HomeMy WebLinkAbout2540 EL CAMINO REAL; B; CB152392; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-09-2015 Commercial/Industrial Permit Permit No: CB152392
Building Inspection Request Line (760) 602-2725
Job Address: 2540 EL CAMINO REAL CBADSt: B
Permit Type: TI Sub Type: COMM Status: ISSUED
Parcel No: 1610304800 Lot #: 0 Applied: 07/28/2015
Valuation: $76,243.00 Construction Type: 5B Entered By: LSM
Occupancy Group: Reference # Plan Approved': 09/09/2015
Issued: 09/09/2015
Inspect Area
Plan Check #:
Project Title: DAVID STEMLEY= INCORPORATE
1,760 SF SUITE C INTO SUITE B TO INCLUDE REMOVAL OF
INTERIOR DEMISING WALLH NEW PARTITIONS, P/M/E-
Applicant: Owner:
LAUREN D'AGOSTINI AZALEA INC <LF> A A E PACIFIC PARK ASSCS L L C
C/O HUGHES INVESTMENTS -MANAGER
2272 FIRST AV P O BOX 8100
SAN DIEGO CA 92101 NEWPORT BEACH CA 92658
619-744-5884
Building Permit
$525.17
Meter Size
Add'I Building Permit Fee
$0.00
Add'I Recl. Water Con. -Fee
$0.00
Plan Check
$367.62
Meter Fee
$0.00
Add'I'Building Permit Fee
$0.00
SDCWA Fee
$0.00
Plan Check Discount
$0.00
CFD Payoff Fee
$0.00
Strong Motion'Fee
$21.35
PFF (3105540)
$0.00
Park Fee
$0.00
PFF (4305540)
$0.00
LFM Fee
$0.00
License Tax (31041-93)
$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
$0.00
Add'I Renewal Fee
$0.00
ELECTRICAL TOTAL
$46.00
Other Building Fee
$0.00
MECHANICAL TOTAL
$0.00
Pot. Water Con. Fee
$0.00
Master Drainage Fee
$0.00
Meter Size
Sewer Fee
$0.00
Add'I Pot. Water Con. Fee
$0.00
Redev Parking Fee
$0.00
Red. Water Con. Fee
$0.00
Additional Fees
$0.00
Green Bldg Stands (SB.1473) Fee $4.00
HMP Fee
??
Fire Expedidted Plan Review
$0.00
Green Bldg Standards Plan Chk
??
TOTAL PERMIT FEES
$964.14
Total Fees: $964.14
Total Payments To Date:
$964.14 Balance Due:
$0.00
FINAL AP ROYAL
Inspector:
Date: << Z''�5� Clearance:
NanCE Pleasetalcs CEthatappuvdcfyourprojectirxludesthe"inpositicrf' fees,deda#jas,reservations,orotterexactionsNyeaftercdledivdy
referred to as "teeslexactions." You have 90 days from the date this pern it vas issued to protest inposition of these fees/exactions. If you protest them you mst
fdiwvthe protest procedures set forth in Gmerrrrent Code Section fflWa), and file the protest and any other required Irfarrslien with the aty VwW for
pDoessirig in accadanee Wth Cartsbad M.xidpai Code Section 3.32030. Failure to tirrelyfdlowthat prooed<re will bar any subsaW legal action to attack,
review, set aside, void, or mU their inposition.
You are hereby RRr ER NOTI RED that your right to protest the spedfied fees(000tic s DOES NOT APPLY to wafer and saner correction fees and capadty
dvrges, nor plaming, acing, grading or other sin ilar applicafion prooessirg or service fees in omiedion Wth this paject. NCR DOES ITAPPLY to any
fees/exactions of v�hich)o have previously been dven a NOTICE sirrilar to this or as to W ich the statute of limitations has orejudy off-oWse red.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: E313LANNING LIENGINEERING OBUILDING AFIRE [:]HEALTH E]HAZMAT/APCD
�� Building Permit Application
Cj r of 1635 Faraday Ave., Carlsbad, CA 92008
Carlsbad Ph.email6bui ding@ca Isbad a.yov558
www.carisbadca.gov
Plan Check No. C6 i s-as 9, 2
Est. Value 7 a y
plan Ck. Deposit 31a7. (O�
Date � a—S� J
SWPPP
JOB ADDRESS
Z��o �MtNO RL
SUITE#/SPACE#/UNIT#
Slk) ►T
APN
-
CT/PROJECT #
LOT #
PHASE #
# OF UNITS
# BEDROOMS
# BATHROOMS
-pa,�ibS1`�1�lUiG
TENANTt,BUSINEESSS NAMES `
v•�•
CONSTR. TYPE
OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(S)
�oN►N�� �N'(�0�- I GZi-
ot >� ems_ ,y PL�c►.�,�P
EXISTING USE
PROPOSED USE
GARAGE (SF)
PATIOS (SF)
DECKS (SF)
FIREPLACE
YES❑ R NOD
AIR CONDITIONING
YES NO ❑
❑
IFIRESPRINKLERS
❑� YESNO
APPUCANT Primary Contact AME ��A�'�
PROPERTY OWNER NAME, ` ' �� / S
ADDRESS zz-m
ADDRESSvO
CITY STATE � ZIP w^ (O
l
CITY
N��V STATE � ZIP
f!
f�r,r•+—��
PHONEif . � . ` /� w
((//1�1` ( T�r
FAX
PHONE A
FAX
� � •
EMAIL OL
EMAIL
.
DESIGN PROFESSIONALr .{' (.y -L' ` .
CONTRACTOR BUS. NAME ep
7
ADDRESS
22 Z ����%•
"ADDRESS
��3 V1�1���C'�
CITY STATE ZIP
� a2�o�
CITY. STATE ZIP
�N �» cap �►�►
PHONE�'�•�
FAX
PHONEhw -
``77 N'
FAX
EMAIL
V V dcjT�lti��t'S� i1 d� _`!AlY�-
EMAIL
1 ► 1r
O��jIGIV�}-�ot�hOtdi��tl�j GYIGI�OI.� `GDi�
-41, .
STA E LIC. # -
STATE LIC.#
#0 155Z
CLASS
$
CITY BUS. LIC.#
12
(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 siggned 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) ortllat he 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 nannity of not mnm Than five h(inrlmd dnllars MS001).
Workers' Compensation Declaration: ) hereby affirm under penallyofpeduryone ofthe following declaration's.,
❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation as.provided by Section 3700 of the Labor Code, -for the performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance -of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No. Expiration Date
Thi section need not be completed if the permit is for one hundred dollars ($100) or less.
Certificate of Exemption:'I certify that in the performance of the work for which this permit is issued, I shall notemploy any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers''compensation coverage is unlawful, and shall subject an employer to criminal penalties and -civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages.as provided for in Section 3706 of the Labor code, interest and'attomey's fees.
RE CONTRACTOR SIGNATURE AGENT DATE
1 hereby affirm that 1 am exempt from Contractor's License Law for the following reason:
El ],as owner of the property or my employees with wages as,theirsole compensation, will do the work and the structure is not intended oroffered-for sale (Sec. 7044, Business and Professions Code: The Contractors
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 notintended or offered for
sale. If, however,'the building or improvement is sold within one yeanof 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 w110 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. QYes ❑No
2.1(have I have not) signed an application for a building permit for the proposed Work.
3.1 have contracted with the fallowing person (firm) to provide the proposed construction (include name address / phone / contractors' license number):
4.1 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):
5.1 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):
&E PROPERTY OWNER SIGNATURE []AGENT DATE
s;3'+as'r.LUt:Y",7� L!"�✓ ' ' a - • • • D D L`l,, Lm'�LV SiAJ�S'EJ +% �+s./ve++i.: t° - -
Is the applicant or future•buildmg 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 air 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.
WOMe e D ',7,
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
I c e tifythatl have read the appication and statethatthe above i-iinformation is correctand thatthe information on the plans is accurate.I agreeto comply Wth all City ordf nances and State laws relatingto builcingconstruc Lion.
I hereby authorize representative ofthe Cily of Carlsbad to enteruponthe above mentioned property for inspection purposes. I ALSO -AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINSTALL 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 permitis required for excavations over 60' deep and demdibon or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the 'Iding Official under the priovisionj ofthis Code shall expire by limitation and become null and void Ithe building brwork authorized by such permit is not commenced within
180 days from the dab ofsuch permitor' build' or work authorized by uch permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
,eAPPLICANT'SSIGNATURE DATE 0% .
