HomeMy WebLinkAbout2796 LOKER AVE W; 100; CB920442; Permit!:'. U ::: L
0 1=}/28/92 1.6: 20
Pa9e 1 of
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I N G P E :<: M
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---------------
Permit ~a: C½920442
P.COJec:t N : l'.9201177
L1evtcclo1x:ent \,·,:
Permit Type:
2 '/ '3 b LOKER
lNDtSTRIP..:" TENANT l~PROVEMENT 7841 05/28/92 0001 01 02
Par,'.el No:
V.3luation:
Construction Type: VN
:)ccupancy Grou_p: FI:::
Description: ':.02 SF WHR:::'.,/"l'O
: MJ:,RKET ING
Appl/Ownr
2 3 8 5 CA:v!I l\iO
CARLSBAD, CA 920:.
Fees Required
Fees:
Adjustments:
Total Fees:
fee descr_pt::on
Buildin9 Permit
Plan Check
Strong Motion Fee
Enter Number of r:D,
Enter "Y"
Enter Brid9,~ Fee * BUILDING TOT,~;:,
Enter "Y" for Plurebin9
Enter "Y" for Electric
Enter "Y" for Remodel
~ ELECTRICAL TO~AL
L(>t #: C-PRMT 1274--00
_;:.::;eference#:
CR.01
~)tattJ.~S:
Applied:
l'l rrr / I ~. 3 1-1 e :
0 1:,,//0 f;/ 9 ~'
0()/28/-92
Vb ::,·ia::·,2,'i "?v:
6:c9 4'.J8--':i:l:J1
r"r• 1..,.1 '·~
0
INSP. -------
. 0 (;
92.UO
1 , 2 7 :,~ ~ U 0
Sxt :ee Data
f;;;. 00
396.0U
1 ~;_;. (! :) y
1"}'i,CJ0
104.CG
154,l);J
134 t,. C l
N
1 '..'. 00 Y
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Clt.ARANCE ------s
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPUCATION A V
PLAN CHECK NO.
City of carlsbad Building Departllll!f'lt
2075 Las Pal111BS Dr., carlsbad, CA 92009 (619) 438-1161
1. PEltM.11 IYP£ ~
A -U Commercial O New Buddmg ~nt Improvement
B -e!Industrial D New Building ~ant Improvement
C -0 Residential O Apartment O Condo O Single Family Dwelling O Addition/ Alteration
0 Duplex O Demolition O Relocation O Mobile Home O Electrical O Plumbing
D Mechanical O Pool O Spa O Retaining Wall D Solar D Other ____ _
DATE
C-PRMT 92-00
2. PRamcT INFORMATION FOR OFFICE USE ONLY
Address --:2 ,:'14 Lo~
Nearest cr;;fs~l ~
Al)9Juildmg or Suite No. ... i Q'4
~/~ LEGAL DESCRIPTION SubchV1s10n Name/Number 4-e. Umt No. Phase No.
'2-,.
D I Addressed Envelope
EXISTING USE '& .,. '.C.c: PROPOSED USE 1>-1-:: DESCRIPTION OF WORK 1-'rl,'\,.()c.)~ ~-C'.S:
SQ. Fr. ~...-Z......, # OF S1DRIES '2t:\ (5-
3. WN IAC'I P (if dmerenf from apphcanO
NAME ADDRESS
CITY STATE ZIP CODE DAY TE!J;JlHQNE
4. APPUCAN I U WN I RAC luk LI AGENI FOR wN I RACIOR LI OWNER ll!IAG£N1" POk OWN Ek
NAME~ ?~.,_.t-'tJ ADDRESS 'l,~f>? ~--,~ "'~ 'l2ea«.h
c1TY c~c...-s~-..o STATE c.>,,, zIPcoDE .,2.~c;, DAYTELEPHoNE 4~6-l:>\-C::S. I
5. ~1:ft~~~r, ,;,~~ ADDRESS
ZIP CODE CITY STATE DAY TELEPHONE
6. wN'l'ltAC'luk
NAME ADDRESS
CITY STATE
STATE UC.#
ZIP CODE
UCENSE CIASS
ADDRESS
DAY TELEPHONE
CITY BUSINESS LlC. #
DESIGNER NAME
CITY STATE ZIP CODE DAY TELEPHONE STATE UC. #
1. WOitkERS' wMPENSAIION
Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-msure issued by the Director of Industnal
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 POLICY NO. EXPIRATION DATE
Ceruhcate of Exemption: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner
so as co become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE s. oWNm-nonnm o£ci.ARAnoN
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's Llcense Law for the followmg reason:
0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 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.).
0 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).
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 License 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 [$5001).
SIGNATURE DATE
COMPLETE mts SECilON FOR NON-RESIDENTIAL eotIDING 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?
0 YES ONO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
C YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? a YES a NO
IF ANY OF TIIB ANSWERS ARE YF.S, A FINAL CERTIFICATE OF cxx:upAffCY MAY NOT BE ISSUED AFrER JULY 1, 1989 UNLF.SS TIIB APPUCANT
HAS MIIT OR IS MEETING TIIB REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVIOS AND TI-IE AIR POLLUTION CDNlROL DISI1UCT.
