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Home My WebLink About2708 LOKER AVE W; 100; CBC2017-0572; Permit41ityof Carlsbad ' •-•,- ., "; - -'- ...-.-'. - - -$" ' -'- -'-- ; r - --"-'r - - _,.CQn1 mercialPer Print Date: 03/16/2018 . ,• - . Permit No: CBC2017-0572 Job Address: 2708 Loker Ave W, 100 • . -. Permit Type: BLDG-Commercial Work Class: - Tenant Improvement, Status: Closed - Finaled Parcel No: , 2090814400 Lot U: Applied: 10/30/2017 Valuation: $105,234.72 Reference U: . Issued: 01/31/2018 Occupancy Group: - Construction Type: - , - Permit - - - Finaled: U Dwelling Units: Bathrooms: . -. - Inspector: CRenf Bedrooms: Orig. Plan Check U: Final - Plan Check U: . Inspection: 3/16/2018 10:0556AM Project Title: Description: $ :- - STARBUCKS: 1,626 SF TI Applicant: / Owner: . Contractor: - i- - TSAKI DEMIRDJIAN S F TCARLSBAD LLC CGP MAINTENANCE & CONSTRUCTION 4410 Temecula St, 9 SERVICES INC - - San Diego, CA 92107-1016 - 6519 E Bar Z Ln Dicott Corp - '- . - -, • 951-757-0246 PARADISE VALLEY, AZ 85253 8614 Siesta Rd . Santee, CA 92071-4537. - - 858-454-7326 BUILDING PERMIT FEE ($2000+) , - V . $647.30 BUILDING PLAN CHECK FEE (BLDG) . - , $453.11 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL . S , - I $89.00 MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL \,. . A. $55.00 PLUMBING BLDG COMMERCIAL NEW/ADDITION/REMODEL ., , - , - .' . $86.00 SB1473 GREEN BUILDING STATE STANDARDS FEE . . •' $5.00 STRONG MOTION-COMMERCIAL - V • - . ,. $29.47 Total Fees: $1,364.88 ' Total Payments To Date: $1,364.88 ' ' 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 conhection'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. . . . ,. . . .,. - : . - - - . . - , -.• - - - - S -. . 4' . - • -4. 4 - . . . -' - • - . . - . V - ' 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f www.carlsbadca.gov . -' Plan(' hprk NnC.P'A '(I - ( City of uiiaing iermic ppiication 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Ph: 760.602-2719 Fax: 760-602-8558 aisba i.. email: building@carlsbadca.gov - Plan Ck. Deposit www.carlsbadca.ov Date JOB ADDRESS 2-.'708 Lz-e[ /1V6. N61 si-e ioø ISUITE#/SPACE#/UNIT# .106 IAPN -. CT/PROJECT # - . LOT H PHASE H H OF UNITS H BATHROOWT___rT_ENANJ BUSINESS NAME CONSTR. TYPE 0CC. GROUP J #BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) trflo ti2LC> CN4 tJAJ CS - IS."v L uf.L •V• 1'*o 0 0 .' cCx.0 j xlew EXISTING USE /s. E 0 PRO , :7c l&; GAGE (SF) - . PATIOS (SF) DECKS (SF) FIREPLACE YES 0 #_ NO 0 JAIR CONDITIONING YES 0 NO 0 I FIRE SPRINKLERS YES 0 NOD APPLICANT NAME (Primary Contact) PROPERTY OWR NAME 5pr L.4IC . L-LC. ADDRESS A'c s4 ,. . ADDRESS 19 tL-' A-fl?. s4-; z CITY • STATE ZIP CITY STE ZIP gz,o-7 . " CA- .' .12,3 PHONE . PHONE FAX -. EMAIL EMAIL DESIGN PROFE SINALE . RBUS NAME C9 Qxth - ADDRESS - Lj( /IL - 1. ADDRESS 'o \ ce\z d I STATE CI . ZIP Cl ST PHE FAX I PKIDNE -W12 FAX 2-Z\1 EMAIL co : ® c-ec,3 of c4 v& EMAIL cgUcv\ -,I,tis e7l_j,~,> 151 TE LIGi# I(Z q J (/ STATE LlC.# CLAS SLIC•JQ (sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, -prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he 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)). - ®DIBO° ®O OØ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: El I have and will maintain a certificate of Consent to self-insure for workers' compensation as provided by Section 370001 the Labor Code, for the performance of the work for which this permit is issued. ) I have and will maintain workers' compensation, as re uired by S to 3700 of the Labor e, for the performance of the work for which this pe it is issued. My workers' compensation insura e carrier and policy number are: Insurance Co. TI ôç 4C1?. V'J Policy No. 2-'iQ OO Expiration Date ' This section need not be completed if the permit is for one hundred dollars ($100) or less. )1 Certificate of Exemption: I certify that in the erformance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure wo s' corn sation covera e is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, a as pro de for in S ion 37 of the Labor code, interest and attorney's fees. . CONTRACTOR SIGNATU ' - JAGENT DATE. I hereby affirm that lam exempt from Contractor's License Law for the following reason: O 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). O I, as owner of the property, am excItsiveIy contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). o I am 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 properly improvement '0 Yes 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): 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): . . ,PROPERTY OWNER SIGNATURE - DAGENT - DATE O(?&3O OUOOO®O ®O ®OUO 31'7O1 D!JO1DOO@ P0JO9Ø ®? 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? 0 Yes 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? 0 Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes 0 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. eowiaai otutio 1@IlZIG I hereby affirm that there is construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lenders Name Lenders Address -. . . - . - • . I certify that I have mad 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 INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height - EXPIRATION: Every permit issued by the Building Official under the provisions of th eshall expire by limitation and become null and void tithe building or work authorized by such permit is not commenced within 180 days from the date of such permit or tithe building or work a by such 04is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ,APPLICANT'S SIGNATURE / ' - DATE /.)_-3'D-7i 7 - I . Permit Type: BLDG-Commercial Application Date. 10/30/2017 Owner: S FT CARLSBAD LLC Work Class: Tenant Improvement Issue Date: 01/31/2016 Subdivision: Status: Closed - Finaled Expiration Date: 09/10/2018 Address: 2708 LokerAvew, 100 - -' Carlsbad, CA 92010-6602 lVR Number: 7342 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date Checklist Item COMMENTS Passed BLDG-Building Deficiency 1 7 No BLDG-Plumbing Final . .• No BLDG-Mechanical Final ' . - No BLDG Structural Final No BLDG-Electrical Final. . No 03/16/2018 03/16/2018 BLDG-Final 051973-2018 Passed Chris Renfro * Complete Inspection Checklist Item . ,. COMMENTS .' . - . . . . Passed BLDG-Building Deficiency - . . - Yes BLDG-Plumbing Final . , - . - ' , . Yes BLDG-Mechanical Final . ... Yes BLDG-Structural Final . . Yes BLDG-Electrical Final . - Yes 7 - March 16,2018 . . ' - Page 3of3 Permit Type: BLDG-Commercial Application Date: 10/30/2017 Owner: SF1 CARLSBAD LLC Work Class: Tenant Improvement issue Date: 01/31/2018 Subdivision: Status: Closed - Finaled Expiration Date: 09/1012018 Address: 2708 LokerAvew 100 Carlsbad, CA 92010-6602 IVR Number: 7342 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete - Date Start Date BLDG-85 T-Bar, 050967.2018 Failed Chris Renfro Reinspection Complete Ceiling Grids, - Overhead . -. Checklist Item COMMENTS * , - .- Passed BLDG-Building Deficiency Not ready. Need fire sprinkler inspection No BLDG-14 No rame-Steel-Bolting-Welding - (Decks) BLDG-24 Rough-TOpout . - . No BLDG-34 Rough Electrical . No BLDG-44 . No Rough-Ducts-Dampers 03/09/2018 03/09/2018 BLDG-i7 Interior 051286.2018 - Passed Chris-Renfro Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes - BLDG-85 T-Bar, 051285-2018 Passed Chris Renfro . Complete - . Ceiling Grids, Overhead . 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 . - 03/12/2018 03/12/2018 BLDG-14 051435.2018 Passed . Chris Renfro - ' Complete - Frame/Steel/Bolting! # Welding (Decks) . '- Checklist Item COMMENTS . . 'Passed - BLDG-Building Deficiency , . • - Yes - BLDG-17 Interior 051436.2018 Passed Chris Renfro - Complete Lath/Drywall Checklist Item COMMENTS . Passed BLDG-Building Deficiency . - Yes 03/15/2018 03/15/2018 BLDG-Final 051816.2018 - Partial Pass - Chris Renfro Reinspection Incomplete Inspection March 16, 2018 • . - - - ' . Page 20f3 Permit Type: BLDG-Commercial Application Date: 10/30/2017 Owner: S FT CARLSBAD LLC Work Class: Tenant Improvement Issue Date: 01/31/2018 Subdivision: Status: Closed - Finaled Expiration Date: 09/10/2018 Address: 2708 LokeAvew 100 Carlsbad, CA 92010-6602 -. IVR Number: - 7342 Scheduled - Actual Date Inspection Type Inspection No. Start Inspection Status Primary Inspector Reinspection Complete Date 03/05/2018 03/05/2018 BLDG-21 050588-2018 Passed Chris Renfro Complete - Underground/Underf - - -. loor Plumbing * • - h.. Checklist Item COMMENTS Passed • BLDG-Building Deficiency - Yes * BLDG-31 , 050589-2018 Passed Chris Renfro - - Complete Underground/Condu , .•• -. it - Wiring - - -. Checklist Item COMMENTS Passed BLDG Building Deficiency Yes 03/06/2018 03/06/2018 - BLDG44 Rough 050769-2018 Cancelled • Chris Renfro ' Reinspection Complete Combo(1424,3444) - - - - - Checklist Item COMMENTS Passed BLDG-Building Deficiency . •• No • . BLDG-14 - No , / Frame-Steel-Bolting-Welding - _ (Decks) - - - BLDG-24 Rough-Topo.it .--. . !.- No BLDG-34 Rough Electrical .. No - BLDG-44 : . .- .•. No - Rough-Ducts-Dampers - - BLDG-85 T.Bar, 050768-2018 Cancelled Chris Renfro Reinspection Complete Ceiling Grids, Overhead Checklist Item COMMENTS . Pased 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 - -. * .