HomeMy WebLinkAbout2195 FARADAY AVE; A; 87-299; Permit1111"" ---
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I hereby affirm that I am licensed under 1·
,visions of Chapter 9 (commencing with
!'Mon 7000) of Division 3 of the Business l
nd ~lesslons Code, and my license Is In
lull force and effect.
I hereby afllrm that I am exempt from the Contrac-tor's Lrcense Law for the followirg reason (Sec. 7031 5
Business and Professions Code: Any city or county which re-quires a permit to construct, alter, improve, demolish, or repair any structure, prior to 11s issuance also requires !heap-plicant for such permrf lo Irle a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 commencing with Sectron 7000 of
·Drvisron 3 of fhe Business and Professrons Code) or that rs ex-empt therefrom and the basrs for the·allegeo exemption. Any
vrolat,on of Section 7031.5 by an applicant for a permit sub-jects the applicant to a,crvrl penally of not more than frve hun-
dred dollars ($500).
I I I, as owner of the properly, or my employees wrth wages
as their sole compensation, will·do the work, and the struc-
ture rs not intended or offered for sale (Sec. 7044, Busrness
and Professions Code· The Contractor's License Law does ·not apply to an owner of property wh_o builds or improves
thereon and who does such worK himself or through hrs own employees, provided that such improvements are not intend-
ed or offered for sale. If, however, the building or improve-
ment is sold wilhln one year of completron, fhe owner-burlder will have the burden of proving that he did not.build or im-
prove for the purpose of sale).
D I, as owner of the property, am exclusrvely contracting with licensed contractors to construct the pro1ect (Sec. 7044, Business and Professrons Code: The Contractor's License
Law does not apply to an owner of property who burlds or im-proves thereon, and who contracts for each projects with a contractor(s) license pursuant to the Contractor's License Law).
D As a homeowner I-am improving my home, and the follow· mg cond1t10ns exist· 1. The work rs being performed prror to sale. 2. I have lived in my home for twelve months prror to completion of this work. 3. t have not clarmed this exemptron during the
last three years.
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0 lamexemptunderSec. ______ , B&P.C. [
for this reason f
I hereby affirm that I have a certific~te of consent to
selfinsure. or a certificate of Workers· ,Compensation In-
sur ce. or a certified copy thereof (Sec. 3800. Labor Code}
POL \j NO.
COMPANY
D Copy is filed with the city
D Certified copy is hereby furnished
CERTIFICATE OF EXEMP-TION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1f the permit
is for one hundred dollars ($100} or less)
D I certify, that-in the performance of the work for which this permit is issued, I shall not employ any person in any
manner so as to become subject to the Workers' Compen-
sation Laws of California.
NOTICE TO APPLICANT: If, after making this Certificate
of Exemption. you should become subject to the Workers·
Compensation provisions of the Labor Code, you must
forthwith comply with such provisions or this permit shall
be deemed revoked.
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D I hereby affirm that there is a construction lending I
agency for the performance of the work for which this per-l
mit is issued (Sec. 3097, Civil Code) I
Lender's Name ____________ _
Lender's Address ____________ _
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USE BALL _POINT PEN ONLY & PRESS HARD APPLICANT TO FILL''IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
JOB ADDRESS AV. ST.AD. NEAREST CROSS\<..\ rE:.lc;
10,T~l)_~NI
BUSINESS LICENSE# VALUATION PERMIT NUMBER
X 2195 A Faraday Ave. 5,328
