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HomeMy WebLinkAbout2236 RUTHERFORD RD; 107; CB890020; PermitL Ill z 0 j:: 4( CIC :5 (.) w 0 ~[ ~ ... z 8 CIC w 0 ... 5 J w z ~ z 0 j:: ~ z w A. ~ 0 (.) Ill a: w ><: CIC 0 3 !l O I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. I hereby affirm that t am exempt from the Contrac- tor's License Law for the following reason (Sec 7031.5 Business and Professions Code. Any city or county whu:r, re- quires a permit to construct, alter, improve, demohsh, or repair any structure, pnor to its issuance also requires the ap- plicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor· s License Law (Chapter 9 commencing with Section 7000 of Div1smn 3 of the Business and Professions Code} or that 1s ex-empt therefrom and the basis for the alleged exemption Any violation of S~ctmn 7031.5 by an appltcant for a permit sub- Jects the applicant to a civil penalty ol not more than five hun-dred dollars ($500) I I ! , as owner of the property, or my employees with wages as their sole compensation, will do the work. and the struc- ture 1s not intended or offered for sale (Sec 7044, Business and Professmm, 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 intend· ed or offered for sale. If, however. the building or improve- ment 1s sold w1thm one year of completion, the owner-builder will have the burden of proving that he did not build or im- prove for the purpose of sale). I I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044. Business and Professions Code. The Contractor's license Law does not apply to an owner of property who builds or im- proves thereon, and who contracts for each proJects with a contractor(s) license pursuant to the Contractor's License Law) !"J As a homeowner I am improving my home, and the follow ing condittons exist: 1 The work 1s being performed prior to sale 2. I have lived in my home for twelve months prior to completion of this work I have not claimed this exemprion during the last three years 0 l am exempt under Sec ______ _ B&PC for this reason ____________ _ C \ hereby affirm that I have a certificate of consent to self-insure. or a cert1f1cate of Workers· Compensation In- surance. or a certified copy thereof (Sec. 3800. labor Code) POLICY NO. COMPANY ~ Copy 1s filed with the city D Certified copy 1s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 11 the permit 1s for one hundred dollars ($100) or less) D I certify that tn the performance of the work for which this permit is issued. I shall not employ any person 1n any manner so as to become subject to the Workers· Compen- sation Laws of Cal!lorrna. NOTICE TO APPLICANT: If. after making this Certificate al Exemption. you should become subject to the Workers· Compensation provisions of the labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. 0 I hereby affirm that there is a construction lending agency for the performance of the work for which this per- mit is issued (Sec. 3097, Civil Code) Lender's Name ____________ _ Lender's Address USE BALL POINT PEN ONLY & PRESS HARD CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 PLUMBING PERMIT -ISSUE EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER AND,OR VENT EACH GAS SYSTEM 1 TD 4 OUTLETS EACH GAS SYSTEM 5 OR MORE EACH INSTAL.. ALTER, REPAIR WATER PIPE EACH VACUUM BREAKER WATER SOFTNER EACH ROOF DRAIN (INSIDE! ~IOOR. TOTAL PLUMBING QTY. 1 PH 3 PH REMODEL ALHR PER CIRCUIT TEMPPOLE 200AMPS OVER 200 AMPS TEMP OCCUPANCY 130 DAYSI TOTAL ELECTRICAL YO NO REDEVELOPMENT AREA YO N MECHANICAL PERMIT -ISSUE DUCTS UP TD 100.000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3 15 HP METAL FIREPLACE VENT FAN SINGLE DUCT MECH EXHAUST HOODiDUCTS RELOCATION OF EA FURNACE/HEATER DRYER VENT TOTM MECHANICAL MOBILE HOME SETUP CAR PORT AWNING GARAGE APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. APPLICATION & PERMIT PERMIT NUMBER i9002.o BUILDING SO. FOOTAGE ;;2.Z(oo t'.S:07 t:;4 .. /~~?7 -='~.~9 ;:.:(}:}·~-~/i. :• -~'t i:i;202 .~ ;){ FIRE SPA YO NO Not Valid Unless Machine Certified 15.oo SUMMARY/ACCOUNT NUMBER -u0-8220 SIGN PERMIT 001 ·810-00 00-8221 PLAN CHECK 001-810-00-00-8891 TOTAL PLUMBING 00 '1 -810 00 00-8222 ELECTRICAL 001-810-00-00-8223 MECHANICAL 001-810-00 00-8224 MOBILEHOME 001-810-00-00-8225 SOLAR 001-810 00-00-8226 STRONG MOTION 880-519-92-33 - 41--FIRE SPRINi<LERS 001-810-00-00-8227 PUBLIC FACILITIES FEE 320-810 00-00-87 40 BRIDGE FEE 360-810-00-00-87 40 PARK-IN-LIEU (AREA TIF 312-810-00-00-8835 LA COSTA TIF 311-810-00-00-8835 FMF LICENSE TAX 001-810-00-00-8162 MFF 880-519-92-5 7 CREDIT DEPOSIT ~ u:: >-cij 0 0. E QJ I- I sJ 0 ('.J C ctl {) 0. 0. <( I -"' C 0:: 0 rn rn QJ Cl) rn <( I ~ 0 QJ >- QJ {) C ctl C u:: s C QJ ~ ('.J r•C ... .. I( , . [i \ ':~~ f. ,,, r _., r t .. '! :( ' -~ ' -!'