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Home My WebLink About2075 CORTE DEL NOGAL; P; 87-422; PermitDECLARATIONSLENDERWORKERS COMPENSATION OWNER/BUILDER CONTRACTORI 5 I If1 " f 11^03* »i II1 HAVE CAHEFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DOCERTIFY UNDER PENALTY Of PERJURY THAT ALL INFORMATION HEREON INCLUDDECLARATIONS ARE TRUE ANO CORRECT AND 1 FURTHER CERTIFY AND AGREE IF A PISSUED IO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDSTRUC1ION WHETHER SPECIFIED HEREIN OR NOT 1 ALSO AGREE TO SAVE INDEMI*KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COEXPENSES WHICH NIAt IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCEGRANTING OF THIS PERMITSTSAND APPLICANTS SIGNATURE * /I /?WN^ H CONTRACTOR L1OFIBe /4^.°^?.JL/&i -™nTJ 1 D >JV OJ-< r gSzi ° ~" i S2 CT rn -c Expiration Every permit issued by the BujldCode shall expire by limitation and becomeauthorized by such permit is not commencecpermit or if the building or work authorsabandoned at any time after the work is corrmg Official under thenull and void If Jhewithin laOdayjpromed by such p/rmtlimenced tor anertodDrovisionsof this3uiidmg or wordthe date oi sucfs suspended oof 180 days* AN OSHA PERMITf, 0 DEEP ANO OE(STRUCTURES OVEI«S RECXJIRED FOR EXCAVATIONS OVEMOCITION O« CONSTRUCTION Of* 3 STORIES IN HEIGHT/X , t> \ 1 TOTAL FEES PAYABLE1CREDIT DEPOSITy TEMP OCCUPANCY i jll DAYS)rr3;T;T\cH - e:r—3;-Tl3; f -n hA? 1 COCO en r-j \ -oX-a Om m H X O! 1- j •S<$ ) xc/;ccccDD C~) 33 (73m ~n -n T3X"D AWNING0CO —1 O.) CO CD 8 OO £OJcn TlS3:33 tn 33 -ac33—1 -n OJ ro Co O oo 0o OJen s oHELECTRICAL PERMIT ISSUE^ o MOBILE HOME SETUP533 mCl m CO33 oCDm mm en0 CO CD CDo CD0 CC o < -D ^J \1AI MECHANICAL^^ \ -ac^CD -n 0 r- mOO rr- CO CD CDo CD0 CO O HRE SPRINKLERS 001 310 00 00 8227| O33 33 m 3; CT3 O C OaC» Ui (-Dro OJ OJ i m3!dm RELOCATION .OF fcA FURNACE/HEATERc/3O DD CD OO CD CD0 CDO COroroen EACH VACUUM BRtAKERMtCH FxMl^V HOOD OUCTSoCD O m a CD CC 0 OOr\j EACH INS IAL ALIfcR REPAIR WATER PIPEm Z fa c:c:MECHANICAIoo CO CD CDO 0 CD CO r-o IX) 1 rnXIT,C3333 XonC/3cro rn 33 -a + A/ m mO— i r-' OO CC CDO 0 COroroCO # \ 1 f T3 1 X TOTAL PLUMBSen CDCD cc CD CD CDO CO r-o sj; ft EACH WAI ER HEATER AMJ OR VENli r m f X c X -D 0irm0 o0 CO o CD0 CDO CO03CO N \*•••*T>Xccdzamm33 p s £ • c im 33 0CD CD 0 cc —t en CT 33 g CO 0 CDo CD ac NJ ^T\XX-Hcz33"D \ fe -^ -n 33 C CD 0 CD 33 cz s \BUILDING PERMCD0 CO CD 0 CC ^ V DPLUMBNG PERMIT ISSUE\ife \ D m w O Oj. H C/5 C/5, C.m Vjs k JQlo SUMMARY/ACCOUNT NUMBER<CENSUS TRACT ~ PAPK INC, SPAcrRES UNITSn3)> O Z Cl n-0 m T >§. m0 REDE Vt LOPMENTARfcAA -Ni -.0TYPECONST1 OCC LOAD•n D S 4, "Li ^ Ifsi c; ^ ?a X mr NOSTORIESOn rT) * m Not Valid Unless Machine CertifiedSI•~s $ ]' 5 F ^~ ^e F yin3>-z.0oIA DESIGNER S ADDRESS , ^j STATE LICENSE NO•=•< t "*^ ^ j «?