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Home My WebLink About1850 MARRON RD; 108; 87-489; PermitUSE BALL POINT PEN ONLY & PRESS-HARD - APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. 2 F'Dhereby atIirm I I am licensed under proviaiöh&ot O4saptr'9 (commencing w!th I SectIon -7000) of Division 3 of the Business .I.C,,..nd Professions Code,and my license is in - L'fuIi force and effect. - - I. hereby-.affirm that I am exempt from the Contrac' ' or's License' Law for the following reason Sec. - 7031:5 I ". Business and .Professions Code: Any City OF County which re - , quires a, peyml to c005trect, alter, improve, demolish, or ,,epair any structure. prior to its issuance also requires he ap 'b plicaot br such permit to life a signed statement that he is - •. —hcensed- pursuant -to -(he provisions of the Contractors- -. License Law (Chapter 9, commencing with Section 7000 01 i * Division 3.,of,the Business yird.Protysions Code) a that is ex- empt theretrom and the basis tot the.altegeo.exemption. Any ' viotation of Section 7031.5 by an applicuntiur'a permit sub',I jects the applicant to a civil-penalty 01 min more than tine hun- dred doIlars.($500)...,_._..__u.._.,._-' -' - -1 1. as owner 01 the property, army employees with,wages '- , as their solecothpensation:'nill do th'ivork, and the strric' . tare is not intin'ded or httered Or sale')Sec. 7044. Business I .J. and Professions Code: The Contractor's license-Law dues - ,'not apply toL an owner of property_who bailds'O, improves rn thereon and'who does such work himselt or through Iil owe employees. provided that such improvements are not intend' - Iua j.) ed-or uttered tor'sale,-lt, hnwever, the building orimproveL"k.i Z ,ment is sold within one year. 01 completion: the owrler'builder -' - will have the burden of pruning that-he_did not build or im' I - 0 prone for the purpose, of salej. - ..... - I, as own"ut the property, am exclusively contracting - - licensed contractors to construct the project (Sec. 7044, - - ' % Business and Protessions Code:' The Contractnr's License I Law does nut apply loan owner of property who builds or im- - - proves thereon, and who contracts or each projects with a U) . contractor(s) licensepursuant- In the' Contractvr's-Licensè - I Z - Law).- --- - 2 1 Asa homeowner I am improving my home. and the 10110w- . I ing conditiunsexist..cc 1. The work- is'being performed prior-to sale, l - —.. - 2- -I -have--lined' insmy_hyme: or, twelve months - • prior to completion'ol this work1 UI 3. ,_l have, not clai/ied" this exemption, during the last three'yoars. 0-la rn exempt under Sec. - - -B'S P.0 I fi this re on -t"d CC -'';r'I S I hereby affirm that I have a cevt,trcate.oi,consent-to -I - - -1 SoIl-insure, or a certiticate,01'WerkersCompensatbon In. ,ance.or a ce5ihed copy. 'theTeot(ec: 3800. Labor Code)" - ri 4iP2LtCY'NO.(5flL*& - •.1 COMPAN'Y '—Copy 1s'j,jIedyith the city 0 Certitied copy is1herebytrieished.'lt . UI -' - - - - -- - - - a - - ',.. , . .,4.,0.-0 C ERTIFICATE OFEXEMP'tIO'i IROM- C)TWORKERS •COMPENSATION INSURANCE - in "lThis.svctiqh.ieed not be 'c'ombleted'it the'ermit 1 p. ' is'lor.oiie hundred dollars 10100101 10551 lcertityJhat,in the perlormance or the work Or whictr I S Ihis'permitT's issed, I shall not employ any person in any I 0 'manper so as to become subject to he Workehs' Cdrihpen" . sarion Laws 01 California. - N'OTICE,TOAPPLICANT'If. u11r makirsg this Certific'te - 1 1ot.Eu'emptioriyu should becomeSubject to the Workers' ;cofrrpensatiOn provisions nt,the Labor Code, you must' .torIhsith-dompty with such provisions or this permit shall - -- -- be deemed-revoked,-'_- - - - ---' Iherb attim 'that thdreis a Construction lending ' agency to, the performance of the work to, which this per. at U Is mit issued Sec. 3097. Civil Code) UI i Lender's Nume i•Li'T's•f,- 5). - u. Address,-,- ---- - --- --"-- .. -,--- - CARLSBAD-BUILDING DEPARTMENT-APFLicATIoN& PERMIT I .\ 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 4 '' - , JOB ADDRESS . AV. ST.RD. THOMAS BROS NO. DATE OF APPLICATION BUSINESS LICENSE a VALUATION 1?ERMIT NUMBER' -- ZONE - . - q7 LOT BLOCK • - SUBDIVISION - - I ASS 0. - S R PARCE ' CONTRACT R CONTRACTORS PHONE C OWNER'S NAME OWNE R'S PHONE CONTRACTOR'S ADDRESS ' . - - . ' STATE LICENSE NO. . - - - . - ' - ' --0024--1O/21 010. - BULDING 50. FOOTAGE 01' MAILING ADDRESS - - - DESIGNER I DESIGNERS PHONE flkAcS 3 R ONOFWORK.rr -. - R f tevI9 DESIGNER'S ADDRESS .a7J/J3 STATE LICENSE NO. iiiiiiiiiiiiiia _JI_AfOVA'1 - - ------------ _. . •.__. . -- - -- -- - -- - - -' -'F/P R ELEV.NO • GP!EDU - YONd SPACE RES UNITS -GRADING PERMIT ISSUED REDEVELOPMENT ' 0CC LOAD 7CENSUSTRACT.—I,PARKING FIRE SPR AREA ' ql~j Y 0 N 0 5' 0 NO — -r- 0 NJ Not Valid Unless Machine Certified QTY. J PLUMBING PERMIT ISSUE 7 OTY MECHANICAL PERMIT ISSUE SUMMARY/ACCOUNT NUMBER - - ECH-FlXTURE 1-RAP' \ - - - INSTALL FURN. DUCTS 'LIP TO 100,000 BTU - g BUILDING PERMIT- - 001-810-00-00-8220 - - - - 7 EAC')-I-BUi-),i)IN SEWER-•h•\-0- 'y , . ,i_,'s "- ' -- , • ¶ - OVER100,000 BTU 's.---- --------, .-0SIGNPERMlT- - .001-81O-00-0O'822f- ' - ,EACH'WA'TER"H'EATER'ANOtOR VENT -t' 7 B,-Prt7COMPRESSOR UP TO 3 HP - - PLAN CHECK ' 001-810-00-00-8891 --EACH GAS SYSTEM-1-T-0 4 OUTLETS- , '' - - - - ' -' 'OILER'iCOMPRESSOR 315'HP ' - - -' - TOTAL PLUMBING. 001-810-00-00-8222 . . * -.EACH GAS SYSTEM-5 OR-MORE-..-..METAL EIREPLACE.. - •, •'. . - , ELECTRICAL .. 