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HomeMy WebLinkAbout2525 EL CAMINO REAL; 214; CBC2019-0318; RecyclePAO 4'crcity of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Develqpment Services Building Division 1635 FaradayAvenue 760-602-2719 www.carlsbadca.gov Many of the materials generated from your project c a n b e r e c y c l e d . Y o u a r e r e q u i r e d t o l i s t m a t e r i a l s t h a t w i l l b e reused, recycled or disposed from your project. If you ha v e q u e s t i o n s a b o u t t h e r e c y c l i n g r e q u i r e m e n t o r c o m p l e t i n g this form, please contact Waste Management at (76 0 ) 9 2 9 - 9 4 0 0 , a c e r t i f i e d C & D r e c y c l e r , o r t h e C a r l s b a d B u i l d i n g Division at (760) 602-2700. Please note: Unless you a r e s e l f - h a u l i n g . W a s t e M a n a g e m e n t o r a p p r o v e d h a u l e r s m u s t b e used for all construction "o ects within the City of Carls b a d . PART 1 Complete and submit this form when applying f o r a B u i l d i n g P e r m i t . N o t e : P e r m i t s w i l l n o t b e i s s u e d without a completed Construction Waste Management P l a n . Applicant information Permit NoC3C 0/ 7 0 71 ( Project Title 5eP/-f04 Iq Project Address D 509 £ 4,i7,) 2c?fr APN Owner Contractor Architect Applicant Name 0 L 0 Last First Applicant Address !Gô Cq W L> 6//.ZE> C -A DQ cc', i' e- 2- 0 a Phone (7'"] i 72. 007 E-mailAddress Applicant Mailing Address (if different than project address) Project Type Residential (check all that apply): El ctaI Public 11141 Brief Description T 2 fL'Q'. 1o'Q Project Size / %OC Estimated Cost of Project $ (square footage) Please check the appropriate box: 41Ian on using WASTE MANAGEMENT roll-off bin(3) for all materials an d w i l l p r o v i d e a l l r e c e i p t s a f t e r c o n s t r u c t i o n . I plan on self-hauling to a certified recycling facility and wil l p r o v i d e a l l r e c e i p t s a f t e r c o n s t r u c t i o n . This is a proposed LEED certified project and I plan on se p a r a t i n g m a t e r i a l s o n s i t e i n c o n j u n c t i o n w i t h W A S T E MANAGEMENT. Acknowledgement: I certify under penalty of perjury under the laws of the State of California that the inform a t i o n provided in and with this form pertains to construction a n d d e m o l i t i o n d e b r i s g e n e r a t e d o n l y f r o m t h e p r o j e c t l i s t e d in PART 1, that I have reviewed the accuracy of the infor m a t i o n , a n d t h a t t h e i n f o r m a t i o n i s t r u e a n d c o r r e c t t o t h e best of my knowledge and belief. Date Print Name/b b Rev. 11/12/18 Page 1 of 4 Other 0 C.. PART 1 Complete, obtain signature, and submit this form wh e n a p p l y i n g f o r a B u i l d i n g P e r m i t . N o t e : P e r m i t s w i l l (cont'd) not be issued without a completed Construction Wast e l Management Plan. DEBRIS RECYCLING ESTIMATE: [.1L Permit No. f3c Of/ o3/W Project Title ct Address S i C /nf t- /12,4 / 544' Q APN 7Ap cant Name___________________________ _ Phone (?,') 7oi Lost First Complete the following table with estimated waste t o n n a g e t o b e g e n e r a t e d b y y o u r p r o j e c t . rTTThiss your plan for construction waste management. Chartges can be made on the final r e c y c l e r e p o r t . __________ Goal: the diversion rate shall be 65% by weights of debris. A B C Material Type Estimated Place a (1) check Place a (1) check next Place a (V) check next Waste Quantity next to items to be to items to be to items to be _______ (tons) reused or salvaged recycled disposed at landfill Complete this line of the table only only using WASTE MANA GEMENT roll-off bins. Mixed C&D Debris Asphalt & Concrete Brick/ Masonry/ Tile Mixed Inert Debris Cabinets, Doors, Fixtures, Windows (circle all that apply) Carpet Carpet Padding / Foam Cardboard Ceiling Tile (acoustic) Drywall (used, new, scrap) I. Landscape Debris (brush, trees, - stumps, etc.) No dirt. Unpainted Wood & Pallets Roofing Materials - Scrap Metal Stucco Other: TOTAL "meelit Diversion Requirement (estimate) 7. x 0.65 = 0 u' c tons Total Estimated Waste from above Minimum Required Diversion Contractor/Owner Signature Date Page 2of4 Rev. 11/12/18 PART 2- Complete before final inspection, obtain WASTE MANAGEMENT signature, and returnwith receipts