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Home My WebLink About2525 El Camino Real; 204ksk; CBC2019-0426; PermitPrint Date: 01/31/2020 Job Address: 2525 El Camino Real, 204Ksk Commercial Permit {city of Carlsbad Permit No: CBC2019-0426 Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Closed -Finaled 09/09/2019 12/18/2019 Parcel No: 1563022700 Lot#: Valuation: $60,000.00 Reference #: Occupancy Group: Construction Type: # Dwelling Units: Bathrooms: Bedrooms: Orig. Plan Check#: Plan Check#: Project Title: Description: PIERCING PAGODA: INSTALL 160 SF KIOSK W/ ELECTRICAL BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) Owner: R PI CARLSBAD LP 1114 Avenue OfThe Americas, Floor 45 New York, NY 10036-7700 214-660-5232 x215232 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $845.31 Total Payments To Date: $845.31 Applied: Issued: Permit Fina led: Inspector: MColl Final Inspection: 1/31/2020 9:02:08AM Contractor: SCHROEDER CONSTRUCTION AND DEVELOPMENT INC 2695 State St Carlsbad, CA 92008-1627 760-434-4396 Balance Due: $0.00 $450.30 $315.21 $60.00 $3.00 $16.80 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov {city of Carlsbad COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check Est. Value CBC 20/f£//Z6 '10,.ITTXJ PC Deposit--------- Date _f,.,.J'<_,1-"-/,-'-J""-f--- JobAddress,:::;?5;?::[ I?/ (,?..,(YlµLO {0r;}' Strite: K8.0l{ APN: ______ _ Tenant Name: A~& Papa' ' CT/Project#: ________ Lot#:. __ _ Occupancy: /vJ Construction Type: dJ 6 Fire Sprinklers: yes0 Air Conditioning: yes~ BRIEF ?ESCRIPTION OF WORK: I llRpla,CR r-Rf 0~ pag µJ:ru:c,t>lul }/~ lc-WSk /A) tL Mu.) Ort.i -. {I D Addition/New: ___________ New SF and Use, ___________ New SF and Use, ___ Deck SF, Patio Cover SF (not including flatwork) _)i{ Tenant Improvement: ' JfoD SF, Existing Use ---'/11'---' ____ Proposed Use _..:.f'Vl__,c__ __ _ _____ SF, Existing Use Proposed Use _____ _ 0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _ D Solar: ___ KW, __ Modules, ___ Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No D Plumbing/Mechanical/Electrical Only: ________________________ _ D Other: --------------------------------- APPLICANT (PRIMARY) Name: JahqJ Eole;,(Y1,VJ,M l&, Address: .;2o.;l u (e 1n ',SC City:f/nmo ,,..s State: e A Zip: IRtf/1 Phone: (p/0 fa5t: tp5h/ Email: ?,ar-a,_ ~ia{,;,a, Ctn:n DESIGN PROFESS!ONAL Name: 41c V/S,UJrl @ Address:/1522 O>atj &I SI( 3b1J City: S-/ . (7$@/j $ State:ffJQ Zip: 6,,3/ I/le Phone: ·3; t./ 41<::;" !J, 'ft)D PROPERTY OWNER Name: .R~cl Address: ;3/0 tJ VrtRa M ,Sk ,'W City: Chte4'B° State: II Zip: (d)&53/ Phone: , )(2-9/aD-:JJ~ Email~"'· ~(,} j~ - C'..m1(_, CONTRACTOR BUSINESS Name: ~ Cmv.ffn,,c/1,{Y\ + ~ Address: c{lr,,q':[ ~ &- City: (14492d, State: (14 Zip: 98.JXJ8 Phone: 7{e{) l/31./ lf31(e Email: t,~ fl ;sd.;,,< Rc/P.{ C fJJ.f , leM Emal!: c.p..R'tJ 41:(W, ¢?Yl Architect State License: ~C=--_.M=.71....JLfg..._ _____ _ State License: tf-1'-1157../ Bus. License:P,l../{fl/;1,.0'f2f/, (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he/she is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). 1635 Faraday Ave Carlsbad, CA 92008 8-2 Ph: 760-602-2719 Fax: 760-602-8558 Page 1 of2 Email: Building@carlsbadca.gov Rev. 06/18 ( OPTION A ): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury i!fil1 of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Ubor Code, for the performance of the work which this permit is issued. \,(] have and will maintain worker's compensation, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ workers' compensation lnsura/j carrier and policy number are: Insurance CollJpany Name:.,.