••, -- * - -- . •- 03/07/2018 03/07/2018 • BLDG-84 Rough 050968.2018 Passed Chris Renfro • Complete - - Combo(14,24,34,44) Checklist Item COMMENTS * - Passed - - - BLDG-Building Deficincy Rough combo on back line wall. Ok to • . No drywall • . • BLDG-14 . • No Frame-Steel-Bolting-Welding . (Decks) - - - - BLDG-24 Rough-Topout - -. No BLDG-34 Rough Electrical - -- - : - No I • -- BLDG-44 No - * - Rough-Ducts-Dampers - - - - - 4 - - - - 4 • - . -•. -. - - g• March 16, 2018 Page 1 of 3 5 16 KED YES. IT IS REQUIRED PRIOR To hpecto NOIC RM WAR PRECON MEETING REOUIREO 760-602-2725 know 24 hours J_o'r OF CW MARKEI) YE APPROVAL kEQ(JIRED PIIOR To RECJUESTI? t/ ;Jfl rEQUIQED P,e,tjon - 760-602-4660 Allow 48 hour 760-944-8463 Allow 48 houu (Engineering grp ek,,' 760-438-3891 can before 2 pm K Type of Jnspectio n on Rig* Date Ins or Date inspector I FOUNDATION i?C UNDERGROUND 0 UFER REINFORCED STEEL 434 ROUGH ELECTRIC / EV CHARGER / MASONRY PRE GROUT #33 0 ELEC SERVICE #320TEMPORARY 0 GROUT 0 WALL DRAINS #35 PHOTO VOLTAIC TILT PANELS. #38 SIGNS POUR STRIPS BLDG- FINAL COLUMN FOOTINGS I[4 #41 UNDERGROUND DUCTS & PIPING Date Inspector SUBFRAME 0 FLOOR Cl CEILING ROOFSHEATHING 11 0 DUCT& PLEIflIM 0 REL PIPING EXT. SHEAR PANELS #43 HEAT-AIR CON 0. SYSTEMS INSULATION BLDG-FINAL XTERIOR LATH I :[.J I F-1 ui u[') Date Inspector NTERIORIATH&DRYWALL /1(/ Q #81 UNDERGROUND (11,12,21,31) INAL #82 DRYWALLEXTLATH, CASTES (17,18,23) HI:JI[e Date SEWER a BL/CO 0 P1/CO Inspector #83 ROOF SHEATING,EXT SHEAR (13,15) #84 FRAME ROUGH COMBO (14,24,34,44) /1 / (t' DERGROUASTE OWIR #85 T-Bar(14,24,3444) OUT WwAsm IJWFR /4 & SHOWER PAN BLDG. FINAL OCCUPANCY JI1 I Date Inspector AS TEST 0 GAS PIPING A/S UNDERGROUND VISUAL ER HEATER A/S UNDERGROUND HYDRO - RWATER A/S UNDERGROUND FLUSH - A/S OVERHEAD VISUAL t11wjyj Daie Inspector EXCAV/ STEEL A/S OVERHEAD HYDROSTATIC ., A/S FINAL 31N6 F/A ROUGH-IN C(NDuIT/ WIRING F/A FINAL TENrIAL , BOND FIXED EXTINGUISHING SYSTEM ROUGH-IN #0/ FENCE/ALARMS FIXED EX11NG SYSTEM HYDROSTATIC TEST FIXED EXTINGUISHING SYSTEM FINAL MEDICAL GAS PRESSURE TEST - MEDICAL GAS FINAL - - -, 'Gil E A SAFEbuiLtCompary DATE: 12/12/2017 - . 0 APPLICANT PiJURIS. JURlSDlCTlONCar1Sbad PLAN CHECK # CBC2017-0572 SET II PROJECT ADDRESS: 2708 Loker Ave. West #100 . - . PROJECT NAME: Starbucks Tenant Improvement 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 thejurisdictiôn's codes when minor deficiencies identified below are resolved and checked by building department staff. 1 The plans transmitted herewith have significant deficiencies identified on -the enclosed'check list and should be corrected and resubmitted for a complete recheck: . El The check lisftransmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. : The applicant's copy of the check list is enclosed for the jurisdiction to fOrward to the applicant contact person. The applicant's copy of the check list has been sent to EsGil 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 Oompleted. Person cOntacted_.— ,- Telephone #: -- - Date contacted: ) Email:. :- Mail Telephone Fax In Person 4 REMARKS By Jason Pasiut Enclosures EsGil 12/7/2017 S - S - - . I- - - ••.__. 9320 Chesapeake Drive Suite 208 • San Diego California 92123 • (858) 560-1468 • Fax (858) 560 1576 I - ) r EsGil - A SAFEbuiLtCompany - DATE: 11/13/2017 APPLICANT - * I. , ,ZJURIS.- JURISDICTION: Carlsbad r '- PLANCHECK# CBC2017-0572 SET: I ' PROJECT ADDRESS 2708 Loker Ave West #100 PROJECT NAME Starbucks Tenant Improvement The plans transmitted herewith have been corrected where rlecessary and substantially comply with the jurisdiction's codes El 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. '• . . V . 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. The applicant's copy of the check list is enclosed for the jurisdiction to forwad to the applicant contact person. . : .. The applicant's copy of the check list has been sent to .. .. - Tsaki Demirdjian .............................................................. LI EsGil staff did not advise the applicant that the plan check has been 'cornpIéted.' . * EsGil staff did advise the applicant that the plan check has been completed Person contacted:Tsaki Demirdjian V Telephone #:'951--757-0246 .Date contacted:Uri (by_-) Email: westcoastpermits@gmail.com Mail Teie`ohone~--5 Fax In Person REMARKS: By Jason Pasiut - Enclosures EsGil V. 11/2/2017 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858)560-1468 •. Fax (858) 560-1576 V Carlsbad CBC20 17-0572 11/13/2017 PLAN REVIEW. CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK #.: CBC2017-0572 OCCUPANCY: B TYPE OF CONSTRUCTION: V-B ALLOWABLE FLOOR AREA: within SPRINKLERS?: YES REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 10/30/2017 DATE INITIAL PLAN REVIEW COMPLETED: 11/13/2017 JURISDICTION: Carlsbad USE Coffee Shop ACTUAL AREA: 1,750 s.f. •• STORIES 1 HEIGHT unchanged OCCUPANT LOAD 40 DATEPLANS RECEIVED BY . •: ESGILCORPORATION: 11/2/2017 PLAN REVIEWER: Jason Pasiut 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.' - - • . 4 Carlsbad CBC2017-0572 11/13/2017 [DO NOTPAY— THIS IS NOTANINVOICEJ VALUATION AND PLAN CHECK FEE - •. JURISDICTION Carlsbad PLAN CHECK # CBC2017-0572 PREPARED BY Jason Pasiut DATE 11/13/2017 BUILDING ADDRESS 2708 Loker Ave West #100 BUILDING OCCUPANCY B ;* BUILDING PORTION AREA (Sq. Ft.) Valuation Multiplier j Reg. Mod. 7..'VALUE ($) - - City Estimate . .- 105,235 Air Conditioning Fire Sprinklers TOTAL VALUE . 105,235 Li Jurisdiction Code cb I By Ordinance - .• Bldg. Permit Fee by Ordinance $647.36] $420 781 Plan Check Fee by Ordinance Type of Review Complete Review Structural Only Repetitive Fee E Other. Repeats . Hourly Hr. @ * EsGil Fee -$369.001 Comments: . . .. . . . .. 4 Sheet 1 I * 4 Carlsbad CBC2017-0572 11/13/2017 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 Corporation and the Carlsbad Planning, Engineering and Fire Departments. Bring TWO corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 298, San Diego, CA 92123, (858) 560-1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. . PLANS Provide a statement on the Title Sheet of the plans, stating that this project shall comply with the 2016 California Building Code, which adopt the 2015 IBC, 2015 5 V UMC, 2015 UPC and the 2014 NEC. V Please state whether Health Department Approval will be required for this tenant improvement. . V V V V ..5VVV:V V VV.:V .V:;:.V• ACCESSIBILITY V V V Please update door hardware note on sheet G-003 to stat 34" - 44; above the floor. V V V VS V V V V •V 'Provide permit number for the exterior signage work being done by landlord as V V V stated on sheet G-004. This permit should include the following signs: V V a) Accessible parking per 11B-216.5, 11B-502.6, 502.6.1-4, 11B-502.8.,. V Please show the International Symbol of Accessibility, labeled as #15 on sheet G- 002, on the outside of the building so as to label the store entrance. 11B-2 16.6. V -6. Show that the sales and service counter height meets the requirements of 1113- 904.4 for parallel and forward approach : V : • INTERIOR WALL AND CEILING FINISHES VVV V Provide a note on the plans or Von the finish ,schedule, stating, "Wall and ceiling V V V V materials shall not exceed the flame spread classifications iii IBC Table 803.11. V •V V V 4 V • V S •V V V V Carlsbad CBC2017-0572 11/13/2017 EGRESS - 4 8. Provide a door schedule for the egress and restroom doors showing that they meet the requirements for size and hardware type. Show which doors have latches and/or closers. CBC 1010.1.1, 1010.1.9. Provide a note stating that, "Egress doors shall be readily openable from the',,. •. egress side without the use of a key or special knowledge". CBC 1010.1.9. Show on the plans the required means of egress illumination levels shall not be less than 1 foot-candle at the walking surface. CBC 1008.2.1. . MECHANICAL ' Show the proposal for achieving exhaust airflow per CMC Table 403.7 atthe warming ovens CMC403 7 V.-. . 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, calculatiôh-' - page, etc. , ' V ' V • V ' Please indicate here if any changes have been made to the plansthat 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. • . V •. Have changes been made to the plans not resulting from this correction fist?' Please indicate I Yes El No The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake - Drive Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Jason Pasiut at Esgil Corporation. Thank you. - .• . • - V V H • t r V •4 - V.. ' • ••V V. V 4 • V V - • • ,' V V -V • - " V. V •. • • , - - ' . • '' , . •- 4 V V. V , , •• •' - V V• - V f V ' ' V •, - .' -• u - • • • V 'V - .. , I' •'t . - -- - - .- -10 ELISE ROTHSCHILD Q j untp 01 *an t i ç a AMY HARBERT Director 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 JAN 30 201 1 (800) 253-9933 www.sdcdeh.org CITY OF CARLSBAD PLAN APPROVAL SHEET BUILDING DIVISION DBA: Starbucks DATE: 12/6/2017 SITE: 2708 Loker Ave West 100, Carlsbad, CA 92010 PC #: DEH2017-FAMD-004834 BUSINESS OWNER: Spectrum Property Management Plans are approved contingent upon the following: - ,.41g_!-.__._ 2) Changes to equipment layout, menu, or application must be submitted for approval. Changes made without approval will make the plan approval null and void. 3)' Obthnl&1 Buildn Dpint ad all apphcab1 Zieeicmts and approva1 PRIOR TO FINAL INSPECTION AND PPROVATO•OPERATEBY-TfflS D.EMRTMENT 4) All food and utensil-related equipment shall be certified to applicable sanitation standards by an ANSI accredited testing agency. 5) Upon completion of 50%-80% of construction, call (858) 505-6660 to schedule a mid-inspection. In lieu of a plumbing inspection by DEH, ensure that the plumbing is constructed to these standards: Floor sinks shall be installed /2 exposed and equipped with an appropriate grill cover if no access is provided for cleaning. Drain lines shall slope ¼" per foot, shall not exceed is' in length and shall terminate a minimum of 1" above the floor sink with a legal air gap or otherwise approved by the enforcing agency. Drain lines shall not intersect walkways or door ways. G. No condensate drainage of any kind can drain to the mop sink. 3-compartment sinks, preparation sinks, dump sinks, and any other plumbed equipment must drain indirect to a floor sink. Grease traps/interceptors, if required by the local waste water authority must be located outside of the food preparation, food storage, or warewashing areas. Floor surfaces must be sloped 1:50 to required floor drains. Conduits of all types shall be installed within walls as practicable. When otherwise installed, they shall be mounted or enclosed iii a chase so as to facilitate cleaning. 