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2521 PALOMAR AIRPORT RD; 102; CB140361; Permit (2)
04-04-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: Building Inspection Request Line (760) 602-2725 CB140361 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 2521 PALOMAR AIRPORT RD CBADSt: 102 Tl 2130201800 $47,986.00 Sub Type: COMM Lot #: 0 Construction Type: 5B Reference # Status: ISSUED Applied: 02/14/2014 LSM 04/04/2014 04/04/2014 Entered By: Plan Approved: Issued: Inspect Area Plan Check #: DR.MAROON DENTAL- 954 SF SHELL TO DENTAL OFFICE NEW PARTITIONS/ACCESSIBLE RESTROOM/ CEILING/ ELECT Applicant: PRESTON BALL Owner; COUNTY OF SAN DIEGO 1714 AVENIDA SEVILLA OCEANSIDE CA 92056 760-717-0013 PUBLIC AGENCY 00000 Building Permit $436.48 Meter Size Add'l Building Permit Fee $0.00 Add'l Reel. Water Con. Fee $0.00 Plan Check $305.54 Meter Fee $0.00 Add'l Building Permit Fee $0.00 SDCWA Fee $0.00 Plan Check Discount $0.00 CFD Payoff Fee $0.00 Strong Motion Fee $10.08 PFF (3105540) $873.35 Park Fee $0.00 PFF (4305540) $806.16 LFM Fee $0.00 License Tax (3104193) $0.00 Bridge Fee $0.00 License Tax (4304193) $0.00 BTD #2 Fee $0.00 Traffic Impact Fee (3105541) $0.00 BTD #3 Fee $0.00 Traffic Impact Fee (4305541) $0.00 Renewal Fee $0,00 PLUMBING TOTAL $89.00 Add'l Renewal Fee $0.00 ELECTRICAL TOTAL $106.00 Other Building Fee $0.00 MECHANICAL TOTAL $73.44 Pot. Water Con. Fee $0.00 Master Drainage Fee $0.00 Meter Size Sewer Fee $0.00 Add'l Pot. Water Con. Fee $0.00 Redev Parking Fee $0.00 Red. Water Con. Fee $0.00 Additional Fees $0.00 Green BIdg Stands (SB 1473) Fee $1.00 HMP Fee ?? Fire Expedidted Plan Review $0.00 Green BIdg Standards Plan Chk ?? TOTAL PERMIT FEES $2,701.05 Total Fees: $2,701.05 Payments To Date: $2,701.05 Balance Due: $0.00 Inspector: Clearance; NOTICE: Please take NOHICE thSt approval of your project includes the "Ir/position" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." H5U 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 infomnation 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 of limitations has previously othewise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE; PUNNING ENGINEERING BUILDING HRE HEALTH HAZMAT/APCD CITY OF ^ CARLSBAD Building Pennit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No.d81M 03.(^ I Est Value HT, 9SrCs> Plan Ck. Deposit ZoS Date A / i<4 /^^- SWPPP JOB ADDRESS SUnE«/SPACE*/UNIT« APN -2.3 oxo "IS o CT/PRQ1ECT# LOT# UNns # BEDROOMS # BATHROOMS TENANT BUSINESS lUME ^^u^^^ -^^^3g'T?giOT*> U ART< CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: itcMe Squmt Feet af Afftcted Art a(t) ^ EXISTING USE H/A. PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) RREPLACE YES[3 N0| I AIR CONDITIONING YES p^O I I FIRE SPRINKLERS YES[»^NO| APPLICANT NAME (Primary Contact) ORE APPUCANT NANK ^Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE 7C>o- 7n-QolB> FAX PHONE FAX EMAIL PROPERTY OWNER NAME ^ ADDRESSI ADDRESS 1 jl COMIRACTOR BUS. NAME ADDRI CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIQNER NAME & ADDRESS STATE LIC.# CITY BUS UC # (Sec. 70315 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 exempttherefrom, and the basis for the alleged exemption Any violation of Section 7031.5 tiy any applicant for a permitsubjects the applicant to a civil penalty of not more than five hundred dollars {$500)). W O II K 6 R S ' C M P E N S A T I O N Workers' Cofflpensation Decbiation: / hereby alSrm under penaky of perjury one of the following dedan^ions: and will maintain a certificale of consent to self-Insure for workers' compensaton as provided by Sectnn 3700 of Ihe Labor Code, Ibr Ihe performance of the worit for which Ihis permit is issued l^ni have and wiH malign workers' compensation, as requiied by Sedion 3700 ol tie Labor Code, for the performance of the worit for which tiis permit is issued. My woriters' coiqsensalion insurance carrier and policy number are: Insurance Co.-^^yf* £:^3l»<Pkkj$/fr^>fU^.l*'if^tio <Jc>Ce^^^^ Fmimtinn n«te I 1/4- This section need not be completed if the permit is for one hundred dolars ($ 100) or less. ' I I CertifkaSeofBtemption: I certify lhat in Ihe peiformaresi^Jhe worit for which thl^ I shall not empby any person in any manner so as to become siAject to the Woriters' Compensalion Laws of Califomia. WARNING: F^hjre to secure workeis>elltpensa{ion coverage is unlawM, and shall subject an empkiyer to criminal penalties and dvil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, dammetf^providefl^ in Section 370S nfthe tohnr code, interest and attomey's fces. ^eS" CONTRACTOR SIGNATURE 2 •^^'^^ |,^GENT DATE A'l "zJi I ^ 'NER-BUILOEft DECLARATION / ttereby aflirm that I am exempt from Contractor's Ucense Law for the fo/owkig reason: I I I, as owner of Ihe property or my emptoyees with wages as Iheir sole compensatton, will do fie work and the structjre is not intended or olfered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an omier of property who buikls or improves tiereon, and ntho does such worit htmseV or throu^ Ns own emptoyees, provided lhat such improvements are not Intended or offered tor sale If, however, Ihe buiding or improvement is sold within one year of completkxi, the owner-buiklBr will hsMe the burden of proving thai he did not buikl or improve for tie purpose ol sale). I I I, as owner of Ihe property, am exclusively contracting with icensed conlractors to constnict tie project (Sec. 7044, Business and Professions Code: The Contactor's Lksnse Law does not apply to an owner of property who buikls or improves tiereon, and contracts for such projects with contractor(s) icensed pursuant to tie Oontractor's License Law) I I I am exempt under Sedton Business and Pralessions Code for this reason: 1.1 personally plan to provide tie major labor and materials tor constmctkxi of the proposed property improvemenl [ZD Yes | |NO 2 I (have / have not) signed an sppltoatkin fcir a bulking permit for tie proposed worit 3 I have contacted witti tie foltowing person (firm) to provide Ihe proposed constudton (inchide name address / phone / contractors' icense number): 4 I plan to provide porttons oi Ihe worit, but I have hired ttie folbwing person to coordinate, supervise and provkle tie major worit (Inckide name/address/phone/contactois' inense number): 5.1 will provide some of ttie worit, but I have conttactod (hired) tie following persons to provkle tie worit imicated (inckide name / adttess / phone / type of worit): COMPLETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILDING PERMITS ONLY Is the applicant or fittwe buklng occupant lequied to submt a business plan, acutely hazaidous mgtenals legetrabon form or nsk managemetit and pieiienlion pcogrann under Sections 2S50S, 2S533 or 25534 of ttie nesley-Tanner Hazardous Substance Aocoufll Ad? Yes No Is the appicant or tuture building occupant lequied to oblan a permtfrem the ar pollulion control disind or air quatty managements Yes No Isthefaaitytobeconslrucledwithinl.OiniectaitheoUerboiindaryaiaschoolsrte') Yes No F ANY OF THE ANSWERS AK Yl^ A FMAL CEinnCATE OF 0(«UPANCy HAY NOT BE ISSUED UNIXSS TIC APPLKM^ EKROGNCY SERVICES AND THE AtR POUiftlON OOMTRa OISTOCT. C<»NST»UCTfON LENDING AGEMCY I hereby affirm that ttiere is a oonstrudion lending agency ftir Ihe perfotmance of ttte wcrk this permil is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address i* P PL I C A NT CERTIFICATION lee<i»«i«llg»eiewltteippic«li3«MrtilrtBtlMtlheitta»8ii«^^ I heieby aulhonzerepiesertalHeoflheCtyof Carbtaadtoefteupontheabove mentiGn^ AaUNST ALL UABIUTCS, JUDGMENTS, COSTS AND EXPB4SES WHCHUMYWANY WAY ACCRUE AGAINST SMD QTY IN CONSEOJENCE OF THE GRUNTNG OF THS PERMT 06FH: An 06HA pent is lequred far excavdions over 50'deep and deiTDSiiin or a>nstnxto EXRRATION Every pemA issued by ttie BuUipsfllidal lS0daystemtiedalecrsuchpeinnAorij|>efiu^orw<]ri(aulhon2ed^^ lO&44UnfoimBujdfigCade) ^APPUCAMTS SIGNATUI DATE •Mm. STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760)602-8560, Emril buildina(S)carlsbadca qov or MIH the comdeled form to City of Carlsbad. BuiMina Division 1635 Faraday Avenue. Cartsbad, CaNfonia 92008 CO*: (Office UseOn^) CONTACTNAME OCCUPANT NAME ADDRESS BUILDING ADDRESS OTY STATE Zf Ctrr STATE ZP Cartsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC No. DELIVERY OPTIONS PICK UP: CONTACT (Usted above) OCCUPANT (Usted above) CONTRACTOR (On Pg^ i) MALIO: CONTACT (Listed above) (X^CUFMNT (Usted above) CONTRACTOR (On Pg^ 1) MAI./FAXTO OTHER: ASSOCiATEO CB* NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^APPUCANT S SUNATURE DATE Inspection List Permit*: CB140361 Type: Tl COMM Date 09/04/2014 07/24/2014 07/18/2014 06/16/2014 06/13/2014 06/09/2014 06/05/2014 06/05/2014 05/30/2014 04/21/2014 04/21/2014 Inspection Item 89 Final Combo T-Bar Service Change/Upgrade Interior Lath/Drywall Interior Lath/Drywall Rough Combo Frame/Steel/Bolting/Weldin Rough Electric Ftg/Foundation/Piers Underground/Under Floor Inspector PY PD PD PD MC PD PY PY PD PD 31 Underground/Conduit-Wirin PD Act AP AP AP AP NR AP PA PA AP AP AP DR.MAROON DENTAL- 954 SF SHELL TO DENTAL OFFICE NEW PARTI Comments Monday, April 27, 2015 Page 1 of 1 EsGil Corporation In (PartnersHip -witli government for (BuiCcCing Safety DATE: 03/26/2014 • APPLICANT • JURIS. JURISDICTION: Carlsbad • PLAN REVIEWER • FILE PLAN CHECK NO.: 14-0361 SET: III PROJECT ADDRESS: 2521 Palomar Airport Rd, Suite 6-102 PROJECT NAME: Dr Maroon Dental Office TI I I 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. I I The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. I I The check list transmitted herewith is for your Information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. I I The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. I I The applicant's copy of the check list has been sent to: 1X1 EsGil Corporation staff did not advise the applicant that the plan check has been completed. I I EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Email: Fax #: Mail Telephone Fax In Person XI REMARKS: Applicant to slip sheet revised sheets A4, A5, M1 and E1 to city held sets. By: Doug Moody Enclosures: EsGil Corporation ^f\/iA /) • GA • EJ • MB • PC 03/18/2014 X)(r^ 9320 Chesapeake Drive, Suite 208 • San Diego, Califomia 92123 • (858) 560-1468 • Fax (858) 560-1576 EsGil Corporation In fPartnersHip •witH government for (BuiCding Safety DATE: 03/13/2014 • APPLICANT • JURIS. JURISDICTION: Carlsbad • PLAN REVIEWER • FILE PLAN CHECK NO.: 14-0361 SET: II PROJECT ADDRESS: 2521 Palomar Airport Rd, Suite 6-102 PROJECT NAME: Dr Maroon Dental Office TI I I The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. I I 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. I I The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. XI The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. I I 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: Preston Ball 1714 Avenida Sevilla, Oceanside, CA 92056 I I 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: Preston Ball Telephone #: (760) 717-0013 Date contacted: (by: ) Email: preston.pbd@cox.net Fax #: Mail Telephone Fax In Person n REMARKS: By: John Le Vey Enclosures: EsGil Corporation • GA • EJ • MB • PC 03/06/2014 9320 Chesapeake Drive, Suite 208 • San Diego, Califomia 92123 • (858)560-1468 • Fax (858) 560-1576 Carlsbad 14-0361 03/13/2014 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: 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. These corrections are in response to items not fully addressed or as the result of information provided, the text in bold print indicates the unresolved issue. 