9. OONS'IROClloN LENDING AGENCY
I hereby afhrm that there 1s a construction lendmg agency tor the performance of the work for which this permit 1s issued (Sec 3097(1) C1vd Code).
LENDER'S NAME LENDER'S ADDRESS
IO. APPilCAN'l' CEltl1F'ICA'noN
I certify that I have read the apphcanon and state that the above mformatlon 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 10 SAVE INDEMNIFY AND KEEP ~ TI-IE CflY OF CARLSBAD AGAINST AU. LIABIUTIES, JUDGMENTS, CX>STS
AND EXPENSF.S WIIlCH MAY IN ANY WAY NXllUE AGAINST SAID CflY IN CDNSF.QUENCE OF TI-IE GRANTING OF TI-IlS 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 sus or ab oned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
DATE: ______ _
YELl..OW: Applicant PINK: Fmance
' ~--, ... -""' .. :
';
SEW£ R P E It lf. l. T
' ..
PERMIT# CB920442
DESCRIPTION: 502 SF WHRS/TO
MARKETING
TYPE: ITI
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 06/11/92
OFFICE SPECTRUM
INSPECTOR AREA MP
PLANCK# CB920442
OCC GRP
CONSTR. TYPE VN
JOB ADDRESS: 2796
APPLICANT: GROUP ONE
CONTRACTOR:
LOKER AV WEST STR:** FL:**** STE: 100
PHONE: 619 438-5191
PHONE:
OWNER: PHONE:
REMARKS: MH/NICK/714-699-4686
SPECIAL INSTRUCT: AM PLEASE
INSPECTOR -~V\J\--1r.-' ______ _
TOTAL TIME:
--RELATED PERMITS--PERMIT#
AS920028
SE920040
CB920546
TYPE
ASTI
SWOW
ITI
STATUS
ISSUED
ISSUED
ISSUED
CD LVL DESCRIPTION
19 ST Final Structural
29 PL Final Plumbing
ACT COMMENTS &,, ~t,,'j f,/cL fdfj}
39 EL Final Electrical
49 ME Final Mechanical
--------------------------------------------------------
***** INSPECTION HISTORY*****
DATE
060592
060492
060192
DESCRIPTION
Rough Combo
Rough Combo
Frame/Steel/Bolting/Welding
ACT INSP
AP MP
AP MP
AP MP
COMMENTS
CEILING
OK TO DROP TILES
WALL@ ROLL-UP DOOR
FINAL BUILDING INSPECTION RECEIVED ) ,P.!,' 'i 2 • ,.1 ;.} r{ I 1992
DEPT: BUILDING ENGINEERING FIRE PLANNING U/M WATER
PLAN CHECK#: CB920442
PERMIT#: CB920442
PROJECT NAME: 502 SF WHRS/TO OFFICE SPECTRUM
MARKETING
ADDRESS: 2796 LOKER AV WEST SUITE# 100
CONTACT PERSON/PHONE#: MH/NICK/714-699-4686
SEWER DIST: WATER DIST:
DATE: 06/11/92
PERMIT TYPE: ITI
==== ~================================================
INSPECTED DATE /; 1 / /
BY: --;.:.,.,,:..----=:~---INSPECTED: &-zJ 4/4V APPROVED / DISAPPROVED --
INSPECTE DATE BY: __________ INSPECTED: ___ APPROVED DISAPPROVED
INSPECTED
BY:
COMMENTS:
DATE
INSPECTED: APPROVED DISAPPROVED
----------------===========================
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619) 560-1468
DATE: .:;-_ J.J -'.,t 4-
JURISDICTI0N: ~C_.Le~r_)~~...,._;l::..;.._:;!::..;.._..__ _____ -,-___ _
QAPPLI~T
cOJORTu ~ 0 PLAN .HECKER
QFILE COPY
QUPS
QDESIGNER
PLAN CHECK NO: SET: .r
PROJECT ADD RES s : -~--=-7_,__'2~'-f..____L;;;;;;....;;;.o __ /4_c.::.e.-:,__,,a_...:;.A--:..w.v....;-e.-=---
PR0JECT NAME: I ..L-
D
-<O
0
D
-------------------
The plans transmitted herewith have been corrected where
necessary and substantially comply with the jurisdiction's
building codes.
The plans transmitted herewith will substantially comply
with the jurisdiction's building codes when minor deficien-
cies identified----------------are resolved and checked by building department staff.
The plans trartsmitted ~erewith 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 Corp. until corrected
plans are submitted for recheck.
The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant·contact person.
O Th~ applicant's copy of the check list has been sent to: ________________________________ ____,,.
®_Esgil staff did not advise the applicant contact person that
plan check has been completed.-
0 Esgil staff did advise applicant that the plan check has
been completed. Person contacted: ____________ _
Date e.ontacted: ---------Telephone# --------0 REMARKS: ________________________ _
By:EiSiqj¼ Enclosures: -----------
OGA DcM
.. ,.
