HomeMy WebLinkAbout2855 UNICORNIO ST; ; CBR2020-0555; PermitPERMIT REPORT
Print Date: 06/01/2021
Job Address:
Permit Type:
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Project Title:
2855 UNICORNIO ST,
BLDG-Residential
2153601900
$46,463.49
Residential Permit
CARLSBAD, CA 92009-4434
Work Class:
Track#:
Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Alteration
Description: UNICORNIO APTS: 999 SF INTERIOR REMODEL
FEE
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
Property Owner:
SHEN FAMILY TRUST/JAMES TUNG
KELVIN K /YVONNE F SHEN
9372 DARROW DR
HUNTINGTON BEACH, CA 92646-7232
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $665.60 Total Payments To Date: $665.60
{city of
Carlsbad
Permit No: CBR2020-0555
Status:
Applied:
Issued:
Finaled Close Out:
Closed • Expired
03/04/2020
03/24/2020
Inspector: PB urn
Final Inspection:
Balance Due:
AMOUNT
$386.80
$270.76
$2.00
$6.04
$0.00
Please take NOTICE that approval of your project includes the 11 lmposition11 of fees, dedications, reservations, or other exactions hereafter
collectively referred to as 11fees/exaction.11 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
(cicyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APP LI CATION
B-1
Plan Check('l,;£,2.020-0~
Est. Value 9 l.», L\l,t:?)-
PC Deposit ---------
Date 3-L\-2D
Job Address _'Z-=,ac,,.CZC,=:L.-.L---ll ... l .. Mul.uCOu(.l\lO"'.M.IU-'0..,,___-,._q:l-----·Suite: ~T
CT /Project#: Lot#: ___ _
Fire Sprinklers: yes!@ Air Conditioning: yes /(!fj) Electrical Panel Upgrade: yes~
BRIEF DEscR1PT10N oF woRK: BinrMb ,N,,n,, oo 1°Y,tY)A.2atzb--
c~,I) 1-J>~\) 1'5ffl\lou ~A~~i-\
:JO ~~:t t,'1.
□ Addition/New: ______ .Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __
D Remodel: 99G\ SF of affected area Is the area a conversion or change of use ? Yes/~
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _
□ Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: ___________________________________ _
D Plumbing/Mechanical/Electrical Only: ________________________ _
D Other: __________________________________ _
APPLICANT {PRIMARY CONTACT)
Name: lo:&u:t": "Z4\.t:l,llbtQ
Address: ,-Z.'2. PA'?1te> PP: ~
City: IAA,::Il()M b <-0:,. State: ,::J... Zip: "\\9t;t)
Phone: , \ q _ 494:. :Z,"\C\ I
Email: _\.!27At>¥5tc,,t:,1 e,S&c,C$~.
NV\
DESIGN PROFESSIONAL
Name: _________________ _
Address: ________________ _
City: ________ State: ___ .Zip: ____ _
Phone: _________________ _
Email: _________________ _
Architect State License: ___________ _
PROPERTY OWNER
Name: -~.:p.L.ZJ=.,..N:::,o,____,.P,-<~"""""'l"'b-1'~1_._(_..,.__ ____ _
Address: '2.~:55 llt,1 IC.01),,N\I,> '?-:I
City: ~ State@ Zip:
Phone: c,\,C<, • 407 • 2?1 CO\C,
Email: ____________________ _
CONTRACTOR BUSINESS
Name: ___________________ _
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.S 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 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-1 Page 1 of 2 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.
□ I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which 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.
CONTRACTOR SIGNATURE: __________________ □AGENT DATE: _____ _
( 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. tf, 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 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).
□ I am exempt under Section ________ Business and Professions Code for this reason:
1. I personalty 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. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number):
4. l 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:
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 □ 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 of Carlsbad to enter upon the above mentioned property for inspection purposes. I Al.SO AGREE TO SAVE, INDEMNIFY AND KEEP
HARMLESS THE CllY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY 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 o 180 days {Section 106.4.4 Uniform Building Code).
