The URL can be used to link to this page

Home My WebLink About2855 GAZELLE CT; ; CBC2020-0289; PermitBuilding Permit Finaled Commercial Permit Print Date: 02/04/2021 Job Address: Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Project Title: 2855 GAZELLE CT, CARLSBAD, CA 92010-6670 BLDG-Commercial Work Class: 2091202000 Track#: $162,319.90 Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Description: JONIS: 3,490 SF Tl CONVERTING SEMINAR ROOM TO OFFICE Applicant: Property Owner: Tenant Improvement DGA ARCHITECTS JON OHLSON JONIS PHARMACEUTICALS INC -2855 2855 GAZELLE CT 2550 5TH AVE, # 115 SAN DIEGO, CA 92103-6615 (619) 685-3990 FEE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) CARLSBAD, CA 92010-6670 (760) 931-9200 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL 581473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $1,640.86 Total Payments To Date: $1,640.86 {City of Carlsbad Permit No: CBCZ0Z0-0289 Status: Applied: Issued: Fina led Close Out: Inspector: Final Inspection: Balance Due: Closed -Finaled 07/29/2020 11/25/2020 TKers 02/04/2021 AMOUNT $849,65 $594.76 $89.00 $55.00 $7.00 $45.45 $0.00 Please take NOTICE that approval of your project includes the 11lmposition11 of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Building Division Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov (city of Carlsbad Job Address 2855 Gazelle Court Tenant Name~onis PharrnaceuticaJs COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check ~fl~ Est. Value Suite: _____ APN: 209.120-20-00 CT/Project#: ______ Lot#:, ___ _ Occupancy:,.;;B;;..... ___ Construction Type:._11_-B;;._ __ Fire Sprinklers: 0 YES O NO Air Conditioning: 0 YES O NO BRIEF DESCRIPTION OF WORK: The work is for interior non structural tenant improvemenl work converting a 3,590 s.t. seminar room into private and open office space. 0 Addition/New: __________ ,New SF and Use, __________ New SF and Use, _____ Deck SF, Patio Cover SF (not including flatwork) 0 Tenant Improvement: 3,590 SF, Existing Use Seminar Rm. Proposed Use_O_ff_ic_e ___ _ ______ SF, Existing Use _______ Proposed Use ______ _ D Pool/Spa: _____ SF Additional Gas or Electrical Features? ___________ _ D Solar: ___ KW, __ Modules, ___ Mounted, Tilt: OYON, RMA: OY ON, Panel Upgrade: OY ON 0 Plumbing/Mechanical/Electrical Only; ______________________ _ D Other: _______________________________ _ APPLICANT (PRIMARY CONTACT} Name: Jon Ohlson Address: 2550 Fifth Ave, Suite 115 City: San Diego State:_C_A _ _,Zip; 92103 Phone: s1e.s20.4021 Emall: johlson@dga-mv.com DESIGN PROFESSIONAL Name: OGA Archilects Address: 2550 Fifth Ave, Suite 115 City: San Diego State:,_c_A __ Z.lp: 92103 Phone: 619.820.4021 Email: johlson@dga-mv.com Architect State License: _c_-2_2_21_9 ________ _ PROPERTY OWNER Name: lonls Pharmaceuticals Address: 2855 Gazelle court City: Carlsbad Phone: 760.931.9200 Email: wsanders@lonlsph.com CONTRACTOR BUSINESS State:,_c_A _ _,Zip: 9201 o Name: Good & Roberts, LLC Address: 2455 Impala Drive City: Carlsbad State: CA Zlp:_9_2_0_1_0 __ _ Phone: 76 0-5 98-7614 Email: mhewi t t@ nr c . com State License: 9 8 6 915 Bus. License:.i.L==.::....::..:...u. (Sec. 7031,S 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 ffie a signed statement that he/she Is llcensed 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.S by any applicant for a permit subjects the applicant to a clvll penalty of not more than five hundred dollars {$500}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: 8uilding@carlsbadca.gov B-1 Page 1 of2 Rev. 03/20 ( OPTION A): WORKERS'COMPENSAT!ONJ>ECLARATION: I hearby affirm under penalty of perjury Q1lf of the following dee/orations: ~I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3.700 of the Labor Code, for the performance of the work which this permit is issued. e:91 have and wlll maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: Insurance Co~_pany Name: Lock ton Insurance Brokers, LLC PollcyNo. 17062450 ExplratlonDate: 10/31/2021 [29 Certificate of Exemption: J certify that In the performance of the work for which this permit Is Issued, I shall not employ any person in any manner so as tobe come subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage Is unlawful, and shaU subject an employer to criminal penaltfes and civil fines up to $100,000.00, in addition the to the cost of compensation, damaaes as provided for In Section 3706 of the Labor Code, Interest and attorne,J's fees. CONTRACTOR SIGNATURE: __ M_o_r...:g'-a_n_H_e_w_i_tt_lit_. ___ ;.._"1_l;';-_~i;""_.::l"_,'."