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Home My WebLink About2701 LOKER AVE W; 100; CBC2019-0479; Permit(rc ity of Carlsbad Commercial Permit Print Date: 01/03/2020 Permit No: CBC2019-0479 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: Applicant: ERIN JUSTINSCOTT 619-702-0380 2701 Loker Ave W, 100 BLDG-Commercial 2090812200 $145,250.73 Work Class: Lot #: Reference #: Construction Type: Bathrooms: One. Plan Check #: Plan Check #: Tenant Improvement Status: Closed - Finaled Applied: 10/07/2019 Issued: 11/04/2019 Permit Finaled: Inspector: .PYork Final Inspection: 1/3/2020 11:12:49AM Contractor. S P WHITE CONSTRUCTION INC 2524 Gateway Rd Carlsbad, CA 92009-1742 760-931-1130 ALOGENT: 3,123 SF T.I. (OFFICE TO OFFICE) Owner: REEF PALOMAR LLC 2701 Loker Ave CARLSBAD, CA 92008 BUILDING PERMIT FEE ($2000+) $789.30 BUILDING PLAN CHECK FEE (BLDG) $552.51 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL $89.00 MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL $55.00 PLUMBING BLDG COMMERCIAL NEW/ADDITION/REMODEL $86.00 5B1473 GREEN BUILDING STATE STANDARDS FEE $6.00 STRONG MOTION-COMMERCIAL . $40.67 Total Fees: $1,618.48 Total Payments To Date: $1,618.48 Balance Due: $0.00 Please take NOTICE that approval of your project includes the: "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." YOu have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute Of limitation has previously otherwise expired. 1635 Faraday Avenue, Carlsbad, CA 92008-7314 1 760-602-2760 1760-602-8560 f I www.carlsbadca.gov 44 I City C Carlsbad COMMERCIAL BUILDING PERMIT APPLICATION B2 Plan Check Est. Value PC Deposit Date Job Address 2071 Loker Avenue Suite: _100 APN:_2090812200 Tenant Name: Alogent CT/Project it: tot #: 22 Occupancy: B Office Construction Type: IA Fire SprinkIers()/ no Air Conditioning: no BRIEF DESCRIPTION OF WORK: 'TernrA C] Addition/New: New SF and Use, New SF and Use, ________ Deck SF, ________ Patio Cover SF (not including flatwork) J Tenant improvement: 3,123 SF, Existing Use Office Proposed Use Office SF, Existing Use Proposed Use O Pool/Spa: SF Additional Gas or Electrical Features? o Solar. KW, _____ Modules, _______ Mounted, nit: Yes / No, RMA: Yes / No, Panel Upgrade: Yes / No 0 Plumbing/Mechanical/Electrical Only: 0 Other: APPLICANT (PRIMARY) PROPERTY OWNER Name: Hurkes Harris Design Associates Name: Drire.Q4 c.X-t.ç Address: 31S 2pvIflp ctfD 12, 67ode 2ç Address: City: Sr- Ttecç_State:zip: 412.LOg city: _1Pc State. CA.Zip:Q22j Phone: (G I')_ó2 -03 kb Phone: _Lit'-t e 4o -2..Lci) Email: rus_ tbW% Email: _CL irre. \ruç.corY't DESIGN PROFESSIONAL Name: utitS rrç Decyi Ascoc. Address: Zt2 a&P 1pivn C-6614e 2S7 City: _.S State.--LA. Zip: ii). IO Phone: ( cy ,4) 0-V TO Email: tiusknapOi2h fidainc. ,,pv. Architect State License: C- 24 '14 c CONTRACTOR BUSINESS Name: Address: 2L\ P6nApicw Q.d - City: State:C..AZip: Phone: C1Q- Vt? Email:_%YArcL ( cL State License- 1023856 Bus. License:_BLNR000431022017 (Sec. 703L5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's Ucense Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he/she Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Buildingiacarlsbadca.gov B-2 Page lof 2 Rev. 06/18 (OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-Insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. gyf have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation Insurance carrier and policy number are: Insurance Company Name: State Compensation ins. Fund Policy No. 9243036-19 Expiration Date: 01/01/2020 O Certificate of Exemption: I certify that in the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to be come subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage is unlawful, and shall subject an employer to criminal penalties and dvii 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: r' EJAGENT DATE: 1 (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that lam exempt from Contractor's License Law for the following reason: 13 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. if, however, the building or improvement Is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). cii, as owner of the property, am exclusively contracting with licensed i contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). O lam exempt under Section Business and Professions Code for this reason: i personally plan to provide the major labor and materials for construction of the proposed property improvement. Dyes 0 No I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): S. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): OWNER SIGNATURE: DAGENT DATE:____________ CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (I) Civil Code). Lender's Name: Lender's Address: ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Dyes 0 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? ci Yes ci No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes 13 No IF ANY OF ThE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETiNG ThE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. APPLICANT CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavations over 5'O' deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit Is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit Is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 10~4.