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HomeMy WebLinkAbout2077 LAS PALMAS DR; ; CBC2021-0098; PermitBuilding Permit Finaled Commercial Permit Print Date: 07/06/2021 Job Address: Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: 2077 LAS PALMAS DR, BLDG-Commercial 2130611800 $118,437.60 CARLSBAD, CA 92011-1S19 Work Class: Track#: Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Tenant Improvement Description: SYMBIENT: 1,830 SF MANUFACTURING DRY & CLEAN ROOMS Applicant: KIMBERLY KRENEK 6520 NANCY RIDGE DR SAN DIEGO, CA 92121-2250 (858) 558-5935 FEE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) Property Owner: GREENE STREUER FAMILY 890 DEL MAR DOWNS RD SOLANA BEACHQ, CA 92075 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL 581473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $1,361.03 Total Payments To Date: $1,361.03 {'city of Carlsbad Permit No: CBC2021-0098 Status: Applied: Issued: Fina led Close Out: Inspector: Final Inspection: Balance Due: Closed -Finaled 03/23/2021 05/03/2021 TAlva 07/06/2021 AMOUNT $693.45 $485.42 $89.00 $55.00 $5.00 $33.16 $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 PI an Ch eek ( (:L2.0U -a:::f\ 8 Est. Value \ \% ,4?,7 PC Deposit Date 3 -25-2.\ Job Addres~ 207 7 --l..Ao fbJ rf'O..:b Suite: ___ __,APN: 215-061~ Tenant Name:_S.._y_m_b_ie_n_t __________ _ Vear Built: 1986 Occupancv:=B ____ Construction Type· .... V ... B ______ Flre Sprinklers:f!lt;JA/c:f!Jg BRIEF DESCRIPTION OF WORK: ~~ ~~~r,t{fj~fe1t6 .-lilN"-MyM ~~ r~ ~ew d ~ c..\~ rooms D Additlon/New: __________ New SF and Use, __________ New SF and Use, ___ Deck SF, Patio Cover SF (not including flatwork) ■ Tenant Improvement:·-~~() SF, _____ SF, Existing Use ______ Proposed Use _____ _ O Pool/Spa: _____ SF Additional Gas or Electrical Features? __________ _ DD DD DD D Solar: ___ KW, __ Modules, ___ Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes /No 0 Plumbing/Mechanical/Electrical Only: ------------------------ O Other: This permit Is to be Issued In the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the owner or contractor. The person listed as the Applicant below will be the main point of contact throughout the permit process. PROPERTY OWNER APPLICANT O PROPERTY OW NERS AUTHORIZED AGENT APPLICANT; Name: ________________ Name: Mstfi.Mlucio Address: ddress: 1077llliws'JA91ffl~i9rive City:C.rl1blwdl State:CA Zip: ____ City:tCartlbardl State:CA Phone: _______________ Phone: 9'25-55Q.7M£ffi Zlp:92011 Email:!Mm11~1.e8ltt~t Email: Mmucio@gener8.net DESIGN PROFESSIONAL APPLICANT O CONTRACTOR BUSINESS APPLICANT R( Name:IM K,ro~~ r &,,,QR..~ Name: i (--(.Mgy C:T'\le {bl)I ~cnt,.,) X!Y~ Address:6~Msf;ij;@i;orive = Address:6:YG~ &M~(:e,s. sr #=--/10 City:SancDiego State:CA Zlp:92'f;!!1 City: PM "Dt£"ft> State: O!f: Zip: er 2:1 z:,::=; :::.::~:, ~,~~~::,:= ,fUlf ~~50, Oct'") Architect State license: ~5 State license: Ec-f lJ4zZ3 Bus. license:...,... ____ _ BL o-s:r;'tz<:f s--11-~1$ 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-2 Page 1 of 2 Rev. 08/20 J•l •j\ ':'.f\!·1, ,'I ',\d< }'lftP'\ili ,!'-'/ ''.,'f! l11H<,\l'.'!1•:/•l/'.),1·{IP1!d'•l/)1•lp',,,1 (• 'l'tf-l·) ,;,·:,\!l.l!,1 ,1'-!1:•,,,: ,\(,.,1 )/\11/~J.f.•i•I; I hereby affirm under penalty of pe1jury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-lflsure for workers' compensation provided by Section 3700 of the Labor Cod4!, for the performance of the work whkh this permit Is Issued, Polley No, ______________________ _ &,iave and wnt 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 ollcy num er are: lnsuranceCompany Name:_.,......,.,..:----,,.----------- Polley No. '-E>cplratlon Date: -~~il;;;).-J/~/.f-1-J~u,~Lib!I:::<:::.-,.) ________ _ r i , 0 Certificate of Exemption: I certlfy that In the performance of the work For which this permit Is Issued, t shall not employ any person In any manner so as to become subject to the worker$' compensation laws of CaHrorola. WARNING: Fallure to Rcure workers compensation coverage Is unlawful and shall subject an employer to crlmlnel 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. n,i•t ·n ll<.f/1111 1r1,_Pifl'!'·;_ '\,11 l'l·.'/ ! ,\1\'(: I hereby affirm that there Is a construction lending agency for the performance of the work this permit Is Issued (Sec. 3097 (I) Clvll Code). lendl!t'sNama: ___________________ lender'sAddress: _____ ::::::.::.-:,:._-------:----- CONTRACTOR PR1Nr:¥,1ci:u?&&(;) V4-L,o s1GN: '-\-==-t =z:::_)A1e: __._'f+f.:,c~;..;.0-4-/_~;;,J.,_ (• •: fi• II I:·):< _\1•/r!f l ;•':Ill / f (, 1 H :: ".! i\JI; ij !· I hereby affirm that I am eKempt from Contractor's license Law for the following reason: 01, as owner of the property or my employees with wases as their sole compensation, will do the work and the structure ls not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of property who bullds or Improves thereon, and who does such work himself or throuah his own employees, provided that such Improvements are not Intended or offered for sale. If, however, the bulldlne or Improvement Is sold within one year of completion, the owner-builder will have the burden of provln, that he did not bulld or Improve for the purpose of sale). 0 I, as owner of the property, am e~clusfvely contracting with licensed contractors to construct the project (Sec. 7044, 8uslness and Professions Code: The Contractor's lk:ense Lew does not apply to an owner of property who buHds or Improves thereon, end contracts for such projects with contractor(s) Hcensed pursuant to the Contractor's Ucense law). 