HomeMy WebLinkAbout2764 GATEWAY RD; 100; CB132257; Permit06-01-2015
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Commercial/Industrial Permit Permit No: CB132257
Building Inspection Request Line (760) 602-2725
Job Address;
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
2764 GATEWAY RD CBADSt: 100
Tl Sub Type: INDUST
2133000300 Lot#: 0
$174,872.00 Construction Type: 58
Reference* PCI30049
FENGHAI: 4,711 SF SHELL TO OFF
Status: ISSUED
Applied: 09/18/2013
Entered By: JMA
Plan Approved: 01/30/2014
Issued: 01/30/2014
Inspect Area PB
Plan Check #: tX>\ Q
Applicant:
DANIEL BEAUCHAMP
Owner:
FENGHAI INTERNATIONAL INC
470 WALD
IRVINE CA 92618-4638
949-727-3840
3199 CORTE TAMARINDO
CARLSBAD CA 92009
Building Permit $989.62 Meter Size
Add'l Building Permit Fee $0.00 Add'l Reel. Water Con. Fee $0.00
Plan Check $692.73 Meter Fee $0.00
Add'l Building Permit Fee $0.00 SDCWA Fee $0.00
Plan Check Discount $0.00 CFD Payoff Fee $0.00
Strong Motion Fee $36.72 PFF (3105540) $3,182.67
Park Fee $0.00 PFF (4305540) $0.00
LFM Fee $0.00 License Tax (3104193) $0.00
Bridge Fee $0.00 License Tax (4304193) $0.00
BTD #2 Fee $0.00 Traffic Impact Fee (3105541) $6,887.00
BTD #3 Fee $0.00 Traffic Impact Fee (4305541) $0.00
Renewal Fee $0.00 PLUMBING TOTAL $154.00
Add'l Renewal Fee $0.00 ELECTRICAL TOTAL $357.00
Other Building Fee $0.00 MECHANICAL TOTAL $107.57
Pot. Water Con. Fee $0.00 Master Drainage Fee $0.00
Meter Size Sewer Fee $2,958.48
Add'l Pot. Water Con. Fee $0.00 Redev Parking Fee $0.00
Reel. Water Con. Fee $0.00 Additional Fees $0.00
Green BIdg Stands (SBl473) Fee $4.00 HMP Fee ??
Fire Expedidted Plan Review $0.00 Green BIdg Standards Plan Chk ??
TOTAL PERMIT FEES $15,369.79
Total Fees: $15,369.79 Total Payments To Date: $15,369.79 Balance Due: $0.00
Inspector:
FINAL APPRONML
Date: ^ ^l" ( S Clearance:
NOTICE: Please take NOTICE that approval of your project includes Ihe "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenA/ise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANC^r [3»*LANNING Q^fSoiNEERING 0BUILDING EJFIRE •HEALTH •HAZMAT/APCD
Building Permit Application
%^ 1635 Faraday Ave., Carlsbad, CA 92008
CITY OF Ph: 760-602-2719 Fax:760-602-8558
^^p^l^^j^^j^ email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. ^(2, [^p ^L\^ Building Permit Application
%^ 1635 Faraday Ave., Carlsbad, CA 92008
CITY OF Ph: 760-602-2719 Fax:760-602-8558
^^p^l^^j^^j^ email: building@carlsbadca.gov
www.carlsbadca.gov
Est. Value
Building Permit Application
%^ 1635 Faraday Ave., Carlsbad, CA 92008
CITY OF Ph: 760-602-2719 Fax:760-602-8558
^^p^l^^j^^j^ email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Ck. Deposit
Building Permit Application
%^ 1635 Faraday Ave., Carlsbad, CA 92008
CITY OF Ph: 760-602-2719 Fax:760-602-8558
^^p^l^^j^^j^ email: building@carlsbadca.gov
www.carlsbadca.gov Date ^A<r//$ SWPPP
SUITEf/SPACEf/UNIT* APN
CT/PROJECT # LOT # PHASE # # OF UNITS tt BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE ^/-i PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES|~|* N0| 1 YESQNOQ YES^ N0| |
APPLICANTNAME (Primary Contact) APPLICANTNAME (Secondary Contact;
ADDRESS _ ' - - -ADDRESS
CITY . _ STATE af CITY STATE ZIP
PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAIVIE CONTRACTOR BUS. NAME
ADDRESS ADDRESS '
CITY STATE ZIP CITY^ I STATE ZIP
PHONE FAX PHONE FAX
ElVIAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS,^ STATE LIC. # y J «*xr>-STATELIC.#
Civil penalty of not more ttian five tiundred dollars {$500)).
13 ofthe 3 applicant to a
mo HUE US' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty ofpeijury one ofthe following declarations:
&\ have and will maintain a certificate of consent to self.insure for workers' compensation as provided by Section 3700 of tlie Latior Code, for the perfomiance of ttie work for which this permit is issued.
I have and will maintain worl(ei5| compensation, as required bv Section 3700 of the Labor Code, for the performanre of the wori< for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. w^~Hg<.4 e. O^p/^p Fa^ycf Policy No. Expiration Date.
This section need not be completed if the permit is for one hundred dollars ($100) or less.
I I Certificate of Exemption: I certify that in the perfomance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Califomia. WARNING: Failure to secijre workers' compensation coverage 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, daln^es as provitledjor in Section 3706 of the Labor code, interest and attomey's fees.
JS^ CONTRACTOR SIGNATURE • AGENT DATE •3a~/'-i
OWNER-BUILOER OECLARATION
/ hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture 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).
I I I, as owner of the praperty, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professions Code: The Contractors 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).
I I I am exempt under Section _ _Business and Prafessions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property impravement. QYes I iNo
2.1 (have / have not) signed an application for a building pemiit for the praposed work.
3. i have contracted virith the following person (firm) to provide the praposed constmction (include name address / phone / contractors' license number):
4.1 plan to pravide portions of the work, but I have hired the following person to coordinate, supen/ise and provide the major wodt (include name / address / phone / contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the woii( indicated (include name / address / phone / type of worit):
>eS'pROPERTY OWNER SIGNATURE •AGENT DATE
COMPLETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or hsk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Art? Yes No
Is the applicant or future buikling occupant required to obtain a permit fram the air pollution control district or air quality management district? Yes No
Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? 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.
CONSTRUCTION LENDING AGENCY
I hereby aflirm that there is a construction lending agency for the perfbnnance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the applkxittort and state that the above infbimatiDn is conectand thatthe infbmiation on the plans is accurate. I agree to comply with all City oidinances and State laws relating to building constnictton.
i hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGFiEE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfFY 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 PERMfT.
OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or constmctton of structures over 3 stories in height.
ir the provisions of this Code shall expire by limitatton and become null and void if the building or wortt authorized by such pemiit is not commenced within
lUtlfSnted by such pemnit is suspended or abandoned at any time alter the wortt is commenced for a period of 180 days (Sectton 106.4.4 Unifomn Building Code),
EXPIRATION: Every permit issued b^
180 days from the date of such pei
APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email buil(jinQ(5)carlsbadca.aov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAIVIE OCCUPANT NAIVIE
ADDRESS BUILDING ADDRESS
CITY STATE
Carlsbad CA
PHONE
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAILTO:
MAIL/FAX TO OTHER:
CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
>ef APPLICANT'S SIGNATURE DATE
Inspection List
Permit*: CB132257 Type: Tl INDUST FENGHAI: 4,711 SF SHELL TO OFF
Date Inspection Item Inspector Act
05/28/2015 89 Final Cotnbo - Rl
05/28/2015 89 Final Combo PB AP
05/05/2014 39 Final Electrical PB AP
05/05/2014 85 T-Bar PB AP
03/28/2014 17 Interior Lath/Drywall PB AP
03/20/2014 84 Rough Combo PB AP
03/14/2014 14 Frame/Steel/Bolting/Weldin PB PA
03/14/2014 24 Rough/Topout PB PA
03/14/2014 34 Rough Electric PB PA
02/24/2014 21 Undergrountj/Under Floor PB AP
Comments
Monday, June 01, 2015 Page 1 of 1
Inspection List
Type: Tl INDUST
Date Inspection Item Inspector Act
06/26/2014 89 Final Combo PB AP
06/25/2014 89 Final Combo MC CO
03/28/2014 17 Interior Lath/Drywall PB AP
03/20/2014 84 Rough Combo PB AP
03/14/2014 14 Frame/Steel/Bolting/Weldin PB PA
03/14/2014 24 Rough/Topout PB PA
03/14/2014 34 Rough Electric PB PA
02/24/2014 21 Underground/Under Floor PB AP
02/21/2014 21 Underground/Under Floor PB CO
FENGHAI: 2,862 SF SHELL TO OFF
Comments
NOTICE
Monday, February 02, 2015 Page 1 of 1
^S!^^ INSPECTION RECORD
t msPKcnoN RBCom CARD WITH APPROVED
PLANS MUST M Kfinr ON THK JOB
I CAIX BtFOBt liaftam POR NEXT WORK DAY INIMCnOII
1 FOR BUILDING INSPCCTKM CAUJ 76M02-172S
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UtUr OANtELGCAUCHMIP
RECORD COPY
lANDCiKKON
EsGil Corporation
In (PartnersHip witk government for <BuiUing Safety
DATE: 11/19/13 ^.^PPHGANT
0 JURIS^
JURISDICTION: City of Carlsbad • PLAN REVIEWER
• FILE
PLAN CHECK NO.: PC13-49 SET: II
PROJECT ADDRESS: 2764 Gateway Road, Ste. 101 fis 102
PROJECT NAME: Suite 100 and 102 T. I.
XI The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
I I The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff.
I I The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
I I The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
I I The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
I I The applicant's copy of the check list has been sent to:
IXI EsGil Corporation staff did not advise the applicant that the plan check has been completed.
I I EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone #:
Date contacted: (by: ) Email:
Fax #:
Mail Telephone Fax In Person
• REMARKS:
By: John Le Vey Enclosures:
EsGil Corporation
• GA • EJ • PC 11/07/13
9320 Chesapeake Drive, Suite 208 • San Diego, Califomia 92123 • (858) 560-1468 • Fax (858) 560-1576
EsGil Corporation
In (PartnersHip witfi government for (BuiUing Safety
DATE: 10/01/2013 • APPLICANT
JURIS. >)
JURISDICTION: City of Carlsbad d PtANI^VIEWER
• FILE
PLAN CHECK NO.: PC13-49 SET: I
PROJECT ADDRESS: 2764 Gateway Road, Ste. 101 & 102
PROJECT NAME: Suite 100 and 103 T. I.
I I The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's codes.
I I 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.
• 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
Corporation until corrected plans are submitted for recheck.
I I The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
X The applicant's copy of the check list has been sent to:
Daniel Beauchamp Architect
470 Wald, Irvine, CA 92618
I I EsGil Corporation staff did not advise the applicant that the plan check has been completed.
EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Daniel Beauchamp (V'M) Telephone #: 949-727-3840
Date contacted:lo( 2-1 >3 (by: ) Email: dbeauchamp@beauchamparchitects.com
Fax #: 949-727-3838
^ Mail ^ Telephone ^ Fax In Person
• REMARKS:
By: Aaron Goodman Enclosures:
EsGil Corporation
• GA • EJ • PC 09/23/2013
9320 Chesapeake Drive, Suite 208 • San Diego, Califomia 92123 • (858)560-1468 • Fax (858) 560-1576
City of Carlsbad PC 13-49
10/01/2013
PLAN REVIEW CORRECTION LIST
TENANT IMPROVEMENTS
PLAN CHECK NO.: PC13-49 JURISDICTION: City of Carlsbad
OCCUPANCY: B, M USE: Office and Merchantile
TYPE OF CONSTRUCTION: V-M ACTUAL AREA: 4,711 / 2,862
ALLOWABLE FLOOR AREA: NA STORIES: 1
HEIGHT:
SPRINKLERS?: Yes OCCUPANT LOAD: 55/ 85
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION:
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 09/23/2013
DATE INITIAL PLAN REVIEW
COMPLETED: 10/01/2013
PLAN REVIEWER: Aaron Goodman
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 2010 CBC, which adopts the 2009 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 2009 International Building Code, the approval ofthe 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 vou submit the revised plans.
City of Carlsbad PC 13-49
10/01/2013
1. Please make all corrections, as requested in the correction list. Submit FOUR new
complete sets of plans for commercial/industrial projects (THREE sets of plans for
residential projects). For expeditious processing, corrected sets can be submitted
in one of two ways:
1. Deliver ali 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.
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.
2. Each sheet of the plans must be signed by the person responsible for their
preparation, even though there are no structural changes. California Business
and Professions Code.
3. On the cover sheet of the plans, specify any items that will have a deferred
submittal (fire sprinklers/alarms, etc.). Additionallv, provide the following note on
the plans, per Sec. 107.3.4.2: "Submittal documents for deferred submittal items
shall be submitted to the registered design professional in responsible charge,
who shall review them and forward them to the building official with a notation
indicating that the deferred submittal documents have been reviewed and that
they have been found to be in general conformance with the design of the
building. The deferred submittal items shall NOT be installed until their design
and submittal documents have been approved by the building official."
4. Sheet T-1: It appears from sheet E1.1 Ref. Note 3 and sheets E2.1 & E4.1 that
suite 102 is an "M" occupancy. Please correct the occupancy group(s) on T-1 to
"B" and "M".
5. Sheet T-1: Please correct the occupant load in conference rooms 102 and 102A
to sf/15.
6. Sheet T-1: Please correct the suite numbers as penned in, i.e. suite 100 and
suite 102.
7. Sheet A-1.0: The occupant load in both suites 100 and 102 exceeds 50, i.e. 55
and 85 respectively. Please provide two exits from both suites. Section 1015.1.
City of Carlsbad PC 13-49
10/01/2013
8. Sheets A-1.0 and A-1.1: The layouts of the bathrooms do not conform to CBC
Chapter 11. Perhaps an old file was used inadvertently. Never-the-less, please
correct all plans, details, sections and elevations of the bathrooms and break
room sinks to comply.