# Uniform Building Code). APPUCANT SIGNATURE: DATE: 10171I,2t 1635 Faraday Ave Carlsbad, CA 92008 h: 760-602-274w Fax: 760-602-8558 Email: BuiIdingcCarIsbadca.gov B-2 Pag2 of 2 Rev. 06/18 Permit Type: BLDG-Commercial Application Date: 10/07/2019 Owner: REEF PALOMAR LLC Work Class: Tenant Improvement Issue Date: 11/04/2019 Subdivision: CARLSBAD TCT#74-21 Status: Closed - Finaled Expiration Date: 06/08/2020 Address: 2701 Loker Avew 100 IVR Number: 22251 Carlsbad, CA 92010-6637 Actual Scheduled Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date 1110712019 11107I2019 BLDG-84 Rough 110153-2019 Passed Paul York Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-BUilding Deficiency Yes BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical, Yes BLDG-44 Yes Rough-Ducts-Dampers 1111212019 11/12/2019 BLDG-17 Interior 110379-2019 Passed Paul York Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-31 110378-2019 Passed Paul York Complete UndergroundlCondu it - Wiring Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 1211012019 1211012019 BLDG45 T-Bar, 113160-2019 Passed Luke Stoma Complete Ceiling Grids, Overhead Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-14 No Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout No BLDG-34 Rough Electrical No BLDG-44 No Rough-Ducts-Dampers 01/0312020 0110312020 BLDG-Final 115228-2020 Passed Luke Stoma Complete Inspection Checklist-Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No January 03, 2020 • Page 1 of I Sery ic II1vciwF) 01 upL II1aLciaIvya I I • materials from representative locations. ' ;' 7 . . " I colleçtion,.sample numbers descriptios,: I - , - 7 4' mited ,!nspectedifoiT stui,iby an ' ' tel-BSS-67?4900 free - US- 7O1-45fl faji - 858411-9e0 Patdtiab.wn 6640 tik Blvd., Suite A-100, Saii Deco, (A 92121 June 17, 2019 Darrin Ward White Construction .2524 Gateway Road " .t, 'S., Carlsbad, CA 92009 4 u;s . CITY Re: Limited Asbestos Inspection .AD Palomar Crest Suite 1100 . . . IVISJ 2701 Loker Avenue Suite 100 ' i Carlsbad, CA 92008 . . i . Claim No: N/A . Project No: SDi 29383 .. . Dear Mr., Ward, I...,.. IA "1fI1fI _I!L___'I .1 -- T' I. .!•_7t 4-..:.____ un dune i', 2-019, California uu Barney (CSST 14-5283) of Patriolj a limited asbestos Inspection at tlie purpose of the inspection vs,to ( materials soon to be distuib&Lbv , \ . Summary of F!ndins No asbestos was detectedin thêibuildii Property Description.; ' The subject property is a commercial's and metal frame'büilding set on acemi On June 142019, Mr Frani asbestos inspection at th9ubj the purpoof inventoryig1 i kv upcoming renovation at the, created, physical bulk sampled Samples ère collected in ii1 't property. V suspect 9! ject pr9p,ej1 were and collection locations were entered on to a chain of custody for transportation to Patriot's NVLAP accredited laboratory. Sampled Suspect Materials Samples of the following suspect materials were collected: Drywall & Joint Compound Carpet Mastic Brown 4" Cove Base with Mastic 2"x4" Acoustic Ceiling Tiles White l:2"x12" Vinyl FloorTile . Grey 12"x12" Vinyl Floor Tile with Masti,c:' . k'IthMastic Yellow Fiberglass Insulation -- Sample Protocol/Analysis Samples were collected in accórdane with the Asbestos S1chool Hazard Energen' Response Act (40 CFR 763 Subpart E) as mandated by.Cal/OSHA (Title 8 Section 1529).ny ivz Physical bulk samples were analyzed bPatriot. Patriot is accredited byth Natinl Voluntary Laboratory Accreditation Program (200358-0). The method of analysis wa Polarized Light Microscopy (EPA 600/M4-82-020). . Recommendations No asbestos was detected in the building materiáls-samled. Therefoie, 110 recommendations are warranted at this time. . . . . . . . . Disclaimer .- . Limited destructive sampling was conducted at the subject property., If additkii.tl suspct materials are discovered, renovation/all work shouldcease until' Certtied sk tos Consultant is contracted to ascertain thés possibility of asbestos content. This' inspecti'o was performed in accordance with current regulations and state of the art practices The inventory nc of asbestos containing materials and deterl1InatIon of their condition are bas' :z:;, Londitlons observed at the time of inspection Pati lot dots not assume responsibility i.for future re'ilatory changes or chapges in the condition'of the building. 5, ir 1 .'- : . .•• - - -- I 11 I ,,• . - - Enclosed is the laboratory analysis report. Please contact our office if there are any questions regarding this inspection. Sincerely, Cristopher J. Meile Certified Asbestos Consultant 08-4340 Enclosure: Laboratory Results V. r •V V V -. V 17 - •V -, - 'V VVVV• White Construction Darrin W'ard 2524 Gateway Road Carlsbad, CA 92009 Date Collected: 6/14/2019 Date Received: 6/14/2019 Date Analyzed: 6/14/2019 Date Reported: 6/14/2019 ab/Client ID/Layer Location 770554-001 Lobby Wall Total Asbestos None Detected 770554-001 A Lobby Wall Total Asbestos None Detected Certificate of Analysis PLM Asbestos Identification tel - 858-671-8900 free - 855-787-4522 fax - 858-671-9009 Patriottab.wm 6640 Lusk Blvd., Suite A-1001 San Diego, (A 92121 Report Number: 770554 Project Number: SD129383 Pruject Name: Palomar Crest Suite 100 Project Location: 2701 Loker Avenue Suite 100 Carlsbad, 92008 Collected By: Francisco Barney Claim Number: PG Number: Number of Samples: 44 Material Description Color Composition (%) Drywall and 'Joint - White -. 80% Sulfate -. Compound . 10% Cellulose Carbonate .6% 2% Paint 2% Glass Fibers . . . ;.•. Drywall • White I; 84% Sulfate - 12%Cellulose 1 4% Glass Fibers Joint Conound •j iWhitc :95.4Cbonate 5%Pairt Drywall and Joint1 (1' White ; 0% Sulfate . .; ilflfl,fl_IkI___ AV U f -6% Cboate 2%'Paint I 17 Z29lass Fibers* None Detected j -1 - /Office 1 Wall j/ / Drywa 11 White - - - 84% Sulfate 4 / J• / / 00 - 4% Glass Fibirs L)ell None Detected - fl .. 