HomeMy WebLinkAbout2042 CORTE DEL NOGAL; B; 87-647; PermitLENDERI is 3 I •§ C WORKER S COMPENSATION' 'f ^ --; • i •-•> ^ •• n DECLARATIONS
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DEVELOPMENT PROCESSING SERVICES DIVISION
2075 LAS PALMAS DRIVE
CARLSBAD, CA 92009-4859
(619) 438-1161
MISCELLANEOUS FEE RECEIPT
Applicant Please Print And Fill In Shaded Area Only
JOB ';TZ^V /~* \\ 1 )ADDRESS /0£f2L -O CoA-Tic, UlL. M^c~AC_
ASSESSOR'S 3 1 .-» /S / £~~X'PARCEL NO V1^ A t> ~U6 *b
OWNER l\|"fSO\ TODQSAA-/
ADDRESS - •'"'.", • ' ,
CITYVlS^A "'•' ZIP9^S3 TEL^B^ H^
CONTRACTOR f~)t I ji))/l '-f\ CT\^i I/' \J
CONTRACTOR'S t4£?l & ^\0(M>RV A^^"MAILING - . " ^ •
ADDRESS " - • , > , '" -r • -
ClTY^)>^jJUiR-6^ ZIP 71~l"ZJ~'L TEL ^t^^
STATE Pk -JL-, n-?2T^ BUSINESS
LICENSE NO J O ^' 1 ' t> LICENSE NO
QiiDniwjci_ ; ' inT;i^r^ ;-p/j^p.•v * *
OiiQju'S b/^0 ~
LEGAL DESCRIPTION L^£»'V 7 T^S?
G-A/Hj^s^A^ \^c_r ^^-"TV
LA-P ~^'lDd^/2
DESCRIPTION OF WORK \ ^^Ji — >
Xl)t*> T'T>"ci H 5^~~ o^ OF'pi {~**-
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CONTACT PERSON 0?-NpJl^ VC>7 ^-*- ICV^
ADDRESS T"^ 1 h • \^'fM/f\b j AlJf^
C!TY b/^^' ijUlt'^ ZIP /"L("L"L^ TEL^'t"^ //^
PLAN ID NO ^-> / /
y
VALIDATION AREA
7/
ESTMATED VALUATION A-^CyM-*4C>
PLANCHFCKFFF 001-81000-00-8821 T^J
IF THE APPLICANT TAKES NO ACTION '
WITHIN 180 DAYS, PLAN CHECK FEES
WILL BE FORFEITED
CHECK IF SUBMITTED
r^T^ 2 ENERGY CALCS
i—i 2 1987 ENERGY CALCS
LJ FOR NON RESIDENTIAL BLDGS
r] 2 STRUCTURAL CALCS
D 2 SOILS REPORTS
Q 2 SELF ADDRESSED ENVELOPES
DATE GIVEN/ n,TF
SENT TO APPLICANT
LA COSTA LETTER
SCHOOL FEE FORM
P & E CORRECTIONS LIST
CERTIFICATE OF OCCUPANCY
APPLICANT'S SIGNATURE /'DATE
y^>
White File Yellow Applicant Pink Finance Gold Assessor
City of Cartetma
REQUEST FOR INSPECTION RECORD
INSPECTOR / l//*~^~— ""' — PERMIT NO
<T — 7 / / f—f TIMF>r / — / ^ / -~> s' <p C?O / (£> V~ / DATF ^"- " -5~£<3
OWNER '' ; / 1 -*- /) /^//
ADDRESS /\ C^ C/bb^*-*' yCl? //' * €^?^ ^r C^**~ [*^-^ts*%s£*^^ JXL-fe"£?"*£- f^ f £s ^f&^*\
REQUESTED &V£-Z-^L~-i'i^-<y ^f^,L^C^f^i^(_ PHONE NO ^ — , ,
f /X<X >?
PERSON TAKING REPORT/O^O^C?
BUILDING
D FOUNDATION LJ FOOTING D SLAB
u REINFORCING STEEL
!U MASONRY
D GROUT GUNITE
D FLOOR AND CEILING SUB FRAME
D SHEATHING n ROOF H SHEAR
:: FRAME
Cl EXTERIOR LATH
G INSULATION
J-^TNTEFrrQR LATH OR DRYWALL
'' "^ W
PLUMBING f/
n UNDERGROUND PLUMBING
1 J SEWER AND PL/CO
^ TOP OUT PLUMBING
^ TUB OR SHOWER PAN
n GAS TEST
iJ WATER HEATER
U SOLAR WATER
n FINAL
//^/t/
3-'
ELECTRICAL
~ TEMPORARY SERVICE
LJ UFFER GROUND
f] ELECTRIC UNDERGROUND
u ROUGH ELECTRIC
G POOL BONDING
n ELECTRIC SERVICE
n FINAL
/I
J^ <z*r~^
Uf~ is /^ jf^\^S
- ( f's
MISCEtn^ANEOUS
u CONDITIONED AIR SYSTEMS
^ SOLAR HEAT
~ PATIO
n POOL G SPA
U SIGN
G GRADING
[7 DRIVEWAY
LT: FINAL
SPECIAL INSTRUCTIONS.
Rejidy For Inspection C Monday
S AM n PM
Tuesday Ci Wednesday 2KThursday n Friday
Citp of Cartebab
REQUEST FOR INSPECTION RECORD
INSPECTOR
OWNER
BUILDING
D FOUNDATION D FOOTING D SLAB
REINFORCING STEEL
MASONRY
GROUT GUNITE
FLOOR AND CEILING SUB FRAME
HEATHH<iG u ROOF D SHE
hXTbRIORL
INSULATION
INTERIOR LATH OR DRYWALL
FINAL
ELECTRICAL
D TEMPORARY SERVICE
f.j UFFER GROUND
ij ELECTRIC UNDERGROUND
CHOUGH ELECTRIC
n POOL BONDING
n ELECTRIC SERVICE
PLUMBING
(j UNDERGROUND
.SEWER AND PL/CO
TOP OUT PLUMBING
D'TUB OR SHOWER PAN
71 GAS TEST
D WATER HEATER
D SOLAR WATER
LI FINAL
SPECIAL INSTRUCTIONS
kReady For Inspection D Monday
D PM
D Tuesday D Wednesday D Friday
Citp of Cartebab
REQUEST FOR INSPECTION RECORD
TIME
INSPECTOR 0 ' ^-/ PERMIT NO D /"" ( O ^- / DATF / ~~ /(• - ' / /
OWNER X1 A ^ "
ADDRESS — . ^ D ^7 ol ( ^^l^<^i^> d-4~X- - ^^t£-^s--fr~t~J(
""\ / j / '"5 t i ~> C~V ^" ^*4*
REQUESTED BY^ 1 P^/-^f-* — 9 PHONE NO <f"£> 1-1 ^ 2 7 /^Y)
PERSON TAKING REPORT C /^^
BUILDING
G FOUNDATION G FOOTING G SLAB
G REINFORCING STEEL
G MASONRY
G GROUT GUNITE
LI FLOOR AND CEILING SUB FRAME
G SHEATHING G ROOF G SHEAR
G FRAME
, rn,EXTERIOR LATH ,—
p. INSULATION / -i- \
/!.] INTERIOR LATH OR DRYWALL \
I G FINAL \
/7~
ELECTRICAL
G TEMPORARY SERVICE
G UFFER GROUND
;:; ELECTRIC UNDERGROUND
G ROUGH ELECTRIC
G POOL BONDING
[j ELECTRIC SERVICE
C FINAL
^
(/
^r7 rt/(^^\
PLUMBING
G UNDERGROUND PLUMBING
C SEWER AND PL/CO
G TOP OUT PLUMBING
G TUB OR SHOWER PAN
G GAS TEST
G WATER HEATER
G SOLAR WATER
G FINAL
ISCELLANEOUS
LJ CONDITIONED AIR SYSTEMS
;:; SOLAR HEAT
G PATIO
G POOL G SPA
G SIGN
f.l GRADING
G DRIVEWAY
;.; FINAL
SPECIAL INSTRUCTIONS.
Ready For Inspection
GAM LJ P M
Monday G Tuesday Wednesday G Thursday Friday
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 2O8
SAN DIEGO, CA 92123
(619) 560-1468
DATE:
JURISDICTION:
PLAN CHECK NO:CB Q 74,4 7 SET:
PROJECT ADDRESS:
PROJECT NAME:
! APPLICANT
__ ION
i ,j. .*_.*..... ^HEC-KER
HFILE COPY
DESIGNER
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 Bg.t-o^j are resolved and
D
D
_
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 heJr* at Esgil Corp. until corrected
plans are submitte^Kfor/recheck.
The
I—[ The applicants
D
jurisdict
of the check list is enclosed for the
rn to the applicant contact person.
opy of the check list has been sent to:
Esgtl staf/f did not advise the applicant contact person that
plan cheoK has been completed.
jj Esgil staff did
— been completed.
Date contacted
REMARKS : /^SVye
e applicant that the plan check has
contacted:
Telephone #
•- - /-/-• i
By :Enclosures:
ESGIL CORPORATION
ESGIL CORPORATION
932O CHESAPEAKE DR., SUITE 2O8
SAN DIEGO, CA 92123
(619) 56O-I468
DATE:
JURISDICTION:
PLAN CHECK NO:
PROJECT ADDRESS: ^
PROJECT NAME:
SET:
u-r--,/
O>T?(5L
QAPPI.ICANT
JURISDICTION'
jPLAN CHECKER
fjFILE COPY
DUPS
f] DESIGNER
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:
CR.
HI Esgil staff did not advise the applicant contact person that
plan check has been completed.
f" j Esgil staff did advise applicant that the plan check has
~ been completed. Person contacted:
Date contacted:
REMARKS: SOT?>W\ iT T~lo
To
Telephone #_
t 7. &
or2.R.l5TUT2~vO
UJ V4^^Y?,I
Enclosures :
ESGIL CORPORATION
^/^^; A^T /vT/?A-i s (Cf-/) M a <.-? /£<£
Co»»-i /°<-'4*JC.e£ S 7x4 TV / ? f *J r A/t^ST" X^^" O
Ctutt-
' o V TV/!)
l°t.tS rg /-o^A-r ./~' HO to y *J < / C u T V y
(L At-
/-/U/lC
JURISDICTION :
ELECTRICAL FLAN CORRECTION SHEET
DATE:
PLAN CHECK NUMBER:-£<J1
jf. Submit complete electrical plans and
specifications.
p. Submit plan showing location of all
services.
JS. Submit complete one-line diagram of
service and feeders.
/£. Indicate the grounding system to be
installed for building service.
jf. Indicate ampere interrupting capacities
(AIC) of service and subservice
equipment. NEC 230-65/110-9.
ft. Indicate sizes of fuses and/or circuit
breakers.
Jr. Indicate fuse symbols to show fault
currents are limited to 10,000 amps on
branch circuits.
jit If fuses are not used to limit fault
currents on branch circuits to 10,000
amps, specify method to be used.
jS Submit plan showing location of all
switchboards.
ip'f Indicate dimension of switchboards and
control panels rated 1200 amperes or
more. NEC 110-16(c).
II. Submit plan showing location of all
transformers
13(. Indicate the grounding system to be
installed for transformers NEC 250-
26(c)
2- - / ST-
PLAN CHECKER:
) VOLLEE WAGGONER
OWEN DILLON
f. Provide overcurrent protection on the
secondary side of transformers. NEC 240-
21/384-16(d).
( 14.J Submit plan showing location of
panel*.
]lf. Submit panels schedules.
Iff. Specify conduit and wire sizes.
yf. Specify aluminum or copper conductors and
type of insulation.
}&. Show approximate length of feeders.
yf. Specify electrode conductor size and type
wire, (aluminum or copper)
yxS. Submit electrical load calculations.
^f. Indicate existing service size.
2%. Indicate existing building load.
. Indicate new additional loads.
(24.) Indicate wiring method.
J^. Show exit signs on the electrical
lighting plan. Note: Power for exit
lights and emergency lighting must
conform to the 1985 UBC Sections 33 L3 and
3314.
\26JProvide receptacle(s) within 25" of the
roof mounted A/C units. UMC Section 509.
Provide multiple switch lighting controls
per CAC, Title 24, 2-5319.
G
Any questions on electrical please contact the plan checker shown above, at Esgil Corporation at (619)
560-1U68. Thank you
Datet Jurisdiction
Preparedly, Q Bldg. Dept.
^3mA VALUATION AND PLAN CHECK FEE D Esgil
PLAN CHECK NO. 8 T - Cs> 4-*~\ ~ T-
BUILDING ADDRESS 22,O<4-£ r T^" Cc)vl
APPLICANT/CONTACT PGTvJKilS S<^L-l<Stf PHONE NO. ^^(o I96>'Z-
BUILDING OCCUPANCY B -Z Cr, i .^
TYPE OF CONSTRUCTION \/~N/
BUILDING PORTION
O p\=-i 6& s
^j1 \-|^jjs6
Air Conditioning
Commercial
Residential
Res. or Comm.
Fire Snrinklers
Total Value
BUILDING AREA
=» 57^^ 4-
r 1 6? o n c?
^ \ °\io1
/ / X
'/k/^6 iL*
I/ • H.«/l X ^l S*t ^ ft -^- '
DESIGNER PHONE
CONTRACTOR
VALUATION
MULTIPLIER
<g* I <3.5£}
JL^ i^-^yi
ju .A l^-rL^
@ '^x7
@ X\
@
PHONE
VALUE
^^
^^~ 4£^T4-4-S'
^^
uL-Ci^2- ^"-7-7^^^ x ' ' '
AOGjr*^
Quilding Permit Fee $ \. \ ( H- ' S^ t
Plan Check Fee $ \ \ J^T' > 1 C> $
COM H E N T G
SHEET OF
12/87
DENNIS K. SELICH 4576 MURPHY STREET. SAM DIEGO. CALIFORNIA. 92122
License** B 321175 GENERAL CONTRACTING Phone (619) 546-1962
November 16, 1987
PROPOSAL AND CONTRACT
Mitsui Fudosan,USA dba
Palomar Airport Business Park
1120 Sycamore Ave ,Suite A
Vista, California, 92038
I propose to furnish all material and perform all labor necessary to complete
the following
To build approximately 5894 sq ft of new offices and convert 16076 sq ft of
the remaining existing shell to warehouse at 2042 Corte del NogaJ., Suite B,
Carlsbad, California, according to the plans drawn by Wink dated 11/13/87
Priced includes floor covering installed, painting of interior of offices, air
conditioning of offices, all electrical & warehouse lighting, plumbing, fire
extinghuishing systems and any other permanent equipment Also included are
current building permit fees
All work to be done according to City of Carlsbad Codes
All of the above work to be completed in a substantial and workmanlike manner
according to standard practices for a sum not to exceed
Ninety Seven Thousand Seven Hundred Ninety Eight and No/100 Dollars f$97798.001
Payments to be made as follows
$68000 00 due when dry is hung and ready for tape $20,000 due when carpet is
laid Balance due upon final building inspection
Any alteration or deviation from the above specifications involving extra cost
of material or labor will only be executed upon written orders for same, and
will become an extra charge over the sum mentioned in this contract All
agreements must be made in writing
This proposal is good for 15 days
Resp/ecptfully submitted
Dennis K Selich (Owner)
State license # B 321175
ACCEPTANCE
You are hereby authorized to furnish all materials and labor required to
complete the work mentioned in the above proposal, for which Palomar Airport
Business Park agrees to pay the amount mentioned in said proposal, and
according to the terms thereof
ACCEPTED
fSljAj^*^" v /^-^^r^-^ '-=- n . AT, e,.Date /y r^V I ft , 19*_
os. "
DENNIS K. SELICH 4576 MURPHY STREET. SAN DIEGO. CALIFORNIA. 92122
License* B 321175 GENERAL CONTRACTING
COST BREAKDOWN
JOB NAME ITEMS INTERNATIONAL EXPANSION
JOB ADDRESS 2042 Corte Del Nogal B
Phone (619) 546-1962
November 16, 1987
NO.
