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Home My WebLink About1525 Faraday Ave; 350; CBC2017-0441; PermitCommercial Permit Carlsbad Print Date: 05/16/2018 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 1525 Faraday Ave, 350 BLDG-Commerdal 2121302700 $372,917.18 Tenant ImprovementWork Class: Lot #: Reference #; Construction Type: Bathrooms: Grig. Plan Check#: Plan Check #: BRIXMORE REALTY: 8,018 SF OFFICE TO OFFICE T1 (SUITE 320 IS NOW SUITE 350) Status: Applied: Issued: Permit Rnaled: Inspector: Final Inspection: Permit No: CBC2017-0441 Closed - Finaled 08/16/2017 09/12/2017 MColl 5/16/2018 4:20:08PVI Applicant: JOSE RODRIGUEZ Owner: NEWPORT NATIONAL CORNERSTONE LLC & EMERALD LAKE CORPORATE CENTRE LLC 858-794-3222 1525 Faraday Ave C/0 Scott Brusseau Newport NatI CARLSBAD, CA 92008 BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) ELECTKICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL GREEN BUILDING STANDARDS PLAN CHECK 8i INSPECTION MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL PLUMBING BLDG COMMERCIAL NEW/ADDITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL ' $1,595.15 $1,116.60 $89.00 $166.00 $55.00 $86.00 $15.00 $104.42 Total Fees:$3,227.17 Total Payments To Date:$3,227.17 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 Sertlon 66020(a), and file the protest and any other required Information with the City Manager for processing In accordance with Carlsbad Municipal Code 5ectlon 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. A 1635 Faraday Avenue, Carlsbad, CA 92008-7314 | 760-602-2700 | 760-602-8560 f I www.carlsbadca.gov THE FmOWINOAPHTOVALS REQUIRED PROR TO PBWrr ISSUANCE: □PLANNBIG □EI«»«RIN0 □BWUMHG □nitt □HEALTH □HAZMAT/APCD | Carlsbad Building Permit Appiication 1635 Faraday Ave., Carlsbad, OA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: buildlng@caiisbadca.gov wwwxarisbadca.gov Plan Check 044( Eat Value Plan Ck. Deposit Pateg-[(j)-n IswPPP JOBAODRBS 1525 FARRADAY_AVE. CARLSBAD. CA 92008CT/PROIECT#LOT#Piwgf#"#OFUMtS # B 350 « BATHROOMS 0 212 - 130 27 - 00 TENANT BUflNBC NAME BRIXMOR REALTY GROUP CONSTR. TVPC" VB OCC.QBOUP B1020 EDROOMS 0 TENANT IMPROVMENT INCLUDING: ADJUSTMENT OF WALLS, NEW BREAK ROOM, NEW FLOORING AND MATERIALS. NO NEW STRUCTURAL, PLUMBING OR HVAC ROOF EQUIPMENT. DUCT WORK ONLY. 8,018 USABLE SQ. FT. OF OFFICE SPACE. DECKS (SF) 0 EXSTWOUSE OFFICE PROPOSED USE .SEEISL GARAGE (SF| 0 PATK)S(SF) 0 FIREPIACE yesq# Nopn AIR CONOmONlNQ YEslXlNOn RRE SPRINKLERS YEspciNorn AFPUCAffT PMMEPriniNiy coNtNct JOSE RODRIGUEZ PROPERTY OWNER NAME p.PE RRTT!^5F.ATT ADDRESS 4944 COLLINGWOOD AVE.ADDRESS 1525 FARADAY AVENUE SUITE 100 crrv SAN DIEGO STATE CA ZIP 92109 CITY STATECARLSBAD, CA 92009 ZIP PHONE 858.794.3222 FAX PHONE 760-607-4282 FAX EMAIL JllODRIGUEZ@DESIGNCORPSD.COM EMAIL Jbrusseau@newportnationaI.biz DEBtON PROFESSIONAL CHRISTINE JORDAN CONTRACTOR BUS. NAME ADDRESS 4944 COLLINGWOOD AVE.ADDRESS vefo\?, STATE ZIPSTATECITYSAN DIEGO STATECA ZIP 92109 CITY CZA PHONE 858.794.3222 FAX PHONE FAX EMAIL CJORDAN@DESIGNCORPSD.COM EMAL "SO. cc.v*-t STATS ua#ATP Lie « (Sec.BppjlBuaidvE penalty of not more than fh« hundr^ doliais (^50d}L alter, Improve, demolish or repair any structure, pftor to Its Issuance, aSol^qufes the"OrrUBCtoFs License Law {Chapter 9, comrnenolnfivrahSecilon 7O00 of Division 3 of theAny violation of Section 7031.5 by any appDcanffbr a pemiit subjects the applicant to a ra ®II?