4' \ A .rL Page 1 of 9 770554-OOIB Total Asbestos 770554-002 2 Total Asbestos 770554-002A 2 Total Asbestos Lobby Wall None Detected Office I Wa Certificate of Analysis PLM Asbestos Identification White Construction Darrin Ward 2524 Gateway Road Carlsbad, CA 92009 Date Collected: 6/14/2019 Date Received: 6/14/2019 Date Analyzed: 6/14/2019 Date Reported: 6/14/2019 Lab/Client ID/Layer Location 770554-002B Office I Wall 2. Total Asbestos None Detected 770554-003 3 Total Asbestos . te-858-611-8900 tree - 8S5-791-4522 fax - 858-611-9009 PLriotLab.oin 6640 Lusk Blvd., Suite A-100, San Diego, CA 92121 Report Number: 770554 ProjeciNumber: SD129383 Project Name: Palomar Crest Suite 100 Project Location: 2701 Loker Avenue Suite 100 Carlsbad, 92008 Collected By: Francisco Barney Claim Number: P0 Number: Number of Samples: 44 Material Description ... Color Composition (%) Joint Compound White 95% Carbonate -5% Paint Drywall and Joint, .White 80% Sulfate : IAC.11,,In. I . • •JAIflptJUlflJ $ - S J FU ##I I IAflJOS# ? 6% Carbonate 2% Glass Fibers I.. •• - ' None Detected ! .• I ,- • • 'p I • • Conference Room Wall Drywall : White Sulfate 12%.:Céll6lose • 4%61ass'Fibers - fl None Detected I Conference R6 WallWall JoInomp;und White 95 9iTCarbonate 'Z1 5%aint-. None Detected -i • -.• - ''-- -'- Offi&6 Wall t•• it • - • White i . 80%S'ulfate /; Drywall andJoint / / Coiipound i " 10% .6%arbc5àte I % Paint I -' erUz ••"rII 2Gl'Fibers. r None Detected 79 . ••• •. Page 2of9 ••, • Total Asbestos 770554-003A 3 Total Asbestos 770554-003B 3 Total Asbestos .770554-004 4 Conference Room Certificate of Analysis PLM Asbestos Identification White Construction Darrin Ward 2524 Gateway Road Carlsbad, CA 92009 Date Collected: 6/14/2019 Date Received: 6/14/2019 Date Analyzed: 6/14/2019 Date Reported: 6/14/2019 te - 858617-8900 free - 85S-187-4S22 fax- 858-61i9009 PatriotLab.cein 6640 Lusk Blvd., Suite A-100, San Diego, CA 92121 Report Number: 770554 Project Number: SD 129383 Project Name: Palomar Crest Suite 100 Project Location: 2701 Lokér Avenue Suite 100 Carlsbad, 92008, Collected By: Francisco Barney Claim Number: P0 Number: Number of Samples:. 44 Lab/Client ID/Layer Location Material Description. - Composition (%) 770554-004A Office 6 Wall Drywall ,., White 84% Sulfate 4 12% Cellulose 4% Glass Fibers ................. Total Asbestos None Detected 770554-004B Office 6 Wall .;:.: Joint Compound White . 95% Carbonate 4 5% Paint Total Asbestos None Detected . 770554-005 Breakroom Wall Drywa1lnd Joint White 80% Sulfate 5 ompound 6% Carbonate s . 2%Pain1t 5 2% Glãss'Fibers t. Total Asbestos None Detected I f. 770554-005A Breakroom Wall Dryw1l I White If 849Sulfate . 12% Cellulose, 4%liFi6 Total Asbestos None Detected ,J.. .\ 770554-0058 Breãlroom Wall Joint White .' 95% Carbonate. 5%'Paint-- b1 , Total Asbestos None Detected j Certificate of Analysis tel - PLM Asbestos Identification 858-67.1-8900 free 855-?1-4522 fax - 858-611-9009 PatriotLabcom 6640 Lusk Blvd., Suite A100, San Diego, CA 92121 White Construction Darrin Ward 2524 Gateway Road Carlsbad, CA 92009 Date Collected: 6/14/2019 Date Received: 6/1.4/2019 Date Analyzed: 6/14/2019 Date Reported: 6/14/2019 Lab/Client ID/Layer Location Report Number: 770554 Project Number: SD129383 Project Name: Palomar Crest Suite 100 Project Location: 2701 Loker Avenue Suite 100 Carlsbad, 92008 Collected By: Francisco Barney Claim Number: P0 Number: Number of Samples: 44 Material Description .Color 770554-006 Corridoe I- Breakroom Carpet Mastiç -.Xellow 100% Non- 6 Floor Fibrous Material Total Asbestos None Detected ................I .. .., • : 770554-007 Corridoe I - Breakroom CarpetiMastic . _Ycllow sT100% Non -, Floor Fibrous Material I ............ S 'total Asbestos None Detected 770554-008 Phone Room- Corridor 2Ca9;et Mtic I Yellb1w 1O0%Non- 8 Flooi v fjk Fibrous Material I . Total Asbestos None Detected r - ... ç :4,;;l 770554-009 Conference Room 1o6r . Carpet Mastic I Yel1ó 100% 1jon- . 1I,. 9 Fibcous Material .4 • . 4" Total Asbestos None Detected .4 770554-010 Lobby F16dr 'arpetMatic Yellow - Non- . 10 '... FibrouMateriaL ¼ . -.. Total Asbestos None Detected / ri i 770554-011 Office 2 Wall t 4 InchCove Base , Brown. 100% Non- 11 F1,a Total Asbestos None Detected I 1" L . .4 / •1#. ILK U... it k Page 4 of 9 -Certificate of Analysis PLM Asbestos Identification White Construction Darrin Ward 2524 Gateway Road Carlsbad, CA 92009 Date Collected: 6/14/2019 Date Received: 6/14/2019 Date Analyzed: 6/14/2019 Date Reported: 6/14/2019 Lab/Client ID/Layer Location tel - 858 -6114900 free - 855-781-4522 tax-88-611-9009 PatriotLab.oin 6640 Lusk Blvd., Suite A-100, San Diego, CA 92121 Report Number: 770554 Project Number: -- SD129383 Project Name: Palomar Crest Suite. 100 Project Location: 2701 Laker Avenue Suite 100 Carlsbad, 92008 Collected By: Francisco Barney Claim Number: - P0 Number: Number of Samples: 44 Material Description ...,Color Composition (%) 770554-012 Office 2 Wall Mastic 4 Beige., f00% Non- 12 Fibrous Material 4 it b, Total Asbestos None Detected - ,1`4 .: 770554-013 Office 4 Wall '4InèovBase\ '-Brdwn i100% Non 13 Fibrous Material 1 Total Asbestos None Detected 770554-014 Office 4 Wall 1Mastic ' Beige 1007o-Non- 14 0 - Fibrous Material Total Asbestos None Detected -vi dy 4__ \ - - 770554-015 Open Space Column Wall 4 Inch Cávé Basë Brwni 100c/dNon_ 15 Fib ioüMaterial I; rt I E. Total Asbestos None Detected r I Vis- -- 770554 016 Open Space Column Wall ' Mastic Beige l00%4on 16 1/ 4 FibruMateriaL / IE,I I Total Asbestos None Detected - - y :- if - -- 770554 017 Lbby Ceiling P1 / 2x4 Inch Acoustic Beige 65% Cellulose - 17 1/ / Ceiling Tiles -5 .2GMitii a - -.