prior to fin' building approval. -. DEBRIS RECYCLING REPORT (ACTUAL) Acknowledgement I.certify under penalty of perjury under the laws of the State of California that the information provided in and with this form pertains to construction and demolition debris generated only from the project listed in PART 1, that I have reviewed the accuracy of the information, and that the information is true and correct to the best of my knowledge and belief. . Permit No. Z C. 2oi '7 '07 /8f Print Name - - - Address Cf . Date /2 1LiIlr.I i:I Use this Final Log jeaveltnejoWlsit i'u 3l-ik 2k ;gj ''u'- * '- icAdditionaI Project Log pages are available if necessary Use City Conversion to tons ;Fab1e1t0 convert volume A B C Date Material Type Actual Amt Actual Amt Actual Amt Destination FaciliW Reused or Recycled. Disposed in (Name, Address, Phone) Salvaged Landfill ____ Palomar Transfer Station, 5960 El 01/05/2018 Concrete (broken) 5 tons Camino Real - —(760) 603-0153 IAN 7/o C1p /.c(c/ • 5ó )//k/m / -WIM . .. / . ... 7 t - Diversion Rate Achieved . . . = 2 2) . :s 65%i3 Total of columns A + B Total of columns A + B + C. DIVERSION Contractor/Owner Signature . Date Attach the following documentation to this Report: Return completed form and documentation to: Original recycling weight tickets, landfill weight tickets City of Carlsbad Original donation receipts with photos and/or itemized descriptions Building Division (1st Floor) -. Any other relevant information to support Recycling Report 1635 Faraday Avenue -. - . . Carlsbad, CA 92008 Page 3 Of 4 . - -. Rev. 11/12/18 PART 2 Complete before final inspection, obtain WASTE MANAGEMENT signature, and return with receipts prior to final L building approval. DEBRIS RECYCLING REPORT (ACTUAL): i*ir.Jewi Acknowledgement I certify under penalty of perjury under the laws of the State of California that the information provided in and with this form pertains to construction and demolition debris generated only from the project listed in PART 1, that I have reviewed the accuracy of the information, and that the information is true and correct to the best of my knowledge and belief. Permit No. CBC20190318 Print Name Sephora, Carlsbad 2525 El Camino Real 214 Address Carlsbad, CA 92008 Date 02/27/2020 6 Use this Final Log below to track loads of materials as they leave the job site. ©SAVE RECEIPTS©© Indicate FINAL quantities in tons for each material and save receipts and documents from facilities where material is taken. Additional Project Log pates are available if necessary.Use City Conversion Table to convert volume to tons. A B C Date Material Type Actual Amt Actual Amt Actual Amt Destination Facility Reused or Recycled Disposed in (Name, Address, Phone) __________ Salvaged Landfill Examnie: Palomar Transfer Station, 5960 El 01/05/2018 Concrete (broken) 5 tons Camino Real —(760) 603.0153 01/27/2020 C&D Mix 1.89 Tons EDCO Waste 6 Recycling Services Inc 224 S. Las Posas Rd. - 760) 744-2700 01/27/2020 MSW (Trash) 5.68 Tons Palomar Transfer Station, 5960 El Camino Real - 760) 603-0153 2/13/2020 MSW (Trash) 2.24 Tons Palomar Transfer Station. 5960 El cam,Real - 760) 603-0153 2/18/2020 P45W (Trash) 1.63 Tons Palomar Transfer Station, 5960 El Camino Real - 760) 603-0153 2/18/2020 P45W (Trash) 4.05 Tons Palomar Transfer Station. 5960 El Camino Real - 760) 603-0153 2/4/2020 Nood. C&D Mix. Cardboard, Miramar Landfill. 5180 Convoy Street Plastic, Styrofoam. Metal 1.78 Tons - 858) 492-6100 2/05/2020 Plan c. SLYMEORM, M:Lal. 2.12 Tons Miramar Landfill, 5180 Convoy Street 858) 495-6100 2/06/2020 Wood, C&D Mix, Cardboard, Plastic,Styrofoam. Trash 1.075 Tons .125 Tons Miramar Landfill, 5180 Convoy Street -858) 495-6100 02/07/2020 6D Mix, Cardboard, Plastic Styrofoam, Metal 1.05 Tons . Miramar Landfill. 5180 Convoy Street - 858) 495-6100 ©TOTAL 7.915 Tons 13.725 Tons I1lLSJlI 2! 