0 I am eicempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: OMowner Dullder ~cknowledgement and 11erlflcatlon form" has been filled out, signed and attached to this appllcatlon, Proof of ldcntlflcntlon attached. l~ Owners "Authorized Agent form" has been filled out, signed and attached to this application giving the agent authority to obtt1/11 the permit on the owner' behalf, ~roof of klentlllco.tlon attached. By my signature below I acknowledge that, except for my personal residence In which I must have resided ror at least one year prior to completlon of the Improvements covered by this permit, I cannot legally sel a structure that I have built as an owner-builder If It has not been constructed In Its entirety by licensed contractors. I understand that o copy of the app/lcoble law, Section 7044 of the Business and Professions Co }, Is ovollable upon request when this opplk:atlon Is submitted or ot the fol/owing Web site: http://www.lealnfo.ca.gov/calow.html. ( .5} OWNERPRINT: ¢Z&tKA ,S-rg_e,vllE.J'?, SIGN'·(., to/ DATE: 3 ···/7-,;i.-1 By my signature below, I certify that: I am the property owner or State of Co//fornlo Licensed Contractor or authorized to act on the property owner or contractor's behalf. I certify that I have read the application and stote 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 lows relating to buJ/dlng construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAV~ INDEMNIFY AND KEEP HARMLESS 11-IE CJTY OF CARLSBAD AGAINST ALL LIAB/LfflES, JUDGMENTS, cosrs AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID arr IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required for excavations over 5'0' deep and demo/it/on or construction of structures over 3 stories In height. SIGN:\vi~::::r::t =c-2*~-. )9An,LI (:s&/ APPLICANT PRINT~12"~ }?u1 IQ 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: B-2 Page 2of2 Rev. 08/20 ;~,. c:ity of Carlsbad OWNERS AUTHORIZED AGENT FORM B-62 Development Services Building Division 1635 Faraday Avcmue 760-602-2719 www.carlsbadca.gov OWNER'SAUTHORIZED AGENT FORM Only a property owne,~ contractor or their authorized agent may submit plans and applications for building permits. To authorize a third party agent to sign for a building permit, the owner's third party agent must bring this sl'gned form, which identifies the agent and the owner who s/hc is representing, and for what jobs s/hc may obtain permits. The form must be completed in Us entirety to be accepted by the City for each separate permit application. Note: The following Owner's Authorized Agent form is required to be completed by the property owner only when designating an agent to apply for a construction permit on his/her behalf. ~l!THOmZATION OF AGENT TO ACT ON PRQPERTY OWNER'S BEHALF Excluding the Property Owner Acknowledgement, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner-Builder Permit for my project, Room Conversion to humidity controlled rm Scope of Construction Project (or Description of Work):____________ ______ . __________ _ 2077 Las Palmas Dr Carlsbad CA 92011 Project location or Address: __ _ -------------------- Matt Mucio/Symbient 925-550-7925 Name of Authorized Agent: ________ ---·--------------------~--_Tel No.---------------·-------- 2077 Las Palmas Dr Carlsbad CA 92011 Address of Authorized Agent:_____ _____ ----------------·-·---------- I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. P t O • s· 1 1 '· • -0/ < jl o roper y wner s 1gna ure: -f./-.1,=IM=.::~=..,.c• y...1~c:....,===...:=---------ate: / ,3 --17-~ PERMIT INSPECTION HISTORY for {CBC2O21-OO98) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Application Date: 03/23/2021 Owner: TRUST GREENE STREUER FAMILY Status: Closed -Finaled Issue Date: 05/03/2021 Subdivision: CARLSBAD TCT#B0-33 Expiration Date: 12/22/2021 IVR Number: 32306 Address: 2077 LAS PALMAS DR CARLSBAD, CA 92011-1519 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date 07/06/2021 07/06/2021 BLDG-Final Inspection 161278-2021 Tuesday, July 6, 2021 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLOG-Mechanical Final BLDG-Electrical Final COMMENTS Status Passed Tim Kersch Passed Yes Yes Yes Yes Complete Page 5 of 5 PERMIT INSPECTION HISTORY for (CBC2021-0098) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Application Date: 03/23/2021 Issue Date: 05/03/2021 Owner: TRUST GREENE STREU ER FAMILY Subdivision: CARLSBAD TCT#B0-33 Address: 2077 LAS PALMA$ DR Status: Closed -Finaled Expiration Date: 12/22/2021 IVR Number: 32306 CARLSBAD, CA 92011-1519 Scheduled Date 06/25/2021 07/02/2021 Actual Inspection Type Start Date Inspection No. Inspection Primary Inspector Checklist Item BLDG-14 Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout BLDG-34 Rough Electrical BLDG-44 Rough-Ducts-Dampers Status COMMENTS June 23, 2021: 1. No T-bar grid/building deficiencies. 2. Seismic expansion clips installed, above T-bar grid ceilings-MEPS scope of work-Approved. 3. T-bar grid ceiling areas less than 1000 ft.' June 23, 2021: 1. No T-bar grid/building deficiencies. 2. Seismic expansion clips installed, above T-bar grid ceilings-MEPS scope of work-Approved. 3. T-bar grid ceiling areas less than 1000 ft.' June 23, 2021: 1. No T-bar grid/building deficiencies. 2. Seismic expansion clips installed, above T-bar grid ceilings-MEPS scope of work-Approved. 3. T-bar grid ceiling areas less than 1000 ft.' June 23, 2021: 1. No T-bar grid/building deficiencies. 2. Seismic expansion clips instatled, above T-bar grid ceilings-MEPS scope of work-Approved. 3. T-bar grid ceiling areas less than 1000 ft.' 06/25/2021 BLDG-34 Rough Electrical 160578-2021 Passed Tony Alvarado Checklist Item BLDG-Building Deficiency COMMENTS June 25, 2021: 1. No rough electrical deficiencies for new clean room area (only). 2. Rough electrical scope of work, per engineers plans and detail specifications approved. 