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2176 SALK AVE; ; CBC2020-0002; Permit
Tenant Improvement Work Class: Lot It: Reference It: Construction Type: Print Date: 06/08/2020 Job Address: 2176 Salk Ave. Permit Type: BLDG-Commercial Parcel No: 2120210100 Valuation: $66,532.16 Occupancy Group: Permit No: CBC2020-0002 Status: Closed - Finaled Applied: ' 01/03/2020 Issued: 02/26/2020 PermitFinal Close Out: Building Permit Finaled (7city Of Carlsbad Commercial Permit It Dwelling Units: Bathrooms: Inspector: CRenf Bedrooms: Orig. Plan Check It: Final Project Title: ( Plan Check It: Inspection: 06/08/2020 Description: EXPRESS HEALTH: 1028 SF TENANT IMPROVEMENT, MEDICAL OFFICE TO MEDICAL OFFICE Applicant: Owner: Contractor: CHAMPION PERMITS OWNER H G FENTON PROPERTY COMPANY SOLANA VISTA BUILDERS INC TIM SEAMAN 7577 Mission Valley Rd, 200 P 0 Box 5955 SAN DIEGO, CA .92108 137 N Acacia Ave CHULA VISTA, CA 91912 Solana Beach, CA 92075-1103 619-993-8846 619-719-8030 FEE AMOUNT BUILDING PERMIT FEE ($2000+) . $481.31 BUILDING PLAN CHECK FEE (BLDG) $336.92 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL $60.00 MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL $45.00 PLUMBING BLDG COMMERCIAL NEW/ADDITION/REMODEL . $71.00 5B1473 GREEN BUILDING STATE STANDARDS FEE $3.00 STRONG MOTION-COMMERCIAL . $18.63 Total Fees: $1,015.86 Total Payments To Date: $1,015.86 Balance Due: $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions h e r e a f t e r 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 fi l e t h e protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code S e c t i o n 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul t h e i r 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 wi t h t h i s 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 . . . 1635 Faraday Avenue, Carlsbad CA 92008-7314 1 760-602-2700 1 760-602-8560 f I www.carlsbadca.gov Page 1 of 1 COMMERCIAL too2 Plan Check ('City of BUILDING PERMIT Est. Value Carlsbad APPLICATION PC Deposit B-2 Date Job Address \JQ. Suite: •APN: Tenant Name: CT/Project #: Lot #:________ Occupancy: Construction Type: Fire Sprinklers ye no Air Conditionin es / no BRIEF DESCRIPTION OF WORK: 'tCJv Q(V%i p f'i1J C'(lOI LI Addition/New: New SF and Use, ___New SF and Use, Deck SF, _________ Patio Cover SF (not including flatwork) 0) LI Tenant Improvement: I ) "'IA SF, SF, Existing Use Proposed Use Existing Use Proposed Use LI Pool/Spa: SF Additional Gas or Electrical Features? El Solar: KW, _Modules, Mounted, Tilt: Yes / No, RMA: Yes / No, Panel Upgrade: Yes / No 0 Plumbing/Mechanical/Electrical Only: 0 Other: APPLICANT (PRIMARY) PROPERTY OWNER Name: b4° Name: _Lç _ Address:(.' -5S Address: _ City:C)'si.. 'Jwb\' State:"fr Zip: k 'J City: 5c, 0\Q4U Itate: (4 Zip: Phone: (9'\ Phone: -coA'A - c. Email: C V b C" Email: DESIGN PROFESSIONAL Name: Address: City: - Phone: Email: Architect State License: State: Zip: CONTRACTOR BUSINESS Name: \J\' VI- Address: D1 ckSA V City: "State: c4 Zip: -o -c Phone: -- EmaiI:á OtI ,p State License: v' _ 'b&js. License: _ocry,o? '' (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/she is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he/she is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjectsthe applicant to a civil penalty of not more than five hundred dollars ($5001). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-2 Page 1 of 2 Rev. 06/18 (OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury one of the following declarations: 13 I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. O I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which thispermit is issued. My workers' compensation insurance carrier and policy number are: Insurance ComRany Name: bk-cj-t frf .t-.r c .,.. Policy No. 'V M. (Y1J Expiration Date: A \. '1 O Certificate of Exemption: I certify that in the peric subject to the workers' compensation Laws of Califo; criminal penalties and civil fines up to $100,000.00, interest and attorney's fees. CONTRACTOR SIGNATURE: the work for IING: Failure ithe to th94 ich this permit is issued, I shall not employ any person in any manner so as to be come secure workers compensation coverage is unlawful, and shall subject an employer to of compensation, damages as provided for in Section 3706 of the Labor Code, II ENT DATE: L/fO (OPTION 13 ): OWNER-BUILDER DECLARATION: I hereby affirm that! am exempt from Contractor's License Law for the following reason: O I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work ;imself 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 withlicensed 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). O I am exempt under Section Business and Professions Code for this reason: . I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes 0 No I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): I plan to provide portions of thework, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): S. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): OWNER SIGNATURE: DAGENT DATE: CONSTRUCTION LENDING AGENCY, IF ANY: 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: ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYes 0 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes 0 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. APPLICANT CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COS15AND 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 over 5,0' deep and demolition or construction of structures over 3 stones in height. EXPIRATION: Every permit issued by the Buiiding Off3iundertI by such permit is not commenced within 180 day.fpfr the date after the work is commenced for a period of 18JVs (Section j APPLICANT SIGNATURE: 1ns of this Code shall expire by limitation and become null and void if the building or work authorized :h permit or if the building or work authorized by such permit is suspended or abandoned at any time Uniform Building Code). j DATE:__________ 1635 Faraday Ave Carlsbad, CA Ph: 760-602-2719 Fax: 760-602-8558 Email: BuildingcarIsbadCa.gov B-2 Page 2 of 2 Rev. 06/18 Permit Type: BLDG-Commercial Application Date: 01/03/2020 Owner: OWNER H G FENTON PROPERTY COMPANY Work Class: Tenant Improvement Issue Date: 02/26/2020 Subdivision: Status: Closed - Finaled Expiration Date: 03/01/2021 Address: 2176 SALK AVE IVR Number: 24040 CARLSBAD, CA 92008-7346 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-14 Yes Frame-Steel-Bolting-Welding (pecks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG44 Yes Rough-Ducts-Dampers 0510712020 0510712020 BLDG-Fire Final . 126942-2020 Passed Felix Salcedo Complete Checklist Item COMMENTS Passed FIRE- Building Final Fire final based on completions of Yes corrections. 1) Fire Extinguisher required. 2)Emergency lighting requires testing. 05/2912020 0512912020 BLDG-Final Inspection 128805-2020 Failed Chris Renfro Reinspection Incomplete Checklist Item COMMENTS . Passed BLDG-Building Deficiency Not ready. Need final paperwork at final No inspection BLDG-Plumbing Final No BLDG-Mechanical Final - No BLDG-Structural Final No BLDG-Electrical Final No 0610812020 0610812020 BLDG-Final Inspection 129544-2020 Passed Chris Renfro Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Not ready. Need final paperwork at final Yes inspection . BLDG-Plumbing Final - Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes Monday, June 8, 2020 Page 2 of 2 Building Permit Inspection History Finaled (7City of Carlsbad Permit Type: BLDG-Commercial Application Date: 01/03/2020 Owner: OWNER H G FENTON PROPERTY COMPANY Work Class: Tenant Improvement Issue Date: 02/26/2020 Subdivision: Status: Closed - Finaled Expiration Date: 03/01/2021 Address: 2176 SALK AVE IVR Number: 24040 CARLSBAD, CA 92008-7346 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 0111612020 0111612020 BLDG-Fire Final 116693.2020 Cancelled Adalmira Maldonado Reinspection Incomplete Checklist Item COMMENTS Passed FIRE- Building Final No 02/2712020 0212712020 BLDG-21 120759-2020 Passed Chris Renfro Complete UndergroundlUnderflo or Plumbing Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 0311112020 0311112020 BLDG-84 Rough 122087-2020 Passed Chris Renfro Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-14 Yes Frame-Steel-Bolting-Welding - (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical . Yes BLDG-44 Yes Rough-Ducts-Dampers 0311812020 0311812020 BLDG-17 Interior 122665-2020 Passed Chris Renfro. Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 0410312020 0410312020 BLDG-34 Rough 123956-2020 Cancelled Chris Renfro Reinspection Incomplete Electrical Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-44 123957-2020 Cancelled Chris Renfro Reinspection Incomplete Rough/Ducts/Dampers Checklist Item COMMENTS Passed BLDG-Building Deficiency. . No BLDG-85 1-Bar, Ceiling 123955.2020 Passed Chris Renfro Complete Grids, Overhead - Monday, June 8, 2020 Page 1 of 2 EsGil A SAFEbui1t'Company DATE: 2/19/2020 JURISDICTION: (Carlsbad-, Y APPLICANT JURIS. PLAN CHECK #.: CBC2020-0002 PROJECT ADDRESS: 2176 Salk Ave. SET: III slip sheets PROJECT NAME: Express Health Tenant Improvement D 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 building 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 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. El 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. L EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted $,14,2) (by:3 Email: Mail Telephone Fax In Person REMARKS: Applicant to slip set Ill sheets into set II plans. Then slip set II into set I for a complete, approved set for both the owner and city sets prior to permit issuance. By: Jason Pasiut Enclosures: EsGil 2/13/2020 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 EsGil A SAFEbuittCompany DATE: *123/2020 JURISDICTION: Carlsbad O APPLICANT o JURIS. PLAN CHECK #.: CBC2020-0002 PROJECT ADDRESS: 2176 Salk Ave. SET:I PROJECT NAME: Express Health Tenant Improvement 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. 