6) Owners and/or operators must pass an approved and accredited Food Safety Certification course. Proof of successful completion of this course is to be furnished at the final inspection. 7) All equipment is to be in place and functional. At the time when the final inspection is requested, the facility shall have all utilities operational and all refrigeration shall have an ambient air temperature of 38'F or below and shall be equipped with a thermometer accurate to +/- 2'F in the warmest section of the unit. 8) Seal all cracks, gaps and crevices in counters, cabinets, around metal flashing, sink backsplashes, around pipes and conduits with silicone sealant. 9): I) 11) Plans reviewed by: Ernie Liwag, REHS & Mickey Lay, EHT CALL (858) 505-6660 AT LEAST 10 WORKING DAYS IN ADVANCE TO SCHEDULE MID AND FINAL INSPECTIONS. A FINAL INSPECTION MUST BE CONDUCTED AND AN ENVIRONMENTAL HEALTH PERMIT SHALL BE ISSUED PRIOR TO OPENING AND OPERATING THIS FOOD ESTABLISHMENT. 'Eitvironment'al and public health through leadership partnership and science Starbuks Health Department Plan Review Guide DECoe2017 Menu E3Ll; ' LoI'LSW D ,Category LenuIte!s1 t -' Coffee, tea and o Brewed coffee - Hot chocolate.. other beverages o Brewed tea Caiarnel Apple Spice o Iced coffee Apple juice (cold oi steamed) o Iced tea Flavored steamed milk Espresso o CaffeAmeiicano Espiesso Beverages* a Caffè Latte Espresso Con Panna (Served hot or .iced) o Caffe Mocha Espresso Macchiato o Cappuccino Gingeibread.Latte (Seasonal) See "Food and e Caramel Brulée:Latte (SeasOnal) c Peppermint Mocha: Piepaicitzon for o Caramel Macchiato Peppeimint White Chocolate Mocha piepaiation method o Cinnamon Dolce Latte Pumpkin Spice Latte (Seasonal) o Cocoa Cappuccino Salted Caramel Mocha (Seasonal) o Eggnog Latte (Seasonal) e White Chocolate Mocha Frappuccino® o Caffè Vanilla Frappuccino® Mocha Frappuccino® Blended 0 Caramel Brulée Frappuccino® o Peppermint Mocha Frappüccino® Beverages* (Seasonal) Pumpkin Spice Crèriie Frappuccino® o m Carael Frappuccino Pumpkin Spice Frappucci no See '-Food and o Cinnamon Dolce Crème Frappuccino® (Seasonal) Preparation" for Cinnamon Dolce Frap uccino® o Strawberries & Crème Frappuccino® preparation method. o Coffee Frappuccino® Tazo® Chai Crème Frappuccino® o DOuble Chocolaty Chip Frappuccino® • Tazo® Green Tea Crème Frappüccino! o Espresso Frappuccino® Vanilla Bean Crème Frappuccino® o Extra Coffee Caramel Frappuccino® o White Chocolate Crème Frappuccino® - . e Java Chip Frappuccino® White Chocolate Mocha Frappuccino® VivannoTM o chocolate VivannoTM Smoothie - mocha flavored aice, a whole banana, milk, whey S,noothies* protein and fiber powder, and ice. See 'Food and o Orange Mango Viva,,noTM Smoothie - orange. mango juice, a whole banana, milk,: Peparatidn" for whey protein and fiber powder, and ice. preparation method. Siravberiy VivannoTt S,ñoothie - strawberry puree,a whole banana, milk, whey protein _and _fiber _powder, _and _ice. Bakery* e 8-Grain Roll o Chonga Bagel ;'. o• Pumpkin Scone (Stored in ambient o Apple Bran Muffin e Cinnamon Chip Scone a Raspberry Muffin display case; Stocked o Apple Fritter e Cranberiy-range Scone a Raspberry Scone using gloves; Served o Asiago Bagel o Fudge Mini Doughnut o Red Velvet Cupcake using tongs/tissue; a Banana Nut Loaf o Ginger Molasses Cookie o Reduced-Fat Banana Warmed upon - o Birthday Cake Mini a Glazed Doughnut Choc Chip Coffee Cake customer request.) Doughnut a Hawaiian Bagel a Reduced-Fat Cinnamon o Blueberry Oat Bar a Iced Cinnamon Roll Swirl Coffee Cke o Blueberty. Scone a Iced Lemon Pound Cake ° Starbucks® Classic o Blueberry Streusel a Mallorca Sweet Bread Coffee Cake Muffin Maple Oat Pecan Scone Treat-Sized Double o Butter Croissant a Marble Pound Cake Chocolate Cookie 0 Cheese Danish a Marshmallow Dream Bar • Treat-Sized Peanut - . 0 Chocolate Brownie a Morning Bun Butter Cookie a Chocolate Chunk a Multigrain Bagel o Vanilla Bean Cupcake Cookie . a Oatmeal Cookie . a Vanilla Bean Scone o Chocolate Croissant e Plain Bagel o• Very Berry Coffee Cake o - Chocolate Doughnut a Pumpkin Bread e Zucchini Walnut Muffin .. 3 Starbucks Health Department Plan Review Guide Starbucks o Birthday Cake Pop Red Velvet Whoopie Pie Petites®* a Carrot Cake Mini Cupcake o Rocky Road Cake Pop (Stored in ambient a Lemon Sweet Square o Salted Caramel Sweet Square display case; Stocked o Peanut Butter Mini Cupcake • Tiramisu Cake Pop using gloves; Served using tongs/tissue) - Hot Bi.eakfast* e Bacon, Gouda Cheese & Egg Frittata on Artisan Roll (Prepackaged; No • Egg White, Spinach & Feta Wrap onsite preparation; e Ham, Patinesan Frittata & Cheddar on Artisan Roll Warmed upon o Reduced-Fat Turkey Bacon with Egg Whites on Englih Muffin customer request) -. a Sausage, Egg & Cheese on English Muffin - Starbucks® Perfect Oatmeal (optional toppings —brown sugar, nuts, and dried fruit) o Veggie, Egg and Monterey Jack Artisan Breakfast Sandwich Fruit and Snack Chicken on Flatbread with Hwmnus Artisan Snack Plate - Humiiius, grape Plates tomatoes, carrot and cucumber sticks with chicken strips on a wheat flatbread.. (Prepackaged; No o Fruit. Nut & Cheese Artisan Snack Plate - Slied apples, dried cranberries and onsite preparation) white Cheddar cheese and a sesame cracker. almonds, with Brie, Gouda and m o Protein Artisan Snack Plate— Hard-boiled cgg, grapes, sliced apples, and white Cheddar cheese with multigrain muesli bread and honey peanut butter spread. - o Snack-Fulls - Crunchy animal crackers, string cheese, raisins aid apple slices. Sandwiches, .o Chicken Santa Fe Panini - Chicken with sour cream green chili spread, bell pepper Panini & Wraps and pepper jack cheese on flatbread. (Prepackaged; No • Egg Salad Sandwich - Egg salad with dill, mustard, celery and lettuce on wheat oisite preparation) • bread. . . Roasted Vegetable Panini - Roasted zucchini, eggplant, and red peppers with baby spinach and provolone cheese on focaccia bread. o Rome Tomato & Mozzarella Sandwich - Roma tomato, mozzarella, spinach 'and basil pesto an a piccolo roll. Tarragon Chicken Salad Sandwich - Chicken with cranberries and tarragon dressing on whole-wheat bread. - - a Tui,kej & Swiss Sandwich - Sliced turkey breast with Swiss cheese and lettuce on • wheat bread. •. * ' - Salads* a Deluxe Fruit Blend — Combination of seasonal fruit. - (Prepackaged; no a Farmer's Market Salad - Romaine lettuce topped with crumbled blue cheese, dried onsite preparation) cranberries, julienned carrots, sliced apples and slivered almonds. • a Garden Pesto Salad — Penn e pasta, chicken breast, zucchini, red pepper, pesto and - grated Parmesan cheese. - o Picnic Pasta Salad - Diced chicken, shredded cairots;grape tomatoes, diced zucchini_and_Farfalle_pasta_in_a_red_wine_vinaigrette_dressing.. Yogurt parfait* o Cheri),Cher, Yogurt Paifail -r - Cherry yogurt with cherries and almond-coconut (Prepackaged; No granola. •• . . oiisite preparation) . Greek Yogurt Honey Paifait - Yogurt with almond-coconut granola, pumpkin seeds, - and dried cranberries. o Strcnm'berry and Blueberry Yogurt Paifait - Yogurt with strawberries, blueberries and granola. Pre-packaged a Biscotti . a Gum . -. Retail ItenIs* Chocolate • Mints o Cookies - a Whole bean coffee Pre-packaged . - • Bottled juice • Bottled flavored water Bottled • Bottled Frappuccino® :•- • UHT pasteurized organic milk a Bottled water a Assorted soda Beverages* *Availability of specific items may vary by location and season. THE S 0 vta TIVI PERFORMANCE Utilizing TurboChef's patented technology to rapidly cook food without compromis- ing quality, the SOta provides superior cooking performance while requiring less space and consuming less energy. Blower Motors Microwave System Stirred Impinged Air (Top) and Microwave Impinged Air (Bottom) Catalytic Converter Impingement Heater Vent Tube Catalyst Air Filter Inlet Air for Cooling Electronic Components Page 1.1 Project - (J Item No. 0< 0) Quantity EXTERIOR CONSTRUCTION Powder, coated, corrosion-resistant steel outer wrap and door. Die-cast aluminum front panels with matte-chromè accents Cool-to-touch exterior; all surfaces below 50°C Ergonomic matte-chrome door handle 4-inch adjustable legs INTERIOR CONSTRUCTION 201/304 stainless steel Fully welded and insulated cook chamber. Removable rack and lower jetplate STANDARD FEATURES Independently-controlled dual motors for vertically-recirculated air impingement Top-launched microwave system Stirrer to help ensure even distribution of air and microwave Integral recirculating catalytic converter for UL (KNLZ) listed ventless operation External air filtration Vent catalyst to further limit emissions and odors LED timer counts down last 30 seconds of cook time Smart menu system capable of storing up to 256 recipes Flash firmware updates via smart card Single or dual-temperature interface Field-configurable for single or multiphase operation (requires service call) - Self-diagnostics for monitoring oven components and performance Smart Voltage Sensor Technology* (U.S. only) Stackable (requires stacking stand) Includes plug and cord (6 ft. nominal) Warranty - 1 year parts and labor COMES WITH STANDARD ACCESSORIES 1 Bottle Oven Cleaner (103180) 1 Bottle Oven Guard (103181) 2 Trigger Sprayers (103182) 2 Solid Aluminum Pans (il-9496) 1-Aluminum Paddle (NGC-1478) C®LJS L!F 94 1 CE This product conforms to the ventilation recommendations set forth by NFPA96 using EPA202 test method. Smart voltage Sensor Technology does not compensate for lack of or over voltage situations. It Is the responsibility of the owner to supply voltage to the unit according to the specifications on the back of this sheet 'Veniless certification Is for all food Items except for foods classified as 'fatty raw proteins.' Such foods include bone-in, skin-on chicken , raw hamburger meat, raw bacon, raw sausage, steaks. etc If cooking these types of foods, consult local HVAC codes and authorities to ensure compliance with ventilation requirements. Ultimate ventless allowance is