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Home My WebLink About1277 STRATFORD LN; ; CBR2022-1287; PermitBuilding Permit Finaled Residential Permit Print Date: 11/10/2022 Job Address: (city of Carlsbad Permit No: CBR2022-1287 Status: Closed -Finaled Permit Type: 1277 STRATFORD LN, BLDG-Residential 1561643700 $70,738.24 CARLSBAD, CA 92008-1524 Work Class: Second Dwelling Unit Parcel#: Valuation: Occupancy Group: #of Dwelling Units: 1 Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: Track#: Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Description: NEW DETACHED (499 SF) ADU -MANUFACTURED HOME Applicant: MITCHELL BLOSKY 171 CALLE DE LOS NINOS RANCHO SANTA MARGARITA, CA 92688-2828 (949) 342-4482 FEE BUILDING PLAN CHECK BUILDING PLAN REVIEW -MINOR PROJECTS (LDE) BUILDING PLAN REVIEW -MINOR PROJECTS (PLN) CERTIFICATE OF OCCUPANCY GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION MANUFACTURED HOUSE/BUILDING -RESIDENTIAL SB1473-GREEN BUILDING STATE STANDARDS FEE STRONG MOTION -RESIDENTIAL (SMIP) SWPPP INSPECTION FEE TIER 1 -Medium BLDG SWPPP PLAN REVIEW FEE TIER 1 -Medium Total Fees: $2,099.50 Total Payments To Date: $2,099.50 Applied: 04/14/2022 Issued: 08/17/2022 Finaled Close Out: 11/10/2022 Final Inspection: 11/01/2022 INSPECTOR: Alvarado, Tony Contractor: INSTANT LIVING LLC 4028 CAMINITO MELIADO SAN DIEGO, CA 92122-5104 (858) 205-8014 Balance Due: AMOUNT $755.30 $194.00 $98.00 $15.00 $175.00 $515.00 $3.00 $9.20 $271.00 $64.00 $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 t hat 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 t his 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 442-339-2719 I 760-602-8560 f I www .carlsbadca.gov { City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check {!,J3fl.2.022-l .t.57 Est. Value Jf 7 o, c of>-Z,.'f PC Deposit /J 7s-s;_ .3o Date ~-I#/-~~-Z:. Job Address 1275 Stratford Ln, Carlsbad, CA 92008 Suite:. ____ APN: 156-164-37-00 CT/Project #: __________________ Lot #: ____ Year Built: _________ _ Fire Sprinklers: OvEs(!) NO Air Conditioning:Q YES 0 NO BRIEF DESCRIPTION OF WORK: Electrical Panel Upgrade: QvEs® NO New 430 sf ADU [j] Addition/New: ADU Living SF, 499 Deck SF, , F\atio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? 0Y ON New Fireplace? (S)Y ON, if yes how many? __ D Remodel: SF of affected area -----Is the area a conversion or change of use ? Ov ON □ Pool/Spa:. ____ SF Additional Gas or Electrical Features? a: osolar: ___ KW, ___ M odules, Mounted: 0Roof 0Ground, Tilt: 0 vO N, RMA: Ov O NW Battery:OY ON, Panel Upgrade: Ov ON z D Reroof: ~ D Plumbin-g-/M_e_c-ha_n_i-ca_l_/E-1-ec-t-ri-c-al------------------------:>alliil!....,-- D Only: Other: 0 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 0 Name: Joyce and Stephen Searson Address: mitchell@affordabledrafting.com City: Carlsbad State: CA Zip: 92008 Phone: 760-419-9033 Email: iovcesearson@icloud.com DESIGN PROFESSIONAL APPLICANT 0 Name: Mitchell Blosky Address: 171 CALLE DE LOS NINOS PROPERTY OWNERS AUTHORIZED AGENT Name: Mitchell Bloskv Address: 171 CALLE DE LOS NINOS APPLICANT [ii City: RANCHO SANTA MARGARITA State: CA Zip:_9_26_a_a __ _ Email: mitchell @affordabledraftinq.com CONTRACTOR OF RECORD APPLICANT 0 Name: Instant Guest Homes-Michael Avery Address: 8775 Costa Verda Blvd City: RANCHO SANTA MARGARITA State: CA Zip:_9_26_8_8 __ City: San Diego State: CA z:ii~p~:~9~2~1 ~:==::::::::......:~ Phone: 949-342-4482 Phone: 858-205-8014 Email: joycesearson@icloud.com Emai I: team@instantguesthomes.com Architect State License: __________ _ State License/class: 8 Bus. L1cense:j3Q8 IZS I (:)q.31;;23 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov REV. 08/20 l DENTIFY 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 perjury one of the following declarations: Iii 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._,9::::2906:.:..:..:1:...;1•2::.:o::.:21 ___________________________________ _ DI have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Company Name: ____________________ _ Policy No .. ____________________________ Expiration Date: _______________ _ D 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, IFANY: 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:_--~------------------ SIGN: ~ f ~ CONTRACTOR PRINT: Michael Avery DATE: 3/30/22 (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: DI, 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). 