65% Diversion Rate Achieved Please see / next page = % S 65%0 Total of columns A + B Total of columns A + B + C DIVERSION Contractor/Owner Signature Date Attach the following documentation to this Report: Return completed form and documentation to: Original recycling weight tickets, landfill weight tickets City of Carlsbad Original donation receipts with photos and/or itemized descriptions Building Division (1st Floor) Any other relevant information to support Recycling Report 1635 Faraday Avenue Carlsbad, CA 92008 Page 3 of 4 Rev. 11/12/18 [PART 2 Complete before final inspection, obtain WASTE MANAGEMENT signature, and return with receipts prior to final L building approval. DEBRIS RECYCLING REPORT (ACTUAL): I1*ItIJL Acknowledgement I certify under penalty of perjury under the laws of the State of California that the information provided in and with this form pertains to construction and demolition debris generated only from the project listed in PART 1, that I have reviewed the accuracy of the information, and that the information is true and correct to the best of my knowledge and belief. Permit No._CBC20190318 Print Name Sephora, Carlsbad 2525 El Camino Real 214 Address Carlsbad. CA 92008 Date 02/27/2020 Use this Final Log below to track loads of materials as they leave the job site. ©©SAVE RECEIPTS©© 71ndicateL quantities in pfor each material and save receipts and documents from facilities where material is taken. onal Project Log pages are available if necessary. Use City Conversion Table to convert volume to tons. A B C Actual Amt Actual Amt Actual Amt Destination Facility Date Material Type Reused or Recycled Disposed In (Name, Address, Phone) Salvaged Landfill Examnie: Palomar Transfer Station, 5960 El 01/05/2018 Concrete (broken) 5 tons Camino Real —(760)603-0153 2/08/2020 Wood. CA . Mix. Cardboard, Plastic, Styrofoam. Bubble Warp . Tons Miramar Landfill. 5180 Convoy Street - 8581 495-6100 2/11/2020 C&D Mix, Cardboard, Plastic Miramar Landfill. 5180 Convoy Street Trash .575 Tons .45 Tons - 8581 495-6100 2/14/2020 Wood. CCD Mix. Cardboard. Plastic.Styrofoas, Metal. 1.22 Tons Miramar Landfill, 5180 convoy Street 858) 495-6100 2/20/2020 Wood, CAD His. Plastic, Styrofoam Metal. Bubble Wrap. .49 Tons Palomar Transfer Station, 5960 El Camino Real - 760) 603-0153 2/22/2020 Cardboard 1.066 Tons Quality Recycling, 149 Nettleton Rd Vista - 760) 724-3623 @TOTAL. 4.441 Tons .45 Tons !-65% Diversion Rate Achieved 12.356 26.531 = 46.57 % :s65%rl Total of columns A tB Total of columns A tB + C DIVERSION / / - contractor/Owner Signature S'---' Date 2/27/2020 Attach the following documentation to this Report: Return completed form and documentation to: Original recycling weight tickets, landfill weight tickets City of Carlsbad Original donation receipts with photos and/or itemized descriptions Building Division (1st Floor) Any other relevant information to support Recycling Report 1635 Faraday Avenue Carlsbad, CA 92008 Page 3 of 4 Rev. 11fl2/18 EDCO WASTE & RECYCLING SERVICES, INC 224 S. LAS POSAS RD - SAN MARCOS, CA 92078 INVOICE (760) 744-2700 Customer: 1024 Ticket: 14888 In: 8:59 Truck: 5503/5503 Date: 01/27/20 Out: 9:04 Container: Route: 08645 COASTWASTE/TINA LOVELACE Origin: 086 CARLSBAD 5960 EL CANINO REAL CARLSBAD CA 92008 Extended Commodity Units Rate Charge 45 C & D MIX 1.89 66.00 per TON 124.74 [Gross(In): 36,400. lbs Sc1#1 Tare 32,620. lbs Scl#1 Net: 3,780. lbs] TOTAL DUE 124.74 Construction & Demolition Diversion Certificate -- Diversion Percentage 88% This certifies that the company listed above has utilized an EDCO facility to divert construction demolition materials in accordance with LEED requirement. The diversion tonnage is based on an overall lonnagq percentage ol the respective EDCO faciity. CRUZ /( - Driver 3cro -7JOL, tiU /6S7 KEtC- E,'iV I v'fv% fftk( 1.1:24 AM Roll Ott Dispatch Closed Ticket Display 2/2b/U2U Opened by MMIRAMON 350-73806 KETER ENVIRONMENTAL (SEPEORA) Closed by LBELTRAN 2525 EL CANINO REAL CARLSBAD CA 92008-1204 Ticket 165456 Driver code KJCAR Reauested by EMAIL/ASHLEY 317 378 9333 Dumpinfo:Site PAL T Tkt 150XXXX Qty 5.68 Tax Load type E/R Equipment code - Points 0 Status Code * Additional comments exist for this ticket * Date Time Time Dispatched: 1/27/2020 7:3.8 Arrived at customer: 7:19 Loaded / Drop off: 7:23 Stop Ticket: Restart Ticket: Arrived at landfill: 7:40 Finished at landfill: 7:56 Ticket completed: 8:15 Waste Svc Quantity Price Special Description Job # Type Tax T/P DTN 5.68 47.52 MSW T 400 1.00 233.92 BOGART SEPHORA MSW T Bottom F3=Exit P11=View Dates F12=Prev F13=Additional Comments F17-Top F18=Bottom F20=Profile 11:23 AM Roll Ott Dispatch Closed Ticket Display 2/26/2020 Opened by ?IMXRAMON 350-73806 KETER ENVIRONMENTAL (SEPHORA) Closed by LBELTRAN .2525 Ela L.ZLNQ REAL CARLSBAD CA 92008-1204 Ticket 170315 Driver code KJSAL Requested by