Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
2131 PALOMAR AIRPORT RD; 330; CB151315; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-26-2015 Commercial/Industrial Permit Permit No: CB'l 51315 Building Inspection Request Line (760) 602-2725 Job Address: 2131 PALOMAR AIRPORT RD CBADSt: 330 Permit Type: TI Sub Type: INDUST Status: ISSUED Parcel No: 2130702700 Lot#: 0 Applied: 04/30/2015 Valuation: $109,556.00 Construction Type: 3A Entered By: LSM Occupancy Group: Reference # Plan Approved: 05/26/2015 Issued: 05/26/2015 'Inspect Area Plan Check #: Project Title: WWM FINANCIAL= 2,529 SF TI TO INCLUDE PARTITIONS/LIGHTING/MINOR MECH/ELECT/PLUMB Applicant: ' ' ' Owner: MICHELE ARNOLD-KUSH REALTY ASSOCIATES FUND VII L P C/O TA ASSOCIATES REALTY 925 FORT STOCKTON 1301 DOVE ST #860 SAN DIEGO CA 92103 ' ' NEWPORT BEACH CA 92660 619-297-6153 Building Permit $661.36 Meter Size Add'l Building Permit Fee $0.00 AddI Red. Water Con. Fee $0.00 Plan Check $462.95 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 $30.68 OFF (3105540) $000 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 , $42.00 Add'I Renewal Fee . $0.00 ELECTRICAL TOTAL , - $45.00 Other Building Fee $0.00 MECHANICAL TOTAL , $44.59 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 Red. Water Con. Fee $0.00 Additional Fees. ' $0.00 Green Bldg Stands (5B1473) Fee $5.00 HMP Fee ?? Fire Expedidted Plan Review $227.50 Green Bldg Standards Plan Chk ?? TOTAL PERMIT FEES $1,519.08 Total Fees: $1,519.08 Total Payments To Date: $1,519.08 Balance Due: $0.00 FINAL APPROVAL Inspector: Date: 7 / ' Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Cartsbad 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 rtght 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 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING EJENGINEERING El BUILDING EIFIRE [::]HEALTH EHAZMATIAPCD Building Permit Application Plan Check No. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value I C I T Y 0 F Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: building@carlsbadca.gov I Plan Ck. Deposit 4 # i S.' Date c4l 30/' ' I www.carlsbadca.gov JOB ADDRESS 2131 PALOMAR AIRPORT ROAD' SUITE#/SPACE#/UNT# , SUITE #330 APN 213 - 070 - 16 - 00 CT/PROJECT C LOT C PHASE C C BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP 13 J #OFUNITS JOBEDROOMS , WWM FINANCIAL lilA B DESCRIPTION OF WORK: include Square Feet of Affected Area(s) - J.I. WILL NOT INCLUDE STRUCTURAL WORK. T.I. WILL INCLUDE NON-LOAD BEARING PARTITIONS ONLY. EXISTING AND NEW SUSPENDED CEILINGS INCLUDING NEW LIGHT FIXTURES. HVAC/MECHANICAL SYSTEMS ARE EXISTING, DUCT WORK ONLY. NEW AND EXISTING ELECTRICAL. REPLACING (1) SINK. AREA OF IMPROVEMENT: 2,529 SF EXISTING USE , PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE . AIR CONDITIONING FIRE SPRINKLERS VACANT ' : t' , T.I. OFFICE I I I YES [:]#. NO YESNOD YESNOE APPLICANT NAME (Primary Contact) MICHELE ARNOLD-KUSH APPLICANT NAME (Secondary Contact) kELSEY DAMPIER ADDRESS ADDRESS - 925 FORT STOCKTON 925 FORT STOCKTON DR CITY - STATE ZIP SAN DIEGO CA 92103 CITY STATE . ZIP SAN DIEGO CA 92103 PHONE FAX PHONE FAX 6192976153 6192996072 6192976153 . 6192996072 EMAIL EMAIL MICHELE@SAFDIERABINES.COM KELSEY@SAFDIERABINES.COM PROPERTY OWNER NAME TA ASSOCIATES C/O SENTRE PARTNERS CONTRACTOR BUS. NAME WHITE CONSTRUCTION ADDRESS . ADDRESS . 2121 PALOMAR AIRPORT ROAD ' 2524 GATEWAY ROAD CITY , STATE ZIP CITY STATE ZIP CARLSBAD CA 92011 CARLSBAD CA ' 92009 PHONE - FAX PHONE FAX 760.804.0340 760.931.1130 760.931.1171 EMAIL EMAIL AJOHNSON@SENTRE.COM GREGGcWHITECONSTRUCTIONINC.COM ARCH/DESIGNER NAME & ADDRESS STATE LIC. C . STATE LiC.0 CLASS CITY BUS. LIC.0 SAFDIE RABINES ARCHITECTS 1 452513 1 B I B1995011681 (U1.1) business and Proressioris 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)). ®GBODO° 3J(JØ(J Workers' Compensation Declaration: I hereby affirm under penafty of perjury one of the following declarations: r:i I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the La . bor Code, for the performance of the work for which this permit is issued. i:i 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. EVEREST NATIONAL INSURANCE CO Policy No. 7600014158151 Expiration Date 01-01-2016 This section need not be completed if the permit is for one hundred dollars ($100) or less. [J Certificate of Exemption I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation cover us unIawfuj,jn shall Subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of Compensation, damages as provided for in ion 3706 f abor code, interest and attorney's fees. CONTRACTOR SIGNATURE _...."