3. Electrical Junction boxes above T-bar grid labeled, clean room receptacles labeled, and new clean room receptacles, light switches, light fixtures-trimmed ouUcompleted-approved. 07/02/2021 BLDG-Final Inspection Checklist Item 161057-2021 COMMENTS Failed Paul Burnette BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Tuesday, July 6, 2021 Reinspection Inspection Passed Yes Yes Yes Yes Complete Passed Yes Reinspection Incomplete Passed No No No No No Page 4 of 5 PERMIT INSPECTION HISTORY for (CBC2021-0098) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Application Date: 03/23/2021 Owner: TRUST GREENE STREUER FAMILY Status: Scheduled Date 06/07/2021 06/10/2021 06/23/2021 Closed -Finaled Issue Date: 05/03/2021 Subdivision: CARLSBAD TCT#80-33 Expiration Date: 12/22/2021 IVR Number: 32306 Address: 2077 LAS PALMAS DR CARLSBAD, CA 92011-1519 Actual Inspection Type Start Date Inspection No. Inspection Primary Inspector Reinspection Inspection Status 06/07/2021 BLDG-13 Shear 158996-2021 Passed Tony Alvarado Complete Panels/HD (ok to wrap) Checklist Item COMMENTS Passed BLDG-Building Deficiency June 7, 2021: Yes 1. Rest of work-OK. OK to continue and cover. 2. Shear wall nailing pattern, type, and size, scope of work-approved per structural engineer's plans and details specifications. 3. Mechanical HVAC metal ducting sealant (Pookie), at every mechanical duct connection point applied correctly-verified and approved. BLDG-44 158995-2021 Passed Tony Alvarado Complete Rough/Ducts/Dampers Checklist Item COMMENTS Passed BLDG-Building Deficiency June 7, 2021: Yes 1. Rest of work-OK. OK to continue and cover. 2. Shear wall nailing pattern, type, and size, scope of work-approved per structural engineer's plans and details specifications. 3. Mechanical HVAC metal ducting sealant (Pookie), at every mechanical duct connection point applied correctly-verified and approved. 06/10/2021 BLDG-17 Interior 159390-2021 Passed Tim Kersch Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Virtual drywall Yes 06/23/2021 BLDG-85 T-Bar, Ceiling 160315-2021 Passed Tony Alvarado Complete Grids, Overhead Tuesday, July 6, 2021 Page 3 of 5 PERMIT INSPECTION HISTORY for (CBC2021-0098} Permit Type: BLDG-Commercial Work Class: Tenant Improvement Application Date: 03/23/2021 Issue Date: 05/03/2021 Owner: TRUST GREENE STREU ER FAMILY Subdivision: CARLSBAD TCT#S0-33 Address: 2077 LAS PALMAS DR Status: Closed -Finaled Expiration Date: 12/22/2021 IVR Number: 32306 CARLSBAD, CA 92011-1519 Scheduled Date Actual Inspection Type Start Date Inspection No. Inspection Primary Inspector Reinspection Inspection Tuesday, July 6, 2021 Checklist Item BLDG-14 Frame-Steel-Bolting-Welding (Decks) BLDG-34 Rough Electrical BLDG-44 Rough-Ducts-Dampers Status COMMENTS June 2, 2021: 1. No interior commercial tenant improvement Deficiencies. 2. 1867 tt.i tenant improvement to existing clean room areas per architectural/engineered plans and detail specifications. 3. New load-bearing partition and full height lateral resisting shear-walls with new retrofit seismic hold-downs per engineered plans and detai I/tab le-specifications-approved . 4. Verified third-party/deputy inspector reports: a) retrofit titan concrete slab anchors-approved. b) retrofit seismic hold-down anchors-approved. June 2, 2021: 1. No interior commercial tenant improvement Deficiencies. 2. 1867 ft.2 tenant improvement to existing clean room areas per architectural/engineered plans and detail specifications. 3. New load-bearing partition and full height lateral resisting shear-walls with new retrofit seismic hold-downs per engineered plans and detail/table-specifications-approved. 4. Verified third-party/deputy inspector reports: a) retrofit titan concrete slab anchors-approved. b) retrofit seismic hold-down anchors-approved. June 2, 2021: 1. No interior commercial tenant improvement Deficiencies. 2. 1867 ft.2 tenant improvement to existing clean room areas per architectural/engineered plans and detail specifications. 3. New load-bearing partition and full height lateral resisting shear-walls with new retrofit seismic hold-downs per engineered plans and detail/table-specifications-approved. 4. Verified third-party/deputy inspector reports: a) retrofit titan concrete slab anchors-approved. b) retrofit seismic hold-down anchors-approved. Passed Yes Yes Yes Page 2 of 5 Building Permit Inspection History Finaled (city of Carlsbad PERMIT INSPECTION HISTORY for (CBC2021-0098) Permit Type: BLDG-Commercial Application Date: 03/23/2021 Owner: TRUST GREENE STREUER FAMILY Work Class: Tenant Improvement Issue Date: 05/03/2021 Subdivision: CARLSBAD TCT#B0-33 Status: Closed -Finaled Expiration Date: 12/22/2021 Address: 2077 LAS PALMA$ DR IVR Number: 32306 CARLSBAD, CA 92011-1519 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 06/02/2021 06/02/2021 BLDG-84 Rough 158687-2021 Passed Tony Alvarado Complete Combo(14,24,34,44) Tuesday, July 6, 2021 Page 1 ol 5 , ✓• EsG1I A S/\F[bui\t Company DATE: 4/12/2021 JURISDICTION: City of Carlsbad PLAN CHECK#.: CBC2021-0098 / SETI PROJECT ADDRESS: 2077 Los Palmas PROJECT NAME: SYMBIENT T.I. D APPLICANT D JURIS. 1:8:J 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: 1:8:J 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: Date contacted: Mail Telephone 0 REMARKS: By: David Yao EsGil (by: Telephone#: ) Email: Fax In Person Enclosures: 3/25/2021 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 City of Carlsbad CBC2021-0098 4/12/2021 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PREPARED BY: David Yao BUILDING ADDRESS: 2077 Los Palmas BUILDING OCCUPANCY: BUILDING PORTION T.I. Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb ----- Bld . Permit Fee b Ordinance g y Type of Review: Comments: AREA Valuation ( Sq. Ft.) Multiplier 1830 By Ordinance -... Complete Review her ourly Fee PLAN CHECK#.: CBC2021-0098 DATE: 4/12/2021 Reg. VALUE ($) Mod. per city 118,437 118,437 tructural Only ~-----11 Hr. @ • $450.78J Sheet of • Structural Calculations for Symbient Tl Calrsbad, CA City Submittal Ml2010423.00 March 5, 2021 CBC2021-0098 2077 LAS PALMAS DR SYMBIENT: 1,830 SF MANUFACTURING DRY & CLEAN ROOMS 2130611800 3/23/2021 CBC2021-0098 (f,, 2021 Miyamoto lntematiorw,I, Inc:., All nghts renrved. This document or any part thereo1 must not be reproduced 1n any torm without the written parmissi01'1 ol Miyamoto International, Inc. 3 -'< m 3 0 ... 0 • --,, ... '-7 .• (~ : ;~) s t ~)-i X V, ,I' ? '\' ~., . '. n -· r· 'J." J (J: ',( ,., !' : '-;) f; 0 ;~ ~ •'.-' . ,-;-, • 0 ,c ff ?: 6', . V, ·" Q) ;,, ::i ·o '.) iii . '° '· 0 ;\) . (C (., :n -~ ,,. • c• 7 • ,) ~; • Structural Scope of Work: Code: 2019 CBC and all referenced documents The structural scope is limited to adding a new accessible ceiling in an existing structure. The ceiling will also support 1 new and 1 future mechanical unit. The ceiling will be laterally supported by metal stud shearwalls with plywood siding that are supported by the existing 6 inch slab on grade. Ml2010423.00 SymbientTI Page 1 of 12 3 -'< Q,) 3 0 ..... 0 • Loads to New Mechanical Access Ceiling DESIGN LOADS DEAD LOADS 3/4" Pl••"ood Sheathinn 8" steel ioists ceilina Mech/Elec/misc I:Daad Loads Liva Load Metal 5tu<I wvans Max wall height Total Mech Unit weight Seismic Load R Sos I, omega w w .9 -.2 Sds Typical Shearwall Load= Ml2010423.00 Shearwall Loads P1 P2 PA PB 2.2 2.3 3 2.5 10.0 40 10 10 2500 6.5 0.794 1.0 3.0 13500.0 23.3 0.7 0.8 577 length 18.0 ft 35.0 ft 4.5 ft 15.0 ft psf Ceiling Area psf 580 ft' psf Wall Area to ceiling psf 520 w ft lbs 3 -< m 3 0 .+ 0 • Metal stud shear wall lbs psf LRFD ASD lbs Shear 32 plf 16 plf 128 plf 38 plf C, 0.122 C, 1649.1 C, 0.086 C, 1154.4 ASD Dead load HD Length 175 plf 7.0 ft 175 plf 35.0 ft 110 plf 6.5 ft 110plf 15.0ft w, LRFD lbs LRFD w, ASD lbs ASD P1=P2=PA'f'B=Cs/2 HD HD/W Omega for AB NOHD NOHD 845 lbs 3686 lbs strap window 341 lbs 1572 bs All walls to be type 6E Vall =350 plf All holdowns to be S/HDU4 Tall=3800 lbs I check epoxy anchor I Symbient Tl Page 2 of 12 Shear wall load = 577 lbs typ Ml2010423.00 ) P = r~ l ( (N) HOR PER 16/S-501, TYP r S .,-n AP e., Ub;>vf) 6 1.v (N) MECH UNIT WT=1250 LBS MAX (N) 800S162-54 JOISTS @ 12·oc _L FUTURE UNIT WT=1250 LBS MAX ' ---, I I I I I I I I I I I I I I I I I I I I I I I I ------~----¾-------1 L_ ________ _ ________ _J 2"SEISMIC i JOINT --To11cwifcr' c, e .. ~.,.J/ =-Io 'i ( J-- Page 3 of 12 SIMPSON Strong-Tie Anchor Designer™ Software Version 2.9.7376.13 1.Project information Customer company: Customer contact name: Customer e-mail: Comment: 2. Input Data & Anchor Parameters General Design method:ACI 318-14 Units: Imperial units Anchor Information: Anchor type: Bonded anchor Material: F1554 Grade 36 Diameter (inch): 0.625 Effective Embedment depth, her (inch): 4.500 Code report: ICC-ES ESR-4057 Anchor category: - Anchor ductility: Yes hmin (inch): 5.88 Cac (inch): 10.19 Cm1n (inch): 1.75 Smin (inch): 3.00 Recommended Anchor Anchor Name: SET-3G -SET-3G w/ 5/8"0 F1554 Gr. 36 Code Report: ICC-ES ESR-4057 ... Company: Engineer: Project: Address: Phone: E-mail: Project description: Location: Fastening description: Base Material Concrete: Normal-weight Concrete thickness, h (inch): 6.00 State: Cracked Compressive strength, f c (psi): 2500 4Jc.v: 1.0 Reinforcement condition: B tension, B shear Supplemental reinforcement: Not applicable Reinforcement provided at corners: No Ignore concrete breakout in tension: No Ignore concrete breakout in shear: No Hole condition: Dry concrete Inspection: Continuous Temperature range, Short/Long: 150/110°F Ignore 6do requirement: Not applicable Build-up grout pad: Yes l Date: l 3/4/2021 I Page: I 1/5 Input data and results must be checked for agreement with the existing circumstances, the standards and guidelines must be checked for plausibility. Simpson Strong-Tie Company Inc. 5956 W. Las Positas Boulevard Pleasanton, CA 94588 Phone: 925.560.9000 Fax: 925.847.3871 www.strongtie.com Ml2010423.00 SymbientTI Page 4 of 12 SIMPSON Strong-Tie Load and Geometry Anchor Designer™ Software Version 2.9. 7376.13 Load factor source: ACI 318 Section 5.3 Load combination: not set Seismic design: Yes Anchors subjected to sustained tension: No Ductility section for tension: 17.2.3.4.3 (d) is satisfied Ductility section for shear: 17.2.3.5.3 (c) is satisfied Oo factor: not set Apply entire shear load at front row: No Anchors only resisting wind and/or seismic loads: Yes Strength level loads: Nua [lb]: 3900 Vuax [lb]: 0 Vuay [lb]: 0 <Figure 1> X Olb Company: I Date: I 3/4/2021 Engineer: I Page: I 2/5 Project: Address: Phone: E-mail: z 3686 lbs max 39001b t Olb y Input data and results must be checked for agreement with the existing circumstances, the standards and guidelines must be checked for plausibility. Simpson Strong-Tie Company Inc. 5956 W. Las Positas Boulevard Pleasanton, CA 94588 Phone: 925.560.9000 Fax: 925.847.3871 www.strongtie.com Ml2010423.00 Symbient Tl Page 5 of 12 SIMPSON Strong-Tie Anchor Designer™ Software Version 2.9.7376.13 3. Resulting Anchor Forces Company: Engineer: Project: Address: Phone: E-mail: Anchor Tension load, N,, (lb) Shear load x, 3900.0 Sum 3900.0 Maximum concrete compression strain (%o): 0.00 Maximum concrete compression stress (psi): O Resultant tension force {lb): 3900 Resultant compression force (lb): 0 V,., (lb) 0.0 0.0 Eccentricity of resultant tension forces in x-axis, e'Nx (inch): 0.00 Eccentricity of resultant tension forces in y-axis, e'Nv (inch): 0.00 4. Steel Strength at Anchor in Tension (Sec 17,4,1) N., (lb) ,p ,pN., (lb) 13110 0.75 9833 5, Concrete Breakout Strength of Anchor In Tension (Sec. 17.4.2) Nb = kck✓fchert.5 (Eq. 17 .4.2.2a) kc A.a fc (psi) her (in) N, (lb) 17.0 1.00 2500 4.500 8114 0. 