--- / 12%Perlite d". 3% Paint i LV Total Asbestos None Detected 0 4 r-\ age 5 o f 9 Certificate of Analysis PLM Asbestos Identification tel 858 477-8900 free 855-187-4522 fax - 858-617-9009 Patriotiab.wn 6640 Lusk Blvd., Suite A-100, San Diego, CA 92121 White Construction Report Number: 770554 Darrin Ward Project Number: SD 129383 2524 Gateway Road Project Name: Palomar Crest Suite 100 Carlsbad, CA 92009 Project Location: 2701 Loker Avenue Suite 100 Carlsbad, 92008 Date Collected: 6/14/2019 Collected By: Francisco Barney Date Received: 6/14/2019 Claim Number: Date Analyzed: 6/14/2019 P0 Number: Date RepOrted:, 6/14/2019 Number of Samples: 44 Lab/Client ID/Layer Location Material Description . Color Composition (%) 770554-018 Corridor I Ceiling 2x4 Inch Acoustic Beige 65% Cellulose 1 18 Ceiling Tiles, iles 20% Mineral - . Wool 12%Perlite 3% Paint Total Asbestos None Detected 770554-019 - Open Space Ceiling 2x4 inch Acoustic Beige 65% Cellulose 19 V--:riling Tiles - 20% Mineral 7 Wool - : 12% Pcrlite 3% Paint Total Asbestos None Detected - : . 770554-020 Breakroom Floor 12x12 Inch Vjnyl - Beige '-7 1Q0%N 20 Floor 1il$? ---1j Ftbou$I /i clLJ f J Total Asbestos None-Detected ' -- I 770554-021 Breakroom:Floor Mastic Yellow IOQ%Nc 21 FibrousI -t S --- Total Asbestos None Detected \ - 770554-022 Bikroom Floor 4 ' 12x1:rnclViy1P 22 1 Floor J L't Total Asbestos None Detected .77 • I: W F' c.. --'-- - - :Vr J f -S Page 6 of 9 Certificate of Analysis PLM Asbestos Identification free fax - 58611_9009 Patriôtiab,oiw 6640 Lusk Blvd., Suite A100, San Diego, CA 92121 White Construction Report Number: 770554 Darrin Ward Project Number: SD 129383 2524 Gateway Road Carlsbad, CA 92009 Project Name: Palomar Crest Suite 100 Project Location: 2701 Loker Avenue Suite 100 Carlsbad, 92008 Date Collected:. 6/14/2019 Collected By: Francisco Barney Date Received: 6/14/2019 Claim Number: Date Analyzed: 6/14/2019 P0 Number: Date Reported 6/14/2019 Number of Samples: 44 Lab/Client ID/Layer Location Material Description.. Color Composition (%) 770554-023 Breakroom Floor Mastic ' Yellow 100% Non- 23 . . . . . Fibrous Material Total Asbestos None Detected -. . . . . 770554-024 Breakroom Floor l2x12InchVinyl::~`, It J00010 Non- 24 or Tile Fibrous Material Total Asbestos None Detected ta 770554-025 Breakroom Floor Mastic Yellow.,100% Non- 25 . - Fibrous Material Total Asbestos None Detected 770554-026 Phone Room Floor l 2x12 Inch Vinyl -.. Grey IJI 1Yo Non- 26 e / Floor Tile - -;• -. ; :.. ibrous Material Total Asbestos None Detected. - 770554-027 Phone Rd311 Floor Mastic Yellow . - 100% Non- AV - 27 i Fibrou"M ii rig! - Ap Total Asbestos None Detected V. 770554-028 Phone Room Floor' 12x124iiLh \'invl Grey I00% Non- 28 Floor Tile. - . - Fib V.. - . Total Asbestos None Detected •. - .1 -- .. - - ., - Page. 7of9 Certificate of Analysis PLM Asbestos Identification tel 858-617-8900 free - 855487-4522 fax - 858-617-9009 PatriotLab.oin 6640 Lusk 61vd.1 Suite A100, San Diego, cA 9Z121 White Construction Report Number: 770554 Darrin Ward Project Number: SD 129383 2524 Gateway Road . Project Name: Palomar Crest Suite 100 Carlsbad, CA 92009. Project.Location: 2701 Loker Avenue Suite 100 Carlsbad, 92008 Date Collected: 6/14/2019 Collected By: Francisco Barney Date Received: 6/14/2019 Claim Number: Date Analyzed: 6/14/2019 P0 Number: Date Reported: 6/14/2019 Number of Samples: 44 Lab/Client ID/Layer Location Material Description Color Composition (%) 770554-029 Phone Room Flobr Mastic .. Yellow. 100 Non- 29 . Fibrous Material Total Asbestos None Detected . . . 770554-030 Phone Room Floor l2xl2lrkh Vinyl. Gicy 100% Non- 30 . Floor Tile • . Fibrous Material Total Asbestos None Detected . - 770554-031 Phone Room Floor Mastic - - Ycllw 1001% Non- 31 Fibrous Material Total Asbestos None Detected 4 ..! : rj . .. MI L 770554-032 Plenum Surface . . Fibergiasi Insulation: Yllow' I OOid Glass I _. - 32 / Fibers z.' (- Total Asbestos None Detected L 17 /i .- 770554 033 Plenum Surface I ihrhss Insulation' Yellow IOO° Ghss mi Fibers 33 JP Total Asbestos None Detected "i if / I•• cr- , _;__-_. 770554-034 Plenum Surface /1 / / Fibergl i ln.uIation IIov. '100% Glass f t/ .. 34 Vard u- .. /1 LJ Total Asbestos None Detected HIT j 1 ._.- ! - . Page 8of9 Certificate of Analysis PLM Asbestos Identification : 1e1.;858-611-8900 free - 855-787-4522 fax - 858-611-9009 Patriotlab.coin 6640 Lusk Blvd., Suite A-100, San Diego, CA 92121 White Construction Report Number: 770554 Darrin Ward Project Number: SD 129383 2524 Gateway Road Carlsbad, CA 92009 Project Name: Palomar Crest Suite 100 Project Location: 2701 Loker Avenue Suite 100 Carlsbad, 92008 Date Collected: 6/14/2019 . Collected By: Francisco Barney Date Received: 6/14/2019 Claim Number: Date Analyzed: 6/14/2019 P0 Number: Date Reported: 6/14/2019 Number of Samples: 44 Lab/Client ID/Layer Location Material Description Color Composition (%) ...................... Lexy Parra - Analyst - . Michelle Lavallee - Approved By Bulk sample(s) submitted was (were) analyzed in accordance with the procedure outlined in the US Federal Register 40 çFk 763. Subpart F. Appendix A; EPA-600/R-93/1 16 (Method for Determination of Asbestos in Building Materials), and IWA-6.001M4-82-020 (US EPA I9terim Method for the Determination of Asbestos in Bulk Insulation Samples).Samples we analyzed using Calibtâted isual Estimations CVES); the? re V cfore results