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Home My WebLink About1915 CALLE BARCELONA; 134; CBC2021-0060; PermitBuilding Permit Finaled Commercial Permit Print Date: 08/11/2021 Job Address: 1915 CALLE BARCELONA, # 134, CARLSBAD, CA 9Z009-B455 Permit Type: BLDG-Commercial Work Class: Tenant Improvement Parcel#: Valuation: Occupancy Group: #of Dwelling Units: 2550120400 Track #: $280,129.73 Lot#: Project#: Plan#: Bedrooms: Construction Type: Bathrooms: Orig. Plan Check#: Occupant Load: Plan Check#: Code Edition: Sprinkled: Project Title: Description: LULULEMON: 6,023 T.I. (RETAIL TO RETAIL-NO CHANGE IN USE) Applicant: Property Owner: NATIONWIDE PERMITS MARY ARTAVIA 3725 VINTON AVE, # 8 LOS ANGELES, CA 90034 (310) 795-2506 T-C FORUM AT CARLSBAD LLC 4675 MACARTHUR CT, # 110 NEWPORT BEACH, CA 92660 FEE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $2,565.97 Total Payments To Date: $2,565.97 (city of Carlsbad Permit No: CBC2021-0060 Status: Applied: Issued: Fina led Close Out: Inspector: Final Inspection: Balance Due: Closed -Finaled 02/24/2021 04/29/2021 TKers 08/11/2021 AMOUNT $1,268.55 $887.98 $89.00 $175.00 $55.00 $12.00 $78.44 $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 ln accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Building Division Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov ?-. (city of Carlsbad COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check 9:(€200} _-0 ~{o() Est. Value _j]bgJ;(), lil-7 • B PC Deposit-----.---- Date r-JfoXtl?:t 1 t Job Address /1/J;f {'c//e 'Bavtf/t)t,.Jq {},ktxcL C/JOD/u1;e: /3'-Y APN: ________ _ CT/Project #:, ________________ Lot#:. ___ _ Fire Sprinklers: 0 YES _fZ§J NO Air Conditioning: 0 YES /5. NO Electrical Panel Upgrade:O YES O NO BRIEF DESCRIPTION OF WORK: CC>mm e{ C ~c,\ Te \1-J';\Jlv\-'-')'rt\(.?'{<.) ~ l)'.w.t\: ei I-cu j--. 0 Addition/New: _____ Living SF, ___ Deck SF, ___ Patio SF, ___ Garage SF Is this to create an Accessory Dwelling Unit7 0 V ON New Fireplace? 0 V ON, if yes how many? __ )~Remodel: ~ D::l J SF of affected area Is the ~rea a conversion or change of use 7 0 Y 0;'N D Pool/Spa: µ/A SF Additional Gas or Electrical Features? ___ µ'----'/_.·ty _______ _ □solar: tJ/A l<W, __ Modules, Mounted:ORoofOGround, nlt:O YON, RMA:OYON, Batterv:OY ON, Panel Upgrade: Ov ON D Reroof: -'\~ } ~ 0 me hc:.L0)( C \ ·-t }ed-(J"L.c I PROPERTY OWNER Name: _________________ _ Address: ________________ _ Clty: _________ State: __ Zlp: ___ _ Phone: _________________ _ Email: '\'N'k'.i~~wo ::€)N cbRw IJJi:Ck ~Clh 1';tl\, • LO""\ Email: _________________ _ CONTRACTOR BUSINESS Name: So\e?:9 . Con1Yv\....ckl~ \ Y)V, Address: Y ·z.. \ L\ lg ~" r\,~ 6 :Prv:L City: ,--e,v-v--re,c.,,u\.'? State: CY\: z1:C\1'l?~ O Phone: (q CS-L) 7>0 fs: -\ 7 O lo Email:~ ~v\-e ll-~"' e 'SQ\;e;>G Cno\-Y"c..u\"l~-Co/') State license: 5$ 47-\ Q\ Bus.Llcense:~\...OS\l..:?>·10'30 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair anv structure, plior to Its Issuance, also requires the applicant for such permit to file a signed statement that he/she Is llcensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with section 7000 ofDlvlslon 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 Ph: 760-602-2719 Fax: 760-602-8558 Email: Bullding@carlsbadca.gov B-1 Page 1 of2 Rev. 03/20 ( OPTION A): WORKERS'COMPENSATION DECLARATIOI\I: I hearby affirm under penalty of perjury one of the following declarations: 0 I have and wlll 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. ~ have and wlll maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. My workers' co~pensatlon Insurance earner and poffcy number are: Insurance Co~pany Name: tec\:v<::C....) \ Q<;,,u::C0 0 k<--e LQ 'Cof%-1-~ Polley No. 5 Y :2::> \Q~O'2-Expiration Date: \Q \ i-\ 2-1 0 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 coveratie Is unlawful, and shall subject an employer to criminal penalties and clvll 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'i; fees. ~::;__ ____ L _______ )'!AGENT DATE: '-i l 2 9 /21 ( OPTION B ): OWI\IER~BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's license Law for the following reason: 01, as owner of the property or my employees with wages as their sole compensation, will do the work end 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, proVfded that such Improvements are not Intended or offered for sale. If, however, the bullding or Improvement ls sold within one year of completion, the owner-builder wlll have the burden of proving that he did not build or improve for the purpose of safe). DI, 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 oontractor(s) licensed pursuant to the Contractor's license law). 01 am exempt under Section _______ Business end Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. QYES ONO 2. I (have/ have not) signed an application for a 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): S. I will provide some of the work, but I have contractad (hired) the following persons to provide the work Indicated (Include name/ address/ phone/ type of work): OWNER SIGNATURE: 0 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 bull ding occupant required lo 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 Haiardous Substance Account Act? I Yes / No Is the applicant or future bufldlng occupant required to obtain a permit from the air poflutlon control district or air quality management district? Yes / No Is the faclllty to be constructed within 1,000 feet otthe outer boundary of a school site? Yes I No IF ANV OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNlESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OFTHE 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 ail City ordinances and State laws reJatlng IQ building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMl.fSS THE CITY OF CARLSBAD AGAINST AU. LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAV IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit Is required for eKcavatfons over S'O' deep and demolition or construction of structures over 3 stories In height EXPIRATION: Every permit Issued by the Buildi1111 Official under the provisions of this Code shall expire by fimltation and become null and void if the building or work authonzed by such permit ls not commenced within 180 days from the date of such permit or If the bulldlng or work authorized by such permit Is suspended or abandoned at any time after the work 1s commenced for a period of 180 days. CBC section 105.5. ~ APPLICANT SIGNATURE/...,,..:<L ... ..:;....