HomeMy WebLinkAbout2730 STATE ST; A; CBC2019-0436; PermitCommercial Permit
Print Date: 01/28/2020
Job Address: 2730 State St, A
Permit Type: BLDG-Commercial Work Class: Tenant Improvement
Parcel No: 2031011100 Lot#:
Valuation: $2,278.99 Reference #:
Occupancy Group: Construction Type:
# Dwelling Units: Bathrooms:
Bedrooms: Orig. Plan Check#:
Plan Check#:
Project Title:
{city of
Carlsbad
Permit No: CBC2019-0436
Status:
Applied:
Issued:
Permit
Fina led:
Closed -Finaled
09/12/2019
09/17/2019
Inspector: MColl
Final
Inspection: 1/28/2020 10:57:43M
Description: BRITISH MOTOR CARS: 49 SF BATHROOM UPDATE TO ADA COMPLIANCE// MINOR ELECTRICAL AND PLUMBING WORI
Owner:
TRUST STRAESSER RALPH A AND CJ FIELDS
REVOC TRUST
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
2730 State St
CARLSBAD,CA 92008
ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL
PLUMBING BLDG COMMERCIAL NEW/ADDITION/REMODEL
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-COMMERCIAL
Total Fees: $181.52 Total Payments To Date: $181.52 Balance Due: $0.00
$52.87
$37.01
$41.00
$49.00
$1.00
$0.64
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.
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
I
(cicyof
Carlsbad
COMMERCIAL
BUILDING PERMIT
APPLICATION
B-2
PC Deposit ---------
Date _f ..... /,'-'-f...._2'-'/,/'--1-1--
JobAddress 1-"15D %~ ~~uite: f-... APN: 202-l0l-\l-oo
Tenant Name: f;?l'C f'f! 5 H \/V(,:Jf?!'L-~CT/Project#: fr•fl2pi-) f 1-0W~Lot #: __ _
Occupancy: E>il,C: Construction Type: ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
BRIEF DESCRIPTION OF WORK: ~ANO 5~, tZ."G-1.N 1 (ZG./ 1rtD o CB
D Addition/New: ___________ New~ and Use, ___________ New SF and Use,
____ Deck SF, Patio Cover SF (not including flatwork)
~, L(u "----'\enant Improvement: _~ __ 4,__ __ SF, Existing Use ofFr(L Proposed Use o EE IC[
_____ SF, Existing Use ______ Proposed Use ______ _
□ 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: _________________________ _
APPLICANT {PRIMARY)
Name: \'2.¥\-ld3+ '5\<Z...J\6?56<2=:
Address: l5(is::: f,:Joq'+i/J'O (LO•
City: Ocm,~~State: c!'.J4-Zip: ']t.P54
Phone: "10D O I-~0
Email: ~a:;, Mr: N~
DESIGN PROFESSIONAL
Name: CJWNeJ1/t2U/ l.OefL
Address: _______________ _
City: _______ State: ___ Zip: ___ _
Phone: ________________ _
Email: ________________ _
Architect State License: __________ _
PROPERTY OWNER
Name: -~E-
Address: __________________ _
City: __________ State: ___ .Zip: ____ _
Phone: --------------------Email: ___________________ _
CONTRACTOR BUSIN;s,.~
Name: tiJ \/'-.Jf'--_)~ gu ( LQa2--,
Address: __________________ _
City: _______ State: ___ .Zip: ______ _
Phone: __________________ _
Email: ___________________ _
State License: ______ Bus. License: ______ _
(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
Page 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.
□ t have and will 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 Company Name: _____________________ _
Policy No. ______________ Expiration Date: __________ _
□ Certificate of Exemption: I 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 to be come
subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage is unlawful, and shall subject an employer to
criminal penalties and civil fines up to $100,000.00, In addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code,
Interest and attorney's fees.
□AGENT DATE: CONTRACTOR SIGNATURE: -------------------------------
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for thf following reason:
~ 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).
