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HomeMy WebLinkAbout2042 CORTE DEL NOGAL; C; CB111341; Permit08-01-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Pernnit No; Building Inspection Request Line (760) 602-2725 CBl 11341 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 2042 CORTE DEL NOGAL CBAD St: C Tl Sub Type: 2130610500 Lot#: $95,027.20 Construction Type: Reference #: ABTECH: 2560 SF OFF TO OFF Tl INDUST 0 58 Applicant: MARK MCKINNEY 15500 NEW PARK TERRACE SAN DIEGO CA 92127 858-756-0933 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: Owner: BOND RANCH C/O PACIFIC COAST COMMERCIAL P O BOX 420950 SAN DIEGOCA 92142 ISSUED 06/21/2011 JMA 08/01/2011 08/01/2011 Building Pemiit $627.73 Meter Size Add'l Building Permit Fee $0.00 Add'l Reel. Water Con. Fee $0.00 Plan Check $408.02 Meter Fee $0.00 Add'l Plan Check Fee $0.00 SDCWA Fee $0.00 Plan Check Discount $0.00 CFD Payoff Fee $0.00 Strong Motion Fee $19.96 PFF (3105540) $0.00 Park Fee $0.00 PFF (4305540) $0.00 LFM Fee $0.00 License Tax (3104193) $0.00 Bridge Fee $0.00 License Tax (4304193) $0.00 BTD #2 Fee $0.00 Traffic Impact Fee (3105541) $0.00 BTD #3 Fee $0.00 Traffic Impact Fee (4305541) $0.00 Renewal Fee $0.00 PLUMBING TOTAL $0.00 Add'l Renewal Fee $0.00 ELECTRICAL TOTAL $20.00 Other Building Fee $0.00 MECHANICAL TOTAL $30.50 Pot. Water Con. Fee $0.00 Master Drainage Fee $0.00 Meter Size Sewer Fee $0.00 Add'l Pot. Water Con. Fee $0.00 Redev Parking Fee $0.00 Red. Water Con. Fee $0.00 Additional Fees $0.00 Green BIdg Stands (SB1473) Fee $1.00 HMP Fee ?? Fire Expedited Plan Review $880.00 TOTAL PERMIT FEES $1,987.21 Total Fees: $1,987.21 Total Payments To Date: $1,987.21 BalanceDue: $0.00 Inspector: FINAL APPROVAL Date: 3^1^/1^ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Impositton" of fees, dedications, reservations, or other exacttons hereafter collectively refen'ed to as lees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Sectton 66020(a), and file the protest and any other required Information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal actton to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or sewice fees in connection with this projeci, NOR DOES IT APPLY to any fees/exacttons of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired. ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. g?V \ \ 34 \ Est. Value 0^1. ID Plan Ck. Deposit Date SWPPP JOB ADDRESS SUITE#/SPACE#/UNIT# CT/PROJECT # # OF UNITS # BEDROOIWS # BATHROOI^S TEIWNT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s> EXISTING USE PROPOSED USE / ^ GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES • # NCtCt" AIR CONDITIONING YES • NO.a-- FIRE SPRINKLERS YES n NOtL- CONTACT NAME (H DIfferant Fom Applicant) ADDRESS/ APPUCANT NAME CITV ADDRESS STATE ZIP CITY STATE ZIP PHONE " ^ . _ FAX _ ^ ^ J PHONE FAX EMAIL EMAIL PROPERTVOWNERNAME ^ O . CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS 1^ ^nA£ AS AJgHiliiTrTT- STATE LIC. # Cinr BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a pernnit to construct, alter, improve, dennolish 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, commenaing with Section 7000 of Division 3 of the Business and ProfessionsCode) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION VVorkers' Compensation Declaration: I hereby affimi under penalty of peijury me ofthe fbltowing declarations: O I have and wili maintain a certificate of consent to self-insure Ibr workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pemn it is issued, n I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the work Ibr which this pennit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date This section need not be completed if the pennit is for one hundred dollars ($100) or less. a Certificate of Exemptkin: I certify that in the perfomnance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shali subject an employer to criminai penalties and civil fines up to one hundred thousand dollars (&1l)0,000), in addition to the cost of compensation, damages as provided fbr in Section 3706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE • OAGENT DATE OWNBfi-BUILDEft DECtARATION / hemty affirm (haf / am exempt from Contractor's Ucense 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 stnjcture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does nol apply to an owner of property who buiids or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or oifered 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 fbr the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to constmct 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 fbr this reason: 1.1 personaiiy plan to provide the major labor and materials for constnjction of the proposed property improvement • Yes • No 2. i (have / have not) signed an application for a building pennit for the proposed work. 3. i have contracted with the foiiowing person (finn) to provide the proposed construction (include ^1 plan to provide portions ofthe work, but I have hired fhe following person fo coordinate, 5.1 will provide some of the work, but I have contracted (hired) the fotlowing persons to pn fe address / phone / contractors' license number): and provide the major work (include name / address / phone / centaectors' licensejumberjj^^ work indicated (include name / address / phone / type of work): ^ftfJ^I?