Date, ~ /,3-J 2-Jurisdiction C,,.v-l LJ
Prepared bys /{ z: VALUATION AND PLAN CHECK FEE
a Bldg. Dept.
0 Esgil
PLAN CHECK NO. / )__ -L./ L/ 2__
BUILDING ADDRESS ____.2=-7...._9~;f-...... b---....o_/4_"t..e.._,.... ___ /+u~--e_=-------
APPLICANT/CONTAC T _________ PHONE NO. _______ _
BUILDING OCCUPANCY B -2-..
TYPE OF. CONSTRUCTION \.) N
DESIGNER PHONE ------
CONTRACTOR PHONE -----
BUILDING PORTION BUILDING AREA -VALUATION VALUE
MULTIPLIER
-r-I ~-c).2_ 2-./ /0 6-7'2-
c::.
Air Conditionin£
Commercial ---@ ..
Residential (a
Res. or Comm.
Fire· S'Drinklers @• ..
Total Value /~ _!::>-L/<:_
00
Building Permit fee $_2-__ 7_-r __ 'J'_X_f_f _________ ___,.$'--'-/--'-;2_~~---------· _
8 /.,o
Plan Check f ee-...::S:..__ ________________ __.$._....1_~...,:.....;;---
CO H HEN TS~:---------------------------
SHEET I OF I
12/87
11 (J:. ~~ &hdJ \?ff(Y\.A-t"' ~( ~ # \ ·. ~ . ?{o/ Dfp&2-. I 5;;,:o ~ \ -
I • : . ? '~:i-·l/4/ol'? wn~ ·. 141!:l. .m BUILDING PLANCHECK ~ 4,; , 0 ENGINEERING CHECKLIST T 1 '-\ 11. i ....l ....
C C ct§_
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E E E
C C C
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LEGAL REQUIREMENTS site Plan
5ll' ITEM COMPLETE
ITEM INCOMPLETE
NEEDS YOUR ACTION
__ ITEM SELECTED
~K K
[000 1. Provide a fully dimensioned site plan drawn to scale.
Show: north arrow, property lines, ease~ents, existing and·
proposed structures, streets, existing street improvements,
right-of-way width and dimension setbacks.
~DD 2. Show on site plan: Finish floor elevations,
elevations, elevations of finish grade adjacent
building, existing topographical lines, existing
proposed slopes, driveway with percent (%) grade
drainage patterns.
pad
to
and
and
Provide legal description and~ssessors Parcel Number.")
~ID :~Scr::i:::::.::::::
1
a:::::~::c:ere required,.
ODO 5. Project complies with all Engineering Conditions of Approval for Project No. _______ _
DOD 6. Project does not comply with the-following Engineering
conditions of Approval for Project No. ________ _
conditions complied with by: ________ Date: ___ _
Field Review
~DO 7. Field review compl~ted. No issues raised.
DOD 8. Field review completed. The following issues or
discrepancies with the site plan were found:
DOD A.
ODD B.
Site lacks adequate public improvements
Existing drainage improvements not shown or in
conflict with site plan.
DOD c. Site is served by overhead power lines.
P:\DOCS\MJSPOJlMS\PIMOOIO.DH REV. a2/'Z7/9I
•
i DOD
DOD
ODO
o.
E.
F.
Grading is required to access site, create pad or
provide for ultimate street improvement.
Site access visibility problems exist. Provide onsite
turnaround or engineered solution to problem.
Other: ______________________ _
ct~o Dedication Requirements
9.
DOD 10.
No dedication required.
Dedication required. Please have a registered Civil
Engineer or Land Surveyor prepare the appropriate legal
description together with an 8\" x 11" plat map and submit
with a title report and the required processing fee. All
easement documents must be.approved and signed by owner(s)
prior to issuance of Building Permit. The description of the dedication is as follows: _____________ _
Dedication completed, Date. _________ _ By: __ _
· //Improvement Recmirements .
CZl DD 11. No public improvements required. SPECIAL NOTE; Damaged or
defect iv• improyements tound adjacent to building site must be repaired to tha satistaction of the city inspector prior to occupancy,
Public improvements required. This project requires
conatruction ot public improvements pursuant to section
18.40 of the City Code. Please have a registered Civil
Engineer prepare appropriate improvement plans and submit
for separate plancheck process through the Engineering
Department. Improvement plan• must be approved,
appropriate securities poated and fees paid prior to
issuance of permit. The required improvements are: __ _
Improvement plans signed, oata: ________ by: ___ _
P:\DOCS\MISFCIINS\FRM0010.DN REY. 02/27/91
=:J DD 13. Improvements are required. Construction of the public
improvements may be deferred in accordance with Section
18.40 of the City Code. Please submit a letter requesting
deferral of the required improvements together with a
recent title report on the property and the appropriate
processing fee so we may prepare the necessary Future
Improvement Agreement. The Future Improvement Agreement
must be signed, notarized and approved by the City prior to issuance of a Building Permit.
