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2180 RUTHERFORD RD; ; CBC2019-0238; Permit
2180 Rutherford Rd BLDG-Commercial 2120702500 $300,000.00 Work Class: Lot #: Reference #: Construction Type: Tenant Improvement Bathrooms: Orig. Plan Check #: Plan Check #: f-R bty of Carlsbad Commercial Permit Print Date: 10/16/2019 Permit No: CBC2019-0238 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: St Dwelling Units: Bedrooms: Project Title: Description: Status: Closed - Finaled Applied: 05/17/2019 Issued: 09/11/2019 Permit Finaled: Inspector: MColI Final Inspection: 10/16/2019 8:54:33Ar CALLAWAY: REMOVE EXISTING BROILER AND ADD 2 NEW BROILER AND EQUIPMENT Owner: CALLAWAY GOLF COMPANY 2180 Rutherford Rd CARLSBAD, CA 92008 BUILDING PERMIT FEE ($2000+) $1,336.00 BUILDING PLAN CHECK FEE (BLDG) $935.20 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL $89.00 TIRE F Occupancies TI $628.00 GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION $175.00 MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL $55.00 5B1473 GREEN BUILDING STATE STANDARDS FEE $12.00 STRONG MOTION-COMMERCIAL $84.00 Total Fees: $3,314.20 Total Payments To Date: $3,314.20 Balance Due: $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. 1635 Faraday Avenue, Carlsbad, CA 92008-7314 1 760-602-2700 1 760-602-8560 f I www.carlsbadca.gov COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check Est. Value iU ,.. PC Deposit Date Job Address _2''0 44€r)ft £1. Suite: APN: .2/;-070 --7-5--00 Tenant Name: i1lwiiy 601F Co. Cr/Project #: Lot #:________ Occupancy: B) Fl) S' 1 Construction Type: V /3 Fire SprinklersV no Air Conditioning.? no BRIEF DESCRIPTION OF WORK: h49 Iit9A 91: ew 0 Addition/New: New SF and Use, ___New SF and Use, Deck SF, Patio Cover SF (not including flatwork) 0 Tenant Improvement: SF, Existing Use Proposed Use SF, Existing Use Proposed Use J Pool/Spa: SF Additional Gas or Electrical Features? Solar: KW, _Modules, Mounted, Tilt: Yes / No, RMA: Yes / No, Panel Upgrade: Yes / No 25 Plumbing/Mechanical/Electrical Only: ?- /) es, I0iIe.ic 0 Other: APPUCANT (PRIMARY) Name: ('6i M Address: /g,f //g,4,fJ/e S City: StZ.,, I)i.qi State:C%1 Phone: XX :136 -3353 Email: 0-1MDA4 e- 40 0 a4wii#C&ftt DESIGN PROFESSIONAL Name: H441 ,ateer, Address: .5/1 AMaya Di. City: L-4 /flest/t I State:CA Zip: INV- Phone: /f-6'/ 713'/ Email: ton iP h weij P. COM Architect State License: 110111611H PROPERTY OWNER Name: C7Jkkrn' (Zj1F Co Address: WO 4u,4&t/tr,( !Z,L City: CyWdcd State- -Q0 Zip: 9'ZY Phone: 790- V)- -. t/3t/ Email: CONTRACTOR BUSINF Name' 9&k4.Je. MeC&/?ieA) Address: ' woe't City: tO States Phone: 19 3g7 Email: State License: Bus. (Sec. 70313 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he/she is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Buildingcarlsbadca.gov B-2 Page 1 of 2 Rev. 06/18 (OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work My workers' rnmnnctinn inc.iranr nd Policy No. _t4/5 policy number are: insuranra Company Nam' //. Q Expiration Date: _/ /' E3 Certificate of Exemption: I certify that in the performance of the w9jl for which this permit is issued, I shall not employ any person in any manner so as to be come subject to the workers' compensation Laws of California. WARNlNG:aiiuto secure workers compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to $100,000 7", 100,000 o,t 'to tlost of compensation, damages as provided for in Section 3706 of the Labor Code, Interest and attorney's fees. I CONTRACTOR SIGNATUR.. [4GENT DATE:'"i' (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: E3 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). o I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). O I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. O yes 0 No 2.1(have/ have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name address / phone/ contractors' license number): I plan to provide portions of the work, but have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): S. I 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): OWNER SIGNATURE: DAGENT DATE: CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency forthe performance of the work this permit is issued (Sec. 3097 (I) Civil Code). Lender's Name: Lender's Address: ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the 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 the Presley-Tanner Hazardous Substance Account Act? DYes 0 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 13 Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? E3 Yes 0 No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. APPUCANT aRTIFICATIoN: 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 hereby authorize representative of the City of Carlsbad to enter upon the above mentioned propertyfor inspection purposes. I ALSOAGREETO SAVE, INDEMNIFYAND KEEP HARMLESSTHE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINSTSAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavations over5'O' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Offidal un e p visions of this Code shall expire by limitation and become null and void lithe building or work authorized by such permit is not commenced within 180 o e d e o uch permit or lithe building or work authorized by such permit is suspended or abandoned at anytime after the work is commenced for a period 80 da (Se n 1 .4.4 Uniform Build' g Code). APPLICANT SIGNATURE: DATE: '7 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: BuiIdingtcarISbadCa.gOv B-2 Page 2 of 2 Rev. 06/18 Permit Type: BLDG-Commercial Application Date: 05/17/2019 . Owner: CALLAWAY GOLF COMPANY Work Class: Tenant Improvement Issue Date: 09/11/2019 Subdivision:• CARLSBAD TCT#81-I0 UNIT#02A Status: Closed - Finaled Expiration Date: 04/06/2020 Address: 2180 Rutherford Rd IVR Number: 19164 Carlsbad, CA 92008-7328 , Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 1011612019 1011612019 BLDG-Final 107600-2019 Passed Paul York Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Leak at lower band exhaust duct Yes BLDG-Building Deficiency Leak at lower band at exhaust duct. Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes J October 16, 2019 . Page 2 of 2 Permit Type: BLDG-Commercial Application Date: 05/17/2019 Owner: CALLAWAY GOLF COMPANY Work Class: Tenant Improvement Issue Date: .09/11/2019 Subdivision: CARLSBAD TCT#81-10 UNIT#02A Status: Closed - Finaled Expiration Date: 04/06/2020 Address: 2180 Rutherford Rd Carlsbad, CA 92008-7328 IVR Number: 19164 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 09/2612019 09/2612019 BLDG-84 Rough 105482-2019 Partial Pass Michael Collins. Reinspection Incomplete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency BLDG-14 Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout BLDG-34 Rough Electrical 09/3012019 0913012019 BLDG-23 105898-2019 Gas/Test/Repairs Checklist Item Boiler anchorage Supply piping not ready : Switch gear, sub feed, pump disconnects ok Partial Pass Michael Collins COMMENTS Yes Yes No Yes Reinspection Incomplete Passed BLDG-Building Deficiency Start of 24 hour gas test clock, 0815 AM. Yes 1010112019 1010112019 BLDG-23 106029-2019 Passed Michael Collins Complete Gas/Test/Repairs Checklist Item COMMENTS Passed BLDG-Building Deficiency Completion of 24 hr gas test Yes BLDG-Building Deficiency Start of 24 hour gas test clock, 0815 AM. Yes I610212019 1010212019 BLDG-84 Rough 106253-2019 Passed Michael Collins Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-14 Boiler anchorage Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Supply piping not ready No BLDG-34 Rough Electrical Switch gear, sub feed, pump disconnects Yes Ok BLDG-44 Roof top exhaust duct & guy wire support. Yes Rough-Ducts-Dampers 1010812019 1010812019 BLDG-Final 106861-2019 Failed Michael Collins Reinspection Complete Inspection Checklist Item COMMENTS . Passed BLDG-Building Deficiency Leak at lower band at exhaust duct. No BLDG-Plumbing Final No BLDG-Mechanical Final No 10/0912019 10109/2019 BLDG-Final 107009-2019 Partial Pass Michael Collins Reinspection Incomplete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Leak at lower band exhaust duct No BLDG-Building Deficiency Leak at lower band at exhaust duct. No BLDG-Plumbing Final No BLDG-Mechanical Final No October 16, 2019 Page 1 of 2 I --..ii- Corporate 2992 E La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 San Diego/Imperial County 6295 Ferris Square Ste. C San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire 14467 Meridian Pkwy., Bldg 2A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 Indio 44917 Golf Center Pkwy., Ste.1 Indio, CA 92201 Tel: 760.342.4677 Fax 760.342.4525 Dispatch: 800.491.2990 MTGL PROJECT#134ASD DAILY INSPECTION DSAICITY File # - Permit CBC2019'0238 REPORT DSAIOSHPD Appl. # Report # - Page of DSAILEA # Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PROJECT NAME: CIlaway Golf Company Date: 09/12/2019 ARCHITECT: N/A TIME ARRIVED: 06:30 TIME DEPARTED: 07:30 ENGINEER: GSSI Structural Engineers TRAVEL TIME: N/a LUNCH TIME: N/A CONTRACTOR: Pacific Building Group SUB CONTRACTOR: AMC INSPECTION ADDRESS: 2180 Rutherford Ad, Carlsbad CA ADDRESS OF PROJECT:Same as Inspection TYPE OF INSPECTION 0 BATCH PLANT 0 MASONRY U FIREPROOFING U CEILING WIRE ENGINEERED FILL 0 PT CONCRETE 0 HIGH STRENGTH BOLTING N ANCHOR/DOWEL 0 Rnforcing Steel FOUNDATION 0 SHOTCRETE 0 WELDING 0 NDE FIELD 0_ BACK FILL 0 CONCRETE 0 SHOP WELD 0 NDE SHOP 0 DSNOSHPD PROJECT AVAILABLE APPROVED SOIL REPORT Y 0 N 0 SPECS: Y 0 N 0 APPROVED DOCUMENTS PLANS Y l N . APPROVED SHOP DRAWING Y 0 N 0 Reviewed contract documents and specifications. Observed the installation of 1/2" Hilti KB-TZ post installed anchor bolts embedded 2" into existing equipment pad for two "Crest Condensing Boilers" in the boiler room per ESR-1 917 and detail 3 on sheet MP4.1 of the approved