-'----- AGENT DATE 000130-00011000 (DO WO () I hereby affirm that lam 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 sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and ProfessionsCode: 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: I personally plan to provide the major labor and materials for construction of the proposed property improvement. [—]Yes No I (have! have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name address / phone /contractors' license number): I plan to provide portions of the work, bull have hired the following person to coordinate, supervise and provide the major work (include name! address / phone /contractors' license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include nameLaddress / phone I type of work): ..PROPERTY OWNER SIGNATURE . DAGENT DATE 9G0, VC008 8@I700 O® ® OOOJD DWQIøUfZi@ PGO7O (D&II1S7 Is the applicant or future buildingoccupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 pr 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes / No Is the applicant or future building ocdupant required to obtain a permit from the air pollution control district or air Quality management district? Yes / No Is the facility to be constructed wj)hin 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. 0i90700 1®Q)@ n1@000V 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 Lenders Address 0004i? @uOi?o®I I certify that I have read the application and state that the above information is conectand that the information on the plans is accurate. I agree to complywith all City ordinances and State laws relating to building construction. thereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 50' deep a ofiton or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the Building Officialun e provisio sof this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the build authorized by di permit is suspended or abandoned at any time after the work is commenced fora 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. CERTIFICATE OF OCCUPANCY .(Com m e rc i a l 1P ro j e cts Only ) Fax (760) 602-8560, Email bui [din aäcarIsbadca.aov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME MICHELE ARNOLD-KUSH OCCUPANT NAME WWM FINANCIAL ADDRESS BUILDING ADDRESS 925 FORT STOCKTON DR. 21.31, PALOMAR AIRPORT RD, STE 330 CITY STATE ZIP CITY STATE ZIP SAN DIEGO CA 92103 Carlsbad CA 92008 PHONE FAX 619-297-6153. 619-299-6072 EMAIL OCCUPANT'S BUS. LlC. No. MICHELE@SAFDIERABINES.COM DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) . ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On P. 1) NO CHANGE IN USE! NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION APPLICANT S _[ri [(c- DATE Inspection List Permit#: CB151315 Type: TI INDUST WWM FINANCIAL 2,529 SF TI TO INCLUDE PARTITIONS/LIGHTING/MIN Date Inspection Item Inspector Act Comments 07/01/2015 89 Final Combo - RI EMAILING CARD 07/01/2015 89 Final Combo PD AP 06/23/2015 39 Final Electrical - RI 06/23/2015 49 Final Mechanical - RI 06/23/2015 85 T-Bar PB AP 06/15/2015 11 Ftg/Foundation/Piers PB AP 06/15/2015 12 Steel/Bond Beam PB AP 06/15/2015 85 T-Bar PD CA 06/01/2015 17 Interior Lath/Drywall PD AP 05/27/2015 84 Rough Combo PD AP V Thursday, July 02, 2015 Page 1 of C6115- MIS 2131 PLOAU KcRT Rl - INSPECTION RECORD 13 To PA S.&Gf1HI. )'G WPEF1Ou RECORD cWITNAFPOI,ED Pi MUST, BEEPTO*II1HEJTJ $jJ5 PIECORD COPY JURISDICTION: Carlsbad DATE: 05/12/2015 UAIPLICANT Lv' U PLAN REVIEWER U FILE PLAN CHECK NO.: 15-1315 SET: I EsGil Corporation In (Partners flip with -government for Bui(iing Safety PROJECT ADDRESS: 2131 Palomar Airport Rd. Suite 330 PROJECT NAME: WWM Financial TI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. Liii The applicant's copy of the áheck' list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: Z EsGil Corporation staff did not advise the applicant that the plan check has been completed. El EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Email: Mail Telephone Fax In Person LII REMARKS: By: John Le Vey Enclosures: EsGil Corporation EGA EEJEMB EPC 05/04/2015 9320 Chesapeake Drive, Suite 208 • San Diego, California 92,123 • (858) 560-1468 • Fax (858) 560-1576 rn Carlsbad 15-1315 05/12/2015 [DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 15-1315 PREPARED BY: John Le Vey DATE: 05/12/2015 BUILDING ADDRESS: 2131 Palomar Airport Rd. Suite 330 BUILDING OCCUPANCY: B BUILDING PORTION AREA ( Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) TI per city 109,556 Air Conditioning Fire Sprinklers TOTAL VALUE 109,556 Jurisdiction Code 1cb 113y Ordinance Bldg. Permit Fee by Ordinance V Plan Check Fee by Ordinance v Type of Review: E1 Complete Review E Structural Only I $661.561 I $430.011 E Repetitive Fee Repeats LI Other El Hourly Hr. @ * EsGil Fee I $370.471 Comments: Sheet of macvalue.doc + CITY OF CAR LSBAD PLAN CHECK REVIEW TRANSMITTAL Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov DATE: 05-05-2015 PROJECT NAME: WWM FINANCIAL T.I. PROJECT ID CB15- 1315 PLAN CHECK NO: 1 SET#: 1 ADDRESS: 2131 PALOMAR AIRPORT RD. APN: 213.070-16-00 VALUATION: $109,556 171 This plan check review is complete and has been APPROVED by the ENGINEERING Division. By: CG 5-5-15 A Final Inspection by the Division is required Eyes [T—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: MICHELE@SAFDIERABINES.COM 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, . ENGINEERING FIRE PREVENTION , 7606024610 760 602 2750k 4 ,j60 6024665 Chris Sexton J7J Chris Glassen fl Greg Ryan L 760-602-4624 760-602-2784 760-602-4663 Chris.Sexton@carlsbadca.gov