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HomeMy WebLinkAbout2310 FARADAY AVE; ; CB931101; Permit{]fi-fl.l-/?00 12/09/93 13:59 Page 1 of 1 B U I L D I N G P E R M I T Permit No: CB931101 Project No: A9301548 Development No: Job Address: 2310 FARADAY AV Suite: Permit Type: INDUSTRIAL TENANT IMPROVEMENT Parcel No: 212-061-30-00 Lot#: Valuation: 179,000 -, Construction Type: VN Occupancy Group: B2 Reference#: ~--~ ~ .. T Status: ISSUED·· Description: 7985 SF OFFICE/3455 SF WAREHSE Appl/Ownr : CSI GENERAL 619 145 VALLECITOS DE ORg_...#.F-·--- SAN MARCOS , CA 9 2,0'6"9 -~ Applied: Apr/Issue: Entered By: 432-6677 10/08/93 11/18/93 DC /' r;··:-i ",. *** Fees Required **"* __ (c.-..**\c 1!!1Fl~ (;olJ,.ected & Credi ts *** --------Fees:-------3 ,;6:o. ;;(j-:)J\~ ---~<Y '· ::\1"'({1 <r;;~\ -------------------- Adjustments: / (\. 00'"//,':;2:.;,.. Tota,l c:iedi'ts ~ . 00 Total Fees: 14, 0·s:o~;--O o1 / "";?}/,.. iS::-C'a1 ,P~yriie~s: \ 3, o 2 o. o o ", ,,) ? JI'(\;"-'-'"' '-\ '-_/ ( \ I /_;::,,-... · 1 ~ ~ Balari'9e-;,zD_1.,1e: \ 3 0. 0 0 Plan Check l . \ ~ , ,;.c 1 -595.00 Strong Motion Fee\ , A -~-~' j 38. 00 Enter Number of ED{-1' s -wh -~r ~ , 1 J ~5 1 600. 00 ~ (Licen~-~ ~tl~~\~ ~ ~-o,} / 296. oo . (Li\c Tx CFD\.fu,ni;t!) ·'fi,.:C.--~~ / 274.00 \ "' I , \ u, / Other · //: < .J 1r1~oRPORATE:O 3 O • 9.0 / 3 O • O O REINSPECT * BUILDING TOTAL \ ~:..._ /> ·"'-,...,__ 1;r __ //, ('. , 2749.00 Enter "Y" for P~umbing,,,Is'~µ,e/fee_ -~),.;, ... --·., .. '"·,,\\\\ ~ 20.00 Y Each Plumbing Fixture or,Tra,i:(/ 1/f(:, o\\\1~> / 7.00 105.00 Each Building Sew~r ""'", .. ,) (; [l >'.:::: -'1 /,,/ 15.00 15.00 Each Install/Repair Water L:rn~ > · .,r· 7 . o o 7. o o Each Water Heater and/or Vent 1 7.00 7.00 * PLUMBING TOTAL 154.00 Enter 11 Y11 for Electric Issue· Fee > 10. 00 Y Remodel/Alter Per AMP > 400 .25 100.00 * ELECTRICAL TOTAL 110.00 Enter 'Y' for Mechanical Issue Fee> 15.00 Y Install Furn/Ducts/Heat Pumps > 1 9.00 9.00 Each Exhaust Fan > 2 6.50 13.00 * MECHANICAL TOTAL 37.00 · ·---Fl NAL AePiROVAL INSP .. 5€! fi~TE ___ , CLEARANCE _____ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ~~· :: lj. ,_:I\ l' /.~1 JI :_t_ t=-:,· .~-~ : ,.l, _.: ··:,·: 1: :· "~ I,_, , . l:: r 1)cCV.£J:"tU(_·~1 ,~..;i_ 1.1t.lf1: [>1?.:,c.cir,t1on: 7?-::::, .:-F OFfI1_·:::,/ CSl GE:%i:"'..'-1L :: ~-:, VhLLE(' 1• ros r>2 o:.:.c-,'J:'-~- s1-~ .. r ;''iilt,F~C(,f,, ::A \1-:·f''ii:-i~j \ ,_, . .. ,t. ·-.", fee:::: :1., J 1113 trn-2n i: :~: : :Sui l,_S..:t. r1,J f·,=-r ;i: -t~ ! ' _: ,_Hr Ch'=' C Jz (,f E:1_.'Ill!L~(~ ~'.(,r,--;:.,1, :::, ;t:-,, .. ,-' '1 " t ,:,·c P ;_ urnb i n·:0· :•' :-:. ::: l~:..',· t= · h,, L:,•::-!t ~-:.u~c.bin•J f1:-~tun::-1.::: ':':Cf-{1:, Sci~~;: (11., 1 J.,): ri1J ~~ 1?\·~11:-.L° 'E3Clt ~r1st.=tll/f~c?t:ia.ir t'J-:~ti?c ~.;:. -~ £,::1,-.. :: v~· :·1 ti:'_(-Hr~·=l t,:,r. :ir!-.1,'~_lt \tent~ 1,r_.:_1> ·:E' ~1-!t] ':i. ()Y'f AL ::::tt(:·_~ 1·~,1· ~;;;~~>1-z_:_ect1·1c I:::su,::· F\:·t=· R0m0~el·hlte£ Per ~1P EL:::'.CTitIC1\L '?uTl\L Ent.?r 'Y' for Nech,:inic-.:,1 1.-:-:-.:.,,:, ft=-,;;·> lri::; t,:Lll Ftu.:n/[1uct S /H<?,::, I_ Pun,r•:; Each E:~hauzt Fan \ i•,r;('I·rnj,j_l>_'A.L TO':':'AL •,, I• -• '.:tl: t = : I' ? . :; I) 1 ': • 1, n 7 ') :· ~t !! :_· -, ,.._ ''l q, ,-: ~~ -:'·-:,, ,-.. -· . ,::...( 7 ,,,, 7 "'' •' .1. l~,~. :i .• I J,' \' ' ' . ~_,._. ..'.. ~: • ! ) ' ·, ' : l ! : APPROVAL iNSP. _,____ DATE 1~J7;A1 CLEARANCE _____ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ~~ oH~lo5 \ PERMIT APPUCATION PLAN CHECK NO. City of Carlsbad Building Department 2075 Las Palmas Dr., carlsbad, CA 92009 (619) 438-1161 VAIID.BY _______ .....,'-,1.:1::;.,-,,,;-. 1. PERMll 1YPE DATE. __________ -'-"...,_...,,_..,- A -Ji Commercial D New Bmldmg pit Tenant Improvement B -D Industrial D New Building D Tenant Improvement . C -D Residential D Apartment D Condo D Single Family Dwelling D Addition/ Alteration D Duplex IKDemolition D Relocation D Mobile Home D Electrical D Plumbing D Mechanical D Pool D Spa D Retaining Wall D Solar D Other ___ _ 422C• :LO/OS/93 COOi 01 02 FOR OFFICE USEfONLY 83S"',(1f1 mt o. I N':!:.E Ca:,/1-fac r-,,q T Co. le tp/-:f}l ( ~ l'curr Allco /o_, Se..r] ";,. CI1Y STATE ZIP CODE -DAY TELEPHONE s. ~~;o/~~·.Jel( ADDREss ;).?Jo Fc..roJo.. Y P9V(;._ CITYCaNJ' ad STATE , ZIPCODE9J(!;J08 DAYTELEPHONE lf_s/-9~7.S- • NAME C...<S.~ ~-er-ct_L ADDREss \L\,S-'-J~ ~,;;;;-'D-e. ~ ..... = ~ i;=- ? CI1Y ~I'.\. fY\o.r-coS: STATE 0, ZIPCODE°t ?..oG°/ DAY TELEPHONE LlSt..~7) STATE UC. # UCENSE CLASS CITY BUSINESS UC. # DESIGNER NAME Km ,d--/1 hrcA, !fecb ADDRESS/ S-/ S--M 6 r en A f3 /vd CI1Y ~ STATE C. / CJ DAY TELEPHONE d Z -STATE UC. # C-.,S-/ 6 / D D D \\-(6 -9, at10n: ere ya 1rm at am exempt rom e ontracto s cense w or t e o owmg reason: I, as owner o roperty 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.). 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 improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section _______ Business and Professions Code for this reason: (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 the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business 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]). SIGNATIJRE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL DUIIDlNG 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? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? a YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCDJPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS TIIE APPUCANT HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POLLUTION CDNfROL DISTRICT. 9. txmS'IROCIIDN illNDING AGENCY 1 hereby afhrm that there 1s a construction lending agency tor the performance of the work for which this permit 1s issued (Sec 3097(1) Givil Code). LENDER'S NAME LENDER'S ADDRESS IO. APPUCANT CElnmcATioN I certify ihat I have read ihe apphcanon and state that ihe above mtormanon 1s correct. I agree to comply with all City ordmances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AI.50 AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS TIIE CITY OF CARISBAD AGAINST ALL UABIUTIES, JUDGMENTS, CDSTS AND EXPENSES WIIlCH MAY IN ANY WAY ACDlUE AGAINST SAID CITY IN CDNSEQUENCE OF TIIE GRANTING OF TIDS PERMIT. OSHA: An OSHA permit is required for excavations over S'O" 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 permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). DATE: /C>/e/9,_r 7 I APPIJCANT'S SIGNATU WI-IlTE: File YELLOW: Applicant PINK: Finance -:1,-:--, 'L: j t '.'-~ \_ ~ ! : . ..:: 1.:'.J :; 'I 1J / :: '. 1_· ·: ~; _. _ ~I, j_ l ,' j_ ,:• ;, 1:J _.; 1 1 ! L ;J f'1?nl'1:i.t r1Yf''=': ::,£\,ff~; -~,Fi:-:-::t ·.Ji.~:e:-.,'.J::S b' ,-; ,-,,-:? ) I', · : :, J. 2 -US 1-3 t I -o 1: [)(:':,.:,.:,Tipti.:,n: 11'::. ,(! SF' -,·•s;,JA.,:l' ~::<:?;-'.tO\lf:r-',Si'.T 7•3::,:, OfflCE, ::;;,':,~, ";JE::E PE-1.·mi t •:'=': r.:-'l~-A ARCI·IITSC7::, .i. '~, l ':, t,:~•f-:2>''1'. BL'1 (1, .:,1.11 t·~·: ~ .. -. ,,: ·- _I. Sl-\T·! l) l EGO, (;A.. ':! ~: i 't. o ---------------------------' . , , __(=~, 1 J <:-Ct :, 1 ;_, , :· L •"', 1 ~ {: ·-:; ' · · ---_...,.,,.. .. --~-------~---------------------------- ,,,,-~ ,/ I' ,,._. / 66~;.·:n ' / f::o·e:::: • l J (1 .• , ·:, .-, ·: '::'. l (f\c:_ym·fr:,: ·:'. .: N1jtt·.::trn<:•nts: 'IotEtl ft?(:>::::: Fee ,1ezcripti@ 'JnitS·. t es :c·,·cit c::t. Cec r,,,,._, ------------------------..• ---------. ~-·-. ------· '-. -... --------------· -----. ,() t ~~ ' t ! {) ... .. / :112,.flCEi J)U·~· : .?.::O. Ul.l f Fl NAL APPROVAL I INSP. CLE ---DATE ___ j; . ARANCE i _______ I CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1 I I I I 10/48/94"' INSPECTION HISTORY LISTING FOR PERMIT# CB931101 DATE 03/29/94 03/29/94 03/25/94 03/23/94 03/15/94 03/14/94 03/14/94 02/28/94 02/24/94 12/30/93 12/30/93 12/30/93 12/29/93 12/29/93 12/29/93 12/29/93 12/23/93 12/23/93 12/21/93 12/21/93 12/20/93 12/20/93 12/17/93 12/17/93 12/17/93 12/15/93 12/15/93 12/15/93 12/15/93 12/15/93 12/15/93 12/13/93 12/13/93 12/10/93 12/10/93 12/09/93 12/09/93 12/01/93 12/01/93 12/01/93 12/01/93 11/22/93 11/22/93 INSPECTION TYPE Final Combo Final Combo Final Combo Final Combo Final Combo Final Combo Final Combo Final Combo Final Combo Frame/Steel/Bolting/Wel Frame/Steel/Bolting/Wel Rough/Ducts/Dampers Frame/Steel/Bolting/Wel Frame/Steel/Bolting/Wel Rough/Topout Rough Electric Rough Combo Rough Combo Interior Lath/Drywall Interior Lath/Drywall Interior Lath/Drywall Interior Lath/Drywall Frame/Steel/Bolting/Wel Interior Lath/Drywall Interior Lath/Drywall Frame/Steel/Bolting/Wel Rough/Topout Rough Electric Rough/Ducts/Dampers Rough Combo Rough Combo Interior Lath/Drywall Interior Lath/Drywall Interior Lath/Drywall Interior Lath/Drywall Interior Lath/Drywall Interior Lath/Drywall Ftg/Foundation/Piers Underground/Under Floor Rough/Top out Rough/Ducts/Dampers Rough/Topout Rough/Topout HIT <RETURN> TO CONTINUE; •. INSP ACT COMMENTS RI RI MH/DAVE/432-6677 TP AP PK NR JOB S~TE LOCKED RI RI MH/DAVE/432-6677 TP CO SEE JOB CARD RI RI BJN/DAVE/432-6677 TP NR NO RESPONSE, NEED APPT TP CO RI RI MH/DAVE/432-6677 RI RI MH/DAVE/432-6677 TP CO T-BAR-SEAL COORD PENT TP CO ·INSTALL DAMPER@ COORD RI RI MH/DAVE/432-6677 TP CO SEE INSP NOTES TP CO SEE INSP NOTES TP CO SEE INSP NOTES RI RI MH/DAVE/432-6677 TP CA NOT READY RI RI MH/DAVE/432-6677 TP AP ND TOP OF CORD INSP RI RI MH/DAVE/432-6677 TP CO SHORT NAIL,IMP NAILING PK PA ON FURRED AREAS RI RI MH/DAVE/432-6677 PK CO SCREWING INADEQUATE TP CO HIGH WALL 25 GA ND BRACING TP AP TP AP TP A~ BATHRMS ONLY SUP & EHST RI RI MH/DAVE TP CO FURRED WALLS ND BRACING@ BACK RI RI MH/DAVE PK PA ROOM 116 ONLY RI RI MH/DAVE/432-6677 PK NR . NO PLANS/SEE NOTICE 12/10/93 RI RI MH/DAVE/432-6677 PD CO CEILING INCOMPLETE TP AP SLAB CUT PREP TP AP ND AS BUILT lSO RI RI MH/DAVE/432-6677 TP WC RI RI RS/DAVE/432-6677 TP CO SEE JOB CARD FINAL BUILDING INSPECTION· DEPT: BUILDING ENGINEERING FIRE PLANNING U/M WATER PLAN CHECK#: CB931101 PERMIT#: CB931101 PROJECT NAME: 7985 SF OFFICE/3455 SF WAREHSE ADDRESS: 2310 FARADAY AV CONTACT PERSON/PHONE#: MH/DAVE/432-6677 SEWER DIST: CA WATER DIST: CA DATE: 02/24/94 PERMIT TYPE: ITI INSPECTE~ BY: · . ~ DATE a1<-lfqq/. APPROVED ~ INSPECTED: DISAPPROVED INSPECTED. BY: . INSPECTED BY: COMMENTS: DATE INSPECTED: DATE INSPECTED: APPROVED DISAPPROVED APPROVED DISAPPROVED . ·' \_ - DATE: II-te:..