HomeMy WebLinkAbout2525 PIO PICO DR; 102; CBC2021-0397; PermitPERMIT REPORT
(city of
Carlsbad
Commercial Permit
Print Date: 05/09/2022 Permit No: CBC2021-0397
Job Address: 2525 PIO PICO DR, # 102, CARLSBAD, CA 92008-1568 Status: Closed -Finaled
Permit Type: BLDG-Commercial
1561206400
$187,249.00
Work Class: Tenant Improvement
Parcel#:
Valuation:
Occupancy Group: B
#of Dwelling Units:
Bedrooms:
Bathrooms:
Project Title:
Track#:
Lot#:
Project#:
Plan#:
Construction Type:V-B
Orig. Plan Check#:
Plan Check#:
Description: HOSPICE OF THE NORTH COAST; COM Tl/lST (1,356)/3RD (2,670) FLOORS
Property Owner:
HOSPICE OF THE NORTH COAST
2525 PIO PICO DR, # 310
CARLSBAD, CA 92008
FEE
SITE IMPROVEMENTS
SB1473-GREEN BUILDING STATE STANDARDS FEE
BUILDING PLAN CHECK FEE (manual)
BUILDING PLAN REVIEW-MINOR PROJECTS (LDE)
STRONG MOTION -COMMERCIAL (SMIP)
CERTIFICATE OF OCCUPANCY
BUILDING PLAN REVIEW -MINOR PROJECTS (PLN)
COMM/IND Tl -NON-STRUCTURAL
Total Fees: $3,046.56 Total Payments To Date: $3,046.56
Applied: 10/18/2021
Issued: 01/18/2022
Finaled Close Out: 05/09/2022
Inspector:
Final Inspection:
Contractor:
SP W CONSTRUCTION INC
2524 GATEWAY RD
CARLSBAD, CA 92009-1742
(760) 931-1130
Balance Due:
TKers
04/05/2022
AMOUNT
$401.50
$8.00
$924.43
$194.00
$52.43
$15.00
$98.00
$1,353.20
$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.
1635 Faraday Avenue I Carlsbad, CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
COMMERCIAL
BUILDING PERMIT
APPLICATION
B-2
Plan Clwr:k C 6C.2.0·2.1 4 o3"f7
Est. Value ti. 1$71 Q.!#? • .t'='
PC Deposit. fl 'tZ.¥, cl 3
Date II) l 1 q, I '.l,.Q"Z-1 .
Job Address 2525 Pio Pico Dr. Carlsbad, CA 92008
Tenant Name: Hospice of the North Coast
1st/ 3rd
Suite: JJfiuOOUJC'----APN: 156.120.64
CT /Project I/: _________ Lot 11:_4 __ _
Occupancy: 1st: 1,356/ 3rd: 2,670 Construction Type: VN Fire Sprinklers:~ no Air Condltioning
1
~ no
TENANT IMPROVEMENT WILL INCLUDE STRUCTURAL WO~R INTERIOR MOVABLE PA N SUPPORl
BRIEF DESCRIPTION OF WORI<: TEN~J:Jjy1J'ROVEMENT WILL INCLUDE NON-J,QAD BEARING PARTITIONS, NEW SUSPENDED CEIUNqS
GYPSUM CEILING/ SOFFIT, INCLUDING NEW LED LIGHT FIXTURES. HVACI MECHANICAL SYSTEMS ARE NEW
SINl<S. (3) TOILETS AND (1) BATHTUB ARE REMOVED. (5) SINl(S AND (3) TOILETS ARE REPLACED.
D Addition/New: ________ ....... , .. New SF and Use, ___________ New SF and Use,
____ Deck SF, Patio Cover SF (not including flatwork)
129 Tenant Improvement: 1,356 SF, Existing Use office Proposed Use -'o""ff"'i"'c.,,e ___ _
~2=6~7~0~_ SF, Existing Use __ office ·--·--Proposed Use -~o~ff~ic~e~---
0 Pool/Spa: ____ SF Additional Gas or Electrical Features?
D Solar: ___ KW, __ Modules, ___ Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No
D Plumbing/Mechanical/Electrical Only: _________________________ _
D Other: --------------------------------------
APPLICANT (PRIMARY)
Name: Michele Arnold-Kush
Address: 925 Fort Stockton Dr.
City: San Diego State: CA Zip: 92103
Phone: 619.297.6153
Email: michele@safdierabines.com
DESIGN PROFESSIONAL
Name: Same as above
Address: ________________ _
City: _______ State: __ __.Zip: ___ _
Phone: _________________ _
Email: _________________ _
Architect State License: ___________ _
PROPERTY OWNER
Name: Hospice of The North Coast: Shelly Dew
Address: 2525 Pio Paco Dr.