~~~==~R,,u<,:J~==~-------------- Pollcy No. (1Q/,p l"C37. ExplratlonO.to: 4/t'if'JO □ certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to be come subject to the workers' compensation Laws of CaHfornia. WARNING: Failure to secufl! workers compensation coverap Is .,..wful, and shall subject an employer to criminal penalties and dvll fines up to $100,000.00, In addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code, Interest and attorney's fees. CONTRACTOR SIGNATURE: ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License law for the following reason: □ I, as owner of the property or my empk>yees with wages as their sole compensation, will do the work and the st,ucture is not intended or offered for sale (Sec. 7044, Business and ProfesskJns Code: The Contractor's License Law does not appty to an owner of property who builds or Improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder wiR have the burden of proving that he did not build or improve for the purpose of sale). :I I, as owner of the property, am exclusivety contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's license Law). □ I am exempt under Section ________ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes □ No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supelvise and provide the ma)or work (include name/ address/ phone/ contractors' license number): 5. I will provide some of the work, hut I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work): OWNER SIGNATURE: □AGENT DATE: _____ _ -------------------------- CONSTRUCTION LENDING AGENCY. IF ANY: ti A I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name: _____________________ lender's Address: ____________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registratio~m or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes ~o Is the applicant or future building occupant required to obtain a permit from the air pollution contra district or air quality management district? □ Yes ~o rs the facility to be constructed within 1,000 feet of the outer boundary of a Khool site? □ Yes T · · IF ANV OF THE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCaJPANCY MAY NOT BE ISSUED U APPUCANT HAS MET OR IS MEETING TIIE REQUIREMENTS Of THE OFFICE Of EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTillCT. APPLICANT CERTIFICATION: I certify that I have read the appHcation and state that the above information is correct and that the information on the plans is accurate. I aaree to comply with all City ordinances and State laws relating to building construction. I hereby authorlle representative of the 0ty of tartsllad to enter upon the above mentioned property for inspection purposes. I Al50 AGREE TO SAVE, INDEMNIFY AND KEEP HARMLfSS THE CflY OF CARLSIIAD AGAINST All UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHI~ MAY IN ANY WAY ACCRUE AGAINST SAID cnv IN CONSEQUENCE OF ll-lE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavations over S'O' deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such ~rmit or if the building or woric authorized by such permit is suspended or abandoned at any time :;~::::::G=~::~m;I6J~Code) DATE: 1$ I ?PI) q 1635 Faraday Ave Carlsbad, CA 92008 8-2 " Ph: 760-602-2719 Fax: 760-602-8558 Page 2 ol 2 Email: Building@carlsbadca.gov Rev. 06/18 PERMIT INSPECTION HISTORY REPORT (CBC2019-0426) Permit Type: BLDG-Commercial Application Date: 09/09/2019 Owner: Work Class: Tenant Improvement Issue Date: 12/18/2019 Subdivision: Status: Closed -Finaled Expiration Date: 07/13/2020 Address: IVR Number: 21588 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 01/14/2020 01/14/2020 BLDG-34 Rough Electrical 116215-2020 BLDG-Final Inspection 01/31/2020 01/31/2020 BLDG-Final Inspection January 31, 2020 Checklist Item BLDG-Building Deficiency 116214-2020 Checklist Item BLDG-Building Deficiency BLDG-Electrical Final 118115-2020 Checklist Item BLDG-Building Deficiency BLDG-Building Deficiency BLDG-Electrical Final Passed Michael Collins COMMENTS Sub feed ok Partial Pass Michael Collins COMMENTS Partial, see card. Ok to merchandise Passed Michael Collins COMMENTS Partial, see card. Ok to merchandise R P I CARLSBAD LP CARLSBAD TCT#76-18 2525 El Camino Real , 204Ksk Carlsbad, CA 92008-1206 Reinspection Complete Complete Passed Yes Reinspection Incomplete Passed Yes Yes Complete Passed Yes Yes Yes Page 1 of 1 DATE: 9/19/2019 JURISDICTION: Carlsbad PLAN CHECK#.: CBC2019-0426 ✓• EsG1I A SAFEbuilfCompany SET: I PROJECT ADDRESS: 2525 El Camino Real ste k204 PROJECT NAME: Piercing Pagoda Tenant Improvement ~ APPLICANT 'JURIS. D 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. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: ~ EsGil staff did not advise the applicant that the plan check has been completed. D EsGil staff did advise the applicant that the plan check has been completed. Person contacted: / l'W\ Telephone#: Date contacted: (by: '7•)' Email: Mail Telephone Fax In Person ~ REMARKS: Energy documents need signature prior to permit isfi'js-~ By: Jason Pasiut Enclosures: EsGil 9/9/2019 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Carlsbad CBC2019-0426 9/19/2019 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Jason Pasiut PLAN CHECK#.: CBC2019-0426 DATE: 9/19/2019 BUILDING ADDRESS: 2525 El Camino Real ste k204 BUILDING OCCUPANCY: M BUILDING AREA Valuation Reg. PORTION ( Sq. Ft.) Multiplier Mod. Tl Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb 1997 UBC Building Permit Fee 1997 UBC Plan Check Fee VALUE Type of Review: 0 Complete Review D Structural Only D RepetitiVe Fee ~-,..~I Repeats Comments: --···•-1 • - D Other D Hourly EsGII Fee 1-------11 Hr. @ * ($) 60,000 60,000 $289.51 I Sheet 1 of 1 SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE Busi9~s-~ <;ontact, \.;Oa)_,,I(, OFFICE USE ONLY Plan File# : n Icate y cir: mg e item, w et er your usmess WI use, process, or store any o t e applicant must contact the Fire Protection Agency w~h jurisdiction prior to plan submittal. Occupancy Rating: Facility's Square Footage (including proposed project): 13. Corrosives 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 2. Compressed Gases 6. Oxidizers 10. Cryogenics 3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 4. Flammable Solids 8. Unstable Reactives 12. Radioactives ~ Other Health Hazards ~one of These. ques ions Is yes, app Ican mu con a e oun o an iego Call (858) 505-6700 prior to the issuance of a building permt FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy: 1. 2. 3. YES □ □ □ (for new construction or remodeling projects) Is your business listed on the reverse side of this form? (check all that apply). Will your business dispose of Hazardous Substances or Medical Waste in any amount? Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? Will your business store or handle carcinogens/reproductive toxins in any quantity? Will your business use an existing or install an underground storage tank? Will your business store or handle Regulated Substances (CalARP)? • If the answer to any of the an Diego, CA 92123. □ CalARP Exempt Date Initials □ CalARP Required Date Initials □ CalARP Complete I 4. 5. 6. 7. 8. □ □ □ □ □ Will your business use or install a Hazardous Waste Tank System (T~le 22, Article 10)? Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or rester than 1 320 allons? California's Above round Petroleum Stora e Act . Date lnltials ~RT~· ~ ~E~ CO:JU AlR ~OL~UTI~ ~ ~JCT IAPCQ); Any YES• answer requires a stamp from APCD 10124 Old Grove Road, San iego,Y 3 Lcom ScountJa. ov ( 8). Ystamp required if 01 Yes and Q3 Yes~ Q4-Q6 No]. The following questions are intended to identify the majority of air pollution issues at the planning stage. Projects may require additional measures not identified by these questions. For comprehensive requirements contact APCD. Residences are typically exempt, except -those with more than one building+ on the property; single buildings with more than four dwelling units; townhomes; condos; mixed-commercial use; deliberate bums; residences forming part of a larger project. rexc1udes garages & small outbuildings.] YES J 1. D Will the project disturb 160 square feet or more of existing building materials? 2. D Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition. 3. D D (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance Technician? 4. D D (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification ..,.,,,_,,, may be required 1 0 working days prior to commencing asbestos removal. 5. D p Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet lwww sdapcd.org/infolfactsJpermits.pdf} for typical equipment requiring an APCD permit. 