HomeMy WebLinkAbout2501 GATEWAY RD; ; CBC2019-0507; Permit4ity of
Building Permit Finaled Carlsbad
_
Commercial Permit
Print Date: 06/29/2020
Job Address: 2501 GATEWAY RD, CARLSBAD, CA 92009-1742
Permit Type: BLDG-Commercial Work Class: Tenant Improvement
Parcel #: 2132601100 Track #:
Valuation: $46,510.00 Lot #:'
Occupancy Group: Project #:
#of Dwelling Units: Plan #:
Bedrooms: Construction Type:
Bathrooms: Orig. Plan Check #:
Plan Check #:
Project Title:
Description: VIASAT: 1000 SF T.I. (OFFICE TO OFFICE)
Permit No: CBC2019-0507
Status: Closed - Finaled
Applied: 10/23/2019
Issued: 12/16/2019
Finaled Close Out:
Inspector: LStor
Final Inspection: 06/29/2020
Applicant: Property Owner: Contractor:
MELISSA HANNER LEVINE INVESTMENTS LP PCG CONSTRUCTION INC
13280 EVENING CREEK DR' 2201 E CAMELBACK RD. # 650 7950 E REDFIELD RD, # STE 240
SAN DIEGO, CA 92128 PHOENIX, AZ 85016 SCOTTSDALE, AZ 85260-3433
(858) 793-4777 (602) 840-7600
FEE - AMOUNT
BUILDING PERMIT FEE ($2000+) $386.80
BUILDING PLAN CHECK FEE (BLDG) $270.76
ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL $43.00
PLUMBING BLDG COMMERCIAL NEW/ADDITION/REMODEL $63.00
S81473 GREEN BUILDING STATE STANDARDS FEE $2.00
STRONG MOTION-COMMERCIAL . $13.02
Total Fees: $778.58 Total Payments To Date: $778.58 Balance Due: $0.00
Please take NOTICE that approval of yoUr project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth, in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for 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 you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired. -
Building Division ' Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 1 760-602-2700 1 760-602-8560 f I www.carlsbadca.gov
IThE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING DENGINEERING DBUILDING DFIRE DHEALTh DHAZMATIAPCD I
ACity of Building Permit Application Plan Check No()/9.. xift L 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value abo ::S7i2
Ph: 760-602-2719 Fax: 760-602-8558 Carlsbad email: buiidingcarlsbadca.gov Plan Ck. Deposit
www.cartsbadca.gov I Date / / — - /9
JOB ADDRESS 2501 Gateway Road Rlda 12 I 212 291 -. 23 -
CT/PROJECT a LOT C PHASE C 410F UNITS ROOMS IEPIANT BUSINESS NAME CONSTR. TYPE CCC. GROUP 1#011MROOMS 'r I
ViaSat IlA
I
B
a)ESCRIPTION OF WORK: Include Square Feet of Affected Area(s) -
APPROXIMATELY 1000 S.F. OF OFFICE TENANT IMPROVEMENT ON THE THRID FLOOR BOARDROOM & GALLEY WITHIN AN
EXISTING THREE STORY (+ GARAGE) BUILDING WITH ASSOCIATED STRUCTURAL, ELECTRICAL & PLUMBING MODIFICATIONS.
NO MECHANICAL. THERE IS NO CHANGE TO THE EXISTING SQUARE FOOTAGE OF THE BUILDING.
.TXIS11NG USE PROPOSED USE DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
B B
I
YES#. NOI YES NOD YESNOD
APPLICANT NAME Melissa Hanner PROPIYOWNER NAME Pivotal 650 California ST, LLC Primary Contact
ADDRESS ADDRESS
13280 Evening Creek Dr. Suite 200 2201 E. Camelback Rd., Suite 650
CITY STATE ZIP CITY STATE ZIP
San Diego CA 92010 Phoenix AZ . 85016
PHONE FAX PHONE FAX
858-7934777 1 602-248-8181
EMAIL EMAIL
melissah@sca-sd.com
DESIGN PROFESSIONAl. Melissa Hanner CONTRACTOR BUS. E PCG
ADDRESS ADDRESS 7950 E. REDFIELD ROAD
CITY STATE ZIP. STATE ZIP
. Scottsdale AZ 85260
PHONE IFAX PHONE IF AX
EMAIL
COY BUS. UC.41
(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 Contractors License Law {Chapter 9. commendIng with Section 7000 of DivisIon 301 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 appllcan[for a permit subjects thejppllcaotjp a
civil penalty of not more than five hundred dollars ($500)). __•
WORKERS' COMPENSATION
—I Workers' Compensation Declaration: I hereby affirm erpenaItyofpeijurone of the fdbwhV
R I have and will maintain a =Mcalsof consent toself.Ineure for wodmof compensation as provided by Section 3700olthe Labor Code, for the performance of the work for which this permit lslssuad.
I have and will maintain workers' compensation, as required bySedion 3700 of the Labor Code, for the performance of the work for which this pemilt Is Issud My workers' compensation Insurance canter and policy
number are: Insurance Co. Ii* (r ._LY irCC2 Policy No._1$ (i(2 Expiration0ate_ /2.0
I section need not be completed If the permit Is for one hundred dollars ($100) or less.
Certificate of Exemption: I certlfythat ln the performance ol the work for which this permit lsIssued, I shall not employ any person ln any manner so asto become subject the Workers' Compensation Laws of
California. WARNING: Failure to secure 'compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (8100,000), In
addition to the cost of compensation, dam provided for In Spdon 3706 of the Labor code, Interest and attorney's fees.
CONTRACTOR SIGNATIJRE - DtIT DATE
hw1P1II.I!
lhereby atfirm that lam exempt from Ccntracto?s license Law for the following reason:
0 1. as owner of the property army 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).
[J lam exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property Improvement. DYes Duo
2.1 (have I have not) signed an application fora building permit for the proposed work.
3.1 have contracted with the following person (film) to provide the proposed construction Chiclude name address ! phone / contractors' license number):
4.1 plan to provide portions of the work, bull have hired the following person to coordinate, supervise and provide the major work (include name/address! phone I confradors license number):
5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (mdude name/address/phone/type of work):
£PROPERTY OWNER SIGNATURE []AGENT DATE
®(?& i7()00 01MV00139 o®ai O)O i)O?Ø ®S?
