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HomeMy WebLinkAbout2105 CAMINO VIDA ROBLE; A; CB110249; Permit04-12-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB110249 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 2105 CAMINO VIDA ROBLE CBAD St: A Tl Sub Type: 2130611300 Lot#: $14,254.00 Construction Type: Reference #: AIR CARE INTL-382 SF WAREHOUSE TO OFFICE/ADD SHOWER STALL COMM 0 5B Applicant: DAVID HALTTUNEN STE3 1605 GRAND AVE SAN MARCOS CA 92078 760-510-9633 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: Owner: RJLANDCOLP C/Q BOY P JQSEPHO PO BOX 12567 LAJOLLACA 92039 ISSUED 02/02/2011 KG 04/12/2011 04/12/2011 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFMFee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'l Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee Fire Expedited Plan Review $163.31 Meter Size $0.00 Add'l Reel. Water Con. Fee $106.15 Meter Fee $0.00 SDCWA Fee $0.00 CFD Payoff Fee $2.99 PFF (3105540) $0.00 PFF (4305540) $0.00 License Tax (3104193) $110.00 License Tax (4304193) $0.00 Traffic Impact Fee (3105541) $0.00 Traffic Impact Fee (4305541) $0.00 PLUMBING TOTAL $0.00 ELECTRICAL TOTAL $0.00 MECHANICAL TOTAL $0.00 Master Drainage Fee Sewer Fee $0.00 Redev Parking Fee $0.00 Additional Fees $1.00 HMPFee $0.00 TOTAL PERMIT FEES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $281.11 $259.49 $34.00 $20.00 $21.50 $0.00 $203.52 $0.00 $0.00 $1,203.07 Total Fees:$1,203.07 Total Payments To Date:$1,20307 Balance Due:$0.00 Inspector: FINAL APPROVAL 6/1/11Date: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 lees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. C!TY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax:760-602-8558 . www.carlsbadca.gov Plan Check No} Est. value Plan Ck. Deposit DESCRIPTION OF WORK: Include Square Feet of Affected Areafs) ~fo BOPERTYOWNER NAMEUP.CONTRACTOR BUS. NAME DDRESS ti. ADDRESS ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS fygg- ;Sec.703: CITY BUS. LIC.# civil penalty of not more than five hundred dollars {$500}). ior to its issuance, also requires thet with Section 7000 of Division 3 of thefor a permit subjects the applicant to a Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: n I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. •d I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less. ' O Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation ccWrage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (8.100,000), in , addition to the cost of compSKsSrofljdamasjts as provided fcflh Motion 3706 of the Labor code, interest arjd attorney's fees. 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 Wk ari)i the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who dBes such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractors) licensed pursuant to the Contractor's License Law). D I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes G No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone /contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address /phone / type of work): ^PROPERTY OWNER SIGNATURE I I DAGENT DATE Is tiie applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of thePresley-Tanner Hazardous Substance Account Act? CJYes DNo • . Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CJ Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? n Yes D No EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read the a| I hereby authorize representative of the City of Carlsbad to enterupon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THECITY 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 demolition or construction of structures over 3 stories in height. ^APPLICANT'S SIGNATURE Av^/l^^/T^^fi^ ^T^^TTA/UAAAt _-L. C. \£ts\t DATE City of Carlsbad Final Building inspection Dept: Building Engineering Plan Check #: Permits: CB1 10249 Project Name: AIR CARE INTL-382 Planning CMWD SF WAREHOUSE StLite Fire Date: Permit Type: Sub Type: 05/20/201 1 Tl COMM TO OFFICE/ADD SHOWER STALL Address: 2105 CAMINO VIDA Contact Person: JIM Sewer Dist: CA Inspected ^~^s-=:<£^/ By: ^^\^ ^K,.^^ Inspected Bv: Inspected Bv: ROBLE #A Phone: 7605187391 Water Dist: CA 0316 <T*&*Inspected: ^ ^"^ Date Inspected: Date Inspected: Lot: 0 / X?' ApprovedXl / Approved: Approved: Disapproved: Disapproved: Disapproved: Comments: City of Carlsbad Bldg Inspection Request For: 06/07/2011 Permit# CB110249 Title: AIR CARE INTL-382 SF WAREHOUSE Description: TO OFFICE/ADD SHOWER STALL Inspector Assignment: TP Type:TI Sub Type: COMM 2105 CAMINOVIDAROBLE A Lot: 0 Job Address: Suite: Location: APPLICANT DAVID HALTTUNEN Owner: Remarks: Phone: 7605187391 Inspector: Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By: NA Entered By: JANEAN Act Comments A? Comments/Notices/Holds Notice CV100271 - PERMIT CB110249 SHOULD ONLY BE ISSUED FOR 30 DAYS FROM DATE OF ISSUANCE, MEANING A FINAL INSPECTION IS REQUIRED WITHIN 30 DAYS OF THE PERMIT BEING ISSUED OR CODE ENFORCEMENT PROCESS WILL CONTINUE. Associated PCRs/CVs/SWPPPs Original PC# CV100271 CLOSED H- ILLEGAL TI CONST; AND PARKING OF AMBULANCES IN PARKING LOT TAKING CV990135 CLOSED SIGN&NO BUS LIC/SUNFRESH ROSES; Inspection History Comments NEED H-CAP PARKING VERIFIED EXIST. BUILT W/O INSP., TO PLANS & REV. DTL ATTCH. (N) OFFICE CLNG & WINDOW AREA SHOWER TIE IN STORAGE WALLS LEDGER ATTACH NOT PER PLAN GLASS FRONT @ OFFICE STORAGE IN FILL Date 05/23/2011 05/06/201 1 05/06/201 1 05/06/201 1 05/06/201 1 05/06/201 1 04/21/2011 04/21/2011 04/21/2011 04/21/2011 Description 89 14 16 17 24 34 14 14 16 17 Final Combo Frame/Steel/Bolting/Welding Insulation Interior Lath/Drywall Rough/Topout Rough Electric Frame/Steel/Bolting/Welding Frame/Steel/Bolting/Welding Insulation Interior Lath/Drywall Act CO AP AP AP AP AP AP CO AP AP Insp TP TP TP TP TP TP TP TP TP TP <> - BUILDING *& CITY OF PISH CheCCITY OF PISH CheCk 1635 Faraday Avenue CAR I ^RAD Comments 7?JH2"2719 \^/%I\L«JLJ/%L«' www.carlsbadca.gov By: Steve Borossay (Contact Hours for Steve: Tues.-Fri., 1pm - 5pm) Phone: 760-602-7541 Permit; G-&? \(c>Z-4-<& Address; ~7_\ 0 "ST- A C.OHWA.O • When corrections from all departments are received please run new prints • • Please respond by indicating location of Plan Check items on plans • \_ |^<[ Provide: A statement on the Title Sheet of the plans stating that the project shall comply with the 201 0 CA Building Code, 204&- CA Residential Code, 2010'GAGiecn-eode, 2010 CMC, 2010 CPC, 2010 CEC, 2008 CA Energy Efficiency Standards, 2010 CA Fire Code and the Carlsbad Municipal Code I I Provide: A note titled "Scope of Work" describing the work to be performed under this permit. Z, ^K-ouo '"&> oec-w pcuxe-^. Type. V-£> 4- re*,^r«^ >cx o-^c_c^ or resf Approved on: By: T~L- CITY OF CARLSBAD BUILDING Plan Check Comments Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov By: Steve BorOSSay Permit:- Cl£=» (Contact Hours for Steve: Tues.-Fri., 1pm - 5pm) Arirt«.«. -7 *.~.«=-,A C\xrtMA.o Vtck Phone: 760-602-7541 Data- * When corrections from all departments are received please run new prints * * Please respond by indicating location of Plan Check items on plans * Provide: A statement on the Title Sheet of the plans stating that the project shall comply with the 201 0 CA Building Code, 86ie- CA Residential Code, 20*0 OA Green-Bode, 2010 CMC, 2010 CPC, 2010 CEC, 2008 CA Energy Efficiency " Standards, 201 OCA Fire Code and the Carlsbad Municipal Code Provide: A note titled "Scope of Work" describing the work to be performed under this permit. Call cnJU ^ee&a.,4-*»~y5 f jo VST- Wouvua e-rS. (a^ A&(<»^-( , 0 ^^—~^w. itCt.»V<\ Approved onu By:. 