ChristoDher.Glassen@carlsbadca.gov Gregory.Ryan@carlsbadca.gov Gina Ruiz Linda Ontiveros Eli Cindy Wong 760-602-4675 760-602-2773 760-602-4662 Gina.Ruiz@carlsbadca.gov Linda.Ontiveros@carlsbadca.gov Cynthia.Wong@carlsbadca.gov fl-i i] El Dominic Fieri - 760602-4664 Dominic.Fieri@carIsbadca.gov, BUILDING PLANCHECK CITY OF CHECKLIST CARLSBAD QUICK-CHECK/APPROVAL Develooment Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 wwwcarlsbadca.gov ENGINEERING Plan Check for CB15-1315 Date: 05-05-2015 Project Address: 2131 PALOMAR AIRPORT RD. APN: 2130701600 Project Description: INTERIOR T.I. Valuation: $109,556 ENGINEERING Contact: CHRIS GLASSEN Phone: 760-602-2784 El RESIDENTIAL INTERIOR El RESIDENTIAL ADDITION MINOR (<$20,000.00) El CARLSBAD PREMIER OUTLETS Email: Christopher.GIassencarIsbadca.gov Fax: 760-602-1052 ] TENANT IMPROVEMENT El PLAZA CAMINO REAL El COMPLETE OFFICE BUILDING El OTHER: GYM OFFICIAL USE ONLY ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT BY: CG 5/5/15 DATE: 05-05-2015. REMARKS: NO ADDITIONAL ENGINEERING FEE Notification of Engineering APPROVAL has been sent to MICHELESAFDIERABINES COM I via EMAIL on 05-05-2015 E-36 Page 1 of 1 REV 4/30/11 PLANNING DIVISION Development Services BUILDING PLAN CHECK Planning Division V OW IV 1635 CITY OF APPROVAL Faraday Avenue CARLSBAD P-29 (760) 602-4610 DATE: 5/4/15 PROJECT NAME: T.I. PROJECT ID: PLAN CHECK NO: C13151315 SET#: ADDRESS: 2131 PALOMAR AIRPORT RD APN: This plan check review is complete and has been APPROVED by the PLANNING Division. By: GINARUIZ A Final Inspection by the PLANNING Division is required Yes Z 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 reqyired. Plan Check APPROVAL has been sent to: MICHELE@SAFDIERABINES.COM For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING FIRE PREVENTION r76060260 -, 7606022750 7606024665 I. - ............. .fl '..•".........• 5.! Chris Sexton Chris Glassen Greg Ryan 760-602-4624 760-602-2784 . 760-602-4663 Chris.Sexton@carlsbadca.gov Christopher.Glassen@carlsbadca.gov Greporv.Rvan@carIsbadca.gov Gina Ruiz VaiRay Marshall Cindy Wong 760-602-4675 760-602-2741 760-602-4662 Gina.Ruiz@carlsbadca.gov • VaIRay.MarshaIl@carIsbadca.gov Cynthia.Won@carIsbadcaov Linda Ontiveros Dominic Fieri 760-602-2773 760-602-4664 Linda.Ontiveros@carlsbadca.gov Dominic.Fieri@carlsbadca.gov Remarks: NO NEW ROOF MOUNTED EQUIPMENT, ONLY DUCT WORK STATED ON PLANS • . . . - - - .-. . S • • p • - PLANNING ? . .- - -ENGINEERING - ,•• . * FIRE PREVENTION - 760-602-4610 - 760-602-2750-- 760-602-4665 Chris Sexton . Kathleen Lawrence Greg Ryan • 760-602-4624 . 760-602-2741 760-602-4663 - Chris.Sexton@carisbadca.gov • kathieeñ.Lawrence@carisbadca.gov Greorv.Ryan@carisbadca.ov FT Gina Ruiz . Linda Ontiveros Z Cindy Wong 760-602-4675 . 760-602-2773 760-602-4662 . Gina.Ruiz@carisbadca.gov Linda.Ontiveros@carisbadca.gov Cynth ia.WonE@carisbadca.gov Dominic Fieri - 760-602-4664 Dom! n ic. Fieri@ca rlsbadca.go Remarks: 5/2V15,. **APPROVED: CITY OF CARLSBAD PLAN CHECK REVIEW TRANSMITTAL Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov DATE: 5/21,/15 PROJECT NAME:WWM Financial PROJECT ID: PLAN CHECK NO: 0151315 SET#: I ADDRESS:2131 par #330 APN: This plan check review is complete and has been APPROVED by the&iision. By: cwong . A Final Inspection by the Division is required Z Yes fl No This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans asrequired.-.-. Plan Check Comments have been sent to 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 - Page lof2 .• - .---------. - - • - - . - •_) '.-. -- -•---. -. -. _4 .•- Carlsbad Fire Department Plan Review Requirements Category: TI , INDUST Date of Report 05-21-2015 Reviewed b Name: WHITE CONSTRUCTION Address: 2540 GATEWAY RD CARLSBAD CA 92009 Permit #: CB 151315 Job Name: WWM FINANCIAL= 2,529 SF TI Job Address: 2131 PALOMAR AIRPORT RD CBAD St: 330 INC ou have submitted for review is incomplete At this time, this office cannot adequately conduct a review to determin standards Please review carefully all comments attached. Pie u mit the necessa or specifications, with changes "clouded", to this office for review and a oval Conditions Cond: C0N0008299 [MET] THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUEANCE OF A BUILDING PERMIT. THIS APPROVAL IS SUBJECT TO FIELD INSPECTIONS, ANY REQUIRED TESTS, FIRE DEPARTMENT NOTATIONS, CONDITIONS IN CORRESPONDENCE AND COMPLIANCE WITH ALL APPLICABLE CODES AND REGULATIONS. THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE ANY VIOLATION OF THE LAW Entry 05/21/2015 By cwong Action AP BLDG DEPT COPY Page 1 of! Recommendation for Approval Daryl K. James & Associates, Inc. Prepared by: Kevin H. Scott Date: May 8, 2015 Telephone: (661) 431-5897 Email: khscottassocgmail.com APPLICANT: Safdie Rabines Architects JURISDICTION: Carlsbad, Fire Department PROJECT NAME: WWM Financial PROJECT ADDRESS: Carlsbad Executive Plaza 2131 Palomar Airport Road, Suite 330 PERMIT No.: C131 51315 PROJECT DESCRIPTION: Tenant Improvement in office area on 3d floor. Building is a sprinklered Group B office building of Type lIlA construction. Total of 2,529 