-:::=====--.... ~"""-------------DATE: _y"""'+.\~_q-1l,....2,__.__\ -- 1635 Faraday Ave Carlsbad, CA 92008 B-1 Ph: 760-602-2719 Fax: 760-602-8558 Page2of2 Email: Building@carlsbadca.gov Rev. 03/20 Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Closed -Finaled Application Date: 02/24/2021 Owner: T-C FORUM AT CARLSBAD LLC Issue Date: 04/29/2021 Expiration Date: 12/27/2021 IVR Number: 31722 Subdivision: CARLSBAD TCT#92-08 GREEN VALLEY Address: 1915 CALLE BARCELONA, # 134 CARLSBAD, CA 92009-8455 Scheduled Date Actual Inspection Type Start Date Inspection No. Inspection Primary Inspector Reinspection Inspection Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Status COMMENTS Stock and train TCO 08/11/2021 08/11/2021 BLDG-Final Inspection 163992-2021 Passed Wednesday,August11,2021 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Stock and train TCO Tim Kersch Passed Yes Yes Yes Yes Yes Passed Yes Yes Yes Yes Yes Complete Page 2 of 2 Building Permit Inspection History Finaled ( City of Carlsbad Permit Type: BLDG-Commercial Application Date: 02/24/2021 Owner: T-C FORUM AT CARLSBAD LLC Work Class: Tenant Improvement Issue Date: 04/29/2021 Subdivision: CARLSBAD TCT#92-08 GREEN VALLEY Status: Closed -Finaled Expiration Date: 12/27/2021 Address: 1915 CALLE BARCELONA, # 134 IVR Number: 31722 CARLSBAD, CA 92009-8455 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 06/02/2021 06/01/2021 BLDG-21 156568-2021 Failed Tim Kersch Re inspection Incomplete Underground/Underflo or Plumbing Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 0610912021 06/0912021 BLDG-43 Air 159247-2021 Passed Tim Kersch Complete Cond./Furnace Set Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 0611812021 06/18/2021 BLDG-84 Rough 160084-2021 Passed Tim Kersch Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Top out Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 06123/2021 06/2312021 BLDG-16 lnsulatlon 160389-2021 Passed Chris Renfro Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 06/29/2021 06129/2021 BLDG-85 T-Bar, Ceiling 160813-2021 Passed Tim Kersch Complete Grids, Overhead Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 08106/2021 08106/2021 BLDG-Final Inspection 163712-2021 Partial Pass Tim Kersch Reinspection Incomplete Wednesday,August11,2021 Page 1 of 2 DATE: 4/20/2021 JURISDICTION: Carlsbad PLAN CHECK#.: CBC2021-0060 ✓• EsG1I A SAFEbui!r Cornpdil)' SET II PROJECT ADDRESS: 1915 Calle Barcelona PROJECT NAME: TI Lululemon □ APPLICANT □ JURIS. C8: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: Mary Ann C8: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: Telephone#: (310) 795-2506 Date contacted: Mail Telephone 0 REMARKS: By: Steven Miller EsGil (by: ) Email: maryann@nationwidepermits.com Fax In Person Enclosures: 04/20 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 ' DATE: 3/11/2021 JURISDICTION: Carlsbad PLAN CHECK#.: CBC2021-0060 ✓• EsG1I A SAFEbuitf Company SET: I PROJECT ADDRESS: 1915 Calle Barcelona PROJECT NAME: TI Lululemon □ APPLICANT □ JURIS. D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. ~ 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. ~ The applicant's copy of the check list has been sent to: Mary Ann D EsGil staff did not advise the applicant that the plan check has been completed. ~ EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Telephone#: (310) 795-2506 Date contacted: Mail Telephone 0 REMARKS: By: Steven Miller EsGil (by: ) Email: maryann@nationwidepermits.com Fax In Person Enclosures: 3/11 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Carlsbad CBC 2021-0060 3/11/2021 PLAN REVIEW CORRECTION LIST COMMERCIAL PLAN CHECK#.: CBC2021-0060 OCCUPANCY: M TYPE OF CONSTRUCTION: VB JURISDICTION: Carlsbad USE: Merchantile ACTUAL AREA: 6023 ALLOWABLE FLOOR AREA: No Change STORIES: 1 No Change HEIGHT: 35' No Change SPRINKLERS?: YES REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 02/24/2021 DATE INITIAL PLAN REVIEW COMPLETED:3/11/2O21 FOREWORD (PLEASE READ): OCCUPANT LOAD: 84 DATE PLANS RECEIVED BY ESGIL CORPORATION: 2/25/2021 PLAN REVIEWER: Steven Miller This plan review is limited to the technical requirements contained in the California version of the International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review is based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building permit. Code sections cited are based on the 2019 CBC, which adopts the 2018 IBC. The following items listed need clarification, modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 105.4 of the 2018 International Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. ' Carlsbad CBC 2021-0060 3/11/2021 NOTICE: CITY AND ESGIL'S HOURS OF OPERATION ARE AFFECTED BY THE CURRENT COVID-19 EPIDEMIC. PLAN REVIEWER MAY NOT BE AVAILABLE TO ANSWER QUESTIONS BY PHONE, BUT MAY BE REACHED BY E-MAIL AT stmiller@esgil.com . (858) 225-2775 GENERAL 1. Please make all corrections, as requested in the correction list. Submit FOUR new complete sets of plans for commercial/industrial projects (THREE sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 1. Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-2700. The City will route the plans to EsGil and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring TWO corrected set of plans and calculations/reports to EsGil, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil is complete. 