~-"'!.-· ·_",_-_,_-___ □AGENT DATE:_1_1_;_2_;_2_0_2_0_ { OPTION B }: OWNER-BUILDER DECLARATION: I hereby affirm that I 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 compensatioh, wllJ do the work and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's lkense Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or Improvement Is sold within one year of completion, the owner--builder will have the burden of proving that he did not build or improve for the purpose of sale). 01, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License law does not apply to an owner of property who bullds or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law}. 0 I am exempt under Section _______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. QYES ONO 2. I (have/ have not) signed an application for a bulldlng permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (lndude name address/ phone/ contractors' license number): 4. I pJan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work {Include name/ address/ phone/ contractors' license number): 5. 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: _________________ □ AGENT DATE: _____ _ CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there Is a construction lending agency for the perfonnance 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 reglstratlon form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? I No Is the applicant or future bulldlflB occupant required to obtain a permit from the air Pollution control district or air quality management district? No Is the facility to be constructed within 1,000 feet of the outer boundary of a school sJte? No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICA1£ 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 DISTIIICT. APPLICANT CERTIFICATION: I certify that I have read the application and state that the above lnformatfon Is correct: and that the Information on the plans Is accurate. I agree to comply with all City ordinances and State laws relatlng to bulldfng 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 l<EEP HARMLESS THE CITY OF CARLS8AD AGAINST ALLUABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUEAGAJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is requfred for excavations overs'O' deep and demolltfon or construction of structures over 3 stories rn height EXPIRATION; Every permit Issued by the Building Official under the ~51ons of this Code shall exprre by Jfmltatlon and become nuff and void If the bulfdlng or work authorized by such permit is not commenced within 360 days fro the date of su rmlt or If the b.illd/ng or work authotlzedby such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days {A 1635 Faraday Ave Carlsbad, CA 92 8-1 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of2 Email: Bulldlng@carlsbadca.gov Rev. 03/20 Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status· Closed -F1naled Application Date: 07/29/2020 Owner: IONIS PHARMACEUTICALS INC -2855 Issue Date: 11/25/2020 Subdiv1s1on: Expiration Date: 07/12/2021 Address 2855 GAZELLE CT CARLSBAD, CA 92010-6670 1VR Number· 27722 Scheduled Date Actual Inspection Type Start Date Inspection No. Inspection Primary Inspector Reinspection Inspection Thursday, February 4, 2021 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Status Passed Yes Yes Yes Yes Yes Page 2 of 2 Building Permit Inspection History Finaled (City of Carlsbad Perrrnt Type· BLDG-Commercial Application Date: 07/29/2020 Owner: IONIS PHARMACEUTICALS INC· 2855 Work Class. Tenant Improvement Issue Date: 11/25/2020 Subdivision: Status: Closed -Finaled Expiration Date: 07/12/2021 Address: 2855 GAZELLE CT IVR Number: 27722 CARLSBAD, CA 92010-6670 _,m •• ••~-• -,,_.,_, ~-~ . ·-·-· ,, -.. '.