HomeMy WebLinkAbout2016 PALOMAR AIRPORT RD; ; CBC2016-0113; PermitPrint Date: 04/11/2017
Job Address: 2016 Palomar Airport Rd
Permit Type:. BLDG-Commercial
Parcel No: 2130201800
Valuation: $19,766.75
Occupancy Group:
# Dwelling Units:
Bedrooms:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Commercial Permit
www.carlsbadca.gov
Work Class: Tenant Improvement
Lot #:
Reference If:
Construction Type:
Bathrooms:
Orig. Plan Check U:
Plan Check U:
Permit No: CBC2016-0113
Status: Closed - Finaled
Applied: 12/29/2016
Issued: 02/09/2017
Finaled:
Inspector: AKrog
Project Title:
Description: QUALCOMM: CREATE NEW 425 SF CONFERENCE ROOM ON 2ND FLOOR
Applicant: Owner: Contractor:
DELAWIE . THE MAGELLAN GROUP INC PACIFIC BUILDING GROUP -
BRAD KERR
1800 Avenue Of The Stars, 105 9752 Aspen CreekCt
Los Angeles, CA 90067-4202 SAN DIEGO, CA 92126
310-277-8337 858-652-5088
BUILDING PERMIT FEE $2000+ . . . . $203.66
BUILDING PLAN CHECK FEE (BLDG) . . . $142.56
ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL . . $41.00
FIRES Occupancies < 50,000sq. ft. TI . . $362.00
MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL . . $39.00
PUBLIC FACILITIES FEES - inside CFD $359.75
5B1473 BUILDING STANDARDS FEE . $1.00
STRONG MOTION-COMMERCIAL . $553
TotalFees: $1,154.50 Total Payments To Date: $1,154.50 Balance Due: $0.00
Please take NOTICE that approval of your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter
collectively referred to as 'fees/exaction.' You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition. . .
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired. .
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: - PLANNING DENGINEERING [--]BUILDING [--]FIRE DHEALTH DHAZMATIAPCD
Building Permit Application (Crty
Plan Check No. CP3C..øoIic OI I
Est. Value 45 of 1635 FaradayAve., Carlsbad, CA92008 V
Cceir1sbi1 Ph: 760-602-2719 -Fax: 760-602-8558 Plan Ck. Deposit ______________________________________ email: building@carlsbadca.gov V
Date j///p Iswppp . I
V www.carlsbadca.gov
JOB ADDRESS -
2016 Palomar Airport Road
IsuITE#/sPAcE#/uNIT#
I
IAPN V
I 760 - 221 - 47 - - 00
- CT/PROJECT # LOT # PHASE # I 1$ BATHROOMS - I TENANT BUSINESS NAME I CONSTR. TYPE I 0CC. GROUP 1 #OF.UNITS J #BEOROOMS
Qualcomm VB B, S-$J
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
TENANT IMPROVEMENT ON SECOND LEVEL OF AN EXISTING 2 STORY AIRCRAFT HANGER! OFFICE BUILDING. CREATE A NEW 425 SF CONFERENCE
ROOM BY REDUCING STORAGE AREA AT SECOND LEVEL OF SOUTHWEST CORNER OF EXISITNG BUILDING. EXISTING OCCUPANCY B, S-2 DOES NOT
CHANGE WORK TO INCLUDE SELECTIVE DEMOLITION, NEW FINISHES, CEILING, MECHANICAL, ELECTRICAL, FIRE SPRINKLER AND FIRE ALARM.
NEW FINISHES ONLY AT FIRST AND SECOND LEVEL OF MAIN ENTRY AREA AND FIRST LEVEL OF SOUTHWEST CORNER OF EXISTING BUILDING. V
EXISTING USE V I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
Aircraft Hanger/Office Same V
YES. NOI YES NOE YESNOE
APPLICANT NAME
Primary Contact V V Delawie - Brad Kerr PROPERTY OWNER NAME The Magellan Group, lnc
ADDRESS V V ADDRESS V
1515 Morena Blvd - 1800 Avenue of the Stars - Suite 105 V
CITY . STATE ZIP V CITY V STATE ZIP San Diego -CA 92110 V Los Angeles CA 90067
PHONE . IFAX PHONE FAX V 619-299-6690 V
V I V
EMAIL V EMAIL V bkerr@delawie.com V
DESIGN PROFESSIONAL V V
V Delawie- Mike Asaro CONTRACTOR BUS NAME 1y2p
ADDRESS V
V 1515 Morena Blvd V
ADDRESS 75Z $?JT /5
CITY V STATE - ZIP
San Diego CA 92110
CITY STATE - ZIP 92f2-(,, V
PHONE V 'FAX V PHON 5-0 — VI V 619-299-6690 .
EMAIL V EMAIL V V masaro@delawie.com V V
V
V
I STATE LICV #
CA-22519
STATE LiC.#
O237(o I
I CLASS I CITY BUS. LIC.#
I -
(SEC. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the
applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractors License Law (Chapter 9, commending with Section 7000 of Division 3 of the
Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031,5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001) ir
Workers' Compensation Declaration:/ hereby affirm under penalty of perjury one of the following declarations:
El
V
I have and will maintain a certificate of Consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I1I have and will maintain workers' Compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation's carrier and policy
number are: Insurance Co.- )2,P?L.434'.. , 4.4-/IV. Policy No. A I ' "3t' 8' Expiration Date 0 /o // 2 0/ 7
This section need not be completed if the permit is for one hundred dollars (100) or less. ( [J Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees,
)K CONTRACTOR SIGNATURE DAGENT (ATE 2/C
thereby affirm that lam exempt from Contractor's License Law for the following reason:
[] I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). El I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of • property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law(. -
I am exempt under Secticn, •_Business and Professions Code for this reason: .
V 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. EYes No
- 2. I (have! have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name address! phone /contractors' license number): V. V
I plan to provide portions of the work, bull have hired the following person to coordinate, supervise and provide the major work (include name! address/ phone contractors' license number):
- 5. I will provide some of the work, but I have contrated (hired) the following persons to provide the work indicated (include name I address! phone I type of work):
PROPERTY OWNER SIGNATURE . , -
V '
, []AGENT DATE . -
-' . .-.
F,
• 4 - -. ,-.-
-
.,.
0W00 811211133O®O GW MOCKK39000MUOM DO1OOO@ @OOOQ?O WOO
Is the aprfiant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk majVagement and prevention program under Sections 25505, 25533 or 25534 of the
Presley3trnner Hazardous Substance Account Act? LJYes IZNo .
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? EYes [] No •.
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? . DYes L)No
IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is a constru'ction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Narujie .,. . Lender's Address .
I certitythatl have read the application and state that the above information is correct and that the infomiatton on the plans is accurate. I agree to comptywith all City ordinances and State laws relating to building construction.
hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permit is required for excavations over 50 deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permitissued by the BuildingOtficial under the provisidns of this Code shall expire by limitation and become null and void tithe building or work authorized by such permit is not commenced within •.
180 days from the date of such permit or tithe building or work uttiorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
DATE
,
/Z//244,
*4
STOP. THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. ..
-
-
Complete the following ONLY if a Certificateof Occupancy will be-requested at final inspection.
CERTIFIC A TE
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. .
'- t .. • .,,' r, ,_, .. I t. .. .
CO# (Office Use Only)
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CONTACT NAME • . - OCCUPANT NAME
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' .ADDRESS- .. , . - .'
. - . BUILDING ADDRESS 4
CITY . .- STATE . ZIP CITY . STATE *' , ZIP
41 Carlsbad CA
PHONE ' ' . . .. FAX
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EMAIL - - - . - , - OCCUPANTS BUS. LIC. No. -
DELIVERY OPTIONS.
- PICK UP: ' CONTACT (Listed above) . OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
- ' . ASSOCIATED CB# .......MAlLTO: ..__CONTACT(Llsted above) OCCUPANT (Listed above) -
CONTRACTOR (On Pg. 1) 4. NO CHANGE IN USE / NO CONSTRUCTION
MAIL / FAX TO OTHER:
- - . . -nc - . CHANGE OFUSE/ NO CONSTRUCTION. - - ,. - 4) - , •, -4' 3 . . ,. '' .' .
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gAPPLICANT'SSIGNATURE .''
.'I - - ,' DATE
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Permit Type BLDG Commercial Application Date 12/29/2016 Owner THE MAGELLAN GROUP INC
Work Class: Tenant Improvement - Issue Date: 02/09/2017 Subdivision: RANCHO AGUA HEDIONDA POR
OF
Status:; Closed - Finaled Expiration Date: 09/25/2017 Address: .2016 Paibmar Airport Rd
Carlsbad,CA92011-4400
IVR Number: 1149
Scheduled Actual
Date start bate Inspection Type Inspection No. Inspection Status Primary Inspector Relnspection Complete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Pending fire signed off and warning plaque No
.
. at door on mezzanine
. . .
S - BLDG-Plumbing Final ' - . . Yes
BLDG-Mechanical Final. .. - .. Yes
-
I BLDG-Structural Final , - - . Yes
4 BLDG-Elect rical Final
-
Yes
I
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April 11, 2017 Page2of2
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Permit Type: BLDG-Commercial Application Date: 12/29/2016 Owner: THE MAGELLAN GROUP INC
Work Class: Tenant Improvement * Issue Date: .02/09/2017 , Subdivision: RANCHO AGUA HEDIONDA POR
- .
OF
Status: Closed - Finaled Expiration Date: • 09/25/20 Address: 2016 Palomar Airport Rd 17
Carlsbad, CA 92011-4400
IVR Number: 1149
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
- 03/28/2017 BLDG-85 T-Bar, 018107.2017 Passed Andy Krogh Complete
- Ceiling Grids
Overhead .
- Chocklt Item COMMENTS Passed'
BLDG-Building Deficiency. ' . ' - Yes
'F BLDG-14 7- Yes
-. Frame-Steel-Bolting-Welding -
• - , . ', - (Decks)
• - BLDG-24 Rough-Topout .Yes
' BLDG-34 Rough Electrical ' Yes
BLDG44 Yes
Rough-Duct-Dampers •.
02/24/2017 02/24/2017 BLDG-14 014589-2017 - Passed AndyKrogh - Complete
- •• Frame/Steel/Bolting/ '.• • ' . S
Welding (Decks) -
-
03/01/2017 , 03/01/2017 BLDG-16 Insulation 014971-2017 Passed Andy Krogh
-
Complete
BLDG-34 Rough 014970-2017 Partial Pass Andy Krogh . Rèinspection Incomplete
- Electrical
03/03/2017 03/03/2017 BLDG-17 Interior 015327.2017 Partial Pass Andy Krogh Reinspection Incomplete
Lath/Drywall
Checklist Item COMMENTS . Passed
BLDG-Building Deficiency Areas around doors and below existing - No .
windows to be reinspected
03/10/2017 03/10/2017 BLDG-17 Interior 016157.2017 Passed Andy Krogh . Complete -
Lath/Drywall
* Checklist Item -.
