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Home My WebLink About2814 RANCHO PANCHO; ; CBR2021-0006; PermitPrint Date: 01/08/2021 Permit No: CBR2021-0006 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 2814 RANCHO PANCHO, CARLSBAD, CA 92009-3014 BLDG-Residential 2225911600 $7,500.00 Work Class: Lot #: Project #: Alteration Status: Applied: Issued: 01/03/2021 01/04/2021 Finaled Close Out: #of Dwelling Units: Track #: Plan #: Closed - Finaled Plan Check #: Project Title: Inspector:Orig. Plan Check #:Bathrooms: Description:REPLACE TWO PATIO DOORS WITH NEW // STUCCO REPAIR & FLASHING (E-REVIEW) Final Inspection:01/08/2021 Bedrooms:Construction Type: Property Owner: GELDNER TRUST 01-27-09 2814 RANCHO PANCHO CARLSBAD, CA 92009 AMOUNTFEE BUILDING PERMIT FEE ($2000+)$97.22 BUILDING PLAN CHECK FEE (BLDG)$68.05 SB1473 GREEN BUILDING STATE STANDARDS FEE $1.00 STRONG MOTION-RESIDENTIAL $0.98 Total Fees:$167.25 Total Payments To Date:$167.25 Balance Due:$0.00 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 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. 1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 760-602-2700 ï 760-602-8560 f ï www.carlsbadca.gov Building Division Page 1 of 1 {"Cityof Carlsbad 1 REV. 08/20 __________________________________________________________________________________________________ RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check Est. Value PC Deposit Date Job Address Suite: APN: CT/Project #: Lot #: Year Built: ______________________ Fire Sprinklers: YES NO Air Conditioning: YES NO Electrical Panel Upgrade: YES NO BRIEF DESCRIPTION OF WORK: This permit is to be issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the owner or contractor. The person listed as the Applicant below will be the main point of contact throughout the permit process. PROPERTY OWNER APPLICANT PROPERTY OWNERS AUTHORIZED AGENT APPLICANT Name: Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: Email: Email: DESIGN PROFESSIONAL APPLICANT CONTRACTOR OF RECORD APPLICANT Name: Address: City: State: Zip: Phone: Email: Architect State License: Name: Address: City: State: Zip: Phone: Email: State License/class: Bus. License: 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov Solar: KW, Modules, Mounted: Roof Ground, Tilt: Y N, RMA: Y N, Battery: Y N, Panel Upgrade: Y N Reroof: Plumbing/Mechanical/Electrical Only: Other: Additional Gas or Electrical Features?Pool/Spa:SF Addition/New: _Living SF, _ Deck SF, Patio SF, Garage SF ______ Is this to create an Accessory Dwelling Unit? Y N New Fireplace? Y N , if yes how many? Remodel: SF of affected area Is the area a conversion or change of use ? Y N 2814 Rancho Pancho, Carlsbad, 92009 222-591-16-00 93-04 Rancho Carillo 42 2000 Replace two patio doors with new. Stucco chip, set and flash units, restucco & color match. Replace two exterior patio doors with new. Thomas & Linda Geldner 2814 Rancho Pancho Carlsbad CA 92009 858-610-9020 info@geldner.com info@geldner.com ProBuild Company LLC (Dixieline) 3250 Sports Arena Blvd San Diego CA 92110 619-225-8192 Mike.Ponce@dixieline.com 977507 CBR2021-0006 $7,500.00 1/3/21 □ □ □ □ □ □ Ii] ( City of Carlsbad 0 ® 00 00 0 ® 0 0 0 0 00 0 0 0 0 00 00 □ □ OWNER PRINT: ^/'E͗ APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL 2 REV. 08/20 IDENTIFY WHO WILL PERFORM THE WORK BY COMPLETING (OPTION A) OR (OPTION B) BELOW: (OPTION A): LICENSED CONTRACTOR DECLARATION: I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the following declarations: 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. Policy No.