~ '\, .:, . t I !) TYPE DATE INSPECTOR ./ BUILDING FOUNDATION ' REINFORCED STEEL MASONRY, I .. GUNITE OR GROUT SUB FRAMED FLOOR· o·c1::1~1N~ SHEATHING DROOF o SH~AR .. FRAME EXTERIOR LATH ! ' INSULATION ' I INTERIOR LATH ~-DRYWALi,.. . ' ' . I .. . ' PLUMBING D SEWER AND BUCO D P~/CO UNDERGROUND D WASTE D WATER TOP OUT D WASTE D WATER . ' ' . , . TUB AND SHOWER PAN ' ' GAS TEST ' ! D WATER HEATER D SOLAR WATER ,, ELECTRICAL ' ' D ELECTRIC UNDERGROUND D;UFFER ROUGH ELECTRIC ,. ' I -l,._ D ELECTRIC SERVICE D TEMPQRARY D BONDING D POOL ' ' ' MECHANICAL D DUCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS ' ; ·'. . ( ~ ' ' ,. ' .... \' ''' VENTILATING SYSTEMS -. --. .. CALL FOR FINAL INSPECT~ON WHEN ALL APPROPRIATE· _ ITEMS ABOVE HAVf._ BEEN APPROVED. ~ FINAL ' ' ~ '. PLUMBING I \ ELECTRICAL MECHANICAL I -. /? I .• I~< I ' ----Ii V ]>L,(rr .. ' ; ·, I ~ I BUILDING l II i ,.,/ 1'1b SPECIAL CONDITIONS r [L 11 , I , \ I : .A ,,, -.-, ~.., " - • (J;/0 ~ '1 <./_/vu_./ .. .. FIELD INSPECTION RECORD REQUIRED SPECIAL JNSPECTIONS INSPECTOR'S NOTES ,i • l I . . .. INSPECTION REQ. IF INSPECTOR'S DATE ', ... CHECKED APPROVAL ' . ', . SOILS COMPLIANCE PRIOR TO FOUNDATION INSP f '., ," .. STRUCTURAL co·NCRETE l , OVER 2000 PSI .·, PRESTRESSED .. CONCRETE POST TENSIONED CdNCR.ETE -.. FIELD WELDIN.6 .. . HIGH STRENGTH .. BOLTS -. l .. " ~-.. SPECIAL MASONRY 1 PILES CAISSONS ··- - -- . . . . ' -.-· .. ' •, I . .. I.\ i •. ' ' .. ' -. .. . -· . .. ',• -·-.. . -<. , ' ,. ' i ' '. .. .. . .. : ' . . .. -i .. I i '. ' -·I . . . 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 ADDRESS 2236 RUTHERFORD ROAD, STE. 107 PLAN ID NO. ~loo~-, ASSESSOR'S 212 061 26 PARCEL NO. '-OWNER COPLEY/CMOC PARTNERS .OWNER'S MAILING 9339 GENESEE AVE. #250 3987 01106/89 0001 01 ADDRESS , ' Misc CITY SAN DIEGO ZIP 92121 TEL,. 587-0073 VALiDATION ARE;A ... ., ' ]LSq_~_ ' : CONT8ACTOR CARIX>N ME'AIXMS DEV.EIDIMENT CORP. ESTMATED VALUATION' ' . 05 342-00 · CONTRACTOR'S 9339 GENESEE AVE. #250 ._?;;'-1::~ MAILING PLAN CHECK FEE 001-810-00-00•8821 ADDRESS . . IF THE APPLICANT TAKES NCfACTION WITHIN .180 DAYS, PLAN CHECK FEES :QITY SAN DIEGO ZIP 92121 TEL. 587-0073 WILL BE FORFEITED: · STATE BUSINESS , LICENSE NO. 456061 LICENSE NO. 22901 ·, ' . SUBDIVISION PARCEL D LOT(S) ---... -·---, .a.· UL '-" .,,._"'.'""'. -- PART. OF MAP OF RANCHO AGUA .. .. -- LEGAL DESCRIPTION HEDOOIA #823 /CHECK IF S~BMITTED: d" ... SEE TITLE SHEE'I'. 2 ENERGY CALCS .0 2 1987 ENERGY CALC$ FOR N9N _RESfDENJIAL BLDGS DESCRIPTION OF WORK TENANT IMPIDVEMENT [J 2 STRUCTURAi.--CALCS '. PARI'ITIONS, CEILING, ELF.CTRICAL., MECHANICAL. D -2 SOILS REPORT$ . PLUMBING, NEW STAIRS (PE™IiJ:TED WITH SHELL ff · . 2 SELF AbDRESSED ENVE~OPES B(JILDING #86-324-3.) 3~,o JI;, t;>ATE GIVEN/ . DATE. ' SENT TO APPLICANT ; CONT ACT PERSON JEFFERY D. HURKES 'LA COSTA LETTER .. ADDRESS 1550 HOI'EL CIRCLE-1'-0IITH #120 SCHOOL FEE: FORM CITY SAN DIEGO ZIP 92108 TEL. 296-61110 . ,, . P & E CORRECTiONS LIS.T \ 1//L/flf.L_L 1 6/89 : -CERTIFICATE OF OCCUPANCY .. APPLIC~//c:U:. .A TURE DATE ·' . "(7{T~ White -File Yellow -Applicant Pink -Finarice Gold -Assessor _,,. -. .. -.. SEWER PERMIT APPLICATl1ON Development Processing Services Division 2075 Las Palmas Drive Carlsbad, CA 92009-4859 (619) 438-1161 APPLICANT TO FILL IN SHADED AREA BUILDING ADDRESS: i 2 '?-0lc, c:u"1t\JI .. A.J i •. .:,Jr;:,. J. ~ lt)7 J CONTRACTOR, C:·-~1~\ .11,J, 'n.l/b t_) t\J\/ ,c rvt· :'j ~7 -'.';[f I --t•Ai t \ f\ ,\ ....... :tr--....., [2 ,<_, MAILING ADDRESS: ' 1..-4 ~-ct '-\;,~.I -· ~-,.- >_:-\'~-! .-i-1...i () Uh\ ,1 cl 2 I -z... I ~ ~' ~ ,...,. /) • I fl., ,.!A"' .-"·, . .-'l ~ · LEGAL DESCRIPTION: , -·, 1\ "-1\..u '/;) ,/ -~ ASSESSORS PARCEL NUMBER: .~l-:! -O(o\-2&; COMMENTS; CASHIER'S VALIDATION 'I , SEWER PERMIT NUMBER: _S_E __ ._ ... _i ___ ,·,_/r~.~----- BUILDING PLAN CHECK NUMBER: _P_C __ f_f,_-'--_' '_l}_; -'--) __ _ BUILDING TYPE: ~-1_,._.\1,_I· ,_/_··._·J~;_;, ________ _ f NUMBER OF EDU'S: ____ ,_;'/ _________ _ CALCULATIONS: ., .-../. . . .1/r . ,.,</.(~,~ ¥~ -;" t ,~_()_ -. / ·OJ ~ / ,• ( 1 ) r: 1,1•_~. ,~ , Jl > , l_,, I ,---I':) _,. , .. ..,.) . _) I CONNECTION FEE ,, COST PER UNIT /, ·-d __... x __ . __ : _ _,,~' f_ UNITS = i, .•1 . -- LATERAL CHARGE: _____________ _ ,_.. V TOTAL CHARGES: __ ; _i_J_::_; _· ---------'--~-- WHITE: OPS GREEN: Finance CANARY: Water PINK: Building GOLD: Applicant r ¥ ; (. PERMIT# CB890020 DESCRIPTION: 3870 TYPE: CTI CITY OF CARLSBAD INSPECTION REQUEST _q FOR 05/21/90 f>-'2, --z_-/ o OFFICE/SUITE 101 JOB ADDRESS: 2236 RUTHERFORD RD APPLICANT: BURKES, JEFFERY CONTRACTOR: STR: PHONE: 2966110 PHON-E: OWNER: PHONE: INSPECTOR AREA MC PLANCK# CB890020 OCC GRP CONSTR. TYPE NEW FL: STE: REMARKS: Tl/MH/JERRY/438-3341 SPECIAL INSTRUCT: INSPECTOR -~rru~---1------- TOTAL TIME: --RELATED PERMITS--PERMIT# CD LVL DESCRIPTION CB880950 CB890019 CB890554 SE890045 SE89.0046 SE89.0055 SE890061 SE890082 TYPE CTI CTI CTI swow swow swow swow swow STATUS EXPIRED ISSUED ISSUED ISSUED ISSUED ISSUEO ISSUED ISSUED ACT COMMENTS v,A\t er u \ I 19 ST Final Structural C,,O_.._/lc __ ~_-=;t='--'-/~....;;._~ __ O_/(,_,,_...,,..JJ'--___ _ 29 PL Final Plumbing f ~9 EL Final Electrical _49 __ M_E _F_i_n_a_1_M_e_c_h_a_n_1._· c_a_1_______ _ _____________ _ --· -·-------------------__ . -------------'------ ***** INSPECTION HISTORY***** DATE 112789 112089 DESCRIPTION Frame/Steel/Bolting/Welding Frame/Steel/Bolting/Welding ACT INSP AP MPC NR MPC COMMENTS FLOOR DIAPHRAM NAILING MEZZ. FLR. DIAPHRAM ·-----·----------------------'------·----------------·---:----'"'---, ll\t SU L/-\.1-l ON c; E RTI Fl CA 1·10 N .