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? CI Yes CI No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYes CI No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYes CI 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.
@®?O®() 1E)O(90 C)(S
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
ocJ'? aco?o®
I celtitythatl have readtheapplicalionand statethattheabovelnfomiationiscwreotandthatthelnfomiatlonontheplanslsacmiiate. I aeet000mptyw4thalI City ordinances and State lawsielallngtobuildingcanstiuctian.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 69 deep and demolition orconstaiction of structures over 3 stories in height
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within
180 days from the date of such permit orifthe building or work authorized by such permit is suspended or abandoned atany time after the work is commenced for a period of180 days (Section 1064.4 Uniform Building Code).
APPLICANT'S SIGNATURE ¼Th DATE \ 0 /'z'-L) % c:t
L
Permit Type: BLDG-Commercial Application Date: .10/23/2019 Owner: LEVINE INVESTMENTS LP
Work Class:• Tenant Improvement Issue Date: 12/16/2019 Subdivision:
Status: Closed - Finaled Expiration Date: 06/29/2020 Address: 2501 GATEWAY RD
CARLSBAD, CA 92009-1742
- IVR Number: 22674
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
Checklist Item COMMENTS Passed
BLDG-Building Deficiency . No
BLDG-Plumbing Final . Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final ' Yes
/29/202O. 06/29/2020 BLDG-Final Inspection 131209-2020 . Passed Chris Renfro - . . Complete I
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final . Yes. -
BLDG-Mechanical Final . Yes
BLDG-Structural Final - .
Yes
BLDG-Electrical Final Yes
. .: ,.,
LI
Monday, June 29, 2020 Page 2of 2
ci
(
FA
Building Permit Inspection History Finaled
- eityof
Carlsbad
Permit Type: BLDG-Commercial Application Date: I0/23/2019 Owner: LEVINE INVESTMENTS LP
Work Class: Tenant Improvement Issue Date: 12/16/2019 Subdivision:
Status: Closed - Finaled Expiration Date: 06/29/2020 Address: 2501 GATEWAY RD
IVR Number: 22674 CARLSBAD, CA 92009-1742
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
12/17/2019 12/1712019 BLDG-84 Rough 113974-2019 Partial Pass Chris Renfro Reinspection Incomplete
Combo(14,24,34,44)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Need welding report per plans for I beam No
Header connection. Need to add drywall
above hard lid in Galley area for fire rated
wall.
BLDG-14 Yes
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Rough-Topout Yes
BLDG-34 Rough Electrical Yes
BLDG-44 Yes
Rough-Ducts-Dampers
12/24/2019 12/24/2019 BLDG-17 Interior 114762-2019 Partial Pass Luke Storno Reinspection Incomplete
Lath/Drywall
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Partial approval; Drywall @ board room No
side only.
-Punchlist from previous inspection
incomplete
12131/2019 12/31I2019 BLDG-17 Interior 115032-2019 Passed Luke Storno Complete
Lath/Drywall
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Partial approval; Drywall @ board room No
side only.
-Punchlist from previous inspection
incomplete
02/04/2020 02/04/2020 BLDG-Final Inspection 118318-2020 Cancelled Luke Storno Reinspection Incomplete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structural Final No
BLDG-Electrical Final No
02/10/2020 02/10/2020 BLDG-Final Inspection I18881-2020 Partial Pass Chris Renfro Reinspection Incomplete
Monday, June 29, 2020 Page 1 of 2
EsGilV/0
A SAFEbulltCompany
DATE: NOV. 049 2019
JURISDICTION:, CARLSBAD 11
PLAN CHECK #.: CBC2019-0507
PROJECT ADDRESS: 2501 GATEWAY ROAD
SET:I
U APPLICANT
U JURIS.
PROJECT NAME: ViaSat Bldg. #12 - T.I.
E The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's codes.
The plans transmitted herewith will substantially comply Wit~the jurisdiction's building codes
when minor deficiencies identified below are resolved achcked by building department staff.
The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
E The check list transmitted herewith is for your information. The plans are being held at EsGil
until corrected plans are submitted for recheck.
LI The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
LII The applicant's copy of the check list has been sent to:
EsGil staff did not advise the applicant that the plan check has been completed.
EsGil staff did advise the applicant that the plan check has been completed.
Person contacted: Melissa Hanner Telephone #: 858-793-4777
Date contacted: (by: ) Email: melissah(äsca-sd.com
Mail Telephone Fax In Person
IZI REMARKS.
r
By: ALl SADRE, S.E. Enclosures:
Bookman Old Styleil
10/25
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576
CARLSBAD CBC2019-0507
NOV. 049 2019
(DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: CARLSBAD PLAN CHECK #.: CBC2019-0507
PREPARED BY: ALl SADRE, S.E. DATE: NOV. 049 2019
BUILDING ADDRESS: 2501 GATEWAY ROAD
BUILDING OCCUPANCY: B; II-A/SPR.
BUILDING
PORTION
AREA
(Sq. Ft.)
Valuation
Multiplier
Reg.
Mod.
VALUE ($)
TI. AREA 1000
Air Conditioning
Fire Sprinklers
TOTAL VALUE . 46,510
Jurisdiction Code 1GB JBy Ordinance
1997 UBC Building Permit Fee
11997 UBC Plan Check Fee [J
Type of Review: ! Complete Review
r: Other
r Hourly
EsGil Fee
r Structural Only
r Repetitive Fee
I j Repeats
r
Comments:
Sheet 1 of 1
Rarefiec Environmental
August 29, 2019
Danko Drywall and Demolition
Attn: Accounts Payable
419 S. Marshall Ave.
El Cajon, California 92020
RE: Limited Asbestos Survey Report
ViaSat
2501 Gateway Road, Building El
Carlsbad, California 92011
1.0 Introduction
RAE Project ID No. R193052
RECE
OCT 23 2019
CITY OF
BUILDING D;vis;
On the date of August 28, 2019, Rarefied Air Environmental (RAE) conducted a limited asbestos survey at
the above-referenced property. RAE collected bulk samples of building materials suspected to contain
asbestos which are to be impacted during the proposed renovation activities.
