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Home My WebLink About2035 Corte Del Nogal; 200; CBC2017-0384; PermitPrint Date: 11/15/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2035 Corte Del Nagai, 200 BLDG-Commercial 2130611000 $550,445.85 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial Permit www.carlsbadca.gov Work Class: Tenant Improvement Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: PRN: T.I. 11,835 SF OFFICE TO OFFICE Applicant: Owner: S F I CARLSBAD LLC RBN DESIGN LAURA ROCHA 5090 Shoreham Pl San Diego, CA 92122-5933 619-297-1011 x102 260 California St C/0 Swift Real Estate Partners, 300 BUILDING PERMIT FEE $2000+ BUILDING PLAN CHECK FEE (BLDG) SAN FRANCISCO, CA 94111 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL GREEN BUILDING STANDARDS PLAN CHECK MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL PLUMBING BLDG COMMERCIAL NEW/ADDITION/REMODEL SB1473 BUILDING STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $4,536.12 Total Payments To Date: $4,536.12 Status: Applied: Issued: Fina led: Inspector: Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Permit No: CBC2017-0384 Closed -Finaled 07/20/2017 08/28/2017 MColl $0.00 $2,190.00 $1,533.00 $242.00 $166.00 $104.00 $124.00 $23.00 $154.12 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OFIRE OHEALTH OHAZMAT/APCD {cicyof Building Permit Application Plan Check No.r N ~o 17 -0?->8~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ ~r; 0, YLf S. R Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. D~poslt 1{ I. ~?>~,<f'J email: building@carlsbadca.gov 5 Date 7/dO/ 7 _i:· . www.carlsbadca.gov JOB AODRESS 2035 Corte Del Nogal SUITEt/SPACEt/UNITI IAPN Suite 200 213 -061 -100 -0 CT/PROJECT# 1 LOT # rHASE # r OF UNITS r BEDROOMS # BATHROOMS I TENANT BUSINESS NAME 11.N""'TR. lYPE I V\A,. GROUP 10 of 80-34 PRN Corporate Office V-B B DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Tenant improvement to include demolition, new interior partitions, mechanical, plumbing & electrical. Area of work = 11,835 sq.ft. EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS Office Office YES[) Ne@ YEs [Z]NoO YES[Z]NoO APPLICANT NAME• RBN Design PROPERTY OWNER NAME Swift Real Estate Partners .............. ._ ADDRESS ADDRESS 5090 Shoreham Place, Ste 100 2300 Clayton Rd., Ste 100 CITY STATE ZIP CITY STATE ZIP San DieQo Ca 92122 Concord Ca 94520 PHONE rAX PHONE I FAX 619-297-1011 650-245-5111 EMAIL EMAIL Lrocha@rbn-design.com Huizenga@swiftrp.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Merz Construction. Inc. ADDRESS ADDRESS 854 Washington Heights Rd. CITY STATE ZIP CITY STATE ZIP El Caion Ca 92019 PHONE I FAX PHONE IFAX 619-824-9105 EMAIL EMAIL rdarrieulat@merz.construction.com I STATE UC.# STATE LIC.# ICLASS B I CllY 87£3 ~ '-I er~ 722261 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, 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 frve hundred dollars ($500)). kw O R KER S • CO MP E ~SAT I 00 ~ N_' · . _ .. --• : . _,, _ . . ,, .,_ · ; Workers' Compensation Declll'ation: I hereby affirm under penalty of petjuty one ri the following declarations: 0 I have and will mainllin I certificate of consent to self-insure for 110r1(ers' compensatioo as provided by Section 3700 of the Labor Code, for the performance of the l\00( for which this pellnit is issued. [ZJ I have and will malnllln workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the wor1( for which this pe1Tntt is issued. My 110r1(ers' compensation insurance carrier and policy Sllte Compensation Ins. Fund Policy No. 908172017 Expiration Date 01-01-18 I hereby affirm that I am exempt from Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the l\00( 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 wor1( himseW 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). D D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. O ves 0 No 2. I (have I have not) signed an application for a building pellntt for the proposed l\00(. 3. I have contracted with the following person (filln) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the 1100(, but I have hired the following person to coo!dinate, supervise and provide the major l\00( (include name I address I phone I contractors' license number): 5. I will provide some of the 110r1(, but I have contracted (hired) the following persons to provide the wor1( indicated (include name I address I phone I type of wor1(): LS PROPERTY OWNER SIGNATURE QAGENT DATE - Is the applicant or future txilding occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acf? Yes ./ No Is the applicant or future txilding occupant required to obtain a pennit from the air pollution control district or air quality management district? Yes ./ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school stte? Yes ./ 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 certify that I have read the application and state that the a bow lnfonnation is correct and that the lnfonnation on the plans Is accurate. I agree to comply with all City ordinances and State lal'tS relating to building constJ\Jction. I hereby authorize repesenlaliveof the Cityof CMsbad to enter upon the aoove menooned property b' i1specron JXJrJ))SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBIID AGAINST All LW31LfTIES, JUDGMENTS, COSTS AND EXEENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOJENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA pem1t is requied tr excavations over 5' and demoioon or construction of structures over 3 sbies n height. EXP1RA TION: Every pem11t issued by the 9.Jikling · the ~ of this Code expire by linilation and beoome nun and YOO ~ the bJikling or d authorized by such i:ermt is not oomnenced v.ilhin 100days from the date of such pem11torttthebuikl' v.orkauttKx~\pem11t is pendedorabandonedatanyline ~thed isoomnencedb'ape · of 100 (Section 100.4.4 Unibm 9.Jikling Code). AS APPLICANT'S SIGNATURE "I~ DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Cartsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER:---------------- AS APPLICANT'S SIGNATURE ASSOCIATED CB#'------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP y ·, " : ;'~ ' ( .. ' • • ,r~ : PERMIT INSPECTION HISTORY REPORT (CBC2017 -0384) Permit Type: BLDG-Commercial Application Date 07/20/2017 Owner: S F I CARLSBAD LLC Work Class· Tenant Improvement Issue Date 08/28/2017 Subdivision. CARLSBAD TCT#80-34 Status: Closed -Finaled Expiration Date 04/10/2018 Address: 2035 Corte Del Noga! , 200 Carlsbad, CA 92011-1445 IVR Number: 5157 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 11/09/2017 11/09/2017 BLDG-Final 040047-2017 Failed Michael Collins Reinspection Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency See card for corrections No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No 11/1412017 11/1412017 BLDG-Final 040366-2017 Failed Michael Collins Re inspection Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency See card No BLDG-Building Deficiency See card for corrections No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No 11/15/2017 11/15/2017 BLDG-Final 040579-2017 Passed Michael Collins Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electncal Final Yes November 15, 2017 Page 2 of 2 ' ' . PERMIT INSPECTION HISTORY REPORT (CBC2017-0384) Permit Type: BLDG-Commercial Application Date: 07/20/2017 Owner· S F I CARLSBAD LLC Work Class. Tenant Improvement Issue Date: 08/28/2017 