1635 Faraday Ave Carlsbad, CA 92008
B-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
( OPTIOt, A )· womzrn,·co;(,rPlSI\ l l(\IJ fl[ Cl M'I, 1 I0'1. h
'-----~~-• ,yonenfthefoJlowinqdeclorotions: h rfotmaru:eoft e I hearby ciffirm vndtr ptnolty 01 per JU -ett I wn k , c.omr,i,l\sattt){\ fl(ovlrktl hv ~ctlon 1700 of th~ umot code, for t I!!: pe
Otha1111!.1ndwlllmalnU1ln.aCi'J"l!fit.ateofcon'ltntlol .\rm.ire or 1 "'l '
work ~h thit.~ h luutd. mit ls wued.
I r th wot\ rot which this per .. -..-ul'--:u~lredbvSett1003700of100laborCode,for~-•h:•~P<'--"'_,.._M_•_• __ • ____________ _ Olhlwc-~wll1f11;1in\Slftwv,..._.sc~ ..,.,.. ~ N , , __ ............... --llf1d fffdlq l'li~r '"'; 1n11ut1n« Company ame. Mywort:~·avnptonut ..... , .......... ,,., .. \C.,,..,. PolkyNo ____________ hpiratlanOalf!: ________ _
• -,son in lJl'IV mannct So 31, lo be come
0 Certlfita~of EmnpUon~turtlfythft N'ltheperformanceoftheo WOik lo, whkh this pt?fm!I h 1m1cd, I i;~II nut rffltl~~I, •nd shaffsubje(tan employet to
• t..wsofeafflomla Wft.llNING·Fafure-10lf!CtlrlwOl'kutwmpe~tJ!llletqe l.-b<weo6i! =t:::= =::, $1DOJI00-00. In ~dtt.km u,."to tht!-cert cf compt!~, damapJ ,, prowlikd to, In~ 1706 of the ' ........... ._. .....
CONTRACTOR SIGNATURE: ________________ LlAGENT DATE: _____ _
l OPTION n ): 0W1lCR,OUllDER D(C1AR/\TION;
I hett'by ofJirm that I am ewmpt from Contractor's Uceme tow for thr following reason:
ll t ,,1, ~ of th!! ~ropt,rtv or mytmplOyeeS with wqes on t~ ~ compei,sation, will do the: work ill'1d tM s1ructure! Is no\ ir1tetldt!d Of' offered for sale tSe~
~. 81.i~nrid PrQl~on, Cade: n,■ c~s Uaru.e uw dfM.s not apply to an nwr,ec _of proPf!rtvwho buikts or lmprQVfl there<m. an<I who~ s:h ltht
l'limRlf 01 t~ t,!$ own ~m~ pn,.riHd thlt wtk un,~u ate not intended at offered fQr YAie, it, hoWf!"llff, tM building ot im~rtt Is so w n
~yo,afromplrticm, ttieowrw:.--bulldttwlllbaw:ttiebl.M"denafpro-vln& that hod'id not.build or improve to, t~ pu,pose of s,;de).
(,. ff.OWflll!r of tM ~. am exdu$1wt,ly to'!lt~ng wiih l\cenH<I am«ac.tors to c.onstmd t~ proj«t (Sec. 7044, Bwin~s and Profuuiom ~: The
CGl'ltractor'i-License Law dMl i,otappty to an OWMr of property wM btJUds ar irt'IPfOYt".S thefeon, ;ind coruncis for such ptofl!!d,S with c.on1ractorts) lu:ensed
putsU«nt to-the tantriietor's Ucense Law).
□ I am ett'f'tlpt undtof Sedion _______ Bu,lineSs and ProlC5SIDnt Code for thb ,e.,.on:
l.. I Pftl()ndy pbin to Pf'IMOI! the majot fabof'afld "1#bltills for QIMtfll(1Ion of the propo~ prQpeny \m~menL O Yes O No
1.1 (hWP / ttwe natl~ an~ fo, 1 b\ltldlnl ptflNtfot the-prcpos4!dwork.