City: Carlsbad State: CA Zip: 92008
Phone: 760.431.4100
Email: sdew@hospicenorthcoast.org
CONTRACTOR BUSINESS
Name: __ w_H_IT_E_c_o_N_S_T_R_u_c_T_IO_N_IN_c_. _____ _
Address: 2524 GATEWAY
City: CARLSBAD State: CA Zip: __ 9_2_00_9 __ _
Phone: __ 76_0_.9_3_1_.1_1_3_0 ___________ _
Email: _J_O_B_E.;;;@_W_H_IT_E_C_O_N_S_T_R_U_C_TI_O_N_IN_C_.c_O_M __ _
State License: 1023856 Bus. License: BLNR00043HJ2·2017
(Sec. 7031.S Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pdor to its
Issuance, also requires the applicant for such permit to flle a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License ~aw
{Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he/she is exempt therefrom, and the basis for the alleged
e1temption. Any violatlon of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)).
1635 Faraday Ave Carlsbad, CA 92008
B-2
Ph: 760-602-2719 Fax: 760-602-8558
Page 1 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
{ OPTION A): \i\/Olll{EJ!S'(:PI\IIPEIIJS/\l'IQN DECLARATION;
I hearby affirm under penalty of perjury one of the following dee/orations:
n I have ancJ will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued,
II I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued,
My workers' compensation insurance carrier and policy number are: Insurance Company Name: State Compensation Insurance Fund
Policy No, 9243036-22 ____ Expiration Date: 11.1l2Jl23 ... ·-····
D Certificate of hemption: I certify that in the performance of the work for which this permit is issued, I shr1II not employ any person in any manner so as to be come
subject to the workers' compensation Laws of California. WARNING: F<1ilure to secure workers compensation coverage Is unlawful, and shall subject an employer to
criminal penalties and clvll fines up to $100,000.00, ln addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code,
interest and attorney's fees, ()(:Zd,U
1 CONTRACTOR SIGNATURE: ~~1 ~(O•rJ;nttk(' ~GENT DATE: 1/17/2022
( OPTION 8 ): 9WNrn:BlJ!kilERIJ~_(L/\RATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
n I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec.
7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who does such work
himself or through his own employees, provided that such improvements are not Intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
0 t, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's license Law does not apply to an owner of property who builds or Improves thereon, and contracts for such projects with contractor{s) licensed
pursuant to the Contractor's license law).
D lam exempt under Section ________ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes O No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (Include name/ address/ phone/
contractors' IJcense number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work):
OWNER SIGNATURE: □AGENT ---------------------------DATE: _____ _
CONSTRUCTION~LENDING AGENCY, IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued {Sec. 3097 (i) Civil Code).
Lender's Name: ______________________ Lender's Address: _____________________ _
Q.NLY COMPLETfJ.H.EJ:Q1!,QWING SECTION FOR NQl'i:BI~lPJ:NTIAtllUILDING PERMITS Oi'iLY;
Is the applicant or future buildlng occupant required to submft a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes Cl No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
APPLICANT CERTIFICATION:
I certify that I have read the application and state that the above Information ls correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP
HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF
THE GMNTING OF THIS PERMIT.OSHA: An OSHA permit is requlred for excavations over S'O' deep and demolition or construction of structures over 3 stories In height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the bullding or work authorized
by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time
after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Bulldlng Code).