9. Sheet A-2.0: The area of the suspended ceilings in both suites appears to
exceed 2,500 s.f. Please provide plans, details and sections necessary to show
the location and construction details ofthe seismic joint mentioned in ASCE 7-
05, 13.5.6 and note 4 on sheet A-2.0.
10. Sheets A-2.0 and E1.1: Provide means of egress illumination in suite 102.
11. Sheet E2.1: It appears that the complete building method is being used for
lighting compliance, however, this method is not allowed in retail or wholesale
occupancies. See the Energy Efficiency Standards section 146 (c).
12. Provide the correct address and suite number of tenant space on the plans.
Section 107.2.
13. Provide a note on the plans or on the finish schedule, stating, "Wall and ceiling
materials shall not exceed the flame spread classifications in IBC Table 803.9."
14. Sheet P-1.0: Please correct general notes 49, 50, and 51 to be consistent with
the values in the plumbing fixture schedule.
DISABLED ACCESS REVIEW LIST
DEPARTMENT OF STATE ARCHITECT
TITLE 24
The following disabled access items are taken from the 2010 edition of California Building
Code, Title 24. Per Section 1.9.1, all publicly and privately funded public accommodations
and commercial facilities shall be accessible to persons with disabilities.
NOTE: All Figures and Tables referenced in this checklist are printed in the California
Building Code, Title 24.
• REMODELS. ADDITIONS AND REPAIRS
15. Sheet A-3.0: Two detail references on this sheet do not appear on the sheet, e.g.
9 and 11; and it appears that the details may be from an old file. Please review
sheets A-1.0, A-1.1 and A-3.0 for compliance with CBC Chapter 11. The
following are just a couple things to look at. This is not an exhaustive list. A
complete review of accessible features will begin with the subsequent submittal.
a) The break room sink must comply with forward approach and be open
underneath. CBC 1117B.9.
b) The urinal is too high. CBC 1115B.
City of Carlsbad PC 13-49
10/01/2013
c) The bathrooms shall comply with CBC 1115B.
d) Door shall not swing through the clear floor space of any fixture. CBC
1115B.
e) The clearance on the strike edge of all doors shall comply with CBC
1133B.2.
16. Please review the requirements, revise the plans appropriately and imprint on
the plans the City of Carlsbad Policies and Procedures for Roof Mounted
Equipment to the plans.
17. 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.
18. 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 brieflv
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 • 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 Aaron Goodman at Esgil Corporation.
Thank you.
City of Carlsbad PC 13-49
10/01/2013
[DO NOT PAY- THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Carlsbad PLAN CHECK NO.: PC13-49
PREPARED BY: Aaron Goodman DATE: 10/01/2013
BUILDING ADDRESS: 2764 Gateway Road, Ste. 101 & 102 Set I
BUILDING OCCUPANCY: B, M TYPE OF CONSTRUCTION: V-B Sprinklered
BUILDING
PORTION
AREA
( Sq. FL)
Valuation
Multiplier
Reg.
Mod.
VALUE ($)
Ste. 101 4711 37.12 174,872
Ste. 102 2862 37.12 106,237
Air Conditioning
Fire Sprinklers
TOTAL VALUE 281,110
Jurisdiction Code cb By Ordinance
BIdg. Permit Fee by Ordinance • j
Plan Check Fee by Ordinance •
. - j
Type of Review: • Complete Review
r~1 Repetitive Fee
Repeats
• Other
|—j Hourly
EsGil Fee
• Structural Only
Hr. @ *
$1,409.06
$915.89
$789.07
Comments:
Sheet 1 of 1
macvalue.doc +
PLAN CHECK PLAN CHECK Community & Economic
^ CITY OF REVIEW Development Department
1635 Faraday Avenue
CARLSBAD TRANSMITTAL Carlsbad CA 92008
ww^w.carlsbadca.gov
DATE: 10/08/13 PROJECT NAME: BRESSI RANCH
PLAN CHECK NO: 1 SET#: 1 ADDRESS: 2764 GATEWAY STE 100
VALUATION: $174,872
PROJECT ID: OB 13 2257
APN:
/ This plan check review is complete and has been APPROVED by the ENGINEERING
Division.
By: KATHLEEN LAWRENCE 10/08/13
A Final Inspection by the Division is required Yes / No
This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check Comments have been sent to: DBEAUCHAMP@BEAUCHAMPARCHITECTS.COM
Vou may a/so have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the issuance of a building permit.
Resubmitted plans should include corrections from all divisions.
For questions or clarifications on tlie attached cliecl<list please contact tiie foilowing reviewer as marl<ed:
PLANNING
760-602-4610
ENGINEERING
760-602-2750
FIRE PREVENTION
760-602-4665
Chris Sexton
760-602-4624
Chris.Sexton@carlsbadca.gov
/ Kathleen Lawrence
760-602-2741
Kathleen.Lawrence@carlsbadca.gov
Greg Ryan
760-602-4663
G regory. Rva n@ca risbadca .gov
Gina Ruiz
760-602-4675
Gina.Ruiz@carlsbadca.fiov
Linda Ontiveros
760-602-2773
Linda.Ontiveros@carlsbadca.gov
Cindy Wong
760-602-4662
Cvnthia.Wong@carlsbadca.gov
Dominic Fieri
760-602-4664
Dominic.Fieri@carlsbadca.gov
Remarks:
^ CITY OF
CARLSBAD
BUILDING PLANCHECK
CHECKLIST
QUICK-CHECK/APPROVAL
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
ENGINEERING Plan Check for CB 13-2257 Date: 10/08/13
Project Address: 2764 GATEWAY STE 100 APN:
Project Description: Tl 4711 SF WAREHOUSE TO OFFICE Valuation: $174,872
ENGINEERING Contact: Kathleen Lawrenco
Phone: 760-602-2741
Email: Kathleen.lawrence@carlsbadca.gov
Fax: 760-602-1052
RESIDENTIAL INTERIOR / TENANT IMPROVEMENT
RESIDENTIAL ADDITION MINOR
(<$20,000.00)
PLAZA CAMINO REAL
CARLSBAD PREMIER OUTLETS COMPLETE OFFICE BUILDING
OTHER: PCR
r • OFFICIAL USE ONLY
ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT
BY: KATHLEEN LAWRENCE
REMARKS: FEES ATTACHED-
DATE: 10/08/13
Notification of Engineering APPROVAL has been sent to DBEAUCHAMP@BEAUCHAMPARCHITECTS.COM
via EMAIL on 10/08/13
E-36 Page 1 of 1 REV 4/30/11
Fee Calcuiation Worksheet
ENGINEERING DIVISION
Prepared by: K LAWRENCE Date: 10/08/13 GEO DATA: LFMZ: / B&T:
Address: 2764 GATEWAY STE 100 BIdg. Permit #: CB 13-2257
Fees Update by: KML Date: 10/08/13 Fees Update by: Date: 10/08/13
EDU CALCULATIONS: List types and square footages for all uses.
Types of Use: OFFICE Sq.Ft./Units 4711 SF EDU's
Types of Use: Sq.Ft./Units EDU's
Types of Use: Sq.Ft./Units EDU's
Types of Use: Sq.Ft./Units EDU's
ADT CALCULATIONS: List types and square footages for all uses.
Types of Use: OFFICE Sq.Ft./Units 4711 SF ADTs H Types of Use: Sq.Ft./Units ADT's
Types of Use: Sq.Ft/Units ADT's
Types of Use: Sq.Ft./Units ADT's
FEES REQUIRED:
Within CFD: YES (no bridge & thoroughfare fee in District #1, reduces Traffic Impact Fee) NO
1. PARK-IN-LIEU FEE: NW QUADRANT NE QUADRANT SE QUADARANT SW QUADRANT
ADT'S/UNITS: X FEE/ADT: =$ N/A •
2.TRAFFIC IMPACT FEE:
•
ADT'S/UNITS: 71 X FEE/ADT: $97 =$ 6887
3. BRIDGE & THOROUGHFARE FEE: / DIST#1 DIST.#2 DIST.#3
ADT'S/UNITS: < FEE/ADT: =$ N/A •
4. FACILITIES MANAGEMENT FEE ZONE:
•
ADT'S/UNITS: X FEE/SQ.FT./UNIT: =$ N/A •
5. SEWER FEE
•
EDU's 1.68 X FEE/EDU: 842 =$ 1414.56
BENEFIT AREA: H
EDU's 1.68 X FEE/EDU: 919 =$ 1543.92
6. DRAINAGE FEES: PLDA: HIGH MED UM LOW
ACRES: X FEE/AC: =$ N/A •
7. POTABLE WATER FEES:
UNITS CODE CONN. FEE METER FEE SDCWA FEE TOTAL
PLAN CHECK PLAN CHECK Community & Economic
CITY OF REVIEW Development Department
1635 Faraday Avenue
CARLSBAD TRANSMITTAL Carlsbad CA 92008
www.carlsbadca.gov
DATE: 10/08/13 PROJECT NAIVIE: BRESSI RANCH PROJECT ID: CB 13-225^ "j^
PLAN CHECK NO: 1 SET#: 1 ADDRESS: 2764 GATEWAY STE 102 APN:
VALUATION: $106,237
/ This plan check review is complete and has been APPROVED by the ENGINEERING
Division.
By: KATHLEEN LAWRENCE 10/08/13
A Final Inspection by the Division is required Yes / No
This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check Comments have been sent to: DBEAUCHAIVIP@BEAUCHA[VIPARCHITECTS.COIV[
You may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the issuance of a building permit
Resubmitted plans should include corrections from all divisions.
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
PLANNING
760-602-4610
ENGINEERING
760-602-2750
FIRE PREVENTION
760-602-4665
Chris Sexton
760-602-4624
Chris.Sexton@carlsbadca.gov
/ Kathleen Lawrence
^ 760-602-2741
Kathleen.Lawrence@carlsbadca.gov
Greg Ryan
760-602-4663
Gregorv.Rvan@carlsbadca.fiov
Gina Ruiz
760-602-4675
Glna.Ruiz@carlsbadca.gov
Linda Ontiveros
760-602-2773
Llnda.Ontiveros@carlsbadca.gov
Cindy Wong
760-602-4662
Cvnthla.Wonfi@carlsbadca.gov
Dominic Fieri
760-602-4664
Domlnic.Fieri@carlsbadca.fiov
Remarks:
^ CITY OF
CARLSBAD
BUILDING PLANCHECK
CHECKLIST
QUICK-CHECK/APPROVAL
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
ENGINEERING Plan Check for CB 13-2257 Date: 10/08/13
Project Address: 2764 GATEWAY STE 102 APN:
Project Description: Tl 2862 SF WAREHOUSE TO OFFICE Valuation: $106,237
ENGINEERING Contact: Kathleen Lawrence
Phone: 760-602-2741
Email: kathleen.lawrence@carlsbadca.gov
Fax: 760-602-1052
RESIDENTIAL INTERIOR / TENANT IMPROVEMENT
RESIDENTIAL ADDITION MINOR
(<$20,000.00)
PLAZA CAMINO REAL
CARLSBAD PREMIER OUTLETS COMPLETE OFFICE BUILDING
OTHER: PCR
OFFICIAL USE ONLY
ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT
BY: KATHLEEN LAWRENCE
REMARKS: FEES ATTACHED-
DATE: 10/08/13
E-36
Notification of Engineering APPROVAL has been sent to DBEAUCHAMP@BEAUCHAMPARCHITECTS.COM
via EMAIL on 10/08/13
Page 1 of 1 REV 4/30/11
Fee Calculation Worksheet
ENGINEERING DIVISION
Prepared by: K LAWRENCE Date: 10/08/13 GEO DATA: LFMZ: / B&T:
Address: 2764 GATEWAY STE 102 BIdg. Permit #: CB 13-2257
Fees Update by: KML Date: 10/08/13 Fees Update by: Date: 10/08/13
EDU CALCULATIONS: List types and square footages for all uses.
Types of Use: OFFICE Sq.Ft./Units 2862 SF EDU's 1.02
Types of Use: Sq.Ft./Units EDU's
Types of Use: Sq.Ft./Units EDU's
Types of Use: Sq.Ft./Units EDU's
ADT CALCULATIONS: List types and square footages for all uses.
Types of Use: OFFICE Sq.Ft./Units 2862 SF ADT's 43
Types of Use: Sq.Ft./Units ADT's
Types of Use: Sq.Ft./Units ADT's
Types of Use: Sq.Ft./Units ADT's
FEES REQUIRED:
Within CFD: YES (no bridge & thoroughfare fee in District #1, reduces Traffic Impact Fee) NO
1. PARK-IN-LIEU FEE: NW QUADRANT NE QUADRANT SE QUADARANT SW QUADRANT
ADT'S/UNITS: X FEE/ADT: =$ N/A •
2.TRAFFIC IMPACT FEE:
•
ADT'S/UNITS: X FEE/ADT: $97 =$ 6887
3. BRIDGE & THOROUGHFARE FEE: / DIST#1 DIST.#2 DIST.#3
ADT'S/UNITS: < FEE/ADT: =$ N/A •
4. FACILITIES MANAGEMENT FEE ZONE:
•
ADT'S/UNITS: X FEE/SQ.FT./UNIT: =$ N/A •
5. SEWER FEE
•
EDU's 1.02 X FEE/EDU: 842 =$ 858.84
BENEFIT AREA: H
EDU's 1.02 X FEE/EDU: 919 =$ 937.38
6. DRAINAGE FEES: PLDA: HIGH MED UM low
ACRES: X FEE/AC: =$ N/A •
7. POTABLE WATER FEES:
UNITS CODE CONN. FEE METER FEE SDCWA FEE TOTAL
%
^ CITY OF
CARLSBAD
PLANNING DIVISION
BUILDING PLAN CHECK
REVIEW CHECKLIST
P-28
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.eov
DATE: 11-7-13 PROJECT NAME: PROJECTID:
PLAN CHECK NO: PC 13-49 SET#: 2 ADDRESS: 2764 Gateway Rd APN: 213-300-03
^ This plan check review is complete and has been APPROVED by the Planning
Division.
