HomeMy WebLinkAbout2780 LOKER AVE W; ; CB961374; Permit., B U I L D I N G P E R M I T Pernn t No:
08/27/96 11:45
Page 1 of 1
Job Address: 2780 LOKER AV WEST
Permit Type: INDUSTRIAL TENANT
Parcel No: 209-100-16-00
Valuation: 53,638
Suite:
IMPROVEMENT
Lot#:
Occupancy Group: Reference#:
Description: 2063 SF WAREHOUSE TO OFFICE
619
Project No:
Development N1:i :
~"11;'-Y "-~ 1")0 !Qt tl[ IH 1\1 Con:::tt-1:"Ci't!.!'t-i'b-r-t ':i."!Jf:H2·1·!·
s t 1~ i:'t§'&r:
Applied:
Apr/Issue:
Enter,?d By:
436-7174
CB961374
A960i::J:::i!J
vJQ2
IS ;:,1J~£r ()j
07/:;0/96
Ol::i/27/96
MDP
11_MSP.
f.~EARANCE _____ _
CITY OF CARLSBAD
2075 Las 'Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPIJCATION PLAN CHECK NO. iCo i~ 7 ~
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
1 .. · PERMIT TIPE
FSf. VAL 5,S t C. $6
PLANCKDOOSIT' "2.,fl.,,Cl-0
VAUD. BY ___ ...:,..=~-----
From Llst 1 (see back) give code of Permit-Type: ___________ _ DATE'-----H-~'R-.o=------
For Residential Projects Only: From Llst 2 (see back) give 8819 07/30/96 0001 01 1)2
2B1n00
Code of Structure-Type: ____________________ _
Net Loss/Gain of Dwelling Units __________________ _
2. PRQJECf INFORMATION FOR OFFICE USE ONLY
Address 17 8 0 J-..o J:_ e,f2.._/}ue_1 we,1Jliil1dmr:a~U,} ~"ad I
I 11e.,_+e-.
mt o.
CHECK BEIDW IF sUBMTI'l'Eb:
D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope
A SESSO' P CE S
DESCRIPTION OF WORK~ 663 (,...> \..,\ ~
SQ. Ff. I # OF STORIES # OF BEDROOMS # OF BATIIROOMS
:{. WN IACI PERSON (If dmerenf from applicaRfJ
NAME (last.name first) l/vi,,nJ ~ '"f-4-1 Ko I::, etr'f""ADDRESS
Cl1Y 1--evc...aA .'t;.._., STATE C//J ZIP CODE
('4. ZIPCODE 0 I s-i:>AY TELEPHONE
NAME (last name first) ADDRESS
Cl1Y STATE ZIP CODE DAY TELEPHONE
S'fe./0/
ZIP CODE
Workers' Compensation Declaranon: I hereby affirm that I have a cernhcate of consent to self-msure issued by the Director of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY 5/-afe,.,, nd
SIGNATURE DATE
s. oWNER-BOnnmt OECLARATloN
Owner-Bmlder Declaration: I hereby athrm that I am exempt from the Contractor's License Law for the foliowmg reason:
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 Llcense 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.).
D 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 Llcense 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 Llcense Law).
D I am exempt under Section _______ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's Llcense Law (Chapter 9, commencing 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]).
SIGNATIJRE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
th I. DfuYES b "Id" JZ!l NO · d b . . f h . II . I d" . . 1· d' . ? Is e app 1cant or ture m mg occ~nt reqmre to o tam a permit rom t e air po uaon contro 1stnct or air qua 1ty management 1stnct
0 YES ~NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES (SbNO
1F ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE~ AFTER JULY I, 1989 UNLF.5S TIIE APPUCANT
HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TI-IE AIR POILUTION OONTR.OL DISTIUCT.
9. wNS'rROCl'ION LRNDING AGENCY
I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(!) G1VIl Code).
LENDER'S NAME LENDER'S ADDRESS
to. APPDCAN1 C£Rl1F1CAl10N
I certify that I have read the apphcat1on and state that the above mformauon 1s correct. I agree to comply with all City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I AISO AGREE ro SAVE INDEMNIFY AND KEEP HARMLESS TIIE CI1Y OF CARISBAD AGAINSf AIL UABIIITIES, JUDGMENTS, cosrs
AND EXPENSES WlllCH MAY IN ANY WAY ACCRUE AGAINSf SAID CI1Y IN OONSEQUENCE OF TIIE GRANTING OF TIIIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned a~y time after ork is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANT'S SIGNATURE ~ ~ DATE: ___ _
WHITE: File OW: Applicant PINK: Finance
08/27/96 11:47
J?age 1 of 1
S E W E R P E R M I T
Suite:
Perrnit N<:,: SE96010_;_
3ldg PlanCk#: CB961374
Job A,:"tdr,::ss: 2780 LOKER AV WEST
Permit TYP'=-: SEWER -OFFICE/WAREHOCTSE
Parcel No: 209-100-16-00
9353 {)B/28/96 0001 01 02
Description: 2063 SF WAREHOUSE TO OFFICE
Permitee: UNSWORTH, ROEERT
149 ,JASPER
LEUCADIA, CA. 93105
619 436-7174
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
C-·FRi~~T 13s~2 uOO
Status: ISSUED
Applied: 08/1J/96
Apr/I~sue: 08/27/96
Expired:
Prepared By: MAM
1336.00
5 6. 0 0 (_,
1392.00
...
.}.
PERMIT# CB961374
DESCRIPTION: 2063 SF
TYPE: ITI
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 12/04/96
WAREHOUSE TO OFFICE
STE:
INSPECTOR AREA TP
PLANCK# CB961374
OCC GRP
CONSTR. TYPE VN
LOT: JOB ADDRESS: 2780
APPLICANT: UNSWORTH,
CONTRACTOR:
OWNER:
REMARKS: MW
SPECIAL INSTRUCT:
LOKER AV WEST
ROBERT ~:=~c:~: 436~
---.,----------
TOTAL TIME:
--RELATED PERMITS--PERMIT#
AS940008
SE960101
AS960054
FAD96030
TYPE
ASTI swow
ASTI
FADD
STATUS
ISSUED
ISSUED
ISSUED
ISSUED
CD LVL DESCRIPTION ACT COMMENTS
19 ST Final Structural
Plumbing £ -------------29 PL Final
39 EL Final Electrical
49 ME Final Mechanical ±=---,-----
------------~--------------------------'---
--------------------
***** INSPECTION HISTORY*****
DATE
120296
112596
092796
092796
091996
090596
090496
083096
083096
DESCRIPTION
Final Combo
Final Combo
Frame/Steel/Bolting/Welding
Rough/Ducts/Dampers
Frame/Steel/Bolting/Welding
Interior Lath/Drywall
Interior Lath/Drywall
Frame/Steel/Bolting/Welding
Rough/Ducts/Dampers
ACT INSP
CO TP
CO TP
CO TP
CO TP
AP PY
AP TP
CO TP
AP TP
AP TP
COMMENTS
ND T-24 H.S. FORM COMPLETE
*T-24 ISSUES/FIRE SIGN OFF
T-BAR GRID
SUPPORTS FOR DUCTS
MTL DOOR ASMB & PNL CUT REINF
DOOR RELC 12"CLRN PUSH SIDE'
WALLS
EsGil Corporation
Professiona{ PCan !Rf-view 'F,ngineers
DATE: 8/26/96
JURISDICTION: Carlsbad
PLAN CHECK NO.: 96-1374
PROJECT ADDRESS: 2780 Loker Ave
PROJECT NAME: Leigh Aerosystems Office TI
SET: II
NT
0 FIRE
0 PLAN REVIEWER
D FILE
• 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 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.
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:
Date contacted: (by:
D REMARKS:
By: CHUCK MENDENHALL
Esgil Corporation
D GA D CM D EJ D GP D PC
) Telephone#:
Enclosures:
8/19/96 trnsmtl.dot
9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (619) 560-1468 + Fax (619) 560-1576
1
,.