Future Improvement Agreement completed, Date: ________ _ By: _________ _
DD J:J 13a. Inadequate information available on site plan to make a
determination on grading requirements. Please provide more
detailed proposed and existing elevations and contours.
Include accurate estimates of the grading quantities (cut,
00 0 14.
fill, import, export). ·
No grading required as determined by the information
provided on the site plan.
DD D 1s. Grading Permit required. A separate grading plan prepared
by a registered Civil Engineer must be submitted for
separate plan check and approval through the Engineering
Department. NOTE; The Grading Permit must be issued and grading substantially complete and found acceptable to the city Inspector prior to issuance of Building Permits.
Grading Inspector sign off. Date: ______ by: ___ _
Miscellaneous Penaits
cioo
ODD
DOD
ODO
16.
17.
18.
19.
Right-of-Way Permit not required.·
Right-of-Way Permit required. A separate Right-of-Way
Permit issued by the Engineering Department is required for the following: ____________________ _
sewer Permit is not required.
sewer Permit is required. A sewer Permit is required
concurrent with Building Permit issuance. The fee required
is noted below in the fees section.
DD D 20. Industrial Waste Perait is not required.
P:\OOCS\NISFOIIIIIS\FIN0010.0N REV. 02/27 /91
t
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~ GOD 21'" i(_,,~~~ustria£d,~~i~ Li ie~l; ,.;s required. Applicant must
, , ,·,.,1-:..a.) . complete Industrial Waste Permit Application Form and
f?C:)~~\-;;, submit for City approval prior to issuance of a Building ~ qJ s,· ,., Permits. Permits must be issued prior to occupancy. e,,,\
:a
D
D
Industrial Waster Permit accepted -
Date : _________ By: ______________ _
fees Required
27.
23.
24.
Nt ~1 25.
26.
Park-in-Lieu Fee Quadrant: ____ Fee per Onit: ______ _
Total Fees: __ _
A?tl, ~~· :t·1 Or; \ \4
Traffic Impact Fee ~ n';>i r 1 ... LA c~·
Fee Per Unit: ·,l,;,>V,\j,__ I 'I -·-1 Total Fee:___;~.::..·?_\_··_/_,_-_·_
Bridge and Thoro~gh fare Fee
Fee Per Unit: #@r-,1/filr X ]
Public Facilities Fee required.
Total Fee:
Facilities Management Fee zone: ______ Fee: l:YY1(,.,
\g" 27. ·sewer Fees Permit No.:;E;qe(X)40 EDU's .-Ir' X\t/1()"' 2.<qQ,l;O
Benefit Area pl {f.(W€:'\ A< )( • It? Fee: ____.J,.,._'" .... ~ .... --(...,)..:;;,;.>-·-4z:t.....,.·~"'-?-
0 ll( (\ ·2a. Sewer Lateral Requ~;~~~'_iz_, ___________ _
Fee: _______ _
29. REMARKS:__.[\ ... -.;...\N....,'. .... () .... \....,·,1_., +-/ _·\ri--·/-,_,.) .... \\i...-;,'-a;...', _·. : __ c..._, --ta~ __ f-_1.._l....._....-:: ........ · ...... L ..,._ ___ ___
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BY:~ DATE :_,_5 ... ,-rP2~f--.....i'...,;d=---
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REV. 02/27/91
1,.1 ;." -, I .• ~ .. ,
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PLANNING OiECKUsr
2-?f',,6 I~
Plan Check No. qz._ -Yc./2 Address ~ to"=&. A iJOC:tOtr>T a/"4:iiJ'
Planner U1>) t;r,v«l,_. Phone 438-1161 ext. t./3 2-S-
(Name)
APN: __________________ __;,_ ______ _
Type of Project and Use JAJl;r;r;.'7Pllt-TT
. Zone ,Pm . Facilities Management Zone -----
Legend
[Z) I tern Complete
0 Item Incomplete -Needs your action
1, 2, 3 Number in circle indicates plancheck number where deficiency was
identified
rniS' 0 Environmental Review Required: YES _ Nof::S.._ 'IYPE __ _
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. DA TE: ---------PROJECT NO. ___ _
OTHER RELATED CASES: ___________________ _
Compliance with conditions of approval? If not, state conditions which require action. ·
Conditions of Approval------------------------
~0 California Coastal Commission Permit Required: YES _ NO .::<:_
DATE OF APPROVAL: _____________________ _
San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA. 92108-1725
(619) 521-8036
Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval _____________________ _
Landscape Plan Required: YES _ NO
See attached submittal requirements for 1
Site Plan:
A
Zoning: ~o?
crijo .N/4
~041
1.
2.
3.
4.
1.
2.
3.
Provide a fully · ensioned site plan drawn to scale. Show: North
arrow, property r es, easements, existing and proposed structures,
streets, existing street improvements, right-of-way width and
dimensioned setba ks.