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Only)CERTIFICATE OF OCCUPANCY (Commercial Projects
Fax"(760) 602-8560, Email building carlsbadca.goV or Mail the completed forth to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACTNAME
OCCUPANT NAME
ADDRESS
BUILDING -ADDRESS
CITY STATE ZIP
CITY STATE ZIP
Carlsbad CA "
PHONE
FAX
EMAIL
OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg.:L)
ASSOCIATED CB#
MAIL TO: CONTACT"(Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg.1)
NO CHANGE IN USE / NO CONSTRUCTION
MAIL/ FAX TO OTHER:,
CHANGE OF USE/ NO CONSTRUCTION
.!SAPPLICANPS SIGNATURE
DATE
Inspection,_ List
Permit#: CB152392 Type: TI COMM DAVID STEMLEY= INCORPORATE
1,760 SF SUITE C INTO SUITE B TO INCL
Date Inspection Item
11/20/2015 89
Final Combo
11/20/2015 89
Final Combo
10/29/2015 85
T-Bar
10/07/2015 17
Interior Lath/Drywall
09/18/201514
Frame/Steel/Bolting/Weldin
09/18/201.5 21
Underground/Under Floor
Inspector Act Comments
-
RI, COF/ FIRST APPT PLEASE
PY
AP
PY
AP .
PY
AP
PY
AP
PY
AP
Monday, November 23, 2015 Page 1 of 1
EsGil Corporation
In (Partnership with Government for Building Safety
DATE: 09/02/2015
JURISDICTION: Carlsbad
PLAN CHECK NO.: 15-2392
PROJECT ADDRESS: 2540 El Camino Real
SET:1i
PROJECT NAME:, David Stemley optometrist TI
❑ .6PPLICANT
❑ JURIS.
0 PLAN REVIEWER
❑ FILE
Z The pla,ls transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
❑ The plans transmitted herewith will substantially comply with the -jurisdiction's
codes when minor deficiencies identified below are resolved and checked by building
department staff.
❑ The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
❑ The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
❑ The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
❑ The applicant's copy of the check list has been sent to:
® 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:
Date contacted: (by: )
Mail Telephone Fax In Person
❑ REMARKS:
By: John Le Vey
EsGil Corporation
❑GA ❑EJ ❑MB El PC
Telephone #:
Email:
Enclosures:
08/31 /2015
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
EsGil Corporation
In (Partnership with Government for Building Safety
DATE: 08/07/2015
JURISDICTION: Carlsbad
PLAN CHECK NO.: 15-2392 SET: I
PROJECT ADDRESS: 2540 El Camino Real
PROJECT NAME: David Stemley optometrist TI
❑ A PLICANT
JURIS.
❑ PLAN REVIEWER
❑ FILE
❑ 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
codes when minor deficiencies identified below are resolved and checked by building
department staff.
❑ The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
® The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
❑ The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
❑ The applicant's copy of the check list has been sent to:
❑ 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: Lauren Augostini
J-4
Date contacted: (5
ail e e'phonJ Fax In Person
❑ REMAR
By: John Le Vey
EsGil Corporation
❑GA EJ. ❑ M B ❑PC
Telephone #: 619-744-5884
Email: Lauren@augstinedesigngroup.com
Enclosures:
07/31 /2015
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
Carlsbad 15-2392
08/07/2015
PLAN REVIEW CORRECTION LIST
- TENANT IMPROVEMENTS
PLAN CHECK NO.: 15-2392
OCCUPANCY: B
TYPE OF CONSTRUCTION: VB
(ALLOWABLE FLOOR AREA:
SPRINKLERS?: No
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION: 07/28/2015
DATE INITIAL PLAN REVIEW
COMPLETED: 08/07/2015
FOREWORD (PLEASE READ):
JURISDICTION: Carlsbad
USE: optometrist
ACTUAL AREA: 1,760
STORIES: 1
HEIGHT, unknown
OCCUPANT LOAD: 45
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 07/31/2015
PLAN REVIEWER: John Le Vey
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 of the plans does not permit the violation of
any state, county or city law.
To speed up the recheck process, please note on this list (or a copy) where each
correction item has been addressed, i.e., plan sheet number, specification section, etc.
Be sure to enclose the marked up list when you submit the revised plans.
Carlsbad 15-2392
08/07/2015
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. Provide a note on the site plan indicating the previous use of the tenant space or
building being remodeled. Section 107.2.
3. Please show GFCI protection of the receptacles within 6 feet of the any waters
edge
4. Please clarify if the electrical panels are new or existing sheets A2.1 and E2.0 are
conflicting
5. Roof mounted equipment must be screened and roof penetrations should be
minimized (city Policy 80-6). This form can be found on the city web site attach to
the plans
6. Please provide plans and calculations signed -by the California State licensed
engineer or architect for the structural support of the 1000# rooftop air handler
unit. Include all calculations and finding on the plans. Please include the
California license number, seal, date of license expiration and date plans are
signed. Business and Professions Code.
7. Please provide a service receptacle located less than 25' from the new
equipment and GFCI protected. CIVIC 310.1
Advisory Note : When alterations, structural repairs or additions are made to an
existing building, that building, or portion of the building affected, is required to
comply with all of the following requirements, per Section 11 B-202.4:
• The area of specific alteration, repair or addition must comply as "new"
construction.
• A primary entrance to the building and the primary path of travel to the
altered area, must be shown to comply with all accessibility features.
The path of travel shall include the existing parking.
Carlsbad 15-2392
08/O7/2O15
• Existing toilet and bathing facilities that serve the remodeled area must be
shown to comply with all accessibility features.
• Please address the following comments that are the result of the alterations.
8. Show or note that the lower 10" of all doors comply with Section 11 B-404.2.10, as
follows:
a) To be smooth and uninterrupted, to allow the door to be opened by a
wheelchair footrest, without creating a trap or hazardous condition.
b) Narrow frame doors may use a 10" high smooth panel on the push side of
the door.
9. Show, or note, that there is a level floor or landing on each side of all doors. The
floor or landing is to be 5Y2' lower than the doorway threshold, per Section 11 B-
404.2.5.
10. Show on the site plan the complying disabled accessible path of travel from the
disabled accessible parking spaces to the primary entrance of the tenant space.
Please provide detailed plans of the path of travel, indicate slope and width, any
pedestrian ramps, curb ramps, walks, handrails, provide dimensioned parking
stall details etc.
To speed up the review process, note on this list (or a copy) where each
correction item has been addressed, i.e., plan sheet, note or detail number,
calculation page, etc.
Please indicate here if any changes have been made to the plans that are not a
result of corrections from, this list. If there are other changes, please briefly
describe them and where they are located in the plans.
Have changes been made to the plans not resulting from this correction
list? Please indicate: ❑ Yes ❑ No
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.
Carlsbad 15-2392
08/07/2015
ADO NOT PAY- THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad PLAN CHECK NO.: 15-2392
PREPARED BY: John Le Vey DATE: 08/07/2015
BUILDING ADDRESS: 2540 El Camino Real
BUILDING OCCUPANCY: B
BUILDING
PORTION
AREA
( Sq. Ft.)
Valuation
Multiplier
Reg.
Mod.
VALUE ($)
TI
1760
per citv
76,243
Air Conditioning
Fire Sprinklers
TOTAL VALUE
76,243
Jurisdiction Code Icb IBy Ordinance I
Bldg. Permit Fee by Ordinance W
Plan Check Fee by Ordinance
Type of Review: 0 Complete Review
❑ Structural Only
ElRepetitive Fee ❑ Other
Repeats ❑ Hourly Hr. @
EsGil Fee
Comments: Sheet of
$520.71
$338.46
$291.60
macvalue.doc +
s
CITY OF
C&
PLAN CHECK
REVIEW
TRANSMITTAL
Community & Economic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www.carlsbadca.gov
DATE:07/29/2015 PROJECT NAME: TI PROJECT ID: CB152392
PLAN CHECK NO. 1 SET#: 1 ADDRESS: 2540 EL CAMINO REAL STE B APN- 1670304300
VALUATION: $ 76243
This plan check review is complete and has been APPROVED by the ENGINEERING
Division.
By: VALRAY NELSON
A Final Inspection by the ENGINEERING 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: LAUREN@AUGUSTINEDESIGNGROUP.COM
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 all divisions.
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
PLANNING
ENGINEERING
FIRE.PR.EVENTI.ON _ ',
760-6024610
760-602-2750 .