,
COMMENTS - Passed
•
- BLDG-Building Deficiency • Drywall completed ' Yes
03/28/2017 03/28/2017 BLDG-84 Rough 018072-2017 - Failed
*
Andy Krogh Reinspection Complete
Combo(14,24,34,44) (• -. - -S
.. • • - * *
I. IS •. - • -- - * .
Checklist Item COMMENTS - Passed
BLDG-Building Deficiency wrong code S No
BLDG-14 • * No - .
- Frame-Steel-Bolting-Welding - S. • S • -
- (Decks) -
F
• • . * - * - BLDG-24 Rough-TopoLt - - ' No ' *
* BLDG-34 Rough Electrical . No -
BLDG-44 "- . No
Rough-Ducts-Dampers
04/11/2017 04/11/2017 BLDG-Final * ' 019604.2017 ' Passed i: Andy Krogh - • • : Complete
Inspection
--F •' * 4 "-5* ' • - 'S
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April 11, 2017 . Page lot 2 - - '.
*
•
- ..---.---
INSPECTION REORDI
CR2O6O113
N RIPCORD CARD WITh APPROVED
TBE ICEPTÔjjj8
!QOjFOR P EXT WORKIAY INSPECTION
ARAIRPORT RD
NEW425SF. CONFERENCE ROOM
213p201B09
12/29(2016
CBC201:6-O.ii3
I :1p1IiIl[e - Date -
I 011FOUNDAUON
Inspector
-
.__Ic.I.g;u.q. . Date I Inspector YA
#31-DELECTRICUNDERGROUND DUFER.L
012REINFORCE69TEEL
r #6B MASONRY ORE GROUT
#34 ROUGHEI.ECTRIC 7 1 4JL
#33 DELECTRICSERVICE 0-TEMPORARY
1 ' 0GROUT DWALLDRAINS #35 PHOTOVOLTAIC
#10 TILTPANELS - - #53 ELEc/coNDuITiwmING
#11 POUR STRIPS .it39 4FINAL - -- -
#11 COLUMNFOO11NGS -
414SUBFRAME OFLOOR 13 CEILING' 4f1t,7 #41 UNDERGROUNDDUCTS&PIPING t
#15 ROOFSHEATHING - ff11 0 DUCT& PLENUM 0 REF PIPING
#13 EXr.-SHEAR PANELS - #43. HEAT-AIRCOND SYSTEMS
#ISINSULAIION - -./-(•7 .
.#49FINAI. - -.
#18 EXTERIOR LATH
#17 INTERI0RLATH&DRYWALL 3(7 R #81 UNDERGROUND(1112,2131)
451POOLEXCA/STEEL/B0ND/FENCE - - #82 DRYWAU.,EXT LATH, GASTES(17,18,23) -. -
#55 PREPLASTER/FINAL #83 R00F SHEA11NG, EXT SHEAR (13,15)
#19 FINAL 984 FRAME ROUGH COMBO (142434 44)
Datei.. -
# osEwER&.Bvco •OPL/CO .#9.
Injector jt85 T-Baf14,24,3444)
ANALOcCUPAXIcY(19,29,3949) -.
#21 UNDERGROUND DWASTE OWIR. - . -
ia - Date. Inspector
A/S:UNDERGROUNPV1SUAL #24 top-OUT OWASTE. OwIR -. =
#27 TUB&SHOWERPAN - -
A/SUNDERGROUNDHYRO -
#23 0 GAS TEST 004$ PIPiNG A/S UNDERGROUND FLUSH
WA #25 TER HEATER _________
A/S OVERHEAD ViSUAl. 3)9 J)
#28 SOLARWATER __________
A/SOVERHEADHYDROSTATIC -
-I
#29 FINAL -
A/S FiNAl. it
#600 'PRE-CONSTRUCTION MEETING,
F/A ROUGH IN \ - -
F/AF1NAI. ii
#603 FOLLOW UP INSPECTION - AXED EXI1NGUISHING SYSTEM ROUGH IN
#605 NOTICE -.
#607 WRITTEN WARNING
FIXED EXI1NGSYSTEMHYDROSTATICTEST
FIXED EXTINGUISHING SYSTEM FiNAl.
#609 NO] ICEOFVIOLATION MEDICALGASPRESSURETEST
-
6iO _Vi "BURNING - -
MEDICALGASFINAL -
-
SEE BACK FOR SPECIAL NOTES,
EsGil Corporation
In (Partnership with Government for Building Safety
DATE: 2/1/17
JURISDICTlON:[iiofCar1iT?
PLAN CHECK NO.: C2016-0113 SET: II
U APPLICANT
\flJ RI S.
U PLAN REVIEWER
U FILE
PROJECT ADDRESS: 2016 Palomar Airport Rd
PROJECT NAME: SAN.PMR.B Conference Room - TI
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's buildin codes.
The plans transmitted herewith will substantially complywith the jurisdiction's
codes when minor deficiencies identified below are resolvedand 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.
El 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.
Lii EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Brad-err' Telephone #: 619-299-6690
Date contacted: - Email: bkerr@delawie.com
Mail Telephone Fax In Person
LII REMARKS:
By: Doug Moody (by KC) Enclosures:
EsGil Corporation
EGA LIEJ LIMB 1-1 PC 1/24/17
9320 Chesapeake Drive, Suite 208 •San Diego, California 92123 • (858) 560-1468 • Fax (859)560-1576
EsGul Corporation
In Partners/iip with government for Bui(ding Safety
DATE: 1/13/17 *
JURISDICTION: City of Carlsbad
U APPLICANT
URIS.
U PLAN REVIEWER
U FILE
- PLAN CHECK NO.: C2016-0113 SET: I
PROJECT ADDRESS: 2016 Palomar Airport Rd
PROJECT NAME: SAN.PMR.B Conference Room - TI
El The plans transmitted herewith have been corrected where necessary-and substantially comply
with the jurisdiction's codes.
j The plans transmitted herewith will substantially comply with the jurisdiction's
codes when minor deficiencies identified below are resolved and checked by building
department staff. *
The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should b6 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.
LI 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: Brad Kerr Telephone #: 619-299-6690
te contacted: \ f,) (byfl £-)-- Email: bkerr@delawie.com
Mail Fax In Person . .
REM ARKS
By: Doug Moody . Enclosures:
EsGil Corporation
El GA [1 EJ El MB [1 PC . 1/4/17
9320 Chesapeake Drive, Suite 208 • San Diego, California 0123 • (858) 560-1468 • Fax (858) 560-1576
City of Carlsbad C2016-0113
1/13/17
PLAN REVIEW CORRECTION LIST
TENANT IMPROVEMENTS
1 PLAN CHECK NO.: C2016-0113
OCCUPANCY: B
II TYPE OF CONSTRUCTION: VB
II ALLOWABLE FLOOR AREA:
SPRINKLERS?: YES
II REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION: 12/29/16
DATE INITIAL PLAN REVIEW
COMPLETED: 1/13/17
JURISDICTION City of Carlsbad
USE: Office
ACTUAL AREA: 425sf
STORIES: 2
HEIGHT:
OCCUPANT LOAD: 28
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 1/4/17
PLAN REVIEWER: Doug Moody
FOREWORD (PLEASE READ):.
This plan review is limited to the technical requirements contained in the California version of
the International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National
Electrical Code and state laws regulating energy conservation, noise attenuation and access for
the disabled. This plan review is based on regulations enforced by the Building Department.
You may have other corrections based on laws and ordinances enforced by the Planning
Department, Engineering Department, Fire Department or other departments. Clearance from
those departments may be required prior to the issuance of a building permit. -
Code sections cited are based on the 2013 CBC, which adopts the 2012 IBC.
The following items listed need clarification, modification or change. All items must be satisfied
before the plans will be in conformance with the cited codes and regulations. Per Sec. 105.4 of
the 2012 International Building'Code, the approval of the plans does not permit the violation of
any state, county or city law.
To speed up the recheck process, please note on this list (or a copy) where each
correction item has been addressed, i.e., plan sheet number, specification section, etc.
Be sure to enclose the marked up list when you submit the revised plans. •
City of Carlsbad C2016-0113
1/13/17
Please make all corrections on the original tracings, as requested in the correction
- list. Submit three sets of plans for commercial/industrial projects (two sets of plans
for residential projects). For expeditious processing, corrected sets can be
submitted in one of two ways:
1. Deliver all corrected sets of plans and calculations/reports directly to the City of
Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760)
602-2700. The City will route the plans to EsGil Corporation and the Carlsbad
Planning, Engineering and Fire Departments.
-. 2. Bring two corrected sets of plans and calculations/reports to EsGil Corporation,
9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468.
Deliver all remaining sets of plans and calculations/reports directly to the City of
Carlsbad Building Department for routing to their Planning, Engineering and Fire
Departments.
NOTE: Plans that are submitted directly to EsGil Corporation only will not be
reviewed by the City Planning, Engineering and Fire Departments until review by
EsGil Corporation is complete.
Provide a section view of all new interior partitions. Show:
Method of attaching top and bottom plates to structure. (NOTE: Top of
partition must be secured to roof or floor framing, unless suspended
ceiling has been designed for partition lateral load).
Show height of partition and suspended ceiling, and height from floor to
roof framing or floor framing.
Please have-the document author and the principle designer of the PRF forms
sign the imprinted documents. S
Please provide legible PRF forms imprinted on the plans.
On the plans clearly show the wall and roof insulation locations' thickness, and
R-values, as per the energy design. -
Occupancy sensors are required for the following room types: Offices 250
square feet and smaller, multipurpose rooms less than 1,000 square feet, and
classrooms and conference rooms of any size. Please add where appropriate.
Section 131.
Please provide a service receptacle located less than 25' from the new HVAC
equipment and GFCI protected.
Advisory Note : When alterations, structural repairs or additions are made to an
existing building, that building, or portion of the building affected, is required to
comply with all of the following requirements, per Section 11 B-202.4:
. The area of specific alteration, repair or addition must comply as "new"
construction. S
City of Carlsbad C2016-0113
1/13/17
A primary entrance to the building and the primary path of travel to the
altered area, must be shown to comply with all accessibility features.
The path of travel shall include the existing parking.
Existing toilet and bathing facilities that serve the remodeled area must be
shown to comply with all accessibility features.
Please address the following comments that are the result of the alterations.
7. Show on the site plan the complying disabled accessible path of travel from the
disabled accessible parking spaces to the primary entrance of the tenant space.
Please provide detailed plans of the path of travel, indicate slope and width, any
pedestrian ramps, curb ramps, walks, handrails, provide dimensioned parking
stall details etc.
8. Show that accessible parking spaces comply with Section 11 B-502.2 as follows:
Single spaces shall be 14' wide and outlined to provide a 9' parking area
and a 5' loading and unloading area. This loading/unloading area may be
on either side of the vehicle.