^ U (7/^/ >erPR0PERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR N O N - R E S i O E N T I A L BUILDING PERMITS ONtY Is the applicant or future building occupant required to submit a business plan, acutely hazanjous materials registration fomi or risk management and prevention program under Sections 25S05,25533 or 25534 of the Presiey-Tanner Hazardous Substance Account Acf? • Yes • No is the applicant or future building occupant required to obtain a pemiit from the air pollution control distnct or air quality management district? • Yes • No Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? • Yes • No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT CONSTRUCTION LENDING AGENCV I hereby afUrm that there is a construction lending agency fbr the perfbmiance of the work this pemfiit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certif that I have read the appikatkin and state thatthe above infonnation Is conect and that the infonnation on the plans is accuiate. I agree to comply with all City onlinances and State laws relating to building constnidfon. I hereby aulhorize repiBsenlative of the City of Carlsbad lo enter upon the above mentkmed property Ibr inspecSon puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrFY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AnOSHApemiitisrequiredfor excavalkins over 5'0' deep and demolition or constmction of structures over 3 stories in height. EXPIRATION: Every pemiit issued by the Buidkig OflSdal under the provisions of Ihis Code shail expire by imitatnn and become nul and void if the building or work aulhorized by such pemiit is not commenced wilhin 180 days trom the date of such pennit or if the buiding or woik authorized by such permK is suspended or abandoned at any time after Ihe woik is commenced for a period of 180 days (Section 106.4.4 Unifbim Buiding Code). (MX^-^^ DATE >eS'APPLICANT'S SIGNATURE ^ aHMCilMai nmi Biniini iismetiH Dept: Building Engineering Planning CIVIWD St Lite Fire Plan Check #: Date: 02/29/2012 Permit #: CBl 11341 Permit Type: Tl ProjectName: ABTECH: 2560 SF OFF TO OFF Tl Sub Type: INDUST Address: 2042 CORTE DEL NOGAL #C Contact Person: Phone: Sewer Dist: CA Water DIst: CA Lot: Inspected By: Inspected By: Inspected By: Date , Inspected: Date , Inspected: Date Inspected: Approved: Approved: Approved: Disapproved: Disapproved: Disapproved: Comments: City ofCarlsbad BIdg Inspection Request For: 02/28/2012 PermiW CB111341 Title: ABTECH: 2560 SF OFF TO OFF Tl Description: I nspector Assig n ment: TP 2042 CORTE DEL NOGAL C Lot: 0 Type: Tl Job Address: Suite: Location: OWNER BOND RANCH Owner: BOND RANCH Remarks: am please no type left Sub Type: INDUST Phone: 5126279666 Inspector: Total Time: CD Description 14 Frame/Steel/Bolting/Welding 24 Rough/Topout 34 Rough Electric ^ Rough/Ducts/Dampers Requested By: SPARKY Entered By: JANEAN Act Comments Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection Historv Date Description 09/09/2011 14 Frame/Steel/Bolting/Welding 09/09/2011 24 Rough/Topout 08/08/2011 14 Frame/Steel/Bolting/Welding 08/08/2011 34 Rough Electric Act Insp Comments AP TP EXISTING T-GRID WC TP AP TP AP TP EsGil Corporation In (PartnersHip with government for (BuMing Safety DATE: 7/21/11 • APPLICANT • JURIS. JURISDICTION: CityofCarlsbad • PLAN REVIEWER • FILE PLANCHECKNO.: 11-1341 SET: II PROJECT ADDRESS: 2042 Corte Del Nogal Suite C PROJECT NAME: Abtech - TI XI The plans transmitted herewith have been correctetd where necessary and substantially comply with the jurisdiction's building codes. I I The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. I I The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. I I The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. I I The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. I I The applicant's copy of the check list has been sent to: IXI Esgil Corporation staff did not advise the applicant that the plan check has been completed. I I Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Email: Fax #: Mail Telephone Fax In Person • REMARKS: By: Doug Moody Enclosures: EsGil Corporation • GA • EJ • PC 7/14/11 9320 Chesapeake Drive, Suite 208 • San Diego, Califomia 92123 • (858) 560-1468 • Fax (858) 560-1576 EsGil Corporation In (partnerstiip tvith government for (BuiUing Safety DATE: 6/29/11 • APPLICANT "JURiSr- JURISDICTION: CityofCarlsbad •>l:AirF^EVIEWER • FILE PLANCHECKNO.: 11-1341 SET: I PROJECT ADDRESS: 2042 Corte Del Nogal Suite C PROJECT NAME: Abtech - TI I I The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. r~| The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. I I The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. 3 The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. I I The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. XI The applicant's copy of the check list has been sent to: Mark McKinney 15500 New Park Terrace, San Diego, CA 92127 I I Esgil Corporation staff did not advise the applicant that the plan check has been completed. Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Mark McKinney Telephone #: 858-756-0933 Date contacted:(<>f 5o/ (by: ^) Email: mckinnevarchitect(a>hotmail.com Fax #: 858-756- 8549 6rMail«^ Telephone Fax-^ In Person • REMARKS: By: Doug Moody Enclosures: EsGil Corporation • GA • EJ • PC 6/23/11 9320 Chesapeake Drive, Suite 208 • San Diego, Califomia 92123 • (858) 560-1468 • Fax (858) 560-1576 City of Carlsbad 11 -1341 6/29/11 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLANCHECKNO.: 11-1341 JURISDICTION: City ofCarlsbad OCCUPANCY: B USE: Office TYPE OF CONSTRUCTION: VB ACTUALAREA: 2560sf ALLOWABLE FLOOR AREA: STORIES: 1 HEIGHT: SPRINKLERS?: YES OCCUPANT LOAD: 25 REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 6/21/11 DATE PLANS RECEIVED BY ESGIL CORPORATION: 6/23/11 DATE INITIAL PLAN REVIEW COMPLETED: 6/29/11 PLAN REVIEWER: Doug Moody FOREWORD (PLEASE READ): This plan review is limited to the technical requirements contained in the International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review is based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building permit. Code sections cited are based on the 2010 CBC, which adopts the 2009 IBC. The following 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. 105.4 of the 2009 International 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, please note on this list for a copy) where each correction item has been addressed, i.e.. plan sheet number, specification section, etc. Be sure to enclose the marked UP list when vou submit the revised plans. CityofCarlsbad 11-1341 6/29/11 Please make all corrections on the original tracings, as requested in the correction list. Submit three sets of plans for commercial/industrial projects (two sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 1. Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring one corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. 1. 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. 2. Please provide a statement on the Title Sheet of the plans to show compliance with the current Codes. The following are the correct current Codes: a) The 2010 edition of the California Building Code (CBC) adopts the 2009 International Building Code (IBC) and the 2010 California Amendments. b) The 2010 edition of the California Electrical Code (CEC) adopts the 2005 National Electrical Code (NEC) and the 2008 California Amendments. c) The 2010 edition of the California Mechanical Code (CMC) adopts the 2006 Uniform Mechanical Code (UMC) and the 2009 California Amendments. d) The 2010 edition of the California Plumbing Code (CPC) adopts the 2006 Uniform Plumbing Code (UPC) and the 2009 California Amendments. e) The 2010 edition of the California Fire Code (CFC) adopts the 2009 Uniform Fire Code (UFC) and the 2007 California Amendments. f) The 2008 edition of the California Energy Efficiency Standards. 3. Please revise the plans to show the mandatory measures required for the alteration to the lighting system. The relocated lighting fixtures and new lighting controls must comply with lighting control requirements of Sections 119, 130, 131 and 134 ofthe Energy Standards. 4. Occupancy sensors are required for the following room types: Offices 250 square feet and smaller, multipurpose rooms less than 1,000 square feet, and classrooms and conference rooms of any size. Please add where appropriate. Section 131. CityofCarlsbad 11-1341 6/29/11 5. Please note in the general wiring notes on the plans "AC Cable is not allowed in A, B, E, H, F, M, S and I occupancies. NM cable is restricted (without City approval) to one and two family dwellings. Note on plans that an equipment ground conductor is to be installed in all flexible conduits". 6. When new rooms or spaces are constructed and the existing mechanical system is not to be altered other than relocation of existing duct work; please note or show mechanical ventilation will be provided capable of supplying the minimum rate of outside air required per minute per occupant as shown in Table 4-1 of the UMC. 7. Please indicate if the mechanical system will be altered. If so please provide complete plans. Please provide the required MECH forms to show energy compliance. The MECH forms shall be signed and imprinted to the plans. Note : When alterations, structural repairs or modifications or additions are made to an existing building, that building, or portion of the building affected, is required to comply with all of the requirements for new buildings, per Section 1134B.2. These requirements apply as follows: a) The area of specific alteration, repair or addition must comply as "new" construction. b) A primary entrance to the building and the primarv path of travel to the altered area, must be shown to comply with all accessibility features. c) Existing sanitary facilities that serve the remodeled area must be shown to comply with all accessibility features. 8. Show on the site plan the complying disabled accessible path of travel from the disabled accessible parking spaces to the primary entrance of the tenant space. Please provide detailed plans ofthe path of travel, indicate slope and width, any pedestrian ramps, curb ramps, walks, handrails, provide dimensioned parking stall details etc. 9. Show that the minimum strike edge distances are provided at the level area on the side to which a door swings at the new hallway door, per Section 1133B.2.4.3: a) >18" at interior conditions. 