plans. Wedge anchors were torqued to 40 ftlbs using a calibrated 3/8" drive torque wrench. To the best of my knowledge, all work observed was in accordance approved plans and applicable code. Work in progress. REWORK AS PERCENT OF ALL WORK TODAY: nla I PERCENT PROJECT COMPLETE: N/A THE WORK INSPECTED MET !J DID NOT MEET U The requirements of the PROJECT documents Samples taken: Weather: Sunny ,_-'7 3nipr/7 75 I Indoor MATERIAL SAMPLING WAS 0 WAS NOT 0 N/A Ii Performed in accordance with DSA/OSPHD/PROJECT approved documents. . Signature of Special Inspector cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District Contractor: THE WORK WAS N WAS NOT U Inspected in accordance with the requirements of the DSA/OSPHD/ PROJECT approved documents. Justin Cookman F'nnt Name Certification #:lCC 8451418 SD-1319 Verified by: EsGil A SAFEbui1t'Company DATE: Sept. 9, 2019 0 APPLICANT 0 JURIS. JURISDICTION: Carlsbad PLAN CHECK #.: C2019-0238 SET: ha PROJECT ADDRESS: 2180 Rutherford Road PROJECT NAME: Callaway boiler replacement The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. El The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: EsGil staff did not advise the applicant that the plan check has been completed. EsGil staff did advise the applicant that the plan check has been completed. rson contacted: Chris Telephone #: 858 336-5353 SLV'Date contacted: ¶J-IC(by:T Email: empmenggmaiI.com Mail Telephone Fax In Person REMARKS:' After talking with the is a medium pressure gas system (@ 5 psi). This necessary information was red lined-on sheet MP2.1 at EsGil. Please th nspector to field vedfyjhqt the- gas. system, is.a MPG system.5.psifl By: Eric Jensen/Connor Reuss Enclosures: EsGil 8/19 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 EsGil A SAFEbuittCompany DATE: AUG 27, 2019 JURISDICTION: Carlsbad PLAN CHECK #.: 0I1I910238' PROJECT ADDRESS: 2180 Rutherford Road sjtf1 U APPLICANT U JURIS. PROJECT NAME: Callaway boiler replacement The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. L The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: II EsGil staff did not advise the applicant that the plan check has been completed. EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Chris Telephone #: 858 336-5353 Date contacted: (by: ) Email: empmenggmail.com Mail Telephone Fax In Person LI REMARKS: By: Eric Jensen/Connor Reuss Enclosures: EsGil 8/19 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 Carlsbad C2019-0238 AUG 271, 2019 GENERAL PLAN CORRECTION LIST JURISDICTION: Carlsbad PROJECT ADDRESS: 2180 Rutherford Road DATE PLAN RECEIVED BY ESGIL: 8/19 REVIEWED BY: Eric Jensen/Connor Reuss PLAN CHECK #.: C2019-0238 DATE REVIEW COMPLETED: AUG 272 2019 FOREWORD (PLEASE READ): This plan review is limited to the technical requirements contained in the International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and disabled access. 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 or other departments. 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. The approval of the plans does not permit the violation of any state, county or city law. Please make all corrections, as requested in the correction list. Submit FOUR new complete sets of plans for commercial/industrial projects (THREE sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 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 and the Carlsbad Planning, Engineering and Fire Departments. Bring TWO corrected set of plans and calculations/reports to EsGil, 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 only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil is complete. To facilitate rechecking, please identify, next to each item, the sheet of the plans upon which each correction on this sheet has been made and return this sheet with the revised plans. Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes, please briefly describe them and where they are located on the plans. Have changes been made not resulting from this list? DYes El No PLUMBING, MECHANICAL, ELECTRICAL, and ENERGY COMMENTS PLAN REVIEWER: Eric Jensen/Connor Reuss PLUMBING (2016 CALIFORNIA PLUMBING CODE) 1. Include the existing boiler specifications for: Adequacy of gas input. I Please address the following items below: Please specify the pressure of the gas system. Specify what CPC Table 1216.2 was used to size the gas lines for the x2 new boilers. Specify the total developed length (TDL) from the gas meter to the last boiler. It appears the combined 3" gas line and the x2 2" gas lines for each boiler are undersized. Per CPC Table 1216.2(1) for 3" gas line, the longest TDL that handle a load of 5,000 CFH is 40'. Per CPC Table 1216.2(1) for 2" gas lines, the longest TDL that handle a load of 2,500 CFH is 20'. The jurisdiction has contracted with EsGil, 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 Eric Jensen/Connor Reuss at Esgil. Thank you. END OF DOCUMENT EsGilV/ A SAFEbuitt'Company DATE: May 299 2019 O APPLICANT U JURIS. JURISDICTION: Carlsbad PLAN CHECK #.: (2Oi9W238' sri PROJECT ADDRESS: 2180 Rutherford Road PROJECT NAME: Callaway boiler replacement The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. El 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. El The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. El The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. El The applicant's copy of the check list has been sent to: El EsGil staff did not advise the applicant that the plan check has been completed. EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Chris Date co . 