Subdivision: CARLSBAD TCT#80-34 Status. Closed -Finaled Expiration Date: 04/10/2018 Address: 2035 Corte Del Nagai , 200 Carlsbad, CA 92011-1445 IVR Number: 5157 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 08/29/2017 08/29/2017 BLDG-84 Rough 033089-2017 Passed Michael Collins Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency Walls only except at arms 211 & 221 Yes BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-34 Rough Electrical Yes 08/31/2017 08/31/2017 BLDG-24 033450-2017 Passed Michael Collins Complete Rough/Topout Checklist Item COMMENTS Passed BLDG-Building Deficiency Break room & kitchenette Yes BLDG-34 Rough 033309-2017 Passed Michael Collins Complete Electrical Checklist Item COMMENTS Passed BLDG-Building Deficiency Break room & kitchenette Yes 09/07/2017 09/07/2017 BLDG-17 Interior 033921-2017 Passed Michael Collins Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Walls only, Rm 201-207, 221-233 Yes 09/11/2017 09/11/2017 BLDG-18 Exterior 034229-2017 Passed Michael Collins Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Walls at Rm 208, 212-219 Yes 10/12/2017 10/12/2017 BLDG-84 Rough 037376-2017 Passed Paul Burnette Complete Combo{14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers BLDG-85 T-Bar, 037375-2017 Passed Paul Burnette Complete Ceiling Grids, Overhead November 15, 2017 Page 1 of 2 EsGil Corporation In <Partnersliip witli (jovemment for (}3ui{tfing Safety DATE: 8/16/2017 JURISDICTION: City of Carlsbad PLAN CHECK NO.: CBC2017-0384 SET: II PROJECT ADDRESS: 2035 Corte Del Nogal Suite 200 PROJECT NAME: PRN Suite 200 Office T. I. D APPLICANT 0"" JURIS. D PLAN REVIEWER D FILE cg:\ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: RBN Design ~ EsGil Corporation staff did not advise the applicant that the plan check has been completed. D EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: RBN Design (Laura) Telephone#: 619-297-1011 Date contacted: /J (by: 1'/2. . ..) Email: lrocha@rbn-design.com Mail Telephone Fax In Person D REMARKS: By: Eric Jensen Enclosures: EsGil Corporation 0 GA 1:8] EJ O MB O PC 8/7 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 EsGil Corporation In (l'artnersliip witli government for (]Jui{aing Safety DATE: 8/1/2017 JURISDICTION: City of Carlsbad PLAN CHECK NO.: CBC2017-0384 SET: I PROJECT ADDRESS: 2035 Corte Del Nogal Suite 200 PROJECT NAME: PRN Suite 200 Office T. I. PLICANT RIS. D PLAN REVIEWER D FILE D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. ~ The check list transmitted herewith is for your information. The plans are being held at EsGil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. ~ The applicant's copy of the check list has been sent to: RBN Design D 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: RBN Des~L) Telephone#: 619-297-1011 Date contacted: f _, 1 (bYJr ) Email: lrocha@rbn-design.com l..Mail >c Telephone"')<. Fax In Person D REMARKS: By: David Yao Enclosures: EsGil Corporation D GA IZI EJ D MB D PC 7/24 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 City of Carlsbad CBC201 7-0384 8/1/2017 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: CBC2017-0384 OCCUPANCY: B TYPE OF CONSTRUCTION: VB ALLOWABLE FLOOR AREA: SPRINKLERS?: Y REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 7/20 DATE INITIAL PLAN REVIEW COMPLETED: 8/1/2017 FOREWORD (PLEASE READ): JURISDICTION: City of Carlsbad USE: office ACTUAL AREA: T. I. 11835 sf STORIES: 2 HEIGHT: OCCUPANT LOAD: -204 DATE PLANS RECEIVED BY ESGIL CORPORATION: 7/24 PLAN REVIEWER: David Yao 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 2016 CBC, which adopts the 2015 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 2015 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 CBC201 7-0384 8/1/2017 Please make all corrections, as requested in the correction list. Submit FOUR new complete sets of plans for commercial/industrial projects (THREE 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 set 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. 1. Regardless of occupant load, a floor or landing not more than Yi inch below the threshold is required on each side of an egress door. Section 1010.1.7. 2. Recycling. Note on the plans that a minimum of 65% of construction waste is to be recycled and/or salvaged. CGC 5.408.1. Documentation shall be provided to the enforcing agency which demonstrates compliance. CGC Section 5.408.1.4. 3. Note on the plans that prior to final inspection the licensed contractor, architect or engineer in responsible charge of the overall construction must provide to the building department official written verification that all applicable provisions from the Green Building Standards Code have been implemented as part of the construction. CGC 102.3. 4. Please refer to the following PME items. 5. To speed up the review process, please 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. 6. 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: D Yes D No 7. 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 David Yao at Esgil Corporation. Thank you. City of Carlsbad CBC2017-0384 8/1/2017 PLUMBING, MECHANICAL, ELECTRICAL, and ENERGY COMMENTS PLAN REVIEWER: Eric Jensen PLUMBING (2016 CALIFORNIA PLUMBING CODE) 1. The plumbing is fine as submitted. MECHANICAL (2016 CALIFORNIA MECHANICAL CODE) 2. The mechanical leaves me guessing: Mechanical schedules are light/dark printed, M02 has HP 1,2,6,7 and AH1 not marked as "E", Sheet M1 .1 has a Note ( 1) AH-1 removed ... , M 1.2 has the same AH being used, and M 1 .4 has one condenser being used? ELECTRICAL (2016 CALIFORNIA ELECTRICAL CODE) 3. Symbols: What's a circle "R? Hex "O"? circle "L"? Oval "PS"? 4. Location of panel P2 on the floorplan? ENERGY (2016 CALIFORNIA BUILDING ENERGY STANDARDS) 5. The mechanical improvements are unclear at this plan review. Energy will be verified after revised mechanical plans have been submitted. Note: If you have any questions regarding this Electrical, Plumbing, Mechanical, and Energy plan review list please contact Eric Jensen at (858) 560-1468. To speed the review process, note on this list (or a copy) where the corrected items have been addressed on the plans. END OF DOCUMENT City of Carlsbad CBC201 7-0384 8/1/2017 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK NO.: CBC2017-0384 PREPARED BY: David Yao DATE: 8/1/2017 BUILDING ADDRESS: 2035 Corte Del Nogal Suite 200 BUILDING OCCUPANCY: B BUILDING AREA PORTION ( Sq. Ft.) T.I. 11835 Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb -----~------~--.I __(l_l_clg_:_P:_rrn_i! Fee by Ordina_ri~e _ -~J ---, Plan Check Fee by Ordinance ""I Valuation Multiplier By Ordinance Type of Review: Complete Review D Repetitive Fee ==J;-J Repeats D Other D Hourly EsGil Fee Reg. VALUE Mod. per city D Structural Only i--------11 Hr. @ • ($) 550,446 550,446 $2,190.261 $1,423.671 $1,248.451 Comments: In addition to the above fee, an additional fee of $90 is due (1 hour@ $90/hr.) for the CalGreen review. Sheet 1 of 1 macvalue.doc + CFM-88/SSL FLOWMETER CERTIFICATE OF RECALIBRATION Customer ID: 002190 SIN: M92458 Customer: GREATER SAN DIEGO AIR CONDITIONING co Clty:--..,._S;;;.:A:,::;N.:....::;D..::.I=EG.::;.;Oe,..._ ____ state: CA As-Received Model#: CFM-88 Converted to Model#: Order#: Rl63640 PO#:----------Cust. Eqpt ID#:---------Calibration Due Date: _____ _ This Instrument has been calibrated using Calibration Standards which are traceable to NIST (National Institute of Standards and Technology), Quality Assurance Program and calibration procedures meat the requirements for ANSI/NCSL 2640-1, ISO 17026, MIL-STD 45662A and manufacturers specifications. Calibration accuracy Is certified when meters are used with properly functioning accessories only. All specified uncertainties are expressed In expanded terms (twice the calculated uncertainty). This report shall not be reproduced, except in full, without the written approval of Shortridge Instruments, Inc. Results relate only to the Item calibrated. Procedure used for air flow: Procedure for Recalibration of AlrData Multlmeters on a FlowHood SIP-CP06 Revision: 14 Dated: 12/10/16 Procedure used for absolute pressure and temperature: Procedure for Differential Pressure, Absolute Pressure and Temperature Recalibration of AirData Multimeters SIP-CP02 Revision: 30 Dated: 04/04/16 Limitations on use: See Shortridge Instruments, Inc. Instruction Manuals for the use of AlrData Multlmeters and FlowMeters AIR FLOW TEST (cfm) TEST METER TOLERANCE: ± 3.0% of reading ± 7 cfm Calibration Equipment: FlowHood Stand Calibration Transfer Standard AlrData Multimeter Model ADM-870, Serial Number M99083 or M98543 and FlowHood Calibration Stand S/N 7401 calibrated as a system. Manufactured by Shortridge Instruments, Inc. System Calibration Date: 05/07- 14/15, System Calibration Due Date: 05/2017. FlowHood Stand Calibration Transfer Standard AirData Multimeter Model ADM-870, Serial Number M99420 and M96452 and FlowHood Calibration Stand S/N 7401 calibrated as a system. Manufactured by Shortridge Instruments, Inc. System Calibration Date: 04/08-15/16. System Calibration Due Date: 04/2018. Rated accuracy of system Is ± 1.5% of reading ± 3.5 cfm. Resolution: 0. 1 cfm. Uncertainty of system Is as stated at each Set Point. Test Accuracy Ratio is 2:1 for air flow calibration. All readings are compensated for the density effects of barometric pressure and temperature. As-Received Test performed afte~ minor repair: Yes Cf@) As-Received Test Within Spec:®)No NA See Notes. Final Test Within Spec: er§) AS-RECEIVED TEST CONDITIONS FINAL TEST CONDITIONS Transfer Std: M96452 M98543 ~ M99420 Transfer Std: M96452 M98543 CMWQ83) M99420 RH .::1.S % Temperature 13 °F RH J;:i % Temperature 1/f °F Barometric Pressure: ;J..8165 In Hg Calibrated By: Jf, <!~ Calibration Date: //~J Barometric Pressure: .:l.8, .53 In Hg Calibrated By: J(_, ~v(~ Calibration Date: I .2 I / 5 I ;i_o'" Flow Testing performed using: Customer's: ~ I FlowHood Shortridge Instruments, Inc.: In-House FlowHood AS-RECEIVED TEST Approximate Set Point Standard Test Meter Standard Set Point Uncertainty CFM CFM Difference CFM 100 < 5.0% IOI qq -;2_, to I 500 < 1.5 % 41~/t soq 10 500 1000 < 1.5 % /()()3 J O I fc 13 , ,,os 1500 < 1.25 % /80/ /511 ht, I 5D4 2000 < 1.25 % Qoo'"f Qll3;;t ;'J,8 Q()();L Notes: '72«1(9j<i.d, is not fvoch'coing dvrfog A$ Re.Vb. FlowMeter Recalibration CFM·BB Rev24/10/24/1B Shortridge rnstruments, Inc. 7856 East Redfield Road Scottsdale, .Arizona 85260 (480) 991-6744 • Fax (480) 443-1267 • www.shortrldge.com 1 of 2 FINAL TEST Test Meter CFM Difference 9f -3 so~ 9 IO I l-/· Cf / 6:;i.D '" "\., • Jc:'.)30 ;ifj 10/24/16 Shortridge Instruments, Inc. AirData Multimeter Calibration Equipment The Order Number, Serial Number, and Test Type are referenced on page 1 LOW VELOCITY EQUIVALENT CONFIRMATION STANDARDS Mfgd & Calibrated by Shortridge Instruments, Inc. Mfgd & Calibrated by Shortridge Instruments, Inc. Mfgd 8c Calibrated by Shortridge Instruments, Inc. Mfgd & Calibrated by Shortridge Instruments, Inc. Mfgd & Calibrated by Shortridge Instruments, Inc. Callbrallon Date: 12/09/16 Calibration Date: 01/20/16 Calibration Date: 12/09/16 Calibration Date: 12/09/16 Calfbratlon Date: 12109/16 Due Date: 1212016 Due Date: 01/2017 Due Date: 1212016 Dua Date: 12/2016 Due Date: 1212016 Val Eqv Transfer Standard SIN: M02009 Vel Eqv Transfer Standard SIN: M02803 Val Eqv Transfer Standard SIN: M02903 Val Eqv Transfer Standard S/N: M10839 Val Eqv Transfer Standard SIN: M10840 Val Eqv Transfer Standard SIN: M10897 Val Eqv Transfer Standard S/N: M10901 Val Eqv Transfer Standard S/N: M13492 Rated Accuracy: Velocity :1: 1.6 % :I: 3.5 fpm Model ADM-870C Model ADM-670C Model ADM-870C Model ADM-870C Model AOM·870C Model ADM-870C Model ADM-870C Model ADM-870C Mfg'd & Calibrated by Shortridge Instruments, Inc. Calibrallon Date: 01120110 Due Date: 01/2017 Mfg'd & Calibrated by Shortridge Instruments, Inc. Calibration Date: 12109/16 Due Date: 1212010 Mfg'd 8c Calibrated by Shortridge Instruments, Inc. Calibration Date: 08/10/16 Due Date; 08/2017 Range: 100.5000 fpm Resolution: 0.1 Uncertainty: <5.00 fpm at 100 fpm; <7.50 fpm at 600 fpm TEMPERATURE STANDARDS. RTD Simulator SIN: 249 Model RTD·1000/600 Mlgd by General Resistance Calibrated by JET Labs RTD Simulator S/N: .260 Model RTD-1000/600 Mfgd by General Resistance Calibrated by IET Labs RTD Simulator S/N: 263 Model RTD-1000/600 Mfgd by General Resistance Calibrated by IET Labs RTD Simulator SIN: 264 Model RTD-1000/600 Mfgd by General Resistance Calibrated by IET Labs RTD Simulator S/N: 266 Model. RTD-1000/600 Mfgd by General Resistance Calibrated by IET Labs RTD Simulator S/N: 267 Model RTD-1000/600 Mfgd by General Resistance Calibrated by IET Labs RTD Simulator S/N: 292 Model RTD-1000/600 Mfgd by General Resistance Calibrated by IET Labs RTD Simulator SIN: 293 Model RTD-1000/600 Mfgd by General Resistance Calibrated by IET Labs RTD Simulator SIN: 294 Model RTD·1000/600 Mfgd by General Resistance Calibrated by JET Labs RTD Simulator S/N: 313 Model RTD-1000/500 Mlgd by General Resistance Calibrated by JET Labs RTD Simulator S/N: 314 Model RtD-1000/500 Mfgd by General Resistance Calibrated by IET Labs RTD Simulator SIN: 316 Model RTD-1000/500 Mfgd by General Resistance ·calibrated by IET Labs RTD Simulator SIN: 316 Model RTD-1000/600 Mfgd by General Resistance Calibrated by IET Labs RTD Simulator SIN: 317 Model RTD-1000/600 Mfgd by General Resistance Calibrated by IET Labs RTD Simulator S/N: 318 Model RTD-1000/600 Mfgd by General Resistance Calibrated by IET Labs Rated Aocuraoy: 0.026% of setting Range: 100.00 n to 1111{10 n Thermometer #1 S/N 8A069ffhermlstor S/N A410660 Thermometer #2 S/N 8B104rrhermlslor SIN 871507 Thermometer #6 SIN B11780ffhermlstor SIN B10505 Thermometer#6 S/N B117B2ffherm1stor S/N B10509 Thermometer #7 SIN B49938ffhermlstor SIN 6482202 Model 1604/6610 Model 1604/6610 Model 1504/6610 Model 1604/661 o Model 1604/5610 Mfgd by Hart Scientific Calibrated by Fluke Mfgd by Hart Scientific Calibrated by Fluke Mfgd by Hart Scientific Calibrated by Fluke Mfgd by Hart Scientific Calibrated by Fluke Mfgd and Calibrated by Fluke Calibration Date: 03/16/16· Due Date: 0312020 Calibration Date: 03/16/16 Due Date: 03/2020 Calibration Date: 03/16/16 Due Date: 03/2020 Calibration .Dale: 04/07116 Due Date: 04/2020 Calibration Date: 04/07/16 Due Date: 0412020 Calibration Date: 04/07/16 Due Date: 04/2020 Calibration Date: 12/21116 Due Date: 1212019 Calibration Date: 12/21/16 Due Date; 12/2019 Calibration Date: 12/21/16 Due Date: 12/2019 Calibration Date: 03/13/14 Due Date: 03/2018 Calibrallon Date: 03/13/14 Due Date: 03/2018 Calibration Date: 03/13/14 Due Date: 03/2018 Calibration Date: 04/21114 Due Date: 04/2018 Calibration Date: 04/21/14 Due Date: 04/2018 Calibration Date: 04/21/14 Due Date: 04/2016 Resolution: 0.01 n