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Home My WebLink About2560 EL CAMINO REAL; ; CBC2021-0040; PermitBuilding Permit Finaled {city of Carlsbad Commercial Permit Print Date: 02/06/2024 Permit No: CBC2021-0040 Job Address: 2560 EL CAMINO REAL, CARLSBAD, CA 92008-1201 Status: Closed -Finaled Permit Type: BLDG-Commercial Work Class: Tenant Improvement Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: 1670305000 Track#: $27,022.31 Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Applied: 02/03/2021 Issued: 03/15/2021 Fina led Close Out: 02/06/2024 Final Inspection: 12/28/2023 INSPECTOR: Alvarado, Tony Description: VONS: 581 SFTI (REMOVE EXISTING PANDA EXPRESS AND REMODEL TO A VONS SALES FLOOR) Property Owner: MIRA MESA SHOPPING CENTERS 2560 EL CAMINO REAL CARLSBAD, CA 92008 FEE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) BUILDING PLAN REVIEW -MINOR PROJECTS (LDE) BUILDING PLAN REVIEW -MINOR PROJECTS (PLN) ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL FIRE Plan Review Per Hour -Office Hours FIRE Special Equipment (Ovens, Dust, Battery) MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $1,461.41 Total Payments To Date: $1,169.41 Contractor: ELEVEN WESTERN BUILDERS INC 2862 EXECUTIVE PL ESCONDIDO, CA 92029-1524 (760) 796-6346 Balance Due: AMOUNT $265.20 $185.64 $194.00 $98.00 $43.00 $204.00 $417.00 $45.00 $2.00 $7.57 $292.00 Please take NOTICE that approval of your project includes the "Imposition" offees, 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. Jf 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 Carlstiad COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check k~U,?!.!0.J.-=-.f,2lf;;l.4 Est. Value PC Deposit Date -./-41/)4-1.!,::z./-l,f,/2-!--""+--f:rr~,~ Job Address 2560 El Carrino Real Suite: _____ ,APN: 1s10Josooo Tenant Name:_v_on_,_______________ Lot#: Year Built: _____ Occupancy:_" ____ _ Construction Type--1"-11-'-N-'---Flre Sprinklers:%! ,;;;:iA/c:IJ.J g BRIEF DESCRIPTION OF WORK: TENANT IMPROVEMENT TO REMOVE EXISTING PANDA EXPRESS ff\ ITS ENTIRETY AND REMODEL TO A VONS SAL:CS FLOOR AREA. TOTAL ~EMODEL SPACE IS :t.!181 SQUARE FEET OF EXlSTING VONS STO.~E. 0 Addition/New: ___________ ,New SF and Use, ___________ New SF and Use, ____ Deck SF, Patio Cover SF (not including flatwork) [!] Tenant lmprovement:_5_81 _____ .SF, Existing Use_M_em_a_n_tJle ____ Proposed Use _Me_rca_n_lll_, ___ _ _____ SF, Existing Use Proposed Use ______ _ O Pool/Spa: ____ ~SF Additional Gas or Electrical Features? ___________ _ r,r, DD DD D Solar: ___ .KW, __ ~Modules,, ____ .Mounted, Tilt: '?es/ lilo, RMA: Yes/ No, Panel Upgrade: Yes/ No D Plumbing/Mechanical/Electrical Only: --------------------------- □ Other: This permit Is to be Issued in the name of the Property Owner as Owner~Builder, licensed contractor or Authorized Agent of the owner or contractor. The person listed as the Applicant below wm be the main point of contact throtJghout the permit process. PROPERTY OWNER APPLICANT O PROPERTY OWNERS AUTHORIZED AGENT APPLICANT 0 Name: __________________ .Name: ___________________ _ Address: Address: __________________ _ City: ________ .State: ___ .Zip: ____ City: __________ .State: ___ Zip: ____ _ Phone: Phone: ___________________ _ Email: Email: ___________________ _ DESIGN PROFESSIONAL APPLICANT O CONTRACTOR BUSINESS APPLICANT iJ Name: _________________ Name: ELEVEN WESTERN BUILDERS INC. Address: Address: 2862 EXECUTIVE PLACE City: _______ .State: ___ .Zip: ____ City: ESCONDIDO State:_C_A _ _,Zip: 92029 Phone: Phone: 760-445-8466 Email: Email: evazquez@ewbinc.com Architect State License: State License: CA 439908 Bus. License: 12..'.),3 5 'o"l: 1635 Faraday Ave Carlsbad, CA 92008 B-2 Ph: 76D-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov Page 1 of 2 Rev. 08120 • IDENTIFY WHO WILL PERFORM THE WORK BY COMPLETING {OPTION A) OR (OPTION B) BELOW: (OPTION A): LICENSED CONTRACTOR DECLARATION: I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000/ of Division 3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the following declarations: 1111 have an:i will maintain a certificate of consent tn c;plf-lni;ur,• for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit ls issJed. PoUcy No. c0cc'-'c.3cc°'o:"c.'e:'°cc' ___________________ _ IIJ1 have and will maintain worker's compensation, as required by Sectlcn 3700 of the Labor Code, for the i::erform;ince of the wo·k for which this permit Is issued. My workers' compenscttion insurance cilrricrand policy number are: Insurance Company Name: Zuric:h American Insurance O:irrpany Policy No, we 30l:iY41::IU1 EKplratlon Date: _1ccor.,=1r.;:,•1'------------------ D Certificate of Exe'l'lption: I certlf{ t.1at ln the performance of the work fnr whic:h this permit Is Issued, I shall not employ any perso1 In any manner so as :o become subject to the workers' compensation LnwsofC.:ilifornla. WARNING: Failure to sec:uraworkers compensation coverage is unlawful and shall subject an employer to criminal penalttes and d\lU fines up ro $100,000.00, In addition the to the cost of compen5atlon, damages as provided far In Section 3706 of the Labor Code, Interest and attorney's fees, CONSTRUCTION LENDING AGENCY, IF ANY: I ~ereby 2ffl•mthat there Is a construction lcnc!ng agency for the performance of the work this: pennlt Is Issued {Sec. 3097 (I) Civil Code). lender's Name: Lender's Address: ___________________ _ CONTRACTOR PRINT: Eddie Vazquez SIGN. EduaedoVazquez::::,•-•""~ DATE· 2-02-21 • ..... mt1.0UIUh41.i~.OO'tH." , --------- (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm thut I um eJt.f!mptfrom Contractor's License Law for rhe fellowing reason: 0 I, as owner of the property or my em:iloyees with wages as their sole compensation, w·11 do the work and t,e structure is not Intended or ottered tor sale jSec. 704.l, Business and Professions Code: The Contractor's I lcenc:;e l.,1w rinPs n::,t apply to an owner of prooerty who builds or Improves thereon, and who does such work h·mself or through his own emp!oyees, pro11lded that such Improvements are not intended or offered for sale. If, however, the bulldll"'@ or Improvement ls sold within one year ofcompletlon, the owner-bullderwill hc:111~ th~ l.JurUen of proving that he did not build or improve fortJ-e purpose of sale). 01, as owner of the property, am exclusively contractlns with llcensed contractors to construct the project (Sec. 7044, Business ..:1nrl PrnfP.ssions Code: The Contractor'S License Law does not apply lo c:111 owner cf property whc bullds or Improves thereor, and contract5 for such projects with contractor(s) licensed pursuant to the Contractor's license Law). 