LOT B,LOCK I· SUBDIVISION .I ASSESSOR PARCEL. NO, 1_ CONTRACTOR CONTRACTORS PHONE # , ZONE. 87-299 / -1 r;_ ~-,,. ;tfd-/(2J~
07ro'77ME C~MJt/ I OWNER'S PHONE ., .. ,,,,., -"' -n~
CONTRACTOR"S ADDRESS STATE LICENSE NO. BUILDING SQ. FOOTAGE
ff?'} 15u,,/ {/.I7'itfA. J ~ .,L/L ¥?:ltf/2-d OWNER'S MAILING ADORi'sS /
?..33a r .. A I'»~ ed. Y/Jl ,/J;t51,,o. DESIGNER DESIGNER:S PHONE
tJfftt,~ .GAJ r1,e~a.o~. '-/$-02.~ DESCRIPTION OF WORK U r.:£ u DESIGNER'S ADDRESS ,, STATE LICENSE NO,
~/s::J... ~,/J4 JN,c.,rJll::r 0005 06/23 0101 02BldPm-t 365-E~
Create office in a shell building -296 sq. ft. __ .,,.,,._ .. ....,,.,....,,, ... ---F/P FLR ELEV. NO OCC GP EDU STORIES
YO NO --B-2
I I PARKING SPACE RES UNITS I GRADING PERMIT ISSUED I· REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
YO ND YO NO VN v[2(NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE 1so QTY. MECHANICAL PERMIT -ISSUE /5-1/)I) SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP 1 INSTALL FURN. DUCTS iJP TD 100.000 BTU 9,00 BUILDING PERMIT 001-810-00-00-8220 56.50
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001-810-00-00-8221
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8821 ~"-7i;
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 001-810-00-00-8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001-81 b-00-00-8223 15.00
E-ACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL .<""\, 001-810-00-00-8224 24.00 ---
MOBILEHOME_ -(t_ 1Y 001-810-00-00-8225 EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS
WATER_SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 4',..~y 001-810-00-00-8226
EACH ROOF DRAIN (INSIDE) DRYER VENT STRO!<rthlv!O\tioN _I,_'\..\ 880-519-92-33 0.38
TOTJ;L MECHANICAL ...Jfm: WMi'KLERS . .,__ '":)"" 001·8tQ..@·OQ~7
TOTAL PLUMBING I 24!00 YBL1c FAc1uMs""m ,,.. ~Q.;OQ..~8740
ELECTRICAL PERMIT -ISSUE 5.00 BRIDGE ~v -~v .. ~~[t.~'ao-oo-8740 92.00 QTY. QTY. MOBILE HOME SETUP PARK-IN-LIEU (A_f!f,,A 't-J',,.,r-.~'<-"
NEW CONST EA AMP/SWT 1BK R CAR PORT TIF +.r:t~\ '":~<\ 'P 134-810-00-00-8835 41.00
1 PH 3 PH AWNING LA CO'Sill11•U&,~V 133-810-00-00-8835
EXIST BLDG EA AMP/SWT/BKR GARAGE FMF_<,.'\~\,,~
1 PH 3 PH LICENSE TAX 001-810-00-00-8162 133.20
1 REMODEL'AL HR PER CIRCUIT 10 .. 00 MFF 880-519-92-57
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
CREDIT DEPOSIT (33.00)
TOTAL ELECTRICAL I 15.00 TOTAL TOTAL FEES PAYABLE I $365.83
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every per_m,t is~ued by the Bulfdmg Official ~nder the pmv1s1ons of this * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ~hall expire by hmJ!atton and become n'!lf and void ff the bul!dtng or work 5' O" DEEP AND DEMOLITION OR CONSTRUCTION OF authorized by such permit ts not commenced wrthm 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 1$ permit. or 1f the buifdinff or work authorized by such permit is suspended or STRUCl\JRES OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILD_ING CON· abandoned at any time a ter th8'!ilbrk is commenced for a oer1od of 180 davs.
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT, l ALSO AGREE TO SAVE INDEMNIFY AN~7 , ~ _/'
CONTAACTO~ ~ BY DATE KEEP HARMLESS T-HE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND CA S SIGNATURE .L OWNER 0
1&(n,/tJ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ BY PHONE O ~,~; ''·: GRANTING OF THIS PERMIT. ·1., ----;.,\
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DEVELOPMENT PROCESSING SERVICES DIVISION
2075 LAS PALMAS DRIVE
CARLSBAD, CA 92009-4859
(619) 438-1161
MISCELLANEOUS FEE RECEIPT
Applicant Please Print And Fill In Shaded Area Only
ASSESSOR'S
PARCEL NO.
OWNER'S
MAILING -J.-,_
ADDRESS / '?
.CITY':,
CONTRACTOR
D
ZI
SUBDIVISION-----'---
LEGAL DESCRIPTION
DESCRIPTION OF WORK
APPLICANT'S SIGNATURE
White -File
PLAN ID NO.
0001 06/08 0101 05Misc. 33-00
VALIDATION AREA
ESTMATED VALUATION ---~-+--...,rz,..._t,~/7 __
LOT(S)------------------,--------------
CHECK IF SUBMITTED:
.0 2 ENERGY CALCS
0 2 1987 ENERGY CALCS
FOR NON RESIDENTIAL BLDGS
D 2 STRUCTURAL CALCS
D 2 SOILS REPORTS
D 2 SELF ADDRESSED ENVELOPES
DATE GIVEN/
SENT TO APPLICANT DATE
LA COST A LETTER
SCHOOL FEE FORM
P & E CORRECTIONS LIST
CERTIFICATE OF OCCUPANCY
DATE
Yellow -Applicant Pink -Finance Gold -Assessor
.---_.i.7.:'-
FINAL BUILDING INSPECTION RECENED .nn. 1 O 1981'
PLAN CHECK NUMBER: DATE:
PROJECT NAME: ___ :......;·-=.1:;_::l:......l~C_0 ________________________ _
ADDRESS: _____ .::..::'.::.1..:..9::...S_";:......'·;--'-:·l"_:."'_d_:1-=---'_,_,_:''l:.::.:'::-:o;----:___ ___________________ _
PROJECT NO.: _______ UNIT NUMBER: _______ PHASE NO.: ______ _
TYPE OF UNIT: Ti. O.U: 1..-::f NUMBER OF UNITS:
CONTACT PERSON· r/t\tt(i.:; C,J
CONTACTTELEPHONE:, __ 4..:..:(......:·iO_=......:l_G-'--5_2 _______________________ _
b'ldr, ~ ~
't • .,, .. ,,,. ... ,I,.~;&;,,
~:PEC"fED~ DATE 1-lro--11 / DISAPPROVED INSPECTED: APPROVED
DATE INSPECTED
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: ---------------------------------
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire
,.,
,, '
ESGIL CORPORATION
9320 CHESAPEAKE Dll., SUITE 208 e~-c''D, \:?.S.G.-11.... C.\ ~ \ ~7
SAN DIEGO, CA 92123
(619) 560-1468
DATE : {p l [ {_a t ~ ( QAPPLICANT
q]JURISDICTION,:)
[JPLAN CHECKER
QFILE COPY
QUPS
JURISDICTION: C ,'9-fLl.....SBAO
PLAN CHECK NO: 87-'2-.9 °\ -L
PROJECT ADDRESS: Z I 9 5 EA12:fh0A-<,{ f-.kJ!.?,
QDESIGNER
\\ II
PROJECT NAME:
D
D
----------'--=------------
The plans transmitted herewith have been corrected where
necessary and substantially comply with the .jurisdiction's
building codes.
The plans transmitted herewith will substantially comply
with the jurisdiction's building codes when minor deficien-
cies identified "t5E:L..O uJ are resolved and
checked by building department staff.
The plans transmitted herewith have significant deficiencies
identified on the .enclosed check list and should be corrected
and resubmitted for a complete recheck.
D The check list transmitted herewith is for your information.·
The plans are being held at Esgil Corp. u·ntil corrected
plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person.
0 The applicant's copy of -the check list has been sent to:
IJ Esgi~ staff did not advise the applicant contact person that
plan check ha•s been completed.
O Esgil staff did advise applicant that the plan check has
been completed. Person contacted: ------------
Date contacted: Telephone# ------------------
REMARKS: ------------------------------0 ~ LIC..($)\J:ya:) ·'PL~ +.J. S~>tJL.o · ~, ·&:-1\)
@No:m '"LI C..1+n~u4 Tb BE AT Lt;:Ytsr l wr+trj rt, I '!IJ Lv' Hse ·
By-: -;:s7VV\ &1 ·L.S, H-) frN Enclosures :u)._,"--'-B--_trn_;::;_J_S. _____ _
ESGIL CORPORATION
,, .
Date~ {o/ito/ 07 Jurisdiction CA12-LsPA12
. Prepared by 1
~VV\ VALUATION AND PLAN -CHECK FEE
PLAN CHECK NO. tJ'.]-Z:99 -J::
CJ Bldg. Dept •
Cl Esgil
BUILDING ADDRESS ~ \ 9 s . nS:(2-A-04Lf ) A
APPLICANT/CONTACT 'e.1 C...\::.. 1tt:tt-1:Gf:8'(2.... PHONE NO. -4 f,C) 1 G 'Z./S-
BUILDING OCCUPANCY. (2, -?.-Gr-L) DESIGNER PHONE _____ _
TYPE OF CONSTR,UCTION \j -fU CONTRACTOR PHONE -----
BUILDING PORTION
"1.
Air Condi tionin~.
·Commercial
Residential
Res. or Comm.
Fire Snrinklers
Total Value
Fee Adjusted To Reflect
BUILDING AREA VALUATION VALUE
MULTIPLIER
' 2-oi r~ i:t (,) __, 18. c>O 5?:>Z.~ -f
, ,,
@
ca ..
@
532.B J
0 Energy Regulations (Fee x 1.1)
OHandicapped Regulations (Fee x 1.065)
B uildiri g Perm it Fee. $ ___ 5j"'"""-(__p=-'-5=_'-_-"'o __________ ____.$..___ _____ _
Plan Check Fee $ 3(a , / ~ $ ---'----------------~-------,.------------------
COM MEN TS..,.:-----------------------------
8/4/82
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ENGINEERING CHECKLIST
Date:. ~LA/8 7
Plan Check No. Sl-299
LEGEND
I tern Complete
Project Address :-a1..(,"i'r='9,'""'~f---:-l,f\"-!,,''..,_G;,_r._;;J-i-qµ------
Project Name: . v Item Incomplete -Needs
Your Action -=-------------Fie Id Check Date:
LEGAL
---------By:
1,2,3 Number in circle indicate:
plancheck number that
deficiency was identified
REQUIREMENTS
Site Plan
1. Provide a fully dimensioned site plan drawn to scale.
Show: North arrow, property lines, easements, existing
and proposed structures, streets, existing street improve-
ments, right-of-way widt~ and dimensioned setbacks.
2. Show on Site Plan: Finish floor elevations, elevations of
finish grade adjacent to building, existing topographical
lines, existing and proposed slopes, driveway and percent
(%) grade and drainage patterns.
3. Provide legal description of property.
4. Provide assessor's parcel number.
PERMITS REQUIRED
Grading
5. Grading permit required.
6. Grading plans in plan check PE ------
7. Need the following completed prior to building permit issuance:
A. Grading plans signed.
B. Grading permit issued.
C. Grading completed.
D. Certification letter and compaction reports submitted.
E. Grading inspected an_d permit signed off by City inspector.
8. Right-of-Way Permit required for work in public right-of-way
(e.g., driveway approach, sidewalk, connection to water main,etc).
9. Industrial Waste Permit application required. To be filled out
completely and returned to Development Processing.
"·
FEES REQUIRED
10. Park-in-Lieu fees required. .1/
Quadrant: _____ , Fee Per Unit: ---,---' Total Fee:__,_,N-+,"-'A-__ _
-1-: ,..5; J Ct.Ir ( 11. Traffic impact fee required. iJa.-1.:lr'lff~(b
Fee Per Unit: _____ , Total Fee': ''441~ .
W. ~j fe,r1:'~'1/ c,.,,/cs
12. Bridge and Thoroughfare fee requ1red1
Fee Per Unit: _____ , Total Fee: $ 9cQ!..._
13. Public facilities fee required. J/tt
14. Facilities management fee re~u,red. Fee: ·,Jo+t,,t~b e~tJ-
~s5~/ t.~ltJ , I .
15. Additional EDU's required: Me11aue.&$e tt1<t)6&-kff#--
Sewer connection fee: ______ Sewer permit 'l'lo. ____ _
16. Sewer lateral required:
-Date: &, /2-~ ,2
If you have any questions about any of the above items identified on this plan
check, please call the Development Processing Department at 438-1161. ·
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PLANNING CHECKLIST
Plan Check No. 87-J.C/9 Address Z/<15' fr ?IJR&PAY
Type of Project and Use TI -or:1=1C£.s
Zone CM Use Allowed? YES -h-NO
Setback: Front tJ}At--Side IJ)A Rear J!!./&_
School District: San Dieguito --
Carlsbad 'jl-.
Encinitas
San Marcos
Discretionary Action Required
Environmental Required
Landscape Plan Required
Comments
Coastal Permit Required
Additional Comments
YES
YES
YES
--
No-Ji_
NO ~
NO X
YES NO ()(
--
Type ---
DATE 6-/6-BY
2560 ORIGN WAY
CARLSBAD, CA 92008
<ttitp of <ttarl~batJ
FIRE DEPARTMENT
PAGE 1 OF_/
TELEPHONE
(619) 931-2121 APPROVED
)( •
DISAPPROVED
PLAN CHECK REPORT PLAN CHECK#
67-879
--------~
PROJECT __ _,__/--'-, r,--'---,''--------ADDRESS -~~ .... /'--9......,S.,_~--f-.H_,_i"i,_._/?.-=A~O~A'-'Y'---_,_,_('ai~ ~S°~tA~J.;.;;J 2=;;;;-;;;;:;:!A;;;i.-:-e--_' _
ARCHITECT ______________ ADDRESS· _7-L-.-'3'-'?-<--=o___,,(;./1./""'-::-~C/'-!./'-"N_P_<->.,_r_ PHONE ______ _ ' OWN ER --r-!'+<-a....,/..L.1/-~(!=_0=/'1-'-,.0.=.,...,.Vl_,_/\=-l+fl-----ADDRESS ---=S"'-",_,,D=''---9--'-"";;;.."-'-f..,__} ..,_I _ PHONE 4 I
OCCUPANCY ______ CONST. --~--TOTAL SQ. FT. J.3 fn l.r:, :;)..._ STORIES
~,SPRINKLERED ~TENANT IMP. _ __,/'"""'J'---'-t../_,,;;)...'--'-tfl ____________________ _
__ 1.
__ 2.
__ 3.
_;{.4.
_5_
X 6.
L7.
APPROVAL OF PLANS'IS PREDICATED ON CONFORMING
TO THE FOLLOWING CONDITIONS AND/OR MAKING
. THE FOLLOWING CORRECTIONS:
PLANS, SPECIFICATIONS, AN-D PERMITS
Provide one copy of: floor plan(s); site plan; sheets ___________________ _
Provide two site plans showing the !(!cation of all existing fire hydrants within 200 feet of the project.
Provide specifications for the following:
Permits are required for the installation of all fire protection systems (sprinklers, stand pipes, dry chemical, halon,
CO2, alarms, hydrants). Plan must be approved by the fire department prior to' installation.
The business owner shall complete a building information letter and return it to the fire department.
FIRE PROTECTION SYSTEMS AND EQUIPMENT
The following fire protection systems are requirefr.,,;.n ( '\.
!Jf,Automatic fire sprinklers (Design Criteria: _ _.f'!!...:=..:..n_,_r--L;,-t ,__,__-'I'-~=-__.~ _ _,_<;~m:....:...:..n.,,,c:~.f.-D,,<Jtc;.......,.S.t..,;11,,.._Al'-"-_,U""--"'<;'-"E"'"'·j,,__ ___ _ b Dry Chemical, Halon, CO2 (Location: ________________________ _
D Stand Pipes (Type: ------------------------------. D Fire Alarm (Type/Location: ___________________________ _
Fire Extinguisher Re.quirements: ~ ... one 2A rated ABC extinguisher for each t,ao o sq. ft. or portion thereof with a travel distance to the nearest
extinguisher not to exceed 75 feet of travel. ,,
D An extinguisher with a minimum rating of ___ to be located:
ll\Other: A-s N~P/JPO f&.tt l? ..... , /J,/v'i'f ,5,h/c us€ . .;)... I
_·_ 8. Additional fire hydrant(s) shall be provided ______________________ _
_Lg_
_){_10;
-X11.
_jL 12.
-X-13.
__ 14.
--15.
EXITS
Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort.
A sign stating, " This door to remain unlocked· during business hours" shall be placed above the main exit and
doors {)Jf.J..r.J u,.,,t.,'"l 1 1"c, 1/JO,cA71JVy z~,~ ()2At2/:So/..J-s. I 11 EXIT signs (6" x ¾" letters) shall be placed over all required exilts and directional signs located as necessary to
clearly indicate the location of exit doors.
GENERAL
Storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and
hazardous chemicals shall comply with Uniform Fire Code.
Building(s) not approved tor high piled combustible stock. Storage· in closely packed piles shall not exceed 15 feet
in height, 12 feet on pallets or in racks and 6 feet for tires, plastics and some flammable liquids. If high stock pil-
ing is to be done, comply with Uniform Fire Code, Article 81.
Additional Requirements. -----------------------------
Comply with ~hee!9
Plan Examiner tf} . · u__ Date-+-7_.-_;}.~.J'-------'-'-A__,lc.:...., __
Report mailed to architect ___ Met with __________ "-__ _ __ Attach to Plans
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ONEILi ENVIROCORP
. .. ...... IWIMlll!IIIIMllllllllllllllllll\.H
9 Executive Circle, st. 275, Jrvlne, CA 92714, (714) 2131 •26 Io
5152 Avenlda En~lnaa, Carlsbad, CA 92008, (019) 438·0203
. ' ' .. ',:: "1: ·,. t,:, .. .:.,
TENANT IMPROVEMENT
Site Address 2--l 9 S /1 "' A ft:--.vz_~D/::,,..,.v{
Assessor1s Parcel Number
Legal Description
Contact Person Name and Daytime phone number f'. l c..~ tl,..\ ~ TCl-) 't:: (c_ ~'2:Y.:::) ( C::/-z.,,S
Zone
Type of Business OF;-lL.c /010fe..A.4.e
USC Applicable
Previous Use ~{::'.p..(i~
Shell Building Plan File
Total Building Area ; ' '· l'?;) 6? & z.
Square Footage of Existing Improved Space \'2 t.J, '2-
Square Footage of Tenant Improvement 27 &
Estimated of Value of Tenant Improvement 4 \ oO
Type of Construction of Existing Building T / L-1' uf
Building Sprinklered Yes V
Present Occupancy Classification
No
Proposed Occupancy Classification of Tenant Improvement ,.
;. ,,
r·
Certificate" of Compliance (Part 1 of 2)
. ~t..1 lfE. ·;,..;
Project Title
Q}:J E.l LL t:.f...!Vlf2-C,C:...Of2-f'
Project Architect/Engineer
-;z / 4 S ffo-12-A 126:r
Building Permit Number
h,\fe-,'=>WI fe A1
Project Location Plan Checked By
7 ?:A-fZ:½ J:?ts 0
City/Town Climate Zone
H.6:(JAL i Co. 4::,-4-S1
Documentation Author , 1 ME: H D I "1EbA H f3.A f"
Date
Prescriptive Approach/Performance Approach Strategy
General
1 CEC Occupancy Type • • • , , • , • • • °NA
3 Package Selected •••••••••• .'
2 USC Occupancy Group/Division • , • , ±
4 Gross Conditioned Floor Area • • • • • • ft2
Roof and Floor•
5 Proposed Roof/Ceiling f1t (CF-2, CF-3) • • 2'2 ,JB, hr-F-ft2/Btu
6 Required Roof/Ceiling At (CF-2) , , , , • -hr-F-ft2/Btu
7 Proposed Exterior Floor At (CF-2, CF-3) • , NA hr·F·ft~Btu
a Required Exterior Floor At (CF-2) • • • • , -hr-F-ft2/Btu
Wall•
9 Proposed Opaque Wall Rt (CF-2, CF-3) • , 3 ,tt,8
10 Wall Heat Capacity (CF-3). , •••••• 4:,4Z.
11 Required Opaque Wall At (CF-2) , • • , • -
hr-F-ft2/Btu
Btu/F-ft2
hr-F-ft2/Btu
Glazing In Wall•
12 Exterior Wall Area (CF-2) • • , • • , • • 4'"4 ft2
13 Total Glazing Area (CF-2) • , , , • • , • ?-0'5 ft2
14 Proposed Total Percent (Line 13 / Una 12) • ..M_. %
15 Average Total SC (CF-2) • , , • , , • • ~
16 Allowed Total Glazing Percent, • • • • • · -%
17 West Exterior Wall Area (CF·2) , • , , , , WA tt2
18 West Glazing Area (CF·2) • , • • • • • • ~ ft2
19 Proposed West Percent (CF-2) • • • • • , %
20 Average West SC (CF-2) • • • • • • • •
21 Allowed West Glazing Percent • , , • , , %
Glazing In Roof (CF·6) Proposed Allowed
22 Skylight 1 , • , • • , g? NA tt2
23 Skylight 2 • • , , --+-----ft2
24 Skylight 3 , , ," , , , • • , ___ --1--tt2
25 Skylight 4 , • • , • , , •• --+----1---ft2
26 Skylight 5 • • , , --1---....--tt2
27 Skylight 6 , , , • , • • • • --1----1--tt2
28 Skylight 7 • • ••• , _ _..__ _ __ ft2
29 Skylight 8 , • , , • , , • , ___ __.__ ft2
Lighting
30 Proposed Adjusted LPD (CF-5) , • • • • • I• ,S ~ Wattstft2
31 Allowed LPD (CF-5) ••••••••••• I l '5 b5 Wattsttt2
HVAC
32 Performance Set Selected , • , , , , , , ..r:t:
33 Proposed Fan Wattage Index (CF-4) • • • • 4k Wattstft2
34 Allowed Fan Wattage Index • , , • , • • -Wattstft2
35 Proposed Cooling Power Index (CF-4) •• ffk.47 Btuh/ft2
36 Allowed Cooling Power Index • • : , , • -Btuh/ft2
37 Proposed Heating Power Index (CF-4) •• :;s~~1bstuh/ft2
38 Allowed Heating Power Index , , • , , • ,____ Btuh/ft2
Form Revised September 1986
CF-1
.,., .,.. *t
For Enforcement Agency Use Only
Signature and
Registration Stamp
Date
Field Checked By
Approved By
P_erformance Approach
Energy Budget [..o/lJP-1 $E.
1 CEC Occupancy Type ••• , , , , ••• e>rF1c..e
2 USC Occupancy Group/Division , , , • , e-2-
Date
Date
4 Conditioned Floor Area • • • • • • • • • 2-1 &, tt2
4 Budget Table , , • • • , , • • , , • , .2-'S3 }2-
5 Allowed Energy Budget(WS-1A) • • • • • I 6] kBtu/yr-ft2
Calculated Annual En«gy Consumption
6 Approved Calculation Method , , •• , .• SC-t'.\
7 CEC Designation , • • , • , • , • • , • S, z_.
8 Multiplier • • • • • , • , • • • • • , , , \ • o Z.]
E$llmatod Energy Uset
9 Healing , • , , , , , , • , , , , • , • I O, 0 kBtu/yr-ft2
10 Cooling • , , , , , , , , • , , • , • • '2P, b k8tu/yr-ft2
11 Fans , , • • • • • , • , • , , • • , • Z ! • ? kBtu/yr-ft2
12 Lights ••••••••••••••••• 62.t"S kBtu/yr-tt2
13 Miscellaneous Equipment , • • • • • • • \ ~ • Z-k8tu/yr-ft2
14 Total • • • • • • • • • • • • • • • • • ---kBtu/yr-tt2
15 Aq. Total Energy Use (line 8 x line 14) •• 154,1. kBtu/yr-ft2
Compliance Statement
General. The proposed building represented in this set of compliance
documentation is consistent with the other compliance forms and·
worksheets, with the plans and specifications and with any other calculations or computer runs submitted with this permit application. .
Performance Approach. (when applicable) The energy performance
estimate presented .on this form was calculated using the approved
calculation method incicated above and with the CEC established fixed
and restricted engineering inputs for the applicable climate zone and
occupancy type.
Prescriptive Approach. (when applicable) The posed building has
been desigQed to me the requirements of ltemative Component
Package indic:at ve for the appro riat type and climate
zone
Namellitle
lctA]:IPH l0
Address
l-1(?61Jo1 )?v LA
Telephone Calif. License Number
Page __ ot __
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