EsGil Corporation
Professiona{ Pfan ~view 'Engineers
DATE: 8/9/96
JURISDICTION: Carlsbad
PLAN CHECK NO.: 96-1374
PROJECT ADDRESS: 2780 Loker Ave
PROJECT NAME: Leigh Aerosystems Office TI
SET:I
D~ANT
0~ D FIRE
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.
• The applicant's copy of the check list has been sent to:
Robert Unsworth
149 Jasper, Encinitas, CA 92024
• 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:
Date contacted: (by: ) Telephone #:
D REMARKS:
By: CHUCK MENDENHALL Enclosures:
Esgil Corporation
D GA D CM D EJ D GP D PC 8/1/96 trnsmtl.dot
9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (619) 560-1468 + Fax (619) 560-1576
Carlsbad 96-1374
8/9/96
PLAN REVIEW CORRECTION LIST
TENANT IMPROVEMENTS
PLAN CHECK NO.: 96-1374
OCCUPANCY: B
TYPE OF CONSTRUCTION: VN
ALLOWABLE FLOOR AREA:
SPRINKLERS?: yes
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION: 7/30/96
DATE INITIAL PLAN REVIEW
MENDENHALL
COMPLETED: 8/9/96
FOREWORD (PLEASE READ):
JURISDICTION: Carlsbad
USE: office
ACTUAL AREA: 2000 TI Only
STORIES:
HEIGHT:
OCCUPANT LOAD: 19·
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 8/1/96
PLAN REVIEWER: CHUCK
This plan review is limited to the technical requirements contained in the Uniform 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 build.ing permit.
Code sections cited are based on the 1994 UBC.
The following items listed need clarification, modification or change. All items must be satisfied
before the plans will be in conformance with the cited codes and regulations. Per Sec. 106.4.3,
1994 Uniform Building Code, the approval of the plans does not permit the violation of any
state, county or city law.
To speed up the recheck process, please note on this list (or a copy) where each
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.
,,
Carlsbad 96-1374
8/9/96
1. Submit two sets of revised plans for recheck to EsGil Corp.
2. Revise general note 1 on sheet 1.1 to indicate that the plans will comply with the
1993 edition of the NEC. The plans indicate the 1990 edition.
3. Show on section details 15/ 1.1 and 16/1.1 the required R-30 ceiling insulation.
4. Each sheet of the plans must be signed by the licensed architect assuming design
responsibility.
5. Submit two sets of structural calculations to show that the opening cut in the tilt-up
panel will comply with the code for both vertical and lateral stability.
6. The combined existing and new occupant loads require the two exits are provided
from the office areas. The two exits area shown as the existing Lobby exit and the
new corridor. These two exits must be joined by a corridor without passing through
the new open office area. This corridor need not be fire rated because of UBC
Section 1005. 7 Exe 8.
If you have any questions regarding the items listed above, please call Chuck
Mendenhall at 560-1468.
,.
Carlsbad 96-1374
8/9/96
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad PLAN CHECK NO.: 96-1374
PREPARED BY: CHUCK MENDENHALL
BUILDING ADDRESS: 2780 Loker Ave
DATE: 8/9/96
BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: VN
1 BUILDING PORTION BUILDING AREA VALUATION VALUE
(ft.2) MULTIPLIER ($)
Tl 2000 27 54000
Air Conditioning
Fire Sprinklers
TOTAL VALUE 54000
• 1991 UBC Building Permit Fee D Bldg. Permit Fee by ordinance: $ 432.50
• 1991 UBC Plan Check Fee D Plan Check Fee by ordinance: $ 281.13
Type of Review: • Complete Review D Structural Only D Hourly
D Repetitive Fee Applicable D Other:
Esgil Plan Review Fee: $ 224.90
Comments:
-----------
Fire Services Review: D Complete Review
D Other:
D Suppression System
D FireAlarm
Esgil Fire Services Review Fee: $
Comments:
Sheet 1 of 1
macvalue.doc 5196
City of Carlsbad
. •#hi·iht44Ahf·l•l4·SiJl,,f4,il
BUILDING PLANCHECK CHECKLIST
DATE:~-/ 3-q&:, . L _ , PLANCHECK NO.CB~61311-
BUILDING ADDRESS: J.J to X ~ ~ . u.~
PROJECT DESCRIPTION: yj; :;;i t)~ 3 ¢2,iJ~--t; ~ ~
ASSESSOR's PARCEL NUMBER: __________ EST. VALUE _____ _
ENGINEERING DEPARTMENT
APPROVAL
The item you have submitted for review has been
approved. The approval is based on plans, information
and/or specifications provided in your submittal;
therefore any changes to these items after this date,
including field modifications, must be reviewed by this
office to insure continued conformance with applicable
codes. Please review carefully all comments attached,
as failure to comply with instructions in this report can
result in suspension of permit to build.
D A Right-of-Way permit is required prior to
construction of the following improvements:
DENIAL
Please see the attached report of deficiencies marked
with D. Make necessary corrections to_ plans or
specifications for compliance with applicable codes and
standards. Submit corrected plans and/or specifications
to this office for review.
By: __________ Date: ___ _
By: __________ Date: ___ _
By: __________ Date: ___ _
ATTACHMENTS ENGINEERING DEPT. CONTACT PERSON
D Dedication Application
D Dedication Checklist
D Improvement Application
D Improvement Checklist
D Future Improvement Agreement
D Grading Permit Application
D Grading Submittal Checklist
D Right of Way Permit Application
D Right of Way Permit Submittal Checklist.
and Information Sheet
D Sewer Fee Information Sheet
NAM~-/LY~
City of Carlsbad
ADDRESS: 2075 Las Palmas Dr .• Carlsbad. CA 92009
PHONE: (619) 438-1161. Ext. 4-3 /.S
A-4
P:\DOCS\CHKLST\BPOOO1.FRM REY 04/30/96
2075 Las Palmas Dr.• Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-0894
BUILDING PLANCHECK CHECKLIST
SITE PLAN
~r2ndv' 3rdv'
41 D D 1. Provide a fully dimensioned site plan drawn to scale. Show:
efo D
D
D
A. North Arrow D. Property Lines Easements
B. Existing & Proposed Structures E. Easements
C. Existing Street Improvements F. Right-of-Way Width & Adjacent Streets
2. Show on site plan:
A. Drainage Patterns C. Existing Topography
B. Existing & Proposed Slopes
3. Include note: "Surface water to be directed away from the building foundation at a 2%
gradient for no less than 5' or 2/3 the distance to the property line (whichever is less)."
[Per 1985 USC 2907(d)5].
On graded sites, the top of any exterior foundation shall extend above the elevation
of the street gutter at point of discharge or the inlet of an approved drainage device
a minimum of 12 inches plus two percent" (per 1990 USC 2907(d)5.).
4. Include on title sheet
A. Site address
B. Assessor's Parcel Number
C. Legal Description
For commercial/industrial buildings and tenant improvement projects, include: Total
building square footage with the square footage for each different use, existing sewer
permits showing square footage of different uses (manufacturing, warehouse, office,
etc.) previously approved.
EXISTING PERMIT NUMBER DESCRIPTION
P:\DOCS\CHKI.Si\BP0001.FRM Page 1 of 4 REV 04/30/96
1 stv' 2nc:IV
D D D
D D D
D D D
BUILDING PLANCHECK CHECKLIST
DISCRETIONARY APPROVAL COMPLIANCE
3rc:IV
5. Project does not comply with the following Engineering Conditions of approval for
Project No. ___________________________ _
Conditions were complied with by: _______ _ Date: _______ _
DEDICATION REQUIREMENTS
6. Dedication for all street Rights-of-Way adjacent to the building site and any storm
drain or utility easements on the building site is required for all new buildings and
for remodels with a value at or exceeding $ _______ -pursuant to Code
Section 18.40.030.
