HomeMy WebLinkAbout2091 RUTHERFORD RD; ; CB121156; PermitCity of Carlsbad
,f"
'07-31-2012
.. 1635 Faraday Av Carlsbad, CA 92008
Commercial/Industrial Permit Permit No: CB121156
Building Inspection Request Line (760) 602-2725
Job Address:
Permity Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
Applicant:
2091 RUTHERFORD RD CBAD
Tl Sub Type: INDUST
2121202500 Lot#: 0
$180,477.00 ConstructionType: NEW
Reference#
NIXON: 4862 SF WAREHOUSE TO
Status: ISSUED
Applied: 06/18/2012
Entered By: JMA
Plan Approved: 07/31/2012
Issued: 07/31/2012
Inspect Area
Plan Check #:
OFFICE, BUILD NEW RAMP & DOORS AT REAR OF BUILDING
Owner:
TIFFANY ENGLISH
WAREMALCOMB
CRUZAN-MONROE A E W RUTHERFORD L L C
6363 GREENWICH DR., STE 175
SAN DIEGO CA 92122
858-638-7277
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Building Permit Fee
Plan Check Discount
Strong Motion Fee
Park Fee
LFM Fee
Bridge Fee
BTD #2 Fee
BTD#-3 Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Pot. Water Con. Fee
Meter Size
Add'I Pot. Water Con. Fee
Reel. Water Con. Fee
Green Bldg Stands (SB1473) Fee
Fire Expedidted Plan Review
$1,013.14
$0.00
$709.20
$0.00
$0.00
$37.90
$0.00
$0.QO
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 ·
$4.00
$295.00
221 15TH ST
DEL MAR CA 92014
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWA Fee
CFO Payoff Fee
PFF (3105540)
PFF (4305540)
License Tax (3104193)
l,.icense Tax (4304193)
Traffic Impact Fee (3105541)
Traffic lmpactFee (4305541)
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Master Drainage Fee
Sewer Fee
Redev Parking Fee
Additional Fees
HMP Fee
Green Bldg Standards Plan Chk
TOT AL PERMIT FEES
$0.00
$0.00
$0.00
$0.00
$3,284.68
$0.00
$0.00
$0.00
$6,789.00
$0.00
$135.00
$130.00
$63.50
$0.00
$7,044.56
$0.00
$0.00
??
??
$19,505.98
Total Fees: $19,505.98 Total Payments To Date: $19,505.98 Balance Due: $0.00
Inspector:
FINAL APPROVAL
Date: /4z·Z>-IZ.. Clearance: ------
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a}, and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
City of Carls~ad
1635 Faraday Av Carlsbad, CA 92008
07-31-2012
Storm Water Pollution Prevention Plan (SWPPP) Permit
Permit No:SW120291
Job Address:
Permit Type:
Parcel No:
Reference #:
CB#:
Project Title:
Applicant:
2091 RUTHERFORD RD CBAD
SWPPP
2121202500 Lot#: 0
CB121156
NIXON TENANT IMPROVEMENT
ADDITION OF RAMP AND 2 DOORS AT THE REAR OF THE
Priority: L
Owner:
Status:
Applied:
Entered By:
Issued:
Inspect Area:
Tier:
ISSUED
07/11/2012
LO .
07/31/2012
1
WARE MALCOMB
STE 175
CRUZAN-MONROE A E W RUTHERFORD L L C
6363 GREENWICH DR
SAN DIEGO CA 92122
858-638-7277
Emergency Contact:
PETE SPENCER
858 248-7171
SWPPP Plan Check
SWPPP Inspections
· Additional Fees
TOTAL PERMIT FEES
Total Fees: $100.00
22115TH ST
DEL MAR CA 92014
$45.00
$55.00
$0.00
$100.00
Total Payments To Date: $100.00 Balance Due:
FINAL APPROVAL
$0.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING QHEALTH QHAZMAT/APCD
«~ W CITY OF
CARLSBAD
LOT#
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax 760-602-8558
www.carlsbadca.gov ·
SUITE#/SPACE#/UNIT#
t-OTS7,
Plan Check No. CC3 l 2 l l 5'&,
Est. Value l/' ~ 4 "11.
Plan Ck. Deposit
Date & l ~ t'Z-SWPPP
. ARN
t..o-r5 I -c2 /.f. -1:zo -,;zs
#BATHROOMS TENANT BUSINESS NAME CONSTR, lYPE OCC, GROUP
~=----,---,L~~~d----,.-,,--,-----,--/----='---L.......c.--'--'------'----'-'-N~) ~--=-~C,c_:, __ ---'-'tl--=B---'-'.B=-· .,__,S=---i l _ D~CRIPTION OF WORK: Include Square Feet of Affected Area(s)
1~~-~~~ci -0.-8} .-_~862 5 F··Jd-~&~.'
--er. ~~ ·b,u-l~ ~-...o~ ~ ~ ~o'--~ ~ ~ ~ ~ ~ w~ it> 11> M OFc --' . -
EXISTING USE PATIOS (SF) DECKS (SF) FIREPLACE
YEso.
APPLICANT NAME (Secondary Contact)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
CONTRACTOR BUS. NAME
ADDRESS
. CITY STATE ZIP
PHONE , FAX '
EMAIL
STATE UC,# STATE UC,# CLASS CllY BUS, UC,#
(Sec. 7031.5 Business an Prot ssions Code: A City or County which requires a permit to construct, alter, improve, demolish or repair an~ 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 Licen'se 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 [$500)). _ ·
Workers' Compensation Dec;laration: I hereby affirm under penalty of perjury one of the following declarallons:
B I have and will maintain a certificate of consent to self.insure forVtllrkers' compen~tion as provided by Seciion 3700 of the Labor Code, for the performance of the work for which this permit is issued.
. I have and will maintain worj(ers' c(!mpensation,.as reQuire.d ):>y Section 3700 of tlJe1<1.bor CO!le, for the perform§nce of the work for which this permit is tssued. My workers' compensation Insurance carrier and policy
number are: Insurance Co. __ ~--~~----~-~~~~~~~ Policy No .. -' Expiration Date~------~-
Thls section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify thatln the performance of.the Vtllrk for which this permit Is Issued, I shall not employ any person In any manner so as to become subjectto the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
_NS CONTRACTOR SIGNATURE OAGENT DATE
I hereby affirm that I am exempt from Contractor's license Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the Vtllrk and the structure Is not intended or offered for sale (Sec. 7044, Business.~!]g1fofessions Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improve!pents are not Intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 62(;, as owner oflhe property, am ex,clusively contracting with licensed contractors to construct the project.(Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
D I am exempt under Section_~ __ Business and Professions Code for this reason: .
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes [J(o' :!"".,;;;-J;,~ i:~;fo'3lf '2--$
2:1 ~I have not) signed an application for a building permit for the proposed work. ·' · _, • ( ~ _, \ ,_Qt' Ja
3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone / contractors' license number): Cfl€W ~IJ I f...~ ~ 1 ~Sw 5 -v,'Cl>
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (Include name/ address I phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (Include name I address / phone / type of work):
~ PROPERTY OWNER SIGNATURE ~ENT DATE 2-
Is the applicant or flJlure building occupant required to submit a bysln~~ utely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes · No -;-.,../
Is the applicant or future bu[ld}ng occupant required to obtain a permit fro · ~ Ir pollution control district or ~1r _q_u · management c!istrict? . 'Yes A No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? . Yes · o
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED LES THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVIC!:S AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the above information is correct and that the Information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I t]ereby authorize representative of the City of Carlsbad kl enter U!X)n 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 ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0' deep and demolltion or construction of structures.over 3 stories in heght.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitatk>n and become null and void if the building or work authorized by such permit is not commenced within
180 days· from the date of such peimit or if the building or work authorized 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).
_.@$' APPLICANT'S SIGNATURE 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.
CERTIFICATE OF OCCUPANCY /Commercial Projects On lyJ
Fax (760)602-8560, Emailwww.building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY ... STATE ZIP CITY STATE ZIP
Carlsbad CA ". PHONE I FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICKUP: CONTACT (Listed above) OCCUPANT (Listed above)
.CONTRACTOR (On Pg. 1)
ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER:
CHANGE OF USE/ NO CONSTRUCTION
---~ -----------------------------. -·-.
./i5 APPLICANT'S SIGNATURE DATE 1635Faraday Ave., Carlsbad, CA 92008
,,
·Inspection List
Permit#: CB121156 Type: Tl
Date Inspection Item
10/24/2012 89 Final Combo
10/24/2012 89, Final Combo
10/4/2012 34 Rough Electric
9/18/2012 39 Final Electrical
9/7/2012 39 ·Final Electrical
8/3 t/2012 11. Ftg/Foundation/Piers
8/31/201211 Ftg/Foundation/Piers
8/29/2012 84 Rough Combo
8/29/2012 84 Rough Combo
8/23/2012 66 Grout
8/15/2012 11 Ftg/Foundation/Piers
8/8/2012 17 Interior Lath/Drywall
8/6/2012 17 Interior Lath/Drywall
8/6/2012 44 Rough/Ducts/Dampers
8/1/2012 14 Frame/Steel/BoltingNveldin
8/1/2012 21 Underground/Under Floor
8/1/2012 24 Rough/Topout
8/1/2012 34 Rough Electric
Wednesday, October 24, 2012
INDUSi
Inspector. Act
RI
PB AP
PB CA
PB CA
PB AP
PB AP
PB AP
PB AP
PB AP
PB AP
PB AP
PB .AP
PB PA
PB PA
PB AP
PB AP
PB AP
PB PA
NIXON: 4862 SF WAREHOUSE TO
OFFICE, BUILD NEW RAMP & DOORS AT
Comments
Page 1 of 1
l'
City of Carlsbad 12~1156
6/28/12
$PECtAt INSPECTION
AGREEMENT
8-45
p~velo-emrmt Servlc,es
nulldlng OM~i(ln
1Cu5 Fataday Awmui,
7fiil{:1.>.i.;r.1·19
v.w1\•.car!sba<tc1t,r.,o,1
1n .i~rdil~9 with Chapb,t1"7 of th, cami;irillil BulMin!J 00<!9 tfl(i·f,:illow!ng m11st-be completed 111hi.n work bl'iO,!l po!formoo
req_ulrquJMcl.-l 1n&JXt~on, s.ttuctural e>l>JtNallon .-.nli i.:a.n~ruation mat;i'rfal tqs.tinlJ,
)roj~Qt/Permit; _C..fLJ.i.JL§.6. ... _ .. ~... Project Addre~s:o2.0..9J .. __ -~~cl.,-... &.d. ... 6.u/;(J., I 00
~bocl.j aA
A. TlilS '$,ECJION MUST Bl; Cf,>rllPI..ETSD BY J'HE PflOPERTY OWNERfAUTHORl;~r;> AGENT. Pl1t;i~ chec-.l< ii yrY.1 ,m.~ O-.,n11-.r-81zif(l,;-;
iJ. (if)'OU o!J8Ck.8ll GIHYl/!ltl~~E'f }'Oll !l)lJEl.i!!-0 00fl'1)1!!te $er-t1or, 8 Ol 1hls il~fe~nl.)
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Ma~ng.Addres~;,_\oL~----~~~ \loo 4v ~,k.. ( <ca.I <;;A •• {J)'fl/
l~m$1l: .. ~)~.? .... C.~-~_t~-!.~., .. :~.~--· .... ··-· ..... Phone·_.b(.q_ .. -:o .. J.::::u..~
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Staie.of California Regislratioo N•Jtrrre,__ ___ .• _ .•. -·-·-· _____ &:p'i"~ion Dale: ___ ........... --.. ---
AGREEMENT·.!, Ille \llldetG!gl~IJd, d(,<el:.\10 u11t..'\lt f:<'Jr~IL,· or J:t)rjU!'y Utll.t<l! thO·l:.\1'1'$ or UitJ.Slato r..r CtiHorr..i;J, Rl!lt I l\,,~\'ts rm:1~
ynd~ff!l~mct, ~i;:!i;nt,i\'i'.:,{,d!)!'l ~r(q r.ro,ni~~ to ~0~1i-y with i!'I& C:iW ~':\1' c';at.'$1;,.j~! r£!q,1ir~rn&/lts 1or ~p/li::ifJII iiri~!OP-$, stN.<;lt1f'al
·o.bser,talians, comtrucUcm maleriat; w.;ting and off-s~~e fabtiClcllis:m cif t:ui!cfing tomp:>nents1 as p.;e:1:J:ril:ed ~ ~he s1aiemer=t oi
sr;,.."t.'iio! iris -· . . · · ~t;e iip;:,rowxl p'mn;Hu'll.t as 1oc,Jlr<•d 11,-Uw Ci:,iiromi3 Bui~ Codo. , 1,..-/
Sig ur _ . . ______ Date: __J~"' f ·---·-._
.................................. _ ................. -.............................. Date·7 --/2. .. "' /Z ..... / .......... .
Rnv. r.P,l11
EsGil Corporation
In (l'artnersliip witli qo1Jernment for (J3ui(aing Safety
DATE: 7/23/12
JURISDICTION: City of Carlsbad
PLAN CHECK NO.: 12-1156
PROJECT ADDRESS: 2091 ·Rutherford Rd
PROJECT NAME: Nixon -Tl
SET: II
CJ Age[DANT
@)URIS . .'
c:r PLAN REVIEWER
CJ FILE
IZ! 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 c·orrected 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:
IZ! EsGil Corporation staff did not advise the applicant that the plan check h~s been completed.
D EsGil Corporation staff did advise the applicant that the plan check has been completed.
. I
Person contacted: Telephone #:
Date contacted: (by: ) Email: Fax#:
Mail · Telephone
D REMARKS:
Fax In Person
By: Doug Moody
EsGil Corporation
D GA D EJ D PC
Enclosures:
7/16/12
9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576
EsGil Corporation
In a!artnersliip witli <]overnment for mui(aing Safety
DATE: 6/28/12
JURISDICTION: City of Carlsbad
PLAN CHECK NO.: 12-1156
PROJECT ADDRESS: 2091 Ruther.ford Rd
PROJECT NAME: Nixon -Tl
SET:I
~ANT
~
Cl PLAN REVIEWER
Cl 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 .
. C8J 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.
C8J The applicant's copy of the check list has been sent to':
Ware Malcomb / Tiffany English
6363 Greenwich Dr Suite 175, San Diego, CA 92122
D EsGil Corporation staff did not advise the applicant that the plan check has been completed.
C8J EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Tiffany English Telephone#: 858-638-7277
Date contacted: "-l.ct-12.. (by:t),t) Email: tenglish@waremalcomb.com Fax #: 858-368-7506
G Mail v' Telephone ./' Fax In Person
D REMARKS:
By: Doug Moody
EsGil Corporation
D GA D EJ D PC
Enclosures:
6/19/12
9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576
City of Carlsbad 12-1156
6/28/12
PLAN REVIEW CORRECTION LIST
TENANT IMPROVEMENTS
PLAN CHECK NO.: 12-1156
OCCUPANCY: B /Sl
TYPE OF CONSTRUCTION: VB
ALLOWABLE FLOOR AREA:
SPRINKLERS?: Yes
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION: 6/18/12
DATE INITIAL PLAN REVIEW
COMPLETED: 6/28/ 12
FOREWORD (PLEASE READ):
JURISDICTION: City of Carlsbad
USE: Office
ACTUAL AREA: 4862sf
STORIES: 1
HEIGHT:
OCCUPANTLOAD: 59
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 6/19/12
PLAN REVIEWER: Doug Moody
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 201 O CBC, which adopts the 2009 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 2009 International Building Code, the approval of the plans does not permit the violation of
any state, county or city law.
To speed up the ·re.check 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 or Carlsbad 12-1156
6/28/12
·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 one 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
review~d by the City Planning, Engineering and Fire Departments until review by
EsGil. Corporation is complete.
1. Each sheet of the plans must be signed by the person responsible for their
preparation, even though there are no structural changes. Business and
Professions Code.