1i (by:) El REMARC!' Mail Tel hone In Person Telephone #: 858 336-5353 Email: empmeng©gmail.com By: Eric Jensen Enclosures: EsGil 05/20 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 Carlsbad C2019-0238 May 29, 2019 GENERAL PLAN CORRECTION LIST JURISDICTION: Carlsbad PROJECT ADDRESS: 2180 Rutherford Road DATE PLAN RECEIVED BY ESGIL: 05/20 REVIEWED BY: Eric Jensen PLAN CHECK #.: C2019-0238 DATE REVIEW COMPLETED: May 29, 2019 FOREWORD (PLEASE READ): This plan review is limited to the technical requirements contained in the International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and disabled access. 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 or other departments. 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. The approval of the plans does not permit the violation of any state, county or city law. Please make all corrections, as requested in the correction list. Submit FOUR new complete sets of plans for commercial/industrial projects (THREE sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 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 and the Carlsbad Planning, Engineering and Fire Departments. Bring TWO corrected set of plans and calculations/reports to EsGil, 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 only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil is complete. To facilitate rechecking, please identify, next to each item, the sheet of the plans upon which each correction on this sheet has been made and return this sheet with the revised plans. Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes, please briefly describe them and where they are located on the plans. Have changes been made not resulting from this list? 0Yes 0No PLUMBING, MECHANICAL, ELECTRICAL, and ENERGY COMMENTS PLAN REVIEWER: Eric Jensen PLUMBING (2016 CALIFORNIA PLUMBING CODE) Include the existing boiler specifications for: Adequacy of gas input. Include the venting design required for the new boilers/changes to existing. Describe compliance/non-compliance with CPC 603.5.10 (backflow preventer). The jurisdiction has contracted with EsGil, 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 Eric Jensen at Esgil. Thank you. (DO NOT PAY— THIS IS NOTAN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK #.: C2019-0238 PREPARED BY: Eric Jensen DATE: May 29, 2019 BUILDING ADDRESS: 2180 Rutherford Road BUILDING OCCUPANCY: BUILDING PORTiON AREA (Sq. FL) Valuation Multiplier Reg. Mod. VALUE ($) Air Conditioning Fire Sprinklers TOTAL VALUE 300,000 Jurisdiction Code Icb IBY Ordinance 1997 UBC Building Permit Fee v 1997 UBC Plan Check Fee V At 231 Type of Review: [] Complete Review D Structural Only o Repetitive Fee Repeats L!i D Other Hourly d Hr.@* EsGil Fee I $815.00I Comments: Sheet 1 of 1 I OGSSI Structural Engineers Calculations for AUG Callaway Golf C' OF 209 02,'J/LD/ D/SD Steam Boiler Retrofit S/ON San Diego, CA 0 H+W Engineering La Mesa, CA May 2019 OGSSI Structural Engineers SHEET______ PROJECT 0551 NO r' DATE_______ ScYwt4A. Ctb~. % t3C ci b 'p-tS (L2.c i'_r __ s) E-113 r 5-t-i 144 - .r1I: (l.v1IcI4.k V. 1• ---r --- 3 4~rt iç 440 - _ D-r1f.d . L Lo 'bot ___ r 511512019 U.S. Seismic Design Maps OSHPD 2180 Rutherford Rd, Carlsbad, CA 92008, USA Latitude, Longitude: 33.1318162,4f7.28063889999999 Genoptix Medical Laboratory Y. i I I Callaway GoIf erford Rd L3 Communications 9 Reef 9 Google Map data 620191300gle Date 511512019,1:48:59 PM Design Cede Reference Document ASCE7-10 Risk Category II Site Class D - Stiff Soil Type Value Description 88 1.07 MCER ground motion. (tar 0.2 second period) 0,413 MCER ground motion. (for 1.09 period) SMS 1.147 Site-modified spectral acceleration value SMI 0.658 Sltemodlfled spectral acceleration value Sos 0.765 Numeric seismic design value at 0.2 second SA 801 0.437 Numeric seismic design value at 1.0 second SA Type Value Dascription SOC 0 Seismic design category Fe 1.072 Site amplification factor at 0.2 second FV 1.587 Site amplificatIon factor at 1.0 second PGA 0.414 MCE0 peak ground acceleration pca 11188 Site amplification factor at PGA PGAM 0.45 Site modified peak ground acceleration TL 8 Long.pertod transition ported In seconds SORT 1.07 Probabilistic risk-targeted ground motion. (0.2 second) SsUH 1.102 Factored unlfonmliazsrd (2% probability of ericeedance in SO years) spectral acceleration 8sD '1.5 Factored deterministic acceleration value. (0.2 second) S1RT 0413 Probabilistic rfsk.targeted ground motion. (1.0 second) SIUN 0.404 Factored unlfonn.hazard (2% probability of exceedance in 60 years) spectral acceleration. SIO 0.6 Factored deterministic acceleration value. (1.0 second) PGAd 0.508 Factored detenntnistic acceleration value. (Peak Ground Acceleration) CAS 0.971 Mapped value of the risk coefficient at short periods CR, 1.024 Mapped value of the risk,coefflctent at a period oil a httpwllaeiemlcmaps.org . 