When more than one space is provided, in lieu of providing a 14' space for
each space, two spaces can be provided within a 23' area with a 5' loading
zone between each 90" wide space.
C) Each space is to be a minimum of 18' in depth.
9. It is unclear from the plans if the restrooms servicing the tenant improvement are
disabled accessible, pleaseprovide a dimensioned restroom plans showing the
restroom to be accessible compliant
To speed up the review process, note on this list (or a copy) where each
correction item has been addressed, i.e., plan sheet, note or detail number,
calculation page, etc.
Please indicate here if any changes have been made to the plans that are not a
result of corrections from this list. If there are other changes, please briefly
describe them and where they are located in the plans.
Have changes been made to the plans not resulting from this correction list?
Please indicate:
Yes El No U
The jurisdiction has contracted with Esgil Corporation located at 9320
Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of
858/560-1468, to perform the plan review for your project. If you have any
questions regarding these plan review items, please contact Doug Moody at
Esgil Corporation. Thank you.
City of Carlsbad C2016-0113
1/13/17
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Carlsbad PLAN CHECK NO.: C2016-0113
PREPARED BY: Doug Moody DATE: 1/13/17
BUILDING ADDRESS: 2016 Palomar Airport Rd
BUILDING OCCUPANCY: B
BUILDING
PORTION
AREA
( Sq. Ft.)
Valuation
. Multiplier
Reg.
Mod.
VALUE ($)
TI 425 46.51 S 19,767
Air Conditioning
Fire Sprinklers
TOTAL VALUE 19,767
Jurisdiction Code ICb IBY Ordinance
Bldg. Permit Fee by Ordinance
Plan Check Fee byOrdinance
Type of Review:, F71 Complete Review
Repetitive Fee Other
Repeats Hourly
EsGilFee
I $203.291
I $132.141
Structural Only
Hr. @*
$1 1 3.841
Comments:
Sheet 1 of 1
macvalue.doc +
t
O GSSI
Structural Engineers
Calculations for
Qualcomm PMR.B ConfRm TI
Carlsbad, CA
delawie
1515 Morena Blvd
San Diego, CA 92110
December 2016
CBC20I6-0113
2016 PALOMAR AIRPORT RD
QUALCOMM: CREATE NEW 425 SF CONFERENCE ROOM
ON 2ND FLOOR
2130201800
• 1212912016
L ____ CBC20I 6-0113
Structural Engineers ENGR.
V GSSI
SHEET
PROJECT GSSI NO. vmil
. - - . .-; --' 4' .!' 4 .. 4 ,_''_ . .. . .
I.,,- -4 Design Maps Summary Report
-
, I Page 1 2 $ of ,
. . y-
ç
Design Maps Summary Report;:
User—Specified Input 44
Building Code Reference Document ASCE 7-11 0 Standard I I.
4 (which utilizes USGS hazard data available in 2008) ' 4 4 ,,.- - •' . -i-I_..,' ,4'1 .. •*4 ' Site Coordinates A3.125160N, 117 27598°W 4
Site Soil Classification Site Class D — Stiff Soil
Risk Category 1/11/111
uril
4Q ,'
Ocean sidt' Vita
Carlsbad',\
4 \ -54n Marcos
S
. -. ft 4.'44
4 4
I 14
44 41
4
4
Endnita
- ... . . ' ... ..
I
USGS—Provided Output 1 4,
" S5 = 1 068 g SNS = 1 146 g S = 0 764 g
S1 = 0413g SMI= 0655g S= - I 4 0437g 4,
For information on how the SS and Si values above have been calculated from probabilistic (risk targethd) and 4 deterministic ground motions in the direction of maximum horizontal response please return to the application and '
#.select the 2009 NEHRP building code reference document 4
44 cl MCE Response Spectrum Design Response Spectrum 4* - . ..... ol,e: . -.. I,' •.-'
9.72
I0.56 \ fl
.241,
0-312
016
12
00o
000
i I I I I 000
020 040 0 GO 080 1 00 1.20 140 1 GO 1 90 200
I I I I I I I I I lip
44 000 020 010 0.60 Gao 1 00 1 201 40 3 60 1 80 200
Period, t (ccc) Plod T (ccc)
: r 4
4 For PGA M T C and C44 values please view the detailed reoort
I : 4-,- 4 .4* .4 1I44 -
.4 4'
4 .4 I 4 1 54
http I/earthquake usgs gov/designmaps/us/summary php9template=minimal&latitude=33 12/21/201
4,
Unit Report For 3 TON
Project: Palomar Airport - Dufoe . 11/02/2016
Prepared By:
Outdoor Unit Parameters
Unit
Unit Size:... .................. 3 Tons
.................480-3.6O V-Ph-Hz
Indoor Coil Parameters
Unit Model:............................
Unit Size:. Btuh
Cabinet Insulation--Single-piece cabinet with 1-in, super thick
insulatior ..........................................
Voltage:................. ......208-1-6O V-Ph-Hz
Refrigerant ........... ..Puron
Heating Sizes :: Heat
Outdoor Unit Dimensions and Weight Indoor Coil Dimensions and Weight
Unit Length:............,......,...............37.125 in Unit ......... .....22.0625 in
Unit Width:..... ...........i7.O625 in Unit Width:.....................................................:.,....21.125 in
Unit Height:,.........,........_........ in Unit Height: .....A49.625 in Unit Shipping Weight: .... ....227. lb Unit Shipping Weight:............_ . .......157. lb
RESIDENTIALAPPUCATIONS
This warranty Is to the original purchasing owner and subsequent owners only to the extent and as stated in the Warranty Conditions and
below. The limited warranty period in years, depending on the part and the claimant, Is as shown in the table below.
LI__L •. •.. . . .Z.. . : Limited.Warrañty(Years)s7.'-;r..'. i."..4r.' :.r.r
Subsequent.Owner.'-i
Parts
..-..'..;Original.Owner.••::•
10 (or 5) 5
Compressor 10* (or 5) I 5 -
*If properly registered within 90 days of original installation, otherwise 5 years (except in California and Quebec and other jurisdictions that
prohibit warranty benefits conditioned on registration). See Warranty Conditions below.
OTHER APPLICATIONS
The warranty period is five (5) years on the compressor, and one (1) year on all other parts. The warranty is the original owner only and is
not available for subsequent owners.
Ordering Information
Part Number Description Quantity
OutdoorUnit
25HHA436A006 Performance Series Heat Pump with Puron 3 Tons Cooling 1
14 SEER ARI Conditions 1 Indoor. Coil..
FX4DNF037LOO FX413 Comfort Series Fan Coil with Puron 36000 BTU Cooling
208/230-1-60
1
Single-piece cabinet with 1-in, super thick insulation 1
Aluminum
The Product and Ratings Data in this program is subject to change at any time and without notice. Please refer to the latest product
literature and the AHRI directory at www.ahridlrectory.org for the most up-to-date information.
Residential Carrier Products Bldr 1.22 Page 1 of 8
+ .HE1RED CLARAAC(S DIII CUL FAtIRO 0M1 ALLOW D MIN CLEATIVIiCD DIESIL O:Dc AND DOLL DIII VII II 1111 Lt.EAAAICE
)D COIIPRESS)0 EO AND FAISIDE, 4110 III I1: 1111
LERDOCE OR FIR SIDE 'ID CElL E. MD 31 DI CLEADVIICE
IN COOPRESSIA DAD ADD COIL SIDE, 1110 MULTI 11011 APFLICATtOM DRIllED lIMITS DO DIICWIIGE CF DIE PLED NOT EDTP 1111.11 OF ANOTHER.
'IIIUII OUT (NOR OPEVATJMD II3IEIfl IN COODIAD ODE IS 551. MAD. 125 F
DRIES DESIID*TIO1I 5 TIE I.-TO POSITION OF TIE lIlT AIRFI oliROr;
:FNTFR OF TRAVITT I
IL DIMEIISI)TJS ARE :N**INCHESI UNLESS NOTE:;
ICLI I'OVER SUPPLY CONN. I OI.E SIZES PROVIDES: / 11'112'IRALE 1 3l6-D/49MHTE -
101 7110
..'- r•-7 1 llr-lIDADE
Certified Drawing For 3 TON
Project: Palomar Airport - Dufoe 11/02/2016
Prepared By:
Outdoor Model
Unit Model HA
Unit Size:...;...................... ..........3 Tons
V-Ph-Hz
SEER....................-....................................14
PartNumber 25HHA436A006
Out'db& Unit
Height 40.13 in
Width 20.50 in
Length 50.50 in
Operating Weight ' . 197. lb
Shipping Weight 227. lb
Diibñ . WI
iB ZC D L N JP
37.13 in 44.50 inj 17.06 in 1 18.44 in 1 30.50 in 1 19.63 in 1 29.13 in 1 8.13 inj 15.88 inj 0.88 inj 3.38 in 1 5.50 in
The Product and Ratings Data in this program is subject to change at any time and without notice. Please refer to the latest product literature and the AHRI directory at
www.ahridirectory.org for the most up-to-date information.
Residential Carrier Products Bldr 1.22 Page 4 of 8
Certified Drawing For 3 TON
Project: Palomar Airport - Dufoe . 11/02/2016
Prepared By:
ILOlT CmASFCT1Cfl1 ST7FS
RIM I Ill - I 0. OMOIT 0300 030 - 3/1 7.1. 3000T
7 lUlL' 010 - IIl ID 00101 LlE0..300 I 0:S.EMT COIXNS.RTC: 311 rP1
6
oosA"— L. c
—OIICCIIWICT 00
_. ciocurt BREAKER IIKIIIU
ELFC
t,
wrIMS 1.01
_.—COIL ACCErt
..o.
TING PAD I k_..
SIICIION LINE 4C!ICCTI0II
,10 M.
OlE
510113 lllt011ltlOR 15 THE 1110 POSITION OF UNIT''ROOOCT 0000(0
ALL GINEASEOMI ARE 10 IIICOES 0111(33 MOT(O_
P lIlt'
0.0 I I0tT11OE I 111111MG p
Airlaool -
700'OlA. 1.0. 100 LOP VOLTOGI 00111001. 211110
-t INLET LIII — —
uojr VLLIR
OTF000 FRIll F10010IC. VISA I1Ifl'
SLOPE COILS IR11FLG7W 00 110311. lIGHT 077LICATIOII .010
'A COILS loalirLol 091LLCATICO(.
W.%TET ALLOW 10' 0000 FIOPT To1(007CC -
72 tAll'
IOWb_ _
H 'oH.