sq.ft. This plan review is to verify conformance to minimum requirements of codes adopted by the Carlsbad Fire Department applicable to the scope of work. INSTRUCTIONS 1. Direct any questions regarding these plan review comments to: Kevin H. Scott (661)431-5897 0 khscottassoc©gmail.com COMMENTS 0 Plans for Building Permit CBI 5-1315 have been evaluated and reviewed, and are in conformance to the codes adopted by the Carlsbad Fire Department applicable to the scope of work. • 0 • These plans are recommended for approval. End of Comments INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY Dateq.30. /. Business Nam Street Address Email Address PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) Check all below that are present at your facility: Acid Cleaning Ink Manufacturing Nutritional Supplement! Assembly Laboratory Vitamin Manufacturing Automotive Repair Machining I 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 Metal Fabrication Packaging Chemical Manufacturing Metal Finishing Pharmaceutical Manufacturing Chemical Purification Electroplating (including precursors) Dry Cleaning Electroless plating Porcelain Enameling Electrical Component Anodizing Power Generation Manufacturing Coating (i.e. phosphating) Print Shop Fertilizer Manufacturing Chemical Etching I Milling Research and Development Film /X-ray Processing Printed Circuit Board Rubber Manufacturing Food Processing Manufacturing Semiconductor Manufacturing Glass 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): Description of operations generating wastewater (discharged to sewer, hauled or evaporated): Estimated volum.e of industrial wastewater to be discharged (gal/day): List hazardous wastes generated (type/ volume): Date operation began/or will begin at this location: Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes No If yes, when Site Contact "'k /5*1 I Title Ve Signature Phone No.$ (q 7 . (53 ENCINA WASTIMATER AUTHORITY, 6200 Avenida Encinas Carlsbad CA 92011 (760) 438-3941 FAX: (760) 476-9852 DISCHARGE PERMIT EXEMPT LIST The commercial enterprises listed below are a partial listing of businesses that are exempt from industrial wastewater discharge permitting under normal operating conditions. They are exempt because (a) they discharge no process wastewater (i.e., they only discharge sanitary wastewater with no pollutants exceeding any local limits), and (b) they have no potential to negatively impact the EWPCF or other wastewater treatment plants in the ESS. Any questions regarding exemptions should be referred to EWA Source Control staff. Automobile Detailers Barber/Beauty Shops Business/Sales Offices Carpet/Upholstery Cleaning Services Childcare Facilities Churches Community Centers Consulting Services Contractors Counseling Services Educational Services (no auto repair/film developing) Financial Institutions/Services Fitness Centers Gas Stations (no car wash/auto repair) Grocery Stores (no film developing) Home-based Businesses Hotels/Motels (no laundry) Laundromats - Libraries Medical Offices (no x-ray developing) Mortuaries Museums Nail Salons Nursing Homes Office Buildings (no process flow) Optical Services Pest Control Services (no pesticide repackaging for sale) Pet Boarding/Grooming Facilities Postal Services Public Storage Facilities Restaurants/Bars Retail/Wholesale Stores (no auto repair/film developing) Theaters (Movie/Live) WE Is OFFICE USE ONLY RECORD ID# HHMBP# SAN DIEGO REGIONAL I OCCC HAZARDOUS MATERIALS QUESTIONNAIRE _BP DATE I I Business Name Business Contact Telephone # WWM FINANCIAL KERRY HARMON 760-692-5194 Project Address City State Zip Code APN# 2131 PALOMAR AIRPORT ROAD, STE 330 CARLSBAD CA 92008 213-070-16-00 Mailing Address City State Zip Code Plan File# Project Contact Telephone # MICHELE ARNOLD-KUSH 619.297.6153 rhe following questions represent the facility's activities, NOT the specific project description. [Ufl IJrnn I IVII'II - flflCflflLJJIJO IVIM I CflIflLO IJIVIOI'.JII. .Jss..Jrnh1.. I .L ridicate by circling the item, whether your business will use, process, or store any materials. If any of the items are must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: Facility's Square Footage (including proposed project): Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards Flammable/Combustible Liquids 7. Pyrophorics 11. •Highly Toxic or Toxic Materials 15. None of These. Flammable Solids 8. Unstable Reactives 12. Radioactives Mons is yes, applicant must contact the County of San Diego Hazardous Mate (858) 505-6700 prior to the issuance of a building permit. -HAZARDOUS MATERIALS DIVISION (HMD): If the answer to any of the Is Division, 5500 Overland Avenue, Suite 170, San Diego, CA 92123. FEES ARE REQUIRED. Project Completion Date: Expected Date of Occupancy: YES NO (for new construction or remodeling projects) 0 121 Is your business listed on the reverse side of this form? (check all that apply). 0 El Will your business dispose of Hazardous Substances or Medical Waste in any amount? 0 0 Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? 