The URL can be used to link to this page

Home My WebLink About2777 LOKER AVE W; A; CB151392; PermitCity of Carlsbad 06-18-2015 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB151392 Building Inspection Request Line (760) 602-2725 Job Address: 2777 LOKER AV WEST CBADSt:' A Permit Type: Tl Sub Type: INDUST Status: ISSUED Applied: 05/07/2015 Entered By: LSM Parcel No: 2090813000 Lot #: 0 Valuation: $16,375.00 Construction Type: 5B Occupancy Group: Reference# Plan Appr.oved: 06/18/2015 Issued: 06/18/2015 Inspect Area Plan Check #: Project Title: PROCESSING POINT-Tl TO INCLUD ADD NEW CLOSET & SHOWER ROOM W/JANITORS CLOSET//NEW KITCHENETTE ON 1ST FLR//NEW CLOSET ROOMS & SINGLE USER TOILET ROOM ON 2ND FLR//REPLACE NON COMPLIANT HANDRAIL/ GUARDRAIL@STAIRS 378 SF Applicant: TIMS,EAMAN PO BOX5955 CHULA VISTA CA 91912 619-993-8846 Building Permit Add'! Building Permit Fee Plan Check Add'! Building Permit Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee STD #3 Fee Renewal Fee Add'! Renewal Fee other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee Fire Expedidted Plan Review $175.93 $0.00 $123.15 $0.00 $0.00 $4.59 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 $0.00 Total Fees: $304.67 Total Payments To Date: Owner: S&S PROP ACQUISITION L LC 501 SPECTRUM CIR OXNARD CA 93030 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFO Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Master Drainage Fee Sewer Fee Redev Parking Fee Additional Fees HMP Fee Green Bldg Standards Plan Chk TOTAL PERMIT FEES $304.67 Balance Due: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ?? ?? $304.67 $0.00 Inspector: FINAL APPROVAL Date: 3'-~-1~ Clearance: ------ NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pemiit 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. • / THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING Ccizyof Carlsbad 0ENGINEERING OBUILDING OFIRE OHEALTH 0HAZMAT/APCD Plan Check No. Est. Value Plan Ck. Deposit Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Date 6)7 I SWPPP JOB ADDRESS &771 APN l'}o°\ -O \ -'?JD -06 CT/PROJECT# LOT# PHASE# #OF CONSTR. TYPE DESCRIPTION OF WORK: Include Sqpare Feet of Affected Area(s) ~~ ""'\ 'S-)Y~~ G\o~ f b~ ow~r v~uW J\it,W f \C\J~~~\},t. a~ ·1, *' Y\Dof \'\Vv ~ J f O ,.,\ "j. r OOV\-. o..,___ "d''N-.'.t-\ot,(, ~~\.(.~~~~ .:1-&- EXISTING USE (j~~ APPLICANT NAME Primary Contact , \. S ~'t'C' <z...(' ADDRESS ~ .-/ ,0 , !)l)';( 5 °'-:::> '::> GARAGE (SF) PAT! S (SF) DECKS (SF) AIR CONDITIONING NoD YEsONoD CITY Q f\O.,r(1 STAT~ -PHONE FAX EMAIL FIRE SPRINKLERS YESONoO DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ~ \t_ Cb 6 )-( \J\,<-,h VV"' . ~" ADDRESS ADDRESS ~-<'v,~ u~ ~"-".\;),c_ \U D SO\ CITY STATE ZIP CITY (\s ST E ZIP v~ <\ PHONE FAX PHONE .,. °'-'b\ -\ \ ~ 0 FAX 7 EMAIL EMAIL STATE LIC. # STA~45a--5 \ 'b CLAS~ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its i suance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). _ Workers' Compensation Declaration: I hereby affirm unrfer penalty of pe,ju,y one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ave and will maintain workers' compensation, as requi~ by Section 3700 of ~nee of e worj< for which this permit is issued. My workers' compensation ins a c rrr and policy number are: Insurance Co. 7 (o l)Q 00 I'\ \ 'S ~\~ \ • Policy No. e--.'flu\N,.. Expiration Date __ --'--\,_._._--'---"---- This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' mpensation coverage u lawful, 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, damages ovided for in Secti 0 of the Labor code, interest and attorney's fees. ( ( /" 25 CONTRACTOR SIGNATURE GENT DATE (o ( ~ \ ') I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D D D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section _____ ,Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I {have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person {firm) to provide the proposed construction (include name address/ phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work {include name/ address/ phone/ contractors' license number): 5. I will provide some of the work, but I have contracted {hired) the following persons to provide the work indicated {include name/ address I phone/ type of work): 25 PROPERTY OWNER SIGNATURE OAGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No Is the facility to be constructed 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. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address _,, ' I certifythatl have read the application and state that the above lnfoITT1ation is correct and that the infoITT1ation on the plans is accurate. I agree to complywith all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Cansbad to enterupon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHIG MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and dem lion or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Bu' Official under the PJP · · ns of this Code shall expire by !imitation and become null and void if the building or'M'.lrk authorized by such peITTlit is not rommenced within 180 days from the date of such peITTlit or if e ilding or 'M'.Jrk aut ooze by such permit is s ed or abandoned at any time after the 'M'.Jrk is rommenced for a period of 180 days ion 106.4.4 UnifoITTl Building Code). Ji$ APPLICANT'S SIGNATURE . . DATE / 7 / J STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY /Commercial Projects only) Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE ,. FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION -2$ APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB151392 Type: Tl Date Inspection Item ____ _ 08/03/2015 89 Final Combo 08/03/2015 89 Final Combo 07/31/2015 89 Final Combo 07/31/2015 89 Final Combo 07/29/2015 89 Final Combo 07/29/2015 89 Final Combo 07/07/2015 85 T-Bar 06/25/2015 21 Underground/Under Floor 06/25/2015 84 Rough Combo Monday, August 03, 2015 INDUST PROCESSING POINT-Tl TO INCLUD ADD NEW CLOSET & SHOWER ROOM W/ Inspector_ -~ct Comments PB AP RI RE-INSPECT FOR FINAL/COF PB NR RI COF PB PB PB PB NR RI AP AP AP COF Page 1 of 1 POOR QUALITY ORIGINAL S I r . f I t I . I ! , ,. i f" I· \ j _-': '• •, '--.~.: :A, '!,4 .... .::..-:..::_ EsGil Corporation In (J!artnersnip witn qovernment for (}3uifaing Safety DATE: 6/16/15 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 15-1392 SET: III PROJECT ADDRESS: 2777 Loker Ave West Suite A PROJECT NAME: Processing Point -TI Q APPLICANT Q JURIS. Q PLAN REVIEWER Q FILE C8J The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are res.olved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: ~ EsGil Corporation staff did not advise the applicant that the plan check has been completed. D EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone#: Date contacted: (by: ) Email: Mail Telephone Fax In Person D REMARKS: By: Doug Moody Enclosures: EsGil Corporation D GA D EJ D MB D PC 6/9/15 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 EsGil Corporation In <Partners nip witli. qovernment for (Bui(aing Safety DATE: 6/5/15 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 15-1392 SET: II PROJECT ADDRESS: 2777 Loker Ave West Suite A PROJECT NAME: Processing Point-TI D .faPPLICANT vE:(JURIS. D PLAN REVIEWER D FILE D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. D 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. D 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. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: EsGil Corporation staff did not advise the applicant that the plan check has been completed. EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Tim Seaman Telephone#: 619-993-8846 (by~ Email: walk124@aol.com Aate con)acted: Lo~ ,'.t,Mail \fl~leph~;J Fax D REMARK~'· By: Doug Moody EsGil Corporation In Person D GA D EJ D MB D PC Enclosures: 6/1/15 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 -·city of Carlsbad 15-1392 6/5/15 Please make all corrections on the original tracings, as requested in the correction list. Submit three sets of plans for commercial/industrial projects (two sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 1. Deliver all corrected sets of plans and calculations/reports 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. These corrections are in response to items not fully addressed or as the result of information provided, the text in bold print indicates the unresolved issue. 1. It is unclear from the plans if the restrooms servicing the tenant improvement are disabled accessible, please provide a dimensioned restroom plans showing the restroom to be accessible compliant. None of the restrooms shown are disabled accessible, please correct the plans. 2. Please correct the plans to show restroom 206 to be fully accessible. Section 11 B-213. There are no provisions in the California Building Code that allow a private restroom to not be disabled accessible. Correct the plans. 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. Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes, please briefly describe them and where they are located in the plans. Have changes been made to the plans not resulting from this correction list? Please indicate: Yes CJ No CJ The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Doug Moody at Esgil Corporation. Thank you. •' EsGil Corporation In Q?artnersfiip witli, government for <.Bui(aing Safety DATE: 5/19/15 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 15-1392 SET: I PROJECT ADDRESS: 2777 Loker Ave West Suite A PROJECT NAME: Processing Point -TI D ..,APP LI CANT fl JURIS. D PLAN REVIEWER D FILE D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. D 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. D 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. · D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: D 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: Tim Seaman Telephone#: 619-993-8846 £ate coyitacted :S ) l 4 ~ail J Telephone Fax D REMARKS: By: Doug Moody EsGil Corporation (by~ Email: walk124@aol.com In Person Enclosures: D GA D EJ D MB D PC 5/11/15 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 ,. ' City of Carlsbad 15-1392 5/19/15 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: 15-1392 OCCUPANCY: B/A2 TYPE OF CONSTRUCTION: VB ALLOWABLE FLOOR AREA: SPRINKLERS?: Yes REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 5/7/15 DATE INITIAL PLAN REVIEW COMPLETED: 5/19/15 FOREWORD (PLEASE READ): JURISDICTION: City of Carlsbad USE: Office ACTUAL AREA: 378 STORIES: 2 HEIGHT: OCCUPANT LOAD: 4 DATE PLANS RECEIVED BY ESGIL CORPORATION: 5/11/15 PLAN REVIEWER: Doug Moody 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 2013 CBC, which adopts the 2012 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 2012 International Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. t ( ' City of Carlsbad 15-1392 5/19/15 Please make all corrections on the original tracings, as requested in the correction list. Submit three sets of plans for commercial/industrial projects (two sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 1. Deliver all corrected sets of plans and calculations/reports 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. 1. Provide a note on the plan indicating the previous tenant of the space or building being remodeled. Section 107.2. Advisory Note : When alterations, structural repairs or additions are made to an existing building, that building, or portion of the building affected, is required to comply with all of the following requirements, per Section 11 B-202.4: • The area of specific alteration, repair or addition must comply as "new" construction. • A primary entrance to the building and the primary path of travel to the altered area, must be shown to comply with all accessibility features. • The path of travel shall include the existing parking. • Existing toilet and bathing facilities that serve the remodeled area must be shown to comply with all accessibility features. • Please address the following comments that are the result of the alterations. 2. It is unclear from the plans if the restrooms servicing the tenant improvement are disabled accessible, please provide a dimensioned restroom plans showing the restroom to be accessible compliant. 3. Please correct the plans to show restroom 206 to be fully accessible. Section 11B-213. 4. If showers are proposed, show or note compliance with the following requirements, per Section 11 B-608: a) Size and Clearance. Accessible showers shall comply with one of the following: ' ' · City of Carlsbad 15-1392 5/19/15 i) Roll-in shower 60 inches minimum in width between wall surfaces and 30 inches in depth with a full opening width on the long side. Shower compartment size and clear floor space shall comply with Figure 118-608.2.2. ii) Alternate roll-in shower 60 inches minimum in width between the wall surfaces and 36 inches in depth with an entrance opening width of 36 inches minimum. Shower compartment size and clear floor space shall comply with Figure 11 B-608.2.3. b) Threshold in roll-in type showers shall be½ inch in high maximum. c) Where within the same functional area, two or more accessible showers are provided, there shall be at least one shower constructed opposite hand from the other or others (i.e., one left-hand control versus right-hand control). Section 11 B-213.3.6. d) Water controls shall be of a single-lever design, operable with one hand, and shall not require grasping, pinching or twisting of the wrist. The controls shall be on the back wall, adjacent to the seat, and the center line of the controls shall be located 39" -41" above the shower floor. e) A flexible hand-held shower unit is required with at least a hose 59 inches long that can be both used as a fixed shower