HomeMy WebLinkAbout1525 FARADAY AVE; ; PC140023; Permit01-27-2015
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plan Check Permit No: PC140023
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
1525 FARADAY AV CBAD
PLANCK
2121302700 Lot#:
$0.00 Construction Type:
EMERALD LAKE CORP CENTER
Tl TO INCLUDE WORK IN SUITES
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
FINAL
05/09/2014
LSM
01/22/2015
08/04/2014
Applicant:
KIM D'AOUST
4944 COLLINGWOOD DR
SAN DIEGO CA 92109
858-794-3222 x312
Owner:
NEWPORT NATIONAL/CORNERSTONE LLC
c/o SCOTT BRUSSEAU NEWPORT NATL
1525 FARADAY AVE #100
CARLSBAD CA 92008
Plan Check Fee $815.00
Additional Fees $0.00
Total Fees: $815.00 Total Payments To Date: $815.00 Balance Due: $0.00
Inspector:
FINAL APPROVAL
Date: Clearance:
NOTICE: Please take NOTICE tfiat 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 IVlanager 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 vou have previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: IZlPLANNING EUENGINEERING •BUILDING OFIRE DHEALTH •HAZHAT/APCD
^ CITV Of-
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carisbadca.gov
Plan Check No. P(2^ 1^00 3^2)
Est. Value
Plan Ck. Deposit 7CO -f i IS.
Date S]<^]i^ SWPPP
JOB ADDRESS 1525 Faraday Ave Carlsbad, CA 92107
SUITEf/SPACEf/UNrr*
212 130 27 00
occ. GROUP
B
CT/PROJECT #
102
# OF UNITS # BEOROOMS # BATHROOMS TENANT BUSINESS NAME
No Tenant - Spec Suites
CONSTR. TYPE
VB
DESCRIPTION OF WORK: /nclude Square Fmt otAtfectad Ana(8)
Tl in existing office building. Demo of walls, construction of new walls, construction of new millwork, reconfigure of lighting, power and ductworit
CP serve remodel^ areas. Demo of demising walls to create one suite from three suites. New plun\bing in one location/'Suite 110 - 2,078 s.f. J
Suite 115-411 sij^uite 120- 2,153 sij(Suite 150 • 7,278 s.f^uite 180 • 3,990 sifeorage • 352 s.fy(§uite 20^J1,^2 ^R^ite 320 • 14,513^
EXISTING USE
Office
PROPOSED USE
Office
GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES|~)» N0[7]
AIR CONDITIONING
YES[7]NOQ
FIRE SPRINKLERS
YEsrTiNon
APPLICANT NAME
Primary Contact Kim D'Aoust PROPERTYOWNER , „ _
tJe^A^AT WAT rar.f Jeffry Brusseau ADDRESS 4944 Collingwood Drive ADDRESS 1525 Faraday Ave Suite 100
CITY
San Diego
STATE
CA 92109
CITY
Carlsbad
STATE
CA
ZIP
92008
PHONE
858-794-3222x312
FAX
858-490-0364
PHONE
760-607-4282 x103
FAX
760-607-4286
EMAIL
kdaoust@designcorpsd.com EMAIL
£_ jbrusseau@newportnational.biz
QBSRACTORBSS^AM^^^^^^^^^^^^^TT
ADDRESS T ^ 7
DESKN PROFESSIONAL Designcorp • Kim D'Aoust
ADDRESS 4944 Collingwood Drive
T^x I ^STATE - ZIP CITY
San Diego
STATE
CA
ZIP
92109 Cx. PHONE
858-794-3222x312
FAX
858-490-0364
EMAIL
kdaoust@designcorpsd.com
STATE Lift* " _ . i I CLASS \ STATE Ll4r# To VTi
38S0
CITY BUS. LIC.#
(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 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 more than five hundred dollars ($500)).
JVORKERS- COMPENSATION
irs' Compenution Declaration: / hereby affimi under penalty of perjury one of the Mkmng declaiations:
live and will maintain a certificate of consent to self-Insure fbr worliers' compensation as provided by Section 37(X) of the Labor Code, for the perfonnance of the worit for whicli this pemiit is issued.
I have and will maintain nopMn' compensation, af required bv Section 3700 of the Ubor Code, for the performance of the worit for which tins permit is issued. My worlters' compensation ii
number are: Insurance Co £vfe-<^£SaT MftTgOlJllVC iAKa^i CLo, Policy No. '^^^XXX^HcP-f Expiration Date J3/
Bsection need not be completed if the pemiit is for one hundred dollars ($100) or li
Certificate of Exemption: 1 certify that in the peiformai
Califbmia. WARNING: Failure to secure ^ ^
addition to Die cost of compensation
CONTRACTORSIGNATURE
U W NER-BUILDER DECLARATION
pemiii IS issueo.
ion iosurance oBrriei and policy
^ued, I shall not employ any person in any manner so as to become subject to the Wortcers' Compensation Laws of
I subject an employer to criminal penalties and civil fines up to one hundred tliousand doiiars (&100,000), In
I, Interest and attorney's fees.
• AGENT DATE
/ hereby affinn tlat I am exempt from Contractor's License Law lor the following reason:
I I 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 sucti work himself or through his own empkiyees, provkled that such Improvements are not intended or offered for
sale. If, however, the buikiing or improvement is soU within one year of completion, the owner-bulkier will have the burden of proving that he dkl not buiki or improve for the purpose of sale).
I, as owner of the property, am exclusiveiy contracting with iteensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not appiy to an owner of
property who buikls or improves thereon, and contracts for such projects with contractor(s) Iteensed pursuant to the Contractor's License Law).
I I I am exempt under Section _ .Business and Professions Code for this reason:
1.1 personally plan to provkie the major labor and materials for constructton of the proposed property improvement. QYes I INO
2.1 (have / have not) signed an applteatton for a buikiing pennit for the proposed work.
3,1 have contracted with the foltowing person (fimi) to provkie the proposed constructton (include name address / phone / contractors' Iteense number):
4.1 plan to provkle porttons of the work, but I have hired the foliowing person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' Iteense number):
5.1 will provkle some of the work, but I have contracted (hired) the following persons to provkle the work indteated (include name / address / phone / type of work):
) PROPERTY OWNER SIGNATURE •AGENT DATE
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: nPLANNING OENGINEERING OBUILDING nFIRE nHEALTH nHAZMAT/APCD
^ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax:760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. 1(^0 0^3
Est. Value
Plan Ck. Deposit
Date SWPPP
JOB ADDRESS SUITE*/SPACE*/UNIT*
CT/PROJECT # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
...r.— 1 lf=sDA~ii /cn IDsTinc/cn I ncrKC (cp) [FIREPLACE | AIR CONDITIONING | FIRE SPRII^IKLERS EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESr~l* N0[ I
AIR CONDITIONING
YES I^NO I I
FIRE SPRINKLERS
YES I [NO[ I
APPLICANT NAIVIE
Primary Contact
PROPERTYOWNER
ADDRESS ADDRESS
CITY STATE CITY STATE ZIP
PHONE PHONE FAX
EIVIAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAIVIE
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE PHONE FAX
CLASS CITY BUS. LIC.#
(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 Code) or tnat 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 ($500)).
WORKERS' COMPENSATION
Worlters' Compensation Dadlantion: I hereby affinn under penalty of peijury one of the following declarations:
HI have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Sectton 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued.
I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the perfonnance of the work for whteh this permit is issued. My workers' compensatton insurance canier and policy
number are: Insurance Co. Policy No. Expiration Date
Thjs section need not be completed if the permit is for one hundred dollars ($100) or less.
I I Certificate of Exemption: I certify that in the perfonnance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensatton Laws of
Califomia. 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 tothe cost of compensation, damages as provided for In Section 3706 ofthe Labor code, Interest and attomey's fees.
JS^ CONTRACTOR SIGNATURE • AGENT DATE
OWNER-BUILDER DECLARATION
/ hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
[ I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture is not intended or offered for sato (Sec. 7044, Business and Professtons Code: The Contractor's
License Law does not appiy to an owner of property who buitos or improves thereon, and who does such work himself or through his own emptoyees, provided that such improvements are not intended or offered for
sale. If, however, the buiiding or improvement is sold within one year of completton, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct 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).
• I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement QYes I iNo
2.1 (have / have not) signed an application for a building pemiit for the proposed work.
3.1 have contracted with the following person (fimi) to provide the proposed constmction (include name address / phone / contractors' license number):
4.1 plan to provide porttons of the work, but I have hired the following person to coordinate, supereise and provide the major work (include name / address / phone / contractors' license number):
5.1 will provide some of the work, but I have contrxted (hired) the foltowing persons to provide the wori( indicated (include name / address / phone / type of work):
yglfpROPERTY OWNER SIGNATURE •AGENT DATE
COMPLETE THIS SECTIONFOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or futuro building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Secttons 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or futuro buikling occupant required to obtain a permit from the air pollutton control district or air quality management district? Yes No
Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? Yes 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work this pemiit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
A PPLICANT CERTIFICATION
I certify that I have read the applkatkin arid slate that the above infomialion is conect and tl»t the iir^
I heieby authorize reptesentative ofthe City of Carlsbad to enter upon the above menttoned property fbr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARH/ILESS THE CITY OF CARLSBAD
AGAINST Aa LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An (DSHA pemiit is required fbr excavations over S'O' deep and demolition or constroction of stmctures over 3 stories In height.
EXPIF!ATION: Every permit issued by the Building Official under the provisbns of this Code shall expire by limitatton and become null and void if the building or wor1< authorized by such pemiit is not commenced within
180 days from the date of such pemiit or if the building or work authorized by such pemiit is suspended or abandoned at any tme after the woik is commenced for a period of 180 days (Section 106.4.4 Unifomi Building Code).
APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email builclina@Carisbadca.qov or Mail the completed form to City of Cartsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
crrY STATE ZIP CiTY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above) ASSOCIATED CB#-
MAIL/FAX TO OTHER:,
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
>ef APPLICANT'S SIGNATURE DATE
COMPLETE THIS SECTION FOR N O N - R E S i O E N T I A L BUitDING PERMITS ONLY
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? Yes /No
Is the applicant or future building occupant required to oblain a pennit from the air pollution control district or air quality management district? Yes /No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school she? Yes /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.
ClONSTRUCTION LENOINfi AGENCY
I hereby affirm that there is a construction lending agency for the performance of the woik this pennit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CEKTII'ICATION
I certiVthtf I have read the application and state that the above Irifomiation Is coried and that the infomiation
I hereby authorize representative of the City of C^artebad to enter upon the above mentioned property fer inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
A(3AINST ALL LIABILfTIES, JUDGMEMTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMff.
OSHA: An OSHA peimil is required fer excavations over S'O* deep and demolition or construction of stmctures over 3 stories in height.
EXPIRATION; Eveiy permit issued by the Building Oflicial under the provisions of this Code shall expire by limitalion and become null and void if the building or authorized by such permit is re* oommenoed wthin
180 days from the date of such pemnit or if Ihe building ormk authorized by such pennit is suspended or abandoned at any time after the m\i. is commenced Ibr a period of 180 days (Section 106.4.4 Uniform Building Code).
vCfAPPLICANT'S SIGNATURE
r If Ihe building a wDt1< authoa
DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will l>e requested at final inspection.
Fax (760) 602-8560, Email buildino(S)cai1sbadca.aov or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, Califbmia 92008.
C0#: (Offlca Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
crry STATE ZIP CrrY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL/FAX TO OTHER:
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
>erAPPUCANTS SIGNATURE DATE
EsGil Corporation
In (Partners flip -witii government for (BuiCding Safety
DATE: 5/21/14 •APPLICANT
^jaTjURlS.
JURISDICTION: City of Carlsbad • PLAN REVIEWER
• FILE
PLANCHECKNO.: PC14-0023 SET: I
PROJECT ADDRESS: 1525 Faraday Ave Suites 110, 115, 120, 150, 180, 200 and 320
PROJECT NAME: Spec Suites - TI
I I The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's codes.
I I The plans transmitted herewith will substantially comply with the jurisdiction's
codes when minor deficiencies identified below are resolved and checked by building
department staff.
I I 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 Esgil
Corporation until corrected plans are submitted for recheck.
I I The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
I I The applicant's copy of the check list has been sent to:
I I EsGil Corporation staff did not advise the applicant that the plan check has been completed.
IXI EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Kim D'Aoust Telephone #:
Date contacted: (by:^^ Email: kdaoust(5)desiqncorpsd.com Fax #:
Vj^^ail Telephone Fax In Person
• REMARKS:
By: Doug Moody Enclosures:
EsGil Corporation
• GA • EJ • MB • PC 5/13/14
9320 Chesapeake Drive, Suite 208 • San Diego, Califomia 92123 • (858) 560-1468 • Fax (858) 560-1576
City of Carlsbad PC14-0023
5/21/14
PLAN REVIEW CORRECTION LIST
TENANT IMPROVEMENTS
PLAN CHECK NO.: PC14-0023 JURISDICTION: City of Carlsbad
OCCUPANCY: B USE: Office
TYPE OF CONSTRUCTION: VB ACTUAL AREA: 10534sf
ALLOWABLE FLOOR AREA: STORIES: 3
HEIGHT:
SPRINKLERS?: Yes OCCUPANT LOAD: 105
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION: 5/9/14
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 5/13/14
DATE INITIAL PLAN REVIEW
COMPLETED: 5/21/14
PLAN REVIEWER: Doug Moody
FOREWORD (PLEASE READ):
This plan review is limited to the technical requirements contained in the California version of
the International 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 2013 CBC, which adopts the 2012 IBC.
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. 105.4 of
the 2012 International Building Code, the approval ofthe 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 vou submit the revised plans.
City of Carlsbad PC14-0023
5/21/14
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 in 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 92008, (760)
602-2700. The City will route the plans to EsGil Corporation and the Carlsbad
Planning, Engineering and Fire 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. Please revise the plans and the door schedule to show the door to conference
room 102 to be a pivoted or side hinged swinging door per Section 1008.1.2.
Advisory Note : When alterations, structural repairs or additions are made to an
existing building, that building, or portion ofthe building affected, is required to
comply with all of the following requirements, per Section 11 B-202.4:
• The area of specific alteration, repair or addition must comply as "new"
construction.
• A primary entrance to the building and the primary path of travel to the
altered area, must be shown to comply with all accessibility features.
• The path of travel shall include the existing parking.
• Existing toilet and bathing facilities that serve the remodeled area must be
shown to comply with all accessibility features.
2. Please provide a dimensioned restroom plans showing the restroom to be
accessible compliant.
3. The showers shown must be disabled accessible, show compliance with the
following requirements, per Section 1115B.4.4:
a) Size and Clearance. Accessible showers shall comply with one of the
following:
i) Roll-in shower 60 inches minimum in width between wall surfaces
and 30 inches in depth with a full opening width on the long side.
Shower compartment size and clear floor space shall comply with
Figure 11 B-608.2.2.
City of Carlsbad PC14-0023
5/21/14
ii) Alternate roll-in shower 60 inches minimum in width between the wall
surfaces and 36 inches in depth with an entrance opening width of
36 inches minimum. Shower compartment size and clear floor space
shall comply with Figure 11B-608.2.3.
b) Threshold in roll-in type showers shall be Vz inch in high maximum.
c) Where within the same functional area, two or more accessible showers are
provided, there shall be at least one shower constructed opposite hand
from the other or others (i.e., one left-hand control versus right-hand
control). Section 11B-213.3.6.
d) Water controls shall be of a single-lever design, operable with one hand,
and shall not require grasping, pinching or twisting ofthe wrist. The controls
shall be on the back wall, adjacent to the seat, and the center line of the
controls shall be located 39" - 41" above the shower floor.
e) A flexible hand-held shower unit is required with at least a hose 59 inches
long that can be both used as a fixed shower head and hand held. This unit
shall be mounted such that the top ofthe mounting bracket is a maximum
of 48 inches above the shower floor.
f) Two wall-mounted heads may be installed in lieu ofthe hand-held unit in
areas subject to excessive vandalism. (Except within guest room and suites
of hotels, motels and similar transient lodging establishments) Each shower
head shall be installed so that it can be operated independently of the other
and shall have swivel angle adjustments both vertically and horizontally.
One head shall be located at a height of 48 inches above the floor.
g) The floor slope shall be a maximum of 1:48 in any direction. Where drains
are provided, the grate shall have openings % inch maximum and located
flush with the floor surface.
h) Indicate on the plans a folding seat, located on the wall adjacent to the
controls, 18" above the floor and shall not extend more than 6 inches from
the wall.
i) Grab bars shall be located, per Section 608.3:
i) On the back wall and the side wall opposite the seat.
ii) Mounted >33" but <36" above the shower floor.
iii) Grab bars shall not extend into that portion of the wall over the seat.
iv) The soap dish when provided shall be located on the control wall
<40" above the shower floor and within reach limits from the seat.
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.
City of Carlsbad PC 14-0023
5/21/14
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 • No •
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 Doug Moody at
Esgil Corporation. Thank you.
City of Carlsbad PC14-0023
5/21/14
^DO NOT PAY- THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Carlsbad PLANCHECKNO.: PC14-0023
PREPARED BY: Doug Moody DATE: 5/21/14
BUILDING ADDRESS: 1525 Faraday Ave Suites 110, 115, 120, 150, 180, 200 and
320
BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: VB
BUILDING
PORTION
AREA
( Sq. Ft.)
Valuation
Multiplier
Reg.
MocJ.
VALUE ($)
Tl 10534 37.12 391,022
Air Conditioning
Fire Sprinklers
TOTAL VALUE 391,022
Jurisdbtion Code cb By Ordinance
Bldg. Permit Fee by Ordhancs •
Plan Check Fee by Ordinance
Type of Review: GD Complete Review
$1,840.26
$1,196.17
• Structural Only
[ZDRepetitive Fee
^ Repeats
• Other
Hourly
EsGil Fee
Hr. @
$1,030.55
Comments:
Sheet 1 of 1
nnacvalue.doc +
PLAN CHECK Community & Economic
^ CiTY OF REVIEW Development Department
1635 Faraday Avenue
CARLSBAD TRANSMITTAL Carlsbad CA 92008
v(/ww.carlsbadca.gov
DATE: 5/27/14 PROJECT NAME: Emerald Lake Corporate Center PROJECT ID:
PLAN CHECK NO:PC140023 SET#: I ADDRESS: 1525 Faraday Av APN: 212-130-27
VALUATION: $1,453,138 APPLICANT CONTACT: kdaoust@designcorpsd.eom
X This plan check review transmittal is to notify you of clearance by:
LAND DEVELOPMENT ENGINEERING DIVISION
Final Inspe ction by the Construction & Inspection Division is required: Yes No X
For status from a d!vi.sion not marked below, please call 760-602-2719
This plan check review is NCVCOMPLKTEItems missing or incorrect are Usted
on the attached checklist. Please resubmit amended plans as required.
LAND DEVELOPMENT ENG.
760-602-2750
|\/| linda Ontiveros
Li_^ 760-602-2773
Linda.Ontiveros@carlsbadca.gov
Remarks:
^ CITY OF
CARLSBAD
PLANNING DIVISION
BUILDING PLAN CHECK
REVIEW CHECKLIST
P-28
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.eov
DATE: 5-21-14 PROJECT NAME: PROJECT ID:
PLAN CHECK NO: PC 14-23SET#: 2 ADDRESS: 1525 Faraday Av APN: 212-130-27-00
^ This plan check review is complete and has been APPROVED by the Planning
Division.
By: Chris Sexton
A Final Inspection by the Planning Division is required • Yes ^ No
You may aiso have corrections from one or more of t/?e divisions iisted beiow. Approval
from these divisions may be required prior to the issuance of a buiiding permit.
Resubmitted pians shouid include corrections from ali divisions.