APPLICANT SIGNATURE: _M_1_che_le_h_ncJ_d_-K_u,_,h ____________ DATE: _1_0_1_11_12_1 ___ _
1635 Faraday Ave Carlsbad, CA 92008
B-2
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
PERMIT INSPECTION HISTORY for (CBC2021-0397)
Permit Type: BLDG-Commercial
Work Class: Tenant Improvement
Status: Closed -Finaled
Application Date: 1011812021 Owner: HOSPICE OF THE NORTH COAST
Issue Date: 01118/2022 Subdivision:
Expiration Date: 09/2012022
IVR Number: 36495
Address: 2525 PIO PICO DR, # 102
CARLSBAD, CA 92008-1568
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date
Monday, May 9, 2022
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Status
Passed
Yes
Yes
Yes
Yes
Yes
Page 2 of 2
Building Permit Inspection History Finaled
(city of
Carlsbad
PERMIT INSPECTION HISTORY for (CBC2021-0397)
Permit Type: BLDG-Commercial Application Date: 10/18/2021 Owner: HOSPICE OF THE NORTH COAST
Work Class: Tenant Improvement Issue Date: 01/18/2022 Subdivision:
Status: Closed -Finaled Expiration Date: 09/20/2022 Address: 2525 PIO PICO DR, # 102
IVR Number: 36495 CARLSBAD, CA 92008-1568
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Dale Start Date Status
01/24/2022 01/24/2022 BLDG-14 175142-2022 Passed Tim Kersch Complete
Frame/SteelfBolting/We
lding (Decks)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-17 Interior 175143-2022 Passed Tim Kersch Complete
Lath/Drywall
Checklist Item COMMENTS Passed
BLOG-Building Deficiency Yes
BLDG-21 175144-2022 Passed Tim Kersch Complete
Underground/Underflo
or Plumbing
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
01/28/2022 01/28/2022 BLDG-17 Interior 175516-2022 Partial Pass Tim Kersch Reinspection Incomplete
Lath/Drywall
Checklist Item COMMENTS Passed
BLDG-Building Deficiency 1 first floor. Yes
02/07/2022 02/07/2022 BLDG-17 Interior 176064-2022 Passed Tim Kersch Complete
Lath/Drywall
Checklist Item COMMENTS Passed
BLDG-Building Deficiency 1 first floor. Yes
03/25/2022 03/24/2022 BLOG-85 T-Bar, Ceiling 179019-2022 Passed Tim Kersch Complete
Grids, Overhead
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-14 Yes
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Rough-Topout Yes
BLDG-34 Rough Electrical Yes
BLDG-44 Yes
Rough-Ducts-Dampers
04/05/2022 04/05/2022 BLDG-Final Inspection 179737-2022 Passed Tim Kersch Complete
Monday, May 9, 2022 Page 1 of 2
• n,r
INTERWEST
DATE: 01-10-2022
JURISDICTION: Carlsbad
PLAN CHECK#.: CB-CBC2021-0397.RC1
PROJECT ADDRESS: 2525 Pio Pico Drive
SET II
PROJECT NAME: Hospice of The North Coast-TI
□ APPLICANT
□ JURIS.
~ The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
D The plans transmitted herewith will substantially comply with the jurisdiction's codes
when minor deficiencies identified below are resolved and checked by building department staff.
D The check list transmitted herewith is for your information. The plans are being held at lnterwest
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:
~ lnterwest staff did not advise the applicant that the plan check has been completed.
D lnterwest staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone#:
Date contacted: (by: ) Email:
Mail Telephone Fax In Person
0 REMARKS:
By: Erich A. Kuchar, P.E.
lnterwest
Enclosures:
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
• lW
INTERWEST
DATE: 11-5-2021
JURISDICTION: Carlsbad
PLAN CHECK#.: CB-CBC2021-0397
PROJECT ADDRESS: 2525 Pio Pico Drive
SET: I
PROJECT NAME: Hospice of The North Coast-TI
✓
□ 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.
IZ] The check list transmitted herewith is for your information. The plans are being held at lnterwest
until corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
D The applicant's copy of the check list has been sent to:
D lnterwest staff did not advise the applicant that the plan check has been completed.
IZ] lnterwest staff did advise the applicant that the plan check has been completed.
Person contacted: Michele Kush Telephone#: 619-297-6153
Date contacted: (by: ) Email: michele@safdierabines.com
Mail Telephone Fax In Person
0 REMARKS:
By: Erich A. Kuchar, P.E.
lnterwest
Enclosures:
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
PLAN REVIEW CORRECTION LIST
COMMERCIAL
PLAN CHECK#.: CB-CBC2021-0397 JURISDICTION: Carlsbad
OCCUPANCY: B USE: Office
TYPE OF CONSTRUCTION: V-B ACTUAL AREA: 4,026 sqft Tl work
SPRINKLERS?: Yes
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION: 10-18-2021
DATE INITIAL PLAN REVIEW
COMPLETED: 11-5-2021
FOREWORD (PLEASE READ):
STORIES: 3
HEIGHT: unchanged
OCCUPANT LOAD: 22 level 1, 24 level 3
DATE PLANS RECEIVED BY
ESGIL CORPORATION: -
PLAN REVIEWER: Erich A. Kuchar, P.E.
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.
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 lnterwest and the Carlsbad Planning,
Engineering and Fire Departments.
2. Bring TWO corrected set of plans and calculations/reports to lnterwest, 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 lnterwest only will not be reviewed by
the City Planning, Engineering and Fire Departments until review by lnterwest 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.
4.
5.
Electronic plans must be submitted back to the jurisdiction's building department
and will then be routed to lnterwest. Electronic plans may not be submitted
directly to lnterwest.
