HomeMy WebLinkAbout2525 El Camino Real; 204; CBC2019-0515; PermitPrint Date: 12/11/2019
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Unlts:
Bedrooms:
Project Title:
2525 El Camino Real, 204
BLDG-Commercial
1563020900
$4,651.00
Commercial Permit
Work Class: Tenant Improvement
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orlg. Plan Check#:
Plan Check#:
Ccityof
Carlsbad
Permit No: CBC2019-0515
Status:
Applied:
Issued:
Permit
Fina led:
Inspector:
Final
Closed • Finaled
10/30/2019
11/14/2019
Inspection: 12/11/2019 4:57 :20Pr
Description: THE SHOPPES: 100 SF T.I. TO CREATE A DEMISING WALL IN SUITE 202 // SUITE 202 WILL BE 3,411 SF AND NEW SUITE
204 WILL BE 1,411 SF
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
Owner:
R P I CARLSBAD LP
1114 Avenue Of The Americas, Floor 45
New York, NY 10036-7700
214-660-5232 x215232
ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL
PLUMBING BLDG COMMERCIAL NEW/ADDITION/REMODEL
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-COMMERCIAL
Total Fees: $212.34 Total Payments To Date: $212.34 Balance Due: $0.00
$70.61
$49.43
$41.00
$49.00
$1.00
$1.30
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
'
{'cicyof
Carlsbad
COMMERCIAL
BUILDING PERMIT
APPLICATION
B-2
JobAddress '2"bZS'° t;.2. ?te({tYQ ,&A1. Suite: 2JJ1/
Plan Check ~J_Qf'I -~15
Est. Value J~,w5L,@
PC De posit -------.---,,...7r---,,---
Da t e -' 6---+-"{?---=-+-'-{):f 1---
APN:J/7 ft)) V{
Tenant Name: _ _._7B ........ l>=---------------CT/Project#: _________ Lot#: ___ _
Occupancy: M Construction Type: Air Conditioning: yes /<!JgJ
BRIEF DESCRIPTION OF WORK: 7l{A11,if Lt,,t,1)LeJ2/J l
D Addition/New: ___________ New SF and Use, ___________ New SF and Use,
____ Deck SF, Patio Cover SF (not including flatwork)
D Tenant Improvement:
(!¥ti) /0-0 SF, Existing Use -~f1~---Proposed Use _ .... T:f---'-----
-----SF, Existing Use Proposed Use ______ _
□ 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) PROPERTY OWNER
Name: C>@/21?& Afr/11/~ Name: BRvoffinn
Address: 3:.,,,.lil:Ji'= hd'~ 1cl;L_ Address: ZJi?6 !;:c R.. ·-J?E /57
City: Lfl72tJPdP State: LA: Zip: ~~ City: ~5/JAV State: Gl::Zip: 92~o r
Phone: __ ....,/4,""'"'CJ=-+-1-....,.½'-"'~'-2-c...___...;,(/f--=-2 J~Y---Phone: 742 tJ t/4''/ f2 t 2tJ
Email: p.Mtfc/ttltTjLy' e. vA1fZtrJ , Cd~mail: s'ea:,v, .~/PIJ @.... 8/?PPY-flu-t /J ,P~<"t[l~"' c.o/H / I
DESIGN PROFESSIONAL
Name: .fM]2-/2frA.t &-1, tc lf'.1,S ¥
A~dress: ti
City: _____ l~_State: ___ Zip: ___ _
CONTRACTOR)lUSINESS
Name: ___ f-; f'r.e..t r-u... Lc:.i n,s ,-C-u.-..1 > -r _ zt w ""1Zr>4 ,.
Address: j 4 o o A-u.. A-.r IA' ,... .......... ,
City: L,...,._,.._ ~> ¢, ,s. o State: ~~Zip: '7 2.._ ou ~
Phone: ________________ _ Phone: 7 <, v L "t v ';! f J o
Email: __________________ Email: ,.;;r;-e r'tk-c,~ ,~ .:-c.>/bk L.....:. ... Pc,.<t.'J:'T"G-,!'
Architect State License: C-30 '?l 7 State License: ~ 2S: 2 2 ?: Bus. License: .,. e:... 0 -
' /374,JU.., / 2.~4~'-t '2.
(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 7031.5 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
B-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 one of the following declarations:
□ I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued.
D I 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.