l. I lu.vtt w~ with tM tollOWin& ptf"$(WI tfbm) to provldr the~ (Vh)tr\lctlof1 ~nclude name Mldrfl,$ / photM, I conu-utO'l' tkrnse numb@r}:
4. I plan to S)!'IMde portiunlofthe ~ but I have hired the ~penM toeootdiMU!, su~nrMano provide the malor wa-k (includ,e, name/ :xtdl'1!'$5 /phone/
contraaors· ocemr numbef'):
S. I wlll ~ ~ ofd'ie ~!"'-..,._..,\"-_"lll!;!"'(hltt!d)the folktwins pencms toprovi'de the work inclicat,rd {include na.rM J address/ Phone/ ~pe of work I:
OWNER SIG DATE: ;:,/ z.,y / ,z 0 r l
.,,....,...,..,,,.,,.._;q,encyfor1Mplfformanceof1tle~thb.perrnlt blssu~ (S«, 3097 ti) Civd Code.-). -""'<.------+---------......,.,Add,..., _______________ _
,.O,.,N:,,LY,.C,e0,.1"'"1"-P""lE,._,T_,,E_,T.=..,_0,,_,llOWING SECTION FOR NON•RESIOENTIAl l!W.LJ)ii,G l'l ,,,_.,,,, ..
hthe'~or~buUJnallC(upMtrtquired totllbmttabusiM1Sp\ln.KUll!lyh.lufdous m.ateriltb~iitr.tUon founor ,1\). m.ln.lg~t .Jnd P,IINmlt•on
pn,gt'aftlundet~25SOS.25533JKlSS34ofthePt'fllt-rTanntt~ousit.l~AttountA«1 □Yet 0No
Is !hi' fJIPl"ant or hR.ufe bu~ OfX.l,q),ltlt ~to oblaln aperm.11 fffln,, the air pollution tontrol dlilrict or alf qu<lh{'I m.ln.lllt'il•t"Jlt di\.trl(tl' □ v~ C1 No
t, tfwfadUty to bll ~ Whhlft l,.oDQ fHt of 1he Ot.lhtt' bot.lndary of ;a;~ site-? 0 Y•s Cl No
lfNlfOfTHIAIIOWDdNt&YU,ltfffW.<H'nFICATEOfOCOJPMKYMAYHOTllltHUmUNLUSTHl4MfUtffKASMfTMISME£'TIHG™E
--OF1M!(lfflQ;OflMIIIGENCYSlll'l1CISAMlllflilolAl'OWl1'10lfCOMIIOl.l»SftllCI'.
APPUCAl':(T CERTIFICATION;
1 terfJt'{ lhill I Mw fffMJ thP ~uon and st• that lhe abavt fnfarm11ton Is r:onoct aru:t lhl\ \ht W\fotm.illon on 1hr pt)n, li-lm.1ro1te.1 ;tgree to comp! h Clty0t~.ndSmel•-telallnt11Jbllffdtn,tJ)f)SltudJcn. '/Wit all
1_t,r,..,,....,__olthoC11YolGmibi4to.,...upoo1he ___ ,.. __ ,....,.., .. ,ro<A\l(,._,...""•No
HARMtmTH£0TYOICAAlSM.DNSAINSTALll.WIIUltlS,JUDGtM.NTS,COSTSMDOO'ft61$WtletttJti\YINNffWA1ACCftUEAGAI.NSTSAI001Y1NCONsf l<EEP
THEGRANTINGOfTHISff.JWJT.OSHA:AnOSHAp,mnlttsmqulmdhwPOva\lonlowr5'U'dt'lep0dwnoitlan«tOl'bilnA.111Xtof"1WUM.O'lrefl\tllriesint,e:~EOf
OO'JAATION: E--luuedbra,a_Olfi<lll_.,_,,_.,_c.dtlhl8_br _ _,._null .,.._11,he-.. o,
tJ¥fllfflpWfflfl6not~wilnin180 ftomthedlteof..t,J)tnnllctllhll~a,WCf\~lly'uhpmntbsuspfffldedo,.a,bindoned~a\11.hottzud
.ttertheworib.a,wneltlldb (S,ectiar'IUl6A.4Ufihafm&Mw<:.odce:)., Vt.lrne
-.i=---~..f=:::::::::::::::_ ___ DAT£:--'TJ/;.=.i' ~~/--=u::::___ APPLICANTS
1635 Faraday A
11-1
Ph: 760-602-2719 Fax: 760--602-11558
Page2of2
Email: Buildinr,@car!sbacka.f:9.l'
Rev, 06/18
Scanned with CamScanner
--
PERMIT INSPECTION HISTORY REPORT (CBR2020-0555)
Permit Type: BLDG-Residential Application Date: 03/04/2020 Owner: SHEN FAMILY TRUST/JAMES
TUNG
Work Class: Alteration Issue Date: 03/24/2020 Subdivision: LA COSTA MEADOWS #3
Status: Closed -Expired Expiration Date: 03/25/2021 Address: 2855 Unicornio St
Carlsbad, CA 92009
IVR Number: 25212
Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date
04/03/2020 04/03/2020 BLDG-24 123975-2020 Passed Paul Burnette Complete
Rough/Topout
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-34 Rough 123976-2020 Passed Paul Burnette Complete
Electrical
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
04/08/2020 04/08/2020 BLDG-17 Interior 124304-2020 Passed Tony Alvarado Complete
Lath/Drywall
Checklist Item COMMENTS Passed
BLDG-Building Deficiency April 8, 2020 -interior drywall scope of Yes
work-approved.
