HomeMy WebLinkAbout2792 GATEWAY RD; 101; CBC2022-0429; PermitBuilding Permit Finaled
(_ City of
Carlsbad
Commercial Permit
Print Date: 04/25/2023
Job Address: 2792 GATEWAY RD, # 101, CARLSBAD, CA 92009-1749
Permit No:
Status:
CBC2022-0429
Closed -Finaled
Permit Type: BLDG-Commercial Work Class: Tenant Improvement
Parcel#: 2133001000
Valuation: $473,109.12
Occupancy Group: B
#of Dwelling Units:
Bedrooms:
Bathrooms:
Occupant Load: 200
Code Edition: 2019
Sprinkled: Yes
Project Title:
Track#:
Lot#:
Project#:
Plan#:
Construction Type:11I-B
Orig. Plan Check#:
Plan Check#:
Applied: 12/12/2022
Issued: 02/02/2023
Fina led Close Out: 04/25/2023
Final Inspection: 04/18/2023
INSPECTOR: Kersch, Tim
Description: IDA WEALTH MNGMT: Tl COMBINING ALL SUITES FOR SINGLE TENANT (8208 SF)
Applicant:
SAFDIE RABINES INTERIORS
JENNIFER DEAK
925 FORT STOCKTON DR
SAN DIEGO, CA 92103-1817
(619) 297-6153
FEE
BUILDING PLAN CHECK
Property Owner:
2792 GATEWAY LLC
2792 GATEWAY RD, # 102
CARLSBAD, CA 92009-1749
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: $3,552.49 Total Payments To Date: $3,552.49
Contractor:
SPW CONSTRUCTION INC
1808 ASTON AVE, # STE 100
CARLSBAD, CA 92008-7369
(760) 931-1130
Balance Due:
AMOUNT
$1,218.46
$194.00
$98.00
$16.00
$1,874.56
$19.00
$132.47
$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 11fees/exaction.11 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 Check
Est. Value
PC Deposit
Date
Job Address 2792 GATEWAY RD. CARLSBAD, CA 92009
Tenant Name #: IDA WEAL TH MANAGEMENT
Suite: ____ ~APN: 213.300-10-00
Lot #:,_1_0 ___ Year Built: _2_00_7 ________ _
Year Built:_20_0_7 __ Occupancy:_B __ _ Construction Type:_v_-B __ Fire sprinklers@'EsONo A/C:0YES0No
BRIEF DESCRIPTION OF WORK: COMMERCIAL TENANT IMPROVEMENT
D Addition/New: ____________ ,New SF and Use, __________ New SF and Use
_______ SF Deck, _______ .SF Patio Cover, SF Other (Specify) ____ _
[{]Tenant Improvement: _8_,2_08 ____ SF, Existing Use: _______ Proposed Use: ______ _
_____ SF, Existing Use: Proposed Use: ______ _
D Pool/Spa: _____ .SF Additional Gas or Electrical Features? ____________ _
D Solar: ___ KW, ___ Modules, Mounted:ORoof OGround
D Re roof: _____________________________________ _
D Plumbing/Mechanical/Electrical
Dmher: ______________________________ _
APPLICANT (PRIMARY CONTACT)
Name: JENNIFER DEAK
Address· 925 FORT STOCKTON DRIVE
City· SAN DIEGO State:,_c_A __ .Zip: 92103
Phone· 619-297-6153
PROPERTY OWNER
Name: JASON LABRUM
Address: 2792 GATEWAY RD.
City: CARLSBAD
Phone: 760-707-5555
State:_c_A __ .Zip: 92009
Email. JENN IFER@SAFDIERABINES.COM Email: JASON.LABRUM@IDAWEALTH.COM
DESIGN PROFESSIONAL
Name: SAME AS APPLICANT
Address;..• ________________ _
CONTRACTOR OF RECORD
Business Name: WHITE CONSTRUCTION, Inc
Address: 1808 Aston Ave, Suite 100
City.._· ________ ,State:, ___ .Zip: _____ City: CARLSBAD State:_cA __ .Zip: 92008
Phone· Phone: 760-390-8196
Email: Email: angela@WHITECONSTRUCTI0Ninc.C0M
Architect State License: ____________ CSLB License#: 1023856 Class: _______ _
Carlsbad Business License# (Required): BLNR000431-02-2017
APPLICANT 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): Jennifer Deak SIGN: DATE: 11.30.2022
1635 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 herebyaff i rm 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 {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: -'-"'-'-"-'-"_0_•'-'-"-'-"°-'-"-"'-"--------------
Policy No. 9243036 Expiration Date:-"-'"-'---------------
-OR-
Ocertificate of Exemption: l certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become
subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage is unlawful and shall subject an employer to
criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code,
interest and attorney's fees.