Uncertainly: ~ 32 ppm Callbration Date: 08/26/1 a Due Date: 08/2018 Calibration Dale: 10/27/16 Due Date: 10/2018 Calibrallon Date: 10/19/16 Due Date: 10/2018 Calibration Date: 06/27/16 Dua Date: 05/2017 Calibration Date: 09/29/16 Due Date: 09/2018 Rated Accuracy(comblned): 0.0324° F Range: 32° F to 176' F Rasolutton: 0.001 • F Combined Uncertainty with Baths: ~ 0.040° F Temp Transfer Standard S/N M00136 Model ADM-870 Mfgd & Calibrated by Shortridge Instruments, Inc. Temp Transfer Standard S/N M96100 Model ADM-870 Mlgd & Calibrated by Shortridge Instruments, Inc. Rated Accuracy: 0.03° F Range: 33' F to 168' F Resolution: 0.01 • F Total combined Uncertainty for MultiTemp and TemProbe testing: ~ 0.046' F Calibration Date: 1 0/04/16 Calibration Date: 03101/16 Uncertainly:< 0.023' F This form must remain with the Certificate of Calibration corresponding to the Order Number listed above. ADM Cal Stnds Rev 09110/24/16 Shortridge Instruments, Inc. 7855 East Redfield Road Scottsdale, Arizona 85260 (480) 991-6744 • Fax (480) 443-1267 • www.shortrldge .. com 2 of 2 "·· Due Date: 10/2017 Due Date: 03/2017 11/02/16 Shortridge Instruments, Inc. AirData Multimeter Calibration Equipment Order Number: R I fa 3 G 110 Serial Number: DJ CfJ./1/)8 Test Type: Initial Q:(s-R'ece1vea) ~ ABSOLUTE PRESSURE STANDARDS ADM#02-R SIN: 41741142461 Heise Model: PPM-2 Mfgd by Dresser Industries Calibrated by Ashcroft Calibration Date: 04122/16 ADM#04·R SIN: 41743142463 Heise Model: PPM-2 Mfgd by Dresser Industries Calibrated by Ashcroft Calibration Date: 11130116 ADM#06·R SIN: 41742142462-1 Heise Model: PPM-2 Mfgd by Dresser Industries Calibrated by Ashcroft Calibration Date: 10107116 ADMt/08-R SIN: 42186143328 Heise Model: PPM-2 Mfgd by Dresser Industries Calibrated by Ashcroft Calibratlon Date: 03/16116 ADM #10-R S/N: 42203143362 Heise Model: PPM·2 Mfgd by Dresser Industries Calibrated by Ashcroft CaJlbratlon Data: 01/19/16 ADM#12-R SIN: 43166144731 Heise Model: PPM-2 Mfgd by Dresser Industries Calibrated by Ashcroft Calibration Date: 07/12116 ADM #14-R S/N: 43412145043 Heise Model: PPM-2 Mfgd by Dresser Industries Calibrated by Ashcroft Calibration Date: 09113116 ADM#16-R SIN: 43413146044 Heise Model: PPM-2 Mfgd by Dresser Industries Calibrated by Ashcroft Calibration Date: 02/22/16 ADM#18·R SIN: 44681/46845 Heise Model: PPM-2 Mfgd & Calibrated by Ashcroft, lno, Calibration Date: 05109/16 ADM#20·R SIN: 44682/46847 Heise Model: PPM-2 Mfgd & Calibrated by Ashcroft, Inc. Calibration Date: 06/08116 #02-R, 04-R, 08-R, 06-R, 10·R, 12·R, 14-R, 16-R Rated Accuracy: 0.06% fs (0.0305 In Hg) Range: 0-30 psla Resolution: 0.01 #18-R, 20-R Rated Accuracy: 0.06% fs (0.0305 In Hg) Range: 0-60 In Hg Resolution: 0.001 DIFFERENTIAL PRESSURE STANDARDS ADM#01-L SIN: 41739142449 Heise Modal: PPM-1 Mfgd by Dresser Industries Calibrated by Ashcroft Calibration Date: 04/16116 ADM#01·R SIN: 41739/42446 Heise Model: PPM-1 Mfgd by Dresser Industries Calibrated by Ashcroft Calibration Date: 04/1 B/1 e ADM/102-L SIN: 41741142464 Heise Model: PPM-1 Mfgd by Dresser Industries Callbrated by Ashcroft Calibratlon Date: 04127/16 ADM#03-L SIN: 41738142448 Heise Model: PPM-1 Mfgd by Dresser Industries Calibrated by Ashcroft Calibration Date: 11124115 ADM#03·R SIN: 41738142446 Heise Model: PPM·1 Mfgd by Dresser Industries Calibrated by Ashcroft Calibration Date: 11 /23/15 ADMl/04-L SIN: 41743/42466 Heise Model: PPM-1 Mfgd by Dresser Industries Calibrated by Ashcroft Calibration Date: 11/30/16 ADM#06-L SIN: 41740/42450 Heise Model: PPM-1 Mfgd by Dresser Industries Calibrated by Ashcroft Callbratlon Date: 09/16/16 ADM/106-R SIN: 41740142447 Heise Model: PPM-1 Mfgd by Dresser Industries Calibrated by Ashcroft Calibration Dale: 09/16116 ADM/106-L SIN: 41742/42455 Heise Model: PPM-1 Mfgd by Dresser Industries Calibrated by Ashcroft Calibration Date: 08/26/16 ADM 1/07-L SIN: 42186142186 Heise Model: PPM-1 Mfgd by Dresser Industries Calibrated by Ashcroft calibration Date: 03124116 ADMl/07-R SIN: 42185/43326 Heise Model: PPM-1 Mfgd by Dresser Industries Calibrated by Ashcroft Calibration Date: 03/23/16 ADM #08-L SIN: 42166/43329 Heise Model: PPM-1 Mfgd by Dresser Industries Calibrated by Ashcroft Calibration Date: 03/23/16 ADM#09·L SIN: 42202143351 Heise Model: PPM-1 Mfgd by Dresser Industries Calibrated by Ashcroft Calibration Date: 02102116 ADM#09-R SIN: 42202/43350 Heise Model: PPM-1 Mfgd by Dresser Industries Calibrated by Ashcroft CalibraUon Date: 0210211 a ADMl/10-L SIN: 42203143363 Heise Model: PPM-1 Mfgd by Dresser Industries Calibrated by Ashcroft Calibration Date: 01 /18116 ADMl/11-L SIN: 43165/44551 Heise Model: PPM-1 Mfgd by Dresser Industries Calibrated by Ashcroft Calibration Date: 07/20/16 ADM#11·R SIN: 43165/44730 Heise Model: PPM-1 Mfgd by Dresser Industries Calibrated by Ashcroft Calibration Date: 07/20116 ADM#12·L SIN: 43166/48328 Heise Model: PPM-1 Mfgd by Dresser Industries Calibrated by Ashcroft Calibration Date: 07/20/16 ADM#13-L SIN: 43415/46041 Heise Medel: PPM-1 Mfgd by Dresser Industries Calibrated by Ashcroft Callb(atlon Date:. 09/16/16 ADM #13-R SIN: 43415/46039 Heise Medel: PPM-1 Mfgd by Dresser Industries Calibrated by Ashcroft Calibration Date: 09/16/16 ADMl/14-L S/N: 43412/46045 Heise Model: PPM·1 Mfgd by Dresser Industries Calibrated by Ashcroft Calibratlon Date: 09/16/16 ADM/115-L SIN: 43416/45042 Heise Model: PPM-1 Mfgd by Dresser Industries Calibrated by Ashcroft Calibration Date: 02/26/16 ADM 1115-R S/N: 43416/46040 Heise Model: PPM-1 Mfgd by Dresser Industries Callbrated by Ashcroft Calibration Date: 02/26116 ADMt/16-L SIN: 43413/46046 Heise Model: PPM-1 Mfgd by Dresser Industries Calibrated by Ashcroft Calibration Date: 02125/16 ADM #17-L S/N: 44570/46842 Heise Model: PPM-1 Mfgd & Calibrated by Ashcroft, Inc. Calibration Date: 05/16116 ADM#17-R SIN: 44579/46841 Heise Model: PPM·1 Mfgd & Calibrated by Ashcroft, Ina. Calibratlon Date: 05116/16 ADM #18-L SIN: 44581146846 Heise Model: PPM-1 Mfgd & Calibrated by Ashcroft, Inc. Calibratlon Date: 06/16116 ADM #19-L SIN: 44580/46844 Heise Model: PPM-1 Mfgd & Calibrated by Ashcroft, Inc. Calibratlon Date: 06109116 ADM#19-R SIN: 44580/46843 Heise Model: PPM-1 Mfgd & Calibrated by Ashcroft, Inc. Calibration Date: 08114116 ADM/120-L SIN: 44502/46846 Heise Model: PPM-1 Mfgd & Calibrated by Ashcroft, Inc. Calibration Date: 06/15116 1101-L, 03-L, 05-L, 07-L, 09-L, 11-L, 13-L, 15-L, 17-L, 19-L Rated Accuracy: > 0.07% fs (0,000176 In we) Range: 0.0-0.25 In wc Res.: 0.00001 i/01-R, 03-R, 05-R, 07-R, 09-R, 11-R, 13-R, 16-R, 17-R, 19-R Rated Accuracy: > 0,06% Is ( 0.003 In we) Range: 0.0-5.0 In we Res.: 0.0001 1102-L, 04-L, 08-L, 08-L, 10-L, 12-L, 14-L, 16-L, 18-L, 20-L Rated Accuracy: > 0.06% fs (0,03 In we) Range: 0,0-50.0 In wc Res.: 0.001 : '- Shortridge Instruments, Inc. 7855 East Redfield Road Scottsdale, Arizona 85260 (480) 991-6744 • Fax (480) 443-1267 • www.shortridge.com ADM Cal Stnds Rev 09/10/24/16 1 of 2 Due Date: 0412017 Due Date: 1112016 Due Date: 0812017 Due Date: 0312017 D(1e Date: 0112017 Due Date: 07/2017 Due Date: 09/2017 Due Date: 02/2017 Due Date: 05/2017 Due Date: 06/2017 Uncertainty: < o.0358 Uncertainty: < 0.0358 Due Date: 04/2017 Due Date: 04/2017 Due Date: 0412017 Due Date: 1112016 Due Date: 11/2016 Due Date: 1112016 Due Date: 0812017 Due Date: 0812017 Due Date: 08/2017 Due Date: 03/2017 Due Date: 03/2017 Due Date: 03/2017 Due Date: 01/2017 Due Date: 0112017 Due Date: 0112017 Due Date: 0712017 Due Date: 07/2017 Due Date: 07/2017 Due Date: 0912017 Due Date: 09/2017 Due Date: 09/2017 Due Date: 02/2017 Due Dale: 0212017 Due Date: 0212017 Due Date: 0512017 Due Date: 06/2017 Due bate: 05/2017 Due Date: 06/2017 Due Date: 06/2017 Due Date: 0612017 Uncertainty: < 0.00035 Uncertainty: < 0.00348 Uncertainly: < o,0346 11/02/16 ' CFM-88/88L FLOWMETER CERTIFICATE OF RECALIBRATION S/N: /0 ~;2'1./:5'8 Order#: & J 8~ 4:0 ABSOLUTE PRESSURE AND TEMPERATURE TEST CONDITIONS AS-Received By /?.,C,, y//01:\:L-Test By CB Test By ____ _ Date 11/J'il! I (e ' Rh .JS % Date J\ j ilf>/ I & Rh 8,Q % DafiF....:.. · Rh % Ambient Temperature 1lf •p Ambient Temperature (,; •p Ambient Tem'r3iratute~ °F Barometric Pressure ~8d,S In Hg Barometric Pressure In Hg Barometric Pressure:f:-:-;.;.:: In Hg All within spec YES NO® . All within spec E All within spec YES NO Calibration Technlclan(s)·"", ift.