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HomeMy WebLinkAbout2052 CORTE DEL NOGAL; 100; CB152977; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-28-2015 Commercial/Industrial Permit Permit No: CB152977 Building Inspection Request Line (760) 602-2725 Job Address: 2052 CORTE DEL NOGAL CBADSt: 100 Permit Type: TI Sub Type: INDUST Status: ISSUED Parcel No: 2130610600 Lot #: 0 Applied: 09/11/2015 Valuation: $70,913.00 Construction Type: 5B Entered By: LSM Occupancy Group: Reference # Plan Approved: 10/28/2015 Issued: 10/28/2015 Inspect Area Plan Check #: Project Title: ENTHUSIAST NETWORK- 1,594 SF TI TO INCORPORATE SUITES 150 & 160 INTO SUITE 100// WORK TO INCLUDE SOME DEMOHELECTHMECH IN SMALL AREAS THRUOUT BUILDING Applicant: Owner: CHRIS BRANDLEY 2052 C D N L L C STE 100 5090 SHOREHAM PL 221 15TH ST SAN DIEGO CA 92122 DEL MAR CA 92014 619-297-1011 X 103 Building Permit $498.59 Meter Size Add'I Building Permit Fee $0.00 Add'I Recl. Water Con. Fee $0.00 Plan Check $349.01 Meter Fee $0.00 Add'I Building Permit Fee $0.00 SDCWA Fee $0.00 Plan Check Discount $0.00 CFD Payoff Fee $0.00 Strong Motion Fee $19.86 PFF (3105540) $0.00 Park Fee $0.00 PFF (4305540) $0.00 LFM Fee $0.00 License Tax (3104193) $0.00 Bridge Fee $0.00 License Tax (4304193) $0.00 BTD #2 Fee $0.00 Traffic Impact Fee (3105541) $0.00 BTD #3 Fee $0.00 Traffic Impact Fee (4305541) $0.00 Renewal Fee $0.00 PLUMBING TOTAL $0.00 Add'I Renewal Fee $0.00 ELECTRICAL TOTAL $67.40 Other Building Fee $0.00 MECHANICAL TOTAL $44.77 Pot. Water Con. Fee $0.00 Master Drainage Fee $0.00 Meter Size Sewer Fee $0.00 Add'I Pot. Water Con. Fee $0.00 Redev Parking Fee $0.00 Recl. Water Con. Fee $0.00 Additional Fees $0.00 Green Bldg Stands (SB1473) Fee $3.00 HMP Fee ?? Fire Expedidted Plan Review $115.00 Green Bldg Standards Plan Chk ?? TOTAL PERMIT FEES $1,097.63 Total Fees: $1,097.63 Total Payments To Date: $1,097.63 Balance Due: $0.00 FINAL APPROVAL Inspector: Date: -/'S� Clearance: NGTICE Reese take NOTICE that apFrmd of your project includes the "InTmitiorf' of fees, decications, reservations, or other exactions hereafter collectively referred to as ' fees/exadions." You have 90 days from the date this permit vwts issued to protest inposition of these feesrexactions. If you protest therm you mst fdloN the protest procedure; sot forth in Gwerm ont Code section 66020(a), and file the protest and ary other required information with the Oty Menager for prooessing in aooadarice with Carlsbad M.ridpal Code section 3.32030. Failure to tirrely fdlovthat procedure will bar arty subsequent legal action to attack, reme✓u, set aside, void, or annul their inposition. You are hereby FURTHER NCM R ED that your n ht to protest the specified feesrexactions DCES NOT APPLY to water and sewer connection fees and capacity changes,_ nor planning, zcning, grading or other simlar application processing or service fees in connection with this project. NCR DOES ITAPR_Y to any THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: ❑PLANNING ❑ENGINEERING ❑BUILDING ❑FIRE ❑HEALTH ❑HAZMAT/APCD Building Permit Application Plan Check No. � J -- 1 Est. Value `]Q q 13 CITY OF 1635 Faraday Ave., Carlsbad, CA 92008 CARLSBAD Ph:760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov Plan Ck. Deposit 3l�Qj o 1 4 Date q1 1 p SWPPP www.carlsbadea.gov JOB ADDRESS SUITE#/SPACE#/UNITt I Ap 2052 Corte Del Nogal, Carlsbad CA 92011 1001501rd 213 - - - 061 06 00 CT/PROJECT # TT # PHASE # # OF UNITS #BEDROOMS # BATHROOMS TENANT BUSINESS NAME OCC. GROUP FCONST—R.-WIP-1 The Enthusiast Network DESCRIPTION OF WORK: Include Square Feet of Affected Areas) Tenant improvement to include demolition, new partitions, new electrical, and new mechanical work. 11 � � —2 4Motal square feet. sj.Tie,& 1 by EXISTING USE T ROPOSED USE GARAGE (SF) PATIOS Office Office 1 0 0 APPLICANT NAME (Primary Contact) APPLIC, Chris Brandley ADDRESS RBN Design - 5090 Shoreham Place, Suite 100 ADDREE CITY STATE ZIP CITY San Dieqo CA 92122 PHONE FAX PHONE 619-297-1011 x103 OWNER NAME y� I ADDRESS I N 40 W. .com '1070 'N,u.%f- 100 0 IYES DN NO ✓❑I YES[DNO[] NAME (Secondary Conte FAX ZIP CONTRACTOR BUS. NAME Back's Constructio �• S�t� Z �y ADDRESS ( 1602 Front St. Suite 100 STATE ZIP CITY STATE ZIP G14 ? z la 7 San Dieqo CA YES ❑✓ NOD Inc. 92101 -----.__..--- I'I-I 1_1G 8 ISTATE LIC.# 795976 CLASS B CITY BUS.LIC.# (Sec7031.5 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 (Chappter 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 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following dectarafions: 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. ✓ 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 workers' compensation insurance carrier and policy number are: Insurance Co. State Compensation Insurance Fund PolicyNo. 909281314 Expiration Date 2110116 Thi r) section need not be completed f the permit is for one hundred dollars ($100) or less. 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' com nsation 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, dam s dead for in S 706 the Labor code, interest and attorney's fees. .ES CONTRACTOR SIGNATURE AGENT DATE I hereby affirm that I am exempt from 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 solo 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). 