70 SQ INCH PER SECTION 11S9&4 V»«aSTOP ACCESS AISLE BORDER PEDESTRIAN ROUTE STRIPESATM'MAXIMUM ONCBITERPAWTH) ACCLQRCONTRAST1N6 VWTHTHEPARWNa SURfACfcPREfBWBLY fitUE OR WHITE WilHMtHeUMDMS 4 «AO«»W ACCESS S-VMWIMIWAT TYPICAL ACCESSBtEPARWNffSrAU. MWtMUMWWTELETreSS—' ACCESSIBLE PARWN6 STALL FIGURE 11B-18B—SINGLE PARKING STALLS PEDESTRIAN ROUTE ACCESSBtrtY PER SECTKDN 11298,4 .ACOflRCOKTRASTIW SYMBOL PER SECTION tIZSM ^i. W •^^P^MH»V!^^"yfci>y>F' AISLE PAWT THE WORDS •NOPARWHirgtirHG MWaWB WHITE LETTERS OWENBfflNTO 89T iQNLVASANAlQFOR ilAflDCONSTRyCTIOM ACCESSBLEPAWCWOSTALt ar-irMWWUWATVAH ACCESSBtEPARKWSSTALl FIGURE 11B-18C—DIAGONAL PARKING STALLS 2010 CALIFORNIA BUILDING CODE 549 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER ADDRESS DATE RESIDENTIAL RESIDENTIAL ADDITION MINOR « $17,000.00) SOLAR PANELS TENANT IMPROVEMENT PLAZA CAMINO REAL PREMIER OUTLETS VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER ENGINEER L DATE DATE Docs/Mlsforms/Planning Engineering Approvals 6 / Cr\i ^ L \ V 3 3 66 S c c_ _ra (0a. a. a.a a a a a PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No. CB110249 Address 2105 CAMINO VIDA ROBLE Planner GINA RUIZ Phone (760) 602- 4675 APN: 213-061-13-00 Type of Project & Use: JJ Net Project Density: DU/AC Zoning: P-M General Plan: FM Facilities Management Zone: 5 CFD (in/out) #_Date of participation: Remaining net dev acres:. Circle One (For non-residential development: Type of land used created by this permit: Legend: Kl Item Complete Environmental Review Required: DATE OF COMPLETION: 'item Incomplete - Needs your action YES D NO |El TYPE Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: Discretionary Action Required: APPROVAL/RESO. NO. DATE. PROJECT NO. OTHER RELATED CASES: YES n NO IEI TYPE Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval: Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES Q NO S CA Coastal Commission Authority? YES Q NO S 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 D NO IEI 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 K! (Effective date of Inclusionary Housing Ordinance - May 21, 1993.) Data Entry Completed? YES D NO D (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE!) H:\ADMIN\Template\Building Plancheck Review Checklist.doc Rev 4/08 Site Plan: Policy 44 - Neighborhood Architectural Design Guidelines D D 1. Applicability: YES D NO Kl D D 2. Project complies: YES D NOD Zoning: 1. Setbacks: Front: Interior Side: Street Side: Rear: Top of slope: Required Required Required Required Required D 2. Accessory structure setbacks: Front: Required Interior Side: Required Street Side: Required Rear: Required Structure separation: Required 3. Lot Coverage: Required Shown. Shown Shown Shown Shown Shown Shown. Shown Shown Shown. Shown D 4. Height:Required Shown 5. Parking: Spaces Required 68 Shown 92 OFFICE = 10900/250=44 WAREHOUSE = 13271/1000=13 MANUFACTURING = 1100/400=3 VEHICLES USED IN CONJUCTION WITH USE = 8 TOTAL REQUIRED = 68 TOTAL PROVIDED = 92 (breakdown by uses for commercial and industrial projects required) Residential Guest Spaces Required Shown Additional Comments #1. ADD A PARKING TABLE (SEE ATTACHMENT). WITH THE REVISED NUMBERS TO INCORPORATE THE NEWLY CREATED OFFICE SPACE. TO THE FRONT SHEET OF THE PLANS. OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER GINA RUIZ DATE 4/4/11 H:\ADMIN\Template\Building Plancheck Review Checklist.doc Rev 4/08 IK O O a. o 8 .6 "p J if |« 3i5 c< .8 U. 40 I o 5 IU S ! I s 5 5 I 1 I I & S J s D J 3 % j f S u i u! s io « 5^*!1551 ii§^ai Carlsbad Fire Department BLDG. DEPT COPY 7 Plan Review Requirements Category: TI, COMM Date of Report: 04-04-2011 Reviewed by: Name: Address: Permit #: CB110249 Job Name: AIR CARE INTL-382 SF WAREHOUSE Job Address: 2105 CAMINO VIDA ROBLE CBAD St: A INCOMPfcEIE The item you^ia^e submitted for reviBw4&4ncomplete\At tms~thae»tiiis office cannot iequate^conducT^eyiew tON^etermn^cprnplifflice with the applicable codes and/or stamasd^. Please review se resubmit^n^ necessary plans andTbfvS^ec^fications, with cKanges "clouded", to this officlNo^^yiew and approval. Conditions: ^—~:ond: CON0004388 [MET] **yTJubble ALL changes ***** 1. Site Applicable Code footprint for thisjpx-oject. 2. Provide o&cupant load calculaJidnVfipr all areas. 3. Dseciace use of all 4. Provide dema^fan. 5. List ocGdpancy types. State all occupancies and seperations. 6. Show storage usesXjrive amounts of compressed gases in cubic feet. Show storage configuration. 7. Provide egress plan to^uBlic way. Entry: 04/04/201,K By: df\ Action: AP Carlsbad Fire Department Plan Review Requirements Category: TI, COMM Date of Report: 02-16-2011 Reviewed by: C{ >( Name: Address: Permit #:CB 110249 Job Name: AIR CARE INTL-382 SF WAREHOUSE Job Address: 2105 CAMINO VIDA ROBLE CBAD St: A INCOMPLETE The item you have submitted for review is incomplete. At this time, this office cannot adequately conduct a review to determine compliance with the applicable codes and/or standards. Please review carefully all comments attached. Please resubmit the necessary plans and/or specifications, with changes "clouded", to this office for review and approval. Conditions: Cond: CON0004388 [NOT MET] *** Bubble ALL changes ***** 1. Site Applicable Code footprint for this project. 2. Provide occupant load calculations for all areas. 3. Declare use of all areas. 4. Provide demo plan. 5. List occupancy types. State all occupancies and seperations. 6. Show storage uses. Give amounts of compressed gases in cubic feet. Show storage configuration. 7. Provide egress plan to public way. Entry: 02/15/2011 By: cwong Action: CO <SMh1r 2 SCALE PRODUCTIONS Architect David E. Hatttunen 1605 Grand Avenue • Studio 3 San Marcos, California 92078 (760) 510-9633 VIA O POPPED 4* r\ giKfTM J I 1 R T.I. CONVERSION WAREHOUSE TO OFFICE Ground Transport Division 2105-A CAMINO VIDA ROBLE , " CARLSBAD, CALIFORNIA 92011 RETRO-PERMIT FOR 7 IF CONTENT OF THE ITEMS ABOVE IS NOT COMPLETE, KINDLY NOTIFY US AT ONCE. 2 SCALE PRODUCTIONS Architect David E. Halttunen 1605 Grand Avenue • Studio 3 San Marcos, California 92069 (760) 510-9633 LETTER OF TRANSMITTAL We are sending you Vf Attached Q Under separate cover vta LJ Shop drawings LJ Prints Q Plans LJ CopyoHetler Q Change order _the following Items Q Specificationsww^lv* THESE ARE TRANSMITTED as checked below: G For approval Q Approved as submitted G For your use Q Approved as noted G As requested Q Returned for corrections G For review and comment G FOR BIDS DUE Q Resubmlt copies for approval Q Submit copies for distribution Q Return corrected prints•>i» i_j UBIUIII j^uneoicu pmio•to f^p^fy/^i drtetfWaM. "/ Q Prints returned after loan to us 1 COPY TO: If enclosures are not as noted, kindly notify us at once. BUILDING ENERGY ANALYSIS REPORT PROJECT: Air Care Tenant Improvement 2105 Camino Vida Roble Carlsbad, CA 92011 Project Designer: 2 Scale Productions 1605 Grand Avenue, Studio 3 San Marcos, CA 92069 7605109633 Report Prepared by: David McKlnley McKinley Engineering 608 Hilo Way Vista, CA 92081 (619)857-3172 Job Number: J10-112 Date: 12/16/2010 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This pn authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Enei This program developed by EnergySoft, LLC - www.energysoft.com. C ^3 ^ Z uj £ - S:|33 CTJ £• O dvO o O $ "•i fv (V o' C i-n O EnergyPro 5.0 by EnergySoft User Number: 6803 RunCode: 2010-1 2-16T09:27:4 ID: J1 0-1 12 CERTIFICATE OF COMPLIANCE (Part 1 AND FIELD INSPECTION ENERGY CHECKLIST of 4)ENV-1C Project Name Air Care Tenant Improvement Project Address 21 05 Camino Vida Roble Carlsbad Climate Zone 7 Total Cond. Floor Area 282 GENERAL INFORMATION Building Type: B Nonresidential D High-Rise Residential D D Schools (Public School) D Relocatable Public School H Conditioned Spaces Date 12/16/2010 Addition Floor Area 0 Hotel/Motel Guest Room D Unconditioned Spaces D Skylight Area for Large Enclosed Space £ 8000 ft2 (If checked include the ENV-4C with submittal) Phase of Construction: D New Construction Approach of Compliance: D Component Front Orientation: N, E, S, W or in Degrees:Odeg D Addition 0 IZI Overall Envelope D Alteration Unconditioned (file affidavit) FIELD INSPECTION ENERGY CHECKLIST Tag/ID1 Wall Wall Roof Wall Assembly Frame Type2 Spandrel Panel or Glass Curtain Solid Unit Masonry Wood Framed Attic Wood Framed siCO —t corj)3 £ 48 56 282 144 SurfaceOrientationN,E,S,W(N) (E) (N) (N) '> 3 <3£ None None R-30 R-13 ContinuousR-Value13.C O.C O.C O.C WO)c 1 n n n D D n D n CC c_c 1 ConditionStatus5New New New New f* , '' 1 ! Mi ••:ip X 3JJH ,-•- -. •••? Kt> iSt? :;'ti;; M8Mins P 1 \3S?, „$&• vlljv; lit! 1 . Indicate the identifying name of the frame type (i.e. Wall -1 , Ceiling-1 , Roof -1 , and Floor- 1 ). 