dependent upon AHJ approval, as some jurisdictions may not recognize the UL certification or application. If you have questions regarding ventless certifications or local codes, please email ventless.help@turboclief.com - Turbochef reserves the right to make substitutions of components or change specifications without prior notice. - DOC-1204/Revision J/ August 2014 VENTILATION UL (KNLZ) listed for ventless operation! EPA 202 test (8 hr): - Product: Pepperoni Pizzas - Results: 0.64 mg/m3 - Ventless Requirement: <5.00 Mg/M3 Internal catalytic filtration to limit smoke, grease, and odor emissions. Project Price Quantity Total Shipping Fixed diameter dispenser (no adjustment required) Stainless steel construction No-jam design All models are NSF Listed Quick release mounting brackets fully supports the dispenser and allows tool-free removal for cleaning. "F" "E" "B" "c' BODY I "A" "A" "C" Model Overall Overall Tube End Cap Top Bracket No. Length Diameter Diameter Diameter Spacing I - .lrEC1L-NS-A34P 23" 4.000" 3.688" 3.750" 1.375" cAP Bottom Bracket Spacing Cup Type 9.000" Tall Hot Paper Cup Model Number: ECL-NSA34P (SKJ 194313) Inner Carton Dimensions (leach): 215 x 5.75' x 5.75 (3.2 ISs) Master Carton Dimensions (12 each): Units per skid: N S F® 144 çcs (12 master cailcns) Skid Dimensions: 77 Hx48 \5x40 D Skid Weight: 526 1b5 Diversified Metal Products, Inc. WORDISPENSE-RITE6 2205 Carlson Drive• Northbrook, IL 60062. (847) 753-9595 fax (847) 753-9648 www.dispense-rite.com • sales@dispense-rite.com QJPY~~fl fl-OtEfl2 C C -o (J (D (D C ON -o Lfl (D l h 0 'I 0) :3 (D ci n 0 D 0) n :3 0 (D - n 0 C :3 rt (D - (D —h (D 0) rt 0 Im 406P-STAR2 10267- R290 model 0 Specifications Exterior bottom shall be heavy-gauge galvanized metal. Exterior ends shall be heavy-gauge stainless steel. Exterior top shall be one-piece, heavy-gauge stainless steel with front edge turned down to form nosing and rear edge turned down. Base Interior shall be one-piece thermoformed ABS plastic material, with integral shelf supports. ABS interior is backed by a limited lifetime warranty. Base shall be fully insulated with high-density foamed- in-place environmentally friendly, Kyoto Protocol Compliant, Non ODP (Ozone Depletion Potential), Non GWP (Global Warming Potential) polyurethane. Door shall have a heavy-gauge stainless steel exterior, with a thermoformed ABS plastic interior liner, and shall be fully insulated with foamed-In-place polyurethane. Door handle shall be black, recessed ABS. Cabinet shall have (2) adjustable epoxy-coated wire shelves installed. Standard Features Features Delfield's exclusive ABS Interior. ABS Is extremely durable - It won't dent, chip or corrode and is backed by a limited lifetime warranty Stainless steel front, sides and top Two epoxy coated wire shelves, standard Installed per Unit Environmentally friendly 11290 refrigerant Foamed in place environmentally friendly, Kyoto Protocol Compliant, Non ODP (Ozone Depletion Potential), Non GWP (Global Warming Potential) polyurethane cuts energy costs Black recessed quick grip handle - 6' cord and plug supplied Door is field reversible. Standard hinging provided is on the right side Three year parts and labor warranty and an additional two year compressor parts warranty Refrigeration system shall use R290 refrigerant. Compressor shall be 1/5 h.p., with condenser coil and hot gascondensate evaporator mounted on rear of cabinet. Evaporator coil and temperature control shall be mounted on the interior rear wall of the cabinet. Refrigerant flow shall be controlled by a capillary tube. Cabinet shall maintain 36'F to 407 (2C to 4'C) interior cabinet temperature. Electrical connections shall be 115 volt, 60 Hertz, single phase. Unit shall have a 6'(1.8m) long electrical cord and NEMA 5-15P plug. Cord and plug shall be located on rear of cabInet, 16'140.6cm1 above floor, 5 from the left side. Equipment is shipped with 2' (5crn) diameter casters Installed. 10267 - R290 model Options & Accessories Stainless steel back Plastic laminate on front Additional wire shelves Stainless steel single-tier overshelf 5'(13cm) diameter casters Model 409 stacking collar (adds 4' to overall combined height for use with models 406/407) Door lock ENERGY. STAR Ii Qanitowoc S 400P Series 406P Self-Contained Compact Undercounter Refrigerator - Starbucks Models 406P-STAR2 - 115V Undercounter refrigerator single section on casters 9805. Isabella Rd. Phone: 800-733-8948 or 989-773-7981 Mt. Pleasant Michigan 48858 Fax: 800-669-0619 www.delfleld.com ICER&CAIVE OF ACCEPTANCE Automatic Daylighting Coalmi IPmiecl Name: L&R/STARBIJCKS #10851 C _jmitNumbec CBC20I 7-0512 jZip Code: 92010 AUTOMATIC DAYLIGHTING CONTROL ACCEPTANCE DOCUMENT Check boxes for all pages of this NRCA-LTI-03-A completed and included in this submittal NRCA-LTI-03-A Page - - Construction Inspection. This page required for all submittals. 1&2 - D NRCA-LTI-03-A Page Continuous dimming control functional performance test - watt-meter or amp-meter measurement. 3&4 - NRCA-LTI-03-A Page Stepped Switching/ Stepped Dimming functional performance test— watt-meter or amp-meter measurement 5&6 0 NRCA-LTI--03-A Page Continuous dimming control functional performance test - light meter power measurement, and default look-up 7&8 table of fraction of rated power versus fraction of rated light output. .. - NRCA-LTI-03-A Page Stepped Switching/ Stepped Dimming functional performance test - based on light output 10 & 11 1. NA7.6.1.1 Construction Inspection: 1. Drawing of Daylit Zone(s) must be shown on plans or attached to this form. By checking this box, technician certifies that plans have been attached to this webform - Document Name and Page #5 Add Control Systems below if sampling method is used in accordance with NA7.6.1.2. If adding, attach a page with names of other controls in sample (only for buildings with > 5 daylight control systems, sample group glazing same orientation) DINING AREA .. - DINING AREA L. system unrormauon Zone Type: Skylit (Sky), Primary Sidelit (PS), or Secondary Sidelit (SS) , . I PS Control Type: Continuous Dimming with more than 10 light levels (C), Stepped Dimming (SD), Switching (SW) - C Design Footcandles: (enter number or leave blank): 3. Sensors and Controls Control Loop Type: Open Loop (OL), Closed Loop (CL) CL Sensor Location: Outside (0), Inside Skylight (IS), Near Windows facing out (NW), In Controlled Zone (CZ) - . CZ Sensor Location is Appropriate to Control Loop Type: (YIN) If control loop type is Open Loop (OL): Enter yes (Y) if location - . Yes Outside (0), Inside Skylight (IS), or Near Windows facing out (NW); otherwise, enter no (N). If Control loop type is Closed Loop (CL): Enter yes (Y) if location = In Controlled Zone (CZ); otherwise, enter no (N). . . . Control Adjustments are in Appropriate Location (V/N): Yes, If Readily Accessible or Yes if in Ceiling less than or equal to 11 ft, No Yes for all other. 4. Has documentation been provided by the installer: Installation Manuals and Calibration Instructions Provided to Building Owner: (V/N) Location of Light Sensor on Plans: (Y/N) Location of Light Sensor on Plans: (Page Number) - CA " CaIlflaAdncedLightlng,!5, .',' .. .. ,. ,.. ,. . ,, -,. Controls Tralrung Program t' Yes Yes - . E-1103 This is page lof5 S. Separate Controls of Luminaires in Daylit Zones: Are luminaires controlled by automatic daylighting controls only in daylit zones: (Y/N) Yes Separately circuited for daylit zones by windows and daylit zones under skylights: (V/N) - - Yes 6. Daylighting control device certification Daylighting control has been certified in accordance with §110.9: (YIN) - . - Yes - Construction Inspection PASS/FALL. If all responses on Construction Inspection pages 1 & 2are complete and all Yes/No questions pass have a Yes (Y) response, the tests PASS; If any responses on this page are incomplete OR there are any no (N)rponses, the tests FAIL : (I. PASS/FAIL Evaluation (check one):: rt . PASS: If all responses on Construction Inspection pages 1 & 2 are complete and all Yes/No questions have a Yes (Y) response, the tests PASS 00 FAIL: Any applicable Construction Inspection responses are incomplete OR there is one or more negative (N no)responses nany applicable Functional Performance Testing Requirements section. System does not pass and is NOT eligible for Certificate of Occupancy according to Section 10103(a)3B. Fix problem(s) and retest until the system(s).passes all portions of this test before retesting and resubmitting NRCA-LTI-03-A with PASSED test to the enforcement agency. Describe below the failure mode and corrective action needed. --' - 1 U Confrols Training ProgramiCA,L - -, G t . - ,-e- - This is page 2 of 5 ICERT1FICATE OF ACCEPTANCE INCA-LTl-03 k Automatic Daylighting Control Name: L&RJSTARBUCKS #10851 CARLSBAD ~jEnfbrcernent Agency: CITY OF CARLSBAD IlPit Numbct CBC2017-0572 Address: 2708 LOKER AVE jCity CARLSBAD Code 92010 2. NA7.6.1.2.1 Functional Performance Testing - Continuous Dimming Systems: Power estimation using light meter measurement Complete all tests on page 3 & 4 (No Daylight Test, Full Daylight Test, and Partial Daylight Test) and fill out Pass/Fail section on, Page 4. DINING AREA Sutm Tnfnrmitinn - Control Loop Type: Open Loop or Closed Loop? (0 or C) - - I C Indicate if Mandatory control - N (required for skylit zone or primary sidelit zone with installed general lighting power,?. 