HomeMy WebLinkAbout2175 SALK AVE; ; PC110050; Permit- City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-15-2016 Plan Check Permit No: PC150050
Building Inspection Request Line (760) 602-2725
Job Address: 2175 SALK AV CBAD
Permit Type: PLANCK Status: FINAL
Parcel No: 2120210800 Lot #: 0 Applied: 09/0112015
Valuation: $0.00 Construction Type: Entered By: JMA
Reference #: Plan Approved: 10/05/2015
Issued: 10/05/2015
Project Title: SHELL TO OFFICE TO CREATE Inspect Area:
SUITES 140 (2,765) & 130 (1,841)
Applicant: Owner:
LINDSAY WISE/HURKES HARRIS VENTANA REAL L L C
STE 100
1620 5TH AVE 1525 FARADAY AVE #100
SAN DIEGO CA 92101-2787 CARLSBAD CA 92008
619-702-0380
Plan Check Fee $0.00
Additional Fees $0.00
Total Fees: $0.00 Total Payments To Date: $0.00 Balance Due: $0.00
FINAL APPROVAL
Insnrtnr: Date: Clearance:
N011E Rem take NOTICE that approval of yxir pqect includes the 1rrositith' dfees dedications, rese,vatia, or odweicr hereafter collectively
referred to as "feor." You have 90 days f,øn the date this permt es issued to protest irrpcm cf these fees/aradim Ifyouproteetthemyourrust
fdlcm the protest poceôees set forth in (,venirrrd Code Section 66020(a), and file the protest and any other required in don, etia, wth the Oty Pdbruger far
proesssing in aocorclanoswithCarlsbad Mirliapal Code Section a32.000. Failure to Uny fallow that procdurewll bar any subsequent legal action to attadç
review, set aaide, void, or emil their irrpoaltion.
You are hereby FURTHER NOTIFIED that ut right to protest the spedfiedfees/eiae DOES NOT APRY to water and sewarcaiiedia, fees and capacity
thanges, nar planning, zoning, grailng or dher alnhlarapplicatio, proessa rigor serwa fees in cxxiiedcxi with this prqed. NCR DOES lTAPFLYto any
c i-o
HFOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING DENGINEERING D BUILDING DFIRE DHEALTH DKAZMATIAPCD]
Building Permit Application Plan Check No.
Est. Value cnc tty of 1835 Faraday Ave., Carlsbad, CA 92008
Carlsbad. Ph: 760-602-2719 Fax: 760-602-8558
Plan Ck. Deposit email: buiiding@carlabadca.gov
Date —(— Iswppp www.carlsbadca.gov
JOB ADDRESS ISUM 2175 Salk Avenue I
/SPACES/UNITS IAPN
140 I 212 - 021 - 02 - 00
CT/PROJECTI OF UNITS
BEDROONS
BATHROOMS NESS NAME CONSUL TYPE I 0CC. BROOP 1LOT
DESCRIPTION OF WORK: include Square Feet of cted Area(s) I
111 ITOJBUSSpec Suite #140 I V-B I B
Existing office space -tenant Improvement, interior work only. Work to Include: minor demolition, new Interior partitions,
new electrical, new mechanical, new plumbing, new finishes; and new millwork.
4J (DXD S
EXISTING USE ' ROPOSED USE IGARAGE (SF) PATIOS (SF) I DECKS F) I FIREPLACE lAIR CONDITIONING IFIRE SPRINKI.ERS
Office I 0 0 I 0 VESDU NO YESNOD I YESONOO
APPLICANT NAME" ...... Hurkes Harris Design Associates
PROPERTY OWNER NAME
Brookwood CB I & II, LLC
ADDRESS
1620 Fifth Avenue, Suite #100
ADDRESS
72 Cherry Hill Drive
CITY STATE ZIP
San Diego CA 92101
CITY STATE ZIP
Beverly MA 01915
PHONE 1p*x PHONE
(619) 702.0380 I (619) 702-0383 (978) 927-8300EMAIL 1 EMAil. lwisehhdaInc.com
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME LOCKRUL Construction
ADDRESS ADDRESS 9823 Pacific B _Heights _Blvd. _Suite
CITY STATE ZIP CITY STATE ZIP
San_Dleao. CA 92121
PHONE PHONE FAX
. (858) 952-1910 IFAX (858) 453-0352
EMAIL EMAIL
herb1Iockrul.com
STATEUC#_
979728 _B I_/137280
CLASS I I CITY BUS, LIC.5
(Sec. 7031.5 applicant for Business an civil penalty
or repair anysioucture, onotto its Issuance, also requires tile iw (Chepter9, commendlngwith Section 7000 of DIvision 3 of the in 70335 by any apptcan[for a permit subjects the applicant to a
Workers' Compensation Declaration: I hereby e1rarn under peneffyof peijwy one of the (0110 wing declarations:
I have and will maintain a cerliticate of cansentto aelf.Insurelorworkern'compensation as provided by Section 3100 or the Labor Code, for the performance orthe work for which this permit lslssund.
/ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this purrnk Is Issued. My workers' compensation insurance carrier and policy
number are: Insurance Co._State CompensationInsFund Potay No. 9042189 Expiration oats 1123116
I section need not be completed if the permit Is for one hundred dollars ($100) or less.
Certificate of Exemption: I certify that inthe perfarsnanceof lbs wiktorwhlth this perinitlsIssued, I shall not employ any person loony rnannersoos to become subject lothe Worked Compensation Laws of
California. WARNING: FaIlure to secure workers' ccmpensatlo94versge Is nis I, and shall subject an employer to criminal penalties end civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provIded 4$ S on 9 a Labor code, interest and attorney's fees. I
AS CONTRACTOR SIGNATURE flAGEtIT DATE S
thereby elitrmn ihallam exempt (rein Contreclors License Low lbr the fotiowing,easoor
D I, no 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 Coda: The Contractor's
License Law does not apply toes owner of properly 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.bulderwlll have the burden of proving that he din not build or improve for the purpose steele).
[] I. as owner of the property, rem exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracfor's License Law does not apply loan owner of
property who builds or Improves thereon, and contracts for such projeols with contractor(s) (canoed pursuant to the Contractor's Licence Law).
0 lam exempt under Section _Business and Professions Code for this mason:
1.1 personally plan to provide the major labor end materials for construction of tire proposed property improvement. []Yes Ejilo
2,1 (nave !have not) signed an application for abuilding permit for the proposed work,
3. I have contracted with the following person (firm) to provide the proposed construction (include name address! phone lcontraclors' 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 carnal address 1phono I contractors' license number):
5.1 will provide some of thematic, bull have contracted (hired) the fofowlngpersons to provide the we* indicated (hrctude name l address 1phone l type olworic):
PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant required to submit abusiness 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? LJYes No
Is the applicant or future binding occupant required to obtain a permit from the air pollution control district or air quality management district? Dyes []No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? LjYes [No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is construction lending agency for the performance of the work this permit is issued (Sec. 3097 (I) Civil Code).
Lender's Name Lender's Address
I cedllythetl have read the application and statathatthe above Information Isconectand thatitheinbornatlemon the plans Isaccunft Iaeeiscomptyndth all cltyordbanoesandStete laws mteUngbulIdingconsbucdon.
Ihereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL UASILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEJENCE OF THE GRANTING OF THIS PERMIT.
OSHA:- An OSHA permit is required focons over 5(1 deep and demolition or construction of structures over stories in height.
EXPIRATION: Every permit issuedbytheRniingOffdlaIunderthepmvisionsofthisCodeshaflexpirebyth1ilationandbecomenutandved lithe building or work authorized bysuch permit is not commenced withal
18D days from the date ofsuch permit ori the buMag or ikauthodeedbysuch permit is suspended or abandoned at any Gne afar the work is commenced for a period ofl8a days (Section 1064.4 Uniform Building Code).