2. Indicate type of Assembly Type such as Wood 2x4 or LW CMU 8". For additional other assembly types see Reference Joint Append x, JA4-1 . 3. If furring is checked refer to ENV-2C Mass and 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 Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. FENESTRATION SURFACE DETAILS Tag/ID1 1 Fenestration Type2 Window w < 48 SurfaceOrientation(E)# of PanesJ«Hr 1.250 1oCO Default o(3 X COIS 0.670 Source3COG OverhangD D D D n n a D ConditionsStatus4New m i|Httip (jSJfel ^Si^^^^^^^^^^jnliSwiiti^ Ml: gij 2 HP 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 or 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. EnergyPro 5. 0 by EnergySoft User Number:6803 RunCode: 2010-12-16709:27:46 ID: J10-112 Page 2 of 24 Project Name Air Care Tenant Improvement Date 12/16/2010 CERTIFICATE OF COMPLIANCE AND FIELD INSPECTION ENERGY CHECKLIST (Part 2 of 4)ENV-1C ROOFING PRODUCT (COOL ROOFS) (Note if the roofing product is not CRRC certified, this compliance approach cannot be used). Go i6 Overall Envelope Approach or PerfoXrnance Approach. v. v CHECKSftPPLICABLE BOX BELOW IF EXEMPT FROM THE ROOFING PRODUCT "COOL ROOF" REQUIREMENTS: D Roofihg compliance not required in Climate Zones 1 and16 with a Low-Sloped. 2:12 pitch or less. D Roofing a^mpliance not required in Climate Zone 1 with a Steep-Sloped with less than 5 Ib/ft2. Greater than 2:12 pitch. p. Low-slopeoWood framed roofs in Climate Zones 3 and 5 are exempted. Solar reflectance and thermal emittance or SRI that have\a U-factor of 0.039 or lower, see Opaque Surface Details roof assembly, Column H of ENV-2C. p. The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempted. SolaNceflectance and thermal emittance or SRI, see spreadsheet calculator at www.enerav.ca.gov/title24/ isXhat h the Cool Roof criterilkbelow.. . .v. Roof constructionsviat have thermal mass over the roof membrane with a weight of at least 25 lb/ftz are exempt from p. High-rise residential butidings and hotels and motels with low-sloped roofs in Climate Zones 1 through 9,12 and 16 are exempted from the low-9(pped roofing criteria. 1. If Fail then describe on this page of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. CRRC Product ID Number1 Roof Slope\ < 2:12 >2:-\2\ Product Weight < 5lb/ft2 > Slb/ft2 Product Type2 Aged Solar Reflectance3 Thermal Emmitance SRI5 n4 D D D 1. The CRRC Product ID Number can be obtained from n^e Cool Roof Rating Council's Rated Product Directory at www.coolroofs.org/products/search.phD 2. Indicate the type of product is being used for the roof top,^. single-ply roof, asphalt roof, metal roof, etc. 3. If the Aged Reflectance is not available in the Cool Roof Ralmg Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation (0.2+0.7(pini|iai - 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 th\equation above. 5. The SRI value needs to be calculated from a spreadsheet calculatV at http://www.enerav.ca.gov/title24/ 6. Indicate Special Feature on Page 2 of the Inspection Checklist Forrrnbelow. 7. H Fail then describe on this page of the Inspection Checklist Form and\ake appropriate action to correct. Verify building plans if necessary. To apply Liquid Field Applied Coatings, the coating must be applied acrote the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance\equirements listed in §118(i)4. Select the applicable coating: D Aluminum-Pigmented Asphalt Roof Coating D Cement-Based Roof CoatiSo D Other SPECIAL FEATURES INSPECTION CHECKLIST The local enforcement agency should pay special attention to the items specified in thisVhecklist. These items require special written justification and documentation, and special verification. The local enforcement agency determines the aoaouacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. \ \ V Discrepancies: EnergyPro 5.0 by EnergySoff User Number: 6803 RunCode: 2010-12-16709:27:46 ID: J10-112 Page 3 of 24 CERTIFICATE OF COMPLIANCE (Part 3 of 4) ENV-1 C AND FIELD INSPECTION ENERGY CHECKLIST Project Name Date Air Care Tenant Improvement 1 2/1 6/20 1 0 Required Acceptance Tests Designer: This form is to be used by the designer and attached to the plans. Listed below is the acceptance test for 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 for the scope of work appropriately. Enforcement Agency: Systems Acceptance. Before Occupancy Permit is granted for a newly constructed building or space or whenever 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 the enforcement agency that certifies plans, specifications, installation certificates, and operating and maintenance information meet the requirements of §10-103(b) of Title 24 Part 6. The field inspector must receive the properly filled out and signed forms before the building can receive 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 Fenestration Products Name or ID Requiring Testing or Verification Single Metal Tinted Operable Area of like Products 48 ENV-2A Building Envelope Acceptance Test El D D D D n D D D D n Dn n n n n nn n n n n n n n Test Performed By: D^»/»4 M#-^e~, /m^. EnergyPro 5.0 by EnergySoft User Number: 6803 RunCode: 2010-12-16709:27:46 ID: J10-112 Page 4 of 24 Project Name Air Care Tenant Improvement Project Address Climate Zone Total Cond. Floo 2705 Camino Vida Roble Carlsbad CA Climate Zone 07 282 Documentation Author's Declaration Statement 1 certify that this Certificate of Compliance documentation is accurate and complete. Name David McKlnley Company McKinley Engineering Address 608 Hilo Way City/State/Zip Wsfa>CA9208, Signature / L..^ Date 12/16/2010 r Area Addition Floor Area 0 I-TW^A Date 12/16/2010 EA# CEPE# Ph0ne (619) 857-3172 CERTIFICATE OF COMPLIANCE AND FIELD INSPECTION ENERGY CHECKLIST (Part 4 of 4)ENV-1C The Principal Envelope Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the envelope 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 David Halttunen, Architect Company 2 Scale Productions Address 16Q5 Qrgnd Avenue studjo 3 City/State/Zip San MarcoS: CA 92069 7605109633 Envelope Mandatory Measures Indicate location on building plans of Mandatory Envelope Measures Note Block:_ INSTRUCTIONS TO APPLICANT ENVELOPE COMPLIANCE & WORKSHEETS (check box if worksheet is included) For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the 2008 Nonresidential Manual published by the California Energy Commission. 