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HomeMy WebLinkAbout1925 PALOMAR OAKS WAY; 201; CB900866; Permit. ·. B U I L D I N ._G·. P E R Ivr_·I -T· Permit; No: :CB'.900866 .. 06/26/90·12:29 Page· 1 of 1 Job Address:. 1925 PALOMAR OAKS WY .P~rmlt Type: INDUSTRIAL TENANT IMPROVEMENT Parcel No: Vc1l.uation: 22,811 Str:- Proje<;::t No':'· A-9000965' _Deve.lopmep.t. No; .-Fi: · · Ste:.·, ··':· · 636s 06/26/90; · -0do1 0{ · ·c-:--F'Rfff 02 · ,;. 1.114RO(~ Constructio~ Type: .NEW Occupancy·Group: B2 De'scription: -1185 SF SPEC Class Code: STE#201· OFFICE STE #201· 4r.~,,.;:;;:-~~w .... :~ Status:: ISSUED· ·Applied.: _. : ·0s;2·9;9·.0, - _Apr/Issue . -: 06/26/90-.' _· . _.validated. B~t: :eb : CONTRACTOR BYCOR GENERAL CONTRACTORS Lie; .C 44-4~03 619-587-19·61 . . ~.. . 6 8 6 7 NANCY RIDGE .... -----·---- SAN DIEGO, CA 9?1·2·{-·¾·----.... ,. . . OWNER OPUS SOUTHWES_T/ _ <-) ;-;\ t"f ic~. OWNE~ *** Fees Required ***-.. , ':.-***'~:__, l_'-~\Ffe.'.~ ~oll:-~t-ed & c·rerdii;;s . *** .. · '--------------'--------""--· .. · .·.· \ \··---·-----· __ ''...!,:.~J(' //'; ____ d< ··--:-. '. --. ~. '. -..... ' -- Fee·s: 1 ·266. od·-/ ~ ,_. c ( /;:;, -\ · · . · ··_ · · . ' . ~) '. -' ; Adjustments: / " • oo· ,·-.• ':fo~a-1 CJ:::.~<;1-:i:ts :\\ . · . o·o / . . . ' --.. , ·""--.. (''\ l . : Total Fees: 1., 266 .. oo . · / ·-.. ,,. Tcrtal Paym~nns :-\ · l"52. Ob i' i,''J'~: ,.1'' Balari·c;:~Dµ~: \ 1·., 11~ ;-QO · . -Fee description . ... / (' .. ' ... '·· :.::--:· .---_·,]Jrr}t·s::/ \ -Pe'S:1/Uni\t '. Ex,t f.ee Data . . ______ · ____________ ..; __ ..;..;_ __ . _ _;_ __ ....::s~ .. :/:.i.i.:..:.::._,_;,,;_:.;;:::-;;:::-::.::.. __ j__L,.::._.:.,. __ L ______ ...;~....;-'...;;.;!. ____ _: - Building Permit: . : ~, ,~·)<~--//f/ ,r:;,·, ;;:::~; 1 · -:2·3'·4, o.o -\ ,'" ,.~-< ~-es---:~y /::/. . .. /:;;~ t ·~ \~-·~1 • ! Plan Check . . . .. ,. ~ ,, ... '._.,-:/ ., .... ¼ 1,, "'·-· , ·l52. oo Strong Motion Fee·. i\/t '\.: \_; / · ;;:..:~~-.:·;:/; j ... 3. O·O .... .... , -·--> t ·-·1 :~ ;'f ~) :;1 "~\,~ .. ?-)/ r . Enter 'Y' to Autocalc LlCE;nse 'l'a~ .... \> · l; d , , f .. ,_,;--:J.'i.;l .' t . -7$8 .-.o-o X . ., '· * BUILDING TOT,AL . \ ·· •. ;.\::,<_\; ,: ____ f~-~~.1/// .. / ·,. "1187; 00 Enter "Y" for Plumb;i.ng Issue F~e ")':. 1, ____ .,.,.., . / .. ;: -· N' 5. 0-0 Y .-: En-ter "Y" for El.ectr,ic Is .. si.te',Fee. ,).,._...,\~,i~,HO . // -< . / . '. Three Phase Per AMP', :,· '· ., .. :·>-·,~_!i · .1_9,.0:(0~-\~:;:, /5:0 * ELECTRICAL. TOTAL .($1-0 Min.,~rrtum) .... · -----··· , ·-~\\ ~ -~ '/ Enter 'Y' for Mechanical, Issu~-1 F~e.->:. <~ . \OJ\\::.::.:-·· // · _ Install Furn/Du.cts. · ,·. : ,-: ,> l \-::---+. 00 ,..,-. 9. 00 . * MECHANICAL TOT.AL . ,,.// CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA·92009 (619) 438-1161 · · 5-0 .• 0-0 . 55 .·00 .· . 1·s,. oo y: <·9.00 .· 24 .. 00_. r .. ,: ' PERMIT: APP-LICATION • City of Carlsbad Building Department .2075. Las Pa lmas Dr., Carlsbad, CA 92009 (619) 438-1161 ·1:sr,-VAL ' ' • ,R, 21 ·tt;?P PLAN CK DEPOSIT · l'? k . . ' ' 1. PERMIT . . · VALID.>BY....,.._,,,,.....--~""':'C,.,-,,.--ri-'~...,.,.,....-,-'-"- DATE -~-'--~ii"+')=.., ... quc~+9-"';{)'--i~"-----'----'- A· 0 C0MMERCJAL ~ 0 'I NOUS.TRIAL C 0 RESIDENTIAL OAPARTMENT ODUPLEX D DEHOLI Tl ON EJ HE CHAN I CAL OPOOL 0 TENANT IMPROVEMENT OCONDO OSIJIGLE FAHi-LY DI/ELLING OADDl·TION/A~JERATION ORELOCATION OMOBILE HOME OELECTRICAL OPLUMBING OSPA ORETAINiNG I/ALL OSOLAR O0THER _____ ~ ,# OF ~TO~IES . :, 5766 05/29/90 'lk.-#-ltO~ .. eoo1 oi C:-PRMT Unit N Jt Phase No. _PR<lP0SED USE O~c~: 3. 4. NAME _CJ.TY -_ APB NAME CI:TY STATE 01/NER STATE ADDRESS .l?~'? ZIP CODE ADDRESS ZIP CODE q-io~4 0 AGENJ FOR OWNER DAY T.ELEPHONE DAY T.EtEPH!JNE 6. CONTRACTOR :::: ~-uj WV t1:"'ivJ _ "'/tun t1,1o STATE LlC. ADDRESS f.o~fol Ill Wllv\ t< Jg.e k,J,. "'7<,\,t!e_ Ix. ZIP COOE 12. ,21 ~DAY TELEPHoiiE Lio( tf) t:i<lil -(1 O· I· LICENSE CLASS --,-----CITY BUSINES_S LIC. # , 14.q-:_ aJ''?' SIGNATURE n TLE DATE DES I GNER NAc/Mi:, ' R., u'1 ev .f-I µ.' P' ht<A} , PH 7. ·woRKERS' COMPENSATION ADDRESS STATE ·~-~IP_CQOE DAY TELEPHONE l01 ' ' STATE.JIC. # -~4 _ Workers' COfll)ensati on Declaration: I her'eby aft i rm that I have a certificate of consent to· s'el f· insure i ssµE1(1 by the Dieector of Industrial _Relations, or a certificate of 1/orkers• COfll)ensation Insurance by an acinitted fnsurer, or, an exact copy or duplicate thereof certified by the Director -of .the· ·insurer thereof fit~ with the Building Inspection Department (·Section 3800, Lao. C). · ' INSURANCE COMPANY . POL'ICY NO. Certificate of Ex~tion: I certify that in the performance of the work for which this permit' js issued, ·1 shall not ewpl'oy:any perso·n 'in any'manner so as to .become subjec,t to the Workers• COfll)ensation Laws of ·cal ifornia • . ~ I GNA TURE _ DATE 8. OWNER-BUILDER DECLARATION ·Owner·Bui'lder·D.eclaration: I hereby affirm that I am exempt from the Contrac,tor•s License'Law. for.th,e fol-_L,owing rea_son: [] I as. o~ner of the property or my ewployees with wages as their sole compensation, w_i l l do the work ariil the structure is nqt intended of offered, for 'sale (Sec. 7044, Business and Professions ,Code: The Contractor I s License Law does not apply, to an owner of· property wno bui,lds or .improves ,th\'r.eon,, and wilo · doe.s such work himself or through his own employees, provided that such iwprovements are not intended or oHered for sale,. If ,'h9wever, th<! .building or improvement is sold within one year of cowpletion, the owner-builder will have the b\Jr.den of ··proving that ·he did not build or improve·,for the purpose of ~ale.). · 0 L, as owne~ of the property, am exclusive! y contracting with licensed contractors to cor,st ru~,t the. proj e,ct (Sec .. 