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Home My WebLink About3200 LIONSHEAD AVE; 110; CB163861; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 03/22/2017 Commercial Permit www.carlsbadca.gqv Job Address: Permit-Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 3200lionshead Av, 110 BLDG-Commercial 2218811100 $1,536,972.00 Work Class: Lot#: Refere-nce #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: BURK: WAREHOUSE TO WAREHOUSE Tl, 33573 SF Applicant: SARA SCHEU RN 639 Bison Ct El Cajon, CA 92019-2167 BUILDING PERMIT FEE $2000+ Owner: BURKE REAL ESTATE GROUP 260 E Baker st, ioo COSTA MESA, CA 92626 E~ECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL FIRE F Occupancies Tl GREEN BUILDING STANDARDS PLAN CHECK MECHANICAL BlDG COMMERCIAL NEW/ADDITION/REMODEL PLUMBING BLDG COMMERCIAL NEW/ADDITION/REMODEL SB1473 BUILDING STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $7,861.98 Total Payments To Date: Tenant Improvement $7,861.98 Status: Applied: Issued: Finaled: Inspector: Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date-this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest, and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequentlegal action to attack, review, set aside, void, or annul their imposition. Yoi.J are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise-expired. Permit No: CB163861 Closed -Finaled 10/13/2016 12/20/2016 MColl $0.00 $4,602.63 $1,510.00 $609.00 $166.00 $178.00 $304.00 $62.00 $430.35 THE FOLLOWING APPROVALS REQlJIRED PRIOR TO PERMIT ISSUANCE: OPLANNING OENGINEERING OBUILDING OFIRE OHEALTH 0 HAZMA T/APCD Cotyof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. C.1$ U:)?:>ife \ -Est. Value I, 53G '17 2- Plan Ck. Deposit Date 1-0 l'3 l (o SWPPP SUITE#/SPACE#/UNIT#, APN #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE acc. GROUP \f\Ja s CONTRACTOR BUS, NAME ADDRESS STATE ZIP FAX EMAIL EMAIL STATELIC. # STATELIC:# CLASS CITY BUS. pc.# (Sec. 7031.5 Business-and Professions Code: Any City or County which requires a.permit to construct, alter, improve, demolish or repair an}' structure, prior to its issuance, also requires the applicant for such permit to file a siii:ned statement tf\at 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 notmore than five hundred dollars {$500)). _ Workers' Compensation Declaration: I hereby affinn under penalty of peljury one of the following declarations: D 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 perfonnance of the work for which this pennit is issued. D I have and will maintain wgrk~rs' compen~atign, as required by Section 37QO_of the Lailor Code, for the perfonnarce qf the work for whi9h this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ____ -'-------------~~--Policy No.--------,---------Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 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 a_ny manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to orie hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. R5 CONTRACTORSIGNATURE .lii]IJljiil[llil.i!!.!1111 . OAGENT DATE I hereby affinn that I am exempt from Contractor's License Law for the following reason: D 0 D 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. lf,however, the·building or improvement is sold within one yearof 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. I personally plan IQ provide the major labor and materials for construction of the proposed property improvement. OYes 0No 2. I (have/ have not) signed an application for a building permit-for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone / contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hire9) the following persons to provide the work indicated (include name/ address/ phone/ type of work): R5 PROPERTY OWNER SIGNATURE 0AGENT DATE :..4.j€~~0 '': - . Is the applicant or future building occupant required to submit.a business Rian, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substanc~ 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 oi 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 PO[LUTION CONTROL DISTRICT. I certifythatl have read the application and state that the above infonnation Is correct and that the lnfonnation on tjle plans is accurate. I agree to complyv.ith all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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. <JSHA: An OSHA permit is required for excavations over f/0' deep and demolition or construction ofstructures over 3 stories in height. EXPIRATION: Every penmit issued by the Building Official under the pro-,isions of this Code shall expire by limitation and become null and void if the building ormrk authorized by such penmitis not commenced v.ithin 180 days from the date of such penmit or if building or mrk a orized such penmit is suspended or abandoned at any time after the mrk is commenced for a period of 180 days (Section 106.4.4 Unifonm Building Code) . ...@S' 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. CERT!FICA 7 f () ~ OCCUPANCY /Commercial Projects only J Fax (760) 602-8560, Email building@carlsbadca.gov or Mai! 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 ., -ZIF' CITY STATE ZIP ,-, Carlsbad CA ·,,_ , ,, PHONE I FAX EMAIL . OCCUPANT'S BUS. LIC. No. -,--,, .. -· -,,, . ,, DELIVERY OPTIONS PICKUP: . CONTACT (Listed above) . OCCUPANT (Listed above) · _ CONTRACTOR (On Pg. i) ,, ASSOCIATED CB# ,, --· MAIL TO: · CONTACT (Listed above) OCCUPANT (Listed apove) -CONTRACTOR (On Pg. i) NO CHANGE IN USE/ NO CON$TRUCTION -.MAIL/ FAX TO OTHER_: . ' - --, -' CHANGE OF USE/ NO CONSTRUCTION ----·--" __ , ----~ ' ·-~ -'" ------------'~ ----~ ,_ ---· . ------~ --.. -----··-. ----_,_ -----· -, -" -- ,,, ., ., A$ APPLICANT'S SIGNATURE DATE -- -,, _, -- Permit Type: BLDG-Commercial Application Date: 10/13/2016 Owner: Work Class: Tenant Improvement Issue Date: 12/20/2016 Subdivision: Status: Closed -Finaled Expiration Date: 07/31/2017 Address: IVR ·Number: 717668 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Statu·s Primary Inspector NOTES Created By TEXT Michael Collins Poi.Ir strip at compressor location. 03/13/2017 03/13/201-7 BLDG-Final 016287-2017 Cancelled Michael Collins Inspection Checklist Item COMMENTS BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final 03/15/2017 03/15/2017 BLD'G-Flre Final 016297-2017 ·Passed Dominic Fleri Checklist Item COMMENTS FIRE-Building Final 03/17/2017 03/17'/2017 BLDG-Final 016897°2017 Failed Michael Collins Inspection Checklist Item QOMMENTS BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final 03/20/2017 03/20/2017 BLDG-Final 017056-2017 Failed Michael Collins Inspection Checklist Item COMMENTS BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final 03/22/2017 03/22/2017 BLDG-Final 017339-2017 Passed Michael Collins Inspection Checklist lten:i COMMENTS BLDG-Building Deficiency BLDG-Pluml:iing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final March 22, 2017 BURKE REAL ESTATE GROUP 3200 Lionshead Av , 11 0 Carlsbad, CA Reinspection Complete Created Date 01/31/2017 Reinspection Passed No No No No No Passed Yes Reinspection Passed Reinspection . Pas ed N N N N 6 Passed N N 0 0 Complete Complete Complete Complete Complete Page 2 of 2 '· , ) • p , ~,. •• . --~~::· , \r~~~~µ: '. Permit Type: BLDG-Commercial Application Date: 10/13/2016 Owner: BURKE REAL ESTATE GROUP Work Class: Tenant Improvement Issue Date: 12/20/2016 Subdivision: Status: Closed -'Finaled Expiration Date: 07/31/2017 Address: Scheduled Actual Date Start Date 01/03/2017 01/03/2017 01/24/2017 01/24/2017 01/26/2017 01/26/2017 01/31/2017 01/31/2017 March 22, 2017 IVR Number: 717668 Inspection Type Inspection No. BLDG-34 Rough 007993-2016 Electrical Checklis.t Item BLDG-Building Deficiency BLDG-14 011152-2017 Frame/Steel/Bolting/ Welding (Decks) Checklist Item BLDG-Building Deficiency BLDG-16 Insulation 011153-2017 Checklist Item BLDG-Building Deficiency BLDG-17 Interior 011155-2017 Lath/Drywall Checklist Item BLDG-Building Deficiency BLDG-21 010632-2017 Underground/~nderf loor Plumbing Checklist Item BLDG-Building Deficiency NOTES Created By Michael Collins BLDG-34 Rough 011154-2017 Electrical Checklist Item BLDG-Building Deficiency BLDG-17 Interior 011348-2017 Lath/Drywall Checklist Item BLDG-Building Deficiency BLDG-11 011984-2017 Foundation/Ftg/Pier s (Rebar) Cliecklist Item BLDG-Building Deficiency Inspection Status Primary Inspector Failed Michael Collins COMMENTS. Passed Michael Collins COMMENTS Demising walls at Line 6 & B-D, D & 6-8, G1 & 4-5.7 Passed Michael Collins COMMENJS Demising walls only. Partial Pass Michael Collins COMMENTS South and West face of demising walls. Passed Michael Collins COM_M,ENJS Waste from hand sink/floor sink to POC. TEXT Waste from hand sink/floor sink to POC. Passed Michael Collins COMI\IIENTS. Demising wall at.Line 6 Failed Michael Collins CO.MMENTS. South and West face of demising walls. Passed Michael Collins COMMENTS Pour strip at compressor location. 3200 Lionshead Av , 110 Carlsbad, CA Reinspection Complete Reinspection Complete Passed No Complete Passed Yes Complete Passed Yes Reinspection Incomplete Passed Yes Complete Passed Yes Created Date 01/24/2017 Complete Passed Yes Reinspection Complete Passed Yes Complete Passed Yes Page 1 of 2 1N$;PECtiON RE:COR,[)i , ' ' -,:•'If<', --,-;-"'-.•. -~=~~~::~~:~i:~~t'P."~6.\IE~ ,· . . . ' j · i;a: ~a~f!qitE i:oo em,i'git.~~woii,e:-o'AY: 1NsP.EG-tie>N , · $ Foj ,u1c.piN~·lNSi!i~-~<>!ltCMJ;: 76~()2~2-72-5 · ! . :<>~'.GQ l'01-~:Ca'rlsbai1~.goytBiilliilhiiA~1fcut1<101't. . ~ ':Recrl.f~ !'~-· ·= ·on· -.-· · · -· · ·--· .. · · · · · · ~TE:, . ~.i:. '.2,~. CB1&a$$1 BORK-WAREHOUSE tb WAREciQ~E_-· Tl 33573 SF . -. • . . . . ti'. COMM · \:.{)!#. S1!,RA SG!ciEURN l 1 i .. ! "l ?-"'"'.-,,;-.,,.-!:;-7',-",'4,.=.,-,',,...,,+-','~=-'""'-.,...;,....,,;s-'-"""'=i~#',,-,,, :i . s~~FP~~~f:\;t_} •. ' i l l j .( .\ R. P. I. Deputy Inspections, Inc. www.deputyinspector.com REGISTERED 0 REINFORCED CONCRETE 0 STRUCT. STEEL WELDING INSPECTOR'S 0 REINFORCED STEEL 0 EPOXY 0 POST TENSION CONCRETE D FINAL REPORT (949) 291-3912 Fax(949) 481-5866 1903 Via Pimpollo San Clemente, CA 92673 REPORT OF: 0 REINFORCED MASONRY OBOLTING 0 OTHER JOB NAME BLDG. PERMIT# r'TY OF PERMIT Burke Real Estate Group CB163861 Carlsbad JOB ADDRESS CONTRACTOR 3200 _Lionshead, Carlsbao, Ca Eastscape Construction ARCHITECT SUB CONTRACTOR William E. Skinner & Associates Inc. Campbell Certified Inc. ENGINEER LAB TESTING SAMPLES William f;. Skinner & Associates Inc. Observed cleaning and embedments for aUthread bolts at existing walls for HSS steel frame. (54) total 3/4" all thread bolts placed w/ min. 6" embed as per detail 1/E04 on the approved shop drawings. Simpson epoxy Set-XP ICC ESR 2508 was used as per approved plans. All work was found to comply with the approved pla11s and specifications & applicable building codes. Base upon my PE!rsonal observation and written report of this work, it's my judgement that the nspected work was preformed to the best of my knowledge, in accordance with the approved plans, specifications and applicable workmanship provision of the Unifonn Building Code . . ., I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE flEPORTED WORK, UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY, I HAVE FOUND THIS WORK TO COMPLYWITH THE APPROVED PLANS, SPECIFICATIONS &APPLICABLE BUILDING LAWS. MATERIAL INFORMATION: CONCRETEC] GROUT D MORTAR D WELDER Richard Johnson CERT. on file @ RPI SUPPLIER: MIXNO.: ADMIX: SAMPLES CAST: SPEC. P.S.I.: TYPE: SLUMP: YDS. PLACED: AIR-TEMP: CONCTEMP: MIXING TIME: DATE START STOP REG.HOllRS 0. T. liOUF\S 1/18/17 AM AM min. ~ ~ All inspedions based on a minimum of 4 hours and Offl' 4 hours -8 hour minimum, in addition, any inspedian exlending past n0011 hour will be an 8 hoor minimum. A/I lare·a«oonts will be charged !he highest legal mte of SIGNATURE OF REGISTERED INSPECTOR inlerest, including all collediDn costs and attorney fees. All returned checks will be subjrict ID a s20:00 fee. 1/18/17 ICC 8176237 Approved By DATE OF REPORT REGISTER NUMBER R. P. I. Deputy Inspections, Inc. www.deputyinspector.com REGISTERED D REINFORCED CONCRETE 0 STRUCT. STEEL WELDING INSPECTOR'S D REINFORCED STEEL D 1;:POXY D POST TENSION CONCRETE D FINAL REPORT (949) 291-3912 Fax(949) 481-5866 1903 Via Pimpollo. San Clemente, CA 92673 REPORT OF: D REINFORCED MASONRY D BOLTING D OTHER JOB NAME BLDG. PERMIT# rlTY OF PERMIT Burke Real Estate Group CB163861 Carlsbad JOB ADDRESS CONTRACTOR 3200 L,ionshead, Carlsbad, C~ Eastcape Construction ARCHITECT SUB CONTRACTOR William E. Skinner & Associates Inc. Campbell Certified Inc. ENGINEER LAB TESTING SAMPLES William E. Skinner & Associates Inc. Observed structural steel fit-up and weldin~ at the following locations per AWS D1 .1 codes. HSS 14x6x1/2 & HSS 12x6x1/2 steel frames for future roll up door opening. All welds as per detail 7/E04 on approved shop drawings. 5x3/8 tab plate welded to existing beam for bolted connection to column. All welds as per detail 12/S4 on approved plans. As per AWS D1 .1 codes and the approved set of plans. Base upon my personal observation and written report of this work, it's my judgement that the nspected work was preformed to the best of my knowledge, in accordance with the approved . plans, specifications and applicable workmanship provision of the Uniform Building Code. SMAW 7018, 7024 low hydrogen AWS D1 .1 FCAW lnnershield® NR,.232, 0. 72, AWS: E7ff-&-H16 .AWS D1 .1 I HEREBY CERTIFY THAT I HAVE INSPECTED ALL Of: THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY, I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS & APPLICABLE BUILDING LAWS. MATERIAL.INFORMATION: CONCRETED GROUTIO MORTARO WELDER Richard Johnson CERT. on file@ RPI SUPPLIER: MIXNO.: ADMIX: SAMPLES CAST: SPEC, P.S.L: TYPE: SLUMP: YDS. PLACED: AIR-TEMP: CONCTEMP: MIXING TIME: DATE START STOP REG.HOURS 0.T. HOURS 1/17/17 AM PM 8 ~~ Ail inspedions based on a mjnimum of 4 hourJ and orer 4 hourJ -B hour minimum, in addition, any inspeclion extending past noon hour will be an B hour minimum. All late acrounts will be charged the highest legal rate of SIGNATURE OF REGISTERED INSPECTOR interest, including all collecJion costs and attorney fees. All returned checks will be subject to a S20.IJO fee. 1/17/17 ICC8176237 Approved By DATE OF REPORT REGISTER NUMBER - R. P. I. Deputy Inspections, Inc. www.deputyinspector.com REGISTERED D REINFORCED CONCRETE D STRUCT. STEEL WELDING INSPECTOR'S 0 REINFORCED STEEL 0 EPOXY 0 POST TENSION CONCRETE D FINAL REPORT (949) 291-3912 Fax(949) 481-5866 1903 Via Pimpollo San Clemente, CA 92673 REPORT OF: 0 REINFORCED MASONRY 0 BOLTING D OTHER JOB NAME BLDG. PERMIT# rlTY OF PERMIT Burke Real Estate Group CB163861 Carlsbad JOB ADDRESS ~--oNTRACTOR 3200 l,.ionshead, Carlsbad, Ca Eastscape Construction ARCHITECT $UB CONTRACTOR William E. Skinner & Associates Inc. Campbell Certified Inc. ENGINEER LAB TESTING SAMPLES William E. Skinner & Associates Inc. Observed cleaning and 4" embedments for (38) # 4 X 4" @existing slab cuts for utilities. Simpson epoxy Set-XP ICC ESR 2508 was used as per approved plans. Base upon my personal observation and written report of this work, it's my judgement that the ·nspected work was preformed to the best of my knowledge and applicable workmanship provision of the Uniform Building Code. I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY, I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS &APPLICABLE BUILDING LAWS. MATERIALINFORMATION: CONCRETECJ GROUTC MORTARO WELDER CERT. SUPPLIER: MIXNO.: SPEC. P.S.I.: TYPE: AIR-TEMP: CONCTEMP: DATE START STOP REG. HOURS O.T. HOURS . 01/31/17. AM AM min. All inspections based on ·a minimum of 4 hours and over 4 hours -8 hour minimum, in oddilion, any inspection extending pasr noon hour will be an 8 hour minimum. All /are accounrs will be charged rhe highesr legal /Die al inleresr, imluding all col/ecrion costs and attamey fees. All returned checks will be subjed to a S20.00 fee. Approved By ______________ _ ADMIX: SAMPLES CAST: SLUMP: YDS. PLACED: MIXING TIME: 1/31/17 1100030 ICC DATE OF REPORT REGISTER NUMBER R. P. I. Deputy Inspections, Inc. www.deputyinspector.com REGISTERED 0 REINFORCED CONCRETE 0 S1RUCT. STEEL WELDING INSPECTOR'S 0 REINFORCED STEEL 0 EPOXY 0 POST TENSION CONCRETE 0 FINAL REPORT {949) 291-3912 Fax(949} 481-5866 1903 Via Pimpollo San Clemente, CA 92673 REPORT OF: 0 REINFORCED MASONRY D BOLTING 0 OTHER JOB NAME BLDG. PERMIT# rlTY OF PERMIT Burke Real Estate Grouo CB163861 Carlsbad JOB ADDRESS CONTRACTOR 3200 Lionshead, Carlsbad, Ca Eastscape Construction ARCHITECT SUB CONTRACTOR William E. Skinner & Associates Inc. Campbell Certified Inc. ENGINEER LAB TESTING SAMPLES William E. Skinner & Associates Inc. Observed cleaning and 4" embedments for (38) # 4 X 4" @ existing slab cuts for utilities. Simpson epoxy· Set-XP ICC ESR 2508 was used as per approved plans. aase upon my personal observation and written report of this ~ork, it's my judgement that the 'nspected work was preformed to the best of my knowledge and applicable workmanship orovision of the Uniform Building Code. I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED, AND TO THE BEST OF MY ABILITY, I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS & APPLICABLE BUILDING LAWS. MATERIALINFORMATION: CONCRETEC] GR0UTID M0RTARO WELDER CERT. SUPPLIER: MIX NO.: ADMIX: SAMPLES CAST: SPEC. P.S.I.: TYPE: AIR-TEMP: C0NCTEMP: DATE START STOP REG. HOURS O.T. HOURS 01/31/17 AM AM min. All Inspections based on a minimum of 4 hauB and over 4 hom -8 hour minimum, in addition, any inspection extending past nOOII hour. will be an 8 hour minimum. All late QfflJun/s will be dia,ved the highest legal rote of interest, including all colleclion costs and attorney fees. All re/urned <hecks will be sub;ect to a $20.00 fee. Approved By ______________ ~ SLUMP: YDS. PLACED: MIXING TIME: 1/31/17 1100030 ICC DATE OF REPORT REGISTER NUMBER EsGil Corpo·ration In <Partnersfiip witfi government for (JJuitifing Safety DATE: 12/13/2016 JURISDICTION: City Qf Carlsbad PLAN CHECK NO.: 16-3861 SET: III PROJECT ADDRESS: 3200 Lionshead Ave Suite 110 PROJECT NAME: Schur Star Systems Inc. -TI i:J APPLICANT ~s. i:J PLAN REVIEWER i:J FILE ~ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D 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. D EsGil Corporation staff did advise the applicant that the pl~m check has been completed. Person contacted:-Telephone#: Date contacted: ----(~<;() Email: Mail Telephone Fax //~son D REMARKS: By: Sergio Azuela for (DM) EsGil Corporation D GA D EJ D MB D PC 12/07/2016 Enclosures: 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 EsGil Corporation In <Partners nip witfi <Jovernment for (Builaing Safety DATE: 11/30/16 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 16-3861 SET: II PROJECT ADDRESS: 3200 Lionshead Ave Suite 110 PROJECT NAME: Schur Star Systems Inc. -TI Cl ..;.PP LI CANT ~JURIS. Cl PLAN REVIEWER Cl FILE D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. D 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. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. [Z] The check list transmitted herewith is for your information. The plans are being held at EsGil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: D 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. Telephone#: 619-301-9840 Person contacted: t_ara Scheurn 2te conjacted: I( j'ocJ (by: hCv Email: .,.e,nail '-'f elephone Fax In Person sara.permitus@gmail.com D REMARKS: By; Doug Moody EsGil Corporation D GA D EJ D MB tJ PC Enclosures: 11/21/16 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 ( ·'-' City of Carlsbad 16-3861 11/30/16 Please make all corrections on the original tracings, as requested in the correction list. Submit three sets of plans for commercial/industrial projects (two sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 1. Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring two corrected sets 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. 1. A complete description of the activities and processes that will occur in this tenant space should be provided. A listing of all hazardous materials should be include<:.i. The materials listing should be ·stated in a form that would make classification in Tables 307.1(1) and 307.1 (2) possible. The building official requires a technical report to identify and develop methods of protection from hazardous materials. Section 414.1.3. I did not receive a technical report? 2. Please provide the UL listing and manufacturer's installation information for all new equipment to be installed in the Industrial manufacturing area and warehouse. Show all electrical requirements, plumbing requirements, exhaust or mechanical requirements, operational weight, anchorage and seismic restraints if required etc. Section 107.2. I was unable to find any information for the support and attachment of the new equipment weighting 33,600# and 27,500#. Please provide plans and calculation for the support and the seismic restraints. 