HomeMy WebLinkAbout2007 COSTA DEL MAR RD; ; 87-141; PermitDECLARATIONS
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City of Carlsbad
1200 ELM, CARLSBAD, CA 92008 • TEL (619) 438 5525
MISCELLANEOUS
RECEIPT
X' I
Address 2007 Costa Del Mar Rd.
Owner •" 'La Costa Hotel & Spa
A±SS 3100 Costa Del Mar Rd.
c"y Sarlsbad Zlp 92009 Tel 753-1181
Contractor ,, „C. A. Larson
PO Box 83759
Clty San Diego Zlp 92138 Te£98-8830
State Lie TWITR ; C"y 1?fR7S Classif iJyi/D Lie No J-^UO/
COMPLETE FOR PLAN CHECK ONLY
LEGAL DESCRIPTION Sec . 2B T12S $4W SBM
ASSESSORS PARCEL NO 216-123-02 904 905
DESCRIPTION OF WORK Construct 2400 S.F.
wood frame and stucco addition to
Existing Tennis Club at the La Costa
Resort.
V
PLAN ID NO /f '/~^~ / ^1_. /
DESIGNER ADDRESS E^re Bartanyl t Del Mar
755-6005
Les Vaughn at La Costa
CONTACT PERSON
753-1181 i
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MISCELLANEOUS FEE RECEIPT
l~l • PLAN CHECK FEE 00181000008806
[J VALUATION
D DEMOLITION
LH HOUSE MOVING
f~i PARKS AND RFCRFATION FFF
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•WARNING PLAN CHECK FtES WHERE NO ACTION IS TAKEN BY THE
APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUED ARE
FORFEITED TO THE CITY
COMMENTS
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White — Applicant Yellow — File Pink — (1) Finance (2) Data Process Gold — Assessor
ESGIL CORPORATION
932O CHESAPEAKE DR . SUITE 208
SAN DIEGO, CA 92123
j (619) 5M)
DATE 2
JURISDICTION
PLAN CHECK NO
PROJECT ADDRESS
PROJECT NAM£N
Br(- 14-J-iT
PAPPLICANT
<r—Q JURISDICTION:
[_J FLAN CHECKER
QFILE COPY
QUPS
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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
with the jurisdiction's building codes when minor deficien-
cies identified _ 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 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
Cft-
Esgil staff did not advise the applicant contact person that
plan check has been completed. oTtv£\3. -ru-osi f\ft \\~iu6r .
Esgil staff did advise applicant that the plan check has
been completed. Person contacted _
Date contacted-
REMARKS
Telephone #_
By Enclosures :
ESGIL CORPORATION
HAS CHECK VO.
JURISDICTION
TO: L(SS
InSTfl fioTHL.
Cosm
. CO-
PROJECT DATA
OCCUPANCY.f\-3
BUILDING USE.I.L ,
TYPE OF CONSTRUCTION; V" N
ACTUAL AREA; g-g '*• 3 £/)•/, M 3 &, \°(3OI y ------- /
ALLOWABLE AREA; /Z$0f)f) ' "Z,\.OOO
^ ^ ;
STORIES -___2:
HEIGHT: ~
SPRINKLERS;\ H
OCCUPANT LOAD- \ <rr 3 C, \
REMARKS. To '&
AT>C>i-r\aKlHl_
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PLAN CORKKCTJLON SHKKI
GENERAL. COMMERCIAL
Date plans received by jurisdiction
Date plans received by Esgil Corp
Date initial plan check completed
Tut?
Applicant contact person
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FOREWORD* PLEASE READ
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 or
other departments
Present California law mandates that
construction comply with Title 24 and the
applicable model code editions adopted, with or
without changes, by the various state agencies
authorized to propose building regulations for
enforcement at the local level Code sections
cited are based on the 1982 UBC
The above regulations apply to construction,
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
satisfied before the plans will be in
conformance with the cited codes and
regulations Per Sec 303 (c), 1982 Uniform
Building Code, the approval of the plans does
not permit the violation of any state, county or
city law
PAGE NUMBERS ARE NOT IN SEQUENCE AS PAGES HAVING NO ITEMS NEEDING CORRECTION WERE DELETED.
List No 30, GFNFRAL COMMFRCIAL, WITHOUT FNFRGY OR LOCAL ORDINANCF OR POLICY SUPPLEMENTS
1
4/23/86
A. PLANS
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, California 92123,
(619) 560-U68
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
Show on the Title Sheet all buildings,
structures, walls, etc included under this
application Any portion of the project shown
on the site plan that is not included with the
building permit application filed should be
clearly identified as "not included" on the site
plan or Title Sheet
Provide a Building Code Data Legend on the
J Title Sheet Include the following code
/ information for each building proposed
ft
5'flLE^
f Provide the site address and a vicinity
sketch on the Title Sheet
Provide the names, addresses and telephone
numbers of the owner and the responsible design
professionals on the Title Sheet
51 All sheets of the plans and the first sheet
of the calculations are required to be signed by
the California licensed architect or engineer
responsible for the design Please include the
California license number and the date the plans
are signed
6r Indicate on the Title Sheet whether or not
a grading permit is required for this project
Occupancy Group
Description of Use
Type of Construction
Sprinklers Yes or No
Stories
Height
Floor Area
* iw uevj OF v-i
Justification to exceed allowable area
in Table 5-C
Justification to exceed allowable height or
stories in Table 5-D <3K
C. SITS PLAN
(9^) Provide a fully dimensioned site plan
drawn to scale Show North arrow, property
lines, easements, streets, existing and proposed
buildings and structures, location of yards used
for allowable increase of building area and
dimensioned setbacks
10 Provide a statement on the site plan
/stating "All property lines, easements and
buildings, both existing and proposed, are shown
on this site plan"
2
W23/86
f/
I. INTERIOR WALL AND CEILIWG FINISH J. OCOrPANCY SEPARATION
78/ Foam plastics shall not be used as interior
/Tinish except as provided in Section 1712
Z9 When walls and ceiling are required to be
/ fire-resistive or noncombustible, the finish
material shall be applied directly against the
fire-resistive construction or to furring strips
not exceeding 1-3/4 inches The furred space
shall be filled with inorganic or Class I
material or fire stopped not to exceed 8 feet
in any direction Section 4203, 1