-'f'? ESGKL CORPOP~TION 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92123 (61 9) 560-14-68 Ju:iUSDICTION: PLhN CHECKER QFILB COPY OUPS 0DESIGNER PLAN CHECK_NO: 9~ -!IOI SET: "JL PROJECT ADDRESS: ..2.,5 I D r;.}t:.!4-Pr9-YJ PROJECT NAME: OFPt c-t:£" / w/4-fGG"!+-;0_se j D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes.· The plans transmitted herewith will substantially comply with the jurisdic~ipn's building codes when minor deficien- cies identified seE fc.,(ffH ;:H!:.J::..3 r5 eL.t)i,) are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies . identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. · The plans are being held at Esgil Co-rp. until corrected plans are submitted for recheck. D The applicant's.copy of the check list is enclosed for the jurisdiction to return to the applicant contact person . .. O The applicant's copy of the check list-has been sent to: {8]_ Esgil staff did not advise the applicant contact person that plan check has been completed. O Esgil staff did advise applicant that the plan check has been completed. Person contacted: ___________ _ Date contacted: _________ Telephone i _______ _ -~ :·· ~ RE~RKS: 7»r;,e,, I 04:: d CJtA.,,1::,/ De op-CL>~R./ Doi(__ · IO t./- . . . . . H /,U, 7 ~ f!F Pl%? VI p rro · w rr 1-.1-~ If Cl.-<D'9-CA-/J(!];;;-;tt-T · ··<:·:·.-··. TH£;c '>---CIZI k;e @6& OF-1;-J--8-Poo~. C,1r'1 -rb (<ell I l?kl . Pee-?!ft; 1v~ c.4 <-L 14-1/ ? 1rr /;:::.la_L,evf 1' By:· l}-8G J>oLt ENT~ ESGIL CORPORATION 0GA OcM OPc Enclosures: ----------- DATE: ESGIL CORPORATION 9~20 CHESAPEA.KE OR., SUlTE 208 SAN DIEGO, CA 92l23 (619) 560.1468 JO.-{2-Cf'? JlJRJ;SDICTlON: CARLSBAD QAPPLICANT JtJRISDICTlON LAN CHECKER . OP PLAN CHECK NO: SET: ;:c RUPS LJDESIGNER D D D The plans transmit~ed herewith have been corrected where necessary and substjantially comply with the jurisdiction's building codes. The plans transmitted herewith will substantially comply with the jurisdict~on 1 s building codes when minor deficien- cies identified -;----c-~----,..----=-=,.----are resolved and checked by building department staff. The plans transmitned herewith have significant deficiencies • I identified on the enclosed check list and should be corrected and resubmitted foti a complete recheck. r7i The check list tran,smittea. herewith is for your information. JC:J, The plans are being held at Esgil Corp. until corrected plans are subrnitteq for recheck. D The applicant's COP,Y of the check list is enclosed for the jurisdiction to re~urn to the applicant·contact person. '0 The applicant's COPiY of the check list has been sent to: StA..tJ$H-10~ pe~.f ... f IT"~ _&-(;,_7 ...... 5? ____ '3>_~_:J,..,,.,_le:_.1_1"1 ........ :------'I)-R.....,r __ L__,_lf,'--J:::.J;;._~_:;..,...10 ..... '12 __ ....-·_,_ 1 _CJ<'/-~_• __ 9_e._O_ll-_D ____ ., ;- (Z' Esgil staff did not advise the applicant contact person that plan check has been completed. 0 Esgil staff did advise applicant that the plan check has been completed. Person contacted: ------------ Date contacted; _,,""1---~ .. ~ ---~Telephone# _______ _ D REMARKS: _________ ~----·------~------~ By: /f-8G 'DDLI GtJTf:." Enclosures: -----~-----ESGIL CORPORATION ~GA fZ1 CM O PC I • .. _ .... 6T/2'd NOilt:lelOdelOJ 715S3 917:9T E:6.-.LT /\ON c l=i~v6808£t;6l9 ~£9 .L.LI::::O -0 PLAN CHECK :NO. ;_--'-1-<t ....... :3_-__ I 1_0.....,./.........,.. ___ _ JORISDIC'rION:--'CARLs.lW)==='---------~~~- TO:__::$~u~N~S_ff...;.._·1J.J_r?_~P_E=-~~-_u_,~~--- s f?j ret l'-1 AC'.l.'UAL AREA: S'l'ORIF.S:. __ ~--------....,.~~--~- ~: ____ ij_Ei_S_..........,.... __ _ OCOJPARt {.(W): __ ...:a~:::...· ..;..7_~..;_......---- l@IARKS; {A)l:fs27· Or'"fl c.~· 3tf-SS~ /.:Ftn-,/ ,::,.. 7 1 [(.£('" /.!.Ei --, 7 -,~/') -~· Pate plans received by juri~diction: Date plan5 received by Esgil Corporation; Date initial plan check ¢oinpleted: Applicant contact person: St,11,.15, t+-/10(;; f'@!l1rr 4e1. ~) ~ -t7 l(o Plan check is lilllited to technical require:ment.s eontained in the Unifotn'.I Building Code, Uniform Plwnbing Code, Unifolll) Meehan:l.eal Code, National Electtieal Code and 5tate laws regulating energy conservation, noise attenuation and access fo~ the handicapped, !he plan check is based on X"egulations enforced by the Building Inspection Departinent. You may have other corrections based on laws and ordinances enforeed by the Planning Department, Engineering Department, Fire Department ot other department$. Code sections cited are based on the 1991 UBC. The circled· items listed need c larif:i.cation, modifie~U.on or change. All itein:s must be satisfied before tha plans will be in confo:rniani::e with the cited codes and ;regi,ilat.ions. Per Sec. 303(c), 1991 Uniform Building Code, the approval of the plans 13oes not permit: the violation of any state, county or city law. To speed up the.,Lecheek processx note on this list (or a copy) where uch Mrrection item has been addressed, i.e.. plan sheet. spe~ification, etc. :Se sure to enclose the marked _yp_ l,ist when you su)m),it the revised Rlans. lKY.l:E; pAQ; ~ AA! N0r DI ~ J>,S PAG'.ES HA'fDG NO l'.'.f&lfS HKKDIEG OORREcilONS W!Rl DRT,Tm«). LIST NO. 41 CARLSBAD TENANT IMPRO~ WITHOUT SPECIFIC ]\:NERGY ZONE DATA OR POLICY SUPPLEMENTS, 1991 UBC 61/E'd t~OiltJcl0&:10) 7I5S3 91? :91 E6, .l1 /\ON £ J::! ~t?681Z18£t?6T9 E-£8 .L.L I :i::, 26-L. T-H ~ 0T0l. d3IdO)373.L .X:Od3X :AB: 11:Jd 0 :naase malte all corrections , on the origin.!l tracings and s~bmit two new se~s of prints, to: 0 /. 0 G Eseil Co:\1)oration, 9320 Chesap~e Drive, Suite #208~ San Diego, CAj 92123, (619) .$60-J.468. Please roalrn: all conections I on the original 1;.radngs and submit two new Sf;t.S of prints, to: Tne jurisdiction1s build~ng department. Indicate on the Title Sheet M the pia.ns, the name of the leg~l owner and name of pe.-son responsible for the preparat~on of the plans. Section 302(d), · Each sheet of the plans must'lbe signed by the person responsible for their preparation, €Ven though there are no structural changes. Business and :f'rofesr.ions Code,: .$t:;7E c:iaow Plans and calculations shall I be signed by the california $tate. licensed ens~neet or a;i;-ch:i.tect where there are structural c~a.nges to existing buildings or structural adjl.itions. Please incl-uce the Californio1. licerise ti\l!tl'ber, $eal, date of license expiration and d.ate plans are signed. Business and Profes~ions Code. Provide the correct address arid s1,,1ite n\11\lber 0£ tenant space on the plans. S~ction 302(d), Provide a note on the sits ptan indicating the previo\.?S -use of the tenia!Jlt !;pace o:i:-wilding being remodeled. Section 3024 When the character of t.he jocc.1,,1panc.y or 1,,1.:.e changes within a building, th~ building must be made to comply with eurrsi:it Building Code requirements for the new ocicupancy. Please provide complete details to \show the building witli comply. Section 502. ' UBC Section 304 x-equire~ the jBuUding Official to 4etermine the total1 value of all construction wo:i:-k pr4?:posed ~de.r this permit. The value snall include ~ll finish work, painting; roofing, electr. 1 ic.al, plurubing, heatint., air conditioning., elevator, fire extinguishing systems and any otl'ie~ pe~ent equiptDent, Plea5e provide a signed copy of the designer's or contractor's construction cost estimate of all work proposed! Provide a plot plan sh.owing it.he dii;t_ane;a from the building to the property line5 and the lo¢ation of tenant space {or remodel) within the building. ' 8/4/92 6Vt'"d t;, l=l~t>6808£t76l9 ~£El .LLI::O t4· yf. I I· 0 Ji. 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 ten&'lt imprcvernent is located. Provide a note on the plans indicating if any hazardous materials will be stored and/or used within the building 1<1hich exceed the quantities listed in UBC Tables 9-A and 9-B. A complete desi;.dption of the activities i-!nd processes that will occm;-in this tel')ru'lt space should be provided. A listing of all hatardo1.1s materials should be inc.l1.1ded. The materials listing sh01Jld be stated in a fol"ID that would make classification in Tables 9~A and 9-B ;ossible. The: building official may require a technical report to identify and develop methods of protection from hazardous materials. Section 90l(f). lf control are~$ ai-e 1,1:sed for exceeding the exempt amounts of ha:..ardous materials from Tables 9-A and 9-B, they shall be constructed of not lesi that requi;i:-ed for a oneMbOt.ll'" occupancy separation, Section 404, Iha number of control areas within a building used .fo;r.-,:etaU/wholesale stores sl}all not exceed two; the nUfllber of eonb:ol areas in buildingli with other uses shall not exceed four. Footnote l, Tables 9-A and 9-B. The aggregate r;1,1.1o1.ntity of any hazardous materials ''in 1,,1se.11 and "in storage'1 sh.all not exceed the quantity listed in Tables 9-A and 9~'S for "storage'', Footnotes 2 and 3, Tables 9-A and 9-B. Provide a statement on the litle Sheet of the plaru; that t.his project snall comply with . title '24 and 1991 U!C, 'UMC and UPC and 1990 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 tbe pl~. Section S02(d). / Indicate the use of all spaces adjaeent to the area being ren:iodeled or improved. 