2. Provide a section view of all new interior partitions. Show:
a) Method of attaching top plates to structure. (Please revise detail 4 on
· sheet A8.1 to show the spacing of the studs use as lateral bracing to 4' or
provide calculations to show the 8' spacing adequate).
3. Please correct th~ occupant load for the tenant space there is no accessory
exception. The_tenant space requires two complying exits.
4. ~gress from a room through an adjoining room for the shipping and receiving
room (Section 1014.2):
a) Shall not be permitted, unless:
i) Such adjoining rooms are accessory to the area served, and
ii) Such adjoining rooms are not a high-hazard occupancy, and
iii) Such adjoining rooms provide a· discernible path of egress travel to
an exit.
b) Egress shall not pass through kitchens, store rooms, closets or spaces
used for similar purposes.
5. · Exits should have a minimum separation of one-half the maximum overall
diagonal dimension of the building or area served. Section 1015.2.1. Where a
building is equipped throughout with an automatic sprinkler system, the
separation distance may be reduced to one-third of the diagonal.
6. Please revise the plans to show the required emergency egress lighting per
section 1006.3 of the CBC.
dity of Carlsbad 12-1156
6/28/12
7. On the cover sheet of the plans·, specify any items requiring special inspection, in
a format similar to that shown below. Section 106.3.2.
• REQUIRED SPECIAL INSPECTIONS
· In addition to the regular inspections, the following checked items will also require
~pecial Inspection in accordance with Sec. 1701 of the Uniform Building Code.
ITEM
FIELD WELDING .
EXPANSION/EPOXY ANCHORS
STRUCTURAL MASONRY
REQUIRED? REMARKS
8. Please complete the City of Carlsbad Special Inspection Agreem~nt enclosed.
9. Please review the requirements, revise the plans appropriately and imprint on
· the plans the City of Carlsbad Policies and Procedures for Roof Mounted
Equipment to the plans. ·
10. Please provide a roof plan showing the new roof mounted equipment and ·a
service .receptacle located less than 25' from the new equipment and GFCI
protected.
11. Please revise the single line diagram to show the conduit and conductors feeding
the new 75 KVA transformer.
12. Please revise pahel LA to show a main over-current protecting the panel. NEC
408.36.
1'3. · Please have the document author and the principle designer of the L TG-1 C form
sign thejmprinted document.
14. Provide complete energy designs for the proposed changes in the building
envelope. Provide the completed ENV-forms showing energy compliance.
15. On the plans clearly show the wall and roof insulation locations, thickness, and
R-values, as .per the energy design. Show a minimum of R-13 at the demising
wall.
16. The completed and signed ENV-1 forms must be imprinted on the plans.
17. Provide separate restroom facilities for each sex as per UPC, _Section 412.1.
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.
City o'f Carlsbad 12-1156
6/28/12
Please indicate here 1f 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 CJ No CJ
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 12-1156
6/28/12
.SPECIAL mi:sPee,:10.N.
~G'~EE;M E:NT :a·4$;
D:evelopment Se.rvic.es
Builil1rfgQivisipn'
1635 Faraday-Avenue
760-602-27:19'
·WVJW,(afis.b~tlq,.gQv,
·in.gcggrq~l'lc,J0WJttf C;;J1apt~i.'17'Qf\'tfi~''C;~1.itq.r11la~.~Jdlq[t\~FC9~ff!!Ei fi;>Jlq'#.ing. ittPS:fP~! ~-o,lu rt!ii.t~d-W.!1eii.'W.?:r.K·!rel,rig:·p:E!l'f9.rroed
'r.Jqgi~s:sp_ei:;1a:1 rns),~iittpJ.t,r1..tr·µ.i:fq@t<>~.sii~~liiif1,~t:'i'.!::t:1,i;1fstll!¢tion;m·,ft~ria11:¢~ing:
A, i:HJS'i$J:gtJqN:MPS'l).BE'90M.P.L,,ETE;P: BY Tl-!E!Pir~.PE~r:i'. e1&NER,ie;0THORl?E!;)$.G.El':IT; P.IE\ia~ phec,k: if y,04 i(re Owner-Builder
.O. Jlf y!'lui.cliecked' as. owner.0J;uiJder-iou. rn!JsfaaJso:ctirnplete.cSec;(ipr; !3 .o.f.ithis.,a·~ reementt
Name:, (Pl~(l.Sepffn!,,_·, ___ __,...,.,.,.,.-------~-,.,,=----------,..,.,..,.-----~ JFt¥J: '\Mir~ (l'.·a,u
MalJft:igAdgr-es·..., '~---~---------------------------
gmrcii..._: ______ ~---'-------------~ Ph'qne:~· --~-------
,A:ilREEMENT:' b. th~.1:11:ideJ$ig11ei::!, :deiclar,e; uMl:l.t piS!n,al~Y:9f):it9fj\:Jry~under the laws of. tfae,Sf;3.te of dalifomta,, lbatl have0re·ad;
.ungerat;3.~d; ~C~f)0Vffeci,9~f~ng 1;>(omj~e,,~··.Q'0m~)tW1~1:l :tl:\\:J\'~it,i .Of 'Q'a;rf~b~d ,reqµfrerj'lehts for. ~pecit:i! ibs~ectior:,s, structurar
·c;1bser..1.at1oris; 'C'OF1s1r1,Jcf10m rpatena,)$testing rcmd ,off-s1te,.fa,br1qqit1011 ,:otby1ldlng "Compor;ientsi as .pres,cnbed in .the,:sta,tement of
~pe9ia] 'imspeetioos,nof~cJ on the'apprqved\pfans·:ar\E!1 a~;'reql,lired;by-·the -~afifor:nia, Suilaintr00tle.
·s(gni:ilur:: J;iiate:· ___ ----------
:s. ,.~01m~~jj:t.0R-'$':'sMter,fef·tt\QF'RESP:P.N$'1BJGjt-'l\(6,1:;~13_01 o.1t1ir.$:ection· flO$): TfiLs :s:ectioh ·musfoo.-aornpleted ;by tf:le
,!1,(li:lttaptorP~M)l~~r."l o:,Yrt!;r•~iJd~t;-
Ert\'all:~. ~~---------~--~-.---"'--,,-----Pm.oFJe_' _________ _
:Statl:i;or.ea1i(0rhia Conttactors,Llce·ns:ei~amoerc,_: -~------~,Expiration oate: ______ _
t-1_,atkhPWJe~·e ·M~,.,?:tn:ij.W~terP-f.'.~~Plc!!J :r:e.~ui:r~m~n.ts,J::lititaiiti&o i1t.tfi~':st'ate:me:nt:of'.speciaJ inspe'c:tiol'is· noted on
lh~,.ap~QY.e'p platfsf . . . .
• J.ap~bo ·· · , ,tb~t. ~oh.tr,{:)l'WilJ:la~:~xerci.s.e9;t~:dPtain,P:o.nfqrrfiafld:e. with the,eo.nsJ.ruotib.n:000,uments .approv~d by th~
P,Uilc;firi.9 , ' ·
• 1 will: mif~e iii•pfae~,p:r~c:e~urn~:f.<ir;e)(eti:if§it1g·:c0ntfoJ-Witn:in~Q!Jt;Utie1eQbtracfctfl~J org~nizat[Qli, tor tl:ie methos ·ario
fr~.ql)er-1cf of teW:r:tif.l9.·car:i~l:'thlt~l§tr-ibutiQi:i;Qf'tt1eJeJ1or,fsratio ·' ·
• 1; $.ettiffthaf l, wf u have,,$_, q\:ll:illfte:a:p1;tt$0J:1'WJtqin. J:iJ,:i(;(thJ!)q(jJ')tt~ct.or-'iH ·0 rgar\izatioti ·.to exercise suen contro.l.
• 1 will provide-a ,final r:e'poitJ:lettet:iii\carrfbliancii"llith~csc:section ~1.704.'1.2 tii:iorto· teauesting final
.1mipection.
:$'ign~tJJt~.~: --------,----..---'--'--,--C.----~Cli,:!te: __________ _
J~ey, osr11
City of Carlsbad 12-1156
6/28/12
[DO NOT PAY-THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Carlsbad
PREPARED BY: Doug Moody
PLAN CHECK NO.: 12-1156
DATE: 6/28/12
BUILDING ADDRESS: 2091 Rutherford Rd
BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: VB
BUILOING AREA Valuation
PORTION ( Sq. Ft.) Multiplier
Tl 4862 37.12
Air Conditioning
Fire Sprinklers
. TOTAL VALUE.
Julisdk:tion Code cb By Ordinance
Bldg. Perml Fee by Ordnance •
Plan Oleck Fee by 0rdi.nance •
Type of Review: 0 Complete Review
ORepetitive Fee
,.. Repeats
Comment$:
D 0th.er
D Hourly
EsGil Fee
· Reg. VALUE
Mod.
D Structural Only
($)
180 477
18Q,477
$1,013.141
$658.541
$567.361
Sheet 1 of 1
macvalue.doc +
«1~ ¥ CITY OF
_CARLSBAD
PLAN CHECK
· REVIEW
TRANS MITT AL
Community & Economic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www.carlsbadca.gov
DATE: 7/17/12 PROJECT NAME: NIXON TENANT IMPROVEMENT (LOT 51-CRC UNIT 4) PROJECT ID: CT 85-24
PLAN CHECK NO: CB 12-1156 SET#: 2 ADDRESS: 2091 RUTHERFORD RD APN: 212-120-25-00
VALUATION: $180,477
r77 T~i7 ~Ian check review is complete and has been APPROVED by the
LY.J D1v1s1on. . .
By:t?('~
A Final Inspection by the CM&I Division is required i-···ves [{, No
D This plan check review is NOT COM_PLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check Comments have been sent to: tenglish@waremalcomb.com
You may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the issuance of a building permit.
Resubmitted plans should include corrections from all divisions.
For questions or clarifications on the attached checklist ph~ase contact the following reviewer as marked:
.. . " ' .--•• <
. .;•
PLANNING ENGIN.EERING ' ' :FIRE PREV.eNTION . ,·
760-602-4610 . 760-602-2150 '. '· .. ' 76.0-602-4665 : •'. ' ". '' '··-. "" 1>4,,. ·,,h,<,"'-/it,.~J~~ID'G. " ..,,,..,....,. . " ~ .... ,, ',. ",. -. •' . ... ..
D Chris Sexton Kathleen Lawrence D Greg Ryan
760-602-4624 760-602-27 41 760-602-4663
Chris.Sexton@carlsbadca.gov Kathleen,Lawrence@carlsbadca.gov Gregory.Ryan@carlsbadca.gov
',.
l _J Gina Ruiz [l] Linda Ontiveros ---·-1 Cindy Wong l i
1. "760-602-4675 760-602-2773 l__j 760-602-4662
Gina.Ruiz@carlsl)adca.gov Linda.Ontiveros@carlsbadca.gov Cynthia.Wong@carlsbadca.gov cl D (-; Dominic Fieri _J ' ' C ___ ! 760-602-4664
Dominic.Fieri@carlsbadca.gov .
Remarks: r.;;;;~~;;;;:;1;;..m.,g.~cyc;,n.,;;;j,~;;,;~~ii~ f~r t~e Tier 1 S\andOrd .$lo(~~ler.)
· ·· HUft£_£E?.J@J!i8ffflf,ffiJl'fn1:$)isw.12~291j : r ., ·
' .
, ! ·Thank you. ' · .
*** Fee Calculation Worksheet ***
ENGINEERING DIVISION
CT 85-24 #4
LOT 51
. ***This may not represent a comprehensive list of fees due for this project. Please contact the Building division at (7 60) 602-2719 for a complete listing of fees.
Prepared by: LINDA ONTIVEROS
Address: 2091 RUTHERFORD RD
Date: 7/11/12 GEO DATA: LFMZ: / B&T:
Bldg. Permit#: CB 12-1156
· Fees Update by: lo Date: 7/17/12 Fees Update by:
EDU CALGULA TIONS: List types and square footages for all uses.
Types of Use: OFFICE SqJt./Units 4,862/1800
Types of Use: [SHELL CREDIT] Sq.Ft./Units [4,862/5000]
EDU's: 2.70
EDU's: [.97]
Date:
Types of Use: Sq.Ft./Units
Types of Use: Sq.Ft./Units
EDU's: TOTAL EDU's: 1.73
EDU's:
ADT CALCULATIONS: List types and square footages for all uses.
Types of Use: OFFICE Sq.Ft/Units 20/1000 (4,862)
Types of Use: [SHELL CREDIT] . Sq.Ft/Units rs/1000(4,862)1 .
ADT's: 97
ADT's: [24]
Types of Use:
Types of Use:
Sq.Ft./Units
Sq.Ft./Units
ADT's: TOTAL ADT's: 73
ADT's:
FEES REQUIRED:
Within CFD:[Z]YES (no bridge & thoroughfare fee in District #1, reduces Traffic Impact Fee) D NO
1. PARK-IN-LIEU FEE:ONW QUADRANT ONE QUADRANT OSE QUADRANT OW QUADRANT
ADT'S/UNITS: I X ·FEE/ADT: I =$ 0
2.TRAFFIC IMPACT FEE:
ADT'S/UNITS: 73 I X
3. BRIDGE & THOROUGHFARE FEE:
ADT'$/UNITS: I X
4. FACILITIES MANAGEMENT FEE
ADT'S/UNITS: I X
5. SEWl:R FEE
·EDU's 1.73 IX
BENtFIT AREA:
FEE/ADT: $93.00
ODIST.#1
FEE/ADT:
ZONE:
FEE/SQ.FT./UNIT:
FEElEDU: $1,096
1.=$ 6,789
.·ODIST.#2
I=$ o
I=$ o
I =$ 1,896.08
DDIST.#3
EDU's 1.73
6. DRAINAGE i=EES:
1x
PLDA:
FEE/EDU: $2,976 . I =$ 5,148.48
DHIGH DMEDIUM 0LOW
ACRES:
7. POTABLE WATER FEES:
UNITS CODE·
1x FEE/AC: I =$ 0
GQNN. FEE METER FEE SDCWA FEE TOTAL
..
~· .~~~
'·
~~.,~');1/ ~ CITY OF
CARLSBAD
PLAN CHECK
REVIEW
TRANSMITTAL
Community & Ec;onomic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www.carlsbadca.gov
DATE: 7 /12/12 PROJECT NAME: NIXON TENANTIMPROVEMENT (LOT 51-CRC UNIT 4) PROJECT ID: CT 85-24
PLAN CHECK NO: CB 12-1156 SET#: 1 ADDRESS: 2091 RUTHERFORD RD APN: 212-120-25-00
VALUATION: $180,477 r-J T~i~ ~Ian check review is complete and has been APPROVED by the
L_ D1v1s1on.
By:
A Final ·Inspection by the Division is required Oves Ll No
!VI this plan check review is NOT COMPLETE. Items missing or incorrect are listed on
1..6.i the attached checklist. Please resubmit c;1mended plans as required.
Plan Check Comments have been sent to: tenglish@waremalcomb.com
You may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the ·issuance of a building permit.
Resubmitted plans should include corrections from all divisions.
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
D
,: "' PLANNING·•
' ,' , ~ : >' i
• .. 760-6024610 · , ,
Chris Sexton
760-602-4624
Chris.Sexton@carlsbadca.gov
D Gina Ruiz
760-602-4675
Gina.Ruiz@carlsbadca.gov
D
Remarks:
Kathleen Lawrence
760-602-27 41
Linda Ontiveros
760-602-2773
Linda.Ontiveros@carlsbadca.gov
n GregRyan
--760-602-4663
Gregory.Ryan@carlsbadca.gov
D Cindy Wong
760-602-4662
Cynthia.Wong@carlsbadca.gov
D Dominic Fieri
760-602-4664
Dominic.Fieri@carlsbadca.gov
0
CB 12-115(;
**See below
for further
clarification**
Set# 1
Any outstanding issues will be marked with ~· . Make the necessary corrections for
compliance with applicable codes and stan arils. Submit corrected plans and/or
specifications to the Building division for re-submittal "to the Engineering division.
