HomeMy WebLinkAbout2270 COSMOS CT; ; 85-665; PermitDECLARATIONS
LENDER WORKER S COMPENSATION OWNER/BUILDER CONTRACTOR
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11
PLAN CHECK NUMBER ADDRESS DATE
PLANNING:TYPE OF STRUCTURE
L J
SCHOOL FEES: SAN DIEGUITO_
CARLSBAD
% COVERAGE
BUILDING HEIGHT_
FENCES/WALLS
TWO CAR GARAGE
COMMENTS'
ZONE
ENCINITAS
SAN MARCOS
REQUIRED SETBACKS_
FRONT
SIDE
REAR
I.DID
Da:c. oc ui<J OS
a:LU2
REDEVELOPMENT APPROVAL REQUIRED-
LANDSCAPE PLAN COMMENTS:
EfWIRCKiENTAL REQUIRED-
ADDITIONAL COMMENTS
4W i^fe\oT £AM
OK TO !3SUE.3*f DATE: [Zul'^OK TO<— fy
***»*• ,•?. •*•"•*:!:•**•£ ••**' J'"' i £•£•>??:£•?: •*• ••• ' •*• ^£-£*£:£i;r.. „
ENGINEERING LEGAL DESCRIPTION VCRI
P.F.F. PARK IN LIEU
R.O.W: IMPROVEMENTS
E.D.
<£
f\ A iPSEWER- nL/L<£~XDl Pm & '~±-\.~le~i>
FINAL DATE
„ ,*ii"***-*-xKV ^-xvrx** ******** ** ********
FIED7 A.P.N. CHECKED?
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LATERAL.
§ DRAINAGE:
,—, EASEMENTS'
DRIVEWAY
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ADDITIONAL COMMENTS
OK TO ISSUE DATE
* ENGINEERING INSPECTION REQUIRED:,
PUBLIC VORKS INSPECTOR:
FINAL OK-
L
DATE
IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)
ESG1L CORPORATION
9320 CHESAPE VKE DR . SUITE 2O8
S\N DIEGO. CA 92123
(619) 5<>O-I4(>8
DATE
JURISDICTION-
PLAN CHECK NO:
PROJECT ADDRESS
PROJECT NAME.
SW/J
PAPPT/ECANJT.
[JURISDICT]
TEATTCHECKER_
~u2Z-
Q FILE COPY
UPS
DESIGNER
Mlt '*-
. — -I _ I
I I
( [
I — |
( _ I
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 _ &£~£.4t*J _ are resolved and_
checked by building department staff
The plans transmitted herewith have significant deficiencies
identified on the enclosed check list and should be corrected
and resubmitted for a complete recheck.
The check list transmitted herewith is the jurisdiction's
copy for your information. The plans are being held at
Esgil Corp. until corrected plans are submitted for recheck.
The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person
The applicant's copy of the check list has been sent to
Esgil staff did not advise the applicant contact person that
plan check has been completed
Esgil staff did advise applicant that the plan check has
been completed. Person contacted:
Date contacted
REMARKS
Telephone #_
ALL.Z
I>\\J^KEC".
BY:ENCL;
ESGIL CORPORATION
ESGIL CORPORATION
9320 CHESAI'i: VKC DR . SUITE 2OS
SAN OILGO CA 92123
(b I 9) 5<><) 14(>8
DATE APPLICANT
JURISDICTION
PLAN CHECK NO
PROJECT ADDRESS
PROJECT NAME
QPLAN CHECKER
QFILE COPY
QUPS
nDESIGNER
'2,2.1 ft (3O <ZJT*
g Nl R
D
D
D
D
D
The plans transmitted here'/it'i have ceen corrcctec vnere
necessary and substantially comply with the jurisdiction's
building codes
The plans transmitted herewith will substantially comply
with the jurisdiction's building codes when minor deficien-
cies identified are resolved and
checked by building department staff
The plans transmitted herewitn have significant deficiencies
identified on the enclosed check list and snould be corrected
and resubmitted for a complete recheck
The check list transmitted herewith is the jurisdiction's
copy for your information The plans are being held at
Esgil Corp until corrected plans are submitted for recheck
The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person
The applicant's copy of the cneck list has been sent to
^. U.g.fc.\ -H^
A Mo
Esgil staff did not advise the applicant contact person that
plan check has been completed, oruee. -TWAM to -a \\_\d 4, u\vr
/
Esgil staff did advise applicant that the plan check has
been completed Person contacted _
Date contacted
REMARKS
Telephone #_
BY ^ENCL
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PL<=>*•<>a
JURISDICTION OF
( ] APPLICANT COPY
( ] JURISDICTION
( ] PLAN CHECKER COPY
f ' ESGIL FILE COPY
TENANT IMPROVEMENT & INTERIOR ALTERATION CORRECTION SHEET
A.
B.
C.
D.
E.
F
G.
H
I.
J.
Plan Check Number
Site Address
Owner
--6, 6 S" — JT
Building Code Applicable_
Occupant Load
1982 U B C
Stories
Proposed Occupancy g -?,
Previous
Occupancy
Proposed
Type of Construction
Allowable Floor Area // /f
Sprinklers•
Actual
No
Basis for Area Increase
Rema r k s
Date Plan Submitted to Jurisdiction/^o Esqilrct
Date Initial Plan Check Completed 4/&Z?
Applicant Contact Person fZ0&zr
FOREWORD- PLEASE READ
Tel
MO ttsGTZJS
1.
2.
This plan check is limited to technical requirements contained in the Uniform
Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National
Electrical Code and State laws regulating energy conservation, noise attenuation
and access for the handicapped The plan check is based on regulations enforced
by the Building Inspection Department
You may have other corrections based on laws and ordinances enforced by the
Planning Department, Engineering Department or other departments For
information regarding those departments, please contact those departments
The items listed below require plan clarification, modification or change
All items have to be satisfied before the plans will be in conformance with the
cited codes and regulations Per Section 303(c), 1982 Uniform Building Code,
the approval of the plans does not permit the violation of any State, County
or City law
Please submit two sets of corrected plans and enclose a copy of this list with your
notes indicating where corrections were made i.e.t sheet, detail, etc...return corrected
plansand documents ONLY to the locations checked below:
Corporation at 9320 Chesapeake Dr., Suite 208, San Diego, CA, 92123
'f Telephone (619) 560-1*68
Lj^urisdict10'1 Building Department
V)
I
Iv
10/22/85
yt.