Please provide a response list indicating where each correction item has been
addressed on the plans. I.e., specify the plan sheet, note, or detail number,
calculation page, etc., where the item is corrected on the plans.
Plumbing & mechanical design is approved.
Please indicate here if any changes have been made to the plans that are not a
result of corrections from this list. If there are other changes, please briefly
describe them and where they are located in the plans. Have changes been
made to the plans not resulting from this correction list?
Please indicate:□ Yes □ No
6. The jurisdiction has contracted with lnterwest, 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 lnterwest. Thank
you.
BUILDING COMMENTS
Plan Check Engineer: Erich A. Kuchar, P.E. Set: I
PLANS
7. Provide a statement on the Title Sheet of the plans, stating that this project shall
comply with the 2019 California Building Code, which adopts the 2018 IBC, 2018
UMC, 2018 UPC and the 2017 NEC.
8. City of Carlsbad requires the B-55 Form be imprinted on the plans matching the
B-50 Form. The B-55 Form can be found at the end of the B-50 Form. Show on
plans this B-55 Form.
9. Update accessibility parking details on sheet SP.2 to reference sheet SP.2.2 and
update sheet index on TS.1 to match these sheets.
10. Update sheet TS.1 and SP.2 for Construction Type to be V-B not V-N.
DISABLED ACCESS REVIEW LIST
DEPARTMENT OF STATE ARCHITECT-TITLE 24
The following disabled access items are taken from the 2019 edition of California Building
Code, Title 24. Per Section 1.9.1, all publicly and privately funded public accommodations
and commercial facilities shall be accessible to persons with disabilities.
REMODELS, ADDITIONS AND REPAIRS
When alterations, structural repairs or additions are made to an existing building,
that building, or portion of the building affected, is required to comply with all of the
following requirements, per Section 11 B-202.4:
• The area of specific alteration, repair or addition must comply as "new"
construction.
• A primary entrance to the building and the primary path of travel to the
altered area, must be shown to comply with all accessibility features.
• The path of travel shall include the existing parking.
CURB RAMPS
11. Detectable warnings shall be installed in curb ramps with one or two entrance/
exit points that are 6' or 9' wide, respectively. Section 11-B-705.1.2.2. See image
below. Update sheet SP.2 to show the required dimensions for the truncated
domes. Please note there is an exception for existing conditions were the
truncated domes may be reduced to 2'-0" wide instead of the 3'-0" wide but the
3'-0" wide non-truncated depth must remain meaning you need a 5'-0" wide
minimum sidewalk at the truncated domes. (2'-0" truncated and 3'-0" non-
truncated.)
Yo'it.i"' ,.,
one entrence/eKlt point ,.
31mln ., ..
N w· ~ ,...,
(b)
fwo wlfnlncale.d polnla
FIGURE 118-105. 1 .J.2.2
PARALLEi. CUR8 RAIIPS
12. Detectable warnings are not permitted in the required turning spaces, clear floor
spaces, landings for doors, pedestrian ramps, access aisles to accessible
parking, drop off/ loading zones & stairs. Sections 11 B-304.2, 11 B-305.2, 11 B-
404.2.4.4, 11 B-405.7, 11 B-502.4, 11 B-503.4, 11 B-504.4, and 11 B-705.1.2.2,
respectively.
See image below. The truncated domes must be moved out of the access aisle
way as shown on sheet SP.2 and the sidewalk must be widen to 5'-0" minimum
as per comment above. The access aisle way length must also maintain the
minimum 18'-0" long.
'
b
I
Truncated Domes
Requires outside of
landing and show
details and notes,
118-247 and 118-705
Figure 118-404.2.4.1 (a)
-3'-0" MIN
Access Aisle,
118-502, were
occurs, must maintain
parking stall length
END OF DOCUMENT
Business Name
Hazardous Materials Questionnaire
County of San Diego, Department of Environmental Health and Quality
PO Box 129261, San Diego, CA 92112-9261
(858) 505-6700 (800) 253-9933 www.sdcdehq.org
hospice of the north coast
Business Contact
michele arnold kush
Project Address
2525 pio pico DR 1sV3rd fl
Applicant
michele arnold kush
City
carlsbad
State
CA
Applicant E-Mail
michele@safdierabines.com
Record ID#: Not in System
Plan Check#: DEH2021-HHMBP-010889
Balance Due: $73.00
Telephone# Plan File#
(619) 203-8357
Zip Code
92008
Applicant Telephone#
(619) 203-8357
APN#
156120 64
The following questions represent the facility's activities, NOT the specific project description.