8Q( When finish materials are set out or dropped
/more than 1-3/4 inches from fire-rated walls or
ceilings the finish material shall be Class I or
spnnklered on both sides or attached to
noncombustible backing or furring strips
Section W03, 2
81 Hangers and assembly members of dropped
/ ceilings below a one-hour ceiling assembly shall
be noncombustible materials except in Types III
and V construction, where fire-retardant treated
wood may be used Section 4203, 2
&L All interior wall or ceiling finishes less
/than I/1* inch thick shall be applied directly
against a noncombustible backing unless it is in
accordance with an approved tested assembly
Section 4203, 4
(83) Provide a note on the plans or on the finish
.^schedule, "Wall and ceiling materials shall not
/ exceed the flame spread classifications in UBC
Table 42-B "
5 A
required between
-hour occupancy separation is
occupancy and the
occupancy Table 5-B,
Section 503 (d), Tables 43-A, B, C and
Chapter 43
/>85 Administrative and clerical offices and
/similar rooms need not be separated from other
occupancies provided they are less than 750 sq
ft , less than 25 percent of the floor area of
the major use and not related to an H-l or H-2
Occupancy Section 503 (d)
86 Provide -hour fire-resistive door
-hour occupancy/ assemblies in the
separation Section 503 (c)
/
8/ The required three-hour rated occupancy
/separation between B-l and R-l occupancies may
be reduced to a two-hour rating when the B-l is
limited to the storage of passenger vehicles,
and the provisions of Section 702 are not
applicable Table 5-B The two-hour occupancy
separation may be further reduced to one-hour,
if the aggregate area of B-l occupancy within
the building does not exceed 3,000 sq ft
Section 503 (d)
88 A B-l occupancy in the basement or first
story of a building housing a group B, Division
2 occupancy may be classed as a separate
building The building above may also be
considered a separate and distinct building for
the purpose of area limitation, limitation of
number of stories and type of construction ONLY
if the following Section 702 conditions are
met
U-
8
4/23/86
lift Exit doors should swing in the direction of
/ egrees when serving occupant load of 50 or more
Section 3303 (d) See doors
{1151. Exit doors should be openable from the inside
without the use of a key, special knowledge, or
effort Section 3304 (c) [Note that exit doors
serving 10 or less occupants may have a night
latch, dead bolt, or security chain per
Title 24 2-3303 (c) ]
Iff 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 (e)
117 The net dimension (clear width) at doorways
' should be used in determining exit widths
required by Section 3302 (b) Section 3304 (e)
In consideration of door thicknesses, panic
hardware, door swing etc , the required exit
widths have not been furnished See door
1*8 Regardless of occupant load, a floor or
i landing not more than 1/2 inch below the
threshold is required on each side of an exit
door Section 3304 (h)
9 Doors should not project more than 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)
121 A door may open over a stairway landing
/ provided the door, in any position, does not
reduce the clear area of the landing, in the
direction of travel, to less than one-half the
required width of the stairway
Section 3306 (g)
\J/i Ramps required by Table 33-A shall not exceed
'1 12, other exit ramps 1 8 Ramps steeper than
1 15 shall have handrails as required for
stairways Minimum size landings and landing
clearances must be provided Section 3307
23^ Stairway width must be at least 44 inches
when serving more than 50 occupants, 36 inches
when less than 50, 30 inches when used as a
private stairway serving less than 10 occupants
Section 3306 (b), Section 3301 (b)
12 Seventy eight inch minimum headroom clearance
stairways should be indicated on the plans
/ Section 3306 (p) Note that this is from a
plane tangent to the stairway tread nosings
Stairway handrails should not project more
than 3-1/2 inches into the required width Trim
may not project more than 1-1/2 inches
Section 3306 (b)
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 (g)
Enclosed usable space under interior or
exterior stairways should be protected on the
enclosed side as required for one-hour
fire-resistive construction 2x0 16" 0 C
nailers Section 3306 (m) (n)
Landings should not be reduced in width more
than 7 inches by a door when fully open Where
doors open over landings, the landing shall have
a length of not less than 5 feet
Section 3306 (g) and Section 3304 (h)
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11
4/23/86
128 Stairways from upper levels which extend
/ below the level from which egress from the
building is provided, shall have an approved
barrier to preclude exiting into such lower
levels Section 3306 (h) & 3309 (e)
Vertical distances between stairway landings
are limited to 12 feet Section 3306 (i)
All interior stairways and ramps shall be
enclosed An enclosure is not required if
serving only one adjacent floor and not
connected to stairs or corridors serving other
floors Section 3309 (a)
Stairway riser must be 4 inches minimum and
7-1/2 inches maximum and minimum run shall be 10
inches except in winding, circular or spiral
stairways Section 3306 (c)
132 Winding and spiral stairways are permitted
' only in residential occupancies
Section 3306 (d)
Stairways should be enclosed as specified in
'Section 3309
Two-hour fire-resistive walls are
required in buildings of Type I and
II-F R Construction, and in all
buildings over four stories, and one-
hour elsewhere
Only exit doors are allowed to open into
exit enclosures
d Exit enclosures should include a
corridor on the ground floor extending
to the exterior (see exception)
Fire-resistive construction should be
as required for the exit enclosure,
including protected openings Only
exit doors are permitted to open into
the corridor
e An approved barrier is required at the
ground floor to prevent people from
