Loading...
HomeMy WebLinkAbout2720 LOKER AVE W; Q; CB021265; Permit~·. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 v06-27-2002 Commercial/1.ndustrial Permit Permit No: CB021265 Building Inspection Request Line (760) 602-2725 Job Address: 2720 LOKER AV WEST CBAD St: Q Permit Type: Tl Sub Type: Parcel No: 2090812800 Lot#: Valuation: $35,100.00 Construction Type: Occupancy Group: Reference #: Project Title: SPEC SUITE·-Tl 1,170 SF COMM 0 NEW Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/24/2002 JM 05/21/2002 05/21/2002 RB Applicant: ADDESSO LISA B Owner: FENTON H G·COMPANY 0207 06/27/02 0002 01 02 9770 CARROLL CTR SAN DIEGO CA 92126 858~549-8455 Total Fees: $1,620.42 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Ch~ck Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'I Renewal Fee Other Bµilding Fee Pot. WaterCon. Fee Meter Siz.e Add'I Pot. Water Con. Fee Reel. Water Con. Fee Inspector: .b-13 , 7588 METROPOLITAN DR SAN DIEGO C.A 92108 Total Payments To Date: $1;560.42 Balance Due: $276.35 $0.00 $179.63 $0:00 $0.00 . $7~37 $0.00 $0;00 $0.00 $0.0Q $0.00·. $0:00 $0.00 $60.00, $0.00 $0.00 $0.0b Meter Size Add'I Reel. Water Con. Fee 'Meter Fee SDC.WAFee . CFO Payoff Fee PFF PFF (CFb Fund) License Tax licer:ise Tax (CFO Fund} . . Traffic impact Fe$-· Traffic Impact (CFO .Fund) · PLUMBING i:bTAL . EL~CTRICAL TOTAL MECHANICAL TOTAL Masler Drainage Fee Sewer Fee· Redev Pi:irking Fee Additional Fees TOTAL PERMlTFEES C GFr. 60 !l 00 $60.00 $0.00 $0.00 $0.00 $0.00 $321.00 $0.00 $0.00 $0.00 $225.00 $0.00 $41.00 $35.00 $30.50 $0.00 $444.57 $0.00 $0.00 $1,620.42 FINAL~PROVAL Date: . " ( ,~ 2-Clearance: ------ NOTICE: Please take NOTICE that approval of your project includes the "lmposition".,of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file·the protest.and any other required information with the City Manager for processjng in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES·NOT APPLY to water and sewer connection fees and capacity changes, nor glanning; zoning,_grading or other simil&r application processing or service fees in connection with this project. NOR DOES IT APPLY to any · n f i · I · · r i h lim' i h r vi I h rwi i<B<a!O PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Business Name (at this add~M3 04/24/02 0002 01 02 179-63 l I Unit No. j 1'\JO, 14--:J- Name Address City State/Zip Telephone # Fax # I#, .. ~ ;.AffilJQ~l:,1;!1.<: ;::t;t~oni1®-~gr:.::Ps7](Mnt':t1ir .c.oiiii~:rrl$,~Mt'.;:-EC~sPnf:.t9fo~~2f?;;::c:::":?!':\:,;fi;£:J:)\~@di:;3.~~Ia:>1 Name Address City State/Zip Telephone# fi4~ffliiiifN~--~~::;:;-;e·-~~rtit1ifi-·o~z::-'"s·,':b:":;~:;if:t:tM~,'.:{·.r;1~-:'4d?>b~~-\_'.;:_,:}~<-" Name Address 1 City ·-----·-·--State/Zip Telephone # fs";z .. GO_fil'AACfoiV-;coi;e'KNYINA1i(. :..;·. --->'.' """' :. "'--'.~·-:--:--. ·=: = "-'·--:·;:·:·:·· (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 ~ion of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). C D, B . .-,: k· 4:1:10 ~k!-::'et'tl'l, f?:i') let S, D .. C1l qvu 85@. ·52ff-84;J;;;, ·Name "' · Address City 7 State/Zip Telephone # State License # 4¼s '.:t:J: License Class f:::, City Business License # I 1-l 3[24{o -tG Designer Name Address City State/Zip State License# 4-Ceee,557-- Telephone l§<~·::~9..B~!=.l:l~: co:M.e1;tit~AriPrt ·;.;..:~.c--.--··:~-:-:. . .. . '.4 --h "' ...... __ -";. -:::-:·:.:: ~~-.-:...-~. Workers' Compensation Declaration: I hereby 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 as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 'gl I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company sr~ fµf.VD Policy No. llo6' <fBCl&-t:r2-Expiration Date l-193 ... -03 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) D 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 become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($10 00), in ddition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE:_:,a~;N,~~~~~~===--------------DATE -4,. :iA,,rO--Z,.. . ~f'.~~-J;)Wtt~R;( Jt ·R,:Q!:G~MrJQff~ ... ·.::~ .' .. ·.. . ~ _·_'}~·.;_-. ,<_--·::· ...... ~'}.::.:_': ;_ I hereby affirm tliat I am exempt from the Contractor's License Law for the following reason: 0 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. 7 B·usiness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves t ereon, and who does such· work him r through his own employees, provided that such improvements are not intended or offered for sale. If, however I ing or improvement is sold within one year o c · on, the owner-builder will have the burden of proving that he did not build or improve for-pose of sale). D I, as owner of the property, am· ex contracting with licensed contractors to construct the -Contractor's License Law does not apply to an owne pursuant to the Contractor's License Law). D I am exempt under Section _____ _ 1. 2. 