001-810-00-00-8223 EACH (NSTAL,..ALJER, REPAIR WATER PIPE, VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224 -- I - cT EACH VACUUM BREAKER • - ' - MECH EXHAUST HOODfDUCTS - 'T ' : - MOBILEHOME - ' - 001.810.00:00.8225 — WATER SOFTNER - ' - . - -- RELOCATION OF EA FURNAcE/HEATER-. _.SOLAR - - - ,:_- , - 001-81000-00-8226 -. — ._,._.•_- .. — __ - - EACH ROOF 'DRAIN ('INSIDE)- - - • - - - • DRYER VENT - - - - r -- . - STRONG MOTION -' - 880-519-92-33 . • /, d"j -- - '• , - - -. - . - ' TOTaI,.MECHANlCAL - - SPRINKLERS-'-- - - —001-810-00-00-8227" - ''- • TO! Al PLUMBIN(, -- .- I 1444.___- PUBLIC FACILITIES FEE 320-810-00-00'-8740 OTY. \"l - Li ELECTRICAL PERMIT - ISSUE - OTY. - - . • ', - BRIDGE FEE •- 360-810-00-00-8740 ' - - MOBILE HOME SETUP PARK-IN- LIEU'(AREA - I -'' •'L -' - - N'EW CONST EAAMP'SWI ((KR CAR PORT ' - - - • - --'- - ----FIRE TIE 312-810-00-00-8835 - ,PH, -- ' ,•- .- , -- AWNING AWNING LA COSTA TIF - 311-810-00-00-8835 - EXlST'BLOGE'AAMP/SWTBKR_r-- _-x .- - - GARAGE/\' PH c 'i 3 PH -s I LICENSE TAX '7.-, 001-810-00-00-8162 REMODEL, ALTER PER CIRCUII' ' '"l ' MFF 8805199257 s' -TEMPPOLE-5 200'AMPS'- - .,-.'LJL'- --- ,e.,-PAID • OVER 200 AMPS.,. - CLJ±IPLRED TEMP OCCUPANCY (30 DAYS) * - \c ,. CARLSBAD CA - --- -- - - -- - t -Vo , - TOTAL ELELTRIlAt - N [ - TOTAL FEES PAYABLE88 I HAVE CAREFULLY EXAMINED THE COMPLETED ':APPLICATION AND PERMIT' AND DO HEREBY Expiration, Every permit Issued by the Building Official under the provIsIons FOR EXCAVATIONS OVER authorized by such is not 180 day permit commenced within 0 he - CERTIFY - UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code Shall expire by,limitation and becomeflIII and eood U the loudd4cppN NT F sJO I N OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, it i the building or work authorized by such permll Is suspended or IES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON - aban at any time a(er thork is commenced bra perIod 01180 days- - - STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND V BY KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND APP T S SIGNTURE • OWNERD CONTRACTOR 0 APPR 0 - -- ' - 071 fr • - EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY 1IN'CONSEQUENCE OF THE BYIPHONE GRANTING OF THIS PERMIT. V.,, -. - TYPE - DATE INSPECTOR BUILDING FOUNDATION FIELD INSPECTION RECORD ;3.,;;; REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR;5qT M. MASONRY INSPECTION REQ. IF CHECKED INSPECTORS APPROVAL DATE GUNITE OR GROUT i SUB FRAME Li FLOOR Li CEILING PRIOR TO CTURALCONCRETE SOILS COMPLIANCE SHEATHING 0 ROOF Li SHEAR FRAME '2,/22_/1 , EXTERIOR LATH I OVER 2000 PSI INSULATION I ft ç747/A/t PRESTRESSED . . INTERIOR LATH & DRYWALL I - - CONCRETE POST TENSIONED CONCRETE PLUMBING FIELD WELDING Li SEWER AND BL/CO Li P(/CO / / BOLTS HIGH STRENGTH UNDERGROUND 0 WASTE 0 NATER, ?'T9 4/1p SPECIAL MASOFRY TOP OUT Li WASTE 0 WATER/ TUB AND SHOWER PAN GAS TEST PILES CAISSONS - D WATER HEATER D SOLAR WATE ELECTRICAL Li ELECTRIC UNDERGROUND LIUFFER / . J ROUGH ELECTRIC 11 J/!fzfl ItA - 0 ELECTRIC SERVICE Li TEMPORARY Li BONDING Li POOL MECHANICAL -..- . . Li DUCT & PLEM., 0 REF. PIPING • _____ . . . . HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WI-lEN ALLAPPROPRIATE . ITEMS ABOVE HAE BEEN APPROVED. .._. •. '.. FINAL PLUMBING ... . - . . •. . . . .' . .,, .... ELECTRICAL MECHANICAL UILDING . - 4f• SPECIAL CONDITIONS / / r_ S •'• •. •. S - - • , •• / , ' DEVELOPMENT PROCESSING SERVICES DIVISION 2075 LAS PALMAS DRIVE •--- - : r CARLSBAD, CA 92009-4859 - • * - •t • -.: (619)438-1161 • MISCELLANEOUS FEE RECEIPT Applicant Please Print And Fill In SjIe5Are*ç9n1Y ,j4IO, JOB ADDRESS PLAN ID NO. Q1' Ill " ASSESSOR'S PARCEL NO.- -•' ' " tMIi46ft- ,OWNER $ OWNER'S, MAILING ADDRESS 27t'7 - 0001 09/11 0101 O5tlisc 120 00 VALIDATION AREA ZIP 3?4t!3 TEL- CONTRACTOR,J rESTMATED VALUATION 001-810-00-00-8821 CONTRACTOR'S ' MAILING ,• ADDRESS'.r• PLAN CHECK FEE IF THE APPLICANT TAKES NO ACTION -- CITY +1L ZIP TEL 7 WITHIN 180 DAYS PLAN CHECK FEES WILL STATE..- BUSINESS LICENSE NO LICENSE NO.,t•I SUBDIVISION LOT(S) LEGAL DESCRIPTION CHECK IF SUBMITTED 4 2 ENERGY CALCS 2 1987 ENERGY CALCS FOR NON RESIDENTIAL BLDGS DESCRIPTION OF WORK 1N41 2 STRUCTURAL CALCS —' 2 SOILS REPORTS io U )J11 t~z 2 /j)J• SELF ADDRESSED ENVELOPES N nTic a 5 . I -. A ' - • DATE GIVEN/ SENT TO APPLICANT DATE CONTACT PERSONI f I LA COSTA LETTER" ADDRESS71 - - - SCHOOL FEE FORM - • -S • CITY Vi6 )Z-/O3 TE P & E CORRECTIONS LIST -i. -•- , - •-•-•---- 5- 5 • • N ' - - - Pirk Finance Gold- Asssor II a -' CERTIFICATE OF OCCUPANCY * LL f AP CAN SIGNAURE •.. DATE • - - 'S • • .-• • • • :-'. -•' White - File - Yellow - Applicdnt ' FINAL BUILDING INSPECTION PLAN CHECK NUMBER 87-489 DATE Dcembr 15, 1987 PROJECT NAME ROERT J. FLEMiNG, JR , D D S ADbRESS:. : 1850 MARRON RoAD,rsDT-rE 108 (BLDG. P) PROJECT NO,:' UNIT NUMBER _________________ PHASE NO TYPE OF UNIT COMML. T. I • NUMBER OF UNITS:. CONTACT PERSON THOMAS .1 FLEMING 294-8019 CONTACT TELEPHONE:_____________________________________________________________________ BUILDING, FIRE,PLANNING AND ENGINEERING iNSPEC D_ 6 , / DATE ftSPECTED /2 'IL 17 APPROVED DISAPPROVED ______ INSPECTED DATE BY: INSPECTED: APPROVED ______ DISAPPROVED INSPECTED DATE BY INSPECTED APPROVED'----:-' DISAPPROVED COMMENTS: Rev.1186 WHITE: Susr'ense BLUE: Water Distriôt GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire FINAL BUILDING INSPECTION DEC 161987 RECEIVED / PLAN CHECK NUMBER: 87L3S9 DATE December 1S 1987 I .PROJECT NAME:ROSERT J. FLM1NG,: JR., ADDRESS lUbO MARRON ROAD, SUT 108 (3LDC, P) PROJECT NO: UNIT NUMBER: _________________ PHASE NO.: TYPE OF UNIT: COMML. T. 1. NUMBER OF UNITS: CONTACT PERSON: THOMAS J. FLtMNG : 294-8019 CONTACT TELEPHONE:_. . . .. . WL1tC, EIR,PLANN1NC AWt G4ER1G "INSPECTED DATE INSPECTED: _________ APPROVED ______ DISAPPROVED INSPECTED . . . PATE.. . BY: INSPECTED: APPROVED DISAPPROVED INSPECTED DATE BY: INSPECTED: APPROVED DISAPPROVED COMMENTS: . . . .,: : . Rev. 1186 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire ..ESGIL CORPORATION 9320 CHESAPEAKE DR, SUITE 208 SAN DIEGO, CA 92123 (619)560-1468 DATE: APPLICANT - ISD-CT.