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Home My WebLink About2495 FARADAY AVE; ; CBC2022-0330; PermitBuilding Permit Finaled (city of Carlsbad Commercial Permit Print Date: 04/18/2023 Permit No: CBC2022-0330 Job Address: 2495 FARADAY AVE, CARLSBAD, CA 92010-7225 Status: Closed -Finaled Permit Type: BLDG-Commercial Work Class: Tenant Improvement Parcel#: 2090503300 Track #: Valuation: $9,222.40 Lot#: Occupancy Group: 8, S-1 #of Dwelling Units: Project#: Plan#: Bedrooms: Bathrooms: Construction Type: 111-8 Orig. Plan Check#: Occupant Load: Plan Check#: Code Edition: 2019 Sprinkled: Yes Project Title: Description: FEDEX: COM-Tl (160 SF) RESTROOM NON-STRUCTURAL Applicant: WHITE CONSTRUCTION LEAH NORMAN 1808 ASTON AVE, # 100 CARLSBAD, CA 92008-7369 FEE BUILDING PLAN CHECK Property Owner: BH ENTERPRISES 2495 FARADAY AVE CARLSBAD, CA 92010-7225 BUILDING PLAN REVIEW -MINOR PROJECTS (LDE) BUILDING PLAN REVIEW-MINOR PROJECTS (PLN) CERTIFICATE OF OCCUPANCY COMM/IND Tl -NON-STRUCTURAL SB1473 -GREEN BUILDING STATE STANDARDS FEE STRONG MOTION -COMMERCIAL (SMIP) Total Fees: $1,463.28 Total Payments To Date: $1,463.28 Applied: 09/06/2022 Issued: 11/10/2022 Fina led Close Out: 04/18/2023 Fina l Inspection: 04/14/2023 INSPECTOR: Renfro, Chris Alvarado, Tony Contractor: SPW CONSTRUCTION OBA WHITE CONSTRUCTION-DO NOT USE 2524 GATEWAY RD CARLSBAD, CA 92009 (760) 931-1130 Balance Due: AMOUNT $453.70 $194.00 $98.00 $16.00 $698.00 $1.00 $2.58 $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. 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 COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan ChecC B(!.ZoZ 'Z -0330 Est. Value .j '2..!, (pO{p,4f"b PC Deposit ,i 't£3• '7 0 Date C'f-" ~ ~~ Job Address2495 Faraday Avenue 92010 Suite:. ____ _,APN:209-050-33-00 Tenant Name#: FedEx Lot#: Year Built: 2000 ----------------·------------- Year Built:. __ _ Occupancy: B, S-1 Construction Type: 111-B Fire sprinklers@ESQNO A/C:0YESQNO BRIEF DESCRIPTION OF WORK: TENAHTN'RCMMEHTSTOTliE ,.Fl.OOflOF ElOSTNI OUN.ONJ.NEWSlN<ll.EOCCUf'ANCV ACCESSIBLE RESIROOMS NEWW"'-1.S, PlUMBINGANDVENl,V.1100, D Addition/New: ___________ New SF and Use, _________ New SF and Use ______ SF Deck, SF Patio Cover, SF Other (Specify) ___ _ [2:]Tenant Improvement: ~~\WO SF, Exist ing Use: _______ Proposed Use: ______ _ _____ SF, Existing Use: Proposed Use: ______ _ D Pool/Spa: _____ SF Additional Gas or Electrical Features? ___________ _ D Solar: ___ KW,. ___ Modules, Mounted: 0Roof 0Ground D Re roof: __________________________________ _ D Plumbing/Mechanical/Electrical Oother: __________________________________ _ APPLICANT (PRIMARY CONTACT) PROPERTY OWNER Name· White Construction Name: S&S Prop Aquisiton LLC, S&S 1000 Del Norte LLC Address· 18080 Aston Avenue, Suite 100 Address: 1714 16TH Street City·Carlsbad state:CA Zip:92008 City:Santa Monica State: CA Zip:_9_04_0_4 __ _ Phone·619-889-6052 Phone:. __________________ _ Email·LEAH@WHITECONSTRUCTIONINC.COM Email: ------------------- DES I G N PROFESSIONAL CONTRACTOR OF RECORD Name:Jeff Hines Business Name: White Construction Address:. ________________ Address: 1808 Aston Avenue Suite 100 City· State:. ___ Zip: City: Carlsbad State: CA Zip:._9_2_00_8 ____ _ Phone: 619-985-2071 Phone: 619-889-6052 Email·jeff_hines@cyrilgroupdesign.com Email: LEAH@WHITECONSTRUCTIONINC.COM Architect State license: ___________ CSLB License #:._1_0_23_8_5_6 ____ Class:._B ______ _ Carlsbad Business License # (Required): BLNR000431-02-0217 APPLICANT CERT/FICA TION: 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. NAME (PRINT): Leah Norman I p. ( . SIGN: llaJAll ~ ' DATE: q} 1 lioi:t- 163S Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov REV. 07/21 THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _ A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE. (OPTION A}: LICENSED CONTRACTOR DECLARATION: I herebyaf firm under penal tyof perjury that I am licensed under provisionsof Chapter 9 ( commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fut If orce and effect. I also affirm under penal tyof perjury one of the following