PART I· FIRE DEPARTMENT -HAZARDOUS METERIALS DIVISION: OCCUPANCY CLASSIFICATION: (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: B Facility's Square Footage (including proposed project): 4026
□ Explosive or Blasting Agents □ Organic Peroxides □ Water Reactives □ Corrosives
□ Compressed Gases □ Oxidizers □ Cryogenics □ Other Health Hazards
□ Flammable/Combustible liquids □ Pyrophorics □ Highly Toxic or Toxic Materials □ None of These
□ Flammable Solids □ Unstable Reactives □ Radioactives
PART II· SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEAL TH -HAZARDOUS MATERIALS DIVISION (HMO): If 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: 3/1/2022
YES
1. □ 2. □
3. □
4. □ 5. □
6. □
7. □
8. □
NO
"' "' "' □
"' "' "' "'
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 Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD): 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.
YES NO
"' □ "' □ □ "'
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?
1.
2.
3.
4.
5.
6.
□ "'
□
□
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.
Briefly describe business activities:
business office
Briefly describe proposed project:
non structural demolition and construction
I declare under penally of perjury that to the best of my knowledge and belief, the responses made herein are true and correct. IHI; Fees Acknowledged: IHI
michele arnold Kush 11/30/2021
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
OCCUPANCY
RELEASED FOR OCCUPANCY
M. Martinez
$JC.NAT!;~\:'.
11/30/2021
APCD COUNTY-HMO APCD COUNTY-HMO APCD
~A stamp in this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply.
DEHQ_HMD_HMBP _Questionnaire v 2.0 (812021)
Printed on: 11130/2021 @ 4:51 PM
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
SCREENING SURVEY
Date 10.11/21
Business Name Hospice of The North Coast
Street Address 2525 Pio Pico Dr. Carlsbad, CA 92008
Email Address michele@safdierabines.com
PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) 0
Check all below that are present at your facility:
Acid Cleaning Ink Manufacturing Nutritional Supplement/
Assembly Laboratory Vitamin Manufacturing
Automotive Repair Machining/ Milling Painting/ Finishing
Battery Manufacturing Manufacturing Paint Manufacturing
Biofuel Manufacturing Membrane Manufacturing Personal Care Products
Biotech Laboratory (i.e. water filter membranes) Manufacturing
Bulk Chemical Storage Metal Casting/ Forming Pesticide Manufacturing/
Car Wash Metal Fabrication Packaging
Chemical Manufacturing Metal Finishing Pharmaceutical Manufacturing
Chemical Purification Electroplating (including precursors)
Ory Cleaning Electroless plating Porcelain Enameling
Electrical Component Anodizing Power Generation
Manufacturing Coating (i.e. phosphating) Print Shop
Fertilizer Manufacturing Chemical Etching / Milling Research and Development
Film/ X-ray Processing Printed Circuit Board Rubber Manufacturing
Food Processing Manufacturing Semiconductor Manufacturing
Glass Manufacturing Metal Powders Forming Soap/ Detergent Manufacturing
Industrial Laundry Waste Treatment/ Storage
SIC Code(s) (if known): ______________________ _
Brief description of business activities (Production/ Manufacturing Operations):. _____ _
office
Description of operations generating wastewater (discharged to sewer, hauled or evaporated):
Estimated volume of industrial wastewater to be discharged (gal/ day): ________ _
List hazardous wastes generated (type/volume): _______________ _
Date operation began/or will begin at this location: _______________ _
Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority?
Yes No If yes, when: _____________________ _
Site Contact~ ______________ Title ____________ _
Signature. _______________ Phone No. __ .,---________ _
ENCINAWASTEWATER AUTHORITY, 6200 Avenida Encinas Carlsbad, CA 92011 (760) 438-3941
FAX: (760) 476-9852
DISCHARGE PERMIT EXEMPT LIST
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.
X
Automobile Detailers
Barber/Beauty Shops
Business/Sales Offices
CarpeUUpholstery Cleaning Services
Childcare Facilities
Churches
Community Centers
Consulting Services
Contractors
Counseling Services
Educational Services (no auto repair/film developing)
Financial Institutions/Services
Fitness Centers
Gas Stations (no car wash/auto repair)
Grocery Stores (no film developing)
Home-based Businesses
Hotels/Motels (no laundry}
Laundromats
Libraries
Medical Offices (no x-ray developing)
Mortuaries
Museums
Nail Salons
Nursing Homes
Office Buildings (no process flow)
Optical Services
Pest Control Services (no pesticide repackaging for sale)
Pet Boarding/Grooming Facilities
Postal Services
Public Storage Facilities
Restaurants/Bars
Retail/Wholesale Stores (no auto repair/film developing)
Theaters (Movie/Live)
( City of
Carlsbad
PURPOSE
CLIMATE ACTION PLAN
CONSISTENCY CHECKLIST
B-50
Development Services
Building Division
1635 Faraday Avenue
(760) 602-2719
www.carlsbadca.gov
This checklist is intended to help building permit applicants identify which Climate Action Plan (CAP) ordinance requirements
apply to their project. This completed checklist (B-50) and summary (B-55) must be included with the building permit
application. The Carlsbad Municipal Code (CMC) can be referenced during completion of this document by clicking on
the provided links to each municipal code section.