APPLICANT'S SIGNATURE 'TJJlLd—
- -
DATE 8/4 /2015
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 6024560, Email bUiIdina(äCarIsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
oi(OOo 7
CONTACT NAME - OCCUPANT NAME Erica Kerrin
ADDRESS 2175 Salk Avenue, Suite 180 BUILDING ADDRESS
CITY STATES ZIP CITY STATE ZIP
Carlsbad CA 92008 Carlsbad CA
PHONE (760) 494-9620 FAX (760) 494-9617
EMAIL OCCUPANTS BUS. UC. No.
ekernn@brookwoodfinancial.com - - - - --
DEUVERY OPTiONS
- PICK UP CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On P. 1)
ASSOCIATED CB# 'MAIL TO: , CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pf, 1) NO CHANGE IN USE / NO CONSTRUCTION
MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION
LAPPUCANT'S SIGNATURE DATE eJ4 /2015-
Inspection List
Permit#: CB152532 Type: TI INDUST VENTANA - SHELL TO OFFICE TO
CREATE STE 140 (2,765 SF)
Date Inspection Item Inspector Act Comments
03/01/2016 89 Final Combo - RI COF
03/01/2016 89 Final Combo PB AP
01/08/2016 89 Final Combo PB NR
01/05/2016 85 T-Bar PB AP
12/03/2015 17 Interior Lath/Drywall PB AP
12/01/2015 24 Rough/Topout PB AP
11/30/2015 14 Frame/Steel/Bolting/Weldin PB AP
11/24/2015 21 Underground/Under Floor PB AP
11/13/2015 39 Final Electrical PB AP
10/14/2015 17 Interior Lath/Drywall PB AP
10/09/2015 31 Underground/Conduit-Wirin PY AP
10/07/2015 84 Rough Combo PB AP
Wednesday, March 02, 2016 Page 1 of 1
Inspection List
Permit#: CB152859 Type: TI INDUST VENTANA - SHELL TO OFFICE TO
CREATE STE 130 (1,841SF)
Date Inspection Item Inspector Act Comments
03/01/2016 89 Final Combo - RI COF
03/01/2016 89 Final Combo PB AP
01/08/2016 89 Final Combo PB NR
01/05/2016 85 T-Bar PB AP
12/03/2015 89 Final Combo PB NR
11/13/2015 39 Final Electrical PB AP
11/10/2015 39 Final Electrical PB CA
10/19/2015 17 Interior Lath/Drywall PB AP
16/09/2015 31 Underground/Conduit-Wirin PY AP
10/07/2015 84 Rough Combo PB AP
Wednesday, March 02, 2016 Page 1 of 1
j
EsGil Corporation
In Partnersfiip with government for (liui(iing Safety
DATE: 09/2512015 u )P'PLICANT
dPZJURIS.
JURISDICTION: Carlsbad .J (3 PLAN REVIEWER
yC/5o95. 0 FILE
PLAN CHECK NO.: 1525320ACI5SO) SET: IV
PROJECT ADDRESS: 2175 Salk Ave. Suite 130 &140
PROJECT NAME: Spec. Suite TI
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
LI 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.
LI The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
LI The check list transmitted herewith is for y6ur information. The plans are being held at Esgil
Corporation 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.
LI The applicant's copy of the check list has been sent to:
EsGil Corporation staff did not advise the applicant that the plan check has been completed.
EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone #:
Date contacted: (by: ) Email:
Mail Telephone Fax In Person
LI REMARKS:
By: Doug Moody (by AG) Enclosures:
EsGil Corporation
0 GA 0 EJ DM6 0 ic 09/1712015
9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576
EsGil Corporation
In Partnersliip witfi government for Bui(iing Safety
DATE: 09/1612015 U APPLICANT
URIS.
JURISDICTION: Carlsbad U PLAN REVIEWER
U FILE
PLAN CHECK NO.: 15-2532 SET: III
PROJECT ADDRESS: 2175 Salk Ave. Suite 130 &140
PROJECT NAME: Spec. Suite TI
LI The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's codes.
LI 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.
LI 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.
LI The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
LI The applicant's copy of the check list has been sent to:
LI EsGil Corporation staff did not advise the applicant that the plan check has been completed
EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Hurkes Harris Design Associates Telephone #: 619-702-0380
pate contacted: t/ I (' (by)4. Email: Iwise@hhdainc.com
all -. (elephone Fax In Person
LI REMARKS:
By: John Le Vey Enclosures:
EsGil Corporation
0 GA 0 EJ 0 MB 0 PC 09/08/2015
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576
Carlsbad 15-2532
09/16/2015
Please make all corrections, as requested in the correction list. Submit FOUR new
complete sets of plans for commercial/industrial projects (THREE sets of plans for
residential projects). For expeditious processing, corrected sets can be submitted in one
of two ways:
Deliver all corrected sets of plans and calculations/reports directly to the City of
Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-
2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning,
Engineering and Fire Departments.
Bring one corrected set of plans and calculations/reports to EsGil Corporation, 9320
Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all
remaining sets of plans and calculations/reports directly to the City of Carlsbad Building
Department for routing to their Planning, Engineering and Fire Departments.
NOTE: Plans that are submitted directly to EsGil Corporation only will not be reviewed by
the City Planning, Engineering and Fire Departments until review by EsGil Corporation is
complete. These corrections are in response to items not fully addressed or as the
result of information provided, the text in bold print indicates the unresolved
issue.
8. Please identify the electrical panels on the single line schedule sheet E4.1. The
disaggregation of electrical loads (separation of panelboards by branch
circuit load types) per Table 130.5-13 energy standards is required. Review
and submit a revised electrical system design.
9/16/15: Your response, "Per section 130.5 we are under 50 kva per space."
Per 130.5 the service is required to be under 50 kva for disaggregation to
not be required. Please show compliance. See Table 130.5-B.
To speed up the review process, note on this list (or a copy) where each
correction item has been addressed, i.e., plan sheet, note or detail number,
calculation page, etc.
Please indicate here if any changes have been made to the plans that are not a
result of corrections from this list. If there are other changes, please briefly
describe them and where they are located in the plans.
Have changes been made to the plans not resulting from this correction
list? Please indicate: U Yes U No
The jurisdiction has contracted with Esgil Corporation located at 9320
Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of
858/560-1468, to perform the plan review for your project. If you have any
questions regarding these plan review items, please contact John Le Vey at
Esgil Corporation. Thank you.
EsGil Corporation
In (Partners flip with government for Bui(iing Safety
DATE: 09/04/2015
JURISDICTION: Carlsbad
PLAN CHECK NO.: 15-2532 SET: II
U PPLICANT
,%J URIS.
U PLAN REVIEWER
U FILE
PROJECT ADDRESS: 2175 Salk Ave. Suite 130 &140
PROJECT NAME: Spec. Suite TI
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's codes.
The plans transmitted herewith will substantially comply with the jurisdiction's
codes when minor deficiencies identified below are resolved and checked by building
department staff.
The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
LII The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
LI The applicant's copy of the check list has been sent to:
Lii EsGil Corporation staff did not advise the applicant that the plan check has been completed.
EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Hurkes Harris Design Associates Telephone #: 619-702-0380
,Date contacted: ff 4.- (by: \4)—Email: lwise@hhdainc.com
"tjPhones Fax In Person
LI REMARk '
By: John Le Vey Enclosures:
EsGil Corporation
i:i GA 0 EJ 0 MB E1 Pc 08/29/2015
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576
Carlsbad 15-2532
09/04/2015
Please make all corrections, as requested in the correction list. Submit FOUR new
complete sets of plans for commercial/industrial projects (THREE sets of plans for
residential projects). For expeditious processing, corrected sets can be submitted in one
of two ways:
Deliver all corrected sets of plans and calculations/reports directly to the City of
Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-
2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning,
Engineering and Fire Departments.
Bring one corrected set of plans and calculations/reports to EsGil Corporation, 9320
Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all
remaining sets of plans and calculations/reports directly to the City of Carlsbad Building
Department for routing to their Planning, Engineering and Fire Departments.
NOTE: Plans that are submitted directly to EsGil Corporation only will not be reviewed by
the City Planning, Engineering and Fire Departments until review by EsGil Corporation is
complete. These corrections are in response to items not fully addressed or as the
result of information provided, the text in bold print indicates the unresolved
issue.
Please complete the NRCC-LTl-01-E form page 2 of 5. not complete
Please complete the NRCC-LTI-02-E form page 2 of 3. The response "Per
lighting plan" is not adequate to identify the location of all mandatory
controls, the number of control and the standards these controls are
intended to comply with on the LII form.
8. Please identify the electrical panels on the single line schedule sheet E4.1. The
disaggregation of electrical loads (separation of panelboards by branch
circuit load types) per Table 130.5-13 energy standards is required. Review
and submit a revised electrical system design.
New comment with changes to showers: Please provide compliance with
the showers I assume this is an alternate shower, provide compliance with
the showers seats CBC 11b610, the faucet controls 11B608.5.3, the shower
sprayllB6O8.6, the thresholds per 11B608.7 and the grab bars per
11B609.4
Carlsbad 15-2532
09/04/2015
To speed up the review process, note on this list (or a copy) where each
correction item has been addressed, i.e., plan sheet, note or detail number,
calculation page, etc.
Please indicate here if any changes have been made to the plans that are not a
result of corrections from this list. If there are other changes, please briefly
describe them and where they are located in the plans.
Have changes been made to the plans not resulting from this correction
list? Please indicate: U Yes U No
The jurisdiction has contracted with Esgil Corporation located at 9320
Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of
858/560-1468, to perform the plan review for your project. If you have any
questions regarding these plan review items, please contact John Le Vey at
Esgil Corporation. Thank you.
EsGil Corporation
In Partners flip tvitfl government for (Building Safety
DATE: 08/18/2015
JURISDICTION: Carlsbad
PLAN CHECK NO.: 15-2532 SET: I
PROJECT ADDRESS: 2175 Salk Ave. Suite 140
PROJECT NAME: Spec. Suite TI
Q APPLICANT
URIS.
L3 PLAN REVIEWER
U FILE
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's codes.