7044, Business· and Professions Code: The Contractor•·s License Law does not apply to an owner of property who buUds or improves ttreri,on, and contract_s. f.or such pr,oject's w.itl\ contrac,tor(s) licensed pursuant to the Contractor Is License Law). · '.O ,I am exewpt under Section------~----Bus·iness and Pr~fessi·9ns Code for-this 'ci,ason: · (S~~-7031.5 Business and Professions Code: Any Gity or Courty which requires a permit to construct;. alt~r., ·impr9ye, demolish, or repair ~ny str.ucture, pdor to Hs issuance, also requires the applicant for such permit to file 'a sigried statement that he is ticehsed .pu,rsuant to the proyisi'ons of the Contractor's License Law (Chapter 9, c011'111encing with Section 700Q of Division 3 of the Busines~ and Profess.ions Code)-or that he is ex~mpt. therefrom, and the oasis for the alleged exewption. ~ny violation of ·section 7031.5 by any applicant for ,,a.•permi't sUbj_ects the appl,icant to a .civH .penal'ty .of not more than five hundred dollars ($500] ). · SfoNATORE CQMPLETE THIS SECTION FOR NON·RESIDENTIAL BUILDING P~RMITS ONLY: ls the applicant or future building occupant required to submit a business plan, acutely hazardous mater,ials r~gistrat,io~ f_6rm or risk managel)lent and prev~nti'on program under Sections 25505, 25533 or 25534 of the Pr.esley,Tanner Hazardous Substance Account Act? Om ~ .- is the applicant or future building occupant required to obtain a permit from tne air pollution control district or air qua.I ity management districp . Om ~ . . Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Om ~- IF-ANY OF THE' ANSWERS ARE YES, A FINAL CERTIFICATE OF OCllJPANCY MAY NOT BE ISSUED AFTER JULY 1~ 1989. UNLESS THE· AePLICANT HAS MET' OR IS MEETING .THE R,E0U!REMENTS ,of TH~ 'OfFICE ciF EMERGEIIC! SERVICES AND THE AIR POLLUTION CXJl!TROL DISTRICT. 9. CONSTRUCTION LEN~ING AGENCY '. hereby affirm that there is a construction lending agency for the performance _of the work for whicli tnis permit is, issued' (Sec 3097Ci) Civit C'ode). LENDER IS NAME ~ENDER IS ADDRESS 10 .. APPLICANT'S, SIGNATURE . .. I certify that· 1 have read the applicati'on arid state that the above·information is, correct. I agree to comply with a'l"l City or,dinances"and State l"aws relating tb building construction. I hereby authorize r.epresentat i ves of the City of Carl-sbad t<;> enter. upon, the above mentioned prope,rty for inspection .purposes·. i ·ALSO · AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CIT-Y OF CAR~SBAD AGAINST ALL LIABILITIES, JOOGMENTS, COSTS ·A~D EXPENSE$ _IIHICH, MAY· ,IN ANY II_Al AtCRl/E !,GI\INST• SAID CITY -IN CONSEq!JENCE OF THE GRANTING OF_ THIS ·PERMIT. - ·Expiration. Every permit issued by the Building Offici-al under the provisions of 'this Code shall expire by, l'imi.tat,ion·and·~ecome· null arid vo(d· Lf the building·, ,or work authori.zed by such permit is not COlllllenced within 180 pays from the date of such permi.t or if the building or work -~uthorized by ,such p_ermit ·;s susi,ended - or ·abandqned, at any time after the work is cOlllllenced, for a period of 180 days (Sect,ion 303(d·) Uni_form· B4i lgin~. Code), · D OWNER D CONTRACTOR .OBY PHONE APPROVED ·BY:' ..... :-'----',-.,...,...,,.,..- bATf: ·_,_ ___ ·· ....,· ---------c+"""""'--"'" YELLOW: Applicant PINK: Finance PERMIT# CB900866 DESCRIPTION: 1185 SF SPEC TYPE: ITI CITY OF CJi..RLSBAD INSPECTION REQUEST FOR 07 /31/90 OFFICE STE #201 INSPECTOR AREA MC PLANCK# CB900866 O.CC GRP CONSTR. TYPE NEW STR: FL: STE: JOB ADDRESS: 1925 PALOMAR OAKS WY APPLICANT: PLANT COOK -ALLAN BRABO CONTRACTOR: BYCOR GENERAL CONTRACTORS PHONE: 619 438-5191 OWNER: OPUS SOUTHWEST REMARKS: T3/MH/ARNIE/288-0195 PAGER SPECIAL INSTRUCT: SUITE 201 PHONE: 619-5~87 90.1 PHONE: INSPECTOR...&....;;;=·'----------- TOTAL TIME: --RELATED PERMITS--PERMIT# CB900002 CB900388 TYPE CTI CTI STATUS ISSUED ISSUED CD LVL DESCRIPTION 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical ACT COMMENTS ~ /l ~ ) fJ/) k&z ~ L/V' r/:/if ~· .. ------------------- -------------------------------------- ***** INSPECTION HISTORY***** DATE 071290 071290 071290 071290 070590 070290 070-290 070290 DESCRIPTION Frame/Steel/Bolting/Welding Rough/Topout Rough Electric Rough/Ducts/Dampers Interior Lath/Drywall Frame/Steel/Bolting/Welding Rough/Topout Rough Electric ACT INSP AP MPC AP MPC AP MPC AP MPC AP MPC PA MPC NR MPC NR MPC COMMENTS CEILING GRID SYSTEM LIGHT FIXTURES A/C SYSTEMS UWALLS FINAL BUILDING INSPECTION RECEIVED AUG O 1 1990 DEPT: BUILDING ENGINEERING FIRE PLANNING U/M WATER PLAN CHECK#: CB9Q._Q~6..6,.,_ PERMIT#: CJ:3900866 ~ , PROJECT NAME:-·-·--rras SF SPEC OFFIC~ ADDRESS: 1925 PALOMAR OAKS WY CONTACT PERSON/PHONE#: T3/MH/ARNIE/288-0195 PAGER SEWER DIST: WATER DIST: DATE: 07/31/90 PERMIT TYPE: ITI INSPECT~ BY: INSPECTE BY: DATE INSPECTED: 7/20/t::Jv APPROVED ~ DISAPPROVED INSPECTED BY: COMMENTS: DATE INSPECTED: DATE INSPECTED: APPROVED DISAPPROVED APPROVED DISAPPROVED PATE: ESGIL CO-RPORATION 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92123 (619) '560-1468 J lJ..JJ t I 9 !99D > D APPJ,ICANT. - JURISDICTION: G(JJURISDIC~ D PLAN CHECKER OFILE COPY QUPS FLAN CHECK NO: Cjo -i(,p{p SET: 7t PROJECT ADDRESS: 19'8.5 PA-lOYJi Efe. DA tr:,<,!_, '>It y .S1E !,DESIGNER ....... PROJECT NAME: -r ___ ___.