7..60=602-4665
Chris Sexton
Kathleen Lawrence
Greg Ryan
760-602-4624
760-602-2741
760-602-4663
Chris.Sexton@carlsbadca..gov
Kathleen.Lawrence@carlsbadca.eov
Gregory. Ryan@carlsbadca.eov
Gina -Ruiz
Linda Ontiveros
Cindy Wong
760-602-4675
760-602-2773
760-602-4662
Gina.Ruiz@carisbadca.gov
Linda.OntiVeros@carlsbadca.gov
ynthia.Wong@carlsbadca.eov
ValRay Nelson
Dominic Fieri
1� 760-602-2741
760-602-44664
Va1Ray.Nelson@carisbadca.gov
Dominic.Fieri@carisbadca.gov
Remarks:
4.
BUILDING PLANCHECK Development services
I�.,� - Land Development Engineering
V CITY OF CHECKLIST 1635 Faraday Avenue
g�,p QUICK-CHECK/APPROVAL 760-602-2750
www,carlsbadca.gov
ENGINEERING Plan Check for CB152392 Date:0712912015
Project Address: 2540 EL CAMINO REAL STE B APN:1670304800
Project Description: TI REMOVING WALL BETWEEN STE B AND C Valuation: $ 76243
ENGINEERING Contact: VALRAY NELSON Email: VALRAY.NELSON@CARLSBADCA.GOV
Phone: 760-602-2741
0 RESIDENTIAL INTERIOR
El RESIDENTIAL ADDITION MINOR
(<$20,000.00)
El CARLSBAD PREMIER OUTLETS
[:1 OTHER: GYM
Fax: 760-602-1052
WJENANT IMPROVEMENT
PLAZA CAMINO REAL
[l COMPLETE OFFICE BUILDING
r.._.._.._.._.._.._.._.. OFFICIAL USE .ONLY .._.._.._.._... .._...I
i ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT i
i BY: VALRAY NELSON- DATE:07/2912015 i
REMARKS:
I
Notification of Engineering APPROVAL has been senf to..LAUREN@AUGUSTINEDESIGNGROUP.COM.-
�_ via VALRAY.NELSON@CARLSBADCA.GOV, on. 07/29/2015_ . , _ .. _ .. _ • , _ .'�
E-36 Page 1 of 1 REV 4/30/11
t
Fee Calculation Worksheet
ENGINEERING DIVISION
Prepared by: Date: 07/2912015 GEO DATA: LFMZ: / B&T:
Address: 2540 EL CAMINO REAL STE B Bldg. Permit #: CB152392'
.Fees Update by: Date: 07/29/2015 Fees Update by: Date: 07/291201d
EDU CALCULATIONS: List types and square footages for all uses.
Types of Use:
Sq.Ft./Units
EDU's:
Types of Use:
Sq.Ft./Units
EDU's:
Types of Use:
Sq.Ft./Units-
EDU's:
Types of Use:
Sq.Ft./Units
EDU's:
ADT CALCULATIONS: List types and
square footages for all uses.
Types of Use:
Sq.Ft./Units
ADT's:
Types of Use:
Sq.Ft./Units
ADT's:
Types of Use:
Sq.Ft./Units
ADT's:
Types of Use:
Sq.Ft./Units
ADT's:
FEES REQUIRED:
Within CFD:❑YES (no bridge & thoroughfare fee in-District.#1, reduces
Traffic Impact Fee)
❑NO
1. PARK-IWLIEU FEE:[❑NW QUADRANT ZNE QUADRANT
❑SE QUADARANT ❑SW
QUADRANT
ADT'S/UNITS:
I X FEE/ADT:
I =$
❑
2.TRAFFIC IMPACT FEE:
❑
ADT'S/UNITS:
I X FEE/ADT:
=$
.3, BRIDGE & THOROUGHFARE FEE:
❑ DIST. #1
❑ DIST,#2
I { DIST.#3
ADT'S/UNITS:
FEE/ADT:
I=$
❑
4. FACILITIES MANAGEMENT FEE
ZONE:
- ADT'S/UNITS:
I X FEE/SQ.FT./UNIT:
I _$
❑',
5. SEWER FEE
EDU's
I X
FEE/EDU:
I =$
❑
BENEFIT AREA:
EDU's
I X
FEE/EDU:
I =$
❑
6. DRAINAGE FEES:
PLDA:
OHIGH
❑❑MEDIUM GLOW
ACRES:
I X
FEE/AC:
I =$
❑
7. POTABLE WATER FEES:
UNITS I CODE
CONN.
FEE I
METER FEE SDCWA FEE I
TOTAL
4- PLANNING DIVISION pevelopment Services
BUILDING PLAN CHECK Planning Division
/ C I T Y O F APPROVAL 1635 Faraday Avenue
CARL.SBAD P-29 (760) 10
www.carlsbadca.2dca.eov
DATE: 7-28-15 PROJECT NAME: PROJECT ID:
PLAN CHECK NO: CB 15-2392 SET#: 1 ADDRESS: 2540 El Camino Real APN: 167-030-48-00
® This plan check review is complete and has been APPROVED by the Planning
Division.
By: Chris Sexton
A Final Inspection by the Planning Division is required F� 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 all divisions.
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 APPROVAL has been sent to:
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
PLANNING
760=6024610
ENGINEERING
760-602-2750.
F1RE:PREVENTION' .' `
766-6024665.', '
®
Chris Sexton
760-602-4624
Chris.Sexton@carisbadca.gov
F Chris Glassen
760-602-2784
Christopher.Glassen@carisbadca.gov
Greg Ryan
760-602-4663
Gregoa.Ryan@carisbadca.gov
[-]
Gina Ruiz
760-602-4675
Gina.Ruiz@carisbadca.gov
F] Val,Ray Marshall
760-602-2741
Val Ray.Marshall@carisbadca.gov
F-] Cindy Wong
760-602-4662
Cynthia.Wong@carlsbadca.gov
Linda Ontiveros
760-602-2773
Linda.Ontiveros@carisbadca.gov
F I
Dominic Fier!
760-602-4664
Dominic.Fieri@carlsbadca.gov
Remarks:
$*
CITY OF
C,S ,D
PLAN CHECK
REVIEW
TRANSMITTAL
PAT9: 09/4/15 PROJECT NAME; david otemley 0^ PROJECTIIOKP'�'
PLAN CHECK NO; 010=92 $ET#,- If ADDRESS: 2440 eor �PN-.
This plan check review Is complete and has been APPROVED @fie We Division,
By: 0wong
A Final Inspection by the Divisimi Is. required Z yos [ No
This plan chock review Is NOT COMPLETE, Items missing or incorrect are listed on
the attached checklist, Please resubmit amended plans as required.
Plan Check Comments have been sent to octavio o2arch.com &USPS
1635 Faraday Avenue
CarlsbaO CA 92008
You may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the Issuance of a building permit..
PesuOmitted plans should Include corrections from a// divisions.
For questions or Plarifloptions on the attached checklist plow contact the following reylower as marked:
P34
� �^ti- '
. . . . . . . . ...
r` Y �zfc^ .� S
'z", -' 'S .}} ;"T«4+'z - 'f a. '.[jam '',,�=,'y.F+'y.+i Y� . �
Be
Chris Sexion
Kathleen Lawrence
Greg Ryan-
700-602-46024
760�02,274
700,602-4063
Chrl§,
a1magmt
9"i1qM14wan car ov
0 Gino. Ruiz
Linda Ontiveros
Cindy Wong
760,402-4676
760-602,2773
760-602-4662
nda.Ontivero
Wthi8.W0jV@0
Dominic Merl
760-602-4004
Remarks:
9/4/1.5
**APPIROW D:
P400 -1 oft
THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSU ANCE
CP A BUILDING PERMIT,
THIS APPROVAL IS SUBJECT TO FIELD INSPECTIM, ANY REQUIRED TESTS, FIRE
DEPART M ENT N OTATIC N$t CONDITIONS IN CORRESPONDENCE AND COMPLIANCE
ALL APPLICABLE CODES AND QULATIONS1
THIS APPROVAL- SHALL NOT BE :FOLD TO PERMIT OR APPROVE ANY VIOLATION OF THE
LAW.
***BoOle All Changes***
I.Shect TS; Vicinity map is incorrect. Confirm bonding data too e.g. parpe€ nurn0er
2.Providc A4L co0e references to reflect current edition years and Carl.0ad Municipal
code Ad -option,
P4ge 2 of
:p1re D
Plwl- Reviow Roquipamonts CatagorX TI, COMM
Date ofRepoit 09,044015
Nanw:
Addyew.
Pomit #-, C3 1 $2392
LAUREN MOWN
2272 FIR$T AV
SAS' DIEGO CA
92101
job Nanw: DAVID S`DEMUY-- INCORPORATE
Job Addros, 2540 EL CAMINO n--AL CBAV St:.
Roviewed bly:
INCOMPLA"1AIN1ed , omp ote, t .1$141M e, t1lis office emlot
1A40—-4-o-,
adequately P(MOUCt 4 MViOW to dleepte anep', it I 1+**Wapodes and/or standiards. Please roview
(Irefully all Comments attach ease resubmit thp necessary plans aid/ors 1; 1! 1 10ith changos "clouded",
W
to -this! office fQr roview apprpval. I
C Cl fi "'a
Co- 4� CON0008500,
[NR MET]
1, Sheet TS: Vicinity Map is moor --rent, Confirm building data corrw, 0Q. o,g, pac@l numbor.
2. Provide ALL code reforcilge's t6 ketlect rourren mid Carlsbad Munipipal, Code
t edition years
adqption,
_3,14aw lioensqd professional sign all sheets the 4rP submitting.
Entry: 08/11/2015 By: wons Action: CO
Cond., CQN00081$7
[MET]
THIS PROJKT HAS BEEN MVIE -B MED ANI) APPROVED FORTH PT,.T.TPOSES. OF ISSUBANCE Qr A
13UILDING PERMIT.
THIS APPROVAL IS SUBJECT TO FIELD INSPECTIQNS, A -NY REQUIRED TESTS, FIRE, I)FPAwrMF'NT
NOTATIONS,
CONDITIONS IN CQRR ENCE AND CQMPLIANCFE WITH ALL APPLICABLE CQDES AND
ESPOND
9ROULATIONS.
THIS APPROVAL ALL NOT BE HELD TO PF3RM IT OR APPROVE ANY VIOLATION OF THE LAW,
Etitry: 09/04/2915 $y- qvwns Action: AP
121,
, A 0>
<K1 I
CITY OF
LBA
CARSD
PLAN CHECK
REVIEW
TRANSMITTAL
Community & Economic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www.carisbadca.gov
DATE: 08/A/15 PROJECT NAME:david stemley d.o. PROJECT I "
PLAN CHECK NO: cb152392 SET#: I ADDRESS: 2540 ecr APN:
10
❑ This plan check review is complete and has been APPROVED by the fire Division.
By: cwong
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 Lauren@augustinedesigngroup.com &USPS
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 all divisions.
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
PLANNING
760.602-4610
ENGINEERING
7604502-2750
FIRE PREVENTION:
760-602-4665'
❑
Chris Sexton
160-602-4624
Chris.Sexton@carlsbadca.gov
❑ Kathleen Lawrence
760-602-2741
Kathleen.Lawrence@carlsbadca.gov
❑
Greg Ryan
760-602-4663
Gregory.Ryan@carisbadca.gov
❑ Gina Ruiz
760-602-4675
Gina:Ruiz@carlsbadca.gov
❑
Linda Ontiveros
760-602-2773
Linda.Ontiveros@carlsbadca.eov
® Cindy Wong
760-602-4662
Cynthia.Wong@carlsbadca.gov
❑
❑
❑
Dominic Fieri
760-602-4664
Dom inic.Fieri@carlsbadca.gov
Remarks:
8/11/15
Page 1 of 2
***Bubble All Changes***
1. Add under required deferred submittals: hydrant installation per-NFPA 24, 2013,
standards.
2. Begin labeling on plans fire access roads not maintenance roads.
3. -Provide tank capacities and chemical MSDS and amounts. Indicate use. e.g. storage,
use or dispensing if applicable. Does an application need to be filed for any hazardous
chemical storage?
Page 2 of 2
Carlsbad Fire 'Department
Plan Review 1?equlrepients Category,, TI, COMM
D* of RopQrt; 013-11--2015
Name:
Address:
Pormit #: QB 152392
LAUREN DIA00STINI
2272 FIRST AV
$AN DIROO CA
92101
Job Name: r)AVTD STEMLEYm INCORPORATF,
Job Address: 2540 EL CAMINO REAL CBAD St: B
Reviowod by
e
LNG MPI;E— l kze item you haw submitted for review is incomplete. A! this time, this office cminQt
a equately conduct a review to determine compliance with the applicable codes mid/or standards. Please. review
carefully all comments attached, Please resubmit the Accessary plans and/or speWfIcAtions, with changes "clouded",
to, this office for review and approval.
C2Udjj1oT_as:
Cmd: CON000000
[NOT MET]
L 14b 5 A, L �hango
Sheet 'TS: Vicinity -map is ind.orrect, Confirm building data oorreet too, e,g. pacel nwober,
2. Provido ALL code referen"s to'refleqt current edition years ond Carlsbad, Municipa.l. Code
Adoption.
.....................
3
Entry; 08/11/2015 By: cwong Action-, CQ
BUILDING ENERGY ANALYSIS. REPORT
PROJECT:
Dr. Stemley
2540 El -Camino Real Suite B
Carlsbad, CA 02008
Project Designer:
Augustine Design Group
2272 First Avenue
San Diego, CA 92101
(619) 744-5884
Report Prepared by
Engineering Resources Mechanical
RECEIVED
JUL 2 8 2015
CITY OF CARLSBAD
-BUILDING DIVISION
Job Number:
15067
Date:
7/27/2015
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 2013 Building Energy Efficiency Standards.
This,program developed by EnergySoft, LLC — www.energysoft.com.
Ener' Pro 6.4 by EnergyS6ft User Number: 5328 ID: 15067
cf3 15 23°I2
Y
I TABLE OF CONTENTS I
Cover Page 1
Table of Contents 2
Form MCH-01-E Mechanical Systems 3
Form MCH-02-E HVAC System Requirements 6
Form MCH-03-E Mechanical Ventilation and Reheat 8
Form MCH=04-E .Required Acceptance Tests 10
Form MCH-05-E- Requirements for Packaged Single Zone Units 13
Form MCH-07-E Fan Power Consumption 15
EnergyPro 6 4 by EnergySoft Job Number ID: 15067 User Number: 5328
STATE OF CALIFORNIA
MECHANICAL SYSTEMS
CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E
Mechanical Systems (Page 1 of 3)
Project Name: Dr. 5temley Date Prepared: 7/27/2015
MECHANICAL COMPLIANCE FORMS & WORKSHEETS (check box if wo'rksheet is included)
For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, refer to the 2013 Nonresidential Manual
Nate: The Enforcement Agency may require all forms to be incorporated onto ,the building plans. _
YES
NO
Form/Worksheet #
Title
Ei
❑
NRCC-MCH-01-E (Part 1 of 3)
Certificate of Compliance,,Declaration. Required on plans for all submittals.
E]
1
NRCC-MCH-01-E (Part 2 of 3)
Certificate of Compliance, Required Acceptance Tests (MCH-02A to 11A). Required -on plans for all submittals.
❑
❑
NRCC-MCW01-E (Part 3 of 3)
Certificate of Compliance, ,Required Acceptance Tests (MCH-12A to 18A). Required on plans where applicable.
M
❑
NRCC-MCH-02-E (Part 1 of 2)
Mechanical •Dry Equipment Summary is required for all submittals with Central Air Systems. It is optional on plans.
El
❑
NRCC-MCH-02-E (Part 2 of 2)
Mechanical Wet Equipment Summary is required for all submittals with chilled water, hot water or condenser water
systems. Itis optional on plans.
El-
❑
NRCC-MCH-03-E
Mechanical Ventilation and •Reheat is required for all submittals with multiple zone heating and cooling systems. It is
optional on plans.
MECHANICAL HVAC ACCEPTANCE FORMS (check'box for required forms)
Designer:
This form is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for HVAC systems. The designer is required to check the applicable boxes for all
acceptance tests that apply and list all equipment that requires an acceptance test. All equipment of the same type that requires a test, list the equipment description and the number of systems.
Installing Contractor:
The contractor who installed the equipment -is responsible to either conduct the acceptance test them self or have a qualified entity run the test for them. If more than one person has
responsibility for the acceptance testing, each person shall sign and submit the Certificate of Acceptance applicable to the portion of the -construction or installationforwhich they are responsible.
Enforcement Agency:
Plancheck — The NRCC-MCH-01-E form is not considered a completed form and is not to be accepted by the building department unless the correct boxes are checked.
Inspector- Before occupancy permit is granted all.newly installed process systems must be tested to ensure proper operations.
Test Description
MCH-02A
MCH-03A
MCH-04A
MCH-05A
MCH-06A
MCH-07A
MCH-08A
MCH-09A
MCH-10A
MCH-11A
Equipment
# of
Outdoor
Single Zone
Air
Economizer
Demand
Supply Fan
Valve Leakage
Supply Water
Hydronic
Automatic
Requiring Testing
units
Air
Unitary
Distribution
Controls
Control
VAV
Test
Temp. Reset
System
Demand Shed
or Verification
Ducts
Ventilation
Variable Flow
Control
(DCV)
Control
Carrier 50TCW
1
0
E1
❑
®
❑
❑
❑
❑
❑
❑
❑
❑
[3 -
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
STATE OF CALIFORNIA
MECHANICAL SYSTEMS
CEC-NRCC=MCH-01-E Revised'06114 CALIFORNIA ENERGY COMMISSIOt•'k4W'
CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E
Mechanical Systems (Page 2 of 3)
ProjectName: Dr. Stemley "Date Prepared: 7/27/2015
MECHANICAL HVAC ACCEPTANCE FORMS (check box for required forms)
Designer:
This form is to be used by the designer and attached to the plans. Listed below -are all the acceptance tests for HVAC systems. The designer is required to check the applicable- boxes for all
acceptance tests that -apply and list all equipment that requires an acceptance test. All equipment of the same type that requires a, test, list the equipment description and the number of systems.
dnstalling Contractor:
The contractor who installed the equipment is responsible to eitherconduct the acceptance test -them self or have a qualified
entity run the test_for them. If more than one person has
responsibility for the acceptance testing, each person shall sign and submit the Certificate of Acceptance applicable to the portion of the construction or installation'for which they are responsible.
The following tests require a
Enforcement Agency:
Plancheck— The NRCC-MCH-01-E form is not considered a completed form and -is not to be accepted by the building department unless the correct boxes are checked.
Inspector - Before occupancy permit is granted all newly installed process, systems must be tested to ensure proper operations.
Test Description
MCH-12A , _
MCH-13A
MCH-14A
MCH-15A
MCH-16A
MCH-17A
MCH-18A
Lquipment
# of
Fault Detection•&
Automatic Fault
Distributed Energy
Thermal Energy
Supply Air
Condenser Water
ECMS
RequiringTesting
units,
Diagnostics for DX
Detection &
Storage DX•AC
Storage (TES)
Temperature Reset
Reset Controls
or Verification
Units
Diagnostics for Air &
Systems
Systems
Controls
Zone
Carrier 50TCOP
1
.0
❑
❑
❑
E3
❑
❑
❑
o
❑
o
❑
o
❑
❑
❑
❑
❑
❑
❑.
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
a
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
o
❑
❑
❑
❑
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
STATE OF CALIFORNIA
MECHANICAL SYSTEMS
CERTIFICATE OF COMPLIANCE NRCC-MCH-01=E
Mechanical Systems y (Page 3 of 3)
Project Name: Dr. Stemlev - Date Prepared: 7/27/2015
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. I certify that this Certificate of Compliannce documentation is accurate and complete.
Documentation Author Name: Tim Imhoff
Documentation Author Signature:
Company: Engineering Resources Mechanical
signature Date: 7/27/2015
Address: 27 Mauchly, Suite 209
CEA/ HERS certification Identification (if applicable):
City/state/Zip: Irvine, CA 92618
Phone: 949.450.0431
RESPONSIBLE PERSON'S DECLARATION STATEMENT
-
I certify the following under penalty of perjury, under the laws -of the State of California:
1. The information provided on this Certificate of Compliance is true and' correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible
designer).
3. The energy features and performance Specifications, materials, components, and manufactured devices for the -building design or system design identified on this Certificate of Compliance
conform to the requirements of Title-24, Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with.the information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. I will ensure that a completed signed copy of this Certificate of Compliance shall•be made available with the building permit(s) issued,for the building, and made available to the enforcement
agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance'is required to be -included with the documentation the builder provides to the
building owner -at occupancy.
Responsible Designer Name: TIM-IMHOFF
Responsible Designer Signature:
company: Engineering Resources Mechancial
Date Signed: 7/27/2015
Address: 27 Mauchly, Ste 209
License: M27832
City/State/Zip: Irvine, 'CA 92618
Phorle: 949-450-0431
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
x STATE OF CALIFORNIA
HVAC SYSTEM REQUIREMENTS
CEC NRCC MCH 02-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION -
CERTIFICATE OF COMPLIANCE NRCC-MCH-02-E
HVAC Dry System Requirements (Page 1 of 3)
ProjectName: Dr. Stemley Date Prepared: 7/2V2015
Equipment Tags and System Description"
HP.-1.„ ,
MANDATORY MEASURES
Heating Equipment Efficiency3
Cooling Equipment Efficiency3
HVAC or Heat Pump Thermostats
Furnace Standby Loss Control
Low leakage AHUs
Ventilation
Demand Control Ventilations
Occupant Sensor Ventilation C6ntrol6
Shutoff and Reset Controls
-Outdoor Air and Exhaust Damper Control
Isolation Zones
Automatic Demand Shed Controls
Economizer FDD
Duct -1 nsu lation,
PRESCRIPTIVE MEASURES
Equipment is sized in conformance with
140.4(a&b)
Supply Fan Pressure Control
Simultaneous Heat/Cool$
Economizer
Heat and Cool'AirSupply Reset
Electric Resistance Heating9
Duct Leakage Sealing and Testing.10
T-24 Sections
Reference to the Requirements in the Contract Documents2
110.1 or 110.2(a)
M=1'
110.1 or 110.2(a)
M-1'
110.2(b),110.2(c)
M-1
11U(d)
M-1-
110.2(f)
M-1
120.1(b)
M-1
120.1(cj4
M-1 _
120.1(c)S, 120.2(e)3
M-1
120.2(e),
•M-1 _
120.2(f)
M- I
120.2(g)
M-1
120.2(h)
M-1
120.4
M-1'
140.4(a & b)
140.4(c)
M-1
140.4(d)
M-1
140.4(e)
1404(f)
M-1
140.4(g)
M-1 ,
140.4(I)
M4
Notes:
1. Provide equipment tags (e.g. AHU Ito 10)•and system description (e.g. Single Duct VAV reheat) as appropriate. Multiple units
with common requirements can be grouped together.
2. Provide references to plans (i.e. Drawing Sheet Numbers) and/or specifications (including Section name/number and relevant
paragraphs) where each requirement is specified. Enter "NIA" if the requirement is not applicable to this system.
3. The referenced plans and specifications must include all of the following,informati6n: equipment tag, equipment nominal
capacity, Title 24 minimum efficiency requirements, and actual rated equipment efficiencies. Where multiple efficiency
requirements are applicable (e.g. full- and part4oad)'include all. Where appliance standards apply (110.1), identify where
equipment is required to be listed per Title 201601 et seq.
4. Identify, where the ventilation,requir-ements are documented for each central HVAC system. Include references to both central
unit schedules and sequences of operation. If one or more, space is naturally ventilated identify where this is documented in the
plans and specifications. Multiple zone central air systems must also provide a MCH-03-E form:
5. If one or more space has demand controlled ventilation identify where it is specified including the sensor specifications and the
sequence ofoperation.
6. if one or more space has occupantsensor ventilation control identify where it is specified including the sensor specifications and
the sequence of operation
Z If the system is DDC identify the sequences for the system start/stop, optimal start, setback (if required) and setup (if required).
For all systems identify the specification for the thermostats and time clocks ,(if applicable).
8. identify where the heating, cooling and deadband airflows are scheduled for this.system. Include a reference to the
specification of the zone controls. Provide d MCH-03-E form.
9_ Enter N/A if there is no electric heating. If the system has electric heating indicate which exception to 140.4(g) applies.
10. If duct leakage sealing, and testing is required, a MCH-04-A form must be submitted.
CA Building Energy Efficiency Standards _ 2013 Nonresidential Compliance June 2014
x STATE OF CALIFORNIA
14VAr. SYSTEM REQUIREMENTS
CEC NRCC MCH-02-E (Revised 06113) CALIFORNIA ENERGY COMMISSION W"
CERTIFICATE OF COMPLIANCE NRCC-MCH-02-E
HVAC Wet System Requirements (Page 3 of 3)
PiojectName: Dr. Stenl-ley Date Prepared: 7/27/2015
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name; Tim Imhoff
Documentation Author Signature:
Company: Engineering Resources Mechanical
signature Date` 7/27/2015
Address: 27 MaUChy, Suite 209
CEA/ HERS Certification Identification (if applicable):
City/State/Zip: Irvine,CA,92618
phone: 949-450-0431
RESPONSIBLE PERSONS DECLARATION STATEMENT -
I certify the following under penalty of perjury, underthe laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design
identified on this Certificate of Compliance (responsible designer.).
3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system
design identified on this Certificate of Compliance conform to the requirements -of Title 24, Part 1 and Part 6 of the California Code of
Regulations.
4. The building design features or system design features identified on this Certificate of Compliance -are consistent with the information
provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the. enforcement
agency for approval with this building permit application.
5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this
Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: TIM IMHOFF
Responsible Designer Signature: Z—��
Company: Engineering Resources Mechancial
Date signed` 7/27/2015
Address: 27 Mauchly, Ste 209
License: M27$32
City/state/Zip: Irvine, CA 92618
Phone: 949-450-0431
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
STAT.E.OF CALIFORNIA
MECHANICAL VENTILATION AND REHEAT
CERTIFICATE OF COMPLIANCE
Mechanical Ventilation & Reheat
-' Project Name: Dr. $temley I Date Prepared: 7/27/2015
NRCC-MCH-03-E
(Page 1 of 2).
ACTUAL DESIGN INFO (FROM'EQUIPMENT
VAV Reheated PrimaryAir
VAV Deadband
SCHEDULES, ETC)
AREA BASIS
OCCUPANCY BASIS
MINIMUM
CFM
Primary"AirCFM
A
B
C
D
E
F
6
H
I
1
K
L
M
N
O
P.
Q
R
S
T
DZ.
Ory
zmy
�.tmn
Z-I
Dom,
Z
n
-"
n
3
n
it
OZ� y
�3
O
- ZO o
. D N
O,
W
N,
0X '�
Z 'n
i Z
T
D
O O Z
�D�
Z
f') ,� Z
T
m
:�
\
z
Cl .n
T Z
D
ei' A
*�+p
3.
�+
O
m
%�
v
D 3
��
n z p
T O -n 0
n Z A
1 O D K
3 pvOpO
O" C
A 3
y
OX�.
m
l') Z p
�•O
0 0
3 n
yM
3�'a
T�
nZ3
3Dm
VT3
Z
30rT
:E
Z
m•
D
<
D
m
O
m.
y
O
3"CC)<
��Z
m
n�o 0r
�'2
y
n Z
Z
r Oo
,N
rD
3vD
OD
O
70
.7J
Whole;
,'676
`0'.15
251 "
20.1
15.0
301
301
Y
Total
301
Yellow shaded cells require user input. Remaining cells are protected and automatic
B.
The largest amount of primary air supplied by the terminal unit when it's operating in the cooling mode.
C.
The smallest amount of primary air supplied by the terminal unit in the deadband mode.
D.
The largest amount of primary air supplied by the terminal -unit when it's operating in the heating mode.
E.
A terminal unit can be controlled with; DDC controls, or non-DDC controls. Each control category has different reheat limitations in code.
F.
Transfer Air must be provided where Required Ventilation Airflow"(Column M) is greater than the Design Primary Deadband Airflow (Column C).
H.
Minimum ventilation rate per Section §120.1. Table 120.1-A.
J.
Based on number of fixed seats where applicable or the greater of the expected number of occupants and,50% of the CBC occupant load for egress purposes for spaces without fixed seating.
M.
Required Ventilation Airflow (Req'd Ventilation Airflow) is the larger of the ventilation rates calculated on an AREA BASIS or OCCUPANCY BASIS (Column I or L)
N.
This column identifies whether or not the Design Primary Deadband Airflow• complies or not. It compares the value in column M to the value in column C and column F.
0.
Design Primary Cooling Airflow * 0.50 for DDC, Design Primary Cooling Airflow * 0.30 for Non-DDC. If the Design Primary Cooling Airflow is less than 300 cfm, then this is not applicable.
P.
Maximum of Column M and Column 0. If the Design Primary Cooling Airflow is 300 cfm or less, then this is not applicable.
Q.
This column identifies whether or not the Design Primary Reheat Airflow at the zone level, complies or not. It compares the value in column P to the value in column D.
R.
Design Primary Cooling Airflow * 0.20 for DDC. Not applicable for Non-DDC zones or zones where Design Primary Cooling Airflow is is 300 cfm or less.
S.
Maximum of Column M and Column R. Not applicable if the Design Primary Cooling Airflow is 300 cfm or less.
T.
This column identifies whether or not the Design Primary Deadband Airflow at the zone level, complies or not. It compares the value in column S to the value in column C.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
STATE OF CALIFORNIA
MECHANICAL VENTILATION AND REHEAT
CEC-NRCC-MCH-03-E Revised 06/14 CALIFORNIA ENERGY COMMISSION .. F -
CERTIFICATE OF COMPLIANCE NRCC-MCH-03-E
Mechanical Ventilation & Reheat (Page 2 of 2)
Project Name: Dr. Stemley Date Prepared: 7/27/2015
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT,
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
t
if Documentation Author Name: 1'Tim ICnh011
Documentation Author Signature:
Company: Engineering Resources Mechanical
Signature Date` 7/27/2015
Address: ' 27, Mauchy, Suite 209
CEA/ HERS Certification Identification (if applicable):
City/State/Zip: Irvine CA, 92618
Phone: 949-450-0431
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information_provided on this Certificate of Compliance is true and correct.
2: 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible
designer).
3. The energy features and performarice, specifications, materials, components, and manufactured devices for the building design or system design identified -on this Certificate of.Compliance
conform to the requirements of Title,,24, Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the infor'mation.,provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this Uilding-permit application.
5. 1 will ensure that a completed signed copy of this,Certificate of Compliance shall be made,available with the building permit(s) issued for the building, and made available to -the enforcement
agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentatiomthe builder provides to the
building,owner at occupancy. .
Responsible Designer Name: TIM IMHOFF
Responsible'DesignerSignature:�` aj
l
Company:' Engineering Resources Mechancial
Datesignea: 7/27/2015
Address: 27 Mauchly, Ste 209
License: M27832
City/State/zip: Irvine, CA 92618
Phone: 949-450-0431
CA Building Energy Efficiency -Standards - 2013 Nonresidential Compliance
June 2014
STATE OF CAALIFORNIA
REQUIRED ACCEPTANCE TESTS
CEC-NRCC-MCH-04-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE — NRCC-MCH-04-E
Required Acceptance Tests (Page 1 of 3)
Project Name: Dr. Stemley Date Prepared: 7/27/2015
MECHANICAL COMPLIANCE FORMS.& WORKSHEETS -(indicate if•worksheet is included)
For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, refer to the 2013 Nonresidential Manual Note: The Enforcement Agency may
require all forms to be incorporated onto the building plans. Forms, N9CGMCH-04=E and NRCC-MECH-05-E are alternative forms to NRCGMCH-01-E, 1VRCC-A4CH-02-E and NRCC-
MCH-03-E for projects using only single zone packaged HVA,C systems.
YES
NO
Form
Title
✓
NRCC-MCH-04-E (1 of 2)
Certificate of Compliance: Required on plans when used.
✓
14RCC-MCH-04-E (2 of 2)
Mechanical Acceptance Tests. Required on plans when used.
✓
NRCC-MCH-05-E (1 of 2)
HVAC-Prescriptive Requirements. It is required on plans when used.
✓
NRCC-MCH-65-E (2 of 2)'
Mechanical SWH Equipment Summary is required for all.submittals with service water heating, pools or spas. It is
required on plans where applicable.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
STATE OF CALIFORNIA
REQUIRED ACCEPTANCE TESTS
CALIFORNIA ENERGY COMMISSION
vCERTIFICATE OF COMPLIANCE NRCC-MCH-04-E
Required Acceptance Tests (Page 2 of 3)
Project Name: Dr. Stemley
Date Prepared: 7/27/2015
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 list all equipment that requires an, acceptance test. If alLequipment 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 partof 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 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 NRCC-MCH-04-E 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 testing, 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 and replaced 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 Section 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
MCH-02-A
MCH-03-A
MCH-04-A
MCH-05-A
MCH-06-A
MCH-07-A
MCH-11-A
MCH-12-A
MCH-14-A
MCH-18-A
Test Performed By:
Equipment
Requiring
Testing or
Verification
# of
units
Outdoor
Air
Single Zone
Unitary
Air
Distribution
Ducts
Economizer
Controls
Demand
Control
Ventilation
(DCV)
Supply
Fan VAV
Automatic
Demand
Shed
Control
FDD for
Packaged
DX Units
Distribute
d Energy
Storage
DX AC
Systems
Energy
Managem
ent
Control
System
Carrier 50T
1
✓
✓
✓
✓
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
STATE OF CALIFORNIA
REQUIRED ACCEPTANCE TESTS'
CEC-NRCC-MCH-04-E Revised 06/14 CALIFORNIA ENERGY. COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-MCH-'04-E,
Required Acceptance Tests 15 (Page 3 of 3)
Project Name: Dr. Stemley Date Prepared: 7/27/20
DOCUMENTATION.AUTHOR'S DECLARATION STATEMENT
1. I certify that this Certificate oft. Compliance documentation is accurate and complete.
Documentation Author Name: Tim Imhoff
Documentation Author Signature:
Company: Engineering Resources Mechanical
Signature Date:7/27/2015
Address: 24 Mauchy , Suite 209
CEA/ HERS Certification Identification (if applicable):
City/State/Zip: Irving C'A, 92618
Phone: 949-450-0431
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The informationprovided on this Certificate of Compliance.is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to.accept responsibility for the building design or system design identified on this Certificate.of Compliance (responsible
designer).