75</>Ncb = 0. 75¢ (ANcl ANcc) 'Psd,N'Pc,N lf/cp,NNb (Sec. 17.3.1 & Eq. 17.4.2.1a) ANc (in2) ANco (in2 Ca,min (in) 'P8d,N lf/c.N 182.25 182.25 1.000 1.00 6, Adhesive Strenath of Anchor in Tension (Sec.17.4,5) n,cr = n,crfshorl-lermKsst(fcl 2,sooraN.se,s n,cr (psi) fshort-term K.,, aN.se1s f, (psi) 1356 1.00 1.00 1.00 2500 NM= Aarcrndahet(Eq. 17.4.5.2) ,l, Tcr (psi) d, (in) h,.,r(in) No, (lb) 1.00 1356 0.63 4.500 11981 0.75¢,Na = 0.75¢ (ANal A Nao) 'Pad,Na 'Pcp,NaNba (Sec. 17.3.1 & Eq. 17.4.5.1a) CNa (in) Ce.mm (in) 'Pad,N8 307.10 307.10 8.76 1.000 I Date: I 3/4/2021 I Page: I 4/5 Shear load y, Shear load combined, Vuay (lb) ✓(V,.,)'+(V,.,)' (lb) 0.0 0.0 0.0 0.0 'Pcp,N N, (lb) 0.75,pNo, (lb) 1.000 8114 0.65 3956 n n.cr(psi) 0.24 1356 'Pp.Ne Nao (lb) 0.75,pN, (lb) 1.000 11981 0.65 5841 Input data and results must be checked for agreement with the existing circumstances, the standards and guidelines must be checked for plausibility. Simpson Strong-Tie Company !nc 5956 W. Las Positas Boulevard Pleasanton, CA 94588 Phone: 925.560.9000 Fax: 925.847.3871 www.strongtie.com Ml2010423.00 Symbient Tl Page 6 of 12 SIMPSON Strong-Tie ® 11, Results Anchor Designer™ Software Version 2.9.7376.13 11, Interaction of Tensile and Shear Forces (Sec-D.7)? Company: Engineer: Project: Address: Phone: E-mail: Tension Factored Load, Nua (lb) Design Strength, 0Nn (lb) Steel 3900 9833 Concrete breakout 3900 3956 Adhesive 3900 5841 Ratio 0.40 0.99 0.67 SET-3G w/ 5/8"121 F1554 Gr. 36 with hef = 4.500 Inch meets the selected design criteria. 12, Warnings -Per designer input, ductility requirements for tension have been determined to be satisfied -designer to verify. -Per designer input, ductility requirements for shear have been determined to be satisfied -designer to verify. -Designer must exercise own judgement to determine if this design is suitable. -Refer to manufacturer's product literature for hole cleaning and installation instructions. I Date: I 31412021 I Page: I 5I5 Status Pass Pass (Governs) Pass Input data and results must be checked for agreement with the existing circumstances, the standards and guidelines must be checked for plausibility. Simpson Strong-Tie Company Inc 5956 W. Las Positas Boulevard Pleasanton, CA 94588 Phone: 925.560.9000 Fax: 925.847.3871 www.strongtie.com Ml2010423.00 Symbient Tl Page 7 of 12 :--------:71r-+-----7 I I I I 1 ~(. ½~ ---'"1 -<(y7 rx<tu p.sf Cc I I : j :: (j()ol,/Jf (N) HDR PER 16/S-501, TYP /1_{ U -~ (/() 1 "-f r (N) MECH UNIT , :: 'I so /.-1 (.)fl )( WT•1250 LBS I lf fff I <: S ('' MAX I Y" I t I (pgCK J?/~J'iJ I I ~ I I Fol\. f.//J/J 'l I UO r, I I -:::::=:; I I t-;:-::::-=-+-+-4-~ Ti'f JZlL f 1 I I I (N) 800S162-54 I Ml2010423.00 JOISTS@ 12·oc I I 1-----f-------' I I I I I I I I I I I I L FUTURE UNIT I WT=1250 LBS MAX I r -, I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I L --~ I I I I I I I ,-----...IL_+-_____ : --------------~ L__ 2" SEISMIC i JOINT Page 8 of 12 Project Name: New WorkSpace Model: Beam/Stud -1 Code: 201 2 NASPEC [AISI S100-2012) P1 ~ 50.00 16.00 ---• X Point Loads P1 Load(lb) 100 X-Dist.(ft) 8.00 Section : 800S162-54 Single C Stud Page 1 of 1 Date: 03/04/2021 Simpson Strong-Tie® CFS Designer™ 2.0.2.0 Reactions Support R1 R2 Reactions {lb) 450.00 450.00 Shear and Web Crippling Checks Bending and Shear 65.3% Stressed (Unstlffened): @P1 Bending and Shear NA (Stiffened): Web Stiffeners No Required?: check joists for mech ----1 load in addition to dead and live Maxo = 3065.9 Ft-Lb Moment of lntertia, I = 5.60 in"4 Fy = 50.0 ksi Va = 2091 .3 lb Loads have not been modified for strength checks Loads have not been modified for deflection calculations Flexural and Deflection Check Deflection Mmax Mmax/ Mpos Bracing Ma(Brc) Mpos/ Span Ft-Lb Maxo Ft-Lb (in) Ft-Lb Ma(Brc) (in) Ratio Span 2000.0 0.652 2000.0 Full 3065.9 0.652 0.536 U358 Distortional Buckling Check Span K-phi Lm Brae Ma-d Mmax/ lb-in/in in Ft-Lb Ma-d Span 0.00 192.0 2734.3 0.731 SIMPSON STRONG-TIE COMPANY INC. www.strongtie.com Ml2010423.00 Symbient Tl Page 9 of 12 Project Name: Model: typ hdr Code: 2012 NASPEC [AISI S100-2012] Uniform LL Uniform DL -R1 Section : (2) 362S162-43 Boxed C Stud 320 200 4.00 Maxo = 1603. 9 Ft-Lb Moment of lntertia, I = 1 .420 in"4 12in Page 1 of 1 Date: 03/05/2021 Simpson Strong-Tie® CFS Designer™ 2.0.2.0 -R2 Fy = 50.0 ksi Va =4281.4 lb Joist Spacing = Deflection Limits: Total Load -240 Live Load -360 Load Cases: 1. DL + LL All spans 2. DL + LL Even spans 3. DL + LL Odd spans 4. LL All spans 5. LL Even spans 6. LL Odd spans Joist Flexural and Deflection Summary Mmax Mmax/ Load Total Ld Load LL Load Ft-Lb Maxo Case Deft Case Deft Case Span 1040.0 0.648 L/671 1 L/1091 4 Joist Bending and Web Cri(!(!ling Summary Load Load Bearing Pa Pn Max Load Stiffeners Rxn (lb) Case (in) (lb) (lb) lntr. Case Required R1 1040.0 1 1.00 838.6 1467.5 0.64 1 YES R2 1040.0 1 1.00 838.6 1467.5 0.64 1 YES Joist Bending and Shear Summary Vmax Load Va lntr. Load lntr. Load Rxn (lb) Case Factor VNa M/Ma Unstiffened Case Stiffened Case R1 1040.0 1 1.000 0.24 0.00 0.24 1 N/A N/A R2 1040.0 1.000 0.24 0.00 0.24 1 N/A N/A SIMPSON STRONG-TIE COMPANY INC. www.strongtie.com Ml2010423.00 Symbient Tl Page 10 of 12 m1yamoto . SHEATHING PER SHEARWALL SCHED (E) 6" CONCRETE SLAB ON GRADE Cl w • en C')::E Date 3/5/2021 500 plf max, dead+ live METAL STUDS PER PLAN 18GA x11/4" TRACK 5/8" DIA TITEN HD PER SHEARWALLSCHEDULE w l.