6. D D (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school bounda ent 0 8' 1301£1 Date FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION· BY: DATE: I I EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMff BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY -HMO* APCD COUNTY-HMO APCO COUNTY-HMO APCD .. *A stamp in this box mm: exempts businesses from completing or updating a Hazardous Matenals Business Plan. Other permitting requirements may still apply. HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY 6200 Avenida Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com Date: J/:o/rt _ _ Business Name: hlll,t~ f~da_, KolCJ./ Street Address:,:;k'5::2S::: & Cim,Ut.,o ,£ad Email Address: MM(ifjfJl:::o{t. · ~ )?I PLEASE CHECK HERE l;,:c;UR B~SINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) Check all below that are present at your facility: o Acid Cleaning o Assembly o Automotive Repair o Battery Manufacturing o Biofuel Manufacturing o Biotech Laboratory o Bulk Chemical Storage o CarWash o Chemical Manufacturing o Chemical Purification o Dental Offices • Dental Schools • Dental Clinics o Dry Cleaning o Electrical Component Manufacturing o Fertilizer Manufacturing o Film/X-ray Processing o Food Processing o Glass Manufacturing o Industrial Laundry o Ink Manufacturing o Laboratory o Machining/Milling o Membrane manufacturing (i.e. water filter membranes) o Metal Casting/Forming o Metal Fabrication o Metal Finishing • Electroplating • Electroless Plating • Anodizing • Coating (i.e. phosphating) • Chemical Etching/Milling • Printed Circuit Board Manufacturing o Metal Powders Forming o Nutritional Supplement/Vitamin Manufacturing o Painting/Finishing o Paint Manufacturing o Personal Care Products Manufacturing o Pesticide Manufacturing/ Packaging o Pharmaceutical Manufacturing (including precursors) o Porcelain Enameling o Power Generation o Print Shop o Research and Development o Rubber Manufacturing o Semiconductor Manufacturing o Soap/Detergent Manufacturing o Waste Treatment/Storage SIC Code(s) if known: _____ _ Date operation began/will begin: ______ _ No □ Description of operations generating wastewater (discharged to sewer, hauled or evaporated): All/ /1{) ~ Estimated volume of industrial wastewater to be discharged (gal/ day): __________________ _ List hazardous wastes generated (type/volume): __________________________ _ Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes D Date: ___ _ Page 1 of 2 ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY 6200 Avenida Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com 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. Any questions regarding exemptions should be referred to EWA Source Control staff. o Automobile Detailers o Hotels/Motels (no laundry) o Barber/Beauty Shops o Laundromats o Business/Sales Offices o Libraries o Cleaning Services o Medical Offices (no x-ray developing) o Carpet/Upholstery o Mortuaries o Childcare Facilities o Museums o Churches o Nail Salons o Community Centers o Nursing Homes o Consulting Services o Office Buildings (no process flow) o Contractors o Optical Services o Counseling Services o Pest Control Services (no pesticide repackaging for sale) o Educational Services (no auto repair/film developing) o Pet Boarding/Grooming Facilities o Financial Institutions/Services o Fitness Centers. o Gas Stations (no car wash/auto repair) o Grocery Stores (no film developing) o Residential based Businesses CERTIFICATION STATEMENT o Postal Services (no car wash/auto repair) o Public Storage Facilities Restaurants/Bars Retail/Wholesale Stores (no auto repair/film developing) Theaters (Movie/Live) I certify that the information above is true and correct to the best of my knowledge. Signatu~~ Print Name: t,A;eA Wf\.J(: Facility Contact:_,f/f.,,..'1------------Title: ______________ _ ENCINA WASTEWATER AUTHORITY 6200 AVE NIDA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com Page 2 of 2 ----·· ( Cicyof Carlsbad PURPOSE CLIMATE ACTION PLAN CONSISTENCY CHECKLIST B-50 Development Services Building Division 1635 Faraday Avenue (760) 602-2719 www.carlsbadca.gov This checklist is intended to assist building permit applicants identify which Climate Action Plan (CAP) ordinance requirements apply to their projects. The completed checklist