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name: _____________________ .Lender's Address: ____________________ _
CONTRACTOR CERT/FICA TION: I certify that I have read the application and state that the above information is correct and that
theinformationon the plans is accurate. I agree to comply with all City ordinances and State laws relating to building
construction.
Angela Slevinsky,
NAME (PRINT): Project Specialist SIGNATURE:
Note: If the person signing above is an authorized agent for the contractor provide a letter of
-OR -
(OPTION B): OWNER-BUILDER DECLARATION:
DATE: 12/1/2022
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....ni'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 that he did not build or improve for the purpose of sale).
-OR-D1, 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-□1 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 t 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 Code, is available upon request when this application is
submitted or at the following Website: http://www.leginfo.ca.gov/calaw.html.
OWNER CERT/FICA TION: I certify that I have read the application and state that the above information is correct and that the
information on theplansisaccurate. lagree to comply with all City ordinances and State laws relating to building
construction.
NAME (PRINT): SIGN: __________ DATE: ______ _
Note: If the person signing above is an authorized 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 Type:
Work Class:
Status:
Scheduled
Date
04118/2023
f ++ 0 , " "';01 00 ,
J,ee:M·ir1"1,x:11~ecT10N H1si~it ,a~: fcec:2022-0429 >
BLDG-Commercial Application Date: 12/12/2022 Owner: 2792 GATEWAY LLC
Tenant Improvement Issue Date: 02/02/2023 Subdivision:
Closed -Finaled Expiration Date: 09/05/2023 Address: 2792 GATEWAY RD, # 101
IVR Number: 45184 CARLSBAD, CA 92009-1749
Actual Inspection Type
Start Date
Inspection No, Inspection Primary Inspector Reinspection Inspection
Status
BLDG-85 T-Bar, Ceiling 205135-2023 Passed
Grids, Overhead
Checklist Item
BLDG-Building Deficiency
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
760-535-6200 Jim
04/18/2023 BLDG-Final Inspection
Checklist Item
208320-2023
COMMENTS
Passed
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
NOTES Created By
Angie Teanio
TEXT
760-535-6200 Jim
Tim Kersch Complete
Passed
Yes
Yes
Yes
Yes
Yes
Created Date
03/08/2023
Tim Kersch Complete
Passed
No
No
No
No
No
Created Date
04/17/2023
Tuesday, April 25, 2023 Page 2 of 2
OFFICE USE ONLY SAN DIEGO REGIONAL
HAZARDOUS MATERIALS
QUESTIONNAIRE
RECORD ID # __________________ 1 PLAN CHECK# __________________ 1
BP DATE
Business Name Business Contact Telephone#
IDA WEAL TH MANAGEMENT JENNIFER DEAK 619-297-6153
Project Address (include suite) City State Zip Code APN#
2792 GATEWAY RD. CARLSBAD CA 92009 213-300-1 0-00
Mailing Address (include suite) City State Zip Code Plan File#
SAME AS ABOVE
Project Contact Applicant E-mail Telephone#
JENNIFER DEAK JENNIFER@SAFDIERABINES.COM 619-297-6153
The following questions represent the facility's activities, NOT the specific project description.
PART I: FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: {not required for projects within the City of San
Diego): Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are circled,
applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal.
Occupancy Rating: Facility's Square Footage (including proposed project):
5. Organic Peroxides 9. Water Reactives 13. Corrosives 1. Explosive or Blasting Agents
2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards
3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These.
4. Flammable Solids 8. Unstable Reactives 12. Radioactives
PART 11: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEAL TH HAZARDOUS MATERIALS DIVISION {HMD): If the answer to any of the
questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 170, San Diego, CA 92123.
Call (858) 505M6700 prior to the issuance of a building permit.
FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy:
1.
2.
3.
4.
5.
6.
7.
8.
YES NO (for new construction or remodeling projects)
Is your business listed on the reverse side of this form? (check all that apply). □ 0 □ 0 Will your business dispose of Hazardous Substances or Medical Waste in any amount?
□ 0 Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500
pounds and/or 200 cubic feet?
□ □ □ □ □
El Will your business store or handle carcinogens/reproductive toxins in any quantity?