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 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 application. D Owners "Authorized Agent Form" has been filled out, signed and attached to this application giving the agent authority ta obtain the permit an the owner's behalf. By my signature below I acknowledge that, except for my personal residence in which I must have resided 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 as an owner-builder if it has not been constructed in its entirety by licensed contractors. / understand that a copy of the applicable law, Section 7044 of the Business and Professions Cade, is available upon request when this application is submitted or at the following Web site: http://www.leginfa.ca.gav/calaw.html. OWNER PRINT: __________ _ SIGN: DATE: 3/30/22 -------------- 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 Can tractor 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 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 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: _M_it_c_he_l_l B_l_o_sk_y ____ SIGN: ~ ~ATE:_5_/5_/_2_1 __ _ 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov 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 ,,..,, ,r.=. 0 c. r."'"' .. 1 OWNER'SAUTHORIZED AGENT FORM ~?R \~ i~i scf-'o -1'\.' \... c.\0~ Q, v \\J\~ Only a property owner, contractor or their authorized agent may s ubmit plans and(Jj'i/p{lcct!J~hf::t, r building permits. To authorize a third-party agent to sign for a building permit, the owner's thirdif)J~ 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. Th e 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 foll owing 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. Scope of Construction Project (or Description of Work): New 499 sf ADU 12 ~ S-f,,,--e.e le,'1..fl {c.,//i c Name of Authorized Agent: _M_it_c_h_e_l_l _B_lo_s_k_y _____ Tel No. _9_4_9_-3_4_2_-4_4_8_2_ Address of Authorized Agent: 1 71 Calle de Los Nin OS Rancho Santa Margarita, CA 92688 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: -lt~"+-~-:r-L...._"""'"'~~,....<2_....c;...~--------=::;..__---Date: 3/30/22 Building Permit Inspection History Finaled {city of Carlsbad PERMIT INSPECTION HISTORY for (CBR2022-1287) Permit Type: BLDG-Residential Work Class: Second Dwelling Unit Status: Closed -Finaled Scheduled Actual Inspection Type Date Start Date 08/18/2022 08/18/2022 BLDG-SW-Pre-Con Checklist Item Application Date: 04/1 4/2022 Owner: TRUST SEARSON STEPHEN G AND JOYCE D LIVING TRUST Issue Date: 08/17/2022 Subdivision: Expiration Date: 02/27/2023 Address: 1277 STRATFORD LN CARLSBAD, CA 92008-1524 IVR Number: Inspection No. 189446-2022 COMMENTS 39984 Inspection Primary Inspector Status Passed Tony Alvarado Reinspection Inspection Complete Passed BLDG-Building Deficiency August 18, 2022: Yes 08/29/2022 08/29/2022 BLDG-21 Underground/Underflo or Plumbing BLDG-22 Sewer/Water Service BLDG-31 Underground/Conduit - Wiring 11/01/2022 11/01/2022 BLDG-Final Inspection Checklist Item BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Thursday, November 10, 2022 1. pre-construction meeting informing contractor representative of all City Of Carlsbad preconstruction requirements - approved. 190275-2022 Passed Tony Alvarado 190277-2022 Passed Tony Alvarado 190276-2022 Passed Tony Alvarado 195461-2022 Passed Tony Alvarado COMMENTS Complete Complete Complete Complete Passed Yes Yes Yes Yes Page 1 of 1 DATE: 05/02/2022 JURISDICTION: Carlsbad PLAN CHECK#.: CB-CBR2022-1287 • lW INTERWEST A SAFEbuilt COMPANY SET: I PROJECT ADDRESS: 1275 Stratford Lane PROJECT NAME: Bloskv Res ADU □ APPLICANT D JURIS. D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. ~ The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. D The check list transmitted herewith is for the applicant's 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 the jurisdiction at: ~ 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 ~ REMARKS: 1) All sheets of plans must be signed by the person responsible for their preparation. 