01 am e><empt under Buslne~ and Professions Code Division 3, Ch,1ptprq, Artide 3 for this reason: D "Owner Builder acknowledgement and verification form" 1as been fllled out, signed and attached to this appllcatlon. Proof of lderitlflcatlon attached. D Owners "Authorized Agent Form" has been filled out signed and attached to :his application giving the agenti:wthorlty to obtain the permit on thP nwnn' hP'1alf Proof of Identification attached. Bv my signature below I acknowledge that, except form\' personal residence in which I mus: have resided for at least one year prior to completlon otthe Improvements covered by this permit, I cannot lega !y SP I a ~tr11r.t11rP that I have bu lit as an owner-bu'lder if It has not been constructed in its entirety by licensed co11trac.tors. / understand that o copy of the applicable law, Section 70-44 of the Bw;iness and Professions Cade, is available upon request when this app/icaUon Is submitted or at rne fol/owing Web site: http://www.leglnfo.co.gc:,v/calaw.html. OWNER PRINT: ____________ SIGN: _________ .DATE: ______ _ APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL By my signature below, I cert/fl that: I am the property owner or State of California Licensed Contractor or authorized to act on the property owner or contractor's behalf. I certify that I have read the application and state that the above information Is cnrrnt and that the information on tlie pfans is accurate. I agree to comply with all City ardfnonces and Stul~ luws relating to building construction. I hereby authorize representative of the Oty of Carlsbad to enter upon the above mentioned property for Inspection purposes.. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU. UABILtnES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF Tl 115 PERMIT. OSHA: An OSHA ,oermlt ls required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. APPLICANT PRINT: Eduardo Vazquez Eduardo Vazquoz ~,;:,~-•"-DATE·. 2-02-21 SIGN: C>M::1<21.IR.O.Zlt-""'.lT·Oa'IO --------- 1635 Faraday Ave Carlsbad, CA 92008 Ph: 160-602-2719 Fax: 760-602-8558 Email: Bullding@carlsbadca.gov Rev. 08120 B-2 Page 2 of 2 Building Permit Inspection History Finaled ~ityof Carlsbad PERMIT INSPECTION HISTORY for (CBC2021-0040) Permit Type: BLDG-Commercial Application Date: 02/03/2021 Owner: MIRA MESA SHOPPING CENTERS Work Class: Tenant Improvement Issue Date: 03/15/2021 Subdivision: Status: Closed -Finaled Expiration Date: 09/20/2021 Address: 2560 EL CAMINO REAL IVR Number: 31354 CARLSBAD, CA 92008-1201 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 03/22/2021 03/22/2021 BLDG-81 Underground 153243-2021 Passed Tony Alvarado Complete Combo(11,12,21,31) Tuesday, February 6, 2024 Page 1 of 16 PERMIT INSPECTION HISTORY for (CBC2021-0040} Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Scheduled Date Closed -Finaled Actual Inspection Type Start Date Checklist Item Application Date: 02/03/2021 Issue Date: 03/15/2021 Expiration Date: 09/20/2021 IVR Number: Inspection No. COMMENTS 31354 Inspection Status Owner: MIRA MESA SHOPPING CENTERS Subdivision: Address: 2560 EL CAMINO REAL CARLSBAD, CA 92008-1201 Primary Inspector Reinspection Inspection Passed BLDG-11 Foundation-Ftg-Piers March 22, 2021: Yes Tuesday, February 6, 2024 (Rebar) 1. No building deficiencies. 2. Underground conduit for freezer refrigeration lines, underground waste and vent lines, under 10' foot of head pressure, water leak test, underground electrical conduit lines depth and protection, scope of underground work-approved. 3. Rough frame combination inspection - MEPS, scope of maps Inspection-Approved. 4. T-bar grid ceiling/overhead above T-bar grid MEPS inspection approved. 5. ***Pending:**" a) above T-bar existing/new drywall holes to be patched, prior to final inspection. b) above T-bar grid area, electrical J-boxes are required to be labeled. c) Disimilar metals, above T-bar grid ceiling, copper in contact with steel, copper touching metal studs, required foam pad separation. d) slab steel/new trench-cut, reinforced steel dowels required, #3 reinforcement dowels at 18" inches on center, per structural engineers details required to be installed and deputy inspector report to be verified by building inspector. e) informed Eddie project manager regarding the pending following items required to be completed at final inspection. Pago 2 of 16 PERMIT INSPECTION HISTORY for (CBC2021-0040) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Closed -Finaled Application Date: 02/03/2021 Issue Date: 03/15/2021 Expiration Date: 09/20/2021 IVR Number: 31354 Owner: MIRA MESA SHOPPING CENTERS Subdivision: Address: 2560 EL CAMINO REAL CARLSBAD, CA 92008-1201 Scheduled Dale Actual Inspection Type Start Date Inspection No. Inspection Status Primary Inspector Reinspection Inspection BLDG-12 Steel-Bond Beam Tuesday, February 6, 2024 March 22, 2021: 1. No building deficiencies. 2. Underground conduit for freezer refrigeration lines, underground waste and vent lines, under 10' foot of head pressure, water leak test, underground electrical conduit lines depth and protection, scope of underground work-approved. 3. Rough frame combination inspection - MEPS, scope of maps Inspection-Approved. 4. T-bar grid ceiling/overhead above T-bar grid MEPS inspection approved. 5. **"Pending:••• a) above T•bar existing/new drywall holes to be patched, prior to final inspection. b) above T·bar grid area, electrical J-boxes are required to be labeled. c) Disimilar metals, above T•bar grid ceiling, copper in contact with steel, copper touching metal studs, required foam pad separation. d) slab steel/new trench•cut, reinforced steel dowels required, #3 reinforcement dowels at 18" inches on center, per structural engineers details required to be installed and deputy inspector report to be verified by building inspector. e) informed Eddie project manager regarding the pending following items required to be completed at final inspection. Yes Page 3 of 16 PERMIT INSPECTION HISTORY for (CBC2021-0040) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Scheduled Date Closed -Finaled Actual Inspection Type Start Date BLDG-21 Underground-Underfloor Plumbing Tuesday, February 6, 2024 Application Dale: 02/03/2021 Owner: MIRA MESA SHOPPING CENTERS Issue Date: 03/15/2021 Expiration Dale: 09/20/2021 IVR Number: 31354 Subdivision: Address: 2560 EL CAMINO REAL CARLSBAD, CA 92008-1201 Inspection No. Inspection Status Primary Inspector Reinspection Inspection March 22, 2021: 1. No building deficiencies. 2. Underground conduit for freezer refrigeration lines, underground waste and vent lines, under 1 O' foot of head pressure, water leak test, underground electrical conduit lines depth and protection, scope of underground work-approved. 3. Rough frame combination inspection - MEPS, scope of maps Inspection-Approved. 4. T-bar grid ceiling/overhead above T-bar grid MEPS inspection approved. 