3. The energy-features-and'performance specifications, materials, components, and manufactured devices for the building clesign or system design identified on this Certificate of Compliance
conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. The'building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to the enforcement agency for approval -with this building permit application.
5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(t) issued for the.building, and made availableto the enforcement
agency for all applicable inspections'. I understand that a completed signed copy of this Certificate of Compliance is required to be included -with the documentation the builder provides to the
building owner at occupancy.
Responsible Designer Name: TIM IMHOFF
Responsible Designer Signature: s�
Company,: Engineering Resources Mechancial
Date Signed: 7/27/201 5
Address: 27 Mauchly, Ste 209
License: M27832
City/State/Zip: Irvine, CA 92618
Phone: 949-450-0431
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
STATE OF CALIFORNI4
REQUIREMENTS FOR PACKAGED SINGLE ZONE UNITS
CEC-NRCC-MCH-05-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-MCH-05-E
x
Requirements for Packaged Single -Zone Units (Page 1 of 2)
Project Name: Dr. Stemley Date Pre pared: 7/27/2015
Equipment Tag(s)l -HP-1
MANDATORY MEASURES T-24 Sections . Requirement's As Scheduled? Requirement? As Scheduled Requirement? As Scheduled?
Heating'Equipment Efficiency4 110.1 or 110.2(a) 3.30 COP 2:25 COP
Cooling Equipment Efficiency4 110.1 or 110.2(a) 11.0.EER 11.1' EER'
Thermostats5 110.2(b),1101(c) -Setback Setback
Furnace Standby Loss Control6 110.2(d) n/a .
Low Leakage AHU 110.2(f) . NR none
Ventilation? 120.1(b) 301 301
Demand Control Ventilation$ 120.1(c)4 NR No
Occupant Sensor Ventilation Control$ 120.1(c)5, 120.2(e)3
Shutoff and Reset Controls9 120.2(e) Req Programmable
Outdoor Air and Exhaust Damper Control 120.2(.f) Req Auto
Automatic Demand'Shed Controls 120.2(h) NR none
Economizer FDD 120.2(i) _ Req
Duct Insulation 120.4 R-8 R-4.2
PRESCRIPTIVE MEASURES
Equipment is sized in conformance with 140.4(a & b) 38,373 Btu/hr 22,934 Btu/lir
140.4. (a & b) 83,532 Btu/hr 49,014 Btu/hr
Economizer 140.4(e) Fkeg Diff. Temp Inte
Electric Resistance Heating10 140.4(g) No No
Duct Leakage Sealing.and Testing.j- 1, 14o.4(1) I NR lNo
Notes:
1. Provide equipment tags (e.g. AC1 orAC1 to 10). Multipleunits of•the some make and model with the same application and accessories.con be grouped together.
2. Enter the following information as.appropriate: Unit Manufacturer; Unit Model Number (including all accessories); Description.of the unit (e.g. gas -pack or heat pump; rated heating capacity
(enter "N/A" if no heating); and, rated cooling capacity (enter "N/A" if no cooling). For unit capacities include the units (e.g. kBtuh or tons).
3. For each requirement enter the minimum requirement from the Standard In the,left column (under "Standard Requirement"). In the right column,(under "As Scheduled") enter the value for
the units as specified.
4. Where there is more than one requirement (e.g. full and part load efficiency) enter both with the appropriate labels (e.g. COP and IEER).
5. In the left column identify the thermostatic requirements from the standard (e.g. programmable setback thermostat or heatpump with electric heat), . In the right column indicate the
capabilities of the thermostat as scheduled.
6. If the unit has a furnace which is rated at>=225,000 Btuh of capacity, indicate the rated standby loss and ignition source (e.g. IID). If there is no furnace or the unit is rated for <225,000 Btuh
indicate "N/A".
Z In the left column, enter both the required ventilation value from Table 120.1A and for the number of occupants times 15 cfm/person. In the right column enter the actual minimum
ventilation as scheduled. If the space is naturally ventilated enter "N/A" in the left column and "the space is naturally ventilated" in the right column.
8. If the space is required to have either DCV or Occupant Sensor Ventilation Control indicate "required" in the. left column (otherwise indicate "N/A" in the left column). if either DCV or Occupant
Sensor Ventilation Control is provided indicate "provided" in the right column (otherwise indicate "NIA" in the right column)
9. In the left column indicate the required time controls from the standard. in the right column identify the device that providgs this functionality (e.g. EMCS or programmable timeclock).
10. Enter N/A if there is no electric heating. If the system has electric heating indicate which exception to 140.4(g) applies.
11. If duct leakage sealing and testing is required, a MCH-04-A form must be submitted.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
STATE OF CALIFORNIA
REQUIREMENTS FOR PACKAGED SINGLE ZONE:UNITS_
CEC-NRCC-MCH-05-E Revised 66/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-MCH-05-E
Requirements for Packaged Single -Zone Units (Page 2 of 2)
PrbJectName: Dr. Steinley Date Prepared: 7/27/2015
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. [Certify that this Certificate.of Compliance documentation is accurate and complete.
Documentation Author Name: Tim Imhoff
Documentation'Author5ignature:
Company: Engineering Resources Mechanical
signature Date` 7/27/2015
Address: 24 Mauchy,Suite 209
CEA/-HERS Certification Identification (if applicable):
City/State/Zip: Irvine, CA,.92618
Phone: 949-450-0431
RESPONSIBLE PERSON'S DECLARATION STATEMENT
1 certify the following under penalty of perjury,.underthe_laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions, Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible
designer).
3. The energy features and performance specifications, materials, components, and manufactured .devices for the building design or system design identified on this Certificate of Compliance
conform to the requirements of Title 24, •Part 1 and Part 6 of the California Code=of Regulations.
4. The building design features or system design features identified on -this Certificate of Compliance are consistent with the information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with -this building permit application.
5. 1 will ensure that a completedsigned copy of this Certificate of Compliance shall be made available with -the -building permit(s) issued for the -building, and Blade available to the enforcement
agency for all applicable inspections. I understand that a completed signedcopy.of this Certificate of Compliance is,required to be included.with the documentation the builder provides to the
building owner at occupancy.
ResponsiblepesignerNamei TIM IMHOFF
Responsible Designer Signature:
Company: Engineering Resources Mechancial
Date Signed: 7/27/2015
Address: 27 Mauchly, Ste'209
License: M27832
City/State/Zip: Irvine, CA 92618
Phone: 949-460=0431
x
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014
STATE AF CALIFORNIA
FAN POWER CONSUMPTION
MR
CEC-NRCC-MCH=07-E Revised 07/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-MCH-07-E
Power Consumption of Fans Requirements (Page 1 of 2)
Project Name: Dr. ptemley Date Prepared: 7/j7/2015
Constant Volume_ Fans -Systems
NOTE: Provide one copy of this worksheetfor each fan -system with -a total fan system horsepower greater than 25 hp of Constant Volume Fan
Systems when using the Prescriptive Approach. See Power Consumption of fans §140:4(c).
A
B
C D
E
F
FAN DESCRIPTION
DESIGN
BRAKE HP
EFFICIENCY
NUMBER OF
FANS
PEAK WATTS
B x E x 746 /
(C x D)
MOTOR
DRIVE
HP-TSupply Fin
1.650
86.5 %.
97.0 %
1.0
1,467
Exhaust Fan
0.060
85.5 %
100.0 %
1.0
75
Variable Air Volume Fans Systems
NOTE: Provide one copy of this worksheet for each fan system with a total fan system horsepower greater than 25 hp. of Variable Air Volume
(VAV) Systems when using the Prescriptive Approach. See Power Consumption,of fans §140.4(c).