By: Chris Sexton
A Final Inspection by the Pianning Division is required Yes • No
you may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the issuance of a building permit
Resubmitted plans should include corrections from all divisions.
Q This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check Comments have been sent to:
dbeauchamp@beauchamparchitects.coni
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
PLANNING
760-602-4610
ENGINEERING
760-602-2750
FIRE PREVENTION
760-602-4665
X Chris Sexton
760-602-4624
Chris.Sexton@carlsbadca.gov
1 1 Kathleen Lawrence
760-602-2741
Kathleen.Lawrence@carlsbadca.gov
Greg Ryan
760-602-4663
Gregorv.Rvan@carlsbadca.gov
1 Gina Ruiz
760-602-4675
Gina.Rulz@carlsbadca.gov
Linda Ontiveros
760-602-2773
Linda.Ontiveros@carlsbadca.gov
Cindy Wong
760-602-4662
Cvnthia.Wong@carlsbadca.gov
• • 1 1 Dominic Fieri
760-602-4664
Dominlc.Fleri@carlsbadca.gov
^ CITY OF
CARLSBAD
PLANNING DIVISION
BUILDING PLAN CHECK
REVIEW CHECKLIST
P-28
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.eov
Remarks:
Plan Check No. PC 13-49 Address 2764 Gateway Rd Date 11-7-13 Review # 2
Planner Chris Sexton Phone (760) 602-4624
Type of Project & Use: Ii Net Project Density:N/A DU/AC
Zoning: P-C General Plan: Pj Facilities Management Zone: 17
CFD (in/out) #_Date of participation: Remaining net dev acres:
(For non-residential development: Type of land use created by this permit: )
REVIEW #:
12 3 Legend: |EI item Complete • Item Incomplete - Needs your action
S • • Environmental Review Required: YES • NO • TYPE
DATE OF COMPLETION:
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval:
^ • • Discretionary Action Required: YES • NO • TYPE
APPROVAL/RESO. NO. DATE
PROJECT NO.
OTHER RELATED CASES:
Compliance with conditions or approval? If not, state conditions which require action.
Conditions of Approval:
• • Coastal Zone Assessment/Compliance
Project site located in Coastal Zone? YES D NO Q
CA Coastal Commission Authority? YES • NO Q
If California Coastal Commission Authority: Contact them at - 7575 Metropolitan Drive, Suite
103, San Diego, CA 92108-4402; (619) 767-2370
Determine status (Coastal Permit Required or Exempt):
• • Habitat Management Plan
Data Entry Completed? YES • NO •
If property has Habitat Type identified in Table 11 of HMP, complete HMP Permit application
and assess fees in Permits Plus
(A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, HMP Fees, Enter Acres of Habitat
Type impacted/taken, UPDATE!)
• O Inclusionary Housing Fee required: YES • NO O
(Effective date of Inclusionary Housing Ordinance - May 21, 1993.)
Data Entry Completed? YES • NO •
(A/P/Ds, Activity Maintenance, enter CB#, toolbar. Screens, Housing Fees, Construct Housing
Y/N, Enter Fee, UPDATE!)
• • Housing Tracking Form (form P-20) completed: YES • NO • N/A •
p-28 Page 3 of 4 07/11
Site Plan:
^ • • Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines,
easements, existing and proposed structures, streets, existing street improvements, right-of-
way width, dimensional setbacks and existing topographical lines (including all side and rear
yard slopes). Provide legal description of property and assessor's parcel number.
City Council Policy 44 - Neighborhood Architectural Design Guidelines
• • 1. Applicability: YES • NO •
• • 2. Project complies: YES • NOQ
• •
• •
Zoning:
1. Setbacks:
Front:
Interior Side:
Street Side:
Rear:
Top of slope:
Required Shown
Required Shown
Required Shown
Required Shown
Required Shown
2. Accessory structure setbacks:
Front: Required
Interior Side: Required
Street Side: Required
Rear: Required
Structure separation: Required
Shown
Shown
Shown
Shown
Shown
^ • •
S • •
^ • •
• S •
3. Lot Coverage:
4. Height:
5. Parking:
Required
Required
Spaces Required
Shown
Shown
Shown
(breakdown by uses for commercial and industrial projects required)
Residential Guest Spaces Required Shown ___
Additional Comments 1) Please show how new roof mounted equipment will be screened.
Please see attached example.
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER Chris Sexton DATE 11-7-13
p-28 Page 4 of 4 07/11
NfJ^ CITY OF
CARLSBAD
PLAN CHECKiT DG QEPT^W&
REVIEW Development Department rvt V 11-WW ^«>~,^ jg35 Faraday Avenue
TRANSMITTAL " carisbad CA 92008
www.carlsbadca.gov
DATE: 10-2-13 PROJECT NAME: Gateway rd. Tl PROJECT ID: PC130049
PLAN CHECK NO: PC130049 SET#: I ADDRESS: 2764 Gateway Rd APN:
•
This plan check review Is complete and has been APPROVED by the fire Division.
By: D. Fieri
A Final Inspection by the Fire Division Is required ^ Yes • No
This plan check review Is NOT COIVIPLErE. Items missing or Incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check Comments have been sent to:
You may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the issuance of a buiiding permit.
Resubmitted plans should include corrections from all divisions.
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
- ENGINEERING .
•• 760602^750 • i^^: ••. •''f,-- j^;;-- - • ---7
1 1 Chris Sexton
760-602-4624
Chris.Sexton@carlsbadca.gov
1 1 Kathleen Lawrence
760-602-2741
Kathleen.Lawrence@carlsbadca.gov
1 1 Greg Ryan
760-602-4663
Gregory.Ryan@carlsbadca.fiov
1 1 Gina Ruiz
760-602-4675
Gina.Ruiz@carlsbadca.gov
1 1 Linda Ontiveros
760-602-2773
Linda.Ontiveros@carlsbadca.gov
Q Cindy Wong
760-602-4662
Cvnthia.Wong@carlsbadca.gov
• • X Dominic Fieri
760-602-4664
Dominic.Fieri@carlsbadca.gov
Remarks:
Carlsbad Fire Department BLDG. DEPT COPY
Plan Review Requirements Category: PLANCK,
Date of Report: 10-02-2013
DANIEL BEAUCHAMP
Reviewed by:
Name:
Address:
470 WALD
IRVINE CA
92618-4638
Permit #: PC 130049
Job Name: SHELL TO 2 OFFICE SUITES
Job Acidress: 2764 GATEWAY RD CBAD
4»^feyp#luL fui lLtBWrTOt#
Cond: CON0006670
[MET]
THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUANCE OF
BUILDING PERMIT.
THIS APPROVAL IS SUBJECT TO FIELD INSPECTION AND REQUIRED TEST, NOTATIONS HEREON,
CONDITIONS IN
CORRESPONDENCE AND CONFORMANCE WITH ALL APPLICABLE REGULATIONS.
THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE THE VIOLATION OF ANY LAW.
Entry: 10/02/2013 By: df Action: AP
PROJECT NUMBER
CARLSBAD FIRE DEPARTMENT
EXPEDITED PLAN CHECK REQUEST
I, yo^vN^me requesting 'Expedited Plan Check Services' and understand I
wiil be levied an additional fee assessed at the rate of $90.00 dollars per hour plus $25.00 dollars
administration fee.
I understand that my plans shall not be released until all fees are paid.
I, ^the applicant, am solely responsible for all fees due should the
project be withdrawn or otherwise not completed. And by signing below I acl<nowledge that my plans shall be
forwarded by the City of Carlsbad to an independent contractor/consultant.
\, acknowledge that the 'first review' time for all expedited Fire plan
reviews will be ten- (10) business days from date of submittal. These additional day account for acceptance
and delivery of your plans and then the parcel return to our office if recommended for approval.
I, the applicant, acknowledges that corrected or revised plans
shall be sent directly to the plan checker, at the address specified on the Correction List, at my cost, parcel
post or other means.
I, acknowledge that a turn-around time for re-submittals is
five- (5) business days from the date plans are received at the address specified by the plan checker on the
Correction List.
Once all corrections are made, your plans are then returned to the Carlsbad Fire Department with a
"Recommendation for Approval" based solely on the adopted Codes and Standards.
This is not an approval.
Your plans are then forwarded to the Carlsbad Fire Department, and once your plans are received by our
office they are subject to an additional review to ensure conformance with Carlsbad Municipal Code. This
additional review is subject to an additional review period of seven- (7) 'Government Business' days from
date that we receive the plans from the plan reviewer.
The Carlsbad Fire Department does not perform 'Over-the-counter' plan review services. Plans submitted to
the Carlsbad Fire Department for review by CFD staff shall be checked on a 'first come, first served' basis and
could take 10 days or more for 'First' review.
YES NO
PUAStCIRCtE YOUR SELECTION
Applicant Signature I^^ii^^o^ Date ^ ' I ^ ' ^ 3
Copy to Building and Fire Prevention file \j Revised 10/15/2012
BUILDING ENERGY ANALYSIS REPORT
PROJECT:
Florence Perspective, Inc.
2764 Gateway Road
Carlsbad, CA 92009
Project Designer:
470 Wald
Irvine, CA 92618
(949) 387-8822
Report Prepared by:
Jeff Pollock
TECHLOGIC ENERGY CONSULTING
25852 IVicBean Pkwy #513
Valencia, CA 91354
661.714.0133
Job Number:
037 10 01
Date:
10/16/2013
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 2008 Building Energy Efficiency Standards.
This program developed by EnergySoft, LLC-wvw.energysoft.com.
EnergyPro 5.1 by EnergySoft User Number: 6397 RunCode: 2013-10-16T12:19. ID: 037 10 01
TABLE OF CONTENTS
Cover Page 1
Table of Contents 2
Nonresidential Performance Title 24 Forms 3
Form ENV-MM Envelope Mandatory Measures 20
Form MECH-MM Mechanical Mandatory Measures 21
EnergyPro 5.1 by EnergySoft Job Number: ID: 037 10 01 User Number: 6397
PERFORMANCE CERTIFICATE OF COMPLIANCE (Part 1 of 3) PERF-1C
Project Name Date
Florence Perspective, Inc. 10/16/2013
Project Address Climate Zone Total Cond. Floor Area Addition Floor Area
2764 Gateway Road Carlsbad CA Climate Zone 07 8,298 n/a
GENERAL INFORMATION
Building Type: El Nonresidential
• Relocatable - indicate
• High-Rise Residential
• specific climate zone
• Hotel/Motel Guest Room
• all climates
Phase of Construction: • New Construction • Addition • Alteration
STATEMENT OF COMPLIANCE
This certificate of compliance lists the building features and specifications needed to
comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This
certificate applies only to a Building using the performance compliance approach.
CABEC
Caltfomia AiMbatKw of Bulhlii>9 Energy ComulUnts CERIIF-IED bNLRGY ANALYST
The documentation author hereby certifies that the docuinentation is accurate and complete.
J«ffPt>Nock
R08-0*-2fl6 & mM-Oft-H*
Documentation Author
Name Jeff Pollock Signature
Company TECHLOGIC ENERGY CONSULTING ^ 1 Date 10/16/2013
Address 25852 McSean Pkwy # 513 Phone 661.714.0133
City/State/Zip ^^i^^^^^ 91354
The Principal Designer hereby certifies that the proposed building design represented in this set of
construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with
any other calculations submitted with this permit application. The proposed building has been designed to meet the energy
efficiency requirements contained in sections 110, 116 through 118, and 140 through 149 of Title 24, Part 6. Please
check one:
ENV. LTG. MECH.
•
•
•
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 in the State of
California as a civil engineer, mechanical engineer, electrical engineer, or I am a licensed architect.
I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code by section
5537.2 or 6737.3 to sign this document as the person responsible for its preparation; and that I am a licensed
contractor performing this work.
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 pursuant to Business and Professions
Code Sections 5537, 5538 and 6737.1.
Principal Envelope Designer
1 Name /,,„,-,* /-,
AWDA Design
Signature
Company Date
Address ^g,^ License #
City/State/Zip /^^^ ^^618 Phone (a4g) 387-8822
Principal l\1echanical Designer
Name Design, Inc.
Company ^
Address ^g^j Footfiill Blvd, Suite 100-C License # /Vf^^>2'7
City/State/Zip san Dimas. CA 91773 Phone (909)394-5838
Principal Lighting Designer
Name Signature
Company Lighting Compliance Not In Tfie Scope Of This Submittal Date
Address License #
City/State/Zip Phone
INSTRUCTIONS TO APPLICANT COMPLIANCE & WORKSHEETS (check box if worksheets are included)
El ENV-1C Certificate of Compliance. Required on plans. IZI MECH-1C Certificate of Compliance. Required on plans.
• LTG-1C Certificate of Compliance. Required on plans. • MECI-I-2C Air/Water Side/Service Hot Water & Pool Requirements.
• LTG-2C Lighting Controls Credit Worksheet. El MECH-3C Mechanical Ventilation and Reheat.
• LTG-3C Indoor Lighting Power Allowance. El MECH-5C Mechanical Equipment Details.
EnergyPro 5.1 by EnergySoft User Number: 6397 RunCode: 2013-10-16712:19:47 ID: 037 10 01 Page 3 of 21
PERFORMANCE CERTIFICATE OF COMPLIANCE (Part 2 of 3) PERF-1C
Project Name Date
Florence Perspective, Inc. 10/16/2013
ANNUAL TDV ENERGY USE SUMMARY (l<Btu/sqft-yr)
Energy Component
Standard
Design
Proposed
Design
Compilance
Margin
Heating Space Heating 2.27 0.48 1.79 Heating
Space Cooling 156.43 735.37 21.06 Cooling
Indoor Fans 93.34 85.23 8.10 Fans
Heat Rejection 0.00 0.00 0.00 Heat Rej
Pumps & Misc. 0.00 OOO 0.00 Pumps
Domestic Hot Water 0.00 OOO 0.00 DHW
Lighting 86.27 86.27 0.00 Lighting
Receptacle 70.89 7089 0.00 Receptacle
Process 0.00 OOO 0.00 Process
Process Lighting 0.00 OOO 0.00 Process Ltg
TOTALS 409.19 37824 30.95
Percent better than Standard 76% ( 7.6 % excluding process)
BUILDING COMPLIES
GENERAL iNFORMATION
Building Orientation (N) 0 deg Conditioned Floor Area 8298 sqft.