Items that conform to permit requirements are marked with[Z]
1. SITE PLAN
Provide a fully dimensioned site plan dr~wn to scale.
Show:
D [ZJ North arrow
00 CJ Existing & proposed structures
D W Existing street improvements
D W Property lines (show all dimensions)
D m Easements
D
D
D
D
[ZJ Driveway widths
[Z] Existing or proposed sewer lateral
[ZJ Existing or proposed water service
[ZJ Submit on signed approved plans:
DWGNo.
D m Right-of-way width & adjacent streets
,rt{-e-U ,.~ oNe E1'15f'"JIV€a bOl l-OIN~
ON 11-fl.S $IT~.
Show on site plan:
D m Drainage patterns (Tenant
Improvement) D [lJ Building pad surface drainage must maintain a minimum slope of one percent towards an adjoining
street or an approved drainage course.
**Please
provide the
breakdown of
uses for this Tl
D. [l]ADD THE FOLLOWING NOTE: "Finish grade will provide a minimum positive drainage of 2% to swale
5' away from building".
D [L] Existing & proposed slopes and topography
D
D
[Z]size, location, alignment of existing or proposed sewer and water service(s) that serves the project.
Each unit requires a separate service; however, second dwelling units and apartment complexes are an
exception.
W Sewer and water laterals should not be located within proposed driveways, per standards.
Include on title sheet:
D [lJ Site address
D [Z] Assessor's parcel number
D [Z] Legal description/lot number
IX] D· For commercial/industrial buildings and tenant improvement projects, include: total building
square footage with the square footage for each different use, existing sewer permits
showing square footage of different ·uses (manufacturing, warehouse, office, etc.) previously
approved. R~ 10 '6l-\-tf:-T ~0-l /~. ~,~/~~ OCC....
as described** 00 D Specifically, there is a service/shipping/receiving area within the scope of this tenant
improvement -please provide the exact square footage of this area to accurately
E-36
.assess fee~. 71t~ ~ ~/)CT\)~ A \t'-l~ ,A+.1D t\t"E::-P~
H~~RaJl~.
Lot/Map No.: 51 / CT 85-24 #4
Subdivision/Tract: CARLSBAD RESEARCH CENTER
Reference No(s}:
Page2 of6
a
a
REV 6/01/12
'CB 1.2-1156
E-36
Set# 1
2. DISCRETIONARY APPROVAL COMPLIANCE
CJ [Z] Project does not comply with the following engineering conditions of approval for project no.:
N/A
3. DEDICATION REQUIREMENTS
D CJ Dedication for all street rights-of-way adjacent to the building site and any storm drain or
utility easements on the building site is required for all new buildings and for remodels with a
value at or exceeding $ 20.000:00 , pursuant to Carlsbad Municipal Code Section 18.40.030.
For single family residence, easement dedication will be completed by the City of Carlsbad,
cost $605.00.
CJ [ZJ Dedication required as follows:
N/A
4. IMPROVEMENT REQUIREMENTS
·o D All needed public improvements upon and adjacent to the building site must be constructed
at time of building construction whenever the value of the construction exceeds
$100.000.00, pursuant to Carlsbad Municipal Code Section 18.40.040.
CJ [ZJ Public improvements required as follows:
N/A
D LJ Construction of the public improvements must be deferred pursuant to Carlsbad
Municipal Code Section 18.40. Please submit a recent property title report or current grant
deed on the property and processing fee of $ 441 QO so we may prepare the necessary
Neighborhood Improvement Agreement. This agreement must be signed, notarized and
approved by the city prior to issuance of a building permit.
D [ZJ Future public improvements required as follows:
N/A
Page 3 of6 REV6/01/12
; '
CB 12-1156
E-36
Set# 1
5. GRADING PERMIT REQUIREMENTS
The conditions that require a grading permit are found in Section 15.16 of the Municipal
Code.
D Olnadequate information available on site plan to make a determination on grading
requirements. Include accurate grading quantities in cubic yards (cut, fill, import, export and
remedial). This information must be included on the plans. If no grading is proposed
write: "NO GRADING"
D D Grading Permit required. NOTE: The grading permit must be issued and rough grading
approval obtained prior to issuance of a building permit.
D D Graded Pad Certification required. (Note: Pad certification may be required even if a grading
permit is not required.) All required documentation must be provided to your Engineering
Construction Inspector . The inspector will then
provide the engineering counter with a release for the building permit.
D [lJ No grading permit required.
D D Minor Grading Permit required. See attached marked-up submittal checklist for project-
specific requirements.
6. MISCELLANEOUS PERMITS
D [ZJRIGHT-OF-WAY PERMIT is required to do work in city right-of-way and/or private work
adjacent to the public right-of~way. Types of work include, but are not limited to: street
improvements, tree trimming, driveway construction, tying into public storm drain, sewer and
water utilities.
D D Right-of-way permit required for:
Page 4 of 6 REV 6/01/12
Set# 1 CB 12-1156
7. STORM WATER
Construction Compliance
CJ D Project Threat Assessment Form complete.
**Ramp DD construction
Enclosed Project Threat Assessment Form incomplete.
requires form [X] D Requires Tier 1 Storm Water Pollution Prevention Plan. Please complete attached form
E-29 to be and return (SW 12-291 ) A ::,rofl.m WA-re-~ pouo-r 10N (,I Jt..EIIE/1.> -
completedand ·noN tlo~ fl~ve l:?~AI A-l>Z>e-1> -ro -rl-!e .sire l'LA/V ANl>
returned** CJ D Requires Tier 2 Storm Water Pollution Prevention Plan. Requires submittal of Tier :,_)
SWPPP, payment of processing fee and review by city. JJ\ll>I C A'T't:7> -hr ~f-1~ ~
E-36
.Sm 19(.,.I.. 14~EAS WI/tree
-rf/~ G 1:.,..-t!. WI t..t.. J:;, € Post-Development {SUSMP) Compliance
D
D
CJ Storm Water Standards Questionnaire complete. ,ncz,1 F/i:!'J>.
CJ Storm Water Standards Questionnaire incomplete. Please make the corrections, re-sign
the questionnaire and resubmit with next submittal.
CJ D Project is subjectto Standard Storm Water Requirements. See city Standard Urban
Storm Water Management Plan (SUSMP) for reference.
http://www.carlsbadca.gov/business/building/Documents/EngStandsw-stds-vol4-ch2.pdf
CJ D Project needs to incorporate low impact development strategies throughout in one or
more of the following ways:
D Rainwater harvesting (rain barrels or cistern)
D Vegetated Roof
D Bio-retentions cell/rain garden
D Pervious pavement/pavers
D Flow-through planter/vegetated or rock drip line
D Vegetated swales or rock infiltration swales
D Downspouts disconnect and discharge over landscape
D Other:
Page 5 of6 REV 6/01/12
,.
CB 12:-1156 ·set# 1
9. WATER METER REVIEW
Domestic (potable) Use !SC£ £° "t. rr, IJ €\ w fl('re~ me-r€-/!.. Ll. [ZJ What size meter is required? loc.wr1QN f,.t. O J ~~ t~TlfJGi ,ne,Ge r.S
D !FYI I Where a residentic:tl unit is required to have an automatic fire -o2 11 ~Ii!ۥ
extinguishing system, the minimum meter size shall be a 1" meter. .See f I I
NOTE: the connection fee, SDCWA system capacity charge and the ·, •
water treatment capacity charge will be based on the size of the meter FO t WATG~
necessary to meet the water use requirements. D IFYI I For residential units the minimum size meter shall be 5/8", except where rl ~j(J/if.
the residential unit is larger than 3,500 square feet or on a lot larger than ..:5VfYI /YI At:.-'j
one quarter (1/4) acre where the meter size shall be¾". fb fl -r tf €
bO) l l) \ NG, •
8. FEES ;H€ ,2' 1 w Pr-rf:--1...
rnG--r~e. ih
ADGqvArG .. **Need
breakdown of
shipping area
to accurately
assess fees**
DD
DD
DD
DD
Required fees have been entered in building permit.
Drainage fee applicable
Added square feet
Added square footage in last two years? D yes D no
Permit No.
Permit No.
Project built after 1980 Dyes D no
Impervious surface > 50% Dyes D no
Impact unconstructed facility Dyes D no
Fire sprinklers required Dyes Ono (is addition over 150' from center line)
Upgrade Dyes Ono
No fees required . ·
10. Additional Comments
Attachments: D Engineering Application [l] Storm Water Form D Right-of-Way Application/Info. Reference Documents
E-36 Page 6 of6 REV 6/01/12
\
*** Fee Calculation Worksheet
ENGINEERING DIVISION
CT 85-24#4
LOT51
Prepared by: LINDA ONTIVEROS
Address: 2091 RUTHERFORD RD
Fees Update by:
Date: 7/11/12 GEO DATA: LFMZ: / B&T:
Date: Fees Update by:
Bldg. Permit#: CB 12-1156
Date:
EDU CALCULATIONS: List types and square footages for all uses.
Types of Use: OFFICE . Sq.Ft./Units 4,862/1800
Types of Use: [SHELL CREDIT] Sq.Ft./Units [4,862/5000]
Types of Use: Sq.Ft./Units
Types of Use: Sq.Ft./Units
ADT CALCULATIONS: List types and square footages for all uses.
Types of Use: OFFICE Sq.Ft./Units 20/1000 (4,862)
Types of Use: [SHELL CREDIT] Sq.Ft./Units rs/1000(4,862)1
Types of Use:
Types of Use:
FEES REQUIRED:
Sq.Ft./Units
.. Sq.Ft./Units.
EDU's: 2)0
EDU's: [.97]
EDU's:
EDU's:
ADT's: 97
ADT's: [24]
ADT's:
ADT's:
Within CFD:OYES (no bridge & thoroughfare fee in District #1, reduces Traffic Impact Fee) ONO
1. PARK-IN-LIEU FEE:ONW QUADRANT ONE QUADRANT OSE QUADRANT . OW QUADRANT
ADT'S/UNITS: I X FEE/ADT: I =$
2.TRAFFIC IMPACT FEE:
ADT'S/UNITS: < > I X
3. BRIDGE & THOROUGHFARE FEE:
ADT'S/UNITS: I X
FEE/ADT: $93.00
ODIST.#1'
FEE/ADT:
I=$»>
ODIST.#2
I=$
4. FACILITIES MANAGEMENT FEE ZONE:
ADT'S/UNITS:
5. SEWER FEE
EDU's < >
BENEFIT AREA:
EDU's < >
6. DRAINAGE FEES:
ACRES:
7. POTABLE WATER FEES:
I X FEE/SQ.FT./UNIT: I=$
I X ~EE/EDU: $1,096 I=$ >»
1x
PLDA:
1x
FEE/EDU: $2,976 I =$
OHIGH D MEDIUM
FEE/AC: I=$
ODIST.#3
0LOW
UNITS CODE CONN. FEE METER FEE SDCWA FEE TOTAL
***This may not represent a comprehensive list of fees due for this project. Please contact the Building division at (760) 602-2719 for a complete listing of fees.
,i>
t.
«~1?> ~ CITY OF
CARLSBAD
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP
E-29
STORM WATER COMPLIANCE CERTIFICATE
./ My project is not in a category of permit types exempt from the Construction
SWPPP requirements
./ My project is not located inside or within 200 feet of an environmentally
sensitive area with a significant potential for contributing pollutants to nearby
receiving waters by way of storm water runoff or non-storm water
discharge(s).
./ My project does not require a grading plan pursuant to the Carlsbad
Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code)
./ My project will not result in 2,500 square feet or more of soils disturbance
including any associated construction staging, stockpiling, pavement
removal, equipment storage, refueling and maintenance areas that meets
one or more of the additional following criteria:
• located within 200 feet of an environmentally sensitive area or the
Pacific Ocean; and/pr,
• disturbed area is located on a slope with a gtade at or exceeding 5
horizontal to 1 vertieal; and/or
• disturbed area is located along or within 30 feetof a storm drain inlet, an
open drainage channel or watercourse; and/or
• construction will be initiated during the rainy season or will extend into
the rainy season (Oct. 1 through April 30).
I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT ALL OF THE ABOVE
CHECKED STATEMENTS ARE TRUE AND CORRECT. I AM SUBMITTING
FOR CITY APPROVAL A TIER 1 CONSTRUCTl0N SWPPP PREPARED IN
ACCORDANCE WITH THE REQUIREMENTS OF CITY STAN0ARDS.
I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST
MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES
TO THE MAXIMUM EXTENT PRACTICABLE TO MINIMIZE THE
MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO MINIMIZE
THE EXPOSURE OF STORM, WATER TO CONSTRUCTION RELATED
POLLUTANTS; AND, (2) ADHERE TO, AND AT ALL TIMES, COMPLY WITH
THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP THROUGHOUT THE
DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE
CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF
CARLSBAD.
7-~· l-Z.-.-
DATE
E-29
STORM WATER POLLUTION PREVENTION NOTES
1. ALL NECESSARY EQUIPMENT AND MATERIALS
SHALL BE AVAILABLE ON SITE TO FACILITATE
RAPID INSTALLATION OF EROSION AND
SEDIMENT CONTROL BMPS WHEN RAIN IS
EMINENT.
2. THE OWNER/CONTRACTOR SHALL RESTORE
ALL EROSION CONTROL DEVICES TO
WORKING ORDER TO THE SATISFACTION OF
THE CITY ENGINEER AFTER EACH RUN-OFF
PRODUCING RAINFALL.
3. THE OWNER/CONTRACTOR SHALL INSTALL
ADDITIONAL EROSION CONTROL MEASURES
AS MAY BE REQUIRED BY THE CITY
ENGINEERING OR BUILDING INSPECTOR DUE
TO UNCOMPLETED GRADING OPERATIONS OR
UNFORESEEN CIRCUMSTANCES WHICH MAY
ARISE.
4. ALL REMOVABLE PROTECTIVE DEVICES SHALL
BE IN PLACE AT THE END OF EACH WORKING
DAY WHEN THE FIVE (5) DAY RAIN
PROBABILITY FORECAST EXCEEDS FORTY
PERCENT(40%). SILT AND OTHER DEBRIS
SHALL BE REMOVED AFTER EACH RAINFALL.
5. ALL GRAVEL BAGS SHALL BE BURLAP TYPE
WITH 3/4 INCH MINIMUM AGGREGATE.
6. ADEQUATE EROSION AND SEDIMENT
CONTROL AND PERIMETER PROTECTION BEST
MANAGEMENT PRACTICE MEASURES MUST BE
INSTALLED AND MAINTAINED.
SPECIAL NOTES
Page 1 of 3
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
PROJECT INFORMATION
Site Address: ~Cf I R.U'fl+~J:>a -Assessor's Parcel Number::Z..12-l~ .... zs.a
Project ID: CB \z,-\ \ s~ a
Construction Permit No.: 6t,\f" I z.~ zq l
Estimated Construction Start Date ___ _
Project Duration ____ Months
Emergency Contact:
Name: 'Pe¾ -:;>~eHlCJ?,:<'; a
24 hour Phone:;_~_(~) '2.¥3-J\::;f:\ a
Perceived Threat to Storm Water Quality
D Medium
~ Low
If medium box is checked, must attach a site plan
sheet showing proposed work area and location
of proposed structural BMPs
Approved By: -....,...,.,__-a;....,.;----,...-----
REV 4/30/10
' .,
;
('
•,
.Be&t Management Practice
(BMP). Description ?'
CASQA.Deslgnation. ~
Construction Activity
ii7T Grad1ng/Sbil Disturbance
'Trenching/Excavation.
StockpUiha'
· Drilling/Borina
.Coricrete/~p,IJalt,Saw'
.cutting. ·
Concrete flatwoi'k
:1.lT Paving
Conduit/l?ipe Installation
Stucco/Mortar-Work
WastelDisP<>Sal ·
Staging/Lay Down Area .
l;=quipm¢nt:Maintepance
and Fuelina
Hazardous .Substance
Use/StoraQe
Dewaterina
Site Access~Across-Dirt
other:(Ust): .
:!!l ·~ 'O!S
Cl)• .9l :I:
'0• . 'Q) '.(!).