5. "**Pending:**" a) above T•bar existing/new drywall holes to be patched, prior to final inspection. b) above T•bar grid area, electrical J•boxes are required to be labeled. c) Disimilar metals, above T•bar grid ceiling, copper in contact with steel, copper touching metal studs, required foam pad separation. d) slab steel/new trench•cut, reinforced steel dowels required, #3 reinforcement dowels at 18" inches on center, per structural engineers details required to be installed and deputy inspector report to be verified by building inspector. e) informed Eddie project manager regarding the pending following items required to be completed at final inspection. Yes Page 4 of 16 PERMIT INSPECTION HISTORY for (CBC2021-0040) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Scheduled Date Closed -Finaled Actual Inspection Type Start Dale BLDG-31 Application Date: 02/03/2021 Issue Date: 03/15/2021 Expiration Date: 09/20/2021 IVR Number: Inspection No. March 22, 2021: 31354 Inspection Status Owner: MIRA MESA SHOPPING CENTERS Subdivision: Address: 2560 EL CAMINO REAL CARLSBAD, CA 92008-1201 Primary Inspector Reinspection Inspection Yes Underground-Conduit Wiring 1. No building deficiencies. Tuesday, February 6, 2024 BLDG-84 Rough Combo(14,24,34,44) 2. Underground conduit for freezer refrigeration lines, underground waste and vent lines, under 10' foot of head pressure, water leak test, underground electrical conduit lines depth and protection, scope of underground work-approved. 3. Rough frame combination inspection - MEPS, scope of maps Inspection-Approved. 4. T-bar grid ceiling/overhead above T-bar grid MEPS inspection approved. 5. ***Pending:**" a) above T-bar existing/new drywall holes to be patched, prior to final inspection. b) above T-bar grid area, electrical J-boxes are required to be labeled. c) Disimilar metals, above T-bar grid ceiling, copper in contact with steel, copper touching metal studs, required foam pad separation. d) slab steel/new trench-cut, reinforced steel dowels required, #3 reinforcement dowels at 18" inches on center, per structural engineers details required to be installed and deputy inspector report to be verified by building inspector. e) informed Eddie project manager regarding the pending following items required to be completed at final inspection. 153245-2021 Passed Tony Alvarado Complete Page 5 of 16 PERMIT INSPECTION HISTORY for (CBC2021-0040) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Application Date: 02/03/2021 Issue Date: 03/15/2021 Owner: MIRA MESA SHOPPING CENTERS Subdivision: Status: Scheduled Date Closed -Finaled Expiration Date: 09/20/2021 IVR Number: 31354 Address: 2560 EL CAMINO REAL CARLSBAD, CA 92008-1201 Actual Inspection Type Start Date Inspection No. Inspection Status Primary Inspector Checklist Item BLDG-14 Frame-Steel-Bolting-Welding (Decks) COMMENTS March 22, 2021: 1. No building deficiencies. 2. Underground conduit for freezer refrigeration lines, underground waste and vent lines, under 10' foot of head pressure, water leak test, underground electrical conduit lines depth and protection, scope of underground work-approved. 3. Rough frame combination inspection - MEPS, scope of maps Inspection-Approved. 4. T-bar grid ceiling/overhead above T-bar grid MEPS inspection approved. 5. *"*Pending:*** a} above T-bar existing/new drywall holes to be patched, prior to final inspection. b} above T-bar grid area, electrical J-boxes are required to be labeled. c} Disimilar metals, above T-bar grid ceiling, copper in contact with steel, copper touching metal studs, required foam pad separation. d} slab steel/new trench-cut, reinforced steel dowels required, #3 reinforcement dowels at 18" inches on center, per structural engineers details required to be installed and deputy inspector report to be verified by building inspector. e} informed Eddie project manager regarding the pending following items required to be completed at final inspection. Reinspection Inspection Passed Yes Tuesday, February 6, 2024 Page 6 of 16 PERMIT INSPECTION HISTORY for (CBC2021-0040) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Scheduled Date Closed -Finaled Actual Inspection Type Start Date BLDG-24 Rough-Topout Tuesday, February 6, 2024 Application Date: 02/03/2021 Issue Date: 03/15/2021 Owner: MIRA MESA SHOPPING CENTERS Subdivision: Expiration Date: 09/20/2021 IVR Number: 31354 Address: 2560 EL CAMINO REAL CARLSBAD, CA 92008-1201 Inspection No. Inspection Status Primary Inspector Reinspection Inspection March 22, 2021: 1. No building deficiencies. 2. Underground conduit for freezer refrigeration lines, underground waste and vent lines, under 10' foot of head pressure, water leak test, underground electrical conduit lines depth and protection, scope of underground work-approved. 3. Rough frame combination inspection - MEPS, scope of maps Inspection-Approved. 4. T-bar grid ceiling/overhead above T-bar grid MEPS inspection approved. 5. "**Pending:"** a) above T-bar existing/new drywall holes to be patched, prior to final inspection. b) above T-bar grid area, electrical J-boxes are required to be labeled. c) Disimilar metals, above T-bar grid ceiling, copper in contact with steel, copper touching metal studs, required foam pad separation. d) slab steel/new trench-cut, reinforced steel dowels required, #3 reinforcement dowels at 18" inches on center, per structural engineers details required to be installed and deputy inspector report to be verified by building inspector. e) informed Eddie project manager regarding the pending following items required to be completed at final inspection. Yes Page 7 of 16 PERMIT INSPECTION HISTORY for (CBC2021-0040) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Closed -Finaled Application Date: 02/03/2021 Issue Date: 03/15/2021 Expiration Date: 09/20/2021 IVR Number: 31354 Owner: MIRA MESA SHOPPING CENTERS Subdivision: Address: 2560 EL CAMINO REAL CARLSBAD, CA 92008-1201 Scheduled Date Actual Inspection Type Start Date Inspection No. Inspection Status Primary Inspector Reinspection Inspection BLDG-34 Rough Electrical Tuesday, February 6, 2024 March 22, 2021: 1. No building deficiencies. 2. Underground conduit for freezer refrigeration lines, underground waste and vent lines, under 10' foot of head pressure, water leak test, underground electrical conduit lines depth and protection, scope of underground work-approved. 3. Rough frame combination inspection - MEPS, scope of maps Inspection-Approved. 4. T-bar grid ceiling/overhead above T-bar grid MEPS inspection approved. 5. *""Pending:*** a) above T-bar existing/new drywall holes to be patched, prior to final inspection. b) above T-bar grid area, electrical J-boxes are required to be labeled. c) Disimilar metals, above T-bar grid ceiling, copper in contact with steel, copper touching metal studs, required foam pad separation. d) slab steel/new trench-cut, reinforced steel dowels required, #3 reinforcement dowels at 18" inches on center, per structural engineers details required to be installed and deputy inspector report to be verified by building inspector. e) informed Eddie project manager regarding the pending following items required to be completed at final inspection. Yes Page 8 of 16 PERMIT INSPECTION HISTORY for (CBC2021-0040) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Scheduled Date Closed -Finaled Actual Inspection Type Start Date BLDG-44 Rough-Ducts-Dampers Application Date: 02103/2021 Issue Date: 0311512021 Owner: MIRA MESA SHOPPING CENTERS Subdivision: Expiration Date: 09/20/2021 IVR Number: 31354 Address: 2560 EL CAMINO REAL CARLSBAD, CA 92008-1201 Inspection No. March 22, 2021: Inspection Status 1. No building deficiencies. Primary Inspector 2. Underground conduit for freezer refrigeration lines, underground waste and vent lines, under 10' foot of head pressure, water leak test, undergrourd electrical conduit lines depth and protection, scope of underground work-approved. 