~as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
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. 0 Yes O No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I 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 l~h,.-,,.-.;·
OWNER SIGNATURE:
owing persons to provide the work indicated (include name/ address/ phone/ type of work):
DATE: 9'/,z. //9 □AGENT
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? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes O 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 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 ofcarlsbad 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 overS'O' 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 anytime
after the work is commenced for a period of 18 (Se n 10 ,4 Uniform Building Code).
APPLICANT SIGNATURE:
1635 Faraday Ave Carlsbad, CA 92008
B-2
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of 2
DATE: _"!__:_/_tz/-'---_( <f __
Email: Building@carlsbadca.gov
Rev. 06/18
. PERMIT INSPECTION HISTORY REPORT (CBC2019-0436)
Permit Type: BLDG-Commercial Application Date: 09/12/2019 Owner:
Work Class: Tenant Improvement Issue Date: 09/17/2019 Subdivision:
Status: Closed -Finaled Expiration Date: 03/30/2020 Address:
IVR Number: 21705
Scheduled
Date
Actual
Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
January 28, 2020
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
TRUST STRAESSER RALPH A AND
CJ FIELDS REVOC TRUST
SEASIDE LANDS
2730 State St, A
Carlsbad, CA 92008-1628
Reinspection
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Page 2 of 2
PERMIT INSPECTION HISTORY REPORT (CBC2019-0436)
Permit Type: BLDG-Commercial Application Date: 09/12/2019 Owner: TRUST STRAESSER RALPH A AND
CJ FIELDS REVOC TRUST
Work Class: Tenant Improvement Issue Date: 09/17/2019 Subdivision: SEASIDE LANDS
Status: Closed -Finaled Expiration Date: 03/30/2020 Address: 2730 State St, A
IVR Number: 21705 Carlsbad, CA 92008-1628
Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date
09/27/2019 09/27/2019 BLDG-84 Rough 105588-2019 Failed Michael Collins Reinspection Complete
Combo(14,24,34,44)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Not ready, complete all work No
BLDG-14 No
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Rough-Topout No
BLDG-34 Rough Electrical No
BLDG-44 No
Rough-Ducts-Dampers
09/30/2019 09/30/2019 BLDG-84 Rough 105776-2019 Passed Michael Collins Complete
Combo(14,24,34,44)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Not ready, complete all work No
BLDG-14 At restroom only Yes
Frame-Steel-Bolting-Welding
(Decks)
BLDG-14 No
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Rough-Topout Yes
BLDG-24 Rough-Topout No
BLDG-34 Rough Electrical No
BLDG-34 Rough Electrical Yes
BLDG-44 No
Rough-Ducts-Dampers
BLDG-44 Yes
Rough-Ducts-Dampers
10/17/2019 10/17/2019 BLDG-Final 107881-2019 Failed Paul Burnette Reinspection Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structural Final No
BLDG-Electrical Final No
01/28/2020 01/28/2020 BLDG-Final 117657-2020 Passed Chris Renfro Complete
Inspection
January 28, 2020 Page 1 of 2
PROJECT TO COMPLY WITH:
2730 State Street 2016 CA Building Code 2016 CA Electrical Code
Existing Bathroom Modification& CA Residential Code 2016 CA Plumbing Code
~ J 2016 CA Green Code 2016 CA Energy Code
t 7' 6" r 2016 CA Mechanical Code 2016 CA Fire Code
Exist. w1nc1ow City of Carlsbad Municipal Code --r.=====t:::::===;::;:===
Site Information:
office 2730 State Street Bldg. "A"
9, 6.. Carlsbad, CA 92008
APN: 203-101-11
__ a::1:=:;=~f=Ti=:i:==il Owner Builder / Applicant: )
I\' 1 ........_,111 e) . . Ralph Straesser •
Exist.Window /11'\\ 18" I Ex1~n1 1518 Avocado Rd -
4' 1" ~ ~ Batla-o m I • , 1
11" '-
55
·~ ·:;; = I \ Oceanside, CA 92054 '---ro o :::: \ , Phone (760) 201-3410 p ~ gi ~: ~ ~ };_ '-'i>f-Li-cJr -\"b I.)~, y
O :a ~· >-' : U a... ll ~re,..-~"\.~
>-, ·-en ,.. .-:= :J O (0
0"'"' ':'; o ~ O W
8' 6" ~ ii: 3 CBC2019-0436 Bldg. Exit Si: !J) 2130 STATE ST l BRITISH MOTOR CARS 49 SF BATHROOM UPDATE TO
ADA COMPLIANCE// MINOR ELECTRICAL AND PLUMBING WJRK "
Exist. Window 20310111
9/12/20
CBC2019-043
IA
0
9
6
9' 6"
Exist. Window
7' 6"
5' 1"
Exist. Window
2730 State Street
Proposed Bathroom
+--r;::::::~~~====;:;=== ,s.eo\1e ar-vJD f<-lf-~
NOTES: 7' 6"
office
+-117,~~ic!S 11
18"
~, " 1! C.