2. Plans may be submitted in electronic format, subject to the jurisdiction's approval. If so, they must have restrictions removed from the security settings. Electronic plans with restrictions to markups, printing, or stamping will not be approved. 3. A reminder that due to Covid-19, the City will not permit counter corrections. Please make sure all the items are satisfied; otherwise, another round of corrections will be necessary. PLANS 4. Provide the names, addresses and telephone numbers of the owner and the responsible design professionals on the Title Sheet. Sec. 107.2. 5. All sheets of the plans and the first sheet of the calculations are required to be signed by the licensed architect, engineer, or person responsible for the plan preparation. California State Law. 6. Please provide a signed copy of the Title 24 ADA Compliance sheet to page A00 the Title page. Please see a copy of the Compliance Form at the end of the list. Carlsbad CBC 2021-0060 3/11/2021 7. Page AOO please provide form B55 to the title page. City of Carlsbad requires that all plans provide completed Climate Action Plan (CAP) Consistency Checklist, city form B-50, and show on title sheet of plans completed CAP template, city form B-55. 8. Page ADO Please remove handwritten plan change M-701 under mechanical drawings. 9. Provide a Building Code Data Legend on the Title Sheet Page AOO. Include the following code information for each building proposed: ♦ Occupancy Classification(s) ♦ For Mixed Occupancy Buildings, state whether the "nonseparated" or "separated" option was chosen from Sections 508.3/508.4. ♦ Description of Use ♦ Type of Construction ♦ Sprinklers: Yes or No ♦ Stories ♦ Height ♦ Floor Area ♦ Occupant Load EXITS 10. The plans shall designate the number of occupants to be accommodated on every floor, and in all rooms and spaces. Section 107.2.3. 11. A tactile sign stating "EXIT" and complying with ICC A 117 .1 shall be provided adjacent to each door to an exit stairway, an exit passageway and the exit discharge. Section 1013.4. Please note on the floor plan. ACCESSIBILITY 12. Per Section 11 B-222.1, at least 5% (but no fewer than one) of each type of fitting/dressing room in each cluster provided shall comply with Section 11 B-803, as follows: i) Entry doors shall provide: a) :2:32" clearance. b) :2:18" strike edge. ii) The room dimension shall be :2:60" in width and length. No door shall encroach into this required space. iii) Show a 24" x 48" bench: a) Fixed along the wall at the 48" dimension. • Carlsbad CBC 2021-0060 3/11/2021 b) Mounted ~17" but :$19". FIRE EXTINGUISHING 13. Specify on the plans that portable fire extinguishers will be installed in the building in accordance with Section 906. MECHANICAL 14. Janitor closets require an exhaust system per CMC Table 403.7. Please provide an exhaust fan to the janitor closet within the mechanical floor plan. ADDITIONAL 15. To speed up the review process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, note or detail number, calculation page, etc. 16. Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes, please briefly describe them and where they are located in the plans. Have changes been made to the plans not resulting from this correction list? Please indicate: D Yes D No 17. The jurisdiction has contracted with EsGil, located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Steven Miller at Esgil. Thank you. Carlsbad CBC 2021-0060 3/11/2021 TITLE 24 ADA COMPLIANCE Permit# ------------- THE ACCESSIBLE ROUTE(S) OF TRAVEL SHALL BE THE MOST PP.ACTICAL DIRECT ROUTE BElWEEN ACCESSIBLE POINTS. I AM THE DESIGNER/OWNER IN RESPONSIBLE CHAROE OF lHlS F'IWJECT. I HAVE INSPECTED THE PREMISES AND DETERMINED THAT THE NEW RESTROOM{S) AND/OR A.REA OF" ALTERATION' WILL OE FULLY ACCESSmLE ACCORDING TO CURRENT CODE REQUIREMENTS. SIGNATURE __________ _ Print Name _______________ _ DATC _______________ _ I AM THC DCSIGNCRJOWNER IN RESPONSIOLE. CHA.A.GE OF THIS PROJECT, I HAVE INSPECTED THE SITEfPREMl5ES AND DETERMfNED THAT EXISTING CONDITIONS SHALL BE MODIFIED IN f-UL.l. COMPLIANCE WITH CURRENT SITE ACCESSIBILITY REQUIF'<EMENTS TO THE EXTENT REQUIRED EIY LAW. SIGNATURE ________________ _ P:iit N.e.ric _________________ _ OATF _______________ _ IF THE BUILDING INSPECTOR DETERMINES NON-COMPLIANCE WI IH ANY CURRE:NT ACCESSfBLITY FROVISIONS OF THE LAW, HE/SHE SHALL REQUIRE SUBMITTAL OF COMPLETE AND DCTAILED PLANS TO BUl:..DING AND SAFETY DIVISION or: THE DEVELOPMENT SERVICE:~ nFPARMFNT FOR FURTHER REVIEW. PLANS MUST CLEARLY SHOW ALL EXISTING NON-COMPLYING CONDITIONS AFFECTED BY THE REMODEL (INCLUDING SITE PLAN, FLOOR PLANS, OETAIL$, ETC.} AND PROl-'OSEU MOUll-=ICAI ION$ or LJ~rlCIE:NCIE:S TO MEET CURRENTS flCCESSIBLITY PROVISIONS. THE PLANS MUST BE SIGNED ANO DAT[□ l:IY THC r-U~LO INSPCCTOO PRIOR SUBMITTAL FOR PLAN .Rl:VIF..W IF THE BUILDING INSPECTOR DETERMINES THAT FULL COMPLIANC~ WITH CURRENT SITE ACCESSIBILITY' REQUIREMENTS IS NOT rROVl□ED. HEfSHE SH/11.L RCQUIR[ SUDM.ITTAL OF A DETAILEO SITE PLAN FOR AODITJONAL P'LAN RFVIFW AND COMMFNTS. {;:\Duildine: and '.'.l,,)rety\ttANIJIJUT~ \7Rlc ;,14 ADA Cl'.ll'llpli;ll'l(e • Carlsbad CBC 2021-0060 3/11/2021 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Steven Miller PLAN CHECK#.: CBC2021-0060 DATE: 3/11/2021 BUILDING ADDRESS: 1915 Calle Barcelona BUILDING OCCUPANCY: M BUILDING I AREA I Valuation PORTION (Sq.Ft) Mijtiplier Tl M & 51 6023 46_51 Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code CB By Ordinance 1997 UBC Buildin Permit Fee g .... 1997 UBC Plan Check Fee ...