-------·-- Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 12/1612020 12/16/2020 BLDG-14 146354-2020 Passed Tim Kersch Complete Frame/Steel/Bolting/We ldlng (Decks) Checklist Item COMMENTS Passed BLDG-Building Deficiency NG BLDG-34 Rough 146355-2020 Passed Tim Kersch Complete Electrical Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 12/21/2020 12/21/2020 BLDG-17 lnterlor 146712-2020 Partial Pass Tim Kersch Reinspection Incomplete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 12/22/2020 12/22/2020 BLDG-17 Interior 146837-2020 Passed Tim Kersch Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 12/30/2020 12/30/2020 BLDG-44 147198-2020 Passed Tim Kersch Complete Rough/Ducts/Dampers Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 01/13/2021 01/13/2021 BLDG-85 T-Bar, Celling 148189-2021 Passed Tim Kersch Complete Grids, Overhead 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 02/04/2021 02/0412021 BLDG•Flnal Inspection 149764-2021 Passed Tim Kersch Complete Thursday, February 4, 2021 Page 1 of 2 DATE: 8/11/2020 JURISDICTION: City of Carlsbad ✓• EsG1I A SMEbuilt Company PLAN CHECK#.: CBC2020-0289 PROJECT ADDRESS: 2855 Gazelle Court SETI ~PPLICANT J JURIS. PROJECT NAME: Ionis Pharmaceuticals Seminar Room Conversion to Office T. I. ~ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: ~ EsGil staff did not advise the applicant that the plan check has been completed. D EsGil staff did advise the applicant that the plan check has been completed. Person contacted· Telephone#: Date contacted:'3f II /2-V (by>JVJ) Email: Mail Telephone Fax In Person ~ RKS: City to field verify that the path of travel from the handicapped parking space to the el area and the restrooms serving the remodel area comply with all the current disabled access requirements. By: David Yao EsGil 7/30/2020 Enclosures: 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 City of Carlsbad CBC2020-0289 8/11/2020 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PREPARED BY: David Yao BUILDING ADDRESS: 2855 Gazelle Court BUILDING OCCUPANCY: B BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier office T.I. 3590 Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance -------- 1997 UBC Building Permit Fee 1997 UBC Plan Check Fee ---. ------------------ Type of Review: 0 Complete Review D Repetitive Fee ..,, ! Repeats Comments: □ Other D Hourly EsGil Fee PLAN CHECK#.: CBC2020-0289 DATE: 8/11/2020 Reg. VALUE ($) Mod. per city 162,320 162,320 D Structural Only $552.31 I Sheet of Hazardous Materials Questionnaire County of San Diego, Department of Environmental Health PO Box 129261, San Diego, CA 92112-9261 Record ID #: Not in System Plan Check#: DEH2020-HHMBP-009303 (858) 505-6700 (800) 253-9933 www.sdcdeh.org Business Name Business Contact Telephone# Plan File# lonis Pharmaceuticals, Inc Rick White 7606033519 City Zip Code APN# Project Address 2855 Gazelle Ct Car1sbad I State CA 920106670 209-120-20-00 Applicant Applicant E-Mail Applicant Telephone# Rick White rwhite@ionisph.com 7606033519 The following questions represent the facility's activities, NOT the specific project description. PART 1· EIRE DEPARTMENT· HAZARDOUS MEIERIALS DIVISION· OCCUPANCY CLASSIFICATION· (Not required for projects within the City of San Diego.) Indicate by selecting the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are selected, Applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: B Facility's Square Footage (including proposed project): 175000 □ Explosive or Blasting Agents □ Organic Peroxides □ Water Reactives D Corrosives □ Compressed Gases □ Oxidizers □ Cryogenics □ Other Health Hazards □ Flammable/Combustible Liquids □ Pyrophorics □ Highly Toxic or Toxic Materials □ None of These □ Flammable Solids □ Unstable Reactives D Radioactives PART U· SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEAL TH -HAZARDOUS MATERIALS DIVISION (HMO)· If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, in person al 5500 Overland Ave., Suite 110, San Diego, CA 92123, or by phone at (858) 505-6700 prior to issuance of a building permit. FEES ARE REQUIRED. Project Completion Date: 2/28/2021 1. 2. 3. 4. 5. 6. 7. 8. YES NO " □ □ " □ □ □ □ □ □ ,. " " " " ,. Is your business listed on the reverse side of this form? (check all that apply). Will your business dispose of Hazardous Substances or Medical Waste in any amount? Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds, or 200 cubic feet? Will your business handle carcinogens or reproductive toxins in any quantity? Will your business use an existing, or install an underground storage tank? Will your business store or handle Regulated Substances (CalARP)? Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? Will your business store petroleum in tanks or containers at your facility with a total storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). □ CalARP Exempt □ CalARP Required □ CalARP Complete Review Date: PART m· SAN DIEGO COUNTY AIR PPLLUTION CONTROL DISTRICT (APCQ): If the answer to Question #1 Is 'Yes' and the answer to Question #2 is 'No', the applicant must contact the APCD prior to the issuance of a building or demolition permit. If any answer to Questions #3, ##4, or #5 is 'Yes', the applicant must contact the APCD prior to the issuance of a building or demolition permit. If the answer to Question #3 or #4 is 'Yes', the applicant may need to 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 at 10124 Old Grove Road, San Diego, CA 92131 or telephone (858) 586-2600 for more information. 1. 2. 3. 4. 5. 6. YES NO □ ,. □ □ □ □ □ " □ □ " □ Will any existing building materials be disturbed as part of this project? (tf the answer is 'Yes', an asbestos survey may be required.) Has a survey been performed to determine the presence of asbestos containing materials? Will the project involve handling or disturbance of any asbestos containing materials? Will the project involve the removal of any load supporting structural member? 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://www.sdapcd.org/info/facts/permits.pdf {ANSWER ONLY IF QUESTION 5 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://www.cde.ca.gov/re/sd/ for public and private schools or contact the appropriate school district. Briefly describe business activities: Briefly describe proposed project: Conversion of conference rooms into office space. There Is no hazmat associated with this project Pharmaceutical research and development I declare under penalty of perjury that lo the best of my knowledge and belief, the responses made herein are true and correct. Iii; Fees Acknowledged: Iii Rick White 11/9/2020 Name of Owner or Authorized Agent Dale FOR OFFICIAL USE ONLY FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: BY DATE EXEMPT OR NO FURTHER INFORMATION RELEASED FOR BUILDING PERMIT BUT NOT FOR RELEASED FOR OCCUPANCY REQUIRED OCCUPANCY COUNTY-HMO* APCD COUNTY-HMO APCD COUNTY-HMO APCD ~i:"1 or SA,v(1 ~❖'-'°" Cc.,.,(,..4 .el ~' -w ... G Hl:ViEV\il:.i.J Jj'<' <t S. Khalid l, All'ffl!Wl!O 9 c J.!l!.~ Ill 11/10/202/ <a Dllle/lmttals fl "'~ <S' HMO ~ or Sii'" *A stamp in this box 2D.!Y. exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply. DEH_HMD_Plan_Check_Queslionnaire v1 .2 (10/2015) Pnntecl on: 1111212020@ 9:18 AM ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY Date: 11/9/2020 6200 Avenida Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com Business Name: Ion is Pharmaceuticals Street Address: 2855 Gazelle Ct, Carlsbad, CA 92010 Email Address; rwhite@ionisph.com PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (oN REVERSE SIDE CHECK TYPE OF BUSINESS) □ Check all below that are present at your facility: o Acid Cleaning o Assembly o Automotive Repair o Battery Manufacturing o Biofuel Manufacturing o Biotech Laboratory o Bulk Chemical Storage o CarWash o Chemical Manufacturing o Chemical Purification o Dental Offices • Dental Schools • Dental Clinics o Dry Clean Ing o Electrical Component Manufacturing o Fertilizer Manufacturing o Film/X-ray Processing o Food Processing o Glass Manufacturing o Industrial Laundry o Ink Manufacturing o Laboratory o Machining/Milling o Membrane manufacturing (i.e. water filter membranes) o Metal Casting/Forming o Metal Fabrication o Metal Finishing • Electroplating • Electroless Plating • Anodizing • Coating (i.e. phosphating) • Chemical Etching/Milling • Printed Circuit Boa rd Manufacturing o Metal Powders Forming o Nutritional Supplement/Vitamin Manufacturing o Painting/Finishing o Paint Manufacturing o Personal Care Products Manufacturing o Pesticide Manufacturing/ Packaging o Pharmaceutical Manufacturing (including precursors) o Porcelain Enameling o Power Generation o Print Shop o Research and Development o Rubber Manufacturing o Semiconductor Manufacturing o Soap/Detergent Manufacturing o Waste