All field activities were performed by Hans Reinisch, a representative of RAE and CA DOSH Certified
Asbestos Consultant; (CAC #18-6382).
2.0 Asbestos Laboratory Accreditation & Analytical Methods
Samples collected for asbestos content were analyzed by Environmental Protection Agency (EPA) Method
600/R-93/116 and/or 600844-82-020 per the Code of Federal Regulations (CFR) Title 40 Part 763.86 using
Polarized Light Microscopy (PLM) by the following independent and accredited laboratory:
Patriot Environmental Laboratory Services, Inc. - 6640 Lusk Boulevard, Building A, Suite 100 -
101, San Diego, California 92121. National Institute of Standards and Technology/National
Voluntary Laboratory Accreditation Program (NISTINVLAP) Lab Code (200982-0).
3.0 ASBESTOS
3.1 Asbestos Sampling Protocol
Sampling activities were performed in compliance with the National Emissions Standard for Hazardous Air
Pollutants (NESHAP) regulation 40 CFR (Code of Federal Regulations), Part 61, Subpart M. The
Environmental Protection Agency (EPA) has designed a protocol in which the sampling of suspect
materials is to take place. Materials shall be considered homogeneous if they are similar in color and texture.
A homogenous material shall be considered to contain asbestos if any of the samples collected representing
that material indicate the presence of asbestos. Contrarily, a homogenous material shall be considered to
not contain asbestos only if —all of the samples collected representing that material indicate the absence of
asbestos.
The EPA and California Occupational Safety and Health Administration (Cal-OSHA) have defined
building materials containing asbestos as follows:
Asbestos-Containing-Material (ACM) - any material containing greater than 1 percent (>10/o)
asbestos as determined by PLM, 40 Code of Federal Regulations (CFR) Part 61, Subpart M
C tClo N -
Asbestos-Containing-Construction-Material (ACCM) - any material containing less than one
percent (<1%) asbestos and greater than one tenth of one percent (>0.1%) asbestos by weight,
California Code of Regulations (CCR), Title 8, Section 1529.
3.2 Asbestos Sample Results
RAE collected a total of fifteen (15) bulk samples for asbestos content. In accordance with EPA bulk
sampling method protocols, the laboratory must separate and analyze all layers within a single sample,
resulting in additional sample analysis.
No asbestos was detected in any of the samples collected based on the limitations of the analytical
method. The following table summarizes the building materials samples that were found to contain no
asbestos based on the limitations of the analytical method:
Table I: Materials with No Asbestos Detected
Sample # Material f Material Location -
001 -006 Drywall and Joint Compound I Bldg El: 3rd Floor, Southwest Perimeter Offices and Adjacent Corridor
007-009 Fireproofing Bldg El: 3" Floor, West Perimeter Offices and Adjacent Corridor
010 -011 Clear Carpet Adhesive Bldg El: 3" Floor, West Perimeter Offices and Adjacent Corridor
012 4" Brown Cove Base and Mastic Bldg El: 3"' Floor, West Perimeter Offices and Adjacent Corridor
013 4" Grey Cove Base and Mastic Bldg El: 3" Floor, West Perimeter Offices and Adjacent Corridor
014 -015 Bldg 2" x 4" Tile Design Ceiling Panels --F- El: 3M Floor, West Perimeter Offices
Legend
* - Material contains trace amounts of asbestos and may be regulated under Cal/OSHA guidelines as an ACCM. The material may be required to
be removed by an asbestos licensed contractor. However, the material is not considered asbestos waste.
CH - Chrysotile Asbestos
NAD - No Asbestos Detected
G = Good, D = Damaged, SD = Significantly Damaged
Friable- any material that can be crumbled, pulverized or reduced to powder by hand pressure.
A copy of the asbestos PLM analytical results and chain of custody are included as an attachment to this
document.
3.3 Asbestos Recommendations
Due to the absence of asbestos in the above referenced materials, a California state licensed asbestos
abatement contractor will not be required to remove the above referenced materials to be disturbed
as a result of planned or other renovations to the subject property.
3.4 Disposal
Any materials containing greater than 1% asbestos are subject to regulations under EPA (National Emission
Standards for Hazardous Air Pollutants [NESHAP]) governing the storage, transportation and disposal of
hazardous waste. If any materials contain less than 1% asbestos (and no lead-based paint is present), these
materials may be properly bagged and disposed of as construction debris. If neither asbestos nor lead-based-
paint is present, the material may be disposed of as construction debris.
NESHAP has allowed for the composite sampling of drywall and joint compound for disposal purposes
only. If the drywall and joint compound composite sample results indicate a content of less than (<) 1%
asbestos, the drywall and joint compound may be properly bagged and disposed of as construction debris,
regardless of the asbestos content of the joint compound itself. If the drywall and joint compound composite
sample results indicate a content of greater than (>) 1% asbestos, then this material must be disposed of as
hazardous waste. If the drywall and joint compound contain a texture coating with an asbestos content
Rarefied Air Environmental- 9921 Carmel Mountain Road, #164
San Diego, California 92129
greater than (>) 1%, the drywall and joint compound with texture coating must be disposed of as hazardous
waste.
Limitations
Although Rarefied Air Environmental has taken several precautions in order to find all of the visible suspect
asbestos-containing-materials and/or lead-containing-paints present, several factors can hinder the findings
at the time of the survey. The following factors should always be considered:
Additional suspect materials could be located between walls, in voids, or in other concealed areas
previously inaccessible. If any suspect materials or painted surfaces are found which have not been
represented in this report, RAE recommends that work stops until those materials can be sampled
for asbestos and/or lead content. Furthermore, this is a limited survey. Additional suspect materials
and paints may be present outside of the affected areas sampled.
RAE does not warrant, guarantee or profess to have the ability to locate or identify all asbestos-
containing materials in a facility.
Confined spaces, and areas determined by RAE's personnel as unsafe to access, are excluded from
the scope of work. -
RAE is not responsible for the validity of the laboratory data. We merely interpret the results
provided by the laboratory analysis.
RAE does not guarantee or warrant that the facility or workplace is safe; nor does RAE's
involvement in this property relieve the Client, building owner/operator or tenant of any continuing
responsibility of providing a safe facility or living space.