3. ONO 4. I plan to provide portions o e work, but I have hired the following person to coordinate, supervise and provide the major work (inclu umber>=-------------------~---------------~------'::,,,.=----- 5. e of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type ,-,,.,~ ,...,, ' '<, ,, , ',' , 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? D YES ~ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES ,181. NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES ~ NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. :a. ~,s,~colfsJRVCT(ON·-t.eNPJPlc;iAGENcv----~ .--:.',.: ---~~-~---, -.... ··--. H. ff·~·,_·--. __ . -,.-;1 I hereby affirm that theril is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME lf,,/4 . LENDER'S ADDRESS . 1[.,_, ,:~AP.P,LIC~~-'!M;l;l{f'.!fl.Ql(fl,QN,,. ~ ,~: ~~ ,:_,,, :: ' /. ----· ·:~--.. , ' .... ·• ,: • >i '..:" -:;==:=;-=:,,..=;-=, =. =_,_= ... =_::,~::;:-'!:':;:_ =, =-;_;:::;~=:-=:i.=_= __ :;::_~=-.=.--.--=.-, .. :;;::;:;:;~=-,=~ .::;,,\::._.=, -::=~=1 .. ='.'.'.'"'::;. L:;:7:;;::,,:::f'.::::,:-r:;:,>:::.;-:--::, -~=-:=_-_:::.:_~_:;::~-;:::, :=:-;_:=, 0:;:-::::::::·,;:: .1 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 c:irdinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' 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 5'0" deep and demplition 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 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ---------------------,----DATE ____________ _ ',, WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/13/2002 Permit# CB021265 Title: SPEC SUITE -Tl 1,170 SF Description: Inspector Assignment: RB --- Type:TI Sub Type: COMM Phone: 6199549519 Job Address: 2720 LOKER AV WEST Suite: Q Lot O Location: Inspector: ----- APPLICANT ADDESSO LISA Owner: Remarks: Total Time: Requested By: NA Entered By: CHRISTINE CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Date Description Act lnsp Comments 08/09/2002 89 Final Combo CA RB BY PAUL 07/31/2002 89 Final Combo co RB ELECTRIC PANEL SCHEDULE DOES NOT MATCH AGAIN 07/30/2002 89 Final Combo NR RB NO ACCESS 07/12/2002 89 Final Combo co RB SEE NOTICE ATTACHED 07/05/2002 89 Final Combo PA RB TEMP C OF O GRANTED-SEE BACK OF JOB CARD 06/28/2002 84 Rough Combo AP RB TBARSYSTEM 06/26/2002 84 Rough Combo co RB AGAIN -PAY REINSP FEE-SEE NOTICE ATTCH 06/21/2002 84 Rough Combo co RB SEE NOTICE ATTACHED 06/12/2002 11 Ftg/Foundation/Piers AP RB DOWELS-@ TRENCH 06/12/2002 17 Interior Lath/Drywall AP RB 06/12/2002 24 Rough/Topout AP RB 06/07/2002 16 Insulation AP RB SEE NOTICE @DRYWALL INSP 06/05/2002 14 Frame/Steel/Bolting/Welding AP RB WALLS ONLY 06/05/2002 21 Underground/Under Floor AP RB 06/05/2002 24 Rough/Topout co RB SEE NOTICE 06/05/2002 34 Rough Electric AP RB WALLS ONLY EsGil Corporation · In Partnership with Government for ·Building Safety DATE: 5/17/02 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 02-1265 SET: II PROJECT ADDRESS: 2720 Loker Ave :west Suite Q PROJ.ECT NAME: Spec Suite Q-TI ~ANT ~ D PLAN REVIEWER D FILE D The plans transmitted herewith have been corrected where necessary and _substantially comply with the jurisdiction's building co.des. [;gj The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified in the remarks below are resolved and checked by building c;1~·partment staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D -The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. D the applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: ~ Esgil. Corporation staff did not advise the applicant that the plan check has been completed. D Esgil Corporation staff did advise the applicant that the -plan check has been completed. Person contacted: Telephone#: Date contacted: (by: ) Fax #: Mail . Telephone Fax In Person _/ l1r--.---:,(:__,J ~ REMARKS: The applicant to provide the revised T24 sh~d, ~ake changes clouded in red to the city held sets. By: Doug Moody ~sgil Corporation D GA D MB D EJ D PC Enclosures:· 5/9/02 trnsmtl.dot 9320 Chesapeake Drive, Suite 208 + San Diego, California 92U3 + (858) 560-1468 + Fax (858) 560-1576 EsGil Corporation In Partnership with Government for Building Safety DATE: 5/7/02 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 02-1265 SET:I PROJECT ADDRESS: 2720 Loker Ave West Suite Q PROJECT NAME: Spec Suite Q -Tl D APPi::-! ANT . D EVIEWER D FILE D The plans transmitted herewith have been corrected where necessary and substantially comf:)ly with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's building codes when.minor deficiencie$. identified below are resolved and checked by building department staff. ' D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. [g] The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation untn corrected plans are submitted for recheck. D The appl!cant's copy of the check list is enclosed for the jurisdiction to forward to th.e applicant· contact person. l'X:I The applicant's copy of the check list has been sent to: Lisa Addesso 9770 Carroll Center Rd Suite B, San Diego, CA 92126 D Esgil Corporation staff did not advise the applicant that the plan check has been completed. [;8} Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Lisa Addesso Telephone#: 858-549-8455 Date contacted: S ('?lo~ (by: k ) Fax #: 858-549-0713 Mail ..