The plans transmitted herewith will substantially comply with the jurisdiction's
codes when minor deficiencies identified below are resolved and checked by building
department staff.
The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
E The applicant's copy of the check list has been sent to:
E EsGil Corporation staff did not advise the applicant that the plan 'Check has been completed.
EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Hurkes Harris Design Associates Telephone #: 619-702-0380
gate conpcted: 8 j' (by: A—EmaiI: iwise@hhdainc.com
al 'l Ielephone Fax In Person
REMARK
By: John Le Vey Enclosures:
EsGil Corporation
0 GA EJ D MB 0 PC 08/11/2015
9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576
Carlsbad 15-2532
08/18/2015
PLAN REVIEW CORRECTION LIST
TENANT IMPROVEMENTS
PLAN CHECK NO.: 15-2532
OCCUPANCY: B
TYPE OF CONSTRUCTION:
ALLOWABLE FLOOR AREA:
SPRINKLERS?: Yes
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION: 08/07/2015
DATE INITIAL PLAN REVIEW
COMPLETED: 08/18/2015
JURISDICTION: Carlsbad
USE: office
ACTUAL AREA: 4606
STORIES: 3
HEIGHT: unknown
OCCUPANT LOAD: 119
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 08/11/2015
PLAN REVIEWER: John Le Vey
FOREWORD (PLEASE READ):
This plan review is limited to the technical requirements contained in the California version of
the International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National
Electrical Code and state laws regulating energy conservation, noise attenuation and access for
the disabled. This plan review is based on regulations enforced by the Building Department.
You may have other corrections based on laws and ordinances enforced by the Planning
Department, Engineering Department, Fire Department or other departments. Clearance from
those departments may be required prior to the issuance of a building permit.
Code sections cited are based on the 2013 CBC, which adopts the 2012 IBC.
The following items listed need clarification, modification or change. All items must be satisfied
before the plans will be in conformance with the cited codes and regulations. Per Sec. 105.4 of
the 2012 International Building Code, the approval of the plans does not permit the violation of
any state, county or city law.
To speed up the recheck process, please note on this list (or a copy) where each
correction item has been addressed, i.e., plan sheet number, specification section, etc.
Be sure to enclose the marked up list when you submit the revised plans.
Carlsbad 15-2532
08/18/2015
Please make all corrections, as requested in the correction list. Submit FOUR new
complete sets of plans for commercial/industrial projects (THREE sets of plans for
residential projects). For expeditious processing, corrected sets can be submitted
in one of two ways:
Deliver all corrected sets of plans and calculations/reports directly to the City of
Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760)
602-2700. The City will route the plans to EsGil Corporation and the Carlsbad
Planning, Engineering and Fire Departments.
Bring one corrected set of plans and calculations/reports to EsGil Corporation,
9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468.
Deliver all remaining sets of plans and calculations/reports directly to the City of
Carlsbad Building Department for routing to their Planning, Engineering and Fire
Departments.
NOTE: Plans that are submitted directly to EsGil Corporation only will not be
reviewed by the City Planning, Engineering and Fire Departments until review by
EsGil Corporation is complete.
Roof mounted equipment must be screened and roof penetrations should be
minimized (City Policy 80-6). Attach the policy to the plans , the form can be found
on the city website
Each sheet of the plans must be signed by the person responsible for their
preparation, even though there are no structural changes. California State Law.
Please complete the NRCC-LTI-01-E form page 2 0f5 and I of 3
Please complete the NRCC-LTl-02-E form page 2 of 3
Please have the document author sign all the required forms
Please provide the required GFCI receptacle within 25 feet of all roof top HVAC
units, show on the roof plan
Please have the document author and the responsible designer sign the required
MCH forms 3of5.
Please identify the electrical panels on the single line schedule sheet E4.1
Please provide the required plumbing clean outs for the new sinks to serve the
waste lines CPC 707.0
Advisory Note : When alterations, structural repairs or additions are made to an
existing building, that building, or portion of the building affected, is required to
comply with all of the following requirements, per Section 11 B-202.4:
The area of specific alteration, repair or addition must comply as "new"
construction.
A primary entrance to the building and the primary path of travel to the
altered area, must be shown to comply with all accessibility features.
The path of travel shall include the existing parking.
Existing toilet and bathing facilities that serve the remodeled area must be
shown to comply with all accessibility features.
9 Please address the following comments that are the result of the alterations.
Carlsbad 15-2532
08/18/2015
The site accessibility is signed by the owner please provide evidence the owner is
certified as a California licensed Architect or Engineer or provide the proper
credentials to prove this person is experienced with the accessibility requirements
for the State of California.
Show on the site plan the complying disabled accessible path of travel from the
disabled accessible parking spaces to the primary entrance of the tenant space.
Please provide detailed plans of the path of travel, indicate slope and width, any
pedestrian ramps, curb ramps, walks, handrails, provide dimensioned parking
stall details etc.
II. It is unclear from the. plans if the restrooms servicing the tenant improvement are
disabled accessible, please provide a dimensioned restroom plans showing the
restroom to be accessible compliant. It is also obvious the showers are not in
compliance provide complete details for the showers
To speed up the review process, note on this list (or a copy) where each
correction item has been addressed, i.e., plan sheet, note or detail number,
calculation page, etc.
Please indicate here if any changes have been made to the plans that are not a
result of corrections from this list. If there are other changes, please briefly
describe them and where they are located in the plans.
Have changes been made to the plans not resulting from this correction
list? Please indicate: Ll Yes 0 No
The jurisdiction has contracted with Esgil Corporation located at 9320
Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of
858/560-1468, to perform the plan review for your project. If you have any
questions regarding these plan review items, please contact John Le Vey at
Esgil Corporation. Thank yQu.
Carlsbad 15-2532
08/18/2015
(DO NOT PAY— THIS IS NOTAN IN VOICE)
VALUATION AND PLAN CHECK FEE
JURISDICTION: Carlsbad PLAN CHECK NO.: 15-2532
PREPARED BY: John Le Vey DATE: 08/18/2015
BUILDING ADDRESS: 2175 Salk Ave. Suite 140
BUILDING OCCUPANCY: B
BUILDING
PORTION
AREA
(Sq. Ft.)
Valuation
Multiplier
Reg.
Mod.
VALUE ($)
TI per city 199,532
Air Conditioning
Fire Sprinklers
TOTAL VALUE 199,532
Jurisdiction Code 1cb IBY Ordinance
Bldg. Permit Fee by Ordinance I $981 .061
Plan Check Fee by Ordinance V
I $637.691
Type of Review: Complete Review Structural Only
Repetitive Fee El Other EJ
vj Repeats o Hourly Hr. @ *
EsGil Fee I
Comments In addition to the above fee, an additional fee of $86.00 is due (1 hour .@
$86. 00/hr.). for the. CalGreen review.
Sheet of I
macvaiue.doc +
4
^,A,
25
CITY OF
CARLSRAD
PLAN CHECK
REVIEW
TRANSMITTAL
Community & Economic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www.carlsbadca.gov
DATE: 09/02/2015 PROJECT NAME: 11 PROJECT ID: PC150050
PLAN CHECK NO: 1 SET#: 1 ADDRESS: 2175 SALK AVE APN: 212-021-02-00
VALUATION: $ 199,532
This plan check review is complete and has been APPROVED by the ENGINEERING
Division.
By: VALRAY NELSON
A Final Inspection by the ENGINEERING Division is required ;Yes -v''-No
This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check Comments have been sent to: LWISE@HHDAINC.COM
You may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the issuance of a building permit.
Resubmitted plans should include corrections from all divisions.
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
PLANNING ENGINEERING FIRE PREVENTION
760-6024610 760-602-2750 760-6024665
Chris Sexton Kathleen Lawrence i Greg Ryan
760-602-4624 760-602-2741 1 - 760-602-4663
Chris .Sexton@carlsbadca .ov KathIeen.Lawrence@carIsbadca.gov Greorv.Rvan@carIsbadca.ov
Gina Ruiz Linda Ontiveros Cindy Wong
760-602-4675 - 760-602-2773 L - - 760-602-4662
Gina.Ruiz@carlsbadca.gov Linda.Ontiveros@carIsbadca.gov Cynthia.Won@carIsbadca.ov
/ ValRay Nelson Dominic Fieri
760-602-2741 - 760-602-4664
ValRay.Nelson@carlsbadca.gov Dominic.Fieri@carIsbadca.gov
Remarks:
Development Services BUILDING PLANCHECK <K 0111 0 Land Development Engineering
CITY OF CHECKLIST 1635 Faraday Avenue
760-602-2750 CARLSBAD QUICK-CHECK/APPROVAL IC K-CH EC K/APPROVAL www.carlsbadca.gov
ENGINEERING Plan Check for PC150050 Date:09!0212015
Project Address: 2175 SALK AVE APN: 212-021-02-00
Project Description: 4606SF Ti NO CHANGE OF USE ALL INTERIOR WORK Valuation: $199,532
ENGINEERING Contact: VALRAY NELSON
Phone: 760-602-2741
E RESIDENTIAL INTERIOR
El RESIDENTIAL ADDITION MINOR
(420,000.00)
El CARLSBAD PREMIER OUTLETS
Email: VALRAY.NELSON@CARLSBADCA.GOV
Fax: 760-602-1052
[7j TENANT IMPROVEMENT
E PLAZA CAMINO REAL
El COMPLETE OFFICE BUILDING
F-1 OTHER: GYM
OFFICIAL USE ONLY
ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT
BY: VALRAY NELSON DATE:09/02/2015
REMARKS: ALL FEES CALCULATED FOR EACH INDIVIDUAL SUITE SEPARATELY. SEE
ATTACHED CALC SHEET
Notification of Engineering APPROVAL has been sent to LWISE@HHDAINC.COM
via VALRAY.NELSON@CARLSBADCA.GOV on 09/0212015
E-36 Page 1 of 1 REV 4/30/11
Fee Calculation Worksheet
ENGINEERING DIVISION
Prepared by: Date: 0910212015 GEO DATA: LFMZ: I B&T:
Address: 2175 SALK AVE Bldg. Permit#: PC150050
Fees Update by: Date: 09/0212015 Fees Update by: Date: 09IO2I201
EDU CALCULATIONS: List types and square footages for all uses.