2) The City of Carlsbad requires that all projects that qualify for CAP compliance will submit a completed Climate Action Plan (CAP) Consistency Checklist (city form B-50) and imprint the B-55 form on the plans. By: Jessica L. Tuazon, P.E. lnterwest Received on: 04/20/2022 Enclosures: 9320 Chesapeake Drive, Suite 208 ♦ San Diego, Cali fornia 92 123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Carlsbad CB-CBR2022-1287 05/02/2022 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK#.: CB-CBR2022-1287 PREPARED BY: Jessica L. Tuazon, P.E. BUILDING ADDRESS: 1275 Stratford Lane BUILDING OCCUPANCY: R3 BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier New ADU Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code CB By Ordinance J 1997 UBC Building. Permit Fee ~ j 1997 UBC Plan Check Fee iJ Type of Review: p Complete Review r Repetitive Fee r Other ... [ .... J Repeats r Hourly EsGil Fee ,, ,, ,, Comments: DATE: 05/02/2022 Reg. VALUE ($) Mod. 7 , r Structural Only $755.307 Sheet of STORM WATER POLLUTION PREVENTION NOTES 1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN IS EMINENT. 2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING RAINFALL. 3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. 4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE AT THE END OF EACH WORKING DAY WHEN THE FIVE (5) DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT ( 40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL. 5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM AGGREGATE. 6. ADE QUA TE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. 7. THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY REGULATIONS. OWNER'S CERTIFICATE: I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO AVOID THE EXPOSURE OF STORM WATER TO CONSTRUCTION RELATED POLLUTANTS; AND (2) ADHERE TO, AND AT ALL TIMES, COMPLY WITH THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD. M ITCuf:LA_ B Los~ ) OWNER(S)/OWNER'S AGENT NAME (PRINT) E-29 r, /,,/,z_ ~ STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP C /? 12 2,ol 0 (). 8+ BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE Erosion Control Sediment Control BMPs Tracking Non-Stonm Water Waste Management and Materials BMPs Control BMPs Management BM Ps Pollution Control BMPs C -C C 0 -0 0 :,c; C C 'O :,c; :,c; o> 0 Q) 'O Q) 'O "' C <.> <.> C .5 o> E C E C -0 -:, :, 0 'C: c_ 0 0 0 E Q) L L :,c; 'O L ':, Q) :::e 'O "' o> L -->, o> C a, L C Q) c "'"' "' 0 ,5 '-0-L 0 C o> c_ "' > L ~ Best Management Practice* ~ C Oa 0 "fil-·c: -C <n C L c.,) L w C 0 "' 00 L 0 Q) 0 Q) "' Q) 0 :,c; -:c: "';o C ,= 0 C UL u "' -'O al "' :::e C a, C (BMP) Description ➔ "' <.> Q) (/) 'ci "' E "' o> Q) o> 00 •a C o> C 'O "' ~ C 0 :::, Q) -Q) Q) 'S ==(l) -0 0 S< C L 0 'OW 'O >, 0"' CC 0 > gJ E :,c; L <.> C 0 a 00 (/) ·-o> 0,-"' u Q) 0 0 o> Q) Q) X :::e 0 o> 0 C Q) De: _E 0 -N <n 1:l 0 <.> tr):;:; "' a, C a " a =c._ L-;;:: Q) 0 Q) .0 E l;l = Cl) =~ :0 ·cg ·c: (L e o> Q) Q) LL E ,,, al Q) :, L'-C 0 u·c ,,, 'O ..C: C L 'O :0 Q) ·-u Q)" 'O 0 --·-CL 'o <.> Q) > Q) :, L-.0 0 •-L 0 ·-0 Q) L Q) <.> -0 0 L 0 -Q) 0 L <.> C 0 0 OL -o ~ ~ -..c: Q) -o -0 ;=: C = C Q) ~ 0 L 0 = Q) ..c: .0 L -o 0 -L -o> .8 0 OL 0 Q) -o_ 0 -c_ 0 oo c.,) WO cii (/) (/) u c::: c.,) (/) > (/) (/) (L (/) C (/) De: ;;:: (L (L 0 (L >U :::e (/) :::e (/) (/) u (/) :::e CASQA Designation ➔ r---<Xl .... 0 N "" r---<Xl N "" .... "' a, 'T "" "' <D r---<Xl 'T 'T 'T I I I I I I I I I I I I I I I I I I I u u u u w w w w w w w w ~ ~ (/) (/) (/) (/) :::e :::e :::e :::e :::e Construction Activity w w w w (/) (/) (/) (/) (/) (/) (/) (/) z z z z ;;:: ;;:: ;;:: ;;:: ;;:: '>-Gradina/Soil Disturbance -f-'I 1--Trenchinn/Excavation " y._ 'I--Stockpilina 'I-y.._ 'f. Drill inn IBorina Concrete/Asohalt Sawcuttinq '>-Concrete Flatwork Paving Conduit/Pipe Installation Stucco/Mortar Work Waste Disposal '/. Staainn /Lav Down Area 1- Eauioment Maintenance and Fuelinn Hazardous Substance Use/Storaae Dewaterinq Site Access Across Dirt Other /listl: Instructions: 1. Check the box to the left of all applicable construc:ion activity (first column) expected to occur during construction. 2. Located along the top of the BMP Table is a list o; BMP's with it's corresponding California Stormwater Quality Association (CASQA) designation number. Choose one or more BMPs you intend to use during construction from the list. Check the box where the chosen activity row intersects with the BMP column. 