. l'-
U· ·w
Erosion Control
BIIP.s
. 'O ~ f liiJ Cl) ~ "',(/) :5 :::, ~., I!· ::i:o;g,o . ·. IU
"8: €~ 8., :12 111 ... £! s. w:·o C/J
0 0 · ~ oo· I C> I ....
W· w·. 0 \.I.I
Q. I! I-2f c C ~: QI. u. :Ji ' !f75/
..... I C'>I W 'W
"' "''
.~dimenU:.ontr.ol BMPs. I
'O C
,IV, : '§ ,g, .. :§1 Q) ~ ·e :5 ·a
:E Q), g> a, .!,;; ~. Cl' IX) IU, o· 'IU 1,§ J ·I! C Q . II! o,2 o:· ..i<: 1 ,§;g ·o. ·i..., !ii 'C
~. 1!· :111· C• :2,e c3 ' IU a, o· u. (/J.>. ·(/J' (/J a.-:
"'t': IQ. al t; .c,o 'o: UJ 'LU ~"Ir""· w' w 'UJ en! (I)! (/) (/) •(/) u,
:·A '·"Vi".'1
I I
--·u:;g,·.,
'Tracking No_n-SJ0.rm W~~r ·control
BMPs· ll~ent l;I.IIPs-
·W~ M~nagement.a~ Material&
Pollutloh.Control BMP.s
-=· I: C· 'c: 0 ·O ·o )f;j Q) 1 a C '8> E 2· O' '5 m, ,C;
:lii 'i C 'E :i'
:~'Cl) 2: 'C '15 M C
0 ·s!: O•, GI, (!) ·I o, ··!!! ::g 0 .. CI 'O. ·~ ,'OW 'O >. 0 ,c '\II C ~0 ·l!l·J . 0, ,IU ~ .~. ig,.: ,.9,!' .E :5.-g:· . -~--i/~:,' .:S ·o C ;s:. a,· ':eJ Jg ~ 'IU· ·o· 3k •111' i !/,' (; cp,._ ~.a:: a; 0.
re :g ;:~ 'O i· C ;8; a,
:ig 8 :l!l
~'
.Cl)
IU ·111 ~:· :::i: C ~; ::> ~:
iii :~-.9l e. :l!l ·a. :~' •c i :a,, JB': ~· ·a :15, i· • ,IU .,::ii: w . :_(/J, u:
1:.-,:~ ..... (') ,~, lo'? Ir. '' ch O:· ~· ~: (/) ·I-'I-z ?
.... , N ~ ·,r, u;> '(O ~ t ·t ~ 'i' ~ .l i
I I I I r I ] ,,.:,___,,__\1,
,,,
i
·• .. :x-·,·,. ii:
Instructions: Begin by;reviewirifi the Ust of construction -activities and checldhg the box to lhe:left of·any activity that v,111 «cur(HQlg·lhe. propOsed ~truc;tion._AdC! any ~ actMty·desqiptions ,in the
blank.activity desaiption boxes provided foe that purpose and place a checlfih the.box immediately to:the.letl'of the added' acti~ description, For eac;h activity.descrrlbed, plcls one 91' m~ bellt
management practices (BMPs) from.the lisf located ·along the top ol'the.form. -Then place.anX in-~ box at.the pl~~~ the a~vity ~ ln.\~·wi°' the BMP cok,lmn109 thia'f91'·8~ ~ivity UJat.~~
checked off !ind for each of ~:5*Cted BMPs selected.from the. list. F.Qr ~mP!e .,. ·1f the project i!lcludes;Jtte a~ss across dirt, then check the ~x to~ left cl "$ite ~·Ac.,'oss Dirt".. T!len tevi~
Jhe Ust for somethl'ng that-appl~ such ·a~ "$abllized Coos~on lngressti::gress•·i,i¢er Tr~ ConlroJ. ,Follow.~0!19 ttl8 "Site~-Ac;:ross 'Din" row ~il'yQU get .to 1t1e,·-s~ C9flSlru<;tlp.o
l~r,ess/E;gress· column anctplace an X, jn'ttie_~~-where the~ ineet,-~ another e~mJ)le.say t~·pr~ included. astockpile:~at yo1,1..lnt~~to ~r ~ a _li!a&Uc !!~-·~~tics~ ,·nQtQf! the list of ~MPs,. t_henwrite·in "Cover with Plaslic~·m !he .blank co1umn:4119ertt,e·hea<!11)9 Ero,iion Cool(ol Bt.,ps.,Then (ll!lce a.n X.tn !he b,ox·.~ethe.~StockP,lling~ r~ tn~:lhe: nEtw. "Co~ with·
PlaSlic." colum_n_ •
To learn more aboufwhateach BMP desciij)tion means, you ·may wish to.review tbe J3MP Refe'[em:e Handout prepared·to assistapplicants·in ~· s~n·.o[appl'OP,fiate ~t ~~J?.ractice
measures. The reference also explains the California stonnwater Quality Association (CAS<:lA) desi!jnation and_how.to:apply the. various:selecied BMPs to, _project\
. E~29 Pa_g~-2of3 REV4l30i1.o:
~ ,.
DETAfl-'.A" N®
SCA~: 1~=.20'. ·. ,'
DETAIL "B" N®
SCALE~ 1"=20'· . ~·. .
' ..
LOCATION MAP 1g)
·-$CALE: NTS · .. · . ·
J~:, .. ·.·,;:.::'l
' 7!.
U:Gf;ND
.• o;:x:::x::;> .
BUILDING AREA
Sl)Rf ACE Flow·
GRAVEL BAGS
RE_;PAVING OF ACCESSiBLE HANDICAPP~I)
PARKING AS SHWON ON Dl;TAIL "// AND
CONSTRUCTION Of NEW RAMP AS SHQWN ON
D.tTAIL ~B"'
,f,
.::
. ,.
«~ ¥ CITY OF
CARLSBAD
STORM WATER
COMPLIANCE
ASSESSMENT
B-24
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
I am applyin~ tor City of Carlsbad for the following type(s) of construction permit:
~Building Permit D Right-of-Way Permit
.. j y project is categorically EXEMPT from ~..,,--:',~
~e requirement to prepare a storm water . \ '·.
pollution pr~ve~tion plan (SWPPP) because it . ,;,t'?".'~'.:' , ·:,,,
only requires issuance of one or more of the ,.1::ltµ~:;::..,:,;
following permit types:
Patio/Deck
Photo Voltaic
Re-Roofing
Sign
Spa-Factory
Sprinkler
Electrical
Fire Additional
Fire Alarm
Fixed Systems
Mechanical
Mobile Home
Plumbing Water Discharge
Project Storm Water Threat Assessment Criteria*
No Threat Assessment Criteria
D My project qualifies as NOTH REA T and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because
it meets the 'no threat' assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SW PPP Tier
Level. My project does not meet any of the High, Moderate or Low Threat criteria described below.
My project does not meet any of the Significant or Moderate. Threat criteria, is not an exempt permit type (See list above) and the project
-meets one or more of thefollowing criteria:
• Results in some soil disturbance; and/or
Tx· 1 • ow Threat Assessment Criteria
Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling).
Tier 2 -Moderate Threat Assessment Criteria
D My project does not meet any of thE! Significant Threat assessment Criteria described below and meets one or more of the following criteria:
•·Project requires a grading plan pursuantto the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or,
• Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement
removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria:
• Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or
• Disturbed area is located on a slope with a gra(le at or exceeding 5 horizontal to 1 vertical, and/or
• Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or
• Construction will be initiated during the rainy season or will extend into the rainy season (Oct 1 through April 30).
Tier 3 -Significant Threat Assessment Criteria
D My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any
associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or
D My project is part of a phased development plan·that will cumulatively result in soil disturbance totaling one or more acres including any
associated construction staging, equipment storage, refueling and mc'lintenance areas: or,
D My project is locatedJnside or within 200 feet of an envirQn.mentally SElnsitive area (see City ESA Proximity map) and has a significant
potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s).
I certify to the best of my knowledge that the above
checked statements are true and correct. /understand
and acknowledge that even though this project does
not require preparation of a construction SWPP, l'must
still adhere to, and at all.times during construction
activities for the permit type(s) check above comply
with the storm water best managementpractices
pursuant to Title 15 of the Carlsbad Municipal Code
and to City Standards.
Project Address: Assessor Parcel No.
*The City Engineer may authorize minor variances from fhe Storm
Water Threat Assessment Criteria in special circumstances where it
can be shown that a lesser or higher Construction SWPPP Tier Level is
warranted.
B-24 Page 1 of 1 Rev.03/09
«~
-~ CITY OF
CARLSBAD
PLAN CHECK
REVIEW
TRANSMITTAL
Community & Economic
Development Department
1635 Faraday Avenue
· Carlsbad cA 92008
www.carlsbadca.gov
DATE: 7/17/12 PROJECT NAME: PROJECT· ID:
PLAN CHECK NO: CB121156 SET#: ADDRESS: 2091 RUTHERFORD RD APN: 212-120-25-00
.. .
~ This plan check review is complete and has been APPROVED by the PLANNING
Division.
By: GINA-RUIZ
A Final Inspection by ·the PLANNING Division is required D Yes. ~ No
D This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check APPROVAL have t;>een sent to: TENGLISH@WAREMALCOMB.COM
You may also have corrections from one or more of the divisions listed below. Approval
from these pivisions may be required prior to the issuance of a building permit.
Resubmitted plans should include corrections from all divisions.
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
.. .. ,., " -. ' . .. ' •• , > • ' . ,, PLANNING :ENGINEERING. '' · FIRE PREVltNTIQN: , ' .. ... ,. . . 760-602-:4,665 760-602-4610 . 7~0~602~275(;)< ',: ,. .. '· ... ' '' '. -· '. .. •" : ~ -
D Chris Sexton D Kathleen Lawrence D Greg Ryan
760-602-4624 760-(,02-27 41 760-602-4663
Chris.Sexton@carlsbadca.gov Kathieen.Lawrence@carlsbadca.gov Gregory.Ryan@carlsbadca.gov
, .
'[Z] Gina Ruiz D · Linda Ontiveros D Cindy Wong
760-602-4675 760-602-2773 760-602-4662
Gina.Ruiz@carlsbadca.gov Linda.Ontiveros@carlsbadca.gov Cytithia.Wong@carlsbadca.gov
D D D Dominic Fieri
760-602-4664
Dominic.Fieri@carlsbadca.gov
Remarks:
«~~ ~ CITY OF
· PLANNING DIVISION Development servh:es
BUILDIN.G PLAN CHECK Planning Division
-CARLSBAD Rev1Ew cHECKL1sr AdOO a1:I03M~~~
· P-28 · · www.carlsbadca.gov
REVIEW#:
1 2 3
IZI DD
·IZI D D
IZI DD
IZI D D
IZI D D
Plan Check No. CB121156 Address 2091 RUTHERFORD Date 7/17/12 Review# i
Planner GINA RUIZ Phone (760) 602-, 4675 . . ft ·-. "·-~
APN: 212,:120-25-oo · rlSn" ..
Type of Project & Use: Tl-WAREHOUSE TO OFC Net Project Den~ROteo
Zonin~: C-M General Plan: Pl Facilities Management Zone: § P)'
CFD (in/out) #_1_Date of participation:05/07/1991 Remaining net dev acres: __
(For non-residential developmen~: Type of lane! use created by this permit: __ )
Legend: IZ] Item Complete @item Incomplete -Need_s your action
Environmental Review Required: YES D NO IZ] TYPE
DATE OF COMPLETION: . .
Compliance with conditions of approval? If not, state conditions which require action-.
Conditions of Approval:
Discretionary Action Required: YES O NO IZ] TYPE __
APPROVAL/RESO. NO. DATE
PROJECT NO.
OTHER RELATED CASES:
Compliance with conditions or approval? If not, state conditions which require action.
Conditions of Approval: __ _
Coastal Zone Assessment/Compliance
Project site located in Coastal Zone? YES O NO .IZI.
CA Coastal Commission Authority? YES D NO Jg]_
If California Coastal Commission Authority: Contact them at -7575 Metropolitan Drive,
Suite 1'03, San Diego, CA 92108-4402; (619) 767-2370
Determine status (Coastal Permit Required or Exempt):
Habitat Management Plan
Data Entry Completed? YES D NO IZI
If property has Habitat Type identified in Ta.ble 11 of HMP, complete HMP Permit application
and assess fees in Permits Plus
(A/P/Ds, Activity Maintenance, enter CB#, -toolbar, Screens, HMP Fees, Enter Acres of
Habitat Type impacted/taken, UPDATE!)
lnclusionary Housing Fee required: YES 'D NO IZ]
(Effective date of lnclusionary Housing Ordinance -Mi:IY 21, 1993.)
Data Entry Completed? YES tJ NO 0
(A/P/Ds, Activity Maintenance, _enter CB#, toolbar, Screens, Housing Fees, Construct
Housing Y/N, Enter Fee, UPDATE!) .
..,I
IZI D D Housing Tracking Form (form P-20) completed: YES D NO D N/A IZI
P-28 Page 1 of 2 07/11
Site Plan:
·~DD
~OD
~.D D
~DD
rgJ D D
~DD
-~oo
City Council Policy-44 --Neighborhood Architectural Design Guidelines
1. Applicability: YES O NO ~
2. Project complies: YES D NOD
Zoning: N/A
1. Setbacks:
Front:
Interior Side:
Street Side:
Rear: .
Top of slope:
Required __ Shown __
Required _._ Shown __
Required __ Shown __
Required __ · Shown __
Required __ Shown __
2. Accessory structure setbacks: NIA
Front:
Interior Side:
Street Side:
Rear:
Structure separation:
3. Lot Coverage: N/A
Required __ Shown __
Required ___ Shown __
Required __ Shown __
Required __ Shown __
Required -. __ Shown __
Required___ Shown __
4. Screening of Equipment: Required YES Shown YES-SECTION SHOWN ON SHT A0.5
5. Parking: WAREHOUSE (88,564 SQ FT) Spaces Required 89 Shown TOTAL-278
OFFICE (11,756) Spaces Required 47 Shown TOTAL 278
(breakdown by uses for commercial and industrial projects required)
Residential Guest Spaces Required __ Shown __
Additional Comments #1. IS THERE AN EXISTING PAR/\PET TO SCREEN THE NEW
ROOF MOUNTED EQUIPMENT AS .SHOVVN ON SHEET M2.0? PLEASE ADD SECTIONS
SHOVVING HOVI/ THE PROPOSED ROOF MOUNTED EQUIPMENT WILL BE SCREENED
FROM VIEVV FROM STREETS WITHIN 500 FEET. SECTION SHOWN ON SHT A0.5
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER GINA RUIZ DATE 7/17/12
-·
,.
~ {(~0}
~ CITY OF
CARLSBAD
PLAN CHECK
REVIEW
TRANSMITTAL
Community & Economic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www.carlsbadca.gov
DATE: 6/21/12 PROJECT NAME: PROJECT ID:
PLAN CHECK NO: CB121156 SET#: . ADDRt::SS: 2091 RUTHERFORD RD APN: 212-120-25-00
D This plan check review is complete and has been APPROVED by the
Division.
By:
f!-. Final Inspection by the Division ·is required D Yes D No
[XI This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check Comments have been sent to: TENGLISH@WAREMALCOMB.COM
You may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required pr,o.r to the issuance of a building permit.
Resubmitted plans should include corrections from all divisions.
For questions or clarifications on the attached checklist p!ease contact the following reviewer as marked:
.PLANNING.
760-602-4610 . , . '
D Chris sexton
760-602-4624
Chris.Sexton@carlsbadca.gov
lx] Gina Ruiz
760-602-4675,
Gina.Ruiz@catlsbadca.gov
D
Remarks:
.. ., ., ' . -~ ..
EN.Gf N:EERING
760-602-2750 . ' .. ,, . . . D Kathleen.Lawrence
760~602-27 41
Kathleen.Lawrence@carlsbadca.gov
D
D
Linda Ontiveros
760-602-2773
Linda.Ontiveros@carlsbadca.gov
•,. . FIRE :PR-EVENTtO·N
,-' .. ·,' 760,602-4665: ., · ... ·,
' L< f ,,,\ ..