Number of Stories 1 Unconditioned Floor Area 0 sqft.
Number of Systems 8 Conditioned Footprint Area 8298 sqft.
Number of Zones 10 Natural Gas Available On Site Yes
Orientation Gross Area Glazing Area Glazing Ratio
Front Elevation (N) 784 sqft. 558 sqft. 77.2 %
Left Elevation (E) 7,540 sqft. 7,008 sqft. 655%
Rear Elevation (S) 862 sqft. 496 sqft. 57.5 %
Right Elevation m 902 sqft. 736 sqft. 87.6%
Total 4,088 sqft. 2.798 sqft. 684 %
Roof 8298 sqft. 0 sqft. 00%
Standard
Prescriptive Lighting Power Density
Prescriptive Envelope TDV Energy
7.245
799.756
W/sqft.
Proposed
7.245
724,896
Prescriptive Values for
W/sqft. Comparison only. See
LTG-1 C for allowed LPD.
Remarlcs:
EnergyPro 5.7 by EnergySoft User Number: 6397 RunCode: 2013-10-16712:19:47 ID: 037 10 01 Page 4 of 21
PERFORMANCE CERTiFICATE OF COMPLIANCE (Part 3 of 3) PERF-1C
Project Name
Florence Perspective, Inc.
Date
10/16/2013
ZONE INFORMATION
System Name Zone Name Occupancy Type
Floor
Area
(sqft.)
Inst.
LPD
(W/sf)'
Ctrl.
Credits
(W/sf)^
Allowed LPD Proc.
Loads
(W/sf) System Name Zone Name Occupancy Type
Floor
Area
(sqft.)
Inst.
LPD
(W/sf)'
Ctrl.
Credits
(W/sf)^
Area
(W/sf)^
Tailored
(W/sf)"
Proc.
Loads
(W/sf)
HP-1, 3, 4 Open Area 101 Office > 250 sqft 3,553 *0.900
Conference 102 Convention/Conference/Mee 262 *1400
Break / Restroom Kitchen, Food Preparation 516 '1.600
HP-2 Lobby Lobby, Main Entry 250 "1.500
Office 103,104,105,106 Office <= 250 sqft 498 '1.100
HP-5, 6, 7, 8 Open Area 101A - Ught Fixt Retail Sales, Wholesale 2,540 '1.600
Lobby 100A Lobby, Main Entry 170 '1.500
Conference 102A Convention/Conference/Met 128 '1.400
Offices 103A,104A Office <= 250 sqft 186 '1.100
Break / Restroom Kitchen, Food Preparation 195 '1.600
Notes: 1. See LTG-1C
[items marked with asterisk, see LTG-1-C by others)
2. See LTG-2C 3. See LTG-3C
(by others)
4. See LTG-4C Items above require special documentation
EXCEPTIONAL CONDITIONS COMPLIANCE CHECKLIST
The local enforcement agency should pay special attention to the Items specified In this checklist. 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 justifications, and may reject a building or design that otherwise complies based on the adequacy of the
special justification and documentation submitted.
The Roof Roof has been designated as an alteration, however the Roof Surface is NOT being replaced.
The Roof Roof has been designated as an aiteration, however the Roof Surface Is NOT being replaced.
The Roof Roof has been designated as an aiteration, however the Roof Surface is NOT being replaced.
The Roof Roof has been designated as an aiteration, however the Roof Surface is NOT being replaced.
The Roof Roof has been designated as an alteration, however the Roof Surface is NOT being replaced.
The Roof Roof has been designated as an alteration, however the Roof Surface is NOT being replaced.
The Roof Roof has been designated as an alteration, however the Roof Surface is NOT being replaced.
The Roof Roof has been designated as an alteration, however the Roof Surface is NOT being replaced.
The Roof Roof has been designated as an alteration, however the Roof Surface is NOT being replaced.
The Roof Roof has been designated as an alteration, however the Roof Surface is NOT being replaced.
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.
Authorized Signature or Stamp
EnergyPro 5.1 by EnergySoft User Number: 6397 RunCode: 2013-10-16712:19:47 ID: 037 10 01 Page 5 of 21
CERTIFICATE OF COMPUANCE
AND FIELD INSPECTION ENERGY CHECKLIST
(Part 1 of 3) EN V-1 C
Project Name
Florence Perspective, Inc.
Date
10/16/2013
Project Address
2764 Gateway Road Carlsbad
Climate Zone Total Cond. Floor Area
8298
Addition Floor Area
n/a
GENERAL INFORMATION
Building Type: Bl Nonresidential • High-Rise Residential • Hotel/Motel Guest Room
• Scfiools (Public School) Relocatable Public School
BIdg. Ea Conditioned Spaces • Unconditioned Spaces
• Skylight Area for Large Enclosed Space s 8000 ft (If checked include the ENV-4C with submittal)
Phase of Construction: • New Construction • Addition • Alteration
Approach of Compliance: • Component 13 Overall Envelope • Unconditioned (file affidavit)
Front Orientation: N, E, S, W or in Degrees: Odeg
FIELD INSPECTION ENERGY CHECKLIST
OPAQUE SURFACE DETAILS INSULATION
Tag/ID Assembly Type
c •I 5
2 OT"
« UJ
6 z
a
CS -T O EC
O
'C 0)
aj 3 X (S UJ >
o o> .E
X 3 UJ U.
DC
o
1$
.2 c
>< '•5 c
c Q.
-> <
c o
is
§5
O OT
Wail 98 (N) 0.070 None 13.0 None 4.3.6-D5 Altered
Wall 364 (E) 0.070 None 13.0 None 4.3.6-D5 Altered
Slab 3,553 (N) 0.730 None 4.4.7-A1 New
Roof 3,553 (N) 0.049 R-19 4.2.1-A4 Altered
Wall 40 (W) 0.070 None 13.0 None 4.3.6-D5 Altered
Roof 262 (N) 0.049 R-19 4.2.1-A4 Altered
Slab 262 (N) 0.730 None 4.4.7-A1 New
Roof 516 (N) 0.049 R-19 4.2.1-A4 Altered
Slab 516 (N) 0.730 None 4.4.7-A1 New
10 Wall 30 (N) 0.070 None 13.0 None 4.3.6-D5 Altered
1. See Instructions in the Nonresidential Compliance Manual, page 3-96.
2. If Fail, then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. A fail does not meet compliance.
FENESTRATION SURFACE DETAILS
Tag/ID
Fenestration
Type
CJ
a
0)
< Orientation N, E, S, W Max U-Factor U-Factor Source Max (R)SHGC SHGC Source Overhang Conditions Status Pass M
'(5 u.
1 Window 558 (N) 0.710 Default 0.730 Default • Existing • •
2 Window 1,008 (E) 0.710 Default 0.730 Default • Existing • •
3 Window 736 (W) 0.710 Default 0.730 Default • Existing • •
4 Window 496 (S) 0.710 Default 0.730 Default • Existing • •
• • •
• • •
• • •
• • •
• • •
• • •
1. See Instructions in the Nonresidential Compliance Manual, page 3-96.
2. If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary.
EnergyPro 5.1 by EnergySoft User Number: 6397 RunCode: 2013-10-16712:19:47 ID: 037 10 01 Page 6 of 21
CERTIFICATE OF COMPLIANCE
AND FIELD INSPECTION ENERGY CHECKLIST
(Part 1 of 3) ENV-1C
Project Name
Florence Perspective, Inc.
Date
10/16/2013
Project Address
2764 Gateway Road Carlsbad
Climate Zone Total Cond. Floor Area
8298
Addition Floor Area
n/a
GENERAL INFORMATION
Building Type: • Nonresidential • High-Rise Residential • Hotel/Motel Guest Room
• Schools (Public School) Relocatable Public School
BIdg. 13 Conditioned Spaces • Unconditioned Spaces
• Skylight Area for Large Enclosed Space > 8000 ft (If checked include the ENV-4C with submittal)
Phase of Construction: Bl New Construction • Addition • Alteration
Approach of Compliance: • Component IZ Overall Envelope • Unconditioned (file affidavit)
Front Orientation: N, E, S, W or in Degrees: Ocyeg
FIELD INSPECTION ENERGY CHECKLIST
OPAQUE SURFACE DETAILS INSULATION
Tag/ID Assembly Type
0)
<
•2 5
« uT o
(0
0)
fi
(S •
O CC
CC
o
'C 0) 0) 3 — X 01
UJ >
o o>
a k-
X 3 UJ U.
•is
1^
.2 c
X '•B c
•e 4>
C Q.
-3 <
C
•O 3
o S
U OT
V) 0) CO
QL
11 Wall 16 (W) 0.070 None 13.0 None 4.3.6-D5 Altered
12 Roof 250 (N) 0.049 R-19 4.2.1-A4 Altered
13 Slab 250 (N) 0.730 None 4.4.7-A1 New •
14 Wail 98 (N) 0.070 None 13.0 None 4.3.6-D5 Altered
15 Roof 498 (N) 0.049 R-19 4.2.1-A4 Altered
16 Slab 498 (N) 0.730 None 4.4.7-A1 New
17 Wall 168 (E) 0.070 None 13.0 None 4.3.6-D5 Altered
18 Wall 266 (S) 0.070 None 13.0 None 4.3.6-D5 Altered
19 Wall 0 (W) 0.070 None 13.0 None 4.3.6-D5 Altered
20 Roof 2,540 (N) 0.049 R-19 4.2.1-A4 Altered
1. See Instructions in the Nonresidential Compliance Manual, page 3-96.
2. If Fail, then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. A fail does not meet compliance.
FENESTRATION SURFACE DETAILS
Tag/ID
Fenestration
Type
(0
< Orientation N, E, S, W Max U-Factor U-Factor Source Max (R)SHGC SHGC Source Overhang Conditions Status Pass CM
a u.
• • •
• • •
• • •
• • •
• • •
• • •
• • •
• • •
• • •
• • •
1. See Instructions in the Nonresidential Compliance Manual, page 3-96.
2. If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary.
EnergyPro 5.1 by EnergySoft User Number: 6397 RunCode: 2013-10-16712:19:47 ID: 037 10 01 Page 7 of 21
CERTIFICATE OF COMPLIANCE
AND FIELD INSPECTION ENERGY CHECKLIST
(Part 1 of 3) ENV-1C
Project Name
Florence Perspective, Inc.
Date
10/16/2013
Project Address
2764 Gateway Road Carlsbad
Climate Zone Total Cond. Floor Area
8,298
Addition Floor Area
n/a
GENERAL INFORMATION
Building Type: • Nonresidential • High-Rise Residential • Hotel/Motel Guest Room
• Schools (Public School) Relocatable Public School
BIdg. • Conditioned Spaces • Unconditioned Spaces
• Skylight Area for Large Enclosed Space s 8000 ft (If checked include the ENV-4C with submittal)
Phase of Construction: Bl New Construction • Addition • Alteration
Approach of Compliance: • Component • Overall Envelope • Unconditioned (file affidavit)
Front Orientation: N, E, S, W or in Degrees: Odeg
FIELD INSPECTION ENERGY CHECKLIST
OPAQUE SURFACE DETAILS INSULATION
Tag/ID Assembly Type
c
IOT:
01 UJ o
(0
0)
>. = n • U DC
o
« 3 X CS UJ >
o o>
X 3
X
o
B >
0) C
X
c r * c a.
5 5--> <
c o 'S in •a 3
iS
U OT
(A in a a.
21 Slab 2,540 (N) 0.730 None 4.4.7-A1 New
22 Wall 60 (S) 0.070 None 13.0 None 4.3.6-D5 Altered
23 Wail 70 (W) 0.070 None 13.0 None 4.3.6-D5 Altered
24 Roof 170 (N) 0.049 R-19 4.2.1-A4 Altered
25 Slab 170 (N) 0.730 None 4.4.7-A1 New
26 Wall 40 (W) 0.070 None 13.0 None 4.3.6-05 Altered
27 Roof 128 (N) 0.049 R-19 4.2.1-A4 Altered
28 Slab 128 (N) 0.730 None 4.4.7-A1 New
29 Wall 40 (S) 0.070 None 13.0 None 4.3.6-D5 Altered
30 Roof 186 (N) 0.049 R-19 4.2.1-A4 Altered
1. See Instructions in the Nonresidential Compliance Manual, page 3-96.
2. If Fail, then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. A fail does not meet compliance.
FENESTRATION SURFACE DETAILS
Tag/ID
Fenestration
Type
(0 0)
< Orientation N, E, S, W Max U-Factor U-Factor Source Max (R)SHGC SHGC Source Overhang Conditions Status Pass C4
'5 u.
• • •
• • •
• • •
• • •
• • •
• • •
• • •
• • •
• • •
• • •
1. See Instructions in the Nonresidential Compliance Manual, page 3-96.
2. If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary.
EnergyPro 5.1 by EnergySoft User Number: 6397 RunCode: 2013-10-16712:19:47 ID: 037 10 01 Page 8 of 21
CERTIFICATE OF COMPLIANCE
AND FIELD INSPECTION ENERGY CHECKLIST
(Part 1 of 3) EN V-1 C
Project Name
Florence Perspective, Inc.