accidentally continuing to the lower
level
f Usable space is not allowed under the
stairs
Occupied floors more than 75 feet above the
the highest grade should have all exits from
the building in smoke-proof enclosures
Section 3310 (b)
135 In buildings four or more stories, one
/ stairway must extend to the roof
Section 3306 (o) It must be in a smoke-proof
enclosure in buildings over 75 feet in height
A first story as allowed by Section 702 shall
be included in determining the number of stories
when determining if a stairway to the roof is
required Section 3306 (o)
134 Note "Doors into exit enclosures shall
/ comply with Section 3309 (c) "
Doors should be labeled one and
one-half-hours or one-hour fire
assemblies
10 rvu
12
4/23/86
L37i Handrails are required on each side of
^stairways Stairways required to be more than
88 inches wide shall have intermediate
handrails Stairways not over 4-4 inches wide
may have one handrail if not open on both
sides Private stairways (1 tenant), 30 inches
or less in height, may have one handrail
Handrails shall be 30 inches to 34 inches above
nosing of treads and be continuous and, except
for private stairways, at least one rail shall
extend 6 inches beyond top and bottom risers
Handrail ends shall be returned or shall
terminate in a newel post or safety terminal
Section 3306 (j)
13&I The handgrip portion of all handrails shall
be not less than 1-1/4 inches nor more than 2
inches in cross-sectional dimension Handrails
projecting from walls shall have at least 1-1/2
inches between the wall and the handrail
Section 3306 (j)
Openings in the exterior wall below or
within 10 feet horizontally of an exterior exit
stairway in buildings over two stories shall be
protected by a self-closing assembly having a
three-fourths-hour rating, unless two separate
exterior stairways serve an exterior exit
balcony Section 3306 (1)
L. CORRIDORS
Corridors, and exterior exit balconlies,
serving 10 or more occupants must be a minimum
44 inches wide and 7 feet high to the lowest
projection Section 3305 (b)
When a corridor or exterior exit balcony is
accessible to the handicapped, changes in
elevation shall be made by means of a ramp
Section 3305 (f)
(142,/ Corridors serving 30 or more occupants shall
S7 have walls and ceilings of one-hour construction
/* except
a Corridors greater than 30 feet wide when
the occupants or areas served by the
corridor have an exit independent from
the corridor
b Exterior sides of exterior exit
balconies Section 3305 (g)
1 143J One-hour fire-rated corridors shall have
door openings protected by tight-fitting smoke
and draft control assemblies rated 20 minutes,
except openings in interior walls of exterior
exit balconies Doors shall be maintained self-
closing or be automatic-closing by action of a
smoke detector per Section 4306 (b), doors shall
be gasketed to provide a smoke and draft seal
where the door meets the stop on sides and top
Section 3305 (h)
\w+Total area of all openings, except doors, in
any portion of an interior corridor, shall not
exceed 25 percent of the area of the corridor
wall of the room which it is separating from the
corridor Such openings shall be protected by
fixed, approved 1/4 inch thick wired glass
installed in steel frames Section 3305 (h)
14^5 Duct penetrations of fire-rated corridor
11s and ceiling
Section 4306 (j)
' walls and ceilings shall have fire dampers per
Viewports in 20 minute rated corridor doors
cannot exceed 1 inch in diameter and must have
1/4 inch thick glass and metal holder that will
not melt at 1700 degrees F Section 3305 (h)
^^3)?»
13
4/23/86
Provide a complete architectural section of
the corridor, and exterior exit balcony, showing
all fire-resistive materials and details of
construction for all floors, walls, roof and all
penetrations Section 3305 (g)
146 Ceilings of combustible materials cannot be
' suspended below the one-hour corridor ceiling
Section 3305 (g)
Corridor walls may terminate at the ceiling
only if the ceiling is an element of a one-hour
fire-resistive floor or roof system
Section 3305 (g)
150 See attached details for approved methods of
providing one-hour corridor construction
irfl When two exits are required, dead end
corridors and exit balconies are limited to 20
feet Section 3305 (e)
Exterior exit balconies cannot be located in
areas where protected openings are required
Section 3305 (i)
M. EXIT SIGHS
Exit signs are required for exits serving an
load exceeding 50 Show all required
exit sign locations Section 3314 (a)
Show that exits are lighted with at least one
"foot candle at floor level Section 3313 (a)
LS& Show that the power supply for exit
' illumination and exit signs is provided by two
separate circuits (Occupant load exceeds 50 in
I occupancies and 100 in H occupancies and 300
in all others) Section 3313 (b) 1
1S6 Show separate sources of power for exit
/illumination and exit signs (Occupant load
exceeds 999 in A-l, 500 in A-2/2 1, 150 in
churches, 100 in I's, 500 in B-2 occupancies)
Section 3313 (b) 2
1 (157x The exit sign locations as shown are not
adequate
H. TCT.KVATORS
138 Provide notes and details to show the
/elevator will comply with Sections 5101 through
5105 -r-=_
Okwioer * «*>«-
O. Gf ASS AHD GLAZIHG
(v&) Specify on the window schedule the glass type^
^and thickness to show compliance with
/? Table 54-A and B
160 Specify safety glazing for glazing in
hazardous locations such as glass doors, glazing
adjacent to such doors and glazing adjacent to
walking surfaces Section 5406
161 Glazing, in the same wall plane as a door,
must be safety glazing if within 12" of the door
and less than 60" above the walking surface,
unless the glazing is leaded or faceted glass
Section 5406 (d) 7
162 Glass in excess of 9 sq ft with the lowest
edge less the 18 inches above a walking surface
shall be safety glazing or shall have a
horizontal member not less than 1-1/2 inches in
width and located between 24 and 36 inches above
the walking surface
OK!