declarations (CHOOSE ONE}: D1 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. PolicyNo. ______________________________________ _ -OR-[!]1 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: _s_tat_e_c_om~peo_sa_u_o_n_tn_s _Fu_nd _____________ _ Polley No. 9243036-22 Expiration Date: _o,_,o_,_!2023 _____________ _ -OR- O 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 califomia. WARNING: Failure to secure workers compensation coverage Is unlawful and shall subject an employer to crlmlnal penalties and clvll fines up to $100,000.00, In addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code, Interest and attorney's fees. CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name: ____________________ Lender's Address: ___________________ _ CONTRACTOR CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT}: ~;....a...a....;~~ ....... Pu_slGNATURE: Ua,JJ.~ DATE:_tf } ..... ) [ ....... YJ ...... 'b ........ 2_ ent for the contractor provide a letter of authorization on contractor letterhead. -OR - (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason : n I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. L.m'44, 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 t hat he did not build or improve for the purpose of sale). -OR-D 1, 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). -OR-□, am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, D FORM B-61 "Owner Builder Acknowledgement and Verification Form" is required for any permit issued to a property owner. 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 7044of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: http:Ilwww.leginfo.ca.gov/ ca/aw.html. OWNER CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. NAME(PRINT}: -, _ SIGN:. ______ ,ATE: _____ _ Note: If the person signing above Is an authorlzeJ agent for the property owner Include form B-62 signed by property owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov 2 REV. 07/21 PERMIT INSPECTION HISTORY for (CBC2022-0330) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Closed -Finaled Application Date: 09/06/2022 Owner: BH ENTERPRISES Issue Date: 11/10/2022 Subdivision: PARCEL MAP NO 18416 Expiration Date: 09/18/2023 IVR Number: 43098 Address: 2495 FARADAY AVE CARLSBAD, CA 92010-7225 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Tuesday, April 18, 2023 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final NOTES Created By Angie Teanio Status COMMENTS TEXT 760-535-8371 Mark Passed Yes Yes Yes Yes Yes Created Date 04/13/2023 Page 3 of 3 PERMIT INSPECTION HISTORY for (CBC2022-0330) Permit Type: BLDG-Commercial Application Date: 09/06/2022 Owner: BH ENTERPRISES Work Class: Tenant Improvement Issue Date: 11/10/2022 Subdivision: PARCEL MAP NO 18416 Status: Closed -Finaled Expiration Date: 09/18/2023 Address: 2495 FARADAY AVE IVR Number: 43098 CARLSBAD, CA 92010-7225 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Re inspection Inspection Date Start Date Status Checklist Item COMMENTS Passed Are inactives slopes properly Yes stabilized? Are areas flatter than 3: 1 Yes covered or protected? Are sediment controls properly Yes maintained? Are erosion control BMPs Yes functioning properly? Are natural areas protected Yes from erosion? Do basins appear to be Yes maintained as required? Are perimeter control BMPs Yes maintained? Is the entrance stabilized to Yes prevent tracking? Have sediments been tracked Yes on to the street? Have materials collected Yes around the storm drains? Has sediment accumulated on Yes impervious surfaces? Are dumpsters and trash Yes receptacles covered? Has trash/debris accumulated Yes throughout the site? Are stockpiles and spoils Yes protected from runoff? Are all storage areas clean Yes and maintained? Were spills/leaks observed Yes during the inspection? Were there any discharges Yes during the inspection? Are portable restrooms Yes properly positioned? Do portable restrooms have Yes secondary containment? 03/20/2023 03/20/2023 BLDG-17 Interior 205911-2023 Passed Tony Alvarado Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Drywall-FedEx, new men's and women's Yes restroom in warehouse-approved. 