8, Please provide a roof plan clearly show the exhaust discharge of the vacuum system to comply with section 1325.3 of the UPC. Shall be located outside a min. of 10ft from doors, windows or intake and on a different level from the air intake. No response 15. Show, or note, on the plans that the accessible water closets meet the following requirements, per Sections 11 B-604.4 and 11 B-604.6: It is obvious the restroom is not in compliance the lavratory is encroaching into the maneuvering space for the water closet. New comment: Counter Sales and service counters shall have a portion of the counter which is at least 36" in length with a maximum height of 34 inches. Section 11B-904.4.1. END OF REVIEW 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. 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 John Le Vey at Esgil Corporation. Thank you. EsGil Corporation In (PartnersHip witH government for (BuiCding Safety DATE: 03/13/2014 O/APPLICANT ^ JURIS, JURISDICTION: Carlsbad • PLAN REVIEWER • FILE PLAN CHECK NO.: 14-0361 SET: II PROJECT ADDRESS: 2521 Palomar Airport Rd, Suite 6-102 PROJECT NAME: Dr Maroon Dental Office TI I I The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. I I 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. I I 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. I I The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. X The applicant's copy of the check list has been sent to: Preston Ball 1714 Avenida Sevilla, Oceanside, CA 92056 I I EsGil Corporation staff did not advise the applicant that the plan check has been completed. X EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Preston Ball Telephone #: (760) 717-0013 Date contacted:^11 (byY\^ Email: preston.pbd(gcox.net Fax #: Mail Telephone Fax In Person • REMARKS: By: John Le Vey Enclosures: EsGil Corporation • GA • EJ • MB • PC 03/06/2014 9320 Chesapeake Drive, Suite 208 • San Diego, Califomia 92123 • (858) 560-1468 • Fax (858) 560-1576 Carlsbad 14-0361 03/13/2014 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: 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. These corrections are in response to items not fully addressed or as the result of information provided, the text in bold print indicates the unresolved issue. 8. Please provide a roof plan clearly show the exhaust discharge of the vacuum system to comply with section 1325.3 ofthe UPC. Shall be located outside a min. of 10ft from doors, windows or intake and on a different level from the air intake. No response 15. Show, or note, on the plans that the accessible water closets meet the following requirements, per Sections 11 B-604.4 and 11 B-604.6: It is obvious the restroom is not in compliance the lavratory is encroaching into the maneuvering space for the water closet. New comment: Counter Sales and service counters shall have a portion of the counter which is at least 36" in length with a maximum height of 34 inches. Section 11 B-904.4.1. END OF REVIEW 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. 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 John Le Vey at Esgil Corporation. Thank you. EsGil Corporation In PartnersHip witH government for (BuiCding Safety DATE: 2/27/14 • APPLICANT I*<rURIS. JURISDICTION: Carlsbad PLAN REVIEWER • FILE PLAN CHECK NO.: 14-0361 SET: I PROJECT ADDRESS: 2521 Palomar Airport Rd, Suite 6-102 PROJECT NAME: Dr Maroon Dental Office TI I I The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. I I 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. I I 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. I I The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. X The applicant's copy of the check list has been sent to: Preston Ball 1714 Avenida Sevilla, Oceanside, CA 92056 I I 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: Preston Ball^ Telephone #: (760) 717-0013 Date contacted: ^-Jr] (byWS) Email: preston.pbd(gcox.net Fax #: ^ail)C Telephoney Fax In Person • REMARKS: By: Chuck Mendenhall Enclosures: EsGil Corporation • GA • EJ • MB • PC 2/18/14 9320 Chesapeake Drive, Suite 208 • San Diego, Califomia 92123 • (858) 560-1468 • Fax (858) 560-1576 Carlsbad 14-0361 2/27/14 PLAN REVIEW CORRECTION LIST TENANT IIViPROVEIVIENTS PLAN CHECK NO.: 14-0361 JURISDICTION: Carlsbad OCCUPANCY: B USE: Dental office TYPE OF CONSTRUCTION: VB ACTUAL AREA: 954 TI Only ALLOWABLE FLOOR AREA: no change STORIES: one HEIGHT: no change SPRINKLERS?: Yes OCCUPANT LOAD: 10 REMARKS: DATE PLANS RECEIVED BY JURISDICTION: DATE PLANS RECEIVED BY ESGIL CORPORATION: 2/18/14 DATE INITIAL PLAN REVIEW COMPLETED: 2/27/14 PLAN REVIEWER: Chuck Mendenhall FOREWORD (PLEASE READ): This plan review is limited to the technical requirements contained in the California version of the International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review is based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building permit. Code sections cited are based on the 2013 CBC, which adopts the 2012 IBC. The following items listed need clarification, modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 105.4 of the 2012 International Building Code, the approval ofthe 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 vou submit the revised plans. Carlsbad 14-0361 2/27/14 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: 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. California State Law. 2. Revise the Governing Codes statement on the Title Sheet of the plans, stating that this project shall comply with the 2013 California Building Code, which adopts the 2012 IBC, 2012 UMC, 2012 UPC and the 2011 NEC. 3. Please note on the plans "All patient care receptacles and fixed equipment shall be grounded by an insulated copper conductor. In addition the circuits serving patient care receptacles and fixed equipment shall be installed in a metal raceway or cable which qualifies as an equipment grounding return path in accordance with section 250.91(b). 4. Sheet M-1 indicates that the existing roof top HP unit is an existing 6 ton unit. The energy documents on T-24 lists a new 3 ton HP . Clarify what is intended. 5. Sheet M-1 lists the OSA for the HVAC unit as 522 CFM. The energy design documents list the OSA as 143 CFM for the 3 ton unit. 6. Provide complete plumbing plans, including: a) Complete drain, waste and vent plans. b) Show water heater size, type and location on plans. UPC, Section 501.0 7. Please indicate if water will be supplied to the dental chairs? If so please show the required reduced pressure principle back-flow prevention. 8. Please provide a roof plan clearly show the exhaust discharge of the vacuum system to comply with section 1325.3 ofthe UPC. Shall be located outside a min. of 10ft from doors , windows or intake and on a different level from the air intake. 9. Please indicate on the plans the location of the air intake for the compressor showing it to comply with section 1324.4 of the UPC. Air intake must be located outdoors on the roof and located not less than 10ft from any other air intake or exhaust. Intake piping shall be type K or L copper. Carlsbad 14-0361 2/27/14 DISABLED ACCESS REVIEW LIST 10. Show that accessible parking spaces comply with Section 11 B-502.2 as follows: a) Single spaces shall be 14' wide and outlined to provide a 9' parking area and a 5' loading and unloading area. This loading/unloading area may be on either side ofthe vehicle. b) When more than one space is provided, in lieu of providing a 14' space for each space, two spaces can be provided within a 23' area with a 5' loading zone between each 9'0" wide space. c) Each space is to be a minimum of 18' in depth. 11. At least one accessible parking spaces (but not less than one) shall be served by an access aisle >96" in width and designated as VAN ACCESSIBLE, per Section 11 B-208.2.4. This loading/unloading area must be on the passenger side of the vehicle. Section 11 B-502.3.4. 12. The words "NO PARKING" shall be painted on the ground within each loading and unloading access aisle (in white letters no less than 12" high and located so that it is visible to traffic enforcement officials). Section 11B-502.3.3. 13. Ramps shall not encroach into any accessible parking space or the adiacent access aisle. Section 11B-406.5.1. 14. Show or note on the plans that the accessible parking spaces are to be identified by a reflectorized sign, permanently posted immediately adjacent to and visible from each space, consisting of: a) A profile view of a wheelchair with occupant in white on dark blue background. b) The sign shall >70 in.^ in area. c) When in the path of travel, they shall be posted >80" from the bottom of the sign to parking space finished grade. d) Signs may also be centered on the wall of the interior end of the parking space. e) Van-accessible spaces shall have an additional sign "Van-Accessible" mounted below the symbol of accessibility. f) In addition, the surface of each accessible space is required to be marked with the international symbol of accessibility. 15. Show, or note, on the plans that the accessible water closets meet the following requirements, per Sections 11 B-604.4 and 11 B-604.6: a) The seat is to be >17" but <19" in height. b) The controls for flush valves shall be: i) Mounted on the side of the toilet area. ii) Be <44" above the floor. 16. Show that accessible lavatories comply with the following, per Section 11B-606: Carlsbad 14-0361 2/27/14 a) >30" X 48" clear space is provided in front for forward approach. The clear space may include knee and toe space beneath the fixture. b) When lavatories are adjacent to a side wall or partition, there shall be a minimum of 18" to the center line of the fixture to the wall. c) The counter top is <34" maximum above the floor. d) >29" high, reducing to 27" at a point located 8" back from the front edge. e) >9" high x 30" wide and 17" deep at the bottom. f) Hot water pipes and drain lines are insulated. 17. Show that grab bars comply with the following, per Sections 11 B-604.5 and 11B-609: a) Grab bars shall be located on each side or one side and the back of the water closet stall or compartment. b) They shall be securely attached 33" - 36" above the floor, and parallel. c) Grab bars at the side shall be located: i) Be >42" long with the front end positioned 24" in front of the stool. ii) Total length of bars at the back shall be >36". d) The diameter, or width, of the grab bar gripping surface is >1 %" but ^2", or the shape shall provide an equivalent gripping surface. e) If mounted adjacent to a wall, the space between the wall and the grab bar shall be VA". END OF REVIEW 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. 