My workers' compensation insurance carrier and policy number are: Insurance Company Name: _____________________ _
Policy No. _______________ Expiration Date: __________ _
Vr'ertificate 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
'ihbJ:ct to the workers' compensation Laws of California. W RNING: Failure to secure workers compensation coverage Is unlawful, and shall subject an employer to
criminal penalties and civil fines up to $100,000.00, in addi on the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code,
interest and attorney's fees.
CONTRACTOR SIGNATURE: ------41-1------------□AGENT DATE:-"-"' r_(_r ....... r-+-/.,_t 1.__
( OPTION B ): OWNER•BUILDER DECLARATION:
I hereby affirm that Jam exempt from Contractor's License Law for the following reason:
□ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec.
7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work
himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
□ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
□ I am exempt under Section -----~~-Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes D 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, supervise and provide the major work (include name/ address/ phone/
contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work):
OWNER SIGNATURE: □AGENT DATE: _____ _ --------------------------
CONSTRUCTION LENDING AGENCY, IF ANY:
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 registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or .iir quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
APPLICANT CERTIFICATION:
I certify that I have re.id the application and state that the above information is correct and that the information on the pl.ins is .iccurate. I agree to comply with all
City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I Al50 AGREE TO SAVE, INDEMNIFY AND KEEP
HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF
THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building 1cial 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 dav. r the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time
after the work is commenced for a period of 1 Section 106.4.4 Uniform Building Code).
APPLICANT SIGNAT-
8-2
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
PERMIT INSPECTION HISTORY REPORT (CBC2019-0515)
Permit Type: BLDG-Commercial Application Date: 10/30/2019 Owner: R P I CARLSBAD LP
Work Class: Tenant Improvement Issue Date: 11/14/2019 Subdivision: CARLSBAD TCT#76-18
Status: Closed -Finaled Expiration Date: 06/03/2020 Address: 2525 El Camino Real • 204
Carlsbad, CA 92008-1208 lVR Number: 22807
Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date
12/06/2019 12/06/2019 BLDG-84 Rough 113053-2019 Passed Michael Colllns Complete
Combo(14,24,34,44)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-14 Wall frame only, see card for minor pickup. Yes
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Roug h-Topout Water supply with shut off lo suite Yes
BLDG-34 Rough Electrical Conduit only to suite Yes
12/10/2019 12/10/2019 BLDG-Final 113249-2019 Partial Pass Michael Collins Reinspectlon Incomplete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Pick up work completed. No plans or Yes
contractor on site
12/11/2019 12/11/2019 BLDG-Flnal 113612-2019 Passed Michael Collins Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Pick up work completed. No plans or Yes
contractor on site
BLDG-Building Deficiency Wall frame only, no wall covering. Yes
December11,2019 Page 1 of 1
DATE: 11/8/2019
JURISDICTION: Carlsbad
PLAN CHECK#.: CBC2019-0515
✓. EsG1I
A SAFEbu1lt Compar,y
SET: I
PROJECT ADDRESS: 2525 El Camino Real #204
PROJECT NAME: Landlord Tenant Improvement
□ APPLICANT
□ JURIS.
~ The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
D The plans transmitted herewith will substantially comply with the jurisdiction's codes
when minor deficiencies identified below are resolved and checked by building department staff.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
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: Telephone#:
Date contacted(! 1-zr[C( (b~ ) Email:
Mail Telephone
0 REMARKS:
By: Jason Paslut
EsGil
Fax In Person
Enclosures:
11/4/2019
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858} 560-1468 ♦ Fax (858) 560-1576
... ,..,______,_,.,.. ____________ _
Carlsbad CBC2019-0515
11/8/2019
[DO NOT PAY -THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad
PREPARED BY: Jason Pasiut
PLAN CHECK#.: CBC2019-0515
DATE: 11/8/2019
BUILDING ADDRESS: 2525 El Camino Real #204
BUILDING OCCUPANCY: M
BUILDING AREA Valuation Reg.
PORTION ( Sq. Ft.) Multiplier Mod.
Tl
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code cb By Ordinance
I 1997 UBC eutlding Permit Fee L:"".]
I 1997 UBC Plan Check Fee I l l'."':.:
VALUE
Type of Review: ~ Complete Review r Structural Only
r Repetitive Fee 'II m Repeats
,.