10. Show a level area, or landing at the new office door, per Section 1133B.2.4.2: a) >60" in the direction of door swing. To speed up the review 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. CityofCarlsbad 11-1341 6/29/11 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 indicate: Yes • No • The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Doug Moody at Esgil Corporation. Thank you. CityofCarlsbad 11-1341 6/29/11 [DO NOT PAY- THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: CityofCarlsbad PLANCHECKNO.: 11-1341 PREPARED BY: Doug Moody DATE: 6/29/11 BUILDING ADDRESS: 2042 Corte Del Nogal Suite C BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: VB BUILDING PORTION AREA ( Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) Tl 2560 37.12 95,027 Air Conditioning Fire Sprinklers TOTAL VALUE 95,027 Jurisdiction Code cb By Ordinance BIdg. Permit Fee by Ordinance Plan Check Fee by Ordinance Type of Review: D Repetitive Fee Repeats [3 Complete Review • Other Q Hourly EsGil Fee • Structural Only Mr. @ $627.73 $408.02 $351.53 Comnnents: Sheet 1 of 1 macvalue.doc + CITY OF CARLSBAD BUILDING PLANCHECK CHECKLIST QUICK-CHECK/APPROVAL Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carisbadca.gov ENGINEERING Plan Check for CB 11-1341 Date: June 28,2011 Project Address: 2042 Corte Del Nogal • Suite 0 (ABTECH) APN: 213-061-05-00 Project Description: 2,560 sf office to office tenant Improvements Valuation: 95,027.20 ENGINEERING Contact: Linda OntiverOS Phone: 760-602-2773 Email: linda.ontiveros@carlsbadca.gOV Fax: 760-602-1052 n RESIDENTIAL [Ti TENANT IMPROVEMENT • RESIDENTIAL ADDiTION MINOR (<$20,000.00) PLAZA CAMINO REAL CARLSBAD COMPANY STORES • COMPLETE OFFICE BUILDING IOTHER: OFFICIAL USE ONLY ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT BY: REMARKS: DATE: June 28,2011 E-36 Notification of Engineering APPROVAL has been sent to via on Page 1 of 1 REV 4/30/11 ^ CITY CARLSBAD O F STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov am applying the City of Carlsbad for the following type(s) of construction permit: • Right-of-Way Permit Njl^ Building Permit • My project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more ofthe following permit types: Electrical Fire Additional Fire Alarm Fixed Systems IVIechanical Mobile Home Plumbing Patio/Deck Photo Voltaic Re-Roofing Sign Spa-Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria'* No Thmat Assessment Criteria vQ My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) l)ecause it meets ttie "no ttireaf assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Constmction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria descritied below. Tierl • Low Threat Assessment Criteria • My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt pemiit type (See list atiove) and the project meets one or more ofthe following criteria: • Results in some soil disturbance; and/or • Includes outdoor constnjction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 - Moderate Threat Assessment Criteria • My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuantto the Carisbad Grading Ordinance (Chapter 15.16 ofthe Carlsbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance Including any associated constmction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more ofthe additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Constmction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Tier 3 - Significant Threat Assessment Criteria • My project includes clearing, grading or other disturijances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or • My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated constmction staging, equipment storage, refueling and maintenance areas: or, • My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water mnoff or non-stomn water discharge(s). / cert^ to the best of my knowleilge that the above checked statements are true anti correct I understand and acknowletlge that even though this project does not require preparation of a construction SWPP, I must still atShere to, anti at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 ofthe Carisbad Municipal Code and fo C/ty Standards. 'The City Engineer may authorize minor variances from the Stonn Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Constmction SWPPP Tier Level is warranted. Project Address: Assessor Parcel No. Owner/Owner's Authorized Agent Name: Title: Owner/Owner's Authorized /tgent Signature: Date: CttyCtncurrence: >dYES QNO It / Date: / p/2m cm-m\ ^ ' i B-24 Page 1 of 1 Rev.03/09 NV ^ CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Engineering Department 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov SECTION 1 NEW DEVELOPMENT PRIORITY PROJECT TYPE Does you project meet one or more of the following criteria: YES N 1. Housina subdivisions of 10 or more dwellina units. Examoles: sinale familv homes, multi-familv homes, condominium and apartments 2. Commercial - areater than 1-acre. Anv develooment other than heaw industrv or residential. Examoles: hosoitals: laboratories and other medical facilities; educational institutions; recreational facilities; municipal facilities; commercial nurseries; multi-apartment buildings; car wash facilities; minl-malls and other business complexes; shopping malls; fiotels; office buildings; public warehouses; automotive dealerships; airfields; and other light Industrial facilities. 3. Heaw Industrial 1 Industrv- areater than 1 acre. Examoles: manufacturina olants. food orocessino olants. metal working facilities, printing plants, and fleet storage areas (bus, truck, etc.). 4. Automotive reoair shoo. A facilitv cateaorized in anv one of Standard Industrial Classification (S\C) codes 5013. 5014, 5541. 7532-7534, and 7536-7539 5. Restaurants. Anv facilitv that sells oreoared foods and drinks for consumotion. inciudina stationarv lunch counters and refreshment stands selling prepared foods and drinks for immediate consumption (SIC code 5812), where the land area for development is greater than 5,000 square feet. Restaurants where land development is less than 5,000 square feet shall meet all SUSMP requirements except for structural treatment BMP and numeric sizing criteria requirements and hydromodification requirements. 6. Hillside develooment Anv develooment that creates 5.000 sauare feet of Imoervious surface and is located in an area with known erosive soil conditions, where the development will grade on any natural slope that is twenty-five percent (25%) or greater. 7. Environmentallv Sensitive Area (ESA)\ All develooment located within or directiv adiacent^ to or discharaina directly^ to an ESA (where discharges from the development or redevelopment will enter receiving waters within the ESA), which either creates 2,500 square feet of impervious surface on a proposed project site or increases the area of imperviousness of a proposed project site to 10% or more of its naturally occurring condition. 8. Parkina lot. Area of 5.000 sauare feet or more, or with 15 or more oarkina soaces. and ootentialiv exposed to urban runoff 9. Streets, roacfe. hiahwavs. and freewavs. Anv oaved surface that is 5.000 sauare feet or areater used for the transportation of automobiles, trucks, motorcycles, and other vehicles 10. Retail Gasoline Outlets. Servlna more than 100 vehicles oer dav and areater than 5.000 sauare feet 11. Coastal Develooment Zone. Anv oroiect located within 200 feet of the Pacific Ocean and (^) creates more than 2600 square feet of impermeable surface or (2) increases impermeable surface on property by more than 10%. 12. More than 1-acre of disturbance. Proiect results in the disturbance of more than 1-acre or more of land and is considered a Pollutant-generating Development Project^. 1 Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas designated as Areas of Special Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); areas designated as preserves or their equivalent under the l\^ultl Species Conservation Program within the Cities and County of San Diego; and any other equivalent environmentally sensitive areas which have been identifled by the Copermittees. 2 "Directly adjacent" means situated within 200 feet ofthe Environmentally Sensitive Area. 3 "Discharging directly to' means outflow from a drainage conveyance system that Is composed entirely of flows from the subject development or redevelopment site, and not commingled wKh flow from adjacent lands. 4 Pollutant-generating Development Projects are those projects that generate pollutants at levels greater than bacl<ground levels. In general, these include all projects that contribute to an exceedance to an impaired water body or which create new impervious surfaces greater than 5000 square feet and/or introduce new landscaping areas that require routine use of fertilizers and pesticides. In most cases linear pathway projects that are for infrequent vehicle use, such as emergency or maintenance access, or for pedestrian or bicycle use, are not considered Pollutant-generating Development Projects if they are built with pervious surfaces or If they sheet flow to surrounding pervious surfaces. Section 1 Results: .If you answered YES to ANY of the questions above your project is subject to Priority Development Project requirements. Please check the "meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3. A Stonn Water Management Plan, prepared in accordance with City Storm Water Standards, must be submitted at time of application. If you answered NO to ALL of tlie questions above, then your project is subject to Standard Stonnwater Requirements. Please ctieck the "does not meet PDP requirements" box in Section 3. E-34 Page 2 of 3 REV 3/23/10 ^ CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Engineering Department 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov SECTION 2 SIGNIFICANT REDEVELOPMENT Complete the questions below regarding your redevelopment project: YES N( 1. Project results in the disturbance of more than 1-acre or more of land and is considered a Pollutant-generating Development Project (see definition In Section 1). If you answered NO, please proceed to question 2. If you answered YES, then you ARE a significant redevelopment and you ARE subject to PRIORITY DEVELOPMENT PROJECT requirements. Please check the "meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3 below. 2. Is the project redeveloping an existing priority project type? (Priority projects are defined in Section 1) If you answered YES, please proceed to question 3. If you answered NO, then you ARE NOT a significant redevelopment and your project is subject to STANDARD STORMWATER REQUIREMENTS. Please check the "does not meet PDP requirements" box in Section 3 below. 3. Is the project solely limited to just one of the followinq: a. Trenching and resurfacing associated with utility work? b. Resurfacing and reconfiguring existing surface parking lots? c. New sidewalk construction, pedestrian ramps, or bike lane on public and/or private existing roads? d. Replacement of existing damaged pavement? If you answered NO to ALL of the questions, then proceed to question 4. If you answered YES to ANY of the questions then you ARE NOT a significant redevelopment and your project is subject to Standard Stormwater Requirements. Please check the "does not meet PDP requirements" tiox in Section 3 below. 