Types of Use: Sq.Ft./Units EDU's:
Types of Use: Sq.Ft./Units EDU's:
Types of Use: Sq.Ft./Units EDU's:
Types of Use: Sq.Ft./Units EDU's:
ADT CALCULATIONS: List types and square footages for all uses.
Types of Use: Sq.Ft./Units ADT's:
Types of Use: Sq.Ft./Units ADT's:
Types of Use: Sq.Ft./Units ADT's:
Types of Use: Sq.Ft./Units ADT's:
FEES REQUIRED:
Within CFD: DYES (no bridge & thoroughfare fee in District #1, reduces Traffic Impact Fee) ONO
1. PARK-IN-LIEU FEE:DNW QUADRANT (NE QUADRANT OSE QUADARANT [:]SW QUADRANT
ADT'S/UNITS: X FEE/ADT: I LI
23RAFFIC IMPACT FEE:
ADT'S/UNITS: X FE/ADT: I LI
BRIDGE & THOROUGHFARE FEE: El DIST. #1 ElDIST.#2 DDIST.#3
ADT'S/UNITS: FEE/ADT:
FACILITIES MANAGEMENT FEE ZONE:
ADT'S/UNITS: I x FEE/SQ.FT./UNIT: I LI
SEWER FEE
II
EDU's I X
FEE/EDU:
[-]HIGH
FEE/AC:
BENEFIT AREA:
EDU's
. Ix
6. DRAINAGE FEES: PLDA:
ACRES: I X
I LI
EMEDIUM ELOW
LI
7. POTABLE WATER FEES:
UNITS I CODE CONN. FEE I METER FEE I SDCWA FEE I TOTAL
_5LLk_u )_________________
•
E__Jth_I
-•
I c 3—
1.00.1O -05 E_X8i 5i 1
51i, 5cah,,we
ii
LO1
RE / Is a occ_•
• I 41 Lijoco I. N Y, DO 3
• • •
1 L, blJD1 6, -9,5-9 -9 -L O-C Z- -D-:, - sc:,~A
_• LAk ao___
• _Qthc TO .
-•
5/iJ.j —_L___
o•.=o .cc_&\ •=- _____________
py\_C- LLc 15
__________ LDD •
__________Ljj±cxD • _______
55
A RV ,& •
•
____
L\c .. - tEL Ji±U____
PLAN CHECK f6 (45 Community&Economic
4 O~Z?~ ' Development Department
CITY OF REVIEW Development
Faraday Avenue
CARLSBAD TRANSMITTAL Carlsbad CA 92008
www.carlsbadca.gov
DATE:08/11/2015 PROJECT NAME: TI PROJECT ID: CB152532
PLAN CHECK NO: 1 SET#: 1 ADDRESS: 2175 SALKAVE APN: 212-021-02-00
VALUATION: $ 199,532
/ This plan check review is complete and has been APPROVED by the ENGINEERING
Division. *
By: VALRAY NELSON
A Final Inspection by the ENGINEERING Division is required -'Yes /...No
This plan check review is NOT COMPLETE. Items missing or incorrect are listed on.
the attached checklist. Please resubmit amended plans as required.
Plan Check Comments have been sent to: LWISE@HHDAINC.COM
You may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the issuance of a building permit.
Resubmitted plans should include corrections from all divisions.
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
PLANNING ENGINEERING FIRE PREVENTION
760-602-4610 760-602-2750 . 760-602-4665
Chris Sexton Kathleen Lawrence Greg Ryan
760-602-4624 . 760-602-2741 760-602-4663
Chris.Sexton@carIsbadca.gov Kathleen.Lawrence@carlsbadca.gov Greorv.Rvan@carlsbadca.ov
Gina Ruiz Linda Ontiveros I - Cindy Wong
760-602-4675 760-602-2773 760-602-4662
Gina.Ruiz@carIsbadca.gov Linda.0ntiveros@carIsbadca.ov Cvnthia.Wong@carIsbadca.gov
J' VaiRay Nelson 1 Dominic Fier!
. 760-602-2741 1 - 760-602-4664
VaiRay.Nelson@carlsbadca.gov Dpminic.Fieri@carlsbadca.gov
Remarks:
4
^AL
0;401~~>
CITY OF
CARLSBAD
BUILDING PLANCHECK DeveloDment Services
Land Development Engineering CHECKLIST 1635 Faraday Avenue
QUICK-CHECK/APPROVAL 7606022750
www.carlsbadca.gov
ENGINEERING Plan Check for CBI 52532 Date: 08/11/2015
Project Address: 2175 SALK AVE APN: 2120210200
Project Description: 4606SF TI NO CHANGE OF USE ALL INTERIOR WORK Valuation: $199,532
ENGINEERING Contact: VALRAY NELSON
Phone: 760.602-2741
El RESIDENTIAL INTERIOR
El RESIDENTIAL ADDITION MINOR
(420,000.00)
El CARLSBAD PREMIER OUTLETS
Email: VALRAY.NELSON@CARLSBADCA.GOV
Fax: 760-602-1052
E7J TENANT IMPROVEMENT
El PLAZA CAMINO REAL
El COMPLETE OFFICE BUILDING
El OTHER: GYM
OFFICIAL USE ONLY
ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT
BY: VALRAY NELSON DATE:08/11/2015
REMARKS:
:1
Notification of Engineering APPROVAL has been sent to LWISE@HHDAINC.COM
via VALRAY.NELSON@CARLSBADCA.GOV on 08/11/2015
E-36 Page 1 of 1 REV 4/30/11
Fee Calculation Worksheet
ENGINEERING DIVISION
Prepared by: Date: 08/1112015 GEO DATA: LFMZ: / B&T:
Address: 2175 SALK AVE Bldg. Permit#: CB152532
Fees Update by: Date: 08/11/2015 Fees Update by: Date: 08!11I20j
EDU CALCULATIONS: List types and square footages for all uses.
Types of Use: Sq.Ft./Units EDU's:
Types of Use: Sq.Ft./Units EDU's:
Types of Use: Sq.Ft./Units EDU's:
Types of Use: Sq.Ft./Units EDU's:
ADT CALCULATIONS: List types and square footages for all uses.
Types of Use: Sq.Ft./Units ADT's:
Types of Use: Sq.Ft./Units ADT's:
Types of Use: Sq.Ft./Units ADT's:
Types of Use: Sq.Ft./Units ADT's:
FEES REQUIRED:
Within CFD: DYES (no bridge & thoroughfare fee in District #1, reduces Traffic Impact Fee) DNO
1. PARK-IN-LIEU FEE:DNW QUADRANT [?]NE QUADRANT DSE QUADARANT DSW QUADRANT
ADT'S/UNITS: I X FEE/ADT:
* I D
23RAFFIC IMPACT FEE:
ADT'S/UNITS: I X
BRIDGE & THOROUGHFARE FEE:
ADT'S/UNITS:
FACILITIES MANAGEMENT FEE
ADT'S/UNITS: I X
SEWER FEE
EDU's
BENEFIT AREA:
EDU's
DRAINAGE FEES:
ACRES:
POTABLE WATER FEES:
UNITS I CODE
FEE/ADT:
DDIST.#1
FEE/ADT:
ZONE:
FEE/SQ. FT./UNIT:
11
DDIST.#3
E
ELOW
Eli
CONN. FEE I METER FEE I SDCWA FEE I TOTAL
Ix FEE/EDU:
X FEE/EDU: I
PLDA: EHIGH IJMEDIUM
X FEE/AC: I
CITY OF
CAR LSBAD
PLANNING DIVISION
BUILDING PLAN CHECK
APPROVAL
P-29
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.&ov
DATE: 8/10/15 PROJECT NAME: INTERIOR Ti. PROJECT ID:
PLAN CHECK NO: CB152532 SET#: ADDRESS: 2175 SALK AV #140 APN:
This plan check review is complete and has been CONDITIONALLY APPROVED
(SEE REMARKS BELOW) by the PLANNING Division.