head and hand held. This unit shall be mounted such that the top of the mounting bracket is a maximum of 48 inches above the shower floor. f) Two wall-mounted heads may be installed in lieu of the hand-held unit in areas subject to excessive vandalism. (Except within guest room and suites of hotels, motels and similar transient lodging establishments) Each shower head shall be installed so that it can be operated independently of the other and shall have swivel angle adjustments both vertically and horizontally. One head shall be located at a height of 48 inches above the floor. g) The floor slope shall be a maximum of 1 :48 in any direction. Where drains are provided, the grate shall have openings¼ inch maximum and located flush with the floor surface. h) Indicate on the plans a folding seat, located on the wall adjacent to the controls, 18" above the floor and shall not extend more than 6 inches from the wall. i) Grab bars shall be located, per Section 608.3: i) On the back wall and the side wall opposite the seat. ii) Mounted ;?:33" but S36" above the shower floor. iii) Grab bars shall not extend into that portion of the wall over the seat. j) The soap dish when provided shall be located on the control wall S40" above the shower floor and within reach limits from the seat. C ' I ' City of Carlsbad 15-1392 5/19/15 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. Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes, please briefly describe them and where they are located in the plans. Have changes been made to the plans not resulting from this correction list? Please indicate: Yes D No D The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Doug Moody at Esgil Corporation. Thank you. 'City of Carlsbad 15-1392 5/19/15 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PREPARED BY: Doug Moody PLAN CHECK NO.: 15-1392 DATE: 5/19/15 BUILDING ADDRESS: 2777 Loker Ave West Suite A BUILDING OCCUPANCY: B/ A2 BUILDING AREA Valuation Reg. PORTION (Sq.Ft.) Multiplier Mod. Tl 378 43.32 Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ord Ina nee Bldg. Permit Fee by Ordinance ... Pian Oieck Fee by 0rdina nee ..,,. VALUE Type of Review: El Complete Review D Structural Only ORepetitive Fee ... Repeats Comments: D Other D Hourly EsGil Fee ($) 16,375 16,375 $176.68! $114.841 $98.941 Sheet 1 of 1 macvalue.doc + _,._ «1 ~ CITY OF CARLSBAD PLAN CHECK REVIEW TRANSMITTAL DATE:05-11-2015 PROJECT NAME: PROCESSING POINTT.I. PLAN CHECK NO: 1 VALUATION:$ SET#: 1 ADDRESS: 2777 LOKER AVE SUITEA Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov PROJECT ID: CB15-1392 APN: 209-081-30-00 This plan check review is complete and has been APPROVED by the ENGINEERING Division. By: CG 5/11/15 A Final Inspection by the Division is required Yes ,1 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: WALK124@AOL.COM 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 ENGIN·EERl'NG FIRE PREVENTl'ON· 760-602-4610 · 760-602-27!50 760-602-4665 . .. Chris Sexton I Chris Glassen Greg Ryan 760-602-4624 760-602-2784 760-602-4663 Chris.Sexton@carlsbadca.gov Christogher.Glassen@carlsbadca.gov Gregory.Ryan@carlsbadca.gov Gina Ruiz Linda Ontiveros Cindy Wong 760-602-4675 760-602-2773 760-602-4662 Gina.Ruiz@carlsbadca.gov Linda.Ontiveros@carlsbadca.gov Cynthia.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 C815-1392 Date: 05-11-2015 Project Address: 2777 LOKER AVE SUITE A Project Description: INTERIOR T.I. ENGINEERING Contact : CHRIS GLASSEN Phone: 760-602-2784 1~-~1 RESIDENTIAL INTERIOR 1=-::~i RESIDENTIAL ADDITION MINOR (<$20,000.00) '.:-_! CARLSBAD PREMIER OUTLETS I :OTHER: GYM APN: 209-081-30-00 Valuation: $ Email: Christopher.Glassen@carlsbadca.gov Fax: 760-602-1052 GllTENANTIMPROVEMENT :---, PLAZA CAMINO REAL __ J r7 COMPLETE OFFICE BUILDING r··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-··-.. , OFFICIAL USE ONLY ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT BY: CG 5/11/15 DATE:05-11-2015 REMARKS: NO ADDITIONAL ENGINEERING FEE Notification of Engineering APPROVAL has been sent to WALK124@AOL.COM via EMAIL on 05-11-2015 -··-··-··-··-·· ...... ··-··-··-··-··-··-··-··-··-··-··-··-··-· E-36 Page 1 of 1 REV 4/30/11 /4f~;:-.:_, ~,~·~// ~ CITY OF CARLSBAD PLANNING DIVISION BUILDING PLAN CHECK APPROVAL P-29 DATE: 5/7/15 PROJECT NAME: T.I. PROJECT ID: Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.1rnv PLAN CHECK NO: CB151392 SET_#: ADDRESS: 2777 LOKER AV W #A APN: lZ] This plan check review is complete and has been APPROVED by the PLANNING Division. By: GINA RUIZ A Final Inspection by the PLANNING Division is required