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Home My WebLink About2525 El Camino Real; 142; CBC2017-0152; PermitPrint Date: 06/20/2018 Job Address: Commercial Permit (city of Carlsbad Permit No: CBC2017-0152 Permit Type: 2525 El Camino Real, 142 BLDG-Commercial 1563022700 Work Class: Tenant Improvement Status: Closed -Expired Parcel No: Lot#: Valuation: $ 186,040.00 Reference #: Occupancy Group: Construction Type # Dwelling Units: Bathrooms: Bedrooms: Orig. Plan Check#: Plan Check#: Project Title: Description: SHIEKH SHOES: Tl 4000 SF-NEW PARTITIONS & P/M/E WORK Applicant: BRUCE MARTENEY 1640 Via Palomares SAN DIMAS 91773 909-599-7054 FEE BUILDING PERMIT FEE $2000+ BUILDING PLAN CHECK FEE (BLDG) ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL SB1473 BUILDING STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $ 1,793.34 Total Payments To Date : $ 1,793.34 Applied: 04/03/2017 Issued: 05/09/2017 Permit Fina led: Inspector: MColl Final Inspection: Co-Applicant: INACTIVE -HINKLE CONSTRUCTION 1905 N Williams Mesa, AZ 85203-2869 480-835-6886 Balance Due: AMOUNT $934.85 $654.40 $89.00 $55.00 $8.00 $52.09 $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees /exact1ons DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning1 grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees /exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Building Division EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 DATE 1.,-.;to-I 8 SIGNATURE fER.. HI l(E, f, 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILD1NG 0FIRE 0HEALTH 0HAZMATIAPCD Ccityaf Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. CP.,C. 'l 0\ 1 • CL~ "2.. Est. Value Plan Ck. Deposit Date SW PPP JOB ADDRESS SUITl!t/SPACEf/UN I ~4z.. 2S°1'D G.<. c.Al-fJ # OF UNITS #BED OOMS #BATH TENANTB IN CT/PROJECT# LOT# PHA.SE# lffiNGUSE GARAGE (SF) AIR CONDITIONING Neg, YE~NoD FIRE SPRINKLERS v, oO ZIP r 1,,k [..e c,/ , STATE UC.# C4-3 CITY BUS. UC.# (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 ttiat he is licensed pursuant to the provisions of the Contractor's License LawJChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the aUeaect exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {S500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby fJfflrm under penaltf of petjury one of the following declarations: 8 I have and will maintain a certificate of consent to aalf.lneure for workers' compensation as provided by Section 3700 of the Labor Code, tor the performance of the work for which this permit Is issued. 1 nave and wlll maintain workel1i' compensation. as reQUlred bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are; Insurance Co. Polley No. Expiration Date--------- n need not be completed if the permit is for one hundred dollars ($100) or less. rtificate of Exemption: I certify that in the pelformance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to become subject to the Workers· Compensation Laws of WARNING: Failure to secure workers' compensation coverage is unlawful, and ahall subject an employarto criminal pen11t1&1 and civil fines up to one hundred thousand dollars (&100,000), in addition to the co.t of compensation, damagn a, provided in Section 06 o the Labor code, Interest and attorney'• fees. ,6$ CONTRACTOR SIGNATURE D D I, as owner of the property or my employees with wages as their sole compensation, wil! do the worlr: and the structure is not Intended or offered tor sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves th8f80n, and who does such work himself or through his own emp\Oyees, provided that such Improvements are not Intended or offered for sale. If, however, the building or Improvement Is sold within one year of compleUon, the owner-bullder ~I have the burden of proving that he did not build or Improve for Iha purpose of sale). 1, as owner of the property, am exclustvely contracting w!lh 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 pun;uant to the Contractor's Uceniie Law). I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Oves 0No 2. I (have I have not) signed an application for a buUdlng permit for the proposed work. 3. l have contracted wtth the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the worlr:, but I have hired the tollowil'lQ person to coordinate, supervise and provlda !hi major worl( (Include name I address I phone I contractors' license number): 5. I will provide some of the worlr:, but I have contracted (hired) the following persons to provide the work Indicated (Include name I address I phone I type of work): Jl5 PROPERTY OWNER SIGNATURE 0AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occ1.1pant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management district? Yes No / I,. Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes No ~ IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 1 certify that I have read the appllcatlon and state that the above lnfonnatlon Is coned.and that the Information on the plans Is accurata. I agree to comply Vifth all City on:linances and State laws relating to building construcllon. I heceby aulhorize nap'""°"'we of lhe City of Carlsbad roentar upon Ille above-property for ospedi)n purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is required for over 5'0' deep and demolition or construction of s1ruclures over 3 stories in height. EXPIRATION: Every permit issued by the B · · I uncle( the provisions of this Code shall expia by limltatbo and beoome nuU and vok:I tt the buik:llng or work auttlorized by sudl permit is not commenced within 180 days from the date of such pemlit or tt or work aulh:lrlzed by sud1 permit is suspended or abandoned at anytime afterlhework Is COfTVl1eflCSd !or a peficxl of 180 days (Sectk:ln 106.4.4 Uniform BuiklnQ Code). ~ APPLICANT'S SIGNATURE DATE 3·'Z.S·li • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mall the completed fonn to City of Gartsbad, Building Division 1635 Faraday Avenue, Cartsbad, California 92008. CO#: (Office Use Onty) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE carlsbad CA PHONE FAX EMAIL OCCUPANTS BUS. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1.) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Usted above) MAIL/FAXTOOTHER: ________________ _ IS APPLICANT'S SIGNATURE ASSOCIATED CB# NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Application Date: 04/03/2017 Owner: Permit Type: BLDG-Commercial Work Class: Tenant Improvement Issue Date: 05/09/2017 Subdivision: CARLSBAD TCT#76-18 Status: Closed -Expired Expiration Date: 12/05/2017 Address: IVR Number: 2890 Scheduled Date Actual Start Date Inspection Type Inspection No. 06/26/2017 06/26/2017 BLDG-Final Inspection 08/11/2017 08/11/2017 BLDG-Final Inspection 08/16/2017 08/16/2017 BLDG-Final Inspection 08/17/2017 08/17/2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency BLDG-Building Deficiency 027160-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final 031353-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final 031788-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final 032066-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final BLDG-Building Deficiency 10/26/2017 08/16/2017 BLDG-Fire Final 031739-2017 Checklist Item FIRE-Building Final June 20, 2018 Inspection Status Primary Inspector COMMENTS Hard lid at dressing room & show windows. Work not ready. Failed Michael Collins COMMENTS Roof HVAC equip. Cancelled Paul Burnette COMMENTS Roof HVAC equip. Failed Michael Collins COMMENTS Accessibility at restroom/fitting room non compliant Roof HVAC equip. Partial Pass Michael Collins COMMENTS Temp occupancy only. Need final Fire approval Roof HVAC equip. Accessibility at restroom/fitting room non compliant Passed Cindy Wong COMMENTS 2525 El Camino Real , 142 Carlsbad, CA 92008 Reinspection Passed Yes No Re inspection Passed No No No No No Reinspection Passed No No No No No Reinspection Passed No No No No No Re inspection Passed Yes No No No No No Passed Yes Complete Complete Complete Complete Incomplete Complete Page 2 of 3 .,,z i"", 9 Jt!fcs '',L+\!J • ,z 0, <,, ' ,, :' . ,~' PERI\IIIT INSPECTl9N Al&'fORY ffl;PORiJl:tCBC2Q~;.c)152f"', ,,, , J ,, ' fa , '-,, >< ' ' • j; 4 t Permit Type: BLDG-Commercial Application Date: 04/03/2017 Owner: Work Class: Tenant Improvement Issue Date: 05/09/2017 Subdivision: CARLSBAD TCT#76-18 Status: Closed -Expired Expiration Date: 12/05/2017 Address: 2525 El Camino Real , 142 Carlsbad, CA 92008 IVR Number: 2890 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date -----~-·---------· 05/25/2017 05/25/2017 BLDG-14 024446-2017 Failed Michael Collins Reinspection Complete F rame/Stee 1/Bolti n g/ Welding (Decks) Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-34 Rough 024447-2017 Failed Michael Collins Reinspection Complete Electrical Checklist Item COMMENTS Passed BLDG-Building Deficiency No 05/30/2017 05/30/2017 BLDG-14 024698-2017 Passed Michael Collins Complete F ra me/Steel/Bolting/ Welding (Decks) Checklist Item COMMENTS Passed BLDG-Building Deficiency Wall frame only. Yes BLDG-34 Rough 024697-2017 Passed Michael Collins Complete Electrical Checklist Item COMMENTS Passed BLDG-Building Deficiency Wall electrical only, Dbl. Ck. wall EM Yes lighting. 