Treatment/Storage New Business? YesO No[{] SIC Code(s) if known: 8731 Date operation began/will begin:,_8_1_2_0_1_1 ___ _ Tenant Improvement? Yes@Nc{] If yes, briefly describe improvement: _________________ _ Converting conference room to offices Description of operations generating wastewater (discharged to sewer, hauled or evaporated);. __________ _ No new wastewater generating operations Estimated volume of industrial wastewater to be discharged (gal/ day): NA -No new wastewater generation List hazardous wastes generated (type/volume): NA -no new haz waste generated Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes[{) Date: 2011 Page1of2 No□ ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY 6200 Avenlda Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Faic: 760-476-9852 SourceControl@enclnajpa.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 Detailers o Hotels/Motels (no laundry) o Barber/Beauty Shops o Laundromats o Business/Sales Offices o Libraries o Cleaning Services o Medical Offices (no x-ray developing) o Carpet/Upholstery o Mortuaries o Childcare Facilities o Museums o Churches o Nail Salons o Community Centers o Nursing Homes o Consulting Services o Office Buildings (no process flow) o Contractors o Optical Services o Counseling Services o Pest Control Services (no pesticide repackaging for sale) o Education al Services (no auto repair/film developing) o Pet Boarding/Grooming Facilities o Financial Institutions/Services o Postal Services (no car wash/auto repair) o Fitness Centers o Public Storage Facilities o Gas Stations (no car wash/auto repair) o Restaurants/Bars o Grocery Stores (no film developing) o Retail/Wholesale Stores (no auto repair/film developing) o Residential based Businesses o Theaters (Movie/Live) CERTIFICATION STATEMENT I certify that the Information above is true and correct ta the best of my knowledge. Print Name: Rick White DATE: 11/9/2020 Facility<Contact:_R_i_c_k_W_h_it_e _____ _ Title: Director, HS&E ENCi NA WASTEWATER AUTHORITY 6200 AVE NIDA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@enclnalpa.com Page 2 of 2 ~· ------------------------------------------- C cicyof Carlsbad PURPOSE CLIMATE ACTION PLAN CONSISTENCY CHECKLIST B-50 Development Services Building Division 1635 Faraday Avenue (760) 602-2719 www.ca rlsbadca.gov 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 I ❖ Decks I ❖ PME (w/o panel upgrade) I ❖ Pool A 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. A Details on CAP ordinance requirements are available on the city's website. A A CAP Building Plan template (form 8-55) 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. Project Name/Building Permit No.: Property Address/APN: Applicant Name/Co.: Applicant Address: Contact Phone: Contact Email: Contact information of person completing this checklist (if different than above): Name: Company name/address: Contact Phone: Contact Email: Applicant Signature: _______________ Date: _______ _ B-50 Page 1 of 6 Revised 08/19 City of Carlsbad Climate Action Plan Consistency Checklist Use the table below to determine which sections of the Ordinance Compliance checklist are applicable to your project. For alterations and additions to existing buildings, attach Buildin~ermit Val~on worksheet. Building Permit Valuation (BPV) from worksheet: $ f ~ ~ J 19{. 0 CCllllbuc:tionType Compllte~ Nata: I D Residential ' Low-rise High-rise mixed-use building in which at least 20% of its conditioned floor area is residential use A high-rise residential building is 4 or more stories including a □ New construction 2A, 3A, 18, 28, 4A 38,4A □ Additions and alterations: □ BPV < $60,000 N/A N/A All residential additions and alterations □ BPV ~ $60,000 1A, 4A 4A 1-2 family dwellings and townhouses with attached garages □ Electrical service panel upgrade only only *Multi-family dwellings only where interior finishes are removed □ BPV ~ $200,000 1A, 4A* 18, 4A* and significant site work and upgrades to structural and ~ mechanical, electrical, and/or plumbing systems are proposed l&l Nonresidential , □ New construction 1 B, 28, 38, 48 and 5 t .... J:i( Alterations: _,.