A'
' LLTC0000C Il.i*i1P.PfllI & II 1 J1C?1lvt
POWER 91AENG A,140 vlm~ 07703111 3111 / cootoci
'2II [Er ON RE HTI$I.O?C ROIL RAIlS OOLIL
1 lIP
IA' - UODLLLRURTTS
[
OP EU! lOG
913116—
R I GH I SII)L VLLW
Height 49.63 in
Width 21.13 in
Length 22.06 in
Shipping Weight 157. lb
I I I I -uic
0
_
011111. SLOPE COIL DETAILS ECTI'0M L(CLfl100 110010
0011 0711.00 00 00111: - IRLCT 010__]. LIFT APPLICO1IS
IRO11I. VILV CI401rM 07114'A' COIL ,DETAILS CONNECTION I ocAirolfo 000 :OPFI OW at 1011? 0077 IC*11013
Indoor Coil
Unit Model................. ....-............FX4D
Unit Size......::.36,O00 Btuh
Voltage:,;_ ...... . .... ............ V-Ph-Hz
Cabinet lnsulation:Single-piece cabinet with 1-in, super thick insulation
Dimensions
- A D E . F . G 3
I 49.63 in 21.13 in 19.25 inj 19.13 in 1 15.69 ml 23.44 in 1 23.13 inI 28.31 ml —
The Product and Ratings Data In this program is subject to change at any time and without notice. Please refer to the latest product literature and the AHRI directory at
www.ahridirectory.org for the most up-to-date Information.
Residential Carrier Products Bldr 1.22 Page 5 of 8
Project: Palomar Airport - Dufoe
Certified Drawing For 3 TON
. . - 11/02/2016
Prepared By: . .
1I (Hi' f3U%T OI } MILE F E 1% TO ' I 1.1 PL SAW i) tIC, 'J uoWL I Ii( r , 3 • 1P
116' Dl' 1Dt '(T&. lL'sIt HIot'I 3 BE :1111 u 11th
1
r .
.h ['A U-
P1146 Dsl,—
.rt(CUP (6 11
I • . \ ,lMq(J.U-.
'C-77
114
El
l I
71
! HIT
K-;.'];_-. L fl viricly -
E I E ..1 E tEl) Ei 'Nv[EO' HIRF:j . SEIFE
1.'.....
Indoor Coil -
Unit ....... - -
Unit ..,36,000 Btuh
V-Ph-Hz
PartNumber:......................,............FX4DNFO37LOO
The Product and Ratings Data in this program is subject to change at any time and without notice. Please refer to the latest product literature and the AHRI directory at
www.ahridirectory.org for the most up-to-date Information.
. • Page 6 of 8 Residential Gamer Products Bldr 1.22
- -
.
I.
San Diego Air Balance Co.09 i[nc0
.1840 CQmmercial.Street', Escondido, CA 92029
p 7.60 7415401 f760 74.1 2730
iaii@sndiegoiirbciIance. coin
State C,ontiactor's Lic,ense#7632'59
QUALCOMM CARLSBAD
AIRPORT HANGER CONFERENCE ROOM T I
.2016 PALOMAR AIRPORT ROAD
CARLSBAD,-CA 92008
CERTIFIED HYAC TEST & BALANCE ANALYSIS REPORT
RECEIVED ENGINEER DUFOE CONSULTING ENGINEERS
CONTRACTOR HELIX MECHANICAL, INC MAR 282017
TECHNICIAN: WADE VLC(
. CITY OF CARLSBAD SDAB JOB#:' 1708 , 4 BUILDING DIVISION
Thisis'to certify that, SAN DffiGO AIR BALANCE CO:, NC. has balañcd the systems described
here-in o their optimum perfónnance capabilities. The Testing and Bala:ncing itás.beeñ perfdrmd
in accordance with the standard' requirements and procedures o,f.the ASSOCIATED A.II.BALANCE
COUNCIL.-.(AA-BC) andtlie:-results of "these tcsts.are here-in recorded.
ASSOCIATED AIR BALANCE COUNCIL CERTIFICATION NUMBER 007-01-48
DATE 23 MARCH 201:7
APPROVED BY: JEFFRE'Y'L. WICKA
gz
- - L
>, AABC -.
Associated Air Baiance Council
- - -
> )InnuaivLem6ersñip Certificate
V V
wardeito
San Diego Air To Con, Inc
as a zem6erzngoostand?ng oftñessociatedzr (Balance Councitfor tlw year
2017
Tflis mcm6cr flas met a[(requzrementsfor memBers flip andis entztkito alT
ngflts anIprwz[egcs of.MCBC ccrtzficatwn This ccrt!ficatc is renewa6Th
,. on an annualBasis and- expires December-31,201'7.$ - -
V
•'V 'V
V
/ \ . V V
V V J ____Y V V
' Michad Ddcimp Presidc:t - .V-. Kenneth M Sufki &cecutive ire ctor
'
4$
• V - V V -
••
V • - • V • - - -'V
.. .,-U
•-:-- .... t . 4 --
t *...
t
-5
. ..'.
I
_ 4
--
AAC.
111 ASSOMMad Nir, saflikoas C@&ianllll
Auirnnll ciffffce
/t'mw (/((7t0
Jeffrey Wikka
San Diego Air Balance Co, Inc
o9m(1o/lAiii
ki/7ed 'óf/ an ct (k,fai,ce' &/f/Anee,t
/r91141f10/1 S ) (7/id /'((/11/,'e/1/e,//i (3/'
(7/4' 'J&7/t1f?C(i 60iiiici7
7/1i/'1,cd to-6 urn, ,oia/ VtC/1?' /5(141//CC' 1/?' (ICCO/Y41/C'
(0(1/5 1/5o -j,,/ ,/'%' (11' ( /uó/*j41 (7 4.,, /41' _/(/(( 6'
20/7
i9i /41J /5'/(f11M' (7/K7 (/5(7/1(11
(1/51c, 0/?' - (1/1' (!///11/a/ /5(74/;i' 1.2
(/XO/i/1/lC 110/? ¶3/ /41 (17(/l(9i ' /'( (0/ (J0/ //5
to /little.,
It
4ecc4 CC/ 614, it
WONNUMNO MA "'I"" "'t Mm
/tiiid (Zá/e/tiiPC//UWt$
(A G
6el~,if4ed go-41& i&tiaiwe' 9ec/uii64"aii
U/Z(tYi)C/?1tiO//e/Tt C(Y ,i&i eeJo/
San Diego Air Balance Co. Inc.
thqmy. 10101-03
8/ ds,,c,iewatV&o,t.u' u,uitta.yt-y..
MicheI Dekamp, President Kenneth M. Suflza. Executive MiTector
17084:AIRPORT HANGER CONFERENCE RN T.I
Instuinent and Calibration List
4 ...........................................................
Fan Coil Test [Direct-Drive) + Air
HP-6 .....................................................
HP-6 (Static Pressure Profil
HP-6 RA (Air Distribution Te
I
'SDABCO certifies that all instuments are calibrated to AABC standard 2.1
and uses primary standards that are traceable to the National Institute
of Standards and Technology (NIST).
SAN DIEGO AIR BALANCE CO., INC.
Fan Coil Test [Direct-Drive] + Air Dist. 2
QUALCOMM CARLSBAD
17084:AIRPORT HANGER CONFERENCE RN T.I. . 03/23/2017
HP-6 W. PAVLICK
UNIT IDENTIFICATION
Manufacturer CARRIER_________ ________
Model Number FV4CNFOO5 _
Serial Number 2016A89360
MEASUREMENTS REQUIRED FINAL
Total Fan CFM 1500 _______ 1470 _____
Total Outlet CFM
Return Air CFM
1605 _____ _____ 1470
.1235 ______
1385
. 220 Outside Air CFM 235
.16 ExternalS.P. . .50
_______
Suction. S.P.
____
Discharge S.P.
.50
208 _______
Motor Manufacture
208
1
Motor HP . _______
Motor Voltage .
Motor Phase . 1
Motor Amps
Dir-Drive Spd Setting .
4.3 1.7
HIGH. 2-SPEED
AIR DISTRIBUTION
Room
Number Zone Term No. Size Type
Required
CFM
Prlmnry
CFM
Final
CFM
209. SUPPLY 1 14X14 CD 535 375 520
209 SUPPLY 2 14X14 CD 535 360 485
209 SUPPLY. 3 14x14 CD .' 535 . 345 465
TOTAL I 1605 1080 . 1470
1N0 ACCESS TO THE MOTOR TAG. OBTAINED MOTOR DATA FROM THE UNIT TAG.
SAN DIEGO AIR BALANCE CO., INC.
Static Pressure Profile
QUALCO4 CARLSBAD '• • • •.
17084:AIRPORT HANGER CONFERENCE RN T.I.
HP-6
• ••
• •
MEASUREMENTS
'3
03/23/2017
W. PAVLICK
Sys A • B C D E F.G. H •
HP6 -.11. -.24 -62 +.05
SAN DIEGO AIR BALANCE CO., INC.
Air Distribution Test
QUALCOMM CARLSBAD
17084:AIRPORT HANGER CONFERENCE RN T.I. 03/23/2017
HP-6 RETURN AIR W. PAVLICK
AIR DISTRIBUTION
Room
Number.
•
Zone Term No. Size Type
Required
CFM
Prlmnry
CFM
Final
CFM
209 RETURN Ri. 16" RG 675 620 650
209 RETURN R2 16" RG 675 555 585
TOTAL • __________ _______ 1350 1175 1235
1-i/2"VENT UNDER (E)AIR COMPRESSOR MEZZANINE FLOOR
(E)JAN SINK BELOW
ROOM VENTILATION LANDING 1 I Ii
18
FAN
I OSA - - -
DUCT UTR 16"0
TRA NSFER (TYP.
:
CONFERENCE HP-\
2)HLJ ri
ROOM A. 6 4xI 9 91 Do 535
rRTI
(ON ROOF
314'CD & 3/4W
4 (TYP 3) I I OVERFLOV
Usl
LOPE MIN.
I
_I) I 118-FT I r I DUCT UTR 1 I 140 200 22x22 SA
EN 1-1OVENTABOVE (E1-lOT
()CONDENSING 1 INSUTEb CONF ROOM CEILING UNIT ON Cu I I REFRIGERANT PIPES GRADE 6 j WITH ALUMINUM
- JACKET
2
-
LEVEL 2 NEW
RECEIVED
MAR 28 2017
STATE OF CflFORllA
OUTDOOR AIR ACCEPTANCE CITY OF CARLSBAD
c.ti:iii.nA ifl,r.l OAi(I5 RI III nir\ir,, nivitzirw Cf.IJFORISIA E5IERcW COMIAISSSOW
OF ACCEPTANCE - MECII-2A
N/7.51 OiiltlooiAhAccepinncc (Pogel o13)
Project NniiirFAddrcjs:
QUALCOMM CARLSBAD I IRPORT HANGER CONFERENCE ROOM T.I./-2616 PALOMAR AIRPORT RD CARLSBAD CA 92008
Syst in Nnnic or Idciiliflctioa(Tag:
HP-.6
Sys(nsIocciliôn or Area Smell:
CEILING/CONFERENCE ROOM 200
1Ircciicul Agciicy [liii
Note Submit one cci li/leak' of4ccep1ai,ce for each ss'slen, -
that 1111tri'"llemons/1111ta couijiliai,ce.
infoiccnini Arncy Use: Clicekcd hymw
FIELD JEQUNICIAN'S DECLARATION STATEMENT
I Ceti i F) itiuler icnniL 01pe9111) iiiider hit ins of the SuIt of C islions, hit I iiloriiiilsois sscsi idtd on this fonu Is Inst niul correct..