•,) :-/il(~~t . I 2236 Rutherford Road Carlsbad Number .tna Str<:ct C.lly ~utialvltlou Lot Nun1t>cr DESCRIPTION OF INSTALLATION ROOF Msterh,I Thickness (inehol --·----------- EXT EH 10 R WALL M11terial Thlcknen Unchul ________ _ : .,.-; CEIUNG .. ; 1·_.t,:··. Batt or Blankd Ty.pe __ F=--=i,.,.b=e~r::..;.:q~l=a::.:s=-=s:a-. __ .. ·.,.::., -.:,.::·· Thlcl:ous ll~cht~) 6, 7 5 ii .'•to, l.oose t=ill Typn.,_. ______________ _ Brand N~rrH1 ______ _ Ttu.,·mal ncsisu,ncc (n Vtluel Oi1md Harne Thcrrnnl Re1hunce IA Val<11?J Srertd Name -------"M-"-"'-'a"'-n::..v....;;;;;i;..c;l"--1;.;....;.e _____ _ R-J.9 [lranc.f N11me ft1itt ' .. ·----: Minimum Thickness (inches! _______ _ Number of bag; ______ _ Weight per b;,g. ---'--lb Aiu Covered (h 2 I Therm:,! ncsis1anC1? (R Value} FLOOn,ELEVATEO l f •' I ' t~ Ouind Name ;~ -t} '·· J1~· ···):·i,, ' Thlcknu1 (Inches! ________ _ f \'.;,_r,;·-': FLOOR; SLAb ',l',1:h;. ~· • ... ,,~;.:;: ·, f.,aterh,f ---·----------------<j)if{:-;._/; 1'hlclcnus (lnc.hc1) ________ _ :,;;\:;~:.Ji;:·!·:·. . • • ··.f,i1·:~.;: · . Width (,nchtsl -~ .:' ,M½t( ofOUNDATiON WALL ~l' . ,::;-1 ·'. '·.-:··, Material ._ _______ __, _______ _ .:;,; ',~ :·;. i,.. . Thermo! Rt1istanc1 (R Valuj!t llnnd l·hme ---------------- Thermal Rols1u:ir.~ (n Value! Ornnd I-lame '\'hernial Herirtanee In Value! _: 115[; . Thk~~•:• lln•tl . ;,-f•1 '}'~',! :~,.' : · \· ,r~ ·'r.:; : · 1'' 4:1,'f~i ;1t ,, ,I DECLARATION '- .~\ \\~*;~;f: ' . ' I.: \;;~ll~it1•'. I he•,by eunlfy that the tbavt' lnsululon wu lntt1llcd Ill the building et the above location In conformance with the -:;_:·::-~·;K··.c:mrcnt regulations setting Em:ruy -Constrvation Standards for new residenliol building:s (loc:a1,d in Title 24 of the :'·;·:.i,?if .. ~1ifornil1 Administrative Code I, . ~~,~} : .. . . ~ .... :,~ Con""·''' '"""",-,-----------Llccn~ Nurnber .· ... ; Slgna\ur~ .ar,d n11e Dal~. SC Insulation, Inc. Sui;:co-nuactor (lniulallon Appllc.11or) _____ 3495~1~1;.._, ____ _ Lie.en~., Numb~r :·.·· 8/8/8'9 ··.· 0 .. 1. ,,-,. ,\ • t FINAL BUILDING INSPECTION ~ECEIVED Mf-\Y 2 3 19~ PLAN CHECK NUMBER: DATE: PROJECT NAME:------------------------------- 2230 Rutherford Rd MOi ADDRESS: -----~·--------------------------- PROJECT NO.: _______ UNIT NUMBER: _______ PH.ASE NO.: ______ _ TYPE OF.UNIT: CTl ____________ NUMBER OF UNITS: t..m!t CONTACTPERSON·~--------------~--------------- Urtk CONTACT TELEPHONE~·----------------------------- ~y~PECTEt,~ INSPECTED BY: _______ ~-- INSPECTED BY: _________ _ DATE INSPECTED: {p/ tJ/5'() DATE INSPECTED: DATE INSPECTED: APPROVED ¥--DISAPPROVED __ _ APPROVED ___ DISAPPROVED __ _ APPROVED __ _ DISAPPROVED __ _ COMMENTS:-----~--------------------------- •· 1 .. l •. ) ,• Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire ,, IIYJ ESGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92123 (619) 560-1468 /_/ DATE: ~} '1..]j ~9-. I t JURISDICTION: G.o..c\ $ba..d·. PLAN CHECK NO: £69-Q() 2,.0 SET: 'l[_ PROJECT ADDRESS: 2./2...'6(? \$u__t\\er£0,c\ &il :l:\:-lo] PROJECT NAME: __ T ____ I. ___ , ________________ _ D D D D The plans transmitted herewith have b~en 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 1dentified -e---=---------,~--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. -c-eW\Cld<. as·e . The :;heel; 1 i s 1: transmitted herewith i::s for your information. The plans are being held at Esgil Corp. until corrected. plans are submitted ··fo,r recheck. The applicant's copy of the check list is enclosed for the jurisdiction to return to the applicant contact person. IIJ The applicant's-copy of the check list has been sent to: Ocr:o cep±.s . lsso t!o±e._\ C,r:cle \.J. 1 Ste \1.:o) S,t:>. 92.\o~, O Esgil staff did not advise the appiicant contact person that plan check has been completed. ... ':' .~' p -,,-. i, ESGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92123 (619) 560-1468 DATE: I / \ ~ / ~C JURISDICTI~N= 'c.Q'(\~n0-.d PLAN CHECK NO: 89-0020 SET: I PROJECT ADDRESS: 22.?;>lo ~ut-ber£or:c\ Rd* \oJ PROJECT NAME: __ TT,........,. ___ , _____________ _ 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 b~ilding department staff. The pla~ns transmitted herewith have significant d~' · ncies · tifi on the .enclosed check list and should be orrected and .esu itted for a c~lete recheck. . h .h. / ..I\ .. '-~.t::;:._(Jd 0-h ~~th . ~f £__,b . t' Te ec ~a~mi:teo erewi ~s or your in rma ion. Th plans are being held at Esgil Corp. until corrected ans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to return to the applicant contact person. ·II The applicant's copy of -the check list has been sent to: Qo'f\Q.e..? t § IJ Esgil staff ·did not advise the applicant contact person that plan check has been completed. (, ·: . G]J Esgil staff did advise applicant that the plan check has · been completed. Person contacted: C.Oi\ Qe\?--\-.5 Date contacted: \}l~,~ Telephone * 29(o-(o\ 1 d ~ I REMARKS: -------------------------------- By:GL<l~ 0 n() Enclosures: ESGIL CORPORATION~ ----------1/9/ t,9 . . . -' l ' <. 'DlWl'.r IHPROH»Wu; PLAll c.ma .,_ :_ .... B .... 9...._-..... 0 ...... 