Show on Site Pl : Finish floor elevations, elevations of finish grade
adjacent to build.in , existing topographical lines, existing and proposed
slopes and drivew y.
Provide legal desc 'ption of property.
Provide assessor's parcel number.
Setbacks:
Front:
Int. Side:
Street Side:
Rear:
Lot coverage:
Height:
Required
Required
Required
Required
Required
Required
__ Shown __
__ Shown __
__ Shown __
__ Shown __
__ Shown __
__ Shown __
£B1J[] 0 r ):;_ 4. Parking: Spaces Required
G est Spaces Required
__ Shown __
__ Shown __ Z6 ~ ,(J~lr1tPb<JflMIP4'0 .
0 D D Add1ti~nal Comments-----+-----------------
OK TO ISSUE AND ENTERED APPROVAL INTO C MPI.JTER J. ly,,-L. DATE S-7--t" z_
PLNCK.FRM
• -t:,
Certificate of Complianse============S=im=p=lifi=1e=d=Co=m=pl=ian=ce=A=pp=r=oa=ch=C=F=-=l=s
Proiect gineer
2 Y'f, · ff'Ke/12 ttvE
Project Localion
&~srwfP City/fawn
'JJ_U-L Cd:'
Doc!umeniation Author/Firm
Principal~ The propooed building will be in wbstantial cor,plianccwith the
California Building Energy Ellkiency Siandards provided it is builr according to the
plans and specifications and provided future improvements are cou,pleted according
to the requirements indicated on this Certificate of Compliance. The plans and
specifications have been prepared to include all significant eoc 'fri conse!Vation
features required Cot compliance with the Siandards. Buildi:1 . areas that are =etr);-~~·:;~
Signature Date
~ca~('t~r-. RJ.FIN ,
Nameffitle
Company
.!<'SS'-5' eft-"'IIIVD V, J>A 'if:i9/3.,!_E
Addr--=-----
e~S ~ft'"i) Ct=j
°"°"""· The energy conservation features and performance specilscations indicated
on this document and on the plans and specifications shali 1pply to future
alterations. unleu compliance is demonstrated anew and a n !N Certificate of
Compliance it aubmittcd. A copy of this Ccrtilicate will be retained and transmitted
to future tenants, subsequent owners or others with respom,,bility for making
imprtwements or modifications to the I IC this certi(k;,.~:e is lost. a new'
Certificate may be required before a rmit is i ued for alteratio1·,. Unconditioned
area.a are in · the plans a , if the areas are condit•::,-ied in the fulure,
they m comply 'Ni the apfl: · ble e'nergy stand.:ar Js then in efTecL
~Aamc,. The proposed building. and future alteratioru will comply with
the California Building Energy Efficiency Standards. provided futuH alterations meet
the requirements indicated on this Certificate and all applicable m-., --,Jatory measuret,
as long as the building occupancy type remains unchanged.
Signature Date
Name/Iitle
Agency
Address
Oty/Statc/Zip
Blank Forms IV-2
For Enforcement Agency Use Only
Building Permit Number
Plan Checked By
Field Checked By
Approved By
Compliance Requirements
GENERAL
1 Occupancy: UBC __ J!>_-_z. __ CEC tDF/:tC£
2 Gross conditioned floor area. ___ 5'i'--"0_"2..=---
ENVELOPE
3 Roof/ceiling construction
5 Floor c Raised (R-11 required)
~lab (No requirements)
6 Walls construction
.2X--f /'f£r19-, H2fe'te ,_/ /<'-//
I
7 Glazing Type=_.....:..M.;._t!?..;..~_c_-________ _
8 Skylight Area=_.....,tji,...... __ Vertical Glazing Area= _.5Jl2_
LIGl-ITING
9 General lighting power density=
10 Display lighting power density=
11 Energy saving lamps required
max. allowed/proposed
/·'32..
~-$-yes/no?~
'!> ~19,-,p FL.i.,oA! 1-v /-s4w Ll'tt1rs
'
HVAC
12 HVAC sizing max. allowed/proposed
Cooling capacity (kbtuh)
Heating capacity (kbtuh)
13 HY AC Equipment
Type Mfg./Model#
£"XIS -r,,N' 6--5 0 tptf !) 4 i?'
Capacity
14 Economizers (yes or no?)..&c(, if no indicate exception
a perimeter zone Cother ______________ _
SJMPT.TfTEO COMPLIANC'E APPROACH WORKSrlEET WS-2s
iPEe'rlf'q,-,t d,,~ 1<E-T11.Jv-EJi)?;,r1c>A/ 7--6"· 5"-c::r"L tf5~o-----------------------------Clima-· _~_z.onc _____ o._~
<;,,j_"/.,.'·:· , ., . .._, A B
1 JGHT FIX11JRE (from table 3-20 Enerev Efficiencv Manual)
TYPR watts/fixture
iFLOURESCENT w/ 4-foot enerev savin~ lamos
2-lamo rmures
3-lamo r1Xtures tandem wired
3-lamo fixtures individuallv wired
4-lamo fixtures = 11n1n::-~cENT wt 4-foot re"ular lamns
2.1amn fixtures
3-lamo fixtures tandem wire
3-lamo fixtures individuallv wired
4-lamo rmures
IMt'K f1S watt min. for incandescent)
TOTALS
(23) General Lighting Power Density (W/ft2)
MAXIMUM
ALLOWED I 1-~ I
2.0 Coc Retail
LS roc Off'iceo
PROPOSED I 1-32. I
L2l+L2
72
108
115
144
86
129
136
172
C D F
GENERAL LIGHTING DISPLAY LIGHTING
Otv BxC n1v
4 432..