04/14/2023 04/14/2023 BLDG-Final Inspection 208088-2023 Passed Chris Renfro Complete Tuesday, April 18, 2023 Page 2 of 3 Building Permit Inspection History Finaled (City of Carlsbad PERMIT INSPECTION HISTORY for (CBC2022-0330) Permit Type: BLDG-Commercial Application Date: 09/06/2022 Owner: BH ENTERPRISES Work Class: Tenant Improvement Issue Date: 11 /10/2022 Subdivision: PARCEL MAP NO 18416 Status: Closed -Finaled Expiration Date: 09/18/2023 Address: 2495 FARADAY AVE IVR Number: 43098 CARLSBAD, CA 92010-7225 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 02/28/2023 02/28/2023 BLDG-21 204280-2023 Passed Tony Alvarado Underground/Underflo or Plumbing Checklist Item BLDG-Building Deficiency NOTES Created By Angie Teanio COMMENTS February 28, 2023: 1. Interior Tenant Improvement-Underground floor waste plumbing lines, under water leak 1 0 foot high column, water leak pressure test, for (2) new ADA restroom, scope of work per plan-approved. TEXT 760-535-8371 Mark 03/15/2023 03/15/2023 BLDG-84 Rough 205570-2023 Passed Tony Alvarado Tuesday, April 18, 2023 Combo(14,24,34,44) Checklist Item BLDG-14 Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout BLDG-34 Rough Electrical BLDG-44 Rough-Ducts-Dampers NOTES Created By Angie Teanio COMMENTS TEXT 760-535-8371 Mark BLDG-SW-Inspection 205622-2023 Partial Pass Tony Alvarado Complete Passed Yes Created Date 02/27/2023 Complete Passed Yes Yes Yes Yes Created Date 03/14/2023 Re inspection Incomplete Page 1 of 3 Hazardous Materials Questionnaire Record ID#: DEH2002-HUPFP-138994 Plan Check#: DEH2022-HHMBP-012243 County of San Diego, Department of Environmental Health and Quality PO Box 129261, San Diego, CA 92112-9261 (858) 505-6700 (800) 253-9933 www.sdcdehq.org Business Name FedEx Business Contact Danielle Carter Telephone# Plan File# Project Address 2495 FARADAY AVE City CARLSBAD State CA Zip Code 92010-7225 APN# 209-050-33-00 Applicant Applicant E-Mail Applicant Telephone# Danielle Carter dycarter@fedex.com The following quntlona represent the faclllty'a activities, N T the specific project description. PART I· EIRE DEPARTMENT• HAZARDOUS MEIERIALS DIVISION· OCCUPANCY GI AM!EIGADON· (Not required for project■ within the City of San Diego.) Indicate by selecting the Item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are selected, Applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: Facility'■ Square Footage (including proposed project): □ Explosive or Blasting Agents □ Organic Peroxides □ Water Reactives □ Corrosives Compressed Gases Flammable/Combustible Liquids □ □ Oxidizers Pyrophorics □ Cryogenics □ Other Health Hazards □ Highly Toxic or Toxic Materials □ None of These □ Flammable Solids □ Unstable Reactives □ Radioactives PART II· SAN PIEQO COUNTY DEPARTMENT Of ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS PIYISION (HMD)· If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, in person at 5500 Overland Ave., Suite 110, San Diego, CA 92123, or by phone at (858) 505-6700 prior to issuance of a building permit. FEES ARE REQUIRED. Project Completion Date: 12/31/2022 YES NO 1. llil □ 2. llil □ 3. llil □ 4. □ 5. □ 6. llil 7. □ 8. □ □ llil □ llil Ill! Is your business listed on the reverse side of this form? (check all that apply). Will your business dispose of Hazardous Substances or Medical Waste in any amount? Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds, or 200 cubic feet? Will your business handle carcinogens or reproductive toxins in any quantity? Will your business use an existing, or install an underground storage tank? Will your business store or handle Regulated Substances (CalARP)? Will your business use or install a Hazardous Waste Tank System (Title 22, Article 1 O)? Will your business store petroleum in tanks or containers at your facility with a total storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Pe1roleum Storage Act). □ □ D CalARP Exempt CalARP Required CalARP Comple1e Review Date: PART m· SAN PIEQO COUNTY AIR POLLUTION CONTROL DISTRICT (APGD)· If the