120 W); '- M for Control Credit - CC; or Voluntary not for credit -V (M, CC, V) - If automatic daylighting controls are mandatory, are all general lighting luminaires in daylit zones controlled by automatic -Yes 1 daylight controls? (Y/N) Documented general lighting design footcandles. If design footcandles not documented leave blank (enter fc) •• 42 a. Power estimation method. (see line o) Default ratio of power to light (Dfc), cut-sheet ratio of power to light (CSfc) If CSFc - Dfc attach cut-sheet. Enter Dfc or CSfc - Step 1: Identify Reference Location . (location where minimum daylight illuminance is measured in zone served by the controlled lighting.) Method Used: Illuminance or Distance? (I or D) Override daylight control system and drive electric lights to highest light level for the following: Highest light level fc - enter measured controlled electric lighting footcandles (fc) . - 42 Indicate whether this Is Full Output (FO), or Task Tuned (Lumen Maintenance) (U) . FO step : No uaylugnt iest controls enaiea a ciayiugnt less tnan 1 rc at relerence location I. Method Used: Night time manual measurement (Night), Night Time Illuminance Logging (Log), Cover Fenestration (CF), Cover Night Open Loop Photosensor (COLP) Reference Illuminance (footcandles) as measured at Reference Location (see Step 1). Enter footcandles . I 34 Enter V if either of the following statements are true: If line h = FO; [Reference Illuminance (line j)] / [Full Output fc (line g)] > Yes 70%? or [Reference Illuminance (line j)) / [design footcandles (line d)] > 80%? (Y/ N) Step 3: Full Daylight Test conducted when daylight> reference illuminance (line j) I. Daylight illuminance (light level with electric lighting turned off) measured at Reference Location (fc) 37 I Daylight illuminance (line I) greater than Reference Illuminance (line j)? (Y/N) - Yes Fraction controlled wattage turned off. Enter O/ , . - - I 50 Fraction of controlled wattage dimmed (1 - (line n)] Enter %. . . . j 50 Fill out lines p through s only if fraction of controlled wattage turned off (line n) < 100%. Total (daylight + electric light) illuminance measured at the Reference Location (fc) ' . I Electric lighting illuminance at the Reference Location (fc) [(line p) - (line I)] - . I I Electric lighting illuminance (line a) divided by Highest Light Level fc (line g). Enter % . j 7.142857142857142 a. Dimmed luminaire fraction of rated power. Attach manufacturer's cut-sheet or use default graphof rated power to light output. Label applicable control system (column A, B or C) on cut-sheet or graph. Enter fraction of rated power in 40 System Power Reduction = [1 - (line 0) * (lines)) 80 Is System Power Reduction (line t) > 65% when line h = FO, or > 56% when line h = U (Y/N) Yes California Advanced Lighting Controls Training Program This is page 3 of With uncontrolled lights also on, no lamps dimmed outside of daylit zone by control (YIN) - yes Dimmed lamps have stable output, no perceptible flicker ('Y/N) ., . Yes cs-en d Partial flavtinht Tprt rondurted when davlinht between 600/n and 95% of (line ii Daylight illuminance (light level without electric light) measured at Reference Location (fc) I30 I Daylight illuminance divided by the Reference Illuminance = (line x )/ (line J). Enter % 88.23529411764746 Is Ratio of Daylight illuminance to Ref. illuminance (line y) between 60% and 95%? (Y/N) - Yes aa. Total (daylight + electric light) illuminance measured at the Reference Location (Ic) F35 I bb. Total illuminance divided by the Reference Illuminance = (line aa )/ (line j), Enter % I 102.94117647058423 cc. Is Total illuminance divided by the Reference illuminance (line bb) between 100% and 150%? (YIN) Yes 8 3. PASS/FAIL Evaluation (check one): . .,• •.• . -- PASS: All applicable Construction Inspection responses are complete and all applicable Functional Performance Testin Requirements responses are positive (Y - yes) 0 FAIL: Any applicable Construction Inspection responses are incomplete OR there i's one or more negative (N no)responses in any applicable Functional Performance Testing Requirements section. System does not pass and is NOT eligible for Certificate of Occupancy according to Section I 10103(a)3B. Fix problem(s) and retest until the system(s) passes all portions of this test before retesting and resubmitting NRCA-LTI-03-A with', PASSED test to the enforcement agency Describe below the failure mode and corrective action needed. I - 4 • -: - . - - . . .. I- -.4 • - .4 . ,_ .4 - 4 . 4.1 4 .4 - - 44 .4 - .4 - . 4 * 4 . 4 • . . - - - . •. - .- , . 4 :' 141:4 • 4- 4 ., . . C CaiitorniaAdvanced Lighting' ,4 Controls Training Program - ,_._4.4.'• '.?'a .4 -. . - •• This is page 4 of 5 ICERTIFICATE OF ACCEPTANCE INRCA-Lfl-03-A [Automatic Daylisting Control Project Name: L&R/STARBUCKS #10851 CARLSBAD lIEnfocnt Agency: CITY OF CARLSBAD IJftffnit Nnber. CBC20I7-O572 IEAddxess: 2708 LOKER AVE IlCity: CARLSBAD =Ibp Code: 92010 DOCUMENTATION AUTHORS DECLARATION STATEMENT . I certify that this Certificate of Acceptance documentation is accurate and complete. . Documentation Author Name Company Name Aaron Price . - - Safeway Electric Address city 461 Corporate Or I • Escondido Zip Code , Phone - 92029 - - . (619)733-6196 CEA/ATT Certification IdenOflcatior( (if - Author Signature applicable) - Date of Signature: 03/13/2018 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the lows of the State of California: . The information provided on this Certificate of Acceptance Is true and correct. - I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). . The construction or Installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible buIlder/Installer and has been posted or made available with the building permit(s) Issued for the building. - . . . Field Technician Name . Company Name - Aaron Price - - Sareway electric Address: . , -City -e 461 Corporate Or .. - • Escondido Zip Code -i Phone 92029 (619)733-6196 Art Certification identification . - Position with Company (Title) TC-A814244 . - - Project Manager Field Technician Signature Date or Signature: . . 03/13/2018 ' 6 RESPONSIBLE PERSON'S DECLARATION STATEMENT certify the following under penalty of perjury, under the laws 01 the State of California: - I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work Identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or Installation Identified on this Certificate of Acceptance complies with the acceptance requirements indicated In the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA?. t have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and Is posted or made available with the building permit(s) issued for the building. S. twill ensure that a completed, signed copy 01 this Certificate of Acceptance shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. t understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Acceptance Person Name Company Name - - Matt Harding . Safeway Electric - - Address: City . - - 461 Corporate Or Escondido Zip Code - ' . Phone 92029 . . (760)497-7676 CSLB Ucenne Position with Company (Tide) . . • - Owner - Responsible Acceptance Person Signature Date of Signature: L,2018 ,) .'.-, • -,- .....-,--- ... . .....,v. . CA ' CaliforniiAdva'rced Lighting. Controls Training Program + ' -..- I- ---i .....'- :-';. n" .---' -.,-•- ,.€..-. 4a r '.8 4. This is page 5 of 5 CERTIFICATE OF ACCEPTANCE - ICA-LTI-02-A I I LiglilzngConimt I Project Name: L&RJSTARBUCKS #10851 CARLSBAD Iiforeammt Agency: CITY OF CARLSBAD lPermit Number. CBC20I7-0572 I IProimt Address: 2708 LOKER AVE iCity: CARLSBAD IVp Code: 92010 I LIGHTING CONTROL ACCEPTANCE DOCUMENT ' Automatic Shut-off Controls: Automatic Time Switch Control and Occupant Sensor Intent: Lights are turned off or set to a lower level when not neededper Section 110.9(a) & 130.1(c).'. • A Construction Inspection Fill out Section A to cover spaces 1 through 3 that are functionally tested under Section B Instruments needed to perform tests include, but are not limited to: hand-held amperage' meter, pwer meter, or light meter' 1: Automatic Time Switch Controls Construction Inspection—confirm for all listed in Section B 'I. a All automatic time switch controls are programmed for (check all) * I Weekdays r7 Weekend P Holidays b. Document for the owner automatic time switch programming (check all): - Weekday settings P Weekend settings P Hólidays settings P Set-up settings P Preference program setting R Verify the correct time and date is properly set in the time switch Rj Verify the battery is installed and energized P Override time limit is no more than 2 hours I Occupant Sensors and Automatic Time Switch Controls have been certified to the Energy Commission in'accTordance with the applicable provision in Section 110.9 of the Standards, arid'model numbers for all such controls are listed on the Commission database as Certified Appliance and Control Devices . .. 2. Occupancy Sensor Construction Inspection—confirm for all listed in Section B ' a R Occupancy sensors are not located within four feet of any HVAC diffuser ¶ . P Ultrasonic occupancy sensors do not emit audible sound 5.feet from source -* _a •,'-'a-,";.. .- - -Q .'- ,California Advanced Lighting TP Controls Training Program - :1 '': This is page 1of23 CERTIFICATE OF ACCEPTANCE ngConol IProject Name: L&R/STARBUCKS #10851 CA CITY OF CARLSBAD I II'ijt Numb IProiect Address: 2708 LOKER AVE JFZipCode:9 B. Functional Testing of Lighting Controls S r For every space in the building, conduct functional tests 1 through 5 below if applicable. If there are several geometrically sirnila spaces that use the same lighting controls, test only one space and list in the cells below which "untested spaces" are represented by that - tested space. EXCEPTION: For buildings with up to seven (7) occupancy sensors, all occupancy sensors shall be tested. (NA7.6.2.3) Representative Spaces Selected - S Tested/space/room name: BACK BAR a' Space Type (office, corridor, etc) . BAR AREA -, Untested areas/rooms 1. Automatic Time Switch Controls Step 1: Simulate occupied condition a I i . ; I - 7W All lights can be turned on and off by their respective area control switch .