HomeMy WebLinkAbout2855 UNICORNIO ST; ; PC2020-0014; PermitPERMIT REPORT
Plan Check Permit
Print Date: 09/13/2021
Job Address: 2855 UNICORN IQ ST, CARLSBAD, CA 92009-4434
Permit Type: BLDG-Plan Check Work Class: Residential
Parcel#: 2153601900 Track#:
Valuation: $0.00 Lot#:
Occupancy Group: Project#:
#of Dwelling Units: Plan#:
Bedrooms: Construction Type:
Bathrooms: Orig. Plan Check#:
Plan Check#:
Project Title:
Description: EXISTING FITNESS FACILITY CONVERSION TO (2) ACCESSORY DWELLING UNITS
FEE
Total Fees:
Building Division
Property Owner:
JOAN PAUNDAC
2855 UNICORNIO ST
CARLSBAD, CA 92009-4434
(619) 807-8796
Total Payments To Date:
(city of
Carlsbad
Permit No: PC2020-0014
Status: Closed -Finaled
Applied: 04/09/2020
Issued: 07/01/2020
Finaled Close Out: 09/13/2021
Inspector:
Final Inspection:
AMOUNT
Balance Due:
Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
...
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Job Address _"'2._""~;i:,_"_M __ _,U....,_~~''-~----'-'----'-'~' Q~-CS~i'J~-___ Suite: ____ APN: _________ _
CT/Project II: _____ ~------------Lot II: ___ _
Fire Sprinklers: (1YES ~ Air Conditioning: 0 YES ~O Electrical Panel Upgrade: ~SO NO
BRIEF Dl-~ , L" I hA¾ OF WORK:
0 Addition/New: ______ Living SF, ____ Deck SF, _____ Patio SF, ____ Garage SF
Is this to create :in Accessory Dwelling Unit? 0 Y ON New Fireplace-I O YON, if yes how many?
'5aRemodel: _C\'\_"l__ SF of affected area Is the area a conver'.>ion or ch~1nge of use?~ 0 N
D Pool/Spa: ___ SF Additional Gzis or Electrical Featurr'.:i?
□Solar:___ _ KW, ___ Modules, Mounted:ORoofOGround, Tilt:O YON, RMA: OYON,
Battery ()y C> :, Panel Upgrade: Qy ON
D Reroof:
D Plurnbi.1,ji ·cechanical/Electrical Only:
D Other:
APPL!\ Ai 1 · i HY CONTACT)
Name: __,,,lp)tu 'e. ZA l\l\l 1?1, D
Address: 3_~l\ fJ,S.!!,Q P"e-13Ji~'>
City: ~I-"il1State:~Zip: "\l'\'i()
Phone: o;.l"\. "I:% ~<\ I
Email: ..,J.r,;-z.~t:>~\1.,'4 c!.. '?&~":rY?RN .
µ~
Di:.'.)iG.·J
Name: __ _
Address:
City: -----___ State: ___ Zip: -----
Phone: __________________ _
Email: _____ _
Architect St.:1tt• L :ense: ____________ _
1'-1,U:--; 1<: i ·1 , .\_.,, -ii h
Name: J.~ \>.iLUJ.l~C..
Address: I z. c;z..e, \.llbl-\ Bl..U.:\"f-t>'g.. i:¥>'?
City: ~N blf:«>O State:_Gh_Zip: C\:Z.)30
Phone:~\"\,~-~J"'l(f,
Email: _____________________ _
Name: ______________________ _
Address: ___________________ _
City: ________ State: ____ Zip: ______ _
Phone:
Ema,I: ____________________ _
State License: _______ Bus. License: _______ _
(Sec. /011.S ~u•,.:1l' i l'rofo,sions Code: Any City orCou11lywliich rc>quir(", ;, µe1I11It to co,1,lrul\, Jilcr, i1nµrove, dpmoli,11 or rcµc1Ir c1r1y ,truLlure, prior to 1t~
b,u,ir1u•, ;il<,,1 Il .. ,u ,, <1pµiicant for such permit to file<> ~l[ined ;IJter11('nt tli.Jt IH'/',iw i> lill'l1'>L'J µur,uarl\ lo the µrovI,Iur1, of t!w Contrc1dor', L1cn1se LdW
jChc1pt1•1 'l, corn;, ,1•:·• ·., .. ,it h S1,ction 7000 of Division 3 oft he, BusirH''>'> .ind i!r 1:11,,,1011, C:,idcj o, 1 li,it lic/'itw i, cxprnµt t11erdr .m1, and ttw l);,<,i<, fvr tlw allep,t•d
exemptlOTI. i\11y 1,,c,.,· , ol ~1.xtmn 7031.5 by any JppliCdrl\ for .J p('1I111I \1JIJJ("(h liH' cliJfJllt.lrll lo ,J (l•!il pl'riiilly (If not rnon• tli:11, ftV(' !iu11drf'd dolldr> 1$',00})
1635 Far;HL11 /Iv•. Carlsbad, CA 92008 Ph: 760 G02-27ltJ lc1x· 7CO-G02--8S58 hnJil:
F·\:ige 1 of 2 Rev 06/18
( OPTION A): WORl(ERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of P"r/ury !!!!ft a/ the /ollowlnr, dec/nraf/ans: D• h•~ and wlll malntltln I c,r1mc1ll' of consl!nt to 1eff•IR1Url! for workn,• compenullon provided by Section 3700 or the Ubor Codi!, for the r,ffformance or 1hr
wotk. whk.h this pe,mll k Issued.