Date
10/16/2013
Project Address
2764 Gateway Road Carlsbad
Climate Zone Total Cond. Floor Area
8298
Addition Floor Area
n/a
GENERAL INFORMATION
Building Type: • Nonresidential • High-Rise Residential • Hotel/Motel Guest Room
• Schools (Public School) Relocatable Public School
Bldg. 121 Conditioned Spaces • Unconditioned Spaces
• Skylight Area for Large Enclosed Space s 8000 ft (If checked include the ENV-4C with submittal)
Phase of Construction: • New Construction • Addition • Alteration
Approach of Compliance: • Component 13 Overall Envelope • Unconditioned (file affidavit)
Front Orientation: N, E, S, W or in Degrees: Odeg
FIELD INSPECTION ENERGY CHECKLIST
OPAQUE SURFACE DETAILS INSULATION
Tag/ID Assembly Type
n
0)
c
.2 5
.£ UJ
6 2
0) > 3
|> (0 • O X
X
o
0) 3
^ —
UI >
o o>
B t
X 3 UJ U.
2 •
0) . 0) ^
.9 C
Sit
£ u.
X '•B c
c a.
-3 <
C O
1 «> •O 3
c IS
o iS
O OT
in in n 0.
3r Slab 186 (N) 0.730 None 4.4.7-A1 New
32 Roof 195 (N) 0.049 R-19 4.2.1-A4 Altered •
33 Slab 195 (N) 0.730 None 4.4.7-Al New
•
•
1. See Instructions in the Nonresidential Compliance Manual, page 3-96.
2. If Fail, then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. A fail does not meet compliance.
FENESTRATION SURFACE DETAILS
Tag/ID
Fenestration
Type
CM
(0
< Orientation N, E, S, W Max U-Factor U-Factor Source Max (R)SHGC SHGC Source Overhang Conditions Status Pass Fail' • • •
• • •
• • •
• • •
• • •
• • •
• • •
• • •
• • •
• • •
1. See Instructions in the Nonresidential Compliance Manual, page 3-96.
2. If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary.
EnergyPro 5.1 by EnergySoft User Number: 6397 RunCode: 2013-10-16712:19:47 ID: 037 10 01 Page 9 of 21
CERTIFICATE OF COMPLIANCE
AND FIELD INSPECTION ENERGY CHECKLIST
(Part 2 of 3) ENV-1C
Project Name
Florence Perspective, Inc.
Date
10/16/2013
ROOFING PRODUCT (COOL ROOFS)
(Note if the roofing product is not CRRC certified, this compliance approach cannot be used). Go to Overall Envelope Approach or
CHECK APPLICABLE BOX BELOW IF EXEMPT FROM THE ROOFING PRODUCT "COOL ROOF" REQUIREMENTS: Pass Fair N/A
• Roofing compliance not required in Climate Zones 1 and16 with a Low-Sloped. 2:12 pitch or less. • • •
• Roofing compliance not required in Climate Zone 1 with a Steep-Sloped with less than 5 Ib/ft^. Greater than 2:12 pitch. • • •
I", Low-sloped Wood framed roofs in Climate Zones 3 and 5 are exempted, solar reflectance and thermal emittance or
SRI that have a U-factor of 0.039 or lower. See Opaque Surface Details roof assembly, Column H of ENV-2C. • • •
•-. Low-sloped Metal building roofs in Climate Zone 3 and 5 are exempted, solar relectance and thermal emittance or SRI
that have a U-factor of 0.048 or lower. See Opaque Surface Details roof assembly below. Column H of ENV-2C. • • •
PI The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are
exempted. Solar reflectance and thermal emittance or SRI, see spreadsheet calculator at www.enerav.ca.aov/title24/ • • •
•-| Roof constructions that have thermal mass over the roof membrane with a weight of at least 25 Ib/ft"^ are exempt from
the Cool Roof criteria below. • • •
[-• High-rise residential buildings and hotels and motels with low-sloped roofs in Climate Zones 1 through 9, 12 and 16 are
exempted from the low-sloped roofing criteria. • • •
1. If Fail then describe on this page of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary.
CRRC Product ID
Number'
Roof Slope
£ 2:12 >2:12
Product Weight
< 5lb/ft^ a 5lb/tt^
Product
Type'
Aged Solar
Reflectance^
Thermal
Emmitance SRI= Pass Fail^
• • • • a* • •
• • • • • •
• • • • • •
• • • • n' • •
• • • • • •
• • • • • •
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at
www.coolroofs.orq/products/search.php
2. Indicate the type of product is being used for the roof top, i.e. single-ply roof, asphalt roof, metal roof, etc.
3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the
same directory and use the equation (0.2+0.7(pinitiai - 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance from the Cool
Roof Rating Council's Rated Product Directory.
4. Check box if the Aged Reflectance is a calculated value using the equation above.
5. The SRI value needs to be calculated from a spreadsheet calculator at http://www.enerqv.ca.qov/title24/
6. If Fail then describe on this page of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary.
To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(1)4. Select the applicable coating:
• Aluminum-Pigmented Asphalt Roof Coating • Cement-Based Roof Coating • Other
Discrepancies:
EnergyPro 5.1 by EnergySoft User Number: 6397 RunCode: 2013-10-16712:19:47 ID: 037 10 01 Page 10 of 21
CERTIFICATE OF COMPLIANCE (Part 3 of 3)
AND FIELD INSPECTION ENERGY CHECKLIST
ENV-1C
Project Name
Florence Perspective, Inc.
Date
10/16/2013
Required Acceptance Tests
Designer:
This form is to be used by tfie designer and attached to the plans. Listed below is the acceptance test for Envelope
Fenestrations system. The designer is required to check the acceptance tests and list all the fenestration products that
require an acceptance test. If all the site-built fenestration of a certain type requires a test, list the different fenestration
products and the number of systems. The NA7 Section in the Appendix of the Nonresidential Reference Appendices
Manual describes the test. Since this form will be part of the plans, completion of this section will allow the responsible
party to budget for the scope of work appropriately.
Enforcement Agency:
Systems Acceptance. Before Occupancy Permit is granted for a newly constructed building or space or whenever new
fenestration is installed in the building or space shall be certified as meeting the Acceptance Requirements.
The ENV-2A form is not considered a complete form and is not to be accepted by the enforcement agency unless the
boxes are checked and/or filled and signed. In addition, a Certificate of Acceptance forms shall be submitted to the
enforcement agency that certifies plans, specifications, installation certificates, and operating and maintenance
information meet the requirements of §10-103(b) of Title 24 Part 6. The field inspector must receive the properly filled
out and signed forms before the building can receive final occupancy. A copy of the ENV-2A for each different
fenestration product line must be provided to the owner of the building for their records.
Test Description ENV-2A Test Performed By:
Fenestration Products Name or ID
Requiring Testing or Verification
Area of like
Products
Building Envelope
Acceptance Test
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
EnergyPro 5.1 by EnergySoft User Number: 6397 RunCode: 2013-10-16712:19:47 ID: 037 10 01 Page 11 of 21
CERTIFICATE OF COMPLIANCE and
FIELD INSPECTION ENERGY CHECKLIST
(Parti of4) MECH-1C
Project Name
Florence Perspective, Inc.
Date
10/16/2013
Project Address
2764 Gateway Road Carlsbad
Climate Zone Total Cond. Floor Area
8,298
Addition Floor Area
n/a
GENERAL INFORMATION
Building Type: El Nonresidential • High-Rise Residential • Hotel/Motel Guest Room
• Schools (Public School) • Relocatable Public School BIdg. 12 Conditioned Spaces Unconditioned Spaces
(affidavit)
Phase of Construction: • New Construction • Addition • Alteration
Approach of Compliance: • Component Overall Envelope TDV
Energy • Unconditioned (file affidavit)
Front Orientation: N, E, S, W or in Degrees: 0 cfeg
HVAC SYSTEM DETAILS FIELD INSPECTION ENERGY CHECKLIST
Equipment^ Inspection Criteria
Meets Criteria or Requirements
Equipment^ Inspection Criteria Pass Fail - Describe Reason^
Item or System Tags
(i.e. AC-1, RTU-1, HP-1) HP-1, 3, 4 • •
Equipment Type^: Split DX • •
Number of Systems 3 • •
Max Allowed Heating Capacity^ 28,200 Btu/fir • •
Minimum Heating Efficiency^ 8.20 HSPF • •
Max Allowed Cooling Capacity^ 45,500 Btu/hr • •
Cooling Efficiency^ 14.2 SEER/11.6 EER • •
Duct Location/ R-Value Attic, Ceiling Ins, vented/4.2 • •
When duct testing is required, submit
MECH-4A & MECH-4-HERS No • •
Economizer No Economizer • •
Thermostat Setback Required • •
Fan Control Constant Volume • •
Equipment^ Inspection Criteria
FIELD INSPECTION ENERGY CHECKLIST
Equipment^ Inspection Criteria Pass Fail - Describe Reason^
Item or System Tags
(i.e. AC-1, RTU-1, HP-1) HP-2 • •
Equipment Type^: Split DX • •
Number of Systems 1 • •
Max Allowed Heating Capacity' 28,200 Btu/fir • •
Minimum Heating Efficiency' 8.20 HSPF • •
Max Allowed Cooling Capacity' 45,500 Btu/hr • •
Cooling Efficiency' 14.2 SEER/11.6 EER • •
Duct Location/ R-Value Attic, Ceiling Ins, vented/4.2 • •
When duct testing is required, submit
MECH-4A & MECH-4-HERS No • •
Economizer No Economizer • •
Thermostat Setback Required • •
Fan Control Constant Volume • •
1. If the Actual installed equipment performance efficiency and capacity is less than the Proposed (from the energy compliance submittal or from
the building plans) the responsible party shall resubmit energy compliance to include the new changes.
2. For additional detailed discrepancy use Page 2 of the Inspection Checklist Form. Compliance fails if a Fail box is checked.
3. Indicate Equipment Type: Gas (Pkg or, Split), VAV, HP (Pkg or split), Hydronic, PTAC, or other.
EnergyPro 5.1 by EnergySoft User Number: 6397 RunCode: 2013-10-16712:19:47 ID: 037 10 01 Page 12 of 21
CERTIFICATE OF COMPLIANCE and
FIELD INSPECTION ENERGY CHECKLIST
(Parti of4) MECH-1C
Project Name
Florence Perspective, Inc.
Date
10/16/2013
Project Address
2764 Gateway Road Carlsbad
Climate Zone Total Cond. Floor Area
8,298
Addition Floor Area
n/a
GENERAL INFORMATION
Building Type: • Nonresidential • High-Rise Residential • Hotel/Motel Guest Room
• Schools (Public School) • Relocatable Public School Bldg. 13 Conditioned Spaces Unconditioned Spaces
(affidavit)
Phase of Construction: • New Construction • Addition • Alteration
Approach of Compliance: • Component Overall Envelope TDV
Energy • Unconditioned (file affidavit)
Front Orientation: N, E, S, W or in Degrees: Odeg
HVAC SYSTEM DETAILS FIELD INSPECTION ENERGY CHECKLIST
Equipment^ Inspection Criteria
Meets Criteria or Requirements
Equipment^ Inspection Criteria Pass Fail - Describe Reason^
Item or System Tags
(i.e. AC-1, RTU-1, HP-1) HP-5, 6, 7, 8 • •
Equipment Type^: Split DX • •
Number of Systems 4 • •
Max Allowed Heating Capacity' 28,200 Btu/hr • •
Minimum Heating Efficiency' 8.20 HSPF • •
Max Allowed Cooling Capacity' 45,500 Btu/hr • •
Cooling Efficiency' 14.2 SEER/11.6 EER • •
Duct Location/ R-Value n/a • •
When duct testing is required, submit
MECH-4A & MECH-4-HERS No • •
Economizer No Economizer • •
Thermostat Setback Required • •
Fan Control Constant Volume • •
Equipment^ Inspection Criteria
FIELD INSPECTION ENERGY CHECKLIST
Equipment^ Inspection Criteria Pass Fail - Describe Reason^
Item or System Tags
(i.e. AC-1, RTU-1, HP-1) • •
Equipment Type^: • •
Number of Systems • •
Max Allowed Heating Capacity' • •
Minimum Heating Efficiency' • •
Max Allowed Cooling Capacity' • •
Cooling Efficiency' • •
Duct Location/ R-Value • •
When duct testing is required, submit
MECH-4A & MECH-4-HERS • •
Economizer • •
Thermostat • •
Fan Control • •
1. If the Actual installed equipment performance efficiency and capacity is less than the Proposed (from the energy compliance submittal or from
the building plans) the responsible party shall resubmit energy compliance to include the new changes.
2. For additional detailed discrepancy use Page 2 of the Inspection Checklist Form. Compliance fails if a Fail box is checked.
3. Indicate Equipment Type: Gas (Pkg or. Split), VAV, HP (Pkg or split), Hydronic, PTAC, or other.
EnergyPro 5.1 by EnergySoft User Number: 6397 RunCode: 2013-10-16712:19:47 ID: 037 10 01 Page 13 of 21
CERTIFICATE OF COMPLIANCE and
FIELD INSPECTION ENERGY CHECKLIST
(Part 2 of 4) MECH-1C
Project Name
Florence Perspective, Inc.
Date
10/16/2013
Discrepancies:
EnergyPro 5.1 by EnergySoft User Number: 6397 RunCode: 2013-10-16712:19:47 ID: 03710 01 Page 14 of 21
CERTIFICATE OF COMPLIANCE and FIELD INSPECTION ENERGY CHECKLIST (Part 3 of 4) MECH-1C
Project Name
Florence Perspective, Inc.
Date
10/16/2013
Required Acceptance Tests
Designer:
This form is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for mechanical systems. The designer is required to check the applicable
boxes by all acceptance tests that apply and listed all equipment that requires an acceptance test. If all equipment of a certain type requires a test, list the equipment description and
the number of systems. The NA number designates the Section in the Appendix of the Nonresidential Reference Appendices Manual that describes the test. Since this form will be
part of the plans, completion of this section will allow the responsible party to budget for the scope of work appropriately.
Building Departments:
Systems Acceptance: Before occupancy permit is granted for a newly constructed building or space, or a new space-conditioning system serving a building or space is operated for
normal use, all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance.