[E(i©8'' ®®(3]P(l[S8<fl'LF0®G!] Woitni*'Conpensaaon DsdiiMioo: f iMtely affirni injcr pcflsfy ofperjury one of Um foAMtrij dsetoistfarts.' LJI have and wIErMMaln a csrtiBcataofconMnttoself-insursforworken'compentadon as provided by Section 3700 d the Labor Cods, for the perfarmanca of the work lor which this pemiitis Issued.0-U)aw arid wa indntdn worksrs'coBipansatioti, as required by SecOon 3700 o( the Labor (>ide, lor ew perfornurux d Bta work for which (hit pernih te issued. My worktri'coinpentatlan irtsurarKe carriar andriumfaar ate: Insurance CalVJSO^ZtNsJCfe CXJfi\Pfi(KH ppiieyNo. \AJS 0^02-"/'1 Expiration Date lOjlftnBsedkm need not bo comptetod if the petraSlikir one hundred ddlari(S100) or test "-''=-31Coifltlcaw d BtenxBloii: I cartlly thd tn the perfornranca of B* \Mjrk f« which tlW pernitt to Issued. I ttidl nd ernptoy any person h any manrwf so as to becotite sulijed to the Workers'CcJi^iertMllott Laws dCatfomia. WARMNQ; Faltiue b) secure wcrlora' compensation coverage is unltwfuL end shtl nrbjact mi einplo^ to crtabitl pensNlts end civil fines up to ens hundred thcunnd dolMt (&100,K0), IniddlBon to the cost of coaipematkiti^dMtfiitt^ provided tor In Section 37CS of tbe Labor code, jnterest end attomiy'i tees. CONTRACTOR SKatATUREQ^^^t A a - S^OBIT ©rarsSOoOCriOliBSS ®Bea<aOr3il70®C] I hemfyelBm that law exempt torn OinlractoriUcsnse Law tor ttrnfyBowingreeson: I I I, as owner dthe property or my employees wBi wages as fceir sole compensation, wa do the wnk and the structure linot Intended or dferBdferiale(Soc.7CH4,BuMie«t and Piofessioni Code: The Coiil(ik.kx'8— License Law does nd apply to an owner d property Mw buSdi or knproves thereon, and who does such work Mmsetf or through his own employees, provided that such Improvements are not intended or ottered forsale. B, howevof.lhebuBdkigoflmprovementlssrBd wlhln one yeerd completion, the owner^xiWerwII have Bie burden of proving that he did not biild or Impfove for the purposed sale).I I I, as owner d the property, am exctistvelycontrac&ig with Icensed contractors to construct the proiect (Sec. 7044, Business and Professkmi Coda: The Contractor's Ucensa Law does not apply to an owner d property who buildi or Improvfls Ihsreon, and conlracts lor such pit^ects with contractO((s) licenssd pursuant to the Contrador'a Lfcense Law). I I I am exempt under Section,1 .Business and Prdestnni Code for this reason:.1 personaly plan lb provide the major labor and malarials lor construction dihe proposed property ImpnnemenL I lYei I Ino ZI (have / have not) signed an appTicafion for a buUteg permit Ibr the proposed work. 3. i have cotWracted with the following person (fimi) to provide Sw proposed constmcdon (inctude iteme address I phone I contractors' icense numberj:4.1 plan to provide poftoni d the work, but I have hired tl» bBowing person to cocrdlnaie, supervise and provfde the nia(of work (inchida name / address / phone / contractors'Icense mmber); 6.1 wfl provida some d the work, but lhave contradad ((tied) foe folawing persons to provide the work fncfcatad (Include name / address {phone / type d work): JS^ PROftRTY OWNBl SIGNATURE □aoent DATE :C.O M:KL-ET-iE.;T'H I S SECT .ION T.O R .N O N.'