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
Consultation with a certified Energy Consultant is encouraged to assist in filling out this document,;;Appr riate
certification includes, but is not limited to: Licensed, practicing Architect, Engineer, or Contractor familiar th ergy
compliance, IECC/HERS Compliance Specialist, ICC GB Energy Code Specialist, RESNET HERS rater certi rtified
ICC Residential Energy Inspector/Plans Examiner, ICC Commercial Energy Inspector and/or Plans Examiner, I green
Inspector/Plans Examiner, or Green Building Residential Plan Examiner.
If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required b~ance,
check N/A and provide an explanation or code section describing the exception. ,,,,...
Details on CAP ordinance requirements are available at each section by clicking on the municipal code link l...d. The
project plans must show all details as stated in the applicable Carlsbad Municipal Code (CMC) and/or En~de and
Green Code sections.
Property Address/APN: 2525 Pio Pico Drive Carlsbad CA 92008 APN: 156.120.64
Applicant Name/Co.: Michele Arnold Kush
Applicant Address: 925 Fort Stockton Drive San Diego, CA 92103
Contact Phone: 619-297-6153 Contact Email: michele@safdierabines.com
Contact information of person completing this checklist (if different than above):
Name:
Company
name/address:
Michele Arnold Kush
SRI
Applicant Signature: __ _
B-50
Contact Phone: 619-297-6153
Contact Email: michele@safdierabines.com
_______ Date: 12.21.21
Page 1 of 7 Revised 04/21
Use the table below to determine which sections of the Ordinance checklist are applicable to your project. For
alterations and additions to existing buildings, attach a Permit Valuation breakdown on a separate sheet.
Building Permit Valuation (BPV) $ breakdown~S=-5=-50~,=-0=-00=------
Construction Type
D Residential
□ New construction
D Additions and alterations:
□ BPV < $60,000
□ BPV;, $60,000
□ Electrical service panel upgrade only
□ BPV;, $200,000
Ii] NonresidenUal
D New construction
D Alterations:
□ BPV;, $200,000 or additions ;, 1,000
square feet
l!!I BPV;, $1,000,000
□ ;, 2,000 sq. ft. new roof addition
Checklist Item
Complete Section(s) Notes:
A high-rise residential building is 4 or more stories, including a
Low-rise High-rise mixed-use building in which at least 20% of its conditioned floor
area is residential use
2A', 3A', 1B, 2B, 'Includes detached, newly constructed ADU 4A*, 3B, 4A
NIA 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
1 B, 2B, 3B, 4B and 5
1B, 5
1B, 2B, 5 Building alterations of;, 75% existing gross floor area
2B, 5 1 B also applies if BPV;, $200,000
Check the appropriate boxes, explain all not applicable and exception Items, and provide supporting calculations and documentation as necessary.
1. Energy Efficiency
Please refer to Carlsbad Municipal Code (CMC) 18.21.155 and 18.30.190,and the California Green Building Standards Code (CALGreen) for more
information. Appropriate details and notes must be placed on the plans according to selections chosen in the design.
A D Residentialadditionoralterationi::$60,000buildingpermitvaluation. □ N/A __________ _
Details of selection chosen below must be placed on the plans referencingCMC □ Exception: Home energy score;, 7
18.30.190. (attach certification)
Year Built Single-family Requirements Multi-family Requirements
D Before 1978 Select one option:
D Ductsealing D Attic insulation □Cool roof D Attic insulation
D 1978 and later Select one option:
D Lighting package D Water heating Package
D Between 1978and 1991 Select one option:
D Ductsealing □ Attic insulation □Cool roof
D 1992 and later Select one option:
D Lighting package □ Water heating package
Updated 4/16/2021 3
B. Iii Nonresidential' new construction or alterations~ $200,000 building permit valuation,
or additions~ 1,000squarefeet.See CMC 18.21.155and CALGreen Appendix AS D N/A
AS.203.1.1 Choose one: D .1 Outdoorlighting D .2 Restaurant service water heating (CEC 140.5)
D .3Warehousedocksealdoors. D .4Daylightdesign PAFs D .5 Exhaustairheatrecovery □ N/A
AS.203.1.2.1 Choose one: D .95 Energy budget (Projects with indoor lighting OR mechanical)
D .90 Energybudget (ProjectswithindoorlightingANDmechanical) □ N/A
AS.211.1" D On-site renewable energy:
D N/A
AS.211.3" D Green power: (If offered by local utility provider, 50% minimum renewable sources)
D N/A
AS.212.1 D Elevators and escalators: (Project with more than one elevator or two escalators)
D N/A
AS.213.1 !!! Steel framing: (Provide details on plans for options 1-4 chosen)
D NIA
• Includes hotels/motels and high-rise residential buildings
----------
"Foralterations~$1,000,000 BPVandaffecting > 75% existinggrossfloorarea, ORalterationsthatadd 2,000squarefeetof new roof addition: comply
with CMC 18.30.130 (section 2B below) instead.