-Telephone v· Fax............-ln Person D REMARKS: . By: Doug Moody Esgil Corporation O GA D MB tl EJ [] pc Enclosures: 4/29/0? trnsmtl.dot 9320 Chesapeake Drive, Suite Z08 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 · City of Carlsbad 02-1265 5/7/02 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: 02-1265 OCCUPANCY: B TYPE OF CONSTRUCTION: IIIN ALLOWABLE FLOOR AREA: .SPRINKLERS?: YES REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 4/24/02 DATE INITIAL PLAN REVIEW .. COMPLETED: 5/7/02 .FOREWORD (PLEASE READ): JURISDICTION: City of Carlsbad USE: Office ACTUAL AREA: 2995 sf STORIES: HEIGHT: OCCUPANT LOAD: 18 DATE PLANS RECEIVED BY ESGIL CORPORATION: 4/29/02 PLAN REVIEWER: Doug Moody This plan review is limited to the _technical requirements contained in the Uniform Building Code, Un.iform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review i$ based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinances enforced by the Plannihg 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 1997 UBC. 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. 106.4.3, 1997 Uniform 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 correctioti 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. TENANT IMPROVEMENTS WITHOUT SPECIFIC ENERGY DATA OR POLICY s0PPLEMENTS (1997UBC) tiforw.dot City of Carlsbad 02-1265 5/7/02 Please make all corrections on the original tracings, as requested in the correction list. Submit three sets of plans for commercial/industrial projects (two sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 1. Deliver all corrected sets of plans and calculations/reports directlyto the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring one corrected set of plans and calculations/reports to EsGil Corporation: 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. 1. Each sheet of the plans must be signed by the person responsible for their preparation, even though there are no structural changes. Business and Professions Code. 2. Please identify the wall construction of the restroom wall and hard-lid the plans indicate type 4 on sheet D and this detail is crossed out? Section 106.3.3. 3. Please dimension the windows to be a minimum of 24" from the strike edge or indicate the glazing to tempered 2406 of the UBC. 4. Please revise the plumbing isometric to show the waste line connecting to the existing 4" to be a minimum of 3". 5. Please provide a water line diagram. 6. Please revise the reflective ceiling plan to show an environmental air exhaust fan in the new restroom capable of providing a complete air change every 15 minutes. 7. Please complete the mandatory measures checklist part of the energy forms. 8. Please clarify the plans to show the required insulation above the new condition space per the energy calculations. To speed up the review process, note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, note or detail number, Calculation page, etc. City of Carlsbad· 02-1265 5/7,/02 Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes, please briefly describe them and where they are located in the plans. Have changes been made to the plans not resulting from this correction list? Please indicate: · Yes a No a 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 Doug Moody at Esgil Corporation. Thank you. ,~ City of Carlsbad 02-1265 5/7/02 VALUATION AND PLAN CHECK FE;E JURISDICTION: City of Carlsbad PREPARED BY: Doug Moody PLAN CHECK NO.: 02-1265 DATE: 5/7/02 BUILDING ADDRESS: 2720 Loker Ave West Su-ite Q BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: IIIN BUILDING AREA Valuation Reg. VALUE PORTION ( Sq. Ft.) Multiplier Mod. Tl 1170 City Valuation Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code Cb By Ordinal)ce 1994 UBC Building Permit Fee I • J 1994 UBC Plan Check Fee I • I Type of Review: . 0 Complete Review D Structural Only D Other D Repetitive Fee =:G Repeats D Hourly _____ I Hour* Esgll Plan Review Fee Comments: ($) 35,100 35,100 $276.351 $179.631 $154.761 Sheet 1 of 1 rnacvalue.doc • .1 ,,,. ,f PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB C) 2-( z_, 6 J-DATE ((-'?Q-0'?_ ADDRESS . 2--,?Z.Q lO(LffL ;/J//$' ?J ,,. c;. u-177:=, cQ r - "RESIDENTIAL . RESIDENTIAL ADDITION MINOR < < $10,000.00) . OTHER /)All{L-f /J{; fln?l:vA.l O.tr .PLANNER J. ~ ENGINEE~ ~ ~ · fus a~ Docs/MISfonns/Pfanning Engineering Approvals TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAc&·· FAIRE COMPLETE OFFICE BUILDING DATE 3' -@ -08- """f '\ Yi.I ;} ENGINEERING DEPARTMENT FEE CALCULATION WORKSHEET D Estimate based on unconfirmed information from applicant. ~ Calculation based on building plancheck ,plan submittal. Address: 6?