Q This plan check review is NOT COMPLETE. Itenns missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check Comments have been sent to: kdaoust@designcorpsd.com
For questions or clarifications on the attachied cliecl<list please contact tlie following reviewer as marked:
PLANNING
760-602-4610
ENGINEERING
760-602-2750
FIRE PREVENTION
760-602-4665
X Chris Sexton
760-602-4624
Chrls.Sexton@carlsbadca.gov
1 1 Kathleen Lawrence
760-602-2741
Kathleen.Lawrence@carlsbadca.fiov
1 1 Greg Ryan
760-602-4663
Gregorv.Rvan@carlsbadca.gov
1 1 Gina Ruiz
760-602-4675
Gina.Ruiz@carlsbadca.fiov
1 1 Linda Ontiveros
760-602-2773
Linda.Ontlveros@carlsbadca.fiov
Cindy Wong
760-602-4662
Cvnthia.Wong@carlsbadca.gov
• • 1 1 Dominic Fieri
760-602-4664
Dominlc.Fleri@carlsbadca.gov
Remarks:
REVIEW #:
Plan Check No. PC 14-23 Address 1525 Faradav Av Date 5-21-14 Review # 2
Planner Chris Sexton Phone (760) 602-4624
APN: 212-130-27-00
Type of Project & Use: H Net Project Density: DU/AC
Zoning: C-M/OS General Plan: PI/OS Facilities Management Zone: 5
CFD (In/out) #_Date of participation: Remaining net dev acres:
(For non-residential development: Type of land use created by this permit: )
12 3 Legend: ^ Item Complete • Item Incomplete - Needs your action
lEI • • Environmental Review Required: YES • NO • TYPE
DATE OF COMPLETION:
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval:
S • • Discretionary Action Required: YES • NO • TYPE
APPROVAL/RESO. NO. DATE
PROJECT NO.
OTHER RELATED CASES:
Compliance with conditions or approval? If not, state conditions which require action.
Conditions of Approval:
• • Coastal Zone Assessment/Compliance
Project site located in Coastal Zone? YES O NO EH
CA Coastal Commission Authority? YES Q NO •
If California Coastal Commission Authority: Contact them at - 7575 Metropolitan Drive,
Suite 103, San Diego, CA 92108-4402; (619) 767-2370
Determine status (Coastal Permit Required or Exempt):
• Q Habitat Management Plan
Data Entry Completed? YES • NO •
If property has Habitat Type identified in Table 11 of HMP, complete HMP Permit application
and assess fees in Permits Plus
(A/P/Ds, Activity Maintenance, enter CB#, toolbar. Screens, HMP Fees, Enter Acres of
Habitat Type impacted/taken, UPDATE!)
• • Inclusionary Housing Fee required: YES • NO •
(Effective date of Inclusionary Housing Ordinance - May 21, 1993.)
Data Entry Completed? YES • NO •
(A/P/Ds, Activity Maintenance, enter CB#, toolbar. Screens, Housing Fees, Construct
Housing Y/N, Enter Fee, UPDATE!)
• • Housing Tracking Form (form P-20) completed: YES • NO • N/A •
P-28 Page 2 of 3 07/11
Site Plan:
K • • Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines,
easements, existing and proposed structures, streets, existing street improvements, right-of-
way width, dimensional setbacks and existing topographical lines (including all side and rear
yard slopes). Provide legal description of property and assessor's parcel number.
City Council Policy 44 - Neighborhood Architectural Design Guidelines
• • 1. Applicability: YES • NO •
• • 2. Project complies: YES • NOO
• •
• •
K • •
K • •
K • •
• 13 •
Zoning:
1. Setbacks:
Front:
Interior Side:
Street Side:
Rear:
Top of slope:
Required
Required
Required
Required
Required,
2. Accessory structure setbacks:
Front:
Interior Side:
Street Side:
Rear:
Structure separation:
3. Lot Coverage:
4. Height:
Required,
Required
Shown
Shown
Shown
Shown
Shown
Required Shown
Required Shown
Required Shown
Required Shown
Required Shown
Shown
Shown
5. Parking: Spaces Required office Shown office
(breakdown by uses for commercial and industrial projects required)
Residential Guest Spaces Required Shown
Additional Comments 1) Will there be new roof mounted equipment? If so, please show it
will be screened. 5-21-14 per applicant - no new roof mounted equipment.
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER Chris Sexton DATE 5-21-14
p-28 Page 3 of 3 07/11
^ CITY OF
CARLSBAD
PLAN CHECK
REVIEW
TRANSMITTAL
ComMMTy & Economic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www.carlsbadca.gov
DATE: 06.19.2014 PROJECT NAME: EMERALD LAKE CORP CTR
PLAN CHECK NO: 2 SET#: 1 ADDRESS: 1525 FARADAY AV
PROJECT ID: PC140023
APN:
•
This plan check review is complete and has been APPROVED by the FIRE Division.
By: G. RYAN
A Final Inspection by the FIRE Division is required ^ Yes • No
This plan check review Is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended pians as required.
Plan Check Comments have been sent to: DESIGNCORP
You may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the issuance of a building permit.
Resubmitted plans should Include corrections from all divisions.
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
PLANNING
760-602-4610
ENGINEERING
760-G02-2750
FIRE PREVENTION
760-602-4665
1 1 Chris Sexton
760-602-4624
Chrls.Sexton@carlsbadca.gov
1 1 Kathleen Lawrence
760-602-2741
Kathleen.Lawrence@carlsbadca.gov
X Greg Ryan
760-602-4663
Gregory.Ryan@carlsbadca.gov
1 1 Gina Ruiz
760-602-4675
Gina.Ruiz@carlsbadca.gov
1 1 Linda Ontiveros
760-602-2773
Linda.Ontiveros@carlsbadca.gov
1 1 Cindy Wong
760-602-4662
Cynthia.Wong@carlsbadca.gov
• • 1 1 Dominic Fieri
760-602-4664
Dominlc.Fieri@carlsbadca.gov
Remarks: See Attached
Carlsbad Fire Department BUILDIHG DEFT
Plan Review
Date of Report:
Name:
Address:
Requirements Category: PLANCK,
06-19-2014
KIIVI D'AOUST
4944 COLLINGWOOD DR
SAN DIEGO CA
92109
Reviewed by:
Permit #: PC140023
Job Name:
Job Address:
EMERALD LAKE CORP CENTER
1525 FARADAY AV CBAD
Please review carefully all comments attached.
Conditions;
CITY OF CARLSBAD FIRE DEPARTMENT - APPROVED: W/ REQUIREMENTS
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, 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.
At or prior to Final Fire and Building inspection an Emergency lighting facilities test shall be conducted by CFD
personnel during pre-dawn or dusk hours when ambient light is at 0.00 Lux or 0.0 Foot-candle.
This test shall be conducted to test the initial loss of power reading of illumination that is at least an average ofl
foot candle (11 lux) and a minimum of 0.1 foot-candle (1 lux) measured along the path of egress at the floor level.
And tested after 60-minutes to 0.6 fc (6 lux). Failure to provide sufficient lighting in egress aisles, corridors, exit
enclosures, exit passageways and stair enclosures is the AOR's responsibility. CFC Ch. 10, Sec. 1006.
Entry: 06/19/2014 By: GR Action: AP
rage i oiz
BLDG. DEPT COPY
CONDITIONAL RECOMMENDATION FOR APPROVAL
THE NOTES SHOWN IN BLUE FONT BELOW, SHALL BE HANDWRITTEN, ONTO THE FIRE
DEPARTMENT PLAN CHECK SET, OVER THE COUNTER.
Daryl K. James & Associates, Inc. Checked by: ROBERT SCOTT
Date: June 9. 2014
APPLICANT: Kim D'Aoust JURISDICTION: Carlsbad Fire Department
PROJECT NAME: Spec. Office Suites PROJECT ADDRESS: 1525 Faraday Ave
PROJECT DESCRIPTION: PC 140023; T.l of existing office three story building. Convert three suites
Into one suite. Other work conducted In several suites on each floor. Work Includes demo walls, Install
new walls, electrical, minor plumbing, HVAC work, also finish work.
This plan review has been conducted in order to verify conformance to minimum requirements of codes
adopted by the Carlsbad Fire Department. The items below require correction, clarification or additional
information before this plan check can be approved for permit issuance.
IS
-ADD a separate 'Deferred Submittals' section that references current codes and reads:
-Fire Sprinkler System - 2013 CFC 903 and 2013 NFPA 13
-Fire Alarm System - 2013 CFC 907 and 2013 NFPA 72, including CFC 907.2.
-Revise note in finishes section to read: All finish materials, including wall coverings and vinyl plank
floor covering shall comply with 2013 CBC Chapter 8.
Fire Protection Notes: Please make the following changes:
-Revise note # 11 to read: Demolition work shall be in compliance with CFC Chapter 14.
-Add note: Address numbers shall be mounted on exterior of building in visible location. Numbers shall
be minimum 12 inches in height, with 1-1/2 inch stroke and contrast in color to background.
**Show location of proposed numeric address on building. CBD 17.04.320
-Add note: Suite (address) numbers shall be provided for each suite.
-Add note that reads: a C-16 licensed fire protection contractor shall perform all fire sprinkler system
work. A C-10 licensed fire alarm contractor shall perform all fire alarm system work. No fire protection
system work shall be performed without fire dept. approved plans. Contractor shall notify Carlsbad Fire
Dept. if fire sprinkler system will be out of service overnight for repairs.
-Add Note to read: The type, rating and number of fire extinguishers shall comply with 2013 CFC,
section 906.3. All fire extinguishers shall be mounted in accessible and visible location, not to exceed 5
feet above finished floor to top of extinguisher. Extinguishers are required on each floor level.
I'age zotz
D1-1 thru D3.2:
Remove note # 1 on each demo sheet that refers to demo and relocation of fire sprinklers. Fire
sprinklers are deferred submittal only. This note shall be removed from each sheet.
TI-3.4
Add note: Suspended acoustical ceilings shall comply with section 808.1 and 808.1.1.1 of 2013 CBC
and meet flame spread and smoke developed ratings.
