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2714 LOKER AVE W; CS; CBC2023-0344; Permit
Building Permit Finaled (cityof Carlsbad Commercial Permit Print Date: 03/13/2024 Job Address: Permit No: Status: CBC2023-0344 Closed -Finaled Permit Type: 2714 LOKER AVE W, # CS, BLDG-Commercial 2090813200 CARLSBAD, CA 92010-6640 Work Class: Tenant Improvement Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: Track#: $0.00 Lot#: Project#: Plan#: Construction Type: Orig. Plan Check #: Plan Check#: Description: BLUE HAT LLC: RETROFIT CORRODED STEEL BASE PLATE FOR STAIR COLUMN Property Owner: BLUE HAT LLC 6965 EL CAMINO REAL, # STE 105 CARLSBAD, CA 92009-4195 (760) 888-0245 FEE BUILDING PLAN CHECK BUILDING PLAN REVIEW -MINOR PROJECTS (LDE) BUILDING PLAN REVIEW -MINOR PROJECTS (PLN) SB1473 -GREEN BUILDING STATE STANDARDS FEE STAIRS -REPAIR Total Fees: $1,016.45 Total Payments To Date: $1,016.45 Applied: 10/20/2023 Issued: 12/11/2023 Finaled Close Out: 03/13/2024 Final Inspection: 02/22/2024 INSPECTOR: Kersch, Tim Contractor: MC CONTRACTING 504JONES RD OCEANSIDE, CA 92058-1218 (760) 433-7700 Balance Due: AMOUNT $281.45 $197.00 $104.00 $1.00 $433.00 $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020{a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow 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 8-2 Plan Check tU-261?J-()?f:j4 Est. Value PC Deposit Date I Of 2D/ 2J I D Addition/New: ___________ New SF and Use, _________ New SF and Use ______ SF Deck, _______ SF Patio Cover, SF Other (Specify) ___ _ 0Tenant Improvement: _____ SF, _____ SF, Existing Use: _______ Proposed Use: ______ _ Existing Use: Proposed Use: ______ _ D Pool/Spa: _____ SF Additional Gas or Electrical Features? ___________ _ D Solar: KW, ___ Modules, Mounted: ORoof OGround D Re roof: __________________________________ _ D lumbing/Mechanical/Electrical Other: mm C(l2{lOffi) grm; MF EU\li fO([ mA\l'l CllUllJ'2, APPLICANT PRIMARY CONTACT City· ROP Nam dd ity:u:c~'°,li.lQl:4.-..,,,,...~ ....... ~ ma SL ._ ...... ,.._..._.,a_ __ Carlsbad Business License # (Required):.Ll.l~~~I.I.J.LL;l.tl...JJI - t I have read the application and state that the above information is correct and that the ~ e to comply with all City ordinances and State laws relating to building information on th construction: NAME (PRIN ~laillit,q:.~,c_---l-l.':::::::..--1~4~4~2-3..:::392~~~~:~1B1m\B}J DATE;~,~~!!:~ 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 herebyaffirm under penaltyof per jury that I am licensed under provisions of Chapter9 (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. Policy No. ______________________________________ _ -OR- I 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. orkers' compensation insurance carrier and policy number are: lnsuranceCompany Name: ____________________ _ Poli No. ___________________________ Expiration Date: _______________ _ -OR- Ocertificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage Is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000.00, In addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code, interest and attorney's fees. CONSTRUCTION LENDING AGENCY, 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 the information on the plans is accurate. I agree to comply with all Ci rd State laws relating to building construction. (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: n I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. ~. 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- 01, 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 I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors. I understand thatacapyaf the applicable law, Section 7044 af the Business and Professions Code, isavailableupan request when this application is submitted or at the following Web site: http: I /www.leginfo.ca.gov/ calaw.html. OWNER CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with alt City ordi State laws relating to building construction. ~!~~,!~~!~/JMBHIM. ,~,.::_,;;,a. DATE:la rorfH2.