The responsible designer is required to sign each
sheet of the plans. A State-licensed Architect or
Engineer is required where there are structural
changes to an existing building or a structural
addition. (Business and Professions Code)
Provide the correct address and suite number of
tenant space on the plans. Section 302
Provide a note on the 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 ouilding will 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 in-
clude 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 distances from
the building to the property lines and the
location of tenant space (or remodel) within
the building.
• i
,.—t w^u
/•
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 total building area.
Specify on the plan title sheet the Building Code
Edition used for the design of the proposed work.
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 plan 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
walls, occupancy separation walls, shafts or
rated corridors Identify and provide con-
struction 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
i
Identify existing walls to be removed, existing
walls to remain and proposed new walls.
Identify bearing walls, non-bearing walls, and
shear walls.
OM TVMZ F PL.WVU
t-)«?ois>
ova.TO
"TP
«/*>N?.fY'-; W- ~
Provide a section view of all new interior
partitions. Show:
(a) Type, size and spacing of studs.
Indicate gauge for metal studs
Specify manufacturer and approval
number or indicate "to be ICBO
approved".
(b) Method of attaching top and bottom
plates to structure. (NOTE: Top or
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) Height of partition and suspended
ceiling
Provide notes and/or details to show that the
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.
Note on the plan "All interior finishes
must comply with Chapter 42 of the UBC".
Specify "class flame spread rating
(minimum) for
/injuL 'OPT V \
J
a*" •WKWVJJV -J'r'?-.-cg>'- ~i."-C_ ' r _" -" -''•"- --"^'--'y^Zg^rr "^- •• • •- _ n. ^^--^--y^^^^^^^^^^^^L^~'7^''^-^'^.^ii|TO^?^'
. - '•, ••' : ' >- ~ ' *> r^t-t'ri"f
X
X
Show exit corridors as 44 inches wide minimum. Dead-
end corridors are limited to 20 feet when more than
one exit is required from the corridor. Section 3305
Provide one-hour construction details for
all corridor walls and ceilings serving an
occupant load of 30 or more. Identify all
rated corridors Walls of reception rooms
and lobbies which are included within pro-
tected corridors must have walls and ceil-
ings constructed as required for corridors.
Protect all interior openings in corridor
walls and ceilings Door and frame must be
labeled 20-minute smoke and draft control
assembly with self-closers or automatic
closers with smoke detectors. Section
3305(h) Glazing must be 1/4 inch-thick
wired glass installed in steel frames and
cannot exceed 25 percent of the common
wall area. Section 3305(h)2.
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 4306(3)
Provide mechanical 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
TO U g
OUT "5
If the tenant improvement area will not have a
comfort heating or cooling system consuming more
than 5 BTU per hour per square foot, note on the
plan "Tenant Improvement area is not heated or
cooled more than 5 BTU per square foot and is
exempt from Energy Conservation Regulations".
If the tenant improvement area will have a
comfort heating or cooling system consuming
more than 5 BTU per hour per square foot, note
on the plan "Tenant Improvement must comply with
Energy Conservation Regulations".
If the tenant improvement area must comply with
the energy conservation regulations and the exist-
ing building was originally constructed in com-
pliance with the energy conservation regulations,
provide two copies of the original Energy Com-
pliance Documentation forms.
If the tenant improvement area must comply with
the Energy Conservation Regulations and the exist-
ing building was not originally constructed in
compliance with the Energy Conservation Regulations,
address the appropriate items that will follow.
i
If HVAC is to be installed, provide two sets of
energy conservation compliance forms 1, 2, 3, 4, 5
and 6. Title 24 Section 2-5312.
If HVAC is to be installed, provide two sets of
HVAC plans. Title 24 Section 2-5306.
.
/
If lighting is to be installed, provide two sets
of energy conservation compliance form 5.
Title 24 Sections 2-5343 & 2-5344.
If HVAC is to be installed, incorporate in the
plans or specifications, the attached "Title
24 Mandatory Requirements".
If HVAC is to be installed, the required energy
documentation required to show compliance with the
energy conservation requirements, is required
to be signed by the California licensed person
responsible for its preparation. Title 20
Section 1403(a)l.
If HVAC is to be installed, recent charges in the
regulations required specific signed construction
compliance statements be filed with the Building
Department prior to use or occupancy of the im-
proved area. Incorporate in the plans or
specifications the attached "Title 24-Construction
Compliance Statement Requirements".
Structural design calculations are required to
show code compliance if any of the following
conditions exist. Section 302(b):
(a) Alteration of existing vertical or horizontal
load carrying structure.
(b) Increase in live or dead loads on floors or
roof.
(c) Other
48 Submit complete one-line diagram of service and
feeders; show conduit and wire sizes; specify
aluminum or copper conductors and type of insulation,
Indicate sizes of fuses and/or circuit breakers.
Submit electrical load calculations and/or panel
schedules.
Indicate ampere interrupting capacities (AIC) of
service and subservice equipment. NEC 230-98/110-9
Add note to plans indicating:
a.
b.
All package A/C units shall be labeled by a
recognized electrical testing agency.
All light fixtures installed in suspended ceil-
ings shall be secured to the main and/or cross
runners with seismic clips unless installed in
accordance with other approved engineering.
c.All circuit breaker switched 120 VAC light
circuits, must use only type "SWD" circuit breakers,
NEC-110-3b
Indicate (aj existing building load, fl^F) added
building load per item 49, and (cTJ) size of existing
service when new service is notyrequired.
