The URL can be used to link to this page

Home My WebLink About1265 CARLSBAD VILLAGE DR; ; PC040076; Permit05-24-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plan Check Permit Mo PC040076 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1265 CARLSBAD VILLAGE DR CBAD PLANCK 1561802100 Lot# $0 00 Construction Type REMAX BY THE SEA-INT PARTIONS CEILING GRID-TO CREATE STES 100, 201&210 Applicant MARTIN TOPP 9046 CYNTHIA STREET 90069 310-274-1112 Status Applied Entered By Plan Approved Issued Inspect Area PENDING 06/24/2004 KMT Owner CARLSBAD VILLAGE DRIVE INVESTORS L L C C/O FRANK VIOLI 1241 CARLSBAD VILLAGE DR #100 CARLSBAD CA 92008 Plan Check Fee Additional Fees $000 $000 Total Fees $0 00 Total Payments To Date $0 00 Balance Due SO 00 BLULDING PLANS IN STORAGE ATTACHED Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of lees, dedications, reservations, or other exactions hereafter collectively referred to as 'lees/exactions" 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 66Q2Q(a), and file the protest and any othet requited information «rth 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 Jojvhich the statute of limitations has previously otherwise expired 05-24-2006 City of Carlsbad j 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No CB042541 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Occupancy Group Project Title 1265 CARLSBAD VILLAGE DR CBAD St 100 Tl Sub Type COMM 0 NEW 1561802100 Lot* $134,490 00 Construction Type Reference # REMAX BY THE SEA- SUITE 100 4,483 SF INTERIOR PARTIONS & CEILING GRID Applicant MARTIN TOPP 9046 CYNTHIA STREET 90069 310-274-1112 Status FINAL Applied 06/24/2004 Entered By KMT Plan Approved 04/26/2005 Issued 04/26/2005 Inspect Area' PY Plan Checktt 040076 Owner CARLSBAD VILLAGE DRIVE INVESTORS L L C C/O FRANK VIOLI 1241 CARLSBAD VILLAGE DR #100 CARLSBAD CA 92008 Building Permit Add! Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot Water Con Fee Meter Size Add'l Pot Water Con Fee Reel Water Con Fee S654 36 Meter Size $0 00 Add'l Reel Water Con Fee $425 33 Meter Fee $0 00 SDCWA Fee $0 00 CFD Payoff Fee $2824 PFF (3105540) SO 00 PFF (4305540) $0 00 License Tax (3104193) $0 00 License Tax (4304193) $0 00 Traffic Impact Fee (3105541) $0 00 Traffic Impact Fee (4305541) $0 00 PLUMBING TOTAL $0 00 ELECTRICAL TOTAL $0 00 MECHANICAL TOTAL $0 00 Master Drainage Fee Sewer Fee $0 00 Redev Parking Fee $0 00 Additional Fees HMP Fee TOTAL PERMIT FEES SO 00 $000 $000 $000 $2,447 72 $2,259 43 $000 $000 $000 $000 $2700 $21000 $51 00 $000 $000 $000 $000 77 $6,10308 Total Fees $6,103 08 Total Payments To Date $6,103 08 Balance Due.$000 Inspector FINAL APPROVAL Date Clearance NOTICE Please lake NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions" 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 limitations has previously otherwise expired 05-24-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No Building Inspection Request Line (760) 602-2725 CB042542 Job Address Permit Type Parcel No Valuation Occupancy Group Project Title 1265 CARLSBAD VILLAGE DR CBAD St 220 Tl Sub Type COMM 0 NEW 1561802100 Lot# $62,040 00 Construction Type Reference # REMAX BY THE SEA- SUITE 220 2068 SF/INTERIOR PARTITIONS & CEILING GRID Applicant MARTIN TOPP 9046 CYNTHIA STREET 90069 310-274-1112 Status FINAL Applied 06/24/2004 Entered By KMT Plan Approved 04/26/2005 Issued 04/26/2005 Inspect Area RB Plan Checktf 040076 Owner CARLSBAD VILLAGE DRIVE INVESTORS L L C C/O FRANK VIOLI 1241 CARLSBAD VILLAGE DR #100 CARLSBAD CA 92008 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot Water Con Fee Meter Size Add'l Pot Water Con Fee Reel Water Con Fee $404 11 Meter Size $0 00 Add'l Reel Water Con Fee $262 67 Meter Fee $0 00 SDCWA Fee $0 00 CFD Payoff Fee $1303 PFF (3105540) $0 00 PFF (4305540) SO 00 License Tax (3104193) $0 00 License Tax (4304193) $0 00 Traffic Impact Fee (3105541) $0 00 Traffic Impact Fee (4305541) $0 00 PLUMBING TOTAL SO 00 ELECTRICAL TOTAL $0 00 MECHANICAL TOTAL $0 00 Master Drainage Fee Sewer Fee $0 00 Redev Parking Fee $0 00 Additional Fees HMP Fee TOTAL PERMIT FEES $000 $000 $000 $000 $1,129 13 $1,04227 SO 00 $000 $000 $000 $2700 $11000 $2400 $000 $000 $000 $000 99 $3,01221 Total Fees $3,012 21 Total Payments To Date $3,01221 Balance Due:$0.00 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval ol your project includes the Imposition" oE fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/exactions" 