0 EIMV-1C Certificate of Compliance. Required on plans for all submittals. D ENV-2C Use with the Envelope Component compliance approach. Optional on plans. J3 ENV-3C Use with the Overall Envelope compliance approach. Optional on plans. Use with Prescriptive compliance for the minimum skylight requirements for large enclosed spaces in climate zones 2 through 15 Optiona| on p|ans EnergyPro 5.0 by EnergySoft User Number: 6803 RunCode: 2010-12-16T09:27:4 ID: J10-112 Page 5 of 24 OVERALL ENVELOPE TDV ENERGY APPROACH (Part 1 of 6 )ENV-3C Project Name Air Care Tenant Improvement Date 12/16/2010 WINDOW RATIO CALCULATION for ALL WALLS A. Total linear display perimeter B. Total Gross Exterior Wall Area C. Enter Larger of A or B D. Enter Proposed Window Area 18 296 ftX 6 ft ft2 X 0.40 108 118 48 Display Area 40% of Gross Exterior Wall Area Maximum Standard Area Proposed Area If the proposed Window Area is greater than the Maximum Standard Area, then the envelope component method may not be used. E. Window Wall Ratio = (Row D) Divided by (Row B)76.22 %See RSHG in Table 143-A, 143- B, or 143-C WEST WINDOW RATIO CALCULATION F. West Linear Display G. West Exterior Wall Area H. Enter Larger of F or G I. Enter Proposed West Window Area ftX 6 ft ft2 X 0.40 Oft2 Oft2 Oft2 Oft2 West Display Area 40% of West Exterior Wall Area Maximum Standard West Area Proposed West Window Area If the proposed West Window Area is greater than the Maximum Standard West Area, then the envelope component method may not be used. See West RSHG in Table 143-A, J. Window Wall Ratio = (Row I) Divided by (Row G)0.00%143-B, or 143-C COMBINED AREA FOR NORTH, EAST AND SOUTH WALLS K. N/E/S Display Perimeter (A Minus E) L. N/E/S Exterior Wall Area (B Minus G) M. Enter Larger of K or L N. Proposed N/E/S Window Area (D Minus I) 18 296 ft X 6 ft ft2 X 0.40 = 708 118 118 48 ft2 N/E/S of West Exterior Wall Area 40% N/E/S Area Maximum Standard N/E/S Area Proposed N/E/S Area WINDOW ADJUSTMENT O. If D > C and/or if I > H, proceed to the calculation steps 1 for all walls or 2 for west wall. If not, go to the skylight area test on page 6. 1. If D > C: Use the calculated Window Adjustment Factor (WAF) for all walls. PROPOSED WINDOW MAX. STANDARD AREA AREA WINDOW (from C) (from D) ADJUSTMENT FACTOR Go to Page 6 to calculate Adjusted Area 2. If I > H: Calculate one Window Adjustment Factor (WAF) for the West wall. MAX. STANDARD WEST PROPOSED WEST AREA AREA (from H) (from I) WEST WINDOW ADJUSTMENT FACTOR MAX. STANDARD AREA (from C) PROPOSED AREA (from D) WEST WINDOW ADJUSTMENT FACTOR Go to Page 6 to calculate Adjusted Area EnergyPro 5.0 byEneroySoft User Number: 6803 RunCode: 2010-12-16709:27:4 ID:J10-112 Page 6 of 24 OVERALL ENVELOPE TDV ENERGY APPROACH (Part 2 of 6 ) ENV-3C Project Name Air Care Tenant Improvement SKYLIGHT RATIO CALCULATION §143(b) Actual Gross Roof Maxh Area A. If Atrium/Skylight Height is S 55 ft; or 282 ft2 X 0.05 B. If Atrium/Skylight Height is > 55 ft ft2 X 0.10 C. Proposed Skylight Area ° ft2 D. Skylight Ratio = Proposed Skylight Area (Row C) Divided by Actual Gross Roof Area E. Maximum Allowed Skylight Roof Ratio = Maximum Allowed Standard Skylight Area (Row A or B) Divided by Total Gross Exterior Roof Area Date 12/16/2010 Hum Allowed Standard Skylight Area 14 If ft2 0.0 % SRRprop 5 % SRRsTD IF THE PROPOSED SKYLIGHT AREA IS GREATER THAN THE STANDARD SKYLIGHT AREA, PROCEED TO THE NEXT CALCULATION FOR THE SKYLIGHT AREA ADJUSTMENT. IF NOT, GO TO PAGE 3 OF 6. SKYLIGHT AREA ADJUSTMENT IF F > D, Proceed To Calculation Step 1 Step 1 . Calculated the Skylight Adjustment Factor (WAF). STANDARD PROPOSED SKYLIGHT SKYLIGHT ADJUSTMENT SKYLIGHT AREA AREA (IF E = 0 ENTER 1 ) FACTOR (SAP) T = CARRY THE WINDOW ADJUSTMENT FACTOR (SAF) TO PAGE 6 OF 6 TO CALCULATE THE ADJUSTED AREA EnergyPro 5.0 by EnergySoft User Number: 6803 RunCode: 2010-12-16709:27:4 ID: J10-1 12 Page 7 of 24 oCO UJ CD B CO CD X O ODC Q.0_ ODCUJ•z. UJ 111 Q.O in •z. 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S M jg o > C Co j- cS LLJ — tl CO CD 2S^ > 3 ^o Q) O Q) co» > r- n"Co > n3 M fl) &1 rt § £ ^1 **-COCD « t=: v* EG) — o .C O ^ .E 3 ^, O t S i ^ ^ O^%g i § i pos|| 1 I o !^^E .92 *-^ •> a) ^ CMaj *— o > — - ^ ; ni o yj O *~^ i^ -Q irf _l "O CL llHHlli*— ' Q) -CI — Q Q_ fj (0 Q) ^ •£(0 *B _c OJ-n£ — O.E=.0 *1 *IM«>P0 „ J3 QZ ^W C § g-o jj odsS^f-g J^o^O ^^JcS^^Q) >Q)^^-— g|||||||i|Il| o £ ° ^- -S2 c "i? <D i-S" 2 "^ -2 5*|o^||||5||| '"' •^[^•^•cocn rf*2'l— too) fj" x Q.^T~^"'S'oHccoCD = 5 °3 CD ^ TT ^ —v "« "5< « x r? i l!il«!l|e|c§S^to/rlo^c^^o-G i,Sifilimiiy •^— ^)<5? oo)® i-T*2oO"C3Q **~ lllss^ <S|Sc3^>5 ^CMco^incor^ a co en ,- H - Si "S 0)§,s CN 2 Q <o K §r^to f!| | 1o0M§CC I 1 *"- CD EnergySoft^3o 10 cUJ OVERALL ENVELOPE TDV ENERGY APPROACH (Part 5 of 6 ) ENV-3C Project Name Air Care Tenant Improvement Date 12/16/2010 Cool Roof Multiplier (MCR) Occupancy Type and Coefficients Tables El Nonresidential, See Table NA5-3 D 24-Hour Use, See Table NA5-4 D Retail, See Table NA5-5 Climate Zone: Coefficients of Calculation Reflectance -3.270 Emittance -0.930 Proposed Aged Solar Reflectance 0.10 Standard Aged Solar Reflectance1 0.55 Proposed Thermal Emittance 0.75 Standard Thermal Emittance Cool Roof Multiplier2 0.75 2.472 Enter multiplier in Page 4 of 6, Column J. Where: Standard design values for Solar Reflectance and Thermal Emillance. Except from Table NA5-2 Standard Aged Solar Reflectance (Column D) Standard Thermal Emittance (Column F) Low-Rise, Low-Sloped, CZ2 through CZ15 0.55 0.75 Low-Rise, Low-Sloped, CZ1 through CZ16 0.10 0.75 High-Rise, Low-Sloped, CZ10 through CZ15 0.55 0.75 High-Rise. Low-Sloped, CZ1 -9 through CZ16 0.10 0.75 Steep-Sloped, CZ2 through CZ15 0.25 0.75 Steep-Sloped, all other 0.10 0.75 1. Proposed Aged Design Solar Reflectance; paged prop = 0.7 X (pinit prop + 0.06). Where (Pinit prop) reflectance value is found in the CRRC Directory. Enter results of the Cool Roof Multiplier equation in footnote 2. 2. Cool Roof Multiplier McR.i = 1 + CRei X (paged prop - Paged std) + GEMI X (Eprop- Estd) or 1+ Col A X (Col C - Col D) + Col B X (Col E - Col F) Overhang Multiplier (MOH) Occupancy Type and Coefficients Tables IZI Nonresidential, See Table NA5-3 D 24-Hour Use, See Table NA5-4 D Retail, See Table NA5-5 Climate Zone: Orientation Coefficients of B Projection Factor1 Projection Factor1 Fenestration Overhang Calculation D Horizontal Projection (ft2) Vertical Distance (ft2) G Projection Factor2 Overhang Multiplier Enter multiplier in Page 4 of 6 Column K. 1. Where a\ and bi are he coefficients for the overhang projection factor (see tables) and is climate zone dependent. 2. PF = H/V (Horizontal (H) projection of the overhang from the surface of the window in feet, but no greater than V and the Vertical (V) distance from the window sill to the bottom of the overhang, in feet.) Enter results in Column F. 3. MOH i = 1 + (ai X PFi) + b, X PF2. Enter results in Column G. EnergyPro 5.0 by EnergySo User Number: 6803 RunCode: 2010-12-16709:27:46 ID: J10-112 Page 10 of 24 Project Name Air Care Tenant Improvement Date 12/16/2010 ENVELOPE MANDATORY MEASURES: NONRESIDENTIAL ENV-MM DESCRIPTION Building Envelope Measures: §118(a):Installed insulating material shall have been certified by the manufacturer to comply with the California Quality Standards for insulating material, Title 20 Chapter 4, Article 3. §118(c):All Insulating Materials shall be installed in compliance with the flame spread rating and smoke density requirements of Sections 2602 and 707 of Title 24, Part 2. §118(f):The opaque portions of framed demising walls in nonresidential buildings shall have insulation with an installed R-value of no less than R-13 between framing members. §117(a):All Exterior Joints and openings in the building that are observable sources of air leakage shall be caulked, gasketed, weatherstripped or otherwise sealed. Manufactured fenestration products and exterior doors shall have air infiltration rates not exceeding 0.3 cfm/ft.2 of §116(a) 1: window area, 0.3 cfm/ft.2 of door area for residential doors, 0.3 cfm/ft.2 of door area for nonresidential