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Home My WebLink About2175 SALK AVE; 100; CBC2021-0409; PermitPERMIT REPORT (city of Carlsbad Commercial Permit Print Date: 07/08/2022 Job Address: 2175 SALK AVE, # 100, CARLSBAD, CA 92008-7346 Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Project Title: BLDG-Commercial 2120210800 $267,711.00 Work Class: Track#: Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Description: BIOPOINT: Tl (5756 SF) PARTITIONS/MEP (NO CHANGE IN USE) Applicant: RBN DESIGN LAURA ROCHA 5090 SHOREHAM PL SAN DIEGO, CA 92122-5933 (619) 297-1011 X 102 FEE Property Owner: BROOKWOOD CB I LLC 138 CONANT ST BEVERLY, MA 01915-1665 (978) 720-7500 GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION STRONG MOTION -COMMERCIAL (SMIP) COMM/IND Tl -NON-STRUCTURAL SB1473-GREEN BUILDING STATE STANDARDS FEE CERTIFICATE OF OCCUPANCY BUILDING PLAN REVIEW-MINOR PROJECTS (LDE) BUILDING PLAN REVIEW-MINOR PROJECTS (PLN) BUILDING PLAN CHECK Permit No: CBC2021-0409 Status: Closed• Finaled Tenant Improvement Applied: 10/22/2021 Issued: 02/01/2022 Fina led Close Out: 07/05/2022 Inspector: Final Inspection: Contractor: SP W CONSTRUCTION INC 2524 GATEWAY RD CARLSBAD, CA 92009-1742 (760) 931-1130 TKers 07/05/2022 AMOUNT $175.00 $74.96 $1,584.92 $11.00 $15.00 $194.00 $98.00 $1,030.20 Total Fees: $3,183.08 Total Payments To Date: $3,183.08 Balance Due: $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 ( City of Carlsbad COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check CBC 21)2,/ -oL/()r Est. Value ;J(p¼] 1 J PC Deposit / o .30, :J.0 Date _,'--'/ b"-'/'--'p"--"--P..,_,1.l,-c.../,___ I ; Job Address_2_1?_s_s_a,_k A_v_• ______________ Suite:_10_0 ____ ,APN: 212-021-os-oo Tenant Name:_8_10c..P0_1'_1 _____________ _ Lot#: Year Built: .::.20:.:c07 ___ _ Occupancy:_' ___ _ Ill B El □ El □ Construction Type'-'·'-'-'-c._ __ _,fire Sprinklers: yes "o A/C: yes "o BRIEF DESCRIPTION OF WORK: Tenant improvement work to include:Demolilion *non-load bearing/non-shear partitions, Interior partitions, Electrical, Mechanical, and Plumbing. D Addition/New:, ___________ New SF and Use, ___________ New SF and Use, ____ Deck SF, Patio Cover SF (not including flatwork) [!] Tenant lmprovement:_5_75_6 ____ SF, Existing Use_O_ff_ice _____ Proposed Use _o_ff,_ce ____ _ _____ SF, Existing Use Proposed Use ______ _ D 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: --------------------------- □ Other: This permit is to be issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the owner or contractor. The person listed as the Applicant below will be the main point of contact throughout the permit process. PROPERTY OWNER APPLICANT O PROPERTY OWNERS AUTHORIZED AGENT APPLICANT liJ Name: Brookwod CBI, LLC Address: 72 Sherry Hill Drive City: Beverly Phone: 978-720-7535 Email: Lrocha@rbn-design.com DESIGN PROFESSIONAL State:._M_A __ Zip: o1915 APPLICANT 0 Name.: _________________ _ Address:. ________________ _ City:. ________ State:. ___ Zip:. ___ _ Phone:. ________________ _ Name: RBN Dos,gn Address: 5090 Shoreham Place #100 City: San Diego Phone: 5192911011 State:._c_A __ Zip: 92122 Email: Lrocha@rbn-design.com APPLICANT 0 Address::_,o!,..ii!.:!..J.._.!.!.!:L!~~!.!;{;_r:~i.------- City:._:L~!,,!,'.,1..¥~-,--....,.., Phone.:·_ -1.~.e;_....!~:....J~.,..\-!!..---,.---,------Email:. ________________ _ Email: VI 0/1') Architect State License: __________ _ State License: Jb;J 3 $'.5L '1 }-<l :z...~ 1017 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. 08120 IDENTIFY WHO Will PERFORM THE WORK BY COMPLETING (OPTION A) OR (OPTION B) BELOW: (OPTION A): LICENSED CONTRACTOR DECLARATION: I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of pe,jury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. Policy No. ____ _ {111 have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the pe~rrarfe oft ed./ My workers' co ensati insurance rrier and policy number are: Insurance Company Name: .':::'°::...__.";)~t~t,;,t!.~..J.J:;i,J:!!.~:!l~"-!::..!il!:J_t:.J"-.tQf Policy No. Expiration Date: ----'--'-'~....,~------------- 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 become subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency for the performance of the wo .. ,k~t~h:;s~p~e;l,mt•=;,=;="~"~•=d~;;~~::=~':'.:_~c---------Lender's Name.,. _____________________ Lender's~ ~ coNTRAcToR PRINT: A"'!) e lr,.S/<.,4ns4 s1G1-;: = DATE: ..::Jc...:.....;.. /-'·2'-""2..