. . ,t: •' ;:,
D Greg Ryan
760-602-4663
Gregory.Ryan@carlsbadca.gov
D CindyWong
760-602-4662
Cynthia.Wong@carlsbadca.gov
D Dominic Fieri
760-602-4664
Dominic.Fieri@carlsbadca.gov
. .
'
«~~ ~ CITY OF
C.ARLSBAD
PLANNING DIVISION
BUILDING PLAN CHECK
REVIEW CHECKLIST
P-28
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
REVIEW#:
1 2 3
~OD
~DO
Plan Check No. CB121156 Address 2091 RUTHERFORD Date 6/21/12 Review# 1
Planner GINA RUIZ Phone (760) 602-4675 ·
APN: 212-120-25-00
Type of Project & Use: Tl-WAREHOUSE TO OFC Net Project Density: DU/AC
Zoning: C-M General Plan: Pl Facilities Management Zone:§.
CFD (in/out) #_1_Date of participation:05/07/1991 Remaining net dev acres: __
(For non-residential development: Type of land use created by this permit: __ )
Legend: ~ Item Complete (bl) Item Incomplete -Needs your action
Environmental Review Required: YES O NO ~ TYPE
DATE OF COMPLETION:
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval:
Discretionary Action Required: YES O NO ~TYPE __
APPROVAL/RESO. NO. DATE
PROJECT NO.
OTHER RELATED CASES:
Compliance. with conditions or approval? If not, state conditions which require action.
Conditions of Approval: __
Coastal Zone AssessmenUCompliance
Project site located in Coastal Zone? YES D NO ~
CA Coastal Commission Authority? YES D NO ~
If California Coastal Commission Authority: Contact them at -7575 Metropolitan Drive,
Suite 103, San Diego, CA 92108-4402; (619) 767-2370
Determine status (Coastal Permit Required or Exempt):
Habitat Management Plan
Data Entry Completed? YES O NO [ZJ
If property has Habitat Type identified in Table· 11 of HMP, complete HMP Permit application
and assess fees in Permits Plus
(A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, HMP Fees, Enter Acres of
Habitat Type impacted/taken, UPDATE!)
inclusionary Housing Fee required: · YES D NO ~
(Effective date of lnclusionary Housing Ordinance -May 21, 1993.)
Data Entry Completed? YES D NO D
(A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct
Housing Y/N,·Enter Fee, UPDATE!)
~ D D . Housing Tracking Form (form P-20) completed: YES O NO O N/A~
P-28 Page 1 of 2 07/11
Site Plan:
[g] D D
rgJ D -D
{DOD
[g] ··o D
(Q)DD
City Council Policy 44 -Neighborhood Architectural Design ·Guidelines
1. Applicability: YES D NO [g]
2. Proj~ct complies: YES D NOD
Zoning: NIA
1. Setbacks:
Front:
Interior Side:
Street Side:
Rear:
Top of slope:
Required _· _ Shown __
Required _-_ Shown __
Required __ · Shown __
Required __ Shown __
Required ___ Shown __
2. Accessory structure_ setbacks: NIA.
Front; . Req!Jired __ Shown _. _
Interior Side: Required __ Shown __
Street Side: Required __ Shown __
Rear: Required __ Shown __
Structure separation: Required_·_ Shown __
3. Lot Coverage: NIA . Required ___ .Shown __
4 .. Screening of Equipment:_ Required YES Shown NO
. 5. Parking: WAREHOUSE-(88,564 SQ FT) Spaces Required 89 Shown TOTAL 278
OFFICE (11,756) Spaces Required 47 Shown TOTAL 278
(breakdown by uses for commercial and industrial projects required)
· Residential Guest Spaces Required __ Shown __ _
.Additional Comments #1. IS THERE AN EXISTING PARAPET TO SCREEN THE NEW
ROOF MOUNTED EQUIPMENT AS SHOWN ON SHEET-M2.0? PLEASE ADD SECTIONS
SHOWING HOW THE PROPOSED RO.OF MOUNTED EQUfPMENT WILL BE SCREENED
FROM VIEW FROM STREETS. WITHIN 500 .FEET.
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER DATE
,,., m J · . . c·~rlsbad· Fire Dep~rtm~nt
Plan Review Requirements Category: TI , INOUST
Date of Report: 07-30-2012
Name:
Address:
Permit#: CB121156
TIFFANY ENGLISH
W AREMALCOMB
6363 GREENWICH DR., STE 175
SANDIEGO CA
92122
Job Name: NIXON: 4862 SF WAREHOUSE-TO
Job Address: 2091 RUTHERFORD RD CBAD
Conditions: ·.
Cortd: CON0005581
[MET]
** CITY OF CARLSBAD FIRE DEPARTMENT -APPROVED:
E}U!lDiNG DEP'T ..
COP'f
Reviewed by: ~4~~
THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUANCE OF
BUILDING PERMIT.
THiS APPROVAL IS SUBJECT TO FIELD INSPECTION AND REQUIRED TEST, NOTATIONS HEREON,
CONDITIONS IN
CORRESPONDENCE AND CONFORMANCE WITH J\.LL APPLICABLE REGULATIONS.
THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE THE VIOLATION OF ANY LAW.
Entry: 07/30/2012 By: GR Action: AP
• ,, ~· «~~~ ~ CITY OF
CA-RLSBAD
PLAN CHECK
REVIEW·
TRANSMITTAL
Community & Economic
Development Department
1635 Faraday Avenue @jJ
Carlsbad CA 92008 E
www.carlsbadca.gov ~
(~ 0
DATE: 07/30/2012 PROJECT NAME: NIXON iNC. PROJECTID:CB121156
oz ~C) ,. ,,,
PLAN CHECK NO: 2 ·SET#: 1 ~DDRESS: 2091 RUTHERFORD RD APN: 21212025000 ""'C m
"t! ~
This plan check review is complete and has been APPROVED by the FIRE Division.
By: GR
A Final Inspection by the FIRE Division is required IZI Yes D No
D · This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amend~d plans as required.
Plan Check Comments have been sent to:
You may also have corrections from one or more of the divisions listed below. Approval
ftom these divisions may be required prior to the issuance of a building permit.
· Resubmitted plans should in9/ude corrections from all divisions.
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
,:, ,,
;, ·,--·' · PLANNJNI • · ··,
... ·· .. '76'"60246i0•
D Chris Sexton
760-602-4624
Chris.Sexton@carlsbadca.gov
D Gina Ruiz.
760-602-4675
Gina,Ruiz@carlsbadca.gov
D
Remarks:
.·.
D Kathleen· Lawrence
760-602-27 41
Kathleen.Lawrence@carlsbadca.gov
D
D:
Linda Ontiveros
760-602-2773
Linda.Ontiveros@carlsbadca.gov
l:gJ Greg Ryan
760-,602-4663
Gregory.Ryan@carlsbadca.gov
D CindyWong
760-602-4662
Cynthia.Wong@carlsbadca.gov
D Dominic Fieri
760-602-4664
Dominic.Fieri@carlsbadca.gov
RECOMMENDATION FOR APPROVAL
Daryl K. James & Associates, Inc.
205 Colina Terrace
Vista, CA 92084
T. (760) 724-7001 ~mail: kitfire@sbcglobal.net _
BLDG. DEPT COP ... i'
Page: 1 of 1
· Checked by: Anne Marie Bland
Date: July 23. 2012
APPLICANT: Ware Malcomb JURISDICTION: Carlsbad Fire Department
PROJECT NAME: Nixon Inc. PROJECT ADDRESS: 2091 Rutherford
PROJECT DESCRIPTION: CB121156 4,862 sq ft Tenant Improvement
INSTRUCTIONS
• This plan review has been conducted in order to verify conformance to minimum requirements of codes
adopted by the Carlsbad Fire Department.
• The items below require correction, clar:ification or additional information before this plan check can be
approved for permit issuance.
• Corrections or modifications to the plans must be clouded and provided with numbered deltas and revision
dates along with a descriptive narrative of corrections addressing all comments.
• Please direct any questions regarding this review .to: Anne Marie Bland 760-434-7885 or
ambland@pacbell.net
• CORRECTED PLANS, DESCRIPTIVE NARRATIVE OF REVISIONS FOLLOWING EACH COMMENT ON
T.HIS FORM, AND A COPY OF BUILDING DEPARTMENT (EsGil) COMMENTS MUST BE SUBMITTED
OIRECTL Y TO: .
• ANNE MARIE BLAND
4380 CARMEL DRIVE
CARLSBAD, CA 92010
COMMENTS
A1.1.Occupancyand Exit Plan
Accessory Use
emailed to tenglish@waremafc9mb.com
~Explain use of section 1003.2.2.2.1 exception .:.. section is riot referenced in 2010 California Building
Code.
!Provide occupan~ load calculations for the break room based Of! non-fixed seating occupant load factor.
A7 .1 Door Schedule and Details
~Provide a description of exit door locking ha_rdware on doors E101 C and E11 OB.
~Exit door E1108 may not be equipped with hardware keyed from the egress side or with thumb-turn type
locking device. Use lever type or panic hardware. ·
~Only the main exit door, E101C, may be equipped with hardware keyed from the egress side if the
locking device is readily distinguishable as being locked and there is a sign above the door stating "This
door to remain unlocked when building is occupied."
1:2.1 Lighting Plan
Rlf more than one exit is required from the office area based on total occupant load, provide egress
· lighting and exit signs equipped with emergency power. Show on the lighting plan.
CORRECTION LIST BLDG. DEPT COPY
Page:..1..2!.1.
Daryl K. James & Associates, Inc. · Checked by: Anne Marie Bland
205 Colina Terrace Date: ~Ju=l.,_y ""'"5~, 2 __ 0"""'1-=2~------
Vista, CA 92084
T. (760) 724-7001 Email: kitfire@sbcglobal.net
· APPLICANT: Ware Malcomb
PR,OJECT NAME: Nixon Inc.
JURISDICTION: Carlsbad Fire Department
PROJECT ADDRESS: 2091 Rutherford
PROJECT DESCRIPTION: CB 121156 4,862 sq ft Tenant Improvement
INSTRUCTIONS
• This plan review has been conducted in order to verify conformance to minimum requirements of codes
adopted by the Carlsbad Fire Department.
• The items below require correction; clarification or additional . information before this plan chec~ can be
approved for permit issuance.
• Corrections or modifications to the plans must be .clouded and provided with numbered deltas and revision
dates along with a descriptive narrative of corrections addressing all comments.
• · Please direct any questions regarding this review to: Anne Marie Bland 760-434-7885 or
ambland@pacbell.net
• CORRECTED PLANS, DESCRIPTIVE NARRATIVE OF REVISIONS FOLLOWING EACH COMMENT ON
THIS FORM, ANO A COPY OF BUILDING DEPARTMENT (EsGil) COMMENTS MUST BE SUBMITTED
DIRECTLY TO: .
• ANNE MARIE BLAND
4380 CARMEL DRIVE
CARLSBAD, CA 92010
COMMENTS
A1.1 Occupancy and Exit Plan
Accessory Use
emailed to tenglish@waremalcomb.com
a Explain use of section 1003.2.2.2.1 exception -section is not referenced in 201 O California Building
Code. ·
a Provide occupant load calculations for the break room based on -non-fixed seating occupant load factor.
A7.1 Door Schedule and Details
a Provide a description of exit door locking hardware on doors E101C and E110B.
a Exit door E110B may not be equipped with hardware keyed from the egress side or with thumb-turn type
-locking device. Use lever type or panic hardware.
D On!y the main exit door, E101 C, may be equipped with hardware keyed from th.e egress side if the locking
device is readily distinguishable as being locked and there is a sign above the door stating "This door to
remain unlocked when building is occupied."
E2.1. Lighting Plan
a If more than one exit is required from the office area based on total occupant load, provide egress lighting
and exit signs equipped with emergency power. Show on the lighting plan.
C6t2) lSZ
CARLSBAD FIRE DEPARTMENT
EXPEDITED PLAN .CHECK REQUEST
PROJECT NUMBER
--ri/),, IA I j ~1 if?h .
1, . / l[Y f/\;I" 'C:f•m• am requesting 'Expedited Plan Check Services' and understand I
will be levied an addltionaee assessed at the rate of $90.00 dollars per hour plus $25.00 dollars
administration fee.
I understand that my plans shall not be released until all fees are paid.
I, --,---,-.,-----,-,-,--,.£------,-'r--'-:--:--~--.the applicant, am solely responsible for all fees due should the
project be with rawn or otherwise not completed. And by signing below I acknowledge that my plans shall be
forwarded by the City of Carlsbad to an independent contractor/consultant.
I, . acknowledge that the 'first review' time for all expedited Fire plan
reviews will be ten-10) business days from date of submittal. These additional day account for acceptance
and delivery of your plans and then the parcel return to our office if recommended for approval.
I, ~. the applic~nt, acknowledges that corrected or revised plans
shall be sent directly to the plan checker. at the addr·ess specified on the Correction List, at my cost, parcel
post or other means.
I, \~ acknowledge that a turn-around time for re-submittals is
five-(5) business days from the date plans are received at the address specified by the plan checker on the
Correction List ..
Once all corrections are made, your plans are then returned to the Carlsbad Fire Department with a
"Recommendation for Approval" based solely on the adopted Codes and Standards.
This is not an approval.
Your plans are then forwarded to the Carlsbad Fire Department, and once your plans are received by our
office they are subject to an additional review to ensure conformance with Carlsbad Municipal Code. This
additional review is subject to an additional review period of seven-(7) days from date that we receive the
plans from the plan reviewer. ·
The Carlsbad Fire Department does not perform 'Over-the-counter plan review services. Plans submitted to
the Carlsbad Fire Department for review by CFD staff shall be checked on a 'first come, first served' basis and
could take 10 days o~ review.
~ NO
Applicant Signature_4 ~,:p~'4-f.../,L#,:....1......-:======------Date_..,:;.+.,~~~......::,~· ~--
copy to Building and Fire Preventi
..
TITLE 24
NIXON Tl
2091 Rutheford Road
Carlsbad, CA
BTA Engineers, Inc.
Mechanical Plumbing ·Energy Consultants
9845 Erma Rd, Suite-204
San Diego, CA 92131
858-715-6601
-' CERTIFICATE OF COMPLIANCE ENV-1C ..
AND FIELD INSPECTION ENERGY CHECKLIST (Page 1 of 4)
Project Name: I Date: Climate Zone:
NIXON Tl 01-11-12 CA ZONE 1
Project Address: Conditioned Floor Area:
2~1 RI~ ~-CA~SBAD. CA 4"63 6Q.FT.
General Information
.Building Type: 181 Nonresidential 0 High-Rise Residential D Hotel/Motel Guest Room
Oschools (Public School) 0 Relocatable Public School Bldg. D Conditioned Spaces 181 Un?ondltloned Spaces
'OSkylight Area for Large Enclosed Space ::.800 ft'(lf checked include the ENV-4V with submittal)
Phase of Construction: D New Construction D Addition 181 Alteration
Approach of Compliance: 181. Component 0 Overall Envelope D Unconditioned (file affidavit)
Front Orientation: N, E, S, W or in Degrees: I w I
FIELD INSPECTION ENERGY CHECKLIST
OPAQUE SURFACE DETAILS
' Cl Cl C: Cl C: ca .E C: .E ~ §LU rn ca .E
rn ·ca <l: :::, it " e:! 'Ct '-M 0 Q) C: CD .... _
Q) ~'fil:i Q) ,Q g>~ .... Q) ,Q LO cu e Cl.!!! 0 ?;, .2 E .2 ,_ Cl :::, :t::: U) C: ,_ ca ca c: --..::: <tS .g .5 ca "O:::, ·u .a Tag/ Assembly 'E * ·-ca ~-E~ 'I:: 'I::.!!! en ~::;-C: > a, t::: > C: cu a, ca
Name1 Frame Type2 ~ :E :::, :::, ,_ -0 ' X:::, ' ._.::JI 0 .... C. Q) ID en en oz (.) a: (.) a: LIJ u.. a: .!: u.. a: oen en u.. pass Fail 7
I N-WALL WOOD WOOD 840 N R-13 u D D D
2 W-WALL WOOD WOOD 31& N ~-13 u D D D
3 5-WALL WOOD WOOD ·1400 & R-13 N D D D
4 E-WALL WOOD WOOD 142 E R-13 N D D D
& ROC4= WOOD -4863 -R-19 u D D D
D D D
1,. Indicate the identifying name of the Assembly name (i.e. Wall-1, Ceiling-1, Roof-1, and Floor-1). 2. Indicate type of Assembly Type such as Wood 2x4 or L W CMU 8". For additional other assembly types see Reference Joint Appendix, JA4-1.