0--..:;2_0 _____ _ JORISDICTIOB: ___ Co:---. ..... 'f..-l S_b.._..Qc_{ ______ _ m: Co:o.ce~+s LSSO \tote~ C~rcle N, ::tt:12.0 92-\C?J ocaJPAl'ICY: __ --=e,'-----'2.-=----------- JRDLbnc 'osE: __ 0....,.£,£_...._t c.,=-e-c.--,./,....&-=-___ m ___ {t~OO~C--_ , \__) 7!PE OF <X>IISIRDCI:IO!I: __ \/.._-__.· ~-=-------- ACIOAL AREA: ___________________ __ .AI.L<JWABL"E AREA: __ . ________________ __ BEIGHJ:: _________________ _ SPRDDCLIRS:__,__y...,.e$ _____________ _ OCCDPAB:r UW>:_-=2_ __ 7.....,_..,.. _______ _ DMARIS:. __ ,--______________ _ Date plans received by jurisdiction: r, Date plans received by Esgil Corporation: r I Date initial plan check completed: \ / l '6 / ~ 9 By:C\lve.k ~Md.t:'Y\~ll Applicant contact person: Plan check is limited to technical requirements contained in the Uniform Building Code., Uniform Plumbing Code., Uniform Mechanical Code., National Electrical Code and state laws regulating energy co~ervation, noise attenuation and access f the The pla.~ check is based en regulations enforced by the Building Inspection Department. You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department or other departments. Code sections cited are based on the 1985 UBC. Toe circled items listed need clarifiCc!;.tion., modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 303(c), 1985 Uniform Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck process, note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, specification, etc. Be sure to enclose the marked up list when you submit the revised plans. LIST NO. 90, TENANT IMPROv»mN'.r WI!HOUT SPECIFIC ENERGY ZONE DATA OR POLICY SUPPL»mNTS, 1985 UBC '~- / / / / / / /- / Please make all corrections on the original tracings and submit two new sets of prints, and any original plan. sets that may have been returned to you by the jurisdiction, to: . Esgil Corporation, 9320 Chesapeake Drive, Suite #208, San Diego, CA 92123, (619) 560-1468. Please make all corrections on the original tracings and submit two·new sets i;,f prints., and any original plan sets that may have been returned·to you by the jurisdiction, to: The jurisdiction's building department. Indicate on the Title Sheet of the plans.,,the name of the legal owner and name of person responsible for the preparation of the plans. Section 302(a)7. Each sheet. of the plans must be signed by the person responsible for their preparation., even though there are no structural changes. Business and Professions Code. Plans and calculations shall be signed by.the California state licensed engineer or architect where there are structural changes to existing -buildings or structural additions. . Please include the California license number., seal., date of license expiration and date plans are ·signed. Business and Professions Code. Provide the correct address and suite number of tenant space on the plans. Section 302. . Provide a not.!3 on the site plan indicating the previous use of the tenant space or building being remodeled. Section 302. When the character of the occupancy or use changes within a building., the building must be made to comply with current Building Code requirements for the new occupancy. Please provide complete details to show the building with comply. Section 502. UBC Section 304 requires the Building Official to determine the total value of all construction work proposed under this permit. The value shall include all finish work, painting., roofing., electrical, plumbing, heating., air conditioning, elevator., fire extinguishing systems and any other permanent equipment. Please provide a signed copy of the designer's or contractor's construction cost estimate of all work proposed. Provide a plot plan showing the distance fro~ the building to the property lines and the location of tenant space (or remodel) within the building. 1/6/88 /- / On the first sheet of the plans indicate: Type of construction of the existing building., present and proposed occupancy classifications of the remodel area and the occupant load of the remodel areas and the floor where the tenant improvement is located • Provide a statement on the Title Sheet of the plans that this project shall comply with Title 24 and 1985 UBC, UMC and UPC and 1987 NEC. Provide a fully dimensioned floor plan showing the size and use of all rooms or areas within the space being improved or altered. Draw the plans to scale and indicate the scale on the plan. Indicate the use of all spaces adjacent to the area being remodeled or improved. Show any existing fire rated area separation wal!s., occupancy separation walls., demising walls., shafts or rated corridors. Identify and provide construction details for proposed new fire rated walls. Specify on the plans the fire ratings of assemblies to protect proposed openings in existing or new fire walls. Identify existing walls to be removed, existing walls to remain and proposed new walls. Identify bearing walls., non-bearing walls, and shear walls. Provide a section view of all new interior partitions. Show: (a) '.r'jpe, size a.