+-Bldg. E1
==
Exist. Window
1. Repair Sill Plate as necessary
because of water damage.
2. Remove rear Bathroom wall and replace
3. Extend office and shop wall to enlarge
Bathroom. Reconstruct new door.
4. Re-Wire Light service and add GFI Outlet
5. Add Grab Bar as shown
6. Reconstruct Waste Fitting as required
7. No modifications or additions to exterior of Building
8.
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MAP 15635 • CARLSBAD TCT NO 06 •18 ROOSEVa T GARDENS CONOOMII
MAP 14797 « CARLSBAD TCT NO 01-13
MAP 1722 .. SEASIDE LANDS
ROS 2816,17188, 18,145,19159, 18947
TOILET & BATHING ROOMS (SINGLE ACCOMMODATIONS)
■ Toilet and bathing rooms shall comply with the requirements of this section.
■ Where separate toilef facilities are provided for the exclusive use of separate user groups,
the toilet facilities serving each user group must be accessible.
■ Clearances shall comply with the requirements under this section.
■ Turning space shall be provided within the room.
■ Required clear floor spaces, clearance at fixtures and turning space is permitted to overlap.
■ Doors must not swing into the clear floor space or clearance required for any fixture.
■ Doors to accessible water closet compartments are permitted to encroach into the turning
space without limitation.
■ Mirrors, coat hooks, shelves and medicine cabinets must comply with the reach range
requirements specified in this section.
(_J .P-t lW\. C.-t_•_
TOILET ROOM
TOILET & BATHING ROOMS -KEY CONCEPTS
COPYRIGHT 2017 BUILDER'S BOOK, INC. ALL RIGHTS RESERVED./ 1-800-273-7375 / WWW.BUILDERSBOOK.COM
(
-
TOILET & BATHING ROOMS {SINGLE ACCOMMODATIONS)
General
■ Toilet and bathing rooms must comply with the requirements
of this section.
Toilet Facilities and Bathing Facilities -
Scoping Requirements
■ Where separate toilet facilities are provided for the exclusive
use of separate user groups, the toilet facilities serving each
user group must be accessible.
Unisex (Single-user or Family) Toilet and
Unisex (Single-user or Family) Bathing Rooms
■ Unisex (single-user or family) toilet rooms must contain
either of the following:
• 1 lavatory and 2 water closets
• 1 lavatory, 1 water closet and 1 urinal.
■ Unisex (single-user or family) bathing rooms must contain
either of the following:
• 1 lavatory, 1 water closet ·and 1 shower
• 1 lavatory, 1 water closet, 1 shower and 1 bathtub
■ Doors to unisex (single-user or family) toilet rooms and unisex
(single-user or family) bathing rooms must have privacy latches.
Unisex (Patient) Toilet Rooms in Medical Care and
Long-Term Care Facilities
■ Common-use unisex toilet rooms for exclusive patient use
not located within patient bedrooms must contain 1 lavatory
and 1 water closet.
Unisex (Patient) Bathing Rooms in Medical Care and
Long-Term Care Facilities
■ Common-use unisex bathing rooms for exclusive patient
use not located within patient bedrooms must contain
1 shower or 1 bathtub, 1 lavatory and 1 water closet.