single doors (swinging and sliding), and 1.0 cfm/ft.2 for nonresidential double doors (swinging). §116(a) 2: Fenestration U-factor shall be rated in accordance with NFRC 100, or the applicable default U-factor. si 1 RI n Fenestration SHGC shall be rated in accordance with NFRC 200, or NFRC 100 for site-built fenestration, or the911 oiaj o. app|icab|e defau|t SHGC. §116(b):Site Constructed Doors, Windows and Skylights shall be caulked between the unit and the building, and shall be weatherstripped (except for unframed glass doors and fire doors). EneravPro 5.0 bv EneravSofi User Number: 6803 RunCode: 2010-12-16709:27:46 ID: J10-112 Page 11 of 24 Project Name Air Care Tenant Improvement Project Address 2705 Cam /no Vida Roble Carlsbad Climate Zone 7 Total Cond. Floor Area 282 Date 12/16/2010 Unconditioned Roor Area 0 CERTIFICATE OF COMPLIANCE (Parti of4)LTG-1C GENERAL INFORMATION Building Type:El Nonresidential Relocatable Public School D High-Rise Residential D Hotel/Motel Guest Room D School D El Conditioned Spaces D Unconditioned Spaces Phase of Construction: D New Construction D Addition El Alteration Method of Compliance: D Complete Building El Area Category D Tailored Documentation Author's Declaration Statement I certify that this Certificate of Compliance documentation is accurate and complete. Name David McKlnley Company McKinley Engineering Date 12/16/2010 Address 608 Hilo Way EA# CEPE# City/State/Zip Wsfa, CA 92081 Phone (619) 857-3172 The Principal Lighting Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professional Code to accept responsibility for the lighting design. • This Certificate of Compliance identifies the lighting features and performance specifications required for compliance with Title 24, Pages 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 David McKinley Company Efficient Energy Co. Address 608 Hilo Way City/State/Zip Wsfa, CA 92081 Sian""XW Th^, Phone (619) 857-3172 License #MVWSG Date li~ik~io Lighting Mandatory Measures Indicate location on building plans of Mandatory Measures Note Block:. LIGHTING COMPLIANCE FORMS & WORKSHEETS (check box if worksheets is included) For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms; please refer to the Nonresidential Manual published by the California Energy Commission. El LTG-1C Pages 1 through 4 Certificate of Compliance. All Pages required on plans for all submittals. El LTG-2C Lighting Controls Credit Worksheet El LTG-3C Indoor Lighting Power Allowance LTG-4C Pages 1 through 4 Tailored Method Worksheet LTG-5C Pages 1 and 2 Line Voltage Track Lighting Worksheet EnergyPro 5.0 by EnergySoft User Number: 6803 RunCode: 2010-12-16709:27:4 ID: J10-112 Page 12 of 24 CERTIFICATE OF COMPLIANCE Project Name Air Care Tenant Improvement (Part 2 of 4) LTG-1 C Date 12/16/2010 INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Installation Certificate, LTG-1- INST (Retain a copy and verify form is completed and signed.) Certificate of Acceptance, LTG-2A (Retain a copy and verify form is completed and signed.) Field Inspector D Field Inspector D A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces Installed Lighting Power listed on this Lighting Schedule is only for: 0 CONDITIONED SPACE D UNCONDITIONED SPACE r. The actual indoor lighting power listed below includes all installed permanent and portable lighting systems in accordancem with§146(a). Only for offices: Up to the first 0.2 watts per square foot of portable lighting shall not be required to be included in the 0 calculation of actual indoor lighting power density in accordance with the Exception to §146(a). All portable light ng in excess of 0.2 watts per square foot is totaled below. A None or Item Tag Luminaire (Type, Lamps, Ballasts) B Complete Luminaire Description1 (i.e, 3 lamp fluorescent troffer, F32T8, one dimmable electronic ballasts) (4) 4 ft Fluorescent T8 Rapid Start Bee Building total number of pages: Installed Watts C Special FeaturesD D D D D n D D n D D D D n D n n n n D Watts perLuminaire114 E How wattage Was determined CEC Default From NA8 0 D D D n n n n n n n n n n n n n n n "5T o T3 So ?co O <&1Jte n n n n D n n n n n n D n n n n n n n F Number ofLuminaires2 Installed Watts Page Total: Installed Watts Building Total (Sum of all pages) Enter into LTG-1 C Page 4 of 4 G H • ^x *a IPISHp«4B-:: •I l*ffjfff|!|> •H ijjj&T*''; Itift -••$ fe: £f-,,'V&\', . Iffc mg m dSj^^IKCXVm i&FlVM ^^^^^^^B Pife^st!|l | p^lita^rnkmt m aBB •m M fcB2Hi t'-jjj/y ^.7^.1 ".¥6? *>jfcr * , 228 &,^;;. .' 228 1 . Wattage shall be determined according to Section 1 30 (d and e). Wattage shall be rating of light fixture, not rating of bulb. 2 . If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. EnerqyPro 5.0 by EnerqySoft User Number: 6803 RunCode: 2010-12-16T09:27:4t ID:J10-112 Page 13 of 24 CERTIFICATE OF COMPLIANCE (Part 3 of 4) LTG-1 C Project Name Air Care Tenant Improvement Date 12/16/2010 INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Fill in controls for all spaces: a) area controls, b) multi-level controls, c) manual daylighting controls for daylit areas > 250 ft2, automatic daylighting controls for daylit areas > 2,500 ft2, d) shut-off controls, e) display lighting controls, f) tailored lighting controls - general lighting controlled separately from display, ornamental and display case lighting and g) demand responsive automatic controls for retail stores > 50,000 ft2, in accordance with Section 131 . MANDATORY LIGHTING CONTROLS - FIELD INSPECTION ENERGY CHECKLIST Type/ Description 5V«te- k/icf £- L i <a M-f/Kr $^i/*f «*>(tf fl»f- ft^fi/'C^ '•Ad-C &t> cfft/t i Oft i$ "1/2-*^ , C, A MO*-* WWtC. 6&M&£tA\f\ Number of Units Location in Building N/A Special Features D D D D n D D D D D D D D D D D D D D D D D D D ^S i^l|V;S; " '"' -ife ^JPI §1 ,J *f;|f>ti f: ;,O.':1 ^•-jdP"^ m®mm m •"--•^feia Sffirjf SPECIAL FEATURES INSPECTION CHECKLIST (See Page 2 of 4 of LTG-1 C) mm^H'••m^ AjUl! 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. Field Inspector's Notes or Discrepancies: EnergyPro 5.0 by EnergySoft User Number: 6803 RunCode: 2010-12-16709:27:4 ID:J10-112 Page 14 of 24 CERTIFICATE OF COMPLIANCE Project Name Air Care Tenant Improvement (Part 4 of 4) LTG-1C Date 12/16/2010 CONDITIONED AND UNCONDITIONED SPACE LIGHTING MUST NOT BE COMBINED FOR COMPLIANCE Indoor Lighting Power for Conditioned Spaces Installed Lighting (from Conditioned LTG-1C, Page 2) Lighting Control Credit Conditioned Spaces (from LTG-2C) Adjusted Installed Lighting Power Complies if Installed ^ Allowed Allowed Lighting Power Conditioned Spaces (from LTG-3C or PERF-1) Watts 228 0 228 t 254 Indoor Lighting Power for Unconditioned Spaces Watts Installed Lighting „ (from Unconditioned LTG-1C, Page 2) Lighting Control Credit . QUnconditioned Spaces (from LTG-2C) Adjusted Installed _ „ Lighting Power Complies if Installed £ Allowed t Allowed Lighting Power Unconditioned Spaces (from LTG-3C) Required Acceptance Tests Designer: This form is to be used by the designer and attached to the plans. Listed below is the acceptance test for the Lighting system, LTG-2A. The designer is required to check the acceptance tests and list all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance. If all the lighting system or control of a certain type requires a test, list the different lighting 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 for the scope of work appropriately. Forms can be grouped by type of Luminaire controlled. Enforcement Agency: Systems Acceptance. Before Occupancy Permit is granted for a newly constructed building or space or when ever new lighting system with controls is installed in the building or space shall be certified as meeting the