0 121 Will your business store or handle carcinogens/reproductive toxins in any quantity? 0 III Will your business use an existing or install an underground storage tank? 0 El Will your business store or handle Regulated Substances (CalARP)? 0 121 Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? 0 0 Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). 0 CalARP Exempt Date Initials 0 CatARP Required Date Initials 0 CalARP Complete Date Initials PART III: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD): If the answer to Question #1 below is no or the answer to any of the Questions #2-5 is yes, applicant must contact the APCD at 10124 Old Grove Road, San Diego, CA 92131-1649 or telephone (858) 586-2600 prior to the issuance of a building or demolition permit. If the answer to questions #4 or #5 is yes, applicant must also submit an asbestos notification form to the APCD at least 10 working days prior to commencing demolition or renovation. (Some residential projects may be exempt from the notification requirements. Contact the APCD for more information.) YES NO D 0 Has a survey been performed to determine the presence of Asbestos Containing Materials? 0 121 Will the subject facility or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the APCD factsheet at http://Nw.sdapcd.org/info/facts/permits.rdf, and the list of typical equipment requiring an APCD permit on the reverse side of this from. Contact APCD if you have any questions). 0 El (ANSWER ONLY IF QUESTION 1 I YES) Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)? (Search the California School Directory at http://www.cde.ca.pov/re/sd/ for public and private schools or contact the appropriate school district). 0 El Will there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos? 0 El Will there be demolition involving the removal of a load supporting structural member? Briefly describe business activities: FINANCIAL ADVISORS I declare under enalty of peij u t a to the best of my knowledge and 47,jL. Narhe of Owner or Authorized Agent Briefly describe proposed project: T.I. OFFICE p0 es made herein are true and correct. 6G#-OWi er Authorized Agent Date FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: BY: DATE: EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR occupANcy RELEASED FOR occucv COUNTYHMD* APCD COUNTY-HMD APCD COUNTY-HMD APCD A stamp in this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply. HM-9171 (03/14) County of San Diego - DEH - Hazardous Materials Division LIST OF BUSINESSES WHICH REQUIRE REVIEW AND APPROVAL FROM THE COUNTY OF SAN DIEGO DEPARTMENT OF ENVIRONMENTAL HEALTH - HAZARDOUS MATERIALS DIVISION Check all that apply: AUTOMOTIVE Battery Manufacturing/Recycling El Boat Yard Car Wash Dealership Maintenance/Painting Machine Shop Painting Radiator Shop Rental Yard Equipment 0 Repair/Preventive Maintenance Spray Booth Transportation Services Wrecking/Recycling CHEMICAL HANDLING Agricultural supplier/distributor Chemical Manufacturer Chemical Supplier/Distributor El Coatings/Adhesive Compressed Gas Supplier/Distributor Dry Cleaning Fiberglass/Resin Application Gas Station Industrial Laundry Laboratory Laboratory Supplier/Distributor El Oil and Fuel Bulk Supply Pesticide Operator/Distributor CHEMICAL HANDLING El Photographic Processing Pool Supplies/Maintenance I-] Printing/Blue Printing Road Coatings Swimming Pool Toxic Gas Handler Toxic Gas Manufacturer METAL WORKING Anodizing Chemical Milling/Etching Finish-Coating/Painting Flame Spraying Foundry 0 Machine Shop-Drilling/Lathes/Mills Metal Plating Metal Prepping/Chemical Coating Precious Metal Recovery Sand Blasting/Grinding Steel Fabricator El Wrought Iron Manufacturing AEROSPACE Aerospace Industry Aircraft Maintenance Aircraft Manufacturing OTHERS AND MISCELLANEOUS Asphalt Plant El Biotechnology/Research Chiropractic Office 0 Co-Generation Plant El Dental Clinic/Office Dialysis Center Emergency Generator El Frozen Food Processing Facility D Hazardous Waste Hauler Hospital/Convalescent Home Laboratory/Biological Lab Medical Clinic/Office Nitrous Oxide (NOr) Control System Pharmaceuticals El Public Utility El Refrigeration System Rock Quarry Ship Repair/Construction El Telecommunications Cell Site Veterinary Clinic/Hospital El Wood/Furniture Manufacturing/Refinishing ELECTRONICS Electronic Assembly/Sub-Assembly Electronic Components Manufacturing Printed Circuit Board Manufacturing NOTE: THE ABOVE LIST INCLUDES BUSINESSES, WHICH TYPICALLY USE, STORE, HANDLE, AND DISPOSE OF HAZARDOUS SUBSTANCES. ANY BUSINESS NOT INCLUDED ON THIS LIST, WHICH HANDLES, USES OR DISPOSES OF HAZARDOUS SUBSTANCES MAY STILL REQUIRE HAZARDOUS MATERIALS DIVISION (HMD) REVIEW OF BUSINESS PLANS. FOR MORE INFORMATION CALL (858) 505-6880. LIST OF AIR POLLUTION CONTROL DISTRICT PERMIT CATEGORIES Businesses, which include any of the following operations or equipment, will require clearance from the Air Pollution Control District. CHEMICAL 47— Organic Gas Sterilizers 32— Acid Chemical Milling 33—Can & Coil Manufacturing 44 - Evaporators, Dryers & Stills Processing Organic Materials 24— Dry Chemical Mixing & Detergent