-ON JURISDICTION: .. CA,fes fZ4t 7f CIIECKER UFILE COPY PLAN CHECK NO: , 7- '/8 2 .. - ODESIGNER PROJECT ADDRESS:- 2 8-5`0 114'0,v /2, 13P PROJECT NAME The plans transmitted herewith have beencorrected'where 1 necessary and substantially comply with: the jurisdiction's -• building codes. - The plans transmitted herewith will substantially qpmply with the jurisdiction's building codes when minor deficien- cies identified are resolved and checked by building department staff. j The plans transmitted herewith have significant deficiencies * identified on the enclosed check list and should be corrected • and resubmitted for a cómpleterecheck. - - The check list transmitted herewith is for your information. The plans are being held at Esgil Corp. until corrected plans are submitted for recheck. - • The applicant's copy of the check list is enclosed for the • Jurisdiction to return to the applicant contact person. D'The applicant's copy of the check list has been sent to: WE Esgil staff did not advise the applicant contact person that plán check hasbeen completed. -Esgilstaff did advise applicant that the plan check has been completed. Person contacted: 7;'13 • Date contacted: _92O87 -Telephone # _ REMARKS: • •- • By 6_ 14 Enclosures: - • ESGIL CORPORATION * APPLICANT JFILE COPY i•. ESGIL CORPORATION :.. 9320 CHESAPEAKE DR., SUITE 208 '_ ol '4-i -1 SAN DIEGO, CA 92123 (619) 560-1468 DATE: JURISDICTION: .ciom us a Pro PLAN CHECK NO: PROJECT ADDRESS: M-Qo PROJECT NAME: '5 E The plans transmitted herewith have been corrected: where. . necessary and substantially comply with the jurisdiction's building codes. . :,. .. The plans transmitted herewith will substantially comply E] . .•. with the jurisdiction's building codes when minor deficien- cies identified ' are resolved and checked by building department staff. ,J The plans transmitted herewith have significant deiciencies.,',j,. : identified on the enclosed check list and should becorrected •:. - and resubmitted.f or a complete recheck 5 • g The check list transmitted herewith is for your information., The plans are being held at Esgil Corp. until corrected . , plans are submitted for recheck. ' ' •• The applicant's copy of the check list is enclosed for the.. jurisdiction to return to the applicant contact person.. The applicant's copy of the check list has been sent to: -~~)V\A)Pr 71, 1(T . Esgil staff did not advise the applicant contact person that plan check has been completed. 0 Esgil staff did advise applicant that the plan check ha ,been completed. Person.contacted: . . . - Date contacted: Telephone # ' REMARKS: By:U4 4V1 (k. Enclosures: IZ1I ESGIL CORPORATION £?OL' c - , -147 , - S..-i 7'6 I. A1O7 Ii4i5, Crqois I," o - at, 7,e' 13 Cv iw 3) -iii A''o,-i C-' q iecr. 7'4AJ 9sic 4g1ocd 7 r 'Le V , I2j t' - CIA - - r sJCOR A v AAj a t/'C 5c ne i. $0/ S •5 ESGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 208 ?D. LSWL,1 4181 SAN DIEGO, CA 92123 (619)560-1468, DATE: '. '. 0 J APPLI, C,ANT S JURISDICTION: Cn2L$,6/Q '' PLAN CHECKER FIr ,PLAN CHECK NO: S'.! 4 9 - jups :DDESIGNER PROJECT ADDRESS:SO 62OfJ PROJECTNAME:C5p r:r The plans transmitted herewith have been corrected where Ej necessary and.substantially comply with the jurisdictión's.i. ,building codes. .:.• •,• , •. '. ..The plans transmitted herewith will-ubstantially Comply ' •. 0 with the jurisdiction's building codeâ when minor. deficien •• cies identified are resOlved and checked by building department staff. h Théplans transmitted herewith have ignificant.deficiencies . identified on the enclosed check list and should be corrected. '• '. and resubmitted-for a complete recheck. •. .. .• , The check list transmitted herewith is for your information. ' •., ..• The plans are being held at Esgi]. Corp. until, corrected. plans are submitted for recheck. .D The applicant's copy of the check list is enclosed for the jurisdiction to return to the applicant'contact person. '• The applicant's copy of the check list -has been sent to: LL ZI(A •0,, iQ C Esg1l staff did not advise the applicant contact' person that ' plan check hasbeen completed. •. : . . •• S •' Esgtl staff did advise applicant that the plan check has been completed. Person contacted: __• 0 • . •.•- - 0 Date contacted Telephone #_________________ E COPY REMARKS By WTo sure s .' • ESGILCORPORATIOW S S - 0 0 •. : ' _____________________________________________________________________________________ 5- •. "*.S5 "it' '&C/. 0$ $5' S '5' $5' • ., ..-...a'. 4*, $ J. : ' READ flAX - FORTh PLEASE 3uR1soxcrIoH: Plan check is limited to technical requirements ,-r-2- contained in the. Uniform Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy 0 - TO: - conservation, noise attenuation and access for - the handicapped. The plan check is based on regulation enforced by the Building Inspection Department.' You may have other corrections 21 (91 T~)'Y 'ST - based on laws and ordinances enforced by the D C ' Planning Department, Engineering Department or other PROJECT DATA S Preient California law mandates that -: construction comply with Title•• 24 ind the 4 ' applicable model code editions adopted, with or BUILDfl*G 1SZ: - ' /1 without changes, by.the various state agencies authorized to propose building regulationsfor 1YPZ OF cONSUcEIOM: __./_/I / S en.force.ent at the local level. Code sections . • .. . . cited are based on the 1982 UBC 'JCItIAX. AREA:__________________________ ' .• .. . The above regulations apply to construction, ALLORABLE AREA: . ,/ regardless of the code editions adopted by. . ... . . ordinance at the local level. The circled items listed need clarification, . \ . .. 'modification or change.. All items have .to be . . .' . L ' satisfied before the plans will be in SPfl: ! conformance with tha cited codes and •.. regulations. Per Sec. 303 (c), 1982 Uniform MPANX IAD:. _.... _. . Building Code, the approval of. the plans does .. IA . . . not permit the violation of an state, countyor city law. AS:_____________________________________ '' To _smeed up the recheck process,note on this list (or acoov) where each correction item has \ PLMKxzLLL0H _s- . 5 been addressed,.i.e.,elan sheet,smecification. etc. TENANT IMPROVEMENT .. ' 0 up _list Be sure-to enclose the marked vhen, nu submit the revised plans. Data plans received by jurisdiction:___________ .. . ,. Date plans received by Esgil Corp.: 0 \_417 . .. . Date. Initial plan check completed: . . . i\1By: Applicant contact person: MJL • ' . 5- ' . ______Tel. 11 . . 5... T.• )$O: PA Nflfl•S An wr. DET List No. 50, 'TENANT IMPROVEMENT WITHOUT SPECIFIC ENERGY ZONE DATA •R POLICY SuPPLEMZNTS - • : .2/10 87 1 . . 0 • . S.. *•• - * . • - . 0' 05 0 *0 5 0 0 S_• •. à0_ - S • - s - .5 - .. •.s..*.s.*-0.S .0.4 5 I 4. .54 2(1 Note on the plans A1* exit, ace / to be openable from inside t'tthout the use of a key or special knowledq. In lieu of the above, in • Croup a occupancy, you may note Provide a sign on or near the exit doors reading TillS DOOR TO REMAIN Wi- LOCICED DURING BUSINESS lioUns. Required exit doorways shall be not " less than 36 inches in width anà not less than6 feet r 0 inchesin height. / Section 3304(e). ,2. Exit doors shall swing in the direction of exit travel (occupant load exceeds , 50). Section 31041b). 4'. Show the locations of existing exits / from the building and show the path of travel from the remodel Area to the existing exits. (10. Corridors must provide continuous pro- tection to the exterior of the building. Interruptions by intervening room i not permitted. Foyers, lobbies or reception rooms constructed as required for corridors are not considered inter- vening rooms. - 3J4' Show exit corridors as 44 incheswide 7 minimum. Deadend corridors are limited to 20 feet when more than-one exit Is required from the corridor. Section - 3305. 32( Provide one-hour 'construction details ( for all corridor walls and cei1in4s serving an occupant lead of 30 or more. Identify all rated corridors. Walls of reception rooms and lobbies which are included within protected Corridors just have walls and ceilings Constructed as required for corridors. - 3.( Protect all interior openings in corridor / walls and ceilings. Doer and frame must be labeled 20-minute smoke and draft control assembly with self-closers or automatic closers with smoke -detectors. Section 3305(h). Glaring must be -1/4 Inch-thick wired glass installed in steel frames and cannot exceed 25 percent of the common vail. area. Section 3305(h)2. Show the location of fire dampers. ' Provide fire dampers at duct pene- trations of fire-rated occupancy and area separations, shafts and corridor walls and ceilings. Section 4306(j). If building exceeds two stories show " corridor is separated from elevator shaft. Sections 3304(g)(h) and 1706(a)(b). (See I.C.B.O. interpretation). ton the plan** A11 Interior f11L5)' must comply with Chapter 42 of the UDC. Specify 'class _flame spread rating (minimum) for Lateral bracing for suspended ceiling must be provided. (UDC Table 23-3) Whore ceiling load, are less than S PS? and not supporting interior part- ition., ceiling bracing shall be pro- vided by tour. No. 12 gauge wire, secured to the main runner within 2 inches of the cross runner intersection and splayed 90 from each other at an angle not exceeding 45 from the plane of the ceiling. These horizontal restraint points shall be placed 12 feet C.C. in both directions with the first point within 4 feet of each wall.. Attachment of restraint wires to the structure above shall be adequate for the load Imposed. Draft stop any suspended ceiling in wood frame floor construction every 1,000 sq. it. and in attics of com- bustible construction every 3,000 sq. ft. The maximum distance allowed between draft stops is 60 feet. Section 2S16(f). The tenant space and new and/or existing facilities serving the remodeled area must be accessible to and functional for the physically handicapped. See the attached correction sheet. Title 24, Part 2. Show the exit sLn locations; show any required directional exit signs. Section 3314. Rooms with more than 10 occupants may bave oni exit through one adjoining room. Revise exits to comply. Section 330(e) Two complying exits are required from exits must be, and main- tain, a distance apart of at least 1/2 the maximum diagonal dimension of the area served by the exits. Section 3303 Assembly rooms with more than 30 occupants shall not have a lock or latch on exit doors unless they are .equipped with panic hard-ware. Section 3318. bot CL. a -:PQ J - b4' tzrl s4tQTO 7lZ..1w U.) tvi Q Lo Y YV\IRS L- - 2DOM Thz') 3 Z"opt5n 'r- AJ(3Q o r2. - 2 f-40 - ?f ).0 - " LL ma 2 T) 4- m ?us1 PJ Bcr (3Y¼Qto , o 2J-7-. 200 , rLt zo yvt s vu— 'vtN- - ,DcjPQU ftCCe 2oW\JY please make all corrections on the ./I On the first sheet of the plans indicate, \.J original tracings and submit two Type of construction of the existing new sets of prints. and any original building, prosent and proposed occupancy 'i plan acts that may have been returned to classificatiOn5 of the remodel area you by.the jurisdictions, to: and the occupant load of the remodel areas and total building area. F.sgLl Corporation, 9)20 Chesapeake 10 Specify on the plan title.sheet the rive. 5u1te 203 San Diego, CA Building Code EdLtionused for the 92123, (619)5601468. design of the proposed wotk, please make all corrections . on the . Provide a fully dimensioned floor plan D original tracings and submit two new showing the sizC and use of all rooms sets of prints, and any original plan or areas within the space being improved sets that may have been returned to or altered. Draw the plan to scale you by the jurisdiction, to: an indicate the scale on the plan. Xndicate the use of all spaces adjacent The jurisdiction's building department. tothe area being remodeled or Improved. Show any existing fire rated area sep- to sign each sheet of the plans*, The reàponsible designer is required aration walls, occupancy separation walls, shafts or rated corridors. 41 stae- ededA 1. Identify and provide construction de- tails for proposed new fire rated waits. ('business and 4. Specify on the plans the Lire ratings $tisni C - of assemblies to protect proposed open- provide the correct address and suite - ings in existing or new Lire walls. number of tenant space on the plans. -- Section 302. Y identify existing walls to be removed, provide a note on the plan indicating existing walls to remain and proposed the previous use of the tenant space new walls. Identify bearing walls, or building being remodeled. Section •non -bearing walls, and shear walls. / f 302. - 3.1. Provide a section 'view of all new interior 1. When the character of the occupancy partitions. Show: or use changes within a building, the (a) Type, size and spacing of stud,. building must be made to comply with Xndicate gauge for metal studs. current Building Code requirements Specify manufacturer and approval. for the new occupancy. Please provide number or, indicate t0 be ICaO complete details to show the building approved. will comply. Section 502. . ' (b) Method of attaching top and bottom plates to structure. L USC Section 304 requires the Building . (NOTE: Top or partition must 'Official to determine the total value S be secured to roof or floor of all construction work proposed under . ' ' . ' framing, unless Suspended ceiling this permit. The value shall include '--' '.' has been designed for partition all finish work, painting, roofing. . . lateral load). electrical, plumbing, heating, air' ' . Cc) Wall sheathing material and conditioning, elevator, fire exting- . ' . details of attachment. (Size wishing systems and any ether perma- . . ' and spacing of fasteners). Bent equipment. Please provide a signed , (d) Height of partition and suspended copy of the designer's or contractor's ' ' ' .. ceiling. construction cost estimate of all work . 'Provide motes and/or details to show that proposed, the flo r and wall finish in toilet rooms Provide a plot plan showing the distances are surfaced with a smooth hard non-absor'- from the building to the property lines . ' 'bent material extending five inches up and the location of tenant space (or the wall. Similar surfacing shalt be pro- remodel) within the building. . . . vided on the walls from the floor to a height of 4 feet around urinals and within water closet cOmpartments. U t3C 35 U u k ge -® 4T" Vi too Ok ) e,tfr rfr (2 -n i Lc KLZCMICAL.PLAN.0 r R ON 5eu0cr CñL5 3 /9 V " .:'JURISDICTION: . VOLLIE WAC00I( MMCB=: 7 ' PLAN : DILLON S • Submit complete electrical plans and: Provide overcurrent protection on the specifications. -'secondary side of transformers. NEC 240- -21/384-16(d). Submit plan showing location of all -. • services. )(. Submit plan showing location of all panels. Submit complete one-line: diagram of •• service and feeders. Submit panels schedules.. Indicate the grounding system to be )t Specify conduit and wire sizes. installed for building service. Specify G 8' Indicate ampere interrupting capacities type of insulation., Co JD /T / • (AIC) of service and 'subservice S I ?V S o equipment. NEC 230-65/110-9. Show approximate length of feeders. - )(. Indicate sizes of fuses and/or circuit )9'. Specify electrode conductor size and type breakers. ',. -. .