01 havt and will ml'llrU1ln w~•r's compl!nsaUon, 11 required bySer.Uon 3700 of thr Labor Cnde1 for tt1, perform1rice oflh!! "Nork for whlc.h thl\ pHmll h lnut'd.
My warbn' comp•r,ullon tn-1ur1nce carrier and poFlcy numbl'r are!': ln1uranc• Companv Name: ___________________ _
Polity No. ____________ hplrallon Dale: ________ _
0 cmmcate of bemptlon: I Ct"rtlfy 1h11 In I~ pl!rformance of 1h11 work lor which lhlJ petmll ts luul?'d, I shall nor emproy any person it'! ur1 m.:inn_, ~ ;u ro bf! come
subfKt ta tM worbtJ' campenHllon taw, of Callfornl1, WARM NG: F1llura lo Hcut• worhrs compen111lon coverq• ls urtl1wful, and shall 1ubjtd an unployl!!r to
afmln1I pmlhln tnd clvll Anti up to $too.ooo.oo, tn 1ddHlon the 10 lht coll of ,ompP1111tlon, damaps ss provided for tn Section 1706 of th• ubor Co~.
tnteml and atto,ne,y'I fHI,
CONTRACTOR SIGNATURE: ________________ □AGENT DATE: ____ _
I OPTION B ): OWNER-BUILDER DECLARATION:
I h~l'f!by offirm thot I am ~~mpt from Contractor'• Ucrn.e law for rhe fol/owing rea,on: 01, H owner or the pro~rtyat my 1mplnyfts wllh wa1es H their sole ,omptns1Uon, wlll do the work 1nd the si,ucture Is not lnte•ndftl or o"•'" for s.ale (Sec.
7044, BUlfflHs and ProFHSlans Code: The cantracror's Lk1ns• Law doeJ not apply to 1n ~, or prope-rtv who builds or knpr~!S thttl!On, and who dotts iuch work
hlm1tlf orttuOU&h his own employffs. provided lhl1 such lmprowmftlls are not lnltnded a, offered for 1.1fto. ff, however, the buildlr,1 or lmpro~mtnt ,,. said Wlll'ltn
one Yl!•r af campltllon, lht owne,-bulkler wlll hav. the burden of pfO\llft& tMII he did nol bulld or lmproft fo, the purpose or s111J,
1iZ11, as awner of the property, 1m nduslvt:'-' contnctirc with llcensed ,on1,,ctors to tontlrutt the projett fSec. 7044, Buslnl!n and Profusklns Ccdt: n,.
Contnittofs lkltl\A Lawdou Ml apply ta 1n DWfltr of property wha bvllcbor lmptOYIS 111t,~ and cont1,cts fo, such proj,cts wlrh contr;xtctr(~J llcerued
punuint to the Contractor's Ucmu• Law).
01 am nempt undff S.alon --,-------Businas and ProfeUIOnfo Cod• for 1h11, reason:
1. I pmwna11y plan to pravid■ the! major labor tnd rm1ttllls for i;unruuctlon or the Ptof'OS•d PfOperty lmprowmanl. QvES ONO
