HomeMy WebLinkAbout2061 Escenico Ter; ; CBR2017-0629; PermitCity of Carlsbad
•1635 Faraday Av Carlsbad, CA 92008
Print Date: 05/08/2017 Residential Permit Permit No: CBR2017-0629
www.carlsbadca.gov
Job Address:2061 Escenico Ter
Permit Type:BLDG-Residential Work Class:P/M/E Status:Closed -Finaled
Parcel No:2164821300 Lot #:Applied:03/30/2017
Valuation:$0.00 Reference #:Issued:03/30/2017
Occupancy Group:Construction Type:Finaled:
# Dwelling Units:Bathrooms:Inspector:
Bedrooms:Orig. Plan Check #:
Plan Check #:
Project Title:
Description:MEINARDUS: NEW A/C WITH ELECTRICAL, REPLACE FURNACE
Owner:Contractor:
EDWARD A MEINARDUS BILL HOWE PLUMBING HEATING AND AIR
2061 Escencico Ter COND INC
CARLSBAD, CA 92009
9085 Aero Dr,B
San Diego, CA 92123-2377
619-245-5469
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $166.00
Total Fees:$166.00 Total Payments To Date:$166.00 Balance Due:$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction."You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project.NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:EPLANNING EDENGINEERING D BUILDING EIFIRE D HEALTH DHAZMATIAPCD
et I
•Building Permit Application Plan Check No.Oe(i 2 i-)1 -
1-O(4 2't
C.ity of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Ph: 760-602-2719 Fax: 760-602-8558Carlsbad.email: building@carlsbadca.gov Plan Ck. Deposit
www.carlsbadca.gov Date 3 -3D--
1 1-
JOB ADDRESS SUITE#/SPACE#/UNIT#APN2_04.1 E5c.e. c0 ---vg:ce....c..e.---
CT/PROJECT #LOT #PHASE ##OF UNITS #BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK:Include Square Feet of Affected Area(s)
c-v•/A/c 3 -t—r•.rwieie...6.r;cok\C..:'(-utrr -
ex(FA.r.tutc-e.Li 51:".t\.)
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES Dit.Nop YES 0 NO 0 YES EN0E]
APPLICANT NAME
IA.i _PROPERTY OWNER NAME 6..
Primary Contact i -(...V\--iilivitlar`citAickf ••Me c.r.a.e-
sat.
ADDRESS...50_2_5 1......gala.vc-
.'Iv 213 ADDRESS sot.i 6 5c.r..c 0
CITY MATE ZIP /..1 .....6 2._CITY STATEWg•'5A'Ck. k -CZ-ck 1 (Cart s et3 Cic.
ZIP ei (ICJ(
PHONE
—
PHON FAXFAX-1)00-4?6 --qg 30
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME /--..,
16 f i 41 CsWe
ADDRESS ADDRESS
ater0 Of .*13
CITY STATE ZIP CI STATE ZIP.)4.1 pi.elo CI q„...(7_3
PHONE FAX PHONE FAX&(9-216.43teg
EMAIL EMAIL
STATE LIC. #STATE LIC.#'7°9 CLASS CITY BUS. LIC.#
60(A9 C20 (2-3 t oet(0
(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 theapplicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500)).
WORKERS'COMPENSA -T kg N i...
L:4.1
Workers' Compensation Declaration:I hereby affirm under penaltyof perjury one of the following declarations:
ave and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
I have and will maintain workers' compensation, as required y Sectivi_3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
i)41
number are: Insurance Co.TVV5 .Co 0 LAP-il1-tue 4s+Policy No.t5 P 5.03 L.1L.1 0 Expiration Date I Ofsu
1 111
This section need not be completed if the permit is for one hundred dollars ($100) or less.
ElCertificate of Exemption:I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California.WARNING: Failure to secure workers' co 1 pens.'•coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars M100,000), in
addition to the cost of compensation, dam.±:...vi.i .in Se ion 3706 of the Labor code, interest and attorney's fees.
.R5 CONTRACTOR SIGNATURE ,41 i.e-/AGENT DATE
....w.rizf:rOWNER-BUILDEIEUCLARATION 1"'-''1
I hereby affirm that tam exempt from Contractor's License Law for the following reason:EI,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).EI,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).