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 (or 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 aiven a NOTICE similar to this, or as to which the statute of lirnilations_has previously otherwise expired 05-24-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No Building Inspection Request Line (760) 602-2725 CB042545 Job Address Permit Type Parcel No Valuation Occupancy Group Project Title 1265 CARLSBAD VILLAGE DR CBAD St 210 Tl Sub Type COMM 1561802100 Lot# 0 $55,830 00 Construction Type NEW Reference # SPEC SUITE-SUITE 210- 1861 SF INTERIOR PARTITIONS, CEILING GRID Applicant MARTIN TOPP 9046 CYNTHIA STREET 90069 310-274-1112 Status EXPIRED Applied 06/24/2004 Entered By KMT Plan Approved 04/26/2005 Issued 04/26/2005 Inspect Area Plan Check* 040076 Owner CARLSBAD VILLAGE DRIVE INVESTORS L L C C/O FRANK VIOLI 1241 CARLSBAD VILLAGE DR #100 CARLSBAD CA 92008 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot Water Con Fee Meter Size Add'l Pot Water Con Fee Reel Water Con Fee $377 16 Meter Size $0 00 Add'l Reel Water Con Fee $245 15 Meter Fee $0 00 SDCWA Fee $0 00 CFD Payoff Fee $11 72 PFF (3105540) $0 00 PFF (4305540) $0 00 License Tax (3104193) $0 00 License Tax (4304193) $0 00 Traffic Impact Fee (3105541) $0 00 Traffic Impact Fee (4305541) $0 00 PLUMBING TOTAL $0 00 ELECTRICAL TOTAL SO 00 MECHANICAL TOTAL $0 00 Master Drainage Fee Sewer Fee $0 00 Redev Parking Fee $0 00 Additional Fees HMP Fee TOTAL PERMIT FEES $000 $000 $000 $000 $1,016 11 $937 94 $000 $000 $000 $000 $2700 $11000 S2400 $000 $000 $000 $000?? $2,749 08 Total Fees $2,749 08 Total Payments To Date $2,749 08 Balance Due $000 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of lees, dedications, reservations, or other exaclions hereafter collectively referred to as "fees/exactions" 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 limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 PROJECT FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit t Validated By j< Date 0 VILLAS pfttjfe SUITES ioo' « z n rrAddress [include Bldg/Smte #).Business Name (at this addres e. -Legal Description Lot No Subdivision Name/Number nit No Phase No Total # of units Assessor's Parcel #Existing Use Proposed Use State/Zip Telephone # Name Ut.JLl.«t.'.tti»»nuU»l—J>^ •* «*. F-Tdi^fcJfc*^ — '—£»—.t ^ -*,.'-~.>4ftikr,»i».«..»Li.ii h tt O\f —nrt»-«V-!h-~t'-» -— ~L, M«Mai^.l^[^il! I'^-^L.L^iH.iLt^E ±^-«!la»i-.-JLi'J^ ', J ^1 /%^^^4>^^f ^>> h***!M^loul *foH /h/biviOA i%)Qrj/il CARi-SfcjOO r/\ jfto ?TMin State/Zip Telephone ftAddress , i i\f~* City (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor s License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions CodeJ or that he is exempt therefrom, and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 155001) Name State License # Address License Class City City State/Zip Business License # Telephone # Designer Name State License tt Address City State/Zip Telephone Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My worker's compensation insurance earner and policy number are Insurance Company Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) Q CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE DATE OWNER-BUILDER DECLARATION ........... *..*afaa ,-,' • — m;L...j ..... _r[.-..-J- .'•' <••• I hereby affirm that I am exempt from the Contractor's License Law for the following reason rj 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 7044, 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) Q I as owner of th§ 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) fj I am exempt under Section _ Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement Q YES QNO 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) 4 I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number) _ _ ____ _ 5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) '' PROPERTY OWNER SIGNATURE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES d NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 Q YES Q NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? d YES Q NO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER'S NAME LENDER'S ADDRESS . . ^/ w^fw^'^'np'~'*3*t?"