This report was based on those conditions observed on the day the field evaluation was
accomplished. In the event that changes in the nature of the property have occurred, or additional
relevant information about the property is subsequently discovered, the findings contained in this
report may not be valid unless these changes and additional relevant information are reviewed and
the conclusion of this report is modified and verified in writing.
If you have any questions or concerns, feel free to contact the undersigned at 619.991.6654. On behalf of
Rarefied Air Environmental, we would like to thank you for the opportunity to be of service.
Sincerely,
Rarefied Air Environmental, Inc.
Matthew Zai
Owner and Chief Executive Officer
Certified Asbestos Consultant #11-4841
Attachment A:
Asbestos Analytical Data & Chain of Custody
Attachment B:
Sample Locations Map
Rarefied Air Environmental- 9921 Carmel Mountain Road, #164
San Diego, California 92129
Attachment A
Asbestos Analytical Data & Chain of Custody
Rarefied Air Environmental- 9921 Carmel Mountain Road, #164
San Diego, California 92129
Certificate of Analysis
PLM Asbestos Identification tel - 858-611-8900
free - 855-7874522
fax - 858-611-9009
PatriotLab.com
6640 Lusk Blvd., Suite A400, San Diego, A 92121 PA Environmen
Rarefied Air Environmental Report Number: 781527
9921 Cannel Mountain Road, 164 Project Number: Demko Construction San Diego, CA 92129 Project Name: Viasat
Project Location: 2501 Gateway Road Buildings El & E2
Carlsbad, CA 92011
Date Collected: 8/28/2019 Collected By: Hans Reinisch
Date Received: 8/28/2019 Claim Number:
Date Analyzed: 8/28/2019 P0 Number:
Date Reported: 8/28/2019 Number of Samples: 17
Lab/Client ID/Layer Location Material Description Color Composition (%)
781527-001 3rd Floor - South Offices Drywall White 84% Sulfate
001 #5 East Wall At Outlet 12% Cellulose
4% Glass Fibers
Total Asbestos None Detected
781527-002 3rd Floor - South Offices Joint Compound White 97% Carbonate
002 #5 East Wall At Outlet 3% Paint
Total Asbestos None Detected
781527-003 3rd Floor - South Offices Joint Compound White 97% Carbonate
003 #5 West Wall At Switch 3% Paint
Total Asbestos None Detected
781527-004 3rd Floor - South Offices Joint Compound White 97% Carbonate
004 #7 East Wall At Switch 3% Paint
Total Asbestos None Detected
781527-005 3rd Floor - South Corridor Joint Compound White 97% Carbonate
005 Outside #1 East Wall 3% Paint
Total Asbestos None Detected
781527-006 3rd Floor - South Corridor Joint Compound White 97% Carbonate
006 Outside #3 South Wall 3% Paint
Total Asbestos None Detected
Page 1 of 4
Certificate of Analysis
PLM Asbestos Identification tel - 858-671-8900
free- 8554874522
fax - 858-671-9009
Patriottab,com
6640 tusk Blvd, Suite A-lOG, San Diego, CA 92121
Rarefied Air Environmental Report Number: 781527
9921 Cannel Mountain Road, 164 Project Number: Demko Construction
San Diego, CA 92129 Project Name: Viasat
Project Location: 2501 Gateway Road Buildings El & E2
Carlsbad, CA 92011
Date Collected: 8/28/2019 Collected By: Hans Reinisch
Date Received: 8/28/2019 Claim Number:
Date Analyzed: 8/28/2019 P0 Number:
Date Reported: 8/28/2019 Number of Samples: 17
Lab/Client ID/Layer Location Material Description Color Composition (%)
781527-007 3rd Floor - South Corridor Fireproofing Grey 60% Cellulose
007 Outside #2 On Beam 40% Non-
Fibrous Material
Total Asbestos None Detected
781527-008 3rd Floor - South Corridor Fireproofing Grey 60% Cellulose
008 Outside #4 On Beam 40% Non-
Fibrous Material
Total Asbestos None Detected
781527-009 3rd Floor - South Corridor ' Fireproofing Grey 60961 Cellulose
009 Outside #8 On Beam 40% Non-
Fibrous Material
Total Asbestos None Detected
781527-010 3rd Floor - South Corridor Clear Carpet Adhesive Clear 100% Non-
010 Outside #5 Entry Fibrous Material
Total Asbestos None Detected'
781527-011 3rd Floor - South Corridor Clear Carpet Adhesive Clear 100% Non-
011 Outside #2 Entry Fibrous Material
Total Asbestos None Detected
781527-012 3rd Floor - South Offices 4 Inch Cove Base Brown 100% Non-
012 #5 East Wall North End Fibrous Material
Total Asbestos None Detected
Page 2 of 4
(ertil1cate of Analysis
PLM Asbestos Identification tel - 858-677-800
free 855-181-4522
fax - 858-617-9009
Patriotiab.com
6640 Link Blvd, Suite A-100, San Diego, CA 92121
Rarefied Air Environmental Report Number: 781527
9921 Cannel Mountain Road, 164 Project Number: Demko Construction
San Diego, CA 92129 Project Name: Viasat
Project Location: 2501 Gateway Road Buildings El & E2
Carlsbad, CA 92011
Date Collected: 8/28/2019 Collected By: Hans Reinisch
Date Received: 8/28/2019 Claim Number:
Date Analyzed: 8/28/2019 P0 Number:
Date Reported: 8/28/2019 Number of Samples: 17
Lab/Client ID/Layer Location Material Description Color Composition (%)
781527-012A 3rd Floor - South Offices Mastic Beige 100% Non-
012 #5 East Wall North End Fibrous Material
Total Asbestos None Detected
781527-013 3rd Floor - South Corridor 4 Inch Cove Base Brown 100% Non-
013 Outside #8 West Wall Fibrous Material
Total Asbestos None Detected
781527-013A 3rd Floor - South Corridor Mastic Beige 100% Non-
013 Outside #8 West Wall Fibrous Material
Total Asbestos None Detected
781527-014 3rd Floor - South Offices 2x4 Inch Tile Design Beige 65% Cellulose
014 #5 Ceiling By East Wall Ceiling Panels 20% Mineral
Wool
12% Perlite
3% Paint