may not be reliable for samplesof low asbestos concentration level Samples of wall systems containindiscçcte and separable layers are analyzed separately and reported as composite unless specifically requested by the customer to eport analytical results layers Thi. report applies only to the items tested. Results are representative of the samples submitted and may not represent the entire-1.materiiil froth which th. saniples were collcëted."Noric Detected" means that no asbestos was observed in the sample: "<1 (less than one perecn) mcins that asbestos was observd in the sample but the concentration is below the quantifiable level of 1%. This report was issued by a NIST/NVLAP (Lab €pde 200982-0) and CADOHS- ELAP Cert. No. 2805) accredited laboratory and may not be reproduced, except in full without the expressed written cnscnt of Patriot Environmental Libratory Services, Inc. This report may not be used to claim product certification, approval ,or endorsement by NIST. wenment a NVLAP, ELAP or any rgency.' 4 js V .61- 3 4 ff j,... \ ,. •. -_..- Lab Use Only: _1LQ!!c( tel-4g8-z-91oo Turn Around Time: EF- 4HRS Painoliahqm L ( ) 48 HRS ( ) 12 HRS 1186 Paragon Drives San lnsn1 Ck95131 Envr'wn erflei Laboatory SMc.es, Inc. ASBESTOS FIELD BULK SAMPLE COG . •. : . roJecte\. Q~I. \y PoJ Office Use Only: roj act Add re j c \C8tY Sample I Sample Loca on . Material Type F NF condition Notes ID ? . CA L __ ________ c-'fl '-Vi Caecrse ujwk _______ 5o Qepce. n'tJ\' . L .• . .. . .. " • M.oE'' . J Uth1 tF'M ' '... . . . . .. : to?\ b\ \oti Pk De . .'• arnp1édJRellngu%shed By: Sign: - •• . - Date1I 19 Time: LSampes Received By: Sign: . • Date VII' fTime: Page f_______ Bu'k Sp1e COC Rev 12.27.2017 tel- 858-677-8900 Lab Use free-85-181-4522 fax- 858477-9009 Patrlotlab.ani 6640 Lusk Blvd., Suite A-100, San Diego, (A 92121 Project#: ASBESTOS FIELD BULI Sample ID 2(tt21 PAIL Enflrónrflentai Laboratory Services, inc. SAMPLEQOC I Bilk Sample CbC Rev 1227.2017 EsGV il A SAFEbuilttompany DATE: 10/30/2019 JURISDICTION-:-, City 01 Car1SbAdT PLAN CHECK #.: 2019-0479 SET: II PROJECT ADDRESS: 2071 Loker Ave. Suite 100 PROJECT NAME: ALOGENT PALOMAR CREST T. I. APPLICANT /1 JURIS. The plans 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. liii 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. El The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. LI 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. EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Teleptone #: Date contacted 10'1,'0114 (by: 01 Email: Mail Telephone Fax In Person IZI REMARKS: By: David Yao Enclosures: EsGil 10/22/19 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 EsGil ASAFEbuUtCompany DATE: 10/1612019 APPLICANT U JURIS. JURISDICTION: City of Carlsbad PLAN CHECK #.: L-iOiO-0479' SET: I) PROJECT ADDRESS: 2071 Loker Ave. Suite 100 PROJECT NAME: ALOGENT PALOMAR CREST T. I. LI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. LI 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. LI 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. LI 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: Hurkes Harris design & Assoc. LI 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: Hurkes Harris design & Assoc. Telephone #: 619-702-0380 Date contacted: 14l by:f)) Email: ejustinscott@hhdainc.com *'eMAR-K-SL----' F'MaiITelhone ax In Person By: David Yao Enclosures: EsGil 10/8/19 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK #.: 2019-0479 JURISDICTION: City of Carlsbad OCCUPANCY: B USE: office TYPE OF CONSTRUCTION: IA ACTUAL AREA: -3123 sf ALLOWABLE FLOOR AREA: STORIES: 2 HEIGHT: SPRINKLERS?: Y REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 10/7/19 DATE INITIAL PLAN REVIEW COMPLETED: 10/161:2019 OCCUPANT LOAD: -69 DATE PLANS RECEIVED BY ESGIL CORPORATION: 10/8/19 PLAN REVIEWER: David Yao FOREWORD (PLEASE READ): 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 2016 CBC, which adopts the 2015 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 2015 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. [DO NOT PAY- THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK #.: 2019-0479 PREPARED BY: David Yao DATE: 10/16/2019 BUILDING ADDRESS: 2071 Loker Ave. Suite 100 BUILDING OCCUPANCY: B BUILDING PORTION AREA (Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) T.I. 3123 per city 145,251 Air Conditioning Fire Sprinklers TOTAL VALUE 145,251 Jurisdiction Code 1cb IBY Ordinance Bldg. Permit Fee by Ordinance v Plan Check Fee by Ordinance V Type of Review: El Complete Review 0 Structural Only Repetitive Fee lvi Repeats Other Hourly Hr. @ * EsGil Fee I $513.081 Comments: Sheet of 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: 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. Bring TWO 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. On the cover sheet of the plans, specify any items that will have a deferred submittal (fire sprinklers/alarms, etc.). Additionally, provide the following note on the plans, per Sec. 107.3.4.2: "Submittal documents for deferred submittal items shall be submitted to the registered design professional in responsible charge, who shall review them and forward them to the building official with a notation indicating that the deferred submittal documents have been reviewed and that they have been found to be in general conformance with the design of the building. The deferred submittal items shall NOT be installed until their design and submittal documents have been approved by the building official." 