- wire. (aluminum or .copper) Indicate fuse' symbols 'to ' show fault , Submit electrical load calculations. currents are limited to 10,000 amps on •. ' branch circuits Indicate existing service size If fuses are not used to limit fault ' ' ' ' Indicate existing building load. • currents on branch circuits to 10,000 ' ' ' ' •. ' ' amps, specify method to be used.' •- 33 Indicate new additional loads. Submit plan showing- location of all (c)Indicate wiring method. switchboards. • •.•• .' ' ' •' " - ' ' ' '. Show exit sirs on the electrical • Indicate dimension of switchboards and lighting plan. ' Note: Power for exit control panels rated 1200 'amperes or lights and emergency lighting must more. NEC 110-16(c). ' ' ' ' ' conform to the 1985 UBC Sections 3313 and 3314. 'Submit plan- .'showing 'location, of all transformers.' e. Provide re6eptac1e(s) within 25' of the roof mounted A/C units. UMC Section 509. )Z Indicate the grounding system to be installed for transformers. NEC 250- , 27. Provide multiple switch lighting controls 26(c). , ' ' S , per CAC, Title 24, 2-5319.. Any, questions on electrical please contact the plan checker shown above, at Esgil Corporation at (619) 5601468. :Thank you. Z8 P(iFY P,A)(t -r,,3 S 1'eovry T/1' __vET,'JT 'peoy'At - ;.08/31/87... -' ' S •. - ' S ' -' S ' .. •....• S '. - - 's..,. w -• ' S';.t,54:..:.;# •• s •, • '•• I F7fCY tXHSERVAflOH cRRTCI1OHS - Lc$JRISE OFllcl 3IJUDP4CS (g cXAflOH NO1DThTIAL STANDARDS On January 1, 1987, new standards, and a new design manual, vent into effect to govern - the energy design for new heated or cooled lowrise office buildings, (i.e. 3 stories or less). The 'new standards and design also apply to alterations or additions involving heated or cooled space in existing lowrise office buildings or existing shell or speculative buildings wherein, heated or cooled office space is being proposed or lighting is being extended to new conditioned space. S The new standards (214-pages) and the new "Designing for 'Compliance" manual (00+ pages) contain forms and design instructions that are essential to developing a complying design. To order the standards and manual you can contact the California Energy Comuission, Accounting office, 1516 North Street, MS #2, Sacramento, California 9581 (Telephon (916) 324-3014). Please address the circled items 'and, when resubmitting', provide a copy of this showing the page, detail, etc. where each circled item has been addressed. 03-1' in new or existing' buildings a The upper left corner of the Certificate Certificate of Compliance (Form CF-I) ' of Compliance (CF-1), Pages 1 and 2 must be completed-and-imprinted on the : must show the name of the documentation plans if HVAC or lighting is being ' , author, who need not be a licensed. extended to a new conditioned space. , person. (Manual. 1-3..4) , (1-13 Manual). 03-6 The owner of the buildin must, sign in 94 A Certificate' of Compliance (CF-1) is the appropriate place on Page 2 of required •, to 'be imprinted on the plans '. ' ' .Certificate of Compliance (CF-1). for shell or speculative buildings where (Manual 1-14) 4j 7.,j4-AJ 7 lighting, HVAC. or other improvements will be made by the tenants. 08-7 The design entities (electrical, etc.), -(Manual 1-13) ' ,, must sign in the appropriate space on ' Page 2 of Certificate of Compliance (CT- -Multiple' Certificates of Compliance (CT- 1). (Manual 5-4) ' 3.) are required to be -imprinted on the plans for' speculative pr shell , 03-8 , Note on the plans, near-the imprinted buildings, where the final occupancy is Certificate of Compliance not known at the time of the 'original separate copy of. the Certificate of 'building permit. The multiple CF-1. , Compliance (CF-1) has been retained by documents should address the potential ' the owner and will be made available to uses, i.e. office, retail sales, etc., future owners or future tenants." and should apply the appropriate ' (Manual 5-4) standards to the specific occupancies. (Manual 1-22) () The Certificate of Compliance (CF-1), Page 1, must be signed in the lower right by ' the licensed person who is attesting that the design complies with , •, ' the regulations. (Manual 1-14) " ' ' -03-18 On CF-10 Line 7, show the proposed or -9 Note on the plans, near the imprinted existing total resistance (R) for Certificate of Compliance (CF-1),. "At exposed floors or soffits separating the time of permit issuance, the conditioned space from non-conditioned permittee will provide an approved copy space, using Form CF-2. Provide a Form of the Certificate of Compliance (CF-1) CF-3. (Slab-on-grade floors are not to the jurisdiction", for filing (U3C considered to be floors for this item.) Section 302 (a) 7). OB-19 On CF-1, Line 8, show the minimum If a Certificate of Compliance (CF-1) allowed total ..resistance (Rd for the from the was previously prepared for this entire floor taken package you building, or for improvements or selected alterations in this building, provide a copy of the approved Certificate of 03-20 On CF- 1, Line 9, if there are different Compliance -(CF-1). (Manual 5-ti) types of walls, show the proposed or existing average total resistance ( ), 03-li The building is a mixed use building and using CF-2. If only one wall type, only 'must a Certificate of Compliance (CF-1) CF-3 need be completed. S be prepared for each use unless the subordinate occupancies total less than 03-21 On CF-1, Line 10, complete CF-2 if all 1,000 S P are less than 10 of the opaque walls and doors have the same total conditioned floor area heat capacity, generally a Heat Capacity (Manual 1-22) less than four. If there are multiple wails having different heat capacities, 03-12 On CF-1, Line 1, show the occupancy this may be left blank type, i.e. iowrise office OB-22 On CF-4, Line 11, show the minimum 03-13 On CF-1, Line 2, 'show the occupancy required total resistance (R.c) for group 3-2 opaque walls and doors If multiple walls, having different Beat Capacities OB-14' On CF-1, Line 3, show the package are proposed, show the area weighted. selected, i.e. A, B, C, .D, E or . average using CF-2. S Performance Approach 03-23 On CF-1, Line 12, show the ttal 03-15 On CF-1,' Line 4, show the conditioned exterior vail area for the I entire floor area being addressed by the building or that portion covered by the documentation. ' . new standards. The exterior wall area should include opaque walls, doors and '.OB-16. On CF-1, Line 5, show 'the proposed or windows between the floor and the bottom existing total resistance (Rn) for the of the floor, or roof, above, that roof. If different types of roof, separate conditioned space from non- complete CF-2." Complete a CF-3 if only conditioned space Provide ,a CF-i one roof type. . " • 03-24 0 On CF-1, Line 13, show the total glazing 03-17 on CF-1, ' Line 6, show the minimum in walls separating conditioned space - allowed total resistance (Re) for the from non-conditioned space. Provide a , roof taken from the package you . , CF-2. ' 08-0 selected 7-/ A.) A) £)3 c' 4 C0 0L I.cwi'.ç £2675 ,j ic _i9e4i C.4 itroc. (1,4 .. ( ,4 YtoOJ 3 Cosi3O/ &ii7N Cc )4cAr Otiz 'j-2g - 6'.j 1( /2 nej ara '42h'1c.j if Add AS i, - .. - V. •V Dates \11 - . Prep aLd by. a E1d.' De. VALUATION ANDV PLAN CHECK Esgil- - PLAN CHECKNO._ BUILDING ADDRESS \ (ZO o t+ 108 NO. 4 1• - BUILDING OCCUPANCY B_- _(TTJ DESIGNER PHONE • TYPE OF COtSTRUCTION \). CONTRACTOR ?ONE__________ BUILDING PORTION BUILDING-AREA VALUATION ;4ULTI?LIER VALUE -._._ •: _L_-- . __.. -. AirCond•itioninz I • Coue:c[ál -• ___________ . ___________________ . . Residential _ - Res. or Comm. Fire Snrir.klers . V • • r0. Tt al Value e ENGINEERING CHECKLIST W•) . . LEGEND Date: 3/ii/p7 • Item Complete Plan Check No. Project Address:/5 AJOAJ ) ern Incomplete - Needs Your Action Project Name: ------- Field'Check Date: 1,2,3 Number in circle indicates plancheck By: '. number that deficiency was identified -' : LEGAL REQUIREMENTS > >• > Site Plan .' W ) U I Provide a fully dimensioned site plan drawn to scale. Show: North. - El arrow, property lines, easements, existing and proposed • structures, streets, existing street improvements, right-of-way width and dimensioned sefacks.. Show on Site Plan: Finish floor elevations, elevations of finish TT grade adjacent to building, 'existing topographical lines, existing " fl and proposed slopes, driveway and percent (%). grade and, drainage . . : patterns. F-1F`1 3. Provide legal description of property. S fi fi Provide assessor's parcel number. S PERMITS REQUIRED' 'S • Gri ading " fl fi 5.': Grading perrnit required. (Separate submittal to Engineering. Department. required for Grading Permit). . fi fi . Grading plans in plan check PE___________ ' fi fl Need the following completed prior to building permit issuance: fi fl ' - A. Grading plans signed. fi , B. Grading permit issued. • I: ( fi fi C. Grading completed. • • < fi fi . 'D. • Certification letter and compaction reports submitted. ( F-1fi: . • • • E. • Grading inspected and permit, signed off by City Inspector. El" E fi • 8. Right-of-Way Permit , required for work in public right-of-way • S , . (e.g., driveway, approach,. sidewalk, connection to water main, • ' S • etc). '•. •, , S • • S fi . fi • 9; Industrial Waste Permit application required. To be filled out . • completely and 'returned to Development Processing. • Yr '-S - 5, / FEES REQUIRED 10 Park-in-Lieu fees required Quadrant ..- ,'Fee Per Unit: ,.TotaI Fee: ( . - 1:1.. Traffic impact fee: required. Fee Per Unit: * , Total Feè: ' FT 12. El Bridge and Thoroughfare fee required. • Fee Per Unit: -Total,Fee: jy/ 1gT. ET E E 13 Public facilities fee required D 14 Facilities management fee required Fee MO1ET!EFcELT 15 Additional EDU's required PJ 4i1it'4-L_- Sewer connection fee Sewer permit no ED 16 Sewer lateral required s4-ik.. REMARKS:. . r- • •• . •: - 4- - S •, - - • ••• . . j_' • • - . - - • 5 - -• • - _,•, - - - • e • -. - • S - S - - S • • S - -: . S •' • -, - • - ' '5 -- - •s• •.- SI -! - • S. • - 0 K.' to issue Date If you have any questions about any of the above items identified on this plan -5 .5 check, please call - the Development Processing Department at 438-1161 . S • • - •. • • •.-• • -- . - S V - - •• • . - 5- - -• • - . - • f_ - -. 5. 5, - - • - 4 • -4_ V - - 4 - S • 5 55 • - - -_ -- - .-':- • s • $ -: •• * . • t 5 f 4 4- 5- 4- S * S V - .-. S ...- -• . 4 - ,5 ,45 - - -S - - . -- 41 Q) w Cu - - PLANNING CHECKLIST . Plan Check No 87-/ Address 'ar 5 reio . -: Type of Project and Use TI -. DEJTiT (FcE Zone C-2-Q Use Allowed? YES NO ri rn Setback Front A)/A- Side /i/k- Rear _____ Factlities Management Zone I - School District: San Dieguito •Encinitas -.Carlsbad', San Marcos 5fl U Discretionary Action Required YES NO -. Type U fl fi Environmental Required -YES, NO 0 Landscape Plan Required -. S YES._- NO Comments fi fl fi Coastal Permit Required YES NO fi fi fi Additional Comments 5. - - - - S OK TO ISS DATE 2560 ORION WAY (ftit" of Carlobab CARLSBAD, CA 92008 TELEPHONE : FIRE DEPARTMENT (619) 931-2121 PLAN CHECK REPORT PAGE 10F_. APPROVE( DISAPPROVED PLAN CHECK# PROJECT 66iE7 J - OD5LRESS /30 /Mo)1b 09 ARCHITECT Mb 1 AobREss'17 DO' PHONE OWNER ADDRESS PHONE OCCUPANCY I6c2 CONST: _TOTAL SQ. FT. /'/,ut STORIES / 'SPRINKLERED 0 TENANT IMP. S APPROVAL OF PLANS IS PREDICATED ON CONFORMING TO THE FOLLOWING CONDITIONS AND/OR MAKING THE FOLLOWING CORRECTIONS:• PLANS, SPECIFICATIONS, AND PERMITS Provide one copy of: floor plan(s); site plan; sheets S -Provide two site plans showing the locationo,f all existing fire hydrants within 200 feet of the project. i_. 3. Provide specifications for the following: fl11.iD "ó /7E1L 4 Permits are required for the installation of all fire protection systems (sprinklers stand pipes dry chemical, halon CO2, alarms, hydrants). Plan must be approved by the tire department prior to installation. . - 5 The business owner shall complete a building information letter and return it to the fire department FIRE PROTECTION SYSTEMS AND EQUIPMENT 6. The following fire protection systems areréquired: Automatic fire sprinklers (Design Criteria: PEiZ_pJfP I ): Dry Chemical, Hal0ñCO2 (Location: . . . O Stand Pipes (Type: 0 Fire Alarm (Type/Location: 7. Fire Extinguisher Requirements: 21 One 2A rated ABC extinguisher for each - --sq ft or portion thereof with a travel distance to the nearest extinguisher not to exceed 75 feet of travel. An extinguisher with a minimum rating of to be located 0 Other:. S. Additional fire hydrant(s)shall be provided EXITS Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort. A sign stating, This door to remain unlocked during business hours" shall be placed above the main exit and doors t4)fr1EJLf-rlL-,L,AJ6 .'JbiAr,,j& 1-AP bEOi3O.1 EXIT signs (6" x 3/4" letters) shall be placed over all required exits and directional signs located as necessary to clearly indicate the location of exit doors. GENERAL X. •• S. _12. Storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and hazardous chemicals shall comply with Uniforri Fire Code. 13. Building(s) notapproved for high piled combustible stock. Storage in closely packed pilesshall not exceed 15 feet in height, 12 feet on palléts or in racks and 6 feet for tires, plastics and some flammable liquids. If high stock pil- ing is to be done, comply with Uniform Fire Code; Article 81. ..._.........14. Additional Requirements. S S i20mAt1,,qt-r_,C ii)'rH 7Re /20fl1,J3 OF 19 k 7-1CL6 7/ OF Ti-IC PCP4 A) - 6r4-irr AJ/TiQu5 (H6 #,t)b OY& I'i,t)6, 73T)6 ftAJ1 4/77 /7701U1,J5 - ItIg 70 3 FooT iwtrt-t OF Ro om3 ro Fc'o,'.'r E/ui0RoLiu)6 LTTYE 3ThT1i'J& T1-46, LA-)/ - - &wr 71t9,t) /0 fOPLI IA) E A'f?F7 AOC),Y) )'3A?E iY 0 43C 15. Comply with regulations on attached sheet(s). • S Plan Examiner Report mailed to architect (J Met with Date Attach to Plans -. COUNTY OF SAN DIEGO - DEPARTMENT OF HEALTH SERVICES . - ENVIROMIENTAL HEALTH SERVICES S , RADIATION SHIELDING PLAN CHECK M)PLICATION'FOW • -. • PL6NS SUBMITTED BY ADDRESS •-. . . . . PHONE Z7i7av5r .9.)cA-OC23 Z Ov T9 OWNER (fC1LA44) . . PRESENT ADDRESS PHONE Al1Cq 2iS Z77 _RL' 5-'ZJ6? J68 ADDRESS M'i-i . vira Io. MNHINE NO..-.OF MACHINES . .5 . . • MANUFACTURER- . . . 'MODELS HL . • . . : - I . . THIS SPACE FOR OFFICE USE ONLY . .. . COUNTY OF SAN DIEGO • .. . - • DEPARTMENT OF HEALTH SERVICES:.' . ENVI'ONM:N1AL HEALTH SERVICIS RAA7ON S WLDIC i½P'ROVED \ The pr1-pod rJiacion S1EIkjiflc irst-at'on is approcd for typc of esabLhmnr/usc ) beev 7,4 \ L . •• .. V 'This facility w;fl rnoet "he 'structural shicicLng tequi,ern-ls of Th' Ca1 otra Rä 4iation Control e Iatons - BY DATE_o--t PLAN CHECK NUMBER 27o / 8 •5 • ., • FEE SCHEDULE RADIATION SHIELDING CLASSIFICATION FEE DentàiRadiatin.. . . Flrst.room ••. S 50.00. Each additiohairoom In same facility -. $ 25.00 - . - - Onsite construction inspection S 25: 0"0 Other Radiation - - . - F-irst room .- $100.00 Each additional roam In same facility 5 50.00 - . . . . On-slteconstructioo inspection $ 50.00 * Refer to Instruction Sheet Item 13 . -.5 . •. • - . , - . - - OWNER/REPRESENTATIVE DECLARATION: I- understand that the fee paid is based on my declaration of the radiatio ''- shielding classification. If the declaration is incorrect, I understand that-this application will not be approved until the appr late fee is p I • . - . - • • . . . -- Signature Date______ OHS:EHS-1018-(8/87) • .5 . V . • V. • I I COMMERCIAL/INDUSTRIAL APPLICATION FORM FOR INDUSTRIAL WASTE DISCHARGE PERMIT CITY OF CARLSBAD -- APPLICATION: NEW X BUILDING P.C. NO.:__________ (CHECK ONE) REVISED •-APPLICATION NO.:_____________ INDUSTRIAL CLASS:_____________ BY: -. DATE:. . Signature of City Representative 5 APPLICATION FOR INDUSTRIAL WASTE DISCHARGE -PERMIT S • 5- 0 A. GENERAL:.- SITE APPLICANT:114OMt _f._R-4MLNt-. ADDRESS: jetsO Mpq _r - -TYPE OF BUSINESS: t41M-_cf7c 5 APPLICANT'S .ADDRES-77 'VL_ 57._240.3. B WASTES AND PROCESSING (Check where applicable) - - . S - - 0 • • Domestic Waste Only - fl Industrial Waste- Industrial Waste NOT Discharged to Sewer Discharged to Sewer -GENERAL DESCRIPTION OF.. WASTE (Chemical and Physical Characteristics áf • proposed waste) C- 5 GENERAL DESCRIPTION OF PROCESS (If Applicable): C WASTES TO BE DISCHARGED TO SEWER WASTE: - TREATED: :UUANTITY: *AVERAGE GPD - . - - (Check One) UNTREATEDTX - (Daily) MAXIMUM __ GPD D (Gallons Per ay) -. 0 .. APPLICANT OR REPRESENTATIVE OF FIRM: SIGNATURE lim_~ DATE (Print)