I sun hit person silso lie( lositicildie iscceplssicc iijiiIreinenls vtriflcsslioii tjio:tcil on lids Ccrhilicilleof AcccpinhsFO'(FIeId Tcclitsiclni.i).
I reilily iisnitii tojislnlciiollfj,IT)allsliois Idesslilicsl on this form complies v)jli hIiencceiinhmcerequireiiIcnIs imsdioslcdhii hit pinissond
bJitt mIll. litmus iltijiiiii tti kly Slit cmmforLllllcilt vg6icy. mid couifoi ins to hit tuppl irsbk lictJilnults_ rqiiirtsmiesiIs nini proccdur cptcl fits) In Rcfrcimit Nosiisideislil AIp nilis NA?.
' I linsecosulirsuictl IImt IIic:IiisInlInliosm Cem IiIicnIe(s) for usc co!msI tic hioliimsInflaliaim IcIcislifled oil 1Ii1s lasso has beciicoussjiIIcd onsi Is posted or issade ssvmillñlslc with the bsmildingjscnnhl(s) Issued for Ihehsiikliiig
Coispisny Nnsisc:
SAW I)iEGOAIR FIAIANCECO, INC.
I1ttsI 1eciiuiichiss Nome: Fi)cId Tcclssihclasis Signature.
DalcSlgmscd: Position With Company (SuIt): -
3 V- VT • AIR BALANCE TECHNICIAN
UISPOHSII3IE PERSONS. DECLARATION STATEMENT
I c Ill) isisd r pi sit s> of pc rjns> III ilk( list laws of 11 1C Sitc of Cnlsltsrnm, thal I ciii list I sdd I cclssscmuis or the Held I 0111s Inn is nchllit,
on lily lsdiIf n isiveisiplovec cit. issyngci it. sssid I Iii cieviewcclllme Ii,lonisnikism providcsl on this fonts.
I risi S litcisscil coislus or nrtliii,.cl Os csmghiiecr, sIso Is L%st,sble vikr i)ss I slOis 1 of lime Dussisess SIiIJ I rof SSiOJIS Cuik III liii fl5piIcllbIc clisshfuc shiOsi to lake responsibility for lime ccojs of ssod Niecli cd oil lists ilotmisisesul isistl ottish tolthe ti ci usalitsiss In this tinlemsitni
(rc1sms11i1c peroms).
I CCiIiI) that ilsclislorissnttosi provided oil llmlslonss siulaslniuliates IIsaIIIsc tosustssscIloithsssInlIIiosi ideislilietl on this forisicdsusisliti s%ihii the litciIiIflhiCs. riqislriliscimls Indscnttd Iii lime sInsms nnsl spciifmcnllouis ripprostil by Slit cnforccumsciil IugCIIC> nissi cosifosisis to Slit rIiP15C0bIt isccejilssiscc rcqsiireiiscnls slid 1srocedssri's specified hi Reference lassrcsldiuiinI Appendix NA?,
I his'. c cois(iisiscd limit (Is IsisIsihutsois Ccslihic'.It(s) for lIst cosmshs'.mcllosi/issstillcitiois khcislifled oil thus lonsi has been cosispleleml smissl Is
posted or isiadt nvniInblvitIs use Istihiding p&issht(s) Issued For the building.
I will isissiri hIm) sm conmpkd signed copy of 1111 ( i.rIi(iclk Of Acicplshlcc shill be posted orinide osnhlobie mill s Iise tmssItdlssgiirnsIi(s)
issued for hit building ond lilidi sit siulnbic 10 the cnforccisi ill ngeisc) for nil spplscssiilc Inspections I uisdirstnmid liii) si signed cop> ollisis
Ccrlhficitic of Accepunce h-requiriiii to'be included '.'.itii the docmmisicmitatiois Ihc.biihlder provids to (lie Imilding 6%%ner ntoCciipanCy.
CoiiipamsyNDille: IIsossc:
SAN fEGOAIR BALANCE CO. INC. -' 6074I•
40
flcspommsststeItsons1'nnse Rcspoiisih.slc Person's Si n46
license: - E)ateSigmscd; - I'oshioui\'Itti Conipassy'(rutic):
763259 PRESIDENT
2008 Non, t.sidt,itln! Acceptance fonus ,lfsghmsl 2009 -
SlATE OF CALIFORNIA
OUTDOOR AIR ACCEPTANCE
CEC.?iE6II.2A (Re.i4 OS.O tAUFOAr.flA FNRaY CO)I1.itSSIO'i
CERTIFiCATE OF ACCEPTANCE 14ICH..2A
NA7.5.1 OiitdooiA(rAcceptniice (Pnge2 of'3)
1'oJec: Nome/Address:
QUALCOMM CARLSBAD AIRPORT HANGER CONFERENCE ROOM T.I. / 2016 F'Al.OMAR AIRPORT RD., CARLSBAD, CA 92008
System Nrnc or ldetrtifccntioatfag:
HP-6
System Location or Area Served:
I CEILING / CONFERENCE ROOM 209
1 It 1'cij/ j:cajv,,'d outside alsfion. ,eadiizg Is within 10% oJthc loinl st'qnlred on/side nfrJlotv svthicfowidln the
Sgrn,dards Medianica) Plan t'MECII-3c, co!wus i/or colituin i. per AW 7,5.1.
Construction Inspection .,
I Itistruineitlation to peilOfln test includes, but not limited to:
a. Watch
Li.. Cnlit,rntcd means to inensture itirfiow
2 Check oncof tIre following:
o Variable Mr Volume (VAV) - Check as approprIate:
B. Sensor used to control outdoor air how must have catIrnIioii certificate or be field calibrated
0 Calibration certificate (attach calibtuliori certi fienticir)
C1 Field calibration (attach csutts)
Constant Air \'ohiine (CAy) Check as appropriate:
N System is designed to provide a Fixed mlnlimiin OSA when tIre will is on
NA7.5. 1,1 Onteloot' Air Acceptance
A. 1TIInd(lonaI 'csting (Cheek approprinic coliiiiin) CA's' VAV
a. \'criIy unit is not in econonrizer mode during test check appropriate column
Step 1:-CAN' and \'AV testing at full soppy nirlion
a. Adjust supply to achieve. design nirflosv
Li. Measured outdoor airflow reading (cfin)
lte(p%ircd outdoor airflow (elm) I"o,n M.CI-l-3c, Colmnit i 220
'finie for outside air damper to stabilize rifler VAV boxes open (minutes)
C. - Return to initial conditions (check)
Step 2: \'AV testing nt i-cilluced supply ahflow V
Adjust supply airflow t.o cltliqr tire suni of the nilidnuun zone nlrflows or 30% of the total design -airflow
Measured outdoor airflow reading (cliii)
Required outdoor airflow (cfin) frniis A'1CH.3c. C'olwnn 1,1
Time for outside air damper to stabilize after VAV boxes open, and minimum air flow
achIeved_(minutes)
Return to jtiliiatcoiiditioirs (check)
11. TestIng CakulAtloos & Results . CA's' VAV
Percent OSA at full supply nlrflow (%OArA for Step I)
di. 01100A Measured outside air reading/Required outside air (SlcpthlSteplc) °A
b. 90%%OArA :5110% Y/N Y
c. Outside air damper position stabilizes wIthin 15 mInutes (Step Id < 15 inlnutes) Y I N V I N V
Peicent-OSA at reduced supply airflow (%OA5 for Step 2)
1/60A Measured outside air reading /Required outside air (Step2b1Stcp2c) V %
90% %OAa% 110% V V / N
-ZOOS A'onresidenllai Acceptance For ins
STATE OF CALIFORNIA
OUTDOOR AIR- ACCEPTANCE
CEC.MECF(.2A(R,dE5109 IUHtA IRV MWAAI!J
CERTIFICATE OF ACCEPTANCE - MEC11.2A
NA7.5.1 Outdoor Air Accoptaitce (Page 3 of3)
Project Nnnie/Addrcss:
QUAICOMM CARLSBAD AIRPORT HANGER CONFERENCE ROOM T.I. / 2010 PALOMAR AIRPORT RD., CARLSBAD, CA 92008
Systcni Name or IdenhiIicJiouflg:
HP-6
System I.ocstlo:% or Area Served:
I CEILING /CONFERENCE ROOM 209
Outside air damper position stnbilizes wIthin 15 II!Inules (S1ej2d <15 minutes) I V / N
NoIt:ShaikI boxes ito iiot upp!j'foi C.4i'r5tcms
C. PASS/ FAIL Evaluation (check one) 0
PASS: All Conslrnctloii Inspertloii responses arc complete and Testing Calculations & Rcsnitsresponscs arc positive
(Yycs)
FAIL: Any Construction Inspection responses are Incomplete OR there Is one or more negative (N - Ito) responses in
Testing Calemutatloiss & Icsuilts section. Provide.cxplaimalion bclow, Usc and attach additional pages ilimeccssamy.
STATE OF CA1iFOFOIL
CONSTANT VOLUME SINGLE ZONE UNITARY AIR CONDITIONER AND HEAT PUMP SYSTEMS '(i
CSC•M.CH•3A IResised 001091 CAt.IFOfOHA SIIERGY COFi1.USSIO11
CERTJI?ICATE OVACCEPTANCE rIEdll-3A
NA? 5 2 Coisslnni Volume Single Zone Ussitni'. Alt Coitilitlouct onci Heal Pinup S stems (Prge 1 of 4)
I rojccI Nmne/Addr is
-QUALCQMM CARLS6AO AIRPORT HANGER CONFERENCERObMtl. /2016PALOMARAiRPORT RD., CARLSBAD, CA 92008
SysteiiiNninc or. ldeniificnliditffng:
HP•6
Systcni LocntionorAren Served:
CEILING / CONFERENCE ROOM 209
CnforceiitciiIAgiicy: ('enitit Nilnilici:
No/c S,sbnili one cc,,,fica,s.. ofilcc..p!nncofo, cads .stsk,n Lflfo(tOnient Aenc Use CIi\Icd b>1Dal
FIELD i-EcriNiciAws DECLARATiONSTATEMENt
. I certify under peitiiy fonii lstnscoadcorreci.
loin the (seinoil on this c-'cthi1inIe ofAcccsthn(Ficld 'kchitklim).