- 1 t".I \;,;: Type of Review: Complete Review Reg. VALUE Mod. □ Structural Only D Repetitive Fee .,.. Repeats □ Other □ Hourly EsGilFee 1--------11 Hr. @ • Comments: ($) 280,130 280,130 $824.601 Sheet 1 of 1 STATE OF CALIFORNIA ENERGY MANAGEMENT CONTROL SYSTEM OR LIGHTING CONTROL SYSTEM CEC-NRCl-l Tl-02-E Revised 01/20 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION NRCI-LTl-02-E Energy Management Control System or Lighting Control System of4) Project Name, Lululemon #10195 -Carlsbad EnforcementAgency:Ci of Carlsbad ProjectAddress:1915 Calle Barcelona c;,v, Carlsbad DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Bryant Rugg (tj§§ime@tJQ/i 1tuthor Slgnatu~: Documentation Author Company Name: iQlli ~•~o·• Electrocomm Inc. Address: (Page 5 Zip Code: 92009 29576 Crown Creek CEA Certification Identification (If applicable): Not Aoolicable City/State/Zip: Laguna Niguel, CA 92677 Phone: (949) 391-5598 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Installation is true and correct. 2. I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation and attest to the declarations in this statement (responsible builder/installer), otherwise I am an authorized representative of the responsible builder/installer. 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements given on the plans and specifications approved by the enforcement agency. 4. I reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of Installat ion, and I have ensured that the requirements that apply to the construction or installation have been met. 5. I will ensure that a completed signed copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Builder/Installer Name: Bryant Rugg 'll~P9!ltiljl£1lu11~/1mtallif&W1re·, Company Name: (Installing Subcontractor or General Contractor or \l'oOOonWrfu -c-orfiii!J!y (Titlil" Builder/Owner) Electrocomm Inc. Address: 29576 Crown Creek CSLB License: 1045703 City/State/Zip: La . I guna N1gue, CA 92677 Phone (949) 391-5598 I (DaleSljneo: CA Building Energy Efficiency Standards -2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA ENERGY MANAGEMENT CONTROL SYSTEM OR LIGHTING CONTROL SYSTEM CEC-NRCI-L Tl-02-E Revised 01/20 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION Energy Management Control System or Lighting Control System of 4) ,,,;,ct,,m,Lululemon #10195 -Carlsbad Enforcement Agency: City of Carlsbad l>rojectAddress:1915 Calle Barcelona rn''carlsbad NRCI-LTl-02-E (Page 4 '""'92009 □ For common areas equals 20 percent or less of the total building floor area, the installed lighting must be controlled by occupant sensors. □ For common areas is greater than 20 percent of the total building floor area, the installed lighting control must comply with the applicable nonresidential lighting control requirements. Corridor and stairwell lighting must be controlled by occupant sensors. □ D. High-Rise Residential Building Indoor Lighting. □ All indoor lighting controls of the dwelling units must comply with Section 150.0(k)2. □ Garages with less than 8 vehicles per site: The lighting control must comply with nonresidential indoor lighting control requirements in Section 130.1. CA Building Energy Efficiency Standards -2019 Nonresidential Compliance January 2020 ·-····-· "------------ STATE OF CALIFORNIA ENERGY MANAGEMENT CONTROL SYSTEM OR LIGHTING CONTROL SYSTEM CEC-NRCI-LTl-02-E Revised 01/20 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION Energy Management Control System or Lighting Control System of 4) ,,,;,ctNam"Lululemon #10195 -Carlsbad Enforcement Agency: City of Carlsbad Project Address: 1915 cane Barcelona "" Carlsbad NRCI-LTl-02-E (Page 3 ZlpCode:92009 IO F. The EMCS or Lighting Control System functions as a dimming control and meet all of the requirements below: 1. Is capable of reducing power consumption by a minimum of 65% when the dimming is at its lowest level; 2. provides an off setting which produces a zero lumen output; and 3. Reduce flicker operation through the dimming range so that the light output has an amplitude modulation of less than 30% for frequencies less than 200 Hz without causing premature lamp failure. 4. (For system designed for use in three way circuits:) be capable of turning lights off, and to the level set by the dimming controls if the lights are off. G. The EMCS or the lighting control system functions as an occupant sensing control and meets all of the following requirements: 1. Is capable of automatically turning the controlled lights in the area either off or down no more than 20 minutes after the area has been vacated. 2. (For system with manually-on control features:) have a grace period of no less than 15 seconds and no more than 30 seconds to turn on lighting automatically after the sensor has timed outi and 3. Provides a visible status signal that indicates that the control is operating properly, or that it has failed or malfunctioned. The visible status signal may have an override switch that turns off the signal. PART 3 Requirements for which the control is being Installed to complied with: Identify all requirements in the Standards for which the EMCS or Lighting Control System is installed to function as and complies with: Check all that are in compliance with the Standards, Section 130.1: llll A. Section 130.l(a) Area Controls ll!I B. Section 130.l(b) Multi-Level Lighting Controls ll!I C. Section 130.1 (c) Shut-OFF Controls □ D. Section 130.1 (d) Automatic Oaylighting Controls □ E. Section 130.1 (e) Demand Responsive Controls □ F. Section 130.5 (d) Circuit Controls for 120-Volt Receptacles Check all that are applicable and in compliance with the Standards: □ A. Residential garages with 8 vehicles or more per site: All lighting controls must comply with nonresidential indoor lighting control requirements in Section 130.1. □ B. Single-Family Building Indoor Lighting. □ All indoor lighting controls must comply with Section 150.0(k)2. □ Garages with less than 8 vehicles per site: The lighting control must comply with Residential indoor lighting control requirements in Section 150.0(k}21. □ C. Low-Rise Residential Building Indoor Lighting. D All indoor lighting controls of the dwelling units must comply with Section 150.0(k)2. □ Garages with less than 8 vehicles per site: The lighting control must comply with one of the following: □ Residential indoor lighting control requirements in Section 150.0(k)2I; □ Nonresidential indoor lighting control requirements in Section 130.1. □ Interior Common