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 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. 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 ôompleted. Person contacted: Tim Seaman Telephone #: 619-993-8846 Date contacted: (by: ) Email: tim©championpermits.com Mail Telephone Fax In Person LI REMARKS: By: Jason Pasiut Enclosures: EsGil 1/7/2020 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 Carlsbad CBC2020-0002 2/23/2020 PLAN REVIEW CORRECTION LIST COMMERCIAL JURISDICTION: Carlsbad USE: Medical Office ACTUAL AREA: 1,028sf STORIES: 2 HEIGHT: unchanged OCCUPANT LOAD: 11 DATE PLANS RECEIVED BY ESGIL CORPORATION: 1/7/2020 PLAN REVIEWER: Jason Pasiut PLAN CHECK #.: CBC2020-0002 OCCUPANCY: B TYPE OF CONSTRUCTION: 11-A ALLOWABLE FLOOR AREA: 112,500 SPRINKLERS?: YES REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 1/3/2020 DATE INITIAL PLAN REVIEW COMPLETED: 2/23/2020 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 2019 CBC, which adopts the 2018 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 2018 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 CBC2020-0002 2/23/2020 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 and the Carlsbad Planning, Engineering and Fire Departments. Bring TWO corrected set of plans and calculations/reports to EsGil, 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 only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil is complete. BUILDING AND LIFE SAFETY REQUIREMENTS All sheets of the plans and the first sheet of the calculations are required to be signed by the licensed architect or engineer responsible for the plan preparation. California State Law. Is this facility a licensed clinic, or free-standing building under a hospital licensed by the California Department of Public Health? (OSHPD-3 requirements in CBC Chapter 12 may apply) ACCESSIBILITY FOR REMODELS, ADDITIONS, AND REPAIRS The following disabled access items are taken from the 2016 edition of California Building Code. Per Section 1.9.1.2, all privately funded public accommodations and commercial facilities shall be accessible to persons with disabilities. Where existing elements or spaces are altered, each altered element or space shall comply with applicable requirements of Division 2, including CBC section 11 B-202.4. CBC section 11 B-202.4 states that when alterations or additions are made to existing buildings, an accessible path of travel to the specific area of alteration shall be provided. See exceptions to 11 B-202.4. Detail on the plans the following elements of the existing path of travel that are required to comply with the 2016 accessibility standards: Existing primary path of travel to the building or facility entrance, including: The accessible parking dimensions, slope, and cross-slope in compliance with CBC 11 B-502. The access aisle dimensions, slope, and cross slope in compliance with 11 B-502.3. Carlsbad CBC2020-0002 2/23/2020 C) The location of detectable warnings at hazardous vehicle areas. 1113- 705.1.2.5. The curb ramp (if any) 48" minimum width, 48" x 48" turning space at the bottom, landing length of 48" at the top, slope and cross-slope in compliance with CBC 11 B-406. The ramp (if any) slope, cross-slope, 48" minimum width, 60" x 60" landing at the top, 72" long landing at the bottom, compliant changes in direction (60" x 72") in compliance with CBC 11 B-405. I) Ramps required to have handrails must also have edge protection in compliance with 11 B-405.9. The stair (if any) width, riser and tread dimensions, contrasting stipes, handrail height, gripping surfaces and top/bottom extensions in compliance with CBC 11 B-504 and 505. Show that the walking surface from the access aisle to the building entrance complies with slope, cross slope, changes in level and clear width provisions of 11 B-403. Show the accessible entrance door threshold, door hardware, door width, and maneuvering clearances on either side of the door in compliance with CBC 11 B-206.4. 4. Existing drinking fountains (if any) shall be shown to comply with the accessibility features of 116-602 and 11 B-211.2. 5. Existing accessible parking reflectorized identification including the "van accessible", "250 fine", and "unauthorized vehicle parking" signs per 116-502.6, 11 B-502.6.2, 116-502.8.2. Existing accessible parking surface identification. 116-502.6.4.1. Existing access isle "NO PARKING" identification per 116-502.3.3 Provide the address and phone number for the location to reclaim towed vehicles. 11 B-502.8.2. 6. Show directional signs at the following locations when the means of egress are not accessible. 1009.10 a) At exits serving accessible spaces but not providing an accessible means of egress. 