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Home My WebLink About2320 CAMINO VIDA ROBLE; ; CBC2020-0252; PermitBuilding Permit Finaled Commercial Permit Print Date: 12/10/2020 Job Address: 2320 CAMINO VIDA ROBLE, CARLSBAD, CA 92011-1562 {city of Carlsbad Permit No: CBC2020-0252 Status: Closed • Finaled Permit Type: BLDG-Commercial 2130500800 $41,207.86 Work Class: Tenant Improvement Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Track#: Lot#: Project#: Plan#: Bedrooms: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Project Title: Description: CISCO: 886 SF Tl FOR LAB UPGRADES Applicant: SWIFT PERMITS AMY EYRAUD 3129 IMPINK PL JAMUL, CA 91935-3214 (619) 592-0498 FEE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) Property Owner: VIDA I LLC 1006 TENNESSEE ST SAN FRANCISCO, CA 94107 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL FIRE A-2 & A-3 Occupancies· Tl MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $1,332.70 Total Payments To Date: $1,332.70 Applied: Issued: Finaled Close Out: Inspector: Final Inspection: Contractor: HITT CONTRACTING INC 2900 FAIRVIEW PARK DR 07/07/2020 10/22/2020 TKers 12/10/2020 FALLS CHURCH, VA 22042-4513 (703) 846-9000 Balance Due: AMOUNT $354.80 $248.36 $43.00 $628.00 $45.00 $2.00 $11.54 $0.00 Please take NOTICE that approval of your project includes the 11lmposition11 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 subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Building Division Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov {_ City of Carlsbad Job Address 2320 Camino Vida Roble COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check CX:C,WZQ -()2.5 2 Est. Value • Y \, 2.0<p - PC Deposi t --------- Date _1-'----7......_--=2::....;.0=--- Suite: NIA APN: --------------- Tenant Name:C_i_sc_o __________________ CT/Project#: _______ Lot#: ___ _ Occupancy: No change Construction Type:_11_1B ___ Fire Sprinklers: 0 YES O NO Air Conditioning:® YES O NO BRIEF DESCRIPTION OF WORK: Selective demolition, partition infill, limited new parUtions, ADA upgrades-interior and sites , eleclrical modifications, mechanical modifications, limited plumbing modifications, fire/life-safety upgrades D Addition/New: ___________ New SF and Use, ___________ New SF and Use, _____ Deck SF, Patio Cover SF (not including flatwork) 0 Tenant lmproverr:ient:_8_8_6 ____ SF, ·Existing Use A-3/B/H-5 Proposed Use A-3/8/H-5 .. ______ SF, Existing Use _______ Proposed Use ______ _ 0 Pool/Spa: _____ SF 'Additional Gas or Electrical-Features? ___________ _ □ □ Solar: ___ KW, __ Modules, ___ Mounted, Tilt: OYON, RMA: O YON, Panel Upgrade: OY ON Plumbing/Mech~nical/Electrical Only: _________________________ _ D Other: _________________________________ _ APPLICANT (PRIMARY CONTACT) PROPERTY OWNER Name: ~'w$ j, O, t\o\-{()Y) Name: _J_ar_e_d_D_ou_m_a_n_i _______________ _ Address: ~'$ <4oCW\ 5~ Address: _4_Y_a_wI_s_1r_ee_1 ______________ _ City: $"i) State; ~ Zip: ct Z-ll 5 City: _M_a_rin_a_D_e_l R_e_y _____ State:_C_A __ Zip: 90292 Phone: (s., L~ -~ q 4 -S '!5 51 Phone: _(4_1_5)_2_0_3._28_5_8 ______________ _ Email: 'i)-b/•rab @ ~ evm i+s :\I\ W)¼O)I, Email: jared@doumani.net C· C.OWI---------------------- DESIGN PROFESSIONAL Name: Courtney Harms Address: 1750 15th Street, Floor 3 City: Denver State:._c_o __ .Zip: 80202 Phone: (303) 807-4395 Email: c.harms@interiorarchltects.com Architect State license: California 32528, Lisa M. Kelly CONTRACTOR BUSINESS Name: TBD HITT Contracting Address: 3 7 3 3 Motor Avenue City: Los An geles State: CA Zip: -90034 ------- Phone: 310)367-1862 Email: tlaugeni@hitt-gc.co m State License: 8114 7 8 Bus. license: sLosoo1344.02.2020 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, ~lter, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a signed s~atement that he/she ts 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 th~t he/she is exempt therefrom, and the basis for the alleged exemption. Any vi9lation of Section 70s l.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Buildin&@carlsbadca.gov . B-1 Page 1 of2 Rev. 03/20 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury Q[J§. of the following declarations: _ 0 I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit Is issued. ~ I have and will maintain w;rker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My workers' 2f~~§~~ ~~ carrier and policy number are: Insurance company Name: Prope ny and Casual IY Ins Co of Ha rt ford Policy No. _____________ Expiration Date: --'3_/_I_/ 2_0_2_1 _____ _ 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 any manner so as to be come subject to t he workers' compensation laws of California. WARNING: Faffure to secure workers compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvlf fines up to $100,000.00, In addition the to the cost of compensation, damai;es as provided for In Section 3706 of the Labor Code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE: ---~+-+...,.lk::::.....::~---===------~GENT DATE: 10-21 -2020 ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License law for the following reason: DI, 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 safe (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 safe. If, however, the building or Improvement is sold within one year of completion, the owner-bullder will have the burden of proving that he did not bulld or Improve for the purpose of safe). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Codel"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). DI am exempt under Section _______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0YES ONO 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/ address/ phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name/ address/ phone/ type of work): OWNER SIGNATURE: □ AGENT DATE: _____ _ -------------------------- CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction fending agency for the performance of the work this permit is issued (Sec. 3097 (1) Civil Code). lender's Name: ____________________ _ lender's Address: ___________ ~--------- ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 2550S, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? I Yes Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes / No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? No · IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF 'OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. APPLICANT CERTIFICATION: I certify that I have read the application and state that the above Information ls correct and that the information on the plans ls accurate. I agree to comply with all City ordinances and State fav.:s relating to building construction. I hereby authorize representative of the City of Garlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPEN$ES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit Issued hy the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 360 days from the date ofsuc or If the building or workautt,orized by such permit Is suspended or abandoned at anytime after the work is commenced for a period of 180 days (AB2913). APPLICANT SIGNATURE: . / ~ DATE: 10-21-2020 1635 Faraday Av_e Carlsbad, CA 92008 8-1 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of 2 Email: Building@carlsbadca.gov Rev. 03/20 PERMIT INSPECTION HISTORY for (CBC2020-0252) Permit Type: BLDG-Commercial Application Date: 07/07/2020 Owner: VIDA I LLC Work Class: Tenant Improvement Issue Date: 10/22/2020 Subdivision: CARLSBAD TCT#73-49 Status: Closed -Finaled Expiration Date: 05/17/2021 Address: 2320 CAMINO VIDA ROBLE IVR Number: 27294 CARLSBAD, CA 92011-1562 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Relnspection Inspection Date Start Date Thursday, December 10, 2020 Checklist Item BLDG-Building Deficiency BLOG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Pending fire Status Passed Yes Yes Yes Yes Yes Page 3 of 3 PERMIT INSPECTION HISTORY for (CBC2O2O-O252) Permit Type: BLDG-Commercial Application Date: 07/07/2020 Owner: VIDA I LLC Work Class: Tenant Improvement Issue Date: 10/22/2020 Subdivision: CARLSBAD TCT#73-49 Status: Closed -Finaled Expiration Date: 05/17/2021 Address: 2320 CAMINO VIDA ROBLE IVR Number: 27294 CARLSBAD, CA 92011-1562 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Relnspectlon Inspection Date Start Date Status Checklist Item COMMENTS Passed BLOG-Building Deficiency No BLDG-14 No Frame-Steel-Botting-Welding (Decks) BLDG-24 Rough-Topout No BLOG-34 Rough Electrical No BLDG-44 No Rough-Ducts-Dampers 11/18/2020 11/18/2020 BLDG-84 Rough 144070-2020 Partial Pass Tim Kersch Relnspectlon Incomplete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topoul Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers BLDG-85 T-Bar, Celling 143998-2020 Passed Tim Kersch Complete Grids, Overhead Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-14 No Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Eleclrlcal Yes BLDG-44 Yes Rough-Oucts-Oampers 12/08/2020 12/08/2020 BLDG-Final Inspection 145606-2020 Partial Pass Tim Kersch Relnspectlon Incomplete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Pending fire Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLOG-Electrical Final Yes 12/10/2020 12/10/2020 BLDG-Final Inspection 145898-2020 Passed Tim Kersch Complete Thursday, December 10, 2020 Page 2 of 3 Building Permit Inspection History Finaled (city