Area Lighting: CA Building Energy Efficiency Standards• 2019 Nonresidential Compliance ---------------------- January 2020 STATE OF CALIFORNIA ENERGY MANAGEMENT CONTROL SYSTEM OR LIGHTING CONTROL SYSTEM CEC-NRCI-L Tl-02-E Revised 01/20 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION Energy Management Control System or Lighting Control System of 4) ern;,ctN,mo, Lululemon #10195 -carlsbad Enforcement Agency; City of carlsbad ProjectAddress; 1915 calle Barcelona ""' carlsbad NRCl·LTl-02-E (Page 2 cit Number; "''~009 PART 2 lighting Control Functional requirements: Check all that apply when verifying the Installation of an EMCS or Lighting Control System. Cil A. All lighting controls and equipment have been installed in accordance with the manufacturer's instructions. Cl B. All installed EMCS systems meet each respective lighting control for which it is installed for meeting requirements in Section 110.9, 130.1, 130.4, 150.0(k), and 150.2. C. Components of all installed lighting control systems meet applicable requirements in Section 110.9, 130.2, 130.4, 150.0(k), and 150.2. Cil D. The EMCS or the lighting control system functions as time-switch lighting control checked below, and complies with all of the following requirements: ~ 1. The EMCS or the lighting control system functions as a time-switch control meets the requirements below: a. has program backup capabilities that prevent the loss of the device's schedule for at least 7 days, and the device's date and time for at least 72 hours if power is interrupted. b. Automatic time-switch controls installed in nonresidential buildings meet the following requirements: i. Is capable of providing manual override to each connected load and shall resume normally scheduled operation after manual override is initiated within 2 hours for each connected load; and ii. Incorporates an automatic holiday shutoff feature that turns off all connected loads for at least 24 hours and then resumes normally scheduled operation. D 2. The EMCS or the lighting control system functions as an astronomical time-switch control meets the requirements below: a. Meets the requirements of an automatic time-switch control; b. Has sunrise and sunset prediction accuracy within plus-or-minus 15 minutes and timekeeping accuracy within 5 minutes per year; c. Is capable of displaying date, current time, sunrise time, sunset time, and switching times for each step during programming; d. Has an automatic daylight savings time adjustment; and e. Has the ability to independently offset the on and off for each channel by at least 99 minutes before and after sunrise or sunset. □ 3. Multi-Level Astronomical Time-Switch Controls, in addition to meeting all of the requirements for Astronomical Time-Switch Controls, includes at least 2 separately programmable steps per zone. □ E. The EMCS or the lighting control system functions as an automatic daylighting control meets the requirements below: 1. Automatically return to its most recent time delay settings within 60 minutes of the last received input when put in calibration mode; 2. Has a set point control that easily distinguishes settings to within 10% of full scale adjustment; 3. Provide a linear response within 5% accuracy over the range of illuminance measured by the light sensor; 4. Be capable of being calibrated in a manner that the person initiating the calibration is remote from the sensor during calibration to avoid influencing calibration accuracy; and CA Building Energy Efficiency Standards -2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA ENERGY MANAGEMENT CONTROL SYSTEM OR LIGHTING CONTROL SYSTEM CEC-NRCI-L Tl-02-E Revised 01/20 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION Energy Management Control System or Lighting Control System of 1) ProjectName:Lululemon #10195 -Carlsbad Enforcement.l\j/;eocy: Ci ProJectAddresi:1915 Calle Barcelona "'" Carlsbad GENERAL INFORMATION DATE OF BUILDING PERMIT: I PERMIT# 02/24/21 CBC2021-0060 NRCI-LTl-02-E (Page 1 of Carlsbad BUILDING TYPE IXJ Nonresidential D High-Rise Res (Common D Hotel/Motel (Common Area) Area) PHASE OF D New Construction □ Addition Kl Alteration D Unconditioned CONSTRUCTION SCOPE OF RESPONSIBILITY Enter the date of approval by enforcement agency of the Certificate of Compliance that provides Date: the specifications for the energy efficiency measures for the scope of responsibility for this Installation Certificate. 03/23/2021 Requirements in the Standards: §130.4(b) Before an Energy Management Control System (EMCS), or Lighting Control System can be recognized for compliance with the lighting control requirements in Part 6 of Title 24, the person who is eligible under Division 3 of the Business and Professions Code to accept responsibility for the construction or installation of features, materials, components, or manufactured devices shall sign and submit this Installation Certificate. If any of the requirements in this Installation Certificate fail the Energy Management Control System or Lighting Control System installation requirements, these options for controlling lighting shall not be recognized for compliance with the Building Energy Efficiency Standards. Check all that apply: PART 1 What type of Lighting Control System has been installed? □ A. Energy Management Control System (EMCS) • Is an automated control system that regulates the energy consumption of a building by controlling the operation of energy consuming systems, and is capable of monitoring loads, and adjusting operations in order to optimize energy usage and respond to demand response signals. □ The Energy Management Control System is installed to function as a lighting control required by Part 6 and its functionally meets all applicable requirements for each application for which it is installed, in accordance with Section 110.9, 130.1, 130.4, 130.5, 150.0(k), and 150.2, and complies with Nonresidential Appendix NA7.7.2. B. Lighting Control System -Requires two or