14
4/23/86
/I165 Glazing in shower and tub enclosures shall be
/ tempered, laminated or approved plastic
(including windows within 5 feet of tub or
shower floor) Section 5406 (d) 5
P. ROOF
10£ A fire-retardant roof covering is required
See exceptions under Section 3202 (b)
168 Specify roof pitch
166 Roof pitch is not adequate for roof covering
/specified Specify minimum pitch of
167 Specify roof material and application
(l6jp Specify ICBO, UL or other recognized listing
approval number for roof materials not covered
in UBC "TILS ~ - " "
^—-*-
1^9 Specify roof slope for drainage or design to
' support accumulated water Section 3207 (a)
Show roof drains and overflows Sigo
D-o£ 'UPC Section 3207 (a)
1?1 Show the legal basis to allow roof drainage
to flow onto the adjacent property
Draft stop roof/ceiling area, attics,
mansards, overhangs, false fronts and similar to
limit area to 3,000 sq ft or 60 LF (9,000 sq
ft and 100 LF, if sprinklered)
Section 2516 (f)
B-2 and B-4 occupancies with over 50,000 sq
ft of undivided area and H occupancies over
15,000 sq ft of single floor area shall have
smoke and heat vents per Section 3206
Provide skylight details to show compliance
with Section 3401 and 5207 or provide ICBO or
other recognized approval listing
Uo Provide plastic roof panel details to show
' compliance with Section 5206 or provide ICBO o
other recognized approval listing
Show attic ventilation Minimum vent area is
1/150 of attic area or 1/300 of attic area if at
least 50 percent of the required vent is at
least 3 feet above eave or cornice vents
Section 3205 (c)
177/ Provide a minimum 22" x 30" (or 30" x 30" if
equipment is in attic) attic access opening
Section 3205 (c)
Q- FERE BCnHGOISHQlG
Fire sprinklers are required for any story or
'basement when the floor area exceeds 1,500 sq
ft and there is not provided at least 20 sq ft
of opening entirely above the adjoining ground
in each 50 lineal feet or fraction thereof of
exterior wall on at least one side, or when
openings are provided on only one side and the
opposite side is more than 75 feet away
Section 3802 (b)
Fire sprinklers are required in a basement if
any portion of a basement is more than 75 feet
from openings in an exterior wall
Section 3802 (b)
180 Fire sprinklers are required at the top of
rubbish and linen chutes and in their terminal
rooms Chutes extending through three or more
floors shall have additional sprinkler heads
installed within such chutes at alternate
floors Sprinkler heads shall be accessible for
servicing Section 3802 (b)
18,1 Fire sprinklers are required in retail sales
/rooms where the floor area exceeds 12,000 sq
ft on any floor or 24,000 sq ft on all
floors Section 3802
"Do g winds
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X.'m YOOT S012,L??" COWV
15
A/23/86
i82/Provide fire sprinklers
Section 506, 507, 508 or 3802
jurisdiction ordinance
See also
183 When serving more than 100 sprinkler heads,
' automatic sprinkler systems shall be supervised
by an approved central, proprietary or remote,
station service, or shall be provided with a
local alarm which will give an audible signal at
a constantly attended location
Provide class standpipes per Section
/ 3807 A first story as allowed by Section 702
shall be included in determining the number of
stories when determining if standpipes are
required Section 3806
R.
185) Provide a copy of the project soil report
prepared by a California licensed architect or
civil engineer The report shall include
foundation design recommendations based on the
engineer's findings and shall comply with UBC
Section 2905
Specify on the foundation plan or structural
specifications sheet the soil classification,
the soils expansion index and the design bearing
capacity of the foundation
1|J8 The foundation plan does not comply with the
' following soil report recommendations) for this
project
Provide notes on the foundation plan listing
the soils report recommendations for foundation
slab and building pad preparation
Note on the foundation plan that "Prior to
the contractor requesting a Building Department
foundation inspection, the soils engineer shall
advise the Building Official in writing that
a the building pad was prepared in
accordance with the soils report
b the utility trenches have been properly
backfilled and compacted, and,
c the foundation excavations, forming and
reinforcement comply with the soils
report and approved plan"
\Ti. Provide spread footings for concentrated
f loads designed for 1,000 psf soil bearing or per
bearing value as determined by an engineer or
architect Chapter 29
Show height of all foundation walls
Chapter 23
Provide a letter from the soils engineer
/ confirming that the foundation plan, grading
plan and specifications have been reviewed and
that it has been determined that the
recommendations in the soil report are properly
incorporated into the plans (When required by
the soil report)
Show height of retained earth on all
' foundation walls Chapter 23
Show distance from foundation to edge of cut
or fill slopes and show slope and heights of
cuts and fills Chapter 29
Note on the plans that wood shall be 6 inches
above finish grade Section 2516 (c) 7
M'HrAt.Jg'
. A- \\.A~\~L.
01=-
(2s.sue.ro
16
W23/86
'1961 Note on plans that surface water will drain
'away from building and show drainage pattern and
key elevations Section 2905 (f)
Dimension foundations per Table 29-A
NUU8ER OFnoons
SUPPORTEDBY THEFOUNDATION'
1
1
3
THICKNESS OFFOUNDATION WALL(Inch..)