µ.J,• {;=)dwo.""•""'"""""-'-'"ou""';.:f,f,,d.'""""', ________ C)=-'_._,__,.<?:i_.o,."""""bo""'""' __ -----Callbratlon Date: fl /:J.g i:J QI l:· Callbratlon Approved by: ;/ :,/1,Ur,/l.,,,~ Title: c'd "1?y.1 Date: )z..J is/.2.,c/ t. ABSOLUTE PRESSURE TEST (In Hg) TEST METER TOLERANCE = ± 2.0 % ± .1 In Hg AS-RECEIVED TEST WITHIN SPEC ~ NO N/A See Notes Pressure Standard: Heise #02-R SIN: 41741/42461 As-Rcvd Test 2 Test 3 Pressure Standard: Helse#12-R S/N: 43166/44731 As-Rcvd Test 2 Test 3 Pressure Standard: Heise #04-R S/N: 41743/42463 As-Rcvd Test 2 Test 3 Pressure Standard: Heise #14-R S/N; 43412/46043 As-Rcvd Test 2 Test 3 Pressure Standard: Heise #06-R S/N: 41742/42452-1 As-Rcvd Test 2 Test 3 Pressure Standard: Heise #16-R S/N; 43413/45044 As-Rcvd Test 2 Test 3 Pressure Standard: Heise #08·R S/N: 42186/43328 As-Rcvd Test 2 Test 3 Pressure Standard: Heise #18-R SIN: 44681/46845 ~Test 2 Test 3 Pressure Standard: Heise #10-R S/N: 42203/43352 As-Rcvd Test 2 Test 3 Pressure Standard: Heise #20-R S/N: 44582/46847 As-Rcvd~Test 3 A rox Set Point % Dlff Standard Standard Test Meter 14.0 28.4 40.0 TEMPERATURE TEST· AIRDATA MULTIMETER(° F) TEST METER TOLERANCE=± 0.2° F AS-RECEIVED TEST WITHIN SPEC YES NO~ RTD Simulator: S/N 249 RTD Simulator: S/N 250 · RTD Simulator: S/N 253 RTD Simulator: S/N 254 RTD Simulator: S/N 256 RTD Simulator: S/N 257 RTD Simulator: S/N 292 RTD Simulator: S/N 293 RTD Simulator: S/N 294 RTD Simulator: S/N 313 RTD Simulator: S/N 314 RTD Simulator: S/N 315 RTD Simulator: S/N 316 RTD Simulator: SIN 317 RTD Siri,ulator: S/N 318 :ClU va en e on RTD Simulator Temperature E I I ts tP It es e er T tM t 35.60 ,/J IJ f'RoEH: As-Rcvd ~ Test 3 As-Rcvd ~ Test 3 As-Rcvd ~ Test 3 As-Rcvd Test 2 Test 3 As-Rcvd Test2 Test 3 As-Rcvd Test2 Test 3 As-Rcvd Test2 Test 3 As-Rcvd Test2 Test 3 As-Rcvd Test2 Test3 As-Rcvd Test2 Test3 As-Rcvd Test2 Test 3 As-Rcvd Test 2 Test 3 ~ Test2 Test3 ~Test2 Test 3 ~Test2 Test3 Dlff erence es e er T tM t NIA ~6.1 Set Poln~ 96° F 154.4° F Set Point: 35.6° F ~ 154.4° F Set Point; 35.6° F 95° F ~ Set Point: 36.6° F 96° F 164.4° F Set Point: 35.6° F 95° F 154.4° F Set Point: 35.6° F 95° F 154.4° F Set Point: 35.6° F 95° F 154.4° F Set Point: 36,6° F 95° F 154.4° F Set Point: 35.6° F 95° F 154.4° F Set Point: 35.6° F 95° F 154.4' F Set Polht: 35.6' F 95' F 154.4° F Set Point: 35.6° F 95° F 154.4' F Set Point:~ 95° F 154.4° F Set Point: 35.6' F ~ 154.4° F Set Point: 35.6° F 95° F Cl~. D lff erence est e er T Mt , I ----- % Dlff Dlff erence 95.00 No f~o/31::" NIA Cl6 .. o 0 -..._ J~ 154.40 N() Mo8c Minor Repalr(s) performed prior to As-Received Test. Pushed dislodged ribbon cable assy back Into Its socket Replaced Internal battery cllp or wire Repaired broken wires that power the display Replaced keypad I On, Mode or Read key nonfunctional WA NOTES: tvo IfMPERArvR1: TE"$[-r~"".ri,1.Ck i.s ll/l,Lss191,3 f'/\.S. 1.64.4 D Pushed dislodged eprom back Into Its socket Replaced a display that cannot be read Repaired broken wire that signals the flaps Jack Pushed dislodged J4 connector back hJto its socket Removed loose part from Inside meter ~\ ------- The enclosed ADM Calibration Standards for Pressure and Temperature form{s) ls/are an Integral part of this calibration and must remain with this Certificate of Calibration. Note: There may be more than one such form Included that pertains to this calibration. FlowMeter Recallbratlon CFM-88 Rev24/10/24/16 · Shortridge Instruments, Inc. 7855 East Redfield Road Scottsdale, Arizona 85260 (480) 991-6744 • Fax (480) 443-1267 • www.shortrldge.com 2 of 2 10/24/16 ' .. CERTIFICATE of INSTALLATION (Part 1 of 2) NRCI-MCH-01-E PROJECT NAME: DATE: PRN 10/11/2017 PROJECT ADDRESS: Building Permit 2035 Corte Del Nagai Checked by/Date Enforcement Agency Use GENERAL INFORMATION DATE OF BUILDING PERMIT I PERMIT# BlS-01331 BUILDING TYPE 0 Nonresidential D High-Rise Residential D Hotel/Motel Guest Room PHASE OF D New Construction D Addition liJ Alteration I D Unconditioned CONSTRUCTION If more than one person has responsibility for building construction, each person shall prepare and sign an Installation Certificate document applicable to the portion of construction for which they are responsible; alternatively, the person with chief responsibility for construction shall prepare and sign the Installation Certificate document(s) for the entire construction. DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the Certificate of Compliance that apply to the installation have been met. I will ensure that a completed, signed copy of this Installation Certificate 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 Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: GSDAC Responsible Person's Name: Responsible Person's Signature: ~ 8~ Ross Baillargeon Lie.# I Date Signed: Position With Company: 437153 10/11/2017 Mechanical Engineer SCOPE OF RESPONSIBILITY Enter the date of approval by enforcement agency of the Certificate of Compliance that provides Date: the specifications for the energy efficiency measures for the scope of responsibility for this Installation Certificate: In the table below identify all applicable construction documents that specify the requirements for the scope of responsibility for this Installation Certificate. Date Approved By Document Title or Description Applicable Sheets or Pages, Tables, Schedules, etc. the Enforcement Agency OUTDOOR AIR ACCEPTANCE CEC-N RCA-MCH-02-A 10/11/2017 Constant Volume Single Zone NRCA-MCH-03-A 2013 Nonresidential Compliance Forms February 2013 I ' I CERTIFICATE of INSTALLATION (Part 2 of 2) NRCI-MCH-01-E In the table below identify all applicable construction documents that specify the requirements for the scope of responsibility reported by this Installation Certificate (continued). Date Approved By Document Title or Description Applicable Sheets or Pages, Tables, Schedules, etc. the Enforcement Agency 2013 Nonresidential Compliance Forms February 2013 RECEIVED JUL 2 0 2017 CITY or "AR ~?AD Dlf'LD Ol"l"IC~ USE ONLY • SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE RECORD ID I ________________ , PLAN CHECK# _______________ , BP DATE -000 le item, your wf use, proc:ea, or en any mlllt conlld the Fite Prolecllon Al;Jency v.4th jurisdiction pnor to plan submittal. Occupancy Rltlng: Feclllty'18qU11N Focuge (ilcludlng proposed project): 1. Exploalve or Blutlng Agenls 5. Organic Peroxides 9. Wat8r Reac1111es 2. Compreaaed GaHI 6. Oxidizers 10 Clyogenlca 3. FlammablelCombusUble UqUldl 7. Pyrophorlca 11. HlghlyTmcicorTOldc Materiels 4. Flammable SOllds 8. Unatable Ructivea 12. RIC!loaclMts 13. Corrosives ~ Other Health Hazards e.,None ofTheae quntions )4917 must contBcl n O ~venue~ ii~ Diego. CA 82123. PNQ; Ui \6! ~UNTY DEPA.