-1J-e Lc,(4r z4.tAJL 'oJe.. fd Bldg. Permit No. CB 08-.,., J J~ 5 Prepared by: :::r'.76 Date: t:;;/J3/Q0-Checked by: _____ Date: ___ _ EDU CALCULATIONS: List types and square footages for all uses. Types of Use: :r:r:-~./Units: t:;;Co +. EDU's: • ;L/ Types of Use:-----'-------Sq. Ft./Units: _____ -'--_ EDU's: ADT CALCULATIONS: List types and square footages for all uses. Types of Use: ~ ~/Units: S-4'-:/-ADT's: q Types of Use:_______ Sq. Ft./Units: ______ _ AbT's: FEES REQUIRED: WITHIN CF~o bridge & ·thoroughfare fee in District #1, reduced Traffic Impact Fee) if'¥o . D 1. PARK-IN-LIEU FEE PARK AREA & #: __ _ FEE/UNIT:. ___ _ X NO. UNITS: __ _ pt'2. TRAFFIC IMPACT FEE ADT's/UNITS: q X FEE/ADT: ~'~ ;;- ~GE AND THOROUGHFAR?'lfE~(DIST. #1 __ DIST. #2 __ ADT's/UNITS: (jf Y X FEE/ADT: ~ D 4. FACILITIES MANAGEMENT FEE ZONE: __ _ UNIT/SQ.FT.:. ___ _ X FEE/SQ.FT./UNIT: __ _ ¢_ 5. SEWER FEE EDU's: , ~, X FEE/EDU: GB / Cl BENEFIT AREA: (q EDU's: •8-:( X FEE/EDU: 'f~ D 6. SEWER LATERAL ~$2,500) =$ ____ _ =$_ ~J-~ DIST.~3k =$ ____ _ =$ =$ 8-f!J,~ =$ ____ _ D 7. DRAINAGE FEES PLDA__,--HIGH ___ /LOW __ ACRES: ____ _ X FEE/AC:. __ _ =$ ___ _ D 8. POTABLE WATER FEES UNITS CODE CONNECTION FEE METER FEE SDCWAFEE IRRIGATION -..... 1 of 2 . F:\FEE CALCULATION WORKSHEET.doc Rev. 7114/00 ENGINEERING DEPARTMENT FEE CALCULATION WORK.SHEET D 9. RECLAIMED WATER FEES UNITS CODE CONNECTION FEE METER FEE TOTAL OF ABOVE FEES*:$ _______ _ *NOTE: This calculation sheet is NOT a complete list-of all fees which may be due. Dedications and Improvements may also be required with Building Permits. '5'&67-(5) :·!:, tq A-~T3] 2 of2 F:\FEE CAL-CUtATION WORKSHEET.doc Rev. 7/14/00 ;Carlsbad Fire Department 021265 1635 Faraday Ave. Carlsbad, CA 92008 Plan Review Requirements Category: Building Plan Reviewed by: Fire Prevention /4~60) 602-4660 Date of Report: _0_51_0_11_20_0 ..... 2 _______ _ Name: Design Build Address: 9770 Carroll Center Rd Ste B City, State: San Diego CA 92126 Plan Checker: Job #: 0~1265 ....._ _____ _ Job Name: Spec Suite Q · .. Bldg #: . 0!3021265 ----------------------"'---=-- Job Address: 2720 Loker Ave. West Ste. or Bldg. No. ~ Approved D Approved Subject to D Incomplete Review FD Job# The item you have submitted for review has been approved. The approval is based on plans, information and / or specifications provided in your submittal; therefore any changes to these items after this date, including field modifications, must be reviewed by this office to insure continued conformance with applicable codes and standards. Please review carefully all comments attached as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements. The item you have submitted for review has been approved subject to the attached conditions. The approval is based on plans, information and/or specifications provided in your submittal. Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements. Please resubmit to this office the necessary plans and I or specifications required to indicate compliance with applicable codes and standards. The item you have submitted for review is incomplete. At this time, this office cannot adequately conduct a review to determine compliance with the applicable codes and I or standards. Please review carefully all comments attached. Please resubmit the necessary plans and I or specifications to this office for review and approval. 1st 021265 2nd FD File# 3rd Other Agency ID ,. TITLE 24 REPORT Title 24 Report for: Spec. Suite Q 2720 Loker Ave West, Suite Q Carlsbad, CA 92008 Project Designer: Report Prepared By: Steve Balderrama, CEPE Stueven Engineering Consultants 425 W. 5th Ave. Suite 103 Escondido, CA 92025 (760) 735-8577 Job Number: Date: 04/23/2002 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2001 Building Energy Efficiency Standards. This program developed QY EnergySoft, LLC (415} 883-5900. EnergyPro 3.1 By EnergySoft Job Number: User Number: 3429 Cover Page Table of Contents TABLE OF CONTENTS Nonresidential Performance Title 24 Forms Form ENV-MM Envelope Mandatory Measures Form MECH-MM Mechanical Mandatory Measures EnergyPro 3.1 By EnergySoft Job Number: 1 2 3 11 12 User Number: 3429 ' IPERFORMANCE CERTIFICATE OF COI\IIPLIANCE Part 1 of 3 PERF-11 PROJECT NAME DATE Soec. Suite Q 04/23/2002 PROJECT ADDRESS 2720 Loker Ave West, Suite Q Carlsbad PRINCIPAL DESIGNER -ENVELOPE TELEPHONE Building Permit# DOCUMENTATION AUTHOR TELEPHONE Stueven Enqineerinq Consultants . . . (760) 735-8577 Checked by/Date Enforcement Agencv Use GENERAL INFO.RMATION DATE OF PLANS !BUILDING CONDITIONED FLOOR AREA I CLIMATE ZONE 7 1,780 Sq.Ft. BUILDING TYPE [Xl NONRESIDENTIAL D HIGH RISE RESIDENTIAL D HOTEUMOTEL GUEST ROOM PHASE OF CONSTRUCTION [X] NEW CONSTRUCTION D ADDITION D ALTERATION D EXISTING + ADDITION STATEMENT OF COMPLIANCE This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6; of the State Building Code. This certificate applies only to a Building u · th rformance compliance approach. DOCUMENTATION AUTHOR SIG. TURE DATE Steve Balderrama CEPE <:...