3. Rough frame combination inspection - MEPS, scope of maps Inspection-Approved. 4. T-bar grid ceiling/overhead above T-bar grid MEPS inspection approved. 5. **"Pending:*** a) above T-bar existing/new drywall holes to be patched, prior to final inspection. b) above T-bar grid area, electrical J-boxes are required to be labeled. c) Disimilar metals. above T-bar grid ceiling, copper in contact with steel, copper touching metal studs, required foam pad separation. d) slab steel/new trench-cut, reinforced steel dowels required, #3 reinforcement dowels at 18" inches on center, per structural engineers details required to be installed and deputy inspector report to be verified by building inspector. e) informed Eddie project manager regarding the pending following items required to be completed at final inspection. Reinspection Inspection Yes BLDG-85 T-Bar, Celling 153244-2021 Passed Tony Alvarado Complete Grids, Overhead Tuesday, February 6, 2024 Page 9 of 16 PERMIT INSPECTION HISTORY for (CBC2021-0040) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Application Date: 02/03/2021 Issue Date: 03/15/2021 Owner: MIRA MESA SHOPPING CENTERS Subdivision: Status: Scheduled Date Closed -Finaled Expiration Date: 09/20/2021 IVR Number: 31354 Address: 2560 EL CAMINO REAL CARLSBAD, CA 92008-1201 Actual Inspection Type Start Date Inspection No. Inspection Status Primary Inspector Checklist Item BLDG-14 Frame-Steel-Bolting-Welding (Decks) COMMENTS March 22, 2021: 1. No building deficiencies. 2. Underground conduit for freezer refrigeration lines, underground waste and vent lines, under 10' foot of head pressure, water leak test, underground electrical conduit lines depth and protection, scope of underground work-approved. 3. Rough frame combination inspection - MEPS, scope of maps Inspection-Approved. 4. T-bar grid ceiling/overhead above T-bar grid MEPS inspection approved. 5. ***Pending:*** a) above T-bar existing/new drywall holes to be patched, prior to final inspection. b) above T-bar grid area, electrical J-boxes are required to be labeled. c) Disimilar metals, above T-bar grid ceiling, copper in contact with steel, copper touching metal studs, required foam pad separation. d) slab steel/new trench-cut, reinforced steel dowels required, #3 reinforcement dowels at 18" inches on center, per structural engineers details required to be installed and deputy inspector report to be verified by building inspector. e) informed Eddie project manager regarding the pending following items required to be completed at final inspection. Reinspection Inspection Passed Yes Tuesday, February 6, 2024 Page 10 of 16 PERMIT INSPECTION HISTORY for (CBC2021-0040) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Scheduled Date Closed -Finaled Actual Inspection Type Start Date BLDG-24 Rough-Topout Tuesday, February 6, 2024 Application Date: 02/03/2021 Issue Date: 03/15/2021 Owner: MIRA MESA SHOPPING CENTERS Subdivision: Expiration Date: 09/20/2021 IVR Number: 31354 Address: 2560 EL CAMINO REAL CARLSBAD, CA 92008-1201 Inspection No. Inspection Status Primary Inspector Reinspection Inspection March 22, 2021: 1. No building deficiencies. 2. Underground conduit for freezer refrigeration lines, underground waste and vent lines, under 10' foot of head pressure, water leak test, underground electrical conduit lines depth and protection, scope of underground work-approved. 3. Rough frame combination inspection - MEPS, scope of maps Inspection-Approved. 4. T-bar grid ceiling/overhead above T-bar grid MEPS inspection approved. 5. ***Pending:*"* a) above T-bar existing/new drywall holes to be patched, prior to final inspection. b) above T-bar grid area, electrical J-boxes are required to be labeled. c) Disimilar metals, above T-bar grid ceiling, copper in contact with steel, copper touching metal studs, required foam pad separation. d) slab steel/new trench-cut, reinforced steel dowels required, #3 reinforcement dowels at 18" inches on center, per structural engineers details required to be installed and deputy inspector report to be verified by building inspector. e) informed Eddie project manager regarding the pending following items required to be completed at final inspection. Yes Page 11 of 16 PERMIT INSPECTION HISTORY for (CBC2021-0040) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Closed -Finaled Application Date: 02/03/2021 Issue Date: 03/15/2021 Expiration Date: 09/20/2021 IVR Number: 31354 Owner: MIRA MESA SHOPPING CENTERS Subdivision: Address: 2560 EL CAMINO REAL CARLSBAD, CA 92008-1201 Scheduled Date Actual Inspection Type Start Date Inspection No. Inspection Status Primary Inspector Reinspection Inspection BLDG-34 Rough Electrical Tuesday, February 6, 2024 March 22, 2021: 1. No building deficiencies. 2. Underground conduit for freezer refrigeration lines, underground waste and vent lines, under 1 O' foot of head pressure, water leak test, underground electrical conduit lines depth and protection, scope of underground work-approved. 3. Rough frame combination inspection - MEPS, scope of maps Inspection-Approved. 4. T-bar grid ceiling/overhead above T-bar grid MEPS inspection approved. 5. ***Pending:*"* a) above T-bar existing/new drywall holes to be patched, prior to final inspection. b) above T-bar grid area, electrical J-boxes are required to be labeled. c) Disimilar metals, above T-bar grid ceiling, copper in contact with steel, copper touching metal studs, required foam pad separation. d) slab steel/new trench-cut, reinforced steel dowels required, #3 reinforcement dowels at 18" inches on center, per structural engineers details required to be installed and deputy inspector report to be verified by building inspector. e) informed Eddie project manager regarding the pending following items required to be completed at final inspection. Yes Page 12 of 16 PERMIT INSPECTION HISTORY for (CBC2O21-OO4O) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Scheduled Date 04/28/2021 Closed -Finaled Actual Inspection Type Start Date BLDG-44 Rough-Ducts-Dampers 04/28/2021 BLDG-Final Inspection Tuesday, February 6, 2024 Application Date: 02/03/2021 Issue Date: 03/15/2021 Owner: MIRA MESA SHOPPING CENTERS Subdivision: Expiration Date: 09/20/2021 IVR Number: 31354 Address: 2560 EL CAMINO REAL CARLSBAD, CA 92008-1201 Inspection No. March 22, 2021: Inspection Status 1. No building deficiencies. Primary Inspector 2. Underground conduit for freezer refrigeration lines, underground waste and vent lines, under 10' foot of head pressure, water leak test, underground electrical conduit lines depth and protection, scope of underground work-approved. 3. Rough frame combination inspection- MEPS, scope of maps J ns pect ion-Approved. 