~d specing of studs. Indicate gauge for metal studs. Specify manufacturer _and approval number or indicate 11to be ICBO approved". (b) Method of attaching top and bottom plates to structure. (NOTE: Top of partition must be secured to roof or floor framing, unless suspended ceiling has been designed for partition lateral load). (c) Wall sheathing material and details of attachment (size and spacing of fasteners). (d) Show height of partition and suspended ceiling., and height from floor to roof framing or floor framing. 2 _)~' ··,II§\ Provide notes and/or details to show that the (J floor and wall-finish in toilet rooms are surfaced with a smooth hard non-absorbent material extending five inches up the wall. Similar surfacing shall be provided on the walls from the floor to a height of 4 feet around urinals and within water closet compartments. Section SlO(b). Cn'\. Note on the plans: 11All interior finishes must i.....:;:;/ comply w.Chapter 42. of the UBC11 • Specify ;~~ass._~-=-~fAie A5tread ~~ting (minimum) / Lateral bracing for suspended ceiling must be provided. (UBC Table 23-J) 'Where ceiling loads are less than 5 PSF and not supporting interior partitions, ceiling bracing shall be provided by four No. 12 gauge wires secured to the main runner within 2 inches of the cross runner intersection and splayed 90_ from each other at an angle not exceeding 45_ from the plane of · the ceiling. These horizontal restraint points shall be placed 12 feet o.c. in both directions with the first point within · 4 feet of each wall. Attachment of restraint wires to the structure above shall be adequate for the load imposed. In buildings having floors and roofs of wood frame construction, other than dwelling or hotel occupancies, draft stop the.area between the ceiling and floor above so that no concealed space exceeds 1,000 s.f. and no horizontal dimension exceeds 60 L.F. (if space has sprinklers, then 31000 s.f. and 100 L.F.). In buildings having floors and roofs of wood frame construction, other than dwelling or ll,otel occupancies, draft stop the area between the ceiling and roof above so that no concealed space exceeds 31000 s.f. and no horizontal dimension exceeds 60 L.F. (if space has sprinklers, then 9,000 s.f. and 100 L.F.). The tenant space and new and/or existing facilities serving the remodeled area must be accessible to and functional for the physically disabled. See the attached correction sheet. Title 24, Part 2. The width of the required level &r8'-on the side into which doors swing shall extend 24 inches past the strike edge for exterior doors and 18 inches past the strike edge for interior doors. Section 2-3304, Title 24. Specify lever-type hardware for passage doors on floors accessible to the disabled. Section 2-3304, Title 24. 2/2/88 / If both sexes will be employed and the number of employees exceeds four, provide separate toilet facilities for men and women. If 11both sexes will be employed and the total number of employees will not exceed four", and only one restroom is provided, note the words in quotation above on the floor plan. Section 705. In areas where the occupant load exceeds __ , two exits are required. See:,._ ______ _ ____ • Table 33-A. Provide an exit analysis plan (may be 8 1/211 x 1111 or any convenient size). . Exits should have a minimum separation of one- half the maximum overall diagonal dimension of the building or area served. Section 3303(c). The maximum number of required exits and their required separation must be maintained until egress is provided from the structure. Section 3303(a). RoolliS with more than 10 occupants may have Qil! exit through .2lli! adjoining room. Revise exits to comply. Section 3303(e). Exit si~ are required for exits serving an occupant load exceeding 49. Show all required exit sign locations. Section 3314(a). Show that exits are lighted with at least one foot candle at floor level. Section 3313(a). Show the locations of existing exits from the building and show the path of travel from the remodel area to the existing exits. Note on the plans: "All exits are to be openable from ins~de without the use of a key or special knowledge". In lieu of the above, in a Group B occupancy, you may note "Provide a sign on or near the exit doors reading THIS DOOR TO REMAIN UNLOCKED DURING BUSINESS HOURS". Section 3304(c). Exit doors should be a minimum size of 3 feet by 6 feet 8 inches with a minimum door swing of 90 degrees. Maximum leaf width is 4 feet. Section 3304(e). - Exit doors should swing in the direction of egress when serving an occupant load of 50 or more or when serving any hazardous area. Section 3303(b). Applies to door(s) ___ _ 3 Regardless of occupant load., a floor or landing not more than 1/2 inch below the threshold is required on each side of an exit door used for disabled access (may be 111 maximum where not used for disabled access). Section 3304(h). Doors should not project more than 7 inches /' • into the required corridor width when fully . opened., nor more than one-half of the required / /- corridor width when in_ any position. Section 3305(d). Revolving., sliding and overhead doors are not permitted as exit doors if the occupant load exceeds 9 or the exit door serves a hazardous area. Section 3304(g). · Exit doors from