CONCRETE
6
8
10
UNITMASONRY
6
II
10
WIDTH OFFOOTING
(hcMI)
12
15
18
THICKNESSOF FOOTING
(toclwl
6
7
8
DEPTH BELOW
UNDISTURBEDGROUND
SURFACE(liutm)
12
18
24
208 Show minimum under floor ventilation equal to
/ 1 sq ft for each 150 sq ft of under floor
area Openings shall be as close to corners as
practicable and shall provide cross ventilation
on at least two approximately opposite sides
Section 2516 (c) 6
209 Specify that posts embedded in concrete shall
/be pressure treated per UBC Standard No 25-12
Section 2516 (c) 1
15>B Show foundation sills to be pressure treated,
or equal Section 2516 (c) 3
199^ Show foundation bolt size and spacing2907 (e). CONSISTENT c>->\ ~
/ /200 Specify size, ICBO number and manufacturer of
' power driven pins Show edge and end distance
and spacing Section 306 (f)
^\20y Show size, embedment and location of hold
down anchors on foundation plan
Section 2303 (b) 4
/20/ Note on the plans that hold down anchors must
tied in place prior to foundation
inspection
203 Show adequate footings under all bearing
/ walls and shear walls Section 2907 (d)
' /
204 Show stepped footings for slopes steeper than
f 1 10 Section 2907 (c)
205 Show minimum 18 inch clearance from grade to
/ bottom of floor joists and minimum 12 inch
clearance to bottom of girders
Section 2516 (c) 2
2(216 Show pier size, spacing and depth into
undisturbed soil Table 29-A
97 Show minimum under floor access of 18 inches
by 24 inches Section 2516 (c) 2
S. MASONRY
210 Show veneer support and connections in
f Seismic Zones 3 and 4, comply with Section 3002,
4, 5, 6 and Section 2515 (a) regarding ties and
#9 wire in horizontal joints or show
construction to be per attached sheets 30-1 or
30-2
211 Show height and construction details of all
/ masonry walls Chapter 2k
212 Note that cleanout openings shall be provided
/at the bottom of all cells to be grout filled
over 4' in a single pour Cleanout shall be
sealed before grouting, after inspection
Section 2M4 (a) 8
213 Show floor and roof connections to masonry
/ walls Connection shall resist 200 pounds per
' lineal foot or the actual design load, whichever
is greater Cross grain tension or bending in
wood ledgers is not permitted
Section 2212 (j) 3 A
2y* Provide details for damp proofing the
/foundation walls, below finish grade, where
useable space exists on the interior side of the
walls Section 1707 (d)
17
4/23/86
Show a minimum 2" air space and flashing
/between planter and building walls
Section 2516 (c) 7
T. FRAMDC
21b Show wall bracing Every exterior wood stud
wall and main cross partition shall be braced at
each end at least every 25 feet of length with
1x4 diagonal let-in braces or equivalent
Section 2517 (g) 3
217 Note cross bridging or blocking Floor
/ joists and rafters 12" or more in depth shall be
supported laterally by bridging at intervals not
exceeding 8 feet, unless both edges are held in
line Section 2506 (g)
2*8 Show blocking at ends and at supports of
/ floor joists, and for rafters at exterior walls
Section 2517 (d) 3
Show-rafter purlin braeas to be not lose-than
Show solid blocking at ridge line and at
^exterior walls on trussed roofs
f Section 2506 (g), Section 2517 (h)
2ZO Show double joists Floor joists shall be
/ doubled under bearing partitions running
parallel with the joists Section 2517 (d) 5
Bearing partitions, perpendicular to joists,
/ shall not be offset from supporting girders,
beams, walls or partitions, more than the depth
of the joist Section 2517 (d) 5
222 Show rafter ties Rafter ties shall be
/ spaced not more than 4 feet on center and be
just above the ceiling joists, where rafters and
ceiling joists are not parallel
Section 2517 (h) 4
fiaotion 2S17 (h) 5
22A Show 1/2" minimum clearance between top plate
of interior partitions and bottom chord of
trusses (To ensure loading will be as
designed)
Show double top plate with minimum 48" lap
splice Section 2517 (g) 2
I
lib Show nailing will be in compliance with
/ Table 25-Q
2Z7 Show or note fire stops at the following
' locations per Section 2516 (f)
a in concealed spaces of stud walls and
partitions, including furred spaces, at
the ceiling and floor levels and at 10
foot intervals along the length of the
wall
b at all interconnections between
concealed vertical and horizontal spaces
such as occur at soffits, drop ceilings
and cove ceilings,
c in concealed spaces between stair
stringers at the top and bottom of the
run and between studs along and in line
with the run of stairs if the walls
under the stairs are unfinished, and
d in openings around vents, pipes, ducts,
chimneys, fireplaces and similar
openings which afford a passage for fire
at ceiling and floor levels, with
noncombustible materials
18
W23/86
228 Show stud size and spacing Maximum
/ allowable stud heights, bearing wall 2x4
and 2x6 max 10", non-bearing 2x4 max
14', 2 x 6 max 20' Table 25-R-3
229 Studs supporting two floors, a roof and
/ ceiling must be 3 x 4 or 2 x 6 at 16" o c
Table 25-R-3
2/0 Note an A I T C Certificate of Compliance
/ for glued laminated wood members shall be given
to the building inspector prior to erection
Section 306 (f)
231 Detail all post to beam and post to footing
/ connections and reference the detail to the
plan Section 2516 (m)
232 Detail shear transfer connections, including
f roof and floor diaphragms, to shear walls
Section 2513
235 Specify nail size and spacing for all shear
f walls, floor and roof diaphragms Indicate
required blocking Maintain maximum diaphragm
dimension ratios (Tables 25 I, J, K) and
Section 4713 (d)
234 Show 3" x 4" or 2" x 6" studs in first story
/ of three story building Table 25-R-3
(23S' Provide truss details and truss calculations
for this project
23e Provide roof framing plan and floor framing
plan Section 302 (a) 7
Provide framing sections through
Specify all header sizes for opening over 4'
wide Section 2517 (g) 5
239 Provide calculations for main vertical and
/ horizontal framing members and post footings
Section 302 (a) 7
Provide calculations for lateral loads, shear
panels, shear transfer and related
Section 302 (9) 7
ON/
Show on the plans all structural requirements
developed in the structural calculations
,2M. Columns and posts located on concrete or
' masonry floors or decks exposed to the weather
or to water splash or in basements and which
support permanent structures shall be supported
by concrete piers or metal pedestals projecting
above floors unless approved wood of natural
resistance to decay or treat wood is used
Section 2516 (c) 4
Individual concrete or masonry piers shall
' project at least 8 inches above exposed ground
unless the columns or posts which they support
are of approved wood of natural resistance to
decay or treated wood is used
Section 2516 (c) 4
Section 320 (a) 7
\— }••.-'t* • „ f
To r V4 \ P £.u
?c>\ Pi
19
4/23/86
24* Wood stud bearing walls, with studs at 24"
o c , require Sea 2 x 4 or 2 ea 2x6 or 2
ea 3x4 top plates if supporting either floor
members or roof trusses that are spaced more
than 16" o c and do not bear within 5" of the
supporting stud Section 2517 (g) 2
D. MISCELLANEOUS
Specify plywood grade and panel
( identification index Table 25-N
2Ut> When roof pitch is less than 3 12, design
' ridge as a beam Section 2517 (h)
2jfi If foundation cripple wall studs are less
f than IV framing shall be solid blocking
Section 2517 (g) 4
Cripple wall studs exceeding 4 feet in height
/ shall be 3 inch by 4 inch or 2 inches by 6
inches when supporting 2 stories
Section 2517 (g) 4
2J& Show plywood sheathing over exposed eaves, or
/ other weather exposed areas, is exterior grade
Section 2516 (g) 3
Show a weep screed at the foundation plate
on all exterior and stud walls to be
/ stuccoed Section 4706 (e)
2^1
< on<
2,81 Ridges, hips, and valleys shall be at least
one size larger than supported rafters
Section 2517 (h) 3
252 In open beam construction, provide strap ties
across the beams at the ridge support
Section 2501 (b)
253; Show light and ventilation, for areas
-a^ customarily used by people, will comply with
^/ Section 605
(254/ Provide details of restrooms to show
«^^compliance with Section 510 (b), regarding
s floors, walls and showers
2#5 Provide restrooms for each sex if the number
/ of employees exceeds 4 and both sexes are
employed Section 705 (B occupancy)
/
Show unenclosed floor and roof openings, open
d glazed sides of landings and ramps,
balconies or porches more than 30" above grade
or floor, and roofs used for other than service
to the building have 42" minimum height
guardrail, through which a 6" sphere cannot
pass, and designed for 20 Ibs per lin ft
applied horizontally at top rail (50 Ibs for
exit facilities serving more than 50)
Section 1711 Table 23-B
V.