Z. I (haye /haw,,.., ,.,,.d IO appllcatlon fo, a i.-,. pennll lor Ille p,oposod-k.
I. I haw mntnrtld w1tt, lht folowlnl parson CrtnnJ ID prcwlda the p,oposed consuucllon (includt naml!' .adthu / phoM / conlractors' license "umMtt:
4. I plain UI proride pcl1ioM of th• wort, but I hH• hlrld lttl' fD1owtns ,-non to coardlnate, auplf'Ylse and pruvldt: the mater wort (Include name/ addresi / '"°"~ / "'"--s.,w111..-haw c:antrtded fhlredl thl (DIID'#lrlt PfflDIII to provtde lhe wc.-k lndlnl:~ (include name/ addrns / phor,r / ~~ ol 'IICfi)·
OWN DATE: "/z. "/ 2 c.J 1
NY• .,.,...,'°"..,_,Ina qency ror thl pertarmmce of thl' work tflls permit I! tssu.d (Ste. 3097 (ii c~u Code) -----~,_ ___________ ltnder"1Addm1: _________________ _
b dtt •pplitlnc ot luwr• buloldlnl occup1nl requlrtd 10 Mbntt I bullMu pl,11, HUltly ha1auktus mal1rl1h rqbt,.tlion form Of rtil in,N\,Jj..,..nt .ind p,.-..ntton
,...,. ~SedJont, :HSOS, JHU Of J55J4 of1he P1■1fey•T1nMr HHWdDU1 Suln11nc:e ""°""' Acl1 Yes/ No
lslht QPIIU,nt or l11Ltlf• WtlcUnf ouup,nl ,..,.u.,ed 10 oM1ln I pe,rmtl from th• air pollutlon,on11ol 1U11fkl ~ .-1, ...i11,. m.,n..,c•mcnt Jl\l•~t1 Yvs I No
,,. ttw ftdllt to 1-UIMltuafll WiUffl J.000 fut ol dw 1111111 IMx.lndary DI a uhocW 111•1 Y•s / No
If MY Of THI MSWllS Allf YU, A FIHAI.UATIFICA.tl Of OCCUPANCY MAY NOT II lHUIDUHI.HS tKl APPLICAltf HA.1 Mt;t QA IS Mllf!NcJ fttl
RfQUIIIUIPffS Of THI OffW' Of IMIJIGENCY lHMQI AND THI All ,ouunoNCONlaOl Pdtllln.
APPUCAHT CERTIFICATION i
I arlify lhal I hl¥t .... the ..,UC.lion and ..... u, .. 1M alaow tnfo,m1t10n b CDlftKI and ,hi,, ... w~-\lun un , ... PM"' bo kll.till•I•. I .. , .. lo \;Omply with .all
City ordlnarus """51.tt• I.wt , .. .un, to bulldlnf tonm"'11on.
lt.qlUUtonle,-,,11M11L1llndlh■Olyolc.,tw,dCO•Ol8fuponlhllab«M""'"'lonldJMCIP'l1\'twlmt>«l1Jinp1Mpi»rtlAUOAGlltl 10\AIJt,INrtt:MNIFVANOltffP
HAIIMWI IHI QTY Cf CARUIAOMiAIHlf AU. UAIIUl1t1, IUUGl,IIHJ1, COUUHO lll'fMU WHICH ~~y WANT WAY .C(IIIJI ....,"'I \AIOC11Y IN OONSEQ\JINCl Of
nt£ GIANTING Of IHIS PlllMJ.mHA: AnOSHA pwrnlt II,_,..._, kar ecfillQII ow, ,.V dilllfll tnJ ~lun ot u11111tn,c.t1W ol .. ni..n..,., w.1 1 110rlt1 lfl hfllht
ECl'IIIAT!OltEw,y--"r,,,_....,,.,._....,Uw-.u1,...c°"'"""'-•"rlmlU1U11ftd.....,.n•l"""-•l1hebulldln1orwo,k1•thcu\l<d
l,/-ponnlll,nol--Ulldays,,_Utodaleol""",..,m1 ............ ,..~..-r.,""'hpumltl,suspondodc,1bandontdlt1nytlmo .,._,,,,__"'"''"••.cadt.ro-cl:r:=IOUAUnllaJm ..... Colo~
APPUCANT SIGNATURE: ~ H 'ZAW\I\Ul'>I ';) DATE: -t1¼, :zd. 1£>
1635 Faraday Ave carlsbad, CA 92008
8-1
Ph: 760-602-2719 Fax: 760-602-8558
Page2ofZ
Emall: Bulldlng@carisbadca.gov
Rev. 06/18
.JUN 2 2 2020
{city of
Carlsbad
CERTIFICATION OF SCHOOL FEES PAID
his form must be completed by the City, the applicant, and the appropriate school districts and returned to the City prior
o Issuing a building permit, The City will not issue any building permit without a completed school fee form.
'roject # & Name:
1ermil #: CBRA2020-0135 & CBRA2020-0136 (PC2020-0014)
•rojecl Address: 2855 UNICORNIO ST #I, 2855 UNICORNIO l!J
1Ssessor's Parcel #: 2153601900 ==-==='--------------
• ro j e c I Applicant: ;:..;JO:;.;.A..;;.N.;..;Pc.oA""U;,.;.N:;:Dc...A;.::;C ___________ _
Owner Name)
tesldentlal Square Feet:
New/Addillons: -----------------
i econ d Dwelling Unil: _99_9_8_F ____________ _
:ommerclal Square Feet:
New/Additions: ________________ _
:lty Certification:City of Carlsbad Building Division Date: 04/15/2020
:ertlfication ol Appllcant/Owne,s. The person executing this declaration ("Owner") certifies
nder penalty of perjury that (1) the lnfonnation provldad above ls correct and true to the
,est of the Owner's knowle<lge, end that the Owner will file an amended cert,ficalion of
,aymenl and pay the additional fee If Owner requests an Increase In Iha number of
1-mng units or sq1111re loolage after the buUdlng permit Is issued or if the initial
letannlnatiOn of unils or square lootage Is found lo be Incorrect, and that (2) the Owner is
he owner/developer of tha abolle described project(s), or thal the person executing this
ledafallon is aulhOrizad lo sign on behalf of lhe Owner.