&3 1635 Faraday Ave Carlsbad, CA 92008 Email: Building@carlsbadca.gov 2 REV. 07/21 Building Permit Inspection History Finaled {city of Carlsbad PERMIT INSPECTION HISTORY for ( CBC2023-0344) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Closed -Finaled Application Date: 10/20/2023 Owner: BLUE HAT LLC Issue Date: 12/1 1/2023 Subdivision: PARCEL MAP NO 18720 Expiration Date: 07/10/2024 Address: 2714 LOKER AVE W, # CS CARLSBAD, CA 92010-6640 IVR Number: 52716 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Relnspection Inspection Date Start Date 01/12/2024 01/12/2024 BLDG-11 236475-2024 Foundation/Ftg/Piers (Rebar) Checklist Item BLDG-Building Deficiency COMMENTS 02/22/2024 02/22/2024 BLOG-Final Inspection 240062-2024 Wednesday, March 13, 2024 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Status Passed Tim Kersch Passed Tim Kersch Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Page 1 of 1 NSI 420(,ompaa ltOlld • 01:Nnelde•CA•t20M Ofllca {710l m.o.o.& • Fu (190 AU-2144 NARBETH STRUCTURAL INSPECTIOM <D °"1E 1 /11 /2024® Authortzed 0 ~OOtCA;TG □ STRUCt m:a.~ □ ~-N'flUf!DMEPfllOC)Fw.Q E:) ACI @ ICOO □~~ 019f'ORCS>~ ~~·------□ REN"OflQ!O~ □ Of/B'l'OI.IC).lal()H 89ecill~ JOII AOORES9 Blue-Hat LLC Sim son SET-XP, ~ A 0liTMJiiD TM ,::, N!ll'Ol'ff Of' 0&IWl'n.JR5 W0AI( T1Mf .. &iB> @ l!HCJN!l!!l'I t.MJ.~lil:STING LOCA10H o,wc,w. wQ IC,B>, !WT MW'I.DWCEN. W0fll( M.£1"B).J08 PR:lllLl!M!., MGC LA,~ ETC. IC.IJDES ~ AIICVl'-NilQIMT$~llWl!VL PUCII> 01'1 W0P..i IC Q U.:W. ...,J,ll!BI. ~I ICl!NI'; NO'SO, lli8T'IAMF'laW<EN.. sm.lCT. OOMECTIONJ(Ml.08~ H.T.80I.TaTOAOl.8llOHEOOiD. ETC. 3/4" anchors at each location 7" minimum embed THIS RIPOM' DOB NOT REUEVE TlfE OONTRACTOR OF HIS REJPONSIBI ITY TO BUILD PER ntE Pl.ANS, SPECtFICATIONS AHO ALL APPUCAIU COOE3. TO nc aar Of MY ICNCWl!!IX2. lWN-we seim WA&,. ACOOADANCC NIPCCT'0A 0-,ca MtO ..LJ1Ju...i...u..w..i.w..uu~u..1.1ff-Y+-+-~ wrntTHEIOI. fM!ISTIQ,CnON~ THE~PUNI, W>tCA1iONI.N16JNIRJOMLES!C110NSOf'THl!u.a.c.aa..tNlC00E, ~WVll'a----------~'--#,.:~:__- CWUICNI) 1 /11 J2Q~110, 5220351 jCC WHITE-HSI CNMf. CGntrld0r PN(. lllllllng Offldal NSI 4ZO C0mpaa ltmd • Oceenl~ •CA•920N Olllc:a (7&0) :m'°'°'. Fu(nO.us.21"" NARBETH STRUCTURAL INSPECTIOM HO. © 001: 1 / /2024® Authorized O Afll~COHCRrn 0 STRUCt$T&LAS$8,AY O 8Pf',W-N'Pl.l!IIAAS'AOOFM ~N;;l 12)1C80 O ~CCWCAl':T! □ '9ll'OACa)~ D cma, ____ _ 0RBNPOl'IC!OMASONRV 00E9'1'0\.1CW10H ~ln3pector A36,A500 E71 T-1 electrode INIPEC ASIPNM... A OG1MJiD T10N ff.ti! ,::, N!l"'Of'IT ~ Dl'Tii ~ WORK ,-,.e Nllf&IB> 4f fl'u\NNJ! ....... l.0CRIONOf~ •• IC,iD, TEST SMlfllm'IMl!N, WCfll(ALC'T'B>,X. ~ MOJae, na.wtca, ETC:. INCW0ES N'CRW10N ~Ol'IMlll'IM. ~°"~I I a a u.:u.. ~ lVl"II ICl!Nf, ~~ T'8TSAMPISW<EN. snu;r. ~(Wa.DIJIMDE. H.'1;80U8TOFl0UlQOHEa<E>. ETC. Arrived on site to observe new base late install and weldin . 4 locations column. 3/16" fillet completely around column. Det-A/S2 Welding conforms to AWS D1 .1 AWS Certified welder:Ra Neff-FCAW THIS RIPORT DOes NOT RELIEVE THE OONTRACTOR OF HIS RESPON8IBIUTY TO BUILD PER THE Pl.ANS, SPECFICATIONS AND ALL APPUCMU COOEs. ~on.,.,Ml!MOTm. O~TUIGNiD 1/10/20~NO. 5220351 jcc c»M-1 • Conlrad0r P11« • IUdln; Offlelll OFFICE USE ONLY SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE RECORD ID # __________________ 1 PLAN CHECK# _________________ 1 Business Name MC Contracting Project Address (include suite) 2714 Locker Avenue Mailing Address (include suite) 504 Jones Road Project Contact Taylor Thompson Business Contact Kerry Lewis City Carlsbad Ci!}' Oceanside State CA State CA BP DATE Telephone# (760) 433-7700 X 102 Zip Code APN# 92010 Zip Code 92058 Plan File# Applicant E-mail Telephone# taylor mc-contractin .com (619) 875-6077 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): 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives 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 HEALTH HAZARDOUS MATERIALS DIVISION (HMO): 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) 505-6700 prior to the issuance of a building permit. FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy: YES to (for new construction or remodeling projects) 1. D Is your business listed on the reverse side of this form? (check all that apply). 2. B Will your business dispose of Hazardous Substances or Medical Waste in any amount? 3. Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 J pounds and/or 200 cubic feet? 4. D Will your business store or handle carcinogens/reproductive toxins in any quantity? 