112 LOW HIGH RELIEF WATER OUTLET WATER DRAIN '0 3J"hiaw CREST HIGH EFFICIENCY BOILERS & WATER HEATERS L / COMMERCIAL BOILER Submittal Sheet FBN-Sub-04b CREST FR 2500-5000 COMMERCIAL CONDENSING BOILER MODEL NO. FBN2500 TYPE GAS Natural Gas Btu/hr INPUT 3500MBTU Btu/hr OUTPUT 2300MBTU SIDE BACK F8'3S00 20Jf3,st) 92.0% 3,120 2,800 18:1 404/1' 83.1/4' 15-5/8' 11.1/4' 2' 10' 10' 4,144 3,225 9'4000 335 4.000 93.0% 1120 3,235 lfl 53.1/2' 109' 100-3/4' 31-1/4' 03/4' 141/T45.3/4' 12.1fl' 191/4-101-1/4' 2.1/2' 12' Il' 6,900 4.750 F9'5000 500 5,000 93.0% 4,650 4,043 10:1 53.1/2' 107' 100.3/4' 28' 403/4' II' 45.1/2' 9' 104' 100-1/4' 2-1/2' 14' 14' 8,000 5550 Notes: "Insert 'N'for naturol gas, "L"forlP gas models and "O'(ar dual fuel. Indoor installation only. Information subject to change without notice. tTurndown rote reduced on LPgos models. Low NOs on F82500-FB5000 models, consult (octoa'y. ARMSTRM Operating limits (temperature - pressure) 5U TsIrU) Maximum pressure: 175 psi Maximum temperature: 200 F Pump casings are hydrostatically tested to 15096 of maximum pump working pressure rating. Options Sensorless Bundle: Yes Parallel Sensorless: Yes Energy Perrormance 8und1e: No Protection Bundle: No F Season Setup: V iie OimizIi No Cooling -. - Heating qi: N/A QZ: N/A Hi: N/A H2: N/A Himin: N/A H2mln: N/A Maximum Flow: N/A Minimum Flow: N/A Optional Services On-Site Pump Commissioning: Cost Included a.not Extended Warranty: No Pump Manager: Yes include Spare Parts Qty: 0 Dimensional data (not for construction) Side view . I Top view 400 i aX 010.38 0023 r08 ax 654 10.13 49) 1 ('74)1 400 (1,41 Inverter motor type: inverter duty r08 J L._.aX1449___ 10.13 491 1 (368J __ www.armstronaf1uldtechnolaay.com 4/18/2019 1:34:21 AN, Ref. #SQEEU00006I_I Page 4 of 5 ARMSTRONG Weight: 547 lb 1248.12 kg], Units of measure: inches (millimeters) R minimum lifting clearance required above motor Coupling guard and flush line (not shown) are supplied Tolerance of ± 0.125 inch (± 3 mm) should be used For certified dimensions, please contact your Armstrong representative Pump equipped with casing drain plug and ¼ inch NPT suction and discharge gauge ports rrnMl.Inhl dImtlIC Connection Size Rating 00 Bolt quantity' BCO Bolt size Inlet 3 ANSi-i 25 8 4 6 0.625 _____ Outlet 3 ANSI-125 8 I 6 0.625 tquauly spaceu srauuuung cenreiune Reference motor 5PeC1nCaUOn MS USQU!. The program has defaulted to a NEMA Premium Efficiency motor supplied with NEMA MG-1 Part 31.4.4.2 insulation standards for inverter-fed polyphase motors. OSHPD Seismic Certification OSP-0422-10 UL STO 778 & CSA STO C22.2 no. 108 certified Selected options Testing: No Test Certification Required Seal Environment Accessories: None Fused Disconnect: Integrated Fused Disconnect Pre-Wired Control Bridge: DutyStandby Sensorless Bundle: Sensoriess control Constant flow control Constant pressure control Flow readout Parallel Sensoriess Yes Pump Manager: Yes www.armsrrongfluIdtechnoloay.com 4/18/2079 7:34:21 AM. Ref. #SQEEU00006I_ 1 Page 5 of 5 \ - won =fi-N I 888 5 88 8 88 8 8838 --i 8838 8 8 8 88 88 2 88 8 I Oil -- , - i CALLAWAY GOLF CO STEAM BOILER RETROFIT ZL 2180 RL"ERFORD RD. CARLSBAD, CA 92008 01, - - SAN DIEGO REGIONAL USE ONLY HAZARDOUS MATERIALS RECORD ID#T IPLANCHECK#_Po/ffHP-oc'so Ei12t(- JFP-e/ 5-5- 7-17 4toCCCt.' QUESTIONNAIRE Pj10/01c33 6c 13P DATE I I Business Name c f) Business Contact llilze Nac3f5 Telephone # 169 - ?31-1771 Project Address ,v'o fe,rd RoL State Zi Code qxvf I APN# I o- zc Mailing Address City State Zip Code Plan File# Applicant E-mail Project Contact Po4ct (icd/a waypo)Fc Telephone # -16 o - - '-' The fOliOtViflg questions represent the TaCilityS actIvltlg, NOT the specific project description. PART I: FIDE D?PAT1ENT -_HAZARDOUS MATEUALS D VISION: OCCUPANCY CLASSIF1C4TI9N (not reuired for Drojects lthh the Cliv ot San Die ao: 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 cirded, applicant must contact the Fire Protection .Agency with jurisdiction prior to plan submittal. Occupancy Rating: Facility's Square Footage (including proposed project): AUG 1 4 2019 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. CorroFives 2. Compressed Gases 6. Oxidizers 10. Cryogenics , . 14. OtherHealth He 3. 3. Flammable/combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These. 