4. T-bar grid ceiling/overhead above T-bar grid MEPS inspection approved. 5. ***Pending:*** a) above T -bar existing/new drywall holes to be patched, prior to final inspection. b) above T-bar grid area, electrical J-boxes are required to be labeled. c) Disimilar metals, above T-bar grid ceiling, copper in contact with steel, copper touching metal studs, required foam pad separation. d) slab steel/new trench-cut, reinforced steel dowels required, #3 reinforcement dowels at 18" inches on center, per structural engineers details required to be installed and deputy inspector report to be verified by building inspector. e) informed Eddie project manager regarding the pending following items required to be completed at final inspection. 156195-2021 Partial Pass Tony Alvarado Reinspection Inspection Yes Relnspectlon Incomplete Page 13 of 16 PERMIT INSPECTION HISTORY for (CBC2021-0040) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Scheduled Date Closed -Finaled Actual Inspection Type Start Date Checklist Item BLDG-Plumbing Final BLDG-Mechanical Final Tuesday, February 6, 2024 Application Date: 02/03/2021 Issue Date: 03/15/2021 Owner: MIRA MESA SHOPPING CENTERS Subdivision: Expiration Date: 09/20/2021 IVR Number: 31354 Address: 2560 EL CAMINO REAL CARLSBAD, CA 92008-1201 Inspection No. Inspection Status Primary Inspector Reinspection Inspection COMMENTS April 28, 2021: 1. No tenant improvemenUbuilding deficiencies. 2. Scope of tenant improvement for Vons grocery store, modifying and enlarging interior space, to create new freezer area, located in produce floor space, per structural and architectural plans and detail specifications-partial approval. 3. *** pending""'* a) structural engineers wet stamp/sign as-built site conditions revision letter-utility footing trench rebar dowels incorrect size installed at all concrete open trench locations. b) structural engineer to address deputy inspectors report verifying half-inch dowels required to reinforce/reconnect open trench reconnect slab underground utility areas only. 4. Inform contractor representative. 5. Rest of Vons grocery store tenant improvement, freezer addition, scope of work-OK. April 28, 2021: 1. No tenant improvement/building deficiencies. 2. Scope of tenant improvement for Vons grocery store, modifying and enlarging interior space, to create new freezer area, located in produce floor space, per structural and architectural plans and detail specifications-partial approval. 3 ...... pending"** a) structural engineers wet stamp/sign as-built site conditions revision letter-utility footing trench rebar dowels incorrect size installed at all concrete open trench locations. b) structural engineer to address deputy inspectors report verifying half-inch dowels required to reinforce/reconnect open trench reconnect slab underground utility areas only. 4. Inform contractor representative. 5. Rest of Vons grocery store tenant improvement, freezer addition, scope of work-OK. Passed Yes Yes Page 14 of 16 PERMIT INSPECTION HISTORY for (CBC2021-0040) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Scheduled Date 12/28/2023 Closed -Finaled Actual Inspection Type Start Date BLDG-Structural Final BLDG-Electrical Final 12/28/2023 BLDG-Final Inspection Tuesday, February 6, 2024 Application Date: 02/03/2021 Issue Date: 03/15/2021 Owner: MIRA MESA SHOPPING CENTERS Subdivision: Expiration Date: 09/20/2021 IVR Number: 31354 Address: 2560 EL CAMINO REAL CARLSBAD, CA 92008-1201 Inspection No. Inspection Status Primary Inspector Reinspection Inspection April 28, 2021: 1. No tenant improvement/building deficiencies. 2. Scope of tenant improvement for Vons grocery store, modifying and enlarging interior space, to create new freezer area, located in produce floor space, per structural and architectural plans and detail specifications-partial approval. 3. *** pending*** a) structural engineers wet stamp/sign as-built site conditions revision letter-utility footing trench rebar dowels incorrect size installed at all concrete open trench locations. b) structural engineer to address deputy inspectors report verifying half-inch dowels required to reinforce/reconnect open trench reconnect slab underground utility areas only. 4. Inform contractor representative. 5. Rest of Vons grocery store tenant improvement, freezer addition, scope of work-OK. April 28, 2021: 1. No tenant improvement/building deficiencies. 2. Scope of tenant improvement for Vons grocery store, modifying and enlarging interior space, to create new freezer area, located in produce floor space, per structural and architectural plans and detail specifications-partial approval. 3. *** pending*"* a) structural engineers wet stamp/sign as-built site conditions revision letter-utility footing trench rebar dowels incorrect size installed at all concrete open trench locations. b) structural engineer to address deputy inspectors report verifying half-inch dowels required to reinforce/reconnect open trench reconnect slab underground utility areas only. 4. Inform contractor representative. 5. Rest of Vons grocery store tenant improvement, freezer addition, scope of work-OK. 235118-2023 Passed Tony Alvarado Yes Yes Complete Page 15 of 16 PERMIT INSPECTION HISTORY for (CBC2021-0040) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Application Date: 02/03/2021 Issue Date: 03/15/2021 Owner: MIRA MESA SHOPPING CENTERS Subdivision: Status: Closed -Finaled Expiration Date: 09/20/2021 IVR Number: 31354 Address: 2560 EL CAMINO REAL CARLSBAD, CA 92008-1201 Scheduled Date Actual Inspection Type Start Date Inspection No. Inspection Status Primary Inspector Reinspection Inspection Tuesday, February 6, 2024 Checklist Item COMMENTS Passed BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes BLDG-SW-Inspection 235120-2023 Checklist Item COMMENTS Are inactives slopes properly stabilized? Are areas flatter than 3:1 covered or protected? Are sediment controls properly maintained? Are natural areas protected from erosion? Is the entrance stabilized to prevent tracking? Have sediments been tracked on to the street? Have materials collected around the storm drains? Has sediment accumulated on impervious surtaces? Are dumpsters and trash receptacles covered? Has trash/debris accumulated throughout the site? Are all storage areas clean and maintained? Were spills/leaks observed during the inspection? Were there any discharges during the inspection? Passed Tony Alvarado Passed Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Complete Page 16 of 16 ,. DATE: 2-22-2021 JURISDICTION: Carlsbad PLAN CHECK#.: CBC2021-0040 ✓. EsG1I A SAFEbuilfCompany SET: I PROJECT ADDRESS: 2560 El Camino Real □ APPLICANT □ JURIS. PROJECT NAME: Vons Removal of Panda Express for TI of new Storage Area ~ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: ~ EsGil staff did not advise the applicant that the plan check has been completed. D EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Date contacted: Mail Telephone 0 REMARKS: (by: Telephone#: ) Email: Fax In Person By: Erich A. Kuchar, P.E. EsGil Enclosures: 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 SAN DIEGO REGIONAL OFFICE USE ONLY HAZARDOUS MATERIALS RECORD ID# PLAN CHECK# QUESTIONNAIRE BP DATE Business Contact Telephone t Project Address (Include suite) City State Zlp Code APN# 2560 El Camino Real Carlsbad CA 92506 1670305000 Mailing Address Cnclude suite) City State Zip Cade Plan File# 2560 El Camino Real Carlsbad CA 92506 Project Contacl Applicant E-mall Telephone# Eddie Va::>~1A7 evazquez@le\.