Systems Acceptance: Before occupancy permit is granted. All newly installed HVAC equipment must be tested using the Acceptance Requirements.
The MECH-1 C form is not considered a completed form and is not to be accepted by the building department unless the correct boxes are checked. The equipment requiring testing,
person performing the test (Example: HVAC installer, TAB contractor, controls contractor, PE in charge of project) and what Acceptance test must be conducted. The following
checked-off forms are required for ALL newly installed equipment. In addition a Certificate of Acceptance forms shall be submitted to the building department that certifies plans,
specifications, installation, certificates, and operating and maintenance information meet the requirements of §10-103(b) and Title-24 Part 6. The building inspector must receive the
properly filled out and signed forms before the building can receive final occupancy.
TEST DESCRIPTION MECH-2A MECH-3A MECH-4A MECH-5A MECH-6A MECH-7A MECH-8A MECH-9A MECH-1 OA MECH-11A
Equipment Requiring Testing or Verification Qty.
Outdoor
Ventilation
For
VAV & CAV
Constant
Volume &
Single-Zone
Unitary
Air
Distribution
Ducts
Economizer
Controls
Demand
Control
Ventilation
DCV
Supply
Fan
VAV
Valve
Leakage
Test
Supply
Water
Temp.
Reset
Hydronic
System
Variable
Flow
Control
Automatic
Demand
Shed
Control
Florence 38SYG048/FV4BNB006 8 • • • • • • • IZI
• • • • • • • • • •
• • • • • • • • • •
• • • • • • • • • •
• • • • • • • • • •
• • • • • • • • • •
• • • • • • • • • •
• • • • • • • • • •
• • • • • • • • • •
• • • • • • • • • •
• • • • • • • • • •
• • • • • • • • • •
• • • • • • • • • •
• • • • • • • • • •
EnergyPro 5.1 by EnergySoft User Number: 6397 RunCode: 2013-10-16712:19:47 ID: 037 10 01 Paqe 15 of 21
CERTIFICATE OF COMPLIANCE and FIELD INSPECTION ENERGY CHECKLIST (Part 4 of 4) MECH-1 C
Project Name Date
Florence Perspective, Inc. 10/16/2013
TEST DESCRIPTION MECH-12A MECH-13A MECH-14A MECH-15A
Equipment Requiring Testing Qty.
Fault
Detection &
Diagnostics
for DX Units
Automatic Fault
Detection &
Diagnostics for
Air & Zone
Distributed
Energy Storage
DXAC
Systems
Thermal Energy
Storage (TES)
Systems Test Performed By:
Florence 38SYG048/FV4BNB006 8 • • • • Installing Contractor
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EnergyPro 5.1 by EnergySoft User Number: 6397 RunCode: 2013-10-16712:19:47 ID: 03710 01 Paqe 16 of 21
AIR SYSTEM REQUIREMENTS (Part 1 of 2) MECH-2C
Project Name Date
Florence Perspective, Inc. 10/16/2013
Item or System Tags
(i.e. AC-1, RTU-1, HP-1)
Indicate Air Systems Type (Central, Single Zone, Packag e, VAV, or etc..)
Item or System Tags
(i.e. AC-1, RTU-1, HP-1) HP-1, 3, 4 HP-2 HP-5, 6, 7, 8
Number of Systems 3 1 4
lUlANDATORY MEASURES
Heating Equipment Efficiency
Cooling Equipment Efficiency
HVAC Heat Pump Thermostat
Furnace Controls/Thermostat
Natural Ventilation
Mechanical Ventilation
VAV Minimum Position Control
Demand Control Ventilation
Time Control
Setback and Setup Control
Outdoor Damper Control
Isolation Zones
Pipe Insulation
Duct Location/ R-value
Indicate Pa< ge Reference on Plans or Schedule and indicate the applicable exception(s)
lUlANDATORY MEASURES
Heating Equipment Efficiency
Cooling Equipment Efficiency
HVAC Heat Pump Thermostat
Furnace Controls/Thermostat
Natural Ventilation
Mechanical Ventilation
VAV Minimum Position Control
Demand Control Ventilation
Time Control
Setback and Setup Control
Outdoor Damper Control
Isolation Zones
Pipe Insulation
Duct Location/ R-value
T-24 Sections lUlANDATORY MEASURES
Heating Equipment Efficiency
Cooling Equipment Efficiency
HVAC Heat Pump Thermostat
Furnace Controls/Thermostat
Natural Ventilation
Mechanical Ventilation
VAV Minimum Position Control
Demand Control Ventilation
Time Control
Setback and Setup Control
Outdoor Damper Control
Isolation Zones
Pipe Insulation
Duct Location/ R-value
112(a) 8.20 HSPF 8.20 HSPF 8.20 HSPF
lUlANDATORY MEASURES
Heating Equipment Efficiency
Cooling Equipment Efficiency
HVAC Heat Pump Thermostat
Furnace Controls/Thermostat
Natural Ventilation
Mechanical Ventilation
VAV Minimum Position Control
Demand Control Ventilation
Time Control
Setback and Setup Control
Outdoor Damper Control
Isolation Zones
Pipe Insulation
Duct Location/ R-value
112(a) 14.2 SEER/11.6 EER 14.2 SEER/11.6 EER 14.2 SEER/11.6 EER
lUlANDATORY MEASURES
Heating Equipment Efficiency
Cooling Equipment Efficiency
HVAC Heat Pump Thermostat
Furnace Controls/Thermostat
Natural Ventilation
Mechanical Ventilation
VAV Minimum Position Control
Demand Control Ventilation
Time Control
Setback and Setup Control
Outdoor Damper Control
Isolation Zones
Pipe Insulation
Duct Location/ R-value
112(b), 112(c) Yes Yes Yes
lUlANDATORY MEASURES
Heating Equipment Efficiency
Cooling Equipment Efficiency
HVAC Heat Pump Thermostat
Furnace Controls/Thermostat
Natural Ventilation
Mechanical Ventilation
VAV Minimum Position Control
Demand Control Ventilation
Time Control
Setback and Setup Control
Outdoor Damper Control
Isolation Zones
Pipe Insulation
Duct Location/ R-value
112(c), 115(a) n/a n/a n/a
lUlANDATORY MEASURES
Heating Equipment Efficiency
Cooling Equipment Efficiency
HVAC Heat Pump Thermostat
Furnace Controls/Thermostat
Natural Ventilation
Mechanical Ventilation
VAV Minimum Position Control
Demand Control Ventilation
Time Control
Setback and Setup Control
Outdoor Damper Control
Isolation Zones
Pipe Insulation
Duct Location/ R-value
121(b) No No No
lUlANDATORY MEASURES
Heating Equipment Efficiency
Cooling Equipment Efficiency
HVAC Heat Pump Thermostat
Furnace Controls/Thermostat
Natural Ventilation
Mechanical Ventilation
VAV Minimum Position Control
Demand Control Ventilation
Time Control
Setback and Setup Control
Outdoor Damper Control
Isolation Zones
Pipe Insulation
Duct Location/ R-value
121(b) 780 cfm 125 cfm 815 cfm
lUlANDATORY MEASURES
Heating Equipment Efficiency
Cooling Equipment Efficiency
HVAC Heat Pump Thermostat
Furnace Controls/Thermostat
Natural Ventilation
Mechanical Ventilation
VAV Minimum Position Control
Demand Control Ventilation
Time Control
Setback and Setup Control
Outdoor Damper Control
Isolation Zones
Pipe Insulation
Duct Location/ R-value
121(c) No No No
lUlANDATORY MEASURES
Heating Equipment Efficiency
Cooling Equipment Efficiency
HVAC Heat Pump Thermostat
Furnace Controls/Thermostat
Natural Ventilation
Mechanical Ventilation
VAV Minimum Position Control
Demand Control Ventilation
Time Control
Setback and Setup Control
Outdoor Damper Control
Isolation Zones
Pipe Insulation
Duct Location/ R-value
121(c) No No No
lUlANDATORY MEASURES
Heating Equipment Efficiency
Cooling Equipment Efficiency
HVAC Heat Pump Thermostat
Furnace Controls/Thermostat
Natural Ventilation
Mechanical Ventilation
VAV Minimum Position Control
Demand Control Ventilation
Time Control
Setback and Setup Control
Outdoor Damper Control
Isolation Zones
Pipe Insulation
Duct Location/ R-value
122(e) Programmable Switch Programmable Switch Programmable Switch
lUlANDATORY MEASURES
Heating Equipment Efficiency
Cooling Equipment Efficiency
HVAC Heat Pump Thermostat
Furnace Controls/Thermostat
Natural Ventilation
Mechanical Ventilation
VAV Minimum Position Control
Demand Control Ventilation
Time Control
Setback and Setup Control
Outdoor Damper Control
Isolation Zones
Pipe Insulation
Duct Location/ R-value
122(e) Setback Required Setback Required Setback Required
lUlANDATORY MEASURES
Heating Equipment Efficiency
Cooling Equipment Efficiency
HVAC Heat Pump Thermostat
Furnace Controls/Thermostat
Natural Ventilation
Mechanical Ventilation
VAV Minimum Position Control
Demand Control Ventilation
Time Control
Setback and Setup Control
Outdoor Damper Control
Isolation Zones
Pipe Insulation
Duct Location/ R-value
122(f) Auto Auto Auto
lUlANDATORY MEASURES
Heating Equipment Efficiency
Cooling Equipment Efficiency
HVAC Heat Pump Thermostat
Furnace Controls/Thermostat
Natural Ventilation
Mechanical Ventilation
VAV Minimum Position Control
Demand Control Ventilation
Time Control
Setback and Setup Control
Outdoor Damper Control
Isolation Zones
Pipe Insulation
Duct Location/ R-value
122(g) n/a n/a n/a
lUlANDATORY MEASURES
Heating Equipment Efficiency
Cooling Equipment Efficiency
HVAC Heat Pump Thermostat
Furnace Controls/Thermostat
Natural Ventilation
Mechanical Ventilation
VAV Minimum Position Control
Demand Control Ventilation
Time Control
Setback and Setup Control
Outdoor Damper Control
Isolation Zones
Pipe Insulation
Duct Location/ R-value
123
lUlANDATORY MEASURES
Heating Equipment Efficiency
Cooling Equipment Efficiency
HVAC Heat Pump Thermostat
Furnace Controls/Thermostat
Natural Ventilation
Mechanical Ventilation
VAV Minimum Position Control
Demand Control Ventilation
Time Control
Setback and Setup Control
Outdoor Damper Control
Isolation Zones
Pipe Insulation
Duct Location/ R-value 124 Attic, Ceiling ins, vented/4.2 Attic, Celling Ins, vented / 4.2 n/a
PRESCRIPTIVE MEASURES
Calculated Design Heating Load
Proposed Heating Capacity
Calculated Design Cooling Load
Proposed Cooling Capacity
Fan Control
DP Sensor Location
Supply Pressure Reset (DDC only)
Simultaneous Heat/Cool
Economizer
Heat Air Supply Reset
Cool Air Supply Reset
Electric Resistance Heating'
Air Cooled Chiller Limitation
Duct Leakage Sealing. If Yes, a
MECH-4-A must be submitted
144(a&b) n/a n/a n/a Calculated Design Heating Load
Proposed Heating Capacity
Calculated Design Cooling Load
Proposed Cooling Capacity
Fan Control
DP Sensor Location
Supply Pressure Reset (DDC only)
Simultaneous Heat/Cool
Economizer
Heat Air Supply Reset
Cool Air Supply Reset
Electric Resistance Heating'
Air Cooled Chiller Limitation
Duct Leakage Sealing. If Yes, a
MECH-4-A must be submitted
144(a&b) 64,718 Btu/hr 21.573 Btu/hr 86,291 Btu/hr
Calculated Design Heating Load
Proposed Heating Capacity
Calculated Design Cooling Load
Proposed Cooling Capacity
Fan Control
DP Sensor Location
Supply Pressure Reset (DDC only)
Simultaneous Heat/Cool
Economizer
Heat Air Supply Reset
Cool Air Supply Reset
Electric Resistance Heating'
Air Cooled Chiller Limitation
Duct Leakage Sealing. If Yes, a
MECH-4-A must be submitted
144(a&b) n/a n/a n/a
Calculated Design Heating Load
Proposed Heating Capacity
Calculated Design Cooling Load
Proposed Cooling Capacity
Fan Control
DP Sensor Location
Supply Pressure Reset (DDC only)
Simultaneous Heat/Cool
Economizer
Heat Air Supply Reset
Cool Air Supply Reset
Electric Resistance Heating'
Air Cooled Chiller Limitation
Duct Leakage Sealing. If Yes, a
MECH-4-A must be submitted
144(a&b) 115,404 Btu/hr 39,994 Btu/hr 158,032 Btu/hr
Calculated Design Heating Load
Proposed Heating Capacity
Calculated Design Cooling Load
Proposed Cooling Capacity
Fan Control
DP Sensor Location
Supply Pressure Reset (DDC only)
Simultaneous Heat/Cool
Economizer
Heat Air Supply Reset
Cool Air Supply Reset
Electric Resistance Heating'
Air Cooled Chiller Limitation
Duct Leakage Sealing. If Yes, a
MECH-4-A must be submitted
144(c) Constant Volume Constant Volume Constant Volume
Calculated Design Heating Load
Proposed Heating Capacity
Calculated Design Cooling Load
Proposed Cooling Capacity
Fan Control
DP Sensor Location
Supply Pressure Reset (DDC only)
Simultaneous Heat/Cool
Economizer
Heat Air Supply Reset
Cool Air Supply Reset
Electric Resistance Heating'
Air Cooled Chiller Limitation
Duct Leakage Sealing. If Yes, a
MECH-4-A must be submitted
144(c)
Calculated Design Heating Load
Proposed Heating Capacity
Calculated Design Cooling Load
Proposed Cooling Capacity
Fan Control
DP Sensor Location
Supply Pressure Reset (DDC only)
Simultaneous Heat/Cool
Economizer
Heat Air Supply Reset
Cool Air Supply Reset
Electric Resistance Heating'
Air Cooled Chiller Limitation
Duct Leakage Sealing. If Yes, a
MECH-4-A must be submitted
144(c) Yes Yes Yes
Calculated Design Heating Load
Proposed Heating Capacity
Calculated Design Cooling Load
Proposed Cooling Capacity
Fan Control
DP Sensor Location
Supply Pressure Reset (DDC only)
Simultaneous Heat/Cool
Economizer
Heat Air Supply Reset
Cool Air Supply Reset
Electric Resistance Heating'
Air Cooled Chiller Limitation
Duct Leakage Sealing. If Yes, a
MECH-4-A must be submitted
144(d) No No No
Calculated Design Heating Load
Proposed Heating Capacity
Calculated Design Cooling Load
Proposed Cooling Capacity
Fan Control
DP Sensor Location
Supply Pressure Reset (DDC only)
Simultaneous Heat/Cool
Economizer
Heat Air Supply Reset
Cool Air Supply Reset
Electric Resistance Heating'
Air Cooled Chiller Limitation
Duct Leakage Sealing. If Yes, a
MECH-4-A must be submitted
144(e) No Economizer No Economizer No Economizer
Calculated Design Heating Load
Proposed Heating Capacity
Calculated Design Cooling Load
Proposed Cooling Capacity
Fan Control
DP Sensor Location
Supply Pressure Reset (DDC only)
Simultaneous Heat/Cool
Economizer
Heat Air Supply Reset
Cool Air Supply Reset
Electric Resistance Heating'
Air Cooled Chiller Limitation
Duct Leakage Sealing. If Yes, a
MECH-4-A must be submitted
144(f) Constant Temp Constant Temp Constant Temp
Calculated Design Heating Load
Proposed Heating Capacity
Calculated Design Cooling Load
Proposed Cooling Capacity
Fan Control
DP Sensor Location
Supply Pressure Reset (DDC only)
Simultaneous Heat/Cool
Economizer
Heat Air Supply Reset
Cool Air Supply Reset
Electric Resistance Heating'
Air Cooled Chiller Limitation
Duct Leakage Sealing. If Yes, a
MECH-4-A must be submitted
144(f) Constant Temp Constant Temp Constant Temp
Calculated Design Heating Load
Proposed Heating Capacity
Calculated Design Cooling Load
Proposed Cooling Capacity
Fan Control
DP Sensor Location
Supply Pressure Reset (DDC only)
Simultaneous Heat/Cool
Economizer
Heat Air Supply Reset
Cool Air Supply Reset
Electric Resistance Heating'
Air Cooled Chiller Limitation
Duct Leakage Sealing. If Yes, a
MECH-4-A must be submitted
144(q)
Calculated Design Heating Load
Proposed Heating Capacity
Calculated Design Cooling Load
Proposed Cooling Capacity
Fan Control
DP Sensor Location
Supply Pressure Reset (DDC only)
Simultaneous Heat/Cool
Economizer
Heat Air Supply Reset
Cool Air Supply Reset
Electric Resistance Heating'
Air Cooled Chiller Limitation
Duct Leakage Sealing. If Yes, a
MECH-4-A must be submitted
144(i)
Calculated Design Heating Load
Proposed Heating Capacity
Calculated Design Cooling Load
Proposed Cooling Capacity
Fan Control
DP Sensor Location
Supply Pressure Reset (DDC only)
Simultaneous Heat/Cool
Economizer
Heat Air Supply Reset
Cool Air Supply Reset
Electric Resistance Heating'
Air Cooled Chiller Limitation
Duct Leakage Sealing. If Yes, a
MECH-4-A must be submitted 144(k) No No No
1. Total installed capacity (MBtu/hr) of all electric heat on this project exclusive of electric auxiliary heat for heat pumps. If electric heat is used
explain which exception(s) to §144(g) apply.
EnergyPro 5.1 by EnergySoft User Number: 6397 RunCode: 2013-10-16712:19:47 ID:0371001 Page17of21
MECHANICAL VENTILATION AND REHEAT MECH-3C
Project Name
Florence Perspective, Inc.
Date
10/16/2013
MECHANICAL VENTILATION (§121(b)2) REHEAT LIMITATION (§144(d))
AREA BASIS OCCUPANCY BASIS VAV MINIMUM
A B C D E F G H 1 J K L M N
Zone/System
Condition
Area
(ft')
CFM
per
ft'
Min CFM
By Area
BXC
Number
Of
People
CFM
per
Person
Min CFM
by
Occupant
EXF
REQ'D
V.A.
Max of
DorG
Design
Ventilation
Air
CFM
50% of
Design Zone
Supply
CFM
BX0.4
CFM / ft'
Max. of
Columns
H, J, K,
300 CFM
Design
Minimum
Air
Setpoint
Transfer
Air
Open Area 101 3,553 0.15 533 36.7 15.0 550 550 550
Conference 102 262 0.50 131 10.0 15.0 150 ^50 150
Break / Restroom 516 0.15 77 5.3 15.0 80 80 80
HP-1, 3, 4 Total 780 780
Lobby 250 0.15 38 3.3 15.0 50 50 50
Office 103,104,105,106 498 0.15 75 5.0 15.0 75 75 75
HP-2 Total 125 125
Open Area 101A - Light Fixture 2,540 0.25 635 43.3 15.0 650 650 650
Lobby 100A 170 0.15 26 2.0 15.0 30 30 30
Conference 102A 128 0.50 64 5.0 15.0 75 75 75
Offices 103A,104A 186 0.15 28 2.0 15.0 30 30 30
Break / Restroom 195 0.15 29 2.0 15.0 30 30 30
HP-5, 6, 7, 8 Total 815 815
Totals Column 1 Total Design Ventilation Air
C Minimum ventilation rate per Section §121, Table 121-A.
E Based on fixed seat or the greater of the expected number of occupants and 50% of the CBC occupant load for egress purposes for spaces without fixed seating.
H Required Ventilation Air (REQ'D V.A.) is the larger of the ventilation rates calculated on an AREA BASIS or OCCUPANCY BASIS (Column D or G).
1 Must be greater than or equal to H, or use Transfer Air (column N) to make up the difference.
J Desiqn fan supply CFM (Fan CFM) x 50%; or the desiqn zone outdoor airflow rate per §121.
K Condition area (ft^) x 0.4 CFM / ft^; or
L Maximum of Columns H, J, K, or 300 CFM
M This must be less than or equal to Column L and greater than or equal to the sum of Columns H plus N.
N Transfer Air must be provided where the Required Ventilation Air (Column H) is greater than the Design Minimum Air (Column M). Where required, transfer air must be greater than or
equal to the difference between the Required Ventilation Air (Column H) and the Desiqn Minimum Air (Column M), Column H minus M.
EnergyPro 5.1 by EnergySoft User Number: 6397 RunCode: 2013-10-16712:19:47 ID: 03710 01 Page 18 of 21
MECHANICAL EQUIPMENT DETAILS (Part 1 of 2) MECH-5C
Project Name
Florence Perspective, Inc.
Date
10/16/2013
CHILLER AND TOWER SUMMARY
PUMPS
Equipment Name Type Qty. Efficiency Tons Qty. GPM BHP
Pump
Control
DHW / BOILER SUMMARY
System Name Type Distribution Qty Rated Input
Vol.
(Gals).
Energy Factor
or RE
Standby Loss
or Pilot
Tank Ext.
R-Value Status
MULTI-FAMILY CENTRAL WATER HEATING DETAILS
Hot Water Pump Hot Water PIpinq Length (ft)
Control Qty. HP Type In Plenum Outside Buried Add V2" Insulation
•
•
•
CENTRAL SYSTEM RATINGS
HEATING COOLING
System Name Type Qty. Output Aux. kW Efficiency Output Efficiency Status
Florence 38SYG048/FV4BNB006 SpW DX 8 28,200 0.0 8.20 HSPF 45,500 14.2 SEER/11.6 EER New
CENTRAL SYSTEM FAN SUMMARY
SUPPLY FAN RETURN FAN
System Name Fan Type Economizer Type CFM BHP CFM BHP
Florence 38SYG048/FV4BNB006 Constant Volume No Economizer 1,750 0.75 none
EnergyPro 5.1 by EnergySoft User Number: 6397 RunCode: 2013-10-16712:19:47 ID: 03710 01 Page 19 of 21
ENVELOPE MANDATORY MEASURES: NONRESIDENTIAL ENV-MM
Project Name
Florence Perspective, Inc.
Date
10/16/2013
DESCRIPTION
Building Envelope Measures:
§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.
§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.
§118(f): The opaque portions of framed demising walls in nonresidential buildings shall have insulation with an installed R-value
of no less than R-13 between framing members.
§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.
§116(a) 1:
Manufactured fenestration products and exterior doors shall have air infiltration rates not exceeding 0.3 cfm/ft.^ of
window area, 0.3 cfm/ft.^ of door area for residential doors, 0.3 cfm/ft.^ of door area for nonresidential single doors
(swinging and sliding), and 1.0 cfm/ft.^for nonresidential double doors (swinging).
§116(a) 2: Fenestration U-factor shall be rated in accordance with NFRC 100, or the applicable default U-factor.
§116(a) 3: Fenestration SHGC shall be rated in accordance with NFRC 200, or NFRC 100 for site-built fenestration, or the
applicable default SHGC.
§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).
EnergyPro 5.1 bv EnergySoft User Number: 6397 RunCode: 2013-10-16712:19:47 ID: 037 10 01 Page 20 of 21
MECHANICAL MANDATORY MEASURES: NONRESIDENTIAL MECH-MM
Project Name
Florence Perspective, Inc.
Date
10/16/2013
Equipment and System Efficiencies
§111: Any appliance for which there is a California standard established in the Appliance Efficiency Regulations will comply
with the applicable standard.
§115(a): Fan type central furnaces shall not have a pilot light.
§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.
§124: Air handling duct systems shall be installed and insulated in compliance with Sections 601, 602, 603, 604, and 605 of
the CMC Standards.
Controls
§ 122(e); Each space conditioning system shall be installed with one of the following:
IA. Each space conditioning system serving building types such as offices and manufacturing facilities (and all others not
explicitly exempt from the requirements of 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 and have 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
1B. An occupancy sensor to control the operating period of the system; or
10. A 4-hour timer that can be manually operated to control the operating period of the system.
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.
§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, such 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.
§122(c): Thermostats shall have numeric setpoints in degrees Fahrenheit (F) and adjustable setpoint stops accessible only to
authorized personnel.
§ 122(b): Heat pumps shall be installed with controls to prevent electric resistance supplementary heater operation when the
heating load can be met by the heat pump alone
§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 and cooling is shut off or
reduced to a minimum.
Ventilation
§121(6): Controls shall be provided to allow outside air dampers or devices to be operated at the ventilation rates as specified
on these plans.
§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.
§121 (f);
Ventilation System Acceptance. Before an occupancy permit is granted for a newly constructed building or space, or a
new ventilating system serving a building or space is operated for normal use, all ventilation systems serving the
building or space shall be certified as meeting the Acceptance Requirements for Code Compliance
Service Water IHeating Systems
§113(C) Installation
3. Temperature controls for public lavatories. The controls shall limit the outlet Temperature to 110° F.
2. Circulating service water-heating systems shall have a control capable of automatically turning off the circulating pump
when hot water is not required.
EnergyPro 5.1 by EnergySoft User Number: 6397 RunCode: 2013-10-16712:19:47 ID: 037 10 01 Page 21 of 21
SAN DIEGO REGIONAL
HAZARDOUS MATERIALS QUESTIONNAIRE
OFFICE USE ONLY
UPFP#
HV#
BP DATE /
Business Name Business Contact Telephone #
i L_ Project Address
Mailing Address City
State Zip Code
ZiD Code I State Zip Code
APN#
Plan File*
Project Contact Telephone* „ ,
Hfic projei The following questions represent ttte facility's activities, NOT the specific project description.
PART i: FIRE DEPARTMENT - HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: Indicate by circling the item, whether your business
will use, process, or store any of the following hazardous materials. If any of the items are circled, applicant must contact the Fire Protection Agency with
jurisdiction prior to plan submittal. Facility's Square Footage (including proposed project): Occupancy Rating:
1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives
2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards
3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These.
4. Flammable Solids 8. Unstable Reactives 12. Radioactives
PART il: SAN DIEGO COUNTY DEPARTiWENT OF ENVIRONMENTAL HEALTH - HAZARDOUS MATERIALS DIVISIONS (HMDl: If the answer to anv of the
questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overiand Ave., Suite 110, San Diego, CA 92123.
Call (858) 505-6700 prior to the issuance of a building permit.
FEES ARE REQUIRED. Project Completion Date: / / Expected Date of Occupancy: / /
Date Initials
• CalARP Required
/
Date Initials
YES NO (for new construction or remodeling projects)
1. • Is your business listed on the reverse side of this form? (check all that apply).
2. • ^ Will your business dispose of Hazardous Substances or Medical Waste in any amount?
3. • J5 yo'J'' business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds
200 cubic feet, or carcinogens/reproductive toxins in any quantity?
4. • 1^ Will your business use an existing or install an underground storage tank?
5. • B Will your business store or handle Regulated Substances (CalARP)?
6. • ^ Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)?
7. • p Will your business store petroleum in tanks or containers at your facility with a total storage capacity equal to
or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act).
PART iii: SAN DiEGO COUNTY AIR POLLUTION CONTROL DISTRICT: If the answer to any of the questions below is yes, applicant must contact the Air
Pollution Control District (APCD), 10124 Old Grove Road, San Diego, CA 92131-1649, telephone (858) 586-2600 prior to the issuance of a building or demolition
permit. Note: if the answer to questions 4 or 5 is yes, applicant must also submit an asbestos notification form to the APCD at least 10 working days prior to
commencing demolition or renovation, except demolition or renovation of residential structures of four units or less. Contact the APCD for more information.