3. Refer to the CASQA construction handbook for information and details of the chosen BMPs and how to apply them to the project. PROJECT INFORMATION Site Address: / 2 T 5 5T r« t hi ,J L n Assessor's Parcel Number: c eriZ0JJ.-12 61 Emergency Contact: Name: M11tltll ~I•,<'-/ 24 Hour Phone: 9'/'7· > 112 • ~'-( 't.!l, Construction Threat to Storm Water Quality (Check Box) 0 MEDIUM ~ LOW Q) -"' 0 3=-C "' Q) " E 0 Q) 'O o> 60 NC 0 0 :,: :::e <D I i Q) -"' o-3= C Q) " E -Q) ~ o> <.> 0 CC 0 0 u:::e <Xl I :::e ;;:: Page 1 of 1 REV 11/17 C City of Carlsbad CLIMATE ACTION PLAN CONSISTENCY CHECKLIST 8-50 Development Services Building Division 1635 Faraday Avenue (760) 602-2719 www.carlsbadca.gov PURPOSE ,-J APR 14 2022 This checkli~t is i~tended_to help building perr:nit applicants identi_fy which Cl_irf~t 'Ad't!<b~ eta.r;, (C~R)1?[j in~nce requirem_ents apply to their project. This completed checklist (B-50) must be included wit tb'el.®!l,tl}Q.9 IDr m1t1;1PpjicatIon for all projects that require CAP compliance. The Carlsbad Municipal Code (CMC) can be referenced 'ff~ing 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. Homeowners should not attempt to fill this out without consu ltation . Appropriate certification includes, but is not limited to: Licensed, practicing Architect, Engineer, or Contractor familiar with Energy compliance, IECC/HERS Compliance Specialist, ICC GS Energy Code Specialist, RESNET HERS rater certified, certified ICC Residential Energy Inspector/Plans Examiner, ICC Commercial Energy Inspector and/or Plans Examiner, ICC CALgreen 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 by ord~. 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 provifflhe project plans must show all details as stated in the applicable Carlsbad Municipal Code (CMC) and/or Energy ~nd Green Code sections. Project Name/Building Permit No.: Property Address/APN: Applicant Name/Co.: Applicant Address: Contact Phone: BP No.: 1275 Stratford Lane, Carlsbad, CA 92008 / 156-164-37-00 Mitchell Blosky 171 Calle de Los Ninos, Rancho Santa Margarita, CA 92688 Contact Email: mitchell@affordabledrafting.com Contact information of person completing this checklist (if different than above): Name: Company name/address: Contact Phone: Contact Email: Applicant Signature: ~ ~ Date:._31_30_12_2 _____ _ B-50 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 _______ _ Construction Type I Complete Section(•) I Notes: A high-rise residential building is 4 or more stories, including a [!l Residential Low-rise High-rise mixed-use building in which at least 20% of its conditioned floor area is residential use "" New construction 2A*, 3A*, 1B, 2B, *Includes detached, newly constructed ADU 4A*, 3B, 4A □ Additions and alterations: □ BPV < $60,000 N/A N/A All residential additions and alterations □ BPV 2': $60,000 1A, 4A 4A 1-2 family dwellings and townhouses with attached garages □ Electrical service panel upgrade only only. *Multi-family dwellings only where interior finishes are removed □ BPV 2': $200,000 1A, 4A* 1B, 4A* and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed D Nonresidential □ New construction 1 B, 2B, 3B, 4B and 5 □ Alterations: □ BPV 2': $200,000 or additions 2': 1,000 1B,5 square feet □ BPV 2: $1,000,000 1B,2B,5 Building alterations of 2': 75% existing gross floor area □ 2': 2,000 sq. ft. new roof addition 2B, 5 1 B also applies if BPV 2': $200,000 Checklist Item Check the appropriale boxes, explai't al rd applcable and exception items, and provide supp0l1lng cala llalions and doCllnentallon 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 (CAL Green) for more infonnation. Appropriate details and notes must be placed on the plans according to selections chosen in the design. A D Residentialadditionoralteration2!:$60,000buildingpennitvaluation. D N/A _________ _ DetailsofselectionchosenbelowmustbeplacedontheplansreferencingCMC □ Exception: Home energy score 2: 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 andlater Select one option: D Lighting package D Water heating Package D Between 1978and 1991 Select one option: D Ductsealing D Attic insulation □Cool roof D 1992 andlater Select one option: D Lighting package D Water heating package Updated 4/16/2021 3 , B. D Nonresidential* new construction or alterations 2: $200,000 building pennit valuation, or additions 2: 1,000 square feet. See CMC 18.21.155 and CALGreen Appendix AS □ N/A AS.203.1 .1 Choose one:□ .1 Outdoor lighting □ .2 Restaurant service water heating (CEC 140.5) D . 