Dedication required as follows: ___________________ _
Dedication required. Please have a registered Civil Engineer or Land Surveyor
prepare the appropriate legal description together with an 8-1 /2 fl x 11 fl plat map
and submit with a title report. All easement documents must be approved and
signed by owner(s) prior to issuance of Building Permit. Attached please find an
application form and submittal checklist for the dedication process. Provide the
completed application form and the requirements on the checklist at the time of
resubmittal.
Dedication completed by _____________ _ Date: ____ _
IMPROVEMENT REQUIREMENTS
7a. All needed public improvements upon and adjacent to the building site must be
constructed at time of building construction whenever the value of the construction
exceeds $ -pursuant to Code Section 18.40.040.
Public improvements required as follows: _______________ _
Please have a registered Civil Engineer prepare appropriate improvement plans and
submit them together with the requirements on the attached checklist for a
separate plancheck process through the Engineering Department. Improvement
plans must be approved, appropriate securities posted and fees paid prior to
issuance of permit.
Attached please find an application form and submittal checklist for the public
improvements requirements. Provide the completed application form and the
requirements on the checklist at the time of resubmittal.
Improvement Plans signed by: ____________ _ Date: ---
P:\DOCS\CHKLSnBP0001.FRM Page 2 of 4 REV 04/30/96
BUILDING PLANCHECK CHECKLIST
1 stv' 2ndv' 3rdv' DD D 7b. Construction of the public improvements may be deferred pursuant to code Section
1 S.40. Please submit a recent property title report or current grant deed on the
property and processing fee of $ _________ so we may prepare the
necessary Future Improvement Agreement. This agreement must be signed, notarized
and approved by the City prior to issuance of a Building Permit.
Future public improvements required as follows: ___________ _
Improvement Plans signed by: ____________ Date: ____ _
D D D 7c. Enclosed please find your Future Improvement Agreement. Please return signed and
notarized Agreement to the Engineering Department.
D D
D D .
rn/o
D
D
D
D
Future Improvement Agreement completed by: ____________ _
Date: _______ _
7d. No Public Improvements required. SPECIAL NOTE: Damaged or defective
improvements found adjacent to building site must be repaired to the satisfaction of
the City Inspector prior to occupancy.
GRADING PERMIT REQUIREMENTS
· The conditions that invoke the need for a grading permit are found in Section 11.06.030
of the Municipal Code.
Sa. Inadequate information available on Site Plan to make a determination on grading
requirements. Include accurate grading quantities (cut, fill import, export).
Sb . Grading Permit required. A separate grading plan prepared by a registered Civil
Engineer must be Submitted together with the completed application form attached.
NOTE: The Grading Permit must be issued and rough grading approval obtained prior
to issuance of a Building Permit.
Grading Inspector sign off by: Date:
Sc. No Grading Permit required.
P:\OOCS\CHKI..Sl\Bf'0001.FPM Page 3 of4 REV 04/30/96
BUILDING PLANCHECK CHECKLIST
MISCELLANEOUS PERMITS
1 stv' /ndv' 3rdv'
[]/ D D 9. A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or private
work adjacent to the public Right-of-Way. Types of work include, but are not limited
to: street improvements, trees, driveways, tieing into public storm drain, sewer and
water utilities.
Right-of-Way permit required for _________________ _
A separate Right-of-Way permit issued by the Engineering Department is required for
the following: _______________________ _
10. A SEWER PERMIT is· required concurrent with the building permit issuance. The fee
is noted in the fees section on the following page.
11. INDUSTRIAL WASTE PERMIT is required. Applicant must complete Industrial Waste
Permit Application Form and submit for City approval prior to issuance of a Permit.
Industrial waste permit accepted by: _______ _ Date: ___ _
P:\OOCS\CHKLS1\BP0001.FRM Page 4 of 4 REV 04/30/96
ENGINEERING DEPARTMENT ENGINEERING REVIEW SECTION
FEE CALCULATION WORKSHEET
,~stimate based on unconfirmed information from applicant.
~Calculation based on building plancheck plan submittal.
Address:/J78D :ze~o~ u~ Bldg.Permit No. CA qb/,3 71-
Prepared blJ?A l'Y'--Date:,P/.J(9k Checked by: _____ Date: ______ _
EDU CALCULATIONS: List types an~uare footages for all uses. d _!. I S7()0 / o IS tu~ d<;Olo3 ~ _!...5CDO 41 '---Types of Use: ~ • Sq. Ft./Unitso2tO~3.¢( • EDU's:_4_., __ J....._ __
Total EDU's: • '7 4-
ADT CALCULA~~~ f!'ld square footages for all uses. ,..,/ .;>9/t!t'o 4 { to -z;o c,(,C)(p.-3~ ,.:./
Types of Use: ~-Sq. Ft./Un~;063,,KL %a,t> ADrs:_..aa.f.....__.l ¢,"'-) ____ _
Total ADrs_-=.3 ____ { ___ _
FEES REQUIRED:
PUBLIC FACILITIES FEE REQUIRED O YES O NO (See Building Department for amount)
WITHIN CFO: 0 YES (no bridge & thoroughfare fee, D NO
reduced Traffic lmpad Fee)
~K-IN-LIEU FEE PARK AREA: __ _
FEE/UNIT:____ X NO. UNITS: __ _
~FFIC.IMPACT FEE
--....J~ ADT's/UNITS: .3 I x FEE/ADT: .3 k
~ BRIDGE AND THOROUGHFARE FEE
ADrs/UNITS:____ X FEE/ADT: ___ _
~CIUTIES MANAGEMENT FEE ZONE:. ___ _
SQ.FT.: __ _ X FEE/SQ.FT.: __ _
~WERFEE
PERMITNo.S ~o/{o6/0/
EDU's: • 7 4-X FEE/EDU: Jgt:C,
BENEFIT AREA: _C:.,,.___ DRAINAGE BASIN: 0 C
EDU's:
~AINAGE FEES
• rz 4-:
PLDA __ _
ACRES: ____ _
~EWER LATERAL ($2,500 DEPOSIT)
X
X
FEE/EDU: 1<o
HIGH /LOW
FEE/AC:
=$ ____ _
=$ Ito 54-
=$ ____ _
=$ -0
=S l> 33~
=$ SC:,,
=S u
=S C
=S
TOTAL OF ABOVE FEES*: $ ~ / 44-b
*NOTE: Thia calculation aheet la NOT a complete llat of all feea which may be due.
Dedications and Improvements may also be required with Building Permits.
PLANNING DEPARTMENT
BUILDING PLAN CHECK REVIEW CHECKLIST
Plan Check No. CB t/6-(37 <{
Planner Van Lynch
Address 2780 la>[USR-~rJfi' tvffi.T
Phone (619) 438-1161 ext. 4325
(Name)
APN: ----------------------------
Type of Project and Use: ........ I ...... AJ"'--'l}u----'£__..i>lltr.....a=,----,,zr;;_==---------------
Zone: /2 M Facilities Management Zone:---::;;..>_~ ___ _
CFD (i~J6i:® # __ --__ -______ _
cirbn(' (If property in, complete SPECIAL TAX CALCULATION
WORKSHEET provided by Building Department)
Legend
~ Item Complete
(g Item Incomplete -Needs your action
Environmental Review Required: YES NO K_ 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 _____________________ _
California Coastal Commission Permit Required: YES NO t>('
DATE OF APPROVAL: ______ _
San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA 92108
(619) 521-8036
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval _____________________ _
lnciusionary Housiria Fee .required: YES -----""'--'-· NO I><
(Effective date of lnclt1siona:ry Ho.using Ordinance.-May 21, 1993).
~-l \ .. ·~ ... _
Site Plah:
. 1.
2.
cr6· D · 1.
. ·P-f NrtJfY» ..
·~l>sor1
Providff a .fully dimensioned site plan drawn to scale. Show: North arrow, prope~
lines, easements, .,existing and proposed $tructures, streets, existing stree
improvements, right-of-way width, dimen$ioned setbacks and existing topographica
lines. ~ :· '-' ·
\ ,,
Proviqe legal description of property, and assessor's ·parcel number.
Setbacks:
.Front:
lht. Side:.
Street Side:
Rear: .