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. ·" City of Carlsbad 16-3861 11/30/16 Have changes been made to the plans not resulting from this correction list? Please indicate:. Yes 0 No 0 The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Doug Moody at Esgil Corporation. Thank you. J EsGil Corporation In (['artners/i.ip wit/i. government for (J3ui{aing Safety DATE: 10/25/16 JURISDICTION: City of Carlsbad PLAN CHECK NO.: 16-3861 SET: I PROJECT ADDRESS: 3200 Lionshead Ave Suite 110 PROJECT NAME: Schur Star Systems Inc. -TI CJ/APPLICANT H JURIS. CJ PLAN REVIEWER CJ FILE D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies id~:mtified below are resolved and checked by building department staff. D 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. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: D 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: Sara Scheurn Telephone#: 619-301-9840 Date contacted: I0/26flb(by:jt() Email: sara.permitus@gmail.com I t. 4 Mail JrelephoneV~ Fax In Person D REMARKS: By: Doug Moody EsGil Corporation D GA D EJ D MB D PC Enclosures: 10/17/16 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 City of Carlsbad 16-3861 10/25/16 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: 16-3861 OCCUPANCY: Fl/S1 TYPE OF CONSTRUCTION: VB ALLOWABLE FLOOR AREA: SPRINKLERS?: Yes REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 10/13/16 DAT!;: INITIAL PLAN REVIEW COMPLETED: 10/25/16 FOREWORD (PLEASE READ): JURISDICTION: City of Carlsbad USE: Manufacturing/ Warehouse ACTUAL AREA: 33573sf STORIES: 1 HEIGHT: OCCUPANT LOAD: 106 DATE PLANS RECEIVED BY ESGIL CORPORATION: 10/17/16 PLAN REVIEWER: Doug Moody 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 oh 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. City of Carlsbad 16-3861. 10/25/16 Please make all corrections on the original tracings, as requested in the correction list. Submit three sets of plans for commercial/industrial projects (two sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: . 1 .. Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring two corrected sets of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. 1. A complete description of the activities and processes that will occur in this tenant space should be provided. A listing of all hazardous materials should be included. The materials listing should be stated in a form that would make classification in Tables 307.1(1) and 307.1(2) possible. The building official requires a technical report to identify and develop methods of protection from hazardous materials. Section 414.1.3. 2. Please provide the UL listing and manufacturer's installation information for all new equipment to be installed in the Industrial manufacturing area and warehouse. Show all electrical requirements, plumbing requirements, exhaust or mechanical requirements, operational weight, anchorage and seismic restraints if required etc. Section 107.2. 3. Please provide a legible equipment schedule. 4. Please clarify the plans and calculation$, the calculations for the support of the new HVAC equipment show the Weight of the equipment to be 730# yet the mechanical plans show the equipment weight to be 1200#? 5. Please provide the completed City of Carlsbad Special Inspection Agreement form. See attached form at the end of these comments. 6. Please have the principle design of the envelope portion of the PRF forms sign ENV-forms imprinted on the plans. 7. Please correct the plan the Industrial area requires two compliant exits (occupant load of 81) yet only one compliant exit is shown? The manufacturing area can not exit through the warehouse. Section 1014.2. City of Carlsbad 16-3861 10/25/16 8. Exit signs are required whenever two exits are required. Show all required exit sign locations. Section 1011.1. 9. Please revise the plans to show the required emergency egress lighting per section 1006.3 of the CBC to compliant exits. 10. Please correct the plans to show the indirect waste to be drained by gravity and not pumped. Section 709.1. CPC. 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 ate 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 CJ No CJ The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Doug Moody at Esgil Corporation. Thank you. City of Carlsbad 16-3861 10/25/16 [DO NOT PAY --THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PREPARED BY: Doug Moody PLAN CHECK NO.: 16-3861 DATE: 10/25/ 16 BUILDING ADDRESS: 3200 Lionshead Ave Suite 110 BUILDING OCCUPANCY: B BUILDING AREA Valuation Reg. PORTION ( Sq. Ft.) Multiplier Mod. Tl 33573 45.78 ,. Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordjnance Bldg. Permit Fee by Ordnance Plan Oleck Fee by Ordinance ..... VALUE Type of Review: 0 Complete Review D Structural Only ORepetitiv.e Fee ,... Repeats Comments: D Other D Hourly EsGil Fee -------I Hr. @ • ($) 1,536,972 1,536,972 $4,602.141 $2,991.391 $2,577.201 Sheet 1 of 1 macvalue.doc + .·,.,.-~ ..,_ & ~ CITY OF CARLSBAD PLAN CHECK· REVIEW TRANSMITTAL DATE: 11/08/2016 PROJECT NAME: BURK WAREHOUSE Tl Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov PROJECT ID: PLAN CHECK NO: CB163861 SET#: 1 ADDRESS: 3200 LIONSHEAD STE 110 APN: 2218811100 VALUATION: $1,536,972 This plan check review is complete and has been APPROVED by: LAND DEVELOPMENT ENGINEERING DIVISION Final l'nspection by the Construction Management Division is required [J Yes ~il No D This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plan~ as required. Plan Check Comments have been sent to: SARA.PERMITUS@GMAIL.COM ... PLANNING . ' • .... 76Q-60~~~io · ·. -_ • ENGINl&:R.ING. ..... -7~"'.21-50 ' :·; t D Chris Glassen t 760-602-2784 Chris.Sexton@carlsbadca.gov l Christopher.Glassen@carlsbadca.gov ti-----------,--..---! Gina Ruiz 760-602-4675 Gina.Ruiz@carlsbadca.gov =-l LJ i D Linda Ontiveros ! 760-602-2773 · Linda.Ontiveros@carlsbadca.gov 1 I / I Val Ray Nelson [ V 760-602-27 41 I· ValRay.Nelson@carlsbadca.gov , _'. · ~••Rltl.,risieNtloN· ,:. _·\;,/16~_6~1',~·. 1·7 Greg Ryan -J 760-602-4663 Gregory.Ryan@carlsbadca.gov Cindy Wong 760-602-4662 Cynthia.Wong@carlsbadca.gov Dominic Fieri 760-602-4664 Dom_inic.Fieri@carlsbadca.gov For questions or clarifications-on the attached checklist .please contact the reviewer as marked above. Remarks: NO FEES NO CHANGE IN USE. ALL WORK IS INTERNAL AND INVOLVES WALLS LIGHTING AN[? HVAC AND PLUMBING. NO REFLECTED CEILING PLAN OR ANYTHING LOOKING TO INVOLVE OFFICE SPACE BURK WAREHOUSE Tl CB163'i1 Tl 33573 SF WAREHOUSE TO WAREHOUSE Lot/ Map No.: Outstanding issues are marked with [X l . Please make the necessary corrections for compliance with applicable codes and standards and re-submit corrected plans and/or specifications to the Buildi1Jg division. Items that conform to permit requirements are marked with L{ I -or-have intentionally been left blanlc. 1. SITE PLAN Provide a fully dimensioned site plan drawn to scale. Show: D m North arrow D I ./ ! Existing & proposed structures D . m Property line dimensions CJ D Easements Show on site plan: D D Drainage patterns D CJ Existing & proposed slopes D D Existing topography D D Retaining Walls (location and height) D D Indicate what will happen with soil excavated from pool area. lnc1uae on title sheet: D m Site address D [Z] Assessor's parcel number D D Legal description/lot number . 'i \ . D [ZJ For alf commercial/industrial building and tenant improvements, include: total building square footage with the square footage fore each different use, showing square footage of different uses (manufacturing, storage, warehouse, office, etc.) Example: 10,900 sf of SHELL to 10,900 sf OFFICE 7,000 sf of SHELL to 7,000 sf STORAGE 3,900 sf of SHl;:LL to 3900 sf MANUFACTURING LOT 17 MAP 15013 Subdivision/Tract : Reference No(s): E-37 Page 2 of4 REV 6/2012 BURK WAREHOUSE Tl CB163861 N/A Attachments: E-37 2. GRADING PERMIT REQUIREMENTS The conditions that require a grading permit are found in Section 11.06.030 of the Municipal Code. Inadequate information available on site plan to make a determination on grading requirements. Include accurate grading quantities in cubic yards (cut, fill, import, export and remedial). This information must be included on the plans. If no grading is proposed write: "NO GRADING" Minor Grading Permit required. NOTE: The grading permit must be issued and grading approval obtained prior to issuance of a building permit. A separate grading plan prepared a registered civil engineer must be submitted together with the completed application form attached. Graded Pad Certification required. All required documentation must be provided to your Construction Management & Inspection division inspector, . The inspector will then provide the Land Development Engineering counter with a release for the building permit. See attached checklist for minimum submittal requirements. 3. MISCELLANEOUS PERMITS ~J RIGHT-OF-WAY PERMIT is required to do work in city right-of-way and/or private work adjacent to the public right-of-way. A separate right-of-way issued by the engineering division is required for the following: N/A Engineering Application Storm Water Form Right-of-Way Application/Info ./ Reference Documents Page 3 of 4 REV 6/2012 ·--t *** THIS CALCULATION WORKSHEET IS NOT ALL-INCLUSIVE OF FEES THAT MAY BE DUE FOR THIS PROJECT*** ~ Fee Calculation Worksheet ENGINEERING DIVISION Prepared by: Date: GEO DATA:LFMZ: /B&T: Address: Bldg. Permit#: Fees Update by: Date: Fees Update by: Date: EDU CALCULATIONS: List types and square footages for all uses. Types of Use: Sq.Ft/Units Types of Use: Types of Use: Sq.Ft/Units Sq.Ft/Units Types of Use: Sq.Ft/Units ADT CALCULATIONS: List types and square footages for all uses. Types of Use: Sq.Ft/Units Types of Use: Types of Use: Types of Use: FEES REQUIRED: Sq.Ft/Units Sq.Ft/Units Sq.Ft/Units EDU's: EDU's: EDU's: EDU's: ADT's: ADT's: ADT's: ADT's: Within CFO:·~ YES (no bridge & thoroughfare fee in District#1, reduces Traffic Impact Fee) NO 1. PARK-IN-LIEU FEEflNW QUADRANT NE QUADRANT ,SE QUADARANT 1 1SW QUADRANT ADT'S/UNITS: I X FEE/ADT: I =$ 2.TRAFFIC IMPACT FEE: ADT'S/UNITS: 1x FEE/ADT: I=$ 3. BRIDGE & THOROUGHFARE FEE: DIST. #1 DIST.#2 DIST.#3 ADT'S/UNITS: 1x FEE/ADT: I=$ 4. FACILITIES MANAGEMENT FEE ZONE: ADT'S/UNITS: 1x FEE/SQ.FT/UNIT: I=$ 5. SEWER FEE EDU's 1x FEE/EDU: I=$ BENEFIT AREA: EDU's 1x FEE/EDU: I=$ 6. DRAINAGE FEES: PLDA: ;HIGH MEDIUM LOW ACRES: 1x FEE/AC: I=$ 7. POTABLE WATER FEES: UNITS CODE CONN. FEE METER FEE SDCWA FEE TOTAL I - PLANNING .DIVISION BUILDING PLAN CHECK APPROVAL P-28 DATE: 11/22/:1,6 PROJECT NAME: T.I. PROJECT ID: Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov PLAN CHECK NO: CB163861 SET#: ADDRESS: 3200 LIONSHEAD AV APN: IZ! 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 D 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 th~ issuance of a building permit. Resubmitted plans should include corrections from all divisions. D 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: SARA.PERMITUS@GMAIL.COM For questions or clarifications on the attached checklist please contact the following reviewer as marked: Pl.ANN-ING. - 1eo-QQ;2-:4s1:o, D Chris Sexton 760-602-4624 Chris.Sexton@carlsbadca.gov ~ Gina Ruiz. D 760-602-4675 Gina.Ruiz@carlsbadca:gov ' ,-.-• e -· :-•,• -,-,._., ,''_-,. -~;·'a,~. ,>; V SNGIN:EERING. ··, :: ,.:. :/~lR·E·PR.EVEN110:N .. : 760-602~z2tso ' ;''' ': 160~6@~~45g5' -' ' D REVIEW#: 1 2 3 181 D D 181 D D 181 D D 181DD 181 DO 181 D D· Plan Check No. CB163861 Address 3200 UONSHEAD AV Date 11/22/16 Review#.2 Planner GINA RUIZ Phone (760) 602-4675 _ Type of ProjE:lct & Use: LL Net Project Density: DU/AC Zoning: P-M General Plan: fl Facilities Management Zone: 1.§ CFD-(in/out) #_Date of participation: __ Remainin·g net dev acres: __ (For non-resi(:lential development: Type of land use created by this permit: __ ) Legend: ~ Item Complete D Item Incomplete -Needs your action Environmental Review Required: YES O NO ~ TYPE DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: Discretion'!.ry Action Required: YES D NO~ TYPE __ APPROVAL/RESO .. NO. DATE PROJECT NO. OTHER RELATED CASES: (per planner for SOP 14-01, discrepancy in total# in conditions of approval. Should state 176 not 186) Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval: __ _ Coastal Zone Assessmen_t/Compliance Project site located in Coastal Zone? YES D NO .[g]_ CA Coastal Commission Authority? YES O NO .[g]_ 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 D NO 181 If property has Habitat Type lde·ntified 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!) lnclusionary Housing Fee required: YES D NO ~ (Effective date of lnclusionary Housing Ordinance -May 21, 1993.) Data Entry Completed? YES D NO D (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 O NO D NIA 181 Site Plan; ~DD P-28 Page 2 or3 07/11 _ .. City Council Policy 44 -Neighborhood Architectural Design Guidelines 18] D D 1. Applicability: YES D NO D 18] D D 2. ;Project complies: YES D NOD !81 D D Zoning: 1. Setbacks: Front: Interior Side: Street Side: Rear: Top of slope: Required __ Shown __ Required __ Shown __ Required ____ Shown __ Required___ Shown __ Required __ Shown __ 2. Parking: Total building square footage: 80419 SQ. FT. Warehouse: Existing Office: Spaces Required 60.5 (60557/1000) Stated 61 Spaces Required 29.9 (7476/250) Stated 30 New Manufacturing: Spaces Required 20.8 (8334/400) Stated 17 (8136/500 STATED) 21 (8334/400} New Office: Spaces Required 16.2 (4052/250) TOTAL SPACES REQUIRED= 128 TOTAL 129 STATED SPACES PROVIDED = 176 Stated~ 17 3. Roof mounted equipment screening: Required YES -SECTIONS REQUIRED Shown SECTIONS NOT INCLUDED ONLY POLICY ATTACHED SECTION ADDED SHOWING PARAPET SCREENS EQUIPMENT ON SHEET A3 4. Employee eating area: 80419 SQ. FT./ 5000 = 16.0 X 300 SQ. FT. = 4800 (*BASED ON TOTAL SQ. FT. OF 80419 IF THAT IS CORRECT, IF NOT, REVISE ACCORDINGLY) Square footage Required 4800* -Stated 4952 SQ. FT. IS VVHAT IS CALCULATED AND-4962 SQ. FT IS WHAT IS_STATED 4952 D 18] D Additional Comments: PLA~ICHECK NO. 1 #1. WHAT IS THE CORRECT TOTAL SQUARE FOOTAGE OF THE BUILDING? THE\ TOTAL STATED IN PROJECT SUMMARY STATES 80419. THE TOTAL PARKED EQUALS 80221. AND THE TOTAL IN THE EMPLOYE!: BR!:/\K AR!:A STJ\T!:S 82all0. PL!:ASE R!:VISE ALL TOTALS TO MATCH AND /\LL SHOULD EQUAL THE SAM!: ~IUMB!:R. #2. PLEI\SE R!:VIS!: TH!: TOTAL SQU/\R!: FOOT/\G!: l~I THE PARKl~IG T/\BL!: TO R!:FL!:CT THE CORR!:CT TOTAL /\S STAT!:D ABOVE l~I CORRECTION #1. AS VV!:LL /\S R!:VISE THE l~IDUSTRIAL AR!:A TO STAT!: M/\~IUFACTURl~IG /\ND THE APPLICABLE PARKl~IG RATIO OF 1/400. #'J. PL!:ASE ADD_ SECTIONS TO TH!: PLJ\NS SHOWl~IG HOVV THE NEW ROOF MOUNTED EQUIPMENT STAT!:D ON SHEETS M1 & -M2 WILL BE SCREENED FROM VIEW FROM STREETS />,ND ADJ/\C!:NT PROP!:RTIES /\S ONLY THE POLICY W/\S ADDED TO THE PLANS. #4. PL!:ASE REI/ISE_THE EMPLOY!:E !:ATING AREA INFORMATION ON SHE!:T 1 TO REFLECT THE CORRECT TOTAL BUILDING SQU/\R!: FOOTAGE /\S STATED IN CORRECTlml #1. OK TO ISSUE AND ENTERED APPROVAL INTO O0MPUTER GINA RUIZ DATE 11/22/16 P-28 Page 3 of 3 07/11 KEN OKAMOTO & ASSOCIATES, INC. STRUCTURAL .ENGINEERS gj"Rt~CTURAL CALCULATIONS PROJECT: BURKE BUSINESS CENTER -PHASE II JOB#: 16320 CARLSBAD,CA CRITERIA: 2013 CALIFORNIA AND/OR LOCAL BLDG CODE, LATEST EDITION MATERIALS: EXCEPT AS OTHERWISE SPECIFIED HEREIN: CONCRETE: CONCRETE BLOCK: REINFORCING STEEL: STRUCTURAL STEEL: STRUCTURAL PIPE: PLYWOOD SHEATHING: GLUE LAM. BEAMS: LUMBER: SOIi,. PRESSURE: DESIGN REFERENCES: GENERAL DESIGN: LUMBER & TIMBER: STEEL: CONCRETE BLOCK: 3,000 PSI AT 28 DAYS. GRADE N, MED. WT. UNITS, ASTM C-90. (ASTM A615, GRADE 60). (COMPACT) (ASTM A992). (ASTM A-53, GRADE "B"). DOUGLAS FIR, STRUCTURAL 1, P.S. 1-95. 2,400 PSI (D.F. COMB. "24F"). GRADE MARKED D.F. PER W.C.L.B. GROG. RULE 17. SEE FOUNDATION PLAN FOR COMPLETE DATA. INCLUDING CHARTS AND TABLES FROM: 3186-F AIRWAY AVE.• COSTA MESA, CA 92626 • (714) 444-2422 • FAX (714) 444-2122 ~· · KEN OKAMOTO & ASSOCIATES, INC. : STRUCTURAL ENGINEERS ' ' . 1-Pr;gf!.J./1:. e.-Netv oPeNt J\JC. L:" J ~ 1 o "' uJ"' Uit+-io)LJ'f1 ~ "J~Ltro\Lo~i-s-):;; 3Sz..sn;:= /)Jv~ Lll·4,0 fl,f f'At1:: :I. rt .. 1:1 lf-,t,/5 ·"., Zt1:~~ :'311) rfl ' '-l -1=tb)-"' ~06 \(I q:>1.,u /J\µ SrJP.P(Xl, 1.S Pv =-33,&sl 1:'.v -. f f'oon ,-J _c. I\..=; /4' i,, F . 0 SHEET _~;_1 __ JOB---- BY U)i:J 13lc/ .5&. l/... z., y_ tt <r1-t1 UL-\f,J/ (() ~ (e ~-W· sa-,-a;:-rrAC,t<t6.) 3186-F AIRWAY AVE.• COSTA MESA, CA 92626 • (714) 444-2422 Ken Okamoto & Associates Structural Engineers Inc 3186-F Airway Ave. Costa Mesa, CA 92626 (714) 444-2422 Description : Footing at new Opening Material Properties fc : Concrete 28 day strength fy : Rebar Yield Ee : Concrete Elastic Modulus Concrete Density cp Values Flexure Shear Analysis Settings Min Steel % Bending Reinf. Min Allow% Temp Reinf. Min. Overturning Safety Factor Min. Sliding Safety Factor Add Ftg Wt for Soil Pressure Use fig wt for stability, moments & shears Add Pedestal Wt for Soil Pressure Use Pedestal wt for stability, mom & shear Width parallel to X-X Axis Length parallel to Z-Z Axis Footing Thickness Pedestal dimensions ... px : parallel to X-X Axis pz : parallel to Z-Z Axis Height = = = = = Rebar Centerline to Edge of Concrete ... at Bottom of footing = Bars parallel to X-X Axis Number of Bars = Reinforcing Bar Size = Bars parallel to Z:-Z Axis Number of Bars = Reinforcing Bar Size = Band.width Distribution Check (ACI 15.4.4.2) = = = = = = # 2.50 ksi 60.0 ksi 3,122.0 ksi 145.0 pcf 0.90 0.750 = 0.00180 = = 4.750 ft 4.750 ft 24.0 in 0.0 in 0.0 in 0.0 in 3.0 in 6 6 6 1.0: 1 1.0 : 1 No Yes No No # 6 Direction Requiring Closer Separation n/a # Bars required within zone n/a # Bars required on each side of zone n/a ~rm1il8·~&afi't»~~~~~~Jr~~ ~ablf~.ro ., , <-1.MM~ito.1~~..f~ .. --.~1,:~,_,; ..• ~,}f¾~t~ D Lr P : Column Load = 41.60 6.30 OB : Overburden = 0.0 0.0 M-xx = 0.0 0.0 M-zz = 0.0 0.0 V-x = 0.0 0.0 V-z = 0.0 0.0 Soil Design Values Allowable Soil Bearing = 2.60 ksf Increase Bearing By Footing Weight = No Soil Passive Resistance (for Sliding) = 250.0 pcf Soil/Concrete Friction Coeff. = 0.30 Increases based on footing Depth Footing base depth below soil surface = 1.50 ft Allow press. increase per foot of depth = 0.0 ksf when footing base is below = 0.0 ft Increases based on footing plan dimension Allowable pressure increase per foot of depth = 0.0 ksf when max. length or width is greater than = 0.0 ft L s w E H 0.0 0.0 0.0 0.0 0.0 k 0.0 0.0 0.0 0.0 0.0 ksf 0.0 0.0 0.0 0.0 0.0 k-ft 0.0 0.0 0.0 0.0 0.0 k-ft 0.0 0.0 0.0 0.0 0.0 k 0.0 0.0 0.0 0.0 0.0 k Ken Okamoto & Associates Structural Engineers Inc 3186-F Airway Ave. Costa Mesa, CA 92626 (714) 444-2422 Description : Footing at new Opening ~ets~n-~ ~"~ .,--(.It ... <I.ii>, ...... .,.i-.,. ~ Min.Ratio Item PASS 0.8377 Soil Bearing PASS n/a Overturning -X-X PASS nla Overturning -Z-Z PASS n/a Uplift PASS 0 .. 1474 Z Flexure (+X) PASS 0.1474 Z Flexure (-X) PASS 0.1474 X Flexure (+Z) PASS 0.1474 X Flexure (-Z) PASS 0.08911 1-way Shear (+X) PASS 0.08911 1-way Shear (-X) PASS 0.08911 1-way Shear (+Z) PASS 0.08911 1-way Shear (-Z) PASS 0.1963 2-way Punching ... -&Mil•U...._ Applied Capacity Governing Load Combination 2.178 ksf 2.60 ksf +D+lr+H about Z-Z axis 0.0 k-ft 0.0 k-ft No Overturning 0.0 k-ft 0.0 k-ft No Overturning 0.0 k 0.0 k No Uplift 7.50 k-ft 50.887 k-ft + 1.20D+ 1.60Lr+0.50L + 1 .60H 7.50 k-ft 50.887 k-ft +1.20O+1.60Lr+0.50L +1.60H 7.50 k-ft 50.887 k-ft +1.20O+1.60Lr+0.50L +1.60H 7.50 k-ft 50.887 k-ft +1.20D+1.60Lr+0.50L+1.60H 6.683 psi 75.0 psi +1.20O+1.60Lr+0.50L +1.60H 6.683 psi 75.0 psi +1.20O+1.60Lr+0.50L+1.60H 6.683 psi 75.0 psi +1.20D+1.60Lr+0.50L+1.60H 6.683 psi 75.0 psi +1.20D+1.60Lr+Q.50L +1.60H 29.441 psi 150.0 psi +1.20O+1.60Lr+0.50L +1.60H Ken Okamoto & Associates, Inc. Structural Engineers 3186-F Airway Ave. Costa Mesa, CA 92626 BURKE -CARLSBAD. CA ROLL DOWN DOOR SUPPORT lb Weight of the roll down door Height of support column lfiHlm psi Yield strenght of steel Seismic Factor : Horizontal ampiification factor see Table 13.6-1 Importance factor, see table 11.5-1 Element elev. w/ respect to grade Roof elev. w/ respect to grade Spectral response acceleration parameter Horiz. force factor IBC, Table 13.6-1 F :-----· 1+2·-0.4-a p ·S DS ( h x) p (~) h, F:=Fp-WT ,_F R .--z 2 F ==477 lb R z == 238.4 lb Reaction at base Sheet_.£1:._ Job #163-20 M := 1.4-F ._!: u 2 4 M u == 2836.96 lb-ft Ultimate moment M ·12 z :-u req ( 0.9) ·Fy Try column Allowable compresion Z req == 0.822 in3 $M := 0.9-Fy-~ 12 $M == 4.692•104 lb-ft Allowable moment Ken Okamoto & Associates, Inc. Structural Engineers 3186-F Airway Ave. Costa Mesa, CA 92626 Pu :=l.4·WT Check= 0.174 < 1.0 OK Sheet S" Job #163 20 KEN OKAMOTO & ASSOCIATES, INC. STRUCTURAL ENGINEERS K.. ut-J1, SrJR2e~ t::,.t W"I..::; 11/ia? 14\-o/ 5u~ Put-Uk.I~ f,,. :i-eo ,Q- w,. ( l (g '>'-3 .f--Jo ,<. I ) "' (il f> t't,.F' M"' L '\ L\ fL---'Ff S~:: ,13, 3 ,o 3 :r~$ 30',o "' L) L"" 8 1e,"' SHEET b JOB 1~3~ BY 3186-F AIRWAY AVE.• COSTA MESA, CA 92626 • (714) 444-2422 > .. Ken Okamoto & Associates, Inc. Structural Engineers 3186-F Airway Ave. Costa Mesa, CA 92626 BURKE BUSINESS CENTER -CARLSBAD, CA MECHANICAL UNIT ANCHORAGE 1~iitiW!b1 :~if#.~4{@ Weight of the equipment Height of the equipment to center of gravity, y dir. Width of the equipment Horizontal amplification factor see Table 13.6-1 F Importance factor, see table 11.5-1 Element elev. w/ respect to grade Roof elev. w/ respect to grade Spectral response acceleration parameter Horiz. force factor IBC, Table 13.6-1 Seismic Factor: F :-----· 1+2·---0.4·a p ·S DS ( h x) p (r:) h, F:=Fp-WT F pvert := 0-2·8 os· WT OTM :=(0.7-F·h) b RM:= (o.6-0.14-S os)·W T2 F ._ (OTM-RM) uplift.-b F p = 0.373 x WT F = 522•lb - F pvert = 208.6•lb OTM = 1460•lb•ft RM= 1388•lb•ft F uplift= 18•lb ., CG + b Sheet_±__ Job163:20 ., MECHANICAL UNIT . ~ . f" KEN OKAMOTO & ASSOCIATES, INC. PROJECT: STRUCTURAL ENGINEERS g_y~,:CTURAL CALCULATIONS BURKE BUSINESS CENTER -PHASE II CARLSBAD,CA JOB#: 16320 CRITERIA: .2013 CALIFORNIA AND/OR LOCAL BLDG CODE, LATEST EDITION MATERIALS: EXCEPT AS OTHERWISE SPECIFIED HEREIN: CONCRETE: CONCRETE BLOCK: REINFORCING STEEL: STRUCTURAL STEEL: STRUCTl,JRAL PIPE: . PLYWOOD SHEATHING: GLUE LAM. BEAMS: 3,000 PSI AT 28 DAYS. GRADE N; MED. WT. UNITS, ASTM C-90. (ASTM A615, GRADE 60). (COMPACT) (ASTM A992). (ASTM A-53, GRADE "B"). DOUGLAS FIR, STRUCTURAL 1, P.S. 1-95. 2,400 PSI (D.F. COMB. "24F"). LUMBER: SOIL PRESSURE: GRADE MARKED D.F. PER W.C.L.B. GROG. RULE 17. SEE FOUNDATION PLAN FOR COMPLETE DAT A. DESIGN REFERENCES: GENERAL DESIGN: LUMBER & TIMBER: STEEL: CONCRETE BLOCK: CONCRETE: ~=~ INCLUDING CHARTS AND TABLES FROM: 3200 LIONSHEAD AV 2218811100 110 3186-F AIRWAY AVE. • COSTA MESA, CA 92 Tl 10-14-2016 CB163861 ' T ta· ts:I -KEN OKAMOTO & ASSOCIATES, INC. . . STRUCTURAL ENGINEERS M~A/J\:. ~ .fJ~ . oP~NLf\Jl . 1-.;& J ~-r O "I . (!.)~ ()(f-!-:'?O)LJ,.'f). !-. J~ Li'J.O )[..o_.:1-5.)::; ~$,Z..5-fif. /)Jv" Llr~P hJ-i . . . , t-f\t1 ~ 1 (t .. 11. lf:,--f./1_ __ , . . R.v .. _3pi9Hf. .:, .Z~: :~1!) ,/l . . t.t §:1£PJ.:$ ~06 ,n . co1..,u Mt-I .. .surrm..:r.s p\:}::: 33_.~ ~ f '. SHEET ____ ;_'\ __ JOB----- .. !3Y use gr~II .5Q 'Ii. 2., i.-\ ,l "f1,}1 C).C-\f.}/ ({) ~ (e_ f'd-W· 5€€ ~iTAvt<l'6.) 3186-F AIRWAY AVE.· COSTA MESA, CA 92626 • (714) 444-2422 · 1 Ken 10kamoto & Associates Structural Engineers Inc 3186-F Airway Ave. Costa Mesa, CA 92626 (714) 444-2422 Description : Calculations per ACI 318-11, IBC 2012, CBC 2013, ASCE 7-10 Load Combinations Used : ASCE 7-10 _,,&f\6ifl'1-l Material Properties 2.50 ksi fc : Concrete 28 day strength = fy : Rebar Yield = 60.0 ksi Ee : Concrete Elastic Modulus = 3,122.0 ksi Concrete Density = 145.0 pcf <p Values Flexure = 0:90 Shear = 0.750 Analysis Settings Min Steel % Bending Reinf. = Min Allow% Temp Reinf. = 0.00180 Min. Overturning Safety Factor Min. Sliding Safety Factor Add Ftg Wt for Soil Pressure Use ftg wt for stability, moments & shears Add Pedestal Wt for Soil Pressure Use Pedestal wt for stability, mom & shear r!s@j.lJ~-11 Width parallel to X-X Axis Length parallel to Z-Z Axis Footing Thickness Pedestal dimensions ... px : parallel to X-X Axis pz : parallel to Z-Z Axis Height = = = = = = Rebar Centerline to Edge of Concrete ... at Bottom of footing = Bars parallel to X-X Axis Number of Bars = Reinforcing Bar Size = Bars parallel to Z-Z Axis Number of Bars = Reinforcing Bar Size = Bandwidth Distribution Check (ACI 15.4.4.2) # = = 4.750 ft 4.750 ft 24.0 in 0.0 in 0.0 in 0.0 in 3.0 in 6 6 6 # 6 Direction Requiring Closer Separation n/a # Bars required within zone n/a # Bars required on each side of zone n/a ·~,-o\!Wli,£. ',:f~i ~:t~~'W1/f&I'~£~~~ ~W.IM~@M~l~idY~'MBl~~~flj~ffil1®¥i'Jfil@$L~ P : Column Load OB : Overburden M-xx M-zz V-x V-z = = = = = D 41.60 0.0 0.0 0.0 0.0 0.0 1.0: 1 1.0: 1 No Yes No No Lr 6.30 0.0 0.0 0.0 0.0 0.0 Soil Design Values Allowable Soil Bearing = 2.60 ksf Increase Bearing By Footing Weight = No Soil Passive Resistance (for Sliding) = 250.0 pcf Soil/Concrete Friction Coeff. = 0.30 Increases based on footing Depth Footing base depth below soil surface = 1.50 ft Allow press. increase per foot of depth = 0.0 ksf when footing base is below = 0.0 ft Increases based on footing plan dimension Allowable pressure increase per foot of depth = 0.0 ksf when max. length or width is greater than = 0.0 ft L s w E H 0.0 0.0 0.0 0.0 0.0 k 0.0 0.0 0.0 0.0 0.0 ksf 0.0 0.0 0.0 0.0 0.0 k-ft 0.0 0.0 0.0 0.0 0.0 k-ft 0.0 0.0 0.0 0.0 0.0 k 0.0 0.0 0.0 0.0 O.Ok Ken'Okamoto & Associates Structural Engineers Inc 3186-F Airway Ave. Costa Mesa, CA 92626 (714) 444-2422 Description : Footing at new Opening ~&DB~~---Min.Ratio Item PASS 0.8377 Soil Bearing PASS nla Overturning -X-X PASS nla Overturning -Z-Z PASS n/a Uplift PASS 0.1474 Z Flexure (+X) PASS 0.1474 Z Flexure (-X) PASS 0.1474 X Flexure ( +Z) PASS 0.1474 X Flexure (-Z) PASS 0.08911 1-way Shear ( +X) PASS 0.08911 1-way Shear(-X) PASS 0.08911 1-way Shear (+Z) PASS 0.08911 1-way Shear (-Z) PASS 0.1963 2-way Punching -·¾Hi1•1'.._ Applied Capacity Governing Load Combina1ion 2.178 l<sf 2.60 ksf +D+Lr+H about Z-Z axis 0.0 k-ft 0.0 k-ft No Overturning 0.0 k-ft 0.0 k-ft No Overturning 0.0 k 0.0 k No Uplift 7.50 k-ft 50.887 k-ft +1.20D+1.60Lr+0.50L +1.60H 7.50 k-ft 50.887 k-ft +1.20D+1.60Lr+0.50L +1.60H 7.50 k-ft 50.887 k-ft +1.20D+1.60Lr+0.50L +1 .60H 7.50 k-ft 50.887 k-ft +1.20D+1.60Lr+0.50L +1.60H 6.683 psi 75.0 psi +1.20D+1.60Lr+0.50L +1.60H 6.683 psi 75.0 psi +1.20D+1.60Lr+0.50L +1.60H 6.683 psi 75.0 psi + 1.20D+1.60Lr+0.50L +1 .60H 6.683 psi 75.0 psi +1.20D+1.60Lr+0.50L +1.60H 29.441 psi 150.0 psi +1.20D+1.60Lr+0.50L+1.60H J ~en Okamoto ~ Associates, Inc. Structural Engineers 3186-F Airway Ave. Costa Mesa, CA 92626 ll'~~~ ~-ft psi .Seismic Factor : · BURKE -CARLSBAD, CA ROLL DOWN DOOR SUPPORT Weight of the roll down door Height of support column Yield strenght of steel Horizontal amplification factor see Table 13.6-1 Importance factor, see table 11.5-1 Element elev. w/ respect to grade Roof elev. w/ respect to grade Spectral response acceleration parameter Horiz. force factor IBC, Table 13.6-1 0.4-a p ·S DS ( h x) Fp:-(~) · I+2·h, , Wy F p =0.119 x WT F:=F p·Wt F =477 lb R :=! z 2 R z = 238.4 lb Reaction at base Sheet_ft_ Job #163.20 M := l.4·F._!: u 2 4 M u = 2836.96 lb-ft Ultimate moment M ·12 z :-u req (0.9)-Fy Try ~~n3 ~~ column lb Allowable compresion Z req = 0.822 in3 ~M := 0.9-Fy-~ 12 ~M =4.692•104 lb-ft Allowable moment / ., Ken Okamoto & Associates, Inc. Structural Engineers 3186-F Airway Ave. Costa Mesa, CA 92626 Pu :=l.4·WT Check=0.174 < 1.0 OK Sheet ~ Job #163:20 KEN OKAMOTO & ASSOCIATES, INC. STRUCTURAL ENGINEERS K ()µ1 ,--ScJf?~ At . Wt°~ :no ~ 0 / 5ug Pue.-u 1.J> :¾,5 ~· lt).s (. 1.(q ~ 3 4-Jo)(. I ) ::; [q_/1, f'IJP' M:::; J_z.":}' ~F-1"' . ':I S~s 1.;2 '" '1 ~~$ :JD II) . ,;· ... SHEET_b~_ JOB l(p3~ SY 3186-F AIRWAY AVE.• COSTA MESA, CA 92626 • (714) 444-2422 1: · r Ken Okamoto & Associates, Inc. Structural Engineers 3186-F Airway Ave. Costa Mesa, CA 92626 BURKE BUSINESS CENTER -CARLSBAD1 CA MECHANICAL UNIT ANCHORAGE Seismic Factor: F:=Fp-WT Weight of the equipment Height of the equipment to center of gravity, y dir. Width of the equipment Horizontal amplification factor see Table 13.6-1 Importance factor, see table 11.5-1 Element elev. w/ respect to grade Roof elev. w/ respect to grade F Spectral response acceleration parameter Horiz. force factor IBC, Table 13.6-'-1 F p = 0.373 x WT F = 272•1b F pvert :=0.2·S ns·W T F pvert = 108. 77•1b OTM :=(0.7·F·h) RM:= (o.6-0.14-s 08)-w T"¾ F ,_ (OTM-RM) uplift· b OTM = 761 •lb•ft RM = 724•lb•ft F l'ft = 9•lb Up I h CG + b Sheet.I__ Job163:20 MECHANICAL UNIT ' ·•- 21228 Winterset Dr. Santa Clarfta, CA 9135()' To: Building Mechancal I Health Departments Re-: Schur Star Systems-3200 Lionshead Ave., Ste. 11 O Air Balance Test Feb.2nd,2017 An air balance test was qonducted Feb. 2nd, 2017 at a tenant improvement at the above address. The (3) air handling unit were tested and shown to meet state and local mechanical codes and are in balance. A detailed report will follow. If you have any questions please.call (661)312-4a4o_ Sincerely, Bryan D. Bair CA State Contractors License #632895 Certificate #15,,5.10-.25- -·~,iJ~:fl S¥STEM BALAN~i=-~N.a:,tu1~11~~·- •st!!l!SMB,.~JT4NijM8ER --HP-36. -, , -· > ,:. '-,,·1~," _ ---.,~~ LOCATION Ceilin MANUFACTURER Carrier MODEL NUMBER 50TCQA04 SERIAL NUMBER SPACE SERVED Mezzanine FAN DATA DESIGN DESIGN TOTAL CFM-FAN 1200 TOTAL CFM -OUTLET/INLET 2400 RETURNCFM 800 OUTSIDE AIR CFM 400 TOTAL STATIC PRESSURE FAN RPM MOTOR DATA DESIGN DESIGN PHASE WEG MOTOR HP 0.5 PHASE 3 VOLTAGE 460 AMPERAGE 11.6 MOTOR RPM 'BELT SIZE MOTOR SHEAVE FAN SHEAVE REGISTERS ~D GRILLES -36 1 HP-36 2 Mezzanine HP-36 3 Mezzanine HP-36 4 Mezzanine HP-36 5 TEST DATE Feb.2nd,2017 PROJECT Schur Star Systems ADDRESS 3200 Lionshead Ave., Ste. 110 Carlsbad CA 92010 TEST TIME 12:00PM READINGS BY Bryan Bair ,.. LOCATION Ceilin MANUFACTURER Carrier MODEL NUMBER 50TCQA06 SERIAL NUMBER SPACE SERVED Lower Level FAN DATA DESIGN TOTAL CFM-FAN 2000 TOTAL CFM -OUTLET/INLET 4000 RETURN CFM 1800 OUTSIDE AIR CFM 200 TOTAL STATIC PRESSURE FAN RPM MOTOR DATA DESIGN PHASE WEG MOTOR HP 1 PHASE 3 VOLTAGE 460 AMPERAGE 13 MOTOR RPM BELT SIZE MOTOR SHEAVE FAN SHEAVE REGISTERS AND GRILLES Lower Level HP-60 7 Lower Level HP-60 8 Lower Level HP-60 9 Lower Level HP-60 10 DESIGN DESIGN 300 317 400 407 400 398 400 411 TEST DATE Feb.2nd,2017 PROJECT Schur Star Systems ADDRESS 3200 Lionshead Ave., Ste. 110 Carlsbad CA 92010 TEST TIME 12:00PM READINGS BY Bryan Bair LOCATION Wall MANUFACTURER Mitsubishi MODEL NUMBER PUY-A12NHA4 SERIAL NUMBER SPACE SERVED Server Room FAN DATA DESIGN TOTAL CFM -FAN 425 TOTAL CFM -OUTLET/INLET RETURNCFM OUTSIDE AIR CFM TOTAL STATIC PRESSURE FAN RPM MOTOR DATA DESlGN PHASE Mitsubishi MOTOR HP 0.125 PHASE 1 VOLTAGE 120 AMPERAGE 4.7 MOTOR RPM BELT SIZE MOTOR SHEAVE FAN SHEAVE Roof Greenheck GB-121-4 Timecfock Conrol DESIGN 500 DESIGN WEG 0.25 1 120 3.9 TEST DATE Feb.2nd,2017 PROJECT Schur Star Systems ADDRESS 3200 Lionshead Ave., Ste. 110 Carlsbad CA 92010 TESTTIME 12:00 PM READINGS BY Bryan Bair T-RICINT Customer: AIR BALANCE GUYS 21228 WINTERSET DRIVE SANTA CLARITA. CA. 91350 Asset: Description: Manufacturer: Accuracy:: M10331 MICROMANOMETER Shortridge Manufacturer Specifications Service Requested: CALIBRATION Condition Received: IN TOLERANCE Condition Returned: LEFT AS FOUND Cal Procedure, 33K6-4-1769-1 Calibration Notes: Customer Information Calibration Certificate Certificate #: 44046 Date Printed: 5/23/2016 Purchase Order ~ CC Equipment Information Serial Number: Model Number: Cal. Interval: Event Information Cal Date: M10331 ADM860C 24 MONTHS 5/23/2016 Cal Due Date: 5/23/2018 Temp./RH: 21 C / 38 % AIR VELOCITY, TEMP, FLOW METERS Technician: J MCLAURY QA Approval: Julio Netto, QA Representative This document cerlijie.s thal the unit conformed to applicable speciflca1ions 11pon successful completion of the calibration. Any number of factors may cal/Se the calibration item to drift out of calibration hefore the recommended calibration interval has expired. This instrument has been calibrated using test equipment of a known accuracy, traceable to the National Institute Of Standards and Technology (NISl) or other recogllized metrology ins1i1utes. Trident Calibration Lobs' policies atld procedures comply with ANSIINCSL Z540.l-l 994 as well as the ISO 9000 Series (luali(v Standards. f.D. Mfg 10-0166 Shortridge A test uncenai11{~· ratio (TUR) of 4: 1 (K= 2. approx .. 95% confidence level) is maintained unless otherwise stated. This cenijicate shall not be 1'eprod11ced, except in full, without writien consent of Trident Calibration labs. Model# ADM-860C Standards Description DIGITAL MANOMETER Cal. Due Date NIST Traceability# 5/23/2018 14908 Trident Calibration Labs 9005 Eton Ave., Suite B, Canoga Park, CA 91304 818-886-3750 P'lnP.1 nf 1 Titl-e 24 Mechanical Forms STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA--MCH-02-A(Revised 07/16) CALIFORNIA ENERGY COMMISSION • CERTIFICATE OF ACCEPTANCE Outdoor Air Acceptance Project Name: Schur Star Systems Enforcement Asency: Project Address: 3200 lionshead Ave. Ste. 110 City: Carlsbad System Name or Identification/Tag: AC-36 System LQ<atlon or Area Served: Note: Submit one Certificate of Acceptance for each system that must demonstrate compliance. NRCA-MCH-02-A (Page 1 of3) Permit Number: Zip Code: 92010 Intent: Verify measured outside airflow reading is within 1096 of the total required outside airflow. Required for all newly installed HVAC units. Reference MCH-03 (Column 14) or Mechanical Equipment Schedules, A. Construction Inspection Note: MCH-02-A can be performed in conjunction with MCH-07-A Supply Fan VFD Acceptance (if applicable} since testing activities overlap. 1. Supporting documentation needed to perform test includes: a. b. c. As-built and/or design documents (for example, Mechanical Equipment Schedules, Equipment Start-Up Sheets or Balancing Reports). 2016 Building Energy Efficiency Standards Nonresidential Compliance Manual {NA7.5.1.1 Ventilation Systems: Variable Air Systems At-A-Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At-A-Glance). 2016 Building Energy Efficiency Standards. 2. Instrumentation needed to perform test includes: a. Watch b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.). i. Method and equipment used:_Ai_._r_D_ata_M_u_lt_im_e_t_e_r ___________ _ ii. Equipment calibration date (must be within one year):._S_/_2_01_6 _______ _ 3. System type (check either VAV or CAV): D VAV ~ CAV a. Check if Variable Air Volume {VAV) and complete the following: i. Outside airflow is either factory calibrated or field calibrated. 21 Check if factory calibrated and attach calibration certification. D Check if field calibrated and attach calibration results. ii. Damper Control {must be checked}: ~ Dynamic damper control ls being used to control outside air. (This is NOT a fixed minimum position). iii. One of the following dynamic controls is being utilized to control outside air (check method used) 2] Outdoor Air CFM Compensation D Energy Balance Method D Demand Control Ventilation D Return Fan Tracking D Injection Fan Method D Dedicated Minimum Ventilation Damper with Pressure Control D Other Active Control, Describe: _________________ _ b. Check if Constant Air Volume (CA V} and verify the following: ~ System is designed-to provide a fixed minimum OSA when the unit is on. 4. Method of delivering outside air to the unit (check one of the following): ~ Outside air is ducted to the return air plenum. Confirm that outside air is ducted to within (check one of the followin_g): ~ 5 ft. of the unit. D 1S-ft. of the unit, with the air directed substantially toward the unit. ~ Return air plenum is NOT used to distribute outside air to the unit. (i.e. outside air is ducted directly to the unit, outside air is provided independent of the unit, or economizer) 5. Pre-occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one of the following methods must be verified and checked): D The conditioned floor area times the ventilation rate from the 2016 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm per person times the expected number of occupants, whichever is greater. ~ Complete air changes to the zone served by the air handler. STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC·NRCA·MCH-02-A (Revised 07/16) CERTIFICATE OF ACCEPTANCE Outdoor Air Acceptance Project Name: Schur Star Systems Enforcement Agency: Project Address: 3200 lionshead Ave. Ste. 110 City: Carlsbad System Name or Identification/Tag: AC-3G System Location or Area Served: B. NA7 .5.1.1 Outdoor Air Acceptance Functional Testing Step 1: Disable demand control ventilation (If applicable) Step 2: Verify unit is not in economizer mode during test (economizer disabled) Note: _Shaded boxes do not apply for CA V systems Step 3: CAV and VAV testing at full supply airflow a. b. C. Adjust supply air to achieve design airflow or maximum airflow at full cooling. Record VFD s eed (Hz). Measured outdoor airflow reading (cfm) Required outdoor airflow (cfm} (from MCH-03, Column 14, or Mechanical£ ui ment Schedules . Time for outside air damper to stabilize after full supply airflow is achieved d. (minutes : Step 4: VAV testing at reduced supply airflow .a. Adjust supply <!irflow to either the sum of the ininimumzone airflows, full heating, or 30% of the total design airflow. Record VFD speed (Hz). b. Measured outdoor airflow reading (cfm). c. Required outdoor airflow (cfm) (from McH-03, Column 14, or Mechanical Equipment Schedules). d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes}: Step S: Return to initial conditions (check) C. Testing Calculations & Results Qetermine Percent Outside Air at full supply airflow (%0AFJ for Step 3. a. %0AFA = Measured outdoor airflow reading /Required outdoor airflow. (Step3b/Step3c) b. %0Ai:A is within 10% of design Outside Air. (90% s %0Ai:A S 110%) c. Outside air damper position.stabilizes within 5 minutes. (Step 3d < 5 minutes) Determine Percent Outside Air at reduced supply airflow (%CARA) for Step 4. (VAV only) a. %DARA= Measured outdoor airflow reading /Required outdoor airflow reading. (Step4b/Step4c} b. %DARA is within 10% of design Outside Air. (90% s %DARA s 110%) CALIFORNIA ENERGY COMMISSION • NRCA-MCH-02-A (Page 2 of 3} Permit Number: Zip Code: 92010 CAV VAV % Yes 0 No 0 Yes 0 No 0 % YesO NoQ c. Outside air damper position stabilizeswithin 5 minutes. (Step 4d < 5 minutes) Yes O No O Note: The intent of this test is to ensure that 1) alf air handlers provide the minimum amount of OSA and 2) VAV air handlers use dynamic controls to avoid over ventilation. D. Evaluation ~ PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive. STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A (Revised 07/16) CALIFORNIA ENERGY COMMISSION • CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 3 of 3) PIOJect Name: Enforcement Agency: Permit Number: Schur Star Systems - Project Address: 3200 Lionshead Ave •. Ste. 110 City: Carlsbad Zip Code: 92010 System Name or Identification/Tag: AC-aG System location or Area S<!l'IH!<I, DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: Bryan Bair Documentation Author Signature: Documentation Author Company Name: Air Balance Guys DateSigned: 212117 Address: 2-1228 Winterset Dr. ATT Certification Identification (If applicable): City/State/Zlp: Santa Clarita, CA 91350 Phone: 661-312-4840 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acteptance complies with the applicable 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. 4. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and·has been posted or made available with the building permit(s) issued for the building. Field Technician Name: Bryan Bair Field Technician Signature: Field Technician Company Name: Air Balance Guys Position with Company (Title): Technician Address: 21228 Winterset Dr: ATT Certifi'catfon Identification (if applicable): City/state/Zip:Santa Clarita, CA91350 Phone: 661-312-4840 I Date Signed: 212117 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 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 Certificate of Acceptance. 2. I am 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance 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. 4. I have confirmed that the Certif'icate(s) of Installation for the construction or instaifation identified on this Certificate of Acceptance has been completed and is posted or made avallable with the building permit(s) issued for the building. 5. I will·ensure that a completed, signed copy of this Certificate of Acceptance 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 signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Acceptance Person Name: Do~g Bair Responsible Acceptance Person Signature: Responsible Acceptance Person Company Name: Air Balance Guys Position with Company {Title): Owner Address: 21228 Winterset Dr. CSLB License: 632895 Cit!f/Sta~/Zip: Santa Clarita, CA 91350 Phone:661-312-4840 I Date Signed: 212117 STAT-£ OF CALIFORNIA OUTDOOR AIR ACCEPtANCE CALIFORNIA ENERGY COMMISSION • CEC·NRCA-MCH-02-A (Revised 07/16) CERTIFICATE OF ACCEPTANCE Outdoor Air Acceptance Project Name: Schur Star Systems EnforcementAgency: Projf!ct Address: 3200 lionshead Ave. Ste. 110 C,ty; Carlsbad System Name or Identification/Tag: AC•3G System location or Alea Served: Note: Submit one Certificate of Acceptance for each system that must demonstrate compliance. NRCA-MCH-02-A {Page 1 of3} Permit Number: Zip Code; 92010 Jntent: Verify measured outside airflow reading is within 1096 of the total required outside airflow. Required for all newly installed HVAC units. Reference MCH-03 (Column 14) or Mechanical Equipment Schedules. A. Constrt.1ction Inspection Note: MCH-02-A can be perjorr(led iii conjunction with MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. 1. Supporting documentation needed to perform test includes; As-built and/or design documents {for example, Mechanical Equipment Schedules, Equipment a. Start-Up Sheets or Balancing Reports). b. 2016 Building Energy Efficiency Standards Nonresidential Compliance Manual (NAl.5.1.1 Ventilation Systems: Variable Air Systems At-A-Glance and NA7.5.1.2 Constant Volume Systems Outdoor Air Acceptance At-A-Glance). c. 2016 Building Energy Efficiency Standards·. 2; instrumentation needed to perform test includes: a. Watch b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.). i. Method and equipment used:.· __ A_i_r_D_at_a_M_u_lti_·m_e_t_e_r ___________ _ ii. Equipment calibration date (must be within one yearj:._S_/_2_0_16 ________ _ 3. System type {check either VAV or CAV): D VAV 0 CAV a. Check if Variable Air Volume (VAV) and complete the following: i. Outside airflow is either factory calibrated or field calibrated. 0 Check if factory calibrated and attach calibration certification. D Check if field-calibrated and attach calibration results. ii. Damper Control {must,be checked}: 0 Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position). iii. One of the following dynamic controls is being utilized to control outside air (check method used) 0 Outdoor Air CFM Compensation D Energy Balance Method D Demand Control Ventilation D Return Fan Tracking D Injection Fan Method D Dedicated Minimum Ventilation Damper with P-ressure Control 0 Other Active Control, Describe: _________________ _ b. Check if Constant Air Volume {CAV) and verify the following: 0 System is designed to provide a fixed minimum OSA when the unit is on. 4. Method of delivering outside air to the unit (check one of the. following): 0 Outside air is ducted to the return air plenum. Confirm that outside air is ducted to within {check one of the following): 1B 5 ft. of the unit. D 15 ft. of the unit, with the air directed substantially toward the unit. 0 Return air plenum is NOT used to distribute outside air to the unit. (i.e. outside air is ducted directly to the unit, outside air is provided independent of the unit, or economizer) 5. Pre-occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one of the·following methods must be verified and checked): D The conditioned floor area times the ven,ilation rate from the 2016 Building Energy Efficiency Standards TABLE 120.1-A, or 15 cfm per person times the expected number of occupants, whichever is greater. 0 Complete air changes to the zone served by the air handler. STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA·MCH-02-A (Revised 07/16) CERTIFICATE OF ACCEPTANCE Outdoor Air Acceptance PioJect Name: , Schur Star Systems Enforcement Agency: ProJectAddress: 3200 lionshead Ave. Ste. 110 City:, Carlsbad System Name or Identification/Tag: AC-36 System loc~tfon or Area Served: B. NA7 ,5.1.1 outdoor Air Acceptance Functional TestinJ Step 1: Disable d~mand control ventilation (if applicab_le) Step 2: Verify unit is not in economizer mode during test (economiier disabled) Note: Shaded boxes do not apply for CA V systems Step 3: CAV and VAV testing at full supply airflow a. Adjust supply air to achieve design airflow or maximum airflow at full cooling. Record VFD speed (Hz). b. Measured outdoor airflow reading (cfm) Required outdoor airflow (cfm) (from MCH-03, Column 14, or c. Mechanical£ · ui ment Schedules). Time for outside air damper to stabilize after full supply airflow is achieved d. (minutes}: Step 4: VAV testing at reduced supply airflow a. Adjust supply airflow to either the sum of the minimµm zone airflows, full heating, or 30% of the total design airflow. Record VFD speed {Hz). b. Measured outdoor airflow reading (cfm). c. Required outdoor airflow (cfm) Urom MCH-03, Column 14, or Mechanical Equipment Schedules). d. Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes): Step S: Return to initial conditions (check) C. Testing Calculations & Results Determine Percent Outside Air at full supply airflow (%0AFA) for Step 3. a. %0AFA = Measured outdoor airflow reading /Required outdoor airflow. (Step3b/Step3c) b. %0AFA is within 10% of design Outside Air. (90% s %0~A s 110%) c. Outside air damper position stabilizes within 5 minutes. (Step 3d < 5 minutes) Determine Percent Outside Air at reduced supply airflow (%0"8A) for Step 4. (VAV only) a. %DARA= Measured outdoor airflow reading /Required outdoor airflow reading. (Step4b/Step4c) b. %DARA-is within 10% of design Outside Air. (90% s %CARA s 110%) CALIFORNIA ENERGY COMMISSION • NRCA-MCH-02-A (Page 2 of 3) Permit Number: Zip Code: 92010 CAV VAV % % Yes 0 No 0 l Yes 0 NoO % YesO NoO c. Outside air damper position stabilizes within 5 minutes. (Step 4d < 5 minutes) Yes O No O Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAVair handlers use dynamic controls to avoid over ventilation. D. Evaluation 0 PASS: All Construction Inspection responses are complete and Testing Calculations & Results responses are positive. TA'TE OF CALIFORNIA s CALIFORNIA ENERGY COMMISSION • OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A (Revised 07/16) CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 3 of 3) Project Name: Enforcement Agency: Permit Number: Schur Star Systems Project Address: · 3200 Lionshead Ave. Ste. 110 City: Carlsbad Zip Code: 92010 System Name or Identification/fag, AC-36 System Location or Area Served: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Names Bryan Bair Documentation Author Signature: Documentation Author Company Name: Air Balance Guys DateSigned: 212117 Address: 21228 Winterset Dr. ATT Certification Identification (If applicable): City/State/Zip: Santa Clarita, CA 91350 Phone: 661-312-4840 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and·correct. 2. I am the person who performed the acceptance verification reported on this-Certificate of Acceptance (Field rechnician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable 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. 4. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the ,building. Field Technician Name: Bryan Bair Field Technician Signature: Field Technician company Name: Air Balance Guys Position with company (Title): Technician Address: 21228 Winterset Dr. ATT Certification Identification (if applicable): .City/State/Zip:Santa Clarita, CA 91350 Phone: 661-312-4840 I Date Signed: 212117 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State·of California: 1. I am the Field Technician, or the Field Tecnnician is acting on my behalf as my employee or my agent and I have reviewed the inform11tion provided on this Certificate of Acceptance. 2. I am 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 Acceptance and attest to the declarations in this statement (responsible acceptance person}. 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance 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. 4. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit{s) issued for the building .. 5. I will ensure that a completed, signed copy of this Certificate of Acceptance 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 signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Acceptance Person Name: Doug Bair Responsible Acceptance Person Signature: Responsible Acceptance Person Company Name: Air Balance Guys Position with Company (Trtle): Owner Address: 21228 Winterset Dr. CStB License: 632895 City/State/Zip: Santa Clarita, CA 91350 Phone:661-312-4840 I DateSigned: 2/l/fl STATE OF CALIFORNIA CONSTANT VOLUME, SINGLE ZONE, UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A Revised 07/16 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE Constant Volume, Single Zone, Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems Project Name: Schur Star $ysteins Enforcement Agency: Permit Number: ProJettAddiess: 3200 Lionshead Ave. Ste. 110 City: Carlsbad Zip Code: 92010 System Name crlaentification/Tag: AC-36 System location or Area Served: Note: Submit one Certificate of Acceptance ior eqch system that must ·]:nforcerner,it'.Af~r{·',UselthecR~dib iDate demonst,ate compliance. :yT;-r,::t'\t~~:,l?~-rr \':' ·· -:: · v, :; ·. ·. A. Construction Inspection 1. Supporting documentation needed to perform test includes, but not limited to: NRCA-MCH-03-A Page 1 of 3 '. -----~ ' . ) " . ' ' ., ", ,. a. 2016 .Building Energy Efficiency Standards Nonresidential Compliance Manual (NAl.5.2 Constant Volume, Single-zone, Unitary Air Conditioner and Heat Pumps Systems Acceptance At-A-Glance}. b. 2016 Building Energy Efficiertcy Standards Manual. 2. Instrumentation to perform test may include: a. Temperature Meter b. AmpMeter 3. Installation (check if applies): 0 Thermostat is located within the space-conditioning zone that is served by the HVAC system. 4. Programming (check all those that apply): Notes; 121 Thermostat meets the temperature adjustment and dead band requirements of 2016 Building Energy Efficiency Standards Manual Section 120.2(b). Minimum heating setpoint: ~0f. Maximum-cooling setpoint ~0 f. Deadband: _5_0 f. 121 Occupied, unoccupied, an~ holiday schedules have been programmed per the schedule provided. 0 Pre-occupancy purge has been programmed to meet the requirements of 2016 Building Energy Efficiency Standards Manual Section 120.l(c)2. 1. Check method used to determine pre-occupancy purge: la Lesser of: conditioned floor area times ventilation rate from 2016 Building Energy Efficiency Standards TABLE 120.1-A or 15dm per person times the expected number of occupants. El 3 complete air changes. .STATE OFCALIFORNIA CONSTANT VOLUME, SINGLE ZONE, UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC·NRCA·MCH-03-A (Revised 07/161 CALIFORNIA ENERGY COMMISSION -CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume, Single Zone, Unitary (Packaged an~ Split) Air Conditioner and Heat Pump Systems Page2 of3 Project Name: Schur St~r Systems Enforcement Agency: Permit Number: Project Address: 3200 Lionshead Ave. Ste. 110 City: Carlsbad Zip Code: 92010 System ll!•m• or Identification/Tag: AC-36 System location or Area Served: B. Functional Testing Requirements Operating Modes Step 1: Disable economizer control and demand-controlled ventilation (if applicable) to prevent unexpected interactions. Occupied Mode Step 2: Heating load during occupied condition· Step 3: No-load during occupied condition Step 4: Cooling load during occupied condition Unoccupied Mode Step 5: No-load during unoccupied condition Step 6: Heating load during unoccupied condition Step 7: Cooling load during unoccupied condition Step 8: Manual overrfde 8 7 6 S 4 ~· i~ 1--------------------------------------t~~= Step 2 -8: Check and verify the following for each simulation mode required 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 e. System turns off when manual override time period expires f. Gas-fired furnace, heat pump, or·electric heater stages on g. No heating is provided by the unit h. No cooling is provided by the unit i. Compressor stages on j. Outside air damper is open to minimum position k. Outside air damper closes completely Step 9: System returned to Initial operating conditions after all tests have ·been completed: Yes @ No 0 C. Te_sting Results 8 7 6 5 4 3 2 Indicate if Passed (P), Failed (F), or N/A (Xi, fill in appropriate letter p p p p p p p D .. Evaluation D I PASS: All Construction Inspection respons~s are compfete and all applicable Testing Resu(ts responses are "Pass'' (P). STATE OF CALIFORNIA CONSTANT VOLUME, SINGLE ZONE, UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC·NRCA·MCH-03-A (Revised 071161 CALIFORNIA ENERGY COMMISSION - CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume, Single Zone, l,Jnitary (Packaged and Split) Air Conditioner and Heat Pump Systems Page3 of3 Project Name: EnforcementAgency: Permit Number: Schur St~r Systems Project Address: 3200 Lionshead Ave. Ste. 110 atv: Carlsbad Zip Code: 92010 System Name orfdentificatlon/rag: AC-36 System location or Area Served: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: B B • ryan air Qocumentation Author Signatore: Documentation Author Company Name: A. B I G 1r a ance uys DateSigned: 212117 Address: 21228 Winterset pr. ATT Certification Identification (If applicable): Citv/State/Zip: Santa Clarita, CA 913SO Phone: 661-312-4840 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. ram the person who-performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable 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. 4. I hav~ confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit{s) issued for the building. Field Technician Name: Bryan Bair Field Technician Signature; FieldTechnicianCompanyName: A" B I -6 _ ,r a ance uys Position with Company (Title):Technician Address: 21228 Winterset Dr. ATT Certificatfon ldentificatfon (if applicable): City/Siate/Zip: Santa Clarita, CA 91350 Phone: 661-312-4840 I Date Signed: 212117 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify thefollowing under penalty of perjury, under the laws of the State of California: 1. 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 Certificate of Acceptance. 2. I am 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance 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. 4. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made availab[e with the build'ing permit(sJ issued for the building. 5. I will ensure that a completed, signed copy of this Certificate of Acceptance 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 signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the buildfng owner at occupancy. Responsiblt, Acceptance Person Name: D B • oug air Responsible Acceptance Person Sigiratute: Responsible Acceptance Person Company Name: A. 8 I G _ ,r a ance uys Position with Company (Title): Owner Address: 21228 Winterset Dr. CSLB License: 632895 City/State/Zip: Santa Clarita, CA 91350 Phone: 661-312-4840 I Date Signed: 212117 STATE OF CALIFORNIA CONSTANT VOLUME, SINGLE ZONE, UNITARY {PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A Revised 07/16 CALIFORNIA ENERGY COMMISSION . CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume, Single Zone, Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems Page 1 of3 Project Name: Schur Star Sy~t~ms Enforcement Agency: Perrmt Number: Project Address: · 3200 Lionshead Ave. Ste. 110 City: Carlsbad Zip Code: 92010 System Name orfdentificat1on/Tag: AC-36 System Location or Area served: A. ConstrtJction Inspection 1. Supporting documentation needed to perform test incfudes, but not limited to: a. 2016 Building Energy Efficiency Standards Nonresidential Compliance Manual (NA7.5.2 Constant Volume, Single-zone, l,Jnitary Air Conditioner and Heat Pumps Systems Acceptance At-A-Glance). b. 2016 Building Energy Efficiency Standards Manual. 2. Instrumentation to perform test may include: a. Temperature Meter b. AmpMeter 3. Installation (check if applies): D Thermostat is located within the space.conditioning zone that is served by the HVAC system. 4. Programming (check all those that apply): Notes~ 0 Thermostat meets the temperature adjustment and dead band requirements of 2016 Building Energy Efficiency Standards· Manual Section 120.2{b). Minimum heating setpoint: ~°F. Maximum cooling setpoint ~°F. Deadband: _5_°F. 0 Occupied; unoccupied, and holiday schedules have been programmed per the schedule provided. D Pre-occupancy purge has been programmed to meet the requirements of 2016 Building Energy Efficiency Standards Manual Section 120.1(c)2. 1. Check method used to determine pre-occupancy purge: 12) Lesser of: conditioned floor area times ventilation rate from 2016 Building Energy Efficiency Standards TABLE 120.1-A or 15cfm per person times the expected number of occupants. 0 3 complete air changes. STATE OF CALIFORNIA CONSTANT VOLUME, SINGLE ZONE, UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC·NRCA·MCH-03-A <Revised 07/161 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume, Single Zone, Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems Page2of3 Project Name: Sch1Jr St~r Systems Enforcement Agency: Penmt Number: ProjectAdijress: 3200 Lionshead Ave. Ste. 110 City: Carlsbad Zip Code: 92010 System Name orldentification/Tag: AC-36 System location or Area Served; B. Funct~onal Testing Requirements Operating Modes Step 1: Disable_economizer control and demand-controlled ventilation (if applicable) to prevent unexpected interactions. Occupied Mode Step 2: Heating-load during occupied condition- Step 3: No-load during occupied condition Step 4: Cooling load during occupied condition Unoccupied Mode Step 5: No-load during unoccupied condition Step 6: Heating load during unoccupied condition Step 7: Cooling load during unoccupied condition Step 8: Manual overrfde '" 8 7 6 S 4 ·~--~ Step 2 -8: Check and,verify the following for each simulation mode required 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 e. System turns off when manual override time period expires f. Gas-fired furnace, heat pump, or electric heater stages on g. No heating is provided by the unit h. No cooling is provided by the unit i. Compressor stages on j. Outside air damper is open to minimum position k. Outside air damper closes completely Step 9: System returned to Initial operating conditions after all tests have been completed: Yes No Q C. Testing Results 8 7 6 5 4 3 2 Indicate if Passed {P), Failed (F), or N/A (X}, fill in appropriate letter p p p p p p p D. Evaluation 0 I PASS: All Construction Inspection responses are complete and afl applicable Testing Results responses are "Pass" (P). STATE OF CALIFORNIA CONSTANT VOLUME, SINGLE ZONE, UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSiEMS CEC-NRCA-MCH-03-A (Revised 07/161 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume, Single Zone, Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems Page3of3 Project Name: Schur Star Systems Enforcement Agency: Permit Number: ProJectAddress: 3200lionshead Ave. Ste. 110 atv: Carfsbac,{ Zip Code: 92010 System Name.orfdentification/rag: AC-36 System location or Area Served: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: B B . ryan air Documentation Author Signature: DocumentationAuthorCompany Name:A. B I G 1r a ance uys DateSigned: 212117 Address: 4122~ Winterset Dr. ATT Certification Identification (If applicable): City/State/Zip: Santa Clarita, CA 91350 Phone: 661-312-4840 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury; under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. l am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field I echnician). 3. The constru~ion or installation identified on this Certificate of Acceptance complies with the applicable 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. 4. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Field Technician·Name: Bryan Bair Field Technfcian Signature: · Field Technician Company Name: A' B I G ir a ance uys Position with Company (Title):Technician Address: 2122S Winterset Dr. ATT Certification Identification (if applicable): City/State/Zip: Santa Clarita, CA 91350 Phone: 661-312-4840 I Date Signed: 212117 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 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 Certificate of Acceptance. 2. I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction or installation offeatures, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance 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. 4. I have confirmed that the Certificate(s) of Installation for the construction or installation Identified on this Certificate of Acceptance has been completed and is posted or made available with the bulldfng permit(s} issued for the building, 5. I will ensure that a completed, signed copy of this Certificate of Acceptance 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 signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Acceptance Person Name: 0 B . oug air Responsible Acceptance Person Signature: Responsible Acceptance Person Company Name: A. B I G · 1r a ance uys Position with Company {Title): Owner Address: 21228 Winterset Dr. CSLB License: 632895 a1y/State/Zip: Santa Clarita, CA 91350 Phone: 661-312-4840 I Date Signed: 212117" STATE OF CALIFORNIA AIR DISTRIBUTION DUCT .LEAKAGE Cl::C.NRCA-MCH-04-A {Revised 01/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-04-A AIR DISTRIBUTION DUCT LEAKAGE (Page 1 of 3) Pioject Name: Schur Star Systems Enforcement Agency: Permit Number. ProjedAddress: 3200 Lionshead Ave. Ste. 110 City: Carlsbad Zip Code: 92010 This compliance document is used for duct pressure test and to certify low leakage air handlers. Fill out the System Information in Section A then determine if this is a New Duct System {fill out Section 8), on Altered Space Conditioning System and/or Altered Duct System (fill out Section CJ, or if the compliance software requires Low Leakage Air-Handling Unit Verification (fill out Section E} A. System Information 01 HVAC System Identification or Name: HP-36 02 HVAC System Location or Area Served: Mezzanine 03 Was Low Leakage Air-Handling Unit Credit Taken on MCH-01? Yes 0 No 0 04 Du_ct System Construction Type: Completely New 05 Condenser Nominal Cooling Capacity (ton}: 3 06 Heating Capacity (kBtu/h): B. Duct Leakage Diagnostic Test -New Duct System A New Duct System is when at least 75% of the duct system ts new duct material, and up to 25% may consist of reused parts from the dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material) 01 Air-Handler Airflow Determination Method (Tons or BTU): Cooling System Method Calculated Target Allowable Duct Leakage Rate (cfm) a) For an air conditioner or heat pump use 400 cfm per rated ton of cooling capacity of outdoor 02 condenser or package unit. Calculation= (0.06 x 400 x Tons _3_) = ~cfm b) For heating-only system furnaces shall be based on 21.7 cfm per kBtu/hr of rated heating output capacity. Calculation= (0.06x 21.7 x kBtu)/hr _) = __ cfm 03 Actual Duct leakage Rate from Leakage Test Measurement (cfm): 7 04 Compliance Statement: Pass Pass -Pass if B03 is less than or equal to B02. C. Duct Leakage Diagnostic Test -Altered Space Conditioning System and/or Altered Duct System Altered Space Conditioning System -is an HVAC changeout or whe~n the air handler, condensing unit of a split system, our cooling coil or any amount of ducting added to an existing system but less than a new duct system. 01 Air-Handler Airflow Determination Method (Tons or BTU): Cooling System Method Calculated Target Allowable Duct Leakage (cfm) a) For an air conditioner or heat pump use 400 cfm per rated ton of cooling capacity of outdoor 02 condenser or a package unit. Calculation= (0.15 x 400 x Tons_) = __ ctm b) For heating-only system furnaces shall be based on 21. 7 cfm per kBtu/hr of rated heating output capacity. Calculation= (0.15 x 21.7 x kBtu/hr __ } = __ cfm 03 Actual Duct Leakage Rate from Leakage Test Measurement (cfm) 04 Compliance Statement: Pass -Pass if C03 is less than or equal to CO2, or Fail but passed with Smoke -If unable to pass the leakage test a smoke test is allowed to confirm that all accessible leaks have been sealed. Enter actual leakage rate before moving to smoke. Fill out Section D Smoke Test. .. STATE OF.CALIFORNIA AIR DISTRIBUTION DUCT LEAKAGE CEC-NRCA-MCf-1-04-A (Revised 01/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-04-A AIR DISTRIBUTION DUCT LEAKAGE (Page 2 of 3) Project Name: Schur Star Systems Enfi>rtement Agency: Permit Number: Project Address: 3200 Lionshead Ave. Ste. 110 City: Carlsbad Zip Code: 92010 D. Smoke Test 01 Inject smoke into a fan pressurization device that is maintaining a duct pressure difference of 25 Pa (0.1 inches water) relative to the duct surroundings, with all grilles and registers in the duct system sealed. 02 Compliance Statement: I Pass System passes if no smoke emanates from all accessible portions of the HVAC system including the package unit, furnace, ducts, plenums, wyes, tees. This includes the air handler refrigerant line, door panels, and curb. Accessible includes having access thereto, but which first may require removal or opening of access panels, doors, or similar obstructions including moving insulation. Requires 100% testing. by HERS rater. No sampling allowed. 03 Final Duct Leakage{CFM): I E. Low Leakage Air-Handling Unit (LLAHU) 01 Installed Air-Handling Unit Manufacturer Name: 02 Installed Air-Handling Unit Model Number: 03 The installed Low Leakage Air-Handling Unit Model is listed here httQ:LLwww.energy:.ca.gov[tit1e24[eguiQment cert[llahulfow leakage air handling units.gdf 04 Compliance Statement: Pass if Manufacturer Name, Model Number of installed equipment is listed with the Energy Commission. F. Additional Requirements for Compliance 01 System was tested in its normal operation condition. (No temporary taping except for the damper used for outside air) 02 Building cavities for new ducting were not used as plenums or platform returns in lieu of ducts. 03 If cloth backed tape was used it was covered with Mastic and draw bands. 04 All connection points between the air handler and the supply and return plenums are completely sealed including at the curb. Temporary Taping over registers to perform duct leakage test. 05 When registers are installed in drywall tape covers register and drywall. Fort-bar mounted registers taping of register can occur to the register or to the t-bar. By signing this document I certify that all the above applicable requirements have been met. STATE OF CALIFORNIA AIR DISTRIBUTION DUCT LEAKAGE CEC-NRCA-MCl-l-04-A (Revised 01/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-04-A AIR DISTRIBUTION DUCT LEAKAGE (Page 3 of3) Project Name: Schur Star Systems Enforcement Agency: Permit Number: PcojectAddress: 3200 Lionshead Ave. Ste. 110 City: Carlsbad Zip Code: 92010 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Acceptance documentation rs accurate and complete. Documentatfon Author Name: Bryan Bair Oocumentation AuthocSignature: -Documentation Author Company Name: Air Balance Guys Date Signed: 212117 Addcess: 21228 Winterset Dr. CE!\/HERS/ATT Certification Identification (Ir applicabl•J: Cro//Siate/Zip: Santa Clarita, CA 91350 Phone: 661-312-4840 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. I am the person who performed the acceptance verification reported on this Certificate of Acceptance {Field Technician). 3. The constructfon or installation identified on this Certificate of Acceptance complies with the applicable acceptance requfrements 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. 4. I have confirmed that the Certificate(s).of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the buildin_g. FieldTechniclan Name: Bryan Bai( Field Technician Signature: field Technician Company Name: Air Balance Guys PositionwithCompanyflitle):Technician Mdress: 21228 Winterset Dr. ATT Certifitalion ldentificitii>n (if applicable): Citv/S1ate/Z,p: Santa Clarita, CA 91350 Phone: 661-312-4840 I Date Signed: 212117 RESPONSIBLEPERSON'S DECLARATION, STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 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 Certificate of Acceptance. 2. I am 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 Acceptance, and attest to the declarations in this statement (responsible acceptance person). 3, The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance 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. 4. I understand that a HERS rater will check the installation to verify compliance, and that if such checking identifies defects the responsible builder/installer shall be required to take corrective action at his expense. I understand that Energy Commission and HERS Provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at the responsible builder/installer's expense. 5. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed.and is posted or made available with the building permit(s) issued for the building. 6. I will ensure that a completed, signed copy of this Certificate of Acceptance 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 signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. ResponsibteAcceptance Pers01l Name: Doug Bair ResponsibteAcceptance Jierson S1Bnature: ResponsibleAcceptancePersonCompanyName: Air Balance Guys Positioo with Company \Trtle): Owner Addres,: 21228 Winterset Dr. CSLB Ucense: 632895 city/State/Zip: Santa Clarita, CA 91350 Phone: 661-312-4840 I Date Signed: 212117 STATE OF CALIFORNIA AIR DISTRIBUTION DUCT LEAKAGE CEC-NRCA-MCH-04-A (Revised 01/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-04-A AIR DISTRIBUTION DUCT LEAKAGE (Page 1 of3} Project Name: Schur Star Systems Enforcement Agency: Permit Number: Project Address: 3200.Lionshead Ave. Ste. 110 , City: Carlsbad Zip Code: 92010 This compliance document is used for duct pressure test and to certify low leakage air handlers. Fill out the System Information in Section A then determine if this is a New Duct System (fill out Section B), an Altered Space Conditioning System and/or Altered Duct System (fill out Section CJ, or if the compliance software requires Low leakage Air-Handling Unit Verification (fill out Section E) A. System Information 01 HVAC System Identification or Name: HP-36 02 HVAC System Location or Area Served: Mezzanine 03 Was Low-Leakage Air-Handling Unit Credit Taken on MCH-01? Yes 0 No 0 04 Duct System Constructio_n Type: Completely New 05 Condenser Nominal Cooling Capacity (ton}: 3 06 Heatlng Capacity (kBtu/h): B. Duct Leakage Diagnostic Test -New Duct System A New Duct System is when at least 75% of the duct system is new duct material, and up to 25% may consist of reused parts from the dwellint unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material) Ot Air-Handler Airffow Determination Method (Tons or BTU): Cooling System Method Calculated Target Allowable Duct Leakage Rate (cfm) a) For an air conditioner or heat pump use 400 cfm per rated ton of cooling capacity of outdoor 02 condenser or package unit. Calculation = (0.06 x 400 x Tons_. _3_) = _E_cfm b) For heating-only system furnaces shall be based on 21.7 cfm per kBtu/hr of rated heating output ~apacity. Calculation -(0.06 x 21.7 x kBtu}/hr _); __ dm 03 Actual Duct Leakage Rate from Leakage Test Measurement (cfm}: 7 04 Compliance Statement: Pass Pass -Pass if B03 is less than or equal to B02. C. Duct Leakage Diagnostic Test -Altered Space Conditioning System and/or Altered Duct System Altered Space Conditioning System -is an HVAC changeout or when the air handler, condensing unit of a split system, our cooling coil or any amount of ducting added to an existing system but less than a new duct system. 01 Air-Handler Airflow Determination Method (Tons or BTU): Cooling System Method Calculated Target Allowable Duct Leakage (cfm) a) For an air conditioner or heat pump use 400 dm per rated ton of cooling capacity of outdoor 02 condenser or a package unit. Calculation= (0.15 x 400 x Tons __ ) = __ cfm b) For heating-only system furnaces shall be based on 21. 7 cfm per kBtu/hr of rated heating output capacity. Calculation = (0.15 x 21.7 x kBtu/hr _) = __ cfm 03 Actual Duct Leakage Rate from Leakage Test Measurement (cfm) 04 • Compliance Statement: Pass -Pass if C03 is less than or equal to CO2, or Fail but passed with Smoke-If unable to pass the leakage test a smoke test is allowed to confirm that all accessible leaks have been sealed. Enter actual leakage.rate before moving to smoke. Fill out Section D Smoke Test. STATE OF CALIFORNIA AIR DISTRIBUTION DUCT LEAKAGE CEC-NRCA-MCl-l-04-A (Revised 01/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-04-A AIR DISTRIBUTION DUCT LEAKAGE (Page 2 of 3) Project Nam<>: Schur Star Systems Enforcement Agency: Permit Number: Project Address: 3200 Lionshead Ave. Ste. 110 City: Carlsbad ZipCOde: 92010 D. Smoke Test 01 Inject smoke into a fan pressurization device that is maintaining a duct pressure difference of 25 Pa (0.1 inches water) relative to the duct surroundings, with all grilles and registers in the duct system sealed. 02 Compliance Statement: I Pass System passes if no smoke emanates from all accessible-portions of the HVAC system including the package unit, furnace, ducts, plenums, wyes, tees. This includes the air handler refrigerant line, door panels; and curb. Accessible includes having access thereto, but which first may require removal or opening of access panels, doors, or similar obstructions including moving insulation. Requires 100% testing by HERS rater. No sampling allowed. 03 Final Duct Leakage{CFM): I E. Low Leakage Air-Handling Unit (LLAHU} 01 Installed Air-Handling Unit Manufacturer Name: 02 Installed Air-Handling Unit Model Number: 03 The installed Low Leakage Air-Handling Unit Model is listed here htt9:flwww.ener&¥.ca.govLtitle24legui9ment certlllahullow leakage air handling units.9df 04 Compliance Statement: Pass if Manufacturer Name, Model Number of installed equipment is listed with the Energy Commission. F. Additicmal .R~quirements for Compliance 01 System was tested in its normal operation condition. (No temporary taping except for the damper used for outside air} 02 Building cavities for new ducting were not used as plenums or platform returns in lieu of ducts. 03 If cloth backed tape was used it was covered with Mastic and draw bands. 04 All connection points between the air handler and the supply and return plenurns are completely sealed including at the curb. Temporary Taping over registers to perform duct leakage test. 05 When registers are installed in drywall tape covers register and drywall. Fort-bar mounted registers taping of register can occur to the register or to the t-bar. By signing this document I certify that all the above applicable requirements have been met. STATE OF CALIFORNIA AIR DISTRIBUTION DUCT LEAKAGE CEC-NRCA-MCH-04-A (Revised 01/16) CALIFORNIA ENERGY COMMfSSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-04-A AIR DISTRIBUTION DUCT LEAKAGE (Page 3 of 3) Project Name: Schur Star Systems Enfortement Agency: Permit Number: Project Address: 3200 Lionshead Ave. Ste. 110 . City: Carlsbad ZipCOde:92010 OOCOMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that. this Certifi.cate of Acceptance documel)tation is accurate and coinplete. Documentation Author Name: Bryan Bair Ootumontation Author Signature: Documentation Author Company Name: Air Balance Guys Date Signed: 2/2/17 Address: 21228 Winterset Dr. CEA/HERS/ATTCertlfication identification (If applicablo): City/State/Zip: Santa Clarita, CA 91350 Phone: 661-312-4840 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Techniciliii). 3. The constructfon or fnstallatfon identified on this Certificate of Acceptance complies with the applicable 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. 4. I nave confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued forthe building. Field Technician Name: Bryan Bair Field Technician Signature: Field Technician company Name: Air Balance Guys Position with Company (Titie):Technician Address: 21228 Winterset Dr. ATT Certifitalion Identification (if appiica~leJ: City/Stat•/Zlp: Santa Clarita, CA 91350 Phone: 661-312-4840 I OateSigned:2/2/17 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 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 Certificate of Acceptance. 2. I am 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 Acceptance, and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance 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. 4. I understand that a HERS rater will check.the installation to verify compliance, and that if such checking identifies defects the responsible builder/installer shall be required to take corrective action at his expense. r understand,that Energy Commission and HERS Provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and.if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at the responsible builder/installer's expense. 5. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit{s) issued for the building. 6. I will ensure that a completed, signed copy of this Certificate of Acceptance 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 signed copy of this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. ResponsibieA«epi:ance Person Name: Doug Bair ResponsibfeA«eptance l'erson S',gnature: Responsible Acceptance Per.;on Company Name: A. B I G . ,r a ance uys Position with Company (Trtle): Owner Address:·21228 Winterset Dr. CSLB License, 632895 City/State/Zip: Santa Clarita, CA 91350 Phone: 661-312-4840 I Date Signed: 212117 STATE OF CALIFORNIA CONSTANT VOLUME, SINGLE ZONE, UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A £Revised 07/161 CALIFORNIA ENERGY COMMISSION ~ ~ CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume, Single Zone, Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems Page2of3 Project Name: Schur Star Systems Enforcement.Agency: Permit Number: Project Address: 3200 Lionshead Ave., Ste. 110 Qty: Carlsbad Zip Code: 92010 System Name or Identification/Tag: HP-120A System Location or Area Served: B. Functional Testing Requirements Operating Modes Step 1: Disable economizer control and demand-controlled ventilation (if applicable) to prevent unexpected interactions. Occupied Mode Step 2: Heating load during occupied condition Step 3: No-load during occupied condition Step 4: Cooling load during occupied condition Unoccupied Mode Step 5: No-load during unoccupied condition Step 6: Heating load during unoccupied-condition Step 7: Cooling load during unoccupied condition Step 8: Manual override 8 7 6 5 4 3 2 Step 2-8: Check and verify the following for each simulation mode required 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 e. System turns off when manual override time period expires f. Gas--fired furnace, heat pump, or electric heater stages on g. No heating is provided by the unit h. No cooling is provided by the unit i. Compressor stages on j. Outside air damper is open to minimum position t/ t/ ,· ~ ' . . t/ t/ k. Outside air damper closes completely Step 9: System returned to Initial operating conditions after all tests have-been completed: Yes @ No Q C. Testing Results 8 7 6 s 4 3 2 Indicate if Passed (P), Failed (F}, or N/A (X); fill in appropriate letter p p p p p p D. Evaluation 0 I PASS: All Construction Inspection responses are complete and all applicable Testing Results responses are "Pass" (P). STATE OF CALIFORNIA CONSTANT VOLUME, SINGLE ZONE, UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC·NRCA-MCH-03-A /Revised 07/161 CALIFORNIA ENERGY COMMISSION • -' CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume, Single Zone, Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems Page3 of3 Project Name: Schur Star Systems Enforcement.Agency: Permit Number: Project Address: 3200 Lionshead Ave., Ste. 110 atv: Ca;lsbad Zip Code: 92010 System Nam1>orldentification/Tag: HP-l20A System location or Area Served: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: 8 B . ryan air Documentation Author Signature: DocumentatlonAuthorCompany Name:Air Balance Guys Date Signed: 3113117 Address: 21228 Winterset Dr. ATT Certification Identification (If applicable}: City/State/Zip: Santa Clarita, CA 91350 Phone: 661-312-4840 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. I am the person who performed the acceptance verification reported on this Certificate of Acceptance (Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved-by the enforcement agency, and conform~ to the applicable acceptance requirements and procedures specified in Reference Noriresidential Appendix NA7. 4. I.have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been,completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the building. Field Technician Name: Bryan Bair Field Technician Signature: FieldTechnicianCompanyName: A" B I G ir a ance uys Position with Company (Title): Owner Address: 21228 Winterset Dr. ATT Certification Identification (if applicable): City/State/Zip: Santa Clarita, CA 91350 Phone: 661-312-4840 I DateSigned: 3113117 RESPONSJBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 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 Certificate of Acceptance. 2. I am 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 Acceptance and-attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance 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 Certificate(s) of lnstallationfor the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the b1.1ilding permit(s) issued for the building. 5. I will ensure that a cqmpleted, signed copy of this Certificate of Acceptance 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 signed copy of this Certificate of Acceptance is require~ to be included with the documentation the builder provides to the building owner at occupancy. Responsible Acceptance Person Name: B B • ryan air Responsible Acceptance Person Signature: Responsible Acceptance Person Company Name: A. B I G -1r a ance uys Position with Company (Title}: Owner Address: 21228 Winterset Dr. CSLB License: 632895 City/State/Zip: Santa Clarita, tA 91350 Phone: 661-312-4840 I Date Signed: 3/l3/lG STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC-NRCA-MCH-02-A {Revised 07/16) CALIFORNIA ENERGY COMMISSION • CERTIFICATE OF ACCEPTANCE Outdoor Air Acceptance Project Name: Schur Star Systems Enforcement A&ency: Project Address: · 3200 Lionshead Ave., Ste. 110 City: Carlsbad System Name or Identification/Tag: HP-l20A System Location or Alea Served: Note: Submit one Certificate of Acceptance for each system that must demonstrate.compliance. . Enfqrc~m.~ntAf;ency' !Jse: Checked qy/Date NRCA-MCH-02-A (Page 1 of 3) Permit Number: ZipCOde: 92010 Intent: Verify measured outside airflow reading is within 1096 of the total required outside airflow. Required for all newly installed HVAC units. Reference MCH-03 (Column 14) or Mechanical Equipment Schedules. A. Construction Inspection Note: MCH-02-A can be performed in conjunction with MCH-07-A Supply Fan VFD Acceptance (if applicable) since testing activities overlap. 