06/05/2017 06/05/2017 BLDG-17 Interior 025224-2017 Passed Michael Collins Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Walls only except at entry. Yes 06/06/2017 06/06/2017 BLDG-84 Rough 025396-2017 Passed Michael Collins Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency Hard lids at Dressing, Entry & Show window Yes soffits. BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG·34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 06/07/2017 06/07/2017 BLDG-17 Interior 025555-2017 Cancelled Michael Collins Reinspection Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Work not ready. No 06/08/2017 06/08/2017 BLDG·17 Interior 025763-2017 Passed Michael Collins Complete Lath/Drywall ---------··------.. -----· ----· June 20, 2018 Page 1 of 3 EsGil Corporation In a!artnersnip witn government for <Buifaing Safety DATE: 04/26/2017 JURISDICTION: City of Carlsbad PLAN CHECK NO.: CBC2017-0152 SET: II PROJECT ADDRESS: 2525 El Camino Real Suite 142 PROJECT NAME: Shiek Shoes -TI D APPLICANT ~IS D PLAN REVIEWER D FILE ~ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. 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 Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: ~ EsGil Corporation staff did not advise the applicant that the plan check has been completed. D EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contactess;...: ----0 Telephone#: Date contacted: er?) Email: Mail Telephone Fax In Person D REMARKS: By: Sergio Azuela for (DM) EsGil Corporation D GA D EJ D MB D PC 04/20/2017 Enclosures: 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 EsGil Corporation In a!artnersnip witn qo..,ernment for (}Jui(aing Safety DATE: 4/14/17 JURISDICTION: City of Carlsbad PLAN CHECK NO.: CBC2017-0152 SETI PROJECT ADDRESS: 2525 El Camino Real Suite 142 PROJECT NAME: Shiek Shoes -TI !3,,APPLICANT _,CJ JURIS. D PLAN REVIEWER D FILE D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. [gJ The check list transmitted herewith is for your information. The plans are being held at EsGil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: D EsGil Corporation staff did not advise the applicant that the plan check has been completed. [gJ EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Bruce Marteney Telephone#: 909-599-7054 jbate contacted:4{ 14-(by~ Email: pod989@verizon.net ~ail ../'Telephone Fax In Person D REMARKS: By: Doug Moody EsGil Corporation D GA D EJ D MB D PC Enclosures: 4/4/17 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 City, of Carlsbad CBC2017-0152 4/14/17 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK NO.: CBC2017-0152 OCCUPANCY: M TYPE OF CONSTRUCTION: IIB ALLOWABLE FLOOR AREA: SPRINKLERS?: YES REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 4/3/17 DATE INITIAL PLAN REVIEW COMPLETED: 4/ 14/ l 7 FOREWORD (PLEASE READ): JURISDICTION: City of Carlsbad USE: Retail ACTUAL AREA: 4000sf STORIES: 1 HEIGHT: OCCUPANT LOAD: 89 DATE PLANS RECEIVED BY ESGIL CORPORATION: 4/4/17 PLAN REVIEWER: Doug Moody This plan review is limited to the technical requirements contained in the California version of the International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review is based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building permit. Code sections cited are based on the 2016 CBC, which adopts the 2015 IBC. The following items listed need clarification, modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 105.4 of the 2015 International Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. ,City of Carlsbad CBC2017-0152 4/14/17 Please make all corrections on the original tracings, as requested in the correction list. Submit three sets of plans for commercial/industrial projects (two sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 1. Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring two corrected sets of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. 1. Please revise the storefront elevations to show the butt joint glazing to have clips or adequate silicon to prevent differential deflection per national standards. 2. On the cover sheet of the plans, specify any items requiring special inspection, in a format similar to that shown below. Section 106.3.2. • REQUIRED SPECIAL INSPECTIONS In addition to the regular inspections, the following checked items will also require Special Inspection in accordance with Sec. 1701 of the International Building Code. ITEM FIELD WELDING REQUIRED? YES REMARKS 3. Please provide a complete City of Carlsbad Special Inspection Agreement form. 4. Please provide L Tl forms for this project the floor area of the tenant space is 4000 sf and not 5522sf as shown in the L Tl forms. 