1=1
I am exempt under Section Business and Professions Code for this mason:
1.I personally plan to provide the major labor and materials for construction of the proposed property improvement.IDYes E1No
2.1 (have / have not) signed an application for a building permit for the proposed work.
3.I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number):
4.I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number):
5.I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone / type of work):
.PROPERTY OWNER SIGNATURE EAGENT DATE
COMPLETE THIS SVCTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act?Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?Yes No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?Yes No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
.wyATRUCTIONLENDINGAGENCY
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lenders Address
AiArIACANT CERTIFICATION
Icertify thatIhave read the application and state that the above information is correct and that the information on the plans is accurate.I agree to comply with all City ordinances and State laws relating to building construction.
Ihereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAYIN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permitis not commenced within
180 days from the date of such permit or if the building or <autl ri by su r permit issuspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
2SAPPLICANT'S SIGNATURE DATE
7"."")TOP .
STOP:THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#:(Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP:CONTACT (Listed above)OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB#MAIL TO:CONTACT (Listed above)OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)NO CHANGE IN USE/NO CONSTRUCTION
MAIL/FAX TO OTHER:
CHANGE OF USE /NO CONSTRUCTION
AKAPPLICANT'S SIGNATURE DATE
SAN DIEGO REGIONAL OFFICE USE ONLY
°RECORD ID #4k.(9 HAZARDOUS MATERIALS PLAN CHECK #
QUESTIONNAIRE BP DATE
Business Name Business Contact Telephone #
Project Address City State Zip Code APN#
Mailing Address City State Zip Code Plan File#
Project Contact Applicant E-mail Telephone #
The following questions represent the facility's activities, NOT the specific project description.
PART I:FIRE DEPARTMENT -HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: (not required for projects within the City of San
Diego): Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials.If any of the items are circled,
applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal.
Occupancy Rating:Facility's Square Footage (including proposed project):
1.Explosive or Blasting Agents 5.Organic Peroxides 9.Water Reactives 13.Corrosives
2.Compressed Gases 6.Oxidizers 10.Cryogenics 14.Other Health Hazards
3.Flammable/Combustible Liquids 7.Pyrophorics 11.Highly Toxic or Toxic Materials 15.None of These.
4.Flammable Solids 8.Unstable Reactives 12.Radioactives
PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION (HMD):If the answer to any of the
questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 110, San Diego, CA 92123.
Call (858) 505-6700 prior to the issuance of a building permit.
FEES ARE REQUIRED Project Completion Date:Expected Date of Occupancy:0 CaIARP Exempt
YES NO (for new construction or remodeling projects)
1.0 0 Is your business listed on the reverse side of this form? (check all that apply).Date Initials
2.0 0 Will your business dispose of Hazardous Substances or Medical Waste in any amount?
3.0 0 Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 0 CaIARP Required
pounds and/or 200 cubic feet?
4.0 0 Will your business store or handle carcinogens/reproductive toxins in any quantity?Date Initials
5.0 0 Will your business use an existing or install an underground storage tank?
6.Will your business store or handle Regulated Substances (CaIARP)?0 CalARP Complete
7.0 0 Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)?
8.0 0 Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to Date Initials
or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act).
PART III: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD): Any YES" answer requires a stamp from APCD 10124 Old Grove Road, San
Diego, CA 92131 apcdcompasdcounty.ca.00v (858) 586-2650).[*No stamp required if Q1 Yes and Q3 Yes and Q4-Q6 No].The following questions are intended
to identify the majority of air pollution issues at the planning stage. Projects may require additional measures not identified by these questions. For comprehensive
requirements contact APCD.Residences are typically exempt, except -those with more than one building+ on the property; single buildings with more than four
dwelling units; townhomes; condos; mixed-commercial use; deliberate burns; residences forming part of a larger project.['Excludes garages & small outbuildings.]
YES NO
1.0 0 Will the project disturb 160 square feet or more of existing building materials?
2.0 0 Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition.
3.0 0 (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance
Technician?
4.0 0 (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification
may be required 10 working days prior to commencing asbestos removal.
5.0 0 Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet
(www.sdaocd.oro/info/facts/permits.odf) for typical equipment requiring an APCD permit.
6.0 0 (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school
boundary
Briefly describe 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 true and correct.