TI-4.1
Add note: New carpet, padding and carpet base shall comply with California State Fire Marshal listings
or other acceptance criteria for flame spread and smoke developed index. CFC 804.
COMMENTS PENDING: The following Comments were NOT corrected on Sheet E3.0
E3.0
-Add Note: Means of egress illumination level shall be not less than 1-foot candle at the walking surface
and equipped with minimum 90 minute battery backup where required. CBC1006.
-Add Note: Exit signs shall be illuminated at all times and equipped with minimum 90-minute battery
backup. CBC 1011.5.3
-Add note: the means of Egress shall be illuminated at all times building space is served, in accordance
with CA. Building Code, Section 1006.1; 1006.2. And 1006.3.
-Add Note: A photometric plan of all occupied areas, that demonstrates compliance with CBC 1006 will
be provided upon request by the Carlsbad Fire Dept., Deputy Fire Marshal Greg Ryan (760) 602-4665
Recommend Approval (once conditions shown above in Blue are
added to final plan set)
R Scott
rage i or z
CORRECTION LIST
BLDG. DEPT COPY
Daryl K. James & Associates, Inc. Checked by: ROBERT SCOTT
Date: Mav 19. 2014
1
APPLICANT: Kim D'Aoust f e-^-^^;:)^URISDICTION: Carlsbad Fire Department
PROJECT NAME: Spec. Office Suites PROJECT ADDRESS: 1525 Faraday Ave
PROJECT DESCRIPTION: PC140023; T.l of existing office three story building. Convert three suites
into one suite. Other work conducted in several suites on each floor. Work includes demo walls, install
new walls, electrical, minor plumbing, HVAC work, also finish work.
This plan review has been conducted in order to verify conformance to minimum requirements of codes
adopted by the Carlsbad Fire Department. The items below require correction, clarification or additional
information before this plan check can be approved for permit issuance.
INSTRUCTIONS FOR EXPEDITED PLAN REVIEW SERVICE
• CORRECTIONS OR MODIFICATIONS TO THE PLANS MUST BE CLOUDED AND
PROVIDED WITH NUMBERED DELTAS AND REVISION DATES ALONG WITH A
DESCRIPTIVE NARRATIVE OF CORRECTIONS ADDRESSING ALL COMMENTS. PLEASE BE
SURE TO PUT FIRE REVISIONS ON THE BUILDING DEPT. PLAN CHECK SET.
• PLEASE DIRECT ANY QUESTIONS REGARDING THIS REVIEW TO: ROBERT SCOTT 760-
402-3976 OR FYRWISE07@GMAIL.COM
• CORRECTED PLANS, DESCRIPTIVE NARRATIVE OF REVISIONS FOLLOWING EACH
COMMENT ON THIS FORM, AND A COPY OF BUILDING DEPARTMENT (ESGIL)
• ONE COMPLETE PLAN CHECK SET (initial or revised) MUST BE DELIVERED DIRECTLY TO
THE FOLLOWING ADDRESS TO AVOID DELAY:
ROBERT SCOTT
4906 CHAUCER AVE
SAN DIEGO, CA. 92120
COMMENTS - Additional comments made shall be generated by response on revised set and Clouded
IS
-ADD a separate 'Deferred Submittals' section that references current codes and reads:
-Fire Sprinkler System - 2013 CFC 903 and 2013 NFPA 13
-Fire Alarm System - 2013 CFC 907 and 2013 NFPA 72, including CFC 907.2.
-Revise note in finishes section to read: All finish materials, including wall coverings and vinyl plank
floor covering shall comply with 2013 CBC Chapter 8.
rage z or z
IS
Fire Protection Notes: Please make the following changes:
-Revise note # 11 to read: Demolition work shall be in compliance with CFC Chapter 14.
-Add note: Address numbers shall be mounted on exterior of building in visible location. Numbers shall
be minimum 12 inches in height, with 1-1/2 inch stroke and contrast in color to background.
**Siiow location of proposed numeric address on building. CBD 17.04.320
-Add note: Suite (address) numbers shall be provided for each suite.
-Add note that reads: a C-16 licensed fire protection contractor shall perform all fire sprinkler system
work. A C-10 licensed fire alarm contractor shall perform ail fire alarm system work. No fire protection
system work shall be performed without fire dept. approved plans. Contractor shall notify Carlsbad Fire
Dept. if fire sprinkler system will be out of service overnight for repairs.
-Add Note to read: The type, rating and number of fire extinguishers shall comply with 2013 CFC,
section 906.3. All fire extinguishers shall be mounted in accessible and visible location, not to exceed 5
feet above finished floor to top of extinguisher. Extinguishers are required on each floor level.
D1-1 thru D3.2:
Remove note # 1 on each demo sheet that refers to demo and relocation of fire sprinklers. Fire
sprinklers are deferred submittal only. This note shall be removed from each sheet.
TI-3.4
Add note: Suspended acoustical ceilings shall comply with section 808.1 and 808.1.1.1 of 2013 CBC
and meet flame spread and smoke developed ratings.
TI-4.1
Add note: New carpet, padding and carpet base shall comply with California State Fire Marshal listings
or other acceptance criteria for flame spread and smoke developed index. CFC 804.
E3.0
-Add Note: Means of egress illumination level shall be not less than 1-foot candle at the walking surface
and equipped with minimum 90 minute battery backup where required. CBC1006.
-Add Note: Exit signs shall be illuminated at all times and equipped with minimum 90-minute battery
backup. CBC 1011.5.3
-Add note: the means of Egress shall be illuminated at all times building space is served, in accordance
with CA. Building Code, Section 1006.1; 1006.2. And 1006.3.
-Add Note: A photometric plan of all occupied areas, that demonstrates compliance with CBC 1006 will
be provided upon request by the Carlsbad Fire Dept., Deputy Fire Marshal Greg Ryan (760) 602-4665
BUILDING ENERGY ANALYSIS REPORT
PROJECT:
Emerald Lake Corporate Center - Spec Suites
1525 Faraday Ave, Suite 300
Carlsbad, CA 92008
Project Designer:
Designcorp
4944 Collingwood Dr.
San Diego, CA 92109
Report Prepared by:
Tom Harinton
HARINTON MECHANICAL DESIGN INC 0 \
27475 Ynez Rd #246 V/
Temecuia, CA 92591
858-435-4803
Job Number:
Date:
5/5/2014
The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is
authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards.
This program developed by EnergySoft, LLC-wwvK.energysoft.com.
EnergyPro 5.1 by EnergySoft User Number: 4945 RunCode: 2014-05-05T12:09:25 ID:
TABLE OF CONTENTS
Cover Page 1
Table of Contents 2
Form MECH-1-C Certificate of Compliance 3
Form MECH-2-C Air & Water System Requirements 9
Form MECH-3-C Mechanical Ventilation 10
Form MECH-4-C HVAC Misc. Prescriptive Requirements 11
EnergyPro 5.1 by EnergySoft Job Number: ID: User Number 4945
CERTIFICATE OF COMPLIANCE and
FIELD INSPECTION ENERGY CHECKLIST
(Parti of5) MECH-1C
Project Name
Emerald Lake Corporate Center - Spec Suites
Date
5/5/2014
Project Address
1525 Faraday Ave, Suite 300 Carlsbad
Climate Zone Total Cond. Floor Area
1,642
Addition Floor Area
n/a
GENERAL INFORMATION
Building Type: d Nonresidential • High-Rise Residential • Hotel/Motel Guest Room
• Schools (Public School) • Relocatable Public School Bldg. GS Conditioned Spaces Unconditioned Spaces
(affidavit)
Phase of Construction: • New Construction • Addition • Alteration
Approach of Compliance: • Component Overall Envelope TDV
Energy • Unconditioned (file affidavit)
Front Orientation: N, E, S, W or in Degrees: Odeg
HVAC SYSTEM DETAILS FiELD INSPECTiON ENERGY CHECKLiST
Equipment^ Inspection Criteria
IMeets Criteria or Requirements
Equipment^ Inspection Criteria Pass Fail - Describe Reason^
Item or System Tags
(I.e. AC-1, RTU-1, HP-1) IB • •
Equipment Type^: Hydronic Heat Pump • •
Number of Systems 1 • •
Max Allowed Heating Capacity^ 27,494 Btu/hr • •
Minimum Heating Efficiency^ 5.30 COP • •
Max Allowed Cooling Capacity^ 39,618 Btu/hr • •
Cooling Efficiency^ 15.6 EER • •
Duct Location/ R-Value Attic, Roof Ins/4.2 • •
When duct testing is required, submit
MECH-4A & MECH-4-HERS No • •
Economizer No Economizer • •
Thermostat Setback Required • •
Fan Control Constant Volume • •
Equipment^ Inspection Criteria
FiELD INSPECTiON ENERGY CHECKLIST
Equipment^ Inspection Criteria Pass Fail - Describe Reason^
Item or System Tags
(i.e. AC-1, RTU-1, HP-1) ID • •
Equipment Type^: Hydronic Heat Pump • •
Number of Systems 1 • •
Max Allowed Heating Capacity^ 12,861 Btu/hr • •
Minimum Heating Efficiency^ 5.90 COP • •
Max Allowed Cooling Capacity^ 24,082 Btu/hr • •
Cooling Efficiency^ 16.5 EER • •
Duct Location/ R-Value Attic, Roof Ins/4.2 • •
When duct testing is required, submit
MECH-4A & MECH-4-HERS No • •
Economizer No Economizer • •
Thermostat Setback Required • •
Fan Control Constant Volume • •
1. If the Actual installed equipment perfomiance efficiency and capacity is less than the Proposed (from the energy compliance submittal or from
the building plans) the responsible party shall resubmit energy compliance to include the new changes.
2. For additional detailed discrepancy use Page 2 of the Inspection Checklist Form. Compliance fails if a Fail box is checked.