5. Please correct the mechanical plans to show the outside air duct and the restroom exhaust duct to extend to the exterior and not to the exit passageway. To speed up the review process, note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, note or detail number, calculation page, etc. Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes, please briefly describe them and where they are located in the plans. . City of Carlsbad CBC2017-0152 4/14/17 Have changes been made to the plans not resulting from this correction list? Please indicate: Yes D No D The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Doug Moody at Esgil Corporation. Thank you. City of Carlsbad CBC2017-0152 4/14/17 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PREPARED BY: Doug Moody PLAN CHECK NO.: CBC2017-0152 DATE: 4/14/17 BUILDING ADDRESS: 2525 El Camino Real Suite 142 BUILDING OCCUPANCY: M BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier Tl 4000 46.51 Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance -------------~1 Plan Check Fee by __ <?rdinance ________ ~ Type of Review: [2J Complete Review D Repetitive Fee ---~ Repeats ----..=J Comments: D Other D Hourly EsGil Fee Reg. VALUE Mod. D Structural Only ($) 186,040 186,040 $934.91 ! \$607.69!1 $523.ssj Sheet 1 of 1 macvalue.doc + PROFESSIONAl AIR TESTING AND BAIANCING A.B.M.S. AIR BALANCE & MECHANICAL 40440 25th Street West Palmdale, CA. 93551 661-250-4971 TEST AND BAIANCE ANAlYSIS REPIRT FIR: JOB Shiekh Shoes 2525 El Camino Real Sp, #142, Carlsbad, CA 92008 CONTRACTOR Hinkle Constrcution. Inc, 1905 N Williams Mesa, AZ 85203 ARCHITECT Bonaldo Enaineerina ENGINEER KLH Enaineerina CERTIFICATION: SERVICE WITH INTEGRITY This is to certify that ABMS Co. has balanced the system described herein in their optim m performance capabilities. The testing and balancing has been preformed in accordan with the standard requirements and procedures of the NATIONAL B NCING INSTITUT and the results of these tests are herein recorded. NATIONAL BALANCING INSTITUTE CERTIFICATIO -04 DATE 06-22-1 Z JOB #: 170402 SYMBOLS DATE 6/2212017 PROJECT CFM Cubic Feet per Minute ----Return Duct Shiekh Shoes NWS Carlsbad 0 Diameter Supply Duct Readinqs: ~ Supply OSA Outside Air [2J Return e Equipment Designation D.L. (5) Exhaust SP Static Pressure < Direction of Airflow sws Sidewall Supply JOB NUMBER 170402 T Thermostat/control SWR Sidewall Return D Damper cs Ceiling Supply M --F-Volume Damper HP Horsepower q OBD Opposed Blade V Volts II Damper BD Backdraft Damper FLA Full Load Amps It Unit Location SF Service Factor ~ F Furnace BHP Brake Horsepower ~ cu Condensing Unit DNA Data Not Available cc Cooling Coil DNL Data Not Listed AH Air Handler NA Not Accessible Not Taken -no valid L Louver NT location 1994 -2000 NCI CERTIFICATE OF CALIBRATION ·t h~IPERATUIH. REI.Al"IVI:' I IUMIDITY 13.,RUMI' IKIC PRE~$URI·. TSI ln~orporated, Alnor Products, 500 Cardigan Road, Shoreview, MN 55126 USA n :1.: 1-800-424-7-t27 1-651 -490-281 I FA x: 1-651-490-382~ www.alnor.corn 73 4 OF 37.7 'l-u MODEL Balometer JR.,.. 342 29.0 in Ilg SERIAL No. 70452093 C ~I IIIKA I JONS I ANL>AR[)S USH) ~'\\ I IYI 0 ;\ S l'lll!ND Ci:) J:,; i'Ol.l·RANLT laprun.: I luod Calibration System 3 L] Oll I Ut-I 01 t-.K/1 '!l t- CALIBRATION DATA AIK VELOCI I"\ Must.RED I'll ft3 Im in Tulerance: :f( 5% tiff11/l .m1/e) SC \I ~-Sl "l'l'l. \ DAT.\ RF.Tl R"\ D .\ I \ CALIBKArtON ]NS IRUMI-.NT Al.l.0WABIL CAllflRA rtOl\" IN~ll<UMENT AL I U'w 1\11, , SI ,\MJ \l<D U llll'lfl RA:--.G1· S 1,\ND \IU) 01 IPliT IZASGI 1200 ' 1210 1130-1270 1200 1200 1130 · 1270 111(,11 800 800 730 -870 800 800 730 -870 ,--- 500 495 470 -530 500 :'llrn 200 205 170 -230 200 r · 150 150 140-160 150 LO\\ 100 102 90 -110 100 SmnJurd L'ondi11\>n~ A111b1cfll Temperature 21 I "C. Uaron,ctr ,c l'1cs,urc -7<,0 U 111ml lp, Rcco111111cndcd 1'.cxt Cahhrauon Date· 495 470 -530 205 170 · 230 151 140 -160 103 90 · 110 ~j TS/ fllt·t,rpomtetl doe., hereby ,.,,rli/1' thlll rlr,• abuve tlcscribetl i11strume111 ctmfurms {I) tlte or1g1111t/ 11111111if111.:tttrer·, specifiw1i,1111 I 11u1 upplirnble /u .·b F1>1111d 1/aru) 11111/ ha.1 bun ca/ibriued 11si11)1 .mmdartls whose 11cc1ir11cie.r ure rraceable to the Nutlo11lll /11.1riru1i' oj Stm11l1ml.1 a11tl 1ed1110/o~r within rhe limitutio11s of NIST's calibrario11 savices or have bee11 tleri1•etl /run, accepretl 1·al111•r af 11at11ru/ plty;iwl cumrams or !ta,,.