Acceptance Requirements. The LTG-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 the enforcement agency that certifies plans, specifications, installation certificates, and operat ng and maintenance information meet the requirements of §10-103(b) of Title 24 Part 6. The field inspector must receive the properly filled out and signed forms before the building can receive final occupancy. A copy of the LTG-2A for each different lighting luminaire control(s) must be provided to the owner of the building for their records. Controls for Credits Equipment Requiring Testing Description EnerqvPro 5.0 by EnerqySoft User Number 6803 Number of Luminaire controls Location LTG-2A Controls and Sensors and Automatic Daylighting Controls Acceptance D D D D D D D D D D D D D D n D RunCode: 201 0-1 2-1 6T09:27:4 ID: J10-112 Page 15 of 24 INDOOR LIGHTING POWER ALLOWANCE LTG-3C Project Name Air Care Tenant Improvement Date 12/16/2010 ALLOWED LIGHTING POWER (Chose One Method) A Separate LTG-3C must be filled out for Conditioned and Unconditioned Spaces. Indoor Lighting Power Allowances listed on this page are only for: 0 CONDITIONED SPACES d UNCONDITIONED SPACES COMPLETE BUILDING METHOD BUILDING CATEGORY (From §146 Table 146-E) WATTS PER (ft2) TOTALS X COMPLETE BLDG. AREA AREA ALLOWED WATTS WATTS AREA CATEGORY METHOD BUILDING CATEGORY (From §146 Table 146-F) Office > 250 sqft WATTS PER (ft2) 0.90 TOTALS X Area ft2 282 282 AREA ALLOWED WATTS 254 254 WATTS TAILORED METHOD Total Allowed Watts using the Tailored Method taken from LTG-4C (Page 1 of 4) Row 3 0 The indoor lighting power allowance using the Tailored Method of compliance shall be determined using the LTG-4C set of forms. A separate set of LTG- 4C forms shall be filled out for CONDITIONED and UNCONDITIONED spaces EnerqyPro 5.0 by EnergySoft User Number: 6803 RunCode: 201 0-12-16T09:27:4 ID: J10-112 Page16of24 Project Name Air Care Tenant Improvement Date 12/16/2010 LIGHTING MANDATORY MEASURES: NONRESIDENTIAL LTG-MM Indoor Lighting Measures: §131(d): Shut-off Controls For every floor, all interior lighting systems shall be equipped with a separate automatic control to shut off the lighting. 1. This automatic control shall meet the requirements of Section 119 and may be an occupancy sensor, automatic time switch, or other device capable of automatically shutting off the lighting. 2.Override for Building Lighting Shut-off: The automatic building shut-off system is provided with a manual, accessible override switch in sight of the lights. The area of override is not to exceed 5,000 square feet. §119(h):Automatic Control Devices Certified: All automatic control devices specified are certified, all alternate equipment shall be certified and installed as directed by the manufacturer. §111:Fluorescent Ballast and Luminaires Certified: All fluorescent fixtures specified for the project are certified and listed in the Directory. All installed fixtures shall be certified. Tandem Wiring for One and Three Lamp Fluorescent Fixtures: All one and three lamp fluorescent fixtures are tandem §132: wired with two lamp ballasts where required by Standards Section 132; or all one and three lamp fluorescent fixtures are specified with electronic high-frequency ballasts and are exempt from tandem wiring requirements. §131(a): individual Room/Area Controls: Each room and area in this building is equipped with a separate switch or occupancy sensor device for each area with floor-to-ceiling walls. Uniform Reduction for Individual Rooms: All rooms and areas greater than 100 square feet and more than 0.8 watts §131(b): per square foot of lighting load shall be controlled with bi-level switching for uniform reduction of lighting within the room. §131(c): Daylight Area Control: All rooms with windows and skylights that are greater than 250 square feet and that allow for the effective use of daylight in the area shall have 50% of the lamps in each daylit area controlled by a separate switch; or the effective use of daylight cannot be accomplished because the windows are continuously shaded by a building on the adjacent lot. Diagram of shading during different times of the year is included on plans. §131(c): Display Lighting. Display lighting shall be separately switched on circuits that are 20 amps or less.6. Outdoor Lighting Measures: §130(c)1: Mandatory lighting power determination for medium base sockets without permanently installed ballasts §132(a):AH permanently installed luminaires with lamps rated over 100 Watts either have a lamp efficacy of at least 60 lumens per Watt or are controlled by a motion sensor. §132(b):All Luminaires with lamps rated greater than 175 Watts in hardscape area, including parking lots, building entrances, canopies, and all outdoor sales areas meet the Cutoff Requirements. §132(c)1: All permanently installed outdoor lighting meets the control requirements listed. Building facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi-Level Lighting Requirements listed. EnergyPro 5.0 by EnergySoft User Number: 6803 RunCode: 2010-12-16T09:27:46 ID: J10-112 Page 17 of 24 CERTIFICATE OF COMPLIANCE and (Part 1 of 5) MECH-1 C FIELD INSPECTION ENERGY CHECKLIST Project Name Air Care Tenant Improvement Project Address 2705 Camino Vida Roble Carlsbad GENERAL INFORMATION Building Type: H Nonresidential Date 12/16/2010 Climate Zone Total Cond. Floor Area Addition Floor Area 7 282 0 H High-Rise Residential D Hotel/Motel Guest Room D Schools (Public School) D Relocatable Public School Bldg. 0 Conditioned Spaces D ^davit)0"^ Spa°eS Phase of Construction: D New Construction Approach of Compliance: D Component Front Orientation: N, E, S, W or in Degrees: HVAC SYSTEM DETAILS Equipment2 Item or System Tags (i.e.AC-1,RTU-1,HP-1) Equipment Type4: Number of Systems Max Allowed Heating Capacity Minimum Heating Efficiency Max Allowed Cooling Capacity Cooling Efficiency Duct Location/ R- Value Duct Leakage Testing - If Yes, a MECH-4A must be submitted Economizer Thermostat Fan Control Equipment2 Item or System Tags (i.e.AC-1,RTU-1,HP-1) Equipment Type4: Number of Systems Max Allowed Heating Capacity Minimum Heating Efficiency Max Allowed Cooling Capacity Cooling Efficiency Duct Location/ R- Value Duct Leakage Testing - If Yes, a MECH-4A must be submitted Economizer Thermostat Fan Control Odeg D Addition 13 Alteration 0 °^;Envel°PeTDV D Unconditioned (file affidavit) Inspection Criteria Existing Heat Pump Packaged DX 1 7,629 Btu/hr 6.60 HSPF 18, 496 Btu/hr 10.0 SEER/ 10.0 EER R-4.2 No No Economizer Setback Required Constant Volume Inspection Criteria FIELD INSPECTION ENERGY CHECKLIST Meets Criteria or Requirements Special Feature1 D D D D D n D D n n n n \ *jfjf ^ ,13 "13 " §. 1I *« , ff **• .... VTt, *».,*«. Jt fit§• ' if- , ,A Li^fesK1f '.:&.;*5"' "* 'j:.s»r ^ a L ™b -•> ~r- .v n P $fa..T3$^ FIELD INSPECTION ENERGY CHECKLIST Special Feature1 n n n n n D n n D n D n 0. '. ' r *, rj-iS&j'J 1JK21 \2f*i * -« *5Jfc? V"! ,a*::: ip<< s ?SU*sS y.-.^g; 55y->j£ .. ..*Bu.'J '- ^p- ,,'P,,, ?%"''ma.-^.'&.^W^.^..?"MVJ k *yf^ f t ^ \ ^ ^jy^iy^i^jf. ' -••^^^fei^M 1 . Indicate special feature DETAILS on Page 2 of the Inspection Checklist Form. 