Total Asbestos None Detected
781527-015 3rd Floor - South Offices 2x4 Inch Tile Design Beige 65% Cellulose
015 #5 Ceiling By West Wall Ceiling Panels 20% Mineral
Wool
12% Perlite
3% Paint
Total Asbestos None Detected
Page 3 of 4
Certificate of Analysis
PLM Asbestos Identification tel - 858-677-8900
free- 855-787-4522
fax - 858-671-9009
patriotLab.wm
6640 Usk Blvd, Suite A400, San Diego, CA 92121
Rarefied Air Environmental Report Number:
9921 Cannel Mountain Road, 164 Project Number:
San Diego, CA 92129 Project Name:
Project Location:
Date Collected: 8/28/2019 Collected By:
Date Received: 8/28/2019 Claim Number:
Date Analyzed: 8/28/2019 P0 Number:
Date Reported: 8/28/2019 Number of Samples:
781527
Demko Construction
Viasat
2501 Gateway Road Buildings El & E2
Carlsbad, CA 92011
Hans Reinisch
17
Lab/Client ID/Layer Location Material Description . Color Composition (%)
6~~
Lexy Parra - Analyst Michelle Lavallee - Approved By
Bulk sample(s) submitted was (were) analyzed in accordance with the procedure outlined in the US Federal Register 40 CFR 763, Subpart F, Appendix
A; EPA-600/R-93/116 (Method for Determination of Asbestos in Building Materials), and EPA-6001M4-82-020 (US EPA Interim Method for the
Determination of Asbestos in Bulk Insulation Samples).Samples were analyzed using Calibrated Visual Estimations (CVES); therefore, results may not be
reliable for samples of low asbestos concentration levels. Samples of wall systems containing discrete and separable layers are analyzed separately and
reported as composite unless specifically requested by the customer to report analytical results for individual layers. This report applies only to the items
tested. Results are representative of the samples submitted and may not represent the entire material from which the samples were collected. "None
Detected" means that no asbestos was observed in the sample. "<1%" (less than one percent) means that asbestos was observed in the sample but the
concentration is below the quantifiable level of 1%. This report was issued by a NIST/NVLAP (Lab Code 200982-0) and CADOHS- ELAP (Cert. No.
2805) accredited laboratory and may not be reproduced, except in full without the expressed written consent of Patriot Environmental Laboratory Services,
Inc. This report may not be used to claim product certification, approval or endorsement by NIST, NVLAP, ELAP or any government agency.
Page 4 of 4
Rarefie&à' E fl V I t 0 Ii Iii 0 Ii t a 9921 Carmel Mountain Road, #164, San Diego, California 92129
Customer Name: Demko Construction
Project Name: ViaSat
Project Site Address: 2501 Gateway Road, Buildings El & E2, Carlsbad, CA 92011
Date: 08.28.2019
"791
ASBESTOS SURVEY WORKSHEET & CHAIN OF CUSTODY
Sipple' HornO:. . . -NIateilall Description . .:SarnpleJoCiitiön: . . MaterialLocatLon: .T•. .:.ESt coflditiOfl .Frlal)10
Material. . •,. . .. :. . : . • .. . .:. ..•. . . . Quantity. (GM, SD).
001 A Drywall 316 Floor south offices Bldg El: 3rfi Floor, 5,000 G N
#5 east wall at outlet Southwest Perimeter sq. ft. 002 A Jomt compound
_____ Offices & Adjacent
Corridor 003 A Joint compound 3 Floor south offices
#5 west wall at switch
004 A Joint compound Yd Floor south offices
____ _______ #7 east wall at switch
005 A Joint compound. 3d Floor south corridor
_________ outside #1 east wall
006 A Joint compound F Floor south corridor
outside #3 south wall
007 C Fireproofing 3rd Floor south corridor Bldg El: 3d Floor, West 1,000 G N
outside #2 on beam Perimeter Offices &
Adjacent Corridor
sq. ft.
008 C Fireproofing 314 Floor south corridor
outside #4 on beam
009 C Fireproofing 3rd Floor south corridor
outside #8 on beam
010 D Clear carpet adhesive 3M Floor south corridor Bldg El: 314 Floor, West 1,000 . G
______ _______
outside #5 entry Perimeter Offices &
Adjacent Corridor
sq. ft.
Oil D Clear carpet adhesive 3m Floor south corridor
outside #2 entry
012 B 4" brown cove base and 3 Floor south offices Bldg El: 3" Floor, West 300 G N
mastic #5 east wall north end Perimeter Offices &
Adjacent Corridor
sq. ft.
013 F 4" grey cove base and 31' Floor south corridor
mastic outside #8 west wall
014 G 2'x4' tile design ceiling 3"' Floor south offices
panels #5 ceiling by east wall
015 Ci 214' tile design ceiling 3 Floor south offices Bldg El: 3d Floor, West 50 G N
panels 1 #5 ceiling by west wall I Perimeter Offices sq. ft
Laboratory Turnaround Time PLM Analysis' Results to
Patriot 24 hrs. PLM EPA 600/R-93/116 and/or 600/M442-020 rareafrenvgmail.com
Please stop at Ist positive (>1%) and analyze all layers. testmyalr@ginall.com
Relinquished by Received by & Time
Hans Reinisdi
CAC#18-6382 jrctqI Ro jiswidad •
Page 1 of 2
Attachment B
Sample Locations Map
Rarefied Air Environmental- 9921 Carmel Mountain Road, #164
San Diego, California 92129
Rarefie4 Environmental
Project Name: ViaSat
Project Address: 2501 Gateway Road, Carlsbad Building El, CA 92011
Technician Name: Hans Reinisch
Date: 08/28/2019
Asbestos Bulk Sample Locations Map
(~Ols
El - 3' Floor
Office
004
009
013
003
001-002
010
012
Rarefied Air Environmental- 9921 Carmel Mountain Road, #164
San Diego, California 92129
SAN DIEGO REGIONAL
HAZARDOUS MATERIALS
QUESTIONNAIRE
RECORD ID #_
PLAN CHECK #
OFFICE USE ONLY
BP
Dleqo: Indicate by circling the item, whether your business will use, process, or store any Of tn
applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal.