• Carlsbad Unified School District
6225 El Camino Real
Ca~sbad CA 92009
Phone: (760) 331-5000
• Encinitas Union School District
1 0 1 South Rancho Santa Fe Rd
Encinitas, CA 92024
Phone: (760) 944-4300 x1166
• San Dlegulto Union H.S. District
684 Requeza Or.
Encinitas, CA 92024
Phone: (760) 753-6491 Ext 5514
(By Appl. Only)
• San Marcos Unified Sch. District
255 Pico Ave Ste. 100
San Marcos, CA 92069
Phone: (760) 290-2649
Contact: Katherine Marcelja
(By Appl.only)
• Vista Unified School District
1234 Arcadia Drive
Vista CA 92083
Phone: (760) 726-2170 x2222
SCHOOL DISTRICT SCHOOL FEE CERTIFICATION
(To be completed by the school dlstrlct(s))
THIS FORM INDICATES THAT THE SCHOOL DISTRlCT REQUIREMENTS
FOR THE PROJECT HAVE BEEN OR WILL BE SATISFIED.
The undersigned, being duly authorized by the appllcabl11 School District, certifies that the developer, builder,
or owner h■s satisfied the obllgatlon for ■chool facllltle■, This 11 to certify that the applicant listed on page 1
h•• paid ■II ■mounts or completed other appllcable school mitigation determined by the School District. The
City may IHue bulldlng permits for thl• project.~
Signature of Authorized School District Officlel:
7
~ cA, ~,(__,.
Tille: ,kT "Ttt)v Date: (,,/tt,p,2(J
Name of School District: Sa., Hc,.a:as, f J 1111 [;"'-«,{
Community a Economic Development -Building Division
COC No_ 0049Ql
SAN MARCOS UNIFIED SCHOOL DISTRICT
CERTIFICATE OF COMPLIANCE WITH FEE PROVISIONS ("COC")
Education Code Section 17620 and Government Code Seclion 65995, e/ soq
Fac/lffles Planning & Development. 255 Pico Avenue, Suite 250, San Marcos, CA 92069 • (760) 290-2649
Project Description; second <iv11l.lir.1; u1,i1. I Tract No.:
Project Malling Address(es); .d,!15 U!I l Cl! tJ-.10 :."T r. lo55 Unicornio IJ, Curlah<,.J
Assessor's Parcel No{s): d►Jt>U-l!I--Otl
Projecl Applicant I Project OWner: Applicant Phone No.:
Jol!tU., l'nttr~;:c
Owner Mailing Address; Owner Phone No.; -
ll:<. Ed. Code 17620 and Gov. Code 65995, et seq.
IJ Nol subject lo fee requirements
a Existing M~igalion Agreement or CFD No.:
Nole: ___________ _
Appllc1nt Oecl1ratlon: The person executing this declaration ("Applicant") hereby declares, under penatty or perjury under the laws of
Califomla, th1t th• followinll Is true and correct; (I) Applicant is acting on behaH of lhe owner of the above-referenc:ecl project ("Projecl") and is
authorized, by such -· to agree to the term1 for iSsuance for this COC; (2) to lhe best of the Applicant's knowledge, the Information provided
hetein is true: (3) the square root amounls used In lhe fee calculation bf!loW were delermlned by lhe building department that will issue a building
permit for the conllltUdlol>; and (4) Applk:ant or owner or the Project will obtain an amended COC and pay any add~ional amounts due ,r there is
an 1ncr111e In the number of dwelling unils ("OU") or the square footage of any OU or commerciaVindusttlal structure in the Pr()Jl!ct increases
afler Applicanl has obtained any COC. If the initial determination of Iha number or units or lhe square footage is found to be incorrect, Applicant
shall be responsible to pay any casts of collecllon thereof including attorneys' fees and legal costs. I ; . . ' ,' ' I ' -.• ,. Applicant Signature: · · · Print Name: _·_. ___ '-___ · _____ Date:---''-· _1_!_, ,_, ._, ·~·
Bu&knH•I Commer&lalQadu:sJrial or Qualified Senjpr Housing
D New Constr\lc;tlon GI Room Addilions/Conv. (500+Sq. Ft.) D Commercial/Industrial O Qualified Senior Housing !i'.I°' x 4,44 Fee per sq, ft.=$ 4,435.;;6 ___ x,_ __ Fee per sq. ft.=$ ______ _
Number and Type of Units: Number and Type of Units:
1 I ;,.d Total: $ 4.43.5 • .S(; I Total: $
DISTRICT ~ERTfFICATtoN; The San Marcog Unified ~ool District ('District") hereby cerlifles that the Applicant has paid the
~bove-specified amount, which was determined according lo lhe lnfonnalion presented by the Applicant and Iha! the CDC is
issued lo Applleanl as a prerequlske to the issuance of a building permil(s) for lhe Lots/OUs specified 8 t,o,,°e.