___ Pro.r<.e-1 C.O~:i,,c,,le, (OPTION B): OWNER-BUILDER DECLll'.RATION: I hereby affirm that I am exempt from Contractor's License Low for the following reason: DI, as owner of the property or my employees with wages as their sole compensation, wilt 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor{s) licensed pursuant to the Contractor's license Law). DI am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: D "Owner Builder acknowledgement and verification form" has been filled out, signed and attached to this applkation. Proof of identification attached. D Owners "Authorized Agent Form" has been filled out, signed and attached to this application giving the agent authority to obtain the permit on the owner' behalf Proof of identification attached. By my signature below I acknowledge that, except for my personal residence in v.hich I must have iesided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built a'i an owner-builder if it has not been constructed in it> entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: http://www.leginfo.ca.gov/calaw.htm/. OWNER PRINT: SIGN: _________ DATE: ______ _ APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL By my signature below, I certify that: I am the property owner or State of California Licensed Contractor or authorized to act on the property owner or contractor's behalf. I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relatirig 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 GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. APPLICANT PRINT: Laura Rocha ------------- / 0 / /:d-' /!~zr'lz_ SIGN: _ _;'_"/_-______ DATE: 10-18·2021 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-2 Page 2 of 2 Rev. 08/20 { City of Carlsbad OWNERS AUTHORIZED AGENT FORM B-62 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www .carlsbadca.gov OWNER'S AUTHORIZED AGENT FORM Only a property owner, contractor or their authorized agent may submit plans and applications for building permits. To authorize a third"party agent to sign for a building permit, the owner's third party agent must bring this signed form, which identifies the agent and the owner who s/he is representing, and for what jobs s/he may obtain permits. The form must be completed in its entirety to be accepted by the City for each separate permit application. Note: The following Owner's Authorized Agent form is required to be completed by the property owner only when designating an agent to apply for a construction permit on his/her behalf. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Property Owner Acknowledgement, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner-Builder Permit for my project. Tenant improvement work to include:Demolition "non-load bearing/non-shear partitions, Interior partitions, Electrical, Scope of Construction Project (or Description of Work): ~M=ec~h~ailn~ic~aillwailn~d~P~l~u~m~b~in~q~.----------- 2175 Salk Ave Project Location or Address: ______________________________ _ RBN Design 6192971011 Name of Authorized Agent: ___________________ Tel No. _________ _ Address of Authorized Agent: 5090 Shoreham Pl. #100 San Diego, CA 92122 I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Property Owner's Signature: __ A_7~>'f--fo/r+---T>'--------Date: 1 Q .19 .21 PERMIT INSPECTION HISTORY for (CBC2021-0409) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Closed -Finaled Application Date: 1012212021 Owner: BROOKWOOD C B I LLC Issue Date: 02/01/2022 Subdivision: Expiration Dale: 10103/2022 IVR Number: 36604 Address: 2175 SALK AVE, # 100 CARLSBAD, CA 92008-7346 Scheduled Date Actual Inspection Type Start Date Inspection No. Inspection Primary Inspector Reinspection Inspection Status 06/07/2022 06/07/2022 BLDG-Final Inspection 184283-2022 Failed Tim Kersch Re inspection Incomplete Checklist Item COMMENTS Passed BLOG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final Not ready for final inspection No 07/0512022 07/05/2022 BLDG-Final Inspection 186239-2022 Passed Tim Kersch Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLOG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Not