answer to Question #1 is 'Yes' and the answer to Question #2 is 'No', the applicant must contact the APCO prior to the issuance of a building or demolition permit. If any answer to Questions #3, #4, or #5 is 'Yes', the applicant must contact the APCO prior to the issuance of a building or demolition permit. If 1he answer to Question #3 or #4 is 'Yes', the applicant may need to submit an asbestos notification form to the APCO at least 1 O working days prior to commencing demolition or renovation (some residential projects may be exempt from the notification requirements). Contact the APCD at 10124 Old Grove Road, San Diego, CA 92131 or telephone (858) 586-2600 for more information. YES NO 1. □ llil 2. □ □ 3. □ □ 4. □ llil Will any existing building materials be disturbed as part of this project? (If the answer is 'Yes', an asbestos survey may be required.) Has a survey been performed to determine the presence of asbestos containing materials? Will the project involve handling or disturbance of any asbestos containing materials? Will the project Involve the removal of any load supporting structural member? 5. □ ll!l Will the subject facility or construction activities Include operations or equipment that emit or are capable of emitting an air contaminant? (See the APCO factsheet at http://www.sdapcd.org/info/facts/permits.pdf 6. □ □ (ANSWER ONLY IF QUESTION 5 IS 'YES') Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)? Search the California School Directory at http://www.cde.ca.gov/re/sd/ for public and private schools or contact the appropriate school district. Briefly describe business activities: Briefly describe proposed project: Cargo transportation -Receiving and dlapenalng of goods Restroom and brHkroom repairs I declare under penalty of perjury that to the best of my knowledge and belief, the responses made herein are true and correct. llil; Fees Acknowledged: llil LEAH NORMAN 8/24/2022 Name of Owner or Authorized Agent Date FOR OFFICIAL USE ONLY FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: BY: DATE: __________ _ EXEMPT OR NO FURTHER INFORMATION REQUIRED COUNTY-HMO• ,,._M,""< or s..cv0 @v v~ REVIEWED G'<3 M. Martinez SIGJj-'TURE 9/9/2022 DATE APCO ol-l corv-,.~ ...,..::,"'-~ o<o O,._, -rn ~ REVIEWED BY "~ tr M. Jaurequi ~ < ~ RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY COUNTY-HMO APCO RELEASED FOR OCCUPANCY COUNTY-HMO APCO •A stamp in this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply. DEHQ..HMD_HMBP _Questionnaire v 2.0 (8/2021) Printed on: 11/10/2022@ 8:17 AM ( City of Carlsbad PURPOSE CLIMATE ACTION PLAN CONSISTENCY CHECKLIST B-50 Development Services Building Division 1635 Faraday Avenue 442-339-2719 www.carlsbadca.gov This checklist is intended to help building permit applicants identify which Climats~tr ~ AP) ordinance requirements apply to their project. This completed checklist (B-50) and summary (B-55) must be included with the building permit application. The Carlsbad Municipal Code (CMC) can be referenced durin9rcompletion 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. Appropriate certification includes, but is not limited to: Licensed, practicing Architect, Engineer, or Contractor familiar with Energy compliance, IECC/HERS Compliance Specialist, ICC G8 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 ordinanr- 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 provided ....... project plans must show all details as stated in the applicable Carlsbad Municipal Code (CMC) and/or Energy Cod~ndl\ Green Code sections. \,,J -"',-------------------------------------------, Appllcatlon Information Project Name/Building Permit No.: BP No.: Property Address/APN: 2495 Farady Avenue -209-050-33-00 Applicant Name/Co.: Leah Norman, White Construction Applicant Address: 1808 Aston Aveu, Suite 100, Carlsbad Contact Phone: 760-931-1130 x104 Contact Email: leah@whiteconstrcutioninc.com Contact information of person completing this checklist (if different than above): Name: Contact Phone: 760-931-1130 x104 Company name/address: Contact Email: Applicant Signature: l10WA . Nt,wvttw\ e V . Date: 111 ( IW1/v 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 t 'Z."2.1 C. Db • ~O Construction Type I Complete Section(•) I Notes: A high-rise residential building is 4 or more stories, induding a D 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 Ii] Nonr9aidential □ New construction 1 B, 2B, 3B, 4B and 5 !!!I Alterations: l less than 120 sq ft., N/A } □ 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 appropriate boxes, explain all not applicable and exception items, and provide supporting calculations and dorumentation as necessary. 