I certify hut Ili Co ishiuclton/iiishitlst,ou idtiiti I icd on this bun complies w hi the n6c~pltmcc rqiiu ii its huidicsicd In IlieplanspInd
spcciflenlioius npproiccl by the cnforc inuil ogcirc> nod conforms lotte npplicibk ncccphnce r qiiiruinIs mid proccihirs specified In
keIreiice NonrciidenhinlAppcnclixNA7. -
I liii c eon fused tInt the Instill shots Cciii llcsk(c) for the eonstmetioii/instihlniioa Idenhul1cd on lists lbnii tins teen completed and Is
IosIetI or iisndc nvnilnbtelwi Ili: the building pcnnhh(s) Issued For thib'uhIdih.
Coinnsnv Name:
SAN DIEGO AIR-BALANCE CO; INC
I icid lccliiilclnns Noisi I tehd 1 vchntclnii $ Slgniltire
uitca
Mile SiLne 1 oshtuon \Yiilu Coiuujsnut> (I site
f( f7 AIR BALANCE TECHNICIAN
RESPONSIBLE PERSOlIS L)ECLARATIONS.TATEIhEHT 0
I rItf uusd punhi> officrjury, umkr the laws of (lie Stole ofCnlifonun Ilint I not tile I icid I cclinlcl sit artho Held Tecliisicnii is oching
on toy Lichh1as my employee Or its> pgeiil oust lii -ers'iosvd lIme lusforOtOliomi provided on thulsforOu.
I tin mi lIcsusd colds Oclo uirlmit ci or cusguI,cr v,lso is eligible tinder Dis ismon 3 oflhs Ilmusumess nmsml I rofcssioits C ode iii the rm1spluenbl
ci isnuflenluon to Iahu. responsibility for the scope ohvbik specified oii this doeunmcnt nmmml nllesl to the dc1araIuons Ili this stnleisieist
(uspOuisiLslpersiin).
I certify hint (tic milorimualioms pros dcii bit (his foists ssitishammtuitcs that the comislructioii/uisslahlnlion Id silshled on this fonts cbmphes '.thu the
ncccptnucc rLqmulrcincmsis lodmented Iii the plans and sp cificaluotus Approved the cumForumsenl ngcnc> numd confonsss to the npptknblc
iscccphnhmcc reqimircincuhs nod proeed tires spccIfld htiItekremsee lhonrcsidcOhisI Appendix NA?.
I has s. coisfiusned that the IiishisIlnluois Culitielk(s) for the construelsoutli uslahlohiomi hckn(ificd oh lists foists tins be us coiuspkted nod is
posted ormide is nihblc '.s tIm (lie bithhduumr penusht(s) Issued for (tie (nilldiisg
I will CuistIIa thul ocoiuitsleted signed copy of this (crhtlicsle of Ace piniie sushI bc posted or mode issahlable '.thu the (mulldsisg pernsht(s)
sssud for thu building mind cithdo as niIble to the cnfoscuncnt ngeimc> for all spishicithe mospcctuons I tintkrstanih that a signsd co p> ofhhuss
Certificate of Acc1stnisce Is rqiutr d lobe Included ssthhi lhi doeiiiuseiitsluoii the hiiuhh&r pros silos lottie bimlhdusig owner at oceiipanc>
ConipisnyNsiume: Phiosme:
SAN DIEGO AIR BALANCE CO INC 760741 5401
Responsible Perous's Name: ResponsIble
JEFPWICKA
Lkense: DsSigmiid Position Vitht Couuspan>'(I the):
763259 PRESIDENT
2068 Woisursldeislla! Accepiance Foists, 4isgstn( 1009
STATE OF CfUFORNIA
CONSTANT VOLUME SINGLE ZONE UNITARY AIR CONDITIONER AND HEAT PUMP SYSTEMS
- CEC.I.'ECH.3A IRo.tod O5OO ('.tlFflflNIA FHFmW afl)IAIIeeIfl,J
CERT1LICATE OF ACCEPTANCE ME, CII-3A
NA7.5.2 Constant Volume Single Zone Unitary Air Conditioner mid Heat Pump Systems (Page 2 of-4)
Pnjcci Naiitc/Addrss;
QUALCOMM CARLSBAD AIRPORT HANGER CONFERENCE ROOM T.I. /2016 PAI.OMAR AIRPORT RD., CARLSBAD, CA 92008
Syskin Name or ldoiiificotionTl'pg:
HP-6
System Location or Area Srycd:
CEILING /CONFERENCE ROOM 206
J'erifj the IdIJdiwJ colllpanr,,f$ ofa constant volume, sIs;.gk.20nc, iu,lta,y afrcvjs,dlt!a,,cra,,el heat junij systcinJit,ictlon coy, rclly,
Including: 1!,cnnos(al(,,sfalla (lou a,idpro.granuuu:h,.g. surpjilyfaii, healing. cooling, and dn;up'ropera(1on jier NA 7.5.2
Coustrnction Inspection
Instrumentation to perform test includes, but not limited to:
a. None required
Installation S
çaTlmcriiiostnt Is located within the space-conditioning zone that is served by the HVAC system.
Programming (check nil of the Following);
O Thermostat meets the temperature adjustment Mid dead baud requirements oil 22(b)
9 OccupIed, unoccupied, and holiday schedrilus have been programmed per (tic fcItity's schedule.
0 Pre-occupamicy purge has been i,rogranuned to meet the rcquirements ofStammdards Section 121 (o2.
A. Functional Testing fleqimlremisemits Operating ?m-Iocics
- cooling load dim i'iumg unoccupied condition
Cooling load dutiug occupied condition
Mmuumnl overciule
- No•Ioimul tlmu'lmmg uhmocctipieit condition
Ilea thmug load during utmoecupled condition
No•Ioncl climi'Iug occupied condition
I tenting toad dim ring occmmjdetl condition
Step I: Check mmd verify (lie following for eacli simulation mode required A II C 1) E F C
'- Supply lout operates continually -op . ar --
• - b. Supply famu (turns oil — Supply 1mm cycles omi and oil B —
System reverts to 'occumpIed mode to satisfy any condition — C. System turns olfwbeus manual override time period eplrcs (. — f Gas-fired furnace, heat pump, or electric heater stag's on
Neither heating or cooling is provided by the unit —
tmw
— — — li No healing Is provided by the unit
STATE OF CALIFORNIA
CONSTANT VOLUME SINGLE ZONE UNITARY AIR CONDITIONER AND HEAT PUMP SYSTEMS
cEc-NacH-3A (Ravlsed 08109) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF ACCEPTANCE MECH-3A
NA7.52 Cotistant Volume Single Zone Unitary Air Comlitioner and Heat Pump Systems (Page 3 of 4)
Project Name/Address: • •
QUALCOMM CARLSBAD AIRPORT HANGER CONFERENCE ROOM TI. / 2016 PALOMAR AIRPORT RD., CARLSBAD, CA 92008
Sy.tciu Nanle or IdentficatioWTag: •
HP-6
System Location or Area Served:
CEILING I CONFERENCE ROOM 206
C. PASS /IA1fEvatunIton (e1ieckone:
PASS All Conslriiction Inspection rcspollse5 are complete and all appilenbic festiiig Results responses arc' Pass (P)
FAIL.: Any Cwntiurt Ion inspectIon responses arc iiionpIete OR there Is one or more 'Pail (F) responses In Testiug
.Jtesiiks section. Provide c.pianaUon below. Use and altacli additional pages iriiecessary,
STATE OF cAUFORIA
CONSTANT VOLUME SINGLE ZONE UNITARY AIR CONDITIONER AND HEAT PUMP SYSTEMS
CEC.UECn.3A(RMeQ&/a9) CALIFORNAElERGYCO.II5SOI
CERTIFICATE OF ACCEPTANCE MECII-3A
NA7.5.2 Constant Yohijuc Single Zone Unitary Air Coi'iaitithier rnl Heal Pump Systeilis (Page 4 I'tojcct NmuciAddress:
QUALCOMM CARLSBAD AIRPORT HANGER CONFERENCE ROOM T.I. 12016 PALOMAR AIRPORT RD., CARLSBAD, CA 92008
Syskni Nuie or IdenIi rpca:1oitf1n5:
HP-6
Systcai Loenlion or Arn Served:
CEILING /CONFERENCE ROOM 206
2003 Now s..s1dc,,? iii Ac.ep1wice Foniis
)ject Name: San. PMR.B Conference Room flEnfomement Agency: CITY OF CARLSBAD IIPeit Number: C0C2016-01 13
)ject Address: 2016 Palomar Airport Road IlCity: Carlsbad liZip Code: 92008
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 110.9(a) & 130.1(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
All automatic time switch controls are programmed for (check all):
PJ Weekdays J Weekend PF Holidays
Document for the owner automatic time switch programming (check all):
R Weekday settings I: Weekend settings J Holidays settings R, Set-up settings
FF Preference program setting l. Verify the correct time and date is properly set in the time switch
E verify the battery is installed and energized rK Override time limit is no more than 2 hours
J Occupant Sensors and Automatic Time Switch Controls have been certified to the Energy Commission in accordance with
the applicable provision in Section 110.9 of the Standards, and model numbers for all such controls are listed on the Commission
database as Certified Appliance and Control Devices
2. Occupancy Sensor Construction Inspection—confirm for all listed in Section B
J Occupancy sensors are not located within four feet of any 1-IVAC diffuser
R Ultrasonic occupancy sensors do not emit audible sound 5 feet from source
'htngContioI
)ject Name: San. PMR.B Conference Room IlEnforcement Agency: CITY OF CARLSBAD IlPermit Number: CBC20I6-0I 13
I siect Address: 2016 Palomar Airport Road IlCitv: Carlsbad lIZiD Code: 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 with up to seven (7) occupancy sensors, all occupancy sensors shall be tested. (NA7.6.2.3)
Representative Spaces Selected
Tested/space/room name: Conference Room
Space Type (office, corridor, etc) Conference Room
Untested areas/rooms
1. Automatic Time Switch Controls
Step 1: Simulate occupied condition
All lights can be turned on and off by their respective area control switch Eli
Verify the switch only operates lighting in the ceiling-height partitioned area in
which the switch is located.
imulate unoccupied condition
All lighting, including emergency and egress lighting, turns oft'. Exempt lighting may
remain onper Section 130.1(c)1 and 130.1(a)l.
Manual override switch allows only the lights in the selected ceiling height
partitioned space where the override switch is located and remain on no longer than
2 hours (unless serving public areas and override switch is captive key type).
tep 3:
System returned to initial operating conditions
ipancy Sensors
imulate an unoccupied condition
Lights controlled by occupancy sensors turn off within a maximum of 30 minutes
from start of an unoccupied condition per Standard Section 110.9(b)
The occupant sensor does not trigger a false 'on' from movement in an area
adjacent to the controlled space or from HVAC operation
C imulate unoccupied condition
Status indicator or annunciator operates correctly
Lights controlled by occupancy sensors turn on immediately upon an occupied
I condition OR sensor indicates space is 'occupied' and lights may be turned on
manually
Step 3:
System returned to initial operating conditions
,..
hting Control
ject Name: Sad. PMRVB Conference Room jEnforcement Agency: CITY OF CARLSBAD IIPeil Number: CBC2016-01 13
)ject Address: 2016 Palomar Airport Road - Carlsbad - zip Code: 92008
3. Partial Off Occupancy Sensor
'V Step 1: Simulate an unoccupied condition
a. Lights go to partial off state within a maximum of 30 minutes from start of an V V
unoccupied condition per Standard Section 110.9(a)
- b. The occupant sensor does not triggetfaIsé 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. .