2.. 2'30
(21) h~z_ (22)
(24)Display Lighting Power Density (W/ft2)
MAXIMUM
ALLOWED
I I
0. ZS for Retail
O. 10 for Ofr1<a
PROPOSED
I I L22+L2
BxE
HV AC SIZING--------------------···-------------------------------------------------. ----------------------------------__ -----__ . __
(2S)Cooling Load
A B C
COMPONENT CLF TOTAL
ROOF AREA L3 (DT·l)
It.. : S-<::?Z.... ..:Z-2.Cf //~o #
WALL AREA Ll4 (lJ1•2)
# + /b6 '3·91 5°lh
:
#
#
GLAZING AREA PLANS (DT-J)
NORTI-1 d
SOU'IH d
EAST d -
WEST d
SKYLIGHT ~
LIGHTING WA'ITS : L'21+L22
h~z. 2.8 I "il-ri-f-
PEOPLE/APPLIANCES'. CFA(L2) (DT-S)
and VENTILATION/ 5"'92...-/tJ•fr G"42Z INFILTRATION
(26)Total heat gain I qozz..
IV-7
(27)Heating Load
A
COMPONENT
ROOF AREA L.)
II " 5(5) '2..
WALL AREA 4-L14
. # 16,
#
#
GLAZING AREA UdJl8
VENTILATION/ CFA(U)
INFILTRATION ~,02,_
(28)Total heat loos
(29)Cooling Equipmenl Size (kbtuh)
MAX. ALLOWED I 15-~ I
I.S x L26 + 1000
(30)Healing Equipment Size (kbtuh)
MAX. ALLOWED I 6-~11 I
1.8 x L28 + 1000
B C
HLF TOTAL
(DT·l)
2 · l'f LO~
(LJl•l) ~-;z~ ~h?
lDT-3)
(u1-))
4· '2. -Z(0~
I =--e,!r
PROPOSED
I r1 I
Plan,
PROPOSED I¢ I ,;,;;,;.
Blank Forms
SIMPI .lflBp COMPLIANCE APl'ROACH WORKSHEET WS-ls
7
Projecl Tltlc Oimatc Zone Dote
GENERAL BUILDING DATA------------------------
• • (1 )CE~ Occupancy L ·R ,o,,;;,c,-c £
'fl (3)Exterior RooC/Ceiling Arca So 2.
=" (S)RooC/Ceiling Insulation Height __ -..;_, _____ _
• (7)Venical Glazing Area. ___ .._¢ _______ _
(2)Permit Conditioned Floor Arca. __ _,.;;;S''--0_2 ___ _
(4)Conditioned Perimeter _____ l_~;;;;_·_S-____ _
(6)Gr06S Exterior Wall Area ___ A __ ~a.....;;~a..------
(8)Opaque Exterior Wall Arca._~./4.:::~;;..:::6~-----
ROOF/CED.JNG_----------------------------
(9)Suspcndcd ceiling, yes/no? Y&S
(lO)RooC/Ceilin& construction A\sembly (DT-1)
A
#
B
DESCRIPTION
C
AREA (ft2)
~ W1•2> ,e;;,,,,., .£7) U/ /R-/9' P 'c>u sP.£/vfl&p e,1:,,,._&-5""c9"<--.
FLOOR.----------------------------------
(11) Cl Raised Floor (R-11 Required) (12)}9' Slab Floor (No Requirements)
WALLJ>------------------------------
(13)Exterior Wall Construction Assemblies (DT-2)
A
#
B
DESCRIPTION
4 Jl'!.eTRL. f719-Nf11vc--wl.R-t/
I
C
AREA m:,
/~~
(14)TOTAL EXTERIOR WALL AREA
GLAZING--------
(lS)Type. ___ M.:..:'4'.::;,;1~.,.,_..;;3~:,__--------
(17)Skylight Sizes
A B
QTY DIMENSIONS
19 Effective Qlaz · a ( ) mg Are For Skylights
(20)Total effective glazing area (ft2)
Blank Forms
"'
C
TYPE
l.18 r 4.0
MAXIMUM
ALLOWED I -21 I
L6 r Ll6 + 100
IV-6
(16)Glazing percentage allowed ___ .2::--e,o:/,......,. ____ _
• <DT-l>
D E f
AREA MIN.ROOM SIZE TOTAL AREA
(ft2) (50 x D) (ft2) fA X 0) (ft2)
(18)TOTAL SKYLIGHT AREA
PROPOSED I t I
L7 + Lt9
SIMPUfffiP COMPLIANCE APPROACH MANDATORY SPECIFICATIONS OIECIC.LIST MF-ls
' .