7. Show the permanent sign identifying the restroom on the latch side of the doorway, in compliance with 11 B-703.1,2,3, and 5. (raised characters with braille Carlsbad CBC2020-0002 2/23/2020 installed 48" from the baseline of the lowest braille and 60" from the baseline of the highest raised characters) a) The restroom sign detail A on sheet A-8 incorrectly shows the wall sigh to be 60" to the center. MECHANICAL! ELECTRICAL / PLUMBING 8. Approved as submitted. END OF REVIEW To speed up the review process, please 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 0 No The jurisdiction has contracted with EsGil, 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 Jason Pasiut at Esgil. Thank you. Carlsbad CBC2020-0002 2/23/2020 [DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK #.: CBC2020-0002 PREPARED BY: Jason Pasiut DATE: 2/23/2020 BUILDING ADDRESS: 2176 Salk Ave. BUILDING OCCUPANCY: B BUILDING PORTION AREA (Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) TI 1028 64.72 66,532 Air Conditioning Fire Sprinklers TOTAL VALUE 66,532 Jurisdiction Code 1cb 1BY Ordinance 1997 UBC Building Permit Fee [j [AM I; 1997 UBC Plan Check Fee 1rJ I 'itt Spi TWe of Review: P Complete Review r Structural Only T- Repetttive Fee Repeats p. r other r Hourly 1Hr,@* Gil Fee I p. Comments: Sheet 1 of 1 SAN DIEGO REGIONAL OFFICE USE 01 HAZARDOUS MATERIALS RECORD 10 8 PLAII CHECK 0 QUESTIONNAIRE BP ----------------------------------- Ia —OIL IO1OD - - nTTCt4)zs-oci4 110 The following questions represent the facility's ictMtios%JNOT tile specific project descnptlon. p I: FIRE DEPATMENT - HAZARDOUS MATERIALS. DIVISION: OCCUPANCY CLASSIFICTION:Inot reeuired for projVol cts withl the City of Sap D a a: indicate by cirtling the item, Welher your business will use, prOcess, or store any of tIlls flslbiAng hazardous mateilats. If any of the uems are cirded app icant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: Facility's Square Footage (Including proposed project): I. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards Flammable/Combustible Liquids 7. Pyrophorlcs 11. Highly Toxic or Toxic Materials 15. None of These. FlammableSollds 8. UnstableReactives 12. Radioactives Calf (858) 5054700 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 jj, Is your business listed on the reverse side of this form? (check all that apply). 0 4 Will your business dispose of Hazardous Substances or Medical Waste In any amount? 0 lI 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 carclnogens!reproductive toxins in any quantity? 0 0 Will your business use an existing or install an underground storage tank? 0 Will handle Regulated Substances your business store or (CalARP)? , Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? 0 L Will your business store petroleum in tanks or containers at your facilIty with a total facility storage capacity equal to r me answer to any Diego, CA 92123. CaIARP Exempt Date riltials CaiARP Required Date -. initials CSIARP Complete Date Inillals PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT IAPCD): Any YES answer requires a st'mfrddAPCD 10124 Old Grove Road, San Diego, CA 92131 apcdcompsdcountv.ca.00v (858) 586-2650). rwo stamp required If 01 Yes Q3 Yes 04-06 No]. The following questions are intended to identify the majority of air pollution issues at the planning stage. Projects may require additional measures not Identified by these questions. For comprehensive requirements contact APCD. Residences are typically exempt, except - those with more than one building' on the property; single buildings with more than four dwelling units; townhomes; condos; mixed-commercial use; deliberate bums; residences forming part of a larger projecL rExcludes garages & small outbuildings.) YES N . I. 0 l!J. Will the project disturb 160 square feet or more of existing building materials? 13 ! Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition. 0 J (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance Technician? 0 iI (ANSWER ONLY IF QUESTION 3 iS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification may be required 10 working days prior to commencing asbestos removal. - 0 (I Will the project or associated construction equipment emit air contaminants? See the reverse side of this form orAPCD factsheet (www.sdapcd.orpiinfoffads/oermits.odf) for typical equipment requiring an APCD permit. 0 0 (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school -Briefly describe business activities: - - I B ri efly describe proposed project: - y / -00'. LLer.,/.I1 - I N?.sci 0A /I o of to the best of my knowledge and Z izi /2/2 FIRE DEPARTMENT OCCUPANCY BY:- ;E ONLY: -. DATE:" EXEMPT OR NO FURTHER INFORMATION REQUIRED . RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RIN.EASED FOR OCCUPANCY COUNTY-HMO' - APCD -- COUNTY-HIND APCD COUNTY-HIND APCD A stamp In this box g[ft exempts businesses from completing or updating a Hazardous Materials Business Plan. other permitting requirements may star apply. HM-9171 (08/15) . County of San Diego— DEl-I - Hazardous Materials Division ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT , SCREENING SURVEY 6200 Avenida Encinas, Carlsbad, CA 92011 Phone: 760.4384941 Fax: 760.476-9852 - SourceControIcencInaJpa.