ygn
Q
Provide note and details on the plans to show
compliance with the enclosed Handicapped Access
Check List Handicapped access requirements may
be more restrictive than the UBC
W. ENERGY CONSERVATION
.s~~\•258Z Provide mechanical plans, plan details,
^0 calculations and completed forms to show
j/' compliance with state regulations for energy
conservation
~\58J. Provide electrical plans, plan details,
calculations and the completed Form 5 to show
compliance with state regulations for energy
conservation
15
To
r; \y
20
4/23/86
Incorporate in the plans or specifications
£he attached "Title 24 Mandatory Requirements"
and the "Title 24 Construction Compliance
Statement Requirements"
Please see additional corrections, or
remarks, on the following page
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 check items,
please contact ''O \vV\
at Esgil Corporation
Thank you
Enclosures
y\jo*n?s (3
21
4/23/86
TITLE 24 MANDATORY REQUIREMENTS
(To be noted on plans or specifications)
HVAC Controls
Sec. 2-5315
(a) Each HVAC system shall
1 Be equipped with at least one automatic device
for reducing HVAC energy use during periods of
nonuse or alternate uses of the building spaces
or zones served by the system;
2 Be able to maintain space temperature set points
from 55°F to 85°F Two or more replaceable
fixed set-point devices shall be permitted if
installed so as to maintain space temperature
set points in the zone that they control,
3. Be able to provide sequential temperature
control of heating and cooling capacity in each
zone, if both heating and cooling are provided,
4. Provide a range of temperatures up to 10°F in
which no heating or cooling is provided to the
space, if the HVAC system has both heating and
cooling capability;
5. Be able to terminate all heating at 70°F or less,
and
6 Be able to terminate all cooling at 78°F or more
EXCEPTION: Multiple zone HVAC sytems requiring
concurrent operation of independent heating and
cooling systems need not comply with Section
2-5315(a) 4, 2-5315 (a)5, and 2-5315(a)6
(b) Zoning. Each zone shall be provided with at least
one of the devices specified in subsection (a) to
control the HVAC system which serves the zone Each
floor of a building with conditioned space shall
contain at least one zone.
Ventilation Systems
Sec 2-5316.
On mechanical ventilation supply and exhaust systems
capable of moving more than 5,000 cfm of air, auto-
matic dampers interlocked and closed on fan shut-
down shall be provided On gravity ventilating
systems, either automatic or readily accessible
manually operated dampers in all openings to the
outside, other than combustion air openings, shall
be provided
Doors and Windows
Section 2-5317
(a) Doors and windows between conditioned and uncon-
ditioned spaces, such as garages and closets for
central forced air gas furnaces using outside air
for combustion, shall be designed to limit air
leakage into or from the building envelope
Control Devices for Indoor Lighting
Sec 2-5319 Controls for lighting loads within the
building envelope shall meet each of the following re-
quirements
(a) Each area enclosed by ceiling-height partitions
shall have independent control of the lighting
within that area.
(b) Each area enclosed by ceiling-height partitions
shall have at least one readily accessible
manually operated switching device to control
lighting within the area For lighting controls,
"readily accessible" means located so that a
person using the device can see the controlled
lights or the area being lit Switching devices
in addition to, but not instead of, the required
readily accessible manually operated switching
devices shall also be permitted.
(c) The general lighting of any area 100 square feet or
larger in which the connected lighting load equals
or exceeds 1 0 watt per square foot throughout the
entire area shall be controlled so that the load
may be reduced by at least one-half while maintain-
ing a reasonably uniform level of illumination
throughout the area. Readily accessible switches,
that control each luminaire in a space with more
than one luminaire, or that control each lamp in
a space independently meet the requirements of
this section.
(d) In all areas where effective use may be made of
natural light, lighting circuiting shall be
arranged so that units, in all portions of the
area where natural light is available at the same
time, are switched independently of the remainder
of the area
Occupant Operating and Maintenance Information to be
Provided by Builder
The builder shall provide the building owner, manager,
and the original occupants a list of the heating,
cooling, water heating, and lighting systems
and features, materials, components, and mechanical
devices conservation or solar devices installed in
the building, and instructions on how to use
them efficiently. The instructions shall be con-
sistent with specifications set forth by the
Executive Director.