.. V
V
. S
c. In the partial off state, lighting shall dbnsume no more than 50% of installed lighting
power, or: No more than 60% of installed lighting power for metal halide o- high -
pressure sodium lighting in warehouses No 'more than 60% of installed lighting V.
power for cdrridors and stairwells in which the installed lighting power is 80 percent
or less of the value allowed under th&Area Category Method. Light level may be Qj V
used as a proxy for lighting power when measurements are taken
imulate an occupied condition
The occupant sensing controls shall turrlights fully ON in each separately. controlled V V
V
aras, Immediately upon an occupied condition
. Partial On Occupancy Sensors
Rep 1. -Simulate an occupied condition. Verify partial on operation.
. V
Immediately upon an occupied condition, the first stage activates between 30t0
V 70% of the lighting automatically.
After the first stage occurs, manual switches allow an occupant to activate the V
alternate set of lights, activate 100%'of the lighting power, and manually
deactivate all of the: lights. •. V
V rAj
V 1 V ;tep 2. Simulate an unoccupied condition
V
Both stages (automatic on and manual on) lights turn off within a maximum of 30
minutes from start of an unoccupied condition per Standard Section 110.9(a)
The occupant sensor does not trigger a false 'on' from movement in an area 1
adjacent to the controlled space or from HVAC operation V
V a
V
•V
- -
hting Control :
jec5 Name: San PMR.B Conference Room JEnforcernent Agency: CITY OF CARLSBAD IPetinit Number: CBC2016-01 13
)iect Address: 2016 Palomar Aimort Road llCitv: Carlsbad liZin Code: 92008
S. Additional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than
250 Square Feet, 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 to Functional Test 2.
Area served by controlled lighting (square feet)
Enter PAF corresponding to controlled area from line (a) above (<125sf for PAF=0.4,
126 250s for PAF=0.3, 251-500sf for PAF=0.2).
Enter PAF claimed for occupant sensor control in this space from the Certificate of
Compliance
The PAF corresponding to the controlled area (line b), is less than or equal to the
PAF claimed in the compliance documentation (line c)
Sensors shall not trigger in response to movement in adjacent walkways or
workspaces roll
All steps are conducted in Functional Test 2 Occupancy Sensor (On Off Control)
and all answers are Yes (Y)
liting Control ..r. 1
)ject Name: San PMR.B Conference Room - IlEnforcement Agency: CITY OF CARLSBAD jPermit Number: CBC20I6-01 13 . -
ject Address: 2016 Palomar Airport Road IIY: Carlsbad :]Zip Code: 92008
sting Results .
1 Automatic Time Switch Controls (all answers must be Y)
-
-.- F71Ocüpancy Sensor (On Off Control) (all answrs must be Y). ..
I. •e
Partial Off Occupancy Sensor (all answers must be Y). For warehouses, library book
stacks, corridors, stairwells in nonresidential buildings must also be accompanied by- - -
- passing Test 1 or Test 2.
:. .
Partial On Ocupánt Sensor for PAF must be Y).
-5. Occupant Sensor serving small zones for PAF (all-answers must be Y). Also must -
pass Test 2 1
D.Eváluation:'
FF PASS: All applicable Construction Inspetion responses are complete and all applicable
Equipment Testing Requirements responses are positive (Y - yes)
t ,
-I ...
I
I - -
- 44
- - I-
)ject Name: Sari. PMR.B Conference Room IlEnforcement Agency: CITY OF CARLSBAD IlPemilt Number: CBC20I6-01 13
)ject Address: 2016 Palomar Airport Road . City: Carlsbad Jzip Code: 92008
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
I certify that this Certificate of Acceptance documentation Is accurate and complete.
Documentation Author Company Name
Name Jeremy Roos Roos Electric, Inc.
Address . . City 9152 Palomino Ridge Drive Lakeside
Zip Code . . -. . Phone 92040 (619)791-5500
CEA/AIT Certification Author Signature
Identification (If TC-A8 13433
applicable)
Date of Signature:
FIELD. TECHNICIANS DECLARATION STATEMENT
[certify the following under penalty of perjury, under the laws of the State of California:
The information provided on this Certificate of Acceptance Is true and correct.
1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and
specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference
Nonresidential Appendix NA7
1 haveconfirmed that the Certificate(s) of Ins:allation for the construction or installation identified 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 permit(s) issued for the building,
Field Technician Name Company Name Jeremy Roos Roos Electric, Inc.
Address: . City 9152 Palomino Ridge Drive . Lakeside
Zip Code Phone 92040 (619)791-5500
ATT Certification Position with Company
Identification TCA813433 (Title) President
Field Technician Signature
.
Date of Signature: 04/06/
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this
Certificate of Acceptance.
I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction
or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the
declarations in this statement (responsible acceptance person).
The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies
with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance
requirements and procedures specified in Reference Nonresidential Appendix NA7.
I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is
posted or made available with the building permit(s) issued for the building.
I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is
required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Acceptance . Company Name
Person Name Jeremy Roos Roos Electric, Inc.
Address: City 9152 Palomino Ridge Drive Lakeside
Zip Code Phone 92040 (619)791-5500
CSLB License . . Position with Company 989178 . (Title) President
Responsibie Acceptance Person Signature
Date of Signature 04/08/2017
hing Control -
)jeer Name' Sail. PMR.B Conference Room IlEnforeement Agency: CITY OF CARLSBAD IIPemt Number: CBC2016-01 13
ject Address: 2016 Palomar Airport Road - Ilcity Carlsbad IV'P Code: 92008
Itomatic Daylightin Control -
)ject Name: San PMR.B Conference Room IlEnfoKement Agency: CITY OF CARLSBAD ----][Permit Number: CBC20I6-01 13
,)ject Address: 2016 Palomar Airport Road llCitv Carlsbad 117., CM,. OAfl9
AUTOMATIC DAYLIGHTING CONTROL ACCEPTANCE DOCUMENT
Check boxes for all pages of this NRCA-ITI-03-A completed and included in this submittal
0 NRCA-LTl-03A Page
1&2 Construction Inspection. This page required for all submittals.
0 NRCA-LTI-03-A Page
3&4 Continuous dimming control functional performance test - watt-meter or amp-meter measurement
13 NRCA-LTI-03-A Page Stepped Switching/ Stepped Dimming functional performance test — watt-meter or amp-meter measurement 5&6
0 NRCA-LTI-03-A Page Continuous dimming control functional performance test - light meter power measurement, and default look-up
7&8 table of fraction of rated power versus fraction of rated light output.
13 NRCA-1-TI-03-A Page Stepped Switching/ Stepped Dimming functional performance test - based on light output 10&11
1. NA7.6.1.1 Construction Inspection:
1. Drawing of Daylit Zone(s) must be shown on plans or attached to this form. By checking this box, technician
certifies that plans have been attached to this webform
171
Document Name and Page #'s Construction Drawings E1.1
Add Control Systems below if sampling method is used in accordance with NA7.6.1.2. If adding, attach a page with names of other controls in sample (only for
buildings with > S daylight control systems, sample group glazing same orientation)
Conference Room
Conference
Room
. system inrormation
Zone Type: Skyiit (Sky), Primary Sidelit (PS), or Secondary Sideiit (SS) . PS
Control Type: Continuous Dimming with more than 10 light levels (C), Stepped Dimming (SD), Switching (SW) I C
Design Footcandles: (enter number or leave blank): I I
3. Sensors and Controls
Control Loop Type: Open Loop (OL), Closed Loop (CL) OL
Sensor Location: Outside (0), Inside Skylight (IS), Near Windows facing Out (NW), In Controlled Zone (CZ)
- NW
Sensor Location is Appropriate to Control Loop Type: (YIN) If control loop type is Open Loop (OL): Enter yes (Y) if location Yes
Outside (0), Inside Skylight (IS), or Near Windows facing out (NW); otherwise, enter no (N). If Control loop type is Closed Loop
(Cl_): Enter yes (Y) if location = In Controlled Zone (CZ); otherwise, enter no (N).
Control Adjustments are in Appropriate Location (Y/N): Yes, If Readily Accessible or Yes if in Ceiling less than or equal to 11 It, No Yes
for all oher.
'i. rias aocumentauon been provuaea Dy tne installer:
Installation Manuals and Calibration Instructions Provided to Building Owner: (YIN) Yes
Location of Light Sensor on Plans: (Y/N) Yes
.". t' I...................
. r CailtorniaAdvanced Lighting •. _ , . I
tomatic DayligiuingContml
)ject Name: San. PMR.B Conference Room
- IlEnforcement Agency: CITY OF CARLSBAD IlPennil Number: CBC2016-01 13
1flli(DI,...,,,.. Ah,..-..4D,,..A
Location of Light Sensor on Plans: (Page Number) E1.1
5 Separate Controls of Luminaires in Daylit Zones:
Are luminaires controlled by automatic daylighting controls only in daylit zones: (YIN) Yes
Separately circi.jited for daylit zones by windows and daylit zones under skylights: (Y/N) 'es
6 Daylighting control device certification
Daylighting-control has been certified in accordance with §110.9: (YIN) Yes
Construction.Inspection PASS/FAIL. If all responses on Construction Inspection pages 1 & 2are complete and all Yes/No questions
have a Yes (Y) response, the tests PASS; If any responses on this page are incomplete OR there are any no (N) responses, the
tests FAIL - -
Pass
[I. PASS/FAIL Evaluation (check one)::
PASS: If all responses on Construction Inspection pages 1 & 2 are complete and all Yes/No questions have a Yes (Y) response, the
-- tests PASS
rW
-
FAIL: Any applicable Construction Inspection responses are incomplete OR there is one or more negative (N no)responses in any
Functional Performance Testing Requirements section. System does not pass and is NOT eligible for Certificate of Occupancy according
10103(a)36. Fix jroblem(s) and retest until the system(s) passes all portions of this test before retesting and resubmitting NRCA-LTI-03-A
PASSED test to the enforcement agency. Describe below the failure mode and corrective action needed.
applicable
to Section
with
Name: San. PMR.B Conference Room ilEnforcement Agency: CITY OF CARLSBAD IlPeimit Number: CBC2016-01 13
Address: 2016 Palomar Airport Road IlCity: Carlsbad liZip Code: 92008
2. NA7.6.1.2.1 Functional Performance Testing — Continuous Dimming Systems:
Power estimation using light meter measurement
Complete all tests on page 3 & 4 (No Daylight Test, Full Daylight Test, and Partial Daylight Test) and fill Out Pass/Fail section on Page 4.