EMIL/XITLALY Dumpinfo:Site PAL T Tkt 109XXXXCB Qty 2.24 Tax Load type E/R Equipment code - Points 0 Status Code * Additional comments exist for this ticket * Date Time Time Dispatched: 2/13/2020 5:51 Arrived at customer: 6:03 Loaded / Drop off: 6:11 Stop Ticket: Restart Ticket: V Arrived at landfill: 6:23 Finished at landfill: 6:43 Ticket completed: 7:01 Waste Svc Quantity Price Special Description Job * Type Tax TIP 400 1.00 233.92 BOGART SEPHORA MSW Y T DTN 2.24 47.52 MSW Y T Bottom F3=Exit F11=View Dates F12=Prev F13=Additional Comments F17=Top F18=Bottom F20-Profile 11:22 AM Roll Ott Dispatch Closed Ticket Display 2/26/2020 Opened by MMIRAMON 350-73806 KETER ENVIRONMENTAL (SEPRORA) Closed by LBELTR.AN 2525 EL CAMINO REAL CARLSBAD CA 92008-1204 Ticket 172167 Driver code KJCAR Requested byEMAIL/XITLALY Dumpinfo:site PAL T Tkt 966XXXXCB Qty 1.63 Tax Load type DNR Equipment code - Points 0 Status Code • Additional comments exist for this ticket * Date Time Time Dispatched: 2/18/2020 5:55 Arrived at customer: 6:14 Loaded / Drop off: 6:26 Stop Ticket: Restart Ticket: Arrived at landfill: 6:40 Finished at landfill: 6:52 Ticket completed: 6:52 Waste Svc Quantity Price Special Description Job # Type Tax T/P 40D 1.00 233.92 BOGART SEPHORA MSW Y T DTN 1.63 47.52 Y T Bottom F3=Exit F11=View Dates F12=Prev F13-Additional Comments F17=Top F18=Bottom F20=Protile 11:22 AN Roil Off Dispatch Closed Ticket Display 2/b/UU Opened by MMIRAMON 350-73806 KETER ENVIRONMENTAL (SEPHORA) Closed by LBELTRAN 2525 EL CANINO REAL CARLSBAD CA 92008-1204 Ticket Z 7?166 Driver code KJcAR Requested by EMAIL/XITLALY Duinpinfo:Site PAL T Tkt 019XXXXCB Qty 4.05 Tax Load type DNR Equipment code - Points 0 Status Code * Additional comments exist for this ticket * Date Time I Time Dispatched: 2/18/2020 7:39 Arrived at customer: 7:54 Loaded / Drop off: 8:07 Stop Ticket: Restart Ticket: Arrived at landfill: 8:23 Finished at landfill: 8:38 Ticket completed: 8:38 Waste Svc Quantity Price Special Description Job * Type Tax T/P 400 1.00 233.92 BOGART SEPHORA MSW Y T DTN 4.05 47.52 MSW Y T Bottom P3=Exit F11=View Dates F12=Prev F13=Additional Comments F17=Top F18=Bottom P20=Profile Ij Date Wood Co rUctiOn Cardboard Plastic Styrofoam Metal Bubble Wrap Paper No eCYd able Total Tons 2/4/2020 0.48 0.215 - - 0.89 - 0.105 0.07 0.02 1.78 2/5/2020 0.57 0.25 1.015 0.125 0.08 0.06 0.02 - 2.12 2i/2020 0.3 0.14 0.525 0.07 004 0.125 1.2 217/2020 0.495 0.38 0.05 0.025 6.1 1.05 2/8/2020 0.675 0.115 02 0.045 0.015 ______ 0.04 1.09 2/11/2020 0.125 0.4 0.05 0.45 1.025 2/14/2020 0.135 - 0.53 0.29 0.02 0.06 0.15 0.035 - 1.22 2/20/2020 0.12 0.13 0.06 0.04 0.075 0.015 0.05 0.49 2/22/20 1.066 _________ ______ 1.066 TOTALS - 2.28 2 4.766 0.525 0.33 11.405 0.11 0.05 0.575 11.041 THE CITY OF SAN DIEGO F•Li 'J-t L' tY' c i J -tajrrt Ti - .c ai.• Rc' pts dfr' '' - a Rvr4ot Of. - - I I .4 ...- . .. .iiank VOL 4 .4tIfdt -- 74p4 1jF,• t 'L* - - 2r: ;t.cf • THE CITYOF SAN DIE .GO. 0 RiMrN1At t1vlrCS DrPARTMENT R7' J iSAL DLvsON 3LLiW W tH I 110 . EA112 NE&fl ,A R2 IZ t3a &' \h LJtHLL . r • t- QA $!I Roceiiu# lo~.. ... Rf3rg Date (.2r 242, -;.!_,t - .: .-- • 0 I z41 r. LtJ1E1, :.. az .-.--'fir . Thank yrw M - - 1flULt2 4* THE CITY OF SAN DIEGO rNvIHoNMtr,u t4 vttc$ Pct QC)NJ, WVIQi 41 SVITI 3 HF At4LbEEO,r CAt2iS ; RAMAft LOWY U. . V c:vovsrrEr- V V•V VtfltPfi - - - V V V - V •V - V V V - V V V V - V V5E. V V - - .,- V - V V :V •VVV V - V • V V IW V 45 V V r - - V •V - VV - - -- -. V • V V - -- • V_ :• • V. V V - rfl'4&nwp V V Thak VYQU'V - V q/ Ruwt V V TI, ifi fl tV)I -. V V V - --.---,---- - THE, CITY OF SANIDIEGO 1rtRQNMENrAL Scmvic m.. v04ittmoNr RrrU Vt.3PUt O&VfO$t ?Ui I WWECL* IJJW D. AFT EfC., CA t2246Ui (fj9 ?*fl MwfA4 t1301 lIE -TWt'4V sm4E1r - - $40E36; - 4 Roçcip'4 -- - Rece'p 9ate .oft - - - -. - - - , E lP - -. - -n PAS - - - - I Al.t 5 AN tl QUM *0 5"4 IWAS I TbaI -: U •-• •- you. •• - utd THE CITY OF SAN DIEGO ENu4#.4t,t4ThL WfMG, uE.J8øc)At P'Vs$u t1 1Qc3fI 1fv C U11E 31L'SAN DJEGO CA.2 L8 636 1w1CflM%Qr4*rET SAN DIEGO di 02111 h gEnnae thp I ,Rocef Ot O322O - : lQWp' , I& )( - - . • • - -• 4, • - • - - .- - • ••- - •( --'• IIiII'7 C44 3 - - tomb C,04";w Thank you flA A&1/R NJi O CHE4% )1I. Y - -- •.:•.. 4 J±.I-'*• THE CITYOF SAN DIEGO k:?ui,t E IThTit Rrallf uss UUMOAL CAPLION 4r4 A! L-11 ,. i'A'E(O 4 I 4vY n4trT .. %INPUXL .... ... 4. ..,.