Spray Towers 35— Bulk Dry Chemicals Storage 55 - Chrome Electroplating Tanks COATINGS & ORGANIC SOLVENTS 27 - Coating & Painting 37 - Plasma Arc & Ceramic Deposition Spray Booths 38— Paint, Stain & Ink Mfg 27 - Printing 27 - Polyester Resin/Fiberglass Operations METALS Metal Melting Devices Oil Quenching & Salt Baths 32— Hot Dip Galvanizing 39 - Precious Metals Refining ORGANIC COMPOUND MARKETING (GASOLINE. ETC) 25 - Gasoline & Alcohol Bulk Plants & Terminals 25 - Intermediate Refuelers 26 - Gasoline & Alcohol Fuel Dispensing COMBUSTION 34— Piston Internal - Combustion Engines Boilers & Heaters (1 million BTU/hr or larger) Incinerators & Crematories Burn Out Ovens Core Ovens 20 - Gas Turbines, and Turbine Test Cells & Stands 48 - Landfill and/or Digester Gas Flares ELECTRONICS 29 - Automated Soldering 42 - Electronic Component Mfg FOOD 12— Fish Canneries 12— Smoke Houses 50 - Coffee Roasters 35— Bulk Flour & Powered Sugar Storage SOLVENT USE 28 - Vapor & Cold Degreasing 30 - Solvent & Extract Driers 31 - Dry Cleaning ROCK AND MINERAL 04 - Hot Asphalt Batch Plants 05 - Rock Drills 06 - Screening Operations Sand Rock & Aggregate Plants Concrete Batch, CTB, Concrete Mixers, Mixers & Silos 10— Brick Manufacturing OTHER 01 - Abrasive Blasting Equipment 03 - Asphalt Roofing Kettles & Tankers 46 - Reverse Osmosis Membrane Mfg 51 - Aqueous Waste Neutralization 11—Tire Buffers 17—Brake Debonders 23— Bulk Grain & Dry Chemical Transfer & Storage 45— Rubber Mixers 21 —Waste Disposal & Reclamation Units 36— Grinding Booths & Rooms 40 - Asphalt Pavement Heaters 43—Ceramic Slip Casting 41 - Perlite Processing 40 - Cooling Towers - Registration Only 91 - Fumigation Operations 56 —WWTP (1 million gal/day or larger) & Pump Station NOTE: OTHER EQUIPMENT NOT LISTED HERE THAT IS CAPABLE OF EMIUING AIR CONTAMINANTS MAY REQUIRE AN AIR POLLUTION CONTROL DISTRICT PERMIT. IF THERE ARE ANY QUESTIONS, CONTACT THE AIR POLLUTION CONTROL DISTRICT AT (858) 586-2600. HM-9171 (03/14) County of San Diego - DEH - Hazardous Materials Division (AI IP(PMIA PtV ('rAMIenIrM CERTIFICATE OF INSTALLATION /' NRCI-LTI-01-E Indoor Lighting (Page 1 of 2) Project Name: I wWM Financial Enforcement Agency: City of Carlsbad Pa Project Address: 2131 Palomar Airport Rd. Suite 330 CEy: Carlsbad Vp Code: I 92056 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCI-LTI-01-E (Revised 06/13) / GENERAL INFORMATION DATE OF BUILDING p T pERMg Si 3) 5 BUILDING TYPE Nonresidential 0 High-Rise Res (Common Area) 0 Hotel/Motel (Common Area) PHASE OF 0 New Construction 0 Addition 'AIteration 0 Unconditioned CONSTRUCTION SCOPE OF RESPONSIBILITY Enter the date of approval by enforcement agency of the Certificate of Compliance that provides Date: the specifications for the energy efficiency measures for the scope of responsibility for this Installation Certificate. In the table below identify all applicable construction documents that specify the requirements for the scope of responsibility reported by this Installation Certificate (continued). Document Title or Description - Applicable Sheets or Pages, Tables, Schedules, etc. Date Approved By the Enforcement Agency 42 -15' Mce-OCuIpeA 5jz -1c CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2013 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCI-LTI-01-E (Revised 06/131 r.Al IRNIA FNP(W (MMiI(N CERTIFICATE OF INSTALLATION NRCI-LTl-01-E Indoor Lighting (Page 2 of 2) Project Name: WWMFmancial I Enforcement Agency: ICityofCaxlsbad I Project Address: 2131PaIomarAirportRdSuite330 -bad I Zip Code: I 92056 Document Title or Description Applicable Sheets or Pages, Tables, Schedules, etc. Date Approved By the Enforcement Agency DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Caryn REmy Documentation Author Company Name: Date Signed: North County Electric Co. Address: CEA/ HERS Certification Identification (If applicable): 1432 Eastmore P1 City/State/Zip: Phone: Oceanside, CA 92056 760-532-6359 RESPONSIBLE PERSONS DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: The information provided on this Certificate of Installation is true and correct. lam eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation and attest to the declarations in this statement (responsible builder/installer), otherwise I am an authorized representative of the responsible builder/installer. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements given on the plans and specifications approved by the enforcement agency. I reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements that apply to the construction or installation have been met. I will ensure that a completed signed copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Installation is required to be includ ith the documentation the builder provides to the _building _owner atoccupancy. Responsible Builder/Installer Name: Responsible Bu In S re: Caryn Remy Company Name: (installing Subcontractor or General Contractor or Position With Company itie): Bulider/0wner)No.th County Electric Co. Vice President Address: cSLB License: 1432 Eastmore P1. 