4. Flammable Solids S. Unstable Reactives 12. Radioactives'- PAR II: SAN DIEGO COUNTY DEPARTMENT OF ENVIMONMNTAL HALTII -. Ii RD9US MATERIALS DIVISION (i1M) If the r to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 500 Overland Avenue, Suite 110, San Diego, CA 92123. Call (858) 505-6700 prior to the issuance of a building permit. FEES ARE REQUIRED Project Completion Date: fI Expected Date of Occupancy: 0 CalARP Exempt YES NO (for new construction or remodeling projects) I 0 19 Is your business listed on the reverse side of this form? (check all that apply). Date Initials C9 Will your business dispose of Hazardous Substances or Medical Waste in any amount? 0 Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 0 CalARP Required pounds and/or 200 cubic feet? ,S /f tOt5336 .4. 93 Will your business store or handle carcinogens/reproductive toxins in any quantity? Date Initials 5. 0 I Will your business use an existing or install an underground storage tank? 6. 0 0 Will your business store or handle Regulated Substances (CaIARP)? 0 CalARP Complete 7. 0 11 Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? S. 0 J3 Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to Date initials or greater than 1,320 gallons?(California's Aboveground _Petroleum _Storage Act). I pRT Ill.SAN QIEGO COUFT!( AIR POLLUT!9 Pt4TRQL DISTRICT (APCD: Any YES* answer requires a stamp from APCDO124IdGroviRoadSan Diego cA 9231 apcdcompsdcountv ca aov (858) 586-2650) No stamp required if QI Yes and 03 Yes and 04-106 NorThe followipg questjons,are intended to identify the majority of air pollution issues at the planning stage. Projects may require additional measures not identified by requirements contact APCD. Residences are typically exempt, except - those with more than one building on theiproperty; single bulii)gs with more than ftur dwelling units; townhomes; condos; mixed-commercial use; deliberate burns; residences forming part of a larger project. (Excludes garages & small outbuildings.J YES NO I. 0 Will the project disturb 160 square feet or more of existing building materials? I UN 202 19 0 Will any load supporting structural members be removed? Notification may be required 10 working ,days prior to commencing demolition. 0 0 (ANSWER ONLY IF QUESTION I or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance Technician? CASH: 0 0 (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb anyISbtós containing material? Notification may be required 10 working days prior to commencing asbestos removal. CREDIT: 0 gJ Will the project or associated construction equipment emit air contaminants? See the reverse side of thif67 APCD factsheet (www.sdapcd.oraIinfolfactsloerrnits.cdfl for typical equipment requiring an APCD permit. S. 0 0 (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school Briefly describe business activities: Briefly describe proposed proje t: e)f/-tce /oi,IFeii e'wkIv' /R4L) / w,we,4øL'Jé rez,/ateeI k;)et w/,L, ,r1X$,4ed L91 I _________________ penalty of perjury that tt the best of my knowledge and belief ma$b herein are true#id correct. Name of Owner or'thorized Aqent Sign Authorized Agent Date FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: FOR OFFICAL USE ONLY: BY: DATE:_ EXEMM92A0. FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY V11411 421.11.1 APCD COUNTY-HMD APCD COUNW-HMD APCD 4 REVIEWED ' J SINAURE S1aTb4MVnwmga= exempts ousinesses trom completing or updating a on Emitr Plain HM-9171 (08/15) Hazardous Materials business Plan. Other permitting requirements may still apply. County of San Diego - DEH - Hazardous Materials Division (City of Carlsbad CLIMATE ACTION PLAN CONSISTENCY CHECKLIST B-50 Development Services Building Division 1635 Faraday Avenue (760) 602-2719 www.carlsbadca.gov PURPOSE This checklist is intended to assist building permit applicants identify which Climate Action Plan (CAP) ordinance requirements apply to their projects. Unless none of the requirements apply, the completed checklist must be included in the building permit application. It may be necessary to supplement the completed checklist with supporting materials, calculations or certifications, to demonstrate full compliance .with CAP ordinance requirements. For example, projects that propose or require a performance approach to comply with energy- related measures will need to attach to this checklist separate calculations and documentation as specified by the ordinances. . If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required by ordinance, an explanation must be provided to the satisfaction of the Building Official. A Details on CAP ordinance requirements are available on the city's website. Application Information Project Name/Building Permit No.: Ca,&w4, 60/F Co &i)er- Property Address/APN: A j/) .')f) BP No.: Applicant Name/Co.: Applicant Address: Contact Phone: Chi Au ei I /-///' /vift/. / 5';oHs3 Contact Email: Contact information of person