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 responsible 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. EnergyPro 5.0 by EnergySoft User Number: 6803 RunCode: 2010-12-16T09:27:46 ID: J10-1 12 Page 18 of 24 Project Name Air Care Tenant Improvement Date 12/16/2010 CERTIFICATE OF COMPLIANCE and (Part 2 of 5) MECH-1C FIELD INSPECTION ENERGY CHECKLIST 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. X X XX x: x X X Discrepancies: EnergyPro 5.0 by EnergySoft User Number: 6803 RunCode: 2010-12-16709:27:46 ID: J10-112 Page 19 of 24 Project Name Air Care Tenant Improvement Documentation Author's Declaration Statement 1 certify that this Certificate of Compliance documentation is accurate and complete. Name David McKinley Company McKinley Engineering AddreSS 608HiloWay City/State/Zip Vist3i CA 92081 Signature/) ^/Tl Date 12/16/2010 4^Date 12/16/2010 EA# CEPE# Phone (619> 857.3172 CERTIFICATE OF COMPLIANCE (Part 5 of 5)MECH-1C The 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 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 Company Address City/State/Zip David McKinley McKinley Engineering 608 Hilo Way Vista, CA Signature $#**S7W<^ Date |2~-|fe'/o License #Mrm6 Phone (760) 414-9622 Mandatory Measures Indicate location on building plans of Note Block for Mandatory Measures_ MECHANICAL COMPLIANCE FORMS & WORKSHEETS (check box if worksheet is included) For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the 2008 Nonresidential Manual. Note: The Enforcement Agency may require all forms to be incorporated onto the building plans. 0 MECH-1C Certificate of Compliance. Required on plans for all submittals. El MECH-2C Mechanical Equipment Summary is required for all submittals. El MECH-3C Mechanical Ventilation and Reheat is required for all submittals with mechanical ventilation. 0 MECH-4C Fan Power Consumption is required for all prescriptive submittals. EnergyPro 5.0 by EnergySoft User Number: 6803 RunCode: 2010-12-16709:27:4 ID: J10-112 Page 20 of 24 AIR SYSTEM REQUIREMENTS (Part 1 of 2) MECH-2C Project Name Date Air Care Tenant Improvement 12/16/2010 Item or System Tags (i.e. AC-1, RTU-1.HP-1) Number of Systems MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efficiency HVAC Heat Pump Thermostat Furnace Controls/Thermostat Natural Ventilation Mechanical Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control SetbacK and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Insulation PRESCRIPTIVE MEASURES Calculated Design Heating Load Proposed Heating Capacity Calculated Design Cooling Load Proposed Cooling Capacity Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous Heat/Cool Economizer Heat and Cool Air Supply Reset Electric Resistance Heating1 Air Cooled Chiller Limitation Duct Leakage Sealing. If Yes, a MECH-4-A must be submitted Indicate Air Systems Type (Central, Single Zone, Packag Existing Heat Pump 1 e, VAV, or etc...) Indicate Page Reference on Plans or Schedule and indicate the applicable exception(s) T-24 Sections 112(a) 112(a) 112(b), 112(c) 112(c),115(a) 121(b) 121(b) 121(C) 121(0 122(e) 122(e) 122(f) 122(0.) 123 124 6.60 HSPF 10.0 SEER /1 0.0 EER Yes n/a No 42cfm No No Programmable Switch Setback Required Auto n/a R-4.2 144(a&b) 144(a&b) 144(a&b) 144(a&b) 144(c) 144(c) 144(c) 144(d) 144(e) 144(f) 144(g) 144(i) 144(k) 7,629 Btu/hr 14,076 Btu/hr 12,947 Btu/hr 14,306 Btu/hr Constant Volume No No No Economizer Constant Temp Constant Temp No 1. Total installed capacity (MBtu/hr) of all electric heat on this project exclusive of electric auxiliary heat for heat pumps. If electric heat is used explain which exception(s) to §144(g) apply. EnergyPro 5.0 by EnergySoft User Number: 6803 RunCode: 2010-12-16709:27:4 ID:J10-112 Page 21 of 24 o CO 1 OUJ 55 H UJI UJ DC Q Z Zo F UJ O Z ^IoLU ^ o o CD J~ CM COQ ImprovemenicCO CD|r- CO Q) 5 CO 0) vJ tS^ **+ 5 coo ZO £ t 2 1UJcc 'S CN^™ ^y O MECHANICAL VENE3 Z * >;UPANCY BASIS0O AREA BASISz E ^ -5 X a u. Ui a o 01 < •2to .1= £ gi^l 'w .i -^ QCD e "SiQ :§ r nS C/J •*- CO m^Q ^ NC u>^ c -o « -§ .0 O m « o •**• Si CDC O Nl ^ ^ jS C Q.LL 10 S) O C I?! .t: g Q § > P ."SO UJ > CO ° LL. CO u_ Z'0 §uj2 O 1*| S ^> 15§z o- Hx.£ >^rn ^ i& |lc o EOJ ^BcoN CM CM CM 10 ci CM P s=o CM C\] S | c£ 1 c1o5 ^o » C >c •c?CD Q To ?—cE "IO _co c\j _CD CM cm co te per SectiS £=O mum ventilati)c O OJ 1CO 1•s Q £ CO 0) 8^_ CO0)COoBa COCO DJCD °•aCO 1 g s and 50% of the CBC iI §o number ofthe greater of the expected3d on fixed seat orCOCOm LU ^_* o Q C 3fj C/555 m £5 Q. ooO o CO%CO ffLu es calculated on an ARaic_g 5 of the venti1 rrt ir (REQ'D V.A.) is the hco uired VentilatI x lake up the difference.Eo Zc Air (columr equal to H, or use Transfert be greater than oCO J —airflow rate per §121.o | "3o CDCON COl'coQ)/I (Fan CFM) x 50%; or the difo QQ CO EO) 8Q -3 .4 CFM /ft2; ordition area (ft2) x 0<§ x.H, J, K, or 300 CFMimum of Columnsfi _i CO •5 X to the sum of ColumnsCO3CTCD S reater thanor equal to Column L and gimust be less than.jo 5 6cCOsz CDto D) E 11 'S CDto § *^ "D -e require^^5 w ^ E E^"o | .i=0 E 2 || II D) w'co if Si CD g mn H) is greater than trH) and the Design Minir|j ll rovided where the Requiredbetween the Required Ventisfer Air must be pial to the difference1— CD z CM "o CMCM CDOl fi <M'r~6 ~3 Q NlCN CO RunCode: 2010-12-User Number: 6803ergySoftLU ^-Q O 1C)st <5 LU FAN POWER CONSUMPTION MECH-4C Project Name Date Air Care Tenant Improvement 12/16/2010 NOTE: Provide one copy of this worksheet for each fan system with a total fan system horsepower greater than 25 hp for Constant Air Volume (CAV) Fan Systems or Variable Air Volume (VAV) Systems when using the Prescriptive Approach. See Power Consumption of fan §144(c). A Fan Description Supply Fan B Design Brake HP 0.330 C D Efficiency Motor 64.0% Drive 97.0% E Number of Fans 1.0 F Peak Watts B X E X 746 / (CXD) 397 TOTALS AND ADJUSTMENTS ™ ™S£URE AJDJUS™ENT E1uation 144'A in §144<c> 1) TOTAL FAN SYSTEM POWER (WATTS, SUM COLUM F) 2) SUPPLY DESIGN AIRFLOW (CFM) A) "l^lTfr! 1? ? arT'I cT rVT. H& " 3) TOTAL FAN SYSTEM P°WER INDEX (R°W 1 ' R°W 2) pressure drop across the fan (SPf) on Line 5. 4) SPa 5) SP, B) Calculate Fan Adjustment and enter on line 6. 6) Fan Adjustment = 1 -( SPa- 1 ) / SPf C) Calculate Adjusted Fan Power Index and enter on Row 7 7) ADJUSTED FAN POWER INDEX (Line 3 x Line 6)1 397 792 W/CFM 0.507 W/CFM 1 . TOTAL FAN SYSTEM POWER INDEX or ADJUSTED FAN POWER INDEX must not exceed 0.8 W/CFM for Constant Volume systems or 1 .25 W/CFM for VAV systems. EnergyPro 5.0 by EnergySoft User Number: 6803 RunCode: 2010-12-16709:27:4 ID:J10-112 Page 23 of 24 Project Name Air Care Tenant Improvement Date 12/16/2010 MECHANICAL MANDATORY MEASURES: NONRESIDENTIAL MECH-MM Equipment and System Efficiencies §111:Any appliance for which there is a California standard established in the Appliance Efficiency Regulations will comply with the applicable standard. §115(a): Fan type central furnaces shall not have a pilot light. §123:Piping, except that conveying fluids at temperatures between 60 and 105 degrees Fahrenheit, or within HVAC equipment, shall be insulated in accordance with Standards Section 123. §124:Air handling duct systems shall be installed and insulated in compliance with Sections 601, 602, 603, 604, and 605 of the CMC Standards. Controls §122(e): Each space conditioning system shall be installed with one of the following: 1A. Each space conditioning system serving building types such as offices and manufacturing facilities (and all others not explicitly exempt from the requirements of Section 112 (d)) shall be installed with an automatic time switch with an accessible manual override that allows operation of the system during off-hours for up to 4 hours. The time switch shall be capable of programming different schedules for weekdays and weekends and have program backup capabilities that prevent the loss of the device's program and time setting for at least 10 hours if power is interrupted; or 1B. An occupancy sensor to control the operating period of the system; or 1C. A 4-hour timer that can be manually operated to control the operating period of the system. 