~ ~~~~t! DM!jH ~i,lf the ..wer 10 any ot lhe Cell (868) 605-6700 prior to the iuuance of a Id pennft. FEES ARE REQUIRED Project Completion Dale: Ellpected Dale ar Oc:a4)ancy: 0 CalARP &empt YES NO (for nlfN conswctlon or remodeling projects) 1 D j 11 your business lilted on the reverse aide of this Jorm? (check Ill lhlt apply). 2 D WI your buHless dispose of HSZ#dous Subltances or Medical Waste in ..,., amoun? 3. D WI your buainell alore or hancle H811rd~ Substances in quantltln grealer than or equal to 55 gallons. 500 lnllmt D C&IARP Required pol.H1da and/or 200 Clblc feet? 4. D I WII your bulir-a store or handle ClldnogenslreproductlYe toxins In ll't'f quantity? 5 D WII your bualnes1 uae an existing or lrwtan an underground storage tank? 6 D WI your business store or handle Regulaled Subatancea (CalARP)? 7 D ~ WI your business Ul8 or Install a Hazardoua Waste Tank Syalem (TIiie 22, Artlde 10)? 8 D .)iJ' WII your bualnas store petroleum In t.nkl or conllfnera It your fac:llty wllh a tOIIII feclllty storage capacity equal lo or ter lhln 1,320 ona? Callfomll'I PelfOlelm lriliU D catARP Complete w..i, ~'b'!r~g.~M.Tf!P.~~~1~~-03~~·~~r:cD1om~~_:=.= to tJfy Iha m o uea I ming ltage Projedl may require adcluonalf» mea11n1 not ldentllled by thele ~-For ~Ive requlremera APCO. Realdences are typicaly eiaempt, except -!hose with more than one bUlldlng' on Iha propel1y; alngle ldlnga with more than foll' dwelling inti. townhomea; condos; mixeck:ommerclal use; dellberlt8 bums; 11111dences fonnlng part of a larger projed. (~ garages & 1mal outbulld1111.J 1. ~ ~ Wlllheprojectdilturb160squarefeelormoreof8lliatlngtulclngmater1all? A,sg {;.u~c.y \.11.,).,<A{°C) ,-.,0 Ps~,;r,; 2. Q J!5,. WIii lffi load supporting llructural rnembefs be remOWICI? Nollllcatlon may be requk'ed 1 O working days prior to commencing demolllon. 3. Jill... 0 (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Ha an llbeltoa 111'\f9Y been perfonned by a Certlfled Asbestos Conaultanl or Sile SLIWillance "'· D 5. D s. D Tec:hnlclan? ~ (ANSWER ONLY IF QUESTION 3 IS YES) Baaed on the ainey rnultl, will the project dlsllri> any asbeatoe conlalnirl! material? Noliflcatlon may be 111qured 10 wondng days prior to commencing abmtos removal. Jl!,... Wil the project or IIIOCilled conalNcllon equipment emll air contaminants? See the rewrse aide ot this fonn or APCO fmctsheel oenenr ldapql.earlofW(fdllRmnb..qdf) for typk:al equlpr'nm requiq an APCO permit. 0 (ANSWER ONLY IF QUESTION 5 IS YES) \MIi the project or aSIOClaled construction eq11pmenl be IOCaled wilhln 1,000 feet of a school bound FIRE DEPARTMENT OCCUPANCY CLASSIFICATION BY: DATE I I EXEMPT OR NO flllfflliR INFORMATION IIEOUIIIIO IU!LEA81D FOii lULIIING PERMIT IUT NOT FOR OCCUPANCY IIELEASED FOil OCC:U,ANCY COUNTY-HMO' APCO COUNTY-HMO APCO COUNTY-HMO APCO c,Xt:t~ ~ "q; I o 'I " ,.)o ~ iii ~ .... lO ,;~ ~/1':'i!J~ ,, 0 ';/J\" 0 Y. ~ ,':::-J), c;:, 0 /r, -' ~" • A stamp in this box 20.lX eicemplS buslneues ,rom 'Completing or upclallng a Hazardous Malerlala Business Plan. Other permitting requremeols may stll apply. HM-9171 (08/16) County of Sen Diego -DEH -Haurdous Malenals Division INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY RECEIVED Date ___ _ Business Name_......__......::::..,..;=-__,.-=c....:::,,.L.-=->....:.....,......:::::c......;::;;...:..-'--''-=...:a,._---___:j....:::LJ;.:L:....-=2--=0c.....L.Jzo.wl.1-Z __ _ Street Address---'~~""--.1.....-~==-==-_..i::::~-=-...!....:::a==..!....:::.!:=:;__--6-1.+¥~!i=--i-::....,,,..,?,--,-..,,....,...-- __..!_~~ll...\~\~~~+~aJ:ld..fvY1~C6..~~~~~L:..E:~filLl..!.t!b~~~~~0 \.a.A-- PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) 'fv1 Check all below that are present at your facility: ~ Acid Cleaning Ink Manufacturing Nutritional Supplement I Assembly Laboratory Vitamin Manufacturing Automotive Repair Machining I Milling Painting I Finishing Battery Manufacturing Manufacturing Paint Manufacturing Biofuel Manufacturing Membrane Manufacturing Personal Care Products Biotech Laboratory (i.e. water filter membranes) Manufacturing Bulk Chemical Storage Metal Casting I Forming Pesticide Manufacturing I Car Wash Metal Fabrication Packaging Chemical Manufacturing Metal Finishing Pharmaceutical Manufacturing Chemical Purification Electroplating (including precursors) Dry Cleaning Electroless plating Porcelain Enameling Electrical Component Anodizing Power Generation Manufacturing Coating (i.e. phosphating) Print Shop Fertilizer Manufacturing Chemical Etching I Milling Research and Development Film I X-ray Processing Printed Circuit Board Rubber Manufacturing Food Processing Manufacturing Semiconductor Manufacturing Glass Manufacturing Metal Powders Forming Soap I Detergent Manufacturing Industrial Laundry Waste Treatment I Storage SIC Code(s) (if known):----------------------- Brief description of business activities (Production I Manufacturing Operations): _____ _ Description of operations generating wastewater (discharged to sewer, hauled or evaporated): Estimated volume of industrial wastewater to be discharged (gal I day): _______ _ List hazardous wastes generated (type I volume):---------------- Date operation began/or will begin at this location:---------------- Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes No lfyes,when: ____________________ _ Signature Phone No. ___________ _ ENCINA WASTEWATER AUTHORITY, 6200 Avenida Encinas Carlsbad, CA 9201 1 (760) 438-3941 FAX: (760) 476-9852 ( City of Carlsbad NONRESIDENTIAL GREEN BUILDING CODE STANDARDS MANDATORY MEASURES CERTIFICATION CHECKLIST 8-52 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www .ca rlsbadca .gov This form, signed and completed, and all receipts for the recycled materials shall be submitted to the Building Inspector prior to Final Inspection. Site Development Mandatory 5.106.1 Storm water pollution prevention plan. For projects of one acre or less, develop a Storm Water Pollution Prevention Plan (SWPPP) that has been designed specific to its site, conforming to (X) the State Storm water NPDES Construction Permit or local ordinance, whichever is stricter, as is required for projects over one acre. The plan should cover prevention of soil loss by storm water run-off and/or wind erosion, of sedimentation and/or of dusUparticulate matter air pollution. 5.106.4 Bicycle parking and changing rooms. Comply with Sections 5.106.4.1 and 5.106.4.2; or (X) meet local ordinance, whichever is stricter. 5.106.4.1 Short-Term bicycle parking. If the project is expected to generate visitor traffic, provide permanently anchored bicycle racks within 200 feet of the visitor's entrance, readily visible to (X) passers-by, for 5 percent of visitor motorized vehicle parking capacity, with a minimum of one two- bike capacity rack. 5.106.4.2 Long Term bicycle parking. For buildings with over 10 tenant-occupants, provide secure bicycle parking for 5 percent of tenant-occupied motorized vehicle parking capacity, with a minimum (X) of one space. 