Comments:
r Other
r Hourly
EsGil Fee ,. i-------r @ •
($)
4,651
4,651
7
7
45.66 ./
/
Sheet 1 of 1
Business Name
SAN DIEGO REGIONAL
HAZARDOUS MATERIALS
QUESTIONNAIRE
Business Contact
City
~.,.. ·-...... .,..,_ .. _ ....... .,..._,. ,..,_, -... ,, ___ _ OFFICE USE ONLY
RECORD ID#--~~--------------
PLAN CHECK# C \5 C 2-o 19 -OS /6~
BP DATE I l / :f / I j
State
Telephone#
Zip Code
'24::,1;;:::,.
Zip Code
Telephone#
APN#
Plan File#
, L()f1"1 ~p
The followi questions represent the facility's a vities, N the specific project description.
PART I: FIRE DEPARTMENT-HAZARDOUS MATERIALS DIVISION: OCCUPANCY CL SSIFICATION: (not required for projects within the City of San
Diego): Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are circled,
applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal.
Occupancy Rating: Facility's Square Footage (including proposed project):
1 . Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives
2. Compressed Gases
3. Flammable/Combustible Liquids
4. Flammable Solids
6. Oxidizers 1 o. Cryogenics
7. Pyrophorics 11. Highly Toxic or Toxic Materials
8. Unstable Reactives 12. Radioactives
1__4-.,__Other Health Hazards
~one of These.
PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEAL TH -HAZARDOUS MATERIALS DIVISION (HMO): If the answer to any of the
questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 110, San Diego, CA 92123.
Call (858) 505-6700 prior to the issuance of a building permit.
FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy:
1. D Is your business listed on the reverse side of this fonn? (check all that apply).
YES ; (for new construction or remodeling projects)
2. D Will your business dispose of Hazardous Substances or Medical Waste in any amount?
3. 0 Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500
4.
5.
6.
7.
8.
□ □ □ □ □
pounds and/or 200 cubic feet? i 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)?
Will your business use or install a Hazardous Waste Tank System (Title 22, Article 1 0)?
Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to
or reater than 1,320 allons? California's Above round Petroleum Stora e Act.
□ CalARP Exempt
I
Date Initials
□ CalARP Required
I
Date Initials
0 CalARP Complete
I
Date Initials
PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCDl: Any YES* answer requires a stamp from APCD 10124 Old Grove Road, San
Diego, CA 92131 apcdcomp@sdcounty.ca.qov (858) 586-2650). [*No stamp required if 01 Yes and 03 Yes and 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 burns; residences forming part of a larger project. [•Excludes garages & small outbuildings.]
1. Will the project disturb 160 square feet or more of existing building materials? Y~ES i 2. Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition.
3. (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance
4.
5.
6.
□
□
□
Technician?
[2l (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification
/ may be required 10 working days prior to commencing asbestos removal.
~ Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet
(www.sdapcd.org/info/facts/permits.pdf) for typical equipment requiring an APCD permit. )1 (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school
bounda
Briefly describe proposed project:
,V, -rcor /' :J:'
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: ________________________________ _
BY· DATE· I I
EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY-HMO* APCO COUNTY-HMO APCO COUNTY-HMO APCD
. . *A stamp in this box only exempts busrnesses from completrng or updating a Hazardous Materials Business Plan. Other perm1ttmg requirements may still apply .
HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division
LIST OF BUSINESSES WHICH REQUIRE REVIEW AND APPROVAL FROM THE COUNTY OF SAN DIEGO
DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION
Check all that apply:
AUTOMOTIVE
D Battery Manufacturing/Recycling
D Boat Yard
D Car Wash
D Dealership Maintenance/Painting
D Machine Shop
D Painting
D Radiator Shop
D Rental Yard Equipment
D Repair/Preventive Maintenance
D Spray Booth
D Transportation Services
D Wrecking/Recycling
CHEMICAL HANDLING
D Agricultural supplier/distributor
D Chemical Manufacturer