completing this checklist (if different than above): Name: Contact Phone: Company name/address: Contact Email: 00~ Applicant Signature: ...Date: i B-50 Page 1 of 3 Revised 04/19 City of Carlsbad Climate Action Plan Consistency Checklist Use the table below to determine which sections of the Ordinance Compliance checklist are applicable to your project. For residential alterations and additions to existing buildings, contact the building counter for the building permit valuation. Building Permit Valuation (BPV) $ Construction Type Residential O New construction Alterations: BPV ~: $60,000 Electrical service panel up BPV 2:$200,000 I. Nonresidential O New construction Jig- Alterations Complete Section(s) I Notes: 1A 0 exempt 1A 1A 1-2 family dwellings and townhouses with attached garages only 1A Multi-family dwellings only where interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed lB and 2 2 I 1. Electric Vehicle Charging fl Residential New construction and major alterations (or electric panel upgrade)* Please refer to Carlsbad Ordinance CS-349 when completing this section. 0 One and two-family residential dwelling or townhouse with attached garage: 0 One EVSE ready parking space required 0 Exception: 0 Multi-family residential: 0 Exception: Total Parking Spaces Proposed EVSE Spaces Capable Ready Installed Total Calculations: Total EVSE spaces =.10 x Total parking (rounded up to nearest whole number) EVSE Installed = Total EVSE Spaces x.50 (rounded up to nearest whole number) EVSE other= Total EVSE spaces - EVSE Installed (EVSE other may be "Capable," 'Read or "Installed.") *Major alterations are: (1) for one and two-family dwellings and townhouses with attached garages, alterations have a building permit valuation ~ $60,000 or include an electrical service panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), alterations have a building permit valuation ~t $200,000, interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed. 0 Nonresidential new construction (includes hotels/motels) 0 Exception:___________________________________ Total Parking Spaces Proposed EVSE Spaces Capable Ready Installed Total Calculation: Refer to the table below: Total Number of Parking Spaces provided Number of required EV Spaces Number of required EVSE Installed Spaces 0-9 .1 .1 10-25 2 1 26-50 4 2 51-75 6. 3 76-100 9 5 101-150 12 6 151-200 17 9 201 and over 10 percent of total 50 percent of Required EV Spaces Updated 4/12/2019 2 Employee ADT Estimation for Various Commercial Uses Office (all)2 20 20 11 11 Restaurant _______________ 8 4.5 Retal13 Industrial 4 3.5 4 3 Manufacturing 4 1 - Warehousing i Unless otherwise noted, rates estimated from ITE Trip Generation Manual; 10Edition 2 For all office uses, use SANDAG rate of 20 ADT/1 .000 sf t0 calculate employee ADT Retail uses include shopping center, variety store, supermarket, gyms, pharmacy, etc. . Other commercial uses maybe subject to special consideration . calculations: .Sample Office: 20,450 sf 1. 20,450 sf 1000 x 20 = 409 Employee ADT Retail: 9,334 sf First 1,000 sf= 8 ADT 9,334 sf- 1,000 sf= 8,334 sf (8,334 sf1 1,000 x 4.5) + 8 = 46 Employee ADT ¼. f Carlsbad Climate Action Plan Consistency Checklist '-; 2. 11 Transportation Demand Management (1DM) List each proposed nonresidential use and gross floor area (GFA) allocated to each use. Employee ADT/1 1000 square feet is selected from the table below. Use. GFA Employee ADT for fist 1,000 S.F. Employee ADT for each subsequent 1,000 S.F. Total Employee ADT OFF e L//O,677 ov 41 3 -35T- tAio/Wu 3 4 71 Total If total employee ADT is greater than or equal to 110 employee ADT, a TOM plan is required. TOM plan required: Yes No 0 Updated 4/12/2019 . 3 Q 404 so E: ~ 3o;s . CREST® [START.UP I CHECKLIST Job Name: Callaway Model Number: FBN2501 Bi Address: Serial Number: 931 115738313 City: San diego ST: CA Zip: Start-up Date: 10/1/19 OVERVIEW GAS SUPPLY Retrofit New Project Gas Pipe 0 Dia. (in.): 2 How many units are Is there an inlet gas ® y installed at this location? lockup regulator on Boiler(s): 2 the supply? 0 N Water Heater(s): If Yes, is it ten feet 0 y upstream from the appliance? 0 N Inspect gas pipe, regulator and meter sizing. Record in. of water column - Is it sized correctly ® y for the Btu/Hr Static Pressure: 8.1" requirement? 0 N Dynamic Pressure: 6.7 Comments/Corrections needed for gas supply, water or electricity: VENTING (Select the venting option being used): Vertical Direct Vent - two pipe vertical termination 0 Common Venting - two or more units piped to same flue 0 Horizontal Direct Vent - two pipe sidewall termination O Vertical Vent w/ Sidewall Air - single pipe vertical termination wi single pipe combustion air supply ® Vertical Vent w/ Room Air - single pipe vertical termination O Horizontal Vent wl Room Air - single pipe sidewall termination Heat Exchanger condensate piped to: Neutralizer Kit Drain Air Inlet Air Inlet Total Eqv. Dia. (in.): Material: Length (ft.): Qty: 4— Louvers 10x10 Flue Flue Total Eqv. Dia. (in.): Material: Length (ft.): 10" PVC 50' Comments/Corrections needed for vent, HEX, or air inlet piping: NxM2JE:9_....M2LE:8_______________________ Nx Vi HF:14 Vi LF:3 WATER & ELECTRICAL COMBUSTION Water Pipe Dia. (in.): 4" Valve 1 Low Fire: Valve 1 High Fire: 02% 7.5 5.0 Atfuilfire, read and record - Inlet Temp: 66 CO ppm 4 3 Outlet Temp. 81 1 CO2 % 7.51 8.91 Delta T 15 Valve 2 Valve 2 Low Fire: High Fire: Supply Voltage: 120 '0,.