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Home My WebLink About2910 JEFFERSON ST; ; CBC2019-0598; PermitBuilding Permit Finaled Commercial Permit Print Date: 02/03/2021 CARLSBAD, CA 92008-2357 Job Address; Permit Type; Parcel#: 2910 JEFFERSON ST, BLDG-Commercial 2033541300 $470,643.84 Work Class; Tenant Improvement Track#; Lot#; Project#; Plan#; Valuation; Occupancy Group; #of Dwelling Units; Bedrooms: Construction Type: Bathrooms; Orig. Plan Check#; Plan Check#; Project Title; Description; OPTUM; 7,272 SF MEDICAL OFFICE Tl Applicant: Property Owner: JACOB WEBSTER 1236 PORTOLA AVE TORRANCE, CA 90501 (310) 702-7852 ORANGE LAND HOLDINGS LLC 1204 FEE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) CARLSBAD, CA 92075 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION MANUAL BLDG PLAN CHECK FEE MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL PLUMBING BLDG COMMERCIAL NEW/ADDITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees; $3,858.97 Total Payments To Date: $3,858.97 Ccityof Carlsbad Permit No: CBC2019-0598 Status; Applied: Issued; Fina led Close Out; lrJspector: Final Inspection; Balance Due: Closed -Fina led 12/24/2019 02/19/2020 PBurn 02/03/2021 AMOUNT $1,943.05 $1,032.12 $89.00 $175.00 $328.02 $55.00 $86.00 $19.00 $131.78 $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Building Division Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov · {city of Carlsbad COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check C&L2of9-bGJg' Est. Value~ 3:S~•2.U) « fl PC Deposit 1' 1032.. l'l.. Date l Z. -"l.'1-11 JobAddress z.'110 .]e..ffefScNl 5:l;.uadsh,.d Suite: ___ APN: ::210-011-03,-00 Tenant Name: oe-ru M CT/Project #: _________ Lot#:, ___ _ Occupancy: B MeJ,~ "1.iit,onstruction Type: V Fire Sprinklers~/ no Air Conditioning:@no BRIEF DESCRIPTION OF WORK:tenoti1: '"'po,VW~K+: c.\ilt'\iC.. Bu.si·rv.ss Ue. e LNO'f" osi-tPAD) D Addition/New: ___________ New SF and Use, ___________ New SF and Use, ___ Deck SF, Patio Cover SF (not including flatwork) ]81 Tenant Improvement: ~2,, E SF, _____ SF, Existing Use "' B~1jn,9:1 Proposed Use Existing Use ______ Proposed Use _____ _ 0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _ D Solar: ___ KW, __ Modules, ___ Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No D Plumbing/Mechanical/Electrical Only: _________________________ _ D Other:----------------------------------- ,v,4 Name: .l ___17-/ 'vv C'~ 1C..C:.:.. ~ Name: ty,e,i c .. , A::U:Ho ~N/ og.AN G.~ ( liN D APPLICANT(~~ / ~ / L~.a, PROPERTY OWNER Address: /23:, ,:,,efo/4 ,4{e '"" -_ Address: _____________ ..!:1-l~D""L.OIIQ~ City:. ~.01 ~'--✓. -c/11_Zin· 1¢'/<J City: ________ .State: __ ,Zip: ___ _ Phone:~ IC). 70 f-~ z__.'------Phone: _____________ _ Email:_• --,._ ✓,., '---••·· , Email: d«c!J • r,o{tkCoes+@ lJwlO.i\.C0"'1 w ~ h !:. +~"JA-cob eJ af:J/, ('_ O" lfL---· CDm DESIGN PROFESSIONAL CONTRACTOR BUSINESS Name: o olAS I as ~ ab id o 11 .,.,_ Name: _---_,uS....,.D.,__----,----,=,------,----.--.--..-r--- Address: 1300 CG~£. ~+, ?ite IDQ Address: 11 ~'{o t,-'l. ~Cb[V\P'-.nlt:> S::L,..__Jj. Ito~ City: tteitlpolt Br,;iditate: (,A Zip: '!li-6bd City:S.,,"' D,!:11> State: CJl\zip: ~ sz 17-r Phone: q 't«-'f, b1 6. / Itel Phone: "6~ X -~ 9-5 -O"I. -=,s-- Email: do"S:J . ,o I, ;J •" 't( ~ \ i:H:leMI ~(Dfffail: J,\6Ue,x:,»4ev@ Div\!)\.."'--':':'.' -( • "'~~ ....... c.~_'~ ...._ Architect St~e License: C -4 9 7 °3 7 State License: 7 2--<fLSs= Bus~'Cicense: \'2-'L:tt-l, 5 '2- (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 subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). 1635 Faraday Ave Carlsbad, CA 92008 B-2 Ph: 760-602-2719 Fax: 760-602-8558 Pa~e 1 of 2 Email: Building@carlsbadca.gov Rev. 06/18 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury one of the following declarations: □ 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. 'P-1 have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for th~ perfqrmance of the work for,which this permit is issued. ,l My workers' compensation insurancocarrier and policy number are: Insurance ~o!"pany Name: <"1_.t-~ C, fx,-Y...~ 5~ I........, 1 AS r' I. .,,, - Polley No. 'teSelC"t -IJ Expiration Date: 'fl.11 •1.:r, _ _,,,,....,,,_ ______ _ □ Certificate of Exemption: I certify that in the performance of the war hich this permit is issued, I shall not employ any person in any manner so as to be come subject to the workers' compensation laws of California.