-been tlt!ri,w/ by rite ratio 1)1JC uf self culibmti,m ,~c/111iq11es. The c11/ibrntim1 rutio for tit fa i1mm111e111 ,s flt /rust!:/. 7'.',/'s c:ulibrilfio11 s_v.1-rein meets IS0-9001:2000 i,nd complies with ISO /0012::JOIJJ, Q1111/ity Assrrrame Re,111ireme11r.1fiir .llt'11111ri11g £(J1tip111i:111. This report 1,111y 110/ be reprullllu!II. e.,·crpl i11fi11/. 1111/e,s pa111i.1sitJ11 for tire p11btic111ilJ11 of 1111 11ppru1•cJ ab.\lrrH:t il ubtmnt'il in wririn~ /rum the calibru1iu11 urga11iza11u11 iwfuiu:,: !his report. C.ilibrauon 1>roccJ u1c u,cJ 128000030 FAN NAMEPLATE DATA MANUFACTURER Trane MODEL TAM7AOC48 TYPE Heat Pump SIZE 4ton SERIAL NUMBER 171918R22F FAN PULLEY DATA DIAMETER SHAFT Direct Drive ADJ/FIXED MOTOR NAMEPLATE DATA MANUFACTURER Marathon VOL TS/PHASE 208/1 HORSEPOWER 1 FULL LOAD AMPS 6.7 RPM 1075 SERVICE FACTOR 1.25 MOTOR PULLEY DATA DIAMETER SHAFT Direct Drive ADJ/FIXED BELT NO. & SIZE CONDENSING UNIT DATA MANUFACTURER NIA MODEL N/A TONNAGE N/A SERIAL NUMBER N/A FAN RPM STATIC PRESSURE+ STATIC PRESSURE - TOTAL STATIC PRESSURE FILTER STATIC PRESSUR VOLTS HORSEPOWER RPM DIFFUSERS AND GRILLS BIG ROOM DATE 22.Jun-2017 PROJECT Shiekh Shoes Calrsbad SYSTEM FC1 READINGS DL JOB NUMBER 170402 -~ .. .., R Outlet C d s· Required T t 1 Final % of oom Number O e ize CFM es CFM Design ~! -. UI «I Sales 1 SA 8x6 185 Sales 2 SA 8x6 185 Sales 3 SA 8x6 185 Sales 4 SA 8x6 185 Sales 5 SA 8x6 185 Sales 6 SA 8x6 185 Sales 7 SA 8x6 190 Sales 8 SA 8x6 190 1490 167 173 189 180 179 193 199 184 1464 90% 94% 102% 97% 97% 104% 105% 97% 98% .c 0 ~ oi Niu 0,, !~ .... a. l---+---l-----+---l-----+---+---1----t'.·i)<.: /..;i"ti;~· ·. '.I'"' • (\ ... "'1. ,..'•' ' 1---+---+----+---+----+---+---f-----,"4.,''V•1-.0 ....---•,;,, ···.-· 1---+---+----+---t----+----+---f----+""'I,' .• ft:-:.,/' '"'•·"', \,_.:_,. 1---+---+----+---+----+---+---f---+.r :-'I-: ·· ... t.l ND I ~::i \: · REMARKS 1994 NCI · · -~ctBilr-Ui.~; L 81-8_51.-f'·;/ /t / ~ '·; '> ..... f . ·"' ii /0, .. ""·--:·;.,,~\,l:t, .-., FAN NAMEPLATE DATA MANUFACTURER Trane MODEL TAM7AOC48 TYPE Heat Pump SIZE 4ton SERIAL NUMBER 1720106X2F FAN PULLEY DATA DIAMETER SHAFT Direct Drive ADJ/FIXED MOTOR NAMEPLATE DATA MANUFACTURER Marathon VOL TS/PHASE 208/1 HORSEPOWER 1 FULL LOAD AMPS 6.7 RPM 1075 SERVICE FACTOR 1.25 MOTOR PULLEY DATA DIAMETER SHAFT Direct Drive ADJ/FIXED BELT NO. & SIZE CONDENSING UNIT DATA MANUFACTURER N/A MODEL N/A TONNAGE N/A SERIAL NUMBER N/A RETURN AIR CFM OUTSIDE AIR CFM FAN RPM STATIC PRESSURE+ STATIC PRESSURE - VOLTS HORSEPOWER RPM DIFFUSERS AND GRILLS BIG ROOM R Outlet C d 5. Required T 1 Final % of oom Number O e ,ze CFM est CFM Design Sales 1 SA 8x6 165 153 93% Sales 2 SA 8x6 165 149 90% Sales 3 SA 8x6 165 174 105% Sales 4 SA 8x6 165 169 102% Sales 5 SA 8x6 165 171 104% Sales 6 SA 8x6 165 159 96% Sales 7 SA 8x6 180 194 108% Sales 8 SA 8x6 180 190 106% 1350 1359 101% REMARKS 1994 NCI DATE 22.Jun-2017 PROJECT Shiekh Shoes Calrsbad SYSTEM FC2 READINGS DL JOB NUMBER 170402 ...... ,,. .., I :i: O> ... U) Ill .c 0 .. -.., .. Nii 0 "C ;E 0 .!! ... D.. FAN NAMEPLATE DATA MANUFACTURER Trane MODEL TAM7AOC36 TYPE Heat Pump SIZE 3ton SERIAL NUMBER 15164POM2F FAN PULLEY DATA DIAMETER SHAFT Direct Drive ADJ/FIXED MOTOR NAMEPLATE DATA MANUFACTURER Marathon VOL TS/PHASE 208/1 HORSEPOWER 3/4 FULL LOAD AMPS 4.9 RPM 1075 SERVICE FACTOR 1.25 MOTOR PULLEY DATA DIAMETER SHAFT Direct Drive DJ/FIXED BELT NO. & SIZE CONDENSING UNIT DATA MANUFACTURER NIA MODEL N/A TONNAGE N/A SERIAL NUMBER N/A FAN RPM STATIC PRESSURE + STATIC PRESSURE - TOTAL STATIC PRESSURE FILTER STATIC PRESSUR VOLTS HORSEPOWER RPM DIFFUSERS AND GRILLS BIG ROOM R Outlet C d 5. Required T t 1 Final % of oom Number O e ,ze CFM es CFM Design Stock 1 SA 8x6 145 157 108% Stock 2 SA 8x6 145 150 103% Stock 3 SA 8x6 100 101 101% Stock 4 SA 8x6 100 93 93% Stock 5 SA 8x6 100 109 109% Stock 6 SA 8x6 100 100 100% Stock 7 SA 8x6 100 108 108% Stock 8 SA 8x6 100 94 94% Stock 9 SA 8x6 105 105 100% Stock 10 SA 8x6 105 100 95% Fittin 11 SA 12x12 80 82 103% 1994 NCI DATE 22-Jun-2017 PROJECT Shiekh Shoes Calrsbad SYSTEM FC3 READINGS DL JOB NUMBER 170402 -...-.. "' i~ .... rn '" .cu :;; ai N iii jJ ~•z ® ·"" ..,._ [EJ 0) © ...... .... .. .. "" -- ::-.::® ::-t) ..... OD (D ® ....... ·© ·"" (1) ,-,. ~ --·~ :i 00 J Q)~PI..AN --------- @ @ (D ~J: ill (D (j) ....... .... .. ---- ...... .,, .. --...... © @ El .j; .....,,.,..,.. . ~ MECHANICAL LEGEND DESCRIPTION MECHANICAL STATS & SENSORS MECHANICAL DUCTWORK ACCESSORIES KEYED NOTES ~IIIIO~flUCTIOf.lMC:0-.