1. Supporting documentation needed to perform test includes: As-built and/or design documents {for example, Mechanical Equipment Schedules, Equipment a. Start-Up Sheets or s-,1ancing Reports). b. 2016 Building Energy Efficiency Standards Nonresidential Compliance Manual (NAl.5.1.1 Ventilation Systems: Variable Air Systems At-A-Glance and NAl.5.1.2 Constant Volume Systems Outdoor Air Acceptance At-A-Glance). c. 2016 Building Energy Efficiency Standards. 2. Instrumentation needed to perform test includes: a. Watch b. Calibrated means to measure airflow (i.e. hot-wire anemometer, velocity pressure probe, etc.). i. ~et"oq anq equjp~ent used:_a_ir_d_a_t_a_m_u_lt_i_m_e_te_r ____________ _ ii. Equipment calibration date (must be within one year): 5/16 ------------ 3. System type (check either VAV or CAV): D VAV (a CAV a. Check if Variable Air Volume (VAV) and complete the following: i. Outside airflow is either factory calibrated or field calibrated. 0 ·Check if factory calibrated and attach calil:)ration certification, D Check if field calibrated and attach calibration results. ii. Damper Control (must be checked): D Dynamic damper control is being used to control outside air. (This is NOT a fixed minimum position). iii. One of the following dynamic controls is being utilized to control outside air (check method used) D Outdoor Air CFM Compensation D Energy Balance Method D Demand Control Ventilation D Return.fan Tracking 0 Injection Fan Method O Dedicated Minimum Ventilation.Damper with Pressure Control 0 Other Active Control, Describe: -~-------'----------- b. Check if Const<1nt Air Volume (CA V) and verify the following: 0 System is designed to provide a fixed minimum OSA when the unit is on. 4. Method of delivering outside air to the unit (check one of the following): 0 Outside air is ducted to the return air plenum. Confirm that outside air is ducted to within (check one of the following): 0 5 ft. of the unit. 0 15 ft. of the unit, with the air directed substantially toward thf:\ unit. D Return air plenum is NOT used to distribute outside air to the unit. (i.e. outside air is ducted directly to the unit, outside air is provided independent of the unit, or economizer) 5. Pre-occupancy purge has been programmed for the 1-hour period immediately before the building is normally occupied to provide (one of the following methods must be verified and checked): 0 The conditioned floor area times the vent\(ation rate from the 2016 Building Energy Efficiency Standard~ TAB,LE 120.1-A, or 15 ct111 per person times the expected number of occupants, whichever is greater. @ Complete air changes to the zone served by the air handler. STATE OF CALIFORNIA OUTDOOR AIR ACCEPTANCE CEC0NRCA·MCH-02·A (Revised 07/16) CERTIFICATE OF ACCEPTANCE Outdoor Air Acceptance Project Name: Schur Star Systems Enforcement Agency: Project Address: 3200 Lionshead Ave., Ste. 110 City: Carlsbad SystEm Name or Identification/Tag: HP-120A System Location or Area Served: B. NA7.S.1.1 Outdoor Air Acceptance Functional Testing Step 1: Disable demand control ventilation (If appficable) Step 2: Verify unit is not in economizer mode during test (economizer disabled) Note: Shaded boxes do not apply for CA V systems Step 3: CAV and VAV testing at full supply airflow a. b. C. d. Adjust supply air to achieve design airflow or maximum airflow at full cooling. Record VFD speed {Hz). Measured outdoor airflow reading (cfm) Required outdoor airflow (cfm} (from MCH-03, Column 14, or Mechanical Eauioment Schedules}. Time for outside air damper to stabilize after full supply airflow is achieved (minutes): Step 4: VAV testing at reduced supply airflow a. b. c. d. Adjust supply airflow to either the sum of the minimum zone airflows, full heating, or 30% of the total design airflow. Record VFD speed (Hz). Measured outdoor airflow reading (cfm). Required outdoor airflow (cfm) (from MCH-03, Column 14, or Mechanical Equipment Schedules). Time for outside air damper to stabilize after reduced supply airflow is achieved (minutes): Step 5: Return to initial conditions (check} C. Testing Calculations & Results Determine Percent Outside Air at full supply airflow (%OAFJ for Step 3. a. %OAFA = Measured outdoor airflow reading /Required outdoor airflow. (Step3b/Step3c) b. %OAFA is within 10% of design Outside Air. {90% s %OAi,A s 110%) c. Outside air damper position stabilizes within 5 minutes. (Step 3d < 5 minutes} Determine Percent Outside Air at reduced supply airflow (%OARA) for Step 4. (VAV onlt) CALIFORNIA ENERGY COMMISSION • NRCA-MCH-02-A (Page 2 of 3) Permit Number: Zip code: 92010 CAV VAV D 0 D -·, ,'' '' ' ' '"' :·,·,' ,. ' ' ' ... ' ' . ' ' "' ' : ~-'., ~, :,_:,_,··· :-'." -} _,: -, _, -~ ', -• ~-< ",. ·.;. __ .,, ' ~ r,: __ -; .,, ·,: ., . " -:~ :_: ~ .: .. _, -_c_:;.-·' ·., Hz 1622 cfm cfm 1600 cfm cfm '' -· -~ ,;,'_ .-~-~-·,;--,._ :-~ min CAV VAV :;( -·>~--_ .... ,:· '-,.---··"'.::."'--,. --~ ... : :~ <-:. ~ ,,: :. : --: _: Hz .--' ' . . -,-' .,--. -cfm ..: ··-· .·: (. dm -----, _ _., '::,-·, min D 1.01 % % Yes O No O Yes O No 0 " " -~ ·" ~ Yes O No 0 a. %OARA = Measured outdoor airflow reading /Required outdoor airflow reading. (Step4b/Step4c) ,~ · _ ,' , ,. ,, :· % ' " b. %OARA is within 10% of design Outside Air. {90% s %DARA s 110%) . -. ·: ,. .. , : • .. ~ Yes O No 0 ·-,.. -x· c. Outside air damper position stabilizes within 5 minutes. (Step4d < 5 minutes} .. ·.,,.,. Yes O No O Note: The intent of this test is to ensure that 1) all air handlers provide the minimum amount of OSA and 2) VAVair handlers use dynamic controls to avoid over ventilation. D. Evaluation @ PASS: All Construction Inspection responses are complete and,esting Calculations & Results responses are positive. STATE OF CALIFORNIA OUTDOOR AIR ACC,EPTANCE CEC-NRCA-MCH-02-A (Revised 07/16) CALIFORNIA ENERGY COMMISSION • CERTIFICATE OF ACCEPTANCE NRCA-MCH-02-A Outdoor Air Acceptance (Page 3 of 3) Project Name: Schur Star Systems Enforcement Agency: Permit Number: Project Address: 3200 Lionshead Ave., Ste. 110 City: Carlsbad ZipCOde: 92010 System Name or Identification/Tag: HP-ll0A System Location or Area served: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Acceptance documentation is accurate and complete. Documentation Author Name: Bryan Bair Documentation Author Signature: Documentation Author Company Name: Air Balance Guys DateSigned: 3113117 Address: 21228 Winterset Dr. ATT Certificatior, Identification (lfapplicable): City/Statetnp: Santa Clarita, CA 91350 Phone: 661-312-4840 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the-laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. I am the person who performed the acceptance verification reported on this Certificate of Acceptance {Field Technician). 3. The construction on i1'stallatiot'I identified on ~his Certificate of Acceptance complies with the applicable acceptance requirements indicated in the-plans and specifications approved by the enforcement agency, and conform!\ to the apP,licable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on t~is Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s) issued for the .building. Field Technician Name: Bryan Bair Field Technician Signature: Field Technician Company Name: Air Balance Guys Position with Company (Title): Owner Address: 21228 Winterset Dr. ATT Certification Identification (if applicable): City/State/Zip:Santa Clarita, CA 91350 Phone: 661-312-4840 I Date Signed: 3113117 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 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 Certificate of Acceptance. 2. I am 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 Acceptance and attest to the declarations. in this statement (responsible acceptance person). ~-The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance 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. 4. I have confirmed.that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building perinit(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 permit(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 incl\jded with the documentation the builder provides to the building owner at occupancy. Responsible Acceptance Person Name: B B . ryan air Responsible Acceptance Person Signature: Responsible Acceptance Person Company Name: Air Balance Guys Position with Company {rrtle): Owner Address: 21228 Winterset Dr. CSLB License: 632895 City/Stateflip: Santa Clarita, CA91350 Phone: 661-312-4840 I Date Signed: 3/l3/l6 STATE OF CALIFORNIA CONSTANT VOLUME, SINGLE ZONE, UNITARY {PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC-NRCA-MCH-03-A /Revise<f07/16l CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE Constant Volume, Single Zone, Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems Project Name:, Schur Star Systems Enforcement Agency: Permit Number: Project Address: 3200 Lionshead Ave.,.Ste. 110 Qty: Carlsbad Zip Code: 92010 System Name or Identification/Tag: HP-llOA System Location or Area Served: Note: Submit one Certificate of Acceptance for each system that must . 'Eriforcerri~nt ~ency:(J~.e: Ct\ecki:;d:t;1y/Date demonstrate compliance. A. Construction Inspection 1. Supporting documentation needed to perform test includes, but not limited to: NRCA-MCH-03-A Page 1 of 3 a. 2016 Building Energy.Efficiency Standards Nonresidential Compliance ~anual (NA7.5.2 Constant Volume, {>ingle-zone, Unitary Air Conditioner and Heat Pumps Systems Acceptance At-A-Glance). b. 2016 Building Energy Efficiency Stand~rds Manual, 2. Instrumentation to perform test may include: a. Temperature Meter b. AmpMeter 3. Installation (check if applies): 0 Thermostat is located within the space-conditi~ning z~ne that is served by the HVAC system. 4. Programming·(check all those that apply): Notes: 0 Thermostat meets the temperature adjustment an~ dead band req1.1irements of 2016 Building Energy Efficiency Standards Manual Section 120.2(b). Mi1'imum heating setpoint: ~°F. Maximum cooling setpoint ~°F. Deadband: _5_°F. D Occupied, unoccupied, and holiday schedules have been programmed per the schedule provided. [] Pre-occupancy purge has been programmed to meet the requirements of 2016 Building Energy Efficiency Standards Manual ' ' Section 120.1(c)2. 1. Check method used to determine pre-occ4pancy p4rge: D Lesser of: conditioned floor area times ventilation rate from 2016 Building Energy Efficiency Standards TABLE 120.1-A or 15cfm per person times the expected·number of occupants. D 3 complete air changes. ,. STATE OF CALIFORNIA CONSTANT VOLUME, SINGLE ZONE, UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS ' CEC-NRCA-MCH-03-A (Revised 07/16) CALIFORNIA ENERGY COMMISSION • CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume, Single Zone, Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems Page 2 of 3 Project Name: Schur Star Systems ~nforcementAgency: Permit Number. Project Address: 3200 Lionshead Ave., Ste. 110 Qty: Carlsbad Zip Code: 92010 System Name or Identification/Tag: HP-120A System location or Area Served: B. Functional Testing Requirements Operating Modes Step 1: Disable economizer control and demand-controlled ventilation (if applicable) to prevent unexpected interactions. Occupied Made Step 2: Heating load during occupied condition Step 3: No-load during occupied condition Step 4: Cooling load during occupied condition Unoccupied Mode Step 5: No-load during unoccupied condition Step 6: Heating load during unoccupied condition Step 7: Cooling_ load during unoccupied condition Steps: Manual override 8 7 6 s 4 3 2 ,-::.'< , . _:I+,·, .. Step 2 -8: Check and verify the following for each simulation mode required ",· .. '·· .. ' ~-> .. I-'> a. Supply fan operates continually ,. ,:, f ~-• ~ .::, ~; ·.:' .. --~ " -·. ... ,. ·•. . --,,.., b. Supply fan turns off \:; ·' "' ~,-;_, '.-,' ~ ;:-. .-~ ) ~ :::·· ~ -__ ._ _-:. --· ... /i's: C. Supply fan cycles on and off :·< t/ : \~ j i"· ·;-·J ·--· .. .. . ' ,:' ,. d. System reverts to "occupied" mode to satisfy any condition t/ . ·, '' : ::-, . .· i. .. --, -~ -. ··-···' ::_,.-.. . ..... - System turns off when manual override time-period expires ,,,, , ,, . ',.,~·-,;' e. ,-. .. ' ~--· ---·· ----· !'';::, ,.. f. Gas-fired furnace, heat pump, or electric heater stages on t/ ;·., '• i •, . .: ... < -~ ' ----- . No heating is provided by the unit t/ . , "' ti g. '' ' -' --~~ -· h. No cooling is provided by the unit •.' t/ "' ; .. , .. ' --· .. _;.--.. , "'"' .• i. Compressor stages on t/ ',-; "' " --:.. ... .. ., -' . ,•. ·, ' ti j. Outside air damper is open to minimum position ti t/ ,,:-ti ... ,, '• ' " , . -:_ ·_' ~-':·' ' k. Outside air damper closes completely . ·;_'_·; "' ti •' -': ... -~--- Step 9: System returned to Initial operating conditions after all tests have been completed: Yes 0 No 0 C. Testing Results 8 7 6 5 4 3 2 Indicate if Passed (P), Failed (F), or N/ A (X), fill in appropriate letter p p p p p p D. Evaluation D I PASS: All Construction Inspection responses are complete and all applicable Testing Results responses are "Pass" (P). ) STA TE OF CALIFORNIA CONSTANT VOLUME, SINGLE ZONE~ UNITARY (PACKAGED AND SPLIT) AIR CONDITIONER AND HEAT PUMP SYSTEMS CEC·NRCA·MCH-03-A (Revised 07/16\ CALIFORNIA ENERGY COMMISSION ,&. ...,. CERTIFICATE OF ACCEPTANCE NRCA-MCH-03-A Constant Volume, Single Zone, Unitary (Packaged and Split) Air Conditioner and Heat Pump Systems Page3 of3 Project Name: Schur Star Systems Enforcement Agen<v: Permit Number: Project Address: 3200 Lionshead Ave., Ste. 110 Qty: Carlsbad Zip Code: 92010 System Name or Identification/Tag: H P-l20A System Location or Area Served: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that tbis Certificate of Acceptance documentation is accurate ·and complete. Documentation Author Name: B B . ryan air Documentation Author Signature: Documentation Author Company Name: A" B I G ir a ance uys DateSigned: 3113117 Address: 21228 Winterset Dr. ATTCertification Identification (If applicable): City/State/Zip: Santa Clarita, CA 91350 Phone: 661-312-4840 FIELD TECHNICIAN'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Acceptance is true and correct. 2. I am the person who performed the acceptance verification reported on this Cer):ificate of Acceptance (Field Technician). 3. The construction or installation identified on thJs Certificate of Acceptance complies with the applicable 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. 4. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been ,posted or made available with the building permit(s) issued for the building. Field Technician Name: Bryan-Bair Field Technician Signature: Field Technician Company Name: A" I · G ir Ba ance uys Position with Company (Title): Owner Address: 21228 Winterset Dr. ATT Certification Identification (if applicable): City/State/Zip: Santa Clarita, CA 91350 Phone: 661-312-4840 I Date Signed: 3113117 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. 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 Certificate of Acceptance. 2. I am 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 Acceptance and attest to the declarations in this statement (responsible acceptance person). 3. The information provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the appiicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. I have confirmed that the Certificate(s) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s) issued for the building. 5. I will ensure that a completed, signed copy of this Certificate of Acceptance 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 signed copy of this Certificate of Acceptance is require~ to be included with the documentation the builder provides to the building owner at occupancy. Responsible Acceptance Person Name: B B . ryan air Responsible Acceptance Person Signature: Responsible Acceptance Person Company Name: Ai B I G r a ance uys Position with Company (Title): Owner Address: 21228 Winterset Dr. CSLB License: 632895 Oty/Siate/Zip: Santa Clarita, CA 91350 Phone: 661-312-4840 I Date Signed: 3113116 STATE OF CALIFORNIA ENERGY MANAGEMENT CONTROL SYSTEM OR LIGHTING CONTROL SYSTEM • CEC-NRCI-LT0-02-E (12/15} CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION NRCI-L T0-02-E Energy Management Control System or Lighting Control System (Page 1 of 5) ProJectName:SCHUR PHASE 2 . I EnforcementAgency:CITY OF CARLSBAD 1 cs1e~ras1 Project Address: 3200 LIONSHEAD I City: CARLSBAD I 2ipCod•=s2010 GENERAL INFORMATION . DATE dF BUILDING PERMIT I PERMIT# CB163861 BUILDING TYPE iz;J Nonresidential Outdoor Lighting PHASE OF RI New Construction IO Addition I O Alteration CONSTRUCTION SCOPE OF RESPONSIBILITY f nter 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. Requirements in the Standards: §130.4(b) Before an Energy Management Control System (EMCS), or Lighting Control System can be recognized for compliance with the lighting control requirements in Part 6 of Title 24, the person who is eligible under Division 3 of the Business and Professions Code to accept responsibility for the construction or installation of features, materials, components, or manufactured devices shall sign and submit this Installation Certificate. If any of the requirements in this Installation Certificate fail the Energy Management Control System or Lighting Control System installation requirements1 these options for controlling lighting shall not be recognized for compliance with the Building Energy Efficiency Standards. Check all that apply: PART 1 What type of Lighting Control System has been installed? D A, Energy Management Control System (EMCS) -Is a computerized control system designed to regulate the en_ergy . consumption of a building by controlling the operation of energy consuming systems, such as the heating, ventilation and air conditioning (HVAC), lighting, and water heating systems, and is capable of monitoring environmental and system loads, and adjusting HVAC operations in order to optimize energy usage and respond to demand response signals. D Thi;! Energy Management Control System has been installed to function as a lighting control required by Part 6 and functionally meets all applicable requirements for each application for which it is installed, in accordance with Sections 110.9, 130.0 through 130.~, 140.6 through 150.0, and 150.2; and complies with Reference Nonresidential Appendix NA7.7.2. · D The EMCS has been separately tested for each respective lighting control system for which it is installed to function as. D B. Lighting Control System -Requires two or more components to be installed in the building to provide all of the functionality required to make up a fully functional and compliant lighting control. I!?! The installed Lighting Control System complies with the requirements checked below; and all components of the system considered together as installed meet all applicable requirements for the application for which they are installed as required in Sections 130,0 through 130,5, Sections 140,6 through 140,8, Section 141.0, and Section 150.0(k). CA Building Energy Efficiency Standards -2013 Nonresidential Compliance _ December 2015 STATE OF CALIFORNIA ENERGY MANAGEMENT CONTROL SYSTEM OR LIGHTING CONTROL SYSTEM CEC-NRCl-tT0-02-E (12/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION NRCI-L TO-02-E Energy Management Control System or Lighting Control System (Page2 of 5) Project Name: SCHUR PHASI= 2 I EnforcementAgency: CITY OF CARLSBAD I cs16ssa1 Project Address: 3200 LIONSHEAD I City: CARLSBAD I ZipCode, 92010 PART 2 Lighting Control Functional requirements: Check all that apply when verifying the installation of an EMCS or Lighting Control System. 0 A. All outdoor lighting controls and equipment have been installed in accordance with the manufacturer's instructions. D B. The manufacturer has provided instructions for calibration. D c. If indicator lights are integral to any components, such indicator lights consumes no more than 1 watt of power per indicator light. D D. Components that are regulated by the Title 20 Appliance Efficiency Regulations have been certified to the Energy Commission. D E. The EMCS or Lighting Control System functions as one or more of the Time-Switch Lighting Controls checked below, and complies with all of the following requirements: ~ 1. Automatic Time-Switch Controls meeting all requirements for Automatic Time Switch Control devices in the Title 20 Appliance Efficiency Regulations, including the requirements below: a. Commercial automatic time-switch-controls meet the following requirements: i. Has program backup capabilities that prevent the loss of the device's schedule for at least 7 days, and the device's date and time for at least 72 hours if power is interrupted; ii. Is capable of providing manual override to each connected load and shall resume normally scheduled operation after manual override is initiated within 2 hours for each connected load; and iii. Incorporates an automatic holiday shutoff feature that turns off all connected loads for at least 24 hours and then resumes normally scheduled operation. IRl 2. Astronomical Time-Switch Controls meeting all requirements for Astronomical Time-Switch Control device~ in the Title 20 Appliance.Efficiency Regulations, including the requirements below: a. Meets the requirements of an automatic time-switch control; b. Has sunrise and sunset prediction accuracy within plus-or-minus 15 minutes and timekeeping accuracy within 5 minutes per year; c. Is capa_ble of displaying date, current time, sunrise time, sunset time, and switching times for each step during programming; d. Has an automatic daylight savings time adjustment; and e. Has the ability to independently offset the on and off for each channel by at least 99· minutes before and after sunrise or sunset. IRl 3. Multi-Level Astronomical Time-Switch Controls, in addition to meeting all of the requirements for Astronomical Time-Switch Controls, includes at least 2 separately programmable steps per zone. D F. The EMCS or Lighting Control System functions as one or more of the Daylighting Controls listed below: IRl 1. Automatic Daylight Controls meet all requirements for Automatic Daylight Control devices in the Title 20 Appliance Efficiency Regulations, including the following: a. Is capable of reducing the power consumption in response to measured daylight either directly or by sending and receiving signals; b. If the system includes a dimmer, complies with the Dimmer Control device requirements in the Title 20 Appliance Efficiency Regulations. CA Building Energy Efficiency Standards -2013 Nonresidential Compliance December 2015 STATE OF CALIFORNIA ENERGY MANAGEMENT CONTROL SYSTEM OR LIGHTING CONTROL SYSTEM • CEC-NRCI-LTO-02-E (12/15\ CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSt ALLATION NRCI-L T0-02-E Energy Management Control System or Lighting Control System (Page 3 of 5) Project Name: SCHUR PHASE 2 Enforcement Agen_cy: CITY OF CARLSBAD rcs1\5ase1 Project/\ddress: 3200 LIONSHEAD aty: CARLSBAD I ZipCode, 92010 c. Automatically return to its most recent time delay settings within 60 minutes when put in calibration mode; d. Has a set point control that easily distinguishes settings to within 10 percent of full scale adjustment; e. Has a light sensor that has a linear response within 5 percent accuracy over the range of illuminance measured by the light sensor; f. Has a light sensor that is physically separated from where the calibration adjustments are made, or is capable of being calibrated in a manner that the person initiating the calibration is remote from the sensor during calibration to avoid influencing calibration accuracy; and g. Complies with the Title 20 requirements for photo controls if the system contains a photo control component . . O 2. Photo Controls meet all requirements for Photo Control devices in the Title 20 Appliance Efficiency Regulations, including the following that it does not have a mechanical device that permits disabling of the control. D G. The EMCS or Lighting Control System functions as a Dimmer and meets all requirements for a Dimmer Control device in the Title 20 Appliance Efficiency Regulations, including the following: 1. Is capable of reducing power consumption by a minimum of 65 percent when the dimmer is at its lowest level; 2. Includes an off position which produces a zero lumen output; and 3. Does not consume more than 1 watt per lighting dimmer switch leg when in the off position. 4. Dimmer controls that can directly control lamps provide ~lectrical outputs to lamps for reduced flicker operation through the dimming range so that the light output has an amplitude modulation of less than 30 percent for frequencies less than 200 Hz-without causing premature lamp failure. 5. If designed for use in three way circuits is capable of turning lights off, and to the level set by the dimmer if the lights are off. 0 H. The EMCS or Lighting Contro_l System meets the following requirements: 1. Is capable of automatically turning off controlled lights in the area no more than 30 minutes after the area has been vacated; 2. Allows all lights to be manually turned off regardless of the status of occupancy; and 3. Has a visible status signal that indicates that the device is operating properly, or that it has failed or malfunctioned. The visible status signal may have an override switch that turns off the signal. 4. All occupant sensing devices that utilize ultrasonic radiation for detection of occupants meet the Ultrasound Maximum Decibel Values in the Title 20 Appliance Efficiency Regulations 5. All occupant sensin~ devices that utilize microwave r9diation for detection of occupants meet the radiation requirements in the Title 20 Appliance Efficiency Regulations 6. Occupant sensing devices incorporating dimming comply with the requirements for dimmer controls in the Title 20 Appliance Efficiency Regulations 7. The EMCS or Lighting Control System functions as one or more of the Occupant Sensing Controls Checked Below: o· b. Motion Sensors meeting all applicable requirements for Motion Sensor Controls devices in the Title 20 Appliance Efficiency Regulations, including that motion sensors are rated for outdoor use. 0 d. Partial-ON Sensors meeting all applicable requirements for partial on sensing devices in the Title 20 Appliance Efficiency Regulations, including the following: i. Has two poles each with automatic-off functionality; CA Building Energy Efficiency Standards -2013 Nonresidential Compliance . December 2015 STATE OF CALIFORNIA ENERGY MANAGEMENT CONTROL SYSTEM OR LIGHTING CONTROL SYSTEM CEC,NRCI-LTO-02-E 12/15 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION NRCI-L T0-02-E Energy Management Control-System or Lighting Control System (Page4of 5) Project Name: SCHUR PHASE 2 EriforcementAgency: CITY OF CARLSBAD Permit um r: CB163861 ProJectAddress: 3200 LIONSHEAD City: CARLSBAD Zip Code: 92010 ii. Has one pole that is manual-on.and does not incorporate DIP switches, or other manual means, for conversion between manual and automatic fuJlctionality; and iii. Has one pole that is automatic-on and is not be capable of conversion by the user to manual-on functionality. 0 e. Partial-OFF Sensors meet all applicable requirements for partial off sensing devices in the Title 20 Appliance Efficiency Regulations, including the following: i. Has two poles; ii. Has one pole that is manual-on and manual off; and iii. Has one pole that is automatic-on and automatic-off and is not capable of conversion by the user to manual-on only functionality. PART 3 Re_quirementsfor which the control is being installed to complied with: Identify all requirements in the Standards for which the EMCS or Lighting Control System is installed to function as and complies with: Check all that are applicable D A. Section 130.2(c)1 Photocontrol D B. Section 130.2(c)l Outdoor astronomical time-switch control D C. Section 130.2 (c)3 Motion Sensor O D. Section 130.2 (c)4A Part-Night Outdoor Lighting Control 0 E. Section 130.2 (c)4B Motion Sensor D F. Section 130.2 (c)SA Part-Night Outdoor Lighting Control D G. Section 130.2 (c)SB Motion Sensor 0 H. Section 130.2 (c)SC Centralized time-based zone lighting control. CA Building Energy.Efficiency Standards -2013 Nonresidential Compliance December 2015 STATE OF CALIFORNIA ENERGY MANAGEMENT CONTROL SYSTEM OR LIGHTING CONTROL SYSTEM CEC-NRCI-LT0-02-E <12115) CALIFORNIA ENERGY COMMISSION ~-.. CERTIFICATE OF INSTALLATION NRCI-LTO-02-E Energy Management Control System or Lighting Control System (Page 5 of 5) Project Name: SCHUR PHASE 2 I EnforcementAgency:CITY OF CARLSBJ\D I cs1ssa61 ProjectAddress: 3200 LIONSHEAD I City: CARLSBAD I Zip Code, 9201 o . DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate·of Installation documentation is accurate and complete. Documentation Author Name: B RICHMOND Documentation Author Signature: Documentation Author Company Name: KORE ELECTRIC Date Signed: 03111117 Address: 20452 SANTA ANA AVE CEA Certification Identification (If applicable): 8675309 O\Y/Stit~/Zlil; NEWPORT BEACH, CA 92660 Ph9n~; (949) 793-3252 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Installation is true and correct. 2. I am 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. 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to. all applicable codes and regula.tions, and the installation conforms to the requirements given on the plans and specifications approved by the enforcement agency. 4. 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. 5. 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 included with the documentation the builder provides to the building owner at occuoancv. Responsible Builder/Installer Name: BRAD RICHMOND Responsi61e Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Position With Company (Title): OWNER Address: 20452 SANTA ANA AVE CSLB License: 745565 Ciw/State/zip: NEWPORT BEACH, CA Phone {949) 793-3252 I Date Signed: 0311112017 CA Building Energy Efficiency Standards -201;1 Nonresidential Compliance December 2015 STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCI-LTl-01-E /Revised 05/15\ CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION NRCI-LTl-01-E Indoor Lighting (Page 1 of2) Project Name: SCHUR phase 2 I Enforcement Agency: CITY OF CARLSBAD I Penn it Number: CBl 63861 Project Address: 3200 LIONSHED I City: CARLSBAD I Zip Code: 92010 GENERAL INFORMATION DATE OF BUILDING PERMIT I PERMIT# I CB163304 - BUILDING TYPE Bf Nonresidential D High-Rise Res (Common Area) D Hotel/Motel (Common Area) PHASE OF Bf New Construction DAddition D Alteration I D 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 03/11/17 . 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. TITLE-24 E6.0 11/14/16 CA Building En~rgy Efficiency Standards -2013 Nonresidential Compliance May2015 'STATE OF CALIFORNIA INDOOR LIGHTING CEC-NRCl·LTl-01-E /Revised 05/151 CALIFORNIA ENERGY COMMISSION CERTIFiCATE OF INSTA~LATiON NRCI-LTl-01-E Indoor Lighting (Page 2 of 2) P'.°Ject Name: SCHUR I Enforcement Agency: CITY OF CARLBAD I Permit Number: CB163S04 Project Address: 3200 LIONSHE;AD I City: CARLSBAP I Zlp Code, 92010 " ' DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accura:te and complete. Documentation Author Name: B. RICHMOND Doii~\'bet-\'~"d~8 Author Signature: Doc~mentation Author Company Name: -KORE aECTRIC Date Signed: 03/11'2017 Address: 20452SATAANAAVE CEA Certification Identification (If applicable): 1875309 City/State/Zip: NEWPORT BEACH, CA 92660 Phone: (949) 793-3252 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information-provided on this Certificate of Installation is true and correct. 2. I am 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, materi;lls,-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. 3. 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. 4. 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 installationidentified on this Certificate of Installation, and I have ensured that the requirements that apply to the construction or installation have been met. s. 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 included with the documentation the builder provides to the-building owner at occupancy. ,Responsible Builder/Installer Name: BRAD RICHMOND Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) 'Position With Company (Title): OWNER Address: 20452 SANT A ANA A VE CSLB License: 745565 City/State/Zip: NEWPORT BEACH, CA 92660 Phone I Date Signed: 03111 fl017 (949) 793-3252 CA Building Energy Efficiency Standards -2013 Nonresidential Compliance May2015 STATE OF CALIF()RNIA POWER ADJUSTMENT FACTORS CEC-NRCI-LTl-05-E (Revised 12/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION NRCI-L Tl-05-E Power Adjustment Factors (Page 1 of 5) Project Name: SHURE PHASE 2 EnforcenientAgency:CITY OF CARLSBAD I Permit Number: CB163861 Project Address: 3200 LIONSHEAD City: CARLSBAD I Zip Code: 92660 - GENERAL INFORMATION DATE OF BUILDING P~RMIT I PERMIT'# CB163861 BUILDING TYPE Kl Nonresidential D High-Rise Res (Common Area} D Hotel/Motel (Common Area} PHASE OF Kl New Construction D Addition D Alteration I D Unconditioned CONSTRUCTION ' SCOPE OF RESPONSIBILITY Enter the date of approvai 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: Power Adjustment Factor (PAF) §130.4(b) -Before a Power Adjustment Factor will be allowed for compliance with Section 140.6 of Part 6 of Title 24, the person who is eligible under Division 3 of the Business and Professions Code to accept responsibility for the construction or installation of features, materials, components, or manufactured devices shall sign and submit this Installation Certificate. §140.G{a) 2 -Reduction of wattage through controls. In calculating actual indoor Lighting Power Density, the installed watts of a luminaire providing general lighting in an area listed in TABLE 140.6-A may be reduced by the product of (i) the number of watts controlled as described in TABLE 140.6-A, times (ii) the applicable Power Adjustment Factor (PAF), if all of the conditions [in this Certificate of Installation are met]: If any of the requirements in this Installation Certificate fail, the installation shall not be eligible for using the PAF. Check all that apply: PART 1 Certificate of Compliance Correctly Filled Ol!t fgJ In addition to this Certificate of Installation, the PAF has been correctly document on page 2 of NRCC-LTl-02-E of the Certificate of Compliance submitted to the building department. PART 2 Type of PAF A. This installation qualifies for the following PAFs: fgJ 1. This installation qualifies for the PAF for a Partial-ON Occupant Sensing Control in TABLE 140.6-A because it meets all of the following requirements: fgJ a. The Partial-ON Occupant Sensing Control is use in only the following space types: Kl i. An area~ 250 square feet enclosed by floor-to-ceiling partitions D ii. A classroom of any size gJ iii. A-conference room of any size D iv. A waiting room of any size The PAF used is 0.20 m b. fgJ c. The control automatically deactivates all of the lighting power in the area within 30 minutes after the room has been vacated; and lill d. The first stage automatically activates between 30-70 percent of the lighting power in the area D e. The lighting control is a: D i. Switching system, or CA Building Energy Efficiency Standards -2013 Nonresidential Compliance December 2015 STATE OF CALIFORNIA POWER ADJUSTMENT FACTORS CEC-NRCI-LTl-05-E Revised 12/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION NRCI-L Tl-05-E Power Adjustment Factors (Page 2 of 5) Project Name: SHURE PHASE 2 Enforcement Agency: CITY OF CARLSBAD PermitNumber: CB163861 Pio)ectAddress: 3200 LIONSHEAD City: CARLSBAD Zlp Code: 92660 m f. D g. !l ii. Dimming system; and The second stage manually activates the alternate set of lights; and This manual-ON function is not capable of conversion from manual-ON to automatic-ON functionality via manual switches or dip switches; and 6?I h. Switches are located in accordance with Section 130.l(a) 6?I i. Occupants can manually do-all of the following regardless of the sensor status: 6?) Activate the alternate set of lights; and 6?) Activate 100 percent ofthe lightingpower; and 6?) Deactivate all of the lights. This installation qualifies for the PAF for an occupant sensing control controlling the general lighting in large open plan office areas above wor~stations, in accordance with TABLE 140.6-A, beca·use the following requirement~ have been met: m 3 6?) a. The occupant sensing controls are in large open plan offices that a re greater than 250 square feet and: D i. One sensor is controlling an area that is no larger than 125 square feet, and the PAF used in 0.40 m ii. in0.30 D iii. in0.20 One sensor is controlling an area that is from 126 to 250 square feet, and the PAF used One sensor is controlling an area that is from 251 to 500 square feet, and the PAF used D b. This PAF is only being applied only to office areas which contain workstations; and 6?) c. Controlled luminaires are only those which provide general lighting directly above the controlled area, or furniture mounted luminaires thatcomplywith Section 140.6(a)2 and provide general lighting directly above the controlled area; and ~ d. Qualifying luminaires have been controlled by occupant sensing controls that meet all of the following requirements, as applicable: ~ i. Infra-red sensors have been equipped by the manufacturer, or fitted in the field by the installer, with lenses,or shrouds to prevent them from being triggered by movement outside of the controlled,area. ~ ii. Ultrasonic sensors have been tuned to reduce their sensitivity to prevent them from being triggered by movements outside of the controlled area. ~ iii. All other sensors have been installed-and adjusted as necessary to prevent them from being triggered by movements outside of the controlled area. This installation qualifies for the PAF for a Manual Dimming System or a Multiscene Programmable Dimming System in TABLE 140.G~A because: 181 a. D b. D c. The lighting is controlled with a control that can be manually operated by the user; and The space is only ofthe following type: D i. Hotel/motel Restaurant D ii. D iii. Auditorium D iv. Theater The type of control and PAF used is one of the following: ~ i. A Dimming System with manual dimming and the PAF used is 0.10 CA Building Energy Efficiency Standards -2013 Nonresidential Compliance December 2015 STATE OF CALIFORNIA POWER ADJUSTMENT FACTORS CALIFORNIA ENERGY COMMISSION a CEC-NRCI-LTI-05,E (Revised 12/15) CERTIFICATE OF INSTALLATION NRCI-L Tl-05-E Power Adjustment Factors (Page 3 of 5) Project:Naine: SHURE PHASE 2 I EnforcementAgency: CITY OF CARLSBAD I PermltNumber: C8163861 ProjectAddress: 3200 LIONSHEAD I City: CARLSBAD I Zip Code, 92660 D ii. A Multiscene Programmable control and the PAF used is 0.20 I&'.! 4. This installation qualifies for the PAF for a Demand Responsive Control in TABLE 140.6-A, because the installation meets all of the following requirements: D 5. rgJ i. rgJ ii. The building is 10,000 square feet or smaller; and The PAF used is 0.05. Note that luminaires that qualify for other PAFs may also qualify for this demand responsive control PAF. IRI iii. The co_ntrolled lighting is capable of being automatically reduced in response to a demand response signal; and IRI iv. Lighting has been reduced in a manner consistent with uniform level of illumination requirements in TABLE 130.1-A; and 0 v. D vi. Spaces that are non-habitable have not been used to comply with this requirement, and Spaces with a lighting power density of less than 0.5 watts per square foot have not been counted toward the building's total lighting power. This installation qualifies for the PAF for Combined Manual Dimming plus Partial-ON Occupant Sensing Control in TABLE 140.6-A because the installation meets all of the following requirements: IRI a. The Combined C~mtrol is use in only the following space types: Kl i. An area :s: 250 square feet enclosed by floor-to-ceiling partitions D RI 0 rgJ b. rgJ c. ii. A classroom of any size iii. A conference room of any size iv. A waiting room of _any size The lighting is controlled with a control that can be manually operated by the user; and The dimming component is one of the following: jg) i. A Dimming System with manual dimming; or 0 ii. A Multiscene Programmable control 181 d. The Partial-ON Occupant Sensing component automatically deactivates all of the lighting power in the area within 30 minutes after the room has been vacated; and 181 i. The first stage automatically activates between 30-70 percent of the lighting power in the area 181 ii. The lighting control is a: 0 Switching system, or 181 Dimming system; and Iii iii. The second stage manually activates the alternate set of lights; and 181 iv. This manual-ON function is not capable of conversion from manual-ON to automatic-ON functionality via manual switches or dip switches; and Iii v. Switches are located in accordance with Section 130.l(a) 181 vi. Occupants can manually do all of the following rega~dless of the sensor status: D e. Iii Activate the alternate set of lights; and 181 Activate 100 percent of the lighting power; and · Iii Deactivate all of the lights. The PAF usedis·0.25 CA Building Energy Efficiency Standards -2013 Nonresidential Compliance December 2015 STATE OF CALIFORNIA POWER ADJUSTMENT FACTORS CALIFORNIA ENERGY COMMISSION a CEC-NRCI-L Tl-05-E (Revised 12/15) CERTIFICATE OF INSTALLATION Power Adjustment Factors Project Name: SHURE PHASE 2 , ProjectAddress: 3200 LIONSHEAD PART 3 PAF Minimum Requirements Check all that apply: NRCI-L Tl-05-E (Page4 of 5) I EnforcementAgency: CITY OF CARLSBAD I PermltNumber: CB163861 I City: CARLSBAD I Zip Code, 92660 !I A. The lighting control used to-earn the PAF is designed and installed in addition to all manual, and automatic lighting controls otherwise required in 130.l(a} through (e} Cl EXCEPTION. The lighting control used to earn a PAF has been designed and installed for the sole purpose of compliance with Section 130.1(b}3, and this lighting control is designed and installed in addition to all other manual, and automatic lighting controls otherwise required in Section 130.1. 