Clearances
■ Turning space must be provided within the room.
■ Required clear floor spaces, clearance at fixtures and turning
space is permitted to overlap.
■ Doors must not swing into the clear floor space or clearance
required for any fixture.
■ Doors to accessible water closet compa rtments are permitted
to encroach into the turning space without limitation.
■ Other than the door to the accessible water closet compartment,
a door, in any position, may encroach into the turning space
by 12" max.
Mirrors
■ Mirrors located above lavatories or countertops must be
installed with the bottom edge of the reflecting surface
40" max. above the finish floor or ground.
■ Mirrors not located above lavatories or countertops must
be installed with the bottom edge of the reflecting surface
35" max. above the finish floor or ground.
Coat Hooks, Shelves and Medicine Cabinets
■ Coat hooks must be located within one of the accessible
reach ranges.
■ Shelves: 40" min. and 48" max. above the finish floor.
■ Medicine cabinets usable shelf: 44" max. above the finish floor.
Accessories
■ All operable parts, including coin slots, must be 40" max.
above the finish floor.
Guest Room Toilet and Bathing Rooms
■ Toilet and bathing rooms within guest rooms that are not
required to provide mobility features must provide all toilet
and bathing fixtures in a location that allows a person using
a wheelchair measuring 30" by 48" to touch the wheelchair
to any lavatory, urinal, water closet, tub, sauna, shower
stall and any other similar sanitary installation, if provided.
~ APPLICABLE SECTIONAL TERMINOLOGY AND DEFINITIONS !.:.
• . -.I.
ACCESSIBLE ROUTE: A continuous unobstructed path connecting
accessible elements and spaces of an accessible site, building or facility
that can be negotiated by a person with a disability using a wheelchair
and that is also safe for and usable by persons with other disabilities.
Interior accessible routes may include corridors, hallways, floors, ramps,
elevators and lifts. Exterior accessible routes may include parking access
• aisles, curb ramps, crosswalks at vehicular ways, walks, ramps and lifts.
CLEAR FLOOR SPACE: The minimum unobstructed floor or ground space
required to accommodate a single, stationary wheelchair and occupant.
OPERABLE PART: A component of an element used to insert or withdraw
objects, or to activate, dea~tivate, or adjust the element.
I e TOILET & BATHING ROOMS -HIGHLIGHTS
COPYRIGHT 2017 BUILDER'S BOOK, INC. ALL RIGHTS RESERVED./ 1-800-273-7375 / WWW.BUILDERSBOOK.COM
C cicyof
Carlsbad
PURPOSE
CLIMATE ACTION PLAN
CONSISTENCY CHECKLIST
8-50
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
....i 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.
....i Details on CAP ordinance requirements are available on the city's website .
....i 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 weboage and
download the latest form.
Project Name/Building
Permit No.: -----------BP No.: c_J3c_2Q/1-Q'f3'
Property Address/APN:
Applicant Name/Co.:
Applicant Address:
Contact Phone: ~~~\-3410 Contact Email:
Contact information of person completing this checklist (if different than above):
Name:
Company
name/address:
Contact Phone:
Contact Email:
~ ~9• ...._ a/ z._ I; q
Applicant Signature:~---~--A __ · ________ Date: __ t.____1 __ 1_ •_~ __ _
B-50 Page 1 of 6 Revised 08/19
City of Carlsbad Climate Action Plan Consistency Checklist
Use the table below to determ ine 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: $ L j -:CZ r ~ 'f
Construction Type
D Residential
D New construction
D Additions and alterations:
D BPV < $60,000
D BPV :2: $60,000
□ Electrical service panel upgrade only
□ BPV :2: $200,000
' ~ Nonresidential
' D New construction
~ Alterations:
D BPV :2: $200,000 or additions :2: 1,000
square feet
□ BPV :2: $1,000,000
D :2: 2,000 sq. ft. new roof addition
Checklist Item
COft1Jlete Section(•) Noles:
A high-rise residential building is 4 or more stories, including a
Low-rise High-rise mixed-use building in which at least 20% of its conditioned floor
area is residential use
2A, 3A, 18, 28,
4A 3B,4A
N/A N/A All residential additions and alterations
1A, 4A 4A 1-2 family dwellings and townhouses with attached garages
only
*Multi-family dwellings only where interior finishes are removed
1A, 4A* 18, 4A* and significant site work and upgrades to structural and
mechanical, electrical, and/or plumbing systems are proposed
1 B, 28, 38, 48 and 5
/10/A-~
'-
18, 5
18, 28, 5 Building alterations of :2: 75% existing gross floor area
28,5 18 also applies if BPV :2: $200,000
CherJc the appropriate boxes, explain al not applicable and exception items. and provide supporting calaallons nl doaJmerulion as necessay.