ready for final inspection Yes Friday, July 8, 2022 Page 2 of 2 Building Permit Inspection History Finaled (_ City of Carlsbad PERMIT INSPECTION HISTORY for (CBC2021-0409) Permit Type: BLDG-Commercial Application Date: 10/22/2021 Owner: BROOKWOOD C BI LLC Work Class: Tenant Improvement Issue Date: 02/01/2022 Subdivision: Status: Closed -Finaled Expiration Date: 10/03/2022 Address: 2175 SALK AVE, # 100 IVR Number: 36604 CARLSBAD, CA 92008-7346 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 02/08/2022 02/08/2022 BLDG-21 176241-2022 Passed Tim Kersch Complete Underground/Under11o or Plumbing Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 02/17/2022 02/17/2022 BLDG-44 176816-2022 Passed Tim Kersch Complete Rough/Ducts/Dampers Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 03/02/2022 03/02/2022 BLDG-17 Interior 177598-2022 Passed Tim Kersch Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 04/05/2022 04/05/2022 BLDG-85 T-Bar, Celling 179778-2022 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 04/19/2022 04/19/2022 BLDG-Electric Meter 180888-2022 Passed Tim Kersch Complete Release Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Final Inspection 180889-2022 Failed Tim Kersch Reinspection Incomplete Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No Friday, July 8, 2022 Page 1 of 2 DATE: November 5, 2021 JURISDICTION: Carlsbad PLAN CHECK#.: CB-CBC2021-0409 PROJECT ADDRESS: 2175 Salk Ave • lW lNTERWEST A SAFlibullt COMM.NV SET: i PROJECT NAME: T. I . for BROOKWOOD CBI, LLC □ APPLICANT □ JURIS. 0 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 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. 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: Abe Doliente/SH/MM lnterwest 10/26/21 Enclosures: 9320 Chesapeake Drive, Suite 208 ♦ San Diego, Californ ia 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Carlsbad CB-CBC2021-0409 November 5, 2021 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Abe Doliente/SH/MM BUILDING ADDRESS: 2175 Salk Ave BUILDING OCCUPANCY: B BUILDING PORTION T.I. Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code 1997 UBC Plan Check Fee l"-1.51: Type of Review: D Repetitive Fee ~ Repeats I AREA I Valuation (Sq.Ft) Multiplier 5756 cb By Ordinance B Complete Review □ Other □ Hou1y EsGilFee Comments: IW fee = 0.65 X 1915.80 = 1245.27 PLAN CHECK#.: CB-CBC2021-0409 DATE: November 5, 2021 Reg. VALUE {$) Mod. $1,91 5.801 D Structural Only $1,245.271 Sheet 1 of 1 OFFICE USE ONLY SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE RECORD ID# _________________ _ PLAN CHECK# __________________ I Biopoint Project Address (include suite) 2175 Salk Ave Suite 100 Mailing Address (include suite) Same as above Project Contact Laura Rocha Business Contact Jay Destino City Carlsbad City Applicant E-mail LRocha@RBN-deslgn.com State CA State Telephone# 619.344.0134 Zip Code 92008 Zip Code Telephone# 619-297-1011 x102 BP DATE APN# 212-021-08-00 Plan File# 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 QJ.egQ}: 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 HEAL TH -HAZARDOUS MATERIALS DIVISION HMO : If the answer to any of the questions is yes, applicant must contact the ounty o an Diego Hazardous Materials Division, 5500 verland Avenue, uite 170. an Diego, CA 92123. Call (858) 505-6700 prior to the issuance of a building permit. FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy: □ CalARP Exempt I 1. 2. 3. 4. 5. 6. 7. 8. YES NO ~ ~ ! I (for new construction or remodeling projects) 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 greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? Will your business store or handle carcinogens/reproductive toxins in any quantity? Will your business use an existing or install an underground storage tank? Will your business store or handle Regulated Substances (CalARP)? Will your business use or install a Hazardous Waste Tank System (Title 22, Article 1 0)? Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). Date Initials □ CalARP Required I Date Initials □ CalARP Complete I Date Initials PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT {APCDI: The following questions are intended to identify the majority of air pollution issues at the planning stage. Your project may require additional measures not identified by these questions. Some residential projects may be exempt from APCD requirements. If yes is answered for either questions 1, 2 or 5 or for more comprehensive requirements, please contact APCD at apcdcomp@sdcountyca.gov; (858) 586-2650; or 10124 Old Grove Road, San Diego, CA 92131. 1. 2. 3. 4. 5. 6. YES NO ~ l!I ~ El □ □ □ □ rn □ Will the project disturb 100 square feet or more of existing building materials? Will any load supporting structural members be removed? (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by an individual that has passed an EPA-approved building inspector course? (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Based on the survey results. will the project disturb any asbestos containing material? If yes, a notification may be required at least 10 working days prior to commencing asbestos removal. Additionally, a notification may be required prior to the removal of a load supporting structural member(s) regardless of the presence of asbestos. Will the project or associated construction equipment emit air contaminants? See the reverse side of this form for typical equipment requiring an APCD permit. If yes, contact APCD prior to the issuance of a building permit. (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school bounda ? Briefly describe business activities: Briefly describe proposed project: OFFICE TENANT IMPROVEMENT I declare under penalty of perjury that to the best of my knowledge and belief t e res · erein are true and correct. LAURA ROCHA. _____ I ~--------- Name of Owner or Authorized A ent Si nature of ::,2f,< ,rized A ent 10 /,. /,.,, Date FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:. ________________________________ _ DATE· I EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMO' APCD COUNTY-HMO APCD COUNTY-HMO APCD .p-~'~" C'o'>"-q, t Rev,ewed a 10/V,/1}-All \?! ~I~ .... ~ i• .,, o,~o t~ 'A stamp 1n this box Q!lrl exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting reqwrements may sttll apply HM-9171 (9/18) County of San Diego -DEH -Hazardous Materials Division ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY 6200 Avenida Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com The commercial enterprises listed below are a partial listing of businesses that are exempt from industrial wastewater discharge permitting under normal operating conditions. They are exempt because (a) they discharge no process wastewater (i. e., they only discharge sanitary wastewater with no pollutants exceeding any local limits), and (b) they have no potential to negatively impact the EWPCF or other wastewater treatment plants in the ESS. Any questions regarding exemptions should be referred to EWA Source Control staff. □ Automobile Detailer s □ Hotels/ Motels (no laundry) □ Barber/Beauty Shops □ Laundromats □ Business/Sales Offices □ Libraries □ Cleaning Services □ Medical Offices (no x-ray developing) □ CarpeUUpholstery □ Mortuaries □ Childcare Facilities □ Museums □ Churches □ Nail Salons □ Community Centers □ Nursing Homes □ Consulting Services ~ Office Buildings (no process flow) □ Contractors □ Optical Services □ Counseling Services □ Pest Control Services (no pesticide repackaging for sale) □ Educational Services (no auto repair/film developing) □ Pet Boarding/Grooming Facilities □ Financial Institutions/Services □ Postal Services (no car wash/auto repair) □ Fitness Centers □ Public Storage Facilities □ Gas Stations (no car wash/auto repair) □ Restaurants/Bars □ Grocery Stores (no film developing) □ Retail/Wholesale Stores (no autorepair/film □ Residential based Businesses developing) □ Theaters (Movie/live) CERTIFICATION STATEMENT I certifv that the information above is true and correct to the best of my knowledge. ~~ Signature: _____________ _ Laura Rocha Print Name: ____________ _ 10-18-2021 Date: ____ _ Facility Contact:. ___________ _ Title:_P_r_o_je_c_t_M_a_n_a_g_e_r __ ENCINA WASTEWATER AUTHORITY 6200AVENIDA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com Page 2 of 2 □ □ □ □ □ □ □ □ □ □ ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY 6200 Avenida Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com