• CalARP Exempt
/
• CalARP Complete
/ Date Initials
2.
3.
4.
5.
YES
•
•
•
•
NO
• Will the subject facility or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the
APCD factsheet at http://www.sdapcd.orq/info/facts/permits.pdf, and the list of typical equipment requiring an APCD permit on the reverse side
of this from. Contact APCD if you have any questions).
(ANSWER ONLY IF QUESTION 1 IS YES) Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)?
(Search the California School Directory at http://www.cde.ca.qov/re/sd/ for public and private schools or contact the appropriate school district).
Has a survey been performed to determine the presence of Asbestos Containing Materials?
Will there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos?
Will there be demolition involving the removal of a load supporting structural member?
Briefly describe business activities: Briefly describe proposed project:
I declare under penalty of perjury that to the best of my knowledge ani
Name of Owner or Authorized Agent
made herein are true and correct.
gnature dVOwner or Authorized Agent
7 / /5 iz^i^
Date
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:.
BY:
FOR OFFICIAL USE ONLY:
DATE:
EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY-HMD* APCD COUNTY-HMD APCD COUNTY-HMD APCD
*A stamp in this box oniv exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply.
HM-9171 (02/11) County of San Diego - DEH - Hazardous Materials Division
LIST OF BUSINESSES WHICH REQUIRE REVIEW AND APPROVAL FROM THE COUNTY OF SAN DIEGO
DEPARTMENT OF ENVIRONMENTAL HEALTH - HAZARDOUS MATERIALS DIVISION
Check all that apply:
AUTOMOTIVE
• Battery Manufacturing/Recycling
• Boat Yard
• Car Wash
• Dealership Maintenance/Painting
• Machine Shop
• Painting
• Radiator Shop
• Rental Yard Equipment
• Repair/Preventive Maintenance
• Spray Booth
• Transportation Services
• Wrecking/Recycling
CHEMICAL HANDLING
• Agricultural supplier/distributor
• Chemical Manufacturer
• Chemical Supplier/Distributor
• Coatings/Adhesive
• Compressed Gas Supplier/Distributor
• Dry Cleaning
• Fiberglass/Resin Application
• Gas Station
• Industrial Laundry
O Laboratory
• Laboratory Supplier/Distributor
• Oil and Fuel Bulk Supply
• Pesticide Operator/Distributor
CHEMICAL HANDLING
• Photographic Processing
• Pool Supplies/Maintenance
• Printing/Blue Printing
• Road Coatings
• Swimming Pool
• Toxic Gas Handler
• Toxic Gas Manufacturer
METAL WORKING
• Anodizing
• Chemical Milling/Etching
• Finish-Coating/Painting
• Flame Spraying
• Foundry
• Machine Shop-Drilling/Lathes/Mills
• Metal Plating
• Metal Prepping/Chemical Coating
• Precious Metal Recovery
• Sand Blasting/Grinding
• Steel Fabricator
• Wrought Iron Manufacturing
AEROSPACE
• Aerospace Industry
• Aircraft Maintenance
• Aircraft Manufacturing
OTHERS AND MISCELLANEOUS
O Asphalt Plant
• Biotechnology/Research
• Chiropractic Office
• Co-Generation Plant
• Dental Clinic/Office
• Dialysis Center
• Emergency Generator
• Frozen Food Processing Facility
• Hazardous Waste Hauler
• Hospital/Convalescent Home
• Laboratory/Biological Lab
• Medical Clinic/Office
• Nitrous Oxide (NOx) Control System
• Pharmaceuticals
• Public Utility
• Refrigeration System
• Rock Quarry
• Ship Repair/Construction
• Telecommunications Cell Site
• Veterinary Clinic/Hospital
• Wood/Furniture Manufacturing/Refinlshing
ELECTRONICS
• Electronic Assembly/Sub-Assembly
• Electronic Components Manufacturing
• Printed Circuit Board Manufacturing
NOTE: THE ABOVE LIST INCLUDES BUSINESSES, WHICH TYPICALLY USE, STORE, HANDLE, AND DISPOSE OF HAZARDOUS SUBSTANCES.
ANY BUSINESS NOT INCLUDED ON THIS LIST, WHICH HANDLES, USES OR DISPOSES OF HAZARDOUS SUBSTANCES MAY STILL REQUIRE
HAZARDOUS MATERIALS DIVISION (HMD) REVIEW OF BUSINESS PLANS. FOR MORE INFORMATION CALL (858) 505-6880.
LIST OF AIR POLLUTION CONTROL DISTRICT PERMIT CATEGORIES
Businesses, which include any of the following operations or equipment, will require clearance from the Air Pollution Control District.
CHEMICAL COIUBUSTION ROCK AND MINERAL
47 - Organic Gas Sterilizers 34 - Piston Internal - Combustion Engines 04 - Hot Asphalt Batch Plants
32 - Acid Chemical Milling 13 - Boilers & Heaters (1 million BTU/hr or larger) 05 - Rock Drills
33 - Can & Coil Manufacturing 14 - Incinerators & Crematories 06 - Screening Operations
44 - Evaporators, Dryers & Stills Processing 15 - Burn Out Ovens 07 - Sand Rock & Aggregate Plants
Organic Materials 16 - Core Ovens 08 - Concrete Batch, CTB, Concrete Mixers, Mixers
24 - Dry Chemical Mixing & Detergent Spray 20 - Gas Turbines, and Turbine Test Cells & Stands & Silos
Towers 48 - Landfill and/or Digester Gas Flares 10 - Brick Manufacturing
35 - Bulk Dry Chemicals Storage
55 - Chrome Electroplating Tanks ELECTRONICS OTHER
29-
42-
Automated Soldering
Electronic Component Mfg COATINGS & ORGANIC SOLVENTS
27 - Coating & Painting
37 - Plasma Arc & Ceramic Deposition Spray
Booths
38 - Paint, Stain & Ink Mfg
27 - Printing
27 - Polyester Resin/Fiberglass Operations
METALS
18 - Metal Melting Devices
19-011 Quenching & Salt Baths
32 - Hot Dip Galvanizing
39 - Precious Metals Refining
ORGANIC COMPOUND MARKETING
(GASOLINE. ETC)
25 - Gasoline & Alcohol Bulk Plants & Terminals
25 - Intermediate Refuelers
26 - Gasoline & Alcohol Fuel Dispensing
NOTE: OTHER EQUIPMENT NOT LISTED HERE THAT IS CAPABLE OF EMITTING AIR CONTAMINANTS MAY REQUIRE AN AIR POLLUTION
CONTROL DISTRICT PERMIT. IF THERE ARE ANY QUESTIONS, CONTACT THE AIR POLLUTION CONTROL DISTRICT AT (858) 586-2600.
FOOD
12 - Fish Canneries
12 - Smoke Houses
50 - Coffee Roasters
35 - Bulk Flour & Powered Sugar Storage
SOLVENT USE
28 - Vapor & Cold Degreasing
30 - Solvent & Extract Driers
31 - Dry Cleaning
01 - Abrasive Blasting Equipment
03 - Asphalt Roofing Kettles & Tankers
46 - Reverse Osmosis Membrane Mfg
51 - Aqueous Waste Neutralization
11 - Tire Buffers
17 - Brake Debonders
23 - Bulk Grain & Dry Chemical Transfer & Storage
45 - Rubber Mixers
21 - Waste Disposal & Reclamation Units
36 - Grinding Booths & Rooms
40 - Asphalt Pavement Heaters
43 - Ceramic Slip Casting
41 - Perlite Processing
40 - Cooling Towers - Registration Only
91 - Fumigation Operations
56 - WWTP (1 million gal/day or larger) & Pump
Station
HM-9171 (02/11) County of San Diego - DEH - Hazardous Materials Division
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
/y ^ .-5 SCREENING SURVEY
Business Name
Street Address 'Z?^^ (pArTBuf/H ^f4/^/g/f^
Email Address
PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) ^
Check all below that are present at your facility:
Acid Cleaning
Assembly
Automotive Repair
Battery Manufacturing
Biofuel Manufacturing
Biotech Laboratory
Bulk Chemical Storage
Car Wash
Chemical Manufacturing
Chemical Purification
Dry Cleaning
Electrical Component
Manufacturing
Fertilizer Manufacturing
Film / X-ray Processing
Food Processing
Glass Manufacturing
Industrial Laundry
Ink Manufacturing
Laboratory
Machining / Milling
Manufacturing
Membrane Manufacturing
(i.e. water filter membranes)
Metal Casting / Forming
Metal Fabrication
Metal Finishing
Electroplating
Electroless plating
Anodizing
Coating (i.e. phosphating)
Chemical Etching / Milling
Printed Circuit Board
Manufacturing
Metal Powders Forming
Nutritional Supplement/
Vitamin Manufacturing
Painting / Finishing
Paint Manufacturing
Personal Care Products
Manufacturing
Pesticide Manufacturing /
Packaging
Pharmaceutical Manufacturing
(including precursors)
Porcelain Enameling
Power Generation
Print Shop
Research and Development
Rubber Manufacturing
Semiconductor Manufacturing
Soap / Detergent Manufacturing
Waste Treatment / Storage
SIC Code(s) (if known):.
Brief description of business activities (Production / Manufacturing Operations):,
Description of operations generating wastewater (discharged to sewer, hauled or evaporated):
Estimated volume of industrial wastewater to be discharged (gal/day):
List hazardous wastes generated (type/volume):
Date operation began/or will begin at this location:
Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority?
Yes No If yes, when:
Site (Contact, &gAU^H/t^P Title Ag^/fg^r
Signature VyJ/^ Pv-—P
ENCINA WASTEWATER AUTHOi^lTY,
Phone No. W 7^7-^6^^^
6200 Avenida Encinas Carlsbad, CA 92011 (760)438-3941
FAX: (760)476-9852
DISCHARGE PERMIT EXEMPT LIST
The commercial enterprises listed below are a partial listing of businesses that are exempt
from industrial wastewater discharge permitting under normal operating conditions. They
are exempt because (a) they discharge no process Wastewater (i.e., they only discharge
sanitary wastewater with no pollutants exceeding any local limits), and (b) they have no
potential to negatively impact the EWPCF or other wastewater treatment plants in the
ESS. Any questions regarding exemptions should be referred to EWA Source Control
staff.
Automobile Detailers
Barber/Beauty Shops
Business/Sales Offices
Carpet/Upholstery Cleaning Services
Childcare Facilities
Churches
Community Centers
Consulting Services
Contractors
Counseling Services
Educational Services (no auto repair/film developing)
Financial Institutions/Services
Fitness Centers
Gas Stations (no car wash/auto repair)
Grocery Stores (no film developing)
Home-based Businesses
Hotels/Motels (no laundry)
Laundromats
Libraries
Medical Offices (no x-ray developing)
Mortuaries
Museums
Nail Salons
Nursing Homes
Office Buildings (no process flow)
Optical Services
Pest Control Services (no pesticide repackaging for sale)
Pet Boarding/Grooming Facilities
Postal Services
Public Storage Facilities
Restaurants/Bars
Retail/Wholesale Stores (no auto repair/film developing)
Theaters (Movie/Live)
^ PLUMBING, Development Services
<j(*I ELECTRICAL, Building Division
CITY OF MECHANICAL leSS Faraday Avenue
r^Ani CD Arv WORKSHEET 750-502-2719
L.AKL0DAU B-18 WWW carlsbadca gov
Project Address: Permit No.:
Information provided beiow refers to work being done on the above mentioned permit only.
This form must be completed and returned to the Building Division before the permit can be issued.
Building Dept. Fax: (760) 602-8558
Number of new or relocated fixtures, traps, or floor drains ^
New building sewer line? Ves \ No
Number of new roof drains? O
Install/alter water line?.... ^
Number of new water heaters? ^
Number of new, relocated or replaced gas outlets? O
Number of new hose bibs? 0
Residential Permits:
New/expanded serv;ice: Number of new amps:
Minor Remodel only: Ves No
Commercial/Industrial:
Tenant Improvement: Number of existing amps involved In this project:
Number of new amps Invohedin this project:
New Construction: Amps per Panel:
Single Phase Number of new amperes
Three Phase Number of new amperes ^2^^ A>t*l^
Three Phase 480 Number of new amperes
Number of new furnaces, A/C, or heat pumps? B>
New or relocated duct worb? Ves No
Number of new fireplaces? ^
Number of new exhaust fans? ^ -2^
Relocate/install vent?
Number of new exhaust hoods?
Number of new boilers or compressors? Number of HP
B-18 Page 1 of 1 Rev. 03/09
PLUMBING, Development Services
ELECTRICAL, Building Division
CITY OF
CARLSBAD
MECHANICAL 1635 Faraday Avenue CITY OF
CARLSBAD WORKSHEET
B-18
760-602-2719
www.carlsbadca.gov
Project Address: Permit No.:
information provided below refers to work being done on the above mentioned permit only.
This form must be completed and returned to the Buildinq Division before the permit can be issued.
Building Dept. Fox: (760) 602-8558
Number of new or relocated fixtures, traps, or floor drains MJi
New building sewer line? Ves ^ No
Number of new roof drains? —
Install/alter water line? I
Number of new water heaters? 3
Number of new, relocated or replaced gas outlets? Q
Number of new hose bibs? ^
Residential Permits:
New/expanded service: Number of new amps:
Minor Remodel on/y: Ves No
Commercial/industrial:
Tenant Improvement: Number of existing amps Involved in this proiedi:
Number of new amps involved in this project: ^
New Construction: Amps per Panel:
Single Phase Number of new amperes
Three Phase Number of new amperes ^jyO^ l^tlfW^
Three Phase 480 Number of new amperes
Number of new furnaces, A/C, or heat pumps? ^
New or relocated duct worb? Ves N/ No
Number of new fireplaces? ^
Number of new exhaust fans? I^S. ^
Relocate/install vent? C>
Number of new exhaust hoods?
Number of new boilers or compressors? Number of HP
B-18 Page 1 of 1 Rev. 03/09