of Carlsbad PERMIT INSPECTION HISTORY for (CBC2020-0252) Permit Type: BLDG-Commercial Application Date: 07/07/2020 Owner: VIDA I LLC Work Class: Tenant Improvement Issue Date: 10/22/2020 Subdivision: CARLSBAD TCT#73-49 Status: Closed -Finaled Expiration Date: 05/17/2021 Address: 2320 CAMINO VIDA ROBLE IVR Number: 27294 CARLSBAD, CA 92011-1562 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 10/26/2020 10/26/2020 BLDG-17 Interior 141854-2020 Passed Tim Kersch Complete Lath/Drywall Checklist Item COMMENTS Passed BLOG-Building Deficiency Several IT rooms. Yes Walls and insulation approved. BLDG-84 Rough 141853-2020 Partlal Pass Tim Kersch Reinspectlon Incomplete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 10/29/2020 10/29/2020 BLOG-17 Interior 142409-2020 Partial Pass Tim Kersch Relnspectlon Incomplete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency I T rooms. Drywall screws. Yes BLDG-44 142408-2020 Partial Pass Tim Kersch Relnspectlon Incomplete Rough/Ducts/Dampers Checklist Item COMMENTS Passed BLOG-Building Deficiency Pre wrap. Yes 11/13/2020 11/13/2020 BLDG-44 143634-2020 Partlal Pass Tim Kersch Reinspectlon Incomplete Rough/Oucts/Oampors Checklist Item COMMENTS Passed BLDG-Building Deficiency Pre wrap. Yes 11/17/2020 11/17/2020 BLDG-85 T-Bar, Colling 143858-2020 Fallod Tim Kersch Relnspectlon Incomplete Grids, Overhead Thursday, December 10, 2020 Page 1 of 3 DATE: 10/19/2020 JURISDICTION: Carlsbad PLAN CHECK#.: CBC2020-0252 ✓• EsG1I A SAfTbui!t Company SET: II PROJECT ADDRESS: 2320 Camino Vida Roble PROJECT NAME: TI CISCO ~ APPLICANT / JURIS. ~ 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 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 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: Permits in Motion ~ EsGil staff did not advise the applicant that the plan check has been completed. D EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Telephone#: 619-994-5557 Date contacted: ,o\ l<..l\ll (by: Gt~ Email: permits@permitsinmotion.com Mail Telephone Fax In Person ~ REMARKS: RTU instillation is being deferred By: Steven Miller EsGil 10/19 Enclosures: 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 .. - DATE: 7/21/2020 JURISDICTION: Carlsbad PLAN CHECK#.: CBC2020-0252 ✓• EsG1I A SAFEbuilt Company SET: I PROJECT ADDRESS: 2320 Camino Vida Roble PROJECT NAME: TI CISCO D APPLICANT D JURIS. 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. ISi The check list transmitted herewith is for your information. The plans are being held at EsGil 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. ISi The applicant's copy of the check list has been sent to: Permits in Motion D EsGil staff did not advise the applicant that the plan check has been completed. D EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Telephone#: 619-994-5557 Date contacted: Mail Telephone 0 REMARKS: By: Steven Miller EsGil (by: ) Email: permits@permitsinmotion.com Fax In Person Enclosures: 7/21 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Ca~sbad CBC2020-0252 7/21/2020 PLAN REVIEW CORRECTION LIST COMMERCIAL PLAN CHECK#.: CBC2020-0252 OCCUPANCY: A3,B,H-5 TYPE OF CONSTRUCTION: IIIB ALLOWABLE FLOOR AREA: SPRINKLERS?: YES REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 7/7/2020 DATE INITIAL PLAN REVIEW COMPLETED: 7/21/2020 FOREWORD (PLEASE READ): JURISDICTION: Carlsbad USE: ACTUAL AREA: 886 sq ft STORIES: 1 HEIGHT: OCCUPANT LOAD: 655 DATE PLANS RECEIVED BY ESGIL CORPORATION: 7/9/2020 PLAN REVIEWER: Steven Miller • This plan review is limited to the technical requirements contained in the California version of the International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review is based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building permit. Code sections cited are based on the 2019 CBC, which adopts the 2018 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 2018 International Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck process, please note on this list (or a copy} where each correction item has been addressed. i.e., plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. • Carlsbad CBC2020-0252 7/21/2020 GENERAL 1. Please make all corrections, as requested in the correction list. Submit FOUR new complete sets of plans for commercial/industrial projects (THREE sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 1. Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-2700. The City will route the plans to EsGil and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring TWO corrected set of plans and calculations/reports to EsGil, 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 only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil is complete. PLANS 2. Page AN-1.0 please update the sheet index as Page E-701 is missing and Two pages M4.1, and P4.1 are not listed. 3. Provide a note on the plans indicating if any hazardous materials will be stored and/or used within the building which exceed the quantities listed in IBC Tables 307.1(1) and 307.1(2). 4. A Group "H" occupancy requires a Technical Report, describing the hazardous materials and including a separate floor plan. Sec. 414.1.3. INTERIOR WALL AND CEILING FINISHES 5. Hangers and assembly members of dropped ceilings below a one-hour ceiling assembly shall be noncombustible materials except in Types Ill and V construction, where fire retardant treated wood may be used. Section 803.15.2.1. 6. Provide a note on the plans or on the finish schedule, stating, "Wall and ceiling materials shall not exceed the flame spread classifications in IBC Table 803.13." MISCELLANEOUS LIFE/SAFETY 7. Please provide notes on the plans to show the suspended ceilings in Seismic Design Categories D, E & F comply with ASCE 7-16 Section 13.5.6.2.2 as follows: a. The width of the perimeter supporting closure angle or channel shall be not less than 2.0 in. unless qualified perimeter supporting clips are used. Carlsbad CBC2020-0252 7/21/2020 b. Closure angles or channels shall be screwed or otherwise positively attached to wall studs or other supporting structures. Perimeter supporting clips shall be qualified in accordance with approved test criteria per Section 13.2.5. c. Perimeter supporting clips shall be attached to supporting closure angle or channel with a minimum of two screws per clip and shall be installed around the entire ceiling perimeter. d. In each orthogonal horizontal direction, one end of the ceiling grid shall be attached to the closure angle, channel, or perimeter supporting clip. The other end of the ceiling gird in each horizontal direction shall have a minimum 0. 75-in clearance from the wall and shall rest upon and be free to slide on a closure angle, channel, or perimeter supporting clip. e. Ceiling areas over 2500 ft.2 must have seismic separation joints or full height partitions. f. Ceilings without rigid bracing must have 2" oversize trim rings for sprinklers and other ceiling penetrations. ENERGY CONSERVATION Alterations and Additions: 8. Alternations shall meet the applicable requirements of Sections 110.0 through 110.9, Sections 120.0 through 120.6, and Section 120.8 through 130.5 in the Energy Standards. Please review Section 141.0(b) for complete design requirements. 9. Prescriptive duct sealing required for altered space conditioning equipment or duct modifications per 141.0(a), exception 3 and 141.0(b)2D. 10. For the altered lighting, please provide the Table 141.0-E control designs. PLUMBING (2019 CALIFORNIA PLUMBING CODE) 11. Provide calculations to show compliance with CPC 422.0 and Table 422.1 "Minimum Plumbing Facilities" using the occupant load CPC Table "A". Please include the occupancy classification and the number of occupants. Note: If additional bathroom fixtures are required, the handicap access requirements must be maintained. 12. Cleanouts are required to be installed above all urinals. Please address on the plans. CPC 707.4 13. All water supply systems that have quick closing valves installed therein (washing machines, flush valve fixtures, etc.) shall have devices installed as close to the fixtures as possible to control the effects of water hammer. Please detail within the plans. CPC 609.1 0 ------------------------ • • • Carlsbad CBC2020-0252 7/21/2020 14. Specify if any natural gas-powered appliances are under this permit. If so, please provide the proper CPC 1215.2 Table, the total developed length, and the load for each appliance. CPC 1215.0 15. Hot water is required for public use washing fixtures such as lavatories. Please provide. CPC 601.2. 16. Describe the method of compliance for temperature limitations for the following fixture types: public use lavatories limited to 110 degrees F per Energy Standards 11 0(c)(3) and bathtubs, bidets, and showers 120 degrees F per CPC 408.3, 409.4. Note: The water heater thermostat may not be used for compliance. 17. Please state in the plans that all domestic (i.e. potable) hot water piping will have a minimum insulation for the following pipe sizes: ½" pipe (½" insulation); ¾" pipe (1" insulation); 1 "-1 ½" pipes (1 ½" insulation); 2" pipes are larger (2" insulation). CPC 609.11 & ES 150.0(j) MECHANICAL (2019 CALIFORNIA MECHANICAL CODE) 18. All mechanical ventilated units are required to have at minimum a MERV-13 filter within the outside air/return air duct. Please address. CMC 401.2 19. Clearly specify within the mechanical plans that a duct leakage test will be conducted that complies with CMC 603.10.1 STRUCTURAL 20. Please verify the weight of the existing RTU are equal or heavier than the New RTU's being installed. If the New RTU's are heavier please provide structural Calculations verifying existing curb and supporting roof framing members are of adequate size for the new units. ADDITIONAL 21. To speed up the review process, please 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. 22. Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes. please briefly describe them and where they are located in the plans. Have changes been made to the plans not resulting from this correction list? Please indicate: □ Yes □ No 23. The jurisdiction has contracted with EsGil, 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 Steven Miller at Esgil. Thank you. • Carlsbad CBC2020-0252 7/21/2020 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Steven Miller PLAN CHECK#.: CBC2020-0252 DATE: 7/21/2020 BUILDING ADDRESS: 2320 Camino Vida Roble BUILDING OCCUPANCY: A-3,B,HS BUILDING I AREA I Valuation Reg. PORTION ( Sq. Ft.) Multipier Mod. Tl 886 64.72 Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code CB By Ordinance -.. -.. 1997 UBC Buildin Permit Fee 9 -•-: 1997 UBC Plan Check Fee • Type ofRevieW: D Repetitive Fee VALUE ($) 57,342 57,342 D Structural Only / • Repeats Complete Review □ Other □ Hourly EaGilFee 1--------41 Hr @ * $283.751 / Comments: Sheet 1 of 1 .& COFFMAN ... ENGINEERS CISCO LUXTERA PROJECT CARLSBAD, CA FIRE PROTECTION / LIFE SAFETY REPORT September 28, 2020 FIRE PROTECTION / LIFE SAFETY REPORT FOR Cisco Luxtera Project Carlsbad, CA PREPARED BY: COFFMAN ENGINEERS, INC. 626 WILSHIRE BOULEVARD, SUITE 1010 LOS ANGELES, CA 90013 CBC2020-0252 >-1--0 2320 CAMINO VIDA ROBLE 626 Wilshire Boulevard, Suite 1010 I Los Angeles, CA 90017 Phone 818.285.2650 CISCO 886 SF Tl FOR LAB UPGRADES 2130500800 10/8/2020 CBC2020-0252 www.coffman.com CISCO LUXTERA PROJECT FIRE PROTECTION / LIFE SAFETY REPORT TABLE OF CONTENTS September 28, 2020 Page 1 1. PROJECT SCOPE .............................................................................................................. 1 1.1 Project Description ..................................................................................................................................... 1 1.2 Applicable Codes ........................................................................................................................................ 1 1.3 Existing Documentation ............................................................................................................................. 1 1.4 Building Overview ..................................................................................................................................... .2 2. USE AND OCCUPANCY CLASSIFICATION AS PERMITTED ........................................... 2 3. HAZARDOUS MATERIAL ANALYSIS ............................................................................... 3 3.1 Hazardous Material Classifications and Description ................................................................................. 3 3.2 Maximum Allowable Quantities of Hazardous Materials .......................................................................... 3 3.3 Control Areas ............................................................................................................................................. 3 3.4 Cisco Luxtera Facility Hazardous Material Ana/ysis ................................................................................... 4 3.5 Additional Storage Requirements .............................................................................................................. 6 4. CONCLUSION .................................................................................................................... 6 APPENDIX A-HAZARDOUS MATERIAL CLASSIFICATION DEFINITIONS APPENDIX B -HAZARDOUS MATERIAL USE DEFINITIONS APPENDIX C -HAZARDOUS MATERIAL INVENTORY SUMMARY 626 Wilshire Boulevard, Suite 1010 I Los Angeles, CA 90017 Phone 818.285.2650 www.coffmen.com CISCO LUXTERA PROJECT FIRE PROTECTION/ LIFE SAFETY REPORT 1. PROJECT SCOPE 1.1 Project Description September 28, 2020 Page A-1 Coffman Engineers, Inc. (Coffman) has been engaged by HITT Contracting (Client) to prepare a Fire Protection / Life Safety Code Analysis Report for the Cisco Luxtera Project (hereafter referred to as the "Facility") located in Carlsbad, California. The intent of this Report is to (1) provide an overview of the hazardous material inventory within the Facility; (2) define the occupancy classification(s) of the Facility; and (3) summarize applicable fire protection and life safety requirements regarding storage and use of hazardous material. It should be noted that this Report is not intended to provide a comprehensive summary of all applicable fire protection and life safety requirements within the Facility. Coffman Engineers, Inc. has reviewed the Hazardous Materials Inventory in a site survey. Information on the type, quantity, and location of hazardous materials identified in this Report has been provided by the Client. The quantities summarized in this Report and in the hazardous material inventory statement (Appendix C) are representative of the average daily amounts expected to be used or stored within the Facility, as reported by the Owner. 1.2 Applicable Codes The applicable codes referenced in this Report include the 2019 California Building Standards as adopted and amended by the City of Carlsbad, effective January 1, 2020. • 2019 California Building Code (CBC) • 2019 California Fire Code (CFC) • National Fire Protection Association (NFPA) Standards, as referenced by the CBC/CFC The original code of construction for the Facility includes the 1979 Uniform Building Standards. It should be noted that any modification to the hazardous material inventory requiring a change in occupancy classification would subject the Facility to the currently adopted 2019 California Building Standards. 1.3 Existing Documentation This Report has been developed using the following documents, drawings, and observation: • Approved As-built drawings of the Facility issued to Coffman on 9/24/2020. • Proposed drawings of the Facility issued to Coffman on 9/24/2020. • Site survey (visual observations) performed by Coffman on September 24, 2020 by Christian Pascual. No testing or destructive inspections were conducted by Coffman. 626 Wilshire Boulevard, Suite 1010 I Los Angeles, CA 90017 Phone 818.285.2650 www.coffman.com CISCO LUXTERA PROJECT FIRE PROTECTION / LIFE SAFETY REPORT September 28, 2020 Page A-2 1.4 Building Overview Coffman understands the Facility is an existing single-story structure that consists of warehouse space, office space, and similar support spaces. According to the architectural as-built drawing sets dated November 1, 1981 (approved 04/20/1982), the building is built of Type 111-N construction and is fully sprinklered. This type of construction is equivalent to Type 11I-B Construction under 2019 CBC as depicted on the proposed design development revision drawing set dated June 03, 2020 (previous revision approved 03/30/2020). General Project Data as provided on the approved as-built and proposed drawings is summarized below: Facility Name: Address: Original Code of Construction: Occupancy Classification: Type of Construction: Number of stories: Approximate Square Footage: Fire Sprinkler System: Cisco Luxtera 2320 Camino Vida Roble Carlsbad, CA 1979 UBC B-2 (Office/Warehouse) 1979 UBC Mixed A-3/B/H-5 (2019 CBC) Type I11-N Construction (1979 UBC) (Type III-B Construction under 2019 CBC) Single Story Total: 42,014 sq. ft. Sprinklered throughout (as shown on drawings) 2. USE AND OCCUPANCY CLASSIFICATION AS PERMITTED In accordance with the approved drawing set dated June 03, 2020 (previous revision approved 03/30/2020), the occupancy classifications of the building include Group B, Group A-3, and Group H-5 occupancies as summarized in the table below. No reference was made to a high- hazard Group H occupancy within the approved as-built drawings. Table 1. Cisco Luxtera Facility -Occupancy Classifications flloclf. . •.·· .... De!ict•-R)li.of, U$e . '., c,-_.:· .. · :· , ·--<·': -. :->> ,:·"::/:'._""::.: Offices and Accessorv Storage rooms Level 1 Conference area Manufacturinn and Storaoe areas 626 Wilshire Boulevard, Suite 1010 I Los Angeles, CA 90017 Phone 818.285.2660 o.,c·· Grouo B Grouo A-3 Grouo H-5 ~catloll www.coffman.com CISCO LUXTERA PROJECT FIRE PROTECTION / LIFE SAFETY REPORT 3. HAZARDOUS MATERIAL ANALYSIS 3.1 Hazardous Material Classifications and Description September 28, 2020 Page A-3 The following definitions are provided in Appendix A and Appendix B of this Report in accordance with the CFC: • Hazardous Material Classification Definitions • Hazardous Material Use Definitions (Open System, Closed System and Storage) The referenced definitions were utilized in performing a review of the Hazardous Material classifications. 3.2 Maximum Allowable Quantities of Hazardous Materials The Maximum Allowable Quantities (MAQs) per control area of hazardous materials specified in CFC Tables 5003.1.1 (1) through 5003.1.1(4) are based on the hazard classification of the specific material and whether the materials are being stored, used in a closed system, or used in an open system. Building areas with hazardous materials in use or in storage that exceed the MAQs specified in CFC Tables 5003.1.1(1) through 5003.1.1(4) must be classified as Group H occupancies and comply with such Group H requirements. Group H occupancy classifications are not required where the quantities of hazardous materials in use or in storage do not exceed the CBC and CFC prescribed MAQ limitations. The aggregate quantity in use and storage shall not exceed the quantity listed for storage to avoid a Group H occupancy classification per Footnote "b" of CFC Tables 5003.1.1 (1) and 5003.1.1(2). It should be noted that the MAQs presented in CFC Tables 5003.1.1(1) and 5003.1.1(2) apply to control areas within a building where the MAQs presented in CFC Tables 5003.1.1 (3) and 5003.1.1(4) apply to outdoor control area. CFC Tables 5003.1.1 (1) and 5003.1.1(2) are equivalent to CBC Tables 307.1(1) and 307.1 (2). 3.3 Control Areas A "Control Area" is defined by Chapter 2 of the CBC as a space within or outside of a building where quantities of hazardous materials not exceeding the MAQs per control area are stored, dispensed, used, or handled. The intent of the control area concept is to provide a method for the handling of hazardous materials without classifying the occupancy as Group H. Control areas are permitted to be classified as any occupancy in accordance with the CBC. Control areas within a building shall comply with CBC 414.2 and outdoor control areas shall comply with CFC 5003.12. Multiple control areas are required to be separated by 1-hour fire-barriers, 2-hour fire-rated floor assembly and 2-hour fire-rated construction supporting the floor assembly per CBC 414.2.4. During Coffman's site visit and from the drawings provided, there was no indication of fire-rated construction defining multiple control areas within the Facility. It is Coffman's assumption that the Facility is not provided with multiple control areas within the building and therefore must be regulated as one single control area. One outdoor control area was observed. 626 Wilshire Boulevard, Suite 1010 I Los Angeles, CA 90017 Phone 818.285.2650 www.coffman.com CISCO LUXTERA PROJECT FIRE PROTECTION / LIFE SAFETY REPORT 3.4 Cisco Luxtera Facility Hazardous Material Analysis September 28, 2020 Page A-4 This section summarizes our findings from the site survey of the Hazardous Materials Inventory. Based on input from the Client, the following assumptions have been made as part of this analysis: • All hazardous materials are limited to Level 1 of the Facility and an outdoor area on the northeast corner of the site. • All hazardous materials within the Facility are being used in an open system except from the waste storage. • The entire Facility must be treated as one single control area based on the existing non- rated construction type of the Facility. • One outdoor control area is provided on the northeast corner of the site. The following tables summarize the quantities of hazardous materials on Level 1 of the Facility as well as the MAQs permitted as specified in CFC Tables 5003.1.1(1) and 5003.1.1 (2). The list of hazardous materials classifications is provided in Appendix C of this Report. The MAQs are permitted to be increased 100% for certain hazardous material classifications in a fully sprinklered building per Footnote D to CFC Tables 5003.1.1(1) and 5003.1.1 (2). Additionally, when hazardous materials are stored in listed storage cabinets, the MAQ's can be increased an additional 100% for certain material classifications per Footnote E to CFC Tables 5003.1.1(1) through 5003.1.1(2). These increases can be applied cumulatively. Only the 100% increase for a fully sprinklered building (Footnote D) was applied to the MAQs in Table 3 below. Approved listed storage cabinets were not observed within the Facility and are assumed not to be used. Flammable and combustible liquids shall comply with the general requirements in CFC 5004, 5005 as well as the requirements of CFC Chapter 57. 620 Wilshire Boulevard, Suite 1010 I Los Angeles, CA 90017 Phone 818.285.2650 www.coffman.com CISCO LUXTERA PROJECT FIRE PROTECTION / LIFE SAFETY REPORT Table 3. MAQs Analysis -Inside (Single Control Area) 1 Hazard TQlal All<>wable 'T<>tal All<>wable T<>tal Quantity Quantity Quantity Quantity Quantity (Open (Open (CIC>sed (Closed (Storage) S stem S stem S stem S stem Flammable Liquids Physical 18 25.39 10.00 Combustible Liquids Physical IIIA 9.00 Physical 1118 11 .75 84.00 Corrosive Health CR 11 .75 84.00 September 28, 2020 Page A-5 Allowable Quantity Units (Storage) gal. gal. gal. t"'! ()()®~ . •· mA&?{! " . .-· :.· ·,¢B_ gal. 1 Table depicts hazardous materials that are proposed to be used or stored. Hazard classifications not listed are non-existent in the control area. 2 Maximum allowable quantities shall be increased 100 percent in buildings equipped throughout with an automatic sprinkler system as permitted by footnote "d" of CFC Table 5003.1.1 (1) and 5003.1.1 (2). The maximum allowable quantities depicted above are based on application of the 100% automatic sprinkler system increase as the Facility is fully sprinklered. 3 Maximum allowable quantities shall be increased 100 percent where stored in approved storage cabinets, gas cabinets or exhausted enclosures as permitted by footnote "e" of CFC Table 5003.1. 1 (1) and Table 5003.1.1 (2). This increase has not been applied in the table above as approved storage cabinets were not observed in the Facility. Table 4. MAQs Analysis -Outside (Outdoor Control Area) 1 Hazard Total Quantity (Open s stem Total Quantity (storage) Allowable Quantity (Storage) Units Physical 1118 25.00 gal. 1 Table depicts hazardous materials that are proposed to be used or stored. Hazard classifications not listed are non-existent in the control area. 2 Class 111-B combustible liquids shall be in accordance with CFC 5004, 5005 and Chapter 5703 and 5704.4 for outdoor control areas. Oil for the compressor (three 5 gallons closed portable tanks) and Sullair AWF compressor fluid (two 5 gallons closed portable tanks) are proposed to be stored in an outside area on the northeast corner of the site. This material is classified as a Class 111-B combustible liquid. Where the storage is adjacent to the building it shall comply with the requirements of CFC Section 5704.4.2. Per CFC 5704.4.6, the storage area shall be kept free from weeds, debris and combustible materials not necessary to the storage. The area surrounding an exterior storage area shall be kept clear of such materials for a minimum distance of 15 feet. Summary of Findings: The cumulative total quantities of hazardous materials do not exceed the MAQs per control area and would not trigger a Group H classification. 626 Wilshire Boulevard, Suite 1010 I Los Angeles, CA 90017 Phone 818.285.2650 www.coffman.com CISCO LUXTERA PROJECT FIRE PROTECTION / LIFE SAFETY REPORT 3.5 Additional Storage Requirements September 28, 2020 Page A-6 Where approved "storage cabinets" are used to increase the MAQs of hazardous materials in storage, they are required to comply with the provisions of CFC 5004.8.7 as summarized below: 1. The interior of cabinets shall be treated, coated or constructed of materials that are nonreactive with the hazardous materials stored. Such treatment, coating or construction shall include the entire interior of the cabinet. 2. Cabinets shall either be UL 1275 listed as suitable for the intended storage or constructed with details listed under CFC 5003.8.7.1 Items 1 and 2. 3. Cabinets shall be clearly identified in an approved manner with red letters on a contrasting background to read: HAZARDOUS-KEEP FIRE AWAY. 4. CONCLUSION This Report has been prepared for the Cisco Luxtera Facility with the following goals: 1. Review the Hazardous Materials Inventory 2. Define the various occupancy classification(s) 3. Summarize the applicable fire protection and life safety code requirements regarding storage and use of hazardous material. This Report can be used as a reference by the Cisco Luxtera team to document and maintain hazardous material quantities within the limits allowed by code as well as to determine where building / system upgrades may be necessary to comply with applicable requirements and ensure an appropriate level of safety is provided for occupants within the Facility. If the project team has questions regarding the content of this document, please contact our Office at 818.285.2650. COFFMAN ENGINEERS, INC. Prepared By: Jan-Ole Hansen Designer, Fire Protection Christian Pascual Engineer, Fire Protection 626 Wilshire Boulevard, Suite 1010 I Los Angeles, CA 90017 Phone 818.285.2650 Reviewed By: Jared J. Birmingham, P.E. Sr. Discipline Manager -FPE www.coffman.com CISCO LUXTERA PROJECT FIRE PROTECTION / LIFE SAFETY REPORT September 28, 2020 Page A-7 APPENDIX A -HAZARDOUS MATERIAL CLASSIFICATION DEFINITIONS 626 Wilshire Boulevard, Suite 1010 ! Los Angeles, CA 90017 Phone 818.285.2650 www.coffman.com CISCO LUXTERA PROJECT FIRE PROTECTION/ LIFE SAFETY REPORT September 28, 2020 Page A-8 Chapter 2 of the 2019 California Fire Code (CFC) provides definitions for a hazard classification. The hazard classification definitions applicable to this project are summarized as follows: 1. Physical Hazard: A chemical for which there is evidence that it is a combustible liquid, cryogenic fluid, explosive, flammable (solid, liquid or gas), organic peroxide (solid or liquid), oxidizer (solid or liquid), oxidizing gas, pyrophoric (solid, liquid or gas), unstable (reactive) material (solid, liquid or gas), or water-reactive material (solid or liquid). 2. Health Hazard: A classification of a chemical for which there is statistically significant evidence that acute or chronic health effects are capable of occurring in exposed persons. The term "health hazard" includes chemicals that are toxic, highly toxic, and corrosive. 3. Highly Toxic: A material which produces a lethal dose or lethal concentration which falls within any of the following categories: a. A chemical that has a median lethal dose (LD50) of 50 milligrams or less per kilogram of body weight when administered orally to albino rats weighing between 200 and 300 grams each. b. A chemical that has a median lethal dose (LD50) of 200 milligrams or less per kilogram of body weight when administered by continuous contact for 24 hours ( or less if death occurs within 24 hours) with the bare skin of albino rabbits weighing between 2 and 3 kilograms each. c. A chemical that has a median lethal concentration (LC50) in air of 200 parts per million by volume or less of gas or vapor, or 2 milligrams per liter or less of mist, fume or dust, when administered by continuous inhalation for one hour ( or less if death occurs within 1 hour) to albino rats weighing between 200 and 300 grams each. 4. Toxic: A chemical falling within any of the following categories: a. A chemical that has a median lethal dose (LD50) of more than 50 milligrams per kilogram, but not more than 500 milligrams per kilogram of body weight when administered orally to albino rats weighing between 200 and 300 grams each. b. A chemical that has a median lethal dose (LD50) of more than 200 milligrams per kilogram but not more than 1,000 milligrams per kilogram of body weight when administered by continuous contact for 24 hours ( or less if death occurs within 24 hours) with the bare skin of albino rabbits weighing between 2 and 3 kilograms each. c. A chemical that has a median lethal concentration (LC50) in air of more than 200 parts per million but not more than 2,000 parts per million by volume of gas or vapor, or more than 2 milligrams per liter but not more than 20 milligrams per liter of mist, fume or dust, when administered by continuous inhalation for 1 hour (or less if death occurs within 1 hour) to albino rats weighing between 200 and 300 grams each. 626 Wilshire Boulevard, Suite 1010 l Los Angeles, CA 90017 Phone 818.285.2650 www.coffman.com CISCO LUXTERA PROJECT FIRE PROTECTION / LIFE SAFETY REPORT September 28, 2020 Page A-9 5. Flammable Solid: A solid, other than a blasting agent or explosive, that is capable of causing fire through friction, absorption of moisture, spontaneous chemical change or retained heat from manufacturing or processing, or which has an ignition temperature below 212°F (100°C) or which burns so vigorously and persistently when ignited as to create a serious hazard. A chemical shall be considered a flammable solid as determined in accordance with the test method of CPSC 16 CFR Part 1500.44, if it ignites and burns with a self-sustained flame at a rate greater than 0.0866 inch per second along its major axis. 6. Flammable Liquid: A liquid having a closed cup flash point below 100°F (38°C). Flammable liquids are further categorized into a group known as Class I liquids. The Class I category is subdivided as follows. a. Class IA. Liquids having a flash point below 73°F (23°C) and having a boiling point below 100°F (38°C). b. Class 1B. Liquids having a flash point below 73°F (23"C) and having a boiling point at or above 100°F (38°C). c. Class IC. Liquids having a flash point at or above 73°F (23°C) and below 100°F (38°C). 7. Combustible Liquid: A liquid having a closed cup flash point at or above 100"F (38°C). Combustible liquids shall be subdivided as follows. a. Class II. Liquids having a closed cup flash point at or above 1 OO"F (38°C) and below 140°F (60°c). b. Class IIIA. Liquids having a closed cup flash point at or above 140"F (60"C) and below 200°F (93 °c). c. Class 111B. Liquids having closed cup flash points at or above 200°F (93°C). 8. Combustible Dust: Finely divided solid material which is 420 microns or less in diameter and which, when dispersed in air in the proper proportions, could be ignited by a flame, spark or other source of ignition. Combustible dust will pass through a U.S. No. 40 standard sieve. 9. Corrosive: A chemical that causes visible destruction of, or irreversible alterations in living tissue by chemical action at the point of contact. A chemical shall be considered corrosive if, when tested on the intact skin of albino rabbits by the method described in DOTN 49 CFR 173.137, such chemical destroys or changes irreversibly the structure of the tissue at the point of contact following an exposure period of 4 hours. This term does not refer to action on inanimate surfaces. 626 Wilshire Boulevard, Suite 1010 I Los Angeles, CA 90017 Phone 818.285.2650 www.coffman.com CISCO LUXTERA PROJECT FIRE PROTECTION / LIFE SAFETY REPORT September 28, 2020 Page A-10 10. Oxidizer: A material that readily yields oxygen or other oxidizing gas, or that readily reacts to promote or initiate combustion of combustible materials and, if heated or contaminated, can result in vigorous self-sustained decomposition. a. Class 4. An oxidizer that can undergo an explosive reaction due to contamination or exposure to thermal or physical shock and that causes a severe increase in the burning rate of combustible materials with which it comes into contact. Additionally, the oxidizer causes a severe increase in the burning rate and can cause spontaneous ignition of combustibles. b. Class 3. An oxidizer that causes a severe increase in the burning rate of combustible materials with which it comes in contact. c. Class 2. An oxidizer that will cause a moderate increase in the burning rate of combustible materials with which it comes in contact. d. Class 1. An oxidizer that does not moderately increase the burning rate of combustible materials. 626 Wilshire Boulevard, Suite 1010 l Los Angeles, CA 90017 Phone 818.285.2650 www.coffman.com CISCO LUXTERA PROJECT FIRE PROTECTION I LIFE SAFETY REPORT September 28, 2020 Page B-1 APPENDIX B-HAZARDOUS MATERIAL USE DEFINITIONS 626 Wilshire Boulevard, Suite 1010 I Los Angeles, CA 90017 Phone 818.285.2650 www.coffman.com CISCO LUXTERA PROJECT FIRE PROTECTION/ LIFE SAFETY REPORT September 28, 2020 Page B-2 Chapter 2 of the 2019 California Fire Code (CFC) provides definitions for hazardous materials used in an open system, closed system, and storage as specified in CFC Table 5003.1.1(1) through Table 5003.1.1 (4) for maximum allowable quantities (MAQs) of hazardous materials. 1. Open System: The use of a solid or liquid hazardous material involving a vessel or system that is continuously open to the atmosphere during normal operations and where vapors are liberated, or the product is exposed to the atmosphere during normal operations. Examples of open systems for solids and liquids include dispensing from or into open beakers or containers, dip tank and plating tank operations. 2. Closed System: The use of a solid or liquid hazardous material involving a closed vessel or system that remains closed during normal operations where vapors emitted by the product are not liberated outside of the vessel or system and the product is not exposed to the atmosphere during normal operations; and all uses of compressed gases. Examples of closed systems for solids and liquids include product conveyed through a piping system into a closed vessel, system or piece of equipment. 3. Storage: The keeping, retention or leaving of hazardous materials in closed containers, tanks, cylinders, or similar vessels; or vessels supplying operations through closed connections to the vessel. 626 Wilshire Boulevard, Suite 1010 I Los Angeles, CA 90017 Phone 818.285.2650 www.coffman.cam CISCO LUXTERA PROJECT FIRE PROTECTION/ LIFE SAFETY REPORT September 28, 2020 Page D-1 APPENDIX C -HAZARDOUS MATERIAL INVENTORY SUMMARY 626 Wilshire Boulevard, Suite 1010 I Los Angeles, CA 90017 Phone 818.285.2650 www.coffman.com Hazardous M aterial Inventory-Inside ... -. . C .,'!.'" ' ..•. R ::y *®" 4> i4f11oom '%w ·f' _,. ':iw' tiij1, =1'-$ff }f$i, r#t/2,i . ¥l.....(~•0' fls; bian&•u.Y, Quantify"' Ute'l ' ~-,,70 i¾L. ¼~ill tt~~~ T~t-:!r ,~ ™ ~~¥: :1jf\t ~t... {!,,, ~s.o,:! T~Quantltym -tits "Number . ,t Room~ ,' ~ .• Compolle!ltl & Conat\1t1atlon ; aa. ~St. open,-.. . CloledSVStem No. ti/« Siu of c.ont.-Ill~ --.,. . ~ syltem systam ,~ /, -~ ,'Yr -=~ N ~ r~%., 4 .+ ~ i iv · ii L 71 J' -i;=,w:; ;:;w:·:1;;·+-fp; ~=w~i 0-j. ''" -+~ •1%1, Wi <~ J{: 'ii!