Name of Owner or Authorized Agent Signature of Owner or Authorized Agent Date
FOR OFFICAL USE ONLY:FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:
BY:DATE:
EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY-HMD*APCD COUNTY-HMD APCD COUNTY-HMD APCD
*A stamp in this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply.
URA (\474 MOM a\r`nnnh. of Can ripu -Iam>nrrinnc hAnt.riolc
LIST,OF BUSINESSES WHICH REQUIRE REVIEW AND APPROVAL FROM THE COUNTY OF SAN DIEGO
DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION
Check all that apply:
AUTOMOTIVE CHEMICAL HANDLING OTHERS AND MISCELLANEOUS
Battery Manufacturing/Recycling 0 Photographic Processing 0 Asphalt Plant
0 Boat Yard 0 Pool Supplies/Maintenance 0 Biotechnology/Research0Car Wash 0 Printing/Blue Printing 0 Chiropractic Office
0 Dealership Maintenance/Painting 0 Road Coatings 0 Co-Generation Plant0Machine Shop 0 Swimming Pool 0 Dental Clinic/Office0Painting0Toxic Gas Handler 0 Dialysis Center
1:1 Radiator Shop 0 Toxic Gas Manufacturer 0 Emergency Generator0Rental Yard Equipment 0 Frozen Food Processing Facility
0 Repair/Preventive Maintenance METAL WORKING 0 Hazardous Waste Hauler0Spray Booth 0 Anodizing 0 Hospital/Convalescent Home0Transportation Services 0 Chemical Milling/Etching 0 Laboratory/Biological Lab0Wrecking/Recycling 0 Finish-Coating/Painting 0 Medical Clinic/Office
0 Flame Spraying 0 Nitrous Oxide (NO.) Control System
CHEMICAL HANDLING 0 Foundry 0 Pharmaceuticals
0 Agricultural supplier/distributor 0 Machine Shop-Drilling/Lathes/Mills 0 Public Utility
0 Chemical Manufacturer 0 Metal Plating 0 Refrigeration System
0 Chemical Supplier/Distributor 0 Metal Prepping/Chemical Coating 0 Rock Quarry
0 Coatings/Adhesive 0 Precious Metal Recovery 0 Ship Repair/Construction
0 Compressed Gas Supplier/Distributor 0 Sand Blasting/Grinding 0 Telecommunications Cell Site
O Dry Cleaning 0 Steel Fabricator 0 Veterinary Clinic/Hospital
O Fiberglass/Resin Application 0 Wrought Iron Manufacturing 0 Wood/Furniture Manufacturing/Refinishing
0 Gas Station
O Industrial Laundry AEROSPACE ELECTRONICS0Laboratory0Aerospace Industry 0 Electronic Assembly/Sub-Assembly0Laboratory Supplier/Distributor 0 Aircraft Maintenance 0 Electronic Components Manufacturing0Oil and Fuel Bulk Supply 0 Aircraft Manufacturing 0 Printed Circuit Board Manufacturing0Pesticide Operator/Distributor
NOTE: THE ABOVE LIST INCLUDES BUSINESSES, WHICH TYPICALLY USE, STORE, HANDLE, AND DISPOSE OF HAZARDOUS SUBSTANCES.
ANY BUSINESS NOT INCLUDED ON THIS LIST, WHICH HANDLES, USES OR DISPOSES OF HAZARDOUS SUBSTANCES MAY STILL REQUIRE
HAZARDOUS MATERIALS DIVISION (HMD) REVIEW OF BUSINESS PLANS. FOR MORE INFORMATION CALL (858) 505-6880.
LIST OF AIR POLLUTION CONTROL DISTRICT PERMIT CATEGORIES
Businesses, which include any of the following operations or equipment, will require clearance from the Air Pollution Control District.