· Lot Coverage: !
Required -Shown ____________ ___
. Required ----'---Shown ---"------,-----
. Required Shown _ _,· -----
Required Shown ------
Required · --------,---Shown ·-----------. ~ CJJ/42 ..
· ~. oµ/4a.
~D 4.
(~!>SO
Height
Parking:
Required_. -...,;,_,.a._ ______ Shown----'-------
Spaces· Required _. ____ Shown -----
Guest Spaces Required . Shown -,-----------------
/
D D D Additional Comments ____ .. --,------.__,..,.--,---.,....,---------...,..._-------,-----,--..,.--,--____,.___,..---
: \
OK fO ISSUE ANO :ENTERED APPROVAL INTO COMPUTER l~
I ' l '
K:\ADMIN\COUNTER\PLANCK.FRM 1-17-96
City of Carlsbad 96195
Fire Department • Bureau of Prevention
Plan Review: Requirements Category: Building Plan Check
Date of Report: Monday, August 12, 1996
Contact Name Robert Unsworth
I 1...-
Reviewed by:~fl-~~--=--·"'~~'-----
Address 149 Jasper --~---------------
City, State Leucadia CA 92024
Bldg. Dept. No. 96-1374 Planning No.
Job Name Leigh Aerosystems
Job Address 2780 Loker ------------------Ste. or Bldg. No. ____ _
~ Approved -The item you have submitted for review has been approved. The approval is
based on plans; information and/or specifications provided in your submittal;
therefore any changes to these items after this date, including field modifica-
tions, must be reviewed by this office to insure continued conformance with
applicable codes. Please review carefully all comments attached, as failure
to comply with instructions in this report can result in suspension of permit to
construct or install improvements.
D Disapproved -Please see the attached report of deficiencies. Please make corrections to
plans or specifications necessary to indicate compliance with applicable
codes and standards. Submit corrected plans and/or specifications to this
office for review.
For Fire Department Use Only
Review 1st~--2nd, __ _ 3rd, __ _
Other Agency ID
CFD Job# __ 96_1_9_5 __ File# ___ _
2560 Orion Way • Carlsbad, California 92008 • (619) 931-2121
WORKSHEET FOR DISPORPORTIONATE COSTS
!.PROJECT VALUATION
2.VALUATION OF OTHER AREAS WITH SAME PATH OF TRAVEL
(Total valuation dating back to January 26, 1992)
3.TOTAL OF LINE l & 2
53,638
-0-
53,638
IF LINE 3 EXCEEDS THRESHOLD AMOUNT( $79,500 ), FULL COMPLIANCE IS REQUIRED
IF LINE THREE IS LESS THAN THRESHOLD AMOUNT, COMPLETE WORKSHEET.
4.ESTIMATED COST OF UPGRADING ENTIRE PATH OF TRAVEL
5.PROPORTIONATE COMPLIANCE COST
(Divide line 4 .by line 3)
6.ENTER TWENTY PERCENT OF PROJECT VALUATION
7.MINIMUM COMPLIANCE COST OBLIGATION
(Lesser of lines 5&6)
__ , •·'~ r,.,_..,__ __
10,600
10,600
INDICATE BELOW HOW COST OF COMPLIANCE OBLIGATION WILL BE SPENT
ITEM ESTIMATED COST
Bui J a ant far accessi bJ i ty ta meet bandiaap requi r:men:t.s.. _________ _
in the hallway (Demolition and construction of new access) -~~3 ..... E4...._ __ _
Handicap bathroom improvements 1,779
Handicap parking -67 4
Costs incurred . tlforementioned project to adhere to 1 0, 817
handicap regulations
PLEASE A'ITACH THIS DOCUMENT TO THE APPROVED PLANS FOR THE USE
OF.THE BUILDING INSPECTOR AND THE CONTRACTOR. THANK YOU
City of Carlsbac , . ---· M=-¥1hdhh·l•l4·b•U 11 iAei· . . '
APPLICATION FOR l.JNIIBASONABLE HARDSHIP EXCEPTION TO
STA;TE OF -CALIFORNIA
DIABLED ACCESS REQUIREMENTS
( EXISTING BUILDINGS ; CHAPTER ll, DIVISION 111, Sec. 3 l l4A.(a) exc 1.)
When existing bu'ildings are remodeled and, when the ~alu~ioiiofthe modifications is less than approximately
80,000 dollars, the ·California ·state Building Coqe allows relief from some accessibility requirements when the
cost of .compliance· with those regulations is qisproponioliate .. Disporponionate cost fs defmed as. when. the cost
pf all compliance requifement~ except m,anqatocy measures exc~s 20% of the -cost of-the project. Where the
cost of alterations necessary t<;> fully comply is ·disproportiqnate, access shall be provided to the extent that it
can without ,incuMn"g disproportionate cos~. In other words, accessible elements must be provided or upgraded
to a maximum coii-of 20% of the project val11ation. Priority for providing access shoUld be given in the
following· orqerl A. An accessible entrance, a., An. accessible r<;>ute to the. al~ered ai:ea:,
t. At least one accessible restroom for each sex,
I). Accessible telephones,
E. Accessible drinking fountains, and
F. When po~~ible, additional ~S$ible elements s11ch as parking, storage and al~.
· NOTE: SEE·CaAPTER 31, DIVISION III, CALIFORNiA BUiLDING CODE FOR-MANDATORY
REQUIREMENTS AND THE COMPLi~TE-TEXT OF' THE REGULATIONS FOR ACCESS COMPLIANCE
IN EXISTING ·BUILDINGS.
DOCUMENTATION OF UNREASONABLE HARDSHIP:
Pi.~SE PRINT
Project Address: _ 21srr:1:i<5~~~-~~~~~.
ca~±sb9.d, C:A
Proposed Use: -Office Space
Plan Check#: cs 961374
Owner: _Goraoo llarri~ ~g~ ~il~~-,.... Telephone: < 619 l 930-4060 .
Applicant: · r..oraon Harris Telephone:· ( 6'19) 9 30=4060 'd' 'If. -' ' ( ~' .
Signanite: _--~~-.. ~~
. ;I
Please print Name ____ -,...· ..a:Go;,,a;;,;;;;r_d=on;;.;;....:L=· •:....::;H=ar=r_i.=,s _________________ -____ _
2075 Las Palmas Dr.• Carlsbad, CA 92009-"H576 • (61.9) 438-11.61 • FAX (619) 438-0894
PROJECT NAME . DATE
L.E lG'H A£ t<-0 5Y.S1f:MS oFFt<-£-. T. 1: •. 7-·-z_3,Cf~
ROJECT ADDRESS
2. 7Bo l,.Ot:-/5.i!-Al/f.NuE. wt:. s r cA-1<-'-5 BAD ·Building Permit ff.:·
PRINCIPAL DESIGNER· ENVELOPE TELEPHONE
v-'ARJ2.EN w. .SC..O,T A~C-tH T £ C, "(' , . 't"f3-s,eo
DOCUMENTATION AUTHOR TELEPHONE Checked by/Date ·
DAvlD Mc..~11vL-E.'r Mc.¥-, N c.. e'-( F-NG u.J £.f:. it-l N. G ~3 '-(-31S0 Enforcement Agency Use
BUILDING CONDITIONED FLOOR AREA
20~~ ~
BUILDING TYPE ~ NONRESIDENTIAL D HIGH RISE RESIDENTIAL D HOTEL/MOTEL GUEST ROOM
PHASE OF CONSTRUCTION D NEW CONSTRUCTION tRJ ADDITION D ALTERATION D UNCONDITIONED (File Affidavit)
METHOD OF ENVELOPE D COMPONENT ~ OVERALL ENVELOPE D PERFORMANCE
COMPLIANCE
This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24,
Parts 1 and 6 of the California Code of Regulations. This certificate applies only to building envelope requirements.