~ RNING: F 1lure to ecure workers compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to $100,000.00, in addit on the t compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. CONTRACTOR SIGNATURE: / ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). □ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professfons 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). □ I am exempt under Section ________ Business and Professions Code for this reason: 1. l personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. l have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan 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: 1 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? □ Yes "s, No '-_ Is the applicant or future building occupant required to obtain a permit from the air pollution contral,district or air quality management district? □ Yes lt No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes ~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 ANO 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, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 ys (Section 106.4.4 iform Building Code). APPLICANT SIGNATURE: 1635 Faraday Ave Carlsbad, CA 92008 B-2 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of2 Email: Building@carlsbadca.gov Rev. 06/18 PERMIT INSPECTION HISTORY for (CBC2019-0598) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Closed -Finaled Application Date: 12/24/2019 Owner: ORANGE LAND HOLDINGS LLC h:;sue Date: 02/19/2020 Subdivision: TOWN OF CARLSBAD AMENDED Expiration Date: 01/19/2021 IVR Number: 23860 Address: 2910 JEFFERSON ST CARLSBAD, CA 92008-2357 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Checklist Item BLDG-Building Deficiency BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Status COMMENTS 08/03/20, see attached photo & card for corrections. 1/28/21. Require Arce flash stickers and conformation of redundant grounding. Air balance. 02/0312021 02103/2021 BLDG-Final Inspection 149677-2021 Passed Tim Kersch Wednesday, February 3, 2021 Checklist Item BLDG-Building Deficiency BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS 08/03/20, see attached photo & card for corrections. 1128121. Require Arce flash stickers and conformation of redundant grounding. Air balance. Passed No Yes Yes Yes Yes Yes Passed Yes Yes Yes Yes Yes Yes Complete Page 6 of 6 PERMIT INSPECTION HISTORY for (CBC2019-0598} Permit Type: BLDG-Commercial Application Date: 12/2412019 Owner: ORANGE LAND HOLDINGS LLC Work Class: Tenant Improvement Issue Date: 02119/2020 5ubdivision: TOWN OF CARLSBAD AMENDED Status: Closed -Finaled Expiration Date: 0111912021 Address: 2910 JEFFERSON ST IVR Number: 23860 CARLSBAD, CA 92008-2357 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 07/1512020 0711512020 BLDG-85 T-Bar, Celling 132899-2020 Partial Pass Michael Collins Relnspectlon Incomplete Grids, Overhead Checklist Item COMMENTS Passed BLDG-Building Deficiency T-grid not ready No BLDG-Building Deficiency 5114/20, 1st floor, Rm 124, 126-127. Yes BLDG-Building Deficiency 5/27/20, Rm 124 not ready. See card No BLDG-Building Deficiency Not ready No BLDG-Building Deficiency 7/15/20, phase 2 second floor only. Yes BLDG-Building Deficiency 5/12/20, 1st & 2nd floor T-grid except at Yes R124,126-127 & Rm 201 BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes 07/22/2020 07/22/2020 BLDG-14 133528-2020 Passed Michael Collins Complete Frame/Steel/Bolting/We ldlng (Decks) Checklist Item COMMENTS Passed BLDG-Building Deficiency Walls at Rm 120 only. Need revision to Yes plans for change. BLDG-17 Interior 133527-2020 Failed Michael Collins Relnspectlon Incomplete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Not ready No BLDG-Building Deficiency Partial pass on drywall walls cnly. (2) Yes plumbing walls pending 08/03/2020 08/03/2020 BLDG-Final Inspection 134493-2020 Failed Michael Collins Relnspection Incomplete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG,-Building Deficiency 08103/20, see attached photo & card for No corrections. BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes 01/29/2021 0112912021 BLDG-Final Inspection 149470-2021 Partial Pass Tim Kersch Reinspection Incomplete Wednesday, February 3, 2021 Page 5 of 6 PERMIT INSPECTION