2. Photovoltaic Systems
A. D Residential new construction (for low-rise residential building permit applications submitted after 111120). Refer to 2019 California
Energy Code section 150.1(c)14 for requirements. If project includes installation of an electric heat pump water heater pursuant to
CAP section 3B below (low-rise residential Water Heating), 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.
kWdc
Exception
D
D
D
D
B. Ii] Nonresidential new construction or alterations ~$1,000,000 BPV AND affecting ~75% existing floor area, OR addition that increases
roof area by ~,000 square feet. Please refer to CMC 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:
l!I Gross Floor Area (GFA}Method
GFA: 5,622 SF(2 floors)
!!! If< 10,000s.f. Enter: 5 kWdc
Min.SystemSize: 5 kWdc
□If~ 10,000s.f. calculate: 15 kWdcx (GFA/10,000)"
"Round building size factor to nearest tenth, and round system size to nearest whole number.
Updated 4/16/2021 4
□ Time-Dependent Valuation Method
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. Refer to CMC 18.30.170 when completing this section.
Provide complete details on the plans.
□ For systems serving individual dwelling units choose one system:
□ Heat pump water heater AND Compact hot water distribution AND Drain water heat recovery (low-rise
residential only)
□ Heat pump water heater AND PV system .3 kWdc larger than required in CMC 18.30.130 (high rise
residential hotel/motel) or CA Energy Code section 150.1 (c) 14 (low-rise residential)
□ Heat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higher
□ Solar water heating system that is either .60 solar savings fraction or 40 s.f. solar collectors
□ Exception:
□ For systems serving multiple dwelling units. install a central water-heating system with ALL of the following:
□ Gas or propane water heating system
□ Recirculation system per CMC 18.30.150(8) (high-rise residential, hotel/motel) or CMC 18.30.170(8) (low-
rise residential)
□ Solar water heating system that is either:
□ .20 solar savings fraction
□ . 15 solar savings fraction, plus drain water heat recovery
□ Exception:
B. D Nonresidential new construction. Refer to CMC 18.30.150 when completing this section. Provide
complete details on the plans.
□ Water heating system derives at least 40% of its energy from one of the following (attach documentation):
□ Solar-thermal □ Photovoltaics □ Recovered energy
□ Water heating system is (choose one):
□ Heat pump water heater
□ Electric resistance water heater(s)
□Solar water heating system with .40 solar savings fraction
□ Exception:
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.
Updated 4/16/21 5
4. Electric Vehicle Charging
A. D Residential New construction and major alterations*
Please refer to CMC 18.21.140 when completing this section.
□ One and two-family residential dwelling or townhouse with attached garage:
□ One EVSE Ready parking space required □ Exception :
□Multifamily residential· -□ Exception ·
Total Parking Spaces EVSE Spaces
Proposed EVSE (10% of total) Installed (50% of EVSE) Other "Ready"" Other "Capable"'
Calculations: Total EVSE spaces= .10 x Total parking spaces proposed (rounded up to nearest whole number) EVSE Installed = Total EVSE
Spaces x .50 (rounded up to nearest whole number) EVSE other may be "Ready" or "Capable"
'Majoralterationsare: ( 1 )foroneand two-family dwellings and townhouses with attached garages, alterations have a building penmit
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 significantsite work and upgrades to
structural and mechanical, electrical, and/or plumbing systems are proposed.
'ADU exceptions for EV Ready space (no EV ready space required when):
(1) The accessory dwelling unit is located within one-half mile of public transit.
(2) The accessory dwelling unit is located within an architecturally and historically significant historic district.
(3) The accessory dwelling unit is part of the proposed or existing primary residence or an accessory structure.
(4) When on-street parking permits are required but not offered to the occupant of the accessory dwelling unit.
(5) When there is a car share vehicle located within one block of the accessory dwelling unit.