June 01, 2021 Page 1 of 1
June 08, 2021
SHEN FAMILY TRUST/JAMES TUNG
KELVIN K /YVONNE F SHEN
9372 DARROW DR
HUNTINGTON BEACH, CA 926467232
{_ City of
Carlsbad
PERMIT#: CBR2020-0555
RE: BUILDING PERMIT EXPIRATION
PERMIT TYPE: BLDG-Residential, Alteration
ISSUED: 03/24/2020
ADDRESS: 2855 UNICORNIO ST
CARLSBAD, CA 92009-4434
Our records indicate that your building permit will expire by limitation of time on March 25, 2021.
18,04.030 Section 105.5 amended -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 calendar days from the date of
such permit, or if the building or work authorized by such permit is stopped at any time after the work is commenced for
a period of 180 calendar days, or if the building or work authorized by such permit exceeds three calendar years from
the issuance date of the permit. Work shall be presumed to have commenced if the permittee has obtained a required
inspection approval of work authorized by the permit by the Building Official within 180 calendar days of the date of
permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval
of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such
permit.
Before such work can be recommenced, a new permit shall be obtained to do so, and the fee therefore shall be one half
the amount required for a new permit for such work, and provided that no changes have been made or will be made in
the original plans and specifications for such work, and provided further that such suspension or abandonment has not
exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee.
Any permittee holding an unexpired permit may apply for an extension of time within which work may commence under
that permit when the permittee is unable to commence work within the time period required by this section for good and
satisfactory reasons.
Please check below indicating your intentions and return this letter to us.
D Project abandoned. A new permit will be obtained prior to commencing work.
D No fee extension requested for 180 days. (Must attach a letter of explanation)
D Renewal permit requested.
If the project has been completed and only a final inspection is needed, please call the inspection request line
at (760) 602-2725.
If you have any questions, please contact the Building Inspection Division at 760-602-2700.
Community & Economic Development
Building Division I 1635 Faraday Avenue Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
DATE: 03/19/2020
JURISDICTION: Carlsbad
PLAN CHECK#.: 2020-0555
✓• EsG1I
A SAFf::bL<ilt Compcmy
SET: I
PROJECT ADDRESS: 2855 Unicornio St
PROJECT NAME: Unicornio Apartments Partial Remodel
JAPP LI CANT ? JURIS.
~ The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
D The plans transmitted herewith will substantially comply with the jurisdiction's codes
when minor deficiencies identified below are resolved and checked by building department staff.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
D The check list transmitted herewith is for your information. The plans are being held at EsGil until
corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
D The applicant's copy of the check list has been sent to:
~ EsGil staff did not advise the applicant that the plan check has been completed.
D EsGil staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone#:
Date contacted:3.\"'I.W (by5p ) Email:
Mail Telephone Fax In Person
~ REMARKS: Ensure all sheets are signed, and note proposed new XOX window meets safety
glazing requirements
By: Ali Doudar
EsGil
03/09/2020
Enclosures:
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
C cicyof
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 8-55) shall be added to the title page all building plans. This template shall be
completed to demonstrate project compliance with the CAP ordinances. Refer to the building application webpage and
download the latest form.
~i:.'iS,;/~:,1if'~. ·, !. ::·-.·-~··,-~,1; .. -,-,r~:v,•·: , .. 01'•'.'t•;-, :~. ·'.: ,· .·c;·-~ .. \·--_·-···/
~l. ·1r":g-,.., .:~-. · -. ., -. --·. ._,, l;;,..-·• ·.-~ , • .,, .. ·• j~; ,:.u·....;,,.r~::s...;•v •. ,~\1 •.• .. • ... \~,~:..;,., ... •-:---= -·P·· ... : .. :, -..... 111 ~ • +i ' , /. ~, ...... : ~. _ •• ..,...i
Project Name/Building
Permit No.: --------------BP No.: C.i,A_S-a ~-6 s:rs-
Property Address/APN:
Applicant Name/Co.:
Applicant Address: ~. cA
Contact Phone: Contact Email:
Contact information of person completing this checklist (if different than above):
Name:
Company
name/address:
Contact Phone:
Contact Email:
Applicant Signature: -t ,.,..,_....,.. l,t ::z.-,..,, = Date:
B-50
b~ -U~Q...QA ~o \(_
Page 1 of 6 Revised 08/19
-~ City of Carlsbad Climate Action Plan Consistency Checklist
Use the table below to determine which sections of the Ordinance Compliance checklist are applicable to you r project.
For alterations and additions to existing buildings, attach Building Permit Valuation worksheet.
Building Permit Valuation (BPV) from worksheet: $ ______ _
A high-rise residential building is 4 or more stories, including a
~esidential Low-rise High-rise mixed-use building in which at least 20% of its conditioned floor
area is residential use
D New construction
Additions and alterations:
BPV < $60,000
□ BPV ~ $60,000
D Nonresidential
□ New construction
□ Alterations:
□ BPV ~ $200,000 or additions~ 1,000
square feet
□ BPV ~ $1,000,000
□ ~ 2,000 sq. ft. new roof addition
1. Energy Efficiency
2A, 3A,
4A
NIA
1A, 4A
1A, 4A*
1B, 2B,
3B,4A
NIA
4A
All residential additions and alterations
1-2 family dwellings and townhouses with attached garages
only
*Multi-family dwellings only where interior finishes are removed
1 B, 4A* and significant site work and upgrades to structural and
mechanical, electrical, and/or plumbing systems are proposed
1 B, 2B, 3B, 4B and 5
1B, 5
1B,2B,5 Building alterations of~ 75% existing gross floor area
2B, 5 1 B also applies if BPV ~ $200,000
Please refer to Carlsbad Municipal Code (CMC) sections 18.21. 155 and 18.30.190, and the California Green Building Standards Code (CALGreen) for
more informati n when completing this section.
A Residential addition or alteration .: $60,000 building pennit valuation.
See CMC section 18.30.190.
□ NIA __________ _
□ Exception: Home energy score ~ 7
(attach certification)
Year Built Single-family Requirements Multi-family Requirements
ore 1978 Select one:
□ Duct sealin □ Attic insulation □ Cool roof □ Attic insulation
Select one:
□ Lighting package □ Water heating Package
D 1992 and later
B. 0 Nonresidential* new construction or alterations~ $200,000 building pennit valuation,
or additions~ 1,000 square feel
Updated 8/15/2019
□ N/A
D Attic insulation □ Cool roof
□ Water heating package
,
2
City of Carlsbad Climate Action Plan Consistency Checklist
See CMC 18.21.155 and CALGreen Appendix AS, Division A5.2-Energy Efficiency.
A5.203.1.1 Choose one: □ .1 Outdoor lighting □ .2 Warehouse dock seal doors
D .3 Restaurant service water heating (comply with California Energy Code section 140.5, as amended) □ N/A _________ _
D .4 Daylight design PAFs D .5 Exhaust air heat recovery
A5.203.1.2.1
Choose one as applicable: D .95 Energy budget □ .90 Energy budget □ N/A
A5.211 .1**
D On-site renewable energy D N/A
A5.211.3 ..
D Green power (if offered by local utility provider, 50% minimum renewable sources) D NIA
A5.212.1
D Elevators and escalators D NIA
A5.213.1
D Steel framing D NIA
* Includes hotels/motels and high-rise residential buildings
.. For alterations 2: $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 pennit 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 = conditional floor area, #du = number of dwellings per plan type
If proposed system size is less than calculated size, please explain.
Exception
□
□
□
□
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 feel 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 < 10,000s.f. Enter: 5 kWdc
Min. System Size:
□ If :?: 10,000s.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.
□ For systems serving individual dwelling units choose one:
□ Heat pump water heater AND Compact hot water distribution AND Drain water heat recovery (low-rise
residential only)
□ Heat pump water heater AND PV system .3 kWdc larger than required in CMC section 18.30.130 (high rise
residential hotel/motel) or CA Energy Code section 150.1(c) 14 (low-rise residential)
□ Heat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or high~r
□ Solar water heating system that is either .60 solar savings fraction or 40 s.f. solar collectors
□ Exception:
□ For systems serving multiple dwelling units, install a central water-heating system with all of the following:
□ Gas or propane water heating system
□ Recirculation system per CMC 18.30.150(8) (high-rise residential, hotel/motel) or CMC 18.30.170(8) (low-
rise residential)
□ Solar water heating system that is either:
□ .20 solar savings fraction
□ .15 solar savings fraction, plus drain water heat recovery
□ Exception:
8. D Nonresidential new construction
Please refer to Carlsbad Ordinance CMC section 18.30.150 when completing this section.
□ Water heating system derives at least 40% of its energy from one of the following (attach documentation):
□ Solar-thermal □ Photovoltaics □ Recovered energy
□ Water heating system is (choose one):
□ Heat pump water heater
□ Electric resistance water heater(s)
□Solar water heating system with .40 solar savings fraction
□ Exception:
Updated 8/15/2019 4
City of Carlsbad Climate Action Plan Consistency Checklist
4. Electric Vehicle Charging
A D Residential New construction and major alterations*
Please refer to Carlsbad Ordinance CMC section 18.21.140 when completing this section.
D One and two-family residential dwelling or townhouse with attached garage:
D One EVSE Ready parking space required D Exception :
D Multi-family residential· D Exception ·
Total Parking Spaces EVSE Spaces
Proposed Capable I Ready I Installed
I I
Calculations: Total EVSE spares= .10 x Total parking (rounded up to nearest whole number)
EVSE Installed= Total EVSE Spares x .50 (rounded up to nearest whole number)
EVSE other-Total EVSE spares -EVSE Installed
(EVSE other may be ·capable," "Ready" or "Installed.")
I Total
I
*Major alterations are: (1) for one and two-family dwellings and townhouses with attached garages, alterations have a building pem,it valuation .:: $60,000
or include an electrical servire panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), alterations have a building permit
valuation .:: $200,000, interior finishes are removed and significant site wori< 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 Ready I Installed I Total
I I I
Calculation-Refer to the table below·
Total Number of Pari<ina Spares provided Number of required EV Spares Number of required EVSE Installed Spares
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 perrent of total 50 perrent of Required EV Spares
Updated 8/1S/2019 5
City of Carlsbad Climate Action Plan Consistency Checklist
5. D Transportation Demand Management (TOM): Nonresidential ONLY
An approved Transportation Demand Management (TOM) Plan is required for all nonresidential projects that meet a threshold of 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
permit, staff will contact the applicant to develop a site-specific TOM plan based on the perm rt details.
Acknowledgment:
Employee ADT Estimation for Various Commercial Uses
Emp ADTfor
first 1,000 s.f.
EmpADTI
1000 s.f.1
Office (all)2 20
Restaurant 11
Retaib 8
Industrial 4
Manufacturing 4
Warehousin 4
1 Unless otherwise noted, rates estimated from /TE Trip
Generation Manual, 1 (JlhEdition
13
11
4.5
3.5
3
1
2 For all office uses, use SAN DAG 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 condrtion of permit issuance.
Applicant Signature: ~. 1-,:F! U-2~+2 Date: () ~ , 04':. 2')
Person other than Applicant to be contacted for TOM compliance (if applicable):
Name (Printed): ---~,...__,\l:_'-"2'---="'---""2,_'A_V\l\'---U ___ n_,_, _"> ________ _
--lo~oeCxl>f'o\ e ~'--<.:r\..,o~ -.....in Email Address:
Phone Number: G\°i 1~ 7,~ l
Updated 8/15/2019 6