HISTORY for (CBC2O19-0598) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Application Date: 12/24/2019 Owner: ORANGE LAND HOLDINGS LLC Status: Scheduled Date 06122/2020 06/23/2020 06/25/2020 06/2912020 07102/2020 Issue Date: 02/19/2020 Subdivision: TOWN OF CARLSBAD AMENDED Closed -Finaled Expiration Date: 01/19/2021 · Address: 2910 JEFFERSON ST IVR Number: 23860 CARLSBAD, CA 92008-2357 Actual Inspection Type Start Date Inspection No. Inspection Primary Inspector Reinspection Inspection Status Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes 06122/2020 BLDG-16 Insulation 130730-2020 Partial Pass Michael Collins Reinspection Incomplete Checklist Item COMMENTS Passed BLDG-Building Deficiency Partial Yes BLDG-84 Rough 130729-2020 Partial Pass Michael Collins Reinspectlon Incomplete Cornbo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency Walls only at Rm 111-116, see card for Yes "owners top out" in Rm 116 & 119. BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 06/23/2020 BLDG-16 lnsulatlon 130828-2020 Passed Michael Collins Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Walls at Rm 111-119 Yes 06/25/2020 BLDG-17 Interior 131111-2020 Partial Pass Chris Renfro Relnspection Incomplete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Partial pass on drywall walls only. (2) Yes plumbing walls pending 06/2912020 BLDG-44 131377-2020 Partial Pass Paul Burnette Reinspection Incomplete Rough/Ducts/Dampers Checklist Item COMMENTS Passed BLDG-Building Deficiency 1st floor duct sealing at restroom and Rm. Yes 121-122 hard lid drops, 2nd floor Staff restroom hard lid drop. 07/02/2020 BLDG-24 RoughrTopout 131678-2020 Passed Michael Collins Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Bldg. owner top out for relocated waste Yes line at Rm 116 & 119. Wednesday, February 3, 2021 Page 4 of 6 PERMIT INSPECTION HISTORY for (CBC2019-0598} Permit Type: BLDG-Commercial Application Date: 12/24/2019 Owner: ORANGE LAND HOLDINGS LLC Work Class: Tenant Improvement Issue Date: 02/19/2020 Subdivision: TOWN OF CARLSBAD AMENDED Status: Closed -Finaled Expiration Date: 01/19/2021 Address: 2910 JEFFERSON ST IVR Number: 23860 CARLSBAD, CA 92008-2357 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status Checklist Item COMMENTS Passed BLDG-Building Deficiency Not ready No BLDG-Building Deficiency T-grid not ready No BLDG-Building Deficiency 5/14/20, 1st floor, Rm 124, 126-127. Yes BLDG-Building Deficiency 5/12/20, 1st & 2nd floor T-grid except at Yes R124,126-127 & Rm 201 BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes 05127/2020 05127/2020 BLDG-85 T-Bar, Ceiling 128576-2020 Failed Michael Collins Reinspection Incomplete Grids, Overhead Checklist Item COMMENTS Passed BLDG-Building Deficiency 5/12/20, 1st & 2nd floor T-grid except at Yes R124,126-127 & Rm 201 BLDG-Building Deficiency Not ready No BLDG-Building Deficiency 5/14/20, 1st floor, Rm 124, 126-127. Yes BLDG-Building Deficiency 5/27/20, Rm 124 not ready. See card No BLDG-Building Deficiency T-grid not ready No BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes 05/29/2020 05/29/2020 BLDG-Final inspection 128796-2020 Partial Pass Paul Burnette Reinspection Incomplete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes 06/17/2020 06/17/2020 BLDG-Final Inspection 130413-2020 Cancelled Paul Burnette Reinspectlon Incomplete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes 06/18/2020 06/18/2020 BLDG-Final Inspection 130481-2020 Cancelled Paul Burnette Reinspection Incomplete Wednesday, February 3, 2021 Page 3 of 6 PERMIT INSPECTION HlSTORY for (CBC2019-0598) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Application Date: 12/24/2019 Owner: ORANGE LAND HOLDINGS LLC Issue Date: 02/19/2020 Subdivision: TOWN OF CARLSBAD AMENDED Status: Closed -Finaled Expiration Date: 01/19/2021 IVR Number: 23860 Address: 2910 JEFFERSON ST CARLSBAD, CA 92008-2357 Scheduled Date Actual Inspection Type Start Date Inspection No. Inspection Primary Inspector Status 04/13/2020 04/13/2020 BLDG-17 Interior 124574-2020 Partial Pass Michael Collins Lath/Drywall Checklist Item BLDG-Building Deficiency COMMENTS 4/13/20, 1st floor, 2nd side at corridors & office areas, 2nd floor, 2nd side at Rm 201-207 04/14/2020 04/14/2020 BLDG-17 Interior 124658-2020 Partial Pass Michael Collins Lath/Drywall Checklist Item BLDG-Building Deficiency