- Verify the switch only operates lighting in the ceiling-height partitioned area in 5 . which the switch is located. - S Step 2: Simulate unoccupied condition • - ' 5,.ft - All lighting, including emergency and egress lighting, turns off. Exempt lighting may V. remain on per Section 130.1(c)1 and 130.1(a)1. Manual override switch allows only the lights in the selected ceiling height :. partitioned space wher the override switch is located and remain on no longer than 2 hours (unless serving public areas and override switch is captive key type). Step 3: System returned to initial operating conditions - ipancy Sensors imulate an unoccupied condition S •. Lights controlled by occupancy sensors turn off within a maximum of 30 minutes from start of an unoccupied condition per Standard Section 110.9(b) The occupant sensor does not trigger a false 'on' from movement in an area 7P adjacent to the controlled space or from HVAC operation tep 2: Simulate unoccupied condition V • .. a a. Status indicator or annunciator operates correctly - V • b. Lights controlled by occupancy sensors turn on immediately upon an occupied . . -. condition OR sensor indicates space is 'occupied' and lights may be turned on • manually System returned to initial operating conditions S 7y] V C 6ILITP CahforiaAdancedLiqhflng - This is page 2 of 23 3. Partial Off Occupancy Sensor - . - - - . -: . •. . Step 1: Simulate an unoccupied condition - - - - - a. Lights go to partial off state within a maximum of 30 minutes from start of an unoccupied condition per Standard Section 110.9(a) 7 -- b The occupant sensor does not trigger a false on from movement in an area adjacent to the controlled space or from HVAC operation. For library book stacks or warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in - - -. .' the aisle or stack. - ' ,. Ul . c. In the partial off state, lighting shall consume no more than 50% of installed lighting : power, or: No more than 60% of installed lighting power for metal halide or high - pressure sodium lighting in warehouses No more than 60% of installed lighting power for corridors and stairwells in which the installed lighting power is 80 percent• or less of the value allowed under the Area Category Method. Light level may be used as a proxy for lighting power when measurements are taken - - tep 2: Simulate an occupied condition The occupant sensing controls shall turn lights fully ON in each separately controlled areas, Immediately upon an occupied condition - .4 irtial On Occupancy Sensors -Simulate an occupied condition. Verity partial on operation. - J Immediately upon an occupied condition, the first stage activates between 30 to - - - 70% of the lighting automatically. 1' •- • After the first stage occurs, manual switches allow an occupant to activate the alternate set of lights, activate 100% of the lighting power, and manually .. deactivate all of the lights. -• - - - - Rep 2. Simulate an unoccupied condition a: Both stages (automatic on and manual on) lights turn off within a maximum of 30 - .. minutes from start of an unoccupied condition per Standard Section 110.9(a) . - rA b. The occupant sensor does not trigger a false on from movement in an area adjacent to the controlled space or from HVAC operation - - . - . . - . .'. CAL(ITP CahfomiaAdvancedLiqflhng .. This is page 3 of 23 1FICATE OF ACCEPTANCE INI 02 A onUI - Name: L&RISTARBUCKS #10851 CARLSBAD llEnfocemet Agency: CITY OF CARLSBAD - Number CBC20I7-0572 Addiss: 2708 LOKER AVE IICi CARLSBAD IIP Code: 92010 S. Additional test for Occupancy Sensors Serving Small Zones in Office SpacesLarger than 250 Square Feet, to Qualify for a Power Adjustment Factor (PAF) , Step 0: First, complete Functional Test 2 (above ) for each controlled zone - - Step 1: Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test 2. a Area served by controlled lighting (square feet) I. Enter PAF corresponding to controlled area from line (a) above (<125sf for PAF=0.4, -• - 126-250sf for PAF=0.3, 251-500sf for PAF=0.2). Enter PAF claimed for occupant sensor control in this space from the Certificate of Compliance - - -. - The PAF corresponding to the controlled area (line b), is legs than or equal to the PAF claimed in the compliance documentation (line c) Sensors shall not trigger in response to movement in adjacent walkways or - - workspaces - ,' 4 4 - All steps are conducted in Functional Test 2 'Occupancy Sensor (On Off Control)' and all answers are Yes (Y) - 4 " Ad, Lnce6bg'Mlni— p .,- __•_4 4___ 4' Co ntroisTir'amng Program - - - - - . This ispage 4 of 23 CERTIFICATE OF ACCEPTANCE - INRCA.Ln-02-A I IughnngConnt 1 IProject Name: L&RJSTARBUCKS #10851 CARLSBAD I1fo1ecment Agency: CITY OF CARLSBAD I1mit Nuinber. CBC20I 7-0572 I - IProject Address: 2708 LOKER AVE IICi CARLSBAD lIp Codc 92010 - sting Results Automatic Time Switch Controls (all answers must be Y). -• . - j Occupancy Sensor (On Off Control) (all answers must be Y). Partial Off Occupancy Sensor (all answers must be Y). For warehouses, library book - stacks, corridors, stairwells in nonresidential buildings must also be accompanied by . passing Test 1 or Test 2. - • Partial On Occupant Sensor for PAF (all answers must be Y). Occupant Sensor serving small zones for PAF (all answers must be Y). Also must - - - pass Test 2 ., Representative Spaces Selected Tested/space/room name: Workroom [Space Type (office, corridor, etc) Kitchen - - - d areas/rooms )matic Time Switch Controls ;imulate occupied condition - - All lights can be turned on and off by their respective area control switch TRI I Verify the switch only operates lighting in the ceiling-height partitioned area in which the switch is located. . R tep 2: Simulate unoccupied condition All lighting, including emergency and egress lighting, turns off. Exempt lighting may remain on per Section 130.1(c)1 and 130.1(a)1. Manual override switch allows only the lights in the selected ceiling height partitioned space where the override switch is located and remain on no longer than 2 hours (unless serving public areas and override switch is Eaptive key type). Pit Step 3: System returned to initial operating conditions . -, -TR711 ipancy Sensors imulate an unoccupied condition a. Lights controlled by occupancy sensors turn off within a maximum of 30 minutes . - 71 ~11 .1 from start of an unoccupied condition per Standard Section 110.9(b) - - -4 e occupant sensor does not trigger a false on from move t A I I' California Advar LIghtlng Li44'L\J I FT Tfl Controls Traifflng Program an area p • _t - - -- - n. This is page 5of23 adjacent to the controlled space or from HVAC operation ' Step 2: Simulate unoccupied condition P, Status indicator or annunciator operates correctly . . Lights controlled by occupancy sensors turn on immediately upon an occupied condition OR sensor indicates space is occupied and lights may be turned on manually V V ' QJ ;tep 3: . •- +- - . System returned to initial operating conditions : - . :, 3. Partial Off Occupancy Sensor V V ••V . -, ;tep 1: Simulate an unoccupied condition Lights go to partial off state within a maximum of 30 minutes from 'start of an V V unoccupied condition per Standard Section 110.9(a) The occupant sensor does not trigger a false on' from movement in an area V - adjacent to the controlled space or from HVAC operation. For library book stacks or warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in . . the aisle or stack. * V V In the partial off state, lighting shall consume no more than 50% of installed lighting power, or: No more than 60% of installed lighting power formetal halide or high V pressure sodium lighting in warehouses. No more than 60°Io of installed lighting - power for corridors and stairwells in which the installed lighting power is 80 percentV. - V or less of the value allowed under the Area Category Method. Light level may be used as a proxy for lighting power when measurements are taken . V Rep 2: Simulate an occupied condition -, V The occupant sensing controls shall turn lights fully ON in each separately controlled areas, Immediately upon an occupied condition . Partial On Occupancy Sensors 06 Rep 1. -Simulate an occupied condition. Verify partial on operation. Immediately upon an occupied condition, the first stage activates between 30 to - V - . . - 70% of the lighting automatically. . After the first stage occurs, manual switches allow an occupant to activate the alternate set of lights, activate 100% of the lighting power, and manually deactivate all of the lights. V ' V tep 2. Simulate an unoccupied condition Both stages (automatic on and manual on) lights turn off within a maximum of 30 minutes from start of an unoccupied condition per Standard Section 110.9(a) The occupant sensor does not trigger a false on from move adjacent to the controlled space or from HVAC operation rii Cil1ii1aAdvanced Lighting V I I Contrifis Training Program an area V V V V This is page 6 of 23 4 ..- 4, , . , • 4. - • 4 4. 4 : : • - * 3 5 b •t -S . - 4 - ' * - .. '4 * • 5 . 4 5- S • • -• , - 4 . A - -. .4 4 •' .5 - 4- . * *• .4 Sr •t• j -- t. - . . . - •1' -- •-_5 5 • • -'-S .. 44 • - - 4 5 , •-,- - • . . - . 5•_ . L . - - * 4 .•. .' . , - , . S5S••• S . S -, . . .. • 44 S • . - S -. S a - - S• - S S. .. . . 4 •5 1 -. . I • -* - --S S * _4- S • -- S • . S • • •5S._ •' - . S S . : 55 - S * : - • * •- '. C , •'•• 1 1 - . -• 5 -*5 * S - 5- . -• LCALTP CaforniaAUvance mgn dLghtmg - 1 This 1s page 7of23 CERTIFICATE OF ACCEPTANCE IINRCA-LT1-02 A I LigliungConhvl I [Project Name: L&RJSTARBUCKS #10851 CARLSBAD Infont Agency: CITY OF CARLSBAD Ierrnit Number. CBC20I7-0572 I Project Address: 2708 LOKER AVE IlCity: CARLSBAD Code: 92010 I S. Additional test for Occupancy Sensors Serving SmaliZones in Office Spaces Larger than 250 Square Feet, to Qualify for a Power Adjustment Factor (PAF) - Step 0: First, complete Functional Test 2 (above ) for each controlled zone - Step 1: Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test 2. Area served by controlled lighting (square feet) - -•• -. ' ., I 4 Enter PAF corresponding to controlled area from line (a) above (<125sf for PAF=0.4, 126-250sf for PAF=0.3, 251-500sf for PAF=0.2). - - Enter PAF claimed for occupant sensor control in this space frori the Certificate of Compliance The PAF corresponding to the controlled area (line b), is less than or equal to the • - PAF claimed in the compliance documentation (line c) - •- Sensors shall not trigger in response to movement in adjacent walkways or workspaces * - 4 - All steps are conducted in Functional Test 2 'Occupancy Sensor (On Off Control)' - and all answers are Yes (Y) • •• •• rm • • - I ,. I .