Occupancy Rating: Facility's Square Footage (including proposed project):
Explosive or Blasting Agents S. Organic Peroxides 9. Water Reactives
Compressed Gases 6. Oxidizers 10. Cryogenics
Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials
Flammable Solids 8. Unstable Reactives 12. Radioactives
any
13. Corrosives
Other Health Hazards
15. one of These.
are
Call (858) 505-6700 prior to the issuance of a building permit
FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy:
YES NO (for new construction or remodeling projects)
0 Is your business listed on the reverse side of this form? (check all that apply). 0 Will your business dispose of Hazardous Substances or Medical Waste in any amount?
0 Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500
' pounds and/or 200 cubic feet? 0 Will your business store or handle carcinogens/reproductive toxins In any quantity?
0 Will your business use an existing or install an underground storage tank?
0 Will your business store or handle Regulated Substances (CalARP)?
0 . Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? 0 Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to
or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act).
1 me answer to any
Diego, CA 92123.
CaIARP Exempt
Date Initials
CaIARP Required
Date Initials
CaIARP Complete
Date Initials
PART III: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD: The following questions are intended to identify the majority of air pollution
issues at the planning stage. Your project may require additional measures not identified by these questions. Some residential projects may be exempt from APCD
requirements. If yes is answered for either questions 1, 2 or 5 or for more comprehensive requirements, please contact APCD at aocdcomotsdcountv.ca.cov;
(858) 586-2650; or 10124 Old Grove Road, San Diego, CA 92131.
YES NO "g[ 0 Will the project disturb 100 square feet or more of existing building materials? 0 ' Will any load supporting structural members be removed?
'JI' LI (ANSWER ONLY IF QUESTION I or 2 IS YES) Has an asbestos survey been performed by an individual that has passed an EPA-approved
building inspector course? 0 J (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Based on the survey results, will the project disturb any asbestos containing material? If yes, a
notification may be required at least 10 working days prior to commencing asbestos removal. Additionally, a notification may be required prior to
, the removal of a load supporting structural member(s) regardless of the presence of asbestos.
S. 0 %J Will the project or associated construction equipment emit air contaminants? See the reverse side of this form for typical equipment requiring an
' APCD permit. If yes, contact APCD prior to the issuance of a building permit.
6. 0 (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school
boundary?
Briefly describ usiness activities: Briefly desc e proposed project:
I declare under penalty pe to the best of knowledge and belieft e responsesde herein are true and corac3 ,J
Name of Owner or Authorized Agent Signature of Owner or Authorized Agent Date
FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:__________________________________________________________________
BY: DATE: I
EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTVHMD* APCD COUNTY-HMD APCD COUNTY-HMD APCD
A stamp in mis oox OnIV exempts Dusinesses rrom compieting or upoaiing a riazaruous IVI5WfldIS DUSIflbb r'Iarl. JLIIBF perrilliully la4ujivillaill.0 IIID7 DLIII apply
HM-9171 (9/18) County of San Diego - DEH - Hazardous Materials Division
ENCINA WASTEWATER AUTHORITY
INDUSTRIAL WASTEWATER DISCHARGE PERMIT tKam SCREENING SURVEY AMMON
6200 Avenida Encinas, Carlsbad, CA 92011
Phone: 760-438-3941 Fax: 760-476-9852
SourceControI@encinaJpa.com
Date: tO
Business Name: \I
Street Address: YSO. SU
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: 54
o Acid Cleaning o Food Processing o Metal Powders Forming
o Assembly o Glass Manufacturing o Nutritional Supplement/Vitamin
o Automotive Repair o Industrial Laundry Manufacturing
o Battery Manufacturing o Ink Manufacturing o Painting/Finishing
o Biofuel Manufacturing o Laboratory o Paint Manufacturing
o Biotech Laboratory o Machining/Milling o Personal Care Products
o Bulk Chemical Storage o Membrane manufacturing Manufacturing
o Car Wash (i.e. water filter membranes) o Pesticide Manufacturing/ Packaging
o Chemical Manufacturing o Metal Casting/Forming o Pharmaceutical Manufacturing
o Chemical Purification o Metal Fabrication (including precursors)
o Dental Offices o Metal Finishing o Porcelain Enameling
Dental Schools Electroplating o Power Generation
Dental Clinics Electroless Plating o Print Shop
o Dry Cleaning Anodizing o Research and Development
o Electrical Component Coating (i.e. phosphating) o Rubber Manufacturing
Manufacturing Chemical Etching/Milling o Semiconductor Manufacturing
o Fertilizer Manufacturing a Printed Circuit Board a Soap/Detergent Manufacturing
o Film/X-ray Processing Manufacturing o Waste Treatment/Storage
04 New Business? Yes fJ N SIC Code(s) if known: Date operation began/will begin:_________________
Tenant Improvement? Yes No[] If yes, briefly describe improvement:
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):
Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes 0 Date:__________
Page 1 of 2
ENCINA WASTEWATER AUTHORITY
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
SCREENING SURVEY WORVAIM
6200 Avenida Encinas, Carlsbad, CA 92011
Phone: 760-438-3941 Fax: 760-476-9852
SourceControI@encinajpa.com
The commercial enterprises listed below are a partial listing of businesses that are exempt from industrial wastewater
discharge permitting under normal operating conditions. They are exempt because (a) they discharge no process wastewater
(i.e., they only discharge sanitary wastewater with no pollutants exceeding any local limits), and (b) they have no potential to
negatively impact the EWPCF or other wastewater treatment plants in the ESS. Any questions regarding exemptions
should be referred to EWA Source Control staff.
Automobile Detailers
Barber/Beauty Shops
Business/Sales Offices
Cleaning Services
Carpet/Upholstery
Childcare Facilities
Churches
Community Centers
Consulting Services
Contractors
Counseling Services
Educational Services (no auto repair/film developing)
Financial Institutions/Services
Fitness Centers
Gas Stations (no car wash/auto repair)
Grocery Stores (no film developing)
Residential based Businesses
Hotels/Motels (no laundry)
Laundromats
Libraries
Medical Offices (no x-ray developing)
Mortuaries
Museums
Nail Salons
Nursing Homes
Office Buildings (no process flow)
Optical Services
Pest Control Services (no pesticide repackaging for sale)
Pet Boarding/Grooming Facilities
Postal Services (no car wash/auto repair)
Public Storage Facilities
Restaurants/Bars
Retail/Wholesale Stores (no auto repair/film developing)
Theaters (Movie/Live)
CERTIFICATION STATEMENT
I certify that the information above is true and correct to the best of my knowledge.