-JR'E S I D E N Tl A .L^ B U I L D I N .G P E R M I T S. ONLY k Bta applicanl a Mure bulfing oc<aip8i< reqiared to lubmila butirwM pton, acutely hazantoui mtieriak registoSori fcm or nanagement arid prewnto program uiuto Sec&HU 28505,26633 or 26634.ti Ptoilby-TannarHazraous Subitatica Account Act? , Yei .No n b8ie applicant or Mure bUikfingoccapanliaquired to ;obtain a permftfroni the air paluflon carilMcHi|iM or air quaftyrnarngeirientrfslrfcl? Yet No ' ' b OwfadHtv to be constructed wtthln 1.000 fe^ of ttdoutsfboundafv of 8 sdiodste? Yes No F ANY OF THE ANSWERS ARE YES, A mAL CeniHCATE OF OCCUPANCY HAY NOT BE ISSUED IJMES8 THE APnJCANT HAS MET cm IS MEETING THE REQUIREMBfTS OF THE OFFICE OF aCRGENCY SERVICES AND THE Am POUOnWH CONTROL DtSTRKT. CONSTRUCTION LENDING AGENCY I hereby affirm Out therB is a coristrucSoii lending agency for the perfbrrnatxe of the work this permB Is iss^ (Sec. %)97 (1) Civl Code). Lender's Name Lender's Address APPLICANT CERTIFICATION t censyihat I haw read tte ^MfcaOon and state SMtlw otwue biMhiadoa It correct aM SM tha lidomwiloR on the plans It accurate: I a0w to co^'mU al Ci^ oidiritTioes Sta^ I haielty authcrtm lepwsenlatKre of tw cay of Cartstsd to enter upon the atmre mnioned properly Ibr inspeclion purposes, t ALSO AQtEE Tb SAVE, INOBMFY AND l<EEP HArarLESS TVE CITY OF CARLS8A0 AGAINST ALLLlABIlJTlES,JUpGaenB,COSTS/WEXPENSE8VVHtCHIlWY.NANYWAyACC(WEAGAINST61ADCnYINCONSEQUB«EOFTHE,GR«LTlNGCFTHSPERWT. ,, OSHA: At OSHApetmibreciiried far excavations owSV deep ariddemoltai Of conrtucSon of stiKfaresowfSstottesaihelghLEXPSMTXM Ev^ pernta ieti^ try tie Btddirb Official un^ Bw protAions of Ihk Code ^ exple try MtaGpn and beconw nul and wid If the tiuMng or vwrk author^ try stjdi pemtit b nM 180dMh)ni6re(tecf^befflfl(ylffiet)UllinQ0rtWtitautl0HZ8dhY|rirHfwnn»N*iwpon(y)^||Y^ihiniftnnari<Uiiny&iiniift(rlhi»r^ APf^tCANTS SfaNATUBr^" DATE 3 lf(ell^ STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY If a Certificate of Octupancy will be requested at final iirapection. C C-: IT T I F 0 C /t J' OF O C C t.l f A W C V ( C o m rn r r i a ! P r o j o C t v O r. 1 y | Fax (760) 602'8560, EmaB btfldilTQ@C«Blst)a(lca.QOV or Uait Oie comp)^ form to City 61 Cartetrad, Building Dlyisfon 1635 Faraday Avenue, Carlsbad, Calfbmia 92008. CO#: (OfflM UM Only) CONTACT NAME OCCUPANT NAME 6iiiiJ1MAfibta66ADDRESS "ar w STATECRYSTATE ZIP Carlsbad CA PHONE FAX OCCUPANTS BUS. Ltt. No.EMAIL DaiVERY OPTIONS PICKUP: CONTACt (UstBd atrova) OCCUPANT (Uatod atrnva) WMirBACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL/FAX TO OTHER: ASSOCtATEOCB#- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF UK/NO CONSTRUCTION >e$^APPUCANrS aONATURE DATE Permit Type: BLDG-Commerdal Work Class: Tenant Improvement Status: Closed - Rnaled Application