3. Indicate Equipment Type: Gas (Pkg or, Split), VAV, HP (Pkg or split), Hydronic, PTAC, or other.
EnergyPro 5.1 by EnergySoft User Number: 4945 RunCode: 2014-05-05712:09:25 ID: Page 3 of 13
CERTIFICATE OF COMPLIANCE and
FIELD INSPECTION ENERGY CHECKLIST
(Parti of5) MECH-1C
Project Name
Emerald Lake Corporate Center - Spec Suites
Date
5/5/2014
Project Address
1525 Faraday Ave, Suite 300 Carlsbad
Climate Zone Total Cond. Floor Area
1,642
Addition Floor Area
n/a
GENERAL INFORMATION
Building Type: d Nonresidential • High-Rise Residential • Hotel/Motel Guest Room
• Schools (Public School) • Relocatable Public School Bldg. 121 Conditioned Spaces Unconditioned Spaces
(affidavit)
Phase of Construction: • New Construction • Addition • Alteration
Approach of Compliance: • Component Overall Envelope TDV
Energy • Unconditioned (file affidavit)
Front Orientation: N, E, S, W or in Degrees: Odeg
HVAC SYSTEM DETAILS FiELD INSPECTION ENERGY CHECKLIST
Equipment^ inspection Criteria
Meets Criteria or Requirements
Equipment^ inspection Criteria Pass Fall - Describe Reason^
Item or System Tags
(i.e. AC-1, RTU-1, HP-1) 1M • •
Equipment Type^: Hydronic Heat Pump • •
Number of Systems 1 • •
Max Allowed Heating Capacity^ 4,108 Btu/hr • •
Minimum Heating Efficiency' 5.30 COP • •
Max Allowed Cooling Capacity' 33,650 Btu/hr • •
Cooling Efficiency' 17.0 EER • •
Duct Location/ R-Value Attic, Roof Ins/4.2 • •
When duct testing is required, submit
MECH-4A & MECH-4-HERS No • •
Economizer No Economizer • •
Thermostat Setback Required • •
Fan Control Constant Volume • •
Equipment^ inspection Criteria
FIELD INSPECTION ENERGY CHECKLIST
Equipment^ inspection Criteria Pass Fail - Describe Reason^
Item or System Tags
(i.e. AC-1, RTU-1, HP-1) • •
Equipment Type^: • •
Number of Systems • •
Max Allowed Heating Capacity' • •
Minimum Heating Efficiency' • •
Max Allowed Cooling Capacity' • •
Cooling Efficiency' • •
Duct Location/ R-Value • •
When duct testing is required, submit
MECH-4A & MECH-4-HERS • •
Economizer • •
Thermostat • •
Fan Control • •
1. If the Actual installed equipment perfomiance efficiency and capacity is less than the Proposed (from the energy compliance submittal or from
the building plans) the responsible party shall resubmit energy compliance to include the new changes.
2. For additional detailed discrepancy use Page 2 of the Inspection Checklist Form. Compliance fails if a Fail box is checked.
3. Indicate Equipment Type: Gas (Pkg or, Split), VAV, HP (Pkg or split), Hydronic, PTAC, or other.
EnergyPro 5.1 by EnergySoft User Number: 4945 RunCode: 2014-05-05712:09:25 ID: Page 4 of 13
CERTIFICATE OF COMPLIANCE and
FIELD INSPECTION ENERGY CHECKLIST
(Part 2 of 5) MECH-1C
Project Name
Emerald Lake Corporate Center - Spec Suites
Date
5/5/2014
Discrepancies:
EnergyPro 5.1 by EnergySoft User Number: 4945 RunCode: 2014-05-05712:09:25 ID: Page 5 of 13
CERTIFICATE OF COMPLIANCE and FIELD INSPECTION ENERGY CHECKLIST (Part 3 of 5) MECH-1C
Project Name
Emerald Lake Corporate Center - Spec Suites
Date
5/5/2014
Required Acceptance Tests
Designer:
This 1orm is to be used by tbe designer and attached to the plans. Listed below are all the acceptance tests tor mechanical systems. Tbe designer is required to checl< the applicable
boxes by all acceptance tests that apply and listed all equipment that requires an acceptance test. If all equipment of a certain type requires a test, list the equipment description and
the number of systems. The NA number designates the Section in the Appendix of the Nonresidential Reference Appendices Manual that describes the test. Since this form will be
part of the plans, completion of this section will allow the responsible party to budget for the scope of work appropriately.
Building Departments:
Systems Acceptance: Before occupancy permit is granted for a newly constructed building or space, or a new space-conditioning system serving a building or space is operated for
normal use, all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance.
Systems Acceptance: Before occupancy permit is granted. All newly installed HVAC equipment must be tested using the Acceptance Requirements.
The MECH-1C form is not considered a completed form and is not to be accepted by the building department unless the correct boxes are checked. The equipment requiring testing,
person performing the test (Example: HVAC installer, TAB contractor, controls contractor, PE In charge of project) and what Acceptance test must be conducted. The following
checked-off forms are required for ALL newly installed equipment. In addition a Certificate of Acceptance forms shall be submitted to the building department that certifies plans,
specifications, installation, certificates, and operating and maintenance Information meet the requirements of §10-103(b) and Title-24 Part 6. The building inspector must receive the
properly filled out and signed forms before the building can receive final occupancy.
TEST DESCRIPTION MECH-2A MECH-3A MECH-4A MECH-5A MECH-6A MECH-7A MECH-8A IWIECH-9A MECH-10A MECH-11A
Equipment Requiring Testing or Verification Qty.
Outdoor
Ventilation
For
VAV & CAV
Constant
Volume &
Single-Zone
Unitary
Air
Distribution
Ducts
Economizer
Controls
Demand
Control
Ventilation
DCV
Supply
Fan
VAV
Valve
Leakage
Test
Supply
Water
Temp.
Reset
Hydronic
System
Variable
Flow
Control
Automatic
Demand
Shed
Control
Can-ier 50PSH-030 1 • B • • • • • • • m
Canier 50PSH-01S 1 • a • • • • • • •
Carrier 50PSH-024 1 • • • • • • • • Si
• • • • • • • • • •
• • • • • • • • • •
• • • • • • • • • •
• • • • • • • • • •
• • • • • • • • • •
• • • • • • • • • •
• • • • • • • • • •
• • • • • • • • • •
• • • • • • • • • •
• • • • • • • • • •
• • • • • • • • • •
EnergyPro 5.1 by EnergySoft User Number: 4945 RunCode: 2014-05-05712:09:25 ID: Page 6 of 13
CERTIFICATE OF COMPLIANCE and FIELD INSPECTION ENERGY CHECKLIST (Part 4 of 5) MECH-1C
Project Name Date
Emerald Lake Corporate Center - Spec Suites 5/5/2014
TEST DESCRIPTION MECH-12A MECH-13A MECH-14A MECH-15A
Equipment Requiring Testing Qty.
Fault
Detection &
Diagnostics
for DX Units
Automatic Fault
Detection &
Diagnostics for
Air & Zone
Distributed
Energy Storage
DX AC
Systems
Thermal Energy
Storage (TES)
Systems Test Perfonned By:
Canrier 50PSH-030 1 • • • •
Canier 50PSH-018 1 • • • •
Canier 50PSH-024 1 • • • •
• • • •
• • • •
• • • •
• • • •
• • • •
• • • •
• • • •
• • • •
• • • •
• • • •
• • • •
• • • •
• • • •
• • • •
• • • •
• • • •
• • • •
• • • •
• • • •
• • • •
• • • •
• • • •
• • • •
• • • •
• • • •
• • • •
EnergyPro 5.1 by EnergySoft User Number: 4945 RunCode: 2014-05-05712:09:25 ID: Page 7 of 13
CERTIFICATE OF COMPLIANCE (Part 5 of 5) MECH-1 C
Project Name
Emerald Lake Corporate Center - Spec Suites
Date
5/5/2014
Documentation Author's Declaration Statement
I certify that this Certificate of Compliance documentation is accurate and complete.
Name Tom Harinton Signature
Company HARINTON MECHANICAL DESIGN INC Date 5/5/2074
Address 27475 Ynez Rd #246 CEA#
CEPE#
City/State/Zip Temecuia, CA 92591 Phone 858-435-4803
The Principai i\1echanicai Designer's Declaration Statement
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the mechanical
design.
• This Certificate of Compliance identifies the mechanical features and performance specifications required for compliance
with Title-24, Parts 1 and 6 of the California Code of Regulations.
• The design features represented on this Certificate of Compliance are consistent with the information provided to document
this design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the
enforcement agency for approval with this building permit application.
Name Victor Newman Signature riJ^^f;^^ ^1[LM^~
Company Date 5-5-14
Address 21 Windsor St. License # 23110
City/State/Zip Haverhill. MD 01830 Phone
Mandatory Measures
Indicate location on building plans of Note Block for Mandatory Measures.
MECHANICAL COMPLIANCE FORMS & WORKSHEETS (ciieck box if worksheet is included)
For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the 2008 Nonresidential Manual.
Note: The Enforcement Agency may require all forms to be incorporated onto the building plans.
Bl MECH-1 C Certificate of Compliance. Required on plans for all submittals.
EZI MECH-2C Mechanical Equipment Summary Is required for all submittals.
IZ! MECH-3C Mechanical Ventilation and Reheat is required for all submittals with mechanical ventilation.
EZI MECH-4C Fan Power Consumption is required for ail prescriptive submittals.
