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2623 GATEWAY RD; 102; CBC2020-0047; Permit
Building Permit Finaled Ccityof Carlsbad Commercial Permit Print Date: 07/24/2020 Permit No: CBC2020-0047 Job Address: 2623 GATEWAY RD, # 102, CARLSBAD, CA 92009-1751 Status: Closed -Finaled Permit Type: BLDG-Commercial Work Class: Tenant Improvement Parcel#: 2131910900 Valuation: $32,557.00 Occupancy Group: B #of Dwelling Units: Bedrooms: Bathrooms: ProjectTitle: Track#: Lot#: Project#: Plan#: Construction Type:V-B Orig. Plan Check#: Plan Check#: Description: GROTTO SPA: 700 SF T.I. RETAIL TO MASSAGE & SPA SERVICES FEE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) Property Owner: REGENCY BRESSI LLC 100 WILSHIRE BLVD, # 700 SANTA MONICA, CA 90401 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $559.36 Total Payments To Date: $559.36 Applied: Issued: Finaled Close Out: Inspector: Final Inspection: Contractor: CINDA CONSTRUCTION INC 02/05/2020 03/27/2020 CRenf 07/24/2020 140 E EL NORTE PKWY, # UNIT 45 ESCONDIDO, CA 92026-2606 (858) 254-1438 Balance Due: AMOUNT $297.20 $208.04 $43.00 $2.00 $9.12 $0.00 Please take NOTICE that approval of your project includes the 11lmposition11 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. Building Division Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov (c~tyof Carlsbad COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check C6C..@.086 , (Joy Est. Value dP ~.:J s:;,:J. --' PC Deposit --------- Date ct:lrs/ ,,'l,g Job Address 2623 GATEWAY RD, UNIT 102. CARLSBAD, CA92009Su1te:_1_0_2 ___ APN: 213-191-09-00 CT /Project#: Lot#:. __ _ Fire Sprinklers: 0 YES O NO Air Conditioning: 0 YES @ ND Electrical Panel Upgrade:O YES€) NO BRIEF DESCRIPTION OF WORK: CONVERT EXISTING VACANT SPACE TO SPA BY ADDING PARTITION WALLS, DOORS 0 Addition/New: _____ .Living SF, ___ Deck SF, ___ Patio SF, ___ Garage SF ls this to create an Accessory Dwelling Unit? OY ON New Fireplace? OY ON, if yes how many? __ 0Remodel: ____ SF of affected area Is the area a conversion or change of use ? 0 Y ON □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _ oso1ar: ___ KW, __ Modules, Mounted:ORoofOGround, Tilt:O YON, RMA:OvON, Battery:OY ON, Panel Upgrade: OY ON D Reroof: -----------------------------------□ PlumbingfMechanical/Electrical Only: _____________________ _ 0 Other: ______________________________ _ APPLICANT (PRIMARY CONTACT) Name: RAY HUANG Address: 1619GOLDENGATEAVE City: CHUL A VISTA State: CA Zip: 91913 Phone: 858--380--6125 PROPERTY OWNER Name: guo liang shen Address: 4057 rtchwood ave City: el monle Phone: 626-248--6457 State:._ca __ .Zip: 91732 Email: raydrafllng@yahoo.com Email: __________________ _ CONTRACTOR BUSINESS DESIGN PROFESSIONAL Name: ray huang Name: sipengxin Cft./PA; {()YJS[J(W[l{YI /f'C Address: 1619 GOLDEN GATE AVE Address: 4057 richwood ave City: chula visla State:_ca __ Zi,p: 91913 City: el monte State:_ca __ ,Zip: 91732 Phone: 858-380--6125 Phone: 858-254-1438 Email: raydrafting@yahoo.com Email: __________________ _ Architect State License:___________ State Ucense:_8_90_1_43 __ -_Bus. License: _____ _ (Sec. 7031.5 Business and Professions c.ode: Any City or County which requires a permit to construct. alter, Improve, ~~o~epa·,:)._Qs~~~; ~J cl()~ issuance, abo requires the applicant f-or such permit to fife. a signed statement that he/she is licensed pursuant to the provisions of the Conb'actor's License law {Chapter 9, commending with Seciion 7000 of Division 3, of the Business and Prof-essions Code} or that he/she is exempt therefrom, and the basis for the alleged e>1emption. Any v!Ofationof-Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundfed dollars {$500}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-1 Page 1 of2 Rev. 06/18 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury l/!J!l of the following dedaratloos: Qtha~and will maintain a certificate of consent to self--inst.1refor workers' compensation provided by Section 3700ofthe Labor Code,. for the performance of the work which this permit is issued. @thaveand