2. Specify on the plans the uses of all rooms or areas. Sec. 107.2. The key plan on sheet IA.5.1and IA.2.2 shows "SECOND FLOOR". Please revise it. Note on the plans: "All egress doors shall be readily openable from the egress side without the use of a key or special knowledge or effort." Section 1010.1.9. In lieu of the above, in a Group B, F, M or S occupancies (or places of religious assembly or Group A occupancies having an occupant load of 300 or less), you may note on the plans "Provide a sign on or near the exit door, reading THIS DOOR TO REMAIN UNLOCKED WHEN THIS SPACE IS OCCUPIED." This signage is only allowed at the main exit. Section 1010.1.9.3. Exit doors shall provide a clear width of not less than 32" when open 90 degrees (i.e., a 3' wide door), and must have a minimum height of 6 feet 8 inches. Maximum leaf width is 4 feet. Section 1010.1.1. Please specify all door size on the plan. Regardless of occupant load, a floor or landing not more than 1/2 inch below the threshold is required on each side of an egress door. Section 1010.1.7. Doors should not project more than 7 inches into the required corridor width when fully opened, nor more than one-half of the required corridor width when in any position. Section 1005.7.1. Please clarify on the plan. (the original door swing in) 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. Have changes been made to the plans not resulting from this correction list? Please indicate: EJ Yes U 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 David Yao at Esgil. Thank you. END OF DOCUMENT SAN DIEGO REGIONAL 47 HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY RECORD ID # PLAN CHECK # BP DATE I I Business Name Alogent oject Address ,L-1C)\ (r e.SUite#100 Lt3 fx CJs c -z kab I Project Contact Applicant E-mail cJ Telephone # YY\ çcc@ wm Aai A..cate U akc't*~O2_C ) The following questions represent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT -HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSiFICATION:lnot retiuired for orolects within the City of San Diego): Indicate by circling the Item, whether your büSléil1üsé, process, or store any of the following hazardous materials. If any of the items are or applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: Facility's Square Footage (Including proposed project): Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives Compressed Gases 6. Oxidizers 10. Cryogenics Flammable/Combustible Liquids 7. Pyrophoncs 11. Highly Toxic or Toxic Materials Flammable Solids S. Unstable Reactives 12. Radioactives Call (858) 505-6700 prior to the issuance of a building permit Corrosives Other Health Hazards None of These. f the answer to any of the Diego, CA 92123. FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy: YES NO (for new construction or remodeling projects) 0 IL Is your business listed on the reverse side of this form? (check all that apply). 0 I Will your business dispose of Hazardous Substances or Medical Waste in any amount? 0 [9 Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons. 500 pounds and/or 200 cubic feet? 0 . Will your business store or handle carcinogens/reproductive toxins in any quantity? 0 ER Will your business use an existing or install an underground storage tank? 0 ' Will your business store or handle Regulated Substances (CalARP)? 0 j Will your business use or Install a Hazardous Waste Tank System (Title 22, Article 10)? 0 Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). CalARP. Exempt Date Initials CalARP Required Date Initials CalARP Complete I Date Initials PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD): Any YES answer requires a stamp from APCD 10124 Old Grove Road, San Diego, CA 92131 apcdcomp(Ssdcountv.ca.00v (858) 586-2650). (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 bums; residences forming part of a larger project rExcludes garages & small outbuildings.] YS NO 0 Will the project disturb 160 square feet or more of existing building materials? 0 Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition. 0 (ANSWER ONLY IF QUESTION I or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance Technician? 0 0 (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. 0 Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheat (.sdaocd.orn/info/facts/oermlts.ndf) for typical equipment requiring an APCD permit 0 0 (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school boundary Briefly describe business activities: I Briefly describe proposed project of perjury that to the best of my knowledge and herein are true-and correct. Name of Owner or Authorized Agent ownLkdr Authodz6d-Agent Date FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: FOR OFFICAL USE ONLY: BY: DATE: I 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 OnIV exempts businesses trom completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply. HM-9171 (08/15) County of San Diego - DEH - Hazardous Materials Division ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT MUM SCREENING SURVEY Aurflom 6200 Avenida Encinas, Carlsbad, CA 92011 - Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com Date: Business 5.Alogent Street Address: 2ic LcPf 100 kc,\00iA 0S. Q2.1.0 Email Address:_ scDW PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) Ej Check all below that are present at your facility: o Acid Cleaning - - o Food Processing o Metal Powders Forming o Assembly a Glass Manufacturing o Nutritional Supplement/Vitamin o Automotive Repair o Industrial Laundry Manufacturing o Battery Manufacturing o Ink Manufacturing o Painting/Finishing o Biofuel Manufacturing o Laboratory o Paint Manufacturing o Biotech Laboratory o Machining/Milling o Personal Care Products o Bulk Chemical Storage o Membrane manufacturing Manufacturing. o Car Wash (i.e. water filter membranes) o Pesticide Manufacturing/ Packaging O Chemical Manufacturing o Metal Casting/Forming o Pharmaceutical Manufacturing o Chemical Purification o Metal Fabrication (including precursors) o Dental Offices o Metal Finishing o Porcelain Enameling Dental Schools Electroplating o Power Generation Dental Clinics Electroless Plating o Print Shop o Dry Cleaning Anodizing o Research and Development o Electrical Component Coating (i.e. phosphating) o Rubber Manufacturing Manufacturing Chemical Etching/Milling o Semiconductor Manufacturing o Fertilizer Manufacturing Printed Circuit Board o Soap/Detergent Manufacturing. o Film/X-ray Processing Manufacturing o Waste Treatment/Storage New Business? Yes J No SIC Code(s) if known: Date operation began/will begin: o./ t I_i red Tenant Improvement? Yes NoD If yes, briefly describe improvernent:l_wo\cLoJ\1_\f cyyr rc.iX tAX c _putc46tr _ir-y r s.\iS. ck.xc.\ ci- o' &rt Description of operations generating wastewater (discharged to sewer, hauled or evaporated): V-& IA., Estimated volume of Industrial wastewater to be discharged (gal/ day): /P'r List hazardous wastes generated (type/volume): /_f Have you applied for a Wastewater DIscharge Permit from the Encina WasteWater Authority? Yes 0 Date: NO IR Page 1 of 2 (city of Carlsbad CLIMATE ACTION PLAN CONSISTENCY CHECKLIST B-50 Development Services Building Division 1635 Faraday Avenue (760) 602-2719 www.carlsbadca.gov PURPOSE 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: ThefollOvihgtype: Of permits are not required totill oUt:this form Patio • Decks I + PME (w/o panel upgrade) + Pool 4 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. .4 Details on CAP ordinance requirements are available on the city's website. 4 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 webDage and download the latest form. Application Information Project Name/Building B i 6'-! Permit No.: \ ooer'k P No.: -c Property Address/APN: <Q 100(- O1 00 Applicant Name/Co.: Applicant Address: _W"f2O 1 Contact Phone: a p) - Contact Email: Contact information of person completing this checklist (if different than above): Name: Contact Phone: Company name/address: Contact Email: Applicant Signature: ate: \ / I vnk B-50 Page 1 of 6 Revised 08119 fZ, of Carlsbad Climate Action Plan Consistency Checklist Use the table below to determine which sections of the Ordinance Compliancechecklist are applicable to your project. For alterations and additions to existing buildings, attach Building Permit VaIuaEofl worksheet. Building Permit Valuation (BPV) konoFièe1 $_\ 'k3. i.-'30 Construction Type 1 Compjete:Section(s) Note: - A high-rue residential bUilding 1s4 or more stories, including, a I] Residential Lowrise High-rise mixed-usebuilding in which at least 201/6 of its conditioned floor area is residential use 0 New construction 2A, 3A, IB,213, 4A 3B, 4A Additions and alterations: BPV < $60,000 N/A N/A All residential additions and alterations BPV a $60,000 IA 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 a $200,000 1A, 4A* IB, 4A* and significant site work and upgrades to structural and mechanical, electrical, and/or plumbinci systems are or000sed Nonresidential O New construction I B, 2B, 3B, 4B and 5 Alterations: QAà( $2OQ,cXO BPV 2! $200,000 or additions 2! 1,000 1B, 5 square feet BPV a $1,000,000 1B, 2B, 5 Building alterations of a 75% existing gross floor area a 2,000 sq. ft. new roof addition 2B, 5 lB also applies if BPV 2t $200,000 CAP Ordinance Checklist Item Check the appropriate boxes, explain all not applicable and exception Items, and provide suppojting calbiatonsand documentation as necessary. 1. Energy Efficiency. Please refer to Carlsbad Municipal Code (CIVIC) sections 18.21.155 and 18.30.190, and the California Green Building Standards Code (CALGreen) for mote information when completing this section. A 0 Residential addition or alteration? $60,000 building permit valuation. 0 N/A___________________________ See CMC section 18.30.190. 0 Exception: Home energy score? 7 (attach certification) Year Built Single-family Requirements Multi-family Requirements Before 1978 Select one: Duct sealing 0 Attic insulation 0 Cool roof 0 Attic insulation 1978 and later Select one: Lighting package 0 Water heating Package Between 1978and 1991 Select one: Duct sealing 0 Attic insulation 0 Cool roof 1992 and later Select one: Lighting package 0 Water heating package B. 0 Nonresidential* new construction or alterations? $200,000 building permit valuation, or additions? 1,000 square feet 0 N/A___________________________ Updated 8/15/2019 2 :y 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: 0.1 Outdoor hghting 0.2 Warehouse dock seal doors 0.3 Restaurant service water heating (comply with California Energy Code section 140.5, as amended) 0 N/A_____________________________ O A Daylight design PAFs 03 Exhaust air heat recovery A5.203.1.2.1 Choose one as applicable: 0.95 Energy budget 0.90 Energy budget o N/A_____________________________ A5.211.1 0 On-site renewable energy a N/A________________________ A5.211.3 0 Green power (if offered by local utility, provider, 50% minimum renewable sources) 0 N/A___________________________ A5212.1 O Elevators and escalators 0 N/A____________________ A5213.1 o Steel framing 0 N/A * Includes hotelslmotels and high-rise residential buildings For aiterations 241,000,000 BPV and affecting >75% existing gross floor area, or afterations that add 2,000 square feet of new roof addition: comply with CMC 18.30.130 instead. 