Water Heaters and Plumbing Fixtures
Water heaters, showerheads, lavatory faucets and
sink faucets must be certified by the California
Energy Commission (Excluding: waterheaters of the
non-storage electric type and lavatories in public
facilities having devices that limit the flow of
hot water or have self-closing faucets or having devices
that limit the outlet temperature to a maximum of
110°F) Section 2-5314, Table 2-53G
TITLE 24 CONSTRUCTION COMPLIANCE STATEMENT REQUIREMENTS
(To be noted on plans or specifications)
CONSTRUCTION COMPLIANCE
(a) Prior to occupancy of the building, the person
responsible for the construction or installation
shall provide the building department a signed
statement, showing the building permit number,
and listing all the manufactured devices in-
stalled, including the name of the manufacturer,
model number date of manufacture, manufacturer's
stated efficiency, including the source cooling
power index, source heating power index and
fan performance index of each HVAC system. In
lieu of the list reference may be made to the
plans and specifications, if all the above in-
formation was contained in the plans and
specifications.
Each document shall be signed by the person re-
sponsible for its preparation The signer shall
be a civil engineer, mechanical engineer,
electrical engineer, architect, building designer,
general building contractor, or specialty con-
tractor, licensed or registered to practice by
the State of California, or shall be the building
owner if he or she is allowed by law to prepare
the document. If more than one person has
responsibility for building design or construc-
tion, each person may prepare and sign the
document or documents applicable to that portion
of the design or construction for which the
person was responsible, or the person with chief
responsibility for design or construction may
prepare and sign the document for the entire
design.or construction.
INSULATION CERTIFICATION
Prior to occupancy the insulation installer
shall post in a conspicuous location in the build-
ing, a signed certificate containing the build-
ing permit number and stating the insulation was
installed in accordance with the approved plans
and specifications. The certificate should also
show the manufacturer's name, material identifi-
cation, "R" value and, for blown insulation, the
minimum weight per square foot consistent with
manufacturer's design data.
Jurisdiction
Prepared, byt
vj/wj VALUATION AND PLAN CKECK "EE
PLAN CHECK NO. <S>r]- l4-l~H
BUILDING ADDRESS l_lft- Goor?^-
p Bldg. Dept.
D Esgil
APPLICANT/CONTACT U=j^, \7 lfl,<JC^\+ ^ PHONE NO 1 S";b UAl
BUILDING OCCUPANCY B-2. f\-^ DESIGNER PHONE
TYPE OF CONSTRUCTION \/ - N\
3UILDLNG PORTION
U 0 U JC-5V2. I'-i-cti 12.
iScSTTV-l L-
Pi^n o s
u
OPPQ2 fi-osie
^eT-ft,,^
^QO\ 9 , (Lwv ,
Dies $L<^m M2.fi.
^ ir Conditioninsr
Commercial
Residential
Res or Comm
Fire Surirklers
3^2
BUILDING A'EA
Uoq ^
CONTRACTOR
VALUATION
r'ULTTPLIE0
, tf 5" oo •=.
?"ONE
VALJE
4-^.aiC
44-S" e>l S",^^ *.
9^3 (»,4S °° -
4-4- 2> (0J<=vs oo =
\3£>(0 QL
2d5oO
i
Total Value
3 °« =•
@ ^. 'Sx? -
0
@ 1 . S*^ =
^'^•^7
'
*4o \<3S"
•2^(3 1G?(9 i
1-2.4^4- i1
^6»O^
^85(9
131 US'
Fee Adjusted To Reflect O Energy Regulations (Fee x 1 1)
QHandicapped Regulations (Fee x 1 065)
Building Permit Fee $ J> 3 0 . OO ?
Plan Check Fee $ IJ ^"U? ' ^T-) $
COM MENTS
8/A/32
DATE
JURISDICTION _
PLAN CHECK NO-
PROJECT ADDRESS
PROJECT NAME
ESGIL, CORPORATION
932O CHESAPEAKE DR , SUITE 2O8
SAN DIEGO, CA 92123
(619) 56O-1468
4
- \-4l-J
• O
I <a C L.O Pi
L- L * ) j r}\i
t Tl O H
[JAPPLICANT
[JFILE COPY
QUPS
(J DESIGNER
n 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
with the jurisdiction's building codes when minor deficien-
cies identified ^ELOU ) 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 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.
j } The applicant's copy of the check list has been sent to:
D
fj Esgil staff did not advise the applicant contact person that
plan check has been completed
{HI Esgil staff did advise applicant that the plan check has
** been completed Person contacted ArPJDV2.tr" (iXZ.& \-r5W1 & K)
Date cpfltacted. i-|- 1 I A ~~l
REMARK
Telephone #
Lvg£,fJ S \ ^ f\J
2-
ESGIL CORPORATION
Enclosures; £T)
REQUEST FOR BUILDING PERMIT
FOR PARTIAL BUILDING CONSTRUCTION
TO Building Official City of
Pursuant to the provisions of the Uniform Building Code, Sec
303(a), the undersigned requests that a building permit be
issued for
FOUNDATIONS ONLY
for the proposed building to be located at
and identified as Plan File No £>7- / 4- /
Acknowledgement is made that plans for the entire structure are
not complete and that plan checking has not been completed.
We recognize that proceeding with partial construction at this
time is entirely at risk with no assurance that the permit for
the entire building or structure will be granted
We further absolve the City of (X^r fc? and ESGIL
CORPORATION, and officers and employees thereof, of all responsibility
for the issuance of a partial permit and further agree that any
work performed under this permit will be removed or otherwise
corrected to be in accord with the requirements of the final
approved plans when a permit for the entire building or structure
is granted
Signature f r P^ Date T^—G? ~t
Owner *4£5£:*J~Tx
Date
Engineer/Architect
Date
- Contractor
PLAN CHECK NO. #7~/<fl ADDRESS
ZONE:TYPE OF PROJECT AND USE:
SCHOOL DISTRICT: SAN DIEGUITO
SETBACKS: FRONT
DISCRETIONARY ACTIONS:
ENCINITAS CARLSBAD X SAN MARCOS
SIDE REAR
REDEVELOPMENT PERMIT REQUIRED:_
LANDSCAPE PLAN COMMENTS:
ENVIRONMENTAL REQUIRED:
COASTAL PERMIT REQUIRED. YES
ADDITIONAL COMMENTS; A
NO
ENGINEERING
LEGAL REQUIREMENTS
LEGAL DESCRIPTION VERIFIED?