4. Will your redevelopment project create, replace, or add at least 5,000 square feet of impervious surfaces on an existing development or, be located within 200 feet ofthe Pacific Ocean and (l)create more than 2500 square feet of impermeable surface or (2) increases impermeable surface on the property by more than 10%? If you answered YES, you ARE a significant redevelopment, and you ARE subject to PRIORITY DEVELOPMENT PROJECT requirements. Please check the "meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3 below. J If you answered NO, then you ARE NOT a significant redevelopment and your project is subject to STANDARD STORMWATER / REQUIREMENTS. Please check the "does not meet PDP requirements" box in Section 3 below. / SECTION 3 Questionnaire Results: My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must comply with additional stormwater criteria per the SUSMP and must prepare a Storm Water Management Plan for submittal at time of application. My project does not meet PDP requirements and must only comply with STANDARD STORMWATER REQUIREMENTS per the SUSMP. Applicant Infonnation and Signature Box This ^^^^^Use Only Address: Assessor's Parcel Number(s): Applicant Name: Applicant Title: Applicant Signature: Date: . , NO Project ID: E-34 Page 3 of 3 REV 3/23/10 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB 11-1341 PATE6/21/11 ADDRESS 2042 Corte Pei Nogal RESIDENTIAL ADDITION- MINOR (<17,000.00) RETAINING WALL POOUSPA COMPLETE OFFICE BUILDING VILLAGE FAIRE SOLAR PANELS OTHER PLANNER CJuii^ Apici'0r^ DATE (cr^-^l ENGINEER DATE H:\ADM1N\C0IINTEH/PIANNINC/ENCINEEWNC APPROVALS Carlsbad Fire Department SUILDING DEF Plan Review Requirements Category: TI, INDUST Date of Report: 07-29-2011 Reviewed by: Name: Address: MARK MCKINNEY 15500 NEW PARK TERRACE SAN DIEGO CA 92127 Permit #: CBl 11341 Job Name: ABTECH: 2560 SF OFF TO OFF TI Job Address: 2042 CORTE DEL NOGAL CBAD St: C y\/\/\/wvwv \/\/\/\/\/\/\/\/\/\/\/\/\/WV WM. yx/ww Conditions: Cond: CON0004792 [MET] ** CITY OF CARLSBAD FIRE DEPARTMENT - APPROVED: THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUANCE OF BUILDING PERMIT. THIS APPROVAL IS SUBJECT TO FIELD INSPECTION AND REQUIRED TEST, NOTATIONS HEREON, CONDITIONS IN CORRESPONDENCE AND CONFORMANCE WITH ALL APPLICABLE REGULATIONS. THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE THE VIOLATION OF ANY LAW. Entry: 07/29/2011 By: GR Action: AP RECOMIVIENDED FOR APPROVAL Page: 1 of 2 Daryl K. James & Associates, Inc. 205 Colina Terrace Vista, CA 92084 760-724-7001 kitfire@sbcglobal.net JURISDICTION: Carlsbad Fire Department Plan Rechecked By: Daryl Kit Jame$ Date: July 29, 2011 BLDG. DEPT COPY APPLICANT: Mark McKinney mckinneyarchitect(@hotmail.com PROJECTNAME: ABTECHTI PROJECT ADDRESS: 2042 Corte del Nogal, Suite C PROJECT DESCRIPTION: Commercial Tenant Improvement - walls, lighting, electrical This plan review has been conducted based on additionai information, provided on Fire Set II, In order to verify conformance to minimum requirements of codes adopted by the Carlsbad Fire Department. PLEASE DIRECT ANY QUESTIONS REGARDING THIS REVIEW TO DARYL K. JAMES kitfire@sbcglobal.net or 760-724-7001 CORRECTION(S): All comments address and acceptable SHEET 1 PROJECT DATA yScope of Project: Please be sure to specify all areas in which this work will occur, •building Type: Update to 2010 CBC Table 601 (V-B) •dccupancy: Denote all occupancy groups, including warehouse and manufacturing, in accordance with CBC Chapter 3. See Sheet 2 parking calculations. Suite C only. of Space: Do you mean proposed area within scope of work for this project? Yes •Square Footage: Provide the square footage for each occupancy group and the total square footage of Suite C. Applicable Codes: Revise using the following: «^10 APPLICABLE CODES ^010 California Building Code based on the 2009 International Building Code •2010 California Fire Code based on the 2009 International Fire Code •2010 California Electrical Code based on the 2008 National Electrical Code *^10 California Mechanical Code ...based on the 2009 Uniform Mechanical Code •^10 California Plumbing Code based on the 2009 Uniform Plumbing Code •^10 California Energy Code Applicable Standards •^10 NFPA 13 Deferred fire sprinkler design *^10 NFPA 72 Deferred fire alarm design V^eet Index Add the Following Sheets Egress Analysis Label each area (new & existing). Denote the area size in square feet, occupancy group, occupant load factor (area in sq. ft. per occupant) and number Of occupants as determined in CBC Table 1004.1.1 for each area. Denote paths of egress and travel distance from all new and existing areas. Indicate the number of occupants exiting through the doors. Determine the required width of egress in accordance with CBC1005.1. V Page 2 of 2 * Demolition Plan Specify all areas that will be demolished as per the scope of work for this project. Provide a note on Demolition Plan that all work will be conducted in accordance with 2010 CFC Chapter 14. Mechanical Plans, Stamped and Signed By a Mechanical Engineer Show the relocation of HVAC ducts. Indicate air-moving system supplying air in excess of 2,000 cfm and associated automatic shutoffs. Plans to include details of units with duct smoke detector and CSFM listing and details for fire proof penetrations including listing of materials used. Lighting Plans, Stamped and Signed by an Electrical Engineer Denote locations of, and wiring to exit and emergency lighting. Coordinate with Reflected Ceiling Plan Finishing Plan Provide a plan detailing finish materials in compliance with the requirements of 2010 CBC Chapter 8. General Notes: Revisenotes19, 21 &23. SHEETS 2.3.4.7 Coordinate/Match Floor Plans on Sheets 2, 3 4, & 7 •^heet 2 Provide a legend denoting hash marks. Are these areas new or existing. This site plan shows a 2,828 sf warehouse adjacent to a 1,600 sf existing office and computer room yet Sheets 3, 4 & 7 show existing parts assembly. Please revise. Sheet 3 »/6larify distinguish between all new and existing areas, -^abel all doors on floor plan. •demonstrate that all locking devices shall comply with CBC 2010, Sections 1008.1.9. v^)enote rated assemblies on a wall legend and refer to applicable detail on 5. Provide a door hardware schedule denoting all new and existing door hardware. •Specify the main exit door that is equipped with a sign stating: This door to remain open when building is occupied. •Dst the type of hardware on all other doors and notes or details as to how these doors are readily openable from the egress side without the use of a key, special knowledge or effort. —Denote the 2-hr rated door. Provide details showing compliance with the requirements of 2010 CBC 715.4 for rated door. ^bel all windows on floor plan. •Provide a window schedule. Denote the location(s) of all tempered glass. *<Jenote type and location of fire extinguishers in accordance with CFC 906. SHEET 4 3rn\/irlo g^gyfphnl f|;rj>morjpnn.y pf^th nf pg ^Coordinate with Lighting Plan to be designed stamped and signed by an Electrical Eiigineer. ^ .^^TtMdrrsymbot-rei^tTieiyfetKJy^^ Hool candle illliminatton ana SO-minTlfe baltery backup. nd dg^nptf? on rfifi^^tfif' p'^^n *^note that exit signs will be equipped with 90-minute battery backup. t^eview of the proposed and existing exit signs reveals a deficiency in the number of exit signs provided or apocod throughmut the existing biijlflino andproposedJenant-improvenaeftt-areaer 'Provide additional exit signs so that all egress travel routes are clearly marked by readily visible exit signs from all directions of travel. Exit signs shall be placed at all changes in direction in corridors and so that no point in a _corridor or^xit path is more than 100 feet from the nearest exit sign CFC 1011.1. Specify details for rated assemblies. Include listed design numbers in accordance with ICC evaluation reports or jplicable table(s).in CBC Chapter^ —. «s - ^—~-—. 7i3e oeiails for tne penetration of rated assemblies including listing for fire proofing material. ^) — — • —"^ ^ SHEET 7 Power plan to be replaced with sheet designed, stamped and signed by electrical engineer. Lighting plan to be designed, stamped and signed by electrical engineer. «!•> CITY OF CARLSBAD PLUMBING, ELECTRICAL, MECHANICAL WORKSHEET B-18 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov PermitNo.: C5|/~BH Project Address: Informatton provkled bek>w refen to work being done on the above mentioned permit only. This form must be compleled and returned to the Buildinq Division before lhe permit can be Issued. Building Dept. Fax: (760) 602-8558 Number of new or relocated fixtures, traps, or floor drains New building sewer line? Ves No Number of new roof drains? Install/alter water line? „ Number of new water heaters? Number of new, relocated or replaced gas outlets? Number of new hose bibs? Tenant Improvement/Remodels: Number of Panels (involved in this project) —2[— Amps per panel (InvolvedVi this project) Remodel only - (relocate/add outlets/switches) Ves V No New Construction: Number of new panels or subpanels? Amps per Panel: / Single Phase Number of new amperes-/ / Three Phase Number of new amperesylc^ Three Phase 480 Number of new amperet^^ Number of new furnaces, A/C, or heat pumps? P~~ New or relocated duct worb? Ves Y No Number of new fireplaces? ^ Number of new exhaust fans? / Relocate/Install vent? ^ Number of new exhaust hoods? Number of new boilers or compressors? Number of HP y/ B-18 Page 1 of 1 Rev. 03/09 SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY UPFP# HV# BP DATE I Business Name , ^ n ^ Business Contact Teleptione # ( ) Project Address City state CA Zip Code APN# Mailing Address City state Zip Code Plan File* Project Contact \ Telephone # The follcwing questions represent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT - HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: Indicate by circling ttie item, wtiether your business applicant must contact the Fire Protection Agency with Occupancy Rating: 13. Con'osives 14. Other Health Hazards 15. NoneofThese. will use, process, or store any of the following hazardous materials. If any of the items are circled jurisdiction prior to plan submittal. Facility's Square Footage (including proposed project): 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 2. Compressed Gases 6. Oxidizers 10. Cryogenics 3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 4. Flammable Solids 8. Unstable Reactives 12. Radioactives PART II: SAN DIEGO COUNTY DEPARTMENT OF ENViRONMENTAL HEALTH - HAZARDOUS MATERIALS DIVISIONS (HMDl: If the answer to anv of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overiand Ave., Suite 110, San Diego, CA 92123. Call (858) 505-6700 prior to the issuance of a building permit. FEES ARE REQUIRED. Project Completion Date: '^/ T-Ol W Expected Date of Occupancy: Or 2-«^/ V( Date Initials • CalARP Required I Date Initials YES NO^ (for new construction or remodeling projects) 1. • 0^ Is your business listed on the reverse side of this form? (check all that apply). 