- &it Toat 4 Thank you.• rHcm' OF SAN biGO IMttM StRUI 30i DER1MENT fIJ5 )4).4t L3wItQN V $0 i RtlGi itVEN $' WM aIt i, W3 DICQ C& '22- p656 at v000 1AtRt c1LL V V iacvo SRT DE3.CA;1i . BI1 I Receipt caZ FrArft -' Recip Date G2i V2O 'i% ) . . r!t W - t fie 4t'JY k..8tL ft . V - •V - iWDtF - U1ThIZjuI_4; - -1M 3 PU Ternt - V - Thank YL1. sitffiMAR tANMILL CJ.H DR 0JfM fit. I I x, tTTa$b - --V.. - - .. ---. V - V V V :- PALOMAR TRANSFER 5960 EL CANINO REAL CARLSBAD, CA 92008 (760)603-0153 000999 - CASH AND CHECK CUSTOMER ADDRESS carlsbad, CA 92008 Contract: RESIDENTIAL-Yr. 2 GROSS 18,080 TARE 17,100 NET 980 Tracking Qty: 0.00 Qty Unit Description .0.49 TN MSW Origin: CARLSBAD 54 Ticket 8:2043951 weighmaster: IN - gomezda OUT - gutieas In: February 20, 2020 7:40 am Out: February 20, 2020 8:24 am Vehicle: CD Ref: 18080/80cc BOL: INBOUND CASH Rate Extension Tax Total $75.30 $42.40 $0.00 $42.40 100% Scale In Scale Out Total $42.40 Paid $42.40 Change $0.00 EDIT CARD-SCALE V Lignature: M Address 0- 1. (city of Carlsbad NONRESIDENTIAL GREEN BUILDING CODE STANDARDS MANDATORY MEASURES CERTIFICATION CHECKLIST B-52 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov Thilform, sIñl and completed, and all receiptsfóithe recycled materials shall be submitted to the Building Inspector prior to Final Inspectlon. Site Development Mandatory 5.106.1 Storm water pollution prevention plan. For projects of one acre or less, develop a Storm Water Pollution Prevention Plan (SWPPP) that has been designed specific to its site, conforming to (x) the State Storm water NPDES Construction Permit or local ordinance, whichever is stricter, as is required for projects over one acre. The plan should cover prevention of soil loss by storm water run-off and/or wind erosion, of sedimentation and/or of dust/particulate matter air pollution. 5.106.4 Bicycle parking and changing rooms. Comply with Sections 5.106.4.1 and 5.106.4.2; or (X) meet local ordinance, whichever is stricter. 5.106.4.1 Short-Term bicycle parking. If the project is expected to generate visitor traffic, provide permanently anchored bicycle racks within 200 feet of the visitor's entrance, readily visible to (x) passers-by, for 5 percent of visitor motorized vehicle parking capacity, with a minimum of one two- bike capacity rack. 6.106.4.2 Long Term bicycle parking. For buildings with over 10 tenant-occupants, provide secure bicycle parking for 5 percent of tenant-occupied motorized vehicle parking capacity, with a minimum (x) of one space. 5.106.5.2 Designated parking. Provide designated parking for any combination of low emitting, fuel-efficient and carpool/van pool vehicles as shown in Table 5.106.5.3.1. (x) 5.106.8 Light pollution reduction. Comply with lighting power requirements in the California Energy Code and design interior lighting such that zero direct-beam illumination leaves the building (x) site. Meet or exceed exterior light levels and uniformity ratios for lighting zones 14 as defined in Chapter 10 of the California Administrative Code, using the following strategies: Shield all exterior luminaries or use cutoff luminaries (X) Contain interior lighting within each source (X) Allow no more than .01 horizontal foot candle 15ft. beyond the site (X) Contain all exterior lighting within property boundaries (X) Exception: See part 2, Chapter 12, Section 1205.6 for campus lighting requirements for parking facilities and walkways. 5.106,10 Grading and paving. The site shall be planned and developed to keep surface water away from buildings. Construction plans shall indicate how site grading or drainage system will (X) manage all surface water flows. Water Efficiency and Conservation Indoor Water Use 5.303,1 Meters. Separate meters shall be installed for the uses described in Sections 503. 1.1 (x) through 503.1.3. 5303.1.1 Buildings in excess of 50,000 square feet. Separate sub-meters shall be installed as follows: For each individual leased, rented, or other tenant space within the building projected to (X) consume more than 100 gal/day. For spaces used for laundry or cleaners, restaurant or food service, medical or dental office, laboratory or beauty salon or barber shop projected to consume more than 100 gal/day. B-52 Page 1 of 5 Rev. 5117 5.303.1.2 EXcess consumption. Any building within a project or space within a building that is projected to consume more than 1,000 gal/day. (x) 5.303 Percent savings. A schedule of plumbing fixtures and fixture fittings that will reduce the overall use of potable water within the building by 20 percent shall be provided (Calculate (X) savings by Water Use Worksheets or utilize Table 5.303.2.3). 