5.106.5.2 Designated parking. Provide designated parking for any combination of low emitting, fuel-efficient and carpool/van pool vehicles as shown in Table 5.106.5.3.1. (X) 5.106.8 Light pollution reduction. Comply with lighting power requirements in the California Energy Code and design interior lighting such that zero direct-beam illumination leaves the building site. Meet or exceed exterior light levels and uniformity ratios for lighting zones 1-4 as defined in (X) Chapter 10 of the California Administrative Code, using the following strategies: 1. Shield all exterior luminaries or use cutoff luminaries (X) 2. Contain interior lighting within each source (X ) 3. Allow no more than .01 horizontal foot candle 15ft. beyond the site (X) 4. Contain all exterior lighting within property boundaries Exception: See part 2, Chapter 12, Section 1205.6 for campus lighting requirements for parking (X) facilities and walkwavs. 5.106.10 Grading and paving. The site shall be planned and developed to keep surface water away from buildings. Construction plans shall indicate how site grading or drainage system will (X) manaqe all surface water flows. Water Efficiency and Conservation Indoor Water Use 5.303.1 Meters. Separate meters shall be installed for the uses described in Sections 503.1.1 (X) through 503.1.3. 5303.1.1 Buildings in excess of 50,000 square feet. Separate sub-meters shall be installed as follows: 1. For each individual leased, rented, or other tenant space within the building projected to (X) consume more than 100 gal/day. 2. For spaces used for laundry or cleaners, restaurant or food service, medical or dental office, laboratorv or beautv salon or barber shop projected to consume more than 100 qal/dav. B-52 Page 1 of 5 Rev. 5/17 5.303.1.2 Excess consumption. Any building within a project or space within a building that is projected to consume more than 1,000 gal/day. 5.303 Percent savings. A schedule of plumbing fixtures and fixture fittings that will reduce the overall use of potable water within the building by 20 percent shall be provided (Calculate savings by Water Use Worksheets or utilize Table 5.303.2.3). 5.303.2.1 Multiple showerheads serving one shower. When single shower fixtures are served by more than one showerhead, the combined flow rate of all the showerheads shall not exceed the maximum flow rates specified in the 20 percent reduction column contained in Table 5.303.2.3 or the shower shall be designed to allow only one showerhead to be in ooeration at a time. 5.303.6 Plumbing fixtures and fittings. Plumbing fixtures (water closets and urinals) and fittings (faucets and showerheads) shall comply with the requirements listed for each type in items listed in Table 5.303.6. 1. Water closets (toilets) -flushometer type 2. Water closets (toilets) -tank type 3. Urinals 4. Public lavatory faucets 5. Public metering self-closing faucets 6. Residential bathroom lavatory sink faucets 7. Residential bathroom lavatory sinks 8. Residential showerheads 9. Sina le shower fixtures served bv more than one showerhead Outdoor Water Use 5.304.1 Water Budget. A water budget shall be developed for landscaping irrigation use. 5.304.2 Outdoor potable water use. For new water service, separate meters or submeters shall be installed for indoor and outdoor potable water use for landscaped areas between 1,000 and 5,000 square feet. 5.304.3 Irrigation design. In new nonresidential projects with between 1,000 and 2,500 square feet of landscaped area (the level at which the MLO applies), install irrigation controllers and sensors which include the following criteria and meet manufacturer's recommendations. 5.304.1.1 Irrigation controllers. Automatic irrigation system controllers installed at the time of final inspection shall comply with the following: 1. Controllers shall be weather- or soil moisture-based controllers that automatically adjust irrigation in response to changes in plant's needs as weather conditions change. 2. Weather based controllers without integral rain sensors or communication systems that account for local rainfall shall have separate wired or wireless rain sensors which connects or communicates with the controller(s). Soil moisture-based controllers are not required to have rain sensor input. Construction Waste Management Plan 5.408.1 Construction waste diversion. Establish a construction waste management plan or meet local ordinance, whichever is more stringent. 5.408.2 Construction waste management plan. Submit plan per this section to enforcement authority within the city. 5.408.1.4 Documentation. Provide documentation of the waste management plan (see form B-59) that meets the requirements listed in Section 5.408.1.1 thru 5.408.1.3 and the plan is accessible to the enforcement authority. 5.408.3 Construction waste. Recycle and/or salvage for reuse a minimum of 50 percent of nonhazardous construction and demolition debris or meet local ordinance, whichever is more stringent. Exceptions: 1. Excavated soil and land-clearing debris 2. Alternate waste reduction methods, developed by working with local agencies if diversion or recycle facilities capable of compliance with this item do not exist. 5.408.3 Excavated soil and land clearina debris. 100 oercent of trees. Stumos, rocks and 8-52 Page 2 of 5 (X) (X) (X) As applicable (X) (X) (X) (X) (X) (X) (X) (X) (X) (X) (X) (X) As applicable (X) (X) (X) (X) (X) Rev. 5/17 associated vegetation and soils resulting primarily from land clearing shall be reused or recycled., Building Maintenance and Operation 5.410.1 Recycling by occupants. Provide readily accessible areas that serve the entire building and are identified for the depositing, storage and collection of nonhazardous materials (X ) for recycling. 5.410.2 Commissioning. For new buildings 10,000 square feet and over, building (X) commissioning for all building systems covered by T24, Part 6, process systems and renewable energy systems shall be included in the design and construction processes of the building project. Commissioning requirements shall include items listed in Section 5.410.2. - 5.410.2.6 (X) 5.410.2.1 Owner's Project Requirements (OPR). Documented before the design phase of the project begins the OPR shall include items listed in Section 5.410.4. (X) 5.410.2.2 Basis of Design (BOD). A written explanation of how the design of the building systems meets the OPR shall be completed at the design phase of the building project and updated periodically to cover the systems listed in Section 5.410.2.2. (X) 5.410.2.3 Commissioning plan. A commissioning plan describing how the project will be commissioned shall be started during the design phase of the building project and shall include items listed in Section 5.410.2.3. (X) 5.410.2.4 Functional performance testing shall demonstrate the correct installation and operation of each component, system and system-to-system interface in accordance with the (X) approved plans and specifications. 5.410.2.5 Documentation and training. A Systems manual and systems operations training are required. (X) 5.410.2.5.1 Systems manual. The systems manual shall be delivered to the building owner or representative and facilities operator and shall include the items listed in Section 5.410.2.5.1. (X) 5.410.2.5.2 Systems operations training. The training of the appropriate maintenance staff for each equipment type and/or system shall include items listed in Section 5.410.2.5.2. (X) 5.410.2.6 Commissioning report. A complete report of commissioning process activities undertaken through the design, construction and reporting recommendations for post construction phases of the building project shall be completed and provided to the owner or representative. 