assembly rooms with 50 or more occupants shall not be provided with a latch or lock unless it is panic hardware. Section 3318~ Double acting doors are not allowed when serving a tributary occupant load of more than 100., or when part of a fire assembly., or part of smoke and draft control assemblies or when equipped with panic hardware. Section 3304(b). Corridors must provide continuous protection to the exterior of the building. Interruptions by an. intervening room is not permitted·. Foyers., lobbies or reception rooms constructed as required for corridors are not considered int~ening rooms. Section 3305. Corridors and exterior exit balconies serving 10 or more occupants must be a minimum 44 inches wide and 7 feet high to the lowest projection. Section 3305(b). When a corridor or exterior exit balcony is accessible to the handicapped, changes in elevations shall be ma.de by means of a ramp. Section 3305(£). When two exits are required., dead end corridors and exit balconies are limited to 20 feet. Section 3305(e). · Corridors serving 30 have walls and construction except: or more occupants shall ceilings of one-hour a. Corridors greater than 30 feet wide when the occupants have an exit independent from the corridor. b. Exterior sides of exterior exit balconies. c. One story buildings housing Group B., Division 4 occupancies. Section 3305(g). 2/24/88 I- I r If non-rated corridors are used per 1985 UBC., Section 3305(g), Exe. 51 provide a reference to the corridors on the floor plan, noting: 1. Corridors are non-rated per Section 3305(g)., Exception 5., 1985 UBC. 2. Smoke detection system must be listed by the State Fire Marshall and be a supervised low voltage system with combination audible and visual signals with battery backup. 3. Smoke detectors shall be maximum 30 1 on center. 4. Combined audible/visual signal device(s) shall be installed just inside of each exit door from the corridor, also all locations in the corridor must be in sight of a signal device. 5. Power supply shall be dedicated branch circuit. Circuit disconnecting means · shall be accessible only to authorized personnel and shall be clearly marked .... FIRE ALARM CIRCUIT CONTROL,·· with a lock- on device. 1985 UBC Section 3305(g)., Exception 5, cannot be used for non-rated corridors in a fully sprinklered office space if the occupant load in the space exceeds 100. 1985 UBC Section 3305(g), Exception s, is applicable to the office space but does not apply to the common corridor where the tributary occupant load appears to exceed 100 occupants. When 1985 UBC Section 3305(g), Exception S, is applied for corridors on one floor, the corridors on the lower level(s) must be rated if these lower corridors serve more than 100 occupants. The tributary load from the upper level(s) shall be the total occupant load from the above level(s). Clearly show where the non-rated corridor system terminates and a rated corridor system coD1Dences. One-hour fire-rated corridors shall have door openings protected by tight-fitting smoke and draft control assemblies rated 20 minutes, except openings in interior walls of exterior exit balconies. Doors shall be maintained self-closing or be automatic-closing by action of a smoke detector per Section 4306(b). Doors shall be gasketed to provide a smoke and draft seal where the door meets the stop on sides and top. Section 3305(h). 4 / Show rated corridors, lobbies, reception or foyers cross-hatched on the floor plans. Total area of all openings, except doors, in any portion of an interior corridor, shall not exceed 25 percent of the area of the corridor wall'. of the room which it is separating from the corridor. Such openings shall be protected by fixed, approved 1/1+ inch thick wired glass installed in steel frames. Section 3305(hJ. Provide a complete architectural section of the corridor, or exterior exit balcony, showing all fire-resistive materials and details of construction for all floors, walls, ceiling and all penetrations. Section 3305(g). Show the location of fire dampers. Provide fire dampers at duct penetrations of fire- rated occupancy and area separations, shafts and corridor walls and ceilings. Section 1+306(j). If building exceeds two stories, show corridor is separated from elevator shaft. Sections 330/+(gJ(h) and 1706(a){b). (See I.C.B.O. interpretation). Provide evidence of Health Department approval (for restaurants or for tenants using X-ray equipment). EI.'!CmICAL Submit plan showing location of all panels. Submit panels schedules. Submit electrical load calculations Indicate existing service size. Indicate existing building load. Indicate new additional loads. Indicate wiring method. Show exit signs on the electrical lighting plan. Note: Power for exit lights and emergency lighting must conform to the 1985 UBC Sections 3313 and 3311+. t::J Provide receptacle{~) within 25 1 of t:l,le roof \:::,;J mounted A/C units. UMC Seqtion 509. Provide multiple switch lighting controls per _CAC, Title 24, 2-5319. Provide an electr-ical plan for the alarm system showing compliance with criteria described under earlier correction number 1+9. 