ESGIL CORPORATION
9320 CHCS VPCAKi: DH . SL'I FE 2O8
s VN I>II:GO. c v 92121
DATE
JURISDICTION
PLAN CHEC^ NO
PROJECT ADDRESS
PROJECT
5"~-Z~
&&S rtf&S
PLAN CHECKERnriLE COPY
Q UPS
Q DESIGNER
g' A/G/L.
— .
\ _ I
1 _ I
r~j
• — |
I _ I
The plans transmitted herewith have been corrected where
necesscry and suostc-ir.iall/ comply wita the jurisdiction's
building codes
The plans transmitted herewith will substantially complv
with the jurisdiction's building codes when minor deficien-
cies identified _____ _ are resolved and
checked by building department staff
The plans transmitted herewitn have significant deficiencies
identified on the enclosed cneck. list and should oe corrected
and resubrnitted for a complete recneck
The check list transmitted herewith is the jurisdiction's
copy for your information The plans are being held at
Esgil Corp until corrected plars are submitted for recheck
The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person
The applicant's copy of the check list has been sent to
, *2oo
1J
Esgil staff did not advise the applicant contact person that
plan check has been completed. Q~tv\ew_ TV\T% M «viy%iu .
Esgil staff did advise applicant that the plan check has
been completed. Person contacted _
Date contacted
REMARKS
Telephone
ENCL
ESGIL CORPORATION
JURISDICTION OF
TO;
167 V-(*
[ ] APPLICANT COPY
[ ] JURISDICTION
[ ] PLAN CHECKER COPY
[ ! ESGIL FILE COPY
TENANT IMPROVEMENT & INTERIOR ALTERATION CORRECTION SHEET
A.
B.
C.
D.
E.
Plan Check Number
Site Address g-
Own e r /?//.£>/2<S~*
-<& (a tT -~
Building Code Applicable_
Occupant Load /V/1-
1982 U B C
F. Proposed Occupancy & ~&,
G.
H.
I.
Stories_
Previous
.Occupancy $-2
Proposed
Type of Construction
Allowable Floor Area
Sprinklers es No
//. #Actual
Basis for Area Increase
J.Remarks
Date Plan Submitted to Jurisdiction^^"Esqil rZ>
Date Initial Plan Check Completed 4/e& 't/s7/fS Bvt -f
Applicant Contact Person/SgteTZT" /tf. M4iz0i*J<Sr Tel
FOREWORD•PLEASE READ £«Ji7lf MO etsGrz&
1
2.
This plan check is limited to technical requirements contained in the Uniform
Building Code, Uniform Plumtung Code, Uniform Mechanical Code, National
Electrical Code and State laws regulating energy conservation, noise attenuation
and access for the handicapped The plan check is based on regulations enforced
by the Building Inspection Department
You may have other corrections based on laws and ordinances enforced by the
Planning Department, Engineering Department or other departments For
information regarding those departments, please contact those departments.
The items listed below require plan clarification, modification or change
All items have to be satisfied before the plans will be in conformance with the
cited codes and regulations Per Section 303(c), 1982 Uniform Building Code,
the approval of the plans does not permit the violation of any State, County
or City law
Please submit two sets of corrected plans and enclose a copy of this list with your
notes indicating where corrections were made i.e., sheet, detail, etc—return corrected
plansand documents ONLY to the locations checked below:
(TJEsgil Corporation at 9320 Chesapeake Dr., Suite 208, San Diego, CA, 92123
Telephone (619) 560-1*68
Jurisdiction Building Department
10/22/85
The responsible designer is required to sign each
sheet of the plans. A State-licensed Architect or
Engineer is required where there are structural
changes to an existing building or a structural
addition. (Business and Professions Code)
Provide the correct address and suite number of
tenant space on the plans. Section 302
Provide a note on the 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 will 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 in-
clude 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 distances from
the building to the property lines and the
location of tenant space (or remodel) within
the building
On the first sheet of the plans indicate Type of
construction of the existing building, present and
proposed occupancy classifications of the remodel
area and the occupant load of the remodel areas
and total building area
Specify on the plan title sheet the Building Code
Edition used for the design of the proposed work.
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 plan 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
walls, occupancy separation walls, shafts or
rated corridors. Identify and provide con-
struction 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.
li
ferns' om TVMZ Fieoia.-rv\e
TO
Provide a section view of all new interior
partitions. Show
(a) Type, size and spacing of studs
Indicate gauge for metal studs.
Specify manufacturer and approval
number or indicate "to be ICBO
approved".
(b) Method of attaching top and bottom
plates to structure. (NOTE Top or
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) Height of partition and suspended
ceiling
Provide notes and/or details to show that the
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
Note on the plan "All interior finishes
must comply with Chapter 42 of the UBC"
Specify "class flame spread rating
(minimum) for
T
X Show exit corridors as 44 inches wide minimum. Dead-
end corridors are limited to 20 feet when more than
one exit is required from the corridor. Section 3305
yf.
Provide one-hour construction details for
all corridor walls and ceilings serving an
occupant load of 30 or more Identify all
rated corridors Walls of reception rooms
and lobbies which are included within pro-
tected corridors must have walls and ceil-
ings constructed as required for corridors
Protect all interior openings in corridor
walls and ceilings Door and frame must be
labeled 20-minute smoke and draft control
assembly with self-closers or automatic
closers with smoke detectors. Section
3305(h). Glazing must be 1/4 inch-thick
wired glass installed in steel frames and
cannot exceed 25 percent of the common
wall area. Section 3305(h)2
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 4306(3)
Provide mechanical 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
TO u '.SAjT"-<vngo
If the tenant improvement area will not have a
comfort heating or cooling system consuming more
than 5 BTU per hour per square foot, note on the
plan "Tenant Improvement area is not heated or
cooled more than 5 BTU per square foot and is
exempt from Energy Conservation Regulations".
If the tenant improvement area will have a
comfort heating or cooling system consuming
more than 5 BTU per hour per square foot, note
on the plan "Tenant Improvement must comply with
Energy Conservation Regulations".