(') \ □ BPV ~ $200,000 or additions ~ 1,000 18,5 ~v, ~\' square feet □ BPV ~ $1,000,000 18, 28, 5 Building alterations of ~ 75% existing gross floor area □ ~ 2,000 sq. ft. new roof addition 28,5 1 B also applies if BPV ~ $200,000 Checldllt Item ChlltlklheapplqllaMtloMs, explailal not_..n eiaptlot,lams, Sldpwde~caballnnlck>alnaltallon•ll8CIIIIIIIY· 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 (CALGreen) for more information when completing this section. A D Residential addition or alteration :!: $60,000 building pennit valuation. See CMC section 18.30.190. Year Built Single-family Requirements D Before 1978 Select one: D Duct sealina D Attic insulation D Cool roof D 1978 and later Select one: D Lighting package D Water heating Package D Between 1978 and 1991 D 1992 and later □ N/A __________ _ □ Exception: Home energy score ~ 7 (attach certification) Multi-family Requirements D Attic insulation Select one: D Duct sealing D Attic insulation D Cool roof Select one: D Lighting package □ Water heating package B. D Nonresidential* new construction or alterations ::: $200,000 building pennit valuation, or additions i? 1,000 square feet □ N/A Updated 8/15/201 9 I 2 , City of Carlsbad Climate Action Plan Consistency Checklist See CMC 18.21.155 and CALGreen Appendix AS, Division A5.2-Energy Efficiency. A5.203.1.1 Choose one: D .1 Outdoor lighting D .2 Warehouse dock seal doors D .3 Restaurant service water heating (comply with California Energy Code section 140.5, as amended) D N/A _________ _ D .4 Daylight design PAFs D .5 Exhaust air heat recovery A5.203.1.2.1 Choose one as applicable: D .95 Energy budget D .90 Energy budget D N/A A5.211.1 .. D On-site renewable energy D N/A A5.211.3 .. D Green power (if offered by local utility provider, 50% minimum renewable sources) D N/A A5.212.1 D Elevators and escalators D N/A A5.213.1 D Steel framing D N/A • Includes hotels/motels and high-rise residential buildings ** For alterations c: $1,000,000 BPV and affecting > 75% existing gross floor area, or alterations that add 2,000 square feet of new roof addition: comply with CMC 18.30.130 instead. 2. Photovoltaic Systems A. O Residential new construction (for low-rise residential building permit applications submitted after 1/1/20). Refer to 2019 California Energy Code section 150.1(c)14 for requirements. Notes: 1) High-rise residential buildings are subjectto nonresidential photovoltaic requirement (28 below) instead. 2) If project includes installation of an electric heat pump water heater pursuant to CMC 18.30.150(8) (high-rise residential) or 18.30.170(8) (low-rise residential), increase system size by .3kWdc if PV offset option is selected. Floor Plan ID (use additional CFA #d.u. Calculated kWdc* sheets if necessary) Total System Size: kWdc = (CFAx.572) / 1,000 + (1.15 x#d.u.) *Formula calculation where CFA = conditional floor area, #du = number of dwellings per plan type If proposed system size is less than calculated size, please explain. Exception D D D D kWdc 8. D Nonresidential new construction or alterations 2!$1,000,000 8PV and affecting 2!75% existing floor area, or addition that increases roof area by 2!2,000 square feet Please refer to CMC section 18.30.130 when completing this section. Note: This section also applies to high-rise residential and hotel/motel buildings. Choose one of the following methods: □ Gross Floor Area (GFA) Method GFA: D If< 10,000s.f. Enter: 5 kWdc Min. System Size: D If~ 1 O,OOOs.f. calculate: 15 kWdc x (GFA/10,000) ** __ kWdc **Round building size factor to nearest tenth, and round system size to nearest whole number. □ Time-Dependent Valuation Method Updated 8/15/2019 3 City of Carlsbad Climate Action Plan Consistency Checklist Annual TDV Energy use:*** ______ x .80= Min. system size: ____ _ kWdc ***Attach calculation documentation using modeling software approved by the California Energy Commission. 