¥ " -%'"' ~-;~ "". q 't .: ·i:{1 Oipropylene glycol monomethyl ether (5%), 34590-94-8 DOWSIL DS-1000 Aqueous Silicone Alcohols. C6-12, ethoxylated (3.1%), 68439-45-2 Pack-Out/ Test Propylene glycol monomethyl ether {2.8%), IIIB, CR Liquid 1.00 0.00 O.DO 25 L 6.61 0.00 O.D0 gal. Cleaner Quaternary ammonium compounds, benzyl-C12-l6-107-98-2 alkyldimethyl, chlorides (1.3%) 68424-85-1 Dipropylene glycol monomethyl ether (5%), 34590-94-8 OOWSIL DS-1000 Aqueous Silicone Alcohols, C6-12, ethoxylated (3.1%), 68439-45-2 Padc-Out / Test Propylene glycol monomethyl ether (2.8%), IIIB, CR Liquid 1.00 0.00 0.00 16oz 0.13 0.00 0.00 gal. Cleaner Quaternary ammonium compounds, benzyl-Cl2•16-107-98-2 alkyldimethyl, chlorides (1.3%) 68424-85-1 Dipropylene glycol monomethyl ether (5%), 34590-94-8 DOWSIL DS-1000 Aqueous Silicone Alcohols, C6-12, ethoxylated (3.1%), 68439-45-2 Pack-Out/ Test Propylene glycol monomethyl ether (2.8%), IIIB, CR Liquid LOO 0.00 0.00 SOOmL 1.33 0.00 O.DO gal. Cleaner Quaternary ammonium compounds, benzyl-Cl2-16-107-98-2 alkyldimethyl, chlorides (1.3%) 68424-85-l Dipropylene glycol monomethyl ether (5%), 34590-94-8 OOWSIL DS-1000 Aqueous Silicone Alcohols, C6-12, ethoxylated (3.1%), 68439-45-2 Pack-Out / Test Propylene glycol monomethyl ether (2.8%), 1118, CR Liquid 1.00 0.00 0.00 1 gal 1.00 0.00 0.00 gal. Cleaner Quaternary ammonium compounds, benzyl-Cl2-16-107-98-2 alkyldimethyl, chlorides (1.3%) 68424-85-1 '':" ; .,,., ' Pack-Out/ Test Swan 99% lsopropyl Alcohol lsopropyl Alcohol {99%) 18, IR 67-63-0 Liquid 12.00 0.00 0.00 1 gal 12.00 0.00 0.00 gal. Pack-Out / Test Swan 99% lsopropyl Alcohol lsopropyl Alcohol {99%) 18, IR 67-63-0 Liquid 2.00 0.00 1.00 S gal 10.00 0.00 5.00 gal. 1027 {E) LAB Swan 99% lsopropyl Alcohol lsopropyl Alcohol {99%) l B, IA 67-63-0 Liquid 1.00 0.00 0.00 16oz 0.13 0.00 0.00 gal. 1045 (E) DEVELOPMENT LAB Swan 99% lsopropyl Alcohol lsopropyl Alcohol (99%) 18, IR 67-63-0 Liquid 1.00 0.00 0.00 16oz 0.13 0.00 O.D0 gal. 1042 {E) DVT LAB Swan 99% lsopropyl Alcohol lsopropyl Alcohol (99%) lB, IR 67-63-0 Liquid 1.00 0.00 0.00 16oz 0.13 0.00 0.DO gal. ' " : ' ... ~ .. i ' .. ' '• i 1045 {E) DEVELOPMENT LAB Acetone Acetone lB, IR 67-64-1 Liquid 1.00 0.00 0.00 1 gal 1.00 0.00 0.00 gal. 1027 (E) LAB Acetone Acetone 18, IR 67-64-1 Liquid 1.00 0.00 0.00 1 gal 1.00 0.00 0.00 gal. Pack-Out/ Test Acetone Acetone 18, IR 67-64-1 Liquid 1.00 0.00 0.00 1 gal 1.00 0.00 0.00 gal. Pack-Out/ Test Acetone Acetone lB, IR 67-64-1 Liquid 0.00 0.00 1.00 Sgal 0.00 0.00 S.00 gal. '; •· .j,_i ~ ~ ' ' Hazardous Material Inventory -Inside I Epoxy (Dow Corning X3-6211) and I Hydroxy-2-methyl-l-phenylpropa n-1-one (1.4%), 7473-98·5 I I I I I Pack-Out/ Test Ethyl 2-cyanoacrylate (80-90%) 11I8,CR 7085-85-0 Liquid 0.00 0.00 1.00 44 gal I 0.00 I 0.00 I 44.00 I gal. Loctite (Super Glue) Methyl methacrylate polymer 110-20%) 9011-14-7 I Epoxy (Dow Corning X3-6211) and I Hydroxy-2-methyl-l-phenylpropan-l•one (1.4%), 7473-98-5 I I I I Pack-Out/ Test Ethyl 2-cyanoacrylate (80-90%) 111B, CR 7085-85-0 Liquid 0.00 0.00 2.00 I 20 gal I 0.00 I 0.00 I 40.00 I gal. Loctite (Super Glue) Methyl methacrylate polymer (10-20%) 9011-14-7 I Epoxy (Dow Corning X3-6211) and I Hydroxy-2-methyl-l-phenylpropan-l-one (1.4%), 7473-98-5 I I I I I 1060 I (E) STORAGE Ethyl 2-cyanoacrylate (80-90%) 11IB, CR 7085-85-0 Liquid 955.00 0.00 0.00 5 cc I 1.34 I 0.00 I 0.00 I gal. Loctite (Super Glue) Methyl methacrylate polymer (10-20%) 9011-14-7 I Epoxy (Dow Corning X3-6211) and I Hydroxy-2-methyl-1-phenylpropan-l-one (1.4%), 7473-98-5 I I 1068 I (E) CLEAN ROOM Ethyl 2-cyanoacrylate (80-90%) 1118, CR 7085-85-0 Liquid Loctite (Super Glue) Methyl methacrylate polymer (10-20%) 9011-14-7 955.00 I 0.00 0.00 I 5 cc I 1.34 I 0.00 I 0.00 I gal. 1077 (E) STORAGE Virex Tb Diethylene glycol butyl ether (10%) IIIA, IR 112-34-5 Liquid 32.00 0.00 0.00 32 oz 8.00 0.00 0.00 gal. 1077 (E) STORAGE Virex Tb Diethylene glycol butyl ether (10%) IIIA, IR 112-34-5 Liquid 1.00 0.00 0.00 1 gal 1.00 0.00 0.00 gal. Outside storage shed Oil for compressor Outside storage shed Sullair AWF compressor fluid Mineral Oil Highly Refined Base Stock Oil, Methacrylate Copolymer, Zinc Alkyl Dithiophosphate 1118 1118 Hazardous Material Inventory -Outside 8042-47 72623-83-7 64742-58·1 68649-42-3 Liquid o.oo Liquid 0.00 5 gal 0.00 0.00 15.00 gal. Sgal 0.00 10.00 gal. Physical Hazards Abb. Health Hazards Abb. Combustile Fiber Corrosives CR Combustible Liquid Class 2 II Highly Toxics HTX Combustible Liquid Class 3A IIIA Toxics TX Combustible Liquid Class 3B 11IB Irritants IR Cryogenic Other Hlth Hazards 0HH Explosives Sensitizers sensitizer Flammable Gas (gaseous) FG Carcinogen carcinogen Flammable Gas (liquidified) FGL Flammable Liquid Class lA lA Flammable Liquid Class 1B 1B Flammable Liquid Class lC lC Flammable Solid FS Organic Peroxide 1 0PI Organic Peroxide 2 0PII Organic Peroxide 3 0PIII Organic Peroxide 4 0PIV Organic Peroxide 5 0PV Organic Peroxide, unclassified Oxidizer 1 01 Oxidizer 2 02 Oxidizer 3 03 Oxidizer 4 04 Oxidizer• Gas oxidizer gas Pyrophoric Unstable (reactive) 1 URl Unstable (reactive) 2 UR2 Unstable (reactive) 3 UR3 Unstable (reactive) 4 UR4 Water Reactive 1 WRl Water Reactive 2 WR2 Water Reactive 3 WR3 Radioactive RAD ACORD9 CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YYYY) ~ 3/1/2021 2/28/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE .CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) m ust have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Lockton Companies CONTACT NAME: 180 I K Street NW, Suite 200 f.~9N.\a ~--•· l r..e~ Nol; Washington DC 20006 ~~,_AJ~ss: (202) 414-2400 INSURER($) AFFORDING COVERAGE NAIC# INSURER A : H artford Fire Insurance Comoanv 19682 INSURED HJTI Contracting, Inc., INsuRER B: A CE Prooertv & Casualtv insurance Co 20699 1377679 2900 Fairview Park Drive INSURER c : Prooertv and Casualtv Ins Co of Hartford 34690 Falls Church VA 22042 INSURER D: American Guarantee and Liab. lns. Co. 26247 INSURER E: The O hio Casualty Insurance Company 24074 INSURER F: COVERAGES HlTC002 CERTIFICATE NUMBER· 15349950 REVISION NUMBER-xxxxxxx THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I~.~!': SUBR l~~)-clg~, POLICY EXP LTR TYPE OF INSURANCE ····-POLICY NUMBER IMM/DDivWvl LIMITS A X COMMERCIAL GENERAL LIABILITY N N 42CSEQU229 l 3/1/2020 3/1/2021 EACH OCCURRENCE s 2 000 000 ~ CLAIMS-MADE [x] OCCUR PREMISE~ YE;~~ence1 $ I 000 000 MED EXP (Any one person) $ 10 000 -PERSONAL & ADV INJURY $ 2 000 000 - GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4 000 000 ~ POLICY [i] ~~T [x] LOC PRODUCTS -COMP/OP AGG s 4 000 000 OTHER: $ A AUTOMOBILE LIABILITY N N 42CSEQU2292 3/1/2020 3/1/2021 fE~~~~;~?NGLE LIMIT $ I 000.000 - X ANY AUTO BODILY INJURY (Per person) s xxxx:xxx OWNED X SCHEDULED ~ AUTOS ONLY AUTOS BODIL y INJURY (Per accident) sxxxxxxx HIRED X NON-OWNED ;t.,?~zc~le':-t~AMAGE s xxxxxxx -AUTOS ONLY f-AUTOS ONLY s xxxxxxx B UMBRELLA LIAB ~ OCCUR N N 046608070 004 3/1/2020 3/1/2021 EACH OCCURRENCE s 10 000 000 -EXCESS LIAB CLAIMS-MADE AGGREGATE s 10 000 000 OED I I RETENTION s $ xxxxxxx WORKERS COMPENSATION N XI ;ffTUTE I I OTH- C 42WNQU2290 3/1/2020 3/1/2021 ER AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ~ N /A E.L. EACH ACCIDENT $ l 000 000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE -EA EMPLOYEE S l 000 000 ~~it~rtri~ t1bPERATIONS below E.L. DISEASE -POLICY LIMIT $ l 000 000 D Excess Liability N N AEC 5181582-00 3/1/2020 3/1/2021 $ISM x $I0M E Excess Liabi 1 ity EC0(21 )60820958 3/1/2020 3/1/2021 $25M x $25M DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additlonal Remarks Schedule, may be attached If more space Is required) The cn1i1ies indicated arc included as Additional Insured with respects to the General, Automobile and Umbrella policies. Waiver of Subrogation applies to the General Liability, Automobile, Umbrella and Workers Compensation policies. where pennitted by Statute and coverage is Primary and Non-Contributory on General Liability. 30 Day Notice of Cancellation applies to the General Liability, Automobile Liability and Workers Compensation policies. Umbrella policy follows fonn over general liability. au10. and employcr·s liability. See fonns attached for specific tenns. Addi Insured: CERTIFICATE HOLDER 15349950 Evidence of Insurance CANCELLATION See Attachment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPR~ VE].~ ,J I rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE Business Contact JIM BROW OFFICE USE ONLY RECORD ID# ________________ _ PLAN CHECK# ________________ _ Telephone# 817-233-7798 (Cell) BP DATE Project Address (include suite) 2320 Camino Vida Roble City Carlsbad State CA Zip Code APN# Mailing Address (include suite) 2320 Camino Vida Roble City Carlsbad State Zip Code Plan File# Project Contact Tasia Kallies Applicant E-mail Tl(a~tlonwde.oom Telephone# 310-270-0430 The following questions represent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT -HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: (not required for projects within the City of San Diego}: Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are circled, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: Facility's Square Footage (including proposed project): 1. 2. 3. 4. 5. 6. 7. 8. 13. Corrosives 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards 3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These. 4. Flammable Solids 8. Unstable Reactives 12. Radioactives an Diego, CA 92123. Expected Date of Occupancy: (for new construction or remodeling projects) Is your business listed on the reverse side of this form? (check all that apply). Will your business dispose of Hazardous Substances or Medical Waste in any amount? Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? Will your business store or handle carcinogens/reproductive toxins in any quantity? Will your business use an existing or install an underground storage tank? Will your business store or handle Regulated Substances (CalARP)? Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). 0 CalARP Exempt I Date Initials 0 CaiARP Required I Date Initials 0 CalARP Complete I Date Initials PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT IAPCD}: The following questions are intended to identify the majority of air pollution issues at the planning stage. Your project may require additional measures not identified by these questions. Some residential projects may be exempt from APCD requirements. If yes is answered for either questions 1, 2 or 5 or for more comprehensive requirements, please contact APCD at apcdcomp@sdcounty.ca.gov; (858) 586-2650; or 10124 Old Grove Road, San Diego, CA 92131. 1. 2. 3. 4. 5. 6. YES NO § ~ □ □ □ IE) □ □ Will the project disturb 100 square feet or more of existing building materials? Will any load supporting structural members be removed? (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by an individual that has passed an EPA-approved building inspector course? (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Based on the survey results, will the project disturb any asbestos containing material? If yes, a notification may be required at least 10 working days prior to commencing asbestos removal. Additionally, a notification may be required prior to the removal of a load supporting structural member(s) regardless of the presence of asbestos. Will the project or associated construction equipment emit air contaminants? See the reverse side of this form for typical equipment requiring an APCD permit. If yes, contact APCD prior to the issuance of a building permit. (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school bounda ? Briefly describe business activities: Briefly describe proposed project: General Office Interior remodel of office space I declare under penalty of perjury that to the best of my knowledge and belief t e resp . et, Jn e herein are true and correct. TASIA KALLIE$ /<.._ 10 /21 /20 Date FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: _______________________________ _ BY· DATE· I I EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMO• APCD COUNTY-HMO APCD COUNTY-HMO APCD *A stamp 1n this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other perm1tt1ng requirements may still apply HM-9171 (9/18) County of San Diego -DEH -Hazardous Materials Division ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY 6200 Avenlda Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@enclnajpa.com Date: 10/21/2020 Business Name: CISCO ------------------- Street Address: 2320 Camino Vida Roble Email Address: jibrow@cisco.com PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) I V I Check all below that are present at your facility: o Acid Cleaning o Assembly o Automotive Repair o Battery Manufacturing o Biofuel Manufacturing o Biotech Laboratory o Bulk Chemical Storage o CarWash o Chemical Manufacturing o Chemical Purification o Dental Offices • Dental Schools • Dental Clinics o Dry Cleaning o Electrical Component Manufacturing o Fertlllzer Manufacturing o Fllm/X-ray Processing o Food Processing o Glass Manufacturing o Industrial Laundry o Ink Manufacturing o Laboratory o Machining/Milling o Membrane manufacturing (i.e. water filter membranes) o Metal Casting/Forming o Metal Fabrication o Metal Finishing • Electroplating • Electroless Plating • Anodizing • Coating (i.e. phosphating) • Chemical Etching/Milling • Printed Circuit Board Manufacturing o Metal Powders Forming o Nutritional Supplement/Vitamin Manufacturing o Painting/Finishing o Paint Manufacturing o Personal Care Products Manufacturing o Pesticide Manufacturing/ Packaging o Pharmaceutical Manufacturing (Including precursors) o Porcelain Enameling o Power Generation o Print Shop o Research and Development o Rubber Manufacturing o Semiconductor Manufacturing o Soap/Detergent Manufacturing o Waste Treatment/Storage New Business? Yes0No~ SIC Code(s) if known: ______ Date operation began/will begin: ______ _ Tenant Improvement? Ves~NoO If yes, briefly describe improvement:. _________________ _ Description of operations generating wastewater (discharged to sewer, hauled or evaporated): __________ _ General Office Estimated volume of Industrial wastewater to be discharged (gal/ day): _N_A ________________ _ List hazardous wastes generated (typeivolume):.....:;N.:cA'--'------------------------- Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? VesD Date: ____ No0 Page 1 of2 ENCINA WASTEWATER AUTHORITY INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY 6200 Avenlda Encinas, Carlsbad, CA 92011 Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com The commercial enterprises listed below are a partial listing of businesses that are exempt from industrial wastewater discharge permitting under normal operating conditions. They are exempt because (a) they discharge no process wastewater (i.e., they only discharge sanitary wastewater with no pollutants exceeding any local limits), and (b) they have no potential to negatively impact the EWPCF or other wastewater treatment plants In the ESS. Any questions regarding exemptions should be referred to EWA Source Control staff. o Automobile Detallers o Hotels/Motels (no laundry) o Barber/Beauty Shops o Laundromats o Business/Sales Offices o Libraries o Cleaning Services o Medical Offices (no x-ray developing) o Carpet/Upholstery o Mortuaries o Childcare Facilities o Museums o Churches o Nail Salons o Community Centers o Nursing Homes o Consulting Services o Office Buildings (no process flow) o Contractors o Optical Services o Counseling Services o Pest Control Services (no pesticide repackaging for sale) o Educational Services (no auto repair/film developing) o Pet Boarding/Grooming Facilities o Financial Institutions/Services o Postal Services (no car wash/auto repair) o Fitness Centers o Public Storage Facilities o Gas Stations (no car wash/auto repair) o Restaurants/Bars o Grocery Stores (no film developing) · o Retail/Wholesale Stores (no auto repair/film developing) o Residential based Businesses o Theaters (Movie/Live) CERTIFICATION STATEMENT I certify that the information above is true and correct to the best of my knowledge. Signature: __ /4 __ K~~.l..J~-~===::::::_:: __ Print Name: Tasia Kallies DATE: 10-21-2020 Facility Contact:_J_I_M_B_R_O_W _____ _ Title: Sr. Project Manager ENCINA WASTEWATER AUTHORITY 6200 AVENI DA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com Page2 of2 Ccityof Carlsbad PURPOSE CLIMATE ACTION PLAN CONSISTENCY CHECKLIST B-50 Development Services Building Division 1635 Faraday Avenue (760) 602-2719 www.carlsbadca.gov This checklist is intended to assist building permit applicants identify which Climate Action Plan (CAP) ordinance requirements apply to their projects. The completed checklist must be included in the building permit application. It may be necessary to supplement the completed checklist with supporting materials, calculations or certifications, to demonstrate full compliance with CAP ordinance requirements. For example, projects that propose or require a performance approach to comply with energy-related measures will need to attach to this checklist separate calculations and documentation as specified by the ordinances. NOTE: The following type of permits are not required to fill out this form ❖ Patio I ❖ Decks I ❖ PME (w/o panel upgrade) I ❖ Pool ..,,. If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required by ordinance, an explanation must be provided to the satisfaction of the Building Official. ..,,. Details on CAP ordinance requirements are available on the city's website . ..,,. A CAP Building Plan template (form B-55) shall be added to the title page all building plans. This template shall be completed to demonstrate project compliance with the CAP ordinances. Refer to the building application webpage and download the latest form. ~ ...w--s --..__..__, . ·-.. ~ -· • .,.___ • ...-+•r , •-~ •t1-~~'\a. _,.._ .,-__ -• I • • •. •.• ... ~lo-I!_. •• •• -1 t -"'; ": ·-• f • ~" I 4 I • • • • - Project Name/Building Permit No.: __,,_u..e:,·~ ...... .o....o..D.,L__ _______ BP No.: Cit:C.ZO 20-a2.s:s 2- Property Address/APN: 2320 Camino Vida Roble, Carlsbad, CA 92011 Applicant Name/Co.: Applicant Address: Contact Phone: Contact Email: Contact information of person completing this checklist (if different than above): Name: Courtney Harms Contact Phone: I (303) 807-4395 Company name/address: IA Interior Architects Contact Email: c. harms@interiorarchitects.com Applicant Signature: _______________ Date ~ "119 i;g~ 1750, 15th St. Fl. 3, Denver, CO 80202 B-50 Page 1 of 6 Revised 08/19 City of Carlsbad Climate Action Plan Consistency Checklist Use the table below to determine which sections of the Ordinance Compliance checklist are applicable to your project. For alterations and additions to existing buildings, attach Building Permit Valuation worksheet. Building Permit Valuation (BPV) from worksheet: $ L\ \ l 2 D $ I Conltructlon Type I Complete Section(•) I Notel: I D Residential Low-rise High-rise □ New construction 2A, 3A, 1B, 2B, 4A 3B,4A □ Additions and alterations: □ BPV < $60,000 N/A N/A □ BPV ~ $60,000 1A, 4A 4A □ Electrical service panel upgrade only □ BPV ~ $200,000 1A, 4A* 1B, 4A* ~ Nonresidential □ New construction 1 B, 2B, 3B, 4B and 5 0 Alterations: 0 BPV ~ $200,000 or additions ~ 1,000 square feet □ BPV ~ $1,000,000 1 B, 2B, 5 □ ~ 2,000 sq. ft. new roof addition 2B, 5 Checklist lt8m A high-rise residential building is 4 or more stories including a ' mixed-use building in which at least 20% of its conditioned floor area is residential use All residential additions and alterations 1-2 family dwellings and townhouses with attached garages only *Multi-family dwellings only where interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed Building alterations of~ 75% existing gross floor area 1 B also applies if BPV ~ $200,000 Check the appropriate boxes, explan all not applicable and exception Items, and provide supporting calculalions llld documentallon as necessay. 