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Home My WebLink About2525 El Camino Real; 119; CBC2018-0291; Permit(city of Carlsbad Commercial Permit Print Date: 08/28/2018 Permit No: CBC2018-0291 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: Applicant: RONNIE ROLLMAN 4080 Centre St, 203 2525 El Camino Real, 119 BLDG-Commercial 1563020900 $82,648.27 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: SOHA LIVING: 1,777 SF RETAIL TO RETAIL T.I. Owner: R PI CARLSBAD LP Tenant Improvement San Diego, CA 92103-2655 619-358-9220 1114 Avenue Of The Americas, Floor 45 New York, NY 10036-7700 214-660-5232 x215232 BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE {BLDG) ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL PLUMBING BLDG COMMERCIAL NEW/ADDITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $1,141.86 Total Payments To Date: $1,141.86 Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020{a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Closed -Finaled 05/25/2018 06/26/2018 MColl 8/28/2018 9:52:43AM $0.00 $552.19 $386.53 $GD.DO $45.0D $71.00 $4.00 $23.14 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 QENGINEERING 0BUILD1NG DF1RE DHEALTH DHAZMAT/APCD I Ccityof Building Permit Application Plan Check No./p.-" .::Jr,J,/'J,. (),;2.C, 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Ii r:::; t,,4 t1 ;)::I. Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date 5 -;z -S--i 'o JOB ADDRESS SUITEI/SPACEf/UNITf IAPN 2525 EL CAMINO REAL 119 - - - CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP So Ha Living 11-B M DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) TENANT IMPROVEMENTS FOR A NEW RETAIL TENANT WITHIN AN EXISTING MALL LEASE SPACE. WORK TO INCLUDE: ENLARGED EXIST.ING RESTROOM, LIGHTING, HVAC DUCTWORK & ELECTRICAL. MINOR PLUMBING WORK TO RELOCATE EXISTING LAVATORY, NEW STOREFRONT. NO STRUCTURAL MODIFICATIONS TO THE EXISTING BUILDING ·1,,,7 ~r EXISTING USE I PROPOSED USM !GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS M YES[), •o[Z] YES [Z]•o D YEs[Z] •oO APPLICANT NAME• Ronnie Rollman PROPERTY OWNER NAME rouse properties, LLC Primary Contact ADDRESS ADDRESS 4080 Centre st, Suite 203 1114 avenue of the americas, #2800 CITY STATE ZIP CITY STATE ZIP San Die!lO ca 92103 New York NY 10036 PHONE IFAX PHONE I FAX 619-358-9220 619-358-9213 214-556-5112 EMAIL EMAIL ronnie@bakerarchitecture.com alex.chu@rouseproperties.com DESIGN PROFESSIONAL Katherine Baker· Baker Architecture CONTRACTOR BUS. NAME Schroeder Construction & DeveloDement. a ADDRESS ADDRESS 4080 Centre st, Suite 203 2691 State St CITY STATE ZIP CITY STATE ZIP San Dieao ca 92103 Carlsbad CA 92008 PHONE IFAX PHONE IFAX 619-281-5937 619-884-3660 EMAIL EMAIL kbaker@bakerarchitecture.com tom@schroedercorp.com IST"E LIC.C:28547 STATE UC.# 4-q::4 !CLAS~ I lc.rZ~Rc;z.:i 454-0 Lt.q (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to.construct, alter, improve, demolish or repair any structure, prior to ,ts issuance, also requires the applicant for such per_mit to file a s1~ned statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following ciedaratiolls: bJ I have and wHI maintain a certificate of consent to self-Insure for "MJrl(ers· compensation as provided by Section 3700 of the Labor Code, for the performance of the worl( for which this permit ls issued. -- ~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the pertonnance of the work for "11tllch this permit is issued. My worl(ers' compensation insurance carrier and policy aumberara, lns,rance Co. "5TAJ:!$ fiJ /JO /J.-l'3 Pol<:y No. ")'o G,1 5 3 '1 e,p;rauoo Date (; ' I '1' l 1 ~section need not be completed If the permit is for one hundred dollars ($100) Of less. LJ Certificate of Exemption: I certify that In the perfonnance 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 Worli.ers' Compensation Laws of Caltfom!a. WARNING: Failure to secure workers' pensation cove Is unlawful, and shaH subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in provid for in S o 706 o he labor code, interest and attorney's fees. I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D D I, as owner of the property or my employees with wages as their sole compensation, will do the worl( 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, arid v.mo does such wort himsett or through his owo employees, provided that sueh improvements are not intended or offered for sale. If, however, the bulldlng or Improvement is sold within one year of completion, the owner-bulider 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 controctors to construct the project {Sec. 7044, Business and Professions Code: The Contractor"s License Law does not apply to ari owner of property who builds or improves thereon, and controcts for such projects with contractor(s) licensed pursuant 10 the Controctor's License Law). 1 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. 0Yes Oo 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I ptao to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (Include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name I address I phone I type of worl(J: ,6$ PROPERTY OWNER SIGNATURE 0AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes O No Is the facility to be constructed within 1.000 feet of the outer boundaiy of a school site? O Yes O 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the applicatlon and state that the above lnfonnation Is correct and that the infonnation on the plans ls acairate. I agree to comply 'Mth all City ordinances and State laws relatlngto building construclion. l hereby authorize rE!p"esentative of the ay of Carlsbad to enter upon the above mertioned rropertyfor ilspectioo llJrposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAJNST All LIABILITIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAJD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: AA OSHA penr« is reqtnd for excavaoons over S'O' deep and demolition or constn.x:oon of structLres over 3 stories in heigtt. EXPIRATION: Every permit issued by the Building Official under the provisioos oflhis Code shal exi:*e by linitatioo and become 11.JR ard \oUid if the lxliktirg orwcxk authorized by such permt is rot commenced Volhn 180 days from lhe date of sudl penr« orif the buik:lilg or work authorized by soch pemi is suspended or abandoned at any ~rre after the work is romrnenced fix a peood of 180 days (Section 106.4.4 Uniform Building Code) . .@S' APPLICANT'S SIGNATURE 'i2. DATE 5 I zs-l 18 PERMIT INSPECTION HISTORY REPORT (CBC2018-0291) Permit Type: BLDG-Commercial Application Date: 05/25/2018 Owner: R P I CARLSBAD LP Work Class: Tenant Improvement Issue Dato: 06/26/2018 Subdivision: CARLSBAD TCT#76-18 Status: Closed -Finaled Expiration Date: 01/28/2019 Address: 2525 El Camino Real , 119 Carlsbad, CA 92008-1206 IVR Number: 11589 Scheduled Actual Primary Inspector Complete Date Start Date Inspection Type Inspection No. Inspection Status Re inspection 07/02/2018 07/02/2018 BLDG-21 062878-2018 Passed Michael Collins Complete Underground/Underf loor Plumbing Checklist Item COMMENTS Passed BLDG-Building Deficiency Relocate floor sink Yes 07/16/2018 07/16/2018 BLDG-14 064180-2018 Partial Pass Michael Collins Reinspection Incomplete Frame/Steel/Bolting/ Welding (Decks) Checklist Item COMMENTS Passed BLDG-Building Deficiency Lease line wall/soffit frame. See card Yes 08/01/2018 08/01/2018 BLDG-17 Interior 065533-2018 Passed Michael Collins Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Drywall only Yes 08/27/2018 08/27/2018 BLDG-Final 068020-2018 Failed Michael Collins Reinspection Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No BLDG-Fire Final 067855-2018 Passed Cindy Wong Complete Checklist Item COMMENTS Passed FIRE-Building Final Yes 08/28/2018 08128/2018 BLDG-Final 068320-2018 Passed Michael Collins Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Existing HVAC Yes BLDG-Plumbing Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes August 28, 2018 Page 1 of 1 Carlsbad CBC2018-0291 6/20/2018 DATE: 6/20/2018 JURISDICTION: Carlsbad PLAN CHECK#.: CBC2018-0291 ~ EsG1I A SAFEbu:lt Co1npany SET: II PROJECT ADDRESS: 2525 El Camino Real PROJECT NAME: SoHA living T.I. D APPLICANT D JURIS. D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. [gj The plans transmitted herewith will substantially comply with the jurisdiction's building 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 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: [gj EsGil staff did not advise the applicant that the plan check has been completed. D EsGil staff did advise the applicant that the plan check has been completed. Person contacted: / A') Date contacted: / .. · (b~) Email: Telephone#: Mail Telephone Fax In Person [gj REMARKS: Applicant to slip sheet perforated sheets in the set. By: Morteza Beheshti EsGil 6/13 Enclosures: , DATE: 6/7/2018 JURISDICTION: Carlsbad PLAN CHECK#.: CBC2018-0291 ~ EsG1I A SAFEbuilt Company SET: I PROJECT ADDRESS: 2525 El Camino Real PROJECT NAME: SoHA living T.I. 0 APPLICANT )4 JURIS. 