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 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. [—]Yes DNo 2. 1(have / have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firth) to provide the proposed construction (include name address / phone / 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 / contractors' license number): 5. 1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): PROPERTY OWNER SIGNATURE I—ler_... SECTIONCOMPLETE THIS ! NON-RESIDENTIAL BUILDING 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 obtain a permit 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 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 I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lenders Name Lender's Address APPLICANT CERTIFICATION I oerlifythati have read the application and state thattheabove Information isowectand Ihatthe information on the plans is accurate. I agree to cornpywilh all Cttyordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property br 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 60' 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 lug rk authorized b rmit is suspended or abandoned at any time after the vwrk is commenced for a period of 180 days (Section 106.4.4 Uniform 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 bullding(okarlsbadca gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY 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) ASSOCIATED CB# CONTRACTOR (On Pg. i) NO CHANGE IN USE / NO CONSTRUCTION MAIL / FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION A5APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB152977 Type: TI INDUST ENTHUSIAST NETWORK- 1,594 SF TI TO INCORPORATE SUITES 150 & 1601 Date Inspection Item Inspector Act 11/13/2015 89 Final Combo - RI 11/13/2015 89 Final Combo PB AP 11/12/2015 89 Final Combo - RI 11/12/2015 89 Final Combo PB NR 11/10/2015 49 Final Mechanical - RI 11/10/2015 49 Final Mechanical PB NR 10/30/2015 17 Interior Lath/Drywall PB AP 10/29/2015 84 Rough Combo PB AP Comments NFN NO FIRE NEEDED NRR Monday, November 16, 2015 Page 1 of 1 EsGil Corporation In Partnership with Government for Building Safety DATE: 10/22/2015 ❑ APPLICANT ❑ JURIS. JURISDICTION: Carlsbad ❑ PLAN REVIEWER ❑ FILE PLAN CHECK NO.: 15-2977 SET: Ta-- PROJECT ADDRESS: 2052 Corte Del Nogal Suite 100 PROJECT NAME: The Enthusiast Network TI ® 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 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 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: ❑ 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: ) Email: Mail Telephone Fax In Person ❑ REMARKS: By: John Le Vey Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ MB ❑ PC 10/15/2015 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 EsGil Corporation In Partnership with Government for oui(ding Safety DATE: 10/9/2015 ❑ LICANT JURIS. JURISDICTION: Carlsbad ❑ PLAN REVIEWER PLAN CHECK NO.: 15-2977 SET: II ❑ FILE PROJECT ADDRESS: 2052 Corte Del Nogal Suite 100 PROJECT NAME: The Enthusiast Network TI ❑ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. ❑ 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. ❑ 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. ❑ 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: ❑ 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: Chris Brandley Telephone #: 619-297-1011x103 ate contacted: t(51 C1 (by� *-) Email: cbrandley@rbn-design.com ail `� elep one Fax In Person REMAR( By: John Le Vey Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ MB ❑ PC 09/15/2015 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Carlsbad 15-2977 10/9/2015 Please make all corrections, as requested in the correction list. Submit FOUR new complete sets of plans for commercial/industrial projects (THREE 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. These corrections are in response to items not fully addressed or as the result of information provided, the text in bold print indicates the unresolved issue. 3. Please show how the top plate connection occurs for the new partition walls detail 1 on sheet TI-5, The connections are not shown to the roof or top plate 6. Please provide on the plans that the outdoor signage will be deferred or include on this submittal sheet TI-6 note 3. No response Advisory Note : When alterations, structural repairs or additions are made to an existing building, that building, or portion of the 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. • Existing toilet and bathing facilities that serve the remodeled area must be shown to comply with all accessibility features. • Please address the following comments that are the result of the alterations. 