El Will your business use an existing or install an underground storage tank?
El Will your business store or handle Regulated Substances (CalARP)? El Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? El Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to
or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act).
0 CalARP Exempt
I
Date Initials
0 CalARP Required
I
Date Initials
0 CalARP Complete
I
Dale Initials
PART 111: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD): The following questions are intended to identify the majority of air pollution
issues at the planning stage. Your project may require additional measures not identified by these questions. Some residential projects may be exempt from APCD
requirements. If yes is answered for either questions 1, 2 or 5 or for more comprehensive requirements, please contact APCD at apcdcomp@sdcounty.ca.gov;
(858) 586-2650; or 10124 Old Grove Road, San Diego, CA 92131.
YES NO
1. El D Will the project disturb 100 square feet or more of existing building materials?
2. El D Will any load supporting structural members be removed?
3. D El (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by an individual that has passed an EPAMapproved
building inspector course?
4. D El (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Based on the survey results, will the project disturb any asbestos containing material? If yes, a
notification may be required at least 10 working days prior to commencing asbestos removal. Additionally, a notification may be required prior to
the removal of a load supporting structural member(s) regardless of the presence of asbestos.
5. D El Will the project or associated construction equipment emit air contaminants? See the reverse side of this form for typical equipment requiring an
APCD permit. If yes, contact APCD prior to the issuance of a building permit.
6. D D (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school
bounda ?
Briefly describe business activities: Briefly describe proposed project:
CORPORATE OFFICE COMMERCIAL TENANT IMPROVEMENT
I declare under penalty of pe~ury that to the best of my knowledge and belief t e ~spo~~~s made heF,ein are true and correct.
JENNIFER DEAK QffV!JJ,Y-v j:Jr2.IJJ-v 11/30/2022 I
Name of Owner or Authorized Agent Signature of Owner or Authorized Agent Date
FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: ________________________________ _
BY· DATE· I I
EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY-HMO* APCD COUNTY-HMO APCD COUNTY-HMO APCD
. A stamp in this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply
HM-9171 (9/18) County of San Diego M DEH -Hazardous Materials Division
( City of
Carlsbad
I INSTRUCTIONS:
STORM WATER STANDARDS
QUESTIONNAIRE
E-34
Development Services
Land Development Engineering
1635 Faraday Avenue
442-339-2750
www.carlsbadca.gov
To address post-development pollutants that may be generated from development projects, the city requires that new
development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management
Practices (BMPs) into the project design per Carlsbad BMP Design Manual (BMP Manual). To view the BMP Manual, refer
to the Engineering Standards (Volume 5).
This questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision,
discretionary permits and/or construction permits). The results of the questionnaire determine the level of storm water
standards that must be applied to a proposed development or redevelopment project. Depending on the outcome, your
project will either be subject to 'STANDARD PROJECT' requirements, "PRIORITY DEVELOPMENT PROJECT (PDP)
requirements or not considered a development project. This questionnaire will also determine if the project is subject to
TRASH CAPTURE REQUIREMENTS.
Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City
staff has responsibility for making the final assessment after submission of the development application. If staff determines
that the questionnaire was incorrectly filled out and is subject to more stringent storm water standards than initially assessed
by you, this will result in the return of the development application as incomplete. In this case, please make the changes to
the questionnaire and resubmit to the city.
If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the
questions, please seek assistance from Land Development Engineering staff.
A completed and signed questionnaire must be submitted with each development project application. Only one completed
and signed questionnaire is required when multiple development applications for the same project are submitted
concurrentlv.
PROJECT INFORMATION
PROJECT NAME: IDA WEAL TH MANAGEMENT APN: 213-300-10-00
ADDRESS: 2792 GATEWAY RD. CARLSBAD, CA 92009
The project is (check one): D New Development D Redevelopment
The total proposed disturbed area is: ft2 I ) acres
The total proposed newly created and/or replaced impervious area is: ft2 I \ acres
If your project is covered by an approved SWQMP as part of a larger development project, provide the project ID and the
SWQMP # of the larger development project:
Project ID SWQMP#:
Then, go to Step 1 and follow the instructions. When completed, sign the form at the end and submit this with your
application to the city.
This Box for City Use Only
YES NO Date: Project ID:
City Concurrence:
□ □ By:
E-34 Page 1 of4 REV 08/22
STEP 1
TO BE COMPLETED FOR ALL PROJECTS
To determine if your project is a "development project", please answer the following question:
YES NO
Is your project LIMITED TO routine maintenance activity and/or repair/improvements to an existing building IZl □ or structure that do not alter the size (See Section 1.3 of the BMP Design Manual for guidance)?
If you answered "yes" to the above question, provide justification below then go to Step 6, mark the box stating "my project
is not a 'development project' and not subject to the requirements of the BMP manual" and complete applicant information.
Justification/discussion: (e.g. the project includes only interior remodels within an existing building):
PROJECT IS A COMMERCIAL INTERIOR TENANT IMPROVEMENT
If you answered "no" to the above question, the project is a 'development project', go to Step 2.
STEP2
TO BE COMPLETED FOR ALL DEVELOPMENT PROJECTS
To determine if your project is exempt from PDP requirements pursuant to MS4 Permit Provision E.3.b.(3), please answer
the following questions:
Is your project LIMITED to one or more of the following:
YES NO
1. Constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria:
a) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non-
erodible permeable areas; OR □ □ b) Designed and constructed to be hydraulically disconnected from paved streets or roads; OR
c) Designed and constructed with permeable pavements or surfaces in accordance with US EPA
Green Streets quidance?
2. Retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in □ □ accordance with the USEPA Green Streets guidance?
3. Ground Mounted Solar Array that meets the criteria provided in section 1.4.2 of the BMP manual? □ □
If you answered "yes" to one or more of the above questions, provide discussion/justification below, then go to Step 6, mark
the second box stating "my project is EXEMPT from PDP ... " and complete applicant information.
Discussion to justify exemption (e.g. the project redeveloping existing road designed and constructed in accordance with
the USEPA Green Street guidance):
If you answered "no" to the above questions, your project is not exempt from PDP, go to Step 3.
E-34 Page 2 of 4 REV 08/22
~ i'~~ 1n1111mr::" -""li"""'~~:;7:C\'jif'?\li""'''""7'Y -, ,. ii(i ' ·li( a\ 3:,-1,,'i'I. ~Ao~., > ·a rft' t,,, '\&/' •• , 1~~, •, , ,. , i~"':t· t,, '-~•:;l;t' "' iif Jt;-: · ill'•! ,P"ll,;.'7' (<~ il.l'l.(f~l ,JI cit! tj ;,);t ~l=C~fi:.~,t, 'L "' ' ~ "" _...,.:.i.;i...., ~~ ...,.. ~
To determine if your project is a PDP, please answer the following questions (MS4 Permit Provision E.3.b.(1 )):
YES NO
1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces □ □ collectively over the entire project site? This includes commercial, industrial, residential, mixed-use,
and public development projects on public or private land.
2. Is your project a redevelopment project creating and/or replacing 5,000 square feet or more of impervious
surface collectively over the entire project site on an existing site of 10,000 square feet or more of □ □ impervious surface? This includes commercial, industrial, residential, mixed-use, and public
development projects on public or private land.
3. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of
impervious surface collectively over the entire project site and supports a restaurant? A restaurant is a □ □ facility that sells prepared foods and drinks for consumption, including stationary lunch counters and
refreshment stands selling prepared foods and drinks for immediate consumption (Standard Industrial
Classification (SIC) code 5812).
4. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious □ □ surface collectively over the entire project site and supports a hillside development project? A hillside
development project includes development on any natural slope that is twenty-five percent or areater.
5. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of
impervious surface collectively over the entire project site and supports a parking lot? A parking lot is a □ □ land area or facility for the temporary parking or storage of motor vehicles used personally for
business or for commerce.
6. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more
of impervious street, road, highway, freeway or driveway surface collectively over the entire project □ □ site? A street, road, highway, freeway or driveway is any paved impervious surface used for the
transportation of automobiles, trucks, motorcycles, and other vehicles.
7. Is your project a new or redevelopment project that creates and/or replaces 2,500 square feet or more of
impervious surface collectively over the entire site, and discharges directly to an Environmentally □ □ Sensitive Area (ESA)? "Discharging Directly to" includes flow that is conveyed overland a distance of 200
feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an
isolated flow from the project to the ESA (i.e. not commingled with flows from adjacent lands).*
8. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square
feet or more of impervious surface that supports an automotive repair shop? An automotive repair □ □ shop is a facility that is categorized in any one of the following Standard Industrial Classification (SIC)
codes: 5013, 5014, 5541, 7532-7534, or 7536-7539.
9. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square
feet or more of impervious area that supports a retail gasoline outlet (RGO)? This category includes □ □ RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily
Traffic (ADT) of 100 or more vehicles per day.