___________________________________________________________________________________________________ I have and will maintain worker’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’ compensation insurance carrier and policy number are: Insurance Company Name: Policy No. ________________________________Expiration Date: Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers’ compensation Laws of California. WARNING: Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney’s fees. CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender’s Name: Lender’s Address: DATE: CONTRACTOR PRINT͗ (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor’s License Law for the following reason: I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor’s License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and 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 Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: _____________________________________________________________________________________________________________________________________ “Owner Builder acknowledgement and verification form” has been filled out, signed and attached to this application. Owners “Authorized Agent Form” has been filled out, signed and attached to this application giving the agent authority to obtain the permit on the owner’s behalf. By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the DATE: improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: http://www.leginfo.ca.gov/calaw.html. By my signature below, I certify that: I am the property owner or State of California Licensed Contractor or authorized to act on the property owner or contractor’s behalf. I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with 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 AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5’0’ deep and demolition or construction of structures over 3 stories in height. APPLICANT PRINT: DATE: 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov ^/'E͗ ^/'E͗ ^/'E'E'EEE''E'E'EEEEE'E'E''''EEE'EEEEEEEEEE''''E'EEEEEEEEEEEE'E'''''EEEEEEEEEEEEE'''E''EEEEEEEEEEEEEEEE'''''EEEEEEEEEE'E'E'EEEEEEEEE'EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗ AT THE TIME OF SUBMIIIIIIIIIIIIIIIIIIIIIIIIITTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTAL DADDTE html. State of Californnnnnnnnnnnnnnnia Licensed d CoCCCCntractor or authorized to DATE: 9 Fax: 760-602-8558 Email: Building@ 'EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗͗ Thomas A. Geldner Digitally signed by Thomas A. Geldner DN: cn=Thomas A. Geldner, o=Geldner Group, ou, email=tom@geldner.com, c=US Date: 2021.01.01 17:22:36 -08'00'1/1/21 Thomas A. Geldner Digitally signed by Thomas A. Geldner DN: cn=Thomas A. Geldner, o=Geldner Group, ou, email=tom@geldner.com, c=US Date: 2021.01.01 17:22:52 -08'00'1/1/21 Thomas A. Geldner Thomas Geldner □ □ □ □ □ Iii □ kr1~-- 1 REV. 08/20 OWNER-BUILDER ACKNOWLEDGEMENT FORM B-61 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov OWNER-BUILDER ACKNOWLEDGMENT FORM Pursuant to State of California Health and Safety Code Section 19825---19829 To: Property Owner An application for construction permit(s) has been submitted in your name listing you as the owner---builder of the property located at: Site Address ______________________________________________________________________________ The City of Carlsbad (“City”) is providing you with this Owner---Builder Acknowledgment and Verification form to inform you of the responsibilities and the possible risks associated with typical construction activities issued in your name as the Owner-Builder. The City will not issue a construction permit until you have read and initialed your understanding of each provision in the Property Owner Acknowledgment section below and sign the form. An agent of the owner cannot execute this notice unless you, the property owner, complete the Owner’s Authorized Agent form and it is accepted by the City of Carlsbad. INSTRUCTIONS: Please read and initial each statement below to acknowledge your understanding and verification of this information by signature at the bottom of the form. These are very important construction related acknowledgments designed to inform the property owner of his/her obligations related to the requested permit activities. I._____I understand a frequent practice of unlicensed contractors is to have the property owner obtain an “Owner- --Builder” building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner---Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed contractor and his or her employees while working on my property. My homeowner’s insurance may not provide coverage for those injuries. I am willfully acting as an