3. Enter the framing material type (wood or metal) and refer to ENV-2C Furring Strips Construction Worksheet.
4. Indicate furring R-value when furred wall are being used.
5. Indicate Status of fenestration (New, Existing or Upgrade).
6. Indicate Special Feature on Page 2 of the Inspection Checklist Form below.
7. If Fail, then describe on Paae 2 of the lnsoection Checklist Form and take aoorooriate action to correct. Verifv buildina olans if necessarv.
FENESTRATION SURFACE Dl::TIALS
§LU rn Cl rn Q) ,_ (.) C: It) ~ 'fil :i C: "' C:
:~VCI'> Q) ca ~ C, Q) ca <ii ~ Tag 0 a. :c e .c: ·o .a Fenestration ca ca ca c: -~ Lf ~~ ,_ "O :::, 'I:: Q) '§ -~ ~ 0 :::, Q) C: cu a, ca
1.101 :::, ,_ 0 > 0 .... C. Q) Fail 6 Type2 en <l: en oz :ii: :E:::, :E e:. en 0 Oen en u.. Pass
I N-WDJt>OW (EXl&TINas) 24tD N 2 tD.11 tD.bl M=RC D E D D D
2 W-WINDOW (EXl&TINC:s> 192 w 2 tD.11 ~~, 1'FRC D E D D D
D D D D
D D D D
D D D D
D D D D
1. Indicate the identifying name of the. frame type (i.e. Window #1 ).
2. Indicate type of construction Type such, Window, Glass Door, Curtain wall, Skylight, or other
3. Indicate if the efficiency values are from the NFRC Label Certificate or from the CEC Default Values. Enter NFRC or CEC (FC-1 and FC-2).
4. Indicate Status of Fenestration (New, Existing, Upgrade).
5. Indicate Special Feature on Page 2 of the Inspection Checklist Form below.
6: If Fail then describe on Page 2 of the Inspection Checklist Form and· take appropriate action to correct. Verify building plans if necessary.
2oqs Nonresidential Complance Forms August 2009
CERTIFICATE OF COMPLIANCE
AND FIELD INSPECTION ENERGY CHECKLIST
ENV-1C
(Page 2 of 4)
t-'ro1ect Name:
NIXON Tl
I Date: 01-11-12 I Climate z~A: ZONE 1
ROOFING PRODUCT (COOL ROOFS)
(Note if the rooting product is not CRRC certified, this compliance approach cannot be used). Go to Overall Envelope Approach or
Performance Approach.
CHECK APPLICABLE BOX BELOW IF EXEMPT FROM THE ROOFING PRODUCT "COOL ROOF" REQUIREMENTS: Pass Fail1 NA
D Roofing compliance not required in Climate Zones 1 and 16 with a Low-Sloped. 2:12 pitch or less.
D Roofing compliance not required in Climate Zone 1 with a Steep-Sloped with less then 5 lbftt. Greater than 2:12 pitch.
D Low-sloped Wood framed roofs in Climate Zones 3 and 5 are exempted solar relectance ahd thermal emittance or D D D SRI that have a U-factor of 0.039 or lower. See Opaque'Surface Details roof assemply, Column H or ENV-2C.
D Low-sloped Metal framed roofs in Climate Zones 3 and 5 are exempted solar relectance and thermal emittance or D D Cl SRI that have a U-factor of 0.048 or lower. See Opaque Surfac13 Details rapt assemply below, Column Hor ENV-2C.
D The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are D D D exempted solar relectance and thermal emittance or SRI. See spredsheet calculattor at www.energy.ca.gov/title24I
D Roof constructions that have thermal mass over the roof membrane with a weight of at least 25 lb/f? is exempt from the D D D Cooling Roof criteria below.
D High-rise residential buildings and hotels and motels with low-slop1;1d roofs in Climate Zones 1 through 9, 12 and 16 are exempted from the low-
sloped roofing criteria.
1. If Fail then describe on this page of the Inspection Checklist Form and take appropriate action to correct. Verity bw1ding plans if necessary.
CRRC Product ID Roof Slope Product Weight Product Aged Solar Thermal Special
Number1 s::2:12 >2:12 < 51b/ft2 ,::: 51b/ft2 Type2 Reflectance3 Emmitance SRl5 Feature6 Pass Fail7
NIA D D D D D4 D D D
D D D D D4 D D D D D ,o D 04 D D D
D D 0 D 04 0 D D
1. The CRRC Product ID Number can be obtained from the Cool Roof Council's Rated Product Directory at www.coolroofs.o!IJ!products/search.tJ.h/:1.
2. Indicate the type of product is being used for the roof top, i.e. simple-ply roof, asphalt roof, metal roof, etc.
3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the Same directory
and use the equation (0.2+0.7 (P initial -0.2) to obtain a calculated aged value. Where P is the Initial Solar Reflectance. From the Cool Roof Rating Council's
Rated-Product Directory.
4. Check box if the Aged Reflectance is a calculated value using the equation above.
5. The SRI value needs to be calculated from a spredsheet calculattor at http://www.energy.ca.gov/title24/
6. Indicate Special Feature on Page 2 of the Inspection Checklist Form below.
7. If Fail then describe on this page of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary.
To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
recommended-by the coatings manufacturer and meet minimum performance requirements listed in Sec. 118(i)4. Select the applicable coating:
D Aluminum-Pigmented Asphalt Roof Coating I D Cement-B_ased Roof Co~ting ID Other
SPECIAL FEATURES INSPECTION CHECKLIST
The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification
and documentation, and special verification. The local enforcement agency determines the adequacy of the justification, and may reject a building
or design that otherwise complies based on the adequacy of the special justification and documentation submitted.
NIA
Discrepancies:
2008 Nonresidential Complance Forms August 2009
.
CERTIFICATE OF COMPLIANCE ENV-1C
'AND FIELD INSPECTION ENERGY CHECKLIST (Page 3 of 4)
. ProJect Name: Date:
NIXa.l Tl 01-11-12
I Climate Zone:
CAZGl>,IE1
Required Acceptance Tests
Designer:
This form is to be used by the designer and attached to the plans. Listed below is the acceptance test tor Envelope Fenestrations
system. The designer is required to check the acceptance tests and list all the fenestration products that require an acceptance test.
If all the site-built fenestration of a certain type requires a test, list the different fenestration products and the number of systems.
The NA7 Section in the Appendix of the Nonresidential Reference Appendices Manual describes the test. Since this form will be
· part of the plans, completion of this section will allow the responsible party to budget tor the scope of work appropriately.
Enforcement Agency:
Systems Acceptance. Before Occupancy Permit is granted tor a newly constructed building or space or when ever new fenestration
is installed in the building or space shall be certified as meeting the Acceptance Requirements.
The ENV-2A form is not considered a complete form and is not to be accepted by the enforcement agency unless the boxes are
checked and/or filled and signed. In addition, a Certificate of Acceptance forms shall be submitted to theentorcement agency that
certifies plans, specifications, installation certificates, and operating and maintenance information meet the requirements of
Sec. 10-103(b) of Title 24 Part 6. The field inspector must receive the properly filled out and signed forms before the building can
teceive final occupancy. A copy of the ENV-2A for each different fenestration product line must be provided to the owner of the
building for their records.
Test Description ENV-2A Test Performed By:
Number Building Fenestration Products Name or ID of like Envelope
Requiring Testing or Verification Products Acceptance Test
NIA D
D
D
D
D
D
D
D
D
D
2008 Nonres1dent1al Complance Forms August 2009
CERTIFICATE OF COMPLIANCE ENV-1C
AND FIELD INSPECTION ENERGY CHECKLIST (Paae 4 of 4)
noJect Name:
NIXG'N Tl I Date:
01-11-12 I Climate Zone:
CA ZONE 1
Documentation Author's Declaration Statement
I certify that this Certificate of Compliance documentation is accurate and complete.
Name: 18ignature: ~ Tct1 Q. LE
Company: Date:
BTA etr.lNEER&, INC. 01-11-12
Address: If Applicable:
CEA#
.caa4& EFa"fA ~, SUITE 2f>.4 CEPE#
City/State/Zip: Phone:
&AN. DIEGO, CA ~131 868-115-6601
Principal Designer's Declaration Statement
I am eligible un~er·Division 3 of the California Business and Professions Code to accept responsibility for the design.
This Certificate of Compliance identifies the envelope features and performance specifications required for compliance
with Title 24, Parts 1 and 6 of the California Code of Regulations.
The design features represented on this Certificate of Compliance are consistent with the information provided to document
this design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the
enforcement agency .for approval with this building permit application.
Name: !Signature:
·Company: Date:
WA~ MALcct16 01-11-12
Address: License#
If> EDELM.AN
City/State/Zip: Phone:
IRYINE, CA g2618 g.1.g.e,e,0.g12e
Envelope Mandatory Measures
Indicate location on building plans of Mandatory Envelope Measures Note Block: _ Ml.f> ______
INSTRUTIONS TO APPLICANT ENVELOPE COMPLIANCE & WORKSHEETS (check box if worksheet are included)
For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential Compliance
Manual.
181 ENV-1C Certificate of Compliance and Field Inspections Energy Checklist. Required on plans for all submittals.
181 .
Use with the Envelope Component Approach. Optional on· plans. ENV-2C
D ENV-3C Use with the Overall Envelope TDV Ener£1y Approach. Optional on plans.
D ENV-4C Use when minimum skylight requirements for large enclosed spaces are required in climate zones 2 through
15. Optional on plans.
2008 Nonresidential Complance Forms August 2009
ENVELOPE COMPOMENT APPROACH (Page 1 of 4) ~ ", ENV-2C
Project Name: !Date: Climate Zone:
NIXON Tl ~,-11-12 CA ZONE 1
. EXTERIOR ROOFING PRODUCT (COOL ROOFS) -See Section 3.3 in the Nonresidential Manual and Sec. 11B(i) and Sec. 143(a) 1A in the
, Energy Standards for further description about exterior roofs and mandatory requirement for Cool Roofs.
(Note if the roofing product is not CRRC certified, this compliance approach cannot be used). Go to Overall Envelope Approach or Performance
·Approach.
CHECK APPLICABLE BOX BELOW IF EXEMPT FROM ONE OF THE ROOFING PRODUCT MINIMUM PRESCRIPTIVE REQUIREMENTS:
D Roofing compliance Not required in Climate Zones 1 and 16 with a Low-Sloped. 2:12 pitch or less.
D Roofing compliance Not Required in Climate Zone 1 with a Steep-Sloped with less than 5 lb/ft 2• Greater than 2:12 pitch.
D High-rise residential buildings and hotels and motels with low-sloped roofs in Climate Zones 1 through 9, 12 and 16 are exempted from
the low-sloped roofing criteria.
D Low-sloped Wood framed roofs in Climate Zones 3 and 5 are exempted solar relectance and thermal emittance or SRI that have a LI-factor
of 0.039 or lower. See Opaque Surface Details roof assembly below, Column H.
D Low-sloped Metal framed roofs in Climate Zones 3 and 5 are exempted solar relectance and thermal emittance or SRI that have a LI-factor
of 0.048 or lower. See Opaque Surface Details roof assembly below, Column H.
D The roof area covered by .building integrated photovoltaic panels and building integrated solar thermal panels are exempted solar relectance
and thermal emittance or SRI.
D Roof constructions with thermal mass over the roof membrane with a weight of at least 25Ib/ft2is exempted from the Cool Roof criteria.
Roof Slope Product Weight Product Aged Solar Thermal
CRRC Product ID Number 1 .:: 2:12 > 2:12 < 5lb/ft 2 ~ 5Ib/ft2 Type 2 Reflectance 3,4 Emittance SRl 5
NIA D 0 D D 04
0 0 D D 04
0 0 D D 04
D D D D D4
0 0 D 0 04
0 D D D ·4 0
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at
www.coo/roofs.o!IJ!eroducts/search.e.hii,
2. Indicate the type of product is being used for the roof top, i.e. single-ply roof, asphalt roof, metal roof, etc.
3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory the nuse the Initial Ref/actance value from
the same directory and use the equation (0.2+0. 7(P initiat-0.2) to obtain a calculated aged value. Where P is the Initial Solar Reflactance.
4. Check box if the Aged Reflactance is a calculated alue suingthe equation above.
5. Calculate the SRI value by suing the SRI-Worksheet at http://www.energy.ca.govltitle24/ and enter the resulting walue in the SRI Column above
and attach a copy of the SRI-Worksheet to the ENV-tC.
To apply Liquid Field Applied Coating, the coating must be applied across the eintire roof surface and meet the dry mil thickness or coverage
ri?commended by the coating manufacturer and meet minimum performance requirements listed in Sec. 118(i)4. Select the applicable coating:
D Aluminum-Pigmented Asphalt Roof Coating D Cement-Based Roof Coating IOOther
2008 Nonresidential Complance Forms August 2009
ENVELdPECOMPONENTAPPROACH (Page 2 of 4) ENV-2C
Project Name: I Date: . , Clir)l~A ZZM , NIXCN Tl 01-11-12
Opaque Surface Details
For the furred portioned of Mass Walls see furring Strips Construction Table below.
A I B C I D E F G H I J
Proposed See Note Standard Values From JA4 Table
JA4 Framing Thickness, Framed Continuous Assembly Proposed
Tag/ Assembly Name Material Spacing, U-JA4 Table Cavity Insulation Cell Assembly
10 1 orType1 and Size2 or Others factor 4 Number5 R-value 6 R-Value 7 Value8 U-factor9
I N-WALL WOOD 2X4 241 OC 0.11 4.3.3-A3 R-13 0.11
2 W-WALL WOOD 2X4 241 OC 0.11 4.3.3-A3 R-13 0.11
3 &-WALL WOOD 2X4 241 OC 0.11 4.3.3-A3 R-13 0.11
4 E-WALL WOOD 2X4 241 OC 0.11 4.3.3-A3 R-13 0.11
!; ROa: WOOD 241 OC 0.061 42.1-Alb R-19 0.048
Note: For furred assemblies vse the Mass and Furring Strips Construction Table below. See Page JA4-3 & Page JA4-5 for Equation 4-1 or 4-4
1. For Tag/ID indicate the identification name that matches the building plans.
2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, $/abs, Crawl Space, Doors and etc ... Indicate the Frame type and Size: for
Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or ect ... see JA4 for other possible frame type assemblies.
3. Enter the thickness for mass in inches or Spacing between framing members enter; 16" or 24" OC; or Other for all other assembly
description such as Concrete Sandwich Panel, Spandrel panel, Logs, Straw Bale Panel and ect ....
4. Based on the Climate Zone; enter the Standard U-factor from Table 143-A, B or C for each different assembly Name or type.
5. Enter the Table number that closely resembles the proposed assembly.
6. Enter the R-value that is being installed in the wall cavity or between the framing; otherwise, enter "O''.
', 7. Enter the Cof!tinuous Insulation R-value for the proposed assembly; otherwise, enter "O".
8. Enter the row and column of the U-factor value based on Column F Table Number and enter the Assembly U-factor in Column J.