---t~FP:. -------, /-,_1, /41- The Principal Designers hereby certify that the proposed building design represented in the construction documents and modelled for this permit application are consistent with all other forms and worksheets, specifications, and other calculations submitted with this permit application. The proposed building as designed meets the energy efficiency requirements of the State Building Code, Title 24, Part 6. ENV. LTG. MECH. DD D 1. I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am licensed as a civil engineer, mechanical engineer, electrical engineer or architect. D D D D ~2. I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code Section 5537.2 or 6737.3 to sign this document as the person responsible for its preparation; and that I am a licensed contractor preparing documents for work that I have contracted to perform. D 3. I affirm that I am eligible under Division 3 of the Business and Professions Code to sign this document because it pertains to a structure or type of work described as exempt pusuant to Business and Professions Code Sections 5537, 5538, and 6737.1. (These sections of the Business and Professions Code ae printed in full in the Nonresidential Manual.) ENVELOPE COMPLIANCE Indicate location on plans of Note Block for Mandatory Measures· f---~--------------------l . Required Forms ENV-1 PRINCIPAL ENVl;LOPE DESIGNER -NAME SIGNATURE LIC. NO. DATE LIGHTING COMPLIANCE Indicate location on plans of Note Block for Mandatory Measures Lighting Compliance Not In The Scope Of I Required Forms PRINCIPAL LIGHTING DESIGNER -NAME SIGNATURE . LIC. NO. DATE MECHANICAL COMPLIANCE Indicate location on plans of Note Block for Mandatory Measures f-----~~~---------------1 Required F PRINCIPAL MECHANICA.L DESIGNE.R -NAME NA J .A. Fer us Heatin & Air EnergyPro 3.1 By EnergySoft Page:3 of 13 I PERFORMANCE CERTIFICATE OF COMPLIANCE Part 2 of 3 PERF-11 Spec. Suite Q ANNUAL SOURCE ENERGY USE SUMMARY lkBtu/saft-vr Standard Proposed ' ENERGY COMPONENT Design Design ., Space Heating 0.51 0.17 Space Cooling 26.80 24.61 Indoor Fans 13.65 11.97 Heat Rejection 0.00 0.00 Pumps & Misc. 0.00 0.00 Domestic Hot Water 0.00 0.00 Compliance M~rgin 0.34 2.19 1.69 0.00 0.00 0.00 1,:,, , ,',' ,"' '',1' ; ' ,/i""J,ReJ..:""!) , • , , :1'"" / Pum,pl:&, ~'~ ,,, ;•' , ~HW,, ,; . !DATE 04/23/2002 Lighting 38.26 38.26 o.od '' '\} .'' .,_;:·· .,.:. ' . _,"' ' , ,_ J, Receptacle 25.45 Process 0.00 TOTALS: 104.66 GENERAL INFORMATION Building Orientation Number of Stories Number of Systems Number of Zones 25.45 0:00 0.00 0.00 100.45 4.21 BUILDING COMPLIES >------~<N_orth~i>_0_deg_,.,. Conditioned Floor Area 1 Unconditioned Floor Area t-----~----- t-----~------11 Conditioned Footprint Area 2 Orientation Gross·Area Glazing Area Remarks: Front Elevation Left Elevation Rear Elevation Right Elevation Roof Total Lighting Power Density Prescriptive Env. Heat Loss Prescriptive Env. Heat Gain (North (East (South (West Standard t----__ 1_.3_0---iO W/sqft, 139 14,149 0 sqft. 0 sqft, 0 sqft, 0 sqft. 0 sqft. 0 sqft. 0 sqft. 0 sqft. 0 sqft, 0 sqft, 1,7solsqft. I olsqft. Proi;iosed 1.300 W/sqft. 61 6,177 Run Initiation Time: 04/23/0215:00:13 . Run Code: 1019599213 EnergyPro 3.1 By EnergySoft User Number: 3429 Jqb Number: 1,780 sqft. 5,000 sqft. 1,780 sqft, Glazing Ratio 0.0% 0.0% 0.0% 0.0% 0:0% I 0.0%1 ,, I Page:4 of 13 I IPERFO~MANC_E CERTIFICATE OF COMPLIANCE Part 3 of 3 PERF-1f PROJECT NAME IDATE I Soec. Suite Q 04/23/2002 ZONE.INFORMATION Floor Inst. Port. Ctrl. Tailored Proc. Area LPD LPD Credits LPD Loads System Name Zone Narrie Occupancy Type (sqft.) (W/sf)1 (W/sf)1 (W/sf)2 (W/sf)3 (W/sf) HP-3.0 Office Office 1,780 *1.300 Warehouse Unconditioned 5,000 0.000 0.000 .Notes: 1. See LTG-1 (items marked with asterisk, see LTG-2 by others) 2. See·L TG-3 3. See LTG-4 Items above require special documentation EXCEPTIONAL CONDITIONS COMPLIANCE CHECKLIST .. The local enforcement agency should pay special attention to the items spec1f1ed m this checkhst. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adequacy of the justification, and may reject a building or design that othel\Vise complies based on the adequacy of the soecial iustificati and documentation submitted. Plan Field The exceptional features listed in this performance approach application have specifically been reviewed. Adequate written justification and documentation for their use have been provided by the applicant. 