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Home My WebLink About1 LEGOLAND DR; ; CB110216; Permit03-01-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: Building Inspection Request Line (760) 602-2725 CB110216 Job Address; Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: DAN TALANT C/O RUSS ONUFER 2398 SAN DIEGO AVE SAN DIEGO 92110 619-297-8066 ISSUED 01/31/2011 JMA 03/01/2011 Issued: 03/01/2011 1 LEGOLAND DR CBAD Tl SubType: COMM 2111000900 Lot#: 0 Status: $13,066.24 Construction Type: NEW Applied: Reference #: Entered By: LEGOLAND: THE BEGINNINGS BLDG. Plan Approved: BUILD WALL TO ENCLOSE FORMERLY OPEN RECEPTION AREA=179 Inspect Area: Plan Check#: Owner: LEGOLAND CALIFORNIA LLC <LF> PLAY U S ACQUISI C/O PROPERTY TAX SERVICE CO POBOX 543185 a DALLAS TX 75354 Building Permit $154.21 Meter Size Add'l Buiiding Permit Fee $0.00 Add'l Reel. Water Con. Fee $0.00 Plan Check $100.24 Meter Fee $0.00 Add'l Plan Check Fee $0.00 SDCWA Fee $0.00 Plan Check Discount $0.00 CFD Payoff Fee $0.00 Strong Motion Fee $2.74 PFF (3105540) $0.00 Park Fee $0.00 PFF (4305540) $0.00 LFM Fee $0.00 License Tax (3104193) $0.00 Bridge Fee $0.00 License Tax (4304193) $0.00 BTD #2 Fee $0.00 Traffic Impact Fee (3105541) $0.00 BTD #3 Fee $0.00 Traffic Impact Fee (4305541) $0.00 Renewal Fee $0.00 PLUMBING TOTAL $0.00 Add'l Renewal Fee $0.00 ELECTRICAL TOTAL $20.00 Other Building Fee $0.00 MECHANICAL TOTAL $24.00 Pot. Water Con. Fee $0.00 Master Drainage Fee $0.00 Meter Size Sewer Fee $0.00 Add'l Pot Water Con. Fee $0.00 Redev Parking Fee $0.00 Reel. Water Con. Fee $0.00 Additional Fees $0.00 Green BIdg Stands (SB1473) Fee $1.00 HMP Fee ?? Fire Expedited Plan Review $272.50 TOTAL PERMIT FEES $574.69 Total Fees: $574.69 Total Payments To Date: $574.69 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: '^^^/^^ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, ctedicatlons, resen/ations, or other exactions hereafter collectively refen-ed to as lees/exactlons." You have 90 days from the date this pennit 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 l>/lanager for processing in accordance with Carisbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attacl<, 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 sen/ice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenvise expired. 03-01-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW110027 Job Address; Permit Type: Parcel No: Reference #; CB#: Project Title: 1 LEGOLAND DR CBAD SWPPP 2111000900 LEGOLAND Lot#: Applicant; DAN TALANT C/O RUSS ONUFER 2398 SAN DiEGO AVE SAN DIEGO 92110 619-297-8066 Status; Applied; Entered By: Issued: Inspect Area: Tier: Priority: ISSUED 01/31/2011 JMA 03/01/2011 1 L Owner: LEGOLAND CALIFORNIA LLC <LF> PLAY U S ACQUISI C/O PROPERTY TAX SERVICE CO P O BOX 543185 DALLAS TX 75354 Emergency Contact: CHRIS ROMERO 760-918-5469 SWPPP Plan Check SWPPP Inspections Additional Fees $45.00 $54.00 $0.00 TOTAL PERMIT FEES $99.00 Total Fees: $99.00 Total Payments To Date: $99.00 Balance Due: $0.00 FINAL APPROVAL DATE CLEARANCE SIGNATUI^ ^ CITY OF CARLSBAD Builcling Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www.carisbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Pate t/^lj \ y ISWPPT/ \ OQzj? JOB ADDRESS I U^OLANl> Dl2-. SUrrE«/SPACE*/UNIT« zil - \oo- ol CT/PROJECT# tt OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE DESCRIPTION OF WORK: Inc/uds Squaro Fast oTAflbctad Aroa(s; ffi^moN /^€UJ Byr kj/^LLS> To 6^CU>5€ ^XJST/AJG Cdt/B^Z-eti EXISTING USE PROPOSEDOISE GARAGE (SF) PATIOS (SF) o DECKS (SF) o FIREPLACE YES[~|» Nd I AIR CONOmONING YES nNO • FIRE SPRIN)<LERS YESH^NOl I CONTACTNAME (IfDMsrentFomA|ipl/eant) APPLICANT NAME ADDRESS ADDRESS Z398 S^j^di^o CITY STATE ZIP CITY STATE ZIP 9Z/W PHONE FAX PHONE FAX EMAIL EMAIL /Z'S.So &/7aaoi 'inCCoi^ PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY PHONE STATE FAX ZIP CITY STATE ZIP PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME 4 ADDRESS STATE LIC. # CLASS CITY BUS. LIC.# Civil penalty of not more than five hundred dollars ($500)) WORKERS' COMPENSATION Workers' Compensation Declaration: / hemby affirm under penalty of perjury one of the followtng declarations: HI have and will maintain a certificate of consent to self-insure for vwrtters' compensation as provided Section 3700 of Die Latnr Code, fbr the perfomnance of the worit for which this permit Is issued. I have and wiii maintain workers' compensation, as rsqulied by Section 3700 of the Labor Code, for the performance of the worti for which this pemiit is Issued. My workers' compensation Insurance carrier and policy number are: Insurance Co Policy No. Expiration Date p^section need not be completed if the permit Is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the perfonnance of the work fbr which this pennit is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of Califomia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees. JS$ CONTRACTOR SIGNATURE • AGENT DATE OWNER-BU I L D E R DECLARATION / hereby afRrm that i am exempt from Contiactor's License Law for the foiiowing reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture is not intended or oifeied for sale (Sec, 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or impioves thereon, and who does such work himself or through his own employees, provided that such impFovemente are not intended or offeied 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 buikl or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professions Code: The Cbntractoi's License Law does not apply to an owner bf property who builds or Improves thereon, and contracts for such projects with