EnergyPro 5.1 by EnergySoft User Number: 4945 RunCode: 2014-05-05712:09:25 ID: Page 8 of 13
AIR SYSTEM REQUIREMENTS (Part 1 of 2) MECH-2C
Project Name
Emerald Lake Corporate Center - Spec Suites
Date
5/5/2014
item or System Tags
(i.e. AC-1, RTU-1, HP-1)
Indicate Air Systems Type (Central, Single Zone, Package, VAV, or etc..) item or System Tags
(i.e. AC-1, RTU-1, HP-1) IB ID IM
Number of Systems 1 1 1
indicate Page Reference on Plans or Schedule and indicate the applicable exception(s)
MANDATORY MEASURES T-24 Sections
Heating Equipment Efficiency 112(a) 5.30 COP 5.90 COP 5.30 COP
Cooling Equipment Efficiency 112(a) 15.6 EER 16.5 EER 17.0 EER
HVAC Heat Pump Thermostat 112(b), 112(c) Yes Yes Yes
Furnace Controls/Thermostat 112(c), 115(a) n/a n/a n/a
Natural Ventilation 121(b) Yes Yes Yes
Mechanical Ventilation 121(b) 105 cfm 62 cfm 119 cfm
VAV Minimum Position Control 121(c) No No No
Demand Control Ventilation 121(c) No No No
Time Control 122(e) Programmable Switcti Programmable Switch Programmable Switch
Setback and Setup Control 122(e) Setback Required Setback Required Setback Required
Outdoor Damper Control 122(f) Auto Auto Auto
Isolation Zones 122(Q) n/a n/a n/a
Pipe Insulation 123
Duct Location/ R-value 124 Attic, Roof Ins/4.2 Attic, Roof Ins/4.2 Attic, Roof Ins/4.2
PRESCRIPTIVE MEASURES
Calculated Design Heating Load 144(a&b) 27,494 Btu/hr 12,861 Btu/hr 4,108 Btu/hr
Proposed Heating Capacity 144(a&b) 34,322 Btu/hr 21,834 Btu/hr 29,366 Btu/hr
Calculated Design Cooling Load 144(a&b) 27,733 Btu/hr 16,857 Btu/hr 23.555 Btu/hr
Proposed Cooling Capacity 144(a&b) 27,545 Btu/hr 16.735 Btu/hr 23,525 Btu/hr
Fan Control 144(c) Constant Volume Constant Volume Constant Volume
DP Sensor Location 144(c)
Supply Pressure Reset (DDC only) 144(c) Yes Yes Yes
Simultaneous Heat/Cool 144(d) No No No
Economizer 144(e) No Economizer No Economizer No Economizer
Heat Air Supply Reset 144(f) Constant Temp Constant Temp Constant Temp
Cool Air Supply Reset 144(f) Constant Temp Constant Temp Constant Temp
Electric Resistance Heating^ 144(q)
Air Cooled Chiller Limitation 144(1)
Duct Leakage Sealing. If Yes, a
MECH-4-A must be submitted 144(k) No No No
1. Total installed capacity (MBtu/hr) of all electric heat on this project exclusive of electric auxiliary heat for heat pumps. If electric heat is used
explain which exception(s) to § 144(g) apply.
EnergyPro 5.1 by EnergySoft User Number: 4945 RunCode: 2014-05-05712:09:25 ID: Page 9 of 13
MECHANICAL VENTILATION AND REHEAT MECH-3C
Project Name
Emerald Lake Corporate Center - Spec Suites
Date
5/5/2074
MECHANICAL VENTILATION (§121(b)2) REHEAT LIMITATION (§144(d))
AREA BASIS OCCUPANCY BASIS VAV MINIMUM
A B C D E F G H 1 J K L M N
Zone/System
Condition
Area
(ft^)
CFM
per
ft'
Min CFM
By Area
BXC
Number
Of
People
CFM
per
Person
Min CFM
by
Occupant
EXF
REQ'D
V.A.
Max of
DorG
Design
Ventilation
Air
CFM
50% of
Design Zone
Supply
CFM
BX0.4
CFM / ft'
Max. of
Columns
H, J, K,
300 CFM
Design
Minimum
Air
Setpoint
Transfer
Air
IB 442 0.15 66 7.0 )5.0 105 105 105
IB Total 105 105
1D 410 0.15 62 8.2 7.5 62 62 62
ID Total 62 62
IM 790 0.15 119 7.9 15.0 119 119 119
IM Total 119 119
Totals Column 1 Total Design Ventilation Air
C Minimum ventilation rate per Section §121, Table 121-A.
E Based on fixed seat or the greater of the expected number of occupants and 50% of the CBC occupant load for egress purposes for spaces without fixed seating.
H Required Ventilation Air (REQ'D V.A.) is the larger of the ventilation rates calculated on an AREA BASIS or OCCUPANCY BASIS (Column D or G).
1 Must be greater than or equal to H, or use Transfer Air (column N) to make up the difference.
J Design fan supply CFM (Fan CFM) x 50%; or the desiqn zone outdoor airflow rate per §121.
K Condition area (ft^) x 0.4 CFM / ft^ or
L Maximum of Columns H, J, K, or 300 CFM
M This must be less than or equal to Column L and greater than or equal to the sum of Columns H plus N.
N Transfer Air must be provided where the Required Ventilation Air (Column H) is greater than the Design Minimum Air (Column M). Where required, transfer air must be greater than or
equal to the difference between the Required Ventilation Air (Column H) and the Design Minimum Air (Column M), Column H minus M.
EnergyPro 5.1 by EnergySoft User Number: 4945 RunCode: 2014-05-05712:09:25 ID: Page 10 of 13
FAN POWER CONSUMPTION MECH-4C
Project Name
Emerald Lake Corporate Center - Spec Suites
Date
5/5/2014
NOTE: Provide one copy of this worksheet for each fan system with a total fan system horsepower greater than 25 hp for Constant Air Volume (CAV)
Fan Systems or Variable Air Volume (VAV) Systems when using the Prescriptive Approach. See Power Consumption ot fan §144(c).
B
Fan Description
Design Brake
HP
Efficiency
Motor Drive
Number of
Fans
Peak Watts
B X E X 746 /
(CXD)
IB- Supply Fan 0.500 76.0% 97.0% 1.0 506
TOTALS AND ADJUSTMENTS
FILTER PRESSURE ADJUSTMENT Equation 144-A in §144(c)
of the Energy Standards. 1) TOTAL FAN SYSTEM POWER (WATTS, SUM COLUM F) 506 FILTER PRESSURE ADJUSTMENT Equation 144-A in §144(c)
of the Energy Standards.
2) SUPPLY DESIGN AIRFLOW (CFM) 1.000
A) If filter pressure drop (SPa) is greater than 1 inch W. C. or
245 Pascal then enter SPa on line 4. Enter Total Fan
pressure drop across the fan (SP,) on Line 5.
3) TOTAL FAN SYSTEM POWER INDEX (Row 1 / Row 2) W/CFM A) If filter pressure drop (SPa) is greater than 1 inch W. C. or
245 Pascal then enter SPa on line 4. Enter Total Fan
pressure drop across the fan (SP,) on Line 5. 4) SPa
A) If filter pressure drop (SPa) is greater than 1 inch W. C. or
245 Pascal then enter SPa on line 4. Enter Total Fan
pressure drop across the fan (SP,) on Line 5.
5) SP,
B) Calculate Fan Adjustment and enter on line 6. 6) Fan Adjustment = 1 -( SPa -1) / SP,
C) Calculate Adjusted Fan Power Index and enter on Row 7 7) ADJUSTED FAN POWER INDEX (Line 3 x Line 6)' 0.506 W/CFM
1. TOTAL FAN SYSTEM POWER INDEX or ADJUSTED FAN POWER INDEX must not exceed 0.8 W/CFM for Constant Volume systems or 1.25
W/CFM for VAV systems.
EnergyPro 5.1 by EnergySoft User Number: 4945 RunCode: 2014-05-05712:09:25 ID: Page 11 of 13
FAN POWER CONSUMPTION MECH-4C
Project Name
Emerald Lake Corporate Center - Spec Suites
Date
5/5/2014
NOTE: Provide one copy of this worksheet for each fan system with a total fan system horsepower greater than 25 hp for Constant Air Volume (CAV)
Fan Systems or Variable Air Volume (VAV) Systems when using the Prescriptive Approach. See Power Consumption ot tan §144(c).
B
Fan Description
Design Brake
HP
Efficiency
Motor Drive
Number of
Fans
Peak Watts
BXEX746/
(CXD)
ID - Supply Fan 0.300 64.0% 97.0% 1.0 361
TOTALS AND ADJUSTMENTS
FILTER PRESSURE ADJUSTMENT Equation 144-A in §144(c)
of the Energy Standards. 1) TOTAL FAN SYSTEM POWER (WATTS, SUM COLUM F) 361 FILTER PRESSURE ADJUSTMENT Equation 144-A in §144(c)
of the Energy Standards.
2) SUPPLY DESIGN AIRFLOW (CFM) 600
A) If filter pressure drop (SP,) is greater than 1 inch W. C. or
245 Pascal then enter SPa on line 4. Enter Total Fan
pressure drop across the fan (SP,) on Line 5.
3) TOTAL FAN SYSTEM POWER INDEX (Row 1 / Row 2) W/CFM A) If filter pressure drop (SP,) is greater than 1 inch W. C. or
245 Pascal then enter SPa on line 4. Enter Total Fan
pressure drop across the fan (SP,) on Line 5. 4) SPa
A) If filter pressure drop (SP,) is greater than 1 inch W. C. or
245 Pascal then enter SPa on line 4. Enter Total Fan
pressure drop across the fan (SP,) on Line 5.
5) SP,
B) Calculate Fan Adjustment and enter on line 6. 6) Fan Adjustment = 1 -( SPa - 1) / SP,
C) Calculate Adjusted Fan Power Index and enter on Row 7 7) ADJUSTED FAN POWER INDEX (Line 3 x Line 6)' 0.60t W/CFM
1. TOTAL FAN SYSTEM POWER INDEX or ADJUSTED FAN POWER INDEX must not exceed 0.8 W/CFM for Constant Volume systems or 1.25
W/CFM for VAV systems.
EnergyPro 5.1 by EnergySoft User Number: 4945 RunCode: 2014-05-05712:09:25 ID: Page 12 of 13
FAN POWER CONSUMPTION MECH-4C
Project Name
Emerald Lake Corporate Center - Spec Suites
Date
5/5/2014
NOTE: Provide one copy of this worksheet for each fan system with a total fan system horsepower greater than 25 hp for Constant Air Volume (CAV)
Fan Systems or Variable Air Volume (VAV) Systems when using the Prescriptive Approach. See Power Consumption of fan §144(c).