By: GINA RUIZ
A Final Inspection by the PLANNING Division is required j Yes J No
You may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the issuance of a building permit.
Resubmitted plans should include corrections from all divisions.
This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check APPROVAL has been sent to: LWISE@HHDAINC.COM
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
PLANNING ENGINEERING FIRE.PREVENTION
760-602-4610 760-602-2750 760-602-4665
Chris Sexton Chris Glassen Greg Ryan
760-602-4624 760-602-2784 760-602-4663
Chris.Sexton@carIsbadca.gov Christonher.GIassen@carIsbadca.gov Greorv.Ryan@carIsbadca.ov
Gina Ruiz ValRay Marshall Cindy Wong
760-602-4675 760-602-2741 760-602-4662
Gina.Ruiz@carIsbadca.gov ValRay.Marshall@carlsbadca.gov Cynthip.Wong@carIsbadca.Ov
Linda Ontiveros El Dominic Fieri
760-602-2773 760-602-4664
Linda.0ntiveros@carlsbadca.Eov Dominic.Fieri@carlsbadca.gov
Remarks: THIS APPROVAL IS BASED ON THE PLANS NOT SHOWING ANY
ROOF MOUNTED EQUIPMENT PROPOSED. ANY ROOF MOUNTED EQUIPMENT
ADDED TO THIS PERMIT REQUIRES RE-APPROVAL BY PLANNING.
< & 404~
CITY OF
CAR LSBAD
STORM WATER
COMPLIANCE
ASSESSMENT
B-24
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
I am applying to the City of Carlsbad for the following type(s) of construction permit:
f' Building Permit 0 Right-of-Way Permit
r'My project is categorically EXEMPT from Electrical Patio/Deck
the requirement to prepare a storm water Fire Additional Photo Voltaic
pollution prevention plan (SWPPP) because it Fire Alarm
- Fixed Systems
Re-Roofing
Sign only requires issuance of one or more of the Mechanical Spa-Factory following permit types: Mobile Home Sprinkler
Plumbing Water Discharge
Project Storm Water Threat Assessment Criteria*
No Threat Assessment Criteria
If My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because
it meets the no threar assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier
Level. My project does not meet any of the High, Moderate or Low Threat criteria described below.
Tier I - Low ThreatAssessment Criteria
U My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project
meets one or more of the following criteria:
Results in some soil disturbance; and/or
Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling).
Tier 2- Moderate Threat Assessment Criteria
O My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria:
Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or,
Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement
removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria:
Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or
Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to I vertical, and/or
Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or
Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30).
Tier 3 - Significant Threat Assessment Criteria
U My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any
associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or
0 My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any
associated construction staging, equipment storage, refueling and maintenance areas: or,
U My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant
potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s).
I ceifil), to the best of my knowledge that the above
checked statements are true and correct. I understand
and acknowledge that even though this project does
not require preparation of a construction SWPP, I must
still adhere to, and at all times during construction
activities for the permit type(s) check above comply
with the storm water best management practices
pursuant to Title 15 of the Carlsbad Municipal Code
and to City Standards.
1he city Engineer may authorize minor variances from the Storm
Water Threat Assessment criteria in special circumstances where it
can be shown that a lesser or higher Construction SWPPP her Level is
warranted.
Project Address: Assessor Paicel No.
2t ke-tu, SI140 z%z-ozI-oz-oo
Owner!Owner's Authorized Agent Name: Title:
PV'XE Et* 6siLrnfES lt'ttt6. jL0*4E-
0wner!G.rner's Authorized Agent Signature: Date:
—-'- '7i5;1.
City Concurrence: By: Date: Project ID:
DYES ONO
B-24 Page 1 of I Rev.03/09
CITY OF
CARLSBAD
STORM WATER
STANDARDS
QUESTIONNAIRE
E-34
Develooment Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
I INSTRUCTIONS: 1
To address post-development pollutants that may be generated from development projects, the City requires that new development and
significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (BMP's) into the project
design per the City's Standard Urban Stormwater Management Plan (SUSMP). To view the SUSMP, refer to the Engineering Standards
(Volume 4, Chapter 2) at www.carlsbadca.pov/standards.
Initially this questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision,
discretionary permits and/or construction permits). The results of the questionnaire determine the level of storm water standards that
must be applied to a proposed development or redevelopment project. Depending on the outcome, your project will either be subject to
'Standard Stormwater Requirements' or be subject to additional criteria called 'Priority Development Project Requirements'. Many
aspects of project site design are dependent upon the storm water standards applied to a project.
Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City staff has
responsibility for making the final assessment after submission of the development application. If staff determines that the questionnaire
was incorrectly filled out and is subject to more stringent storm water standards than initially assessed by you, this will result in the return
of the development application as incomplete. In this case, please make the changes to the questionnaire and resubmit to the City.
If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, please
seek assistance from Land Development Engineering staff.
A separate completed and signed questionnaire must be submitted for each new development application submission. Only one
completed and signed questionnaire is required when multiple development applications for the same project are submitted concurrently.
In addition to this questionnaire, you must also complete, sign and submit a Project Threat Assessment Form with construction permits
for the project.
Please start by completing Step I and follow the instructions. When completed, sign the form at the end and submit this with your
application to the city.
STEP I
TO BE COMPLETED FOR ALL PROJECTS
To determine if your project is a priority development project, please answer the following questions:
YES NO
Is your project LIMITED TO constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet
the following criteria: (1) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or
other non-erodible permeable areas; OR (2) designed and constructed to be hydraulically disconnected from X
paved streets or roads; OR (3) designed and constructed with permeable pavements or surfaces in
accordance with USEPA Green Streets guidance?
Is your project LIMITED TO retrofitting or redeveloping existing paved alleys, streets, or roads that are x designed and constructed in accordance with the USEPA Green Streets guidance?
If you answered yes to one or more of the above questions, then your project is NOT a priority development project and therefore is
NOT subject to the storm water criteria required for priority development projects. Go to step 4, mark the last box stating "my
project does not meet PDP requirements" and complete applicant Information.
If you answered no to both questions, then go to Step 2.
E-34 Page 1 of 3 Effective 6/27/13
>
CITY OF
CARLSBAD
STORM WATER
STANDARDS
QUESTIONNAIRE
E-34
DeveIoment Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
STEP 2
TO BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECTS
To determine if your project is a priority development project, please answer the following questions: YES NO
Is your project a new development that creates 10,000 square feet or more of impervious surfaces collectively
over the entire project site? This includes commercial, industrial, residential, mixed-use, and public X
development projects on public or private land.
Is your project creating or replacing 5,000 square feet or more of impervious surface collectively over the entire
project site on an existing site of 10,000 square feet or more of impervious surface? This includes commercial, X
industrial, residential, mixed-use, and public development projects on public or private land.
Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface
collectively over the entire project site and supports a restaurant? A restaurant is a facility that sells prepared
foods and drinks for consumption, including stationary lunch counters and refreshment stands selling prepared
foods and drinks for immediate consumption.
Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface
collectively over the entire project site and supports a hillside development project? A hillside development
project includes development on any natural slope that is twenty-five percent or greater.
Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface
collectively over the entire project site and supports a parking lot. A parking lot is a land area or facility for the
temporary parking or storage of motor vehicles used personally for business or for commerce.
Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface
collectively over the entire project site and supports a street, road, highway freeway or driveway? A street,
road, highway, freeway or driveway is any paved impervious surface used for the transportation of
automobiles, trucks, motorcycles, and other vehicles.
Is your project a new or redevelopment project that creates or replaces 2,500 square feet or more of
impervious surface collectively over the entire site, and discharges directly to an Environmentally Sensitive
Area (ESA)? "Discharging Directly to" includes flow that is conveyed overiand a distance of 200 feet or less x from the project to the ESA, or conveyed in a pipe or open channel any distance as an isolated flow from the
project to the ESA (i.e. not commingles with flows from adjacent lands).*
Is your project a new development that supports an automotive repair shop? An automotive repair shop is a
facility that is categorized in any one of the following Standard Industrial Classification (SIC) codes: 5013,
5014, 5541, 7532-7534, or 7536-7539.
Is your project a new development that supports a retail gasoline outlet (RGO)? This category includes RGO's
that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily Traffic (ADT) of X
100 or more vehicles per day.
Is your project a new or redevelopment project that results in the disturbance of one or more acres of land and
are expected to generate pollutants post construction?
Is your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of
impervious surface or (2) increases impervious surface on the property by more than 10%?
If you answered "yes" to one or more of the above questions, you ARE a priority development project and are therefore subject to
implementing structural Best Management Practices (BMP's) in addition to implementing Standard Storm Water Requirements such
as source control and low impact development BMP's. A Storm Water Management Plan (SWMP) must be submitted with your
application(s) for development. Go to step 3 for redevelopment projects. For new projects, go to step 4 at the end of this
questionnaire, check the "my project meets PDP requirements" box and complete applicant information.