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 Chuck Mendenhall at Esgil Corporation. Thank you. Carlsbad 14-0361 2/27/14 [DO NOT PAY- THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 14-0361 PREPARED BY: Chuck Mendenhall DATE: 2/27/14 BUILDING ADDRESS: 2521 Palomar Airport Rd, Suite 6-102 BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: VB BUILDING PORTION AREA ( Sq. Ft.) Valu ation Multiplier Reg. Mod. VALUE ($) Office Tl 954 City Est 47,986 Air Conditioning Fire Sprinklers TOTAL VALUE 47,986 Jurisdiction Code cb By Ordinance BIdg. Permit Fee by Ordinance Plan Check Fee by Ordinance • Type of Review: 0 Complete Review dlRepetitive Fee ^ Repeats • Other |—J Hourly EsGil Fee • Structural Only Hr. @ * $436.48 $283.71 $244.43 Comments: Sheet 1 of 1 macvalue.doc + CITY OF CARLSBAD PLAN CHECK REVIEW TRANSMITTAL Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 ww/w/.carlsbadca.gov DATE:02/28/14 PROJECT NAME: DR MAROON DENTAL-PALOMAR COMMONS PROJECT ID: CB14-0361 PLAN CHECK NO: 1 SET#: ADDRESS: 2521 PALOMAR AIRPORT RD APN: 231-020-18 VALUATION: $47,989 ES / This plan check review is complete and has been APPROVED by the ENGINEERING Division. By: KATHLEEN LAWRENCE 02/28/14 A Final Inspection by the Division is required Yes / No This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check Comments have been sent to: PRESTON.PBD@COX.NET You may afso liave correct/ons from one or more ofthe divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit Resubmitted plans should include corrections from all divisions. For questions or clarifications on tiie attaciied ciiecl<list please contact thie following reviewer as marked: PLANNING 760-602-4610 ENGINEERING 760-602-2750 FIRE PREVENTION 760-602-4665 Chrls.Sexton@carlsbadca.gov / Kathleen Lawrence ^ 760-602-2741 Kathleen.Lawrence@carlsbadca.gov Gregorv.Rvan@carlsbadca.gov Gina Ruiz Glna.Ruiz@carlsbadca.gov Linda.Ontlveros@carlsbadca.gov Cvnthla.Wong@carlsbadca.gov Dominlc.Flerl@carlsbadca.gov Remarks: CITY OF CARLSBAD BUILDING PLANCHECK CHECKLIST QUICK-CHECK/APPROVAL Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov ENGINEERING Plan Check for CB14-0361 Date: 02/28/14 Project Address: 2521 PALOMAR AIRPORT RD APN: 231-020-18 Project Description: Tl MISC INTERIOR Valuation: $47,989 ENGINEERING Contact: Kathleen Lawrence Phone: 760-602-2741 Email: kathleen.lawrence@carlsbadca,gov Fax: 760-602-1052 RESIDENTIAL INTERIOR Z TENANT IMPROVEMENT RESIDENTIAL ADDITION <$20,000> PLAZA CAMINO REAL CARLSBAD PREMIER OUTLETS COMPLETE OFFICE BUILDING OTHER: -CELL EQUIPMENT OFFICIAL USE ONLY ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT BY: KATHLEEN LAWRENCE REMARKS: •• NO ADDTL ENG FEES-NO ADDTL ENG FEES DATE:02/28/14 Notification of Engineering APPROVAL has been sent to PRESTON.PBD@COX.NET via EMAIL on 02/28/14 E-36 Page 1 of 1 REV 4/30/11 ^ CITY O F CARLSBAD STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov am applying to the City of Carlsbad for the following type(s) of construction permit: rfsBuilding Permit • Right-of-Way Permit • My project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types: Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Patio/Deck Photo Voltaic Re-Roofing Sign Spa-Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria si My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because / it meets the "no threaf assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any ofthe High, Moderate or Low Threat criteria described below. Tierl - Low Threat Assessment Criteria • My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturiDance; and/or • Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 - Moderate Threat Assessment Criteria • My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carisbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance Including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). r;er3 - Significant Threat Assessment Criteria • My project includes clearing, grading or other disturbances to the ground resulting In soil disturbance totaling one or more acres including any associated constmction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or • My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, • My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). / certify to the best of my knowledge that the above checked statements are true and correct. I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 ofthe Carlsbad Municipal Code and to City Standards. •The City Engineer may autiiorize minor variances from the Storm Water Threat Assessment Criteria in speciai circumstances wtiere it can be stiown ttiat a lesser or liigher Construction SWPPP Tier Level Is warranted. Project Address: Assessor Parcel No. Owner/Owners Authorized Agent Name: Owner/Owner's Authorized Agent Signature: Title: B-24 Page 1 of 1 Rev.03/09 ^ CITY OF CADI CRAn CONSTRUCTION THREAT ASSESSMENT WORKSHEET FOR DETERMINATION OF PROJECT'S PERCEIVED THREAT TO STORM WATER QUALITY E-33 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov Construction SWPPP Tier Level Construction Threat Assessment Criteria* Perceived Threat to storm Water Quality Tiers Tier 3 - Hiqh Construction Threat Assessment Criteria High Tiers • Project site is 50 acres or more and grading will occur during the rainy season • Project site is 1 acre or more in size and is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA • Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kf greater than or equal to 0.4) • Site slope is 5 to 1 or steeper • Construction is initiated during the rainy season or will extend into the rainy season (Oct 1 through April 30). • Owner/contractor received a Storm Water Notice of Violation within past two years High Tiers Tier 3 - Medium Construction Threat Assessment Criteria Medium Tiers • All projects not meeting Tier 3 High Construction Threat Assessment Criteria Medium Tier 2 Tier 2 Hiqh Construction Threat Assessment Criteria • Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA • Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kf greater than or equal to 0.4) • Site slope is 5 to 1 or steeper • Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). • Owner/contractor received a Storm Water Notice of Violation within past two years • Site results in one half acre or more of soil disturbance High Tier 2 Tier 2 - Medium Construction Threat Assessment Criteria • All projects not meeting Tier 2 High Construction Threat Assessment Criteria Medium Tierl Tier 1 - Medium Insoection Threat Assessment Criteria • Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, within or directly adjacent to an environmentally sensitive area (ESA) or discharges directly to an ESA • Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kf greater than or equal to 0.4) • Site slope is 5 to 1 or steeper • Construction is initiated dunng the rainy season or will extend into the rainy season (Oct. 1 through April 30). • Owner/contractor received a Storm Water Notice of Violation within past two years • Site results in one half acre or more of soil disturbance Medium Tierl Tier 1 - Low Inspection Threat Assessment Criteria • All projects not meeting Tier 1 Medium Construction Threat Assessment Criteria Low Exempt - Not Applicable -Exempt *The city engineer may authorize minor variances from the construction threat assessment criteria in special circumstances where it can be shown that a lesser or higher amount of storm water compliance inspection is warranted in the opinion of the city engineer E-33 Page 1 of 1 REV 4/30/10 ' w: CITY OF CZ R L S B,Ai E) PLANNING DIVISION BUILDING PLAN CHECK APPROVAL P-28 Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.eov DATE: 3/27/14 PROJECT NAME: T.I. PROJECTID: PLAN CHECK NO: CB140361 SET#: ADDRESS: 2521 PALOMAR AIRPORT RD APN: ^ This plan check review is complete and has been APPROVED by the PLANNING Division. By: GINA RUIZ A Final Inspection by the PLANNING Division is required • Yes ^ No You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from aii divisions. Q This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check Comments have been sent to: PRESTON.PBD@COX.NET For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING 760-602-4610 ENGINEERING 760-602-2750 FIRE PREVENTION 760-602-4665 1 1 Chris Sexton 760-602-4624 Chris.Sexton@carlsbadca.gov 1 1 Kathleen Lawrence 760-602-2741 Kathleen.Lawrence@carlsbadca.gov rn Greg Ryan 760-602-4663 Gregorv.Rvan@carlsbadca.gov X Gina Ruiz 760-602-4675 Gina.Ruiz@carlsbadca.fiov I I Linda Ontiveros 760-602-2773 Linda.Ontiveros@carlsbadca.gov 1 1 Cindy Wong 760-602-4662 Cynthia.Wong@carlsbadca.gov • 1 1 Dominic Fieri 760-602-4664 Dominic.Fieri@carlsbadca.gov Remarks: Pian Check No. CB140361 Address 2521 PALOMAR AIRPORT RD Date 3/27/14 Review # 3 Planner GINA RUIZ Phone (760) 602- 4675 Type of Project & Use: LL Net Project Density: DU/AC Zoning: M/P-WC-2-Q General Plan: G/PI/GC Facilities Management Zone: 5 CFD (in/out) #_Date of participation; Remaining net dev acres: (For non-residential development: Type of land use created by this permit: ) REVIEW #: 12 3 Legend: ^ Item Complete • Item Incomplete - Needs your action KI • • Environmental Review Required: YES • NO |E1 TYPE DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: • • Discretionary Action Required: YES • NO ^ TYPE APPROVAL/RESO. NO. DATE PROJECT NO. OTHER RELATED CASES: Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval: • D Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES Q NO M CA Coastal Commission Authority? YES Q NO lEl If California Coastal Commission Authority: Contact them at - 7575 Metropolitan Drive, Suite 103, San Diego, CA 92108-4402; (619) 767-2370 Determine status (Coastal Permit Required or Exempt): • • Habitat Management Plan Data Entry Completed? YES • NO 13 If property has Habitat Type identified in Table 11 of HMP, complete HMP Permit application and assess fees in Permits Plus (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, HMP Fees, Enter Acres of Habitat Type impacted/taken, UPDATE!) • • Inclusionary Housing Fee required: YES • NO KI (Effective date of Inclusionary Housing Ordinance - May 21, 1993.) Data Entry Completed? YES • NO • (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE!) • • Housing Tracking Form (form P-20) completed: YES • NO • N/A K p-28 Page 2 of 4 07/11 Site Plan: KI • • City Council Policy 44 - Neighborhood Architectural Design Guidelines S • • 1. Applicability: YES • NO K KI • • 2. Project complies: YES • NOO • • • • Zoning: 1. Setbacks: Front: Interior Side: Street Side: Rear: Top of slope: Required Required Required Required. Required, 2. Accessory structure setbacks; Front: Interior Side: Street Side: Rear: Structure separation: Shown. Shown. Shown. Shown. Shown Required Shown Required Shown, Required Shown Required Shown Required Shown man s • • • • Kl 3. Lot Coverage: 4. Screening of Equipment: ADDED TO SHEET A8 Required. Shown Required YES Shown SECTIONS NOT SHOWN SECTION SHOWING HEIGHT OF PARAPET 5'10" & HEIGHT OF EQUIPMENT 3'9" 5. Parking: Spaces Required Shown (breakdown by uses for commercial and industrial projects required) Residential Guest Spaces Required Shown Additional Commontc #1. SHEET Ml DOES NOT STATE WHERE THE ROOF MOUNTED EQUIPMENT WILL BE PLACED AND HOW THE EQUIPMENT WILL BE SCREENED. IF THE ROOF MOUNTED EQUIPMENT IS NOT PROPOSED AS PART OF THIS PLANCHECK. PLEASE REMOVE ENTIRELY FROM THE PLANS. IF IT IS A PART OF THIS PLANCHECK. INCLUDE SECTIONS/ELEVATIONS TO THE PLANS SHOWING HOW THE NEW ROOF MOUNTED EQUIPMENT WILL BE SCREENED FROM VtEW (AS ONLY THE POLICY REGARDING ROOF MOUNTED EQUIPMENT HAS BEEN INCLUDED) AND WHERE THE EQUIPMENT WILL BE PLACED. PLANCHECK #2: SECTIONS SHOWING PARAPET NOT ADDED TO PLANS. SAME COMMENTS FROM PLANCHECK #1 ABOVE. PLANCHECK #3. SECTION ADDED TO SHEET AB SHOWING HEIGHT OF PARAPET 5'10" & HEIGHT OF EQUIPMENT 3'9". OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER GINA RUIZ DATE 3/27/14 p-28 Page 3 of 4 07/11 CITY OF CARLSBAD PLAN CHECK community & Economic ppwipiai Development Department T^r T%.r^ -B-..ir,^.—. 