D Yes [:gl 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. D 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 APPROVAL has been sent to: WALK124@AOL.COM For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING FIRE PREVENTION 760-602-4610 760-602-2750 760-602-4665 D Chris Sexton D Chris Glassen D Greg Ryan 760-602-4624 760-602-2784 760-602-4663 Chris.Sexton@carlsbadca.gov Christogher.Glassen@carlsbadca.gov Gregory.Ryan@carlsbadca.gov D Gina Ruiz D ValRay Marshall D Cindy Wong 760-602-4675 760-602-2741 760-602-4662 Gina.Ruiz@carlsbadca.gov ValRay.Marshall@carlsbadca.gov Cynthia.Wong@carlsbadca.gov D D Linda Ontiveros D Dominic Fieri 760-602-2773 760-602-4664 Linda.Ontiveros@carlsbadca.gov Dominic.Fieri@carlsbadca.gov Remarks: «1~ ~ CITY OF CARLSBAD DATE: 05/20/2015 PLAN CHECK NO: SET#: 1 /1 PLAN CHECK REVIEW TRANSMITTAL PROJECT NAME: PROCESSING POINT ADDRESS: 2777 LOKER AV W BUILDING p II Com~Qf l'economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov PROJECTID:CB151392 APN: 209-081-30-00 1ZJ This plan check review is complete and has been APPROVED by the FIRE Division. By:GR A Final Inspection by the FIRE Division is required [ZJ Yes D No D 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: T. Seaman 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 ENGINEERING FlffE PREVENTION 760-602-4610 760-602-2750 760-602-4665 D Chris Sexton D Kathleen Lawrence [Z] Greg Ryan 760-602-4624 760-602-27 41 760-602-4663 Chris.Sexton@carlsbadca.gov Kathleen.Lawrence@carlsbadca.gov Gregory.Ryan@carlsbadca.gov D Gina Ruiz D Linda Ontiveros D Cindy Wong 760-602-4675 760-602-2773 760-602-4662 Gina.Ruiz@carlsbadca.gov Linda.Ontiveros@carlsbadca.gov Cynthia.Wong@carlsbadca.gov D D D Dominic Fieri 760-602-4664 Dominic.Fieri@carlsbadca.gov , ' n . .. Carlsbad Fire Department , Plan Review Date of Report: Name: Address: Permit#: Job Name: Job Address: Requirements Category: Tl , INDUST 05-20-2015 TIM SEAMAN PO BOX 5955 CHULA VISTA CA 91912 CB151392 PROCESSING POINT-Tl TO INCLUD 2777 LOKER AV WEST CBAD St: A Please review carefully all comments attached. Conditions: CITY OF CARLSBAD FIRE DEPARTMENT-APPROVED: BUILD1MG D'EP .. r.. COPY Reviewed by: f ;(}al( 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: 05/20/2015 By: GR Action: AP STATE OF CALIFORNIA LIGHTING CONTROL ACCEPTANCE DOCUMENT CEC-NRCA-LTl-02-A Revised 05/15 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE Lighting Control Acceptance Document Note: For more than 3 spaces attach additional sets of pages 2 through 5, as required. Enforcement Agency: City: Enforcement Agency Use: Checked by/Date Automatic Shut-off Controls: Automatic Time Switch Control and Occupant Sensor NRCA-LTl-02-A (Page 1 of 5) Intent: I Lights are turned off or set to a lower level when not needed per Section 110.9(a) & 130.l(c). Guidance This acceptance test form must be filled out for all newly-installed lighting control systems of the following types: I. Automatic Time Switch Controls II. Occupancy Sensors Ill. Partial-OFF occupancy sensors IV. Partial-ON occupancy sensors (only if used to claim a Power Adjustment Factor) V. Occupancy Sensors serving small zones in large open plan offices (only if used to claim a Power Adjustment Factor) For automatic daylighting controls use acceptance test form NRCA-LTl-03-A; for demand responsive lighting controls, use acceptance test form NRCA-LTl-04-A. The tests on this certificate are required by Section 140.6(a)2 and 130.4(a) of the Building Energy Efficiency Standards 2013. The tests themselves are described in Sections 140.6(a)2 and in Reference Appendix NA7.6. A. Construction Inspection Fill out Section A to cover spaces 1 through 3 that are functionally tested under Section B. Make as many copies of pages 2-5 as are required to test all spaces in the building, and attach to page 1. Instruments needed to perform tests include, but are not limited to: hand-held amperage meter, power meter, or light meter 01 Automatic Time Switch Controls Construction Inspection-confirm for all listed in Section B a. All automatic time switch controls are programmed for (check all): D Weekdays D Weekend D Holidays b. Document for the owner automatic time switch programming (check all): D Weekdays settings D Weekend settings D Holidays settings D Set-up settings D Preference program setting D Verify the correct time and date is properly set in the time switch D Verify the battery is installed and energized D Override time limit is no more than 2 hours Occupant Sensors and Automatic Time Switch Controls have been certified to the Energy Commission