Received From; • r • ~ (-,__r<:we Check No.: 'Si.~ _5, Total Amount Collected: S -<;, ,.-, -q <;-, $ ~
Received/Authorized By: 12-::.-.:.. ,, /L ·ttrr :1 (,.., 1k_r2.a,:).
District Signafure TIiie Date of Issuance
NOTICE OF ftO:O!Y PERIQO fOR PROTEST OF FEES AND STATE p,ov-,e: 11) -n notice to the Protec1MENT OF FEES Government Code Section 66020 requires that a district
period 10 pn,1as1 the lmpooJUon of.,,... F°::brrt, at the lime or payment or school ltH, or other exactions ("Fees"), of the ninety (90) day
(901 day prolest -in rog■rd lo such Fe!s':~ ~~ ~':;"":~:t off the Fees. Therefore, this Notice shaN serve to advise you Iha! the ninety
""''""""""' as dHCribed In Government Code Section 660: Add~ ' commences wtth the payment of the Fees or performaf!Q! or any other
at thi1 time in -or In PIii. prior to th • onally, the amounl ol 1h1 Fees imposed Is as staled here whether payable
starts on the Dale of lhuonce. • lnuance of a Certlflcete or Compliance. As In the litter ln11ance, the ninety (90) day protest period
EXPJRATJQN Of CEBDflCt,JE Tiu
only tor gOOd cau-. H delelmlnect COC Is, valid for one hundred eighty (180) daY11 from the DIie of Issuance E'J<lensiona ff/ be = 0fu,';,~ Al tuch time u !hi~ ::.:-/ala~~/~~.: =~menl 1C:Pari:!'•nl of the Olalrlcl. Ind one
0
(1 I abcly (60) ~ay e:./o~
mull subm~ IOJkl II the lime lhls coc WH l.;u■d wltt be relrnbu,.,;; ~;° F ••";i,. ■ued for the Project that 11 the aubJect of this coc, the
a n,ques1 for relmbu,_nt In wrillng lo the Dlllrlcl fac:llllle1 ~ann:• & o!::..::.;: :;,.:::;::;is COC Without lnler,,st. Owner
THIS COC EXPIRES: ------SIGMA TIJRE VERIFYING AtmfORIZED l!XTENSION: ----------coc ConUnued on the Back of Thia Page-
THE EXPIRATION DATE IS EXTENDED TO: ----
Date: ----
Diatrlbutlon; Facllttlea -Whtte Customer-Green Agency -Canary Accounting -Pink Audtt -Goldenrod
:v.; I Leucadia Wastewater District
1960 La Costa Ave.
carlsbad, CA 92009
(760) 753-0155
(city of
Carlsbad
k ,;p I Vallecltos Water District
201 Vallecitos de Oro
San Marcos, CA 92069
(760) 744-0460
he following project has been submitted for building permits:
Ian Check#:
roperty Owner:
roject Address:
PC2020-0014 Permit#: CBRA2020-0135 & CBRA2020·0136
JOAN PAUNDAC
2855 UNICORNIO ST, #I & 2855 UNICORNIO ST #J
.ssessor's Parcel #: 2153601900 -----'--'~----------------------
1 ro j e ct Description: 999 SF 2 ADU'S __ __;;;_;_'-----'----------------------
:lty Certification: City of Carlsbad Bulldfng Division Date: April 15, 2020 ~:.!....,;:..:.....:=-=---=------=-=------
Please Indicate In the space below that the owner has entered Into an agreement to have your
agency provide public sewer service to the premises, and/or If the existing service rs adequate
for this project and all required conditions have been satisfied.
Permits will not be Issued until this form Is completed and returned to our office.
··································································································································· . . . . . .
: This space to be completed by District Personnel :
I certify the district requirements for sewer service have been satisfied .
.
Approved by: .... r ... O;..,c;_ •.... --•--'=~=-~t::~ ... ;:c"'-'-0...:... ____ _ Date: __,Co .... /...,l...,<o...,/c.::o>oec:.. __ _
nt1e: __ F_IE_LD_S_E_RV_I_C_ES_S_PEC_IALI_ST __________ _
: ................................................................................................................................. :
Community & Economic Development -Bulldlng Division
lEUCADIA WASTEWATER DISTRICT
SEWER SERVICE PERMIT
Permit Number S_o...1:1541
Penn. It lnformatlon:t.,_:1·> ' 1'"·1··• ' '· ... ,. ;, -. .