1635 Faraday Avenue TRANSMITTAL BLDG. DEPT CQWCA 92008 www.carlsbadca.gov DATE: 03/13/14 PROJECT NAME: carisbad dental arts PROJECT ID: PLAN CHECK NO: cbl40361 SET#: I ADDRESS: 2521 par APN: • This plan check review is complete and has been APPROVED by the fire Division. By: cwong A Final Inspection by the Division is required KI Yes • No This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check Comments have been sent to: You may also have corrections from one or more of the divisions Usted below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions. For questions or clarifications on the attached checklist please contact the following reviewer as marked: 1 1 Chris Sexton 760-602-4624 Chris.Sexton@carlsbadca.gov 1 1 Kathleen Lawrence 760-602-2741 Kathleen.Lawrence@carlsbadca.gov 1 1 Greg Ryan 760-602-4663 GregorY.Rvan@carlsbadca.gov 1 1 Gina Ruiz 760-602-4675 Gina.Ruiz@carlsbadca.gov 1 1 Linda Ontiveros 760-602-2773 Linda.Ontiveros@carlsbadca.gov X Cindy Wong 760-602-4662 Cvnthia.Wong@carlsbadca.gov • • 1 1 Dominic Fieri 760-602-4664 Dominic.Fieri@carlsbadca.gov **APPROVED: THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUEANCE OF A BUILDING PERMIT. Page 1 of 2 THIS APPROVAL IS SUBJECT TO FIELD INSPECTIONS, ANY REQUIRED TESTS, FIRE DEPARTIVIENT NOTATIONS, CONDITIONS IN CORRESPONDENCE AND COIMPLIANCE WITH ALL APPLICABLE CODES AND REGULATIONS. THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE ANY VIOLATION OF THE LAW. Page 2 of 2 Carlsbad Fire Department Plan Review Requirements Category: TI, COlVtlVI Date of Report: 03-13-2014 PRESTON BALL Reviewed by: Name: Address: 1714 AVENIDA SEVILLA OCEANSIDE CA 92056 Pennit #: CB140361 Job Name: DR.MAROON DENTAL- 954 SF Job Address: 2521 PALOMAR AIRPORT RD CBAD St: 102 TNrOfiTPT FTF The itrni you have submitted for review is incomplete. At this time, this office cannot adequately conduct a review to linriminr i illll|iliiiiir8 iiritli thr a]-|p]irih1i imli llll]"iri 'lllliliiil Flri-r review carefully all comments attached. Please rfnihiriiUli 'ft ii 11 in ' !!ii I'l r iip{:yifi"ntinni with changes "clouded", to this office for review and approj Conditions: Cond: CON0007111 [MET] ** APPROVED: THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUEANCE OF A BUILDING PERMIT. THIS APPROVAL IS SUBJECT TO FIELD INSPECTIONS, ANY REQUIRED TESTS, FIRE DEPARTMENT NOTATIONS, CONDITIONS IN CORRESPONDENCE AND COMPLIANCE WITH ALL APPLICABLE CODES AND REGULATIONS. THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE ANY VIOLATION OF THE LAW. Entry: 03/13/2014 By: cwong Action: AP BUILDING ENERGY ANALYSIS REPORT PROJECT: Dr Maroon Dental 2521 Palomar Airport Rd Carlsbad, CA 92011 Project Designer: Report Prepared by: Jason Vander Veen Stueven Engineering Job Number: . ^^ /^o Date: 2/11/2014 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC - www.energysoft.com. EnergyPro 5.1 by EnergySoft User Number: 3429 RunCode: 2014-02-11718:12:18^ ID: TABLE OF CONTENTS Cover Page 1 Table of Contents 2 Nonresidential Performance Title 24 Forms 3 Form ENV-MM Envelope Mandatory Measures 16 Form MECH-MM Mechanical Mandatory Measures 17 EnergyPro 5.1 by EnergySoft Job Number: ID: User Number: 3429 PERFORMANCE CERfRRCATE OF COMPLIANCE (Parti of3) PERF-1C Dr Mamon Dentsd 211112014 Fta|ocl Addren 2S21 Palomar AkportRd Carisbad rZom CA CSmate Zone 07 Total Cenit ROOT Area 954 AtUHanFknrAna 954 Adding Type: B NoraesidentiBi • ReriocalatJle - Micate • hflglhfilse Residential • specific dimate zone • HoleiMolei Guest Room • aHdimalBS Phase of Consiruotion: • New Construction • Addition a AlteraHon STATBUBa OF COMPLIANCE TliRS cedifieBie of cornpiiance li^ corriiiy vrith Title 24, Parts 1 and 6 of the Calfonria oerliicate apples orily to a Biridirig usins ttw perform The documentaiion author hereby certifies that the documemation Is accurate and compiete Documentation Aulhor C-..^Ji808-05-3787 2l11t2014 Phone TtePirintipail)flsifl>whe*iabyc«rtMiest^ cnistiucion dooAnertB is txjnastenl with the any other caicUadans subrnitted wHh this permit afipication. The prop^^ed buildng has been designed to meet the energy &akkincymc(ahmn0ni»oona^ li6thrioughii8.arid140tfuoiii^i48<)rTiite24. Part6. Please BIV. Lm VECtL I hereby sffinn totf I am digjble under tlie pravis^^ sign tris document m tm parson resporEtiie for its Fraparabon; and that I snt icensed in the StaSaa at CalHiortiia a& a CM engiMMr, rnMhankxri I aflirm that 1 m ellglto undar the pnwMcms 5S37.2 or fi7373 IP lite docutneM as the petson wspontJbtetirtep^ oonlracky perfonirinB this wok. I affirm thst i am aigUe wider flMsion 3 of the Elu^ because t pertains to a siruclurw orjype ot twpfK described as waetnpl pursuant to Budness and Ptdesskxis Code Seclioris SS36 and 6737.1. Principal Envelope Designer am VatnmM CayfSiatBfiQip prarapei nwcnianiCBi UBSignor Date Ptene Prtn^fMi ugMhts DMigmr Ue«nHf PtWM •iWi»iCfnoii8TOAwnjEa»ifrc^^ atn trtduaefl) • LTCrtC O LTG-2C g Lmac Conii nin nt mmfunrifrn nnnpiiffKi m (Mm B MECat-ic OMMatK<fCDm|tei3aH^piMon|«e» B MECM-2C iPMwrMkNRnoK. B MECH-GC lndoMiy<li«t Enmn/Soa WmrriilllH Il TtltwMHIII THTTT WnWnn UsarHuint»c34i0 ID: Ptm3of1T PERFORMANCE CERTIFICATE OF COMPLIANCE (Part 2 of 3) PERF-1C Project Name Date Dr Maroon Dental 2/11/2014 ANNUAL TDV ENERGY USE SUMMARY (kBtu/sqft-yr) Energy Component Standard Design Proposed Design Compliance Margin Heating Space Heating 0.14 0.01 0.13 Heating Space Cooling 67.68 59.73 7.94 Cooling Indoor Fans 31.14 38.13 -6.99 Fans Heat Rejection 0.00 0.00 0.00 Heat Rej Pumps & Misc. 0.00 0.00 0.00 Pumps Domestic Hot Water 0.00 0.00 0.00 DHW Lighting 50.97 50.97 0.00 Lighting Receptacle 76.47 76.47 0.00 Receptacle Process 0.00 0.00 0.00 Process Process Lighting 0.00 0.00 0.00 Process Ltg TOTALS 226 40 225.32 1.08 Percent better than Standard 0.5% ( 0.5 % excluding process) BUILDING COMPLIES GENERAL INFORMATION Building Orientation (N) 0 deg Conditioned Floor Area 954 sqft. Number of Stories 1 Unconditioned Floor Area 0 sqft. Number of Systems 1 Conditioned Footprint Area 954 sqft. Number of Zones 1 Natural Gas Available On Site Yes Orientation Gross Area Glazing Area Glazing Ratio Front Elevation (N) 112 sqft. 15 sqft. 13.4% Left Elevation (E) 0 sqft. 0 sqft. 0.0% Rear Elevation (S) 162 sqft. 0 sqft. 0.0% Right Elevation (W) 120 sqft. 32 sqft. 26.7% Total 394 sqft. 47 sqft. 11.9% Roof 954 sqft. 0 sqft. 0.0% Standard Prescriptive Lighting Power Density Prescriptive Envelope TDV Energy 0.900 77,292 W/sqft. Proposed O900 16.379 w/sqft. Prescriptive Values for Comparison only. See LTG-1Cfor allowed LPD. Remarks: EnergyPro 5.1 by EnergySoft User Number: 3429 RunCode: 2014-02-11718:12:18 ID: Page 4 of 17 PERFORMANCE CERTIFICATE OF COMPLIANCE (Part 3 of 3) PERF-1C Project Name Dr Maroon Dental Date 2/11/2014 ZONE INFORMATION System Name Zone Name Occupancy Type Floor Area (sqft.) Inst. LPD (W/sf)^ Ctrl. Credits (W/sf)^ Allowed LPD Proc. Loads (W/sf) System Name Zone Name Occupancy Type Floor Area (sqft.) Inst. LPD (W/sf)^ Ctrl. Credits (W/sf)^ Area (W/sf)' Tailored (W/sf)" Proc. Loads (W/sf) 3-Ton Heat Pump Dental Office Office > 250 sqft 954 *0.900 Notes: 1. See LTG-1C 2. See LTG-2C 3. See LTG-3C 4. See LTG-4C (items marked with asterisk, see LTG-1 -C by others) (by others) Items above require special documentation EXCEPTIONAL CONDITIONS COMPLIANCE CHECKLIST The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adequacy of the justifications, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. The Roof Roof has been designated as an alteration, however the Roof Surface is NOT being replaced. The exceptional features listed in this performance approach application have specifically been reviewed. Adequate written justification and documentation for their use have been provided by the applicant. Authorized Sianature or Stamp EnergyPro 5.1 by EnergySoft User Number: 3429 RunCode: 2014-02-11T18:12:18 ID: Page 5 of 17 CERTIFICATE OF COMPLIANCE AND FIELD INSPECTION ENERGY CHECKLIST (Part 1 of 3) ENV-1C Project Name Dr Maroon Dental Date 2/11/2014 Project Address 2521 Palomar Airport Rd Carlsbad Climate Zone Total Cond. Floor Area 954 Addition Floor Area 954 GENERAL INFORMATION Building Type: BI Nonresidential • High-Rise Residential • Hotel/Motel Guest Room • Schools (Public School) Relocatable Public School BIdg. • Conditioned Spaces • Unconditioned Spaces • Skylight Area for Large Enclosed Space > 8000 ft (If checked include the ENV-4C with submittal) Phase of Construction: • New Construction • Addition la Alteration Approach of Compliance: • Component • Overall Envelope • Unconditioned (file affidavit) Front Orientation: N, E, S, W or in Degrees: Odeg FIELD INSPECTION ENERGY CHECKLIST OPAQUE SURFACE DETAILS INSULATION Tag/ID Assembly Type c •I 5 O 111 O Z •l> u cc o O 3 X <S IIJ > O D> X 3 HI li. tm o 0) = 5 Sit X c •s a> c a. -> < c .2 is 10 •a 3 o S O OT in in a a. (S u. Wall 97 (N) 0.102 R-13 4.3.1-A3 Altered Wall 48 (NW) 0.102 R-13 4.3.1-A3 Altered • Wall 162 (S) 0.102 R-13 4.3.1-A3 Altered Wall 40 (W) 0.102 R-13 4.3.1-A3 Altered Slab 954 (N) 0.730 None 4.4.7-Al Existing • Roof 954 (N) 0.035 R-30 4.2.2-A17 Altered • • 1. See Instructions in the Nonresidential Compliance Manual, page 3-96. 2. If Fail, then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. A fail does not meet compliance. FENESTRATION SURFACE DETAILS Tag/ID Fenestration Type (S V < Orientation N, E, S, W Max U-Factor U-Factor Source Max (R)SHGC SHGC Source Overhang Conditions Status Pass •<s li. 1 Window 15 (N) 0.710 Default 0.730 Default • Existing • • 2 Window 32 (NW) 0.390 NFRC 0.370 NFRC • New • • • • • • • • • • • • • • • • • • • • • • • • • • 1. See Instructions in the Nonresidential Compliance Manual, page 3-96. 2. If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. EnergyPro 5.1 by EnergySoft User Number 3429 RunCode: 2014-02-11718:12:18 ID: Page 6 of 17 CERTIFICATE OF COMPLIANCE AND FIELD INSPECTION ENERGY CHECKLIST (Part 2 of 3) ENV-1C Project Name Dr Maroon Dental Date 2/11/2014 ROOFING PRODUCT (COOL ROOFS) (Note if the roofing product is not CRRC certified, this compliance approach cannot be used). Go to Overall Envelope Approach or Performance Approach. CHECK APPLICABLE BOX BELOW IF EXEiVIPT FROM THE ROOFING PRODUCT "COOL ROOF" REQUIREMENTS: Pass Fail^ N/A • Roofing compliance not required in Climate Zones 1 andi6 with a Low-Sloped. 2:12 pitch or less. • • • • Roofing compliance not required in Climate Zone 1 with a Steep-Sloped with less than 5 \b/if. Greater than 2:12 pitch. • • • |-| Low-sloped Wood framed roofs in Climate Zones 3 and 5 are exempted, solar reflectance and thermal emittance or SRI that have a U-faclor of 0.039 or lower. See Opaque Surface Details roof assembly, Column H of ENV-2C. • • • p. Low-sloped Metal building roofs in Climate Zone 3 and 5 are exempted, solar relectance and thermal emittance or SRI that have a U-factor of 0.048 or lower. See Opaque Surface Details roof assembly below, Column H of ENV-2C. • • • |-| The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempted. Solar reflectance and thermal emittance or SRI, see spreadsheet calculator at www.enerav.ca.aov/title24/ • • • |-| Roof constructions that have thermal mass over the roof membrane with a weight of at least 25 Ib/ft^ are exempt from the Cool Roof criteria below. • • • |-| High-rise residential buildings and hotels and motels with low-sloped roofs in Climate Zones 1 through 9,12 and 16 are exempted from the low-sloped roofing criteria. • • • 1. If Fail then describe on this page of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. CRRC Product ID Number' Roof Slope < 2:12 > 2:12 Product Weight < 5lb/ft^ a 5lb/ft^ Product Type' Aged Solar Reflectance' Thermal Emmitance SRI^ Pass Fail^ • • • • • • • • • • • • • • • • a' • • • • • • a' • • • • • • • • • • • • • • 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroofs.ora/products/search.php 2. Indicate the type of product is being used for the roof top, i.e. single-ply roof, asphalt roof, metal roof, etc. 3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation (0.2-1-0./(pmitiai - 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance from the Cool Roof Rating Council's Rated Product Directory. 4. Check box if the Aged Reflectance is a calculated value using the equation above. 