946430 City/State/Zip: Phone Da tne . I Oceanside, CA 92056 760-532.6359 / —1) CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2013 STATE OF CALIFORNIA AUTOMATIC DAYLIGHTING CONTROL ACCEPTANCE DOCUMENT is ((-NR(A-I TI4A (Res,rcesl flRI1 ('Al l(PMIA MP(V r'rIMullrmJ CERTIFICATE OF ACCEPTANCE - NRCA-LTI-02-A Lighting Control Acceptance Document - (Page 1 of 6) Project Name: WWM Financial Enforcement Agency: -. City of Carlsbad Permit Num .— CJ? I (> I) Project Address: 2131 Palomar Airport Rd City: Carlsbad Zip Code: 92056 Note: For more than 3 spaces attach additional sets of pages 2 Enforcement Agency Use: Checked by/Date through 5, as required. Automatic Shut-off Controls: Automatic Time Switch Control and Occupant Sensor Intent: I Lights are turned off or set to a lower level when not needed per Section 110.9(a) & 130.1(c). Guidance This acceptance test form must be filled out for all newly-installed lighting control systems of the following types: I. Automatic Time Switch Controls Occupancy Sensors - Ill. Partial-OFF occupancy sensors Partial-ON occupancy sensors (only if used to claim a Power Adiustment Factor) Occupancy Sensors serving small zones in large open plan offices (only if used to claim a Power Adiustment Factor) For automatic daylighting controls use acceptance test form NRCA-LTl-03-A; for demand responsive lighting controls, use acceptance test form NRCA-LTI-04-A. The tests on this certificate are required by Section 140.6(a)2 and 130.4(a) of the Building Energy Efficiency Standards 2013. The tests themselves are described in Sections 140.6(a)2 and in Reference Appendix NA7.6. A. Construction Inspection Fill out Section A to cover spaces 1 through 3 that are functionally tested under Section B. Make as many copies of pages 2-5 as are required to test all spaces in the building, and attach to page 1. Instruments needed to perform tests include, but are not limited to: hand-held amperage meter, power meter, or light meter _j Automatic Time Fwitch Controls Construction Inspection—confirm for all listed in Section B Al/A - _\ a. All aut/matic time switch controls are programmed for (check all): Ii Wee/days - I Wkend \ EI Hftidays b. 40cumeo for the owner automatic time switch programming (check all): 7 Weekdays settings Weekend settings Cox Holidays settings Set-up settings - ? Preference program setting - \eriiy the correct time arid date is properly set in the time switch I Vify the battery is installed and energized J II Ovçride time limit is no more than 2 hours / - t1 Occuant Sensors and Automatic Time Switch Controls have been certified to the Energy Commission in accoriance with the applicable provision in Section 110.9 of the Standards, and model numbers for all such contro(\are listed on the Commission database as Certified Appliance and Control Devices 2 Occupancy Sensor Construction Inspection—confirm for all listed in Section B .- - June 2013 STATE OF CALIFORNIA AUTOMATIC DAYLIGHTING CONTROL ACCEPTANCE DOCUMENT Is CFC-NRCA-LTI-O-A (Revised OR/I 3 (Al IF(PNIA FNR(V ('fMMISI(Thi CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A Lighting Control Acceptance Document (Page 2 of 6) Project Name: Enforcement Agency: Permit Number. Project Address: City: Zip Code: i_al IJ Occupancy sensors are not located within four feet of any HVAC diffuser "1 E1 Ultrasonic occupancy sensors do not emit audible sound 5 feet from source B. Functional Testing of Lighting Controls Representative Spaces Selected For every space in the building, conduct functional tests I through V below if applicable. If there are several geometrically similar spaces that use the same lighting controls, test only one space and list in the cells below which "untested spaces" are represented by that tested space. EXCEPTION: For buildings with up to seven (7) occupancy sensors, all occupancy sensors shall be tested. (NA7.6.2.3) Tested space/ room name:ofR(L 3 / 1 Space Type (office, corridor, etc)o1ZP Ce.. 1 Untested areas/rooms O( 3IO3o1 2O ' , 30-713c)(0 Tested space/ room name:\J's.) 00/(Z2*'Y) Space Type (office, corridor, etc)_ Untested areas/rooms Tested space/ room name: 'pace Type (office, corridor, etc)___________________ Untested areas/rooms Functional Tests Tested Space Number ConfirrompIiance (Y/ for all control system types (I-V) present in each space: 1. Automtä,5 Time Sw h Controls Al) J\' 1 2 Step 1: Simul e occLoied condition All lightAqn e turned on and off by their respective area control switch V / N V / N V / N b Verify the s itch only operates lighting in the ceiling-height partitioned area in which th wi h is located V / N V / N V / N Step 2: Simula unocc)Ried condition a All lighiing, includin emergency and egress lighting, turns off. Exempt lighting may rem4fnon per Sectio 30.1(c)1 and 130,1(a)1. V N / N V N Ma ual override switch lows only the lights in the selected ceiling height itioned space where t override switch is located and remain on no longer Pt V / N V / N V / N - t an 2 hours (unless serving)Wblic areas and override switch is captive key type). Step 3: System returned to initial operating conditions