wHlmaintain worker's compensation, as required by Section 3700ofthe labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier anti policynumbet" are; Insurance Company Name: c-=cc°'cc""=-------------------- Policy No. 1919554 EXplratfon Daw: c511=/2020=------- D Certificate of Exemption: I certify that in the perfonnance of the work for which this permit is issued, I shaD not employ any person in any manner so as to be come subject to the workers' compensation Laws of California. WARNING: Failure to secure warkerscompe:nsatlon mverap b unlawful, and shaR subject an employer to aimlnaJ penalties o1nd civD fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for In Section 3706 of the labor Code, Interest and attorney's fees. CONTRACTOR SIGNATURE: ------------!.:~::....--=-•--~ENT DATE:..;;-=:;:;;;.. ___ _ ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Cantractm's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, wiU do the work and the structure is not intended or offere!d for sale: {See. 7044, Business and Professions Code: The Contractor's license law does not apply to an owner of property who buHds 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-build« wffl have the burden of proving that he did not build or improve for the purpose of sale). 01, as owner of the-property, am exclusively contracting with licemed contractots to construct the project {Sec. 7044, Business and Professions Code,: The Contractor's Ucense Law does not apply-to an owrrer of property who builds or Improves thereon, and contracts for such projects with contract«{s) licensed pursuant to the Contractor's license law). 0 I am exempt under Section _____ ,Business and Professions Code for this reason: 1. I personally plan to prO\lide the major labor and materials for construction of the proposed property improvement. QYES Q NO 2. I (have/ have not) signed an application for a buRding permit for the proposed work. 3. I have contracted with thefottowing ~ (finn) to provide the proposed construction (indude name address/ phone/ contractors' license number): 4. 1 plan to ptowide portions. of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ add res~/ phone/ contracton;' license numbe.r): S. J 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: __________________ llAGENT DATE: _____ _ CONSTRUCTION LENDING AGENCY. IF ANY: I hereby affirm that there is a construction lending agency f« the performance of the work this permit is issued (5ec. 3097 (I) CMf Code}. Lender'sN.ama: ____________________ Lender'sAddress: ___________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: -ls the appficant or future building occupant required to submit a business plan, acutely hazardous materials r1!'glstJa1ion form or risk managem~ and prevention program under Sections 25505, 25533 or 25534 of the Pre:,ley-Tannef Hazardous Substance Account Act? Yes/ No Is the applicant or future building occupant requifed to obtain a permit from the air pollution control district or air quality maoagf!ftlent district? Yes I No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes / No If ANV Of THE ANSWERS ARE YES, A ANAL CER1lft0%TE Of OCCUPANCY MAY NOT 8£ ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFtCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. APPLICANT CERTIACATION: I certify that I have read the appkatkm and state that the above information is <:arrect and that the information on the plans k ac<.urata. 1 agree to comply with aU City ordinances.and State laws relating to buiding construction. I hereby authorize representative of the City of Carlsbad to enter upc,;, the above mentioned property for inspection purposes. I AISOAGREE TO SAVE, INDEMNIFY AND KEEP HARMLfSS THE 01Y OF CARLS8AOAGA!NS-T AllUABU.ITIES,JUDGMENTS, COSTS AND EXPENSES WHIOf MAV IN ANV WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF rnts PERMIT.OSHA: An OSHA permit is, required fur excawtions over 5'0' deep and demolition or c.onstruction of structures O\lef 3 stories in height. EXPIRATION: Every permtt issued by the Building Official under the provisions of this Code shall expire by limrtation and become null and void if the building or work authorized bv such permltls not commenced within 180 ~VS from the date of such PfflJJit or if the buHdingor work authorized by such permit Is suspended or abandoned at anytime after the work is commenced for a period of 180days (Section 106.4.4 Uniform Building ~e~ APPLICANT SIGNATURE: ------1-l, ... ~:c......:c...........:::a-_______ DATE: 1635 Faraday Ave Carlsbad, CA 92008 8-1 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of 2 Email: Building@carlsbadca.gov Rev. 06/18 Building Permit Inspection History Finaled {city of Carlsbad PERMIT INSPECTION HISTORY for (CBC2020-0047) Permit Type: BLDG-Commercial Application Date: 02/05/2020 Owner: REGENCY BRESSI LLC Work Class: Tenant Improvement Issue Date: 03/27/2020 Subdivision: Status: Closed -Finaled Expiration Date: 03/29/2021 Address: 2623 GATEWAY RD, # 102 IVR Number: 24667 CARLSBAD, CA 92009-1751 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Relnspection Inspection Date Start Date Status 03/31/2020 03/31/2020 BLDG-84 Rough 123778-2020 Partial Pass Chris Renfro Relnspectlon Incomplete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency See card for corrections. No BLDG-14 Add steel stud diagonal bracing every 48 No Frame-Steel-Bolting-Welding inches on center per plans. (Decks) BLDG-24 Rough-Topout No BLDG-34 Rough Electrical Yes BLDG-44 No Rough-Ducts-Dampers 04/01/2020 04/01/2020 BLDG-17 Interior 123785-2020 Psssed Chris Renfro Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Buildlng Deficiency Yes 07/22/2020 07/22/2020 BLDG-Final Inspection 133500-2020 Partial Pass Chris Renfro Relnspectlon Incomplete Checklist Item COMMENTS Passed BLDG-Building Deficiency Please add ADA blue stripe border at no No parking striping at front ramp approach. Please change signage above front entry door way. Call for reinspection BLOG-Plumbing Final No BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes 07/24/2020 07/24/2020 BLDG-Flnal Inspection 133703-2020 Passed Paul Burnette Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Please add ADA blue stripe border at no Yes parking striping at front ramp approach. Please change signage above front entry doorway. Call for reinspection BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes Friday, July 24, 2020 Page 1 of 1 DATE: 3/12/2020 JURISDICTION: Carlsbad PLAN CHECK#.: CBC2020-0047 ✓• EsG1I ,A, SAFEbuilt Cornpany SET: II PROJECT ADDRESS: 2623 Gateway Rd. #102 PROJECT NAME: Spa T. I. □APPLICANT 1 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 contacted3p8-/>o (by¥YH Email: Mail Telephone 0 REMARKS: By: David Yao EsGil Fax In Person Enclosures: 2/27/20 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 DATE: 2/24/2020 JURISDICTION: Carlsbad PLAN CHECK#.: CBC2020-0047 ✓• EsG1I A SAFEbuilf Company SET: I PROJECT ADDRESS: 2623 Gateway Rd. #102 PROJECT NAME: Spa Tenant Improvement n L:cANT ,fa"JuRis D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's 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. ~ 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: D EsGil staff did not advise the applicant that the plan check has been completed. ~ EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Ning Li Telephone#: 858-380-6125 Date contacted: .. \~"\.P(by~ ) Email: raydrafting@yahoo.com Mail Telephone Fax In Person 0 REMARKS: By: Jason Pasiut EsGil 2/10/2020 Enclosures: 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Carlsbad CBC2020-0047 2/24/2020 PLAN REVIEW CORRECTION LIST COMMERCIAL PLAN CHECK#.: CBC2020-0047 OCCUPANCY: B TYPE OF CONSTRUCTION: V-B ALLOWABLE FLOOR AREA: complies SPRINKLERS?: YES REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 20 DATE INITIAL PLAN REVIEW COMPLETED: 2/24/2020 FOREWORD (PLEASE READ): JURISDICTION: Carlsbad USE: Spa ACTUAL AREA: 700sf STORIES: 1 HEIGHT: unchanged OCCUPANT LOAD: 5 DA TE PLANS RECEIVED BY ESGIL CORPORATION: 2/10/2020 PLAN REVIEWER: Jason Pasiut 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 2019 CBC, which adopts the 2018 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 2018 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 CBC2020-0047 2/24/2020 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 and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring Df/S2 corrected set of plans and calculations/reports to EsGil, 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 only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil is complete. ACCESSIBILITY FOR REMODELS, ADDITIONS, AND REPAIRS The following disabled access items are taken from the 2016 edition of California Building Code. Per Section 1.9.1.2, all privately funded public accommodations and commercial facilities shall be accessible to persons with disabilities. Where existing elements or spaces are altered, each altered element or space shall comply with applicable requirements of Division 2, including CBC section 11 B-202.4. CBC section 11 B-202.4 states that when alterations or additions are made to existing buildings, an accessible path of travel to the specific area of alteration shall be provided. See exceptions to 11 B-202.4. Detail on the plans the following elements of the existing path of travel that are required to comply with the 2016 accessibility standards: 1. Existing accessible parking reflectorized identification including the "van accessible", "250 fine", and "unauthorized vehicle parking" signs per 11 B-502.6, 11 B-502.6.2, 11 B-502.8.2. a) Existing accessible parking surface identification. 11 B-502.6.4.1. b) Existing access isle "NO PARKING" identification per 11 B-502.3.3 c) Provide the address and phone number for the location to reclaim towed vehicles. 11 B-502.8.2. 2. Show the permanent sign identifying the restroom on the latch side of the doorway, in compliance with 11 B-703.1,2,3, and 5. (raised characters with braille installed 48" from the baseline of the lowest braille and 60" from the baseline of the highest raised characters) Carlsbad CBC2020-0047 2/24/2020 3. Show that there will be a 44" clear path from the store entrance to the restroom. CBC 11 B 403.5.1 (5). INTERIOR BEARING/NON-BEARING PARTITIONS 4. Please provide a wall legend, indicate on the plans the wall type and reference the appropriate construction details. 5. Provide a section view of all new interior partitions. Show: a) Type, size and spacing of studs. Indicate gauge for metal studs. Specify manufacturer and approval number or indicate "to be ICC approved". b) Provide top of wall details at rated walls. 6. Provide a door schedule showing door widths, and hardware type. MECHANICAL/ ELECTRICAL/ PLUMBING 7. Please indicate if the mechanical system will be altered. If so, please provide complete plans. Please provide the required MECH forms to show energy compliance. The MECH forms shall be signed and imprinted to the plans. If the mechanical systems are not being altered, please indicate this on the cover sheet scope of work section. 8 Please indicate if the electrical system will be altered. If so, please provide complete plans including electrical load calculations and panel schedules that indicate new and existing loads. If the electrical systems are not being altered please indicate this on the cover sheet scope of work section. 9. Please indicate if the lighting system is to be altered. If so, please provide complete plans. Please provide the required energy compliance forms. The L TG forms shall be signed and imprinted on the plans. If the lighting systems are not being altered, please indicate this on the cover sheet scope of work section. 10. Please indicate if the plumbing system is to be altered. If so, please provide complete drain, waste, and vent plans showing pipe sizes, fixture vents, and connection to existing systems. If the plumbing systems are not being altered, please indicate this on the cover sheet scope of work section. END OF REVIEW To speed up the review process, please 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. Carlsbad CBC2020-0047 2/24/2020 Have changes been made to the plans not resulting from this correction list? Please indicate: □ Yes □ No The jurisdiction has contracted with EsGil, 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 Jason Pasiut at Esgil. Thank you. Carlsbad CBC2020-0047 2/24/2020 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Jason Pasiut BUILDING ADDRESS: 2623 Gateway Rd. #102 BUILDING OCCUPANCY: B BULDING AREA Valuation PORTION (Sq.Fl) Multiplier Tl 700 46.51 Air Conditioring Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By ordinance ,,,, I 19!17 UBC Building Permit Ftt ii'-'.J J n.1 ~,-. I 1997 UBC Plan Check F.. !_:tJ l~L%1l: T)1>8 of Review: i;;" Complete Review r Repetil!Yefee -. Repeats . ' Comments: r Other r Hourty EsGilFee ~ Reg. Mod. PLAN CHECK#.: CBC2020-0047 DATE: 2/24/2020 VALUE ($) 32,557 32,557 7 , r Structural Only $193.50, Sheet 1 of 1 ' DBA: GROTTO SPA . ' Qtountp of $)an 1!liego DEPARTMENT OF ENVIRONMENTAL HEALTH FOOD AND HOUSING DIVISION P,O. BOX 129261, SAN DIEGO, CA 92112-9261 Phone: (858) 505-6659 FAX: (858) 505-6824 1 (800) 253-9933 www.sdcdeh.org PLAN APPROVAL SHEET SITE: 2623 GATEWAY RD STE 102 CARLSBAD, CA 92009 BUSSINESS OWNER: STEVEN HOU Plans are approved contingent upon the following: AMY HARBERT Assistant Director DATE: 3/12/20 PC#: DEH2020-FMSG- 0005 l 5 1) Department of Environmental Health (DEH) stamped plans shall be maintained at the jobsite and available for review at the time of the inspection. 2) Changes to equipment layout or application must be submitted for approval. Changes made without approval will make the plan approval null and void. 3) Obtain local Building Department and all applicable agencies permits and approvals PRIOR TO FINAL INSPECTION AND APPROVAL TO OPERA TE BY THIS DEPARTMENT. 4) AT THE TIME WHEN THE FINAL INSPECTION IS REQUESTED, THE FACILITY SHALL HA VE ALL UTILITIES OPERATIONAL AND ALL HAND SINKS SHALL BE A MINIMUM OF I00°F- 1080F AND MOP SINK SHALL BE 120°F. ALL EQUIPMENT IS TO BE IN PLACE AND FUNCTIONAL. Plans reviewed by Chris Halsey. EHT CALL 858-505-6660 AT LEAST 10 WORKING DAYS IN ADVANCE TO SCHEDULE PRELIMENARY AND FINAL INSPECTIONS. A FINAL INSPECTION SHALL BE CONDUCTED AND AN ENVIRONMENTAL HEALTH PERMIT SHALL BE ISSUED PRIOR TO OPENING AND OPERATING THIS ESTABLISHMENT. MAR 1 2 2020 Clr\·i:::,;-1__,;·,· ·_::,:-~·,-\r-:; BU:L:~-.r·.:·~·:~ :·.1: _,;.::i"-;;'.J "Environmental and public health through leadership, partnership and science" SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY RECORD ID# __________________ I PLAN CHECK # __________________ I BP DATE Business Name Telephone# -0 () City CPI 'rl ~bc,d LA The following questions represent the acility's activities, NOT the specific project description. PART I: 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 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 6. Oxidizers 10. Cryogenics 13. Corrosives 14. Other Health Hazards 2. Compressed Gases 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These. 3. Flammable/Combustible Liquids 4. Flammable Solids 8. Unstable Reactives 12. Radioactives PART 11: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION HMD : If the answer to any of the questions is yes, applicant must contact the County o 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. Expected Date of Occupancy: FEES ARE REQUIRED Project Completion Date: (for new construction or remodeling projects) Is your business listed on the reverse side of this fonn? (check all that apply). □ CalARP Exempt I 1. 2. 3. 4. 5. 6. 7. 8. YES NO § l □ □ □ □ □ I Will your business dispose of Hazardous Substances or Medical Waste in any amount? Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? Will your business store or handle carcinogens/reproductive toxins in any quantity? Will your business use an existing or install an underground storage tank? Will your business store or handle Regulated Substances (CalARP)? Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? 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 . Date Initials □ CalARP Required I Date Initials □ CalARP Complete I Date Initials PART 111: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCDI: Any YES• answer requires a stamp from APCD 10124 Old Grove Road, San Diego, CA 92131 apcdcomp@sdcounty.ca.gov (858) 586-2650). j•No stamp required if 01 Yes and 03 Yes and 04-06 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 fanning part of a larger project. rExcludes garages & small outbuildings.] 1. 2. 3. YES NO § ~ Will the project disturb 160 square feet or more of existing building materials? Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition. (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance Technician? 4. □ (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. 5. 6. □ □ ~ 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/permlts.pdfl for typical equipment requiring an APCD permit. l¥J (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 business activities: ~ 4' ~ - Briefly describe proposed project: ( 1' ~M.tlb-(,, I declare und~r perlty of perjury that to the best of my knowledge and belief t e responses made herein are true and correct. ti ,n v•· Al , n S--1, , • '7L---I !.-I 2 " '-" Date Name of Owner or Authorized Agent Signature of Owner or Authorized Agent FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: ________________________________ _ BY· DATE· I I EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASEO FOR OCCUPANCY COUNTY-HMO' APCD COUNTY-HMO APCD COUNTY-HMO APCD *A stamp m this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other perm1ttIng 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 D Chemical Milling/Etching D Finish-Coating/Painting D Flame Spraying D Foundry 0 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 □ 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 □ 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 44 -Evaporators, Dryers & Stills Processing Organic Materials 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 COMBUSTION 34 -Piston Internal -Combustion Engines 13 -Boilers & Heaters (1 million BTU/hr or larger) 14 -Incinerators & Crematories 15 -Burn Out Ovens 16 -Core Ovens 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 ROCK AND MINERAL 04 -Hot Asphalt BatchPlants 05 -Rock Drills 06 -Screening Operations 07 -Sand Rock & Aggregate Plants 08 -Concrete Batch, CTB, Concrete Mixers, Mixers &Silos 1 O -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 (858) 586-2600. HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division • 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY 6200 Avenlda Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@enclnaJpa.com Date: _____ _ Business Name:. __________________ _ Street Address: __________________ _ Email Address: _________________ _ PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) □ Check all below that are present at your facility: Acid Cleaning 0 Food Processing 0 Metal Powders Forming Assembly 0 Glass Manufacturing 0 Nutritional Supplement/Vitamin Automotive Repair 0 Industrial Laundry Manufacturing Battery Manufacturing 0 Ink Manufacturing 0 Painting/Finishing Blofuel Manufacturing 0 Laboratory 0 Paint Manufacturing Blotech Laboratory 0 Machining/Milling 0 Personal Care Products Bulk Chemical Storage 0 Membrane manufacturing Manufacturing Car Wash (I.e. water filter membranes) 0 Pesticide Manufacturing/ Packaging Chemical Manufacturing 0 Metal Casting/Forming 0 Pharmaceutical Manufacturing Chemical Purification 0 Metal Fabrication (Including precursors) Dental Offices 0 Metal Finishing 0 Porcelain Enameling • Dental Schools • Electroplating 0 Power Generation • Dental Clinics • Electroless Plating 0 Print Shop Dry Cleaning • Anodizing 0 Research and Development Electrical Component • Coating (I.e. phosphatlng) 0 Rubber Manufacturing Manufacturing • Chemical Etching/MIiiing 0 Semiconductor Manufacturing Fertlllzer Manufacturing • Printed Circuit Board 0 Soap/Detergent Manufacturing Fllm/X-ray Processing Manufacturing 0 Waste Treatment/Storage New Business? Yes D No D SIC Code(s) If known: _____ _ Date operation began/will begin:. ______ _ Tenant Improvement? Yes D NoD If yes, briefly describe improvement: ________________ _ 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): _________________________ _ Have you applied for a Wastewater Discharge Permit from the Enclna Wastewater Authority? Yes D Date: ____ No D Pagel of 2 ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY 6200 Avenlda Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@enclnaJpa.com The commercial enterprises listed below are a partial listing of businesses that are exempt from industrial wastewater discharge permitting under normal operating conditions. They are exempt because (a) they discharge no process wastewater (i.e., they only discharge sanitary wastewater with no pollutants exceeding any local limits), and (b) they have no potential to negatively Impact the EWPCF or other wastewater treatment plants In the ESS. Any questions regarding exemptions should be referred to EWA Source Control staff. o Automobile Detailers o Hotels/Motels (no laundry) o Barber/Beauty Shops o Laundromats o Business/Sales Offices o Libraries o Cleaning Services o Medical Offices (no x-ray developing) o Carpet/Upholstery o Mortuaries o Childcare Facilities o Museums o Churches o Nall Salons o Community Centers o Nursing Homes o Consulting Services o Office Buildings (no process flow) o Contractors o Optical Services o Counseling Services o Pest Control Services (no pesticide repackaging for sale) o Educational Services (no auto repair/film developing) o Pet Boarding/Grooming Facilities o Financial Institutions/Services o Postal Services (no car wash/auto repair) o Fitness Centers o Public Storage Facilities o Gas Stations (no car wash/auto repair) o Restaurants/Bars o Grocery Stores (no film developing) o Retail/Wholesale Stores (no auto repair/film developing) o Residential based Businesses o Theaters (Movie/Live) CERTIFICATION STATEMENT I certify that the Information above Is true and correct to the best of my knowledge. Signature: ____________ _ Print Name: ___________ _ DATE: ____ _ Facility Contact: ___________ Title: _____________ _ ENCi NA WASTEWATER AUTHORITY 6200 AVENIDA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com Page 2 of 2 , C cicyof Carlsbad PURPOSE CLIMATE ACTION PLAN CONSISTENCY CHECKLIST 8-50 Development Services Building Division 1635 Faraday Avenue (760) 602-2719 www .ca rlsbadca .gov This checklist is intended to assist building permit applicants identify which Climate Action Plan (CAP) ordinance requirements apply to their projects. The completed checklist must be included in the building permit application. It may be necessary to supplement the completed checklist with supporting materials, calculations or certifications, to demonstrate full compliance with CAP ordinance requirements. For example, projects that propose or require a performance approach to comply with energy-related measures will need to attach to this checklist separate calculations and documentation as specified by the ordinances. NOTE: The following type of permits are not required to fill out this form ❖ Patio I ❖ Decks I ❖ PME (w/o panel upgrade) I ❖ Pool ,. If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required by ordinance, an explanation must be provided to the satisfaction of the Building Official. ,. Details on CAP ordinance requirements are available on the city's website. ,. A CAP Building Plan template (form B-55) shall be added to the title page all building plans. This template shall be completed to demonstrate project compliance with the CAP ordinances. Refer to the building application webpage and download the latest form. Project Name/Building Permit No.: Property Address/APN: Applicant Name/Co.: Applicant Address: Contact Phone: Contact Email: Contact information of person completing this checklist (if different than above): Name: Company name/address: Contact Phone: Contact Email: Applicant Signature: ____ N __ 1~--i--~--'----Date: B-50 Page 1 of 6 '(C1.')dY01-{i 111J @J'/c,.. tJv IV~ Revised 08/1 9 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: $ ~" " fl, ~ I D Residential 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 □ New construction 2A, 3A, 1B, 2B, 4A 3B,4A □ Additions and alterations: □ BPV < $60,000 N/A N/A All residential additions and alterations □ BPV;,: $60,000 1A, 4A 4A 1-2 family dwellings and townhouses with attached garages □ Electrical service panel upgrade only only *Multi-family dwellings only where interior finishes are removed □ BPV;,: $200,000 1A, 4A* 1B, 4A* and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed D Nonresidential □ New construction 1 B, 2B, 3B, 4B and 5 □ Alterations: □ BPV;,: $200,000 or additions ;,: 1,000 1B, 5 square feet □ BPV;,: $1 ,000,000 1B, 2B, 5 Building alterations of;,: 75% existing gross floor area □ ;,: 2,000 sq. ft. new roof addition 2B,5 1B also applies if BPV;,: $200,000 Checldlatllllln Checkhtaripopriateboxea, ... alnot--aldexceptionlama,aldp,Qlide--"9ClbMllonsaiddocunerullcx1•"'908MY· 1. Energy Efficiency Please refer to Cartsbad 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 permit valuation. See CMC section 18.30.190. Year Built Single-family Requirements □ Before 1978 Select one: □ Duct sealinQ □ Attic insulation D 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 permit valuation, or additions ~ 1,000 square feet □ NIA Updated 8/ I 5/20 19 2 ~ City of Carlsbad Climate Action Plan Consistency Checklist See CMC 18.21.155 and CALGreen Appendix AS, Division A5.2-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: comply with CMC 18.30.130 instead. 2. Photovoltaic Systems A. D Residential new construction (for low-rise residential building pennit 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 subject to 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. 0 Nonresidential new construction or alterations c!:$1,000,000 BPV and affecting c!:75% existing floor area, or addition that increases roof area by c!:2,000 square feel 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: □ Gross Floor Area (GFA) Method GFA: □If < 10,000s.f. Enter: 5 kWdc Min. System Size: D If .:: 1 O,OOOs.f. calculate: 15 kWdc x (GFN10,000) •• ___ kWdc **Round building size factor to nearest tenth, and round system size to nearest whole number. □ 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 D 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: □ One EVSE Ready parking space required □ Exception : □ Multi-family residential· □ Exception · Total Parking Spaces EVSE Spaces Proposed Capable Ready I 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.") l Total I *Major alterations are: (1) for one and two-family dwellings and townhouses with attached garages, alterations have a building perm~ 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 Capable 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 reouired 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 1 0 percent of total 50 percent of Reau ired EV Spaces Updated 8/ 15/20 19 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. lfTDM is applicable to your permit, staff will contact the applicant to develop a site-specific TOM plan based on the permtt details. Acknowledgment: Employee ADT Estimation for Various Commercial Uses EmpADTfor 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, 10th 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 I 1000 x 20 = 409 Employee ADT Retail: 9,334 sf 1. First 1,000 sf= 8 ADT 2. 9,334 sf -1,000 sf= 8,334 sf 3. 8,334 sf/ 1,000 x 4.5 + 8 = 46 Em lo ee ADT ~ I acknowledge that the plans submitted may be subject to the City of Carlsbad's Transportation Demand Management Ordinance. I agree to be contacted should my permit require a TOM plan and understand that an approved TOM plan is a condttion of permit issuance. Applicant Signature: ___ /v __ ,'_11\_Js-__ l __ ,· ________ _ Date: "];, ( .f ( '2--<.) 7,,,,D Person other than Applicant to be contacted for TDM compliance (if applicable): Name (Printed): ____ N_i_t1~} __ L __ i --=------ Email Address: YO\ Y dY0tf ti'Vl &:© Y~ 4 au, Call"' .i-..,,? t>Obl 1-S- Phone Number: ~ J 1> 1 ----- Updated 8/15/20 19 6 t