5. The SRI value needs to be calculated from a spreadsheet calculator at http://www.enerqv.ca.aov/title24/ 6. If Fail then describe on this page of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(1)4. Select the applicable coating: • Aluminum-Pigmented Asphalt Roof Coating • Cement-Based Roof Coating • Other Discrepancies: EnergyPro 5.1 bv EnergySoft User Number 3429 RunCode: 2014-02-11718:12:18 ID: Page 7 of 17 CERTIFICATE OF COMPLIANCE (Part 3 of 3) ENV-1C AND FIELD INSPECTION ENERGY CHECKLIST (Part 3 of 3) Project Name Date Dr Maroon Dental 2/11/2014 Required Acceptance Tests Designer: This form is to be used by the designer and attached to the plans. Listed below is the acceptance test for Envelope Fenestrations system. The designer is required to check the acceptance tests and list all the fenestration products that require an acceptance test. If all the site-built fenestration of a certain type requires a test, list the different fenestration products and the number of systems. The NA7 Section in the Appendix of the Nonresidential Reference Appendices Manual describes the test. Since this form will be part of the plans, completion of this section will allow the responsible party to budget for the scope of work appropriately. Enforcement Agency: Systems Acceptance. Before Occupancy Permit is granted for a newly constructed building or space or whenever new fenestration is installed in the building or space shall be certified as meeting the Acceptance Requirements. The ENV-2A form is not considered a complete form and is not to be accepted by the enforcement agency unless the boxes are checked and/or filled and signed. In addition, a Certificate of Acceptance forms shaii be submitted to the enforcement agency that certifies plans, specifications, installation certificates, and operating and maintenance information meet the requirements of §10-103(b) of Title 24 Part 6. The field inspector must receive the properly filled out and signed forms before the building can receive final occupancy. A copy of the ENV-2A for each different fenestration product line must be provided to the owner of the building for their records. Test Description ENV-2A Test Performed By: Fenestration Products Name or ID Requiring Testing or Verification Area of like Products Building Envelope Acceptance Test Milgard Classic Low-E Vinyl 32 • • • • • • • • • • • • • • • • • • EnergyPro 5.1 by EnergySoft User Number 3429 RunCode: 2014-02-11718:12:18 ID: Page 8 of 17 CERTIFICATE OF COMPLIANCE and FIELD INSPECTION ENERGY CHECKLIST (Part 1 of 4) MECH-1C Project Name Dr Maroon Dental Date 2/11/2014 Project Address 2521 Palomar Airport Rd Carlsbad Climate Zone Total Cond. Floor Area 954 Addition Floor Area 954 GENERAL INFORMATION Building Type: El Nonresidential • High-Rise Residential • Hotel/Motel Guest Room • Schools (Public School) • Relocatable Public School BIdg. IZ Conditioned Spaces Unconditioned Spaces (affidavit) Phase of Construction: • New Construction • Addition GZI Alteration Approach of Compliance: • Component Overall Envelope TDV Energy • Unconditioned (file affidavit) Front Orientation: N, E, S, W or in Degrees: Odeg HVAC SYSTEM DETAILS FIELD INSPECTION ENERGY CHECKLIST Equipment^ Inspection Criteria Meets Criteria or Requirements Equipment^ Inspection Criteria Pass Fail - Describe Reason^ Item or System Tags (i.e. AC-1, RTU-1, HP-1) 3-Ton Heat Pump • • Equipment Type^: Packaged DX • • Number of Systems 1 • • Max Allowed Heating Capacity^ 34,600 Btu/hr • • Minimum Heating Efficiency^ 7 70 HSPF • • Max Allowed Cooling Capacity^ 36,700 Btu/hr • • Cooling Efficiency^ 13.4 SEER/11.0 EER • • Duct Location/ R-Value Attic, Ceiling Ins, vented/8.0 • • When duct testing is required, submit MECH-4A & MECH-4-HERS No • • Economizer No Economizer • • Thermostat Setback Required • • Fan Control Constant Volume • • Equipment^ Inspection Criteria FIELD INSPECTION ENERGY CHECKLIST Equipment^ Inspection Criteria Pass Fail - Describe Reason^ Item or System Tags (i.e. AC-1, RTU-1, HP-1) • • Equipment Type^: • • Number of Systems • • Max Allowed Heatinq Capacity^ • • Minimum Heating Efficiency^ • • Max Allowed Cooling Capacity' • • Cooling Efficiency' • • Duct Location/ R-Value • • When duct testing is required, submit MECH-4A & MECH-4-HERS • • Economizer • • Thermostat • • Fan Control • • 1. If the Actual installed equipment performance efficiency and capacity is less than the Proposed (from the energy compliance submittal or from the building plans) the responsible party shall resubmit energy compliance to include the new changes. 2. For additional detailed discrepancy use Page 2 of the Inspection Checklist Form. Compliance fails if a Fail box is checked. 3. Indicate Equipment Type: Gas (Pkg or. Split), VAV, HP (Pkg or split), Hydronic, PTAG, or other. EnergyPro 5.1 by EnergySoft User Number: 3429 RunCode: 2014-02-11718:12:18 ID: Page 9 of 17 CERTIFICATE OF COMPLIANCE and FIELD INSPECTION ENERGY CHECKLIST (Part 2 of 4) MECH-1C Project Name Dr Maroon Dental Date 2/11/2014 Discrepancies: EnergyPro 5.1 by EnergySoft User Number 3429 RunCode: 2014-02-11718:12:18 ID: Page 10 of 17 CERTIFICATE OF COMPLIANCE and FIELD INSPECTION ENERGY CHECKLIST (Part 3 of 4) MECH-1C Project Name Dr Maroon Dental Date 2/11/2014 Required Acceptance Tests Designer: This form is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for mechanical systems. The designer is required to check the applicable boxes by all acceptance tests that apply and listed all equipment that requires an acceptance test. If all equipment of a certain type requires a test, list the equipment description and the number of systems. The NA number designates the Section in the Appendix of the Nonresidential Reference Appendices Manual that describes the test. Since this form will be part of the plans, completion of this section will allow the responsible party to budget for the scope of work appropriately. Building Departments: Systems Acceptance: Before occupancy permit is granted for a newly constructed building or space, or a new space-conditioning system serving a building or space is operated for normal use, all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance. Systems Acceptance: Before occupancy permit is granted. All newly installed HVAC equipment must be tested using the Acceptance Requirements. The MECH-1 C form is not considered a completed form and is not to be accepted by the building department unless the correct boxes are checked. The equipment requiring tesling, person performing the test (Example: HVAC installer, TAB contractor, controls contractor, PE in charge of project) and what Acceptance test must be conducted. The following checked-off forms are required for ALL newly installed equipment. In addition a Certificate of Acceptance forms shall be submitted to the building department that certifies plans, specifications, installation, certificates, and operating and maintenance information meet the requirements of §10-103(b) and Title-24 Part 6. The building inspector must receive the properly filled out and signed forms before the building can receive final occupancy. TEST DESCRIPTION MECH-2A MECH-3A MECH-4A MECH-5A MECH-6A MECH-7A MECH-8A MEGH-9A MEGH-10A MECH-11A Equipment Requiring Testing or Verification Qty. Outdoor Ventilation For VAV & CAV Constant Volume & Single-Zone Unitary Air Distribution Ducts Economizer Controls Demand Control Ventilation DCV Supply Fan VAV Valve Leakage Test Supply Water Temp. Reset Hydronic System Variable Flow Control Automatic Demand Shed Control Carrier 507CQA04 1 m a • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • EnergyPro 5.1 by EnergySoft User Number 3429 RunCode: 2014-02-11718:12:18 ID: Paqe 11 of 17 CERTIFICATE OF COMPLIANCE and FIELD INSPECTION ENERGY CHECKLIST (Part 4 of 4) MECH-1 C Project Name Date Dr Maroon Dental 2/11/2014 TEST DESCRIPTION MECH-12A MECH-13A MECH-14A MEGH-15A Equipment Requiring Testing Qty. Fault Detection & Diagnostics for DX Units Automatic Fault Detection & Diagnostics for Air & Zone Distributed Energy Storage DX AC Systems Thermal Energy Storage (TES) Systems Test Performed By: Gamer 50TCQA04 1 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • EnergyPro 5.1 by EnergySoft User Number 3429 RunCode: 2014-02-11718:12:18 ID- Page 12 of 17 AIR SYSTEM REQUIREMENTS (Part 1 of 2) MECH-2C Project Name Date Dr Maroon Dental 2/11/2014 Item or System Tags (i.e. AC-1, RTU-1, HP-1) Indicate Air Systems Type (Central, Single Zone, Packac e, VAV, or etc..) Item or System Tags (i.e. AC-1, RTU-1, HP-1) 3-Ton Heat Pump Number of Systems 1 MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efficiency HVAC Heat Pump Thermostat Furnace Controls/Thermostat Natural Ventilation Mechanical Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Location/ R-value Indicate Pa ge Reference on Plans or Schedule and indicate the applicable exception(s) MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efficiency HVAC Heat Pump Thermostat Furnace Controls/Thermostat Natural Ventilation Mechanical Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Location/ R-value T-24 Sections MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efficiency HVAC Heat Pump Thermostat Furnace Controls/Thermostat Natural Ventilation Mechanical Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Location/ R-value 112(a) 7.70 HSPF MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efficiency HVAC Heat Pump Thermostat Furnace Controls/Thermostat Natural Ventilation Mechanical Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Location/ R-value 112(a) 13.4 SEER/11.0 EER MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efficiency HVAC Heat Pump Thermostat Furnace Controls/Thermostat Natural Ventilation Mechanical Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Location/ R-value 112(b), 112(c) Yes MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efficiency HVAC Heat Pump Thermostat Furnace Controls/Thermostat Natural Ventilation Mechanical Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Location/ R-value 112(c), 115(a) n/a MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efficiency HVAC Heat Pump Thermostat Furnace Controls/Thermostat Natural Ventilation Mechanical Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Location/ R-value 121(b) No MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efficiency HVAC Heat Pump Thermostat Furnace Controls/Thermostat Natural Ventilation Mechanical Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Location/ R-value 121(b) 143 cfm MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efficiency HVAC Heat Pump Thermostat Furnace Controls/Thermostat Natural Ventilation Mechanical Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Location/ R-value 121(c) No MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efficiency HVAC Heat Pump Thermostat Furnace Controls/Thermostat Natural Ventilation Mechanical Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Location/ R-value 121(c) No MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efficiency HVAC Heat Pump Thermostat Furnace Controls/Thermostat Natural Ventilation Mechanical Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Location/ R-value 122(e) Programmable Switch MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efficiency HVAC Heat Pump Thermostat Furnace Controls/Thermostat Natural Ventilation Mechanical Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Location/ R-value 122(e) Setback Required MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efficiency HVAC Heat Pump Thermostat Furnace Controls/Thermostat Natural Ventilation Mechanical Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Location/ R-value 122(f) Auto MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efficiency HVAC Heat Pump Thermostat Furnace Controls/Thermostat Natural Ventilation Mechanical Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Location/ R-value 122(q) n/a MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efficiency HVAC Heat Pump Thermostat Furnace Controls/Thermostat Natural Ventilation Mechanical Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Location/ R-value 123 MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efficiency HVAC Heat Pump Thermostat Furnace Controls/Thermostat Natural Ventilation Mechanical Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Location/ R-value 124 Attic, Ceiling Ins, vented/8.0 PRESCRIPTIVE MEASURES Calculated Design Heating Load Proposed Heating Capacity Calculated Design Cooling Load Proposed Cooling Capacity Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous Heat/Cool Economizer Heat Air Supply Reset Cool Air Supply Reset Electric Resistance Heating^ Air Cooled Chiller Limitation Duct Leakage Sealing. If Yes, a MECH-4-A must be submitted 144(a&b) n/a