New Service D
Type of Permit: Domestic l:8J Industrial D Food Services Establishment D
Supplemental Permit:
Preexisting Permit No:
New Permit No:
Number of Additional
EDU Granted:
Private Pump Station O ADU Waiver 1:8J Multi-Unit Lateral D
011541
S011541
0.75
Date Issued:
Date Issued: 6/16/2020
Existing EDU: 8.0 Total EDU to Date: 8.75
Special Conditions Required and Attached: Yes D No 18]
Date Issued:
By: IAN RIFFEL
Print Name
Required: Yea D
Permit Number. __
6/16/2020
®. -~-.i:O
Signature
, _._· ... !: .. ~ .. :·_ -·~·IL_=n1ll:.:..:.:iL·f\:_ ~2
Prorated Sewer
Capacity Fee: $ EXEMPT Service Fee: S 128.88
Reimbursement Fee: $ __
No 181
Total Fees:$ 128.88
Date Issued: __
/_\,,. ,,,,'«·1,;..;.¥->%
,--~' £·~--~-\(}:
Name end Address, Phone: JOYAN PAUNOYIC 16191807-8796. 2855 UNICORNIO STREET.
CARLSBAD. CA 92009. ADDIJJON OF 2 ADUS • 1119 SF & 480 SF -CAPACITY FEE EXEMPT.
Assnaor's Parcel Number: 21H80-18-00
Type of Building: 6ml. Number of Units: l
Page 1 of4
(c· /Of
Carls " ad
PU RPOSE
CLIMATE ACTION PLAN
CONSISTENCY CHECKLIST
8-50
Q'E._ve_l.5u!me n t Services
Building Division
1635 Faraday Avenue
(760) 602-2719
www .ca rlsbadca .gov
This checklist i intended to assist building permit applicants identify which Climate Action Plan (CAP) ordinance
requirements ,Ii', '1 lo their projects. The completed checklist niusl be included in lhe building permit application. ll may be
necessary lo sup• lement the completed checklist with supporting materials, calculations or certifications, lo demonstrate
full compliance w ·11 CAP ordinance requirements. For example, projects that propose or requ ire a performance approach
to cr':nply wilh r" 'rgy-related measures will need to attach to this checklist separate calculations and documentation as
speci:1ed by thu , linances.
NOT: The ft, ving type of permits are not required to fill out this form
❖ Palio ❖ Decks ❖ PME (w/o panel upgrade) ❖ Pool
-" If ,m ile111 in l 'checklist is deemed to be not applicable lo a project, or is less than the minimum required by ordinance,
<111 explan:,'.1r rnusl be provided to the satisfaction of the Building Official.
-" l'''lails on C 'ordinance requirements are available on the city's \\ebs1te.
-" /\ CAP 8ui' · 9 Plan template (form B-55) shall be added to the title page all building plans. This template shall be
completed 1 'emonstrate project compliance wit11 the CAP ordinances. Refer lo the building application wE,bpage and
ciov11nlom.l t11 '1test form.
Pre l Namc,E 1·
Pe11 l No.:
Pr0·, ·r'y Add res·.
Application Information
------------BPNo.: Pc..B:Cx:>20 --QO/{
51,
App'ir;inl Addrc °?'U l PA">lio Plz:.
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Cn··'-1ct inforn
NaP'":
Con--~1ny
name . .iddress:
13-50
Contact Email: -\.o:z>:~ (r "4 (!. ~fl(:.. (;,l.1)1¥4,..•
t-l~
m of person completing this checklist (if different than above):
~ PAUMCN\c______ Contact Phone: c;.. \0\. '207 . ~7 q ~
\"l--S'l.C.-bl,lb"=:Pzulfr L?l2..-~;;:mail: -~~cA~:
·ce. i::: 11 =~ti Dale Q "\• o,\ • '21)
Page 1 of 6 Revised 08/19
City of Carlsb·1 J Climate Action Plan Consistency Checklist
Use the table be ·v to determine which sections of the Ordinance Compliance checklist are applicable to your project.
For cJllcrations n l additions to existing buildings, attach Building Permit Valuation worksheet.
Building Permit V luation (BPV) from worksheet: $ ______ _
I Con•truction Type
~ f;esidential
J New co: 1ction
~ Addili'll' d alterations:
D Bl 60,000
~ GP'.' 60,000
D Ele ,1 service panel upgrade only
D BPI/ 200,000
□ IonresidenI;
' New c ~lion
1 AlleriL
D 131''. 200,000 or additions 2! 1,000
sq u, ,et
D CP'. 1,000 000
D ;? t ( sq. ft. new roof addition
Ch .-.list It,,,.,
I Complete Section(s) I Notes:
Low-rise High-rise I;~ JA 3B, 4A I "· "·
NIA NIA
1A, 4A 4A
1A, 4A' 1B, 4A'
1 B, 2B, 3B, 4B and 5
18,5
1B,2B,5
2B,5
A high-rise residential building is 4 or more stories, including a
mixed-use building in which at least 20% of its conditioned floor
area is residential use
All residential additions and alterations
1-2 family dwellings and townhouses with attached garages
only
"Multi-family dwellings only where interior finishes are removed
and significant site work and upgrades to structural and
mechanical, electrical, and/or plumbing systems are proposed
Building alterations of?! 75% existing gross floor area
1 B also applies if BPV 2! $200,000
CAP Ordinance Compliance
Check the 0, i..Jte boxes, explain all not applicable and exception items, and provide supporting calculations and documentation as necessary.