CHEMICAL COMBUSTION ROCK AND MINERAL
47 —Organic Gas Sterilizers 34 —Piston Internal —Combustion Engines 04 —Hot Asphalt Batch Plants
32 —Acid Chemical Milling 13 —Boilers & Heaters (1 million BTU/hr or larger)05 —Rock Drills
33 —Can & Coil Manufacturing 14 —Incinerators & Crematories 06 —Screening Operations
44 —Evaporators, Dryers & Stills Processing 15 —Burn Out Ovens 07 —Sand Rock & Aggregate Plants
Organic Materials 16 —Core Ovens 08 —Concrete Batch, CTB, Concrete Mixers, Mixers
24 —Dry Chemical Mixing & Detergent Spray 20 —Gas Turbines, and Turbine Test Cells & Stands & Silos
Towers 48 —Landfill and/or Digester Gas Flares 10 —Brick Manufacturing
35 —Bulk Dry Chemicals Storage
55 —Chrome Electroplating Tanks ELECTRONICS OTHER
29 —Automated Soldering 01 —Abrasive Blasting Equipment
COATINGS & ORGANIC SOLVENTS 42 —Electronic Component Mfg 03 —Asphalt Roofing Kettles & Tankers
27 —Coating & Painting 46 —Reverse Osmosis Membrane Mfg
37 —Plasma Arc & Ceramic Deposition Spray FOOD 51 —Aqueous Waste Neutralization
Booths 12 —Fish Canneries 11 —Tire Buffers
38 —Paint, Stain & Ink Mfg 12 —Smoke Houses 17 —Brake Debonders
27 —Printing 50 —Coffee Roasters 23 —Bulk Grain & Dry Chemical Transfer & Storage
27 —Polyester Resin/Fiberglass Operations 35 —Bulk Flour & Powered Sugar Storage 45 —Rubber Mixers
21 —Waste Disposal & Reclamation Units
METALS SOLVENT USE 36 —Grinding Booths & Rooms
18 —Metal Melting Devices 28 —Vapor & Cold Degreasing 40 —Asphalt Pavement Heaters
19 —Oil Quenching & Salt Baths 30 —Solvent & Extract Driers 43 —Ceramic Slip Casting
32 —Hot Dip Galvanizing 31 —Dry Cleaning 41 —Perlite Processing
39 —Precious Metals Refining 40 —Cooling Towers —Registration Only
91 —Fumigation Operations
ORGANIC COMPOUND MARKETING 56 —INWTP (1 million gal/day or larger) & Pump
(GASOLINE, ETC)Station
25 —Gasoline & Alcohol Bulk Plants & Terminals
25 —Intermediate Refuelers
26 —Gasoline & Alcohol Fuel Dispensing
NOTE: OTHER EQUIPMENT NOT LISTED HERE THAT IS CAPABLE OF EMITTING AIR CONTAMINANTS MAY REQUIRE AN AIR POLLUTION
CONTROL DISTRICT PERMIT. IF THERE ARE ANY QUESTIONS, CONTACT THE AIR POLLUTION CONTROL DISTRICT AT (858) 586-2600.
1-1RA_Cil 71 fn /1 q1 rritintv of Ran Mann npH _ Ha.arrinii RAntorialc rlivicinn
.)
INDUSTRIAL WASTEWATER DISCHARGE PERMIT WMTEWAIETYRAUTHORI
SCREENING SURVEY
Date
Business Name
Street Address
Email Address
PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT:(ON REVERSE SIDE CHECK TYPE OF BUSINESS)
Check all below that are present at your facility:
Acid Cleaning Ink Manufacturing Nutritional Supplement/
Assembly Laboratory Vitamin Manufacturing
Automotive Repair Machining / Milling Painting / Finishing
Battery Manufacturing Manufacturing Paint Manufacturing
Biofuel Manufacturing Membrane Manufacturing Personal Care Products
Biotech Laboratory (i.e. water filter membranes)Manufacturing
Bulk Chemical Storage Metal Casting / Forming Pesticide Manufacturing /
Car Wash Metal Fabrication Packaging
Chemical Manufacturing Metal Finishing Pharmaceutical Manufacturing
Chemical Purification Electroplating (including precursors)
Dry Cleaning Electroless plating Porcelain Enameling
Electrical Component Anodizing Power Generation
Manufacturing Coating (i.e. phosphating)Print Shop
Fertilizer Manufacturing Chemical Etching / Milling Research and Development
Film /X-ray Processing Printed Circuit Board Rubber Manufacturing
Food Processing Manufacturing Semiconductor Manufacturing
Glass Manufacturing Metal Powders Forming Soap / Detergent Manufacturing
Industrial Laundry Waste Treatment/ Storage
SIC Code(s) (if known):
Brief description of business activities (Production / Manufacturing Operations):
Description of operations generating wastewater (discharged to sewer,hauled or evaporated):
Estimated volume of industrial wastewater to be discharged (gal I day):
List hazardous wastes generated (type /volume):
Date operation began/or will begin at this location:
Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority?