*'*F****f''' ' ^""F" t ''*'^*&%-r™™™*'ir^^-™^**^^PW^r*Ftt^^ I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by the building Official under the provisions of (his Code shall expire by limitalion and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any lime after the work is commenced for a peryrfo of 180 /s (ation 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE PINK Finance EsGil Corporation In Partnersnip ivitfi. government for <Bui fifing Safety DATE 7/10/04 Q APPLICANT JURISDICTION City of Carlsbad dTPlAN REVIEWER a FILE PLAN CHECK NO PC04-0076 SET I PROJECT ADDRESS 1265 Carlsbad Village Dr Suites 100,200 and 201 PROJECT NAME Remax By the Sea - TI X] The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck The check list transmitted herewith is for your information The plans are being held at Esgii Corporation until corrected plans are submitted for recheck The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person The applicant's copy of the check list has been sent to Esgii Corporation staff did not advise the applicant that the plan check has been completed Esgii Corporation staff did advise the applicant that the plan check has been completed Person contacted Telephone # Date contacted (by ) Fax #. Mail Telephone Fax In Person REMARKS By Doug Moody Enclosures Esgii Corporation D GA D MB D EJ D PC 6/28/04 tmsmtldot 9320 Chesapeake Dnve, Suite 208 * San Diego, California 92123 + (858)560-1468 + Fax (858) 560-1576 City of Carlsbad PC04-OO76 7/10/04 VALUATION AND PLAN CHECK FEE JURISDICTION City of Carlsbad PLAN CHECK NO. PCO4-0076 PREPARED BY: Doug Moody DATE 7/10/04 BUILDING ADDRESS 1265 Carlsbad Village Dr Suites 100,200 and 201 BUILDING OCCUPANCY B TYPE OF CONSTRUCTION VN BUILDING PORTION Tl Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code AREA (Sq Ft) 8530 cb Valuation Multiplier 3000 By Ordinance Reg Mod VALUE {$) 255,900 255,900 $1,027.04 1994 UBC Plan Check Fee Type of Review f~~l Repetitive Fee Repeats 0 Complete Review D Other D Hourly Structural Only Hour Esgil Plan Review Fee $667 58 $575.14 Comments Sheet 1 of 1 macvalue doc PLANNING/ENGINEERING APPROVALS PERMIT NUMBER ADDRESS DATE , o RESIDENTIAL TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR « $10,000.00) PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNER DATE ENGINEE DATE Docs/Misrorms/pianning Engineenng Aporowais Carlsbad Fire Department 040076 1635 Faraday Ave Carlsbad, CA 92008 Plan Review Requirements Category: Building Plan Date of Report 08/04/2004 Reviewed by Fire Prevention (760) 602-4660 Name Address Topp Design Group 9046 Cynthia St City, State W Hollywood CA 90069 Plan Checker Job Name RE Max Job # 040076 Job Address 1265 Carlsbad Village Dr Bldg# PC040076 Ste orBldg No Approved The item you have submitted for review has been approved The approval is based on plans, information and / or specifications provided in your submrttal, therefore any changes to these items after this date, including field modifications, must be reviewed by this office to insure continued conformance with applicable codes and standards Please review carefully all comments attached as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements Approved The item you'have submitted for review has been approved subject to the Subject to attached conditions The approval is based on plans, information and/or specifications provided in your submittal Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements Please resubmit to this office the necessary plans and / or specifications required to indicate compliance with applicable codes and standards C3 Incomplete The item you have submitted for review is incomplete At this time, this office cannot adequately conduct a review to determine compliance with the applicable codes and / or standards Please review carefully all comments attached Please resubmit the necessary plans and / or specifications to this office for review and approval RPUIPW 1st ?nr1 3rrf FDJob# 040076 FD File # Other Agency ID Carlsbad Fire Department 040076 • 1635 Faraday Ave A Carlsbad, CA 92008 Plan Review Requirements Category: Date of Report 06/30/2004 Fire Prevention (760) 602-4660 Building Plan Reviewed by Name Address City, State Topp Design Group 9046 Cynthia St W Hollywood CA 90069 Plan Checker Job Name Job Address Job # 040076 RE Max 1265 Carlsbad Village Dr Bldg #. PC040076 Ste or Bldg No D Approved The item you have submitted for review has been approved The approval is based on plans, information and / or specifications provided in your submittal, therefore any changes to these items after this date, including field modifications, must be reviewed by this office to insure continued conformance with applicable codes and standards Please review