If you answered "no" to all of the above questions, you ARE NOT a priority development project and are therefore subject to
implementing only Standard Storm Water Requirements such as source control and low impact development BMP's required for all
development projects. A Storm Water Management Plan (SWMP) is not required with your application(s) for development. Go to step
4 at the end of this questionnaire, check the "my project does not meet PDP requirements" box and complete applicant
Information.
E-34 Page 2 of 3 Effective 6/27113
CITY OF
CARLSBAD
STORM WATER
STANDARDS
QUESTIONNAIRE
E-34
DeveloDment Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
F STEP 3.
TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPEMENT PROJECTS ONLY
Complete the questions below regarding your redevelopment project: YES NO
Does the redevelopment project result in the creation or replacement of impervious surface in an amount of less than T- 50% of the surface area of the previously existing development?
If you answered "yes," the structural BMP's required for Priority Development Projects apply only to the creation or replacement of
impervious surface and not the entire development. Go to step 4, check the "my project meets PDP requirements" box and
complete applicant information.
If you answered "no," the structural BMP's required for Priority Development Projects apply to the entire development. Go to step 4,
check the "my project meets PDP requirements" box and complete applicant information.
BOX AND
0 My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must comply with additional stormwater
criteria per the SUSMP and I understand I must prepare a Storm Water Management Plan for submittal at time of application.
I understand flow control (hydromodification) requirements may apply to my project. Refer to SUSMP for details.
My project does not meet PDP requirements and must only comply with STANDARD STORMWATER REQUIREMENTS per
the SUSMP. As part of these requirements, I will incorporate low impact development strategies throughout my project.
Applicant Information and Signature Box
AddrAss: Accessor's Parcel Number(s):
Jjo fzirlm p. tcv110I40 ~sw DocAqVoi 2t2- si% - 62-60
Applicant Name: Applicant Title:
L4uexe H,aic Ou*k M.i&aS %-
DateS A ignare
- / 126,c
This Box for City Use Only
YES NO
F
7 —
* Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas
designated as Areas of Special Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the
San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources
Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); areas designated as preserves or their
quivalent under the Multi Species Conservation Program within the Cities and County of San Diego; and any other equivalent
environmentally sensitive areas which have been identified by the Copermittees.
E-34 Page 3 of 3 Effective 6/27/13
CITY OF
CARLSBAD
COMMUNITY
FACILITIES
DISTRICT NO. I
NON-RESIDENTIAL
B-32
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
NON-RESIDENTIAL CERTIFICATE: Non-Residential land owner, please read this option carefully and be sure
you thoroughly understand before signing. The option you chose will affect your payment of the developed
Special Tax assessed on your property. This option is available only at the time of the first building permit
issuance. Property owner signature is required before signing. Your signature is confirming the accuracy of all
information shown.
BROOKW000 CB I LLC &
BROOKWOOD CB II LLC 978-927-8300
Name of Owner Telephone
72 CHERRY HILL DRIVE 2175 SALK AV
Address Project Address
BEVERLY, MA 01915 CARLSBAD, CA 92008
City, State Zip City, State Zip
212-021-08-00
Assessor Parcel Number(s) or APN(s) and Lot. Numbers(s) if not yet subdivided by County Assessor
PC 150050 (CB152532, CB152859)
Building Permit Number(s)
As cited by Ordinance No. NS-155 and adopted by the City of Carlsbad, California, the City is authorized to levy a Special Tax in
Community Facilities District No. 1. All non-residential property, upon the issuance of a building permit, shall have the option to (1) pay
the SPECIAL DEVELOPMENT TAX ONE TIME or (2) assume the ANNUAL SPECIAL TAX - DEVELOPED PROPERTY for a period not
to exceed twenty-five (25) years. Please indicate your choice by initializing the appropriate line below:
OPTION (1): I elect to pay the SPECIAL TAX - ONE TIME now, as a one-time payment.
Amount of One-Time Special Tax: $ 343.61 Owners Initials
OPTION (2): I elect to pay the SPECIAL DEVELOPMENT TAX ANNUALLY for a period not to exceed twenty-five (25)
years.
Maximum annual Special Tax: $ Owner's Initials
I DO HEREBY ERTIFY UNDER PENALTY OF PERJURY THAT THE UNDERSIGNED IS THE PROPERTY OWNER OF THE
SUBJECT PR 9 ERTY5JND TJIAT I UNDERSTAND AND WILL COMPLY WITH THE PROVISION AS STATED ABOVE.
JSignatur of Property Owner Title
LA 6 ,(,Lx 4-i'l- fir
Print Name Date
The City of Carlsbad has not independently verified the information shown above. Therefore, we accept no responsibility as to the accuracy
or completeness of this information.
Land Use P1 Imp.Area I FY 15/16 Annex date os/al
Factor 0.0746 X 4,606 Square Ft. = $343.61
(0.8608/SF CURRENT RATE -0.7862/SF PAID AT SHELL = 0.0746/SF)
8-32 Page 1 of 1 Rev. 07/09
OFFICE USE ONLY
RECORD ID #____________________
SAN DIEGO REGIONAL HHMBP#_____________
cc I& HAZARDOUS MATERIALS QUESTIONNAIRE BP DATE I I
Business Name Business Contact Telephone # Sc Sur1 4140
Project Address City State Zip Code APN#
2 1-15 Sum 140 , Sw4 ?c1.O(U6 C,49LQ6AdP Ch '12602 212 021 671-60
Mailing Address City State Zip Code Plan File#
Project Contact Telephone #
(L 16i-030 wc POWWK Mt&t
rho following questions represent the facility's activities. NOT the specific project description.
,dicate by circling the item, whether your business will use, process, or store any or tne Toilowing nazaraous matenais. IT any or tne items are
must contact the Fire Protection Agency with jurisdiction prior to plan submittal.
Occupancy Rating: Facility's Square Footage (including proposed project):
1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives
2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards
3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These.
4. Flammable Solids 8. Unstable Reactives 12. Radioactives
f the answer to any
Diego, CA 92123.
(858) 55-6700 prior to the issuance of a building permit.
FEES ARE REQUIRED. Project Completion Date: Expected Date of Occupancy:
YES Ng (for new construction or remodeling projects)
0 II 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 g 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 I1' Will your business store or handle carcinogens/reproductive toxins in any quantity?
0 It' Will your business use an existing or install an underground storage tank?
0 ' Will your business store or handle Regulated Substances (CalARP)?
0 ir Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)?
0 Rr 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).
CalARP Exempt
Date Initials
CalARP Required
Date Initials
CaIARP Complete
Date Initials
PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD: If the answer to Question #1 below is no or the answer to any of the
Questions #2-5 is yes, applicant must contact the APCD at 10124 Old Grove Road, San Diego, CA 92131-1649 or telephone (858) 586-2600 prior to the issuance
of a building or demolition permit. If the answer to questions #4 or #5 is yes, applicant must also submit an asbestos notification form to the APCD at least 10
working days prior to commencing demolition or renovation. (Some residential projects may be exempt from the notification requirements. Contact the APCD for
more information.)
YS NC;, Cr K Has a survey been performed to determine the presence of Asbestos Containing Materials?
'0 ( Will the subject facility or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the
APCD factsheet at http:I/www.sdacd.oroIinfo/facts/nermits.ndf, and the list of typical equipment requiring an APCD permit on the reverse side
of this from. Contact APCD if you have any questions).
0 (ANSWER ONLY IF QUESTION I IS YES) Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)?
(Search the California School Directory at http:/Iwww.cde.ca.aov/re/sd/ for public and private schools or contact the appropriate school district).
0 l' Will there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos?
Briefly describe business activities: I Briefly describe proposed project:
I declare under penalty of perjury that to the best of my knowledge and belief the responses made herein are true and correct.
Ir%UQV- I'I?Aç II.4 06satARM& E3 / 3 /2dJ
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
COUNTY-HMD APCD COUNTY-HMD APCD COUNTY-HMD APCD
A stamp in this box onIv exempts businesses from completing or updating a Hazardous materials business Plan. other permitting requirements may still apply.
HM-9171 (03/14) County of San Diego - DEH - Hazardous Materials Division
--.-
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
SCREENING SURVEY
Date cJ3 __; 1W /2oI
Business Name So *140
Street Address 7-I1 SPd-% PctNu 1 Sovit I40 040NAPI civ. lZ608
Email Address c
PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS)
Check all below that are present at your facility:
Acid Cleaning Ink Manufacturing Nutritional Supplement!
Assembly Laboratory Vitamin Manufacturing
Automotive Repair Machining] Milling Painting! Finishing
Battery Manufacturing Manufacturing Paint Manufacturing
Biofuel Manufacturing Membrane Manufacturing Personal Care Products
Biotech Laboratory (i.e. water filter membranes) Manufacturing
Bulk Chemical Storage Metal Casting! Forming Pestióide Manufacturing!