1. Energy Efficiency Please refer to Carlsbad Municipal Code (CMG) 18.21.155 and 18.30.190,and the California Green Building Standards Code (CAL Green) for more information. Appropriate details and notes must be placed on the plans according to selections chosen in the design. A D Resldentlaladdltionoralteratloni!:$60,000bulldlngpennltvaluatlon. D N/A _________ _ Detallsofselectlonchosen belowmustbe placedontheplansreferenclngCMC □ Exception: Home energy soore.? 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 Between1978and1991 Select one option: D Ductsealing D Attic insulation □Cool roof D 1992 and later Select one option: D Lighting package D Water heating package Updated 4/16/2021 3 r B. D Nonresidential* new construction or alterations~ $200,000 building pennit valuation, or addltions~1,000squarefeetSeeCMC18.21.155andCALGreen AppendlxAS □ NIA AS.203.1.1 Choose one:□ .1 Outdoorlighting □ .2 Restaurant service water heating (CEC 140.5) □ .3 Warehouse dock seal doors. □ .4 Daytightdesign PAFs □ .5 Exhaust air heat recovery □ N/A AS.203.1 .2.1 Choose one: □ .95 Energy budget (Projects with indoor lighting OR mechanical) □ .90 Energybudget (ProjectswithindoorlightingANDmechanical) □ N/A AS.211.1 ** □ On-site renewable energy: □ N/A AS.211.3** □ 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 D Steel framing: (Provide details on plans for options 1-4 chosen) □ NIA • Includes hotels/motels and high-rise residential buildings **Foralterations;i: $1,000,000 BPVand affecting> 75% existinggrossfloorarea, ORalterationsthatadd2,000squarefeetof new roof addition: comply with CMC 18.30.130 (section 28 below) instead. 2. Photovoltaic Systems A. D Residential new construction (for low.fise 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.) *Fonnula calculation where CFA = conditional floor area, #du " number of dwelfings per plan type If proposed system size is less than calculated size, please explain. kWdc Exception □ □ □ □ B. D Nonresidential new construction or alterations ~1,000,000 BPV AND affecting ~75% existing floor area, OR addition that increases roof area by ~000 square feet Please refer to CMC 18.30.130 when completing this section. *Note: This section also applies to high-rise residential and hoteUmotel buildings. Choose one of the following methods: □ Gross Floor Area (GFA)Method GFA: □ If< 1 0,000s.f. Enter: 5 kWdc Min. System Size: □ If~ 1 0,000s.f. calculate: 15 kW de x (GF A/10,000) ** kWdc **Round building size factor to nearest tenth, and round system size to nearest whole number. Updated 4/16/202 1 4 D Time-Dependent Valuation Method AnnualTDVEnergyuse:*** ______ x .80= Min. system size: ______ kWdc *** Attach calculation documentation using modeling software approved by the California Energy Commission. 3. Water Heating A D Resldentlal and hotel/motel new construction. Refer to CMC 18.30.170 when completing this section. Provide complete details on the plans. □ For systems serving Individual dwelling units choose one system: □ Heat pump water heater AND Compact hot water distribution AND Drain water heat recovery (low-rise residential only) □ Heat pump water heater AND PV system .3 kWdc larger than required in CMC 18.30.130 (high rise residential hotel/motel) or CA Energy Code section 150.1 (c) 14 (low-rise residential) □ Heat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higher □ Solar water heating system that is either .60 solar savings fraction or 40 s.f. solar collectors □ Exception: □ For systems serving multiple dwelling units, install