21 B. Installed wattage has been determined in accordance with Section 130.0(c} 21 C. Space types that qualify for the PAF comply with the definition for that space type in Section 100.l(b} !I D. Self-contained lighting controls used to earn the PAF comply with Section 110.9 and are certified in accordance with the Appliance Efficiency Regulations, as verified on the Title 20 database of certified lighting controls 21 E. A lighting control system is used to earn the PAF, which complies with Section 110.9. 1811 When using a lighting control system to earn a PAF, also submit the Installation Certificate for Energy Management Control System and Lighting Control System 21 F. The controls are permanently installed nonresidential-rated lighting controls. (Portable lighting, portable lighting controls, and residential rated lighting controls shall not qualify for PAFs.} Cl G. The controlled lighting used to earn this PAF is a permanently installed general lighting system. Cl Furniture mounted luminaires qualify as general lighting system for the purpose of earning this PAF because the general lighting is in an office, and the furniture mounted luminaires comply with ~II of the following conditions: i. The furniture mounted luminaires have been permanently installed no later than the time of building permit inspection; and ii. the furniture mounted luminaires have been permanently hardwired; and iii, The -furniture mounted lighting system has been designed to provide indirect general lighting; and iv. Before multiplying the installed watts of the furniture mounted luminaire by the applicable PAF, 0.3 watts per square foot of the area illuminated by the furniture mounted luminaires has been subtracted from installed watts of the furniture mounted luminaires; and !I H. At least SO percent of the light output of the controlled luminaire is within the applicable area listed in TABLE 140.(i-A. Luminaires on lighting tracks are within the applicable area in order to qualify for a PAF. gJ I. Only one PAF from TABLE 140.6-A has been used for each qualifying luminaire. PAFs have not been added together unless specifically allowed in TABLE 140.6-A. gJ L. Only lighting wattage directly controlled in accordance with Section 140.6(a)2 has been used to reduce the calculated actual indoor lighting Power Densities as allowed by Section 140.6(a)2. 21 Only a portion of the wattage in a luminaire is controlled in accordance Section 140.6(a)2, and only that portion of controlled wattage has been reduced in calculating actual indoor Lighting Power Density. CA Building Energy Efficiency Standards -2013 Nonresidential Compliance December 2015 STATE OF CALIFORNIA POWER ADJUSTMENT FACTORS CALIFORNIA ENERGY COMMISSION a CEC-NRCI-LTl-05-E (Revised 12/15) CERTIFICATE OF INSTALLATION NRCI-L Tl-05-E Power Adjustment Factors ·(Page 5 of 5) Project Name: SHURE PHASE 2 I EnforaimentAgency:CITY OF CARLSBAD I Permit Number: CB163861 ProJectAddress: 3200 LIONSHEAD I aty: CARLSBAD I ZlpCode:92660 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT . 1. fcertify that this Certificate of Installation documentation is accurate and complete • Documentation Author Na~: B. RICHMOND Documentation Author Signature: Documentation Author Company Name: KORE ELECTRIC Date Signed: 0311112017 Address: 20452 SANTA ANA AVE CEA Certification Identification (If applicable): 8675309 <;iw/$t~M:ill; NEWPORT BEACH, CA 92660 Ph<mi:; (949) 793-3252 RESPONSIBLE PERSON'S DECLARATION STATEMENT . J certify the following under penalty of perjury, under the laws of the State of california: 1. The information provided on this Certificate of Installation is true and correct 2. I am 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. 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of lnstallati_on 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. 4. 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. s. 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 ltist~llation is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Builder/Installer Name: B. RICHMOND Responsible Builder/Installer Signature: BRAD RICHMOND Company Name: (Installing Subcontractor or General Contractor or Builder/owner) Position With Company (litle): OWNER BRAD RICHMOND Address: 20452 SANTA ANA AVE CSLB License: 7 45565 Cicy/State/Zip: NEWPORT BEACH, CA 92660 Phone (949)793-3252 I Date Signed: 0311112017 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): / CA Building Energy Efficiency Standards -2013 Nonresidential Compliance December 2015 , . Cacyot Carlsbad Owner: WASTE MANAGEMENT PLAN ·B-59 Contractor: Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov .~vRkw: RE~\ E-s:±A±E" Job Address3c0 Of) L, o1J sh Efl J -s_.f., I (o Phone Number: :J 1 '-l -Sz Lf -1-l) IL/ Permit#: (:_Bl b !38 b I Estimated Co~t of Project: $__.lf~S'<~V=+} ~O~O ......... Q.,.__ ______ _ Type of Project: D New Constructioo ..[&Remodel or T.I. D Residential ~ommercial D Demolition (check all that apply) D Other ~---------------------------- Non-hazardous construction waste generated during the course of this project shall be recycled and/or salvaged for re-use at a minimum of 65% per CALGreen Sec. 5.408.1. Failure to comply may result in a penalty fee up to $1,000. For projects which consist of mainly equipment and/or racking, that have a combined weight of new construction disposal that does not exceed 2 lbs per square foot of building area affected by this permit, may be deemed to meet the 65% minimum requirement upon approval of Building Department. · ALTERNATIVE FORMS OF COMPLIANCE: (If selected, do not complete Tables 1 & 2 below) D Construction waste shall not exceed 2 lbs. per sf. of area. All receipts shall be provided to the Building Official prior to final. (This option not applicable for most (:onstruction projects.) Square feet of construction area __ ~----,-X 2 lbs.= ________ lbs.of allowable waste. ~ I plan on using a WASTE MANAGEMENT.roll~off bin. All receipts shall be provided to the Building Official prior to final. Tab le 1 -Estimated Waste (To be filled out prior to permit issuance -refer to example on Page 2.) MATERIALS lbs. of waste to be taken to LANDFILL Waste Hauling Company or Re-Use Method Asphalt/ Concrete Brick/ Masonry Cardboard Drywall Landscape Debris Lumber/ Wood Metals w.rn Mixed Waste Trash Garba e 0 Other: Estimated Percentage to be Re-Used or Recycled q S · 5 % rein, to the best of my knowledge, is true and correct ~- Official Use Only D Plan Approved D Plan Denied D Project Val.uation Approved Reviewed/ Approved by=-------~-~------- Page 1of2 REV.01-2017 Table 2 -Actual Waste (To be completed after construction.) MATERIALS lbs. of waste taken to lbs. of waste Waste Hauling Company or Re-Use Method LANDFILL RE-USED or RECYCLED (complete only if different than Table 1) Asphalt/ Concrete b:J... 777 Brick/ Masonry b Cardboard 2.f (')n Drywall ?bZ<; Landscape Debris 0 Lumber/ Wood 0 Metals 27q5 'Mixed Waste 0 Trash I Garbai;!:e ?. .7, 1-, 7 Other: TOTAL lbs.: 336 7 ,o,:zq, , Actual Percentage Re-Used or Recycled CJ5, '-f ~ial Use Only f ~ Go~I Achieved D 65% Goal Not Achieved D Alternative Compliance Achieved Penalty Paid $ ______ _ Reviewed/ Approved by: __ (11_· .... --~~~--·-'-~---------~ EXAMPLE: Use the following example as a guide to completing this form. MATERIALS lbs. of waste to be taken to lbs. of waste to be LANDFILL RE-USED or RECYCLED Asphalt / Concrete 0 3000 Brick / Masonry iOO 950 Cardboard 0 iS0 Diywall Q so Landscape Debris () i2Q Lwnber / Wood 500 0 Metals 300 200 Mixed Waste iS00 0 Trash / Garbage 300 0 Other: Pool c;uV\,Lte () fj00 TOTAL lbs.: 2700 S,3J-0 Percentage to be Re-Used or Recycled 6 7 % Formula: Total Re-used or Recycled X 100 = % Re-Used or R~9ycled (Total Combined Waste) - Waste Hauling Company or Re-Use Method A ""&C /-tCl uLL V\,C\ Co. WM I R.e-tASed ""&y{tfz oV\,-s.Lte A""E;C 1-+ciuLLvv:\ Cn. A""&C 1-tciuLLV\,C\ Co. MuLcvieot _c; R.e-us.ed OV\,-s.Lte wcis.te MCIV\,CIC\eVltleV\,t WM/ A""&C 1-tciuLLV\,g WM WM tASeol cis. cvus.vied ""&cis.e OV\,-s.Lte 5370 X 100 = 6!% Re-Used or Recycled (2700 + 5370) Since 67% exceeds the minimum requirement of 65%, this plan complies. Page2 of2 \\-t>rks·i{ ('nt Rd:11 SCH __ !llJ'.IX µg 13 or l~ "' ' .. ,. ., Lock Functions I Single Cylinder Deadbolt Functions L9453 F20 LV9453 Entrance Lock Latch bolt retracted by knob/lever from either side unless outside is locked by 20°rotation of thumbturn. Deadbolt thrown or retracted by 90° rotation of thumbturn. When tocked, key outside or knob/lever inside retracts deadbolt and latchbolt simultaneously. Outside knob/lever remains locked until thumbturn is restored to vertical position. Throwing deadbolt automatically locks outside knob/ lever. Auxiliary latch deadlocks latchbolt when door is closed., Inside lever is always free for immediate egress. L9456 F13 LV.9456 Corridor Lock Latchbolt retracted by knob/lever from either side. Deadbolt thrown or retracted by key outside or inside thumbturn. Throwing deadbolt locks outside knob/lever. Turning inside knob/lever simultaneously retracts deadbolt and latchbolt and unlocks outside knob/lever. Inside lever is always free for immediate egress. L9465 Closet/Storeroom Lock Latch bolt retracted ·by knob/lever from either side. Deadbolt thrown or retracted.by key outside. L9473 F21 Dormitory/Bedroom Lock Latchbolt retracted by knob/lever from either side. Deadbolt thrown or retracted by key outside or thumbturn inside. L9480 LV9480 Storeroom Lock With Deadbolt Latchbolt retracted by key outside or by lever or knob inside. Outside knob/lever always fixed. Deadbolt thrown or retracted by key outside or thumbturn inside. Turning inside knob/lever simultaneously retracts both deadbolt and latchbolt. Auxiliary latch deadlocks latchbolt when door is closed. Inside lever is always free for immediate egress. [Previously 1 XL11-591) L9485 LV9485 Prison Fundion Lock latch retracted by key outside or knob inside. Outside knob always free spinning. Deadbolt only thrown or retracted by guard's key. Inside knob becomes fixed when deadbolt is thrown. Prisoner's key only retracts latch bolt. Furnished standard with tamper resistant Torx® screws. Specify per XL11-557. Schlage ANSI L9485 LV9485 Hotel or Restroom Lock Latchbolt retracted by key outside or _by knob/lever inside. Outside knob/lever always fixed. Deadbolt thrown or retracted by inside thumbturn. When deadbolt is thrown, alt keys become inoperative except emergency or display keys. Turning inside knob/lever retracts both deadbolt and latchbolt simultaneously. Auxiliary latch deadlocks latchbolt when door is closed. Inside lever is always free for immediate egress. L9486 F15 LV9486 Hotel or Restroom Lock with "Do Not Disturb" Indicator Latchbolt retracted by key outside or by knob/lever inside. Outside knob/lever always fixed. Deadbolt thrown or retracted by inside thumbturn. When deadbolt is thrown, ··Do NOT DISTURB" plate is displayed. All keys become inoperative 11xcept emergency or display keys. Turning inside knob/lever retracts both deadbolt and latchbolt simultaneously. Auxiliary latch deadlocks latch bolt when door is closed. Inside lever is always free for immediate egress. L9486 x L583-375 LV9486 x L583-375 L9486 with "Occupied" Indicator Latchbolt retracted by key outside or by knob/lever inside. Outside knob/lever always fixed. Deadbolt thrown or retracted by inside thumbturn. When deadbolt is thrown, 0 0CCUPIED" plate is displayed and all keys become inoperative except emergency keys. Turning inside knob/lever simultaneously retracts both deadbolt and latchbolt. Auxiliary latch deadlocks latchbolt when door is closed. !Previously XL 11-580] Inside lever is always free for immediate egress. L9496 Privacy with "Occupied" Indicator Knob/lever retracts latchbolt from either side. Deadbolt thrown or retracted by key outside (retraction by key required in the event of an emergency] or inside thumbturn. Throwing deadbolt locks outside knob/lever and displays "OCCUPIED·· plate. Rotating inside knob/lever simultaneously retracts both deadbolt and latchbolt and unlocks outside knob/lever. Inside lever is always free for immediate egress. [Previously XL 11-885] 23 • • ; OFFICE USE ONLY SAN 'DIEGO REGIONAL HAZARDOUS MATERIALS ,QUESTIONNAIRE RECORD ID'#,, _________________ _ PLANCHl!CK:#_..,.... ______________ I : , cate . ng, . , 1 your I n111 use, proee11, or·, Qre any·, • e •. car,,t rmltt~ lherlli Prcieecifori Agency witli ~r1adictlon prtor tC! plan sl!i)milll!I, ·occupancy llatlng: l'aclUty'e Square·l'ootAft.(lndU<ling proposed:project): 1, .E,cpl011vur er.sung AQentt 5; Orginlc Perolddes 9, Waler: Reactl\111, ~: Ccimpre.1tidGa... e. Oiddl~ · 10. C,vC!Qlnlcs . _ 3. Flam~ble/~.b~tlble·Uq~ 7, pyrOP,h9ricl 11, Highly Toxic or Toxic Material• -t, Flammable Solids a. tlnatabie ReaCIIYfl ·12. Ridlo1'l!!Ve• ... 0. s. o· e; .CJ : . . . l'OR·OF.l'ICAl. USE ONL Yi FIRE'OEPARTMENTOOCUPANCY CI.MSIFICA'l'ION· · BY.: . " O'ATE:. IXIIWT'Oft HO ,u«rHM INl'OllltlATIOH IIIQUIRID MI.IAIID ,011 tu11.~-Pl1'11T 1111,f HOT ~OIi QCCUPANC;Y' . COUN,:VitiMO•· APCD COUNTY:,H~D ... APCD ., ,· ., ' ' ' : ' ' .. ' -~ " I 13, Corrot!vet· 1,. otner Heilth Hazard• ~5. None of These, . • lf'lhe inawer 10 any ofthe sn Olego, CA 92123, CJ CalARP E,cempt DIii lnllllla CJ CalARP Required DIie Cl CatARP Complete lni11111 I ·1111.IPHD POii OCCUl'ANCY COUNTY•HMD APCD ·~A st~ 1n·tt,1~ box m111t.•~• businelMltrOm or Updating a·Hazerdous M8lert1ll-tNS111111,f!lan·. othtr·pennlttlng requirement, may stiff· apply, Courlly of'San:Olego -0E11-Haurdous Matertall,OlvialOn ....,,..-,,----:-• ., • • iNDUSTRIAL WAS.tEWATER 01.s·CH'ARGE PERMIT . 1 ! 1! SCREENING SURVEY Date·ltJtL_[2,c,/(p . BusinessName_ 5CUUB: ~1Af!., S 't'f>tl-'11-S /A.IC... Street-Aqdress "-let.et/ 'l(l.2rA fl'rc.,/ftc. Pitl VL C:JC!AlJ ~/Pfc ~A-c},J..IJS~ ~mail Address e BAU'-,H~ Cll£.5A. com PLEA$E:Cf:IECKHERE; lF YOUR ijUSINESS 1S·EXEMPT! (ON'REVERSE SIDE CHECK TYPE OF BUSIN!:SS) o· Check all below that are:present at your facility: ,, .Acid Cleaning Ink Manufacturing Nutritional Supplement I Assembly Laboratory Vitamin Manufacturing Aut9motive Repair Machining/ MIiiing Painting-/. Finishing E3attery Manufacturing· Manufacturing Paint Manufacturing· Blofuel Manufacturing M~mbrane Manuf~cturlng Personal Care ProquQts Biotecti Laboratory: (I.e. water filter: membran~) Manufacturing Bulk Chemical Storage Metal Casting l-Forming Pesticide, Manuf acturlng:/ Car'Wash: Metal Fabrication ·PackQglng Chemical Manufacturing Metal Finishing Phar.maeeutfcal Manufacturing Chemical Purfflcation Electroplating ,(I ncfudlhg· precursors) Dry Cleanl'ng Electroless plating Porce,lain anameling Electrical: Component ,Anodizing, Power Generation Manufacturing Coating (l;e; phosphatln·g) Print.Shop Fertilizer Manufacturing Chemical Etohlhg 1 MIiiing· Research' and Development Film /X-ray Processing Printed Circuit Board Rubber Manufacturing Food l?rocessing Manufacturing · Semiconductor Manufacturing Glass Manufacturing Metal Powders Forming, Soap./ Detergent' Manufacturing lndustrlar Laundry, ' Wa$te, Treatm~nt f.Storage $1.C·Code,(s) (If known): __ N~o-tJ_.$"...._ ______________ _ Brfef descrfptl~ of business activities :(ProductlonIManufacturln,g Operations): 'f{/(_0 'D V C:. Tl !),t} a E FU..t\.AB Ltf.--tPAcAc.A&.i.Nbt. • .mA<-fftNf., G-o7n F'-~~s ~ lr<-c. ~~VIK ~ l>t~~ e~/ ·estimated volu_me of lndustr1a1,wastewater to be discharged (gall day.): _,..~----- ,List: hazardous wastes generated (fype /volume):._.,_A.J,,,J...t..lllor::...I.AJ.::, ~ef~c------- .oate·operation began/or will begin at this location~-~~~;...-"--..;;...,;;;....:.-4-_____ _ Have you ap~ for a Wastewater Discharge Permit: from the-Enctna Wastewater Authority? Yes ~ If yes, when:_-:-----·----·------------- Site Contact AU&,, Tltle·Z¢N 10¥2-\/ f f 14?':f?:bt MG'Ylt7, S/gnatur. _ . . ·PhoneNo. -42/t/ q 9 7r 3 x'O ENCINAWASTEWATER AUTliORI.TY 00 Avenlda Enclna• Carlsbad, c,o; 92011 (760) 438-3941 FAX: (760):476-9.852' .... • • • • • • • • cresa ----.. --~----... .., L---~-·--· --··_: D • 1- Schur® Bag Conversion Machine Installation Information Plan Check No: 16-3861 D • ~- FUME EXTRACTION VENTILATION IN THIS AREA (CUT-SEALING) • 10120 2630 2220 E ~ ~ 900 11• L 150 0 0 ~ ~ ~ 0 £ Main Machine Load points ( 10 points) Main Machine Weight (fully equipped) 12500kg Load is estimated evenly dispersed Load per point 1250kg Oschur" s,h.,Tech,olo~ Mar~&P1CM~n~ 1:;;;:,.~•mA••~1,·h~11001<0A~~·s ,~ ... sn1m:ri~MS _ .. ,,. Main machine wrth load 1:101nts I 1: 100 23-41.2015 -1-1;51KK~: iielA21 .... .,_ ~· -r--i--1074535 X1 r-· ~ .... ~- • • Os h ® . Schor Technology a1S . C u r Marking & Packaging Schur Star Systems Inc. 2664 Vista Pacific Drive CA-92056 Oceanside Att.: Mr. Eric Baugh Note regarding Installation instructions: Schur Technology a/s Fuglevangsvej 41 DK-8700 Horsens Tel. +45 7928 2928 Fax +45 7928 2975 Nov 11, 2016 KKR • Since our machinery is always installed by our own skilled, educated and experienced personnel and we do not install this equipment at external costumers we have no need for written installation instructions • However feel free to ask for any required information regarding machine data that you may need Kind regards: Kristian Kristensen -Schur Technology a/s www.schur.com CVR 83100214; VAT reg. No. DK 12729898, Jyske Bank, Horsens, SWIFT code: JYBADKKK, Account No. 7245 101426-9 1/1 CB163861 3200 LIONSHEAD AV 110 BURK: WAREHOUSE TO WAREHOUSE ; . j:, ,, ,',>, "' ~ !·· '' • ! , ':~ . .,....JI], .. ·, ',·, ·:, ' -+ ,,., • ' '-,' ·,'·,. !.,', Tl ".l'Jk7".l QC (t:>f\'2,f 16 C.ITi r-r--.:,,, -51 Ov--3lN~ :t= ({L.c ( (\..) cE-~ \'=> 51'\"\- i,, c.S6\L-1 ~E-T· , tt>{ 1-1 I I~ ~'t\-\-Sen-IN 1 ~cN'\"' \<:::, '?l--A-~ CA.-<-c.s (J-J, ScN, Tc 2:SGIL R< LI)~ Po12-- \ ~ , \C:, <-;ot:='1 r 111-i::" ~t.-A~\ ~ '•.,,.,_ • •. t Final Inspection required by: 0 Pia~ 0 CM&I Q Fire tl SW 01SSUED .I Dev. Approved Date . By . BUILDING 12.-:-(~J\O ~· Pl.AN!',IING ti/U/k .' 1-1a ENGINEERING U-8:-/f> ·vN FIRE Expedite? y N DIGITAL FILES'Reauired7 y N. HazMat APCD Health Forms/Fees Sent Rec'd Due? By Encina y N Fire y N HazHeaithAPCD W-19·(0 y N PE&M · ,•n-f'·f-,.t, y N School .. y N Sewer y N Stormwater y N. Special-Inspection ' . y N C:FD: y N lanqUfe: Density: lmpArea: FY: Annex: Factor: PFF: y Ill Comments Date Date Date Date Building q{'J.-~(,(o . Planning 11i/i7/IP, . Engineering . { Fire Need? DDone DDone DDone DDone I . ' / ,,,. / • \ • ' / • ,. :, • • ... ____ -- j ; ' '--··----' f ! 2 ;c::::,~x'_j, .......... t ..... , ; , ,, 2 I I 2 : I r--,__ ,/, i /,><~~;~~'. J . . .. --·--·--->,; ~ ,,,,__ .. ,) •" ··. ! ¢ . '-·'·· (EM) 2 .. :.,c... :::·:--c.('r::.:::·· --·-.... • .. ··-.,; ' (EM) 2 (EM) (EM) r::~---· .,,--, ,>< / . (EM) (EM) 1 ;/ DPW-2 2 / ii i: i: ii: II ! ' ..... @: !1!, i 1·· ./··1 i ,,•' --,, j ac.:. ............. ,,,,,,,,,,,,,,'.cJ -·-··-· .. , 2 ·------, F-.Ml'IJ id: · 1->Hf .K AR,:. ·-·--··----·--··-·-, -- 2 2 _.,.,.._DPl-2 !1 1; / -,_r:< -l,~~~ ..... .:-!--,-----+--! : ~-.. U..... i1 I .................. U ..................................... rr···· WAREHOUSE AREA -LIGHTING PLAN SCALE: 3/32"=1 '-0" I 2 2 2 . ."·.·.···'· .... s / / • ...J CJ) I . '-• ' ---.. ,_. ··--·····-··-·-· 2 2 2 2 NOT PART /..OF SCOPE / ........ ···------ "'······-- 2 ><, " •••• (EM) 2 l ./ f_,,, ····················~· . .. . ...... l .. . ' ' :,< L_j,, • h] 11 I I Q) KEYNOTES LIGHTING CONTROL IN INDUSTRIAL ROOM SHALL BE 360' HIGH BAY MOTION SENSOR, DIMMING AND SWITCHING PHOTOCELL INTEGRAL/PRE-WIRED SENSOR. SEE SHEET El.O FOR SPECIFlCATION. ROl/lE SWITCHING DEVICES THROUGH EXISTING NLIGHIT 'NGWY2' CONTROL WITH SYSTEM TIMECLOCK SYSTEM PROVIDED UNDER omcE T.I. PHASE. LIGHTING CONTROL IN WAREHOUSE AREA/ROOM SHALL BE 360' HIGH BAY MOTION SENSOR, WITH PHOTOCELL INTEGRAL/PRE-WIRED SENSOR. SEE SHEET El.O FOR SPECIFlCATION. ROl/lE SWITCHING DEVICES THROUGH EXISTING NLIGHIT 'NGWY2' CONTROL WITH SYSTEM TIMECLOCK SYSTEM PROVIDED UNDER omcE T.I. PHASE. GENERAL NOTE 1. OBTAIN AN APPROVAL OF EXACT LOCATION/QUANTITY OF ALL WALL LIGHTING CONTROL DEVICES/SWITCHES WITH ARCHITECT PRIOR TO ROUGH-IN. 2. WAREHOUSE LIGHTING POWER DENSITY IS 0.25W /SQ FT, THEREFORE DEMAND RESPONSIVE CONTROLS NOT REQUIRED. PER 130.1 (e) ;, .. ,; .:0 I 1 (>-: ~ @e--K~sc=~~Ey~N=r~E L_A_N _____ CD---t---t- -·. ··-·-<~' RECORD COPY ltPM Enphwa& 102 DISCOVERY Irvine, Ca. 8281B Teli 849-480-1228 C212J Fax, 949-4150-1484 Contact: Mario Castro e-mail: marioc@rpmpe.com RPM# 16-433 03/21/17 u (!) 0 Z ;;:: g [[ ' -w' • w. Ill z • W ei E ~~ ij ~ a ~ m i ( 0 (!) ~ " ~ ~ II z <I. z. w (( w Z .J. D. i z u 52 Ill ~ ~ w ~ m ~ ~ w ~ ~ • 0 w ~ ~ u • • • 0 u ~ <] <] <] DATE DRAWN t'1i Cl:'. <( z LU <( U) _J ::i 0.. 0 (9 Iz LU 1- 0:: I ~~ <] E2.0