D Chemical Supplier/Distributor
D Coatings/Adhesive
D Compressed Gas Supplier/Distributor
D Dry Cleaning
D Fiberglass/Resin Application
D Gas Station
D Industrial Laundry
D Laboratory
D Laboratory Supplier/Distributor
□ Oil and Fuel Bulk Supply
D Pesticide Operator/Distributor
CHEMICAL HANDLING
D Photographic Processing
D Pool Supplies/Maintenance
D Printing/Blue Printing
D Road Coatings
D Swimming Pool
D Toxic Gas Handler
D Toxic Gas Manufacturer
METAL WORKING
D Anodizing
0 Chemical Milling/Etching
D Finish-Coating/Painting
D Flame Spraying
D Foundry
D Machine Shop-Drilling/Lathes/Mills
D Metal Plating
D Metal Prepping/Chemical Coating
D Precious Metal Recovery
D Sand Blasting/Grinding
D Steel Fabricator
D Wrought Iron Manufacturing
AEROSPACE
D Aerospace Industry
D Aircraft Maintenance
D Aircraft Manufacturing
OTHERS AND MISCELLANEOUS
D Asphalt Plant
D Biotechnology/Research
D Chiropractic Office
D Co-Generation Plant
D Dental Clinic/Office
D Dialysis Center
D Emergency Generator
D Frozen Food Processing Facility
D Hazardous Waste Hauler
D Hospital/Convalescent Home
D Laboratory/Biological Lab
□ Medical Clinic/Office
D Nitrous Oxide (NO,) Control System
D Pharmaceuticals
0 Public Utility
D Refrigeration System
D Rock Quarry
D Ship Repair/Construction
D Telecommunications Cell Site
D Veterinary Clinic/Hospital
D Wood/Furniture Manufacturing/Refinishing
ELECTRONICS
D Electronic Assembly/Sub-Assembly
D Electronic Components Manufacturing
D Printed Circuit Board Manufacturing
NOTE: THE ABOVE LIST INCLUDES BUSINESSES, WHICH TYPICALLY USE, STORE, HANDLE, AND DISPOSE OF HAZARDOUS SUBSTANCES.
ANY BUSINESS NOT INCLUDED ON THIS LIST, WHICH HANDLES, USES OR DISPOSES OF HAZARDOUS SUBSTANCES MAY STILL REQUIRE
HAZARDOUS MATERIALS DIVISION (HMO) REVIEW OF BUSINESS PLANS. FOR MORE INFORMATION CALL (858) 505-6880.
LIST OF AIR POLLUTION CONTROL DISTRICT PERMIT CATEGORIES
Businesses, which include any of the following operations or equipment, will require clearance from the Air Pollution Control District.
CHEMICAL
47 -Organic Gas Sterilizers
32 -Acid Chemical Milling
33 -Can & Coil Manufacturing
COMBUSTION
34 -Piston Internal -Combustion Engines
13 -Boilers & Heaters ( 1 million BTU/hr or larger)
14-Incinerators & Crematories
15 -Burn Out Ovens
ROCK AND MINERAL
04 -Hot Asphalt Batch Plants
05 -Rock Drills
06 -Screening Operations
07 -Sand Rock & Aggregate Plants
•
44 -Evaporators, Dryers & Stills Processing
Organic Materials 16 -Core Ovens 08 -Concrete Batch, CTB, Concrete Mixers, Mixers
24-Dry Chemical Mixing & Detergent Spray
Towers
35 -Bulk Dry Chemicals Storage
55 -Chrome Electroplating Tanks
COATINGS & ORGANIC SOLVENTS
27 -Coating & Painting
37 -Plasma Arc & Ceramic Deposition Spray
Booths
38 -Paint, Stain & Ink Mfg
27-Printing
27 -Polyester Resin/Fiberglass Operations
METALS
18 -Metal Melting Devices
19 -Oil Quenching & Salt Baths
32 -Hot Dip Galvanizing
39 -Precious Metals Refining
ORGANIC COMPOUND MARKETING
(GASOLINE, ETC)
25 -Gasoline & Alcohol Bulk Plants & Terminals
25 -Intermediate Refuelers
26 -Gasoline & Alcohol Fuel Dispensing
20 -Gas Turbines, and Turbine Test Cells & Stands
48 -Landfill and/or Digester Gas Flares
ELECTRONICS
29 -Automated Soldering
42 -Electronic Component Mfg
FOOD
12 -Fish Canneries
12 -Smoke Houses
50 -Coffee Roasters
35 -Bulk Flour & Powered Sugar Storage
SOLVENT USE
28 -Vapor & Cold Degreasing
30-Solvent & Extract Driers
31 -Dry Cleaning
&Silos
10 -Brick Manufacturing
OTHER
01 -Abrasive Blasting Equipment
03 -Asphalt Roofing Kettles & Tankers
46 -Reverse Osmosis Membrane Mfg
51 -Aqueous Waste Neutralization
11 -Tire Buffers
17 -Brake Debonders
23 -Bulk Grain & Dry Chemical Transfer & Storage
45 -Rubber Mixers
21 -Waste Disposal & Reclamation Units
36 -Grinding Booths & Rooms
40 -Asphalt Pavement Heaters
43 -Ceramic Slip Casting
41 -Perlite Processing
40-Cooling Towers-Registration Only
91 -Fumigation Operations
56 -WWTP (1 million gal/day or larger) & Pump
Station
NOTE: OTHER EQUIPMENT NOT LISTED HERE THAT IS CAPABLE OF EMITTING AIR CONTAMINANTS MAY REQUIRE AN AIR POLLUTION
CONTROL DISTRICT PERMIT. IF THERE ARE ANY QUESTIONS, CONTACT THE AIR POLLUTION CONTROL DISTRICT AT (85B) 586-2600.
HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division
•
C cicyof
Carlsbad
PURPOSE
CLIMATE ACTION PLAN
CONSISTENCY CHECKLIST
8-50
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
A If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required by ordinance,
an explanation must be provided to the satisfaction of the Building Official.
A Details on CAP ordinance requirements are available on the city's website.
A 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.
.1 ~-l .. ~ ... 1,~ .. l~,, •i• ~ ! ..... "':__.•· -=-'~ --~ ··:· ;'~---· ·• : ~:• .• ·,--• .. .,_ ... ,. . ,. --:--, ';-~--·_,.:.. ·:. :-. • . ~ .-... -~ Im~~• ,,,a,._·,r ,c '•-,,,, -• ··1 ,-,.,_. ' '•,,; 'I •. ~•-> •r• =,,.-,-,.,,,,,ii,-;,}-,_. ... ~. ~• -,,v• " · • 11' -,•~ • I ' • , • • " , • '" .,. I ••f'I
'•-~· ·-~-~·.,,.=., :,·_, .... ! .. ,:,'-'I-.".;,, .. _ .... "\,,, •. ',~-.... -__ ',.. --. --~ : •• ~
Project Name/Building
Permit No.:
Property Address/APN:
Applicant Name/Co.:
Applicant Address:
Contact Phone:
___________ BPNo.: c~c:2-01<?(-0~IS-
Contact information of person completing this checklist (if different than above):
Name:
Company
name/address:
1
Applicant Signatu~
B-50
Contact Phone:
Contact Email:
Date: /0 .-_?o -/f
Page 1 of 6 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: $ -
Construction Type
D Residential
□ New construction
□ Additions and ~~ns: <
□ BPV < $60,000
□ BPV;;:: $60,000
□ Electrical service panel upgrade only
□ BPV;;:: $200,000
D Nonresidential
□ New construction
□ Alterations: < ~t..
□ BPV;;:: $200,000 or additions ;;:: 1,000
square feet
□ BPV;;:: $1,000,000
□ ;;:: 2,000 sq. ft. new roof addition
Checkllat Item
Col!lplett Sedlon(s) NotM:
A high-rise residential building is 4 or more stories, including a
Low-rise High-rise mixed-use building in which at least 20% of its conditioned floor
area is residential use
2A, 3A, 1B, 2B,
4A 3B, 4A
N/A N/A All residential additions and alterations
1A, 4A 4A 1-2 family dwellings and townhouses with attached garages
only
*Multi-family dwellings only where interior finishes are removed
1A, 4A* 1B, 4A* and significant site work and upgrades to structural and
mechanical, electrical, and/or plumbing systems are proposed
1 B, 2B, 3B, 4B and Ji
.A//4-
/r
1B, 5
1B, 2B, 5 Building alterations of;;:: 75% existing gross floor area
2B,5 1 B also applies if BPV;;:: $200,000
Check the t4)pl0priate boxes, eicplain al not apsic:able and exception lems. and pRMde suppating caballons ald docunentml • 118C81Wi·
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 (CAL Green) for
more information when completing this section.
A D Residential addition or alteration ;:: $60,000 building pennit valuation.
See CMC section 18.30.190.
Year Built Single-family Requirements
□ Before 1978 Select one:
□ Duct sealing □ Attic insulation □ Cool roof
□ 1978 and later Select one:
□ Lighting package □ Water heating Package
□ Between 1978 and 1991
□ 1992 and later
□ NIA _________ _
□ Exception: Home energy score ~ 7
(attach certification)
Multi-family Requirements
□ Attic insulation
Select one:
□ Duct sealing □ Attic insulation □ Cool roof
Select one:
□ Lighting package □ Water heating package
B. D Nonresidential* new construction or alterations;:: $200,000 building pennit valuation,
or additions;:: 1,000 square feel □ NIA
Updated 8/15/2019
..