must be included in the building permit application. It may be necessary to supplement the completed checklist with supporting materials, calculations or certifications, to demonstrate full compliance with CAP ordinance requirements. For example, projects that propose or require a performance approach to comply with energy-related measures will need to attach to this checklist separate calculations and documentation as specified by the ordinances. NOTE: The following type of permits are not required to fill out this form ❖ Patio I ❖ Decks I ❖ PME (w/o panel upgrade) I ❖ Pool "" If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required by ordinance, an explanation must be provided to the satisfaction of the Building Official. "" Details on CAP ordinance requirements are available on the city's website. "" A CAP Building Plan template (form B-55) shall be added to the title page all building plans. This template shall be completed to demonstrate project compliance with the CAP ordinances. Refer to the building application webpage and download the latest form. Appl11l•lll1•lll1n Project Name/Building ./1. ' -~ f(~ O cf Permit No.: ~ ~hgp{ BP No.: {f!>(1.Dl 1-Ql/26 PropertyAddress/APN: cf25 8,5 £t_ ~ ~ ApplicantName/Co.: ,Kf1,/JI) f(u)(_p J4bm En~ /M,, ApplicantAddress: ~ 0 (b'7\St ~-S: (}8 )8t)L/1 Contact Phone: (p/D !a5?1: (45& J Contact Email: /<aAa,(f;._ ;ahoa, ~ v Contact information of person completing this checklist (if different than above): Name: Company name/address: Contact Phone: Contact Email: Applicant Signature: ili!Ciullh~ Date: _g/...._}D~/ ) q~ B-50 Page 1 of6 Revised 08/19 City of Carlsbad Climate Action Plan Consistency Checklist Use the table below to determine which sections of the Ordinance Compliance checklist are applicable to your project. For alterations and additions to existing buildings, attach Building Permit Valuation worksheet. Building Permit Valuation (BPV) from worksheet: $ &O, o15D-' l <:onstruc:11onType D Residential D New construction D Additions and alterations: D BPV < $60,000 D BPV ~ $60,000 D Electrical service panel upgrade only D BPV ~ $200,000 ~onresidential D New construction ~ Alterations: i(<V D BPV ~ $200,000 or additions~ 1,000 square feet D BPV ~ $1,000,000 D ~ 2,000 sq. ft. new roof addition I Camplltl Secllon(t) I Nalll: Low-rise High-rise 38,4A I '"·'"· N/A N/A 1A, 4A 4A 1A,4A* 18,4A* - 1 e( 2BJ3B, 4B and 5 A high-rise residential building is 4 or more stories, including a mixed-use building in which at least 20% of its conditioned floor area is residential use All residential additions and alterations 1-2 family dwellings and townhouses with attached garages only *Multi-family dwellings only where interior finishes are removed and significant site work: and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed I./ I -,.... I""" 1", I [ .J I ) , ' < i~K/ /C.O~,- 1B,5 18,2B,5 Building alterations of~ 75% existing gross floor area 2B,5 1 B also applies if BPV ~ $200,000 - ~;;,:,r• .. _ .. "~•--.. ,., , ,· .-·-. . . -.· . . , . , . _,. I J.~ r\ :.~~ . :-., . ' \ ' ' , ' I • I ' • ~'' ~ ,. \' -.. . ' ·i-:' i1.,1-,1·,'.1 ... ~1'\ 1 .~' ' . · •. ~ ' ~ ,._ .. ,,:-~••,,,\\.f,~ •• 1~~ •j .,_,.,.,.1'~•.\•,,•i, ' ' ,, 1 ,.J~I Checklist Nam Check the appropriate boxes, e,xplail al rd apsicabta aid 8JD8l)llon llama, aid pwde ~ calculalona aid ckmnentallon • nacaaa11r. 1. Energy Efficiency Please refer to Carlsbad Municipal Code (CMC) sections 18.21.155 and 18.30.190, and the California Green Building Standards Code (CALGreen) for more information when completing this section. A. D Residential addition or altaration ~ $60,000 building permit valuation. See CMC section 18.30.190. Year Built Single-family Requirements □ Before 1978 Select one: □ Duct sealino □ Attic insulation □ Cool roof □ 1978 and later Select one: □ Lighting package □ Water heating Package □ NIA. _________ _ □ Exception: Home energy score ~ 7 (attach certification) Multi.family Requirements □ Attic insulation Select one: □ Between 1978 and 1991 □ Duct sealing □ Attic insulation □ Cool roof □ 1992 and later Select one: □ Lighting package .. B. D Nonres1dentiar new