5.303.2.1 Multiple showerheads serving one shower. When single shower fixtures are served by more than one showerhead, the combined flow rate of all the showerheads shall not (x) exceed the maximum flow rates specified in the 20 percent reduction column contained in Table 5.303.2.3 or the shower shall be designed to allow only one showerhead to be in operation at a time. 5.303.6 Plumbing fixtures and fittings. Plumbing fixtures (water closets and urinals) and fittings (faucets and showerheads) shall comply with the requirements listed As applicable for each type in items listed in Table 5.303.6. Water closets (toilets) - flushometer type (X) Water closets (toilets) - tank type (X) Urinals (X) Public lavatory faucets (X) Public metering self-closing faucets (x) Residential bathroom lavatory sink faucets (x) Residential bathroom lavatory sinks (x) Residential showerheads (x) Single shower fixtures served by more than one showerhead (X) Outdoor Water Use 5.304.1 Water Budget. A water budget shall be developed for landscaping irrigation use. (X) 5.304.2: Outdoor potable water use. For new water service, separate meters or submeters shall be installed for indoor and outdoor potable water use for landscaped areas between 1,000 and 5,000 square feet. (x) 5.304.3 Irrigation design. In new nonresidential projects with between 1,000 and 2,500 square feet of landscaped area (the level at which the MLO applies), install irrigation controllers and sensors which include the following criteria and meet manufacturer's recommendations. 5.304.1.1 Irrigation controllers. Automatic irrigation system controllers installed at the time of final inspection shall comply with the following: Controllers shall be weather- or soil moisture-based controllers that automatically adjust irrigation in response to changes in plant's needs as weather conditions change. (x) Weather based controllers without integral rain sensors or communication systems that As applicable account for local rainfall shall have separate wired or wireless rain sensors which connects or (x) communicates with the controller(s). Soil moisture-based controllers are not required to have rain sensor input. Construction Waste Management Plan (x) 5.408.1 Construction waste diversion. Establish a construction waste management plan or meet local ordinance, whichever is more stringent. (X) 5.408.2 Construction waste management plan. Submit plan per this section to enforcement authority within the city. 5.408.1.4 Documentation. Provide documentation of the waste management plan (see form (x) 6-59) that meets the requirements listed in Section 5.408.1.1 thru 5.408.1.3 and the plan is accessible to the enforcement authority. 5.408.3 Construction waste. Recycle and/or salvage for reuse a minimum of 50 percent of nonhazardous construction and demolition debris or meet local ordinance, whichever is more stringent. (X) Exceptions: Excavated soil and land-clearing debris Alternate waste reduction methods, developed by working with local agencies if diversion or recycle facilities capable of compliance with this item do not exist. 5.408.3 Excavated soil and land clearing debris. 100 percent of trees. Stumps, rocks and I B-52 Page 2 of 5 Rev. 5/17 associated vegetation and soils resulting primarily from land clearing shall be reused or recycled. Building Maintenance and Operation 5.410.1 Recycling by occupants. Provide readily accessible areas that serve the entire building and are identified for the depositing, storage and collection of nonhazardous materials (x) for recycling. 