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Home My WebLink About1945 Camino Vida Roble; J; CBC2017-0007; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 05/02/2017 Commercial Permit Permit No: CBC2017-0007 www.carlsbadca.gov lob Address:1945 Camino Vida Roble,J Permit Type:BLDG-Commercial Work Class:Tenant Improvement Status:Closed -Finaled Parcel No:2120921700 Lot #:Applied:01/04/2017 Valuation:$8,500.00 Reference #:Issued: Occupancy Group:Construction Type:Finaled: # Dwelling Units:Bathrooms:Inspector:AKrog Bedrooms:Orig. Plan Check #: Plan Check #: Project Title: Description:SUNWOOD VENTURES: REMOVE MEZZANINE //INSTALL NEW ACOUSTIC GRID //INSTALL LED LIGHTING Applicant:Owner:Co-Applicant: AMERICAN TECHNOLOGIES INC SUNWOOD VENTURES AMERICAN TECHNOLOGIES INC RICK KIRKLAND DONALD L KNOX 8444 Miralani Dr 9820 Willow Creek Rd 8444 Miralani Dr San Diego, CA 92126-4389 SAN DIEGO, CA 92131-1112 San Diego, CA 92126-4389 619-643-4617 619-573-1801 858-530-2400 BUILDING PERMIT FEE $2000+$106.09 BUILDING PLAN CHECK FEE (BLDG)$74.26 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL $41.00 MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL $39.00 5B1473 BUILDING STANDARDS FEE $1.00 STRONG MOTION-COMMERCIAL $2.38 Total Fees:$263.73 Total Payments To Date:$263.73 Balance Due:$0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction."You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project.NOR DOES IT APPLYto 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. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:0 PLANNING DENGINEERING DBUILDING DFIRE 0 HEALTH OHAZMAT/APCD r •Building Permit Application Plan Check No.Ce)C011—0a:51 Cityk of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value a5X_ do Ph: 760-602-2719 Fax: 760-602-8558Carlsbademail: building@carlsbadca.gov Plan Ck. Deposit • www.carlsbadca.gov Date 1 i 1.4 I/17 SWPPP JOB ADDRESS SUITE#/SPACE#/UNIT#APN 1945 Camino Vida Robles J 212 -092 -17 -00 CT/PROJECT #LOT #PHASE ##OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:Include Square Feet of Affected Area(s) Remove existing mezzanine, install new acoustic grid and LED lay-in lights Gr-g/o /r vv ,/54 vs 300d AIREXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE4CONDITIONING FIRE SPRINKLERS Commercial Commercial YESI#NO0 YES EiNO0 YES0 NOEI APPLICANT NAME PROPERTY OWNER NAME Primary Contact Rick Kirkland Sunwood Ventures ADDRESS ADDRESS 8444 Miralani Dr 9820 Willow Creek Rd Ste 490 CITY STATE ZIP CITY STATE ZIP San Diego CA 92126 San Diego CA 92131 PHONE FAX PHONE FAX 619-643-4617 619-573-1800 EMAIL EMAIL rick.kirklandRatirestoration.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Dodd & Associates American Technologies. Inc. ADDRESS ADDRESS 7490 Opportunity 8444 Miralani dr CITY STATE ZIP CITY STATE ZIP San Diego CA 92111 San Diego CA 92126 PHONE FAX PHONE FAX 619-260-0057 619-643-4617 EMAIL EMAIL rick.kirklandaatirestoration.com STATE LIC.#STATE LIC.#CLASS CITY BUS. LIC.# 571784 B 1214244...., (Sec.7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its 1 Liance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provi)sions of the Contractor'sLicense Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS'COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ElI have and will maintain workers' compensation,as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co.Philidelphia Indeminity Policy No.1000002309 Expiration Date 811/2017 This section need not be completed if the permit is for one hundred dollars ($100) or less.0 Certificate of Exemption:I certify that in the performance of the work for which this permitis issued,I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California.WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as p .vid-•or in Sectio,or:.of the Labor code, interest and attorney's fees. AS CONTRACTOR SIGNATU •/AM /-'-..