5. D Will your business use an existing or install an underground storage tank? 6. D Will your business store or handle Regulated Substances (CalARP)? 7. D Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? 8. D 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 Date Initials PART Ill: 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. Residences are typically exempt, except-single building with more than four dwelling units and those with more than one detached residential buildings on the property-e.g. granny flats [+Excludes garages & small outbuildings not used as dwelling units]. If yes is answered for the questions below please see link for further instructions: here or for more comprehensive requirements, please contact apcdcomp@sdapcd.org or call (858) 586-2650. YES ~ 1. D P/ Will the project disturb 100 square feet or more of existing building materials? If yes, submit an asbestos survey to apcdcomp@sdapcd.org. □ ~ Will any load supporting structural members be removed? If yes, submit an asbestos survey and demolition notification to 2. apcdcomp@sdapcd.org at least 10 working days prior to starting the demolition of a load bearing structure. A notification is required even if no asbestos is present ,. ,...,( in the structure. 0 ~ (ANSWER ONLY IF QUESTION 1 IS YES) Will 100 square feet or more of friable asbestos material be disturbed? If yes, submit a notification of asbestos 3• removal to apcdcomp@sdapcd.org at least 10 working days prior to starting asbestos removal. D ,...../ Will any equipment or operations be installed that may require an APCD Permit to Operate? Please see the reverse side of this form for typical equipment 4• ~ requiring an APCD permit. If yes, contact APCD prior to the issuance of a building permit. sed project: teel base plate for stair columns I declare under penalty of pe~ury that to the best of my knowledge a 10 116 ,2023 Name of Owner or Authorized A ent Date FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:. ________________ -1---------------- BY: DATE: I EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FDR 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 (01/22) County of San Diego -DEH -Hazardous Materials Division Ccicyof Carlsbad PURPOSE CLIMATE ACTION PLAN CONSISTENCY CHECKLIST B-50 Development Services Building Division 1635 Faraday Avenue 442-339-2719 www.carlsbadca.gov This checklist is intended to help building permit applicants identify which Climate Action Plan (CAP) ordinance requirements apply to their project. This completed checklist (B-50) and summary (B-55) must be included with the building permit application. The Carlsbad Municipal Code (CMC) can be referenced during completion of this document. NOTE: The following type of permits are not required to fill out this form ❖ Patio l ❖ Decks I ❖ PME (w/o panel upgrade) I ❖ Pool The 8-50 checklist was originally developed several years ago to support implementation of the CAP. Recent updates to the California Building Standards Code have imposed newer performance standards on building permit applications. Therefore, the applicant is advised to review all applicable code sections and apply the maximum performance standard, which may exceed the CAP consistency checklist requirements Consultation with a certified Energy Consultant is encouraged to assist in filling out this document. Appropriate certification includes, but is not limited to: Licensed, practicing Architect, Engineer, or Contractor familiar with Energy compliance, IECC/HERS Compliance Specialist, ICC GS Energy Code Specialist, RESNET HERS rater certified, certified ICC Residential Energy Inspector/Plans Examiner, ICC Commercial Energy Inspector and/or Plans Examiner, ICC CALgreen Inspector/Plans Examiner, or Green Building Residential Plan Examiner. If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required by ordinance, check N/A and provide an explanation or code section describing the exception. The project plans must show all details as stated in the applicable Carlsbad Municipal Code (CMC) and/or Energy Code and Green Code sections. Date: IO/ Iii &3 Property Address/APN : Contact information of person completing this checklist (if different than above): Name: JA~UJt?: Tt\OffiP3{)1'J Contact Phone: l (D\q) ~1)-{Q()fT B-50 Page 1 of 7 Revised 12/22 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. For purposes of determining valuation, the amount should be upon either the actual contract price for the work to be permitted or shall be determined with the use of the current "ICC Building Valuation Data" as published by the International Code Council, whichever is higher (refer to Section 18.04.035 of the CMC). Building Permit Valuation (BPV) $ breakdown __________ _ Cone1ructlon Type I Complete Section(•> D Residential D New construction 2A*, 3A*, 4A* *Includes detached, newly constructed ADU D Additions and alterations: D BPV < $60,000 NIA All residential additions and alterations D BPV ~ $60,000 1A,4A 1-2 family dwellings and townhouses with attached garages D Electrical service panel upgrade only only. *Multi-family dwellings only where interior finishes are D BPV~ $200,000 1A,4A* removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed 2B* *Multi-family dwellings only where ~$1,000,000 BPV AND I BPV ~ $1,000,000 affecting ~75% existing floor area ~ Nonresidential and hotels/motels D New construction 1 B, 2B, 3B, 4B and 5 D Alterations: D BPV ~ $200,000 or additions~ 18,5 1,000 square feet D BPV ~ $1,000,000 18, 2B, 5 Building alterations of~ 75% existing gross floor area ~ 2,000 sq. ft. new roof addition 2B, 5 1 B also applies if BPV c? $200,000 Instructions: 1. Choose first between residential or non-residential based on the type of project being submitted. 2. Next chose between new construction or addition/alteration for residential or non-residential. 3. The columns to the right of your selection will determine which sections of the CAP program are applicable to your project. 4. Appropriate details must be included on the plans for selections made. EXAMPLE: Scope of work includes a new, 2 story, single family residential structure. I The selections would be: Residential and New construction in the table above. For a 2-story structure, CAP sections 2A, 3A and 4A would be applicable. (Solar PV, water heating, EV charging) The* indicates that new detached ADU's are included. EXAMPLE: Scope of work includes a tenant improvement (i.e., alterations) valued at over one million dollars. The selections would be: Non-residential and Alteration BPV ~ $1,000,000. CAP sections 1 B, 28 and 5 would be applicable to this project. (Energy efficiency, Solar PV and Transportation Demand Management (TOM)*) 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. 3 Checldlat 11am Check the appopriall baa. axplaln al nd applc:able and a:epllarl llans, and provide supportq calculallans and doarnenlalion • nacasaay. 1. Energy Efficiency Please refer to Section 18.30.060 of the Carlsbad Municipal Code (CMC) and Section 150.2 of the CEC for more information. Appropriate details and notes must be placed on the plans according to selections chosen in the design. A. 0 Residential addition or alteration i!!: $60,000 building permit valuation. Details of selection chosen below must be placed on the plans referencing CMC 18.30.060. □ N/A. ________ _ □ Exception: Home energy score i!!:7 (attach certification) Year Built Single-family Requirements Multi-family Requirements □ Before 1978 Select one option: □Coolroof □ Attic insulation D Duct sealing D Attic insulation □ 1978 and later Select one option: □ Liahting package D Waterheating package □ Between1978-1991 Select one option: D Duct sealing D Attic insulation D Cool roof □ 1992 and later Select one option: D Lighting package D Water-heatina oackage B. New Nonresidential construction (including additions over 1,000sf), new hotel/motel construction AND alterations i!!: $200,000 building permit valuation. See Section 18.21.050 of the CMC and CALGreen Appendix AS. At least one measure from each applicable building component required. 