more components to be installed in the building to provide all of the functionality required to make up a fully functional and compliant lighting control. IXl The installed Lighting Control System is installed to comply with applicable requirements in Section 110.9, 130.2, 130.4, 150.0(k), and 150.2, and complies with Reference Nonresidential Appendix NA7.7.2. CA Building Energy Efficiency Standards -2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCI-LTl-01-E (Revised 01/20) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION NRCI-LTl-01-E Indoor Lighting (Page 2 of 2) Project Name: Lulu lemon # 10195 -Carlsbad I Enforcement Agency:City of Carlsbad lcn~1r~oo60 ProJectAddress:1915 Calle Barcelona I city, Carlsbad I Zip Code: 92009 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Bryant Rugg .O~mentatloo@lio(filinat1tre) Documentation Author Company Name: Electrocom, Inc. Date SJinecf;, Address: 29576 Crown Creek CEA Certification Identification (If applicable): Not Aoolicable City/State/Zip: Phone: Lacuna Niauel CA 92677 (949) 391-5598 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Installation is true and correct. 2. I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation and attest to the declarations in this statement (responsible builder/installer), otherwise I am an authorized representative of the responsible builder/installer. 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements given on the plans and specifications approved by the enforcement agency. 4. I reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements that apply to the construction or installation have been met. 5. I will ensure that a completed signed copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Builder/Installer Name:B t R ryan ugg <jle~e2nsible ~uMef[tl\siallef'SJsnatJ@ CompanEName: (Installing Subcontractor or General Contractor or Builder/Owner) lectrocom, Inc. 'f'ositioi\'WJtli ComJruliintfeJ:\ Address: 29576 Crown Creek CSLB License: 1045703 City/State/Zip: . I Laguna N1ge , CA 92677 Phone (949) 391-5598 11oate Sign'fd; CA Building Energy Efficiency Standards• 2019 Nonresidential Compliance January 2020 STATE OF CALIFORNIA INDOOR LIGHTING • CEC-NRCt-l Tl-01-E /Revised 01/20) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION NRCI-LTl-01-E Indoor Lighting (Page 1 of 2) '"''"''m"Lululemon #10195 -Carlsbad Enfori;ementAgencv:City of Carlsbad c'rltttJ'-'I:0060 ProjectAddress:1915 Calle Barcelona "''Carlsbad Zip Code: 92QQ9 GENERAL INFORMATION DATE OF BUILDING PERMIT: I PERMIT# 02/24/21 CBC2021-0060 BUILDING TYPE ~ Nonresidential D High-Rise Res (Common Area) D Hotel/Motel (Common Area) PHASE OF D New Construction 0 Addition [J Alteration D Unconditioned CONSTRUCTION SCOPE OF RESPONSIBILITY Enter the date of approval by enforcement agency of the Certificate of Compliance that provides Date: the specifications for the energy efficiency measures for the scope of responsibility for this 03/23/2021 Installation Certificate. In the table below identify all applicable construction documents that specify the requirements for the scope of responsibility reported by this lnstaflotion Certificate (continued). Date Approved By Document Title or Description Applicable Sheets or Pages, Tables, Schedules, etc. the Enforcement Agency CA Building Energy Efficiency Standards -2019 Nonresidential Compliance January 2020 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: "l ?'a I ~ oa\ Business Name: L 0 L u l ~J'(\D CY\ Street Address:~'i-C\~\~5 __ C='~''~e_n......._4~i~c~.t~~~l&>C><A6_~j~£,_c:~l.e ~ \ ~"\ C'..c.{\1 'o.: ,\ -L p. Email Address: :::S'<'iC,«::iP, ~ ,,µ O)µ,:_~ DIN w ic\e Pt"(('(\ its• C D ~ PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: {ON REVERSE SIDE CHECK TYPE OF BUSINESS) ~ Check all below that are present at your facility: o Acid Cleaning o Assembly o Automotive Repair o Battery Manufacturing o Biofuel Manufacturing o Biotech Laboratory o Bulk Chemical Storage o CarWash o Chemical Manufacturing o Chemical Purification o Dental Offices • Dental Schools • Dental Clinics o Dry Cleaning o Electrical Component Manufacturing o Fertilizer Manufacturing o Film/X-ray Processing o Food Processing o Glass Manufacturing o Industrial Laundry o Ink Manufacturing o Laboratory o Machining/Milling o Membrane manufacturing (i.e. water filter membranes) o Metal Casting/Forming o Metal Fabrication o Metal Finishing • Electroplating • Electroless Plating • Anodizing • Coating (i.e. phosphating) • Chemical Etching/Milling • Printed Circuit Board Manufacturing o Metal Powders Forming o Nutritional Supplement/Vitamin Manufacturing o Painting/Finishing o Paint Manufacturing o Personal Care Products Manufacturing o Pesticide Manufacturing/ Packaging o Pharmaceutical Manufacturing (including precursors) o Porcelain Enameling o Power Generation o Print Shop o Research and Development o Rubber Manufacturing o Semiconductor Manufacturing o Soap/Detergent Manufacturing o Waste Treatment/Storage New Business? Yesrt]NoO SIC Code(s) if known: _____ Date operation began/~ill begin: 5 / d ~ /&t>a / Tenant lmprovemJ;;;" Yes~NcQ.lt yes, briefly describe improvement: (u fl\J!Yle fl 1 ,;, \ \ el\.> ,;,.,J\ --:f :fu.viD \)Q_rfttJ--'t{-fkA1 I CI v-\-hlw5 5 0) I(e... Description of operations generating wastewater (discharged to sewer, hauled or evaporated): __ ~=-c,_-=---\-\1\~_(_D_~_'YV"\ __ _ Estimated volume of industrial wastewater to be discharged (gal/ day): __ _,~ ... ).,.h...._,',)...._P ___________ _ List hazardous wastes generated (type/volume): __ __:=.,.u,<.:e_=--------------------- Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? YesO Date: ____ ~ Page 1 of2 -----···-----··- ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY 6200 Avenida Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com The commercial enterprises listed below are a partial listing of businesses that are exempt from industrial wastewater discharge permitting under normal operating conditions. They are exempt because (a) they discharge no process wastewater (i.e., they only discharge sanitary wastewater with no pollutants exceeding any local limits), and (b) they have no potential to negatively impact the EWPCF or other wastewater treatment plants in the ESS. Any questions regarding exemptions should be referred to EWA Source Control staff. o Automobile Detailers o Hotels/Motels (no laundry) o Barber/Beauty Shops o Laundromats o Business/Sales Offices o Libraries o Cleaning Services o Medical Offices (no x-ray developing) o Carpet/Upholstery o Mortuaries o Childcare Facilities o Museums o Churches o Nail Salons o Community Centers o Nursing Homes o Consulting Services o Office Buildings (no process flow) o Contractors o Optical Services o Counseling Services o Pest Control Services (no pesticide repackaging for sale) o Educational Services (no auto repair/film developing) o Pet Boarding/Grooming Facilities o Financial Institutions/Services o Postal Services (no car wash/auto repair) o Fitness Centers o Public Storage Facilities o Gas Stations (no car wash/auto repair) o Restaurants/Bars o Grocery Stores (no film developing) o Retail/Wholesale Stores (no auto repair/film developing) o Residential based Businesses o Theaters (Movie/Live) CERTIFICATION STATEMENT I certify that the information above is true and correct to the best of my knowledge. A A,~A'0) A- Print Name.: _ __,('{\'--'-..,_t\=\\-'--1+--'---'-N='f0=---DATE: ,;?/aJ./;;J6"J, / Facility Contact: ___________ _ Title: _____________ _ ENCINA WASTEWATER AUTHORITY 6200 AVENIDA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com Page 2 of 2 SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY RECORD ID# __________________ _ PLAN CHECK# _________________ _ BP DATE Business Name Lululemon Business Contact maryann artavia Telephone# 310-880-7859 Project Address City Carlsbad State Ca Zip Code 92009 APN# 2550120400 1915 Calle Barcelona Mailing Address City State Zip Code Plan File# Project Contact john ranous ApQlicant E-mail john@nationwidepermits.com Telephone# 310-880-7859 The following questions represent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT -HAZARDOUS MATERIALS DIVISION: OCCUPANCY 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 (HMDI: 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. I I ...,_ \, . FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy:~' ._ \... J .._: k • ':'" 0 CalARP Exempt YES NO (for new construction or remodeling projects) • 1. 2. 3. 4. 5. 6. 7. 8. 0 CE) Is your business listed on the reverse side of this form? (check all that apply). Date Initials 0 0 Will your business dispose of Hazardous Substances or Medical Waste in any amount? ~ Lb ~ 4 20 21 0 I!!] Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 0 CalARP Required pounds and/or200cubicfeet? CITY OF CARLSB D --~'--- D D D D D e] Will your business store or handle carcinogens/reproductive toxins in any quantity? Date Initials I!) Will your business use an existing or install an underground storage tank? BU ILO I NG DIVISIO @ Will your business store or handle Regulated Substances (CalARP)? I!!] Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? I!] 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 Complete I Date Initials PART 111: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT IAPCDI: 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 Q1 Yes fillQ Q3 Yes fillQ 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. [•Excludes garages & small outbuildings.] 1. 2. 3. 4. 5. 6. YES NO D 0 D I!! D D D Will the project disturb 160 square feet or more of existing building materials? Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition. (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance Technician? D D (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. [!I 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.pdQ for typical equipment requiring an APCD permit. O (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school bounda D Briefly describe business activities: Briefly describe proposed project: Retail clothing sales Yoga clothing business and accesories I declare under penalty of perjury that to the best of my knowledge and belief. t e esponses made herein are true and correct. john ranous 2/ 23 / 21 Name of Owner or Authorized A ent Date FOR OF Fl CAL 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• APCO COUNTY-HMO APCO COUNTY-HMO APCO . . *A stamp m this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other perm1tt1ng requirements may still apply . HM-9171 (08/15) 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 D Rental Yard Equipment D Repair/Preventive Maintenance D Spray Booth D Transportation Services D Wrecking/Recycling CHEMICAL HANDLING D Agricultural supplier/distributor D Chemical Manufacturer D Chemical Supplier/Distributor D Coatings/Adhesive D Compressed Gas Supplier/Distributor D Dry Cleaning D Fiberglass/Resin Application D Gas Station O 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 □ 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 0 Medical Clinic/Office D Nitrous Oxide (NOx) Control System D Pham,aceuticars □ Public Utility D Refrigeration System D 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 47-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 & Tem,inals 25 -lntem,ediate 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 0 -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 -WWTP (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 (08115) County of San Diego -DEH -Hazardous Materials Division ------- C cityaf 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 pennits are not required to fill out this form ❖ Patio l ❖ 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 8-55) shall be added to the title page all building plans. This template shall be completed to demonstrate project compliance with the CAP ordinances. Refer to the building application webpage and download the latest form. Project Name/Building Permit No.: Property Address/APN: Applicant Name/Co.: Applicant Address: Contact Phone: Au) u le fnv,J BP No.: C&'.EC>~n ~('.)