Owner---Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. II._____I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed contractor to assume this responsibility. III._____I understand as an “Owner---Builder” I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own. IV._____I understand contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. V._____I understand if I employ or otherwise engage any persons, other than California licensed contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an “employer” under state and federal law. permmmiti aaaaaaaaaaaaaaaaaccctccccccccccccc ____________________________________________I_II_I_I_II_I_IIIII_II_I_I___I_III_I_III uun -BuBuuBuBuBuBuBuBuuBuuBuBuBuBuBuuBuuuBuuBuBuBuBuuuBuBuBuBBBBBBuBBBBBBBilililililililililililillilllilillllllliideddddddddddddddddddddddddddddddr”--b mammmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmterial p insuranccccccccccccccccce ththhhthththththhthhthhhtththhthtthhthththhthhththtthhhhhhhhe e eeee ee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeee lilililillilililllilllllililiiiiiiiiiiiliiiiiiiiiiliimimiiimmmmmimmmimimmmmmmmmimmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmts ________________________I un o ________________________________________________II un mamamammamamamamamamamammamamammamamamamamamamaammamamamaammamamamamammaaaaaammaaamaaay prot _________________________________________________ fofofofofofoofofofofofofofofofoffofofofofofofofofofofofofoffffofffoffffofoffffofoofoffoooffoooofofooor r r r rr r r rr rrrrrrr r rrrrrrrrrrrrrrrrr r rrr rrrrrrrrrrrrr thththththtthhthththttthththththtthtththththtthththththtththththhttthhthtthhththththhthhththththhhhhhe e e ee eee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee co orooooooooooooo hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhherererrerererrrererrerrerereerrerererrrereerrreerrreerrerereee nnnnnnnnnnnnnnnnnnnnnnna IIIIIIIIIIIIIIIIIIIII un s n or hhhhhhhhhhhhhhhhhhhererererrereerererrrrreerrrrer nnnnnnnnnnnnna ______________________________IIIIII u thththhhthththththhthhthththththhhthththhththhththththhthhhhhhhhthhthththhhthhtthttttttttteeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee total cocccccccccccccccccccccccccnsider _______________________________ nuununununununuununnunununununununuununnunnunnunnuunnunnununununnununnununununnunnuunnnunuuuuumbmbmmbmbmbmbbmbmbbmbmbmbmbbmbmbmmbmbmbmbmbmbbmbmbmbmbmbmbmmbbmbmbmbbmmbmbbmmmbmbmbmmbmbmbmbmmmbbbmmbmmbmmbmbmbmmmmmereeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeees IIIIIIIIIIIIIIIII u 2814 Rancho Pancho, Carlsbad, CA 92009 ( City of Carlsbad Owner-Builder Acknowledgement Continued 2 REV. 08/20 VI. _____I understand if I am considered an “employer” under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers’ compensation disability insurance, and contribute to unemployment compensation for each “employee.” I also understand my failure to abide by these laws may subject me to serious financial risk. VII. I understand under California Contractors’ State License Law, an Owner---Builder who builds single--- family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building contractor. VIII. I understand as an Owner---Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) which result from any latent construction defects in the workmanship or materials. IX. I understand I may obtain more information regarding my obligations as an “employer” from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors’ State License Board (CSLB) at 1---800---321---CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. X. _____I am aware of and consent to an Owner---Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the following address: ___________________________________________________________________________________________ XI. _____I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner---Builders as well as employers. XII. _____I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractor’s State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner--- Builder and wish to hire contractors, you will be responsible for verifying whether or not those contractors are properly licensed and the status of their workers’ compensation coverage. Before a building permit can be issued, this form must be completed, signed by the property owner and returned to the City of Carlsbad Building Division. I declare under penalty of perjury that I have read and understand all of the information provided on this form and that my responses, including my authority to sign this form, is true and correct. I am aware that I have the option to consult with legal counsel prior to signing this form, and I have either (1) consulted with legal counsel prior to signing this form or (2) have waived this right in signing this form without the advice of legal counsel. Property Owner Name (PRINT) Property Owner Signature Date _____________________________________________________IIIIIIIIIIIIIIIII uuu annnnnananannnananannanannnannnananannnnnanannnnnnnnannannaaaaanaaaaaaaaad ddddddd dddddddddddddddddddddddddddddddddddddddddddd fede coccocococococococccococccococccooccccoococcccccccccccccntribut laaaaaaaaaaaaaaaaaaaaaaaaaaaaaawswswswswswswsswswssswsssswsswswssswssswswssswswswswsssswswswwwwswwswswsss mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmaaaaaayaaaaaaaaaaaaaaaaa I.II.IIII IIIIIIIII u rererererererererereereeerereeeeeereeereerererereerrererrreerrererrerrrrrrrrsisisisisisisisisssiisiiiiiiiiiiiiiiisisississsdedddddddddddddddddddddddddddddntia bybybbbbbbbbybbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb licenseby licenseeeeeeeeeeeedddddddddddddd the eee e ee eeee e eeeeeeeeeeeeeeeeeeee eeee eeeee e wowowowowowowowowowowowowwowowowowowowwowowowowwwwwowowwwwwwwowwwwwwwowowwwowowowowwwowwwwowowowwowowowowwowwowowworkrkrkkrkrkrkkrkrrkrkkkrkrkkkrkrkrkkrkkrkkrkrrkrkkrkrrkrkrrrkkkrkrkrkkkrkrkkkkkkkkkkkk is IIIIIIII und fooooooooooooooooooooooooooooooooooooooorrrr rrrrrrrr anaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaay fin iconssssssssssstrtrttttttrttttttttrtttrtttttttttttrttttrttrtttttttucucucucucucuccuccucucucucucuccuccucucuccuccucccucccucuccuuuccucuucucuuucucucccuuuuuuuuut IIIIIIIIIIIIIIIIIIIIIII uuuuuuuuuuuuu eeeeeReReReeeeeeeeeeeeeeeeeeReeeeeeeeeeeeeeeeeevevevevevevevevevevevevevevveveevevveeevevevevvevevevevevveevevevevevveevevveveveveeeveevevveeeveeenue PaPaPaPPaPaPaPaPaPaPPaPPaaPaPaPPaaPaPaPaaaPaPaaPaaPaPaaPaaaPaPaPaaPaaPaaPaPaaPPPPPPPPyments Contrarrrrrrrrrrrrrrrrrrrrrrrrrcttcttttcttttttttttttttttttttttttttto abbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbouououououououououououououououoouoouououoououououoouoououououoououoooooooooououooouououuououoooouoouuuuuutttttttttttttttttttttttttttttttttttt lilillilililiiiiiiliiliilliilillillllllllce _________________________I am ththhhthththhththtththththhthththhhthttttthtthhttthttthttttththtthttthhhththhhataaaatatatattataaatataatatatataaaaaaaaaaaaaaaaaaaaaaaaaaaaaa I am t ______________________________________________________________________ _______________________________________IIIIIIIIIIIIIIIIII agagaaaaaaaaaaaaaaaaaaaaaaaaaaaaa b ll app agI._____________________________________________________IIIIIIIIIIIIIIIIII a inninnninnninnnninninnnninnnnnnnininnnnnnninnnnnninnninniifofofofofofofofoffofoffofffofofofffoffofffffffofofoffofoofoofooooffooooofoooffffffrma bybybybybybyybybybybybyybybybybybyybybybybybybybyybyyyybyyybyyyybybbbbbybbybbbybb alaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaalllllllllllllll apaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa IIIIIIIII aa Prorrrrrrrperty Owner Signature 2814 Rancho Pancho, Carlsbad, CA 92009 Thomas Geldner Thomas A. Geldner Digitally signed by Thomas A. Geldner DN: cn=Thomas A. Geldner, o=Geldner Group, ou, email=tom@geldner.com, c=US Date: 2021.01.01 17:19:35 -08'00'1/1/20 B-50 Page 1 of 6 Revised Development Services Building Division 1635 Faraday Avenue (760) 602-2719 www.carlsbadca.gov CLIMATE ACTION PLAN CONSISTENCY CHECKLIST B-50 PURPOSE 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 Decks PME (w/o panel upgrade)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. Applicant Signature: ___________________________________ Date: ___________________ Application Information Project Name/Building Permit No.: BP No.: Property Address/APN: Applicant Name/Co.: Applicant Address: Contact Phone: Contact Email: Contact information of person completing this checklist (if different than above): Name: Contact Phone: Company name/address: Contact Email: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 222-591-16-00 Thomas A. Geldner 2814 Rancho Pancho, Carlsbad, CA 92009 858-610-9020 info@geldner.com 1/1/20 C cityar Carlsbad I I I City of Carlsbad Climate Action Plan Consistency Checklist Updated 8/15/2019 2 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: $_______________ Construction Type Complete Section(s) Notes: Residential Low-rise High-rise 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 տ New construction 2A, 3A, 4A 1B, 2B, 3B, 4A տ Additions and alterations: տ BPV < $60,000 N/A N/A All residential additions and alterations տ BPV տ Electrical service panel upgrade only 1A, 4A 4A 1-2 family dwellings and townhouses with attached garages only տ BPV 1A, 4A* 1B, 4A* *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 Nonresidential տ New construction 1B, 2B, 3B, 4B and 5 տ Alterations: տ BPV or additions 1,000 square feet 1B, 5 տ BPV $1,000,000 1B, 2B, 5 Building alterations of 75% existing gross floor area տ 2,000 sq. ft. new roof addition 2B, 5 1B also applies if BPV $200,000 CAP Ordinance Compliance Checklist Item Check the appropriate boxes, explain all not applicable and exception items, and provide supporting calculations and documentation as necessary. 1. Energy Efficiency Please refer to Carlsbad Municipal Code (CMC) sections 18.21.155 and 18.30.190, and the California Green Building Standards Code (CALGreen) for more information when completing this section. A. 5HVLGHQWLDODGGLWLRQRUDOWHUDWLRQEXLOGLQJSHUPLWYDOXDWLRQ See CMC section 18.30.190. տ N/A _______________________________ տ ([FHSWLRQ+RPHHQHUJ\VFRUH (attach certification) <HDU%XLOW Single-family 5HTXLUHPHQWV 0XOWL-family 5HTXLUHPHQWV %HIRUHSelect one: տ Duct sealing տ Attic insulation տ Cool roof տ Attic insulation տ DQGlater Select one: տ Lighting package տWater heating Package տ %HWZHHQDQG1 Select one: տ Duct sealing տ Attic insulation տ Cool roof տ 1992 and later Select one: տ Lighting package տ Water heating package B. 1RQUHVLGHQWLDO QHZFRQVWUXFWLRQRUDOWHUDWLRQVEXLOGLQJSHUPLWYDOXDWLRQ or additions VTXDUHIHHW. տ N/A _______________________________ 7474.16 ✔■ ■ ■ ■ ■ □ □ □ □ □ □ □ ID I □ □ □ □ □ □ □ I:!! Im [ll □ □ E:ll [ll □ Cl! IJ Cl! □ IJ ljl □ □ City of Carlsbad Climate Action Plan Consistency Checklist Updated 8/15/2019 3 See &0&DQG CAL*UHHQ$SSHQGL[$'LYLVLRQ $ – Energy Efficiency. A5.203.1.1 Choose one: տ .1 Outdoor lighting տ .2 Warehouse dock seal doors տ .3 Restaurant service water heating (comply with California Energy Code section 140.5, as amended) տ .4 Daylight design PAFs տ .5 Exhaust air heat recovery տ N/A _______________________________ A5.203.1.2.1 Choose one as applicable: տ .95 Energy budget տ .90 Energy budget տ N/A _______________________________ A5.211.1** տ On-site renewable energy տ N/A _______________________________ A5.211.3** տ Green power (if offered by local utility provider, 50% minimum renewable sources) տ N/A _______________________________ A5.212.1 տ Elevators and escalators տ N/A _____________________________ A5.213.1 տ Steel framing տ N/A _____________________________ * Includes hotels/motels and high-rise residential buildings )RUDOWHUDWLRQV%39DQGDIIHFWLQJ!H[LVWLQJJURVVIORRUDUHD, or alterations that add 2,000 square feet of new roof addition: comply with CMC 18.30.130 instead. 3KRWRYROWDLF6\VWHPV A. 5HVLGHQWLDOQHZFRQVWUXFWLRQIRUlow-rise residential EXLOGLQJSHUPLWDSSOLFDWLRQVVXEPLWWHGDIWHU)5HIHUWR&DOLIRUQLD (QHUJ\&RGHVHFWLRQFIRUUHTXLUHPHQWV1RWHs: 1) High-ULVHUHVLGHQWLDOEXLOGLQJVDUHVXEMHFWWRQRQUHVLGHQWLDOSKRWRYROWDLF UHTXLUHPHQW%EHORZLQVWHDG,ISURMHFWLQFOXGHVLQVWDOODWLRQRIDQHOHFWULFKHDWSXPSZDWHUKHDWHUSXUVXDQWWR&MC % KLJK-rise residential) or 18.30.