1 O. Is your project a new or redevelopment project that results in the disturbance of one or more acres of land □ □ and are expected to generate pollutants post construction?
11. Is your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of □ □ impervious surface or (2) increases impervious surface on the property by more than 10%? (CMG
21.203.040)
If you answered "yes" to one or more of the above questions, your project is a PDP. If your project is a redevelopment
project, go to step 4. If your project is a new project, go to step 5, complete the trash capture question.
If you answered "no" to all of the above questions, your project is a 'STANDARD PROJECT'. Go to step 5, complete the
trash capture question.
• Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas designated as Areas of Special
Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies
designated with the RARE beneficial use by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments);
areas designated as preserves or their equivalent under the Multi Species Conservation Program within the Cities and County of San Diego; Habitat Management
Plan; and any other equivalent environmentally sensitive areas which have been identified by the City.
E-34 Page 3 of 4 REV 08122
. STEP4
TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPMENT PROJECTS (PDP)
ONLY
Complete the questions below regarding your redevelopment project (MS4 Permit Provision E.3.b.(2)):
YES NO
Does the redevelopment project result in the creation or replacement of impervious surface in an amount of
less than 50% of the surface area of the previously existing development? Complete the percent impervious
calculation below:
Existing impervious area (A)= sq. ft. □ □
Total proposed newly created or replaced impervious area (B) = sq. ft.
Percent impervious area created or replaced (B/A)*100 -%
If you answered "yes", the structural BMPs required for PDP apply only to the creation or replacement of impervious surface
and not the entire development. Go to step 5, complete the trash capture question.
If you answered "no," the structural BM P's required for PDP apply to the entire development. Go to step 5, complete the
trash capture question.
. STEPS. . .
TO BE COMPLETED FciRALL DEVELOPMENT PROJECT$
Complete the question below regarding your Project (SDRWQCB Order No. 2017-0077):
YES NO
Is the Project within any of the following Priority Land Use (PLU) categories and not exempt from trash
capture requirements per section 4.4.2.2 of the BMP Manual?
R-23 (15-23 du/ac), R-30 (23-30 du/ac), Pl (Planned Industrial), CF (Community Facilities), GC (General □ □ Commercial), L (Local Shopping Center), R (Regional Commercial), V-B (Village-Barrio), VC (Visitor
Commercial), 0 (Office), VC/OS (Visitor Commercial/Open Space), Pl/O (Planned Industrial/Office), or
Public Transportation Station
If you answered "yes", the 'PROJECT' is subject to TRASH CAPTURE REQUIREMENTS. Go to step 6, check the first
box stating, "My project is subject to TRASH CAPTURE REQUIREMENTS ... " and the second or third box as
determined in step 3.
If you answered "no", Go to step 6, check the second or third box as determined in step 3. List exemption if applicable
for 'no' answer here:
STEP6
CHECK THE APPROPRIATE BOX(ES) AND COMPLETE APPLICANT INFORMATION .
0 My project is subject to TRASH CAPTURE REQUIREMENTS and must comply with TRASH CAPTURE
REQUIREMENTS of the BMP Manual. I understand I must prepare a Storm Water Quality Management Plan (SWQMP).
0 My project is a 'STANDARD PROJECT' OR EXEMPT from PDP and must only comply with 'STANDARD PROJECT'
stormwater requirements of the BMP Manual. I will submit a "Standard Project Requirement Checklist Form E-36". If my
project is subject to TRASH CAPTURE REQUIREMENTS, I will submit a TRASH CAPTURE Storm Water Quality
Management Plan (TCSWQMP) per E-35A.
□ My project is a PDP and must comply with PDP stormwater requirements of the BMP Manual. I understand I must
prepare a Storm Water Quality Management Plan (SWQMP) per E-35 template for submittal at time of application.
Note: For projects that are close to meeting the PDP threshold, staff may require detailed impervious area calculations
and exhibits to verify if 'STANDARD PROJECT' stormwater requirements apply.
~ My project is NOT a 'development project' and is not subject to the requirements of the BMP Manual.
Applicant Information and Signature Box
Applicant Name: JENNIFER DEAK Applicant Title: DESIGNER
Applicant Signature: 'Jv,n,ni/~,r iJJmk Date: 12.07.22
E-34 Page 4 of 4 REV 08/22
..ii
( City of
Carlsbad
CLIMATE ACTION PLAN
CONSISTENCY CHECKLIST
B-50
Development Services
Building Division
1635 Faraday Avenue
442-339-2719
www.carlsbadca.gov
PURPOSE if\'N l 'l LD?}, _
This checklist is intended to help building permit applicants identify wlpql(§~'A~i'¢X~~ (CAP) ordinance requirements
apply to their project. This completed checklist (B-50) and su~a~ ii;!,.~~ filrusfile included with the building permit
application. The Carlsbad Municipal Code (CMC) can be referenl:letl1'db'ring 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
c'"'"'"''" ••• a ~,,.,, ,,,., c'"'""'m ;, eo=ra9"' m """ '" '"'"' ,,, '"" d=m,m. lit certification includes, but is not limited to: Licensed, practicing Architect, Engineer, or Contractor familiar wi rgy
compliance, IECC/HERS Compliance Specialist, ICC GB Energy Code Specialist, RESNET HERS rater certifie c ed
ICC Residential Energy Inspector/Plans Examiner, ICC Commercial Energy Inspector and/or Plans Examiner, ICC en
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 o~e,
check N/A and provide an explanation or code section describing the exception. I-
Details on CAP ordinance requirements are available at each section by clicking on the municipal code link pro..,..The
project plans must show all details as stated in the applicable Carlsbad Municipal Code (CMC) and/or Energyoand
Green Code sections .
Project Name/Building
Permit No.:
Property Address/APN:
Applicant Name/Co.:
Applicant Address:
IDA WEALTH MANAGEMENT BP No.: CBC2022-0429
2792 GATEWAYY RD. CARLSBAD, CA 92009 / 213-300-10-00
JENNIFER DEAK
925 FORT STOCKTON DRIVE SAN DIEGO, CA 92103
Contact Phone: 619-297-6153 Contact Email: JENNIFER@SAFDIERABINES.COM
Contact information of person completing this checklist (if different than above):
Name: JENNIFER DEAK Contact Phone: 619-297-6153
Company
name/address: SAFDIE RABINES INTERIORS Contact Email: JENNIFER@SAFDIERABINES.COM
Applicant Signature: :f:wvni/m' ;J)eal Date: 01/03/2022
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 $473,109.12
D Residential
□ New construction
D Additions and alterations:
□ BPV < $60,000
□ BPV 2: $60,000
□ Electrical service panel upgrade only
□ BPV 2: $200,000
Iii Nonresidential
D New construction
I!! Alterations:
□ BPV 2: $200,000 or additions 2: 1,000
square feet
□ BPV 2: $1,000,000
□ 2: 2,000 sq. ft. new roof addition
1. Energy Efficiency
A high-rise residential building is 4 or more stories, including a
Low-rise High-rise mixed-use building in which at least 20% of its conditioned floor
area is residential use
2A*, 3A*, 1B, 2B, 'Includes detached, newly constructed ADU 4A*, 3B,4A
N/A N/A All residential additions and alterations
1A,4A 4A 1-2 family dwellings and townhouses with attached garages
only.
'Multi-family dwellings only where interior finishes are removed
1A, 4A' 1B, 4A' and significant site work and upgrades to structural and
mechanical, electrical, and/or plumbing systems are proposed
18, 2B, 3B, 4B and 5
1B, 5
1B,2B,5 Building alterations of 2: 75% existing gross floor area
2B,5 1 B also applies if BPV 2: $200,000
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
information. Appropriate details and notes must be placed on the plans according to selections chosen in the design.