contractor(s) licensed puisuant to the Contractor's License Law). • I am exempt under Section _ .Business and Professions Code for this reason: 1. i personaily plan to provide the major labor and matenals for constmctton of the proposed propeity improvement •Yes 0No 2. I^a^ have not) signed an appiication tor a building pennit for the proposed work. 3.1 have contracted with the toltowing person (fimn) to provide the proposed constmction (indude name address / phone / contractors' license number): 4.1 plan to provide porttons of the work, but I have hired the foltowing peison to coordinate, supenilse and provide the major work (Include name / address / phone / contractors' license number): 5,1 will provkle some of the vrork, but I have contracted (hired) the following peisons to provtoe the work indicated (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE DATE COAAPLETE THIS SECTION FOR N O N - R E S I D E N T i A L BUILDING PERMITS ONLY Is the appiicant or future buiiding occupant required to submit a business pian^acutely hazanlous materials registration ibnn or risk management and preventton program under Secttons 2S50S, 2SS33 or 2SS34 of the Presley-Tanner Ha4ardous Substance Account Act? OYes Qnio / Is ihe appiicant or future building occupant required to obtain a pernilt from the air pollution contioi disbict or air qu^ty management district? • Yes 9Tto Is tie facility to be constmcted within 1,000 feet of the outer boundaiy of a school site? OYes IBNO 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 REQUKENENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I tiereby affimi that there is a construction lending agency for the perfonnance of the work this pemiit is issued (Sec. 3097 (1) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have lead the applkxrtion and state that the above infomiatkin is conect and that the kif^^ 1 heieby authorize repiesentative of the City of Carisbad to enter upon Ihe above nnentioned propel AGAINST ALL LIABILmES, JUDGiMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CiTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMff. OSHA: An (3SIHA pennit is requited for excavations over S'O'deep and demoiition or constniclion of st^^ EXPIRATION: Every pennit issued by the Building Official under Ihe piovi^ 180 days fiom Ihe date of such pennit qcVttie txJidingQMN^ MS. APPLICANT'S SIGNATURE 11 CityoiCarisliaii Final Building Inspection Dept: Building Engineering Planning CMWD St Lit Plan Check #: CB110216 Permit #: :e: 05/24/2011 Permit Type: Tl Project Name: LEGOLAND: THE BEGINNINGS BLDG. SubType: COMM BUILD WALL TO ENCLOSE FORMERLY OPEN RECEPTI Address: 1 LEGOLAND DR Lot: 0 Contact Person: Phone; Sewer Dist: CA WaterDlst: CA Comments: Inspection List Permit*: CB110216 Type: Tl COMM LEGOLAND: THE BEGINNINGS BLDG. BUILD WALL TO ENCLOSE FORMERLY 0 Date Inspection Item Inspector Act Comments 05/24/2011 89 Final Combo -Rl fire is coming at 8:30am tomorrow. 05/24/2011 89 Final Combo PD AP 05/16/2011 84 Rough Combo -Rl OVERHEAD T-BAR 05/16/2011 84 Rough Combo PD AP CEILING 05/05/2011 14 Frame/Steel/BoltlngMeldln PD PA 05/05/2011 34 Rough Electric PD PA 04/28/2011 11 Ftg/Foundation/Piers PD AP 04/28/2011 14 Frame/Steel/BoltingA/Veldin PD WC Tuesday, May 24, 2011 Page 1 of 1 City of Carlsbad BIdg Inspection Request For: 05/24/2011 Permit* CB110216 Inspector Assignment: PD Titie: LEGOLAND: THE BEGINNINGS BLDG. Description: BUILD WALL TO ENCLOSE FORMERLY OPEN RECEPTION AREA=179 SF NON-CONDITIONED & 173 SF Type:TI SubType: COMM Phone: 6197193630 Job Address: 1 LEGOLAND DR Suite: Lot: 0 Location: Inspector:^ APPLICANT DAN TALANT Owner: LEGOLAND CALIFORNIA LLC <LF> PLAY U S ACQUISI Remarks: fire is coming at 8:30am tomorrow. Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Finai Mechanical Requested By: MIKE Entered By: CHRISTINE Act Comments Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# O- NOISE FROM FIREWORKS; Z- BANNER; Z- CAR DEMO COURSE IN PRK LOT; VIOLATION OF INTENDED USE ELECTRICAL PLAN FOR COASTER; LEGOLAND; SPLFT UP GAMES BLDG @ PIRATE SHORE LOSTKINDOM CLUSTER- REVISE ; RETAINING WALL/NEW PLUMBING PLAN LEGOLAND-SEALIFE MISC; REVISIONS LEGOLAND: EXTERIOR FRAMING &; CALCS-DEFERRED LEGOLAND: DEF. SUBMITTAL/ELEC; FOR AQUARIUM LIFE SUPPORT SYSTEM LEGOLAND: DETAILS ON EXTERIOR; STAIRS LEGOLAND: REVISIONS TO DUNE; RAIDER SLIDE LEGOLAND EXPANSION; LEGOLAND WATERWORKS CLUSTER LEGOLAND; LEGOLAND; WATERWORKS CLUSTER LEGOLAND HOTEL; HOTEL WITH RESTAURANT CV050664 CLOSED CV060175 CLOSED CV060295 CLOSED PCR00224 APPROVED PCR06076 ISSUED PCR07206 ISSUED PCR08010 ISSUED PCR08041 ISSUED PCR08042 ISSUED PCR08057 ISSUED PCR09059 ISSUED SW090066 PENDING SW110027 ISSUED SW110080 ISSUED SWl 10166 PENDING EsGil Corporation In (PartnersAip with government for (BuiUing Safety DATE: February 10, 2011 •APPLICANT a^lURlS. JURISDICTION: Carlsbad • PLAN REVIEWER • FILE PLAN CHECK NO.: 110216 SET: I PROJECT ADDRESS: 1 Legoland Dr. PROJECT NAME: Legoland "Beginnings" TI XI The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. I I 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. i 1 The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. I I The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. n The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. I I The applicant's copy of the check list has been sent to: 1X1 Esgil Corporation staff did not advise the applicant that the plan check has been completed. I I Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Fax #: Mail Telephone Fax In Person • REMARKS: By: Kurt Culver Enclosures: EsGil Corporation • GA • EJ • PC 2/3/11 9320 Chesapeake Drive, Suite 208 • San Diego, Califomia 