If the tenant improvement area must comply with
the energy conservation regulations and the exist-
ing building was originally constructed in com-
pliance with the energy conservation regulations,
provide two copies of the original Energy Com-
pliance Documentation forms.
If the tenant improvement area must comply with
the Energy Conservation Regulations and the exist-
ing building was not originally constructed in
compliance with the Energy Conservation Regulations,
address the appropriate items that will follow.
i
If HVAC is to be installed, provide two sets of
energy conservation compliance forms 1, 2, 3, 4, 5
and 6. Title 24 Section 2-5312.
.40 j If HVAC is to be installed, provide two sets of
HVAC plans. Title 24 Section 2-5306.
4^.
If lighting is to be installed, provide two sets
of energy conservation compliance form 5.
Title 24 Sections 2-5343 & 2-5344.
If HVAC is to be installed, incorporate in the
plans or specifications, the attached "Title
24 Mandatory Requirements"
If HVAC is to be installed, the required energy
documentation required to show compliance with the
energy conservation requirements, is required
to be signed by the California licensed person
responsible for its preparation Title 20
Section 1403(a)l
If HVAC is to be installed, recent charges in the
regulations required specific signed construction
compliance statements be filed with the Building
Department prior to use or occupancy of the im-
proved area. Incorporate in the plans or
specifications the attached "Title 24-Construction
Compliance Statement Requirements".
Structural design calculations are required to
show code compliance if any of the following
conditions exist. Section 302(b).
(a) Alteration of existing vertical or horizontal
load carrying structure.
(b) Increase in live or dead loads on floors or
roof.
(c) Other
48.
ELECTRICAL
Submit complete one-line diagram of service and
feeders, show conduit and wire sizes, specify
aluminum or copper conductors and type of insulation.
Indicate sizes of fuses and/or circuit breakers.
Submit electrical load calculations and/or panel
schedules.
Indicate ampere interrupting capacities (AIC) of
service and subservice equipment. NEC 230-98/110-9.
Add note to plans indicating
a. All package A/C units shall be labeled by a
recognized electrical testing agency
b.All light fixtures installed in suspended ceil-
ings shall be secured to the main and/or cross
runners with seismic clips unless installed in
accordance with other approved engineering.
c.All circuit breaker switched 120 VAC light
circuits, must use only type "SWD" circuit breakers
NEC-110-3b
Indicate j^J existing building load, (jS) added
building load per item 49, and (c]) size of existing
service when new service is not/required.
t/
Prepared by:
Jurisdiction
VALUATION AND PLAN CHECK
Bldg. Dept.
Esgil
PLAN CHECK NO.
BUILDING ADDRESS 2-2 7O £a3/7?d<> t^ootZTT-"
APPLICANT/CONTACT {€o0&2r M?fZ0/ti6 PHONE XQ .C*J3') S3 Z "3870
BUILDING OCCUPANCY ^-2 fa/>) '
TYPE 0? CONSTRUCTION //-A/
BUILDING PORTION
L^^- //<?&&7~
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Air Conditioning
Commercial
Residential
Res or Comm
Fire Surirklers
Total Value
BUILDING ARZ.A
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{W**- £*>-/•?•*.}
S/fDa<r' } &£?<
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DESIGNER PHONE "
CONTRACTOR
VALUATION
T'ULTIPLIE'
27 X°
PHONE
VALUE
- 4 5-^2-5"
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Fee Adjusted To Reflect 0 Energy Regulations (Fee x 1 1)
Q Handicapped Regulations (Fee x 1 065)
Building Permit Fee $
Plan Check Fee $ / Q O ' / ^
COMMENTS
8/4/a?
^'BARNEY FIELDS ELECT! a c
, P O. Box 1823 ....... .
vV«taf Qa. 92083
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DOCUMENTATION FORM
BUILDING LIGHTING COMPLIANCE
BARNEY FIELDS ELECTRICp o BOX 1823 Form R
Vista, Ca 92083 & Contractors # 440430
Project Title
Location •2**- /O
Project Designer
(619) 726-1631
])*>$•*?*'
S#t*S (?r.
Documented by .
Date.
Checked by.
Date.
Room
No
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LOCATION
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THE CALIFORNIA NON-RESIDENTAIL
ENERGY CONSERVATION STANDARDS
HAVE BEEN REVIEWED. THE DESIGN,
DRAWINGS AND CALCULATIONS COMPLY
SUBSTANTIALLY WITH THESE STANDARDS
PRIDE-AIR MECHANICAL
1931 COMMERCIAL STREET
ESCONDIDO, CA., 92025
LIC. #^38301
TO A
' Professional Results In Daily Efforts"
1931 Commercial TELEPHONE
Escondido, Cal 92025 (619) 743-6055
ATTENTION
JOB NO
^
GENTLEMEN
WE ARE SENDING YOU B-Attached D Under separate cover via
D Shop drawings
D Copy of letter
COPIES
I
DATE NO
D Submittals D Plans D Samples D Specifications
D Change order ^8C 1 mUET 2-^- C-— A^t-^Ut— AsV~tOi^ i
/-
DESCRIPTION
*~ I ^ ^y ^**' ^T^^"T^^^ff. fcA A £ -- i — """^ ^^^\ f ~~ f % <^^ JMwVX^^^> I _^^^^f
THESE ARE TRANSMITTED as checked below
D For approval
D Eor your uses/\,t>A> requested
D For review and comment
D For correction
D Fdr information
D For resubmittal
D
REMARKS.
COPY TO.
iilUNbU
BUILDING DA1A f OHM
BUILDING ENVELOPE COMPLIANCE
Form 1
Project Titlfl *— "•"fefE^VT% \J ,
Location O-ARUt)"®**
/
Project Designer 4spWA^
SITE DESCRIPTION
BLDG DESCRIPTION
Wall
Roof
£ MA.ll I— -feS-w^s, Ni ( \ ^.SS \^ \ J-^/C V*> CLx. \^C^
'n , i*^\!SrI"* ' i iv A fr^ i *h. ^^ /~^* «»y«y*£i'' & - •- j _/*• tt i- TTT»pH^|rsJU«» . • / .- ~3F ja^v^^ri /
' £-20
Location Code Number (from Table 2 of Appendix 1)
Latitude
Degree Days heating (from Table 2 of Appendix 1)
SF, Solar Factor (from Fig 41 17 or Table 2 of Appendix
AT, ASHRAE design temp - 78° (from Table 2 of
Appendix 1)
Occupancy Type Code Number (from Table 1 of Appendix
Gross heated floor area sq ft
Number of floors
Ground Floor Perimeter, ft
Longest diagonal dimension at ground floor, ft
Height ft
Record the detailed materials data on the Materials Data Fc
Surface Areas
Total Aovv LI
Heat Transfer Coefficients (see Section 4 1 8)
wmtsr
(heating)
summer
(cooling)
Shading coefficient of glass (from Table 3 of Appendix 1 )
Weight of Wall Construction Ib/ft2
Mass Correction Factor (from Fig 4 1 16)
Equivalent Temperature Difference (from Fig 4 1 16)
Surface Areas
Total
% skylights
Note If Line 29 /s 5% or greater automatic light sensitive
switching systems are required in the area lighted by sky
light
Enter the difference between line 27 and 5% of lino 28 or
zero whichever is the greater
Enter the sum of line 26 and line 30
DocumontflH by ^^rjP* — •
nntp \-\'5'-%£t>
Checked by _
Pate
IT1
? ^V*. I
1\ A I"2.2..T
D R <£>5~"4-
p \
Q 1 4°
in d^r|
11 ^ *
>/ro Form 2
opair'fl wa'l 1' I Ip I
window 13 f?'rC-'\ .
Artnnr 14 — ^~
,n. 17 + 1.1 + 14 15 JfO^
U^n 1fi -0&
Un^or 1fl •
u^ ia •«??>
II 9O | Ot^sr
Udo^r 91 '
SO ?? , 6"S~
w 93 *7. $£
MI-F 94 I CO
TO 7S 44-eg
opaque roof 76 IS?^^ ...
A5kyhght ?7
Aor (26 *• 27) 2R If^
(27/28) 29 — ' ~"~
^n ____
31 IfK)
(Illll OINO DATA milM - HtllLDINn PNVf I OI'F rOMI'l lAMrr iin 7 nl form 1
PROJCCTTITLC
Heat Transfer Coefficients (See Section 4 1 8)
winter
(heating)
summer
(cooling)
Shading Coefficient of skylight (from Table 3 of Appendix 1)
Mass Coefficient (from Fig 4 1 16)
Absorotance ffrom Fid 41 1fi)
Floor
bnaamg ooenicient or sKyngnt
Mass Coefficient (from Fig 4 1
Absorptance (from Fig 4 1 16)
Floor Area over unheated space
U value for floor
HEATING DESIGN CRITERION
Standard Uow (from Fig 4 1 2}
Standard Uor (from Fig 4 1 3)
Standard Uof (from Fig 414)
Maximum allowable Uo (from Fig 4 1 1)
Proposed Uow (from Fig 4 1 7)
Proposed Uor (from Fig 41 10)
Proposed Uof (from line 40)
Proposed Uo (from Fig 4 1 1)
Note UQr is calculated from the equation of Fig 4 1 JO for
the proposed building using the value from line 30 for the area
of skylights and the value from line 31 for the overall roof
area Aor
COOLING DESIGN CRITERION
Standard C-nVw (from Fig 41 15)
Standard OTTVr (41 x line 44)
Standard OTTV (from Fig 4 1 13)
Proposed OJTVW (from Fig 4 1 14)
ProposedOTTVr(from Fig 4 1 14)
Proposed OTTV (from Fig 4 1 13)
Note OTTVr for the proposed building is calculated from
the equation of Fig 4 1 14 using the value from line 27 for the
area of skylights, and the value from line 28 for the overall roof
area AQr
"roof 32
L'skylight 33
Ur 34
U, 35
SCS 36bUS JO
Me 37 1
Ac 38 *\ »
Aof 39
U0f «°.
43.
44.
45.
46.
47.
48.
49.
50.
Line 50 must not
exceed line 46
51
4.)
54
Lino 56 must not
exceed line 53
MATERIALS DATA FORM
BUILDING ENVELOPE COMPLIANCE
Project Title
Locatio
Project Designer
Form 2
Wall Wall Type 1
Weight of wall construction Ib/ft2 (see Sec 4 1 8)
Heat Transfer Coefficient (see Sec 4 1 8)
Surface Areas (attach sheets to document any additional
compass orientations)
W1
U1
Orientation
Area
Orientation
Area
Orientation
Area
Orientation
Area
1 A? *O
9 • °&> .
& 5""S~"3
R £Z»**>£i[L
fi 14*' 1
ft )i~b
g
m
Wall Type 2
Weight of wall construction, Ib/ft^
Heat Transfer Coefficient
Surface Areas (Attach sheets to document any additional
compass orientations)
U2 12
Orientation 13
Area 14
Orientation 15
Area 16
Orientation 17
Area 18
Orientation 19
Area 20
Wall Type 3
Weight of wall construction, Ib/ft^
Heat Transfer Coefficient
Surface Areas (Attach sheets to document any additional
compass orientations)
W3 21
U3 22
Orientation 23
Area 24
Orientation 25
Area 26
Orientation 27
Area 28
Orientation 29
Area 30
MATERIALS DATA FORM - BUILDING ENVELOPE COMPLIANCE
PROJECT TITL{
Page 3 o( Form 2
Roof
Glass Type 4
Shading coefficient (from Table 3 of Appendix 1 or mfrs data)
Heat Transfer Coefficient (from mfrs data)
Surface Areas (Attach sheets to document any additional
compass orientations)
Orientation
Area
Orientation
Area
Orientation
Area
Orientation
Area
71
72
73
74,
75|
76
77
78
79
80'|
Roof Type 1
Weight of roof construction, Ib/ft^ (see Section 4 1 8)
Heat Transfer Coefficient (see Section 4 1 8)
Surface Area (Attach sheets to document any additional roof types)
Skylight Area
Skylight Shading Coefficient (from Table 3 of Appendix 1)
Skylight Heat Transfer Coefficient (U value)
81
82
83
84'.
85
Floor Floor Type 1 (floors over non air conditioned spaces only)
Weight of floor construction, Ib/ft2 (see Section 418) 87
Heat Transfer Coefficient (see Section 418) 88
Surface Area (attach sheets to document any additional floor types) 89
Doors
Surface Area
Heat Transfer Coefficient (U value, see Table 4 of Appendix 1)
90
91
HCAT TRANSFER COEFFICIENT
PROPOSED CONSTRUCTION ASSEMBLY
Form 3
Sketch of Construction Assembly
WEIGHT ^ <? |b/ft2
Check one
Wall
Roof
Floor —
List of Construction Components
2 £/ \NiSO<~ATiefJ
6
7
8
Inside Surface Air Film
Outside Surface Air Film
Total Resistance R
U Value (l/Rt)
cooling heating
cooling heating
cooling heating
cooling heating
HEAT TRANSFER COriTICIENT
PROPOSED CONSTRUCTION ASSEMBLY
Form 3
Sketch of Construction Assembly
WEIGHT Y 3> |b/ft2
Check one
Wall
Roof
Floor
List of Construction Components
> H
'3
4
5
6
7
8
Inside Surface Air Film
Outside Surface Air Film
Total Resistance Rt
U-Value (l/Rt)
cooling
25"
cooling
cooling
heating
heating
1111
heating
cooling heating
42-^*u.
40
-V-
&€>"?
*7g>0 (J
<r4 v- 4-4- v- -3-^0 ^ IT.-?, i v-
4j
rrJ
DOCUMENTATION FORM
HVAC SYSTEMS COMPLIANCE (Complete for each system)
Project Title
Location
Project Designer
Form 4
t'Cd vO AI--S fell
DESIGN CONDITIONS
Building occupancy type (Table 1 of Appendix I)
Project Latitude (Table 2 of Appendix I)
Heating Degree Days (Table 2 of Appendix I)
HEATING LOAD DOCUMENTATION (Attach calculations)
Outdoor Design Temperature, Winter, °F
Wind Speed, mph
Wind direction
Indoor Design Temperature, F
Temperature of adjacent unheated spaces, °F
Transmission Heating Losses, Btu/hr
Infiltration Air, CFM
Heat Loss From Infiltration, Btu/hr
Ventilation Air, CFM
Heat Loss From Ventilation, Btu/hr
Outdoor Air for Special Processes, CFM
Heat Loss from Process Air, Btu/hr
Other Heat Losses (describe), Btu/hr
Heat Gam from Lights, Equipment, People, etc i Btu/hr
Total Heat Losses, Btu/hr
•5-0
COOLING LOAD DOCUMENTATION (Attach calculations)
Outdoor Design Temperature, summer, dry bulb, °F
Outdoor Design Temperature, summer, wet bulb, °F
Indoor Design Temperature, °F
Transmission heat gam, Btu/hr
Infiltration Air, CFM
Heat Gain from Infiltration, Btu/hr
Outdoor Air for Special Processes, CFM
Heat gam for process air, Btu/hr
Solar Heat Gam Through Windows, etc , Btu/br
Heat Gain from Other Sources, Btu/hr
S f
Total Cooling Load, Btu/hr
2 of Form 4
TEMPERATURE CONTROL
Attach manufacturer's data or other, give specification or drawing reference which shows in detail the following information
REFERENCE
(page or sheet #)
• capability to sequence heating and cooling -*"—?—-—
• temperature control device set point limits -r—
• temperature set point range between full heating and full cooling -j-
• setback and shutoff controls -
capability to terminate heating at 70°F and cooling at 78°F 4r-
Indicate drawing or specification reference where the temperature control device requirements given below are documented
An automatic temperature control device shall be provided for >/
• each separate HVAC system — ^ —
• each zone -
SIMULTANEOUS HEATING AND COOLING
The following requirements apply to the use of new energy and need not be complied with when recovered energy is used to
control temperature
In each case, when resetting hot and cold deck temperatures, on representative zone may be chosen to represent no more than
ten zones with similar heating or cooling requirements
Concurrent operation of independent heating and cooling systems serving common spaces must provide either or both of the
controls given below List reference specification page or drawing number where control requirements can be verified
REFERENCE
• Sequential temperature control of heating and cooling systems
• Automatic reset of heating temperature, to limit energy input only to that level
to offset heat loss due to transmission and infiltration
Reheat systems — give reference specifications page or drawing number which will show compliance with the following
when reheating 20% or more of the total air in the system
• When serving multiple zones, controls must automatically reset the cold air
supply to the highest temperature level of the zone requiring the most
cooling —
• Single zone reheat systems shall be controlled to sequence heating and
cooling
Pago 3 of Form 4
, Dual duct or multizone systems - give reference specifications, page or drawing number which will show compliance with
the following
REFERENCE
• Hot deck temperature — must be automatically reset to the lowest
temperature necessary to satisfy the zone requiring the most 4
heating -/-—
• Cold deck temperature — must be automatically reset to the highest /
temperature necessary to satisfy the zone requiring the most * J
cooling
Receding systems — give reference specifications page or drawing number which shows compliance with the following if
recoolmg 20% or more of the total air in the system
• Controls must automatically reset the temperature of heated
supply air to the lowest temperature necessary to satisfy the /
zone requiring the most heating -f-