Calculated Design Heating Load Proposed Heating Capacity Calculated Design Cooling Load Proposed Cooling Capacity Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous Heat/Cool Economizer Heat Air Supply Reset Cool Air Supply Reset Electric Resistance Heating^ Air Cooled Chiller Limitation Duct Leakage Sealing. If Yes, a MECH-4-A must be submitted 144(a& b) 26,469 Btu/hr Calculated Design Heating Load Proposed Heating Capacity Calculated Design Cooling Load Proposed Cooling Capacity Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous Heat/Cool Economizer Heat Air Supply Reset Cool Air Supply Reset Electric Resistance Heating^ Air Cooled Chiller Limitation Duct Leakage Sealing. If Yes, a MECH-4-A must be submitted 144(a& b) n/a Calculated Design Heating Load Proposed Heating Capacity Calculated Design Cooling Load Proposed Cooling Capacity Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous Heat/Cool Economizer Heat Air Supply Reset Cool Air Supply Reset Electric Resistance Heating^ Air Cooled Chiller Limitation Duct Leakage Sealing. If Yes, a MECH-4-A must be submitted 144(a&b) 25,839 Btu/hr Calculated Design Heating Load Proposed Heating Capacity Calculated Design Cooling Load Proposed Cooling Capacity Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous Heat/Cool Economizer Heat Air Supply Reset Cool Air Supply Reset Electric Resistance Heating^ Air Cooled Chiller Limitation Duct Leakage Sealing. If Yes, a MECH-4-A must be submitted 144(c) Constant Volume Calculated Design Heating Load Proposed Heating Capacity Calculated Design Cooling Load Proposed Cooling Capacity Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous Heat/Cool Economizer Heat Air Supply Reset Cool Air Supply Reset Electric Resistance Heating^ Air Cooled Chiller Limitation Duct Leakage Sealing. If Yes, a MECH-4-A must be submitted 144(c) Calculated Design Heating Load Proposed Heating Capacity Calculated Design Cooling Load Proposed Cooling Capacity Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous Heat/Cool Economizer Heat Air Supply Reset Cool Air Supply Reset Electric Resistance Heating^ Air Cooled Chiller Limitation Duct Leakage Sealing. If Yes, a MECH-4-A must be submitted 144(c) Yes Calculated Design Heating Load Proposed Heating Capacity Calculated Design Cooling Load Proposed Cooling Capacity Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous Heat/Cool Economizer Heat Air Supply Reset Cool Air Supply Reset Electric Resistance Heating^ Air Cooled Chiller Limitation Duct Leakage Sealing. If Yes, a MECH-4-A must be submitted 144(d) No Calculated Design Heating Load Proposed Heating Capacity Calculated Design Cooling Load Proposed Cooling Capacity Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous Heat/Cool Economizer Heat Air Supply Reset Cool Air Supply Reset Electric Resistance Heating^ Air Cooled Chiller Limitation Duct Leakage Sealing. If Yes, a MECH-4-A must be submitted 144(e) No Economizer Calculated Design Heating Load Proposed Heating Capacity Calculated Design Cooling Load Proposed Cooling Capacity Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous Heat/Cool Economizer Heat Air Supply Reset Cool Air Supply Reset Electric Resistance Heating^ Air Cooled Chiller Limitation Duct Leakage Sealing. If Yes, a MECH-4-A must be submitted 144(f) Constant Temp Calculated Design Heating Load Proposed Heating Capacity Calculated Design Cooling Load Proposed Cooling Capacity Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous Heat/Cool Economizer Heat Air Supply Reset Cool Air Supply Reset Electric Resistance Heating^ Air Cooled Chiller Limitation Duct Leakage Sealing. If Yes, a MECH-4-A must be submitted 144(f) Constant Temp Calculated Design Heating Load Proposed Heating Capacity Calculated Design Cooling Load Proposed Cooling Capacity Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous Heat/Cool Economizer Heat Air Supply Reset Cool Air Supply Reset Electric Resistance Heating^ Air Cooled Chiller Limitation Duct Leakage Sealing. If Yes, a MECH-4-A must be submitted 144(g) Calculated Design Heating Load Proposed Heating Capacity Calculated Design Cooling Load Proposed Cooling Capacity Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous Heat/Cool Economizer Heat Air Supply Reset Cool Air Supply Reset Electric Resistance Heating^ Air Cooled Chiller Limitation Duct Leakage Sealing. If Yes, a MECH-4-A must be submitted 144(1) Calculated Design Heating Load Proposed Heating Capacity Calculated Design Cooling Load Proposed Cooling Capacity Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous Heat/Cool Economizer Heat Air Supply Reset Cool Air Supply Reset Electric Resistance Heating^ Air Cooled Chiller Limitation Duct Leakage Sealing. If Yes, a MECH-4-A must be submitted 144(k) No 1. Total installed capacity (MBtu/hr) of all electric heat on this project exclusive of electric auxiliary heat for heat pumps. If electric heat is used explain which exception(s) to §144(g) apply. EnergyPro 5.1 by EnergySoft User Number 3429 RunCode: 2014-02-11718:12:18 ID: Page 13 of 17 MECHANICAL VENTILATION AND REHEAT MECH-3C Project Name Dr Maroon Dental Date 2/11/2014 MECHANICAL VENTILATION (§121(b)2) REHEAT LIMITATION (§144(d)) AREA BASIS OCCUPANCY BASIS VAV MINIMUM A B C D E F G H 1 J K L M N Zone/System Condition Area (ft') CFM per ft' Min CFM By Area BXC Number Of People CFM per Person Min CFM by Occupant EXF REQ'D V.A. Max of DorG Design Ventilation Air CFM 50% of Design Zone Supply CFM BX0.4 CFM / ft' Max. of Columns H, J, K, 300 CFM Design Minimum Air Setpoint Transfer Air Dental Office 954 015 143 143 143 3-Ton Heat Pump Total 743 143 Totals Column 1 Total Design Ventilation Air C Minimum ventilation rate per Section §121, Table 121-A. E Based on fixed seat or the greater of the expected number of occupants and 50% of the CBC occupant load for egress purposes for spaces without fixed seating. H Required Ventilation Air (REQ'D V.A.) is the larger of the ventilation rates calculated on an AREA BASIS or OCCUPANCY BASIS (Column D or G). 1 Must be greater than or equal to H, or use Transfer Air (column N) to make up the difference. J Design fan supply CFM (Fan CFM) x 50%; or the design zone outdoor airflow rate per §121. K Condition area (ft^) x 0.4 CFM / ft^; or L Maximum of Columns H, J, K, or 300 CFM M This must be less than or equal to Column L and greater than or equal to the sum of Columns H plus N. N Transfer Air must be provided where the Required Ventilation Air (Column H) is greater than the Design Minimum Air (Column M). Where required, transfer air must be greater than or equal to the difference between the Required Ventilation Air (Column H) and the Design Minimum Air (Column M), Column H minus M. EnergyPro 5.1 by EnergySoft User Number 3429 RunCode: 2014-02-11718:12:18 ID: Page14of17 MECHANICAL EQUIPMENT DETAILS (Part 1 of 2) MECH-5C Project Name Date Dr Maroon Dental 2/11/2014 CHILLER AND TOWER SUMMARY PUMPS Equipment Name Type Qty. Efficiency Tons Qty. GPM BHP Pump Controi DHW / BOILER SUMMARY System Name Type Distribution Qty. Rated Input Vol. (Gals). Energy Factor or RE Standby Loss or Pilot Tank Ext. R-Value Status MULTI-FAMILY CENTRAL WATER HEATING DETAILS Hot Water Pump Hot Water Piping Length (ft) Control Qty. HP Type In Plenum Outside Buried Add Vi" Insulation • • • CENTRAL SYSTEM RATINGS HEATING COOLING System Name Type Qty. Output Aux. kW Efficiency Output Efficiency Status Canier 50TCQA04 Packaged DX 1 34,600 0.0 7.70 HSPF 36,700 13.4 SEER/11.0 EER New CENTRAL SYSTEM FAN SUMMARY SUPPLY FAN RETURN FAN System Name Fan Type Economizer Type CFM BHP CFM BHP Canier 50TCQA04 Constant Volume No Economizer 7,200 0.42 none EnergyPro 5.1 by EnergySoft User Number 3429 RunCode: 2014-02-11718:12:18 ID: Page15of17 ENVELOPE MANDATORY MEASURES: NONRESIDENTIAL ENV-MM Project Name Date Dr Maroon Dental 2/11/2014 DESCRIPTION Building Envelope Measures: §118(a): Installed insulating material shall have been certified by the manufacturer to comply with the California Quality Standards for insulating material. Title 20 Chapter 4, Article 3. §118(c): All Insulating Materials shall be installed in compliance with the flame spread rating and smoke density requirements of Sections 2602 and 707 of Title 24, Part 2. §118(f): The opaque portions of framed demising walls in nonresidential buildings shall have insulation with an installed R-value of no less than R-13 between framing members. §117(a): All Exterior Joints and openings in the building that are observable sources of air leakage shall be caulked, gasketed, weatherstripped or otherwise sealed. §116(a)1: Manufactured fenestration products and exterior doors shall have air infiltration rates not exceeding 0.3 cfm/ft.^ of window area, 0.3 cfm/ft.^ of door area for residential doors, 0.3 cfm/ft.^ of door area for nonresidential single doors (swinging and sliding), and 1.0 cfm/ft.^ for nonresidential double doors (swinging). §116(a) 2: Fenestration U-factor shall be rated in accordance with NFRC 100, or the applicable default U-factor. §116(a) 3: Fenestration SHGC shall be rated in accordance with NFRC 200, or NFRC 100 for site-built fenestration, or the applicable default SHGC. §116(b): Site Constructed Doors, Windows and Skylights shall be caulked between the unit and the building, and shall be weatherstripped (except for unframed glass doors and fire doors). EnergyPro 5.1 by EnergySoft User Number 3429 RunCode: 2014-02-11718:12:18 ID: Page 76 of 77 MECHANICAL MANDATORY MEASURES: NONRESIDENTIAL MECH-MM Project Name Date Dr Maroon Dental 2/11/2014 Equipment and System Efficiencies §111: Any appliance for which there is a California standard established in the Appliance Efficiency Regulations will comply with the applicable standard. §115(a): Fan type central furnaces shall not have a pilot light. §123: Piping, except that conveying fluids at temperatures between 60 and 105 degrees Fahrenheit, or within HVAC equipment, shall be insulated in accordance with Standards Section 123. §124: Air handling duct systems shall be installed and insulated in compliance with Sections 601, 602, 603, 604, and 605 of the CMC Standards. Controls §122(e): Each space conditioning system shall be installed with one of the following: 1A. Each space conditioning system serving building types such as offices and manufacturing facilities (and all others not explicitly exempt from the requirements of Section 112 (d)) shall be installed with an automatic time switch with an accessible manual override that allows operation of the system during off-hours for up to 4 hours. The time switch shall be capable of programming different schedules for weekdays and weekends and have program backup capabilities that prevent the loss of the device's program and time setting for at least 10 hours if power is interrupted; or IB. An occupancy sensor to control the operating period of the system; or 1C. A 4-hour timer that can be manually operated to control the operating period of the system. 