Yes No If yes, when:
Site Contact Title
Signature Phone No.
ENCINA WASTEWATER AUTHORITY,6200 Avenida Encinas Carlsbad, CA 92011 (760) 438-3941
FAX:(760) 476-9852
DISCHARGE PERMIT EXEMPT LIST
The commercial enterprises listed below are a partial listing of businesses that are exempt
from industrial wastewater discharge permitting under normal operating conditions. They
are exempt because (a) they discharge no process wastewater (i.e., they only discharge
sanitary wastewater with no pollutants exceeding any local limits),and (b) they have no
potential to negatively impact the EWPCF or other wastewater treatment plants in the
ESS.Any questions regarding exemptions should be referred to EWA Source Control
staff.
Automobile Detailers
Barber/Beauty Shops
Business/Sales Offices
Carpet/Upholstery Cleaning Services
Childcare Facilities
Churches
Community Centers
Consulting Services
Contractors
Counseling Services
Educational Services (no auto repair/film developing)
Financial Institutions/Services
Fitness Centers
Gas Stations (no car wash/auto repair)
Grocery Stores (no film developing)
Home-based Businesses
Hotels/Motels (no laundry)
Laundromats
Libraries
Medical Offices (no x-ray developing)
Mortuaries
Museums
Nail Salons
Nursing Homes
Office Buildings (no process flow)
Optical Services
Pest Control Services (no pesticide repackaging for sale)
Pet Boarding/Grooming Facilities
Postal Services
Public Storage Facilities
Restaurants/Bars
Retail/Wholesale Stores (no auto repair/film developing)
Theaters (Movie/Live)
PERMIT INSPECTION HISTORY REPORT (CBR2017-0629)
Permit Type:BLDG-Residential Application Date:03/30/2017 Owner:EDWARD MEINARDUS
Work Class:P/M/E Issue Date:03/30/2017 Subdivision:CARLSBAD TCT#75-07
Status.Issued -Active Expiration Date:11/06/2017 Address:2061 Escenico Ter
Carlsbad, CA 92009
IVR Number:2825
Scheduled Actual
Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete
05/08/2017 BLDG-Final 022783-2017 Passed Jonathan West Complete
Inspection
Checklist item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Mechanical Final Yes
05/08/2017 05/08/2017 BLDG-34 Rough 022592-2017 Passed Jonathan West Complete
Electrical
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-43 Air 022591-2017 Passed Jonathan West Complete
Cond./Furnace Set
May 09, 2017 Page 1 of 1
i .•
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 1 of 7)
Project Name:EDWARD MEINARDUS Enforcement Agency:Carlsbad (City of)Permit Number:Cbr17-0629
Dwelling Address:2061 ESCENICO TERRACE City:CARLSBAD Zip Code:92009
A. General Information
01 Dwelling Unit Name 1983 02 Climate Zone 7
Dwelling Unit Total Conditioned Floor Number of Space Conditioning03198304 1Area (ft2)Systems in this Dwelling Unit.