92123 • (858) 560-1468 • Fax (858) 560-1576 Carlsbad 110216 February 10, 2011 [DO NOT PAY- THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 110216 PREPARED BY: Kurt Culver DATE: February 10, 2011 BUILDING ADDRESS: 1 Legoland Dr. BUILDING OCCUPANCY: M/B TYPE OF CONSTRUCTION: V-B BUILDING PORTION AREA ( Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE {$) Tl 352 37.12 13,066 Air Conditioning Fire Sprinklers TOTAL VALUE 13,066 Jurisdiction Code cb r By Ordinance I BIdg. Permit Fee by Ordinance ^%:| I Plan Check Fee by Ordinance • ( Type of Review: (• Complete Review r" Repetitive Fee "I^l Repeats r other p. Hourly £sG/f Fee r" structural Oniy Hr. @ $154.21 $100.24 $86.36 Comments: Sheet 1 of 1 macvalue.doc + PLANNING/ENCINEERING APPROVALS PERMrr NUMBER Cjb il'O'^^Ce DATE ADDRESS RESIDENTIAL TENANT IMPROVEMENT RESIDENTIAL ADDITION MINOR « $17,000.00) SOLAR PANELS PLAZA CAMINO REAL PREMIER OUTLETS VILLAGE FAIRE COMPLETE OFFICE BUILDINC )THER PLANNER DATE ENCINEER / ln^<^ ^ DATE ^ Docs/Mlsforms/Planning Engineering Approvals Frank Jimetio From: Cathy Kachurka-Smithi [cathyks@noaainc.com] Sent: Thursday, February 17, 2011 11:42 AM To: Frank Jimeno Subject: Legoland BMP practice Forms Attachments: E-29.pdf; E-32.pdf; E-33.pdf; E-34.pdf; A-2 BMP Site.pdf Follow Up Flag: Follow up Flag Status: Flagged To: The City of Carlsbad, Frank Jimeno, Engineering Technician Good morning Frank, I spoke to you earlier this week in regards to the BMP practices for the Legoland project. The attached forms have been filled out and also I have prepared a site plan which has the legend and callouts for the BMP items. I appreciate your time and review of these documents required for the permit process of this project. I look forward to your response. Please let me know if there are any oversights regarding this matter. Cathy Smith Nogle Onufer Associates Architects, Inc. 619-297-8066 xl5 o5 >c9:5S o 00 =! T) > oc s o m3Soc - m =! ?3 O o 7; rn H~ ilii > §<-o-i o m zim Sip -n m m X m S o S §31 > ;TI o — QOIO 03 mm ills > m rn -jFzm ^ >. M rn > CO H 55 m :o n OXcn 9 S ii 9: os>S mm<-3 s. ^ - s2 m z n m 3} m < CO p 1—n o. —I u XI o a> S 5 m n CD o 0) H o m o O cn a> 3 to H m 7J o o z -I 73 OS -I "0 ii o 02 'vl vT O f> to BQ o m < o 3 fi. O ID < n •n 3 u u m a. 3 V 00 > 1' i =. ffr era ffi ft m ISJ if 3 3 ?" 3 CD 0> li 5' a. 01 a Ol » a i.l il 2. =• e 3 ~ « s ^ ~ IS S « JT » if * iflift n 0) <a (D ro o CO f a 1 •a- 5" 5' If ID m a 1.1 u u 03 7) m < A. IS 3 * 2 i» a 1 ? I * SS f lis. 3 W zs* St. „ 5 cn s — -1 o J: S i3' £. 5x1 S =" $o • So o Hum llliii f »-a r ^ - ID I ID § 3 S-5- Kiif S ID S T3 ^ 3 o 3 ^ a ' w -» " P 5« a g: s. a ® O 3" • — B Q.S 5B o|^8 ft" |. 3 OL * o in ffl 3 1: (O S ? i O. ID s: Q. o 7 c 8 »|« f _ g 55 3 ^ 9 • 5 -» ffl "n* ID O gS I ? °- 8Ic ff|aa Si- s: < o S =• * s: 3 >S Sal's -&!D *> s a s • — — ^ S a •ffSltlil a 5- o o g 3 8 a la « 5 sr8 s ffl « ffl ? ^1 CASQA Designation Construction Actlvily Best Management Practice (BMP) Description •> 1 other (list): j SSe Access Across Dirt O o 1 1 Hazardous Substance Use/Storage Equipment Maintenance and Fueling staging/Lay Down Area { Waste Disposal D f Conduitn^ipe Installation 1 •0 a i a Concrete flatwork 1 1 ¥ % 1 Drillino/Borina 1 SlockDHina 1 Trenchina/ExcavaBon 1 Gradino/Soii Disturbance 1 CASQA Designation Construction Actlvily Best Management Practice (BMP) Description •> EC-7 Geotextiles & Mats EC-8 Wood Mulching EC-9 Earth Dikes and Drainage Swales EC-11 Slope Drains SE-1 Silt Fence SE-3 Sediment Trap SE-4 Ctieck Dam SE-5 Fiber Rolls « SE-6 Gravel Bag Berm ft • • 0 SE-7 Street Sweeping and Vacuuming • SE-8 Sandbag Barrier SE-10 Stonn Drain Inlet Protection • • • ft • % TR-1 Stabilized Constaiction Ingress/Egress TR-2 Stabilized Construction Roadway NS-1 Water Consen^ation Practices NS-3 Pawg and Grinding Onorations NS-7 Potable Water/lrrigatkin NS-8 Vehicle and Equipment Cieanino % WM-1 Material Delivery and WM-2 Material Use WM-3 Stockpile Management WM-4 Spill Prevention and WM-5 Soiki Waste WM-6 Hazardous Waste Mananpmnnt WM-8 Concrete Waste Mansoempnt o if 3 C0 Q. 3 n 3 o o 3 ^ 3. S-•o 5 E « 3 3 (Q ffl z ffl 9 % i! Si "I H ffl o z 3 a il n a • 7S ^ CITY OF CARLSBAD STORM WATER COMPUANCE ASSESSMENT B-24 Develooment Services Building Division 1635 Faraday Avenue 760-602-2719 www.ca risbadca .gov I am applying to the City of Carlsbad for the following type(s) of constructton permit: Building Permit • Right-of-Way Permit • My project is categorically EXEMPT from the requireinentto prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of tlie following pennit types: Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria • My project qualifies as NO THREAT and is exempt from ttie requirement to prepare a storm water pollution preventton plan (SWPPP) because it meets the "no threaf assessment criteria on the City's Project Threat Assessment Wori(sheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tierl • Low Threat Assessment Criteria itf My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor constnjction activities (such as saw cutting, equipment washing, material stockpiling, vehide fueling, waste stockpiling). T/er2 - Moderate Threat Assessment Criteria • My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Cartsbad Grading Ordihance (Chapter 15.16 of the Carisbad Muntoipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the addittonal following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturt)ed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturt>ed area is located atong or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Constmctton will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). 