Car Wash Metal Fabrication Packaging
Chemical Manufacturing Metal Finishing Pharmaceutical Manufacturing
Chemical Purification Electroplating (including precursors)
Dry Cleaning Electroless plating Porcelain Enameling
Electrical Component AnodiziA9 Power Generation
Manufacturing Coating (i.e. phosphating) Print Shop
Fertilizer Manufacturing Chemical Etching ! Milling Research and Development
Film !X-ray Processing Printed Circuit Board Rubber Manufacturing
Food Processing Manufaturing Semiconductor Manufacturing
Glass Manufacturing Metal Powders Forming Soap! Detergent Manufacturing
Industrial Laundry I
Waste Treatment! Storage I
SIC Code(S) (if known):
Brief description of business activities (Production! Manufacturing Operations):_____________
Description of operations generating wastewater (discharged to sewer, hauled or evaporated):
Estimated volume of industrial wastewater to be discharged (gal! day):
List hazardous wastes generated (type/ volume):
Date operation began/or will begin at this location:
Have yoU applied for a Wastewater Discharge Permit from the Encina Wastewater Authority?
Yes No If yes, when:
Site Contact Title_____________________________
Signature Phone No.___________________________
ENCINA WASTEWATER AUTHORITY, 6200 Avenida Encinas Carlsbad, CA 92011 (760) 438-3941
FAX: (760) 476-9852
01111->4
CITY OF
CARLSBAD
PLUMBING,
ELECTRICAL,
MECHANICAL
WORKSHEET
B-18
Develooment Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
BuildingcarIsbadca.gov
Project Address: Permit No.:
Information provided below refers to work being done on the above mentioned permit only.
This form must be completed and returned to the Building Division before the permit can be issued.
- Building Dept. Fax: (160) 602-8558
Number of new or relocated fixtures, traps, or floor drains ....................................................... Z.
Newbuilding sewer line? .........................................................................................Yes_____ No ?
Numberof new roof drains?...............................................................................................................
Install/alter water line?.........................................................................................................................
Number of new water heaters? Wo
Number of new, relocated or replaced gas outlets?
Number of new hose bibs?
Residential Permits:
New/expanded service: Number of new amps: Minor Remodel only: Yes No____
Commercialllndustrlal:
Tenant Improvement: Number of existing amps involved/n this proJect: 0
Number of new amps involved/n this proJect 13 i
New Construction: Amps per Panel:
SinglePhase ...............................................................Number of new amperes________
ThreePhase ................................................................. Number of new amperes 0
ThreePhase 480........................................................Number of new amperes 1 1k
Number of new furnaces, A/C, or heat pumps
Newor relocated duct work? .......................................................................... Yes Y No
Numberof new fireplaces? ...............................................................................................................
Numberof new exhaust fans? ............................................................................................................
Relocate/install vent?............................................................................................................................
Numberof new exhaust hoods?........................................................................................................
Numberof new boilers or compressors? ........................................................... Number of HP
B-18 Page 1 of I Rev. 03/09
(City of
Carlsbad
NONRESIDENTIAL GREEN
BUILDING CODE STANDARDS
MANDATORY MEASURES
CERTIFICATION CHECKLIST
B-52
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
Application Checklist for BSC Mandatory
-. . - - - -
- -- - -
- - -
5.106.1 Storm water pollution prevention plan. For projects of one acre or less, develop a
Storm Water Pollution Prevention Plan (SWPPP) that has been designed specific to its site, (X)
conforming to the State Storm water NPDES Construction Permit or local ordinance, whichever
is stricter, as is required for projects over one acre. The plan should cover prevention of soil
loss by storm water run-off and/or wind erosion, of sedimentation and/or of dust/particulate
matter air pollution.
5.106.4 Bicycle parking and changing rooms. Comply with Sections 5.106.4.1 and (X)
5.106.4.2; or meet local ordinance, whichever is stricter.
5.106.4.1 Short-Term bicycle parking. If the project is expected to generate visitor traffic,
provide permanently anchored bicycle racks within 200 feet of the visitor's entrance, readily (X)
visible to passers-by, for 5 percent of visitor motorized vehicle parking capacity, with a
minimum of one two-bike capacity rack.
5.106.4.2 Long Term bicycle parking. For buildings with over 10 tenant-occupants, provide
secure bicycle parking for 5 percent of tenant-occupied motorized vehicle parking capacity, (X)
with a minimum of one space.
5.106.5.2 Designated parking. Provide designated parking for any combination of low
emitting, fuel-efficient and carpool/van pool vehicles as shown in Table A5.106.5.3.1. (X)
5.1062 Light pollution reduction. Comply with lighting power requirements in the California
Energy Code and design interior lighting such that zero direct-beam illumination leaves the (X)
building site. Meet or exceed exterior light levels and uniformity ratios for lighting zones 1-4 as
defined in Chapter 10 of the California Administrative Code, using the following strategies:
Shield all exterior luminaries or use cutoff luminaries (X)
Contain interior lighting within each source (X)
Allow no more than .01 horizontal foot candle 15 ft beyond the site (X)
4. Contain all exterior lighting within property boundaries (X)
Exception: See part 2, Chapter 12, Section 1205.6 for campus lighting requirements for
parking facilities and walkways.
5.106.10 Grading and paving. The site shall be planned and developed to keep surface water
away from buildings. Construction plans shall indicate how site grading or drainage system will (X)
manage all surface water flows.
Watet..Effi'ciency and Conservation
Indoor Water Use
5.303.1 Meters. Separate meters shall be installed for the uses described in Sections 503.1.1 (X)
through 503.1.3.
5303.1.1 Buildings in excess of 50,000 square feet. Separate sub-meters shall be installed
as follows: (X) For each individual leased, rented, or other tenant space within the building projected to
consume
more than 100 gal/day.
For spaces used for laundry or cleaners, restaurant or food service, medical or dental
office,
laboratory or beauty salon or barber shop projected to consume more than 100 gal/day.
B-52 Page 1 of 5 Rev. 04/11
5.303.1.2 Excess consumption. Any building within a project or space within a building that is
projected to consume more than 1,000 gal/day. (X)
5303.2 20 Percent savings. A schedule of plumbing fixtures and fixture fittings that will
reduce the overall use of potable water within the building by 20 percent shall be provided (X)
(Calculate savings by Water Use Worksheets or utilize Table 5.303.2.3).
5.303.2.1 Multiple showerheads serving one shower. When single shower fixtures are
served by more than one showerhead, the combined flow rate of all the showerheads shall not (X)
exceed the maximum flow rates specified in the 20 percent reduction column contained in
Table 5.303.2.3 or the shower shall be designed to allow only one showerhead to be in
operation at a time.
5.303.4 Wastewater reduction. Each building shall reduce the generation of As applicable
wastewater by one of the following methods:
The installation of water-conserving fixtures (X)
Utilizing nonpotable water systems (X)
5.303.6 Plumbing fixtures and fittings. Plumbing fixtures (water closets
and urinals) and fittings (faucets and showerheads) shall comply with the requirements listed As applicable
for each type in items listed in Table 5.303.6.
Water closets (toilets) - flushometer type . (X)
Water closets (toilets) —tank type (X)
Urinals (X)
Public lavatory faucets (X)
Public metering self-closing faucets (X)
Residential bathroom lavatory sink faucets (X)
Residential bathroom lavatory sinks (X)
Residential showerheads (X)
Single shower fixtures served by more than one showerhead _-9. (X) - OtitdoorWathr Uée
5.304.1 Water Budget. A water budget shall be developed for landscaping irrigation use. (X)
5.304.2 Outdoor potable water use. For new water service, separate meters or submeters
shall be installed for indoor and outdoor potable water use for landscaped areas between
1,000 and 5,000 square feet. (X)
5.304,3 Irrigation design. In new nonresidential projects with between 1,000 and 2,500
square feet of landscaped area (the level at which the MLO applies), install irrigation controllers
and sensors which include the following criteria and meet manufacturer's recommendations.
5.304.1.1 Irrigation controllers. Automatic irrigation system controllers installed at the time of
final inspection shall comply with the following:
Controllers shall be weather- or soil moisture-based controllers that automatically adjust
irrigation in response to changes in plant's needs as weather conditions change. (X)
Weather based controllers without integral rain sensors or communication systems that As applicable
account for local rainfall shall have separate wired or wireless rain sensors which connects or (X)
communicates with the controller(s). Soil moisture-based controllers are not required to have
rain sensor input.
Construction Waste Reduction, Disposal and Recycling
5.408.1 Construction waste diversion. Establish a construction waste management plan or (X)
meet local ordinance, whichever is more stringent.
5.408.2 Construction waste management plan. Submit plan per this section to enforcement (X)
authority within the city.
5.408.2.1 Documentation. Provide documentation of the waste management plan that meets
the requirements listed in Section 5408.2 Items 1 thru 4 and the plan is accessible to the (X)
enforcement authority.
5.408.2.2 Isolated jobsites. The enforcing agency may make exceptions to the requirements
of this section when jobsites are located in areas beyond the haul boundaries of the diversion
facility.