05 Certificate of Compliance Type Prescriptive alterations (CF1R-ALT )06 Method Used to Calculate HVAC Loads NotApplicableEquipmentChangeout
Calculated Dwelling Unit Sensible Calculated Dwelling Unit Heating Load07This field or section is not applicable 08 This field or section is not applicableCooling Load (Btu/h)(Btu/h)
09 Dwelling Unit Number of Bedrooms 3
MCH-Olb -Space Conditioning Systems Ducts and Fans -Prescriptive Alterations
••
B. Space Conditioning (SC)System Information
01 02 03 04 05 06 07 08 09 10
CFA served Is the SC Installing a Installing
SC System SC System by this SC system a refrigerant Installing new SC Installing more entirely Installing
Identification or Location or Area System ducted containing system than 40 feet of new duct entirely new
Name Served (ft2)system?component?components?ducts?system?SC system?Alteration Type
Altered space
SYSTEM 1 WHOLE HOUSE 1983 Yes Yes Yes No No No conditioning
system
•
Registration Number: 417-A020087604A-003-000-M01000A-0000 Registration Date/Time: 2017-04-26 16:28:09 HERS Provider:CHEERS
CA Building Energy Efficiency Standards -2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-26 16:28:10
Schema Version: rev 10/16
1
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 2 of 7)
C.Space Conditioning (SC)System Alterations Compliance Information
01 02 03 04 05 06 07 08 09 10 11 12 13
Central Fan
Integrated
Heating Cooling New or (CFI)
SC Altered Heating Minimum Altered Cooling Minimum Required Replaced New Ventilation
Identification Heating Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Duct Duct System
or Name System Type Component Type Value System Type Component Type Value Type Length R-Value Status
This
field
All new orAll new N/A -noCentral gas heating Central sectio Not a CFISYSTEM 1 AFUE 80 cooling SEER 14 Setback ductsfurnacecomponensplitAC n is systemcomponentsreplacedisnot
applic
able
D.Installed Heating Equipment Information
01 02 03 04 05 06 07
Heating Efficiency Heating Unit Heating Unit Heating Unit Serial Rated Heating Capacity,
SC Identification or Name Heating Efficiency Type Value Manufacturer Model Number Number Output (Btu/h)
SYSTEM 1 AFUE 80 LENNOX EL180UH02 5917618408 36045E36A
Notes:
Registration Number: 417-A020087604A-003-000-M01000A-0000 Registration Date/Time: 2017-04-26 16:28:09 HERS Provider:CHEERS
CA Building Energy Efficiency Standards -2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-26 16:28:10
Schema Version: rev 10/16
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 3 of 7)
E.Installed Cooling Equipment Information
01 02 I 03 04 05 06 07 08
Condenser or Package Unit
Condenser or Condenser or Condenser or System Rated Cooling Condenser Rated
SC Identification or Cooling Efficiency Cooling Efficiency Package Unit Package Unit Package Unit Capacity at Design Nominal Capacity
Name Type Value Manufacturer Model Number Serial Number Conditions (Btu/h)(ton)
SYSTEM 1 SEER 16 LENNOX EL16XC1036-
5817A12649 36000 323803
Notes:
F.Extension of Existing Duct System, Greater Than 40 Feet
This section does not apply to this project.
G.Installed Duct System Information
This section does not apply to this project.
H.Installed Air Filter Device Information
This section does not apply to this project.
I.Air Filter Device Requirements
This section does not apply to this project.
Registration Number: 417-A020087604A-003-000-M01000A-0000 Registration Date/Time: 2017-04-26 16:28:09 HERS Provider:CHEERS
CA Building Energy Efficiency Standards -2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-26 16:28:10
Schema Version: rev 10/16
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CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 4 of 7)
J.HERS Verification Requirements
01 02 03 04 05 06 07 08 09 10
Exemption
fromMCH-20 MCH-23MinimumMCH-22 MCH-25
Exemption R-Value for MCH-21 AHU MCH-28
SC System SC System From Duct Duct Ducts In AHU Fan Airflow
Identification or Location or Area Leakage Leakage Conditioned Duct Location Efficacy Rate Refrigerant Return Duct Design
Name Served Requirements Test Space Verification (W/cfm)(cfm/ton)Charge -Table 150.0-B or C
This field or
SYSTEM 1 WHOLE HOUSE NO Yes section is No No No No Noexemptionsnot
applicable
Notes:
Registration Number: 417-A020087604A-003-000-M01000A-0000 Registration Date/Time: 2017-04-26 16:28:09 HERS Provider:CHEERS
CA Building Energy Efficiency Standards -2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-26 16:28:10
Schema Version: rev 10/16
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 5 of 7)
K. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures
Note: Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the
system that are altered. Existing equipment may be exempt from these requirements.
Heating Equipment
01 Equipment Efficiency: All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency
Regulations.
02 Controls: All unitary heating systems, including heat pumps, must be controlled by a setback thermostat. These thermostats must be capable of allowing the occupant
to program the temperature set points for at least four different periods in 24 hours.See Sections 150.0(i), 110.2(b).
03 Sizing: Heating load calculations must be done on portions of the building served by new heating systems to prevent inadvertent undersizing or oversizing.See sections
150.0(h)1 and 2).