5.410.2 Commissioning. For new buildings 10,000 square feet and over, building (x) commissioning for all building systems covered by T24, Part 6, process systems and renewable energy systems shall be included in the design and construction processes of the• building project. Commissioning requirements shall include items listed in Section 5.41 0.2. - 5.410.2.6 (x) 5.410.2.1 Owner's Project Requirements (OPR). Documented before the design phase of the project begins the OPR shall include items listed in Section 5.410.4. (x) 5.410.2.2 Basis of Design (BOD). A written explanation of how the design of the building systems meets the OPR shall be completed at the design phase of the building project and updated periodically -to cover the systems listed in Section 5.410.2.2. (X) 5.410.2.3 Commissioning plan. A commissioning plan describing how the project will be commissioned shall be started during the design phase of the building project and shall include items listed in Section 5.410.2.3. (X) 5.410.2.4 Functional performance testing shall demonstrate the correct installation and operation of each component, system and system-to-system interface in accordance with the (X) approved plans and specifications. 5.410.2.5 Documentation and training. A Systems manual and systems operations training are required. (x) 5.410.2.5.1 Systems manual. The systems manual shall be delivered to the building owner or representative and facilities operator and shall include the items listed in Section 5.410.2.5.1. (X) 5.410.2.5.2 Systems operations training. The training of the appropriate maintenance staff for each equipment type and/or system shall include items listed in Section 5.410.2.5.2. (X) 5.410.2.6 Commissioning report. A complete report of commissioning process activities undertaken through the design, construction and reporting recommendations for post construction phases of the building project shall be completed and provided to the owner or representative. 5.410.4 Testing and adjusting. Testing and adjusting of systems shall be required for (X) buildings less than 10,000 square feet. 5.410.4.2 Systems. Develop a written plan of procedures for testing and adjusting systems. (X) Systems to be included for testing and adjusting shall include, as applicable to the project, the systems listed in Section 5.410.3.2. (X) 5.410.4.3 Procedures. Perform testing and adjusting procedures in accordance with industry best practices and applicable national standards on each system. (X) 5.410.4.3 HVAC balancing. Before a new space-conditioned system serving a building or space is operated for normal use, the system should be balanced in accordance with the procedures defined by national standards listed in Section 5.410.3.3.1. (x) 5.410.4.4 Reporting. After completion of testing, adjusting and balancing, provide a final report (X) of testing signed by the individual responsible for performing those services. maintenance instructions and copies of guaranties/warranties for each system prior to final inspection. 5.410.4.5 Operation and maintenance manual. Provide the building owner with detailed operating and maintenance manual 5.410.4.5.1 Inspection and reports. Include a copy of all inspection verifications and reports required by the enforcing agency. B-52 Page 3 of 5 Rev. 5/17 Environmental Quality Fireplaces 5.503.1 Install only a direct-vent sealed-combustion gas or sealed wood-burning fireplace or a (x) sealed woodstove and refer to residential requirements in the California Energy Code, Title 24, Part 6, Subchapter 7, Section 150. As Applicable 5.503.1.1 Woodstoves. Woodstoves shall comply with US EPA Phase II emission limits. (X) Weather Resistance and Moisture Management 5.407.1 Weather protection. Provide a weather-resistant exterior wall and foundation envelope as required by California Building Code Section 1403.2 and California Energy Code Section 150, (X) manufacturer's installation instruction instructions or local ordinance, whichever is more stringent. 5.407.2 Moisture control. Employ moisture control measured by the following methods: 5.407.2.1 Sprinklers. Prevent irrigation spray on structures. (X) 5.407.2.2 Entries and openings. Design exterior entries and openings to prevent water intrusion (X) into buildings. Pollution Control 5.504.3 Covering of duct openings and protection of mechanical equipment during construction. At the time of rough installation or during storage on the construction site and until final start up of the heating and cooling equipment, all duct and other related air distribution (x) component openings shall be covered with tape, plastic, sheet metal or other methods to reduce the _amount _of debris or duct which _may _collect _in_ the _system. 5.504.5.3 Filters. In mechanically ventilated buildings, provide regularly occupied areas of the building with outside and return air prior to occupancy that provides at least a MERV of 8. 