carefully all comments attached as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements D Approved Subject to The item you have submitted for review has been approved subject to the attached conditions The approval is based on plans, mlormation and/or specifications provided in your submittal Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements Please resubmit to this office the necessary plans and / or specifications required to indicate compliance with applicable codes and standards Incomplete The item you have submitted for review is incomplete At this time, this office cannot adequately conduct a review to determine compliance with the applicable codes and / or standards Please review carefully all comments attached Please resubmit the necessary plans and / or specifications to this office for review and approval Review FDJob# 1st 9nH 3rd 040076 FDFile# Other Agency ID Requirements Category:Building Plan Requirement Pending 0501 Project Data Provide complete address and suite designation Provide building construction information indicating occupancy classification, type of construction, number of stories, aggregate square footage, occupant load, and description of intended uses CFD shall require the following information 1 Is this Type V -1-hour or Non-rated? 2 Type of construction of the under building parking and is there a rated seperation between the two types'? Requirement 0502 Site PlanPending Site plan must indicate the location of roads, gates, driveways, buildings and all existing and proposed fire hydrants within 200 feet of the project CFD shall require the submission of a site plan indicating setbacks and side yards Requirement 0511 Knox BoxPending Knox Box required when access to or within a structure or an area is unduly difficult because of secured openings or where immediate access is necessary for life saving or fire-fighting purposes The Fire Department witl determine the location for the key box and provide an authorized order form A recessed KNOX Key box shall be required to be installed The preferred location shall be at or near the mam entrance or fire sprinkler riser room (TBD) in a masonry feature The ordering information for this required item is to be obtained from Carlsbad Fire Department by calling 760-602-4666 Requirement Pending 0516 A/S Design Sprinkler system design shall be in accordance with standards set forth by the National Fire Protection Association and UBC Standards 38-1 and 38-2 Permits are required prior to installation Plans, specifications and calculations shall be certified by a licensed fire protection engineer or other person deemed competent by the Chief, and submitted in the name of a licensed sprinkler contractor Warehouse buildings for which no specific use, occupant, product, activity or storage array has been identified, shall be protected by sprinkler system designed to deliver water at the rate of 45 gallons per square foot, throughout a 3000 square foot design area Carlsbad Fire Department shall require that the plans submitted include information as to where the fire sprinkler riser is proposed to be located CFD requires that the riser 1 be protected from environmental and mechanical damage 2 that any enclosure be accessible from the exterior It shall be preferred that this area be located near the property entrance Page 1 06/30/04 PERFORMANCE CERTIFICATE OF COMPLIANCE Part 1 of 3 PERF-1 PROJECT NAME Remax by the Sea Tl PROJECT ADDRESS 1241 Carlsbad Village Dr Carlsbad PRINCIPAL DESIGNER - ENVELOPE Ziebarth Associates DOCUMENTATION AUTHOR T-Squared Professional Engineers, Inc TELEPHONE (619)233-6450 TELEPHONE (760)744-6718 DATE 06/10/2004 \ I Building Permit # Checked by/Date Enforcement Agency Use GENERAL INFORMATION DATE OF PLANS BUILDING CONDITIONED 01-12-03 BUILDING TYPE [X] PHASE OF CONSTRUCTION [X] NONRESIDENTIAL Q NEW CONSTRUCTION Q FLOOR AREA 8,380 Sq Ft CLIMATE ZONE 7 ] HIGH RISE RESIDENTIAL Q HOTEL/MOTEL GUEST ROOM ] ADDITION f~~] ALTERATION | | EXISTING + ADDITION STATEMENT OF COMPLIANCE This Certificate of Compliance lists the building features and performance spep/ications needed to comply with Title 24, Parts 1 and 6, of the State Building Code This certificate applies only to a Building usiijo/tne performance compliance approach DOCUMENTATION AUTHOR Farzad Tadayon. PE SIGNATURE DATE The Principal Designers hereby certify that the proposed building design r/ or this permit application are consistent