% 6.1 5.6 COppmlO 17 Total Amp Draw: CO2 % 8.13 8.57 I"Il'II'[I mis Startup Sheet lsfor use only bya quallfied heating installer/service technician. Refer to the Installation and Operation Manualfor your reference. Have this unit serviced/inspected by qualified service technician, at least annually. Failure to comply with the above could result In severe personal injury, death, orsubstantlal property damage. CLEARANCES Measure and record (inches) the service clearances from the nearest obstruction (mm. 24" required for service): Front: Open L Side: Open Top: Open Rear: Open R Side: Open Comments/Corrections needed for service clearances: General Job Notes: START-UP PERFORMED BY: Company: Dawson company Name: Rick Palomar Phone: 6266967140 START-UP APPROVED BY: Company: Name: Phone: Send completed form to: Email: 2tech5)Lochinvar.com Fax: (615) 882-2963 Mail: Service Dept/Lochinvar 300 Maddox Simpson Pkwy. Lebanon, TN 37090 jij — Uchinvar® 4 \/ High Efficiency Water Heaters and Boilers - The information on this form verifies operation of the Lochinvar product only. - This does not imply other system components or overall system operation is certified. Component and system verification should be performed by the designated commissioning agent or Installing contractor. Internal Use: S/0 #: Routed: - Tech: - App: El Denied: fl FB-STARTUP REV B CREST® CHECKLIST Job Name: Callaway Model Number: FBN25O1 AE Address: Serial Number: 1931115738312 City: San diego ST: CA Zip: OVERVIEW GAS SUPPLY Retrofit New Project Gas Pipe 0 Dia. (in.): 2" How many units are Is there an inlet gas e y installed at this location? lockup regulator on Boiler(s): 2 the supply? Q N Water Heater(s): If Yes, is it ten feet ® y upstream from the 0 N appliance? Inspect gas pipe, regulator and meter sizing. Record in. of water column - Is it sized correctly 1@ Y Static Pressure: for the Btu/Hr requirement? 0 N Dynamic Pressure: 7.7 Comments/Corrections needed for gas supply, water or electricity: VENTING (Select the venting option being used): O Vertical Direct Vent - two pipe vertical termination 0 Common Venting - two or more units piped to same flue O Horizontal Direct Vent - two pipe sidewall termination O Vertical Vent wi Sidewall Air - single pipe vertical termination w/ single pipe combustion air supply ® Vertical Vent wi Room Air - single pipe vertical termination o Horizontal Vent w/ Room Air - single pipe sidewall termination Heat Exchanger condensate piped to: Neutralizer Kit Drain Air Inlet Air Inlet Total Eqv. Dia. (in.): Material: Length (ft.): Qty:4 Louvers 10x10 Flue Flue Total Eqv. Dia. (in.): Material: Length (ft.): 10" PVC 30' Comments/Corrections needed for vent, HEX, or air inlet piping: ..NxiL2JiE:i&iL2LE:ii_________________ NxV1HF:12 V1LF:3 Start-up Date: 10/11/19 WATER & ELECTRICAL COMBUSTION Water Pipe 4" Valve 1 Low Fire: Valve 1 High Fire: Dia. (in.): 02% 7.7 5.6 Atfullfire, read and record - CO ppm 2 5 Inlet Temp: 69 Outlet Temp: 85 CO2 % 7.4 8.57 Delta T. 16 Valve Valve Low Fire: High Fire: Supply Voltage: 120 02 % 5.5 5.0 co,m1O 28 Total Amp Draw: CO2 % 8.63 8.96 This Startup Sheet isfor use only by qualifledheating lnstalier/servlce - technician. Refer to the Installation and Operation Manualforyourreference. Have this unit serviced/inspected by qualified service technician, at least annually. Failure to comply with the above could result in severe personal Injury, death, orsubstantialprspertydanzage CLEARANCES Measure and record (inches) the service clearances from the nearest obstruction (mist. 24" required for service): Front: Open L Side: Open Top: Open Rear: Open RSide: Open Comments/Corrections needed for service clearances: General Job Notes: START-UP PERFORMED BY: Company: Dawson Company Name: Rick Palomar Phone: 626-696-7140 START-UP APPROVED BY: Company: Name: Phone: Send completed form to: Email: 2tech@)Lochinvar.com Fax: (615) 882-2963 Mail: Service Dept/Lochinvar 300 Maddox Simpson Pkwy. Lebanon, TN 37090 ?3 - Lochinvar® High Efficiency Water Heaters and Boilers - The information on this form verifies operation of the Lochinvar product only. - This does not imply other system components or overall system operation is certified. Component and system verification should be performed by the designated commissioning agent or installing contractor. Internal Use: S/0 #: - Routed: - Tech: - App: El Denied: 0 FB-STARTUP REV B