\t:linc.com 760-445-8466 The following questions represent tho facility's actlvttfH, NOT the specific project dHcrlptlon. P IALS DIVISION: OCC PANCY CLASS of Sa D ness will use, precess, or store any Of e I o . o e ems are drded, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: Faclllty's Square Footage (includng proposed project): 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives 2. Compressed Gases n. Oxidizers 10. Cryogerfos 14, Other Health Hazards 7. Pyrophorics 11. Hlghly Tnxir. or Toxic Materias (:1} None of rhes!J 3. Flammable/Combustible Liquids 4. Flammable Sofids 8. Unstable Reoctlves 12. Radloactives PART ff: SAN DIEGO COUNTY DEPAR NTAL HEALTH -MATERIALS DIV : If the answer to any of the ques ions is yes, appi cant must contact tne ounty o San ego azarduus Materials Overland Avenue, n Diego, CA 92123. Call (858) 505-6700 prior to the issuance of a bulldlng permit. FEES ARE REQUIRED Project Completion Date: Expected Date of OcclC)ancy; 0 CalARP Exempt I i ~s I (for new construction or remodelinq projects) Is your business ';isted on the reverse side of this form? (check RII that apply) WIil your business dispose of Hazardous Substances or Medical Waste in any amount? Will your butilness store or handle Hazardous Substances in quantities greater than or equal to 66 gallons, 600 pounds ar.d/or 200 cubic feet? Date lnftials 0 CaJARP Requl"ed I ii ~ I Will your business store or harxlle carcinogenslreproductlve toxins in any quanllty? Will your business use an existing or install an underground storage tank? WUI your busim'!sS store or handle Regulated SUbstances (CalARP)? Wm your business use or Install a Hazardous Waste Tank System (Title 22, Article 10)? WIii your business store petroleum in tanks or containers at your facilffy with a total facility storage capacity equal to or greattlr tt1t:111 1,320 gallons? (California's Aboveground Petroleum storage Act), Date Initials D Cav\RP Complete oz,o111fl21 l Date hltiAls PART 111; SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCO): The following questions are intended to Identify the majorlty of air pollution Issues at the planning stage. Your project may require additional mea.,ures not identified by these q.iestions. Some residential projects may be exempt from APCD requirements. If yes Is ans'M:!raJ ror either questions 1, 2 or 5 or for more comprehensive requirements, please contact /\PCD at apcdcqmp@sdcounty.ca.gov; (856) 586-2650; or 10124 Old Gro\'~ Road, San Diego, CA 92131. YES ND i § ffl WIii the project disturb 100 square feet or more of existing building materials? WIii any load supporting structural members be removed? (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by an individual that has passed an EPA-approved bullding inspector course? 4. 5. 6. □ □ □ l!I (ANSWER ONLY IF QUCSTION 1 or 2 IS YES) Based on the survey results, will the profoct disturb any asbestos containing material? If yes, a notlflcatton may be required at fe1:1s\ 10 working days prior to commencing asbestos removal. Addltlonally, a notlficatlon may be requireci prior to the removal of a Ioad supporting structural member(s) regardless of the pres~m;e or asbestos. l!J Will the project or associated construction equipment emit air contaminants'? 8ee the reverse side of thls form for typlcar equipment requiring an APCD permit. tfyes, contact APCD prior lo the Issuance of a building permit. □ (ANSWER ONLY IF QUESTION 5 IS YFS) Win the project or associated construction equipment be located within 1,000 feet of a school bounda 7 Briefly describe business activities: Briefly describe proposed project I declare under penalty of perjury that to the best of my knowledge a net belief t e responses made herein are true and correct. EdJardo Vazquaz :::,,;r.;".:',~.:;r' ___ _ / 02 /21 Name of Owner or Authorized Agent Signature of Owner or Authorized Agent Date FIRE DEPARTMcN r OCCUPANCY CLASSIFICATION· ' FOR OFFICAL USE ONLY: BY: DATE: I I EXEMPT OR NO FURTHER INFORMATION REQUIRED RELE~Sl':0 FOR BUILIJING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOB.OCCUPANCY COUNTY-HMO" APCD COUNTY-HIVD Al-'[.;U cou•n.Hll~ \, APCD f €.Gt:-'" • • ll ··:i 1'0il\ yt.B s~ p,..0 c1>-rl-\.: 0~ ~\1'< 0~,G o\\J\<:: •A stamp In this box .f!!!!X exempts businesses from com~eting or updating a Hazardous Materfals Business Pia, nittlng requirements may still apply HM-9171 (9118) County of San Diego -DEH -Hazardous Materials Division □ □ □ □ B □ □ □ □ ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY 6200 Avenida Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@enclnafpa.com Date: 02/01/2021 Business Name: Vons -------------------Street Address: 2560 El Camino Real, Carlsbad, CA Email Address: evazquez@ewbinc.com PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT. (ON REVERSE SIDE CHECK TYPE CF BUSINESS! [Z] Check all below that are present at your facility· Acid Cleaning Food Processing 0 Metal Powders Forming Assembly D Glass Manufacturing 0 Nutrltional SupplemenU\/ltamrn Automotive Repair 0 Industrial Laundry 0 Manufacturing Battery Manufacturing O Ink Manufacturing O Painting/Finishing Biofuel Mo.nufacturing D Laboratory O Paint Manufacturing Biatech Laboratory D Machining/Milling 0 Personal Care Products l:lulk Chemical Storage 0 Membrane manufacturing 0 Manufacturing Car Wash O (i.e. waterfilter membranes) D Pesticide Manufacturing/ Packaging Chemical Manufacturing O Metal Casting/Forming D Pharmaceutical Manufacturing Chemical Purification D Metal Fabrication 0 (including precursors) 0 Dental Otrrces D Metal Finishing 0 Porcelain Enameling 0 Dental Schools D Electroplating a Power Generation O Dental Clinics 0 Electroless Plating Print Shop 0 Dry Cleaning 0 Anodizing 0 Research and Development 0 Electrical Component 0 Coating (i.e. phosphating) D Rubber Manufacturing □ Manufacturing D Chemical Etching/Milling D Semiconductor Manufacturing □ Fertilizer Manufacturing 0 Printed Circuit Board O Soap/Detergent Manufacturing □ Film/ X-ra y Processing D Manufacturing D Waste TreatmenUStorage New Business? YesONo[:] SIC Code(s) if known: ______ Date operation began/will begin:_T_B_D ____ _ Tenant Improvement? YesE)NoO If yes, briefly describe improvement: TENANT IMPROVEMENT TO REMOVE EXISTING PANDA EXPRESS IN ITS ENTIRETY AND REMODEL TO A VONS SALES FLOOR AREA. . . . . Condensate from refrigerated :::ase Descnptoon of operations generating wastewater (discharged to sewer, hauled or evaporated): _________ _ Estimated volume of industrial wastewater