Signature: 4.. ..-v--rrt.crint Name:\' DATE:
Facility
ENCINA WASTEWATER AUTHORITY
6200 AVEN IDA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852
SourceControl@'encinaipa.com
Page 2 of 2
(city of
Carlsbad
CLIMATE ACTION PLAN
CONSISTENCY CHECKLIST
B-50
Development Services
Building Division
1635 Faraday Avenue
(760) 602-2719
www.carlsbadca.gov
PURPOSE
This checklist is intended to assist building permit applicants identify which Climate Action Plan (CAP) ordinance
requirements apply to their projects. The completed checklist must be included in the building permit application. It may be
necessary to supplement the completed checklist with supporting materials, calculations or certifications, to demonstrate
full compliance with CAP ordinance requirements. For example, projects that propose or require a performance approach
to comply with energy-related measures will need to attach to this checklist separate calculations and documentation as
specified by the ordinances.
NOTE: The following type of permits are not required to fill out this form
Or Patio 1 + Decks I + PME w/o panel upgrade) + Pool
4 If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required by ordinance,
an explanation must be provided to the satisfaction of the Building Official.
4 Details on CAP ordinance requirements are available on the city's website.
4 A CAP Building Plan template (form B-55) shall be added to the title page all building plans. This template shall be
completed to demonstrate project compliance with the CAP ordinances. Refer to the building application weboaae and
download the latest form.
Application Information
Project Name/Building
Permit No.:
Property Address/APN:
BP No.:
es
ôIO5t-
Applicant Name/Co.:
Applicant Address:
Contact Phone: (3ontact Email:
Contact information of person completing this checklist (if different than above):
Name:
Company
name/address:
Contact Phone:
Contact Email:
Applicant Signature: Date:
B-50 Page 1 of 6 Revised 08/19
City of Carlsbad Climate Action Plan Consistency Checklist
Use the table below to determine which sections of the Ordinance Compliance checklist are applicable to your project.
For alterations and additions to existing buildings, tach Burig Permit Valuation worksheet..
Building Permit Valuation (BPV) from works $ (fl-1 (, 5) O
Construction Type Complete Section(s) Notes:
A high-rise residential building is 4 or more stories, including a
E1 Residential Low-rise High-rise mixed-use building in which at least 20% of its conditioned floor
area is residential use
on 0 New construction 3A,
4A
IB 2B,
3B, 4A
0 Additions and alterations:
BPV < $60,000 N/A N/A All residential additions and alterations
BPV ~ $60,000 lA 4A 4A 1-2 family dwellings and townhouses with attached garages
Electrical service panel upgrade only ' only
*Multi-family dwellings only where interior finishes are removed
BPV 2! $200,000 1A, 4A* IB, 4A* and significant site work and upgrades to structural and
mechanical, electrical, and/or plumbing systems are proposed
Nonresidential
0 New construction 1B, 2B, 3B, 4B and 5
Alterations: A&A L_'
dPV a $200,000 or additions a 1,000 lB 5 sauare feet
BPV 2! $1,000,000 1 IB, 2B, 5
2:2,000 sq. ft. new roof addition I 2B, 5
MAN
Building alterations of? 75% existing gross floor area
I also applies if BPV ?! $200,000
CAP Ordinance Compliance
Checklist Item
Check the appropriate boxes, explain all not applicable and exception items, and provide supporting calculations and documentation as necessary.
1. Energy Efficiency
Please refer to Carisbad Municipal Code (CMC) sections 18.21 .155 and 18.30.190, and the California Green Building Standards Code (CALGreen) for
more information when completing this section.
A. 0 Residential addition or alteration? $60,000 building permit valuation. 0 N/A__________________________
See CMC section 18.30.190. 0 Exception: Home energy score? 7
(attach certification)
Year Built Single-family Requirements Multi-family Requirements
Before 1978 Select one:
O Duct sealing 0 Attic insulation 0 Cool roof 0 Attic insulation
1978 and later Select one: Lighting package 0 Water heating Package
Between 1978 and 1991 Select one:
Duct sealing 0 Attic insulation 0 Cool roof
Select one: 1992 and later Lighting package 0 Water heating package
B. Nonresidential* new construction or alterations? $200,000 building permit valuation, 16 or additions? 1,000 square feet 0 N/A
Updated 8/15/2019 01
City of Carlsbad Climate Action Plan Consistency Checklist
See CIVIC 18.21.155 and CALGreen Appendix A5, Division A5.2 - Energy Efficiency.
A5203.1.1 Choose one: 0.1 Outdoor lighting 0.2 Warehouse dock seal doors
0.3 Restaurant service water heating (comply with California Energy Code section 140.5, as amended) ON/A
0.4 Daylight design PAFs 05 Exhaust air heat recovery
A5203.12.1
Choose one as applicable: 0.95 Energy budget 0.90 Energy budget 0 N/A____________________________
A5211.1"
O On-site renewable energy 0 N/A____________________________
A5211.3"
0 Green power (if offered by local utility provider, 50% minimum renewable sources) 0 N/A____________________________
A5212.1
0 Elevators and escalators 0 N/A
A5213.1
0 Steel framing 0 N/A__________________
* Includes hotels/motels and high-rise residential buildings
"For aifemlions 2: $1,000,000 BPV and affecting >75% existing gross floor area, or alterations that add 2,000 square feet of new roof addition: comply
with CMC 18.30.130 instead.
2. Photovoltaic Systems
0 Residential new construction (for low-rise residential building permit applications submitted after 111120). Refer to 2019 California
Energy Code section 150.1(c)14 for requirements. Notes: 1) High-rise residential buildings are subject to nonresidential photovoltaic
requirement (2B below) Instead. 2) If project Includes installation of an electric heat pump water heater pursuant to CIVIC 18.30.150(B)
(high-rise residential) or 18.30.170(B) (Iow.dse residential), increase system size by .3kWdc if PV offset option is selected.