2.Each space conditioning system shall be installed with controls that temporarily restart and temporarily operate the system as required to maintain a setback heating and/or a setup cooling thermostat setpoint. §122(g): Each space conditioning system serving multiple zones with a combined conditioned floor area more than 25,000 square feet shall be provided with isolation zones. Each zone: shall not exceed 25,000 square feet; shall be provided with isolation devices, such as valves or dampers that allow the supply of heating or cooling to be setback or shut off independently of other isolation areas; and shall be controlled by a time control device as described above. §122(c):Thermostats shall have numeric setpoints in degrees Fahrenheit (F) and adjustable setpoint stops accessible only to authorized personnel. §122(b):Heat pumps shall be installed with controls to prevent electric resistance supplementary heater operation when the heating load can be met by the heat pump alone Each space conditioning system shall be controlled by an individual thermostat that responds to temperature within the zone. Where used to control heating, the control shall be adjustable down to 55 degrees F or lower. For cooling, the §122(a&b): control shall be adjustable up to 85 degrees F or higher. Where used for both heating and cooling, the control shall be capable of providing a deadband of at least 5 degrees F within which the supply of heating and cooling is shut off or reduced to a minimum. Ventilation §121{e):Controls shall be provided to allow outside air dampers or devices to be operated at the ventilation rates as specified on these plans. §122(f):All gravity ventilating systems shall be provided with automatic or readily accessible manually operated dampers in all openings to the outside, except for combustion air openings. Ventilation System Acceptance. Before an occupancy permit is granted for a newly constructed building or space, or a §121 (f): new ventilating system serving a building or space is operated for normal use, all ventilation systems serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance Service Water Heating Systems §113(c)Installation 3. Temperature controls for public lavatories. The controls shall limit the outlet Temperature to 110° F. Circulating service water-heating systems shall have a control capable of automatically turning off the circulating pump ' when hot water is not required. EnergyPro 5.0 by EnergySoft User Number 6803 RunCode: 2010-12-16T09:27:46 ID: J10-112 Page 24 of 24 SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY UPFP# ' HV# BP DATE Business Contact Telephone #i Project Address" , ^ , „, ,.1/£-A tortiiYto tf/U, htit,Citv _ Or State Zip APN# Mailing Address City State Zip Code Plan File# Proj * Telephone # The following questions repesent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT - HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are circled, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. 5. Organic Peroxides 9. 6. Oxidizers 10. 7. Pyrophorics 11. 8. Unstable Reactives 12. 1. Explosive or Blasting Agents 2. Compressed Gases 3. Flammable/Combustible Liquids 4. Flammable Solids Water Reactives Cryogenics Highly Toxic or Toxic Materials Radioactives 13. Corrosives 14. Other Health Hazards 15. None of These. 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, 1255 Imperial Avenue, 3'" floor, San Diego, CA 92101. Call (619) 338-2222 prior to the issuance of a building permit. FEES ARE REQUIRED. Expected Date of Occupancy: / / YES 1. D 2. D 3. D 4. D 5. De. n NO tls your business listed on the reverse side of this form? (check all that apply). Will your business dispose of Hazardous Substances or Medical Waste in any amount? 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? |£j Will your business use an existing or install an underground storage tank? 0 Will your business store or handle Regulated Substances (CalARP)? "M Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? D CalARP Exempt 7 Date Initials D CalARP Required Date Initials D CalARP Complete Date Initials PART III: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT: If the answer to any of the 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 3 or 4 is yes, applicant must also submit an asbestos notification form to the APCD at least 10 working days prior to commencing demolition or renovation, except demolition or renovation of residential structures of four units or less. Contact the APCD for more information. YES 1. D 2. D 3. D 4. D Will the subject facility or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the APCD factsheet at http://www.sdapcd.orq/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). (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)? (Public and private schools may be found after search of the California School Directory at http://www.cde.ca.dov/re/sd/: or contact the appropriate school district). Will there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos? Will there be demolition involving the removal of a load supporting structural member? Briefly describe business activities:Briefly describe proposed project: Name of owner or Authorized Agent Date FOR OFFICIAL USE ONLY:FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:. BY:DATE: EXEMPT OR NO FURTHER INFORMATION REQUIRED COUNTY-HMD APCD RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY COUNTY-HMD APCD RELEASED FOR OCCUPANCY COUNTY-HMD APCD HM-9171 (04/07)County of San Diego - DEH - Hazardous Materials Division PEKWHT Date „ '3 -II S0REENIN© SUI^IY Business Name Street Address Email Address A Cfr PLEASE CHECK HERE IF YOUR SUSIgESS IS EXEMPT: (ON REVERSE SIDE CHiOS WI=E©P BUSINESS^ Check all below that are present at your facility: Acid Cleaning Assembly Automotive Repair Battery Manufacturing Biofuel Manufacturing Biotech Laboratory Bulk Chemical Storage Car Wash Chemical Manufacturing Chemical Purification Dry Cleaning Electrical Component Manufacturing Fertilizer Manufacturing Film /X-ray Processing Food Processing Glass Manufacturing Industrial Laundry Ink Manufacturing Laboratory Machining/Milling Manufacturing Membrane Manufacturing (i.e. water filter membranes) Metal Casting / Forming Metal Fabrication Metal Finishing Electroplating Electroless plating Anodizing Coating (i.e. phosphating) Chemical Etching / Milling Printed Circuit Board Manufacturing Metal Powders Farming Nutritional Supplement/ Vitamin Manufacturing Painting/Finishing Paint Manufacturing Personal Care Products Manufacturing Pesticide Manufacturing / Packaging Pharmaceutical Manufacturing (including precursors) Porcelain Enameling Power Generation Print Shop Research and Development Rubber Manufacturing Semiconductor Manufacturing Soap / Detergent Manufacturing Waste Treatment / Storage SIC Code(s) (if known): Brief description of business activities {Production /Manufacturing Qperali Description of oc gi@n13 %asfewater sd fa sewer, hauled or evaporated);'''' Estimated volume of industrial wasiewater to be discharged jjgl/dayfe tist hazardous wastes generated (type/TOlume): K^.........wT- (/V^A/€ } ton beg^n/or will begin at this location: Have you apjpi^ fw a Wastewater Discharge Permit from the Ericina Waste^rater Whority? If yes, when:. flpr 11 11 ll:45a fljor II U i2:06p p.l cbrichard ellis 760 721 7918 p.3 Aprill 1,2011 RJ. Land Co., L.P. 271-BRoymarRoad Occanside,CA 92058 City of Carlsbad 1635 Faraday Avenue Carlsbad, CA 92008 Re: Permit No: CB110249 To Building Department: 1, Roy P. Josepho, as owner of 2105 Camino Vida Roble. Suite A, Carlsbad, am giving authorization lo pull permits for the above reference number. Sincerely, Owner "KJ> >- ^^ XN^ir- ^^ ' \ §w ^? *z i^l 8 -5- ^ = — 1^1^ *** £ O4J 00 ism R |S O)O3 _ fcM M i»O00 a rea D % cr ST n I » VV Vi\L< B NS ^oved