3. Water Heating A. D Residential and hotel/motel new construction Please refer to CMC sections 18.30.150 and 18.30.170 when completing this section. □ 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 CMC section 18.30.130 (high rise residential hotel/motel) or CA Energy Code section 150.1 (c) 14 (low-rise residential) □ Heat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higher □ Solar water heating system that is either .60 solar savings fraction or 40 s.f. solar collectors □ Exception: · □ For systems serving multiple dwelling units, install a central water-heating system with all of the following: □ Gas or propane water heating system □ Recirculation system per CMC 18.30.150(8) (high-rise residential, hotel/motel) or CMC 18.30.170(8) (low- rise residential) □ Solar water heating system that is either: □ .20 solar savings fraction □ .15 solar savings fraction, plus drain water heat recovery □ Exception: B. D Nonresidential new construction Please refer to Carlsbad Ordinance CMC section 18.30.150 when completing this section. □ Water heating system derives at least 40% of its energy from one of the following (attach documentation): □ Solar-thermal □ Photovoltaics □ Recovered energy □ Water heating system is (choose one): □ Heat pump water heater □ Electric resistance water heater(s) □Solar water heating system with .40 solar savings fraction □ Exception: Updated 8/15/2019 4 City of Carlsbad Climate Action Plan Consistency Checklist 4. Electric Vehicle Charging A. D Residential New construction and major alterations* Please refer to Carlsbad Ordinance CMC section 18.21.140 when completing th is section. D One and two-family residential dwelling or townhouse with attached garage: D One EVSE Ready parking space required D Exception : □ Multi-family residential· D Exception · Total Parking Spaces EVSE Spaces Proposed Capable Ready Calculations: Total EVSE spaces= .10 x Total parking (rounded up to nearest whole number) EVSE Installed = Total EVSE Spaces x .50 (rounded up to nearest whole number) EVSE other= Total EVSE spaces-EVSE Installed (EVSE other may be "Capable," "Ready" or "Installed.") Installed l Total I *Major alterations are: (1) for one and two-family dwellings and townhouses with attached garages, alterations have a building permit valuation <! $60,000 or include an electrical service panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), alterations have a building pennit valuation <! $200,000, interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed. B D Nonresidential new construction (includes hotels/motels) D Exception · Total Parking Spaces EVSE Soaces Proposed Capable I Readv I Installed I Total I I l Calculation· Refer to the table below· Total Number of Parking Spaces provided Number of reauired EV Soaces Number of reauired EVSE Installed Spaces □ 0-9 1 1 □ 10-25 2 1 □ 26-50 4 2 □ 51-75 6 3 □ 76-100 9 5 □ 101-150 12 6 □ 151-200 17 9 □ 201 and over 1 o oercent of total 50 percent of Reauired EV Spaces Updated 8/15/2019 5 City of Carlsbad Climate Action Plan Consistency Checklist 5. D Transportation Demand Management (TOM): Nonresidential ONLY An approved Transportation Demand Management (TOM) Plan is required for all nonresidential projects that meet a threshold of employeei)enerated ADT. City staff will use the table below based on your submitted plans to determine whether or nor your permit requires a TOM plan. If TOM is applicable to your permit, staff will contact the applicant to develop a site-specific TOM plan based on the permit details. Acknowledgment: Employee ADT Estimation for Various Commercial Uses Use Office (all)2 Restaurant Retai'3 Industrial Manufacturing Warehousin EmpADTfor first 1,000 s.f. 20 11 8 4 4 4 EmpADTI 1000 s .f.1 13 11 4.5 3.5 3 1 1 Unless otherwise noted, rates estimated from /TE Trip Generation Manual, 1 ()lhEdition 2 For all office uses, use SAN DAG rate of 20 ADT/1 ,000 sf to calcu late employee ADT 3 Retail uses include shopping center, variety store, supermarket, gyms, pharmacy, etc. Other commercial uses may be subject to special consideration Sample calculations: Office: 20,450 sf 1. 20,450 sf/ 1000 x 20 = 409 Employee ADT Retail: 9,334 sf 1. First 1,000 sf= 8 ADT 2. 9,334 sf -1,000 sf= 8,334 sf 3. 8,334 sf/ 1,000 x 4.5 + 8 = 46 Em lo ee ADT I acknowledge that the plans submitted may be subject to the City of Carlsbad's Transportation Demand Management Ordinance. I agree to be contacted should my permit require a TOM plan and understand that an approved TOM plan is a condttion of permit issuance. Applicant Signature: _________________ _ Date: ------ Person other than Applicant to be contacted for TDM compliance (if applicable): Name (Printed): _________________ _ Phone Number: ----- Email Address: __________________ _ Updated 8/15/2019 6