1. Energy Efficiency Please refer to Carlsbad Municipal Code (CMC) sections 18.21.155 and 18.30.190, and the California Green Building Standards Code (CALGreen) for more information when completing this section. A D Residential addition or alteration~ $60,000 building permit valuation. See CMC section 18.30.190. □ N/A _________ _ □ Exception: Home energy score~ 7 (attach certification) Year Built Single-family Requirements Multi-family Requirements D Before 1978 Select one: D Duct sealing □ Attic insulation □Cool roof D Attic insulation □ 1978 and later Select one: □ Lighting package D Water heating Package □ Between 1978 and 1991 Select one: □ Duct sealini:i D Attic insulation □Cool roof D 1992 and later Select one: □ Lighting package □ Water heating package B. 0 Nonresidential* new construction or alterations~ $200,000 building permit valuation, or additions ~ 1,000 square feet □ N/A Updated 8/15/2019 2 City ot Carlsbad Climate Action Plan Consistency Checklist See CMC 18.21.155 and CALGreen Appendix AS, Division AS.2-Energy Efficiency. A5.203.1.1 Choose one: □ .1 Outdoor lighting □ .2 Warehouse dock seal doors □ .3 Restaurant service water heating (comply with California Energy Code section 140.5, as amended) 0 N/A _________ _ □ .4 Daylight design PAFs □ .5 Exhaust air heat recovery A5.203.1.2.1 Choose one as applicable: □ .95 Energy budget □ .90 Energy budget 0 N/A A5.211.1'"' □ On-sije renewable energy 0 N/A A5.211.3** □ Green power (if offered by local utilfy provider, 50% minimum renewable sources) 0 NIA A5.212.1 □ Elevators and escalators 0 NIA A5.213.1 □ Steel framing 0 NIA * Includes hotels/motels and high-rise residential buildings ** For alterations~ $1 ,000,000 BPV and affecting > 75% existing gross floor area, or alterations that add 2,000 square feet of new roof addition: comply wijh CMC 18.30.130 instead. 2. Photovoltaic Systems A. D Residential new construction (for low-rise residential building permit applications submitted after 1/1/20). Refer to 2019 California Energy Code section 150.1 ( c)14 for requirements. Notes: 1) High-rise residential buildings are subject to nonresidential photovoltaic requirement (2B below) instead. 2) If project includes installation of an electric heat pump water heater pursuant to CMC 18.30.150(B) (high-rise residential) or 18.30.170(8) (low-rise residential), increase system size by .3kWdc if PV offset option is selected. Floor Plan ID (use additional CFA #d.u. Calculated kWdc* sheets if necessary) Total System Size: kWdc = (CFAx.572) / 1,000 + (1.15 x #d.u.) *Formula calculation where CFA = conditional floor area, #du = number of dwellings per plan type If proposed system size is less than calculated size, please explain. Exception □ □ □ □ kWdc B. D Nonresidential new construction or alterations .?$1,000,000 BPV and affecting .?75% existing floor area, or addition that increases roof area by i?2,000 square feet Please refer to CMC section 18.30.130 when completing this section. Note: This section also applies to high-rise residential and hotel/motel buildings. Choose one of the following methods: □ Gross Floor Area (GFA) Method GFA: □If < 10,000s.f. Enter: 5 kWdc Min. System Size: □If ~ 1 0,000s.f. calculate: 15 kWdc x (GFA/10,000) ** __ kWdc **Round building size factor to nearest tenth, and round system size to nearest whole number. □ Time-Dependent Valuation Method Updated 8/15/2019 3 City of Carlsbad Climate Action Plan Consistency Checklist Annual TDV Energy use:*** ______ x .80= Min. system size: _____ kWdc ***Attach calculation documentation using modeling software approved by the California Energy Commission. 3. Water Heating A D Residential and hotel/motel new construction Please refer to CMC sections 18.30.150 and 18.30.170 when completing this section. □For systems serving individual dwelling units choose one: D Heat pump water heater AND Compact hot water distribution AND Drain water heat recovery (low-rise residential only) D Heat pump water heater AND PV system .3 kWdc larger than required in CMC section 18.30.130 (high rise residential hotel/motel) or CA Energy Code section 150.1(c) 14 (low-rise residential) D Heat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higher D Solar water heating system that is either .60 solar savings fraction or 40 s.f. solar collectors 0 Exception: D For systems serving multiple dwelling units, install a central water-heating system with all of the following: D Gas or propane water heating system D Recirculation system per CMC 18.30.150(8) (high-rise residential, hotel/motel) or CMC 18.30.170(8) (low- rise residential) D Solar water heating system that is either: D .20 solar savings fraction D .15 solar savings fraction, plus drain water heat recovery 0 Exception: B. D Nonresidential new construction Please refer to Carlsbad Ordinance CMC section 18.30.150 when completing this section. O Water heating system derives at least 40% of its energy from one of the following (attach documentation): D Solar-thermal D Photovoltaics D Recovered energy □Water heating system is (choose one): D Heat pump water heater D Electric resistance water heater(s) □Solar water heating system with .40 solar savings fraction 0 Exception: Updated 8/15/2019 4 ~ City ot Carlsbad Climate Action Plan Consistency Checklist 4. Electric Vehicle Charging A D Residential New construction and major alterations* Please refer to Carlsbad Ordinance CMC section 18.21.140 when com letin this section. One and two-family residential dwelling or townhouse with attached garage: Done EVSE Ready parking space required D Exception : □Multi-family residential· D Exception · Total Parking Spaces EVSE Spaces Proposed Capable Ready Calculations: Total EVSE spaces= .10 x Total parking (rounded up to nearest whole number) EVSE Installed = Total EVSE Spaces x .50 (rounded up to nearest whole number) EVSE other= Total EVSE spaces-EVSE Installed (EVSE other may be "Capable,· "Ready" or "Installed.") Installed l Total I *Major alterations are: (1) for one and two-family dwellings and townhouses with attached garages, alterations have a building pennij valuation 2: $60,000 or include an electrical service panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), alterations have a building permit valuation 2: $200,000, interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed. B D Nonresidential new construction (includes hotels/motels) D Exception · Total Parking Spaces EVSE Spaces Proposed Capable I Readv I Installed I Total 10 2 I 5 I 1 l 8 Calculation· Refer to the table below· Total Number of Parkino Spaces provided Number of reauired EV Spaces Number of reauired EVSE Installed Spaces 0-9 1 1 ~ 10-25 2 1 26-50 4 2 r 51-75 6 3 D 76-100 9 5 LJ 101-150 12 6 D 151-200 17 9 201 and over 1 0 percent of total 50 percent of Reouired EV Spaces Updated 8/15/2019 5 City of Carlsbad Climate Action Plan Consistency Checklist 5. D Transportation Demand Management (TOM): Nonresidential ONLY An approved Transportation Demand Management (TOM) Plan is required for all nonresidential projects that meet a threshold of employee-generated ADT. City staff will use the table below based on your submitted plans to determine whether or nor your permit requires a TOM plan. If TOM is applicable to your permit, staff will contact the applicant to develop a site-specific TOM plan based on the permit details. Acknowledgment: Employee ADT Estimation for Various Commercial Uses Emp ADTfor first 1,000 s.f. EmpADTI 1000 s.f.1 Office (all)2 20 Restaurant 11 Retaib 8 Industrial 4 Manufacturing 4 Warehousin 4 1 Unless otherwise noted, rates estimated from /TE Trip Generation Manual, 1 ()th Edition 13 11 4.5 3.5 3 1 2 For all office uses, use SAN DAG rate of 20 ADT/1 ,000 sf to calculate employee ADT 3 Retail uses include shopping center, variety store, supermarket, gyms, pharmacy, etc. Other commercial uses may be subject to special consideration Sample calculations: Office: 20,450 sf 1. 20,450 sf/ 1000 x 20 = 409 Employee ADT Retail: 9,334 sf 1. First 1,000 sf= 8 ADT 2. 9,334 sf -1,000 sf= 8,334 sf 3. 8,334 sf/ 1,000 x 4.5 + 8 = 46 Em lo ee ADT I acknowledge that the plans submitted may be subject to the City of Carlsbad's Transportation Demand Management Ordinance. I agree to be contacted should my permit require a TOM plan and understand that an approved TOM plan is a condition of permit issuance. Applicant Signature: _________________ _ Date: ------ Person other than Applicant to be contacted for TDM compliance (if applicable): Name (Printed): Courtney Harms Ph N be (303) 672-8519 one um r: ____ _ EmailAddress: c.harms@interiorarchitects.com Updated 8/15/2019 6