---15" min__.j 400 psf soil bearing, ok for walls to sit on 6" slab @i---□-~T_A_IL __________ _ Ml2010423.00 Symbient Tl Page 11 of 12 m1yamoto. Overturning of Equipment Design Parameters ap = 1.0 Sos = 0.79 Ip = 1.00 RP = 2.5 Slab on grade? component ampflication factor spectral acceleration, short period importance factor Component response mod. factor No z = h = 1 1 ft. (ht. in structure of point of attachment), z=O @ grade ft. (avg. roof ht.) z/h = 1.0 Fp = .4*aP*S0s,Wp*(1+2*z/h)/(Rp/lp), (13.3-1 ) Fp(max) = 1.6*S0s*VWp, (13.3-2) Fp(min) = 0.3*S0s *VW p, (13.3-3) Fv = .14*Sds*Wp, (12.4.2.3) OTM = Fp*unit height/2 Floor/Slab/Footing Loads RM = (.9-Fv)*Wt*unit width/2 Unit Size, feet Curb weight, width length height ht, in. lbs 8/S502 2.50 8.0 6.0 0 1,250 Anchorage Loads Increased as Required for n.0 Date 3/5/2021 n0 per ASCE 7-16 1.00 Strength Design: .90 +1 .0E Allow. Stress Design: .90 + 1.0E/1.4 SD or ASD? = Allow. Stress Design Fp = 0.27 WP Fp(max) = 0.90 WP Fp(min) = 0.17 WP Fv = 0.11 WP Fp Fv OTM RM Uplift, lbs ft-lbs ft-lbs 339 138 1,016 1,233 No uplift ---- ---- ---- ---- ---- ---- ---- Single Anchor Loading with n0 No. Anchors OTM X no V x n0 Uplift T max V Max Unit Ttot V,ot ft-lbs lbs lbs lbs lbs User Anchorage Notes 8/S502 2 8 1,016 339 No OT -42 SMS per 8/S502 OK 2 4 ----- 2 4 ----- 2 4 ----- 2 4 ----- 2 4 ----- 2 4 ----- 2 4 ----- Ml2010423.00 2019 CBC Ove~Mffi~gnJfT~quipment Anc asce ch 13 Page 12 of 12 • Hazardous Materials Questionnaire County of San Diego, Department of Environmental Health and Quality PO Box 129261, San Diego, CA 92112-9261 Record ID #: Not in System Plan Check#: DEH2021-HHMBP- 009956 (858) 505-6700 (800) 253-9933 www.sdcdeh.org Business Name Business Contact Telephone# Plan FIie # Symbient Eric Nelson City Zip Code APN# Project Address I State 2077 Las Palmas Dr Carlsbad CA 92011 215-061018-00 Applicant Applicant E-Mail Applicant Telephone # Eric Nelson eric@symbientpd.com The following questions represent the facility's activities, NOT the specific project description. PART 1· EIRE DEPARTMENT -HAZARDOUS METERIALS DIVISION: OCCUPANCY CLASSIFICATlON:(Not required for projects within the City of San Diego.) Indicate by selecting the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are selected, Applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: □ Explosive or Blasting Agents ll!l Compressed Gases ll!l Flammable/Combustible Liquids □ Flammable Solids □ Organic Peroxides □ Oxidizers □ Pyrophorics □ Unstable Reactives Facility's Square Footage (including proposed project): □ Water Reactives ll!l Corrosives □ Cryogenics □ Other Health Hazards □ Highly Toxic or Toxic Materials □ None of These □ Radioactives PART U· SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS PIYISION IHMDl:lf the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, in person at 5500 Overland Ave., Suite 110, San Diego, CA 92123, or by phone at(858) 505-6700 prior to issuance of a building permit. FEES ARE REQUIRED. Project Completion Date: 6/18/2021 1. 2. 3. 4. 5. 6. 7. 8. YES NO □ 181 ll!l □ [!I □ □ □ □ □ Is your business listed on the reverse side of this form? (check all that apply). Will your business dispose of Hazardous Substances or Medical Waste in any amount? Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds, or 200 cubic feet? Will your business handle carcinogens or reproductive toxins in any quantity? Will your business use an existing, or Install an underground storage tank? Will your business store or handle Regulated Substances (CalARP)? Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? Will your business store petroleum in tanks or containers at your facility with a total storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). □ □ □ CalARP Exempt CalARP Required CalARP Complete Review Date: PART m· SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT IAPCP)· If the answer to Question #1 is 'Yes· and the answer to Question #2 is 'No', the applicant must contact the APCD prior to the issuance of a building or demolition permit. If any answer to Questions #3, #4, or #5 is 'Yes', the applicant must contact the APCD prior to the issuance of a building or demolition permit. If the answer to Question #3 or #4 is 'Yes', the applicant may need to submit an asbestos notification form to the APCD at least 10 working days prior to commencing demolition or renovation (some residential projects may be exempt from the notification requirements). Contact the APCD at 10124 Old Grove Road, San Diego, CA 92131 or telephone (858) 586-2600 for more information. 1. 2. 3. 4. YES NO □ 181 □ □ □ □ □ 181 Will any existing building materials be disturbed as part of this project? (If the answer is 'Yes', an asbestos survey may be required.) Has a survey been performed to determine the presence of asbestos containing materials? Will the project involve handling or disturbance of any asbestos containing materials? 5. □ □ 181 □ Will the project involve the removal of any load supporting structural member? Will the subject facility or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the APCD factsheet at http://www.sdapcd.org/info/facts/permits.pdf (ANSWER ONLY IF QUESTION 5 IS 'YES') Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)? Search the California School Directory at http://www.cde.ca.gov/re/sd/ for public and private schools or contact the appropriate school district. 6. Briefly describe business activities: Symbian! activities Include medical device product devalopmer,t design, engineering, and design-for-manufacturing of Innovative medical and life Briefly describe proposed project: Symbient is retrofitting an existing 1,188 sqft rm Into a class8 cleanroom repurposlng an existing 6 ton HVAC pkg unit and installing an adjacent new 250 I declare under penalty of perjury that to the best of my knowledge and belief, the responses made herein are true and correct. iiil; Fees Acknowledged: ll!l Eric Nelson 4/16/2021 Name of Owner or Authorized Agent Date FOR OFFICIAL USE ONLY FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: BY: DATE: ___________ _ EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR RELEASED FOR OCCUPANCY OCCUPANCY COUNTY-HMO• APCD AP APCD 'A stamp in this box 2Db£ exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply. DEHQ HMO HMBP Questionnaire v 1.34 (2/2021) Printed on: 4r.l0/2021@ 12:29 PM □ □ □ □ □ □ □ □ □ □ Date:3¥/119'21! 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 Business Name:_~.:..,. __ i§llj\t ________________ _ Street Address: '1!JJflfTf IL.as IP'.idlmllats Dr cadllllllatdl,, C'.I\ 92011 Email Address: 11111lffl111111...,,1re11l11.J1111!11 PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT : (ON REVERSE SIDE CHECK TYPE OF BUSINESS) □ Check all below that are present at your facility: Acid Cleaning D Food Processing D Metal Powders Forming Assembly D Glass Manufacturing D Nutritional SupplemenWitamin Automotive Repair D Industrial Laundry D Manufacturing Battery Manufacturing D Ink Manufacturing D Painting/Finishing Biofuel Manufacturing D Laboratory D Paint Manufacturing Biotech Laboratory D Machining/Milling D Personal Care Products Bulk Chemical Storage D Membrane manufacturing [jJ Manufacturing Car Wash D (i.e. waterfilter membranes) D Pesticide Manufacturing/ Packaging Chemical Manufacturing D Metal Casting/Forming D Pharmaceutical Manufacturing Chemical Purification D Metal Fabrication D (including precursors) D Dental Offices D Metal Finishing D Porcelain Enameling D Dental Schools D Electroplating D Power Generation D Dental Clinics D Electroless Plating D Print Shop D Dry Cleaning D Anodizing D Research and Development □ Electrical Component D Coating (i.e. phosphating) D Rubber Manufacturing Iii Manufacturing □Chemical Etching/Milling D Semiconductor Manufacturing □ Fertilizer Manufacturing D Printed Circuit Board D Soap/Detergent Manufacturing □ Film/ X-ra y Processing D Manufacturing D Waste Treatment/Storage NewBusiness?YesONoll SICCode(s)ifknown: ______ Date operation began/will begin:_N_/_a ____ _ Tenant Improvement? Yes IINoO If yes, briefly describe improvement. Convert room to a cleanroom and build a 250 sqft Humidity controlled dryroom Description of operations generating wastewater (discharged to sewer, hauled orevaporated):_N_l_a ________ _ Estimated volume of industrial wastewater to be discharged (gal/ day) : _INll_~--------------------- List hazardous wastes generated (type/volume):_INll_~---------------------------- Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? YesD Date: _____ .NoOO Page 1 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@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. □ Automobile Detailer s □ Hotels/ Motels (no laundry) □ Barber/Beauty Shops □ Laundromats □ Business/Sales Offices □ Libraries □ Cleaning Services □ Medical Offices (no x-ray developing) □ Carpet/Upholstery □ Mortuaries □ Childcare Facilities □ Museums □ Churches □ Nail Salons □ Community Centers □ Nursing Homes ~ Consulting Services ~ Office Buildings (no process flow) □ Contractors □ Optical Services □ Counseling Services □ Pest Control Services (no pesticide repackaging for sale) □ Educational Services (no auto repair/film developing) □ Pet Boarding/Grooming Facilities □ Financial Institutions/Services □ Postal Services (no car wash/auto repair) □ Fitness Centers □ Public Storage Facilities □ Gas Stations (no car wash/auto repair) □ Restaurants/Bars □ Grocery Stores (no film developing) □ Retail/Wholesale Stores (no auto repair/film □ Residential based Businesses developing) □ Theaters (Movie/Live) CERTIFICATION STATEMENT I cerrifj· that the ieformation above is true and correct to the best ofmy knowledge. r Print Name: ____________ _ Date: ____ _ Facility Contact: ___________ _ IFacill~ lllrllatniil\llJl!II Title: ______________ _ ENCINA WASTEWATER AUTHORITY 6200AVENIDA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com Page 2 of 2 C City of Carlsbad PURPOSE CLIMATE ACTION PLAN CONSISTENCY CHECKLIST B-50 Development Services Building Division 1635 Faraday Avenue (760) 602-2719 www .ca rlsbadca .gov This checklist is intended to assist building permit applicants identify which Climate Action Plan (CAP) ordinance requirements apply to their projects. The completed checklist must be included in the building permit application. It may be necessary to supplement the completed checklist with supporting materials, calculations or certifications, to demonstrate full compliance with CAP ordinance requirements. For example, projects that propose or require a performance approach to comply with energy-related measures will need to attach to this checklist separate calculations and documentation as specified by the ordinances. NOTE: The following type of permits are not required to fill out this form ❖ Patio I ❖ Decks I ❖ PME (w/o panel upgrade) I ❖ Pool ...111 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. ...111 Details on CAP ordinance requirements are available on the city's website . ...111 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.: __________ BP No.: Q£:e_,2Q21-o'9i Property Address/APN: 21IS<ll$11(1l)11$-(l!lll) Applicant Name/Co.: IMmffl ltd\w!:iilD ftmr Sjmtbiiemtt Applicant Address: Contact Phone: Contact information of person completing this checklist (if different than above): Name: Company name/address: B-50 Contact Phone: Contact Email: Page 1 of 6 Revised 06/18 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: $ \\to, 4:?--:1- I Construction Type I Complal8 Section(•) I Noles: A high-rise residential building is 4 or more stories, including a D Residential □ New construction □ Additions and alterations: □ BPV < $60,000 □ BPV ~ $60,000 □ Electrical service panel upgrade only □ BPV ~ $200,000 I D Nonresidential Low-rise High-rise mixed-use building in which at least 20% of its conditioned floor area is residential use 2A, 3A, 1B, 2B, 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* 1B, 4A* and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed □ New construction ~ 10 ')□ 1B, 4Band 5 Alterations: ( t,...\ /-A"' □ BPV ~ $200,000 or additions~ 1,00S.... ' __/ H'I I:. square feet □ BPV ~ $1,000,000 1B,2B,5 Building alterations of~ 75% existing gross floor area □ ~ 2,000 sq. ft. new roof addition 2B, 5 1 B also applies if BPV ~ $200,000 Checklist Item Check the appropriate boxes, explain all not applicable and exceplion items, and provide ~ calculations and documentation es necessary. 1. Energy Efficiency Please refer to Carlsbad Municipal Code (CMC) sections 18.21.155 and 18.30.190, and the California Green Building Standards Code (CAL Green) for more information when completing this section. A. 0 Residential addition or alteration ~ $60,000 building permit valuation. See CMC section 18.30.190. Year Built Single.family Requirements D Before 1978 Select one: □ Duct sealinQ □ Attic insulation □ Cool roof D 1978 and later Select one: □ Lighting package □ Water heating Package D Between 1978 and 1991 □ 1992 and later □ N/A _________ _ □ Exception: Home energy score ~ 7 (attach certification) Multi.family Requirements D Attic insulation Select one: □ Duct sealina □ Attic insulation □ Cool roof Select one: □ Lighting package □ Water heating package B. D Nonresidential* new construction or alterations~ $200,000 building permit valuation, or additions ~ 1,000 square feel □ N/A Updated 8/15/20 I 9 2 City of .Carlsbad Climate Action Plan Consistency Checklist See CMC 18.21.155 and CALGreen Appendix AS, Division A5.2-Energy Efficiency. A5.203.1.1 Choose one: D .1 Outdoor lighting D .2 Warehouse dock seal doors D .3 Restaurant service water heating (comply with Calfomia Energy Code section 140.5, as amended) D N/A _________ _ D .4 Daylight design PAFs D .5 Exhaust air heat recovery A5.203.1.2.1 Choose one as applicable: D .95 Energy budget D .90 Energy budget 0 N/A A5.211.1** D On-site renewable energy D N/A A5.211.3** D Green power (if offered by local utility provider, 50% minimum renewable sources) D N/A A5.212.1 D Elevators and escalators D N/A A5.213.1 D Steel framing D N/A * 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 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 = conditional floor area, #du= number of dwellings per plan type If proposed system size is less than calculated size, please explain. Exception D D D D kWdc 8. D Nonresidential new construction or alterations ~$1,000,000 8PV and affecting ~75% existing floor area, or addition that increases roof area by ~.ooo 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: D Gross Floor Area (GFA) Method GFA: Olf < 10,000s.f. Enter: 5 kWdc Min. System Size: □If ~ 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. D 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(B) (high-rise residential, hotel/motel) or CMC 18.30.1 ?0(B) (low- rise residential) D Solar water heating system that is either: D .20 solar savings fraction □ .15 solar savings fraction, plus drain water heat recovery □Exception: B. D Nonresidential new construction Please refer to Carlsbad Ordinance CMC section 18.30.150 when completing this section. D Water heating system derives at least 40% of its energy from one of the following (attach documentation): □ Solar-thermal D Photovoltaics O 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 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 com 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 I I Calculations: Total EVSE spaces = .10 x Total parking (rounded up to nearest whole number) EVSE Installed = Total EVSE Spaces x .50 (rounded up to nearest whole number) EVSE other= Total EVSE spaces -EVSE Installed (EVSE other may be "Capable," "Ready" or "Installed.") Installed I Total I *Major alterations are: (1) for one and two-family dwellings and townhouses with attached garages, alterations have a building permit valuation ~ $60,000 or indude an electrical service 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 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 Ready I Installed I Total I I l Calculation· Refer to the table below· Total Number of Parkino Spaces provided Number of reauired EV Spaces Number of reauired EVSE Installed Spaces □ 0-9 1 1 □ 10-25 2 1 □ 26-50 4 2 □ 51 -75 6 3 □ 76-100 9 5 □ 101-150 12 6 n 151-200 17 9 n 201 and over 10 percent of total 50 oercent of Reouired EV Spaces Updated 8/ 15/20 19 5 City of Carlsbad Climate Action 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 permit, staff will contact the applicant to develop a site-specific TOM plan based on the permit details. Acknowledgment: Employee ADT Estimation for Various Commercial Uses EmpADTfor 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, 1CJlhEdition 13 11 4.5 3.5 3 1 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 Cartsbad's Transportation Demand Management Ordinance. I agree to be contacted should my permit require a TOM plan and ndersiri that an approved TOM plan is a condition of permit issuance. Date: 3'/11!9)',2'11 plicant to be contacted for TDM compliance (if applicable): Name(Printed): _______ R_ic_h_a_r_d_R_u_b_io ____ _ Phone Number: _(8_5_8_)_7_3_5-_4699 Email Address: ____ r_ic_h_a_r_d_@_ic_s_-s_d_.c_o_m _____ _ Updated 8/15/2019 6