BLDG-Building Deficiency COMMENTS 4/13/20,, 1st, 2nd side at corridors & office areas, 2nd floor, 2nd side at Rm 201-207 1st floor restroom walls only. 04/23/2020 04/23/2020 BLDG-44 125490-2020 Partial Pass Michael Collins 04/27/2020 04/27/2020 05/08/2020 05/08/2020 Rough/Ducts/Dampers Checklist Item BLDG-Building Deficiency COMMENTS 1st floor duct sealing at restroom and Rm. 121-122 hard lid drops, 2nd floor Staff restroom hard lid drop. BLDG-85 T-Bar, Celling 125695-2020 Failed Michael Collins Grids, Overhead Checklist Item COMMENTS BLDG-Building Deficiency Not ready BLDG-85 T-Bar, Ceiling 126949-2020 Failed Michael Collins Grids, Overhead Checklist Item COMMENTS BLDG-Building Deficiency T-grid not ready BLOG-Building Deficiency Not ready 05/12/2020 05/12/2020 BLDG-85 T-Bar, Celling 127180-2020 Partial Pass Michael Collins Grids, Overhead Checklist Item BLDG-Building Deficiency BLDG-Building Deficiency BLDG-Building Deficiency BLDG-14 Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout BLDG-34 Rough Electrical COMMENTS T-grid not ready 5/12/20, 1st & 2nd floor T-grid except at R124, 126-127 & Rm 201 Not ready 05/14/2020 05/14/2020 BLDG-85 T-Bar, Celling 127476-2020 Partial Pass Michael Collins Grids, Overhead Wednesday, February 3, 2021 Reinspection Inspection Reinspection Incomplete Passed Yes Reinspection Incomplete Passed Yes Yes Reinspection Incomplete Passed Yes Reinspection Incomplete Passed No Reinspection Incomplete Passed No No Relnspectlon Incomplete Passed No Yes No Yes Yes Yes Reinspectlon Incomplete Page 2 of6 Building Permit Inspection History Finaled ·(city of Carlsbad PERMIT INSPECTION HISTORY for (CBC2019-0598) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Application Date: 12/24/2019 Owner: ORANGE LAND HOLDINGS LLC Issue Date: 02/19/2020 Subdivision: TOWN OF CARLSBAD AMENDED Status: Closed -Finaled Expiration Date: 01/19/2021 IVR Number: 23860 Address: 2910 JEFFERSON ST CARLSBAD, CA 92008-2357 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Date Start Date Status 03/30/2020 03/30/2020 BLDG-14 123567-2020 Failed Paul Burnette Frame/Steel/Bolting/We !ding (Decks) Checklist Item BLDG-Building Deficiency COMMENTS 04103/2020 04/03/2020 BLDG-84 Rough 123857-2020 Passed Tony Alvarado Combo(14,24,34,44) Checklist Item BLDG-14 Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout BLDG-34 Rough Electrical BLDG-44 Rough-Ducts-Dampers COMMENTS April 3, 2020: 1. Single side drywall screw inspection at first floor second floors inapproved. 2. Rough electrical plumbing and framing at first ahd second floors -approved. 3. Ceiling frame inspection at building vestibule area-approved. 4. Ceiling soffit at reception and waiting room areas -approved. April 3, 2020: 1. Single side drywall screw inspection at first floor second floors inapproved. 2. Rough electrical plumbing and framing at first and second floors -approved. 3. Ceiling frame inspection at building vestibule area.approved. 4. Ceiling soffit at reception and waiting room areas -approved. April 3, 2020: 1. Single side drywall screw inspection at first floor second floors inapproved. 2. Rough electrical plumbing and framing at first and second floors-approved. 3. Ceiling frame inspection at building vestibule area.approved. 4. Ceiling soffit at reception and waiting room areas -approved. April 3, 2020: 1. Single side drywall screw inspection at first floor second floors inapproved. 2. Rough electrical plumbing and framing at first and second floors -approved. 3. Ceiling frame inspection at building vestibule area.approved. 4. Ceiling soffit at reception and waiting room areas -approved. 04/06/2020 04/06/2020 BLOG-16 Insulation 124102-2020 Passed Tony Alvarado Wednesday, February 3, 2021 Reinspection Inspection Reinspection Incomplete Passed No Complete Passed Yes Yes Yes Yes Complete Page 1 of 6 ✓• EsG1I DATE: 2/10/2020 JURISDICTION: Carlsbad PLAN CHECK#.: CBC2019-0598 PROJECT ADDRESS: 2910 Jefferson St. SET II PROJECT NAME: San Diego New Req Tenant Improvement ~PPLICANT j JURIS. ['.8J The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. 0 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. 0 The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. 0 The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. 0 The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. 