\H'lwrrM•.rW,.wAl ~ ... f.llLl..l'IA_.~ ............. ..,... -~-......ffDOC#9IOl::Nl8UR,-Ms.aMII. ~""""'.........0$(""'°"'°~1\,QIIIQfJII ~~~~~=.:.-.. .... a,oNl9(AT£ "'4 IIUCNOM ,.._ 10 OUCffJICIIIIIC fAmW:Al10N .. TNJ.MOf'OUC:?WONl ... t«IHMPOMaL~ffntf:H,lH 0'"~"""1*\.aITT'Gl'\M~ ....... CIISl-.:l ::DWIN)~-M.1..0n.llDlllrfNJ .....,....r........a~.ano,Cl'DOOl!--1'1.00ll .,._,,. ~~~~--=='=~ c:oi,mmoc~ft)--~lll>ltl'l~l'fO--OMCIMl#INOf'IIOo'Of .... ~ ... ~ HQJ ,uil'SUI IVINf'OI' l'l(J9IENCfQII.Y. LCCATUIICI' HU.T ,,.,_ ,Oa,COONJMIIM)., .. IJIIIQ.o,io~..-.1011,111.Jr< fflOINUT....-lO~UlfCXl',.UN'f =-=""~Nl'IWQIMlilJ, ......... ffO-JIQlflll)lO AEU> VERIFY ALL COHOITIONS ~~##tE,~llC-(X)l(tMCfO"l*U.......,,.&n'I """*TO..-.,C*NIIMIJC#O()lrffllolCl'10Nll'liCTIE*l'N>f'IBA COMOfflDJ&'t1411C,(IJlfflll,ol!T....UIC:llolOll'M.1.uacl'INGWII.~ NtaSSMl'l'fQfl~~~Dl.CTOOlafk>OOIOTIOtO MECHANICAL DUCTWORK MECHANICAL AIR DEVICES GENERAL NOTES C "-O~t'WJ.-l.Mlftl10'6'"1111.81CffllNOouc:tl!WID MJDIIIUl,-ntC.IIUGTIUl"CII09Mw.l.lETIICl9t1'HIWNOIJCl O ~l,MIC~·IIUl'QNlaLf'OR~TloGIOII.Cll.1' ==:~c.=-~MIIMl'IO'S-~ '~COM'""'GIOllllO~~-fM ......... , DIIMfllllCS.AU.ro.->tl'..,.,~ MOIIMlllDll°" n8111b51'A~CIJlffllQl......,~....,cmul'Sffllefl' ~Til>IAT~OI-~ , ~~-TO.,..,.,..#olD-TM..1.,-.Mllll "'°'kffWN#CI._..ONMJ..ENTNl,CIII.NfW-lHlliT ~IU,.,...._,l'IDl"Nlffl'Ol. ...... ~/l'tooot. G ~c:u,ml,,ICTOlt•l0~-'8TM..L,__,.. ONMl. .. 'hlGOfillilflllOUCl'WlQlllt1*fl9ETM.18A,WM,U f'l.llfflll»l.~~fffCO(llli. .. at~~R)ftOOUO~ I ~UWJ.Wff/lFIAlll"'IC&IT~l'O-CIUClWIW(, ~~~l!U:TUCfMATco..uitNlO\THI: ,nc~aw.1.&ICUl'llf1W1.lAU..ll!OI..W'l,,ENJ.l"f'Hl1,HJJ ~IC)f~,0-·R,UV,U,0,,U-OIOf - OFFICE USE ONLY SAN DIEGO REGIONAL -...l-lAZARDOUS MATERIALS QUESTIONNAIRE RECORD ID#~~~~~~~~~~~~~~~~~~ PLAN CHECK#~~~~~~~~~~~~~~~~~ BP DATE Telephone# 'lo State Zip Code "1.00 fS Zip Code Plan File# uesti PART I: FIRE DEPARTMENT -HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: (not required for projects within the City of San Diego): Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. lf any of the items are circled, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: Facility's Square Footage (including proposed project): Corrosives 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 2. Compressed Gases 6. Oxidizers 10. Cryogenics 3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 13. 14. 15. Other Health Hazards None of These. 4. Flammable Solids 8. Unstable Reactives 12. Radioactives PART 11: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION (HMO): If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 110, San Diego, CA 92123. Call (858) 505-6700 prior to the issuance of a building permit. FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy: 1. 2. 3. 4. 5. 6. 7. 8. YES NO (for new construction or remodeling projects) D Ir Is your business listed on the reverse side of this form? (check all that apply). D B Will your business dispose of Hazardous Substances or Medical Waste in any amount? D B Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 D D D D D pounds and/or 200 cubic feet? ..21" Will your business store or handle carcinogens/reproductive toxins in any quantity? ~ Will your business use an existing or install an underground storage tank? g Will your business store or handle Regulated Substances (CalARP)? ,st' Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? i:sr-Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or reater than 1,320 allons? California's Above round Petroleum Stora e Act . D CalARP Exempt I Date Initials D CalARP Required I Date Initials 0 CalARP Complete I Date Initials PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD): Any YES* answer requires a stamp from APCD 10124 Old Grove Road, San Diego, CA 92131 apcdcomp@sdcounty.ca.qov (858) 586-2650). [*No stamp required if Q1 Yes and Q3 Yes and Q4-Q6 No]. The following questions are intended to identify the majority of air pollution issues at the planning stage. Projects may require additional measures not identified by these questions. For comprehensive requirements contact APCD. Residences are typically exempt, except -those with more than one building .. on the property; single buildings with more than four dwelling units; townhomes; condos; mixed-commercial use; deliberate burns; residences forming part of a larger project. rExcludes garages & small outbuildings.] ,:~ NDO 1. ~ Will the project disturb 160 square feet or more of existing building materials? 