HVAC SYSTEM RESTRICTIONS & SPECIAL REQUIREMENTS
Several HVAC System types have special requirements or restrictions In this section, the type of system used in the design
must be listed and any special restrictions given here referenced to show compliance Supply references to proper specifi-
cations or drawing page numbers
Type HVAC Systems Used - List type of system to be used here (include all systems for heating or cooling in the building)
include reference for specifications for each system f
ui *jj
Constant volume reheat system — when serving both interior and exterior zones — separate cooling coils are required if the
exterior zone exceeds 20% of the total air quantity through the cooling coil
REFERENCE /
P*O« 4 of P orm 4
DUAL DUCT AND MULTIZONE SYSTEMS
/
Constant volume duct or multizone systems which utilize new energy to simultaneously heat and cool air streams which
are subsequently mixed for temperature control are prohibited for buildings larger than 20 000 square feet of conditioned
space If used the air leakage for dampers utilized for the mixing of heating and cooling air shall be limited to a maximum
leakage of 3% of the total air quantity handled by the dampurs when operating at the maximum system pressure to which
the dampers will be subjected Manufacturer's label or nameplate shall state leakage rates
REFERENCE
Economizer Cycle — For each cooling fan system for other than dual duct or multizone systems, which serve zones
having total cooling capacity greater than 134,000 Btu/hr or more than 5 000 CFM must have an economizer cycle un
less one of the exceptions allowed is claimed
REFERENCE
Electric Resistance Heating Systems — These systems shall not be used unless the total electric resistance heating installed
capacity is less than 10% (ten percent) of the total building space heating capacity or a life cycle cost analysis. Form 8
(see Section 4 2 of this manual) shows an alternate system life cycle cost exceeds that of the electric resistance system
Give reference if less than 10% or include Form 8 if calculating life cycle cost
REFERENCE
^
MECHANICAL AND GRAVITY VENTILATION
Mechanical ventilation - Dampers which are automatically interlocked and closed on fan shutdown are required
i
REFERENCE
Gravity Ventilators - Either automatic or readily accessible manually operated dampers must be provided for all open
ings to the outside with the exception of combustion air openings
REFERENCE
POWER CONSUMPTION IN FANS
Constant volume system
Total Supply Air Quantity, CFM
REFERENCE
Total Pressure of Supply Fans, Inches of Water ,4-
Total Supply Air Quantity Adjusted for Process Loads, CFM -
Net Fan Performance Index (FPI) f / /
Variable volume system
Total supply Air Quantity at Maximum Flow, CPM
Total Pressure of Supply Fans at Maximum Flow Inches of Water
P»0» 6 of Form 4
POWER CONSUMPTION IN FANS (continued)
Fan Performance Index at Maximum Flow (FPIm), CFM -f—
Variable Volume Adjustment Constant -f-
Adjusted for Performance Index, FPIa 4-
PIPING ANb DUCT INSULATION AND DUCT CONSTRUCTION
References to the piping insulation, duct insulation and duct construction requirements presented in Section 4 2 of the
Energy Conservation Design Manual must be given below
i .1
REFERENCE U^6""- 1 i'**"
DOCUMENTATION FORM &
HVAC EQUIPMENT COMPLIANCE
Form 6
References giving the specification page or drawing sheet number or manufacturer's data must be submitted to demonstrate cor
pliance with Division 6 of the standards
ELECTRICALLY OPERATED COOLING
SYSTEM EQUIPMENT
Standard rating capacity, Btu/hr
Minimum EER (COP)
Reference
ABSORPTION WATER CHILLING
COOLING SYSTEM EQUIPMENT
Heat source (check one)
Direct fired (gas oil)
Indirect fired (steam-hot water)
Minimum EER (COP)
Reference
COMBUSTION HEATING EQUIPMENT
(Oil and gas fired comfort
heating equipment-
Minimum combustion efficiency at
maximum rated output
Reference
ELECTRICALLY OPERATED HEATING
HEAT PUMPS
Minimum EER (COP)
Reference
Supplementary Heater Control
Reference
ELECTRICAL RESISTANCE SPACE
HEATING EQUIPMENT
REFERENCE FOR FULL LOAD ENERGY
INPUT AND OUTPUT
REQUIREMENT FOR MAINTENANCE FOR MANUFACTURER'S MAINTENANCE AND.
FULL AND PARTIAL CAPACITY AND STAND BY INPUT(S) AND OUTPUT(S)
SPECIFICATION REFERENCE
Nurnberifrl& ArOaxftcrrig Mater <0t Air Conditioning Load Estimate
SHEET DATE 1 2. - 4- " ft ^
PREPARED BY
NAME OF JOB
LOCATION
"F^ltsE
<£.E.crA-n J G
AviJZ. W^e^-U
f-i^lL- t>E^.l<^lN,l
*,C> cLJ<
SPACE USED FOR £'r?&../~-i'«=;T2-*\t— £^{=-f=\i — £•
SIZE
HEM
y GLASS
GLASS
GLAbb
Gl ASS
SKYl IGHT
X
AREA OR
QUANTITY
f~}&^y SOFT X - CUF1
SUN GAIN OR FACTORTEMP DIFF F*CTOR
SOLAR GAIN - GLASS
4(0(2 SQFTX grj X ,£,£?
SO FT X X
SQ FT X X
SQ FT X X
SOFT X X
SOLAR & TRANS GAIN - WALLS & ROOF
WAIL C^J-O SOFTX \(0 X ^f^rjj^
WALL
WAI L
WALL
SO FT X X
SOFT X X
SOFT X X
ROOf SHADED SQ FT X X
TRANS GAIN - EXCEPT WALLS & ROOF
ALLGLAbS
PARTITION
CEILING
FLOOH
^•(sO SOFTX | OLf x [^
SO FT X X
'/'&& SO FT X j£-O x . | O
SQ FT X X
INHLIHATION CFM X X 109
PtOPlE ^
POWE H
LIGMIS
INTERNAL HEAT
s~ X £**£?