2. Each space conditioning system shall be installed with controls that temporarily restart and temporarily operate the system as required to maintain a setback heating and/or a setup cooling thermostat setpoint. §122(g): Each space conditioning system serving multiple zones with a combined conditioned floor area more than 25,000 square feet shall be provided with isolation zones. Each zone: shall not exceed 25,000 square feet; shall be provided with isolation devices, such as valves or dampers that allow the supply of heating or cooling to be setback or shut off independently of other isolation areas; and shall be controlled by a time control device as described above. §122(c): Thermostats shall have numeric setpoints in degrees Fahrenheit (F) and adjustable setpoint stops accessible only to authorized personnel. §122(b): Heat pumps shall be installed with controls to prevent electric resistance supplementary heater operation when the heating load can be met by the heat pump alone §122(a&b): Each space conditioning system shall be controlled by an individual thermostat that responds to temperature within the zone. Where used to control heating, the control shall be adjustable down to 55 degrees F or lower. For cooling, the control shall be adjustable up to 85 degrees F or higher. Where used for both heating and cooling, the control shall be capable of providing a deadband of at least 5 degrees F within which the supply of heating and cooling is shut off or reduced to a minimum. Ventilation §121(e): Controls shall be provided to allow outside air dampers or devices to be operated at the ventilation rates as specified §121(e): on these plans. § 122(f): All gravity ventilating systems shall be provided with automatic or readily accessible manually operated dampers in all openings to the outside, except for combustion air openings. §121(f): Ventilation System Acceptance. Before an occupancy permit is granted for a newly constructed building or space, or a new ventilating system serving a building or space is operated for normal use, all ventilation systems serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance Service Water Heating Systems §113(c) Installation 3. Temperature controls for public lavatories. The controls shall limit the outlet Temperature to 110° F. 2. Circulating service water-heating systems shall have a control capable of automatically turning off the circulating pump when hot water is not required. EnergyPro 5.1 by EnergySoft User Number 3429 RunCode: 2014-02-11718:12:18 ID: Page 17 of 17 NTY OF SAN DIEGO KrVA#: Department of Environmental Health Community Health Division Radiological Health Program 5500 Overland Ave Ste 110, San Diego, CA 92123 Tel (858)694-3621 Fax (858)694-3629 PLANCHECKS: ACnVITY#: ^ ^^C* 1 FEE AMOUNT $: PA'SMENTTYPE: •CASH DCHECK ChedcNimlicr RADIATION SHIELDING PLAN CHECK APPLICATION Plans subtnitled by: Pfeg^To KJ "^A L- Phone #: OlfiO )Ta^Ool3_ FaciliivName/ Owner's Nane: tye- f2LoBE>|g.T- M A-^ oO N3 Phone #:( ) Job Site Address: "^1^5 PA ^-oA^A-f2-^ AlfZ^/^ l^aftD ^^-./o'Z^ Zy: ^ f Mailing Address, if different: Zip: # of Rooms X-^RAY MACHINE INFORMATION Manuficturer ModelAType OWNER/REPRESENTATTVE DECLARATION: I undentand that the fee paid is based on irgr dedaration of Oe radiation slnekfing classification. If die declaration is incone^I understand that tins application will not be approved until die appropriate fee is paid Signatui^': .Tide: P(lSXr-PC4~ M/U?Mt-Catt: 'Z- // / / ^ This space for Office Use Only: COUrv •• RECEIVED APR 0 4 2014 CITY OF CARLSBAD BUILDING DIVISION . „F SAN DIEGO OEPARTVIENT Or ENVIRGNMfA,. HEALTH RAOiOLOGiCAL ML^LTH _RADIATIOH SHIELDING APPROVED Based (m tha data submitted, the proposed raiiiatioii^feiding installation is approved for: (type of estabi!Shmen.>«v^i This facility will meet the structural shielding requirements of the California Radiation Control Regulations CLASSIFICATION NO. OF ROOMS FEES FY '13-14($) TOTAL DENTAl^ MEDICAL, or INDUSTRIAL FIRST TWO ROOMS (6CRAD-—O) 8400 DENTAl^ MEDICAL, or INDUSTRIAL EACH ADDTL ROOM UP TO 6 (6CRAD—-O) 45.00 EACH DENTAl^ MEDICAL, or INDUSTRIAL MORE THAN 6 ROOMS (6CRADHR-0) IN ADDITION TO $264 BASE FEE, HOURLY FEE BASED ON REVIEW TIME .iff VP I COUNTY OF SAN DIEGO DEPARTMENT OF ENVIRONMENTAL HEALTH P.O. BOX 129261, SAN DIEGO, CA 92112-9261 www.sdcdeh.org RENEWAL NOTICE Billing Inquiries: Ph: 858-505-6930 Fax: 858-505-6848 E-mail: DEHRevenue@sdcounty.ca.gov All Other Inquiries: 858-505-6700 800-253-9933 Business Name and Mailing Address Owner Information DR. ROBERT MAROON 2125 PALOMAR AIRPORT ROAD #6-102 CARLSBAD, CA 92011 Name{s): Business Location: Dr. Robert Maroon 2125 Palomar Airport RD SUITE 6-102 Carlsbad, CA 92011 Bill for: Renewal Renewal Period: - 01/01/0002 Amount Due: $84.00 DUE DATE: Record Number: DEH2014-CRAD-000081 Record Type: Radiation Plan Check $50.00 or 50% delinquent fee is assessed after due date. Additional assessment of $100.00 or 100% after 30 days. Quantity Item Code Description Amount 02/19/2014 1 6CRAD—O RADIATION SHIELDING PLAN CHECK FEES $ 84.00 TOTAL AMOUNT DUE: $ 84.00 For online payments go to: http://www dehpay.com . Select the DEH tab. In the General Search section, enter the Record Number in the Record Number field and click Search. Scroll down to see the results, in the Action Column click on Pay Fee Due, then click on Continue with Application, and select one of the Payment optioris. RETURN BOTTOM PORTION WITH YOUR PAYMENT. Make check payable to: COUNTY OF SAN DIEGO, DEH I I Check here If this is a Business Location or Ownership change. PERIVIITS ARE N07 TRANSFERRABLE. Please apply for a new permit. See reverse side for additional instructions. Please print your e-mail address to better serve you: If payment is made by Credit Card, please write your Confirmation # COUNTY OF SAN DIEGO DEPARTMENT OF ENVIRONMENTAL HEALTH P.O. BOX 129261 SAN DIEGO, CA 92112-9261 Record Number: Business Name: Owner Name: Business Location: DEH2014-CRAD-000081 Dr. Robert Maroon 2125 Palomar Airport RD SUITE 6-102 Carlsbad, CA 92011 PAYMENT DUE DATE: AMOUNT DUE: $84.00 AMOUNT PAID: - W.X1 X.H'DEH2014-CRAD-OK»8r lyPiza 1^ - HHne>/' 0 0 SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY UPFP# HW BP DATE / Business Nanfte Business Contact Telephone # Project Address , i\\S.p(jv^4 i^-elOZXity State Zip Code '=1Z<:PI 1 APN#2(J- Mailing Address |^ '2. City State 2p Code 'T'lan File# Project Co rtact Teleptione # The following questions represent ttie fiicility's activities, NOT Ilie specific project description. PART I: FIRE DEPART^^NT - HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: Indicate by drcSr^ the item, whether your business will use, process, or stare any of the fbllowing hazardous materials, tf any of the items are circled, applicant must contact the FireLErotection Agency with jurisdkition prior to plan submittal. Facility's Square Footage (including proposed project): ^ C?^ Occupancy Rating: J3 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Convsives 2. Compressed Gases 6. Oxidizers 10. Cryogenics Other Health Hazard 3. Flammable/Combustible Liquids 7. FVophorics 11. Highly Toxic or Toxic Materials nS^ None of These. 4. Rammable Solids 8. Unstable Reactives 12. Radioactives PART II: SAN DIEQO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH - HAZARDOUS MATERIALS DIVISIONS (HMDV If the answer to anv ofthe questions is yes, applicant must contact ttie County of San Diego Hazardous Materials Division, 5500 Overland Ave., Suits 110, San Diego, CA 92123. Call (858) 505-6700 prior to the issuance of a buikling perrriit FEES ARE REQUIRED. Project Completion Date: 3 I 1^ Expected Date of Occupancy^ YES • Q' Will your b jsiness store or handle Hazardous Substancfes in quantities equal to or greater than 55 gallons, 500 pounds, 200 cubic feet, or carcinogens/teproductiMS toxins in an i quantity? lis i\ NO I (for new construction or remodefing projecl • Is your bus ness listed on ttie reverse sine of llVb ILiiiii'>' |ct\eck all ttiat apply). ^SK Will your b siness dispose ofB^f fOpus Sibstances or Medical \AMste in any amount? • • • • O' Will your t usiness use ap^i^tijig^rntstajl an undergrdund storage tank? [0-" Will your t usiness store or handle RegUated Substanc !S (CalARP)? It> Will yoir I usiness us&o£jrs1aJ[l a Hazardous Waste li System (Title 22, Article 10)? Q-'Will your bifijaess pne^nemMS S^E&iksAr/&(1^ miners at your facility vi/ith a total storage capacity equal to or greateJth^^i^^g^lrima (CaUBBiia's AbpiLqafefuld Petroleum Storage Act). PART III: SAN DIEGO COUNTY AIR POOUm • CalARP Exempt I Date Initials • CalARP Requred Date Initials • CalARP Complete 1 Date Initials ICT: If ttie answer to any of ttie questkins betow is yes, applicant must contact the Air Pollution Control District (APCD), 10124 Old Grove Road, San Diego, CA 92131 -1649, telephone (858) 586-2600 prior to the issuance of a buikling or demolition permit. Note: if the ansv\/er to questions 4 or 5 is yes, applkiant must also submit an ast>estos notifk^alion form ta ttie APCD at least 10 working days prior to commencing demoliton or renovation, except denwCtion or renovation of residential structures of four units or less. Contact the APCD for more information. YES NO 1. O ^yW\\\ the subject feciltty or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the APCD factsheet at http://vww.sdapcd.ora/info/facts/permits.pdf, and the Bst of typrcal equipment requiring an APCD pemiit on ttie reverse side of tNs from. Contact APCD if you have any questions). 2. • B" (ANSWER ONLY IF QUESTION 1 IS YES) Will the sitoject facility be kscated witt^n 1,000 feet of the outer boundaiy of a school (K through 12)? (Search the Cafifornia School Directory at httD://www.cde ca.aov/re/sd/ for public and private schools or contact the appropriate sctiool district). 3. • 0^ Has a survey been performed to determine the presence of Asbestos Containing Materials? 4. • Will ttiere be renovation that involves handling of any friable asbestos materials, or disturt>ing any material ttiat contains non-friable asbestos? 5. • Q--^ there be demofltion involving the removal of a k>adsLppoitit^ structural member? Briefly describe business activities: I declare under penalty of peijury that to the best of my know^dge and belief Name of Owner or Authorized Agent Briefly describe proposed project /AJ>is//^l>/'il{T- sponsesjpade tierein are true and conect e^^^^^poree^^^^^re i^ignatLHe of Owner or Auttiorized Agent //2- Date FIRE DEPARTMEhrr OCCUPANCYCLASSIFICATION:. BY FOR OFFICIAL USE ONLY: DATE: EXEMP; JRTHER INFORMATION REQUIRED APCD DATS ' RB-EASED FOR BULDING PERIMT BUT NOT FOR OCCUPMCY COLBMTY-HMD APCD RELEASH) FOR OCCUPANCY APR 0 4 2014 CITY OF CARLSBAD BUILDING D!VISK)r4 APCD BYRNES CONSTRUCTION License # 554061 March 28,2014 City of Carlsbad Building Department RE: Dr. Maroon Dentistry 2521 Palomar Airport Road Carlsbad, CA 92011 To Whom It May Concem: This letter is written authorization for Preston Ball, Architect, to act as agent and representative for Byrnes Construction for the services and related transactions with the Building Department, City of Carlsbad, California, for the building permit procurement process for the above referenced project. City of Carlsbad Business License No. 1207476 Byrnes Construction State License Number B554061 Woricers Compensation: State Fund Policy # 9065956-2013 Generai Liability Insurance: Security National Ins. Co. #NA105635301 JAMES BYRNES, OWNER BYRNIOLCONSTRUCnON / /t>ate RECEIVED APR 0 4 2014 CITY OF CARLSBAD BUILDiWG DIVISION P. O. Box 4024 Carlsbad, CA 92018 Phone 760-434-1261 Fax 760-434-2165 Email bymesconstruction@sbcglobaLnet PLUMBING, Development Services ELECTRICAL, Building Division ^ CITY OF MECHANICAL 1635 Faraday Avenue 760-602-2719 CARLSBAD WORKSHEET B-18 www.carlsbadca.gov Building(5)carlsbadca.gov Project Address: Permit No.: Information provided below refers to worb being done on the above mentioned permit only. This form must be compleled und returned to the Building Division before the permit can be issued. Building Dept. Fax: (760) 602-8558 Number of new or relocated fixtures, traps, or floor drains New building sewer line? Ves No Number of new roof drains? Install/alter water line? Wo Number of new water heaters? / Number of new, relocated or replaced gas outlets? Number of new hose bibs? ^ Residential Permits: New/expanded service: Number of new amps: 2^^^^ ^"^^pl-S Minor Remodel only: Ves No Commercial/Industrial: Tenant Improvement: Number of existing amps involved in this project: Number of new amps involved in this project: 'T^-ga <S> New Construction: Amps per Panel: Single Phase Number of new amperes Three Phase Number of new amperes ^ <^ Three Phase 480 Number of new amperes / Number of new furnaces, A/C, or heat pumps? J_ New or relocated duct worh? Ves No Number of new fireplaces? ^yi^ Number of new exhaust fans? ^ Relocate/install vent? Number of new exhaust hoods? 