B-52 Page 2 of 5 Rev. 04/11
5408.3 Construction waste. Recycle and/or salvage for reuse a minimum of 50 percent of
nonhazardous construction and demolition debris or meet local ordinance, whichever is more
stringent.
Exceptions:
Excavated soil and land-clearing debris
Alternate waste reduction methods, developed by working with local agencies if
diversion or recycle facilities capable of compliance with this item do not exist.
5.408.4 Excavated soil and land clearing debris. 100 percent of trees. Stumps, rocks ad
associated vegetation and soils resulting primarily from land clearing shall be reused or
recycled.
(X)
Building Maintenance afl&Operation -
5.410.1 Recycling by occupants. Provide readily accessible areas that serve the entire
building and are identified for the depositing, storage and collection of nonhazardous materials (X)
for recycling.
5.410.2 Commissioning. For new buildings 10,000 square feet and over, building (X)
commissioning for all building systems covered by T24, Part 6, process systems and
renewable energy systems shall be included in the design and construction processes of the
building project. Commissioning requirements shall include items listed in Section 5.410.2.
5.410.2.1 Owner's Project Requirements (OPR). Documented before the design phase of (X)
the project begins the OPR shall include items listed in Section 5.410.4.
5.410.2.2 Basis of Design (BOD). A written explanation of how the design of the building (X)
systems meets the OPR shall be completed at the design phase of the building project and
updated periodically to cover the systems listed in Section 5.410.2.2.
5.410.2.3 Commissioning plan. A commissioning plan describing how the project will be (X)
commissioned shall be started during the design phase of the building project and shall include
items listed in Section 5.410.2.3.
5.410.2.4 Functional performance testing shall demonstrate the correct installation and (X)
operation of each component, system and system-to-system interface in accordance with the
approved plans and specifications. (X)
5.410.2.5 Documentation and training. A Systems manual and systems operations training
are required.
5.410.2.5.1 Systems manual. The systems manual shall be delivered to the building owner or (X)
representative and facilities operator and shall include the items listed in Section 5.410.2.5.1.
5.410.2.5.2 Systems operations training. The training of the appropriate maintenance staff (X)
for each equipment type and/or system shall include items listed in Section 5.410.2.5.2.
5.410.2.6 Commissioning report. A complete report of commissioning process activities (X)
undertaken through the design, construction and reporting recommendations for post
construction phases of the building project shall be completed and provided to the owner or
representative.
5.410.4 Testing and adjusting. Testing and adjusting of systems shall be required for
buildings less (X)
than 10,000 square feet.
5.410.4.2 Systems. Develop a written plan of procedures for testing and adjusting systems.
Systems to be included for testing and adjusting shall include, as applicable to the project, the (X)
systems listed in Section 5.410.3.2.
5.410.4.3 Procedures. Perform testing and adjusting procedures in accordance with industry (X)
best practices and applicable national standards on each system.
5.410.4.3 HVAC balancing. Before a new space-conditioned system serving a building or (X)
space is operated for normal use, the system should be balanced in accordance with the
procedures defined by national standards listed in Section 5.410.3.3.1.
5.410.4.4 Reporting. After completion of testing, adjusting and balancing, provide a final report (X)
of testing signed by the individual responsible for performing those services. (X)
maintenance instructions and copies of guaranties/warranties for each system prior to final
inspection.
5.410.4.5 Operation and maintenance manual. Provide the building owner with detailed
operating and maintenance manual
5.410.4.5.1 Inspection and reports. Include a copy of all inspection verifications and reports
required by the enforcing agency.
B-52 Page 3 of 5 Rev. 04/11
Environmental Quality
5.503.1 Install only a direct-vent sealed-combustion gas or sealed wood-burning fireplace or a (X)
sealed woodstove and refer to residential requirements in the California Energy Code, Title 24,
Part 6, Subchapter 7, Section 150. As Applicable
5.503.1.1 Woodstoves. Woodstoves shall comply with US EPA Phase II emission limits. (X) -- --
Weather Resistance-and Moisture-Management -
5.407.1 Weather protection. Provide a weather-resistant exterior wall and foundation envelope
as required by California Building Code Section 1403.2 and California Energy Code Section 150, (X)
manufacturer's installation instruction instructions or local ordinance, whichever is more stringent.
5.407,2 Moisture control. Employ moisture control measured by the following methods: - 5.407.2.1 Sprinklers. Prevent irrigation spray on structures.
5.407.2.2 Entries and op'enings. Design exterior entries and openings to prevent water intrusion (-X)
into buildings.
Pollution Control
5.504,3 Covering of duct openings and protection of mechanical equipment during
construction. At the time of rough installation or during storage on the construction site and until
final start up of the heating and cooling equipment, all duct and other related air distribution (X)
component openings shall be covered with tape, plastic, sheet metal or other methods to reduce
the amount of debris or duct which may collect in the system.
5.504.5.3 Filters. In mechanically ventilated buildings, provide regularly occupied areas of the
building with outside and return air prior to occupancy that provides at least a MERV of 8.
5.504,4 Finish material pollutant control. Finish materials shall comply with Sections 5.504.4.1
through 5.504.4.4
5.504.4.1 Adhesives, sealants, caulks. Adhesives and sealants used on the project shall meet
the requirements of the following standards: (X)
Adhesives, adhesive bonding primers, adhesive primers, sealants, sealant primers and
caulks shall comply with local or regional air pollution control or air quality management
district rules where applicable or SCAQMD Rule 1168 VOC limits as shown in Tables
5.504.4.1 and 5.504.4.2.
Aerosol adhesives and smaller unit sizes of adhesives and sealant or caulking
compounds (in units of product, less packaging, which do not weigh more than one pound
and do not consist of more than 16 fluid ounces) shall comply with statewide VOC
standards and other requirements, including prohibitions on use of certain toxic
compounds, of California Code of Regulations, Title 17, commencing with Section 94507.
5.504.4.3 Paint and coatings. Architectural paints and coatings shall comply with Table 5.504.4.3
5.504.4.3.1 Aerosol paints and coatings. Aerosol paints and coatings shall meet the Product-
Weighted MIR limits for ROC in Section 94522 (a)(3) and other requirements, including prohibition
on use of certain toxic compounds and ozone depleting substances (CCR, Title 17, Section 94520
etseq.).
5,504.4 Carpet systems. All carpet installed in the building interior shall meet the testing and
product requirements of one of the standards listed in Section 5.504.4.4.
50504.4.4.1 Carpet cushion. All carpet cushion installed in the building interior shall meet the
requirements of the Carpet and Rug Institute Green Label Program.
5.504.4.4.2 Carpet adhesive. All carpet adhesive shall meet the requirements of Table 804.4.1.
5.504.4.5 Composite wood products. Hardwood, plywood, particleboard and medium density
fiberboard composite wood products used on the interior or exterior of the building shall meet the
requirements for formaldehyde as specified in Table 5.504.4.
5.504.4.5.2 Documentation. Verification of compliance with this section shall be provided as
requested by the enforcing agency. Documentation shall include at least one of the following:
Product certification and specifications
Chain of custody certifications
Other methods acceptable to the enforcing agency
5.504.4.6 Resilient flooring systems. Comply with the VOC emission limits defined in the 2009 (X)
CHPS criteria and listed on its Low-emitting Materials List (or product registry) or certified under
the FloorScore program of the Resilient Floor Covering Institute.
B-52 Page 4 of 5 Rev. 04/11
5.505.1 Indoor moisture control. Buildings shall meet or exceed the provisions of the California
Building Part Sections Chapter _Code, _Title _24_ _2_ _1203_(Ventilation)_ _14_1
4ir.quaiity and Exhaust
5.506.1 Outside air delivery. For mechanically or naturally ventilated spaces in buildings, meet the (X)
minimum requirements of Section 121 of the California Energy Code, CCR, Title 24, Part 6 and
Chapter 4 of CCR, Title 8 or the applicable local code, whichever is more stringent.
5.506.2 Carbon DIOXIDE (CO2) monitoring. For buildings equipped with demand control ventilation,
CO2 sensors and ventilation controls shall be specified and installed in accordance with the (X)
requirements of the latest edition of the California Energy Code, Title 24, Part 6, Section 121(c).
Outdoor Air Quality
5.508.1 Ozone depletion and global warming reductions. Installations of HVAC, refrigeration and
fire suppression equipment shall comply with Sections 5.508.1.1 and 5.508.1.2. As
5.508.1 CFCs. Install HVAC and refrigeration equipment that does not contain CFCs. applicable
5.508.1.2 Halons. Install fire suppression equipment that does not contain Halons. (X)
(X)
I, as the professional responsible for this project, certify that, to the best of my knowledge, the mandatory items
listed on this form have been incorporated into the project in order to comply with Title 24, Part 11 of the 2013
California Green Building Standards.
Project Address: 421 75 4 I-K. Plan Check Number:
Print Name: [IVñ Zr 1- signed:_
License Number: '7 C1 72 c5 Date:
B-52 Page 5 of 5 Rev. 04/11