Date: 10-18-2021 Business Name: Biopoint --------------------- Street Address: 2175 Salk Ave Suite 100 Email Address: lrocha@rbn-design.com PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT : (ON REVERSE SIDE CHECK TYPE OF BUSINESS) I ✓ I Check all below that are present at your facility: Acid Cleaning D Food Processing D Metal Powders Forming Assembly D Glass Manufacturing D Nutritional SupplemenWitamin Automotive Repair D Industrial Laundry D Manufacturing Battery Manufacturing D Ink Manufacturing D Painting/Finishing Biofuel Manufacturing D Laboratory D Paint Manufacturing Biotech Laboratory D Machining/Milling D Personal Care Products Bulk Chemical Storage D Membrane manufacturing D Manufacturing Car Wash D (i.e. waterfilter membranes) D Pesticide Manufacturing/ Packaging Chemical Manufacturing D Metal Casting/Forming D Pharmaceutical Manufacturing Chemical Purification D Metal Fabrication D (including precursors) D Dental Offices D Metal Finishing D Porcelain Enameling D Power Generation D Dental Schools D Electroplating D Dental Clinics D Electroless Plating D Print Shop D Dry Cleaning D Anodizing D Research and Development □ Electrical Component D Coating (i.e. phosphating) D Rubber Manufacturing □ Manufacturing D Chemical Etching/Milling D Semiconductor Manufacturing □ Fertilizer Manufacturing D Printed Circuit Board D Soap/Detergent Manufacturing □ Film/ X-ra y Processing D Manufacturing D Waste TreatmenUStorage New Business? YesONoO SIC Code(s) if known: Date operation began/will begin:. ______ _ Tenant Improvement? Yes 0No0 If yes, briefly describe improvement: __________________ _ Description of operations generating wastewater (discharged to sewer, hauled or evaporated):. __________ _ Estimated volume of industrial wastewater to be discharged (gal/ day) : _____________________ _ Listhazardous wastesgenerated(type/volume):. _____________________________ _ Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? YesOoate: _____ NoO Page 1 of 2 { 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 assist building permit applicants identify which Climate Action Plan (CAP) ordinance requirements apply to their projects. The completed checklist must be included in the building permit application. It may be necessary to supplement the completed checklist with supporting materials, calculations or certifications, to demonstrate full compliance with CAP ordinance requirements. For example, projects that propose or require a performance approach to comply with energy-related measures will need to attach to this checklist separate calculations and documentation as specified by the ordinances. NOTE: The following type of permits are not required to fill out this form ❖ Patio I ❖ Decks I ❖ PME (w/o panel upgrade) I ❖ Pool ..i1 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. ..i1 Details on CAP ordinance requirements are available on the city's website . ..i1 A CAP Building Plan template (form B-55) shall be added to the title page all building plans. This template shall be completed to demonstrate project compliance with the CAP ordinances. Refer to the building application webpage and download the latest form. Project Name/Building Permit No.: _B_io_p_oi_nt ___________ BP No.: (J f;LYDd-GL/o? Property Address/APN: Applicant Name/Co.: RBN Design Applicant Address: 5090 Shoreham Pl Suite 100 Contact Phone: 619.297.1011 x102 Contact Email: Lrocha@rbn-design.com Contact information of person completing this checklist (if different than above): Name: Company name/address: Contact Phone: Contact Email: Applicant Signature:-~~---------Date: 10-18-2021 B-50 Page 1 of 6 Revised 06/18 City of Carlsbad Climate Action Plan Consistency Checklist Use the table below to determine which sections of the Ordinance Compliance checklist are applicable to your project. For alterations and additions to existing buildings, attach Building Permit Valuation worksheet. Building Permit Valuation (BPV) from worksheet: $ ______ _ Construction Type D Residential □ New construction □ Additions and alterations: □ BPV < $60,000 □ BPV ~ $60,000 □ Electrical service panel upgrade only □ BPV ~ $200,000 ~ Nonresidential □ New construction 0 Alterations: 0 BPV ~ $200,000 or