1. r 10rgy E1r:. y ------------------------------------
Pie ~ refer to C. , ! Municipal Code (CMC) sections 18.21.1 55 and 18.30.190, and the California Green Building Standards Code (CAL Green) for
mo, nformatio:1. ·ompleting this section.
A
Yr
□
['
~
□
B.
Res id.
See C1.
' .iilt
.ore 1970
8 and l,1·
!Neen 1ll
'2 nnd l.11
Non,c,:
orac!·.l
U pd I X/ 15 2 l! 1
------------------------------------
1dtlition or alteration 2: $60,000 building permit valuation.
ction 18.30.190.
Single-family Requirements
Select one:
□ Duct sealinq □ Attic insulation □Cool roof -· Select one:
□ Lighting package D Water heating Package
1991
---------
0 N/A ________ _
D Exception: Home energy score?! 7
(attach certification)
Multi-family Requirements
D Attic insulation ---
~ne:
uct sealing ~nsulation □Cool roof
Select one:
□ Lighling package 0 Water heating package
ial' new construction or alterations 2: $200,000 building permit valuation,
~ 1,000 square feet.
2
City of Carl~b , Climate Action Plan Consistency Checklist
Sec Cri
~.1.1Cl1·,c
1 Restau1 a, I .
[ : Daylight ,,, -----
/I' '.'03.1.2.1
(' ·se one ,1< J
r 11.1"
l ',1-si!e re,~,
t 11.3"
I rcn po:.
2.1
··!evators ,''IC
'3.1
''.eel lrarn>·
* Ir 'JS l101e·,.
*'I !orations ·
wit C 18.31'
2. tovo1t1:
A. I Rcsirl,, 11
E11c1uy c
rcquir~·,
(high-r·
Fie 111 ID (t•
sh 'ncces-
'Fr 1 colcu ,
If p :cd sysl1 ··,
B. Nonr~ ;,
area'
high-1.
Gross
.21.155 and CALGreen Appendix AS, Division AS.2 -Energy Efficiency.
•1e: c?.; Outdoor lighting D .2 Warehouse dock seal doors
ce water heabng (comply with California Energy Code section 140 5. as amended) 0 N/A _________ _
;JJ\Fs D .5 Exhaust air heat recovery
·able: D .95 Energy budget D .90 Energy budge! D N/A ------------
energy 0 N/A
'cred by local utility provider, 50% minimum renewable sources) 0 N/A
calalors 0 NIA
0 N/A
and IHgh-rise residential buildings _
·0,000 BPV and affecting > 75% existing gross noor area, or alterations that add 2,000 square feel of new roof addition: comply
'.ec1d
-;terns
icw construction (for low-rise residential building permit applications submitted after 1/1/20). Refer to 2019 California
J section 150.1(c)14 for requirements. Notes: 1) High-rise residential buildings are subject to nonresidential photovoltaic
(2B below) instead. 2) If project includes installation of an electric heat pump water heater pursuant to CMC 18.30.1 S0(B)
sidcntial) or 18.30.170(8) (low-rise residential), increase system size by .3kWdc if PV offset option is selected.
-nol CFA #d.u. Calculated kWdc'
---------·---
-
Total System Size:
00 + (1.15 X #d.u.)
·)re CFA = conditional floor area, #du= number of dwellings per plan type
is less than calculated size, please explain.
-
kWdc
Exception
D
D ------
D ---------------D
iii new construction or alterations :!$1,000,000 BPV and affecting :!75% existing 0oor area, or addition that increases roof
JO square feet. Please refer to CMG section 18.30.130 when completing this section. Note: This section also applies to
:dcntial and hotel/motel buildings.
10 following methods:
Arca (GFA) Method
Min. Syslern Size:
10,000s.f. Enter: 5 kWdc
10,000s.f. calculate: 15 kWdc x (GFA/10,000)"
kWdc
'1Cl uuildi11g size factor to nearest tenth, and round system size to nearest whole number.
'i11w-lent Valuation Method
Upd 3
City of Carl,:, Climate Action Plan Consistency Checklist
11 TDV Energy use:••• ______ x .80= Min. system size: _____ kWdc
;ich calculation documentation using modeling software approved by the California Energy Commission.
3.' ' tcr Hc;i,.
A ] Rcsi ' al and hotel/motel new construction
Picas ' 'r to CMG sections 18.30.150 and 18.30.170 when completing this section.
1-or Sy" ' ~
resicic'r
O l lcnl
U 11, us n Exec,
l l ,or sy• '
OG:!''