- ^ §>*.. srs >V QX°Or o "1 t^ ^) , >I DESIGNER S PHONE8 ro i 02BldPmt 1747.2'O 5 ^- o 31 •"^ tft <*"^ * _ H r-j o( m •— . en I m T BUILDING SO FOOTAGEOWNER S PHONE 1rOJ~\w§i' IPSij»(iTJ(?S zt o 0 CONTRACTORt>**V>5 /vS&jc^1 CONTRACTORS PHONE «IfcrVfl^m .. \oY*4o)\\ °VJ C""^ \ ^^*sl V)l/^ wfta >1 "^' V>-tc^ C^x*l o JJ-! <*~ra 1 tn zO ^CATION7BUSINESS LICENSE *VALUATION^f6tf— 1 1, __j T)m J \ 5 CARLSBAD BUILDING DEPARTMENT ADDI irATION A PFC2075 Las Palmas Dr , Carlvsbad CA 92009 1915 (619) 438 1161 *»rri_i\,«i IUTI v rcrX OBr-O•om0ZBo3Dr»i^O •o-o oJ>z OT;Fr- z z-nO 1 O Xzw omo 31 5 zo o8 1 O White — Inspector Green — (1) Finance Yellow — Assessor Pink — Applicant Gold — Temporary File SPECIAL CONDITIONS«•BUILDING— — .— v~™^^— ~.^^^0^->,•x"1Xt MECHANICAL•^*-?i^5\o>\**-*ELECTRICAL••WMO*^.^5alT*\PLUMBING.--••nzr~J CALL FOR FINAL INSPITEMS ABOVEzrn^-Hmo0322|^^Q^0 ^^3or~0^m^CJ-Dj)OTD5^S VENTILATING SYSTEMSV.>>wA^yj•HEAT — AIR COND SYSTEMSV^^*°-»nN 'rxC*>(n0coTJmD3DmT|TJTJZ.f^^.k\MECHANICALD BONDING D POOLD ELECTRIC SERVICE D TESo-TJTJ-<ROUGH ELECTRIC^*sS.>^^^v^6 D ELECTRIC UNDERGROUNDncTlTlm30»ELECTRICALD WATER HEATER D SOLA30$>m3D OCOm TUB AND SHOWER PAN0TJOcD$COmn^•<rmTJ UNDERGROUND D WASTEn§*Jm3D D SEWER AND BL/CO L"TJL.0 PLUMBING^,•INTERIOR LATH & DRYWALL~-^^5«^T*INSULATION*EXTERIOR LATH•~-v FRAME,r\^Vr~^^»\~%rXISHEATHING D ROOF CCOT3Ds COCCDTlTJmnT|ZoTJDOmf-^O GUNITE OR GROUTMASONRYREINFORCED STEELFOUNDATIONBUILDINGTJm%HmzCOTJmq r-+*s±^J.-X^•A^^^ i\"^rv- i ' "** -^ — i • i <• t t f , •* \ 1 PILES CAISSONSSPECIAL MASONRYHIGH STRENGTHBOLTSFIELD WELDINGPOST TENSIONEDCONCRETE- / \ • ; -PRESTRESSEDCONCRETESTRUCTURAL CONCRETEOVER 2000 PSISOILS COMPLIANCEPRIOR TOFOUNDATION INSP_, -' ' ' ,INSPECTIONO131m rnOO m -riD INSPECTAPPRO'>° GO D Hm REQUIREDSPECIAL-£3PECTIONC/) -\ ' - mOHO X C/) •z.oH 'f>FIELD INSPECTION RECORD- V ? j 00-^1 O DEVELOPMENT PROCESSING SERVICES DIVISION 2075 LAS PALMAS DRIVE CARLSBAD, CA 92009 4859 (619)4381161 MISCELLANEOUS FEE RECEIPT Applicant Please Print And Fill In Shaded Area Only ASSESSOR'S PARCEL NO OWNER MlTSQt OWNERS MAILING ADDRESS CITY ZIP TEL CONTRACTOR CONTRACTOR'S MAILING ADDRESS CITY ZIP TEL STATE LICENSE NO BUSINESS LICENSE NO FRTMATFn VAI IIATIOM ( PLAN CHECK FFF 00181000008821 IF THE APPLICANT TAKES NO ACTION WITHIN 180 DAYS, PLAN CHECK FEES WILL BE FORFEITED LEGAL DESCRIPTION Lo~T CHECK IF SUBMITTED 2 ENERGY CALCS [-1LJ 2 1987 ENERGY CALCS FOR NON RESIDENTIAL BLDGS DESCRIPTION OF WORK 2 STRUCTURAL CALCS o D 2 SOILS REPORTS 2 SELF ADDRESSED ENVELOPES DATE GIVEN/ SENT TO APPLICANT nATF CONTACT PERSON '£2- /V>(-AvlT LA COSTA LETTER ADDRESS SCHOOL FEE FORM CITY ZIP TEL P & E CORRECTIONS LIST CERTIFICATE OF OCCUPANCY APPLICANT'S SIGNATURE DATE White File Yellow Applicant Pink Finance Gold Assessor FINAL BUILDING INSPECTION PLAN CHECK NUMBER PROJECT NAME Across Bnter -ADDRESS DATE 2C75 Corta del Nep PROJECT NO TYPE OF UNIT UNIT NUMBER CG5EM NUMBER OF UNITS PHASE NO CONTACT PERSON . CONTACT TELEPHONE COMMENTS , piiin. fairs,, Sii2 INSPECTED XT./; ,///BY ^(1^-4: INSPECTED BY INSPECTED BY DATE iJis-JaA V .r^y" INSPECTED >/ A*5 /oo APPROVED /\ /! ' * DATE INSPECTED APPROVED DATE INSPECTED APPROVED J DISAPPROVED DISAPPROVED DISAPPROVED\ * Rev 1/86 WHITE Suspense BLUE Water District GREEN Engineering CANARY Utilities PINK Planning GOLD Fire FINAL BUILDING INSPECTION PLAN CHECK NUMBER PROJECT NAME ADDRESS PROJECT NO TYPE OF UNIT 87 -H22 DATE S-lft-Ind Arron International 2075 Corte del Noqal "P" .UNIT NUMBER M tl NUMBER