Floor Plan ID (use additional
sheets if necessary)
CFA #d.u. Calculated kWdc* Exception
0
0
0
0
Total System Size: kWdc
kWdc = (CFAx.572) /1,000 + (1.15 x#d.u.)
*Formula calculation where CFA = conditional floor area, #du = number of dwellings per plan type
If proposed system size is less than calculated size, please explain.
D Nonresidential new construction or alterations ?$1,000,000 BPV and affecting ?750A existing floor area, or addition that increases roof
area by ?2,000 square feet Please refer to CIVIC section 18.30.130 when completing this section. Note: This section also applies to
high-rise residential and hotelhnotel buildings.
Choose one of the following methods:
0 Gross Floor Area (GFA) Method
GFA: Mm. System Size: kWdc
o If < 10,000s.f. Enter 5 kWdc
O If 2t 10,000s.f. calculate: 15 kWdc x (GFNI0,000)
Round building size factor to nearest tenth, and round system size to nearest whole number.
El Time- Dependent Valuation Method
Updated 9/15/2019
Cit of Carlsbad Climate Action Plan Consistency Checklist
Annual MV Energy use:'_ x.80= Mm. system size: kWdc
Attach calculation documentation using modeling software approved by the California Energy Commission.
3. Water Heating
A. J Residential and hotel/motel new construction
Please refer to CMC sections 18.30.150 and 18.30.170 when completing this section.
0 For systems serving individual dwelling units choose one:
O Heat pump water heater AND Compact hot water distribution AND Drain water heat recovery (low-rise
residential only)
Heat pump water heater AND PV system .3 kWdc larger than required in CMC section 18.30.130 (high rise
residential hotel/motel) or CA Energy Code section 150.1(c) 14 (low-rise residential)
O Heat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higher
Solar water heating system that is either .60 solar savings fraction or 40 s.f. solar collectors
0 Exception:
For systems serving multiple dwelling units, install a central water-heating system with all of the following:
Gas or propane water heating system
Recirculation system per CMC 18.30.150(B) (high-rise residential, hotel/motel) or CMC 18.30.170(B) (low-
rise residential)
Solar water heating system that is either:
.20 solar savings fraction
.15 solar savings fraction, plus drain water heat recovery
Exception:
8. 0 Nonresidential new construction
Please refer to Carlsbad Ordinance CMC section 18.30.150 when completing this section.
0 Water heating system derives at least 40% of its energy from one of the following (attach documentation):
0 Solar-thermal 0 Phàtovoltaics 0 Recovered energy
Water heating system is (choose one):
Heat pump water heater
Electric resistance water heater(s)
DSolar water heating system with .40 solar savings fraction
DException:
Updated 8/15/2019 4
City of Carlsbad Climate Action Plan Consistency Checklist
0 Residential New construction and major alterations*
Please refer to Carlsbad Ordinance CMC section 18.21.140 when completing this section.
0 One and two-family residential dwelling or townhouse with attached garage:
0 One EVSE Ready parking space required 0 Exception:_______________________________
0 Multi-family residential: 0 Exception:______________________________
Total Parking Spaces
Proposed
EVSE Spaces
Capable Ready Installed Total
Calculations: Total EVSE spaces =.10 x Total parking (rounded up to nearest whole number)
EVSE Installed = Total EVSE Spaces x.50 (rounded up to nearest whole number)
EVSE other Total EVSE spaces - EVSE Installed
(EVSE other may be 0capab1e " Ready" or lnstaIled.")
*Major alterations are: (1) for one and two-family dwellings and townhouses with attached garages, alterations have a building permit valuation? $60,000
or include an electilcal service panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), alterations have a building permit
valuation? $200,000, interior finishes are removed and significant site work and upgrades to structural and mechanical, electilcal, and/or plumbing
systems are proposed.
0 Nonresidential new construction (includes hotelslmotels) 0 Exception:
Total Parking Spaces
Proposed
EVSE Spaces
Capable Ready Installed Total
Calculation: Refer to the table below:
Total Number of Parking Spaces provided Number of required EV Spaces Number of required EVSE Installed Spaces
0-9 1 1
10-25 2 1
26-50 4 2
51-75 6 3
76-100 .9 5
101-150 12 6
151-200 17 9
201 and over 10 percent of total 50 percent of Required EV Spaces
Updated 8/15/2019 5
City of Carlsbad Climate Action Plan Consistency Checklist
1 5. 0 Transportation Demand Management (TDM): Nonresidential ONLY I
An approved Transportation Demand Management (TDM) Plan is required for all nonresidential projects that meet a threshold of employee-generated ADT.
City staff will use the table below based on your submitted plans to determine whether or nor your permit requires a TDM plan. If TDM is applicable to your
permit, staff will contact the applicant to develop a site-specific MM plan based on the permit details.
Employee ADT Estimation for Various Commercial Uses
Office (all)2 20 13
Restaurant V - 11
RetaiI3 V V
8 4.5
Industrial 4 3.5
Manufacturing V
Warehousing 4 1
Unless otherwise noted, rates estimated from ITE Trip
Generation Manual, 10Edition
2 For all office uses, use SANDAG rate of 20 ADT/1 ,000 sf to
calculate employee ADT
Retail uses include shopping center, variety store, supermarket,
gyms, pharmacy, etc.
Other commercial uses maybe subject to special
consideration
Sample calculations: - V
Office: 20,450 sf
1. 20,450 sf/1000 x 20 = 409 Employee ADT
Retail: 9,334 sf
First 1,000 sf=8ADT
9,334 sf - 1,000 sf = 8,334 sf
(8,334 sf/1,000 x 4.5) +8 =46 Employee ADT
Acknowledgment
I acknowledge that the plans submitted may be subject to the City of Cedsbad's Transportation Demand Management Ordinance. I agree to be contacted should
my permit require a TDM plan and understand that an approved TDM plan is a condition of permit issuance.
Applicant Signature: Date:
Person other than Applicant to be contacted for TDM compliance (If applicable):
Name (Printed): Phone Number
Email Address:
Updated 8/15/2019 6