8. It is unclear from the plans if the restrooms servicing the tenant improvement are disabled accessible, please provide a dimensioned restroom plans showing the restroom to be accessible compliant. It is not clear if the restrooms comply or not the restrooms on T1-5 are men's only and the alcove for the urinal appears to be deeper than 24 inches therefore the width must be 36 inches you show 2feet 6 inches, provide the women's and the men's restrooms enlarged plan New comment The accessibility form is not signed on sheet T1-2 Carlsbad 15-2977 10/9/2015 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 ❑ 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 John Le Vey at Esgil Corporation. Thank you. EsGil Corporation In (Partnership with Government for Building Safety DATE: 09/23/2015 <,� PLICANT JURISDICTION: RIS. C ON. Carlsbad PLAN REVIEWER ❑ FILE PLAN CHECK NO.: 15-2977 SET: I PROJECT ADDRESS: 2052 Corte Del Nogal Suite 100 PROJECT NAME: The Enthusiast Network TI ❑ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. ❑ 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. ❑ 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. ❑ 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: ❑ 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: Chris Brandley Telephone #: 619-297-1011x103 to c`o�tacted: I I�3 (by� Email: cbrandley@rbn-design.com —bMail `/ hone Fax In Person r��� ❑ REMAR By: John Le Vey Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ MB ❑ PC 09/15/2015 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Carlsbad 15-2977 09/23/2015 PLAN REVIEW CORRECTION LIST TENANTIMPROVEMENTS PLAN CHECK NO.: 15-2977 OCCUPANCY: B TYPE OF CONSTRUCTION: VB ALLOWABLE FLOOR AREA. - SPRINKLERS?: Yes REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 09/10/2015 DATE INITIAL PLAN REVIEW COMPLETED: 09/23/2015 FOREWORD (PLEASE READ): JURISDICTION: Carlsbad USE: office ACTUAL AREA: 1,549 STORIES: 2 HEIGHT: unknown OCCUPANT LOAD: 16 DATE PLANS RECEIVED BY ESGIL CORPORATION: 09/15/2015 PLAN REVIEWER: John Le Vey 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 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 Carlsbad 15-2977 09/23/2015 Please make all corrections, as requested in the correction list. Submit FOUR new complete sets of plans for commercial/industrial projects (THREE 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. Each sheet of the plans must be signed by the person responsible for their preparation, even though there are no structural changes. California State Law. 2. Please provide plans and calculations signed by the California State licensed engineer or architect for the structural support of the 528 # rooftop air handler units. Include all calculations and finding on the plans. Please include the California license number, seal, date of license expiration and date plans are signed. Business and Professions Code. 3. Please show how the top plate connection occurs for the new partition walls detail 1 on sheet TI-5 4. Please show the location for door #2 on sheet TI-5 5. 1 am unable to locate keynote 4 on sheet TI-5 6. Please provide on the plans that the outdoor signage will be deferred or include on this submittal sheet TI-6 note 3 Advisory Note : When alterations, structural repairs or additions are made to an existing building, that building, or portion of the 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. Carlsbad 15-2977 09/23/2015 • Please address the following comments that are the result of the alterations. 7. Show on the site plan the complying disabled accessible path of travel from the disabled accessible parking spaces to the primary entrance of the tenant space. Please provide detailed plans of the path of travel, indicate slope and width, any pedestrian ramps, curb ramps, walks, handrails, provide dimensioned parking stall details etc. 8. It is unclear from the plans if the restrooms servicing the tenant improvement are disabled accessible, please provide a dimensioned restroom plans showing the restroom to be accessible compliant. 9. Show, or note, that there is a level floor or landing on each side of all doors. The floor or landing is to be <_'/2 lower than the doorway threshold, per Section 11 B- 404.2.5. for the sliding doors in particular 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 ❑ 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 John Le Vey at Esgil Corporation. Thank you. Carlsbad 15-2977 09/23/2015 ADO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 15-2977 PREPARED BY: John Le Vey DATE: 09/23/2015 BUILDING ADDRESS: 2052 Corte Del Nogal Suite 100 BUILDING OCCUPANCY: B BUILDING PORTION AREA ( Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) TI Per citv 70,913 Air Conditioning Fire Sprinklers TOTAL VALUE 70,913 Jurisdiction Code Icb Jay Ordinance I Bldg. Permit Fee by Ordinance Plan Check Fee by Ordinance W Type of Review: 7 Complete Review ❑ Structural Only ❑ Repetitive Fee El Other Repeats ❑ Hourly Hr. @ EsGil Fee Comments: Sheet of $494.13 $321.18 macvalue.doc + CITY OF ♦0 � Ask MIR PLAN CHECK REVIEW TRANSMITTAL Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov DATE:09-16-2015 PROJECT NAME: THE ENTHUSIASTNETWORKT.I. PROJECT ID: CB15-2977 PLAN CHECK NO: 1 SET#: 1 ADDRESS: 2052 CORTE DEL NOGAL SUITE 100 APN: 213-061-06-00 VALUATION: $70,913 This plan check review is complete and has been APPROVED by the ENGINEERING Division. By: CG 9/ 16/ 15 A Final Inspection by the 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 plans as required. Plan