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. o Automobile Detallers o o Barber/Beauty Shops o o Business/Sales Offices o o Cleaning Services o o Carpet/Upholstery o o Chlldcare Facilities o o Churches o o Community Centers o o Consulting Services o o Contractors o o Counseling Services 0 o Educational Services (no auto repair/film developing) o o Financial Institutions/Services o o Fitness Centers o o Gas Stations (no carwash/auto repair) o o Grocery Stores (no film developing) o o Residential based Businesses o 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 Sig(j Facility ContactM above Is true and correct to the best of my knowledge. Print Name: t k7tytci &ij Qce1,k ENCINA WASTEWATER AUTHORITY 6200 AVENIDA ENC1NAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852 SourceControk'encinaj oa.com Page 2 of 2 ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY 6200 Avenida Encinas, Carlsbad, CA 92011 Phone: 760438-3941 Fax: 760476-9852 - SourcoControl@encinajpa.com Date:Z/2c.l.! Buslnesjrit ft L11+ worm—S Street=Address:, 21(P. 1frL..V i#LIthJUb I$8')P Cb q200$ '' I I ¼J • I Ill PLEASE CHECK HERE ?F VUR4USINE6 IS EXEMPT; I& REVERSE SIDE CHECK TYPE OF BUSINESS) [J Check all below that are present at your facility: o Acid Cleaning o Food Processing o Metal Powders Forming o Assembly o Glass Manufacturing o Nutritional Supplement/Vitamin o Automotive Repair a 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 a 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. phosphatlng) o Rubber Manufacturing Manufacturing Chemical Etching/Milling o Semiconductor Manufacturing o Fertilizer Manufacturing Printed Circuit Board o Soap/Detergent Manufacturing o Film/X-ray Processing Manufacturing o Waste Treatment/Storage New Business? Yes 0 SIC Code(s) if known: began/will Tenant Improvement? D If yes, briefly de I Description of generating wastewater (discharged to sewer, hauled or evaporated): 1W S&S Estimated volume of industrial wastewater to be discharged (gall day): List hazardous wastes generated (type/volume):________________________________________________________________ Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes 0 Date:_ No Page 1 of 2 (City of CLIMATE ACTION PLAN Carlsbad 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 :• Patio j •:. Decks 1 + 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. . •Details on CAP ordinance requirements are available On the city's website. . 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 webpage and download the latest form. Application Information Project Name/Building BP No.: Permit No.: Property Address/APN: , $ I k.. Ave- Applicant Name/Co.: Applicant Address: Contact Phone: Contact Email: Contact information of person completing this checklist (if different than above): Name: Contact Phone: Company - name/address: 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, rattach Building Permit Valuation worksheet. Building Permit Valuation (BPV) from worksheet:I, $_ AT3 2_- Construction Type Complete Section(s) Notes: A high-rise residential building is 4 or more stories, including a LI Residential Low-rise High-rise mixed-use building in which at least 20% of its conditioned floor area is residential use 0 New construction 2A 3A 1B 2B 4A 3B, 4A 0 Additions and alterations: BPV < $60,000 N/A N/A All residential additions and alterations 13 BPV ~! $60,000 IA 4A 4A 1-2 family dwellings and townhouses with attached garages O Electrical service panel upgrade only ' only *Multi-family dwellings only where interior finishes are removed BPV 2:$200,000 IA, 4A* 18, 4A* and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed Nonresidential 0 New construction I B, 2B, 3B, 4B and 5 C:Wr..Alterafions: 8P/._L Z.cvk BPV 2- $200,000 or additions 2! 1,000 lB 5 square feet BPV k $1,000,000 IB, 2B, 5 2! 2,000 sq. ft. new roof addition 2B, 5 Building alterations of -~! 75% existing gross floor area 1 B also applies if BPV 2! $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 Carlsbad Municipal Code (CMC) sections 18.21.155 and 18.30.190, and the California Green Building Standards Code (CALGien) for rnoi information when completing this section. A. D Residential addition or alteration? $60,000 building permit valuation. 0 N/A_____________________________ See CMC section 18.30.190. 