A
B
C
D
E
F
i -
FAN -DESCRIPTION
DESIGN
BRAKE HP
EFFICIENCY
NUMBER OF
FANS
PEAK WATTS
B x E x 746 /
(C x D)
MOTOR
DRIVE
Totals and Adjustments
FILTER PRESSURE ADJUSTMENT Equation 140.4-A
1) TOTAL FAN SYSTEM POWER, (WATTS, SUM
1,542
W,
in §140.4(c) of the Building Energy Efficiency
COLUMN F)
2) SUPPLY DESIGN AIRFLOW
2100
CFM
Standards.
A) If filter pressure drop�(SPJ is greater than 1 inch
3) TOTAL FAN SYSTEM POWER INDEX (Row 1/ Row 2)1
W/CFM
W. C. or 245-Pascal then enter SPa on line 4. Enter
in W.0
Total Fan pressure drop across the fan (SPf) on Line
5.
4) SP.
or Pa
in W.0
B) Calculate Fan Adjustment and enter on line 6.
5) SPf
or Pa
6) Fan Adjustment- 1-(SPZ, — I-)/S-Pf
C) Calculate Adjusted Fan Power Index and enter
7) ADJUSTED FAN POWER INDEX (Line-3 x.Line 6)1
0.734
W/CFM
on Row 7
1. TOTAL FAN SYSTEM POWER INDEX orADIUSTED FAN"POWER INDEX must -not exceed 0.8 w/cfm for Constant Volume systems or 1.25 w/cfm
for VAV systems.
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance July 2014
STATE OF CALIFORNIA
FAN POWER CONSUMPTION
"4
CEC-NRCC-MCH-07-E Revised 07114 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-MCH-07-E
Power Consumption of Fans Requirements (Page 2 of 2)
Pro)ectName: Dr. Stemley Date Prepared: 7/27/2015
DOCUMENTATION AUTHOR'S DECLARATION'STATEMENT -
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Th Imhoff
Documentation Author Signature:
Company: Engineering Resources Mechanical
Signature Date: 7/27/2015
Address: 24 Mauchy, SUlte 92618
CEA/ HERS Certification Identification (if applicable):
City/State/Zip: Irvine, CA, 92618
Phone: 949-450=0431
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this.Certificate of Compliance is true an&correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for -the building design or system design
identified'lon this Certificate of Compliance (responsible designer).
3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system
design.identified on this Certificate of Compliance conform to the- requirements of Title 24, Part 1 and Part 6 of the California Code of
Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information
provided on other applicable compliance documents, worksheets, calculations, plans and -specifications submitted to the enforcement
agency for approval with this building permitapplication.
5. 1 will -ensure that a completed signed copy of this Certificate of Compliance shall'be made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this
Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: TIM IMHOFF
Responsible Designer Signature:
I
Company: Engineering Resources'Mechancial
Date signed' 7/27/2015
Address: 27 Mauchly, Ste 209
License: M27832
City/State/Zip: Irvine, CA 92618
Phone: 949450-0431
CA Building Energylfficiency Standards -2013 Nonresidential -Compliance July 2014
(LENCINAINDUSTRIAL WASTEWATER DISCHARGE PERMIT Mowty
SCREENING SURVEY
Date D% S
Business Name
Street Address���i�d./
Email Address�(�/�q� tiC4a416 1aln (j.M,1t2- 61941n �---�/
PLEASE CHECK HEREIF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIOE CHECK TYPE OF BUSINESS)
Check all below that are present at your facility: II II
Acid Cleaning
Ink Manufacturing
Nutritional Supplement/
Assembly
Laboratory
Vitamin Manufacturing
Automotive Repair
Machining :/ Milling
Painting 1 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 Contac LW?V*R N I Title _'ita of - �13 P_V.&—
Signatur Phone No. (1 1 44.0e4-
ENCIN _ A AT UTHORITY, µ6200 Avenida. Encinas Carlsbad, CA 92bi 1 (760) 4 8-3941
FAX: (760) 476-9852
vy��OjIVE! Th�,AGe
a n
O more"
Z o
"y o
Mo ccc���
OFFICE USE ONLY
RECORD ID #
SAN DIEGO REGIONAL-HHMBP#
HAZARDOUS, MATERIALS QUESTIONNAIRE .. BP DATE I.
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Business Name
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Business Contact Telephone #
S I 74W . -tl �i5
Project Address
2y' MO
Pity State State Zi Code
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1U#T 0-37
Mailing Address
City State Zip Code
Plan File#
Project Contact �R]
G Telephone #
The following questions represent the facility's activities,.NOT the spgcitic project description.
PART 1• FIRE DEPARTMENT — HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: (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 materi
als. 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 6. Oxidizers 10. Cryogenics 14. Other Health Hazards
3. Flammable/Combustible Liquids. 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These.
4. Flammable Solids 8. Unstable Reactives 12. Radioactives
it the answer to any
Diego, CA 92123.
prior to.the-issuance of a building permit.
FEES ARE REQUIRED. Project Completion -Date: Expected Date of Occupancy:
YES
NO (for new, construction- or remodeling projects)
1. ❑
Is your business listed on the reverse side of this form? (check all -that apply).
2. [:1�`
Will your business dispose of Hazardous Substances or Medical Waste -in any amount?
3. El�
Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500
pounds and/or-200 cubic feet?
handle toxins in any
4. ❑
Will your business store or carcinogens/reproductive quantity? -
5. ❑
,r Will your business use an existing or install an underground storage tank?
6. ❑
Will your business store or handle Regulated Substances (CaIARP)?
7. ElWill
your business use or install a Hazardous Waste Tank System (Title 22, Article 10)?
8. ❑
Will your business store petroleum in tanks or containers at your facility with -a total facility storage capacity equal to
orgreaterthan 1,320 gallons? (California's Aboveground Petroleum Storage Act).
❑ CalARP Exempt
Date Initials
❑ CaIARP Required
Date Initials
❑ CalARP Complete
Date Initials
PART III: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD): If the answer to Question #1 below is no or the answer to any of the
Questions #2-5 is yes, applicant must contact the APCD at 10124 Old Grove Road, San Diego, CA 92131-1649 or telephone (858) 586-2600 prior to the issuance
of a building or demolition permit. If the answer to questions #4 or #5 is yes, applicant must also submit an asbestos notification form to the APCD at least 10
working days prior to commencing demolition or renovation. (Some residential projects may be-exerhpt from the notification requirements. Contact the APCD for
more information.)
YES NO
1. Z ❑ Has a survey been performed to determine the presence of Asbestos Containing Materials?
2. Will the -subject facility or construction.activities include operations or equipmentthat emit or are capable of emitting an air contaminant? (See the
APCD factsheet at http://www.sdapcd.org/info/facts/permits.pdf, and the list of typical equipment requiring an APCD permit on the reverse side
of this from. Contact APCD if you have any questions).
3. ❑ ,0' (ANSWER ONLY IF QUESTION 1 IS YES) Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)?
(Search the California School Directory at http://www.cde.ca.-gov/re/sd/ for public and private schools or contact the appropriate school district).
4. ❑ ET Will there be -renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non -friable asbestos?
5. -❑ Will there be demolition involving the removal of a load supporting structural member?
Briefly describe business activities: Briefly describe proposed project:
O b
I declare uunnddeer. penalty of perjury that to tC best of my knowledge and Of onse made herein.are true and correct.Name of Owner or Authorized Agent �f er A horized- gent Date
FOR OFFICAL USE ONLY:
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:
BY: DATE:
EXEMPT OR NO FURTHER INFORMATION_ REQUIRED
RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY
RELEASED FOR OCCUPANCY
COUNTY=HMD*
APCD
COUNTY=HMD
APCD
COUNTY-HMD
APCD
*A stamp in this.box only exempts businesses from completing or updating a Hazardous Materials Business Plan. other permitting requirements may still appy.
HM-9171 (03/14) County of San Diego — DEH —Hazardous Materials Division
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Plan
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Final Inspection required by.
❑ flan ❑ CM&I ❑ Fire ❑
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DISSUED
❑CV.
Approved Date
By
BUILDING
Z r
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PLANNING
ENGINEERING
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FIRE Expedite?
Y N &
DIGITAL FILES Required? Y N
HazMat
APCD
Health
Forms/Fees
Sent Rec'd
Due? By
Encina
(_
Y
N
Fire
Y
N
HazHealthAPCD
71
Y
N
PE&M
rJ
Y
N
School
Y
N
Sewer
Y
N
Stormwater
Y
N
Special inspection
Y
N
CFD: Y N
LandUse:
Density: ImpArea: :FY. Annex:
Factor:
PFF: Y N
Comments
'Date Date Date
Date
Building
Planning
Engineering
Fire
Need?
T
❑ Done
❑ Done
❑ Done
❑ Done