0 N/A _______ _ AS.203.1.1 Choose one: D Outdoor lighting D Restaurant service water heating (Section 140.5 of the CEC) D Warehouse dock seal doors D Daylight design PAFs D Exhaust air heat recovery □ N/A ---------- AS.203.1.2.1 Choose one: D .95 Energy budget (Projects with indoor lighting OR mechanical) D .90 Energy budget (Projects with indoor lighting AND mechanical) 0 N/A _______ _ AS.211 .1.,. D On-site renewable energy: □ N/A AS.211.3" □ Green power: (If offered by local utility provider, 50% minimum renewable sources) 0 N/A AS.212.1 D Elevators and escalators:(Project 'with more than one elevator or two escalators) □ N/A AS.213.1 D Steel framing: (Provide details on plans for options 1-4 chosen) 0 N/A. _______ _ * High-rise residential buildings are 4 or more stories. ** For alterations2: $1,000,000BPV and affecting> 75%existing gross floor area, OR alterations that add 2,000 square feet of new roof addition: comply with Section 18.030.040 of the CMC (section 2B below) instead. 4 2. Photovoltaic Systems A. □ Residential new construction. Refer to Section 150.1 (c)14 of the CEC for single-family requirements and Section 170.2(d) of the CEC for multi-family requirements. If project includes installation of an electric heat pump water heater pursuant to CAP section 3 below (residential water heating}, increase system size by .3kWdc if PV offset option is selected. Floor Plan ID (use additional CFA or SARA #d.u. Calculated kWdc* Exception sheets if necessary) □ D □ D Total System Size: kWdc 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. B. 0 Nonresidential, hotel/motel and multifamily additions, alterations and repairs of these projects ~$1 ,000,000 BPV AND affecting ~75% existing floor area, OR addition that increases roof area by ~2,000 square feet. Please refer to Section 18.30.040 and 18.30.070 of the CMC when completing this section. Choose one of the following methods: (Gross floor area or Time-Dependent Valuation method) D Gross Floor Area (GFA)Method GFA: Min.System Size: kWd □ If< 1 0,000s.f. Enter: 5 kWdc □ If~ 1 0,000s.f. calculate: 15 kWdc x (GFA/10,000) ** **Round building size factor to nearest tenth, and round system size to nearest whole number. □ Time-Dependent Valuation Method C. 0 Annual TDV Energy use:*** ______ x .80= Min. system size: ______ kWdc ***Attach calculation documentation using modeling software approved by the California Energy Commission. • All newly constructed non residential, hotel/motel and high rise multifamily buildings that are required by CEC section 140.10(a) to have a PV system shall also have a battery storage system meeting CEC section 140.10(b}. Non residential, hotel/motel and multifamily additions, alterations or repairs that trigger solar due to the Carlsbad Climate Action Plan will NOT require battery storage. Battery storage is required when triggered by CEC section 140.10(a) and/or 170.2(9). 5 3. Water Heating A. Residential. Refer to Section 18.30.050 of the CMC and Sections 150.1(c)8 or 170.2(d) of the CEC when completing this section. Provide complete details on the plans. Residential new construction and alterations: □ Required: 60% of energy needed for service water heating from on-site solar or recovered energy. For systems serving individual units, choose one system: □ Single 240-volt heat pump water heater AND compact hot water distribution AND Drain water heat recovery (low-rise residential only) □ Single 240-volt heat pump water heater AND PV system .3 kWdc larger than required. □ 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 □ Gas or propane system with a solar water hearing system and recirculation system. For systems serving multiple units, choose one system: □ Heat pump water heating system with recirculation loop tank and electric backup. □ Solar water heating system that is either: □ .20 solar savings fraction □ .15 solar savings fraction, plus drain water heat recover OR: □ System meets performance compliance requirements of section 150.1 (d) or 170.2(d) and deriving at least 60% of energy from on-site solar or recovered energy. □ Exception: ____________________________________ _ B. Nonresidential and hotel/motel new construction. This section also applies to high-rise residential. Refer to Sections 18.030.020 and 18.040.030 of the CMC and Sections 140.5 and 170.2 of the CEC when completing this section. Provide complete details on the plans. 