-' ElAGENT DATE /7 7—, OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's License Law for the following reason: ElI,as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). EjI,as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractors License Law).0 I am exempt under Section Business and Professions Code for this reason: 1.I personally plan to provide the major labor and materials for construction of the proposed property improvement.EYes EINo 2.I (have /have not) signed an application for a building permit for the proposed work. 3.I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address I phone I contractors' license number): 5.I will provide some of the work, butI have contracted (hired) the following persons to provide the work indicated (include name / address I phone / type of work): AS...PROPERTY OWNER SIGNATURE DAGENT DATE ._•• COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?Yes No Isthe applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION Icertify thatIhave read the application and state that the above information is correct and thatthe information on the plans is accurat.l agreeto comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over SO' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced foraperiod of 180 days (Section 106.4.4 Uniform Building Code). )APPLICANT'S SIGNATURE /....1rZt...DATE /V -2 p ..‘ STOP\ STOP:THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@cadsbadca.govor Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#:(Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB#. MAIL TO:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR (On Pg. 1)NO CHANGE IN USE/NO CONSTRUCTION MAIL/FAX TO OTHER:CHANGE OF USE/NO CONSTRUCTION ASAPPLICANT'S SIGNATURE DATE • ••••".,••••• ••••1......••.1....••••••••••• ._••. •PECTION•HISTORY REPORT (CBC2017-0007)••.•• Permit Type:BLDG-Commercial Application Date:01/04/2017 Owner:SUNWOOD VENTURES Work Class:Tenant Improvement Issue Date:Subdivision:CARLSBAD TCT#81-46 UNIT#01 Status:Closed -Fineled Expiration Date:10/30/2017 Address:1945 Camino Vida Roble ,J Carlsbad, CA 92008-6529 IVR Number:1257 •- Scheduled Actual Date Start Date inspection Type inspection No.Inspection Status Primary Inspector Reinspection Complete 04/25/2017 04/25/2017 BLDG-85 T-Bar,021015-2017 Failed Andy Krogh Reinspection Complete Ceiling Grids, Overhead Checklist Item COMMENTS Passed BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-34 Rough Electrical MC cables to be terminated, demoed lights No to be removed from above t-grid, new lights to have corner stay wires BLDG-44 Vents to have stay cables No Rough-Ducts-Dampers 04/27/2017 04/27/2017 BLDG-85 T-Bar,021355-2017 Failed Andy Krogh Reinspection Complete Ceiling Grids, Overhead Checklist Item COMMENTS Passed BLDG-Building Deficiency No one onsite and building locked No BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-34 Rough Electrical MC cables to be terminated, demoed lights No to be removed from above t-grid, new lights to have corner stay wires BLDG-44 Vents to have stay cables No Rough-Ducts-Dampers 05/02/2017 05/02/2017 BLDG-34 Rough 021852-2017 Passed Andy Krogh Complete Electrical Checklist Item COMMENTS Passed BLDG-Building Deficiency Combo with t-bar Yes BLDG-85 T-Bar,021994-2017 Passed Andy Krogh Complete Ceiling Grids, Overhead Checklist Item COMMENTS Passed BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers BLDG-Final 021995-2017 Passed Andy Krogh Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes 0111101111101111110011 NNIMMOMMININII PERMIT INSPECTION HISTORY REPORT (CBC2017-0007) Permit Type:BLDG-Commercial Application Date:01/04/2017 Owner:SUNWOOD VENTURES Work Class:Tenant Improvement issue Date:Subdivision:CARLSBAD TCT#81-46 UNIT#01 Status:Closed -Finaled Expiration Date:10/30/2017 Address:1945 Camino Vida Roble ,J Carlsbad, CA 92008-6529 IVR Number:1257 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete May 02, 2017 Page 2 of 2 EsGil Corporation In Partnership with governmentfor Buifein,g Safety DATE:JAN.11, 2017 APPLICANT JURIS. JURISDICTION:CARLSBAD 0 PLAN REVIEWER 0 FILE PLAN CHECK NO.:C2017-0007 SET:I PROJECT ADDRESS:1945 CAMINO VIDA ROBLES PROJECT NAME:EXISTING MEZZANINE REBUILT The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. X The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved 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 Corporation until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: X EsGil Corporation staff did not advise the applicant that the plan check has been completed. EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: —Telephone #: Date contacted;------(by)Email: Mail Telephone Fax In Person Z REMARKS:tll:Revise the note on Sht.Al to state: This project shall comply with the 2016 CA Building Code, which adopts the 2015 IBC, 2015 UMC, 2015 UPC & the 2014 NEC; #1): The structural sheets of plans to be stamped & signed by the project engineer. By:ALI SADRE, S.E.Enclosures: EsGil Corporation GA El EJ El MB E1 PC 1/06 9320 Chesapeake Drive, Suite 208 •San Diego, California 92123 •(858) 560-1468 •Fax (858) 560-1576 (DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION:CARLSBAD PLAN CHECK NO.:C2017-0007 PREPARED BY:ALI SADRE, S.E.DATE:JAN.11, 2017 BUILDING ADDRESS:1945 CAMINO VIDA ROBLES BUILDING OCCUPANCY:B; V-B BUILDING AREA Valuation Reg.VALUE ($) PORTION (Sq.Ft.)Multiplier Mod. MEZZ ADD 150 Air Conditioning Fire Sprinklers TOTAL VALUE 8,500 Jurisdiction Code CB By Ordinance Bldg.Permit Fee by Ordinance $105.72 Plan Check Fee by Ordinance v $68.72 Type of Review:El Complete Review Structural Only 1:1 Other0Repetitive FeeRepeats Hourly Hr.@ * EsGiI Fee $59.20 Comments: Sheet 1 of 1 macvalue.doc + r:citwE 'rk,"fie OFFICE USE ONLYA/SAN DIEGO REGIONAL I - --7. ,c7..ick k .).,,,RECORD ID # -5-::,.. -.,-/O)HAZARDOUS MATERIALS PLAN CHECK # .,,-* QUESTIONNAIRE BP DATE // Bukiness Name Business Contact Telephone t(Dicb to.Am etti coon .- .1 ethn b 1 on l'e I&.lkicic K-19-ide4 3 -41 tot"7 4 APN# Projet dciress Ca City Ci ki6 Cam\ int VI ae.,hble.3 ecurlSbna StA Zip Code ct2.06K Mailing Address City State Zip Code Plan File# ProjecMacit Applicant E-mail."gay)asheilTqlephone # tio i Le (6 _ 4/toi 7c4c.IC]eu-larvi n LK . KA fy_J1 en .C.t/Y1 The following questions represent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT -HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: (not required for proiects within the City of San Dieciot Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are circled, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating:Facility's Square Footage (including proposed project): 1.Explosive or Blasting Agents 5.Organic Peroxides 9.Water Reactives 13.Corrosives 2.Compressed Gases 6.Oxidizers 10.Cryogenics 14.Other Health Hazards 3.Flammable/Combustible Liquids 7.Pyrophorics 11.Highly Toxic or Toxic Materials 15.None of These. 4.Flammable Solids 8.Unstable Reactives 12.Radioactives PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION (HMD):If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 110, San Diego, CA 92123. Call (858) 505-6700 prior to the issuance of a building permit. FEES ARE REQUIRED Project Completion Date:Expected Date of Occupancy:0 CalARP Exempt YES NO (for new construction or remodeling projects)/ 1.0 1 Is your business listed on the reverse side of this form? (check all that apply).Date Initials 2.0 Will your business dispose of Hazardous Substances or Medical Waste in any amount? 3.0 1p Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 0 CalARP Required pounds and/or 200 cubic feet?/ 4.0 Will your business store or handle carcinogens/reproductive toxins in any quantity?Date Initials 5.0 Will your business use an existing or install an underground storage tank? 6.0 Will your business store or handle Regulated Substances (CalARP)?0 CalARP Complete 7.0 0 Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)?/ 8.0 Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to Date Initials or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). PART III: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD): Any YES* answer requires a stamp from APCD 10124 Old Grove Road, San Diego, CA 92131 apcdcomp@sdcountv.ca.00v (858) 586-2650). (*No stamp required ifQ1 Yes and Q3 Yes and Q4-Q6 No].The following questions are intended to identify the majority of air pollution issues at the planning stage. Projects may require additional measures not identified by these questions. For comprehensive requirements contact APCD.Residences are typically exempt, except -those with more than one building*on the property; single buildings with more than four dwelling units; townhomes; condos; mixed-commercial use; deliberate burns; residences forming part of a larger project.['Excludes garages & small outbuildings.] YES NO 1.0 Will the project disturb 160 square feet or more of existing building materials? 2.0 Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition. 3.0 (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance Technician? 4.0 0 (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification may be required 10 working days prior to commencing asbestos removal. 5.0 p Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet (www.sdaocd.oro/info/facts/Dermits.odf) for typical equipment requiring an APCD permit. 6.0 0 (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school boundary_ Briefly describe bu iness activities-Briefly describ proposed project:,- finer n ViZzo 67)0.10t4SOC.rr a I decla unde enalty of perjury that to the best of my knowledge and belief resp nse)(nade her •true and correct.ir.Lie it(,/./odst/i)t2-I 27 / 70/6 Name of Owner or Authorized Agent S nature o 0 er or Authorized A ent Date FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: BY:DATE:// EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMD*APCD COUNTY-HMD APCD COUNTY-HMD APCD *A stamp in this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply. HM-9171 (08/15)County of San Diego -DEH -Hazardous Materials Division -......... LIST OF BUSINESSES WHICH REQUIRE REVIEW AND APPROVAL FROM THE COUNTY OF SAN DIEGO DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION Check all that apply: AUTOMOTIVE CHEMICAL HANDLING OTHERS AND MISCELLANEOUS 0 Battery Manufacturing/Recycling 0 Photographic Processing 0 Asphalt Plant 0 Boat Yard 0 Pool Supplies/Maintenance 0 Biotechnology/Research 0 Car Wash 0 Printing/Blue Printing 0 Chiropractic Office 0 Dealership Maintenance/Painting 0 Road Coatings 0 Co-Generation Plant0Machine Shop D Swimming Pool 0 Dental Clinic/Office0Painting0Toxic Gas Handler 0 Dialysis Center 1:1 Radiator Shop 0 Toxic Gas Manufacturer 0 Emergency Generator El Rental Yard Equipment 0 Frozen Food Processing Facility 0 Repair/Preventive Maintenance METAL WORKING 0 Hazardous Waste Hauler 0 Spray Booth 0 Anodizing 0 Hospital/Convalescent Home0Transportation Services 0 Chemical Milling/Etching 0 Laboratory/Biological Lab El Wrecking/Recycling 0 Finish-Coating/Painting 0 Medical Clinic/Office 0 Flame Spraying 0 Nitrous Oxide (N0x) Control System CHEMICAL HANDLING 0 Foundry 0 Pharmaceuticals 0 Agricultural supplier/distributor 0 Machine Shop-Drilling/Lathes/Mills 0 Public Utility ID Chemical Manufacturer 0 Metal Plating 0 Refrigeration System 0 Chemical Supplier/Distributor 0 Metal Prepping/Chemical Coating 0 Rock Quarry 0 Coatings/Adhesive 0 Precious Metal Recovery 0 Ship Repair/Construction 0 Compressed Gas Supplier/Distributor 0 Sand Blasting/Grinding 0 Telecommunications Cell Site 0 Dry Cleaning 0 Steel Fabricator 0 Veterinary Clinic./Hospital El Fiberglass/Resin Application 0 Wrought Iron Manufacturing 0 Wood/Furniture Manufacturing/Refinishing 0 Gas Station 1:1 Industrial Laundry AEROSPACE ELECTRONICS0Laboratory0Aerospace Industry 0 Electronic Assembly/Sub-Assembly0Laboratory Supplier/Distributor 0 Aircraft Maintenance 0 Electronic Components Manufacturing El Oil and Fuel Bulk Supply 0 Aircraft Manufacturing DI Printed Circuit Board Manufacturing0Pesticide Operator/Distributor NOTE: THE ABOVE LIST INCLUDES BUSINESSES, WHICH TYPICALLY USE, STORE, HANDLE, AND DISPOSE OF HAZARDOUS SUBSTANCES. ANY BUSINESS NOT INCLUDED ON THIS LIST, WHICH HANDLES, USES OR DISPOSES OF HAZARDOUS SUBSTANCES MAY STILL REQUIRE HAZARDOUS MATERIALS DIVISION (HMD) REVIEW OF BUSINESS PLANS. FOR MORE INFORMATION CALL (858) 505-6880. LIST OF AIR POLLUTION CONTROL DISTRICT PERMIT CATEGORIES Businesses, which include any of the following operations or equipment, will require clearance from the Air Pollution Control District. CHEMICAL COMBUSTION ROCK AND MINERAL 47 —Organic Gas Sterilizers 34 —Piston Internal —Combustion Engines 04 —Hot Asphalt Batch Plants 32 —Acid Chemical Milling 13 —Boilers & Heaters (1 million BTU/hr or larger)05 —Rock Drills 33 —Can & Coil Manufacturing 14 —Incinerators & Crematories 06 —Screening Operations 44 —Evaporators, Dryers & Stills Processing 15 —Burn Out Ovens 07 —Sand Rock & Aggregate Plants Organic Materials 16 —Core Ovens 08 —Concrete Batch, CTB, Concrete Mixers, Mixers 24 —Dry Chemical Mixing & Detergent Spray 20 —Gas Turbines, and Turbine Test Cells & Stands & Silos Towers 48 —Landfill and/or Digester Gas Flares 10 —Brick Manufacturing 35 —Bulk Dry Chemicals Storage 55 —Chrome Electroplating Tanks ELECTRONICS OTHER 29 —Automated Soldering 01 —Abrasive Blasting Equipment COATINGS & ORGANIC SOLVENTS 42 —Electronic Component Mfg 03 —Asphalt Roofing Kettles & Tankers 27 —Coating & Painting 46 —Reverse Osmosis Membrane Mfg 37 —Plasma Arc & Ceramic Deposition Spray FOOD 51 —Aqueous Waste Neutralization Booths 12 —Fish Canneries 11 —Tire Buffers 38 —Paint, Stain & Ink Mfg 12 —Smoke Houses 17 —Brake Debonders 27 —Printing 50 —Coffee Roasters 23 —Bulk Grain & Dry Chemical Transfer & Storage 27 —Polyester Resin/Fiberglass Operations 35 —Bulk Flour & Powered Sugar Storage 45 —Rubber Mixers 21 —Waste Disposal & Reclamation Units METALS SOLVENT USE 36 —Grinding Booths & Rooms 18 —Metal Melting Devices 28 —Vapor & Cold Degreasing 40 —Asphalt Pavement Heaters 19 —Oil Quenching & Salt Baths 30 —Solvent & Extract Driers 43 —Ceramic Slip Casting 32 —Hot Dip Galvanizing 31 —Dry Cleaning 41 —Perlite Processing 39 —Precious Metals Refining 40 —Cooling Towers —Registration Only 91 —Fumigation Operations ORGANIC COMPOUND MARKETING 56 —VVVVTP (1 million gal/day or larger) & Pump (GASOLINE. ETC1 Station 25 —Gasoline & Alcohol Bulk Plants & Terminals 25 —Intermediate Refuelers 26 —Gasoline & Alcohol Fuel Dispensing NOTE: OTHER EQUIPMENT NOT LISTED HERE THAT IS CAPABLE OF EMITTING AIR CONTAMINANTS MAY REQUIRE AN AIR POLLUTION CONTROL DISTRICT PERMIT.IF THERE ARE ANY QUESTIONS, CONTACT THE AIR POLLUTION CONTROL DISTRICT AT (858) 586-2600. HM-9171 (08/15)County of San Diego —DEH —Hazardous Materials Division •• INDUSTRIAL WASTEWATER DISCHARGE PERMIT WASTEWAIS ...zikAUTHORITYSCREENING SURVEY Date Business Name Street Address Email Address PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT:(ON REVERSE SIDE CHECK TYPE OF BUSINESS) Check all below that are present at your facility: Acid Cleaning Ink Manufacturing Nutritional Supplement/ Assembly Laboratory Vitamin Manufacturing Automotive Repair Machining /Milling Painting / Finishing Battery Manufacturing Manufacturing Paint Manufacturing Biofuel Manufacturing Membrane Manufacturing Personal Care Products Biotech Laboratory (i.e. water filter membranes)Manufacturing Bulk Chemical Storage Metal Casting / Forming Pesticide Manufacturing / Car Wash Metal Fabrication Packaging Chemical Manufacturing Metal Finishing Pharmaceutical Manufacturing Chemical Purification Electroplating (including precursors) Dry Cleaning Electroless plating Porcelain Enameling Electrical Component Anodizing Power Generation Manufacturing Coating (i.e. phosphating)Print Shop Fertilizer Manufacturing Chemical Etching / Milling Research and Development Film / X-ray Processing Printed Circuit Board Rubber Manufacturing Food Processing Manufacturing Semiconductor Manufacturing Glass Manufacturing Metal Powders Forming Soap / Detergent Manufacturing Industrial Laundry Waste Treatment /Storage SIC Code(s) (if known): Brief description of business activities (Production /Manufacturing Operations): Description of operations generating wastewater (discharged to sewer,hauled or evaporated): Estimated volume of industrial wastewater to be discharged (gal /day): List hazardous wastes generated (type /volume): Date operation began/or will begin at this location: Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes No If yes, when: Site Contact Title Signature Phone No. ENCINA WASTEWATER AUTHORITY,6200 Avenida Encinas Carlsbad, CA 92011 (760) 438-3941 FAX:(760) 476-9852 DISCHARGE PERMIT EXEMPT LIST The commercial enterprises listed below are a partial listing of businesses that are exempt from industrial wastewater discharge permitting under normal operating conditions. They are exempt because (a) they discharge no process wastewater (i.e., they only discharge sanitary wastewater with no pollutants exceeding any local limits),and (b) they have no potential to negatively impact the EWPCF or other wastewater treatment plants in the ESS.Any questions regarding exemptions should be referred to EWA Source Control staff. Automobile Detailers Barber/Beauty Shops Business/Sales Offices Carpet/Upholstery Cleaning Services Childcare Facilities Churches Community Centers Consulting Services Contractors Counseling Services Educational Services (no auto repair/film developing) Financial Institutions/Services Fitness Centers Gas Stations (no car wash/auto repair) Grocery Stores (no film developing) Home-based Businesses Hotels/Motels (no laundry) Laundromats Libraries Medical Offices (no x-ray developing) Mortuaries Museums Nail Salons Nursing Homes Office Buildings (no process flow) Optical Services Pest Control Services (no pesticide repackaging for sale) Pet Boarding/Grooming Facilities Postal Services Public Storage Facilities Restaurants/Bars Retail/Wholesale Stores (no auto repair/film developing) Theaters (Movie/Live)