__;,:::;_ _______ ---'-____ _ ffift.The plans transmitted herewith have been corrected where 111/H necessary and substantially comply with the jurisdiction's building codes. D D 0 D D The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficien- cies identified -:----,:-----------=--=----are resol v·ed and checked by building department staff. The plans transmitted herewith have significant 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 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: II Esgil staff did not advise the applicant c;:ontact person that plan check has been completed. O Esgil staff did advise applica_nt that the plan check has · been completed. Person contacted: ------------- Date contacted: Telephone # ----,,---------------0 REMARKS=---------------------------.. · .. ~-IJ ,,{_ By: 1 t,)?µ.,,,....), _.;r,µ,._,,.,1.J.}f't:i:J- ESGIL CORPORATION E'nclos.ures: ---'._L .... J .... C)..,.1. .... h.._ ..... ______ _ (; ~ lo<. -'-jl;J.... OGA . DAA LJvw ODM ,,,j ,,;,; DATE: ESGIL CORPORATION· 9320 CHESAPEAKE DR., SUITE :ios SAN DIEGO, CA 92123 (619) 560-1468 JURlSDICTION: CARLSBAD PLAN. CHECKER OFILE COPY QUPS QDESIGNER. PLAN CHECK NO: SET: T; PROJECT ADDRESS= ___,,,_19;--:;-s__..f-p,~, L-D-rt .......... · f.:: __ · P..=-__..1)'"'"£± .... K'--,_c._ _,--~--).e_, v...,._....,j__..,,:;Ti=c-,;,,· =,• ==;).-bJ PROJECT NAME : -;. ....,-_ --...:...::.---===--------------- D The plans transmitted herewith have been corrected where necessary and sub-sta,n-tiaf-l~y_._ eomply with the .jurisdictien}:s building codes. . . D. The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficien- cies identified-----~-------are resolved and checked by building department staff. D II D The plans transmitted herewith have ~ignificant deficiencies identified on the encl.osed 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 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. II The applicant's copy of the check list has been sent to: er.,-u ~r:::-·CfY) K c2 3 Jt:i CAm , IJD 1// JJ 11 R r,t L-£ $ r E, ID7 ... _ -+-(t .... T_,_T ..... E .... V._-,....;:_.._._A..::;.L.l=A__.. l:.c..2 ..... eo.,.;e ..... 1::-=,(-~..,-.-'-, _____ ..... <? .... 'A-..... R--1 ... c ~ .... -6 .... Fi..:..,, ()...,.~,,_,1_..·A A...:...-..... 9'-2--'-"'o....,,o.._9 _____ -'· -.. II Esgil staff did not adv~se the-applicant contact person that plan check has been completed. O Esgil staff did advise applicant that the plan check has been completed. Person contacted: ---------------- Date contacted: __________ Telephone*-------~ D REMARKS=----------------------------- BY : ·-~efd/! :Yv I N~rt_J , ESGIL CORPORATION ::5-&?-fQ OGA . DAA Rvw 0nM Enclosures: ------------- \ ,. JURISDIC'IION: ___ CARLSBAD===----------- ro=_,..-~P~~~~=·r.,n:,_.__-c=--oo=x ___________ _ '23~6 !'Amo.Jo u1ot4 1'u$L't .sr€,1b7 9~oo9 I __ OCCOPAHCY:-="----'-'-8-~=-~---------- BOlLDING USE: __ ...,D __ F __ · ... f: .... I __ C .... E'------- 'Ti7JJ TYPE OF OOHS'.l:RDC'.ttON: __ , !d::±=...a..___._ _______ _ ACIUAL ARY.A:. ____ /....,/ 'fv....,$ _______ _ ALLOWABLE ARY.A: ______________ _ sro~: ____ o< ........ fJ--=D ....... Q.._F....,,3....__ _____ _ BEIGB'J'.: ________________ _ ul.f'.s SPRINKLERS=-----~-----,.--------- OCCDP4M'! LOAD: ___ ....... ___________ _ ~=---------------------- Date plans received by jurisdiction: Date pJans received by Esgil Corporation: 5--3o-9D Date initial plan check completed: _b_·_{:,"----..... 9....,0 ____ By: £. /:A-(?.1)54)4/lT)-I Applicant contact person: Plan check is limited to technical requirements contained in the Uniform Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the handicapped. The plan check is based on regulations enforced by the Building Inspection Department. You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department, Fire Department or other departments. Code sections cited are based on the 1988 UBC. The circled items listed need clarification, modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 3O3(c), 1988 Uniform Building Code, the approval of tl:le plans does not permit the violation of any state, county or city law. To speed up the recheck process, note on this list (or a copy) where each correction item has been addressed, i.e •• plan· sheet, specification, etc. Be sure to enclose the marked up list when you submit the revised plans. LIST NO. 56 CARLSBAD TENANT IMPROVEMENT WI1'HOU'I SPECIFIC ENERGY ZONE DATA OR POLICY SUPPLEMENTS, 1988 UBC ,. 0 t 0 I· Please make all corrections on the original tracings and submit two new sets of prints, and any original plan sets that may have been returned to you by the jurisdiction, to: Esgil Corporation, 9320 Chesapeake Drive, Suite #208, San Diego, CA 92123, {619) 560-1468. Please make all corrections on the original tracings and submit two new sets of prints, and any original plan sets that may have been returned to you by the jurisdiction, to: The jurisdiction's building department. r· On the first sheet of the plans indicate: Type of construction of the existing building, present and proposed occupancy classifications of the remodel area and the occupant load of the remodel areas and the floor where the tenant improvement is located. Provide a note on the plans indicating if any hazardous materials will be stored and/or used within the building which exceed the quantities listed in UBC Tables 9-A and 9-B. A complete description of the activities and processes that will occur in this tenant space should-be provided. A listing of all hazardous materials should be included. The Indicate on the Title-... Sheet of the plans, the materials listing .should be ·stated in a form name of the legal owner a.I!d name of person that would make classification in Tables 9-A responsible for the preparation. Qf ~e plans. and 9-B possible. The building official may Section 302{d). · · · require· a-technical report to identify and develop methods of protection from hazardous Y, Each sheet of the plans must be signed by the materials. Section 90l(f). ~-____ person responsible for their preparation, even c...,.;. __ thoµgh there_ are no structural changes_. ______ -_-..... ~..,,4~-If control areas_ are .. used for_ exceeding the .... _ Business and Professions Code. · · · f exempt amounts of hazardous materials from !