7/er3 • Significant Threat Assessment Criteria • My project includes clearing, grading or other disturiiances to the ground resulting in soli disturbance totaling one or more acres including any associated constaiction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or • My project is part of a phased development plan that will cumulatively result in soN disturtjance totaling one or more acres including any associated constructton staging, equipment storage, refueling and maintenance areas: or, • My project is located instoe or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a signiftoant potential for contributing pollutants to nearby receiving waters by way of stomi water runoff or non-stomi water discharge(s). / certify to tiie best of my knowledge that the abora checked statements are true and correct I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all dmes during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 ofthe Carisbad Municipal Code and to Citv Standards. 'The City Engineer may authorize minor variances from the Stomi Water Threat Assessment Criteria in special drcumslances where it can be shown that a lesser or higher Constmction SWPPP Tier Levei is warranted. Project Address: 1 l£6|0i/>»a> Be-. Owner/Owner's Authorized Agent Name: Owner/Owner's Authorized Agent Signature: Assessor Parcel No. Title: Date: 8-24 Page 1 of 1 Rev.03/09 STORM WATER Develooment Services Engineering Department STANDARDS Develooment Services Engineering Department ^ CITY OF QUESTIONNAIRE 1635 Faraday Avenue CARLSBAD E-34 760-602-2750 www.carlsbadca.gov INSTRUCTIONS: To address post-development pollutants that may be generated from development projects, the City requires that new development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (BMP's) into the project design per the City's Standard Urban Stormwater Management Plan (SUSMP). Initially this questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of stonn water standards that must be applied to a proposed development or redevelopment project. Depending on the outcome, your project will either be subject to 'Standard Stormwater Requirements' or be subject additional criteria called 'Priority Development Project Requirements'. Many aspects of project site design are dependent upon the storm water standards applied to a project. Applicant responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City staff has responsibility for making the final assessment after submission of the development application. If staff determines that the questionnaire was incorrectly filled out and is subject to more stringent storm water standards than initially assessed by the applicant, this will result in the return of the development application as incomplete. In this case, please make the changes to the questionnaire and resubmit to the City. If applicants are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, they are advised to seek assistance from Land Development Engineering staff. A separate completed and signed questionnaire must be submitted for each new development application submission. Only one completed and signed questionnaire is required when multiple development applk:ations for the same project are submitted concurrently. In addition to this questionnaire, applicants for construction permits must also complete, sign and submit a Project Threat Assessment Form to address construction aspects of the project. Please answer the questions below, follow the Instructions and sign the form at the end. 1. Is your project a significant redevelopment? DEFINITION: Significant redevelopment Is defined as the creation, addition or replacement of at least 5,000 square feet of impervious surface on an already existing developed site. Significant redevelopment Includes, but Is not limited to: the expansion of a building footprint; addition to or replacement of a structure; structural development Including an Increase In gross floor area and/or exterior construction remodeling; replacement of an Impervious surface that is not part of a routine maintenance activity; and land disturbing activities related with structural or impervious surfaces. Replacement of Impervious surfaces Includes any activity that is not part of a routine maintenance activity where impervious material(s) are removed, exposing underlying soil during construction. If your project IS considered significant redevelopment, then please skip Sectbn 1 and proceed with Section 2. If your project IS NOT considered significant redevelopment, then please proceed to Section 1. E-34 Paget of3 REV3/23/10 NJ/ CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Engineering Department 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov SECTION 1 NEW DEVELOPMENT PRIORITY PROJECT TYPE Does you project meet one or more of the following criteria: YES NO 1. Housina subdivisions of 10 or more dwellina units. Examoles: sinale familv tiomes. multi-familv homes, condominium and apartments 2. Commercial - areater than 1-acre. Anv develooment other than heaw industrv or residential. Examoles: hosoitals: laboratories and other medical facilities; educational institutions; recreational facilities; municipal facilities; commercial nurseries; multi-apartment buildings; car wash facilities; mini-malls and other business complexes; shopping malls; hotels; office buildings; public warehouses; automotive dealerships; airfields; and other light industrial facilities. 3. Heaw Industrial / Industrv- areater than 1 acre. Examoles: manufacturina olants. food orocessina olants. metal working facilities, printing plants, and fleet storage areas (bus, truck, etc.). X 4. Automotive reoair shoo. A faciiitv cateaorized In anv one of Standard Industrial Classification (SIC^ codes 5013. 