1;il." Show any existing f:l.re rateQ are.a separation wa.115, occupancy separation walls, demising walls, shafts or rated corridors. ldentify arid provide eonsttuetion details for proposed new fire rated walls. Specify on the plans the fits ratings of assamblias to protect penetrations or proposed openings in existing or new fire walls, floor- ceiling assemblies or roof-ceiling assemblies. ? NOil~dOddOJ 7I5S3 Lt':9T E6, LT AON Z.6-'-' l-H ~ OT0'-' ~3Id0:J373J. X0~3X :,J..8: (0~ J. Identify exist;i.ng walls to be removed, existing walls to reJl]ain .ind propos~d ne.., waJls. Ide.ntHy bearing wejlls, non-bearing -walls, and she.AJ;· walls. Show safety glazing in: the following locations, per Section $406(d)/: a. Where the nearest edge of glazing is w:i,.thin a 24-;i.nc.h arc of /either side of a door in a closed postion1 (unless there is an intervening wall betw'&en t.he door and the glazing i:.:rt if the glizing is 51 ·0" or higher above the walking ~u:.fac::e). 1;). Glazing gx-eater than 9 ~quare. ;feet with the bottom edge less t..'1/ill 18'1 above the floor ol-l'ld the top edge lgraater than 36" above the fl1;1o;r; (unless, the glazing is more than 36'1 horizontally away from walking surf•ees or lf a complying ;protect;ive .. bar ,.ii. im;tall~d), e. Glazing in showe:c an1 t\lb eru::lo$1,1i;-e$ (inel1,1~ing windows 1dt.l'd.in 5 feet of t1,.1b or shower floor). ' _ Provide a section view of ~11 new interfo,:- paxtitiOn$. Show; (a) (b) (c) (d) Type, size arid spacing ofj studs. Indicate gauge; £or metal studs. Specify i)l~nufactu:i:ex-and app;tjova l n\lmbe:r: or indicate "to be !CBO appr1oved11• Method of attaching top and bottom plates to stnieture. (NOl'E: j:rop of partition mt.1st be secured to roof or floor fraining, unless suspended ceiling !has been designed £or pa~tition lateX'al lo~d). Wall sheathing material! a.nd details of attachment (siz~ and spacing of fastene:r:s), Show height of partitHm and suspended ceiling, and haight f:r¢m floor t.o roof f~a.ming or floor frainingJ Provide notes and/or details ito show that the floor o\nd w~ll finish in toilet rooms are s1.1rfaeed with a smooth hard non-absorbent material extenaing five inches up the wall. Sil!lila.r .stu"faei.ng shall be ! provided on the walls from the floor to a peight of 4 feet around urinals and witl:?.iln wat$X' closet compartment$, Section 510(b)J Note on th,$ pl;m.s; '1All. inteiio:r finishes nmst ¢0lliP ly · with Chapter 42 of -t1i,e tmc11 • Specify 11Class_~ __ .£1ame spread· / rating· (minimum) for , .11 Notet on plan that suspende~ e~ilings shall COll!PlY with tr.BC !able~ 47-A ~d 23-P, In buildings having floors *1d roofs of wood frame const:cucUon, other ~ dwelling or hotel occupancies, draft stop the area between tl:'~$ cej.Jiiz:n&. en4 floor a.bpve so that no concealed space exceeds 1,,000 s.f. and no horizontal dimension exceeds 160 L.F. ( if space has sprinklers, then s,ooo s.!. and lOO L.f.). Section 2.516(£). 7/8/92 6us·d 5 l=f~t>68082t>6-i:9 ~S::8 J.J.I'.:O /. ® J. In buildings having floors and rooh of wood frame construction, other than dwelling or hotel occupancies, draft stop the are.a betwBen the ceiling and roof above so that. no concealed space exceeds 3; 000 s. f. and no horizontal dil!lension exceeds 60 L.F. (if space has sprinklers, then 9,000 s.f. and 100 L.F.). Section 2516(£). Storaie. ar~a.s exce1'!ding 1000 sq. ft.. in cct1nection with wholesale or retail sal~s shall be separated ;from t.he public .i.rea by .i. one~hour occupancy separation. If tile entire build;i.;ig has an autotnatic !>pdnkler systew, then the occupancy se~aration need not be prov~ded. Section 70Z(c). Atl aut¢m<;1tie sp;dnl-thr system shall be installed in rooms used by the occupants for the consumption of alcohol and in accessory 1,.1ses where the total area of such unseparated rooms and assembly uses exceeds 5000 square feet. Section 3802(c). '.the tenant space and nli!w ;;md/01: iaxisting f~cilities sen•ing the :r:ewodeled area must be accessible to and functional for the physically disabled. See the attached eorrec.tion sheet. Title 24, ?art 2. The width of the required level ai:-ea on th.e side :Lnto which doers swing shall extend 24 inches past the strike edge. for exterior doors and lS inches past the strike edge for interior doors. Section 2·33041 Title 24. Specify lever-type hardware for passage doors on floors accessible to the disabled. Section 2-3304, !itle 24. If both sexes will be employed and the number of em:ployeei. e,ccMds fou:c, provide separate toilet facilities for men and women. If °both sexes will be employed and the total number of employees will :not exceed four,•, aJid only one restroom is provided, note the words in quotation above 0n the floor plari. Se.etion 705(e). A ______ -bour occupaney separation is required between_._ _______ occupancy and the _____ occupancy. Table 5-:S. Ducts penetrating occupancy o:r area $$pa.ration wall.i. must. have fi:re dampers. Section 4306 (j). In areas where the occupant load exceed$ __ , two exits are required. See ______ ~- '.rable 3:hti.. Provide an exit analysis plan (may be 8 1/2" x 11n or any convenient size). Exits should have a minimum siap~ation of one- half the ~imum overall diagonal dimension of the building or .i.rea served. Section 3303(c'). 3 NOil~~Od~OJ 715S3 8t>:9T E6, LT AON I· js. r· If non-;rated cor;ddo:rs are used per Section 3305(g.) 1 Exe. :5, provide a l:'eference to the cor~idor$ on the floor plM> ~bting: 1. Corridors are no-n-rat!ed per Section ~~OS(g), Exception~. 2. Smoke detectors shall b$ maximum 301 en center. 3. Power s\1pply shall be ;dedicated brMch ci:r<::1,Jit. Circuit <H$connecting me;;;ns shall 'be .ai::i::essible onn.y to authorizeo personnel and shall be c]early marked FIRE Af.,,AR..!>1 CIRCUIT CONTROL,! with a loek-on device. If a tenant space \.ltilizes I Section 33D5(g), Exception 5, then that tenant s'Oace shall be sep3,rated fi:om adjai::ent''spad~s by a damising .,,..all constnieted il$. for a /;me-hour co;n:;i.dor wall. Clearly i.ho~ \./here the Mn~rated co;i:ddot system terminate5 a."'!d a :rate~ cor:d.do;( $Y$tem eo:mmences. One-hour fiu·rated corridors shall have interior door openings protected by tight- fitting smoke .e.nli draft e~ntrol asse.mblies ,ated 20 minutes, except opehings in interior walls of exterior exit baleoriies. Doors shall be maintained self~closing b:r be a~torpa,tie- e lo.sing by action of a s~ke detector per Section 4S06(b). Doors si..q1 be gasketed to provide a smoke and draft sep.l where the door meets the stop on s:i,des ,ruid top. Section 3S05{h), lot.al are.a of a.l l cpe.nings, : except doors, in any portion of an interior e~rhidor, s~ll not exceed 25 percent of the arep. of the corridor w.al). of the room which it i~ separating from the corridor. s~ch openings ~hall be protected by fixed glazing listed and l~beled fo~ ~ fi~e- protection rating of at llea:..t 3/4~hour. Section 3305(h). Sholl' rated corridors, lobb~es, reeeption or foyers cross-hatched on the f~oor plans. .Provi~e a complete arehiteitural section of the eo:t::t:'idor t .. or. exter:!.o¼:' exit balcony, showini all fire•resistivje materials and details o! eonstruction for.~11 floors~ walls, ceiling and all penetrations.. Section 330S(g), ' . Show the loeation of fire ija.tf!Pe.rs. Provide fire dampers at d1Jct penetrations of fire- rated occupancy and area stiparations t shafts and corridor ceilings. Combfnation fire/smoke dampers are req,µired at d1,1¢t penet;r~tions of :rated corridor wall5. Sectioµ 430o(j). 8/4/92 61/9.d 9 l=f:~t76808£t76'J:9 ,:-£8 J.J.I:::O I 0 G l£ a :i;oom with an exhaust fan has a door opening into a rated corridor, show how mal!;e~ up air will be provided to the room. The door cannot be undercut, nor can a louve;r; in the door be provided. Section 3305(h)l. If building exceeds two stories aJ'IQ has an elevator opening into .i. r.i.ted i::ouidor, sho'I-I how the smolte and dr.;i.£t contx-ol provision of S1sction 330~(h) wil 1 bii! met. lt;\ 1;.her provide a sepi.3.l"i.3.ted ele\•ator lobby or a second door at th<?-elevator entcy meeting the prevision. Section .3.305(j). If a second door is provided .it the elevator entryJ ;note that it will be readily openable from tile car side -.:itho1,1t a key> tool or ~pecial knowledge or effort. Section 5106, New provisions in Chapter 43 of the l99l UEC require special treatment of penetrations at fire-re,:,d,$t;l.ve assrunblies. Provide typical details on the plans showing how t.he f:l;re- resistive integrity will be maintained at the following conditions (Include the manufaetu;i;ers1 names and ICBC numbers (or equal) for any sealant): A. THROUGH•PENE'!RATIONS (through the entire assembly): 1. Fire-:re.si:stive bearing walls and/or walls requiring protected openings shall have penetrations protected with through- penetration fire stop$ having an F- rat:i.ng, !•rating or COllll'lying with 'OBC Standa-.rd 4S-l, depending on their locations, sizes and combustibility, 2.. Fire :resistive fl,oor/ceiling assemblies shall have penetrations p:roteeted w:ith th,rough·penetration fire stops having and F-rating, !-rating or complying ~ith UBC Standard 43-l, depending on their sizes, combustibility and W"hetbet-t.he penetrations are in walls above, B. MEl.mRANE-PENE'J:AAIIONS (through only one side of an assembly): l. Fire·resistive. walls (whether bearing or not and whether requiring fite protected openings or not) shall ha~e penetrations p~otact$d with membrane-penetration fire stops having an F•rating or CO!ll}'lying with UBC ·standard 43·1, depending on their size and eo~bu$t:l.bility. Litnit.ed steel electrical outlet boxes (not exeeeding 16 sq. in.~ no:i:-inore than 100 sq. in. for any 100 sq. ft. of wall) require no protection. 2, Fit"e·xes:tst:l.ve ceilings shall have no penetrations, except for noncombustible sprinkler pipes and steel electrical QUtlet bo~es as described above. NOTE: The plans $hould indicate the va:do1.Is fire-stop ratin,gs required for all penetrations. Provide a note on the plans stating "Penetrations of .fire-resistive walls, floor- eeiling$ 3t!d roof·eeilings sna.11 be proteete~ as req1.1ired in WC Sections 4304 and 430511 , 5 NOil~~Od~O) 7I5S3 Bv:91 S6, L1 AON 5 ~-ld9i7 :t, /. Provi~e evidence of Haalth Department approval ·~ (for restaurants or for ten,:nt:s l.l:Sing X-ray equipment) • lf non£larmna.'ble supply cylini;lers for medical gas systems are located insid~ buildings~ show how they comply with uac Seet~on 70Z(c)4. Fµ."C'JlUCM, Submit plan showing location d,f all panels. Submit panels scheQules. Submit electrical load ealeul~tions Indicate existing main servic~ size. Indic~te esl!.isting tot.al ma.in ~ervice load. Indicate new additional loads,; lndieate wiring method, i.e. $,IT, metal flex, Show exit signs on the el+ctrical lighting plan(s), As per Section 331$ and 3Sl4 of the 1991 UBC, provide two sources! of power to exit signs ~d exit illumination. Provide receptacle(s) within 25 1 of HVAC units. UMC Section 509f 1 /'ss) Provid~ multipla switch lighting controls per v title 24, ?.art 6. Wi:tm" Rtr»~:;. Ru. //6· JI· 18· y·· Y· .. ;,. MECBANICAL Provide mechanical ventilat~on in all rooms capable of supplying a minimuin of 5 cubic feet per minute of outside aiir with a total circulation of not less than )15 cubic feet per minute per occupant. Sect~on 60:'.i and 70S, UBC. P:tovide mecnanical plans showing axisting anrl proposed HVAC equipment, due~s and access to equipment. Detail acce:ss and working c~earances to HVAC equipment. Detail disposal of main coMensate drainage from air conditioning units. (UMC Section 510) ' Detail .overflow (seeond~ry) condensate discharge from air condition~ mits that are in a ceiling space. (tJMC Seclion 1205) Fi;re ;r;\'!.ted conidors ~e no;t. to be used to con'\l'ey air to or from :rooiqs. UMC Section 10oz. PlDCBlBG .,;[\ Provide gas line pl.ans and ce.lculations, ~ showing pipe lengths and g4s demands. UPC Section 1219. 8/4/92 6VL"d l. l=l~t:>6808£:t;,6'\:9 Provide d~ain, waste and vent plans. Provide water line sizing i::alcula.tions. UPC Seet;i.on 1009. P~ta:i,l how floor drain trap seal is to b$ maintained. UPC Section 707 (floo. drain trap priming). Show P & T valve on water heater and detail drain line ;i;outa f:r:o:in P & T valve to the exterior, UPC Sei::tion l007(e). Show l/4" per 12'1 slope on drain and waste lines. UPC Section 407, Provide a drinking fountain at e.\¢h floor level in assembly occupancies (except drinking and dining e$Ublishtnents). UBC Section 605, Note on the plans that new water closets and assooiat.ed f1ushometer valves, if any, shall 1,1se no roo.e th.an 1. 6 gallons per flush and shall meet perfo:nnance standatds established by the .American National Standards lnstitute Standard All2.19,2; and urinals and a$sociat$d flusho~eter valves, if any, shall use no more than one gallon pe;i: flush and shall meet performance standards esta'bli$hed by the Anleriean National Standards Institute Standa~d All2,l9,2, H & S Code, Section 17921.3{b), ~ ~Provide complete energy design ealeulat.ions, ~ incl.uding all existing design and new energy design for this building. See attached non• residential energy design checklist. For remodels in an axisting conditioned space, show that the reillodeled space will not use more energy tha.n the existing space or show the reini:>deled space will con.form to latest ·energy design stand~s. MISCKr.I.ANIDUS 102. Please. see additional corrections Ot' remaxla. that follo;;, 103. 'Io speed up tha rechec}c p~ocess, note on this list (or a copy) whee each correction itla!!)). bas been ·addressed, i.e., plan sheet, note or detail number, calculation page, etc. 104.: Please indicate here if any changes have been made to the plans that are not a result of corrections from tlli1;, list. If there are other changest please briefly describe them and where they are located in the plans. Have changes been made to the plans not resulting from this correction list? Please check . 6 NOiltJdOddOJ lI~S3 6t': gr E6, Lr t\ON l~-All rl)o!-mQUflted equipment ~hall be ccnce.a.le4 't.. froJi view. Provide st.r1JctT4ral detailing for -the "sc:reaning. ,.._ K1sg;r.u.rmxTS ~ Please see additional eot;"~ctions o:r ram.arks ~th.at £0U0w. ~ r0 speed up the rec.hack pro~ess, note on tl":i$ C}list (or a copy) ,..here e&ch ~orre~tion itei:i he.s 'been .addre$:sad, i.e., pl$1 :sheat, n0te i:r detail n1.Illlber, calculeti¢n p4get ete. ~ Please indieata here if anyj changes ha\·e been C:.J cad& to the plans that art not a result ef corre~ti0ns from this list. I If there a.re other changes, pluse briefly desctibe th~ a.~d ~here they are lo~i!ted in the plan~. Ha'l.'e changes been made Ito tl'le plans not resulting from this correc~ion list? Ple.a.M checlt. ____ Yes ____ No !he jurisdiction has cont;..r,ilcted "'ith £sgil Col"'?oratio~ located at 93ZO Ches~pMke Drive~ S~ite zos, San o~ego, California 9212~; tele.phon~ nuober of 619/560•14-681 to perfo;r;tA th~ plan check for yoi.u:- project, If you have any 4uestions rega:i."Qing t.hese plan eh.ac:k items, pleue cont.act . ..;i ___ ,...... __ _ --'--th~il?~G;_"""·_,,P...,___O-='-•[-=/E,_.AJ..-ti~e'___.....,._ __ ~t Esgil Corpo;-ation !hank y0u. Enclosures; 1. __________ _,_.. __ ....., __ _ 2. __ ......,,........ _______________ _ 3·-----------~..........;----- 6/25/93 6VB'd 8 l::! :t;,6808£176 -i;g dJ I E-£9 .LL I :X) 7 NOil~~Od~OJ 7I~S3 0S:9r E6, lr AON 7 C ,411. ~.5 A.~.' ':D J08ISD!l!t'.IOH:, ______ ,~~r---,..,....._. __ _ PLAN ams; JRlf.BER: .... 'l!_~ j"-,;/,;,.......t,_/--+--___ :::Z:-_ ~=, ............... --,;,/ __ a_._-_/ ........ 3/_-....,;r J.:;;;.__ 8GLEKAIWDX .,_ PLAN am::&ER: D O---...,....c....- A I ·5~o~ Hov~~ · HI/A-C. UA.J1-r5, C /j (1.Jo7,:t S IJ ~ f (!': (/14s 6l/6'd ,, ';4-·,1;!) ~J ~ ldd8t>: t> £6-l, r-n ! 0r0l. :?!l3 I d0'.)373.L XO:?!l3X: AS: ()'.):?!j RCV BY:XEROX TELECOPIER 7010 ;11-17-93 4:49PM CCITT G3~ 6194380894;1=110 P.10/19 b s NOV 17 '93 15:51 ESGIL CORPORATION : : 7 I ' ' I : ' ' I ' I ' -, I ' I I ' I I I ' : I ' ! ' I I I : I ' I I I . ,. It c;--01 r.-r w s, C>" I 1,,( p ,..,t. "t? Y1 , f?i"r'Y-,p" "' ~;;::. .,;;; n, J) 7 .J'lrv p;r!,.:f'J (Y" --;,p /i .9 tJ;Y, • , J7 ~ fl, o ·7 ...,;~-,., s·s-_p -:'7"°" ,t:, S:P~ ).?flt:. P"' /YI I -+:;, ( 'r' /(;I ,-?-, 0 (Y ,/. ~- ~ v,4-'1"-., »v ?p,"i) 7 J 1"' f -Z ... ~, ...;n,,,.,7 ~flt.Vi('? _,,;v (71 I p Q '1;I ;& _k IO!(/-t6 =1mRDl xom Wld Cb-h/-c? / :nva i01i>fff~-,~~? l:JiOL'WIOS~ ilDBS 110:rJ:mlHW WU ~ '°oomll'J,i[ ,r'IV:>IJM'03W. c¢. -e-1 -e-1 :t:i: .. <j (Jl OJ (S) OJ M <j (Jl -e-1 IJ) rJi (!) I-I-.... u u .. E a.. (S) LO <j M (Jl I r---e-1 I .-I .-I (S) .-I (S) r-- O::'. w ,_, a.. 0 u w .J w I- X 0 O::'. w X )- IIi :) u O::'. en ..,..-1 '-..,..-1 ..,..-1 Q_ 0 z: y 0 H I-([ 0::: 0 Q_ 0::: 0 u ...J H l9 (D w (\J ID •D ..,..-1 f') en ~ I'-..,..-1 > 0 z: 0 DISABLED ACCESS REQUIRI-J-'ll'~NTS FOR REMOllKLS (including alterations, struc.t.ural .repairs, additions .. tenant improvements and occupancy changes) GENERAL Full access compliance is required for remodels @ . .Path of _tr.avel to remodeled area. (a) Parking (b} Walks ( c} Hai..ards . { d) Curb Ramps {e) Ramps I':\ {f) Ele"ators Primary entrance to remodeled area. (a) Entrances \:.:I {b) Eidt Doors including: ffi Sanitary facilities serving remodeled area. Drinking fountains and telephones serving remodeled area. REMODELS ~ss TIIAM $75,187 When :remodels are valued at less than $75~187 access compliance may be limited to the specific area being remodeled when an unreasonable hardship is determined by the enforcing agency. 1. Staff determination of unl'.easonable hardship sh.all be made on Form llCJ.-1, which sball be filed in the project file. 2. When the required work outside of the remodeled area (l.a through 1.f above) exceeds 10% of the eost of the work to be. dorie in the remodeled area~ an unreasonable hardship sball be found to eKist (cl'.iteria is staff guideline). .3. The unreasonable hardship f lnding may be by observation when obvious. Form HCA-1 should describe the obvious. 0 y. 'T· ~. REMODELS $1S .un AND HIGHER. When remodels are valued over $75,187 and specific. access requirements cannot be met: 1. The law allows equivalent facilities to he accepted if strict compliance with the regulations would create an unreasonable hardship. 2. /\ccess cannot be wah•ed unless there are physical or legal barriers that_prevent providing either _full access compliance or equivalent facilitation compliance. When both access and equivalent facilitation are waived by the enforcement official, ratification is required by an Appeals Board. MULTI-FLOOR IEJ,!ODELS: F.xc.ept±ons and exemptions L Provisions for Upper and Lower floors: l'he Health and Safety Code Sect~on 19955.5 says. that, 11In privately- funded multi-storied passenger vehicle service stations, shopping centers• offices of physicians am:! surgeons, and office buildings, subject to this code, floors or levels above and below the first floor or ground level are exe1opt from these requirements if a ramp or ~Ievator is not available to provide public access to such floors or levels." 2. Health and Safety Code Section 19956 says that,. "In privately-funded multi-st-0ried buildings, floors or levels above the first floor or ground leve1 are exempt froll'I these re4uirements if a reasonable portioc of all facilities and accOlllnOdations nornially sought and used by the. public in such a building are accessible tu and usable by disabled persons.11 D:\general\disabled.req TITLE 24iHANDICAPPEO ACCESS CORRECTION LIST Jurisd1ction __ Q_._tV~o/--~O~'f:'-~_C ___ ~~/et., ___ 6.___.f:3_!t}-P"""""'""_ Plan Check No. 9 5 -// O I __ _..,;......, ____ ....,,;_~~- 5 lh; w A-u.., rttr>S-e-1nn+T FJ-'fPwf References to $ec.tion numbers w~th prefix 11211 are to Title 24, California Code of Regulations, Part 2 (california 'B1Jilding Code). Preqx 1'3'1 is for Part 3 (california Elect.deal Code). Pr1efix 11511 is for Pa.rt 5 {california Plumbing Code).; Ex~mptions claimed for any itsWJ sh.all be req~ested in writing and shall include all data needed to detemine 11unr-e.asonable ~dship'1 Ill-$ desc:ril:>ed in Section 2-422. SITE DEVELOPME.h'T 0 H.AlmlCAPFED PARKlNG SPACES a. Provide __ -....... ,handicapped spaces. b. c. Z-7l0Z(b) Spa~~ shall be so -located that handicapped petSOM are n~t compelled to wheel or walk behind ,P~k1;,1' ears other t:ruli1 his/her own. 2-7102(c) Parking space shall '!:>el a niin;imi,ttn of 9 ft.xlS ft. with adjacent marked 5 ft. loacing zone. Do~ble sptee shall be 23 ft. wide. ~'here a sµigle space is provided, the loading/µnloading zone shall be en the pas2epget $ide of the vehicle. 2•7102(c). · d. ~imum slope of parking j surface in any diret!tion $hall not e~p.eed l/411 pe:i: foot. 2•7102(e). e. Pa:l;"king space(s) shall 1be identified with the !nternational Symbol of Accessibility on refl~ctorized sign -affixed to post o:r: w~ll, ruid ~ <luplic:.ated on. parking sw:)f'ace (syw'bol to be S6"~36'1 a.nd pa.:l,nted ajt the back of the parking stall). Z-7lpZ(f) f. Entrance to parking ai:e4-t ( o:i:-at. e.ach st.all) shall have a si~ stating: that unauthorized vehiela ( s )j parking in handicapped space(s) may I he S\l'bject to tow-away. 2·710Z(f) g. lf cove~ed parking is ~rovided, then a reasonable portion of tHa toul number cf st.Alls reserved fov. the d~sabled shall also b8 covar~d. ~-7102{a) h. Entrances to ~d ve:r:t-.il~l cle.ax-ances within accessible lev~ls of parking st.ruct.ures shall be 8 jlt. 2 in. tQ any stnictural mewber> duct tjr pipe. 2.-7102.(g) . 0 CURB RAMPS a. Curb ramps shall be llocated Whetever pedestrian path crcss~s curb. (2· 7103(a)) · b. C\.l.r'b raaip shall be 48" /min. width (2· 7103(b)) ~ith ma.x:iJmn». $l~pe Qf 1 in 12. 2•710l(d) ' c. A level t.811 min. deP,th landing "is requi~ed at top of curb ramps over entire curb ramp width. li~7103{4) 61>'2"r: 'd cTi=i~t?6808£t;,6T9 d, If no landing is provided, the slope of flared sides $hall not e~c~ed l in 12. Z-7103(d) e. Surface i$ to be slip resistant and a contra.sting finisn f~om adjacent $ide~alk. 2·7103(f) f. Border markings $hall 'be J.2" wide of l/4"r..1/4'1 grooves, 3/4'1 apart, located at top .i.nd sides. 2·7103{h) 0 WALKS a. Site development and grading shall be designed to provid~ access to primary gntrances and access to no~l paths of t~a.vel and where necessary to provide access shall ineorporata pedestrian ramps, curb ramps, etc. 2-710l{a) b. Walks sloping gr~te;i; than .$% (l in 20) 111\.lSt ¢01Jl}'.llY with_ ramp requirements of Sec. 2•3307. 2~SS2S(c) e. Walk width shall be 48" wi1ti.i:u1.W> and shall have slip·resist&nt surfaces. 2•3325(a) d. The maxi.muw c.oss slope shall not exceed l/411 per foot. 2-332.S{a)3 e. Gratings ~ossi'ble. are not Z·3.325(b) allowed whenever f. At. each gate or door a 60"x6011 level area is requi~ed when the gate swings toward the walk. Zff332.5(e) g, A 48"x44" deep level at"ea. is 3:'~qu:tz-ed when the iate swings away ftom the walk. 2ff3S25(e) h. A 2411 clear space is required at strike side of gate or door. 2-3325(e) 0 PEDESTRIAN RAMPS 'Wd05:t, a. A path of travel with a slope greater than 1 ;in 20 shall be considered a rainp. 2-3307(a) b. Ihe ~iil1um ~lopa shall be 1 in lZ, 2·3307(c.l) c. The 'Aid th SM-l l be 4$'1 tJJini.1111.uJi. A minimum width of 60" i$ required where a r~ serves as a primary entrance to buildings baving an occupant load of 300 or more. Group R Ot'.c1,1pancies may be 3611 when tha occupant load is 50 o~ less, i- no7(b.l) H0iltld0dd0J 7I5S3 2S :91 26, Li:: t\0H !/ ,.g. iha Sl,IZ'face of ~amps ~hall be sli~- -;.. resistant. 2-3307 (g) e. A E>0'1 interl!leobta landing is required at ~~-elij.\•ation char\ge of 30'1 and 72'' l;;i.nding at e.ae.h chMie of oi.rec.tion (over SO deg~e~s). 2·3301,(o.l) f. Landings a.re req~i~~d at jtop Md botto~ of hamps. 2·3307(d.1) g. I\ottom lan<:l;i.ng shall ba ll'.llinimum of '7211 in tha direction of trai•el, Fig, 2-33- llA h. Top landing sha 11 be E>0'1 i x 60" r.iinirmi:n. Z-.:.307(d.1') · i. When· 600:r :S'l.'ings onto , top landing~ minimum depth of lfil"ldihg require0 is door widt.h plus 4211 • 2~S307(d,l.) j. Top landing shall ha,;e p011 win. width when door swin~s onto th~ landing> with 24'1 on strike side of dk>o;r; at extel:ior r~~ or l8" at inta;;ior framp. Z·3307(d.1) ~. Ra.tap ha:ridrails a;i;-$ requiiied on each side of ra.mp1 when slope exce~d£ l in l5. 1- 3S07(e.l) 1. Ra.mp handrails shall jbe eontin~ous, loeated 30"~S4'1 in he.~ght above ram:µ sw:face, with 1211 exte.mlions 'beyond top and bottom~ and the endslreturned. 2-.s,07(e.l; m. Handrails shall be 1-1/4" to 211 cross section, spaced min~ of :i.-:l./2'1 f;t"om ~all. 2-3S07(e,l) ' n. A 2.'' high C\,1,l'b or wheel guida rail centel;'ed 311 :t l11 abovslramp surface is required on both si~es where not otherwise bQunded by walis when the X'a.llll' E!.Xeee.~s lO feet in length. 2-330i{h.l) · ' j. SPECIAL ACCESS LrYrS a. Lifts may h$ provided between levels, in lieu of elevat0r, whe:? the vertical distance bet\oleen landihgs, structural elevatol:', struetw:d: design and safegua:i:-ds are. as allowed by the State of Cal.ifQrnia~ Depart1ij$t,. of Industrial Relations; Division bf Occupational Safat.y a+"ld Health. 2.-5lP7(~) . b. The lift platform shall ~a of sufficient size to accommodate , a wheeloha:h: (3011.x4811) • 2.-5l07(a) e. The.ra shall be a leve~ and clear floor area or landing ( 60t1x601p at each level for a¢cess to the lift. 2·5107(a) f. HAu.lWS a. Provide 8011 headroonl from walkway surface to ~y overhan,ipg obstruction. 2.-3326(b) E-£9 .L.LI:O ~. H$adroom 6£ maintained for etc. 2·522(f) so•i mini.m\lm s:h~ 11 be walks, corridors, aisles~ c. r>rot;I;1Jdfot objects with luding eilges between 27" and 80" above finishe4 floor sh.all not protl"Ude more than 411 into walks; cor:r:idors, ~tc. 2·522(f) d. Free $tanding objects ~Ol,l,!'lted on posts between 2.7'1 and 80'1 above the floo:-lllll\Y project. a ma:id.n'.!\.lJll of 1211 • 2-:iZ2(f) e, A'brt,1pt · ei"!Mge.s in level exceeding 4,t adjacent to walks, e~cept between walk£ and adjacent streets or drives, shall be idanti!ied by ~·1 high ..,.aP1:i.tig ~urbs above walk surfa~e. Z-3326(a) :EXl:RANCES AND CIF.cOUllOH 0 ~T+u.NCES I DOORS I VESTIBULES AND COAAIOORS a. All prililuy ent~ances to buildings shall be accessible to the ha..,dicapped, 2-:.30l(f) b, All :.eq1.1i:r:ed passage <ioors shall hat>e 32'' cle.u opening at 90 degr~es (3611 door~. 2-3.304(f) c. At le3St one of a pair of doors shall i;ieet the m;i.n;i,mum 3211 cleu entrance \.·idth requirement. 2=$S04(f) d. Threshold shall b$ r.io higher tM.n 1/').'1 above the floor. Edge to 'be beveled with a slope no gt~ter than 1 in 21 if more than l/411 , 3!04(i.l) e. Ex.terio;r; level landing may $lope ~P to 1/4'1 per , foot in any direction for su~face drainage. l~4l3 f, Door hardware shall be of the lever or pu5h t:ype, mo.mted 3011 to 4411 above ~e floo~ and be operable with a maximum effort of 8.5 l'bs. for exterior d00rs and 5 lbs. for interior doors. 2~3304(e), 2w 3304(i.2) g, :chti lower 1011 of the door shall be of swooth, plane surface (no recess or trap) except at automatic and slid;i,ng doors. 2-3304(i.3) CE} Building ent.ra.nce(s) shall be identified by sign \.l;i,,th tha International Symbol of Accessibility. Show location on plan. Ihe symbol shall be a white Hgure on blue backgrou.,d. 2-SlZ{'b) i. At turnstile, provide an aecess gate, 32" ele.ar \.lid\:'.h opening, within 30 feet of turn.stile. 2"3304(i.4) j. There shall be a el~ ax-ea Qn each side of door, 6011 degp m direction of door swing and 4411 deep in opposite rlix-eetion of rloo~ swing. 2-3304(i,l) ,z_ NOil~dOddOJ 7I~S3 ES:9T E6, LT AON £6-l, i:-n ~ 0ml. d3Id0:::(::!73J. XOd3X :,~I:! r"Od e 'e.Alii;~G FAClUUES , a. One such facility shall comply \.'hen provided for the publi~, clients or employees, z-Sll,l(a) b. sho,,,.er comparIDent shall. be 1,211 wide, 4811 deep, wit.ha .:-611 widelentrani::e. 2~~11. l(.i) c. Show on the pl.;>..ns th.at j:J-ie handieappad bathing facilities shall coniorm to ~equire:ment$ of See, l~Slla-9, 5-1505 and S~l506i i,e,, foldin&i seat, flexible showe~ hose, ete, ~~-:cs; yl. DRlKKWG ·romrtAIN · a, D:t-in-1.:.ing fOWlt.$.ins sl"kll be within alcoves, 'Ihe alcove sHall be not less thM.I 32'1 wide by 1811 deeP,, 2•511.l(c) b. When the enforcing ag~cy detenine$ t..li.at it would er~te ja.n. unreason.able h.al"dship to locate the Wqter fount.a.in in .in ,;!.l¢ove, the wate1' fotll"lt.ain. may project into the path of travel, and the path of travel shall be identifiable to the bl~nd as follo,,,.s; (1,) The surface of the1path of t~avel ?>t t.be +,,•ater foimtain s~ll 1:ie. textm-ed so that it ~s clearly id¢ntifisble by a blind person using a e~~. !he ~:Ln~ textured area shall extei:id from t.lle. wall s~pporting the water foilntai:n to l foot beyond t.~e front edzei of the ~ater fo,mtai:n and shall e.xten~ 1 foot. beyond each side 0£' the water fi;iuntain; or (l.) Wing .,..alls $hall/ ba provided on each .side of the 'W.iter I fol,lf)Ui;n. Toa wing wall$ sball proj~ct out from the supporting "7all at least as far as the. w~te.r fountain to .,..it:nin! Q fo~es of the surface 0! the path o~ travel. Also, there shall be a. uiin~ of .n inches clear bet'lieen the wing ~~lls, C!. Note on the pl~-,that diri.riking fountain shall confonn ~o requ~e.nts .of S111c. z .. Sllc and s-1$07. ' 0 PUBLIC 'IELEPH01''E r.r--· ~ VJ Vfft>_ a, Provide spaee 30H x 4~" for forward er pax-allel approach to· te~ephone. 2-Sll,l(d) · b. Note on the plans th.atlpublic telephone shall confom to requi;i;/eme:nts of Sec. 2~511,l(d). ' 0 ELECl'RlCAL REQUIREMErfl'S a. 15, 20 and 30 amp ~~captacle outlets ~hall 't>e installed noti. less th.an 12'1 above floor. 3-2l0-50(~) b. Center of switchas shall be loc·ated not less tl'lan 3611 nor mcr::e / .t.l'l..ul 4S11 abova \'.he floor. 3-380-S(c) : 6Vt'T'd t>i::t:1 ~t>68082t>6l9 yt. rL1.ll'$!NG REQUIR»lENTS a. Where kiti::henettes ~~~ provided at eraployee break roows, conference are.as> cvsto~e~ lounges, etc., the fa1.1cet controls at kitchen sinks shall be operable with one hand and shall not xeq~;i.;re tight grasping, pinching or twisting of the ~'rist (i.e., use lever= operated, push~type, etc.). If self- closing valves are used> they shall re.o:iain open for at l~st lO seGonds. s~1sos GROOl1 A OCCC!PANCY ~ / Ar.mn:oR!UMS, ASSDIBLY HALLS, THEAms, nc. a. Seating and toilet facilities fo~ the ha.ndicapped shall be accessible from t.~e main lobby or pri.ti;.a;ry entrance. 2~6ll('b) "t>. !his st.:.,.icture requires ___________ _ wheelchair seating spaces. In thMters and a1.1ditodums~ the seating shall be provided in a v~iety of locations so as to p~ovided a choice of admission prices. 2•6ll(b) c. F.ael'i. wheelchair spac.e sull be 60,i x sott and level. 2-61l(b) d. When the te.ati11g capacity exceeds 300 1 tbe \./h.eelchair spaces shall be in more than one loee.tion. 2·611(b) e. This structJJXe requ:L:ces ______ _ seats fo,: semi•awbula.nt persons, Clear leg space shall 'be at le.a.st 2411 • Z-6ll(b) f. St.ages, enclosed i!ll',d une~closed platfori:ns, o~chestra pits, ticket booths; and refreshment sales faeilitie$ $hall be ttiade aceessi~la, i-6ll{b) S'!A.O:rt.JMS, GRANDSTANDS, l.\LEACHERS, PAVILIONS, · GYMNASIUMS a. 'Ihis structure requires _______ _ whedcna.it" seating spaces. In the.aters and auditoriums, the seating shall b~ provided in a variety of loeat.ions so as to provided~ choice of admission prices. 2·6H(c) b, When the se.at:i.ns capacity exceeds 300, the wheelchair spaces shall be in more than one location. 2·6ll{c) c. Ticket booths nr~st be acCe$Sible from both sides. 2-Gll(c) d. Participation ~eas such as ball courts, exercise rooms, tracks, and cl~hrooms 1:11\.lSt be accessible. 2-6ll{c) e. Spec~to,: and partidpaJ'lt seiiituy and locker facilities must conform to t:.he ~equirrunents 0£ Chapte~ 2-5. 2-6ll(c) NOil~dOddOJ lI~S3 t'£:91 E6, LT AON lb GROOP l:{ OCCOP!JiCI ~ f3.-a. '>' Accessible sanitation fa<lilities in all Gro~p » Occupancies shalllbe provided as specified in Chapter 2•5. · 2·913(a) b. Accessible floors and! l~vels shall comply with the require.l))ents specified in Chaptet i-~. z~913(~)1 c. f=?loyee work areas shali be accessible by means of a 36~inchl minimum aisle width, and a 32-inch m~n;i..mum clear opening door width. 2•9lp(a) J,DDI'!IONS., ALIEXAnONS AND REPAIR:$ ::to EXIs:r:rnG BUll.Dn.GS. (2-110A(b)ll) . , .. (:;':\ !he a.re.a of • specU:i.e ··aodit~Ol'lt. 'ii!-l~e-..ation V IU'ld/or repair, shall ccinply with the provi$ions of Title 24, Addi~ion.ally; G) :r:he primar,y entrance to the building and path of travel to theJ specific ~e.a. shall be accessible to ithe handicapped p'1!rsons. CcP1PliMce W1.1St be shown;! beginning frcw the existing parking ax-Ml and leading to the ax-ea of alteration, ' @ Existins rasuoom.s, watetj fountains, and public telephones whiQ'h serve said specific area must b~ shown to be ~ccessible tQ and £unctional for handicapped persons. 1 0rn£o11!'lAtion ~egarding h.e..ndicapp$d accessibility shall be posted in loDby per See. 2·522. · 6l/£l "d S"J'.*'1~'176808£'!761'.9 E-£8 .LL I -:o 12/29/89 NOil~dOddOJ lI~S3 v£:9l 86, LT AON WdC:S:t; REMODEL OR TEN~NT IH?ROVEXENT CONSTRUCTION VALUATION The B~ilding 0ffi~i3l is mandated by st~te law to oeter~ine the value crf """work proposed in ea1ch application foe a 8uilding Permit. The value to be used, shall be t~e total value of all construction work for which the permit is issued a~ well as all finish work, painting, roofing, electric3l, plumbing, heoting, air conditioning, elevators, fire exting- uishing systems and an~ other pe:~anent equipment. Uniform Building Code Sectio~ 304 (a) * * ,I" * "' * * "' * * * * * * -Jr * * * * * >ti ... * ****"'***************************"'*********** APPLICANT PLEASE COMPLJETE I SITE ADDRESS '?'?JO jFFIM-P14-t.J I PLAN CHECK NO. 7'5~;1 D/ DESCRIPTION OF PROPOSED WORK A.RE.1l.. OE' D D D ----------~--------~~ I RENOQEL ----------------~ ~ENA$! IMPROVE~?~T ~------~----ADD I 7-' J: ON -~------~--------PROPOSED WORK INCLUDE~: NEN NEW NEW NEW NEW NEW SUSPENDED CElLlNG I HVAC FIRE S??.!NKLERS PARTITIONS PLUMBING tLECTRIC.!>,.L D D D D D D YES YES YES YES YES YES D D 0 8 D NO NO NO HO NO NO HAS .ri.. CONTRACTORS ES'!~t•t:;.TE BEEN R!CEIVED FOR 'l'RE FR0?0SED i·WRK? ( ] YES f ] NO ITEMIZED COST ESTIMATE IS AttAC22D (~ J YES [ ) NO I CERTIFY ~HE VALUE 0~ ALL PROPOSED CONSTRUCTION WORK COVERED BY T3E PERMIT APPLICATION INOLtJDING: ALL STRUCTURP.L HORK, FINISH WORK, PAINT- ING I ROOFING',. ELECTRICAL I PLUMBING, HEATING I AIR CONOITIONlNG I ELEVATORS I FIRE EXTINGUISHING SYSTEMS, AND ALL ?ERM..;NENT EQUIPMENT IS:$ • I ------ TH IS VALUE IS BASED~~: .,,. D PESIGNER Is ESTIM.~TE' o···cONTR.l\CTOR I S ESTIM..l\TE 0 OTHER, DESCRIBE BASIS --------------- I THE ABOVE INFORMATION ilS TRUE AND CORRECT 0 A?i?LICANT 0 DESIGNER 0 CONTRACTOR *********************~************************************************ PLAN CHECKER USE ONLY .. THE VALUE IS ACCEFT~BLE CJ YES D NO AN ITEMIZED COST BR~AKDOWN IS REQUIRED TO CONFIRM THE ESTIMATED CONSTRUCTION ·vALUE.' D YES D No 6T/9T'd 91'.i=t~176808Ei761'.9 ~E!:J .L.LI:O B't : _________ ......_ ______ _ DATE: --------~------~-/5 N0iltld0dd0J 7I:lS3 SS : 9 T E6, LT t\0,1~ 2 2 / 8 5 l'-ldES:17 E6-L1'.-n ~ 01'.0l. H3Id0:)373.L X0~3X:AS: (0~ Jurisdiction~_C.;,..,._l'l_·J!=._..::;L.::..~-if.J,=~:.....0-~-~~~~-- Ptojeet Addres$ °?':>ID F~OY:,.~ ~ Date ID-!Z--=;"? R(l"O)f;L OR TENA.Ni lWROVEt-E~T BUILDING Ccc£ Il'GORl'\AllON ~EQUIR(D PRlOR TO PLAN SUBMITTAi.. In oroer to complete a plan review.of a remodel or tonant improvement within an e~isting building it is necessary that the information in ~terns l-ll be provid~d er the approved plans be provided for the existing t>vildS.n9. HIR~J1•1••R~l~«••••~•H-t-¼*-1+H~~*r4 ~~e--H-lt-H-~•tt-•~•••~•t~l~¼¼-H-H«-fi<-l-**+J-rl<*-~-~~••~••«•-- 0 0 © 0 B Circle the existing tyfe of construction for this buil~ 1, 11-fR., l!-lhr.1 IlfN, II!-lhr., lli-N1 lV.1 V-lhr,1 V-N , Does. this building hav~ fire sp.:irikle:rs throughout? @ No Does the proposed proj~ot create a change in use er occupancy classification? Yes No Describe the .. previ0vs ).t:,;e·of the project area. Describ~ the proposed ~se of the project ar~a txisting Building Area,__~----------lmprov~ment Area. ____________ _ Hoi'/ many stories Ste $;n this building'?. _________ ~-----~-------~- l,l,iat story is the imp~ovetilerit on? ______________ ~--~--------- Does this project invdlve alterations to: Existing fire wallJ Existing floor or ~oof loads Existing building itro~ture txistin~ HVAC equipment Existing electricai service lQads Existing lighting' Yes Yes Yes Yes Yes Yes No No No No If "Yf:$", see iflO below Ne No 1 f 1'YES", Me t.110 below t.f..at is the approxima~e date that construction of the ~xrsting b~ilding was permitted? ___ _ Er-ERGY CONstRVA TION · ~ich of the f0llcwin9 were chetked and apprcved for Title Z4 Energy Conservation at the time the original bu!lding was approved; Suilding env~lop: . '(e::s Area lighting Yes Ne No HVAC equipm~nt Water h~ating Yes Yes No No Will the proposed prdject · signif$.cantly alter any element that was approved? Yesi • I • , -~~--~ --~--~.......,,No ]f "Y(S"t see DlO below HAflDICAPPED ACCESS r4CILITI(~ Wnich of the foll~wing has been ~pproved for CQmpliance with the handicapped access standards of Title 24, CAC: Parking~ ~ccess to the buildlng Building stairs &lelevators Cl'£RCY DOCll'ENTATlONi . No No Building entrance doors Yes txisting public restrooms Yes e. Remodels to existing conditoned space$ require that a torm CF-l (attached) be completed, I signed and i111pr~nted on the plans. Additionally, if the building envelcpe1 lighting or HVAC equipment arb to be altered or added 1 ~ppropriat~ State required doovmentetion must be submitted. b. Provide copies ofl ell existing CF-1 forms for this building. c. Provide a.copy ofl any existing epproved energy desi9~ for the building, No No Lb 6T/lr'd .!..ti:*~176808£176T-9 ~£8 .L.LI::O t·~Oiltl:::!0&10'.:J 7I5S3 ££: 9T S6, J... l AONl6/87 ~-ld£S : t' , 26-,!., T--H ~ 0 T-0L. ~:l::3 I dO:J:37:3.L X0~:3X : AB: (0~ ~ a. Plans shall cl~arly.show ~ll demolition and n~w construction proposed. b• Plans shall clearly ,how exit systems, (ire rated construction details, occupancy require- ments, handicapped access provisions and other requirements necessary to show the work will comply with ad~pted oodes ~nd ord!nances. o. lf $tructvtal revis~ons or increased Jive or dead loads ~re proposed the structural plans I details and calculations shall be provioed and shall be signed by a Califot~ia licensed engineer or archite~t. d. 1r electrical system revisions or i~cre$sed electrical load$ are needed provide electrical plsns and specificaltions showing loeation of panels, pa~~l-sohedules, existing service size, existing builldin9 load, additional 1Qads 1 viiring method, exit signs and emergency lighting wheri re,qui;ted. e-lf pl,.,mbing uvisiO:n$ or addH:Ions .,;;;-e ~rroposed provide plumbing layout1 d~tail$ and specifi- cat;.oni;. Include sizing cakulation:s vit',ei'\ necessar11 to j1.1$ti fy pipe sizes. f. All sheets· of the ~lans are requried to be s5.gMd by the responsib,le designer. 6r/sr 'd 8T-i=t ~t;,6808:E:t;,6 T-9 !nf'ormstion is pro~ided by -----------~-----~------------ i it le _____ ~~----------~~-------------~---- E-£8 .LL I :o ~--ldt;,5: t;, ~JOill::::lc:lOddOJ lI:lS3 9S: 9r E6, Lr t\ON £6-L.T--n~ 0r.0L. ~:IIdO:J:373.L xo~:1:.(:;..g to~ ,. .-; D; te i r:o/ 1#9. '? Jurisdiction CARLSBAD ' Prepared by, 11-e'>t;;r' VA~UATION AND PLAN CHECK FEE PLAN CHECK NO. T:2 .-V ( D /_ I D Bldg, Dept. CJ Esgil BUILDING ADDRESS &?10 F11-£..14-DJ4-:+-/rr)CP APPLICANT/CONTACT SUNzi:J:tJ,.J~ Pe]?}--ltT~HONE NO. {&1 j__} 44,., --l~ ~L BUILDING OCCUPANCY ,a--L DESIGNER PHONE ~~---- TYPE OF' CONSTRUCTION; J/·-N CONTRACTOR PHONE ----- - 3UILDING PORTION BtµILDINO AREA VALUATION VALUE MULTIPLIER T T· I ·-·-· I 1 qgs \. ,,2ig0, OP-f-t Ci2 ~5:'". tf'r) 07>7> I/J1te(iftvw,S.O" i ;i~§Jt / ' -------~ ,_ - ------·-1 ' ' ' I· l ---' I ' ., -- I Air Condi tionine: I --Comrnerc1.a.l ' @ J R~sidential @ ·Res. or Comm. Fire S"Orinklers @ --I Total Va.lue .2g(ol oo-o Building f'er-rnit f'ee $ ~--,------------$ I ~CJo, .5?J ' Plan Chti:ck F"ee $ $ /J.-5/?, R3 -----''--~-e--,------------------'---.;:_;::::.-__;; _ __,. C O M ME: N l S·,_. ___ ,..._.._,_,,.,..._....,..,, _______ ~~---------------. --------------------- SHEET I OF ) l i t--.JOiltlc:!Odc:lo:J 7 I5S3 .LS : 91 E:E,, n AON l 2 / 8 7 ~28 l..LI'.):) ~ t,.ldSS:t, £6-c:'..l:-H ! GH0c:'.. d3IdO:)373.L ><Od3X:;..s: (Od :r City of Carlsbad· M ¥i It· ii 1144 Ii Ii· I •24 ·Si Ii; ,t4 Ii I BUILDING PLANCHECK CHECKLIST DATE: p-18--q'":) PLANCHECK NO. g=s-\\ 01 BUILDING ADDRESS: 2. ~lO ~1i2SD f:¥ ?9 /S-:;.pji:;ce.. -,-~ /.f S"'S" u.,(# Si:.,. PROJECT DESCRIPTION: l\,?t?\,2-st:@,:N.,., q::-r:. ( :t:-=::,i-:aj ASSESSOR's PARCEL NUMBER: '212 -DG?\-a 4 62.-EST. VALUE '$ 2<eip1 Qct:> ENGINEERING DEPARTMENT APPROVAL The item you have submitted for review has been approved. The approval is based on plans, information and/or specifications provided in your submittal; therefore any changes to these items after this date, including field modifications, must be reviewed by this office. to insure continued conformance with applicable codes. Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to build. ·s;:s: .. ATTACHMENTS D Dedication Application D Dedication Checklist DENIAL Please see the attached report of deficiencies marked with liSI. Make necessary corrections to plans or specifications for compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. By: __________ Date: ___ _ By: _________ Date: ___ _ CONTACT PERSON D Improvement Application D Improvement Checklist NAME: ______________ _ D Future Improvement Agreement ADDRESS: ______________ _ PHONE: __________ ~---- P:\doca\chkls1\bp0001.frm REV 6/5/92 · 2075 Las Palmas Dr.• Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-0894 @ BUILDING PLANCHECK CHECKLIST SITE PLAN 1 sf v' 2ndv' 3rdv' [I. D D 1. Provide a fully dimensioned site plan drawn to scale. Show: A. North Arrow D. Property Lines Easements B. Existing & Proposed Structures E. Easements C. Existing Stre~t Improvements F. Right-of-Way Width & Adjacent Streets I @J D D 2. Show on site plan: ,i1o 1f1o D A. Drainage Patterns C. Existing Topography B. Existing & Proposed Slopes 3. Show on a section drawing or include a note stating that there is a minimum of 6" difference between the finished floor and the finished grade elevation adjacent to the structure. 4. Include note: "Surface water to be directed away from the building foundation at a 2% gradient for no less than 5' or 2/3 the distance to the property line (whichever is less)." On graded sites, the top of any ext~rior foundation shall extend above the elevation of the street gutter at point of discharge or the inlet of an approved drainage device a minimum of 12 inches plus two percent" (per 1990 USC 2907(d)5.). 1'71.,... D D 1£.1 5. Include on title sheet vA. Site address [..,,B, Assessor's Parcel Number i,1C. Legal Description For commercial/industrial buildings and tenant improvement projects, include: Total . building square footage with the square footage for each different use, existing sewer permits showing square footage of different uses (manufacturing, warehouse, office, etc.) previously approved. · EXISTING PERMIT NUMBER DESCRIPTION .-o)'::=:,_ 1C1+ • :, ' <...,, -I -,I -i..-,.--.-r __ _,,..._t,... P:\docs\chklst\bp0001.frm Page 1 of 4 REV 6/5/92 BUILDING PLANCHECK CHECKLIST DISCRETIONARY APPROVAL COMPLIANCE 1 stv' ggdv' 3rdv' gJ ~ . D 6. Project does not comply with the following Engineering Conditions of approval for Project No. '?I.JD ep3:C~ QOk.'.):t:?~. !:}. 5. (e ~D D f>-oes .io-t ,,.,,,.ol-1 ~ 11'1,"s P., to~-: Pvb~ 1 (;4);'s' '~ ~ 't. MafM.,,/ i cA-I Ylf;41.) s Condition~ were complied with by:_______ Date: ______ _ /J/~6f-tdt(td,,,£; v-'"z,,7 DEDICATION REQUIREMENTS 7. Dedication for all street Rights-of-Way adjacent to the building site and any storm drain or utility easements on the building site is required for all new buildings and for remodels with a value at or exceeding $ ______ -pursuant to Code Section 18.40.030. Dedication required as follows: ________________ _ Attached please find an application form and submittal checklist for the dedication process. Provide the completed application form and the requirements on the checklist at the time of resubmittal. Dedication completed by ___________ _ Date: ---- IMPROVEMENT REQUIREMENTS µ A:9 D D Sa. All needed public improvements upon and adjacent to the· building site must be constructed at time of building construction whenever the value of the construction exceeds ....__ ________ -pursuant to Code Section 18.40.040. Public improvements required as follows: _____________ _ Please have a registered Civil Engineer prepare appropriate improvement plans and submit them together with the requirements on the attached checklist for a separate · planchepk process through the Engineering Department. Improvement plans must be approved, appropriate securities posted and fees paid prior to issuance of permit. Attached please find an application form and submittal checklist for the public improvements requirements. Provide the completed application form and the requirements on the checklist at the time of resubmittal. Improvement Plans signed by: __________ _ Date: __ _ P:\docs\chklst\bp0001.frm Page 2 of 4 REV 6/5/92 1 stv' 2nd/ 3rd/ f~ D D \-l,ID D D BUILDING PLANCHECK CHECKLIST Sb. Construction of the public improvements may be deferred pursuant to code Section 18.40. Please submit a recent property title report or current gran~ deed on the property and processing fee of $ _________ so we may prepare the necessary Future Improvement Agreement. This agreement must be signed, notarized and approved by the City prior to issuance of a Building Permit. Future public improvements required as follows: ___________ _ Sc. Enclosed please find your Future Improvement Agreement. Please return signed and notarized Agreement to the Engineering Department. · Future Improvement Agreement completed by: ____________ _ Date: _______ _ ,-_~~ D D . Sd. No Public Improvements required. SPECIAL NOTE: Damaged or defective improvements found adjacent to building site must be repaired to the satisfaction of the City Inspector prior to occupancy. · ~ )'.fil-D t-11!1 D ,. 1-,.1lZE] D D D D GRADING PERMIT·REQUIREMENTS The conditions that invoke the need for a grading permit are found in Section 11.06.030 of the Municipal Code. 9a. Inadequate information available on Site Plan to make a determination on grading requirements. Include accurate grading quantities (cut, fill import, export). 9b. Grading Permit required. A separate grading. plan prepared by a registered Civil Engineer must be Submitted together with the completed application form attached. NOTE: The Grading Permit must be issued and rough grading approval obtained prior to issuance of a Building Permit. Grading Inspector sign off by: Date: 9c. No Grading Permit required. BUILDING PLANCHECK CHECKLIST P:\docs\chklst\bp0001.frm Page 3 of 4 REV 6/5/92 (' . 1 stv' 2ndv' 3rdv' \-[µ:'"'-D D D D MISCELLANEOUS PERMITS 10. A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or private work adjacent to the public Right-of-Way. Types of work include, but are ··not limited to: street improvements, trees, driveways. A separate Right-of-Way permit issued by the Engineering Department is required for the following: ______________________ _ Please complete attached Right-of-Way application form and return to the Engineering Department together with the requirements on the attached Right-of-Way checklist, at the time of resubmittal. 