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. cg] The check list transmitted herewith is for your information. The plans are being held at EsGil 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. cg] The applicant's copy of the check list has been sent to: D EsGil staff did not advise the applicant that the plan check has been completed. cg] EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Katherin Bakef'c. \ 1 Telephone#: 619.281.5937 ----, Date contacted: f.ifi' I 11?' (b~) Email: ronnie@bakerarchitecture.comll(. 2-) ~I Telephon~ Fax In Person D REMARKS: By: Morteza Beheshti EsGil Enclosures: 5/29 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 Carlsbad CBC2018-0291 6/7/2018 GENERAL PLAN CORRECTION LIST JURISDICTION: Carlsbad PROJECT ADDRESS: 2525 El Camino Real DATE PLAN RECEIVED BY ESGIL: 5/29 REVIEWED BY: Morteza Bebesbti FOREWORD (PLEASE READ): PLAN CHECK#.: CBC2018-0291 DATE REVIEW COMPLETED: 6/7/2018 This plan review is limited to the technical requirements contained in the International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and disabled access. 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 or other departments. 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. The approval of the plans does not permit the violation of any state, county or city law. 1. Please make all corrections and submit Two new complete sets of prints, to the EsGil Corporation. Please note: Before correcting the plans, you should wait until you've received comments from other city departments (Fire, Planning, etc.). 2. To facilitate rechecking, please identify, next to each item, the sheet of the plans upon which each correction on this sheet has been made and return this sheet with the revised plans. 3. 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 on the plans. Have changes been made not resulting from this list? CJ Yes CJ No 4. Please include the required 18" strike side of door wall space in the ADA restroom shown. 5. Please apply the occupancy sensors for the lighting plans. 6. Please provide plumbing waste vent water design for the bathroom changes. 7. The jurisdiction has contracted with EsGil, 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 Morteza Bebesbti at Esgil. Thank you. • Carlsbad CBC2018-0291 6/7/2018 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK#.: CBC2018-0291 PREPARED BY: Morteza Beheshti DATE: 6/7/2018 BUILDING ADDRESS: 2525 El Camino Real BUILDING OCCUPANCY: B BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code Cb By Ordinance --- 1997 UBC Building Permit Fee • I Erorr you cm~tked Comp. 'Review anaffourly at the same time ------------, 1997 UBC Plan Check Fee • ! Type of Review: Complete Review D Repetitive Fee -_ • ] Repeats * Based on hourly rate Comments: D Other 0 Hourly EsGII Fee Reg. VALUE Mod. D Structural Only 1--------llHr. @ * ($) 82,648 82,648 $547.291 $355.741 $355.741 Sheet 1 of 1 OFFICE USE ONLY SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE RECORDID#~~~~~~~~~~~~~~~~~-1 PLANCHECK#~~~~~~~~~~~~~~~~~I BP DATE YI -77e;-Ob7 Business Name APN# Mailing Address Plan File# Project Contact Applicant E-mail Telephone # ,->/IC ,vv.;,.J N/Jff!:~ Jli4:tz./lf!C//I " ,rrP,e;.Coh\ fR I The following questions represent the faclllty's activities, NOT the specific project descr ption. PART I: FIRE DEPARTMENT-HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: !not required for projects within the City of San Diego): Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are circled, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: Facility's Square Footage (including proposed project): 13. Corrosives 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards 3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 4. Flammable Solids 8. Unstable Reactives 12. Radioactives 15. None of These. PART 11: SAN DIEGO COUNTY DEPARTMENT OF ENVlR NMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION HMD: If the answer to any of the questions is yes, applicant must contact the County o 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 pennit. FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy: YES NO (for new construction or remodeling projects) 1. 2. 3. 4. 5. 6. 7. 8. D ~ Is your business listed on the reverse side of this form? (check all that apply). D 11}-Will your business dispose of Hazardous Substances or Medical Waste in any amount? D [!3--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? U} 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)? ~ Witl your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? @-Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or realer than 1,320 anons? California's Above round Petroleum Stora e Act . 0 CalARP Exempt I Date Initials D CalARP Required I Date Initials 0 CalARP Complete I Date Initials PART 111: 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.gov (858) 586-2650). [*No stamp required if 01 Yes and Q3 Yes and 04-06 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 bums; residences fanning part of a larger project. r·Excludes garages & small outbuildings.] YES NO 1. D [9-""" Will the project disturb 160 square feet or more of existing building materials? 2. D ~Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition. 3. D O, (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by a Certified Asbestos Consultant or Site Surveillance ~echnician? 4. D [J ,ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification may be required 10 working days prior to commencing asbestos removal. 5. D (3""'"Will the project or associated construction equipment emit air contaminants? See the reverse side of this fonn or APCD factsheet (www.sdapcd.org/info/facts/permits.pdf) for typical equipment requiring an APCD permit. 6. D D (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school bounda Briefly describe proposed project: l t WI Tl/-(.rJ Ir/"' "'X'.: I de~ under pena~f perjury that to the best of my knowledge and belief I e responses m~erein are true and correct. ~Nr::'l ~ ~t,.l-¥'!Pt \ ~~~;,::,=•==----l=::_~:::====----- Name of Owner or Authorized Agent Signature of Owner or Authorized Agent FOR OFFICAL USE ONLY: 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 ,n this box only exempts busmesses from completing or updating a Hazardous Matenals Business Plan. Other perm1tt1ng requirements may still apply. HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY Date S /zs-/ / 8' Business Name So µ.fl Ltil lt::/9 Street Address J5:}S-f:l. C[rm1AJ) f;.€-BL "-/ / 1 Email Address SH~ r2!1H t! 50HA:ur1/Jq . (pt'.)!\ PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) 0 Check all below that are present at your facility: Acid Cleaning Ink Manufacturing Nutritional Supplement/ 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 /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): _____ _ f2.n:4:lk s Al::er Description of operations generating wastewater (discharged to sewer. hauled or evaporated): ~('[{?IOI}\, 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:--------------------- Site Contact ______________ Title. ____________ _ Signature Phone No. ___________ _ ENCINA WASTEWATER AUTHORITY, 6200 Avenida Encinas Carlsbad, CA 92011 (760) 438-3941 FAX: (760) 4 76-9852 DISCHARGE PERMIT EXEMPT LIST The commercial enterprises listed below are a partial listing of businesses that are exempt from industrial wastewater discharge permitting under normal operating conditions. They are exempt because (a) they discharge no process wastewater (i.e., they only discharge sanitary wastewater with no pollutants exceeding any local limits), and (b) they have no potential to negatively impact the EWPCF or other wastewater treatment plants in the ESS. Any questions regarding exemptions should be referred to EWA Source Control staff. Automobile Detailers Barber/Beauty Shops Business/Sales Offices Carpet/Upholstery Cleaning Services Childcare Facilities Churches Community Centers Consulting Services Contractors Counseling Services Educational Services (no auto repair/film developing) Financial Institutions/Services Fitness Centers Gas Stations (no car wash/auto repair) Grocery Stores (no film developing) Home-based Businesses Hotels/Motels (no laundry) Laundromats Libraries Medical Offices (no x-ray developing) Mortuaries Museums Nail Salons Nursing Homes Office Buildings (no process flow) Optical Services Pest Control Services (no pesticide repackaging for sale) Pet Boarding/Grooming Facilities Postal Services Public Storage Facilities Restaurants/Bars Retail/Wholesale Stores (no auto repair/film developing) Theaters (Movie/Live)