B
Fan Description
Design Brake
HP
Efficiency
Motor Drive
Number of
Fans
Peak Watts
B X E X 746 /
(CXD)
1M- Supply Fan 0.500 76.0% 97.0% 1.0 506
TOTALS AND ADJUSTMENTS
FILTER PRESSURE ADJUSTMENT Equation 144-A in §144(c)
of the Energy Standards. 1) TOTAL FAN SYSTEM POWER (WATTS, SUM COLUM F) 506 FILTER PRESSURE ADJUSTMENT Equation 144-A in §144(c)
of the Energy Standards.
2) SUPPLY DESIGN AIRFLOW (CFM) 800
A) If filter pressure drop (SPa) is greater than 1 inch W. C. or
245 Pascal then enter SPa on line 4. Enter Total Fan
pressure drop across the fan (SP,) on Line 5.
3) TOTAL FAN SYSTEM POWER INDEX (Row 1 / Row 2) W/CFM A) If filter pressure drop (SPa) is greater than 1 inch W. C. or
245 Pascal then enter SPa on line 4. Enter Total Fan
pressure drop across the fan (SP,) on Line 5. 4) SPa
A) If filter pressure drop (SPa) is greater than 1 inch W. C. or
245 Pascal then enter SPa on line 4. Enter Total Fan
pressure drop across the fan (SP,) on Line 5.
5) SP,
B) Calculate Fan Adjustment and enter on line 6. 8) Fan Adjustment = 1 -( SPa - 1) / SP,
C) Calculate Adjusted Fan Power Index and enter on Row 7 7) ADJUSTED FAN POWER INDEX (Line 3 x Line 6)' 0.632 W/CFM
1. TOTAL FAN SYSTEM POWER INDEX or ADJUSTED FAN POWER INDEX must not exceed 0.8 W/CFM for Constant Volume systems or 1.25
W/CFM for VAV systems.
EnergyPro 5.1 by EnergySoft User Number: 4945 RunCode: 2014-05-05712:09:25 ID: Page 13 of 13
SAN DIEGO REGIONAL
HAZARDOUS MATERIALS QUESTIONNAIRE
OFFICE USE ONLY
UPFP#
HV#
BP DATE _L
BusinessName isjvlame ^ M >. t Business ContecL. Telephione #
1 L_ :pco . Project A( APN#
Mailing Addn
Project
'^•b Vara^<^ t>^c ^\\r |I)0 T/id^ ri?°^Wbl Plan File#
The following questions repiysent the f«:lll
Telephone* _ ^ ^ - .
1111/8 actlvKles, NOT the specific project description.
PART I: FIRE DEPARTMENT - HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: 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. Facility's Square Footage (including proposed project): Occupancy Rating:
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 Lkiuids 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 DIVISIONS fHMDt: If the answer to anv of the
questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Ave., Suite 110, San Dlego, CA 92123.
Call (858) 505-6700 prior to the Issuance of a bulMIng penmlt.
FEES ARE REQUIRED. Project Completion Date: / / Expected Date of Occupancy:.
4.
5.
6.
7.
•
•
•
•
(for new construction or remodeling projects)
Is your business listed on the reverse side of this fbrm? (check all that apply).
Will your business dispose of Hazardous Substances or Medical Waste In any amount?
Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds
^ 200 cubic feet, or carcinogens/reproductive toxins In any quantity?
Will your business use an existing or install an underground storage tank?
Will your business store or handle Regulated Substances (CalARP)?
^ Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)?
Will your business store petroleum in tanks or containers at your facility with a total storage capacity equal to
or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act).
• CalARP Exempt
I
Date Initials
• CalARP Required
_L Date Initials
• CalARP Complete
_L Date Initials
ITROL DISTRICT: If the answer to any of the questions below Is yes, applicant must contact the Air
San Diego, CA 92131-1649, telephone (858) 586-2600 prior to the Issuance of a buikiing or demolition Pollution Control Distnct (APCD), 10124 OM Grove Road
permit. Note: if the answer to questions 4 or 5 is yes, applicant must also submit an asbestos notification form to the APCD at least 10 woricing days prior to
commencing demolition or renovation, except demolition or renovation of residential structures of four units or less. Contact ttie APCD fbr more information.
YES
Will the subject fecllity or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the
APCD factsheet at http://www.sdapcd.ora/info/facts/Dermits.pdf. and the list of typical equipment requiring an APCD permit on the reverse side
of this from. Contact APCD If you have any questions).
(ANSWER ONLY IF QUESTION 1 IS YES) Will the subject facility be located wHhin 1,000 feet of the outer boundary of a school (K through 12)?
(Search the Califbmia School Directory at httD://www.cde.ca.qov/re/sd/ fbr public and private schools or contact the appropriate school district).
• Has a survey been performed to determine ttie presence of Asbestos Containing Materials?
• 3^ Will ttiere be renovation ttiat Involves handling of any friable asbestos materials, or disturising any nrtaterial that contains non-friable asbestos?
• Will there be demolition Involving Uie removal of a load supporting sti^ictural member?
7
•
Briefly describe business activities:
I declare underpenalty of perjury that to the best of my knowledge an(
Briefly describe proposed project:
Name of Owner or Auttiorized Agent
Ssponses madMi^reln are true and correct.
re oTOwner or Authorized Agent Date
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:.
BY:
FOR OFFICIAL USE ONLY:
DATE:
EXEMPT OR NO FURTHER MFORMATION REQUIRED RELEASED FOR BUILDING PERMrT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY-HMD* APCD COUNTY-HMD APCD COUNTY-HMD APCD
HM-9171 (02/11) County of San Diego - DEH - Hazardous Materials Division
«
CITY OF
CARLSBAD
PLUMBING,
ELECTRICAL,
MECHANICAL
WORKSHEET
B-18
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.Eov
Buildine(5)carlsbadc3.eov
Project Address: Permit No,:
Information provided below refen to worfi being done on the above mentioned permit only.
This form must be compleled and returned to ihe Building Division before fhe permit can he issued.
Building D^t. Fax: (760) 602-8558
•••«*«***»*«t««*(«**i
Number of new or relocated fixtures, traps, or floor drains
New building sewer line?...
Number of new roof drains?
Install/alter water line?..........
Number of new water heaters?.
Number of new, relocated or replaced gas outlets?
Number of new liose bibs?
Ves No
Residential Permits:
New/expanded service: Number of new amps:
Minor Remodel o/i4« Ves No
Commerdai/lnduitrlal:
Tenant Improuement: Number of existing amps mf/oA/edtn thit orofect:
Number of new amps involved In this oroiaet
New Centtruction: Amps per Panel:
Single Phase ........... . Nun^er of new amperes_
Three Phase .... Nun&er of new amperes_
Three Phase 480..... Numlier of new amperes_
100 AMPS
Number of new furnaces, A/C, or heat pumps?........
New or relocated duct worh? . Ves_
Number of new fireplaces? ~
Number of new exhaust fans?...— . ~.
Relocate/install uent?
Number of new exhaust hoods? „.
No
Number of new boilers or compressors? .Numberof IHP
B-18 Page 1 of 1 Rev. 03/09
«
CITY OF
CARLSBAD
PLUMBING,
ELECTRICAL,
MECHANICAL
WORKSHEET
B-18
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.eov
BufidlnEffflcarlsbadca.gov
Project Address: Permit No.;
Informotlon provided below tefen to worfo being done on the above mentioned permit only.
This form must be tompleled and returned te the Building Division before the permit con be issued.
Building Dept Fax: (760) 602-^58
Number of new or relocated fixtures, traps, or floor drains
New building sewer line? ..........
Number of new roof drains?.—
Install/alter water llne?„..
Number of new water heaten?
Number of new, relocated or replaced gas outlets?
Number of new hose bibs?...-....-...
Residential Pennits:
New/expanded seivlce: Numiier of new amps:
Minor Remodel o/i/^; Ves No
Commerdol/lndustrioi:
Tenant improvement: Number of existing amps bwohedh thb project
Number of new amps tivohedln thh pro/ect:
New Centtruction: Amps per Panel:
Single Phase
Three Phase. .
Three Phase 480.
Numlier of new amperes.
Number of new amperes.
Number of new amperes.
.Ves No
Number of new furnaces, A/C, or heat pumps? ....
New or relocated duct worli?.......—..................
Number of new fireplaces? . » -
Number of new exhaust fans?
Relocate/install vent?-..-
Number of new exhaust hoods? .—
Number of new boilen or compressors?- Number of HP
B-16 Page 1 of 1 Rev. 03/09
«
CITY OF
CARLSBAD
PLUMBING,
ELECTRICAL,
MECHANICAL
WORKSHEET
B-18
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
Bulldinefa)carlsbadca.eov
Project Address: Permit No.;
Information provided below refer] to worti being dene on the above mentioned permit only.
This form must be completed and returned to the Building Division before the permit can be issued.
Building Dept Fax: (760) 602-8558
Number of new or relocoted fixtures, traps, or floor drains
New building sewer line?
Number of new roof drains?-.
Install/alter water line?.
Numberof new water heaten?,
Number of new, relocated or replaced gas outlets?
Number of new hose bibs?—....
Ves No
Me»M*e*»t*eM**M*M« •••*••«•••••••*••>••••••••*• »•»•••
Residential Permitii
New/expanded service: Number of new amps:
Minor Remodel on^ Ves No
Commerdol/induttrial:
Tenant Improvement: Number of existing amps involved in thlt project:
Number of new amps involvedbi tiifs proiect
New Construdion: Amps per Panel:
Single Phase -.. - Numberof new amperes_
Three Phase. «,..-. Number of new ampere$_
Three Phase 480 - - Number of new ampere$_
100 AMPS
>••••«••••••••• ••Mil
Number of new furnaces, A/C, or heat pumps?
New or relocated duct work;? . Ves.
Number of new fireplaces?
Number of new exhaust fans?...,
Relocate/install vent?.-
Number of new exhaust hoods?