2. • 0^ Will your business dispose of Hazardous Substances or Medical Waste in any amount? 3. • Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds 200 cubic feet, or carcinogens/reproductive toxins in any quantity? 4. • Will your business use an existing or install an underground storage tank? 5. • Will your business store or handle Regulated Substances (CalARP)? 6. • 0^ Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? 7. • (P^Will your business store petroleum in tanks or containers at your facility with a total storage capacity equal to or greater than 1,320 gallons? (Califomia's Aboveground Petroleum Storage Act). PART III: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT: If the answer to any of the questions below is yes, applicant must contact the Air Pollution Control District (APCD), 10124 Old Grove Road, San Diego, CA 92131-1649, telephone (858) 586-2600 prior to fhe issuance of a building or demolition permit. Note: if the answer to questions 4 or 5 is yes, applicant must also submit an asbestos notification form to the APCD at least 10 working days prior to commencing demolition or renovation, except demolition or renovation of residential structures of four units or less. Contact the APCD for more information. • CalARP Exempt L • CalARP Complete 1 Date Initials YES n • • • Will the subject facility or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the APCD factsheet at httD://vyww.sdaDcd.ora/info/facts/permits.pdf. and the list of typical equipment requiring an APCD permit on the reverse side of this from. Contact APCD if you have any questions). • (ANSWER ONLY IF QUESTION 1 IS YES) Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)? (Search the Califomia School Directory at httD://www.cde.ca.aov/re/sd/ for public and private schools or contact the appropriate school district). Has a survey been performed to determine the presence of Asbestos Containing Materials? 10'^^^ill there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos? Will there be demolition involving the removal of a load supporting structural member? Briefly describe business activities: Briefly describe proposed project: I declare under penalty of perjury that to the best of my knowledge and belief the responses made herein are trg^ and correct. I declare under penalty of perjury that to the t Name of Owner or Authorized Agent / Signature of Owner or Authorized Agent Date FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:. BY: FOR OFFICIAL USE ONLY: DATE: EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HI\^D* APCD COUNTY-HIVID APCD COUNTY-HMD APCD A stamp in this box onlv exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply. HM-9171 (02/11) County of San Diego - DEH - Hazardous Materials Division INDUSTRIAL WASTEWATER DISCHARGE PERMiT SCREENING SURVEY Date u -^t- v\ Business Name Street Address To'M- c-eQ-^ K\OQ.A>(_> g Q tTNL ^ Email Address PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) Check all below that are present at your facility: Acid Cleaning Ink Manufacturing Nutritional Supplement/ Assembly Laboratory Vitamin Manufacturing Automotive Repair Machining / Milling Painting / Finishing Battery Manufacturing Manufacturing Paint Manufacturing Biofuel Manufacturing Membrane Manufacturing Pereonal Care Products Biotech Laboratory (i.e. water fliter membranes) Manufacturing Bulk Chemical Storage Metal Casting / Fomiing Pesticide Manufacturing / Car Wash Metal Fabrication Packaging Chemical Manufacturing Metal Finishing Phannaceutical Manufacturing Chemical Purification Electroplating (including precursors) Dry Cleaning Electroless plating Porcelain Enameling Electrical (Component Anodizing Power Generation Manufacturing Coating (i.e. phosphating) Print Shop Fertilizer Manufacturing Chemical Etching / Milling Research and Development Film/X-ray Processing Printed Circuit Board Rubber Manufacturing Food Processing Manufacturing Semiconductor Manufacturing Glass Manufacturing Metal Powders Forming Soap / Detergent Manufacturing Industrial Laundry Waste Treatment / Storage SIC Code(s) (if known):. Brief description of business activities (Production / Manufacturing Operations):. Description of operations generating wastewater (discharged to sewer, hauled or evaporated): Estimated volume of industrial wastewater to be discharged (gal / day): List hazardous wastes generated (type/volume): Date operation began/or will begin at this location: Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes No If yes, when: Site Contact ]>^.vJt£: ftafV/gS Title O ^Av^r- Coo • Siqnature ^^W)^ ^^-^A/—^ ENCINA WASTEWATER AUTHORITY. Phone No. ^cgo. ^ > e V ^ 6200 Avenida Encinas Carlsbad, GA 92011 (760)438-3941 FAX: (760)476-9852 1) 3i > a ^ a M> cn Xk at ^ is o ©I I > 3 5 il • 3