Check Comments have been sent to: CBRANDLY@RBN-DESIGN.COM Resubmittedfrom these divisions may be required prior to the issuance of a building permit. ocorrections For questions or clarifications on the attached checklist please contact the following reviewer as marked: Chris Sexton 760-602-4624 Chris.Sexton@carlsbadca.gov Gina Ruiz 760-602-4675 Gina Ruiz@carisbadca.gov Remarks: Chris Glassen 760-602-2784 Christopher Glassen@carlsbadca.ov Linda Ontiveros 760-602-2773 Linda Ontiveros@carlsbadca.0ov Greg Ryan 760-602-4663 Gregory.Ryan@carisbadca..gov Cindy Wong 760-602-4662 Cynthia.Wong,@carisbadca.gov Dominic Fieri 760-602-4664 Dominic.Fieri@carisbadca.gov BUILDING PLANCHECK Development services Land Development Engineering CITY OF CHECKLIST 1635 Faraday Avenue CARLSBAD QUICK-CHECK/APPROVAL 760-602-2750 www.carlsbadca.gov ENGINEERING Plan Check for CB15-2977 Date:09-16-2015 Project Address: 2052 CORTE DEL NOGAL SUITE 100 APN: 213-061-06-00 Project Description: COMBINE SUITE 150 AND 160 TO CREATE SUITE 100. Valuation: $70,913 ENGINEERING Contact: CHRIS GLASSEN Phone: 760-602-2784 RESIDENTIAL INTERIOR RESIDENTIAL ADDITION MINOR (<$20,000.00) CARLSBAD PREMIER OUTLETS OTHER: GYM Email: Christopher.Glassen@carisbadca.gov Fax: 760-602-1052 1 TENANT IMPROVEMENT PLAZA CAMINO REAL COMPLETE OFFICE BUILDING r.._.._.._.._.._..—.._.. OFFICIALUSE.ONLY ..—.._.._..—.._.._...I ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT i i BY: CG 9/16/15 DATE:09-16-2015 REMARKS: NO ADDITIONAL ENGINEERING FEES Notification of Engineering APPROVAL has been sent to CBRANDLY@RBN-DESIGN.COM .._.._.via EMAIL._ ..._.._.._.._.. °n.Q9-16-2015_.._..—..—.._ E-36 Page 1 of 1 REV 4/30/11 CITY OF CARLSBAD STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov I am applying to the City of Carlsbad for the following type(s) of construction permit: lJL Building Permit ❑ Right -of -Way Permit ❑ My project is categorically EXEMPT from Electrical Patio/Deck the requirement to prepare a storm water Fire Additional Fire Alarm Photo Voltaic fang pollution prevention plan (SWPPP) because it Fixed Systems Sign Sign only requires issuance of one or more of the Mechanical Spa -Factory following permit types: Mobile Home Sprinkler Plumbing Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tier 1 - Low Threat Assessment Criteria ❑ My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 - Moderate Threat Assessment Criteria ❑ My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Tier 3 - Significant Threat Assessment Criteria ❑ My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or ❑ My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, ❑ My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non -storm water discharge(s). 1 certify to the best of my knowledge that the above checked statements are true and correct I understand and acknowledge that even though this project does not require preparation of a construction SWPP,1 must still adhere to, and at all times during construction activities for the permit types) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards. 'The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. Project Address: Assessor Parcel No. 'Zo;Z Cvr4-e�(WA1. a( 213-att-cnc-0v Owner/Owner' Authorized Agent / ame: Title: Owner/Ow uKo—nze nt ignature: Date: City Concurrence: By: Date: Project ID: 0 YES ONO B-24 Page 1 of 1 Rev.03/09 PLANNING DIVISION De�relopment Services BUILDING PLANCHECK Planning Division CITY OF APPROVAL 1635 Faraday Avenue C If'�l t R LS �v{AD (760) 602-4610 P-28 www.carlsbadca.eov DATE: 10/27/15 PROJECT NAME: T.I. PROJECT ID: PLAN CHECK NO: CB152977 SET#: ADDRESS: 2052 CORTE DEL NOGAL #100/150 ® This plan check review is complete and has been APPROVED by the PLANNING Division. By: GINA RUIZ A Final Inspection by the PLANNING Division is required ❑ Yes ® No 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. [] This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check Comments have been sent to: CBRANDLEY@RBN-DESIGN.COM For auestions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING 760-602-4610 ENGINEERING 760-602-2750 FIRE PREVENTION 760-602-4665 [� Chris Sexton 760-602-4624 Chris Sexton@carlsbadca.gov 1771 V\dGina Ruiz 760-602-4675 Gina Ruiz@carlsbadca. ov a Remarks: Plan Check No. CB152977 Address 2052 CORTE DEL NOGAL Date 10/27/15 Review # 2 Planner GINA RUIZ Phone (760) 602- 4675 Type of Project & Use: T.I. Zoning: PP=M General Plan: PI 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: ) REVIEW #: 1 2 3 Legend: ® Item Complete ❑ Item Incomplete - Needs your action ®❑ ❑ Environmental Review Required: YES ❑ NO ® TYPE DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: ®❑ ❑ 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 ❑ NO fZ CA Coastal Commission Authority? YES ❑ NO 2 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): ®❑ ❑ 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!) // ■ ■ Site Plan: 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 l ■ ■ ►1 ■ ■ /1 ■ ■ City Council Policy 44 — Neighborhood Architectural Design Guidelines 1. Applicability: YES ❑ NO 2. Project complies: YES ❑ NO❑ Zoning: 1. Setbacks: Front: Interior Side: Street Side: Rear: Top of slope Required Shown Required Shown Required Shown Required Shown Required Shown 2. Accessory structure setbacks: Front: Required Shown Interior Side: Required Shown Street Side: Required Shown Rear: Required Shown Structure separation: Required Shown 3. Lot Coverage: Required Shown ❑ ®❑ 4. Screening of Equipment: Required YES Shown SECTIONS ADDED TO SHEET TI-2 ®❑ ❑ 5. Parking: Spaces Required NO CHANGE OF USE Shown (breakdown by uses for commercial and industrial projects required) Residential Guest Spaces Required Shown T&TFWkNr an 1115 -- - �. .,,. -to _e. _ _,• ' , _ - - - - OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER GINA RUIZ DATE 10/27/15 P-28 Page 3 of 3 07/11 OFFICE USE ONLY FUPFP# SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIREATE 1 1 Business Name Business Contact Telephone # 'CIE E�ff usro'5'r State Ip Code APN# Project Address City �„ �Z O j t ?r�Z �•TaTE UEl-0fY,AL Contact GcaI�X,TRtx oN truzs [.ER*�At�ES (lobe 1 213 •4406165, The following questions represent the facility's activities, NOT the specific project description ry ct_,S3iFICATION: Indicate by cirdtng the item. whether your business rrgR I I FrRE DEPARTMF�I1 HAZLRDOIS MATERIALS OMSION OCCUPAN icant must confect the Fire Protection Agency with will use, Process, or sore any o the fonowing haze s matena lr any yr ure r�� � Occupancy Ming: jurisdiction prior to plan submktal. Facility's Square Footage (including proptued proje _ -,,. • �, 13- Corrosives g. Wafer Reactives I� 1. Explosive or Blasting Agents 5. Organic Peroxides r 14. Other Health Hazards 6. Oxidizers 1. Cryogenics 2• Compressed Gases 11. Highly Toxic or Toxic Materials 15. None of These. 3. Flammable/Combustible Liquids 7, PyrophOriCs 12 Radioactives 4. Flammable Solids 8. Unstable Reactives #-T% Iuvv nEPARTMENT OF ENVIRONMENTAL HEALTH 2 OU--- l—A A— tHMDD•�,o CA 92123. Iswer to any of the at,es�n� w , W,call (858) 505-8700 prior b the issuance of a building permit. it 1 � i20IS ❑ CaIARP Exempt �1 /'io hots Expected Date of Occupancy. / FEES ARE REQUIRED. Project Completion Date: (for ran construction or remodeling projects) Date Initials YES NO 1. ❑ Is your business listed on the reverse side of this form? (check all that apply). ❑ CaIARP Required 2 ❑ Will your business dispose of Hazardous Substances or Medical Waste in any amount? 3. ❑ Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 Pounds Date Initials 200 cubic feet, or carcinogensfreproduc6ve toxins in any quantity? 4. ❑ Will your business use an existing or install an underground storage tank? ❑ CaIARP Complete 5. ❑ Will your business store or handle Regulated Substances (CaIARP)? / 6. ❑ Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? Date Initials 7. ❑ Will your business store petroleum in tanks or containers at your facility Acith a total storage capacity equal to or greater than 1,320 gallons? (California's Aboveground PART ill• AN DIEGO COUNTY R POLLUTION,�ONT tOL Dime 13;�649�1�� (g58) 586-2600 pria1W the Issuance of a buildincontact demolition lutlon ontro (APCD), 1ui14 Id rove nvcn+ . r or to permit. Note: if the answer lo questions 4 or 5 is yes, applicant must also submit an asbestos notification form to the APCO at least 10 Working days prior commencing demolition or renovation, except demolition or renovation of residential structures of four units or less. Contact the APCD for more information. YES t - ❑ Will the subject facility ht : instruction activitiesIoperations nd the lest of typical equipmenta requiring g an APCD permititnon the reverse side APCD facisheet at htto lJwww sdaocd _ of this from. Contact APCD if you have any questions). 2. ❑ (ANSWER ONLY IF QUESTION 1 to YES) h ylrsl/www facility /� ppuubli within priivvate sschools or contact the appropriate school d'str'hct) ) (Search the California School Directory 3. El Has a survey been performed to determine the presence of Asbestos Containing Materials? 4 ❑ A.Will there be renovation that involves handling of any friable asbestomaterials. ral or disturbing any material that contains non -friable asbestos? 5. El Will there be demolition involving the removal of a bad supporting Brien describe proposed project: Briefly describe business activities: G O f "1GE — r t?.3r+ - � r C E �Ad�E i declare under penalty of perjury that to the t of my knowledge andJi;ef$eseMrA erein are true and correct4k1`4 G UXI& e Owneorized Agent Date Name of Owner or Authorized Agent FOR OFFICIAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: DATE: I BY: �REINFORIAITVONRELEASED FOR OCCUPANCY RPEWIT REQUIRED RELEASED FOR BUILDING PEBUT NOT FOR OCCUPANCY COUNTY-HMD APCD APCD COUPITY 4iMD APCD CITY OF CARLSBAD PLUMBING, ELECTRICAL, MECHANICAL WORKSHEET B-18 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www carisbadca.ov Buildin @carlsbadca.� Project Address:Z052 C F-VlE DeL NbGAl— Permit No.: ClIzatt Information provided below refers to work being done on the above mentioned Permit only. ' Building Dept. Fax: (760) 602-85% Number of new or relocated fixtures, traps, or floor rains ................................ es....... ........... le Newbuilding sewer line?......................................................................................... Yes No Numberof new roof drains?.............................................................................................................. -�-- install/alter water line? ................ ........................................... ........................................................ » . .........».....................».................................. Number of new water heaters?.......» .........:................. •� Number of new, relocated or replaced gas outlets?.................................................................. Numberof new hose bibs? ................. »........................... ......... ................................... I.................. Residential Pennftss New/expanded service: Number of new amps: Minor Remodel only. Yes No Commercial industrials Tenant Improvement: Number of existing amps htvolved in th8 proiect.• fZ0 A o A PS Number of new amps voA*d in this proWt- A in New Construction: Amps per Panel: Number of new amperes A'`A� SinglePhase............................................................... tpp An.A Three Phase................................................................. Number of new amperes (�S Three Phase qgp........................................................ Number of new amperes 1D Ai*�1PS Number of new furnaces, A/, or C heat pumps? .......................................................................... P ps .. No Newor relocated duct works? ... ...................................................................... Yes_ Numberof new fireplaces?................................................................................................................. Numberof new exhaust fans?............................................................................................................ Relocate/install vent?............................................................................................................................ Numberof new exhaust hoods?......................................................................... ............................ Number HP Number of new boilers or compressors?........................................................... of INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY Date Business Name Street Address ZU S Z`� ✓� Email Address cbra'4L43d 7 Rf3ti-!� PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: OP IOU I (ON REVERSE SIDE CHECK TYPE OF BUSINESS) Check all below that are present at your facility: WAMWATM AUMIM y Z(27 Acid Cleaning Ink Manufacturing Nutritional Supplement Assembly Laboratory Vitamin Manufacturing Automotive Repair Machining / Milling Painting / Finishing Battery Manufacturing Manufacturing Paint Manufacturing Biofuel Manufacturing Membrane Manufacturing Personal Care Products Biotech Laboratory (i.e. water filter membranes) Manufacturing Bulk Chemical Storage Metal Casting / Forming Pesticide Manufacturing / Car Wash Chemical Manufacturing Metal Fabrication Metal Finishing Packaging Pharmaceutical Manufacturing Chemical Purification Electroplating (including precursors) Porcelain Enameling Dry Cleaning Electroless plating Power Generation Electrical Component Manufacturing Anodizing Coating (i.e. phosphating) Print Shop Fertilizer Manufacturing Chemical Etching / Milling Research and Development Film /X-ray Processing Printed Circuit Board Rubber Manufacturing Semiconductor Manufacturing Food Processing Glass Manufacturing Manufacturing Metal Powders Forming Soap / Detergent Manufacturing Industrial Laundry Waste Treatment/Storage SIC Code(s) (if known): Brief description of business activities (Production / Manufacturing Operations): �Tc� ���f Gt'c�M��ntSfr7N6�1i1. Description of operations generating wastewater (discharged to sewer, hauled or evaporated): Estimated volume of industrial wastewater to be discharged (gal / day): _C9' List hazardous wastes generated (type / volume): /`-14- Date operation began/or will begin at this location: Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes N If yes, when: Site Contact iA� 3ec Title C0^4-/k6f0r- Signatur -�- Phone No. rf"-�t3_ Z566 ENCINA AT 4AUH0RITY, 6200 Avenida Encinas Carlsbad, CA 92011 (760) 438-3941 FAX: (760) 476-9852 STATE OF CALIFORNIA OUTDOOR AiR ACCEPTANCE rNA7GEG-MECH-2A (Revised 08/09) CALIFORNIA ENERGY COMMISSION .5.1 RTIFICATE OF ACCEPTANCE MECH-2A Outdoor Air Acce tance a e 1 of 3) ect Name/ ddress:2US2em me or Identificationtrag.: + System Lc�,cation or Area ServedA isntorcement Agency: Arote: Submit one Certbricale ofAccepfanoe fol• each system Enforcement Agency Use:.Checked byll)ate that must demonstrate compliance. FIELD TECHNICIAN'S DECLARATION STATEMENT • 1 ccrtif}, under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am the person who performed the acceptance requirements verification reported on this Certificate of Acceptance (Field Technician). • I certify that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. • I have confirmed that the Installation Certificate(s) for the constructioiu<installation identified on this form has been completed and is posted or made available with the building permit(s) issued