4/23/02 15:00:13 . R n Code: 1019599213 EnergyPro 3.1 By EnergySoft Job Number: Page:5 of 13 on I ENVELOPE COMPLIANCE SUMMARY Performance ENV-1( I PROJECT NAME DATE · Soec. Suite Q 04/23/2002 OPAQUE SURFACES Solar Surface 'Framing Act. Gains # Type Type Area U-Fac. Azm. Tilt Y/N Form 3 Reference Location / Comments 1 Demisina Metal 315 0.189 0 90 X R-11 Metal Stud Wall Office (faces Warehouse) 2 Roof Wood 1 780 0.034 0 0 X R-30 Roof (R.30.2x12.16) Office FENESTRATION SURFACES Site Assembled Glazing D Check box if Building is>= 100,000 sqft of CFA and>= 10,000 sqft verticarglazing then NFRC Certification is required. Follow NFRC 100-SB Procedures and submit NFRC Label Certificate Form # Type Area U-Fac. Act. Azm. SHGC Glazing Type Location / Comments - - EXTERIOR SHADING Window Overhang Left Fin Right Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hat. LExt.RExt. Dist. Len. Hat. Dist. Len. Hat. -. - R1Jn In·· TimA· nA/?3/02 15-nn-13 ~•m r.nrlA· _101"--,~~ 13 Energypro 3, 1 By EnergySoft User Number: 3429 _Job l'jumber: Page:6 of 13 (CERTIFICATE OF COMPLIANCE Performance MECH-11 PROJECT NAME DATE S ec. SuiteQ 04/23/2002 !SYSTEM FEATURES I l----~--~ MECHANICAL SYSTEMS .__jsY_s_TE_M_· N_A_ME ____ ~~· ~ HP-3.o 11 I ._I -----~ NOTE TO FIELD TIME CONTROL Programmable Switch SETBACK CONTROL No Setback Reauired ISOLATION ZONES n/a HEAT PUMP THERMOSTAT? Yes ELECTRIC HEAT? O.OkW FAN. CONTROL Constant Volume VAV·MINIMUM POSITION CONTROL? No SIMULTANEOUS HEAT/COOL? No HEATING SUPPLY RESET Constant Temo COOLING SUPPLY RESET Constant Temo HEAT REJECTION CONTROL n/a VENTILATION Air Balance OUTDOOR DAMPER CONTROL Auto ECONOMIZER TYPE No Economizer DESIGN O.A. CFM CMECH-3, COLUMN I . 267 cfm HEATING EQUIPMENT TYPE Heat Pump HEATING EQUIPMENT EFFICIENCY 7.00 HSPF COOLING EQUIPMENT TYPE Packaaed DX COOLING EQUIPMENT EFFICIENCY 10.0 SEER/ 9.0 EER MAKE AND MODEL NUMBER BRYANT 601A036 PIPE INSULATION REQUIRED? PIPE/DUCT INSULATION PROTECTED? HEATING DUCT LOCATION . R-VALUE Ducts in Attic 4.2 COOLING DUCT LOCATlot R-VALUE bucts in Attic 4.2 VERIFIED SEALED DUCTS IN CEILING/ROOF SPACE . No CODE TABLES: Enter code from table below into columns above. HEAT PUMI' THERMOSTAT? TIME CONTROL SETBACK CTRL. ISOLATION ZONES FAN CONTROL ELECTRIC HEAT? S: Prog. Switch H: Heating Enter Number of I: Inlet Vanes O: Occupancy C:Cooling Isolation Zones. P: Variable Pitch VAV MINIMUM POSITION CONTROL? Sensor B: Both V:VFD SIMULTANEOUS HEAT/ COOL? Y:Yes M: Manual Timer 0: Other C: Curve N:·No HEAT AND COOL. SUPPLY RESET? VENTILATION OUTDOOR DAMPER ECONOMIZER O.A. CFM HIGH EFFICIENCY? B: Air Balance A: Auto A:Air Enter Outdoor Air C: Outside Air Cert. G: Gravity W: Water CFM. PIPE INSULATION REQUIRED? M: Out. Air Measure N: Not Required Note: This shall be no PIPE/DUCT INSULATION PROTECTED? D: Demand Control EC: Economizer less than Col. H on SEALED DUCTS IN CEILING/ROOF SPACEr? N: Natural Control See Section MECH-3. 144(e)3 rNQIES IQ FIELD -For ·Building Departmentuse Qnly ion Time: Run Code: 1019599213 EnergyP_ro 3. 1 By EnergySoft User Number: .3429 Page:7 of 13 !MECHANICAL EQUIPMENT SUMMARY Part 1 of 2 MECH-21 !PROJECT NAME . . Spec Suite Q IDAT1)4/23/2002 I CHILLER AND TOWER SUMMARY PUMPS Tot. Motor Drive Pump Equipment Name Equipment Type Qty. Efficiency TOl')S Qty GPM BHP Eff. Eff. Control - DHW / BOILER SI IMMA.RY Energy Factor Standby TANK INSUL. Rated Vol. or Recovery Loss or Ext. System, Name System Type Distribution Type Qt}' Input (Gals.) Efficiency Pilot R-Val. CENTRAL SYSTEM RATINGS HEATING COOLING Aux. SvstemName SvstemTvoe Qtv. Cutout kW Eff. Cutout Sensible Efficiencv Economizer Type BRYANT 601A036 Packaged DX 1 35,000 0.0 7.00HSPF 35,000 24,50C 10.0 SEER/ 9.0 EER No Economizer .. · CENTRAL SYSTEM FAN SUMMARY SIIPPLY FAN RETURN FAN Motor Drive Motor Drive System Name FanTvoe Motor Location CFM BHP Eff. Eff. CFM BHP Eff. Eff. BRYANT 601A036 1,290 Constant Volume . Blow-Through 0.50 77.0% 100.0% none - EnergyPro 3.1 By EnergySoft User Number: 3429 Job Number: Page:8 of 13 IMECHANICAL EQUIPMENT SUMMARY Part 2 of 2 MECH-2( PROJECT NAME I DAT1)4/23/2002 Soec. Suite Q . ZONE TERMINAL SUMMARY VAV TERMINAL BOX TERMINAL FAN BASEBOARD Min. CFM Reheat Coil Motor Drive Znni:,,Nami:, Svstem Tvoe 'Qtv. Ratio Tvoe DeltaT CFM BHP Eff. Eff. Type Output -. EXHAUST FAN SUMMARY -,-.JI\. ''"""I J;.4.N . -,-jl\ •-1 IC.O.N Motor Drive Motor Drive Room N~me Qty. CFM BHP Eff. Eff. Room Name Qty, CFM BHP Eff. Eff. Run Initiation Time: 04/23/02 15:00:13 Run Code: 1019599213 EnergyPro 3.1 By· E_nergySoft User Number: 3429 Job Number: Page:9 of 13 (MECHANICAL VENTILATION MECH-31 PROJECT NAME DATE S ec. Suite Q 04/23/2002 !MECHANICAL VENTILATION [iJ -A~EA BASIS OCCUPANCY BASIS REQ'D DESIGN COND. MIN. NO. CFM MIN. O.A. OUTDOOF VAV TRANS ZONE/SYSTEM AREA CFM CFM OF PER CFM (MAX