Conference
Room
I System Information
Control Loop Type: Open Loop or Closed Loop? (0 or C) I o
Indicate if Mandatory control - N (required for skylit zone or primary sidelit zone with installed general lighting power > 120 W);
for Control Credit - CC; or Voluntary not for credit -V (M, CC, V)
M
C. If automatic daylightirig controls are mandatory, are all general lighting luminaires in daylit zones controlled by automatic
daylight controls? (Y/N)
Yes
d. Documented general lighting design footcandles. If design footcandles not documented leave blank (enter fc) I I
a. Power estimation method. (see line 0) Default ratio of power to light (Dfc), cut-sheet ratio of power to light (CSfc) If CSFc -
attach cut-sheet. Enter Dfc or CSfc
Dfc
Step 1 identify Reference Location
(location where minimum daylight illuminance is measured in zone served by the controlled lighting.)
Method Used: Illuminance or Distance? (I or D)
Override daylight control system and drive electric lights to highest light level for the following:
Highest light level Ic - enter measured controlled electric lighting footcandles (fc) I74 I
Is. Indicate whether this is Full Output (10), or Task Tuned (Lumen Maintenance) (IT) FO
step z: No uayuugnt Test controls enabled & daylight less than 1 tc at reference location
i. Method Used: Night time manual measurement (Night), Night Time Illuminance Logging (Log), Cover Fenestration (CF), Cover CF
Open Loop, Photosensor (COLP)
J. Reference Illuminance (footcandles) as measured at Reference Location (see Step 1). Enter footcandles 68
k. Enter Y if either of the following statements are true: If line h = FO; [Reference Illuminance (line j)] / [Full Output fc (line g)] > Yes
70%? or [Reference Illuminance (line j)] / [design footcandles (line d)] > 80%? (Y/ N)
i step 3: Full Daylight Test conducted when daylight> reference illuminance (line j)
I. Daylight illuminance (light level with electric lighting turned off) measured at Reference Location (fc) I73 I
Daylight illuminance (line I) greater than Reference Illuminance (line j)? (Y/N) Yes
Fraction controlled wattage turned off. Enter %. 100
Fraction of controlled wattage dimmed (1 - (line n)] Enter %. 0
I run out uunes D tnrouan s only IT Traction 01 controlled watraae turned Ott (line n 100°/n
Total (daylight + electric light) illuminance measured at the Reference Location (fc) I
Electric lighting illuminance at the Reference Location (fc) [(line p) - (line I)] I -' I
Electric lighting illuminance (line q) divided by Highest Light Level fc (line g). Enter % I -
98.64864864864845
Dimmed luminaire fraction of rated power. Attach manufacturer's cut-sheet or use default graph of rated power to light output.
Label applicable control system (column A, B or C) on cut-sheet or graph. Enter fraction of rated power in /o.
I
System Power Reduction = [1 - (line o) " (line s)] 100
AL(,TP CaflfomiaAdvanced ughting
- - •- .. •.
- somatic Daylightin Control . . -- . .,•. .. -
)ject Name: San. PMR.B Conference Room . Agency: CITY OF CARLSBAD jPermit Number: CBC20I6-0I 13 - -
ect Address: 2016 Palomar Airport Road - . IICY Carlsbad. lizip Code: 92008
ii. Is System Power Reduction (line t) > 65% when line ht= FO, or > 56% when line h = U (V/N) ' Yes
With uncontrolled lights also on, no lamps dimmed outside of cisylit zone by control (YIN) .•
1 ' Yes
Dimmed lamps have stable output, no perceptible flik,(Y/N) w '- . Yes
Step 4: Partial Daylight Test conducted when daylight between-60% and 95% of (line j)
Daylight illuminance (light level without electric light) measured at Reference Location (fc) - • 46
-
Daylight illuminance divided by the Reference Illuminance = (line x )/ (line j). Enter O/ I 67:64705082352942
Is Ratio of Daylight illuminance to Ref. illuminance (line y) between 60% and 95%? (YIN) Yes
.
as. Total (daylight + electric light) illuminance measured at the Reference Location (It) . , I77 I
bb. Total illuminance divided by the Reference Illuminancé = (line sa )/ (line j), Enter % . ' I 113.2352941176406
cc. Is Total illuminance divided by the Reference Illuminance (line bb) between 100% and 150%? (YIN) Yes
3. PASS/FAIL Evaluation (check one): I .
PASS All applicable Construction Inspection responses are complete and all applicable Functional Performance Testing Requirements responses are,
positive (Y - yes) .
FAIL: Any applicable Construction Inspection responses are incomplete OR there is one or more negative (N no)responses in any applicable . -.
Functional Performance Testing Requirements section. System does not pass and is NOT eligible for Certificate of Occupancy according to Section
10103(a)3B. Fix problem(s) and retest until the system(s) passes all portions of this test before retesting and resubmitting NRCA-LTI-03-A with
PASSED test to the enforcement agency. Describe below the failure mode and corrective action needed.
I. . •
- 4• I
-r • • - .4 .. 4
:-
•
.,-
--
.'•
somatic Daylighting Control
)jeer Name: San. PMR.B Conference Room IlEnforcement Agency: CITY OF CARLSBAD IlPermil Number: CBC2016-01 13
)jeer Address: 2016 Palomar Airport Road IlCity: Carlsbad izip Code: 92008
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
I certify that this Certificate of Acceptance documentation is accurate and complete.
Documentation Author Name Company flame Jeremy Roos Runs Electric, Inc.
Address City 9152 Palomino Ridge Dave Lakeside
Zip Code Phone
- 92040 (619)791-5500
CEWATT Certification Identification (if Author Signature
applicable) TCA813433
Date of Signature
FIELD TECHNICIAN'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
The Information provided,on this Certificate of Acceptance it true and correct.
1 am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).
The construction or installation identified on this Certificate Df Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and
conforms to the appii:abie acceptance requirements and procedures specified in Reference Nonresidential Appendix ffA7.
1 have confirmed that the Certificate(s) of Installation for the construction or installation identified 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 permit(s) Issued fu, the building.
Field Technician Name Company Name Jeremy Ross . Revs Electric, Inc.
Address: City 9152 Palomino Ridge Drive Lakeside
Zip Code Phone 92540 (619)791-5500
ACT Certification Identification Position with Company (Title) TC-A913433 President
Field Technician Signature
Date of Signature:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California: -
1 am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance.
1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or
manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person).
The informatiun provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans
and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA?.
I have confirmed that the Certificate(s) of Installation for the Construction or installation identified on this Certificate of Acceptance has been completed and in posted or made available with the building permit(s)
Issued for the building. .
I Will ensure that z completed, signed copy of this Certificate of Acceptance shall be pasted, or erode available with the building permit(s) issued for the building, and made available to the enforcement agency for all
applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Acceptance Person Name Company Name Jeremy Sons P.000 Electric, Inc.
Address: . City 9152 Palomino Ridge Drive Lakeside
Zip Code Phone 92040 (619)791-5500
cSI.B License Position with Company (Title) 989178 president
Responsible Acceptance Person Signature -
Date of Signature:
' 04/08/201
cr •
SAN DIEGO REGIONAL t OFFICE USE ONLY
I'.
HAZARDOUS MATERIALS oo i
c QUESTIONNAIRE BP DATE I /
Business Name Business Contact Telephone #
QUALCOMM
Project Address City State Zip Code APN#
2016 PALOMAR AIRPORT RD CARLSBAD CA 92008 760-221-47-00
Mailing Address City State Zip Code Plan File#
5775 MOREHOUSE_DR SAN DIEGO CA 92121
Project Contact Applicant E-mail Telephone #
Rick Moffett rmoffett@qualcomm.com
The following questions represent the facility's activities, NOT the specifi4proje tion.
PART I: FIRE DEPARTMENT - HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSlFICATIO: (not reguir_r_ro_:_in
-
the City _ofSan
Diego): Indicate by circling the item, whether your business will use, process, or store any of the followin hazardous rbWjM I a the circled,
applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. /
Occupancy Rating: S-2, B Facility's Square Footage (including proposed project): 33,35k sf (425 conf room itw
Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives / Corbsjv
Compressed Gases 6. Oxidizers 10. Cryogenics j 14. Othr fItt Hazards
Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or To Øc Materia 15. None of These.
Flammable Solids 8. Unstable Reactives 12. Radioactives EH CAS J&.
PART H: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH - HAZARDOUS MAT 0 -answer __anyofthe
questions is yes, applicant must contact the County of San Diego Hazardous Materials Divisiçn 5500 Overland Avenue, S1IXZ.dV.o,
Call (858) 505-6700 prior to the issuance of a building permit. t'.JO VY\cXi,, jV\WYtCJ,... / si ha\ mo4- 6
2 23.
FEES ARE REQUIRED Project Completion Date: April 2017 Expected Date of Occupahcy: April 2017 Ca RP Exempt
YE NO (for new construction or remodeling projects) VU /
0 Is your business listed on the reverse side of this form? (check all that apply). Date Initials
0 Will your business dispose of Hazardous Substances or Medical Waste in any amount?
0 IXI Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 0 CalARP,.Required
pounds and/or 200 cubic feet? /
El IXI Will your business store or handle carcinogens/reproductive toxins in any quantity? Date Initials
0 E@ Will your business use an existing or install an underground storage tank?
U IXI Will your business store or handle Regulated Substances (CalARP)? El CalARP Complete 0 91 Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? / 21 Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to Date Initials
or greater than 1,320 gallons? (California's Aboveqround Petroleum Storage Act).
PART III: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD): Any YES answer requires a stamp from APCD 10124 Old Grove Road, San
Diego, CA 92131 apcdcomDsdcounty.ca.gov (858) 586-2650). [No stamp required if 01 Yes and Q3 Yes and 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 forming part of a larger project. ['Excludes garages & small outbuildings.]
YES NO
0 Il Will the project disturb 160 square feet or more of existing building materials?
El Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition.
El 0 (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance
Technician?
El 0 (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. El IXI Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet
(www.sdapcd.org/info/tacts/eermits.odf) for typical equipment requiring an APCD permit.
0 0 (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school
boundary
Briefly describe business activities: Briefly describe proposed project:
Aircraft hanger and offices New conference room.
IdeclrIderpenalt_ofmy knowledge and
Name of Owner or Authorized Agent Sign ture of Owner or A
FOR OFIFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:__________________________
BY:
true and correct
DATE: I/
EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
APCD COUNTY-HMD APCD COUNTY-HMD APCD
REVIEW
A exempts businesses trom completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply.
HM-9171 (08/15) County of San Diego - DEH - Hazardous Materials Division