EASEMENTS:
EDU'S:
APN CHECKED?0
RIGHT-OF-WAY:_
DRAINAGE:
IMPROVEMENTS:
FIELD CHECK DATE & INITIALS:
PERMITS REQUIRED
GRADING: jjl'A
DRIVEWAY: J\|
GRADING COMPLETION CERTIFIED )J]A
A INDUSTRIAL WASTE: ^^/>L)^^7^^ /2-£&;l£c</)
FEES REQUIRED
DD_
ro
PARK-IN-LIEU QUADRANT; |\)UV , FEE PER UNIT:_Jj/^__ TOTAL FEE:
P.F.F. TRAFFIC IMPACT F^ PER UNIT TOTAL FEE:
FACILITIES MGMT. FEE: ^V iAA ,«<•$«> A- BRIDGE & THOROUGHFARE
SEWER LATERAL; \Jj\JD
ft>Ame
SEWER FEE (CONNECTION):^
utu E ADDITIONAL COMMENTS;~/t>DD- 2 X 4oA &TS
c w
ro w
E *
O) o1
E (L
| c
CD
= Q 4<yg / 5 Afrr ,- /
Q OK TO ISSUE:
DPD2.DPD6.10/24/86
23OU UI-IIUIN VVMT *f »*^r W*. >b>>M«.«A>VMW . f2<&V(-'-'
CARLSBAD, CA 92008 i FIRE DEPARTMENT fffJJ &[*!
TELEPHONE ^ R/v^ /-WT1 *
(619)9312121 i^ 9—- vll h\Q
Q\* ^&u % o^ i VV ^ OM" PLAN CHECK REPORT \'
PRn.iFm- l.C, }<?i?J/^'$ <2^t4/? ADDRESS &0Q7 QoSffl fl£/ 1
', PAGE 1 OF _^2L
APPROVEDA
DISAPPROVED
PLAN CHECK#
^>W ftO.
ARCHITFCT ADDRESS &/O Q Afffa/falfVlAP PHONE 75".S*//8/
nWNFR /..if. Mortl 1 _${0& ADDRESS Cjft&l$.ts>AQ PHONE ^ <3 0 9
nr.r.iiPANHY &3j/&-& CONST V/- A/ TOTAL so FT STORIES J^T
MRPRINklFRFn plTENANTIMP
APPROVAL OF PLANS IS PREDICATED ON CONFORMING
TO THE FOLLOWING CONDITIONS AND/OR MAKING
THE FOLLOWING CORRECTIONS
1
2
3
.12
.13
PLANS, SPECIFICATIONS, AND PERMITS
Provide one copy of floor plan(s), site plan, sheets
Provide two site plans showing the location of all existing fire hydrants within 200 feet of the project
Provide specifications for the following
Permits are required for the installation of all fire protection systems<(srjrmkW|jistand
COz, alarms, hydrants) Plan must be approved by the fire department prior to installation
The business owner shall complete a building information letter and return it to the fire department
FIRE PROTECTION SYSTEMS AND EQUIPMENT
The following fire protection systems are required
P' Automatic fire sprinklers (Design Criteria
,P, Dry Chemical, Halon, CO2 (Location
C Stand Pipes (Type
AwA COafitr-
/A/ k,lc Lwj_
D Fire Alarm (Type/Location
Fire Extinguisher Requirements
Sf One 2A rated ABC extinguisher for each &QQQ
' extinguisher not to exceed 75 feet of travel
i«r An extinguisher with a minimum rating of
sq ft or portion thereof with a travel distance to the nearest
Litto be located , AircLofJ
D Other
8 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 mam exit and
doors
EXIT signs (6" x 3A" letters) shall be placed over all required exiits and directional signs located as necessary to
clearly indicate the location of exit doors
GENERAL
Storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and
hazardous chemicals shall comply with Uniform Fire Code
Buildmg(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 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
.15 Comply with reguj,atjoj>s on^ attached
Plan Examiner -
Report mailed to architect Met with .Attach to Plans
2075 LAS PALMAS DRIVE
CARLSBAD CALIFORNIA 92009 4859
Office of the City Engineer
TELEPHONE
(619) 438 1161
Citp of Cartebab
DATE
Mike Garner
Encina Water Pollution Control Facilities
P.O. Box 1005
Carlsbad, CA 92008
INDUSTRIAL WASTE PERMIT APPLICATION NO.
Enclosed is a copy of the application for an Industrial Waste
Discharge Permit from the subject applicant
Your review and recommendations on this application will be
appreciated prior to the issuance of a waste disposal permit
FOI? LLOYD B HUBBS
City Engineer
LBH SEE Ich
Enclosure Application No
Building Department
Jack Thomas, Dept of Public Works
Linda Pratt, Dept. of Health Services
COMMERCIAL/INDUSTRIAL
APPLICATION FORM FOR INDUSTRIAL WASTE DISCHARGE PERMIT
CITY OF CARLSBAD
APPLICATION: NEW
(CHECK ONE) REVISED
BUILDING P.C. NO.:
APPLICATION NO.. 335"
INDUSTRIAL CLASS:
DATE; 3 -J4-
Signature of City Representative
APPLICATION FOR INDUSTRIAL WASTE DISCHARGE PERMIT
A. GENERAL'
APPLICANT: //£-ADDRESS;
TYPE OF BUSINESS;
APPLICANT'S ADDRESS \
^
B. WASTES AND PROCESSING: (Check where applicable)
Domestic Waste Only Industnal Waste |_| Industrial 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); /1/f? r^
V
C. WASTES TO BE DISCHARGED TO SEWER:
WASTE- TREATED:
(Check One) UNTREATETJ7
APPLICANTS OR REPRESENTATIVE OF FIRM:
TITLE
SIGNATURE?
QUANTITY: AVERAGE
(Daily) MAXIMUM
GPD
GPD
(Gallons Per Day)
DATE: