// C Pate , Building Planning I/' Engineering Fire Forms/Fees CFD Encina HazHealtnAPCD rlnlto I(ISJ*> Sewer Comments Building Planning Engineering Fire Need? Application Complete? v N Fees Complete? v N By: By: