HomeMy WebLinkAbout2035 CORTE DEL NOGAL; 210; CB911717; PermitB U I L D 1 N G PERMIT
01/31/92 11 58
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Job Address 2035 COETE DEL NOGAL
Permit Type COMMERCIAL TENANT IMPROVEMENT
Parcel No
Valuation 71,613
Construction Type VN
Occupancy Group B2 Class Code
Description 3353 SF OFC MEDIA SHARE
Permit No CB911717
Project No A9102212
Development No
tr ** Fl **** Ste 210"- 01/31/92 0001 01 02
C-PRHT 3288.00
Appl/Ownr RICHARD MARSCK
2385 CAMINO VIDA ROBLE,STE.107
CARLSBAD, CA 9?009
Status IbSUFD
Applied 1/./24/91
Apr/Issue 01/31/92
Validated By SBb
619 436-5191
*•** Fees Required ***A * A Fees CoJ :,ected & Credits
Fees 3,631.1)0
Adjustments . 00
Total Fees 3,6:11.00
Fee description
Building Permit
Plan Check
Strong Motion Fee
Enter "Y" to Autocalc License Tax >
C . F . D
* BUILDING TOTAL
Enter "Y" for Plumbing Issue Fee > .
Enter "Y" for riectric Issue Fee >
Three Phase Per AMP
* ELECTRICAL TOTAL
Enter 'Y' for Mechanical Issue Fee;
Install Furn/Ducts ••
* MECHANIuAL TOTAL
Total Credits:
Total Payments: 343
Balance Due- 3,288
Units Fee/Unit Ext f
527
343
16
1358
1 2 b 3
3497
..
10
2 0 ') 50 100
110
15
3 9 00 9
24
00
00
00
ee Data
00
00
00
o o y
00
00
N
on Y
00 2 XI 00
00
00 Y
00
00
LAPPROVAL
DATE ?-!7-1-*\
CLEARANCE 37- <n
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PERMiTlVPK
ommercial LJ New Building _>Uenant improvement
Ijndusmal D New Building D Tenant Improvement
C D Residential D Apartment DCondo D Single Family Dwelling D Addition/Alteration
D Duplex Q Demolition D Relocation D Mobile Home D Electrical D Plumbing
D Mechanical DPool D Spa D Retaining Wall D Solar D Other
2 PROJECT INFORMATION
PLAN CHECK NO //- / ~J /
EST VAL
PLANCK"
VALID BY
DATE
Address uuiiciing or ouue INO
Nearest Cross Street
LEUAL MsclWI'TloN
7 / ^
Lot No Subdivisioivision Name/Number Unit No
C-PRMT
Phase No
343.00
BKLOW It-' SUBMTITED
2 Energy Gales D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
SQ FT 5 #OF STORIES
auterent trom applicant)r,-2*>z:ADDRESSEES'
STATE ZIP CODE DAY TELEPHONE
4 AHI'UCANT
NAME
CITY
LT CONTRACTOR U AGENT FOR CONT RAC f OR
ADDRESS
ZIP CODESTATE
U OWNER UACjhNI
DAY TELEPHONE
5 PROPERTYjOWNER
CITY £lITIACI
STATE
ADDRESS
ZIP CODE DAY TELEPHONE "^ / 3
6TXJNTRACTOR
NAME
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
Workers Compensation Declaration I hereby allirm that I have a certilicate ot consent to sell insure issued by the Director or Industnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab C)
INSURANCE COMPANY POLICY NO EXPIRATION DATE
Certificate ol Exemption I certify that in the performance or the work (or which this permit is issued, I snail not employ any person in any manner
so as to become subject to the Workers Compensation Laws of California
SIGNATURE DATE
8 OWNER-BUnJJEH DECLARATION
Owner Builder Declaration I hereby alnrm that I am exempt Irom the Contractors License Law for the following reason
I, 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)
D
D
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law)
I am exempt under Section Business and Professions Code for this reason
(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 issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's License law (Chapter 9, commencing 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])
SIGNATURE 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?
D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management district?