5014, 5541, 7532-7534, and 7536-7539 5. Restaurants. Anv faciiitv that sells oreoared foods and drinks fbr consumption, includina stationary lunch counters and refreshment stands selling prepared foods and drinks for immediate consumption (SIC code 5812), where the land area for development is greater than 5,000 square feet. Restaurants where land development is less than 5,000 square feet shall meet all SUSMP requirements except for structural treatment BMP and numeric sizing criteria requirements and hydromodification requirements. 6. Hillside develooment Anv develooment that creates 5.000 sauare feet of imoervious surface and is located in an area with known erosive soil conditions, where the development will grade on any natural slope that is twenty-five percent (25%) or greater. 7. Environmentallv Sensitive Area (ESA)\ All develooment located within or directiv adiacent^ to or discharalna directly^ to an ESA (where discharges from the development or redevelopment will enter receiving waters within the ESA), which either creates 2,500 square feet of impervious surface on a proposed project site or increases the area of impen^iousness of a proposed project site to 10% or more of its naturally occunring condition. y 8. Parkina lot. Area of 5.000 sauare feet or more, or with 15 or more oarkina soaces. and ootentiallv exoosed to urban runoff 9. Streets, roads, hiahwavs. and freewavs. Anv oaved surface that is 5.000 sauare feet or areater used for the transportation of automobiles, tmcks, motorcycles, and other vehicles 10. Retail Gasoline Outlets. Servina more than 100 vehicles oer dav and areater than 5.000 sauare feet > 11. Coastal Development Zone. Anv oroiect located within 200 feet of the Pacific Ocean and (1) creates more than 2500 square feet of impermeable surface or (2) increases impenneable surface on property by more than 10%. 12. More than 1-acre of disturbance. Proiect results in the disturbance of more than 1-acre or more of land and is considered a Pollutant-generating Development Project^. > 1 Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas designated as Areas of Special Biological Significance by tlie State Water Resources Control Board (Water Quaiity Control Plan for tlie San Diego Basin (1994) and amendments); water Ix3dies designated with the RARE beneficial use by the State Water Resources Control Board (Water Quality Control Plan for tfie San Diego Basin (1994) and amendments); areas designated as preserves or their equivalent under the Multi Species Conservation Program within the Cities and County of San Diego; and any other equivalent environmentally sensitive areas whk;h have been identified by the Copermittees. 2 "Directiy adjacenf means situated within 200 feet of the Environmentally Sensitive Area. 3 "Discharging directiy to* means outflow from a drainage conveyance system that is composed entirely of flows from the subject development or redevekipment site, and not commingled with flow from adjacent lands. 4 Pollutant-generating Development Projects are those projects that generate pollutants at levels greater than background levels. In general, these include all projects that contribute to an exceedance to an impaired water body or which create new impervious surfaces greater than 5000 square feet and/or introduce new landscaping areas that require routine use of fertilizers and pesticides. In most cases linear pathway projects that are for infrequent vehicle use, such as emergency or maintenance access, or for pedestrian or bicycle use, are not considered Pollutant-generating Development Projects if they are built with pervtous surfaces or if they sheet flow to surrounding pervious surfaces. Section 1 Results: .If you answered YES to ANY of the questions above your project is subject to Priority Development Project requirements. Please check the 'meets PRIORITY DEVELOPMENT PROJECT requirements' box in Section 3. A Stonm Water Management Plan, prepared in accordance with City storm Water Standards, must be submitted at time of application. If you answered NO to ALL of the questions above, then your project is subject to Standard Stonnwater Requirements. Please check the "does not meet PDP requirements" box in Section 3. E-34 Page 2 of 3 REV 3/23/10 ^ CITY CARLSBAD O F STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Engineering Department 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov SECTION 2 SIGNIFICANT REDEVELOPMENT Complete the questions below regarding your redevelopment project: YES NO 1. Project results in the djsturt)ance of more than 1 -acre or more of land and is considered a Pollutant-generating Development Project (see definition in Section 1). If you answered NO, please proceed to question 2. If you answered YES, then you ARE a significant redevelopment and you ARE subject to PRIORITY DEVELOPMENT PROJECT requirements. Please check the "meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3 below. 2. Is the project redeveloping an existing priority project type? (Priority projects are defined in Section 1) V If you answered YES, please proceed to question 3. If you answered NO, then you ARE NOT a significant redevelopment and your project is subject to STANDARD STORMWATER REQUIREMENTS. Please check the "does not meet PDP requirements" box in Section 3 below. 