Date: 08/16/2017 Owner Issue Date: 09/12/2017 Subdivision: Expiration Date: 05/14/2018 Address: IVR Number 5750 NEWPORT NATIONAL CORNERSTONE LLC & EMERALD LAKE CORPORATE CENTRE LLC CARLSBAD TCT#85-24 UNIT#05 1525 Faraday Ave, 350 Carlsbad, CA 92008 Scheduled Actual Date Start Date Type Inspection No.inspection Status Primary inspector Relnspectlon Compiete 124)8/2017 12/08/2017 BLDQ-Flnal Inspection 042811-2017 Checklist item Partial Pass COMMENTS Michael CoQIns Relnspectlon Passed Incomplete BLDG-BuildIng Deficiency Complete pick up on back of card No BLDG-BulldIng Deficiency Ok to occupy suite. Complete exterior accessltiiltty signage - Yes BLDG-Plumbing Final No BLDG-Mechanical Rnal No BLDG-Structural Final No BLDG-Electrical Final No BLDG-Building Deficiency Not ready No 06/14/2018 06/14/2018 BLDG-97 Disabled 067903-2018 Partial Pass Michael Collins Relnspectlon Incomplete Accessibility COMMENTSChecklist Item Passed BLDG-Buikdlng Deficiency Exterior signage only ok.Yes 05/16/2018 05/16/2018 BLDG-Flnal 068366-2018 Inspection Checklist Hem Passed Michael Collins COMMENTS Passed Complete BLDG-BulldIng Deficiency New east/west Accessible parking signage ok. Yes BLDG-BulldIng Deficiency Complete pick up on back of card No BLDG-BulldIng Deficiency / Ok to occupy suite. Complete exterior accessibility signage Yes BLDO-BuildIng Deficiency Not ready No BLDG-Plumbing Final No BLDG-Mechanlcal Rnal No BLDG-Structural Rnal No , BLDG-Hectrical Rnal No May 16, 2018 Page 3 of 3 n ' .'"'r-J■ 'A'?.? PERMIT;IN SPE)CT ION wisfORY REPORi- -A..: t ■/'.... ;■o ■ BC•\s :26l7-d441)^ : ■, 1 ■ .. \ .•, Permit Type: BLDG-Commerdal Application Date: 08/16/2017 Work Class: Status: Tenant Improvement Closed - FInaled Issue Date: Expiration Date: IVR Number. 09/12/2017 05/14/2018 5750 Owner: NEWPORT NATIONAL CORNERSTONE LLC & EMERALD LAKE CORPORATE CENTRE LLC Subdivision: CARLSBAD TCT#85-24 UNm#05 Address: 1525 Faraday Ave, 350 Carlsbad, CA 92008 Scheduled ActualDate Start Date Type Inspection No.Inspection Status Primary Inspector Relnspectlon Complete Checklist Item COMMENTS 11/22«017 11/22/2017 BLDG-FlnaJ Inspection BLDG-8ulldlng Deficiency BLDG-BuildIng Deficiency BLDG-44 Rough-Ducts-Dampers BLDG-14 Frame-Stoel-Bolting-WBlclIng (Decks) BLDG-24 Rough-Topout BLDG-34 Rough Electrical 041242-2017 M revised ceiling areas Not ready Checklist Item Failed COMMENTS Michael Collins BLDG-BuIldlng Deficiency BLDG-Plumblng Rnal BLDG-Mochanlcal Finai BLDG-Structural Rnal BLDG-Electrical Final Not ready Passed /' BLDG-BuHding Defiaency BLDG-14 Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout BLDG-34 Rough Electrical BLDG-44 Rough-Ducts-Dampers Not ready No No No No No 11/09/2017 11/09/2017 BLDG-44 N,040067-2017 Rough/Ducts/Dampe rs Failed lynchael Collins Relnspectlon Complete Checklist Item COMMENTS Passed ' BLDG-BuildIng Deficiency BLDG-Building Deficiency Complete all work Prelim, see card No Yes 11/16/2017 11/14/2017 BLDG-86 T-Bar, 040279-2017 Celling Grids, Overhead Passed Michael Collins Complete Checklist Item COMMENTS Passed Yes No Yes Yes Yes Yes Relnspectlon Passed No No No No No Complete 12/04/2017 12/04/2017 BLDG-Flnal Inspection 042028-2017 Checklist Item BLDG-BuikJing Deficiency BLDG-BulldIng Deficiency BLDQ-Piumbing Rnal BLDG-Mechanical Rnal BLDG-Structural Rnal BLDG-Electrical Rnal Failed COMMENTS Michael Collins Complete pick up on back of card Not ready Relnspectlon Passed No No No No No No CompletB May 16, 2018 Page 2 of 3 PEftMlJ^N^REGTldwiHiS.irdR^rREi?ot u'V;;,; v' ■T'' -V .. I.v' Permit Type BLDG-Commerclal ^ Application Date: 08/16/2017 Owner NEWPORT NATION/\L CORNERSTONE LLC & EMERALD LAKE CORPORATE CENTRE LLC Work Class;Tenant Improvement Issue Date:09/12/2017 Subdivision:CARLSBAD TCT#85-24 UNIT#05 Status:Closed -Rnaled Expiration Date; 05/14/2018 IVR Number 5750 Address:1525 Faraday Ave, 350 Carlsbad, CA 92008 Scheduled Date Actual Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Relnspection Complete 10/02/2017 10/02/2017 BLDQ-21 036431-2017 Underground/Underf loor Plumbing Checklist Item Passed COMMENTS Michael Collins Complete Passed BLDQ-BuildIng Defiaency Break room sink to POC at Ste. 290 Yes BLDG-24 036432-2017 Rough/Topout Passed Michael Collins Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Break room sink waste 8i water only Yes 10/11/2017 10/11/2017 BLDG-14 037444-2017 Fra me/Steel/Bo tUng/ Welding (Decks) Checklist Item Passed COMMENTS Andy Krogh Complete Passed BLDG-BulkJIng Deficiency Frame, see note on card for insulation Yes » BLDG-34 Rough 037223-2017 Electrical Passed Andy Krogh Complete Checklist Item COMMENTS Passed BLDG-Bulldlng Deficiency Waiis Yes 10/17/2017 10/17/2017 BLDQ-16 Insulation 037773-2017 Checklist Item Passed COMMENTS Michael Collins Complete Passed BLDG-Building Deficiency Waiis at corridor Yes BLDG-17 Interior 037772-2017 Lath/DrywaH Passed Michael Collins Complete Checklist Item COMMENTS Passed BLDG-BulkJing Deficiency Waiis only Yes 10/23/2017 10/23/2017 BLDO-44 038190-2017 Rough/Ducts/Dampe rs Checklist Item Partial Pass COMMENTS Michael Collins Relnspection Incomplete Passed BLDG-Buiiding Deficiency Prelim, see card Yes 11/08/2017 11/08/2017 BLDG-86 T-Bar, 039897-2017 Celling Grids, Overhead Failed Michael Collins Relnspection Complete May 16, 2018 Page 1 of 3 BH Mechanical Inc 7052:Convoy Ct, San Drego, CA92U1 ; Tel: 858-864-5702 License#; 1Q1$25C November 29, 2Q17 Pro/ec^ Brixmor Realty Group. 1525 FarddayAve, STE 350, Carlsbad, 92008 RE: Air Balance Report Equipment used AC-1 (existjng), SF-1, EF-1: new. See attached marked plan for register# reference. Mark WHP-1 Model# Register# NEW 1 2 3 Total CFM Reouired: 350 330: 300 TotalCFM Final 345 328 295 Unit perform per plans and within specification. Sincerely : Jonathan Haroch, Manager EsGil Corporation In iPartnenHip witfi government for (BuiUing Safety DATE: 8/24/17 □ APPLICANTja'JURis. JURISDICTION: rcaflsfrad-n PLAN REVIEWER^ —I □ FILE PLAN CHECK NO.: C2017-0441 SET: I PROJECT ADDRESS: 1525 Faraday Ave. , Suite 350 PROJECT NAME: Office TI 3'd Floor 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 I 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. I I 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: EsGil Corporation staff did not advise the applicant that the plan