with all other forms and workshee jermit application The proposed building as designed meets the energy et 24, Part 6 ENV LTG MECH /sented in the construction documents and modelled specifications, and other calculations submitted with this fciency requirements of the State Building Code, Title D D 1 I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person responsible for its preparation, and that I am licensed as a civil engineer, mechanical engineer, electrical engineer or architect 2 I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code Section 5537 2 or 6737 3 to sign this document as the person responsible for its preparation, and that I am a licensed contractor preparing documents for work that I have contracted to perform PI r~| r~j 3 I affirm that I am eligible under Division 3 of the Business and Professions Code to sign this document because it pertains to a structure or type of work described as exempt pusuant to Business and Professions Code Sections 5537, 5538, and 6737 1 (These sections of the Business and Professions Code ae printed in full in the Nonresidential Manual) ENVELOPE COMPLIANCE Indicate location on plans of Note Block for Mandatory Measures Required Forms ENV-1 PRINCIPAL ENVELOPE DESIGNER • NAME Ziebarth Associates SIGNATURE LtC NO DATE LIGHTING COMPLIANCE Indicate location on plans of Note Block for Mandatory Measures Required Forms Lighting Compliance Not In The Scope Of Ttns~Submrtta1—~ ~~ ~ ~ PRINCIPAL LIGHTING DESIGNER - NAME SIGNATURE LIC NO DATE MECHANICAL COMPLIANCE Indicate location on plans of Note Block for Mandatory Measures^ Required For MECH-1. MECH-2. MECH-3 PRINCIPAL MECHANICAL DESIGNER - NAME T-Squared Professional Engineers SIGNATURE LIC NO DATE Run Initiation Time 06/10/04 08 EnergyPro 3 1 By EnergySoft User Number 5511 y&3&7 Run Code 1086882827 '/ Job Number 03119 Page 1 of 15 f COM- 11-23-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plan Check Revision Permit No PCR05199 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1265 CARLSBAD VILLAGE DR CBAD PCR 1561802100 Lot# $0 00 Construction Type CBAD VILLAGE OFFICE-REV FROM 2 SUITES TO 3, STES 200,210 & 220 Applicant CARLSBAD VILLAGE DRIVE INVESTORS L L C C/O FRANK VIOLI 1241 CARLSBAD VILLAGE DR #100 CARLSBAD CA 92008 Status Applied Entered By Plan Approved Issued Inspect Area PENDING 10/20/2005 RMA Owner CARLSBAD VILLAGE DRIVE INVESTORS L L C C/O FRANK VIOLI 1241 CARLSBAD VILLAGE DR #100 CARLSBAD CA 92008 Plan Check Revision Fee Additional Fees $240 00 $000 Total Fees $240 00 Total Payments To Date 00 Balance Due $240 00 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval ot your project includes trie Imposition" of lees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions" 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 lees 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 oiven a NOTICE similar to this, or as io which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By/Date Adaress (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel # ..^D Existing Use Proposed Use Description of Work SQ FT #of Stones ix-,^ /a^^£U Stale/Zip Telephone Fax # Name Address City State/^ip Telephone It Telephon ("HisST Name Address City State/^'ip S'!, JCONf RACTORlCOMPANY,NAME,!^ 4€ Wl^/ira??'I'T^'^'T^'P^Ii^S^"';^fef^SOfi, (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any strudttire, "prior* to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law IChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not rriDre than five hundred dollars 1S500]} Name State License # Address License Class City State/Zip City Business License # Telephone ft Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued n I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My worker s compensation insurance carrier and policy number are Insurance Company Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) n CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000), in addition to the cost of compensation, damages as provided for rn Section 3706 of the Labor code, interest and attorney s fees SIGNATURE DATE '7.jDOWNER-BUILDER DECLARATION1!^Pvf'i3 yo^v . jf "ft rt^^fi^W* '>*-'>& tIf &'«'!«'l^I>J $. Ml J3 ^ CT.,"[>»'*[V U ICT^ »WW $*'. 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason [] 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 7044, 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) [~1 I, 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 ',uch projects with contractor(s) licensed pursuant to the Contractor's License Law) 0 I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement (~1 VES CJNO 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) 4 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number) 5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) - PROPERTY OWNER SIGNATURE DATE COMRLETEjTHISlSECTION fOU^O/V^fS/DBVTM^BUILDiNG^PERMITS'ONLY88!] „ s, „ ,y,; ,; \ s,-^ -il'bA"!^ ,» I , feW 'i "i ^ iW S !;, (J»| ^ S , iH .VM 1^3 J Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley- Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality m&nagement district? n YES Q NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? Q YES Q NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER'S NAME LENDER'S ADDRESS City ordinances and State laws relating to building construction I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excavations over 5 0" deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commencfefLfaL^ period of 180 dayS~fSection 106 44 Uniform Building Code) APPLICANT'S SIGNAT DATE WHITE File YELLOW Applicant PINK Finance PLANNING/ENGINEERING APPROVALS PERMIT NUMBER O5~ /99 DATE ADDRESS RESIDENTIAL RESIDENTIAL ADDITION MINOR « $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER PLANNE DATE ENGINEER DATE Docs/Misforms/Planning Englneenng Approvals EsGil Corporation In Partners kip witH government for (BuiCtftng Safety DATE 11/22/O5 '' ' £LAEELICANT Ca_JURjl3 JURISDICTION City of Carlsbad . Q PLAN REVIEWER Q FILE PLAN CHECK NO PCO4-76 (PCR05199) SET II PROJECT ADDRESS 1265 Carlsbad Village Dr; PROJECT NAME Revision to Remax By the Sea [X] The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes 0 The plans transmitted herewith will substantially comply with the jurisdiction's budding codes when minor deficiencies identified below are resolved and checked by building department staff [ | The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck 1 | The check list transmitted herewith is for your information The plans are being held at Esgil Corporation until corrected plans are submitted for recheck The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person The applicant's copy of the check list has been sent to XI Esgil Corporation staff did not advise the applicant that the plan check has been completed Esgil Corporation staff did advise the applicant that the plan check has been completed Person contacted Telephone # Date contacted (by ) Fax # Mai! Telephone" Fax In Person REMARKS J By Steve Sanders Enclosures '; Esgil Corporation * D GA D MB D EJ D PC 11/16/05 tmsmtldot 9320 Chesapeake Drive, Suite 208 4 San Diego, California 92123 4 (858)560-1468 + Fax (858) 560-1576 EsGil Corporation In (Partnership ivitfi (government for (BuiCding Safety DATE October 31, 2005 JURISDICTION Carlsbad PLAN CHECK NO PCR05199 SET I PROJECT ADDRESS 1265 Carlsbad Village Dr. PROJECT NAME Revision to Remax By the Sea Q PLAN REVIEWER a FILE The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building, codes The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck XI The check list transmitted herewith is for your information The plans are being held at Esgil Corporation until corrected plans are submitted for recheck The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person Xj The applicant's copy of the check list has been sent to Frank Violi Carlsbad Village Dr Investors, LLC, 5411 Avenida Enemas # 120, Carlsbad, 92008 Esgil Corporation staff did not advise the applicant that the plan check has been completed X] Esgil Corporation staff did advise the applicant that the plan check has been completed Person contacted Frank Violi Telephone # (760) 434-1400 Date contacted Jtfaf (by (P ) Fax # (760) 434-7400 Mail Telephone-^ Fax -^ In Person REMARKS By Steve Sanders Esgil Corporation D GA D MB D EJ Enclosures D PC 10/24/05 trnsmtl dot 9320 Chesapeake Drive, Suite 208 4- San Diego, California 92123 4 (858)560-1468 4 Fax (858) 560-1576 Carlsbad PCR05199 October 31, 20O5 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO PCR05199 OCCUPANCY B TYPE OF CONSTRUCTION VN ALLOWABLE FLOOR AREA SPRINKLERS'? REMARKS DATE PLANS RECEIVED BY JURISDICTION 10/24/05 DATE INITIAL PLAN REVIEW COMPLETED October 31, 2005 JURISDICTION Carlsbad USE ACTUALAREA STORIES HEIGHT OCCUPANT LOAD DATE PLANS RECEIVED BY ESGIL CORPORATION 10/24/05 PLAN REVIEWER Steve Sanders FOREWORD (PLEASE READ): This plan review is limited to the technical requirements contained in the Uniform Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled This plan review is based on regulations enforced by the Building Department You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department, Fire Department or other departments Clearance from those departments may be required prior to the issuance of a building permit Code sections cited are based on the 1997 UBC The following items listed need clarification, modification or change All items must be satisfied before the plans will be in conformance with the cited codes and regulations Per Sec 106 4 3, 1997 Uniform Building Code, the approval of the plans does not permit the violation of any state, county or city law To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e , plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans TENANT IMPROVEMENTS WITHOUT SPECIFIC ENERGY DATA OR POLICY SUPPLEMENTS (1997UBC)tiforw dot Carlsbad PCR05199 October 31, 2005 • Please make all corrections on the original tracings, as requested in the correction list Submit three sets of plans for commercial/industrial projects (two sets of plans for residential projects) For expeditious processing, corrected sets can be submitted m one of two ways 1 Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave , Carlsbad, CA 92009, (760) 602- 2700 The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Ftre Departments 2 Bring one corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468 Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments NOTE Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete 1 Each sheet of the plans must be signed by the person responsible for their preparation, even though there are no structural changes Business and Professions Code 2 The sheet designations of the revisions do not match the original plans These new sheets will be 'slip sheeted' into the existing plans and must maintain the original sequence designations 3 Please specify on the plans the use of rooms 210 and 211 4 Please provide revised LTG-1 Forms on the plans 5 No new mechanical sheets have been provided with this submittal If the mechanical systems are affected with the reconfiguration of the partitions please provided revised mechanical sheets To speed up the review process, note on this list (or a copy) where each correction item has been addressed, i e , plan sheet, note or detail number, calculation page, etc Please indicate here if any changes have been made to the plans that are not a result of corrections from this list If there are other changes, please briefly describe them and where they are located in the plans • Have changes been made to the plans not resulting from this correction list? Please indicate Yes Q No a The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123, telephone number of 858/560-1468, to perform the plan review for your project If you have any questions regarding these plan review items, please contact Steve Sanders at Esgil Corporation Thank you Carlsbad PCR05199 October 31, 2005 VALUATION AND PLAN CHECK FEE JURISDICTION Carlsbad PREPARED BY ,Steve Sanders PLAN CHECK NO PCR05199 DATE October 31, 2005 BUILDING ADDRESS 1265 Carlsbad Village Dr. BUILDING OCCUPANCY B TYPE OF CONSTRUCTION VN BUILDING PORTION . Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code AREA (Sq Ft) CB Valuation Multiplier By Ordinance Reg Mod VALUE ($) 1 - . • 1994 UBC Plan Check Fee $240.00 Type of Review \~\ Repetitive Fee Repeats Q Complete Review D Other m Hourly Structural Only Hours Esgil Plan Review Fee $19200 * Based on hourly rate Comments Sheet 1 of 1 macvalue doc Carlsbad Fire Department Plan Review Requirements Category PCR , Date of Report 10-26-2005 Reviewed by Name CARLSBAD VILLAGE DRIVE INVESTORS L L C Address C/O FRANK VIOLI 1241 CARLSBAD VILLAGE DR #100 CARLSBAD CA 92008 cPennit.#"PCR05199 Job Name CBAD VILLAGE OFFICE-REV FROM 2 Job Address 1265 CARLSBAD VILLAGE DR CBAD INCOMPLETE The item you have submitted for review ia incomplete At this time, this office cannot adequately conduct a review to determine compliance with the applicable codes and/or standards Please review taiefully all comments attached Please rcsubmit the necessary plans and/or specifications, with changes "clouded' to this office for review and approval Conditions: ;Cond CON0000816 1 Note on plans Plans for any modifications to the sprinkler system will be submitted to the Fire Department for review and approval by a licensed sprinkler contractor, prior to any work being performed Entry 10/21/2005 By pp Action CO Cond CON0000868 This project has been reviewed and approved for the purposes of issuance of building permit This approval is subject to field inspection and required test(s), notations hereon, conditions in correspondence and conformance with all applicable regulations This approval shall not be held to permit or approve the violation of any law Entry 10/26/2005 By pp Action AP Carlsbad Fire Department Plan Review Requirements Category PCR Date of Report 10-21-2005 Reviewed by Name Address CARLSBAD VILLAGE DRIVE INVESTORS L L C C/0 FRANK VIOLI 1241 CARLSBAD VILLAGE DR #100 CARLSBAD CA 92008 Tefmir#-PCR05I_99; Job Name CBAD VILLAGE OFFICE-REV FROM 2 Job Address 1265 CARLSBAD VILLAGE DR CBAD INCOMPLETE The item you have submitted for review is incomplete At this time, this office cannot adequately conduct a review to determine compliance with the applicable codes and/or standards Please review carefully all comments attached Please resubmit the necessary plans and/or specifications, with changes "clouded", to this office for review and approval Conditions: Cond CON0000816 1 Note on plans Plans for any modifications to the sprinkler system will be submitted to the Fire Department for review and approval by a licensed sprinkler contractor, prior to any work being performed Entry 10/21/2005 By pp Action CO CERTIFICATE OF COMPLIANCE (Parti of3)LTG-1 PROJECT NAME REMAXBYTHESEA PROJECT ADDRESS1265 CARLSBAD VILLAGE DR, CARLSBAD, CALIF PRINCIPAL DESIGNER-LIGHTING NEAL ELECTRIC DOCUMENTATION AUTHOR DAVE BIRCHFIELD TELEPHONE 858.513.2525 TELEPHONE858.513.2525 DATE 11.04.2005 ByiBmj Perraft £ e&!C*Sfffej'/p3& &ifiSte6rtfeflL Aseftt^ Us» GENERAL ^FORMATION DATE OF PLANS 11.04.2005 BUILDING TYPE PHASE OF CONSTRUCTION METHOD OF LIGHTING COMPLIANCE X X BUILDING CONDITIONED FLOOR AREA,884 SQUARE FEET NONRESIDENTIAL NEW CONSTRUCTION COMPLETE BUILDING X HIGH RISE RESIDENTIAL ADDITION ALTERATION AREA CATEGORY CLIMATE ZONE7 HOTEL/MOTEL GUEST ROOM UNCONDITIONED ( file affidavit ) TAILORED PERFORMANCE STATEMENT OF COMPLIANCE This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations This certificate applies only to building lighting requirements The documentation preparer hereby certifies that the documentation is accurate and complete DOCUMENTATION AUTHOR DAVE BIRCHFIELD SIGNATURE / > s * ^ S S s7 * ^tf^*^^* ^ DATE -£/ 11.04.2005^ The Principal Lighting Designer hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheet, with the specifications and with any other calculations submitted with this permit application The proposed building has been designed to meet the enevelope requirements contained in the applicable parts of sections 110, 119, 130 through 132, 146 and 149 of Title 24, Parts Please check one I hereby affirm that I am eligible under th document as me person responsiDie for engineer or electrical engineer or I am a V I affirm that I am eligible under the provis Gf'6f 6 to sign this document as tne pers performing this work ! affirm that I am eligible under Division 2 pertains to a structure or type or work de 5538 and 6737 1 (These sections of the Business and Prc e provisions of Division 3 of the Business and Professions Code to sign this ts preparation, and that I am licensed in the State of California as a civil licensed architect ions of Division 3 of the Business and Professions Code by section 5537 2 or on responsible for its preparation, and that I am a licensed contractor of the Business and Professions Code to sign this document because it scribed as exempt pursuant to Business and Professions Code Sections 5537, fessionspode/are printed in fulljn-the Nonre&idential Manual ) PRINCIPAL LIGHTING DESIGNER-NAME SIGNATURE"/ # « / / NEAL ELECTRIC iJ^Qfa*./ DATE LICENSE NO 11.04.2005 C1 0-802588 LIGHTING MANDATORY MEASURES Indicate location on plans of Note Block for Mandatory Measures LOOSE - INSTRUCTIONS TO APPLICANT For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential Manual published by the California Energy Commission LTG-1 Required on plans for all submittals Part 2 and 3 may be incorporated in schedules on plans L TG-2 Required for all submittals LTG-3 Optional Use only if lighting control credits are taken LJG-4 Optional Part 2 and 3 and LTG -5 are optional if Tailored Method is used Nonrestdential Compliance Form January 2001