The Principal Envelope Designer hereby certifies that the proposed building design represented in this set of construction
documents is consistent wit~ the ofher compliance forms and worksheets, with the specifications, and with any other
calculation$ submitted with this permit application. The proposed building has been designed to meet the envelope
requirements containeu in sections 11 0, 116 through 118, and 140, 142, 143 or 149 of Title 24, Part 6, Chapter 1 .
. ;lease check one:
~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 preparat!on; and that I ~m a civil engineer or architect.
D
'
:
D
I affirin that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section 5537.2 of
the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am a
licensed contractor preparing documents for work that I have contracted to perform.
I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section ~
of the · Code to sign this document as the person responsible for its ___ _
preparation; and for the following reason: .
PRINCIPAL ENVELOPE DESIGNER· NAME
WAR~,._, iAJ. sco-rr
Indicate location on plans of Note Block for Mandatory Measures
For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential
Manual published by the California Energy Commission.
ENV-1: Required on planslfor all submittals. Part 2 may be incorporated in schedules on pldns.
ENV-2: Used for all submi~als; choose appropriate version depending on method of envelop~ compliance.
ENV-3: Optional. Use if d~fault U-values are not used. Choose appropriate version for asse:mbly U-value to be calculated.
Nonresidential Compliance Form
PROJECT NAME DATE
t...EL Gli-A8Ko:S'l'S-1EM? T/;.N,itJT. l.MPl<OvE:AfEIJ oFF,c..£ . ?-Z 3-: q'=,
ASSEMBLY NAME INSULAT!ON R-\(ALUE CONSTRUCTION TYPE ·. LOCATION/COMMENTS:
(eg. Wall-1, Floor-1) (eg. R-19, R-22, etc.) "(eg. Block, Wood, Metal) (eg. Suspended Ceiling; Demising, etc.) :
wAL--t.--et-r tJ Of.Jc-· ·. 81,,,.oc--¥,./~1,. G-t. _i e..~ 0~ f:IJ AU.:.-lE--x.' !> "f t,:J ,:; . . .
WA.U.-Ofo!A.1}1,-,S R.-{J (...)OOl:, f ~M..f:-DE Mt !>1 '-JG
UtvlNG R.-:o F~ME. W rT H uJ 1.vtt #--liO cJ !» le
• ! .
. .
·-
WINDOW NAME NO.OF U-VALUE FRAME TYPE -EXTERIOR OVERHANG GLAZING TYPE
(eg. Window-1) PANES (METAL,WOOD,ECT.) SHADE? CREDIT? (eg. Clear, Tinted)
l,J ftJ{):)i,J-J J l -l 9 fvt/:.1AL-tJ y T1NTE 0
WI IJ Dot.v • ~ I l • ( C} MF-14 l,, N '1 n,.;1 £A
SKYL1GHTS · · ·-. · · · . ·
~ NO.OF U-VALUE FRAME TYPE SKYLIGHT MATERIAL .G-LAZING .TYPE
. PANES (eg. Glass, Plastic, etc.) (eg. Clear, etc.) ---------~
~
NOTES TO FIELD -For Building Department Use Only ·
Nonresidential Compliance Form
NOi:eto· . . ~ FIELD:-:. _:
. ; .. ·;_.
. -· ·_.:.,. __ _ . ,'
•:, .
::.-· .. ·._·:: ... :\·.::-
.. -·
. .---::···:.
:· ·-.. .::.
..
-·-.. _.;._::.-·--.
·Nofe'-fa· ·,·_,. i=ieuf,:·
_·_:\_---. __ ):'.:;:\)/\
•,' .-··==-:: ...
=:~ :-:::/-::: .. /.:;:,
: .. _··:·:--:··:·
:: ..... -·-.
::_.:'·:··:::·:·,,·.:·=··-::-
_._::::.'=\r-·.-.···.·
''' .-··.
\(:=.:·:-:=:--:/"::".:::.·:-··:
.':'·'--';{:"'''\,.-:
DATE lPROJECT NAME
t-£.t6H A~Posy~7£MS 1-2.., -9/o
A. DISPLAY PERIMETER 7l-f, '-f lttX6= '-f lf6 I sf DISPLAY AREA
B. GROSS EXTERIOR WALL AREA (p59 j sf X 0.40 = I 2 (o:, 1 sf 40%AREA
C. GROSS EXTERIOR WALL AREA (o 5"B 1st X 0.10= I C,(e, 1 sf MINIMUM STND. AREA
D. ENTER LARGER OF A or B I 4 Lf '1, I sf MAXIMUM STND. AREA
E. ENTER PROPOSED WINDOW AREA I '-ftb 1 sf PROPOSED AREA
IF E IS GREATER THAN DOR LESS THAN C, PROCEED TO THE NEXT CALCULATION FOR THE WINDOW AREA ADJUSTMENT. IF NOT,
GO TO PART 2 OF 4.
1. IF EIS GREATER THAN D:
D. MAXIMUM STANDARD AREA
. 2. IF E IS LESS THAN C:
C. MINIMUM STANDARD AREA
. .
. .
E. PROPOSED AREA
(IF E=0, THEN ENTER C )
--
WINDOW
ADJUSTMENT FACTOR
GO TO PART 4 OF 4 TO CALCULATE ADJUSTED AREAS .
WINDOW
E. PROPOSED AREA ADJUSTMENT FACTOR
GO TO PART 4 OF 4 TO CALCULATE ADJUSTED AREAS.
ATRIUM HEIGHT ~ FT
[ IF<SS ,___J L IF, ss l
STANDARD 'l6
% = .05 STANDARD 'l6 = .1
STANDARD SKYLIGHT AREA
t
IF THE PROPOSED SKYLIGHT AREA IS GREATER THAN THE STANDARD SKYLIGHT AREA, PROCEED T
SKYLIGHT AREA ADJUSTMENT. IF NOT, GO TO PART 2 OF 4.
E NEXT CALCULATION FOR THE
1. IF PROPOSED SKYLIGHT AREA> OR= STANDARD SKYLIGHT AREA: -
PROPOSED SKYLIGHT AREA
i STANDARD SKYLIGHT AREA IF PROPOSED=O, THEN STANDA~D
l I+ ......____ __ ~ =
SKYLIGHT
ADJUSTMENT FACTOR
GO TO PART 4 OF 4 TO CALCULATE ADJUSTED AREAS.
Nonresidential Complance Forms January 1995
PROJECT NAME
l-f. (6 H Af:-Ao SI( s.1 .. 11 ~ oFFtc.E. T£-1J1ttJT t
·en .J .J ~
(/)
(!) z
:J w CJ -(/) u.
0
0 ~
(/)
I-u: u. 0
(/) -(/)
~ 0
0 .J u.
(/) :: 0 C z i
(/) I-J:
(!)
:J ~
(/)
ASSEMBLY NAME
(eg. Wall-1, Floof-1) AREA
1.-v A L.L -CO fJ c.pe 'f £ ?..Lf 2.
ce11...1t--16 l.O~~
WltJDow (s ~~) I l-f 10 -
(I) w z < 0..
IL 0
'It
(I) w z < 0..
IL 0
'It
i '
• If Window and/or Skylight Area Adjustment is Required,
. use Adjusted Areas from Part 4 of 4.
Nonresidential Comp8ance Forms
PROPOSED
HEAT
CAPACITY U-VALUE
14.4 I 6 2..
-.o35
NIA I. I '1
NIA
NIA
NIA
NIA
NIA
N/A
NIA
NIA
N/A
NIA
NIA !
TABLE
VALUES?
y I N
.~D
DD
DD
DD
DD
DD
~D
DD
DD
DD
DD
DD
DD
DD
DD
DD
DD
DD
~D
DD
DD
DD
DD
DD
DD·
DD
DD
DD
DD
DD
UA
(BXD)
/q8.Lt
, 72.. 2.
'·(15
7 fo5.b
TOTAL
STANDARD
AREA•
{Adjusted) U-VALUE
J.Lf-Z.. .43
2063 .079
l-f /{r; , . z. 3
Column E shall be
no greater than
Column H
[E] -!