I V / N V / N V / N 1 2 of 30 minutes N (91 N N in an area 0 N N I (9/N [(N I June 2013 STATE OF CALIFORNIA AUTOMATIC DAYLIGHTING CONTROL ACCEPTANCE DOCUMENT '_Mr'Aj TIJlt_A flOil 55 ,S CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A Lighting Control Acceptance Document (Page 3 of 6) Project Name: A Vi VQW Enforcement Agency: - Permit Numbec Project Address: City: Zip Code: b. Lights controlled by occupancy sensors turn on immediately upon an occupied condition OR sensor indicates space is "occupied" and lights may be turned on /9 N N N N Step 3: System returned to initial operating conditions N (1N (9/ N CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2013 STATE OF CALIFORNIA AUTOMATIC DAYLIGHTING CONTROL ACCEPTANCE DOCUMENT CEC-NRCA-LTI-o-A (Revised 06/1 (Al IFCPNlA FI'JFR(V (YlMMlSSIClN CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A Lighting Control Acceptance Document (Page 4 of 6) Project Name: \J J f& (''t.(t Enforcement Agency: Permit Number. Project Address: City: Zip Code: 3. rtial Off Occupanc Sensor 1 2 3 Step Simulate an un ccupied condition a L hts go to pa ial off state within a maximum of 30 minutes from start of an V/N N V/N un ccupied c ndition per Standard Section 110.9(a) The ccupan sensor does not trigger a false "on" from movement in an area b adjac t to he controlled space or from HVAC operation. For library book stacks or N Vt N Vt N wareh s aisle, activity beyond the stack or aisle shall not activate the lighting in the aisle stack. In the p I off state, lighting shall consume no more than 50% of installed lighting r: n 60% of installed lighting power for metal halide or high C.pre ium lighting in warehouses. VtN Vt N Vt N power /ght No \be No n 60% of installed lighting power for corridors and stairwells in wh stalled lighting power is 80 percent or less of the value allowed un ea Category Method. - el m d as a proxy for lighting power when measurements are taken Step Simulate an occupienkonclition The occupant sensing co trols shall turn lights fully ON in each separately controlled a areas, Immediately upon a occupied condition N /N N 4. Pial On Occupancy Sensors 1 1 2 3 Step 1. imulate an ocçø'ed condition. Verify partial on operation. a 1mm diately upo antoccupied condition, the first stage activates between 30 to 70% Vt N Vt N Vt N of the hting tomatically. After the irst tage occurs, manual switches allow an occupant to activate the b. alternate s of lights, activate 100%of the lighting power, and manually deactivate Vt N Vt N Vt N all of the Ii h Step 2. Simul e an occupied condition a Both st ges (auto atic on and manual on) lights turn off within a maximum of 30 Vt N Vt N Vt N minut s from start an unoccupied condition per Standard Section 110.9(a) b The cupant sensor es not trigger a false "on" from movement in an area adjacent Vt N Vt N Vt N tot e controlled space o from HVAC operation I 5. Addit nat test for Oipancy Sensors Serving Small Zones in Office Spaces Larger than 250 uare Feet, i6 Qualify for a Power Adjustment Factor (PAF) 1 2 3 First, compAte Functi nal Test 2 (above)for each controlled zone Step i. Verifhrea 96rved and compare actual PAF with claimed PAF. Refer to Functional Test II. a. Area sery controlled lighting (square feet) b Enter PAF c rresponding to controlled area from line (a) above (<125sf for PAF=0.4, 126-250sf Vbk PAF=0.3, 251-500sf for PAF=0.2). ed for occupant sensor control in this space from the Certificate of c. Enter PAF la 1"V Complia e d The PAF orresp nding to the controlled area (line b), is less than or equal to the PAF Vt N Vt N Vt N claimecy in the co pliance documentation (line c) e Senso shall not t er in response to movement in adjacent walkways or Vt N Vt N Vt N wo paces. CA Building Energy Efficiency S'dards -2013 Nonresidential Compliance June 2013 • ATE OF CALIFORNIA AUTOMATIC DAYLIGHTING CONTROL ACCEPTANCE DOCUMENT t_tIP(AJ TIt.A (Pec,iem1flR/1 ('Al lflDMIA KlDtV (fltltelQQlrlKl CERTIFICATE OF ACCEPTANCE NRCA-LTI-02-A Lighting Control Acceptance Document (Page 5 of 6) Project Name: WW ).,4 ('J _9 Enforcement Agency: Permit Number. Project Address: City: ZIP Code: All steps are conducted in Functional Test 2 "Occupancy Sensor (On Off Control)" and / N Y / N / N all answers are Yes (Y) C Testing Results PASS , PASS ! PASS! FAIL FAIL FAIL I Automatic Time Switch Controls (all answers must be Y). VJ4- ,JJA- Al IA II Occupancy Sensor (On Off Control) (all answers must be Y). Pi-'s P/FSs PAsy Ill Partial Off Occupancy Sensor (all answers must be Y). For warehouses, library book stacks, corridors, stairwells in nonresidential buildings must also be accompanied by 1,11A_ tJ//c N/A passing Test I or Test II. IV Partial On Occupant Sensor for PAF (all answers must be Y). i'J/A ti/A Al /A Sensor serving small zones for PAF (all answers must be Y). Also must pass TestUu1t w/A /'i/A D. Evaluation: N! f responses PASS: All applicable Construction Inspection responses are complete and all applicable Equipment Testing Requirements are positive (V - yes) 11.6 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2013