3
9
10
11
12
13
14
15
21
22
23
24
28
30
32
36
37
38
44
45
47
48
51
! CATEGORY
CONCRETE
INTERIOR WINDOWS
FIRE SPRINKLERS
ROOF REPAIR
T-BAR CEILING
PLUMBING
HEAT A/C
ELECTRIC
STEEL STUDS & DRYWALL
DOORS
PAINTING
CABINETS
HARDWARE
MARLITE
INSULATION
CLEAN UP
FLOOR COVERING (to match exist* g)
VINYL BASE
PERMITS
PLANS
LIFT RENTAL
TOILET PARTITIONS
OVERHEAD & SUPERVISION
TOTAL
PROFIT
TOTAL COST per plans
! ESTIMATE
849
928
4327
220
3302
5625
13652
12860
14843
2998
2685
1612
535
288
2350
950
12288
922
3831
1400
450
2486
1438.
90974
6824.
97798
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
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Date /2 -
ENGINEER!
6-87
Plan Check No. 87-£^/
Project Address ZO^A. CoR~f£- Pf*- fi/o$f)L.
Project Name
Field Check
LEGAL REQUI
Site Plan
ri
Date
By
REMENTS
LEGEND
1,2,3
Item
Item
Your
Number in circle
indicates plancheck
number that deficiency
was identified
D D D
D D
D D
D D
1. Provide a fully dimensioned site plan drawn to scale. Show North
arrow, property lines, easements, existing and proposed
structures, streets, existing street improvements, right-of-way
width and dimensioned setbacks.
2. Show on Site Plan Finish floor elevations, elevations of finish
grade adjacent to building, existing topographical lines, existing
and proposed slopes, driveway and percent (%) grade and drainage
patterns.
3. Provide legal description of property.
U. Provide assessor's parcel number.
D D
D D
D D
D D
D D
D D
D D
D D
D D
D D
PERMITS REQUIRED
Grading
5
6.
7.
Grading permit required. (Separate submittal
Department required for Grading Permit).
Grading plans in plan check PE .
to Engineering
Need the following completed prior to building permit issuance
A. Grading plans signed.
B. Grading permit issued.
C. Grading completed.
D. Certification letter and compaction reports submitted.
E. Grading inspected and permit signed off by City Inspector.
Right-of-Way Permit required for work in public right-of-way
(e.g., driveway approach, sidewalk, connection to water mam,
etc).
Industrial Waste Permit application required. To
completely and returned to Development Processing.
be filled out
FEES REQUIRED
r~j M 10. Park-m-Lieu fees required.
Quadrant , Fee Per Unit •—, Total Fee
l~~l r~] r~] 11. Traffic impact fee required. M
Fee Per Unit , Total Fee *7G(c2>
[~| 12. Bridge and Thoroughfare fee required.
r"-- Per Unit — • - , Total Fee ^ifj.l^
I—I LJ 13. Public facilities fee required.
[~] 14. Facilities management fee required. Fee "^ ^
C-| p-i 15. Additional EDU's required /T\ff^QjV&X -K&SL
-I LJ Sewer connection fee ~-—---~ gew^j, permft no.
Q Q 16. Sewer lateral required
REMARKS
iJ
=• //78
O.K. to
If you have any questions about any of the above items identified on this plan
check, please call the Development Processing Department at 438-1161.
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Plan Check No.