UA
(FXG)
/04. {
l(:;o,q
51(. 7
77~.7
TOTAL
January 1995
I PROJECT NAME
WINDOW/SKYLIGH:r NAME
(eg. Window-1, Sky-1)
:c I-0::
0 z
v,i ( N Dcx..J ...-z
I-en <t w
Wl tvDOW -{
::c I-::)
0 en
I-en w ::
en I-::c
(!) ::::; >-~ en
WEIGHTING
FACTOR
• lf;Window and/or Skylight Area Adjustment is Required,
use Adjusted Areas from Part 4 of 4.
!Nonresidential Compliance Forms
PROPOSED
OVERHANG
AREA SC H V HIV OHF
I t. '-I .1( .3 9 _03 .987
2 qz. .72 ., q ,0.3 .'W1
'
NIA NIA NIA NIA
NIA NIA NIA NIA
NIA NIA NIA NIA
NIA NIA NIA NIA
NIA NIA NIA . NIA
NIA NIA NIA NIA
•• Only SC is used:
for Skylights. '
TOTAL
(BxCxDxG)
88.<o
271.8
-
3foO. Lf
TOTAL
STANDARD
AREA' RSHG TOTAL
(ADJUSTED) (or SC*') (Bx Ix J)
12'i ,l{ 89.5
;?.'12. ,7/ 2.11.6
Column H shall be no
greater than Column K
3<o{.'-f
TOTAL
January 19951
!
PROJECT NAME
LE'. tG H Af:f2.oJYS T£M ~ Offl c....E. T . .J..
DATE
1-2,,3-9(.p
ROJECT ADDRESS : .... · .. .·· .:· .. ,,
7.. 7Bc? Lot::.£(<.. AvuJUE. (,A.)f--ST c.A~sBt1D ·.·,···.~...,,.--.,...,......,---
1-:-:---='[-;~'~..:...A!-J-AE-f-:G-~-t-~T-~-=-l-;...:...:...:...~-=-,~-GM-'''-~-A-=-·~'-tv-:_:__~_YT_U_E-_:_G_/_AJ_£._f:-_i<_t_N_G ____ -t::=::::-;=:;=l-:-:!-:-:-;:=~-g-7.5_/ €3_0_/ __ ---l~;~t·
BUILDING CONDITIONED FLOOR AREA
2.0io3 r;:r
BUILDING TYPE ~ NONRESIDENTIAL _ D HIGH RISE RESIDENTIAL D HOTEL/MOTEL GUEST ROOM .
PHASE OF CONSTRUCTION D NEW CONSTRUCTION k8l ADDITION D ALTERATION D UNCONDITIONED (File Affidavit)
METHOD OF LIGHTING
COMPLIANCE D COMPLETE BUILDING !2J AREA CATEGORY D TAILORED D PERFORMANCE
This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24,
Parts 1 and 6 of the California Code of Regulations. This certificate applies only to building lighting requirements.
The Principal Lighting Designer hereby certifies that the proposed building design repreresent~ 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 lighting
requirements contained in sections 110, 119, 130 through 132, and 146 or 149.
•lease check one:
01:"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 a civil engineer, electrical engineer or archite9{.
D I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section 5537.2 of
the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am a
licensed contractor preparing documents for work that I have contracted to perform.
D I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section ___ _
of the ---....------------Code to sign this document as the person responsible for its
preparation; and for the following reason: _________________________ _
PRINCIPAL LIGHTING DESIGNER -NAME
WAIZ.~t-J Lv. 5'-0TT
Indicate location on plans of Note Block for Mandatory Measures
For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential
Manual published by the California Energy Commission. 1
L TG-1: Required on plans for all submittals. Part 2 may ~e incorporated in schedules on plans.
L TG-2: Required for all submittals. .
L TG-3: Optional. Use only if lighting control credits are taken.
LTG-4: Optional. Use only if Tailored Method is used. Parts 2 and 3 used only if applicable.
Nonresidential Compiance Fann January 199
PROJECT NAME
LUMINAIRE NAME TYPE
(eg. Type-1, Type-2, etc.) I I F I H
3 -LA-MP f L.VO~S<.f.A)1' Dt8JD
2..-LAMP fL.~.llhvT D~D
ODD
ODD
ODD
DOD
ODD
ODD
DOD
DOD
ODD
.NTRQ..L LOCATION CONTROL
(Room 1tJ -,... _:.IDENTIFICATION ----
LAMPS
NO.OF
LAMPS WATTS/LAMP
:> .32
2. 32
CONTROL TYPE
(Auto Time Switch, Exterior, etc.)
BALLASTS
TYPE
s1E*lo· NO. / LUMINAIRE
~DD I Yz..
l:2g00 (
DOD
DOD
DOD
DOD
DOD
DOD
DOD
DOD
DOD
NOTETci
·.FIELD.
. ,,:· . -.: ... ··
. ·· ..
·· .. ,· ..... ·-:;.:··:.
• Provide Supporting Documentation
·Notiffo
SPACE CONTROLLED ·.FIELD,: ---
~ROL LOCATION
I (Kl"\otlmovm-"-Ho.."·m. ~ai:.Qwg. #)
CONTROL
IDENTIFICATION
-r-~
1----------1
1---------1
Nonresidential Compliance Form
---------
CONTROL TYPE
(Occupant, Daylight, Dimming, etc.)
r-------.:_
:-.··-· ,··:-->:·-:=·:···::· ----------------·--··-..
LUMINAIRES CONTROLLED . NOTif°To"
TYPE # OF LUMIN. ··==· FIELD. ·
. ._·.-
··::-"::,
.::·:·:::=: :::._:_. ·:·_-:·· ---~t--... 1-==---=---+-----~ --I"---.
---... &.:=!.''.:, '-------'-------'
January 1995
PROJECT NAME l£!6H
LUMINAJRE
NAME DESCRIPTION
~-l3uL..8 3-L/\Mf f Lu~S. c.v,/ 3 l 4.1 £.).MP 5
2--Buth ?_ -/...AMP f wo{it.~ v/ 3 2-w. UtMP ~
\
-I
• If not using the CEC Default value, please provide sl.Jpporting documentation.
DATE 7-z 3-9b
NUMBER OF WATTS PER LUMINAJRE CEC DEFAULT TOTAL
LUMINAJRES (Including Ballast) IYl~I WATTS
2. g
7..
IDB [810 yoz. LJ
77-rxio I '-t 't
DD
DD
DD
DD
-DD
DD
DD
DD
SUBTOTAL FROM THIS PAGE 3 / b g
PLUS SUBTOTAL FROM CONTINUATION PAGE
LESS CONTROL CREDIT WATTS
(FROM L TG-3)
~USTED ACTUAL WATTS / 3 1 <o6
I
BUllDINGCATEGORY(FromT-1-M) ::~~ ~11 All.OWED 'I 1---N:A -------'f----1[==:J WATTS
AREA CATEGORY (From Table 1-N) WATTS
PER SF
AREA
(SF)
ALLOWED
WATTS
OFF!c.£ I . Co /Cf93 3172.2,
(o~P,.1 DOR. o. f3 go (p~
;
~ 323to.8:
TOTALS ~ .___W_A_TT_S_
TAILORED·:METHbCF:,:···:·········:7·•·······:·········:·········y··,f'..·~ .... J .. m.\ .... J<..:_y/_/··:mm .. .::. .. ?>/ ... \ ....•. <.\:s,) .. :... ...... ./ .. -"':::. ... ,.:):c/?.·.;··m.uu:j.{_j'.i''''
,. I A TOTAL ALLOWED WATTS I
IV (From L TG-4 or from computer run.) '----~
Nonresidential Compliance Fom, January 199;
I PROJECT NAME DATE
L..Et6H A ~~O~Y!:.1£/vt~ OFFtl..f.. T£-NA,JT ( MP {<-0. Vt. Mf:.NT 7-2. )-9b
•. qoJECT ADDRESS .. .. -
./ '2..7'80 l-<)£<£-f. 4 \/µ-.IL{£, we.ST, C--,4 /<t---Sf3AD
PRINCIPAL DESIGNER -MECHANICAL
vJAµ.£..N w. 5C..OTT
DOCUMENTATION AUTHOR DA v,D /vf C-fL-1 NL£. '1
DATE OF PLANS
J""UL--Y ('19l:,
~ A~Cl-t IT~ T
M e,,,t. I /J LL '1 £.-tJ,:::: { N £.E-R1 /JC:,
BUILDING CONDITIONED FLOOR AREA
20~3 ~
·':·Building Permit&f{' ::.,. · TELEPHONE ... .-·::: · .. :=:.:-r:·::.-= ... q't3-8t9o
TELEPHONE : . · Checked by/Date ... :.· .. ·.:
'-/3 L-f-3 75o i) . Ehforoeme1i~£~{~~ :.