04 Furnace Temperature Rise: Central forced-air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum
inlet-to-outlet temperature rise specification.See Section 150.0(h)4.
05 Standby Losses and Pilot Lights:Fan-type central furnaces may not have a continuously burning pilot light. Section 110.5 and Section 110.2(d).
Cooling Equipment
06 Equipment Efficiency: All cooling equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency
Regulations.
07 Refrigerant Line Insulation: All refrigerant line insulation in split system air conditioners and heat pumps must meet the R-value and protection requirements of Section
150.0(j)2 and 3, and Section 150.0(m)9.
08 Condensing Unit Location: Condensing units shall not be placed within five (5)feet of a dryer vent outlet.See Section 150.0(h)3A.
09 Liquid Line Filter Drier: If applicable,a liquid line filter drier shall be installed according to the manufacturer's specifications. Section 150.0(h)3B
10 Sizing: Cooling load calculations must be done on portions of the building served by new cooling systems to prevent inadvertent undersizing or oversizing.See Section
150.0(h)1 and 2.
Air Distribution System Ducts, Plenums and Fans
Registration Number: 417-A020087604A-003-000-M01000A-0000 Registration Date/Time: 2017-04-26 16:28:09 HERS Provider:CHEERS
CA Building Energy Efficiency Standards -2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-26 16:28:10
Schema Version: rev 10/16
•
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 6 of 7)
K. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures
Note: Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the
system that are altered. Existing equipment may be exempt from these requirements.
11 Insulation:In all cases, unless ducts are enclosed entirely in directly conditioned space, the minimum duct insulation value is R-6. Note that higher values may be
required by the prescriptive or performance requirements.See Section 150.0(m)1.
Connections and Closures: All installed air-distribution system ducts and plenums must be, sealed and insulated to meet the requirements of CMC Sections 601.0,
12 602.0, 603.0, 604.0, 605.0 and ANSI/SMACNA-006-2006: Supply-air and return-air ducts and plenums must be insulated to a minimum installed level of R-6.0 or
enclosed entirely in directly conditioned space as confirmed through field verification and diagnostic testing in accordance with the requirements of Reference
Residential Appendix RA3.1.4.3.8.
Heat Pump Thermostat
13 A thermostat shall be installed that meets the requirements of Section 110.2(b) and Section 110.2(c).
14 The thermostat shall be installed in accordance with the manufacturers published installation specifications
15 First stage of heating shall be assigned to heat pump heating.
16 Second stage back up heating shall be set to come on only when the indoor set temperature cannot be met.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number: 417-A020087604A-003-000-M01000A-0000 Registration Date/Time: 2017-04-26 16:28:09 HERS Provider:CHEERS
CA Building Energy Efficiency Standards -2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-26 16:28:10
Schema Version: rev 10/16
•
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 7 of 7)
Documentation Author's Declaration Statement
1.I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:Documentation Author Signature:
Sirena Diaz S 1.a1(
Company:Signature Date:
Bill Howe Heating & Air Conditioning, Inc.2017-04-26
Address:CEA/HERS Certification Identification (if applicable):
9085 Aero Drive #B
City/State/Zip:Phone:
San Diego CA 92123 800-245-5469
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1.The information provided on this Certificate of Installation is true and correct.
2.I am either:a)a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of
features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement, or b)I am an authorized
representative of the responsible person and attest to the declarations in this statement on the responsible person's behalf.
3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the
installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency.
4.I will ensure that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all
applicable inspections.I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:Responsible Builder/Installer Signature:
Sirena Diaz Sixon.cvD Calf
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)Position With Company (Title):
Bill Howe Heating & Air Conditioning,Inc.Contractor/Installer
Address:CSLB License:
9085 Aero Drive #B 906704
City/State/Zip:Phone:Date Signed:
San Diego CA 92123 800-245-5469 2017-04-26
Digitally signed by CHEERS'''.This digital signature is provided in order to secure the content of this registereddocument, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 417-A020087604A-003-000-M01000A-0000 Registration Date/Time: 2017-04-26 16:28:09 HERS Provider:CHEERS
CA Building Energy Efficiency Standards -2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-26 16:28:10
Schema Version: rev 10/16