1. Non-residential: □ Required: Water heating system derives at least 40% of its energy from one of the following: □ Solar-thermal □ Photovoltaics □ Recovered energy □ Required: High-capacity service water heating system 2. Water heating system is (choose one): D Heat pump water heater □ Electric resistance water heater(s) □ Solar water heating system with .40 solar savings fraction 3. Hotel/motel: □ Required: High-capacity service water heating system (meeting Section 170.2(d) of the CEC) □ Required: Located in garage or conditioned space Exception: 6 4. Electric Vehicle Charging A 0 Residential -New construction and major alterations.• This section also applies to hotel/motel projects. Refer to Section 18.21.030 of the CMC and Section 4.106.4 of the GBSC when com letin this section. Choose one: □ One and two-family residential dwelling alterations with attached private garage. (not required if a panel upgrade would be needed) □ New detached ADU. (no EV space required when no additional parking facilities are added) □ New one and two-family residential dwellings and townhouse with attached private garage. □ One EV Ready parking space required □ Exception: __________ _ □ New and major alterations to multi-family and hotel/motel projects: □ Exception: ________________ _ Total Parking Spaces Proposed EVSE Spaces EV Capable ( 10% of total) I EV Readv (25% ofT otall I EV charqers (5% of Total) I I *Major alterations are: (1) for one and two-family dwellings and for town houses with an attached garage, 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, i nteriorfinishes are removed and significant site work and upgrades to structural and mechanical, electrical, a nd/orp lumbing systems are proposed. B. D Non-Residential -New construction □ Exception : _____________ _ Please refer to Section 18.21.040 of the CMC when completing this section Total Parking Spaces Proposed EV Capable I EVCS (Installed with EVSE) I EV Ready (optional) I EV Space (optional) I I I Calculation: Refer to the table below: Total Number of Parking Spaces provided Number of required EV Capable Spaces Number of required EVCS Qnstalled with EVSE) □ 0-9 1 1 □ 10-25 4 1 □ 26-50 8 2 □ 51-75 13 3 □ 76-100 17 5 □ 101-150 25 6 □ 151-200 35 9 □ 201 andover 20 percent of total 25 percent of Required EV Spaces Calculations: Total EV Capable spaces= .20x Total parking spaces proposed (rounded up to nearest whole number) EVSE Installed= Total EVSE Spaces x .25 (rounded up to nearest whole number) EVSE other may be "EV Ready" or "EV Space" 7 5. D Transportation Demand Management (TOM): Nonresidential ONLY An approved Transportation Demand Management (TOM) Plan is required for all nonresidential projects that meet a threshold of employee-generated ADT. City staff will use the table below based on your submitted plans to determine whether your permit requires a TDM plan. If TDM is applicable to your permit, staff will contact the applicant to develop a site-specific TOM plan based on the permit details. Acknowledgment: I acknowledge that the plans su contacted should m~ 'tr Employee ADT Estimation for Various Commercial Uses Office (all)2 20 Restaurant 11 Retail3 8 Industrial 4 Manufacturing 4 Warehousing 4 1 Unless otherwise noted, rates estimated from /TE Trip Generation Manual, 10'hEdition 13 11 4.5 3.5 3 1 2 For all office uses, use SAN DAG rate of 20 ADT/1 ,000 sf to calculate employee ADT 3 Retail uses include shopping center, variety store, supermarket, gyms, pharmacy, etc. Other commercial uses may be subject to special consideration Sample calculations: Office: 20,450 sf 1. 20,450 sf/ 1000 x 20 = 409 Employee ADT Retail: 9,334 sf 1. First 1,000 sf= 8 ADT 2. 9,334 sf -1,000 sf= 8,334 sf 3. (8,334 sf/ 1,000 x 4.5) + 8 = 46 Employee ADT e subject to the City of Carlsbad's Transportation Demand Management Ordinance. I agree to be -.~ .... ulan and understand that an approved TOM plan is a condition of permit issuance. o,~ IO~ Phone No.: l(g tfj·{fQt} 8 {"Cityof Carlsbad CAP Building Plan Template B-55 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www. ca rlsbadca .gov CLIMATE ACTION PLAN (CAP) COMPLIANCE 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. The following certificate shall be included on the plans for all building permits that are required to comply with the CAP measures: 1. ENERGY EFFICIENCY APPLICABLE: □YES Complies with CMC 18.30.060 or 18.21.050 OYes ON/A Existing Structure, year built: ____ _ Prepared Energy Audit? Qes D No Energy Score: _____ _ Efficiency Measures included in scope: 2. PHOTOVOLTAIC SYSTEM APPLICABLE: □YES Complies with CMC section 18.30.040 and 2 Code section 150.l(c)14 Size of PV system (kWdc): 2 California Energy OYes D,tA Sizing PV by load calculations 0Yes 0No If by Load Calculations: Total calculated electrical load: 80% of load: Exception Requested D Yes O No Exception Approved O Yes D No 3. ALTERNATIVE WATER HEATING SYSTEM APPUCABLE, □ YESfr Complies with CMC sections 18.30.020 4. 