3 Warehouse dock seal doors. D .4 Daylight design PAFs D . 5 Exhaust air heat recovery □ N/ A AS.203.1.2.1 Choose one: □ .95 Energy budget (Projects with indoor lighting OR mechanical) □ .90 Energy budget (Projects with indoorlightingANDmechanical) □ N/A AS.211 .1 •• □ On-site renewable energy: □ N/A AS.211 .3** D Green power: (If offered by local utility provider, 50% minimum renewable sources) □ N/A AS.212.1 D Elevators and escalators: (Project with more than one elevator or two escalators) □ N/A AS.213.1 □ Steel framing: (Provide details on plans for options 1-4 chosen) □ N/A * Includes hotels/motels and high-rise residential buildings ---------- .. For alterations~ $1,000,000BPVandaffecting> 75% existinggrossftoorarea, OR alterations that add 2,000squarefeetofnewroof addition: comply with CMC 18.30.130 (section 28 below) instead. 2. Photovoltaic Systems GXEMPI 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. 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 □ 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 feel 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: D Gross Floor Area (GFA)Method GFA: □ If< 1 O,OOOs.f. Enter: 5 kWdc Min. System Size: □ If<?: 1 O,OOOs.f. calculate: 15 kWdc x (GF A/10,000) ** kWdc **Round building size factor to nearest tenth, and round system size to nearest whole number. Updated 4/16/2021 4 D 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) D 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) 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: 8. D Nonresidential new construction. Refer to CMC 18.30.150 when completing this section. Provide complete details on the plans. 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 D 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: 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/ 16/2 I 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: f □ One EVSE Ready parking space required ptException: /./0 e1<;c-n,y □ Multi-familyresidential· □ 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 nearestwhole number) EVSE Installed= Total EVSE Spaces x .50 (rounded up to nearest whole number) EVSE other may be "Ready" or "Capable" *Major alterations are: ( 1 )forone 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, interiorfinishes are removed and significant site 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 Proposed EVSE (10% of total) I Installed (50% of EVSE) I Other "Ready" I Other "Capable" 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 D 0-9 1 1 D 10-25 2 1 D 26-50 4 2 D 51-75 6 3 D 76-100 9 5 D 101-150 12 6 D 151-200 17 9 D 201 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. D Transportation Demand Management (TOM): Nonresidential ONLY An approved Transportation Demand Management (TOM) Plan is required for all nonresidential projects that meet a threshold of employee-generated ADT. City staff will use the table below based on your submitted planstodeterminewhetherornoryourpermit requires a TOM plan. lfTDM is applicable to your permit, staff will contact the applicant to develop a site-specific TDM plan based on the permit details. Acknowledgment: Employee ADT Estimation for Various Commercial Uses Use EmpADTfor first 1,000 s.f. EmpADTI 1000 s.f., Office (all)2 20 Restaurant 11 Retaih 8 Industrial 4 Manufacturing 4 Warehousing 4 1 Unless otherwise noted, rates estimated from /TE Trip Generation Manual, 1 (Yh Edition 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, superm arket, gyms, pharmacy, etc. Other commercial uses may be subject to special consideration Sample calculati0 os; 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 I acknowledge that the plans submitted may be subject to the City of Carlsbad's Transportation Demand Management Ordinance. I agree to be contacted should my permit require a TDM plan and understand that an approved TDM plan is a condition of permit issuance. ApplicantSignature: ~ ~------Date: 3/30/22 Person other than Applicant to be con~ compliance (if applicable): Name(Printed): Mitchell Blosky PhoneNumber: ft4ff-342-44K2 E .1 Add mitchell@affordabledrafting.com ma, ress: ___________________ _ Updated 4/16/202 1 7