0 Exception: Home energy score 2:7 (attach certification) Year Built Single-family Requirements Multi-family Requirements Before 1978 Select one: 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 1992 and later- Select one: O Lighting package 0 Water heating package B. D Nonresidential* new construction or alterations? $200,000 building permit valuation, or additions a1,000 square feet 0 N/A__________________________ Updated 8/15/2019 PA (City of CLIMATE ACTION PLAN Development Services CONSISTE Carlsbad NCY CHECKLIST Planning Division 1635 Faraday Avenue P.30 (760) 602-4610 www.carlsbadca.gov PURPOSE In September 2015, the City of Carlsbad adopted a Climate Action Plan (CAP) that outlines actions that the city will undertake to achieve its proportional share of state greenhouse gas (GHG) emissions reductions. This checklist contains measures that are required to be implemented on a project-by-project basis to ensure that the specified emissions targets identified in the Climate Action Plan (CAP) are achieved. Implementation of these measures will ensure that new development is consistent with the CAP's assumption for relevant CAP strategies toward achieving the identified greenhouse gas (GHG) reduction targets. In this manner, a projects incremental contribution to a cumulative GHG emissions effect may be determined not to be cumulatively considerable if it complies with the requirements of the CAP, in accordance with CEQA Guidelines Sections 15064(h)(3), 15130(d), and 15183(b). This checklist is intended to assist project applicants in identifying CAP ordinance requirements and demonstrate how their project fulfills those requirements. This checklist is to be completed and included in applications for new development projects that are subject to discretionary review or require a building permit. APPLICATION SUBMITTAL REQUIREMENTS 4 The completed checklist must be included in the project submittal package or building permit application. Application submittal procedures can be found on the City of Carlsbad website. This checklist is designed to assist the applicant in identifying the minimum CAP-related requirements specific to their project. However, it may be necessary to supplement the completed checklist with supporting materials, calculations or certifications, to demonstrate full compliance with CAP 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. 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 Planning Division or building official. 4 The requirements in the checklist will be included in the project's conditions of approval or issuance of building permit. 4 Details on CAP ordinance requirements are available on the city's website. P-30 Page 1 of 7 Revised 04119 City of Carlsbad Climate Action Plan Consistency Checklist STEP 1: LAND USE CONSISTENCY The first step in determining CAP consistency for discretionary development is to assess the project's consistency with the growth projections used in the development of the CAP. This section allows the city to determine a projects consistency with the land use assumptions used in the CAP. Projects found not to be consistent with the CAP's land use assumptions and that are projected to emit at or above the CAP screening threshold of 900 metric tons of CO2 equivalent (MTCO2e) GHG will be subject to a project- specific analysis of GHG emissions' impact on the environment in accordance with the requirements of the California Environmental Quality Act (CEQA). This may result in GHG-reducing mitigation measures applied as a condition of project approval in addition to compliance with the CAP ordinance requirements identified in Step 2 of this checklist. STEP I Land Use Consistency Checklist Item Yes (Chedc the approçidate box and provide an explanation and supporting documentation for your answer) No A. is the proposed project consistent with the existing General Plan land use and epeciflcMwster plan or zoning designations? OR, . . .. . . . o If the proposed project is not consistent with the existing land use plan and zoning designations, does the project include a land use plan and/or specific: plan, master plan or zoning designation amendment that would result in an equivalent or less GHGintensive project when compared to the existing designations? If "Yam, proceed top 2 of the cheddist For the second option under Question A above, provide estimated project.related GIG emissions under both existing and proposed designation(s) for comparison. GHG emissions mist be estimated in accordance with the City of Carlsbad Guidance to Demonstrating Consistency with the Climate Action Plan. ltNo", proceed to Question B. The CAP established a screening threshold o1900 rvfrCoieAjear for new development projects to assist In determining consistency with the CAP. The types and sizes of typical projects bsted below have been determined to conespond to the CAP screening threshold. VWI the proposed land use theme result in the construction of less than anyone of the Ibilowing? SinoleFamiIv Hcsisina: 50 dwellIng units Multifamily Housing: 70 dwelling units 14 0 Q 35,000 square feet Retail Slow. 11,000 square feet Grocery Store: 6,300 square feet Othec If the proposed project is not one of the above types, provide a project-speolfic GIG emissions analysis to determine whether it is below the 900 MTCO2elyear screening threshold. If 'Yes" proceed toggof the checidist If Uli the projects GHG impact is potentially significant and must be analyzed In accordance with CEQA. Applicant must prepare a Self.devetoped GHG emissions reduction program in