for the building. Company Name-. Field Tec iician' amc: Field Tech 'a ' Si ature: Date Sign Position With Company (Title): /DCLYO - V ems- ` ZY71 A — RESPONSIBLE PERSON'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, that I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this form. + 1 am a licensed contractor, architect, or engineer, who is eligible under Division 3 of the Business and Professions Code, in the applicable classification, to take responsibility for the scope of work specified on this document and attest to the declarations in this statement (responsible person). • I certify that the inforniafion provided on this form substantiates that the construction/installation identified on this form complies %vith the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. • I have confirmed that the Installation Certificates) for the construction/installation identified on this forn has been completed and is posted or made available with the building peanit(s) Issued for the building. • I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permits) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building oivner at occupancy. Company Name: License: - � y �� CAA-1tS (Title): Phone: 2008 rlro►it-esideniral Acceptance Forms August 2009 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE rer rcnaure cuFR[,v (:OAAMISSION - GEC-h FUH-ZA (KeMeG UUMV) M CERTIFICATE OF ACCEPTANCE NA7.5.1 Outdoor Air Acce rtanee age c 2 2 o of f 3 3 Project Nar a/Addre System Name or Ildentificationrfag: Syste►n Location or Area Served: Intent: llerify meastn•ed outside ail floe, reading is 1pithii7 + 10% of the total required outside ah floiv value found in the Slandm ds Mechanical Plan (AIECH 3C, Column H or Column 1), per A14 7S I Construction Inspection 1 Instrumentation to perform test includes, but not limited to: a. Watch b. Calibrated means to measure airflow 2 Check one of the following: ❑ Variable Air Volume (VAV) - Check as appropriate: a• Sensor used to control outdoor air flow must have calibration certificate or be field calibrated ❑ Calibration certificate (attach calibration certification) ❑ Field calibration (attach results) Constant Air Volume (CAV) - Check as appropriate: ❑ System is designed to provide a fixed minimum OSA when the unit is on NA7.5.1.1 Outdoor Air Acceptance A. Functional Testing (Check appropriate column) CAV VAV a. Verify unit is not in economizer mode during test - check appropriate column Step 1: CAV and VAV testing at fall supply airflow AL a. Adjust supply to achieve design airflow b. Measured outdoor airflow reading (cfm) c. Required outdoor airflow (cfm) U•om MECH--3C, Column I) d. Time for outside air damper to stabilize after VAV boxes open (minutes) e. Return to initial conditions (check) Step 2: VAV testing at reduced supply airflow a. Adjust supply airflow to either the sum of the minimum zone airflows or 30% of the total design a ow b. Measured outdoor airflow reading (cfm) c. Required outdoor airflow (cfm) (fi•onr HECH-3C, Column 1) d. Time for outside air damper to stabilize after VAV boxes open and minimum air flow achieved minutes e. Return to initial conditions (check) B. Testing Calculations & Results CAV VAV Percent OSA at full supply airflow (%OAra for Step 1) a. %OAFA = Measured outside air reading /Required outside air (Steplb/Steplc) % % b. 90% <_ %OAFA <_ 110% N c. Outside air damper position stabilizes within 15 minutes (Step Id < 15 minutes) Y N Y / N Percent OSA at reduced supply airflow (o/aOARA for Step 2) a. %OARA = Measured outside air reading /Required outside air (Step2b/Step2c) % % b. 900/o<%OARA <_ 110% Y / N 2008 A'onresidential ,4cceplance Forms August 2009 STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-MECH-2A !Revised moan CALIFORNIA ENERGY COMMISSION -4%M ` rNA7.5.1 RTIFICATE OF ACCEPTANCE MECH-2A Outdoor Air Acce tance a c 3 - 3ect Name/Address: em Name or IdentiflcationiTag: 7System Location or Area Served: C. I Outside air damper position stabilizes within 15 minutes (Step 2d < 15 minutes) y / N Note. Shaded bores do not apply for CAV systems C. I PASS / FAIL Evaluation (check one); PASS: All Construction Inspection responses are complete and Testing Calculations (y - yes) & Res tits responses are positive p FAIL: Any Construction Inspection responses are incomplete OR there is one or more negative (N - no) responses in Testing Calculations & Results section. Provide explanation below. Use and attach additional pages if necessary. 