2 Number of new boilers or compressors? Number of HP ^ B-18 Page 1 of 1 Rev. 03/09 INDUSTRIAL WASTEWATER DISCHARGE PERMIT , SCREENING SURVEY Date^//4//^ Business Uanxe C^L/^B>f>£> ^P^COTT^ ^^TS Street Address"^^^S^ F^C^ .A^2Pci^ '^iSPQ . ^ '^/o Email Address ^'^] PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) |^ Check all below that are present at your facility: Acid Cleaning Ink Manufacturing Nutritional Supplement/ Assembly Laboratory Vitamin Manufacturing Automotive Repair Machining / Milling Painting / Finishing Battery Manufacturing Manufacturing Paint Manufacturing Biofuel Manufacturing Membrane Manufacturing Personal Care Products Biotech Laboratory (i.e. water filter membranes) Manufacturing Bulk Chemical Storage Metal Casting / Forming Pesticide Manufacturing/ Car Wash Metal Fabrication Packaging Chemical Manufacturing Metal Finishing Pharmaceutical Manufacturing Chemical Purification Electroplating (Including precursors) Dry Cleaning Electroless plating Porcelain Enameling Electrical Component Anodizing Power Generation Manufacturing Coating (i.e. phosphating) Print Shop Fertilizer Manufacturing Chemical Etching / Milling Research and Development Film / X-ray Processing Printed Circuit Board Rubber Manufacturing Food Processing Manufacturing Semiconductor Manufacturing Glass Manufacturing Metal Powders Forming Soap / Detergent Manufacturing Industrial Laundry Waste Treatment / Storage SIC Code(s) (if known): Brief description of business activities (Production/Manufacturing Operations):, Description of operations generating wastewater (discharged to sewer, hauled or evaporated): Estimated volume of industrial wastewater to be discharged (gal / day); List hazardous wastes generated (type/volume): Date operation began/or will begin at this location; Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes No If yes, when; Site Contact Title _Phone No.'Yly^ Signa ENClNA WASTEWATER AUTHORITY, 6200 Avenida Encinas Carlsbad, CA 92011 (760) FAX: (760)476-9852 /7 -00/ 3> 1 (760)438-394?"^ DISCHARGE PERMIT EXEMPT LIST The commercial enterprises listed below are a partial listing of businesses that are exempt from industrial wastewater discharge permitting under normal operating conditions. They are exempt because (a) they discharge no process wastewater (i.e., they only discharge sanitary wastewater with no pollutants exceeding any local limits), and (b) they have no potential to negatively impact the EWPCF or other wastewater treatment plants in the ESS. Ar^y questions regarding exemptions should be referred to EWA Source Control staff. Automobile Detailers Barber/Beauty Shops Business/Sales Offices Carpet/Upholstery Cleaning Services Childcare Facilities Churches Community Centers Consulting Services Contractors Counseling Services Educational Services (no auto repalr/fllm developing) Financial Institutions/Services Fitness Centers Gas Stations (no car wash/auto repair) Grocery Stores (no film developing) Home-based Businesses Hotels/Motels (no laundry) Laundromats Libraries 1,^.^ Medical OfRces'(rib x-ray developirig)^-t7j^)-jj^^ ^ ^ . Mortuaries —) Museums Nail Salons Nursing Homes Office Buildings (no process flow) Optical Services Pest Control Services (no pesticide repackaging for sale) Pet Boarding/Grooming Facilities Postal Services Public Storage Facilities Restaurants/Bars Retail/Wholesale Stores (no auto repalr/fllm developing) Theaters (Movle/Llve) Michael P,. Andre. ^Hy, DAgi?. f A^uy 4 4- 4^ 4 4 4. 4 FAmiay 8,20.14 .Pilsial liil Etetip 1714 Avmi-ik Sevila OoeiftSid^CA 92m6 (7&0) 717^13 pre stf MI - vbA(3i ma ;aet .4: 4. 4: 4= 4: 4 Re: Dr. Rdjert Mmmm Doitai Office 2S21 .Wiaiwr Airp3fftRM4 BMild-iog 6,. Suite 102 Floor plaii drewinp (Alpdf, ilpft ^^-^ TS2.p^ wwe recaved fm' Ae doitel office in Carlsbad, CA where me tomykd mat (Siroiti HeMcMient Mijs or ^mMmt) mil M iiirtmlW in OPS I (104) aad one Panoranilc Unit (Sir«t Orthcphos XG3 or- eqiiivaleiit) wUI be instalM in Wmm Mmm. (109). Tlie sMddttig K^ttiiTBnifints are auffttnarized bdw mi m ibm itticlitd rocm. sketcii TMs refxirt shmii be matittained for the life of this facility to mmxm id^iiaifi dcKaMttaitatim of the sMddi.fig dcdpi. ai^ieri.*.. Piease mmwe that a copy of this repoit ts ^v&i to the owner/ejprmoi', The Installer or owner mast actify the C^tfoiiMt Eadi.o.),cigicai Healtii Brtneli fiy repstratiai of tli:i x-ray iiiits. The Rsdiitios SMdding Plai IS based on the requiianeits of the Califomia, EadiaticMi Cootrai Repilatic»s Title 17, Report 145 of the Nitiqaal Ccaincil on :Riitf:Miott :Pf«;Kition & Meaniremeiits appHrabk provisiOM of Chtptef .3 IC, Caliijmia Buildiiig Ccnie {Htle 24. CaMfbiTiit Code of Eepittiojii) rdafiog to ndiiiion pnitestioti. Tiie foUofting criteria were appliai in the shielding cataii.ateoii:S «id radiKftoii safety sp«aficati<ffis based oa, tlie tiifcMmiti,CMi mippied by ftreston Ball Design and Dr. .Maroffli. Please note thai I have labeled etch will m the MtQwi,:iif tiilc md mMm room sfcetches hdow. The X-Ray EoofHS were libdid oa the dimmiiii and the pmtims of flic Opentor's Coiiird Coiiioles weie iientiiaj.. The iidicalid locaticsiis for the CcHisdes are acceptrfjle for safe -ose, Woriload values are MMA on acttial exposure records frcm a cotapafible fa-dlity op«ited "by the dieiit plus additioiiBl c^c% to enaire coiisep/aive safely itiwpn, Meisiireinents of scttteml mdiaticHi for this ex,ftct unit iri its pior iiistillaioit were made by me. If ttiere are any chaages in the woflf ,loid values,, tlie tmm liyonta, the tyfjes of x-ray equipment m occopanQ'' of surrcModttig rcMMis, the iiieldir^ calculaions may no longer be ^falid,. Mmm contict mc iiMiiedittely if there are any chanps. or rewsons coiiieiiptated for this rcMMit. IftyfiAt ctf its pfopased W6.. Thsm calcylations fefleet GMsarvitive shiddtig criterit listed beloiv, consistent with standards of good practice. I .fiiither declari that .1 am a Medical ladiaiai Pbysidst certified by the Amoicin Bcmd of Radiolofy and fsasta'ed %¥itli the State of Ctllfomia,. OPS Rffijin 1 (104) Sirona .Hdiodeni Mm Inira-Ofiil., 25 mA-mla'wk it 70 kVp, 71»„4 PaiieRoorii(lC») Sifoia Onhophos 25 pata^^k max, 17 tnA-niLii/week, 85 ,kVp, 20-40 mAa., 5 mm Al MVL (self-shieldaj for prirnaiy b^m) UttCOtttitiiM areas: <1 mSvi'yt Ccffltrdled areas; <S wSv/yr RECEIVED Sittile-st«f ccmstnjction.4 4'"' tone-fete .fli»r on grades, no occupancy above or below " Minimiun 12fttOKrfstru,enire ADD A /i oniA Distal idid-slite elearonlc ioiiging (no dirkroom) ArK U 4 ^Ulf CITY OF CARLSBAD JJILDiNG DIVISION ahiifrfeift,. CaltaBlS §2024.5^30 i§3$k '§4S-M tS mmiiSmmBitsm The- total tinai,irt of gypsMin wallbtiird lecpiiral for etch will is iiidicat«l in the table, ii all cases, a liyw rf^-psmti thicter thto spiffed may be ij«d, Two stiMts of S/S4iicdi gypsum will saisftf the walls spaafied for 1,25" or less. In aJditioti to r^ylitofy mjuirenients, tlie sMeldiiig deripj is bised on, the fcJIowuig prind^es of i«3d ndiopiphic practice. 1 Is assumed Ae^ rules will be anploy«l in this farility, I. One adiilioQal sheet of 5^1'' STJsum (3 ttxil,, 1 .S75 indi) Is TOCBMineided oi the demising wall of the Pano Room (109) indiflatid in the- TAle aii.d sketches below, martal in .2. Siiitti no dcKffs are ^.mmi tm iic ri»ins whae ,x-ay wiU be us^ the smMm areas csitside the rooms :SkHjld be G»sider«| Cotttrdled Areaa, nioaitored and limitel by permomiel iktrjnt? x-ray exposurs, Aceesa- to the» wets in iie cMnic is rairicted for the pneril public li the Waithif. Area by pcfsofioel at the ReceptiMiist's c«inter,: 3. The O^ntwt of die x-ray units dirndd etisure that no psiofts ate- imang thrra^h ailtceiit hiltww a«» diw,iig x-iay espcsures, Tl» Cwridor Areas (Al, A2,1,1 on the sketches Sel w)shmifd be nsstri.cted. 4. 0|Miators Aall itmd behind the will during x-cay exposura, not in tlie open doaway, Ob-senition of pifflts during exposure is facilitated by tite mirrois matinted on the wail inside the fooms at fli,i iodlciled l«tliam. ^ 5. The liKitians ofthe Ofwator's Cmtfd Paiids are indiciied on the drawinp by M , ffditFefMi locaiiQns we iised ptease infofin my otl.ce. Please note thit tlte locatiott for the esposure switch for tie Intra^Ml unit in OPS 1 was moved fkm titt liMicat«i on sltiet A3 to the c^iiiet will M. th.e head end of the chair.. IMs was fKcessary in wder to pemit the c^ialor to obKfve the patient during e^pisiMts wilh the aid of a miffor placed hi#i on the insMe wall of OPS 1., 6. Access to th.e roof should be coiimlled and not op«i to the public, but givai the diatance to the roof (>12 feet) it need not be restricted daring s-ny use. flank ym for the i^^rtuiiiiy to tmfiew this prqra and lo he of sertic*. Pleise cama m_e at your ccHivmienee for my fuestimis about this rep<Mt. An imwe is inclyd«i for your use. Sinc««ly, Mlrfitel P, Afldi4 PkD^, DABR, FAEJM Csiiied, Anigrieaa BasKi cMMMMmrff States of CaitHUia (MQA MX^VL cAmM (lW43(Sl Aiiama {22231. M^mi, fcvada, OiSfDii (95X337% 1mm (hWKMTh IJtak Wsdim-gttm, Mktnefcita PACIFIC PENIjtt. ilWVlCIES* TENANT IMPlOVEMINT m MAIIKM BENTAL :ISM filiWMr Airiiort MmA, Mitig 4 Suit Wl* Ci,rislMi* CA flil 1 X-RA¥ :BARRI1R RlQraRMENTl BiriferL«MiQ« Al OiMfflta-C^nW^ftBilfifa- a(ii^, sflMit ^ 0.02 rr^^^ 1 an Uocontrotod 0-02 1T OJU t^T OU 1 7 0 y t^ash-fl^wn 2slieiis*'tQtat il J Sufroun^M mm& Ofttr X-Ray tJiMintroIsi 3 >i unite 0J2mGy!^ 1 OU CeirB UnMW^ft 1 12 OT OU FkMM'on irate Uncoftrafcd \ " 4^"' of OU NO a&fttani T^M Miiimuifi mSv BuTter iJiin.-gypum 2»h«^*toltf i Wfel l^iteeo 1 aid Restfoom p 03), north Uncantioiecl i S 0.4 U ; 2stMli*toiaf No ^MtiMiil Al Operator Control Psiel Pane : lint, south OHiimllfd © 0.S mCs^fk t IT i t.2Sh.i^ufp f 0-0O2 OU 2 iSlieefe* trtsl No aWtoial Bmm^ (10#, noith OrwoctreSd ' 4 imi :i iaiin.8«Btm 1 <i.ii2 OU :| 2slwts*tiial No aMitoMi ! f11,87S il. ijpum 0.004' OU asiiB^toial One akWmmi 6 iMfeen Pano imt arri | LlncofitfoiW 3 3 ^p<»nl Tenaitt, ssa i 0,02 mtSj^ ; imi :i iaiin.8«Btm 1 <i.ii2 OU :| 2slwts*tiial No aMitoMi ! f11,87S il. ijpum 0.004' OU asiiB^toial One akWmmi H ^1 iM^ai Pano ufit sfMl Uiiy(11%salti UncMMltifltel :| 4 0.02 mi^k I ou ashttts^irtai NoiWimai 1 Coirittor^wtyl^nolJnl, 0,02 m<iy^ I mi ifeaciitonai a«S ou 1 0.«2 <0,M2 N shfifll ffi^im = h). 1J75 hcti lypum »^.17 mn Pto al 7i Wp (ac^tr sp^itimj Praslon Bal Despi, Ik. Msaxm, Caitebai CA p tSito i" il'lL 1!H! jftiBW- WW iMitg— » WBWT rfs » .'ii|tlii|^ Mats ® •. rn ,njt-a. MB*.* ® ® I^PJ^ LJ* ® Hwm, ' Nwysa IW iw fiMMR, ^Piii«mni'isBB:a^sa. ;tiaaK^ "1" ^, KtJ*.*,,** o eEiS.**,*** |ii i® Miee MB.8M,'ij.:i| li'iiaiMillL-yiiiiMii 4 Preston SaH Qmign, Dr. Marocm, C%Mba4 CA X-ray EKpomM Switch Ti 3 slwA NORTH UJ 1 iUI t Tsnant Typical Pmmmm Unit Radiation .Scatter Survey 180* 0,00 i - 0,OC3 OJOS 0.1C O.OI 0.1(1 Rear Ffort 0.00 0.04 0.10 \24'' I OJl 0.06 -€j.m -mr 0.09 y.trj 315" I I 0.04 i 0.02 I I 0.00 0.03 0,00 rniroeiTtgerts/exposijre T^nhps F^«s: a) kVp; 6,0 rnA, 12 sec, Sufv^ meter teW on a plane le-vel wtth ttie head of tm p M^muTi Patient Exposyro ps f>af»rain:ic Expjstre: 110 mR ion. Sirona Heliodait Plus StKMia Onhophos XCB CB140361 2521 PALOMAR AIRPORT RD yili^lj(y TO (=y^^ Fit^ /<^S(^ic t^f etxercjcj 3/^7//^- ^ o-ny-P u)lG^yc^<^ /si.fsi^^^ ' A^A^ rcL - m^rn 4- Hi? Mr h^/fr^/> Final Inspection required by: • Plan • CM&I • Fire • SW •ISSUED Approved BUILDING •cv. Date PLANNING ENGINEERING RRE Expedite? DIGrrAL FILES Requii luirecl? Y N U ^->i>y By HazMat APCD Health 2^ Forms/Fees Sent Rec'd Due? Encina Fire HazHealthAPCD PE&M School Sewer Stormwater Special lns| CFD: Y LandUse: By Density: ImpArea: FY: Annex: Faaor: PFF: in Comments Date Date Oate Date Building Planning Engineering Fire 3Mi Need? pCoone .])„iA iicM,h^/i-iy/^ MZ fi S7tN frnw^