0 The applicant's copy of the check list has been sent to: ['.8J EsGil staff did not advise the applicant that the plan check has been completed. ['.8J EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Telephone#: Date contacted:8-,j IO \,;7Qiy~ Email: Mail Telephone Fax In Person ['.8J REMARKS: City staff please see fee sheet. Medical office :f 4. 72. By: Jason Pasiut EsGil 2/3/2020 Enclosures: 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 DATE: 1/17/2020 JURISDICTION: Carlsbad ✓• EsG1I A SAFEbuiffCompany PLAN CHECK#.: CBC2019-0598 PROJECT ADDRESS: 2910 Jefferson St. SET: I PROJECT NAME: San Diego New Req Tenant Improvement □ APPLICANT □ JURIS. D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's 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. l:?:;J 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: D EsGil staff did not advise the applicant that the plan check has been completed. l:?:;J EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Jake Webster Telephone#: 310-702-7852 Date contacted: (by: ) Email: websterjacob@aol.com Mail Telephone Fax In Person l:?:;J REMARKS: City staff please see fee sheet. Medical office I $64.72. By: Jason Pasiut EsGil 12/30/2019 Enclosures: 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Carlsbad CBC2019-0598 1/17/2020 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK#.: CBC2019-0598 OCCUPANCY: B TYPE OF CONSTRUCTION: V-B ALLOWABLE FLOOR AREA: complies SPRINKLERS?: YES REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 12/24/2019 DATE INITIAL PLAN REVIEW COMPLETED: 1/17/2020 FOREWORD (PLEASE READ): JURISDICTION: Carlsbad USE: Medical Office ACTUAL AREA: 7,272sf STORIES: 2 HEIGHT: unchanged OCCUPANT LOAD: 125 DATE PLANS RECEIVED BY ESGIL CORPORATION: 12/30/2019 PLAN REVIEWER: Jason Pasiut 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 2016 CBC, which adopts the 2015 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 2015 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 CBC2019-0598 1/17/2020 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: 1. 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. 2. 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 1. Second floor window next to door, room 204 sheet A 132, shall be tempered when within 24 inches. PLUMBING, MECHANICAL, ELECTRICAL, and ENERGY COMMENTS PLAN REVIEWER: Scott Humphrey PLUMBING (2016 CALIFORNIA PLUMBING CODE) 2. Plumbing is approved. MECHANICAL (2016 CALIFORNIA MECHANICAL CODE) 3. Mechanical is approved. ELECTRICAL (2016 CALIFORNIA ELECTRICAL CODE) 4. CEC 422.51 vending machines shall be provided with GFCI protection. The GFCI device shall be readily accessible. 5. CEC 422.52 drinking fountains shall be provided with GFCI protection. The GFCI device shall be readily accessible. 6. Describe medical wiring methods on the plans (CEC 517.13): • A metallic raceway/cable type listed for grounding containing a full-sized insulated equipment grounding conductor. (and) • The positive connection of the equipment grounding conductor to both the metallic outlet box and the grounding terminal of the outlet device. Carlsbad CBC2019-0598 1/17/2020 ENERGY (2016 CALIFORNIA BUILDING ENERGY STANDARDS) 7. Energy design/run is approved. Note: If you have any questions regarding this Electrical, Plumbing, Mechanical, and Energy plan review list please contact Scott Humphrey at (858) 560-1468. To speed the review process, note on this list (or a copy) where the corrected items have been addressed on the plans. 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: 8. Existing primary path of travel to the building or facility entrance, including: a) The accessible parking dimensions, slope, and cross-slope in compliance with CBC 11 B-502. b) The access aisle dimensions, slope, and cross slope in compliance with 11 B-502.3. c) The location of detectable warnings at hazardous vehicle areas. 11 B- 705.1.2.5. d) 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. e) 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. f) 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. Carlsbad CBC2019-0598 1/17/2020 g) 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. h) 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. 9. Existing drinking fountains (if any) shall be shown to comply with the accessibility features of 11 B-602 and 11 B-211.2. 