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 (CAL Green) for
more information when completing this section.
A D Residential addition or alteration ~ $60,000 building pennit valuation.
See CMC section 18.30.190.
□ NIA _________ _
□ Exception: Home energy score 2: 7
(attach certification)
Year Built Single-family Requirements Multi-family Requirements
□ Before 1978 Select one:
□ Duct sealing □ Attic insulation □ Cool roof □ Attic insulation
□ 1978 and later Select one:
□ Lighting package □ Water heating Package
□ Between 1978 and 1991 Select one:
□ Duct sealing □ Attic insulation □ Cool roof
□ 1992 and later Select one:
□ Lighting package □ Water heating package
B. D Nonresidential* new construction or alterations~ $200,000 building pennit valuation,
or additions ~ 1,000 square feet □ NIA
Updated 8/ I 5/2019
...
2
,
City of Carlsbad Climate Action Plan Consistency Checklist
See CMC 18.21.155 and CALGreen Appendix A5, Division A5.2-Energy Efficiency.
AS.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
AS.203.1.2.1
Choose one as applicable: D .95 Energy budget D .90 Energy budget D N/A
AS.211.1**
D On-stte renewable energy D N/A
AS.211.3**
D Green power Of offered by local utility provider, 50% minimum renewable sources) D N/A
AS.212.1
D Elevators and escalators D N/A
AS.213.1
D Steel framing D N/A
* lndudes 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.
2. Photovoltaic Systems
A. D Residential new construction (for low-rise residential building penmit 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 (2B below) instead. 2) If project includes installation of an electric heat pump water heater pursuant to CMC 18.30.150(6)
(high-rise residential) or 18.30.170(6) (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
B. D Nonresidential new construction or alterations ~$1,000,000 BPV 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 0,000s.f. Enter: 5 kWdc
Min. System Size:
□ If 2! 1 0,000s.f. calculate: 15 kWdc x (GFN10,000) **
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.
D For systems serving individual dwelling units choose one:
D Heat pump water heater AND Compact hot water distribution AND Drain water heat recovery (low-rise
residential only)
D 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)
D Heat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higher
D Solar water heating system that is either .60 solar savings fraction or 40 s.f. solar collectors
D Exception:
D For systems serving multiple dwelling units, install a central water-heating system with all of the following:
D Gas or propane water heating system
D Recirculation system per CMC 18.30.150(8) (high-rise residential, hotel/motel) or CMC 18.30.170(8) (low-
rise residential)
D Solar water heating system that is either:
D .20 solar savings fraction
D .15 solar savings fraction, plus drain water heat recovery
D Exception:
B. D Nonresidential new construction
Please refer to Carlsbad Ordinance CMC section 18.30.150 when completing this section.
D Water heating system derives at least 40% of its energy from one of the following (attach documentation):
D Solar-thermal D Photovoltaics D Recovered energy
D Water heating system is (choose one):
D Heat pump water heater
D Electric resistance water heater(s)
□Solar water heating system with .40 solar savings fraction
D 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 this 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 I Readv T Installed
I T
Calculations: Total EVSE spaces = .10 x Total parking (rounded up to nearest vmole number)
EVSE Installed = Total EVSE Spaces x .50 (rounded up to nearest vmole number)
EVSE other= Total EVSE spaces -EVSE Installed
(EVSE other may be "Capable," "Ready" or "Installed.')