BUILDING TYPE l?g NONRE~IDENTIAL D HIGH RISE RESIDENTIAL D HOT!:LIMOTEL GUEST ROOM
PHASE OF CONSTRUCTION
METHOD OF MECHANICAL
COMPLIANCE
D NEW CONSTRUCTION r8J. ADDITION OALTERATION
~. PRESCRIPTIVE D PERFORMANCE
D UNCONDITIONED File Affadavit
PROOF OF ENVELOPE COMPLIANCE D PREVIOUS ENVELOPE PERMIT ~ ENVELOPE COMPLIANCE ATTACHED
This Certificate of Compliance lists the building features and perfonnance specifications needed to comply wit~ Title 24,
Parts 1 and 6 ·of the California Code of Regulations. This certificate applies only to building mechanical requirements.
The Principal Mechanical Designer hereby certifies that the proposed building design represented in this set of construction
documents is consistent with the other compliance fonns and worksheets, with the specifications, and with any other ·
calculations submitted with this pennit application. The proposed building has been designed to meet the mechanical
requirements contained in sections 110 through 115, 120 through 124, 140 through 142, 144 and 145.
)
r-'lease check one:
-
~ereby affinn 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 a civil engineer, mechanical engineer, or a_rchitect.
D I affinn that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section 5537.2 of
the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am a
licensed contractor preparing documents for work that I have contracted to perfonn.
D I affinn that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section ___ _
of the _______________ Code to sign this document as the person responsible for its
preparation; and for the following reason:
PRINCIPAL MECHANICAL DESIGNER -NAME
WA ~~N l,J. SC.OTT
For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential
Manual published by the California Energy Commission.
MECH-1: Required on plans for all submitt~ls. Parts 2 & 3 may be incorporated in schedules on plans.
MECH-2: Required for all submittals; choose appropriate version depending on method of mechanical compliance.
MECH-3: Required for all submittals, but form does not have to be completed if location of mechanical equipement schedule is
indicated on the form per Sectiorj 4.3.3. . .
MECH-4: Required for all submittals unless required outdoor ventilation rates and airflows are shown on plans per Section 4.3.4 .
. /11n1111rv 1995 I
PROJECT NAME
L.-f:'.-.tC.H A E-~ Sy ~Tis:./\11-> OF Fe(.£ 1£.NA.,JT /M.f/J..ov£ M,p.)T
MECHANICAL SYSTEMS
I SYSTEM NAME
TIME CONTROL s .5
SETBACK CONTROL NA NA
!SOLA TION ZONES NA NA
HEAT PUMP THERMOSTAT? y V I
ELECTRIC HEAT? N N
FAN CONTROL C. C
VAV MINIMUM POSITION CONTROL? NA; NA
SIMULTANEOUS HEAT/COOL? tJ N
HEAT AND COOL SUPPLY RESET? N N
VENTILATION (... C.
OUTDOOR DAMPER CONTROL? G G
ECONOMlZER TYPE N N
DESIGN AIR CFM (MECH-4, COLUMN H) 190 I 1..5
:ING EQUIP. TYPE I HIGH EFFIC.? 1-lEKi PvMP IN HE-A-1 fvMP IN I
MAKE AND MODEL NUMBER
COOLING EQUIP. TYPE I HIGH EFFIC.? Hf:A.-c PvM.P IN h£41: · PvMf' IN l
MAKE AND MODEL NUMBER
I CODE TABLES: Enter code from table below into columns above. I
HEAT PUMP THERMOSTAT? TIME CONTROL SETBACK CTRL ISOLATION ZONES FAN CONTROL
S: Prog. Switch H: Heating Enter number of I: Inlet Vanes
ELECTRIC HEAT? O: Occupancy Sensor C: Cooling Isolation Zones. P: Variable Pitch
M: Manual Timer B:Both V:VFD VAV MINIMUM POSITION CONTROL? Y:Yes O:Other C:Curve
SIMULTANEOUS HEAT/COOL? N:No VENTILATION OUTDOOR DAMPER ECONOMIZER O.A.CFM
HEAT ANO COOL SUPPLY RESET? B: Air Balance A:Auto A:Alr Enter Outdoor Air
C: Outside Air Cert. G: Gravity W:Water CFM.
HIGH EFFICIENCY? M: Out. Air Measure N: Not Required Note: This shall be no
O: Demand Control less than Column G on
N: Natural MECH-4.
'--;./
-<-·-.,·.•:· · .. -.:=·· ·.··: . -: : ... -·· .. ..... . .·-:· .. -:::-· .. ·· ·-· -:·-.··
January 19951
PROJECT NAME DATE
L.--r;.-t GH /tf=.-8..o s. ST r-M ') t:>F Ft u Tf-Alfl.tJT t tvtf/ov[MWT 7-2.. ,-9b
SYSTEM NAME DUCT TYPE
(Supply Return, etc.)
DUCT LOCATION
(Roof, Plenum, etc.)
I fJ 1£-P-1 Of<. 'Z:.o,uE,. Svfft.,'( '!. P.£1,11?-tv wA;/<&Movf&
f-x T&--t-lo!l. ?...otJ£_ I{ ., M
SYSTEM NAME PIPE TYPE
(Supply, Return, etc.)
tvA ------------------------
-··:··: •.::·-:--·:.-..
I Nonresidential Compiance Form
DUCT TAPE
ALLOWED?
y N
[g]D
g:JD
DD
DD
DD
DD
DD
DD
DD
DD
DD
DD
DD
DD
I REQUIRED? I
IYINI
DD·
DD
DD
DD
1---D n
DD
DD
DD
DD
DUCT INSULATION
R-VALUE
z. {
?,.. 1
·)Joiero
)::_FIELD·
JkfrETO ·})=!¢to
··=-··.· · ... ·.·
--:t:-,:::..-t:·/}f :{:::. =---=:_./=:;=::-·=;=:=\?:\:::i::i:-:=:=:::::::;:(1 :):lr::rr .. ::: =
.. .-.:. ·. .... ··-.·
: __ =::_=~_{::j,:--i_:,;.:-:\':·):::.:.:-} i./:.
.. ·-:".:::-.. . ... -
January 199
PROJECT NAME
t-.E-t6H A€-f<.o5Y:;7£#\<,. <Dffcc...E.
s· · ·-rEM NAME
NOTE: Provide one copy of tliis form for each mechanical system when using the Prescriptive Approach.
1. DESIGN CONDITIONS:
-OUTDOOR, DRY BULB TEMPERATURE
• OUTDOOR, WET BULB TEMPERATURE
-INDOOR, DRY BULB TEMPERATURE
2. SIZING:
-DESIGN OUTDOOR AIR
-ENVELOPE LOAD
-LIGHTING
(APPENDIX C)
(APPENDIX C)
(APPENDIX C)
{00 CFM (MECH 4; COLUMN 4)
l -Ct, WATTS/ SF (LTG-2)
DATE
7-27;-C/~
FLOOR AREA
COOLING ~ ea~ 0
&7
72-7o
2-2-57
I 12. 1
09B Lf
-PEOPLE I '2-
-MISC. EQUIPMENT {. 0
# OF PEOPLE (MECH4;COLUMN E)
WATTS/ SF
c..690
4¼5
-OTHER
• OTHER (
PROCESS LOADS, DUCT )
LOSS, INFILTRATION, ETC ..