10. Existing accessible parking reflectorized identification including the "van accessible", "250 fine", and "unauthorized vehicle parking" signs per 11 B-502.6, 11 B-502.6.2, 11 B-502.8.2. a) Existing accessible parking surface identification. 11 B-502.6.4.1. b) Existing access isle "NO PARKING" identification per 11 B-502.3.3 c) Provide the address and phone number for the location to reclaim towed vehicles. 11 B-502.8.2. 11. Sheet 402 detail F-1 all measurements shall be 40 inches not 4 ft.11 B-603.5. 12. Sheet 501 toilet paper dispenser shall be minimum 19 inches not 15 inches AFF. 11 B-604.7.1. 13. Sheet A531 detail C-3 & F4 geometric symbol shall not have TEXT. 11 B- 703. 7 .2.6.3. 14. Accessible routes in multi-story buildings that contain a professional office of a health-care provider require an elevator. Please show on the plans. 11 B-206.2.3. 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: □ Yes □ 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 CBC2019-0598 1/17/2020 [DO NOT PAY-THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Jason Pasiut BUILDING ADDRESS: 2910 Jefferson St. BUILDING OCCUPANCY: B BUILDING AREA Valuation PORTION (Sq.Fl) ~ier Tl 7272 64.72 Air Condi6orwng Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance I 1997 UBC Building Pfflnlt F .. llii f hJti.P·. I 1997 USC Plan Chock F•• [1!] l :?tJ.!-W ·. Tw,e ofRelliew: P' Complete Review r Repetitive Fee -. Repeats . . Comments: r Other r Hourly EaGilF-,, Reg. Mod. PLAN CHECK#.: CBC2019-0598 DATE: 1/17/2020 VALUE ($) 470,644 470,644 7 7 r Structural Only $1,263.027 Sheet 1 of 1 OFFICE USE ONLY : I e t most co ardlnQ • her 'fOAJf buS 111,111 OM. p<oee11, or store any d the 1=,re Protection Agency ¥Atl'I Jutlsdlalon pnor to plan submrttal. Occupancy Rating: Facility'• aqua,. Footate (including proposed projeet): 1. Explosive or Blastlrlg Agents 5 Organic Peroxide, 9 Water Reactlves 13. Corrosives 2. Compressed Gases 3. Flammable/Combustible Liquids •· Flammable Solids 6 Olddizers 10. Cryogenics 7. Pyropnorlca 11 Highly TOXIC ot Toxic Materials 14. Other Health Hazard$ 15 None of These. 8. Unstable ReactllleS 12 Radioactlves • If the answer to any of the questlOflS II yes, appliCant muat contact the n o Cad (858) 50~700 prior to the !nuance cA a · ng petmit, an Diego. CA 92123 FEES ARE REQUIRED Project Completion Date. Expected Date of Occupancy. YES f (for rtfNI construction°' remodellog projects) 1. D la your buliness listed on the l'e\lefSe aide of this form? (checlc d tl\lt apply). 2 D WII your bulinfts dispose of Huank>ua Subatances or Medical WUte In any amount? 3 D WII yo,.x Mlneu store or llendle HazardOU$ Subatanc::.. In qvantltiea grater lhan or equal to 55 gallons, 500 pounds and/or 200 cubic feet? • D J V\111 '(O(Jf t>usinns store or handle carcinOgentfreproducthle toJClns ll'l any quantity? 5 D win your t>uslneu use an eldstlng or Install an underground storage tank? 6. D Wit 'fOIJlf busineas store or handle ReglA.ated Sue.lances (CalAAP)? 7 0 . Wit your business use or lnstaU a Hazardous Waste Tank System (T"rtle 22, AttlCle 10)? 8 D WII yoor business store petroleun in tanlca or contlllnerl It yo,.x facillty ~ a total facility storage capacity equal to or greater than 1,320 gallonl? (Califonu's AboWground Pelroleum Stcnge Act). 0 CalARP Exem!>! D CalARP Required Dale D CalARP Complete Dale f!ART 111~...w ~M.TY Nl\.?OY.YDQN CQHIBQL. RllIB!CJ (~ The followtng questions an, intended to identify the majority d lir pollution 111ues It tfieplannlnif ati;t:Yoor project may requre .aaltW musores notldentifled by these questions. Some retldenlilll OtoJects may be exempt from APCO reQUll'efTleflt. If yes is answered for elmer queations 1, 2 or 5 or for more comprehen$MI requirements, please contllcl APCO ·• ~ ca ooy. (858} 586-2650, or 1012 .. Old Growi Road. San Diego, CA 92131. WIii the project dlll\lrb 100 squ..-e Ml or more of exlstlng budding metenals? WII any load suppo111ng structinl members be removed? 2:.1 iNOO (ANSVVER ONL V IF QUESTION 1 or 2 IS YES) Hn an astiestos survey been performed by an Individual that has passed en EPA-approved "W bl.ilding Inspector COUl'le? 4. 