A D Residentialadditionoralteration.!:$60,000buildingpenmitvaluation. □ N/A __________ _
Details of selection chosen below must be placed on the plans referencing CMC □ Exception: Home energy score 2: 7
18.30.190. (attach certification)
Year Built Single-family Requirements Multi-family Requirements
□ Before 1978 Select one option:
□ Ductsealing □ Attic insulation □Cool roof □ Attic insulation
□ 1978 and later Select one option:
□ Lighting package □ Water heating Package
□ Between1978and1991 Select one option:
□ Ductsealing □ Attic insulation □Cool roof
□ 1992 and later Select one option:
□ Lighting package □ Water heating package
Updated 4/16/2021 3
B. Iii Nonresidential' new construction or alterations ~ $200,000 building permit valuation,
or additions~ 1,000 square feet. See CMC 18.21.155and CALGreen Appendix AS □ N/A
A5.203.1.1 Choose one:□ .1 Outdoor lighting □ .2 Restaurant service water heating (CEC 140.5)
□ .3Warehousedocksealdoors. □ .4DaylightdesignPAFs □ .5Exhaustairheatrecovery □ N/A
A5.203.1.2.1 Choose one:□ .95 Energy budget (Projects with indoor lighting OR mechanical)
□ .90 Energybudget (ProjectswithindoorlightingANDmechanical) □ N/A
A5.211.1" □ On-site renewable energy:
□ N/A
A5.211.3" □Green power. (If offered by local utility provider, 50% minimum renewable sources)
□ N/A
AS.212.1 □ Elevators and escalators: (Project with more than one elevatorortwo escalators)
□ N/A
AS.213.1 !!I Steel framing: (Provide details on plans for options 1-4 chosen)
□ N/A
• Includes hotels/motels and high-rise residential buildings
----------
"Foralterations2:$1,000,000 BPV and affecting> 75%existinggrossfloorarea, ORalterationsthatadd 2,000squarefeetof new roof addition: comply
with CMG 18.30.130 (section 28 below) instead.
2. Photovoltaic Systems
A. D Residential new construction (for low-rise residential building permit 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
□
□
□
□
B. Ii] Nonresidential new construction or alterations ~$1,000,000 BPV AND affecting ~75% existing floor area, OR addition that Increases
roofarea by ~.ooo square feet Please refer to CMC 18.30.130 when completing this section. 'Note: This section also applies to
high-rise residential and hotel/motel buildings.
Choose one of the following methods:
II Gross Floor Area (GFA)Method
GFA: 8,208 SF
I!! If< 1 O,OOOs.f. Enter: 5 kWdc
Min.SystemSize: 5 kWdc
D 112: 10,000s.f. calculate: 15 kWdcx (GFN10,000)"
"Round building size factor to nearest tenth, and round system size to nearest whole number.
Updated 4/16/2021 4
□ Time-Dependent Valuation Method
AnnualTDVEnergyuse:***-----~x .80= Min. system size: ______ kWdc
*** Attach calculation documentation using modeling software approved by the California Energy Commission.
3. Water Heating
A. D Residential and hotel/motel new construction. Refer to CMC 18.30.170 when completing this section.
Provide complete details on the plans.
□ For systems serving individual dwelling units choose one system:
□ Heat pump water heater AND Compact hot water distribution AND Drain water heat recovery (low-rise
residential only)
□ Heat pump water heater AND PV system .3 kWdc larger than required in CMG 18.30.130 (high rise
residential hotel/motel) or CA Energy Code section 150.1 (c) 14 (low-rise residential)
□ Heat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higher
□ Solar water heating system that is either .60 solar savings fraction or 40 s.f. solar collectors
□ Exception:
□ For systems serving multiple dwelling units, install a central water-heating system with ALL of the following:
□ Gas or propane water heating system
□ Recirculation system per CMG 18.30.150(8) (high-rise residential, hotel/motel) or CMG 18.30.170(8) (low-
rise residential)
□ Solar water heating system that is either:
□ .20 solar savings fraction
□ .15 solar savings fraction, plus drain water heat recovery
□ Exception:
B. D Nonresidential new construction. Refer to CMC 18.30.150 when completing this section. Provide
complete details on the plans.
□ Water heating system derives at least 40% of its energy from one of the following (attach documentation):
□ Solar-thermal □ Photovoltaics □ Recovered energy
□ Water heating system is (choose one):
□ Heat pump water heater
□ Electric resistance water heater(s)
□Solar water heating system with .40 solar savings fraction
□ Exception:
It may be necessary to supplement the completed checklist with supporting materials, calculations or certifications, to
demonstrate full compliance with CAP ordinance requirements. For example, projects that propose or require a
performance approach to comply with energy-related measures will need to attach to this checklist separate calculations
and documentation as specified by the ordinances.
Updated 4/16/21 5
4. Electric Vehlcle 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-family residential· □ Exception ·
Total Parking Spaces EVSE Spaces
Proposed EVSE (10% of total) Installed (50% of EVSE) Other "Ready" other "Capable"
Calculations: Total EVSE spaces= .10 x Total parking spaces proposed (rounded up to 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) for one and two-familydwellingsand 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, interiorfinishesare 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 localed 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
□ 0-9 1 1
□ 10-25 2 1
□ 26-50 4 2
□ 51-75 6 3
□ 76-100 9 5
□ 101-150 12 6
□ 151-200 17 9
□ 201 andover 10 percent of total 50 percent of Required EV Spaces
Calculations: Total EVSE spaces= .10 x Total parking spaces proposed (rounded up to nearest whole number) EVSE Installed = Total EVSE
Spaces x .50 (rounded up to nearest whole number) EVSE other may be "Ready" or "Capable"
Updated 4/16/2021 6
5. Iii Transportation Demand Management (TDM): Nonresidential ONLY
An approved Transportation Demand Management (TDM) Plan is required for all nonresidential projects that meet a threshold of employee-generated ADT.