2008 A'onresidential Acceptance Fo►•rns August 2009 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY AIR CONDITIONER AND HEAT PUMP SYSTEMS CALIFORNIA ENERGY COMMISSION CEC-MECH-3A (Revised OW091 CERTIFICATE OF ACCEPTANCE MECH-3A NA7.5.2 Constant Volume Single Zone Unitary Air Conditioner and Heat Pump Systems (Page 1 of 4 Project Name/ dress: ^� �!r, 5 -_ System Name or Identification/I'ag: Syste Location or Areeaa Sery Enforcement Agency: Permit Number: A'ote: Submit one Certificate ofAcceptance for each system Enforcement Agency Use Checked bylDate: that must demonstrate compliance. FIELD TECHNICIAN'S DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am the person who perfornied the acceptance requirements verification reported on this Certificate of Acceptance (Field Technician). • I certify that the construction/instatlation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified ht Reference Nonresidential Appendix NA7. • I have confirmed that the Installation Certificates) for the construction/installation identified on this form has been completed and is . etP.t nr merle nvattahie .cdth the buildine nennit(s) issued for the building. Field TecW8inn's Name: ,-� r tetarr eGp�ician s , , _ �_ r 7. Date Si red: Position With Com any (Title). RESPONSIBLE PERSON'$ DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, that I am the Field 'technician, or tite Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this form. • I ani a licensed contractor, architect, or engineer, who is eligible under Division 3 of the Business and Professions Code, in the applicable classification, to take responsibility for the scope of work specified on this document and attest to the declarations in this statement (responsible person). • I certify that the information provided on this form substantiates that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. • I have confirmed that the Installation Certificates) for the consiruction/installation identified on this form has been completed and is posted or made available with the building pennit(s) issued for the building. • I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building pennit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Company NqnlkqPhone: wn�7t )c Nespo r—nat"u"r�e:Responsi rson's " License: — Date S' tied: Positio ith Co t ktlly (Title): r3 2008 Aonresidential Acceptance Forms August LUUY STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-MECH-3A (Revised 08/091 fay CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE MECH-3A NA7.5.2 Constant Volume Single Zone Unitary Air Conditioner and Heat Pump Systems (Page 2 of 4 Project Na qe ddres : Systein Name or Identification ang: System Location or Area Served: Iutentt 1'er{. tlne individual componellis ofa constant vohune, single zone, noniiar}, air conditioner arnd heal pump s),stenn f tnetion cor►-ectl}, Including: thei-inostat innstallatlon and programming, supply fan, heating, cooling, and damper operation per AIAZ 5.2 Construction Insnection 1. Instrumentation to perform test includes, but not limited to: a. None required 2. Installation Tllennostat is located within the space -conditioning zone that is served by the HVAC system. 3. Programming (check all of the following): .k5hermostat utcets the temperature adjustment and dead band requirements of 122(b) D Occupied, unoccupied, and holiday schedules have been programmed per the facility's schedule. ❑ Pre -occupancy purge has been programmed to meet the requirements of Standards Section 121(c)2. .y ru►►cuonal 1 esutng itt:equirements Operating Modes Cooling load during unoccupied condition Cooling load during occupied condition Manual override No-load during unoccupied condition %V Heating load during unoccupied condition No-load during occupied condition Heating load during occupied condition Step 1t Check and verify the following for each sidulation mode required A B C D E F. .G. a• Supply fan operates continually b• Supply fan turns off C. Supply fan cycles on and off d. System reverts to "occupied" mode to satisfy any condition System turns off when manual override time period expires Gas -fired furnace, heat pump, or electric heater stages on ` ,Q NN either heating or cooling is provided by the unit h• No heating is provided by the unit ET �1 I. No cooling is provided by the unit J- Compressor. stages on Er -Er k• Outside air damper is open to minimum position Outside air damper closes completely Iu�• System returned to initial operating conditions after all tests have been completed: N B. Testing Results A B O D E F G. Indicate if Passed (P), Failed (F), or N/A (X), fill in appropriate letter 2008 Nonresidential Acceptance Forms August 2009 STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY AIR CONDITIONER AND HEAT PUMP SYSTEMS CAI IFORNIA ENERGY COMMISSION utt:-mto:m-m tKevwvu Volvo) CERTIFICATE OF ACCEPTANCE MECH-3A NA7.5.2 Constant Volume Single Zone Unitary Air Conditioner and Heat Pump Systems (Page 3 of ProjectNatdre s: System Name or Identificationffag: System Location or Area Served: Hugersr tuvy 2008 Alonresidential Acceptance Forms STATE OF CALIFORNIA CONSTANT VOLUME SINGLE ZONE UNITARY AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-MECH-3A (Revised 08/09) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE MECH-3 NA7.5.2 Constant Volume Single Zone Unitary AiA r Conditioner and Heat Pump Systems (Page 4 of A Project Name/Address. •- — "�«S System Name or C. YASS / FAIL Evaluation or Area PASS: All Construction Inspection responses are complete and all applicable Testing Results responses are "Pass" (P) FAIL: Any Construction Lispection responses are incomplete OR there is one or more "Fail" (F) responses in Testing Results section. Provide ex lanation below. Use and attach additional oapres if nere cAry 2008 Arow-esidential Acceptance Forlus August 2009