PLANNING CHECKLIST
Address CoRTt Z&L //06ft L 13 "
Type of Project and Use / X
Zone P'KI Use Allowed? YES NO
Setback Front A</fl Side ///q Rear M/fl
Facilities Management Zone
School District San Dieguito
Carlsbad ^
Discretionary Action Required YES
Environmental Required YES
Landscape Plan Required YES
Comments
Encmitas
San Marcos
NO
NO :>C
NO )*C
Type
Coastal Permit Required
Additional Comments
YES NO
OK TO ISSUE DATE
2560 ORION WAY
CARLSBAD, CA 92008
TELEPHONE
(619) 931-2121
ARCHITECT\^Oj_y_K
OWNER l/Vi
OCCUPANCY
1-'H^TENANTIMP
CONST
Citp of Cartebafc
FIRE DEPARTMENT
PLAN CHECK REPORT
ADDRESS -"SdaJ
.ADDRESS
A/TOTAL SQ FT 9 ?/)
PAGE 1 OF
APPROVED
DISAPPROVED
PLAN CHECK#
PHONE
PHONE
STORIES
APPROVAL OF PLANS IS PREDICATED ON CONFORMING
TO THE FOLLOWING CONDITIONS AND/OR MAKING
THE FOLLOWING CORRECTIONS
1
2
3
4
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 systems7(srjrmk!.ers, stand pipes, dry chemical, halon,
CO2, alarms, hydrants) Plan must be approved by the fire departmenf prior to installation
5 The business owner shall complete a building information letter and return it to the fire department
FIRE PROTECTION SYSTEMS AND EQUIPMENT
6 The following fire protection systems are required -, „ / .
"/El Automatic fire sprinklers (Design Criteria i J ~> / •fa&U .A S
* D Dry Chemical, Halon, C02 (Location I/ '
D Stand Pipes (Type
D Fire Alarm (Type/Location '.
Fire Extinguisher Requirements ^
^ One 2A rated ABC extinguisher for each •?>(
I extinguisher not to exceed 75 feet of travel"
D An extinguisher with a minimum rating of
sq ft or portion thereof with a travel distance tojhe nearest
_ to be located
D Other
8 Additional fire hydrant(s) shall be provided.
EXITS
. 9 Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort
.10 A sign stating, " This door to remain unlocked during business hours" shall be placed above the mam exit and
doors
.11 EXIT signs (6" x 3A" letters) shall be placed over all required exits and directional signs located as necessary to
clearly indicate the location of exit doors
GENERAL
.12 Storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and
hazardous chemicals shall comply with Uniform Fire Code
.13 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 regulations on Attached sheets)
Plan Examiner Date
Report mailed to architect . Met with ' '/Attach to Plans
COMMERCIAL/INDUSTRIAL
APPLICATION FORM FOR INDUSTRIAL WASTE DISCHARGE PERMIT
CITY OF CARLSBAD
APPLICATION: NEW
(CHECK ONE) REVISED
BUILDING P.C. NO.; Q /
APPLICATION NO.;
INDUSTRIAL CLASS; 31
DATE ; J2-8-87
ignature of City Representative
APPLICATION FOR INDUSTRIAL WASTE DISCHARGE PERHIT
A. GENERAL:
APPLICANT;
SITE
ADDRESS:
TYPE OF BUSINESS!I/Hl/M
APPLICANT'S ADDRESS:
B. WASTES AND PROCESSING: (Check where applicable)
|7/ Domestic Waste Only |~| Industrial 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):
C. WASTES TO BE DISCHARGED TO SEWER:
WASTE: TREATED: /
(Check One) UNTREATED: ./
QUANTITY: AVERAGE
(Daily) MAXIMUM
GPD
GPD
(Gallons Per Day,
APPLICANT OR REPRESENTATIVE OF FIRM:
TITLE; \r^^
SIGNATURE: »'
(Print)
DATE:
CLINE ELECTRIC P.O.B. 562 CARDIFF BY THE SEA, CA. 92007753-4487- LIC. # 324645DENNIS K. SELICH4576 MURPHY DR.SAN DIEGO, CA. 92122546-1962 JOBITEMS INTERNATIONAL2042-B CORTE DEL NOGALCARLSBAD. CA. 92009
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