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HomeMy WebLinkAbout2365 CAMINO VIDA ROBLE; ; CB053581; Permit11-28-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB053581 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 2365 CAMINO VIDA ROBLE CBAD Tl Sub Type: COMM 2130502700 Lot #: 0 $99,400.00 Construction Type: NEW Reference #: ELECTRO-GRAPH 2840 SF Tl OFFICE TO OFFICE Applicant: PREVOST CONSTRUCTION, INC. 5405 MOREHOUSE DR SAN DtEGO, CA 92121 619-457-8250 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: ISSUED 10/17/2005 SB 11/22/2005 11/22/2005 JM Owner: WELLS FARGO BANK TR P 0 BOX 63700 SAN FRANCISCO CA 94163 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee 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 $546.56 $0.00 $355.26 $0.00 $0.00 $20.87 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Meter Size Add'l Reel. Water Con. Fee Meter Fee SDCWA Fee CFD Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees TOTAL PERMIT FEES $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $24.00 $0.00 $0.00 $0.00 $0.00 $981 .69 Total Fees:$981.69 Total Payments To Date:$981.69 Balance Due:$0.00 BUILDING IN STORAGE ATTACHED Inspector: VAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. 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 vou have previously been given a NOTICE similar to this, or as to which the statute oJ limitations has previously otherwise expired. 10/17/2005 001 11 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK EST. VAL. Q ? Plan Ck. Deposj Validated By Date Assessor's Parcel #risting Use Description of Work u 'ir^e^ CONfACt PERSON Wdifftwnit Srimapplteant) SO. FT. \___*df Stories # of Bedrooms # of Bathrooms ^—Owner ^Agent for Owner Address City State/Zip Telephone #Name E. CONTRACTOR - COMPANY NAME ...... :' ••• . • .'••'• = •-'; " -:' ••• " •' ••••' • '••:' = •;': = -,: : C-! •?:!'»•" : '. :: '' '-^, '•..••••"* - (Sec. 7031 .5 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 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 is exempt therefrom, and the basis for the alleged Ijemption. 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 IS500]). lo) Name ate License # Address License Class City State/Zip Telephone # City Business License # HA Designer Name State License # Address State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. n 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 worker's compensation insurance carrier and policy number are: Insurance Company _ Policy No. _ Expiration Date _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q 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 coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE •'• ' •• ' ••'-•••::; VV •:•;'•'• . •• "'V;- • .-.'•• •' :' : '' - - :•"•• '; ... ••:: = :.;»*.;!:..-.. : .- .^-: '• / I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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). Q 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). Q 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, fj YES LT]NO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): _ __ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): _ _ PROPERTY OWNER SIGNATURE DATE SECfroKFQR^ I ! ; ; ; 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? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CD YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Cl 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 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 representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work iscggHTTttnced for a period of 180 days {Section 106.4.4 Uniiorm Building Code). APPLICANT'S SIGNATURE _£ ^T ^C _-^f ^f^>L DATE WHITE: File YELLOW: Applicant PINK: Finance CltytfCartsfeal Final Building Inspection Dept: Building Engineering Planning CMWD St Lite Fire Plan Check #: Permit #: Project Name: Address: Contact Person: Sewer Dist: Inspected/ Bv: JU. A Inspected Bv: Inspected Bv: Comments: CB053581 ELECTRO-GRAPH 2840 SF Tl OFFICE TO OFFICE 2365 CAMINO VIDA ROBLE TOM Phone: 7605048630 CA Water Dist: CA 1 -/' DatS / /t& ££/*&&'£ Inspected: /z/z,/ /067 / 'Date Inspected: Date Inspected: Date: Permit Type: Sub Type: Lot: 0 '> Approved: ^ Approved: Approved: 12/21/2005 Tl COMM Disapproved: Disapproved: Disapproved: City of Carlsbad Bldg Inspection Request For: 02/08/2006 Permit* CB053581 Title: ELECTRO-GRAPH 2840 SF Tl Description: OFFICE TO OFFICE Inspector Assignment: JM Sub Type: COMM 2365 CAMINO VIDA ROBLE Lot 0 Type: Tl Job Address: Suite: Location: APPLICANT PREVOST CONSTRUCTION, INC. Owner: Remarks: Phone: 7605048630 Inspector: Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By: TOM Entered By. JANEAN Act Comment f- Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act 12/21/2005 89 Final Combo CO 12/19/2005 14 Frame/Steel/Bolting/Welding AP 12/19/2005 24 Rough/Topout AP 12/19/2005 34 Rough Electric AP 12/19/2005 44 Rough/Ducts/Dampers AP 12/13/2005 84 Rough Combo CO 12/01/2005 17 Interior Lath/Drywall AP 11/23/2005 14 Frame/Steel/Bolting/Welding AP 11/23/2005 34 Rough Electric AP Insp Comments TP SEE JOB CARD RB note - seal opening in demising walls RB T-Bar system RB RB JM JM JM JM FIRE SPRINKLER INSPECTION REQUIRED - CEILING ELEC NOT COMPLETE DETAIL REQ @ SKY LIGHT CHANGE TO 2365 CVR EsGil Corporation In Partnership -with government for <Buit<£inQ Safety DATE: 11/22/05 Q APPLICANT Q JURIS. JURISDICTION: City of Carlsbad Q PLAN REVIEWER Q FILE PLAN CHECK NO.: 05-3581 SET: II PROJECT ADDRESS: 23$S Camino Vida Robles PROJECT NAME: Electro-graph - TI X] 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 deficiencies identified below 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. The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation 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: XI Esgil Corporation staff did not advise the applicant that the plan check has been completed. Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Fax #: Mail Telephone Fax In Person REMARKS: Applicant.Jtffiapd ca>tyrfhe~plans directly to the City of Carlsbad this does not assure a permit will baassded the city may have other corrections. By: Doug Moody Enclosures: Esgil Corporation D GA D MB D EJ D PC H/14/05 tmsmtl.dot 9320 Chesapeake Drive, Suite 208 4 San Diego, California 92123 4 (858)560-1468 4 Fax (858) 560-1576 EsGil Corporation In (Partnership with government for (Buiftfing Safety DATE: 11/1/05 _g_AEEUQANT a JURIS. , JURISDICTION: City of Carlsbad ^ Q PLAN REVIEWER Q FILE PLAN CHECK NO.: 05-3581 SET: I PROJECT ADDRESS: 2365 Camino Vida Robles PROJECT NAME: Electro-graph - TI 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 deficiencies identified below 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. X] The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation 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. XI The applicant's copy of the check list has been sent to: Roberts & Bennett/ Tina Bennett 1010 University Ave Suite C203, San Diego, CA 920103 Esgil Corporation staff did not advise the applicant that the plan check has been completed. XI Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Tina Bennett Telephone #: 619-297-1011 ext. 107 / / xrt ^ Date contacted: dtp (by:jjf ) Fax #: 619-297-3832 Mail Telephone ^ Fax —'fn Person REMARKS: By: Doug Moody Enclosures: Esgil Corporation D GA D MB Q EJ D PC 10/20/05 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 4 (858)560-1468 4 Fax (858) 560-1576 City of Carlsbad 05-3581 11/.1/05 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: 05-3581 OCCUPANCY: B/S1 TYPE OF CONSTRUCTION: VN ALLOWABLE FLOOR AREA: SPRINKLERS?: YES REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 10/17/05 DATE INITIAL PLAN REVIEW COMPLETED: 11/1/05 JURISDICTION: City of Carlsbad USE: Office ACTUAL AREA: 2840sf STORIES: 1 HEIGHT: OCCUPANT LOAD: 28 DATE PLANS RECEIVED BY ESGIL CORPORATION: 10/20/05 PLAN REVIEWER: Doug Moody FOREWORD (PLEASE READ): This plan review is limited to the technical requirements contained in the Uniform Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review is based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building permit. Code sections cited are based on the 1997 UBC. The following items listed need clarification, modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 106.4.3, 1997 Uniform Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. TENANT IMPROVEMENTS WITHOUT SPECIFIC ENERGY DATA OR POLICY SUPPLEMENTS (1997UBC)tiforw.dot City of Carlsbad 05-3581 11/1/05 Please make all corrections on the original tracings, as requested in the correction list. Submit three sets of plans for commercial/industrial projects (two sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 1. Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602- 2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring one corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. 1. Each sheet of the plans must be signed by the person responsible for their preparation, even though there are no structural changes. Business and Professions Code. 2. Provide a statement on the Title Sheet of the plans stating that this project shall comply with the 2001 edition of the California Building Code (Title 24), which adopts the 1997 UBC, 2000 UMCf 2000 UPC and the 2002 NEC. 3. Glazing in the following locations should be of safety glazing material in accordance with Section 2406.4: a) Fixed and sliding panels of sliding door assemblies and panels in swinging doors other than wardrobe doors. b) Fixed or operable panels adjacent to a door where the nearest exposed edge of the glazing is within a 24-inch arc of either vertical edge of the door in a closed position and where the bottom exposed edge of the glazing is less than 60 inches above the walking surface. 4. Please revise the section view of all new interior partitions. Show: a) Method of attaching top plates to structure. (Please revise the spacing of the studs used for lateral bracing to 4' or provide calculations to show the 8' spacing adequate). b) Show height of partition and suspended ceiling, and height from floor to roof framing or floor framing. 5. Please note on the plans "AC Cable is not allowed in A, B, E, H, and I occupancies. NM cable is restricted (without City approval) to one and two family dwellings. Note on plans that an equipment ground conductor is to be installed in all flexible conduits". City of Carlsbad 05-3581 11/.1/05 6. Please imprint on the plans the City of Carlsbad Policies and Procedures for Roof Mounted Equipment to the plans. 7. Please provide a complete energy design for the new conditioned floor space. 8. The following is a list of the current versions of acceptable computer programs for performance compliance. Provide calculations using a current computer energy program, they are the following; • EnergyPro 4.0 • PERFORM 2005 8. A complete energy plan check will be preformed when the completed energy design has been provided. 7. T-bar ceilings: Insulation may not be installed on the top of t-bar ceilings for energy compliance. Exception: Conditioned space not exceeding 2,000 square feet with an average height of the space between the ceiling and the roof greater than 12' may use the t-bar insulation for energy compliance. (118(e)) 2. Demising wall insulation: The insulation installed at demising walls of non- residential buildings shall have an R-13 value. (118(f)) 3. Supply and return air ducts installed in unconditioned areas are required to have insulation rating of R-8 or greater. (Outdoors, between an insulated ceiling and the roof, unconditioned crawlspaces, other unconditioned spaces.) 9. The completed and signed ENV-1 and MECH-1 forms must be imprinted on the plans. 10. When alterations, structural repairs or modifications or additions are made to an existing building, that building, or portion of the building affected, is required to comply with all of the requirements for new buildings, per Section 1134B.2. These requirements apply as follows: a) The area of specific alteration, repair or addition must comply as "new" construction. b) A primary entrance to the building and the primary path of travel to the altered area, must be shown to comply with all accessibility features. c) Existing sanitary facilities that serve the remodeled area must be shown to comply with all accessibility features. 11. Show on the site plan the complying disabled accessible path of travel from the disabled accessible parking spaces to the primary entrance of the tenant space. Please provide detailed plans of the path of travel, indicate slope and width, any pedestrian ramps, curb ramps, walks, handrails, provide dimensioned parking stall details etc. City of Carlsbad 05-3581 11/1/05 12. It is unclear from the plans if the restrooms servicing the tenant improvement are disabled accessible, please provide a dimensioned restroom plans showing the restroom to be accessible compliant. To speed up the review process, note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, note or detail number, calculation page, etc. 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 in the plans. Have changes been made to the plans not resulting from this correction list? Please indicate: Yes Q No Q The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Doug Moody at Esgil Corporation. Thank you. City of Carlsbad 05-3581 .11/1/05 VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK NO.: O5-3581 PREPARED BY: Doug Moody DATE: 11/1/05 BUILDING ADDRESS: 2365 Camino Vida Robles BUILDING OCCUPANCY: B/S1 TYPE OF CONSTRUCTION: VN BUILDING PORTION Tl Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code AREA ( Sq. Ft.) 2840 cb Valuation Multiplier City Valuation By Ordinance Reg. Mod. VALUE ($) 99,400 99,400 $>O4o.3O Plan Check Fee by Ordinance Type of Review: G O Repetitive Fee ~\ Repeats Comments: $355.26 Complete Review D Other D Hourly Structural Only Hour Esgil Plan Review Fee $306.07 Sheet! of 1 macvalue.doc PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB DATE ADDRESS iM/J RESIDENTIAL RESIDENTIAL ADDITION MINOR « $10,000.00) ENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER SEP PLANNER ENGINEER DATE DATE DocsMisforms/pianntng Engineering Approvals Carlsbad Fire Department Plan Review Requirements Category: TI, COMM /? Date of Report: 10-24-2005 Reviewed by: ^J Name: PREVOST CONSTRUCTION, INC. Address: 5405 MOREHOUSE DR SAN DIEGO, CA 92121 Permit #: CB053581 Job Name: ELECTRO-GRAPH 2840 SF TI Job Address: 2355 CAMINO VIDA ROBLE CHAD INCOMPLETE The item you have submitted for roviow ia incomplete. At thia timo, thio offioo cannot adequately conduct a review to determine compliance with the applicable codes andtor standards. Please review carefully all comments attached. Please rcsubmit the necessary plana and/or apooifioationo, with ohangoa "oloudod"j to this office for review and approval. Conditions: Cond: CON0000829 [MET] APPROVED: THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUANCE OF BUILDING PERMIT. THIS APPROVAL IS SUBJECT TO FIELD INSPECTION AND REQUIRED TEST, NOTATIONS HEREON, CONDITIONS IN CORRESPONDENCE AND CONFORMANCE WITH ALL APPLICABLE REGULATIONS. THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE THE VIOLATION OF ANY LAW. Entry: 10/24/2005 By: GR Action: AP CERTIFICATE OF COMPLIANCE (Part 1 of 2)ENV1 C PROJECT ADDRESS \/iQA PRINCIPAL DESIONER-ENVELOPe DOCUMENTATION AUTHOR APX. TELEPHONE Building p«nnt* CtMCMd by/Dflte Entorwrntnt Agency U*o GENERAL INFORMATION DATE OF PLANS fQlif /OS' I BUIUMNO CONDITIONED FLOOR AREA /£, /£CLIMATE ZONE euiU3ING TYPE M NONRESIQENT1AL O HIGH-RISE RESIDENTIAL a HOTEL/MOTEL QUEST D RELOCATABLE - Indicate: D specific dimate -list , or D aM climates PHASE OF CONSTRUCTION D NEW CONSTRUCTION " D ADDITION ^ALTERATION n UNCONDITIONED (file METHOD OF ENVELOPE COMPLIANCE O COMPONENT D OVERALL ENVELOPE SUPPORTING FORMS SUBMITTED a ENV-2-C (Component)U ENV-3-C (Overall Envelope)D ENV-4-C (Skylight Worksheet) STATEMENT OF COMPLIANCE This Certificate of Compliance Bats the building features and performance specifications need to comply with Title 24, Parts 1 and 6 of the California Cote of Regulations. TOs certificate applies onty to buHaing envelope requlremenbj. The tJocumentetlon preparer hereby certifies that the documentation Is accurate and compete. DOCUMENTATION AUTHOR SIGNATURE DATE The Principal Envelope Designer hereby certifies lhat the proposed budding design represented in tnte wt of oonstruction document! Is consistent with the other compfiance forms and worksheets, with the specifications, and with any other calculations suomitted with thl$ permit application. The proposed building has been deserted to meet the envelope raquJfemeftts contained In sections 110, 116 through 118, and 140, 142, 143 or 149 of Title 24, Pane. PIMM check one: D I hereby affirm thai I am ettgfcta under the praufelone of Division 3 of the Business, and Profession* Code to sign this document a* the person responsible for Its preparation; and that I dm licensed In the State of California as a cfv« engineer or mechanical engineer, or I am a licenced architect. D I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code by section 5637.2 or Q737.3 to sign thle document as the person responsible for Ks preparation; and that I am a ficensed contractor performing this work. I affirm that I am efigfble under Division 3 of the Business and Professions Code to sign this document because It pertains to a structure or type of work described a* exempt pursuant to Business and Professions Code Sections 5637, 5536 and 6737.1, (These sections of the Business and Professions Cope are printed in full In the Nonreajdentlat Manual.) PR1NCIPAI gMVJLQPF nESIQNER-NAME SIGNATURF 1 DAT* 1 Lin * ENVELOPE MANDATORY MEASURES Indicate location on' plans of Note Block for Mandatory Measures INSTRUCTIONS TO APPLICANT ENVELOPE COMPLIANCE ft WORKSHEETS (check box If worksheet 1* Included) For detailed Instructions on the use of We dntf aff Energy e/firaency Standards compSance forma, please refer to the Nonrvsidtnttet Manual published by f/w CaM&nto &»iw Camm/wton. )ifl ENV-1-C D ENV-2-C D ENV-3-C DE/vV-4-C Certificate of Compliance, Required on plans for all submiltals. Part 2 may be incorporated in schedules on plans. Use with the Envelope Component compliance method. Use with the Overall Envelope compliance method. Optional. Use for the minimum skylight requirements for large enclosed spaces. Ki TO 2005 Nortf&sittential Compliance Forms April 2005