C YES n NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
D YES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS TIIE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
9 CXJNt>"l HULTDUN LENUlMCi AUKNC^T
1 hereby affirm that there is a construction lending agency lor the performance ot the work tor which this permit is issued (.bee 30V710 Civil Code)
LENDER S NAME LENDER'S ADDRESS
10 APPLICANT ChR I1FICA IlON
1 certify that f have read the application and state that the above inlormation is correct I agree to comply with all City ordinances and State laws
relating to building construction I hereby authorize representatives 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 S'O" deep and demolition or construction of structures over 3 stones 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 365 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 for a period of 180 days (Section 303(d) Uniform Building Code)
APPLICANrS,SIGNATUR:
{/W^&
DATE
WHITE File YELLOW Applicant PINK. Finance
FINAL BUILDING INSPECTION
DEPT: BUILDING ENGINEERING FIRE PLANNING U/M WATER
PLAN CHECK*: CB911717 DATE: 03/12/92
PERMIT*: CB911717 PERMIT TYPE: CTI
PROJECT NAME: 33-53-- SF OFC MEDIA SHARE
ADDRESS: 2035 CORTE DEL NOGAL SUITE* 210
CONTACT PERSON/PHONE*: MH/TRAVIS/931-1130
SEWER DIST: WATER DIST:
INSPECTED yV£
BY: 1/^i^nC^)
INSPECTED^/
BY:
INSPECTED
BY:
COMMENTS :
DATE ,
INSPECTS' -31 Ik
DATE
INSPECTED:
DATE
INSPECTED:
^%^ APPROVED LX^ DISAPPROVED
APPROVED DISAPPROVED
APPROVED DISAPPROVED
PERMIT# ,CRQ11717 aDESCRIPTION: 3353 SF
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 03/17/92
OFC MEDIA SHARE
TYPE: CTI
JOB ADDRESS!
APPLICANT:
CONTRACTOR:
OWNER:
2035
RICHARD
CORTE DEL NOGAL
PHONE:
PHONE:
PHONE:
STR:** FL:***
619 436-5191
INSPECTOR AREA PD
PLANCK* CB911717
OCC GRP
CONSTR. TjrEE_NEW_
STE: 210
REMARKS: MH/TRAVIS/931-1130
SPECIAL INSTRUCT:
INSPECTOR*
TOTAL TIME:
—RELATED PERMITS—
CD LVL DESCRIPTION
PERMIT# TYPE
C0920021 COFO
STATUS
ISSUED
ACT COMMENTS
19 ST Final Structural
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
***** INSPECTION HISTORY *****
DATE DESCRIPTION
031292 Final Combo
031092 Final Electrical
030292 Rough Combo
021492 Interior Lath/Drywall
021192 Interior Lath/Drywall
021092 Interior Lath/Drywall
020392 Frame/Steel/Bolting/Welding
020392 Rough Electric
ACT
CO
PA
AP
AP
AP
NR
AP
AP
INSP
PD
PD
PD
PD
TP
TP
TP
TP
COMMENTS
CEILING
CORR NOT COMPLETE/D.STOP
WALLS
PERMIT* CB911717
DESCRIPTION: 3353 SF
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 03/16/92
OFC MEDIA SHARE
TYPE: CTI
JOB ADDRESS;
APPLICANT:
CONTRACTOR:
OWNER:
2035 CORTE
RICHARD MARSCH
DEL NOGAL
PHONE:
PHONE:
PHONE:
STR:** FL:****
619 436-5191
INSPECTOR AREA PD
PLANCK# CB911717
OCC GRP
CONSTR. TYPE NEW
STE: 210
REMARKS: MH/TRAVIS/931-1130
SPECIAL INSTRUCT:
INSPECTO
TOTAL TIME:
—RELATED PERMITS—
CD
19
29
39
49
PERMIT# TYPE
C0920021 COFO
STATUS
ISSUED
LVL DESCRIPTION
ST Final Structural
PL Final Plumbing
EL Final Electrical
ME Final Mechanical
ACT COMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION
031092 Final Electrical
030292 Rough Combo
021492 Interior Lath/Drywall
021192 Interior Lath/Drywall
021092 Interior Lath/Drywall
020392 Frame/Steel/Bolting/Welding
020392 Rough Electric
ACT
PA
AP
AP
AP
NR
AP
AP
INSP
PD
PD
PD
TP
TP
TP
TP
COMMENTS
CEILING
CORR NOT COMPLETE/D.STOP
WALLS
ESGIL CORPORATION
9320 CHESAPEAKE DR , SUITE 2O8
SAiN DIEGO, CA 92123
(619) 56O-1468
DATE'/ / z-8/9:APPLICANT
JJIRJISD I CT
JURISDICTION __
PLAN CHECK NO
PROJECT ADDRESS
PROJECT NAME
AD
11-nn SET ~JJT~
|~]PLAN CHECKER
[JFILE COPY
fjUPS
^DESIGNER
C
D
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 snould 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
ij The applicant's copy of the check list has been sent to
%jpji Esgil staff did not advise the applicant contact person that
plan check has been completed
I) Esgil staff did advise applicant that the plan check has
~" been completed Person contacted '
Date contacted
REMARKS
Telephone #
By.P&TE.EnclosuresESGIL CORPORATION
DGA DCM
ESGIL CORPORATION
932O CHESAPEAKE DR , SUITE 2O8
SAN DIEGO, CA 92123
(619) 56O-1468
DATE
JURISDICTION _
PLAN CHECK NO.
PROJECT ADDRESS
PROJECT NAME
"ii-nn SET
TI
[3PLAN CHECKER
QFILE COPY
fjUPS
(""DESIGNER
D
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.
fnO)f- Af-J^H- ATTv f*-ICtti*£_C> r^A-RSC H-
v< oft
O4
S vi-re./o7
j I
—
Esgil staff did not advise the applicant contact person that
plan check has been completed.
Esgil staff did advise applicant that the plan check has
been completed. Person contacted- _
Date contacted:
REMARKS:
Telephone #_
/ILL
C/A/-S
By:Enclosures:ESGIL CORPORATION
IGA DCM
MECHANICAL, PUHBDC, ENERGY
F1AN CORRECTION SHEET
JURISDICTION:.xS DATE-
FLAN CHECK NOMBER; ' ^ / *? / ?
~ ' -*
PLAN CHECKER: (~~]
D
GLEN ADAMEK
/). — -*•-
(
(L
/a 7 y s / /? c 00
A/a r /V b"g
a :* $
utf/o r S .
/Ox? y^- / g /-/
/r
/ r
C -+ T
V)'/? x or
MECHANICAL, PUMBDC, ENERGY
PLAN CORRECTION SHEET
JURISDICTION:.DATE-
FLAN CHECK NCMRER: 97~
GLEN UKKQC
PLAN CHECKER:
D
r' ^ c r~ if
c. /</ c s-s r* / - j c (Le-S
73
<-7 ,
PRESCRIPTIVE APPROACH Section 3.3
Track Lighting Track lighting presents a special situation
in calculating installed lighting power, because the nun-Jber
and type of lumnaires can be easily changed at any tirre To
calculate the installed wattage for track lights, two values
need to be determined (1) the total lununaire wattage
proposed to operate on each track lighting circuit, and (2)
5C% of the lighting power capacity (^atts) of the trac<
circuit to be installed (See Example 3-13a) For each 120
volt circuit, the second value vould be 1,200 watts For each
277 volt circuit, the second value would be 2,800 watts 7Ke
wattage used in th< calculation of installed lighting pc»er
n-st be the larger of these t-«o values
IT some situations, extra length of track is desired to
ere _de greater flexibility in locating lighting fixtures, not
for increasing load capacity In these cases, the desig~er
can limit the wattage charged as installed lighting by
providing interloc< switching that limits the circuits (aid
therefore the electric capacity) of track lighting that can be
operated simultaneously
P-evised September 1988 , 3-67
PRESCRIPTIVg APPROACH Section 3.3
EXAMPLE 3-13*
Calculation of Track Lighting Pover
SITUATION
A tenant leases a new, small, 1,000 sf retail store, and installs a lighting
system The entire store is proposed as gross sales area, t/ere are no
separate storage rooms, toilets, etc within the shop Alternative component
package A was used when the original building was permitted
The permit aoplicant chooses to use the whole building approach to lighting
compliance The proposed lighting system consists of three lighting traces
extending the length of the shop Each trac* is 50 feet in length - 150 feet
of trac* altogether Drawings submitted with the permit application show one
150 watt fixture for each 12 feet of lighting tracJc - a total of 12 fixtures
This is the only lighting in the store The proposed lighting power density
is 1 8 watts/sf - 12 fixtures tames 150 watts/fixture divided by the 1,000 sf
conditioned floor area
CODE APPLICATION
The calculation of the installed lighting power density must assume minimum
wattages for tracJc lighting It must assume 1,200 watwS for each 120 volt
circuit of tracfc lighting. A minimum of 2f800 watts musi-be assumed for each
277 volt circuit of track lighting These minimum values must be used when
the proposed lamp wattages are less, when the proposed wattages are higher,
then the proposed values are used
The proposed store has each of the three lighting tracks on a separate 120
volt circuit Therefore, the minimum of 1,200 watts per circuit, times three
circuits, or 3,600 watts must be assumed as the installed lighting power
Dividing this number by the conditioned floor area results in an installed
lighting power density of 3 6 watts/sf, which does not comply with the 2 0
watts/sf retirement for retail package A
If this proposed store were to have all three lighting tracks on a single 277
volt circuit, then the minimum lighting power assumed would be 2,800 watts
This is less than the 3,600 watts determined above, but it still exceeds the
1,800 watts claimed by the applicant The 2500 watts would be the correct
installed lighting power, yielding an installed LPD of 2 8 watts
In either of the cases, the installed lighting power density exceeds the
allowable 2 0 watts/sf The applicant must reduce the circuit capacities in
order to comply
3-68 Revised September 1988
ESGIL CORPORATION
9320 CHESAPEAKE DR , SUITE 208
SAN DIEGO, CA 92123
(619) 560-1468
DATE:
JURISDICTION _
PLAN CHECK NO-
PROJECT ADDRESS
PROJECT NAME.
CARLSBAD
SET ~T
COK-TE
D APPLICANT
jPLAN CHECKER
QFILE COPY
QUPS
nOESIGNER
D
D
D
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:
coo/C A£C H _ dr-rA/ /e/c^A/eo /*A/e.£c /•/ _/o~?
(LA
j^j Esgil staff did not advise the applicant contact person that
plan check has been completed.
I 1 Esgil staff did advise applicant that the plan check has
been completed. Person contacted _
Date contacted:
REMARKS:
Telephone #_
By:
ESGIL CORPORATION
IGA §§CM
Enclosures
PLAN CHECK NO.:
PLAN CORRECTION SHEET
TENANT IMPROVEMENT
Date plans received by jurisdiction
JURISDICTION: CARLSBAD
TO-coo/c. Ace U
PROJECT DATA
OCCUPANCY:
BUILDIUG USE:
TYPE OF CONSTRUCTION.
ACTUAL AREA:TOT ~ l'S'5'1
ALLOWABLE AREA:_
STORIES:
HKlRRT;C_
SPRINKLERS:
OCCUPANT LOAD:5-6
REMARKS:
Date plans received by Esgil Corporation
Date initial plan check completed
f /6 /fL By
Applicant contact person
Tel
FOREHDRD; 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, 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
303(c), 1988 Uniform Building Code, the approval of
the 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
NOTE: PACK NUMBERS ARE MOT III SEQUENCE AS PAGES HAVING NO ITEMS NEEDING CORRECTIONS WERE DELETED.
LIST NO 56 CARLSBAD TENANT IMPROVEMENT WITHOUT SPECIFIC ENERGY ZONE DATA OR POLICY SUPPLEMENTS, 1988 UBC
//
x
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
Indicate on the Title Sheet of the plans, the
nane of the legal owner and name of person
responsible for the preparation of the plans
Section 302(d)
Each sheet of the plans must be signed by the
person responsible for their preparation, even
though there are no structural changes
Business and Professions Code
Plans and calculations shall be signed by the
California state licensed engineer or architect
vhere 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
1
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 the character of the occupancy or use
changes within a building, the building must be
made to comply with current Building Code
requirements for the new occupancy Please
provide complete details to show the building
vith comply 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 space (or remodel) within
the building
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
materials listing should be stated in a form
that would make classification in Tables 9-A
and 9-B possible The building official may
require a technical report to identify and
develop methods of protection from hazardous
materials Section 901(f)
If control areas are used for exceeding the
exempt amounts of hazardous materials from
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
•r exceed two, the number of control areas in
buildings with other uses shall not exceed
four Footnote 1, Tables 9-A and 9-B
The aggregate quantity of any hazardous
materials "in use" and "in 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 1990
NEC
Provide a fully dimensioned floor plan showing
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)
Indicate the use of all spaces adjacent to the
area being remodeled or improved
Show any existing fire rated area separation
vails, occupancy separation vails, demising
vails, shafts or rated corridors Identify
and provide construction details for proposed
new fire rated vails
Specify on the plans the fire ratings of
assemblies to protect proposed openings in
existing or new fire walls
7/10/91
f
f
Identify existing vails to be removed, existing
vails to remain and proposed new walls
Identify bearing vails, non-bearing walls, and
shear walls
Provide a section view
partitions Show
of all new interior
/
(a) Type, size and spacing of studs Indicate
gauge for netal studs Specify
manufacturer and approval number or
indicate "to be ICBO approved"
(b) 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 load)
(c) Wall sheathing material and details of
attachment (size and spacing of
fasteners)
(d) Show height of partition and suspended
ceiling, and height from floor to roof
framing or floor framing
Provide notes and/or details to show that the
floor and vail finish in toilet rooms are
surfaced with a smooth hard non-absorbent
material extending five inches up the v>all
Similar surfacing shall be provided on the
walls from the floor to a height of 4 feet
around urinals and within vater closet
compartments Section 510(b)
Note on the plans "All interior finishes must
comply with Chapter 42 of the UBC" Specify
"Class flame spread rating (minimum)
for "
Lateral bracing for suspended ceiling must be
provided (UBC Table 23-P) Where ceiling is
not supporting interior partitions, ceiling
bracing shall be provided by four No 12 gauge
wires 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
fastened to the structural nembers of the roof
or floor above These horizontal restraint
points shall be placed 12 feet o c in both
directions with the first point within 6 feet
of each vail Attachment of restraint wires to
the structure above shall be adequate for the
load imposed UBC Standard 47-18
i
¥
i
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 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 vood
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 sprinkler system,
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 swing shall extend 24
inches past the strike edge for exterior doors
and 18 inches past the strike edge for
interior doors Section 2-3304, Title 24
Specify lever-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 "both
sexes will be employed and 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 exceeds
two exits are required See
Table 33-A
2/15/90
38
7
47
Provide an exit analysis plan (may be 8 1/2" x
11" or any convenient size)
Exits should have a minimum separation of one-
half the maximum overall diagonal dimension of
the building or area served Section 3303(c)
The raaxiiDum number of required exits and their
required separation must be maintained until
egress is provided from the structure Section
3303(a)
Rooms with more than 10 occupants may have one
exit through one adjoining room Revise exits
to comply Section 3303(e)
Exit signs are required for exits serving an
occupant load exceeding 49 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)
Show the locations of existing exits from the
building and show the path of travel from the
remodel area to the existing exits
Note on the plans "All exits are to be
openable from inside without the use of a key
or special knowledge" In lieu of the above,
in a Group B occupancy, you may note "Provide a
sign on or near the exit doors reading THIS
DOOR TO REMAIN UNLOCKED DURING BUSINESS HOURS"
This signage is only allowed at the main exit
Section 3304(c)
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
Section 3303(b) Applies to door(s)
Regardless of occupant load, a floor or landing
not more than 1/2 inch below the threshold is
required on each side of an exit door used for
disabled access (may be 1" maximum where not
used for disabled access) Section 3304(i)
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) DOQC Y
SLocJe^ e-*,T
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)
7
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 v>hen
serving a tributary occupant load of more than
100, or fchen part of a fire assembly, or part
of smoke and draft control assemblies or \.hen
equipped with panic hardware Section
3304(b)
Corridors must provide continuous protection
to the exterior of 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
projection Corridors serving less than 10
occupants must be a minimum of 36 inches in
width Section 3305(b)
When two exits are required, dead end
corridors and exit balconies are limited to 20
feet Section 3305(e) — /-/vr Offift
_
Corridors serving 30 or more occupants shall
have walls and ceilings of one-hour
construction except . L<? u»
Corridors greater than 30 feet wide when
the occupants have an exit independent
from the corridor
Exterior sides
balconies
of 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
with an automatic sprinkler system
throughout and smoke detectors are
installed within the corridor in
accordance v,ith 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 p.f r- AtvOUi of Tnt. /=•
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 )
TO
Ctf-I AXlT
n>
gy,T Sf.Cof.tn
2/14/90
Section 3305(g), Exception 5 is applicable only
for corridors on one floor, the corridors on
the lower level(s) must be rated if these lover
corridors have openings into them from other
levels
If non-rated corridors are used per Section
3305(g), Exc 5, provide a reference to the
corridors on the floor plan, noting
Corridors are non-rated per Section
3305(g), Exception 5
Smoke detection system must be listed by
the State Fire Marshall and be a
supervised low voltage system
3 Smoke detectors shall be maximum 30' on
center
U Pover supply shall be dedicated branch
circuit Circuit disconnecting means
shall be accessible only to authorized
personnel and shall be clearly marked FIRE
ALARM CIRCUIT CONTROL. vith & lock-on
device
S lf a tenant space utilizes Section 3305(g),
Exception 5, then that tenant space shall be
separated from adjacent spaces by a demising
vail constructed as for a one-hour corridor
vail
Clearly show vhere the non-rated corridor
system terminates and a rated corridor system
commences
One-hour fire-rated corridors shall have door
openings protected by tight-fitting snoke and
draft control assemblies rated 20 minutes,
except openings in interior vails 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)
Show rated corridors, lobbies, reception or
foyers cross-hatched on the floor plans->«- -*°
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
vail 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)
Provide a complete architectural section of
the corridor, or exterior exit balcony,
showing all fire-resistive materials and
details of construction for all floors, vails,
ceiling and all penetrations ^_^ Section
3305(g) /\j- v(^ ^ocv€- Q/) AWP
f.lf~*i*Jt>l>i. (>£ Zft> If- rvt -J cot-H- li
Show the location of fire dampers Provide
fire dampers at duct penetrations of fire-
rated occupancy and area separations, shafts
and corridor vails and ceilings Section
*t306(j)
A f\j f. *•* . -
If a room vith an exhaust fan has a door
opening into a rated corridor, show how make-
up air will be provided to the room The door
cannot be undercut, nor can a louver in the
door be provided Section 3305(h)l
If building exceeds two stories and has an
elevator opening into a rated corridor, show
how the smoke and draft control provision of
Section 3305(h) will be met Either provide a
separated elevator lobby or a second door at
the elevator entry meeting the provision
If a second door is provided at the elevator
entry, note that it will be readily openable
from the car side without a key, tool or
special knowledge or effort Section 5106
Provide evidence of Health Department approval
(for restaurants or for tenants using X-ray
equipment)
When nonflammable supply cylinders for medical
gas systems are located inside buildings, they
shall be in a separate room or enclosure
separated from the rest of the building by not
less than one-hour fire-resistive
construction Doors to the room or enclosure
shall be self-closing smoke- and draft-control
assemblies having a fire-protection rating of
not less than one hour Rooms shall have at
least one exterior vail in which there are not
less than two vents of not less than 36 square
inches in area One vent shall be within 6
inches of the floor and one shall be within 6
inches of the ceiling When an exterior wall
cannot be provided for the room, automatic
sprinklers shall be installed within the room
and the room shall be vented to the exterior
through ducting contained vithin a one-hour-
rated shaft enclosure Approved mechanical
ventilation shall provide six air changes per
hour for the room Section 702(b)4
6/13/90
71
&
X
X
X
X
Kt.ECTRICAL
Submit plan showing location of all panels
Submit panels schedules
Submit electrical load calculations
£>&-£- &&LOUJ
Indicate existing main service size
Indicate existing total nain service load
Indicate new additional loads
Indicate wiring method, i e DfT, metal flex
Show exit signs on the electrical lighting
plan(s) As per Section 3313 and 331A of the
1988 UBC, provide two sources of po\.er to exit
signs and exit illumination cuProvide receptacle(s) v,ithin 25' of tSttfi units
UMC Section 509
Provide multiple
Title ZU, 5319
switch lighting controls per
Provide an electrical plan for the alarm system
showing compliance v>ith criteria described
under earlier correction number 58
MECHANICAL
Provide mechanical ventilation in all rooms
capable of supplying a minimum of 5 cubic feet
per minute of outside air vith a total
circulation of not less than 15 cubic feet per
minute per occupant Section 605 and 705, UBC
Provide mechanical plans showing existing and
proposed HVAC equipment, ducts and access to
equipment
Detail access
equipment
and working clearances to HVAC
Cooling coils or cooling units located in attic
or furred space, where damage may result from
condensate overflow, shall be provided with an
additional vater tight pan of corrosion
resistant material to catch overflow if primary
condensate drain becomes clogged Section
1205, UMC
One-hour corridors
integral part of
the space above
one-hour corridor
PLUMBING
shall not be used as an
a duct system This includes
a dropped ceiling within the
UMC Section 706(b)
Provide gas line plans and calculations,
showing pipe lengths and gas demands UPC
Section 1219
f
t
Provide drain, uaste and vent plans
Provide vater line sizing calculations UPC
Section 1009
Detail how floor drain trap seal is to be
maintained UPC Section 707 (floor drain trap
priming)
Show P & T valve on \,ater heater and detail
drain line route from P & T valve to the
exterior UPC Section 1007(e)
Show 1/V per 12" slope
lines UPC Section *»07
on drain and waste
Provide a drinking fountain at each floor
level in assembly occupancies (except drinking
and dining establishments) UBC Section 605
ENERGY
Provide complete energy design calculations,
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 not use
more energy than the existing space or show
the remodeled space will conform to latest
energy design standards
CITY OF CARLSBAD SUPPLEMENT
96 Floor drains must
Policy)
have auto-prime (City
Show97 A grease interceptor is required
details complving vith City Policy 83-34
98 Roof mounted equipment must be screened and
roof penetrations should be minimized (City
Policy 80-6)
99 Condensate drains must connect to a wet trap
(dry traps are not permitted) (Memo
l/U/83)
100 Show fans are duct type, City Policy does not
permit ductless fans
Romex is not permitted in industrial or
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)
103 AH roof-mounted equipment shall be concealed
from view Provide structural detailing for
the screening
A eWiy £4* kl£C
S/ft nrv ^Yl<?rV> c^\/ras < cm . The m
MECHANICAL, PLDKBBC, ENERGY
FLAN CORRECTION SHEET
JURISDICTION:.DATE;/ "" *? ~
PLAN CHBOC KOMBER;T/ " / 7 7 7
GLEN ADAMEK
PLAN CHECKER:
D
r *••&«*$ C. L
&/C
£,sr. )
73
//O
PRESCRIPTIVE APPROACH Section 3.3
Track Lighting Track lighting presents a special situation
in calculating installed lighting power, because the number
and type of luminaires can be easily changed at any time To
calculate the installed wattage for track lights, two values
need to be determined (1) the total luminaire wattage
proposed to operate on each track lighting circuit, and (2)
50% of the lighting power capacity (watts) of the track
circuit to be installed (See Example 3-13a) For each 120
volt circuit, the second value would be 1,200 watts For each
277 volt circuit, the second value would be 2,800 watts T^e
wattage used in the calculation of installed lighting po*er
must be the larger of these two values
In some situations, extra length of track is desired to
provide greater flexibility in locating lighting fixtures, not
for increasing load capacity In these cases, the designer
can limit the wattage charged as installed lighting by
providing interlock switching that limits the circuits (and
therefore the electric capacity) of track lighting that can be
operated simultaneously
Revised September 1988 , 3-67
PRESCRIPTIVE APPROACH Section 3.3
EXAMPLE 3-13*
Calculation of Track Lighting Power
SITUATION
A tenant leases a new, small, 1,000 sf retail store, and installs a lighting
system The entire store is proposed as gross sales area, there are no
separate storage rooms, toilets, etc within the shop Alternative component
package A was used when the original building was permitted
The permit applicant chooses to use the whole building approach to lighting
compliance The proposed lighting system consists of three lighting tracks
extending the length of the shop Each track is 50 feet in length - 150 feet
of track altogether Drawings submitted with the permit application show one
150 watt fixture for each 12 feet of lighting track - a total of 12 fixtures
This is the only lighting in the store The proposed lighting power density
is 1 8 watts/sf - 12 fixtures times 150 watts/fixture divided by the 1,000 sf
conditioned floor area
CODE APPLICATION
The calculation of the installed lighting power density must assume minimum
wattages for tracJc lighting It must assume 1,200 watts for each 120 volt
circuit of track lighting A minimum of 2,800 watts must be assumed for each
277 volt circuit of tracfc lighting These minimum values must be used when
the proposed lamp wattages are less, when the proposed wattages are higher,
then the proposed values are used
The proposed store has each of the three lighting tracks on a separate 120
volt circuit Therefore, the minimum of 1,200 watts per circuit, times three
circuits, or 3,600 watts must be assumed as the installed lighting power
Dividing this number by the conditioned floor area results in an installed
lighting power density of 3 6 watts/sf, which does not comply with the 2 0
watts/sf requirement for retail package A
If this proposed store were to have all three lighting tracks on a single 277
volt circuit, then the minimum lighting power assumed would be 2,800 watts
This is less than the 3,600 watts determined above, but it still exceeds the
1,800 watts claimed by the applicant The 2800 watts would be the correct
installed lighting power, yielding an installed LPD of 2 8 watts
In either of the cases, the installed lighting power density exceeds the
allowable 2 0 watts/sf The applicant must reduce the circuit capacities in
order to comply
\. __.
3-68 Revised September 1988
ipC All panel boards shall have a minimum 100 anp
rating or approved by the Building Official
The minimum rating of a service disconnect is
100 amperes
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
and I occupancies (see Ord for exception)
Only tank-type water closets that use an
average of 1 6 gallons of water per flush or
less, and urinals and associated flushometer
valves, that use an average of 1 gallon of
water per flush or less shall be installed in
new construction These provisions shall apply
to existing buildings only when toilets are
being replaced in existing bathrooms or
installed in new bathrooms
MISCELLANEOUS
' 109,/Please see additional corrections or remarks
that follow
10,
''HO ) To speed up the recheck process, note on this
list (or a copy) where each correction item has
been addressed, i e , plan sheet, note or
detail number, calculation page, etc
Please indicate here if any changes have been
made to the plans that are not a result of
corrections from this list If there are other
changes, 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
Yes No
NOTE:
The following provisions are contained in Title 2k,
Part 2, California Building Code, as adopted and
enforced by the State Fire Marshal 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 to the local Fire Department.
S/l Walls of corridors and exterior exit balconies
f 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
Note on the plans that approved floor-level
exit signs shall be provided This applies to
A, E and I occupancies
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 vails of four-hour fire-
resistive construction without openings
Buildings required to ha\e automatic fire-
sprinkler protection as set forth in Section
13113 of the Health and Safety Code (homes for
children or the aged) are 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)
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 occt-pant
load of the church is less than 300
S^7 If emergency warning systems are required,
/ they shall activate a means of warning the
hearing impaired Flashing visual warnings
shall have a frequency of not more than 60
flashes per minute
The jurisdiction has contracted vith 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
at Esgil Corporation
Thank you
Enclosures
1
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Datet '/&/<?*-
prepared byt
Jurisdiction CARLSBAD
VALUATION AND PLAN CHECK FEE
p Bldg. Dept.
Q Esgil
PLAN CHECK NO. °\)-nn
BUILDING ADDRESS
APPLICANT/CONTACT
BUILDING OCCUPANCY __
TYPE OF CONSTRUCTION
PHONE NO.
DESIGNER PHONE
CONTRACTOR PHONE
BUILDING PORTION
T3C
Air Conditionine
Commercial
Residential
Res. or Comm.
Fire S-orinklers
Total Value
BUILDING AREA
3ST5
VALUATION
MULTIPLIER
T,/
e
e
e
VALUE
7V £/3
7V tf/3
Building Permit Fee $_
Plan Check Fee $
Ct-0 H MENTS^.
SHEET /
12/87
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER
ADDRESS
CB <?/- 77/7 DATE
fi
RESIDENTIAL TENANT IMPROVEMENT
RESIDENTIAL ADDITION MINOR
« $10,000 00)
OTHER
PLAZA CAMINO REAL
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
PLANNER DATE
ENGINEER DATE
C \WP51\FILES\BLDG FRM Rev 11/15/90
/\)
41 U 01
PLANNING CHECKLIST
Plan Check No ^A/2/7. Address ZcD~J f C&fzre- t>&. AJSKAL
Planner U Lvud, Phone 438-1161 ext y^z./
(Name)
APN
Type of Project and Use IW>«.±T T-f--
» I a555
i g I
a. a. a.
Zone f M Facilities Management Zone
Legend
LLJ Item Complete
I I Item Incomplete - Needs your action
1, 2, 3 Number in circle indicates plancheck number where deficiency was
identified
D Environmental Review Required YES NO X TYPE
DATE OF COMPLETION
Compliance with conditions of approval7 If not, state conditions which require action
Conditions of Approval
D Discretionary Action Required YES NO X TYPE .
APPROVAL/RESO NO DATE
PROJECT NO
OTHER RELATED CASES
Compliance with conditions of approval? If not, state conditions which require action
Conditions of Approval
D D California Coastal Commission Permit Required YES NO .V
DATE OF APPROVAL
San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA 92108-1725
(619) 521-8036
Compliance with conditions of approval7 If not, state conditions which require action
Conditions of Approval
01:U D
trcm
L/DD
cfna
a
d^n
Landscape Plan Reqiured YES _ NO \
See attached subrmttal requirements for landscape plans
Site Plan
3
4
Zoning-
^
Provide a fully dimensioned site plan drawn to scale Show North
arrow, property lines, easements, existing and proposed structures,
streets, existing street improvements, nght-of-way width and
dimensioned setbacks
Show on Site Plan Finish floor elevations, elevations of finish grade
adjacent to building, existing topographical lines, existing and proposed
slopes and driveway
Provide legal descnption of property
Provide assessor's parcel number
Setbacks
ODD
r" ' Front
Int Side
Street Side
Rear
•7 ^ 2 Lot coverage
ty/C 3 Height
YC- 4 Parking
Additional Comments
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OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER V DATE
PLNCK.FRM
City of Carlsbad
Fire Department • Bureau of Prevention
Plan Review: Requirements Category Building Plan Check
Date of Report Friday, Januarys. 1992 Reviewed by C
Contact Name Richard Marsch
Address 2385 Camino Vida Roble Stel07
City, State Carlsbad CA 92009
Bldg Dept No 91-1717 Planning No
Job Name Media Share 210
Job Address 2035 Corte Del Nogal Ste or Bldg No 210
G3 Approved - The item you have submitted for review has been approved The approval is
based on plans, information and/or specifications provided in your submittal,
therefore any changes to these items after this date, including field modifica-
tions, must be reviewed by this office to insure continued conformance with
applicable codes Please review carefully all comments attached, as failure
to comply with instructions in this report can result in suspension of permit to
construct or install improvements
D Disapproved - Please see the attached report of deficiencies Please make corrections to
plans or specifications necessary to indicate compliance with applicable
codes and standards Submit corrected plans and/or specifications to this
office for review
For Fire Department Use Only
Review 1st 2nd 3rd
Other Agency ID
CFDJob* 910198 File#
2560 Orion Way • Carlsbad, California 92008 • (619) 931-2121
COMMERCIAL/INDUSTRIAL
APPLICATION FORM FOR INDUSTRIAL WASTE DISCHARGE PERMIT
CITY OF CARLSBAD
APPLICATION: NEW V
(CHECK ONE) REVISED
BUILDING PC. NO.
APPLICATION NO.
BY:
Signature of City Representative
INDUSTRIAL CLASS.
DATE ; I2.-2-4
3 /
APPLICATION FOR INDUSTRIAL WASTE DISCHARGE PERMIT
A. GENERAL:
APPLICANT:
SITE
ADDRESS:
TYPE OF BUSINESS;
APPLICANT'S ADDRESS;
O B. WASTES AND PROCESSING. (Check where applicable)
Domestic Waste Only |~| Industrial Waste j~j Industrial Waste NOT
Discharged to Sewer Discharged to Sewer
GENERAL DESCRIPTION OF WASTE iChemicaljjnnd Physical Characteristics of
proposed waste).
GENERAL DESCRIPTION OF PROCESS (If Applicable)
C. WASTES TO-8E DISCHARGED TO SEWER:
TREATED.WASTE
(Check One)UNTREATED
QUANTITY AVERAGE
(Daily) MAXIMUM
CPD
GPD
(Gallons Per Day)
APPLICANT OR REPRESENTATIVE OF FIRM.
T ITLE .
(Print)
SIGNATURE: