The URL can be used to link to this page

Home My WebLink About2656 GATEWAY RD; 140; CBC2018-0375; Recycle(City of Carlsbad WASTE MANAGEMENT PLAN B-59 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov Owner: C.Lcc. 6&\ 6"r Contractor: Job Address: 2_C, 6 (IA::Qc*jG7f Q-o\ Phone Number: Permit #: CPL 2rt - Estimated Cost of Project: $________________________________________ Type of Project: fl New Construction Remodel or T.I. []Residential fl Commercial LI Demolition (check all that apply) fl Other Non-hazardous construction waste generated during the course of this project shall be recycled and/or salvaged for re-use at a minimum of 65% per CALGreen Sec. 5.408.1. Failure to comply may result in a penalty fee up to $1,000. For projects which consist of mainly equipment and/or racking, that have a combined weight of new construction disposal that does not exceed 2 lbs per square foot of building area affected by this permit, may be deemed to meet the 65% minimum requirement upon approval of Building Department. ALTERNATIVE FORMS OF COMPLIANCE: (If selected, do not complete Tables 1 & 2 below) o Construction waste shall not exceed 2 lbs. per Sf. of area. All receipts shall be provided to the Building Official prior to final. (This option not applicable for most construction projects.) Square feet of construction area X 2 lbs. = lbs. of allowable waste. plan on using a WASTE MANAGEMENT roll-off bin. All receipts shall be provided to the Building Official prior to final. Table 1 - Estimated Waste (To be filled out prior to permit issuance - refer to example on Page 2.) MATERIALS lbs. of waste to betaken to LANDFILL lbs. of waste to be RE-USED or RECYCLED Waste Hauling Company or Re-Use Method Asphalt! Concrete Brick! Masonry Cardboard Drywall Landscape Debris Lumber! Wood Metals Mixed Waste Trash! Garbage Other: TOTAL lbs: Estimated Percentage to be Re-Used or Recycled % I certify that the informior..picpvided herein, to the best of my knowledge, is true and correct. or — tz-4-11 Date "Official Use My—o' 0 Plan Approved 0 Plan Denied 0 Project Valuation Approved Reviewed / Approved by:________________________________ Page lof2 REV.01-2017 Table 2 - Actual Waste (To be completed after construction.) MATERIALS lbs. of waste taken to LANDFILL lbs. of waste RE-USED or RECYCLED Waste Hauling Company or Re-Use Method (complete only if different than Table 1) Asphalt /Concrete Brick! Masonry Cardboard Drywall Landscape Debris Lumber! Wood Metals Mixed Waste 1' J/ Trash / Garbage Other: TOTAL lbs.: Actual Percentage Re-Used or Recycled I • 5 Official Use Only U 65% Goal Achieved D 65% Goal Not Achieved []Alternative Compliance Achieved Penalty Paid $ Reviewed / Approved by: EXAMPLE: Use the following example as a guide to completing this form. MATERIALS lbs. of waste to be taken to LANDFILL lbs. of waste to be RE-USED or RECYCLED Waste Hauling Company or Re-Use Method Asphalt/Concrete 0 3000 ARC. H-Ui RLI.vuci Co. Brick/Masonry 100 950 V/M / Re-1.4s0 ri.c o-sfte Cardboard 0 150 Aa1-to -vUvuci Co. Drywall 0 50 1e -l-ciLLI. Co. Landscape Debris 0 120 M14L&l0 e-Lsec Ov.-sIke Lumber/Wood 500 0 VIciste Mete&t Metals 300 200 VIM / AC -&ivLi. Mixed Waste 1500 0 VIM Trash / Garbage 300 0 WM Other: PooL CjLcvdte 0 500 lA$eG Cis C-rttskeo Fcse ot,-sfte TOTAL lbs.: 200 5,30 Percentage to be Re-Used or Recycled 6 7 % Formula: Total Re-used or Recycled X 100 = % Re-Used or Recycled (Total Combined Waste) 5370 X 100 = 67% Re-Used or Recycled (2700+ 5370) Since 67% exceeds the minimum requirement of 65%, this plan complies. Page 2 of 2 Construction Waste Management 02107/2019 15:17:38 wume Monthly Project Recycling Report WASTE MANAGEMENT Project: 2634 GATEWAY RD (CSI CONSTRUCTION) Target Diversion: 50.0% Eat. End Date: 12/3112019 Actual Diversion: 21.5% Diverted Residual Ticket Month ticket Date Ticket Destination Facility Hauler Material UOM Total Qty Qty Act % City SEPTEMBER 9/29/2018 16729 Palomar Landfill Residual Tons 3.18 0 0.sfl 3.18 SEPTEMBER 2018 9/29/2018 16739 Palomar Landfill Residual Tons 4.41 0 0.0% 4.41 SEPTEMBER Total: 2018 71.86 22.94 31.8% 48.92 OCTOBER 2018 10/31/2018 26192 EDCO (SAN MARCOS) Co-Mingled Tons 3.39 2.78 82.0% 0.61 OCTOBER 2018 1015/2018 18083 Moodys Construction Concrete Tons 10 10 100.0% 0 OCTOBER 2018 10/2/2018 17161 Palomar Landfill Residual Tons 11.6 0 0.0% 11.6 OCTOBER 2018 10/4/2018 17796 Palomar Landfill Residual Tons 2.87 0 0.0% 2.87 OCTOBER 2018 10/4/2018 17795 Palomar Landfill Residual Tons 6.44 0 0.0% 6.44 OCTOBER 2018 1019/2018 18281 Palomar Landfill Residual Tons 6.97 0 0.0% 6.97 OCTOBER 2018 10/9/2018 18282 Palomar Landfill Residual Tons 6.59 0 0.0% 6.59 OCTOBER 2018 10/10/2018 18984 Palomar Landfill Residual Tons 9.85 0 0.0% 9.85 OCTOBER 2018 10/16/2018 20785 Palomar Landfill Residual Tons 5.43 0 0.0% 5.43 OCTOBER 2018 10/16/2018 20788 Palomar Landfill . Residual Tons 8.24 0 0.0% 8.24 OCTOBER 2018 10/16/2018 20787 Palomar Landfill I Residual Tons 7.17 0 0.0% 7.17 OCTOBER 2018 10/22/2018 22942 Palomar Landfill Residual . Tons 2.87 0 0.0% 2.87 OCTOBER2018 10/22/2018 22943 Palomar Landfill Residual Tons 6.54 0 0.0% 6.54 OCTOBER 2018 10/23/2018 23304 Palomar Landfill ,Residual Tons 7.56 0 0.0% 7.56 OCTOBER 2018 10/24/2018 23639 Palomar Landfill . Residual Tons 3.56 0 0.0% 356 OCTOBER 2018 10/24/3018 23641 Palomar Landfill Residual Tons 3.61 0 0.0% 3.61 OCTOBER 2018 10/26/2018 25099 Palomar Landfill . . Residual Tons 2.98 0 0.0% 2.98 OCTOBER 2018 10/26/2018 25100 Palomar Landfill * Residual Tons 3.51 0 0.0% 3.51 OCTOBER 2018 10/30/2018 25793 Palomar Landfill . Residual Tons 11.07 0 0.0% 11.07 OCTOBER 2018 10/31/2018 26191 Palomar Landfill Residual Tons 10.32 0 0.0% 10.32 OCTOBER 2018 Total: . 130.67 12.18 9.8% 117.79 NOVEMBER 201811/3/2018 27737 EDCO (SAN MARCOS) . Co-Mingled Tons 6.32 5.18 82.0% 1.14 NOVEMBER2OI811/3/2018 27738 Palomar Landfill Residual Tons 3.72 0 0.0% 3.72 NOVEMBER 201811/7/2018 28861 Palomar Landfill Residual Tons 7.94 0 0.0% 7.94 NOVEMBER 201811f7/2018 28862 Palomar Landfill Residual Tons 11.34 0 0.0% 11.34 NOVEMBER 201811/8/2018 29500 Palomar Landfill Residual Tons 4.36 0 0.0% 4.36 NOVEMBER 201811/10/2018 30171 Palomar Landfill Residual Tons 10.89 0 0.0% 10.89 NOVEMBER 201811/10/2018 30172 Palomar Landfill Residual Tons 9.61 0 0.0% 9.61 NOVEMBER 201811/13/2018 30482 Palomar Landfill Residual Tons 14.67 0 0.0% 14.67 NOVEMBER 201811/13/2018 30461 Palomar Landfill Residual Tons 10.64 0 0.0% 10.64 NOVEMBER 201811/13/2018 31228 Palomar Landfill Residual Tons 11.67 0 0.0% 11.67 NOVEMBER 201811/1612018 32224 Palomar Landfill Residual Tons 0.79 0 0.0% 0.79 NOVEMBER 201811/16/2018 32223 Palomar Landfill Residual Tons 5.2 0 0.0% 5.2 NOVEMBER 201811/16/2018 32225 Palomar Landfill Residual Tons 4.05 0 0.0% 4.05 Page 4 Please consider the environment before printing Construction Waste Management 02/07/2019 15:17:38 Monthly Project Recycling Report wwma WASTE MANAGEMENT Project: 2634 GATEWAY RD (CSI CONSTRUCTION) Target Diversion: 50.0% Est. End Date: 12131/2019 Actual Diversion: 21.5% Diverted Residual Ticket Month Ticket Date Ticket Destination Facility Hauler Material UOM Total Qty Qty Act % Qty NOVEMBER 201811/17/2018 32362 Palomar Landfill Residual Tons 6.34 0 0.0% 6.34 NOVEMBER 201811/21/2018 33657 Palomar Landfill Residual Tons 8.07 0 0.0% 8.07 NOVEMBER 201811/27/2018 34652 Palomar Landfill Residual Tons 5.46 0 0.0% 5.46 NOVEMBER 2018Total: 121.07 5.18 4.3% 115.89 DECEMBER 201812/12/2018 39703 EDCO (SAN MARCOS) Co-Mingled Tons 1.01 0.83 82.2% 0.18 DECEMBER 2018121115/2018 41433 EDCO (SAN MARCOS) Co-Mingled Tons 0.67 0.55 82.1% 0.12 DECEMBER 201812119/2018 42748 MoodysConstnjction Concrete Tons 1 1 100.0% 0 DECEMBER 201812127/2018 44751 MoodysConstructon Concrete Tons 10 10 100.0% 0 DECEMBER 20181211/2018 36482 Palomar Landfill Residual