3. Is the project solelv limited to just one of the following: a. Trenching and resurfacing associated with utility wort<? y b. Resurfacing and reconfiguring existing surface parking lots? y c. New sidewalk construction, pedestrian ramps, or bike lane on public and/or private existing roads? d. Replacement of existing damaged pavement? If you answered NO to ALL of the questions, then proceed to question 4. If you answered YES to ANY of the questions then you ARE NOT a significant redevelopment and your project is subject to Standard Stormwater Requirements. Please check the "does not meet PDP requirements" box in Section 3 below. 4. Will your redevelopment project create, replace, or add at least 5,000 square feet of impervious surfaces on an existing development or, be located within 200 feet of the Pacific Ocean and (1 )create more than 2500 square feet of impenneable surface or (2) increases impermeable surface on the property by more than 10%? X If you answered YES, you ARE a significant redevelopment, and you ARE subject to PRIORITY DEVELOPMENT PROJECT requirements. Please check the "meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3 below. If you answered NO, then you ARE NOT a significant redevelopment and your project is subject to STANDARD STORMWATER REQUIREMENTS. Please check the "does not meet PDP requirements" box in Section 3 below. SECTION 3 Questionnaire Results: • My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must comply with additional stonnwater criteria per the SUSMP and must prepare a Stonn Water Management Plan for submittal at time of applteation. My project does not meet PDP requirements and must only comply with STANDARD STORMWATER REQUIREMENTS per the SUSMP. Applicant Infomiation and Signature Box This Box for City Use Only Address: Assessor's Parcel Number(s): Applicant Name: Applicant Title: ApDlicaqt Signature: WO) Date: 1-31-11 Date: Project ID: e-34 Page 3 of 3 REV 3/23/10 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB110216 DATE 1/31/11 ADDRESS 1 LEGOLAND DR RESIDENTIAL ADDITION- MINOR (<17,000.00) RETAINING WALL VILLAGE FAIRE POOUSPA TENANT IMPROVEMENT COMPLETE OFFICE BUILDING OTHER INTERIOR T.I. PLANNER VAN LYNCH {J.l^ DATE 1/31/11 ENGINEER DATE H:\ADMIN\COUNTEH/PLANNINC/ENGINEERiNC APPROVALS Brenda WardweH BLDG. DEPT COPY From: Sent: To: Cc: Subject: Attacliments: Initial Revie Daryl [kitfire(gsbcglobal.net] Friday, February 04, 2011 1:01 PM Brenda Wardwell Janet Altar; Raenette Abbey CBl 10216 PC Comments CB110216 PCComments.doc Thank you, DaryCX. James VaryCX. James & JAssoc. Inc. 205 CoCina Terrace ytsta, CJA 92084 760-724-7001 CORRECTION LIST Daryl K. James & Associates, Inc. 205 Colina Terrace Vista, CA 92084 T. f760) 724-7001 Email: kitfire(gsbcglobal.net BLDG. DEPT COPY Page 1 of 2 Plan Checker: Darvl K. James Date: Februarv 4, 2011 APPLICANT: Russ Onufer JURISDICTION: Carlsbad Fire Department PROJECT NAME: Legoland PROJECT ADDRESS: 1 Legoland Drive PROJECT DESCRIPTION: CBl 10216 Addition of new exterior walls to enclose existing covered entry. INSTRUCTIONS • This plan review has been conducted in order to verify conformance to minimum requirements of codes adopted by the Carlsbad Fire Department. • The items below require correction, clarification or additional information before this plan check can be approved for permit issuance. • To expedite the recheck process, please note on this list (or copy) where each correction item has been addressed, i.e. sheet number, note number, detail number, legend number, etc Corrections or modifications to the plans must be clouded and provided with numbered deltas and revision dates. • PLEASE SEND OR DELIVER REVISED PLANS WITH ESGIL COMMENTS DIRECTLY TO: DARYL K. JAMES 205 COLINA TERRACE VISTA, CA 92084 • Please direct any questions regarding this review directly to: Daryl K. James kitfire@sbcglobal.net A-1 Building Codes Revise List of Applicable Codes (see below) The current edition (2010 Codes) of CCR Title 24 includes: Part 1, California Building Standards Administrative Code; Part 2, Volume 1 and 2, the 2010 California Building Code (CBC)and is based on the 2009 International Building Code; Part 3, the 2010 California Electrical Code (CEC) and is based on the 2008 National Electrical Code; Part 4, the 2010 California Mechanical Code (CMC) and is based on the 2009 Uniform Mechanical Code; Part 5, the 2010 California Plumbing Code (CPC) and is based on the 2009 Uniform Plumbing Code; Part 6, the 2010 California Energy Code; Part 9, the 2010 California Fire Code (CFC) and is based on the 2009 International Fire Code Provide List of Deferred Submittals 2010 NFPA 72 Deferred fire alarm system 2010 NFPA 13 Deferred fire sprinkler system General Notes Revise code references in notes: 13, 17,24 & 26. Fire Notes Revise code references in notes: 2 & 5. Sheet Index Revise to match sheets. Page 2 of 2 A-4 Floor Plan • Denote the location and mounting height of fire extinguisher(s). A-5 Door Schedule Add a note stating: Egress doors shall be readily openable from the egress side without the use of a key or special knowledge or effort. 6. Please clarify the need for the sign above the door. This sign indicates panic hardware is capable of locking from the inside, (wording has been revised in accordance with CBC 1008.1.9.3 to read: THIS DOOR TO REMAINED UNLOCKED WHEN BUILDING IS OCCUPIED. A-7 Provide a merchandise display layout for expanded Group Sales M Occupancy. Carlsbad Fire Department BLDG. DEPT COPY Plan Review Requirements Category: TI, COMM Date of Report: 02-18-2011 Reviewed by: Name: Address: DAN TALANT C/O RUSS ONUFER 2398 SAN DIEGO AVE SAN DIEGO CA 92110 Permit #: CBl 10216 Job Name: LEGOLAND: THE BEGINNINGS BLDG. Job Address: 1 LEGOLAND DR CBAD IlfOO^IPljDTE TliL It IIMlMll ulliui 'i4m4»ilmm!im>mmp^mmt^'r¥^^ Ihiu uffiiii fit Conditions; Cond: CON0004398 [MET] THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUANCE OF BUILDING PERMIT. THIS APPROVAL IS SUBJECT TO FIELD INSPECTION AND REQUIRED TEST, NOTATIONS HEREON, CONDITIONS IN CORRESPONDENCE AND CONFORMANCE WITH ALL APPLICABLE REGULATIONS. THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE THE VIOLATION OF ANY LAW. THIS PLAN WAS REVIEWED FOR CONFORMANCE BY DKJ & ASSC. AND APPROVED BY GRYAN Entry: 02/18/2011 By: DKJ/gr Action: AP ^O. DEPT COPY Brenda Wardwell From: Sent: To: Cc: Subject: Attachments: Daryl [kitfire(gsbcglobal.net] Wednesday, February 16, 2011 2:13 PM Brenda Wardwell Janet Altar; Raenette Abbey CBl 10096 PC Comments & CBl 10216 Condtional Recommendation for Approval CBl 10096 PC Comments #2.doc; CBl 10216 Condtional Recommendation forApproval.doc CBl 10096 Inital Review $180 Inv. 2741 Recheck $112.50 CBl 10216 Initial Review $157.50 Cgnditional Rat^mmendation for Approval $90 ^al $247^5^ ^ CBl 10216 will be delivered tomorrow. Thanks, VaryCX. James VaryCX. James & JAssoc. Inc. 205 CoCina Terrace yista, CJA. 92084 760-724-7001 CONDITIONAL RECOMMENDATION FOR APPROVAL See Remaining General Notes and Fire Notes Comments Written in Blue Font Below Page 1 of 2 Daryl K. James & Associates, Inc. Plan Checker: Darvl K. James 205 Co//na Terrace Date: Februarv 16. 2011 BLDG DEPT COPY Vista, CA 92084 T. f760) 724-7001 Email: kitfire@sbcglobal.net APPLICANT: Russ Onufer JURISDICTION: Carlsbad Fire Department PROJECT NAME: Legoland PROJECT ADDRESS: 1 Legoland Drive PROJECT DESCRIPTION: CBl 10216 Addition of new exterior walls to enclose existing covered entry. INSTRUCTIONS • This plan review has been conducted in order to verify conformance to minimum requirements of codes adopted by the Carlsbad Fire Department. • The items below require correction, clarification or additional information before this plan check can be approved for permit issuance. • Please direct any questions regarding this review directly to: Daryl K. James kltfire@sbcglobal.net A-1 V Building Codes Revise List of Applicable Codes (see below) The current edition (2010 Codes) of CCR Title 24 includes: Part 1, California Building Standards Administrative Code; Part 2, Volume 1 and 2, the 2010 California Building Code (CBC)and is based on the 2009 International Building Code; Part 3, the 2010 California Electrical Code (CEC) and is based on the 2008 National Eiectrical Code; Part 4, the 2010 California Mechanical Code (CMC) and is based on the 2009 Uniform Mechanical Code; Part 5, the 2010 California Plumbing Code (CPC) and is based on the 2009 Uniform Plumbing Code; Part 6, the 2010 California Energy Code; Part 9, the 2010 California Fire Code (CFC) and is based on the 2009 International Fire Code V Provide List of Deferred Submittals 2010 NFPA 72 Deferred fire alarm system 2010 NFPA 13 Deferred fire sprinkler system General Notes Revise code references in notes: 13,17, 24 & 26. To revise over tlte counter 17. CBC 906 24. CBC 903 Fire Notes Revise code references in notes: 2 & 5. To revise over ttie counter 2. CBC 806 5. CBC 907 V Sheet Index Revise to match sheets. Revised VA-4 Floor Plan V Denote the location and mounting height of fire extinguisher(s). Denoted Page z ot 2 Door.Schedule V Add a note stating: Egress doors shall be readily openable from the egress side without the use of a key or special knowledge or effort. Added V 6. Please clarify the need for the sign above the door. This sign indicates panic hardware is capable of locking from the inside, (wording has been revised in accordance with CBC 1008.1.9.3 to read: THIS DOOR TO REMAINED UNLOCKED WHEN BUILDING IS OCCUPIED. Removed VA-7 V Provide a merchandise display layout for expanded Group Sales M Occupancy. Provided SANDIEG0Ri6lONAL HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY UPFWf. HV« BP DATE / / Business Name Business Contact mBdj-iiJ Bumitrm^i^BJjr enoup u.5.i\oicirn6^ Telephone <f (760 ) ^18' Project Address City State / UQj&Oi^UD Dfl', QAR.WBfrO Zip Code Mailing Address „ City State Zip Code Plan Flle# Proiect Contad _ . ^ Telephone # "5V4.9 The following questions represent the facility's activities, NOT Uie specific project description. PART I: FIRE DEPARTMENT- HAZARDOUS MATERIALS DIVIStONrOCCtyANC^ Indicate by drcling the item, wtwtfier your bisiness will use, process, or StCrfli any of the fdlowlng hazardous materfals. If Shy of ttid fteWS are circled, applicant must contact the Fire Protection /Vgency with will use, process, or StCrfli any ol jurisdiction prior to plan SubmKta). 1. Explosive or Blasting Agents 2. Compressed Gases 3. Flammable/Combustible Liquids 4. Flammable Solids 5. Organic Peroxides 6. Ojddizers 7. Pyrophorics 8. Unstable Reactives 9. 10. 11. 12. Water Reactives 13. Cdmislves .C^bgehlcs 14. Other ftealth Hazards High^ Toxic or Toxic Materials <;;;2;>lone of These, f^iidloi^ves PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH ^ HAZyDQUS MATERIALS DIVIJ^^ WMPl questions is yes, applkant must contact the County of San Diego Hazardous Mat«irialS DiVtelwv, 1255 Imperial Avenue, 3'" floor. San D Call (619) 338-2222 prior to the issuance of a building pennit. FEES ARE REQUIRED. Expected Date of Occupancy:. s \ If the answer to any of the Msgo^CA 92101. • CalAf^ Exempt YES NO • 1. • Q^s your business listed on the reverse side of this form? (checK all tirat ap^^ 2. • Br Will your business dtepose of Hazardous Substances orfii^tcal Wf sta b^^ any Amount? 3. • WIN your business store or handle Hazardous Substances iii ^pjanlt^^^ or greater than 55 gallons. 