accordance with the City of Carlsbad Guidance to DemonsbaThq Consistency v.4th the Climate Action Plan to demonstrate how it would offset the increase in emissions over the existing designations. The project must incorporate each of the applicable measures identified in Step to mitigate cumulative GHG emissions impacts unless the deasion maker finds that a measure is infeasible in accordance with California Environmental Quality Act Gildelines Section 15091. Mitigation in lieu of or in addition to the measures in SleD2 maybe required, depending on the results of the project-spedflcGHG impact analysis. Proceed and complete a project-specific Seltdevetoped GHG emissions reduction program and Step 2 of the Cheddist P30 Page 2of7 RevIsedO4l19 City of Carlsbad Climate Action Plan Consistency Checklist STEP 2: CAP ORDINANCE COMPLIANCE REQUIREMENTS Completion of this checklist will document a project's compliance with CAP ordinances, and in turn, demonstrate consistency with the applicable measures and actions of the CAP. The compliance requirements in this Step 2 apply to development projects that require a building permit. All other development projects shall implement all emissions-related mitigation measures from the General Plan Uodate ElR. Application Information Project No./Name: Property Address/APN: 2147 -021-6/ *O Applicant Name/Co.: p ( ('rzrLy e - - Applicant Address: ,, ,'.p (.ipM C ,,;4C Contact Phone: g 700 Contact Email: Fez pI.(z .Pr.I€se Jr,ohea/4 .0f. Contact information of person completing this checklist (if different than above): Name: Contact Phone: 1C7 qi Company name/address:6L a p iou Per 4& COflt5Ct I: 1'7 4 PnpiOfl Pe,'. 6a n P01 ? 4 ii1tZ Use the table below to determine which sections of the Ordinance Compliance checklist are applicable to your project. If your project includes alterations or additions to an existing building, please contact the Carlsbad Building Division for assistance in estimating building permit valuation, by phone at 760-602-2719 or by email at buildino(äcarlsbadca.aov. Estimated Building Permit Valuation (BPV): $ Cons Type owl ) Nota 0 Residential - New construction 2A, 3A and 4A O Alterations: BPV 2: $60,000 IA All residential alterations BPV Lit $60,000 C3 Electrical service panel upgrade IA and 4A 4A 1-2 family dwellings and townhouses with attached garages Only O BPV k $200,000 1A and 4A Multi-family dwellings only where interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, andlor plumbing systems are proposed 'NonresIdenVaI O New construction 118. 213, 313, 46 and Alterations: P-30 Page 3 of 7 Revised 04119 City of Carlsbad Climate Action Plan Consistency Checklist '. BPV a 8200.000 or additions 1.000 lB 5 square feet BPV a $1,000,000 18, 2B and 5 Building alterations of 2! 75% existing gross floor area 2:2,000 sq. It new roof addition 28 and 5 lB also applies if BPV k $200,000 CAP Ordinance Compliance Checklist Rem Check the appropriate boxes, explain at notappilcable and exception items, and provide supporting cabiations and docunentabon as necessary. 1. Energy Efficiency Please refer to Carlsbad Ordinance No. CS-347 and the California Green Building Standards Code (CALGreen) for more information when completing this section. A. 0 ResIdential addition or alteration? $60,000 building pennit valuation. 0 N/A________________________ See Ord. CS-347, SectIonS. 0 Exception: Home energy score k 7 (attach certification) Year Built Single4amily Requirements Multl4amily Requirements Before 1978 Select one: Ductseaflng OAthc insulation 0000! roof 0 Atticlnsulation 1978 and later Select one: Lighting package 0 Water healing package Between 1978 and 1990 Select one: DAitc insulation 0 DuctSeallng 0 Cool roof 0 1991 and later Select one: Lighting package 0 Water healing package B. Nom,sblentlar new construction or alterations? $200,000 building permit valuation, or additions k1,000 square feet 0 N!A_________________ See CALGreen Appendix A% Discussion AS.2, as amended In CS.347, Section 3. A5.203.1.1.1 Outdoor lighting: .90 Allowed Outdoor lighting Power N/A________________ A5.203.1.12 Restaurant service water healing (comply with California Energy Code Section 1405, as amended) .NIA A5.203.12.1 Choose Chooseone asapplicable: 0.95 Energy budget D.90 Energy budget WAt)EtScThtC A5211.t' 0 On-eke renewable energy 't91r{ A5211.3" 0 Green power (d offered by local utility provider, 50% nmum renewable sources) C<pk A5212.1 Elevators and escalators ' N/A 1 SflI4 A5213.1 0 Steel framing 0 N/A_______________ P-30 Page 4 of 7 Revised 04119 City of Carlsbad Climate Action Plan Consistency Checklist Includes hoteImotels and high-rise residential buildings For alterations? $1,000,000 BPV and affecting >75% eidsthg gross floor area, or alterations that add 2,000 square feet of new roof addition: comply 4th Cafifomia Energy Code section 120.10 instead. 