l Total
I
*Major alterations are: (1) for one and two-family dwellings and townhouses v.1th attached garages, alterations have a building permit valuation ~ $60,000
or indude an electrical service panel upgrade; (2) for multifamily dwellings (three units or more v.1thout attached garages), alterations have a building permit
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 Spaces
Proposed Capable I Readv I Installed I Total
I I I
Calculation· Refer to the table below·
Total Number of Parkino Spaces provided Number of roouired EV Spaces Number of reauired EVSE Installed Spaces
D 0-9 1 1
D 10-25 2 1
D 26-50 4 2
D 51-75 6 3
D 76-100 9 5
D 101-150 12 6
D 151-200 17 9
D 201 and over 10 percent of total 50 percent of Required EV Spaces
Updated 8/15/20 19 5
City of Carlsbad Climate Acti on Plan Consistency Checklist
5. D Transportation Demand Management (TDM): Nonresidential ONLY
An approved Transportation Demand Management (TOM) Plan is required for all nonresidential projects that meet a threshold of employee-generated ADT.
City staff will use the table below based on your submitted plans to determine whether or nor your permit requires a TOM plan. If TOM is applicable to your
penmit, 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
Office ( all)2
Restaurant
Retaib
Industrial
Manufacturing
Warehousin
Emp ADTfor
first 1,000 s.f.
20
11
8
4
4
4
EmpADT/
1000 s.f.1
13
11
4.5
3.5
3
1
1 Unless otherwise noted, rates estimated from !TE Trip
Generation Manual, 101hEdition
2 For all office uses, use SANDAG rate of 20 ADT/1,000 sf to
calculate 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 condition of permit issuance.
Applicant Signature: __________________ _ Date: ______ _
Person other than Applicant to be contacted for TOM compliance {if applicable):
Name (Printed): ___________________ _ Phone Number: _____ _
Email Address: ___________________ _
Updated 8/ 15/20 I 9 6
\
OFFICE USE ONLY SAN DIEGO REGIONAL
HAZARDOUS MATERIALS
QUESTIONNAIRE
RECORD ID # ___________________ I
PLAN CHECK # __________________ I
BP DATE
Project Address APN# "Zo
The following questions represent the facility's activities, NOT the specific project descrip ion.
PART I: FIRE DEPARTMENT -HAZARDOUS MATERIALS DIVISION: QCCUPANCY CLASSIFICATION: {not required for projects within the City of San
Diego): Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are circled,
applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal.
Occupancy Rating: Facility's Square Footage (including proposed project):
1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives
2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards
3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These.
4. Flammable Solids 8. Unstable Reactives 12. Radioactives
PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION (HMDl: If the answer to any of the
questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 110, San Diego, CA 92123.
Call (858) 505-6700 prior to the issuance of a building permit.
FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy:
YES NO (for new construction or remodeling projects)
1. i D Is your business listed on the reverse side of this form? (check all that apply).
2. D Will your business dispose of Hazardous Substances or Medical Waste in any amount?
3. '5t: Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500
4.
5.
6.
7.
8.
D D D D
D
poonds and/or 200 cubic feet?
I Will your business store or handle carcinogens/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 1 0)?
Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to
or realer than 1,320 allons? California's Above round Petroleum Stora e Act .
0 CalARP Exempt
I
Date Initials
□ CalARP Required
Date Initials
0 CalARP Complete
Date Initials
PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD): Any YES* answer requires a stamp from APCD 10124 Old Grove Road, San
Diego, CA 92131 apcdcomp@sdcounty.ca.gov (858) 586-2650). [*No stamp required if 01 Yes and Q3 Yes and Q4-Q6 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 burns; residences forming part of a larger project. rExcludes garages & small outbuildings.]
YES J!9
1. D ~ Will the project disturb 160 square feet or more of existing building materials?
2. D g__ Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition.
3. D D (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance
Technician?
4. D ;g1_ (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.
5. D 'g. Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet
(www.sdapcd.org/info/facts/permits.pdD for typical equipment requiring an APCD permit.