0 y:s (ANSWER ONLY IF QUESTION 1 or 2 IS YES) BNed on the survey mufti. will the proJed dcsturb any aabeslo& containing material? If yes a notification may be required at least 10 working days prior to commencing aabetlol removal. Additionally, a notlflcation may be raqUlfed pna to s D 6 D BY· the removal C'A a load aupportjng strucnnl member(s) regardless af the presence of asbestos. J2' Wtl the project or associated contlructlon equl~ arnl air contaminenta? See the reverse side of this form for typical equipment reQUiring an APCD permit. If yes, c:onlad APCO prior to lhe luuanoe of a building permit. 0 (ANSVVER ONLY IF QUESTION 5 IS YES) Wilt the projeCt or anoclated construction equipment be located tMttun 1,000 feet of a school bounda DATE: I I 01.Mf'T 0111 NO PUftTMM INFOfltMATIOIII "£QUIMD IIELIARO 1'0111 IUIJIINO NNIT llllT NOT l'04t OCCVPAHCY MLIAll!D FOIII OCCIWAHCY COUNTY .HMO' ~9.~b-0111 ... COUNTY.HMO APCD COUNTY-ttMO APCO O'" -, q; . 0 ~~~ < ~ rt -<"' Da 've:1s s, o<;, .(l, '> (I" 'fJ, Of S3'' FEB 1 ~ 2020 . A stamc In tl'lls box iflJX exempts buStnesses from completing or updating a Hazardous Materlals Busmess Plan Otner pem,jtting req1.11rements may st1111pp1y HM-9171 (9118) County of San Diego -DEH • Hazardous Materials OMs,on ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY 6200 Avenida Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com Date: Jl/1.Lf/lf Business Name: Op:h,'ffi C\,r\jC. Street Address: 291 ,a Jdf.e($QV\ st, CHI:-, b..J , GA Email Address: --------------------- PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) □ Check all below that are present at your facility: 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 Cleaning 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 Board 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? Yes D No~ SIC Code(s) if known: _____ _ Date operation began/will begin:. ______ _ Tenant Improvement? Yes~ NoO If yes, briefly describe improvement: l'J(..W \°<lo ... ~• -to uis+i"'d l°tl01A.± of:f1c€...-tBfe:caK¥-oo..., Description of operations generating wastewater (discharged to sewer, hauled or evaporated): ID j \e ±s Estimated volume of industrial wastewater to be discharged (gal/ day): __________________ _ List hazardous wastes generated (type/volume): __________________________ _ Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes D Date: ____ No~ Page lof2 ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY 6200 Avenida Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com The commercial enterprises listed below are a partial listing of businesses that are exempt from industrial wastewater discharge permitting under normal operating conditions. They are exempt because (a) they discharge no process wastewater (i.e., they only discharge sanitary wastewater with no pollutants exceeding any local limits), and (b) they have no potential to negatively impact the EWPCF or other wastewater treatment plants in the ESS. Any questions regarding exemptions should be referred to EWA Source Control staff. 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 Educational 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 to the best of my knowledge. DATE: IZ...• lf. L1 Facility Contact:~ ..k.t.,. Title: jU.., PIM ENCINA WASTEWATER AUTHORITY 6200 AVENIDA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com Page 2 of 2 ( City of Carlsbad PURPOSE CLIMATE ACTION PLAN CONSISTENCY CHECKLIST B-50 Development Services Building Division 1635 Faraday Avenue (760) 602-2719 www.carlsbadca.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 _. 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. Project Name/Building Permit No.: Property Address/APN: Applicant Name/Co.: optum c.\it'\\c.. BPNo.: C&2.01ct-~8 z.q IO Je-~ort ft, CP(\sku,;ad Applicant Address: Contact Phone: l?,QO D,?-lt-'tr, $~+e-LOO. l Cf~) iO'I , b't'f't Contact Email: tJtp)port ~k1 GA-'tz.bbO L4-Slit.. &ob id DY,). '2' i \\\,e llW\\i,tL Contact information of person completing this checklist (if different than above): Name: t J11wb l,vcb.:;.fr-1 · ContactPhone: ~ . ---JIJ,.'I,. Company name/address· . -A-11-1 ,/ _ _,,,t'rirL Pe,-1r1 'fr ,[' I I l'i' r, IL l'"' VA-et, .. rnritact Email: . . (p,I,\ (31 0) Yo t-7 8 1:,-z__ /Akh#< ', lfCob~dcl-c:a-v- J . -7fu rt;,.,u C/J. 70 -,l,.bl,O • 7-z.,~0 fi,,et.,/<]_ ~~-c:::-~--- Applicant Signature:~• ~/ ,< 4 Date: /1.. • J3', I 'J B-50 Page 1 of6 Revised 08/19 City of Carlsbad Climate Action Plan Consistency Checklist Use the table below to determine which sections of the Ordinance Compliance checklist are applicable to your project. For alterations and additions to existing buildings, attach Building Permit Valuation worksheet. Building Permit Valuation (BPV) from worksheet$ "33'i1 t.u:3 □ New construction □ Additions and alterations: □ BPV < $60,000 □ BPV ~ $60,000 □ Electrical service panel upgrade only □ BPV ~ $200,000 □ New construction □ Alterations· ~ BPV ~ $200,000 or additions~ 1,000 square feet -BPV ~ $1,000,000 □ ~ 2,000 sq. ft new roof addition l.l)o;W-. ·.