-•-,. - • - - --:• • :' 4.-•; - '. * I 4_ -. ' - -s -- • p. • - * * . 1* 1 4 I J - - - - - - • --- •1 - .,• - . • • .44 - -4 *4* - - I - -• Ca omla-kil;a'nced' T `41 • - - * - • .4 - - - - •-. This is page 8 of 23 2. Occupancy Sensors Step 1: Simulate an unoccupied condition C. Testing Results 1. Automatic Time Switch Controls (all answers must be Y). I J 7 2. Occupancy Sensor (On Off Control) (all answers must be Y). Partial Off Occupancy Sensor (all answers must be Y). For warehouses, library book stacks, corridors, stairwells in nonresidential buildings must also be accompanied by J'I passing Test 1 or Test 2. • - S - I - . - ; i t . - -7 7P7 Partial On Occupant Sensor for PAF (all answers must beY). . Occupant Sensor serving small zones for PAF (all answers must be Y). Also must pass Test 2 - F Representative Spaces Selected Tested/space/room name: VESTIBULE Space Type (office, corridor, etc) Lounge - d areas/rooms matic Time Switch Controls ;imulate occupied condition • . - - 4 All lights can be turned on and off by their respective area control switch - Verify the switch only operates lighting in the ceiling-height partitioned area in which the switch is located. imulate unoccupied condition All lighting, including emergency and egress lighting, turns off. Exempt lighting may remain on per Section 130.1(c)1 and 130.1(a)1. 1571-1 Manual override switch allows only the lights in the selected ceiling height partitioned space where the override switch is located and remain on no longer than - - 2 hours (unless serving public areas and override switch is captive key type). . - Rep 3: System returned to initial operating conditions a. Lights controlled by occupancy sensors turn off within a maximum of 30 minutes from start of an unoccupied condition per Standard Section 110.9(b) b. The occupant sensor does not trigger a false on from move çAL cahforaAdvancedUghtIng TP an area . - - -This is page 9 of 23 CERTIFICATE OF ACCEPTANCE ICA-LTJ-02-A I LigistingConixoi I. IPsoject Name: L&RJSTARBUCKS #10851 CARLSBAD - IIEnfoment Agency: CITY OF CARLSBAD Nnbr. CBC20I7-0572 I IProject Address: 2708 LOKER AVE Ilcity: CARLSBAD IZip Code: 92010 I adjacent to the controlled space or from HVAC operation I Step 2: Simulate unoccupied condition - - - - Status indicator or annunciator operates correctly - - , TP, - Lights controlled by occupancy sensors turn on immediately upon an occupied ' condition OR sensor indicates space is occupied and lights may be turned on -• . .' manually . Step 3: 1 - 'S..- - System returned to initial operating conditions - .. - . 3 Partial Off Occupancy Sensor - Step 1: Simulate an unoccupied condition . .. - • Lights go to partial off state within a maximum of 30 minutes from start of an unoccupied condition per Standard Section 110.9(a) The occupant sensor does not trigger a false on' from movement in an area adjacent to the controlled space or from HVAC operation. For library book stacks or warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in the aisle or stack. •- - .• . - - ,• In the partial off state, lighting shall consume no more than 50% of installed lighting ' power, or: No more than 60% of installed lighting power for metal halide or high - - pressure sodium lighting in warehouses. No more than 60% of installed lighting . . . power for corridors and stairwells in which the installed lighting power is 80 percent or less of the value allowed under the Area Category Method. Light level may be .. used as a proxy for lighting power when measurements are taken - Step 2: Simulate an occupied condition The occupant sensing controls shall turn lights fully ON in each separately controlled areas, Immediately upon an occupied condition - - - . 4. Partial On Occupancy Sensors Step 1. -Simulate an occupied condition. Verify partial on operation. Immediately upon an occupied condition, the first stage activates between 30 to • 70% of the lighting automatically. .. . . . . • After the first stage occurs, manual switches allow an occupant to activate the alternate set of lights, activate 100% of the lighting power, and manually -. -. • deactivate all of the lights.-- Step 2. Simulate an unoccupied condition Both stages (automatic on and manual on) lights turn off within a maximum of 30 . minutes from start of an unoccupied condition per Standard Section 110.9(a) * The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation a . •' 5'.' - 5.S . 5 Q ' California Advanced Lighting'.- -4 - 5 Controls Training Program . .. S .. -- . - This is page 10 of 23 LFICATE OF ACCEPTANCE IN -LhI-02-A ' Name: L&R/STARBUCKS #10851 CARLSBAD IlEnfortement Agency: CITY OF CARLSBAD .lPenit Number. C8C2017-0572 Address: 27O8LOKERAVE IICity:CARLSBAD - IpCo:92010 4 4' 4- - 4:. -. •."•• .. '4..- • S 44 .4- :..::- ,-• --.'- 44 444 - 4.... 5 .4 .4 4 . I •:-4 -4 -. . ' :- •.'•. :-. - '' -.- 4,4*4- I . •: . '• 4 . - 1., 4 - - 4-, 4- - 4- -*, 't.,' - •- :.. - L.-.•, - - - . • 4- 4 •. . - - - 4- 4 . 4 4. - . -, 4- - - . -.4-. . . . - . • •. .- --.4 .. 4 -• --.. '.4.-. • ' . . - •'. •. .- . -. - 4- - . ''4 '' : ---- - . ••- •" r ''- - 4- . - . '¼ •. ('Ai .4'ica1ItorniaAdvanc:dL1ghtng - , : -. '-: '-' •- •- - . This is page 11 of 23 1FICATE OF ACCEPTANCE IINRCA-Lhl-02A Contml Name: L&RISTARBUCKS #10851 CARLSBAD CITY OFCARLSBAI) IIPmmitNi1m CBC20I7-0572 Addmss: 2708 LOKER AVE IlCity: CARLSBAD lizip Code: 92010 S. Additional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than 250 Square Feet, to Qualify for a Power Adjustment Factor (PAF) Step 0: First, complete Functional Test 2 (above ) for each controlled zone * Step 1: Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test 2. Area served by controlled lighting (square feet) .. Enter PAF corresponding to controlled area from line (a) above (<125sf for PAF=0.4, 126-2505f for PAF=O.3, 251-500sf for PAF=0.2). Enter PAF claimed for occupant sensor control in this space from the Certificate of Compliance -. The PAF corresponding to the controlled area (line b), is less than or equal to the PAF claimed in the compliance documentation (line c) Sensors shall not trigger in response to movement in adjacent walkways or, . * workspaces . . - . All steps are conducted in Functional Test 2 Occupancy Sensor (On Off Control) and all answers are Yes (Y) Califohil -- •- - .. - This is page 12 of 23 2. Occupancy Sensors Step 1: Simulate an unoccupied condition ICERTIFICATE OF ACCEPTANCE INCA-Lfl02-A 1 .4ghUngConm1 I (Project )qame: L&RJSTARBUCKS #10851 CARLSBAI) IIEoemetn Agency: CITY OF CARLSBAD (PesmitNt1m CBC20I7.0572 I (Project Address: 2708 LOKER AVE ICitY CARLSBAD (Zip Code: 92010 C. Testing Results - Automatic Time Switch Controls (all answers must be Y). Occupancy Sensor (On Off Control) (all answers must be Y). Partial Off Occupancy Sensor (all answers must be Y). For warehouses, library book stacks, corridors, stairwells in nonresidential buildings must also be accompanied by passing Test 1 or Test 2. - • Partial On Occupant Sensor for PAF (all answers must be Y). - - FA Occupant Sensor serving small zones for PAF (all answers must be Y). Also must pass Test 2 Representative Spaces Selected Tested/space/room name: DINING AREA Space Type (office, corridor, etc) Public Dining d areas/rooms )matic Time Switch Controls ;imulate occupied condition a.'All lights can be turned on and off by their respective area control switch . . . . b. Verify the switch only operates lighting in the ceiling-height partitioned area in - , . •. which the switch is located. . - '; imulate unoccupied condition All lighting, including emergency and egress lighting, turns off. Exempt lighting may remain on per Section 130.1(c)1 and 130.1(a)1. . . 4 .. -. , - ---- F Manual override switch allows only the lights in the selected ceiling height . * partitioned space where the override switch is located and remain on no longer than 2 hours (unless serving public areas and override switch is captive key type). Step 3: System returned to initial operating conditions Lights controlled by occupancy sensors turn off within a maximum of 30 minutes - . .. . . .. -• from start of an unoccupied condition per Standard Section 110.9(b) - The occupant sensor does not trigger a false on from move CalIfornia Mt'anced lJghtlng Co - ' ntrols Training Program - I i' an area - - . This is page 13 of 23 adjacent to the controlled space or from HVAC operation I I Step 2: Simulate unoccupied condition Status indicator or annunciator operates correctly - - Lights controlled by occupancy sensors turn on immediately upon an occupied conditiàn OR sensor indicates space is 'occupied and lights may be turned on manually System returned to initial operating conditions 3. Partial Off Occupancy Sensor Rep 1: Simulate an unoccupied condition Lights go to partial off state within a maximum of 30 minutes from start of an unoccupied condition per Standard Section 110.9(a) The occupant sensor does not trigger a false on' from movement in an area adjacent to the controlled space or from HVAC operation. For library book stacks or - - warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in the aisle or stack. - , In the partial off state, lighting shall consume no more than 50% of installed lighting power, or: No more than 60% of installed lighting power for metal halide or high pressure sodium lighting in warehouses. No more than 60% of installed lighting * power for corridors and stairwells in which the installed lighting power is 80 percent or less of the value allowed under the Area Category Method. Light level may be used as a proxy for lighting power when measurements are taken . . Rep 2: Simulate an occupied condition The occupant sensing controls shall turn lights fully ON in each separately controlled . areas, Immediately upon an occupied condition - - . - I. Partial On Occupancy Sensors * tep 1. -Simulate an occupied condition. Verify partial on operation. ' Immediately upon an occupied condition, the first stage activates between 30 to , ,. - * 70% of the lighting automatically. -; After the first stage occurs, manual switches allow an occupant to activate the alternate set of lights, activate 100% of the lighting power, and manually deactivate all of the lights.