5.410.4 Testing and adjusting. Testing and adjusting of systems shall be required for (X) buildings less than 10,000 square feet. 5.410.4.2 Systems. Develop a written plan of procedures for testing and adjusting systems. (X) Systems to be included for testing and adjusting shall include, as applicable to the project, the systems listed in Section 5.410.3.2. (X ) 5.410.4.3 Procedures. Perform testing and adjusting procedures in accordance with industry best practices and applicable national standards on each system. (X) 5.410.4.3 HVAC balancing. Before a new space-conditioned system serving a building or space is operated for normal use, the system should be balanced in accordance with the procedures defined by national standards listed in Section 5.410.3.3.1 . (X) 5.410.4.4 Reporting. After completion of testing, adjusting and balancing, provide a final report (X) of testing signed by the individual responsible for performing those services. maintenance instructions and copies of guaranties/warranties for each system prior to final inspection. 5.410.4.5 Operation and maintenance manual. Provide the building owner with detailed operating and maintenance manual 5.410.4.5.1 Inspection and reports. Include a copy of all inspection verifications and reports required by the enforcina aaencv. B-52 Page 3 of 5 Rev. 5/17 Environmental Quality Fireplaces 5.503.1 Install only a direct-vent sealed-combustion gas or sealed wood-burning fireplace or a sealed woodstove and refer to residential requirements in the California Energy Code, Title 24, Part 6, Subchapter 7, Section 150. 5.503.1.1 Woodstoves. Woodstoves shall comply with US EPA Phase II emission limits. Weather Resistance and Moisture Management 5.407 .1 Weather protection. Provide a weather-resistant exterior wall and foundation envelope as required by California Building Code Section 1403.2 and California Energy Code Section 150, manufacturer's installation instruction instructions or local ordinance, whichever is more stringent. 5.407 .2 Moisture control. Employ moisture control measured by the following methods: 5.407 .2.1 Sprinklers. Prevent irrigation spray on structures. 5.407.2.2 Entries and openings. Design exterior entries and openings to prevent water intrusion into buildinqs. Pollution Control 5.504.3 Covering of duct openings and protection of mechanical equipment during construction. At the time of rough installation or during storage on the construction site and until (X) As Applicable (X) (X) (X) (X) final start up of the heating and cooling equipment, all duct and other related air distribution ( x) component openings shall be covered with tape, plastic, sheet metal or other methods to reduce the amount of debris or duct which mav collect in the system. 5.504.5.3 Filters. In mechanically ventilated buildings, provide regularly occupied areas of the buildina with outside and return air orior to occupancy that provides at least a MERV of 8. 5.504.4 Finish material pollutant control. Finish materials shall comply with Sections 5.504.4.1 through 5.504.4.6 5.504.4.1 Adhesives, sealants, caulks. Adhesives and sealants used on the project shall meet the requirements of the following standards: ( x) 1. Adhesives, adhesive bonding primers, adhesive primers, sealants, sealant primers and caulks shall comply with local or regional air pollution control or air quality management district rules where applicable or SCAQMD Rule 1168 voe limits as shown in Tables 5.504.4.1 and 5.504.4.2. 2. Aerosol adhesives and smaller unit sizes of adhesives and sealant or caulking compounds (in units of product, less packaging, which do not weigh more than one pound and do not consist of more than 16 fluid ounces) shall comply with statewide VOC standards and other requirements, including prohibitions on use of certain toxic compounds, of California Code of Regulations, Title 17, commencing with Section 94507. 5.504.4.3 Paint and coatings. Architectural paints and coatings shall comply with Table 5.504.4.3 5.504.4.3.1 Aerosol paints and coatings. Aerosol paints and coatings shall meet the Product- Weighted MIR limits for ROC in Section 94522 (a)(3) and other requirements, including prohibition on use of certain toxic compounds and ozone depleting substances (CCR, Title 17, Section 94520 et seq.). 5.504.4 Carpet systems. All carpet installed in the building interior shall meet the testing and product requirements of one of the standards listed in Section 5.504.4.4. 50504.4.4.1 Carpet cushion. All carpet cushion installed in the building interior shall meet the requirements of the Carpet and Rug Institute Green Label Program. 5.504.4.4.2 Carpet adhesive. All carpet adhesive shall meet the requirements of Table 804.4.1. 5.504.4.5 Composite wood products. Hardwood, plywood, particleboard and medium density fiberboard composite wood products used on the interior or exterior of the building shall meet the requirements for formaldehyde as specified in Table 5.504.4. 5.504.4.5.2 Documentation. Verification of compliance with this section shall be provided as requested by the enforcing agency. Documentation shall include at least one of the following: 1. Product certification and specifications 2. Chain of custody certifications 3. Other methods acceptable to the enforcing agency 5.504.4.6 Resilient flooring systems. Comply with the voe emission limits defined in the 2009 ( x) CHPS criteria and listed on its Low-emitting Materials List (or product registry) or certified under the FloorScore proqram of the Resilient Floor Coverinq Institute. B-52 Page 4 of 5 Rev. 5/17 Indoor Moisture and Radon Control 5.505.1 Indoor moisture control. Buildings shall meet or exceed the provisions of the California Buildina Code, Title 24 Part 2, Sections 1203 (Ventilation) Chaoter 14.1 . (X) Air quality and Exhaust 5.506.1 Outside air delivery. For mechanically or naturally ventilated spaces in buildings, meet the (X) minimum requirements of Section 121 of the California Energy Code, CCR, Title 24, Part 6 and Chapter 4 of CCR, Title 8 or the applicable local code, whichever is more stringent. 5.506.2 Carbon DIOXIDE (CO2) monitoring. For buildings equipped with demand control ventilation, CO2 sensors and ventilation controls shall be specified and installed in accordance with the (X) reauirements of the latest edition of the California Energy Code, Title 24, Part 6, Section 120.1.(C) (4). Outdoor Air Quality 5.508.1 Ozone depletion and global warming reductions. Installations of HVAC, refrigeration and fire suppression equipment shall comply with Sections 5.508.1.1 and 5.508.1.2. As 5.508.1 CFCs. Install HVAC and refrigeration equipment that does not contain CFCs. applicable 5.508.1.2 Halons. Install fire suppression equipment that does not contain Halons. (X ) (X) I, as the professional responsible for this project, certify that, to the best of my knowledge, the mandatory items listed on this form have been incorporated into the project in order to comply with Title 24, Part 11 of the 2016 California Green Building Standards. All receipts for recycled materials have been attached to this form. Project Address dDJ.s"' {);.,.. fe J}[ CO¢((« L--Plan Check Numbe,c£,c'JD77--ceg<L Print Name: (2,,(/~ZkV'v"iett.W Signed•~ License Number: t_775/ct Date:a--/ 2 -/ 7 8-52 Page 5 of 5 Rev. 5/17