11. A SEWER PERMIT is required concurrent with the building permit issuance. The fee is noted in the fees section on the following page. 12. INDUSTRIAL WASTE PERMIT is required. Applicant must complete Industrial Waste Permit Application Form and submit for City approval prior to issuance of a Permit. ,~ Industrial waste permit accepted/~ /~· Date!1i:r P:\dO(?S\Chklst\bp0001.frm Page 4 of 4 REV 6/5/92 " ' ·" ENGINEERING DEPARTMENT ENGINEERING REVIEW SECTION FEE CALCULATION WORKSHEET D Estimate based on unconfirmed information from applicant. .BJ Calculation based on building plancheck plan submittal. Address: z~ \0 f"-i'-~ r:,:; h:· 1 Bldg. Permit No. q";;? -\ \ b I Prepared by: 5LJ . ..\-Date: 10 -1?,-r=--Checked by: e.,,10eoo'Af\ Date: IO/l°t /q3 EDU CALCULATIONS: List types and square footages for all uses. Types of Use:__.OFi.__---'-F...;..I°,=·=.;::-___ _ Sq. Ft.: -q ' Cf-?··:::: EDU's: 4-'--il..l, v .. Y,-1~·1::::·r:c1_1 ·=~ ,::-c. -~.,.... . .;._ ' .... I c:: -::: _ _......,,.... f" \ " , --' I_' z • ~""" -"T"C-·ti~I-5, l3 -~,cl\ Ctz.E\;;iT· t q-::~ C l.:.oi?T -r Total EDU's:. ______ _ ADT CALCULATIONS: List types and square footages for all uses_. Types of Use: ____ --,-__ Sq. Ft.:. ____ _ ADT's: ·----- / Total ADrs: ______ _ FEES REQUIRED: PUBLIC FACILITIES FEE REQUIRED O YES ~ NO (See Building Department for amount) · WITHIN CFD: 0 YES (no bridge & thoroughfare fee, 0' NO reduced Traffic Impact Fee) t---l/!~ 1.PARK-IN-LIEU FEE PARK AREA: ·---- FEE/UNIT:_____ X NO. UNITS: __ _ }) 1liil~ 2.TRAFFIC IMPACT FEE 0.ll on}.)~ \,,\'?i ADT's: _____ X FEE/ADT: ___ _ '1J;1fci 3. BRIDGE AND THOROUGHFARE FEE e<!~17~~ ADT's:_____ X FEE/ADT: ___ _ l-J/80 4. FACILITIES MA~(iEMENT FEE ZONE: ___ _ -E:)(1-==---TI }.J .&, 1.JL-E:: . EDU's:___ X FEE/EDU: ___ _ ~ . ~ 5. SEWER FEE >2!!:CJ3~0'J? -. --_.,....,r"' ._.,-;.. \ t 2----· PERMIT No. '"::!.,C , -oo 1 - EDU's: 1 -Z.c; ------=---X FEE/EDU: 1-:=t(p-=t BENEFIT AREA: -P ------- EDU's: 125' X FEE/EDU: 6,-<j tJ,EPJ, 6. SEWER LATERAL ($2,500 DEPOSIT) ~·'::JH.)~ 0 7. WATER FEE EDU's-: _t __ zc ..... :-; __ _ x FEE/EDU: '"2 , ,.n·:> =$. ____ _ =$ _____ _ =$. _____ _ =$. _____ _ =$ 44Z =$._~~_:zn....___ __ =$. _____ _ TOTAL OF ABOVE FEES*: $._~I .... "v ... ' :..J .. · ... ·::-'-...... _ *NOTE: This calculation sheet Is NOT a com be due. P:\DOCS\MISFORMS\BP0001.FRM. REV 08/23/93 ~ :,.. ~ .0 -N "" --.>,l .>,l .>,l u u u ill ill ill .J:. .J:. .J:. u u u. C: C: C: ca '° '° ---0. 0. 0. PLANNING CJ-iECKllST Plan Check No. 93-/ / 0 I . Address _2-.=---,3 ___ 1_0--'-n...:;.....;u,_;,;;,..,b=A:..;..Yr-------- Planner VAN LYNCH Phone 438-1161 ext. _!J_3_25 ____ _ (Name) APN: '2 CZ..-C26 I~ DI -J-O 2.-. Type of Project and Use //VDU<; Z: · z;;J;;" Zone Pm Facilities Management Zone _ __,;;;;_s;.... ____ _ Legend [ZJ @ Ite~ Complete Item Incomplete -Needs your action ' 1, 2, 3 Number in circle indicates plancheck number where deficiency was identified efo O Environmental Review Required: YES~ No<_ TYPE __ _ DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval ______________________ _ Discretionary Action Required; YES NO \x. TYPE __ _ APPROVAI/RESO. NO. ___ DATE: _____ _ PROJECT NO. ___ _ OTHER RELATED CASES: _? __ L? __ 'D ___ <.o=-9_(~-,;~-------~------ Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval ____________________ -,--_ California Coastal Commimon Permit Required: YES _ NO X DATE OF APPROVAL: San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA. 92108-1725 (619) 521-8036 . Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval _____________________ _ t.anc:iscape Pla.p. Required: ,YES-:-. NO 4-. See a~tached submit~a;l re.quµ-e1t1,en1s. for landscape Psl'ans Site Plaru :we;[] I ' i~ r . . /.·,Do: I·./ ·GfDD. Zonm~ ~[] fl, i ·.. rfMO'-. \ /JV 'r ofJr · , .• in?/).>· · \ ,vvy-' ' i I • cg/o D ' ' , 1 .. ,. · Provide a fully dime~ion~d, si,~~ plcm drawn, to scale. Show: North arrow, property lines, easements,,· existing and proposed ,~trt,lctut~s, ·, streets,;:-~: eiisting' _?t~eer \'. improvements, right-of-way ·wiqth: and dirnensidp:ed setbacks:. · · · ·· · -..,._,, f '\ ' I < \ 2. . Show on Site Plan: Finish floor elevations, elevqtions of fi.p.ish grade i:id]acent to building, existing top0graphkal lines, existing and proposeq :slopes, ,.and driveway. · ·3. ·Provide legal description-of property. 4. Provide .. assessor's parcel nurnbf:!_r. 1. 3. .Setbacks.: ·Front: · Int. Sid'e: Street .Side: R,'e~:· 1.ot coverage:. . \ ,' Require4 Reqwed · , . Requ4'ec1 Required Required, Height: Require~ ___ ,Shown __ ·. __ _______ Shown ..... ___ _ __ .,...Shown __ ___ Shown ____ ____ Shown.__,;,,_,... ___ __ Shown ___ _ f015 D. / :zdi ·:· ~ -~- ,' -~ Parking: Space, Required' . Shown -------------Shown_· -a.-.Gue$~ Sp.aces Req~.ed .. -,J D. o· .,0 . . . Additi<;mal Comment$ --------------,-.;,....;..----,....,.,...----------------___,,.-----......,..------...,.,...- OK TO ISSliE ANO ENTEjlED APPROVAL ®O COM~UTER ·. /). ?fr,~ DATE (0~ CS?Cf J PLNCK~FJ.Uv1 ,"' . ' City of Carlsbad 93167 Fire Department • Bureau of Prevention Plan Review: Requirements Category: Building Plan Check Date of Report: Thursday, October 28, 1993 Contact Name· John McKeown Reviewed by: ~ Address 1515 Morena Blvd City, State San Diego CA 9211 o . Bldg. Dept. No. 93-1101 Planning No. Job Name Calcitek ----------------- Job Address _2_3_10_F_a_ra_d ..... ay'---------------Ste. or Bldg. No. ____ _ ~ Approved -The item you have submitted for review has been approved. The approval is based on plans; information and/or specifications provided in your submittal; therefore any changes to these items after this date, including field modifica- tions, must be reviewed by this office to insure continued conformance with applicable codes. Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements. D Disapproved -Please see the attached report of deficiencies. Please make corrections to plans or specifications necessary to indicate compliance With applicable codes and standards. Submit corrected plans and/or specifications to this office for review. For Fire Department Use Only Review 1st. __ _ 2nd ~--3rd. __ _ Other Agency ID CFD Job# __ 93_1_6_7 __ File# ___ _ 2560 Orion Way • Carlsbad, California 92008 • (619) 931-2121 City of Carlsbad Fire Department • General Comments: Date of Report: Thursday, October 28, 1993 Contact Name Address City, State John McKeown 1515 Morena Blvd San Diego CA 9211 O 93167 Bureau of Prevention Bldg. Dept. No; _9_3-_1_10_1 ___ _ Planning No. ____ _ Job N~me ._c_a_lc_ite_k ____________ _ Job Address 231 o Faraday ----------------Ste. or Bldg. No. ____ _ PERMITS ARE REQUIRED FOR THE INSTALLATION OF ALL FIRE ALARM SYSTEMS. PLANS MUST BE APPROVED BY THE FIRE DEPARTMENT PRIOR TO INSTALLATION. 2560 Orion Way • Carlsbad, California 92008 • (619) 931-2121 OCT-28-83 FRI 13:07 • • • • l • I : ~ ! FAX NO. 6192998934 P. 02 • • • • • j • i .. '' • ' ~ • : : . ~ ~ ·1 ' ·._. _-· .. >,·:_·-i :( 'i .. :/~' :·-·· ,< :.,:._·.'._ ;.· ·: ,\ _:-:'. -: .:, ·-.. "}:' BURKETT AND WONG \ } t. i__ \ . ~, . . .. · . . ,. ; ,,, ' .... . . ' -. '. . f"", .. burkett ~ --...... ---..... , , -· -.-.. · 1,.,~1 .. ,-· ·· · . :. &wong· • .. , !"<-, _:-. :----,· :.::sH1:~r-. rtr ; ·--~, . . ... ,. ;, ........ 1' ... , ••• , DATE ___ I t?.-'-1/ __ 'J __ .3=---···_·· ·. __ ENGR_. __ . -"'(P"-~-=------. ...· , .. ,. ·. . .· ';o~ NO . ... . . : f'ROJECT 5truct1.1<0I & clvll en~ers · ~f 6.1~ RG~€/.::JI!.. cA · ce,.s~ --· an~C. ~ .,,_C>.,..Jt::. . . ' .. , ' .,.,. . ,'. /$!::_~ . ~O// Ct>·t .i..t cP 6:1.e,~ c S'T"VM ) .l-t,.. V ~ ...,,.___,._ 1'ra· ~· }1:- ~J.1 ,::;c... ~ /4;0,PJ/ ··- 7A-c. J,1,.~~-1-12~2()-.;...,1,,r:!J-=-74D~ :.t..t-:.1z.o f>,:: 7a.,/ 'l ~ /c::a:,"f w, ir (14--+1;;)(24-1' i!J/2 = S"fl;f)~ '7 UJl.i = {/4-f/'2] ~ r. C-2-.f /J <r R'-r: /c~?"- 111-"0. d4-, /-C. -~I...·,: b. ~,,. . t ,---51/e, ~"2-ZYz ,:;,Jt.. /I ., tJc0 q~c:; J1I t.J~,1 -~,a,-c--C 'o/8 _,,_ i-ijz ~ti!:> ~'1 G !o ""!. r,,.,... w~. ., . '.l. '- INDUSTRIAL WASTE DISCHARGE 'PERMIT APPLICATION BUSINESS NAME, ~-f.\ ::;-<;.A ~)f;;;_ ____ ! ·'_-J_c~--,;.._. ______________________ _ srre ADDRESS 2., ·:s \ 0 ir R (~(); Q.D.:J. __ _.a ...... ;1..1..,,· __ fi:.;..;,_, ---------------- () CONTACT P.EASON (at bu$ln~tsi)_.S--v K 1..~ ............. .;._....,~=\,...../ _c.,._0_l~_A.-,_.;..,.' .s. __ · n=-.... c .... ...) .... · ---------a--- PHONi NUMBER 4 3, \ --q -._:;-~ <;' I ,..Vf.1~ ¥.4 b ;ih, Type Of BuslnMB (check all that 8?PiY) 0 Agricultural ~ AsaembJy Automotive Chemfoal Handlin; EIIOtronlcs Food 0Gowrnmem D l..Aboratory D taundry Mant.Jfacturtng Medical M~tsl Work Office SE 0 Photo Lab BRetall · Service Statton Dwarahoute 00ther ------- OESCAISS WASTE OTHER THAN 0OMES11C (Chtmlc~da, Port1c:ulates, ete.) ___ .... N=\=o--~ __ -__ F ______ __ OeSOFUBE BUSINESS ACTIVITY:~f.ds .. _______________ _ GENERAL OESCFUPTION OF ONSir; WASTEWATER PROCESSING: (chtmlcat & phyefcal oharacterlstlce)_ WO 'E .. N --~ ---. ,,. ..... "" ·---·-----------------------------~---·------------------- fl bueilne.n presently In o~ratlon &t sl1'$'? 0 YES {a:NO . Haa Wastewater 0"4::tt.«rge Petrnit be,~r applied 1or through t.he Enelna Water Authority? 0 YES ~ NO Title ~w: ~ .t)(, > bizK Phone 4 ~, -~1s 15 _ Agency:._~--~---------· , . -. Signature:. ______________ , __ _ Signature of City Represeritauve 8 EXEMPT NOT!XEMPT Date forwarded to !nolna _____ , ____ ~-~ -·-· ____ _ cO 'd S9l6 ! Sf78 I9 ! 'ON XtI:l Oate. _________ _ Date. ____________ _ ]3lIOltJO 6P:8o IH:l S6-6c-l00 26-6Z-0T : 0T0L. d:::3 I dO:::J:373.L XO~3><: A8: (';:J~