additions~ 1,000 square feet □ BPV ~ $1,000,000 □ ~ 2,000 sq. ft. new roof addition Checklist Item I Complete Section(s) I Notes: A high-rise residential building is 4 or more stories, including a Low-rise High-rise mixed-use building in ~ich at least 20% of its conditioned floor area is residential use 2A,3A, 1B, 2B, 4A 3B,4A N/A N/A All residential additions and alterations 1A, 4A 4A 1-2 family dwellings and townhouses with attached garages only *Multi-family dwellings only ~ere interior finishes are removed 1A,4A* 1B,4A* and significant site 'Mlrk and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed 1 B, 2B, 3B,1 4B and 5 18,5 1B,2B,5 Building alterations of~ 75% existing gross floor area 2B,5 1 B also applies if BPV ~ $200,000 Check the apprq,riae boxes, explan al not appicalle nl exception Items, nl provide ~ cabJlations nl documentatioo as l'l808SSlly. 1. Energy Efficiency Please refer to Carlsbad Municipal Code (CMC) sections 18.21. 155 and 18.30.190, and the California Green Building Standards Code (CAL Green) for more information ~en 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: D Dud sealinq □ Attic insulation D Cool roof □ 1978 and later Select one: □ Lighting package □ Water heating Package D Between 1978 and 1991 □ 1992 and later □ N/A ________ _ □ Exception: Home energy score ~ 7 (attach certification) Multi-family Requirements □ Attic insulation Select one: □ Duct sealinq □ Attic insulation □ Cool roof Select one: □ Lighting package □ Water heating package B. ~ Nonresidential* new construction or alterations? $200,000 building permit valuation, or additions ? 1,000 square feet 0 N/A Updated 8/15/2019 2 City of Ca rl sbad Climate Action Plan Consistency Checklist See CMC 18.21.155 and CALGreen Appendix AS, Division A5.2-Energy Efficiency. A5.203.1.1 Choose one: □ .1 Outdoor lighting D .2 \f'f.lrehouse dock seal doors □ .3 Restaurant service water heating (corrply 'Mth California Energy Code section 140.5, as arrended) □ NIA ________ _ □ .4 Daylight design PAFs □ .5 Exhaust air heat recovery A5.203.1.2.1 Choose one as applicable: □ .95 Energy budget □ .90 Energy budget □ NIA A5.211 .1 •• □ On-s~e renewable energy □ NIA A5.211 .3** □ Green power (if offered by local utilfy provider, 50% minimum renewable sources) □ NIA A5.212.1 □ Elevators and escalators □ NIA A5.213.1 □ Steel framing □ NIA * lndudes hotels/motels and high-rise residential buildings ** For alterations~ $1,000,000 BPV and affecting> 75% existing gross floor area, or alterations that add 2,000 square feet of new roof addition: comply with CMC 18.30.130 instead. 2. Photovoltaic Systems A. D Residential new construction (for low-rise residential building permit applications submitted after 111120). 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 k\i\tlc* sheets if necessary) Total System Size: k\i\tlc = (CFAx.572) 11,000 + (1.15 x #d.u.) *Formula calculation where CFA = conditional floor area, #du = number of dwellings per plan type If proposed system size is less than calculated size, please explain. Exception D □ □ □ k\i\tlc B. D Nonresidential new construction or alterations 2:$1,000,000 BPV and affecting 2:75% existing floor area, or addition that increases roof area by 2:2,000 square feet Please refer to CMC section 18.30.130 when completing this section. Note: This section also applies to high-rise residential and hotel/motel buildings. Choose one of the following methods: □ Gross Floor Area (GFA) Method GFA: Olf < 10,000s.f. Enter: 5 kWdc Min. System Size: 0 If~ 1 O,OOOs.f. calculate: 15 kV\klc x (GFA/1 0,000) ** kV\klc **Round building size factor to nearest tenth, and round system size to nearest whole number. D Time-Dependent Valuation Method Updated 8/15/2019 3 City of Carlsbad Climate Action Plan Consistency Checklist Annual TDV Energy use:*** ______ x .80= Min. system size: _____ kWdc ***Attach calculation documentation using modeling software approved by the California Energy Commission. 