5. 18.20.030 and/or 18.30.050? D Yes D N/A Alternative Source: □ Electric □ Passive Solar Exception Requested Exception Approved ELECTRIC VEHICLE (EV) CHARGING APPLICABLE: Complies with CMC section 18.21.030? Panel Upgrade? DYes 0No □Yes o/ DYES )LINO 0Yes ON/A D Yes ONo Required Provided Total EV Parking Spaces: No. of EV Capable Spaces: No. of EV Ready Spaces: No. of EV Installed Spaces: Hardship Requested Hardship Approved ---nves □Yes TRAFFIC DEMAND MANAGEMENT APPLICABLE: Compliant? TDM Report on file with city? 0No □No / OYEs.EfNo 0Yes 0No □Yes oNo C cityof Carlsbad j 1NSTRUCTIONS: 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 concurrent! . PROJECT INFORMATION The project is (check one): 0 New Development ----------------------------~ The total proposed disturbed area is:.fi....,,_,__ ft2 _____ ) acres The total proposed newly created and/or replaced impervious area is}~ (O_ft2 ~---) 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 of 4 REV 04/23 STEP1 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 or structure that do not alter the size (See Section 1.3 of the BMP Design Manual for guidance)? ,1 □ 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): 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-r/ 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 USEPA Green Streets guidance? . 2. Retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in □ /J . 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? □ Ji 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 04/23 STEP3 TO BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECTS 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 I 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 ,5 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 greater. 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 ;1 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 ton 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 p 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 I 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. I 10. 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 □ y5 impervious surface or (2) increases impervious surface on the property by more than 10%? (CMC 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 sensijive areas which have been identified by the City. E-34 Page 3 of 4 REV 04/23 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)): 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 YES NO calculation below: ,;o,d. Existing impervious area (A) = __ 5."../f) 1 sq. ft. \. 9/JiJ , Total proposed newly created or replaced impervious area (B) = __ _.__-'~"'-----'------·sq.ft. □ Percent impervious area created or replaced (B/A)*100 =_&F) % 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 BMP's required for PDP apply to the entire development. Go to step 5, complete the trash capture question. STEPS TO BE COMPLETED FOR ALL DEVELOPMENT PROJECTS 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? R-23 (15-23 du/ac), R-30 (23-30 du/ac), Pl (Planned Industrial), CF (Community Facilities), GC (General O O 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 Trans ortation 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 ou answered "no", Go to ste 6, check the second or third box as determined in ste 3. STEP& 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. As part of these requirements, I will submit a "Standard Project Requirement Checklist Form E-36" and incorporate low impact development strategies throughout my project. If my project is subject to TRASH CAPTURE REQUIREMENTS, I will submit a TRASH CAPTURE Storm Water Quality Management Plan (TCSWQMP) per E-35A. O 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 Jand 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. E-34 Page 4 of 4 REV 04/23