2/2 88 MmWIICAL Provide mechanlcal ventilation in all rooms capable of supplying a minimum of 5 cubic feet per minute of outside air with a total circulation of not less than 15 cubic feet per minute per occupant. Section 605 and 705, UBC. Provide mechanical plans showing existing and proposed HVAC equipment, ducts and access to equipment. Detail access and working clearances to HVAC equipment. Cooling coils or cooling units located in attic or furred space, where damage may result from condensate overflow, shall be provided with an additional water tight pan of corrosion resistant material to catch overflow if pr~ condensate drain becomes clogged. Sec~ion 1205, UMC. One-hour corridors shall not be used as an integral part of a duct system. This includes the space above a dropped ceiling within the one-hour corridor. UMC Section 706(b). Provide gas line plans and calculations, showing pipe lengths and gas demands. UPC Section 1219. Provide drain, waste and vent plans. Provide water line sizing calculations. UPC Section 1009. Detail ·how floor drain trap seal is to be maintained. UPC Section 707 (floor drain trap priming). ~ Show P & T valve on water heater and detail / •• drain line route from P & T valve to the ©. exterior. UPC Section 1007 ( e) • Show 1/411 per 1211 slope on drain and waste lines. UPC Section 407. Provide complete energy design calculations, including all existing design and new energy design for this building. See attached non- residential energy design checklist. For remodels in an existing conditioned space, show that the remodeled space will use not more energy than the existing space or show the remodeled space will conform to latest energy design standards. 5 '\ .. ~ Please sea additional corrections or remar~ ~ that follow. The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, california 92123; telephone number- of 619/560-1468, to perform the plan check for your project. If you have any questions regarding these A.~an check \t~, please cr_tact \;;Y\Ucl( Me:ocle)\ 1ftQ t\ at Esgil Corporation Thank you. Enclosures: .. 1. ____________ _ 2. ______________ _ @£1\1 !~,l~/DfEe1/ t~ t I mafu~k dtallli @ Fao:n C.E-1 e:, 1D1.w,± be UYk.p:uvrt~ on Tue -~\a,oos. . 2 2 88 6 -:.~:~t~t;~:~~~?~~f +,'.~: / :~~~' . ~· . . ~ .. ~ - !" • .. • JurisdictionOl.f ls ta,c( Dates t/l~{eJ-9 Prepared bys -·cu VALUATION AND PLAN CHECK FEE a Bldg. Dept. a Esgil PLAN CHECK NO, f::f)--CX,2.D ~ BUILDING ADDRESS ~(q RutV\ero<'cl APPLICANT/CONTACT ________ PHONE No. _______ _ BUILD I.NG OCCUPANCY ~· '2-. DESIGNER PHONE ------TYPE OF CONSTRUCTION V,_IJ~ CONTRACTOR PHONE ----- BUILDING PORTION BUILDING AREA VALUATION VALUE MULTIPLIER TT /J '2 (n ~ \9;.~() LL\ 9-lo.5 -- . Air Conditionine Commercial @ Residential @ Res. or Comm. Fire S'Drinklers @ Total Value 4\~(o$ Building Permit fee $ ____________________ $ _&o _____ Q._,_5_0_·_ Plan Che ck f ee _____ S ___ __,... _ __, ________________ ~$ ..... 2 .......... ~ .... S-.....,_(c;___.,~-- CO H HEN TS._•----------------------------- SHEET. l OF-L q/87 gl CC· "O "O Cl) Cl) . ;: ~ Cl) Cl) ·-· > > Cl) Cl) 0:: 0::: . D D 1~0 Cl) ... ca 0 cc "O Cl) ;: . Cl) ·s; Cl) 0:: D D DD ·D· DD D D D D D D D D D . D ·OD D D D ENGINEERiNG CHECKLIST LEGEND Date: _ _.:.,./ __ .-...... /=3--'-8~7_....... ______ _ ~ @ Item Complete Plan Check No. BC/eOL() P~oject Address: .:V.3(o. · /iume-,eA::J,eP 13?. ---r Project Name: /, __ I tern Incomplete -Ne~ds Your Action ---=-...;._ ____________ ~_ Field Check Date; ----,.--,-,------1,2,3 Number in circle indicates plancheck By: number that deficiency was identified LEGAL REQUIREMENTS Site Plan 1. 2. 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. Show on Site Plan: Finish floor elevations, elevations of .finish · grade adjacent to building, existing topographical lines, existing and proposed slopes, drjveway and percent (%) grade and drainage patterns. 3. Provide legal description of property. 4. Provide assessor's parcel number. PERMITS REQUIRED Grading s. Grading permit required. (Separate ·submittal to Engineering Department required _for Grading Permit) . 6. Grading plans in plan check PE ____ _ 7. 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 . 8. Right~of-Way Permit required for work in public right-of-way (e.g.~ driveway approach, s.idewalk, connection to water main, etc). 9. Industrial Waste Permit application required. To be filled out · completely· and returned to Development Processing. FEES REQUIRED I 10. Park-in-Lieu fees required. ~ ~ . Quadrant: -.-, ·Fee Per Unit: -, Total Fee:====-- 11. ~raffle imp~ct fee required. . ;I ,.,0 Fee Per Umt.: . : , Total Fee: 11_311 ;.- 12 ~Bridge and Thoroughfare fee required. uo Fee Per Unit: . . . .. , Total Fee: (df7 a.- 13. Public facilities fee required. /J/JYJ f 14. Facilities manag~ment fee required. Fee: ')(L)caU!tf!~ 15 ~Additional EDU's requir_sd: .• 8 J • Sewer conriection fe~: !flQ/3,0D Sewer permit no. ____ _ 16. Sewer lateral required: -~ O.K.toi$~~ Date: 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 . . a::i CJ "C "C Cl> (I>' ·,: ,: .