I l r'
, ' C:
l ' '
rr xccr,,
B. J Noni
Plc:1
--ri-V'1 liv/
'ih
nvvntc.
J I
JL
17S,
[ ·=:,cq,
· serving individual dwelling units choose one:
11mp water heater AND Compact hot water distribution AND Drain water heat recovery (low-rise
only)
rmp water heater AND PV system .3 kWdc larger than required in CMC section 18.30.130 (high rise
l1olel/motel) or CA Energy Code section 150.1(c) 14 (low-rise residential)
rnp water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higher
ilcr healing system that is either .60 solar savings fraction or 40 s.f. solar collectors
~ serving multiple dwelling units, install a central water-heating system with all of the following:
;Jropane water heating system
-ilion system per CMC 18.30.150(6) (high-rise residential, hotel/motel) or CMC 18.30.170(6) (low-
11tial)
lier healing system that is either:
solar savings fraction
,olar savings fraction, plus drain water heal recovery
:ntial new construction
'r to Carlsbad Ordinance CMG section 18.30.150 when completing this section.
1 system derives at least 40% of its energy from one ot the following (attach documentation):
rmol 0 Photovoltaics
1() system is (choose one):
1 rip waler heater
resistance water heater(s)
0 Recovered energy
1lor l1eating system with .40 solar savings fraction
4
City of Carl: '
1 r.1u11i-' --1 Totnll
{'f Ir I,
11•1; \; f\a'
;. s a
Climate Action Plan Consistency Checklist
Char in
;a l New construction and major alterations*
Carlsbad Ordinance CMC section 18.21.140 when_:_::...co::.:mc..:..i:..:...:le..:..:ti-'-n,,,_g...;.;th-"i.:..s...:.s.:..ec-=-t"-io'-'-n'-'-.----------
0-ramily residential dwelling or lownhouse with attached garage:
~E Ready parking space required D Exception :
D Exception·
Spaces EVSE Spaces
p,1 Capable I Ready I
I I
FVSE spaces = .10 x Total parking (rounded up to nearest whole number)
Installed= Total EVSE Spaces x .50 (rounded up to nearest whole number)
. other= Total EVSE spaces -EVSE Installed
I: other may be "Capable," "Ready" or "Installed.")
Installed I Total
I
: ( 1) ror one and two-family dwellings and townhouses wit11 attached garages, alterations have a building permit valuation ~ $60,000
11 service panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), alterations have a building permit
interior finishes are removed and significanl site work and upgrades lo structural and mechanical, electrical, and/or plumbing
tl.
'new construction (includes hotels/motels) 0 Exception ·
'paces ,.) EVSE Spaces
j Capable I Ready I Installed I Total
2 .L. 5 I 1 I 8 -------.. -----
, lo lhe table below:
King Spaces provided Number of reg_(!ired EV S~ces ___ Number of reguired EVSE Installed Seaces
1 1
2 1
4 2
6 3
9 5 ----------------------:J 12 6
) 17 9
I m•er 10 percent of total 50 percent of Required EV Soaces
5
City of C.ir: -1
5. 0 Trnnsr,n
/\n c1rproveJ 7
C 1y 5:,t~1ff vi' 1
rr•'· I. ' '
Acknowlrd9111rnl:
I acknowledge that I'
my permit require ;i •
Applic;inl Si9n.11ure: _
Climate Action Plan Consistency Checklist
"'11 Demand Management (TOM): Nonresidential ONLY
0rtation Demand Management (TOM) Plan is required for all nonresidential projects that meet a threshold of employee-generated A0T.
'1ble below based on your submitted plans to determine whether or nor your permit requires a TOM plan. If TOM is applicable to your
t :11e 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
, Unless otherwise noted, rates estimated from !TE Trip
Generation Manual, 10'hEdition
13
11
4.5
3.5
3
2 For all office uses, use SANDAG rate of 20 ADT/1,000 sf to
calculate employee ADT
3 Retail uses include shopping center, variety store, supermarket,
gyms, pharmacy, etc.
Other commercial uses may be subject to special
consideration
Sample calculations:
Office: 20,450 sf
1. 20,450 sf/ 1000 x 20 = 409 Employee ADT
Retail: 9,334 sf
1. First 1,000 sf = 8 ADT
2. 9,334 sf -1,000 sf = 8,334 sf
3. 8,334 sf/ 1,000 x 4.5 + 8 = 46 Em lo ee ADT
ins submitted may be subject to the City of Carlsbad's Transportation Demand Management Ordinance. I agree to be contacted should
plan and understand that an approved TDM plan is a condition of permit issuance.
~C..O,. U. ~"klV? Date: 0'1-04,:tt7
Person other th,1n • •·r111t to be contacted for TDM compliance (if applicable):
Name (f"'-'•1'0 '\: JovAN, PAu,IU.l)v\C. Phone Number: c;. \"\ • <t,cn.. ~ 1%
6