OF UNITS .PHASE NO CONTACT PERSON Max CONTACT TELEPHONE Q38-4201 bldqgtsnciin, plan, fire. h2o INSPECTED BY DATE SEP T 6 7988INSPECTED APPROVED DISAPPROVED INSPECTED BY DATE INSPECTED APPROVED DISAPPROVED INSPECTED BY DATE INSPECTED APPROVED DISAPPROVED Costa Real Municipal Water Distnc* COMMENTS Engineering Department "__ (619) 438-3367 SEP I 51988 Sir* Rev 1/86 WHITE Suspense BLUE Water District GREEN Engineering CANARY Utilities PINK Planning GOLD Fire FINAL BUILDING INSPECTION PLAN CHECK NUMBER PROJECT NAME ADDRESS oy -3?g RECEIVED SEP 1 5 DATE 9-19-53 ">nd jrf\guo:i? _/ 2075 p ciol ' PROJECT NO TYPE OF UNIT UNIT NUMBER •eomn NUMBER OF UNITS PHASE NO CONTACT PERSON. CONTACT TELEPHONE BY INSPECTED BY INSPECTED BY b8dgpsn-j8r>, pioni, fSrs, M^ DATE INSPECTED DATE INSPECTED DATE INSPECTED APPROVED APPROVED APPROVED DISAPPROVED DISAPPROVED DISAPPROVED COMMENTS *****F|RE HAVE YOU SIGNED OFF C OF O" Rev 1/86 WHITE Suspense BLUE Water District GREEN Engineering CANARY Utilities PINK Planning GOLD Fire *:*"* .**%" ^v^'-^;^*^*•&«' FINAL BUILDING INSPECTION PLAN CHECK NUMBER PROJECT NAME ADDRESS PROJECT NO TYPE OF UNIT CONTACT PERSON 87 -422 DATE 3-U-88 2nd request Arron ifttern«tio.ial 2075 Carte del Nogal "P" UNIT NUMBER ti NUMBER OF UNITS PHASE NO CONTACT TELEPHONE 03B-4201 jln, plan, fire, h2o BY lAnJL*—L\}( INSPECTED BY INSPECTED BY DATE INSPECTED DATE INSPECTED DATE INSPECTED APPROVED APPROVED APPROVED DISAPPROVED DISAPPROVED DISAPPROVED COMMENTS /P IT JT - fP Rev 1/86 WHITE Suspense BLUE Water District GREEN Engineering CANARY Utilities PINK Planning GOLD Fire Citp of Cartebab REQUEST FOR INSPECTION RECORD INSPECTOR ffr\£s\S PERMIT NO & .^-1 . TIMF1 U •? ^ o / «r/ TT <- <— nATF V — / O OWNFR & "X7 J A O REQUESTEDBY ~*/?l^EV PHONE NO ^T^f" — V^-^V^-s PERSON TAKING REPORT ( /r"" BUILDING ! 1 REINFORCING STEEL :i MASONRY n GROUT GUNITE n FLOOR AND CEILING SUB FRAME D SHEATHING C ROOF D SHEAR H FRAME U EXTERIOR LATH - .11 INSULATION C^&/%/^, LJ INTERIOR LATH OR DRYWALL <2? /** )^ FINAL f*1 SC^<*; -fr>v<*3£ V//" ELECTRICAL " C TEMPORARY SERVICE D UFFER GROUND D ELECTRIC UNDERGROUND C ROUGH ELECTRIC U POOL BONDING [J ELECTRIC SERVICE n FINAL . ^X*/y*^^ rf/SZ ^S?^ PLUMBING D UNDERGROUND PLU H SEWER AND PL/G D TOPOUTPLUMBI n TUB OR SHOWER D GAS TEST LJ WATER HEATER n SOLAR WATER C FINAL SPECIAL INSTRUCTIONS Ready For Inspection n Monday DAM n PM D Tuesday D Thursday Friday Cttj> of Cartebab REQUEST FOR INSPECTION RECORD ^oINSPECTOR r .At-C^L-^ OWNER .PERMITNO 47S~TIME _£5Ly/r P"?OATF" X3 •" & / BUILDING D REINFORCING STEEL D MASONRY D GROUT GUNITE n FLOOR AND CEILING SUB FRAME n SHEATHING H ROOF D SHEAR n FRAME D EXTERIOR LATH D INSULATION TERIoXLATH OR DRYWALL PLUMBING 3 UNDERGROUND PLUMBING D SEWER AND PL/CO D TOP OUT PLUMBING C TUB OR SHOWER PAN D GAS TEST D WATER HEATER D SOLAR WATER D FINAL ELECTRICAL G TEMPORARY SERVICE n UFFER GROUND D ELECTRIC UNDERGROUND H ROUGH ELECTRIC 11 POOL BONDING D ELECTRIC SERVICE LI FINAL MISCELLANEOUS n CONDITIONED AIR SYSTEMS D SOLAR HEAT D PATIO Q POOL D, SPA D SIGN D GRADING D DRIVEWAY D FINAL SPECIAL INSTRUCTIONS. Ready For Inspection D Monday DAM D PM Tuesday D Thursday D Friday Citp of Cartebao REQUEST FORJNSPECTION RECORD INSPECTOR PFRMITNO TIMF / . HATF ^/70/^J- ' ' ' / VOWNER / ADDRESS U&& c&jt^filz -Dt£L~ y4cy£&L- ^ftf*//TV ^^ \ » *f / j~ ~^ / f REQUESTED BY JjffifJH /!-* -^&£-^/QH' PHONE NOf r~ * f \^ * ' *\X PERSON TAKING REPORT BUILDING D FOUNDATION D FOOTING D SLAB D REINFORCING STEEL D MASONRY D GROUT GIJNITF, D FLOOR ANT^CEI]J^0^jUB FRAME D SHEATHING D ROOF/3 SHEAR D FRAME / D EXTERIOR LATH £• C&) UlJfc D INSULATION . D INTERIOR LATH OR DRYWAL^/^-* '* D FINAL PLUMBING D UNDERGROUND PLUMBING Q SEWER AND PL/CO a TOP OUT PLUMBING 1. TUB OR SHOWER PAN C GAS TEST D WATER HEATER G SOLAR WATER rJ FINAL 19 JL-tf} ebfr> >O t /-W ELECTRICAL [". TEMPORARY SERVICE D UFFER GROUND u ELECTRIC UNDERGROUND C ROUGH ELECTRIC D POOL BONDING D ELECTRIC SERVICE C FINAL u<»flT f-i^JW^, / fa \\ \ p> V(j D /V'\ MISCELLANEOUS D CONDITIONED AIR SYSTEMS D SOLAR HEAT G PATIO a POOL a SPA a SIGN G GRADING a DRIVEWAY D FINAL SPECIAL INSTRUCTIONS. Ready For Inspection D Monday DAM DPM D Tuesday Wednesday Thursday LJ Friday Citp of Cartebab REQUEST FOR INSPECTION RECORD INSPECTOR OWNER ADDRESS REQUESTED BY PERSON TAKING REPORT BUILDING 3 REINFORCING STEEL D MASONRY r. GROUT GUNITE '11 FLOOR AND CEILING SUB FRAME D SHEATHING H ROOF D SHEAR D EXTERIOR LATH D INSULATION U INTERIOR LATH OR DRYWALL D FINAL PLUMBING NDERGROUND PLUMBING ETSbWhH AND HL/CO D TOP OUT PLUMBING D TUB OR SHOWER PAN D GAS TEST D WATER HEATER D SOLAR WATER u FINAL ELECTRICAL n TEMPORARY SERVICE H UFFER GROUND ELECTRIC UNDERGROUND ROUGH ELECTRIC POOL BONDING ELECTRIC SERVICE AIR SYSTEMS LAR HEAT / TIC C SIGN D GRADING D DRIVEWAY D FINAL SPECIAL INSTRUCTIONS. Ready For Inspection [] Monday DAM D PM Tuesday D Wednesday Thursday LI Friday isJ *^\ A Vs aj a; 4-" *-"CD (0Q Q '* J CQ CQ T3 T3a; CD5 £V 0) OJ 0)a: o: OJ roQ CQ T30)SOJ t£ Date fo //c /fr7 Plan Check No. A7~ Project Address o(Df7 Project Name Lf^<[/\ |r Field Check Date ENGINEERING CHECKLIST LEGEND / 4>z H" f^^bJ^lp" faJ V 1 1 ^-^ ^-*^ 1,2,3 By LEGAL REQUIREMENTS Site Plan Item Complete Item Incomplete - Your Action Needs Number in circle indicates plancheck number that deficiency was identified D D D D D D D D 3 4 Provide a fully dimensioned site plan drawn to scale Show North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width and dimensioned setbacks Show on Site Plan Finish floor elevations, elevations of finish grade adjacent to building, existing topographical lines, existing and proposed slopes, driveway and percent (%) grade and drainage patterns Provide legal description of property Provide assessor's parcel number D D n n n n n n n n n n n n n n D n PERMITS REQUIRED Grading 5 6 7 Grading permit required (Separate submittal to Engineering Department required for Grading Permit) Grading plans in plan check PE D D Need the following completed prior to building permit issuance A Grading plans signed B Grading permit issued C Grading completed D Certification letter and compaction reports submitted E Grading inspected and permit signed off by City Inspector Right-of-Way Permit required for work in public right-of-way (e g , driveway approach, sidewalk, connection to water mam, etc) Industrial Waste Permit application required To be filled out completely and returned to Development Processing FEES REQUIRED D a a iz^n a D a a a D a a D D a 10 Park-m-Lieu fees required Quadrant ' ~ Fee Per Unit ~"' , Total Fee 11 Traffic impact fee required Fee Per Unit , Total Fee /7\£) 12 Bridge and Thoroughfare fee required . Fee Per Unit , Total Fee £U\L 13 Public facilities fee required f^jft 14 Facilities management fee required Fee 15 Additional EDU's required Sewer connection fee $Z*ffj -4&J- Sewer permit.' no <5/Z/ 16 Sewer lateral required REMARKS (QQ]A V & O K to If you have any questions about any of the above items identified on this plan check, please call the Development Processing Department at 438-1161 toQ CO •Q 0) 0) 0) n>Q CO 73 <ys0) OJ&. 4->(0Q GO TJ(1)5 0) (U(£ i— rM no =8= * =«= u u uQ_ Q_ 0. nan ana ana ana ana PLANNING CHECKLIST Plan Check No Address 2.076 £ke/£ Type of Project and Use I X- ~ Zone Setback Front School District Use Allowed? YES f\ NO Side U/fo- Rear X/y>4— EncmitasSan Dieguito Carlsbad ^ Discretionary Action Required YES Environmental Required YES Landscape Plan Required YES Comments San Marcos NO J^ Type NO X NO .X Coastal Permit Required Additional Comments YES NO "r" OK TO ISSU DATE 2560 ORION WAY CARLSBAD, CA 92008 TELEPHONE (619) 931 2121 City of Carte&ab FIRE DEPARTMENT PLAN CHECK REPORT ARCHITECT P£ ^ ^ OWNER Ml OCCUPANCY CONST TOTALSO FT SPRINKLERED 'El TENANT IMP PAGE1 OF. APPROVED DISAPPROVED\/ PHONE PHONE STORIES APPROVAL OF PLANS IS PREDICATED ON CONFORMING TO THE FOLLOWING CONDITIONS AND/OR MAKING THE FOLLOWING CORRECTIONS y 1 2 3 4 _ 9 _*Lio .11 12 .14 PLANS, SPECIFICATIONS, AND PERMITS Provide one copy of floor plan(s), site plan, sheets Provide two site plans showing the location of all existing fire hydrants within 200 feet of the project Provide specifications for the following Permits are required for the installation of all fire protection systems (sprinklers, stand pipes, dry chemical, halon, C02, alarms, hydrants) Plan must be approved by the fire department prior to installation The business owner shall complete a building information letter and return it to the fire departmentSTAT£. Us£ of SO>>-£ FIRE PROTECTION SYSTEMS AND EQUIPMENT The following fire protection systems are required 0 Automatic fire sprinklers (Design Criteria AJrf^ft i~2, ) D Dry Chemical, Halon, COz (Location ) D Stand Pipes (Type D Fire Alarm (Type/Location Fye Extinguisher Requirements 0 One 2A rated ABC extinguisher for each extinguisher not to exceed 75 feet of travel D An extinguisher with a minimum rating of Sq ft or portion thereof with a travel distance to the nearest to be located _ D Other 8 Additional fire hydrant(s) shall be provided . EXITS Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort A sign stating, " This door to remain unlocked during business hours" shall be placed above the mam exit and doors _ EXIT signs (6" x 3A" letters) shall be placed over all required exits and directional signs located as necessary to clearly indicate the location of exit doors GENERAL Storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and