5.504.4 Finish material pollutant control. Finish materials shall comply with Sections 5.504.4.1 through 5.504.4.6 5.504.4.1 Adhesives, sealants, caulks. Adhesives and sealants used on the project shall meet the requirements of the following standards: (x) Adhesives, adhesive bonding primers, adhesive primers, sealants, sealant primers and caulks shall comply with local or regional air pollution control orair quality management district rules where applicable or SCAQMD Rule 1168 VOC limits as shown in Tables 5.504.4.1 and 5.504.4.2. Aerosol adhesives and smaller unit sizes of adhesives and sealant or caulking compounds (in units of product, less packaging, which do not weigh more than one pound and do not consist of more than 16 fluid ounces) shall comply with statewide VOC standards and other requirements, including prohibitions on use of certain toxic compounds, of California Code of Regulations, Title 17, commencing with Section 94507. 5.504.4.3 Paint and coatings. Architectural paints and coatings shall comply with Table 5.504.4.3 5.504.4.3.1 Aerosol paints and coatings. Aerosol paints and coatings shall meet the Product- Weighted MlR limits for ROC in Section 94522 (a)(3) and other requirements, including prohibition on use of certain toxic compounds and ozone depleting substances (CCR, Title 17, Section 94520 et seq.). 5.504.4 Carpet systems. All carpet installed in the building interior shall meet the testing and product requirements of one of the standards listed in Section 5.504.4.4. 50504.4.4.1 Carpet cushion. All carpet cushion installed in the building interior shall meet the requirements of the Carpet and Rug Institute Green Label Program. 5.504.4.4.2 Carpet adhesive. All carpet adhesive shall meet the requirements of Table 804.4.1. 5.504.4.5 Composite wood products. Hardwood, plywood, particleboard and medium density fiberboard composite wood products used on the interior or exterior of the building shall meet the requirements for formaldehyde as specified in Table 5.504.4. 5.504.4.5.2 Documentation. Verification of compliance with this section shall be provided as requested by the enforcing agency. Documentation shall include at least one of the following: Product certification and specifications Chain of custody certifications Other methods acceptable to the enforcing agency 5.504.4.6 Resilient flooring systems. Comply with the VOC emission limits defined in the 2009 (x) CHPS criteria and listed on its Low-emitting Materials List (or product registry) or certified under the _FloorScore_ program _of the _Resilient _Floor Covering _Institute. B-52 Page 4 of 5 Rev. 5/17 £ Indoor Moisture and Radon Control 5.505.1 Indoor moisture control. Buildings shall meet or exceed the provisions of the California Building Code, Title 24 Part 2, Sections 1203 (Ventilation) Chapter 14.1. (X) Air quality and Exhaust 5.506.1 Outside air delivery. For mechanically or naturally ventilated spaces in buildings, meet the (X) minimum requirements of Section 121 of the California Energy Code, CCR, Title 24, Part 6 and Chapter 4 of CCR, Title 8 or the applicable local code, whichever is more stringent. 5.506.2 Carbon DIOXIDE (CO2) monitoring. For buildings equipped with demand control ventilation, CO2 sensors and ventilation controls shall be specified and installed in accordance with the (x) requirements of the latest edition of the California Energy Code, Title 24, Part 6, Section 120.1.(C) (4). Outdoor Air Quality 5.508.1 Ozone depletion and global warming reductions. Installations of HVAC, refrigeration and fire suppression equipment shall comply with Sections 5.508.1.1 and 5.508.1.2. As 5.508.1 CFCs. Install HVAC and refrigeration equipment that does not contain CFCs. applicable 5.508.1.2 Halons. Install fire suppression equipment that does not contain Halons. (X) (X) I, as the professional responsible for this project, certify that, to the best of my knowledge, the mandatory items listed on this form have been incorporated into the project in order to comply with Title 24, Part 11 of the 2016 California Green Building Standards. All receipts for recycled materials have been attached to this form. çcl?e. ?'f Project Address: 55 EL 't'O YZQI'C Plan Check Print Name:/''/ ó Signed: License Number: 70-7t/7/ Date: B-52 Page 5 of 5 Rev. 5/17