2. Photovoltaic Systems - 0 Residential new construction (for building pennit applications submitted after 111120). Refer to 2019 California Energy Code section 150.1(c) 14for requirements. Note: if project Includes Installation of anelechic heat pumpwaterheater pursuantto Cadsbad ordinance CS-348, Increase system ses by .3Wdc if PV offset option is selected. Floor Plan ID (use additional sheets If necessary) CFA #d.u. Calculated Wifdc* Exception 0 0 0 - Total System Size: - kWdc kWdc = (CFAx.572) 11.000 + (1.15 xiu.) 'Formula calculation where CFA = conditional floor area, #du = number of dwellings per plan We It proposed system size Is less than calculated she, please explain 0 Nonresidential new construction oraltemtions 2$1,000,000 BPV and affecting ?75% existing floor area, or addition that Increases roof area by ?2,000 square feet. Please refer to Carlsbad Ordinance CS-347, Section 6 when completing this section Choose one of the following methods: D Gross Floor Area (GFA) Method GFA Mm. System Size: ______ kWdc If c 10,000s.f. Enter 5 kWdc If? 10,000s.f. calculate: 15 kWdc x(GFNIO,000)" "Round building size factor to nearest tenth, and round system size to nearest whole number. 0 Time- Dependent Valuation Method Annual MV Energy use:"* x.80= Mm. system size: kWdc "*Attach calculation documentation using modeling software approved by the California Energy Commission. P-30 Page 5 of 7 Revised 04119 City of Carlsbad Climate Action Plan Consistency Checklist 3.WaterHeating .-.. .....-..-. - - A. 0 Residential and hotetihiotel now construcllon Please refer to Carlsbad Ordinance CS-347 and CS-348 when completing this section. 0 For systems serving Individual dwelling units choose one: 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 CA Energy Code Section 120.10 (for high rise residential hotel/motel) or 150.1(c) 14 (for low-rise residential) O Heat pump water heater meeting Tier 3 or higher NEEA Advanced Water Heating Specification E3 Solar water heating system that is either .60 solar savings fraction or 40 s.f. solar collectors 0 Exception: O 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 CS-347 (high-rise residential, hotel/motel) or CS-348 (low-rise residential) E3 Solar water heating system that is either 0 .60 solar savings fraction or 40 s.f. solar collectors 0 .40 solar savings fraction, plus drain water heat recovery Exception: B. 0 Nonresidential new construction Please refer to Carlsbad Ordinance CS-347 when completing this section. Water heating system derives at least 40% of its energy from one of the following (attach documentation): Solar-thermal 0 Photovoltaics 0 Recovered energy Water heating system is (choose one): O Heat pump water heater Electric resistance water heater(s) O Solar water heating system with .40 solar savings fraction O Exception: - 4. ElectrIc VehICle Charging - A. [J Residential New construction and major alterations* Please refer to Carlsbad Ordinance CS-349 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 I Proposed EVSE Spaces Cable Ready Installed Total Calculations: Total EVSE spaces = .10 x Total parking (rounded up to nearest whole number) EVSE Installed= Total EVSE Spacesx .50 (rounded up to nearest whole number) EVSE other= Total EVSE spaces - EVSE installed (EVSE other may be Capable,' Readyuor1nstalled.) P-30 Page 6of7 Revised 04119 City of Carlsbad Climate Action Plan Consistency Checklist *Major alterations are: (1) lbr one and two-family dwellings and townhouses with attached garages, alterations have a building permit valuation ~! $60,000 or Include an electrical service panel upgrade; (2) for mu Wramily dwellings (three unite or more without attached garages alterations have a building permit valuation Z$200,000, Interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed. B. 0 Nonresidential new construction (Includes hotels/motels) 0 Exception: Total Parldng Spaces Proposed EVSE Spaces Capable Ready Installed Total Calculation: Refer to the table below. Total Number of Paddng Spaces pioáded Number of required EV Spaces Number of required EVSE installed Spaces 0-9 1 1 10-25 2 1 26-50 .4 2 El 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 5. Otranspprtation Drnend Maahi(rDM) .... A List each proposed nonresidential use and gross floor area (GFA) allocated to each use. EL Employee ADTII ,000 square feet is selected from the City of Carlsbad Employee ADT Table. Use GFA Employee ADTI1,000 S.F. Total Employee ADT )fF Ito -t4e1-1-1f (4-ef 1 O2 t°° llo Ant- Total jo Ar)91 If total employee ADT Is greaterthan orequal to 110 employee ADT, a MM plan Is required. NOTE: Notwithstanding the 110 employee ADT threshold above, General Plan Mobility Element Policy 3-P.11 requires new development that adds vehicle traffic to vehicle LOS-exempt streetfadlifles to implement MM and transportation system management strategies. Please consult with City of Carisbad Land Development Engineering (WE) stall to determine whether this policy applies to your project TDM plan required: Yes No IDE Staff Verification: 0 (staff initials) P-30 Page 7017 Revised 04119