% ORZ-rise residential)LQFUHDVHV\VWHPVL]HE\N:GFLI39RIIVHWRSWLRQLVVHOHFWHG Floor Plan ID (use additional sheets if necessary) CFA #d.u. Calculated kWdc* Exception տ __________________________________ տ ______________________________________________ տ ______________________________________________ տ ______________________________________________ Total System Size: kWdc kWdc = &)$[1,000 + (1.15 x #d.u.) *Formula calculation where CFA = conditional floor area, #du = number of dwellings per plan type If proposed system size is less than calculated size, please explain. B.1RQUHVLGHQWLDOQHZFRQVWUXFWLRQRUDOWHUDWLRQV%39DQGDIIHFWLQJH[LVWLQJIORRUDUHDRUDGGLWLRQWKDWLQFUHases roof DUHDE\VTXDUHIHHW3OHDVHUHIHUWRCMC section 18.30.130 when completing this section. Note: This section also applies to high-ULVHUHVLGHQWLDODQGKRWHOPRWHOEXLOGLQJV Choose one of the following methods: տ *URVV)ORRU$UHD*)$0HWKRG GFA: __________________ Min. System Size: ______ kWdc տ If < 10,000s.f. Enter: 5 kWdc տ ,IVIFDOFXODWH kWdc x (GFA/10,000) ** **Round building size factor to nearest tenth, and round system size to nearest whole number. տ Time- 'HSHQGHQW9DOXDWLRQ0HWKRG □ CJ □ □ □ □ □ □ Ill Cl [11 □ Cl) Cl □ Cl □ □ □ □ City of Carlsbad Climate Action Plan Consistency Checklist Updated 8/15/2019 4 Annual TDV Energy use:*** ______________ x .80= Min. system size: ____________ kWdc ***Attach calculation documentation using modeling software approved by the California Energy Commission. :DWHU+HDWLQJ AA. 5HVLGHQWLDODQGKRWHOPRWHOQHZFRQVWUXFWLRQ Please refer to CMC sections 18.30.150 and 18.30.170 when completing this section. տ For systems serving LQGLYLGXDOGZHOOLQJXQLWV choose one: տ Heat pump water heater AND Compact hot water distribution AND Drain water heat recovery (low-rise residential only)տ 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)տ Heat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higherտSolar water heating system that is either .60 solar savings fraction or 40 s.f. solar collectorsտException: ______________________________________________________________________________ տ For systems serving PXOWLSOHGZHOOLQJ units, install a central water-heating system with all of the following: տ Gas or propane water heating systemտRecirculation system per CMC 18.30.150(B) (high-rise residential, hotel/motel) or &0&% (low- rise residential)տ Solar water heating system that is either:տ .20 solar savings fractionտ.15 solar savings fraction, plus drain water heat recoveryտException: ______________________________________________________________________________________ B. 1RQUHVLGHQWLDOQHZFRQVWUXFWLRQ 3OHDVHUHIHUWR&DUOVEDG2UGLQDQFHCMC section 18.30.150 when completing this section. տ Water heating system derives at least 40% of its energy from one of the following (attach documentation): տ Solar-thermal տ Photovoltaics տ Recovered energy տ Water heating system is (choose one):տ Heat pump water heaterտElectric resistance water heater(s)տSolar water heating system with .40 solar savings fractionտException: ______________________________________________________________________________________ □ □ □ □ □ □ □ □ □ □ □ a □ □ □ □ □ □ □ □ Cl! a C □ City of Carlsbad Climate Action Plan Consistency Checklist Updated 8/15/2019 5 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.”) *Major alterations are: (1) for one and two-IDPLO\GZHOOLQJVDQGWRZQKRXVHVZLWKDWWDFKHGJDUDJHVDOWHUDWLRQVKDYHDEXLOGLQJSHUPLWYDOXDWLRQ or include an electrical service panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), alterations have a building permit YDOXDWLRQLQWHULRUILQLVKHVDUHUHPRYHGDQGVLJQLILFDQWVLWHZRUNDQGXSJUDGHVWRVWUXFWXUDODQGPHFKDQLFDOHOHFtrical, and/or plumbing systems are proposed. BB. NonresidentiaOQHZFRQVWUXFWLRQLQFOXGHVKRWHOVPRWHOV տ Exception : ______________________________ Total Parking Spaces Proposed EVSE Spaces Capable Ready Installed Total Calculation: Refer to the table below: Total Number of Parking Spaces provided Number of required EV Spaces Number of required EVSE Installed Spaces տ 0-9 1 1 տ 10-25 2 1 տ 26-50 4 2 տ 51-6 3 տ -100 9 5 տ 101-150 12 6 տ 151-200 9 տ 201 and over 10 percent of total 50 percent of Required EV Spaces (OHFWULF9HKLFOH&KDUJLQJ A.. 5HVLGHQWLDO1HZFRQVWUXFWLRQDQGPDMRUDOWHUDWLRQV 3OHDVHUHIHUWR&DUOVEDG2UGLQDQFH&0&VHFWLRQ when completing this section. տ One and two-family residential dwelling or townhouse with attached garage: տ One EVSE Ready parking space required տ Exception : _______________________________ տ Multi-family residential:տ Exception : ______________________________ Total Parking Spaces Proposed EVSE Spaces Capable Ready Installed Total □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ City of Carlsbad Climate Action Plan Consistency Checklist Updated 8/15/2019 6 An approved Transportation Demand Management (TDM) 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 TDM plan. If TDM is applicable to your permit, staff will contact the applicant to develop a site-specific TDM plan based on the permit details. (PSOR\HH$'7(VWLPDWLRQIRU9DULRXV&RPPHUFLDO8VHV Use Emp ADT for first 1,000 s.f. Emp ADT/ 1000 s.f.1 Office (all)2 20 13 Restaurant 11 11 Retail3 8 4.5 Industrial 4 3.5 Manufacturing 4 3 Warehousing 4 1 1 Unless otherwise noted, rates estimated from ITE Trip Generation Manual, 10thEdition 2 For all office uses, use SANDAG 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 6DPSOHFDOFXODWLRQV Office: 20,450 sf 1. 20,450 sf / 1000 x 20 = (PSOR\HH$'7 Retail: 9,334 sf 1. First 1,000 sf = 8 ADT 2. 9,334 sf - 1,000 sf = 8,334 sf 3. (8,334 sf / 1,000 x 4.5) + 8 = (PSOR\HH$'7 Acknowledgment: 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 TDM plan and understand that an approved TDM plan is a condition of permit issuance. Applicant Signature: ______________________________________________________ Date: ___________________ Person other than Applicant to be contacted for TDM compliance (if applicable): Name (Printed): _________________________________________________________ Phone Number: ________________ Email Address: _________________________________________________________ 5. 7UDQVSRUWDWLRQ'HPDQG0DQDJHPHQW7'0: Nonresidential ONLY plans sububbbbubbbbbbbbbbbbbubbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbubbbbbbubbbbububbbbbubbbbbubbbbbbbuuubmitted may be subject to the City of Carlsbad’s T M plpplplpplplppppplppppppppppplppppppppppppppppppppppppppplpppllppppppllpplppppllppppplpllllpppppllllpppllllppananananannannnnnnanannanannannnnnannnnnnnnnannnnnnnnnnnnnnnnnnnnnnnnnnannnnnnnnnanannnannnnnnnnnnnnnnnnnnnnnnnannnnnnnannnnaannnnaaannnnnnanaaannnnnaaaaaannnannaaaaanaaannnanaaaaaaaannnnaaaaaaaaaaannnnnaaaaaaannnnnnanaaaaaaaaanannnaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaandndndndndndddndnndnddndndndnnnddddndnnnddnddndnnndndndnnndnnnnndnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn understand thattttttttttt aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaan nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn apprrrrrrrrrrovovvvovovovovovovvovvovovovovvovvvvovvovovovovovvovvovovvvovovovvvovovvvvovovovovovvvvvvvvvovoovvvovovvvvovovovvvoovvvovvvvvvvoovooovvvovovvvoovvvvvvvooovvvovvovovvvovovvvvvovvvvooooovvvvvvvvvooooovvvovvvvovovvoooovvvvvvvvvooovvvovovooovovovovvvvoooovvvvvoooooooovvvoooooooovvvooooooovvvoooooooovvvoooooooovvvoooooooovooooovoooooededeedededededdd TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTDMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM plan is a co _______________________________________________________________________________________________________________________________________________________________________________________________________________________ pplicant to be cooooooooooooooontacted for TTTTTTTTTDTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTM compliance (if applica 1/1/21 □ Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2021-0006) BLDG-Residential 01/03/2021Application Date:Permit Type:Owner:TRUST GELDNER TRUST 01-27-09 Alteration 01/04/2021Work Class:Issue Date:Subdivision:CARLSBAD TCT#93-04 RANCHO CARRILLO VILLAGE Q PHASE 01 07/07/2021Expiration Date:Status: IVR Number: 30798 Closed - Finaled 2814 RANCHO PANCHO CARLSBAD, CA 92009-3014 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 01/08/2021 01/08/2021 BLDG-14 Frame/Steel/Bolting/We lding (Decks) 147834-2021 Passed Chris Renfro Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-17 Interior Lath/Drywall 147835-2021 Scheduled Chris Renfro Incomplete COMMENTS PassedChecklist Item BLDG-Building Deficiency No BLDG-Final Inspection 147836-2021 Passed Chris Renfro Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final Yes BLDG-Electrical Final No Friday, January 8, 2021 Page 1 of 1 {cityof Carlsbad