~ Cl> ·--> > (I) (I) c:: c:: ... N =#: =#: u u a. a. ~D ~~ ~D o· D Cl> +"' ('(I C. a::i "C Cl> ,: Cl> > (I) c:: M =#: u a. D -D D D D ( PLANNING CHECKLIST Plan Check No. fflco:z.o. Address ,2,Z3(o &11-1~ M. Type of Project and Use TI YES~ Zqne C-:-M Use Allowed?· NO -- Setback: Front -4& Side-¥,-R~ar4 Facilities Management Zone /" b School District: San Dieguito Carlsbad· Discretionary Action Required· Environmental Required Landscape._ Plan Required Comments Coastal Permit Required Additional Comments [>( YES YES YES YES OK TO -~ssu~~-- Encinitas San Marcos NO K Type __ No_.Pi_ NO~ NO~ DATE_~~/4~/~~/4~'8~.~f __ _ 2560 ORION WAY CARLSBAD, CA 92008 <ttitp of Cltarliibab FIRE DEPARTMENT PAGE 1 oFL TELEPHONE ~-~{ (619) 931-2121 1-----------...+-L..l....l/of PLAN CH ECK REPORT PROJECT SPtr-SP IDZ ADDRESS da31a> KY--Th84..-fTJl2.i) STE 107 ARCHITECT .£l~ OWNEPL;afLe:'(/bu ~ aieiue-)1 $,. ADDRESS S,\,J btf:7..,.-0 PHONE :J9i>-l,-//0 OCCUPANCY :g 2-CONST. '5i,, N ADDRESS S-AtJJ µ/Eb£> PHONE S87-0.07_3 TOTAL SQ. FT. 5 '8 ]'D STORIES -r/AJ 0 ysPRINKLERED o/ENANT IMP. ____________________________ _ __ 1. __ 2. __ 3_ *4. --5. APPROVAL OF PLANS IS PREDICATED ON CONFORMING TO THE FOLLOWING CONDITIONS AND/OR MAKING THE FOLLOWING CORRECTIONS: 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 system~nkler~nd pipes, dry chemical, halon, CO2, alarms, hydrants). Plan must be approved by the fire department prior to installation. The business owner shall complete a building information letter and return it to the fire department. FIRE PROTECTION SYSTEMS AND EQUIPMENT -.J._ 6. The following fire protection systems are req~: -r, -(-~utomatic fire sprinklers (Design Criteria: ~ ~ Jllp/Mc I 3, D Dry Chemical, Halon, CO2 (Location: ________________________ _ D Stand Pipes (Type: ___ _,_ __________________________ _ D Fire Alarm (Type/Location: ___________________________ _ __ 7. Fire Extinguisher Requirements: Ef"?w<..i-, "-Ill one 2A rated ABC extinguisher for each ~ sq. ft. or portion thereof with a travel distance to the nearest r ext:nguisher not to exceed 75 feet of travel. '- 0 An extinguisher with a minimum rating of ___ to be located: D Other: __________________________________ _ __ 8. Additional fire hydrant(s) shall be provided _______________________ _ __ g_ ~10. __ 11. __ 12. __ 13. F-14. EXITS Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort. A sign stating, " This door to remain unlocked durin business hours" shall be pla ed above the main exit and doors 4U...t:1::e:llJLU"X1.'-'~-J.Jtli:2-lA./_J_)LUU:1&U::::l._I~(lE.:_____L~4£.LbLJJ.'..ZI.=--- EXIT signs (6" x ¾" letters) shall be laced over all required exits clearly indicate the location of exit doors. GENERAL Storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and hazardous chemicals shall comply with Uniform Fire Code. Building(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. Additional Requirements. a,Mt F'--L PL1 t)ll, _J flf fHIU ~ fij It_.. Zmd £:/4Jvi.../ S7A1. 7 S. A::n: D A--t,.,t,_e::;S . ) ~- {~3~c____ _______________ _ 3EEP6"(l..y JJ. t/4. ~ 1(£.S.~------------- I S-SD &7FZ. C1,A..aci? N, ~ [L~c:,.,___ _________ _ s /tA.J LJJti=bO . C',i\ 9~ I O ~ f --15. Comply with regulations on attached sheet(s). PlanExamlner~"o/~ -, =-< Report mailed to architect ___ Met with _____________ _ Attach to Plans 2075 LAS PALMAS DRIVE CARLSBAD, CALIFORNIA 92009-4859 Office of the City Engineer QHty nf QJ:arts.hao DATE : _Jj ...... A~t0"'"'"'"U_,_A@ ....... Y,.__._[~01..,..., (_,_9~8_9_--,--_ Ernie Ferrer COUNTY OF SAN DIEGO Department of Public Works Building 1 Operations Center 5555 overland Avenue San Diego, <;A 92123 . INDUSTRIAL WASTE PERMIT APPLICATION NO. O?// \\ TELEPHONE (619) 438-1161 Enclosed is a copy of the application for an Industrial Waste Discharge Permit from the subject applicant. Your review and recommendations on this application will be a·ppreciated prior to the issuance of a waste disposal permit. ~~:::-_-z::__--=-~-==-·'--~~__,.c:,-:_==-=--=--=--=-~-====-· LLOYD B. HUBBS City Engineer LBH:SEE:rp Enclosure: Application No. 69/ c: · Building department Fred Rowlen, Encinas Plant Arnie Wing, Department of Health Services COMMERCIAL/INDUSTRIAL APPLICATION FORM FOR INDUSTRIAL WASTE DISCHARGE PERMIT CITY Of CARLSBAD APPLICATION: NEW ·/ --~--- (CHECK ONE) REVISED ---- ~CC>d,0 BUILDING P~C •. NO ... W9C@ ~z:; APPLICATION NO.: 59 / . ~---:=-=-'-· --_-_-_-_-_-_---..:~NOUS TRIAL CLASS : __ 3 ___ ) __ _ ~ ~~ £ -_ DAT_E: 1/;o/8y ~~ Repr~sent at i ve _.,.., __,.,---. ----- APPLICATION FOR INDUSTRIAL WASTE DISCHARGE PERMIT A • GENERAL : · 'I SITE APPLICANT:~ ~-S :P1=-'1:!¥Pf~OORESS: 22¼ 'E-u.-r~ 'Et, "S'-r1L lD-:J-TYPE OF BUSINESS: :t21:::-'l~-Lo:re;?::: --=z:,pec_. SaE APPLICANT'S ADDRESS: q;,p4 Gt§1dE:cssg__ Ave_ $:tf: :z.Ji:Q ~AW 'OLE-~, CA qz1z, 8. WASTES ANO PROCESSING: (Check where applicable) J8{ Domestic Waste Only l:J Industrial Waste J-1 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 SE.WER: WASTE: (Check One) TREATED: UNTRE;AT-ED"'"':--- QUANTITY: AVERAGE ____ GPO (Daily) ·MAXIMUM -.-----,,:-----:::--GPO (Gallons Per Day) .APPLICANT OR REPRESENTATIY~ Of FIRM: 4-fff:t!:¥:Y --P. }-h-t~ (Print; TITLE: 1), 1?c41:¢::r2 ~~ :l2€#iiit.,H lfu,,\-rtE. ~~~ SIGNATURE: ~-/ DATE: j-t,, JB1