in D accordance with the applicable provision in Section 110.9 of the Standards, and model numbers for all such controls are listed on the Commission database as Certified Appliance and Control Devices 02 Occupancy Sensor Construction Inspection-confirm for all listed in Section B 1i Occupancy sensors are not located within four feet of any HVAC diffuser ~ Ultrasonic occupancy sensors do not emit audible sound 5 feet from source . CA Building Energy Efficiency Standards -2013 Nonresidential Compliance May 2015 STATE OF CALIFORNIA LIGHTING CONTROL ACCEPTANCE DOCUMENT CEC-NRCA-L Tl-02-A Revised 05/15 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-LTl-02-A Lighting Control Acceptance Document (Page 2 of 5) Project Name: Enforcement Agency: Project Address:']_ m l---0 City: B. Functional Testing of Lighting Controls Representative Spaces Selected For every space in the building, conduct functional tests I through V below if applicable. If there are several geometrically similar spaces that use the same lighting controls, test only one space and list in the cells below which "untested spaces" are represented by that tested space. EXCEPTION: For buildings with up to seven (7) occupancy sensors, all occupancy sensors shall be tested. (NA7.6.2.3) f Tested space/ room name: (Df Space Type (office, corridor, etc) $!QflkG1? 01 Untested areas/rooms Tested space/ room name: tpeo Space Type (office, corridor, etc) um-r.ZiJol1 f 02 Untested areas/rooms Tested space/ room name: 1o'f Space Type (office, corridor, etc) 'i1DMGf 1 03 Untested areas/rooms Functional Tests Tested Space Number Confirm compliance (Y/N) for all control system types (1-V) present in each space: 01. Automatic Time Switch Controls 1 2 3 Step 1: Simulate occupied condition a. All lights can be turned on and off by their respective area control switch Y/N Y/N Y/N b. Verify the switch only operates lighting in the ceiling-height partitioned area in which y /N Y/N Y/N the switch is located Step 2: Simulate unoccupied condition a. All lighting, including emergency and egress lighting, turns off. Exempt lighting may Y/N Y/N Y/N remain on per Section 130.1(c)1 and 130.l(a)l. Manual override switch allows only the lights in the selected ceiling height b. partitioned space where the override switch is located and remain on no longer than Y/N Y/N Y/N 2 hours (unless serving public areas and override switch is captive key type). Step 3: System returned to initial operating conditions Y/N Y/N Y/N 02. Occupancy Sensors 1 2 3 Step 1: Simulate an unoccupied condition a. Lights controlled by occupancy sensors turn off within a maximum of 30 minutes (v)N f)N 0/N from start of an unoccupied condition per Standard Section 110.9(b) b. The occupant sensor does not trigger a false "on" from movement in an area adjacent (9N (v)! N (}IN to the controlled space or from HVAC operation Step 2: Simulate an occupied condition -- a. Status indicator or annunciator operates correctly (Y}N (v}f N (Y}N Lights controlled by occupancy sensors turn on immediately upon an occupied --- b. condition OR sensor indicates space is "occupied" and lights may be turned on 0N 0N 0N manually -~ Step 3: System returned to initial operating conditions (Y}N /Y)N /Y)/N CA Building Energ Efficienc Standards -2013 Nonresidential Com Hance -l\ilay 2015 y y p STATE OF CALIFORNIA LIGHTING CONTROL ACCEPTANCE DOCUMENT CEC-NRCA-L Tl-02-A (Revised 05/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-LTl-02-A Lighting Control Acceptance Document (Page 2 of 5) Project Name: Enforcement Agency: Permit Number: Project Address: City: Zip Code: B. Functional Testing of Lighting Controls Representative Spaces Selected For every space in the building, conduct functional tests I through V below if applicable. If there are several geometrically similar spaces that use the same lighting controls, test only one space and list in the cells below which "untested spaces" are represented by that tested space. EXCEPTION: For buildings with up to seven (7) occupancy sensors, all occupancy sensors shall be tested. (NA7.6.2.3) of Tested space/ room name: ~k Space Type (office, corridor, etc)"{?