2. DD g Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition. 3. 0 (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance Technician? 4. D D (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification may be required 1 o working days prior to commencing asbestos removal. 5. D t':i( Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet (www.sdapcd.org/infolfacts/permits.pdf) for typical equipment requiring an APCD permit. 6. D D (ANSWER ONLY JF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school bounda Briefly describe business activities: ~ Briefly describe proposed project: 1..S Tel,JAIIJl' ll"l~Mc>JT"" 312-S I 17 Date FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: _________________ -,-----,-------------- BY· DATE· I I EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMO* APCD COUNTY-HMO APCD ~ COUNTY-HMO APCD . A stamp 1n th1s box only exempts businesses from completing or updating a Hazardous Matenals Business Plan. other permitting requirements may stlll apply . HM-9171 (08115) County of San Diego -DEH -Hazardous Materials Division LIST OF BUSINESSES WHICH REQUIRE REVIEW AND APPROVAL FROM THE COUNTY OF SAN DIEGO DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION ,"' -Check all that apply: AUTOMOTIVE D Battery Manufacturing/Recycling D Boat Yard 0 Car Wash D Dealership Maintenance/Painting D Machine Shop 0 Painting D R~diator Shop D Rental Yard Equipment D Repair/Preventive Maintenance D Spray Booth 0 Transportation Services D Wrecking/Recycling CHEMICAL HANDLING D Agricultural supplier/distributor D Chemical Manufacturer D Chemical Supplier/Distributor 0 Coatings/Adhesive D Compressed Gas Supplier/Distributor D Dry Cleaning D Fiberglass/Resin Application D Gas Station D Industrial Laundry D Laboratory D Laboratory Supplier/Distributor D Oil and Fuel Bulk Supply D Pesticide Operator/Distributor CHEMICAL HANDLING D Photographic Processing D Pool Supplies/Maintenance D Printing/Blue Printing D Road Coatings D Swimming Pool D Toxic Gas Handler D Toxic Gas Manufacturer METAL WORKING D Anodizing D Chemical Milling/Etching D Finish-Coating/Painting D Flame Spraying D Foundry D Machine Shop-Drilling/Lathes/Mills D Metal Plating D Metal Prepping/Chemical Coating D Precious Metal Recovery D Sand Blasting/Grinding D Steel Fabricator D Wrought Iron Manufacturing AEROSPACE D Aerospace Industry D Aircraft Maintenance D Aircraft Manufacturing OTHERS AND MISCELLANEOUS D Asphalt Plant D Biotechnology/Research D Chiropractic Office D Co-Generation Plant D Dental ClinidOffice D Dialysis Center D Emergency Generator D Frozen Food Processing Facility D Hazardous Waste Hauler D Hospital/Convalescent Home D Laboratory/Biological Lab D Medical ClinidOffice D Nitrous Oxide (NOx) Control System D Pham1aceuticals D Public Utility D Refrigeration System D Rock Quarry D Ship Repair/Construction D Telecommunications Cell Site D Veterinary CtinidHospital D Wood/Furniture Manufacturing/Refinishing ELECTRONICS D Electronic Assembly/Sub-Assembly D Electronic Components Manufacturing D Printed Circuit Board Manufacturing NOTE: THE ABOVE LIST INCLUDES BUSINESSES, WHICH TYPICALLY USE, STORE, HANDLE, AND DISPOSE OF HAZARDOUS SUBSTANCES. ANY BUSINESS NOT INCLUDED ON THIS UST, WHICH HANDLES, USES OR DISPOSES OF HAZARDOUS SUBSTANCES MAY STILL REQUIRE HAZARDOUS MATERIALS DIVISION (HMO) REVIEW OF BUSINESS PLANS. FOR MORE INFORMATION CALL (858) 505-6880. LIST OF AIR POLLUTION CONTROL DISTRICT PERMIT CATEGORIES Businesses, which include any of the following operations or equipment, wlll require clearance from the Air Pollution Control District. CHEMICAL 47 -Organic Gas Sterilizers 32 -Acid Chemical Milling 33 -Can & Coil Manufacturing 44 -Evaporators, Dryers & Stills Processing Organic Materials 24 -Dry Chemical Mixing & Detergent Spray Towers 35 -Bulk Dry Chemicals Storage 55 -Chrome Electroplating Tanks COATINGS & ORGANIC SOLVENTS 27 -Coating & Painting 37 -Plasma Arc & Ceramic Deposition Spray Booths 38 -Paint, Stain & Ink Mfg 27 -Printing 27 -Polyester Resin/Fiberglass Operations METALS 18 -Metal Melting Devices 19 -Oil Quenching & Salt Baths 32 -Hot Dip Galvanizing 39 -Precious Metals Refining ORGANIC COMPOUND MARKETING (GASOLINE, ETC) 25 -Gasoline & Alcohol Bulk Plants & TeITT1inals 25 -lntem1ediate Refuelers 26 -Gasoline & Alcohol Fuel Dispensing COMBUSTION 34 -Piston Internal -Combustion Engines 13 -Boilers & Heaters (1 million BTU/hr or larger) 14 -Incinerators & Crematories 15 -Bum Out Ovens 16 -Core Ovens 20 -Gas Turbines, and