B. D Nonresidential new construction (includes hotels/motels) □ Exception : _____________ _
Please refer to CMC 18.21.150 when completing this section
Total Parking Spaces
Prooosed EVSE (10% of total) I Installed (50% of EVSE) Other "Ready" I Other "Capable"
I I
Calculation· Refer to the table below·
Total Number of Parking Spaces provided Number of required EV Spaces Number of required 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
□ 151-200 17 9
□ 201 andover 10 percent of total 50 percent of Required EV Spaces
Calculations: Total EVSE spaces= .1 Ox Total parking spaces proposed (rounded up to nearest whole number) EVSE Installed = Total EVSE
Spaces x .50 (rounded up to nearest whole number) EVSE other may be "Ready" or "Capable"
Updated 4/16/2021 6
5. Iii Transportation Demand Management (TDM): Nonresidential ONLY
An approved Transportation Demand Management (TDM) Plan is required for all nonresidential projects that meet a threshold of employee-generated ADT.
City staff will use the table below based on your submitted plans to detemninewhetherornoryourpemnitrequires a TOM plan. If TOM is applicabletoyour
penmit, staff will contact the applicant to develop a site-specific TOM plan based on the penmit details.
Acknowledgment:
Employee ADT Estimation for Various Commercial Uses
Use
EmpADTfor
first 1,000 s.f.
EmpADTI
1000 s.f.,
Office (all), 20
Restaurant 11
Retail, 8
Industrial 4
Manufacturing 4
Warehousing 4
1 Unless otherwise noted, rates estimated from /TE Trip
Generation Manual, 10thEdition
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
, 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 Employee ADT
OCCUPANT
AREA:
4,026 S.F.
4,026 / 1,000 =
4.026 ADT
I acknowledge lhatthe plans submitted may be subjectto the City of Carlsbad's Transportation Demand ManagementOrdinance. I agree to be contacted should
my permit require a TOM plan and understand that an approved TOM plan is a condition of penmit issuanoe.
~-Date·.12·21.Zl ApplicantSignature.: __________________ _
Person other than Applicant to be contacted for TDM compliance (if applicable):
N (p . t d) MICHELE ARNOLD KUSH ame nn e :. ___________________ _ 6/9. 297. 6153 Phone Number. _____ _
E "IAdd MICHELE@SAFDIERABINES.COM ma1 ress: ___________________ _
Updated 4/16/2021 7
( City of
Carlsbad
CLIMATE ACTION PLAN (CAP) COMPLIANCE
CAP Building Plan
Template
B-55
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
The following summarizes project compliance with the applicable Climate Action Plan ordinances of the Carlsbad Municipal Code and California
Green Building Standards Code (CALGreen), current version. Use this form to summarize all applicable CAP measures for your project. IF CAP
MEASURES ARE APPLICABLE, IMPRINT THIS COMPLETED FORM ONTO PROJECT PLANS.
1. ENERGY EFFICIENCY APPLICABLE: (2]YES □ NO
Complies with CMC 18.30.190
& 18.21.155 OYes ON/A
Existing Structure, year built: -"2"-0-'-02=------
Prepared Energy Audit? Oves 0No
Energy Score: _____ _
Efficiency Measures included in scope:
STEEL FRAMING
2. PHOTOVOLTAIC SYSTEM APPLICABLE: OYES [2]No
Complies with CMC section 18.30.130 and 2019 California Energy
Code section 150.l(c)14 D Yes D N/A
Required Provided
Size of PV system (kWdc):
Sizing PV by load calculations 0Yes 0No
If by Load Calculations:
Total calculated electrical load:
80% of load:
Hardship Requested D Yes ~
Hardship Approved D Yes ONo
3. ALTERNATIVE WATER HEATING SYSTEM APPLICABLE: □ YES 0NO
4.
Complies with CMC sections 18.30.150
and 18.30.170?
Alternative Source:
□ Electric
□ Passive Solar
Hardship Requested
Hardship Approved
Oves ON/A
DYes 0No
□Yes □ No
ELECTRIC VEHICLE (EV) CHARGING APPLICABLE: □vES [Z]No
Complies with CMC
section 18.21.140?
Panel Upgrade?
Total EV Parking Spaces;
No. of EV Capable Spaces:
No. of EV Ready Spaces:
Oves ON/A
OYes ONo
Required Provided
No. of EV Installed Spaces:
Hardship Requested Oves QNo
Hardship Approved [JVes □No
S. TRAFFIC DEMAND MANAGEMENT APPLICABLE: 0 YES □ NO
Compliant? Oves DNo
TOM Report on file with city? D Yes ONo