2
• City of Carlsbad Climate Action Plan Consistency Checklist
See CMC 18.21.155 and CALGreen Appendix AS, Division AS.2-Energy Efficiency.
A5.203.1.1 Choose one: □ .1 Outdoor lighting □ .2 Warehouse dock seal doors
□ .3 Restaurant service water heating (comply with California Energy Code section 140.5, as amended) □ N/A _________ _
□ .4 Daylight design PAFs □ .5 Exhaust air heat recovery
A5.203.1.2.1
Choose one as applicable: □ .95 Energy budget □ .90 Energy budget □ N/A
A5.211.1**
□ On-site renewable energy □ N/A
A5.211.3**
□ Green power (if offered by local utility provider, 50% minimum renewable sources) □ N/A
A5.212.1
□ Elevators and escalators □ N/A
A5.213.1
□ Steel framing □ N/A
* Includes hotels/motels and high-rise residential buildings
** 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: comp~
with CMC 18.30.130 instead.
2. Photovoltaic Systems
A. D Residential new construction (for low-rise residential building permit applications submitted after 1/1/20). Refer to 2019 California
Energy Code section 150.1(c)14 for requirements. Notes: 1) High-rise residential buildings are subjectto nonresidential photovoltaic
requirement (28 below) instead. 2) If project includes installation of an electric heat pump water heater pursuant to CMC 18.30.150(8)
(high-rise residential) or 18.30.170(8) (low-rise residential), increase system size by .3kWdc if PV offset option is selected.
Floor Plan ID (use additional CFA #d.u. Calculated kWdc*
sheets if necessary)
Total System Size:
kWdc = (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
□
□
□
□
kWdc
B. D Nonresidential new construction or alterations ,!;$1,000,000 BPV and affecting ,!;75% existing floor area, or addition that increases roof
area by ,!;2,000 square feet Please refer to CMC section 18.30.130 when completing this section. Note: This section also applies to
high-rise residential and hotel/motel buildings.
Choose one of the following methods:
D Gross Floor Area (GFA) Method
GFA:
□If < 10,000s.f. Enter: 5 kWdc
Min. System Size:
□ If<! 1 O,OOOs.f. calculate: 15 kWdc x (GFA/10,000) **
___ kWdc
**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
Please refer to CMC sections 18.30.150 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:
B. D Nonresidential new construction
Please refer to Carlsbad Ordinance CMC section 18.30.150 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
□ Exception:
Updated 8/15/2019 4
City of Carlsbad Climate Action Plan Consistency Checklist
4. Electric Vehicle Charging
A. D 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:
D One EVSE Ready parking space required □ Exception :
□ Multi-family residential· □ Exception ·
Total Parking Spaces EVSE Spaces
Proposed Capable I Ready Installed
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.")
T Total
I
*Major alterations are: (1) for one and two-family dwellings and townhouses with attached garages, alterations have a building permit valuation <! $60,000
or include an electrical service panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), alterations have a building permit
valuation <! $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 hotels/motels) □ Exception ·
Total Parking Spaces EVSE Spaces
Proposed Caoable I Ready I Installed I Total
I I I
Calculation: Refer to the table below:
Total Number of Parkinq Spaces provided Number of required EV Spaces Number of required EVSE Installed Spaces
□ 0-9 1 1
□ 10-25 2 1
□ 26-50 4 2
□ 51-75 6 3
□ 76-100 9 5
□ 101-150 12 6
□ 151-200 17 9
□ 201 and over 10 percent of total 50 oercent of Required EV Spaces
Updated 8/ 15/20 I 9 5
City of Carlsbad Climate Action Plan Consistency Checklist
5. D Transportation Demand Management (TDM): 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 permit requires a TOM plan. If TOM is applicable to your
permit, staff will contact the applicant to develop a site-specific TOM plan based on the permit details.
Acknowledgment:
Employee ADT Estimation for Various Commercial Uses
Emp ADTfor
first 1,000 s.f.
EmpADTI
1000 s.f.1
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 ()th Edition
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 ay be subject to the City of Carlsbad's Transportation Demand Management Ordinance. I agree to be contacted should
rstand that an approved TOM plan is a condition of permit issuance.
Date: /o -?e1---l f
licant to be contacted for TOM compliance (if applicable):
Name (Printed): __________________ _ Phone Number: ____ _
Email Address: __________________ _
Updated 8/15/2019 6