6. D D (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school
bounda
FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:. _________________________________ _
BY· DATE· I I
EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY-HMO• APCD COUNTY-HMO APCO COUNTY-HMO APCD
"A stamp in this box only exempts businesses from completing or updating a Hazardous Matenals Bus,ness Plan. Other perm1tt1ng requirements may still apply.
HM-9171 (08115) County of San Diego -DEH -Hazardous Materials Division
----·----------·
LIST OF BUSINESSES WHICH REQUIRE REVIEW AND APPROVAL FROM THE COUNTY OF SAN DIEGO
DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION
Check all that apply:
AUTOMOTIVE
D Battery Manufacturing/Recycling
D Boat Yard
D Car Wash
D Dealership Maintenance/Painting
D Machine Shop
D Painting
D Radiator Shop
i Rental Yard Equipment
Repair/Preventive Maintenance
Spray Booth
D Transportation Services
D Wrecking/Recycling
CHEMICAL HANDLING
D Agricultural supplier/distributor
D Chemical Manufacturer
D Chemical Supplier/Distributor
D Coatings/Adhesive
O Compressed Gas Supplier/Distributor
D Dry Cleaning
D Fiberglass/Resin Application
D Gas Station
0 Industrial Laundry
D Laboratory
D Laboratory Supplier/Distributor
0 Oil and Fuel Bulk Supply
D Pesticide Operator/Distributor
CHEMICAL HANDLING
D Photographic Processing
D Pool Supplies/Maintenance
D Printing/Blue Printing
D Road Coatings
D Swimming Pool
D Toxic Gas Handler
D Toxic Gas Manufacturer
METAL WORKING
D Anodizing
D Chemical Milling/Etching
D Finish-Coating/Painting
D Flame Spraying
D Foundry
D Machine Shop-Drilling/Lathes/Mills
D Metal Plating
D Metal Prepping/Chemical Coating
D Precious Metal Recovery
D Sand Blasting/Grinding
D Steel Fabricator
D Wrought Iron Manufacturing
AEROSPACE
D Aerospace Industry
D Aircraft Maintenance
D Aircraft Manufacturing
OTHERS AND MISCELLANEOUS
0 Asphalt Plant
D Biotechnology/Research
D Chiropractic Office
D Co-Generation Plant
D Dental Clinic/Office
D Dialysis Center
D Emergency Generator
D Frozen Food Processing Facility
D Hazardous Waste Hauler
D Hospital/Convalescent Home
D Laboratory/Biological Lab
□ Medical Clinic/Office
0 Nitrous Oxide (NOx) Control System
D Pharmaceuticals
□ Public Utility
D Refrigeration System
0 Rock Quarry
D Ship Repair/Construction
D Telecommunications Cell Site
D Veterinary Clinic/Hospital
D Wood/Furniture Manufacturing/Refinishing
ELECTRONICS
D Electronic Assembly/Sub-Assembly
D Electronic Components Manufacturing
D Printed Circuit Board Manufacturing
NOTE THE ABOVE LIST INCLUDES BUSINESSES, WHICH TYPICALLY USE, STORE, HANDLE, AND DISPOSE OF HAZARDOUS SUBSTANCES.
ANY BUSINESS NOT INCLUDED ON THIS LIST, WHICH HANDLES, USES OR DISPOSES OF HAZARDOUS SUBSTANCES MAY STILL REQUIRE
HAZARDOUS MATERIALS DIVISION (HMD) REVIEW OF BUSINESS PLANS. FOR MORE INFORMATION CALL (858) 505-6880.
LIST OF AIR POLLUTION CONTROL DISTRICT PERMIT CATEGORIES
Businesses, which include any of the following operations or equipment, will require clearance from the Air Pollution Control District.
CHEMICAL
4 7 -Organic Gas Sterilizers
32 -Acid Chemical Milling
33 -Can & Coil Manufacturing
44 -Evaporators, Dryers & Stills Processing
Organic Materials
24 -Dry Chemical Mixing & Detergent Spray
Towers
35 -Bulk Dry Chemicals Storage
55 -Chrome Electroplating Tanks
COATINGS & ORGANIC SOLVENTS
27 -Coating & Painting
37 -Plasma Arc & Ceramic Deposition Spray
Booths
38 -Paint, Stain & Ink Mfg
27 -Printing
27 -Polyester Resin/Fiberglass Operations
METALS
18 -Metal Melting Devices
19 -Oil Quenching & Salt Baths
32 -Hot Dip Galvanizing
39 -Precious Metals Refining
ORGANIC COMPOUND MARKETING
(GASOLINE. ETC)
25-Gasoline & Alcohol Bulk Plants & Terminals
25 -Intermediate Refuelers
26 -Gasoline & Alcohol Fuel Dispensing
COMBUSTION
34 -Piston Internal -Combustion Engines
13-Boilers & Heaters (1 million BTU/hr or larger)
14-Incinerators & Crematories
15 -Burn Out Ovens
16 -Core Ovens
20-Gas Turbines, and Turbine Test Cells & Stands
48 -Landfill and/or Digester Gas Flares
ELECTRONICS
29 -Automated Soldering
42 -Electronic Component Mfg
FOOD
12-Fish Canneries
12-Smoke Houses
50 -Coffee Roasters
35 -Bulk Flour & Powered Sugar Storage
SOLVENT USE
28 -Vapor & Cold Degreasing
30 -Solvent & Extract Driers
31 -Dry Cleaning
ROCK AND MINERAL
04 -Hot Asphalt Batch Plants
05 -Rock Drills
06 -Screening Operations
07 -Sand Rock & Aggregate Plants
08-Concrete Batch, CTB, Concrete Mixers, Mixers
&Silos
1 O -Brick Manufacturing
OTHER
01 -Abrasive Blasting Equipment
03 -Asphalt Roofing Kettles & Tankers
46 -Reverse Osmosis Membrane Mfg
51 -Aqueous Waste Neutralization
11 -Tire Buffers
17 -Brake Debonders
23 -Bulk Grain & Dry Chemical Transfer & Storage
45 -Rubber Mixers
21 -Waste Disposal & Reclamation Units
36 -Grinding Booths & Rooms
40 -Asphalt Pavement Heaters
43 -Ceramic Slip Casting
41 -Perlite Processing
40-Cooling Towers-Registration Only
91 -Fumigation Operations
56 -WNTP (1 million gal/day or larger) & Pump
Station
NOTE: OTHER EQUIPMENT NOT LISTED HERE THAT IS CAPABLE OF EMITTING AIR CONTAMINANTS MAY REQUIRE AN AIR POLLUTION
CONTROL DISTRICT PERMIT. IF THERE ARE ANY QUESTIONS, CONTACT THE AIR POLLUTION CONTROL DISTRICT AT (858) 586-2600.
HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division
•
ENCINA WASTEWATER AUTHORITY
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
SCREENING SURVEY
6200 Avenida Encinas, Carlsbad, CA 92011
Phone: 760-438-3941 Fax: 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 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.
~~{{~
Signature:..:V:::...._~o/.!:... __ /4E-________ _ Print Name:
Facility Contact: __________ _ Title: _____________ _
ENCi NA WASTEWATER AUTHORITY
6200 AVENI DA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852
SourceControl@encinajpa.com
Page 2 of 2
'
,
ENCINA WASTEWATER AUTHORITY
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
SCREENING SURVEY
6200 Avenida Encinas, Carlsbad, CA 92011
Phone: 760-438-3941 Fax: 760-476-9852
SourceControl@enclnaJpa.com
Date: _____ _
Business Name: __________________ _
Street Address:, __________________ _
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 Fertlllzer 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 D SIC Code(s) if known: _____ _ Date operation began/will begin: ______ _
Tenant Improvement? Yes D NoD If yes, briefly describe Improvement: _________________ _
Description of operations generating wastewater (discharged to sewer, hauled or evaporated]: __________ _
Estimated volume of industrial wastewater to be discharged (gal/ day): __________________ _
List hazardous wastes generated (type/volume): _________________________ _
Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes D Date: ____ No D
Page 1 of 2