hazardous chemicals shall comply with Uniform Fire Code Buildmg(s) not approved for high piled combustible stock Storage in closely packed piles shall not exceed 15 feet in height, 12 feet on pallets or in racks and 6 feet for tires, plastics and some flammable liquids If high stock pil ing is to be done, comply with Uniform Fire Code, Article 81 Additional Requirements " <rr £. ~ft/; OP .15 Comply withj-egulations on attached sheet(s) Plan Examiner _Date- Report mailed to architect Met with Attach to Plans , s,ft* 87-422. 2075 LAS PALMAS DRIVE • ^W J • TELEPHONE CARLSBAD CALIFORNIA92009 4859 W*Ov SiM (619)4381161 Office of the City Engineer of (Harlabafc DATE: AuCrOST 27. Jack Thomas COUNTY OF SAN DIEGO Department of Public Works 5454 Ruffin Road San Diego, CA 92123 INDUSTRIAL WASTE PERMIT APPLICATION NO. Enclosed is a copy of the application for an Industrial Waste Discharge Permit from the subject applicant. Your review and recommendations on this application will be appreciated prior to the issuance of a waste disposal permit. LLOYD B. HUBBS City Engineer LBH SEE rich Enclosure: Application No. c: Building Department Fred Rowlen, Enemas Plant Arnie Wing, Department of Health Services lR CONDITIONING HEATING - SHEET METAL 612 Wtit Waih.ngton Av. - Phone 746-1333 - Cicond.do, C* 92025 NON-RESIDENTIAL ENERGY LAW STATEMENT OF PLAN CONFORMANCE PLAN CHECK NO. Effective July 1, 1978, every proposed non-residential building must be designed to comply with the State Non-Residential Energy Conservation Law before a building permit can be Issued. To Insure legal compliance, a signed statement shall be furnished with the building plans and all necessary calculations, and substantiating data shall be signed by a California licensed architect, engineer, building designer, or contractor as complying with A, B, C, or D below. The statement, with completed forms and calculations will become a permanent record with the building plans. I have reviewed the plans and the required supporting calculations and data being submitted for the proposed _ <^7;g ^ _ occupancy, non-residential and the design submitted substantially conforms with: A. COMPONENT PERFORMANCE (STANDARD DESIGN) CAC Title 24, Division 4 through Division 9 (sections T20-1490 through T20-1542) for the following: Design of the building envelope, HVAC systems and equipment, service hot water heater, electrical distribution, and lighting. Forms 1 through 7 are submitted to document conformance. Form 8 shall be included If verifying the life cycle cost of electric resistance heating. Date Signature o' Licensed as B. ENERGY BUDGET ANALYSIS (ALTERNATIVE DESIGN) State of CA License No. CAC Title 24, Division 2 (Sections T20-1479 through T20-1475) The following documentation is provided (indicate one method). ( ) Computer Simulation of Year-Long Building Performance (Includes computer printout plus Forms 13 and 14.) ( ) Simplified Manual Computation Method. (Includes simplified manual forms plus Forms 13 and 14.) NOTE; Allowed only in buildings with occupant loads of 299 or less. 8 SSI Date Signature Licensed as State of CA License No,