to be discharged (gal/ day) : _N_/_A _________________ _ Listhazardouswastesgenerated(type/volume):_N_/_A ________________________ _ Have you applied for a Wastewater Discharge Permit fhlm the Enclna Wastewater Authority? YesO Date: ----~No[!] Page 1 of 2 ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY 6200 Avenlda Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760~76--8862 SourceControl@enclnaJpa.com The commercial enterprises listed below are a partial listing of businesses that are exempt from industrial wastewater discharge permitting under normal opera1in~ conditions. They are exempt because (a) they discharge no process wastewater (i.e., they only discharge sanitary wastewater with no pollutants exceeding any local limits). and (b) they have no potential to negatively impact the EWPCF or other wastewater treatment plants in the [SS. Any questions regarding exemptions should be referred to EWA Source Control staff. □ Automobile Detailers □ Hotels/ Motels (no loundry) □ Barber/Beauty Shops □ Laundromats □ Business/Sales Offices □ Libraries □ Cleaning Seivices □ Medical Offices (no x-ray developing) □ Carpet/Upholstery □ Mortuaries □ Childcare facilities □ Museums □ Churches □ Nail Salons □ Community Centers □ Nursing Homes □ Consulting Services □ Office Buildings (no process flow) □ Contractors □ Optical Services □ Counseling Services □ Pest Control Seivices (no pesticide repackaging for sale) □ Educational Services (no auto repair/film developing) □ Pet Boarding/Grooming Facilities □ Financial Institutions/Services □ Postal Services (no car wash/auto repair) □ Fitness Centers □ Public Storage Facilities □ Gas Sta1ions (no car wash/auto repair) □ Restaurants/Bars □ Grocery Stores (no film developing) □ Retail/Wholesale Stores (no auto repair/film □ Residential based Businesses developing) □ Theaters (Movie/Live) CERTIFICATION STATEMENT 1 certify zhat the information above is true and correct to the best a/my knowledge. Eduardo Signature: Vazquez Clgitally $Q'lec b~ Eduaido Vazcuai oats: 2c21.02.02 11 :~4.15 08'00' Print Name Eduardo Vazquez 2-2-21 Date: ____ _ FacllltyContact: 760-445-8466 Title: Project Manager EN CINA WASTEWATER AUTHORITY 6200 AVENIDA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852 SourceControl;filencinajpa.com Page 2 of 2 ,. ( City of Carlsbad PURPOSE CLIMATE ACTION PLAN CONSISTENCY CHECKLIST B-50 Development Services Building Division 1635 Faraday Avenue (760) 602-2719 www.carlsbadca.gov This checklist is intended to assist building permit applicants identify which Climate Action Plan (CAP) ordinance requirements apply to their projects. The completed checklist must be included in the building permit application. It may be necessary to supplement the completed checklist with supporting materials, calculations or certifications, to demonstrate full compliance with CAP ordinance requirements. For example, projects that propose or require a performance approach to comply with energy-related measures will need to attach to this checklist separate calculations and documentation as specified by the ordinances NOTE: The following type of permits are not required to fill out this form ❖ Patio I ❖ Decks I ❖ PME (w/o panel upgrade) I ❖ Pool ------' ~ If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required by ordinance, an explanation must be provided to the satisfaction of the Building Official. ,1, Details on CAP ordinance requirements are available on the city's website. ,1, A CAP Building Plan template (form 8-55) shall be added to the title page all building plans. This template shall be completed to demonstrate project compliance with the CAP ordinances. Refer to the building application webpage and download the latest form. Project Name/Bulldlng Permit No.: _v_o_n_s_R_e_m_o_d_e_l __________ BP No.: c~oal r-OO'-f(j Property Address/APN: Appllcant Name/Co.: Eddie Vazquez/ Eleven Western Builders Applicant Address: 2862 Executive Place, Escondido , CA. 92029 Contact Phone: 760-445-8466 ContactEmail: evazquez@ewbinc.com Contact information of person completing this checklist (if different than above): Name: Company name/address: Applicant Signature, ~ B-GO Contact 0 hone: Contact Email: Page 1 o 06/18 City of Carlsbad Climate Action Plan Consistency Checklist Use the table below to determine which sections of the Ordinance Compliance checklist are applicable to your project. For alterations and additions to existing buildings, attach Building Permit Valuation worksheet. Building Permit Valuation (BPV) from worksheet: $_3_o._ooo_.o_o ___ _ Construction Type D Residential □ New construction D Additions and alterations. □ BPV < $60,000 D BPV 2. $60,000 □ Electrical service panel upgrade only □ BPV 2. $200,000 ~ Nonresidential □ New construction □ Alterations: 0 BPV 2. S200,000 or additions 2. square feet 0 BPV ~ S1,000.000 □ 2. 2,000 sq. ft. new roof add:tlon Checklist Item Complete Section(a) Notes: A high-rise residential building is 4 or more stories, includilg a Low-rise High-rise mixed-use building in whld1 at least 20% of Its conditioned floor area is residential use NIA N/A 1A, 4A 4A 1A, 4A* 1B 4N All residential addiUons and alterations 1-2 fami,y dwellings and townhouses with attached garages only •Multi-famiy 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 2. 75% existing gross floor area 1 B also applies if BPV 2. $200,000 Check the approp-late boxes, explain all not applicable and exGeptlon items, and provide suppatlng caculatlons and dOC1Jmentation as necessary. 1. Energy Efficiency Please refer to Carlsbad Municipal Code (CMC) sections 18.21.155 and 18.30.190, and the California Green Buikling Standards Code (CALGreen) for more infonnation ,-men corrpleting this section. A O Residential addition or alteration~ $60,000 building permit valuation. □ NIA ________ _ See CMC section 18.30.190. D Exception: Home energy score 2 7 (attach certification) Year Built Single-family Requirements Multi-family Requirements □ Before 1978 Select one: □ Duct seaing □ Attic insulation [ Cool roof □ Attic insuation □ 1978 and later Select ore: □ Lighting package □ Water healing Package D Between 1978 and 1991 Select one: □ Duct sealing □ Attic insulat on □ Cool roof □ 1992 and later Select one: □ Lighting package □ Water heating package B. [!] Nonresldent1a1• new construction or alterations 2: $200,000 building pennit valuation, or additions ~ 1,000 square feet 0 NIA Updated 8/15/20 I 9 2 City of Carlsbad Climate Action Plan Consistency Checklist See CMC 18.21.165 and CALGreen Appendix AS, Division A5.2-Energy Efficiency. AS.203.1.1 Choose one: D .1 Outdoor lighting IZl .2 Warehouse dock seal doors D .3 Restaurant service walerheabng (comp¥wilh California Energy Code section 140.5, as amended) IZI NIA. _________ _ U .4 Daylight design PAFs D .5 Exhaust air heat recovery A5.203.1.2.1 Choose one as applicable: D .95 Energy budget D .90 Energy budget □NIA A5.211.1" D O~s~e renewable energy D NIA A5.211.3** D Green power (if offered by local utiity provider, 50% minimum renewa~e sources) □ NIA ___:_ _______ _:_ ____ -=-:..::.:....::=========-- AS.212.1 D Bevators and escalators D NIA AS.213.1 D Steel framing D NIA • Inclucfes '10!elshnotels and l"igh-rise residential buidings •• For alterations~ $1 ,000,000 BPV and affecting > 75% e)(isting gross floor area, or alterations that add 2,000 square feet of new roof addition: comply with CMC 18.30.130 instead. 2. Photovoltaic Systems A. 0 Residential new construction (for low-rise residential building pennit applications sutxnltted after 1/1/20). Refer to 2019 California Energy Code section 150.1(c)14 for requirements. Notes: 1) High-rise residential buildings are subject to nonresidential photovoltaic reqlirement (28 beloW) instead. 21 If project Includes ilstallaUon of an electric heat pump water heater pursuant to CMC 18.30.1SO(B) (high-rise residential) or 18.30.170(B) (low-rise residential), increase system size by .3kWdc if Pl/ offset option is selected. Floor Plan ID (use additional CFA ffd.u. Calculated kW:lc' sheets if necessary) Total System Slze: kl/\t!c = (CFAx.572) / 1,000 + (1.15 x#d.u) 'Formula calculation v.here CFA = conditional floor area, #du= number of d'M:llings per plan type If proposed system size is less lhan calculated size, please explain. Exception D D D D kW:!c B. 0 Nonresidential new construction or alterations ~$1,000,000 BPV and affecting ~75% existing floor area, or addition that increases roof area by 22,000 square feel Please refer to CMC section 18.30.130 when completing this section. Note: This section also applies to high-rise residential and hotel/motel buildings. -----------------------------Choose one of the following methods: □ Gross Floor Area (GFA) Method GFA O lf < 10,000s.f. Enter 5 kV\ldc Min. System Size: 0 If 2: 10, 000s. f. calculate: 15 kWdc x (GF N10, 000) •• kWdc "*Round building size factor to nearest tenth, and round system size to nearest whole number. □ Time-Dependent Valuation Method Updated 8/15/2019 3 City of Carlsbad Climate Action Plan Consistency Checklist Annual TDV Energy use:••• ______ x .80= Min. system size: _____ kWdc .. "Attach calculation documentation using modeling software approved by the California Energy Commission. 3. Water Heating A. 0 Residential and hotel/motel new construction Please refer to CMC sections 18.30.150 and 18.30.170 when completing this section. 0 For systems serving individual dwelling units choose one: D Heat pump water heater AND Compact hot water distribution AND Drain water heat recovery (low-rise residential only) D Heat pump water heater AND PV system .3 kWdc larger than required in CMC section 18.30.130 (high rise residential hotel/motel) or CA Energy Code section 150.1(c) 14 (low-rise residential) D Heat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higher D Solar water heating system that is either .60 solar savings fraction or 40 s.f. solar collectors O Exception: 0 For systems serving multiple dwelling units, install a central water-heating system with all of the following: 0 Gas or propane water heating system D Recirculation system per CMC 18.30.150(8) (high-rise residential, hotel/motel) or CMC 18.30.170(8) (low- rise residential) D Solar water heating system that is either: D .20 solar savings fraction D .15 solar savings fraction, plus drain water heat recovery □Exception: B. D Nonresidential new construction Please refer to Cartsbad Ordinance CMC section 18.30.150 when completing this section. ----------□ Water heating system derives at least 40% of its energy from one of the following (attach documentation): n Solar-thermal O Photovoltaics O Recovered energy □Water heating system is (choose one): D Heat pump water heater D Electric resistance water heater(s) □Solar water heating system with .40 solar savings fraction D Exception: Updated 8/15/20 l'J 4 City of Carlsbad Climate Action Plan Consistency Checklist 4. Electric Vehicle Cha in A D Residential New construction and major alterations* Please refer to Car1sbad Ordinance CMC section 18.21 .140 when com letfng th_ls_s_e_ctl_o_n_. _________ _ One and two-family residential dwelling or townhouse with attached garage: D One EVSE Ready parking space required O Exception : 0 Multi-family residential· 0 Exception • Total Parking Spaces EVSE Spaces Prooosed Gaoable I Ready I I Calculations: Total 8/SE spaces = .10 x Total parting (rourxled up to nearest IMlO!e nurrber) EVSE Installed =Total EVSE Spaces x .50 (rourxled up to nearest v.hole nurmer) EVSE other= Total EVSE spaces -EVSE Installed (EVSE other may be •capable," 'Ready" or 'Installed.') Installed I Total I 'Major alterations are: (1) for one and two-family dv.elings ard toV1T1houses v.1lh attacned garages, alterations have a building permtt valuation 2 $60,000 or ildude an eledrical serv1ce panel upgrade; (2) for multifamily dwellings (three urits or more v.ithout attached garages), alterations hava a building permit valuation 2 $200,000, interior finishes are removed and significant site wal< and upgrades to sbtldural and mechanical, electrical, andklr plumbing systems are proposed. B D Nonresidential new construction (includes hotels/motels) D Exception • Total Parl<ing Spaces EVSE Spaces Proposed Capable I Ready I Installed I Total I I I Calculation: Refer to the table below: Total Number of Parxi!ll Soaces pro\1ded Number of required EV Spaces Number of r~uired EVSE Installed seaces □ 0-9 1 1 □ 1~25 2 1 □ 26-50 4 2 D 51-75 6 3 □ 76-100 9 5 101-150 12 6 151-200 17 9 201 and <Ner 10 percent of total 50 percent of ReCJJired EV Spaces Updated 8/l 5rlU 19 5 City of Carlsbad Climate Action Plan Consistency Checklist 5. IZJ Transportation Demand Management (TDM): Nonresidential ONLY An approved Transpor1ation Demand ManageITT!nl (TOM) Plan is required for all nonresidential prqects that meet a threshold of empoyee1enerated ADT. City staff wil use the table below based on your suomitted plans to determne whether or nor your permit requires a IDM plan. If TOM is appicable to your permit, staff will contact the applicant to develop a site-specific TOM plan based on the pemit details. Acknov.ledgment: Employee ADT Estimation for Various Commercial Uses Office (all)2 20 Restaurant 11 Retaib 8 Industrial 4 Manufacturing 4 Warehousin 4 1 Unless otherwise noted, rates estimated from /TE Trip Generation Manual, 1()1i>Cdition 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 calculatlons: Office: 20,450 sf 1. 20,450 sf/ 1000 x 20 = 409 Employee ADT Retail: 9,334 sf 1. First 1,000 sf= 8 ADT 2. 9,334 sf -1,000 sf= 8,334 sf 3. 8 334 sf/ 1,000 x 4.5 + 8 = 46 Em lo ee ADT I acknowledge that the plans submitted may bs su~ect to the City of Carlsbad's Tran,portation Demand Management Ordinanc.e. I agree to be contacted should my permit require a TDM plan a~1P99~nd at an ~!X'oved TDM plan is a condition of permit issuanc.e. Date: 2 -Z.. -2{ Person other than Appl/cant to be contacteafor TDM compliance (if applicable): Name (Printed): Eduardo Vazquez Ph N be 760-445-8466 one um r. ____ _ Email Address: evazquez@ewbin c.com Updated 8/15/2019 6