~ 'f Untested areas/rooms - f of Tested space/ room name: :J-l) '7 Space Type (office, corridor, etc) CJ'f5(!A\{,r~ I Untested areas/rooms of, Tested space/ room name: 7\Yl'.fl}L-'RD'OY\U Space Type (office, corridor, etc) w,¼(t /f/f:YL\fet,_ 12mm )( I Untested areas/rooms Functional Tests Tested Space Number Confirm compliance (Y/N) for all control system types (1-V) present in each space: 01. Automatic Time Switch Controls k jj ~ Step 1: Simulate occupied condition , a. All lights can be turned on and off by their respective area control switch Y/N Y/N Y/N b. Verify the switch only operates lighting in the ceiling-height partitioned area in which Y/N Y/N Y/N the switch is located Step 2: Simulate unoccupied condition a. All lighting, including emergency and egress lighting, turns off. Exempt lighting may Y/N Y/N Y/N remain on per Section 130.l(c)l and 130.l(a)l. Manual override switch allows only the lights in the selected ceiling height b. partitioned space where the override switch is located and remain on no longer than Y/N Y/N Y/N 2 hours (unless serving public areas and override switch is captive key type). Step 3: System returned to initial operating conditions Y/N y /N Y/N 02. Occupancy Sensors 1 2 3 Step 1: Simulate an unoccupied condition a. Lights controlled by occupancy sensors turn off within a maximum of 30 minutes (v)N 0N (yJN from start of an unoccupied condition per Standard Section 110.9(b) b. The occupant sensor does not trigger a false "on" from movement in an area adjacent (v)N {J)JN (vJN to the controlled space or from HVAC operation Step 2: Simulate an occupied condition ---"' - a. Status indicator or annunciator operates correctly (v}J N (Y)N {Yj!N -Lights controlled by occupancy sensors turn on immediately upon an occupied 0N (!}N (v)N b. condition OR sensor indicates space is "occupied" and lights may be turned on manually -- Step 3: System returned to initial operating conditions (Y)JN (y }N (Y}f N --CA Building Energy Efficiency Standards -2013 Nonresidential Compliance May 2015 STATE OF CALIFORNIA LIGHTING CONTROL ACCEPTANCE DOCUMENT CEC-NRCA-L Tl-02-A Revised 05/15 CALIFORNIA ENERGY COMMISSION • CERTIFICATE OF ACCEPTANCE NRCA-L Tl-02-A Lighting Control Acceptance Document (Page 3 of 5) Enforcement Agency: City: 03. Partial Off Occupancy Sensor 1 2 3 Step 1: Simulate an unoccupied condition a. Lights go to partial off state within a maximum of 30 minutes from start of an Y/N Y/N Y/N unoccupied condition per Standard Section 110.9(a) The occupant sensor does not trigger a false "on" from movement in an area adjacent b. to the controlled space or from HVAC operation. For library book stacks or warehouse Y/N Y/N y /N aisle, activity beyond the stack or aisle shall not activate the lighting in the aisle or stack. In the partial off state, lighting shall consume no more than 50% of installed lighting power, or: • No more than 60% of installed lighting power for metal halide or high c. pressure sodium lighting in warehouses. Y/N Y/N Y/N • No more than 60% of installed lighting power for corridors and stairwells in which the installed lighting power is 80 percent or less of the value allowed under the Area Category Method. Light level may be used as a proxy for lighting power when measurements are taken Step 2: Simulate an occupied condition a. The occupant sensing controls shall turn lights fully ON in each separately controlled Y/N Y/N Y/N areas, Immediately upon an occupied condition 04. Partial On Occupancy Sensors 1 2 3 Step 1. -Simulate an occupied condition. Verify partial on operation. a. Immediately upon an occupied condition, the first stage activates ~etween 30 to 70% Y/N Y/N Y/N of the lighting automatically. After the first stage occurs, manual switches allow an occupant to activate the b. alternate set of lights, activate 100% of the lighting power, and manually deactivate Y/N Y/N Y/N all of the lights. Step 2. Simulate an unoccupied condition a. Both stages (automatic on and manual on) lights turn off within a maximum of 30 Y/N Y/N Y/N minutes from start of an unoccupied condition per Standard Section 110.9(a) b. The occupant sensor does not trigger a false "on" from movement in an area adjacent Y/N Y/N Y/N to the controlled space or from HVAC operation CA Building Energy Efficiency Standards -2013 Nonresidential Compliance May2015 STATE OF CALIFORNIA LIGHTING CONTROL ACCEPTANCE DOCUMENT CEC-NRCA-LTl-02-A Revised 05/15 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-LTl-02-A Lighting Control Acceptance Document (Page 4 of 5) Project Name: Enforcement Agency: Project Address: 05. Additional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger 1 2 3 than 250 Square Feet, to Qualify for a Power Adjustment Factor (PAF) First, complete Functional Test 2 (above) for each controffed zone Step 1. Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test II. a. Area served by controlled lighting (square feet) b. Enter PAF corresponding to controlled area from line (a) above (<125sf for PAF=0.4, 126-250sf for PAF=0.3, 251-S00sf for PAF=0.2}. C. Enter PAF claimed for occupant sensor control in this space from the Certificate of Compliance d. The PAF corresponding to the controlled area (line b), is less than or equal to the PAF Y/N Y/N y /N claimed in the compliance documentation (line c) e. Sensors shall not trigger in response to movement in adjacent walkways or Y/N Y/N Y/N workspaces. f. All steps are conducted in Functional Test 2 "Occupancy Sensor (On Off Control)" and Y/N Y/N Y/N all answers are Yes (Y) C. Testing Results PASS/ PASS/ PASS/ FAIL FAIL FAIL I Automatic Time Switch Controls (all answers must be Y). II Occupancy Sensor (On Off Control) (all answers must be Y). 'P~ ~ v~~ Ill Partial Off Occupancy Sensor (all answers must be Y). For warehouses, library book ' stacks, corridors, stairwells in nonresidential buildings must also be accompanied by passing Test I or Test II. IV Partial On Occupant Sensor for PAF (all answers must be Y). V Occupant Sensor serving small zones for PAF (all answers must be Y). Also must pass Test II D. Evaluation ~ 1 PASS: All applicable Construction Inspection responses are complete and all applicable Equipment Testing Requirements / , responses are positive (Y -yes) I CA Building Energy Efficiency Standards -2013 Nonresidential Compliance May2015 .. ... J , .. STATE OF CALIFORNIA LIGHTING CONTROL ACCEPTANCE DOCUMENT CEC-NRCA-L Tl-02-A Revised 05/15 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-LTl-02-A Lighting Control Acceptance Document (Page 5 of 5) Enforcement Agency: City: U>b DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. Documentation Author Signature: Documentation Author Compan Date Signed: Address: 11.p 1/Y CEA/ATT Certification Identification (If applicable): City/State/Zip: ~ Phone: FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Field Technician Name: w {:;' Address: City/State/Zip: ~-'Ul? I RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. - 2. I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Acceptance Person Name. Responsible Acceptance Person Signature: Position with Company (Title): Address: CSLB License: City/State/Zip: CA Building Energy Efficiency Standards -2013 Nonresidential Compliance May2015 INDUSTRIAL WASTEWATER DISCHARGE PERMIT /\1 l \,< SCREENING SURVEY Date_:, __ \_ ('\ Business Name "< ( 0 e,t,S,S\ <) Q ,h -r--} Street Address a-, '11 ~ \J...A_(' Prve... S\/'-"k. I\ J 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 Ink Manufacturing Nutritional Supplement/ Assembly Laboratory Vitamin Manufacturing Automotive Repa'ir Machining / Milling Painting/ Finishing Battery Manufacturing Manufacturing Parnt Manufacturing Biofuel Manufacturing Membrane Manufacturing Personal Care Products Biotech Laboratory (i.e. water filter membranes) Manufacturing Bulk Chemical Storage Metal Casting I Forming Pesticide Manufacturing / Car Wash Metal Fabrication Packaging Chemical Manufacturing Metal Finishing Pharmaceutical Manufacturing Chemical Purification Electroplating (including precursors) Dry Cleaning Electroless plating Porcelain Enameling Electrical Component Anodizing Power Generation Manufacturing Coating (i.e. phosphating) Print Shop Fertilizer Manufacturing Chemical Etching/ Milling Research and Development Film / X-ray Processing Printed Circuit Board Rubber Manufacturing Food Processing Manufacturing Semiconductor Manufacturing Glass Manufacturing Metal Powders Forming Soap/ Detergent Manufacturing Industrial Laundry 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 "\,~ ~ Title ____________ _ Signature. ____________ Phone No. & \{2t _q Cz 3/ ~)14,0 ENCi NA WASTEWATER AUTHORITY, 6200 Avenida Encinas Carlsb~d, CA 92011 (760) 438-3941 FAX: (760) 476-9852 CB151392 2777 LOKERAVWEST A PROCESSING POINT-Tl TO INCLUD Ann I\IF=W r.1 nSF=T R. SHOWFR ROOM W/JANITORS :S/,)1s-TD p<--rn-J I e7l[y J r=-, 12-C / e~er, G #r 5!,1 I,,;- 570-0/,s 'P&,"---f;c~S ~<P-f-C,,, 6n Ur' S1+ee-TS A-. r -1--,1. ~~ ~ w/c..,+j :c ~ +o <Ss.3 , L, VI A Pf>P . , 6. C/· / r-7/1 r f M/2a.l) 7t:> f:s&}_ . u I// lf/1'· . {),ry @ re- ev-n-1s-RTI/tv v1·0.... ph0l1R:...., t&/1rlrs-IJ/o r(.) Final Inspection required by: D Plan OCM&I SW DISSUED Approved BUILDING I.. Pl.ANNING 5, ENGINEERING . - FIRE Expedite7 Y(Nj DIGITAL FILES Renuired7 y N HazMat APCD Health Forms/Fees Sent Encina Fire HazHealthAPCD tt/'1 Ji::, PE&M !> ,, / J:::, School Sewer Stormwater Special Inspection CFD: y N LandUse: Density: lmpArea: PFF: y N Comments Date D Building 5/(q/1r--lv/: Planning Engineering Fire Need? c.on~r1.vFV ··-ve-r,tw -i:/1 cv J/cJ,(...,~ ;'.:,Lt.o.s 11-'£' .,e;r