construction or altarations ~ $200,000 building permit valuation, or additions~ 1,000 square feet. Updated 8/15/2019 □ Water heating package f> 2 City of Carlsbad Climate Action Plan Consistency Checklist See CMC 18.21.166 and CALGreen Appendix A6, Division A6.2-Energy Efficiency. AS.203.1.1 Choose one: D .1 Outdoor lighting D .2 Warehouse dock seal doors D .3 Restaurant service water heating (comply with California Energy Code section 140.5, as amended) □ .4 Da0ight design PAFs □ .5 Exhaust air heat re<.overy ~A ____ _ AS.203.1.2.1 Choose one as applicable: □ .95 Energy budget □ .90 Energy budget AS.211.1 .. □ On-site renewable energy AS.211.3 .. □ Green power (if offered by local utillty provider, 50% minimum renewable sources) AS.212.1 □ Elevators and escalators \-4 NIA AS.213.1 □ Steel framing • Includes hotels/motels and high-rise residential buildings I ~NIA .. For alterations~ $1,000,000 BPV and affecting > 75% existing gross floor area, or alterations that add 2,000 square feet of new roof addition: comply with CMC 18.30.130 instead. 2. Photovoltaic Systems A. 0 Residential new construction (for low-rise residential building permit applications submitted after 1/1/20). Refer to 2019 California Energy Code section 160.1(c)14 for requirements. Notes: 1) High-rise residential buildings are subject to nonresidential photovoltaic requirement (2B below) instead. 2) If project includes installation of an electric heat pump water heater pursuant to CMC 18.30.160(B} (high-rise residential} or 18.30.170(9) (low-rise residential), increase system size by .3kWdc if PV offset option is selected. Floor Plan ID (use additional CFA #d.u. calculated kVVdc* sheets if necessary) Total System Size: kVVdc = (CFAx.572) / 1,000 + (1.15 x#d.u.) *Formula calculation where CFA = conditional floor area, #du= number of dwellings per plan type If proposed system size is less than calculated size, please explain. Exception □ □ □ □ kVVdc B. D Nonresidential new construction or alterations ~1,000,000 BPV and affecting i!:76% existing floor area, or addition that increases roof area by i!:2,000 square feet. Please refer to CMC section 18.30.130 when completing th ·s section. Note: This section also applies to high-rise residential and hoteVmotel buildings. Choose one of the following methods: 0 Gross Floor Area (GFA) Method GFA: _______ Min. System Size: __ kWdc D If< 10,000s.f. Enter: 5 kWdc D If~ 1 O,OOOs.f. calculate: 15 kWdc x (GFA/10,000) ** **Round building size factor to nearest tenth, and round system size to nearest whole number. D Time-Dependent Valuation Method Updated 8/15/2019 3 City of Carlsbad Climate Action Plan Consistency Checklist Annual TDV Energy use:*... ______ x .80= Min. system size: _____ kWdc -Attach calculation documentation using modeling software approved by the California Energy Commission. 3. Water Heating A D Residential and hotel/motel new construction 8. Please refer to CMC sections 18.30.160 and 18.30.170 when completing this section. □ For systems serving individual dwelling units choose one: □ Heat pump water heater AND Compact hot water distribution AND Drain water heat recovery (low-rise residential only) □ Heat pump water heater AND PV system .3 kWdc larger than required in CMC section 18.30.130 (high rise residential hotel/motel) or CA Energy Code section 150.1 (c) 14 (low-rise residential) □ Heat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higher □ Solar water heating system that is either .60 solar savings fraction or 40 s.f. solar collectors □ Exception: □ For systems serving multiple dwelling units, install a central water-heating system with all of the following: □ Gas or propane water heating system □ Recirculation system per CMC 18.30.150(8) (high-rise residential, hotel/motel) or CMC 18.30.170(8) (low- rise residential) □ Solar water heating system that is either: □ .20 solar savings fraction □ .15 solar savings fraction, plus drain water heat recovery □ Exception: onresidential new construction lease refer to Carlsbad Ordinance CMC section 18.30.160 when completing this section. Water heating system derives at least 40% of its energy from one of the following (attach documentation): □ Solar-thermal □ Photovoltaics □ Recovered energy □ Water heating system is (choose one): □ Heat pump water heater □ Electric resistance water heater(s) Solar water heating system with .40 solar savings fraction ception: Updated 8/15/2019 4 City of Carlsbad Climate Action Plan Consistency Checklist 4. Electric Vehicle Charging A O Residential New construction and major alterations* Please refer to Carlsbad Ordinance CMC section 18.21.140 when completing this section. □ One and two-family residential dwelling or townhouse with attached garage: □ One EVSE Ready parking space required □ Exception : □ Multi-family residential· □ Exception · Total Parking Spaces EVSESoaces Proposed Caoable I Readv I I I calculations: Total EVSE spaces= .10 x Total parking (rounded up to nearest whole number) EVSE Installed = Total EVSE Spaces x .50 (rounded up to nearest whole number) EVSE other= Total EVSE spaces-EVSE Installed (EVSE other may be ·capable," "Ready" or "Installed., Installed l Total I *Major alterations are: (1) for one and two-family dwellings and townhouses with attached garages, alterations have a building permit valuation 2: $60,000 or include an electrical service panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), alterations have a building permit valuation 2: $200,000, interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed. B. D Nonresidential new construction (includes ho181s/motels) Total Parking Spaces Proposed Ca able Installed Total Calculation-Refer to the table below· Total Number of Parking Spaces provided Number of required EV So.aces Number of reauired EVSE Installed Spaces D 0-9 1 1 D 10-25 2 1 D 26-50 4 2 D 51-75 6 3 D 76-100 9 5 D 101-150 12 6 □ 151-200 17 9 D 201 and over 10 oercent of total 50 oercent of Reauired EV Soaces Updated 8/15/2019 5 City of Carlsbad Climate Action Plan Consistency Checklist 6. D Transportation Demand Management (TOM}: Nonresidential ONLY An approved Transportation Demand Management (TOM) Plan is required for all nonresidential projects that meet a threshold of employee-generated ADT. City staff will use the table below based on your submitted plans to determine whether or nor your permrt requires a TOM plan. If TOM is applicable to your permit, staff will contact the applicant to develop a srte-specific TOM plan based on the permrt details. ~~ f1' Acknowledgment: Office (all)2 20 Restaurant 11 Retaib 8 Industrial 4 Manufacturing 4 Warehousin 4 1 Unless otherwise noted, rates estimated from /TE Trip Generation Manual, 1()1hEdition 13 11 4.5 3.5 3 1 2 For all office uses, use SAN DAG rate of 20 ADT/1,000 sf to calculate employee ADT 3 Retail uses include shopping center, variety store, supermarket, gyms, pharmacy, etc. Other commercial uses may be subject to special consideration Sample calculations: Office: 20,450 sf 1. 20,450 sf/ 1000 x 20 = 409 Employee ADT Retail: 9,334 sf 1. First 1,000 sf= 8 ADT 2. 9,334 sf -1,000 sf= 8,334 sf 3. 8,334 sf/ 1,000 x 4.5 + 8 = 46 Em lo ee ADT I acknowledge that the plans submitted may be subject to the City of Ca~sbad's Transportation Demand Management Ordinance. I agree to be contacted should my permrt require a TD n and understand t a approved,JpM plan is a condrtion of permrt issuance. Date: zi 30 Ii 4 I Person other than Applicant to be contacted for TDM compliance (if applicable): Name (Printed): _________________ _ Phone Number: ____ _ Email Address: __________________ _ Updated 8/15/2019 6 Sct.roeder Construction & Development Inc. 2691 Slale Sheet Calsbad, Ca. 92008 December 17, 2019 To: City oj Carlsbad Building Department, C L DEC 1 7 2019 Alice Florez, of Schroeder Construction & Development Inc., is authorized on behalf of our company to 'pull' permits for the Piercing Pagoda project at Shoppes of Carlsbad Mall, located at 2525 El Camino Real, Carlsbad, CA. Our State Fund Worker's Comp policy is on file under California Contractors License #494954. If you have any questions, please don't hesitate to call. Sincerely, cd-~.e Thomas Schroeder Schroeder Construction & Development Inc. 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