HP OR KW X
/fOO WATTS X 34
APPLIANCES ETC
ADDITIONAI HEAT GAINS
X
X
SUB TOTAL
STORAGE SO F T X X ( - )
SUB TOTAL
SAFETY FACTOR
*ROOM SENSIBLE HEAT IRSHl •
SUPPLY DUCT
HbAI GAIN
OUTDOOR AIR
„ SUPPLY DUCT FAN
% lEAKLObS HP *"
£~O CFM X |^)FX /OBFX109
EFFECTIVE ROOM SENSIBLE HEAT (ERSHl •
LATENT HEAT
INHLIHATION CFM X GR/LB X 0 68
PEOPLE
STEAM
(-£>
x /") 0
LB/HR X 1050
APPLIANCES ETC
ADDI1IONAL HEAT GAINS
VAPOR TRANS SQ FT X 1/100 X GR/LB X
SUB TOTAL
SAFETY FACTOR %
ROOM LATENT HEAT [RLHl
sum Y DUCT
OUTDOOR AIR
.EAKAGE LOSS %
5~£> CFM X 2. ^ GR/LB / »BF X 0 68
EFFECTIVE ROOM LATENT HEAT [ERLHI
EFFECTIVE ROOM TOTAL HEAT (ERTHl •
bfcNSIBIE
1 AIENT
HE TURN DUCT
III.AI liAIN
OUTDOOR
CFM X
CFM X
%HSH +
HtTUHN AIR OH BLOW THRU FAN
IjllANI) KMAI MbAI
1 1 i^l II 1 Mllll 1
AIR HEAT
F X (I- BFI X 1(M
r,H/i H v |i RF| x Ofifl
RETURN DUCT
1 EAKAGE GAIN %RSH
HP X 2645
lUllll (III UUIMIMIDICIkll IUAII •
PIPINr' MUMHI A) (IAIN ""
III I'lllfllillA MOM 1 IIAH •
BTU/HOUR
K
1
n
/
/
v&
OVL.
&0\
c^tfO
*>00
\1~0
£00
(U O
/fit
ffi/JT
ESTIMATE
FOR *==
OFFICE
PROP NO inn NO
APPROVED
^f'\Jl~~i.\ QjoCAtTIMe~}PeAK LOCAL TIME
b P»V\ SDNTTME ' LOAD SUN TIME
EQUIPMENT OPERATION HOURS/DAY ~~~
CONDITIONS OB WB %RH OP GR/LB
OUTDOOR IOA) "-^ ^- 1 O
ROOM (RMt *J £Ly
DIFFERENCE (^ XXX XXX XXX
Venn
lalion
Indl
iration
ESHF
ADP
Dahum
RIM
Dahum
dm
Outlet
Temp
Ditt
Supply
Bypatl
Clm
OUTDOOR AIR
PEOPLE X . C>=M/PFRSON -
SO FT X PCM/SO FT -
CFM VENTILATION •
SWINGING
REVOLVING DOORS PEOPLE X CFM/PERSON -
OPEN DOORS DOORS X CFM/DOOH -
EXHAUST FAN
CFM INFILTRATION •
CFM OUTDOOR AIR THRU APPARATUS • CFM,,..
APPARATUS DEWPOINT & DEHUMIDIFIED AIR QUANTITY
EFFECTIVE
SFNSIHIF - . ERSH
HEAT FACTOR ERTH
INDICATED ADP - F SFIECTEDADP- F
(1- BFI X (TD1. F T ci -
ERSH
1 09 X FDEHUM RISE °A
SUPPLY AIR QUANTITY
RSH
109 X - CFMDA -nnM-OUTLCrAIHC
RSH
mi u - r-.eurFOESIREDDIFF
_ CFM5A revnA " "Mn
•IF THIS AT IS TOO HIGH DETERMINE SUPPLY CFM FOR DESIRED DIFFERENCE BY SUPPLY AIR QUANTITY FORMULA U"INtU ull-fEH
RESULTING ENT & LVG CONDITIONS AT APPARATUS
CFMOA
— F * ,,-. X IT,-,,. F _ T-,.. FI _ T r
TAI-IP F •» BF X (Trnn F f FI - T r
FROM PSYCH CHART TF1Bin F TLWB F
tWHEN BY
WHEN BYPASSING A MIXTURE OF OUTDOOR AND RETURN AIR USE SUPPLY CFM
PASSING RETURN AIR ONLY USE DEHUMIDIFIED CFM l-'l-l-M
NOTES
/,/<, j=JT ~^~) ~7~0/*J flsdlM .
l~oc-AT-«o*O aT^.*^
AT
AT BTTO
•2. M
O,^ A.5-0 105*4-
-1
BrO H-
1200 ELM AVENUE
CARLSBAD CA 920081989
Office of the City Engineer
TELEPHONE
(619) 438 5541
Citp of Carlsbab
DATE
Jack Thomas
County of San Diego
Department of Public Works
Building 1, Operations Center
5555 Overland Avenue
San Diego, CA 92123
INDUSTRIAL WASTE PERMIT APPLICATION NO.
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
appreciated prior to the issuance of a waste disposal permit.
DONALD E DONOVAN
City Engineer
Enclosure: Application No.
cc Building Department
Dave Sautter, Enemas Plant
Arnie Wing, Dept. of Health Services
DED:JM-lch
.1-1 -vffe
Application: New
(Check One)
APPLICATION FORM FOR INDUSTRIAL WASTE DISCHARGE PERMIT
CITY OF CARLSBAD
___ Application No.
Industrial ClassRevised
Date
By.
:ure of City Representative
APPLICATION FOR INDUSTRIAL WASTE DISCHARGE PERMIT
A. GENERAL: - _. A/ v / /7e " * ~Lv\t
Applicant /&w\ words-froi^ Address 33~70 Co^isnoS C4~
(Owner, Lessee, Tenant, etc.)
Phona(Applicant's Address) • '
Type of Business:
(J v
B. INDUSTRIAL WASTES AND PROCESSING:
General description of chemical and physical characteristics of existing
^>*--~0~+~--•& ^£~G—"fco^ ,proposed waste_
General description of process, (If applicable)J^~JJjZ:
C. WASTES TO BE DISCHARGED TO SEWER:
Waste Treated,
(Check One)
Untreated
Applicant or Representative of Firm_
Title
Signatured
Quantity: Average . D3 GPP
(Daily)
Max iroum . OT~ G P D
(Print)
Dates /- 7-