500 pounds, 200 cubic feel, or carclnc^ens/reproducBVe tdxiris in any quantity 4. • 1^ WiH your business use an existing or Install an uni^rbuiKi sI^ 5. • tByAWB your business store or handle Reflulated isuyt^^ 6. • M Will your business use or install a Hazardous Waste Tank Syttent (Title 22,^ Date Initials • CalARP Required / Date Initials O CalARP Complete _____/ Date Initials PART III: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT: If ttw answer to any of the questions below is yw. applicant must contact the Air Pollution Control bistridTAPO)), W24 Old Grove ftMd, San DI^. CA 92131-1649, telephone (858) 586-2600 prior to the Issuance of a buiiding or demolition pemiit. Note: if the answer lo questions 3 or 4 is yes, applicant must also submit an asbestos notification form to the APCD at least 10 wortskig days prior to commencing demolition or renovation, except demolilion or renovation Of residential structures of fbuir unite or less. Contact Ihe APCD fbr more Information. YES • 2. • • • Wiii the subject facility or construction activities indude operations or equiptient lhat emit or are capable of emitting an air contaminant? (See the APCD factsheet at hlto://www.8dapcd.oro/info/fad^oermits.Ddf. and the list Of typical equipment requiring an APCD pennit on this reverse side /of this from. Contact APCD If you have any questions). ^ ....^ ^ Dfl' (ANSWER ONLY IF QUESTION 11S YES) Will the Sutded facility be located viithin 1,000 feel of the outer boundary of a school (K through 12)? (Public and private sr^ls may be found after search of the Califomla Sdwol Directory at httD://www.cdB.ca.aov/re/sd/: or contact the . appropriate school district). B/Wiil there be renovation that Involves handling of any friable asbestos materials, or disturtJing any matenal that contains non-fnable asbestos? Will there be demolition Involving the removal of a load supporting slrudurri member? Briefly descrit>e business activities: 1 declare under penalty (rf pertur/ttial to the best of my knowledge and bell mi ^^b^M^niade herein are true and correct. ^ I / j^&ll ^pRlSI?»Em»ANCY CLASSIFICATION:. BY: . DATE;. EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDINO PERMIT BUT NOT FOR OCCUPANCY REUASEDFORO CCUPANCY COUNTY-HMD APCD COUNTY-HMD APCD COUNTl'-HMD APCD HM-9171 (04/07) County of San Diego - DEH - Hazardous Materials Division INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY Date-j^ 7^7/ / Business Name_ (7- t^O i Street Address Email Address Cj-idj yu • Pmd ^ rn e P-O fj u^cc- lA kjp.. (Lom PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) Check all below that are present at your facility: Acid Cleaning Ink Manufacturing Nutritional Supplement/ Assembly Laboratory Vitamin Manufacturing Automotive Repair Machining / Milling Painting/Finishing Battery Manufacturing Manufacturing Paint Manufacturing Biofuel Manufacturing Membrane Manufacturing Personal Care Products Biotech Laboratory (i.e. water filter membranes) Manufacturing Bulk Chemical Storage Metal Casting/Forming Pesticide Manufacturing / Car Wash Metal Fabrication Packaging Chemical Manufacturing Metal Finishing Pharmaceutical Manufacturing Chemical Purification Electroplating (including precursors) Dry Cleaning Electroless piating Porcelain Enameling Electrical Component Anodizing Power Generation Manufacturing Coating (I.e. phosphating) Print Shop Fertilizer Manufacturing Chemical Etching / Milling Research and Development Film / X-ray Processing Printed Circuit Board Rubber Manufacturing Food Processing Manufacturing Semiconductor Manufacturing Glass Manufacturing Metal Powders Forming Soap / Detergent Manufacturing Industrial Laundry Waste Treatment/Storage SIC Code(s) (if known): Brief description of business activities (Production/Manufacturing Operations):. riti^er .S^RL/^J Df^FicE Description of operations generating wastewater (discharged to sewer, hauled or evaporated): Estimated volume of industrial wastewater to be discharged (gal / day): f\ List hazardous wastes generated (type/volume): A^' <-? Date operation began/or will begin at this location: Jn • / • J-v// ( f^-l //o.y Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes No If yes, when; Site Contact p I P^AA | 7/?- '^M>(' Title Oili<^0)c,Z cl- [i\iii)}ei]oiiee vUinm i'liCh; Phone No. c.»i-> , jx /; • Signature_ ENCINA WASt AUTHORITY, 6200 Avenida Encinas Carlsbad, CA 92011 (760)438-3941 I FAX: (760)476-9852 ^ CITY CARLSBAD O F PLUMBING, ELECTRICAL, MECHANICAL WORKSHEET B-18 Develooment Services Building Department 163S Faraday Avenue 760-602-2719 www.carlsbadca.eov Project Address: Permit No.: information pnMMed bekwv refers to worti lieing chine <»t the above mentioned permil: only. This ferwi wiMtt IM> iompteted mwl r«tnriiwl to the BwihllnB PBiHirtBieiif before the wriHit can lie i$SMeil. Buildbig D^t Fox: (760) 602-8558 Numlier of new or relocated fixtures, traps, or floor drains..... New builchng sewer line? Nunnber of new roof cfcrahris? InstalVolter water line?.......... f •••*«•« SM*** ••••••••••• Number of new water Iwaters?. Numiser of new, relocated or replaced gas outlets? Number of new hose bite? .......................................... Ves No_A. -J Upgrade existing panel? Number of new panels or subpanels? Single Phase Tfiree Phase., Three Phase 480 From Ves No X ^Amps to hYAi Amps <P — ...Num^ of new amperes HA Numt}er of new amperes. Nurrriier of new amperes t~^/Av Remodel (relocate existing ou^ts/switches or add outleb/switches)? Ves No Number of new furnaces, A/C or heat pumr»? New ar relocated duct woiii? Number of new fireplaces? Number of new exhaust fans?.... Relocate/instali vent? „— Nunit>^ of new exhaust hoods? ..... Number of neyw boilers or omipressors?. Ves X No .Number of HP B-18 Page 1 of 1 Rev.03/09