Project Title
Envelope Measures
(""("'" Installed luulatlng material shall have been certified by the manufacturer to comply with the California Quality Standards for
f insulating material.
[~ All Insulating materials shall be installed in compliance with the flame spread rating and smoke density of Sections 1712 and
1713 of the UBC.
[.,(
l I
I I
l I
I I
I I
After lnstallina insulation, the installer shall post an insulation certificate (IC-I) in a conspicuous location.
All doon and windows installed between conditio1ed and unconditioned spaces shall be designed to limit air leakage into or from
the buildlna envelope.
All manufactured doon and windows installed sh.1II have air infiltration rates certified by the manufacturer per Section 2-5317(b).
Site-constructed doon and windows, exterior joints, and openings in the building envelope that arc observable sources of air
leakaae ahall)e caulked, gasketed, weather-stripped or otheIWise sealed. ·
All glazinl for climate zones 1 and 16 must be ! pccial glazing with a maximum overall U-value of 0.65.
Skylighll lhall be installed only in rooms where the room area is at least 50 times larger than the skylight area installed in the
room.
HV AC and Plumbing System Measures
( ) Piping, mpt those conveying fluids at temperatures between 60 degrees and 105 degrees Fahrenheit or within HVAC
equipment. shall be insulated in accordance with Section 2-5312.
[ ] Natural ~ appliances shall not be equipped w11h a continuously burning pilot.
( ) Heat Pumps'shall be installed with controls tc prevent electric resistance supplementary heater operation when the heating
load ca11,.~. piet by the heat pump alone. Ekctric resistance supplementary heater operation is permitted during transient
periods; auc:11 ·u start-ups and following room : ,,ennostat set point advance, when controls are provided which use preferential
rate control, intelligent recovery, staging, ramping, or similar control mechanisms designed to preclude the unnecessary operation
: of supplem~tary beating during the recovery period. Supplementary heater operation is also permitted during defrost.
[ ) If a circulatlna hot water system is installed, it shall have a control capable of automatically turning off the circulating pump(s)
when hot water is not required. ·
[v(" Ventilatlo~ 11r shall be provided per Section 2-5343.
[~Air handlin&:duct systems shall be constructed, installed, sealed, and insulated as provided in Chapter 10 of the State Mechanical
.Code (Title 24, Part 4).
( ) On mechanical ventilation supply and exhaust systems capable or moving more then 5,000 cfm of air, automatic dampers
Interlocked and closed on Can shutdown shall be provided. On gravity ventilating systems, either automatic or readily accessible
manually operated dampers in all openings to ,he outside, other than combustion air openings, shall be provided.
( ) Lavatories lnratrooms of public Cacilitics sh.II be equipped with:
a) outlet devices that limit the now of ho, water to a maximum of 0.5 gallons per minute, or with self-closing faucets that
limit delivery to a maximum of 0.25 gallom of hot water for recirculating systems and to a maximum of 0.5 gallons for non
.-ecirculatlng systems. ·
b) devices that limit the outlet temperat11,e to a maximum of 110 degres Fahrenheit.
IV-3 Blank Forms
"• .,
[ ]
[ ]
[ ]
l I
Room air conditioners, central air conditioning heat pumps (regardless or capacity, except that requirements for central air
conditioning heat pumps with coolin~ capacity of 1)5,000 fltu per hour or more apply to heating performance but not cooling
performance), other central air comhtioncrs with a cooling capacity less than 135,000 Btu per hour, fan type central furnaces
with input rate less than 400,000 Utu per hour, boilers, wall furnaces, floor furnaces, room heaters, unit heaters, and duct furnaces
shall have been certified to the California Energy Commission by its manufacturer to comply with the efficiency standards.
Each HY AC system shall be equipp-:d with at least one automatic device to set back or shut off the system during periods of
non-use or alternate use of the building spaces or zones seived by the system. (timelock)
Each zone shall be provided wilh a: leas! one automatic temperalure control device for the regulation of space temperature.
Each floor with conditioned space shall contain one zone.
,The tempe~ture controls shall:
: · '.'°c~) be able to maintain space temperature set points from 55 to 85 degrees Fahrenheit. Two or more replaceable raed set
point devices, one for cooling and one for heating, may be used in lieu of continuously adjustable set point devices.
(b) be able to operate zone heating and cooling in sequence if both are provided.
· (e) provide a temperature range adjustment up to 10 degrees Fahrenheit between full heating and full cooling capacity to the
zone, if the zone has both heating and cooling capacity. If the HVAC system uses reheat or recool for conditioning this
zone. this control shall reduce nxiling capacity to the zone before reheating and reduce heating capacity to the zone before
recooling.