9. The Proposed Assembly U-factor, Column J, must be equal to or less than·the Standard U-factor in Column E to comply.
Furring Strips Construction Table for Mass Walls Only
A B C D E F G H I J K L M
Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Walls From Reference in Furring Space from Reference
Joint Appendix Table 4.3.5, 4.3.6, 4.3.7 Joint Appendix Table 4.3.13
<ii 'l: <ii $ ,g Ki' ~ <ii () al Q) Q) () ...J c.~ ~ rJ) IJ. C: rJ) rJ) (/)
Assembly JA4 (/) 0 (/) rJ) ~o () "' (/) Q) U) Final Cll " => ·-Q) Q) 0) Q) Cll " > Q)
Mass Name or Table ~ Q) s ~ Q) C: Q) "C C: .2 ~ Q) +:, :J Assembly ' :::, rJ) E -a E o ·;:: ca ' :::, 2 iii 'St-rJ) ::, 0 Cll ·-Cll 0 ,_ > 'St-Thickness 1 Type 2 Numbers <( Cll Cll rJ) ·-<( Cll :i::? U-factor 6,7 Comment C: j::: ,_ ,C u: 3 :::, ' ,> ~ IJ. I-IJ. a: ,> lJJ a:
NIA
1. Indicate the Mass Thickness from Reference Joint Appendix JA.
2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and ect ... Indicate the Frame type and Size: For
Wood, Metal, metal Buildings, Mass, enter 2x4, 2x6, or ect ... see JA4 for other possible frame type assemblies.
3. Enter the Table number that closely resembles the proposed assembly.
4. Enter the row and column of the U-factor value.
5. Enter the effective R-value listed in the JA4 Table Number.
6. The Final Assembly is calculated by using Equation 4-1 or Equation 4-4 of the Reference Joint Appendix JA4. Enter the value in Column L.
7.lnsert the Final Assembly U-factor value back on to the Opaque Surface Details .table in Column J.
2008 Nonresidential Complance Forms August 2009
ENVELOPE COMPONENT APPROACH " 'ENV-'2C .
(Page 3 of 4)
Project Name: I Date: Climate Zone:
NIXON Tl 01-11-12 CA ZONE 1
WEST WINDOW AREA CALCULATION See Sec. 143{a)5A in the Energy Standard or Section 3.2.2
A. Gross West Exterior Wall Area NIA ft2x 0.40 = ft2 40% Of Gross West Facing Exterior Wall Area; or
B. West Display Linear Perimeter FTx6ft= ft2 West Display Perimeter Area
. C. Enter Large Of A Or B ft2 Maximum Standard West Area
D. Enter Proposed West Window Area ft2 Proposed West Window Area
. Note: If the PROPOSED WEST WINDOW AREA is greater than the MAXIMUM STANDARD WEST AREA then the envelope component approach may not be
used.
WINDOW AREA CALCULATION for all other orientations other than West -See Sec. 143(a)5A inther Energy Standard or Section 3.2.2
· , E. Gross Exterior Wall Area 121& ft2x 0.40 = 486 ft2 40% Of Gross Exterior Wall Area or
F. Linear Display Perimeter 136 FTx6ft= 816 ft2 Display Perimeter Area
G. Enter The Larger Of E or F 816 ft2 Maximum Standard Area
H. Enter Proposed Window Area I) ft2 Proposed Window Area
Note: ff the PROPOSED WINDOW AREA is greater than the MAXIMUM STANDARD AREA then the envelope component approach may not be used.
WINDOWS DETAILS Sec.143(a)5B and C
NOTE: For all newly installed fenestration; must have either a certified NFRC Label Certificate or use the CEC default tables found in Table
116-A and Table 116B and documented by using CECs Fenestration Certificate (FC-1/FC-2). For site-built fenestration and less than 10,000
ft2or more than or equal to 10,000 ft2 see options for compliance in the Nonresidential Manual in Section 3.1.
A B C D E F G H I JI K L M N
Fenestration4 overhang
C: <I) U-Factor dimensions I Q) C:
C\J Ill
Window Name Q) a.. SHGC (R)SHGC (R)SHGC (R)SHGC C. Q) 0 (e.g., Window-1) Area1 ~ 8 =II: Proposed Allowed3 Proposed Allowed1•3 H V HN Propos_ed5 Allowed3'4
NIA
Total Site-Built Note: Site-Built area is the Site-Built Window and Site-Built Skylight Areas.
Total Skylight Area Enter Total Skylight Area From Skylight Details, Env-2C Page 4 of 4.
Total Area
1. Enter the area of each different fenestration product.
2. 'Enter the type of fenestration; M=Manufactured, SB=Site-built, and F=Field Fabricated.
3. The allowed U-factor and (R)SHGC values are from Table 143-A, B or C.
4. If the Proposed window does not use an overhang then fenestration SHGC is treated the same as RSHG. Do not fill the overhang columns.
5. For Relative SHGC; an overhang must extend beyond both sides of the window jamb a distance equal to the overhang projection.
6. Use Equation 143-A, Relative Solar Heat Gain to calculate the RSHG for overhangs.
7. Multiply the overhang factor (HIV) from RCM Table 3-6 with overhang SHGC, Column M, resulting the overhang RSHG value. Enter value
in Max (R)SHGC on ENV-tC, Fenestration Surface, Page 1.
2008 Nonresidential Comolance Forms Auaust 2009
ENVELOi=>E COMPOMENT APPROACH (Page 4 of 4) ENV-2C
Project Name: I Date: limate Zone:
NIXct-t Tl . 01-11-12 CA ZCNE 1
SKYLIGHT AREA CALCULATION See Sec. 143(a)6A in the Energy Standards
ACTUAL STANDARD ALLOWED
GROSS ROOF AREA SKYLIGHT AREA
A IF Atrium/Skylight Height is ~5.5 ft; NIA ft2x 0.05 = ft2 or
B. IF Atrium/Skylight Height is > 55 ft; ft2x 0.10 = ft2
C. Proposed Skylight Area ft2
D. Skylight % = Proposed Skylight Area ~ by Actual Gross Roof Area== %
If the PROPOSED SKYLIGHT AREA is greater than the STANDARD ALLOWED SKYLIGHT AREA then the Envelope Component
Approach may not be used. The skylight percentage determines the appropriate row for the maximum U-factor allowed TO BE USED IN THE
Skylight Details. See Table 143-A, B or C.
SKYLIGHTS DETAILS See Sec. 143(a)6 in the Energy Standards
SKYLIGHT GLAZING U-FACTOR SHGC
A B C D E ·F G H I J K
Glass Glass
SKYLIGHT NAME With With #Of
(e,g., Sky-1, Sky-2) Curb No Curb Plastic Area1 Type2 Panes Proposed Allowed3 Proposed Allowed4
NIA
Total Skylight Area Ent~r above the Total Skylight Area in Window Details
ENV-2C Page 3 of 4.
1. Enter the area of each Different skylight product.
2. Enter the type of skylight; M = Manufactured, SB = Site-built, and F = Fabricated.
3. The Allowed U-factor and SHGC values are from table 143-A, B or C. Use Row D Skylight % (from above) to select the allowed SHGC.
4. If the Proposed window does not use an overhan.q then fenestration SHGC is treated the same as RSHG.
RELOCATABLE PUBLIC SCHOOL BUILDINGS-See Sec. 143(a)8 in the Energy Standards
Option 1
0 Specific Climate Zone Metal Identification Label-Place two labels on
D For Specific Climate Zone, use Table 143-A-Prescriptive each relocatable school building and indicate on the building plans.
Envelope Criteria.
Indicate location on the building plans:
Option 2
D Any (All) Climate Zone Metal Identification Label-Place two labels
D For Any (ALL) Climate Zone, use Table 143-C -Prescriptive on each relocatable school building and indicate on the building plans.
Envelope Criteria.
Indicate location on the building plans:
2008 Nonresidential Comolance Forms Auaust 2009
'•,
CERTIFICATE OF COMPLIANCE and ' , .. .
FIELD INSPECTION ENERGY CHECKLIST (Page 1 of 5) MECH-1C
t-'roJect Name: I uare: Climate Zone:
NIXON Tl 6-13-12 CA Zct-U: 1
t-'ro1ect ,u.aaress: vono1t1oneo t-loor
2~1 RUTMEFORD ~. CARL.6BAD. CA Area: 4e63 5Q=T
G,:meral Information
Building Type: 181 Nonresidential D High-Rise Residential D Hotel/Motel Guest Room
D Schools (Public School) D Relocatable Public School Bldg. 181 Conditioned Spaces Ouncanditioned Spaces
Phase of Construction: D New Construction D Addition 181 Alteration
: Approach of Compliance: 181component D Overall Envelope TDV Energy D Unconditioned (file
affidavit)
Front Orientation: N, E, S, W or in Degrees: I E I
HVAC SYSTEM DETAILS FIELD INSPECTION ENERGY CHECKLIST
Meets Criteria or Requirements
Equipment2 Inspection Criteria Special Feature 1 Pass Fail -Describe Reason 3
•item or System I ags
D D D (i.e. AC-1, RTU-1, HP-1) HP-I
,Equipment Type4: PACKAGE MP n n n
No of Systems I D D D
Max Allowed Heating Capacity 32~ 6TIJl.l D ·o D
~inimum Heating Efficiency 1.1146Ff D D D
Max Allowed Cooling Capacity 3b~6TUM D D D
Cooling Efficiency 13m SEER D D D
Duct Location/ R-Value R-&m D D D
Duct Leakage Testing -If Yes, a D D D MECH-4A must be submitted --
Economizer N D D D
Thermostat "( D D D
Fan Control "( D D D
FIELD INSPECTION ENERGY CHECKLIST
Equipment2 Inspection Criteria Special Feature 1 Pass Fail -Describe Reason 3
Item or System Tags HP-2~ 3 D D D (i.e. AC-1, RTU-1, HP-1)
Equipment Type4: PACKAGE HP D D D
No of Systems 2 D D D
Max Allowed Heating Capacity S6~6TUM D D D
Minimum Heating Efficiency ,., J46Ff D D D
M.ax Allowed Cooling Capacity 60~ 6TIJl.l D D D
Cooling Efficiency 13m SEER D D D
Duct Location/ R-Value R-&m D D D
D(.lct Leakage Testing -If Yes, a D D D MECH-4A must be submitted --
1::9onom1zer N D D D
1 nermosrat "( D D D ran vonrro1 "( D D D
1. ma,cate special feature uc I AIL::; on !-'age ~ of tne inspection (jnecK11st i-orm.
2. If the Actual installed equipment performance efficiency and capacity is less than the Proposed (from the energy compliance submittal or from
the building plans) the responsitie party shall resubmit energy compliance to include the new changes.
3. For additional detailed discrepancy use Page 2 of the Inspection Checklist Form.
4. Indicate Equipment Type: Gas(Pkg or, Split), VAV, HP (Pkg or split), Hydronic, PTAC, or other
2008 Nonresidential Compliance Forms August2009
CERTIFICATE'OF COMPLIANCE and·
FIELD INSPECTION ENERGY CHECKLIST (Page 2 of 5) MECH-1C
r'roJect Name:
NIXGN Tl I Date:
6-13-12
SPECIAL FEATURES INSPECTION CHECKLIST
The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written
justification and documentation, and special verification. The local enforcement agency determines the adequacy of the justification,
and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation
submitted
NIA
Discrepancies:
2008 Nonresidential Compliance Forms August2009
CERTIFICATE OF COMPLIANCE and FIELD INSPECTION ENERGY CHECKLIST (Page 3 of 5) MECH-1C
Project Name: uate
NIXON Tl 6-13-12
Required Acceptan_ce Tests
Designer:
This form is to be used by the designer and attached to the Plans. Listed below are all the acceptance tests for mechanical systems. The designer is required to check the
applicable boxes by all acceptance tests that apply and list all equipment that requires an acceptance test. If all equipment of a certain type requires a test, list the
equipment description and the number of systems. The NA number i;Jesignates the Section in the Appendix of the Nonresidential Reference Appendices Manual (hat
describes the test. Since this form will be part of the plans, completion of this section wilt allow the responsible party to budget for the scope of work appropriately
Enforcement Agency:
Systems Acceptance. Before occupancy permit is granted for a newly constructed building or space, or a new space-conditioning system serving a building or space is
operated for normal use, all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance.
Systems Acceptance. Before occupancy permit is granted. All newly installed HVAC equipment must be tested using the Acceptance Requirements.
The MECH-1 C form is not considered a completed form and is not to be accepted by the building department unless the correct boxes are checked. The equipment
requiring testing, person performing the test ( Example: HVAC installer, TAB contractor, controls contractor, PE in charge of project) and what Acceptance test must be
condLJcted, The following checked-off forms are required for ALL newly installed equipment. In addition a Certificate of Acceptance forms shall be submitted to the
building department that certifies plans, specifications, installation certificates, and operating and maintenance information meet the requirements of Sec. 10-103(b) and Title
24 Part 6. The building inspector must receive the properly filled out and signed forms before the building can receive final occupancy.
Test Description MECH-2A MECH-3A MECH-4A MECH-SA MECH-6A MECH-7A MECH-SA MECH-9A MECH-10A MECH-11A
outdoor
Ventilation Constant Demand Hydronic
for Volume& Air Control Supply Valve System Automatic
Equipment Requiring Testing or #of VAV& Single-Zone Distribution Economizer Ventilation Fan Leakage Supply Water Variable Flow Demand Shed
Verification units CAV Unitary Ducts Controls DCV VAV Test Temp. Reset Control Control
I-IF-I I 181 181 181 D D D D D D D
I-IF-2• 3 2 181 ~ ~ D D D D D D tl
D D D D D D D D D D
D D D D D D D D D D
D D D D D D D D D D
D D D D D D D D D D
D D D D D D D D D D
D D D D D D D D D D
D D D D D D D D D D
D D D D D D D D D D -
2008 Nonresidential C9mpliance Forms August2009
CERTIFICATE OF COMPLIANCE and FIELD INSPECTION ENERGY CHECKLIST (Part 4 of 5) MECH-1C
Proiect Name: I Date ' ,
NIXON Tl 6-13-12
.
Test Description MECH-12A MECH-13A MECH-14A MECH-15A
Fault Automatic Fault Distributed
Detection & Detection & Energy Storage Thermal Energy
Diagnostics Diagnostics for DXAC Storage (TES)
Test Performed By: Equipment Requiring Testing #of for DX Units f.ir & Zone Systems Systems
HP-1.24 3 3 .181 D D D MECHANICAL CONTRAL-,~
D D D D
D D D D
D D D D
D D D D
D D D D
0 o· D D
D D D D
D D D D
D D D D
D D D D
D D D D
D D D D
D D D D
D D D D
D D D D
D D. D D
D D D D
0 D D D
D D D D
D D D D
D D D D
D D D D
D D D D
D D D D
D D D D
D D D D
2008 Nonresidential Compliance Forms August2009
CERTIFICATE OF COMPLIANCE and C
,,, '
FIELD INSPECTION ENERGY CHECKLIST (Part 5 of 5) MECH-1C
· Pro1ect Name: uate:
NIXON Tl 6-13-12
uocumentat1on Autnor S· uec1arat1on ::statement
I certify that this Certificate of Compliance documentation is accurate and complete.
Name: I ::signature: -z 4__;
Tctt Q. LE --~ ~-.
Llompany: uate:
6TA ENaslNEER&, INC. 6-13-12
Address: 1r App11cao1e
CEA#
984& E~A ~, SUITE-204 CEPE#
City/State/Zip Phone:
SAN DIEGO, CA 92131 e&&-1l&-6601
Principal Mechanical Designer's Declaration Statement
I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the mechanical
design.
This Certificate of Compliance identifies the mechanical features and performance specifications required for complance with
Title 24, Parts 1 and 6 of the California Code of Regulations.
The design features represented on the Certificate of Compliance are consistent with the information provided to document
this design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the
enforcement agency for approval with this building permit application .