· I· j. f Plans and calculations shall be signed by the califoi:nia state licensed engineer or architect where there are structural changes to existing buildings or structural additions. Please include the california license number, seal, date of license expiration and date plans are signed. Business and Professions Code. Provide the correct address and suite number of tenant space on the plans. Section 302(d). Provide a note on the site plan indicating the previous use of the tenant space or building being remodeled. Section 302. When th~ character of the occupancy or use changes within a building, the building must be made to comply with current Building Code requiremenfs -for . tlie· riew occupancy. Please provide complete details to show the building wi1:}1 c9mply. Section 502. UBC Section 304 requires the Building Official to determine the total value of all construction work proposed under this permit. The value shall include all finish work, painting, roofing, electrical, plumbing, heating, air · conditioning, elevator, fire extinguishing systems and any other permanent equipment. Please provide a signed copy of the designer's or contractor's construction cost estimate of all work proposed. Provide a plot plan showing the distance from the building to the property lines and the location of tenant sp~ce (or remodel) within the building. 12/29/89 r· G Tables 9-A and 9-B, they shall be constructed of not less that required for a one-hour occupancy separation.-Section 404. The number of ,control areas within a building used for retail/wholesale stores shall not exceed two, the number of control areas in build'ings with other uses shall not exceed four. Footnote l, Tables 9-A and 9-B. The aggregate quantity of any hazardous materials "in use11 and 11in storage" shall not exceed the quantity listed in Tables 9-A and 9-B for "storage". Footnotes 2 and 3, Tables 9-A and 9-B. Provide a statement on the Title Sheet of the plans that this project shall comply with Title 24 and 1988 UBC, UMC and UPC and 1987 NEc.· . . .... - ~ Provide a fully dimensioned floor plan showing Q the size and use of all rooms or areas within the space being improved or altered. Draw the ·plans to scale and indicate the scale on the plan. Section 302(d). 0 Indicate the use of all spaces adjacent·to the area being remodeled or improved. r· Show any existing fire rated area separation walls, occupancy separation walls, demising walls, shafts or rated corridors. Identify and provide construction details for proposed new fire rated walls. Specify on the plans the fire ratings of assemblies to protect proposed openings in existing or new fire walls. 2 r -~-.,--·-..... -· ..... ,_-.. ·~--:t·•:.·_.·r.,. ;Jt ..... ,:.• Identify existing walls to be removed, existing walls to remain and proposed new walls. Identify bearing walls, non-bearing walls, and shear walls. ~ Provide a section view of all new C/partitions. Show: interior j> Type, size and spacing of studs. gauge for metal studs. manufacturer and approval indicate 11to be ICBO approved11 • Indicate Specify number or Method of attaching top and bottom plates to structure. (NOTE: Top of partition must be secured to roof or floor framing, unless suspended ceiling has been designed for partition lateral l_oad) •. . Wall sheathing material and details of attachment (size and spacing of fasteners). Show height of partition and suspended ceiling, and height from floor to roof framing or floor fr~ing.-------- Provide notes and/or details to show that the floor and wall finish in toilet rooms are surfaced with a smooth hard non-absorbent material extending five inches up the wall. Similar surfacing shall be provided on the walls from the floor to a height of 4 feet around urinals and within water closet compartments. Section 510(b). Note on the plans: 11All interior finishes must comply with Chapter 42 of the UBC11 • Specify 11Class ____ fl.ame spread rating (minimum) for ________________ 11 Lateral bracing for suspended ceiling must be provided. (UBC Table 23-P) Where ceiling is not supporting interior partitions, ceiling bracing sha~l be provided by four No. 12 gauge _b'i~es _ secured to the main runner within 2 inches of the cross runner intersection and splayed 90 degrees from each other at an angle not exceeding 45 degrees from the plane of the ceiling. A strut (adequate to resist the vertical component from lateral loads) fastened to the ·main runner shall be extended to and fastene.d_ to the structural members of the roof or floor above. These horizontal restraint pQints shall be placed 12 feet o.c. in both directions with the first point within 6 feet of each wall. Attachment of restraint wires to the structure above shall be adequate for the load imposed. UBC Standard 47-18. 'J.J..15/90 .. 7· In buildings having floors and roofs of wood frame construction, other than dwelling or hotel occupancies, draft stop the area between the ceiling and floor above so that no concealed space exceeds 1,000 s.f. and no horizontal dimension exceeds 60 L.F. (if space has sprinklers, then 3,000 s.f. and 100 L.F.). Section-2516(f). In buildings having floors and roofs of wood frame construction, other than dwelling· or· hotel occupancies, draft stop the area between the ceiling and roof above so that no. concealed _space exceeds 3,000 s.f. and no horizontal dimension exceeds 60 L.F. (if space has sprinklers, then 9,000 s.f. and 100 L.F.). Section 2516(f). Storage areas exceeding 1000 sq. ft. in connection with wholesale or retail sales shall be separated from the public area by a --------· ---one-hour occupancy separation. If ... the. entire ----. --. -------.. building has an automatic sprinkle~_sysj;em, ~- then the occupancy separation need not be provided. An automatic sprinkler · system shall be installed in ·rooms used by the occupants for the consumption of alcohol and in accessory uses where the total area of such unseparated rooms and assembly uses exceeds 5000 square feet. Section 3802(c). The tenant space and new and/or existing facilities serving the remodeled area must be accessible to and functional for the physically disabled. See the attached correction sheet. Title 24, Part 2. The width of the required level area on the side into which doors swi~g shall extend 24 inches. past the strike edge for exterior doors and .1$ _ inches past the strike edge for interior doors. Section 2-3304, Title 24. Specify !ever-type hardware for passage doors on floors accessible to the disabled. Section 2-3304, Title 24. If both sexes will be employed and the number of employees exceeds four, provide separate toilet facilities for men and women. If 11both sexes will be employed cmd the total number of employees will not exceed four", and only one restroom is provided, note the words in quotation above on the floor plan. Section 705. In areas where the occupant load ~xceeds __ , two exits are required. See _______ _ Table 33-A. 3. ,. Provide an exit analysis plan (may be 8 1/211 x ll" or any convenient size). Exits should have a minimum separation of one- haif the maximum overall diagonal dimension of the bui~ding or area served. Section 3303(c). The maximum number of required exits and their require~ separation must be maintained until egress is provided from the structure. Section 3303(a). Rooms with more than 10 occupants may have~ exit through ~ adjoining room. Revise exits to comply. Section 3303(e). Exit signs are required for exits serving an occupant load exceeding 49. Show ~11 required exit sign -locations •. Sect:ion-~314(a). J,. Show that exits are lighted with at least one 7~ foot candle at floor level. Section 3313(a). ~ Show the __ l_o_cati~~~-oL -existing-~;i~ -from the Qbuilding and show the path of travel from the remodel area to the existing exits. J.s'f ftoo~, 4./. Note on the plans: 11All ~xits are to be r· Qpenable from inside without the use of a key or special knowledge" . In lieu of the ab·ove, in a Group B occupancy, you may note "Provide a sign on or near the exit doors reading THIS DOOR IO REMAIN UNLOCKED DURING BUSINESS HOURS". This signage is only allowed at the main exit. Section 3304(c). fs. 4/· r· Exit doors should be a minimum size of 3 feet by 6 feet 8 inches with a minimum door swing of 90 degrees. Maximum leaf width is 4 feet. Section 3304(f). Exit doors should swing in the direction of egress when serving an occupant load of 50 or more or when serving any hazardous area. ~ection 3303(b). Applies to door(s) ___ _ Regardless of occupant load, a floor or landing hot more than 1/2 inch below the threshold is required on each side of an exit door used for disabled access (may be 111 maximum where not used for disabled access). Section 3304(i). Doors should not project more tlian 7 inches into the required corridor width when fully opened, nor more than one-half of the required corridor width when in any position. Section 3305(d) •. Revolving~ sliding and overhead doors are not permitted as exit doors if the occupant load exceeds 9 or the exit door serves a hazardous area. Section 3304(h). 2/14/90 r· .r· s5/ Exit doors from assembly rooms with 50 or more occupants shall not be provided with a latch or lock unless it is panic hardware. Section 3318. Double acting doors are not allowed when serving a tributary occupant load of more than 100, or when part of a fire assembly, or part of smoke and dra:ft. control assemblies or when equipped with panic hardware. Section .3304(b). Corridors must provide continuous protection to the exterior .Qf . . the building •.. Interruptions by an intervening room is not permitted: Foyers, lobbies or reception rooms constructed as required-for corridors-are not considered intervening rooms. -Section 3305. ~ -;., -.... ,. Corridors and exterior exit balconies serving 10 or more occupants must be a minimum 44 inches wide and 7 feet high to the lowest projectfon. Corridors serving. less--than-10 -· - . occupants must-_:_;be_-a_·mjJJ._~of: ·:-3_6 :inches::i-rt,. width. Section 3305(b). · When two exits are required, dead end corridors and exit balconies are limited·to 20 feet. Section 3305(e). Corridors serving 30 or more occupants shall have walls and ceilings of one-hour construction except: a. Corridors greater than 30 feet wide when the occupants have an exit independent from the corridor. b. Exterior sides balconies. exterior exit c. Corridor walls and ceilings need not be of fire-resistive construction within office spaces having an occupant load of 100 or less when the entire story in which the space is located is equipped witjl an automatic sprinkler system throughout and smoke detectors are installed within the corridor in accordance with their listing; Section 3305 (g). Section 3305(g), Exception 5, cannot be used for non--rated corridors· in a fully sprinklered office space if the occupant load in the space exceeds 100. Section 3305(g), Exception 5 does not apply to common corridors where the corridor serves as an exit for non-office areas (manufacturing, warehouse, etc.). 4 ,. r· r ELECIRICAL Submit plan show~g location of all panels. Submit panels schedules. Submit electrical load calculations Indicate existing main service size. Indicate existing total main service load. Indicate new additional loads. Indicate wiring method, i.e. EMT, metal flex. Show exit signs on the electrical lighting plan(s). As per S~ction 3313 and 3314 of the ··-1988 UBC, provide two sources of power to exit signs and exit illumination. Provide receptacle(s) within 25 1 of the roof mounted--A-fe -units.-UMe-Section 509. • ~ __ ,4 ~ .. -------~ -~ .. ··----· ... ·----· .. ' Provide multiple switch lighting controls per Title 24, 2-5319. Provide an electrical plan for the alarm system showing compliance with criteria described under earlier correction number 54. Provide mechanical ventilation in all rooms capable of supplying a minimum of 5 cubic feet per minute of outside air with a total circulation of not less than 15 cubic feet per minute per occupant. Section 605 and 705, UBC. Provide mechanical plans showing existing cllld proposed HVAC equipment, ducts and access to equipment. si/ Detail access and working clearcU1ces--to . ..HVAC T" equipment. r;;;;\ Cooling coils or cooling units located in attic \;;;;;) or furred space, where damage may result from f condensate overflow, shall be provided with an additional water tight pan of corrosion resistant material to catch overflow if prilllary condensate drain becomes clogged. Section 1205, UMC. One-hour corridors shall not be used as an integral part of a duct system. This includes the space above a dropped ceiling within the one-hour corridor. UMC Section 706(b). Provide gas line plans and calculations, showing pipe lengths and gas demands. UPC Section 1219. 2/28/90 I r· I /.s. I r'· Provide drain, waste and vent plans. Provide water line sizing calculations. UPC Section 1009. Detail how floor drain trap seal is to be maintained. UPC Section 707 (floor d~ain trap priming). Show P & T valve on water heater and detail drain line route from P & T valve to the exterior. UPC Section 1007(e). Show 1/411 per 1211 slope on drain and waste lines. UPC Section 407. Provide a drinking fountain" ·at each floor level in assembly occupancies (except drinking and dining establishments).-UBC Section 605. -. Provide complete· ·.·energy-des1:gn··ca-lcu-lations-, - ·including-all existing .. :design::.;-and ·new energy design for this building. See attached non- residential energy design checklist. For remodels. in an existing. conditioned space, show that the remodeled space will use not more energy than the existing space or show the remodeled· space will conform to latest energy design standards. CITY OF CARLSBAD SUPPI»IEN'r ·Floor drains Policy). must have auto-prime (City A grease interceptor is required. Show details complying with City Policy 83-34. gJ.. -Roof mounted equipment must be screened and /-roof penetrations should be minimized (City Aolicy 80-6). Condensate drains must connect to a wet trap dry traps are not permitted). (Memo 1/14/83). 1nli. Show fans are duct type; City Policy does not T permit ductless fans. (.';:;\ Romex is not permitted in industrial or V commercial buildings. (City Policy) No wiring is permitted on the roof of a building and wiring on the exterior of a building requires approval by the Building Official. (City Policy) All panel boards shall qave a minimum 100 amp rating or approved by the Building Official. 6 ,. inf. The minimum. rating of a service disconnect is 7 · · 100 amperes. '• 1~ The minimum size conductor to receptacles and ,-· lighting fixtures in commercial and industrial buildings shall be #12 Cu. ·~ AC(BX) cable is not allowed in group A, B, E, H V and I occupancies. (see Ord. for exception) MISCKLLAHIDUS Please see ad.ditional corre·ctions or remarks that follow. To speed up the recheck process, note on this list (or a copy) where each correctiop item has been addressed, i.e., plan sheet, note or detail number, calculation page, etc. ~Please indicate here if any chang~s have been C}made to the plans that are not a result of -~-=-··-----corrections from this list. If there are other -·----diiinges, please briefly describe them and where they are located in the plans. Have changes been made to the plans not resulting from this correction list? Please check. ____ Y,es _______ No HO'tE: The following provisions are contained in Title 24, Part 2, califotnia Building Code, as adopted and enforced by the State Fire Marshall. They are provided here as a courtesy to assist designers in developing the project documents. All applicable provisions may not necessarily be included. Please direct any. questions regarding interpretations of these provisions ~o the local Fire Department. sj1. Walls of corridors and exterior exit balconies in Groups A,E,I,R-1 and.C Occupancies having an occupant load of more than six persons and in all other occupancies having an occupant load of 30 or more shall be not less than one-hour fire-resistive construction. Section 3305(g)l. Where exit signs are required by Section 3314(a), · approved and listed internally, externally or self-illuminated low-level exit signs complying with Section 3314 shall be required. The bottom of the sign shall be not less than 6 inches nor more than 8 inches above the floor level. For exit way doors, the sign shall be on the door with the closest edge of the sign with 4 inches of the door frame or adjacent to the door. Such signs shall be of a type which is perceptible to the sense of touch. Section 3314(e). 2/28/90 s/. -sf . ... ~ ( . . . .·, .. :. Where exit signs are required by Section 3314(a), all exit corridors shall be provided with continuous low-level exit path marking. Approved and listed internal~y or self- illuminated marking shall be installed at floor level or no higher than 8 inches above the floor level. Such marking shall be of a type which is perceptible to the sense of touch. Section 3314(f). . Area separation walls shall not be considered to create separate buildings for the purpose of automatic fire-sprinkler system requirements as. set forth in Chapter 38. Section 505(e)6. EXCEPTION: _Buildings separated by continuous area separation walls of four-hour fire- resistive construction without openings. Buildings required. to have automatic fire- sprinkler protection as set forth in Section 13113 of the Health and Safety Code (homes for children or :the aged) ar.e prohibited from --using--area--separation walls in lieu of automatic fire~sprinkler protection •. In educational occupancies, storage and janitor closets shall _be of one-hour fire- resistive construction with openings protected by assemblies having at least a three-fourths- hour fire-resistive rating. Section 802(c). s/6. Section 1807 should be reviewed for all high- rise· buildings. The exception in Section 3318 of the UBC has been revised so as to allow the omission of panic hardware at the main exit in churches (by using signage), only when the occupant load of the church is less than 300. If emergency warning systems are requireq, they shall activate a means of warning the hearing impaired. Flashing visual warning~ shall have a frequency of .not _ more than 60 flashes per minute. The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, california 92123; telephone number of 619/560-1468, to perform the plan check for your project. If you have any questions regarding these plan cl/.eck items, please contact. _______ _ F)t fZJ) rftb.JSWo&rJ-J at Esgil Corporation Thank you. Enclosures: 1. _____________ __._ ______ _ 2. ______________________ _ 7 1• • ~. ':,~ ...... , -'. -~ .. 4• : ... '-'• .. TITLE 24 HANDICAPPED.ACCESS CORRECTION LIST Jurisdiction CBR.IS6A12 Plan Check No. 9o--8{pt, k _ References to section numbers with prefix 11211 are to Title 241 California Code of Regulations, Part 2 (California Building Code). Prefix 11311 is for Part 3 (California Electrical Code). Prefix 11511 is for Part 5 (California Plumbing Code). . Exemptions claimed for any item shall be requested in writing and shall include all data needed to determine "wu-easonable hardship11 as described in Section 2-422. SITE DEVELOPMENT @ HANDICAPPED PARKI~G SPACES a. Provide....,.. ____ handicapped spaces •. 2-7l02{b) b. e. Surfac~ is to be slip contrasting finish sidewalk. 2-7103(f) resistant and a from adjacent f. Border markings shall be 1211 wide of - l/411xl/411 grooves, 3/411 apart, located at top and sides. 2-7103(h) Space shall be so located that handicapped persons are_not_compy:lled_to. ----"-3. wheel or walk behind parked cars other WALKS • ~ •. :.._ •• ---'>· 8 d. e. than his/her own. 2-7102(c) Parking space shall be a .min:i.an.Jm_ of 9 - ft.xl8 ft. with adjacent marked 5 ft. loading zone. Double space shall be 23 ft. wide. Where a sinfe space is provided, the ioadi.ng/un oading zo~ shall be on the passenger side of the veb.icle. z-,IOZ(cJ. Maximun slope of parking surface in any direction shall not exceed 1/411 per foot. 2-7102(e). · Parking space(s) shall be identified with the International Symbol of Accessibility on reflectorized sign affixe·d to post or wall, and also duplicated on parking surface (symbol to be 36"x3611 and painted at the back of the parking stall). 2-7102(f) f. Entrance to parking area ( or at each stall) shall have a . sign stating that unauthorized vehicle(s) parking in handicapped space(~) may be subject to tow-away. 2-7102(f) g. Entrance to and vertical clearance within accessible level of parking structure shall be 8 ft. 2 in. to any structural member, duct or pipe. 2-7l02{g) 2. CURB RAMPS a. Curb ramps shall be located wherever pedestrian path crosses curb. (2- 7103(a)) b. Curb ramp shall be 4si1 min. width (2- 7103{b)) with maximum slope of l in 12. 2-7103{d) c. A level 4811 min. depth landing is required at top_.of curb ramps over entire curb ramp wiatb. 2-7103(d) d. If no· landing ~s provide41 the slope of flared sides shall not exceed 1 in 12 .• 2-7l03(d) _.;_ • -,_'; • '? •· "":::. ::•'"7"(: .... ,r--;~ a. Site development and grading shall be designed to provide access to primary entrances and access to normal paths of travel and where necessary to provide access shall incorporate pedestrian ramps, curb ramps, etc. 2-710l(a) b. Walks sloping greater than 5% (l in 20) must comply with ramp requirements of Sec. 2-3307. 2-3325(c) c. Walk width shall be 4811 minimun, and shall have slip-resistant surfaces. 2-3325(a) d. The maximun cross slope shall not exceed 1/411 per foot. 2-3325(a)3 e. Gratings are not allowed whenever possible. ·2-3325(b) f. At each gate or door a 6011x60" level area is required when the gate swings toward the walk. 2-3325(e) g. A 4811x44" deep level area is required when the gate swings away from the walk. 2-3325(e) h. A 2411 clear space is required at strike side of gate or door. 2-3325(e) · 4. PEDESTRIAN RAMPS a. A path of travel with a slope,greater· than l in 20 shall be considered a ramp. i-3307(a) b. The maximun slope shall be l in 12. 