Tons 4.25 0 0.0% 4.25 DECEMBER 201812/3/2018 36700 Palomar Landfill Residual Tons 5.42 0 0.0% 5.42 DECEMBER 201812/4/2018 37283 Palomar Landfill Residual Tons 10.14 0 0.0% 10.14 DECEMBER 201812/1312018 40713 Palomar Landfill Residual Tons 6.38 0 0.0% 6.38 DECEMBER 201812113/2018 40715 Palomar Landfill Residual Tons 5.33 0 0.0% 5.33 DECEMBER 20`1812/1912018 42859 PalomarLandflll Residual Tons 5.36 0 0.0% 5.36 DECEMBER 201812/20/2018 43859 Palomar Landfill Residual Tons 6.15 0 0.0% 6.15 DECEMBER 201812/20/2018 43323 Palomar Landfill Residual Tons 1.09 0 0.0% 1.09 DECEMBER 201812/27/2018 44750 Palomar Landfill Residual Tons 4.88 0 0.0% 4.88 DECEMBER 201812/29/2018 45596 Palomar Landfill Residual Tons 4.31 0 0.0% 4.31 DECEMBER 20187otal: 65.99 12.38 18.8% 53.61 JANUARY 2019 1/2/2019 45702 Palomar Landfill Residual Tons 9.28 0 0.0% 9.28 JANUARY 2019 1/2/2019 45703 Palomar Landfill Residual Tons 1 0 0.0% 1 JANUARY 2019 1/3/2019 45873 Palomar Landfill Residual Tons 6.76 0 0.0% 6.76 JANUARY 2019 1/5/2019 47517 Palomar Landfill Residual Tons 5.26 0 0.0% 5.26 JANUARY 2019 1/8/2019 48348 Palomar Landfill Residual Tons 10.22 0 0.0% 10.22 JANUARY 2019 1/8/2019 48338 Palomar Landfill Residual Tons 8.62 0 0.0% 8.62 JANUARY 2019 1/12/2019 49977 Palomar Landfill Residual Tons 3.87 0 0.0% 3.87 JANUARY 2019 1/15/2019 50276 Palomar Landfill Residual Tons 3.37 0 0.0% 3.37 JANUARY 2019 Total: 48.38 0 0.0% 48.38 Total: 667.69 143.68 21.5% 524.01 Page 5 Please consider the environment before printing C10tv of Carlsbad NONRESIDENTIAL GREEN BUILDING CODE STANDARDS MANDATORY MEASURES CERTIFICATION CHECKLIST B-52 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov Thiiform, signed and completed, and all receipts f7the recycled materials shall bi submitted to the Building Inspector prior to Final Inspection.1 Site Development Mandatory 5.106.1 Storm water pollution prevention plan. For projects of one acre or less, develop a Storm Water Pollution Prevention Plan (SWPPP) that has been designed specific to its site, conforming to (X) the State Storm water NPDES Construction Permit or local ordinance, whichever is stricter, as is required for projects over one acre. The plan should cover prevention of soil loss by storm water run-off and/or wind erosion, of sedimentation and/or of dust/particulate matter air pollution. 5.106.4 Bicycle parking and changing rooms. Comply with Sections 5.106.4.1 and 5.106.4.2; or (X) meet local ordinance, whichever is stricter. 5.106.4.1 Short-Term bicycle parking. If the project is expected to generate visitor traffic, provide permanently anchored bicycle racks within 200 feet of the visitor's entrance, readily visible to (x) passers-by, for 5 percent of visitor motorized vehicle parking capacity, with a minimum of one two- bike capacity rack. 5.106.4.2 Long Term bicycle parking. For buildings with over 10 tenant-occupants, provide secure bicycle parking for 5 percent of tenant-occupied motorized vehicle parking capacity, with a minimum (x) of one space. 5.106.5.2 Designated parking. Provide designated parking for any combination of low emitting, fuel-efficient and carpool/van pool vehicles as shown in Table 5.106.5.3.1. (X) 5.106.8 Light pollution reduction. Comply with lighting power requirements in the California Energy Code and design interior lighting such that zero direct-beam illumination leaves the building (X) site. Meet or exceed exterior light levels and uniformity ratios for lighting zones 1-4 as defined in Chapter 10 of the California Administrative Code, using the following strategies: Shield all exterior luminaries or use cutoff luminaries . (x) Contain interior lighting within each source (X) Allow no more than .01 horizontal foot candle 15ff. beyond the site (X) Contain all exterior lighting within property boundaries (X) Exception: See part 2, Chapter 12, Section 1205.6 for campus lighting requirements for parking facilities and walkways. 5.106.10 Grading and paving. The site shall be planned and developed to keep surface water away from buildings. Construction plans shall indicate how site grading or drainage system will (X) manage all surface water flows. Water Efficiency and Conservation Indoor Water Use 5.303.1 Meters. Separate meters shall be installed for the uses described in Sections 503. 1.1 (x) through 503.1.3. 5303.1 .1 Buildings in excess of 50,000 square feet. Separate sub-meters shall be installed as follows: For each individual leased, rented, or other tenant space within the building projected to (X) consume more than 100 gal/day. For spaces used for laundry or cleaners, restaurant or food service, medical or dental office, laboratory or beauty salon or barber shop projected to consume more than 100 gal/day. B-52 Page 1 of 5 Rev. 5/17 5.303.1.2 Excess consumption. Any building within a project or space within a building that is projected to consume more than 1,000 gal/day. (X) 5.303 Percent savings. A schedule of plumbing fixtures and fixture fittings that will reduce the overall use of potable water within the building by 20 percent shall be provided (Calculate (x) savings by Water Use Worksheets or utilize Table 5.303.2.3). 5.303.2.1 Multiple showerheads serving one shower. When single shower fixtures are served by more than one showerhead, the combined flow rate of all the showerheads shall not (x) exceed the maximum flow rates specified in the 20 percent reduction column contained in Table 5.303.2.3 or the shower shall be designed to allow only one showerhead to be in operation at a time. 5303.6 Plumbing fixtures and fittings. Plumbing fixtures (water closets and urinals) and fittings (faucets and showerheads) shall comply with the requirements listed As applicable for each type in items listed in Table 5.303.6. Water closets (toilets) - flushometer type (x) Water closets (toilets) - tank type (X) Urinals (x) Public lavatory faucets (X) Public metering self-closing faucets (x) Residential bathroom lavatory sink faucets (x) Residential bathroom lavatory sinks (x) Residential showerheads (x) Single shower fixtures served by more than one showerhead (x) Outdoor Water Use 5.304.1 Water Budget. A water budget shall be developed for landscaping irrigation use. (X) 5.304.2 Outdoor potable water use. For new water service, separate meters or submeters shall be installed for indoor and outdoor potable water use for landscaped areas between 1,000 and 5,000 square feet. (x) 5.304.3 Irrigation design. In new nonresidential projects with between 1,000 and 2,500 square feet of landscaped area (the level at which the MLO applies), install irrigation controllers and sensors which include the following criteria and meet manufacturer's recommendations. 5.304.1.1 Irrigation controllers. Automatic irrigation system controllers installed at the time of final inspection shall comply with the following: Controllers shall be weather- or soil moisture-based controllers that automatically adjust irrigation in response to changes in plant's needs as weather conditions change. (x) Weather based controllers without integral rain sensors or communication systems that As applicable account for local rainfall shall have separate wired or wireless rain sensors which connects or (x) communicates with the controller(s). Soil moisture-based controllers are not required to have rain sensor input. Construction Waste Management Plan (x) 5.408.1 Construction waste diversion. Establish a construction waste management plan or meet local ordinance, whichever is more stringent. (x) 5.408.2 Construction waste management plan. Submit plan per this section to enforcement authority within the city. 5.408.1.4 Documentation. Provide documentation of the waste management plan (see form (x) B-59) that meets the requirements listed in Section 5.408.1.1 thru 5.408.1.3 and the plan is accessible to the enforcement authority. 5.408.3 Construction waste. Recycle and/or salvage for reuse a minimum of 50 percent of nonhazardous construction and demolition debris or meet local ordinance, whichever is more stringent. (X) Exceptions: Excavated soil and land-clearing debris Alternate waste reduction methods, developed by working with local agencies if diversion or recycle facilities capable of compliance with this item do not exist. 5.408.3 Excavated soil and land clearing debris. 100 percent of trees. Stumps, rocks and B-52 Page 2 of 5 Rev. 5/17 associated vegetation and soils resulting primarily from land clearing shall be reused or I Building Maintenance and Operation 5.410.1 Recycling by occupants. Provide readily accessible areas that serve the entire building and are identified for the depositing, storage and collection of nonhazardous materials (X) for recycling. 5.410.2 Commissioning. For new buildings 10,000 square feet and over, building (X) commissioning for all building systems covered by T24, Part 6, process systems and renewable energy systems shall be included in the design and construction processes of the building project. Commissioning requirements shall include items listed in Section 5.410.2. - 5.410.2.6 (X) 5.410.2.1 Owner's Project Requirements (OPR). Documented before the design phase of the project begins the OPR shall include items listed in Section 5.410.4. (x) 5.410.2.2 Basis of Design (BOO). A written explanation of how the design of the building systems meets the OPR shall be completed at the design phase of the building project and updated periodically to cover the systems listed in Section 5.410.2.2. (x) 5.410.2.3 Commissioning plan. A commissioning plan describing how the project will be commissioned shall be started during the design phase of the building project and shall include items listed in Section 5.410.2.3. (X) 5.410.2.4 Functional performance testing shall demonstrate the correct installation and operation of each component, system and system-to-system interface in accordance with the (X) approved plans and specifications. 5.410.2.5 Documentation and training. A Systems manual and systems operations training are required. (x) 5.410.2.5.1 Systems manual. The systems manual shall be delivered to the building owner or representative and facilities operator and shall include the items listed in Section 5.410.2.5.1. (X) 5.410.2.5.2 Systems operations training. The training of the appropriate maintenance staff for each equipment type and/or system shall include items listed in Section 5.410.2.5.2. (X) 5.410.2.6 Commissioning report. A complete report of commissioning process activities undertaken through the design, construction and reporting recommendations for post construction phases of the building project shall be completed and provided to the owner or representative. 5.410.4 Testing and adjusting. Testing and adjusting of systems shall be required for (X) buildings less than 10,000 square feet. 5.410.4.2 Systems. Develop a written plan of procedures for testing and adjusting systems. (X) Systems to be included for testing and adjusting shall include, as applicable to the project, the systems listed in Section 5.410.3.2. (X) 5.410.4.3 Procedures. Perform testing and adjusting procedures in accordance with industry best practices and applicable national standards on each system. (X) 5.410.4.3 HVAC balancing. Before a new space-conditioned system serving a building or space is operated for normal use, the system should be balanced in accordance with the procedures defined by national standards listed in Section 5.410.3.3.1. (X) 5.410.4.4 Reporting. After completion of testing, adjusting and balancing, provide a final report (X) of testing signed by the individual responsible for performing those services. maintenance instructions and copies of guaranties/warranties for each system prior to final inspection. 5.410.4.5 Operation and maintenance manual. Provide the building owner with detailed operating and maintenance manual 5.410.4.5.1 Inspection and reports. Include a copy of all inspection verifications and reports required by the enforcing agency. - B-52 Page 3 of 5 Rev. 5/17 I Environmental Quality Fireplaces 5.503.1 Install only a direct-vent sealed-combustion gas or sealed wood-burning fireplace or a (X) sealed woodstove and refer to residential requirements in the California Energy Code, Title 24, Part 6, Subchapter 7, Section 150. . As Applicable 5.503.1.1 Woodstoves. Woodstoves shall comply with US EPA Phase II emission limits. (x) Weather Resistance and Moisture Management 5.407.1 Weather protection. Provide a weather-resistant exterior wall and foundation envelope as required by California Building Code Section 1403.2 and California Energy Code Section 150, (x) manufacturer's installation instruction instructions or local ordinance, whichever is more stringent. 5.407.2 Moisture control. Employ moisture control measured by the following methods: 5.407.2.1 Sprinklers. Prevent irrigation spray on structures. (x) 5.407.2.2 Entries and openings. Design exterior entries and openings to prevent water intrusion (x) into buildings. Pollution Control 5.504.3 Covering of duct openings and protection of mechanical equipment during construction. At the time of rough installation or during storage on the construction site and until final start up of the heating and cooling equipment, all duct and other related air distribution (X) component openings shall be covered with tape, plastic, sheet metal or other methods to reduce the debris duct the _amount _of _or_ _which _may _collect _in_ _system. 5.504.5.3 Filters. In mechanically ventilated buildings, provide regularly occupied areas of the building with outside and return air prior to occupancy that provides at least a MERV of 8. 5.504.4 Finish material pollutant control. Finish materials shall comply with Sections 5.504.4.1 through 5.504.4.6 5.504.4.1 Adhesives, sealants, caulks. Adhesives and sealants used on the project shall meet the requirements of the following standards: (X) Adhesives, adhesive bonding primers, adhesive primers, sealants, sealant primers and caulks shall comply with local or regional air pollution control or air quality management district rules where applicable or SCAQMD Rule 1168 VOC limits as shown in Tables 5.504.4.1 and 5.504.4.2. Aerosol adhesives and smaller unit sizes of adhesives and sealant or caulking compounds (in units of product, less packaging, which do not weigh more than one pound and do not consist of more than 16 fluid ounces) shall comply with statewide VOC standards and other requirements, including prohibitions on use of certain toxic compounds, of California Code of Regulations, Title 17, commencing with Section 94507. 5.504.4.3 Paint and coatings. Architectural paints and coatings shall comply with Table 5.504.4.3 5.504.4.3.1 Aerosol paints and coatings. Aerosol paints and coatings shall meet the Product- Weighted MIR limits for ROC in Section 94522 (a)(3) and other requirements, including prohibition on use of certain toxic compounds and ozone depleting substances (CCR, Title 17, Section 94520 et seq.). 5.504.4 Carpet systems. All carpet installed in the building interior shall meet the testing and product requirements of one of the standards listed in Section 5.504.4.4. 50504.4.4.1 Carpet cushion. All carpet cushion installed in the building interior shall meet the requirements of the Carpet and Rug Institute Green Label Program. 5.504.4.4.2 Carpet adhesive. All carpet adhesive shall meet the requirements of Table 804.4.1. 5.504.4.5 Composite wood products. Hardwood, plywood, particleboard and medium density fiberboard composite wood products used on the interior or exterior of the building shall meet the requirements for formaldehyde as specified in Table 5.504.4. 5.504.4.5.2 Documentation. Verification of compliance with this section shall be provided as requested by the enforcing agency. Documentation shall include at least one of the following: Product certification and specifications Chain of custody certifications Other methods acceptable to the enforcing agency 5.504.4.6 Resilient flooring systems. Comply with the VOC emission limits defined in the 2009 (x) CHPS criteria and listed on its Low-emitting Materials List (or product registry) or certified under the FloorScore program of the Resilient Floor Covering Institute. I B-52 Page 4 of 5 Rev. 5/17 Indoor Moisture and Radon Control 5.505.1 Indoor moisture control. Buildings shall meet or exceed the provisions of the California Building Code, Title 24 Part 2, Sections 1203 (Ventilation) Chapter 14.1. (x) Air quality and Exhaust 5.506.1 Outside air delivery. For mechanically or naturally ventilated spaces in buildings, meet the (X) minimum requirements of Section 121 of the California Energy Code, CCR, Title 24, Part 6 and Chapter 4 of CCR, Title 8 or the applicable local code, whichever is more stringent. 5.506.2 Carbon DIOXIDE (CO2) monitoring. For buildings equipped with demand control ventilation, CO2 sensors and ventilation controls shall be specified and installed in accordance with the (x) requirements of the latest edition of the California Energy Code, Title 24, Part 6, Section 120.1.(C) (4). Outdoor Air Quality 5.508.1 Ozone depletion and global warming reductions. Installations of HVAC, refrigeration and fire suppression equipment shall comply with Sections 5.508.1.1 and 5.508.1.2. As 5.508.1 CFCs. Install HVAC and refrigeration equipment that does not contain CFCs. applicable 5.508.1.2 Halons. Install fire suppression equipment that does not contain Halons. (x) (X) I, as the professional responsible for this project, certify that, to the best of my knowledge, the mandatory items listed on this form have been incorporated into the project in order to comply with Title 24, Part 11 of the 2016 California Green Building Standards. All receipts for recycled materials have been attached to this form. Project Address: J. 14o Plan Check Number: -C-2)r— 9,0\' .-o33. Print Name: QCQ 1'.AS cv Signed: License Number: Date: I I B-52 Page 5 of 5 Rev. 5/17 I, / j / PRE-FUNCTIONAL CHECKSHEET (PFT)Healthy- FAN UNIT Buildin cis PROJECT: IdCf( k\L( OC hOTEST DATE: g / SYSTEM: LOCATION: cii id EQUIPMENT TAG: TESTED BY: DESCRIPTION SUBMITTAL DATA VERIFICATION MANUFACTURER MODEL # / SIZE 15C) CsS S. SERIALU BASE & DUCT CONNECTIONS MAINTENANCE ACCESS SHIPPING BRACKETS REMOVED be S FLEX CONNECTION / VIBRATION ISOLATION ELECTRICAL INSTALLED OVERLOAD PROTECTION INSTALLED BELTS & SHEAVES INSTALLED MOTOR HP I(z.. MOTOR VOLTAGE MOTOR AMPS FAN RPM _ca-i FAN CONTROL SEQUENCE VERIFIED OPERATING WITHOUT VIBRATION U PREFUNCTIONAL CHECKSHEET (PFT) Healthy FAN UNIT Bui ldegi PROJECT: Ik(3 pflc21 )ia1 TEST DATE: Z-1 q (1 q SYSTEM: &r kooA LOCATION: Zo t/ 14 EQUIPMENTTAG: TESTED BY: DESCRIPTION SUBMITTAL DATA VERIFICATION MANUFACTURER (ok.. MODEL#/SIZE Rt CP3 S SERIAL# BASE & DUCT CONNECTIONS g%Ø 4 2Z MAINTENANCE ACCESS SHIPPING BRACKETS REMOVED FLEX CONNECTION / VIBRATION ISOLATION ELECTRICAL INSTALLED OVERLOAD PROTECTION INSTALLED BELTS & SHEAVES INSTALLED MOTOR HP - MOTOR VOLTAGE MOTORAMPS LIL FAN RPM FAN CONTROL SEQUENCE VERIFIED OPERATING WITHOUT VIBRATION 44 ALL STAR A/C LIC#943414 CHULA VISTA, CA, 91911 OFFICE # 619-251-1000 ALLSTARAC-CV.NET OUTLET AIR BALANCE REPORT ProjectCtct(c\ (Ls prei1 (e. Job No. Date 2- j Location 7-QTqAllfum çct ked System Instruments Used A\ riO'( Tested By 1a4i P ROOM AREA SERVED OPENING REQUIRED PRELIMINARY FINAL ____ NO. Model Size Vel CFM Vel CFM 106 mqq tqc Zow rckc' EI - S 1/' IbO 1106 iôo leo co 30 31 5O SW ioo t6n '4' 700 7D I S 7 LIG 7c ZL1\2 &ISO 70 2- (51c L'LO co L/5V 4 090 15M (co &0c O __ bOO ____ ALL STAR A/C LIC#943414 CHULA VISTA, CA, 91911 OFFICE # 619-251-1000 ALLSTARAC-CV.NET OUTLET AIR BALANCE REPORT ProjectC.V\Ci JJk\[S QflCk Job No. Date 2fr/ Location - System Instruments Used Tested By &qnjon P ROOM AREA SERVED OPENING ____ REQUIRED PRELIMINARY FINAL NO.Model Size Vel CFM Vel CFM ioo t;c ico 0 250 lcD ZOO \O 1 nS I%S - IS jq0 io 110 io 60 1 pkeY VtO t5-0 zqc 7-q 0 Zqj 7-3c Zfi ?'Yol \2- \c c O.r.-r. "i36$-k A 62.14• VtfI4J4 0 . -74- 1 1ZA4 .ii :& b. -i. '3.q 1cT4. bq.g 44o1'% ALL STAR A/C LIC#943414 CHULA VISTA, CA, 91911 OFFICE # 619-251-1000 ALLSTARAC-CV.NET OUTLET AIR BALANCE REPORT Project&WJ tQfS çbflc4k hi?C. Job No. Date z( / Location ZL'E 6a4ttIA../ ri1i co, iS bctô System i-)-P Instruments Used cc . Tested By ROOM AREA SERVED ____ OPENING REQUIRED PRELIMINARY FINAL NO. Model Size Vel CFM Vel CFM lZ Z20 1W 3 1 - (oo IZO &IL Zo S1) ZAO Ztuto ot ZLI~ 1 ZL(O3c vto_ lo C&t tO" . mtc11 . rn' cca1 Z-() Z. Is 2- q< pcc L- Ce 't' co O PRE-FUNCTIONAL CHECKSHEET (PFT) Healthy PACKAGED HEAT PUMP Buildgs PROJECT: Ichafid LA2dQ5 PanC k 61,5f TEST DATE: ) SYSTEM: K-e1'ci/ divtc'j LOCATION: Z&57, cOf ccl EQUIPMENT TAG: j_L TESTED BY: j'an oLv 1' DESCRIPTION SUBMITTAL DATA VERIFICATION MANUFACTURER MODEL# 5704CQykuMo PHASE/HZ VOLTAGE FLA AMPS POWER CIRCUIT INSTALLED CORRECTLY OVERLOAD PROTECTION INSTALLED VISIBLE DAMAGE VIBRATION ISOLATION INSTALLED CORRECTLY CONDENSATE DRAIN LINE & TRAP INSTALLED CORRECT FILTERS INSTALLED OSA DAMPER INSTALLED SMOKE DETECTOR INSTALLED (IF APPLICABLE) COMPRESSORS MANUFACTURER MODEL# PHASE/HZ p//oIiz. VOLTAGE AMPS CONDENSER FAN SECTION MANUFACTURER MODEL# (75(a 7 C(2.. PHASE/HZ VOLTAGE AMPS 16 EVAPORATOR SECTION SUPPLY FAN/MOTOR BELT TENSION & ALIGNMENT SUPPLY FAN MOTOR HP CONFIRMED SUPPLY FAN VOLTAGE/PHASE/HZ CONFIRMED SUPPLY FAN MOTOR FLA AMPS RATING CONFIRMED CONTROLS FAN CONTROL SEQUENCE VERIFIED I f5 COMPRESSOR CONTROL SEQUENCE VERIFIED SMOKE DETECTOR CIRCUIT SHUT DOWN VERIFIED CALIBRATE THERMOSTAT OR ROOM SENSOR NOTES: I PRE-FUNCTIONAL CHECKSHEET (PFT) Healthy PACKAGED HEAT PUMP Buildinas PROJECT: 4jpj hcU TEST DATE: zfci /jg SYSTEM: 44cii LOCATION: EQUIPMENT TAG: TESTED BY: 6-2idat P DESCRIPTION SUBMITTAL DATA VERIFICATION MANUFACTURER MODEL# 50904 DOIAZ(-A &70 PHASE / HZ _3r\ (bO1L VOLTAGE FLA AMPS 0.7 POWER CIRCUIT INSTALLED CORRECTLY OVERLOAD PROTECTION INSTALLED VISIBLE DAMAGE VIBRATION ISOLATION INSTALLED CORRECTLY CONDENSATE DRAIN LINE & TRAP INSTALLED CORRECT FILTERS INSTALLED OSA DAMPER INSTALLED SMOKE DETECTOR INSTALLED (IF APPLICABLE) COMPRESSORS MANUFACTURER MODEL # PHASE/HZ VOLTAGE AMPS CONDENSERFAN SECTION MANUFACTURER MODEL# PHASE/HZ Qh /2.c112 VOLTAGE AMPS Cl EVAPORATOR SECTION SUPPLY FAN/MOTOR BELT TENSION & ALIGNMENT SUPPLY FAN MOTOR HP CONFIRMED SUPPLY FAN VOLTAGE/PHASE/HZ CONFIRMED •..jec SUPPLY FAN MOTOR FLA AMPS RATING CONFIRMED CONTROLS FAN CONTROL SEQUENCE VERIFIED /rs COMPRESSOR CONTROL SEQUENCE VERIFIED SMOKE DETECTOR CIRCUIT SHUT DOWN VERIFIED S CALIBRATE THERMOSTAT OR ROOM SENSOR 3 NOTES: PRE-FUNCTIONAL CHECKSHEET (PFT) Healthy MAKE-UP AIR UNIT PROJECT: /'I1(WVACnk. 6t.tSES1' DATE: / SYSTEM: j4? Kt,r LOCATION: 27L 4l4 ra( EQUIPMENTTAG: TESTED BY: rpQ'aj r DESCRIPTION SUBMITTAL DATA VERIFICATION MANUFACTURER CcxK MODEL# SERIAL# 11,~,%cb L35115 PHASE VOLTAGE AMPS POWER CIRCUIT INSTALLED SATISFACTORY OVERLOAD PROTECTION INSTALLED DRAIN LINE & TRAP INSTALLED CORRECTLY CONTROLS COMPLETE CORRECT FILTERS INSTALLED' SMOKE DETECTOR INSTALLED & WIRED Al FAN SECTION FAN PULLEY DIAMETER / BORE MOTOR PULLEY DIAMETER / BORE 4" 3J BELT SI2E/NUMBER )(S-7 MOTOR HP/PHASE VOLTAGE AMPS 74 FAN ROTATION ______ EVAPORATIVE COOLER PUMP FLOW WATER DISTRIBUTION SYSTEM CHECK HEATER SECTION OPERATIONAL VERIFICATION I IJ/pr CONTROLS FAN CONTROL SEQUENCE VERIFIED SMOKE DETECTOR CIRCUIT SHUT DOWN VERIFIED CALIBRATE THERMOSTAT / ROOM SENSOR CALIBRATE DUCT TEMP SENSOR v 14w