a central water-heating system with ALL of thefollowing: □ Gas or propane water heating system □ Recirculation system per CMC 18.30.150(8) (high-rise residential, hotel/motel) or CMC 18.30.170(8) (low- rise residential) □ Solar water heating system that is either: □ .20 solar savings fraction □ .15 solar savings fraction, plus drain water heat recovery □ Exception: 8. D Nonresidential new construction. Refer to CMC 18.30.150 when completing this section. Provide complete details on the plans. □ Water heating system derives at least 40% of its energy from one of the following (attach documentation): □ Solar-thermal D Photovoltaics □ Recovered energy □ Water heating system is (choose one): □ Heat pump water heater □ Electric resistance water heater(s) □Solar water heating system with .40 solar savings fraction □ Exception: It may be necessary to supplement the completed checklist with supporting materials, calculations or certifications, to demonstrate full compliance with CAP ordinance requirements. For example, projects that propose or require a performance approach to comply with energy-related measures will need to attach to this checklist separate calculations and documentation as specified by the ordinances. Updated 4/16/21 5 .. ' 4. Electric Vehicle Charging A D Residential New construction and major alterations* Please refer to CMC 18.21.140 when completing this section. □ One and two-family residential dwelling or townhouse with attached garage: □ One EVSE Ready parking space required □ Exception : ____________ _ □ Multi-familyresidential· □ Exception · Total Parking Spaces EVSE Spaces Proposed EVSE (10% of total) I Installed (50% ofEVSE)I Other "Ready" I Other "Capable" I I I Calculations: Total EVSEspaces= .10xTotalpaoong spaces proposed(roundeduptonearestwholenumber) EVSE Installed= Total EVSE Spaces x .50 (rounded up to nearest whole number) EVSE other may be "Ready" or "Capable" *Major alterations are: (1 )foroneand two-family dwellings and townhouses with attached garages, alterations have a building pennit 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, interiorfinishesare removed and significant site wor1< and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed. *ADU exceptions for EV Ready space (no EV ready space required when): (1) The accessory dwelling unit is located within one-half mile of public transit. (2) The accessory dwelling unit is located within an architecturally and historically significant historic district. (3) The accessory dwelling unit is part of the proposed or existing primary residence or an accessory structure. (4) When on-street parking permits are required but not offered to the occupant of the accessory dwelling unit. (5) When there is a car share vehicle located within one block of the accessory dwelling unit. B. D Nonresidential new construction (includes hotels/motels) □ Exception: ____________ _ Please refer to CMC 18.21.150 when completing this section Total Parking Spaces Prooosed EVSE (10% of total) I Installed (50% of EVSE) 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 □ 101-150 12 6 □ 151-200 17 9 D 201 andover 1 0 percent of total 50 percent of Required EV Spaces Calculations: Total EVSE spaces= .10 x Total paoong 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 plans to determinewhetherornoryourpermitrequires 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. Acknowledgment: Employee ADT Estimation for Various Commercial Uses Office (all)2 20 Restaurant 11 Retaila 8 Industrial 4 Manufacturing 4 Warehousin 4 1 Unless otherwise noted, rates estimated from /TE Trip Generation Manual, 1(1hEdition 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 ca1cu1atjons; 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 TOM plan and understand that an approved TOM plan is a condition of permit issuance. ApplicantSignature: uakl,,U . NMi\1M) Date: vt /1 lioi-2- Person other than Applicant to be contacted for TDM compliance (if applicable): Name(Printed): __________________ _ Phone Number: ____ _ Email Address: __________________ _ Updated 4/16/2021 7