() w 19 /J Cctk 301 ce/C)A.J~ Sp~ce 11-I 3 7 U;JR /(f¼d-C/1 • rn~ A" •u A /fA(l1fl 3 7 d, u ,>Jrl)A._J Aue #-'9 . ,< 06" Att'tr~IR( {' /J . 7o031/ 3' 0 -79r. '().5'0-b Contact Email:rne,:; t.;11> JJ{!)µt:.,f/o;.;UJide. &aru'-lf'- «>-ri, Contact information of person completing this checklist (if different than above): Name: Company name/address: Contact Phone: Contact Email: J\ ~ n. fl .I.-_ -c)-'" ;)_.-il.-0 ,,,, Applicant Signature: __ J\-'--ll,\J.j,,.::::<-+-1LJ~~.:...J<c.=L.W:....><.:;___:, Y.IJ...lG~=----Date: ________ ""'_( B-50 Page 1 of 6 Revised 08/19 /&Tl. rr 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: $_14---Al...4-~~► r 3 D Residential □ New construction □ Additions and alterations: □ BPV < $60,000 □ BPV ~ $60,000 □ Electrical service panel upgrade only □ BPV ~ $200,000 ~ Nonresidential □ New construction lij. Alterations: ·p BPV ~ $200,000 or additions ~ 1,000 square feet □ BPV ~ $1,000,000 □ ~ 2,000 sq. ft. new roof addition Checkllst Item Low-rise N/A 1A, 4A 1A, 4A* High-rise I '"· 2B, 38,4A N/A 4A 18, 4A* J 18, 28, 38, 48 and 5 J 18, 5 18,28,5 28,5 A high-rise residential building is 4 or more stories, including a mixed-use building in which at least 20% of Its conditioned floor area is residential use All residential additions and alterations 1-2 family dwellings and townhouses with attached garages only *Multi-family dwellings only where interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed Building alterations of~ 75% existing gross floor area 1 B also applies if BPV ~ $200,000 Check the approprlalB baX8a. explain al m applicable arxt exception llema, and provide suppor1q ai1a-. 111d doa.menlallan as neceaall'f. 1. Energy Efficiency Please refer to Carlsbad Municipal Code (CMC) sections 18.21.155 and 18.30.190, and the Galifomia Green Building Standards Code (CAL Green) for more information when completing this section. A. D Residential addition or alteration ~ $60,000 building permit valuation. See CMC section 18.30.190. Year Built Single.family Requirements □ Before 1978 Select one: □ Duct sealing □ Attic insulation □Cool roof □ 1978 and later Select one: □ Lighting package □ Water heating Package □ Between 1978 and 1991 □ 1992 and later □ N/A. _________ _ □ Exception: Home energy score 2: 7 (attach certification) Multi.family Requirements □ Attic insulation Select one: □ Duct sealin<l □ Attic insulation □Cool roof Select one: □ Lighting package □ Water heating package B. J/J Nonresidentiar new construction or alterations ~ $200,000 building permit valuation, or additions~ 1,000 square feel ~ N/A I 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 AS.2 -Energy Efficiency. A5.203.1.1 Choose one: □ .1 Outdoor lighting □ .2 Warehouse dock seal doors □ .3 Restaurant service water heating (comply with Cal~omia Energy Code section 140.5, as amended) ..,.__ N/A _________ _ □ .4 Daylight design PAFs □ .5 Exhaust air heat recovery AS.203.1.2.1 Choose one as applicable: □ .95 Energy budget □ .90 Energy budget N/A AS.211.1 .. □ On-site renewable energy ,4 N/A AS.211.3 .. □ Green power (if offered by local utility provider, 50% minimum renewable sources) N/A A5.212.1 □ Elevators and escalators k N/A A5.213.1 □ Steel framing ~ N/A • Includes hotels/motels and high-rise residential buildings I •• 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 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 8PV and affecting ~75% existing floor area, or addition that increases roof area by ~.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 hoteVmotel 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 8/15/20 I 9 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 □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 com letin this section. One and two-family residential dwelling or townhouse with attached garage: Done EVSE Ready parking space required D Exception : □Multi-family residential· D Exception· Total Parking Spaces EVSESpaces Proposed Capable I Ready I Installed I I Calculations: Total EVSE spaces = .10 x Total pari<ing (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.") Total •Major alterations are: (1) for one and two-family dwellings and townhouses with attached garages, alterations have a building permit valuation ~ $60,000 or include an electrical service panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), alterations have a building 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 l Total 10 2 I 5 I 1 I 8 Calculation· Refer to the table below· Total Number of Pari<inq Soaces provided Number of required EV Soaces Number of reauired EVSE Installed Soaces □ 0-9 1 1 n 10-25 2 1 26-50 4 2 □ 51-75 6 3 □ 76-100 9 5 101-150 12 6 151-200 17 9 201 and over 10 percent of total 50 oercent of Required EV Spaces Updated 8/15/2019 5 City of Carlsbad Climate Action Plan Consistency Checklist 5. Transportation Demand Management (TOM): Nonresidential ONLY AA approved Transportation Demand Management (TOM) Plan is required for all nonresidential projects that meet a threshold of employOOijenerated 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~ 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 Retai13 8 Industrial 4 Manufacturing 4 Warehousin 4 1 Unless otherwise noted, rates estimated from /TE Trip Generation Manual, 10'hEdition 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 subm~ed may be subject to the City of Carlsbad's Transportation Demand Management Ordinanc:e. I agree to be contacted should my permit require a TOM plan and understand that an approved TOM plan is a condttion of permit issuanc:e. Date: ,9 -J. J -C¥ ~ a } Person other than Applicant to ntacted for TDM compliance (if applicable): Name(Printed): ~0-"J ~p ~v@ ~,tlb~U)\(k e(.( M ~ ~-l.~ '(\/"\Phone Number: ___ _ Emal Address: ~e-wQ) t,Y.i\ iD /\,) w',_k Q ! WIJt{ • (, <::,f"\ Updated 8/15/2019 6