2-3307(c.l) c. The width shall be 4811 minimum. A minimun width of 6011 is required where a ramp serves as a primary entrance to buildings havj,ng an occupant load of 300 -or more. Group R Occupancies may be 36" . _when the occupant load is 50 or less. 2- 3307(b.l) r , . . Date I i/~/9rJ . Prepared by, If, fft£1}C.,/JJ,i(!..1if .. , '. . ~' ...... ' .. '.~.' • ' '!••, '-, ,_ •'.!• ' ' •. ';' . Jurisdiction CARLSBAD VALUATION AND PLAN CHECK FEE o Bldg. Dept • 0 Esgil PLAN CHECK NO. 9o-ft,l. BUILDING ADDRESS j92S._ fftLPYnft&·Ofr!<S k!&:'i 6(/£, 2--(JI . . I . APPL!CANT/CONTAC'l' 8-/,M:-,J;o PHONE NO. '13 f-S; 9J BUILDING OCCUPANCY 8, ;L. DESIGNER PHONE --------TYPE OF CONSTRUCTION ;111· /J CONTRACTOR PHONE ____ _ BUILDING PORTION BUILDING AREA VALUATION VALUE ---MULTIPLIER --· .-----···---__ .;:._ --:·, -. ----r: '")_ IJR5 F1,;;.s d~ -e,1~ I .. _ -Air Conditionine: Commercial @. " Residential .. (a ' Res. or Comm. Fire· Snrinklers @ Total Value r1.;J. ~JI. , Building Perm it fee $ ________________ ___,$&-.,2_~3r....it/.u.• -""Q~O'---- P'la n Check f' ee--..:S:__ __________________ -"--_;:;...$-1-/'-""'5,.._.°2=•...c/ .... Q«----- CO HM EN TS:..:------------------------------- SHEET / OF / I ( -- ·_:,__ __ : .... _ :··. 2560 ORION WAY Qtftp of <iearlsbab · CARLSBAD, CA 92008 FIRE _DEPARTMENT TELEPHONE (619) 931-2121 APPROVED DISAPPROVED PLAN CHECK REPORT PROJECT S?ti.. .S--'= t lt ADDREss tq ZS-11\LoU11Ate. Of-\L<.S. (.,0../. SJ£ _ZGI ARCHITECT 'PLA~T · CC>Ot< ADDRESS-l'AR..L~&\_.D . PHONE ~7.,'f?~<J/9/ OWNER O'RJS. ~DUTJ:[UJEST'. &,1-~. ADDRESS tt\Q.,J I ¥ A], PHONE OCCUPANCY. T~t-CONST. Tl[: N TOT.ALSO. FT.. . I I STORIES Tf/ll&:::T -~PRINKLEAED~!ENANT,IMP. JI k~ $. F. DEEit c;;- --.-1. __ 2, _·_3, ~4- 1 • _._·5, APPROVAL OF PLANS IS PREDICATED ON CONFORMING TO THE FOLLOWING CONDITIONS AND/OR MAKING THE FOLLOWING CORRECTIONS: PLANS, S.PECIFICATIONS, AND PERMITS Provide one copy of: floor plan(s); site plan; sheets ----'--~----,--------------- ' ' . Provide two site plans showing t~e location bf a·II existing .fire hydrants within 200 feet of the project. -Provide specificafians for the following: ----~~-------~___,=------~----'---- Permits are required for the ins,tallation of all fire protection system~~ st1:1-nd pipes, dry chemical, halon, CO2, alarms, hydrants). Plan must be approved by the. fire department'pl'It-rl' to installation. The busine$s owner shall complete a building information letter and return it to the fire department.· F·IR.E PROTECTION SYSTEM$ AND EQUIPMENT ~ 6; · The following. fire protection systems· are r.equir~dc ?L_""""'\:?. A_,; ,-..::::,Li / -1 -'¥~utomatic fire sprinklers (Design Criteria: ·-+f:__,L/r=_.:>~__,_[__,_•c;::._-~ 1'l.___._'--'f-_ r~<~ ''~'___,_...,_,___-______ _ D Dry Chemical, Halon, CO2 (Location: _ ___,_. ----------c.......a--~------,---- 0 ·stand Pipes (Type: · · . _',{_ 7. I , D Fire Alarm (Type/Location: -~----,-----~-------'-,~--,---------- ~ ·re Extinguisher Requirements: . · _ · .., ,One 2A rated:ABC extinguisher for each &:z[l)0 sq. ft. or portion thereof wifh a travel distance to the nearest . extinguisher not .to exceed. I5 feet of travel\ · . , · · . D An extinguisher with a minimum rating.of ·, to be_ located: . ! . . . · ' _ · D Other: .-,--------~-,-------'-----'----'------'----'--------- -· _ 8. Additional _fire hydrant(s) shall be provided--------,-------~---'--------- EXITS '-f .. 9. Exit doors shall be openable from the inside without the u_se of a key or _any special 'knowledge or effort. __ -. 10. A sign stating, "This door to remain unlocked during business hours" shall be placed above the main exit and doors. · -: _n, EXIT signs (6" x ¾" letters) shall be placed ove'r all req~ired exiits and.directional signs located as necessary to . . clearly indicate the location of exit doors. G·ENERAL. __ .12. Storage, dispensing or use of any flammable or combustibi'e liquids, flammable. liquids, flammable gases· and hazardous chemicals shall comply with Uniform Fire Code. -.. -13. · Building(s) not approved for high piled combustible stock. Storage in closely packed piles shall not exceed 15 feet in height, 12 .feet·on pallets or in tacks and 6 feet fqr tires, pla$tics and some flammable liquids. If high stock pil- ing fs to be done,. comply with--Un)form Fire Code, .. Artic;:le 81. · · __ ._._14. Additional Requirements.------~~--~-------'--~---------- 9d.009 -.. --15. . Com.ply with~\egulations on attached .sheet(s). · Plan Examine~/ C c/4/a~ · . /'. Report mailed to architect ___ Met with --"---------"--- 'Date bf (_I /9/) . ___ Attach to Plans / COHHERCIAL/INDUSTRIAL APPLICATION FORM FOR INDUSTRIAL WASTE DISCHARGE PERMIT CITY or CARLSBAD APPLICATION: NEW ----------BUILDING P .c. NO.: :?~ ·CCI 6 ' (CHECK ONE) REVISED APPLICATION NO.: ----------INDUSTRIAL CLASS: -----BY: DATE: ------------------------Signature of City Representative APPLICATION FOR INDUSTRIAL WASTE DISCHARGE PERMIT 8. WASTES AND PROCESSING: ji2{'Domestic Waste Only (Check where applicable) 1:1 Industrial Waste 1:1· Induatr ial Waste NOT Discharged to Sewer Discharged to Sewer GENERAL DESCRIPTION OF WASTE (Chemical and Physical Characteristics of proposed waste): ---------------------------- GENERAL DESCRIPTION Of PROCESS (If Applicable): __________ _ C. WASTES TO --SE DISCHARGED TO SEWER: WASTE: (Check One) TREATED: UNTREATED...,..,:-- QUANTITY: AVERAGE ______ GPO (Daily) MAXIMUM ___ --,,.-GPO (Gallons Per Day) APPLICANT OR REPRESENTATIVE Of f!RH: /x;{L1t,v) ~V<A,(,,1 n ~ n <-Print) r mE , JY2'/ 1,rJ Lf&1 w _ IW'i, \-, uvtt-, SIGNATURE:~ g Ai . . . DATE: 6,2.g '10, ---------