. Name: 'Signature: ~ A_ 4
TOM Q. Li; .,JC ~-~
Llompany Name: uate:
6TA ENaslNEER& INC. 6-13-12
Address: License#
984& E~A ~, SUITE-204 M32e&1 Ll1ty1::;tate1L1p r--none:
&AN DIEOO. CA 92131 Ma-11;.e,.e.,,.,,
. Mandatory Measures
Indicate location on building plans of Note Block for Mandatory Measures l':ll~
tv1ECHANICAL COMPLIANCE FORMS & WORKSHEETS (check box if worksheet is included)
For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, refer to the 2008 Nonresidential
Manual Note: The Enforcement Agency may require all forms to be incorporated onto the building plans.
181 MECH-1C Certificate of Compliance, Required on plans for all submittals.
181 MECH-2C Mechanical Equipment Summary is required for all submittals.
181 MECH-3C Mechanical Ventilation and Reheat is required for all submittals with mechanical ventilation.
181 MECH-4C Fan Power Consumption is required when for all prescriptive submittals.
2008 Nonresidential Compliance Forms August2009
'
AIR SYSTEM REQUIREMENTS (Page 1 of 3) MECH-2C
PROJEC I NAME: DATE:
NIXCN Tl h-13-12
Indicate Air Systems Type (Central, Single Zone, Package, VA V or etc ... )
Item or System Tags J.IP-1 J.IP-2 HP-3 (i.e. AC-1, RTU-1, HP-1)
No. of Systems I I I
Indicate Page Reference on the Plans or Schedule list or list
information below
MANDATORY MEASURES T-24 Sections
Heating Equipment Efficiency 112(a) 1.11-15Ff ,., J.l6FF 1.1J.16Ff
Cooling Equipment Efficiency 112(a) 13.t> SEER 13.t> SEER 13.t> SEER
HVAC or Heat Pump Thermostats 112(b), 112(c) ..,... ..,... ..,...
Furnace Controls/Thermostat 112(c), 115(a) ------
Natural Ventilation 121 {b) ..,... ..,... ..,...
Mechanical Ventilation 121 (b) ------
VAV Minimum Position Control 12t(c) ------
Demand Control Ventilation 121 (c) ------
Time Control 122(e) ..,... ..,... ..,...
Setback and Setup Control 122(e) ..,... ..,... ..,...
Outdoor Damper Control 122{f) ..,... ..,... ..,...
Isolation Zones 122(g) ------
Pipe Insulation 123 ------
Duct Insulation 124 R-8.t> R-8.I) R-8.t>
PRESCRIPTIVE MEASURES
Calculated Design Heating Load 144(a & b) 29,~ 611.114 4h ,&00 611.114 49,500 6TUH
Calculated Design Cooling Load 144(a & b) 31:JJM») 6TUJ.I 62,35') BTUl-4 b3fA)fJ 6TUl-4
Fan Control 144(c) ------
DP Sensor Location 144(c) ------
Supply Pressure Reset (DDC only) 144(c) ------
Simult,;tneous Heat/Cool 144(d) ..,... y y
Ec~momizer 144(e) ..,... y ..,...
Heat and Cool Air Supply Reset 144(f) ------
Electric Resistance Heating 1 144(g) ------
Heat Rejection System 144 (h) ------
Air Cooled Chiller Limitation 1.44 (i) ------Duct Leakage Sealing. If Yes, a 144(k) ------MECH-4-A must be submitted
1. Total installed capacity (MBtulh) of ail electric heat on this project exclusive of electric auxiliary heat for heat pumps. if electric heat is used
explain which exception(s) to Sec. 114(g)apply.
2008 Nonresidential Compliance Forms August2009
----
WATER SIDE SYSTEM REQUIREMENTS (Page 2 of 3) MECH-2C
PROJECT NAME: DATE:
NIXON Tl h-13-12
2 -' WATER SIDE SYSTEMS: Towers, Boilers, Hydronic Loops
Item or System Tags NIA (i.e. AC-1, RTU-1, HP-1, CT-1, etc ... ) 1
No. of Systems NIA
Indicate Page Reference on Plans or Specification 2
MANDATORY MEASURES T-24 Sections
Equipment Efficiency 112(a) NIA
Pipe Insulation 123 NIA
PRESCRIPTIVE MEASURES
Cooling Tower Fan Controls 144(a & b) NIA
Cooling Tower Flow Controls 144(h) NIA
Variable Flow System Design 144(h) NIA
Chiller and Boiler Isolation 144{j) NIA
CHW and HHW Reset Controls 144{j) NIA
WLHP Isolation Valves 1440) NIA
VSD on CHW, CW & WLHP Pumps> 5HP 144{j) NIA
DP Sensor Location 144{j) NIA
1. The Proposed equipment need to match the building plans schedule or specifications. If a requirement is not applicable, put "NIA" in the column next to applicable section.
2. For each chiller, cooling tower, boiler, and hydronic loop ( or groups of similar equipment) fill in th ereference to sheet number and/or specification section and paragraph number where the
required features are documented. If a requirement is not applicable, put "NIA" in the column next to applicable section.
,·
2008 Nonresidential Compliance Forms August2009
SERVICE HOT WATER & POOL/SPA REQUIREMENTS (Page 3 of 3) MECH-2C . PROJECT NAME: I DATE: NIXON Tl 6-13-12
Service Hot Water, Pool Heating .
Item or System Tags
(i.e. WH-1, WHP, DHW, etc .. :) 1 NIA
No. of Systems NIA
Indicate Page Reference on Plans or Schedule 2
MANDATORY MEASURES T-24 Section
SERVICE HOT WATER
Certified Water Heater 111,113 (a) NIA
Water heater Efficiency 113 (b) NIA
Service Water Heating Installation 113 (c) NIA
Pipe Insulation 123 NIA
POOL AND SPA
Pool and Spa Efficiency and Control 114 (a) NIA
114 (b) NIA Pool and Spa Electric Resisting Heating Exception
Pool and Spa Installation 114 (b) NIA
Pool Heater -No Pilot Light 115 (c) NIA
Spa Heater -No Pilot Light 115 (d) NIA
Pipe Insulation 123 NIA
1: The Proposed equipment need to match the building plans schedule or specifications. If a requirement is not applicable, put "NIA" in the column next to the measure.
2: For each water heater, pool heat and domestic water loop (or groups of similar equipment) fill in the reference to sheet number and/or specification section and paragraph number where the
required features are documented. If a requirement is not applicable, put "NIA"
2008 Nonresidential Compliance Forms August 2009
'' MECH~3C MECHANICAL VENTILATION AND REHEAT
PROJECT NAME DATE
NIXON Tl 6-13-12 . MECHANICAL VENTILATION SEC. 121{b)2 REHEAT LIMITATION SEC. 144{d)
AREA BASIS OCCUPANCY BASIS VAV Minimum
A B C D E F G H I J K L M N
Min Min REQ 50%ot Design Design Max of Condition CFM CFMby CFM CFMby V.A. Design Zone Columns minimum
Zone/ Area per Area Num of per Occupant Max of Ventilation Air Supply Bx0.4 H,J, K, Air Transfer
System (ft2) {ft2) BxC People Person ExF DorG cfm cfm cfm/ft 30 cfm setpoint Air
MP-I 660 0J& 142 , 15 10& 142 2(1)(!)
MP-2 183& 0J& 21& 3f) 15 460 450 $0
MP-3 2368 '2>J& 3$ 24 15 360 360 360
15
15
15
15
15
15
15
15
15
Totals 61 $2 1110 Column I Total Design Ventilation Air
C Minimum ventilation rate per Section 121, table 121-A
E Based Of/ fixed seat or the greater of the expected number of occupants and 50 % of the CBC occupant loac;I for egress purposes for spaces without fixed seating.
H Required Vf!nti~ation Air (REQ'D V.A.) is the larger of the ventilation rates calculated on a AREA BASIS or OCCUPANCY BASIS ( Column Dor G)
I Must be greater than or equal to H, or use Transfer air ( column N) to make up the difference.
J Design fan supply cfm (Fan CFM) x 50 %; or the design zone outdpor airflow rate per Sec. 121.
K Condition area (ft2} x 0.4 cfmlft2; or
L Maximum of Columns H, J, K, or 300 cfm
M This must be less than or equal to Column L and greater than or equal to the sum of Column H plus N.
N Transfer Air must be provided where the Required Ventilation Air (Column H) is greater than the Design Minimum Air (Column M). Where required, transfer air must be greater than
or equal to the difference between the Required Ventilation Air (Column H) and the Design Minimum Air (Column M), Column H minus M.
'"
2008 Nonresidential Compliance Forms August2009 . .,
.,i
-1 ,!/,
MECH-4C FAN POWER CONSUMPTION
PROJECT NAME: DATE:
NIXON Tl 6-13-12
NOTE:Provide one copy of this worksheet tor each Ian system with a total tan system greater than 25 hp for Constant Air Volume
(CA \f) Fan Systems or Variable Air Volume (VAV) Systems when using the Prescriptive Approach. see Power Consumption of fans Sec. 144 (c)
A B C D E F
FAN DESCRIPTION EFFICIENCY PEAK WATTS
DESIGN NUMBER OF 8 XE X 746/
BRAKE HP MOTOR DRIVE FANS (CxD)
NIA (2&!-IP
Totals and Adjustments
FILTER PRESSURE ADJUSTMENT Equation 1) TOTAL FAN SYSTEM POWER (WATTS, SUM
144-A in Sec. 144(c) of the Energy Standards COLUMN F)
A) If filter pressure drop (SPa) is greater than 1 inch 2) SUPPLY DESIGN AIRFLOW (CFM)
W.C. or 245 Pascal than enter SPa on line 4. 3) TOTAL FAN SYSTEM POWER INDEX (Row 1/ Row W/CFM Enter Total Fan pressure drop across the fan (SPf) 2) 1
on Line 5.
4) SPa
B) Calculate Fan Adjustment and enter on line 6. 5) SPt
C) Calculate Adjusted Fan Power Index and enter 6) Fan Adjustment= 1-(SPa -1 )/ SPf on Row 7
7) ADJUSTED FAN POWEl[INDEX (Line 3 x Line 6) 1 W/CFM
1. TOTAL FAN SYSTEM POWER INDEX qr ADJUSTED FAN POWER INDEX must not be exceed 0.8 w/cfm for Constant Volume systems or 1.25
w/cfm for VA V systems.
2008 Nonresidential Comoliance Forms Auaust 2009
PLUMBING,
ELECTRICAL,
MECHANICAL
WORKSHEET
B-1s·
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
~ 1 f ./tllr/ /,A,_ Perm~ No,: C,!J / ,Z / I J b
Information provided below refers-to worR being done on the above mentioned permit only.
This form must be completed and returned to the Building Division before the permit can be issued.
· · Building Dept. Fax: (760) 602-8S58 .
B-18
Number of new or relocated fixtures, traps, or floor drains ....................................................... .J.21_
New b~ildin~ sewer 1ine? ........................... , ... u .. , ... -.......................... , .............. , •••••••• Ves __ No~
Number of new roof drains? ... , ..................................................... , ........................... 11,., ••••••••• , •••••••••••• ~
lnstall/alter"water line? .... .., ......................................................................................... : ........................... _L
Number of new water heaters? ......................................................................................................... _L
Number of new, relocated or replaced gas outlets?-.................................................................... ~
Number of new hose bibs? ...... -.. :.......................................................................................................... &_
Residential Permits:
New/expanded seivice: Number of new amps: ______ _
Minor Remodel only: Ves__ No
Commercial/Industrial:
Tenant Improvement: Number of existi_ng. amps involved ;n this project:
Number of new·.amps involved in this project:
New Construction: Amps per Panel:
·<foo
-V.3
Single Phase .................................................. _. ............ Number of new amperes ______ _
Three Phase .......................................... : ........... _ .... , ...... Number of new amperes ______ _
Three Phase 480 ....... : ................................................ Number of new amperes ___ -</ .... -...,, .... 3...._ __
Number of new furnaces, A/C, or heat pumps? ............................................................................ ~a-t ~
New or relocated duct worh? : ........................................ 1 .. ~ ........................... ~ No __
Number of new fireplaces? ............. , . .-................................................................ ;· ........................ , ......... ~
Number of new exhaust fans? ............................................................................................................ _J_
Relocate/install vent? ......................................................... · ...................................... , .. u ............................ ~
Number of new exhaust hoods? ........................................................................................................ ..::Q.....
Number of new boilers or compressors? ........................................................... Number of HP R
Page 1 of 1 Rev. 03/09
OFFICE USE ONLY
SAN DIEGO REGIONAL
HAZARDOUS MATERIALS QUESTIONNAIRE
UPFP# ______ _
HV# _______ _
BP DATE. _ __, __ .,_ __
Business Name
Project Contact Telephone#
The following questions represent the facility's activities, NOT the specific project description.
PART I: FIRE DEPARTMENT-HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: Indicate by circling the item, whether yo r business
will use, process, or store any 'of the following hazardous materials. If any of the items areA9'..4JPpli91nt must contact .the Fire Prot ·on enc with
jurisdiction prior to plan submittal. Facility's Square Footage (including proposed project): ':£1.ld.=t-1-1-Occupancy Rating: ---'1'--'-+-.,L---,f-.---
1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives
2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards
3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None ofThese.
4. Flammable Solids 8. Unstable Reactives 12. Radioactives
PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISIONS (HMD): If the answer to any of the
questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Ave., Suite 110, San Diego, CA 92123.
Call (858) 505-6700 prior to the issuance of a building permit. Qr · / J;;,v
FEES ARE REQUIRED. Project Completion Date: __ / __ /__ Expected Date of Occupancy: _LJ../...:Lf._ D CalARP Exempt
YES .NO (for.new construction or remoaeling proje ts ___ ..,_/ ___ _
'
~ I~ 1. D Is your business listed on the reverse side of this form? (check all ,that apply).
2. D Will your business dispose of Hazardous Substances or Medical Waste in any amount? D CalARP Required
3. D . Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds ___ ...,_/ ___ _
\..., · 200 cubic feet, or carcinogens/reproductive toxins in any quantity? Date Initials
4. D ~ Will your business use an existing or install an underground storage tank?
5. D ~ Will your business store or handle Regulated Substances (CalARP)? D CalARP Complete
6. D ~ Will your business use or install a Hazardous Waste Tank.System (Title 22, Article 10)? Date ~nitials
7. D Lll,,,,._ Will your ·business store petroleum in tanks or containers at your facility with a total storage capacity equal to
or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act).
PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT: If the answer to any of th~ questions below is yes, applicant must contact the Air
Pollution Control District (APCD), 10124 Old Grove Road, San Diego, CA 92131-1649, telephone (858) 586-2600 prior to the issuance of a building or demolition
permit. Note: if the answer to questions 4 or 5 is yes, applicant must also submit an asbestos notification form"to·1he APCD at least 10 working days prior to
commencing demolition or renovation, except demolition or renovaUon of residential structures of four units or less. Contact the APCD for more information.
1. Will the subject.facility or construction activities include. operations or equipment that emit or are capable of emitting an air contaminant? (See the YOES ~O
APCD factsheet at http://www.sdapcd.org/info/facts/permits.pdf, and the list of typical equipment requiring an APCD permit on the reverse side
of this from. Contact APCD if you have any questions).
2. D 'D (ANSWER ONLY IF QUESTION 1 IS YES) Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)?
(Search the California School Directory at http://www.cde.ca.gov/re/sd/ for public and private schools or contact the appropriate school district).
3. D Has a survey been performed to determine the presence of Asbestos-Containing Materials?
4. D Will there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos?
5. D Will there be demolition involving the removal of a load supporting structural member?
Na
p I /tJt ZtJ /c_
Date
FOR OFFICIAL USE ONLY: .FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: __ -.-_____________________________ _
BY:__, __________________________ _
DATE: __ ~'--~'---
EXEMPT OR NO FURTHER INFORMATION REQUIREJ? RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY-HMD* APCD COUNTY-HMD APCb COUNTY-HMD APCD
. . *A stamp in this box only ~xempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply .
HM-9171 (02/11) County of San Diego -DEH -Hazardous Materials Division
·----~-----------,.,
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NIXON: 4862 SF WAREHOUSE TO
OFFICE, BUILD NEW RAMP & DOORS AT REAR OF
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