No
Numfcier of new boilen or compresson? - - -— — Number of HP
B-18 Page 1 of 1 Rev. 03/09
«
CITY OF
CARLSBAD
PLUMBING,
ELECTRICAL,
MECHANICAL
WORKSHEET
B-18
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carisbadca.eov
Bulldlne@carlsbadca.eov
Project Address: Pennit No.:
Infomiation provided below refers to worh being done on the above mentioned permit only.
This form must be completed nnd returned to the Buildino Division before the permit ion he issued.
Building Dept Fax: (760) 602-8558
Numiwr of new or relocated fixtures, traps, or floor drains
New building sewer line? —
Numijer of new roof drains?
Install/alter water line?.-..-.-
Number of new water heaten? — .-.....-.„
Numl}er of new, relocated or replaced gas outlets?
Numt>er of new hose bibs?
Ves No
Res idenUal Pennits:
New/expanded seivlce: Number of new amps:
Minor Remodel on^ Ves No
Commerdol/lnduitriali
Tenant Improvement: Number of existing amps Evolved in tiih proiect
Number of new amps involved in tills pro/ect
200 AMPS
New Construction: Amps per Panel;
Single Phase .-.—~.—
TWffifi Phoscisa •••*>••••»•(•«•*•*••••••• »••••>•••••
Three Phase 480
... Number of new amperes.
... Number of new amperes_
.... Number of new amperes.
No
Number of new furnaces, A/C, or heat pumps?
New or relocated duct worh?...-.- — —Ves *
Number of new fireplaces? - - „ —
Number of new exhaust fans?..—...-—......................................
Relocate/install vent? -._ —
Number of new exhaust hoods? — -.-..„..„ „..-
Number of new boilen or compresson? - - -. Number of l-iP
B-18 Page 1 of 1 Rev. 03/09
CITY OF
CARLSBAD
PLUMBING,
ELECTRICAL,
MECHANICAL
WORKSHEET
B-18
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carl5badca.gov
Buildlne@carlsbadca.eov
Permit No.: 1^ I ^^P^ Project Address:
Information provided below refers to work befng done on the above mentioned permil onV-
This form must be completed nnd returned to the Buildino Division before the permit con he issued.
Building Dept. Fax: (760) 602-8558
Number of new or relocated fixtures, traps, or floor drains .„..,
New building sewer line? — Ves No
NumiDor of new roof drains?..
Install/alter water line?— ,
Number of new water heaten?. -.
Number of new, relocated or replaced gas outlets?
Numfier of new hose bibs? -
Reiidenticd Pennits:
New/expanded service: Number of new amps:
Minor Remodel o/}^.- Ves No
Cemmerdal/lndustricd:
Tenant Improvement: Numlser of existing amps involved In thb project
Number of new amps Involved In this proiect
100 AMPS
New Construction: Amps per Panel:
Single Phase
Three Phase.
Three Phase 480.
Number of new amperes.
Numt>er of new amperes.
Number of new amperes.
Number of new furnaces, A/C or heat pumps? ....-...-.....-.-......-.-...—.„.-......-.....-....—....- ]_
New or relocated duct worfe? Ves No X
Number of new fireplaces? „....- - - ^
Number of new exhaust fans? - . ^_
Relocate/install vent?-.- ...——. - 2_
Number of new exhaust hoods? -.—... ».-...-.. ^
Number of new boilen or compresson? -..„ Number of HP 2.
B.18 Page 1 of 1 Rev. 03/09
9>m^ u®
^ CITY OF
CARLSBAD
PLUMBING,
ELECTRICAL,
MECHANICAL
WORKSHEET
B-18
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carisbadca.eov
Bulldlnetacarlsbadca.eov
laneopOTTilt onki.
Project Address: Permft No.;
Informotlon provided below refers to worh being done on the above mentlaneJperrnlt only.
This form must be completed nnd returned te the Building Division before the permit con be issued.
Building Dept Fax: (760) 602-8558
Number of new or relocated fbdures, traps, or floor drains
New building sewer line?
Number of new roof drains?.—
install/alter water line?....-..—.-.,
Number of new water heaten?,
Number of new, relocated or replaced gas outlets?..—
Number of new hose bibs?.—
Ves_ No
NO I'lUIWBiNiP
Residential Permits:
New/expanded service: Number of new amps:
Minor Remodel o/rA^ Ves No
Commerdal/Industrial:
Tenant Improvement: Number of existing amps involved in titb project
Numiier of new amps involved in thb pro/ed:
New Construction: Amps per Panel:
Single Phase Number of new amperes.
Three Phase Number of new amperes_
Three Phase 480., — Number of new amperes_
100 AMPS
Number of new furnaces, A/C, or heat pumps?
New or relocated duct worh?
Number of new fireplaces? -
Number of new exhaust fans?-.........-.-
Relocate/Install vent?.. -
Number of new exhaust hoods?
>••••••••••• Ves No
Number of new boilen or compresson? - Number of HP
B-18 Page 1 of 1 Rev. 03103
CITY OF
CARLSBAD
PLUMBING,
ELECTRICAL,
MECHANICAL
WORKSHEET
B-18
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
BulldlnB@carl5badca.e0v
Pen^itNc: Q /y/(?y3 Project Address:
Infomtatlon provided below refen to woih being done on the above mentioned permit only.
This form must he completed and returned to the Building Division before the permit tan be issued.
Building Dept. Fax: (760) 602-8558
RELOCATED BREAK ^INK
Number of new or relocated fixture, traps, or floor drains fT.ri".5lV-l.r.*^^
mo6Avb piRTy ARM TO OPPC^TE SIR^^ALL
••>••••••••«••••••••••*••*•••••••••••••••••*«••••«••••»•••••••••••••••••••••••••»«•••• ' ^'^mmami^^im *
NONE
New building sewer line?
Number of new roof drains? RELOCATED MfATER UNE TO OPPOSITE SIDE OVmil
NO
NONE
HDRE
install/alter water llne?„
Number of new water heaten?
Number of new, relocated or replaced gas outlets?.,
Number of new hose bibs?
'••••••••••••••••••H*i*»a*M«ei^>*«*>
>••••«••••«••••••••»• Residential Permitii
New/expanded service: Number <rf new amps:
Minor Remodel Ves No
Commerdal/lndustriai:
Tenant Improvement: Number of eidtting amps involvedbi thb project:
Number of new amps bivolvedin thb project
New Construction: Amps per Panel:
Single Phase -.-—
Three Phase-
Three Phase 4S0.
(•»•••*••••»•••••••••••••••*••••••••••****•
. Number of new amperes.
. Numi>er of new amperes.
. Number of new amperes.
100 AMPS
Number of new furnaces, A/C or heat pumps?.
New or relocated duct work?-....—
Number of new fireplaces?
.Ves No
Number of new exhaust fans? ..... - - ..- °
Relocate/install vent?.- - - - _2_
Number of new exhaust hoods?.— - L
Number of new boilen or compresson? Number of HP Z-
B-18 Page 1 of 1 Rev. 03/09
PLUMBING, Development Services
^ CITY OF
CARLSBAD
ELECTRICAL, Buiiding Division
^ CITY OF
CARLSBAD
MECHANICAL
WORKSHEET
B-18
1635 Faraday Avenue
760-602-2719
www.carlsbadca.Eov
BuildinelS) carisbadca.gov
Project Address: Pennit No.:
Infomiation provided below refers to work being done on the above mentioned permit only.
This form must be completed and returned to the Building Division before the nermit con be issued.
Building Dept Fax: (760) 6(XZ-e558
Number of new or relocated fixtures, traps, or floor dralre
New building sewer line?
Numiier of new roof drains?.-...
install/alter water line?-...-...-..-.
Number of new water heaten?.
Number of new, relocated or replaced gas outiets?
Number of new hose bibs?-..-.
Ves No
ilacedgas outiets? ,
SINK ONI.Y—
IN&
ileiidmticd Permits:
New/expanded service: Number of new amps:
Minor Remodel onjiK Ves No
Commerdal/lndustriai:
Tenant improvement: Number of existing amps involvedbt thb project:
Number of new amps involved in thb project
New Construction: Amps per Panel:
Single Phase Number of new amper&_
Three Phase Number of new amperes_
Three Phase 480....— . Number of new amperes_
100 AMPS
.Ves No
Number of new furnaces, A/C, or heat pumps?
New or relocated duct worii? -.- „..
Numiier of new fireplaces? — - ,- - ^
Number of new exhaust fans? -.. „.„ ^
Relocate/install vent? _ - °
Number of new exhaust hoods? „ - ^_
Number of new boilen or compresson? — Numi>er of HP
B-18 Page 1 of 1 Rev. 03/09
Activities Attached to This Project
1 Activity No Type Sub Type Date S
D Email— iIN0UST 05/09/2014 Fl
CBI 41042 Tl INDUST 05/09/2014 F
CB141043 Tl INDUST 05/09/2014 F
CBI 41044 Tl INDUST 05/09/2014 F
CBI 41045 fl INDUST 05/09/2014 Fl
CBI 41046 Tl INDUST 05/09/2014 "F
CBI 41047 fl ^ INDUST 05/09/2014 F
^! 1 •
dJi,mots' L.A<r'0/<^ l/2J./2ct(r
?C i^iOPn^o 'Az/^/^
PC140023 1525 FARADAY AV ... _ . . . n JO J^J /U<'-^ .C:^r In/^
•47<90 P^ t=-&^ -f
-7
Final Inspection required by:
a Plan a CM&I • Fire
SW •ISSUED
PLANNING
Approved
ENGINEERING
FIRE Expedite? (7) N
DIGrTAL FILES Required? Y N
Date
•cv.
HazMat
APCD
Health
Forms/Fees Sent Reed
Encina
Fire
HazHealthAPCD
PE&M
School
Sewer
Stormwater
Speciaynspection
CFD
LandUse
Due? By
Y N
Y N
Y N
Y N
Y N
Y N
Density: ImpArea: 6 FY: Annex:5y'<ii, Factor:
PFF: Y //N
Commei Date Date
Building
Planning
Engineering
Fire
Date Date
Need?
^Done
HDone