Turbine Test Cells & Stands 48 -Landfill and/or Digester Gas Flares ELECTRONICS 29 -Automated Soldering 42 -Electronic Component Mfg FOOD 12 -Fish Canneries 12-Smoke Houses 50 -Coffee Roasters 35 -Bulk Flour & Powered Sugar Storage SOLVENT USE 28 -Vapor & Cold Degreasing 30 -Solvent & Extract Driers 31 -Dry Cleaning ROCK AND MINERAL 04 -Hot Asphalt Batch Plants 05 -Rock Drills 06 -Screening Operations 07 -Sand Rock & Aggregate Plants 08 -Concrete Batch, CTB, Concrete Mixers, Mixers &Silos 1 0 -Brick Manufacturing OTHER 01 -Abrasive Blasting Equipment 03 -Asphalt Roofing Kettles & Tankers 46 -Reverse Osmosis Membrane Mfg 51 -Aqueous Waste Neutralization 11 -Tire Buffers 17 -Brake Debonders 23 -Bulk Grain & Dry Chemical Transfer & Storage 45 -Rubber Mixers 21 -Waste Disposal & Reclamation Units 36 -Grinding Booths & Rooms 40 -Asphalt Pavement Heaters 43 -Ceramic Slip Casting 41 -Perlite Processing 40 -Cooling Towers -Registration Only 91 -Fumigation Operations 56 -WWTP (1 million gal/day or larger) & Pump Station NOTE: OTHER EQUIPMENT NOT LISTED HERE THAT IS CAPABLE OF EMITIING AIR CONTAMINANTS MAY REQUIRE AN AIR POLLUTION CONTROL DISTRICT PERMIT. IF THERE ARE ANY QUESTIONS, CONT ACT THE AIR POLLUTION CONTROL DISTRICT AT (858) 586-2600. HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY Date ~ ·2.S·l1 Business Name "2:{l~l,44 2>\otc1i:"'> Street Address 'Z'S2~ EL. Ult-11~ fc--.L, t:.4J?<.S&-60, "° '7Z.DC1~ Email Address. __________________________ _ PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) ~ Check all below that are present at your facility: Acid Cleaning Ink Manufacturing Nutritional Supplement I Assembly Laboratory Vitamin Manufacturing Automotive Repair Machining I Milling Painting I Finishing Battery Manufacturing Manufacturing Paint Manufacturing Biofuel Manufacturing Membrane Manufacturing Personal Care Products Biotech Laboratory (I.e. water filter membranes) Manufacturing Bulk Chemical Storage Metal Casting I Forming Pesticide Manufacturing I Car Wash Metal Fabrication Packaging Chemical Manufacturing Metal Finishing Pharmaceutical Manufacturing Chemical Purification Electroplating (including precursors) Dry Cleaning Electroless plating Porcelain Enameling Electrical Component Anodizing Power Generation Manufacturing Coating (i.e. phosphating) Print Shop Fertilizer Manufacturing Chemical Etching I Milling Research and Development Film I X-ray Processing Printed Circuit Board Rubber Manufacturing Food Processing Manufacturing Semiconductor Manufacturing Glass Manufacturing Metal Powders Forming Soap I Detergent Manufacturing Industrial Laundry Waste Treatment/ Storage SIC Code(s) (if known):----------------------- Brief description of business activities (Production I Manufacturing Operations): _____ _ Description of operations generating wastewater (discharged to sewer, hauled or evaporated): Estimated volume of industrial wastewater to be discharged (gal I day): -------- List hazardous wastes generated (type I volume): --------------- Date operation began/or will begin at this location:--------------- Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes No If yes, when:-------------------- DISCHARGE PERMIT EXEMPT LIST The commercial enterprises listed below are a partial listing of businesses that are exempt from industrial wastewater discharge permitting under normal operating conditions. They are exempt because (a) they discharge no process wastewater (i.e., they only discharge sanitary wastewater with no pollutants exceeding any local limits), and (b) they have no potential to negatively impact the EWPCF or other wastewater treatment plants in the ESS. Any questions regarding exemptions should be referred to EWA Source Control staff. Automobile Detailers Barber/Beauty Shops Business/Sales Offices Carpet/Upholstery Cleaning Services Childcare Facilities Churches Community Centers Consulting Services Contractors Counseling Services Educational Services (no auto repair/film developing) Financial Institutions/Services Fitness Centers Gas Stations (no car wash/auto repair) Grocery Stores (no film developing) Home-based Businesses Hotels/Motels (no laundry) Laundromats Libraries Medical Offices (no x-ray developing) Mortuaries Museums Nail Salons Nursing Homes Office Buildings (no process flow) Optical Services Pest Control Services (no pesticide repackaging for sale) Pet Boarding/Grooming Facilities Postal Services Public Storage Facilities Restaurants/Bars Retail/Wholesale Stores (no auto repair/film developing) Theaters (Movie/Live)