' All HVAC systems installed as pa11 of the Simplified Compliance Approach shall include an integrated temperature or enthalpy
economizer·cycle or integrated water economizer cycle. or a separate ventilation system(s) capable or supplying outside air for
ventilation and capable of bringing in outside air under thermostatic control while locking out other mechanical heating or cooling
systems. The economizer shall be capable of operating and providing pa11ial cooling, even when additional mechanical cooling
ia required to meet part of the load.
Exceptions:
.·. ( ) a) Systems of less than 3,000 cfm peak supply air volume and direct expansion cooling systems of 15 tons or less nominal
cooling capacity may use a two oosition economizer that is not able to provide partial cooling when mechanical cooling must
operate simultaneously.
( ] b) The system serves only penmeter zones of which less than 20% of the zone areas are located more than 15 feel from
an exposed exterior wall.
[ J c) Systems with no mechanic.ii cooling capability.
· k, [: J d) The total capacity of cooli'lg systems without economizers serving the permit space is less than 5 percent of the total
· · installed cooling capacity.
Llg~ting System Measures
1 '1""· Each area enclosed by ceiling-height partitions shall have independent control of the lighting within that area.
[ ~ Each area enclosed by ceiling-height partitions shall have at least one readily accessible manually operated switching device 10
. control lighting within that area. f.;ir lighting controls, "readily accessible" means located so that a person using the device can . sc:c the.controlled lights of the area being lit. Switching dc.-viccs in addition to, but not instead of, the required readily accessible
manually operated switching devic~ shall be permilled.
(v(' The general lighting of any enclose .. ! area 100 square feel or larger in which the connected lighting load exceeds 1.0 watt per
·. square Coot for the area as a whole, shall be controlled so that the load for the lights may be reduced by al ieast one-half while
maintaining a reasonably uniform In-el of illuminancc throughout the area. A reasonable uniform level of illuminance may be
· maintained by controlling all lamps or luminaires with dimmers; by dual switching of alternate rows of luminaires, alternate
luminaircs, or alternate lamps; by switching the middle lamps of three lamp luminaires independently of the outer lamps; or by
switching each lumaire or each lamp.
( ~ In all areas where ef~ective use ma; be made of natural light, lighting circuiting shall be arranged so that units, in all portions
oC the area where natural light is Jvailable at the same time, are switched or dimmed independently of the remainder of the
area. When erfective use of natural light can be achieved through on-off switching of only a portion of the lamps within each
of the luminaircs located in the are.• where natural light is available, the other lamps in these luminaires may be switched with
·· the remainder of the area.
Blank Forms IV-4
I
( J Valance lighting shall be separately switched and ft-aturc displays shall he separately switched on circuits of 20 amps or less.
IC the total lighting power for f,!ature displays in a store exceeds four such circuits, switching shall be controlled by an automatic
programmable timer per Sccticn 2-5319(h).
[~ One-lamp or three-lamp fluorescent lighting luminaircs, of the type listed as subject to certification, recessed or surface mounted
within 10 feet of each other or pendant mounted within one (1) foot of each other, shall be tandem wired to eliminate
unnecessary use of single lamp ballasts. Tandem wiring consists of pairs of luminaires operating with one lamp on a luminaire
powered from a single two-lamp ballast contained in a second luminaire.
IV-5 Blank Fonns
INDUSTRIAL WASTE DISCHARGE PERMIT
APPLICATION
BUSINESS NAME ~"T5ihlY"'-:::: M~Er:t)~,
SITEADDRESS 2,1C:,G, ~ AV:E:::: ·W 8 lffi/ ~
CONTACT PERSON (at business). __ jf_Ay.......-.... ~ ........ --------------------
PHONE NUMBER j';} l -~w(;, 0
Type of Business (check all that apply)
D Agricultural
OAssembly
D Automotive
D Government
D Laboratory
D Laundry
D Manufacturing
DMedical
D Photo Lab
D Retail
D Service Station
Dwarehouse
D Other
D Chemical Handling
D Electronics
DFood 0 Met;i(Work
~Office
-------
DESCRIBE WASTE OTHER THAN DOMESTIC (Chemicals, Particulates, etc.) _________ _
DESCRIBE BUSINESS ACTIVITY:--=5;....6_-?~if:+--_'h........,.f_f_.a.;;.<-, ...... C ..... Q. ___________ _
GENE L DESCRIPTION OF ONSITE WASTEWATER PROCESSING: (chemical & physical characteristics) Pc -
Is business presently in operat1on at site? f.d'Yes D NO ~
Has Wastewater Discharge Permit been applied for through the Encina Water Authority? [!f YES D NO ·
Applicant's Name~-C ~1' Title ?}:o Phone 4~(6-f>lc.J /
Please Print
Agency: ~rJ~ ~-=-
Signature~ \
f:iiEXEMPT D NOT EXEMPT
WJG.
Dme __ ~.r;;._·-~-·-~..:.-e...., __ _
Date forwarded to Encina. ________ _
P:\DOCS'\IIISFOIINS\FIIN00045 REY. 2/10/92