check has been completed. O EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: ^ Telephone#: Date contacted: (byr'»^ Email: Mail Telephone Fax In Person □ REMARKS: By: Chuck Mendenhall Enclosures: EsGil Corporation □ GA □ EJ □ MB □ PC 8/17/17 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Carlsbad C2017-0441 8/24/17 [DO NOT PAY- THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: C2017-0441 PREPARED BY: Chuck Mendenhall DATE: 8/24/17 BUILDING ADDRESS: 1525 Faraday Ave. , Suite 350 BUILDING OCCUPANCY: B BUILDING PORTION AREA ( Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) Office Tl 8000 City Est 372,917 Air Conditioning Fire Sprinklers [' TOTAL VALUE 372,917 Jurisdiction Code cb By Ordinance BIdg. Permit Fee by Ordinance Plan Check Fee by Ordinance Type of Review: □ RapetiUve FeeRepeats 0 Complete Review □ Other1^ Hourly EsGil Fee □ Structural Only Mr. @ $1,595.21 $1,036.89 $909.27 Comments: N/A Jn addition io the abpyie. fee, :ah add'rtion^l fee of $ . . is due. (. hour- ;$ V i) /hfc): for the CalGreen review;. Sheet 1 of 1 macvalue.doc + INDUSTRIAL WASTEWATER DISGHARGE PERMIT I , SCREENING SURVEYPate^T / I fg Business Name BRIXMOR REALTY GROUP ^ - Street AddreSsJ^525lFARRAPAYAVKSANpiEGO,CA92109 n . Email Address TRODRIGUEZgPESIGNCORPSD.COM ^ PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) Check all below that are pr^ent at your facility; LNOHA VMSmVAT0t Acid Cleaning Assembly Automotive Repair Battery Manufactunng Biofuel Manufacturing Biotech Laboratory Bulk Chemical Storage Car Wash Chemical Manufacturing Chemical Purification Dry Cleaning Electrical Component Manufacturing Fertilizer Manufacturing Film / X-ray Processing Food Processing Glass Manufacturing Industrial Laundry Ink Manufacturing Laboratory Machining / Milling Manufacturing Mernbrane Manufacturing (i.e. water filter membranes) Metal Casting / Forming Metal Fabrication Metal Finishing Electropiating Electroless plating Anodizing Coating (I.e. phosphatirig) Chemical Etching / Milling Printed Circuit Board Manufacturing Metal Povyders Fprming Nutritional Supplement/ vitamin Manufacturing Painting / Finishing Paint Manufacturing Personal Care Products Manufacturing Pesticide Manufacturing / Packaging Pharmaceutical Manufacturing (including precursors) Porcelain Enameling Power Generation Print Shop Research and Development Rubber Manufacturing Semiconductor Manufacturing Soap / Detergent Manufacturing Waste Treatment/Storage SIC Code(s) (if known): ^^ '■' ■' ■ Brief description of business activities (Production / Manufacturing Operations): COMA^ERCTAT. RP.ATKSTATF HT.AnOTTARTRBS- MANAGING OPP STTP rOVfX/fPPnAT PAPn TTTP<; Description of operations generating wastewater (discharged to Sewer, hauled or evaporated): Estimated volume of industrial wastewater to be discharged (gai / day): List hazardous wastes generated (type/volume): . - Date operation begah/or wiil begin at this location; Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes No . if yes, when: ^^ Site Cpnta Signature Title Phone No. ENCINA WASTEWATI AUTHORITY, 6200 Avenlda Encinas Carlsbad, OA 92011 (760)438-3941 FAX: (760)476-9852