2PhotovoftaiCSsterns D Residential new construction (for low-rise residential building permit applications submitted after 111/20). 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 (2B below) instead. 2)11 project Includes installation of an electric heat pump water heater pursuant to CIVIC 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 sheets if necessary) CFA #d.u. Calculated kVlc* Exception 0 Total System Size: kWdc kVtic = (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. 0 Nonresidential new construction or alterations k$1,000,000 BPV and affecting ?757a existing floor area, or addition that increases roof area by ?2,000 square Net Please refer to CIVIC 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: O Gross Floor Area (GFA) Method GFA: Mm. System Size: kWdc 0 If c 10,000s.f. Enter. 5 kWdc 0 If k 10,000s.f. calculate: 15 kWdc x (GFAII0,000) **Round building size factor to neatest tenth, and round system size to nearest whole number. 0 Time- Dependent Valuation Method Updated 8/15/2019 of Carlsbad Climate Action Plan Consistency Checklist Annual TDV Energy use:* __ x.80-- Mm. system size: kWdc Attach calculation documentation using modeling software approved by the California Energy Commission. I 3. Water Heating A 0 Residential and hotel/motel new construction Please refer to CIVIC sections 18.30.150 and 18.30.170 when completing this section. o For systems serving individual dwelling units choose one: O Heat pump water heater AND Compact hot water distribution AND Drain water heat recovery (low-rise residential only) O Heat pump water heater AND PV system .3 kWdc larger than required in CIVIC 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 O 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: O Gas or propane water heating system Recirculation system per CIVIC 18.30.150(8) (high-rise residential, hotel/motel) or CIVIC 18.30.170(B) (low- rise residential) O Solar water heating system that is either: .20 solar savings fraction O .15 solar savings fraction, plus drain water heat recovery Exception: B. 0 Nonresidential new construction Please refer to Carlsbad Ordinance CIVIC 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 0 Photovoltaics 0 Recovered energy Water heating system is (choose one): Heat pump water heater O Electric resistance water heater(s) OSolar water heating system with .40 solar savings fraction 0 Exception: Updated 8/15/2019 4 Ci of Carlsbad Climate Action Plan Consistency Checklist r4E,gtb1de.hi1g A U Residential New construction and major alterations* Please refer to Carlsbad Ordinance CMC section 18.21.140 when completing this section. 0 One and two-family residential dwelling or townhouse with attached garage: 0 One EVSE Ready parking space required 0 Exception:______________________________ 0 Multi-family residential: 0 Exception:_______________________________ Total Parking Spaces Proposed EVSE Spaces Capable Ready. Installed Total 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,u "Ready" or installed?) Major alterations are: (1) for one and two-family dwellings and townhouses with attached garages, alterations have a building permit valuation ? $60,000 or include an electrical service panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), alterations have a building permit valuation k $200,000, interior flhishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed. B. El Nonresidential new construction (includes hotels/motels) 0 Exception: Total Parking Spaces Proposed EVSE Spaces Capable Ready Installed Total Calculation: Refer to the table below: Total Number of Parking Spaces provided Number of required EV Spaces Number of required EVSE Installed Spaces 0-9 1 1 10-25 2 . I 26-50 4 2 51-75 . 6 3 76-100 9 . 101-150 12 6 151-200 17 9 201 andover 10 percent of total 50 percent of Required EVSpaces Updated 8/15/2019 of Carlsbad Climate Action Plan Consistency Checklist spotuiiOnDemjId Management (DM): fOnresIdentiaIôITY An approved Transportation Demand Management (TDM) 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 TDM plan. If TDM is applicable to your permit, staff will contact the applicant to develop a site-specific TDM plan based on the permit details. Employee ADT Estimation for Various Commercial Uses Use M'IsIMJJJ Office (all)2 20 13 - — ' Restaurant, .• '• -- -r-i —-----' - ' Retail3 8 4.5 — -- — - -, T - .r — — r- - - —. . Manufacturing 4 3 WarehousInQ.: "+- : -. :-' i Unless otherwise noted, rates estimated from ITE Trip Generation Manual, 10"'Edition 2 For all office uses, use SAN DAG rate of 20 ADT/1 1000 sf to calculate employee ADT Retail uses include shopping center, variety store, supermarket, gyms, pharmacy, etc. Other commercial uses may be subject to special consideration - - Office: 20,450 sf 1. 20,450 sf/1000 x 20 = 409 Employee ADT Retail: 9,334 sf First 1,000 sf=8ADT 9,334 sf- 1,000 sf= 8,334 sf (8,334 sf1 1,000 x 4.5) + 8 = 46 Employee ADT Acknowledgment: I acknowledge that the plans submitted may be subject to the City of Carisbad's Transportation Demand Management Ordinance. I agree to be contacted should my permit require a TOM plan and understand that an approved MM plan is a condition of permit issuance. Applicant Signature: (icA -04~ Date: k 0 Person other than Applicant to be contacted for TDM compIiaTIepplicable): Name (Printed): Phone Number Email Address: Updated 8/15/2019