SAFETY/WARM UP FACTOR
(Describe)
(Describe)
MAXIMUM ADJUSTED LOAD (TOTALS FROM ABOVE xSAFETY/WARMUP FACTOR)
3. SELECTION:
INSTALLED EQUIPMENT CAPACITY
-
-B ,-----~
TOTALS I~ '2-t3 I I (O't':P-I
~~ ~~
1~ ,00 11 2.2;soo
KBtu / Hr KBtu / Hr
IF INSTALLED CAPACITY EXCEEDS MAXIMUM
ADJUSTED LoAo. EXPLAIN H£AT,tJG, s iv11iv1f-'\v~ AvAt~ BL-£ CJnH c«J/..-ffl)C N£UJ£.D
FAN1POWERtCONSUMPTION Mf; fi:,, :t• ''. ~: :,. ·, '~: (.,;:,N!~f.~)J}i!}~'-':rit}tr f:!!0!5 ~\.ii·.-r ti'":~fi?r,'q:!))~;t,~r.~1\j;?.}°'i;pi;~?41,:i·,:.!(~~Jr.~rti~~\~~~~~~~~
"---[Kl !ID @] [Q] [[] [I] @]
FANDE~
DESIGN EFFICIENCY NUMBER PEAK WATTS CFM
BRAKE HP MOTOR DRIVE OF FANS BxEx746/(CxO) (Supply Fans)
~
I'-----.......... r--__
------I'"----._
.......... i--r---.....
~ -...
TOTALS ~ .. ..., re: Include only fan systems ex~ing 25 HP (see §144). 1 TOTAL FAN SYSTEM I Total Fan System Power Demand may not exceed 0.8 Watts/CFM for I . constant volume systems or 1.25 Watts/CFM for VAV systems. POWER DEMAND : WATTS/CFM Col. F / Col. G
Nonresidential CompKance Form January 1995
I ·J
r
PROJECT NAME DATE I l-£;.JGH AE-Ro5Y':>T£'1'1~ offl'c..f.. T-1-. ,-2 . .'';-<?&
S'. ~EM NAME FLOOR AREA ·-J £ XTE (2.1oR.. Z-o,J£ 7 (3?:, I :=-====================================================~============'. NOTE: Provide one copy of this form for each mechanical system when using the Prescriptive Appro11ch.
1. DESIGN CONDITIONS:
-OUTDOOR, DRY BULB TEMPERATURE
COOLING ~ (APPENDIX Cl 83 0
-OUTDOOR, WET BULB TEMPERATURE (APPENDIX Cl C, 7
-INDOOR, DRY BULB TEMPERATURE (APPENDIX Cl 77-70
2. SIZING:
-DESIGN OUTDOOR AIR I 2.5 CFM (MECH 4; COLUMN 4) I lf9j-3905
-ENVELOPE LOAD ?>Bl<o5 I I 7 2-<o
-LIGHTING I. [p WATTS I SF (LTG-2) l-fZ-12.
-PEOPLE 5
-MISC. EQUIPMENT {.o
# OF PEOPLE (MECH4;COLUMN E)
WATTS/SF
I 9 2.o
2<o1o
-OTHER
-OTHER (
PROCESS LOADS, DUCT )
LOSS, INFILTRATION, ETC .. (Describe)
(Describe)
SAFETYM'ARM UP FACTOR
MAXIMUM ADJUSTED LOAD (TOTALS FROM ABOVE x SAFETY/-WARMUP FACTOR)
3. SELECTION:
INSTALLED EQUIPMENT CAPACITY
IF INSTALLED CAPACITY EXCEEDS MAXIMUM
ADJUSTED LOAD, EXPLAIN
DESIGN
FAN ·~ ION BRAKE HP ------r---..
EFFICIENCY
MOTOR DRIVE
----'r--...._
! .. ..,re. Include only fan systems exceeding 25 HP (see §144).
Total Fan System Power Det$nd may not exceed 0.8 Watts/CFM for
constant volume systems or t25 Watts/CFM for VA V systems.
Nonresidential Compliance Form
---~ ---
-
-c=-7 c=J
TOTALS I L-f-'1 { 3 2-11 ( 5 531 I
NUMBER
OF FANS
,-.---
TOTALS
! : ..
EEB~
tt·2.1000 II '-f B too
KBtu/ Hr KBtu / Hr
PEAK WATTS CFM
BxEx746/(CxD) (Supply Fans)
~
-----'r--...._ -I I "'
TOTAL FAN SYSTEM
POWER DEMAND
WATTS/ CFM Col. F / Col. G
January 1995
PROJECT NAME DATE
l-Et6H Af:..R..o>YS1£M!:> OFFtc..£ T/;./Jft:A.JT IMP/2.Dv[fA.WT 7-2-?>-9 b
SYSTEM MAKE AND DESIGN OUTPUT TOTAL
NAME MODEL NO. (BTU/ HR) ncc:rr.::t.J ~r=M UNITS
I tJ 1£/2-w R.. DAY~NtGHT -z.o, (00 [000 5"1.f '2.. H o Z. '1 Sf.€.R.
(S~S,~t.,.E..'j
bXTE-t10 R.. DAy-.,-.,(6H1 4 -Z. <.DC:0 2..000 S'12... H 0"-0 s E.£-e..
(.sW51 l?>L!-.)
SYSTEM MAKE AND DESIGN OUTPUT
NAME MODEL NO. (BTU/ HR)
INT~l?-10(2_ DAY1(t-Jtvri1 S'-11...HOV-t /-/f:.'t;T fvMf i. i, ~00
6-x.,~o~. I DAY-• tJ16 '11 5'-t2--l-(06o Hf AT PJM.fJ '1 B, /OQ
i
I NonroWM6., c.mp11,nc, Form
RATED EFFICIENCY
ALLOWED PROPOSED
9.9 /0.0
i-~ ID. I
RATED EFFICIENCY
UNITS ALLOWED
(---(SPF ~.<o .___
kS?F 0.~
ECONOMIZER-I
y N
D~
DD
D~
DD
DD
DD
DD
DD
DD
DD
DD
D-0
DD
DD
DD
PROPOSED
Co. C:,
6.£
January 199
PROJECT NAME ,.-
l-c £6 H
s \1 NAME p 5 Ac..£ I::
NOTE: ,Provide one copy of this form for each mechanical system.
[fil [fJ
AREA BASIS OCCUPANCY BASIS
SPACE
NO.
2...
3
COND.
AREA
(SF)
12.Bo
11 l.
11 ?..
2~~
'2-03
CFM MIN.
PER SF CFM
(8 X C)
NO.
OF
PEOPLE
.15 190 (Z
tS ')_l:, z
15 2-(o 2-
I~-35 t-
( 5" 30 -z..
TOTALS (FOR MECH-2)
Minimum Ventilation Rate per Section §121, Table 1-F.
MIN.
CFM
!EX 15)
190
"30
?Jo
3o
3o
DATE
7 -Z., 3 · 9b
[ill [ill
REQ'O. VAV MINIMUM CFM
O.A. DESIGN LARGEST DESIGN TRANS-
(MAX. OF SUPPLY MIN. MIN. FER
DORF) CFM CFM CFM AIR
1qo "" "' "---?>o "" "'" y.:, " ~ I'-.
35 "--~ ~
?;o ~ "' "
Based on Expected Number of Occupants or at least 50% of Chapter 33 USC Occupant Density.
Must be ,greater than or equal to G, or, use Transfer Air.
If zone ri,heat or recool is used, I must be less than or equal to G, or less than br equal to Total Design CFM X 0.3, or less than or equal
to 8 X o:.4, or less than or equal to 300 CFM, whichever is larger. ·
Must be 'less than or equal to I (if applicable), but no less than G, unless Transf~r Air (Kl is used.
Must be greater than or equal to {G • H), and, for VAV, greater than or equal to_.{G • J).
Nonresidential Compliance Form January 1, 1995