•-- ;tep 2. Simulate an unoccupied condition - a. Both stages (automatic on and manual on) lights turn off within a maximum of 30 minutes from start of an unoccupied condition per Standard Section 110.9(a) b. The occupant sensor does not trigger a false on' from move adjacent to the controlled space or from HVAC operation cALTP Ci d an area This is page 14 of 23 r A1?fTI5 cifornaAdvaneciLghng - Controls Training Prograni - ;•_ - - - 4 _,• 4 - ••-' - -. This is page 15 of 23 S. Additional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than. 250 Square Feet, to Qualify for a Power Adjustment Factor (PAF) Step 0: First, complete Functional Test 2 (above ) for each controlled zone .. . -. Step 1: Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test 2. Area served by controlled lighting (square feet) . Enter.PAF corresponding to controlled area from line (a) above (<125sf for PAF=0.4, 126-250sf for PAF=0.3, 251-500sf for PAF=0.2). Enter PAF claimed for occupant sensor control in this space from the Certificate of a Compliance . . .- . The PAF corresponding to the controlled area (line b), is less than or equal to the PAF claimed in the compliance documentation (line c) Sensors shall not trigger in response to movement in adjacent walkways or workspaces 1; All steps are conducted in Functional Test 2 'Occupancy Sensor (On Off Control) and all answers are Yes (Y) a I I . * ... .5 17 • -S • .. a 5- - - I 5, 7 1- ..•-____;.V 5 VVV , %5 :.: V .40 Controls Tralnin Program VI t . VS This is page 16 of 23 C. Testing Results itomatic Time Switch Controls (all answers must be Y). - - :cupancy Sensor (On' Off Control) (all answers must be Y). - - 3. Partial Off Occupancy Sensor (all answers must be Y). For warehouses, library book stacks, corridors, stairwells in nonresidential buildings must also be accompanied by Vr passing Test 1 or Test 2. Partial On Occupant Sensor for PAF (all answers must be Y). ' ' .:. .,, Occupant Sensor serving small zones for PAF (all answers must be Y). Also must pass Test 2 - Representative Spaces Selected V .' Tested/space/room name: , Employee Restrooms Space Type (office, corridor, etc) Corridor/Restroom/Support V - d areas/rooms . - matic Time Switch Controls . V ;imulate occupied condition All lights can be turned on and off by their respective area control switch 'V -V - V. Verify the switch only operates lighting in the ceiling-height partitioned area in V which the switch is located. -' tep 2: Simulate unoccupied condition All lighting, including emergency and egress lighting, turns off. Exempt lighting may remain on per Section 130.1(c)1 and 130.1(a)1. Manual override switch allows only the lights in the selected ceiling height - partitioned space where the override switch is located and remain on no longer than 2 hours (unless serving public areas and override switch is captive key type). Rep 3: System returned to initial operating conditions Z. Occupancy Sensors Rep 1: Simulate an unoccupied condition a. Lights controlled by occupancy sensors turn off within a maximum of 30 minutes - V PR from start of an unoccupied condition per Standard Section 110.9(b) V b. The occupant sensor does not trigger a false 'on from move' - .• ..... .VV•V VV_VVV CAL ;1 rr Callfo'rnlaAdvancedUghtIn,- _. V I U Controls Training Program . ( an area This is page 17 of 23 adjacent to the controlled space or from HVAC operation Step 2: Simulate unoccupied condition H Status indicator or annunciator operates correctly 1 7P Lights controlled by occupancy sensors turn on immediately upon an occupied condition OR sensor indicates space is 'occupied and lights may be turned on manually . - - , .• ,- Step 3: ... .- -. System returned to initial operating conditions . FRI 3. Partial Off Occupancy Sensor Step 1: Simulate an unoccupied condition • .- : Lights go to partial off state within a maximum of 30 minutes from start of an unoccupied condition per Standard Section 110.9(a) The occupant sensor does not trigger a false 'on' from movement in an area adjacent to the controlled space or from HVAC operation. For library book stacks or warehouse aisle, activity beyond the stack or aisle shall not activate the lighting in the aisle or stack. . . . In the partial off state, lighting shall consume no more than 50% of installed lighting power, or: No more than 60% of installed lighting power for metal halide or high pressure sodium lighting in warehouses. No more than 60% of installed lighting power for corridors and stairwells in which the installed lighting power is 80 percent or less of the value allowed under the Area Category Method. Light level may be - used as a proxy for lighting power when measurements are taken - P. Step 2: Simulate an occupied condition The occupant sensing controls shall turn lights fully ON in each separately controlled areas, Immediately upon an occupied condition MY 4. Partial On Occupancy Sensors . . , . • Step 1. -Simulate an occupied condition. Verify partial on operation. Immediately upon an occupied condition, the first stage activates between 30 to 70% of the lighting automatically. After the first stage occurs, manual switches allow an occupant to activate the alternate set of lights, activate 100% of the lighting power, and manually deactivate all of the lights. • Step 2. Simulate an unoccupied condition . I . I I -J Both stages (automatic on and manual on) lights turn off within a maximum of-30 minutes from start of an unoccupied condition per Standard Section 110.9(a) The occupant sensor does not trigger a false 'on' from movement in an area • -Frol I adjacent to the controlled space or from HVAC operation --'' •-. CL()TP California Advanced Lighting - - This is page 18 of 23 CdAL1TP C ceg' an ng mm This is page 19 of 23 5. Additional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than 250 Square Feet, to Qualify for a Power Adjustment Factor (PAF) Step 0: First, complete Functional Test 2 (above ) for each controlled zone - - - - Step 1: Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test 2. ' Area served by controlled lighting (square feet) Enter PAF corresponding to controlled area from line (a) above (<125sf for PAF=0.4, 126-250sf for PAF=0.3, 251-500sf for PAF=0.2). I Enter PAF claimed for occupant sensor control in this space from the Certificate of Compliance - - . •• - The PAF corresponding to the controlled area (line b), is less than or equal to the PAF claimed in the compliance documentation (line c) Sensors shall not trigger in response to movement in adjacent walkways or - workspaces All steps are conducted in Functional Test 2 Occupancy Sensor (On Off Control)' and all answers are Yes (Y) - -• '. IUAII '-1 C 6LITP Controlslr~jnl This is page 20 of 23 C Testing Results - . I . 1, --F -1 Automatic Time Switch Controls (all answers must be Y). - - Occupancy Sensor (On Off Control) (all answers must be Y). 3 Partial Off Occupancy Sensor (all answers must be Y) For warehouses library book stacks corridors stairwells in nonresidential buildings must also be accompanied by ' passing Test 1 or Test 2 -4, 4 Partial On Occupant Sensor for PAF (all answers must be Y) 1] 5. Occupant Sensor serving small zones for PAF (all 6nswers must be Y). Also must - - - pass Test 2 - . '-I ' '.• - 4 44' D. Evaluation: P- PASS: All applicable Construction Inspection responses are complete and all applicable -- Equipment Testing Requirements responses are positive (Y - yes) - - 4 4' 4- - 00, CaIItornIaAdanced-Llghting --L --' - -• -' Controls TrainIng Prgram , - - . This is page 21 of 23 uu r. S S S £I fl U I UtS - U £U .F U fl I 1U I I I certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Company Name Name Aaron Price Address City 461 Corporate Dr Zip Code . Phone 92029 - CEA/ATT Certification . Author Signature Identification (if . applicable) * Safeway Electric - Escondido - (619)733-6196 •- -. Date of Signature: 03/13/20 4 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: - The information provided on this Certificate of Acceptance is true and correct. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician).- The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements Indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified In Reference Nonresidential Appendix NA7. - - I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) Issued for the building. Field Technician Name . Company Name - Aaron Price , Safeway Electric Address: • .. City 461 Corporate or Escondido Zip Code Phone ' - 92029 , (619)733-6196 ATT Certification Position with Company Identification • TC-A814244 (Title) Project Manager Field Technician Signature I Date of Signature: - 03/13/2018 RESPONSIBLE PERSON'S DECLARATION STATEMENT - • - I certify the following under penalty of perjury, under the laws of the State of California: I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements Indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 1 have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. . S. I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Acceptance - Company Name Person Name Matt Harding Safeway Electric Address: City 461 Corporate Dr - .. Escondido - - Zip Code Phone - - 92029 (760)497-7676- -, CSLB License - Position with Company - - (Title) Owner ' Responsible Acceptance Person Signature Date of Signature: cLip C aAdvancedughtig '4 This is page 22 of 23 CALITP - This is ,age 23 of 23