OF AIR MIN. FER (SF) PER SF (BxC) PEOPLE PERSON (ExF) DORG) CFM RATIO AIR - Office 1,780 0.15 267 267 267 - HP-;3.0 Total 267 267 - - --- - - - - ----- - - ----- - - - - - - rn Minimum Ventilation Rate per $ection 121, Table 1-F. Based on Expected Number of Occupants or at least 50% of Chapter 10 1997 UBC Occupant Density. Must be greater than or equal to H, or use Transfer Air. Design Outdoor Air includes ventilation from Supply Air System & Room Exhaust Fans. Must be greater than or equal to (H minus I), and, for VAV, greater than or equal to (H-J). EnergyPro 3.1 • By EnergySoft User Number: 3429 Job Number: Page:10 of 13 IENVELO.PE MANDATORY MEASURES ENV-MMI PROJECT NAME DATE S ec. Suite Q 04/23/2002 DESCRIPTION Designer Enforcement D § 118{a) .Installed Insulating Material shall have been certified by the manufacturer to comply with the California Quality Standards for insulating material, Title 20, Chapter 4,Article 3. D § 118{c) All Insulating Materials shall be installed in compliance with the flame spread rating and smoke density requirements of Sections 2602 and 707 of Title 24, Part 2. 0 § 117(a) All Exterior Joints and openings in the building that are observable sources of air leakage shall be caulked, gasketed, weatherstripped or otherwise sealed. D § 116(b) Site Constructed Doors, Windows and Skylights shall be caulked between the unit and the building, and shall be weatherstripped (except for unframed glass doors and fire doors). D § 116(a)1 Manufactured Doors and Windows installed shall nave air infiltration rates not exceeding those shown in Table Number 1-E. of the Standards. Manufactured fenestration products must be labeled for U,valµe according to NFRC procedures. D § 118(e) Demising Walls in Nonresidential Buildings: "The opaque portions of framed demising walls in nonresidential buildings shall have insulation with an installed R-value of no less than R-11 between framing members. EnergyPro 3.1 By EnergySoft User Number: 3429 Job Number: Page:11 of 13 (MECHANICAL MANDATORY MEASU·RES Part 1 of 2 MECH-MMj PROJECT NAME DATE S ec. Suite Q 04/23/2002 DESCRIPTION Designer Enforcement Equipment and Systems Efficiencies D §111 Any appliance for which there is a California standard established in the Appliance Efficiency Regulations will comply·with the applicable standard. D § 115(a) Fan type central furnaces shall not have a pilot'light. 'D § 123 Piping, except that conveying fluids at temperatures between 60 and 105 degrees Fahrenheit, or within HVAC equipment, shall be insulated in accordance with Standards Section 123. D § 124 Air handling duct systems shall be installed and insulated in compliance with Sections 601,603 and 604 of the Uniform Mechanical Code. Controls § 122(e) Each space conditioning system shall be installed with one of the following: D § 122(e)1A Each space conditioning system serving building types such as offices and manufacturing facilities (and all others not.explicitly exempt'from the requirements Qf Section 112 (d)) shall be installed with an automatic time switch with an accessible manual override that allows operation of the system during off-hours for up to 4 hours. The time switch shall be-capable of programming different schedules for weekdays and weekends; incorporate an automatic holiday "shut- off" feature that turns off all loads for at least 24 hours, then resumes the normally scheduled operation; and has program backup capabilities that prevent the loss of the device's program and time setting for at least 10 hours if power is interrupted; or D § 122(e)1B An occupancy sensor to control the operating period of the system; or D § 1·22(e)1C A 4-hour timer that can be manually operated to control the operating perio~ of the system. D § 122(e)2 Each space conditioning system shall be installed with controls that temporarily restart and temporarily operate the system as required to maintain a setback heating and/or a setup cooling thermostat setpoint. D § 122(g) Each space conditioning system serving multiple zones with a combined conditioned·floor area more than 25,000 square feet shall be-provided with isolation zones. Each zone: shall not exceed 25,000 square feet; shall be provided with isolation.devices, su~h as valves or dampers, that allow the supply of heating or cooling to be setback or shut off independently of other isolation areas; and shall be controlled by a time control device as described above. D § 122(a&b) Each space conditioning system shall be controlled by an individual thermostat that responds to temperature within the zone. Where used to control heating, the control shall be adjustable down to 55 degrees F or lower. For cooling, the control shall be adjustable up to 85 degrees F or higher. Where used for both. heating and cooling, the control shall be capable of providing.a deadband