3. Water Heating A D Residential and hotel/motel new construction Please refer to CIVIC sections 18.30.150 and 18.30.170when completing this section. D For systems serving individual dwelling units choose one: □ Heat pump water heater AND Compact hot water distribution AND Drain water heat recovery (low-rise residential only) □ Heat pump water heater AND PV system .3 kWdc larger than required in CMC section 18.30.130 (high rise residential hotel/motel) or CA Energy Code section 150.1 (c) 14 (low-rise residential) □ Heat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higher □ 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(6) (high-rise residential, hotel/motel) or CMC 18.30.1 ?0(B) (low- rise residential) D 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 Please refer to Carlsbad Ordinance CMC section 18.30.150 when completing this section. D Water heating system derives at least 40% of its energy from one of the following (attach documentation): □ Solar-thermal D Photovoltaics D Recovered energy □Water heating system is (choose one): □ Heat pump water heater □ Electric resistance water heater(s) □Solar water heating system with .40 solar savings fraction □Exception: Updated 8/15/2019 4 City of Carlsbad Climate Action Plan Consistency Checklist 4. Electric Vehicle Charging A D Residential New construction and major alterations* Please refer to Carlsbad Ordinance CMC section 18.21.140 when com One and two-family residential dwelling or townhouse with attached garage: D One EVSE Ready parking space required D Exception : D Multi-family residential· D Exception · Total Parking Spaces EVSESoaces Proposed Caoable I Ready I I I Calculations: Total EVSE spaces= .10 x Total parking (rounded up to nearest whole number) EVSE Installed = Total EVSE Spaces x .50 (rounded up to nearest whole number) EVSE other= Total EVSE spaces -EVSE Installed (EVSE other may be "Capable," "Ready" or "Installed.") Installed I Total I *Major alterations are: (1) for one and tvvo-family dwellings and townhouses v-.ith 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 v-.ithout attached garages), alterations have a building permit valuation~ $200,000, interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed. B D Nonresidential new construction (includes hotels/motels) D Exception · Total Parking Spaces EVSE Spaces Proposed Capable I Ready I Installed I Total I I 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 and over 10 percent of total 50 percent of Required EV Spaces Updated 8/15/2019 5 City of Carlsbad Climate Action Plan Consistency Checklist 5. 0 Transportation Demand Management (TDM): Nonresidential ONLY An approved Transportation Demand Management (TOM) Plan is required for all nonresidential projects that meet a threshold of employee-generated ADT. City staff will use the table below based on your submitted plans to determine whether or nor your permit requires a TOM plan. If TOM is applicable to your permit, staff will contact the applicant to develop a site-specific TOM plan based on the permit details. ~ Employee ADT Estimation for Various Commercial Uses Office (all)2 20 Restaurant 11 Retaib 8 Industrial 4 Manufacturing 4 Warehousin 4 1 Unless otherwise noted, rates estimated from /TE Trip Generation Manual, 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 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 ad<roNa:ge tht the pa-s s.tnitta:I ITEJf oo s.qEd to the Oty cl Ca1sms Tra l!µltiim D::mn:l M3 Eg31 a t Oona-re I tg"OO to oo ca1a:ta:I gnjd rry p:JITit re::µrea TI:Mpa,and u cesa d tht an cWWEdlD'v1pa, is a cxrdticn cl fB1TII im J!AjicatSgmre:_~~---------Die: 10-18-2021 Person other than Applicant to be contacted for TOM compliance (if applicable): Name (Printed): Amy Grey Ph N be 978-720-7535 one um r: ____ _ Email Address: agrey@brookwoodfinancial.com Updated 8/15/2019 6 February 1, 2022 City of Carlsbad Attn: Building Department 1635 Faraday Avenue Carlsbad, CA 92008 To Whom It May Concern, Angela Slevinsky has my permission to act as agent for SP W Construction, Inc. and has the authority to pull permits and sign on behalf of SP W Construction, Inc., license #B 1023856 for the permit processing. For your reference our worker's compensation carrier is State Compensation Insurance Fund, policy #9243036-22 expiration date 1/1/2023. Sincerely, Steve White CEO M co en QJ (.) c:: ·;;; CJ) C. .s:: CJ) c:: 0 ~ ~ CJ c:: :§ :5 cc 2524 Gateway Road, Carlsbad, CA 92009 I P: 760.931 1130 I F: 760.931 1171 I Lie. #452513 I whiteconstructioninc.com