~ . 2A, 3A, 4A NIA 1A,4A 1A, 4A' 1B, 2B, 3B,4A NIA 4A 1B, 4A' .•. 1B, 2B, 3B, 4B and 5 j 1B, 5 _) 1B,2B,5 2B, 5 All residential additions and alterations 1-2 family dwellings and townhouses with attached garages only •Multi-family dwellings only where interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or olumbino systems are prooosed Building alterations of~ 75% existing gross floor area 1 B also applies if BPV ~ $200,000 Please refer to Cansbad Municipal Code (CMG) 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 permit valuation. □ NIA _________ _ See CMC section 18.30.190. □ Exception: Home energy score~ 7 (attach certification) Year Built Single-family Requirements Multi-family Requirements □ Before 1978 Select one: □ Duct sealinn □ Attic insulation □ Cool roof □ Attic insulation □ 1978 and later Select one: o Lighting package □ Water heating Package □ Between 1978 and 1991 Select one: □ Duct sealino □ Attic insulation □ Cool roof □ 1992 and later Select one: □ Lghting package □ Water heating package ~ Nonresidential' new construction or alterations ? $200,000 building permit valuation, or additions~ 1,000 square feet □ NIA Updated 811512019 2 City of Carlsbad Climate Action Plan Consistency Checklist See CMC 18.21.155 and CALGreen Appendix AS, Division AS.2 -Energy Efficiency. AS.203.1.1 Choose one: B". 1 Outdoor lighting □ .2 Warehouse dock seal doors □ .3 Restaurant service water heating (oomply with California Energy Code section 140.5, as amended) □ N/A _________ _ □ .4 Daylight design PAFs □ .5 Exhaust air heat recovery A5.203.1.2.1 / Choose one as applicable: 1!(95 Energy budget □ .90 Energy budget □ N/A AS.211.1" □ On-site renewable energy s'N/A AS.211.3" □ Green power (if offered by local utility provider, 50% minimum renewable sources) AS.212.1 [li"Elevators and escalators □ N/A A5.2!,:J1 ITT>teel framing □ N/A • Includes hotels/motels and high-rise residential buildings "For alterations~ $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. A. D 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 subject to 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 = oonditional floor area, #du = number of dwellings per plan type If proposed system size is less than calculated size, please explain. Exception □ □ □ □ kWdc 8. D Nonresidential new construction or alterations ~$1,000,000 8PV and affecting ~75% existing floor area, or addition that increases roof area by .!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: □ If< 1 O,OOOs.f. Enter: 5 kWdc Min. System Size: □ If 2' 10,000s.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 AA approved Transportation Demand Management (TDM) Plan is required for all nonresidential projects that meet a threshold of employee-generated ADT. City staff will use the table below based on your submitted plans to detenmine whether or nor your penmit requires a TDM plan. If TDM is applicable to your penmit, staff will contact the applicant to develop a site-specific TDM plan based on the penmrt details. Acknowledgment: Employee ADT Estimation for Various Commercial Uses Use EmpADTfor first 1,000 s.f. EmpADTI 1000 s.f.1 Office (all), 20 Restaurant 11 Retails 8 Industrial 4 Manufacturing 4 Warehousin 4 , Unless otherwise noted, rates estimated from /TE Trip Generation Manual, 10thEdition 13 11 4.5 3.5 3 1 , For all office uses, use SAN DAG rate of 20 ADT/1,000 sf to calculate employee ADT , Retail uses include shopping center, variety store, supermarket, gyms, pharmacy, etc. Other commercial uses 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 penmit require a TDM Ian and unde n that an approved TDM plan is a condition of penmit issuance. Appicant Signab.Jre: Person other than Applicant to be contacted for TOM compliance (if applicable}: Name(Pnnted): __________________ _ Phone Number: _____ _ Email Address: ___________________ _ Updated 8/15/2019 6