City staff will use the table below based on your submitted plans to determinewhetherornoryourpermit requires a TDM plan. lfTDM is applicable to your
permit, staff will contact the applicant to develop a site-specific TDM plan based on the pem,it details.
Acknowledgment:
Employee ADT Estimation for Various Commercial Uses ■
EmpADTfor
first 1,000 s.f.
EmpADTI
Use 1000 s.f.1
Office (all)2 13
Restaurant 11
Retails 8
Industrial 4
Manufacturing 4
Warehousing 4
1 Unless otherwise noted, rates estimated from /TE Trip
Generation Manual, 10thEdition
13
11
4.5
3.5
3
1
2 For all office uses, use SANDAG rate of 20 ADTl1,000 sf to
calculate employee ADT
, Retail uses include shopping center, variety store, supermarket,
gyms, pharmacy, etc.
Other commercial uses may be subject to special
consideration
Samele calculations·
Office: 20,450 sf
1. 20,450 sf 11000 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 11,000 x 4.5) + 8 = 46 Employee ADT
OCCUPANT AREA:
8,208 SF
FIRST 1000 SF= 13
7,208 I 1000 =7.208
X 13 = 93.704 (94
EMPLOYEES)
94 + 13 = 107 TRIPS
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 pem,itrequire a TDM plan and understand that an approved TDM plan is a condition of pem,itissuance.
ApplicantSignature: :f<vwrvfff" ;}.Jcalv Date: Ol/03J2022
Person other than Applicant to be contacted for TDM compliance (if applicable):
Name(Printed): __________________ _ Phone Number: ____ _
Email Address: __________________ _
Updated 4/16/2021 7
( City of
Carlsbad
CLIMATE ACTION PLAN (CAP) COMPLIANCE
CAP Building Plan
Template
B-55
Development Services
Building Division
1635 Faraday Avenue
442-339-2719
www.carlsbadca.gov
The following summarizes project compliance with the applicable Climate Action Plan ordinances of the Carlsbad Municipal Code and
California Green Building Standards Code (CALGreen), current version. Use this form to summarize all applicable CAP measures for your
11i1ii1i1ii IF CAP MEASURES ARE APPLICABLE, IMPRINT THIS COMPLETED FORM ONTO PROJECT PLANS,
1, ENERGY EFFICIENCY APPLICABLE: 0YES □ NO
Complies with CMC 18.30.190
& 18.21.155 OYes ON/A
Existing Structure, year built: -'-""-' ___ _
Prepared Energy Audit? Oves D No
Energy Score: _____ _
Efficiency Measures included in scope:
STEEL FRAMING
2. PHOTOVOLTAIC SYSTEM APPLICABLE: OYES 0 NO
Complies with CMC section 18.30.130 and 2019 California Energy
Code section 150,l(c)14 OYes ON/A
Required Provided
Size of PV system (kWdc):
Sizing PV by load calculations 0Yes 0No
If by Load Calculations:
Total calculated electrical load:
80% of load:
Hardship Requested
Hardship Approved
Oves ~
□Yes □No
3. ALTERNATIVE WATER HEATING SYSTEM APPLICABLE: □ YES 0 NO
4.
Complies with CMC sections 18.30.150
and 18.30.170?
Alternative Source:
o Electric
o Passive Solar
Hardship Requested
Hardship Approved
Oves ON/A
Oves 0No
□Yes □ No
ELECTRIC VEHICLE (EV) CHARGING APPLICABLE: DVEs [2]No
Complies with CMC
section 18.21.140?
Panel Upgrade?
Total EV Parking Spaces:
No. of EV Capable Spaces:
No. of EV Ready Spaces:
Oves ON/A
Oves ONo
Required Provided
No. of EV Installed Spaces:
Hardship Requested Oves QNo
Hardship Approved [JVes ONo
5. TRAFFIC DEMAND MANAGEMENT APPLICABLE: □ YES 0 NO
Compliant? Oves ONo
TOM Report on file with city? D Yes □No