of at least 5 degrees F within which the supply of heating al'!d cooling is shut off or reduced to a minimum. D § 122(c) Thermostats shall have numeric setpoints in degrees Fahrenheit (F) and adjustable setpoint stops accessible only to authorized-personnel. D § 112(b) Heat pumps shall be installed with controls to prevent electric reslstance supplementary heater operation when the heating load can be met by the heat pump alone. EnergyPro 3.1 By EnergySoft User Number: 3429 Job Number: Page:12 of 13 . (MECHANICAL MANDATORY MEASURES Part 2 of 2 MECH-MM! PROJECT NAME DATE S ec. Suite Q 04/23/2002 Description Designer Enforcement Ventilation D § 121(e) Controls shall be provided to allow outside air dampers ·or devices tQ be operated at the ventilation rates as specified-on these plans. D § 122(f) Gravity or automatic dampers interlocked and closed on fan shutdown shall be provided on the outside air intakes and discharges of all.space conditioning and exhaust systems. D § 122(f) All gravity ventilating systems shall be provided with automatic or readily accessible manually operated dampers in all openings to the outside, except for combustion air openings. D § 121(f)1 Air Balancing: The system shall be balanced in accordance with the National Environmental Balancing Bureau (NEBB) Procedural Standards (1983), or Associated Air Balance Council (AABC) National Standards (1989); or D § 121(f)2 Outside Air Certification: The system-shall provide the minimum outside air as shown on the mechanical drawings, and shall be measured and certified by the installing licensed-C-20 mechanical contractor and certified by (1) the design mechanical engineer, (2) the installing licenced C-20 mechanical-contractor, or (3) the person with overall responsibility for the design of the ventilation system; or D § 121(f)3 Outside Air Measurement: The system shall be equipped with a-calibrated local or remote device capable of measuring the quantity of outside air on a continuous basis and displaying that quantity on a readily accessible display div'ice; or D § 121(f)4 Another method approved by the Commission. Service Water Heating Systems D § 113(b)2 If a circulating hot water system-is installed, it shall have a control capable of automatically turning off the circulating purrlp(s) when hot wc1ter is not required. D § 113(b)3B Lavatqries in restrooms of public facilities shall be equipped with controls to limit the outlet.temperature to 110 degrees F. D § 113(b)3C Lavatories in restrooms of public facilities shall be equipped with one of the following: Outlet devices that limit the flow of hot water to a -maximum of 0.5-gallons per minute. Foot actuated control valves, and outlet devices that limit the flow of hot water to a maximum of 0. 75 gallons per minute. Proximity sensor actuated control valves, and outlef devices that limit the flow of hot water to a maximum of 0.75 gallons per minute. Self-closing valves, and outlet devices that limit the flow of hot water to a maximum of2.5 gallons per minute, and 0.25 gallons/cycle-(circulating system). Self-closing valves, and outlet devices tt:iat limit the flow of hot water to a maximum of 2.5 gallons per minute, and 0.50 gallons/cycle (non-circulating system). Self.closing valves, and outlet devices that limit the flow of hot water to a maximum of 2.5 gallons per minute, and 0.75 gallons/cycle (foot switches and proximity sensor controls). EnergyPro 3.1 By EnergySoft User Number: 3429 Job !;-lumber: Page:13 of 13 MAY-03-02 'FRI 02:27 PM FAX NO, · P, 02 P. 02 MAY-03-2002 FRI l2l04 PH CITY OF CARSLBAD ___,,,__ -FAX NO. 760 802 8558 City of Carlsbad Plumbin1 -El•t:11.Jt1/ • Mec:h~nJ(Jal Wi~rbhnt Pro;.ctAddresa:Z~-~-/1.l. ~,/(! ~ Permit Na. ~D 1 zl4 .. .. Questions bdow refer to work b~ing done for this permit only, f/umbl!Ji • Number of new or relocated fixtures, traps, or floor dralnsi • · New building sew6r fine? + Number of roof drains? • Install/alter water line? + N\lmber af water heaters? + Numb~r of hose bibsr • Oas piping ,y$tem - • Number of new or reloeated gas outlets "' New water merer - Ekctctc-Jt • Nwmber of new panels or subpanelsl Potable Yes No X • pf Yes.LN~-- / Install~ , Repair No.of-"12-Size . lrtiaation 'ii. . ,. 7-----,--- . Rf Size of New Service __ _ • Single Phase C Size_ • Three Pha~ Cl + Three Phase~ 480 • Remodel (relocate exi5ting outlets/switch•s or add outlets/switches Mer;haofcal • Numbl!t of furnaces, Ale, or heat pump,l • Number of flfeplacul • Number of exhaust fansl • Nurnber of exhiust hoods? • Number of boile1'5 Qr compressorsl + New or relocared duct workl Number of amperes Jlf Number of ampe~es • 'Rf Number of amperes , ~ Yes V No'__._ . ·7 d NumberofHP?. /" Ji Ye5-1l,_No_ BEFOJIE THE PERMIY CAN BE fEl:'D OUT THIS FORM NEEDS TO BE RETURNED TO 'l'HE BUILDING DEPARTMENT .. FAX NUMBER (160) 602-8558